This log is also available as text (s25699.txt) and as a (binary) annotation file (s25699.log).
Generated: Monday, 07-Jun-2010 13:20:46 EDT
(All dates below are surrogates.)
t0: [16:06:08 26/10/2011] tf: [01:41:10 27/10/2011] id: a40525 [view]
t0: [14:52:59 26/10/2011] tf: [01:39:59 27/10/2011] id: a40525n [view]
t0: [01:46:34 26/10/2011] tf: [01:00:34 30/10/2011] id: a41753 [view]
t0: [23:47:59 26/10/2011] tf: [00:59:59 31/10/2011] id: a41753n [view]
t0: [19:17:00 26/10/2011] tf: [17:14:45 06/11/2011] id: a41925 [view]
t0: [19:15:59 26/10/2011] tf: [17:12:59 06/11/2011] id: a41925n [view]
dd: 2749 ds: 6 ld: GOUT NOS dd: 2851 ds: 3 ld: AC POSTHEMORRHAG ANEMIA dd: 4019 ds: 7 ld: HYPERTENSION NOS dd: 45620 ds: 2 ld: BLEED ESOPH VAR OTH DIS dd: 4568 ds: 5 ld: VARICES OF OTHER SITES dd: 5712 ds: 1 ld: ALCOHOL CIRRHOSIS LIVER dd: 5723 ds: 4 ld: PORTAL HYPERTENSION
dd: 7948 ds: 1 ld: ABN LIVER FUNCTION STUDY
dd: 2851 ds: 9 ld: AC POSTHEMORRHAG ANEMIA dd: 2867 ds: 8 ld: ACQ COAGUL FACTOR DEFIC dd: 486 ds: 5 ld: PNEUMONIA, ORGANISM NOS dd: 51881 ds: 3 ld: RESPIRATORY FAILURE dd: 53100 ds: 4 ld: AC STOMACH ULCER W HEM dd: 570 ds: 1 ld: ACUTE NECROSIS OF LIVER dd: 5712 ds: 7 ld: ALCOHOL CIRRHOSIS LIVER dd: 5722 ds: 2 ld: HEPATIC COMA dd: 5845 ds: 6 ld: LOWER NEPHRON NEPHROSIS
tf: [09:00:00 21/09/2012] pt: IV Piggyback rt: IV fr: QD fs: 10 dn: 1 m1: Thiamine HCl v1: 100 u1: mg m2: D5W v2: 50 u2: ml tf: [11:00:00 23/09/2012] pt: IV Piggyback rt: IV fr: QD fs: 10 dn: 1 m1: Thiamine HCl v1: 100 u1: mg m2: D5W v2: 100 u2: ml tf: [10:00:00 24/09/2012] pt: IV Piggyback rt: IV fr: QD fs: 10 dn: 1 m1: Folic Acid v1: 1 u1: mg m2: Syringe (IV Room) v2: 1 u2: SYR tf: [10:00:00 24/09/2012] pt: IV Piggyback rt: IV fr: QD fs: 10 dn: 1 m1: Thiamine HCl v1: 100 u1: mg m2: D5W v2: 100 u2: ml
id: D5W el: 1 cu: MICU cg: -1 io: D5W 100.0ml IV Infusions vo: 100 du: ml rt: Intravenous Push id: Po Intake el: 1 cu: MICU cg: -1 io: Po Intake PO/Gastric du: ml rt: Oral
tf: [17:47:00 27/09/2012] dt: 11400 cu: MICU de: CC7
t0: [19:30:00 19/09/2012] id: Compliance (40-60ml) el: 0 cu: MICU cg: CRT v1: 58.3333 u1: ml/cmH st: NotStopd t0: [19:30:00 19/09/2012] id: ETT Mark/Location el: 0 cu: MICU cg: CRT v1: 23cm v2: Lip st: NotStopd t0: [19:30:00 19/09/2012] id: High Insp. Pressure el: 0 cu: MICU cg: CRT v1: 50 u1: cmH2O st: NotStopd t0: [19:30:00 19/09/2012] id: High Resp. Rate el: 0 cu: MICU cg: CRT v1: 30 u1: BPM st: NotStopd t0: [19:30:00 19/09/2012] id: I:E Ratio el: 0 cu: MICU cg: CRT v1: 1:2.3 st: NotStopd t0: [19:30:00 19/09/2012] id: Airway Size el: 0 cu: MICU cg: CRT v1: 7.5 mm st: NotStopd t0: [19:30:00 19/09/2012] id: Airway Type el: 0 cu: MICU cg: CRT v1: Endotracheal st: NotStopd t0: [19:30:00 19/09/2012] id: Inspired Gas Temp el: 0 cu: MICU cg: CRT u1: Deg. C st: NotStopd t0: [19:30:00 19/09/2012] id: Intubation Date el: 0 cu: MICU cg: CRT v1: 8 v2: 27 st: NotStopd t0: [19:30:00 19/09/2012] id: Low Exhaled Min Vol el: 0 cu: MICU cg: CRT v1: 5 st: NotStopd t0: [19:30:00 19/09/2012] id: Mean Airway Pressure el: 0 cu: MICU cg: CRT v1: 10 u1: cmH2O st: NotStopd t0: [19:30:00 19/09/2012] id: Minute Volume(Obser) el: 0 cu: MICU cg: CRT v1: 11.6 u1: L/min st: NotStopd t0: [19:30:00 19/09/2012] id: PEEP Set el: 0 cu: MICU cg: CRT v1: 5 u1: cmH2O st: NotStopd t0: [19:30:00 19/09/2012] id: Apnea Time Interval el: 0 cu: MICU cg: CRT v1: 20 st: NotStopd t0: [19:30:00 19/09/2012] id: Peak Flow el: 0 cu: MICU cg: CRT u1: L/m st: NotStopd t0: [19:30:00 19/09/2012] id: Peak Insp. Pressure el: 0 cu: MICU cg: CRT v1: 17 u1: cmH2O st: NotStopd t0: [19:30:00 19/09/2012] id: Plateau Pressure el: 0 cu: MICU cg: CRT v1: 24 u1: cmH2O st: NotStopd t0: [19:30:00 19/09/2012] id: Plateau-Off el: 0 cu: MICU cg: CRT v1: Yes st: NotStopd t0: [19:30:00 19/09/2012] id: Resp Rate (Spont) el: 0 cu: MICU cg: CRT v1: 6 u1: BPM st: NotStopd t0: [19:30:00 19/09/2012] id: Resp Rate (Total) el: 0 cu: MICU cg: CRT v1: 18 u1: BPM st: NotStopd t0: [19:30:00 19/09/2012] id: Respiratory Rate Set el: 0 cu: MICU cg: CRT v1: 12 u1: BPM st: NotStopd t0: [19:30:00 19/09/2012] id: Sensitivity-Vent el: 0 cu: MICU cg: CRT v1: 2 u1: cmH2O st: NotStopd t0: [19:30:00 19/09/2012] id: Tidal Volume (Obser) el: 0 cu: MICU cg: CRT v1: 689 u1: ml/B st: NotStopd t0: [19:30:00 19/09/2012] id: Tidal Volume (Set) el: 0 cu: MICU cg: CRT v1: 700 u1: ml/B st: NotStopd t0: [19:30:00 19/09/2012] id: Ventilator Mode el: 0 cu: MICU cg: CRT v1: CMV st: NotStopd t0: [19:30:00 19/09/2012] id: Ventilator Type el: 0 cu: MICU cg: CRT v1: Drager st: NotStopd t0: [19:30:00 19/09/2012] id: Waveform-Vent el: 0 cu: MICU cg: CRT v1: RAMP st: NotStopd
id: Propofol el: 100 cu: MICU cg: RN io: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions am: 500 du: mcgkgmin rt: IV Drip id: Sandostatin el: 100 cu: MICU cg: RN io: D5W 100.0ml + 600mcghr Sandostatin IV Infusions am: 600 du: mcghr rt: IV Drip
tf: [19:00:00 20/09/2012] pt: IV Piggyback rt: PB fr: ONCE fs: 20 dn: 1 m1: Octreotide Acetate v1: 600 u1: mcg m2: D5W v2: 100 u2: ml tf: [11:00:00 21/09/2012] pt: IV Piggyback rt: IV DRIP fr: TITRATE TO m1: Lorazepam v1: 20 u1: mg m2: D5W v2: 200 u2: ml
id: D5W el: 1 cu: MICU cg: RN io: D5W 100.0ml + 600mcghr Sandostatin IV Infusions vo: 100 du: ml rt: Intravenous Push id: N/A el: 1 cu: MICU cg: RN io: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions vo: 50 du: vl rt: Intravenous Push id: Packed RBC's el: 1 cu: MICU cg: RN io: Packed RBC's IV Infusions du: ml rt: Intravenous Push id: Pre-Admission Intake el: 1 cu: MICU cg: RN io: Pre-Admission Intake Pre-Admission Intake du: cc rt: Intravenous Push id: Fresh Frozen Plasma el: 1 cu: MICU cg: RN io: Fresh Frozen Plasma IV Infusions du: ml rt: Intravenous Push
t0: [19:15:00 19/09/2012] id: Significant Events el: 0 cu: MICU cg: RN st: NotStopd t0: [20:00:00 19/09/2012] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [20:00:00 19/09/2012] id: Riker-SAS Scale el: 0 cu: MICU cg: RN v1: Sedated st: NotStopd t0: [20:00:00 19/09/2012] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [20:00:00 19/09/2012] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [20:00:00 19/09/2012] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [20:00:00 19/09/2012] id: Heart Rate el: 0 cu: MICU cg: RN v1: 104 u1: BPM st: NotStopd t0: [20:00:00 19/09/2012] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Sinus Tachy st: NotStopd t0: [20:00:00 19/09/2012] id: NBP el: 0 cu: MICU cg: RN v1: 106 u1: mmHg v2: 57 u2: mmHg st: NotStopd t0: [20:00:00 19/09/2012] id: NBP Mean el: 0 cu: MICU cg: RN v1: 73.3333 u1: mmHg st: NotStopd t0: [20:00:00 19/09/2012] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [20:00:00 19/09/2012] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 19 u1: BPM st: NotStopd t0: [20:00:00 19/09/2012] id: SpO2 el: 0 cu: MICU cg: RN v1: 100 u1: % st: NotStopd t0: [20:00:00 19/09/2012] id: Temp. Site el: 0 cu: MICU cg: RN v1: Oral st: NotStopd t0: [20:00:00 19/09/2012] id: Temperature C (calc) el: 0 cu: MICU cg: RN v1: 37.1667 u1: Deg. C st: NotStopd t0: [20:00:00 19/09/2012] id: Temperature F el: 0 cu: MICU cg: RN v1: 98.9 u1: Deg. F st: NotStopd t0: [20:00:00 19/09/2012] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [20:00:00 19/09/2012] tf: [16:00:00 20/09/2012] dt: 1200 id: Pre-Admission Intake Pre-Admission Intake el: 1 cu: MICU cg: RN ai: 143 vo: 3528 vu: ml t0: [20:00:00 19/09/2012] tf: [16:00:00 20/09/2012] dt: 1200 id: Pre-Admission Output Pre-Admission Output el: 1 cu: MICU cg: RN vo: 1100 vu: ml
t0: [20:10:00 19/09/2012] id: BSA el: 1033 cu: MICU cg: -1 t0: [20:10:00 19/09/2012] id: Admit Wt el: 1032 cu: MICU cg: -1 v1: 84.2 u1: kg t0: [20:10:00 19/09/2012] id: Allergy 1 el: 1020 cu: MICU cg: -1 t0: [20:10:00 19/09/2012] id: Diagnosis/op el: 1023 cu: MICU cg: -1 t0: [20:10:00 19/09/2012] id: Service el: 1026 cu: MICU cg: -1 t0: [20:10:00 19/09/2012] id: Admit Ht el: 1034 cu: MICU cg: -1 t0: [20:10:00 19/09/2012] id: Readmission el: 1014 cu: MICU cg: -1 t0: [20:10:00 19/09/2012] id: Marital Status el: 1006 cu: MICU cg: -1 t0: [20:10:00 19/09/2012] id: Religion el: 1000 cu: MICU cg: -1 t0: [20:10:00 19/09/2012] id: Allergy 2 el: 1021 cu: MICU cg: -1 t0: [20:10:00 19/09/2012] id: Ext el: 1010 cu: MICU cg: -1 t0: [20:10:00 19/09/2012] id: PIN el: 1012 cu: MICU cg: -1 t0: [20:10:00 19/09/2012] id: Allergy 3 el: 1022 cu: MICU cg: -1
t0: [20:00:00 19/09/2012] id: Less Restrict Meas. el: 0 cu: MICU cg: RN v1: Orientation st: NotStopd t0: [20:00:00 19/09/2012] id: Pain Present el: 0 cu: MICU cg: RN v1: No st: NotStopd t0: [20:00:00 19/09/2012] id: Range of Motion el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [20:00:00 19/09/2012] id: Pain Assess Method el: 0 cu: MICU cg: RN v1: Non-verbal cues st: NotStopd t0: [20:00:00 19/09/2012] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [20:00:00 19/09/2012] id: Circulation/SkinInt el: 0 cu: MICU cg: RN v1: Circulation Adeq st: NotStopd t0: [20:00:00 19/09/2012] id: Cough Reflex el: 0 cu: MICU cg: RN v1: Intact st: NotStopd t0: [20:00:00 19/09/2012] id: Diet Type el: 0 cu: MICU cg: RN v1: NPO st: NotStopd t0: [20:00:00 19/09/2012] id: Dorsal PedPulse R/L el: 0 cu: MICU cg: RN v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [20:00:00 19/09/2012] id: Eye Opening el: 0 cu: MICU cg: RN v1: 3 To speech st: NotStopd t0: [20:00:00 19/09/2012] id: Follows Commands el: 0 cu: MICU cg: RN v1: Consistently st: NotStopd t0: [20:00:00 19/09/2012] id: GCS Total el: 0 cu: MICU cg: RN v1: 10 u1: points st: NotStopd t0: [20:00:00 19/09/2012] id: Gag Reflex el: 0 cu: MICU cg: RN v1: Intact st: NotStopd t0: [20:00:00 19/09/2012] id: HOB el: 0 cu: MICU cg: RN v1: Flat in Bed st: NotStopd t0: [20:00:00 19/09/2012] id: INV Line#1 Type/Site el: 0 cu: MICU cg: RN v1: Multi-lumen v2: Right Femoral st: NotStopd t0: [20:00:00 19/09/2012] id: INV Line#1InsertDate el: 0 cu: MICU cg: RN v1: 8 v2: 22 st: NotStopd t0: [20:00:00 19/09/2012] id: INV Line#1SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [20:00:00 19/09/2012] id: Abdominal Assessment el: 0 cu: MICU cg: RN v1: Ascites st: NotStopd t0: [20:00:00 19/09/2012] id: IV #1 Site/Size el: 0 cu: MICU cg: RN v1: Left Hand v2: 18 gauge st: NotStopd t0: [20:00:00 19/09/2012] id: Activity el: 0 cu: MICU cg: RN v1: Bedrest st: NotStopd t0: [20:00:00 19/09/2012] id: IV Site Appear #1 el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [20:00:00 19/09/2012] id: Activity Tolerance el: 0 cu: MICU cg: RN v1: Tolerated Well st: NotStopd t0: [20:00:00 19/09/2012] id: LLL Lung Sounds el: 0 cu: MICU cg: RN v1: Diminished st: NotStopd t0: [20:00:00 19/09/2012] id: LUL Lung Sounds el: 0 cu: MICU cg: RN v1: Clear st: NotStopd t0: [20:00:00 19/09/2012] id: Level of Conscious el: 0 cu: MICU cg: RN v1: Sedated st: NotStopd t0: [20:00:00 19/09/2012] id: Motor Response el: 0 cu: MICU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [20:00:00 19/09/2012] id: Oral Cavity el: 0 cu: MICU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [20:00:00 19/09/2012] id: Orientation el: 0 cu: MICU cg: RN v1: Other/Remarks st: NotStopd t0: [20:00:00 19/09/2012] id: Pain Location el: 0 cu: MICU cg: RN v1: Not Indicated st: NotStopd t0: [20:00:00 19/09/2012] id: Pain Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [20:00:00 19/09/2012] id: Position el: 0 cu: MICU cg: RN v1: Supine st: NotStopd t0: [20:00:00 19/09/2012] id: Position Change el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [20:00:00 19/09/2012] id: PostTib. Pulses R/L el: 0 cu: MICU cg: RN v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [20:00:00 19/09/2012] id: Assistance Device el: 0 cu: MICU cg: RN v1: 2 Person Assist st: NotStopd t0: [20:00:00 19/09/2012] id: Previous Weight el: 0 cu: MICU cg: RN v1: 84.2 u1: kg st: NotStopd t0: [20:00:00 19/09/2012] id: Previous WeightF el: 0 cu: MICU cg: RN v1: 84.2 u1: kg st: NotStopd t0: [20:00:00 19/09/2012] id: Pupil Size R/L el: 0 cu: MICU cg: RN v1: 3 mm v2: 3 mm st: NotStopd t0: [20:00:00 19/09/2012] id: RLL Lung Sounds el: 0 cu: MICU cg: RN v1: Diminished st: NotStopd t0: [20:00:00 19/09/2012] id: RUL Lung Sounds el: 0 cu: MICU cg: RN v1: Clear st: NotStopd t0: [20:00:00 19/09/2012] id: Reason For Restraint el: 0 cu: MICU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [20:00:00 19/09/2012] id: Removed x 5 Mins el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [20:00:00 19/09/2012] id: Respiratory Pattern el: 0 cu: MICU cg: RN v1: Regular st: NotStopd t0: [20:00:00 19/09/2012] id: Restraint Location el: 0 cu: MICU cg: RN v1: Both Arms st: NotStopd t0: [20:00:00 19/09/2012] id: Restraint Type el: 0 cu: MICU cg: RN v1: Soft Limb st: NotStopd t0: [20:00:00 19/09/2012] id: Restraints Evaluated el: 0 cu: MICU cg: RN v1: Behavior Conts st: NotStopd t0: [20:00:00 19/09/2012] id: Side Rails el: 0 cu: MICU cg: RN v1: Side Rails Up st: NotStopd t0: [20:00:00 19/09/2012] id: Skin Color el: 0 cu: MICU cg: RN v1: Jaundiced st: NotStopd t0: [20:00:00 19/09/2012] id: Skin Integrity el: 0 cu: MICU cg: RN v1: Intact st: NotStopd t0: [20:00:00 19/09/2012] id: Skin Temp/Condition el: 0 cu: MICU cg: RN v1: Warm v2: Dry st: NotStopd t0: [20:00:00 19/09/2012] id: Spontaneous Movement el: 0 cu: MICU cg: RN v1: Purposeful st: NotStopd t0: [20:00:00 19/09/2012] id: Support Systems el: 0 cu: MICU cg: RN v1: Spouse st: NotStopd t0: [20:00:00 19/09/2012] id: Turn el: 0 cu: MICU cg: RN v1: Side to Side st: NotStopd t0: [20:00:00 19/09/2012] id: Urine Color/Appear el: 0 cu: MICU cg: RN v1: Amber v2: Clear st: NotStopd t0: [20:00:00 19/09/2012] id: Urine Source el: 0 cu: MICU cg: RN v1: Indwelling Cath st: NotStopd t0: [20:00:00 19/09/2012] id: Verbal Response el: 0 cu: MICU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [20:00:00 19/09/2012] id: Weight Change el: 0 cu: MICU cg: RN v1: 0 u1: kg st: NotStopd t0: [20:00:00 19/09/2012] id: Daily Weight el: 0 cu: MICU cg: RN v1: 84.2 u1: kg st: NotStopd t0: [20:00:00 19/09/2012] id: Behavior el: 0 cu: MICU cg: RN v1: Sedated st: NotStopd t0: [20:00:00 19/09/2012] id: Bowel Sounds el: 0 cu: MICU cg: RN v1: Absent st: NotStopd t0: [20:00:00 19/09/2012] id: Braden Activity el: 0 cu: MICU cg: RN v1: Bedfast st: NotStopd t0: [20:00:00 19/09/2012] id: Braden Frict/Shear el: 0 cu: MICU cg: RN v1: Potential Prob st: NotStopd t0: [20:00:00 19/09/2012] id: Braden Mobility el: 0 cu: MICU cg: RN v1: Very Limited st: NotStopd t0: [20:00:00 19/09/2012] id: Braden Moisture el: 0 cu: MICU cg: RN v1: Rarely Moist st: NotStopd t0: [20:00:00 19/09/2012] id: Braden Nutrition el: 0 cu: MICU cg: RN v1: Very Poor st: NotStopd t0: [20:00:00 19/09/2012] id: Braden Score el: 0 cu: MICU cg: RN v1: 13 u1: number st: NotStopd t0: [20:00:00 19/09/2012] id: Braden SensoryPercep el: 0 cu: MICU cg: RN v1: Sl. Limited st: NotStopd
t0: [20:00:00 19/09/2012] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 0 vu: ml nb: 1 t0: [20:00:00 19/09/2012] id: Packed RBC's IV Infusions el: 1 cu: MICU cg: RN ai: 107 vu: ml t0: [20:00:00 19/09/2012] id: D5W 100.0ml + 600mcghr Sandostatin IV Infusions el: 1 cu: MICU cg: RN ai: 189 vo: 0 vu: ml nb: 1 t0: [20:00:00 19/09/2012] id: Fresh Frozen Plasma IV Infusions el: 1 cu: MICU cg: RN ai: 155 vu: ml t0: [20:00:00 19/09/2012] tf: [14:00:00 24/09/2012] dt: 6840 id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 275 vu: ml
t0: [23:00:00 19/09/2012] dt: 24 id: Blood Products Total el: 2 cu: MICU cg: RN cv: 0 ap: none
t0: [19:15:00 19/09/2012] tf: [11:00:00 22/09/2012] dt: 3825 id: Propofol el: 1 cu: MICU cg: RN so: N/A vo: 0 v1: 50 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [19:15:00 19/09/2012] tf: [14:00:00 22/09/2012] dt: 4005 id: Sandostatin el: 1 cu: MICU cg: RN so: D5W vo: 0 v1: 50 du: mcghr sv: 100 su: ml rt: IV Drip t0: [20:00:00 19/09/2012] id: Propofol el: 1 cu: MICU cg: RN so: N/A vo: 0 v1: 50 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [20:00:00 19/09/2012] id: Sandostatin el: 1 cu: MICU cg: RN so: D5W vo: 0 v1: 50 du: mcghr sv: 100 su: ml rt: IV Drip
tf: [13:00:00 22/09/2012] pt: IV Piggyback rt: IV DRIP fr: INFUSION m1: Octreotide Acetate v1: 600 u1: mcg m2: D5W v2: 100 u2: ml
tf: [22:00:00 19/09/2012] pt: IV Piggyback rt: IV fr: Q24H fs: 22 dn: 1 m1: Ceftriaxone v1: 1 u1: gm m2: Iso-Osmotic Dextrose v2: 50 u2: ml tf: [11:00:00 20/09/2012] pt: Unit Dose rt: SC fr: Q12H fs: 22, 10 dn: 2 m1: Heparin v1: 5000 u1: UNIT tf: [12:00:00 20/09/2012] pt: Unit Dose rt: IV fr: Q24H fs: 22 dn: 1 m1: Multivitamins v1: 10 u1: ml tf: [14:00:00 20/09/2012] pt: Unit Dose rt: PO fr: TID fs: 08, 16, 22 dn: 3 m1: Lactulose v1: 30 u1: ml tf: [11:00:00 24/09/2012] pt: Unit Dose rt: IV DRIP fr: TITRATE TO m1: Propofol (Generic) v1: 1000 u1: mg tf: [12:00:00 26/09/2012] pt: IV Piggyback rt: IV fr: Q12H fs: 0, 12 dn: 2 m1: Pantoprazole Sodium v1: 40 u1: mg m2: NS v2: 100 u2: ml
tf: [10:00:00 26/09/2012] pt: IV Piggyback rt: IV fr: Q24H fs: 0 dn: 1 m1: Levofloxacin v1: 500 u1: mg m2: Dextrose 5% v2: 100 u2: ml
t0: [22:48:00 19/09/2012] id: WBC (4-11,000) Hematology el: 0 cu: MICU cg: 1663 v1: 14.7 rs: Final st: NotStopd t0: [22:48:00 19/09/2012] id: WBC Hematology el: 0 cu: MICU cg: 1663 v1: 14.7 rs: Final st: NotStopd t0: [22:48:00 19/09/2012] id: Hematocrit Hematology el: 0 cu: MICU cg: 1663 v1: 30.4 u1: % rs: Final st: NotStopd t0: [22:48:00 19/09/2012] id: Hemoglobin Hematology el: 0 cu: MICU cg: 1663 v1: 10.7 u1: gm/dl rs: Final st: NotStopd t0: [22:48:00 19/09/2012] id: Platelets Hematology el: 0 cu: MICU cg: 1663 v1: 114 rs: Final st: NotStopd t0: [22:48:00 19/09/2012] id: RBC Hematology el: 0 cu: MICU cg: 1663 v1: 3.31 u1: /mic l rs: Final st: NotStopd t0: [22:48:00 19/09/2012] id: WBC (4-11,000) Hematology el: 0 cu: MICU cg: 1663 v1: 14.7 rs: Final st: NotStopd
t0: [21:00:00 19/09/2012] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [21:00:00 19/09/2012] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [21:00:00 19/09/2012] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [21:00:00 19/09/2012] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [21:00:00 19/09/2012] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [21:00:00 19/09/2012] id: Heart Rate el: 0 cu: MICU cg: RN v1: 99 u1: BPM st: NotStopd t0: [21:00:00 19/09/2012] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [21:00:00 19/09/2012] id: NBP el: 0 cu: MICU cg: RN v1: 100 u1: mmHg v2: 47 u2: mmHg st: NotStopd t0: [21:00:00 19/09/2012] id: NBP Mean el: 0 cu: MICU cg: RN v1: 64.6667 u1: mmHg st: NotStopd t0: [21:00:00 19/09/2012] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [21:00:00 19/09/2012] id: Previous WeightF el: 0 cu: MICU cg: RN v1: 84.2 u1: kg st: NotStopd t0: [21:00:00 19/09/2012] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 13 u1: BPM st: NotStopd t0: [21:00:00 19/09/2012] id: SpO2 el: 0 cu: MICU cg: RN v1: 100 u1: % st: NotStopd t0: [21:00:00 19/09/2012] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [22:00:00 19/09/2012] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [22:00:00 19/09/2012] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [22:00:00 19/09/2012] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [22:00:00 19/09/2012] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [22:00:00 19/09/2012] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [22:00:00 19/09/2012] id: Heart Rate el: 0 cu: MICU cg: RN v1: 99 u1: BPM st: NotStopd t0: [22:00:00 19/09/2012] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [22:00:00 19/09/2012] id: NBP el: 0 cu: MICU cg: RN v1: 101 u1: mmHg v2: 48 u2: mmHg st: NotStopd t0: [22:00:00 19/09/2012] id: NBP Mean el: 0 cu: MICU cg: RN v1: 65.6667 u1: mmHg st: NotStopd t0: [22:00:00 19/09/2012] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [22:00:00 19/09/2012] id: Previous WeightF el: 0 cu: MICU cg: RN v1: 84.2 u1: kg st: NotStopd t0: [22:00:00 19/09/2012] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 13 u1: BPM st: NotStopd t0: [22:00:00 19/09/2012] id: SpO2 el: 0 cu: MICU cg: RN v1: 100 u1: % st: NotStopd t0: [22:00:00 19/09/2012] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [23:00:00 19/09/2012] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [23:00:00 19/09/2012] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [23:00:00 19/09/2012] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [23:00:00 19/09/2012] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [23:00:00 19/09/2012] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [23:00:00 19/09/2012] id: Heart Rate el: 0 cu: MICU cg: RN v1: 95 u1: BPM st: NotStopd t0: [23:00:00 19/09/2012] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [23:00:00 19/09/2012] id: Arterial BP el: 0 cu: MICU cg: RN v1: 88 u1: mmHg v2: 42 u2: mmHg st: NotStopd t0: [23:00:00 19/09/2012] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 56 u1: mmHg st: NotStopd t0: [23:00:00 19/09/2012] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [23:00:00 19/09/2012] id: Previous WeightF el: 0 cu: MICU cg: RN v1: 84.2 u1: kg st: NotStopd t0: [23:00:00 19/09/2012] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 13 u1: BPM st: NotStopd t0: [23:00:00 19/09/2012] id: SpO2 el: 0 cu: MICU cg: RN v1: 100 u1: % st: NotStopd t0: [23:00:00 19/09/2012] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [21:00:00 19/09/2012] tf: [12:00:00 22/09/2012] dt: 3780 id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 25.26 vu: ml t0: [21:00:00 19/09/2012] tf: [14:00:00 22/09/2012] dt: 3900 id: D5W 100.0ml + 600mcghr Sandostatin IV Infusions el: 1 cu: MICU cg: RN ai: 189 vo: 8.33333 vu: ml t0: [21:00:00 19/09/2012] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 175 vu: ml t0: [22:00:00 19/09/2012] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 25.26 vu: ml t0: [22:00:00 19/09/2012] id: D5W 100.0ml + 600mcghr Sandostatin IV Infusions el: 1 cu: MICU cg: RN ai: 189 vo: 8.33333 vu: ml t0: [22:00:00 19/09/2012] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 175 vu: ml t0: [23:00:00 19/09/2012] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 25.26 vu: ml t0: [23:00:00 19/09/2012] id: D5W 100.0ml + 600mcghr Sandostatin IV Infusions el: 1 cu: MICU cg: RN ai: 189 vo: 8.33333 vu: ml
t0: [21:00:00 19/09/2012] id: Propofol el: 1 cu: MICU cg: RN so: N/A vo: 0 v1: 50 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [21:00:00 19/09/2012] id: Sandostatin el: 1 cu: MICU cg: RN so: D5W vo: 0 v1: 50 du: mcghr sv: 100 su: ml rt: IV Drip t0: [22:00:00 19/09/2012] id: Propofol el: 1 cu: MICU cg: RN so: N/A vo: 0 v1: 50 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [22:00:00 19/09/2012] id: Sandostatin el: 1 cu: MICU cg: RN so: D5W vo: 0 v1: 50 du: mcghr sv: 100 su: ml rt: IV Drip t0: [23:00:00 19/09/2012] id: Propofol el: 1 cu: MICU cg: RN so: N/A vo: 0 v1: 50 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [23:00:00 19/09/2012] id: Sandostatin el: 1 cu: MICU cg: RN so: D5W vo: 0 v1: 50 du: mcghr sv: 100 su: ml rt: IV Drip
t0: [23:00:00 19/09/2012] dt: 1 id: Total Hourly Output el: 2 cu: MICU cg: RN cv: 0 ap: none t0: [23:00:00 19/09/2012] dt: 1 id: Net Hourly Balance el: 2 cu: MICU cg: RN pv: 33.5933 cv: 33.5933 ap: none t0: [23:00:00 19/09/2012] dt: 24 id: IV Infusion In Total el: 2 cu: MICU cg: RN pv: 33.5933 cv: 100.78 ap: none t0: [23:00:00 19/09/2012] dt: 24 id: 24h Total In el: 2 cu: MICU cg: RN pv: 33.5933 cv: 3628.78 ap: none t0: [23:00:00 19/09/2012] dt: 24 id: Urine Out Total el: 2 cu: MICU cg: RN cv: 625 ap: none t0: [23:00:00 19/09/2012] dt: 24 id: 24h Net Body Balance el: 2 cu: MICU cg: RN pv: 33.5933 cv: 1903.78 ap: none t0: [23:00:00 19/09/2012] dt: 24 id: 24h Total Out el: 2 cu: MICU cg: RN cv: 1725 ap: none t0: [23:00:00 19/09/2012] dt: multiple days id: LOS Net Body Balance el: 2 cu: MICU cg: RN pv: 33.5933 cv: 1903.78 ap: none
t0: [22:48:00 19/09/2012] id: PT el: 0 cu: MICU cg: 1663 v1: 16.7 rs: Final st: NotStopd t0: [22:48:00 19/09/2012] id: INR Coags el: 0 cu: MICU cg: 1663 v1: 1.9 rs: Final st: NotStopd t0: [22:48:00 19/09/2012] id: PTT Coags el: 0 cu: MICU cg: 1663 v1: 32.3 rs: Final st: NotStopd t0: [22:48:00 19/09/2012] id: INR (2-4 ref. range) Coags el: 0 cu: MICU cg: 1663 v1: 1.9 rs: Final st: NotStopd t0: [22:48:00 19/09/2012] id: PT(11-13.5) Coags el: 0 cu: MICU cg: 1663 v1: 16.7 rs: Final st: NotStopd t0: [22:48:00 19/09/2012] id: PTT(22-35) Coags el: 0 cu: MICU cg: 1663 v1: 32.3 rs: Final st: NotStopd
id: Neosynephrine-k el: 100 cu: MICU cg: RN io: D5W 250.0ml + 60mcgkgmin Neosynephrine-k IV Infusions am: 60 du: mcgkgmin rt: IV Drip
id: D5W el: 1 cu: MICU cg: RN io: D5W 250.0ml + 60mcgkgmin Neosynephrine-k IV Infusions vo: 250 du: ml rt: Intravenous Push
t0: [19:30:00 19/09/2012] id: FiO2 Set el: 0 cu: MICU cg: CRT v1: 0.6 u1: torr st: NotStopd t0: [00:00:00 20/09/2012] id: Compliance (40-60ml) el: 0 cu: MICU cg: CRT v1: 43.75 u1: ml/cmH st: NotStopd t0: [00:00:00 20/09/2012] id: ETT Mark/Location el: 0 cu: MICU cg: CRT v1: 23cm v2: Lip st: NotStopd t0: [00:00:00 20/09/2012] id: FiO2 Set el: 0 cu: MICU cg: CRT v1: 0.6 u1: torr st: NotStopd t0: [00:00:00 20/09/2012] id: High Insp. Pressure el: 0 cu: MICU cg: CRT v1: 50 u1: cmH2O st: NotStopd t0: [00:00:00 20/09/2012] id: High Resp. Rate el: 0 cu: MICU cg: CRT v1: 30 u1: BPM st: NotStopd t0: [00:00:00 20/09/2012] id: I:E Ratio el: 0 cu: MICU cg: CRT v1: 1:2.3 st: NotStopd t0: [00:00:00 20/09/2012] id: Airway Size el: 0 cu: MICU cg: CRT v1: 7.5 mm st: NotStopd t0: [00:00:00 20/09/2012] id: Airway Type el: 0 cu: MICU cg: CRT v1: Endotracheal st: NotStopd t0: [00:00:00 20/09/2012] id: Inspired Gas Temp el: 0 cu: MICU cg: CRT u1: Deg. C st: NotStopd t0: [00:00:00 20/09/2012] id: Intubation Date el: 0 cu: MICU cg: CRT v1: 8 v2: 27 st: NotStopd t0: [00:00:00 20/09/2012] id: Low Exhaled Min Vol el: 0 cu: MICU cg: CRT v1: 5 st: NotStopd t0: [00:00:00 20/09/2012] id: Mean Airway Pressure el: 0 cu: MICU cg: CRT v1: 11 u1: cmH2O st: NotStopd t0: [00:00:00 20/09/2012] id: Minute Volume(Obser) el: 0 cu: MICU cg: CRT v1: 11.8 u1: L/min st: NotStopd t0: [00:00:00 20/09/2012] id: PEEP Set el: 0 cu: MICU cg: CRT v1: 5 u1: cmH2O st: NotStopd t0: [00:00:00 20/09/2012] id: Apnea Time Interval el: 0 cu: MICU cg: CRT v1: 20 st: NotStopd t0: [00:00:00 20/09/2012] id: Peak Insp. Pressure el: 0 cu: MICU cg: CRT v1: 21 u1: cmH2O st: NotStopd t0: [00:00:00 20/09/2012] id: Plateau Pressure el: 0 cu: MICU cg: CRT v1: 21 u1: cmH2O st: NotStopd t0: [00:00:00 20/09/2012] id: Plateau-Off el: 0 cu: MICU cg: CRT v1: Yes st: NotStopd t0: [00:00:00 20/09/2012] id: Resp Rate (Spont) el: 0 cu: MICU cg: CRT v1: 6 u1: BPM st: NotStopd t0: [00:00:00 20/09/2012] id: Resp Rate (Total) el: 0 cu: MICU cg: CRT v1: 18 u1: BPM st: NotStopd t0: [00:00:00 20/09/2012] id: Respiratory Rate Set el: 0 cu: MICU cg: CRT v1: 12 u1: BPM st: NotStopd t0: [00:00:00 20/09/2012] id: Sensitivity-Vent el: 0 cu: MICU cg: CRT v1: 2 u1: cmH2O st: NotStopd t0: [00:00:00 20/09/2012] id: SpO2 el: 0 cu: MICU cg: CRT v1: 100 u1: % st: NotStopd t0: [00:00:00 20/09/2012] id: Tidal Volume (Obser) el: 0 cu: MICU cg: CRT v1: 695 u1: ml/B st: NotStopd t0: [00:00:00 20/09/2012] id: Tidal Volume (Set) el: 0 cu: MICU cg: CRT v1: 700 u1: ml/B st: NotStopd t0: [00:00:00 20/09/2012] id: Ventilator Mode el: 0 cu: MICU cg: CRT v1: CMV st: NotStopd t0: [00:00:00 20/09/2012] id: Ventilator Type el: 0 cu: MICU cg: CRT v1: Drager st: NotStopd t0: [00:00:00 20/09/2012] id: Waveform-Vent el: 0 cu: MICU cg: CRT v1: RAMP st: NotStopd
t0: [22:48:00 19/09/2012] id: BUN el: 0 cu: MICU cg: 1663 v1: 16 rs: Final st: NotStopd t0: [22:48:00 19/09/2012] id: Albumin Chemistry el: 0 cu: MICU cg: 1663 v1: 2.6 rs: Final st: NotStopd t0: [22:48:00 19/09/2012] id: Calcium Chemistry el: 0 cu: MICU cg: 1663 v1: 8.1 u1: mg/dl rs: Final st: NotStopd t0: [22:48:00 19/09/2012] id: Chloride Chemistry el: 0 cu: MICU cg: 1663 v1: 101 rs: Final st: NotStopd t0: [22:48:00 19/09/2012] id: Creatinine Chemistry el: 0 cu: MICU cg: 1663 v1: 0.9 rs: Final st: NotStopd t0: [22:48:00 19/09/2012] id: Glucose Chemistry el: 0 cu: MICU cg: 1663 v1: 109 rs: Final st: NotStopd t0: [22:48:00 19/09/2012] id: Magnesium Chemistry el: 0 cu: MICU cg: 1663 v1: 1.7 rs: Final st: NotStopd t0: [22:48:00 19/09/2012] id: Phosphorous Chemistry el: 0 cu: MICU cg: 1663 v1: 2.8 u1: mEq/L rs: Final st: NotStopd t0: [22:48:00 19/09/2012] id: Potassium Chemistry el: 0 cu: MICU cg: 1663 v1: 4.1 rs: Final st: NotStopd t0: [22:48:00 19/09/2012] id: Sodium Chemistry el: 0 cu: MICU cg: 1663 v1: 129 rs: Final st: NotStopd t0: [22:48:00 19/09/2012] id: ALT Enzymes el: 0 cu: MICU cg: 1663 v1: 72 rs: Final st: NotStopd t0: [22:48:00 19/09/2012] id: AST Enzymes el: 0 cu: MICU cg: 1663 v1: 82 rs: Final st: NotStopd t0: [22:48:00 19/09/2012] id: Albumin (>3.2) Chemistry el: 0 cu: MICU cg: 1663 v1: 2.6 rs: Final st: NotStopd t0: [22:48:00 19/09/2012] id: Alk. Phosphate Enzymes el: 0 cu: MICU cg: 1663 v1: 155 rs: Final st: NotStopd t0: [22:48:00 19/09/2012] id: BUN (6-20) Chemistry el: 0 cu: MICU cg: 1663 v1: 16 rs: Final st: NotStopd t0: [22:48:00 19/09/2012] id: Calcium (8.4-10.2) Chemistry el: 0 cu: MICU cg: 1663 v1: 8.1 u1: mg/dl rs: Final st: NotStopd t0: [22:48:00 19/09/2012] id: Chloride (100-112) Chemistry el: 0 cu: MICU cg: 1663 v1: 101 rs: Final st: NotStopd t0: [22:48:00 19/09/2012] id: Creatinine (0-1.3) Chemistry el: 0 cu: MICU cg: 1663 v1: 0.9 rs: Final st: NotStopd t0: [22:48:00 19/09/2012] id: Glucose (70-105) Chemistry el: 0 cu: MICU cg: 1663 v1: 109 rs: Final st: NotStopd t0: [22:48:00 19/09/2012] id: LDH Enzymes el: 0 cu: MICU cg: 1663 v1: 245 rs: Final st: NotStopd t0: [22:48:00 19/09/2012] id: Magnesium (1.6-2.6) Chemistry el: 0 cu: MICU cg: 1663 v1: 1.7 rs: Final st: NotStopd t0: [22:48:00 19/09/2012] id: Phosphorous(2.7-4.5) Chemistry el: 0 cu: MICU cg: 1663 v1: 2.8 u1: mEq/L rs: Final st: NotStopd t0: [22:48:00 19/09/2012] id: Potassium (3.5-5.3) Chemistry el: 0 cu: MICU cg: 1663 v1: 4.1 rs: Final st: NotStopd t0: [22:48:00 19/09/2012] id: Sodium (135-148) Chemistry el: 0 cu: MICU cg: 1663 v1: 129 rs: Final st: NotStopd
t0: [22:48:00 19/09/2012] id: Total Bili Chemistry el: 0 cu: MICU cg: 1663 v1: 17.7 rs: Final st: NotStopd t0: [22:48:00 19/09/2012] id: Carbon Dioxide Chemistry el: 0 cu: MICU cg: 1663 v1: 19 rs: Final st: NotStopd t0: [22:48:00 19/09/2012] id: Total Bili (0-1.5) Chemistry el: 0 cu: MICU cg: 1663 v1: 17.7 rs: Final st: NotStopd
t0: [00:14:00 20/09/2012] id: Art.pH ABG el: 0 cu: MICU cg: 1663 v1: 7.47 rs: Final st: NotStopd t0: [00:14:00 20/09/2012] id: Arterial Base Excess ABG el: 0 cu: MICU cg: 1663 v1: -2 rs: Final st: NotStopd t0: [00:14:00 20/09/2012] id: Arterial CO2(Calc) ABG el: 0 cu: MICU cg: 1663 v1: 19 rs: Final st: NotStopd t0: [00:14:00 20/09/2012] id: Arterial PaCO2 ABG el: 0 cu: MICU cg: 1663 v1: 25 u1: mmHg rs: Final st: NotStopd t0: [00:14:00 20/09/2012] id: Arterial PaO2 ABG el: 0 cu: MICU cg: 1663 v1: 179 u1: mmHg rs: Final st: NotStopd t0: [00:14:00 20/09/2012] id: Arterial pH ABG el: 0 cu: MICU cg: 1663 v1: 7.47 rs: Final st: NotStopd
t0: [00:00:00 20/09/2012] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [00:00:00 20/09/2012] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [00:00:00 20/09/2012] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [00:00:00 20/09/2012] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [00:00:00 20/09/2012] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [00:00:00 20/09/2012] id: Heart Rate el: 0 cu: MICU cg: RN v1: 93 u1: BPM st: NotStopd t0: [00:00:00 20/09/2012] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [00:00:00 20/09/2012] id: Arterial BP el: 0 cu: MICU cg: RN v1: 89 u1: mmHg v2: 42 u2: mmHg st: NotStopd t0: [00:00:00 20/09/2012] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 56 u1: mmHg st: NotStopd t0: [00:00:00 20/09/2012] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [00:00:00 20/09/2012] id: Previous WeightF el: 0 cu: MICU cg: RN v1: 84.2 u1: kg st: NotStopd t0: [00:00:00 20/09/2012] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 21 u1: BPM st: NotStopd t0: [00:00:00 20/09/2012] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [00:15:00 20/09/2012] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [00:15:00 20/09/2012] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [00:15:00 20/09/2012] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [00:15:00 20/09/2012] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [00:15:00 20/09/2012] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [00:15:00 20/09/2012] id: Heart Rate el: 0 cu: MICU cg: RN v1: 93 u1: BPM st: NotStopd t0: [00:15:00 20/09/2012] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [00:15:00 20/09/2012] id: Arterial BP el: 0 cu: MICU cg: RN v1: 73 u1: mmHg v2: 35 u2: mmHg st: NotStopd t0: [00:15:00 20/09/2012] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 47 u1: mmHg st: NotStopd t0: [00:15:00 20/09/2012] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [00:15:00 20/09/2012] id: Previous WeightF el: 0 cu: MICU cg: RN v1: 84.2 u1: kg st: NotStopd t0: [00:15:00 20/09/2012] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 19 u1: BPM st: NotStopd t0: [00:15:00 20/09/2012] id: SpO2 el: 0 cu: MICU cg: RN v1: 100 u1: % st: NotStopd t0: [00:15:00 20/09/2012] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [00:30:00 20/09/2012] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [00:30:00 20/09/2012] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [00:30:00 20/09/2012] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [00:30:00 20/09/2012] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [00:30:00 20/09/2012] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [00:30:00 20/09/2012] id: Heart Rate el: 0 cu: MICU cg: RN v1: 90 u1: BPM st: NotStopd t0: [00:30:00 20/09/2012] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [00:30:00 20/09/2012] id: Arterial BP el: 0 cu: MICU cg: RN v1: 112 u1: mmHg v2: 59 u2: mmHg st: NotStopd t0: [00:30:00 20/09/2012] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 78 u1: mmHg st: NotStopd t0: [00:30:00 20/09/2012] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [00:30:00 20/09/2012] id: Previous WeightF el: 0 cu: MICU cg: RN v1: 84.2 u1: kg st: NotStopd t0: [00:30:00 20/09/2012] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 21 u1: BPM st: NotStopd t0: [00:30:00 20/09/2012] id: SpO2 el: 0 cu: MICU cg: RN v1: 100 u1: % st: NotStopd t0: [00:30:00 20/09/2012] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [00:15:00 20/09/2012] tf: [17:47:00 27/09/2012] dt: 11132 id: D5W 100.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 105 vo: 250 vu: ml t0: [00:15:00 20/09/2012] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 31.575 vu: ml t0: [00:15:00 20/09/2012] id: D5W 100.0ml + 600mcghr Sandostatin IV Infusions el: 1 cu: MICU cg: RN ai: 189 vo: 10.4167 vu: ml t0: [00:30:00 20/09/2012] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 6.315 vu: ml t0: [00:30:00 20/09/2012] id: D5W 100.0ml + 600mcghr Sandostatin IV Infusions el: 1 cu: MICU cg: RN ai: 189 vo: 2.08333 vu: ml t0: [00:30:00 20/09/2012] id: D5W 250.0ml + 60mcgkgmin Neosynephrine-k IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 0 vu: ml nb: 1
t0: [00:00:00 20/09/2012] id: Propofol el: 1 cu: MICU cg: RN so: N/A vo: 0 v1: 50 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [00:00:00 20/09/2012] id: Sandostatin el: 1 cu: MICU cg: RN so: D5W vo: 0 v1: 50 du: mcghr sv: 100 su: ml rt: IV Drip t0: [00:15:00 20/09/2012] id: Propofol el: 1 cu: MICU cg: RN so: N/A vo: 0 v1: 50 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [00:15:00 20/09/2012] id: Sandostatin el: 1 cu: MICU cg: RN so: D5W vo: 0 v1: 50 du: mcghr sv: 100 su: ml rt: IV Drip t0: [00:30:00 20/09/2012] tf: [19:00:00 22/09/2012] dt: 3990 id: Neosynephrine-k el: 1 cu: MICU cg: RN so: D5W vo: 0 v1: 0.5 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [00:30:00 20/09/2012] id: Propofol el: 1 cu: MICU cg: RN so: N/A vo: 0 v1: 50 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [00:30:00 20/09/2012] id: Sandostatin el: 1 cu: MICU cg: RN so: D5W vo: 0 v1: 50 du: mcghr sv: 100 su: ml rt: IV Drip
t0: [00:30:00 20/09/2012] id: ETT Mark/Location el: 0 cu: MICU cg: CRT v1: 23cm v2: Lip st: NotStopd t0: [00:30:00 20/09/2012] id: Airway Size el: 0 cu: MICU cg: CRT v1: 7.5 mm st: NotStopd t0: [00:30:00 20/09/2012] id: Airway Type el: 0 cu: MICU cg: CRT v1: Endotracheal st: NotStopd t0: [00:30:00 20/09/2012] id: Intubation Date el: 0 cu: MICU cg: CRT v1: 8 v2: 27 st: NotStopd t0: [00:30:00 20/09/2012] id: Respiratory Rate Set el: 0 cu: MICU cg: CRT v1: 10 u1: BPM st: NotStopd t0: [00:30:00 20/09/2012] id: Tidal Volume (Set) el: 0 cu: MICU cg: CRT v1: 650 u1: ml/B st: NotStopd t0: [00:30:00 20/09/2012] id: Ventilator Mode el: 0 cu: MICU cg: CRT v1: CMV st: NotStopd t0: [00:30:00 20/09/2012] id: Ventilator Type el: 0 cu: MICU cg: CRT v1: Drager st: NotStopd
t0: [00:45:00 20/09/2012] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [00:45:00 20/09/2012] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [00:45:00 20/09/2012] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [00:45:00 20/09/2012] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [00:45:00 20/09/2012] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [00:45:00 20/09/2012] id: Heart Rate el: 0 cu: MICU cg: RN v1: 94 u1: BPM st: NotStopd t0: [00:45:00 20/09/2012] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [00:45:00 20/09/2012] id: Arterial BP el: 0 cu: MICU cg: RN v1: 115 u1: mmHg v2: 59 u2: mmHg st: NotStopd t0: [00:45:00 20/09/2012] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 77 u1: mmHg st: NotStopd t0: [00:45:00 20/09/2012] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [00:45:00 20/09/2012] id: Previous WeightF el: 0 cu: MICU cg: RN v1: 84.2 u1: kg st: NotStopd t0: [00:45:00 20/09/2012] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 35 u1: BPM st: NotStopd t0: [00:45:00 20/09/2012] id: SpO2 el: 0 cu: MICU cg: RN v1: 100 u1: % st: NotStopd t0: [00:45:00 20/09/2012] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [00:45:00 20/09/2012] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 6.315 vu: ml t0: [00:45:00 20/09/2012] id: D5W 100.0ml + 600mcghr Sandostatin IV Infusions el: 1 cu: MICU cg: RN ai: 189 vo: 2.08333 vu: ml t0: [00:45:00 20/09/2012] tf: [16:00:00 20/09/2012] dt: 915 id: D5W 250.0ml + 60mcgkgmin Neosynephrine-k IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 2.63125 vu: ml t0: [00:45:00 20/09/2012] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 150 vu: ml
t0: [00:45:00 20/09/2012] id: Neosynephrine-k el: 1 cu: MICU cg: RN so: D5W vo: 0 v1: 0.25 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [00:45:00 20/09/2012] id: Propofol el: 1 cu: MICU cg: RN so: N/A vo: 0 v1: 50 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [00:45:00 20/09/2012] id: Sandostatin el: 1 cu: MICU cg: RN so: D5W vo: 0 v1: 50 du: mcghr sv: 100 su: ml rt: IV Drip
t0: [00:30:00 20/09/2012] id: FiO2 Set el: 0 cu: MICU cg: CRT v1: 0.4 u1: torr st: NotStopd
t0: [00:11:00 20/09/2012] id: WBC (4-11,000) Hematology el: 0 cu: MICU cg: 1663 v1: 13.9 rs: Final st: NotStopd t0: [00:11:00 20/09/2012] id: WBC Hematology el: 0 cu: MICU cg: 1663 v1: 13.9 rs: Final st: NotStopd t0: [00:11:00 20/09/2012] id: Hematocrit Hematology el: 0 cu: MICU cg: 1663 v1: 30.4 u1: % rs: Final st: NotStopd t0: [00:11:00 20/09/2012] id: Hemoglobin Hematology el: 0 cu: MICU cg: 1663 v1: 10.8 u1: gm/dl rs: Final st: NotStopd t0: [00:11:00 20/09/2012] id: Platelets Hematology el: 0 cu: MICU cg: 1663 v1: 119 rs: Final st: NotStopd t0: [00:11:00 20/09/2012] id: RBC Hematology el: 0 cu: MICU cg: 1663 v1: 3.33 u1: /mic l rs: Final st: NotStopd t0: [00:11:00 20/09/2012] id: WBC (4-11,000) Hematology el: 0 cu: MICU cg: 1663 v1: 13.9 rs: Final st: NotStopd
t0: [00:00:00 20/09/2012] id: Temp. Site el: 0 cu: MICU cg: RN v1: Oral st: NotStopd t0: [00:00:00 20/09/2012] id: Temperature C (calc) el: 0 cu: MICU cg: RN v1: 36.8889 u1: Deg. C st: NotStopd t0: [00:00:00 20/09/2012] id: Temperature F el: 0 cu: MICU cg: RN v1: 98.4 u1: Deg. F st: NotStopd
tf: [00:00:00 21/09/2012] pt: Unit Dose rt: IV fr: ONCE fs: 1 dn: 1 m1: Magnesium Sulfate v1: 2 u1: gm tf: [11:00:00 21/09/2012] pt: IV Piggyback rt: IV fr: Q8H fs: 1, 9, 17 dn: 3 m1: Metronidazole v1: 500 u1: mg m2: NS v2: 100 u2: ml tf: [15:00:00 22/09/2012] pt: IV Piggyback rt: IV DRIP fr: TITRATE TO m1: Phenylephrine HCl v1: 60 u1: mg m2: D5W v2: 250 u2: ml tf: [14:00:00 04/10/2012] pt: Unit Dose rt: IV fr: ASDIR m1: Lorazepam v1: 0.5 u1: mg
t0: [01:00:00 20/09/2012] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [01:00:00 20/09/2012] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [01:00:00 20/09/2012] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [01:00:00 20/09/2012] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [01:00:00 20/09/2012] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [01:00:00 20/09/2012] id: Heart Rate el: 0 cu: MICU cg: RN v1: 86 u1: BPM st: NotStopd t0: [01:00:00 20/09/2012] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [01:00:00 20/09/2012] id: Arterial BP el: 0 cu: MICU cg: RN v1: 100 u1: mmHg v2: 59 u2: mmHg st: NotStopd t0: [01:00:00 20/09/2012] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 72 u1: mmHg st: NotStopd t0: [01:00:00 20/09/2012] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [01:00:00 20/09/2012] id: Previous WeightF el: 0 cu: MICU cg: RN v1: 84.2 u1: kg st: NotStopd t0: [01:00:00 20/09/2012] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 17 u1: BPM st: NotStopd t0: [01:00:00 20/09/2012] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [01:30:00 20/09/2012] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [01:30:00 20/09/2012] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [01:30:00 20/09/2012] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [01:30:00 20/09/2012] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [01:30:00 20/09/2012] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [01:30:00 20/09/2012] id: Heart Rate el: 0 cu: MICU cg: RN v1: 96 u1: BPM st: NotStopd t0: [01:30:00 20/09/2012] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [01:30:00 20/09/2012] id: Arterial BP el: 0 cu: MICU cg: RN v1: 116 u1: mmHg v2: 56 u2: mmHg st: NotStopd t0: [01:30:00 20/09/2012] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 74 u1: mmHg st: NotStopd t0: [01:30:00 20/09/2012] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [01:30:00 20/09/2012] id: Previous WeightF el: 0 cu: MICU cg: RN v1: 84.2 u1: kg st: NotStopd t0: [01:30:00 20/09/2012] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 19 u1: BPM st: NotStopd t0: [01:30:00 20/09/2012] id: SpO2 el: 0 cu: MICU cg: RN v1: 100 u1: % st: NotStopd t0: [01:30:00 20/09/2012] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [01:30:00 20/09/2012] id: Propofol el: 1 cu: MICU cg: RN so: N/A vo: 0 v1: 50 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [01:30:00 20/09/2012] id: Sandostatin el: 1 cu: MICU cg: RN so: D5W vo: 0 v1: 50 du: mcghr sv: 100 su: ml rt: IV Drip
t0: [00:11:00 20/09/2012] id: BUN el: 0 cu: MICU cg: 1663 v1: 15 rs: Final st: NotStopd t0: [00:11:00 20/09/2012] id: Albumin Chemistry el: 0 cu: MICU cg: 1663 v1: 2.5 rs: Final st: NotStopd t0: [00:11:00 20/09/2012] id: Calcium Chemistry el: 0 cu: MICU cg: 1663 v1: 8 u1: mg/dl rs: Final st: NotStopd t0: [00:11:00 20/09/2012] id: Chloride Chemistry el: 0 cu: MICU cg: 1663 v1: 102 rs: Final st: NotStopd t0: [00:11:00 20/09/2012] id: Creatinine Chemistry el: 0 cu: MICU cg: 1663 v1: 1 rs: Final st: NotStopd t0: [00:11:00 20/09/2012] id: Glucose Chemistry el: 0 cu: MICU cg: 1663 v1: 101 rs: Final st: NotStopd t0: [00:11:00 20/09/2012] id: Magnesium Chemistry el: 0 cu: MICU cg: 1663 v1: 1.7 rs: Final st: NotStopd t0: [00:11:00 20/09/2012] id: Phosphorous Chemistry el: 0 cu: MICU cg: 1663 v1: 2.8 u1: mEq/L rs: Final st: NotStopd t0: [00:11:00 20/09/2012] id: Potassium Chemistry el: 0 cu: MICU cg: 1663 v1: 4.1 rs: Final st: NotStopd t0: [00:11:00 20/09/2012] id: Sodium Chemistry el: 0 cu: MICU cg: 1663 v1: 129 rs: Final st: NotStopd t0: [00:11:00 20/09/2012] id: ALT Enzymes el: 0 cu: MICU cg: 1663 v1: 71 rs: Final st: NotStopd t0: [00:11:00 20/09/2012] id: AST Enzymes el: 0 cu: MICU cg: 1663 v1: 78 rs: Final st: NotStopd t0: [00:11:00 20/09/2012] id: Albumin (>3.2) Chemistry el: 0 cu: MICU cg: 1663 v1: 2.5 rs: Final st: NotStopd t0: [00:11:00 20/09/2012] id: Alk. Phosphate Enzymes el: 0 cu: MICU cg: 1663 v1: 155 rs: Final st: NotStopd t0: [00:11:00 20/09/2012] id: BUN (6-20) Chemistry el: 0 cu: MICU cg: 1663 v1: 15 rs: Final st: NotStopd t0: [00:11:00 20/09/2012] id: Calcium (8.4-10.2) Chemistry el: 0 cu: MICU cg: 1663 v1: 8 u1: mg/dl rs: Final st: NotStopd t0: [00:11:00 20/09/2012] id: Carbon Dioxide Chemistry el: 0 cu: MICU cg: 1663 v1: 18 rs: Final st: NotStopd t0: [00:11:00 20/09/2012] id: Chloride (100-112) Chemistry el: 0 cu: MICU cg: 1663 v1: 102 rs: Final st: NotStopd t0: [00:11:00 20/09/2012] id: Creatinine (0-1.3) Chemistry el: 0 cu: MICU cg: 1663 v1: 1 rs: Final st: NotStopd t0: [00:11:00 20/09/2012] id: Glucose (70-105) Chemistry el: 0 cu: MICU cg: 1663 v1: 101 rs: Final st: NotStopd t0: [00:11:00 20/09/2012] id: LDH Enzymes el: 0 cu: MICU cg: 1663 v1: 230 rs: Final st: NotStopd t0: [00:11:00 20/09/2012] id: Magnesium (1.6-2.6) Chemistry el: 0 cu: MICU cg: 1663 v1: 1.7 rs: Final st: NotStopd t0: [00:11:00 20/09/2012] id: Phosphorous(2.7-4.5) Chemistry el: 0 cu: MICU cg: 1663 v1: 2.8 u1: mEq/L rs: Final st: NotStopd t0: [00:11:00 20/09/2012] id: Potassium (3.5-5.3) Chemistry el: 0 cu: MICU cg: 1663 v1: 4.1 rs: Final st: NotStopd t0: [00:11:00 20/09/2012] id: Sodium (135-148) Chemistry el: 0 cu: MICU cg: 1663 v1: 129 rs: Final st: NotStopd
t0: [01:30:00 20/09/2012] id: Previous Weight el: 0 cu: MICU cg: RN v1: 84.2 u1: kg st: NotStopd
t0: [01:40:00 20/09/2012] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [01:40:00 20/09/2012] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [01:40:00 20/09/2012] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [01:40:00 20/09/2012] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [01:40:00 20/09/2012] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [01:40:00 20/09/2012] id: Heart Rate el: 0 cu: MICU cg: RN v1: 93 u1: BPM st: NotStopd t0: [01:40:00 20/09/2012] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [01:40:00 20/09/2012] id: Arterial BP el: 0 cu: MICU cg: RN v1: 129 u1: mmHg v2: 66 u2: mmHg st: NotStopd t0: [01:40:00 20/09/2012] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 85 u1: mmHg st: NotStopd t0: [01:40:00 20/09/2012] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [01:40:00 20/09/2012] id: Previous WeightF el: 0 cu: MICU cg: RN v1: 84.2 u1: kg st: NotStopd t0: [01:40:00 20/09/2012] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 14 u1: BPM st: NotStopd t0: [01:40:00 20/09/2012] id: SpO2 el: 0 cu: MICU cg: RN v1: 100 u1: % st: NotStopd t0: [01:40:00 20/09/2012] id: Temperature C (calc) el: 0 cu: MICU cg: RN v1: 36.8889 u1: Deg. C st: NotStopd t0: [01:40:00 20/09/2012] id: Temperature F el: 0 cu: MICU cg: RN v1: 98.4 u1: Deg. F st: NotStopd t0: [01:40:00 20/09/2012] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [01:40:00 20/09/2012] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 23.155 vu: ml t0: [01:40:00 20/09/2012] id: D5W 100.0ml + 600mcghr Sandostatin IV Infusions el: 1 cu: MICU cg: RN ai: 189 vo: 7.63889 vu: ml t0: [01:40:00 20/09/2012] tf: [16:45:00 20/09/2012] dt: 905 id: Fresh Frozen Plasma IV Infusions el: 1 cu: MICU cg: RN ai: 155 vo: 347 vu: ml t0: [01:40:00 20/09/2012] id: D5W 250.0ml + 60mcgkgmin Neosynephrine-k IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 4.82396 vu: ml t0: [01:40:00 20/09/2012] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 100 vu: ml
t0: [01:40:00 20/09/2012] id: Neosynephrine-k el: 1 cu: MICU cg: RN so: D5W vo: 0 v1: 0.5 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [01:40:00 20/09/2012] id: Propofol el: 1 cu: MICU cg: RN so: N/A vo: 0 v1: 50 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [01:40:00 20/09/2012] id: Sandostatin el: 1 cu: MICU cg: RN so: D5W vo: 0 v1: 50 du: mcghr sv: 100 su: ml rt: IV Drip
t0: [01:43:00 20/09/2012] id: Art.pH ABG el: 0 cu: MICU cg: 1663 v1: 7.42 rs: Final st: NotStopd t0: [01:43:00 20/09/2012] id: Arterial Base Excess ABG el: 0 cu: MICU cg: 1663 v1: -3 rs: Final st: NotStopd t0: [01:43:00 20/09/2012] id: Arterial CO2(Calc) ABG el: 0 cu: MICU cg: 1663 v1: 19 rs: Final st: NotStopd t0: [01:43:00 20/09/2012] id: Arterial PaCO2 ABG el: 0 cu: MICU cg: 1663 v1: 29 u1: mmHg rs: Final st: NotStopd t0: [01:43:00 20/09/2012] id: Arterial PaO2 ABG el: 0 cu: MICU cg: 1663 v1: 113 u1: mmHg rs: Final st: NotStopd t0: [01:43:00 20/09/2012] id: Arterial pH ABG el: 0 cu: MICU cg: 1663 v1: 7.42 rs: Final st: NotStopd
t0: [01:15:00 20/09/2012] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [01:15:00 20/09/2012] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [01:15:00 20/09/2012] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [01:15:00 20/09/2012] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [01:15:00 20/09/2012] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [01:15:00 20/09/2012] id: Heart Rate el: 0 cu: MICU cg: RN v1: 87 u1: BPM st: NotStopd t0: [01:15:00 20/09/2012] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [01:15:00 20/09/2012] id: Arterial BP el: 0 cu: MICU cg: RN v1: 115 u1: mmHg v2: 57 u2: mmHg st: NotStopd t0: [01:15:00 20/09/2012] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 75 u1: mmHg st: NotStopd t0: [01:15:00 20/09/2012] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [01:15:00 20/09/2012] id: Previous WeightF el: 0 cu: MICU cg: RN v1: 84.2 u1: kg st: NotStopd t0: [01:15:00 20/09/2012] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 17 u1: BPM st: NotStopd t0: [01:15:00 20/09/2012] id: SpO2 el: 0 cu: MICU cg: RN v1: 100 u1: % st: NotStopd t0: [01:15:00 20/09/2012] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [01:00:00 20/09/2012] id: Neosynephrine-k el: 1 cu: MICU cg: RN so: D5W vo: 0 v1: 1 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [01:00:00 20/09/2012] id: Propofol el: 1 cu: MICU cg: RN so: N/A vo: 0 v1: 50 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [01:00:00 20/09/2012] id: Sandostatin el: 1 cu: MICU cg: RN so: D5W vo: 0 v1: 50 du: mcghr sv: 100 su: ml rt: IV Drip t0: [01:15:00 20/09/2012] id: Neosynephrine-k el: 1 cu: MICU cg: RN so: D5W vo: 0 v1: 0.75 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [01:15:00 20/09/2012] id: Propofol el: 1 cu: MICU cg: RN so: N/A vo: 0 v1: 50 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [01:15:00 20/09/2012] id: Sandostatin el: 1 cu: MICU cg: RN so: D5W vo: 0 v1: 50 du: mcghr sv: 100 su: ml rt: IV Drip t0: [01:30:00 20/09/2012] id: Neosynephrine-k el: 1 cu: MICU cg: RN so: D5W vo: 0 v1: 0.5 du: mcgkgmin sv: 250 su: ml rt: IV Drip
t0: [00:11:00 20/09/2012] id: Total Bili Chemistry el: 0 cu: MICU cg: 1663 v1: 17.2 rs: Final st: NotStopd t0: [00:11:00 20/09/2012] id: Total Bili (0-1.5) Chemistry el: 0 cu: MICU cg: 1663 v1: 17.2 rs: Final st: NotStopd
t0: [02:00:00 20/09/2012] id: ETT Mark/Location el: 0 cu: MICU cg: CRT v1: 23cm v2: Lip st: NotStopd t0: [02:00:00 20/09/2012] id: FiO2 Set el: 0 cu: MICU cg: CRT v1: 0.4 u1: torr st: NotStopd t0: [02:00:00 20/09/2012] id: Airway Size el: 0 cu: MICU cg: CRT v1: 7.5 mm st: NotStopd t0: [02:00:00 20/09/2012] id: Airway Type el: 0 cu: MICU cg: CRT v1: Endotracheal st: NotStopd t0: [02:00:00 20/09/2012] id: Intubation Date el: 0 cu: MICU cg: CRT v1: 8 v2: 27 st: NotStopd t0: [02:00:00 20/09/2012] id: Respiratory Rate Set el: 0 cu: MICU cg: CRT v1: 8 u1: BPM st: NotStopd t0: [02:00:00 20/09/2012] id: SpO2 el: 0 cu: MICU cg: CRT v1: 100 u1: % st: NotStopd t0: [02:00:00 20/09/2012] id: Tidal Volume (Set) el: 0 cu: MICU cg: CRT v1: 600 u1: ml/B st: NotStopd t0: [02:00:00 20/09/2012] id: Ventilator Mode el: 0 cu: MICU cg: CRT v1: CMV st: NotStopd t0: [02:00:00 20/09/2012] id: Ventilator Type el: 0 cu: MICU cg: CRT v1: Drager st: NotStopd
t0: [21:00:00 19/09/2012] id: Radiologic Study el: 0 cu: MICU cg: RN v1: Chest Xray st: NotStopd t0: [23:00:00 19/09/2012] id: Family Communication el: 0 cu: MICU cg: RN v1: Fam Talked to RN st: NotStopd t0: [23:00:00 19/09/2012] id: Reason For Restraint el: 0 cu: MICU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [23:00:00 19/09/2012] id: Restraint Location el: 0 cu: MICU cg: RN v1: Both Arms st: NotStopd t0: [23:00:00 19/09/2012] id: Restraint Type el: 0 cu: MICU cg: RN v1: Soft Limb st: NotStopd t0: [23:00:00 19/09/2012] id: Side Rails el: 0 cu: MICU cg: RN v1: Side Rails Up st: NotStopd t0: [23:00:00 19/09/2012] id: Support Systems el: 0 cu: MICU cg: RN v1: Spouse st: NotStopd t0: [00:00:00 20/09/2012] id: Less Restrict Meas. el: 0 cu: MICU cg: RN v1: Medicated st: NotStopd t0: [00:00:00 20/09/2012] id: Range of Motion el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [00:00:00 20/09/2012] id: Circulation/SkinInt el: 0 cu: MICU cg: RN v1: Circulation Adeq st: NotStopd t0: [00:00:00 20/09/2012] id: Cough Reflex el: 0 cu: MICU cg: RN v1: Intact st: NotStopd t0: [00:00:00 20/09/2012] id: GI Prophylaxis el: 0 cu: MICU cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [00:00:00 20/09/2012] id: Diet Type el: 0 cu: MICU cg: RN v1: NPO st: NotStopd t0: [00:00:00 20/09/2012] id: Eye Opening el: 0 cu: MICU cg: RN v1: 3 To speech st: NotStopd t0: [00:00:00 20/09/2012] id: Follows Commands el: 0 cu: MICU cg: RN v1: Consistently st: NotStopd t0: [00:00:00 20/09/2012] id: GCS Total el: 0 cu: MICU cg: RN v1: 10 u1: points st: NotStopd t0: [00:00:00 20/09/2012] id: Gag Reflex el: 0 cu: MICU cg: RN v1: Intact st: NotStopd t0: [00:00:00 20/09/2012] id: HOB el: 0 cu: MICU cg: RN v1: 30 degrees st: NotStopd t0: [00:00:00 20/09/2012] id: Abdominal Assessment el: 0 cu: MICU cg: RN v1: Soft Distended st: NotStopd t0: [00:00:00 20/09/2012] id: Activity el: 0 cu: MICU cg: RN v1: Bedrest st: NotStopd t0: [00:00:00 20/09/2012] id: Activity Tolerance el: 0 cu: MICU cg: RN v1: Tolerated Well st: NotStopd t0: [00:00:00 20/09/2012] id: LLL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [00:00:00 20/09/2012] id: LUL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [00:00:00 20/09/2012] id: Level of Conscious el: 0 cu: MICU cg: RN v1: Sedated st: NotStopd t0: [00:00:00 20/09/2012] id: Motor Response el: 0 cu: MICU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [00:00:00 20/09/2012] id: Oral Cavity el: 0 cu: MICU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [00:00:00 20/09/2012] id: Orientation el: 0 cu: MICU cg: RN v1: Other/Remarks st: NotStopd t0: [00:00:00 20/09/2012] id: Position Change el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [00:00:00 20/09/2012] id: Assistance Device el: 0 cu: MICU cg: RN v1: 2 Person Assist st: NotStopd t0: [00:00:00 20/09/2012] id: RLL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [00:00:00 20/09/2012] id: RUL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [00:00:00 20/09/2012] id: Removed x 5 Mins el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [00:00:00 20/09/2012] id: Respiratory Pattern el: 0 cu: MICU cg: RN v1: Regular st: NotStopd t0: [00:00:00 20/09/2012] id: Restraints Evaluated el: 0 cu: MICU cg: RN v1: RestraintReapply st: NotStopd t0: [00:00:00 20/09/2012] id: Skin Color el: 0 cu: MICU cg: RN v1: Jaundiced st: NotStopd t0: [00:00:00 20/09/2012] id: Skin Temp/Condition el: 0 cu: MICU cg: RN v1: Warm v2: Dry st: NotStopd t0: [00:00:00 20/09/2012] id: Spontaneous Movement el: 0 cu: MICU cg: RN v1: Purposeful st: NotStopd t0: [00:00:00 20/09/2012] id: Urine Color/Appear el: 0 cu: MICU cg: RN v1: Amber v2: Clear st: NotStopd t0: [00:00:00 20/09/2012] id: Urine Source el: 0 cu: MICU cg: RN v1: Indwelling Cath st: NotStopd t0: [00:00:00 20/09/2012] id: Verbal Response el: 0 cu: MICU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [00:00:00 20/09/2012] id: Bowel Sounds el: 0 cu: MICU cg: RN v1: Hypoactive st: NotStopd t0: [00:00:00 20/09/2012] id: Braden Activity el: 0 cu: MICU cg: RN v1: Bedfast st: NotStopd t0: [00:00:00 20/09/2012] id: Braden Frict/Shear el: 0 cu: MICU cg: RN v1: Potential Prob st: NotStopd t0: [00:00:00 20/09/2012] id: Braden Mobility el: 0 cu: MICU cg: RN v1: Very Limited st: NotStopd t0: [00:00:00 20/09/2012] id: Braden Moisture el: 0 cu: MICU cg: RN v1: Rarely Moist st: NotStopd t0: [00:00:00 20/09/2012] id: Braden Nutrition el: 0 cu: MICU cg: RN v1: Very Poor st: NotStopd t0: [00:00:00 20/09/2012] id: Braden Score el: 0 cu: MICU cg: RN v1: 13 u1: number st: NotStopd t0: [00:00:00 20/09/2012] id: Braden SensoryPercep el: 0 cu: MICU cg: RN v1: Sl. Limited st: NotStopd t0: [02:00:00 20/09/2012] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [02:00:00 20/09/2012] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [02:00:00 20/09/2012] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [02:00:00 20/09/2012] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [02:00:00 20/09/2012] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [02:00:00 20/09/2012] id: Heart Rate el: 0 cu: MICU cg: RN v1: 94 u1: BPM st: NotStopd t0: [02:00:00 20/09/2012] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [02:00:00 20/09/2012] id: Arterial BP el: 0 cu: MICU cg: RN v1: 128 u1: mmHg v2: 64 u2: mmHg st: NotStopd t0: [02:00:00 20/09/2012] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 85 u1: mmHg st: NotStopd t0: [02:00:00 20/09/2012] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [02:00:00 20/09/2012] id: Previous WeightF el: 0 cu: MICU cg: RN v1: 84.2 u1: kg st: NotStopd t0: [02:00:00 20/09/2012] id: Radiologic Study el: 0 cu: MICU cg: RN v1: Chest Xray st: NotStopd t0: [02:00:00 20/09/2012] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 15 u1: BPM st: NotStopd t0: [02:00:00 20/09/2012] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [02:00:00 20/09/2012] id: Neosynephrine-k el: 1 cu: MICU cg: RN so: D5W vo: 0 v1: 0.25 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [02:00:00 20/09/2012] id: Propofol el: 1 cu: MICU cg: RN so: N/A vo: 0 v1: 50 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [02:00:00 20/09/2012] id: Sandostatin el: 1 cu: MICU cg: RN so: D5W vo: 0 v1: 50 du: mcghr sv: 100 su: ml rt: IV Drip
t0: [00:00:00 20/09/2012] id: Reason For Restraint el: 0 cu: MICU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [00:00:00 20/09/2012] id: Restraint Location el: 0 cu: MICU cg: RN v1: Both Arms st: NotStopd t0: [00:00:00 20/09/2012] id: Restraint Type el: 0 cu: MICU cg: RN v1: Soft Limb st: NotStopd t0: [00:00:00 20/09/2012] id: Side Rails el: 0 cu: MICU cg: RN v1: Side Rails Up st: NotStopd t0: [00:00:00 20/09/2012] id: Skin Integrity el: 0 cu: MICU cg: RN v1: Intact st: NotStopd t0: [00:00:00 20/09/2012] id: Support Systems el: 0 cu: MICU cg: RN v1: Spouse st: NotStopd t0: [00:00:00 20/09/2012] id: Behavior el: 0 cu: MICU cg: RN v1: Sedated st: NotStopd t0: [01:00:00 20/09/2012] id: Diet Type el: 0 cu: MICU cg: RN v1: NPO st: NotStopd t0: [01:00:00 20/09/2012] id: GI Intub #1/Site el: 0 cu: MICU cg: RN v1: Salem Sump v2: Right Nare st: NotStopd t0: [01:00:00 20/09/2012] id: GI#1 Tube Stat/Drain el: 0 cu: MICU cg: RN v1: Clamped v2: Dark Red Blood st: NotStopd t0: [01:00:00 20/09/2012] id: Radiologic Study el: 0 cu: MICU cg: RN v1: Chest Xray st: NotStopd t0: [01:00:00 20/09/2012] id: Respiratory Pattern el: 0 cu: MICU cg: RN v1: Regular st: NotStopd t0: [01:00:00 20/09/2012] id: Significant Events el: 0 cu: MICU cg: RN st: NotStopd t0: [01:00:00 20/09/2012] id: Urine Source el: 0 cu: MICU cg: RN v1: Indwelling Cath st: NotStopd
t0: [03:00:00 20/09/2012] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [03:00:00 20/09/2012] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [03:00:00 20/09/2012] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [03:00:00 20/09/2012] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [03:00:00 20/09/2012] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [03:00:00 20/09/2012] id: Heart Rate el: 0 cu: MICU cg: RN v1: 97 u1: BPM st: NotStopd t0: [03:00:00 20/09/2012] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [03:00:00 20/09/2012] id: Arterial BP el: 0 cu: MICU cg: RN v1: 119 u1: mmHg v2: 60 u2: mmHg st: NotStopd t0: [03:00:00 20/09/2012] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 78 u1: mmHg st: NotStopd t0: [03:00:00 20/09/2012] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [03:00:00 20/09/2012] id: Previous WeightF el: 0 cu: MICU cg: RN v1: 84.2 u1: kg st: NotStopd t0: [03:00:00 20/09/2012] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 14 u1: BPM st: NotStopd t0: [03:00:00 20/09/2012] id: SpO2 el: 0 cu: MICU cg: RN v1: 100 u1: % st: NotStopd t0: [03:00:00 20/09/2012] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [02:30:00 20/09/2012] id: Fresh Frozen Plasma IV Infusions el: 1 cu: MICU cg: RN ai: 155 vo: 377 vu: ml t0: [03:00:00 20/09/2012] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 33.68 vu: ml t0: [03:00:00 20/09/2012] id: D5W 100.0ml + 600mcghr Sandostatin IV Infusions el: 1 cu: MICU cg: RN ai: 189 vo: 11.1111 vu: ml t0: [03:00:00 20/09/2012] id: Fresh Frozen Plasma IV Infusions el: 1 cu: MICU cg: RN ai: 155 vo: 345 vu: ml t0: [03:00:00 20/09/2012] id: D5W 250.0ml + 60mcgkgmin Neosynephrine-k IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 8.77083 vu: ml t0: [03:00:00 20/09/2012] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 250 vu: ml
t0: [03:00:00 20/09/2012] id: Neosynephrine-k el: 1 cu: MICU cg: RN so: D5W vo: 0 v1: 0.125 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [03:00:00 20/09/2012] id: Propofol el: 1 cu: MICU cg: RN so: N/A vo: 0 v1: 50 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [03:00:00 20/09/2012] id: Sandostatin el: 1 cu: MICU cg: RN so: D5W vo: 0 v1: 50 du: mcghr sv: 100 su: ml rt: IV Drip
t0: [23:00:00 20/09/2012] dt: 1 id: Total Hourly Output el: 2 cu: MICU cg: RN cv: 0 ap: none t0: [23:00:00 20/09/2012] dt: 1 id: Net Hourly Balance el: 2 cu: MICU cg: RN pv: 741.593 cv: 741.593 ap: none t0: [23:00:00 20/09/2012] dt: 24 id: IV Infusion In Total el: 2 cu: MICU cg: RN pv: 33.5933 cv: 1904.52 ap: none t0: [23:00:00 20/09/2012] dt: 24 id: 24h Total In el: 2 cu: MICU cg: RN pv: 741.593 cv: 5375.52 ap: none t0: [23:00:00 20/09/2012] dt: 24 id: Urine Out Total el: 2 cu: MICU cg: RN cv: 1810 ap: none t0: [23:00:00 20/09/2012] dt: 24 id: 24h Net Body Balance el: 2 cu: MICU cg: RN pv: 741.593 cv: 3565.52 ap: none t0: [23:00:00 20/09/2012] dt: 24 id: 24h Total Out el: 2 cu: MICU cg: RN cv: 1810 ap: none t0: [23:00:00 20/09/2012] dt: 24 id: Blood Products Total el: 2 cu: MICU cg: RN pv: 708 cv: 3471 ap: none t0: [23:00:00 20/09/2012] dt: multiple days id: LOS Net Body Balance el: 2 cu: MICU cg: RN pv: 741.593 cv: 5469.3 ap: none
t0: [22:00:00 19/09/2012] id: INV Line#1 Type/Site el: 0 cu: MICU cg: RN v1: Multi-lumen v2: Right Femoral st: NotStopd t0: [22:00:00 19/09/2012] id: INV Line#1InsertDate el: 0 cu: MICU cg: RN v1: 8 v2: 22 st: NotStopd t0: [22:00:00 19/09/2012] id: INV Line#2 Type/Site el: 0 cu: MICU cg: RN v1: A-Line v2: Left Radial st: NotStopd t0: [22:00:00 19/09/2012] id: INV Line#2 Zero/Cal el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [22:00:00 19/09/2012] id: INV Line#2InsertDate el: 0 cu: MICU cg: RN v1: 8 v2: 27 st: NotStopd t0: [22:00:00 19/09/2012] id: INV Line#2SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [22:00:00 19/09/2012] id: INV#2 WaveformAppear el: 0 cu: MICU cg: RN v1: Sharp st: NotStopd t0: [22:00:00 19/09/2012] id: IV #1 Site/Size el: 0 cu: MICU cg: RN v1: Left Hand v2: 18 gauge st: NotStopd t0: [00:00:00 20/09/2012] id: Position el: 0 cu: MICU cg: RN v1: Left Side st: NotStopd t0: [00:00:00 20/09/2012] id: Turn el: 0 cu: MICU cg: RN v1: Left Side st: NotStopd t0: [01:00:00 20/09/2012] id: GI#1 Tube PlaceCheck el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [04:00:00 20/09/2012] id: Less Restrict Meas. el: 0 cu: MICU cg: RN v1: Medicated st: NotStopd t0: [04:00:00 20/09/2012] id: Range of Motion el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [04:00:00 20/09/2012] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [04:00:00 20/09/2012] id: Circulation/SkinInt el: 0 cu: MICU cg: RN v1: Circulation Adeq st: NotStopd t0: [04:00:00 20/09/2012] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [04:00:00 20/09/2012] id: Cough Reflex el: 0 cu: MICU cg: RN v1: Intact st: NotStopd t0: [04:00:00 20/09/2012] id: GI Prophylaxis el: 0 cu: MICU cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [04:00:00 20/09/2012] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [04:00:00 20/09/2012] id: Diet Type el: 0 cu: MICU cg: RN v1: NPO st: NotStopd t0: [04:00:00 20/09/2012] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [04:00:00 20/09/2012] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [04:00:00 20/09/2012] id: Eye Opening el: 0 cu: MICU cg: RN v1: 3 To speech st: NotStopd t0: [04:00:00 20/09/2012] id: Follows Commands el: 0 cu: MICU cg: RN v1: Consistently st: NotStopd t0: [04:00:00 20/09/2012] id: GCS Total el: 0 cu: MICU cg: RN v1: 10 u1: points st: NotStopd t0: [04:00:00 20/09/2012] id: GI Intub #1/Site el: 0 cu: MICU cg: RN v1: Salem Sump v2: Right Nare st: NotStopd t0: [04:00:00 20/09/2012] id: GI#1 Tube PlaceCheck el: 0 cu: MICU cg: RN v1: Not Done st: NotStopd t0: [04:00:00 20/09/2012] id: GI#1 Tube Stat/Drain el: 0 cu: MICU cg: RN v1: Clamped st: NotStopd t0: [04:00:00 20/09/2012] id: Gag Reflex el: 0 cu: MICU cg: RN v1: Intact st: NotStopd t0: [04:00:00 20/09/2012] id: HOB el: 0 cu: MICU cg: RN v1: 30 degrees st: NotStopd t0: [04:00:00 20/09/2012] id: Heart Rate el: 0 cu: MICU cg: RN v1: 93 u1: BPM st: NotStopd t0: [04:00:00 20/09/2012] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [04:00:00 20/09/2012] id: INV Line#1 Type/Site el: 0 cu: MICU cg: RN v1: Multi-lumen v2: Right Femoral st: NotStopd t0: [04:00:00 20/09/2012] id: INV Line#1InsertDate el: 0 cu: MICU cg: RN v1: 8 v2: 22 st: NotStopd t0: [04:00:00 20/09/2012] id: INV Line#1SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [04:00:00 20/09/2012] id: INV Line#2 Type/Site el: 0 cu: MICU cg: RN v1: A-Line v2: Left Radial st: NotStopd t0: [04:00:00 20/09/2012] id: INV Line#2 Zero/Cal el: 0 cu: MICU cg: RN v1: No st: NotStopd t0: [04:00:00 20/09/2012] id: INV Line#2InsertDate el: 0 cu: MICU cg: RN v1: 8 v2: 27 st: NotStopd t0: [04:00:00 20/09/2012] id: INV Line#2SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [04:00:00 20/09/2012] id: Abdominal Assessment el: 0 cu: MICU cg: RN v1: Soft Distended st: NotStopd t0: [04:00:00 20/09/2012] id: INV#2 WaveformAppear el: 0 cu: MICU cg: RN v1: Sharp st: NotStopd t0: [04:00:00 20/09/2012] id: IV #1 Insert Date el: 0 cu: MICU cg: RN v1: ? st: NotStopd t0: [04:00:00 20/09/2012] id: IV #1 Site/Size el: 0 cu: MICU cg: RN v1: Left Hand v2: 18 gauge st: NotStopd t0: [04:00:00 20/09/2012] id: Activity el: 0 cu: MICU cg: RN v1: Bedrest st: NotStopd t0: [04:00:00 20/09/2012] id: IV Site Appear #1 el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [04:00:00 20/09/2012] id: Activity Tolerance el: 0 cu: MICU cg: RN v1: Tolerated Well st: NotStopd t0: [04:00:00 20/09/2012] id: LLL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [04:00:00 20/09/2012] id: LUL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [04:00:00 20/09/2012] id: Level of Conscious el: 0 cu: MICU cg: RN v1: Sedated st: NotStopd t0: [04:00:00 20/09/2012] id: Motor Response el: 0 cu: MICU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [04:00:00 20/09/2012] id: Oral Cavity el: 0 cu: MICU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [04:00:00 20/09/2012] id: Orientation el: 0 cu: MICU cg: RN v1: Other/Remarks st: NotStopd t0: [04:00:00 20/09/2012] id: Arterial BP el: 0 cu: MICU cg: RN v1: 112 u1: mmHg v2: 57 u2: mmHg st: NotStopd t0: [04:00:00 20/09/2012] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 74 u1: mmHg st: NotStopd t0: [04:00:00 20/09/2012] id: Position el: 0 cu: MICU cg: RN v1: Right Side st: NotStopd t0: [04:00:00 20/09/2012] id: Position Change el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [04:00:00 20/09/2012] id: Assistance Device el: 0 cu: MICU cg: RN v1: 2 Person Assist st: NotStopd t0: [04:00:00 20/09/2012] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [04:00:00 20/09/2012] id: Previous WeightF el: 0 cu: MICU cg: RN v1: 84.2 u1: kg st: NotStopd t0: [04:00:00 20/09/2012] id: RLL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [04:00:00 20/09/2012] id: RUL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [04:00:00 20/09/2012] id: Reason For Restraint el: 0 cu: MICU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [04:00:00 20/09/2012] id: Removed x 5 Mins el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [04:00:00 20/09/2012] id: Respiratory Pattern el: 0 cu: MICU cg: RN v1: Regular st: NotStopd t0: [04:00:00 20/09/2012] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 17 u1: BPM st: NotStopd t0: [04:00:00 20/09/2012] id: Restraint Location el: 0 cu: MICU cg: RN v1: Both Arms st: NotStopd t0: [04:00:00 20/09/2012] id: Restraint Type el: 0 cu: MICU cg: RN v1: Soft Limb st: NotStopd t0: [04:00:00 20/09/2012] id: Restraints Evaluated el: 0 cu: MICU cg: RN v1: RestraintReapply st: NotStopd t0: [04:00:00 20/09/2012] id: Side Rails el: 0 cu: MICU cg: RN v1: Side Rails Up st: NotStopd t0: [04:00:00 20/09/2012] id: Skin Color el: 0 cu: MICU cg: RN v1: Jaundiced st: NotStopd t0: [04:00:00 20/09/2012] id: Skin Integrity el: 0 cu: MICU cg: RN v1: Intact st: NotStopd t0: [04:00:00 20/09/2012] id: Skin Temp/Condition el: 0 cu: MICU cg: RN v1: Warm v2: Dry st: NotStopd t0: [04:00:00 20/09/2012] id: SpO2 el: 0 cu: MICU cg: RN v1: 100 u1: % st: NotStopd t0: [04:00:00 20/09/2012] id: Spontaneous Movement el: 0 cu: MICU cg: RN v1: Purposeful st: NotStopd t0: [04:00:00 20/09/2012] id: Support Systems el: 0 cu: MICU cg: RN v1: Spouse st: NotStopd t0: [04:00:00 20/09/2012] id: Turn el: 0 cu: MICU cg: RN v1: Right Side st: NotStopd t0: [04:00:00 20/09/2012] id: Urine Color/Appear el: 0 cu: MICU cg: RN v1: Amber v2: Clear st: NotStopd t0: [04:00:00 20/09/2012] id: Urine Source el: 0 cu: MICU cg: RN v1: Indwelling Cath st: NotStopd t0: [04:00:00 20/09/2012] id: Verbal Response el: 0 cu: MICU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [04:00:00 20/09/2012] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [04:00:00 20/09/2012] id: Behavior el: 0 cu: MICU cg: RN v1: Sedated st: NotStopd t0: [04:00:00 20/09/2012] id: Bowel Sounds el: 0 cu: MICU cg: RN v1: Hypoactive st: NotStopd
t0: [04:00:00 20/09/2012] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 25.26 vu: ml t0: [04:00:00 20/09/2012] id: D5W 100.0ml + 600mcghr Sandostatin IV Infusions el: 1 cu: MICU cg: RN ai: 189 vo: 8.33333 vu: ml t0: [04:00:00 20/09/2012] id: D5W 250.0ml + 60mcgkgmin Neosynephrine-k IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 2.63125 vu: ml
t0: [04:00:00 20/09/2012] id: Neosynephrine-k el: 1 cu: MICU cg: RN so: D5W vo: 0 v1: 0.125 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [04:00:00 20/09/2012] id: Propofol el: 1 cu: MICU cg: RN so: N/A vo: 0 v1: 50 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [04:00:00 20/09/2012] id: Sandostatin el: 1 cu: MICU cg: RN so: D5W vo: 0 v1: 50 du: mcghr sv: 100 su: ml rt: IV Drip
t0: [04:00:00 20/09/2012] id: Compliance (40-60ml) el: 0 cu: MICU cg: CRT v1: 100 u1: ml/cmH st: NotStopd t0: [04:00:00 20/09/2012] id: RSBI (<100) el: 0 cu: MICU cg: CRT u1: units st: NotStopd t0: [04:00:00 20/09/2012] id: ETT Mark/Location el: 0 cu: MICU cg: CRT v1: 23cm v2: Lip st: NotStopd t0: [04:00:00 20/09/2012] id: FiO2 Set el: 0 cu: MICU cg: CRT v1: 0.4 u1: torr st: NotStopd t0: [04:00:00 20/09/2012] id: High Insp. Pressure el: 0 cu: MICU cg: CRT v1: 50 u1: cmH2O st: NotStopd t0: [04:00:00 20/09/2012] id: High Resp. Rate el: 0 cu: MICU cg: CRT v1: 30 u1: BPM st: NotStopd t0: [04:00:00 20/09/2012] id: I:E Ratio el: 0 cu: MICU cg: CRT v1: 1:2.8 st: NotStopd t0: [04:00:00 20/09/2012] id: Airway Size el: 0 cu: MICU cg: CRT v1: 7.5 mm st: NotStopd t0: [04:00:00 20/09/2012] id: Airway Type el: 0 cu: MICU cg: CRT v1: Endotracheal st: NotStopd t0: [04:00:00 20/09/2012] id: Inspired Gas Temp el: 0 cu: MICU cg: CRT u1: Deg. C st: NotStopd t0: [04:00:00 20/09/2012] id: Intubation Date el: 0 cu: MICU cg: CRT v1: 8 v2: 27 st: NotStopd t0: [04:00:00 20/09/2012] id: Low Exhaled Min Vol el: 0 cu: MICU cg: CRT v1: 5 st: NotStopd t0: [04:00:00 20/09/2012] id: Mean Airway Pressure el: 0 cu: MICU cg: CRT v1: 8 u1: cmH2O st: NotStopd t0: [04:00:00 20/09/2012] id: Minute Volume(Obser) el: 0 cu: MICU cg: CRT v1: 10 u1: L/min st: NotStopd t0: [04:00:00 20/09/2012] id: PEEP Set el: 0 cu: MICU cg: CRT v1: 5 u1: cmH2O st: NotStopd t0: [04:00:00 20/09/2012] id: Apnea Time Interval el: 0 cu: MICU cg: CRT v1: 20 st: NotStopd t0: [04:00:00 20/09/2012] id: Peak Insp. Pressure el: 0 cu: MICU cg: CRT v1: 11 u1: cmH2O st: NotStopd t0: [04:00:00 20/09/2012] id: Plateau Pressure el: 0 cu: MICU cg: CRT v1: 18 u1: cmH2O st: NotStopd t0: [04:00:00 20/09/2012] id: Plateau-Off el: 0 cu: MICU cg: CRT v1: Yes st: NotStopd t0: [04:00:00 20/09/2012] id: RSBI (<200) el: 0 cu: MICU cg: CRT u1: units st: NotStopd t0: [04:00:00 20/09/2012] id: Resp Rate (Spont) el: 0 cu: MICU cg: CRT v1: 9 u1: BPM st: NotStopd t0: [04:00:00 20/09/2012] id: Resp Rate (Total) el: 0 cu: MICU cg: CRT v1: 17 u1: BPM st: NotStopd t0: [04:00:00 20/09/2012] id: Respiratory Rate Set el: 0 cu: MICU cg: CRT v1: 8 u1: BPM st: NotStopd t0: [04:00:00 20/09/2012] id: Sensitivity-Vent el: 0 cu: MICU cg: CRT v1: 2 u1: cmH2O st: NotStopd t0: [04:00:00 20/09/2012] id: Tidal Volume (Obser) el: 0 cu: MICU cg: CRT v1: 600 u1: ml/B st: NotStopd t0: [04:00:00 20/09/2012] id: Tidal Volume (Set) el: 0 cu: MICU cg: CRT v1: 600 u1: ml/B st: NotStopd t0: [04:00:00 20/09/2012] id: Ventilator Mode el: 0 cu: MICU cg: CRT v1: CMV st: NotStopd t0: [04:00:00 20/09/2012] id: Ventilator Type el: 0 cu: MICU cg: CRT v1: Drager st: NotStopd t0: [04:00:00 20/09/2012] id: Waveform-Vent el: 0 cu: MICU cg: CRT v1: RAMP st: NotStopd
t0: [05:22:00 20/09/2012] id: Art.pH ABG el: 0 cu: MICU cg: 1663 v1: 7.48 rs: Final st: NotStopd t0: [05:22:00 20/09/2012] id: Arterial Base Excess ABG el: 0 cu: MICU cg: 1663 v1: -1 rs: Final st: NotStopd t0: [05:22:00 20/09/2012] id: Arterial CO2(Calc) ABG el: 0 cu: MICU cg: 1663 v1: 21 rs: Final st: NotStopd t0: [05:22:00 20/09/2012] id: Arterial PaCO2 ABG el: 0 cu: MICU cg: 1663 v1: 27 u1: mmHg rs: Final st: NotStopd t0: [05:22:00 20/09/2012] id: Arterial PaO2 ABG el: 0 cu: MICU cg: 1663 v1: 110 u1: mmHg rs: Final st: NotStopd t0: [05:22:00 20/09/2012] id: Arterial pH ABG el: 0 cu: MICU cg: 1663 v1: 7.48 rs: Final st: NotStopd
t0: [05:22:00 20/09/2012] id: Ionized Calcium Chemistry el: 0 cu: MICU cg: 1663 v1: 1.05 rs: Final st: NotStopd
t0: [05:00:00 20/09/2012] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [05:00:00 20/09/2012] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [05:00:00 20/09/2012] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [05:00:00 20/09/2012] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [05:00:00 20/09/2012] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [05:00:00 20/09/2012] id: Heart Rate el: 0 cu: MICU cg: RN v1: 97 u1: BPM st: NotStopd t0: [05:00:00 20/09/2012] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [05:00:00 20/09/2012] id: Arterial BP el: 0 cu: MICU cg: RN v1: 95 u1: mmHg v2: 51 u2: mmHg st: NotStopd t0: [05:00:00 20/09/2012] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 65 u1: mmHg st: NotStopd t0: [05:00:00 20/09/2012] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [05:00:00 20/09/2012] id: Previous WeightF el: 0 cu: MICU cg: RN v1: 84.2 u1: kg st: NotStopd t0: [05:00:00 20/09/2012] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 21 u1: BPM st: NotStopd t0: [05:00:00 20/09/2012] id: SpO2 el: 0 cu: MICU cg: RN v1: 100 u1: % st: NotStopd t0: [05:00:00 20/09/2012] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [05:00:00 20/09/2012] id: Neosynephrine-k el: 1 cu: MICU cg: RN so: D5W vo: 0 v1: 0.125 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [05:00:00 20/09/2012] id: Propofol el: 1 cu: MICU cg: RN so: N/A vo: 0 v1: 50 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [05:00:00 20/09/2012] id: Sandostatin el: 1 cu: MICU cg: RN so: D5W vo: 0 v1: 50 du: mcghr sv: 100 su: ml rt: IV Drip
t0: [06:00:00 20/09/2012] id: ETT Mark/Location el: 0 cu: MICU cg: CRT v1: 23cm v2: Lip st: NotStopd t0: [06:00:00 20/09/2012] id: FiO2 Set el: 0 cu: MICU cg: CRT v1: 0.4 u1: torr st: NotStopd t0: [06:00:00 20/09/2012] id: Airway Size el: 0 cu: MICU cg: CRT v1: 7.5 mm st: NotStopd t0: [06:00:00 20/09/2012] id: Airway Type el: 0 cu: MICU cg: CRT v1: Endotracheal st: NotStopd t0: [06:00:00 20/09/2012] id: Intubation Date el: 0 cu: MICU cg: CRT v1: 8 v2: 27 st: NotStopd t0: [06:00:00 20/09/2012] id: SpO2 el: 0 cu: MICU cg: CRT v1: 100 u1: % st: NotStopd t0: [06:00:00 20/09/2012] id: Tidal Volume (Set) el: 0 cu: MICU cg: CRT v1: 500 u1: ml/B st: NotStopd t0: [06:00:00 20/09/2012] id: Ventilator Type el: 0 cu: MICU cg: CRT v1: Drager st: NotStopd
t0: [05:30:00 20/09/2012] id: WBC (4-11,000) Hematology el: 0 cu: MICU cg: 1663 v1: 13.3 rs: Final st: NotStopd t0: [05:30:00 20/09/2012] id: WBC Hematology el: 0 cu: MICU cg: 1663 v1: 13.3 rs: Final st: NotStopd t0: [05:30:00 20/09/2012] id: Hematocrit Hematology el: 0 cu: MICU cg: 1663 v1: 28.1 u1: % rs: Final st: NotStopd t0: [05:30:00 20/09/2012] id: Hemoglobin Hematology el: 0 cu: MICU cg: 1663 v1: 9.7 u1: gm/dl rs: Final st: NotStopd t0: [05:30:00 20/09/2012] id: Platelets Hematology el: 0 cu: MICU cg: 1663 v1: 110 rs: Final st: NotStopd t0: [05:30:00 20/09/2012] id: RBC Hematology el: 0 cu: MICU cg: 1663 v1: 3.07 u1: /mic l rs: Final st: NotStopd t0: [05:30:00 20/09/2012] id: WBC (4-11,000) Hematology el: 0 cu: MICU cg: 1663 v1: 13.3 rs: Final st: NotStopd
t0: [05:30:00 20/09/2012] id: PT el: 0 cu: MICU cg: 1663 v1: 15.5 rs: Final st: NotStopd t0: [05:30:00 20/09/2012] id: INR Coags el: 0 cu: MICU cg: 1663 v1: 1.6 rs: Final st: NotStopd t0: [05:30:00 20/09/2012] id: INR (2-4 ref. range) Coags el: 0 cu: MICU cg: 1663 v1: 1.6 rs: Final st: NotStopd t0: [05:30:00 20/09/2012] id: PT(11-13.5) Coags el: 0 cu: MICU cg: 1663 v1: 15.5 rs: Final st: NotStopd
t0: [05:30:00 20/09/2012] id: PTT Coags el: 0 cu: MICU cg: 1663 v1: 33.5 rs: Final st: NotStopd t0: [05:30:00 20/09/2012] id: PTT(22-35) Coags el: 0 cu: MICU cg: 1663 v1: 33.5 rs: Final st: NotStopd
t0: [06:00:00 20/09/2012] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [06:00:00 20/09/2012] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [06:00:00 20/09/2012] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [06:00:00 20/09/2012] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [06:00:00 20/09/2012] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [06:00:00 20/09/2012] id: Heart Rate el: 0 cu: MICU cg: RN v1: 100 u1: BPM st: NotStopd t0: [06:00:00 20/09/2012] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [06:00:00 20/09/2012] id: Arterial BP el: 0 cu: MICU cg: RN v1: 103 u1: mmHg v2: 54 u2: mmHg st: NotStopd t0: [06:00:00 20/09/2012] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 69 u1: mmHg st: NotStopd t0: [06:00:00 20/09/2012] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [06:00:00 20/09/2012] id: Previous WeightF el: 0 cu: MICU cg: RN v1: 84.2 u1: kg st: NotStopd t0: [06:00:00 20/09/2012] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 18 u1: BPM st: NotStopd t0: [06:00:00 20/09/2012] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [06:00:00 20/09/2012] id: Neosynephrine-k el: 1 cu: MICU cg: RN so: D5W vo: 0 v1: 0.125 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [06:00:00 20/09/2012] id: Propofol el: 1 cu: MICU cg: RN so: N/A vo: 0 v1: 50 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [06:00:00 20/09/2012] id: Sandostatin el: 1 cu: MICU cg: RN so: D5W vo: 0 v1: 50 du: mcghr sv: 100 su: ml rt: IV Drip
t0: [05:30:00 20/09/2012] id: BUN el: 0 cu: MICU cg: 1663 v1: 12 rs: Final st: NotStopd t0: [05:30:00 20/09/2012] id: Calcium Chemistry el: 0 cu: MICU cg: 1663 v1: 8.2 u1: mg/dl rs: Final st: NotStopd t0: [05:30:00 20/09/2012] id: Chloride Chemistry el: 0 cu: MICU cg: 1663 v1: 100 rs: Final st: NotStopd t0: [05:30:00 20/09/2012] id: Creatinine Chemistry el: 0 cu: MICU cg: 1663 v1: 0.9 rs: Final st: NotStopd t0: [05:30:00 20/09/2012] id: Glucose Chemistry el: 0 cu: MICU cg: 1663 v1: 112 rs: Final st: NotStopd t0: [05:30:00 20/09/2012] id: Magnesium Chemistry el: 0 cu: MICU cg: 1663 v1: 2.2 rs: Final st: NotStopd t0: [05:30:00 20/09/2012] id: Phosphorous Chemistry el: 0 cu: MICU cg: 1663 v1: 2.6 u1: mEq/L rs: Final st: NotStopd t0: [05:30:00 20/09/2012] id: Potassium Chemistry el: 0 cu: MICU cg: 1663 v1: 3.8 rs: Final st: NotStopd t0: [05:30:00 20/09/2012] id: Sodium Chemistry el: 0 cu: MICU cg: 1663 v1: 130 rs: Final st: NotStopd t0: [05:30:00 20/09/2012] id: Total Bili Chemistry el: 0 cu: MICU cg: 1663 v1: 16 rs: Final st: NotStopd t0: [05:30:00 20/09/2012] id: ALT Enzymes el: 0 cu: MICU cg: 1663 v1: 66 rs: Final st: NotStopd t0: [05:30:00 20/09/2012] id: AST Enzymes el: 0 cu: MICU cg: 1663 v1: 69 rs: Final st: NotStopd t0: [05:30:00 20/09/2012] id: Alk. Phosphate Enzymes el: 0 cu: MICU cg: 1663 v1: 152 rs: Final st: NotStopd t0: [05:30:00 20/09/2012] id: BUN (6-20) Chemistry el: 0 cu: MICU cg: 1663 v1: 12 rs: Final st: NotStopd t0: [05:30:00 20/09/2012] id: Calcium (8.4-10.2) Chemistry el: 0 cu: MICU cg: 1663 v1: 8.2 u1: mg/dl rs: Final st: NotStopd t0: [05:30:00 20/09/2012] id: Carbon Dioxide Chemistry el: 0 cu: MICU cg: 1663 v1: 19 rs: Final st: NotStopd t0: [05:30:00 20/09/2012] id: Chloride (100-112) Chemistry el: 0 cu: MICU cg: 1663 v1: 100 rs: Final st: NotStopd t0: [05:30:00 20/09/2012] id: Creatinine (0-1.3) Chemistry el: 0 cu: MICU cg: 1663 v1: 0.9 rs: Final st: NotStopd t0: [05:30:00 20/09/2012] id: Glucose (70-105) Chemistry el: 0 cu: MICU cg: 1663 v1: 112 rs: Final st: NotStopd t0: [05:30:00 20/09/2012] id: Magnesium (1.6-2.6) Chemistry el: 0 cu: MICU cg: 1663 v1: 2.2 rs: Final st: NotStopd t0: [05:30:00 20/09/2012] id: Phosphorous(2.7-4.5) Chemistry el: 0 cu: MICU cg: 1663 v1: 2.6 u1: mEq/L rs: Final st: NotStopd t0: [05:30:00 20/09/2012] id: Potassium (3.5-5.3) Chemistry el: 0 cu: MICU cg: 1663 v1: 3.8 rs: Final st: NotStopd t0: [05:30:00 20/09/2012] id: Sodium (135-148) Chemistry el: 0 cu: MICU cg: 1663 v1: 130 rs: Final st: NotStopd t0: [05:30:00 20/09/2012] id: Total Bili (0-1.5) Chemistry el: 0 cu: MICU cg: 1663 v1: 16 rs: Final st: NotStopd
tf: [06:00:00 21/09/2012] pt: IV Piggyback rt: IV fr: ONCE fs: 8 dn: 1 m1: Potassium Phosphate v1: 15 u1: mmol m2: NS v2: 250 u2: ml tf: [06:00:00 21/09/2012] pt: Unit Dose rt: IV fr: ONCE fs: 7 dn: 1 m1: Calcium Gluconate v1: 2 u1: gm
t0: [07:25:00 20/09/2012] id: Art.pH ABG el: 0 cu: MICU cg: 1663 v1: 7.48 rs: Final st: NotStopd t0: [07:25:00 20/09/2012] id: Arterial Base Excess ABG el: 0 cu: MICU cg: 1663 v1: 0 rs: Final st: NotStopd t0: [07:25:00 20/09/2012] id: Arterial CO2(Calc) ABG el: 0 cu: MICU cg: 1663 v1: 21 rs: Final st: NotStopd t0: [07:25:00 20/09/2012] id: Arterial PaCO2 ABG el: 0 cu: MICU cg: 1663 v1: 28 u1: mmHg rs: Final st: NotStopd t0: [07:25:00 20/09/2012] id: Arterial PaO2 ABG el: 0 cu: MICU cg: 1663 v1: 311 u1: mmHg rs: Final st: NotStopd t0: [07:25:00 20/09/2012] id: Arterial pH ABG el: 0 cu: MICU cg: 1663 v1: 7.48 rs: Final st: NotStopd
t0: [10:45:00 20/09/2012] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [10:45:00 20/09/2012] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [10:45:00 20/09/2012] id: Riker-SAS Scale el: 0 cu: MICU cg: RN v1: Sedated st: NotStopd t0: [10:45:00 20/09/2012] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [10:45:00 20/09/2012] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [10:45:00 20/09/2012] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [10:45:00 20/09/2012] id: Heart Rate el: 0 cu: MICU cg: RN v1: 108 u1: BPM st: NotStopd t0: [10:45:00 20/09/2012] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Sinus Tachy st: NotStopd t0: [10:45:00 20/09/2012] id: Arterial BP el: 0 cu: MICU cg: RN v1: 110 u1: mmHg v2: 49 u2: mmHg st: NotStopd t0: [10:45:00 20/09/2012] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 69 u1: mmHg st: NotStopd t0: [10:45:00 20/09/2012] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [10:45:00 20/09/2012] id: Previous WeightF el: 0 cu: MICU cg: RN v1: 84.2 u1: kg st: NotStopd t0: [10:45:00 20/09/2012] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 22 u1: BPM st: NotStopd t0: [10:45:00 20/09/2012] id: SpO2 el: 0 cu: MICU cg: RN v1: 100 u1: % st: NotStopd t0: [10:45:00 20/09/2012] id: Temp. Site el: 0 cu: MICU cg: RN v1: Oral st: NotStopd t0: [10:45:00 20/09/2012] id: Temperature C (calc) el: 0 cu: MICU cg: RN v1: 37.8889 u1: Deg. C st: NotStopd t0: [10:45:00 20/09/2012] id: Temperature F el: 0 cu: MICU cg: RN v1: 100.2 u1: Deg. F st: NotStopd t0: [10:45:00 20/09/2012] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [10:50:00 20/09/2012] id: Compliance (40-60ml) el: 0 cu: MICU cg: RRT v1: 83.3333 u1: ml/cmH st: NotStopd t0: [10:50:00 20/09/2012] id: ETT Mark/Location el: 0 cu: MICU cg: RRT v1: 23cm v2: Lip st: NotStopd t0: [10:50:00 20/09/2012] id: FiO2 Set el: 0 cu: MICU cg: RRT v1: 0.4 u1: torr st: NotStopd t0: [10:50:00 20/09/2012] id: High Insp. Pressure el: 0 cu: MICU cg: RRT v1: 35 u1: cmH2O st: NotStopd t0: [10:50:00 20/09/2012] id: High Resp. Rate el: 0 cu: MICU cg: RRT v1: 30 u1: BPM st: NotStopd t0: [10:50:00 20/09/2012] id: Airway Size el: 0 cu: MICU cg: RRT v1: 7.5 mm st: NotStopd t0: [10:50:00 20/09/2012] id: Airway Type el: 0 cu: MICU cg: RRT v1: Endotracheal st: NotStopd t0: [10:50:00 20/09/2012] id: Inspired Gas Temp el: 0 cu: MICU cg: RRT u1: Deg. C st: NotStopd t0: [10:50:00 20/09/2012] id: Intubation Date el: 0 cu: MICU cg: RRT v1: 8 v2: 27 st: NotStopd t0: [10:50:00 20/09/2012] id: Low Exhaled Min Vol el: 0 cu: MICU cg: RRT v1: 5 st: NotStopd t0: [10:50:00 20/09/2012] id: Mean Airway Pressure el: 0 cu: MICU cg: RRT v1: 9 u1: cmH2O st: NotStopd t0: [10:50:00 20/09/2012] id: Minute Volume(Obser) el: 0 cu: MICU cg: RRT v1: 12.5 u1: L/min st: NotStopd t0: [10:50:00 20/09/2012] id: PEEP Set el: 0 cu: MICU cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [10:50:00 20/09/2012] id: Apnea Time Interval el: 0 cu: MICU cg: RRT v1: 20 st: NotStopd t0: [10:50:00 20/09/2012] id: Peak Insp. Pressure el: 0 cu: MICU cg: RRT v1: 11 u1: cmH2O st: NotStopd t0: [10:50:00 20/09/2012] id: Plateau-Off el: 0 cu: MICU cg: RRT v1: Yes st: NotStopd t0: [10:50:00 20/09/2012] id: Resp Rate (Spont) el: 0 cu: MICU cg: RRT v1: 14 u1: BPM st: NotStopd t0: [10:50:00 20/09/2012] id: Resp Rate (Total) el: 0 cu: MICU cg: RRT v1: 22 u1: BPM st: NotStopd t0: [10:50:00 20/09/2012] id: Respiratory Rate Set el: 0 cu: MICU cg: RRT v1: 8 u1: BPM st: NotStopd t0: [10:50:00 20/09/2012] id: Sensitivity-Vent el: 0 cu: MICU cg: RRT v1: 3 u1: cmH2O st: NotStopd t0: [10:50:00 20/09/2012] id: SpO2 el: 0 cu: MICU cg: RRT v1: 100 u1: % st: NotStopd t0: [10:50:00 20/09/2012] id: Sputum Color/Consist el: 0 cu: MICU cg: RRT v1: Blood Tinged st: NotStopd t0: [10:50:00 20/09/2012] id: Tidal Volume (Obser) el: 0 cu: MICU cg: RRT v1: 524 u1: ml/B st: NotStopd t0: [10:50:00 20/09/2012] id: Tidal Volume (Set) el: 0 cu: MICU cg: RRT v1: 500 u1: ml/B st: NotStopd t0: [10:50:00 20/09/2012] id: Ventilator Mode el: 0 cu: MICU cg: RRT v1: Assist Control st: NotStopd t0: [10:50:00 20/09/2012] id: Ventilator Type el: 0 cu: MICU cg: RRT v1: Drager st: NotStopd t0: [10:50:00 20/09/2012] id: Waveform-Vent el: 0 cu: MICU cg: RRT v1: RAMP st: NotStopd
t0: [10:45:00 20/09/2012] id: Neosynephrine-k el: 1 cu: MICU cg: RN so: D5W vo: 0 v1: 0.125 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [10:45:00 20/09/2012] id: Propofol el: 1 cu: MICU cg: RN so: N/A vo: 0 v1: 50 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [10:45:00 20/09/2012] id: Sandostatin el: 1 cu: MICU cg: RN so: D5W vo: 0 v1: 50 du: mcghr sv: 100 su: ml rt: IV Drip
id: Potassium Phosphate el: 100 cu: MICU cg: RN io: .9% Normal Saline 250.0ml IV Infusions am: 15 du: mEq rt: Intravenous Push
io: .9% Normal Saline 250.0ml IV Infusions el: 1 cu: MICU cg: RN ra: 42 ru: ml/hr
id: .9% Normal Saline el: 1 cu: MICU cg: RN io: .9% Normal Saline 250.0ml IV Infusions vo: 250 du: ml rt: Intravenous Infusion
t0: [10:00:00 20/09/2012] id: Less Restrict Meas. el: 0 cu: MICU cg: RN v1: Medicated st: NotStopd t0: [10:00:00 20/09/2012] id: Pain Present el: 0 cu: MICU cg: RN v1: No st: NotStopd t0: [10:00:00 20/09/2012] id: Range of Motion el: 0 cu: MICU cg: RN v1: Not Done st: NotStopd t0: [10:00:00 20/09/2012] id: Circulation/SkinInt el: 0 cu: MICU cg: RN v1: Circulation Adeq st: NotStopd t0: [10:00:00 20/09/2012] id: Riker-SAS Scale el: 0 cu: MICU cg: RN v1: Sedated st: NotStopd t0: [10:00:00 20/09/2012] id: Cough Reflex el: 0 cu: MICU cg: RN v1: Intact st: NotStopd t0: [10:00:00 20/09/2012] id: Daily Wake Up el: 1 cu: MICU cg: RN v1: No/Hemodyn Issue st: NotStopd t0: [10:00:00 20/09/2012] id: Diet Type el: 0 cu: MICU cg: RN v1: NPO st: NotStopd t0: [10:00:00 20/09/2012] id: Dorsal PedPulse R/L el: 0 cu: MICU cg: RN v1: Strong/Palpable v2: Strong/Palpable st: NotStopd t0: [10:00:00 20/09/2012] id: Eye Opening el: 0 cu: MICU cg: RN v1: 1 No Response st: NotStopd t0: [10:00:00 20/09/2012] id: Follows Commands el: 0 cu: MICU cg: RN v1: No st: NotStopd t0: [10:00:00 20/09/2012] id: GCS Total el: 0 cu: MICU cg: RN v1: 3 u1: points st: NotStopd t0: [10:00:00 20/09/2012] id: GI Intub #1/Site el: 0 cu: MICU cg: RN v1: Salem Sump v2: Right Nare st: NotStopd t0: [10:00:00 20/09/2012] id: GI#1 Tube PlaceCheck el: 0 cu: MICU cg: RN v1: Not Done st: NotStopd t0: [10:00:00 20/09/2012] id: GI#1 Tube Stat/Drain el: 0 cu: MICU cg: RN v1: Clamped v2: Brown st: NotStopd t0: [10:00:00 20/09/2012] id: Gag Reflex el: 0 cu: MICU cg: RN v1: Intact st: NotStopd t0: [10:00:00 20/09/2012] id: Abdominal Assessment el: 0 cu: MICU cg: RN v1: Soft st: NotStopd t0: [10:00:00 20/09/2012] id: LLL Lung Sounds el: 0 cu: MICU cg: RN v1: Diminished st: NotStopd t0: [10:00:00 20/09/2012] id: LUL Lung Sounds el: 0 cu: MICU cg: RN v1: Clear st: NotStopd t0: [10:00:00 20/09/2012] id: Level of Conscious el: 0 cu: MICU cg: RN v1: Sedated st: NotStopd t0: [10:00:00 20/09/2012] id: Motor Response el: 0 cu: MICU cg: RN v1: 1 No Response st: NotStopd t0: [10:00:00 20/09/2012] id: Oral Cavity el: 0 cu: MICU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [10:00:00 20/09/2012] id: Orientation el: 0 cu: MICU cg: RN v1: Other/Remarks st: NotStopd t0: [10:00:00 20/09/2012] id: Position Change el: 0 cu: MICU cg: RN v1: Not Done st: NotStopd t0: [10:00:00 20/09/2012] id: PostTib. Pulses R/L el: 0 cu: MICU cg: RN v1: Strong/Palpable v2: Strong/Palpable st: NotStopd t0: [10:00:00 20/09/2012] id: Pupil Size R/L el: 0 cu: MICU cg: RN v1: 3 mm v2: 3 mm st: NotStopd t0: [10:00:00 20/09/2012] id: RLL Lung Sounds el: 0 cu: MICU cg: RN v1: Diminished st: NotStopd t0: [10:00:00 20/09/2012] id: RUL Lung Sounds el: 0 cu: MICU cg: RN v1: Clear st: NotStopd t0: [10:00:00 20/09/2012] id: Reason For Restraint el: 0 cu: MICU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [10:00:00 20/09/2012] id: Removed x 5 Mins el: 0 cu: MICU cg: RN v1: Not Done st: NotStopd t0: [10:00:00 20/09/2012] id: Respiratory Pattern el: 0 cu: MICU cg: RN v1: Regular st: NotStopd t0: [10:00:00 20/09/2012] id: Restraint Location el: 0 cu: MICU cg: RN v1: Both Arms st: NotStopd t0: [10:00:00 20/09/2012] id: Restraint Type el: 0 cu: MICU cg: RN v1: Soft Limb st: NotStopd t0: [10:00:00 20/09/2012] id: Restraints Evaluated el: 0 cu: MICU cg: RN v1: RestraintReapply st: NotStopd t0: [10:00:00 20/09/2012] id: Side Rails el: 0 cu: MICU cg: RN v1: Side Rails Up st: NotStopd t0: [10:00:00 20/09/2012] id: Skin Color el: 0 cu: MICU cg: RN v1: Jaundiced st: NotStopd t0: [10:00:00 20/09/2012] id: Skin Integrity el: 0 cu: MICU cg: RN v1: Intact st: NotStopd t0: [10:00:00 20/09/2012] id: Skin Temp/Condition el: 0 cu: MICU cg: RN v1: Warm v2: Dry st: NotStopd t0: [10:00:00 20/09/2012] id: Spontaneous Movement el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [10:00:00 20/09/2012] id: Urine Color/Appear el: 0 cu: MICU cg: RN v1: Amber v2: Cloudy st: NotStopd t0: [10:00:00 20/09/2012] id: Urine Source el: 0 cu: MICU cg: RN v1: Indwelling Cath st: NotStopd t0: [10:00:00 20/09/2012] id: Verbal Response el: 0 cu: MICU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [10:00:00 20/09/2012] id: Bowel Sounds el: 0 cu: MICU cg: RN v1: Present st: NotStopd
t0: [11:00:00 20/09/2012] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [11:00:00 20/09/2012] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [11:00:00 20/09/2012] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [11:00:00 20/09/2012] id: Heart Rate el: 0 cu: MICU cg: RN v1: 106 u1: BPM st: NotStopd t0: [11:00:00 20/09/2012] id: Arterial BP el: 0 cu: MICU cg: RN v1: 85 u1: mmHg v2: 37 u2: mmHg st: NotStopd t0: [11:00:00 20/09/2012] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 54 u1: mmHg st: NotStopd t0: [11:00:00 20/09/2012] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [11:00:00 20/09/2012] id: Previous WeightF el: 0 cu: MICU cg: RN v1: 84.2 u1: kg st: NotStopd t0: [11:00:00 20/09/2012] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 18 u1: BPM st: NotStopd t0: [11:00:00 20/09/2012] id: SpO2 el: 0 cu: MICU cg: RN v1: 96 u1: % st: NotStopd t0: [11:00:00 20/09/2012] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [11:00:00 20/09/2012] id: Neosynephrine-k el: 1 cu: MICU cg: RN so: D5W vo: 0 v1: 0.142518 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [11:00:00 20/09/2012] id: Propofol el: 1 cu: MICU cg: RN so: N/A vo: 0 v1: 50 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [11:00:00 20/09/2012] id: Sandostatin el: 1 cu: MICU cg: RN so: D5W vo: 0 v1: 50 du: mcghr sv: 100 su: ml rt: IV Drip
t0: [11:00:00 20/09/2012] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 176.82 vu: ml t0: [11:00:00 20/09/2012] id: D5W 100.0ml + 600mcghr Sandostatin IV Infusions el: 1 cu: MICU cg: RN ai: 189 vo: 58.3333 vu: ml t0: [11:00:00 20/09/2012] id: D5W 250.0ml + 60mcgkgmin Neosynephrine-k IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 18.4187 vu: ml
t0: [10:45:00 20/09/2012] id: INV Line#1 Type/Site el: 0 cu: MICU cg: RN v1: Multi-lumen v2: Right Femoral st: NotStopd t0: [10:45:00 20/09/2012] id: INV Line#1InsertDate el: 0 cu: MICU cg: RN v1: 8 v2: 22 st: NotStopd t0: [10:45:00 20/09/2012] id: INV Line#2 Type/Site el: 0 cu: MICU cg: RN v1: A-Line v2: Left Radial st: NotStopd t0: [10:45:00 20/09/2012] id: INV Line#2InsertDate el: 0 cu: MICU cg: RN v1: 8 v2: 27 st: NotStopd t0: [10:45:00 20/09/2012] id: IV #1 Insert Date el: 0 cu: MICU cg: RN v1: ? st: NotStopd t0: [10:45:00 20/09/2012] id: IV #1 Site/Size el: 0 cu: MICU cg: RN v1: Left Hand v2: 18 gauge st: NotStopd
t0: [11:00:00 20/09/2012] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [11:00:00 20/09/2012] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [11:00:00 20/09/2012] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Sinus Tachy st: NotStopd t0: [11:30:00 20/09/2012] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [11:30:00 20/09/2012] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [11:30:00 20/09/2012] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [11:30:00 20/09/2012] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [11:30:00 20/09/2012] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [11:30:00 20/09/2012] id: Heart Rate el: 0 cu: MICU cg: RN v1: 100 u1: BPM st: NotStopd t0: [11:30:00 20/09/2012] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Sinus Tachy st: NotStopd t0: [11:30:00 20/09/2012] id: Arterial BP el: 0 cu: MICU cg: RN v1: 108 u1: mmHg v2: 55 u2: mmHg st: NotStopd t0: [11:30:00 20/09/2012] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 71 u1: mmHg st: NotStopd t0: [11:30:00 20/09/2012] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [11:30:00 20/09/2012] id: Previous WeightF el: 0 cu: MICU cg: RN v1: 84.2 u1: kg st: NotStopd t0: [11:30:00 20/09/2012] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 20 u1: BPM st: NotStopd t0: [11:30:00 20/09/2012] id: SpO2 el: 0 cu: MICU cg: RN v1: 99 u1: % st: NotStopd t0: [11:30:00 20/09/2012] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [11:30:00 20/09/2012] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 12.63 vu: ml t0: [11:30:00 20/09/2012] id: D5W 100.0ml + 600mcghr Sandostatin IV Infusions el: 1 cu: MICU cg: RN ai: 189 vo: 4.16667 vu: ml t0: [11:30:00 20/09/2012] id: D5W 250.0ml + 60mcgkgmin Neosynephrine-k IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 1.5 vu: ml t0: [11:30:00 20/09/2012] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 220 vu: ml
t0: [11:30:00 20/09/2012] id: Neosynephrine-k el: 1 cu: MICU cg: RN so: D5W vo: 0 v1: 0.142518 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [11:30:00 20/09/2012] id: Propofol el: 1 cu: MICU cg: RN so: N/A vo: 0 v1: 50 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [11:30:00 20/09/2012] id: Sandostatin el: 1 cu: MICU cg: RN so: D5W vo: 0 v1: 50 du: mcghr sv: 100 su: ml rt: IV Drip
t0: [12:00:00 20/09/2012] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [12:00:00 20/09/2012] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [12:00:00 20/09/2012] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [12:00:00 20/09/2012] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [12:00:00 20/09/2012] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [12:00:00 20/09/2012] id: Heart Rate el: 0 cu: MICU cg: RN v1: 98 u1: BPM st: NotStopd t0: [12:00:00 20/09/2012] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [12:00:00 20/09/2012] id: Arterial BP el: 0 cu: MICU cg: RN v1: 111 u1: mmHg v2: 57 u2: mmHg st: NotStopd t0: [12:00:00 20/09/2012] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 73 u1: mmHg st: NotStopd t0: [12:00:00 20/09/2012] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [12:00:00 20/09/2012] id: Previous WeightF el: 0 cu: MICU cg: RN v1: 84.2 u1: kg st: NotStopd t0: [12:00:00 20/09/2012] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 19 u1: BPM st: NotStopd t0: [12:00:00 20/09/2012] id: SpO2 el: 0 cu: MICU cg: RN v1: 99 u1: % st: NotStopd t0: [12:00:00 20/09/2012] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [06:00:00 20/09/2012] id: D5W 100.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 105 vo: 50 vu: ml t0: [11:00:00 20/09/2012] id: Fresh Frozen Plasma IV Infusions el: 1 cu: MICU cg: RN ai: 155 vo: 500 vu: ml t0: [12:00:00 20/09/2012] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 12.63 vu: ml t0: [12:00:00 20/09/2012] id: D5W 100.0ml + 600mcghr Sandostatin IV Infusions el: 1 cu: MICU cg: RN ai: 189 vo: 4.16667 vu: ml t0: [12:00:00 20/09/2012] id: Fresh Frozen Plasma IV Infusions el: 1 cu: MICU cg: RN ai: 155 vo: 263 vu: ml t0: [12:00:00 20/09/2012] id: D5W 250.0ml + 60mcgkgmin Neosynephrine-k IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 1.5 vu: ml t0: [12:00:00 20/09/2012] id: .9% Normal Saline 250.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 0 vu: ml nb: 1
t0: [12:00:00 20/09/2012] id: Neosynephrine-k el: 1 cu: MICU cg: RN so: D5W vo: 0 v1: 0.142518 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [12:00:00 20/09/2012] id: Propofol el: 1 cu: MICU cg: RN so: N/A vo: 0 v1: 50 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [12:00:00 20/09/2012] id: Sandostatin el: 1 cu: MICU cg: RN so: D5W vo: 0 v1: 50 du: mcghr sv: 100 su: ml rt: IV Drip
t0: [11:55:00 20/09/2012] id: Art.pH ABG el: 0 cu: MICU cg: 1663 v1: 7.43 rs: Final st: NotStopd t0: [11:55:00 20/09/2012] id: Arterial Base Excess ABG el: 0 cu: MICU cg: 1663 v1: -2 rs: Final st: NotStopd t0: [11:55:00 20/09/2012] id: Arterial CO2(Calc) ABG el: 0 cu: MICU cg: 1663 v1: 21 rs: Final st: NotStopd t0: [11:55:00 20/09/2012] id: Arterial PaCO2 ABG el: 0 cu: MICU cg: 1663 v1: 31 u1: mmHg rs: Final st: NotStopd t0: [11:55:00 20/09/2012] id: Arterial PaO2 ABG el: 0 cu: MICU cg: 1663 v1: 83 u1: mmHg rs: Final st: NotStopd t0: [11:55:00 20/09/2012] id: Arterial pH ABG el: 0 cu: MICU cg: 1663 v1: 7.43 rs: Final st: NotStopd t0: [11:55:00 20/09/2012] id: Ionized Calcium Chemistry el: 0 cu: MICU cg: 1663 v1: 1.06 rs: Final st: NotStopd
t0: [11:50:00 20/09/2012] id: Hematocrit Hematology el: 0 cu: MICU cg: 1663 v1: 27.2 u1: % rs: Final st: NotStopd
t0: [12:00:00 20/09/2012] id: D5W 100.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 105 vo: 200 vu: ml
t0: [13:00:00 20/09/2012] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [13:00:00 20/09/2012] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [13:00:00 20/09/2012] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [13:00:00 20/09/2012] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [13:00:00 20/09/2012] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [13:00:00 20/09/2012] id: Heart Rate el: 0 cu: MICU cg: RN v1: 98 u1: BPM st: NotStopd t0: [13:00:00 20/09/2012] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [13:00:00 20/09/2012] id: Arterial BP el: 0 cu: MICU cg: RN v1: 114 u1: mmHg v2: 59 u2: mmHg st: NotStopd t0: [13:00:00 20/09/2012] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 76 u1: mmHg st: NotStopd t0: [13:00:00 20/09/2012] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [13:00:00 20/09/2012] id: Previous WeightF el: 0 cu: MICU cg: RN v1: 84.2 u1: kg st: NotStopd t0: [13:00:00 20/09/2012] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 18 u1: BPM st: NotStopd t0: [13:00:00 20/09/2012] id: SpO2 el: 0 cu: MICU cg: RN v1: 99 u1: % st: NotStopd t0: [13:00:00 20/09/2012] id: Temp. Site el: 0 cu: MICU cg: RN v1: Oral st: NotStopd t0: [13:00:00 20/09/2012] id: Temperature C (calc) el: 0 cu: MICU cg: RN v1: 37.6111 u1: Deg. C st: NotStopd t0: [13:00:00 20/09/2012] id: Temperature F el: 0 cu: MICU cg: RN v1: 99.7 u1: Deg. F st: NotStopd t0: [13:00:00 20/09/2012] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [13:00:00 20/09/2012] id: D5W 100.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 105 vo: 150 vu: ml t0: [13:00:00 20/09/2012] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 25.26 vu: ml t0: [13:00:00 20/09/2012] id: D5W 100.0ml + 600mcghr Sandostatin IV Infusions el: 1 cu: MICU cg: RN ai: 189 vo: 8.33333 vu: ml t0: [13:00:00 20/09/2012] id: Fresh Frozen Plasma IV Infusions el: 1 cu: MICU cg: RN ai: 155 vo: 273 vu: ml t0: [13:00:00 20/09/2012] id: D5W 250.0ml + 60mcgkgmin Neosynephrine-k IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 3 vu: ml t0: [13:00:00 20/09/2012] tf: [18:00:00 20/09/2012] dt: 300 id: .9% Normal Saline 250.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 42 vu: ml t0: [13:00:00 20/09/2012] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 220 vu: ml
t0: [13:00:00 20/09/2012] id: Propofol el: 1 cu: MICU cg: RN so: N/A vo: 0 v1: 50 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [13:00:00 20/09/2012] id: Sandostatin el: 1 cu: MICU cg: RN so: D5W vo: 0 v1: 50 du: mcghr sv: 100 su: ml rt: IV Drip
tf: [12:00:00 21/09/2012] pt: Unit Dose rt: IV fr: ONCE fs: 13 dn: 1 m1: Calcium Gluconate v1: 2 u1: gm
t0: [13:00:00 20/09/2012] id: Neosynephrine-k el: 1 cu: MICU cg: RN so: D5W vo: 0 v1: 0.0950119 du: mcgkgmin sv: 250 su: ml rt: IV Drip
t0: [12:00:00 20/09/2012] id: HOB el: 0 cu: MICU cg: RN v1: 15 degrees st: NotStopd t0: [12:00:00 20/09/2012] id: Activity el: 0 cu: MICU cg: RN v1: Bedrest st: NotStopd t0: [12:00:00 20/09/2012] id: Activity Tolerance el: 0 cu: MICU cg: RN v1: Tolerated Well st: NotStopd t0: [12:00:00 20/09/2012] id: Assistance Device el: 0 cu: MICU cg: RN v1: 2 Person Assist st: NotStopd t0: [12:00:00 20/09/2012] id: Turn el: 0 cu: MICU cg: RN v1: Back st: NotStopd t0: [13:00:00 20/09/2012] id: INV Line#1 Type/Site el: 0 cu: MICU cg: RN v1: Multi-lumen v2: Right Femoral st: NotStopd t0: [13:00:00 20/09/2012] id: INV Line#1InsertDate el: 0 cu: MICU cg: RN v1: 8 v2: 22 st: NotStopd t0: [13:00:00 20/09/2012] id: INV Line#1SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [13:00:00 20/09/2012] id: INV Line#2 Type/Site el: 0 cu: MICU cg: RN v1: A-Line v2: Left Radial st: NotStopd t0: [13:00:00 20/09/2012] id: INV Line#2 Zero/Cal el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [13:00:00 20/09/2012] id: INV Line#2InsertDate el: 0 cu: MICU cg: RN v1: 8 v2: 27 st: NotStopd t0: [13:00:00 20/09/2012] id: INV Line#2SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [13:00:00 20/09/2012] id: INV Line#3 Type/Site el: 0 cu: MICU cg: RN v1: Multi-lumen v2: Right IJ st: NotStopd t0: [13:00:00 20/09/2012] id: INV Line#3InsertDate el: 0 cu: MICU cg: RN v1: 8 v2: 28 st: NotStopd t0: [13:00:00 20/09/2012] id: INV Line#3SiteAppear el: 0 cu: MICU cg: RN v1: Bleeding st: NotStopd t0: [13:00:00 20/09/2012] id: INV#2 WaveformAppear el: 0 cu: MICU cg: RN v1: Sharp st: NotStopd t0: [13:00:00 20/09/2012] id: IV #1 Insert Date el: 0 cu: MICU cg: RN v1: ? st: NotStopd t0: [13:00:00 20/09/2012] id: IV #1 Site/Size el: 0 cu: MICU cg: RN v1: Left Hand v2: 18 gauge st: NotStopd t0: [13:00:00 20/09/2012] id: IV #2 Insert Date el: 0 cu: MICU cg: RN v1: 8 v2: 28 st: NotStopd t0: [13:00:00 20/09/2012] id: IV #2 Site/Size el: 0 cu: MICU cg: RN v1: Left Antecub v2: 16 gauge st: NotStopd t0: [13:00:00 20/09/2012] id: IV #3 Insert Date el: 0 cu: MICU cg: RN v1: 8 v2: 28 st: NotStopd t0: [13:00:00 20/09/2012] id: IV #3 Site/Size el: 0 cu: MICU cg: RN v1: Right Antecub v2: 18 gauge st: NotStopd t0: [13:00:00 20/09/2012] id: IV Site Appear #1 el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [13:00:00 20/09/2012] id: IV Site Appear #2 el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [13:00:00 20/09/2012] id: IV Site Appear #3 el: 0 cu: MICU cg: RN v1: WNL st: NotStopd
t0: [14:00:00 20/09/2012] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [14:00:00 20/09/2012] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [14:00:00 20/09/2012] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [14:00:00 20/09/2012] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [14:00:00 20/09/2012] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [14:00:00 20/09/2012] id: Heart Rate el: 0 cu: MICU cg: RN v1: 97 u1: BPM st: NotStopd t0: [14:00:00 20/09/2012] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [14:00:00 20/09/2012] id: Arterial BP el: 0 cu: MICU cg: RN v1: 113 u1: mmHg v2: 58 u2: mmHg st: NotStopd t0: [14:00:00 20/09/2012] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 75 u1: mmHg st: NotStopd t0: [14:00:00 20/09/2012] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [14:00:00 20/09/2012] id: Previous WeightF el: 0 cu: MICU cg: RN v1: 84.2 u1: kg st: NotStopd t0: [14:00:00 20/09/2012] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 18 u1: BPM st: NotStopd t0: [14:00:00 20/09/2012] id: SpO2 el: 0 cu: MICU cg: RN v1: 100 u1: % st: NotStopd t0: [14:00:00 20/09/2012] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [14:00:00 20/09/2012] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 25.26 vu: ml t0: [14:00:00 20/09/2012] id: D5W 100.0ml + 600mcghr Sandostatin IV Infusions el: 1 cu: MICU cg: RN ai: 189 vo: 8.33333 vu: ml t0: [14:00:00 20/09/2012] id: D5W 250.0ml + 60mcgkgmin Neosynephrine-k IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 2 vu: ml t0: [14:00:00 20/09/2012] id: .9% Normal Saline 250.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 42 vu: ml t0: [14:00:00 20/09/2012] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 175 vu: ml
t0: [14:00:00 20/09/2012] id: Neosynephrine-k el: 1 cu: MICU cg: RN so: D5W vo: 0 v1: 0.0475059 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [14:00:00 20/09/2012] id: Propofol el: 1 cu: MICU cg: RN so: N/A vo: 0 v1: 50 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [14:00:00 20/09/2012] id: Sandostatin el: 1 cu: MICU cg: RN so: D5W vo: 0 v1: 50 du: mcghr sv: 100 su: ml rt: IV Drip
t0: [14:17:00 20/09/2012] id: Blood Products Hematology el: 0 cu: MICU cg: 1663 v1: Y rs: Final st: NotStopd
t0: [15:00:00 20/09/2012] id: Less Restrict Meas. el: 0 cu: MICU cg: RN v1: Medicated st: NotStopd t0: [15:00:00 20/09/2012] id: Range of Motion el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [15:00:00 20/09/2012] id: bath el: 1 cu: MICU cg: RN v1: done t0: [15:00:00 20/09/2012] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [15:00:00 20/09/2012] id: Circulation/SkinInt el: 0 cu: MICU cg: RN v1: Circulation Adeq st: NotStopd t0: [15:00:00 20/09/2012] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [15:00:00 20/09/2012] id: Cough Reflex el: 0 cu: MICU cg: RN v1: Intact st: NotStopd t0: [15:00:00 20/09/2012] id: GI Prophylaxis el: 0 cu: MICU cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [15:00:00 20/09/2012] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [15:00:00 20/09/2012] id: Diet Type el: 0 cu: MICU cg: RN v1: NPO st: NotStopd t0: [15:00:00 20/09/2012] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [15:00:00 20/09/2012] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [15:00:00 20/09/2012] id: Eye Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [15:00:00 20/09/2012] id: Eye Opening el: 0 cu: MICU cg: RN v1: 2 To pain st: NotStopd t0: [15:00:00 20/09/2012] id: Family Communication el: 0 cu: MICU cg: RN v1: Family Called st: NotStopd t0: [15:00:00 20/09/2012] id: GCS Total el: 0 cu: MICU cg: RN v1: 7 u1: points st: NotStopd t0: [15:00:00 20/09/2012] id: GI Intub #1/Site el: 0 cu: MICU cg: RN v1: Salem Sump v2: Right Nare st: NotStopd t0: [15:00:00 20/09/2012] id: GI#1 Tube PlaceCheck el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [15:00:00 20/09/2012] id: GI#1 Tube Stat/Drain el: 0 cu: MICU cg: RN v1: Clamped v2: Dark Red Blood st: NotStopd t0: [15:00:00 20/09/2012] id: Gag Reflex el: 0 cu: MICU cg: RN v1: Intact st: NotStopd t0: [15:00:00 20/09/2012] id: HOB el: 0 cu: MICU cg: RN v1: 30 degrees st: NotStopd t0: [15:00:00 20/09/2012] id: Heart Rate el: 0 cu: MICU cg: RN v1: 98 u1: BPM st: NotStopd t0: [15:00:00 20/09/2012] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [15:00:00 20/09/2012] id: INV Line#2 Type/Site el: 0 cu: MICU cg: RN v1: A-Line v2: Left Radial st: NotStopd t0: [15:00:00 20/09/2012] id: INV Line#2 Zero/Cal el: 0 cu: MICU cg: RN v1: No st: NotStopd t0: [15:00:00 20/09/2012] id: INV Line#2InsertDate el: 0 cu: MICU cg: RN v1: 8 v2: 27 st: NotStopd t0: [15:00:00 20/09/2012] id: INV Line#2SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [15:00:00 20/09/2012] id: INV Line#3 Type/Site el: 0 cu: MICU cg: RN v1: Multi-lumen v2: Right IJ st: NotStopd t0: [15:00:00 20/09/2012] id: INV Line#3InsertDate el: 0 cu: MICU cg: RN v1: 8 v2: 28 st: NotStopd t0: [15:00:00 20/09/2012] id: INV Line#3SiteAppear el: 0 cu: MICU cg: RN v1: Bleeding st: NotStopd t0: [15:00:00 20/09/2012] id: Abdominal Assessment el: 0 cu: MICU cg: RN v1: Soft Distended st: NotStopd t0: [15:00:00 20/09/2012] id: INV#2 WaveformAppear el: 0 cu: MICU cg: RN v1: Sharp st: NotStopd t0: [15:00:00 20/09/2012] id: IV #1 Insert Date el: 0 cu: MICU cg: RN v1: ? st: NotStopd t0: [15:00:00 20/09/2012] id: IV #1 Site/Size el: 0 cu: MICU cg: RN v1: Left Hand v2: 18 gauge st: NotStopd t0: [15:00:00 20/09/2012] id: IV #2 Insert Date el: 0 cu: MICU cg: RN v1: 8 v2: 28 st: NotStopd t0: [15:00:00 20/09/2012] id: IV #2 Site/Size el: 0 cu: MICU cg: RN v1: Left Antecub v2: 16 gauge st: NotStopd t0: [15:00:00 20/09/2012] id: IV #3 Insert Date el: 0 cu: MICU cg: RN v1: 8 v2: 28 st: NotStopd t0: [15:00:00 20/09/2012] id: IV #3 Site/Size el: 0 cu: MICU cg: RN v1: Right Antecub v2: 18 gauge st: NotStopd t0: [15:00:00 20/09/2012] id: Activity el: 0 cu: MICU cg: RN v1: Bedrest st: NotStopd t0: [15:00:00 20/09/2012] id: IV Site Appear #1 el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [15:00:00 20/09/2012] id: IV Site Appear #2 el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [15:00:00 20/09/2012] id: IV Site Appear #3 el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [15:00:00 20/09/2012] id: Activity Tolerance el: 0 cu: MICU cg: RN v1: Tolerated Well st: NotStopd t0: [15:00:00 20/09/2012] id: Level of Conscious el: 0 cu: MICU cg: RN v1: Sedated st: NotStopd t0: [15:00:00 20/09/2012] id: Motor Response el: 0 cu: MICU cg: RN v1: 4 Flex-withdraws st: NotStopd t0: [15:00:00 20/09/2012] id: Oral Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [15:00:00 20/09/2012] id: Oral Cavity el: 0 cu: MICU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [15:00:00 20/09/2012] id: Orientation el: 0 cu: MICU cg: RN v1: Other/Remarks st: NotStopd t0: [15:00:00 20/09/2012] id: AntiEmbDevice/Status el: 0 cu: MICU cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [15:00:00 20/09/2012] id: Arterial BP el: 0 cu: MICU cg: RN v1: 112 u1: mmHg v2: 60 u2: mmHg st: NotStopd t0: [15:00:00 20/09/2012] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 76 u1: mmHg st: NotStopd t0: [15:00:00 20/09/2012] id: Position el: 0 cu: MICU cg: RN v1: Left Side st: NotStopd t0: [15:00:00 20/09/2012] id: Position Change el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [15:00:00 20/09/2012] id: Assistance Device el: 0 cu: MICU cg: RN v1: 2 Person Assist st: NotStopd t0: [15:00:00 20/09/2012] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [15:00:00 20/09/2012] id: Previous WeightF el: 0 cu: MICU cg: RN v1: 84.2 u1: kg st: NotStopd t0: [15:00:00 20/09/2012] id: Reason For Restraint el: 0 cu: MICU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [15:00:00 20/09/2012] id: Removed x 5 Mins el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [15:00:00 20/09/2012] id: Respiratory Pattern el: 0 cu: MICU cg: RN v1: Regular st: NotStopd t0: [15:00:00 20/09/2012] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 19 u1: BPM st: NotStopd t0: [15:00:00 20/09/2012] id: Restraint Location el: 0 cu: MICU cg: RN v1: Both Arms st: NotStopd t0: [15:00:00 20/09/2012] id: Restraint Type el: 0 cu: MICU cg: RN v1: Soft Limb st: NotStopd t0: [15:00:00 20/09/2012] id: Restraints Evaluated el: 0 cu: MICU cg: RN v1: RestraintReapply st: NotStopd t0: [15:00:00 20/09/2012] id: Side Rails el: 0 cu: MICU cg: RN v1: Side Rails Up st: NotStopd t0: [15:00:00 20/09/2012] id: Skin Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [15:00:00 20/09/2012] id: Skin Color el: 0 cu: MICU cg: RN v1: Jaundiced st: NotStopd t0: [15:00:00 20/09/2012] id: Skin Integrity el: 0 cu: MICU cg: RN v1: Intact st: NotStopd t0: [15:00:00 20/09/2012] id: Skin Temp/Condition el: 0 cu: MICU cg: RN v1: Warm v2: Dry st: NotStopd t0: [15:00:00 20/09/2012] id: SpO2 el: 0 cu: MICU cg: RN v1: 99 u1: % st: NotStopd t0: [15:00:00 20/09/2012] id: Support Systems el: 0 cu: MICU cg: RN v1: Spouse st: NotStopd t0: [15:00:00 20/09/2012] id: Turn el: 0 cu: MICU cg: RN v1: Left Side st: NotStopd t0: [15:00:00 20/09/2012] id: Urine Color/Appear el: 0 cu: MICU cg: RN v1: Amber v2: Clear st: NotStopd t0: [15:00:00 20/09/2012] id: Urine Source el: 0 cu: MICU cg: RN v1: Indwelling Cath st: NotStopd t0: [15:00:00 20/09/2012] id: Verbal Response el: 0 cu: MICU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [15:00:00 20/09/2012] id: Back Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [15:00:00 20/09/2012] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [15:00:00 20/09/2012] id: Bowel Sounds el: 0 cu: MICU cg: RN v1: Present st: NotStopd t0: [15:00:00 20/09/2012] id: Braden Activity el: 0 cu: MICU cg: RN v1: Bedfast st: NotStopd t0: [15:00:00 20/09/2012] id: Braden Frict/Shear el: 0 cu: MICU cg: RN v1: Potential Prob st: NotStopd t0: [15:00:00 20/09/2012] id: Braden Mobility el: 0 cu: MICU cg: RN v1: Very Limited st: NotStopd t0: [15:00:00 20/09/2012] id: Braden Moisture el: 0 cu: MICU cg: RN v1: Moist st: NotStopd t0: [15:00:00 20/09/2012] id: Braden Nutrition el: 0 cu: MICU cg: RN v1: Prob. Inadequate st: NotStopd t0: [15:00:00 20/09/2012] id: Braden Score el: 0 cu: MICU cg: RN v1: 10 u1: number st: NotStopd t0: [15:00:00 20/09/2012] id: Braden SensoryPercep el: 0 cu: MICU cg: RN v1: Comp. Limited st: NotStopd
t0: [15:00:00 20/09/2012] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 25.26 vu: ml t0: [15:00:00 20/09/2012] id: D5W 100.0ml + 600mcghr Sandostatin IV Infusions el: 1 cu: MICU cg: RN ai: 189 vo: 8.33333 vu: ml t0: [15:00:00 20/09/2012] id: D5W 250.0ml + 60mcgkgmin Neosynephrine-k IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 1 vu: ml t0: [15:00:00 20/09/2012] id: .9% Normal Saline 250.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 42 vu: ml t0: [15:00:00 20/09/2012] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 75 vu: ml
t0: [15:00:00 20/09/2012] 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: [15:00:00 20/09/2012] id: Propofol el: 1 cu: MICU cg: RN so: N/A vo: 0 v1: 50 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [15:00:00 20/09/2012] id: Sandostatin el: 1 cu: MICU cg: RN so: D5W vo: 0 v1: 50 du: mcghr sv: 100 su: ml rt: IV Drip
t0: [15:00:00 20/09/2012] id: INV Line#1 Type/Site el: 0 cu: MICU cg: -1 st: D/C'd t0: [15:00:00 20/09/2012] id: INV Line#1InsertDate el: 0 cu: MICU cg: -1 st: D/C'd t0: [15:00:00 20/09/2012] id: INV Line#1SiteAppear el: 0 cu: MICU cg: -1 st: D/C'd
t0: [15:00:00 20/09/2012] id: INV Line#1 D/C Date el: 0 cu: MICU cg: RN v1: 8 v2: 28 st: NotStopd
t0: [14:10:00 20/09/2012] id: PT el: 0 cu: MICU cg: 1663 v1: 16.4 rs: Final st: NotStopd t0: [14:10:00 20/09/2012] id: INR Coags el: 0 cu: MICU cg: 1663 v1: 1.8 rs: Final st: NotStopd t0: [14:10:00 20/09/2012] id: PTT Coags el: 0 cu: MICU cg: 1663 v1: 40.1 rs: Final st: NotStopd t0: [14:10:00 20/09/2012] id: INR (2-4 ref. range) Coags el: 0 cu: MICU cg: 1663 v1: 1.8 rs: Final st: NotStopd t0: [14:10:00 20/09/2012] id: PT(11-13.5) Coags el: 0 cu: MICU cg: 1663 v1: 16.4 rs: Final st: NotStopd t0: [14:10:00 20/09/2012] id: PTT(22-35) Coags el: 0 cu: MICU cg: 1663 v1: 40.1 rs: Final st: NotStopd
t0: [15:30:00 20/09/2012] id: Compliance (40-60ml) el: 0 cu: MICU cg: RRT v1: 100 u1: ml/cmH st: NotStopd t0: [15:30:00 20/09/2012] id: ETT Mark/Location el: 0 cu: MICU cg: RRT v1: 23cm v2: Lip st: NotStopd t0: [15:30:00 20/09/2012] id: ETT Position Change el: 0 cu: MICU cg: RRT v1: Done st: NotStopd t0: [15:30:00 20/09/2012] id: FiO2 Set el: 0 cu: MICU cg: RRT v1: 0.4 u1: torr st: NotStopd t0: [15:30:00 20/09/2012] id: High Insp. Pressure el: 0 cu: MICU cg: RRT v1: 35 u1: cmH2O st: NotStopd t0: [15:30:00 20/09/2012] id: High Resp. Rate el: 0 cu: MICU cg: RRT v1: 30 u1: BPM st: NotStopd t0: [15:30:00 20/09/2012] id: Airway Size el: 0 cu: MICU cg: RRT v1: 7.5 mm st: NotStopd t0: [15:30:00 20/09/2012] id: Airway Type el: 0 cu: MICU cg: RRT v1: Endotracheal st: NotStopd t0: [15:30:00 20/09/2012] id: Inspired Gas Temp el: 0 cu: MICU cg: RRT u1: Deg. C st: NotStopd t0: [15:30:00 20/09/2012] id: Intubation Date el: 0 cu: MICU cg: RRT v1: 8 v2: 27 st: NotStopd t0: [15:30:00 20/09/2012] id: Low Exhaled Min Vol el: 0 cu: MICU cg: RRT v1: 4.5 st: NotStopd t0: [15:30:00 20/09/2012] id: Minute Volume(Obser) el: 0 cu: MICU cg: RRT v1: 9.6 u1: L/min st: NotStopd t0: [15:30:00 20/09/2012] id: PEEP Set el: 0 cu: MICU cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [15:30:00 20/09/2012] id: Apnea Time Interval el: 0 cu: MICU cg: RRT v1: 20 st: NotStopd t0: [15:30:00 20/09/2012] id: Peak Insp. Pressure el: 0 cu: MICU cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [15:30:00 20/09/2012] id: Plateau-Off el: 0 cu: MICU cg: RRT v1: Yes st: NotStopd t0: [15:30:00 20/09/2012] id: Resp Rate (Spont) el: 0 cu: MICU cg: RRT v1: 10 u1: BPM st: NotStopd t0: [15:30:00 20/09/2012] id: Resp Rate (Total) el: 0 cu: MICU cg: RRT v1: 18 u1: BPM st: NotStopd t0: [15:30:00 20/09/2012] id: Respiratory Rate Set el: 0 cu: MICU cg: RRT v1: 8 u1: BPM st: NotStopd t0: [15:30:00 20/09/2012] id: Sensitivity-Vent el: 0 cu: MICU cg: RRT v1: 3 u1: cmH2O st: NotStopd t0: [15:30:00 20/09/2012] id: SpO2 el: 0 cu: MICU cg: RRT v1: 100 u1: % st: NotStopd t0: [15:30:00 20/09/2012] id: Sputum Color/Consist el: 0 cu: MICU cg: RRT v1: Rusty v2: Thick st: NotStopd t0: [15:30:00 20/09/2012] id: Sputum Source/Amt el: 0 cu: MICU cg: RRT v1: Suctioned v2: Moderate st: NotStopd t0: [15:30:00 20/09/2012] id: Tidal Volume (Obser) el: 0 cu: MICU cg: RRT v1: 536 u1: ml/B st: NotStopd t0: [15:30:00 20/09/2012] id: Tidal Volume (Set) el: 0 cu: MICU cg: RRT v1: 500 u1: ml/B st: NotStopd t0: [15:30:00 20/09/2012] id: Ventilator Mode el: 0 cu: MICU cg: RRT v1: Assist Control st: NotStopd t0: [15:30:00 20/09/2012] id: Ventilator Type el: 0 cu: MICU cg: RRT v1: Drager st: NotStopd t0: [15:30:00 20/09/2012] id: Waveform-Vent el: 0 cu: MICU cg: RRT v1: RAMP st: NotStopd
t0: [16:00:00 20/09/2012] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [16:00:00 20/09/2012] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [16:00:00 20/09/2012] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [16:00:00 20/09/2012] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [16:00:00 20/09/2012] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [16:00:00 20/09/2012] id: Heart Rate el: 0 cu: MICU cg: RN v1: 96 u1: BPM st: NotStopd t0: [16:00:00 20/09/2012] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [16:00:00 20/09/2012] id: Arterial BP el: 0 cu: MICU cg: RN v1: 107 u1: mmHg v2: 56 u2: mmHg st: NotStopd t0: [16:00:00 20/09/2012] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 72 u1: mmHg st: NotStopd t0: [16:00:00 20/09/2012] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [16:00:00 20/09/2012] id: Previous WeightF el: 0 cu: MICU cg: RN v1: 84.2 u1: kg st: NotStopd t0: [16:00:00 20/09/2012] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 18 u1: BPM st: NotStopd t0: [16:00:00 20/09/2012] id: SpO2 el: 0 cu: MICU cg: RN v1: 100 u1: % st: NotStopd t0: [16:00:00 20/09/2012] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [16:00:00 20/09/2012] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 25.26 vu: ml t0: [16:00:00 20/09/2012] id: D5W 100.0ml + 600mcghr Sandostatin IV Infusions el: 1 cu: MICU cg: RN ai: 189 vo: 8.33333 vu: ml t0: [16:00:00 20/09/2012] id: D5W 250.0ml + 60mcgkgmin Neosynephrine-k IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 0 vu: ml t0: [16:00:00 20/09/2012] id: .9% Normal Saline 250.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 42 vu: ml t0: [16:00:00 20/09/2012] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 90 vu: ml
t0: [16:00:00 20/09/2012] 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: [16:00:00 20/09/2012] id: Propofol el: 1 cu: MICU cg: RN so: N/A vo: 0 v1: 50 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [16:00:00 20/09/2012] id: Sandostatin el: 1 cu: MICU cg: RN so: D5W vo: 0 v1: 50 du: mcghr sv: 100 su: ml rt: IV Drip
t0: [16:00:00 20/09/2012] id: Fingerstick Glucose Chemistry el: 0 cu: MICU cg: RN v1: 95 rs: Manual st: NotStopd
t0: [16:00:00 20/09/2012] id: Pre-Admission Intake Pre-Admission Intake el: 1 cu: MICU cg: -1 ai: 143 vo: 0 st: D/C'd t0: [16:00:00 20/09/2012] id: Pre-Admission Output Pre-Admission Output el: 1 cu: MICU cg: -1 vo: 0 st: D/C'd
tf: [15:00:00 21/09/2012] pt: Unit Dose rt: IV fr: ONCE fs: 16 dn: 1 m1: Phytonadione v1: 1 u1: mg
id: Gastric Meds el: 1 cu: MICU cg: RN io: Gastric Meds PO/Gastric du: ml rt: Gastric/Feeding Tube
t0: [15:59:00 20/09/2012] id: Art.pH ABG el: 0 cu: MICU cg: 1663 v1: 7.43 rs: Final st: NotStopd t0: [15:59:00 20/09/2012] id: Arterial PaCO2 ABG el: 0 cu: MICU cg: 1663 u1: mmHg rs: Final st: NotStopd t0: [15:59:00 20/09/2012] id: Arterial PaO2 ABG el: 0 cu: MICU cg: 1663 u1: mmHg rs: Final st: NotStopd t0: [15:59:00 20/09/2012] id: Arterial pH ABG el: 0 cu: MICU cg: 1663 v1: 7.43 rs: Final st: NotStopd t0: [15:59:00 20/09/2012] id: Ionized Calcium Chemistry el: 0 cu: MICU cg: 1663 v1: 1.14 rs: Final st: NotStopd
t0: [16:00:00 20/09/2012] id: D5W 100.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 105 vo: 50 vu: ml t0: [16:01:00 20/09/2012] id: D5W 250.0ml + 60mcgkgmin Neosynephrine-k IV Infusions el: 1 cu: MICU cg: -1 ai: 107 vo: 0 st: D/C'd
t0: [15:00:00 20/09/2012] id: Procedures el: 0 cu: MICU cg: RN v1: Ultrasound st: NotStopd t0: [16:00:00 20/09/2012] id: Riker-SAS Scale el: 0 cu: MICU cg: RN v1: Sedated st: NotStopd
t0: [15:52:00 20/09/2012] id: WBC (4-11,000) Hematology el: 0 cu: MICU cg: 1663 v1: 16.4 rs: Final st: NotStopd t0: [15:52:00 20/09/2012] id: WBC Hematology el: 0 cu: MICU cg: 1663 v1: 16.4 rs: Final st: NotStopd t0: [15:52:00 20/09/2012] id: Hematocrit Hematology el: 0 cu: MICU cg: 1663 v1: 27.2 u1: % rs: Final st: NotStopd t0: [15:52:00 20/09/2012] id: Hemoglobin Hematology el: 0 cu: MICU cg: 1663 v1: 9.4 u1: gm/dl rs: Final st: NotStopd t0: [15:52:00 20/09/2012] id: Platelets Hematology el: 0 cu: MICU cg: 1663 v1: 113 rs: Final st: NotStopd t0: [15:52:00 20/09/2012] id: RBC Hematology el: 0 cu: MICU cg: 1663 v1: 2.96 u1: /mic l rs: Final st: NotStopd t0: [15:52:00 20/09/2012] id: WBC (4-11,000) Hematology el: 0 cu: MICU cg: 1663 v1: 16.4 rs: Final st: NotStopd
t0: [16:30:00 20/09/2012] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [16:30:00 20/09/2012] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [16:30:00 20/09/2012] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [16:30:00 20/09/2012] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [16:30:00 20/09/2012] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [16:30:00 20/09/2012] id: Heart Rate el: 0 cu: MICU cg: RN v1: 91 u1: BPM st: NotStopd t0: [16:30:00 20/09/2012] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [16:30:00 20/09/2012] id: Arterial BP el: 0 cu: MICU cg: RN v1: 96 u1: mmHg v2: 51 u2: mmHg st: NotStopd t0: [16:30:00 20/09/2012] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 65 u1: mmHg st: NotStopd t0: [16:30:00 20/09/2012] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [16:30:00 20/09/2012] id: Previous WeightF el: 0 cu: MICU cg: RN v1: 84.2 u1: kg st: NotStopd t0: [16:30:00 20/09/2012] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 17 u1: BPM st: NotStopd t0: [16:30:00 20/09/2012] id: SpO2 el: 0 cu: MICU cg: RN v1: 100 u1: % st: NotStopd t0: [16:30:00 20/09/2012] id: Temp. Site el: 0 cu: MICU cg: RN v1: Oral st: NotStopd t0: [16:30:00 20/09/2012] id: Temperature C (calc) el: 0 cu: MICU cg: RN v1: 37.1111 u1: Deg. C st: NotStopd t0: [16:30:00 20/09/2012] id: Temperature F el: 0 cu: MICU cg: RN v1: 98.8 u1: Deg. F st: NotStopd t0: [16:30:00 20/09/2012] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [17:00:00 20/09/2012] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 25.26 vu: ml t0: [17:00:00 20/09/2012] id: D5W 100.0ml + 600mcghr Sandostatin IV Infusions el: 1 cu: MICU cg: RN ai: 189 vo: 8.33333 vu: ml t0: [17:00:00 20/09/2012] id: .9% Normal Saline 250.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 42 vu: ml t0: [17:00:00 20/09/2012] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 125 vu: ml
t0: [16:30:00 20/09/2012] id: Propofol el: 1 cu: MICU cg: RN so: N/A vo: 0 v1: 50 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [16:30:00 20/09/2012] id: Sandostatin el: 1 cu: MICU cg: RN so: D5W vo: 0 v1: 50 du: mcghr sv: 100 su: ml rt: IV Drip
t0: [16:45:00 20/09/2012] id: Fresh Frozen Plasma IV Infusions el: 1 cu: MICU cg: RN ai: 155 vo: 0 vu: ml nb: 1
t0: [17:00:00 20/09/2012] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [17:00:00 20/09/2012] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [17:00:00 20/09/2012] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [17:00:00 20/09/2012] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [17:00:00 20/09/2012] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [17:00:00 20/09/2012] id: Heart Rate el: 0 cu: MICU cg: RN v1: 92 u1: BPM st: NotStopd t0: [17:00:00 20/09/2012] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [17:00:00 20/09/2012] id: Level of Conscious el: 0 cu: MICU cg: RN v1: Sedated st: NotStopd t0: [17:00:00 20/09/2012] id: Arterial BP el: 0 cu: MICU cg: RN v1: 100 u1: mmHg v2: 52 u2: mmHg st: NotStopd t0: [17:00:00 20/09/2012] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 66 u1: mmHg st: NotStopd t0: [17:00:00 20/09/2012] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [17:00:00 20/09/2012] id: Previous WeightF el: 0 cu: MICU cg: RN v1: 84.2 u1: kg st: NotStopd t0: [17:00:00 20/09/2012] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 16 u1: BPM st: NotStopd t0: [17:00:00 20/09/2012] id: SpO2 el: 0 cu: MICU cg: RN v1: 100 u1: % st: NotStopd t0: [17:00:00 20/09/2012] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [17:00:00 20/09/2012] id: Propofol el: 1 cu: MICU cg: RN so: N/A vo: 0 v1: 50 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [17:00:00 20/09/2012] id: Sandostatin el: 1 cu: MICU cg: RN so: D5W vo: 0 v1: 50 du: mcghr sv: 100 su: ml rt: IV Drip
t0: [15:52:00 20/09/2012] id: Fibrinogen Coags el: 0 cu: MICU cg: 1663 v1: 288 rs: Final st: NotStopd t0: [15:52:00 20/09/2012] id: Fibrinogen (150-400) Coags el: 0 cu: MICU cg: 1663 v1: 288 rs: Final st: NotStopd
t0: [15:52:00 20/09/2012] id: Differential-Bands Hematology el: 0 cu: MICU cg: 1663 v1: 13 rs: Final st: NotStopd t0: [15:52:00 20/09/2012] id: Differential-Basos Hematology el: 0 cu: MICU cg: 1663 v1: 0 rs: Final st: NotStopd t0: [15:52:00 20/09/2012] id: Differential-Eos Hematology el: 0 cu: MICU cg: 1663 v1: 3 rs: Final st: NotStopd t0: [15:52:00 20/09/2012] id: Differential-Lymphs Hematology el: 0 cu: MICU cg: 1663 v1: 2 rs: Final st: NotStopd t0: [15:52:00 20/09/2012] id: Differential-Monos Hematology el: 0 cu: MICU cg: 1663 v1: 5 rs: Final st: NotStopd t0: [15:52:00 20/09/2012] id: Differential-Polys Hematology el: 0 cu: MICU cg: 1663 v1: 77 rs: Final st: NotStopd
t0: [17:30:00 20/09/2012] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [17:30:00 20/09/2012] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [17:30:00 20/09/2012] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [17:30:00 20/09/2012] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [17:30:00 20/09/2012] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [17:30:00 20/09/2012] id: Heart Rate el: 0 cu: MICU cg: RN v1: 93 u1: BPM st: NotStopd t0: [17:30:00 20/09/2012] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [17:30:00 20/09/2012] id: Arterial BP el: 0 cu: MICU cg: RN v1: 110 u1: mmHg v2: 59 u2: mmHg st: NotStopd t0: [17:30:00 20/09/2012] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 75 u1: mmHg st: NotStopd t0: [17:30:00 20/09/2012] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [17:30:00 20/09/2012] id: Previous WeightF el: 0 cu: MICU cg: RN v1: 84.2 u1: kg st: NotStopd t0: [17:30:00 20/09/2012] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 18 u1: BPM st: NotStopd t0: [17:30:00 20/09/2012] id: SpO2 el: 0 cu: MICU cg: RN v1: 99 u1: % st: NotStopd t0: [17:30:00 20/09/2012] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [17:30:00 20/09/2012] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 12.63 vu: ml nb: 1 t0: [17:30:00 20/09/2012] id: D5W 100.0ml + 600mcghr Sandostatin IV Infusions el: 1 cu: MICU cg: RN ai: 189 vo: 4.16667 vu: ml t0: [17:30:00 20/09/2012] id: .9% Normal Saline 250.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 21 vu: ml
t0: [17:30:00 20/09/2012] id: Propofol el: 1 cu: MICU cg: RN so: N/A vo: 0 v1: 50 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [17:30:00 20/09/2012] id: Sandostatin el: 1 cu: MICU cg: RN so: D5W vo: 0 v1: 50 du: mcghr sv: 100 su: ml rt: IV Drip
t0: [18:00:00 20/09/2012] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [18:00:00 20/09/2012] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [18:00:00 20/09/2012] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [18:00:00 20/09/2012] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [18:00:00 20/09/2012] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [18:00:00 20/09/2012] id: Heart Rate el: 0 cu: MICU cg: RN v1: 93 u1: BPM st: NotStopd t0: [18:00:00 20/09/2012] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [18:00:00 20/09/2012] id: Arterial BP el: 0 cu: MICU cg: RN v1: 112 u1: mmHg v2: 60 u2: mmHg st: NotStopd t0: [18:00:00 20/09/2012] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 76 u1: mmHg st: NotStopd t0: [18:00:00 20/09/2012] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [18:00:00 20/09/2012] id: Previous WeightF el: 0 cu: MICU cg: RN v1: 84.2 u1: kg st: NotStopd t0: [18:00:00 20/09/2012] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 17 u1: BPM st: NotStopd t0: [18:00:00 20/09/2012] id: SpO2 el: 0 cu: MICU cg: RN v1: 99 u1: % st: NotStopd t0: [18:00:00 20/09/2012] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [18:00:00 20/09/2012] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 12.63 vu: ml t0: [18:00:00 20/09/2012] id: D5W 100.0ml + 600mcghr Sandostatin IV Infusions el: 1 cu: MICU cg: RN ai: 189 vo: 4.16667 vu: ml t0: [18:00:00 20/09/2012] tf: [21:45:00 20/09/2012] dt: 225 id: Fresh Frozen Plasma IV Infusions el: 1 cu: MICU cg: RN ai: 155 vo: 298 vu: ml nb: 1 t0: [18:00:00 20/09/2012] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 125 vu: ml
t0: [18:00:00 20/09/2012] id: Propofol el: 1 cu: MICU cg: RN so: N/A vo: 0 v1: 50 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [18:00:00 20/09/2012] id: Sandostatin el: 1 cu: MICU cg: RN so: D5W vo: 0 v1: 50 du: mcghr sv: 100 su: ml rt: IV Drip
t0: [18:00:00 20/09/2012] id: .9% Normal Saline 250.0ml IV Infusions el: 1 cu: MICU cg: -1 ai: 107 vo: 0 st: D/C'd
t0: [18:00:00 20/09/2012] id: HOB el: 0 cu: MICU cg: RN v1: 30 degrees st: NotStopd t0: [18:00:00 20/09/2012] id: Activity el: 0 cu: MICU cg: RN v1: Bedrest st: NotStopd t0: [18:00:00 20/09/2012] id: Activity Tolerance el: 0 cu: MICU cg: RN v1: Tolerated Well st: NotStopd t0: [18:00:00 20/09/2012] id: AntiEmbDevice/Status el: 0 cu: MICU cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [18:00:00 20/09/2012] id: Position el: 0 cu: MICU cg: RN v1: Supine st: NotStopd t0: [18:00:00 20/09/2012] id: Assistance Device el: 0 cu: MICU cg: RN v1: 1 Person Assist st: NotStopd t0: [18:00:00 20/09/2012] id: Turn el: 0 cu: MICU cg: RN v1: Back st: NotStopd
t0: [19:00:00 20/09/2012] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [19:00:00 20/09/2012] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [19:00:00 20/09/2012] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [19:00:00 20/09/2012] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [19:00:00 20/09/2012] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [19:00:00 20/09/2012] id: Heart Rate el: 0 cu: MICU cg: RN v1: 92 u1: BPM st: NotStopd t0: [19:00:00 20/09/2012] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [19:00:00 20/09/2012] id: Arterial BP el: 0 cu: MICU cg: RN v1: 116 u1: mmHg v2: 61 u2: mmHg st: NotStopd t0: [19:00:00 20/09/2012] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 78 u1: mmHg st: NotStopd t0: [19:00:00 20/09/2012] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [19:00:00 20/09/2012] id: Previous WeightF el: 0 cu: MICU cg: RN v1: 84.2 u1: kg st: NotStopd t0: [19:00:00 20/09/2012] id: SpO2 el: 0 cu: MICU cg: RN v1: 100 u1: % st: NotStopd t0: [19:00:00 20/09/2012] id: Temp. Site el: 0 cu: MICU cg: RN v1: Oral st: NotStopd t0: [19:00:00 20/09/2012] id: Temperature C (calc) el: 0 cu: MICU cg: RN v1: 36.8889 u1: Deg. C st: NotStopd t0: [19:00:00 20/09/2012] id: Temperature F el: 0 cu: MICU cg: RN v1: 98.4 u1: Deg. F st: NotStopd t0: [19:00:00 20/09/2012] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [19:00:00 20/09/2012] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 25.26 vu: ml t0: [19:00:00 20/09/2012] id: D5W 100.0ml + 600mcghr Sandostatin IV Infusions el: 1 cu: MICU cg: RN ai: 189 vo: 8.33333 vu: ml t0: [19:00:00 20/09/2012] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 90 vu: ml
t0: [19:00:00 20/09/2012] id: Propofol el: 1 cu: MICU cg: RN so: N/A vo: 0 v1: 50 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [19:00:00 20/09/2012] id: Sandostatin el: 1 cu: MICU cg: RN so: D5W vo: 0 v1: 50 du: mcghr sv: 100 su: ml rt: IV Drip
t0: [19:00:00 20/09/2012] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 20 u1: BPM st: NotStopd
t0: [19:00:00 20/09/2012] id: D5W 100.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 105 vo: 100 vu: ml
t0: [20:00:00 20/09/2012] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [20:00:00 20/09/2012] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [20:00:00 20/09/2012] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [20:00:00 20/09/2012] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [20:00:00 20/09/2012] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [20:00:00 20/09/2012] id: Heart Rate el: 0 cu: MICU cg: RN v1: 95 u1: BPM st: NotStopd t0: [20:00:00 20/09/2012] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [20:00:00 20/09/2012] id: Arterial BP el: 0 cu: MICU cg: RN v1: 114 u1: mmHg v2: 60 u2: mmHg st: NotStopd t0: [20:00:00 20/09/2012] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 76 u1: mmHg st: NotStopd t0: [20:00:00 20/09/2012] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [20:00:00 20/09/2012] id: Previous WeightF el: 0 cu: MICU cg: RN v1: 84.2 u1: kg st: NotStopd t0: [20:00:00 20/09/2012] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 20 u1: BPM st: NotStopd t0: [20:00:00 20/09/2012] id: SpO2 el: 0 cu: MICU cg: RN v1: 100 u1: % st: NotStopd t0: [20:00:00 20/09/2012] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [20:00:00 20/09/2012] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 25.26 vu: ml t0: [20:00:00 20/09/2012] id: D5W 100.0ml + 600mcghr Sandostatin IV Infusions el: 1 cu: MICU cg: RN ai: 189 vo: 8.33333 vu: ml t0: [20:00:00 20/09/2012] id: Fresh Frozen Plasma IV Infusions el: 1 cu: MICU cg: RN ai: 155 vo: 360 vu: ml t0: [20:00:00 20/09/2012] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 75 vu: ml
t0: [20:00:00 20/09/2012] id: Propofol el: 1 cu: MICU cg: RN so: N/A vo: 0 v1: 50 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [20:00:00 20/09/2012] id: Sandostatin el: 1 cu: MICU cg: RN so: D5W vo: 0 v1: 50 du: mcghr sv: 100 su: ml rt: IV Drip
t0: [15:00:00 20/09/2012] id: LLL Lung Sounds el: 0 cu: MICU cg: RN v1: Diminished st: NotStopd t0: [15:00:00 20/09/2012] id: LUL Lung Sounds el: 0 cu: MICU cg: RN v1: Clear st: NotStopd t0: [15:00:00 20/09/2012] id: RLL Lung Sounds el: 0 cu: MICU cg: RN v1: Diminished st: NotStopd t0: [15:00:00 20/09/2012] id: RUL Lung Sounds el: 0 cu: MICU cg: RN v1: Clear st: NotStopd t0: [20:00:00 20/09/2012] id: Range of Motion el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [20:00:00 20/09/2012] id: Circulation/SkinInt el: 0 cu: MICU cg: RN v1: Circulation Adeq st: NotStopd t0: [20:00:00 20/09/2012] id: Cough Reflex el: 0 cu: MICU cg: RN v1: Intact st: NotStopd t0: [20:00:00 20/09/2012] id: GI Prophylaxis el: 0 cu: MICU cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [20:00:00 20/09/2012] id: Diet Type el: 0 cu: MICU cg: RN v1: NPO st: NotStopd t0: [20:00:00 20/09/2012] id: Eye Opening el: 0 cu: MICU cg: RN v1: 1 No Response st: NotStopd t0: [20:00:00 20/09/2012] id: Family Communication el: 0 cu: MICU cg: RN v1: Family Called st: NotStopd t0: [20:00:00 20/09/2012] id: GCS Total el: 0 cu: MICU cg: RN v1: 6 u1: points st: NotStopd t0: [20:00:00 20/09/2012] id: GI Intub #1/Site el: 0 cu: MICU cg: RN v1: Salem Sump v2: Right Nare st: NotStopd t0: [20:00:00 20/09/2012] id: Gag Reflex el: 0 cu: MICU cg: RN v1: Intact st: NotStopd t0: [20:00:00 20/09/2012] id: Abdominal Assessment el: 0 cu: MICU cg: RN v1: Soft Distended st: NotStopd t0: [20:00:00 20/09/2012] id: LLL Lung Sounds el: 0 cu: MICU cg: RN v1: Diminished st: NotStopd t0: [20:00:00 20/09/2012] id: LUL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [20:00:00 20/09/2012] id: Level of Conscious el: 0 cu: MICU cg: RN v1: Sedated st: NotStopd t0: [20:00:00 20/09/2012] id: Motor Response el: 0 cu: MICU cg: RN v1: 4 Flex-withdraws st: NotStopd t0: [20:00:00 20/09/2012] id: Oral Cavity el: 0 cu: MICU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [20:00:00 20/09/2012] id: Orientation el: 0 cu: MICU cg: RN v1: Other/Remarks st: NotStopd t0: [20:00:00 20/09/2012] id: Position Change el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [20:00:00 20/09/2012] id: RLL Lung Sounds el: 0 cu: MICU cg: RN v1: Diminished st: NotStopd t0: [20:00:00 20/09/2012] id: RUL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [20:00:00 20/09/2012] id: Reason For Restraint el: 0 cu: MICU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [20:00:00 20/09/2012] id: Removed x 5 Mins el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [20:00:00 20/09/2012] id: Respiratory Pattern el: 0 cu: MICU cg: RN v1: Regular st: NotStopd t0: [20:00:00 20/09/2012] id: Restraint Location el: 0 cu: MICU cg: RN v1: Both Arms st: NotStopd t0: [20:00:00 20/09/2012] id: Restraint Type el: 0 cu: MICU cg: RN v1: Soft Limb st: NotStopd t0: [20:00:00 20/09/2012] id: Restraints Evaluated el: 0 cu: MICU cg: RN v1: Behavior Conts st: NotStopd t0: [20:00:00 20/09/2012] id: Side Rails el: 0 cu: MICU cg: RN v1: Side Rails Up st: NotStopd t0: [20:00:00 20/09/2012] id: Skin Color el: 0 cu: MICU cg: RN v1: Jaundiced st: NotStopd t0: [20:00:00 20/09/2012] id: Skin Integrity el: 0 cu: MICU cg: RN v1: Intact st: NotStopd t0: [20:00:00 20/09/2012] id: Skin Temp/Condition el: 0 cu: MICU cg: RN v1: Warm v2: Dry st: NotStopd t0: [20:00:00 20/09/2012] id: Support Systems el: 0 cu: MICU cg: RN v1: Spouse st: NotStopd t0: [20:00:00 20/09/2012] id: Urine Source el: 0 cu: MICU cg: RN v1: Indwelling Cath st: NotStopd t0: [20:00:00 20/09/2012] id: Verbal Response el: 0 cu: MICU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [20:00:00 20/09/2012] id: Bowel Sounds el: 0 cu: MICU cg: RN v1: Present st: NotStopd t0: [20:00:00 20/09/2012] id: Braden Activity el: 0 cu: MICU cg: RN v1: Bedfast st: NotStopd t0: [20:00:00 20/09/2012] id: Braden Frict/Shear el: 0 cu: MICU cg: RN v1: Potential Prob st: NotStopd t0: [20:00:00 20/09/2012] id: Braden Mobility el: 0 cu: MICU cg: RN v1: Comp. Immobile st: NotStopd t0: [20:00:00 20/09/2012] id: Braden Moisture el: 0 cu: MICU cg: RN v1: Occ. Moist st: NotStopd t0: [20:00:00 20/09/2012] id: Braden Nutrition el: 0 cu: MICU cg: RN v1: Prob. Inadequate st: NotStopd t0: [20:00:00 20/09/2012] id: Braden Score el: 0 cu: MICU cg: RN v1: 10 u1: number st: NotStopd t0: [20:00:00 20/09/2012] id: Braden SensoryPercep el: 0 cu: MICU cg: RN v1: Comp. Limited st: NotStopd
t0: [20:00:00 20/09/2012] id: INV Line#2 Type/Site el: 0 cu: MICU cg: RN v1: A-Line v2: Left Radial st: NotStopd t0: [20:00:00 20/09/2012] id: INV Line#2 Zero/Cal el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [20:00:00 20/09/2012] id: INV Line#2InsertDate el: 0 cu: MICU cg: RN v1: 8 v2: 27 st: NotStopd t0: [20:00:00 20/09/2012] id: INV Line#2SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [20:00:00 20/09/2012] id: INV Line#3 Type/Site el: 0 cu: MICU cg: RN v1: Multi-lumen v2: Right IJ st: NotStopd t0: [20:00:00 20/09/2012] id: INV Line#3InsertDate el: 0 cu: MICU cg: RN v1: 8 v2: 28 st: NotStopd t0: [20:00:00 20/09/2012] id: INV Line#3SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [20:00:00 20/09/2012] id: INV#2 WaveformAppear el: 0 cu: MICU cg: RN v1: Sharp st: NotStopd t0: [20:00:00 20/09/2012] id: IV #1 Insert Date el: 0 cu: MICU cg: RN v1: ? st: NotStopd t0: [20:00:00 20/09/2012] id: IV #1 Site/Size el: 0 cu: MICU cg: RN v1: Left Hand v2: 18 gauge st: NotStopd t0: [20:00:00 20/09/2012] id: IV #2 Insert Date el: 0 cu: MICU cg: RN v1: 8 v2: 28 st: NotStopd t0: [20:00:00 20/09/2012] id: IV #2 Site/Size el: 0 cu: MICU cg: RN v1: Left Antecub v2: 16 gauge st: NotStopd t0: [20:00:00 20/09/2012] id: IV #3 Insert Date el: 0 cu: MICU cg: RN v1: 8 v2: 28 st: NotStopd t0: [20:00:00 20/09/2012] id: IV #3 Site/Size el: 0 cu: MICU cg: RN v1: Right Antecub v2: 18 gauge st: NotStopd t0: [20:00:00 20/09/2012] id: IV Site Appear #1 el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [20:00:00 20/09/2012] id: IV Site Appear #2 el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [20:00:00 20/09/2012] id: IV Site Appear #3 el: 0 cu: MICU cg: RN v1: WNL st: NotStopd
t0: [20:00:00 20/09/2012] id: Ventilator No. el: 0 cu: MICU cg: -1 st: D/C'd
t0: [18:00:00 20/09/2012] id: Sputum Color/Consist el: 0 cu: MICU cg: RN v1: Brown v2: Thick st: NotStopd t0: [18:00:00 20/09/2012] id: Sputum Source/Amt el: 0 cu: MICU cg: RN v1: Suctioned v2: Small st: NotStopd
t0: [19:59:00 20/09/2012] id: WBC (4-11,000) Hematology el: 0 cu: MICU cg: 1663 v1: 14.6 rs: Final st: NotStopd t0: [19:59:00 20/09/2012] id: WBC Hematology el: 0 cu: MICU cg: 1663 v1: 14.6 rs: Final st: NotStopd t0: [19:59:00 20/09/2012] id: Hematocrit Hematology el: 0 cu: MICU cg: 1663 v1: 26.4 u1: % rs: Final st: NotStopd t0: [19:59:00 20/09/2012] id: Hemoglobin Hematology el: 0 cu: MICU cg: 1663 v1: 9.1 u1: gm/dl rs: Final st: NotStopd t0: [19:59:00 20/09/2012] id: Platelets Hematology el: 0 cu: MICU cg: 1663 v1: 114 rs: Final st: NotStopd t0: [19:59:00 20/09/2012] id: RBC Hematology el: 0 cu: MICU cg: 1663 v1: 2.87 u1: /mic l rs: Final st: NotStopd t0: [19:59:00 20/09/2012] id: WBC (4-11,000) Hematology el: 0 cu: MICU cg: 1663 v1: 14.6 rs: Final st: NotStopd
t0: [19:59:00 20/09/2012] id: PT el: 0 cu: MICU cg: 1663 v1: 16.4 rs: Final st: NotStopd t0: [19:59:00 20/09/2012] id: INR Coags el: 0 cu: MICU cg: 1663 v1: 1.8 rs: Final st: NotStopd t0: [19:59:00 20/09/2012] id: PTT Coags el: 0 cu: MICU cg: 1663 v1: 37 rs: Final st: NotStopd t0: [19:59:00 20/09/2012] id: INR (2-4 ref. range) Coags el: 0 cu: MICU cg: 1663 v1: 1.8 rs: Final st: NotStopd t0: [19:59:00 20/09/2012] id: PT(11-13.5) Coags el: 0 cu: MICU cg: 1663 v1: 16.4 rs: Final st: NotStopd t0: [19:59:00 20/09/2012] id: PTT(22-35) Coags el: 0 cu: MICU cg: 1663 v1: 37 rs: Final st: NotStopd
t0: [19:59:00 20/09/2012] id: Phosphorous Chemistry el: 0 cu: MICU cg: 1663 v1: 3.5 u1: mEq/L rs: Final st: NotStopd t0: [19:59:00 20/09/2012] id: Potassium Chemistry el: 0 cu: MICU cg: 1663 v1: 3.9 rs: Final st: NotStopd t0: [19:59:00 20/09/2012] id: Phosphorous(2.7-4.5) Chemistry el: 0 cu: MICU cg: 1663 v1: 3.5 u1: mEq/L rs: Final st: NotStopd t0: [19:59:00 20/09/2012] id: Potassium (3.5-5.3) Chemistry el: 0 cu: MICU cg: 1663 v1: 3.9 rs: Final st: NotStopd
t0: [20:30:00 20/09/2012] id: HI/Minute/Vol/Alarm el: 0 cu: MICU cg: RRT v1: 18 t0: [20:30:00 20/09/2012] id: Compliance (40-60ml) el: 0 cu: MICU cg: RRT v1: 38.4615 u1: ml/cmH st: NotStopd t0: [20:30:00 20/09/2012] id: ETT Mark/Location el: 0 cu: MICU cg: RRT v1: 23cm v2: Lip st: NotStopd t0: [20:30:00 20/09/2012] id: FiO2 Set el: 0 cu: MICU cg: RRT v1: 0.4 u1: torr st: NotStopd t0: [20:30:00 20/09/2012] id: High Insp. Pressure el: 0 cu: MICU cg: RRT v1: 35 u1: cmH2O st: NotStopd t0: [20:30:00 20/09/2012] id: High Resp. Rate el: 0 cu: MICU cg: RRT v1: 20 u1: BPM st: NotStopd t0: [20:30:00 20/09/2012] id: I:E Ratio el: 0 cu: MICU cg: RRT v1: 1:6 st: NotStopd t0: [20:30:00 20/09/2012] id: Airway Size el: 0 cu: MICU cg: RRT v1: 7.5 mm st: NotStopd t0: [20:30:00 20/09/2012] id: Airway Type el: 0 cu: MICU cg: RRT v1: Endotracheal st: NotStopd t0: [20:30:00 20/09/2012] id: Inspired Gas Temp el: 0 cu: MICU cg: RRT u1: Deg. C st: NotStopd t0: [20:30:00 20/09/2012] id: Intubation Date el: 0 cu: MICU cg: RRT v1: 8 v2: 27 st: NotStopd t0: [20:30:00 20/09/2012] id: Low Exhaled Min Vol el: 0 cu: MICU cg: RRT v1: 5 st: NotStopd t0: [20:30:00 20/09/2012] id: Mean Airway Pressure el: 0 cu: MICU cg: RRT v1: 9 u1: cmH2O st: NotStopd t0: [20:30:00 20/09/2012] id: Minute Volume(Obser) el: 0 cu: MICU cg: RRT v1: 9.4 u1: L/min st: NotStopd t0: [20:30:00 20/09/2012] id: PEEP Set el: 0 cu: MICU cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [20:30:00 20/09/2012] id: Apnea Time Interval el: 0 cu: MICU cg: RRT v1: 20 st: NotStopd t0: [20:30:00 20/09/2012] id: Peak Insp. Pressure el: 0 cu: MICU cg: RRT v1: 18 u1: cmH2O st: NotStopd t0: [20:30:00 20/09/2012] id: Plateau Pressure el: 0 cu: MICU cg: RRT v1: 16 u1: cmH2O st: NotStopd t0: [20:30:00 20/09/2012] id: Plateau-Off el: 0 cu: MICU cg: RRT v1: Yes st: NotStopd t0: [20:30:00 20/09/2012] id: Pressure Support el: 0 cu: MICU cg: RRT v1: 0 u1: . st: NotStopd t0: [20:30:00 20/09/2012] id: Resp Rate (Spont) el: 0 cu: MICU cg: RRT v1: 9 u1: BPM st: NotStopd t0: [20:30:00 20/09/2012] id: Resp Rate (Total) el: 0 cu: MICU cg: RRT v1: 17 u1: BPM st: NotStopd t0: [20:30:00 20/09/2012] id: Respiratory Rate Set el: 0 cu: MICU cg: RRT v1: 8 u1: BPM st: NotStopd t0: [20:30:00 20/09/2012] id: Sensitivity-Vent el: 0 cu: MICU cg: RRT v1: 3 u1: cmH2O st: NotStopd t0: [20:30:00 20/09/2012] id: SpO2 el: 0 cu: MICU cg: RRT v1: 100 u1: % st: NotStopd t0: [20:30:00 20/09/2012] id: Sputum Color/Consist el: 0 cu: MICU cg: RRT v1: Blood Tinged v2: Thick st: NotStopd t0: [20:30:00 20/09/2012] id: Sputum Source/Amt el: 0 cu: MICU cg: RRT v1: Suctioned v2: Small st: NotStopd t0: [20:30:00 20/09/2012] id: Tidal Volume (Obser) el: 0 cu: MICU cg: RRT v1: 499 u1: ml/B st: NotStopd t0: [20:30:00 20/09/2012] id: Tidal Volume (Set) el: 0 cu: MICU cg: RRT v1: 500 u1: ml/B st: NotStopd t0: [20:30:00 20/09/2012] id: Tidal Volume (Spont) el: 0 cu: MICU cg: RRT v1: 0 u1: ml/B st: NotStopd t0: [20:30:00 20/09/2012] id: Ventilator Mode el: 0 cu: MICU cg: RRT v1: Assist Control st: NotStopd t0: [20:30:00 20/09/2012] id: Ventilator Type el: 0 cu: MICU cg: RRT v1: Drager st: NotStopd t0: [20:30:00 20/09/2012] id: Waveform-Vent el: 0 cu: MICU cg: RRT v1: RAMP st: NotStopd
t0: [21:00:00 20/09/2012] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [21:00:00 20/09/2012] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [21:00:00 20/09/2012] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [21:00:00 20/09/2012] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [21:00:00 20/09/2012] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [21:00:00 20/09/2012] id: Heart Rate el: 0 cu: MICU cg: RN v1: 91 u1: BPM st: NotStopd t0: [21:00:00 20/09/2012] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [21:00:00 20/09/2012] id: Arterial BP el: 0 cu: MICU cg: RN v1: 118 u1: mmHg v2: 62 u2: mmHg st: NotStopd t0: [21:00:00 20/09/2012] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 80 u1: mmHg st: NotStopd t0: [21:00:00 20/09/2012] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [21:00:00 20/09/2012] id: Previous WeightF el: 0 cu: MICU cg: RN v1: 84.2 u1: kg st: NotStopd t0: [21:00:00 20/09/2012] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 17 u1: BPM st: NotStopd t0: [21:00:00 20/09/2012] id: SpO2 el: 0 cu: MICU cg: RN v1: 100 u1: % st: NotStopd t0: [21:00:00 20/09/2012] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [21:00:00 20/09/2012] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 25.26 vu: ml t0: [21:00:00 20/09/2012] id: D5W 100.0ml + 600mcghr Sandostatin IV Infusions el: 1 cu: MICU cg: RN ai: 189 vo: 8.33333 vu: ml t0: [21:00:00 20/09/2012] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 55 vu: ml
t0: [21:00:00 20/09/2012] id: Propofol el: 1 cu: MICU cg: RN so: N/A vo: 0 v1: 50 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [21:00:00 20/09/2012] id: Sandostatin el: 1 cu: MICU cg: RN so: D5W vo: 0 v1: 50 du: mcghr sv: 100 su: ml rt: IV Drip
t0: [21:00:00 20/09/2012] id: Temp. Site el: 0 cu: MICU cg: RN v1: Oral st: NotStopd t0: [21:00:00 20/09/2012] id: Temperature C (calc) el: 0 cu: MICU cg: RN v1: 36.8889 u1: Deg. C st: NotStopd t0: [21:00:00 20/09/2012] id: Temperature F el: 0 cu: MICU cg: RN v1: 98.4 u1: Deg. F st: NotStopd
t0: [21:45:00 20/09/2012] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [21:45:00 20/09/2012] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [21:45:00 20/09/2012] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [21:45:00 20/09/2012] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [21:45:00 20/09/2012] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [21:45:00 20/09/2012] id: Heart Rate el: 0 cu: MICU cg: RN v1: 94 u1: BPM st: NotStopd t0: [21:45:00 20/09/2012] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [21:45:00 20/09/2012] id: Arterial BP el: 0 cu: MICU cg: RN v1: 108 u1: mmHg v2: 55 u2: mmHg st: NotStopd t0: [21:45:00 20/09/2012] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 71 u1: mmHg st: NotStopd t0: [21:45:00 20/09/2012] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [21:45:00 20/09/2012] id: Previous WeightF el: 0 cu: MICU cg: RN v1: 84.2 u1: kg st: NotStopd t0: [21:45:00 20/09/2012] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 18 u1: BPM st: NotStopd t0: [21:45:00 20/09/2012] id: SpO2 el: 0 cu: MICU cg: RN v1: 100 u1: % st: NotStopd t0: [21:45:00 20/09/2012] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [22:00:00 20/09/2012] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [22:00:00 20/09/2012] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [22:00:00 20/09/2012] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [22:00:00 20/09/2012] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [22:00:00 20/09/2012] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [22:00:00 20/09/2012] id: Heart Rate el: 0 cu: MICU cg: RN v1: 94 u1: BPM st: NotStopd t0: [22:00:00 20/09/2012] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [22:00:00 20/09/2012] id: Arterial BP el: 0 cu: MICU cg: RN v1: 110 u1: mmHg v2: 56 u2: mmHg st: NotStopd t0: [22:00:00 20/09/2012] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 73 u1: mmHg st: NotStopd t0: [22:00:00 20/09/2012] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [22:00:00 20/09/2012] id: Previous WeightF el: 0 cu: MICU cg: RN v1: 84.2 u1: kg st: NotStopd t0: [22:00:00 20/09/2012] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 18 u1: BPM st: NotStopd t0: [22:00:00 20/09/2012] id: SpO2 el: 0 cu: MICU cg: RN v1: 100 u1: % st: NotStopd t0: [22:00:00 20/09/2012] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [21:45:00 20/09/2012] id: Fresh Frozen Plasma IV Infusions el: 1 cu: MICU cg: RN ai: 155 vo: 0 vu: ml nb: 1 t0: [22:00:00 20/09/2012] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 25.26 vu: ml nb: 1 t0: [22:00:00 20/09/2012] id: D5W 100.0ml + 600mcghr Sandostatin IV Infusions el: 1 cu: MICU cg: RN ai: 189 vo: 8.33333 vu: ml nb: 1 t0: [22:00:00 20/09/2012] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 60 vu: ml
t0: [21:45:00 20/09/2012] id: Propofol el: 1 cu: MICU cg: RN so: N/A vo: 0 v1: 50 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [21:45:00 20/09/2012] id: Sandostatin el: 1 cu: MICU cg: RN so: D5W vo: 0 v1: 50 du: mcghr sv: 100 su: ml rt: IV Drip t0: [22:00:00 20/09/2012] id: Propofol el: 1 cu: MICU cg: RN so: N/A vo: 0 v1: 50 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [22:00:00 20/09/2012] id: Sandostatin el: 1 cu: MICU cg: RN so: D5W vo: 0 v1: 50 du: mcghr sv: 100 su: ml rt: IV Drip
t0: [22:00:00 20/09/2012] id: HOB el: 0 cu: MICU cg: RN v1: 30 degrees st: NotStopd t0: [22:00:00 20/09/2012] id: Activity el: 0 cu: MICU cg: RN v1: Bedrest st: NotStopd t0: [22:00:00 20/09/2012] id: Activity Tolerance el: 0 cu: MICU cg: RN v1: Tolerated Well st: NotStopd t0: [22:00:00 20/09/2012] id: AntiEmbDevice/Status el: 0 cu: MICU cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [22:00:00 20/09/2012] id: Position el: 0 cu: MICU cg: RN v1: Right Side st: NotStopd t0: [22:00:00 20/09/2012] id: Assistance Device el: 0 cu: MICU cg: RN v1: 2 Person Assist st: NotStopd t0: [22:00:00 20/09/2012] id: Turn el: 0 cu: MICU cg: RN v1: Right Side st: NotStopd
t0: [22:15:00 20/09/2012] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [22:15:00 20/09/2012] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [22:15:00 20/09/2012] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [22:15:00 20/09/2012] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [22:15:00 20/09/2012] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [22:15:00 20/09/2012] id: Heart Rate el: 0 cu: MICU cg: RN v1: 93 u1: BPM st: NotStopd t0: [22:15:00 20/09/2012] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [22:15:00 20/09/2012] id: Arterial BP el: 0 cu: MICU cg: RN v1: 110 u1: mmHg v2: 56 u2: mmHg st: NotStopd t0: [22:15:00 20/09/2012] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 72 u1: mmHg st: NotStopd t0: [22:15:00 20/09/2012] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [22:15:00 20/09/2012] id: Previous WeightF el: 0 cu: MICU cg: RN v1: 84.2 u1: kg st: NotStopd t0: [22:15:00 20/09/2012] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 24 u1: BPM st: NotStopd t0: [22:15:00 20/09/2012] id: SpO2 el: 0 cu: MICU cg: RN v1: 100 u1: % st: NotStopd t0: [22:15:00 20/09/2012] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [22:15:00 20/09/2012] tf: [17:47:00 27/09/2012] dt: 9812 id: Fresh Frozen Plasma IV Infusions el: 1 cu: MICU cg: RN ai: 155 vo: 360 vu: ml nb: 1
t0: [22:15:00 20/09/2012] id: Propofol el: 1 cu: MICU cg: RN so: N/A vo: 0 v1: 50 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [22:15:00 20/09/2012] id: Sandostatin el: 1 cu: MICU cg: RN so: D5W vo: 0 v1: 50 du: mcghr sv: 100 su: ml rt: IV Drip
t0: [22:00:00 20/09/2012] id: Riker-SAS Scale el: 0 cu: MICU cg: RN v1: Sedated st: NotStopd
t0: [23:00:00 20/09/2012] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [23:00:00 20/09/2012] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [23:00:00 20/09/2012] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [23:00:00 20/09/2012] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [23:00:00 20/09/2012] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [23:00:00 20/09/2012] id: Heart Rate el: 0 cu: MICU cg: RN v1: 90 u1: BPM st: NotStopd t0: [23:00:00 20/09/2012] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [23:00:00 20/09/2012] id: Arterial BP el: 0 cu: MICU cg: RN v1: 116 u1: mmHg v2: 60 u2: mmHg st: NotStopd t0: [23:00:00 20/09/2012] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 78 u1: mmHg st: NotStopd t0: [23:00:00 20/09/2012] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [23:00:00 20/09/2012] id: Previous WeightF el: 0 cu: MICU cg: RN v1: 84.2 u1: kg st: NotStopd t0: [23:00:00 20/09/2012] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 17 u1: BPM st: NotStopd t0: [23:00:00 20/09/2012] id: SpO2 el: 0 cu: MICU cg: RN v1: 97 u1: % st: NotStopd t0: [23:00:00 20/09/2012] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [23:00:00 20/09/2012] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 25.26 vu: ml t0: [23:00:00 20/09/2012] id: D5W 100.0ml + 600mcghr Sandostatin IV Infusions el: 1 cu: MICU cg: RN ai: 189 vo: 8.33333 vu: ml t0: [23:00:00 20/09/2012] id: Fresh Frozen Plasma IV Infusions el: 1 cu: MICU cg: RN ai: 155 vo: 348 vu: ml
t0: [23:00:00 20/09/2012] id: Propofol el: 1 cu: MICU cg: RN so: N/A vo: 0 v1: 50 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [23:00:00 20/09/2012] id: Sandostatin el: 1 cu: MICU cg: RN so: D5W vo: 0 v1: 50 du: mcghr sv: 100 su: ml rt: IV Drip
t0: [00:00:00 21/09/2012] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [00:00:00 21/09/2012] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [00:00:00 21/09/2012] id: Riker-SAS Scale el: 0 cu: MICU cg: RN v1: Sedated st: NotStopd t0: [00:00:00 21/09/2012] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [00:00:00 21/09/2012] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [00:00:00 21/09/2012] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [00:00:00 21/09/2012] id: Heart Rate el: 0 cu: MICU cg: RN v1: 88 u1: BPM st: NotStopd t0: [00:00:00 21/09/2012] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [00:00:00 21/09/2012] id: Arterial BP el: 0 cu: MICU cg: RN v1: 118 u1: mmHg v2: 60 u2: mmHg st: NotStopd t0: [00:00:00 21/09/2012] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 79 u1: mmHg st: NotStopd t0: [00:00:00 21/09/2012] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [00:00:00 21/09/2012] id: Previous WeightF el: 0 cu: MICU cg: RN v1: 84.2 u1: kg st: NotStopd t0: [00:00:00 21/09/2012] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 17 u1: BPM st: NotStopd t0: [00:00:00 21/09/2012] id: SpO2 el: 0 cu: MICU cg: RN v1: 98 u1: % st: NotStopd t0: [00:00:00 21/09/2012] id: Temp. Site el: 0 cu: MICU cg: RN v1: Oral st: NotStopd t0: [00:00:00 21/09/2012] id: Temperature C (calc) el: 0 cu: MICU cg: RN v1: 36.3889 u1: Deg. C st: NotStopd t0: [00:00:00 21/09/2012] id: Temperature F el: 0 cu: MICU cg: RN v1: 97.5 u1: Deg. F st: NotStopd t0: [00:00:00 21/09/2012] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [00:00:00 21/09/2012] id: D5W 100.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 105 vo: 100 vu: ml t0: [00:00:00 21/09/2012] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 25.26 vu: ml t0: [00:00:00 21/09/2012] id: D5W 100.0ml + 600mcghr Sandostatin IV Infusions el: 1 cu: MICU cg: RN ai: 189 vo: 8.33333 vu: ml t0: [00:00:00 21/09/2012] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 125 vu: ml
t0: [00:00:00 21/09/2012] id: Propofol el: 1 cu: MICU cg: RN so: N/A vo: 0 v1: 50 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [00:00:00 21/09/2012] id: Sandostatin el: 1 cu: MICU cg: RN so: D5W vo: 0 v1: 50 du: mcghr sv: 100 su: ml rt: IV Drip
t0: [00:10:00 21/09/2012] id: WBC (4-11,000) Hematology el: 0 cu: MICU cg: 1663 v1: 14.5 rs: Final st: NotStopd t0: [00:10:00 21/09/2012] id: WBC Hematology el: 0 cu: MICU cg: 1663 v1: 14.5 rs: Final st: NotStopd t0: [00:10:00 21/09/2012] id: Hematocrit Hematology el: 0 cu: MICU cg: 1663 v1: 27.2 u1: % rs: Final st: NotStopd t0: [00:10:00 21/09/2012] id: Hemoglobin Hematology el: 0 cu: MICU cg: 1663 v1: 8.8 u1: gm/dl rs: Final st: NotStopd t0: [00:10:00 21/09/2012] id: Platelets Hematology el: 0 cu: MICU cg: 1663 v1: 107 rs: Final st: NotStopd t0: [00:10:00 21/09/2012] id: RBC Hematology el: 0 cu: MICU cg: 1663 v1: 2.93 u1: /mic l rs: Final st: NotStopd t0: [00:10:00 21/09/2012] id: WBC (4-11,000) Hematology el: 0 cu: MICU cg: 1663 v1: 14.5 rs: Final st: NotStopd
t0: [00:10:00 21/09/2012] id: PT el: 0 cu: MICU cg: 1663 v1: 15.9 rs: Final st: NotStopd t0: [00:10:00 21/09/2012] id: INR Coags el: 0 cu: MICU cg: 1663 v1: 1.7 rs: Final st: NotStopd t0: [00:10:00 21/09/2012] id: INR (2-4 ref. range) Coags el: 0 cu: MICU cg: 1663 v1: 1.7 rs: Final st: NotStopd t0: [00:10:00 21/09/2012] id: PT(11-13.5) Coags el: 0 cu: MICU cg: 1663 v1: 15.9 rs: Final st: NotStopd
t0: [01:00:00 21/09/2012] id: HI/Minute/Vol/Alarm el: 0 cu: MICU cg: RRT v1: 18 t0: [01:00:00 21/09/2012] id: ETT Mark/Location el: 0 cu: MICU cg: RRT v1: 23cm v2: Lip st: NotStopd t0: [01:00:00 21/09/2012] id: FiO2 Set el: 0 cu: MICU cg: RRT v1: 0.4 u1: torr st: NotStopd t0: [01:00:00 21/09/2012] id: High Insp. Pressure el: 0 cu: MICU cg: RRT v1: 35 u1: cmH2O st: NotStopd t0: [01:00:00 21/09/2012] id: High Resp. Rate el: 0 cu: MICU cg: RRT v1: 20 u1: BPM st: NotStopd t0: [01:00:00 21/09/2012] id: I:E Ratio el: 0 cu: MICU cg: RRT v1: 1:6 st: NotStopd t0: [01:00:00 21/09/2012] id: Airway Size el: 0 cu: MICU cg: RRT v1: 7.5 mm st: NotStopd t0: [01:00:00 21/09/2012] id: Airway Type el: 0 cu: MICU cg: RRT v1: Endotracheal st: NotStopd t0: [01:00:00 21/09/2012] id: Inspired Gas Temp el: 0 cu: MICU cg: RRT u1: Deg. C st: NotStopd t0: [01:00:00 21/09/2012] id: Intubation Date el: 0 cu: MICU cg: RRT v1: 8 v2: 27 st: NotStopd t0: [01:00:00 21/09/2012] id: Low Exhaled Min Vol el: 0 cu: MICU cg: RRT v1: 5 st: NotStopd t0: [01:00:00 21/09/2012] id: Minute Volume(Obser) el: 0 cu: MICU cg: RRT v1: 7.7 u1: L/min st: NotStopd t0: [01:00:00 21/09/2012] id: Apnea Time Interval el: 0 cu: MICU cg: RRT v1: 20 st: NotStopd t0: [01:00:00 21/09/2012] id: Peak Insp. Pressure el: 0 cu: MICU cg: RRT v1: 20 u1: cmH2O st: NotStopd t0: [01:00:00 21/09/2012] id: Plateau Pressure el: 0 cu: MICU cg: RRT v1: 19 u1: cmH2O st: NotStopd t0: [01:00:00 21/09/2012] id: Plateau-Off el: 0 cu: MICU cg: RRT v1: Yes st: NotStopd t0: [01:00:00 21/09/2012] id: Pressure Support el: 0 cu: MICU cg: RRT v1: 0 u1: . st: NotStopd t0: [01:00:00 21/09/2012] id: Resp Rate (Spont) el: 0 cu: MICU cg: RRT v1: 8 u1: BPM st: NotStopd t0: [01:00:00 21/09/2012] id: Resp Rate (Total) el: 0 cu: MICU cg: RRT v1: 16 u1: BPM st: NotStopd t0: [01:00:00 21/09/2012] id: Respiratory Rate Set el: 0 cu: MICU cg: RRT v1: 8 u1: BPM st: NotStopd t0: [01:00:00 21/09/2012] id: Sensitivity-Vent el: 0 cu: MICU cg: RRT v1: 3 u1: cmH2O st: NotStopd t0: [01:00:00 21/09/2012] id: SpO2 el: 0 cu: MICU cg: RRT v1: 99 u1: % st: NotStopd t0: [01:00:00 21/09/2012] id: Tidal Volume (Obser) el: 0 cu: MICU cg: RRT v1: 460 u1: ml/B st: NotStopd t0: [01:00:00 21/09/2012] id: Tidal Volume (Set) el: 0 cu: MICU cg: RRT v1: 500 u1: ml/B st: NotStopd t0: [01:00:00 21/09/2012] id: Tidal Volume (Spont) el: 0 cu: MICU cg: RRT v1: 0 u1: ml/B st: NotStopd t0: [01:00:00 21/09/2012] id: Ventilator Mode el: 0 cu: MICU cg: RRT v1: Assist Control st: NotStopd t0: [01:00:00 21/09/2012] id: Ventilator Type el: 0 cu: MICU cg: RRT v1: Drager st: NotStopd t0: [01:00:00 21/09/2012] id: Waveform-Vent el: 0 cu: MICU cg: RRT v1: RAMP st: NotStopd
t0: [00:10:00 21/09/2012] id: PTT Coags el: 0 cu: MICU cg: 1663 v1: 36 rs: Final st: NotStopd t0: [00:10:00 21/09/2012] id: PTT(22-35) Coags el: 0 cu: MICU cg: 1663 v1: 36 rs: Final st: NotStopd
t0: [01:00:00 21/09/2012] id: Less Restrict Meas. el: 0 cu: MICU cg: RN v1: Medicated st: NotStopd t0: [01:00:00 21/09/2012] id: Range of Motion el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [01:00:00 21/09/2012] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [01:00:00 21/09/2012] id: Circulation/SkinInt el: 0 cu: MICU cg: RN v1: Circulation Adeq st: NotStopd t0: [01:00:00 21/09/2012] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [01:00:00 21/09/2012] id: Cough Reflex el: 0 cu: MICU cg: RN v1: Intact st: NotStopd t0: [01:00:00 21/09/2012] id: GI Prophylaxis el: 0 cu: MICU cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [01:00:00 21/09/2012] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [01:00:00 21/09/2012] id: Diet Type el: 0 cu: MICU cg: RN v1: NPO st: NotStopd t0: [01:00:00 21/09/2012] id: Dorsal PedPulse R/L el: 0 cu: MICU cg: RN v1: Weak Palpable v2: Weak Palpable st: NotStopd t0: [01:00:00 21/09/2012] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [01:00:00 21/09/2012] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [01:00:00 21/09/2012] id: Eye Opening el: 0 cu: MICU cg: RN v1: 1 No Response st: NotStopd t0: [01:00:00 21/09/2012] id: Family Communication el: 0 cu: MICU cg: RN v1: Family Called st: NotStopd t0: [01:00:00 21/09/2012] id: Follows Commands el: 0 cu: MICU cg: RN v1: No st: NotStopd t0: [01:00:00 21/09/2012] id: GCS Total el: 0 cu: MICU cg: RN v1: 6 u1: points st: NotStopd t0: [01:00:00 21/09/2012] id: GI Intub #1/Site el: 0 cu: MICU cg: RN v1: Salem Sump v2: Right Nare st: NotStopd t0: [01:00:00 21/09/2012] id: GI#1 Tube PlaceCheck el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [01:00:00 21/09/2012] id: GI#1 Tube Stat/Drain el: 0 cu: MICU cg: RN v1: Clamped v2: Dark Red Blood st: NotStopd t0: [01:00:00 21/09/2012] id: Gag Reflex el: 0 cu: MICU cg: RN v1: Intact st: NotStopd t0: [01:00:00 21/09/2012] id: Heart Rate el: 0 cu: MICU cg: RN v1: 89 u1: BPM st: NotStopd t0: [01:00:00 21/09/2012] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [01:00:00 21/09/2012] id: INV Line#2 Type/Site el: 0 cu: MICU cg: RN v1: A-Line v2: Left Radial st: NotStopd t0: [01:00:00 21/09/2012] id: INV Line#2 Zero/Cal el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [01:00:00 21/09/2012] id: INV Line#2InsertDate el: 0 cu: MICU cg: RN v1: 8 v2: 27 st: NotStopd t0: [01:00:00 21/09/2012] id: INV Line#2SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [01:00:00 21/09/2012] id: INV Line#3 Type/Site el: 0 cu: MICU cg: RN v1: Multi-lumen v2: Right IJ st: NotStopd t0: [01:00:00 21/09/2012] id: INV Line#3InsertDate el: 0 cu: MICU cg: RN v1: 8 v2: 28 st: NotStopd t0: [01:00:00 21/09/2012] id: INV Line#3SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [01:00:00 21/09/2012] id: Abdominal Assessment el: 0 cu: MICU cg: RN v1: Soft Distended st: NotStopd t0: [01:00:00 21/09/2012] id: INV#2 WaveformAppear el: 0 cu: MICU cg: RN v1: Sharp st: NotStopd t0: [01:00:00 21/09/2012] id: IV #1 Insert Date el: 0 cu: MICU cg: RN v1: ? st: NotStopd t0: [01:00:00 21/09/2012] id: IV #1 Site/Size el: 0 cu: MICU cg: RN v1: Left Hand v2: 18 gauge st: NotStopd t0: [01:00:00 21/09/2012] id: IV #2 Insert Date el: 0 cu: MICU cg: RN v1: 8 v2: 28 st: NotStopd t0: [01:00:00 21/09/2012] id: IV #2 Site/Size el: 0 cu: MICU cg: RN v1: Left Antecub v2: 16 gauge st: NotStopd t0: [01:00:00 21/09/2012] id: IV #3 Insert Date el: 0 cu: MICU cg: RN v1: 8 v2: 28 st: NotStopd t0: [01:00:00 21/09/2012] id: IV #3 Site/Size el: 0 cu: MICU cg: RN v1: Right Antecub v2: 18 gauge st: NotStopd t0: [01:00:00 21/09/2012] id: IV Site Appear #1 el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [01:00:00 21/09/2012] id: IV Site Appear #2 el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [01:00:00 21/09/2012] id: IV Site Appear #3 el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [01:00:00 21/09/2012] id: LLL Lung Sounds el: 0 cu: MICU cg: RN v1: Diminished st: NotStopd t0: [01:00:00 21/09/2012] id: LUL Lung Sounds el: 0 cu: MICU cg: RN v1: Clear st: NotStopd t0: [01:00:00 21/09/2012] id: Level of Conscious el: 0 cu: MICU cg: RN v1: Sedated st: NotStopd t0: [01:00:00 21/09/2012] id: Motor Response el: 0 cu: MICU cg: RN v1: 4 Flex-withdraws st: NotStopd t0: [01:00:00 21/09/2012] id: Oral Cavity el: 0 cu: MICU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [01:00:00 21/09/2012] id: Orientation el: 0 cu: MICU cg: RN v1: Other/Remarks st: NotStopd t0: [01:00:00 21/09/2012] id: Arterial BP el: 0 cu: MICU cg: RN v1: 111 u1: mmHg v2: 57 u2: mmHg st: NotStopd t0: [01:00:00 21/09/2012] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 74 u1: mmHg st: NotStopd t0: [01:00:00 21/09/2012] id: Position Change el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [01:00:00 21/09/2012] id: PostTib. Pulses R/L el: 0 cu: MICU cg: RN v1: Weak Palpable v2: Weak Palpable st: NotStopd t0: [01:00:00 21/09/2012] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [01:00:00 21/09/2012] id: Previous WeightF el: 0 cu: MICU cg: RN v1: 84.2 u1: kg st: NotStopd t0: [01:00:00 21/09/2012] id: Pupil Size R/L el: 0 cu: MICU cg: RN v1: 3 mm v2: 3 mm st: NotStopd t0: [01:00:00 21/09/2012] id: RLL Lung Sounds el: 0 cu: MICU cg: RN v1: Diminished st: NotStopd t0: [01:00:00 21/09/2012] id: RUL Lung Sounds el: 0 cu: MICU cg: RN v1: Clear st: NotStopd t0: [01:00:00 21/09/2012] id: Reason For Restraint el: 0 cu: MICU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [01:00:00 21/09/2012] id: Removed x 5 Mins el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [01:00:00 21/09/2012] id: Respiratory Pattern el: 0 cu: MICU cg: RN v1: Regular st: NotStopd t0: [01:00:00 21/09/2012] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 17 u1: BPM st: NotStopd t0: [01:00:00 21/09/2012] id: Restraint Location el: 0 cu: MICU cg: RN v1: Both Arms st: NotStopd t0: [01:00:00 21/09/2012] id: Restraint Type el: 0 cu: MICU cg: RN v1: Soft Limb st: NotStopd t0: [01:00:00 21/09/2012] id: Restraints Evaluated el: 0 cu: MICU cg: RN v1: Behavior Conts st: NotStopd t0: [01:00:00 21/09/2012] id: Side Rails el: 0 cu: MICU cg: RN v1: Side Rails Up st: NotStopd t0: [01:00:00 21/09/2012] id: Skin Color el: 0 cu: MICU cg: RN v1: Jaundiced st: NotStopd t0: [01:00:00 21/09/2012] id: Skin Integrity el: 0 cu: MICU cg: RN v1: Intact st: NotStopd t0: [01:00:00 21/09/2012] id: Skin Temp/Condition el: 0 cu: MICU cg: RN v1: Warm v2: Dry st: NotStopd t0: [01:00:00 21/09/2012] id: Spontaneous Movement el: 0 cu: MICU cg: RN v1: Purposeful st: NotStopd t0: [01:00:00 21/09/2012] id: Support Systems el: 0 cu: MICU cg: RN v1: Spouse st: NotStopd t0: [01:00:00 21/09/2012] id: Urine Color/Appear el: 0 cu: MICU cg: RN v1: Amber v2: Clear st: NotStopd t0: [01:00:00 21/09/2012] id: Urine Source el: 0 cu: MICU cg: RN v1: Indwelling Cath st: NotStopd t0: [01:00:00 21/09/2012] id: Verbal Response el: 0 cu: MICU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [01:00:00 21/09/2012] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [01:00:00 21/09/2012] id: Bowel Sounds el: 0 cu: MICU cg: RN v1: Present st: NotStopd t0: [02:00:00 21/09/2012] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [02:00:00 21/09/2012] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [02:00:00 21/09/2012] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [02:00:00 21/09/2012] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [02:00:00 21/09/2012] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [02:00:00 21/09/2012] id: Heart Rate el: 0 cu: MICU cg: RN v1: 92 u1: BPM st: NotStopd t0: [02:00:00 21/09/2012] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [02:00:00 21/09/2012] id: Arterial BP el: 0 cu: MICU cg: RN v1: 99 u1: mmHg v2: 55 u2: mmHg st: NotStopd t0: [02:00:00 21/09/2012] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 68 u1: mmHg st: NotStopd t0: [02:00:00 21/09/2012] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [02:00:00 21/09/2012] id: Previous WeightF el: 0 cu: MICU cg: RN v1: 84.2 u1: kg st: NotStopd t0: [02:00:00 21/09/2012] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 24 u1: BPM st: NotStopd t0: [02:00:00 21/09/2012] id: SpO2 el: 0 cu: MICU cg: RN v1: 98 u1: % st: NotStopd t0: [02:00:00 21/09/2012] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [01:00:00 21/09/2012] id: D5W 100.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 105 vo: 100 vu: ml t0: [02:00:00 21/09/2012] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 50.52 vu: ml t0: [02:00:00 21/09/2012] id: D5W 100.0ml + 600mcghr Sandostatin IV Infusions el: 1 cu: MICU cg: RN ai: 189 vo: 16.6667 vu: ml t0: [02:00:00 21/09/2012] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 120 vu: ml
t0: [01:00:00 21/09/2012] id: Propofol el: 1 cu: MICU cg: RN so: N/A vo: 0 v1: 50 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [01:00:00 21/09/2012] id: Sandostatin el: 1 cu: MICU cg: RN so: D5W vo: 0 v1: 50 du: mcghr sv: 100 su: ml rt: IV Drip t0: [02:00:00 21/09/2012] id: Propofol el: 1 cu: MICU cg: RN so: N/A vo: 0 v1: 50 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [02:00:00 21/09/2012] id: Sandostatin el: 1 cu: MICU cg: RN so: D5W vo: 0 v1: 50 du: mcghr sv: 100 su: ml rt: IV Drip
t0: [03:00:00 21/09/2012] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [03:00:00 21/09/2012] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [03:00:00 21/09/2012] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [03:00:00 21/09/2012] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [03:00:00 21/09/2012] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [03:00:00 21/09/2012] id: Heart Rate el: 0 cu: MICU cg: RN v1: 89 u1: BPM st: NotStopd t0: [03:00:00 21/09/2012] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [03:00:00 21/09/2012] id: Arterial BP el: 0 cu: MICU cg: RN v1: 100 u1: mmHg v2: 51 u2: mmHg st: NotStopd t0: [03:00:00 21/09/2012] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 65 u1: mmHg st: NotStopd t0: [03:00:00 21/09/2012] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [03:00:00 21/09/2012] id: Previous WeightF el: 0 cu: MICU cg: RN v1: 84.2 u1: kg st: NotStopd t0: [03:00:00 21/09/2012] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 32 u1: BPM st: NotStopd t0: [03:00:00 21/09/2012] id: SpO2 el: 0 cu: MICU cg: RN v1: 97 u1: % st: NotStopd t0: [03:00:00 21/09/2012] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [03:00:00 21/09/2012] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 25.26 vu: ml t0: [03:00:00 21/09/2012] id: D5W 100.0ml + 600mcghr Sandostatin IV Infusions el: 1 cu: MICU cg: RN ai: 189 vo: 8.33333 vu: ml t0: [03:00:00 21/09/2012] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 80 vu: ml
t0: [03:00:00 21/09/2012] id: Propofol el: 1 cu: MICU cg: RN so: N/A vo: 0 v1: 50 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [03:00:00 21/09/2012] id: Sandostatin el: 1 cu: MICU cg: RN so: D5W vo: 0 v1: 50 du: mcghr sv: 100 su: ml rt: IV Drip
t0: [23:00:00 21/09/2012] dt: 1 id: Total Hourly Output el: 2 cu: MICU cg: RN cv: 0 ap: none t0: [23:00:00 21/09/2012] dt: 24 id: IV Infusion In Total el: 2 cu: MICU cg: RN cv: 1357.55 ap: none t0: [23:00:00 21/09/2012] dt: 24 id: Urine Out Total el: 2 cu: MICU cg: RN cv: 1770 ap: none t0: [23:00:00 21/09/2012] dt: 24 id: 24h Total Out el: 2 cu: MICU cg: RN cv: 1770 ap: none
io: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: RN ra: 10 ru: ml/hr
id: .9% Normal Saline el: 1 cu: MICU cg: RN io: .9% Normal Saline 1000.0ml IV Infusions vo: 1000 du: ml rt: Intravenous Push
t0: [03:30:00 21/09/2012] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [03:30:00 21/09/2012] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [03:30:00 21/09/2012] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [03:30:00 21/09/2012] id: Heart Rate el: 0 cu: MICU cg: RN v1: 87 u1: BPM st: NotStopd t0: [03:30:00 21/09/2012] id: Arterial BP el: 0 cu: MICU cg: RN v1: 102 u1: mmHg v2: 51 u2: mmHg st: NotStopd t0: [03:30:00 21/09/2012] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 66 u1: mmHg st: NotStopd t0: [03:30:00 21/09/2012] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [03:30:00 21/09/2012] id: Previous WeightF el: 0 cu: MICU cg: RN v1: 84.2 u1: kg st: NotStopd t0: [03:30:00 21/09/2012] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 30 u1: BPM st: NotStopd t0: [03:30:00 21/09/2012] id: SpO2 el: 0 cu: MICU cg: RN v1: 98 u1: % st: NotStopd t0: [03:30:00 21/09/2012] id: Temp. Site el: 0 cu: MICU cg: RN v1: Axillary st: NotStopd t0: [03:30:00 21/09/2012] id: Temperature C (calc) el: 0 cu: MICU cg: RN v1: 36.4444 u1: Deg. C st: NotStopd t0: [03:30:00 21/09/2012] id: Temperature F el: 0 cu: MICU cg: RN v1: 97.6 u1: Deg. F st: NotStopd t0: [03:30:00 21/09/2012] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [04:00:00 21/09/2012] id: Previous Weight el: 0 cu: MICU cg: RN v1: 84.2 u1: kg st: NotStopd
t0: [03:30:00 21/09/2012] id: Fresh Frozen Plasma IV Infusions el: 1 cu: MICU cg: RN ai: 155 vu: ml nb: 1
t0: [03:30:00 21/09/2012] id: Propofol el: 1 cu: MICU cg: RN so: N/A vo: 0 v1: 50 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [03:30:00 21/09/2012] id: Sandostatin el: 1 cu: MICU cg: RN so: D5W vo: 0 v1: 50 du: mcghr sv: 100 su: ml rt: IV Drip
t0: [03:50:00 21/09/2012] id: Fresh Frozen Plasma IV Infusions el: 1 cu: MICU cg: RN ai: 155 vo: 325 vu: ml nb: 1
t0: [04:00:00 21/09/2012] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [04:00:00 21/09/2012] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [04:00:00 21/09/2012] id: Riker-SAS Scale el: 0 cu: MICU cg: RN v1: Sedated st: NotStopd t0: [04:00:00 21/09/2012] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [04:00:00 21/09/2012] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [04:00:00 21/09/2012] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [04:00:00 21/09/2012] id: Heart Rate el: 0 cu: MICU cg: RN v1: 89 u1: BPM st: NotStopd t0: [04:00:00 21/09/2012] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [04:00:00 21/09/2012] id: Arterial BP el: 0 cu: MICU cg: RN v1: 101 u1: mmHg v2: 55 u2: mmHg st: NotStopd t0: [04:00:00 21/09/2012] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 68 u1: mmHg st: NotStopd t0: [04:00:00 21/09/2012] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [04:00:00 21/09/2012] id: Previous WeightF el: 0 cu: MICU cg: RN v1: 84.2 u1: kg st: NotStopd t0: [04:00:00 21/09/2012] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 34 u1: BPM st: NotStopd t0: [04:00:00 21/09/2012] id: SpO2 el: 0 cu: MICU cg: RN v1: 96 u1: % st: NotStopd t0: [04:00:00 21/09/2012] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [04:00:00 21/09/2012] tf: [06:30:00 21/09/2012] dt: 150 id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 107 vu: ml nb: 1 t0: [04:00:00 21/09/2012] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 10 vu: ml t0: [04:00:00 21/09/2012] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 25.26 vu: ml t0: [04:00:00 21/09/2012] id: D5W 100.0ml + 600mcghr Sandostatin IV Infusions el: 1 cu: MICU cg: RN ai: 189 vo: 8.33333 vu: ml t0: [04:00:00 21/09/2012] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 60 vu: ml
t0: [04:00:00 21/09/2012] id: Propofol el: 1 cu: MICU cg: RN so: N/A vo: 0 v1: 50 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [04:00:00 21/09/2012] id: Sandostatin el: 1 cu: MICU cg: RN so: D5W vo: 0 v1: 50 du: mcghr sv: 100 su: ml rt: IV Drip
t0: [01:00:00 21/09/2012] id: Compliance (40-60ml) el: 0 cu: MICU cg: RRT v1: 33.3333 u1: ml/cmH st: NotStopd t0: [01:00:00 21/09/2012] id: Mean Airway Pressure el: 0 cu: MICU cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [01:00:00 21/09/2012] id: PEEP Set el: 0 cu: MICU cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [04:00:00 21/09/2012] id: HI/Minute/Vol/Alarm el: 0 cu: MICU cg: RRT v1: 18 t0: [04:00:00 21/09/2012] id: Compliance (40-60ml) el: 0 cu: MICU cg: RRT v1: 35.7143 u1: ml/cmH st: NotStopd t0: [04:00:00 21/09/2012] id: ETT Mark/Location el: 0 cu: MICU cg: RRT v1: 23cm v2: Lip st: NotStopd t0: [04:00:00 21/09/2012] id: FiO2 Set el: 0 cu: MICU cg: RRT v1: 0.4 u1: torr st: NotStopd t0: [04:00:00 21/09/2012] id: High Insp. Pressure el: 0 cu: MICU cg: RRT v1: 35 u1: cmH2O st: NotStopd t0: [04:00:00 21/09/2012] id: High Resp. Rate el: 0 cu: MICU cg: RRT v1: 20 u1: BPM st: NotStopd t0: [04:00:00 21/09/2012] id: I:E Ratio el: 0 cu: MICU cg: RRT v1: 1:6 st: NotStopd t0: [04:00:00 21/09/2012] id: Airway Size el: 0 cu: MICU cg: RRT v1: 7.5 mm st: NotStopd t0: [04:00:00 21/09/2012] id: Airway Type el: 0 cu: MICU cg: RRT v1: Endotracheal st: NotStopd t0: [04:00:00 21/09/2012] id: Inspired Gas Temp el: 0 cu: MICU cg: RRT u1: Deg. C st: NotStopd t0: [04:00:00 21/09/2012] id: Intubation Date el: 0 cu: MICU cg: RRT v1: 8 v2: 27 st: NotStopd t0: [04:00:00 21/09/2012] id: Low Exhaled Min Vol el: 0 cu: MICU cg: RRT v1: 5 st: NotStopd t0: [04:00:00 21/09/2012] id: Mean Airway Pressure el: 0 cu: MICU cg: RRT v1: 9 u1: cmH2O st: NotStopd t0: [04:00:00 21/09/2012] id: Minute Volume(Obser) el: 0 cu: MICU cg: RRT v1: 9.5 u1: L/min st: NotStopd t0: [04:00:00 21/09/2012] id: PEEP Set el: 0 cu: MICU cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [04:00:00 21/09/2012] id: Apnea Time Interval el: 0 cu: MICU cg: RRT v1: 20 st: NotStopd t0: [04:00:00 21/09/2012] id: Peak Insp. Pressure el: 0 cu: MICU cg: RRT v1: 19 u1: cmH2O st: NotStopd t0: [04:00:00 21/09/2012] id: Plateau Pressure el: 0 cu: MICU cg: RRT v1: 17 u1: cmH2O st: NotStopd t0: [04:00:00 21/09/2012] id: Plateau-Off el: 0 cu: MICU cg: RRT v1: Yes st: NotStopd t0: [04:00:00 21/09/2012] id: Pressure Support el: 0 cu: MICU cg: RRT v1: 0 u1: . st: NotStopd t0: [04:00:00 21/09/2012] id: Resp Rate (Spont) el: 0 cu: MICU cg: RRT v1: 13 u1: BPM st: NotStopd t0: [04:00:00 21/09/2012] id: Resp Rate (Total) el: 0 cu: MICU cg: RRT v1: 21 u1: BPM st: NotStopd t0: [04:00:00 21/09/2012] id: Respiratory Rate Set el: 0 cu: MICU cg: RRT v1: 8 u1: BPM st: NotStopd t0: [04:00:00 21/09/2012] id: Sensitivity-Vent el: 0 cu: MICU cg: RRT v1: 3 u1: cmH2O st: NotStopd t0: [04:00:00 21/09/2012] id: Spon RR (Mech.) el: 0 cu: MICU cg: RRT v1: 23 u1: BPM st: NotStopd t0: [04:00:00 21/09/2012] id: Spon. Vt (L) (Mech.) el: 0 cu: MICU cg: RRT v1: 0.265 u1: L st: NotStopd t0: [04:00:00 21/09/2012] id: Tidal Volume (Obser) el: 0 cu: MICU cg: RRT v1: 474 u1: ml/B st: NotStopd t0: [04:00:00 21/09/2012] id: Tidal Volume (Set) el: 0 cu: MICU cg: RRT v1: 500 u1: ml/B st: NotStopd t0: [04:00:00 21/09/2012] id: Tidal Volume (Spont) el: 0 cu: MICU cg: RRT v1: 0 u1: ml/B st: NotStopd t0: [04:00:00 21/09/2012] id: Ventilator Mode el: 0 cu: MICU cg: RRT v1: Assist Control st: NotStopd t0: [04:00:00 21/09/2012] id: Ventilator Type el: 0 cu: MICU cg: RRT v1: Drager st: NotStopd t0: [04:00:00 21/09/2012] id: Waveform-Vent el: 0 cu: MICU cg: RRT v1: RAMP st: NotStopd
t0: [04:00:00 21/09/2012] id: Sputum Color/Consist el: 0 cu: MICU cg: RRT v1: Tan v2: Thick st: NotStopd t0: [04:00:00 21/09/2012] id: Sputum Source/Amt el: 0 cu: MICU cg: RRT v1: Suctioned v2: Small st: NotStopd
t0: [04:00:00 21/09/2012] id: RSBI (<100) el: 0 cu: MICU cg: RRT v1: 86.7925 u1: units st: NotStopd t0: [04:00:00 21/09/2012] id: RSBI (<200) el: 0 cu: MICU cg: RRT v1: 86.7925 u1: units st: NotStopd
t0: [04:30:00 21/09/2012] id: Fresh Frozen Plasma IV Infusions el: 1 cu: MICU cg: RN ai: 155 vo: 325 vu: ml
t0: [01:00:00 21/09/2012] id: HOB el: 0 cu: MICU cg: RN v1: 30 degrees st: NotStopd t0: [01:00:00 21/09/2012] id: Activity el: 0 cu: MICU cg: RN v1: Bedrest st: NotStopd t0: [01:00:00 21/09/2012] id: Activity Tolerance el: 0 cu: MICU cg: RN v1: Tolerated Well st: NotStopd t0: [01:00:00 21/09/2012] id: Position el: 0 cu: MICU cg: RN v1: Supine st: NotStopd t0: [01:00:00 21/09/2012] id: Assistance Device el: 0 cu: MICU cg: RN v1: 1 Person Assist st: NotStopd t0: [01:00:00 21/09/2012] id: Turn el: 0 cu: MICU cg: RN v1: Back st: NotStopd t0: [04:30:00 21/09/2012] id: Less Restrict Meas. el: 0 cu: MICU cg: RN v1: Medicated st: NotStopd t0: [04:30:00 21/09/2012] id: Range of Motion el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [04:30:00 21/09/2012] id: Circulation/SkinInt el: 0 cu: MICU cg: RN v1: Circulation Adeq st: NotStopd t0: [04:30:00 21/09/2012] id: Cough Reflex el: 0 cu: MICU cg: RN v1: Intact st: NotStopd t0: [04:30:00 21/09/2012] id: GI Prophylaxis el: 0 cu: MICU cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [04:30:00 21/09/2012] id: Diet Type el: 0 cu: MICU cg: RN v1: NPO st: NotStopd t0: [04:30:00 21/09/2012] id: Dorsal PedPulse R/L el: 0 cu: MICU cg: RN v1: Weak Palpable v2: Weak Palpable st: NotStopd t0: [04:30:00 21/09/2012] id: Eye Opening el: 0 cu: MICU cg: RN v1: 1 No Response st: NotStopd t0: [04:30:00 21/09/2012] id: Follows Commands el: 0 cu: MICU cg: RN v1: No st: NotStopd t0: [04:30:00 21/09/2012] id: GCS Total el: 0 cu: MICU cg: RN v1: 6 u1: points st: NotStopd t0: [04:30:00 21/09/2012] id: GI Intub #1/Site el: 0 cu: MICU cg: RN v1: Salem Sump v2: Right Nare st: NotStopd t0: [04:30:00 21/09/2012] id: GI#1 Tube Stat/Drain el: 0 cu: MICU cg: RN v1: Clamped st: NotStopd t0: [04:30:00 21/09/2012] id: Gag Reflex el: 0 cu: MICU cg: RN v1: Intact st: NotStopd t0: [04:30:00 21/09/2012] id: INV Line#2 Type/Site el: 0 cu: MICU cg: RN v1: A-Line v2: Left Radial st: NotStopd t0: [04:30:00 21/09/2012] id: INV Line#2InsertDate el: 0 cu: MICU cg: RN v1: 8 v2: 27 st: NotStopd t0: [04:30:00 21/09/2012] id: INV Line#2SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [04:30:00 21/09/2012] id: INV Line#3 Type/Site el: 0 cu: MICU cg: RN v1: Multi-lumen v2: Right IJ st: NotStopd t0: [04:30:00 21/09/2012] id: INV Line#3InsertDate el: 0 cu: MICU cg: RN v1: 8 v2: 28 st: NotStopd t0: [04:30:00 21/09/2012] id: INV Line#3SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [04:30:00 21/09/2012] id: Abdominal Assessment el: 0 cu: MICU cg: RN v1: Soft Distended st: NotStopd t0: [04:30:00 21/09/2012] id: INV#2 WaveformAppear el: 0 cu: MICU cg: RN v1: Sharp st: NotStopd t0: [04:30:00 21/09/2012] id: IV #1 Insert Date el: 0 cu: MICU cg: RN v1: ? st: NotStopd t0: [04:30:00 21/09/2012] id: IV #1 Site/Size el: 0 cu: MICU cg: RN v1: Left Hand v2: 18 gauge st: NotStopd t0: [04:30:00 21/09/2012] id: IV #2 Insert Date el: 0 cu: MICU cg: RN v1: 8 v2: 28 st: NotStopd t0: [04:30:00 21/09/2012] id: IV #2 Site/Size el: 0 cu: MICU cg: RN v1: RU Ant Forearm v2: 16 gauge st: NotStopd t0: [04:30:00 21/09/2012] id: IV #3 Insert Date el: 0 cu: MICU cg: RN v1: 8 v2: 28 st: NotStopd t0: [04:30:00 21/09/2012] id: IV #3 Site/Size el: 0 cu: MICU cg: RN v1: Right Antecub v2: 18 gauge st: NotStopd t0: [04:30:00 21/09/2012] id: IV Site Appear #1 el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [04:30:00 21/09/2012] id: IV Site Appear #2 el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [04:30:00 21/09/2012] id: IV Site Appear #3 el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [04:30:00 21/09/2012] id: LLL Lung Sounds el: 0 cu: MICU cg: RN v1: Diminished st: NotStopd t0: [04:30:00 21/09/2012] id: LUL Lung Sounds el: 0 cu: MICU cg: RN v1: Clear st: NotStopd t0: [04:30:00 21/09/2012] id: Level of Conscious el: 0 cu: MICU cg: RN v1: Sedated st: NotStopd t0: [04:30:00 21/09/2012] id: Motor Response el: 0 cu: MICU cg: RN v1: 4 Flex-withdraws st: NotStopd t0: [04:30:00 21/09/2012] id: Oral Cavity el: 0 cu: MICU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [04:30:00 21/09/2012] id: Orientation el: 0 cu: MICU cg: RN v1: Other/Remarks st: NotStopd t0: [04:30:00 21/09/2012] id: Position Change el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [04:30:00 21/09/2012] id: PostTib. Pulses R/L el: 0 cu: MICU cg: RN v1: Weak Palpable v2: Weak Palpable st: NotStopd t0: [04:30:00 21/09/2012] id: Pupil Size R/L el: 0 cu: MICU cg: RN v1: 3 mm v2: 3 mm st: NotStopd t0: [04:30:00 21/09/2012] id: RLL Lung Sounds el: 0 cu: MICU cg: RN v1: Diminished st: NotStopd t0: [04:30:00 21/09/2012] id: RUL Lung Sounds el: 0 cu: MICU cg: RN v1: Clear st: NotStopd t0: [04:30:00 21/09/2012] id: Reason For Restraint el: 0 cu: MICU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [04:30:00 21/09/2012] id: Removed x 5 Mins el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [04:30:00 21/09/2012] id: Respiratory Pattern el: 0 cu: MICU cg: RN v1: Regular st: NotStopd t0: [04:30:00 21/09/2012] id: Restraint Location el: 0 cu: MICU cg: RN v1: Both Arms st: NotStopd t0: [04:30:00 21/09/2012] id: Restraint Type el: 0 cu: MICU cg: RN v1: Soft Limb st: NotStopd t0: [04:30:00 21/09/2012] id: Restraints Evaluated el: 0 cu: MICU cg: RN v1: Behavior Conts st: NotStopd t0: [04:30:00 21/09/2012] id: Side Rails el: 0 cu: MICU cg: RN v1: Side Rails Up st: NotStopd t0: [04:30:00 21/09/2012] id: Skin Color el: 0 cu: MICU cg: RN v1: Jaundiced st: NotStopd t0: [04:30:00 21/09/2012] id: Skin Integrity el: 0 cu: MICU cg: RN v1: Intact st: NotStopd t0: [04:30:00 21/09/2012] id: Skin Temp/Condition el: 0 cu: MICU cg: RN v1: Warm v2: Dry st: NotStopd t0: [04:30:00 21/09/2012] id: Spontaneous Movement el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [04:30:00 21/09/2012] id: Support Systems el: 0 cu: MICU cg: RN v1: Spouse st: NotStopd t0: [04:30:00 21/09/2012] id: Urine Color/Appear el: 0 cu: MICU cg: RN v1: Amber v2: Clear st: NotStopd t0: [04:30:00 21/09/2012] id: Urine Source el: 0 cu: MICU cg: RN v1: Indwelling Cath st: NotStopd t0: [04:30:00 21/09/2012] id: Verbal Response el: 0 cu: MICU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [04:30:00 21/09/2012] id: Bowel Sounds el: 0 cu: MICU cg: RN v1: Present st: NotStopd
t0: [04:47:00 21/09/2012] id: Art.pH ABG el: 0 cu: MICU cg: 1663 v1: 7.45 rs: Final st: NotStopd t0: [04:47:00 21/09/2012] id: Arterial Base Excess ABG el: 0 cu: MICU cg: 1663 v1: 2 rs: Final st: NotStopd t0: [04:47:00 21/09/2012] id: Arterial CO2(Calc) ABG el: 0 cu: MICU cg: 1663 v1: 28 rs: Final st: NotStopd t0: [04:47:00 21/09/2012] id: Arterial PaCO2 ABG el: 0 cu: MICU cg: 1663 v1: 39 u1: mmHg rs: Final st: NotStopd t0: [04:47:00 21/09/2012] id: Arterial PaO2 ABG el: 0 cu: MICU cg: 1663 v1: 62 u1: mmHg rs: Final st: NotStopd t0: [04:47:00 21/09/2012] id: Arterial pH ABG el: 0 cu: MICU cg: 1663 v1: 7.45 rs: Final st: NotStopd t0: [04:47:00 21/09/2012] id: Ionized Calcium Chemistry el: 0 cu: MICU cg: 1663 v1: 1.1 rs: Final st: NotStopd
t0: [05:00:00 21/09/2012] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [05:00:00 21/09/2012] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [05:00:00 21/09/2012] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [05:00:00 21/09/2012] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [05:00:00 21/09/2012] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [05:00:00 21/09/2012] id: Heart Rate el: 0 cu: MICU cg: RN v1: 85 u1: BPM st: NotStopd t0: [05:00:00 21/09/2012] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [05:00:00 21/09/2012] id: Arterial BP el: 0 cu: MICU cg: RN v1: 111 u1: mmHg v2: 56 u2: mmHg st: NotStopd t0: [05:00:00 21/09/2012] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 74 u1: mmHg st: NotStopd t0: [05:00:00 21/09/2012] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [05:00:00 21/09/2012] id: Previous WeightF el: 0 cu: MICU cg: RN v1: 84.2 u1: kg st: NotStopd t0: [05:00:00 21/09/2012] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 29 u1: BPM st: NotStopd t0: [05:00:00 21/09/2012] id: SpO2 el: 0 cu: MICU cg: RN v1: 96 u1: % st: NotStopd t0: [05:00:00 21/09/2012] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [05:00:00 21/09/2012] id: D5W 100.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 105 vo: 100 vu: ml t0: [05:00:00 21/09/2012] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 10 vu: ml t0: [05:00:00 21/09/2012] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 25.26 vu: ml t0: [05:00:00 21/09/2012] id: D5W 100.0ml + 600mcghr Sandostatin IV Infusions el: 1 cu: MICU cg: RN ai: 189 vo: 8.33333 vu: ml t0: [05:00:00 21/09/2012] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 60 vu: ml
t0: [05:00:00 21/09/2012] id: Propofol el: 1 cu: MICU cg: RN so: N/A vo: 0 v1: 50 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [05:00:00 21/09/2012] id: Sandostatin el: 1 cu: MICU cg: RN so: D5W vo: 0 v1: 50 du: mcghr sv: 100 su: ml rt: IV Drip
t0: [05:10:00 21/09/2012] id: FiO2 Set el: 0 cu: MICU cg: RRT v1: 0.5 u1: torr st: NotStopd t0: [05:10:00 21/09/2012] id: SpO2 el: 0 cu: MICU cg: RRT v1: 98 u1: % st: NotStopd
t0: [04:30:00 21/09/2012] id: PT el: 0 cu: MICU cg: 1663 v1: 15.9 rs: Final st: NotStopd t0: [04:30:00 21/09/2012] id: Fibrinogen Coags el: 0 cu: MICU cg: 1663 v1: 316 rs: Final st: NotStopd t0: [04:30:00 21/09/2012] id: INR Coags el: 0 cu: MICU cg: 1663 v1: 1.7 rs: Final st: NotStopd t0: [04:30:00 21/09/2012] id: PTT Coags el: 0 cu: MICU cg: 1663 v1: 35.5 rs: Final st: NotStopd t0: [04:30:00 21/09/2012] id: Fibrinogen (150-400) Coags el: 0 cu: MICU cg: 1663 v1: 316 rs: Final st: NotStopd t0: [04:30:00 21/09/2012] id: INR (2-4 ref. range) Coags el: 0 cu: MICU cg: 1663 v1: 1.7 rs: Final st: NotStopd t0: [04:30:00 21/09/2012] id: PT(11-13.5) Coags el: 0 cu: MICU cg: 1663 v1: 15.9 rs: Final st: NotStopd t0: [04:30:00 21/09/2012] id: PTT(22-35) Coags el: 0 cu: MICU cg: 1663 v1: 35.5 rs: Final st: NotStopd
t0: [04:30:00 21/09/2012] id: WBC (4-11,000) Hematology el: 0 cu: MICU cg: 1663 v1: 13.4 rs: Final st: NotStopd t0: [04:30:00 21/09/2012] id: WBC Hematology el: 0 cu: MICU cg: 1663 v1: 13.4 rs: Final st: NotStopd t0: [04:30:00 21/09/2012] id: Hematocrit Hematology el: 0 cu: MICU cg: 1663 v1: 25 u1: % rs: Final st: NotStopd t0: [04:30:00 21/09/2012] id: Hemoglobin Hematology el: 0 cu: MICU cg: 1663 v1: 8.1 u1: gm/dl rs: Final st: NotStopd t0: [04:30:00 21/09/2012] id: Platelets Hematology el: 0 cu: MICU cg: 1663 v1: 103 rs: Final st: NotStopd t0: [04:30:00 21/09/2012] id: RBC Hematology el: 0 cu: MICU cg: 1663 v1: 2.68 u1: /mic l rs: Final st: NotStopd t0: [04:30:00 21/09/2012] id: WBC (4-11,000) Hematology el: 0 cu: MICU cg: 1663 v1: 13.4 rs: Final st: NotStopd
t0: [05:45:00 21/09/2012] id: PEEP Set el: 0 cu: MICU cg: RRT v1: 8 u1: cmH2O st: NotStopd
t0: [04:30:00 21/09/2012] id: BUN el: 0 cu: MICU cg: 1663 v1: 7 rs: Final st: NotStopd t0: [04:30:00 21/09/2012] id: Calcium Chemistry el: 0 cu: MICU cg: 1663 v1: 8.6 u1: mg/dl rs: Final st: NotStopd t0: [04:30:00 21/09/2012] id: Chloride Chemistry el: 0 cu: MICU cg: 1663 v1: 98 rs: Final st: NotStopd t0: [04:30:00 21/09/2012] id: Creatinine Chemistry el: 0 cu: MICU cg: 1663 v1: 0.7 rs: Final st: NotStopd t0: [04:30:00 21/09/2012] id: Glucose Chemistry el: 0 cu: MICU cg: 1663 v1: 76 rs: Final st: NotStopd t0: [04:30:00 21/09/2012] id: Magnesium Chemistry el: 0 cu: MICU cg: 1663 v1: 1.7 rs: Final st: NotStopd t0: [04:30:00 21/09/2012] id: Phosphorous Chemistry el: 0 cu: MICU cg: 1663 v1: 2.7 u1: mEq/L rs: Final st: NotStopd t0: [04:30:00 21/09/2012] id: Potassium Chemistry el: 0 cu: MICU cg: 1663 v1: 3.5 rs: Final st: NotStopd t0: [04:30:00 21/09/2012] id: Sodium Chemistry el: 0 cu: MICU cg: 1663 v1: 132 rs: Final st: NotStopd t0: [04:30:00 21/09/2012] id: Total Bili Chemistry el: 0 cu: MICU cg: 1663 v1: 11.2 rs: Final st: NotStopd t0: [04:30:00 21/09/2012] id: ALT Enzymes el: 0 cu: MICU cg: 1663 v1: 48 rs: Final st: NotStopd t0: [04:30:00 21/09/2012] id: AST Enzymes el: 0 cu: MICU cg: 1663 v1: 53 rs: Final st: NotStopd t0: [04:30:00 21/09/2012] id: Alk. Phosphate Enzymes el: 0 cu: MICU cg: 1663 v1: 148 rs: Final st: NotStopd t0: [04:30:00 21/09/2012] id: BUN (6-20) Chemistry el: 0 cu: MICU cg: 1663 v1: 7 rs: Final st: NotStopd t0: [04:30:00 21/09/2012] id: Calcium (8.4-10.2) Chemistry el: 0 cu: MICU cg: 1663 v1: 8.6 u1: mg/dl rs: Final st: NotStopd t0: [04:30:00 21/09/2012] id: Carbon Dioxide Chemistry el: 0 cu: MICU cg: 1663 v1: 25 rs: Final st: NotStopd t0: [04:30:00 21/09/2012] id: Chloride (100-112) Chemistry el: 0 cu: MICU cg: 1663 v1: 98 rs: Final st: NotStopd t0: [04:30:00 21/09/2012] id: Creatinine (0-1.3) Chemistry el: 0 cu: MICU cg: 1663 v1: 0.7 rs: Final st: NotStopd t0: [04:30:00 21/09/2012] id: Glucose (70-105) Chemistry el: 0 cu: MICU cg: 1663 v1: 76 rs: Final st: NotStopd t0: [04:30:00 21/09/2012] id: Magnesium (1.6-2.6) Chemistry el: 0 cu: MICU cg: 1663 v1: 1.7 rs: Final st: NotStopd t0: [04:30:00 21/09/2012] id: Phosphorous(2.7-4.5) Chemistry el: 0 cu: MICU cg: 1663 v1: 2.7 u1: mEq/L rs: Final st: NotStopd t0: [04:30:00 21/09/2012] id: Potassium (3.5-5.3) Chemistry el: 0 cu: MICU cg: 1663 v1: 3.5 rs: Final st: NotStopd t0: [04:30:00 21/09/2012] id: Sodium (135-148) Chemistry el: 0 cu: MICU cg: 1663 v1: 132 rs: Final st: NotStopd t0: [04:30:00 21/09/2012] id: Total Bili (0-1.5) Chemistry el: 0 cu: MICU cg: 1663 v1: 11.2 rs: Final st: NotStopd
t0: [06:00:00 21/09/2012] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [06:00:00 21/09/2012] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [06:00:00 21/09/2012] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [06:00:00 21/09/2012] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [06:00:00 21/09/2012] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [06:00:00 21/09/2012] id: Heart Rate el: 0 cu: MICU cg: RN v1: 81 u1: BPM st: NotStopd t0: [06:00:00 21/09/2012] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [06:00:00 21/09/2012] id: Arterial BP el: 0 cu: MICU cg: RN v1: 104 u1: mmHg v2: 51 u2: mmHg st: NotStopd t0: [06:00:00 21/09/2012] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 67 u1: mmHg st: NotStopd t0: [06:00:00 21/09/2012] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [06:00:00 21/09/2012] id: Previous WeightF el: 0 cu: MICU cg: RN v1: 84.2 u1: kg st: NotStopd t0: [06:00:00 21/09/2012] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 22 u1: BPM st: NotStopd t0: [06:00:00 21/09/2012] id: SpO2 el: 0 cu: MICU cg: RN v1: 99 u1: % st: NotStopd t0: [06:00:00 21/09/2012] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [06:00:00 21/09/2012] id: Propofol el: 1 cu: MICU cg: RN so: N/A vo: 0 v1: 50 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [06:00:00 21/09/2012] id: Sandostatin el: 1 cu: MICU cg: RN so: D5W vo: 0 v1: 50 du: mcghr sv: 100 su: ml rt: IV Drip
t0: [06:30:00 21/09/2012] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [06:30:00 21/09/2012] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [06:30:00 21/09/2012] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [06:30:00 21/09/2012] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [06:30:00 21/09/2012] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [06:30:00 21/09/2012] id: Heart Rate el: 0 cu: MICU cg: RN v1: 83 u1: BPM st: NotStopd t0: [06:30:00 21/09/2012] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [06:30:00 21/09/2012] id: Arterial BP el: 0 cu: MICU cg: RN v1: 111 u1: mmHg v2: 57 u2: mmHg st: NotStopd t0: [06:30:00 21/09/2012] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 74 u1: mmHg st: NotStopd t0: [06:30:00 21/09/2012] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [06:30:00 21/09/2012] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 18 u1: BPM st: NotStopd t0: [06:30:00 21/09/2012] id: SpO2 el: 0 cu: MICU cg: RN v1: 99 u1: % st: NotStopd t0: [06:30:00 21/09/2012] id: Temp. Site el: 0 cu: MICU cg: RN v1: Axillary st: NotStopd t0: [06:30:00 21/09/2012] id: Temperature C (calc) el: 0 cu: MICU cg: RN v1: 36.2222 u1: Deg. C st: NotStopd t0: [06:30:00 21/09/2012] id: Temperature F el: 0 cu: MICU cg: RN v1: 97.2 u1: Deg. F st: NotStopd t0: [06:30:00 21/09/2012] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [06:30:00 21/09/2012] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 15 vu: ml st: Stopped t0: [06:30:00 21/09/2012] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 37.89 vu: ml t0: [06:30:00 21/09/2012] id: Packed RBC's IV Infusions el: 1 cu: MICU cg: RN ai: 107 vu: ml nb: 1 t0: [06:30:00 21/09/2012] id: D5W 100.0ml + 600mcghr Sandostatin IV Infusions el: 1 cu: MICU cg: RN ai: 189 vo: 12.5 vu: ml t0: [06:30:00 21/09/2012] id: Gastric Meds PO/Gastric el: 1 cu: MICU cg: RN ai: 155 vu: ml
t0: [06:30:00 21/09/2012] id: Propofol el: 1 cu: MICU cg: RN so: N/A vo: 0 v1: 50 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [06:30:00 21/09/2012] id: Sandostatin el: 1 cu: MICU cg: RN so: D5W vo: 0 v1: 50 du: mcghr sv: 100 su: ml rt: IV Drip
t0: [06:54:00 21/09/2012] id: Art.pH ABG el: 0 cu: MICU cg: 1663 v1: 7.42 rs: Final st: NotStopd t0: [06:54:00 21/09/2012] id: CaO2 el: 0 cu: MICU cg: 1663 v1: 11.04 u1: ml/dl st: NotStopd t0: [06:54:00 21/09/2012] id: Arterial Base Excess ABG el: 0 cu: MICU cg: 1663 v1: 0 rs: Final st: NotStopd t0: [06:54:00 21/09/2012] id: Arterial CO2(Calc) ABG el: 0 cu: MICU cg: 1663 v1: 25 rs: Final st: NotStopd t0: [06:54:00 21/09/2012] id: Arterial PaCO2 ABG el: 0 cu: MICU cg: 1663 v1: 38 u1: mmHg rs: Final st: NotStopd t0: [06:54:00 21/09/2012] id: Arterial PaO2 ABG el: 0 cu: MICU cg: 1663 v1: 95 u1: mmHg rs: Final st: NotStopd t0: [06:54:00 21/09/2012] id: Arterial pH ABG el: 0 cu: MICU cg: 1663 v1: 7.42 rs: Final st: NotStopd t0: [06:54:00 21/09/2012] id: SaO2 ABG's el: 0 cu: MICU cg: 1663 v1: 99 u1: % rs: Final st: NotStopd t0: [07:00:00 21/09/2012] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [07:00:00 21/09/2012] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [07:00:00 21/09/2012] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [07:00:00 21/09/2012] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [07:00:00 21/09/2012] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [07:00:00 21/09/2012] id: Heart Rate el: 0 cu: MICU cg: RN v1: 81 u1: BPM st: NotStopd t0: [07:00:00 21/09/2012] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [07:00:00 21/09/2012] id: Arterial BP el: 0 cu: MICU cg: RN v1: 109 u1: mmHg v2: 55 u2: mmHg st: NotStopd t0: [07:00:00 21/09/2012] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 71 u1: mmHg st: NotStopd t0: [07:00:00 21/09/2012] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [07:00:00 21/09/2012] id: Previous WeightF el: 0 cu: MICU cg: RN v1: 84.2 u1: kg st: NotStopd t0: [07:00:00 21/09/2012] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 29 u1: BPM st: NotStopd t0: [07:00:00 21/09/2012] id: SpO2 el: 0 cu: MICU cg: RN v1: 99 u1: % st: NotStopd t0: [07:00:00 21/09/2012] id: Temp. Site el: 0 cu: MICU cg: RN v1: Axillary st: NotStopd t0: [07:00:00 21/09/2012] id: Temperature C (calc) el: 0 cu: MICU cg: RN v1: 36.5556 u1: Deg. C st: NotStopd t0: [07:00:00 21/09/2012] id: Temperature F el: 0 cu: MICU cg: RN v1: 97.8 u1: Deg. F st: NotStopd t0: [07:00:00 21/09/2012] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [07:00:00 21/09/2012] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 12.63 vu: ml t0: [07:00:00 21/09/2012] id: D5W 100.0ml + 600mcghr Sandostatin IV Infusions el: 1 cu: MICU cg: RN ai: 189 vo: 4.16667 vu: ml t0: [07:00:00 21/09/2012] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 120 vu: ml
t0: [07:00:00 21/09/2012] id: Propofol el: 1 cu: MICU cg: RN so: N/A vo: 0 v1: 50 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [07:00:00 21/09/2012] id: Sandostatin el: 1 cu: MICU cg: RN so: D5W vo: 0 v1: 50 du: mcghr sv: 100 su: ml rt: IV Drip
t0: [08:00:00 21/09/2012] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [08:00:00 21/09/2012] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [08:00:00 21/09/2012] id: Cough Reflex el: 0 cu: MICU cg: RN v1: Intact st: NotStopd t0: [08:00:00 21/09/2012] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [08:00:00 21/09/2012] id: Diet Type el: 0 cu: MICU cg: RN v1: NPO st: NotStopd t0: [08:00:00 21/09/2012] id: Dorsal PedPulse R/L el: 0 cu: MICU cg: RN v1: Strong/Palpable v2: Strong/Palpable st: NotStopd t0: [08:00:00 21/09/2012] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [08:00:00 21/09/2012] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [08:00:00 21/09/2012] id: Eye Opening el: 0 cu: MICU cg: RN v1: 1 No Response st: NotStopd t0: [08:00:00 21/09/2012] id: Follows Commands el: 0 cu: MICU cg: RN v1: No st: NotStopd t0: [08:00:00 21/09/2012] id: GCS Total el: 0 cu: MICU cg: RN v1: 6 u1: points st: NotStopd t0: [08:00:00 21/09/2012] id: GI Intub #1/Site el: 0 cu: MICU cg: RN v1: Salem Sump v2: Right Nare st: NotStopd t0: [08:00:00 21/09/2012] id: GI#1 Tube PlaceCheck el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [08:00:00 21/09/2012] id: Gag Reflex el: 0 cu: MICU cg: RN v1: Intact st: NotStopd t0: [08:00:00 21/09/2012] id: Heart Rate el: 0 cu: MICU cg: RN v1: 84 u1: BPM st: NotStopd t0: [08:00:00 21/09/2012] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [08:00:00 21/09/2012] id: Level of Conscious el: 0 cu: MICU cg: RN v1: Sedated st: NotStopd t0: [08:00:00 21/09/2012] id: Motor Response el: 0 cu: MICU cg: RN v1: 4 Flex-withdraws st: NotStopd t0: [08:00:00 21/09/2012] id: Orientation el: 0 cu: MICU cg: RN v1: Other/Remarks st: NotStopd t0: [08:00:00 21/09/2012] id: Arterial BP el: 0 cu: MICU cg: RN v1: 109 u1: mmHg v2: 61 u2: mmHg st: NotStopd t0: [08:00:00 21/09/2012] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 77 u1: mmHg st: NotStopd t0: [08:00:00 21/09/2012] id: PostTib. Pulses R/L el: 0 cu: MICU cg: RN v1: Strong/Palpable v2: Strong/Palpable st: NotStopd t0: [08:00:00 21/09/2012] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [08:00:00 21/09/2012] id: Previous WeightF el: 0 cu: MICU cg: RN v1: 84.2 u1: kg st: NotStopd t0: [08:00:00 21/09/2012] id: Pupil Size R/L el: 0 cu: MICU cg: RN v1: 3 mm v2: 3 mm st: NotStopd t0: [08:00:00 21/09/2012] id: Respiratory Pattern el: 0 cu: MICU cg: RN v1: Regular st: NotStopd t0: [08:00:00 21/09/2012] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 20 u1: BPM st: NotStopd t0: [08:00:00 21/09/2012] id: SpO2 el: 0 cu: MICU cg: RN v1: 97 u1: % st: NotStopd t0: [08:00:00 21/09/2012] id: Spontaneous Movement el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [08:00:00 21/09/2012] id: Temp. Site el: 0 cu: MICU cg: RN v1: Axillary st: NotStopd t0: [08:00:00 21/09/2012] id: Temperature C (calc) el: 0 cu: MICU cg: RN v1: 35.2222 u1: Deg. C st: NotStopd t0: [08:00:00 21/09/2012] id: Temperature F el: 0 cu: MICU cg: RN v1: 95.4 u1: Deg. F st: NotStopd t0: [08:00:00 21/09/2012] id: Urine Color/Appear el: 0 cu: MICU cg: RN v1: Icteric v2: Sediment st: NotStopd t0: [08:00:00 21/09/2012] id: Urine Source el: 0 cu: MICU cg: RN v1: Indwelling Cath st: NotStopd t0: [08:00:00 21/09/2012] id: Verbal Response el: 0 cu: MICU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [08:00:00 21/09/2012] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [08:00:00 21/09/2012] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 25.26 vu: ml t0: [08:00:00 21/09/2012] id: D5W 100.0ml + 600mcghr Sandostatin IV Infusions el: 1 cu: MICU cg: RN ai: 189 vo: 8.33333 vu: ml
t0: [08:00:00 21/09/2012] id: Propofol el: 1 cu: MICU cg: RN so: N/A vo: 0 v1: 50 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [08:00:00 21/09/2012] id: Sandostatin el: 1 cu: MICU cg: RN so: D5W vo: 0 v1: 50 du: mcghr sv: 100 su: ml rt: IV Drip
t0: [08:00:00 21/09/2012] id: Less Restrict Meas. el: 0 cu: MICU cg: RN v1: Medicated st: NotStopd t0: [08:00:00 21/09/2012] id: Range of Motion el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [08:00:00 21/09/2012] id: Circulation/SkinInt el: 0 cu: MICU cg: RN v1: Circulation Adeq st: NotStopd t0: [08:00:00 21/09/2012] id: INV Line#2 Type/Site el: 0 cu: MICU cg: RN v1: A-Line v2: Left Radial st: NotStopd t0: [08:00:00 21/09/2012] id: INV Line#2 Zero/Cal el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [08:00:00 21/09/2012] id: INV Line#2InsertDate el: 0 cu: MICU cg: RN v1: 8 v2: 27 st: NotStopd t0: [08:00:00 21/09/2012] id: INV Line#2SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [08:00:00 21/09/2012] id: INV Line#3 Type/Site el: 0 cu: MICU cg: RN v1: Multi-lumen v2: Right IJ st: NotStopd t0: [08:00:00 21/09/2012] id: INV Line#3InsertDate el: 0 cu: MICU cg: RN v1: 8 v2: 28 st: NotStopd t0: [08:00:00 21/09/2012] id: INV Line#3SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [08:00:00 21/09/2012] id: INV#2 WaveformAppear el: 0 cu: MICU cg: RN v1: Sharp st: NotStopd t0: [08:00:00 21/09/2012] id: IV #1 Insert Date el: 0 cu: MICU cg: RN v1: ? st: NotStopd t0: [08:00:00 21/09/2012] id: IV #1 Site/Size el: 0 cu: MICU cg: RN v1: Left Hand v2: 18 gauge st: NotStopd t0: [08:00:00 21/09/2012] id: IV #2 Insert Date el: 0 cu: MICU cg: RN v1: 8 v2: 28 st: NotStopd t0: [08:00:00 21/09/2012] id: IV #2 Site/Size el: 0 cu: MICU cg: RN v1: RU Ant Forearm v2: 16 gauge st: NotStopd t0: [08:00:00 21/09/2012] id: IV #3 Insert Date el: 0 cu: MICU cg: RN v1: 8 v2: 28 st: NotStopd t0: [08:00:00 21/09/2012] id: IV #3 Site/Size el: 0 cu: MICU cg: RN v1: Right Antecub v2: 18 gauge st: NotStopd t0: [08:00:00 21/09/2012] id: IV Site Appear #1 el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [08:00:00 21/09/2012] id: IV Site Appear #2 el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [08:00:00 21/09/2012] id: IV Site Appear #3 el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [08:00:00 21/09/2012] id: Position Change el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [08:00:00 21/09/2012] id: Reason For Restraint el: 0 cu: MICU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [08:00:00 21/09/2012] id: Removed x 5 Mins el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [08:00:00 21/09/2012] id: Restraint Location el: 0 cu: MICU cg: RN v1: Both Arms st: NotStopd t0: [08:00:00 21/09/2012] id: Restraint Type el: 0 cu: MICU cg: RN v1: Soft Limb st: NotStopd t0: [08:00:00 21/09/2012] id: Restraints Evaluated el: 0 cu: MICU cg: RN v1: Behavior Conts st: NotStopd t0: [08:00:00 21/09/2012] id: Side Rails el: 0 cu: MICU cg: RN v1: Side Rails Up st: NotStopd t0: [08:00:00 21/09/2012] id: Skin Color el: 0 cu: MICU cg: RN v1: Jaundiced st: NotStopd t0: [08:00:00 21/09/2012] id: Skin Temp/Condition el: 0 cu: MICU cg: RN v1: Warm v2: Dry st: NotStopd t0: [08:00:00 21/09/2012] id: Support Systems el: 0 cu: MICU cg: RN v1: Spouse st: NotStopd
t0: [07:30:00 21/09/2012] id: Fresh Frozen Plasma IV Infusions el: 1 cu: MICU cg: RN ai: 155 vu: ml nb: 1 t0: [08:00:00 21/09/2012] tf: [17:47:00 27/09/2012] dt: 9227 id: Packed RBC's IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 375 vu: ml nb: 1 t0: [08:00:00 21/09/2012] id: Fresh Frozen Plasma IV Infusions el: 1 cu: MICU cg: RN ai: 155 vo: 296 vu: ml nb: 1
t0: [08:00:00 21/09/2012] id: GI Prophylaxis el: 0 cu: MICU cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [08:00:00 21/09/2012] id: GI#1 Tube Stat/Drain el: 0 cu: MICU cg: RN v1: Clamped v2: Dark Red Blood st: NotStopd t0: [08:00:00 21/09/2012] id: Abdominal Assessment el: 0 cu: MICU cg: RN v1: Soft Distended st: NotStopd t0: [08:00:00 21/09/2012] id: LLL Lung Sounds el: 0 cu: MICU cg: RN v1: Bronchial st: NotStopd t0: [08:00:00 21/09/2012] id: LUL Lung Sounds el: 0 cu: MICU cg: RN v1: Clear st: NotStopd t0: [08:00:00 21/09/2012] id: Oral Cavity el: 0 cu: MICU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [08:00:00 21/09/2012] id: RLL Lung Sounds el: 0 cu: MICU cg: RN v1: Bronchial st: NotStopd t0: [08:00:00 21/09/2012] id: RUL Lung Sounds el: 0 cu: MICU cg: RN v1: Clear st: NotStopd t0: [08:00:00 21/09/2012] id: Bowel Sounds el: 0 cu: MICU cg: RN v1: Present st: NotStopd
t0: [08:00:00 21/09/2012] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 45 vu: ml
t0: [08:15:00 21/09/2012] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 6.315 vu: ml t0: [08:15:00 21/09/2012] id: D5W 100.0ml + 600mcghr Sandostatin IV Infusions el: 1 cu: MICU cg: RN ai: 189 vo: 2.08333 vu: ml t0: [08:15:00 21/09/2012] id: Fresh Frozen Plasma IV Infusions el: 1 cu: MICU cg: RN ai: 155 vo: 325 vu: ml nb: 1
t0: [09:00:00 21/09/2012] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [09:00:00 21/09/2012] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [09:00:00 21/09/2012] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [09:00:00 21/09/2012] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [09:00:00 21/09/2012] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [09:00:00 21/09/2012] id: Heart Rate el: 0 cu: MICU cg: RN v1: 80 u1: BPM st: NotStopd t0: [09:00:00 21/09/2012] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [09:00:00 21/09/2012] id: Arterial BP el: 0 cu: MICU cg: RN v1: 114 u1: mmHg v2: 63 u2: mmHg st: NotStopd t0: [09:00:00 21/09/2012] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 81 u1: mmHg st: NotStopd t0: [09:00:00 21/09/2012] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [09:00:00 21/09/2012] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 17 u1: BPM st: NotStopd t0: [09:00:00 21/09/2012] id: SpO2 el: 0 cu: MICU cg: RN v1: 99 u1: % st: NotStopd t0: [09:00:00 21/09/2012] id: Temp. Site el: 0 cu: MICU cg: RN v1: Axillary st: NotStopd t0: [09:00:00 21/09/2012] id: Temperature C (calc) el: 0 cu: MICU cg: RN v1: 34.9444 u1: Deg. C st: NotStopd t0: [09:00:00 21/09/2012] id: Temperature F el: 0 cu: MICU cg: RN v1: 94.9 u1: Deg. F st: NotStopd t0: [09:00:00 21/09/2012] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [08:30:00 21/09/2012] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 6.315 vu: ml t0: [08:30:00 21/09/2012] id: D5W 100.0ml + 600mcghr Sandostatin IV Infusions el: 1 cu: MICU cg: RN ai: 189 vo: 2.08333 vu: ml t0: [08:30:00 21/09/2012] id: Fresh Frozen Plasma IV Infusions el: 1 cu: MICU cg: RN ai: 155 vo: 348 vu: ml nb: 1 t0: [08:45:00 21/09/2012] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 6.315 vu: ml t0: [08:45:00 21/09/2012] id: D5W 100.0ml + 600mcghr Sandostatin IV Infusions el: 1 cu: MICU cg: RN ai: 189 vo: 2.08333 vu: ml t0: [08:45:00 21/09/2012] id: Fresh Frozen Plasma IV Infusions el: 1 cu: MICU cg: RN ai: 155 vo: 283 vu: ml nb: 1
t0: [09:00:00 21/09/2012] id: Propofol el: 1 cu: MICU cg: RN so: N/A vo: 0 v1: 50 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [09:00:00 21/09/2012] id: Sandostatin el: 1 cu: MICU cg: RN so: D5W vo: 0 v1: 50 du: mcghr sv: 100 su: ml rt: IV Drip
t0: [08:48:00 21/09/2012] id: HI/Minute/Vol/Alarm el: 0 cu: MICU cg: RRT v1: 18 t0: [08:48:00 21/09/2012] id: Compliance (40-60ml) el: 0 cu: MICU cg: RRT v1: 23.8095 u1: ml/cmH st: NotStopd t0: [08:48:00 21/09/2012] id: ETT Mark/Location el: 0 cu: MICU cg: RRT v1: 23cm v2: Lip st: NotStopd t0: [08:48:00 21/09/2012] id: FiO2 Set el: 0 cu: MICU cg: RRT v1: 0.5 u1: torr st: NotStopd t0: [08:48:00 21/09/2012] id: High Insp. Pressure el: 0 cu: MICU cg: RRT v1: 35 u1: cmH2O st: NotStopd t0: [08:48:00 21/09/2012] id: High Resp. Rate el: 0 cu: MICU cg: RRT v1: 20 u1: BPM st: NotStopd t0: [08:48:00 21/09/2012] id: Airway Size el: 0 cu: MICU cg: RRT v1: 7.5 mm st: NotStopd t0: [08:48:00 21/09/2012] id: Airway Type el: 0 cu: MICU cg: RRT v1: Endotracheal st: NotStopd t0: [08:48:00 21/09/2012] id: Inspired Gas Temp el: 0 cu: MICU cg: RRT u1: Deg. C st: NotStopd t0: [08:48:00 21/09/2012] id: Intubation Date el: 0 cu: MICU cg: RRT v1: 8 v2: 27 st: NotStopd t0: [08:48:00 21/09/2012] id: Low Exhaled Min Vol el: 0 cu: MICU cg: RRT v1: 5 st: NotStopd t0: [08:48:00 21/09/2012] id: Mean Airway Pressure el: 0 cu: MICU cg: RRT v1: 13 u1: cmH2O st: NotStopd t0: [08:48:00 21/09/2012] id: Minute Volume(Obser) el: 0 cu: MICU cg: RRT v1: 10.1 u1: L/min st: NotStopd t0: [08:48:00 21/09/2012] id: PEEP Set el: 0 cu: MICU cg: RRT v1: 8 u1: cmH2O st: NotStopd t0: [08:48:00 21/09/2012] id: Apnea Time Interval el: 0 cu: MICU cg: RRT v1: 20 st: NotStopd t0: [08:48:00 21/09/2012] id: Peak Insp. Pressure el: 0 cu: MICU cg: RRT v1: 29 u1: cmH2O st: NotStopd t0: [08:48:00 21/09/2012] id: Plateau Pressure el: 0 cu: MICU cg: RRT v1: 23 u1: cmH2O st: NotStopd t0: [08:48:00 21/09/2012] id: Plateau-Off el: 0 cu: MICU cg: RRT v1: Yes st: NotStopd t0: [08:48:00 21/09/2012] id: Resp Rate (Spont) el: 0 cu: MICU cg: RRT v1: 12 u1: BPM st: NotStopd t0: [08:48:00 21/09/2012] id: Resp Rate (Total) el: 0 cu: MICU cg: RRT v1: 20 u1: BPM st: NotStopd t0: [08:48:00 21/09/2012] id: Respiratory Rate Set el: 0 cu: MICU cg: RRT v1: 8 u1: BPM st: NotStopd t0: [08:48:00 21/09/2012] id: Sensitivity-Vent el: 0 cu: MICU cg: RRT v1: 3 u1: cmH2O st: NotStopd t0: [08:48:00 21/09/2012] id: SpO2 el: 0 cu: MICU cg: RRT v1: 95 u1: % st: NotStopd t0: [08:48:00 21/09/2012] id: Tidal Volume (Obser) el: 0 cu: MICU cg: RRT v1: 479 u1: ml/B st: NotStopd t0: [08:48:00 21/09/2012] id: Tidal Volume (Set) el: 0 cu: MICU cg: RRT v1: 500 u1: ml/B st: NotStopd t0: [08:48:00 21/09/2012] id: Tidal Volume (Spont) el: 0 cu: MICU cg: RRT v1: 0 u1: ml/B st: NotStopd t0: [08:48:00 21/09/2012] id: Ventilator Mode el: 0 cu: MICU cg: RRT v1: Assist Control st: NotStopd t0: [08:48:00 21/09/2012] id: Ventilator Type el: 0 cu: MICU cg: RRT v1: Drager st: NotStopd t0: [08:48:00 21/09/2012] id: Waveform-Vent el: 0 cu: MICU cg: RRT v1: RAMP st: NotStopd
t0: [08:00:00 21/09/2012] id: Riker-SAS Scale el: 0 cu: MICU cg: RN v1: Sedated st: NotStopd t0: [08:00:00 21/09/2012] id: Daily Wake Up el: 1 cu: MICU cg: RN v1: No/O2 Issues st: NotStopd t0: [08:00:00 21/09/2012] id: HOB el: 0 cu: MICU cg: RN v1: 30 degrees st: NotStopd t0: [08:00:00 21/09/2012] id: Activity el: 0 cu: MICU cg: RN v1: Bedrest st: NotStopd t0: [08:00:00 21/09/2012] id: Activity Tolerance el: 0 cu: MICU cg: RN v1: Good st: NotStopd t0: [08:00:00 21/09/2012] id: AntiEmbDevice/Status el: 0 cu: MICU cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [08:00:00 21/09/2012] id: Position el: 0 cu: MICU cg: RN v1: Right Side st: NotStopd t0: [08:00:00 21/09/2012] id: Assistance Device el: 0 cu: MICU cg: RN v1: 2 Person Assist st: NotStopd t0: [08:00:00 21/09/2012] id: Turn el: 0 cu: MICU cg: RN v1: Right Side st: NotStopd
t0: [09:00:00 21/09/2012] id: D5W 100.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 105 vo: 100 vu: ml t0: [09:00:00 21/09/2012] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 6.315 vu: ml t0: [09:00:00 21/09/2012] id: D5W 100.0ml + 600mcghr Sandostatin IV Infusions el: 1 cu: MICU cg: RN ai: 189 vo: 2.08333 vu: ml
t0: [09:00:00 21/09/2012] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 75 vu: ml
t0: [10:00:00 21/09/2012] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [10:00:00 21/09/2012] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [10:00:00 21/09/2012] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [10:00:00 21/09/2012] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [10:00:00 21/09/2012] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [10:00:00 21/09/2012] id: Heart Rate el: 0 cu: MICU cg: RN v1: 78 u1: BPM st: NotStopd t0: [10:00:00 21/09/2012] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [10:00:00 21/09/2012] id: Arterial BP el: 0 cu: MICU cg: RN v1: 114 u1: mmHg v2: 66 u2: mmHg st: NotStopd t0: [10:00:00 21/09/2012] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 82 u1: mmHg st: NotStopd t0: [10:00:00 21/09/2012] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [10:00:00 21/09/2012] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 16 u1: BPM st: NotStopd t0: [10:00:00 21/09/2012] id: SpO2 el: 0 cu: MICU cg: RN v1: 95 u1: % st: NotStopd t0: [10:00:00 21/09/2012] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [10:00:00 21/09/2012] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 25.26 vu: ml t0: [10:00:00 21/09/2012] id: Packed RBC's IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 375 vu: ml t0: [10:00:00 21/09/2012] id: D5W 100.0ml + 600mcghr Sandostatin IV Infusions el: 1 cu: MICU cg: RN ai: 189 vo: 8.33333 vu: ml t0: [10:00:00 21/09/2012] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 15 vu: ml
t0: [10:00:00 21/09/2012] id: Propofol el: 1 cu: MICU cg: RN so: N/A vo: 0 v1: 50 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [10:00:00 21/09/2012] id: Sandostatin el: 1 cu: MICU cg: RN so: D5W vo: 0 v1: 50 du: mcghr sv: 100 su: ml rt: IV Drip
t0: [23:00:00 21/09/2012] dt: 24 id: Blood Products Total el: 2 cu: MICU cg: RN cv: 2652 ap: none
t0: [11:00:00 21/09/2012] id: Hematocrit Hematology el: 0 cu: MICU cg: 1663 v1: 29.4 u1: % rs: Final st: NotStopd
t0: [10:00:00 21/09/2012] id: Temp. Site el: 0 cu: MICU cg: RN v1: Oral st: NotStopd t0: [10:00:00 21/09/2012] id: Temperature C (calc) el: 0 cu: MICU cg: RN v1: 35.7778 u1: Deg. C st: NotStopd t0: [10:00:00 21/09/2012] id: Temperature F el: 0 cu: MICU cg: RN v1: 96.4 u1: Deg. F st: NotStopd t0: [11:00:00 21/09/2012] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [11:00:00 21/09/2012] id: PT el: 0 cu: MICU cg: 1663 v1: 16 rs: Final st: NotStopd t0: [11:00:00 21/09/2012] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [11:00:00 21/09/2012] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [11:00:00 21/09/2012] id: INR Coags el: 0 cu: MICU cg: 1663 v1: 1.7 rs: Final st: NotStopd t0: [11:00:00 21/09/2012] id: PTT Coags el: 0 cu: MICU cg: 1663 v1: 33.7 rs: Final st: NotStopd t0: [11:00:00 21/09/2012] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [11:00:00 21/09/2012] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [11:00:00 21/09/2012] id: Heart Rate el: 0 cu: MICU cg: RN v1: 79 u1: BPM st: NotStopd t0: [11:00:00 21/09/2012] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [11:00:00 21/09/2012] id: Arterial BP el: 0 cu: MICU cg: RN v1: 119 u1: mmHg v2: 67 u2: mmHg st: NotStopd t0: [11:00:00 21/09/2012] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 85 u1: mmHg st: NotStopd t0: [11:00:00 21/09/2012] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [11:00:00 21/09/2012] id: Previous WeightF el: 0 cu: MICU cg: RN v1: 84.2 u1: kg st: NotStopd t0: [11:00:00 21/09/2012] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 17 u1: BPM st: NotStopd t0: [11:00:00 21/09/2012] id: SpO2 el: 0 cu: MICU cg: RN v1: 97 u1: % st: NotStopd t0: [11:00:00 21/09/2012] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [11:00:00 21/09/2012] id: INR (2-4 ref. range) Coags el: 0 cu: MICU cg: 1663 v1: 1.7 rs: Final st: NotStopd t0: [11:00:00 21/09/2012] id: PT(11-13.5) Coags el: 0 cu: MICU cg: 1663 v1: 16 rs: Final st: NotStopd t0: [11:00:00 21/09/2012] id: PTT(22-35) Coags el: 0 cu: MICU cg: 1663 v1: 33.7 rs: Final st: NotStopd t0: [12:00:00 21/09/2012] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [12:00:00 21/09/2012] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [12:00:00 21/09/2012] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [12:00:00 21/09/2012] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [12:00:00 21/09/2012] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [12:00:00 21/09/2012] id: Heart Rate el: 0 cu: MICU cg: RN v1: 82 u1: BPM st: NotStopd t0: [12:00:00 21/09/2012] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [12:00:00 21/09/2012] id: Arterial BP el: 0 cu: MICU cg: RN v1: 118 u1: mmHg v2: 65 u2: mmHg st: NotStopd t0: [12:00:00 21/09/2012] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 82 u1: mmHg st: NotStopd t0: [12:00:00 21/09/2012] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [12:00:00 21/09/2012] id: Previous WeightF el: 0 cu: MICU cg: RN v1: 84.2 u1: kg st: NotStopd t0: [12:00:00 21/09/2012] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 17 u1: BPM st: NotStopd t0: [12:00:00 21/09/2012] id: SpO2 el: 0 cu: MICU cg: RN v1: 98 u1: % st: NotStopd t0: [12:00:00 21/09/2012] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [11:00:00 21/09/2012] id: Propofol el: 1 cu: MICU cg: RN so: N/A vo: 0 v1: 50 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [11:00:00 21/09/2012] id: Sandostatin el: 1 cu: MICU cg: RN so: D5W vo: 0 v1: 50 du: mcghr sv: 100 su: ml rt: IV Drip t0: [12:00:00 21/09/2012] id: Sandostatin el: 1 cu: MICU cg: RN so: D5W vo: 0 v1: 50 du: mcghr sv: 100 su: ml rt: IV Drip
t0: [08:00:00 21/09/2012] id: Family Communication el: 0 cu: MICU cg: RN v1: Family Called st: NotStopd t0: [10:00:00 21/09/2012] id: Less Restrict Meas. el: 0 cu: MICU cg: RN v1: Medicated st: NotStopd t0: [10:00:00 21/09/2012] id: Range of Motion el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [10:00:00 21/09/2012] id: bath el: 1 cu: MICU cg: RN v1: done t0: [10:00:00 21/09/2012] id: Circulation/SkinInt el: 0 cu: MICU cg: RN v1: Circulation Adeq st: NotStopd t0: [10:00:00 21/09/2012] id: HOB el: 0 cu: MICU cg: RN v1: 30 degrees st: NotStopd t0: [10:00:00 21/09/2012] id: Activity el: 0 cu: MICU cg: RN v1: Bedrest st: NotStopd t0: [10:00:00 21/09/2012] id: Activity Tolerance el: 0 cu: MICU cg: RN v1: Tolerated Well st: NotStopd t0: [10:00:00 21/09/2012] id: Oral Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [10:00:00 21/09/2012] id: AntiEmbDevice/Status el: 0 cu: MICU cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [10:00:00 21/09/2012] id: Position el: 0 cu: MICU cg: RN v1: Supine st: NotStopd t0: [10:00:00 21/09/2012] id: Position Change el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [10:00:00 21/09/2012] id: Assistance Device el: 0 cu: MICU cg: RN v1: 1 Person Assist st: NotStopd t0: [10:00:00 21/09/2012] id: Reason For Restraint el: 0 cu: MICU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [10:00:00 21/09/2012] id: Removed x 5 Mins el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [10:00:00 21/09/2012] id: Restraint Location el: 0 cu: MICU cg: RN v1: Both Arms st: NotStopd t0: [10:00:00 21/09/2012] id: Restraint Type el: 0 cu: MICU cg: RN v1: Soft Limb st: NotStopd t0: [10:00:00 21/09/2012] id: Restraints Evaluated el: 0 cu: MICU cg: RN v1: Behavior Conts st: NotStopd t0: [10:00:00 21/09/2012] id: Side Rails el: 0 cu: MICU cg: RN v1: Side Rails Up st: NotStopd t0: [10:00:00 21/09/2012] id: Skin Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [10:00:00 21/09/2012] id: Support Systems el: 0 cu: MICU cg: RN v1: Spouse st: NotStopd t0: [10:00:00 21/09/2012] id: Turn el: 0 cu: MICU cg: RN v1: Back st: NotStopd t0: [10:00:00 21/09/2012] id: Back Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [11:00:00 21/09/2012] id: HOB el: 0 cu: MICU cg: RN v1: 30 degrees st: NotStopd t0: [11:00:00 21/09/2012] id: Activity el: 0 cu: MICU cg: RN v1: Bedrest st: NotStopd t0: [11:00:00 21/09/2012] id: Activity Tolerance el: 0 cu: MICU cg: RN v1: Good st: NotStopd t0: [11:00:00 21/09/2012] id: AntiEmbDevice/Status el: 0 cu: MICU cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [11:00:00 21/09/2012] id: Position el: 0 cu: MICU cg: RN v1: Left Side st: NotStopd t0: [11:00:00 21/09/2012] id: Assistance Device el: 0 cu: MICU cg: RN v1: 2 Person Assist st: NotStopd t0: [11:00:00 21/09/2012] id: Turn el: 0 cu: MICU cg: RN v1: Left Side st: NotStopd t0: [12:00:00 21/09/2012] id: Less Restrict Meas. el: 0 cu: MICU cg: RN v1: Medicated st: NotStopd t0: [12:00:00 21/09/2012] id: Range of Motion el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [12:00:00 21/09/2012] id: Circulation/SkinInt el: 0 cu: MICU cg: RN v1: Circulation Adeq st: NotStopd t0: [12:00:00 21/09/2012] id: Cough Reflex el: 0 cu: MICU cg: RN v1: Intact st: NotStopd t0: [12:00:00 21/09/2012] id: GI Prophylaxis el: 0 cu: MICU cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [12:00:00 21/09/2012] id: Diet Type el: 0 cu: MICU cg: RN v1: NPO st: NotStopd t0: [12:00:00 21/09/2012] id: Dorsal PedPulse R/L el: 0 cu: MICU cg: RN v1: Strong/Palpable v2: Strong/Palpable st: NotStopd t0: [12:00:00 21/09/2012] id: Eye Opening el: 0 cu: MICU cg: RN v1: 1 No Response st: NotStopd t0: [12:00:00 21/09/2012] id: Follows Commands el: 0 cu: MICU cg: RN v1: No st: NotStopd t0: [12:00:00 21/09/2012] id: GCS Total el: 0 cu: MICU cg: RN v1: 6 u1: points st: NotStopd t0: [12:00:00 21/09/2012] id: GI Intub #1/Site el: 0 cu: MICU cg: RN v1: Salem Sump v2: Right Nare st: NotStopd t0: [12:00:00 21/09/2012] id: GI#1 Tube PlaceCheck el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [12:00:00 21/09/2012] id: Gag Reflex el: 0 cu: MICU cg: RN v1: Intact st: NotStopd t0: [12:00:00 21/09/2012] id: INV Line#2 Type/Site el: 0 cu: MICU cg: RN v1: A-Line v2: Left Radial st: NotStopd t0: [12:00:00 21/09/2012] id: INV Line#2 Zero/Cal el: 0 cu: MICU cg: RN v1: No st: NotStopd t0: [12:00:00 21/09/2012] id: INV Line#2InsertDate el: 0 cu: MICU cg: RN v1: 8 v2: 27 st: NotStopd t0: [12:00:00 21/09/2012] id: INV Line#2SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [12:00:00 21/09/2012] id: INV Line#3 Type/Site el: 0 cu: MICU cg: RN v1: Multi-lumen v2: Right IJ st: NotStopd t0: [12:00:00 21/09/2012] id: INV Line#3InsertDate el: 0 cu: MICU cg: RN v1: 8 v2: 28 st: NotStopd t0: [12:00:00 21/09/2012] id: INV Line#3SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [12:00:00 21/09/2012] id: Abdominal Assessment el: 0 cu: MICU cg: RN v1: Soft Distended st: NotStopd t0: [12:00:00 21/09/2012] id: INV#2 WaveformAppear el: 0 cu: MICU cg: RN v1: Sharp st: NotStopd t0: [12:00:00 21/09/2012] id: IV #1 Insert Date el: 0 cu: MICU cg: RN v1: ? st: NotStopd t0: [12:00:00 21/09/2012] id: IV #1 Site/Size el: 0 cu: MICU cg: RN v1: Left Hand v2: 18 gauge st: NotStopd t0: [12:00:00 21/09/2012] id: IV #2 Insert Date el: 0 cu: MICU cg: RN v1: 8 v2: 28 st: NotStopd t0: [12:00:00 21/09/2012] id: IV #2 Site/Size el: 0 cu: MICU cg: RN v1: RU Ant Forearm v2: 16 gauge st: NotStopd t0: [12:00:00 21/09/2012] id: IV #3 Insert Date el: 0 cu: MICU cg: RN v1: 8 v2: 28 st: NotStopd t0: [12:00:00 21/09/2012] id: IV #3 Site/Size el: 0 cu: MICU cg: RN v1: Right Antecub v2: 18 gauge st: NotStopd t0: [12:00:00 21/09/2012] id: IV Site Appear #1 el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [12:00:00 21/09/2012] id: IV Site Appear #2 el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [12:00:00 21/09/2012] id: IV Site Appear #3 el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [12:00:00 21/09/2012] id: Level of Conscious el: 0 cu: MICU cg: RN v1: Sedated st: NotStopd t0: [12:00:00 21/09/2012] id: Motor Response el: 0 cu: MICU cg: RN v1: 4 Flex-withdraws st: NotStopd t0: [12:00:00 21/09/2012] id: Oral Cavity el: 0 cu: MICU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [12:00:00 21/09/2012] id: Orientation el: 0 cu: MICU cg: RN v1: Other/Remarks st: NotStopd t0: [12:00:00 21/09/2012] id: Position Change el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [12:00:00 21/09/2012] id: PostTib. Pulses R/L el: 0 cu: MICU cg: RN v1: Strong/Palpable v2: Strong/Palpable st: NotStopd t0: [12:00:00 21/09/2012] id: Pupil Size R/L el: 0 cu: MICU cg: RN v1: 3 mm v2: 3 mm st: NotStopd t0: [12:00:00 21/09/2012] id: Reason For Restraint el: 0 cu: MICU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [12:00:00 21/09/2012] id: Removed x 5 Mins el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [12:00:00 21/09/2012] id: Respiratory Pattern el: 0 cu: MICU cg: RN v1: Regular st: NotStopd t0: [12:00:00 21/09/2012] id: Restraint Location el: 0 cu: MICU cg: RN v1: Both Arms st: NotStopd t0: [12:00:00 21/09/2012] id: Restraint Type el: 0 cu: MICU cg: RN v1: Soft Limb st: NotStopd t0: [12:00:00 21/09/2012] id: Restraints Evaluated el: 0 cu: MICU cg: RN v1: Behavior Conts st: NotStopd t0: [12:00:00 21/09/2012] id: Side Rails el: 0 cu: MICU cg: RN v1: Side Rails Up st: NotStopd t0: [12:00:00 21/09/2012] id: Skin Color el: 0 cu: MICU cg: RN v1: Jaundiced st: NotStopd t0: [12:00:00 21/09/2012] id: Skin Integrity el: 0 cu: MICU cg: RN v1: Intact st: NotStopd t0: [12:00:00 21/09/2012] id: Skin Temp/Condition el: 0 cu: MICU cg: RN v1: Warm v2: Dry st: NotStopd t0: [12:00:00 21/09/2012] id: Spontaneous Movement el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [12:00:00 21/09/2012] id: Support Systems el: 0 cu: MICU cg: RN v1: Spouse st: NotStopd t0: [12:00:00 21/09/2012] id: Urine Source el: 0 cu: MICU cg: RN v1: Indwelling Cath st: NotStopd t0: [12:00:00 21/09/2012] id: Verbal Response el: 0 cu: MICU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [12:00:00 21/09/2012] id: Fingerstick Glucose Chemistry el: 0 cu: MICU cg: RN v1: 84 rs: Manual st: NotStopd t0: [12:00:00 21/09/2012] id: Braden Activity el: 0 cu: MICU cg: RN v1: Bedfast st: NotStopd t0: [12:00:00 21/09/2012] id: Braden Frict/Shear el: 0 cu: MICU cg: RN v1: Potential Prob st: NotStopd t0: [12:00:00 21/09/2012] id: Braden Mobility el: 0 cu: MICU cg: RN v1: Very Limited st: NotStopd t0: [12:00:00 21/09/2012] id: Braden Moisture el: 0 cu: MICU cg: RN v1: Occ. Moist st: NotStopd t0: [12:00:00 21/09/2012] id: Braden Nutrition el: 0 cu: MICU cg: RN v1: Prob. Inadequate st: NotStopd t0: [12:00:00 21/09/2012] id: Braden Score el: 0 cu: MICU cg: RN v1: 11 u1: number st: NotStopd t0: [12:00:00 21/09/2012] id: Braden SensoryPercep el: 0 cu: MICU cg: RN v1: Comp. Limited st: NotStopd
t0: [11:00:00 21/09/2012] id: D5W 100.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 105 vo: 100 vu: ml t0: [12:00:00 21/09/2012] id: D5W 100.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 105 vo: 150 vu: ml t0: [12:00:00 21/09/2012] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 50.52 vu: ml t0: [12:00:00 21/09/2012] id: D5W 100.0ml + 600mcghr Sandostatin IV Infusions el: 1 cu: MICU cg: RN ai: 189 vo: 16.6667 vu: ml t0: [12:00:00 21/09/2012] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 40 vu: ml
tf: [11:00:00 22/09/2012] pt: IV Piggyback rt: IV fr: ONCE fs: 12 dn: 1 m1: Potassium Chloride v1: 40 u1: mEq m2: D5W v2: 500 u2: ml tf: [11:00:00 22/09/2012] pt: Unit Dose rt: IV fr: ONCE fs: 12 dn: 1 m1: Magnesium Sulfate v1: 2 u1: gm tf: [10:00:00 26/09/2012] pt: IV Piggyback rt: IV fr: Q12H fs: 4, 16 dn: 2 m1: Metronidazole v1: 500 u1: mg m2: NS v2: 100 u2: ml
t0: [12:00:00 21/09/2012] id: GI#1 Tube Stat/Drain el: 0 cu: MICU cg: RN v1: Clamped v2: Dark Red Blood st: NotStopd t0: [12:00:00 21/09/2012] id: LLL Lung Sounds el: 0 cu: MICU cg: RN v1: Bronchial st: NotStopd t0: [12:00:00 21/09/2012] id: LUL Lung Sounds el: 0 cu: MICU cg: RN v1: Clear st: NotStopd t0: [12:00:00 21/09/2012] id: RLL Lung Sounds el: 0 cu: MICU cg: RN v1: Bronchial st: NotStopd t0: [12:00:00 21/09/2012] id: RUL Lung Sounds el: 0 cu: MICU cg: RN v1: Clear st: NotStopd t0: [12:00:00 21/09/2012] id: Urine Color/Appear el: 0 cu: MICU cg: RN v1: Icteric v2: Sediment st: NotStopd t0: [12:00:00 21/09/2012] id: Bowel Sounds el: 0 cu: MICU cg: RN v1: Present st: NotStopd
t0: [09:00:00 21/09/2012] id: Sputum Color/Consist el: 0 cu: MICU cg: RN v1: Tan v2: Thick st: NotStopd t0: [09:00:00 21/09/2012] id: Sputum Source/Amt el: 0 cu: MICU cg: RN v1: Suctioned v2: Moderate st: NotStopd t0: [12:00:00 21/09/2012] id: Sputum Color/Consist el: 0 cu: MICU cg: RN v1: Tan v2: Thick st: NotStopd t0: [12:00:00 21/09/2012] id: Sputum Source/Amt el: 0 cu: MICU cg: RN v1: Suctioned v2: Copious st: NotStopd t0: [12:00:00 21/09/2012] id: Temp. Site el: 0 cu: MICU cg: RN v1: Oral st: NotStopd t0: [12:00:00 21/09/2012] id: Temperature C (calc) el: 0 cu: MICU cg: RN v1: 36.1111 u1: Deg. C st: NotStopd t0: [12:00:00 21/09/2012] id: Temperature F el: 0 cu: MICU cg: RN v1: 97 u1: Deg. F st: NotStopd
t0: [12:00:00 21/09/2012] id: Propofol el: 1 cu: MICU cg: RN so: N/A vo: 0 v1: 39.5883 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [12:38:00 21/09/2012] id: HI/Minute/Vol/Alarm el: 0 cu: MICU cg: RRT v1: 18 t0: [12:38:00 21/09/2012] id: Compliance (40-60ml) el: 0 cu: MICU cg: RRT v1: 29.4118 u1: ml/cmH st: NotStopd t0: [12:38:00 21/09/2012] id: ETT Mark/Location el: 0 cu: MICU cg: RRT v1: 23cm v2: Lip st: NotStopd t0: [12:38:00 21/09/2012] id: FiO2 Set el: 0 cu: MICU cg: RRT v1: 0.5 u1: torr st: NotStopd t0: [12:38:00 21/09/2012] id: High Insp. Pressure el: 0 cu: MICU cg: RRT v1: 35 u1: cmH2O st: NotStopd t0: [12:38:00 21/09/2012] id: High Resp. Rate el: 0 cu: MICU cg: RRT v1: 20 u1: BPM st: NotStopd t0: [12:38:00 21/09/2012] id: Airway Size el: 0 cu: MICU cg: RRT v1: 7.5 mm st: NotStopd t0: [12:38:00 21/09/2012] id: Airway Type el: 0 cu: MICU cg: RRT v1: Endotracheal st: NotStopd t0: [12:38:00 21/09/2012] id: Intubation Date el: 0 cu: MICU cg: RRT v1: 8 v2: 27 st: NotStopd t0: [12:38:00 21/09/2012] id: Low Exhaled Min Vol el: 0 cu: MICU cg: RRT v1: 5 st: NotStopd t0: [12:38:00 21/09/2012] id: Mean Airway Pressure el: 0 cu: MICU cg: RRT v1: 12 u1: cmH2O st: NotStopd t0: [12:38:00 21/09/2012] id: Minute Volume(Obser) el: 0 cu: MICU cg: RRT v1: 7.91 u1: L/min st: NotStopd t0: [12:38:00 21/09/2012] id: PEEP Set el: 0 cu: MICU cg: RRT v1: 8 u1: cmH2O st: NotStopd t0: [12:38:00 21/09/2012] id: Apnea Time Interval el: 0 cu: MICU cg: RRT v1: 20 st: NotStopd t0: [12:38:00 21/09/2012] id: Peak Insp. Pressure el: 0 cu: MICU cg: RRT v1: 25 u1: cmH2O st: NotStopd t0: [12:38:00 21/09/2012] id: Plateau Pressure el: 0 cu: MICU cg: RRT v1: 22 u1: cmH2O st: NotStopd t0: [12:38:00 21/09/2012] id: Plateau-Off el: 0 cu: MICU cg: RRT v1: Yes st: NotStopd t0: [12:38:00 21/09/2012] id: Resp Rate (Spont) el: 0 cu: MICU cg: RRT v1: 9 u1: BPM st: NotStopd t0: [12:38:00 21/09/2012] id: Resp Rate (Total) el: 0 cu: MICU cg: RRT v1: 17 u1: BPM st: NotStopd t0: [12:38:00 21/09/2012] id: Respiratory Rate Set el: 0 cu: MICU cg: RRT v1: 8 u1: BPM st: NotStopd t0: [12:38:00 21/09/2012] id: Sensitivity-Vent el: 0 cu: MICU cg: RRT v1: 3 u1: cmH2O st: NotStopd t0: [12:38:00 21/09/2012] id: SpO2 el: 0 cu: MICU cg: RRT v1: 98 u1: % st: NotStopd t0: [12:38:00 21/09/2012] id: Sputum Color/Consist el: 0 cu: MICU cg: RRT v1: Other/Remarks v2: Thick st: NotStopd t0: [12:38:00 21/09/2012] id: Sputum Source/Amt el: 0 cu: MICU cg: RRT v1: Suctioned v2: Moderate st: NotStopd t0: [12:38:00 21/09/2012] id: Tidal Volume (Obser) el: 0 cu: MICU cg: RRT v1: 464 u1: ml/B st: NotStopd t0: [12:38:00 21/09/2012] id: Tidal Volume (Set) el: 0 cu: MICU cg: RRT v1: 500 u1: ml/B st: NotStopd t0: [12:38:00 21/09/2012] id: Ventilator Mode el: 0 cu: MICU cg: RRT v1: Assist Control st: NotStopd t0: [12:38:00 21/09/2012] id: Ventilator Type el: 0 cu: MICU cg: RRT v1: Drager st: NotStopd t0: [12:38:00 21/09/2012] id: Waveform-Vent el: 0 cu: MICU cg: RRT v1: RAMP st: NotStopd
tf: [12:00:00 22/09/2012] pt: Unit Dose rt: IV fr: ONCE fs: 13 dn: 1 m1: Furosemide v1: 20 u1: mg
t0: [13:00:00 21/09/2012] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [13:00:00 21/09/2012] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [13:00:00 21/09/2012] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [13:00:00 21/09/2012] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [13:00:00 21/09/2012] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [13:00:00 21/09/2012] id: Heart Rate el: 0 cu: MICU cg: RN v1: 85 u1: BPM st: NotStopd t0: [13:00:00 21/09/2012] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [13:00:00 21/09/2012] id: Arterial BP el: 0 cu: MICU cg: RN v1: 111 u1: mmHg v2: 60 u2: mmHg st: NotStopd t0: [13:00:00 21/09/2012] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 76 u1: mmHg st: NotStopd t0: [13:00:00 21/09/2012] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [13:00:00 21/09/2012] id: Previous WeightF el: 0 cu: MICU cg: RN v1: 84.2 u1: kg st: NotStopd t0: [13:00:00 21/09/2012] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 18 u1: BPM st: NotStopd t0: [13:00:00 21/09/2012] id: SpO2 el: 0 cu: MICU cg: RN v1: 99 u1: % st: NotStopd t0: [13:00:00 21/09/2012] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [13:30:00 21/09/2012] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [13:30:00 21/09/2012] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [13:30:00 21/09/2012] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [13:30:00 21/09/2012] id: HOB el: 0 cu: MICU cg: RN v1: 30 degrees st: NotStopd t0: [13:30:00 21/09/2012] id: Heart Rate el: 0 cu: MICU cg: RN v1: 86 u1: BPM st: NotStopd t0: [13:30:00 21/09/2012] id: Activity el: 0 cu: MICU cg: RN v1: Bedrest st: NotStopd t0: [13:30:00 21/09/2012] id: Activity Tolerance el: 0 cu: MICU cg: RN v1: Good st: NotStopd t0: [13:30:00 21/09/2012] id: AntiEmbDevice/Status el: 0 cu: MICU cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [13:30:00 21/09/2012] id: Arterial BP el: 0 cu: MICU cg: RN v1: 118 u1: mmHg v2: 64 u2: mmHg st: NotStopd t0: [13:30:00 21/09/2012] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 82 u1: mmHg st: NotStopd t0: [13:30:00 21/09/2012] id: Position el: 0 cu: MICU cg: RN v1: Supine st: NotStopd t0: [13:30:00 21/09/2012] id: Assistance Device el: 0 cu: MICU cg: RN v1: 1 Person Assist st: NotStopd t0: [13:30:00 21/09/2012] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [13:30:00 21/09/2012] id: Previous WeightF el: 0 cu: MICU cg: RN v1: 84.2 u1: kg st: NotStopd t0: [13:30:00 21/09/2012] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 18 u1: BPM st: NotStopd t0: [13:30:00 21/09/2012] id: SpO2 el: 0 cu: MICU cg: RN v1: 99 u1: % st: NotStopd t0: [13:30:00 21/09/2012] id: Turn el: 0 cu: MICU cg: RN v1: Back st: NotStopd t0: [13:30:00 21/09/2012] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [13:30:00 21/09/2012] id: D5W 100.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 105 vo: 45 vu: ml t0: [13:30:00 21/09/2012] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 30 vu: ml t0: [13:30:00 21/09/2012] id: D5W 100.0ml + 600mcghr Sandostatin IV Infusions el: 1 cu: MICU cg: RN ai: 189 vo: 12.5 vu: ml t0: [13:30:00 21/09/2012] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 375 vu: ml
t0: [13:00:00 21/09/2012] id: Propofol el: 1 cu: MICU cg: RN so: N/A vo: 0 v1: 39.5883 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [13:00:00 21/09/2012] id: Sandostatin el: 1 cu: MICU cg: RN so: D5W vo: 0 v1: 50 du: mcghr sv: 100 su: ml rt: IV Drip t0: [13:30:00 21/09/2012] id: Propofol el: 1 cu: MICU cg: RN so: N/A vo: 0 v1: 29.6912 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [13:30:00 21/09/2012] id: Sandostatin el: 1 cu: MICU cg: RN so: D5W vo: 0 v1: 50 du: mcghr sv: 100 su: ml rt: IV Drip
t0: [14:00:00 21/09/2012] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [14:00:00 21/09/2012] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [14:00:00 21/09/2012] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [14:00:00 21/09/2012] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [14:00:00 21/09/2012] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [14:00:00 21/09/2012] id: Heart Rate el: 0 cu: MICU cg: RN v1: 86 u1: BPM st: NotStopd t0: [14:00:00 21/09/2012] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [14:00:00 21/09/2012] id: Arterial BP el: 0 cu: MICU cg: RN v1: 103 u1: mmHg v2: 52 u2: mmHg st: NotStopd t0: [14:00:00 21/09/2012] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 69 u1: mmHg st: NotStopd t0: [14:00:00 21/09/2012] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [14:00:00 21/09/2012] id: Previous WeightF el: 0 cu: MICU cg: RN v1: 84.2 u1: kg st: NotStopd t0: [14:00:00 21/09/2012] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 16 u1: BPM st: NotStopd t0: [14:00:00 21/09/2012] id: SpO2 el: 0 cu: MICU cg: RN v1: 98 u1: % st: NotStopd t0: [14:00:00 21/09/2012] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [15:00:00 21/09/2012] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [15:00:00 21/09/2012] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [15:00:00 21/09/2012] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [15:00:00 21/09/2012] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [15:00:00 21/09/2012] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [15:00:00 21/09/2012] id: Heart Rate el: 0 cu: MICU cg: RN v1: 86 u1: BPM st: NotStopd t0: [15:00:00 21/09/2012] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [15:00:00 21/09/2012] id: Arterial BP el: 0 cu: MICU cg: RN v1: 104 u1: mmHg v2: 53 u2: mmHg st: NotStopd t0: [15:00:00 21/09/2012] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 70 u1: mmHg st: NotStopd t0: [15:00:00 21/09/2012] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [15:00:00 21/09/2012] id: Previous WeightF el: 0 cu: MICU cg: RN v1: 84.2 u1: kg st: NotStopd t0: [15:00:00 21/09/2012] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 12 u1: BPM st: NotStopd t0: [15:00:00 21/09/2012] id: SpO2 el: 0 cu: MICU cg: RN v1: 99 u1: % st: NotStopd t0: [15:00:00 21/09/2012] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [14:00:00 21/09/2012] id: Propofol el: 1 cu: MICU cg: RN so: N/A vo: 0 v1: 29.6912 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [14:00:00 21/09/2012] id: Sandostatin el: 1 cu: MICU cg: RN so: D5W vo: 0 v1: 50 du: mcghr sv: 100 su: ml rt: IV Drip t0: [15:00:00 21/09/2012] id: Propofol el: 1 cu: MICU cg: RN so: N/A vo: 0 v1: 19.7941 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [15:00:00 21/09/2012] id: Sandostatin el: 1 cu: MICU cg: RN so: D5W vo: 0 v1: 50 du: mcghr sv: 100 su: ml rt: IV Drip
t0: [15:00:00 21/09/2012] id: Pain Present el: 0 cu: MICU cg: RN v1: No st: NotStopd t0: [15:00:00 21/09/2012] id: Riker-SAS Scale el: 0 cu: MICU cg: RN v1: Calm/Cooperative st: NotStopd t0: [15:00:00 21/09/2012] id: Cough Reflex el: 0 cu: MICU cg: RN v1: Intact st: NotStopd t0: [15:00:00 21/09/2012] id: Daily Wake Up el: 1 cu: MICU cg: RN v1: Yes st: NotStopd t0: [15:00:00 21/09/2012] id: GI Prophylaxis el: 0 cu: MICU cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [15:00:00 21/09/2012] id: Diet Type el: 0 cu: MICU cg: RN v1: NPO st: NotStopd t0: [15:00:00 21/09/2012] id: Dorsal PedPulse R/L el: 0 cu: MICU cg: RN v1: Strong/Palpable v2: Strong/Palpable st: NotStopd t0: [15:00:00 21/09/2012] id: Eye Opening el: 0 cu: MICU cg: RN v1: 3 To speech st: NotStopd t0: [15:00:00 21/09/2012] id: Follows Commands el: 0 cu: MICU cg: RN v1: Consistently st: NotStopd t0: [15:00:00 21/09/2012] id: GCS Total el: 0 cu: MICU cg: RN v1: 10 u1: points st: NotStopd t0: [15:00:00 21/09/2012] id: GI Intub #1/Site el: 0 cu: MICU cg: RN v1: Salem Sump v2: Right Nare st: NotStopd t0: [15:00:00 21/09/2012] id: GI#1 Tube PlaceCheck el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [15:00:00 21/09/2012] id: Gag Reflex el: 0 cu: MICU cg: RN v1: Intact st: NotStopd t0: [15:00:00 21/09/2012] id: Abdominal Assessment el: 0 cu: MICU cg: RN v1: Soft Distended st: NotStopd t0: [15:00:00 21/09/2012] id: LLL Lung Sounds el: 0 cu: MICU cg: RN v1: Bronchial st: NotStopd t0: [15:00:00 21/09/2012] id: LUL Lung Sounds el: 0 cu: MICU cg: RN v1: Clear st: NotStopd t0: [15:00:00 21/09/2012] id: Level of Conscious el: 0 cu: MICU cg: RN v1: Arouse to Voice st: NotStopd t0: [15:00:00 21/09/2012] id: Motor Response el: 0 cu: MICU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [15:00:00 21/09/2012] id: Oral Cavity el: 0 cu: MICU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [15:00:00 21/09/2012] id: Orientation el: 0 cu: MICU cg: RN v1: Other/Remarks st: NotStopd t0: [15:00:00 21/09/2012] id: Pain Location el: 0 cu: MICU cg: RN v1: Not Indicated st: NotStopd t0: [15:00:00 21/09/2012] id: PostTib. Pulses R/L el: 0 cu: MICU cg: RN v1: Strong/Palpable v2: Strong/Palpable st: NotStopd t0: [15:00:00 21/09/2012] id: Pupil Size R/L el: 0 cu: MICU cg: RN v1: 3 mm v2: 3 mm st: NotStopd t0: [15:00:00 21/09/2012] id: RLL Lung Sounds el: 0 cu: MICU cg: RN v1: Bronchial st: NotStopd t0: [15:00:00 21/09/2012] id: RUL Lung Sounds el: 0 cu: MICU cg: RN v1: Clear st: NotStopd t0: [15:00:00 21/09/2012] id: Respiratory Pattern el: 0 cu: MICU cg: RN v1: Regular st: NotStopd t0: [15:00:00 21/09/2012] id: Spontaneous Movement el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [15:00:00 21/09/2012] id: Temp. Site el: 0 cu: MICU cg: RN v1: Oral st: NotStopd t0: [15:00:00 21/09/2012] id: Temperature C (calc) el: 0 cu: MICU cg: RN v1: 36.6667 u1: Deg. C st: NotStopd t0: [15:00:00 21/09/2012] id: Temperature F el: 0 cu: MICU cg: RN v1: 98 u1: Deg. F st: NotStopd t0: [15:00:00 21/09/2012] id: Urine Color/Appear el: 0 cu: MICU cg: RN v1: Icteric v2: Sediment st: NotStopd t0: [15:00:00 21/09/2012] id: Urine Source el: 0 cu: MICU cg: RN v1: Indwelling Cath st: NotStopd t0: [15:00:00 21/09/2012] id: Verbal Response el: 0 cu: MICU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [15:00:00 21/09/2012] id: Bowel Sounds el: 0 cu: MICU cg: RN v1: Present st: NotStopd
t0: [15:00:00 21/09/2012] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 22.5 vu: ml t0: [15:00:00 21/09/2012] id: D5W 100.0ml + 600mcghr Sandostatin IV Infusions el: 1 cu: MICU cg: RN ai: 189 vo: 12.5 vu: ml t0: [15:00:00 21/09/2012] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 375 vu: ml
t0: [14:00:00 21/09/2012] id: Less Restrict Meas. el: 0 cu: MICU cg: RN v1: Medicated st: NotStopd t0: [14:00:00 21/09/2012] id: Range of Motion el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [14:00:00 21/09/2012] id: Circulation/SkinInt el: 0 cu: MICU cg: RN v1: Circulation Adeq st: NotStopd t0: [14:00:00 21/09/2012] id: Position Change el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [14:00:00 21/09/2012] id: Reason For Restraint el: 0 cu: MICU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [14:00:00 21/09/2012] id: Removed x 5 Mins el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [14:00:00 21/09/2012] id: Restraint Location el: 0 cu: MICU cg: RN v1: Both Arms st: NotStopd t0: [14:00:00 21/09/2012] id: Restraint Type el: 0 cu: MICU cg: RN v1: Soft Limb st: NotStopd t0: [14:00:00 21/09/2012] id: Restraints Evaluated el: 0 cu: MICU cg: RN v1: Behavior Conts st: NotStopd t0: [14:00:00 21/09/2012] id: Side Rails el: 0 cu: MICU cg: RN v1: Side Rails Up st: NotStopd t0: [14:00:00 21/09/2012] id: Support Systems el: 0 cu: MICU cg: RN v1: Spouse st: NotStopd t0: [15:00:00 21/09/2012] id: INV#3Chg o/Wire Date el: 0 cu: MICU cg: RN v1: 8 v2: 29 st: NotStopd t0: [15:00:00 21/09/2012] id: INV Line#2 Type/Site el: 0 cu: MICU cg: RN v1: A-Line v2: Left Radial st: NotStopd t0: [15:00:00 21/09/2012] id: INV Line#2 Zero/Cal el: 0 cu: MICU cg: RN v1: No st: NotStopd t0: [15:00:00 21/09/2012] id: INV Line#2InsertDate el: 0 cu: MICU cg: RN v1: 8 v2: 27 st: NotStopd t0: [15:00:00 21/09/2012] id: INV Line#2SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [15:00:00 21/09/2012] id: INV Line#3 Site Date el: 0 cu: MICU cg: RN v1: 8 v2: 29 st: NotStopd t0: [15:00:00 21/09/2012] id: INV Line#3 Type/Site el: 0 cu: MICU cg: RN v1: Multi-lumen v2: Right IJ st: NotStopd t0: [15:00:00 21/09/2012] id: INV Line#3InsertDate el: 0 cu: MICU cg: RN v1: 8 v2: 28 st: NotStopd t0: [15:00:00 21/09/2012] id: INV Line#3SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [15:00:00 21/09/2012] id: INV#2 WaveformAppear el: 0 cu: MICU cg: RN v1: Sharp st: NotStopd t0: [15:00:00 21/09/2012] id: IV #1 Insert Date el: 0 cu: MICU cg: RN v1: ? st: NotStopd t0: [15:00:00 21/09/2012] id: IV #1 Site/Size el: 0 cu: MICU cg: RN v1: RU Ant Forearm v2: 18 gauge st: NotStopd t0: [15:00:00 21/09/2012] id: IV #2 Insert Date el: 0 cu: MICU cg: RN v1: 8 v2: 28 st: NotStopd t0: [15:00:00 21/09/2012] id: IV #2 Site/Size el: 0 cu: MICU cg: RN v1: RU Ant Forearm v2: 16 gauge st: NotStopd t0: [15:00:00 21/09/2012] id: IV #3 Insert Date el: 0 cu: MICU cg: RN v1: 8 v2: 28 st: NotStopd t0: [15:00:00 21/09/2012] id: IV #3 Site/Size el: 0 cu: MICU cg: RN v1: Right Antecub v2: 18 gauge st: NotStopd t0: [15:00:00 21/09/2012] id: IV Site Appear #1 el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [15:00:00 21/09/2012] id: IV Site Appear #2 el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [15:00:00 21/09/2012] id: IV Site Appear #3 el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [15:00:00 21/09/2012] id: Reason For Restraint el: 0 cu: MICU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [15:00:00 21/09/2012] id: Restraint Location el: 0 cu: MICU cg: RN v1: Both Arms st: NotStopd t0: [15:00:00 21/09/2012] id: Restraint Type el: 0 cu: MICU cg: RN v1: Soft Limb st: NotStopd t0: [15:00:00 21/09/2012] id: Side Rails el: 0 cu: MICU cg: RN v1: Side Rails Up st: NotStopd t0: [15:00:00 21/09/2012] id: Skin Color el: 0 cu: MICU cg: RN v1: Jaundiced st: NotStopd t0: [15:00:00 21/09/2012] id: Skin Integrity el: 0 cu: MICU cg: RN v1: Intact st: NotStopd t0: [15:00:00 21/09/2012] id: Skin Temp/Condition el: 0 cu: MICU cg: RN v1: Warm v2: Dry st: NotStopd t0: [15:00:00 21/09/2012] id: Support Systems el: 0 cu: MICU cg: RN v1: Spouse st: NotStopd t0: [15:00:00 21/09/2012] id: Behavior el: 0 cu: MICU cg: RN v1: Calm st: NotStopd
t0: [15:00:00 21/09/2012] id: Aggitation el: 0 cu: MICU cg: RN v1: Normal activity st: NotStopd t0: [15:00:00 21/09/2012] id: Anxiety el: 0 cu: MICU cg: RN v1: No anxiety st: NotStopd t0: [15:00:00 21/09/2012] id: Insomnia el: 0 cu: MICU cg: RN v1: No st: NotStopd t0: [15:00:00 21/09/2012] id: Nausea and Vomiting el: 0 cu: MICU cg: RN v1: No N/V st: NotStopd t0: [15:00:00 21/09/2012] id: Paroxysmal Sweats el: 0 cu: MICU cg: RN v1: No sweat visible st: NotStopd t0: [15:00:00 21/09/2012] id: Seizure el: 0 cu: MICU cg: RN v1: No st: NotStopd t0: [15:00:00 21/09/2012] id: Tremor el: 0 cu: MICU cg: RN v1: No Tremor st: NotStopd
t0: [15:16:00 21/09/2012] id: Art.pH ABG el: 0 cu: MICU cg: 1663 v1: 7.47 rs: Final st: NotStopd t0: [15:16:00 21/09/2012] id: Arterial Base Excess ABG el: 0 cu: MICU cg: 1663 v1: 3 rs: Final st: NotStopd t0: [15:16:00 21/09/2012] id: Arterial CO2(Calc) ABG el: 0 cu: MICU cg: 1663 v1: 28 rs: Final st: NotStopd t0: [15:16:00 21/09/2012] id: Arterial PaCO2 ABG el: 0 cu: MICU cg: 1663 v1: 38 u1: mmHg rs: Final st: NotStopd t0: [15:16:00 21/09/2012] id: Arterial PaO2 ABG el: 0 cu: MICU cg: 1663 v1: 76 u1: mmHg rs: Final st: NotStopd t0: [15:16:00 21/09/2012] id: Arterial pH ABG el: 0 cu: MICU cg: 1663 v1: 7.47 rs: Final st: NotStopd
t0: [15:04:00 21/09/2012] id: PT el: 0 cu: MICU cg: 1663 v1: 16.2 rs: Final st: NotStopd t0: [15:04:00 21/09/2012] id: INR Coags el: 0 cu: MICU cg: 1663 v1: 1.7 rs: Final st: NotStopd t0: [15:04:00 21/09/2012] id: PTT Coags el: 0 cu: MICU cg: 1663 v1: 32.4 rs: Final st: NotStopd t0: [15:04:00 21/09/2012] id: INR (2-4 ref. range) Coags el: 0 cu: MICU cg: 1663 v1: 1.7 rs: Final st: NotStopd t0: [15:04:00 21/09/2012] id: PT(11-13.5) Coags el: 0 cu: MICU cg: 1663 v1: 16.2 rs: Final st: NotStopd t0: [15:04:00 21/09/2012] id: PTT(22-35) Coags el: 0 cu: MICU cg: 1663 v1: 32.4 rs: Final st: NotStopd
t0: [15:04:00 21/09/2012] id: Hematocrit Hematology el: 0 cu: MICU cg: 1663 v1: 30.4 u1: % rs: Final st: NotStopd
t0: [15:00:00 21/09/2012] id: GI#1 Tube Stat/Drain el: 0 cu: MICU cg: RN v1: Clamped v2: Dark Red Blood st: NotStopd t0: [15:00:00 21/09/2012] id: Sputum Color/Consist el: 0 cu: MICU cg: RN v1: Tan v2: Thick st: NotStopd t0: [15:00:00 21/09/2012] id: Sputum Source/Amt el: 0 cu: MICU cg: RN v1: Suctioned v2: Moderate st: NotStopd t0: [16:00:00 21/09/2012] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [16:00:00 21/09/2012] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [16:00:00 21/09/2012] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [16:00:00 21/09/2012] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [16:00:00 21/09/2012] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [16:00:00 21/09/2012] id: Heart Rate el: 0 cu: MICU cg: RN v1: 88 u1: BPM st: NotStopd t0: [16:00:00 21/09/2012] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [16:00:00 21/09/2012] id: Arterial BP el: 0 cu: MICU cg: RN v1: 108 u1: mmHg v2: 56 u2: mmHg st: NotStopd t0: [16:00:00 21/09/2012] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 72 u1: mmHg st: NotStopd t0: [16:00:00 21/09/2012] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [16:00:00 21/09/2012] id: Previous WeightF el: 0 cu: MICU cg: RN v1: 84.2 u1: kg st: NotStopd t0: [16:00:00 21/09/2012] id: Radiologic Study el: 0 cu: MICU cg: RN v1: Chest Xray st: NotStopd t0: [16:00:00 21/09/2012] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 19 u1: BPM st: NotStopd t0: [16:00:00 21/09/2012] id: SpO2 el: 0 cu: MICU cg: RN v1: 98 u1: % st: NotStopd t0: [16:00:00 21/09/2012] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [16:00:00 21/09/2012] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 10 vu: ml t0: [16:00:00 21/09/2012] id: D5W 100.0ml + 600mcghr Sandostatin IV Infusions el: 1 cu: MICU cg: RN ai: 189 vo: 8.33333 vu: ml t0: [16:00:00 21/09/2012] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 135 vu: ml
t0: [16:00:00 21/09/2012] id: Propofol el: 1 cu: MICU cg: RN so: N/A vo: 0 v1: 19.7941 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [16:00:00 21/09/2012] id: Sandostatin el: 1 cu: MICU cg: RN so: D5W vo: 0 v1: 50 du: mcghr sv: 100 su: ml rt: IV Drip
t0: [17:00:00 21/09/2012] id: Less Restrict Meas. el: 0 cu: MICU cg: RN v1: Medicated st: NotStopd t0: [17:00:00 21/09/2012] id: Range of Motion el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [17:00:00 21/09/2012] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [17:00:00 21/09/2012] id: Circulation/SkinInt el: 0 cu: MICU cg: RN v1: Circulation Adeq st: NotStopd t0: [17:00:00 21/09/2012] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [17:00:00 21/09/2012] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [17:00:00 21/09/2012] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [17:00:00 21/09/2012] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [17:00:00 21/09/2012] id: HOB el: 0 cu: MICU cg: RN v1: 30 degrees st: NotStopd t0: [17:00:00 21/09/2012] id: Heart Rate el: 0 cu: MICU cg: RN v1: 87 u1: BPM st: NotStopd t0: [17:00:00 21/09/2012] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [17:00:00 21/09/2012] id: Activity el: 0 cu: MICU cg: RN v1: Bedrest st: NotStopd t0: [17:00:00 21/09/2012] id: Activity Tolerance el: 0 cu: MICU cg: RN v1: Good st: NotStopd t0: [17:00:00 21/09/2012] id: AntiEmbDevice/Status el: 0 cu: MICU cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [17:00:00 21/09/2012] id: Arterial BP el: 0 cu: MICU cg: RN v1: 104 u1: mmHg v2: 53 u2: mmHg st: NotStopd t0: [17:00:00 21/09/2012] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 69 u1: mmHg st: NotStopd t0: [17:00:00 21/09/2012] id: Position el: 0 cu: MICU cg: RN v1: Right Side st: NotStopd t0: [17:00:00 21/09/2012] id: Position Change el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [17:00:00 21/09/2012] id: Assistance Device el: 0 cu: MICU cg: RN v1: 2 Person Assist st: NotStopd t0: [17:00:00 21/09/2012] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [17:00:00 21/09/2012] id: Previous WeightF el: 0 cu: MICU cg: RN v1: 84.2 u1: kg st: NotStopd t0: [17:00:00 21/09/2012] id: Reason For Restraint el: 0 cu: MICU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [17:00:00 21/09/2012] id: Removed x 5 Mins el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [17:00:00 21/09/2012] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 19 u1: BPM st: NotStopd t0: [17:00:00 21/09/2012] id: Restraint Location el: 0 cu: MICU cg: RN v1: Both Arms st: NotStopd t0: [17:00:00 21/09/2012] id: Restraint Type el: 0 cu: MICU cg: RN v1: Soft Limb st: NotStopd t0: [17:00:00 21/09/2012] id: Restraints Evaluated el: 0 cu: MICU cg: RN v1: Behavior Conts st: NotStopd t0: [17:00:00 21/09/2012] id: Side Rails el: 0 cu: MICU cg: RN v1: Side Rails Up st: NotStopd t0: [17:00:00 21/09/2012] id: Support Systems el: 0 cu: MICU cg: RN v1: Spouse st: NotStopd t0: [17:00:00 21/09/2012] id: Turn el: 0 cu: MICU cg: RN v1: Right Side st: NotStopd t0: [17:00:00 21/09/2012] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [17:00:00 21/09/2012] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 10 vu: ml t0: [17:00:00 21/09/2012] id: D5W 100.0ml + 600mcghr Sandostatin IV Infusions el: 1 cu: MICU cg: RN ai: 189 vo: 8.33333 vu: ml t0: [17:00:00 21/09/2012] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 80 vu: ml
t0: [17:00:00 21/09/2012] id: Propofol el: 1 cu: MICU cg: RN so: N/A vo: 0 v1: 9.89707 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [17:00:00 21/09/2012] id: Sandostatin el: 1 cu: MICU cg: RN so: D5W vo: 0 v1: 50 du: mcghr sv: 100 su: ml rt: IV Drip
t0: [17:00:00 21/09/2012] id: HI/Minute/Vol/Alarm el: 0 cu: MICU cg: RT v1: 18 t0: [17:00:00 21/09/2012] id: Compliance (40-60ml) el: 0 cu: MICU cg: RT v1: 45.4545 u1: ml/cmH st: NotStopd t0: [17:00:00 21/09/2012] id: ETT Mark/Location el: 0 cu: MICU cg: RT v1: 23cm v2: Lip st: NotStopd t0: [17:00:00 21/09/2012] id: FiO2 Set el: 0 cu: MICU cg: RT v1: 0.5 u1: torr st: NotStopd t0: [17:00:00 21/09/2012] id: High Insp. Pressure el: 0 cu: MICU cg: RT v1: 35 u1: cmH2O st: NotStopd t0: [17:00:00 21/09/2012] id: High Resp. Rate el: 0 cu: MICU cg: RT v1: 20 u1: BPM st: NotStopd t0: [17:00:00 21/09/2012] id: I:E Ratio el: 0 cu: MICU cg: RT v1: 1:6.5 st: NotStopd t0: [17:00:00 21/09/2012] id: Airway Size el: 0 cu: MICU cg: RT v1: 7.5 mm st: NotStopd t0: [17:00:00 21/09/2012] id: Airway Type el: 0 cu: MICU cg: RT v1: Endotracheal st: NotStopd t0: [17:00:00 21/09/2012] id: Inspired Gas Temp el: 0 cu: MICU cg: RT u1: Deg. C st: NotStopd t0: [17:00:00 21/09/2012] id: Intubation Date el: 0 cu: MICU cg: RT v1: 8 v2: 27 st: NotStopd t0: [17:00:00 21/09/2012] id: Low Exhaled Min Vol el: 0 cu: MICU cg: RT v1: 5 st: NotStopd t0: [17:00:00 21/09/2012] id: Mean Airway Pressure el: 0 cu: MICU cg: RT v1: 12 u1: cmH2O st: NotStopd t0: [17:00:00 21/09/2012] id: Minute Volume(Obser) el: 0 cu: MICU cg: RT v1: 8.2 u1: L/min st: NotStopd t0: [17:00:00 21/09/2012] id: PEEP Set el: 0 cu: MICU cg: RT v1: 8 u1: cmH2O st: NotStopd t0: [17:00:00 21/09/2012] id: Apnea Time Interval el: 0 cu: MICU cg: RT v1: 20 st: NotStopd t0: [17:00:00 21/09/2012] id: Peak Insp. Pressure el: 0 cu: MICU cg: RT v1: 19 u1: cmH2O st: NotStopd t0: [17:00:00 21/09/2012] id: Plateau Pressure el: 0 cu: MICU cg: RT v1: 19 u1: cmH2O st: NotStopd t0: [17:00:00 21/09/2012] id: Plateau-Off el: 0 cu: MICU cg: RT v1: Yes st: NotStopd t0: [17:00:00 21/09/2012] id: Resp Rate (Spont) el: 0 cu: MICU cg: RT v1: 10 u1: BPM st: NotStopd t0: [17:00:00 21/09/2012] id: Resp Rate (Total) el: 0 cu: MICU cg: RT v1: 18 u1: BPM st: NotStopd t0: [17:00:00 21/09/2012] id: Respiratory Rate Set el: 0 cu: MICU cg: RT v1: 8 u1: BPM st: NotStopd t0: [17:00:00 21/09/2012] id: Sensitivity-Vent el: 0 cu: MICU cg: RT v1: 3 u1: cmH2O st: NotStopd t0: [17:00:00 21/09/2012] id: SpO2 el: 0 cu: MICU cg: RN v1: 99 u1: % st: NotStopd t0: [17:00:00 21/09/2012] id: Tidal Volume (Obser) el: 0 cu: MICU cg: RT v1: 475 u1: ml/B st: NotStopd t0: [17:00:00 21/09/2012] id: Tidal Volume (Set) el: 0 cu: MICU cg: RT v1: 500 u1: ml/B st: NotStopd t0: [17:00:00 21/09/2012] id: Ventilator Mode el: 0 cu: MICU cg: RT v1: Assist Control st: NotStopd t0: [17:00:00 21/09/2012] id: Ventilator Type el: 0 cu: MICU cg: RT v1: Drager st: NotStopd t0: [17:00:00 21/09/2012] id: Waveform-Vent el: 0 cu: MICU cg: RT v1: RAMP st: NotStopd
t0: [18:00:00 21/09/2012] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [18:00:00 21/09/2012] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [18:00:00 21/09/2012] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [18:00:00 21/09/2012] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [18:00:00 21/09/2012] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [18:00:00 21/09/2012] id: Heart Rate el: 0 cu: MICU cg: RN v1: 87 u1: BPM st: NotStopd t0: [18:00:00 21/09/2012] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [18:00:00 21/09/2012] id: Arterial BP el: 0 cu: MICU cg: RN v1: 112 u1: mmHg v2: 56 u2: mmHg st: NotStopd t0: [18:00:00 21/09/2012] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 73 u1: mmHg st: NotStopd t0: [18:00:00 21/09/2012] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [18:00:00 21/09/2012] id: Previous WeightF el: 0 cu: MICU cg: RN v1: 84.2 u1: kg st: NotStopd t0: [18:00:00 21/09/2012] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 17 u1: BPM st: NotStopd t0: [18:00:00 21/09/2012] id: SpO2 el: 0 cu: MICU cg: RN v1: 100 u1: % st: NotStopd t0: [18:00:00 21/09/2012] id: Sputum Color/Consist el: 0 cu: MICU cg: RN v1: Tan v2: Thick st: NotStopd t0: [18:00:00 21/09/2012] id: Sputum Source/Amt el: 0 cu: MICU cg: RN v1: Suctioned v2: Moderate st: NotStopd t0: [18:00:00 21/09/2012] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [18:00:00 21/09/2012] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 5 vu: ml t0: [18:00:00 21/09/2012] id: D5W 100.0ml + 600mcghr Sandostatin IV Infusions el: 1 cu: MICU cg: RN ai: 189 vo: 8.33333 vu: ml t0: [18:00:00 21/09/2012] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 30 vu: ml
t0: [18:00:00 21/09/2012] id: Propofol el: 1 cu: MICU cg: RN so: N/A vo: 0 v1: 9.89707 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [18:00:00 21/09/2012] id: Sandostatin el: 1 cu: MICU cg: RN so: D5W vo: 0 v1: 50 du: mcghr sv: 100 su: ml rt: IV Drip
tf: [23:00:00 21/09/2012] pt: Unit Dose rt: IV fr: ONCE fs: 19 dn: 1 m1: Furosemide v1: 20 u1: mg
t0: [20:00:00 21/09/2012] id: HI/Minute/Vol/Alarm el: 0 cu: MICU cg: CRT v1: 18 t0: [20:00:00 21/09/2012] id: Compliance (40-60ml) el: 0 cu: MICU cg: CRT v1: 50 u1: ml/cmH st: NotStopd t0: [20:00:00 21/09/2012] id: ETT Mark/Location el: 0 cu: MICU cg: CRT v1: 23cm v2: Lip st: NotStopd t0: [20:00:00 21/09/2012] id: FiO2 Set el: 0 cu: MICU cg: CRT v1: 0.5 u1: torr st: NotStopd t0: [20:00:00 21/09/2012] id: High Insp. Pressure el: 0 cu: MICU cg: CRT v1: 40 u1: cmH2O st: NotStopd t0: [20:00:00 21/09/2012] id: High Resp. Rate el: 0 cu: MICU cg: CRT v1: 25 u1: BPM st: NotStopd t0: [20:00:00 21/09/2012] id: I:E Ratio el: 0 cu: MICU cg: CRT v1: 1:2.4 st: NotStopd t0: [20:00:00 21/09/2012] id: Airway Size el: 0 cu: MICU cg: CRT v1: 7.5 mm st: NotStopd t0: [20:00:00 21/09/2012] id: Airway Type el: 0 cu: MICU cg: CRT v1: Endotracheal st: NotStopd t0: [20:00:00 21/09/2012] id: Inspired Gas Temp el: 0 cu: MICU cg: CRT u1: Deg. C st: NotStopd t0: [20:00:00 21/09/2012] id: Intubation Date el: 0 cu: MICU cg: CRT v1: 8 v2: 27 st: NotStopd t0: [20:00:00 21/09/2012] id: Low Exhaled Min Vol el: 0 cu: MICU cg: CRT v1: 4 st: NotStopd t0: [20:00:00 21/09/2012] id: Mean Airway Pressure el: 0 cu: MICU cg: CRT v1: 12 u1: cmH2O st: NotStopd t0: [20:00:00 21/09/2012] id: Minute Volume(Obser) el: 0 cu: MICU cg: CRT v1: 8 u1: L/min st: NotStopd t0: [20:00:00 21/09/2012] id: PEEP Set el: 0 cu: MICU cg: CRT v1: 8 u1: cmH2O st: NotStopd t0: [20:00:00 21/09/2012] id: Apnea Time Interval el: 0 cu: MICU cg: CRT v1: 20 st: NotStopd t0: [20:00:00 21/09/2012] id: Peak Flow el: 0 cu: MICU cg: CRT u1: L/m st: NotStopd t0: [20:00:00 21/09/2012] id: Peak Insp. Pressure el: 0 cu: MICU cg: CRT v1: 18 u1: cmH2O st: NotStopd t0: [20:00:00 21/09/2012] id: Plateau Pressure el: 0 cu: MICU cg: CRT v1: 19 u1: cmH2O st: NotStopd t0: [20:00:00 21/09/2012] id: Plateau-Off el: 0 cu: MICU cg: CRT v1: Yes st: NotStopd t0: [20:00:00 21/09/2012] id: Resp Rate (Spont) el: 0 cu: MICU cg: CRT v1: 10 u1: BPM st: NotStopd t0: [20:00:00 21/09/2012] id: Resp Rate (Total) el: 0 cu: MICU cg: CRT v1: 18 u1: BPM st: NotStopd t0: [20:00:00 21/09/2012] id: Respiratory Rate Set el: 0 cu: MICU cg: CRT v1: 8 u1: BPM st: NotStopd t0: [20:00:00 21/09/2012] id: Sensitivity-Vent el: 0 cu: MICU cg: CRT v1: 3 u1: cmH2O st: NotStopd t0: [20:00:00 21/09/2012] id: SpO2 el: 0 cu: MICU cg: CRT v1: 100 u1: % st: NotStopd t0: [20:00:00 21/09/2012] id: Tidal Volume (Obser) el: 0 cu: MICU cg: CRT v1: 500 u1: ml/B st: NotStopd t0: [20:00:00 21/09/2012] id: Tidal Volume (Set) el: 0 cu: MICU cg: CRT v1: 500 u1: ml/B st: NotStopd t0: [20:00:00 21/09/2012] id: Ventilator Mode el: 0 cu: MICU cg: CRT v1: CMV st: NotStopd t0: [20:00:00 21/09/2012] id: Ventilator Type el: 0 cu: MICU cg: CRT v1: Drager st: NotStopd t0: [20:00:00 21/09/2012] id: Waveform-Vent el: 0 cu: MICU cg: CRT v1: RAMP st: NotStopd
t0: [19:00:00 21/09/2012] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [19:00:00 21/09/2012] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [19:00:00 21/09/2012] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [19:00:00 21/09/2012] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [19:00:00 21/09/2012] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [19:00:00 21/09/2012] id: Heart Rate el: 0 cu: MICU cg: RN v1: 90 u1: BPM st: NotStopd t0: [19:00:00 21/09/2012] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [19:00:00 21/09/2012] id: Arterial BP el: 0 cu: MICU cg: RN v1: 104 u1: mmHg v2: 52 u2: mmHg st: NotStopd t0: [19:00:00 21/09/2012] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 68 u1: mmHg st: NotStopd t0: [19:00:00 21/09/2012] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [19:00:00 21/09/2012] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 21 u1: BPM st: NotStopd t0: [19:00:00 21/09/2012] id: SpO2 el: 0 cu: MICU cg: RN v1: 100 u1: % st: NotStopd t0: [19:00:00 21/09/2012] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [20:00:00 21/09/2012] id: INV#3Chg o/Wire Date el: 0 cu: MICU cg: RN v1: 8 v2: 29 st: NotStopd t0: [20:00:00 21/09/2012] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [20:00:00 21/09/2012] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [20:00:00 21/09/2012] id: Cough Reflex el: 0 cu: MICU cg: RN v1: Intact st: NotStopd t0: [20:00:00 21/09/2012] id: GI Prophylaxis el: 0 cu: MICU cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [20:00:00 21/09/2012] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [20:00:00 21/09/2012] id: Diet Type el: 0 cu: MICU cg: RN v1: NPO st: NotStopd t0: [20:00:00 21/09/2012] id: Dorsal PedPulse R/L el: 0 cu: MICU cg: RN v1: Strong/Palpable v2: Strong/Palpable st: NotStopd t0: [20:00:00 21/09/2012] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [20:00:00 21/09/2012] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [20:00:00 21/09/2012] id: Eye Opening el: 0 cu: MICU cg: RN v1: 3 To speech st: NotStopd t0: [20:00:00 21/09/2012] id: Follows Commands el: 0 cu: MICU cg: RN v1: Consistently st: NotStopd t0: [20:00:00 21/09/2012] id: GCS Total el: 0 cu: MICU cg: RN v1: 10 u1: points st: NotStopd t0: [20:00:00 21/09/2012] id: GI Intub #1/Site el: 0 cu: MICU cg: RN v1: Salem Sump v2: Right Nare st: NotStopd t0: [20:00:00 21/09/2012] id: GI#1 Tube PlaceCheck el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [20:00:00 21/09/2012] id: GI#1 Tube Stat/Drain el: 0 cu: MICU cg: RN v1: Clamped v2: Dark Red Blood st: NotStopd t0: [20:00:00 21/09/2012] id: Gag Reflex el: 0 cu: MICU cg: RN v1: Intact st: NotStopd t0: [20:00:00 21/09/2012] id: HOB el: 0 cu: MICU cg: RN v1: 30 degrees st: NotStopd t0: [20:00:00 21/09/2012] id: Heart Rate el: 0 cu: MICU cg: RN v1: 90 u1: BPM st: NotStopd t0: [20:00:00 21/09/2012] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [20:00:00 21/09/2012] id: INV Line#2 Type/Site el: 0 cu: MICU cg: RN v1: A-Line v2: Left Radial st: NotStopd t0: [20:00:00 21/09/2012] id: INV Line#2 Zero/Cal el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [20:00:00 21/09/2012] id: INV Line#2InsertDate el: 0 cu: MICU cg: RN v1: 8 v2: 27 st: NotStopd t0: [20:00:00 21/09/2012] id: INV Line#2SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [20:00:00 21/09/2012] id: INV Line#3 Site Date el: 0 cu: MICU cg: RN v1: 8 v2: 29 st: NotStopd t0: [20:00:00 21/09/2012] id: INV Line#3 Type/Site el: 0 cu: MICU cg: RN v1: Multi-lumen v2: Right IJ st: NotStopd t0: [20:00:00 21/09/2012] id: INV Line#3InsertDate el: 0 cu: MICU cg: RN v1: 8 v2: 28 st: NotStopd t0: [20:00:00 21/09/2012] id: INV Line#3SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [20:00:00 21/09/2012] id: Abdominal Assessment el: 0 cu: MICU cg: RN v1: Soft Distended st: NotStopd t0: [20:00:00 21/09/2012] id: INV#2 WaveformAppear el: 0 cu: MICU cg: RN v1: Sharp st: NotStopd t0: [20:00:00 21/09/2012] id: IV #1 Insert Date el: 0 cu: MICU cg: RN v1: ? st: NotStopd t0: [20:00:00 21/09/2012] id: IV #1 Site/Size el: 0 cu: MICU cg: RN v1: RU Ant Forearm v2: 18 gauge st: NotStopd t0: [20:00:00 21/09/2012] id: IV #2 Insert Date el: 0 cu: MICU cg: RN v1: 8 v2: 28 st: NotStopd t0: [20:00:00 21/09/2012] id: IV #2 Site/Size el: 0 cu: MICU cg: RN v1: RU Ant Forearm v2: 16 gauge st: NotStopd t0: [20:00:00 21/09/2012] id: IV #3 Insert Date el: 0 cu: MICU cg: RN v1: 8 v2: 28 st: NotStopd t0: [20:00:00 21/09/2012] id: IV #3 Site/Size el: 0 cu: MICU cg: RN v1: Right Antecub v2: 18 gauge st: NotStopd t0: [20:00:00 21/09/2012] id: Activity el: 0 cu: MICU cg: RN v1: Bedrest st: NotStopd t0: [20:00:00 21/09/2012] id: IV Site Appear #1 el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [20:00:00 21/09/2012] id: IV Site Appear #2 el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [20:00:00 21/09/2012] id: IV Site Appear #3 el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [20:00:00 21/09/2012] id: Activity Tolerance el: 0 cu: MICU cg: RN v1: Tolerated Well st: NotStopd t0: [20:00:00 21/09/2012] id: LLL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [20:00:00 21/09/2012] id: LUL Lung Sounds el: 0 cu: MICU cg: RN v1: Clear st: NotStopd t0: [20:00:00 21/09/2012] id: Level of Conscious el: 0 cu: MICU cg: RN v1: Arouse to Voice st: NotStopd t0: [20:00:00 21/09/2012] id: Motor Response el: 0 cu: MICU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [20:00:00 21/09/2012] id: Oral Cavity el: 0 cu: MICU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [20:00:00 21/09/2012] id: Orientation el: 0 cu: MICU cg: RN v1: Other/Remarks st: NotStopd t0: [20:00:00 21/09/2012] id: AntiEmbDevice/Status el: 0 cu: MICU cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [20:00:00 21/09/2012] id: Arterial BP el: 0 cu: MICU cg: RN v1: 117 u1: mmHg v2: 56 u2: mmHg st: NotStopd t0: [20:00:00 21/09/2012] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 74 u1: mmHg st: NotStopd t0: [20:00:00 21/09/2012] id: Position el: 0 cu: MICU cg: RN v1: Supine st: NotStopd t0: [20:00:00 21/09/2012] id: PostTib. Pulses R/L el: 0 cu: MICU cg: RN v1: Strong/Palpable v2: Strong/Palpable st: NotStopd t0: [20:00:00 21/09/2012] id: Assistance Device el: 0 cu: MICU cg: RN v1: 1 Person Assist st: NotStopd t0: [20:00:00 21/09/2012] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [20:00:00 21/09/2012] id: Pupil Size R/L el: 0 cu: MICU cg: RN v1: 3 mm v2: 3 mm st: NotStopd t0: [20:00:00 21/09/2012] id: RLL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [20:00:00 21/09/2012] id: RUL Lung Sounds el: 0 cu: MICU cg: RN v1: Clear st: NotStopd t0: [20:00:00 21/09/2012] id: Reason For Restraint el: 0 cu: MICU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [20:00:00 21/09/2012] id: Respiratory Pattern el: 0 cu: MICU cg: RN v1: Regular st: NotStopd t0: [20:00:00 21/09/2012] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 15 u1: BPM st: NotStopd t0: [20:00:00 21/09/2012] id: Restraint Location el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [20:00:00 21/09/2012] id: Restraint Type el: 0 cu: MICU cg: RN v1: Soft Limb st: NotStopd t0: [20:00:00 21/09/2012] id: Side Rails el: 0 cu: MICU cg: RN v1: Side Rails Up st: NotStopd t0: [20:00:00 21/09/2012] id: Skin Color el: 0 cu: MICU cg: RN v1: Jaundiced st: NotStopd t0: [20:00:00 21/09/2012] id: Skin Integrity el: 0 cu: MICU cg: RN v1: Intact st: NotStopd t0: [20:00:00 21/09/2012] id: Skin Temp/Condition el: 0 cu: MICU cg: RN v1: Warm v2: Dry st: NotStopd t0: [20:00:00 21/09/2012] id: Spontaneous Movement el: 0 cu: MICU cg: RN v1: Purposeful st: NotStopd t0: [20:00:00 21/09/2012] id: Support Systems el: 0 cu: MICU cg: RN v1: Spouse st: NotStopd t0: [20:00:00 21/09/2012] id: Turn el: 0 cu: MICU cg: RN v1: Back st: NotStopd t0: [20:00:00 21/09/2012] id: Urine Color/Appear el: 0 cu: MICU cg: RN v1: Icteric v2: Sediment st: NotStopd t0: [20:00:00 21/09/2012] id: Urine Source el: 0 cu: MICU cg: RN v1: Indwelling Cath st: NotStopd t0: [20:00:00 21/09/2012] id: Verbal Response el: 0 cu: MICU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [20:00:00 21/09/2012] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [20:00:00 21/09/2012] id: Behavior el: 0 cu: MICU cg: RN v1: Calm st: NotStopd t0: [20:00:00 21/09/2012] id: Bowel Sounds el: 0 cu: MICU cg: RN v1: Present st: NotStopd
t0: [20:00:00 21/09/2012] id: D5W 100.0ml + 600mcghr Sandostatin IV Infusions el: 1 cu: MICU cg: RN ai: 189 vo: 16.6667 vu: ml t0: [20:00:00 21/09/2012] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 35 vu: ml
t0: [19:00:00 21/09/2012] id: Propofol el: 1 cu: MICU cg: RN so: N/A vo: 0 v1: 9.89707 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [19:00:00 21/09/2012] id: Sandostatin el: 1 cu: MICU cg: RN so: D5W vo: 0 v1: 50 du: mcghr sv: 100 su: ml rt: IV Drip t0: [20:00:00 21/09/2012] id: Propofol el: 1 cu: MICU cg: RN so: N/A vo: 0 v1: 9.89707 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [20:00:00 21/09/2012] id: Sandostatin el: 1 cu: MICU cg: RN so: D5W vo: 0 v1: 50 du: mcghr sv: 100 su: ml rt: IV Drip
id: .9% Normal Saline el: 2 cu: MICU cg: RN io: .9% Normal Saline 1000.0ml IV Infusions vo: 1000 du: ml rt: Intravenous Push
t0: [21:00:00 21/09/2012] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [21:00:00 21/09/2012] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [21:00:00 21/09/2012] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [21:00:00 21/09/2012] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [21:00:00 21/09/2012] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [21:00:00 21/09/2012] id: Heart Rate el: 0 cu: MICU cg: RN v1: 90 u1: BPM st: NotStopd t0: [21:00:00 21/09/2012] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [21:00:00 21/09/2012] id: Arterial BP el: 0 cu: MICU cg: RN v1: 99 u1: mmHg v2: 47 u2: mmHg st: NotStopd t0: [21:00:00 21/09/2012] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 62 u1: mmHg st: NotStopd t0: [21:00:00 21/09/2012] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [21:00:00 21/09/2012] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 15 u1: BPM st: NotStopd t0: [21:00:00 21/09/2012] id: SpO2 el: 0 cu: MICU cg: RN v1: 99 u1: % st: NotStopd t0: [21:00:00 21/09/2012] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [19:00:00 21/09/2012] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 0 vu: ml nb: 1 t0: [22:00:00 21/09/2012] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 10 vu: ml t0: [22:00:00 21/09/2012] id: D5W 100.0ml + 600mcghr Sandostatin IV Infusions el: 1 cu: MICU cg: RN ai: 189 vo: 16.6667 vu: ml
t0: [21:00:00 21/09/2012] id: Propofol el: 1 cu: MICU cg: RN so: N/A vo: 0 v1: 9.89707 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [21:00:00 21/09/2012] id: Sandostatin el: 1 cu: MICU cg: RN so: D5W vo: 0 v1: 50 du: mcghr sv: 100 su: ml rt: IV Drip
t0: [22:00:00 21/09/2012] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 107 vu: ml
tf: [07:00:00 25/09/2012] pt: Unit Dose rt: PO fr: TID fs: 08, 16, 22 dn: 3 m1: Lactulose v1: 30 u1: ml
t0: [22:00:00 21/09/2012] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [22:00:00 21/09/2012] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [22:00:00 21/09/2012] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [22:00:00 21/09/2012] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [22:00:00 21/09/2012] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [22:00:00 21/09/2012] id: Heart Rate el: 0 cu: MICU cg: RN v1: 89 u1: BPM st: NotStopd t0: [22:00:00 21/09/2012] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [22:00:00 21/09/2012] id: Arterial BP el: 0 cu: MICU cg: RN v1: 100 u1: mmHg v2: 47 u2: mmHg st: NotStopd t0: [22:00:00 21/09/2012] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 62 u1: mmHg st: NotStopd t0: [22:00:00 21/09/2012] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [22:00:00 21/09/2012] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 15 u1: BPM st: NotStopd t0: [22:00:00 21/09/2012] id: SpO2 el: 0 cu: MICU cg: RN v1: 100 u1: % st: NotStopd t0: [22:00:00 21/09/2012] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [22:00:00 21/09/2012] id: Propofol el: 1 cu: MICU cg: RN so: N/A vo: 0 v1: 9.89707 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [22:00:00 21/09/2012] id: Sandostatin el: 1 cu: MICU cg: RN so: D5W vo: 0 v1: 50 du: mcghr sv: 100 su: ml rt: IV Drip
t0: [22:10:00 21/09/2012] id: Hematocrit Hematology el: 0 cu: MICU cg: 1663 v1: 30.5 u1: % rs: Final st: NotStopd
t0: [22:10:00 21/09/2012] id: PT el: 0 cu: MICU cg: 1663 v1: 16.5 rs: Final st: NotStopd t0: [22:10:00 21/09/2012] id: INR Coags el: 0 cu: MICU cg: 1663 v1: 1.8 rs: Final st: NotStopd t0: [22:10:00 21/09/2012] id: INR (2-4 ref. range) Coags el: 0 cu: MICU cg: 1663 v1: 1.8 rs: Final st: NotStopd t0: [22:10:00 21/09/2012] id: PT(11-13.5) Coags el: 0 cu: MICU cg: 1663 v1: 16.5 rs: Final st: NotStopd
t0: [22:10:00 21/09/2012] id: PTT Coags el: 0 cu: MICU cg: 1663 v1: 33 rs: Final st: NotStopd t0: [22:10:00 21/09/2012] id: PTT(22-35) Coags el: 0 cu: MICU cg: 1663 v1: 33 rs: Final st: NotStopd
t0: [23:00:00 21/09/2012] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [23:00:00 21/09/2012] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [23:00:00 21/09/2012] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [23:00:00 21/09/2012] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [23:00:00 21/09/2012] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [23:00:00 21/09/2012] id: Heart Rate el: 0 cu: MICU cg: RN v1: 89 u1: BPM st: NotStopd t0: [23:00:00 21/09/2012] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [23:00:00 21/09/2012] id: Arterial BP el: 0 cu: MICU cg: RN v1: 104 u1: mmHg v2: 48 u2: mmHg st: NotStopd t0: [23:00:00 21/09/2012] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 64 u1: mmHg st: NotStopd t0: [23:00:00 21/09/2012] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [23:00:00 21/09/2012] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 15 u1: BPM st: NotStopd t0: [23:00:00 21/09/2012] id: SpO2 el: 0 cu: MICU cg: RN v1: 100 u1: % st: NotStopd t0: [23:00:00 21/09/2012] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [20:00:00 21/09/2012] tf: [17:47:00 27/09/2012] dt: 8507 id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 10 vu: ml t0: [20:00:00 21/09/2012] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 10 vu: ml
t0: [23:00:00 21/09/2012] id: Propofol el: 1 cu: MICU cg: RN so: N/A vo: 0 v1: 9.89707 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [23:00:00 21/09/2012] id: Sandostatin el: 1 cu: MICU cg: RN so: D5W vo: 0 v1: 50 du: mcghr sv: 100 su: ml rt: IV Drip
t0: [23:00:00 21/09/2012] dt: 1 id: Net Hourly Balance el: 2 cu: MICU cg: RN cv: 0 ap: none t0: [23:00:00 21/09/2012] dt: 24 id: 24h Total In el: 2 cu: MICU cg: RN cv: 4009.55 ap: none t0: [23:00:00 21/09/2012] dt: 24 id: 24h Net Body Balance el: 2 cu: MICU cg: RN cv: 2239.55 ap: none t0: [23:00:00 21/09/2012] dt: multiple days id: LOS Net Body Balance el: 2 cu: MICU cg: RN cv: 7708.84 ap: none
t0: [00:00:00 22/09/2012] id: HI/Minute/Vol/Alarm el: 0 cu: MICU cg: RRT v1: 18 t0: [00:00:00 22/09/2012] id: Compliance (40-60ml) el: 0 cu: MICU cg: RRT v1: 26.3158 u1: ml/cmH st: NotStopd t0: [00:00:00 22/09/2012] id: ETT Mark/Location el: 0 cu: MICU cg: RRT v1: 23cm v2: Lip st: NotStopd t0: [00:00:00 22/09/2012] id: FiO2 Set el: 0 cu: MICU cg: RRT v1: 0.5 u1: torr st: NotStopd t0: [00:00:00 22/09/2012] id: High Insp. Pressure el: 0 cu: MICU cg: RRT v1: 40 u1: cmH2O st: NotStopd t0: [00:00:00 22/09/2012] id: High Resp. Rate el: 0 cu: MICU cg: RRT v1: 25 u1: BPM st: NotStopd t0: [00:00:00 22/09/2012] id: Airway Size el: 0 cu: MICU cg: RRT v1: 7.5 mm st: NotStopd t0: [00:00:00 22/09/2012] id: Airway Type el: 0 cu: MICU cg: RRT v1: Endotracheal st: NotStopd t0: [00:00:00 22/09/2012] id: Intubation Date el: 0 cu: MICU cg: RRT v1: 8 v2: 27 st: NotStopd t0: [00:00:00 22/09/2012] id: Low Exhaled Min Vol el: 0 cu: MICU cg: RRT v1: 4 st: NotStopd t0: [00:00:00 22/09/2012] id: Mean Airway Pressure el: 0 cu: MICU cg: RRT v1: 12 u1: cmH2O st: NotStopd t0: [00:00:00 22/09/2012] id: Minute Volume(Obser) el: 0 cu: MICU cg: RRT v1: 7.8 u1: L/min st: NotStopd t0: [00:00:00 22/09/2012] id: PEEP Set el: 0 cu: MICU cg: RRT v1: 8 u1: cmH2O st: NotStopd t0: [00:00:00 22/09/2012] id: Apnea Time Interval el: 0 cu: MICU cg: RRT v1: 20 st: NotStopd t0: [00:00:00 22/09/2012] id: Peak Insp. Pressure el: 0 cu: MICU cg: RRT v1: 27 u1: cmH2O st: NotStopd t0: [00:00:00 22/09/2012] id: Plateau-Off el: 0 cu: MICU cg: RRT v1: Yes st: NotStopd t0: [00:00:00 22/09/2012] id: Resp Rate (Spont) el: 0 cu: MICU cg: RRT v1: 9 u1: BPM st: NotStopd t0: [00:00:00 22/09/2012] id: Resp Rate (Total) el: 0 cu: MICU cg: RRT v1: 17 u1: BPM st: NotStopd t0: [00:00:00 22/09/2012] id: Respiratory Rate Set el: 0 cu: MICU cg: RRT v1: 8 u1: BPM st: NotStopd t0: [00:00:00 22/09/2012] id: Sensitivity-Vent el: 0 cu: MICU cg: RRT v1: 3 u1: cmH2O st: NotStopd t0: [00:00:00 22/09/2012] id: SpO2 el: 0 cu: MICU cg: RRT v1: 100 u1: % st: NotStopd t0: [00:00:00 22/09/2012] id: Tidal Volume (Obser) el: 0 cu: MICU cg: RRT v1: 458 u1: ml/B st: NotStopd t0: [00:00:00 22/09/2012] id: Tidal Volume (Set) el: 0 cu: MICU cg: RRT v1: 500 u1: ml/B st: NotStopd t0: [00:00:00 22/09/2012] id: Ventilator Mode el: 0 cu: MICU cg: RRT v1: CMV st: NotStopd t0: [00:00:00 22/09/2012] id: Ventilator Type el: 0 cu: MICU cg: RRT v1: Drager st: NotStopd t0: [00:00:00 22/09/2012] id: Waveform-Vent el: 0 cu: MICU cg: RRT v1: RAMP st: NotStopd
t0: [23:25:00 21/09/2012] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [23:25:00 21/09/2012] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [23:25:00 21/09/2012] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [23:25:00 21/09/2012] id: Heart Rate el: 0 cu: MICU cg: RN v1: 90 u1: BPM st: NotStopd t0: [23:25:00 21/09/2012] id: Arterial BP el: 0 cu: MICU cg: RN v1: 81 u1: mmHg v2: 38 u2: mmHg st: NotStopd t0: [23:25:00 21/09/2012] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 85 u1: mmHg st: NotStopd t0: [23:25:00 21/09/2012] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [23:25:00 21/09/2012] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 17 u1: BPM st: NotStopd t0: [23:25:00 21/09/2012] id: SpO2 el: 0 cu: MICU cg: RN v1: 97 u1: % st: NotStopd t0: [23:25:00 21/09/2012] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [23:30:00 21/09/2012] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [23:30:00 21/09/2012] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [23:30:00 21/09/2012] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [23:30:00 21/09/2012] id: Heart Rate el: 0 cu: MICU cg: RN v1: 91 u1: BPM st: NotStopd t0: [23:30:00 21/09/2012] id: Arterial BP el: 0 cu: MICU cg: RN v1: 90 u1: mmHg v2: 36 u2: mmHg st: NotStopd t0: [23:30:00 21/09/2012] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 53 u1: mmHg st: NotStopd t0: [23:30:00 21/09/2012] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [23:30:00 21/09/2012] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 16 u1: BPM st: NotStopd t0: [23:30:00 21/09/2012] id: Significant Events el: 0 cu: MICU cg: RN v1: Fluid Bolus st: NotStopd t0: [23:30:00 21/09/2012] id: SpO2 el: 0 cu: MICU cg: RN v1: 100 u1: % st: NotStopd t0: [23:30:00 21/09/2012] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [23:35:00 21/09/2012] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [23:35:00 21/09/2012] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [23:35:00 21/09/2012] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [23:35:00 21/09/2012] id: Heart Rate el: 0 cu: MICU cg: RN v1: 93 u1: BPM st: NotStopd t0: [23:35:00 21/09/2012] id: Arterial BP el: 0 cu: MICU cg: RN v1: 97 u1: mmHg v2: 44 u2: mmHg st: NotStopd t0: [23:35:00 21/09/2012] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 60 u1: mmHg st: NotStopd t0: [23:35:00 21/09/2012] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [23:35:00 21/09/2012] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 19 u1: BPM st: NotStopd t0: [23:35:00 21/09/2012] id: SpO2 el: 0 cu: MICU cg: RN v1: 100 u1: % st: NotStopd t0: [23:35:00 21/09/2012] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [23:30:00 21/09/2012] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 35 vu: ml t0: [23:30:00 21/09/2012] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 7.5 vu: ml t0: [23:30:00 21/09/2012] id: D5W 100.0ml + 600mcghr Sandostatin IV Infusions el: 1 cu: MICU cg: RN ai: 189 vo: 12.5 vu: ml t0: [23:30:00 21/09/2012] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 100 vu: ml
t0: [23:25:00 21/09/2012] id: Propofol el: 1 cu: MICU cg: RN so: N/A vo: 0 v1: 9.89707 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [23:25:00 21/09/2012] id: Sandostatin el: 1 cu: MICU cg: RN so: D5W vo: 0 v1: 50 du: mcghr sv: 100 su: ml rt: IV Drip t0: [23:30:00 21/09/2012] id: Propofol el: 1 cu: MICU cg: RN so: N/A vo: 0 v1: 9.89707 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [23:30:00 21/09/2012] id: Sandostatin el: 1 cu: MICU cg: RN so: D5W vo: 0 v1: 50 du: mcghr sv: 100 su: ml rt: IV Drip t0: [23:35:00 21/09/2012] id: Propofol el: 1 cu: MICU cg: RN so: N/A vo: 0 v1: 9.89707 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [23:35:00 21/09/2012] id: Sandostatin el: 1 cu: MICU cg: RN so: D5W vo: 0 v1: 50 du: mcghr sv: 100 su: ml rt: IV Drip
t0: [23:30:00 21/09/2012] id: D5W 100.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 105 vo: 200 vu: ml
t0: [00:00:00 22/09/2012] id: Fingerstick Glucose Chemistry el: 0 cu: MICU cg: CoWker v1: 71 rs: Manual st: NotStopd
t0: [00:00:00 22/09/2012] id: Range of Motion el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [00:00:00 22/09/2012] id: INV#3Chg o/Wire Date el: 0 cu: MICU cg: RN v1: 8 v2: 29 st: NotStopd t0: [00:00:00 22/09/2012] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [00:00:00 22/09/2012] id: Circulation/SkinInt el: 0 cu: MICU cg: RN v1: Circulation Adeq st: NotStopd t0: [00:00:00 22/09/2012] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [00:00:00 22/09/2012] id: Cough Reflex el: 0 cu: MICU cg: RN v1: Intact st: NotStopd t0: [00:00:00 22/09/2012] id: GI Prophylaxis el: 0 cu: MICU cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [00:00:00 22/09/2012] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [00:00:00 22/09/2012] id: Diet Type el: 0 cu: MICU cg: RN v1: NPO st: NotStopd t0: [00:00:00 22/09/2012] id: Dorsal PedPulse R/L el: 0 cu: MICU cg: RN v1: Strong/Palpable v2: Strong/Palpable st: NotStopd t0: [00:00:00 22/09/2012] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [00:00:00 22/09/2012] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [00:00:00 22/09/2012] id: Eye Opening el: 0 cu: MICU cg: RN v1: 3 To speech st: NotStopd t0: [00:00:00 22/09/2012] id: Follows Commands el: 0 cu: MICU cg: RN v1: Consistently st: NotStopd t0: [00:00:00 22/09/2012] id: GCS Total el: 0 cu: MICU cg: RN v1: 10 u1: points st: NotStopd t0: [00:00:00 22/09/2012] id: GI Intub #1/Site el: 0 cu: MICU cg: RN v1: Salem Sump v2: Right Nare st: NotStopd t0: [00:00:00 22/09/2012] id: GI#1 Tube PlaceCheck el: 0 cu: MICU cg: RN v1: Not Done st: NotStopd t0: [00:00:00 22/09/2012] id: GI#1 Tube Stat/Drain el: 0 cu: MICU cg: RN v1: Clamped v2: Dark Red Blood st: NotStopd t0: [00:00:00 22/09/2012] id: Gag Reflex el: 0 cu: MICU cg: RN v1: Intact st: NotStopd t0: [00:00:00 22/09/2012] id: Heart Rate el: 0 cu: MICU cg: RN v1: 92 u1: BPM st: NotStopd t0: [00:00:00 22/09/2012] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [00:00:00 22/09/2012] id: INV Line#2 Type/Site el: 0 cu: MICU cg: RN v1: A-Line v2: Left Radial st: NotStopd t0: [00:00:00 22/09/2012] id: INV Line#2 Zero/Cal el: 0 cu: MICU cg: RN v1: No st: NotStopd t0: [00:00:00 22/09/2012] id: INV Line#2InsertDate el: 0 cu: MICU cg: RN v1: 8 v2: 27 st: NotStopd t0: [00:00:00 22/09/2012] id: INV Line#2SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [00:00:00 22/09/2012] id: INV Line#3 Site Date el: 0 cu: MICU cg: RN v1: 8 v2: 29 st: NotStopd t0: [00:00:00 22/09/2012] id: INV Line#3 Type/Site el: 0 cu: MICU cg: RN v1: Multi-lumen v2: Right IJ st: NotStopd t0: [00:00:00 22/09/2012] id: INV Line#3InsertDate el: 0 cu: MICU cg: RN v1: 8 v2: 28 st: NotStopd t0: [00:00:00 22/09/2012] id: INV Line#3SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [00:00:00 22/09/2012] id: Abdominal Assessment el: 0 cu: MICU cg: RN v1: Soft Distended st: NotStopd t0: [00:00:00 22/09/2012] id: INV#2 WaveformAppear el: 0 cu: MICU cg: RN v1: Sharp st: NotStopd t0: [00:00:00 22/09/2012] id: IV #1 Insert Date el: 0 cu: MICU cg: RN v1: ? st: NotStopd t0: [00:00:00 22/09/2012] id: IV #1 Site/Size el: 0 cu: MICU cg: RN v1: RU Ant Forearm v2: 18 gauge st: NotStopd t0: [00:00:00 22/09/2012] id: IV #2 Insert Date el: 0 cu: MICU cg: RN v1: 8 v2: 28 st: NotStopd t0: [00:00:00 22/09/2012] id: IV #2 Site/Size el: 0 cu: MICU cg: RN v1: RU Ant Forearm v2: 16 gauge st: NotStopd t0: [00:00:00 22/09/2012] id: IV #3 Insert Date el: 0 cu: MICU cg: RN v1: 8 v2: 28 st: NotStopd t0: [00:00:00 22/09/2012] id: IV #3 Site/Size el: 0 cu: MICU cg: RN v1: Right Antecub v2: 18 gauge st: NotStopd t0: [00:00:00 22/09/2012] id: IV Site Appear #1 el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [00:00:00 22/09/2012] id: IV Site Appear #2 el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [00:00:00 22/09/2012] id: IV Site Appear #3 el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [00:00:00 22/09/2012] id: LLL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [00:00:00 22/09/2012] id: LUL Lung Sounds el: 0 cu: MICU cg: RN v1: Clear st: NotStopd t0: [00:00:00 22/09/2012] id: Level of Conscious el: 0 cu: MICU cg: RN v1: Arouse to Voice st: NotStopd t0: [00:00:00 22/09/2012] id: Motor Response el: 0 cu: MICU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [00:00:00 22/09/2012] id: Oral Cavity el: 0 cu: MICU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [00:00:00 22/09/2012] id: Orientation el: 0 cu: MICU cg: RN v1: Other/Remarks st: NotStopd t0: [00:00:00 22/09/2012] id: Arterial BP el: 0 cu: MICU cg: RN v1: 114 u1: mmHg v2: 52 u2: mmHg st: NotStopd t0: [00:00:00 22/09/2012] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 71 u1: mmHg st: NotStopd t0: [00:00:00 22/09/2012] id: Position Change el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [00:00:00 22/09/2012] id: PostTib. Pulses R/L el: 0 cu: MICU cg: RN v1: Strong/Palpable v2: Strong/Palpable st: NotStopd t0: [00:00:00 22/09/2012] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [00:00:00 22/09/2012] id: Pupil Size R/L el: 0 cu: MICU cg: RN v1: 3 mm v2: 3 mm st: NotStopd t0: [00:00:00 22/09/2012] id: RLL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [00:00:00 22/09/2012] id: RUL Lung Sounds el: 0 cu: MICU cg: RN v1: Clear st: NotStopd t0: [00:00:00 22/09/2012] id: Reason For Restraint el: 0 cu: MICU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [00:00:00 22/09/2012] id: Removed x 5 Mins el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [00:00:00 22/09/2012] id: Respiratory Pattern el: 0 cu: MICU cg: RN v1: Regular st: NotStopd t0: [00:00:00 22/09/2012] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 15 u1: BPM st: NotStopd t0: [00:00:00 22/09/2012] id: Restraint Location el: 0 cu: MICU cg: RN v1: Both Arms st: NotStopd t0: [00:00:00 22/09/2012] id: Restraint Type el: 0 cu: MICU cg: RN v1: Soft Limb st: NotStopd t0: [00:00:00 22/09/2012] id: Restraints Evaluated el: 0 cu: MICU cg: RN v1: RestraintReapply st: NotStopd t0: [00:00:00 22/09/2012] id: Side Rails el: 0 cu: MICU cg: RN v1: Side Rails Up st: NotStopd t0: [00:00:00 22/09/2012] id: Skin Color el: 0 cu: MICU cg: RN v1: Jaundiced st: NotStopd t0: [00:00:00 22/09/2012] id: Skin Integrity el: 0 cu: MICU cg: RN v1: Intact st: NotStopd t0: [00:00:00 22/09/2012] id: Skin Temp/Condition el: 0 cu: MICU cg: RN v1: Warm v2: Dry st: NotStopd t0: [00:00:00 22/09/2012] id: Spontaneous Movement el: 0 cu: MICU cg: RN v1: Purposeful st: NotStopd t0: [00:00:00 22/09/2012] id: Support Systems el: 0 cu: MICU cg: RN v1: Spouse st: NotStopd t0: [00:00:00 22/09/2012] id: Urine Color/Appear el: 0 cu: MICU cg: RN v1: Icteric v2: Sediment st: NotStopd t0: [00:00:00 22/09/2012] id: Urine Source el: 0 cu: MICU cg: RN v1: Indwelling Cath st: NotStopd t0: [00:00:00 22/09/2012] id: Verbal Response el: 0 cu: MICU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [00:00:00 22/09/2012] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [00:00:00 22/09/2012] id: Bowel Sounds el: 0 cu: MICU cg: RN v1: Present st: NotStopd
t0: [00:00:00 22/09/2012] id: Propofol el: 1 cu: MICU cg: RN so: N/A vo: 0 v1: 9.89707 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [00:00:00 22/09/2012] id: Sandostatin el: 1 cu: MICU cg: RN so: D5W vo: 0 v1: 50 du: mcghr sv: 100 su: ml rt: IV Drip
t0: [23:30:00 21/09/2012] id: Hematocrit Hematology el: 0 cu: MICU cg: 1663 v1: 30.9 u1: % rs: Final st: NotStopd
t0: [01:00:00 22/09/2012] id: Fingerstick Glucose Chemistry el: 0 cu: MICU cg: CoWker v1: 73 rs: Manual st: NotStopd
t0: [01:00:00 22/09/2012] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [01:00:00 22/09/2012] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [01:00:00 22/09/2012] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [01:00:00 22/09/2012] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [01:00:00 22/09/2012] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [01:00:00 22/09/2012] id: Heart Rate el: 0 cu: MICU cg: RN v1: 93 u1: BPM st: NotStopd t0: [01:00:00 22/09/2012] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [01:00:00 22/09/2012] id: Arterial BP el: 0 cu: MICU cg: RN v1: 104 u1: mmHg v2: 47 u2: mmHg st: NotStopd t0: [01:00:00 22/09/2012] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 64 u1: mmHg st: NotStopd t0: [01:00:00 22/09/2012] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [01:00:00 22/09/2012] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 15 u1: BPM st: NotStopd t0: [01:00:00 22/09/2012] id: SpO2 el: 0 cu: MICU cg: RN v1: 99 u1: % st: NotStopd t0: [01:00:00 22/09/2012] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [02:00:00 22/09/2012] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [02:00:00 22/09/2012] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [02:00:00 22/09/2012] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [02:00:00 22/09/2012] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [02:00:00 22/09/2012] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [02:00:00 22/09/2012] id: Heart Rate el: 0 cu: MICU cg: RN v1: 95 u1: BPM st: NotStopd t0: [02:00:00 22/09/2012] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [02:00:00 22/09/2012] id: Arterial BP el: 0 cu: MICU cg: RN v1: 103 u1: mmHg v2: 50 u2: mmHg st: NotStopd t0: [02:00:00 22/09/2012] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 66 u1: mmHg st: NotStopd t0: [02:00:00 22/09/2012] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [02:00:00 22/09/2012] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 10 u1: BPM st: NotStopd t0: [02:00:00 22/09/2012] id: SpO2 el: 0 cu: MICU cg: RN v1: 100 u1: % st: NotStopd t0: [02:00:00 22/09/2012] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [01:00:00 22/09/2012] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 15 vu: ml t0: [01:00:00 22/09/2012] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 7.5 vu: ml t0: [01:00:00 22/09/2012] id: D5W 100.0ml + 600mcghr Sandostatin IV Infusions el: 1 cu: MICU cg: RN ai: 189 vo: 12.5 vu: ml t0: [02:00:00 22/09/2012] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 10 vu: ml t0: [02:00:00 22/09/2012] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 5 vu: ml t0: [02:00:00 22/09/2012] id: D5W 100.0ml + 600mcghr Sandostatin IV Infusions el: 1 cu: MICU cg: RN ai: 189 vo: 8.33333 vu: ml t0: [02:00:00 22/09/2012] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 60 vu: ml
t0: [01:00:00 22/09/2012] id: Propofol el: 1 cu: MICU cg: RN so: N/A vo: 0 v1: 9.89707 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [01:00:00 22/09/2012] id: Sandostatin el: 1 cu: MICU cg: RN so: D5W vo: 0 v1: 50 du: mcghr sv: 100 su: ml rt: IV Drip t0: [02:00:00 22/09/2012] id: Propofol el: 1 cu: MICU cg: RN so: N/A vo: 0 v1: 9.89707 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [02:00:00 22/09/2012] id: Sandostatin el: 1 cu: MICU cg: RN so: D5W vo: 0 v1: 50 du: mcghr sv: 100 su: ml rt: IV Drip
t0: [23:00:00 22/09/2012] dt: 1 id: Total Hourly Output el: 2 cu: MICU cg: RN cv: 0 ap: none t0: [23:00:00 22/09/2012] dt: 1 id: Net Hourly Balance el: 2 cu: MICU cg: RN cv: 0 ap: none t0: [23:00:00 22/09/2012] dt: 24 id: IV Infusion In Total el: 2 cu: MICU cg: RN cv: 1961.82 ap: none t0: [23:00:00 22/09/2012] dt: 24 id: 24h Total In el: 2 cu: MICU cg: RN cv: 3448.82 ap: none t0: [23:00:00 22/09/2012] dt: 24 id: Urine Out Total el: 2 cu: MICU cg: RN cv: 1025 ap: none t0: [23:00:00 22/09/2012] dt: 24 id: 24h Net Body Balance el: 2 cu: MICU cg: RN cv: 2423.82 ap: none t0: [23:00:00 22/09/2012] dt: 24 id: 24h Total Out el: 2 cu: MICU cg: RN cv: 1025 ap: none t0: [23:00:00 22/09/2012] dt: multiple days id: LOS Net Body Balance el: 2 cu: MICU cg: RN cv: 10132.7 ap: none
t0: [03:00:00 22/09/2012] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [03:00:00 22/09/2012] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [03:00:00 22/09/2012] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [03:00:00 22/09/2012] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [03:00:00 22/09/2012] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [03:00:00 22/09/2012] id: Heart Rate el: 0 cu: MICU cg: RN v1: 97 u1: BPM st: NotStopd t0: [03:00:00 22/09/2012] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [03:00:00 22/09/2012] id: Arterial BP el: 0 cu: MICU cg: RN v1: 105 u1: mmHg v2: 54 u2: mmHg st: NotStopd t0: [03:00:00 22/09/2012] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 70 u1: mmHg st: NotStopd t0: [03:00:00 22/09/2012] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [03:00:00 22/09/2012] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 12 u1: BPM st: NotStopd t0: [03:00:00 22/09/2012] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [03:00:00 22/09/2012] id: Propofol el: 1 cu: MICU cg: RN so: N/A vo: 0 v1: 4.9 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [03:00:00 22/09/2012] id: Sandostatin el: 1 cu: MICU cg: RN so: D5W vo: 0 v1: 50 du: mcghr sv: 100 su: ml rt: IV Drip
t0: [02:00:00 22/09/2012] id: Reason For Restraint el: 0 cu: MICU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [02:00:00 22/09/2012] id: Restraint Location el: 0 cu: MICU cg: RN v1: Both Arms st: NotStopd t0: [02:00:00 22/09/2012] id: Restraint Type el: 0 cu: MICU cg: RN v1: Soft Limb st: NotStopd t0: [02:00:00 22/09/2012] id: Side Rails el: 0 cu: MICU cg: RN v1: Side Rails Up st: NotStopd t0: [02:00:00 22/09/2012] id: Support Systems el: 0 cu: MICU cg: RN v1: Spouse st: NotStopd t0: [04:00:00 22/09/2012] id: Less Restrict Meas. el: 0 cu: MICU cg: RN v1: Medicated st: NotStopd t0: [04:00:00 22/09/2012] id: Range of Motion el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [04:00:00 22/09/2012] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [04:00:00 22/09/2012] id: Circulation/SkinInt el: 0 cu: MICU cg: RN v1: Circulation Adeq st: NotStopd t0: [04:00:00 22/09/2012] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [04:00:00 22/09/2012] id: Cough Reflex el: 0 cu: MICU cg: RN v1: Intact st: NotStopd t0: [04:00:00 22/09/2012] id: GI Prophylaxis el: 0 cu: MICU cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [04:00:00 22/09/2012] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [04:00:00 22/09/2012] id: Diet Type el: 0 cu: MICU cg: RN v1: NPO st: NotStopd t0: [04:00:00 22/09/2012] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [04:00:00 22/09/2012] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [04:00:00 22/09/2012] id: Eye Opening el: 0 cu: MICU cg: RN v1: 3 To speech st: NotStopd t0: [04:00:00 22/09/2012] id: Follows Commands el: 0 cu: MICU cg: RN v1: Consistently st: NotStopd t0: [04:00:00 22/09/2012] id: GCS Total el: 0 cu: MICU cg: RN v1: 10 u1: points st: NotStopd t0: [04:00:00 22/09/2012] id: GI Intub #1/Site el: 0 cu: MICU cg: RN v1: Salem Sump v2: Right Nare st: NotStopd t0: [04:00:00 22/09/2012] id: GI#1 Tube Stat/Drain el: 0 cu: MICU cg: RN v1: Clamped st: NotStopd t0: [04:00:00 22/09/2012] id: Gag Reflex el: 0 cu: MICU cg: RN v1: Intact st: NotStopd t0: [04:00:00 22/09/2012] id: Heart Rate el: 0 cu: MICU cg: RN v1: 98 u1: BPM st: NotStopd t0: [04:00:00 22/09/2012] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [04:00:00 22/09/2012] id: Abdominal Assessment el: 0 cu: MICU cg: RN v1: Soft Distended st: NotStopd t0: [04:00:00 22/09/2012] id: LLL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [04:00:00 22/09/2012] id: LUL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [04:00:00 22/09/2012] id: Level of Conscious el: 0 cu: MICU cg: RN v1: Arouse to Voice st: NotStopd t0: [04:00:00 22/09/2012] id: Motor Response el: 0 cu: MICU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [04:00:00 22/09/2012] id: Oral Cavity el: 0 cu: MICU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [04:00:00 22/09/2012] id: Orientation el: 0 cu: MICU cg: RN v1: Other/Remarks st: NotStopd t0: [04:00:00 22/09/2012] id: Arterial BP el: 0 cu: MICU cg: RN v1: 100 u1: mmHg v2: 50 u2: mmHg st: NotStopd t0: [04:00:00 22/09/2012] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 65 u1: mmHg st: NotStopd t0: [04:00:00 22/09/2012] id: Position Change el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [04:00:00 22/09/2012] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [04:00:00 22/09/2012] id: Pupil Size R/L el: 0 cu: MICU cg: RN v1: 3 mm v2: 3 mm st: NotStopd t0: [04:00:00 22/09/2012] id: RLL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [04:00:00 22/09/2012] id: RUL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [04:00:00 22/09/2012] id: Reason For Restraint el: 0 cu: MICU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [04:00:00 22/09/2012] id: Removed x 5 Mins el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [04:00:00 22/09/2012] id: Respiratory Pattern el: 0 cu: MICU cg: RN v1: Regular st: NotStopd t0: [04:00:00 22/09/2012] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 21 u1: BPM st: NotStopd t0: [04:00:00 22/09/2012] id: Restraint Location el: 0 cu: MICU cg: RN v1: Both Arms st: NotStopd t0: [04:00:00 22/09/2012] id: Restraint Type el: 0 cu: MICU cg: RN v1: Soft Limb st: NotStopd t0: [04:00:00 22/09/2012] id: Restraints Evaluated el: 0 cu: MICU cg: RN v1: Behavior Conts st: NotStopd t0: [04:00:00 22/09/2012] id: Side Rails el: 0 cu: MICU cg: RN v1: Side Rails Up st: NotStopd t0: [04:00:00 22/09/2012] id: Skin Color el: 0 cu: MICU cg: RN v1: Jaundiced st: NotStopd t0: [04:00:00 22/09/2012] id: Skin Integrity el: 0 cu: MICU cg: RN v1: Intact st: NotStopd t0: [04:00:00 22/09/2012] id: Skin Temp/Condition el: 0 cu: MICU cg: RN v1: Warm v2: Dry st: NotStopd t0: [04:00:00 22/09/2012] id: Spontaneous Movement el: 0 cu: MICU cg: RN v1: Purposeful st: NotStopd t0: [04:00:00 22/09/2012] id: Support Systems el: 0 cu: MICU cg: RN v1: Spouse st: NotStopd t0: [04:00:00 22/09/2012] id: Urine Color/Appear el: 0 cu: MICU cg: RN v1: Icteric v2: Sediment st: NotStopd t0: [04:00:00 22/09/2012] id: Urine Source el: 0 cu: MICU cg: RN v1: Indwelling Cath st: NotStopd t0: [04:00:00 22/09/2012] id: Verbal Response el: 0 cu: MICU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [04:00:00 22/09/2012] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [04:00:00 22/09/2012] id: Bowel Sounds el: 0 cu: MICU cg: RN v1: Present st: NotStopd
t0: [04:00:00 22/09/2012] id: Propofol el: 1 cu: MICU cg: RN so: N/A vo: 0 v1: 4.9 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [04:00:00 22/09/2012] id: Sandostatin el: 1 cu: MICU cg: RN so: D5W vo: 0 v1: 50 du: mcghr sv: 100 su: ml rt: IV Drip
t0: [04:00:00 22/09/2012] id: Fingerstick Glucose Chemistry el: 0 cu: MICU cg: CoWker v1: 77 rs: Manual st: NotStopd
t0: [00:00:00 22/09/2012] id: I:E Ratio el: 0 cu: MICU cg: CRT v1: 1:2.4 st: NotStopd t0: [00:00:00 22/09/2012] id: Inspired Gas Temp el: 0 cu: MICU cg: CRT u1: Deg. C st: NotStopd t0: [00:00:00 22/09/2012] id: Plateau Pressure el: 0 cu: MICU cg: CRT v1: 20 u1: cmH2O st: NotStopd t0: [04:00:00 22/09/2012] id: HI/Minute/Vol/Alarm el: 0 cu: MICU cg: CRT v1: 18 t0: [04:00:00 22/09/2012] id: Compliance (40-60ml) el: 0 cu: MICU cg: CRT v1: 41.6667 u1: ml/cmH st: NotStopd t0: [04:00:00 22/09/2012] id: ETT Mark/Location el: 0 cu: MICU cg: CRT v1: 23cm v2: Lip st: NotStopd t0: [04:00:00 22/09/2012] id: FiO2 Set el: 0 cu: MICU cg: CRT v1: 0.5 u1: torr st: NotStopd t0: [04:00:00 22/09/2012] id: High Insp. Pressure el: 0 cu: MICU cg: CRT v1: 40 u1: cmH2O st: NotStopd t0: [04:00:00 22/09/2012] id: High Resp. Rate el: 0 cu: MICU cg: CRT v1: 25 u1: BPM st: NotStopd t0: [04:00:00 22/09/2012] id: I:E Ratio el: 0 cu: MICU cg: CRT v1: 1:2.4 st: NotStopd t0: [04:00:00 22/09/2012] id: Airway Size el: 0 cu: MICU cg: CRT v1: 7.5 mm st: NotStopd t0: [04:00:00 22/09/2012] id: Airway Type el: 0 cu: MICU cg: CRT v1: Endotracheal st: NotStopd t0: [04:00:00 22/09/2012] id: Inspired Gas Temp el: 0 cu: MICU cg: CRT u1: Deg. C st: NotStopd t0: [04:00:00 22/09/2012] id: Intubation Date el: 0 cu: MICU cg: CRT v1: 8 v2: 27 st: NotStopd t0: [04:00:00 22/09/2012] id: Low Exhaled Min Vol el: 0 cu: MICU cg: CRT v1: 4 st: NotStopd t0: [04:00:00 22/09/2012] id: Mean Airway Pressure el: 0 cu: MICU cg: CRT v1: 14 u1: cmH2O st: NotStopd t0: [04:00:00 22/09/2012] id: Minute Volume(Obser) el: 0 cu: MICU cg: CRT v1: 6.7 u1: L/min st: NotStopd t0: [04:00:00 22/09/2012] id: PEEP Set el: 0 cu: MICU cg: CRT v1: 8 u1: cmH2O st: NotStopd t0: [04:00:00 22/09/2012] id: Apnea Time Interval el: 0 cu: MICU cg: CRT v1: 20 st: NotStopd t0: [04:00:00 22/09/2012] id: Peak Insp. Pressure el: 0 cu: MICU cg: CRT v1: 20 u1: cmH2O st: NotStopd t0: [04:00:00 22/09/2012] id: Plateau Pressure el: 0 cu: MICU cg: CRT v1: 20 u1: cmH2O st: NotStopd t0: [04:00:00 22/09/2012] id: Plateau-Off el: 0 cu: MICU cg: CRT v1: Yes st: NotStopd t0: [04:00:00 22/09/2012] id: Resp Rate (Spont) el: 0 cu: MICU cg: CRT v1: 7 u1: BPM st: NotStopd t0: [04:00:00 22/09/2012] id: Resp Rate (Total) el: 0 cu: MICU cg: CRT v1: 15 u1: BPM st: NotStopd t0: [04:00:00 22/09/2012] id: Respiratory Rate Set el: 0 cu: MICU cg: CRT v1: 8 u1: BPM st: NotStopd t0: [04:00:00 22/09/2012] id: Sensitivity-Vent el: 0 cu: MICU cg: CRT v1: 3 u1: cmH2O st: NotStopd t0: [04:00:00 22/09/2012] id: Tidal Volume (Obser) el: 0 cu: MICU cg: CRT v1: 449 u1: ml/B st: NotStopd t0: [04:00:00 22/09/2012] id: Tidal Volume (Set) el: 0 cu: MICU cg: CRT v1: 500 u1: ml/B st: NotStopd t0: [04:00:00 22/09/2012] id: Ventilator Mode el: 0 cu: MICU cg: CRT v1: CMV st: NotStopd t0: [04:00:00 22/09/2012] id: Ventilator Type el: 0 cu: MICU cg: CRT v1: Drager st: NotStopd t0: [04:00:00 22/09/2012] id: Waveform-Vent el: 0 cu: MICU cg: CRT v1: RAMP st: NotStopd
t0: [04:00:00 22/09/2012] id: RSBI (<100) el: 0 cu: MICU cg: CRT v1: 67.4157 u1: units st: NotStopd t0: [04:00:00 22/09/2012] id: RSBI (<200) el: 0 cu: MICU cg: CRT v1: 67.4157 u1: units st: NotStopd t0: [04:00:00 22/09/2012] id: Spon RR (Mech.) el: 0 cu: MICU cg: CRT v1: 24 u1: BPM st: NotStopd t0: [04:00:00 22/09/2012] id: Spon. Vt (L) (Mech.) el: 0 cu: MICU cg: CRT v1: 0.356 u1: L st: NotStopd
t0: [04:00:00 22/09/2012] id: WBC (4-11,000) Hematology el: 0 cu: MICU cg: 1663 v1: 13.6 rs: Final st: NotStopd t0: [04:00:00 22/09/2012] id: WBC Hematology el: 0 cu: MICU cg: 1663 v1: 13.6 rs: Final st: NotStopd t0: [04:00:00 22/09/2012] id: Hematocrit Hematology el: 0 cu: MICU cg: 1663 v1: 31 u1: % rs: Final st: NotStopd t0: [04:00:00 22/09/2012] id: Hemoglobin Hematology el: 0 cu: MICU cg: 1663 v1: 10.5 u1: gm/dl rs: Final st: NotStopd t0: [04:00:00 22/09/2012] id: Platelets Hematology el: 0 cu: MICU cg: 1663 v1: 128 rs: Final st: NotStopd t0: [04:00:00 22/09/2012] id: RBC Hematology el: 0 cu: MICU cg: 1663 v1: 3.38 u1: /mic l rs: Final st: NotStopd t0: [04:00:00 22/09/2012] id: WBC (4-11,000) Hematology el: 0 cu: MICU cg: 1663 v1: 13.6 rs: Final st: NotStopd
t0: [04:00:00 22/09/2012] id: PT el: 0 cu: MICU cg: 1663 v1: 16.9 rs: Final st: NotStopd t0: [04:00:00 22/09/2012] id: Fibrinogen Coags el: 0 cu: MICU cg: 1663 v1: 364 rs: Final st: NotStopd t0: [04:00:00 22/09/2012] id: INR Coags el: 0 cu: MICU cg: 1663 v1: 1.9 rs: Final st: NotStopd t0: [04:00:00 22/09/2012] id: PTT Coags el: 0 cu: MICU cg: 1663 v1: 34.1 rs: Final st: NotStopd t0: [04:00:00 22/09/2012] id: Fibrinogen (150-400) Coags el: 0 cu: MICU cg: 1663 v1: 364 rs: Final st: NotStopd t0: [04:00:00 22/09/2012] id: INR (2-4 ref. range) Coags el: 0 cu: MICU cg: 1663 v1: 1.9 rs: Final st: NotStopd t0: [04:00:00 22/09/2012] id: PT(11-13.5) Coags el: 0 cu: MICU cg: 1663 v1: 16.9 rs: Final st: NotStopd t0: [04:00:00 22/09/2012] id: PTT(22-35) Coags el: 0 cu: MICU cg: 1663 v1: 34.1 rs: Final st: NotStopd
t0: [06:00:00 22/09/2012] id: Fingerstick Glucose Chemistry el: 0 cu: MICU cg: CoWker v1: 78 rs: Manual st: NotStopd
t0: [00:00:00 22/09/2012] id: Temperature C (calc) el: 0 cu: MICU cg: RN v1: 37.1667 u1: Deg. C st: NotStopd t0: [00:00:00 22/09/2012] id: Temperature F el: 0 cu: MICU cg: RN v1: 98.9 u1: Deg. F st: NotStopd t0: [05:00:00 22/09/2012] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [05:00:00 22/09/2012] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [05:00:00 22/09/2012] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [05:00:00 22/09/2012] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [05:00:00 22/09/2012] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [05:00:00 22/09/2012] id: Heart Rate el: 0 cu: MICU cg: RN v1: 99 u1: BPM st: NotStopd t0: [05:00:00 22/09/2012] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [05:00:00 22/09/2012] id: Arterial BP el: 0 cu: MICU cg: RN v1: 98 u1: mmHg v2: 52 u2: mmHg st: NotStopd t0: [05:00:00 22/09/2012] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 66 u1: mmHg st: NotStopd t0: [05:00:00 22/09/2012] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [05:00:00 22/09/2012] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 14 u1: BPM st: NotStopd t0: [05:00:00 22/09/2012] id: SpO2 el: 0 cu: MICU cg: RN v1: 96 u1: % st: NotStopd t0: [05:00:00 22/09/2012] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [06:00:00 22/09/2012] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [06:00:00 22/09/2012] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [06:00:00 22/09/2012] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [06:00:00 22/09/2012] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [06:00:00 22/09/2012] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [06:00:00 22/09/2012] id: Heart Rate el: 0 cu: MICU cg: RN v1: 97 u1: BPM st: NotStopd t0: [06:00:00 22/09/2012] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [06:00:00 22/09/2012] id: Arterial BP el: 0 cu: MICU cg: RN v1: 99 u1: mmHg v2: 53 u2: mmHg st: NotStopd t0: [06:00:00 22/09/2012] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 67 u1: mmHg st: NotStopd t0: [06:00:00 22/09/2012] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [06:00:00 22/09/2012] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 15 u1: BPM st: NotStopd t0: [06:00:00 22/09/2012] id: Temperature C (calc) el: 0 cu: MICU cg: RN v1: 37.7778 u1: Deg. C st: NotStopd t0: [06:00:00 22/09/2012] id: Temperature F el: 0 cu: MICU cg: RN v1: 100 u1: Deg. F st: NotStopd t0: [06:00:00 22/09/2012] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [06:00:00 22/09/2012] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 40 vu: ml t0: [06:00:00 22/09/2012] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 12.4264 vu: ml t0: [06:00:00 22/09/2012] id: D5W 100.0ml + 600mcghr Sandostatin IV Infusions el: 1 cu: MICU cg: RN ai: 189 vo: 33.3333 vu: ml t0: [06:00:00 22/09/2012] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 240 vu: ml
t0: [05:00:00 22/09/2012] id: Propofol el: 1 cu: MICU cg: RN so: N/A vo: 0 v1: 4.9 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [05:00:00 22/09/2012] id: Sandostatin el: 1 cu: MICU cg: RN so: D5W vo: 0 v1: 50 du: mcghr sv: 100 su: ml rt: IV Drip t0: [06:00:00 22/09/2012] id: Propofol el: 1 cu: MICU cg: RN so: N/A vo: 0 v1: 4.9 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [06:00:00 22/09/2012] id: Sandostatin el: 1 cu: MICU cg: RN so: D5W vo: 0 v1: 50 du: mcghr sv: 100 su: ml rt: IV Drip
t0: [04:00:00 22/09/2012] id: BUN el: 0 cu: MICU cg: 1663 v1: 11 rs: Final st: NotStopd t0: [04:00:00 22/09/2012] id: Calcium Chemistry el: 0 cu: MICU cg: 1663 v1: 8.4 u1: mg/dl rs: Final st: NotStopd t0: [04:00:00 22/09/2012] id: Chloride Chemistry el: 0 cu: MICU cg: 1663 v1: 99 rs: Final st: NotStopd t0: [04:00:00 22/09/2012] id: Creatinine Chemistry el: 0 cu: MICU cg: 1663 v1: 0.8 rs: Final st: NotStopd t0: [04:00:00 22/09/2012] id: Glucose Chemistry el: 0 cu: MICU cg: 1663 v1: 63 rs: Final st: NotStopd t0: [04:00:00 22/09/2012] id: Magnesium Chemistry el: 0 cu: MICU cg: 1663 v1: 1.9 rs: Final st: NotStopd t0: [04:00:00 22/09/2012] id: Phosphorous Chemistry el: 0 cu: MICU cg: 1663 v1: 2.8 u1: mEq/L rs: Final st: NotStopd t0: [04:00:00 22/09/2012] id: Potassium Chemistry el: 0 cu: MICU cg: 1663 v1: 3.7 rs: Final st: NotStopd t0: [04:00:00 22/09/2012] id: Sodium Chemistry el: 0 cu: MICU cg: 1663 v1: 134 rs: Final st: NotStopd t0: [04:00:00 22/09/2012] id: Total Bili Chemistry el: 0 cu: MICU cg: 1663 v1: 13.2 rs: Final st: NotStopd t0: [04:00:00 22/09/2012] id: ALT Enzymes el: 0 cu: MICU cg: 1663 v1: 43 rs: Final st: NotStopd t0: [04:00:00 22/09/2012] id: AST Enzymes el: 0 cu: MICU cg: 1663 v1: 59 rs: Final st: NotStopd t0: [04:00:00 22/09/2012] id: Alk. Phosphate Enzymes el: 0 cu: MICU cg: 1663 v1: 175 rs: Final st: NotStopd t0: [04:00:00 22/09/2012] id: BUN (6-20) Chemistry el: 0 cu: MICU cg: 1663 v1: 11 rs: Final st: NotStopd t0: [04:00:00 22/09/2012] id: Calcium (8.4-10.2) Chemistry el: 0 cu: MICU cg: 1663 v1: 8.4 u1: mg/dl rs: Final st: NotStopd t0: [04:00:00 22/09/2012] id: Carbon Dioxide Chemistry el: 0 cu: MICU cg: 1663 v1: 26 rs: Final st: NotStopd t0: [04:00:00 22/09/2012] id: Chloride (100-112) Chemistry el: 0 cu: MICU cg: 1663 v1: 99 rs: Final st: NotStopd t0: [04:00:00 22/09/2012] id: Creatinine (0-1.3) Chemistry el: 0 cu: MICU cg: 1663 v1: 0.8 rs: Final st: NotStopd t0: [04:00:00 22/09/2012] id: Glucose (70-105) Chemistry el: 0 cu: MICU cg: 1663 v1: 63 rs: Final st: NotStopd t0: [04:00:00 22/09/2012] id: Magnesium (1.6-2.6) Chemistry el: 0 cu: MICU cg: 1663 v1: 1.9 rs: Final st: NotStopd t0: [04:00:00 22/09/2012] id: Phosphorous(2.7-4.5) Chemistry el: 0 cu: MICU cg: 1663 v1: 2.8 u1: mEq/L rs: Final st: NotStopd t0: [04:00:00 22/09/2012] id: Potassium (3.5-5.3) Chemistry el: 0 cu: MICU cg: 1663 v1: 3.7 rs: Final st: NotStopd t0: [04:00:00 22/09/2012] id: Sodium (135-148) Chemistry el: 0 cu: MICU cg: 1663 v1: 134 rs: Final st: NotStopd t0: [04:00:00 22/09/2012] id: Total Bili (0-1.5) Chemistry el: 0 cu: MICU cg: 1663 v1: 13.2 rs: Final st: NotStopd
t0: [07:00:00 22/09/2012] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [07:00:00 22/09/2012] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [07:00:00 22/09/2012] id: Riker-SAS Scale el: 0 cu: MICU cg: RN v1: Calm/Cooperative st: NotStopd t0: [07:00:00 22/09/2012] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [07:00:00 22/09/2012] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [07:00:00 22/09/2012] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [07:00:00 22/09/2012] id: Heart Rate el: 0 cu: MICU cg: RN v1: 93 u1: BPM st: NotStopd t0: [07:00:00 22/09/2012] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [07:00:00 22/09/2012] id: Arterial BP el: 0 cu: MICU cg: RN v1: 101 u1: mmHg v2: 53 u2: mmHg st: NotStopd t0: [07:00:00 22/09/2012] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 67 u1: mmHg st: NotStopd t0: [07:00:00 22/09/2012] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [07:00:00 22/09/2012] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 15 u1: BPM st: NotStopd t0: [07:00:00 22/09/2012] id: SpO2 el: 0 cu: MICU cg: RN v1: 100 u1: % st: NotStopd t0: [07:00:00 22/09/2012] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [07:00:00 22/09/2012] id: Propofol el: 1 cu: MICU cg: RN so: N/A vo: 0 v1: 4.9 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [07:00:00 22/09/2012] id: Sandostatin el: 1 cu: MICU cg: RN so: D5W vo: 0 v1: 50 du: mcghr sv: 100 su: ml rt: IV Drip
t0: [08:00:00 22/09/2012] id: HI/Minute/Vol/Alarm el: 0 cu: MICU cg: RRT v1: 18 t0: [08:00:00 22/09/2012] id: Compliance (40-60ml) el: 0 cu: MICU cg: RRT v1: 41.6667 u1: ml/cmH st: NotStopd t0: [08:00:00 22/09/2012] id: ETT Mark/Location el: 0 cu: MICU cg: RRT v1: 23cm v2: Lip st: NotStopd t0: [08:00:00 22/09/2012] id: FiO2 Set el: 0 cu: MICU cg: RRT v1: 0.5 u1: torr st: NotStopd t0: [08:00:00 22/09/2012] id: High Insp. Pressure el: 0 cu: MICU cg: RRT v1: 40 u1: cmH2O st: NotStopd t0: [08:00:00 22/09/2012] id: High Resp. Rate el: 0 cu: MICU cg: RRT v1: 25 u1: BPM st: NotStopd t0: [08:00:00 22/09/2012] id: I:E Ratio el: 0 cu: MICU cg: RRT v1: 1:2.4 st: NotStopd t0: [08:00:00 22/09/2012] id: Airway Size el: 0 cu: MICU cg: RRT v1: 7.5 mm st: NotStopd t0: [08:00:00 22/09/2012] id: Airway Type el: 0 cu: MICU cg: RRT v1: Endotracheal st: NotStopd t0: [08:00:00 22/09/2012] id: Intubation Date el: 0 cu: MICU cg: RRT v1: 8 v2: 27 st: NotStopd t0: [08:00:00 22/09/2012] id: Low Exhaled Min Vol el: 0 cu: MICU cg: RRT v1: 4 st: NotStopd t0: [08:00:00 22/09/2012] id: Mean Airway Pressure el: 0 cu: MICU cg: RRT v1: 13 u1: cmH2O st: NotStopd t0: [08:00:00 22/09/2012] id: Minute Volume(Obser) el: 0 cu: MICU cg: RRT v1: 7.5 u1: L/min st: NotStopd t0: [08:00:00 22/09/2012] id: PEEP Set el: 0 cu: MICU cg: RRT v1: 8 u1: cmH2O st: NotStopd t0: [08:00:00 22/09/2012] id: Apnea Time Interval el: 0 cu: MICU cg: RRT v1: 20 st: NotStopd t0: [08:00:00 22/09/2012] id: Peak Insp. Pressure el: 0 cu: MICU cg: RRT v1: 20 u1: cmH2O st: NotStopd t0: [08:00:00 22/09/2012] id: Plateau Pressure el: 0 cu: MICU cg: RRT v1: 20 u1: cmH2O st: NotStopd t0: [08:00:00 22/09/2012] id: Plateau-Off el: 0 cu: MICU cg: RRT v1: Yes st: NotStopd t0: [08:00:00 22/09/2012] id: Pressure Support el: 0 cu: MICU cg: RRT v1: 0 u1: . st: NotStopd t0: [08:00:00 22/09/2012] id: Resp Rate (Spont) el: 0 cu: MICU cg: RRT v1: 8 u1: BPM st: NotStopd t0: [08:00:00 22/09/2012] id: Resp Rate (Total) el: 0 cu: MICU cg: RRT v1: 16 u1: BPM st: NotStopd t0: [08:00:00 22/09/2012] id: Respiratory Rate Set el: 0 cu: MICU cg: RRT v1: 8 u1: BPM st: NotStopd t0: [08:00:00 22/09/2012] id: Sensitivity-Vent el: 0 cu: MICU cg: RRT v1: 3 u1: cmH2O st: NotStopd t0: [08:00:00 22/09/2012] id: SpO2 el: 0 cu: MICU cg: RRT v1: 100 u1: % st: NotStopd t0: [08:00:00 22/09/2012] id: Tidal Volume (Obser) el: 0 cu: MICU cg: RRT v1: 582 u1: ml/B st: NotStopd t0: [08:00:00 22/09/2012] id: Tidal Volume (Set) el: 0 cu: MICU cg: RRT v1: 500 u1: ml/B st: NotStopd t0: [08:00:00 22/09/2012] id: Tidal Volume (Spont) el: 0 cu: MICU cg: RRT v1: 445 u1: ml/B st: NotStopd t0: [08:00:00 22/09/2012] id: Ventilator Mode el: 0 cu: MICU cg: RRT v1: Assist Control st: NotStopd t0: [08:00:00 22/09/2012] id: Ventilator Type el: 0 cu: MICU cg: RRT v1: Drager st: NotStopd t0: [08:00:00 22/09/2012] id: Waveform-Vent el: 0 cu: MICU cg: RRT v1: RAMP st: NotStopd
t0: [08:00:00 22/09/2012] id: Less Restrict Meas. el: 0 cu: MICU cg: RN v1: Medicated st: NotStopd t0: [08:00:00 22/09/2012] id: Pain Present el: 0 cu: MICU cg: RN v1: No st: NotStopd t0: [08:00:00 22/09/2012] id: Range of Motion el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [08:00:00 22/09/2012] id: INV#3Chg o/Wire Date el: 0 cu: MICU cg: RN v1: 8 v2: 29 st: NotStopd t0: [08:00:00 22/09/2012] id: Pain Assess Method el: 0 cu: MICU cg: RN v1: Non-verbal cues st: NotStopd t0: [08:00:00 22/09/2012] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [08:00:00 22/09/2012] id: Circulation/SkinInt el: 0 cu: MICU cg: RN v1: Circulation Adeq st: NotStopd t0: [08:00:00 22/09/2012] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [08:00:00 22/09/2012] id: Riker-SAS Scale el: 0 cu: MICU cg: RN v1: Calm/Cooperative st: NotStopd t0: [08:00:00 22/09/2012] id: Cough Reflex el: 0 cu: MICU cg: RN v1: Intact st: NotStopd t0: [08:00:00 22/09/2012] id: GI Prophylaxis el: 0 cu: MICU cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [08:00:00 22/09/2012] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [08:00:00 22/09/2012] id: Diet Type el: 0 cu: MICU cg: RN v1: NPO st: NotStopd t0: [08:00:00 22/09/2012] id: Dorsal PedPulse R/L el: 0 cu: MICU cg: RN v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [08:00:00 22/09/2012] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [08:00:00 22/09/2012] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [08:00:00 22/09/2012] id: Eye Opening el: 0 cu: MICU cg: RN v1: 4 Spontaneously st: NotStopd t0: [08:00:00 22/09/2012] id: Follows Commands el: 0 cu: MICU cg: RN v1: Consistently st: NotStopd t0: [08:00:00 22/09/2012] id: GCS Total el: 0 cu: MICU cg: RN v1: 11 u1: points st: NotStopd t0: [08:00:00 22/09/2012] id: GI Intub #1/Site el: 0 cu: MICU cg: RN v1: Salem Sump v2: Right Nare st: NotStopd t0: [08:00:00 22/09/2012] id: GI#1 Tube Stat/Drain el: 0 cu: MICU cg: RN v1: Clamped st: NotStopd t0: [08:00:00 22/09/2012] id: Gag Reflex el: 0 cu: MICU cg: RN v1: Intact st: NotStopd t0: [08:00:00 22/09/2012] id: HOB el: 0 cu: MICU cg: RN v1: 15 degrees st: NotStopd t0: [08:00:00 22/09/2012] id: Heart Rate el: 0 cu: MICU cg: RN v1: 93 u1: BPM st: NotStopd t0: [08:00:00 22/09/2012] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [08:00:00 22/09/2012] id: INV Line#2 Type/Site el: 0 cu: MICU cg: RN v1: A-Line v2: Left Radial st: NotStopd t0: [08:00:00 22/09/2012] id: INV Line#2 Zero/Cal el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [08:00:00 22/09/2012] id: INV Line#2InsertDate el: 0 cu: MICU cg: RN v1: 8 v2: 27 st: NotStopd t0: [08:00:00 22/09/2012] id: INV Line#2SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [08:00:00 22/09/2012] id: INV Line#3 Site Date el: 0 cu: MICU cg: RN v1: 8 v2: 29 st: NotStopd t0: [08:00:00 22/09/2012] id: INV Line#3 Type/Site el: 0 cu: MICU cg: RN v1: Multi-lumen v2: Right IJ st: NotStopd t0: [08:00:00 22/09/2012] id: INV Line#3InsertDate el: 0 cu: MICU cg: RN v1: 8 v2: 28 st: NotStopd t0: [08:00:00 22/09/2012] id: INV Line#3SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [08:00:00 22/09/2012] id: Abdominal Assessment el: 0 cu: MICU cg: RN v1: Soft Distended st: NotStopd t0: [08:00:00 22/09/2012] id: INV#2 WaveformAppear el: 0 cu: MICU cg: RN v1: Sharp st: NotStopd t0: [08:00:00 22/09/2012] id: IV #1 Insert Date el: 0 cu: MICU cg: RN v1: ? st: NotStopd t0: [08:00:00 22/09/2012] id: IV #1 Site/Size el: 0 cu: MICU cg: RN v1: RU Ant Forearm v2: 18 gauge st: NotStopd t0: [08:00:00 22/09/2012] id: IV #2 Insert Date el: 0 cu: MICU cg: RN v1: 8 v2: 28 st: NotStopd t0: [08:00:00 22/09/2012] id: IV #2 Site/Size el: 0 cu: MICU cg: RN v1: RU Ant Forearm v2: 16 gauge st: NotStopd t0: [08:00:00 22/09/2012] id: IV #3 Insert Date el: 0 cu: MICU cg: RN v1: 8 v2: 28 st: NotStopd t0: [08:00:00 22/09/2012] id: IV #3 Site/Size el: 0 cu: MICU cg: RN v1: Right Antecub v2: 18 gauge st: NotStopd t0: [08:00:00 22/09/2012] id: Activity el: 0 cu: MICU cg: RN v1: Bedrest st: NotStopd t0: [08:00:00 22/09/2012] id: IV Site Appear #1 el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [08:00:00 22/09/2012] id: IV Site Appear #2 el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [08:00:00 22/09/2012] id: IV Site Appear #3 el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [08:00:00 22/09/2012] id: Activity Tolerance el: 0 cu: MICU cg: RN v1: Tolerated Well st: NotStopd t0: [08:00:00 22/09/2012] id: LLL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [08:00:00 22/09/2012] id: LUL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [08:00:00 22/09/2012] id: Level of Conscious el: 0 cu: MICU cg: RN v1: Arouse to Voice st: NotStopd t0: [08:00:00 22/09/2012] id: Motor Response el: 0 cu: MICU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [08:00:00 22/09/2012] id: Oral Cavity el: 0 cu: MICU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [08:00:00 22/09/2012] id: Orientation el: 0 cu: MICU cg: RN v1: Other/Remarks st: NotStopd t0: [08:00:00 22/09/2012] id: AntiEmbDevice/Status el: 0 cu: MICU cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [08:00:00 22/09/2012] id: Arterial BP el: 0 cu: MICU cg: RN v1: 106 u1: mmHg v2: 53 u2: mmHg st: NotStopd t0: [08:00:00 22/09/2012] id: Pain Location el: 0 cu: MICU cg: RN v1: Not Indicated st: NotStopd t0: [08:00:00 22/09/2012] id: Pain Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [08:00:00 22/09/2012] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 68 u1: mmHg st: NotStopd t0: [08:00:00 22/09/2012] id: Position el: 0 cu: MICU cg: RN v1: Supine st: NotStopd t0: [08:00:00 22/09/2012] id: Position Change el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [08:00:00 22/09/2012] id: PostTib. Pulses R/L el: 0 cu: MICU cg: RN v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [08:00:00 22/09/2012] id: Assistance Device el: 0 cu: MICU cg: RN v1: 1 Person Assist st: NotStopd t0: [08:00:00 22/09/2012] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [08:00:00 22/09/2012] id: Pupil Size R/L el: 0 cu: MICU cg: RN v1: 3 mm v2: 3 mm st: NotStopd t0: [08:00:00 22/09/2012] id: RLL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [08:00:00 22/09/2012] id: RUL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [08:00:00 22/09/2012] id: Reason For Restraint el: 0 cu: MICU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [08:00:00 22/09/2012] id: Removed x 5 Mins el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [08:00:00 22/09/2012] id: Respiratory Pattern el: 0 cu: MICU cg: RN v1: Regular st: NotStopd t0: [08:00:00 22/09/2012] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 14 u1: BPM st: NotStopd t0: [08:00:00 22/09/2012] id: Restraint Location el: 0 cu: MICU cg: RN v1: Both Arms st: NotStopd t0: [08:00:00 22/09/2012] id: Restraint Type el: 0 cu: MICU cg: RN v1: Soft Limb st: NotStopd t0: [08:00:00 22/09/2012] id: Restraints Evaluated el: 0 cu: MICU cg: RN v1: RestraintReapply st: NotStopd t0: [08:00:00 22/09/2012] id: Side Rails el: 0 cu: MICU cg: RN v1: Side Rails Up st: NotStopd t0: [08:00:00 22/09/2012] id: Skin Color el: 0 cu: MICU cg: RN v1: Jaundiced st: NotStopd t0: [08:00:00 22/09/2012] id: Skin Integrity el: 0 cu: MICU cg: RN v1: Intact st: NotStopd t0: [08:00:00 22/09/2012] id: Skin Temp/Condition el: 0 cu: MICU cg: RN v1: Warm v2: Dry st: NotStopd t0: [08:00:00 22/09/2012] id: Spontaneous Movement el: 0 cu: MICU cg: RN v1: Purposeful st: NotStopd t0: [08:00:00 22/09/2012] id: Support Systems el: 0 cu: MICU cg: RN v1: Spouse st: NotStopd t0: [08:00:00 22/09/2012] id: Temp. Site el: 0 cu: MICU cg: RN v1: Oral st: NotStopd t0: [08:00:00 22/09/2012] id: Temperature C (calc) el: 0 cu: MICU cg: RN v1: 37.8333 u1: Deg. C st: NotStopd t0: [08:00:00 22/09/2012] id: Temperature F el: 0 cu: MICU cg: RN v1: 100.1 u1: Deg. F st: NotStopd t0: [08:00:00 22/09/2012] id: Turn el: 0 cu: MICU cg: RN v1: Back st: NotStopd t0: [08:00:00 22/09/2012] id: Urine Color/Appear el: 0 cu: MICU cg: RN v1: Icteric v2: Sediment st: NotStopd t0: [08:00:00 22/09/2012] id: Urine Source el: 0 cu: MICU cg: RN v1: Indwelling Cath st: NotStopd t0: [08:00:00 22/09/2012] id: Verbal Response el: 0 cu: MICU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [08:00:00 22/09/2012] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [08:00:00 22/09/2012] id: Behavior el: 0 cu: MICU cg: RN v1: Calm st: NotStopd t0: [08:00:00 22/09/2012] id: Bowel Sounds el: 0 cu: MICU cg: RN v1: Present st: NotStopd t0: [08:00:00 22/09/2012] id: Braden Activity el: 0 cu: MICU cg: RN v1: Bedfast st: NotStopd t0: [08:00:00 22/09/2012] id: Braden Frict/Shear el: 0 cu: MICU cg: RN v1: Potential Prob st: NotStopd t0: [08:00:00 22/09/2012] id: Braden Mobility el: 0 cu: MICU cg: RN v1: Sl. Limited st: NotStopd t0: [08:00:00 22/09/2012] id: Braden Moisture el: 0 cu: MICU cg: RN v1: Occ. Moist st: NotStopd t0: [08:00:00 22/09/2012] id: Braden Nutrition el: 0 cu: MICU cg: RN v1: Prob. Inadequate st: NotStopd t0: [08:00:00 22/09/2012] id: Braden Score el: 0 cu: MICU cg: RN v1: 14 u1: number st: NotStopd t0: [08:00:00 22/09/2012] id: Braden SensoryPercep el: 0 cu: MICU cg: RN v1: Sl. Limited st: NotStopd
t0: [08:00:00 22/09/2012] id: D5W 100.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 105 vo: 100 vu: ml t0: [08:00:00 22/09/2012] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 20 vu: ml t0: [08:00:00 22/09/2012] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 4.95096 vu: ml t0: [08:00:00 22/09/2012] id: D5W 100.0ml + 600mcghr Sandostatin IV Infusions el: 1 cu: MICU cg: RN ai: 189 vo: 16.6667 vu: ml t0: [08:00:00 22/09/2012] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 140 vu: ml
t0: [08:00:00 22/09/2012] id: Sandostatin el: 1 cu: MICU cg: RN so: D5W vo: 0 v1: 50 du: mcghr sv: 100 su: ml rt: IV Drip
t0: [09:07:00 22/09/2012] id: Art.pH ABG el: 0 cu: MICU cg: 1663 v1: 7.45 rs: Final st: NotStopd t0: [09:07:00 22/09/2012] id: Arterial Base Excess ABG el: 0 cu: MICU cg: 1663 v1: 3 rs: Final st: NotStopd t0: [09:07:00 22/09/2012] id: Arterial CO2(Calc) ABG el: 0 cu: MICU cg: 1663 v1: 28 rs: Final st: NotStopd t0: [09:07:00 22/09/2012] id: Arterial PaCO2 ABG el: 0 cu: MICU cg: 1663 v1: 39 u1: mmHg rs: Final st: NotStopd t0: [09:07:00 22/09/2012] id: Arterial PaO2 ABG el: 0 cu: MICU cg: 1663 v1: 128 u1: mmHg rs: Final st: NotStopd t0: [09:07:00 22/09/2012] id: Arterial pH ABG el: 0 cu: MICU cg: 1663 v1: 7.45 rs: Final st: NotStopd
t0: [09:00:00 22/09/2012] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [09:00:00 22/09/2012] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [09:00:00 22/09/2012] id: Riker-SAS Scale el: 0 cu: MICU cg: RN v1: Calm/Cooperative st: NotStopd t0: [09:00:00 22/09/2012] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [09:00:00 22/09/2012] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [09:00:00 22/09/2012] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [09:00:00 22/09/2012] id: HOB el: 0 cu: MICU cg: RN v1: 15 degrees st: NotStopd t0: [09:00:00 22/09/2012] id: Heart Rate el: 0 cu: MICU cg: RN v1: 91 u1: BPM st: NotStopd t0: [09:00:00 22/09/2012] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [09:00:00 22/09/2012] id: Activity el: 0 cu: MICU cg: RN v1: Bedrest st: NotStopd t0: [09:00:00 22/09/2012] id: Activity Tolerance el: 0 cu: MICU cg: RN v1: Tolerated Well st: NotStopd t0: [09:00:00 22/09/2012] id: AntiEmbDevice/Status el: 0 cu: MICU cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [09:00:00 22/09/2012] id: Arterial BP el: 0 cu: MICU cg: RN v1: 103 u1: mmHg v2: 52 u2: mmHg st: NotStopd t0: [09:00:00 22/09/2012] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 67 u1: mmHg st: NotStopd t0: [09:00:00 22/09/2012] id: Position el: 0 cu: MICU cg: RN v1: Left Side st: NotStopd t0: [09:00:00 22/09/2012] id: Assistance Device el: 0 cu: MICU cg: RN v1: 2 Person Assist st: NotStopd t0: [09:00:00 22/09/2012] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [09:00:00 22/09/2012] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 14 u1: BPM st: NotStopd t0: [09:00:00 22/09/2012] id: Turn el: 0 cu: MICU cg: RN v1: Left Side st: NotStopd t0: [09:00:00 22/09/2012] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [09:00:00 22/09/2012] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 10 vu: ml t0: [09:00:00 22/09/2012] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 2.47548 vu: ml t0: [09:00:00 22/09/2012] id: D5W 100.0ml + 600mcghr Sandostatin IV Infusions el: 1 cu: MICU cg: RN ai: 189 vo: 8.33333 vu: ml t0: [09:00:00 22/09/2012] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 40 vu: ml
t0: [09:00:00 22/09/2012] id: Sandostatin el: 1 cu: MICU cg: RN so: D5W vo: 0 v1: 50 du: mcghr sv: 100 su: ml rt: IV Drip
t0: [10:00:00 22/09/2012] id: Less Restrict Meas. el: 0 cu: MICU cg: RN v1: Medicated st: NotStopd t0: [10:00:00 22/09/2012] id: Range of Motion el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [10:00:00 22/09/2012] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [10:00:00 22/09/2012] id: Circulation/SkinInt el: 0 cu: MICU cg: RN v1: Circulation Adeq st: NotStopd t0: [10:00:00 22/09/2012] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [10:00:00 22/09/2012] id: Riker-SAS Scale el: 0 cu: MICU cg: RN v1: Calm/Cooperative st: NotStopd t0: [10:00:00 22/09/2012] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [10:00:00 22/09/2012] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [10:00:00 22/09/2012] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [10:00:00 22/09/2012] id: Heart Rate el: 0 cu: MICU cg: RN v1: 93 u1: BPM st: NotStopd t0: [10:00:00 22/09/2012] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [10:00:00 22/09/2012] id: Arterial BP el: 0 cu: MICU cg: RN v1: 97 u1: mmHg v2: 48 u2: mmHg st: NotStopd t0: [10:00:00 22/09/2012] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 63 u1: mmHg st: NotStopd t0: [10:00:00 22/09/2012] id: Position Change el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [10:00:00 22/09/2012] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [10:00:00 22/09/2012] id: Reason For Restraint el: 0 cu: MICU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [10:00:00 22/09/2012] id: Removed x 5 Mins el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [10:00:00 22/09/2012] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 16 u1: BPM st: NotStopd t0: [10:00:00 22/09/2012] id: Restraint Location el: 0 cu: MICU cg: RN v1: Both Arms st: NotStopd t0: [10:00:00 22/09/2012] id: Restraint Type el: 0 cu: MICU cg: RN v1: Soft Limb st: NotStopd t0: [10:00:00 22/09/2012] id: Restraints Evaluated el: 0 cu: MICU cg: RN v1: RestraintReapply st: NotStopd t0: [10:00:00 22/09/2012] id: Side Rails el: 0 cu: MICU cg: RN v1: Side Rails Up st: NotStopd t0: [10:00:00 22/09/2012] id: SpO2 el: 0 cu: MICU cg: RN v1: 100 u1: % st: NotStopd t0: [10:00:00 22/09/2012] id: Support Systems el: 0 cu: MICU cg: RN v1: Spouse st: NotStopd t0: [10:00:00 22/09/2012] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [10:00:00 22/09/2012] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 10 vu: ml t0: [10:00:00 22/09/2012] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 2.47548 vu: ml t0: [10:00:00 22/09/2012] id: D5W 100.0ml + 600mcghr Sandostatin IV Infusions el: 1 cu: MICU cg: RN ai: 189 vo: 8.33333 vu: ml
t0: [10:00:00 22/09/2012] id: Sandostatin el: 1 cu: MICU cg: RN so: D5W vo: 0 v1: 50 du: mcghr sv: 100 su: ml rt: IV Drip
t0: [11:00:00 22/09/2012] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [11:00:00 22/09/2012] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [11:00:00 22/09/2012] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [11:00:00 22/09/2012] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [11:00:00 22/09/2012] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [11:00:00 22/09/2012] id: HOB el: 0 cu: MICU cg: RN v1: 90 degrees st: NotStopd t0: [11:00:00 22/09/2012] id: Heart Rate el: 0 cu: MICU cg: RN v1: 92 u1: BPM st: NotStopd t0: [11:00:00 22/09/2012] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [11:00:00 22/09/2012] id: Activity el: 0 cu: MICU cg: RN v1: Bedrest st: NotStopd t0: [11:00:00 22/09/2012] id: Activity Tolerance el: 0 cu: MICU cg: RN v1: Tolerated Well st: NotStopd t0: [11:00:00 22/09/2012] id: AntiEmbDevice/Status el: 0 cu: MICU cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [11:00:00 22/09/2012] id: Arterial BP el: 0 cu: MICU cg: RN v1: 112 u1: mmHg v2: 59 u2: mmHg st: NotStopd t0: [11:00:00 22/09/2012] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 76 u1: mmHg st: NotStopd t0: [11:00:00 22/09/2012] id: Position el: 0 cu: MICU cg: RN v1: Supine st: NotStopd t0: [11:00:00 22/09/2012] id: Assistance Device el: 0 cu: MICU cg: RN v1: 2 Person Assist st: NotStopd t0: [11:00:00 22/09/2012] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [11:00:00 22/09/2012] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 17 u1: BPM st: NotStopd t0: [11:00:00 22/09/2012] id: SpO2 el: 0 cu: MICU cg: RN v1: 99 u1: % st: NotStopd t0: [11:00:00 22/09/2012] id: Turn el: 0 cu: MICU cg: RN v1: Back st: NotStopd t0: [11:00:00 22/09/2012] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [11:00:00 22/09/2012] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 10 vu: ml t0: [11:00:00 22/09/2012] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 1.263 vu: ml t0: [11:00:00 22/09/2012] id: D5W 100.0ml + 600mcghr Sandostatin IV Infusions el: 1 cu: MICU cg: RN ai: 189 vo: 8.33333 vu: ml t0: [11:00:00 22/09/2012] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 40 vu: ml
t0: [08:00:00 22/09/2012] id: Propofol el: 1 cu: MICU cg: RN so: N/A vo: 0 v1: 2.5 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [09:00:00 22/09/2012] id: Propofol el: 1 cu: MICU cg: RN so: N/A vo: 0 v1: 2.5 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [10:00:00 22/09/2012] id: Propofol el: 1 cu: MICU cg: RN so: N/A vo: 0 v1: 2.5 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [11:00:00 22/09/2012] id: Propofol el: 1 cu: MICU cg: RN so: N/A vo: 0 v1: 2.5 du: mcgkgmin sv: 50 su: vl rt: IV Drip st: Stopped t0: [11:00:00 22/09/2012] id: Sandostatin el: 1 cu: MICU cg: RN so: D5W vo: 0 v1: 50 du: mcghr sv: 100 su: ml rt: IV Drip
t0: [11:00:00 22/09/2012] id: HI/Minute/Vol/Alarm el: 0 cu: MICU cg: RRT v1: 18 t0: [11:00:00 22/09/2012] id: ETT Mark/Location el: 0 cu: MICU cg: RRT v1: 23cm v2: Lip st: NotStopd t0: [11:00:00 22/09/2012] id: FiO2 Set el: 0 cu: MICU cg: RRT v1: 0.5 u1: torr st: NotStopd t0: [11:00:00 22/09/2012] id: High Insp. Pressure el: 0 cu: MICU cg: RRT v1: 40 u1: cmH2O st: NotStopd t0: [11:00:00 22/09/2012] id: High Resp. Rate el: 0 cu: MICU cg: RRT v1: 25 u1: BPM st: NotStopd t0: [11:00:00 22/09/2012] id: Airway Size el: 0 cu: MICU cg: RRT v1: 7.5 mm st: NotStopd t0: [11:00:00 22/09/2012] id: Airway Type el: 0 cu: MICU cg: RRT v1: Endotracheal st: NotStopd t0: [11:00:00 22/09/2012] id: Inspired Gas Temp el: 0 cu: MICU cg: RRT u1: Deg. C st: NotStopd t0: [11:00:00 22/09/2012] id: Intubation Date el: 0 cu: MICU cg: RRT v1: 8 v2: 27 st: NotStopd t0: [11:00:00 22/09/2012] id: Low Exhaled Min Vol el: 0 cu: MICU cg: RRT v1: 4 st: NotStopd t0: [11:00:00 22/09/2012] id: Mean Airway Pressure el: 0 cu: MICU cg: RRT v1: 12 u1: cmH2O st: NotStopd t0: [11:00:00 22/09/2012] id: Minute Volume(Obser) el: 0 cu: MICU cg: RRT v1: 10.8 u1: L/min st: NotStopd t0: [11:00:00 22/09/2012] id: PEEP Set el: 0 cu: MICU cg: RRT v1: 8 u1: cmH2O st: NotStopd t0: [11:00:00 22/09/2012] id: Apnea Time Interval el: 0 cu: MICU cg: RRT v1: 20 st: NotStopd t0: [11:00:00 22/09/2012] id: Plateau-Off el: 0 cu: MICU cg: RRT v1: Not Applicable st: NotStopd t0: [11:00:00 22/09/2012] id: Pressure Support el: 0 cu: MICU cg: RRT v1: 12 u1: . st: NotStopd t0: [11:00:00 22/09/2012] id: Resp Rate (Total) el: 0 cu: MICU cg: RRT v1: 19 u1: BPM st: NotStopd t0: [11:00:00 22/09/2012] id: Sensitivity-Vent el: 0 cu: MICU cg: RRT v1: 3 u1: cmH2O st: NotStopd t0: [11:00:00 22/09/2012] id: Tidal Volume (Spont) el: 0 cu: MICU cg: RRT v1: 540 u1: ml/B st: NotStopd t0: [11:00:00 22/09/2012] id: Ventilator Mode el: 0 cu: MICU cg: RRT v1: CPAP+PS st: NotStopd t0: [11:00:00 22/09/2012] id: Ventilator Type el: 0 cu: MICU cg: RRT v1: Drager st: NotStopd t0: [11:00:00 22/09/2012] id: Waveform-Vent el: 0 cu: MICU cg: RRT v1: RAMP st: NotStopd
t0: [11:22:00 22/09/2012] id: ETT Mark/Location el: 0 cu: MICU cg: RRT v1: 23cm v2: Lip st: NotStopd t0: [11:22:00 22/09/2012] id: Airway Size el: 0 cu: MICU cg: RRT v1: 7.5 mm st: NotStopd t0: [11:22:00 22/09/2012] id: Airway Type el: 0 cu: MICU cg: RRT v1: Endotracheal st: NotStopd t0: [11:22:00 22/09/2012] id: Intubation Date el: 0 cu: MICU cg: RRT v1: 8 v2: 27 st: NotStopd t0: [11:22:00 22/09/2012] id: PEEP Set el: 0 cu: MICU cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [11:22:00 22/09/2012] id: SpO2 el: 0 cu: MICU cg: RRT v1: 100 u1: % st: NotStopd t0: [11:22:00 22/09/2012] id: Ventilator Type el: 0 cu: MICU cg: RRT v1: Drager st: NotStopd
tf: [11:00:00 23/09/2012] pt: IV Piggyback rt: IV fr: ONCE fs: 12 dn: 1 m1: Potassium Chloride v1: 20 u1: mEq m2: SW v2: 50 u2: ml tf: [11:00:00 23/09/2012] pt: Unit Dose rt: IV fr: ONCE fs: 12 dn: 1 m1: Magnesium Sulfate v1: 2 u1: gm
t0: [12:00:00 22/09/2012] id: Less Restrict Meas. el: 0 cu: MICU cg: RN v1: Medicated st: NotStopd t0: [12:00:00 22/09/2012] id: Pain Present el: 0 cu: MICU cg: RN v1: No st: NotStopd t0: [12:00:00 22/09/2012] id: Range of Motion el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [12:00:00 22/09/2012] id: INV#3Chg o/Wire Date el: 0 cu: MICU cg: RN v1: 8 v2: 29 st: NotStopd t0: [12:00:00 22/09/2012] id: Pain Assess Method el: 0 cu: MICU cg: RN v1: Non-verbal cues st: NotStopd t0: [12:00:00 22/09/2012] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [12:00:00 22/09/2012] id: Circulation/SkinInt el: 0 cu: MICU cg: RN v1: Circulation Adeq st: NotStopd t0: [12:00:00 22/09/2012] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [12:00:00 22/09/2012] id: Riker-SAS Scale el: 0 cu: MICU cg: RN v1: Calm/Cooperative st: NotStopd t0: [12:00:00 22/09/2012] id: Cough Reflex el: 0 cu: MICU cg: RN v1: Intact st: NotStopd t0: [12:00:00 22/09/2012] id: GI Prophylaxis el: 0 cu: MICU cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [12:00:00 22/09/2012] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [12:00:00 22/09/2012] id: Diet Type el: 0 cu: MICU cg: RN v1: NPO st: NotStopd t0: [12:00:00 22/09/2012] id: Dorsal PedPulse R/L el: 0 cu: MICU cg: RN v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [12:00:00 22/09/2012] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [12:00:00 22/09/2012] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [12:00:00 22/09/2012] id: Eye Opening el: 0 cu: MICU cg: RN v1: 4 Spontaneously st: NotStopd t0: [12:00:00 22/09/2012] id: Follows Commands el: 0 cu: MICU cg: RN v1: Consistently st: NotStopd t0: [12:00:00 22/09/2012] id: GCS Total el: 0 cu: MICU cg: RN v1: 11 u1: points st: NotStopd t0: [12:00:00 22/09/2012] id: GI Intub #1/Site el: 0 cu: MICU cg: RN v1: Salem Sump v2: Right Nare st: NotStopd t0: [12:00:00 22/09/2012] id: GI#1 Tube Stat/Drain el: 0 cu: MICU cg: RN v1: Clamped st: NotStopd t0: [12:00:00 22/09/2012] id: Gag Reflex el: 0 cu: MICU cg: RN v1: Intact st: NotStopd t0: [12:00:00 22/09/2012] id: Heart Rate el: 0 cu: MICU cg: RN v1: 91 u1: BPM st: NotStopd t0: [12:00:00 22/09/2012] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [12:00:00 22/09/2012] id: INV Line#2 Type/Site el: 0 cu: MICU cg: RN v1: A-Line v2: Left Radial st: NotStopd t0: [12:00:00 22/09/2012] id: INV Line#2InsertDate el: 0 cu: MICU cg: RN v1: 8 v2: 27 st: NotStopd t0: [12:00:00 22/09/2012] id: INV Line#2SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [12:00:00 22/09/2012] id: INV Line#3 Site Date el: 0 cu: MICU cg: RN v1: 8 v2: 29 st: NotStopd t0: [12:00:00 22/09/2012] id: INV Line#3 Type/Site el: 0 cu: MICU cg: RN v1: Multi-lumen v2: Right IJ st: NotStopd t0: [12:00:00 22/09/2012] id: INV Line#3InsertDate el: 0 cu: MICU cg: RN v1: 8 v2: 28 st: NotStopd t0: [12:00:00 22/09/2012] id: INV Line#3SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [12:00:00 22/09/2012] id: Abdominal Assessment el: 0 cu: MICU cg: RN v1: Soft Distended st: NotStopd t0: [12:00:00 22/09/2012] id: INV#2 WaveformAppear el: 0 cu: MICU cg: RN v1: Sharp st: NotStopd t0: [12:00:00 22/09/2012] id: IV #1 Insert Date el: 0 cu: MICU cg: RN v1: ? st: NotStopd t0: [12:00:00 22/09/2012] id: IV #1 Site/Size el: 0 cu: MICU cg: RN v1: RU Ant Forearm v2: 18 gauge st: NotStopd t0: [12:00:00 22/09/2012] id: IV #2 Insert Date el: 0 cu: MICU cg: RN v1: 8 v2: 28 st: NotStopd t0: [12:00:00 22/09/2012] id: IV #2 Site/Size el: 0 cu: MICU cg: RN v1: RU Ant Forearm v2: 16 gauge st: NotStopd t0: [12:00:00 22/09/2012] id: IV #3 Insert Date el: 0 cu: MICU cg: RN v1: 8 v2: 28 st: NotStopd t0: [12:00:00 22/09/2012] id: IV #3 Site/Size el: 0 cu: MICU cg: RN v1: Right Antecub v2: 18 gauge st: NotStopd t0: [12:00:00 22/09/2012] id: IV Site Appear #1 el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [12:00:00 22/09/2012] id: IV Site Appear #2 el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [12:00:00 22/09/2012] id: IV Site Appear #3 el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [12:00:00 22/09/2012] id: LLL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [12:00:00 22/09/2012] id: LUL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [12:00:00 22/09/2012] id: Level of Conscious el: 0 cu: MICU cg: RN v1: Lethargic st: NotStopd t0: [12:00:00 22/09/2012] id: Motor Response el: 0 cu: MICU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [12:00:00 22/09/2012] id: Oral Cavity el: 0 cu: MICU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [12:00:00 22/09/2012] id: Orientation el: 0 cu: MICU cg: RN v1: Other/Remarks st: NotStopd t0: [12:00:00 22/09/2012] id: Arterial BP el: 0 cu: MICU cg: RN v1: 93 u1: mmHg v2: 52 u2: mmHg st: NotStopd t0: [12:00:00 22/09/2012] id: Pain Location el: 0 cu: MICU cg: RN v1: Not Indicated st: NotStopd t0: [12:00:00 22/09/2012] id: Pain Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [12:00:00 22/09/2012] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 65 u1: mmHg st: NotStopd t0: [12:00:00 22/09/2012] id: Position Change el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [12:00:00 22/09/2012] id: PostTib. Pulses R/L el: 0 cu: MICU cg: RN v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [12:00:00 22/09/2012] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [12:00:00 22/09/2012] id: Pupil Size R/L el: 0 cu: MICU cg: RN v1: 3 mm v2: 3 mm st: NotStopd t0: [12:00:00 22/09/2012] id: RLL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [12:00:00 22/09/2012] id: RUL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [12:00:00 22/09/2012] id: Reason For Restraint el: 0 cu: MICU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [12:00:00 22/09/2012] id: Removed x 5 Mins el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [12:00:00 22/09/2012] id: Respiratory Pattern el: 0 cu: MICU cg: RN v1: Regular st: NotStopd t0: [12:00:00 22/09/2012] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 16 u1: BPM st: NotStopd t0: [12:00:00 22/09/2012] id: Restraint Location el: 0 cu: MICU cg: RN v1: Both Arms st: NotStopd t0: [12:00:00 22/09/2012] id: Restraint Type el: 0 cu: MICU cg: RN v1: Soft Limb st: NotStopd t0: [12:00:00 22/09/2012] id: Restraints Evaluated el: 0 cu: MICU cg: RN v1: RestraintReapply st: NotStopd t0: [12:00:00 22/09/2012] id: Side Rails el: 0 cu: MICU cg: RN v1: Side Rails Up st: NotStopd t0: [12:00:00 22/09/2012] id: Skin Color el: 0 cu: MICU cg: RN v1: Jaundiced st: NotStopd t0: [12:00:00 22/09/2012] id: Skin Integrity el: 0 cu: MICU cg: RN v1: Intact st: NotStopd t0: [12:00:00 22/09/2012] id: Skin Temp/Condition el: 0 cu: MICU cg: RN v1: Warm v2: Diaphoretic st: NotStopd t0: [12:00:00 22/09/2012] id: Spontaneous Movement el: 0 cu: MICU cg: RN v1: Purposeful st: NotStopd t0: [12:00:00 22/09/2012] id: Sputum Color/Consist el: 0 cu: MICU cg: RN v1: Yellow v2: Thick st: NotStopd t0: [12:00:00 22/09/2012] id: Sputum Source/Amt el: 0 cu: MICU cg: RN v1: Suctioned v2: Scant st: NotStopd t0: [12:00:00 22/09/2012] id: Support Systems el: 0 cu: MICU cg: RN v1: Spouse st: NotStopd t0: [12:00:00 22/09/2012] id: Temp. Site el: 0 cu: MICU cg: RN v1: Oral st: NotStopd t0: [12:00:00 22/09/2012] id: Temperature C (calc) el: 0 cu: MICU cg: RN v1: 38.0556 u1: Deg. C st: NotStopd t0: [12:00:00 22/09/2012] id: Temperature F el: 0 cu: MICU cg: RN v1: 100.5 u1: Deg. F st: NotStopd t0: [12:00:00 22/09/2012] id: Urine Color/Appear el: 0 cu: MICU cg: RN v1: Icteric v2: Sediment st: NotStopd t0: [12:00:00 22/09/2012] id: Urine Source el: 0 cu: MICU cg: RN v1: Indwelling Cath st: NotStopd t0: [12:00:00 22/09/2012] id: Verbal Response el: 0 cu: MICU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [12:00:00 22/09/2012] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [12:00:00 22/09/2012] id: Behavior el: 0 cu: MICU cg: RN v1: Calm st: NotStopd t0: [12:00:00 22/09/2012] id: Bowel Sounds el: 0 cu: MICU cg: RN v1: Present st: NotStopd
t0: [12:00:00 22/09/2012] id: D5W 100.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 105 vo: 150 vu: ml t0: [12:00:00 22/09/2012] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 10 vu: ml t0: [12:00:00 22/09/2012] id: D5W 100.0ml + 600mcghr Sandostatin IV Infusions el: 1 cu: MICU cg: RN ai: 189 vo: 8.33333 vu: ml t0: [12:00:00 22/09/2012] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 40 vu: ml
t0: [12:00:00 22/09/2012] id: Sandostatin el: 1 cu: MICU cg: RN so: D5W vo: 0 v1: 50 du: mcghr sv: 100 su: ml rt: IV Drip
t0: [12:25:00 22/09/2012] id: Art.pH ABG el: 0 cu: MICU cg: 1663 v1: 7.46 rs: Final st: NotStopd t0: [12:25:00 22/09/2012] id: Arterial Base Excess ABG el: 0 cu: MICU cg: 1663 v1: 3 rs: Final st: NotStopd t0: [12:25:00 22/09/2012] id: Arterial CO2(Calc) ABG el: 0 cu: MICU cg: 1663 v1: 28 rs: Final st: NotStopd t0: [12:25:00 22/09/2012] id: Arterial PaCO2 ABG el: 0 cu: MICU cg: 1663 v1: 38 u1: mmHg rs: Final st: NotStopd t0: [12:25:00 22/09/2012] id: Arterial PaO2 ABG el: 0 cu: MICU cg: 1663 v1: 158 u1: mmHg rs: Final st: NotStopd t0: [12:25:00 22/09/2012] id: Arterial pH ABG el: 0 cu: MICU cg: 1663 v1: 7.46 rs: Final st: NotStopd
t0: [13:00:00 22/09/2012] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [13:00:00 22/09/2012] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [13:00:00 22/09/2012] id: Riker-SAS Scale el: 0 cu: MICU cg: RN v1: Calm/Cooperative st: NotStopd t0: [13:00:00 22/09/2012] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [13:00:00 22/09/2012] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [13:00:00 22/09/2012] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [13:00:00 22/09/2012] id: Heart Rate el: 0 cu: MICU cg: RN v1: 90 u1: BPM st: NotStopd t0: [13:00:00 22/09/2012] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [13:00:00 22/09/2012] id: Arterial BP el: 0 cu: MICU cg: RN v1: 81 u1: mmHg v2: 44 u2: mmHg st: NotStopd t0: [13:00:00 22/09/2012] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 55 u1: mmHg st: NotStopd t0: [13:00:00 22/09/2012] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [13:00:00 22/09/2012] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 15 u1: BPM st: NotStopd t0: [13:00:00 22/09/2012] id: SpO2 el: 0 cu: MICU cg: RN v1: 100 u1: % st: NotStopd t0: [13:00:00 22/09/2012] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [13:00:00 22/09/2012] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 10 vu: ml t0: [13:00:00 22/09/2012] id: D5W 100.0ml + 600mcghr Sandostatin IV Infusions el: 1 cu: MICU cg: RN ai: 189 vo: 8.33333 vu: ml t0: [13:00:00 22/09/2012] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 15 vu: ml
t0: [13:00:00 22/09/2012] id: Sandostatin el: 1 cu: MICU cg: RN so: D5W vo: 0 v1: 50 du: mcghr sv: 100 su: ml rt: IV Drip
t0: [13:00:00 22/09/2012] id: Significant Events el: 0 cu: MICU cg: RN v1: Fluid Bolus st: NotStopd t0: [13:10:00 22/09/2012] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [13:10:00 22/09/2012] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [13:10:00 22/09/2012] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [13:10:00 22/09/2012] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [13:10:00 22/09/2012] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [13:10:00 22/09/2012] id: Heart Rate el: 0 cu: MICU cg: RN v1: 89 u1: BPM st: NotStopd t0: [13:10:00 22/09/2012] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [13:10:00 22/09/2012] id: NBP el: 0 cu: MICU cg: RN v1: 98 u1: mmHg v2: 47 u2: mmHg st: NotStopd t0: [13:10:00 22/09/2012] id: NBP Mean el: 0 cu: MICU cg: RN v1: 64 u1: mmHg st: NotStopd t0: [13:10:00 22/09/2012] id: Arterial BP el: 0 cu: MICU cg: RN v1: 98 u1: mmHg v2: 48 u2: mmHg st: NotStopd t0: [13:10:00 22/09/2012] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 44 u1: mmHg st: NotStopd t0: [13:10:00 22/09/2012] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [13:10:00 22/09/2012] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 14 u1: BPM st: NotStopd t0: [13:10:00 22/09/2012] id: SpO2 el: 0 cu: MICU cg: RN v1: 100 u1: % st: NotStopd t0: [13:10:00 22/09/2012] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [13:00:00 22/09/2012] id: D5W 100.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 105 vo: 250 vu: ml
t0: [13:10:00 22/09/2012] id: Sandostatin el: 1 cu: MICU cg: RN so: D5W vo: 0 v1: 50 du: mcghr sv: 100 su: ml rt: IV Drip
t0: [12:20:00 22/09/2012] id: Hematocrit Hematology el: 0 cu: MICU cg: 1663 v1: 30.6 u1: % rs: Final st: NotStopd
t0: [13:00:00 22/09/2012] id: HI/Minute/Vol/Alarm el: 0 cu: MICU cg: RRT v1: 18 t0: [13:00:00 22/09/2012] id: ETT Mark/Location el: 0 cu: MICU cg: RRT v1: 23cm v2: Lip st: NotStopd t0: [13:00:00 22/09/2012] id: FiO2 Set el: 0 cu: MICU cg: RRT v1: 0.5 u1: torr st: NotStopd t0: [13:00:00 22/09/2012] id: High Insp. Pressure el: 0 cu: MICU cg: RRT v1: 40 u1: cmH2O st: NotStopd t0: [13:00:00 22/09/2012] id: High Resp. Rate el: 0 cu: MICU cg: RRT v1: 25 u1: BPM st: NotStopd t0: [13:00:00 22/09/2012] id: Airway Size el: 0 cu: MICU cg: RRT v1: 7.5 mm st: NotStopd t0: [13:00:00 22/09/2012] id: Airway Type el: 0 cu: MICU cg: RRT v1: Endotracheal st: NotStopd t0: [13:00:00 22/09/2012] id: Intubation Date el: 0 cu: MICU cg: RRT v1: 8 v2: 27 st: NotStopd t0: [13:00:00 22/09/2012] id: Low Exhaled Min Vol el: 0 cu: MICU cg: RRT v1: 4 st: NotStopd t0: [13:00:00 22/09/2012] id: Mean Airway Pressure el: 0 cu: MICU cg: RRT v1: 7 u1: cmH2O st: NotStopd t0: [13:00:00 22/09/2012] id: Minute Volume(Obser) el: 0 cu: MICU cg: RRT v1: 9.3 u1: L/min st: NotStopd t0: [13:00:00 22/09/2012] id: PEEP Set el: 0 cu: MICU cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [13:00:00 22/09/2012] id: Apnea Time Interval el: 0 cu: MICU cg: RRT v1: 20 st: NotStopd t0: [13:00:00 22/09/2012] id: Plateau-Off el: 0 cu: MICU cg: RRT v1: Not Applicable st: NotStopd t0: [13:00:00 22/09/2012] id: Pressure Support el: 0 cu: MICU cg: RRT v1: 5 u1: . st: NotStopd t0: [13:00:00 22/09/2012] id: Resp Rate (Total) el: 0 cu: MICU cg: RRT v1: 19 u1: BPM st: NotStopd t0: [13:00:00 22/09/2012] id: Tidal Volume (Spont) el: 0 cu: MICU cg: RRT v1: 650 u1: ml/B st: NotStopd t0: [13:00:00 22/09/2012] id: Ventilator Mode el: 0 cu: MICU cg: RRT v1: CPAP+PS st: NotStopd t0: [13:00:00 22/09/2012] id: Ventilator Type el: 0 cu: MICU cg: RRT v1: Drager st: NotStopd t0: [13:00:00 22/09/2012] id: Waveform-Vent el: 0 cu: MICU cg: RRT v1: RAMP st: NotStopd t0: [13:30:00 22/09/2012] id: HI/Minute/Vol/Alarm el: 0 cu: MICU cg: RRT v1: 18 t0: [13:30:00 22/09/2012] id: ETT Mark/Location el: 0 cu: MICU cg: RRT v1: 23cm v2: Lip st: NotStopd t0: [13:30:00 22/09/2012] id: FiO2 Set el: 0 cu: MICU cg: RRT v1: 0.5 u1: torr st: NotStopd t0: [13:30:00 22/09/2012] id: High Insp. Pressure el: 0 cu: MICU cg: RRT v1: 40 u1: cmH2O st: NotStopd t0: [13:30:00 22/09/2012] id: High Resp. Rate el: 0 cu: MICU cg: RRT v1: 25 u1: BPM st: NotStopd t0: [13:30:00 22/09/2012] id: Airway Size el: 0 cu: MICU cg: RRT v1: 7.5 mm st: NotStopd t0: [13:30:00 22/09/2012] id: Airway Type el: 0 cu: MICU cg: RRT v1: Endotracheal st: NotStopd t0: [13:30:00 22/09/2012] id: Intubation Date el: 0 cu: MICU cg: RRT v1: 8 v2: 27 st: NotStopd t0: [13:30:00 22/09/2012] id: Low Exhaled Min Vol el: 0 cu: MICU cg: RRT v1: 4 st: NotStopd t0: [13:30:00 22/09/2012] id: Mean Airway Pressure el: 0 cu: MICU cg: RRT v1: 7 u1: cmH2O st: NotStopd t0: [13:30:00 22/09/2012] id: Minute Volume(Obser) el: 0 cu: MICU cg: RRT v1: 7 u1: L/min st: NotStopd t0: [13:30:00 22/09/2012] id: PEEP Set el: 0 cu: MICU cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [13:30:00 22/09/2012] id: Apnea Time Interval el: 0 cu: MICU cg: RRT v1: 20 st: NotStopd t0: [13:30:00 22/09/2012] id: Plateau-Off el: 0 cu: MICU cg: RRT v1: Not Applicable st: NotStopd t0: [13:30:00 22/09/2012] id: Pressure Support el: 0 cu: MICU cg: RRT v1: 5 u1: . st: NotStopd t0: [13:30:00 22/09/2012] id: Resp Rate (Total) el: 0 cu: MICU cg: RRT v1: 17 u1: BPM st: NotStopd t0: [13:30:00 22/09/2012] id: Sensitivity-Vent el: 0 cu: MICU cg: RRT v1: 3 u1: cmH2O st: NotStopd t0: [13:30:00 22/09/2012] id: SpO2 el: 0 cu: MICU cg: RRT v1: 100 u1: % st: NotStopd t0: [13:30:00 22/09/2012] id: Tidal Volume (Spont) el: 0 cu: MICU cg: RRT v1: 500 u1: ml/B st: NotStopd t0: [13:30:00 22/09/2012] id: Ventilator Mode el: 0 cu: MICU cg: RRT v1: CPAP+PS st: NotStopd t0: [13:30:00 22/09/2012] id: Ventilator Type el: 0 cu: MICU cg: RRT v1: Drager st: NotStopd t0: [13:30:00 22/09/2012] id: Waveform-Vent el: 0 cu: MICU cg: RRT v1: RAMP st: NotStopd
t0: [14:00:00 22/09/2012] id: Less Restrict Meas. el: 0 cu: MICU cg: RN v1: Orientation st: NotStopd t0: [14:00:00 22/09/2012] id: Range of Motion el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [14:00:00 22/09/2012] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [14:00:00 22/09/2012] id: Circulation/SkinInt el: 0 cu: MICU cg: RN v1: Circulation Adeq st: NotStopd t0: [14:00:00 22/09/2012] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [14:00:00 22/09/2012] id: Riker-SAS Scale el: 0 cu: MICU cg: RN v1: Calm/Cooperative st: NotStopd t0: [14:00:00 22/09/2012] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [14:00:00 22/09/2012] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [14:00:00 22/09/2012] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [14:00:00 22/09/2012] id: Heart Rate el: 0 cu: MICU cg: RN v1: 91 u1: BPM st: NotStopd t0: [14:00:00 22/09/2012] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [14:00:00 22/09/2012] id: NBP el: 0 cu: MICU cg: RN v1: 100 u1: mmHg v2: 48 u2: mmHg st: NotStopd t0: [14:00:00 22/09/2012] id: NBP Mean el: 0 cu: MICU cg: RN v1: 65.3333 u1: mmHg st: NotStopd t0: [14:00:00 22/09/2012] id: Arterial BP el: 0 cu: MICU cg: RN v1: 96 u1: mmHg v2: 46 u2: mmHg st: NotStopd t0: [14:00:00 22/09/2012] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 61 u1: mmHg st: NotStopd t0: [14:00:00 22/09/2012] id: Position Change el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [14:00:00 22/09/2012] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [14:00:00 22/09/2012] id: Reason For Restraint el: 0 cu: MICU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [14:00:00 22/09/2012] id: Removed x 5 Mins el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [14:00:00 22/09/2012] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 19 u1: BPM st: NotStopd t0: [14:00:00 22/09/2012] id: Restraint Location el: 0 cu: MICU cg: RN v1: Both Arms st: NotStopd t0: [14:00:00 22/09/2012] id: Restraint Type el: 0 cu: MICU cg: RN v1: Soft Limb st: NotStopd t0: [14:00:00 22/09/2012] id: Restraints Evaluated el: 0 cu: MICU cg: RN v1: RestraintReapply st: NotStopd t0: [14:00:00 22/09/2012] id: Side Rails el: 0 cu: MICU cg: RN v1: Side Rails Up st: NotStopd t0: [14:00:00 22/09/2012] id: SpO2 el: 0 cu: MICU cg: RN v1: 100 u1: % st: NotStopd t0: [14:00:00 22/09/2012] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [14:00:00 22/09/2012] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 10 vu: ml t0: [14:00:00 22/09/2012] tf: [17:47:00 27/09/2012] dt: 7427 id: Gastric Meds PO/Gastric el: 1 cu: MICU cg: RN ai: 155 vo: 60 vu: ml t0: [14:00:00 22/09/2012] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 15 vu: ml
t0: [14:00:00 22/09/2012] id: Significant Events el: 0 cu: MICU cg: RN v1: Fluid Bolus st: NotStopd
t0: [12:00:00 22/09/2012] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 1.263 vu: ml st: Stopped t0: [13:00:00 22/09/2012] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: MICU cg: RN ai: 107 vu: ml t0: [14:00:00 22/09/2012] id: D5W 100.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 105 vo: 350 vu: ml t0: [14:00:00 22/09/2012] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: MICU cg: RN ai: 107 vu: ml t0: [14:00:00 22/09/2012] id: D5W 100.0ml + 600mcghr Sandostatin IV Infusions el: 1 cu: MICU cg: RN ai: 189 vo: 8.33333 vu: ml st: Stopped
t0: [14:00:00 22/09/2012] id: Sandostatin el: 1 cu: MICU cg: RN so: D5W vo: 0 v1: 50 du: mcghr sv: 100 su: ml rt: IV Drip st: Stopped
t0: [14:01:00 22/09/2012] id: D5W 100.0ml + 600mcghr Sandostatin IV Infusions el: 1 cu: MICU cg: -1 ai: 189 vo: 0 st: D/C'd
t0: [14:00:00 22/09/2012] id: HOB el: 0 cu: MICU cg: RN v1: 45 degrees st: NotStopd t0: [14:00:00 22/09/2012] id: Activity el: 0 cu: MICU cg: RN v1: Bedrest st: NotStopd t0: [14:00:00 22/09/2012] id: Activity Tolerance el: 0 cu: MICU cg: RN v1: Tolerated Well st: NotStopd t0: [14:00:00 22/09/2012] id: AntiEmbDevice/Status el: 0 cu: MICU cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [14:00:00 22/09/2012] id: Position el: 0 cu: MICU cg: RN v1: Left Side st: NotStopd t0: [14:00:00 22/09/2012] id: Assistance Device el: 0 cu: MICU cg: RN v1: 2 Person Assist st: NotStopd t0: [14:00:00 22/09/2012] id: Turn el: 0 cu: MICU cg: RN v1: Left Side st: NotStopd
t0: [14:00:00 22/09/2012] id: Fingerstick Glucose Chemistry el: 0 cu: MICU cg: RN v1: 78 rs: Manual st: NotStopd
t0: [15:00:00 22/09/2012] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [15:00:00 22/09/2012] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [15:00:00 22/09/2012] id: Riker-SAS Scale el: 0 cu: MICU cg: RN v1: Calm/Cooperative st: NotStopd t0: [15:00:00 22/09/2012] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [15:00:00 22/09/2012] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [15:00:00 22/09/2012] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [15:00:00 22/09/2012] id: Heart Rate el: 0 cu: MICU cg: RN v1: 90 u1: BPM st: NotStopd t0: [15:00:00 22/09/2012] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [15:00:00 22/09/2012] id: NBP el: 0 cu: MICU cg: RN v1: 84 u1: mmHg v2: 35 u2: mmHg st: NotStopd t0: [15:00:00 22/09/2012] id: NBP Mean el: 0 cu: MICU cg: RN v1: 51.3333 u1: mmHg st: NotStopd t0: [15:00:00 22/09/2012] id: Arterial BP el: 0 cu: MICU cg: RN v1: 81 u1: mmHg v2: 42 u2: mmHg st: NotStopd t0: [15:00:00 22/09/2012] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 54 u1: mmHg st: NotStopd t0: [15:00:00 22/09/2012] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [15:00:00 22/09/2012] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 18 u1: BPM st: NotStopd t0: [15:00:00 22/09/2012] id: Significant Events el: 0 cu: MICU cg: RN v1: Fluid Bolus st: NotStopd t0: [15:00:00 22/09/2012] id: SpO2 el: 0 cu: MICU cg: RN v1: 100 u1: % st: NotStopd t0: [15:00:00 22/09/2012] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [15:00:00 22/09/2012] id: D5W 100.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 105 vo: 250 vu: ml t0: [15:00:00 22/09/2012] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 10 vu: ml t0: [15:00:00 22/09/2012] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 50 vu: ml
t0: [15:00:00 22/09/2012] tf: [07:00:00 23/09/2012] dt: 960 id: D5W 250.0ml + 60mcgkgmin Neosynephrine-k IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 10.5 vu: ml nb: 1
t0: [15:00:00 22/09/2012] id: Neosynephrine-k el: 1 cu: MICU cg: RN so: D5W vo: 0 v1: 0.5 du: mcgkgmin sv: 250 su: ml rt: IV Drip
t0: [16:00:00 22/09/2012] id: Less Restrict Meas. el: 0 cu: MICU cg: RN v1: Orientation st: NotStopd t0: [16:00:00 22/09/2012] id: Pain Present el: 0 cu: MICU cg: RN v1: No st: NotStopd t0: [16:00:00 22/09/2012] id: Range of Motion el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [16:00:00 22/09/2012] id: INV#3Chg o/Wire Date el: 0 cu: MICU cg: RN v1: 8 v2: 29 st: NotStopd t0: [16:00:00 22/09/2012] id: Pain Assess Method el: 0 cu: MICU cg: RN v1: Non-verbal cues st: NotStopd t0: [16:00:00 22/09/2012] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [16:00:00 22/09/2012] id: Circulation/SkinInt el: 0 cu: MICU cg: RN v1: Circulation Adeq st: NotStopd t0: [16:00:00 22/09/2012] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [16:00:00 22/09/2012] id: Riker-SAS Scale el: 0 cu: MICU cg: RN v1: Calm/Cooperative st: NotStopd t0: [16:00:00 22/09/2012] id: Cough Reflex el: 0 cu: MICU cg: RN v1: Intact st: NotStopd t0: [16:00:00 22/09/2012] id: GI Prophylaxis el: 0 cu: MICU cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [16:00:00 22/09/2012] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [16:00:00 22/09/2012] id: Diet Type el: 0 cu: MICU cg: RN v1: NPO st: NotStopd t0: [16:00:00 22/09/2012] id: Dorsal PedPulse R/L el: 0 cu: MICU cg: RN v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [16:00:00 22/09/2012] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [16:00:00 22/09/2012] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [16:00:00 22/09/2012] id: Eye Opening el: 0 cu: MICU cg: RN v1: 4 Spontaneously st: NotStopd t0: [16:00:00 22/09/2012] id: Follows Commands el: 0 cu: MICU cg: RN v1: Consistently st: NotStopd t0: [16:00:00 22/09/2012] id: GCS Total el: 0 cu: MICU cg: RN v1: 11 u1: points st: NotStopd t0: [16:00:00 22/09/2012] id: GI Intub #1/Site el: 0 cu: MICU cg: RN v1: Salem Sump v2: Right Nare st: NotStopd t0: [16:00:00 22/09/2012] id: GI#1 Tube Stat/Drain el: 0 cu: MICU cg: RN v1: Clamped st: NotStopd t0: [16:00:00 22/09/2012] id: Gag Reflex el: 0 cu: MICU cg: RN v1: Intact st: NotStopd t0: [16:00:00 22/09/2012] id: Heart Rate el: 0 cu: MICU cg: RN v1: 86 u1: BPM st: NotStopd t0: [16:00:00 22/09/2012] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [16:00:00 22/09/2012] id: INV Line#2 Type/Site el: 0 cu: MICU cg: RN v1: A-Line v2: Left Radial st: NotStopd t0: [16:00:00 22/09/2012] id: INV Line#2InsertDate el: 0 cu: MICU cg: RN v1: 8 v2: 27 st: NotStopd t0: [16:00:00 22/09/2012] id: INV Line#2SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [16:00:00 22/09/2012] id: INV Line#3 Site Date el: 0 cu: MICU cg: RN v1: 8 v2: 29 st: NotStopd t0: [16:00:00 22/09/2012] id: INV Line#3 Type/Site el: 0 cu: MICU cg: RN v1: Multi-lumen v2: Right IJ st: NotStopd t0: [16:00:00 22/09/2012] id: INV Line#3InsertDate el: 0 cu: MICU cg: RN v1: 8 v2: 28 st: NotStopd t0: [16:00:00 22/09/2012] id: INV Line#3SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [16:00:00 22/09/2012] id: Abdominal Assessment el: 0 cu: MICU cg: RN v1: Soft Distended st: NotStopd t0: [16:00:00 22/09/2012] id: INV#2 WaveformAppear el: 0 cu: MICU cg: RN v1: Sharp st: NotStopd t0: [16:00:00 22/09/2012] id: IV #1 Insert Date el: 0 cu: MICU cg: RN v1: ? st: NotStopd t0: [16:00:00 22/09/2012] id: IV #1 Site/Size el: 0 cu: MICU cg: RN v1: RU Ant Forearm v2: 18 gauge st: NotStopd t0: [16:00:00 22/09/2012] id: IV #2 Insert Date el: 0 cu: MICU cg: RN v1: 8 v2: 28 st: NotStopd t0: [16:00:00 22/09/2012] id: IV #2 Site/Size el: 0 cu: MICU cg: RN v1: RU Ant Forearm v2: 16 gauge st: NotStopd t0: [16:00:00 22/09/2012] id: IV #3 Insert Date el: 0 cu: MICU cg: RN v1: 8 v2: 28 st: NotStopd t0: [16:00:00 22/09/2012] id: IV #3 Site/Size el: 0 cu: MICU cg: RN v1: Right Antecub v2: 18 gauge st: NotStopd t0: [16:00:00 22/09/2012] id: IV Site Appear #1 el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [16:00:00 22/09/2012] id: IV Site Appear #2 el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [16:00:00 22/09/2012] id: IV Site Appear #3 el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [16:00:00 22/09/2012] id: LLL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [16:00:00 22/09/2012] id: LUL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [16:00:00 22/09/2012] id: Level of Conscious el: 0 cu: MICU cg: RN v1: Lethargic st: NotStopd t0: [16:00:00 22/09/2012] id: Motor Response el: 0 cu: MICU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [16:00:00 22/09/2012] id: NBP el: 0 cu: MICU cg: RN v1: 118 u1: mmHg v2: 49 u2: mmHg st: NotStopd t0: [16:00:00 22/09/2012] id: NBP Mean el: 0 cu: MICU cg: RN v1: 72 u1: mmHg st: NotStopd t0: [16:00:00 22/09/2012] id: Oral Cavity el: 0 cu: MICU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [16:00:00 22/09/2012] id: Orientation el: 0 cu: MICU cg: RN v1: Other/Remarks st: NotStopd t0: [16:00:00 22/09/2012] id: Arterial BP el: 0 cu: MICU cg: RN v1: 118 u1: mmHg v2: 60 u2: mmHg st: NotStopd t0: [16:00:00 22/09/2012] id: Pain Location el: 0 cu: MICU cg: RN v1: Not Indicated st: NotStopd t0: [16:00:00 22/09/2012] id: Pain Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [16:00:00 22/09/2012] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 78 u1: mmHg st: NotStopd t0: [16:00:00 22/09/2012] id: Position Change el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [16:00:00 22/09/2012] id: PostTib. Pulses R/L el: 0 cu: MICU cg: RN v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [16:00:00 22/09/2012] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [16:00:00 22/09/2012] id: Pupil Size R/L el: 0 cu: MICU cg: RN v1: 3 mm v2: 3 mm st: NotStopd t0: [16:00:00 22/09/2012] id: RLL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [16:00:00 22/09/2012] id: RUL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [16:00:00 22/09/2012] id: Reason For Restraint el: 0 cu: MICU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [16:00:00 22/09/2012] id: Removed x 5 Mins el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [16:00:00 22/09/2012] id: Respiratory Pattern el: 0 cu: MICU cg: RN v1: Regular st: NotStopd t0: [16:00:00 22/09/2012] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 25 u1: BPM st: NotStopd t0: [16:00:00 22/09/2012] id: Restraint Location el: 0 cu: MICU cg: RN v1: Both Arms st: NotStopd t0: [16:00:00 22/09/2012] id: Restraint Type el: 0 cu: MICU cg: RN v1: Soft Limb st: NotStopd t0: [16:00:00 22/09/2012] id: Restraints Evaluated el: 0 cu: MICU cg: RN v1: RestraintReapply st: NotStopd t0: [16:00:00 22/09/2012] id: Side Rails el: 0 cu: MICU cg: RN v1: Side Rails Up st: NotStopd t0: [16:00:00 22/09/2012] id: Skin Color el: 0 cu: MICU cg: RN v1: Jaundiced st: NotStopd t0: [16:00:00 22/09/2012] id: Skin Integrity el: 0 cu: MICU cg: RN v1: Intact st: NotStopd t0: [16:00:00 22/09/2012] id: Skin Temp/Condition el: 0 cu: MICU cg: RN v1: Warm v2: Diaphoretic st: NotStopd t0: [16:00:00 22/09/2012] id: SpO2 el: 0 cu: MICU cg: RN v1: 99 u1: % st: NotStopd t0: [16:00:00 22/09/2012] id: Spontaneous Movement el: 0 cu: MICU cg: RN v1: Purposeful st: NotStopd t0: [16:00:00 22/09/2012] id: Sputum Color/Consist el: 0 cu: MICU cg: RN v1: Yellow v2: Thick st: NotStopd t0: [16:00:00 22/09/2012] id: Sputum Source/Amt el: 0 cu: MICU cg: RN v1: Suctioned v2: Moderate st: NotStopd t0: [16:00:00 22/09/2012] id: Support Systems el: 0 cu: MICU cg: RN v1: Spouse st: NotStopd t0: [16:00:00 22/09/2012] id: Temp. Site el: 0 cu: MICU cg: RN v1: Oral st: NotStopd t0: [16:00:00 22/09/2012] id: Temperature C (calc) el: 0 cu: MICU cg: RN v1: 37.9444 u1: Deg. C st: NotStopd t0: [16:00:00 22/09/2012] id: Temperature F el: 0 cu: MICU cg: RN v1: 100.3 u1: Deg. F st: NotStopd t0: [16:00:00 22/09/2012] id: Urine Color/Appear el: 0 cu: MICU cg: RN v1: Icteric v2: Sediment st: NotStopd t0: [16:00:00 22/09/2012] id: Urine Source el: 0 cu: MICU cg: RN v1: Indwelling Cath st: NotStopd t0: [16:00:00 22/09/2012] id: Verbal Response el: 0 cu: MICU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [16:00:00 22/09/2012] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [16:00:00 22/09/2012] id: Behavior el: 0 cu: MICU cg: RN v1: Calm st: NotStopd t0: [16:00:00 22/09/2012] id: Bowel Sounds el: 0 cu: MICU cg: RN v1: Present st: NotStopd
t0: [16:00:00 22/09/2012] id: D5W 100.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 105 vo: 100 vu: ml t0: [16:00:00 22/09/2012] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 10 vu: ml t0: [16:00:00 22/09/2012] id: D5W 250.0ml + 60mcgkgmin Neosynephrine-k IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 6.3 vu: ml t0: [16:00:00 22/09/2012] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 20 vu: ml
t0: [16:00:00 22/09/2012] id: Neosynephrine-k el: 1 cu: MICU cg: RN so: D5W vo: 0 v1: 0.3 du: mcgkgmin sv: 250 su: ml rt: IV Drip
tf: [11:00:00 24/09/2012] pt: IV Piggyback rt: IV DRIP fr: TITRATE TO m1: Phenylephrine HCl v1: 60 u1: mg m2: D5W v2: 250 u2: ml
t0: [16:00:00 22/09/2012] id: Fresh Frozen Plasma IV Infusions el: 1 cu: MICU cg: RN ai: 155 vo: 345 vu: ml
t0: [06:30:00 21/09/2012] id: Previous WeightF el: 0 cu: MICU cg: 1663 u1: kg st: NotStopd t0: [09:00:00 21/09/2012] id: Previous WeightF el: 0 cu: MICU cg: 1663 u1: kg st: NotStopd t0: [10:00:00 21/09/2012] id: Previous Weight el: 0 cu: MICU cg: 1663 v1: 84.2 u1: kg st: NotStopd t0: [10:00:00 21/09/2012] id: Previous WeightF el: 0 cu: MICU cg: 1663 u1: kg st: NotStopd t0: [16:00:00 22/09/2012] id: Hematocrit Hematology el: 0 cu: MICU cg: 1663 v1: 30.4 u1: % rs: Final st: NotStopd
t0: [17:00:00 22/09/2012] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [17:00:00 22/09/2012] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [17:00:00 22/09/2012] id: Riker-SAS Scale el: 0 cu: MICU cg: RN v1: Calm/Cooperative st: NotStopd t0: [17:00:00 22/09/2012] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [17:00:00 22/09/2012] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [17:00:00 22/09/2012] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [17:00:00 22/09/2012] id: Heart Rate el: 0 cu: MICU cg: RN v1: 89 u1: BPM st: NotStopd t0: [17:00:00 22/09/2012] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [17:00:00 22/09/2012] id: NBP el: 0 cu: MICU cg: RN v1: 114 u1: mmHg v2: 50 u2: mmHg st: NotStopd t0: [17:00:00 22/09/2012] id: NBP Mean el: 0 cu: MICU cg: RN v1: 71.3333 u1: mmHg st: NotStopd t0: [17:00:00 22/09/2012] id: Arterial BP el: 0 cu: MICU cg: RN v1: 115 u1: mmHg v2: 59 u2: mmHg st: NotStopd t0: [17:00:00 22/09/2012] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 76 u1: mmHg st: NotStopd t0: [17:00:00 22/09/2012] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [17:00:00 22/09/2012] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 22 u1: BPM st: NotStopd t0: [17:00:00 22/09/2012] id: SpO2 el: 0 cu: MICU cg: RN v1: 98 u1: % st: NotStopd t0: [17:00:00 22/09/2012] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [17:00:00 22/09/2012] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 10 vu: ml t0: [17:00:00 22/09/2012] id: D5W 250.0ml + 60mcgkgmin Neosynephrine-k IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 4.2 vu: ml t0: [17:00:00 22/09/2012] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 20 vu: ml
t0: [17:00:00 22/09/2012] id: Neosynephrine-k el: 1 cu: MICU cg: RN so: D5W vo: 0 v1: 0.2 du: mcgkgmin sv: 250 su: ml rt: IV Drip
t0: [16:00:00 22/09/2012] id: Magnesium Chemistry el: 0 cu: MICU cg: 1663 v1: 2.5 rs: Final st: NotStopd t0: [16:00:00 22/09/2012] id: Potassium Chemistry el: 0 cu: MICU cg: 1663 v1: 3.7 rs: Final st: NotStopd t0: [16:00:00 22/09/2012] id: Magnesium (1.6-2.6) Chemistry el: 0 cu: MICU cg: 1663 v1: 2.5 rs: Final st: NotStopd t0: [16:00:00 22/09/2012] id: Potassium (3.5-5.3) Chemistry el: 0 cu: MICU cg: 1663 v1: 3.7 rs: Final st: NotStopd
t0: [16:50:00 22/09/2012] id: RSBI (<100) el: 0 cu: MICU cg: RRT v1: 65.2174 u1: units st: NotStopd t0: [16:50:00 22/09/2012] id: ETT Mark/Location el: 0 cu: MICU cg: RRT v1: 23cm v2: Lip st: NotStopd t0: [16:50:00 22/09/2012] id: Airway Size el: 0 cu: MICU cg: RRT v1: 7.5 mm st: NotStopd t0: [16:50:00 22/09/2012] id: Airway Type el: 0 cu: MICU cg: RRT v1: Endotracheal st: NotStopd t0: [16:50:00 22/09/2012] id: Intubation Date el: 0 cu: MICU cg: RRT v1: 8 v2: 27 st: NotStopd t0: [16:50:00 22/09/2012] id: RSBI (<200) el: 0 cu: MICU cg: RRT v1: 65.2174 u1: units st: NotStopd t0: [16:50:00 22/09/2012] id: SpO2 el: 0 cu: MICU cg: RRT v1: 98 u1: % st: NotStopd t0: [16:50:00 22/09/2012] id: Spon RR (Mech.) el: 0 cu: MICU cg: RRT v1: 27 u1: BPM st: NotStopd t0: [16:50:00 22/09/2012] id: Spon. Vt (L) (Mech.) el: 0 cu: MICU cg: RRT v1: 0.414 u1: L st: NotStopd t0: [16:50:00 22/09/2012] id: Ventilator Type el: 0 cu: MICU cg: RRT v1: Drager st: NotStopd
t0: [17:12:00 22/09/2012] id: HI/Minute/Vol/Alarm el: 0 cu: MICU cg: RRT v1: 18 t0: [17:12:00 22/09/2012] id: ETT Mark/Location el: 0 cu: MICU cg: RRT v1: 23cm v2: Lip st: NotStopd t0: [17:12:00 22/09/2012] id: FiO2 Set el: 0 cu: MICU cg: RRT v1: 0.5 u1: torr st: NotStopd t0: [17:12:00 22/09/2012] id: High Insp. Pressure el: 0 cu: MICU cg: RRT v1: 40 u1: cmH2O st: NotStopd t0: [17:12:00 22/09/2012] id: High Resp. Rate el: 0 cu: MICU cg: RRT v1: 25 u1: BPM st: NotStopd t0: [17:12:00 22/09/2012] id: Airway Size el: 0 cu: MICU cg: RRT v1: 7.5 mm st: NotStopd t0: [17:12:00 22/09/2012] id: Airway Type el: 0 cu: MICU cg: RRT v1: Endotracheal st: NotStopd t0: [17:12:00 22/09/2012] id: Intubation Date el: 0 cu: MICU cg: RRT v1: 8 v2: 27 st: NotStopd t0: [17:12:00 22/09/2012] id: Low Exhaled Min Vol el: 0 cu: MICU cg: RRT v1: 4 st: NotStopd t0: [17:12:00 22/09/2012] id: Mean Airway Pressure el: 0 cu: MICU cg: RRT v1: 2 u1: cmH2O st: NotStopd t0: [17:12:00 22/09/2012] id: Minute Volume(Obser) el: 0 cu: MICU cg: RRT v1: 9.7 u1: L/min st: NotStopd t0: [17:12:00 22/09/2012] id: PEEP Set el: 0 cu: MICU cg: RRT v1: 0 u1: cmH2O st: NotStopd t0: [17:12:00 22/09/2012] id: Apnea Time Interval el: 0 cu: MICU cg: RRT v1: 250 st: NotStopd t0: [17:12:00 22/09/2012] id: Plateau-Off el: 0 cu: MICU cg: RRT v1: Not Applicable st: NotStopd t0: [17:12:00 22/09/2012] id: Pressure Support el: 0 cu: MICU cg: RRT v1: 5 u1: . st: NotStopd t0: [17:12:00 22/09/2012] id: Resp Rate (Total) el: 0 cu: MICU cg: RRT v1: 22 u1: BPM st: NotStopd t0: [17:12:00 22/09/2012] id: Sensitivity-Vent el: 0 cu: MICU cg: RRT v1: 3 u1: cmH2O st: NotStopd t0: [17:12:00 22/09/2012] id: SpO2 el: 0 cu: MICU cg: RRT v1: 97 u1: % st: NotStopd t0: [17:12:00 22/09/2012] id: Tidal Volume (Spont) el: 0 cu: MICU cg: RRT v1: 470 u1: ml/B st: NotStopd t0: [17:12:00 22/09/2012] id: Ventilator Mode el: 0 cu: MICU cg: RRT v1: CPAP+PS st: NotStopd t0: [17:12:00 22/09/2012] id: Ventilator Type el: 0 cu: MICU cg: RRT v1: Drager st: NotStopd t0: [17:12:00 22/09/2012] id: Waveform-Vent el: 0 cu: MICU cg: RRT v1: RAMP st: NotStopd
t0: [17:00:00 22/09/2012] id: Fresh Frozen Plasma IV Infusions el: 1 cu: MICU cg: RN ai: 155 vo: 330 vu: ml
t0: [17:49:00 22/09/2012] id: Art.pH ABG el: 0 cu: MICU cg: 1663 v1: 7.42 rs: Final st: NotStopd t0: [17:49:00 22/09/2012] id: Glucose Chemistry el: 0 cu: MICU cg: 1663 v1: 91 rs: Final st: NotStopd t0: [17:49:00 22/09/2012] id: Arterial Base Excess ABG el: 0 cu: MICU cg: 1663 v1: 0 rs: Final st: NotStopd t0: [17:49:00 22/09/2012] id: Arterial CO2(Calc) ABG el: 0 cu: MICU cg: 1663 v1: 25 rs: Final st: NotStopd t0: [17:49:00 22/09/2012] id: Arterial PaCO2 ABG el: 0 cu: MICU cg: 1663 v1: 37 u1: mmHg rs: Final st: NotStopd t0: [17:49:00 22/09/2012] id: Arterial PaO2 ABG el: 0 cu: MICU cg: 1663 v1: 93 u1: mmHg rs: Final st: NotStopd t0: [17:49:00 22/09/2012] id: Arterial pH ABG el: 0 cu: MICU cg: 1663 v1: 7.42 rs: Final st: NotStopd t0: [17:49:00 22/09/2012] id: Glucose (70-105) Chemistry el: 0 cu: MICU cg: 1663 v1: 91 rs: Final st: NotStopd
t0: [17:00:00 22/09/2012] id: HOB el: 0 cu: MICU cg: RN v1: 90 degrees st: NotStopd t0: [17:00:00 22/09/2012] id: Activity el: 0 cu: MICU cg: RN v1: Bedrest st: NotStopd t0: [17:00:00 22/09/2012] id: Activity Tolerance el: 0 cu: MICU cg: RN v1: Tolerated Well st: NotStopd t0: [17:00:00 22/09/2012] id: AntiEmbDevice/Status el: 0 cu: MICU cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [17:00:00 22/09/2012] id: Position el: 0 cu: MICU cg: RN v1: Supine st: NotStopd t0: [17:00:00 22/09/2012] id: Assistance Device el: 0 cu: MICU cg: RN v1: 2 Person Assist st: NotStopd t0: [17:00:00 22/09/2012] id: Turn el: 0 cu: MICU cg: RN v1: Back st: NotStopd t0: [18:00:00 22/09/2012] id: Less Restrict Meas. el: 0 cu: MICU cg: RN v1: Orientation st: NotStopd t0: [18:00:00 22/09/2012] id: Range of Motion el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [18:00:00 22/09/2012] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [18:00:00 22/09/2012] id: Circulation/SkinInt el: 0 cu: MICU cg: RN v1: Circulation Adeq st: NotStopd t0: [18:00:00 22/09/2012] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [18:00:00 22/09/2012] id: Riker-SAS Scale el: 0 cu: MICU cg: RN v1: Calm/Cooperative st: NotStopd t0: [18:00:00 22/09/2012] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [18:00:00 22/09/2012] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [18:00:00 22/09/2012] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [18:00:00 22/09/2012] id: Heart Rate el: 0 cu: MICU cg: RN v1: 90 u1: BPM st: NotStopd t0: [18:00:00 22/09/2012] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [18:00:00 22/09/2012] id: NBP el: 0 cu: MICU cg: RN v1: 110 u1: mmHg v2: 50 u2: mmHg st: NotStopd t0: [18:00:00 22/09/2012] id: NBP Mean el: 0 cu: MICU cg: RN v1: 70 u1: mmHg st: NotStopd t0: [18:00:00 22/09/2012] id: Arterial BP el: 0 cu: MICU cg: RN v1: 106 u1: mmHg v2: 53 u2: mmHg st: NotStopd t0: [18:00:00 22/09/2012] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 69 u1: mmHg st: NotStopd t0: [18:00:00 22/09/2012] id: Position Change el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [18:00:00 22/09/2012] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [18:00:00 22/09/2012] id: Reason For Restraint el: 0 cu: MICU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [18:00:00 22/09/2012] id: Removed x 5 Mins el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [18:00:00 22/09/2012] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 24 u1: BPM st: NotStopd t0: [18:00:00 22/09/2012] id: Restraint Location el: 0 cu: MICU cg: RN v1: Both Arms st: NotStopd t0: [18:00:00 22/09/2012] id: Restraint Type el: 0 cu: MICU cg: RN v1: Soft Limb st: NotStopd t0: [18:00:00 22/09/2012] id: Restraints Evaluated el: 0 cu: MICU cg: RN v1: RestraintReapply st: NotStopd t0: [18:00:00 22/09/2012] id: Side Rails el: 0 cu: MICU cg: RN v1: Side Rails Up st: NotStopd t0: [18:00:00 22/09/2012] id: SpO2 el: 0 cu: MICU cg: RN v1: 97 u1: % st: NotStopd t0: [18:00:00 22/09/2012] id: Support Systems el: 0 cu: MICU cg: RN v1: Spouse st: NotStopd t0: [18:00:00 22/09/2012] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [18:00:00 22/09/2012] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 10 vu: ml t0: [18:00:00 22/09/2012] id: D5W 250.0ml + 60mcgkgmin Neosynephrine-k IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 4.21 vu: ml t0: [18:00:00 22/09/2012] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 60 vu: ml
t0: [18:00:00 22/09/2012] id: Neosynephrine-k el: 1 cu: MICU cg: RN so: D5W vo: 0 v1: 0.1 du: mcgkgmin sv: 250 su: ml rt: IV Drip
t0: [19:00:00 22/09/2012] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [19:00:00 22/09/2012] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [19:00:00 22/09/2012] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [19:00:00 22/09/2012] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [19:00:00 22/09/2012] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [19:00:00 22/09/2012] id: Heart Rate el: 0 cu: MICU cg: RN v1: 85 u1: BPM st: NotStopd t0: [19:00:00 22/09/2012] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [19:00:00 22/09/2012] id: NBP el: 0 cu: MICU cg: RN v1: 103 u1: mmHg v2: 53 u2: mmHg st: NotStopd t0: [19:00:00 22/09/2012] id: NBP Mean el: 0 cu: MICU cg: RN v1: 69.6667 u1: mmHg st: NotStopd t0: [19:00:00 22/09/2012] id: Arterial BP el: 0 cu: MICU cg: RN v1: 117 u1: mmHg v2: 61 u2: mmHg st: NotStopd t0: [19:00:00 22/09/2012] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 78 u1: mmHg st: NotStopd t0: [19:00:00 22/09/2012] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [19:00:00 22/09/2012] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 21 u1: BPM st: NotStopd t0: [19:00:00 22/09/2012] id: SpO2 el: 0 cu: MICU cg: RN v1: 100 u1: % st: NotStopd t0: [19:00:00 22/09/2012] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [19:00:00 22/09/2012] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 10 vu: ml t0: [19:00:00 22/09/2012] id: Fresh Frozen Plasma IV Infusions el: 1 cu: MICU cg: RN ai: 155 vo: 344 vu: ml nb: 1 t0: [19:00:00 22/09/2012] id: D5W 250.0ml + 60mcgkgmin Neosynephrine-k IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 2.105 vu: ml t0: [19:00:00 22/09/2012] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 80 vu: ml
t0: [19:00:00 22/09/2012] id: Neosynephrine-k el: 1 cu: MICU cg: RN so: D5W vo: 0 v1: 0.1 du: mcgkgmin sv: 250 su: ml rt: IV Drip st: Stopped
t0: [19:49:00 22/09/2012] id: Plateau-Off el: 0 cu: MICU cg: -1 st: D/C'd
t0: [19:48:00 22/09/2012] id: HI/Minute/Vol/Alarm el: 0 cu: MICU cg: RRT v1: 18 t0: [19:48:00 22/09/2012] id: Compliance (40-60ml) el: 0 cu: MICU cg: RRT u1: ml/cmH st: NotStopd t0: [19:48:00 22/09/2012] id: Cuff Pressure-Airway el: 0 cu: MICU cg: RRT u1: cmH2O st: NotStopd t0: [19:48:00 22/09/2012] id: ETT Mark/Location el: 0 cu: MICU cg: RRT v1: 23cm v2: Lip st: NotStopd t0: [19:48:00 22/09/2012] id: FiO2 Set el: 0 cu: MICU cg: RRT v1: 0.5 u1: torr st: NotStopd t0: [19:48:00 22/09/2012] id: High Insp. Pressure el: 0 cu: MICU cg: RRT v1: 40 u1: cmH2O st: NotStopd t0: [19:48:00 22/09/2012] id: High Resp. Rate el: 0 cu: MICU cg: RRT v1: 35 u1: BPM st: NotStopd t0: [19:48:00 22/09/2012] id: Airway Size el: 0 cu: MICU cg: RRT v1: 7.5 mm st: NotStopd t0: [19:48:00 22/09/2012] id: Airway Type el: 0 cu: MICU cg: RRT v1: Endotracheal st: NotStopd t0: [19:48:00 22/09/2012] id: Intubation Date el: 0 cu: MICU cg: RRT v1: 8 v2: 27 st: NotStopd t0: [19:48:00 22/09/2012] id: Low Exhaled Min Vol el: 0 cu: MICU cg: RRT v1: 3.5 st: NotStopd t0: [19:48:00 22/09/2012] id: Mean Airway Pressure el: 0 cu: MICU cg: RRT v1: 8 u1: cmH2O st: NotStopd t0: [19:48:00 22/09/2012] id: Minute Volume(Obser) el: 0 cu: MICU cg: RRT v1: 6.4 u1: L/min st: NotStopd t0: [19:48:00 22/09/2012] id: PEEP Set el: 0 cu: MICU cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [19:48:00 22/09/2012] id: Apnea Time Interval el: 0 cu: MICU cg: RRT v1: 20 st: NotStopd t0: [19:48:00 22/09/2012] id: Plateau-Off el: 0 cu: MICU cg: RRT v1: Not Applicable st: NotStopd t0: [19:48:00 22/09/2012] id: Pressure Support el: 0 cu: MICU cg: RRT v1: 10 u1: . st: NotStopd t0: [19:48:00 22/09/2012] id: Resp Rate (Total) el: 0 cu: MICU cg: RRT v1: 21 u1: BPM st: NotStopd t0: [19:48:00 22/09/2012] id: Sensitivity-Vent el: 0 cu: MICU cg: RRT v1: 3 u1: cmH2O st: NotStopd t0: [19:48:00 22/09/2012] id: SpO2 el: 0 cu: MICU cg: RRT v1: 99 u1: % st: NotStopd t0: [19:48:00 22/09/2012] id: Sputum Color/Consist el: 0 cu: MICU cg: RRT v1: Rusty v2: Frothy st: NotStopd t0: [19:48:00 22/09/2012] id: Sputum Source/Amt el: 0 cu: MICU cg: RRT v1: Suctioned v2: Small st: NotStopd t0: [19:48:00 22/09/2012] id: Tidal Volume (Spont) el: 0 cu: MICU cg: RRT v1: 460 u1: ml/B st: NotStopd t0: [19:48:00 22/09/2012] id: Ventilator Mode el: 0 cu: MICU cg: RRT v1: CPAP+PS st: NotStopd t0: [19:48:00 22/09/2012] id: Ventilator Type el: 0 cu: MICU cg: RRT v1: Drager st: NotStopd
tf: [19:00:00 24/09/2012] pt: IV Piggyback rt: IV fr: ONCE MR1 fs: 20 dn: 1 m1: Potassium Chloride v1: 20 u1: mEq m2: SW v2: 50 u2: ml
t0: [20:00:00 22/09/2012] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [20:00:00 22/09/2012] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [20:00:00 22/09/2012] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [20:00:00 22/09/2012] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [20:00:00 22/09/2012] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [20:00:00 22/09/2012] id: Heart Rate el: 0 cu: MICU cg: RN v1: 90 u1: BPM st: NotStopd t0: [20:00:00 22/09/2012] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [20:00:00 22/09/2012] id: NBP el: 0 cu: MICU cg: RN v1: 98 u1: mmHg v2: 42 u2: mmHg st: NotStopd t0: [20:00:00 22/09/2012] id: NBP Mean el: 0 cu: MICU cg: RN v1: 60.6667 u1: mmHg st: NotStopd t0: [20:00:00 22/09/2012] id: Arterial BP el: 0 cu: MICU cg: RN v1: 105 u1: mmHg v2: 55 u2: mmHg st: NotStopd t0: [20:00:00 22/09/2012] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 70 u1: mmHg st: NotStopd t0: [20:00:00 22/09/2012] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [20:00:00 22/09/2012] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 21 u1: BPM st: NotStopd t0: [20:00:00 22/09/2012] id: SpO2 el: 0 cu: MICU cg: RN v1: 99 u1: % st: NotStopd t0: [20:00:00 22/09/2012] id: Temp. Site el: 0 cu: MICU cg: RN v1: Oral st: NotStopd t0: [20:00:00 22/09/2012] id: Temperature C (calc) el: 0 cu: MICU cg: RN v1: 37.8333 u1: Deg. C st: NotStopd t0: [20:00:00 22/09/2012] id: Temperature F el: 0 cu: MICU cg: RN v1: 100.1 u1: Deg. F st: NotStopd t0: [20:00:00 22/09/2012] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [21:00:00 22/09/2012] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [21:00:00 22/09/2012] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [21:00:00 22/09/2012] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [21:00:00 22/09/2012] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [21:00:00 22/09/2012] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [21:00:00 22/09/2012] id: Heart Rate el: 0 cu: MICU cg: RN v1: 89 u1: BPM st: NotStopd t0: [21:00:00 22/09/2012] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [21:00:00 22/09/2012] id: NBP el: 0 cu: MICU cg: RN v1: 104 u1: mmHg v2: 56 u2: mmHg st: NotStopd t0: [21:00:00 22/09/2012] id: NBP Mean el: 0 cu: MICU cg: RN v1: 72 u1: mmHg st: NotStopd t0: [21:00:00 22/09/2012] id: Arterial BP el: 0 cu: MICU cg: RN v1: 117 u1: mmHg v2: 54 u2: mmHg st: NotStopd t0: [21:00:00 22/09/2012] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 73 u1: mmHg st: NotStopd t0: [21:00:00 22/09/2012] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [21:00:00 22/09/2012] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 21 u1: BPM st: NotStopd t0: [21:00:00 22/09/2012] id: SpO2 el: 0 cu: MICU cg: RN v1: 98 u1: % st: NotStopd t0: [21:00:00 22/09/2012] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [21:00:00 22/09/2012] tf: [06:00:00 23/09/2012] dt: 540 id: Propofol el: 1 cu: MICU cg: RN so: N/A vo: 0 v1: 5.93824 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [20:00:00 22/09/2012] id: Less Restrict Meas. el: 0 cu: MICU cg: RN v1: Orientation st: NotStopd t0: [20:00:00 22/09/2012] id: Pain Present el: 0 cu: MICU cg: RN v1: No st: NotStopd t0: [20:00:00 22/09/2012] id: Range of Motion el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [20:00:00 22/09/2012] id: INV#3Chg o/Wire Date el: 0 cu: MICU cg: RN v1: 8 v2: 29 st: NotStopd t0: [20:00:00 22/09/2012] id: Circulation/SkinInt el: 0 cu: MICU cg: RN v1: Circulation Adeq st: NotStopd t0: [20:00:00 22/09/2012] id: Riker-SAS Scale el: 0 cu: MICU cg: RN v1: Calm/Cooperative st: NotStopd t0: [20:00:00 22/09/2012] id: Cough Reflex el: 0 cu: MICU cg: RN v1: Intact st: NotStopd t0: [20:00:00 22/09/2012] id: Daily Wake Up el: 1 cu: MICU cg: RN v1: No/Not Sedated st: NotStopd t0: [20:00:00 22/09/2012] id: GI Prophylaxis el: 0 cu: MICU cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [20:00:00 22/09/2012] id: Diet Type el: 0 cu: MICU cg: RN v1: NPO st: NotStopd t0: [20:00:00 22/09/2012] id: Dorsal PedPulse R/L el: 0 cu: MICU cg: RN v1: Strong/Palpable v2: Strong/Palpable st: NotStopd t0: [20:00:00 22/09/2012] id: Eye Opening el: 0 cu: MICU cg: RN v1: 4 Spontaneously st: NotStopd t0: [20:00:00 22/09/2012] id: Family Communication el: 0 cu: MICU cg: RN v1: Fam Talked to MD st: NotStopd t0: [20:00:00 22/09/2012] id: Follows Commands el: 0 cu: MICU cg: RN v1: Consistently st: NotStopd t0: [20:00:00 22/09/2012] id: GCS Total el: 0 cu: MICU cg: RN v1: 11 u1: points st: NotStopd t0: [20:00:00 22/09/2012] id: GI Intub #1/Site el: 0 cu: MICU cg: RN v1: Salem Sump v2: Right Nare st: NotStopd t0: [20:00:00 22/09/2012] id: GI#1 Tube PlaceCheck el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [20:00:00 22/09/2012] id: GI#1 Tube Stat/Drain el: 0 cu: MICU cg: RN v1: Clamped v2: Dark Red Blood st: NotStopd t0: [20:00:00 22/09/2012] id: Gag Reflex el: 0 cu: MICU cg: RN v1: Intact st: NotStopd t0: [20:00:00 22/09/2012] id: INV Line#2 Type/Site el: 0 cu: MICU cg: RN v1: A-Line v2: Left Radial st: NotStopd t0: [20:00:00 22/09/2012] id: INV Line#2 Zero/Cal el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [20:00:00 22/09/2012] id: INV Line#2InsertDate el: 0 cu: MICU cg: RN v1: 8 v2: 27 st: NotStopd t0: [20:00:00 22/09/2012] id: INV Line#2SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [20:00:00 22/09/2012] id: INV Line#3 Site Date el: 0 cu: MICU cg: RN v1: 8 v2: 29 st: NotStopd t0: [20:00:00 22/09/2012] id: INV Line#3 Type/Site el: 0 cu: MICU cg: RN v1: Multi-lumen v2: Right IJ st: NotStopd t0: [20:00:00 22/09/2012] id: INV Line#3InsertDate el: 0 cu: MICU cg: RN v1: 8 v2: 28 st: NotStopd t0: [20:00:00 22/09/2012] id: INV Line#3SiteAppear el: 0 cu: MICU cg: RN v1: Bleeding st: NotStopd t0: [20:00:00 22/09/2012] id: Abdominal Assessment el: 0 cu: MICU cg: RN v1: Soft Distended st: NotStopd t0: [20:00:00 22/09/2012] id: INV#2 WaveformAppear el: 0 cu: MICU cg: RN v1: Sharp st: NotStopd t0: [20:00:00 22/09/2012] id: IV #1 Insert Date el: 0 cu: MICU cg: RN v1: ? st: NotStopd t0: [20:00:00 22/09/2012] id: IV #1 Site/Size el: 0 cu: MICU cg: RN v1: RU Ant Forearm v2: 18 gauge st: NotStopd t0: [20:00:00 22/09/2012] id: IV #2 Insert Date el: 0 cu: MICU cg: RN v1: 8 v2: 28 st: NotStopd t0: [20:00:00 22/09/2012] id: IV #2 Site/Size el: 0 cu: MICU cg: RN v1: RU Ant Forearm v2: 16 gauge st: NotStopd t0: [20:00:00 22/09/2012] id: IV #3 Insert Date el: 0 cu: MICU cg: RN v1: 8 v2: 28 st: NotStopd t0: [20:00:00 22/09/2012] id: IV #3 Site/Size el: 0 cu: MICU cg: RN v1: Right Antecub v2: 18 gauge st: NotStopd t0: [20:00:00 22/09/2012] id: IV Site Appear #1 el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [20:00:00 22/09/2012] id: IV Site Appear #2 el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [20:00:00 22/09/2012] id: IV Site Appear #3 el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [20:00:00 22/09/2012] id: LLL Lung Sounds el: 0 cu: MICU cg: RN v1: Bronchial st: NotStopd t0: [20:00:00 22/09/2012] id: LUL Lung Sounds el: 0 cu: MICU cg: RN v1: Clear st: NotStopd t0: [20:00:00 22/09/2012] id: Level of Conscious el: 0 cu: MICU cg: RN v1: Lethargic st: NotStopd t0: [20:00:00 22/09/2012] id: Motor Response el: 0 cu: MICU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [20:00:00 22/09/2012] id: Oral Cavity el: 0 cu: MICU cg: RN v1: Thrush st: NotStopd t0: [20:00:00 22/09/2012] id: Orientation el: 0 cu: MICU cg: RN v1: Other/Remarks st: NotStopd t0: [20:00:00 22/09/2012] id: Pain Location el: 0 cu: MICU cg: RN v1: Not Indicated st: NotStopd t0: [20:00:00 22/09/2012] id: Position Change el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [20:00:00 22/09/2012] id: PostTib. Pulses R/L el: 0 cu: MICU cg: RN v1: Strong/Palpable v2: Strong/Palpable st: NotStopd t0: [20:00:00 22/09/2012] id: Pupil Size R/L el: 0 cu: MICU cg: RN v1: 3 mm v2: 3 mm st: NotStopd t0: [20:00:00 22/09/2012] id: RLL Lung Sounds el: 0 cu: MICU cg: RN v1: Bronchial st: NotStopd t0: [20:00:00 22/09/2012] id: RUL Lung Sounds el: 0 cu: MICU cg: RN v1: Clear st: NotStopd t0: [20:00:00 22/09/2012] id: Reason For Restraint el: 0 cu: MICU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [20:00:00 22/09/2012] id: Removed x 5 Mins el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [20:00:00 22/09/2012] id: Respiratory Pattern el: 0 cu: MICU cg: RN v1: Regular st: NotStopd t0: [20:00:00 22/09/2012] id: Restraint Location el: 0 cu: MICU cg: RN v1: Both Arms st: NotStopd t0: [20:00:00 22/09/2012] id: Restraint Type el: 0 cu: MICU cg: RN v1: Soft Limb st: NotStopd t0: [20:00:00 22/09/2012] id: Restraints Evaluated el: 0 cu: MICU cg: RN v1: RestraintReapply st: NotStopd t0: [20:00:00 22/09/2012] id: Side Rails el: 0 cu: MICU cg: RN v1: Side Rails Up st: NotStopd t0: [20:00:00 22/09/2012] id: Skin Color el: 0 cu: MICU cg: RN v1: Jaundiced st: NotStopd t0: [20:00:00 22/09/2012] id: Skin Integrity el: 0 cu: MICU cg: RN v1: Intact st: NotStopd t0: [20:00:00 22/09/2012] id: Skin Temp/Condition el: 0 cu: MICU cg: RN v1: Warm v2: Dry st: NotStopd t0: [20:00:00 22/09/2012] id: Spontaneous Movement el: 0 cu: MICU cg: RN v1: Purposeful st: NotStopd t0: [20:00:00 22/09/2012] id: Sputum Color/Consist el: 0 cu: MICU cg: RN v1: Tan v2: Thick st: NotStopd t0: [20:00:00 22/09/2012] id: Sputum Source/Amt el: 0 cu: MICU cg: RN v1: Suctioned v2: Moderate st: NotStopd t0: [20:00:00 22/09/2012] id: Support Systems el: 0 cu: MICU cg: RN v1: Spouse st: NotStopd t0: [20:00:00 22/09/2012] id: Urine Color/Appear el: 0 cu: MICU cg: RN v1: Icteric v2: Sediment st: NotStopd t0: [20:00:00 22/09/2012] id: Urine Source el: 0 cu: MICU cg: RN v1: Indwelling Cath st: NotStopd t0: [20:00:00 22/09/2012] id: Verbal Response el: 0 cu: MICU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [20:00:00 22/09/2012] id: Behavior el: 0 cu: MICU cg: RN v1: Calm st: NotStopd t0: [20:00:00 22/09/2012] id: Bowel Sounds el: 0 cu: MICU cg: RN v1: Present st: NotStopd t0: [20:00:00 22/09/2012] id: Braden Activity el: 0 cu: MICU cg: RN v1: Bedfast st: NotStopd t0: [20:00:00 22/09/2012] id: Braden Frict/Shear el: 0 cu: MICU cg: RN v1: Potential Prob st: NotStopd t0: [20:00:00 22/09/2012] id: Braden Mobility el: 0 cu: MICU cg: RN v1: Very Limited st: NotStopd t0: [20:00:00 22/09/2012] id: Braden Moisture el: 0 cu: MICU cg: RN v1: Occ. Moist st: NotStopd t0: [20:00:00 22/09/2012] id: Braden Nutrition el: 0 cu: MICU cg: RN v1: Prob. Inadequate st: NotStopd t0: [20:00:00 22/09/2012] id: Braden Score el: 0 cu: MICU cg: RN v1: 13 u1: number st: NotStopd t0: [20:00:00 22/09/2012] id: Braden SensoryPercep el: 0 cu: MICU cg: RN v1: Sl. Limited st: NotStopd t0: [21:00:00 22/09/2012] id: HOB el: 0 cu: MICU cg: RN v1: 30 degrees st: NotStopd t0: [21:00:00 22/09/2012] id: Activity el: 0 cu: MICU cg: RN v1: Bedrest st: NotStopd t0: [21:00:00 22/09/2012] id: Activity Tolerance el: 0 cu: MICU cg: RN v1: Good st: NotStopd t0: [21:00:00 22/09/2012] id: Oral Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [21:00:00 22/09/2012] id: AntiEmbDevice/Status el: 0 cu: MICU cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [21:00:00 22/09/2012] id: Position el: 0 cu: MICU cg: RN v1: Right Side st: NotStopd t0: [21:00:00 22/09/2012] id: Assistance Device el: 0 cu: MICU cg: RN v1: 2 Person Assist st: NotStopd t0: [21:00:00 22/09/2012] id: Skin Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [21:00:00 22/09/2012] id: Sputum Color/Consist el: 0 cu: MICU cg: RN v1: Tan v2: Thick st: NotStopd t0: [21:00:00 22/09/2012] id: Sputum Source/Amt el: 0 cu: MICU cg: RN v1: Suctioned v2: Moderate st: NotStopd t0: [21:00:00 22/09/2012] id: Turn el: 0 cu: MICU cg: RN v1: Side to Side st: NotStopd t0: [21:00:00 22/09/2012] id: Back Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd
t0: [20:00:00 22/09/2012] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 10 vu: ml t0: [20:00:00 22/09/2012] id: Fresh Frozen Plasma IV Infusions el: 1 cu: MICU cg: RN ai: 155 vo: 348 vu: ml nb: 1 t0: [20:00:00 22/09/2012] id: D5W 250.0ml + 60mcgkgmin Neosynephrine-k IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 2.105 vu: ml t0: [20:00:00 22/09/2012] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 30 vu: ml t0: [21:00:00 22/09/2012] id: D5W 100.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 105 vo: 45 vu: ml t0: [21:00:00 22/09/2012] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 10 vu: ml t0: [21:00:00 22/09/2012] id: D5W 250.0ml + 60mcgkgmin Neosynephrine-k IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 2.105 vu: ml t0: [21:00:00 22/09/2012] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 45 vu: ml
t0: [23:00:00 22/09/2012] dt: 24 id: Blood Products Total el: 2 cu: MICU cg: RN cv: 1367 ap: none
t0: [22:00:00 22/09/2012] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [22:00:00 22/09/2012] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [22:00:00 22/09/2012] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [22:00:00 22/09/2012] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [22:00:00 22/09/2012] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [22:00:00 22/09/2012] id: Heart Rate el: 0 cu: MICU cg: RN v1: 84 u1: BPM st: NotStopd t0: [22:00:00 22/09/2012] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [22:00:00 22/09/2012] id: Arterial BP el: 0 cu: MICU cg: RN v1: 109 u1: mmHg v2: 51 u2: mmHg st: NotStopd t0: [22:00:00 22/09/2012] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 68 u1: mmHg st: NotStopd t0: [22:00:00 22/09/2012] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [22:00:00 22/09/2012] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 18 u1: BPM st: NotStopd t0: [22:00:00 22/09/2012] id: SpO2 el: 0 cu: MICU cg: RN v1: 99 u1: % st: NotStopd t0: [22:00:00 22/09/2012] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [22:00:00 22/09/2012] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 10 vu: ml t0: [22:00:00 22/09/2012] id: D5W 250.0ml + 60mcgkgmin Neosynephrine-k IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 2.105 vu: ml t0: [22:00:00 22/09/2012] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 30 vu: ml
t0: [22:00:00 22/09/2012] id: Propofol el: 1 cu: MICU cg: RN so: N/A vo: 0 v1: 5.93824 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [23:00:00 22/09/2012] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [23:00:00 22/09/2012] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [23:00:00 22/09/2012] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [23:00:00 22/09/2012] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [23:00:00 22/09/2012] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [23:00:00 22/09/2012] id: Heart Rate el: 0 cu: MICU cg: RN v1: 87 u1: BPM st: NotStopd t0: [23:00:00 22/09/2012] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [23:00:00 22/09/2012] id: NBP el: 0 cu: MICU cg: RN v1: 108 u1: mmHg v2: 44 u2: mmHg st: NotStopd t0: [23:00:00 22/09/2012] id: NBP Mean el: 0 cu: MICU cg: RN v1: 65.3333 u1: mmHg st: NotStopd t0: [23:00:00 22/09/2012] id: Arterial BP el: 0 cu: MICU cg: RN v1: 98 u1: mmHg v2: 51 u2: mmHg st: NotStopd t0: [23:00:00 22/09/2012] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 66 u1: mmHg st: NotStopd t0: [23:00:00 22/09/2012] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [23:00:00 22/09/2012] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 18 u1: BPM st: NotStopd t0: [23:00:00 22/09/2012] id: SpO2 el: 0 cu: MICU cg: RN v1: 99 u1: % st: NotStopd t0: [23:00:00 22/09/2012] id: Sputum Color/Consist el: 0 cu: MICU cg: RN v1: Rusty v2: Thick st: NotStopd t0: [23:00:00 22/09/2012] id: Sputum Source/Amt el: 0 cu: MICU cg: RN v1: Suctioned v2: Moderate st: NotStopd t0: [23:00:00 22/09/2012] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [00:00:00 23/09/2012] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [00:00:00 23/09/2012] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [00:00:00 23/09/2012] id: Cough Reflex el: 0 cu: MICU cg: RN v1: Intact st: NotStopd t0: [00:00:00 23/09/2012] id: GI Prophylaxis el: 0 cu: MICU cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [00:00:00 23/09/2012] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [00:00:00 23/09/2012] id: Diet Type el: 0 cu: MICU cg: RN v1: NPO st: NotStopd t0: [00:00:00 23/09/2012] id: Dorsal PedPulse R/L el: 0 cu: MICU cg: RN v1: Strong/Palpable v2: Strong/Palpable st: NotStopd t0: [00:00:00 23/09/2012] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [00:00:00 23/09/2012] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [00:00:00 23/09/2012] id: Eye Opening el: 0 cu: MICU cg: RN v1: 4 Spontaneously st: NotStopd t0: [00:00:00 23/09/2012] id: Follows Commands el: 0 cu: MICU cg: RN v1: Consistently st: NotStopd t0: [00:00:00 23/09/2012] id: GCS Total el: 0 cu: MICU cg: RN v1: 11 u1: points st: NotStopd t0: [00:00:00 23/09/2012] id: GI Intub #1/Site el: 0 cu: MICU cg: RN v1: Salem Sump v2: Right Nare st: NotStopd t0: [00:00:00 23/09/2012] id: GI#1 Tube PlaceCheck el: 0 cu: MICU cg: RN v1: Not Done st: NotStopd t0: [00:00:00 23/09/2012] id: GI#1 Tube Stat/Drain el: 0 cu: MICU cg: RN v1: Clamped st: NotStopd t0: [00:00:00 23/09/2012] id: Gag Reflex el: 0 cu: MICU cg: RN v1: Intact st: NotStopd t0: [00:00:00 23/09/2012] id: Heart Rate el: 0 cu: MICU cg: RN v1: 88 u1: BPM st: NotStopd t0: [00:00:00 23/09/2012] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [00:00:00 23/09/2012] id: Abdominal Assessment el: 0 cu: MICU cg: RN v1: Soft Distended st: NotStopd t0: [00:00:00 23/09/2012] id: LLL Lung Sounds el: 0 cu: MICU cg: RN v1: Clear st: NotStopd t0: [00:00:00 23/09/2012] id: LUL Lung Sounds el: 0 cu: MICU cg: RN v1: Clear st: NotStopd t0: [00:00:00 23/09/2012] id: Level of Conscious el: 0 cu: MICU cg: RN v1: Lethargic st: NotStopd t0: [00:00:00 23/09/2012] id: Motor Response el: 0 cu: MICU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [00:00:00 23/09/2012] id: NBP el: 0 cu: MICU cg: RN v1: 109 u1: mmHg v2: 43 u2: mmHg st: NotStopd t0: [00:00:00 23/09/2012] id: NBP Mean el: 0 cu: MICU cg: RN v1: 65 u1: mmHg st: NotStopd t0: [00:00:00 23/09/2012] id: Oral Cavity el: 0 cu: MICU cg: RN v1: Thrush st: NotStopd t0: [00:00:00 23/09/2012] id: Orientation el: 0 cu: MICU cg: RN v1: Other/Remarks st: NotStopd t0: [00:00:00 23/09/2012] id: Arterial BP el: 0 cu: MICU cg: RN v1: 102 u1: mmHg v2: 53 u2: mmHg st: NotStopd t0: [00:00:00 23/09/2012] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 68 u1: mmHg st: NotStopd t0: [00:00:00 23/09/2012] id: PostTib. Pulses R/L el: 0 cu: MICU cg: RN v1: Strong/Palpable v2: Strong/Palpable st: NotStopd t0: [00:00:00 23/09/2012] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [00:00:00 23/09/2012] id: RLL Lung Sounds el: 0 cu: MICU cg: RN v1: Bronchial st: NotStopd t0: [00:00:00 23/09/2012] id: RUL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [00:00:00 23/09/2012] id: Respiratory Pattern el: 0 cu: MICU cg: RN v1: Regular st: NotStopd t0: [00:00:00 23/09/2012] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 27 u1: BPM st: NotStopd t0: [00:00:00 23/09/2012] id: SpO2 el: 0 cu: MICU cg: RN v1: 96 u1: % st: NotStopd t0: [00:00:00 23/09/2012] id: Spontaneous Movement el: 0 cu: MICU cg: RN v1: Purposeful st: NotStopd t0: [00:00:00 23/09/2012] id: Sputum Color/Consist el: 0 cu: MICU cg: RN v1: Rusty v2: Thick st: NotStopd t0: [00:00:00 23/09/2012] id: Sputum Source/Amt el: 0 cu: MICU cg: RN v1: Suctioned v2: Moderate st: NotStopd t0: [00:00:00 23/09/2012] id: Temp. Site el: 0 cu: MICU cg: RN v1: Oral st: NotStopd t0: [00:00:00 23/09/2012] id: Temperature C (calc) el: 0 cu: MICU cg: RN v1: 38.1111 u1: Deg. C st: NotStopd t0: [00:00:00 23/09/2012] id: Temperature F el: 0 cu: MICU cg: RN v1: 100.6 u1: Deg. F st: NotStopd t0: [00:00:00 23/09/2012] id: Urine Color/Appear el: 0 cu: MICU cg: RN v1: Icteric v2: Sediment st: NotStopd t0: [00:00:00 23/09/2012] id: Urine Source el: 0 cu: MICU cg: RN v1: Indwelling Cath st: NotStopd t0: [00:00:00 23/09/2012] id: Verbal Response el: 0 cu: MICU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [00:00:00 23/09/2012] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [00:00:00 23/09/2012] id: Bowel Sounds el: 0 cu: MICU cg: RN v1: Present st: NotStopd
t0: [00:00:00 23/09/2012] id: D5W 100.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 105 vo: 100 vu: ml t0: [00:00:00 23/09/2012] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 20 vu: ml t0: [00:00:00 23/09/2012] id: D5W 250.0ml + 60mcgkgmin Neosynephrine-k IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 4.21 vu: ml t0: [00:00:00 23/09/2012] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 120 vu: ml
t0: [23:00:00 22/09/2012] id: Propofol el: 1 cu: MICU cg: RN so: N/A vo: 0 v1: 5.93824 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [00:00:00 23/09/2012] id: Propofol el: 1 cu: MICU cg: RN so: N/A vo: 0 v1: 5.93824 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [22:00:00 22/09/2012] id: Less Restrict Meas. el: 0 cu: MICU cg: RN v1: Medicated st: NotStopd t0: [22:00:00 22/09/2012] id: Range of Motion el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [22:00:00 22/09/2012] id: Circulation/SkinInt el: 0 cu: MICU cg: RN v1: Circulation Adeq st: NotStopd t0: [22:00:00 22/09/2012] id: Position Change el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [22:00:00 22/09/2012] id: Reason For Restraint el: 0 cu: MICU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [22:00:00 22/09/2012] id: Removed x 5 Mins el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [22:00:00 22/09/2012] id: Restraint Location el: 0 cu: MICU cg: RN v1: Both Arms st: NotStopd t0: [22:00:00 22/09/2012] id: Restraint Type el: 0 cu: MICU cg: RN v1: Soft Limb st: NotStopd t0: [22:00:00 22/09/2012] id: Restraints Evaluated el: 0 cu: MICU cg: RN v1: RestraintReapply st: NotStopd t0: [22:00:00 22/09/2012] id: Side Rails el: 0 cu: MICU cg: RN v1: Side Rails Up st: NotStopd t0: [22:00:00 22/09/2012] id: Support Systems el: 0 cu: MICU cg: RN v1: Spouse st: NotStopd t0: [00:00:00 23/09/2012] id: Less Restrict Meas. el: 0 cu: MICU cg: RN v1: Medicated st: NotStopd t0: [00:00:00 23/09/2012] id: Range of Motion el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [00:00:00 23/09/2012] id: INV#3Chg o/Wire Date el: 0 cu: MICU cg: RN v1: 8 v2: 29 st: NotStopd t0: [00:00:00 23/09/2012] id: Circulation/SkinInt el: 0 cu: MICU cg: RN v1: Circulation Adeq st: NotStopd t0: [00:00:00 23/09/2012] id: HOB el: 0 cu: MICU cg: RN v1: 30 degrees st: NotStopd t0: [00:00:00 23/09/2012] id: INV Line#2 Type/Site el: 0 cu: MICU cg: RN v1: A-Line v2: Left Radial st: NotStopd t0: [00:00:00 23/09/2012] id: INV Line#2 Zero/Cal el: 0 cu: MICU cg: RN v1: No st: NotStopd t0: [00:00:00 23/09/2012] id: INV Line#2InsertDate el: 0 cu: MICU cg: RN v1: 8 v2: 27 st: NotStopd t0: [00:00:00 23/09/2012] id: INV Line#2SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [00:00:00 23/09/2012] id: INV Line#3 Site Date el: 0 cu: MICU cg: RN v1: 8 v2: 29 st: NotStopd t0: [00:00:00 23/09/2012] id: INV Line#3 Type/Site el: 0 cu: MICU cg: RN v1: Multi-lumen v2: Right IJ st: NotStopd t0: [00:00:00 23/09/2012] id: INV Line#3InsertDate el: 0 cu: MICU cg: RN v1: 8 v2: 28 st: NotStopd t0: [00:00:00 23/09/2012] id: INV Line#3SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [00:00:00 23/09/2012] id: INV#2 WaveformAppear el: 0 cu: MICU cg: RN v1: Sharp st: NotStopd t0: [00:00:00 23/09/2012] id: IV #1 Insert Date el: 0 cu: MICU cg: RN v1: ? st: NotStopd t0: [00:00:00 23/09/2012] id: IV #1 Site/Size el: 0 cu: MICU cg: RN v1: RU Ant Forearm v2: 18 gauge st: NotStopd t0: [00:00:00 23/09/2012] id: IV #2 Insert Date el: 0 cu: MICU cg: RN v1: 8 v2: 28 st: NotStopd t0: [00:00:00 23/09/2012] id: IV #2 Site/Size el: 0 cu: MICU cg: RN v1: RU Ant Forearm v2: 16 gauge st: NotStopd t0: [00:00:00 23/09/2012] id: IV #3 Insert Date el: 0 cu: MICU cg: RN v1: 8 v2: 28 st: NotStopd t0: [00:00:00 23/09/2012] id: IV #3 Site/Size el: 0 cu: MICU cg: RN v1: Right Antecub v2: 18 gauge st: NotStopd t0: [00:00:00 23/09/2012] id: Activity el: 0 cu: MICU cg: RN v1: Bedrest st: NotStopd t0: [00:00:00 23/09/2012] id: IV Site Appear #1 el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [00:00:00 23/09/2012] id: IV Site Appear #2 el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [00:00:00 23/09/2012] id: IV Site Appear #3 el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [00:00:00 23/09/2012] id: Activity Tolerance el: 0 cu: MICU cg: RN v1: Good st: NotStopd t0: [00:00:00 23/09/2012] id: AntiEmbDevice/Status el: 0 cu: MICU cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [00:00:00 23/09/2012] id: Position el: 0 cu: MICU cg: RN v1: Left Side st: NotStopd t0: [00:00:00 23/09/2012] id: Position Change el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [00:00:00 23/09/2012] id: Assistance Device el: 0 cu: MICU cg: RN v1: 2 Person Assist st: NotStopd t0: [00:00:00 23/09/2012] id: Reason For Restraint el: 0 cu: MICU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [00:00:00 23/09/2012] id: Removed x 5 Mins el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [00:00:00 23/09/2012] id: Restraint Location el: 0 cu: MICU cg: RN v1: Both Arms st: NotStopd t0: [00:00:00 23/09/2012] id: Restraint Type el: 0 cu: MICU cg: RN v1: Soft Limb st: NotStopd t0: [00:00:00 23/09/2012] id: Restraints Evaluated el: 0 cu: MICU cg: RN v1: RestraintReapply st: NotStopd t0: [00:00:00 23/09/2012] id: Side Rails el: 0 cu: MICU cg: RN v1: Side Rails Up st: NotStopd t0: [00:00:00 23/09/2012] id: Skin Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [00:00:00 23/09/2012] id: Skin Color el: 0 cu: MICU cg: RN v1: Jaundiced st: NotStopd t0: [00:00:00 23/09/2012] id: Skin Integrity el: 0 cu: MICU cg: RN v1: Intact st: NotStopd t0: [00:00:00 23/09/2012] id: Skin Temp/Condition el: 0 cu: MICU cg: RN v1: Warm v2: Dry st: NotStopd t0: [00:00:00 23/09/2012] id: Stool Guaiac el: 0 cu: MICU cg: RN v1: Positive st: NotStopd t0: [00:00:00 23/09/2012] id: Support Systems el: 0 cu: MICU cg: RN v1: Spouse st: NotStopd t0: [00:00:00 23/09/2012] id: Turn el: 0 cu: MICU cg: RN v1: Side to Side st: NotStopd t0: [00:00:00 23/09/2012] id: Back Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd
t0: [00:00:00 23/09/2012] tf: [17:47:00 27/09/2012] dt: 6827 id: Stool Out Stool el: 1 cu: MICU cg: RN vo: 300 vu: ml
t0: [23:00:00 23/09/2012] dt: 24 id: Stool Out Total el: 2 cu: MICU cg: RN cv: 500 ap: carryForward
t0: [00:54:00 23/09/2012] id: HI/Minute/Vol/Alarm el: 0 cu: MICU cg: RRT v1: 18 t0: [00:54:00 23/09/2012] id: ETT Mark/Location el: 0 cu: MICU cg: RRT v1: 23cm v2: Lip st: NotStopd t0: [00:54:00 23/09/2012] id: FiO2 Set el: 0 cu: MICU cg: RRT v1: 0.5 u1: torr st: NotStopd t0: [00:54:00 23/09/2012] id: High Insp. Pressure el: 0 cu: MICU cg: RRT v1: 40 u1: cmH2O st: NotStopd t0: [00:54:00 23/09/2012] id: High Resp. Rate el: 0 cu: MICU cg: RRT v1: 35 u1: BPM st: NotStopd t0: [00:54:00 23/09/2012] id: Airway Size el: 0 cu: MICU cg: RRT v1: 7.5 mm st: NotStopd t0: [00:54:00 23/09/2012] id: Airway Type el: 0 cu: MICU cg: RRT v1: Endotracheal st: NotStopd t0: [00:54:00 23/09/2012] id: Inspired Gas Temp el: 0 cu: MICU cg: RRT u1: Deg. C st: NotStopd t0: [00:54:00 23/09/2012] id: Intubation Date el: 0 cu: MICU cg: RRT v1: 8 v2: 27 st: NotStopd t0: [00:54:00 23/09/2012] id: Low Exhaled Min Vol el: 0 cu: MICU cg: RRT v1: 3.5 st: NotStopd t0: [00:54:00 23/09/2012] id: Mean Airway Pressure el: 0 cu: MICU cg: RRT v1: 8 u1: cmH2O st: NotStopd t0: [00:54:00 23/09/2012] id: Minute Volume(Obser) el: 0 cu: MICU cg: RRT v1: 12.3 u1: L/min st: NotStopd t0: [00:54:00 23/09/2012] id: PEEP Set el: 0 cu: MICU cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [00:54:00 23/09/2012] id: Apnea Time Interval el: 0 cu: MICU cg: RRT v1: 20 st: NotStopd t0: [00:54:00 23/09/2012] id: Pressure Support el: 0 cu: MICU cg: RRT v1: 10 u1: . st: NotStopd t0: [00:54:00 23/09/2012] id: Resp Rate (Total) el: 0 cu: MICU cg: RRT v1: 24 u1: BPM st: NotStopd t0: [00:54:00 23/09/2012] id: Sensitivity-Vent el: 0 cu: MICU cg: RRT v1: 3 u1: cmH2O st: NotStopd t0: [00:54:00 23/09/2012] id: SpO2 el: 0 cu: MICU cg: RRT v1: 98 u1: % st: NotStopd t0: [00:54:00 23/09/2012] id: Tidal Volume (Spont) el: 0 cu: MICU cg: RRT v1: 530 u1: ml/B st: NotStopd t0: [00:54:00 23/09/2012] id: Ventilator Mode el: 0 cu: MICU cg: RRT v1: CPAP+PS st: NotStopd t0: [00:54:00 23/09/2012] id: Ventilator Type el: 0 cu: MICU cg: RRT v1: Drager st: NotStopd
t0: [01:00:00 23/09/2012] id: Compliance (40-60ml) el: 0 cu: MICU cg: -1 st: D/C'd
t0: [01:00:00 23/09/2012] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [01:00:00 23/09/2012] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [01:00:00 23/09/2012] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [01:00:00 23/09/2012] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [01:00:00 23/09/2012] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [01:00:00 23/09/2012] id: Heart Rate el: 0 cu: MICU cg: RN v1: 90 u1: BPM st: NotStopd t0: [01:00:00 23/09/2012] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [01:00:00 23/09/2012] id: NBP el: 0 cu: MICU cg: RN v1: 104 u1: mmHg v2: 47 u2: mmHg st: NotStopd t0: [01:00:00 23/09/2012] id: NBP Mean el: 0 cu: MICU cg: RN v1: 66 u1: mmHg st: NotStopd t0: [01:00:00 23/09/2012] id: Arterial BP el: 0 cu: MICU cg: RN v1: 111 u1: mmHg v2: 57 u2: mmHg st: NotStopd t0: [01:00:00 23/09/2012] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 74 u1: mmHg st: NotStopd t0: [01:00:00 23/09/2012] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [01:00:00 23/09/2012] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 23 u1: BPM st: NotStopd t0: [01:00:00 23/09/2012] id: SpO2 el: 0 cu: MICU cg: RN v1: 100 u1: % st: NotStopd t0: [01:00:00 23/09/2012] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [02:00:00 23/09/2012] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [02:00:00 23/09/2012] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [02:00:00 23/09/2012] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [02:00:00 23/09/2012] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [02:00:00 23/09/2012] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [02:00:00 23/09/2012] id: Heart Rate el: 0 cu: MICU cg: RN v1: 87 u1: BPM st: NotStopd t0: [02:00:00 23/09/2012] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [02:00:00 23/09/2012] id: NBP el: 0 cu: MICU cg: RN v1: 108 u1: mmHg v2: 49 u2: mmHg st: NotStopd t0: [02:00:00 23/09/2012] id: NBP Mean el: 0 cu: MICU cg: RN v1: 68.6667 u1: mmHg st: NotStopd t0: [02:00:00 23/09/2012] id: Arterial BP el: 0 cu: MICU cg: RN v1: 111 u1: mmHg v2: 56 u2: mmHg st: NotStopd t0: [02:00:00 23/09/2012] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 72 u1: mmHg st: NotStopd t0: [02:00:00 23/09/2012] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [02:00:00 23/09/2012] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 19 u1: BPM st: NotStopd t0: [02:00:00 23/09/2012] id: SpO2 el: 0 cu: MICU cg: RN v1: 100 u1: % st: NotStopd t0: [02:00:00 23/09/2012] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [22:00:00 22/09/2012] id: D5W 100.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 105 vo: 45 vu: ml t0: [22:00:00 22/09/2012] id: Gastric Meds PO/Gastric el: 1 cu: MICU cg: RN ai: 155 vo: 60 vu: ml t0: [02:00:00 23/09/2012] id: D5W 100.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 105 vo: 100 vu: ml t0: [02:00:00 23/09/2012] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 20 vu: ml t0: [02:00:00 23/09/2012] id: D5W 250.0ml + 60mcgkgmin Neosynephrine-k IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 4.21 vu: ml t0: [02:00:00 23/09/2012] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 100 vu: ml
t0: [01:00:00 23/09/2012] id: Propofol el: 1 cu: MICU cg: RN so: N/A vo: 0 v1: 5.93824 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [02:00:00 23/09/2012] id: Propofol el: 1 cu: MICU cg: RN so: N/A vo: 0 v1: 5.93824 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [23:00:00 22/09/2012] dt: 24 id: PO/Gastric In Total el: 2 cu: MICU cg: RN cv: 120 ap: none t0: [23:00:00 23/09/2012] dt: 1 id: Total Hourly Output el: 2 cu: MICU cg: RN pv: 100 cv: 100 ap: none t0: [23:00:00 23/09/2012] dt: 1 id: Net Hourly Balance el: 2 cu: MICU cg: RN pv: -20 cv: -20 ap: none t0: [23:00:00 23/09/2012] dt: 24 id: IV Infusion In Total el: 2 cu: MICU cg: RN pv: 60 cv: 916.84 ap: none t0: [23:00:00 23/09/2012] dt: 24 id: 24h Total In el: 2 cu: MICU cg: RN pv: 80 cv: 1419.84 ap: none t0: [23:00:00 23/09/2012] dt: 24 id: Urine Out Total el: 2 cu: MICU cg: RN pv: 100 cv: 2435 ap: none t0: [23:00:00 23/09/2012] dt: 24 id: 24h Net Body Balance el: 2 cu: MICU cg: RN pv: -20 cv: -1515.16 ap: carryForward t0: [23:00:00 23/09/2012] dt: 24 id: 24h Total Out el: 2 cu: MICU cg: RN pv: 100 cv: 2935 ap: carryForward t0: [23:00:00 23/09/2012] dt: multiple days id: LOS Net Body Balance el: 2 cu: MICU cg: RN pv: -20 cv: 8617.5 ap: carryForward
t0: [02:00:00 23/09/2012] id: Sputum Color/Consist el: 0 cu: MICU cg: RN v1: Rusty v2: Thick st: NotStopd t0: [02:00:00 23/09/2012] id: Sputum Source/Amt el: 0 cu: MICU cg: RN v1: Suctioned v2: Moderate st: NotStopd
t0: [00:01:00 23/09/2012] id: Hematocrit Hematology el: 0 cu: MICU cg: 1663 v1: 28.7 u1: % rs: Final st: NotStopd
t0: [00:01:00 23/09/2012] id: Potassium Chemistry el: 0 cu: MICU cg: 1663 v1: 4.2 rs: Final st: NotStopd t0: [00:01:00 23/09/2012] id: Potassium (3.5-5.3) Chemistry el: 0 cu: MICU cg: 1663 v1: 4.2 rs: Final st: NotStopd
t0: [00:01:00 23/09/2012] id: PT el: 0 cu: MICU cg: 1663 v1: 16.3 rs: Final st: NotStopd t0: [00:01:00 23/09/2012] id: INR Coags el: 0 cu: MICU cg: 1663 v1: 1.8 rs: Final st: NotStopd t0: [00:01:00 23/09/2012] id: PTT Coags el: 0 cu: MICU cg: 1663 v1: 34.3 rs: Final st: NotStopd t0: [00:01:00 23/09/2012] id: INR (2-4 ref. range) Coags el: 0 cu: MICU cg: 1663 v1: 1.8 rs: Final st: NotStopd t0: [00:01:00 23/09/2012] id: PT(11-13.5) Coags el: 0 cu: MICU cg: 1663 v1: 16.3 rs: Final st: NotStopd t0: [00:01:00 23/09/2012] id: PTT(22-35) Coags el: 0 cu: MICU cg: 1663 v1: 34.3 rs: Final st: NotStopd
tf: [03:00:00 24/09/2012] pt: Unit Dose rt: PO fr: ONCE fs: 4 dn: 1 m1: Phytonadione v1: 10 u1: mg
t0: [00:54:00 23/09/2012] id: Cuff Pressure-Airway el: 0 cu: MICU cg: RRT u1: cmH2O st: NotStopd t0: [04:05:00 23/09/2012] id: HI/Minute/Vol/Alarm el: 0 cu: MICU cg: RRT v1: 18 t0: [04:05:00 23/09/2012] id: RSBI (<100) el: 0 cu: MICU cg: RRT v1: 63.4146 u1: units st: NotStopd t0: [04:05:00 23/09/2012] id: ETT Mark/Location el: 0 cu: MICU cg: RRT v1: 23cm v2: Lip st: NotStopd t0: [04:05:00 23/09/2012] id: FiO2 Set el: 0 cu: MICU cg: RRT v1: 0.5 u1: torr st: NotStopd t0: [04:05:00 23/09/2012] id: High Insp. Pressure el: 0 cu: MICU cg: RRT v1: 40 u1: cmH2O st: NotStopd t0: [04:05:00 23/09/2012] id: High Resp. Rate el: 0 cu: MICU cg: RRT v1: 35 u1: BPM st: NotStopd t0: [04:05:00 23/09/2012] id: Airway Size el: 0 cu: MICU cg: RRT v1: 7.5 mm st: NotStopd t0: [04:05:00 23/09/2012] id: Airway Type el: 0 cu: MICU cg: RRT v1: Endotracheal st: NotStopd t0: [04:05:00 23/09/2012] id: Inspired Gas Temp el: 0 cu: MICU cg: RRT u1: Deg. C st: NotStopd t0: [04:05:00 23/09/2012] id: Intubation Date el: 0 cu: MICU cg: RRT v1: 8 v2: 27 st: NotStopd t0: [04:05:00 23/09/2012] id: Low Exhaled Min Vol el: 0 cu: MICU cg: RRT v1: 3.5 st: NotStopd t0: [04:05:00 23/09/2012] id: Mean Airway Pressure el: 0 cu: MICU cg: RRT v1: 8 u1: cmH2O st: NotStopd t0: [04:05:00 23/09/2012] id: Minute Volume(Obser) el: 0 cu: MICU cg: RRT v1: 10.4 u1: L/min st: NotStopd t0: [04:05:00 23/09/2012] id: PEEP Set el: 0 cu: MICU cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [04:05:00 23/09/2012] id: Apnea Time Interval el: 0 cu: MICU cg: RRT v1: 20 st: NotStopd t0: [04:05:00 23/09/2012] id: Pressure Support el: 0 cu: MICU cg: RRT v1: 10 u1: . st: NotStopd t0: [04:05:00 23/09/2012] id: RSBI (<200) el: 0 cu: MICU cg: RRT v1: 63.4146 u1: units st: NotStopd t0: [04:05:00 23/09/2012] id: Resp Rate (Total) el: 0 cu: MICU cg: RRT v1: 23 u1: BPM st: NotStopd t0: [04:05:00 23/09/2012] id: Sensitivity-Vent el: 0 cu: MICU cg: RRT v1: 3 u1: cmH2O st: NotStopd t0: [04:05:00 23/09/2012] id: Spon RR (Mech.) el: 0 cu: MICU cg: RRT v1: 26 u1: BPM st: NotStopd t0: [04:05:00 23/09/2012] id: Spon. Vt (L) (Mech.) el: 0 cu: MICU cg: RRT v1: 0.41 u1: L st: NotStopd t0: [04:05:00 23/09/2012] id: Tidal Volume (Spont) el: 0 cu: MICU cg: RRT v1: 530 u1: ml/B st: NotStopd t0: [04:05:00 23/09/2012] id: Ventilator Mode el: 0 cu: MICU cg: RRT v1: CPAP+PS st: NotStopd t0: [04:05:00 23/09/2012] id: Ventilator Type el: 0 cu: MICU cg: RRT v1: Drager st: NotStopd
t0: [03:00:00 23/09/2012] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [03:00:00 23/09/2012] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [03:00:00 23/09/2012] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [03:00:00 23/09/2012] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [03:00:00 23/09/2012] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [03:00:00 23/09/2012] id: Heart Rate el: 0 cu: MICU cg: RN v1: 88 u1: BPM st: NotStopd t0: [03:00:00 23/09/2012] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [03:00:00 23/09/2012] id: NBP el: 0 cu: MICU cg: RN v1: 112 u1: mmHg v2: 52 u2: mmHg st: NotStopd t0: [03:00:00 23/09/2012] id: NBP Mean el: 0 cu: MICU cg: RN v1: 72 u1: mmHg st: NotStopd t0: [03:00:00 23/09/2012] id: Arterial BP el: 0 cu: MICU cg: RN v1: 105 u1: mmHg v2: 56 u2: mmHg st: NotStopd t0: [03:00:00 23/09/2012] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 71 u1: mmHg st: NotStopd t0: [03:00:00 23/09/2012] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [03:00:00 23/09/2012] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 20 u1: BPM st: NotStopd t0: [03:00:00 23/09/2012] id: SpO2 el: 0 cu: MICU cg: RN v1: 98 u1: % st: NotStopd t0: [03:00:00 23/09/2012] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [04:00:00 23/09/2012] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [04:00:00 23/09/2012] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [04:00:00 23/09/2012] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [04:00:00 23/09/2012] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [04:00:00 23/09/2012] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [04:00:00 23/09/2012] id: Heart Rate el: 0 cu: MICU cg: RN v1: 91 u1: BPM st: NotStopd t0: [04:00:00 23/09/2012] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [04:00:00 23/09/2012] id: NBP el: 0 cu: MICU cg: RN v1: 110 u1: mmHg v2: 51 u2: mmHg st: NotStopd t0: [04:00:00 23/09/2012] id: NBP Mean el: 0 cu: MICU cg: RN v1: 70.6667 u1: mmHg st: NotStopd t0: [04:00:00 23/09/2012] id: Arterial BP el: 0 cu: MICU cg: RN v1: 111 u1: mmHg v2: 58 u2: mmHg st: NotStopd t0: [04:00:00 23/09/2012] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 74 u1: mmHg st: NotStopd t0: [04:00:00 23/09/2012] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [04:00:00 23/09/2012] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 21 u1: BPM st: NotStopd t0: [04:00:00 23/09/2012] id: SpO2 el: 0 cu: MICU cg: RN v1: 100 u1: % st: NotStopd t0: [04:00:00 23/09/2012] id: Temp. Site el: 0 cu: MICU cg: RN v1: Oral st: NotStopd t0: [04:00:00 23/09/2012] id: Temperature C (calc) el: 0 cu: MICU cg: RN v1: 38.1667 u1: Deg. C st: NotStopd t0: [04:00:00 23/09/2012] id: Temperature F el: 0 cu: MICU cg: RN v1: 100.7 u1: Deg. F st: NotStopd t0: [04:00:00 23/09/2012] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [05:00:00 23/09/2012] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [05:00:00 23/09/2012] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [05:00:00 23/09/2012] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [05:00:00 23/09/2012] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [05:00:00 23/09/2012] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [05:00:00 23/09/2012] id: Heart Rate el: 0 cu: MICU cg: RN v1: 90 u1: BPM st: NotStopd t0: [05:00:00 23/09/2012] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [05:00:00 23/09/2012] id: Arterial BP el: 0 cu: MICU cg: RN v1: 109 u1: mmHg v2: 56 u2: mmHg st: NotStopd t0: [05:00:00 23/09/2012] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 72 u1: mmHg st: NotStopd t0: [05:00:00 23/09/2012] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [05:00:00 23/09/2012] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 22 u1: BPM st: NotStopd t0: [05:00:00 23/09/2012] id: SpO2 el: 0 cu: MICU cg: RN v1: 100 u1: % st: NotStopd t0: [05:00:00 23/09/2012] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [03:00:00 23/09/2012] id: Propofol el: 1 cu: MICU cg: RN so: N/A vo: 0 v1: 9.89707 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [04:00:00 23/09/2012] id: Propofol el: 1 cu: MICU cg: RN so: N/A vo: 0 v1: 9.89707 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [05:00:00 23/09/2012] id: Propofol el: 1 cu: MICU cg: RN so: N/A vo: 0 v1: 9.89707 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [02:00:00 23/09/2012] id: Less Restrict Meas. el: 0 cu: MICU cg: RN v1: Medicated st: NotStopd t0: [02:00:00 23/09/2012] id: Range of Motion el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [02:00:00 23/09/2012] id: Circulation/SkinInt el: 0 cu: MICU cg: RN v1: Circulation Adeq st: NotStopd t0: [02:00:00 23/09/2012] id: Position Change el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [02:00:00 23/09/2012] id: Reason For Restraint el: 0 cu: MICU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [02:00:00 23/09/2012] id: Removed x 5 Mins el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [02:00:00 23/09/2012] id: Restraint Location el: 0 cu: MICU cg: RN v1: Both Arms st: NotStopd t0: [02:00:00 23/09/2012] id: Restraint Type el: 0 cu: MICU cg: RN v1: Soft Limb st: NotStopd t0: [02:00:00 23/09/2012] id: Restraints Evaluated el: 0 cu: MICU cg: RN v1: Behavior Conts st: NotStopd t0: [02:00:00 23/09/2012] id: Side Rails el: 0 cu: MICU cg: RN v1: Side Rails Up st: NotStopd t0: [02:00:00 23/09/2012] id: Support Systems el: 0 cu: MICU cg: RN v1: Spouse st: NotStopd t0: [04:00:00 23/09/2012] id: Less Restrict Meas. el: 0 cu: MICU cg: RN v1: Medicated st: NotStopd t0: [04:00:00 23/09/2012] id: Range of Motion el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [04:00:00 23/09/2012] id: bath el: 1 cu: MICU cg: RN v1: done t0: [04:00:00 23/09/2012] id: INV#3Chg o/Wire Date el: 0 cu: MICU cg: RN v1: 8 v2: 29 st: NotStopd t0: [04:00:00 23/09/2012] id: Circulation/SkinInt el: 0 cu: MICU cg: RN v1: Circulation Adeq st: NotStopd t0: [04:00:00 23/09/2012] id: Cough Reflex el: 0 cu: MICU cg: RN v1: Intact st: NotStopd t0: [04:00:00 23/09/2012] id: GI Prophylaxis el: 0 cu: MICU cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [04:00:00 23/09/2012] id: Diet Type el: 0 cu: MICU cg: RN v1: NPO st: NotStopd t0: [04:00:00 23/09/2012] id: Dorsal PedPulse R/L el: 0 cu: MICU cg: RN v1: Strong/Palpable v2: Strong/Palpable st: NotStopd t0: [04:00:00 23/09/2012] id: Eye Opening el: 0 cu: MICU cg: RN v1: 4 Spontaneously st: NotStopd t0: [04:00:00 23/09/2012] id: Follows Commands el: 0 cu: MICU cg: RN v1: Consistently st: NotStopd t0: [04:00:00 23/09/2012] id: GCS Total el: 0 cu: MICU cg: RN v1: 11 u1: points st: NotStopd t0: [04:00:00 23/09/2012] id: GI Intub #1/Site el: 0 cu: MICU cg: RN v1: Salem Sump v2: Right Nare st: NotStopd t0: [04:00:00 23/09/2012] id: GI#1 Tube PlaceCheck el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [04:00:00 23/09/2012] id: GI#1 Tube Stat/Drain el: 0 cu: MICU cg: RN v1: Clamped st: NotStopd t0: [04:00:00 23/09/2012] id: Gag Reflex el: 0 cu: MICU cg: RN v1: Intact st: NotStopd t0: [04:00:00 23/09/2012] id: HOB el: 0 cu: MICU cg: RN v1: 30 degrees st: NotStopd t0: [04:00:00 23/09/2012] id: INV Line#2 Type/Site el: 0 cu: MICU cg: RN v1: A-Line v2: Left Radial st: NotStopd t0: [04:00:00 23/09/2012] id: INV Line#2 Zero/Cal el: 0 cu: MICU cg: RN v1: No st: NotStopd t0: [04:00:00 23/09/2012] id: INV Line#2InsertDate el: 0 cu: MICU cg: RN v1: 8 v2: 27 st: NotStopd t0: [04:00:00 23/09/2012] id: INV Line#2SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [04:00:00 23/09/2012] id: INV Line#3 Site Date el: 0 cu: MICU cg: RN v1: 8 v2: 29 st: NotStopd t0: [04:00:00 23/09/2012] id: INV Line#3 Type/Site el: 0 cu: MICU cg: RN v1: Multi-lumen v2: Right IJ st: NotStopd t0: [04:00:00 23/09/2012] id: INV Line#3InsertDate el: 0 cu: MICU cg: RN v1: 8 v2: 28 st: NotStopd t0: [04:00:00 23/09/2012] id: INV Line#3SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [04:00:00 23/09/2012] id: Abdominal Assessment el: 0 cu: MICU cg: RN v1: Soft Distended st: NotStopd t0: [04:00:00 23/09/2012] id: INV#2 WaveformAppear el: 0 cu: MICU cg: RN v1: Sharp st: NotStopd t0: [04:00:00 23/09/2012] id: IV #1 Insert Date el: 0 cu: MICU cg: RN v1: ? st: NotStopd t0: [04:00:00 23/09/2012] id: IV #1 Site/Size el: 0 cu: MICU cg: RN v1: RU Ant Forearm v2: 18 gauge st: NotStopd t0: [04:00:00 23/09/2012] id: IV #2 Insert Date el: 0 cu: MICU cg: RN v1: 8 v2: 28 st: NotStopd t0: [04:00:00 23/09/2012] id: IV #2 Site/Size el: 0 cu: MICU cg: RN v1: RU Ant Forearm v2: 16 gauge st: NotStopd t0: [04:00:00 23/09/2012] id: IV #3 Insert Date el: 0 cu: MICU cg: RN v1: 8 v2: 28 st: NotStopd t0: [04:00:00 23/09/2012] id: IV #3 Site/Size el: 0 cu: MICU cg: RN v1: Right Antecub v2: 18 gauge st: NotStopd t0: [04:00:00 23/09/2012] id: Activity el: 0 cu: MICU cg: RN v1: Bedrest st: NotStopd t0: [04:00:00 23/09/2012] id: IV Site Appear #1 el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [04:00:00 23/09/2012] id: IV Site Appear #2 el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [04:00:00 23/09/2012] id: IV Site Appear #3 el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [04:00:00 23/09/2012] id: Activity Tolerance el: 0 cu: MICU cg: RN v1: Good st: NotStopd t0: [04:00:00 23/09/2012] id: LLL Lung Sounds el: 0 cu: MICU cg: RN v1: Bronchial st: NotStopd t0: [04:00:00 23/09/2012] id: LUL Lung Sounds el: 0 cu: MICU cg: RN v1: Clear st: NotStopd t0: [04:00:00 23/09/2012] id: Level of Conscious el: 0 cu: MICU cg: RN v1: Lethargic st: NotStopd t0: [04:00:00 23/09/2012] id: Motor Response el: 0 cu: MICU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [04:00:00 23/09/2012] id: Oral Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [04:00:00 23/09/2012] id: Oral Cavity el: 0 cu: MICU cg: RN v1: Loose Teeth st: NotStopd t0: [04:00:00 23/09/2012] id: Orientation el: 0 cu: MICU cg: RN v1: Other/Remarks st: NotStopd t0: [04:00:00 23/09/2012] id: AntiEmbDevice/Status el: 0 cu: MICU cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [04:00:00 23/09/2012] id: Position el: 0 cu: MICU cg: RN v1: Supine st: NotStopd t0: [04:00:00 23/09/2012] id: Position Change el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [04:00:00 23/09/2012] id: PostTib. Pulses R/L el: 0 cu: MICU cg: RN v1: Strong/Palpable v2: Strong/Palpable st: NotStopd t0: [04:00:00 23/09/2012] id: Assistance Device el: 0 cu: MICU cg: RN v1: 2 Person Assist st: NotStopd t0: [04:00:00 23/09/2012] id: Pupil Size R/L el: 0 cu: MICU cg: RN v1: 3 mm v2: 3 mm st: NotStopd t0: [04:00:00 23/09/2012] id: RLL Lung Sounds el: 0 cu: MICU cg: RN v1: Bronchial st: NotStopd t0: [04:00:00 23/09/2012] id: RUL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [04:00:00 23/09/2012] id: Reason For Restraint el: 0 cu: MICU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [04:00:00 23/09/2012] id: Removed x 5 Mins el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [04:00:00 23/09/2012] id: Respiratory Pattern el: 0 cu: MICU cg: RN v1: Regular st: NotStopd t0: [04:00:00 23/09/2012] id: Restraint Location el: 0 cu: MICU cg: RN v1: Both Arms st: NotStopd t0: [04:00:00 23/09/2012] id: Restraint Type el: 0 cu: MICU cg: RN v1: Soft Limb st: NotStopd t0: [04:00:00 23/09/2012] id: Restraints Evaluated el: 0 cu: MICU cg: RN v1: Behavior Conts st: NotStopd t0: [04:00:00 23/09/2012] id: Side Rails el: 0 cu: MICU cg: RN v1: Side Rails Up st: NotStopd t0: [04:00:00 23/09/2012] id: Skin Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [04:00:00 23/09/2012] id: Skin Color el: 0 cu: MICU cg: RN v1: Jaundiced st: NotStopd t0: [04:00:00 23/09/2012] id: Skin Integrity el: 0 cu: MICU cg: RN v1: Intact st: NotStopd t0: [04:00:00 23/09/2012] id: Skin Temp/Condition el: 0 cu: MICU cg: RN v1: Warm v2: Dry st: NotStopd t0: [04:00:00 23/09/2012] id: Spontaneous Movement el: 0 cu: MICU cg: RN v1: Purposeful st: NotStopd t0: [04:00:00 23/09/2012] id: Sputum Color/Consist el: 0 cu: MICU cg: RN v1: Rusty v2: Thick st: NotStopd t0: [04:00:00 23/09/2012] id: Sputum Source/Amt el: 0 cu: MICU cg: RN v1: Suctioned v2: Moderate st: NotStopd t0: [04:00:00 23/09/2012] id: Support Systems el: 0 cu: MICU cg: RN v1: Spouse st: NotStopd t0: [04:00:00 23/09/2012] id: Turn el: 0 cu: MICU cg: RN v1: Side to Side st: NotStopd t0: [04:00:00 23/09/2012] id: Urine Color/Appear el: 0 cu: MICU cg: RN v1: Icteric v2: Clear st: NotStopd t0: [04:00:00 23/09/2012] id: Urine Source el: 0 cu: MICU cg: RN v1: Indwelling Cath st: NotStopd t0: [04:00:00 23/09/2012] id: Verbal Response el: 0 cu: MICU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [04:00:00 23/09/2012] id: Back Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [04:00:00 23/09/2012] id: Bowel Sounds el: 0 cu: MICU cg: RN v1: Present st: NotStopd
t0: [04:00:00 23/09/2012] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 20 vu: ml t0: [04:00:00 23/09/2012] id: D5W 250.0ml + 60mcgkgmin Neosynephrine-k IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 4.21 vu: ml t0: [04:00:00 23/09/2012] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 100 vu: ml t0: [05:00:00 23/09/2012] id: D5W 100.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 105 vo: 100 vu: ml t0: [05:00:00 23/09/2012] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 10 vu: ml t0: [05:00:00 23/09/2012] id: D5W 250.0ml + 60mcgkgmin Neosynephrine-k IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 2.105 vu: ml t0: [05:00:00 23/09/2012] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 35 vu: ml
t0: [06:00:00 23/09/2012] id: Less Restrict Meas. el: 0 cu: MICU cg: RN v1: Medicated st: NotStopd t0: [06:00:00 23/09/2012] id: Range of Motion el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [06:00:00 23/09/2012] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [06:00:00 23/09/2012] id: Circulation/SkinInt el: 0 cu: MICU cg: RN v1: Circulation Adeq st: NotStopd t0: [06:00:00 23/09/2012] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [06:00:00 23/09/2012] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [06:00:00 23/09/2012] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [06:00:00 23/09/2012] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [06:00:00 23/09/2012] id: Heart Rate el: 0 cu: MICU cg: RN v1: 87 u1: BPM st: NotStopd t0: [06:00:00 23/09/2012] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [06:00:00 23/09/2012] id: Arterial BP el: 0 cu: MICU cg: RN v1: 119 u1: mmHg v2: 57 u2: mmHg st: NotStopd t0: [06:00:00 23/09/2012] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 75 u1: mmHg st: NotStopd t0: [06:00:00 23/09/2012] id: Position Change el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [06:00:00 23/09/2012] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [06:00:00 23/09/2012] id: Reason For Restraint el: 0 cu: MICU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [06:00:00 23/09/2012] id: Removed x 5 Mins el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [06:00:00 23/09/2012] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 19 u1: BPM st: NotStopd t0: [06:00:00 23/09/2012] id: Restraint Location el: 0 cu: MICU cg: RN v1: Both Arms st: NotStopd t0: [06:00:00 23/09/2012] id: Restraint Type el: 0 cu: MICU cg: RN v1: Soft Limb st: NotStopd t0: [06:00:00 23/09/2012] id: Restraints Evaluated el: 0 cu: MICU cg: RN v1: Behavior Conts st: NotStopd t0: [06:00:00 23/09/2012] id: Side Rails el: 0 cu: MICU cg: RN v1: Side Rails Up st: NotStopd t0: [06:00:00 23/09/2012] id: SpO2 el: 0 cu: MICU cg: RN v1: 100 u1: % st: NotStopd t0: [06:00:00 23/09/2012] id: Sputum Color/Consist el: 0 cu: MICU cg: RN v1: Rusty v2: Thick st: NotStopd t0: [06:00:00 23/09/2012] id: Sputum Source/Amt el: 0 cu: MICU cg: RN v1: Suctioned v2: Moderate st: NotStopd t0: [06:00:00 23/09/2012] id: Support Systems el: 0 cu: MICU cg: RN v1: Spouse st: NotStopd t0: [06:00:00 23/09/2012] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [06:00:00 23/09/2012] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 10 vu: ml t0: [06:00:00 23/09/2012] id: D5W 250.0ml + 60mcgkgmin Neosynephrine-k IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 2.105 vu: ml t0: [06:00:00 23/09/2012] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 40 vu: ml
t0: [06:00:00 23/09/2012] id: Propofol el: 1 cu: MICU cg: RN so: N/A vo: 0 v1: 9.89707 du: mcgkgmin sv: 50 su: vl rt: IV Drip st: Stopped
t0: [05:57:00 23/09/2012] id: WBC (4-11,000) Hematology el: 0 cu: MICU cg: 1663 v1: 11.8 rs: Final st: NotStopd t0: [05:57:00 23/09/2012] id: WBC Hematology el: 0 cu: MICU cg: 1663 v1: 11.8 rs: Final st: NotStopd t0: [05:57:00 23/09/2012] id: Hematocrit Hematology el: 0 cu: MICU cg: 1663 v1: 29.6 u1: % rs: Final st: NotStopd t0: [05:57:00 23/09/2012] id: Hemoglobin Hematology el: 0 cu: MICU cg: 1663 v1: 10.2 u1: gm/dl rs: Final st: NotStopd t0: [05:57:00 23/09/2012] id: Platelets Hematology el: 0 cu: MICU cg: 1663 v1: 159 rs: Final st: NotStopd t0: [05:57:00 23/09/2012] id: RBC Hematology el: 0 cu: MICU cg: 1663 v1: 3.23 u1: /mic l rs: Final st: NotStopd t0: [05:57:00 23/09/2012] id: WBC (4-11,000) Hematology el: 0 cu: MICU cg: 1663 v1: 11.8 rs: Final st: NotStopd
t0: [05:57:00 23/09/2012] id: PTT Coags el: 0 cu: MICU cg: 1663 v1: 33.6 rs: Final st: NotStopd t0: [05:57:00 23/09/2012] id: PTT(22-35) Coags el: 0 cu: MICU cg: 1663 v1: 33.6 rs: Final st: NotStopd
t0: [05:57:00 23/09/2012] id: PT el: 0 cu: MICU cg: 1663 v1: 16.7 rs: Final st: NotStopd t0: [05:57:00 23/09/2012] id: INR Coags el: 0 cu: MICU cg: 1663 v1: 1.8 rs: Final st: NotStopd t0: [05:57:00 23/09/2012] id: INR (2-4 ref. range) Coags el: 0 cu: MICU cg: 1663 v1: 1.8 rs: Final st: NotStopd t0: [05:57:00 23/09/2012] id: PT(11-13.5) Coags el: 0 cu: MICU cg: 1663 v1: 16.7 rs: Final st: NotStopd
t0: [06:33:00 23/09/2012] id: HI/Minute/Vol/Alarm el: 0 cu: MICU cg: RRT v1: 18 t0: [06:33:00 23/09/2012] id: ETT Mark/Location el: 0 cu: MICU cg: RRT v1: 23cm v2: Lip st: NotStopd t0: [06:33:00 23/09/2012] id: FiO2 Set el: 0 cu: MICU cg: RRT v1: 0.5 u1: torr st: NotStopd t0: [06:33:00 23/09/2012] id: High Insp. Pressure el: 0 cu: MICU cg: RRT v1: 40 u1: cmH2O st: NotStopd t0: [06:33:00 23/09/2012] id: High Resp. Rate el: 0 cu: MICU cg: RRT v1: 35 u1: BPM st: NotStopd t0: [06:33:00 23/09/2012] id: Airway Size el: 0 cu: MICU cg: RRT v1: 7.5 mm st: NotStopd t0: [06:33:00 23/09/2012] id: Airway Type el: 0 cu: MICU cg: RRT v1: Endotracheal st: NotStopd t0: [06:33:00 23/09/2012] id: Inspired Gas Temp el: 0 cu: MICU cg: RRT u1: Deg. C st: NotStopd t0: [06:33:00 23/09/2012] id: Intubation Date el: 0 cu: MICU cg: RRT v1: 8 v2: 27 st: NotStopd t0: [06:33:00 23/09/2012] id: Low Exhaled Min Vol el: 0 cu: MICU cg: RRT v1: 3.5 st: NotStopd t0: [06:33:00 23/09/2012] id: Mean Airway Pressure el: 0 cu: MICU cg: RRT v1: 1 u1: cmH2O st: NotStopd t0: [06:33:00 23/09/2012] id: Minute Volume(Obser) el: 0 cu: MICU cg: RRT v1: 7.49 u1: L/min st: NotStopd t0: [06:33:00 23/09/2012] id: PEEP Set el: 0 cu: MICU cg: RRT v1: 0 u1: cmH2O st: NotStopd t0: [06:33:00 23/09/2012] id: Apnea Time Interval el: 0 cu: MICU cg: RRT v1: 20 st: NotStopd t0: [06:33:00 23/09/2012] id: Pressure Support el: 0 cu: MICU cg: RRT v1: 5 u1: . st: NotStopd t0: [06:33:00 23/09/2012] id: Resp Rate (Total) el: 0 cu: MICU cg: RRT v1: 27 u1: BPM st: NotStopd t0: [06:33:00 23/09/2012] id: Sensitivity-Vent el: 0 cu: MICU cg: RRT v1: 3 u1: cmH2O st: NotStopd t0: [06:33:00 23/09/2012] id: SpO2 el: 0 cu: MICU cg: RRT v1: 100 u1: % st: NotStopd t0: [06:33:00 23/09/2012] id: Tidal Volume (Spont) el: 0 cu: MICU cg: RRT v1: 380 u1: ml/B st: NotStopd t0: [06:33:00 23/09/2012] id: Ventilator Mode el: 0 cu: MICU cg: RRT v1: Pressure Support st: NotStopd t0: [06:33:00 23/09/2012] id: Ventilator Type el: 0 cu: MICU cg: RRT v1: Drager st: NotStopd
t0: [05:57:00 23/09/2012] id: BUN el: 0 cu: MICU cg: 1663 v1: 13 rs: Final st: NotStopd t0: [05:57:00 23/09/2012] id: Calcium Chemistry el: 0 cu: MICU cg: 1663 v1: 8.2 u1: mg/dl rs: Final st: NotStopd t0: [05:57:00 23/09/2012] id: Chloride Chemistry el: 0 cu: MICU cg: 1663 v1: 104 rs: Final st: NotStopd t0: [05:57:00 23/09/2012] id: Creatinine Chemistry el: 0 cu: MICU cg: 1663 v1: 0.7 rs: Final st: NotStopd t0: [05:57:00 23/09/2012] id: Glucose Chemistry el: 0 cu: MICU cg: 1663 v1: 72 rs: Final st: NotStopd t0: [05:57:00 23/09/2012] id: Magnesium Chemistry el: 0 cu: MICU cg: 1663 v1: 2.3 rs: Final st: NotStopd t0: [05:57:00 23/09/2012] id: Phosphorous Chemistry el: 0 cu: MICU cg: 1663 v1: 2.1 u1: mEq/L rs: Final st: NotStopd t0: [05:57:00 23/09/2012] id: Potassium Chemistry el: 0 cu: MICU cg: 1663 v1: 3.6 rs: Final st: NotStopd t0: [05:57:00 23/09/2012] id: Sodium Chemistry el: 0 cu: MICU cg: 1663 v1: 135 rs: Final st: NotStopd t0: [05:57:00 23/09/2012] id: Total Bili Chemistry el: 0 cu: MICU cg: 1663 v1: 14.1 rs: Final st: NotStopd t0: [05:57:00 23/09/2012] id: ALT Enzymes el: 0 cu: MICU cg: 1663 v1: 35 rs: Final st: NotStopd t0: [05:57:00 23/09/2012] id: AST Enzymes el: 0 cu: MICU cg: 1663 v1: 50 rs: Final st: NotStopd t0: [05:57:00 23/09/2012] id: Alk. Phosphate Enzymes el: 0 cu: MICU cg: 1663 v1: 164 rs: Final st: NotStopd t0: [05:57:00 23/09/2012] id: BUN (6-20) Chemistry el: 0 cu: MICU cg: 1663 v1: 13 rs: Final st: NotStopd t0: [05:57:00 23/09/2012] id: Calcium (8.4-10.2) Chemistry el: 0 cu: MICU cg: 1663 v1: 8.2 u1: mg/dl rs: Final st: NotStopd t0: [05:57:00 23/09/2012] id: Carbon Dioxide Chemistry el: 0 cu: MICU cg: 1663 v1: 26 rs: Final st: NotStopd t0: [05:57:00 23/09/2012] id: Chloride (100-112) Chemistry el: 0 cu: MICU cg: 1663 v1: 104 rs: Final st: NotStopd t0: [05:57:00 23/09/2012] id: Creatinine (0-1.3) Chemistry el: 0 cu: MICU cg: 1663 v1: 0.7 rs: Final st: NotStopd t0: [05:57:00 23/09/2012] id: Glucose (70-105) Chemistry el: 0 cu: MICU cg: 1663 v1: 72 rs: Final st: NotStopd t0: [05:57:00 23/09/2012] id: Magnesium (1.6-2.6) Chemistry el: 0 cu: MICU cg: 1663 v1: 2.3 rs: Final st: NotStopd t0: [05:57:00 23/09/2012] id: Phosphorous(2.7-4.5) Chemistry el: 0 cu: MICU cg: 1663 v1: 2.1 u1: mEq/L rs: Final st: NotStopd t0: [05:57:00 23/09/2012] id: Potassium (3.5-5.3) Chemistry el: 0 cu: MICU cg: 1663 v1: 3.6 rs: Final st: NotStopd t0: [05:57:00 23/09/2012] id: Sodium (135-148) Chemistry el: 0 cu: MICU cg: 1663 v1: 135 rs: Final st: NotStopd t0: [05:57:00 23/09/2012] id: Total Bili (0-1.5) Chemistry el: 0 cu: MICU cg: 1663 v1: 14.1 rs: Final st: NotStopd
t0: [07:00:00 23/09/2012] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [07:00:00 23/09/2012] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [07:00:00 23/09/2012] id: Riker-SAS Scale el: 0 cu: MICU cg: RN v1: Calm/Cooperative st: NotStopd t0: [07:00:00 23/09/2012] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [07:00:00 23/09/2012] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [07:00:00 23/09/2012] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [07:00:00 23/09/2012] id: Heart Rate el: 0 cu: MICU cg: RN v1: 90 u1: BPM st: NotStopd t0: [07:00:00 23/09/2012] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [07:00:00 23/09/2012] id: Arterial BP el: 0 cu: MICU cg: RN v1: 120 u1: mmHg v2: 62 u2: mmHg st: NotStopd t0: [07:00:00 23/09/2012] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 79 u1: mmHg st: NotStopd t0: [07:00:00 23/09/2012] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [07:00:00 23/09/2012] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 21 u1: BPM st: NotStopd t0: [07:00:00 23/09/2012] id: SpO2 el: 0 cu: MICU cg: RN v1: 99 u1: % st: NotStopd t0: [07:00:00 23/09/2012] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [07:00:00 23/09/2012] id: D5W 250.0ml + 60mcgkgmin Neosynephrine-k IV Infusions el: 1 cu: MICU cg: RN ai: 107 vu: ml st: Stopped t0: [07:00:00 23/09/2012] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 60 vu: ml
t0: [07:00:00 23/09/2012] id: Sputum Color/Consist el: 0 cu: MICU cg: RN v1: Rusty v2: Thick st: NotStopd t0: [07:00:00 23/09/2012] id: Sputum Source/Amt el: 0 cu: MICU cg: RN v1: Suctioned v2: Moderate st: NotStopd
t0: [08:00:00 23/09/2012] id: HI/Minute/Vol/Alarm el: 0 cu: MICU cg: RRT v1: 18 t0: [08:00:00 23/09/2012] id: ETT Mark/Location el: 0 cu: MICU cg: RRT v1: 23cm v2: Lip st: NotStopd t0: [08:00:00 23/09/2012] id: FiO2 Set el: 0 cu: MICU cg: RRT v1: 0.5 u1: torr st: NotStopd t0: [08:00:00 23/09/2012] id: High Insp. Pressure el: 0 cu: MICU cg: RRT v1: 40 u1: cmH2O st: NotStopd t0: [08:00:00 23/09/2012] id: High Resp. Rate el: 0 cu: MICU cg: RRT v1: 35 u1: BPM st: NotStopd t0: [08:00:00 23/09/2012] id: Airway Size el: 0 cu: MICU cg: RRT v1: 7.5 mm st: NotStopd t0: [08:00:00 23/09/2012] id: Airway Type el: 0 cu: MICU cg: RRT v1: Endotracheal st: NotStopd t0: [08:00:00 23/09/2012] id: Intubation Date el: 0 cu: MICU cg: RRT v1: 8 v2: 27 st: NotStopd t0: [08:00:00 23/09/2012] id: Low Exhaled Min Vol el: 0 cu: MICU cg: RRT v1: 3.5 st: NotStopd t0: [08:00:00 23/09/2012] id: Mean Airway Pressure el: 0 cu: MICU cg: RRT v1: 2 u1: cmH2O st: NotStopd t0: [08:00:00 23/09/2012] id: Minute Volume(Obser) el: 0 cu: MICU cg: RRT v1: 10.4 u1: L/min st: NotStopd t0: [08:00:00 23/09/2012] id: PEEP Set el: 0 cu: MICU cg: RRT v1: 0 u1: cmH2O st: NotStopd t0: [08:00:00 23/09/2012] id: Apnea Time Interval el: 0 cu: MICU cg: RRT v1: 20 st: NotStopd t0: [08:00:00 23/09/2012] id: Pressure Support el: 0 cu: MICU cg: RRT v1: 5 u1: . st: NotStopd t0: [08:00:00 23/09/2012] id: Resp Rate (Total) el: 0 cu: MICU cg: RRT v1: 27 u1: BPM st: NotStopd t0: [08:00:00 23/09/2012] id: Sensitivity-Vent el: 0 cu: MICU cg: RRT v1: 3 u1: cmH2O st: NotStopd t0: [08:00:00 23/09/2012] id: Tidal Volume (Spont) el: 0 cu: MICU cg: RRT v1: 490 u1: ml/B st: NotStopd t0: [08:00:00 23/09/2012] id: Ventilator Mode el: 0 cu: MICU cg: RRT v1: Pressure Support st: NotStopd t0: [08:00:00 23/09/2012] id: Ventilator Type el: 0 cu: MICU cg: RRT v1: 7200A st: NotStopd
t0: [08:00:00 23/09/2012] id: Less Restrict Meas. el: 0 cu: MICU cg: RN v1: Orientation st: NotStopd t0: [08:00:00 23/09/2012] id: Range of Motion el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [08:00:00 23/09/2012] id: INV#3Chg o/Wire Date el: 0 cu: MICU cg: RN v1: 8 v2: 29 st: NotStopd t0: [08:00:00 23/09/2012] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [08:00:00 23/09/2012] id: Circulation/SkinInt el: 0 cu: MICU cg: RN v1: Circulation Adeq st: NotStopd t0: [08:00:00 23/09/2012] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [08:00:00 23/09/2012] id: Riker-SAS Scale el: 0 cu: MICU cg: RN v1: Calm/Cooperative st: NotStopd t0: [08:00:00 23/09/2012] id: Cough Reflex el: 0 cu: MICU cg: RN v1: Intact st: NotStopd t0: [08:00:00 23/09/2012] id: GI Prophylaxis el: 0 cu: MICU cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [08:00:00 23/09/2012] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [08:00:00 23/09/2012] id: Diet Type el: 0 cu: MICU cg: RN v1: NPO st: NotStopd t0: [08:00:00 23/09/2012] id: Dorsal PedPulse R/L el: 0 cu: MICU cg: RN v1: Strong/Palpable v2: Strong/Palpable st: NotStopd t0: [08:00:00 23/09/2012] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [08:00:00 23/09/2012] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [08:00:00 23/09/2012] id: Eye Opening el: 0 cu: MICU cg: RN v1: 4 Spontaneously st: NotStopd t0: [08:00:00 23/09/2012] id: Follows Commands el: 0 cu: MICU cg: RN v1: Consistently st: NotStopd t0: [08:00:00 23/09/2012] id: GCS Total el: 0 cu: MICU cg: RN v1: 11 u1: points st: NotStopd t0: [08:00:00 23/09/2012] id: GI Intub #1/Site el: 0 cu: MICU cg: RN v1: Salem Sump v2: Right Nare st: NotStopd t0: [08:00:00 23/09/2012] id: GI#1 Tube PlaceCheck el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [08:00:00 23/09/2012] id: GI#1 Tube Stat/Drain el: 0 cu: MICU cg: RN v1: Clamped st: NotStopd t0: [08:00:00 23/09/2012] id: Gag Reflex el: 0 cu: MICU cg: RN v1: Intact st: NotStopd t0: [08:00:00 23/09/2012] id: HOB el: 0 cu: MICU cg: RN v1: 45 degrees st: NotStopd t0: [08:00:00 23/09/2012] id: Heart Rate el: 0 cu: MICU cg: RN v1: 91 u1: BPM st: NotStopd t0: [08:00:00 23/09/2012] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [08:00:00 23/09/2012] id: INV Line#2 Type/Site el: 0 cu: MICU cg: RN v1: A-Line v2: Left Radial st: NotStopd t0: [08:00:00 23/09/2012] id: INV Line#2 Zero/Cal el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [08:00:00 23/09/2012] id: INV Line#2InsertDate el: 0 cu: MICU cg: RN v1: 8 v2: 27 st: NotStopd t0: [08:00:00 23/09/2012] id: INV Line#2SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [08:00:00 23/09/2012] id: INV Line#3 Site Date el: 0 cu: MICU cg: RN v1: 8 v2: 29 st: NotStopd t0: [08:00:00 23/09/2012] id: INV Line#3 Type/Site el: 0 cu: MICU cg: RN v1: Multi-lumen v2: Right IJ st: NotStopd t0: [08:00:00 23/09/2012] id: INV Line#3InsertDate el: 0 cu: MICU cg: RN v1: 8 v2: 28 st: NotStopd t0: [08:00:00 23/09/2012] id: INV Line#3SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [08:00:00 23/09/2012] id: Abdominal Assessment el: 0 cu: MICU cg: RN v1: Soft Distended st: NotStopd t0: [08:00:00 23/09/2012] id: INV#2 WaveformAppear el: 0 cu: MICU cg: RN v1: Sharp st: NotStopd t0: [08:00:00 23/09/2012] id: IV #1 Insert Date el: 0 cu: MICU cg: RN v1: ? st: NotStopd t0: [08:00:00 23/09/2012] id: IV #1 Site/Size el: 0 cu: MICU cg: RN v1: RU Ant Forearm v2: 18 gauge st: NotStopd t0: [08:00:00 23/09/2012] id: IV #2 Insert Date el: 0 cu: MICU cg: RN v1: 8 v2: 28 st: NotStopd t0: [08:00:00 23/09/2012] id: IV #2 Site/Size el: 0 cu: MICU cg: RN v1: RU Ant Forearm v2: 16 gauge st: NotStopd t0: [08:00:00 23/09/2012] id: IV #3 Insert Date el: 0 cu: MICU cg: RN v1: 8 v2: 28 st: NotStopd t0: [08:00:00 23/09/2012] id: IV #3 Site/Size el: 0 cu: MICU cg: RN v1: Right Antecub v2: 18 gauge st: NotStopd t0: [08:00:00 23/09/2012] id: Activity el: 0 cu: MICU cg: RN v1: Bedrest st: NotStopd t0: [08:00:00 23/09/2012] id: IV Site Appear #1 el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [08:00:00 23/09/2012] id: IV Site Appear #2 el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [08:00:00 23/09/2012] id: IV Site Appear #3 el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [08:00:00 23/09/2012] id: Activity Tolerance el: 0 cu: MICU cg: RN v1: Tolerated Well st: NotStopd t0: [08:00:00 23/09/2012] id: LLL Lung Sounds el: 0 cu: MICU cg: RN v1: Bronchial st: NotStopd t0: [08:00:00 23/09/2012] id: LUL Lung Sounds el: 0 cu: MICU cg: RN v1: Clear st: NotStopd t0: [08:00:00 23/09/2012] id: Level of Conscious el: 0 cu: MICU cg: RN v1: Lethargic st: NotStopd t0: [08:00:00 23/09/2012] id: Motor Response el: 0 cu: MICU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [08:00:00 23/09/2012] id: Oral Cavity el: 0 cu: MICU cg: RN v1: Loose Teeth st: NotStopd t0: [08:00:00 23/09/2012] id: Orientation el: 0 cu: MICU cg: RN v1: Other/Remarks st: NotStopd t0: [08:00:00 23/09/2012] id: AntiEmbDevice/Status el: 0 cu: MICU cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [08:00:00 23/09/2012] id: Arterial BP el: 0 cu: MICU cg: RN v1: 111 u1: mmHg v2: 59 u2: mmHg st: NotStopd t0: [08:00:00 23/09/2012] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 75 u1: mmHg st: NotStopd t0: [08:00:00 23/09/2012] id: Position el: 0 cu: MICU cg: RN v1: Supine st: NotStopd t0: [08:00:00 23/09/2012] id: Position Change el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [08:00:00 23/09/2012] id: PostTib. Pulses R/L el: 0 cu: MICU cg: RN v1: Strong/Palpable v2: Strong/Palpable st: NotStopd t0: [08:00:00 23/09/2012] id: Assistance Device el: 0 cu: MICU cg: RN v1: 2 Person Assist st: NotStopd t0: [08:00:00 23/09/2012] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [08:00:00 23/09/2012] id: Pupil Size R/L el: 0 cu: MICU cg: RN v1: 3 mm v2: 3 mm st: NotStopd t0: [08:00:00 23/09/2012] id: RLL Lung Sounds el: 0 cu: MICU cg: RN v1: Bronchial st: NotStopd t0: [08:00:00 23/09/2012] id: RUL Lung Sounds el: 0 cu: MICU cg: RN v1: Clear st: NotStopd t0: [08:00:00 23/09/2012] id: Reason For Restraint el: 0 cu: MICU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [08:00:00 23/09/2012] id: Removed x 5 Mins el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [08:00:00 23/09/2012] id: Respiratory Pattern el: 0 cu: MICU cg: RN v1: Regular st: NotStopd t0: [08:00:00 23/09/2012] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 28 u1: BPM st: NotStopd t0: [08:00:00 23/09/2012] id: Restraint Location el: 0 cu: MICU cg: RN v1: Both Arms st: NotStopd t0: [08:00:00 23/09/2012] id: Restraint Type el: 0 cu: MICU cg: RN v1: Soft Limb st: NotStopd t0: [08:00:00 23/09/2012] id: Restraints Evaluated el: 0 cu: MICU cg: RN v1: RestraintReapply st: NotStopd t0: [08:00:00 23/09/2012] id: Side Rails el: 0 cu: MICU cg: RN v1: Side Rails Up st: NotStopd t0: [08:00:00 23/09/2012] id: Skin Color el: 0 cu: MICU cg: RN v1: Jaundiced st: NotStopd t0: [08:00:00 23/09/2012] id: Skin Integrity el: 0 cu: MICU cg: RN v1: Intact st: NotStopd t0: [08:00:00 23/09/2012] id: Skin Temp/Condition el: 0 cu: MICU cg: RN v1: Warm v2: Dry st: NotStopd t0: [08:00:00 23/09/2012] id: SpO2 el: 0 cu: MICU cg: RN v1: 97 u1: % st: NotStopd t0: [08:00:00 23/09/2012] id: Spontaneous Movement el: 0 cu: MICU cg: RN v1: Purposeful st: NotStopd t0: [08:00:00 23/09/2012] id: Support Systems el: 0 cu: MICU cg: RN v1: Spouse st: NotStopd t0: [08:00:00 23/09/2012] id: Temperature C (calc) el: 0 cu: MICU cg: RN v1: 37.7222 u1: Deg. C st: NotStopd t0: [08:00:00 23/09/2012] id: Temperature F el: 0 cu: MICU cg: RN v1: 99.9 u1: Deg. F st: NotStopd t0: [08:00:00 23/09/2012] id: Turn el: 0 cu: MICU cg: RN v1: Back st: NotStopd t0: [08:00:00 23/09/2012] id: Urine Color/Appear el: 0 cu: MICU cg: RN v1: Icteric v2: Clear st: NotStopd t0: [08:00:00 23/09/2012] id: Urine Source el: 0 cu: MICU cg: RN v1: Indwelling Cath st: NotStopd t0: [08:00:00 23/09/2012] id: Verbal Response el: 0 cu: MICU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [08:00:00 23/09/2012] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [08:00:00 23/09/2012] id: Behavior el: 0 cu: MICU cg: RN v1: Calm st: NotStopd t0: [08:00:00 23/09/2012] id: Bowel Sounds el: 0 cu: MICU cg: RN v1: Present st: NotStopd t0: [08:00:00 23/09/2012] id: Braden Activity el: 0 cu: MICU cg: RN v1: Bedfast st: NotStopd t0: [08:00:00 23/09/2012] id: Braden Frict/Shear el: 0 cu: MICU cg: RN v1: Potential Prob st: NotStopd t0: [08:00:00 23/09/2012] id: Braden Mobility el: 0 cu: MICU cg: RN v1: Sl. Limited st: NotStopd t0: [08:00:00 23/09/2012] id: Braden Moisture el: 0 cu: MICU cg: RN v1: Occ. Moist st: NotStopd t0: [08:00:00 23/09/2012] id: Braden Nutrition el: 0 cu: MICU cg: RN v1: Prob. Inadequate st: NotStopd t0: [08:00:00 23/09/2012] id: Braden Score el: 0 cu: MICU cg: RN v1: 15 u1: number st: NotStopd t0: [08:00:00 23/09/2012] id: Braden SensoryPercep el: 0 cu: MICU cg: RN v1: No Impairment st: NotStopd
t0: [07:00:00 23/09/2012] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 10 vu: ml t0: [08:00:00 23/09/2012] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 10 vu: ml t0: [08:00:00 23/09/2012] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 45 vu: ml
t0: [08:20:00 23/09/2012] id: Art.pH ABG el: 0 cu: MICU cg: 1663 v1: 7.43 rs: Final st: NotStopd t0: [08:20:00 23/09/2012] id: Arterial Base Excess ABG el: 0 cu: MICU cg: 1663 v1: 1 rs: Final st: NotStopd t0: [08:20:00 23/09/2012] id: Arterial CO2(Calc) ABG el: 0 cu: MICU cg: 1663 v1: 27 rs: Final st: NotStopd t0: [08:20:00 23/09/2012] id: Arterial PaCO2 ABG el: 0 cu: MICU cg: 1663 v1: 39 u1: mmHg rs: Final st: NotStopd t0: [08:20:00 23/09/2012] id: Arterial PaO2 ABG el: 0 cu: MICU cg: 1663 v1: 102 u1: mmHg rs: Final st: NotStopd t0: [08:20:00 23/09/2012] id: Arterial pH ABG el: 0 cu: MICU cg: 1663 v1: 7.43 rs: Final st: NotStopd
t0: [09:00:00 23/09/2012] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [09:00:00 23/09/2012] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [09:00:00 23/09/2012] id: Riker-SAS Scale el: 0 cu: MICU cg: RN v1: Calm/Cooperative st: NotStopd t0: [09:00:00 23/09/2012] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [09:00:00 23/09/2012] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [09:00:00 23/09/2012] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [09:00:00 23/09/2012] id: Heart Rate el: 0 cu: MICU cg: RN v1: 92 u1: BPM st: NotStopd t0: [09:00:00 23/09/2012] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [09:00:00 23/09/2012] id: Arterial BP el: 0 cu: MICU cg: RN v1: 114 u1: mmHg v2: 61 u2: mmHg st: NotStopd t0: [09:00:00 23/09/2012] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 78 u1: mmHg st: NotStopd t0: [09:00:00 23/09/2012] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [09:00:00 23/09/2012] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 22 u1: BPM st: NotStopd t0: [09:00:00 23/09/2012] id: SpO2 el: 0 cu: MICU cg: RN v1: 98 u1: % st: NotStopd t0: [09:00:00 23/09/2012] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [09:00:00 23/09/2012] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 10 vu: ml t0: [09:00:00 23/09/2012] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 40 vu: ml
t0: [10:00:00 23/09/2012] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [10:00:00 23/09/2012] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [10:00:00 23/09/2012] id: Riker-SAS Scale el: 0 cu: MICU cg: RN v1: Calm/Cooperative st: NotStopd t0: [10:00:00 23/09/2012] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [10:00:00 23/09/2012] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [10:00:00 23/09/2012] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [10:00:00 23/09/2012] id: Heart Rate el: 0 cu: MICU cg: RN v1: 88 u1: BPM st: NotStopd t0: [10:00:00 23/09/2012] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [10:00:00 23/09/2012] id: Arterial BP el: 0 cu: MICU cg: RN v1: 120 u1: mmHg v2: 64 u2: mmHg st: NotStopd t0: [10:00:00 23/09/2012] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 81 u1: mmHg st: NotStopd t0: [10:00:00 23/09/2012] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [10:00:00 23/09/2012] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 21 u1: BPM st: NotStopd t0: [10:00:00 23/09/2012] id: Restraint Location el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [10:00:00 23/09/2012] id: Side Rails el: 0 cu: MICU cg: RN v1: Side Rails Up st: NotStopd t0: [10:00:00 23/09/2012] id: Significant Events el: 0 cu: MICU cg: RN v1: Extubated st: NotStopd t0: [10:00:00 23/09/2012] id: SpO2 el: 0 cu: MICU cg: RN v1: 98 u1: % st: NotStopd t0: [10:00:00 23/09/2012] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [09:00:00 23/09/2012] id: Fresh Frozen Plasma IV Infusions el: 1 cu: MICU cg: RN ai: 155 vo: 333 vu: ml t0: [10:00:00 23/09/2012] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 10 vu: ml t0: [10:00:00 23/09/2012] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 60 vu: ml
t0: [23:00:00 23/09/2012] dt: 24 id: Blood Products Total el: 2 cu: MICU cg: RN cv: 333 ap: none
t0: [11:00:00 23/09/2012] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [11:00:00 23/09/2012] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [11:00:00 23/09/2012] id: Riker-SAS Scale el: 0 cu: MICU cg: RN v1: Calm/Cooperative st: NotStopd t0: [11:00:00 23/09/2012] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [11:00:00 23/09/2012] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [11:00:00 23/09/2012] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [11:00:00 23/09/2012] id: Heart Rate el: 0 cu: MICU cg: RN v1: 85 u1: BPM st: NotStopd t0: [11:00:00 23/09/2012] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [11:00:00 23/09/2012] id: Arterial BP el: 0 cu: MICU cg: RN v1: 132 u1: mmHg v2: 67 u2: mmHg st: NotStopd t0: [11:00:00 23/09/2012] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 87 u1: mmHg st: NotStopd t0: [11:00:00 23/09/2012] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [11:00:00 23/09/2012] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 28 u1: BPM st: NotStopd t0: [11:00:00 23/09/2012] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [11:00:00 23/09/2012] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 10 vu: ml t0: [11:00:00 23/09/2012] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 40 vu: ml
t0: [11:00:00 23/09/2012] id: HOB el: 0 cu: MICU cg: RN v1: 45 degrees st: NotStopd t0: [11:00:00 23/09/2012] id: Activity el: 0 cu: MICU cg: RN v1: Bedrest st: NotStopd t0: [11:00:00 23/09/2012] id: Activity Tolerance el: 0 cu: MICU cg: RN v1: Tolerated Well st: NotStopd t0: [11:00:00 23/09/2012] id: AntiEmbDevice/Status el: 0 cu: MICU cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [11:00:00 23/09/2012] id: Assistance Device el: 0 cu: MICU cg: RN v1: 2 Person Assist st: NotStopd t0: [11:00:00 23/09/2012] id: Skin Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [11:00:00 23/09/2012] id: Turn el: 0 cu: MICU cg: RN v1: Side to Side st: NotStopd t0: [11:00:00 23/09/2012] id: Back Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd
t0: [11:00:00 23/09/2012] id: Stool Out Stool el: 1 cu: MICU cg: RN vu: ml es: Large
t0: [12:00:00 23/09/2012] id: Pain Present el: 0 cu: MICU cg: RN v1: No st: NotStopd t0: [12:00:00 23/09/2012] id: INV#3Chg o/Wire Date el: 0 cu: MICU cg: RN v1: 8 v2: 29 st: NotStopd t0: [12:00:00 23/09/2012] id: Pain Assess Method el: 0 cu: MICU cg: RN v1: Pt Verbalized st: NotStopd t0: [12:00:00 23/09/2012] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [12:00:00 23/09/2012] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [12:00:00 23/09/2012] id: Riker-SAS Scale el: 0 cu: MICU cg: RN v1: Calm/Cooperative st: NotStopd t0: [12:00:00 23/09/2012] id: Cough Reflex el: 0 cu: MICU cg: RN v1: Intact st: NotStopd t0: [12:00:00 23/09/2012] id: Daily Wake Up el: 1 cu: MICU cg: RN v1: No/Not Sedated st: NotStopd t0: [12:00:00 23/09/2012] id: GI Prophylaxis el: 0 cu: MICU cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [12:00:00 23/09/2012] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [12:00:00 23/09/2012] id: Diet Type el: 0 cu: MICU cg: RN v1: NPO st: NotStopd t0: [12:00:00 23/09/2012] id: Dorsal PedPulse R/L el: 0 cu: MICU cg: RN v1: Strong/Palpable v2: Strong/Palpable st: NotStopd t0: [12:00:00 23/09/2012] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [12:00:00 23/09/2012] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [12:00:00 23/09/2012] id: Eye Opening el: 0 cu: MICU cg: RN v1: 4 Spontaneously st: NotStopd t0: [12:00:00 23/09/2012] id: Follows Commands el: 0 cu: MICU cg: RN v1: Consistently st: NotStopd t0: [12:00:00 23/09/2012] id: GCS Total el: 0 cu: MICU cg: RN v1: 11 u1: points st: NotStopd t0: [12:00:00 23/09/2012] id: GI Intub #1/Site el: 0 cu: MICU cg: RN v1: Salem Sump v2: Right Nare st: NotStopd t0: [12:00:00 23/09/2012] id: GI#1 Tube Stat/Drain el: 0 cu: MICU cg: RN v1: Clamped st: NotStopd t0: [12:00:00 23/09/2012] id: Gag Reflex el: 0 cu: MICU cg: RN v1: Intact st: NotStopd t0: [12:00:00 23/09/2012] id: Heart Rate el: 0 cu: MICU cg: RN v1: 88 u1: BPM st: NotStopd t0: [12:00:00 23/09/2012] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [12:00:00 23/09/2012] id: INV Line#2 Type/Site el: 0 cu: MICU cg: RN v1: A-Line v2: Left Radial st: NotStopd t0: [12:00:00 23/09/2012] id: INV Line#2 Zero/Cal el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [12:00:00 23/09/2012] id: INV Line#2InsertDate el: 0 cu: MICU cg: RN v1: 8 v2: 27 st: NotStopd t0: [12:00:00 23/09/2012] id: INV Line#2SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [12:00:00 23/09/2012] id: INV Line#3 Site Date el: 0 cu: MICU cg: RN v1: 8 v2: 29 st: NotStopd t0: [12:00:00 23/09/2012] id: INV Line#3 Type/Site el: 0 cu: MICU cg: RN v1: Multi-lumen v2: Right IJ st: NotStopd t0: [12:00:00 23/09/2012] id: INV Line#3InsertDate el: 0 cu: MICU cg: RN v1: 8 v2: 28 st: NotStopd t0: [12:00:00 23/09/2012] id: INV Line#3SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [12:00:00 23/09/2012] id: Abdominal Assessment el: 0 cu: MICU cg: RN v1: Soft st: NotStopd t0: [12:00:00 23/09/2012] id: INV#2 WaveformAppear el: 0 cu: MICU cg: RN v1: Sharp st: NotStopd t0: [12:00:00 23/09/2012] id: IV #1 Insert Date el: 0 cu: MICU cg: RN v1: ? st: NotStopd t0: [12:00:00 23/09/2012] id: IV #1 Site/Size el: 0 cu: MICU cg: RN v1: RU Ant Forearm v2: 18 gauge st: NotStopd t0: [12:00:00 23/09/2012] id: IV #2 Insert Date el: 0 cu: MICU cg: RN v1: 8 v2: 28 st: NotStopd t0: [12:00:00 23/09/2012] id: IV #2 Site/Size el: 0 cu: MICU cg: RN v1: RU Ant Forearm v2: 16 gauge st: NotStopd t0: [12:00:00 23/09/2012] id: IV #3 Insert Date el: 0 cu: MICU cg: RN v1: 8 v2: 28 st: NotStopd t0: [12:00:00 23/09/2012] id: IV #3 Site/Size el: 0 cu: MICU cg: RN v1: Right Antecub v2: 18 gauge st: NotStopd t0: [12:00:00 23/09/2012] id: IV Site Appear #1 el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [12:00:00 23/09/2012] id: IV Site Appear #2 el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [12:00:00 23/09/2012] id: IV Site Appear #3 el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [12:00:00 23/09/2012] id: LLL Lung Sounds el: 0 cu: MICU cg: RN v1: Diminished st: NotStopd t0: [12:00:00 23/09/2012] id: LUL Lung Sounds el: 0 cu: MICU cg: RN v1: Clear st: NotStopd t0: [12:00:00 23/09/2012] id: Level of Conscious el: 0 cu: MICU cg: RN v1: Lethargic st: NotStopd t0: [12:00:00 23/09/2012] id: Motor Response el: 0 cu: MICU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [12:00:00 23/09/2012] id: Oral Cavity el: 0 cu: MICU cg: RN v1: Loose Teeth st: NotStopd t0: [12:00:00 23/09/2012] id: Orientation el: 0 cu: MICU cg: RN v1: Other/Remarks st: NotStopd t0: [12:00:00 23/09/2012] id: Arterial BP el: 0 cu: MICU cg: RN v1: 117 u1: mmHg v2: 57 u2: mmHg st: NotStopd t0: [12:00:00 23/09/2012] id: Pain Location el: 0 cu: MICU cg: RN v1: Not Indicated st: NotStopd t0: [12:00:00 23/09/2012] id: Pain Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [12:00:00 23/09/2012] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 76 u1: mmHg st: NotStopd t0: [12:00:00 23/09/2012] id: PostTib. Pulses R/L el: 0 cu: MICU cg: RN v1: Strong/Palpable v2: Strong/Palpable st: NotStopd t0: [12:00:00 23/09/2012] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [12:00:00 23/09/2012] id: Pupil Size R/L el: 0 cu: MICU cg: RN v1: 3 mm v2: 3 mm st: NotStopd t0: [12:00:00 23/09/2012] id: RLL Lung Sounds el: 0 cu: MICU cg: RN v1: Diminished st: NotStopd t0: [12:00:00 23/09/2012] id: RUL Lung Sounds el: 0 cu: MICU cg: RN v1: Clear st: NotStopd t0: [12:00:00 23/09/2012] id: Respiratory Pattern el: 0 cu: MICU cg: RN v1: Regular st: NotStopd t0: [12:00:00 23/09/2012] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 24 u1: BPM st: NotStopd t0: [12:00:00 23/09/2012] id: Restraint Location el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [12:00:00 23/09/2012] id: Side Rails el: 0 cu: MICU cg: RN v1: Side Rails Up st: NotStopd t0: [12:00:00 23/09/2012] id: Skin Integrity el: 0 cu: MICU cg: RN v1: Intact st: NotStopd t0: [12:00:00 23/09/2012] id: Skin Temp/Condition el: 0 cu: MICU cg: RN v1: Warm v2: Dry st: NotStopd t0: [12:00:00 23/09/2012] id: SpO2 el: 0 cu: MICU cg: RN v1: 97 u1: % st: NotStopd t0: [12:00:00 23/09/2012] id: Spontaneous Movement el: 0 cu: MICU cg: RN v1: Purposeful st: NotStopd t0: [12:00:00 23/09/2012] id: Support Systems el: 0 cu: MICU cg: RN v1: Spouse st: NotStopd t0: [12:00:00 23/09/2012] id: Temp. Site el: 0 cu: MICU cg: RN v1: Oral st: NotStopd t0: [12:00:00 23/09/2012] id: Temperature C (calc) el: 0 cu: MICU cg: RN v1: 37.6111 u1: Deg. C st: NotStopd t0: [12:00:00 23/09/2012] id: Temperature F el: 0 cu: MICU cg: RN v1: 99.7 u1: Deg. F st: NotStopd t0: [12:00:00 23/09/2012] id: Urine Color/Appear el: 0 cu: MICU cg: RN v1: Icteric v2: Clear st: NotStopd t0: [12:00:00 23/09/2012] id: Urine Source el: 0 cu: MICU cg: RN v1: Indwelling Cath st: NotStopd t0: [12:00:00 23/09/2012] id: Verbal Response el: 0 cu: MICU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [12:00:00 23/09/2012] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [12:00:00 23/09/2012] id: Behavior el: 0 cu: MICU cg: RN v1: Calm st: NotStopd t0: [12:00:00 23/09/2012] id: Bowel Sounds el: 0 cu: MICU cg: RN v1: Present st: NotStopd
t0: [12:00:00 23/09/2012] id: D5W 100.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 105 vo: 200 vu: ml t0: [12:00:00 23/09/2012] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 10 vu: ml t0: [12:00:00 23/09/2012] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 60 vu: ml
t0: [12:00:00 23/09/2012] id: Fingerstick Glucose Chemistry el: 0 cu: MICU cg: RN v1: 87 rs: Manual st: NotStopd
t0: [13:00:00 23/09/2012] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [13:00:00 23/09/2012] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [13:00:00 23/09/2012] id: Riker-SAS Scale el: 0 cu: MICU cg: RN v1: Calm/Cooperative st: NotStopd t0: [13:00:00 23/09/2012] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [13:00:00 23/09/2012] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [13:00:00 23/09/2012] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [13:00:00 23/09/2012] id: Heart Rate el: 0 cu: MICU cg: RN v1: 86 u1: BPM st: NotStopd t0: [13:00:00 23/09/2012] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [13:00:00 23/09/2012] id: Arterial BP el: 0 cu: MICU cg: RN v1: 111 u1: mmHg v2: 53 u2: mmHg st: NotStopd t0: [13:00:00 23/09/2012] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 71 u1: mmHg st: NotStopd t0: [13:00:00 23/09/2012] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [13:00:00 23/09/2012] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 22 u1: BPM st: NotStopd t0: [13:00:00 23/09/2012] id: SpO2 el: 0 cu: MICU cg: RN v1: 94 u1: % st: NotStopd t0: [13:00:00 23/09/2012] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [13:00:00 23/09/2012] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 10 vu: ml t0: [13:00:00 23/09/2012] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 55 vu: ml
t0: [14:00:00 23/09/2012] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [14:00:00 23/09/2012] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [14:00:00 23/09/2012] id: Riker-SAS Scale el: 0 cu: MICU cg: RN v1: Calm/Cooperative st: NotStopd t0: [14:00:00 23/09/2012] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [14:00:00 23/09/2012] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [14:00:00 23/09/2012] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [14:00:00 23/09/2012] id: Heart Rate el: 0 cu: MICU cg: RN v1: 87 u1: BPM st: NotStopd t0: [14:00:00 23/09/2012] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [14:00:00 23/09/2012] id: Arterial BP el: 0 cu: MICU cg: RN v1: 100 u1: mmHg v2: 53 u2: mmHg st: NotStopd t0: [14:00:00 23/09/2012] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 68 u1: mmHg st: NotStopd t0: [14:00:00 23/09/2012] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [14:00:00 23/09/2012] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 18 u1: BPM st: NotStopd t0: [14:00:00 23/09/2012] id: SpO2 el: 0 cu: MICU cg: RN v1: 99 u1: % st: NotStopd t0: [14:00:00 23/09/2012] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [14:00:00 23/09/2012] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 10 vu: ml t0: [14:00:00 23/09/2012] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 40 vu: ml
t0: [14:00:00 23/09/2012] id: HOB el: 0 cu: MICU cg: RN v1: 90 degrees st: NotStopd t0: [14:00:00 23/09/2012] id: Activity el: 0 cu: MICU cg: RN v1: Bedrest st: NotStopd t0: [14:00:00 23/09/2012] id: Activity Tolerance el: 0 cu: MICU cg: RN v1: Tolerated Well st: NotStopd t0: [14:00:00 23/09/2012] id: AntiEmbDevice/Status el: 0 cu: MICU cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [14:00:00 23/09/2012] id: Position el: 0 cu: MICU cg: RN v1: Supine st: NotStopd t0: [14:00:00 23/09/2012] id: Assistance Device el: 0 cu: MICU cg: RN v1: 2 Person Assist st: NotStopd t0: [14:00:00 23/09/2012] id: Skin Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [14:00:00 23/09/2012] id: Turn el: 0 cu: MICU cg: RN v1: Side to Side st: NotStopd t0: [14:00:00 23/09/2012] id: Back Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [15:00:00 23/09/2012] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [15:00:00 23/09/2012] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [15:00:00 23/09/2012] id: Riker-SAS Scale el: 0 cu: MICU cg: RN v1: Calm/Cooperative st: NotStopd t0: [15:00:00 23/09/2012] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [15:00:00 23/09/2012] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [15:00:00 23/09/2012] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [15:00:00 23/09/2012] id: FiO2 Set el: 0 cu: MICU cg: RN v1: 0.7 u1: torr st: NotStopd t0: [15:00:00 23/09/2012] id: Heart Rate el: 0 cu: MICU cg: RN v1: 81 u1: BPM st: NotStopd t0: [15:00:00 23/09/2012] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [15:00:00 23/09/2012] id: O2 Delivery Device el: 0 cu: MICU cg: RN v1: Aerosol-Cool st: NotStopd t0: [15:00:00 23/09/2012] id: O2 Flow (lpm) el: 0 cu: MICU cg: RN v1: 15 u1: lpm st: NotStopd t0: [15:00:00 23/09/2012] id: Arterial BP el: 0 cu: MICU cg: RN v1: 139 u1: mmHg v2: 70 u2: mmHg st: NotStopd t0: [15:00:00 23/09/2012] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 90 u1: mmHg st: NotStopd t0: [15:00:00 23/09/2012] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [15:00:00 23/09/2012] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 25 u1: BPM st: NotStopd t0: [15:00:00 23/09/2012] id: SpO2 el: 0 cu: MICU cg: RN v1: 100 u1: % st: NotStopd t0: [15:00:00 23/09/2012] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [14:00:00 23/09/2012] id: Stool Out Stool el: 1 cu: MICU cg: RN vu: ml es: Medium t0: [15:00:00 23/09/2012] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 10 vu: ml
t0: [14:51:00 23/09/2012] id: Art.pH ABG el: 0 cu: MICU cg: 1663 v1: 7.42 rs: Final st: NotStopd t0: [14:51:00 23/09/2012] id: Arterial Base Excess ABG el: 0 cu: MICU cg: 1663 v1: 0 rs: Final st: NotStopd t0: [14:51:00 23/09/2012] id: Arterial CO2(Calc) ABG el: 0 cu: MICU cg: 1663 v1: 26 rs: Final st: NotStopd t0: [14:51:00 23/09/2012] id: Arterial PaCO2 ABG el: 0 cu: MICU cg: 1663 v1: 39 u1: mmHg rs: Final st: NotStopd t0: [14:51:00 23/09/2012] id: Arterial PaO2 ABG el: 0 cu: MICU cg: 1663 v1: 95 u1: mmHg rs: Final st: NotStopd t0: [14:51:00 23/09/2012] id: Arterial pH ABG el: 0 cu: MICU cg: 1663 v1: 7.42 rs: Final st: NotStopd
io: Promote w/fiber 300.0str IV Infusions el: 1 cu: MICU cg: RN ra: 10 ru: ml/hr
tf: [15:00:00 24/09/2012] pt: Unit Dose rt: IV fr: ONCE fs: 16 dn: 1 m1: Furosemide v1: 20 u1: mg
id: Promote w/fiber el: 1 cu: MICU cg: RN io: Promote w/fiber 300.0str IV Infusions vo: 300 du: str rt: Gastric/Feeding Tube
t0: [16:00:00 23/09/2012] id: Pain Present el: 0 cu: MICU cg: RN v1: No st: NotStopd t0: [16:00:00 23/09/2012] id: INV#3Chg o/Wire Date el: 0 cu: MICU cg: RN v1: 8 v2: 29 st: NotStopd t0: [16:00:00 23/09/2012] id: Pain Assess Method el: 0 cu: MICU cg: RN v1: Pt Verbalized st: NotStopd t0: [16:00:00 23/09/2012] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [16:00:00 23/09/2012] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [16:00:00 23/09/2012] id: Riker-SAS Scale el: 0 cu: MICU cg: RN v1: Calm/Cooperative st: NotStopd t0: [16:00:00 23/09/2012] id: Cough Reflex el: 0 cu: MICU cg: RN v1: Intact st: NotStopd t0: [16:00:00 23/09/2012] id: Daily Wake Up el: 1 cu: MICU cg: RN v1: No/Not Sedated st: NotStopd t0: [16:00:00 23/09/2012] id: GI Prophylaxis el: 0 cu: MICU cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [16:00:00 23/09/2012] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [16:00:00 23/09/2012] id: Diet Type el: 0 cu: MICU cg: RN v1: NPO st: NotStopd t0: [16:00:00 23/09/2012] id: Dorsal PedPulse R/L el: 0 cu: MICU cg: RN v1: Strong/Palpable v2: Strong/Palpable st: NotStopd t0: [16:00:00 23/09/2012] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [16:00:00 23/09/2012] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [16:00:00 23/09/2012] id: Eye Opening el: 0 cu: MICU cg: RN v1: 4 Spontaneously st: NotStopd t0: [16:00:00 23/09/2012] id: Follows Commands el: 0 cu: MICU cg: RN v1: Consistently st: NotStopd t0: [16:00:00 23/09/2012] id: GCS Total el: 0 cu: MICU cg: RN v1: 15 u1: points st: NotStopd t0: [16:00:00 23/09/2012] id: GI Intub #1/Site el: 0 cu: MICU cg: RN v1: Salem Sump v2: Right Nare st: NotStopd t0: [16:00:00 23/09/2012] id: GI#1 Tube Stat/Drain el: 0 cu: MICU cg: RN v1: Clamped st: NotStopd t0: [16:00:00 23/09/2012] id: Gag Reflex el: 0 cu: MICU cg: RN v1: Intact st: NotStopd t0: [16:00:00 23/09/2012] id: Heart Rate el: 0 cu: MICU cg: RN v1: 80 u1: BPM st: NotStopd t0: [16:00:00 23/09/2012] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [16:00:00 23/09/2012] id: INV Line#2 Type/Site el: 0 cu: MICU cg: RN v1: A-Line v2: Left Radial st: NotStopd t0: [16:00:00 23/09/2012] id: INV Line#2InsertDate el: 0 cu: MICU cg: RN v1: 8 v2: 27 st: NotStopd t0: [16:00:00 23/09/2012] id: INV Line#2SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [16:00:00 23/09/2012] id: INV Line#3 Site Date el: 0 cu: MICU cg: RN v1: 8 v2: 29 st: NotStopd t0: [16:00:00 23/09/2012] id: INV Line#3 Type/Site el: 0 cu: MICU cg: RN v1: Multi-lumen v2: Right IJ st: NotStopd t0: [16:00:00 23/09/2012] id: INV Line#3InsertDate el: 0 cu: MICU cg: RN v1: 8 v2: 28 st: NotStopd t0: [16:00:00 23/09/2012] id: INV Line#3SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [16:00:00 23/09/2012] id: Abdominal Assessment el: 0 cu: MICU cg: RN v1: Soft st: NotStopd t0: [16:00:00 23/09/2012] id: INV#2 WaveformAppear el: 0 cu: MICU cg: RN v1: Sharp st: NotStopd t0: [16:00:00 23/09/2012] id: IV #1 Insert Date el: 0 cu: MICU cg: RN v1: ? st: NotStopd t0: [16:00:00 23/09/2012] id: IV #1 Site/Size el: 0 cu: MICU cg: RN v1: RU Ant Forearm v2: 18 gauge st: NotStopd t0: [16:00:00 23/09/2012] id: IV #2 Insert Date el: 0 cu: MICU cg: RN v1: 8 v2: 28 st: NotStopd t0: [16:00:00 23/09/2012] id: IV #2 Site/Size el: 0 cu: MICU cg: RN v1: RU Ant Forearm v2: 16 gauge st: NotStopd t0: [16:00:00 23/09/2012] id: IV #3 Insert Date el: 0 cu: MICU cg: RN v1: 8 v2: 28 st: NotStopd t0: [16:00:00 23/09/2012] id: IV #3 Site/Size el: 0 cu: MICU cg: RN v1: Right Antecub v2: 18 gauge st: NotStopd t0: [16:00:00 23/09/2012] id: IV Site Appear #1 el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [16:00:00 23/09/2012] id: IV Site Appear #2 el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [16:00:00 23/09/2012] id: IV Site Appear #3 el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [16:00:00 23/09/2012] id: LLL Lung Sounds el: 0 cu: MICU cg: RN v1: Crackles st: NotStopd t0: [16:00:00 23/09/2012] id: LUL Lung Sounds el: 0 cu: MICU cg: RN v1: Clear st: NotStopd t0: [16:00:00 23/09/2012] id: Level of Conscious el: 0 cu: MICU cg: RN v1: Alert st: NotStopd t0: [16:00:00 23/09/2012] id: Motor Response el: 0 cu: MICU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [16:00:00 23/09/2012] id: Oral Cavity el: 0 cu: MICU cg: RN v1: Loose Teeth st: NotStopd t0: [16:00:00 23/09/2012] id: Orientation el: 0 cu: MICU cg: RN v1: Oriented x 3 st: NotStopd t0: [16:00:00 23/09/2012] id: Arterial BP el: 0 cu: MICU cg: RN v1: 135 u1: mmHg v2: 66 u2: mmHg st: NotStopd t0: [16:00:00 23/09/2012] id: Pain Location el: 0 cu: MICU cg: RN v1: Not Indicated st: NotStopd t0: [16:00:00 23/09/2012] id: Pain Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [16:00:00 23/09/2012] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 87 u1: mmHg st: NotStopd t0: [16:00:00 23/09/2012] id: PostTib. Pulses R/L el: 0 cu: MICU cg: RN v1: Strong/Palpable v2: Strong/Palpable st: NotStopd t0: [16:00:00 23/09/2012] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [16:00:00 23/09/2012] id: Pupil Size R/L el: 0 cu: MICU cg: RN v1: 3 mm v2: 3 mm st: NotStopd t0: [16:00:00 23/09/2012] id: RLL Lung Sounds el: 0 cu: MICU cg: RN v1: Crackles st: NotStopd t0: [16:00:00 23/09/2012] id: RUL Lung Sounds el: 0 cu: MICU cg: RN v1: Clear st: NotStopd t0: [16:00:00 23/09/2012] id: Respiratory Pattern el: 0 cu: MICU cg: RN v1: Regular st: NotStopd t0: [16:00:00 23/09/2012] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 22 u1: BPM st: NotStopd t0: [16:00:00 23/09/2012] id: Restraint Location el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [16:00:00 23/09/2012] id: Side Rails el: 0 cu: MICU cg: RN v1: Side Rails Up st: NotStopd t0: [16:00:00 23/09/2012] id: Skin Color el: 0 cu: MICU cg: RN v1: Jaundiced st: NotStopd t0: [16:00:00 23/09/2012] id: Skin Integrity el: 0 cu: MICU cg: RN v1: Intact st: NotStopd t0: [16:00:00 23/09/2012] id: Skin Temp/Condition el: 0 cu: MICU cg: RN v1: Warm v2: Dry st: NotStopd t0: [16:00:00 23/09/2012] id: SpO2 el: 0 cu: MICU cg: RN v1: 100 u1: % st: NotStopd t0: [16:00:00 23/09/2012] id: Spontaneous Movement el: 0 cu: MICU cg: RN v1: Purposeful st: NotStopd t0: [16:00:00 23/09/2012] id: Support Systems el: 0 cu: MICU cg: RN v1: Spouse st: NotStopd t0: [16:00:00 23/09/2012] id: Urine Color/Appear el: 0 cu: MICU cg: RN v1: Icteric v2: Clear st: NotStopd t0: [16:00:00 23/09/2012] id: Urine Source el: 0 cu: MICU cg: RN v1: Indwelling Cath st: NotStopd t0: [16:00:00 23/09/2012] id: Verbal Response el: 0 cu: MICU cg: RN v1: 5 Oriented st: NotStopd t0: [16:00:00 23/09/2012] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [16:00:00 23/09/2012] id: Behavior el: 0 cu: MICU cg: RN v1: Calm st: NotStopd t0: [16:00:00 23/09/2012] id: Bowel Sounds el: 0 cu: MICU cg: RN v1: Present st: NotStopd
t0: [16:00:00 23/09/2012] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 10 vu: ml t0: [16:00:00 23/09/2012] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 550 vu: ml
t0: [16:00:00 23/09/2012] id: Temp. Site el: 0 cu: MICU cg: RN v1: Oral st: NotStopd t0: [16:00:00 23/09/2012] id: Temperature C (calc) el: 0 cu: MICU cg: RN v1: 37.3333 u1: Deg. C st: NotStopd t0: [16:00:00 23/09/2012] id: Temperature F el: 0 cu: MICU cg: RN v1: 99.2 u1: Deg. F st: NotStopd
t0: [16:00:00 23/09/2012] id: D5W 100.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 105 vo: 100 vu: ml t0: [16:00:00 23/09/2012] tf: [10:00:00 24/09/2012] dt: 1080 id: Promote w/fiber 300.0str IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 10 vu: ml nb: 1
t0: [16:10:00 23/09/2012] id: Hematocrit Hematology el: 0 cu: MICU cg: 1663 v1: 31.9 u1: % rs: Final st: NotStopd
t0: [17:00:00 23/09/2012] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [17:00:00 23/09/2012] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [17:00:00 23/09/2012] id: Riker-SAS Scale el: 0 cu: MICU cg: RN v1: Calm/Cooperative st: NotStopd t0: [17:00:00 23/09/2012] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [17:00:00 23/09/2012] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [17:00:00 23/09/2012] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [17:00:00 23/09/2012] id: Heart Rate el: 0 cu: MICU cg: RN v1: 82 u1: BPM st: NotStopd t0: [17:00:00 23/09/2012] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [17:00:00 23/09/2012] id: Arterial BP el: 0 cu: MICU cg: RN v1: 132 u1: mmHg v2: 64 u2: mmHg st: NotStopd t0: [17:00:00 23/09/2012] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 86 u1: mmHg st: NotStopd t0: [17:00:00 23/09/2012] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [17:00:00 23/09/2012] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 26 u1: BPM st: NotStopd t0: [17:00:00 23/09/2012] id: SpO2 el: 0 cu: MICU cg: RN v1: 100 u1: % st: NotStopd t0: [17:00:00 23/09/2012] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [17:00:00 23/09/2012] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 10 vu: ml t0: [17:00:00 23/09/2012] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 360 vu: ml t0: [17:00:00 23/09/2012] id: Promote w/fiber 300.0str IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 10 vu: ml
t0: [17:00:00 23/09/2012] id: HOB el: 0 cu: MICU cg: RN v1: 45 degrees st: NotStopd t0: [17:00:00 23/09/2012] id: Activity el: 0 cu: MICU cg: RN v1: Bedrest st: NotStopd t0: [17:00:00 23/09/2012] id: Activity Tolerance el: 0 cu: MICU cg: RN v1: Tolerated Well st: NotStopd t0: [17:00:00 23/09/2012] id: AntiEmbDevice/Status el: 0 cu: MICU cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [17:00:00 23/09/2012] id: Position el: 0 cu: MICU cg: RN v1: Right Side st: NotStopd t0: [17:00:00 23/09/2012] id: Assistance Device el: 0 cu: MICU cg: RN v1: 1 Person Assist st: NotStopd t0: [17:00:00 23/09/2012] id: Turn el: 0 cu: MICU cg: RN v1: Right Side st: NotStopd t0: [18:00:00 23/09/2012] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [18:00:00 23/09/2012] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [18:00:00 23/09/2012] id: Riker-SAS Scale el: 0 cu: MICU cg: RN v1: Calm/Cooperative st: NotStopd t0: [18:00:00 23/09/2012] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [18:00:00 23/09/2012] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [18:00:00 23/09/2012] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [18:00:00 23/09/2012] id: Heart Rate el: 0 cu: MICU cg: RN v1: 87 u1: BPM st: NotStopd t0: [18:00:00 23/09/2012] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [18:00:00 23/09/2012] id: Arterial BP el: 0 cu: MICU cg: RN v1: 114 u1: mmHg v2: 55 u2: mmHg st: NotStopd t0: [18:00:00 23/09/2012] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 76 u1: mmHg st: NotStopd t0: [18:00:00 23/09/2012] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [18:00:00 23/09/2012] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 22 u1: BPM st: NotStopd t0: [18:00:00 23/09/2012] id: SpO2 el: 0 cu: MICU cg: RN v1: 97 u1: % st: NotStopd t0: [18:00:00 23/09/2012] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [18:00:00 23/09/2012] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 10 vu: ml t0: [18:00:00 23/09/2012] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 160 vu: ml t0: [18:00:00 23/09/2012] id: Promote w/fiber 300.0str IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 10 vu: ml
t0: [20:00:00 23/09/2012] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: MICU cg: -1 ai: 107 vo: 0 st: D/C'd
t0: [20:00:00 23/09/2012] id: Pain Present el: 0 cu: MICU cg: RN v1: No st: NotStopd t0: [20:00:00 23/09/2012] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [20:00:00 23/09/2012] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [20:00:00 23/09/2012] id: Riker-SAS Scale el: 0 cu: MICU cg: RN v1: Calm/Cooperative st: NotStopd t0: [20:00:00 23/09/2012] id: Cough Reflex el: 0 cu: MICU cg: RN v1: Intact st: NotStopd t0: [20:00:00 23/09/2012] id: Daily Wake Up el: 1 cu: MICU cg: RN v1: No/Not Sedated st: NotStopd t0: [20:00:00 23/09/2012] id: GI Prophylaxis el: 0 cu: MICU cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [20:00:00 23/09/2012] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [20:00:00 23/09/2012] id: Dorsal PedPulse R/L el: 0 cu: MICU cg: RN v1: Strong/Palpable v2: Strong/Palpable st: NotStopd t0: [20:00:00 23/09/2012] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [20:00:00 23/09/2012] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [20:00:00 23/09/2012] id: Eye Opening el: 0 cu: MICU cg: RN v1: 4 Spontaneously st: NotStopd t0: [20:00:00 23/09/2012] id: Follows Commands el: 0 cu: MICU cg: RN v1: Consistently st: NotStopd t0: [20:00:00 23/09/2012] id: GCS Total el: 0 cu: MICU cg: RN v1: 15 u1: points st: NotStopd t0: [20:00:00 23/09/2012] id: GI Intub #1/Site el: 0 cu: MICU cg: RN v1: Salem Sump v2: Right Nare st: NotStopd t0: [20:00:00 23/09/2012] id: GI#1 Tube PlaceCheck el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [20:00:00 23/09/2012] id: GI#1 Tube Stat/Drain el: 0 cu: MICU cg: RN v1: Feeding v2: Undigested Food st: NotStopd t0: [20:00:00 23/09/2012] id: Gag Reflex el: 0 cu: MICU cg: RN v1: Intact st: NotStopd t0: [20:00:00 23/09/2012] id: Heart Rate el: 0 cu: MICU cg: RN v1: 85 u1: BPM st: NotStopd t0: [20:00:00 23/09/2012] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [20:00:00 23/09/2012] id: Abdominal Assessment el: 0 cu: MICU cg: RN v1: Soft st: NotStopd t0: [20:00:00 23/09/2012] id: LLL Lung Sounds el: 0 cu: MICU cg: RN v1: Bronchial st: NotStopd t0: [20:00:00 23/09/2012] id: LUL Lung Sounds el: 0 cu: MICU cg: RN v1: Clear st: NotStopd t0: [20:00:00 23/09/2012] id: Level of Conscious el: 0 cu: MICU cg: RN v1: Alert st: NotStopd t0: [20:00:00 23/09/2012] id: Motor Response el: 0 cu: MICU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [20:00:00 23/09/2012] id: Oral Cavity el: 0 cu: MICU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [20:00:00 23/09/2012] id: Orientation el: 0 cu: MICU cg: RN v1: Oriented x 3 st: NotStopd t0: [20:00:00 23/09/2012] id: Arterial BP el: 0 cu: MICU cg: RN v1: 141 u1: mmHg v2: 71 u2: mmHg st: NotStopd t0: [20:00:00 23/09/2012] id: Pain Location el: 0 cu: MICU cg: RN v1: Not Indicated st: NotStopd t0: [20:00:00 23/09/2012] id: Pain Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [20:00:00 23/09/2012] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 92 u1: mmHg st: NotStopd t0: [20:00:00 23/09/2012] id: PostTib. Pulses R/L el: 0 cu: MICU cg: RN v1: Strong/Palpable v2: Strong/Palpable st: NotStopd t0: [20:00:00 23/09/2012] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [20:00:00 23/09/2012] id: Pupil Size R/L el: 0 cu: MICU cg: RN v1: 3 mm v2: 3 mm st: NotStopd t0: [20:00:00 23/09/2012] id: RLL Lung Sounds el: 0 cu: MICU cg: RN v1: Crackles st: NotStopd t0: [20:00:00 23/09/2012] id: RUL Lung Sounds el: 0 cu: MICU cg: RN v1: Clear st: NotStopd t0: [20:00:00 23/09/2012] id: Respiratory Pattern el: 0 cu: MICU cg: RN v1: Regular st: NotStopd t0: [20:00:00 23/09/2012] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 22 u1: BPM st: NotStopd t0: [20:00:00 23/09/2012] id: SpO2 el: 0 cu: MICU cg: RN v1: 94 u1: % st: NotStopd t0: [20:00:00 23/09/2012] id: Spontaneous Movement el: 0 cu: MICU cg: RN v1: Purposeful st: NotStopd t0: [20:00:00 23/09/2012] id: Sputum Color/Consist el: 0 cu: MICU cg: RN v1: Tan v2: Thick st: NotStopd t0: [20:00:00 23/09/2012] id: Sputum Source/Amt el: 0 cu: MICU cg: RN v1: Expectorated v2: Moderate st: NotStopd t0: [20:00:00 23/09/2012] id: Temp. Site el: 0 cu: MICU cg: RN v1: Oral st: NotStopd t0: [20:00:00 23/09/2012] id: Temperature C (calc) el: 0 cu: MICU cg: RN v1: 37.6111 u1: Deg. C st: NotStopd t0: [20:00:00 23/09/2012] id: Temperature F el: 0 cu: MICU cg: RN v1: 99.7 u1: Deg. F st: NotStopd t0: [20:00:00 23/09/2012] id: Urine Color/Appear el: 0 cu: MICU cg: RN v1: Icteric v2: Clear st: NotStopd t0: [20:00:00 23/09/2012] id: Urine Source el: 0 cu: MICU cg: RN v1: Indwelling Cath st: NotStopd t0: [20:00:00 23/09/2012] id: Verbal Response el: 0 cu: MICU cg: RN v1: 5 Oriented st: NotStopd t0: [20:00:00 23/09/2012] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [20:00:00 23/09/2012] id: Bowel Sounds el: 0 cu: MICU cg: RN v1: Present st: NotStopd
t0: [20:00:00 23/09/2012] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 20 vu: ml t0: [20:00:00 23/09/2012] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 350 vu: ml t0: [20:00:00 23/09/2012] id: Promote w/fiber 300.0str IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 20 vu: ml
t0: [20:00:00 23/09/2012] id: INV#3Chg o/Wire Date el: 0 cu: MICU cg: RN v1: 8 v2: 29 st: NotStopd t0: [20:00:00 23/09/2012] id: HOB el: 0 cu: MICU cg: RN v1: 45 degrees st: NotStopd t0: [20:00:00 23/09/2012] id: INV Line#2 Type/Site el: 0 cu: MICU cg: RN v1: A-Line v2: Left Radial st: NotStopd t0: [20:00:00 23/09/2012] id: INV Line#2 Zero/Cal el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [20:00:00 23/09/2012] id: INV Line#2InsertDate el: 0 cu: MICU cg: RN v1: 8 v2: 27 st: NotStopd t0: [20:00:00 23/09/2012] id: INV Line#2SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [20:00:00 23/09/2012] id: INV Line#3 Site Date el: 0 cu: MICU cg: RN v1: 8 v2: 29 st: NotStopd t0: [20:00:00 23/09/2012] id: INV Line#3 Type/Site el: 0 cu: MICU cg: RN v1: Multi-lumen v2: Right IJ st: NotStopd t0: [20:00:00 23/09/2012] id: INV Line#3InsertDate el: 0 cu: MICU cg: RN v1: 8 v2: 28 st: NotStopd t0: [20:00:00 23/09/2012] id: INV Line#3SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [20:00:00 23/09/2012] id: INV#2 WaveformAppear el: 0 cu: MICU cg: RN v1: Sharp st: NotStopd t0: [20:00:00 23/09/2012] id: IV #1 Insert Date el: 0 cu: MICU cg: RN v1: ? st: NotStopd t0: [20:00:00 23/09/2012] id: IV #1 Site/Size el: 0 cu: MICU cg: RN v1: RU Ant Forearm v2: 18 gauge st: NotStopd t0: [20:00:00 23/09/2012] id: IV #2 Insert Date el: 0 cu: MICU cg: RN v1: 8 v2: 28 st: NotStopd t0: [20:00:00 23/09/2012] id: IV #2 Site/Size el: 0 cu: MICU cg: RN v1: RU Ant Forearm v2: 16 gauge st: NotStopd t0: [20:00:00 23/09/2012] id: IV #3 Insert Date el: 0 cu: MICU cg: RN v1: 8 v2: 28 st: NotStopd t0: [20:00:00 23/09/2012] id: IV #3 Site/Size el: 0 cu: MICU cg: RN v1: Right Antecub v2: 18 gauge st: NotStopd t0: [20:00:00 23/09/2012] id: Activity el: 0 cu: MICU cg: RN v1: Bedrest st: NotStopd t0: [20:00:00 23/09/2012] id: IV Site Appear #1 el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [20:00:00 23/09/2012] id: IV Site Appear #2 el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [20:00:00 23/09/2012] id: IV Site Appear #3 el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [20:00:00 23/09/2012] id: Activity Tolerance el: 0 cu: MICU cg: RN v1: Good st: NotStopd t0: [20:00:00 23/09/2012] id: Oral Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [20:00:00 23/09/2012] id: AntiEmbDevice/Status el: 0 cu: MICU cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [20:00:00 23/09/2012] id: Position el: 0 cu: MICU cg: RN v1: Supine st: NotStopd t0: [20:00:00 23/09/2012] id: Assistance Device el: 0 cu: MICU cg: RN v1: 1 Person Assist st: NotStopd t0: [20:00:00 23/09/2012] id: Restraint Location el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [20:00:00 23/09/2012] id: Side Rails el: 0 cu: MICU cg: RN v1: Side Rails Up st: NotStopd t0: [20:00:00 23/09/2012] id: Skin Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [20:00:00 23/09/2012] id: Skin Color el: 0 cu: MICU cg: RN v1: Jaundiced st: NotStopd t0: [20:00:00 23/09/2012] id: Skin Integrity el: 0 cu: MICU cg: RN v1: Intact st: NotStopd t0: [20:00:00 23/09/2012] id: Skin Temp/Condition el: 0 cu: MICU cg: RN v1: Warm v2: Dry st: NotStopd t0: [20:00:00 23/09/2012] id: Support Systems el: 0 cu: MICU cg: RN v1: Spouse st: NotStopd t0: [20:00:00 23/09/2012] id: Turn el: 0 cu: MICU cg: RN v1: Side to Side st: NotStopd t0: [20:00:00 23/09/2012] id: Back Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [20:00:00 23/09/2012] id: Behavior el: 0 cu: MICU cg: RN v1: Calm st: NotStopd t0: [20:00:00 23/09/2012] id: Braden Activity el: 0 cu: MICU cg: RN v1: Bedfast st: NotStopd t0: [20:00:00 23/09/2012] id: Braden Frict/Shear el: 0 cu: MICU cg: RN v1: Potential Prob st: NotStopd t0: [20:00:00 23/09/2012] id: Braden Mobility el: 0 cu: MICU cg: RN v1: Very Limited st: NotStopd t0: [20:00:00 23/09/2012] id: Braden Moisture el: 0 cu: MICU cg: RN v1: Occ. Moist st: NotStopd t0: [20:00:00 23/09/2012] id: Braden Nutrition el: 0 cu: MICU cg: RN v1: Very Poor st: NotStopd t0: [20:00:00 23/09/2012] id: Braden Score el: 0 cu: MICU cg: RN v1: 12 u1: number st: NotStopd t0: [20:00:00 23/09/2012] id: Braden SensoryPercep el: 0 cu: MICU cg: RN v1: Sl. Limited st: NotStopd t0: [21:00:00 23/09/2012] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [21:00:00 23/09/2012] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [21:00:00 23/09/2012] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [21:00:00 23/09/2012] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [21:00:00 23/09/2012] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [21:00:00 23/09/2012] id: Heart Rate el: 0 cu: MICU cg: RN v1: 81 u1: BPM st: NotStopd t0: [21:00:00 23/09/2012] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [21:00:00 23/09/2012] id: Arterial BP el: 0 cu: MICU cg: RN v1: 140 u1: mmHg v2: 70 u2: mmHg st: NotStopd t0: [21:00:00 23/09/2012] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 91 u1: mmHg st: NotStopd t0: [21:00:00 23/09/2012] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [21:00:00 23/09/2012] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 21 u1: BPM st: NotStopd t0: [21:00:00 23/09/2012] id: SpO2 el: 0 cu: MICU cg: RN v1: 100 u1: % st: NotStopd t0: [21:00:00 23/09/2012] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [20:00:00 23/09/2012] id: Chest PT R/L el: 0 cu: MICU cg: RN v1: Done v2: Done st: NotStopd t0: [20:00:00 23/09/2012] id: Cough/Deep Breathe el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [20:00:00 23/09/2012] id: Incentive Spirometry el: 0 cu: MICU cg: RN v1: Done st: NotStopd
tf: [21:00:00 24/09/2012] pt: IV Piggyback rt: IV fr: ONCE fs: 22 dn: 1 m1: Potassium Chloride v1: 40 u1: mEq m2: SW v2: 100 u2: ml
t0: [22:00:00 23/09/2012] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [22:00:00 23/09/2012] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [22:00:00 23/09/2012] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [22:00:00 23/09/2012] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [22:00:00 23/09/2012] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [22:00:00 23/09/2012] id: Heart Rate el: 0 cu: MICU cg: RN v1: 78 u1: BPM st: NotStopd t0: [22:00:00 23/09/2012] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [22:00:00 23/09/2012] id: Arterial BP el: 0 cu: MICU cg: RN v1: 132 u1: mmHg v2: 61 u2: mmHg st: NotStopd t0: [22:00:00 23/09/2012] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 82 u1: mmHg st: NotStopd t0: [22:00:00 23/09/2012] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [22:00:00 23/09/2012] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 22 u1: BPM st: NotStopd t0: [22:00:00 23/09/2012] id: SpO2 el: 0 cu: MICU cg: RN v1: 100 u1: % st: NotStopd t0: [22:00:00 23/09/2012] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [22:00:00 23/09/2012] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 20 vu: ml t0: [22:00:00 23/09/2012] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 120 vu: ml t0: [22:00:00 23/09/2012] id: Promote w/fiber 300.0str IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 40 vu: ml
t0: [20:00:00 23/09/2012] id: Extubation Date el: 0 cu: MICU cg: RN v1: 8 v2: 31 st: NotStopd t0: [20:00:00 23/09/2012] id: FiO2 Set el: 0 cu: MICU cg: RN v1: 0.7 u1: torr st: NotStopd t0: [20:00:00 23/09/2012] id: Intubation Date el: 0 cu: MICU cg: RN v1: 8 v2: 27 st: NotStopd t0: [20:00:00 23/09/2012] id: O2 Delivery Device el: 0 cu: MICU cg: RN v1: Aerosol-Cool st: NotStopd t0: [20:00:00 23/09/2012] id: O2 Flow (lpm) el: 0 cu: MICU cg: RN v1: 15 u1: lpm st: NotStopd t0: [20:00:00 23/09/2012] id: Ventilator Type el: 0 cu: MICU cg: RN v1: 7200A st: NotStopd t0: [22:00:00 23/09/2012] id: FiO2 Set el: 0 cu: MICU cg: RN v1: 0.5 u1: torr st: NotStopd t0: [22:00:00 23/09/2012] id: O2 Delivery Device el: 0 cu: MICU cg: RN v1: Aerosol-Cool st: NotStopd t0: [22:00:00 23/09/2012] id: O2 Flow (lpm) el: 0 cu: MICU cg: RN v1: 15 u1: lpm st: NotStopd t0: [23:00:00 23/09/2012] id: Pain Present el: 0 cu: MICU cg: RN v1: No st: NotStopd t0: [23:00:00 23/09/2012] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [23:00:00 23/09/2012] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [23:00:00 23/09/2012] id: Riker-SAS Scale el: 0 cu: MICU cg: RN v1: Calm/Cooperative st: NotStopd t0: [23:00:00 23/09/2012] id: Daily Wake Up el: 1 cu: MICU cg: RN v1: No/Not Sedated st: NotStopd t0: [23:00:00 23/09/2012] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [23:00:00 23/09/2012] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [23:00:00 23/09/2012] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [23:00:00 23/09/2012] id: Heart Rate el: 0 cu: MICU cg: RN v1: 85 u1: BPM st: NotStopd t0: [23:00:00 23/09/2012] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [23:00:00 23/09/2012] id: NBP el: 0 cu: MICU cg: RN v1: 129 u1: mmHg v2: 63 u2: mmHg st: NotStopd t0: [23:00:00 23/09/2012] id: NBP Mean el: 0 cu: MICU cg: RN v1: 85 u1: mmHg st: NotStopd t0: [23:00:00 23/09/2012] id: O2 Delivery Device el: 0 cu: MICU cg: RN v1: Nasal Cannula st: NotStopd t0: [23:00:00 23/09/2012] id: O2 Flow (lpm) el: 0 cu: MICU cg: RN v1: 4 u1: lpm st: NotStopd t0: [23:00:00 23/09/2012] id: Arterial BP el: 0 cu: MICU cg: RN v1: 134 u1: mmHg v2: 65 u2: mmHg st: NotStopd t0: [23:00:00 23/09/2012] id: Pain Location el: 0 cu: MICU cg: RN v1: Not Indicated st: NotStopd t0: [23:00:00 23/09/2012] id: Pain Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [23:00:00 23/09/2012] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 86 u1: mmHg st: NotStopd t0: [23:00:00 23/09/2012] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [23:00:00 23/09/2012] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 22 u1: BPM st: NotStopd t0: [23:00:00 23/09/2012] id: SpO2 el: 0 cu: MICU cg: RN v1: 99 u1: % st: NotStopd t0: [23:00:00 23/09/2012] id: Temp. Site el: 0 cu: MICU cg: RN v1: Oral st: NotStopd t0: [23:00:00 23/09/2012] id: Temperature C (calc) el: 0 cu: MICU cg: RN v1: 37.4444 u1: Deg. C st: NotStopd t0: [23:00:00 23/09/2012] id: Temperature F el: 0 cu: MICU cg: RN v1: 99.4 u1: Deg. F st: NotStopd t0: [23:00:00 23/09/2012] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [20:00:00 23/09/2012] id: Diet Type el: 0 cu: MICU cg: RN v1: Tube Feeding st: NotStopd t0: [20:00:00 23/09/2012] id: Stool Guaiac el: 0 cu: MICU cg: RN v1: Positive st: NotStopd t0: [23:00:00 23/09/2012] id: Cough Reflex el: 0 cu: MICU cg: RN v1: Intact st: NotStopd t0: [23:00:00 23/09/2012] id: GI Prophylaxis el: 0 cu: MICU cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [23:00:00 23/09/2012] id: Diet Type el: 0 cu: MICU cg: RN v1: Tube Feeding st: NotStopd t0: [23:00:00 23/09/2012] id: Eye Opening el: 0 cu: MICU cg: RN v1: 4 Spontaneously st: NotStopd t0: [23:00:00 23/09/2012] id: Follows Commands el: 0 cu: MICU cg: RN v1: Consistently st: NotStopd t0: [23:00:00 23/09/2012] id: GCS Total el: 0 cu: MICU cg: RN v1: 15 u1: points st: NotStopd t0: [23:00:00 23/09/2012] id: GI Intub #1/Site el: 0 cu: MICU cg: RN v1: Salem Sump v2: Right Nare st: NotStopd t0: [23:00:00 23/09/2012] id: GI#1 Tube PlaceCheck el: 0 cu: MICU cg: RN v1: Not Done st: NotStopd t0: [23:00:00 23/09/2012] id: GI#1 Tube Stat/Drain el: 0 cu: MICU cg: RN v1: Feeding st: NotStopd t0: [23:00:00 23/09/2012] id: Gag Reflex el: 0 cu: MICU cg: RN v1: Intact st: NotStopd t0: [23:00:00 23/09/2012] id: Abdominal Assessment el: 0 cu: MICU cg: RN v1: Soft st: NotStopd t0: [23:00:00 23/09/2012] id: Level of Conscious el: 0 cu: MICU cg: RN v1: Alert st: NotStopd t0: [23:00:00 23/09/2012] id: Motor Response el: 0 cu: MICU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [23:00:00 23/09/2012] id: Oral Cavity el: 0 cu: MICU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [23:00:00 23/09/2012] id: Orientation el: 0 cu: MICU cg: RN v1: Oriented x 3 st: NotStopd t0: [23:00:00 23/09/2012] id: Pupil Size R/L el: 0 cu: MICU cg: RN v1: 3 mm v2: 3 mm st: NotStopd t0: [23:00:00 23/09/2012] id: Respiratory Pattern el: 0 cu: MICU cg: RN v1: Regular st: NotStopd t0: [23:00:00 23/09/2012] id: Spontaneous Movement el: 0 cu: MICU cg: RN v1: Purposeful st: NotStopd t0: [23:00:00 23/09/2012] id: Urine Color/Appear el: 0 cu: MICU cg: RN v1: Icteric v2: Clear st: NotStopd t0: [23:00:00 23/09/2012] id: Urine Source el: 0 cu: MICU cg: RN v1: Indwelling Cath st: NotStopd t0: [23:00:00 23/09/2012] id: Verbal Response el: 0 cu: MICU cg: RN v1: 5 Oriented st: NotStopd t0: [23:00:00 23/09/2012] id: Bowel Sounds el: 0 cu: MICU cg: RN v1: Present st: NotStopd
t0: [22:00:00 23/09/2012] id: Gastric Meds PO/Gastric el: 1 cu: MICU cg: RN ai: 155 vo: 60 vu: ml t0: [23:00:00 23/09/2012] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 10 vu: ml t0: [23:00:00 23/09/2012] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 100 vu: ml t0: [23:00:00 23/09/2012] id: Promote w/fiber 300.0str IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 20 vu: ml
t0: [23:00:00 23/09/2012] dt: 24 id: PO/Gastric In Total el: 2 cu: MICU cg: RN cv: 60 ap: none t0: [23:00:00 23/09/2012] dt: 24 id: Tube Feeds In Total el: 2 cu: MICU cg: RN pv: 20 cv: 110 ap: none
t0: [20:00:00 23/09/2012] id: Reason For Restraint el: 0 cu: MICU cg: RN st: NotStopd t0: [20:00:00 23/09/2012] id: Restraint Type el: 0 cu: MICU cg: RN st: NotStopd t0: [23:00:00 23/09/2012] id: INV#3Chg o/Wire Date el: 0 cu: MICU cg: RN v1: 8 v2: 29 st: NotStopd t0: [23:00:00 23/09/2012] id: HOB el: 0 cu: MICU cg: RN v1: 45 degrees st: NotStopd t0: [23:00:00 23/09/2012] id: INV Line#2 Type/Site el: 0 cu: MICU cg: RN v1: A-Line v2: Left Radial st: NotStopd t0: [23:00:00 23/09/2012] id: INV Line#2 Zero/Cal el: 0 cu: MICU cg: RN v1: No st: NotStopd t0: [23:00:00 23/09/2012] id: INV Line#2InsertDate el: 0 cu: MICU cg: RN v1: 8 v2: 27 st: NotStopd t0: [23:00:00 23/09/2012] id: INV Line#2SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [23:00:00 23/09/2012] id: INV Line#3 Site Date el: 0 cu: MICU cg: RN v1: 8 v2: 29 st: NotStopd t0: [23:00:00 23/09/2012] id: INV Line#3 Type/Site el: 0 cu: MICU cg: RN v1: Multi-lumen v2: Right IJ st: NotStopd t0: [23:00:00 23/09/2012] id: INV Line#3InsertDate el: 0 cu: MICU cg: RN v1: 8 v2: 28 st: NotStopd t0: [23:00:00 23/09/2012] id: INV Line#3SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [23:00:00 23/09/2012] id: INV#2 WaveformAppear el: 0 cu: MICU cg: RN v1: Sharp st: NotStopd t0: [23:00:00 23/09/2012] id: IV #1 Insert Date el: 0 cu: MICU cg: RN v1: ? st: NotStopd t0: [23:00:00 23/09/2012] id: IV #1 Site/Size el: 0 cu: MICU cg: RN v1: RU Ant Forearm v2: 18 gauge st: NotStopd t0: [23:00:00 23/09/2012] id: IV #2 Insert Date el: 0 cu: MICU cg: RN v1: 8 v2: 28 st: NotStopd t0: [23:00:00 23/09/2012] id: IV #2 Site/Size el: 0 cu: MICU cg: RN v1: RU Ant Forearm v2: 16 gauge st: NotStopd t0: [23:00:00 23/09/2012] id: IV #3 Insert Date el: 0 cu: MICU cg: RN v1: 8 v2: 28 st: NotStopd t0: [23:00:00 23/09/2012] id: IV #3 Site/Size el: 0 cu: MICU cg: RN v1: Right Antecub v2: 18 gauge st: NotStopd t0: [23:00:00 23/09/2012] id: Activity el: 0 cu: MICU cg: RN v1: Bedrest st: NotStopd t0: [23:00:00 23/09/2012] id: IV Site Appear #1 el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [23:00:00 23/09/2012] id: IV Site Appear #2 el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [23:00:00 23/09/2012] id: IV Site Appear #3 el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [23:00:00 23/09/2012] id: Activity Tolerance el: 0 cu: MICU cg: RN v1: Good st: NotStopd t0: [23:00:00 23/09/2012] id: Incentive Spirometry el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [23:00:00 23/09/2012] id: AntiEmbDevice/Status el: 0 cu: MICU cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [23:00:00 23/09/2012] id: Assistance Device el: 0 cu: MICU cg: RN v1: 1 Person Assist st: NotStopd t0: [23:00:00 23/09/2012] id: Restraint Location el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [23:00:00 23/09/2012] id: Side Rails el: 0 cu: MICU cg: RN v1: Side Rails Up st: NotStopd t0: [23:00:00 23/09/2012] id: Skin Color el: 0 cu: MICU cg: RN v1: Jaundiced st: NotStopd t0: [23:00:00 23/09/2012] id: Skin Integrity el: 0 cu: MICU cg: RN v1: Intact st: NotStopd t0: [23:00:00 23/09/2012] id: Skin Temp/Condition el: 0 cu: MICU cg: RN v1: Warm v2: Dry st: NotStopd t0: [23:00:00 23/09/2012] id: Support Systems el: 0 cu: MICU cg: RN v1: Spouse st: NotStopd t0: [23:00:00 23/09/2012] id: Turn el: 0 cu: MICU cg: RN v1: Side to Side st: NotStopd t0: [23:00:00 23/09/2012] id: Behavior el: 0 cu: MICU cg: RN v1: Calm st: NotStopd
t0: [23:00:00 23/09/2012] id: D5W 100.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 105 vo: 50 vu: ml
tf: [22:00:00 24/09/2012] pt: Unit Dose rt: PO fr: ONCE fs: 23 dn: 1 m1: Zolpidem Tartrate v1: 5 u1: mg
t0: [00:00:00 24/09/2012] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [00:00:00 24/09/2012] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [00:00:00 24/09/2012] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [00:00:00 24/09/2012] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [00:00:00 24/09/2012] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [00:00:00 24/09/2012] id: Heart Rate el: 0 cu: MICU cg: RN v1: 83 u1: BPM st: NotStopd t0: [00:00:00 24/09/2012] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [00:00:00 24/09/2012] id: Arterial BP el: 0 cu: MICU cg: RN v1: 123 u1: mmHg v2: 60 u2: mmHg st: NotStopd t0: [00:00:00 24/09/2012] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 79 u1: mmHg st: NotStopd t0: [00:00:00 24/09/2012] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [00:00:00 24/09/2012] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 18 u1: BPM st: NotStopd t0: [00:00:00 24/09/2012] id: SpO2 el: 0 cu: MICU cg: RN v1: 98 u1: % st: NotStopd t0: [00:00:00 24/09/2012] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [00:00:00 24/09/2012] id: D5W 100.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 105 vo: 100 vu: ml t0: [00:00:00 24/09/2012] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 10 vu: ml t0: [00:00:00 24/09/2012] id: Promote w/fiber 300.0str IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 20 vu: ml
t0: [23:00:00 23/09/2012] id: Dorsal PedPulse R/L el: 0 cu: MICU cg: RN v1: Strong/Palpable v2: Strong/Palpable st: NotStopd t0: [23:00:00 23/09/2012] id: LLL Lung Sounds el: 0 cu: MICU cg: RN v1: Clear st: NotStopd t0: [23:00:00 23/09/2012] id: LUL Lung Sounds el: 0 cu: MICU cg: RN v1: Clear st: NotStopd t0: [23:00:00 23/09/2012] id: Position el: 0 cu: MICU cg: RN v1: Left Side st: NotStopd t0: [23:00:00 23/09/2012] id: PostTib. Pulses R/L el: 0 cu: MICU cg: RN v1: Strong/Palpable v2: Strong/Palpable st: NotStopd t0: [23:00:00 23/09/2012] id: RLL Lung Sounds el: 0 cu: MICU cg: RN v1: Crackles st: NotStopd t0: [23:00:00 23/09/2012] id: RUL Lung Sounds el: 0 cu: MICU cg: RN v1: Clear st: NotStopd t0: [01:00:00 24/09/2012] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [01:00:00 24/09/2012] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [01:00:00 24/09/2012] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [01:00:00 24/09/2012] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [01:00:00 24/09/2012] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [01:00:00 24/09/2012] id: HOB el: 0 cu: MICU cg: RN v1: 45 degrees st: NotStopd t0: [01:00:00 24/09/2012] id: Heart Rate el: 0 cu: MICU cg: RN v1: 85 u1: BPM st: NotStopd t0: [01:00:00 24/09/2012] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [01:00:00 24/09/2012] id: Activity el: 0 cu: MICU cg: RN v1: Bedrest st: NotStopd t0: [01:00:00 24/09/2012] id: Activity Tolerance el: 0 cu: MICU cg: RN v1: Good st: NotStopd t0: [01:00:00 24/09/2012] id: AntiEmbDevice/Status el: 0 cu: MICU cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [01:00:00 24/09/2012] id: Arterial BP el: 0 cu: MICU cg: RN v1: 123 u1: mmHg v2: 60 u2: mmHg st: NotStopd t0: [01:00:00 24/09/2012] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 81 u1: mmHg st: NotStopd t0: [01:00:00 24/09/2012] id: Position el: 0 cu: MICU cg: RN v1: Left Side st: NotStopd t0: [01:00:00 24/09/2012] id: Assistance Device el: 0 cu: MICU cg: RN v1: 1 Person Assist st: NotStopd t0: [01:00:00 24/09/2012] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [01:00:00 24/09/2012] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 22 u1: BPM st: NotStopd t0: [01:00:00 24/09/2012] id: SpO2 el: 0 cu: MICU cg: RN v1: 98 u1: % st: NotStopd t0: [01:00:00 24/09/2012] id: Turn el: 0 cu: MICU cg: RN v1: Side to Side st: NotStopd t0: [01:00:00 24/09/2012] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [21:00:00 23/09/2012] id: Stool Out Stool el: 1 cu: MICU cg: RN vo: 200 vu: ml t0: [01:00:00 24/09/2012] id: D5W 100.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 105 vo: 150 vu: ml t0: [01:00:00 24/09/2012] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 10 vu: ml t0: [01:00:00 24/09/2012] id: Stool Out Stool el: 1 cu: MICU cg: RN vo: 300 vu: ml t0: [01:00:00 24/09/2012] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 120 vu: ml t0: [01:00:00 24/09/2012] id: Promote w/fiber 300.0str IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 20 vu: ml
t0: [02:36:00 24/09/2012] id: Art.pH ABG el: 0 cu: MICU cg: 1663 v1: 7.44 rs: Final st: NotStopd t0: [02:36:00 24/09/2012] id: Arterial Base Excess ABG el: 0 cu: MICU cg: 1663 v1: 0 rs: Final st: NotStopd t0: [02:36:00 24/09/2012] id: Arterial CO2(Calc) ABG el: 0 cu: MICU cg: 1663 v1: 26 rs: Final st: NotStopd t0: [02:36:00 24/09/2012] id: Arterial PaCO2 ABG el: 0 cu: MICU cg: 1663 v1: 37 u1: mmHg rs: Final st: NotStopd t0: [02:36:00 24/09/2012] id: Arterial PaO2 ABG el: 0 cu: MICU cg: 1663 v1: 91 u1: mmHg rs: Final st: NotStopd t0: [02:36:00 24/09/2012] id: Arterial pH ABG el: 0 cu: MICU cg: 1663 v1: 7.44 rs: Final st: NotStopd
t0: [02:36:00 24/09/2012] id: WBC (4-11,000) Hematology el: 0 cu: MICU cg: 1663 v1: 11.5 rs: Final st: NotStopd t0: [02:36:00 24/09/2012] id: WBC Hematology el: 0 cu: MICU cg: 1663 v1: 11.5 rs: Final st: NotStopd t0: [02:36:00 24/09/2012] id: Hematocrit Hematology el: 0 cu: MICU cg: 1663 v1: 32.2 u1: % rs: Final st: NotStopd t0: [02:36:00 24/09/2012] id: Hemoglobin Hematology el: 0 cu: MICU cg: 1663 v1: 10.4 u1: gm/dl rs: Final st: NotStopd t0: [02:36:00 24/09/2012] id: Platelets Hematology el: 0 cu: MICU cg: 1663 v1: 161 rs: Final st: NotStopd t0: [02:36:00 24/09/2012] id: RBC Hematology el: 0 cu: MICU cg: 1663 v1: 3.46 u1: /mic l rs: Final st: NotStopd t0: [02:36:00 24/09/2012] id: WBC (4-11,000) Hematology el: 0 cu: MICU cg: 1663 v1: 11.5 rs: Final st: NotStopd
t0: [02:00:00 24/09/2012] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [02:00:00 24/09/2012] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [02:00:00 24/09/2012] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [02:00:00 24/09/2012] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [02:00:00 24/09/2012] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [02:00:00 24/09/2012] id: HOB el: 0 cu: MICU cg: RN v1: 45 degrees st: NotStopd t0: [02:00:00 24/09/2012] id: Heart Rate el: 0 cu: MICU cg: RN v1: 88 u1: BPM st: NotStopd t0: [02:00:00 24/09/2012] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [02:00:00 24/09/2012] id: Activity el: 0 cu: MICU cg: RN v1: Bedrest st: NotStopd t0: [02:00:00 24/09/2012] id: Activity Tolerance el: 0 cu: MICU cg: RN v1: Good st: NotStopd t0: [02:00:00 24/09/2012] id: AntiEmbDevice/Status el: 0 cu: MICU cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [02:00:00 24/09/2012] id: Arterial BP el: 0 cu: MICU cg: RN v1: 144 u1: mmHg v2: 81 u2: mmHg st: NotStopd t0: [02:00:00 24/09/2012] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 101 u1: mmHg st: NotStopd t0: [02:00:00 24/09/2012] id: Position el: 0 cu: MICU cg: RN v1: Supine st: NotStopd t0: [02:00:00 24/09/2012] id: Assistance Device el: 0 cu: MICU cg: RN v1: 1 Person Assist st: NotStopd t0: [02:00:00 24/09/2012] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [02:00:00 24/09/2012] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 18 u1: BPM st: NotStopd t0: [02:00:00 24/09/2012] id: SpO2 el: 0 cu: MICU cg: RN v1: 96 u1: % st: NotStopd t0: [02:00:00 24/09/2012] id: Turn el: 0 cu: MICU cg: RN v1: Side to Side st: NotStopd t0: [02:00:00 24/09/2012] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [03:00:00 24/09/2012] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [03:00:00 24/09/2012] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [03:00:00 24/09/2012] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [03:00:00 24/09/2012] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [03:00:00 24/09/2012] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [03:00:00 24/09/2012] id: Heart Rate el: 0 cu: MICU cg: RN v1: 82 u1: BPM st: NotStopd t0: [03:00:00 24/09/2012] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [03:00:00 24/09/2012] id: Arterial BP el: 0 cu: MICU cg: RN v1: 128 u1: mmHg v2: 64 u2: mmHg st: NotStopd t0: [03:00:00 24/09/2012] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 84 u1: mmHg st: NotStopd t0: [03:00:00 24/09/2012] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [03:00:00 24/09/2012] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 22 u1: BPM st: NotStopd t0: [03:00:00 24/09/2012] id: SpO2 el: 0 cu: MICU cg: RN v1: 98 u1: % st: NotStopd t0: [03:00:00 24/09/2012] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [02:00:00 24/09/2012] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 10 vu: ml t0: [02:00:00 24/09/2012] id: Stool Out Stool el: 1 cu: MICU cg: RN vo: 100 vu: ml t0: [02:00:00 24/09/2012] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 130 vu: ml t0: [02:00:00 24/09/2012] id: Promote w/fiber 300.0str IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 30 vu: ml t0: [03:00:00 24/09/2012] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 10 vu: ml t0: [03:00:00 24/09/2012] id: Promote w/fiber 300.0str IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 30 vu: ml
t0: [23:00:00 24/09/2012] dt: 1 id: Total Hourly Output el: 2 cu: MICU cg: RN cv: 0 ap: none t0: [23:00:00 24/09/2012] dt: 1 id: Net Hourly Balance el: 2 cu: MICU cg: RN pv: 60 cv: 60 ap: none t0: [23:00:00 24/09/2012] dt: 24 id: IV Infusion In Total el: 2 cu: MICU cg: RN pv: 60 cv: 1010 ap: none t0: [23:00:00 24/09/2012] dt: 24 id: 24h Total In el: 2 cu: MICU cg: RN pv: 60 cv: 2130 ap: none t0: [23:00:00 24/09/2012] dt: 24 id: Stool Out Total el: 2 cu: MICU cg: RN cv: 1275 ap: none t0: [23:00:00 24/09/2012] dt: 24 id: Tube Feeds In Total el: 2 cu: MICU cg: RN cv: 400 ap: none t0: [23:00:00 24/09/2012] dt: 24 id: Urine Out Total el: 2 cu: MICU cg: RN cv: 1740 ap: none t0: [23:00:00 24/09/2012] dt: 24 id: 24h Net Body Balance el: 2 cu: MICU cg: RN pv: 60 cv: -885 ap: none t0: [23:00:00 24/09/2012] dt: 24 id: 24h Total Out el: 2 cu: MICU cg: RN cv: 3015 ap: none t0: [23:00:00 24/09/2012] dt: multiple days id: LOS Net Body Balance el: 2 cu: MICU cg: RN pv: 60 cv: 7732.5 ap: carryForward
t0: [02:36:00 24/09/2012] id: BUN el: 0 cu: MICU cg: 1663 v1: 14 rs: Final st: NotStopd t0: [02:36:00 24/09/2012] id: Calcium Chemistry el: 0 cu: MICU cg: 1663 v1: 8.5 u1: mg/dl rs: Final st: NotStopd t0: [02:36:00 24/09/2012] id: Chloride Chemistry el: 0 cu: MICU cg: 1663 v1: 103 rs: Final st: NotStopd t0: [02:36:00 24/09/2012] id: Creatinine Chemistry el: 0 cu: MICU cg: 1663 v1: 0.6 rs: Final st: NotStopd t0: [02:36:00 24/09/2012] id: Glucose Chemistry el: 0 cu: MICU cg: 1663 v1: 113 rs: Final st: NotStopd t0: [02:36:00 24/09/2012] id: Magnesium Chemistry el: 0 cu: MICU cg: 1663 v1: 2.1 rs: Final st: NotStopd t0: [02:36:00 24/09/2012] id: Phosphorous Chemistry el: 0 cu: MICU cg: 1663 v1: 1.8 u1: mEq/L rs: Final st: NotStopd t0: [02:36:00 24/09/2012] id: Potassium Chemistry el: 0 cu: MICU cg: 1663 v1: 3.7 rs: Final st: NotStopd t0: [02:36:00 24/09/2012] id: Sodium Chemistry el: 0 cu: MICU cg: 1663 v1: 134 rs: Final st: NotStopd t0: [02:36:00 24/09/2012] id: BUN (6-20) Chemistry el: 0 cu: MICU cg: 1663 v1: 14 rs: Final st: NotStopd t0: [02:36:00 24/09/2012] id: Calcium (8.4-10.2) Chemistry el: 0 cu: MICU cg: 1663 v1: 8.5 u1: mg/dl rs: Final st: NotStopd t0: [02:36:00 24/09/2012] id: Carbon Dioxide Chemistry el: 0 cu: MICU cg: 1663 v1: 24 rs: Final st: NotStopd t0: [02:36:00 24/09/2012] id: Chloride (100-112) Chemistry el: 0 cu: MICU cg: 1663 v1: 103 rs: Final st: NotStopd t0: [02:36:00 24/09/2012] id: Creatinine (0-1.3) Chemistry el: 0 cu: MICU cg: 1663 v1: 0.6 rs: Final st: NotStopd t0: [02:36:00 24/09/2012] id: Glucose (70-105) Chemistry el: 0 cu: MICU cg: 1663 v1: 113 rs: Final st: NotStopd t0: [02:36:00 24/09/2012] id: Magnesium (1.6-2.6) Chemistry el: 0 cu: MICU cg: 1663 v1: 2.1 rs: Final st: NotStopd t0: [02:36:00 24/09/2012] id: Phosphorous(2.7-4.5) Chemistry el: 0 cu: MICU cg: 1663 v1: 1.8 u1: mEq/L rs: Final st: NotStopd t0: [02:36:00 24/09/2012] id: Potassium (3.5-5.3) Chemistry el: 0 cu: MICU cg: 1663 v1: 3.7 rs: Final st: NotStopd t0: [02:36:00 24/09/2012] id: Sodium (135-148) Chemistry el: 0 cu: MICU cg: 1663 v1: 134 rs: Final st: NotStopd
t0: [04:00:00 24/09/2012] id: Pain Present el: 0 cu: MICU cg: RN v1: No st: NotStopd t0: [04:00:00 24/09/2012] id: INV#3Chg o/Wire Date el: 0 cu: MICU cg: RN v1: 8 v2: 29 st: NotStopd t0: [04:00:00 24/09/2012] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [04:00:00 24/09/2012] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [04:00:00 24/09/2012] id: Riker-SAS Scale el: 0 cu: MICU cg: RN v1: Calm/Cooperative st: NotStopd t0: [04:00:00 24/09/2012] id: Cough Reflex el: 0 cu: MICU cg: RN v1: Intact st: NotStopd t0: [04:00:00 24/09/2012] id: Daily Wake Up el: 1 cu: MICU cg: RN v1: No/Not Sedated st: NotStopd t0: [04:00:00 24/09/2012] id: GI Prophylaxis el: 0 cu: MICU cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [04:00:00 24/09/2012] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [04:00:00 24/09/2012] id: Diet Type el: 0 cu: MICU cg: RN v1: Tube Feeding st: NotStopd t0: [04:00:00 24/09/2012] id: Dorsal PedPulse R/L el: 0 cu: MICU cg: RN v1: Strong/Palpable v2: Strong/Palpable st: NotStopd t0: [04:00:00 24/09/2012] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [04:00:00 24/09/2012] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [04:00:00 24/09/2012] id: Extubation Date el: 0 cu: MICU cg: RN v1: 8 v2: 31 st: NotStopd t0: [04:00:00 24/09/2012] id: Eye Opening el: 0 cu: MICU cg: RN v1: 4 Spontaneously st: NotStopd t0: [04:00:00 24/09/2012] id: Follows Commands el: 0 cu: MICU cg: RN v1: Consistently st: NotStopd t0: [04:00:00 24/09/2012] id: GCS Total el: 0 cu: MICU cg: RN v1: 15 u1: points st: NotStopd t0: [04:00:00 24/09/2012] id: GI Intub #1/Site el: 0 cu: MICU cg: RN v1: Salem Sump v2: Right Nare st: NotStopd t0: [04:00:00 24/09/2012] id: GI#1 Tube PlaceCheck el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [04:00:00 24/09/2012] id: GI#1 Tube Stat/Drain el: 0 cu: MICU cg: RN v1: Feeding st: NotStopd t0: [04:00:00 24/09/2012] id: Gag Reflex el: 0 cu: MICU cg: RN v1: Intact st: NotStopd t0: [04:00:00 24/09/2012] id: HOB el: 0 cu: MICU cg: RN v1: 45 degrees st: NotStopd t0: [04:00:00 24/09/2012] id: Heart Rate el: 0 cu: MICU cg: RN v1: 89 u1: BPM st: NotStopd t0: [04:00:00 24/09/2012] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [04:00:00 24/09/2012] id: INV Line#2 Type/Site el: 0 cu: MICU cg: RN v1: A-Line v2: Left Radial st: NotStopd t0: [04:00:00 24/09/2012] id: INV Line#2 Zero/Cal el: 0 cu: MICU cg: RN v1: No st: NotStopd t0: [04:00:00 24/09/2012] id: INV Line#2InsertDate el: 0 cu: MICU cg: RN v1: 8 v2: 27 st: NotStopd t0: [04:00:00 24/09/2012] id: INV Line#2SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [04:00:00 24/09/2012] id: INV Line#3 Site Date el: 0 cu: MICU cg: RN v1: 8 v2: 29 st: NotStopd t0: [04:00:00 24/09/2012] id: INV Line#3 Type/Site el: 0 cu: MICU cg: RN v1: Multi-lumen v2: Right IJ st: NotStopd t0: [04:00:00 24/09/2012] id: INV Line#3InsertDate el: 0 cu: MICU cg: RN v1: 8 v2: 28 st: NotStopd t0: [04:00:00 24/09/2012] id: INV Line#3SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [04:00:00 24/09/2012] id: Abdominal Assessment el: 0 cu: MICU cg: RN v1: Soft st: NotStopd t0: [04:00:00 24/09/2012] id: INV#2 WaveformAppear el: 0 cu: MICU cg: RN v1: Sharp st: NotStopd t0: [04:00:00 24/09/2012] id: IV #1 Insert Date el: 0 cu: MICU cg: RN v1: ? st: NotStopd t0: [04:00:00 24/09/2012] id: IV #1 Site/Size el: 0 cu: MICU cg: RN v1: RU Ant Forearm v2: 18 gauge st: NotStopd t0: [04:00:00 24/09/2012] id: IV #2 Insert Date el: 0 cu: MICU cg: RN v1: 8 v2: 28 st: NotStopd t0: [04:00:00 24/09/2012] id: IV #2 Site/Size el: 0 cu: MICU cg: RN v1: RU Ant Forearm v2: 16 gauge st: NotStopd t0: [04:00:00 24/09/2012] id: IV #3 Insert Date el: 0 cu: MICU cg: RN v1: 8 v2: 28 st: NotStopd t0: [04:00:00 24/09/2012] id: IV #3 Site/Size el: 0 cu: MICU cg: RN v1: Right Antecub v2: 18 gauge st: NotStopd t0: [04:00:00 24/09/2012] id: Activity el: 0 cu: MICU cg: RN v1: Bedrest st: NotStopd t0: [04:00:00 24/09/2012] id: IV Site Appear #1 el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [04:00:00 24/09/2012] id: IV Site Appear #2 el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [04:00:00 24/09/2012] id: IV Site Appear #3 el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [04:00:00 24/09/2012] id: Activity Tolerance el: 0 cu: MICU cg: RN v1: Tolerated Well st: NotStopd t0: [04:00:00 24/09/2012] id: Intubation Date el: 0 cu: MICU cg: RN v1: 8 v2: 27 st: NotStopd t0: [04:00:00 24/09/2012] id: Level of Conscious el: 0 cu: MICU cg: RN v1: Alert st: NotStopd t0: [04:00:00 24/09/2012] id: Motor Response el: 0 cu: MICU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [04:00:00 24/09/2012] id: O2 Delivery Device el: 0 cu: MICU cg: RN v1: Nasal Cannula st: NotStopd t0: [04:00:00 24/09/2012] id: O2 Flow (lpm) el: 0 cu: MICU cg: RN v1: 4 u1: lpm st: NotStopd t0: [04:00:00 24/09/2012] id: Oral Cavity el: 0 cu: MICU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [04:00:00 24/09/2012] id: Orientation el: 0 cu: MICU cg: RN v1: Oriented x 3 st: NotStopd t0: [04:00:00 24/09/2012] id: AntiEmbDevice/Status el: 0 cu: MICU cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [04:00:00 24/09/2012] id: Arterial BP el: 0 cu: MICU cg: RN v1: 107 u1: mmHg v2: 55 u2: mmHg st: NotStopd t0: [04:00:00 24/09/2012] id: Pain Location el: 0 cu: MICU cg: RN v1: Not Indicated st: NotStopd t0: [04:00:00 24/09/2012] id: Pain Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [04:00:00 24/09/2012] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 72 u1: mmHg st: NotStopd t0: [04:00:00 24/09/2012] id: Position el: 0 cu: MICU cg: RN v1: Supine st: NotStopd t0: [04:00:00 24/09/2012] id: PostTib. Pulses R/L el: 0 cu: MICU cg: RN v1: Strong/Palpable v2: Strong/Palpable st: NotStopd t0: [04:00:00 24/09/2012] id: Assistance Device el: 0 cu: MICU cg: RN v1: 1 Person Assist st: NotStopd t0: [04:00:00 24/09/2012] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [04:00:00 24/09/2012] id: Respiratory Pattern el: 0 cu: MICU cg: RN v1: Regular st: NotStopd t0: [04:00:00 24/09/2012] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 24 u1: BPM st: NotStopd t0: [04:00:00 24/09/2012] id: Restraint Location el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [04:00:00 24/09/2012] id: Side Rails el: 0 cu: MICU cg: RN v1: Side Rails Up st: NotStopd t0: [04:00:00 24/09/2012] id: Skin Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [04:00:00 24/09/2012] id: Skin Color el: 0 cu: MICU cg: RN v1: Jaundiced st: NotStopd t0: [04:00:00 24/09/2012] id: Skin Integrity el: 0 cu: MICU cg: RN v1: Intact st: NotStopd t0: [04:00:00 24/09/2012] id: Skin Temp/Condition el: 0 cu: MICU cg: RN v1: Warm v2: Dry st: NotStopd t0: [04:00:00 24/09/2012] id: SpO2 el: 0 cu: MICU cg: RN v1: 98 u1: % st: NotStopd t0: [04:00:00 24/09/2012] id: Spontaneous Movement el: 0 cu: MICU cg: RN v1: Purposeful st: NotStopd t0: [04:00:00 24/09/2012] id: Support Systems el: 0 cu: MICU cg: RN v1: Spouse st: NotStopd t0: [04:00:00 24/09/2012] id: Temp. Site el: 0 cu: MICU cg: RN v1: Oral st: NotStopd t0: [04:00:00 24/09/2012] id: Temperature C (calc) el: 0 cu: MICU cg: RN v1: 37.1667 u1: Deg. C st: NotStopd t0: [04:00:00 24/09/2012] id: Temperature F el: 0 cu: MICU cg: RN v1: 98.9 u1: Deg. F st: NotStopd t0: [04:00:00 24/09/2012] id: Turn el: 0 cu: MICU cg: RN v1: Side to Side st: NotStopd t0: [04:00:00 24/09/2012] id: Urine Color/Appear el: 0 cu: MICU cg: RN v1: Icteric v2: Clear st: NotStopd t0: [04:00:00 24/09/2012] id: Urine Source el: 0 cu: MICU cg: RN v1: Indwelling Cath st: NotStopd t0: [04:00:00 24/09/2012] id: Verbal Response el: 0 cu: MICU cg: RN v1: 5 Oriented st: NotStopd t0: [04:00:00 24/09/2012] id: Back Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [04:00:00 24/09/2012] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [04:00:00 24/09/2012] id: Behavior el: 0 cu: MICU cg: RN v1: Calm st: NotStopd t0: [04:00:00 24/09/2012] id: Bowel Sounds el: 0 cu: MICU cg: RN v1: Present st: NotStopd
t0: [04:00:00 24/09/2012] tf: [08:00:00 24/09/2012] dt: 240 id: D5W 250.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 10 vu: ml t0: [04:00:00 24/09/2012] id: D5W 250.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 105 vo: 100 vu: ml t0: [04:00:00 24/09/2012] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 140 vu: ml t0: [04:00:00 24/09/2012] id: Promote w/fiber 300.0str IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 30 vu: ml
t0: [04:00:00 24/09/2012] id: LUL Lung Sounds el: 0 cu: MICU cg: RN v1: Clear st: NotStopd t0: [04:00:00 24/09/2012] id: RUL Lung Sounds el: 0 cu: MICU cg: RN v1: Clear st: NotStopd t0: [05:00:00 24/09/2012] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [05:00:00 24/09/2012] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [05:00:00 24/09/2012] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [05:00:00 24/09/2012] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [05:00:00 24/09/2012] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [05:00:00 24/09/2012] id: Heart Rate el: 0 cu: MICU cg: RN v1: 91 u1: BPM st: NotStopd t0: [05:00:00 24/09/2012] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [05:00:00 24/09/2012] id: Arterial BP el: 0 cu: MICU cg: RN v1: 135 u1: mmHg v2: 71 u2: mmHg st: NotStopd t0: [05:00:00 24/09/2012] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 92 u1: mmHg st: NotStopd t0: [05:00:00 24/09/2012] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [05:00:00 24/09/2012] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 20 u1: BPM st: NotStopd t0: [05:00:00 24/09/2012] id: SpO2 el: 0 cu: MICU cg: RN v1: 97 u1: % st: NotStopd t0: [05:00:00 24/09/2012] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [05:00:00 24/09/2012] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 10 vu: ml t0: [05:00:00 24/09/2012] id: Promote w/fiber 300.0str IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 45 vu: ml
t0: [05:00:00 24/09/2012] id: Stool Out Stool el: 1 cu: MICU cg: RN vo: 200 vu: ml t0: [05:00:00 24/09/2012] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 60 vu: ml
t0: [06:00:00 24/09/2012] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [06:00:00 24/09/2012] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [06:00:00 24/09/2012] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [06:00:00 24/09/2012] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [06:00:00 24/09/2012] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [06:00:00 24/09/2012] id: Heart Rate el: 0 cu: MICU cg: RN v1: 88 u1: BPM st: NotStopd t0: [06:00:00 24/09/2012] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [06:00:00 24/09/2012] id: Arterial BP el: 0 cu: MICU cg: RN v1: 133 u1: mmHg v2: 65 u2: mmHg st: NotStopd t0: [06:00:00 24/09/2012] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 87 u1: mmHg st: NotStopd t0: [06:00:00 24/09/2012] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [06:00:00 24/09/2012] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 23 u1: BPM st: NotStopd t0: [06:00:00 24/09/2012] id: SpO2 el: 0 cu: MICU cg: RN v1: 98 u1: % st: NotStopd t0: [06:00:00 24/09/2012] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [06:00:00 24/09/2012] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 10 vu: ml t0: [06:00:00 24/09/2012] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 45 vu: ml t0: [06:00:00 24/09/2012] id: Promote w/fiber 300.0str IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 45 vu: ml
tf: [06:00:00 25/09/2012] pt: IV Piggyback rt: IV fr: ONCE fs: 7 dn: 1 m1: Potassium Phosphate v1: 15 u1: mmol m2: NS v2: 250 u2: ml
io: D5W 250.0ml IV Infusions el: 1 cu: MICU cg: RN ra: 40 ru: ml/hr
id: D5W el: 1 cu: MICU cg: RN io: D5W 250.0ml IV Infusions vo: 250 du: ml rt: Intravenous Push
t0: [08:00:00 24/09/2012] id: INV#3Chg o/Wire Date el: 0 cu: MICU cg: RN v1: 8 v2: 29 st: NotStopd t0: [08:00:00 24/09/2012] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [08:00:00 24/09/2012] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [08:00:00 24/09/2012] id: Cough Reflex el: 0 cu: MICU cg: RN v1: Intact st: NotStopd t0: [08:00:00 24/09/2012] id: GI Prophylaxis el: 0 cu: MICU cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [08:00:00 24/09/2012] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [08:00:00 24/09/2012] id: Diet Type el: 0 cu: MICU cg: RN v1: Tube Feeding st: NotStopd t0: [08:00:00 24/09/2012] id: Dorsal PedPulse R/L el: 0 cu: MICU cg: RN v1: Strong/Palpable v2: Strong/Palpable st: NotStopd t0: [08:00:00 24/09/2012] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [08:00:00 24/09/2012] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [08:00:00 24/09/2012] id: Eye Opening el: 0 cu: MICU cg: RN v1: 4 Spontaneously st: NotStopd t0: [08:00:00 24/09/2012] id: Follows Commands el: 0 cu: MICU cg: RN v1: Consistently st: NotStopd t0: [08:00:00 24/09/2012] id: GCS Total el: 0 cu: MICU cg: RN v1: 15 u1: points st: NotStopd t0: [08:00:00 24/09/2012] id: GI Intub #1/Site el: 0 cu: MICU cg: RN v1: Salem Sump v2: Right Nare st: NotStopd t0: [08:00:00 24/09/2012] id: GI#1 Tube PlaceCheck el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [08:00:00 24/09/2012] id: GI#1 Tube Stat/Drain el: 0 cu: MICU cg: RN v1: Feeding st: NotStopd t0: [08:00:00 24/09/2012] id: Gag Reflex el: 0 cu: MICU cg: RN v1: Intact st: NotStopd t0: [08:00:00 24/09/2012] id: HOB el: 0 cu: MICU cg: RN v1: 45 degrees st: NotStopd t0: [08:00:00 24/09/2012] id: Heart Rate el: 0 cu: MICU cg: RN v1: 92 u1: BPM st: NotStopd t0: [08:00:00 24/09/2012] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [08:00:00 24/09/2012] id: INV Line#2 Type/Site el: 0 cu: MICU cg: RN v1: A-Line v2: Left Radial st: NotStopd t0: [08:00:00 24/09/2012] id: INV Line#2 Zero/Cal el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [08:00:00 24/09/2012] id: INV Line#2InsertDate el: 0 cu: MICU cg: RN v1: 8 v2: 27 st: NotStopd t0: [08:00:00 24/09/2012] id: INV Line#2SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [08:00:00 24/09/2012] id: INV Line#3 Site Date el: 0 cu: MICU cg: RN v1: 8 v2: 29 st: NotStopd t0: [08:00:00 24/09/2012] id: INV Line#3 Type/Site el: 0 cu: MICU cg: RN v1: Multi-lumen v2: Right IJ st: NotStopd t0: [08:00:00 24/09/2012] id: INV Line#3InsertDate el: 0 cu: MICU cg: RN v1: 8 v2: 28 st: NotStopd t0: [08:00:00 24/09/2012] id: Abdominal Assessment el: 0 cu: MICU cg: RN v1: Soft st: NotStopd t0: [08:00:00 24/09/2012] id: INV#2 WaveformAppear el: 0 cu: MICU cg: RN v1: Sharp st: NotStopd t0: [08:00:00 24/09/2012] id: IV #1 Insert Date el: 0 cu: MICU cg: RN v1: ? st: NotStopd t0: [08:00:00 24/09/2012] id: IV #1 Site/Size el: 0 cu: MICU cg: RN v1: RU Ant Forearm v2: 18 gauge st: NotStopd t0: [08:00:00 24/09/2012] id: IV #2 Insert Date el: 0 cu: MICU cg: RN v1: 8 v2: 28 st: NotStopd t0: [08:00:00 24/09/2012] id: IV #2 Site/Size el: 0 cu: MICU cg: RN v1: RU Ant Forearm v2: 16 gauge st: NotStopd t0: [08:00:00 24/09/2012] id: IV #3 Insert Date el: 0 cu: MICU cg: RN v1: 8 v2: 28 st: NotStopd t0: [08:00:00 24/09/2012] id: IV #3 Site/Size el: 0 cu: MICU cg: RN v1: Right Antecub v2: 18 gauge st: NotStopd t0: [08:00:00 24/09/2012] id: Activity el: 0 cu: MICU cg: RN v1: Bedrest st: NotStopd t0: [08:00:00 24/09/2012] id: IV Site Appear #1 el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [08:00:00 24/09/2012] id: IV Site Appear #2 el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [08:00:00 24/09/2012] id: IV Site Appear #3 el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [08:00:00 24/09/2012] id: Activity Tolerance el: 0 cu: MICU cg: RN v1: Tolerated Well st: NotStopd t0: [08:00:00 24/09/2012] id: LLL Lung Sounds el: 0 cu: MICU cg: RN v1: Clear st: NotStopd t0: [08:00:00 24/09/2012] id: LUL Lung Sounds el: 0 cu: MICU cg: RN v1: Clear st: NotStopd t0: [08:00:00 24/09/2012] id: Level of Conscious el: 0 cu: MICU cg: RN v1: Alert st: NotStopd t0: [08:00:00 24/09/2012] id: Motor Response el: 0 cu: MICU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [08:00:00 24/09/2012] id: Orientation el: 0 cu: MICU cg: RN v1: Oriented x 3 st: NotStopd t0: [08:00:00 24/09/2012] id: AntiEmbDevice/Status el: 0 cu: MICU cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [08:00:00 24/09/2012] id: Arterial BP el: 0 cu: MICU cg: RN v1: 121 u1: mmHg v2: 59 u2: mmHg st: NotStopd t0: [08:00:00 24/09/2012] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 81 u1: mmHg st: NotStopd t0: [08:00:00 24/09/2012] id: Position el: 0 cu: MICU cg: RN v1: Supine st: NotStopd t0: [08:00:00 24/09/2012] id: PostTib. Pulses R/L el: 0 cu: MICU cg: RN v1: Strong/Palpable v2: Strong/Palpable st: NotStopd t0: [08:00:00 24/09/2012] id: Assistance Device el: 0 cu: MICU cg: RN v1: Independent st: NotStopd t0: [08:00:00 24/09/2012] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [08:00:00 24/09/2012] id: RLL Lung Sounds el: 0 cu: MICU cg: RN v1: Clear st: NotStopd t0: [08:00:00 24/09/2012] id: RUL Lung Sounds el: 0 cu: MICU cg: RN v1: Clear st: NotStopd t0: [08:00:00 24/09/2012] id: Respiratory Pattern el: 0 cu: MICU cg: RN v1: Regular st: NotStopd t0: [08:00:00 24/09/2012] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 24 u1: BPM st: NotStopd t0: [08:00:00 24/09/2012] id: Restraint Location el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [08:00:00 24/09/2012] id: Side Rails el: 0 cu: MICU cg: RN v1: Side Rails Up st: NotStopd t0: [08:00:00 24/09/2012] id: Skin Color el: 0 cu: MICU cg: RN v1: Jaundiced st: NotStopd t0: [08:00:00 24/09/2012] id: Skin Integrity el: 0 cu: MICU cg: RN v1: Intact st: NotStopd t0: [08:00:00 24/09/2012] id: Skin Temp/Condition el: 0 cu: MICU cg: RN v1: Warm v2: Dry st: NotStopd t0: [08:00:00 24/09/2012] id: SpO2 el: 0 cu: MICU cg: RN v1: 96 u1: % st: NotStopd t0: [08:00:00 24/09/2012] id: Spontaneous Movement el: 0 cu: MICU cg: RN v1: Purposeful st: NotStopd t0: [08:00:00 24/09/2012] id: Support Systems el: 0 cu: MICU cg: RN v1: Spouse st: NotStopd t0: [08:00:00 24/09/2012] id: Temperature C (calc) el: 0 cu: MICU cg: RN v1: 37.2222 u1: Deg. C st: NotStopd t0: [08:00:00 24/09/2012] id: Temperature F el: 0 cu: MICU cg: RN v1: 99 u1: Deg. F st: NotStopd t0: [08:00:00 24/09/2012] id: Turn el: 0 cu: MICU cg: RN v1: Back st: NotStopd t0: [08:00:00 24/09/2012] id: Urine Color/Appear el: 0 cu: MICU cg: RN v1: Icteric v2: Clear st: NotStopd t0: [08:00:00 24/09/2012] id: Urine Source el: 0 cu: MICU cg: RN v1: Indwelling Cath st: NotStopd t0: [08:00:00 24/09/2012] id: Verbal Response el: 0 cu: MICU cg: RN v1: 5 Oriented st: NotStopd t0: [08:00:00 24/09/2012] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [08:00:00 24/09/2012] id: Behavior el: 0 cu: MICU cg: RN v1: Calm st: NotStopd t0: [08:00:00 24/09/2012] id: Bowel Sounds el: 0 cu: MICU cg: RN v1: Present st: NotStopd t0: [09:00:00 24/09/2012] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [09:00:00 24/09/2012] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [09:00:00 24/09/2012] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [09:00:00 24/09/2012] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [09:00:00 24/09/2012] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [09:00:00 24/09/2012] id: Heart Rate el: 0 cu: MICU cg: RN v1: 90 u1: BPM st: NotStopd t0: [09:00:00 24/09/2012] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [09:00:00 24/09/2012] id: Arterial BP el: 0 cu: MICU cg: RN v1: 147 u1: mmHg v2: 75 u2: mmHg st: NotStopd t0: [09:00:00 24/09/2012] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 96 u1: mmHg st: NotStopd t0: [09:00:00 24/09/2012] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [09:00:00 24/09/2012] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 23 u1: BPM st: NotStopd t0: [09:00:00 24/09/2012] id: SpO2 el: 0 cu: MICU cg: RN v1: 98 u1: % st: NotStopd t0: [09:00:00 24/09/2012] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [08:00:00 24/09/2012] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 20 vu: ml t0: [08:00:00 24/09/2012] id: D5W 250.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 105 vo: 0 vu: ml nb: 1 t0: [08:00:00 24/09/2012] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 280 vu: ml t0: [08:00:00 24/09/2012] id: Promote w/fiber 300.0str IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 90 vu: ml
t0: [10:00:00 24/09/2012] id: GI Intub #1/Site el: 0 cu: MICU cg: -1 st: D/C'd t0: [10:00:00 24/09/2012] id: GI#1 Tube PlaceCheck el: 0 cu: MICU cg: -1 st: D/C'd t0: [10:00:00 24/09/2012] id: GI#1 Tube Stat/Drain el: 0 cu: MICU cg: -1 st: D/C'd
tf: [08:00:00 25/09/2012] pt: Unit Dose rt: PO fr: QD fs: 10 dn: 1 m1: Spironolactone v1: 25 u1: mg tf: [11:00:00 03/10/2012] pt: Unit Dose rt: PO fr: QD fs: 10 dn: 1 m1: Folic Acid v1: 1 u1: mg tf: [11:00:00 03/10/2012] pt: Unit Dose rt: PO fr: QD fs: 10 dn: 1 m1: Thiamine HCl v1: 100 u1: mg
t0: [09:26:00 24/09/2012] id: PT el: 0 cu: MICU cg: 1663 v1: 17.4 rs: Final st: NotStopd t0: [09:26:00 24/09/2012] id: INR Coags el: 0 cu: MICU cg: 1663 v1: 2 rs: Final st: NotStopd t0: [09:26:00 24/09/2012] id: PTT Coags el: 0 cu: MICU cg: 1663 v1: 36.6 rs: Final st: NotStopd t0: [09:26:00 24/09/2012] id: INR (2-4 ref. range) Coags el: 0 cu: MICU cg: 1663 v1: 2 rs: Final st: NotStopd t0: [09:26:00 24/09/2012] id: PT(11-13.5) Coags el: 0 cu: MICU cg: 1663 v1: 17.4 rs: Final st: NotStopd t0: [09:26:00 24/09/2012] id: PTT(22-35) Coags el: 0 cu: MICU cg: 1663 v1: 36.6 rs: Final st: NotStopd
t0: [10:00:00 24/09/2012] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [10:00:00 24/09/2012] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [10:00:00 24/09/2012] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [10:00:00 24/09/2012] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [10:00:00 24/09/2012] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [10:00:00 24/09/2012] id: Heart Rate el: 0 cu: MICU cg: RN v1: 93 u1: BPM st: NotStopd t0: [10:00:00 24/09/2012] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [10:00:00 24/09/2012] id: Arterial BP el: 0 cu: MICU cg: RN v1: 120 u1: mmHg v2: 56 u2: mmHg st: NotStopd t0: [10:00:00 24/09/2012] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 77 u1: mmHg st: NotStopd t0: [10:00:00 24/09/2012] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [10:00:00 24/09/2012] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 20 u1: BPM st: NotStopd t0: [10:00:00 24/09/2012] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [12:00:00 24/09/2012] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [12:00:00 24/09/2012] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [12:00:00 24/09/2012] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [12:00:00 24/09/2012] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [12:00:00 24/09/2012] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [12:00:00 24/09/2012] id: Heart Rate el: 0 cu: MICU cg: RN v1: 97 u1: BPM st: NotStopd t0: [12:00:00 24/09/2012] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [12:00:00 24/09/2012] id: Arterial BP el: 0 cu: MICU cg: RN v1: 128 u1: mmHg v2: 71 u2: mmHg st: NotStopd t0: [12:00:00 24/09/2012] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 89 u1: mmHg st: NotStopd t0: [12:00:00 24/09/2012] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [12:00:00 24/09/2012] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 22 u1: BPM st: NotStopd t0: [12:00:00 24/09/2012] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [10:00:00 24/09/2012] tf: [01:00:00 27/09/2012] dt: 3780 id: D5W 250.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 20 vu: ml t0: [10:00:00 24/09/2012] id: D5W 250.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 105 vo: 80 vu: ml t0: [10:00:00 24/09/2012] id: Promote w/fiber 300.0str IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 90 vu: ml st: Stopped t0: [12:00:00 24/09/2012] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 20 vu: ml t0: [12:00:00 24/09/2012] id: D5W 250.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 105 vo: 80 vu: ml t0: [12:00:00 24/09/2012] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 300 vu: ml
t0: [14:00:00 24/09/2012] id: Stool Out Stool el: 1 cu: MICU cg: CoWork vo: 75 vu: ml
t0: [14:00:00 24/09/2012] id: INV#2Chg o/Wire Date el: 0 cu: MICU cg: -1 st: D/C'd t0: [14:00:00 24/09/2012] id: INV Line#2 D/C Date el: 0 cu: MICU cg: -1 st: D/C'd t0: [14:00:00 24/09/2012] id: INV Line#2 Site Date el: 0 cu: MICU cg: -1 st: D/C'd t0: [14:00:00 24/09/2012] id: INV Line#2 Type/Site el: 0 cu: MICU cg: -1 st: D/C'd t0: [14:00:00 24/09/2012] id: INV Line#2 Zero/Cal el: 0 cu: MICU cg: -1 st: D/C'd t0: [14:00:00 24/09/2012] id: INV Line#2InsertDate el: 0 cu: MICU cg: -1 st: D/C'd t0: [14:00:00 24/09/2012] id: INV Line#2SiteAppear el: 0 cu: MICU cg: -1 st: D/C'd t0: [14:00:00 24/09/2012] id: INV#2 WaveformAppear el: 0 cu: MICU cg: -1 st: D/C'd
t0: [14:00:00 24/09/2012] id: Urine Out Foley el: 1 cu: MICU cg: -1 vo: 0 st: D/C'd t0: [14:00:00 24/09/2012] id: Promote w/fiber 300.0str IV Infusions el: 1 cu: MICU cg: -1 ai: 107 vo: 0 st: D/C'd
t0: [12:00:00 24/09/2012] id: INV#3Chg o/Wire Date el: 0 cu: MICU cg: RN v1: 8 v2: 29 st: NotStopd t0: [12:00:00 24/09/2012] id: INV Line#2 D/C Date el: 0 cu: MICU cg: RN v1: 9 v2: 1 st: NotStopd t0: [12:00:00 24/09/2012] id: INV Line#2 Type/Site el: 0 cu: MICU cg: RN v1: A-Line v2: Left Radial st: NotStopd t0: [12:00:00 24/09/2012] id: INV Line#2InsertDate el: 0 cu: MICU cg: RN v1: 8 v2: 27 st: NotStopd t0: [12:00:00 24/09/2012] id: INV Line#3 Site Date el: 0 cu: MICU cg: RN v1: 8 v2: 29 st: NotStopd t0: [12:00:00 24/09/2012] id: INV Line#3 Type/Site el: 0 cu: MICU cg: RN v1: Multi-lumen v2: Right IJ st: NotStopd t0: [12:00:00 24/09/2012] id: INV Line#3InsertDate el: 0 cu: MICU cg: RN v1: 8 v2: 28 st: NotStopd t0: [12:00:00 24/09/2012] id: IV #1 D/C Date el: 0 cu: MICU cg: RN v1: 9 v2: 1 st: NotStopd t0: [12:00:00 24/09/2012] id: IV #1 Insert Date el: 0 cu: MICU cg: RN v1: ? st: NotStopd t0: [12:00:00 24/09/2012] id: IV #1 Site/Size el: 0 cu: MICU cg: RN v1: RU Ant Forearm v2: 18 gauge st: NotStopd t0: [12:00:00 24/09/2012] id: IV #2 Insert Date el: 0 cu: MICU cg: RN v1: 8 v2: 28 st: NotStopd t0: [12:00:00 24/09/2012] id: IV #2 Site/Size el: 0 cu: MICU cg: RN v1: RU Ant Forearm v2: 16 gauge st: NotStopd t0: [12:00:00 24/09/2012] id: IV #3 Insert Date el: 0 cu: MICU cg: RN v1: 8 v2: 28 st: NotStopd t0: [12:00:00 24/09/2012] id: IV #3 Site/Size el: 0 cu: MICU cg: RN v1: Right Antecub v2: 18 gauge st: NotStopd t0: [12:00:00 24/09/2012] id: IV Site Appear #1 el: 0 cu: MICU cg: RN v1: Other/Remarks st: NotStopd t0: [14:00:00 24/09/2012] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [14:00:00 24/09/2012] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [14:00:00 24/09/2012] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [14:00:00 24/09/2012] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [14:00:00 24/09/2012] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [14:00:00 24/09/2012] id: Heart Rate el: 0 cu: MICU cg: RN v1: 89 u1: BPM st: NotStopd t0: [14:00:00 24/09/2012] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [14:00:00 24/09/2012] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [14:00:00 24/09/2012] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 20 u1: BPM st: NotStopd t0: [14:00:00 24/09/2012] id: SpO2 el: 0 cu: MICU cg: RN v1: 98 u1: % st: NotStopd t0: [14:00:00 24/09/2012] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [10:00:00 24/09/2012] tf: [17:47:00 27/09/2012] dt: 4787 id: Po Intake PO/Gastric el: 1 cu: MICU cg: RN ai: 103 vo: 120 vu: ml t0: [12:00:00 24/09/2012] id: Po Intake PO/Gastric el: 1 cu: MICU cg: RN ai: 103 vo: 240 vu: ml
t0: [16:00:00 24/09/2012] id: Heart Rate el: 0 cu: MICU cg: CoWork v1: 93 u1: BPM st: NotStopd t0: [16:00:00 24/09/2012] id: NBP el: 0 cu: MICU cg: CoWork v1: 120 u1: mmHg v2: 65 u2: mmHg st: NotStopd t0: [16:00:00 24/09/2012] id: NBP Mean el: 0 cu: MICU cg: CoWork v1: 83.3333 u1: mmHg st: NotStopd t0: [16:00:00 24/09/2012] id: O2 Delivery Device el: 0 cu: MICU cg: CoWork v1: Nasal Cannula st: NotStopd t0: [16:00:00 24/09/2012] id: Respiratory Rate el: 0 cu: MICU cg: CoWork v1: 24 u1: BPM st: NotStopd t0: [16:00:00 24/09/2012] id: SpO2 el: 0 cu: MICU cg: CoWork v1: 98 u1: % st: NotStopd t0: [16:00:00 24/09/2012] id: Temp. Site el: 0 cu: MICU cg: CoWork v1: Oral st: NotStopd t0: [16:00:00 24/09/2012] id: Temperature C (calc) el: 0 cu: MICU cg: CoWork v1: 38 u1: Deg. C st: NotStopd t0: [16:00:00 24/09/2012] id: Temperature F el: 0 cu: MICU cg: CoWork v1: 100.4 u1: Deg. F st: NotStopd t0: [16:00:00 24/09/2012] id: calprevflg el: 0 cu: MICU cg: CoWork v1: 1 u1: kg st: NotStopd
t0: [16:00:00 24/09/2012] id: O2 Flow (lpm) el: 0 cu: MICU cg: CoWork v1: 4 u1: lpm st: NotStopd
t0: [18:00:00 24/09/2012] id: Heart Rate el: 0 cu: MICU cg: CoWork v1: 87 u1: BPM st: NotStopd t0: [18:00:00 24/09/2012] id: NBP el: 0 cu: MICU cg: CoWork v1: 116 u1: mmHg v2: 59 u2: mmHg st: NotStopd t0: [18:00:00 24/09/2012] id: NBP Mean el: 0 cu: MICU cg: CoWork v1: 78 u1: mmHg st: NotStopd t0: [18:00:00 24/09/2012] id: Respiratory Rate el: 0 cu: MICU cg: CoWork v1: 25 u1: BPM st: NotStopd t0: [18:00:00 24/09/2012] id: SpO2 el: 0 cu: MICU cg: CoWork v1: 99 u1: % st: NotStopd t0: [18:00:00 24/09/2012] id: calprevflg el: 0 cu: MICU cg: CoWork v1: 1 u1: kg st: NotStopd
t0: [17:30:00 24/09/2012] id: Hematocrit Hematology el: 0 cu: MICU cg: 1663 v1: 30.4 u1: % rs: Final st: NotStopd
t0: [17:30:00 24/09/2012] id: Phosphorous Chemistry el: 0 cu: MICU cg: 1663 v1: 1.9 u1: mEq/L rs: Final st: NotStopd t0: [17:30:00 24/09/2012] id: Potassium Chemistry el: 0 cu: MICU cg: 1663 v1: 3.5 rs: Final st: NotStopd t0: [17:30:00 24/09/2012] id: Phosphorous(2.7-4.5) Chemistry el: 0 cu: MICU cg: 1663 v1: 1.9 u1: mEq/L rs: Final st: NotStopd t0: [17:30:00 24/09/2012] id: Potassium (3.5-5.3) Chemistry el: 0 cu: MICU cg: 1663 v1: 3.5 rs: Final st: NotStopd
t0: [17:00:00 24/09/2012] id: Diet Type el: 0 cu: MICU cg: RN v1: Tube Feeding st: NotStopd t0: [17:00:00 24/09/2012] id: Eye Opening el: 0 cu: MICU cg: RN v1: 4 Spontaneously st: NotStopd t0: [17:00:00 24/09/2012] id: Follows Commands el: 0 cu: MICU cg: RN v1: Consistently st: NotStopd t0: [17:00:00 24/09/2012] id: GCS Total el: 0 cu: MICU cg: RN v1: 15 u1: points st: NotStopd t0: [17:00:00 24/09/2012] id: Level of Conscious el: 0 cu: MICU cg: RN v1: Alert st: NotStopd t0: [17:00:00 24/09/2012] id: Motor Response el: 0 cu: MICU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [17:00:00 24/09/2012] id: Orientation el: 0 cu: MICU cg: RN v1: Oriented x 3 st: NotStopd t0: [17:00:00 24/09/2012] id: Respiratory Pattern el: 0 cu: MICU cg: RN v1: Regular st: NotStopd t0: [17:00:00 24/09/2012] id: Spontaneous Movement el: 0 cu: MICU cg: RN v1: Purposeful st: NotStopd t0: [17:00:00 24/09/2012] id: Urine Source el: 0 cu: MICU cg: RN v1: Indwelling Cath st: NotStopd t0: [17:00:00 24/09/2012] id: Verbal Response el: 0 cu: MICU cg: RN v1: 5 Oriented st: NotStopd t0: [18:00:00 24/09/2012] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [18:00:00 24/09/2012] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [18:00:00 24/09/2012] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [18:00:00 24/09/2012] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [18:00:00 24/09/2012] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [18:00:00 24/09/2012] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [18:00:00 24/09/2012] id: Level of Conscious el: 0 cu: MICU cg: RN v1: Sleeping st: NotStopd t0: [18:00:00 24/09/2012] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [18:00:00 24/09/2012] id: Braden Activity el: 0 cu: MICU cg: RN v1: Bedfast st: NotStopd t0: [18:00:00 24/09/2012] id: Braden Frict/Shear el: 0 cu: MICU cg: RN v1: Potential Prob st: NotStopd t0: [18:00:00 24/09/2012] id: Braden Mobility el: 0 cu: MICU cg: RN v1: Sl. Limited st: NotStopd t0: [18:00:00 24/09/2012] id: Braden Moisture el: 0 cu: MICU cg: RN v1: Occ. Moist st: NotStopd t0: [18:00:00 24/09/2012] id: Braden Nutrition el: 0 cu: MICU cg: RN v1: Prob. Inadequate st: NotStopd t0: [18:00:00 24/09/2012] id: Braden Score el: 0 cu: MICU cg: RN v1: 15 u1: number st: NotStopd t0: [18:00:00 24/09/2012] id: Braden SensoryPercep el: 0 cu: MICU cg: RN v1: No Impairment st: NotStopd
t0: [18:00:00 24/09/2012] id: Po Intake PO/Gastric el: 1 cu: MICU cg: RN ai: 103 vo: 120 vu: ml t0: [18:00:00 24/09/2012] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 60 vu: ml t0: [18:00:00 24/09/2012] id: D5W 250.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 105 vo: 240 vu: ml
t0: [19:00:00 24/09/2012] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [19:00:00 24/09/2012] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [19:00:00 24/09/2012] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [19:00:00 24/09/2012] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [19:00:00 24/09/2012] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [19:00:00 24/09/2012] id: Heart Rate el: 0 cu: MICU cg: RN v1: 89 u1: BPM st: NotStopd t0: [19:00:00 24/09/2012] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [19:00:00 24/09/2012] id: NBP el: 0 cu: MICU cg: RN v1: 137 u1: mmHg v2: 71 u2: mmHg st: NotStopd t0: [19:00:00 24/09/2012] id: NBP Mean el: 0 cu: MICU cg: RN v1: 93 u1: mmHg st: NotStopd t0: [19:00:00 24/09/2012] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [19:00:00 24/09/2012] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 21 u1: BPM st: NotStopd t0: [19:00:00 24/09/2012] id: SpO2 el: 0 cu: MICU cg: RN v1: 98 u1: % st: NotStopd t0: [19:00:00 24/09/2012] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [20:00:00 24/09/2012] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [20:00:00 24/09/2012] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [20:00:00 24/09/2012] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [20:00:00 24/09/2012] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [20:00:00 24/09/2012] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [20:00:00 24/09/2012] id: Heart Rate el: 0 cu: MICU cg: RN v1: 86 u1: BPM st: NotStopd t0: [20:00:00 24/09/2012] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [20:00:00 24/09/2012] id: NBP el: 0 cu: MICU cg: RN v1: 130 u1: mmHg v2: 70 u2: mmHg st: NotStopd t0: [20:00:00 24/09/2012] id: NBP Mean el: 0 cu: MICU cg: RN v1: 90 u1: mmHg st: NotStopd t0: [20:00:00 24/09/2012] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [20:00:00 24/09/2012] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 23 u1: BPM st: NotStopd t0: [20:00:00 24/09/2012] id: SpO2 el: 0 cu: MICU cg: RN v1: 98 u1: % st: NotStopd t0: [20:00:00 24/09/2012] id: Temp. Site el: 0 cu: MICU cg: RN v1: Oral st: NotStopd t0: [20:00:00 24/09/2012] id: Temperature C (calc) el: 0 cu: MICU cg: RN v1: 37.8333 u1: Deg. C st: NotStopd t0: [20:00:00 24/09/2012] id: Temperature F el: 0 cu: MICU cg: RN v1: 100.1 u1: Deg. F st: NotStopd t0: [20:00:00 24/09/2012] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
tf: [23:00:00 24/09/2012] pt: IV Piggyback rt: IV fr: ONCE fs: 21 dn: 1 m1: Potassium Chloride v1: 40 u1: mEq m2: NS v2: 500 u2: ml tf: [20:00:00 25/09/2012] pt: IV Piggyback rt: IV fr: ONCE fs: 21 dn: 1 m1: Potassium Phosphate v1: 15 u1: mmol m2: NS v2: 250 u2: ml
t0: [21:00:00 24/09/2012] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [21:00:00 24/09/2012] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [21:00:00 24/09/2012] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [21:00:00 24/09/2012] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [21:00:00 24/09/2012] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [21:00:00 24/09/2012] id: Heart Rate el: 0 cu: MICU cg: RN v1: 92 u1: BPM st: NotStopd t0: [21:00:00 24/09/2012] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [21:00:00 24/09/2012] id: NBP el: 0 cu: MICU cg: RN v1: 126 u1: mmHg v2: 65 u2: mmHg st: NotStopd t0: [21:00:00 24/09/2012] id: NBP Mean el: 0 cu: MICU cg: RN v1: 85.3333 u1: mmHg st: NotStopd t0: [21:00:00 24/09/2012] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [21:00:00 24/09/2012] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 25 u1: BPM st: NotStopd t0: [21:00:00 24/09/2012] id: SpO2 el: 0 cu: MICU cg: RN v1: 99 u1: % st: NotStopd t0: [21:00:00 24/09/2012] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [22:00:00 24/09/2012] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [22:00:00 24/09/2012] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [22:00:00 24/09/2012] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [22:00:00 24/09/2012] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [22:00:00 24/09/2012] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [22:00:00 24/09/2012] id: Heart Rate el: 0 cu: MICU cg: RN v1: 90 u1: BPM st: NotStopd t0: [22:00:00 24/09/2012] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [22:00:00 24/09/2012] id: NBP el: 0 cu: MICU cg: RN v1: 130 u1: mmHg v2: 67 u2: mmHg st: NotStopd t0: [22:00:00 24/09/2012] id: NBP Mean el: 0 cu: MICU cg: RN v1: 88 u1: mmHg st: NotStopd t0: [22:00:00 24/09/2012] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [22:00:00 24/09/2012] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 23 u1: BPM st: NotStopd t0: [22:00:00 24/09/2012] id: SpO2 el: 0 cu: MICU cg: RN v1: 100 u1: % st: NotStopd t0: [22:00:00 24/09/2012] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [20:00:00 24/09/2012] id: Stool Out Stool el: 1 cu: MICU cg: RN vo: 400 vu: ml t0: [20:00:00 24/09/2012] tf: [17:47:00 27/09/2012] dt: 4187 id: Urine Out Void el: 1 cu: MICU cg: RN vo: 300 vu: ml t0: [21:00:00 24/09/2012] id: Po Intake PO/Gastric el: 1 cu: MICU cg: RN ai: 103 vo: 240 vu: ml t0: [22:00:00 24/09/2012] id: Stool Out Stool el: 1 cu: MICU cg: RN vo: 200 vu: ml t0: [22:00:00 24/09/2012] id: Urine Out Void el: 1 cu: MICU cg: RN vo: 240 vu: ml
t0: [23:00:00 24/09/2012] dt: 24 id: PO/Gastric In Total el: 2 cu: MICU cg: RN cv: 720 ap: none
tf: [07:00:00 01/10/2012] pt: Unit Dose rt: PO fr: HS:PRN m1: Zolpidem Tartrate v1: 5 u1: mg
tf: [23:00:00 25/09/2012] pt: Unit Dose rt: PO fr: ONCE fs: 0 dn: 1 m1: Potassium Chloride v1: 40 u1: mEq
t0: [23:00:00 24/09/2012] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [23:00:00 24/09/2012] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [23:00:00 24/09/2012] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [23:00:00 24/09/2012] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [23:00:00 24/09/2012] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [23:00:00 24/09/2012] id: Heart Rate el: 0 cu: MICU cg: RN v1: 93 u1: BPM st: NotStopd t0: [23:00:00 24/09/2012] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [23:00:00 24/09/2012] id: NBP el: 0 cu: MICU cg: RN v1: 128 u1: mmHg v2: 73 u2: mmHg st: NotStopd t0: [23:00:00 24/09/2012] id: NBP Mean el: 0 cu: MICU cg: RN v1: 91.3333 u1: mmHg st: NotStopd t0: [23:00:00 24/09/2012] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [23:00:00 24/09/2012] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 25 u1: BPM st: NotStopd t0: [23:00:00 24/09/2012] id: SpO2 el: 0 cu: MICU cg: RN v1: 99 u1: % st: NotStopd t0: [23:00:00 24/09/2012] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [00:00:00 25/09/2012] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [00:00:00 25/09/2012] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [00:00:00 25/09/2012] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [00:00:00 25/09/2012] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [00:00:00 25/09/2012] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [00:00:00 25/09/2012] id: Heart Rate el: 0 cu: MICU cg: RN v1: 91 u1: BPM st: NotStopd t0: [00:00:00 25/09/2012] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [00:00:00 25/09/2012] id: NBP el: 0 cu: MICU cg: RN v1: 139 u1: mmHg v2: 77 u2: mmHg st: NotStopd t0: [00:00:00 25/09/2012] id: NBP Mean el: 0 cu: MICU cg: RN v1: 97.6667 u1: mmHg st: NotStopd t0: [00:00:00 25/09/2012] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [00:00:00 25/09/2012] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 21 u1: BPM st: NotStopd t0: [00:00:00 25/09/2012] id: Temp. Site el: 0 cu: MICU cg: RN v1: Oral st: NotStopd t0: [00:00:00 25/09/2012] id: Temperature C (calc) el: 0 cu: MICU cg: RN v1: 37.7778 u1: Deg. C st: NotStopd t0: [00:00:00 25/09/2012] id: Temperature F el: 0 cu: MICU cg: RN v1: 100 u1: Deg. F st: NotStopd t0: [00:00:00 25/09/2012] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [01:00:00 25/09/2012] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [01:00:00 25/09/2012] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [01:00:00 25/09/2012] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [01:00:00 25/09/2012] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [01:00:00 25/09/2012] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [01:00:00 25/09/2012] id: Heart Rate el: 0 cu: MICU cg: RN v1: 93 u1: BPM st: NotStopd t0: [01:00:00 25/09/2012] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [01:00:00 25/09/2012] id: NBP el: 0 cu: MICU cg: RN v1: 129 u1: mmHg v2: 63 u2: mmHg st: NotStopd t0: [01:00:00 25/09/2012] id: NBP Mean el: 0 cu: MICU cg: RN v1: 85 u1: mmHg st: NotStopd t0: [01:00:00 25/09/2012] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [01:00:00 25/09/2012] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 20 u1: BPM st: NotStopd t0: [01:00:00 25/09/2012] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [02:00:00 25/09/2012] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [02:00:00 25/09/2012] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [02:00:00 25/09/2012] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [02:00:00 25/09/2012] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [02:00:00 25/09/2012] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [02:00:00 25/09/2012] id: Heart Rate el: 0 cu: MICU cg: RN v1: 95 u1: BPM st: NotStopd t0: [02:00:00 25/09/2012] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [02:00:00 25/09/2012] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [02:00:00 25/09/2012] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 19 u1: BPM st: NotStopd t0: [02:00:00 25/09/2012] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [23:00:00 25/09/2012] dt: multiple days id: LOS Net Body Balance el: 2 cu: MICU cg: CoWork cv: 6497.5 ap: carryForward
t0: [04:45:00 25/09/2012] id: WBC (4-11,000) Hematology el: 0 cu: MICU cg: 1663 v1: 12.3 rs: Final st: NotStopd t0: [04:45:00 25/09/2012] id: WBC Hematology el: 0 cu: MICU cg: 1663 v1: 12.3 rs: Final st: NotStopd t0: [04:45:00 25/09/2012] id: Hematocrit Hematology el: 0 cu: MICU cg: 1663 v1: 31.7 u1: % rs: Final st: NotStopd t0: [04:45:00 25/09/2012] id: Hemoglobin Hematology el: 0 cu: MICU cg: 1663 v1: 10.6 u1: gm/dl rs: Final st: NotStopd t0: [04:45:00 25/09/2012] id: Platelets Hematology el: 0 cu: MICU cg: 1663 v1: 163 rs: Final st: NotStopd t0: [04:45:00 25/09/2012] id: RBC Hematology el: 0 cu: MICU cg: 1663 v1: 3.39 u1: /mic l rs: Final st: NotStopd t0: [04:45:00 25/09/2012] id: WBC (4-11,000) Hematology el: 0 cu: MICU cg: 1663 v1: 12.3 rs: Final st: NotStopd
t0: [19:00:00 24/09/2012] id: Riker-SAS Scale el: 0 cu: MICU cg: RN v1: Calm/Cooperative st: NotStopd t0: [20:00:00 24/09/2012] id: INV#3Chg o/Wire Date el: 0 cu: MICU cg: RN v1: 8 v2: 29 st: NotStopd t0: [20:00:00 24/09/2012] id: Riker-SAS Scale el: 0 cu: MICU cg: RN v1: Calm/Cooperative st: NotStopd t0: [20:00:00 24/09/2012] id: GI Prophylaxis el: 0 cu: MICU cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [20:00:00 24/09/2012] id: Diet Type el: 0 cu: MICU cg: RN v1: House st: NotStopd t0: [20:00:00 24/09/2012] id: Dorsal PedPulse R/L el: 0 cu: MICU cg: RN v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [20:00:00 24/09/2012] id: Eye Opening el: 0 cu: MICU cg: RN v1: 4 Spontaneously st: NotStopd t0: [20:00:00 24/09/2012] id: Follows Commands el: 0 cu: MICU cg: RN v1: Consistently st: NotStopd t0: [20:00:00 24/09/2012] id: GCS Total el: 0 cu: MICU cg: RN v1: 15 u1: points st: NotStopd t0: [20:00:00 24/09/2012] id: HOB el: 0 cu: MICU cg: RN v1: 30 degrees st: NotStopd t0: [20:00:00 24/09/2012] id: INV Line#3 Site Date el: 0 cu: MICU cg: RN v1: 8 v2: 29 st: NotStopd t0: [20:00:00 24/09/2012] id: INV Line#3 Type/Site el: 0 cu: MICU cg: RN v1: Multi-lumen v2: Right IJ st: NotStopd t0: [20:00:00 24/09/2012] id: INV Line#3InsertDate el: 0 cu: MICU cg: RN v1: 8 v2: 28 st: NotStopd t0: [20:00:00 24/09/2012] id: INV Line#3SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [20:00:00 24/09/2012] id: Abdominal Assessment el: 0 cu: MICU cg: RN v1: Soft st: NotStopd t0: [20:00:00 24/09/2012] id: IV #1 Insert Date el: 0 cu: MICU cg: RN v1: ? st: NotStopd t0: [20:00:00 24/09/2012] id: IV #1 Site/Size el: 0 cu: MICU cg: RN v1: RU Ant Forearm v2: 18 gauge st: NotStopd t0: [20:00:00 24/09/2012] id: IV #2 Insert Date el: 0 cu: MICU cg: RN v1: 8 v2: 28 st: NotStopd t0: [20:00:00 24/09/2012] id: IV #2 Site/Size el: 0 cu: MICU cg: RN v1: RU Ant Forearm v2: 16 gauge st: NotStopd t0: [20:00:00 24/09/2012] id: IV #3 Insert Date el: 0 cu: MICU cg: RN v1: 8 v2: 28 st: NotStopd t0: [20:00:00 24/09/2012] id: IV #3 Site/Size el: 0 cu: MICU cg: RN v1: Right Antecub v2: 18 gauge st: NotStopd t0: [20:00:00 24/09/2012] id: Activity el: 0 cu: MICU cg: RN v1: Bedrest st: NotStopd t0: [20:00:00 24/09/2012] id: IV Site Appear #1 el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [20:00:00 24/09/2012] id: IV Site Appear #2 el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [20:00:00 24/09/2012] id: IV Site Appear #3 el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [20:00:00 24/09/2012] id: Activity Tolerance el: 0 cu: MICU cg: RN v1: Tolerated Well st: NotStopd t0: [20:00:00 24/09/2012] id: LLL Lung Sounds el: 0 cu: MICU cg: RN v1: Clear st: NotStopd t0: [20:00:00 24/09/2012] id: LUL Lung Sounds el: 0 cu: MICU cg: RN v1: Clear st: NotStopd t0: [20:00:00 24/09/2012] id: Level of Conscious el: 0 cu: MICU cg: RN v1: Alert st: NotStopd t0: [20:00:00 24/09/2012] id: Motor Response el: 0 cu: MICU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [20:00:00 24/09/2012] id: Oral Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [20:00:00 24/09/2012] id: Oral Cavity el: 0 cu: MICU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [20:00:00 24/09/2012] id: Orientation el: 0 cu: MICU cg: RN v1: Oriented x 3 st: NotStopd t0: [20:00:00 24/09/2012] id: AntiEmbDevice/Status el: 0 cu: MICU cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [20:00:00 24/09/2012] id: Position el: 0 cu: MICU cg: RN v1: Supine st: NotStopd t0: [20:00:00 24/09/2012] id: PostTib. Pulses R/L el: 0 cu: MICU cg: RN v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [20:00:00 24/09/2012] id: Assistance Device el: 0 cu: MICU cg: RN v1: Independent st: NotStopd t0: [20:00:00 24/09/2012] id: RLL Lung Sounds el: 0 cu: MICU cg: RN v1: Clear st: NotStopd t0: [20:00:00 24/09/2012] id: RUL Lung Sounds el: 0 cu: MICU cg: RN v1: Clear st: NotStopd t0: [20:00:00 24/09/2012] id: Respiratory Pattern el: 0 cu: MICU cg: RN v1: Regular st: NotStopd t0: [20:00:00 24/09/2012] id: Restraint Location el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [20:00:00 24/09/2012] id: Side Rails el: 0 cu: MICU cg: RN v1: Side Rails Up st: NotStopd t0: [20:00:00 24/09/2012] id: Skin Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [20:00:00 24/09/2012] id: Skin Color el: 0 cu: MICU cg: RN v1: Jaundiced st: NotStopd t0: [20:00:00 24/09/2012] id: Skin Integrity el: 0 cu: MICU cg: RN v1: Intact st: NotStopd t0: [20:00:00 24/09/2012] id: Skin Temp/Condition el: 0 cu: MICU cg: RN v1: Warm v2: Dry st: NotStopd t0: [20:00:00 24/09/2012] id: Spontaneous Movement el: 0 cu: MICU cg: RN v1: Purposeful st: NotStopd t0: [20:00:00 24/09/2012] id: Stool Guaiac el: 0 cu: MICU cg: RN v1: Positive st: NotStopd t0: [20:00:00 24/09/2012] id: Support Systems el: 0 cu: MICU cg: RN v1: Spouse st: NotStopd t0: [20:00:00 24/09/2012] id: Turn el: 0 cu: MICU cg: RN v1: Turns by self st: NotStopd t0: [20:00:00 24/09/2012] id: Urine Color/Appear el: 0 cu: MICU cg: RN v1: Icteric v2: Clear st: NotStopd t0: [20:00:00 24/09/2012] id: Urine Source el: 0 cu: MICU cg: RN v1: Voids st: NotStopd t0: [20:00:00 24/09/2012] id: Verbal Response el: 0 cu: MICU cg: RN v1: 5 Oriented st: NotStopd t0: [20:00:00 24/09/2012] id: Back Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [20:00:00 24/09/2012] id: Behavior el: 0 cu: MICU cg: RN v1: Calm st: NotStopd t0: [20:00:00 24/09/2012] id: Bowel Sounds el: 0 cu: MICU cg: RN v1: Present st: NotStopd t0: [20:00:00 24/09/2012] id: Braden Activity el: 0 cu: MICU cg: RN v1: Bedfast st: NotStopd t0: [20:00:00 24/09/2012] id: Braden Frict/Shear el: 0 cu: MICU cg: RN v1: Potential Prob st: NotStopd t0: [20:00:00 24/09/2012] id: Braden Mobility el: 0 cu: MICU cg: RN v1: Sl. Limited st: NotStopd t0: [20:00:00 24/09/2012] id: Braden Moisture el: 0 cu: MICU cg: RN v1: Occ. Moist st: NotStopd t0: [20:00:00 24/09/2012] id: Braden Nutrition el: 0 cu: MICU cg: RN v1: Prob. Inadequate st: NotStopd t0: [20:00:00 24/09/2012] id: Braden Score el: 0 cu: MICU cg: RN v1: 15 u1: number st: NotStopd t0: [20:00:00 24/09/2012] id: Braden SensoryPercep el: 0 cu: MICU cg: RN v1: No Impairment st: NotStopd t0: [21:00:00 24/09/2012] id: Riker-SAS Scale el: 0 cu: MICU cg: RN v1: Calm/Cooperative st: NotStopd t0: [22:00:00 24/09/2012] id: Riker-SAS Scale el: 0 cu: MICU cg: RN v1: Calm/Cooperative st: NotStopd t0: [23:00:00 24/09/2012] id: Riker-SAS Scale el: 0 cu: MICU cg: RN v1: Calm/Cooperative st: NotStopd t0: [23:00:00 24/09/2012] id: HOB el: 0 cu: MICU cg: RN v1: 30 degrees st: NotStopd t0: [23:00:00 24/09/2012] id: Activity el: 0 cu: MICU cg: RN v1: Bedrest st: NotStopd t0: [23:00:00 24/09/2012] id: Activity Tolerance el: 0 cu: MICU cg: RN v1: Tolerated Well st: NotStopd t0: [23:00:00 24/09/2012] id: Oral Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [23:00:00 24/09/2012] id: AntiEmbDevice/Status el: 0 cu: MICU cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [23:00:00 24/09/2012] id: Position el: 0 cu: MICU cg: RN v1: Right Side st: NotStopd t0: [23:00:00 24/09/2012] id: Assistance Device el: 0 cu: MICU cg: RN v1: Independent st: NotStopd t0: [23:00:00 24/09/2012] id: Skin Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [23:00:00 24/09/2012] id: Turn el: 0 cu: MICU cg: RN v1: Turns by self st: NotStopd t0: [23:00:00 24/09/2012] id: Back Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [00:00:00 25/09/2012] id: INV#3Chg o/Wire Date el: 0 cu: MICU cg: RN v1: 8 v2: 29 st: NotStopd t0: [00:00:00 25/09/2012] id: Riker-SAS Scale el: 0 cu: MICU cg: RN v1: Calm/Cooperative st: NotStopd t0: [00:00:00 25/09/2012] id: GI Prophylaxis el: 0 cu: MICU cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [00:00:00 25/09/2012] id: Diet Type el: 0 cu: MICU cg: RN v1: House st: NotStopd t0: [00:00:00 25/09/2012] id: Dorsal PedPulse R/L el: 0 cu: MICU cg: RN v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [00:00:00 25/09/2012] id: Eye Opening el: 0 cu: MICU cg: RN v1: 4 Spontaneously st: NotStopd t0: [00:00:00 25/09/2012] id: Follows Commands el: 0 cu: MICU cg: RN v1: Consistently st: NotStopd t0: [00:00:00 25/09/2012] id: GCS Total el: 0 cu: MICU cg: RN v1: 15 u1: points st: NotStopd t0: [00:00:00 25/09/2012] id: INV Line#3 Site Date el: 0 cu: MICU cg: RN v1: 8 v2: 29 st: NotStopd t0: [00:00:00 25/09/2012] id: INV Line#3 Type/Site el: 0 cu: MICU cg: RN v1: Multi-lumen v2: Right IJ st: NotStopd t0: [00:00:00 25/09/2012] id: INV Line#3InsertDate el: 0 cu: MICU cg: RN v1: 8 v2: 28 st: NotStopd t0: [00:00:00 25/09/2012] id: INV Line#3SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [00:00:00 25/09/2012] id: Abdominal Assessment el: 0 cu: MICU cg: RN v1: Soft st: NotStopd t0: [00:00:00 25/09/2012] id: IV #1 Insert Date el: 0 cu: MICU cg: RN v1: ? st: NotStopd t0: [00:00:00 25/09/2012] id: IV #1 Site/Size el: 0 cu: MICU cg: RN v1: RU Ant Forearm v2: 18 gauge st: NotStopd t0: [00:00:00 25/09/2012] id: IV #2 Insert Date el: 0 cu: MICU cg: RN v1: 8 v2: 28 st: NotStopd t0: [00:00:00 25/09/2012] id: IV #2 Site/Size el: 0 cu: MICU cg: RN v1: RU Ant Forearm v2: 16 gauge st: NotStopd t0: [00:00:00 25/09/2012] id: IV #3 Insert Date el: 0 cu: MICU cg: RN v1: 8 v2: 28 st: NotStopd t0: [00:00:00 25/09/2012] id: IV #3 Site/Size el: 0 cu: MICU cg: RN v1: Right Antecub v2: 18 gauge st: NotStopd t0: [00:00:00 25/09/2012] id: IV Site Appear #1 el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [00:00:00 25/09/2012] id: IV Site Appear #2 el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [00:00:00 25/09/2012] id: IV Site Appear #3 el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [00:00:00 25/09/2012] id: LLL Lung Sounds el: 0 cu: MICU cg: RN v1: Clear st: NotStopd t0: [00:00:00 25/09/2012] id: LUL Lung Sounds el: 0 cu: MICU cg: RN v1: Clear st: NotStopd t0: [00:00:00 25/09/2012] id: Level of Conscious el: 0 cu: MICU cg: RN v1: Alert st: NotStopd t0: [00:00:00 25/09/2012] id: Motor Response el: 0 cu: MICU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [00:00:00 25/09/2012] id: Oral Cavity el: 0 cu: MICU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [00:00:00 25/09/2012] id: Orientation el: 0 cu: MICU cg: RN v1: Oriented x 3 st: NotStopd t0: [00:00:00 25/09/2012] id: PostTib. Pulses R/L el: 0 cu: MICU cg: RN v1: Easily Palpable v2: Strong/Palpable st: NotStopd t0: [00:00:00 25/09/2012] id: RLL Lung Sounds el: 0 cu: MICU cg: RN v1: Clear st: NotStopd t0: [00:00:00 25/09/2012] id: RUL Lung Sounds el: 0 cu: MICU cg: RN v1: Clear st: NotStopd t0: [00:00:00 25/09/2012] id: Respiratory Pattern el: 0 cu: MICU cg: RN v1: Regular st: NotStopd t0: [00:00:00 25/09/2012] id: Restraint Location el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [00:00:00 25/09/2012] id: Side Rails el: 0 cu: MICU cg: RN v1: Side Rails Up st: NotStopd t0: [00:00:00 25/09/2012] id: Skin Color el: 0 cu: MICU cg: RN v1: Jaundiced st: NotStopd t0: [00:00:00 25/09/2012] id: Skin Integrity el: 0 cu: MICU cg: RN v1: Intact st: NotStopd t0: [00:00:00 25/09/2012] id: Skin Temp/Condition el: 0 cu: MICU cg: RN v1: Warm v2: Dry st: NotStopd t0: [00:00:00 25/09/2012] id: SpO2 el: 0 cu: MICU cg: RN v1: 99 u1: % st: NotStopd t0: [00:00:00 25/09/2012] id: Spontaneous Movement el: 0 cu: MICU cg: RN v1: Purposeful st: NotStopd t0: [00:00:00 25/09/2012] id: Urine Color/Appear el: 0 cu: MICU cg: RN v1: Icteric v2: Clear st: NotStopd t0: [00:00:00 25/09/2012] id: Urine Source el: 0 cu: MICU cg: RN v1: Voids st: NotStopd t0: [00:00:00 25/09/2012] id: Verbal Response el: 0 cu: MICU cg: RN v1: 5 Oriented st: NotStopd t0: [00:00:00 25/09/2012] id: Behavior el: 0 cu: MICU cg: RN v1: Calm st: NotStopd t0: [00:00:00 25/09/2012] id: Bowel Sounds el: 0 cu: MICU cg: RN v1: Present st: NotStopd t0: [00:00:00 25/09/2012] id: Braden Activity el: 0 cu: MICU cg: RN v1: Bedfast st: NotStopd t0: [00:00:00 25/09/2012] id: Braden Frict/Shear el: 0 cu: MICU cg: RN v1: Potential Prob st: NotStopd t0: [00:00:00 25/09/2012] id: Braden Mobility el: 0 cu: MICU cg: RN v1: Sl. Limited st: NotStopd t0: [00:00:00 25/09/2012] id: Braden Moisture el: 0 cu: MICU cg: RN v1: Occ. Moist st: NotStopd t0: [00:00:00 25/09/2012] id: Braden Nutrition el: 0 cu: MICU cg: RN v1: Prob. Inadequate st: NotStopd t0: [00:00:00 25/09/2012] id: Braden Score el: 0 cu: MICU cg: RN v1: 15 u1: number st: NotStopd t0: [00:00:00 25/09/2012] id: Braden SensoryPercep el: 0 cu: MICU cg: RN v1: No Impairment st: NotStopd t0: [01:00:00 25/09/2012] id: Riker-SAS Scale el: 0 cu: MICU cg: RN v1: Calm/Cooperative st: NotStopd t0: [01:00:00 25/09/2012] id: SpO2 el: 0 cu: MICU cg: RN v1: 99 u1: % st: NotStopd t0: [02:00:00 25/09/2012] id: Riker-SAS Scale el: 0 cu: MICU cg: RN v1: Calm/Cooperative st: NotStopd t0: [02:00:00 25/09/2012] id: HOB el: 0 cu: MICU cg: RN v1: 30 degrees st: NotStopd t0: [02:00:00 25/09/2012] id: Activity el: 0 cu: MICU cg: RN v1: Bedrest st: NotStopd t0: [02:00:00 25/09/2012] id: Activity Tolerance el: 0 cu: MICU cg: RN v1: Tolerated Well st: NotStopd t0: [02:00:00 25/09/2012] id: NBP el: 0 cu: MICU cg: RN v1: 121 u1: mmHg v2: 60 u2: mmHg st: NotStopd t0: [02:00:00 25/09/2012] id: NBP Mean el: 0 cu: MICU cg: RN v1: 80.3333 u1: mmHg st: NotStopd t0: [02:00:00 25/09/2012] id: Oral Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [02:00:00 25/09/2012] id: AntiEmbDevice/Status el: 0 cu: MICU cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [02:00:00 25/09/2012] id: Position el: 0 cu: MICU cg: RN v1: Supine st: NotStopd t0: [02:00:00 25/09/2012] id: Assistance Device el: 0 cu: MICU cg: RN v1: Independent st: NotStopd t0: [02:00:00 25/09/2012] id: Skin Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [02:00:00 25/09/2012] id: SpO2 el: 0 cu: MICU cg: RN v1: 99 u1: % st: NotStopd t0: [02:00:00 25/09/2012] id: Turn el: 0 cu: MICU cg: RN v1: Turns by self st: NotStopd t0: [02:00:00 25/09/2012] id: Back Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [03:00:00 25/09/2012] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [03:00:00 25/09/2012] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [03:00:00 25/09/2012] id: Riker-SAS Scale el: 0 cu: MICU cg: RN v1: Calm/Cooperative st: NotStopd t0: [03:00:00 25/09/2012] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [03:00:00 25/09/2012] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [03:00:00 25/09/2012] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [03:00:00 25/09/2012] id: Heart Rate el: 0 cu: MICU cg: RN v1: 98 u1: BPM st: NotStopd t0: [03:00:00 25/09/2012] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [03:00:00 25/09/2012] id: NBP el: 0 cu: MICU cg: RN v1: 122 u1: mmHg v2: 53 u2: mmHg st: NotStopd t0: [03:00:00 25/09/2012] id: NBP Mean el: 0 cu: MICU cg: RN v1: 76 u1: mmHg st: NotStopd t0: [03:00:00 25/09/2012] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [03:00:00 25/09/2012] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 21 u1: BPM st: NotStopd t0: [03:00:00 25/09/2012] id: SpO2 el: 0 cu: MICU cg: RN v1: 98 u1: % st: NotStopd t0: [03:00:00 25/09/2012] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [04:00:00 25/09/2012] id: INV#3Chg o/Wire Date el: 0 cu: MICU cg: RN v1: 8 v2: 29 st: NotStopd t0: [04:00:00 25/09/2012] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [04:00:00 25/09/2012] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [04:00:00 25/09/2012] id: Riker-SAS Scale el: 0 cu: MICU cg: RN v1: Calm/Cooperative st: NotStopd t0: [04:00:00 25/09/2012] id: GI Prophylaxis el: 0 cu: MICU cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [04:00:00 25/09/2012] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [04:00:00 25/09/2012] id: Diet Type el: 0 cu: MICU cg: RN v1: House st: NotStopd t0: [04:00:00 25/09/2012] id: Dorsal PedPulse R/L el: 0 cu: MICU cg: RN v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [04:00:00 25/09/2012] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [04:00:00 25/09/2012] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [04:00:00 25/09/2012] id: Eye Opening el: 0 cu: MICU cg: RN v1: 4 Spontaneously st: NotStopd t0: [04:00:00 25/09/2012] id: Follows Commands el: 0 cu: MICU cg: RN v1: Consistently st: NotStopd t0: [04:00:00 25/09/2012] id: GCS Total el: 0 cu: MICU cg: RN v1: 15 u1: points st: NotStopd t0: [04:00:00 25/09/2012] id: Heart Rate el: 0 cu: MICU cg: RN v1: 98 u1: BPM st: NotStopd t0: [04:00:00 25/09/2012] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [04:00:00 25/09/2012] id: INV Line#3 Site Date el: 0 cu: MICU cg: RN v1: 8 v2: 29 st: NotStopd t0: [04:00:00 25/09/2012] id: INV Line#3 Type/Site el: 0 cu: MICU cg: RN v1: Multi-lumen v2: Right IJ st: NotStopd t0: [04:00:00 25/09/2012] id: INV Line#3InsertDate el: 0 cu: MICU cg: RN v1: 8 v2: 28 st: NotStopd t0: [04:00:00 25/09/2012] id: INV Line#3SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [04:00:00 25/09/2012] id: Abdominal Assessment el: 0 cu: MICU cg: RN v1: Soft st: NotStopd t0: [04:00:00 25/09/2012] id: IV #1 Site/Size el: 0 cu: MICU cg: RN v1: RU Ant Forearm v2: 18 gauge st: NotStopd t0: [04:00:00 25/09/2012] id: IV #2 Insert Date el: 0 cu: MICU cg: RN v1: 8 v2: 28 st: NotStopd t0: [04:00:00 25/09/2012] id: IV #2 Site/Size el: 0 cu: MICU cg: RN v1: RU Ant Forearm v2: 16 gauge st: NotStopd t0: [04:00:00 25/09/2012] id: IV #3 Insert Date el: 0 cu: MICU cg: RN v1: 8 v2: 28 st: NotStopd t0: [04:00:00 25/09/2012] id: IV #3 Site/Size el: 0 cu: MICU cg: RN v1: Right Antecub v2: 18 gauge st: NotStopd t0: [04:00:00 25/09/2012] id: IV Site Appear #1 el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [04:00:00 25/09/2012] id: IV Site Appear #2 el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [04:00:00 25/09/2012] id: IV Site Appear #3 el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [04:00:00 25/09/2012] id: LLL Lung Sounds el: 0 cu: MICU cg: RN v1: Clear st: NotStopd t0: [04:00:00 25/09/2012] id: LUL Lung Sounds el: 0 cu: MICU cg: RN v1: Clear st: NotStopd t0: [04:00:00 25/09/2012] id: Level of Conscious el: 0 cu: MICU cg: RN v1: Alert st: NotStopd t0: [04:00:00 25/09/2012] id: Motor Response el: 0 cu: MICU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [04:00:00 25/09/2012] id: NBP el: 0 cu: MICU cg: RN v1: 121 u1: mmHg v2: 49 u2: mmHg st: NotStopd t0: [04:00:00 25/09/2012] id: NBP Mean el: 0 cu: MICU cg: RN v1: 73 u1: mmHg st: NotStopd t0: [04:00:00 25/09/2012] id: Oral Cavity el: 0 cu: MICU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [04:00:00 25/09/2012] id: Orientation el: 0 cu: MICU cg: RN v1: Oriented x 3 st: NotStopd t0: [04:00:00 25/09/2012] id: PostTib. Pulses R/L el: 0 cu: MICU cg: RN v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [04:00:00 25/09/2012] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [04:00:00 25/09/2012] id: RLL Lung Sounds el: 0 cu: MICU cg: RN v1: Clear st: NotStopd t0: [04:00:00 25/09/2012] id: RUL Lung Sounds el: 0 cu: MICU cg: RN v1: Clear st: NotStopd t0: [04:00:00 25/09/2012] id: Respiratory Pattern el: 0 cu: MICU cg: RN v1: Regular st: NotStopd t0: [04:00:00 25/09/2012] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 20 u1: BPM st: NotStopd t0: [04:00:00 25/09/2012] id: Restraint Location el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [04:00:00 25/09/2012] id: Side Rails el: 0 cu: MICU cg: RN v1: Side Rails Up st: NotStopd t0: [04:00:00 25/09/2012] id: Skin Color el: 0 cu: MICU cg: RN v1: Jaundiced st: NotStopd t0: [04:00:00 25/09/2012] id: Skin Integrity el: 0 cu: MICU cg: RN v1: Intact st: NotStopd t0: [04:00:00 25/09/2012] id: Skin Temp/Condition el: 0 cu: MICU cg: RN v1: Warm v2: Dry st: NotStopd t0: [04:00:00 25/09/2012] id: SpO2 el: 0 cu: MICU cg: RN v1: 100 u1: % st: NotStopd t0: [04:00:00 25/09/2012] id: Spontaneous Movement el: 0 cu: MICU cg: RN v1: Purposeful st: NotStopd t0: [04:00:00 25/09/2012] id: Temp. Site el: 0 cu: MICU cg: RN v1: Oral st: NotStopd t0: [04:00:00 25/09/2012] id: Temperature C (calc) el: 0 cu: MICU cg: RN v1: 37.4444 u1: Deg. C st: NotStopd t0: [04:00:00 25/09/2012] id: Temperature F el: 0 cu: MICU cg: RN v1: 99.4 u1: Deg. F st: NotStopd t0: [04:00:00 25/09/2012] id: Urine Color/Appear el: 0 cu: MICU cg: RN v1: Icteric v2: Clear st: NotStopd t0: [04:00:00 25/09/2012] id: Urine Source el: 0 cu: MICU cg: RN v1: Voids st: NotStopd t0: [04:00:00 25/09/2012] id: Verbal Response el: 0 cu: MICU cg: RN v1: 5 Oriented st: NotStopd t0: [04:00:00 25/09/2012] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [04:00:00 25/09/2012] id: Behavior el: 0 cu: MICU cg: RN v1: Calm st: NotStopd t0: [04:00:00 25/09/2012] id: Bowel Sounds el: 0 cu: MICU cg: RN v1: Present st: NotStopd t0: [04:00:00 25/09/2012] id: Braden Activity el: 0 cu: MICU cg: RN v1: Bedfast st: NotStopd t0: [04:00:00 25/09/2012] id: Braden Frict/Shear el: 0 cu: MICU cg: RN v1: Potential Prob st: NotStopd t0: [04:00:00 25/09/2012] id: Braden Mobility el: 0 cu: MICU cg: RN v1: Sl. Limited st: NotStopd t0: [04:00:00 25/09/2012] id: Braden Moisture el: 0 cu: MICU cg: RN v1: Occ. Moist st: NotStopd t0: [04:00:00 25/09/2012] id: Braden Nutrition el: 0 cu: MICU cg: RN v1: Prob. Inadequate st: NotStopd t0: [04:00:00 25/09/2012] id: Braden Score el: 0 cu: MICU cg: RN v1: 15 u1: number st: NotStopd t0: [04:00:00 25/09/2012] id: Braden SensoryPercep el: 0 cu: MICU cg: RN v1: No Impairment st: NotStopd t0: [05:00:00 25/09/2012] id: bath el: 1 cu: MICU cg: RN v1: Done t0: [05:00:00 25/09/2012] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [05:00:00 25/09/2012] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [05:00:00 25/09/2012] id: Riker-SAS Scale el: 0 cu: MICU cg: RN v1: Calm/Cooperative st: NotStopd t0: [05:00:00 25/09/2012] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [05:00:00 25/09/2012] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [05:00:00 25/09/2012] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [05:00:00 25/09/2012] id: HOB el: 0 cu: MICU cg: RN v1: 30 degrees st: NotStopd t0: [05:00:00 25/09/2012] id: Heart Rate el: 0 cu: MICU cg: RN v1: 99 u1: BPM st: NotStopd t0: [05:00:00 25/09/2012] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [05:00:00 25/09/2012] id: Activity el: 0 cu: MICU cg: RN v1: Bedrest st: NotStopd t0: [05:00:00 25/09/2012] id: Activity Tolerance el: 0 cu: MICU cg: RN v1: Tolerated Well st: NotStopd t0: [05:00:00 25/09/2012] id: NBP el: 0 cu: MICU cg: RN v1: 107 u1: mmHg v2: 54 u2: mmHg st: NotStopd t0: [05:00:00 25/09/2012] id: NBP Mean el: 0 cu: MICU cg: RN v1: 71.6667 u1: mmHg st: NotStopd t0: [05:00:00 25/09/2012] id: Oral Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [05:00:00 25/09/2012] id: AntiEmbDevice/Status el: 0 cu: MICU cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [05:00:00 25/09/2012] id: Position el: 0 cu: MICU cg: RN v1: Right Side st: NotStopd t0: [05:00:00 25/09/2012] id: Assistance Device el: 0 cu: MICU cg: RN v1: Independent st: NotStopd t0: [05:00:00 25/09/2012] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [05:00:00 25/09/2012] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 24 u1: BPM st: NotStopd t0: [05:00:00 25/09/2012] id: Skin Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [05:00:00 25/09/2012] id: SpO2 el: 0 cu: MICU cg: RN v1: 96 u1: % st: NotStopd t0: [05:00:00 25/09/2012] id: Turn el: 0 cu: MICU cg: RN v1: Turns by self st: NotStopd t0: [05:00:00 25/09/2012] id: Back Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [05:00:00 25/09/2012] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [22:00:00 24/09/2012] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 10 vu: ml t0: [23:00:00 24/09/2012] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 10 vu: ml t0: [23:00:00 24/09/2012] id: D5W 250.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 105 vo: 50 vu: ml t0: [00:00:00 25/09/2012] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 10 vu: ml t0: [00:00:00 25/09/2012] id: D5W 250.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 105 vo: 100 vu: ml t0: [00:00:00 25/09/2012] id: Urine Out Void el: 1 cu: MICU cg: RN vo: 300 vu: ml t0: [01:00:00 25/09/2012] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 10 vu: ml t0: [02:00:00 25/09/2012] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 10 vu: ml t0: [04:00:00 25/09/2012] id: Po Intake PO/Gastric el: 1 cu: MICU cg: RN ai: 103 vo: 240 vu: ml t0: [04:00:00 25/09/2012] id: Stool Out Stool el: 1 cu: MICU cg: RN vo: 400 vu: ml t0: [04:00:00 25/09/2012] id: Urine Out Void el: 1 cu: MICU cg: RN vo: 200 vu: ml
t0: [23:00:00 25/09/2012] dt: 24 id: IV Infusion In Total el: 2 cu: MICU cg: RN cv: 130 ap: none t0: [23:00:00 25/09/2012] dt: 24 id: 24h Total In el: 2 cu: MICU cg: RN cv: 370 ap: none t0: [23:00:00 25/09/2012] dt: 24 id: PO/Gastric In Total el: 2 cu: MICU cg: RN cv: 240 ap: none t0: [23:00:00 25/09/2012] dt: 24 id: Stool Out Total el: 2 cu: MICU cg: RN cv: 400 ap: none
t0: [04:45:00 25/09/2012] id: PT el: 0 cu: MICU cg: 1663 v1: 18.2 rs: Final st: NotStopd t0: [04:45:00 25/09/2012] id: INR Coags el: 0 cu: MICU cg: 1663 v1: 2.2 rs: Final st: NotStopd t0: [04:45:00 25/09/2012] id: INR (2-4 ref. range) Coags el: 0 cu: MICU cg: 1663 v1: 2.2 rs: Final st: NotStopd t0: [04:45:00 25/09/2012] id: PT(11-13.5) Coags el: 0 cu: MICU cg: 1663 v1: 18.2 rs: Final st: NotStopd
t0: [04:45:00 25/09/2012] id: BUN el: 0 cu: MICU cg: 1663 v1: 10 rs: Final st: NotStopd t0: [04:45:00 25/09/2012] id: Albumin Chemistry el: 0 cu: MICU cg: 1663 v1: 3.1 rs: Final st: NotStopd t0: [04:45:00 25/09/2012] id: Calcium Chemistry el: 0 cu: MICU cg: 1663 v1: 8.5 u1: mg/dl rs: Final st: NotStopd t0: [04:45:00 25/09/2012] id: Chloride Chemistry el: 0 cu: MICU cg: 1663 v1: 102 rs: Final st: NotStopd t0: [04:45:00 25/09/2012] id: Creatinine Chemistry el: 0 cu: MICU cg: 1663 v1: 0.7 rs: Final st: NotStopd t0: [04:45:00 25/09/2012] id: Glucose Chemistry el: 0 cu: MICU cg: 1663 v1: 70 rs: Final st: NotStopd t0: [04:45:00 25/09/2012] id: Magnesium Chemistry el: 0 cu: MICU cg: 1663 v1: 1.9 rs: Final st: NotStopd t0: [04:45:00 25/09/2012] id: Phosphorous Chemistry el: 0 cu: MICU cg: 1663 v1: 2.5 u1: mEq/L rs: Final st: NotStopd t0: [04:45:00 25/09/2012] id: Potassium Chemistry el: 0 cu: MICU cg: 1663 v1: 3.9 rs: Final st: NotStopd t0: [04:45:00 25/09/2012] id: Sodium Chemistry el: 0 cu: MICU cg: 1663 v1: 131 rs: Final st: NotStopd t0: [04:45:00 25/09/2012] id: ALT Enzymes el: 0 cu: MICU cg: 1663 v1: 32 rs: Final st: NotStopd t0: [04:45:00 25/09/2012] id: AST Enzymes el: 0 cu: MICU cg: 1663 v1: 48 rs: Final st: NotStopd t0: [04:45:00 25/09/2012] id: Albumin (>3.2) Chemistry el: 0 cu: MICU cg: 1663 v1: 3.1 rs: Final st: NotStopd t0: [04:45:00 25/09/2012] id: Alk. Phosphate Enzymes el: 0 cu: MICU cg: 1663 v1: 166 rs: Final st: NotStopd t0: [04:45:00 25/09/2012] id: BUN (6-20) Chemistry el: 0 cu: MICU cg: 1663 v1: 10 rs: Final st: NotStopd t0: [04:45:00 25/09/2012] id: Calcium (8.4-10.2) Chemistry el: 0 cu: MICU cg: 1663 v1: 8.5 u1: mg/dl rs: Final st: NotStopd t0: [04:45:00 25/09/2012] id: Carbon Dioxide Chemistry el: 0 cu: MICU cg: 1663 v1: 21 rs: Final st: NotStopd t0: [04:45:00 25/09/2012] id: Chloride (100-112) Chemistry el: 0 cu: MICU cg: 1663 v1: 102 rs: Final st: NotStopd t0: [04:45:00 25/09/2012] id: Creatinine (0-1.3) Chemistry el: 0 cu: MICU cg: 1663 v1: 0.7 rs: Final st: NotStopd t0: [04:45:00 25/09/2012] id: Glucose (70-105) Chemistry el: 0 cu: MICU cg: 1663 v1: 70 rs: Final st: NotStopd t0: [04:45:00 25/09/2012] id: Magnesium (1.6-2.6) Chemistry el: 0 cu: MICU cg: 1663 v1: 1.9 rs: Final st: NotStopd t0: [04:45:00 25/09/2012] id: Phosphorous(2.7-4.5) Chemistry el: 0 cu: MICU cg: 1663 v1: 2.5 u1: mEq/L rs: Final st: NotStopd t0: [04:45:00 25/09/2012] id: Potassium (3.5-5.3) Chemistry el: 0 cu: MICU cg: 1663 v1: 3.9 rs: Final st: NotStopd t0: [04:45:00 25/09/2012] id: Sodium (135-148) Chemistry el: 0 cu: MICU cg: 1663 v1: 131 rs: Final st: NotStopd
t0: [04:45:00 25/09/2012] id: Total Bili Chemistry el: 0 cu: MICU cg: 1663 v1: 17.4 rs: Final st: NotStopd t0: [04:45:00 25/09/2012] id: Total Bili (0-1.5) Chemistry el: 0 cu: MICU cg: 1663 v1: 17.4 rs: Final st: NotStopd
t0: [06:00:00 25/09/2012] id: Urine Out Void el: 1 cu: MICU cg: CoWker vo: 350 vu: ml
t0: [06:00:00 25/09/2012] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [06:00:00 25/09/2012] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [06:00:00 25/09/2012] id: Riker-SAS Scale el: 0 cu: MICU cg: RN v1: Calm/Cooperative st: NotStopd t0: [06:00:00 25/09/2012] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [06:00:00 25/09/2012] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [06:00:00 25/09/2012] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [06:00:00 25/09/2012] id: Heart Rate el: 0 cu: MICU cg: RN v1: 101 u1: BPM st: NotStopd t0: [06:00:00 25/09/2012] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [06:00:00 25/09/2012] id: NBP el: 0 cu: MICU cg: RN v1: 111 u1: mmHg v2: 66 u2: mmHg st: NotStopd t0: [06:00:00 25/09/2012] id: NBP Mean el: 0 cu: MICU cg: RN v1: 81 u1: mmHg st: NotStopd t0: [06:00:00 25/09/2012] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [06:00:00 25/09/2012] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 20 u1: BPM st: NotStopd t0: [06:00:00 25/09/2012] id: SpO2 el: 0 cu: MICU cg: RN v1: 95 u1: % st: NotStopd t0: [06:00:00 25/09/2012] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [04:45:00 25/09/2012] id: PTT Coags el: 0 cu: MICU cg: 1663 v1: 37 rs: Final st: NotStopd t0: [04:45:00 25/09/2012] id: PTT(22-35) Coags el: 0 cu: MICU cg: 1663 v1: 37 rs: Final st: NotStopd
t0: [08:00:00 25/09/2012] id: Heart Rate el: 0 cu: MICU cg: CoWork v1: 99 u1: BPM st: NotStopd t0: [08:00:00 25/09/2012] id: NBP el: 0 cu: MICU cg: CoWork v1: 129 u1: mmHg v2: 65 u2: mmHg st: NotStopd t0: [08:00:00 25/09/2012] id: NBP Mean el: 0 cu: MICU cg: CoWork v1: 86.3333 u1: mmHg st: NotStopd t0: [08:00:00 25/09/2012] id: Respiratory Rate el: 0 cu: MICU cg: CoWork v1: 22 u1: BPM st: NotStopd t0: [08:00:00 25/09/2012] id: SpO2 el: 0 cu: MICU cg: CoWork v1: 92 u1: % st: NotStopd t0: [08:00:00 25/09/2012] id: Temp. Site el: 0 cu: MICU cg: CoWork v1: Oral st: NotStopd t0: [08:00:00 25/09/2012] id: Temperature C (calc) el: 0 cu: MICU cg: CoWork v1: 38.1111 u1: Deg. C st: NotStopd t0: [08:00:00 25/09/2012] id: Temperature F el: 0 cu: MICU cg: CoWork v1: 100.6 u1: Deg. F st: NotStopd t0: [08:00:00 25/09/2012] id: calprevflg el: 0 cu: MICU cg: CoWork v1: 1 u1: kg st: NotStopd
t0: [08:00:00 25/09/2012] id: O2 Delivery Device el: 0 cu: MICU cg: CoWork v1: None st: NotStopd
tf: [16:00:00 12/10/2012] pt: Unit Dose rt: PO fr: TID fs: 08, 16, 22 dn: 3 m1: Lactulose v1: 30 u1: ml
t0: [09:00:00 25/09/2012] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [09:00:00 25/09/2012] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [09:00:00 25/09/2012] id: Riker-SAS Scale el: 0 cu: MICU cg: RN v1: Calm/Cooperative st: NotStopd t0: [09:00:00 25/09/2012] id: Cough Reflex el: 0 cu: MICU cg: RN v1: Intact st: NotStopd t0: [09:00:00 25/09/2012] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [09:00:00 25/09/2012] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [09:00:00 25/09/2012] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [09:00:00 25/09/2012] id: Eye Opening el: 0 cu: MICU cg: RN v1: 4 Spontaneously st: NotStopd t0: [09:00:00 25/09/2012] id: GCS Total el: 0 cu: MICU cg: RN v1: 15 u1: points st: NotStopd t0: [09:00:00 25/09/2012] id: Gag Reflex el: 0 cu: MICU cg: RN v1: Intact st: NotStopd t0: [09:00:00 25/09/2012] id: Heart Rate el: 0 cu: MICU cg: RN v1: 97 u1: BPM st: NotStopd t0: [09:00:00 25/09/2012] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [09:00:00 25/09/2012] id: Level of Conscious el: 0 cu: MICU cg: RN v1: Alert st: NotStopd t0: [09:00:00 25/09/2012] id: Motor Response el: 0 cu: MICU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [09:00:00 25/09/2012] id: NBP el: 0 cu: MICU cg: RN v1: 111 u1: mmHg v2: 44 u2: mmHg st: NotStopd t0: [09:00:00 25/09/2012] id: NBP Mean el: 0 cu: MICU cg: RN v1: 66.3333 u1: mmHg st: NotStopd t0: [09:00:00 25/09/2012] id: Orientation el: 0 cu: MICU cg: RN v1: Oriented x 3 st: NotStopd t0: [09:00:00 25/09/2012] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [09:00:00 25/09/2012] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 25 u1: BPM st: NotStopd t0: [09:00:00 25/09/2012] id: SpO2 el: 0 cu: MICU cg: RN v1: 90 u1: % st: NotStopd t0: [09:00:00 25/09/2012] id: Verbal Response el: 0 cu: MICU cg: RN v1: 5 Oriented st: NotStopd t0: [09:00:00 25/09/2012] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [10:00:00 25/09/2012] id: Heart Rate el: 0 cu: MICU cg: CoWork v1: 96 u1: BPM st: NotStopd t0: [10:00:00 25/09/2012] id: NBP el: 0 cu: MICU cg: CoWork v1: 109 u1: mmHg v2: 52 u2: mmHg st: NotStopd t0: [10:00:00 25/09/2012] id: NBP Mean el: 0 cu: MICU cg: CoWork v1: 71 u1: mmHg st: NotStopd t0: [10:00:00 25/09/2012] id: Respiratory Rate el: 0 cu: MICU cg: CoWork v1: 26 u1: BPM st: NotStopd t0: [10:00:00 25/09/2012] id: SpO2 el: 0 cu: MICU cg: CoWork v1: 96 u1: % st: NotStopd t0: [10:00:00 25/09/2012] id: calprevflg el: 0 cu: MICU cg: CoWork v1: 1 u1: kg st: NotStopd
t0: [10:00:00 25/09/2012] id: Urine Out Void el: 1 cu: MICU cg: CoWork vo: 355 vu: ml
t0: [23:00:00 25/09/2012] dt: 1 id: Total Hourly Output el: 2 cu: MICU cg: CoWork cv: 0 ap: none t0: [23:00:00 25/09/2012] dt: 1 id: Net Hourly Balance el: 2 cu: MICU cg: CoWork cv: 0 ap: none t0: [23:00:00 25/09/2012] dt: 24 id: Urine Out Total el: 2 cu: MICU cg: CoWork cv: 1205 ap: none t0: [23:00:00 25/09/2012] dt: 24 id: 24h Net Body Balance el: 2 cu: MICU cg: CoWork cv: -1235 ap: none t0: [23:00:00 25/09/2012] dt: 24 id: 24h Total Out el: 2 cu: MICU cg: CoWork cv: 1605 ap: none
tf: [15:00:00 26/09/2012] pt: Unit Dose rt: PO fr: QD fs: 10 dn: 1 m1: Furosemide v1: 20 u1: mg tf: [17:00:00 27/09/2012] pt: Unit Dose rt: PO fr: BID fs: 10, 22 dn: 2 m1: Spironolactone v1: 75 u1: mg tf: [10:00:00 01/10/2012] pt: Unit Dose rt: PO fr: QD fs: 10 dn: 1 m1: Phytonadione v1: 10 u1: mg
t0: [11:00:00 25/09/2012] id: IV #2 Reason DC'D el: 0 cu: MICU cg: -1 st: D/C'd t0: [11:00:00 25/09/2012] id: IV #2 D/C Date el: 0 cu: MICU cg: -1 st: D/C'd t0: [11:00:00 25/09/2012] id: IV #2 Insert Date el: 0 cu: MICU cg: -1 st: D/C'd t0: [11:00:00 25/09/2012] id: IV #2 Site/Size el: 0 cu: MICU cg: -1 st: D/C'd t0: [11:00:00 25/09/2012] id: IV Site Appear #2 el: 0 cu: MICU cg: -1 st: D/C'd
t0: [11:00:00 25/09/2012] id: Pain Present el: 0 cu: MICU cg: RN v1: No st: NotStopd t0: [11:00:00 25/09/2012] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [11:00:00 25/09/2012] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [11:00:00 25/09/2012] id: Riker-SAS Scale el: 0 cu: MICU cg: RN v1: Calm/Cooperative st: NotStopd t0: [11:00:00 25/09/2012] id: Daily Wake Up el: 1 cu: MICU cg: RN v1: No/Not Sedated st: NotStopd t0: [11:00:00 25/09/2012] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [11:00:00 25/09/2012] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [11:00:00 25/09/2012] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [11:00:00 25/09/2012] id: Heart Rate el: 0 cu: MICU cg: RN v1: 98 u1: BPM st: NotStopd t0: [11:00:00 25/09/2012] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [11:00:00 25/09/2012] id: NBP el: 0 cu: MICU cg: RN v1: 116 u1: mmHg v2: 59 u2: mmHg st: NotStopd t0: [11:00:00 25/09/2012] id: NBP Mean el: 0 cu: MICU cg: RN v1: 78 u1: mmHg st: NotStopd t0: [11:00:00 25/09/2012] id: O2 Delivery Device el: 0 cu: MICU cg: RN v1: Nasal Cannula st: NotStopd t0: [11:00:00 25/09/2012] id: O2 Flow (lpm) el: 0 cu: MICU cg: RN v1: 2 u1: lpm st: NotStopd t0: [11:00:00 25/09/2012] id: Pain Location el: 0 cu: MICU cg: RN v1: Not Indicated st: NotStopd t0: [11:00:00 25/09/2012] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [11:00:00 25/09/2012] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 20 u1: BPM st: NotStopd t0: [11:00:00 25/09/2012] id: Temp. Site el: 0 cu: MICU cg: RN v1: Oral st: NotStopd t0: [11:00:00 25/09/2012] id: Temperature C (calc) el: 0 cu: MICU cg: RN v1: 38 u1: Deg. C st: NotStopd t0: [11:00:00 25/09/2012] id: Temperature F el: 0 cu: MICU cg: RN v1: 100.4 u1: Deg. F st: NotStopd t0: [11:00:00 25/09/2012] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [12:00:00 25/09/2012] id: INV#3Chg o/Wire Date el: 0 cu: MICU cg: RN v1: 8 v2: 29 st: NotStopd t0: [12:00:00 25/09/2012] id: GI Prophylaxis el: 0 cu: MICU cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [12:00:00 25/09/2012] id: Diet Type el: 0 cu: MICU cg: RN v1: House st: NotStopd t0: [12:00:00 25/09/2012] id: Dorsal PedPulse R/L el: 0 cu: MICU cg: RN v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [12:00:00 25/09/2012] id: Eye Opening el: 0 cu: MICU cg: RN v1: 4 Spontaneously st: NotStopd t0: [12:00:00 25/09/2012] id: GCS Total el: 0 cu: MICU cg: RN v1: 15 u1: points st: NotStopd t0: [12:00:00 25/09/2012] id: INV Line#3 Site Date el: 0 cu: MICU cg: RN v1: 8 v2: 29 st: NotStopd t0: [12:00:00 25/09/2012] id: INV Line#3 Type/Site el: 0 cu: MICU cg: RN v1: Multi-lumen v2: Right IJ st: NotStopd t0: [12:00:00 25/09/2012] id: INV Line#3InsertDate el: 0 cu: MICU cg: RN v1: 8 v2: 28 st: NotStopd t0: [12:00:00 25/09/2012] id: INV Line#3SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [12:00:00 25/09/2012] id: Abdominal Assessment el: 0 cu: MICU cg: RN v1: Soft st: NotStopd t0: [12:00:00 25/09/2012] id: IV #1 Insert Date el: 0 cu: MICU cg: RN v1: ? st: NotStopd t0: [12:00:00 25/09/2012] id: IV #1 Site/Size el: 0 cu: MICU cg: RN v1: RU Ant Forearm v2: 18 gauge st: NotStopd t0: [12:00:00 25/09/2012] id: IV #3 Insert Date el: 0 cu: MICU cg: RN v1: 8 v2: 28 st: NotStopd t0: [12:00:00 25/09/2012] id: IV #3 Site/Size el: 0 cu: MICU cg: RN v1: Right Antecub v2: 18 gauge st: NotStopd t0: [12:00:00 25/09/2012] id: IV Site Appear #1 el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [12:00:00 25/09/2012] id: IV Site Appear #3 el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [12:00:00 25/09/2012] id: LLL Lung Sounds el: 0 cu: MICU cg: RN v1: Clear st: NotStopd t0: [12:00:00 25/09/2012] id: LUL Lung Sounds el: 0 cu: MICU cg: RN v1: Clear st: NotStopd t0: [12:00:00 25/09/2012] id: Level of Conscious el: 0 cu: MICU cg: RN v1: Alert st: NotStopd t0: [12:00:00 25/09/2012] id: Motor Response el: 0 cu: MICU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [12:00:00 25/09/2012] id: Oral Cavity el: 0 cu: MICU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [12:00:00 25/09/2012] id: Orientation el: 0 cu: MICU cg: RN v1: Oriented x 3 st: NotStopd t0: [12:00:00 25/09/2012] id: PostTib. Pulses R/L el: 0 cu: MICU cg: RN v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [12:00:00 25/09/2012] id: RLL Lung Sounds el: 0 cu: MICU cg: RN v1: Clear st: NotStopd t0: [12:00:00 25/09/2012] id: RUL Lung Sounds el: 0 cu: MICU cg: RN v1: Clear st: NotStopd t0: [12:00:00 25/09/2012] id: Respiratory Pattern el: 0 cu: MICU cg: RN v1: Regular st: NotStopd t0: [12:00:00 25/09/2012] id: Restraint Location el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [12:00:00 25/09/2012] id: Side Rails el: 0 cu: MICU cg: RN v1: Side Rails Up st: NotStopd t0: [12:00:00 25/09/2012] id: Skin Color el: 0 cu: MICU cg: RN v1: Jaundiced st: NotStopd t0: [12:00:00 25/09/2012] id: Skin Integrity el: 0 cu: MICU cg: RN v1: Intact st: NotStopd t0: [12:00:00 25/09/2012] id: Skin Temp/Condition el: 0 cu: MICU cg: RN v1: Warm v2: Dry st: NotStopd t0: [12:00:00 25/09/2012] id: Support Systems el: 0 cu: MICU cg: RN v1: Spouse st: NotStopd t0: [12:00:00 25/09/2012] id: Urine Source el: 0 cu: MICU cg: RN v1: Voids st: NotStopd t0: [12:00:00 25/09/2012] id: Verbal Response el: 0 cu: MICU cg: RN v1: 5 Oriented st: NotStopd t0: [12:00:00 25/09/2012] id: Behavior el: 0 cu: MICU cg: RN v1: Calm st: NotStopd t0: [12:00:00 25/09/2012] id: Bowel Sounds el: 0 cu: MICU cg: RN v1: Present st: NotStopd t0: [12:00:00 25/09/2012] id: Braden Activity el: 0 cu: MICU cg: RN v1: Bedfast st: NotStopd t0: [12:00:00 25/09/2012] id: Braden Frict/Shear el: 0 cu: MICU cg: RN v1: Potential Prob st: NotStopd t0: [12:00:00 25/09/2012] id: Braden Mobility el: 0 cu: MICU cg: RN v1: Sl. Limited st: NotStopd t0: [12:00:00 25/09/2012] id: Braden Moisture el: 0 cu: MICU cg: RN v1: Occ. Moist st: NotStopd t0: [12:00:00 25/09/2012] id: Braden Nutrition el: 0 cu: MICU cg: RN v1: Prob. Inadequate st: NotStopd t0: [12:00:00 25/09/2012] id: Braden Score el: 0 cu: MICU cg: RN v1: 14 u1: number st: NotStopd t0: [12:00:00 25/09/2012] id: Braden SensoryPercep el: 0 cu: MICU cg: RN v1: Sl. Limited st: NotStopd
t0: [04:45:00 25/09/2012] id: Serum Osmolality Chemistry el: 0 cu: MICU cg: 1663 v1: 273 rs: Final st: NotStopd
tf: [14:00:00 04/10/2012] pt: Unit Dose rt: PO fr: HS fs: 22 dn: 1 m1: Zolpidem Tartrate v1: 10 u1: mg
t0: [04:45:00 25/09/2012] id: Direct Bili Chemistry el: 0 cu: MICU cg: 1663 v1: 12.9 rs: Final st: NotStopd t0: [04:45:00 25/09/2012] id: Direct Bili (0-0.3) Chemistry el: 0 cu: MICU cg: 1663 v1: 12.9 rs: Final st: NotStopd
t0: [06:00:00 26/09/2012] id: WBC (4-11,000) Hematology el: 0 cu: MICU cg: 1663 v1: 12.5 rs: Final st: NotStopd t0: [06:00:00 26/09/2012] id: WBC Hematology el: 0 cu: MICU cg: 1663 v1: 12.5 rs: Final st: NotStopd t0: [06:00:00 26/09/2012] id: Hematocrit Hematology el: 0 cu: MICU cg: 1663 v1: 30 u1: % rs: Final st: NotStopd t0: [06:00:00 26/09/2012] id: Hemoglobin Hematology el: 0 cu: MICU cg: 1663 v1: 10.1 u1: gm/dl rs: Final st: NotStopd t0: [06:00:00 26/09/2012] id: Platelets Hematology el: 0 cu: MICU cg: 1663 v1: 153 rs: Final st: NotStopd t0: [06:00:00 26/09/2012] id: RBC Hematology el: 0 cu: MICU cg: 1663 v1: 3.24 u1: /mic l rs: Final st: NotStopd t0: [06:00:00 26/09/2012] id: WBC (4-11,000) Hematology el: 0 cu: MICU cg: 1663 v1: 12.5 rs: Final st: NotStopd
t0: [06:00:00 26/09/2012] id: BUN el: 0 cu: MICU cg: 1663 v1: 7 rs: Final st: NotStopd t0: [06:00:00 26/09/2012] id: Calcium Chemistry el: 0 cu: MICU cg: 1663 v1: 8.5 u1: mg/dl rs: Final st: NotStopd t0: [06:00:00 26/09/2012] id: Chloride Chemistry el: 0 cu: MICU cg: 1663 v1: 100 rs: Final st: NotStopd t0: [06:00:00 26/09/2012] id: Creatinine Chemistry el: 0 cu: MICU cg: 1663 v1: 0.6 rs: Final st: NotStopd t0: [06:00:00 26/09/2012] id: Glucose Chemistry el: 0 cu: MICU cg: 1663 v1: 58 rs: Final st: NotStopd t0: [06:00:00 26/09/2012] id: Magnesium Chemistry el: 0 cu: MICU cg: 1663 v1: 1.8 rs: Final st: NotStopd t0: [06:00:00 26/09/2012] id: Phosphorous Chemistry el: 0 cu: MICU cg: 1663 v1: 2.6 u1: mEq/L rs: Final st: NotStopd t0: [06:00:00 26/09/2012] id: Potassium Chemistry el: 0 cu: MICU cg: 1663 v1: 3.6 rs: Final st: NotStopd t0: [06:00:00 26/09/2012] id: Sodium Chemistry el: 0 cu: MICU cg: 1663 v1: 130 rs: Final st: NotStopd t0: [06:00:00 26/09/2012] id: Total Bili Chemistry el: 0 cu: MICU cg: 1663 v1: 18 rs: Final st: NotStopd t0: [06:00:00 26/09/2012] id: ALT Enzymes el: 0 cu: MICU cg: 1663 v1: 28 rs: Final st: NotStopd t0: [06:00:00 26/09/2012] id: AST Enzymes el: 0 cu: MICU cg: 1663 v1: 49 rs: Final st: NotStopd t0: [06:00:00 26/09/2012] id: Alk. Phosphate Enzymes el: 0 cu: MICU cg: 1663 v1: 155 rs: Final st: NotStopd t0: [06:00:00 26/09/2012] id: BUN (6-20) Chemistry el: 0 cu: MICU cg: 1663 v1: 7 rs: Final st: NotStopd t0: [06:00:00 26/09/2012] id: Calcium (8.4-10.2) Chemistry el: 0 cu: MICU cg: 1663 v1: 8.5 u1: mg/dl rs: Final st: NotStopd t0: [06:00:00 26/09/2012] id: Chloride (100-112) Chemistry el: 0 cu: MICU cg: 1663 v1: 100 rs: Final st: NotStopd t0: [06:00:00 26/09/2012] id: Creatinine (0-1.3) Chemistry el: 0 cu: MICU cg: 1663 v1: 0.6 rs: Final st: NotStopd t0: [06:00:00 26/09/2012] id: Glucose (70-105) Chemistry el: 0 cu: MICU cg: 1663 v1: 58 rs: Final st: NotStopd t0: [06:00:00 26/09/2012] id: Magnesium (1.6-2.6) Chemistry el: 0 cu: MICU cg: 1663 v1: 1.8 rs: Final st: NotStopd t0: [06:00:00 26/09/2012] id: Phosphorous(2.7-4.5) Chemistry el: 0 cu: MICU cg: 1663 v1: 2.6 u1: mEq/L rs: Final st: NotStopd t0: [06:00:00 26/09/2012] id: Potassium (3.5-5.3) Chemistry el: 0 cu: MICU cg: 1663 v1: 3.6 rs: Final st: NotStopd t0: [06:00:00 26/09/2012] id: Sodium (135-148) Chemistry el: 0 cu: MICU cg: 1663 v1: 130 rs: Final st: NotStopd t0: [06:00:00 26/09/2012] id: Total Bili (0-1.5) Chemistry el: 0 cu: MICU cg: 1663 v1: 18 rs: Final st: NotStopd
t0: [07:00:00 26/09/2012] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [07:00:00 26/09/2012] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [07:00:00 26/09/2012] id: Heart Rate el: 0 cu: MICU cg: RN v1: 94 u1: BPM st: NotStopd t0: [07:00:00 26/09/2012] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [07:00:00 26/09/2012] id: NBP el: 0 cu: MICU cg: RN v1: 97 u1: mmHg v2: 48 u2: mmHg st: NotStopd t0: [07:00:00 26/09/2012] id: NBP Mean el: 0 cu: MICU cg: RN v1: 64.3333 u1: mmHg st: NotStopd t0: [07:00:00 26/09/2012] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 21 u1: BPM st: NotStopd t0: [07:00:00 26/09/2012] id: SpO2 el: 0 cu: MICU cg: RN v1: 93 u1: % st: NotStopd t0: [07:00:00 26/09/2012] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [08:00:00 26/09/2012] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [08:00:00 26/09/2012] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [08:00:00 26/09/2012] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [08:00:00 26/09/2012] id: Heart Rate el: 0 cu: MICU cg: RN v1: 93 u1: BPM st: NotStopd t0: [08:00:00 26/09/2012] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [08:00:00 26/09/2012] id: NBP el: 0 cu: MICU cg: RN v1: 123 u1: mmHg v2: 56 u2: mmHg st: NotStopd t0: [08:00:00 26/09/2012] id: NBP Mean el: 0 cu: MICU cg: RN v1: 78.3333 u1: mmHg st: NotStopd t0: [08:00:00 26/09/2012] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 22 u1: BPM st: NotStopd t0: [08:00:00 26/09/2012] id: Temp. Site el: 0 cu: MICU cg: RN v1: Oral st: NotStopd t0: [08:00:00 26/09/2012] id: Temperature C (calc) el: 0 cu: MICU cg: RN v1: 38.2778 u1: Deg. C st: NotStopd t0: [08:00:00 26/09/2012] id: Temperature F el: 0 cu: MICU cg: RN v1: 100.9 u1: Deg. F st: NotStopd t0: [08:00:00 26/09/2012] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [06:00:00 26/09/2012] id: Direct Bili Chemistry el: 0 cu: MICU cg: 1663 v1: 13 rs: Final st: NotStopd t0: [06:00:00 26/09/2012] id: Direct Bili (0-0.3) Chemistry el: 0 cu: MICU cg: 1663 v1: 13 rs: Final st: NotStopd
t0: [06:00:00 26/09/2012] id: PT el: 0 cu: MICU cg: 1663 v1: 17.3 rs: Final st: NotStopd t0: [06:00:00 26/09/2012] id: INR Coags el: 0 cu: MICU cg: 1663 v1: 2 rs: Final st: NotStopd t0: [06:00:00 26/09/2012] id: PTT Coags el: 0 cu: MICU cg: 1663 v1: 44.2 rs: Final st: NotStopd t0: [06:00:00 26/09/2012] id: INR (2-4 ref. range) Coags el: 0 cu: MICU cg: 1663 v1: 2 rs: Final st: NotStopd t0: [06:00:00 26/09/2012] id: PT(11-13.5) Coags el: 0 cu: MICU cg: 1663 v1: 17.3 rs: Final st: NotStopd t0: [06:00:00 26/09/2012] id: PTT(22-35) Coags el: 0 cu: MICU cg: 1663 v1: 44.2 rs: Final st: NotStopd
t0: [08:00:00 26/09/2012] id: INV#3Chg o/Wire Date el: 0 cu: MICU cg: RN v1: 8 v2: 29 st: NotStopd t0: [08:00:00 26/09/2012] id: GI Prophylaxis el: 0 cu: MICU cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [08:00:00 26/09/2012] id: Diet Type el: 0 cu: MICU cg: RN v1: House st: NotStopd t0: [08:00:00 26/09/2012] id: Eye Opening el: 0 cu: MICU cg: RN v1: 4 Spontaneously st: NotStopd t0: [08:00:00 26/09/2012] id: GCS Total el: 0 cu: MICU cg: RN v1: 15 u1: points st: NotStopd t0: [08:00:00 26/09/2012] id: HOB el: 0 cu: MICU cg: RN v1: 30 degrees st: NotStopd t0: [08:00:00 26/09/2012] id: INV Line#3 Site Date el: 0 cu: MICU cg: RN v1: 8 v2: 29 st: NotStopd t0: [08:00:00 26/09/2012] id: INV Line#3InsertDate el: 0 cu: MICU cg: RN v1: 8 v2: 28 st: NotStopd t0: [08:00:00 26/09/2012] id: Abdominal Assessment el: 0 cu: MICU cg: RN v1: Soft st: NotStopd t0: [08:00:00 26/09/2012] id: IV #1 Insert Date el: 0 cu: MICU cg: RN v1: ?? v2: ? st: NotStopd t0: [08:00:00 26/09/2012] id: IV #3 Insert Date el: 0 cu: MICU cg: RN v1: 8 v2: 28 st: NotStopd t0: [08:00:00 26/09/2012] id: Activity el: 0 cu: MICU cg: RN v1: Bedrest st: NotStopd t0: [08:00:00 26/09/2012] id: IV Site Appear #1 el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [08:00:00 26/09/2012] id: Activity Tolerance el: 0 cu: MICU cg: RN v1: Tolerated Well st: NotStopd t0: [08:00:00 26/09/2012] id: LLL Lung Sounds el: 0 cu: MICU cg: RN v1: Clear st: NotStopd t0: [08:00:00 26/09/2012] id: LUL Lung Sounds el: 0 cu: MICU cg: RN v1: Clear st: NotStopd t0: [08:00:00 26/09/2012] id: Level of Conscious el: 0 cu: MICU cg: RN v1: Alert st: NotStopd t0: [08:00:00 26/09/2012] id: Motor Response el: 0 cu: MICU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [08:00:00 26/09/2012] id: Oral Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [08:00:00 26/09/2012] id: Oral Cavity el: 0 cu: MICU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [08:00:00 26/09/2012] id: Orientation el: 0 cu: MICU cg: RN v1: Oriented x 3 st: NotStopd t0: [08:00:00 26/09/2012] id: AntiEmbDevice/Status el: 0 cu: MICU cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [08:00:00 26/09/2012] id: Position el: 0 cu: MICU cg: RN v1: Supine st: NotStopd t0: [08:00:00 26/09/2012] id: Assistance Device el: 0 cu: MICU cg: RN v1: Independent st: NotStopd t0: [08:00:00 26/09/2012] id: RLL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [08:00:00 26/09/2012] id: RUL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [08:00:00 26/09/2012] id: Respiratory Pattern el: 0 cu: MICU cg: RN v1: Regular st: NotStopd t0: [08:00:00 26/09/2012] id: Skin Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [08:00:00 26/09/2012] id: SpO2 el: 0 cu: MICU cg: RN v1: 95 u1: % st: NotStopd t0: [08:00:00 26/09/2012] id: Turn el: 0 cu: MICU cg: RN v1: Back st: NotStopd t0: [08:00:00 26/09/2012] id: Urine Source el: 0 cu: MICU cg: RN v1: Voids st: NotStopd t0: [08:00:00 26/09/2012] id: Verbal Response el: 0 cu: MICU cg: RN v1: 5 Oriented st: NotStopd t0: [08:00:00 26/09/2012] id: Back Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [08:00:00 26/09/2012] id: Bowel Sounds el: 0 cu: MICU cg: RN v1: Present st: NotStopd
t0: [08:00:00 26/09/2012] id: Po Intake PO/Gastric el: 1 cu: MICU cg: RN ai: 103 vo: 120 vu: ml
t0: [06:00:00 26/09/2012] id: Carbon Dioxide Chemistry el: 0 cu: MICU cg: 1663 v1: 21 rs: Final st: NotStopd
t0: [08:00:00 26/09/2012] id: INV Line#3 Type/Site el: 0 cu: MICU cg: RN v1: Multi-lumen v2: Right IJ st: NotStopd
t0: [08:00:00 26/09/2012] id: IV #1 Site/Size el: 0 cu: MICU cg: RN v1: Right Antecub v2: 18 gauge st: NotStopd t0: [08:00:00 26/09/2012] id: IV #3 Site/Size el: 0 cu: MICU cg: RN v1: Left Antecub v2: 18 gauge st: NotStopd t0: [09:00:00 26/09/2012] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [09:00:00 26/09/2012] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [09:00:00 26/09/2012] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [09:00:00 26/09/2012] id: Heart Rate el: 0 cu: MICU cg: RN v1: 96 u1: BPM st: NotStopd t0: [09:00:00 26/09/2012] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [09:00:00 26/09/2012] id: NBP el: 0 cu: MICU cg: RN v1: 107 u1: mmHg v2: 57 u2: mmHg st: NotStopd t0: [09:00:00 26/09/2012] id: NBP Mean el: 0 cu: MICU cg: RN v1: 73.6667 u1: mmHg st: NotStopd t0: [09:00:00 26/09/2012] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 23 u1: BPM st: NotStopd t0: [09:00:00 26/09/2012] id: SpO2 el: 0 cu: MICU cg: RN v1: 94 u1: % st: NotStopd t0: [09:00:00 26/09/2012] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [08:00:00 26/09/2012] id: Restraint Location el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [08:00:00 26/09/2012] id: Side Rails el: 0 cu: MICU cg: RN v1: Side Rails Up st: NotStopd t0: [08:00:00 26/09/2012] id: Skin Color el: 0 cu: MICU cg: RN v1: Jaundiced st: NotStopd t0: [08:00:00 26/09/2012] id: Skin Integrity el: 0 cu: MICU cg: RN v1: Intact st: NotStopd t0: [08:00:00 26/09/2012] id: Skin Temp/Condition el: 0 cu: MICU cg: RN v1: Warm v2: Dry st: NotStopd t0: [08:00:00 26/09/2012] id: Behavior el: 0 cu: MICU cg: RN v1: Calm st: NotStopd t0: [08:00:00 26/09/2012] id: Braden Activity el: 0 cu: MICU cg: RN v1: Walks Occasional st: NotStopd t0: [08:00:00 26/09/2012] id: Braden Frict/Shear el: 0 cu: MICU cg: RN v1: Potential Prob st: NotStopd t0: [08:00:00 26/09/2012] id: Braden Mobility el: 0 cu: MICU cg: RN v1: Sl. Limited st: NotStopd t0: [08:00:00 26/09/2012] id: Braden Moisture el: 0 cu: MICU cg: RN v1: Occ. Moist st: NotStopd t0: [08:00:00 26/09/2012] id: Braden Nutrition el: 0 cu: MICU cg: RN v1: Prob. Inadequate st: NotStopd t0: [08:00:00 26/09/2012] id: Braden Score el: 0 cu: MICU cg: RN v1: 17 u1: number st: NotStopd t0: [08:00:00 26/09/2012] id: Braden SensoryPercep el: 0 cu: MICU cg: RN v1: No Impairment st: NotStopd
tf: [00:00:00 06/10/2012] pt: Unit Dose rt: PO fr: Q12H fs: 8, 20 dn: 2 m1: Pantoprazole v1: 40 u1: mg
t0: [10:00:00 26/09/2012] id: Pain Present el: 0 cu: MICU cg: RN v1: No st: NotStopd t0: [10:00:00 26/09/2012] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [10:00:00 26/09/2012] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [10:00:00 26/09/2012] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [10:00:00 26/09/2012] id: Heart Rate el: 0 cu: MICU cg: RN v1: 95 u1: BPM st: NotStopd t0: [10:00:00 26/09/2012] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [10:00:00 26/09/2012] id: NBP el: 0 cu: MICU cg: RN v1: 117 u1: mmHg v2: 26 u2: mmHg st: NotStopd t0: [10:00:00 26/09/2012] id: NBP Mean el: 0 cu: MICU cg: RN v1: 56.3333 u1: mmHg st: NotStopd t0: [10:00:00 26/09/2012] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 24 u1: BPM st: NotStopd t0: [10:00:00 26/09/2012] id: SpO2 el: 0 cu: MICU cg: RN v1: 94 u1: % st: NotStopd t0: [10:00:00 26/09/2012] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [10:00:00 26/09/2012] id: Po Intake PO/Gastric el: 1 cu: MICU cg: RN ai: 103 vo: 240 vu: ml
tf: [10:00:00 27/09/2012] pt: Unit Dose rt: PO fr: ONCE fs: 11 dn: 1 m1: Magnesium Oxide v1: 400 u1: mg tf: [10:00:00 27/09/2012] pt: Unit Dose rt: PO fr: ONCE fs: 11 dn: 1 m1: Potassium Chloride v1: 20 u1: mEq tf: [17:00:00 27/09/2012] pt: Unit Dose rt: PO fr: Q24H fs: 11 dn: 1 m1: Levofloxacin v1: 500 u1: mg
t0: [11:00:00 26/09/2012] id: Po Intake PO/Gastric el: 1 cu: MICU cg: RN ai: 103 vo: 120 vu: ml t0: [11:00:00 26/09/2012] id: Urine Out Void el: 1 cu: MICU cg: RN vo: 380 vu: ml
t0: [06:00:00 26/09/2012] id: Uric Acid Chemistry el: 0 cu: MICU cg: 1663 v1: 1.5 rs: Final st: NotStopd t0: [06:00:00 26/09/2012] id: Uric Acid (2.7-7.0) Chemistry el: 0 cu: MICU cg: 1663 v1: 1.5 rs: Final st: NotStopd
t0: [12:00:00 26/09/2012] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [12:00:00 26/09/2012] id: GI Prophylaxis el: 0 cu: MICU cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [12:00:00 26/09/2012] id: Diet Type el: 0 cu: MICU cg: RN v1: NAS/Low Cholest st: NotStopd t0: [12:00:00 26/09/2012] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [12:00:00 26/09/2012] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [12:00:00 26/09/2012] id: Eye Opening el: 0 cu: MICU cg: RN v1: 4 Spontaneously st: NotStopd t0: [12:00:00 26/09/2012] id: GCS Total el: 0 cu: MICU cg: RN v1: 15 u1: points st: NotStopd t0: [12:00:00 26/09/2012] id: HOB el: 0 cu: MICU cg: RN v1: 45 degrees st: NotStopd t0: [12:00:00 26/09/2012] id: Heart Rate el: 0 cu: MICU cg: RN v1: 95 u1: BPM st: NotStopd t0: [12:00:00 26/09/2012] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [12:00:00 26/09/2012] id: Abdominal Assessment el: 0 cu: MICU cg: RN v1: Soft st: NotStopd t0: [12:00:00 26/09/2012] id: Activity el: 0 cu: MICU cg: RN v1: Bedrest st: NotStopd t0: [12:00:00 26/09/2012] id: Activity Tolerance el: 0 cu: MICU cg: RN v1: Tolerated Well st: NotStopd t0: [12:00:00 26/09/2012] id: LLL Lung Sounds el: 0 cu: MICU cg: RN v1: Diminished st: NotStopd t0: [12:00:00 26/09/2012] id: LUL Lung Sounds el: 0 cu: MICU cg: RN v1: Diminished st: NotStopd t0: [12:00:00 26/09/2012] id: Level of Conscious el: 0 cu: MICU cg: RN v1: Alert st: NotStopd t0: [12:00:00 26/09/2012] id: Motor Response el: 0 cu: MICU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [12:00:00 26/09/2012] id: NBP el: 0 cu: MICU cg: RN v1: 120 u1: mmHg v2: 72 u2: mmHg st: NotStopd t0: [12:00:00 26/09/2012] id: NBP Mean el: 0 cu: MICU cg: RN v1: 88 u1: mmHg st: NotStopd t0: [12:00:00 26/09/2012] id: Oral Cavity el: 0 cu: MICU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [12:00:00 26/09/2012] id: Orientation el: 0 cu: MICU cg: RN v1: Oriented x 3 st: NotStopd t0: [12:00:00 26/09/2012] id: AntiEmbDevice/Status el: 0 cu: MICU cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [12:00:00 26/09/2012] id: Position el: 0 cu: MICU cg: RN v1: Supine st: NotStopd t0: [12:00:00 26/09/2012] id: Assistance Device el: 0 cu: MICU cg: RN v1: Independent st: NotStopd t0: [12:00:00 26/09/2012] id: RLL Lung Sounds el: 0 cu: MICU cg: RN v1: Clear st: NotStopd t0: [12:00:00 26/09/2012] id: RUL Lung Sounds el: 0 cu: MICU cg: RN v1: Clear st: NotStopd t0: [12:00:00 26/09/2012] id: Respiratory Pattern el: 0 cu: MICU cg: RN v1: Regular st: NotStopd t0: [12:00:00 26/09/2012] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 24 u1: BPM st: NotStopd t0: [12:00:00 26/09/2012] id: Restraint Location el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [12:00:00 26/09/2012] id: Side Rails el: 0 cu: MICU cg: RN v1: Side Rails Up st: NotStopd t0: [12:00:00 26/09/2012] id: Skin Color el: 0 cu: MICU cg: RN v1: Jaundiced st: NotStopd t0: [12:00:00 26/09/2012] id: Skin Integrity el: 0 cu: MICU cg: RN v1: Intact st: NotStopd t0: [12:00:00 26/09/2012] id: Skin Temp/Condition el: 0 cu: MICU cg: RN v1: Warm v2: Dry st: NotStopd t0: [12:00:00 26/09/2012] id: SpO2 el: 0 cu: MICU cg: RN v1: 97 u1: % st: NotStopd t0: [12:00:00 26/09/2012] id: Temp. Site el: 0 cu: MICU cg: RN v1: Oral st: NotStopd t0: [12:00:00 26/09/2012] id: Temperature C (calc) el: 0 cu: MICU cg: RN v1: 38.4444 u1: Deg. C st: NotStopd t0: [12:00:00 26/09/2012] id: Temperature F el: 0 cu: MICU cg: RN v1: 101.2 u1: Deg. F st: NotStopd t0: [12:00:00 26/09/2012] id: Turn el: 0 cu: MICU cg: RN v1: Back st: NotStopd t0: [12:00:00 26/09/2012] id: Urine Color/Appear el: 0 cu: MICU cg: RN v1: Icteric v2: Clear st: NotStopd t0: [12:00:00 26/09/2012] id: Urine Source el: 0 cu: MICU cg: RN v1: Voids st: NotStopd t0: [12:00:00 26/09/2012] id: Verbal Response el: 0 cu: MICU cg: RN v1: 5 Oriented st: NotStopd t0: [12:00:00 26/09/2012] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [12:00:00 26/09/2012] id: Bowel Sounds el: 0 cu: MICU cg: RN v1: Present st: NotStopd t0: [12:00:00 26/09/2012] id: Braden Activity el: 0 cu: MICU cg: RN v1: Walks Occasional st: NotStopd t0: [12:00:00 26/09/2012] id: Braden Frict/Shear el: 0 cu: MICU cg: RN v1: Potential Prob st: NotStopd t0: [12:00:00 26/09/2012] id: Braden Mobility el: 0 cu: MICU cg: RN v1: Sl. Limited st: NotStopd t0: [12:00:00 26/09/2012] id: Braden Moisture el: 0 cu: MICU cg: RN v1: Occ. Moist st: NotStopd t0: [12:00:00 26/09/2012] id: Braden Nutrition el: 0 cu: MICU cg: RN v1: Prob. Inadequate st: NotStopd t0: [12:00:00 26/09/2012] id: Braden Score el: 0 cu: MICU cg: RN v1: 17 u1: number st: NotStopd t0: [12:00:00 26/09/2012] id: Braden SensoryPercep el: 0 cu: MICU cg: RN v1: No Impairment st: NotStopd
t0: [12:00:00 26/09/2012] id: Urine Out Void el: 1 cu: MICU cg: RN vo: 120 vu: ml
t0: [15:00:00 26/09/2012] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [15:00:00 26/09/2012] id: GI Prophylaxis el: 0 cu: MICU cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [15:00:00 26/09/2012] id: Diet Type el: 0 cu: MICU cg: RN v1: NAS/Low Cholest st: NotStopd t0: [15:00:00 26/09/2012] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [15:00:00 26/09/2012] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [15:00:00 26/09/2012] id: Eye Opening el: 0 cu: MICU cg: RN v1: 4 Spontaneously st: NotStopd t0: [15:00:00 26/09/2012] id: GCS Total el: 0 cu: MICU cg: RN v1: 15 u1: points st: NotStopd t0: [15:00:00 26/09/2012] id: Heart Rate el: 0 cu: MICU cg: RN v1: 100 u1: BPM st: NotStopd t0: [15:00:00 26/09/2012] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [15:00:00 26/09/2012] id: Abdominal Assessment el: 0 cu: MICU cg: RN v1: Soft st: NotStopd t0: [15:00:00 26/09/2012] id: LLL Lung Sounds el: 0 cu: MICU cg: RN v1: Clear st: NotStopd t0: [15:00:00 26/09/2012] id: LUL Lung Sounds el: 0 cu: MICU cg: RN v1: Clear st: NotStopd t0: [15:00:00 26/09/2012] id: Level of Conscious el: 0 cu: MICU cg: RN v1: Alert st: NotStopd t0: [15:00:00 26/09/2012] id: Motor Response el: 0 cu: MICU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [15:00:00 26/09/2012] id: NBP el: 0 cu: MICU cg: RN v1: 117 u1: mmHg v2: 65 u2: mmHg st: NotStopd t0: [15:00:00 26/09/2012] id: NBP Mean el: 0 cu: MICU cg: RN v1: 82.3333 u1: mmHg st: NotStopd t0: [15:00:00 26/09/2012] id: Oral Cavity el: 0 cu: MICU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [15:00:00 26/09/2012] id: Orientation el: 0 cu: MICU cg: RN v1: Oriented x 3 st: NotStopd t0: [15:00:00 26/09/2012] id: RLL Lung Sounds el: 0 cu: MICU cg: RN v1: Crackles st: NotStopd t0: [15:00:00 26/09/2012] id: RUL Lung Sounds el: 0 cu: MICU cg: RN v1: Clear st: NotStopd t0: [15:00:00 26/09/2012] id: Respiratory Pattern el: 0 cu: MICU cg: RN v1: Regular st: NotStopd t0: [15:00:00 26/09/2012] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 22 u1: BPM st: NotStopd t0: [15:00:00 26/09/2012] id: Skin Color el: 0 cu: MICU cg: RN v1: Jaundiced st: NotStopd t0: [15:00:00 26/09/2012] id: Skin Integrity el: 0 cu: MICU cg: RN v1: Intact st: NotStopd t0: [15:00:00 26/09/2012] id: Skin Temp/Condition el: 0 cu: MICU cg: RN v1: Warm v2: Dry st: NotStopd t0: [15:00:00 26/09/2012] id: SpO2 el: 0 cu: MICU cg: RN v1: 99 u1: % st: NotStopd t0: [15:00:00 26/09/2012] id: Temp. Site el: 0 cu: MICU cg: RN v1: Oral st: NotStopd t0: [15:00:00 26/09/2012] id: Temperature C (calc) el: 0 cu: MICU cg: RN v1: 37.7778 u1: Deg. C st: NotStopd t0: [15:00:00 26/09/2012] id: Temperature F el: 0 cu: MICU cg: RN v1: 100 u1: Deg. F st: NotStopd t0: [15:00:00 26/09/2012] id: Urine Source el: 0 cu: MICU cg: RN v1: Voids st: NotStopd t0: [15:00:00 26/09/2012] id: Verbal Response el: 0 cu: MICU cg: RN v1: 5 Oriented st: NotStopd t0: [15:00:00 26/09/2012] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [15:00:00 26/09/2012] id: Bowel Sounds el: 0 cu: MICU cg: RN v1: Present st: NotStopd t0: [15:00:00 26/09/2012] id: Braden Activity el: 0 cu: MICU cg: RN v1: Walks Occasional st: NotStopd t0: [15:00:00 26/09/2012] id: Braden Frict/Shear el: 0 cu: MICU cg: RN v1: Potential Prob st: NotStopd t0: [15:00:00 26/09/2012] id: Braden Mobility el: 0 cu: MICU cg: RN v1: Sl. Limited st: NotStopd t0: [15:00:00 26/09/2012] id: Braden Moisture el: 0 cu: MICU cg: RN v1: Occ. Moist st: NotStopd t0: [15:00:00 26/09/2012] id: Braden Nutrition el: 0 cu: MICU cg: RN v1: Prob. Inadequate st: NotStopd t0: [15:00:00 26/09/2012] id: Braden Score el: 0 cu: MICU cg: RN v1: 17 u1: number st: NotStopd t0: [15:00:00 26/09/2012] id: Braden SensoryPercep el: 0 cu: MICU cg: RN v1: No Impairment st: NotStopd
t0: [15:00:00 26/09/2012] id: HOB el: 0 cu: MICU cg: RN v1: 45 degrees st: NotStopd t0: [15:00:00 26/09/2012] id: Activity el: 0 cu: MICU cg: RN v1: Bedrest st: NotStopd t0: [15:00:00 26/09/2012] id: Activity Tolerance el: 0 cu: MICU cg: RN v1: Tolerated Well st: NotStopd t0: [15:00:00 26/09/2012] id: AntiEmbDevice/Status el: 0 cu: MICU cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [15:00:00 26/09/2012] id: Position el: 0 cu: MICU cg: RN v1: Supine st: NotStopd t0: [15:00:00 26/09/2012] id: Assistance Device el: 0 cu: MICU cg: RN v1: 1 Person Assist st: NotStopd t0: [15:00:00 26/09/2012] id: Turn el: 0 cu: MICU cg: RN v1: Turns by self st: NotStopd
tf: [18:00:00 26/09/2012] pt: Unit Dose rt: PO fr: TID fs: 08, 16, 22 dn: 3 m1: Metronidazole v1: 500 u1: mg tf: [15:00:00 27/09/2012] pt: Unit Dose rt: PO fr: ONCE fs: 16 dn: 1 m1: Furosemide v1: 40 u1: mg
t0: [16:00:00 26/09/2012] id: Po Intake PO/Gastric el: 1 cu: MICU cg: RN ai: 103 vo: 240 vu: ml
t0: [16:00:00 26/09/2012] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [16:00:00 26/09/2012] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [16:00:00 26/09/2012] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [16:00:00 26/09/2012] id: Heart Rate el: 0 cu: MICU cg: RN v1: 99 u1: BPM st: NotStopd t0: [16:00:00 26/09/2012] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [16:00:00 26/09/2012] id: NBP el: 0 cu: MICU cg: RN v1: 120 u1: mmHg v2: 64 u2: mmHg st: NotStopd t0: [16:00:00 26/09/2012] id: NBP Mean el: 0 cu: MICU cg: RN v1: 82.6667 u1: mmHg st: NotStopd t0: [16:00:00 26/09/2012] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 22 u1: BPM st: NotStopd t0: [16:00:00 26/09/2012] id: SpO2 el: 0 cu: MICU cg: RN v1: 98 u1: % st: NotStopd t0: [16:00:00 26/09/2012] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [16:00:00 26/09/2012] id: Urine Out Void el: 1 cu: MICU cg: RN vo: 600 vu: ml
t0: [16:00:00 26/09/2012] id: Riker-SAS Scale el: 0 cu: MICU cg: RN v1: Agitated st: NotStopd t0: [16:00:00 26/09/2012] id: Procedures el: 0 cu: MICU cg: RN v1: Ultrasound st: NotStopd t0: [16:00:00 26/09/2012] id: Radiologic Study el: 0 cu: MICU cg: RN v1: Chest Xray st: NotStopd
t0: [16:00:00 26/09/2012] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [16:00:00 26/09/2012] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [17:00:00 26/09/2012] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [17:00:00 26/09/2012] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [17:00:00 26/09/2012] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [17:00:00 26/09/2012] id: Heart Rate el: 0 cu: MICU cg: RN v1: 89 u1: BPM st: NotStopd t0: [17:00:00 26/09/2012] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [17:00:00 26/09/2012] id: NBP el: 0 cu: MICU cg: RN v1: 118 u1: mmHg v2: 72 u2: mmHg st: NotStopd t0: [17:00:00 26/09/2012] id: NBP Mean el: 0 cu: MICU cg: RN v1: 87.3333 u1: mmHg st: NotStopd t0: [17:00:00 26/09/2012] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 19 u1: BPM st: NotStopd t0: [17:00:00 26/09/2012] id: SpO2 el: 0 cu: MICU cg: RN v1: 98 u1: % st: NotStopd t0: [17:00:00 26/09/2012] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [16:00:00 26/09/2012] id: Pain Present el: 0 cu: MICU cg: RN v1: No st: NotStopd t0: [17:00:00 26/09/2012] id: Eye Opening el: 0 cu: MICU cg: RN v1: 4 Spontaneously st: NotStopd t0: [17:00:00 26/09/2012] id: GCS Total el: 0 cu: MICU cg: RN v1: 15 u1: points st: NotStopd t0: [17:00:00 26/09/2012] id: Level of Conscious el: 0 cu: MICU cg: RN v1: Alert st: NotStopd t0: [17:00:00 26/09/2012] id: Motor Response el: 0 cu: MICU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [17:00:00 26/09/2012] id: Orientation el: 0 cu: MICU cg: RN v1: Oriented x 3 st: NotStopd t0: [17:00:00 26/09/2012] id: Verbal Response el: 0 cu: MICU cg: RN v1: 5 Oriented st: NotStopd
t0: [18:00:00 26/09/2012] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [18:00:00 26/09/2012] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [18:00:00 26/09/2012] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [18:00:00 26/09/2012] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [18:00:00 26/09/2012] id: Heart Rate el: 0 cu: MICU cg: RN v1: 94 u1: BPM st: NotStopd t0: [18:00:00 26/09/2012] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [18:00:00 26/09/2012] id: NBP el: 0 cu: MICU cg: RN v1: 122 u1: mmHg v2: 68 u2: mmHg st: NotStopd t0: [18:00:00 26/09/2012] id: NBP Mean el: 0 cu: MICU cg: RN v1: 86 u1: mmHg st: NotStopd t0: [18:00:00 26/09/2012] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [18:00:00 26/09/2012] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 20 u1: BPM st: NotStopd t0: [18:00:00 26/09/2012] id: SpO2 el: 0 cu: MICU cg: RN v1: 98 u1: % st: NotStopd t0: [18:00:00 26/09/2012] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [18:51:00 26/09/2012] id: BSA el: 1033 cu: MICU cg: -1 t0: [18:51:00 26/09/2012] id: Admit Wt el: 1032 cu: MICU cg: -1 v1: 84.2 u1: kg t0: [18:51:00 26/09/2012] id: Allergy 1 el: 1020 cu: MICU cg: -1 t0: [18:51:00 26/09/2012] id: Diagnosis/op el: 1023 cu: MICU cg: -1 v1: VARICEAL BLEED t0: [18:51:00 26/09/2012] id: Service el: 1026 cu: MICU cg: -1 v1: MED t0: [18:51:00 26/09/2012] id: Admit Ht el: 1034 cu: MICU cg: -1 t0: [18:51:00 26/09/2012] id: Readmission el: 1014 cu: MICU cg: -1 t0: [18:51:00 26/09/2012] id: Marital Status el: 1006 cu: MICU cg: -1 v1: M t0: [18:51:00 26/09/2012] id: Religion el: 1000 cu: MICU cg: -1 v1: RCA t0: [18:51:00 26/09/2012] id: Allergy 2 el: 1021 cu: MICU cg: -1 t0: [18:51:00 26/09/2012] id: Ext el: 1010 cu: MICU cg: -1 t0: [18:51:00 26/09/2012] id: PIN el: 1012 cu: MICU cg: -1 t0: [18:51:00 26/09/2012] id: Allergy 3 el: 1022 cu: MICU cg: -1
t0: [19:00:00 26/09/2012] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [19:00:00 26/09/2012] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [19:00:00 26/09/2012] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [19:00:00 26/09/2012] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [19:00:00 26/09/2012] id: Heart Rate el: 0 cu: MICU cg: RN v1: 91 u1: BPM st: NotStopd t0: [19:00:00 26/09/2012] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [19:00:00 26/09/2012] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [19:00:00 26/09/2012] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 21 u1: BPM st: NotStopd t0: [19:00:00 26/09/2012] id: SpO2 el: 0 cu: MICU cg: RN v1: 100 u1: % st: NotStopd t0: [19:00:00 26/09/2012] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [19:00:00 26/09/2012] id: Po Intake PO/Gastric el: 1 cu: MICU cg: RN ai: 103 vo: 100 vu: ml t0: [19:00:00 26/09/2012] id: Urine Out Void el: 1 cu: MICU cg: RN vo: 400 vu: ml
t0: [20:00:00 26/09/2012] id: Pain Present el: 0 cu: MICU cg: RN v1: No st: NotStopd t0: [20:00:00 26/09/2012] id: INV#3Chg o/Wire Date el: 0 cu: MICU cg: RN v1: 8 v2: 29 st: NotStopd t0: [20:00:00 26/09/2012] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [20:00:00 26/09/2012] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [20:00:00 26/09/2012] id: Riker-SAS Scale el: 0 cu: MICU cg: RN v1: Calm/Cooperative st: NotStopd t0: [20:00:00 26/09/2012] id: Cough/Deep Breathe el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [20:00:00 26/09/2012] id: Diet Type el: 0 cu: MICU cg: RN v1: NAS/Low Cholest st: NotStopd t0: [20:00:00 26/09/2012] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [20:00:00 26/09/2012] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [20:00:00 26/09/2012] id: Eye Opening el: 0 cu: MICU cg: RN v1: 4 Spontaneously st: NotStopd t0: [20:00:00 26/09/2012] id: GCS Total el: 0 cu: MICU cg: RN v1: 15 u1: points st: NotStopd t0: [20:00:00 26/09/2012] id: HOB el: 0 cu: MICU cg: RN v1: 45 degrees st: NotStopd t0: [20:00:00 26/09/2012] id: Heart Rate el: 0 cu: MICU cg: RN v1: 91 u1: BPM st: NotStopd t0: [20:00:00 26/09/2012] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [20:00:00 26/09/2012] id: INV Line#3 Site Date el: 0 cu: MICU cg: RN v1: 8 v2: 29 st: NotStopd t0: [20:00:00 26/09/2012] id: INV Line#3 Type/Site el: 0 cu: MICU cg: RN v1: Multi-lumen v2: Right IJ st: NotStopd t0: [20:00:00 26/09/2012] id: INV Line#3InsertDate el: 0 cu: MICU cg: RN v1: 8 v2: 28 st: NotStopd t0: [20:00:00 26/09/2012] id: INV Line#3SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [20:00:00 26/09/2012] id: Abdominal Assessment el: 0 cu: MICU cg: RN v1: Soft Distended st: NotStopd t0: [20:00:00 26/09/2012] id: IV #1 Insert Date el: 0 cu: MICU cg: RN v1: ?? v2: ? st: NotStopd t0: [20:00:00 26/09/2012] id: IV #1 Site/Size el: 0 cu: MICU cg: RN v1: Right Antecub v2: 18 gauge st: NotStopd t0: [20:00:00 26/09/2012] id: IV #3 Insert Date el: 0 cu: MICU cg: RN v1: 8 v2: 28 st: NotStopd t0: [20:00:00 26/09/2012] id: IV #3 Site/Size el: 0 cu: MICU cg: RN v1: Left Antecub v2: 18 gauge st: NotStopd t0: [20:00:00 26/09/2012] id: Activity el: 0 cu: MICU cg: RN v1: Bedrest st: NotStopd t0: [20:00:00 26/09/2012] id: IV Site Appear #1 el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [20:00:00 26/09/2012] id: IV Site Appear #3 el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [20:00:00 26/09/2012] id: Activity Tolerance el: 0 cu: MICU cg: RN v1: Tolerated Well st: NotStopd t0: [20:00:00 26/09/2012] id: Incentive Spirometry el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [20:00:00 26/09/2012] id: LLL Lung Sounds el: 0 cu: MICU cg: RN v1: Clear st: NotStopd t0: [20:00:00 26/09/2012] id: LUL Lung Sounds el: 0 cu: MICU cg: RN v1: Clear st: NotStopd t0: [20:00:00 26/09/2012] id: Level of Conscious el: 0 cu: MICU cg: RN v1: Alert st: NotStopd t0: [20:00:00 26/09/2012] id: Motor Response el: 0 cu: MICU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [20:00:00 26/09/2012] id: NBP el: 0 cu: MICU cg: RN v1: 102 u1: mmHg v2: 50 u2: mmHg st: NotStopd t0: [20:00:00 26/09/2012] id: NBP Mean el: 0 cu: MICU cg: RN v1: 67.3333 u1: mmHg st: NotStopd t0: [20:00:00 26/09/2012] id: Oral Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [20:00:00 26/09/2012] id: Oral Cavity el: 0 cu: MICU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [20:00:00 26/09/2012] id: Orientation el: 0 cu: MICU cg: RN v1: Oriented x 3 st: NotStopd t0: [20:00:00 26/09/2012] id: AntiEmbDevice/Status el: 0 cu: MICU cg: RN v1: Compress Sleeves v2: Off st: NotStopd t0: [20:00:00 26/09/2012] id: Position el: 0 cu: MICU cg: RN v1: Supine st: NotStopd t0: [20:00:00 26/09/2012] id: Assistance Device el: 0 cu: MICU cg: RN v1: 1 Person Assist st: NotStopd t0: [20:00:00 26/09/2012] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [20:00:00 26/09/2012] id: RLL Lung Sounds el: 0 cu: MICU cg: RN v1: Crackles st: NotStopd t0: [20:00:00 26/09/2012] id: RUL Lung Sounds el: 0 cu: MICU cg: RN v1: Clear st: NotStopd t0: [20:00:00 26/09/2012] id: Respiratory Pattern el: 0 cu: MICU cg: RN v1: Regular st: NotStopd t0: [20:00:00 26/09/2012] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 23 u1: BPM st: NotStopd t0: [20:00:00 26/09/2012] id: Restraint Location el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [20:00:00 26/09/2012] id: Side Rails el: 0 cu: MICU cg: RN v1: Side Rails Up st: NotStopd t0: [20:00:00 26/09/2012] id: Skin Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [20:00:00 26/09/2012] id: Skin Color el: 0 cu: MICU cg: RN v1: Jaundiced st: NotStopd t0: [20:00:00 26/09/2012] id: Skin Integrity el: 0 cu: MICU cg: RN v1: Intact st: NotStopd t0: [20:00:00 26/09/2012] id: Skin Temp/Condition el: 0 cu: MICU cg: RN v1: Warm v2: Dry st: NotStopd t0: [20:00:00 26/09/2012] id: SpO2 el: 0 cu: MICU cg: RN v1: 100 u1: % st: NotStopd t0: [20:00:00 26/09/2012] id: Temp. Site el: 0 cu: MICU cg: RN v1: Oral st: NotStopd t0: [20:00:00 26/09/2012] id: Temperature C (calc) el: 0 cu: MICU cg: RN v1: 37.9444 u1: Deg. C st: NotStopd t0: [20:00:00 26/09/2012] id: Temperature F el: 0 cu: MICU cg: RN v1: 100.3 u1: Deg. F st: NotStopd t0: [20:00:00 26/09/2012] id: Turn el: 0 cu: MICU cg: RN v1: Turns by self st: NotStopd t0: [20:00:00 26/09/2012] id: Urine Color/Appear el: 0 cu: MICU cg: RN v1: Icteric v2: Clear st: NotStopd t0: [20:00:00 26/09/2012] id: Urine Source el: 0 cu: MICU cg: RN v1: Voids st: NotStopd t0: [20:00:00 26/09/2012] id: Verbal Response el: 0 cu: MICU cg: RN v1: 5 Oriented st: NotStopd t0: [20:00:00 26/09/2012] id: Back Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [20:00:00 26/09/2012] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [20:00:00 26/09/2012] id: Bowel Sounds el: 0 cu: MICU cg: RN v1: Present st: NotStopd t0: [20:00:00 26/09/2012] id: Braden Activity el: 0 cu: MICU cg: RN v1: Bedfast st: NotStopd t0: [20:00:00 26/09/2012] id: Braden Frict/Shear el: 0 cu: MICU cg: RN v1: Potential Prob st: NotStopd t0: [20:00:00 26/09/2012] id: Braden Mobility el: 0 cu: MICU cg: RN v1: No Limitations st: NotStopd t0: [20:00:00 26/09/2012] id: Braden Moisture el: 0 cu: MICU cg: RN v1: Occ. Moist st: NotStopd t0: [20:00:00 26/09/2012] id: Braden Nutrition el: 0 cu: MICU cg: RN v1: Adequate st: NotStopd t0: [20:00:00 26/09/2012] id: Braden Score el: 0 cu: MICU cg: RN v1: 17 u1: number st: NotStopd t0: [20:00:00 26/09/2012] id: Braden SensoryPercep el: 0 cu: MICU cg: RN v1: No Impairment st: NotStopd
t0: [20:00:00 26/09/2012] id: Po Intake PO/Gastric el: 1 cu: MICU cg: RN ai: 103 vo: 50 vu: ml
t0: [20:00:00 26/09/2012] id: Cough Effort el: 0 cu: MICU cg: RN v1: Strong st: NotStopd t0: [20:00:00 26/09/2012] id: Cough Type el: 0 cu: MICU cg: RN v1: Product/Congest st: NotStopd
t0: [21:00:00 26/09/2012] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [21:00:00 26/09/2012] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [21:00:00 26/09/2012] id: Riker-SAS Scale el: 0 cu: MICU cg: RN v1: Calm/Cooperative st: NotStopd t0: [21:00:00 26/09/2012] id: Diet Type el: 0 cu: MICU cg: RN v1: NAS/Low Cholest st: NotStopd t0: [21:00:00 26/09/2012] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [21:00:00 26/09/2012] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [21:00:00 26/09/2012] id: Heart Rate el: 0 cu: MICU cg: RN v1: 85 u1: BPM st: NotStopd t0: [21:00:00 26/09/2012] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [21:00:00 26/09/2012] id: NBP el: 0 cu: MICU cg: RN v1: 102 u1: mmHg v2: 50 u2: mmHg st: NotStopd t0: [21:00:00 26/09/2012] id: NBP Mean el: 0 cu: MICU cg: RN v1: 67.3333 u1: mmHg st: NotStopd t0: [21:00:00 26/09/2012] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [21:00:00 26/09/2012] id: Respiratory Pattern el: 0 cu: MICU cg: RN v1: Regular st: NotStopd t0: [21:00:00 26/09/2012] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 16 u1: BPM st: NotStopd t0: [21:00:00 26/09/2012] id: Restraint Location el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [21:00:00 26/09/2012] id: Side Rails el: 0 cu: MICU cg: RN v1: Side Rails Up st: NotStopd t0: [21:00:00 26/09/2012] id: SpO2 el: 0 cu: MICU cg: RN v1: 96 u1: % st: NotStopd t0: [21:00:00 26/09/2012] id: Urine Source el: 0 cu: MICU cg: RN v1: Voids st: NotStopd t0: [21:00:00 26/09/2012] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [21:00:00 26/09/2012] id: Urine Out Void el: 1 cu: MICU cg: RN vo: 450 vu: ml
tf: [14:00:00 02/10/2012] pt: IV Piggyback rt: IV fr: Q8H fs: 0, 8, 16 dn: 3 m1: Piperacillin-Tazobactam Na v1: 4.5 u1: gm m2: Iso-Osmotic Dextrose v2: 100 u2: ml
t0: [22:00:00 26/09/2012] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [22:00:00 26/09/2012] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [22:00:00 26/09/2012] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [22:00:00 26/09/2012] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [22:00:00 26/09/2012] id: Heart Rate el: 0 cu: MICU cg: RN v1: 88 u1: BPM st: NotStopd t0: [22:00:00 26/09/2012] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [22:00:00 26/09/2012] id: NBP el: 0 cu: MICU cg: RN v1: 124 u1: mmHg v2: 54 u2: mmHg st: NotStopd t0: [22:00:00 26/09/2012] id: NBP Mean el: 0 cu: MICU cg: RN v1: 77.3333 u1: mmHg st: NotStopd t0: [22:00:00 26/09/2012] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [22:00:00 26/09/2012] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 21 u1: BPM st: NotStopd t0: [22:00:00 26/09/2012] id: SpO2 el: 0 cu: MICU cg: RN v1: 98 u1: % st: NotStopd t0: [22:00:00 26/09/2012] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [23:00:00 26/09/2012] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [23:00:00 26/09/2012] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [23:00:00 26/09/2012] id: Cough Effort el: 0 cu: MICU cg: RN v1: Strong st: NotStopd t0: [23:00:00 26/09/2012] id: Cough Type el: 0 cu: MICU cg: RN v1: Productive st: NotStopd t0: [23:00:00 26/09/2012] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [23:00:00 26/09/2012] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [23:00:00 26/09/2012] id: Eye Opening el: 0 cu: MICU cg: RN v1: 4 Spontaneously st: NotStopd t0: [23:00:00 26/09/2012] id: GCS Total el: 0 cu: MICU cg: RN v1: 15 u1: points st: NotStopd t0: [23:00:00 26/09/2012] id: Heart Rate el: 0 cu: MICU cg: RN v1: 90 u1: BPM st: NotStopd t0: [23:00:00 26/09/2012] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [23:00:00 26/09/2012] id: Abdominal Assessment el: 0 cu: MICU cg: RN v1: Soft Distended st: NotStopd t0: [23:00:00 26/09/2012] id: LLL Lung Sounds el: 0 cu: MICU cg: RN v1: Clear st: NotStopd t0: [23:00:00 26/09/2012] id: LUL Lung Sounds el: 0 cu: MICU cg: RN v1: Clear st: NotStopd t0: [23:00:00 26/09/2012] id: Level of Conscious el: 0 cu: MICU cg: RN v1: Alert st: NotStopd t0: [23:00:00 26/09/2012] id: Motor Response el: 0 cu: MICU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [23:00:00 26/09/2012] id: NBP el: 0 cu: MICU cg: RN v1: 111 u1: mmHg v2: 67 u2: mmHg st: NotStopd t0: [23:00:00 26/09/2012] id: NBP Mean el: 0 cu: MICU cg: RN v1: 81.6667 u1: mmHg st: NotStopd t0: [23:00:00 26/09/2012] id: Oral Cavity el: 0 cu: MICU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [23:00:00 26/09/2012] id: Orientation el: 0 cu: MICU cg: RN v1: Oriented x 3 st: NotStopd t0: [23:00:00 26/09/2012] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [23:00:00 26/09/2012] id: RLL Lung Sounds el: 0 cu: MICU cg: RN v1: Crackles st: NotStopd t0: [23:00:00 26/09/2012] id: RUL Lung Sounds el: 0 cu: MICU cg: RN v1: Clear st: NotStopd t0: [23:00:00 26/09/2012] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 23 u1: BPM st: NotStopd t0: [23:00:00 26/09/2012] id: Urine Color/Appear el: 0 cu: MICU cg: RN v1: Icteric v2: Clear st: NotStopd t0: [23:00:00 26/09/2012] id: Verbal Response el: 0 cu: MICU cg: RN v1: 5 Oriented st: NotStopd t0: [23:00:00 26/09/2012] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [23:00:00 26/09/2012] id: Bowel Sounds el: 0 cu: MICU cg: RN v1: Present st: NotStopd
t0: [23:00:00 26/09/2012] id: Urine Out Void el: 1 cu: MICU cg: RN vo: 400 vu: ml
t0: [23:00:00 26/09/2012] dt: 1 id: Total Hourly Output el: 2 cu: MICU cg: RN pv: 400 cv: 400 ap: none t0: [23:00:00 26/09/2012] dt: 24 id: Urine Out Total el: 2 cu: MICU cg: RN pv: 400 cv: 2350 ap: none t0: [23:00:00 26/09/2012] dt: 24 id: 24h Total Out el: 2 cu: MICU cg: RN pv: 400 cv: 2350 ap: none
t0: [22:00:00 26/09/2012] id: Po Intake PO/Gastric el: 1 cu: MICU cg: RN ai: 103 vo: 100 vu: ml
t0: [23:00:00 26/09/2012] dt: 1 id: Net Hourly Balance el: 2 cu: MICU cg: RN pv: -400 cv: -400 ap: none t0: [23:00:00 26/09/2012] dt: 24 id: 24h Total In el: 2 cu: MICU cg: RN cv: 970 ap: none t0: [23:00:00 26/09/2012] dt: 24 id: PO/Gastric In Total el: 2 cu: MICU cg: RN cv: 970 ap: none t0: [23:00:00 26/09/2012] dt: 24 id: 24h Net Body Balance el: 2 cu: MICU cg: RN pv: -400 cv: -1380 ap: none t0: [23:00:00 26/09/2012] dt: multiple days id: LOS Net Body Balance el: 2 cu: MICU cg: RN pv: -400 cv: 5117.5 ap: carryForward
t0: [00:00:00 27/09/2012] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [00:00:00 27/09/2012] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [00:00:00 27/09/2012] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [00:00:00 27/09/2012] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [00:00:00 27/09/2012] id: Heart Rate el: 0 cu: MICU cg: RN v1: 92 u1: BPM st: NotStopd t0: [00:00:00 27/09/2012] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [00:00:00 27/09/2012] id: NBP el: 0 cu: MICU cg: RN v1: 105 u1: mmHg v2: 60 u2: mmHg st: NotStopd t0: [00:00:00 27/09/2012] id: NBP Mean el: 0 cu: MICU cg: RN v1: 75 u1: mmHg st: NotStopd t0: [00:00:00 27/09/2012] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [00:00:00 27/09/2012] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 25 u1: BPM st: NotStopd t0: [00:00:00 27/09/2012] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [00:00:00 27/09/2012] id: Po Intake PO/Gastric el: 1 cu: MICU cg: RN ai: 103 vo: 200 vu: ml t0: [00:00:00 27/09/2012] id: D5W 250.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 105 vo: 100 vu: ml t0: [00:00:00 27/09/2012] id: Stool Out Stool el: 1 cu: MICU cg: RN vu: ml es: Medium t0: [00:00:00 27/09/2012] id: Urine Out Void el: 1 cu: MICU cg: RN vo: 425 vu: ml
t0: [23:00:00 27/09/2012] dt: 1 id: Total Hourly Output el: 2 cu: MICU cg: RN cv: 0 ap: none t0: [23:00:00 27/09/2012] dt: 24 id: PO/Gastric In Total el: 2 cu: MICU cg: RN cv: 280 ap: none t0: [23:00:00 27/09/2012] dt: 24 id: Stool Out Total el: 2 cu: MICU cg: RN cv: 0 ap: carryForward t0: [23:00:00 27/09/2012] dt: 24 id: Urine Out Total el: 2 cu: MICU cg: RN cv: 1850 ap: none t0: [23:00:00 27/09/2012] dt: 24 id: 24h Total Out el: 2 cu: MICU cg: RN cv: 1850 ap: carryForward
t0: [22:00:00 26/09/2012] id: INV#3Chg o/Wire Date el: 0 cu: MICU cg: RN v1: 8 v2: 29 st: NotStopd t0: [22:00:00 26/09/2012] id: Riker-SAS Scale el: 0 cu: MICU cg: RN v1: Calm/Cooperative st: NotStopd t0: [22:00:00 26/09/2012] id: HOB el: 0 cu: MICU cg: RN v1: 30 degrees st: NotStopd t0: [22:00:00 26/09/2012] id: INV Line#3 Site Date el: 0 cu: MICU cg: RN v1: 8 v2: 29 st: NotStopd t0: [22:00:00 26/09/2012] id: INV Line#3 Type/Site el: 0 cu: MICU cg: RN v1: Multi-lumen v2: Right IJ st: NotStopd t0: [22:00:00 26/09/2012] id: INV Line#3InsertDate el: 0 cu: MICU cg: RN v1: 8 v2: 28 st: NotStopd t0: [22:00:00 26/09/2012] id: INV Line#3SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [22:00:00 26/09/2012] id: IV #1 Insert Date el: 0 cu: MICU cg: RN v1: ?? v2: ? st: NotStopd t0: [22:00:00 26/09/2012] id: IV #1 Site/Size el: 0 cu: MICU cg: RN v1: Right Antecub v2: 18 gauge st: NotStopd t0: [22:00:00 26/09/2012] id: IV #3 Insert Date el: 0 cu: MICU cg: RN v1: 8 v2: 28 st: NotStopd t0: [22:00:00 26/09/2012] id: IV #3 Site/Size el: 0 cu: MICU cg: RN v1: Left Antecub v2: 18 gauge st: NotStopd t0: [22:00:00 26/09/2012] id: Activity el: 0 cu: MICU cg: RN v1: Bedrest st: NotStopd t0: [22:00:00 26/09/2012] id: IV Site Appear #1 el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [22:00:00 26/09/2012] id: IV Site Appear #3 el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [22:00:00 26/09/2012] id: Activity Tolerance el: 0 cu: MICU cg: RN v1: Good st: NotStopd t0: [22:00:00 26/09/2012] id: Incentive Spirometry el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [22:00:00 26/09/2012] id: AntiEmbDevice/Status el: 0 cu: MICU cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [22:00:00 26/09/2012] id: Position el: 0 cu: MICU cg: RN v1: Left Side st: NotStopd t0: [22:00:00 26/09/2012] id: Assistance Device el: 0 cu: MICU cg: RN v1: 1 Person Assist st: NotStopd t0: [22:00:00 26/09/2012] id: Restraint Location el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [22:00:00 26/09/2012] id: Side Rails el: 0 cu: MICU cg: RN v1: Side Rails Up st: NotStopd t0: [22:00:00 26/09/2012] id: Turn el: 0 cu: MICU cg: RN v1: Turns by self st: NotStopd t0: [23:00:00 26/09/2012] id: Riker-SAS Scale el: 0 cu: MICU cg: RN v1: Calm/Cooperative st: NotStopd t0: [23:00:00 26/09/2012] id: Restraint Location el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [23:00:00 26/09/2012] id: Side Rails el: 0 cu: MICU cg: RN v1: Side Rails Up st: NotStopd t0: [23:00:00 26/09/2012] id: SpO2 el: 0 cu: MICU cg: RN v1: 98 u1: % st: NotStopd t0: [00:00:00 27/09/2012] id: INV#3Chg o/Wire Date el: 0 cu: MICU cg: RN v1: 8 v2: 29 st: NotStopd t0: [00:00:00 27/09/2012] id: Riker-SAS Scale el: 0 cu: MICU cg: RN v1: Calm/Cooperative st: NotStopd t0: [00:00:00 27/09/2012] id: Diet Type el: 0 cu: MICU cg: RN v1: NAS/Low Cholest st: NotStopd t0: [00:00:00 27/09/2012] id: HOB el: 0 cu: MICU cg: RN v1: 30 degrees st: NotStopd t0: [00:00:00 27/09/2012] id: INV Line#3 Site Date el: 0 cu: MICU cg: RN v1: 8 v2: 29 st: NotStopd t0: [00:00:00 27/09/2012] id: INV Line#3 Type/Site el: 0 cu: MICU cg: RN v1: Multi-lumen v2: Right IJ st: NotStopd t0: [00:00:00 27/09/2012] id: INV Line#3InsertDate el: 0 cu: MICU cg: RN v1: 8 v2: 28 st: NotStopd t0: [00:00:00 27/09/2012] id: INV Line#3SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [00:00:00 27/09/2012] id: IV #1 Insert Date el: 0 cu: MICU cg: RN v1: ?? v2: ? st: NotStopd t0: [00:00:00 27/09/2012] id: IV #1 Site/Size el: 0 cu: MICU cg: RN v1: Right Antecub v2: 18 gauge st: NotStopd t0: [00:00:00 27/09/2012] id: IV #3 Insert Date el: 0 cu: MICU cg: RN v1: 8 v2: 28 st: NotStopd t0: [00:00:00 27/09/2012] id: IV #3 Site/Size el: 0 cu: MICU cg: RN v1: Left Antecub v2: 18 gauge st: NotStopd t0: [00:00:00 27/09/2012] id: Activity el: 0 cu: MICU cg: RN v1: Bedrest st: NotStopd t0: [00:00:00 27/09/2012] id: IV Site Appear #1 el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [00:00:00 27/09/2012] id: IV Site Appear #3 el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [00:00:00 27/09/2012] id: Activity Tolerance el: 0 cu: MICU cg: RN v1: Tolerated Well st: NotStopd t0: [00:00:00 27/09/2012] id: Level of Conscious el: 0 cu: MICU cg: RN v1: Dozing Intermit st: NotStopd t0: [00:00:00 27/09/2012] id: AntiEmbDevice/Status el: 0 cu: MICU cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [00:00:00 27/09/2012] id: Position el: 0 cu: MICU cg: RN v1: Supine st: NotStopd t0: [00:00:00 27/09/2012] id: Assistance Device el: 0 cu: MICU cg: RN v1: 1 Person Assist st: NotStopd t0: [00:00:00 27/09/2012] id: Respiratory Pattern el: 0 cu: MICU cg: RN v1: Regular st: NotStopd t0: [00:00:00 27/09/2012] id: Restraint Location el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [00:00:00 27/09/2012] id: Side Rails el: 0 cu: MICU cg: RN v1: Side Rails Up st: NotStopd t0: [00:00:00 27/09/2012] id: Skin Color el: 0 cu: MICU cg: RN v1: Jaundiced st: NotStopd t0: [00:00:00 27/09/2012] id: Skin Temp/Condition el: 0 cu: MICU cg: RN v1: Warm v2: Dry st: NotStopd t0: [00:00:00 27/09/2012] id: SpO2 el: 0 cu: MICU cg: RN v1: 98 u1: % st: NotStopd t0: [00:00:00 27/09/2012] id: Turn el: 0 cu: MICU cg: RN v1: Turns by self st: NotStopd t0: [00:00:00 27/09/2012] id: Urine Source el: 0 cu: MICU cg: RN v1: Voids st: NotStopd t0: [00:00:00 27/09/2012] id: Braden Activity el: 0 cu: MICU cg: RN v1: Bedfast st: NotStopd t0: [00:00:00 27/09/2012] id: Braden Frict/Shear el: 0 cu: MICU cg: RN v1: Potential Prob st: NotStopd t0: [00:00:00 27/09/2012] id: Braden Mobility el: 0 cu: MICU cg: RN v1: Sl. Limited st: NotStopd t0: [00:00:00 27/09/2012] id: Braden Moisture el: 0 cu: MICU cg: RN v1: Rarely Moist st: NotStopd t0: [00:00:00 27/09/2012] id: Braden Nutrition el: 0 cu: MICU cg: RN v1: Prob. Inadequate st: NotStopd t0: [00:00:00 27/09/2012] id: Braden Score el: 0 cu: MICU cg: RN v1: 15 u1: number st: NotStopd t0: [00:00:00 27/09/2012] id: Braden SensoryPercep el: 0 cu: MICU cg: RN v1: Sl. Limited st: NotStopd t0: [01:00:00 27/09/2012] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [01:00:00 27/09/2012] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [01:00:00 27/09/2012] id: Riker-SAS Scale el: 0 cu: MICU cg: RN v1: Calm/Cooperative st: NotStopd t0: [01:00:00 27/09/2012] id: Diet Type el: 0 cu: MICU cg: RN v1: NAS/Low Cholest st: NotStopd t0: [01:00:00 27/09/2012] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [01:00:00 27/09/2012] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [01:00:00 27/09/2012] id: Heart Rate el: 0 cu: MICU cg: RN v1: 85 u1: BPM st: NotStopd t0: [01:00:00 27/09/2012] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [01:00:00 27/09/2012] id: Level of Conscious el: 0 cu: MICU cg: RN v1: Sleeping st: NotStopd t0: [01:00:00 27/09/2012] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [01:00:00 27/09/2012] id: Respiratory Pattern el: 0 cu: MICU cg: RN v1: Regular st: NotStopd t0: [01:00:00 27/09/2012] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 15 u1: BPM st: NotStopd t0: [01:00:00 27/09/2012] id: Restraint Location el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [01:00:00 27/09/2012] id: Side Rails el: 0 cu: MICU cg: RN v1: Side Rails Up st: NotStopd t0: [01:00:00 27/09/2012] id: SpO2 el: 0 cu: MICU cg: RN v1: 96 u1: % st: NotStopd t0: [01:00:00 27/09/2012] id: Urine Source el: 0 cu: MICU cg: RN v1: Voids st: NotStopd t0: [01:00:00 27/09/2012] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [02:00:00 27/09/2012] id: INV#3Chg o/Wire Date el: 0 cu: MICU cg: RN v1: 8 v2: 29 st: NotStopd t0: [02:00:00 27/09/2012] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [02:00:00 27/09/2012] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [02:00:00 27/09/2012] id: Riker-SAS Scale el: 0 cu: MICU cg: RN v1: Calm/Cooperative st: NotStopd t0: [02:00:00 27/09/2012] id: Diet Type el: 0 cu: MICU cg: RN v1: NAS/Low Cholest st: NotStopd t0: [02:00:00 27/09/2012] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [02:00:00 27/09/2012] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [02:00:00 27/09/2012] id: HOB el: 0 cu: MICU cg: RN v1: 30 degrees st: NotStopd t0: [02:00:00 27/09/2012] id: Heart Rate el: 0 cu: MICU cg: RN v1: 84 u1: BPM st: NotStopd t0: [02:00:00 27/09/2012] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [02:00:00 27/09/2012] id: INV Line#3 Site Date el: 0 cu: MICU cg: RN v1: 8 v2: 29 st: NotStopd t0: [02:00:00 27/09/2012] id: INV Line#3 Type/Site el: 0 cu: MICU cg: RN v1: Multi-lumen v2: Right IJ st: NotStopd t0: [02:00:00 27/09/2012] id: INV Line#3InsertDate el: 0 cu: MICU cg: RN v1: 8 v2: 28 st: NotStopd t0: [02:00:00 27/09/2012] id: INV Line#3SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [02:00:00 27/09/2012] id: IV #1 Insert Date el: 0 cu: MICU cg: RN v1: ?? v2: ? st: NotStopd t0: [02:00:00 27/09/2012] id: IV #1 Site/Size el: 0 cu: MICU cg: RN v1: Right Antecub v2: 18 gauge st: NotStopd t0: [02:00:00 27/09/2012] id: IV #3 Insert Date el: 0 cu: MICU cg: RN v1: 8 v2: 28 st: NotStopd t0: [02:00:00 27/09/2012] id: IV #3 Site/Size el: 0 cu: MICU cg: RN v1: Left Antecub v2: 18 gauge st: NotStopd t0: [02:00:00 27/09/2012] id: Activity el: 0 cu: MICU cg: RN v1: Bedrest st: NotStopd t0: [02:00:00 27/09/2012] id: IV Site Appear #1 el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [02:00:00 27/09/2012] id: IV Site Appear #3 el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [02:00:00 27/09/2012] id: Activity Tolerance el: 0 cu: MICU cg: RN v1: Tolerated Well st: NotStopd t0: [02:00:00 27/09/2012] id: Level of Conscious el: 0 cu: MICU cg: RN v1: Sleeping st: NotStopd t0: [02:00:00 27/09/2012] id: AntiEmbDevice/Status el: 0 cu: MICU cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [02:00:00 27/09/2012] id: Position el: 0 cu: MICU cg: RN v1: Left Side st: NotStopd t0: [02:00:00 27/09/2012] id: Assistance Device el: 0 cu: MICU cg: RN v1: 1 Person Assist st: NotStopd t0: [02:00:00 27/09/2012] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [02:00:00 27/09/2012] id: Respiratory Pattern el: 0 cu: MICU cg: RN v1: Regular st: NotStopd t0: [02:00:00 27/09/2012] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 19 u1: BPM st: NotStopd t0: [02:00:00 27/09/2012] id: Restraint Location el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [02:00:00 27/09/2012] id: Side Rails el: 0 cu: MICU cg: RN v1: Side Rails Up st: NotStopd t0: [02:00:00 27/09/2012] id: Skin Temp/Condition el: 0 cu: MICU cg: RN v1: Warm v2: Dry st: NotStopd t0: [02:00:00 27/09/2012] id: SpO2 el: 0 cu: MICU cg: RN v1: 97 u1: % st: NotStopd t0: [02:00:00 27/09/2012] id: Turn el: 0 cu: MICU cg: RN v1: Turns by self st: NotStopd t0: [02:00:00 27/09/2012] id: Urine Source el: 0 cu: MICU cg: RN v1: Voids st: NotStopd t0: [02:00:00 27/09/2012] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [03:00:00 27/09/2012] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [03:00:00 27/09/2012] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [03:00:00 27/09/2012] id: Diet Type el: 0 cu: MICU cg: RN v1: NAS/Low Cholest st: NotStopd t0: [03:00:00 27/09/2012] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [03:00:00 27/09/2012] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [03:00:00 27/09/2012] id: Heart Rate el: 0 cu: MICU cg: RN v1: 94 u1: BPM st: NotStopd t0: [03:00:00 27/09/2012] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [03:00:00 27/09/2012] id: Level of Conscious el: 0 cu: MICU cg: RN v1: Sleeping st: NotStopd t0: [03:00:00 27/09/2012] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [03:00:00 27/09/2012] id: Respiratory Pattern el: 0 cu: MICU cg: RN v1: Regular st: NotStopd t0: [03:00:00 27/09/2012] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 19 u1: BPM st: NotStopd t0: [03:00:00 27/09/2012] id: Restraint Location el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [03:00:00 27/09/2012] id: Side Rails el: 0 cu: MICU cg: RN v1: Side Rails Up st: NotStopd t0: [03:00:00 27/09/2012] id: Urine Source el: 0 cu: MICU cg: RN v1: Voids st: NotStopd t0: [03:00:00 27/09/2012] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [23:00:00 27/09/2012] dt: 1 id: Net Hourly Balance el: 2 cu: MICU cg: RN cv: 0 ap: none t0: [23:00:00 27/09/2012] dt: 24 id: IV Infusion In Total el: 2 cu: MICU cg: RN cv: 200 ap: none t0: [23:00:00 27/09/2012] dt: 24 id: 24h Total In el: 2 cu: MICU cg: RN cv: 480 ap: none t0: [23:00:00 27/09/2012] dt: 24 id: 24h Net Body Balance el: 2 cu: MICU cg: RN cv: -1370 ap: carryForward t0: [23:00:00 27/09/2012] dt: multiple days id: LOS Net Body Balance el: 2 cu: MICU cg: RN cv: 3747.5 ap: carryForward
t0: [04:00:00 27/09/2012] id: INV#3Chg o/Wire Date el: 0 cu: MICU cg: -1 st: D/C'd t0: [04:00:00 27/09/2012] id: INV Line#3 D/C Date el: 0 cu: MICU cg: -1 st: D/C'd t0: [04:00:00 27/09/2012] id: INV Line#3 Site Date el: 0 cu: MICU cg: -1 st: D/C'd t0: [04:00:00 27/09/2012] id: INV Line#3 Type/Site el: 0 cu: MICU cg: -1 st: D/C'd t0: [04:00:00 27/09/2012] id: INV Line#3InsertDate el: 0 cu: MICU cg: -1 st: D/C'd t0: [04:00:00 27/09/2012] id: INV Line#3SiteAppear el: 0 cu: MICU cg: -1 st: D/C'd
t0: [02:00:00 27/09/2012] id: INV Line#3 D/C Date el: 0 cu: MICU cg: RN v1: 9 v2: 4 st: NotStopd t0: [03:00:00 27/09/2012] id: NBP el: 0 cu: MICU cg: RN v1: 107 u1: mmHg v2: 54 u2: mmHg st: NotStopd t0: [03:00:00 27/09/2012] id: NBP Mean el: 0 cu: MICU cg: RN v1: 71.6667 u1: mmHg st: NotStopd t0: [03:00:00 27/09/2012] id: SpO2 el: 0 cu: MICU cg: RN v1: 98 u1: % st: NotStopd t0: [04:00:00 27/09/2012] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [04:00:00 27/09/2012] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [04:00:00 27/09/2012] id: Diet Type el: 0 cu: MICU cg: RN v1: NAS/Low Cholest st: NotStopd t0: [04:00:00 27/09/2012] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [04:00:00 27/09/2012] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [04:00:00 27/09/2012] id: HOB el: 0 cu: MICU cg: RN v1: 30 degrees st: NotStopd t0: [04:00:00 27/09/2012] id: Heart Rate el: 0 cu: MICU cg: RN v1: 89 u1: BPM st: NotStopd t0: [04:00:00 27/09/2012] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [04:00:00 27/09/2012] id: Activity el: 0 cu: MICU cg: RN v1: Bedrest st: NotStopd t0: [04:00:00 27/09/2012] id: Activity Tolerance el: 0 cu: MICU cg: RN v1: Tolerated Well st: NotStopd t0: [04:00:00 27/09/2012] id: Level of Conscious el: 0 cu: MICU cg: RN v1: Sleeping st: NotStopd t0: [04:00:00 27/09/2012] id: NBP el: 0 cu: MICU cg: RN v1: 108 u1: mmHg v2: 45 u2: mmHg st: NotStopd t0: [04:00:00 27/09/2012] id: NBP Mean el: 0 cu: MICU cg: RN v1: 66 u1: mmHg st: NotStopd t0: [04:00:00 27/09/2012] id: AntiEmbDevice/Status el: 0 cu: MICU cg: RN v1: Compress Sleeves v2: Off st: NotStopd t0: [04:00:00 27/09/2012] id: Position el: 0 cu: MICU cg: RN v1: Supine st: NotStopd t0: [04:00:00 27/09/2012] id: Assistance Device el: 0 cu: MICU cg: RN v1: Independent st: NotStopd t0: [04:00:00 27/09/2012] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [04:00:00 27/09/2012] id: Respiratory Pattern el: 0 cu: MICU cg: RN v1: Regular st: NotStopd t0: [04:00:00 27/09/2012] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 16 u1: BPM st: NotStopd t0: [04:00:00 27/09/2012] id: Restraint Location el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [04:00:00 27/09/2012] id: Side Rails el: 0 cu: MICU cg: RN v1: Side Rails Up st: NotStopd t0: [04:00:00 27/09/2012] id: SpO2 el: 0 cu: MICU cg: RN v1: 98 u1: % st: NotStopd t0: [04:00:00 27/09/2012] id: Turn el: 0 cu: MICU cg: RN v1: Turns by self st: NotStopd t0: [04:00:00 27/09/2012] id: Urine Source el: 0 cu: MICU cg: RN v1: Voids st: NotStopd t0: [04:00:00 27/09/2012] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [05:00:00 27/09/2012] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [05:00:00 27/09/2012] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [05:00:00 27/09/2012] id: Riker-SAS Scale el: 0 cu: MICU cg: RN v1: Calm/Cooperative st: NotStopd t0: [05:00:00 27/09/2012] id: Cough Effort el: 0 cu: MICU cg: RN v1: Strong st: NotStopd t0: [05:00:00 27/09/2012] id: Cough Type el: 0 cu: MICU cg: RN v1: Productive st: NotStopd t0: [05:00:00 27/09/2012] id: Diet Type el: 0 cu: MICU cg: RN v1: NAS/Low Cholest st: NotStopd t0: [05:00:00 27/09/2012] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [05:00:00 27/09/2012] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [05:00:00 27/09/2012] id: Eye Opening el: 0 cu: MICU cg: RN v1: 4 Spontaneously st: NotStopd t0: [05:00:00 27/09/2012] id: GCS Total el: 0 cu: MICU cg: RN v1: 15 u1: points st: NotStopd t0: [05:00:00 27/09/2012] id: Heart Rate el: 0 cu: MICU cg: RN v1: 93 u1: BPM st: NotStopd t0: [05:00:00 27/09/2012] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [05:00:00 27/09/2012] id: Abdominal Assessment el: 0 cu: MICU cg: RN v1: Soft Distended st: NotStopd t0: [05:00:00 27/09/2012] id: LLL Lung Sounds el: 0 cu: MICU cg: RN v1: Crackles st: NotStopd t0: [05:00:00 27/09/2012] id: LUL Lung Sounds el: 0 cu: MICU cg: RN v1: Clear st: NotStopd t0: [05:00:00 27/09/2012] id: Level of Conscious el: 0 cu: MICU cg: RN v1: Alert st: NotStopd t0: [05:00:00 27/09/2012] id: Motor Response el: 0 cu: MICU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [05:00:00 27/09/2012] id: Oral Cavity el: 0 cu: MICU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [05:00:00 27/09/2012] id: Orientation el: 0 cu: MICU cg: RN v1: Oriented x 3 st: NotStopd t0: [05:00:00 27/09/2012] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [05:00:00 27/09/2012] id: RLL Lung Sounds el: 0 cu: MICU cg: RN v1: Clear st: NotStopd t0: [05:00:00 27/09/2012] id: RUL Lung Sounds el: 0 cu: MICU cg: RN v1: Clear st: NotStopd t0: [05:00:00 27/09/2012] id: Respiratory Pattern el: 0 cu: MICU cg: RN v1: Regular st: NotStopd t0: [05:00:00 27/09/2012] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 20 u1: BPM st: NotStopd t0: [05:00:00 27/09/2012] id: Restraint Location el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [05:00:00 27/09/2012] id: Side Rails el: 0 cu: MICU cg: RN v1: Side Rails Up st: NotStopd t0: [05:00:00 27/09/2012] id: Skin Color el: 0 cu: MICU cg: RN v1: Jaundiced st: NotStopd t0: [05:00:00 27/09/2012] id: Skin Temp/Condition el: 0 cu: MICU cg: RN v1: Warm v2: Dry st: NotStopd t0: [05:00:00 27/09/2012] id: SpO2 el: 0 cu: MICU cg: RN v1: 98 u1: % st: NotStopd t0: [05:00:00 27/09/2012] id: Urine Source el: 0 cu: MICU cg: RN v1: Voids st: NotStopd t0: [05:00:00 27/09/2012] id: Verbal Response el: 0 cu: MICU cg: RN v1: 5 Oriented st: NotStopd t0: [05:00:00 27/09/2012] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [05:00:00 27/09/2012] id: Bowel Sounds el: 0 cu: MICU cg: RN v1: Present st: NotStopd t0: [05:00:00 27/09/2012] id: Braden Activity el: 0 cu: MICU cg: RN v1: Bedfast st: NotStopd t0: [05:00:00 27/09/2012] id: Braden Frict/Shear el: 0 cu: MICU cg: RN v1: Potential Prob st: NotStopd t0: [05:00:00 27/09/2012] id: Braden Mobility el: 0 cu: MICU cg: RN v1: No Limitations st: NotStopd t0: [05:00:00 27/09/2012] id: Braden Moisture el: 0 cu: MICU cg: RN v1: Rarely Moist st: NotStopd t0: [05:00:00 27/09/2012] id: Braden Nutrition el: 0 cu: MICU cg: RN v1: Prob. Inadequate st: NotStopd t0: [05:00:00 27/09/2012] id: Braden Score el: 0 cu: MICU cg: RN v1: 17 u1: number st: NotStopd t0: [05:00:00 27/09/2012] id: Braden SensoryPercep el: 0 cu: MICU cg: RN v1: No Impairment st: NotStopd
t0: [01:00:00 27/09/2012] id: D5W 250.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 105 vu: ml st: Stopped t0: [02:00:00 27/09/2012] id: D5W 250.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 105 vu: ml t0: [03:00:00 27/09/2012] id: D5W 250.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 105 vu: ml t0: [04:00:00 27/09/2012] id: Urine Out Void el: 1 cu: MICU cg: RN vo: 425 vu: ml
t0: [04:00:00 27/09/2012] id: IV #1 Insert Date el: 0 cu: MICU cg: RN v1: ?? v2: ? st: NotStopd t0: [04:00:00 27/09/2012] id: IV #1 Site/Size el: 0 cu: MICU cg: RN v1: Right Antecub v2: 18 gauge st: NotStopd t0: [04:00:00 27/09/2012] id: IV #3 Insert Date el: 0 cu: MICU cg: RN v1: 8 v2: 28 st: NotStopd t0: [04:00:00 27/09/2012] id: IV #3 Site/Size el: 0 cu: MICU cg: RN v1: Left Antecub v2: 18 gauge st: NotStopd t0: [04:00:00 27/09/2012] id: IV Site Appear #1 el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [04:00:00 27/09/2012] id: IV Site Appear #3 el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [05:00:00 27/09/2012] id: IV #1 Insert Date el: 0 cu: MICU cg: RN v1: ?? v2: ? st: NotStopd t0: [05:00:00 27/09/2012] id: IV #1 Site/Size el: 0 cu: MICU cg: RN v1: Right Antecub v2: 18 gauge st: NotStopd t0: [05:00:00 27/09/2012] id: IV #3 Insert Date el: 0 cu: MICU cg: RN v1: 8 v2: 28 st: NotStopd t0: [05:00:00 27/09/2012] id: IV #3 Site/Size el: 0 cu: MICU cg: RN v1: Left Antecub v2: 18 gauge st: NotStopd t0: [05:00:00 27/09/2012] id: IV Site Appear #1 el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [05:00:00 27/09/2012] id: IV Site Appear #3 el: 0 cu: MICU cg: RN v1: WNL st: NotStopd
t0: [05:00:00 27/09/2012] id: WBC (4-11,000) Hematology el: 0 cu: MICU cg: 1663 v1: 13.2 rs: Final st: NotStopd t0: [05:00:00 27/09/2012] id: WBC Hematology el: 0 cu: MICU cg: 1663 v1: 13.2 rs: Final st: NotStopd t0: [05:00:00 27/09/2012] id: Hematocrit Hematology el: 0 cu: MICU cg: 1663 v1: 30.6 u1: % rs: Final st: NotStopd t0: [05:00:00 27/09/2012] id: Hemoglobin Hematology el: 0 cu: MICU cg: 1663 v1: 10.2 u1: gm/dl rs: Final st: NotStopd t0: [05:00:00 27/09/2012] id: Platelets Hematology el: 0 cu: MICU cg: 1663 v1: 153 rs: Final st: NotStopd t0: [05:00:00 27/09/2012] id: RBC Hematology el: 0 cu: MICU cg: 1663 v1: 3.31 u1: /mic l rs: Final st: NotStopd t0: [05:00:00 27/09/2012] id: WBC (4-11,000) Hematology el: 0 cu: MICU cg: 1663 v1: 13.2 rs: Final st: NotStopd
t0: [05:00:00 27/09/2012] id: PT el: 0 cu: MICU cg: 1663 v1: 17.5 rs: Final st: NotStopd t0: [05:00:00 27/09/2012] id: INR Coags el: 0 cu: MICU cg: 1663 v1: 2 rs: Final st: NotStopd t0: [05:00:00 27/09/2012] id: PTT Coags el: 0 cu: MICU cg: 1663 v1: 43.2 rs: Final st: NotStopd t0: [05:00:00 27/09/2012] id: INR (2-4 ref. range) Coags el: 0 cu: MICU cg: 1663 v1: 2 rs: Final st: NotStopd t0: [05:00:00 27/09/2012] id: PT(11-13.5) Coags el: 0 cu: MICU cg: 1663 v1: 17.5 rs: Final st: NotStopd t0: [05:00:00 27/09/2012] id: PTT(22-35) Coags el: 0 cu: MICU cg: 1663 v1: 43.2 rs: Final st: NotStopd
t0: [05:00:00 27/09/2012] id: BUN el: 0 cu: MICU cg: 1663 v1: 8 rs: Final st: NotStopd t0: [05:00:00 27/09/2012] id: Calcium Chemistry el: 0 cu: MICU cg: 1663 v1: 8.7 u1: mg/dl rs: Final st: NotStopd t0: [05:00:00 27/09/2012] id: Chloride Chemistry el: 0 cu: MICU cg: 1663 v1: 98 rs: Final st: NotStopd t0: [05:00:00 27/09/2012] id: Creatinine Chemistry el: 0 cu: MICU cg: 1663 v1: 0.8 rs: Final st: NotStopd t0: [05:00:00 27/09/2012] id: Glucose Chemistry el: 0 cu: MICU cg: 1663 v1: 86 rs: Final st: NotStopd t0: [05:00:00 27/09/2012] id: Magnesium Chemistry el: 0 cu: MICU cg: 1663 v1: 1.8 rs: Final st: NotStopd t0: [05:00:00 27/09/2012] id: Phosphorous Chemistry el: 0 cu: MICU cg: 1663 v1: 3.1 u1: mEq/L rs: Final st: NotStopd t0: [05:00:00 27/09/2012] id: Potassium Chemistry el: 0 cu: MICU cg: 1663 v1: 3.4 rs: Final st: NotStopd t0: [05:00:00 27/09/2012] id: Sodium Chemistry el: 0 cu: MICU cg: 1663 v1: 128 rs: Final st: NotStopd t0: [05:00:00 27/09/2012] id: ALT Enzymes el: 0 cu: MICU cg: 1663 v1: 28 rs: Final st: NotStopd t0: [05:00:00 27/09/2012] id: AST Enzymes el: 0 cu: MICU cg: 1663 v1: 45 rs: Final st: NotStopd t0: [05:00:00 27/09/2012] id: Alk. Phosphate Enzymes el: 0 cu: MICU cg: 1663 v1: 164 rs: Final st: NotStopd t0: [05:00:00 27/09/2012] id: BUN (6-20) Chemistry el: 0 cu: MICU cg: 1663 v1: 8 rs: Final st: NotStopd t0: [05:00:00 27/09/2012] id: Calcium (8.4-10.2) Chemistry el: 0 cu: MICU cg: 1663 v1: 8.7 u1: mg/dl rs: Final st: NotStopd t0: [05:00:00 27/09/2012] id: Carbon Dioxide Chemistry el: 0 cu: MICU cg: 1663 v1: 23 rs: Final st: NotStopd t0: [05:00:00 27/09/2012] id: Chloride (100-112) Chemistry el: 0 cu: MICU cg: 1663 v1: 98 rs: Final st: NotStopd t0: [05:00:00 27/09/2012] id: Creatinine (0-1.3) Chemistry el: 0 cu: MICU cg: 1663 v1: 0.8 rs: Final st: NotStopd t0: [05:00:00 27/09/2012] id: Glucose (70-105) Chemistry el: 0 cu: MICU cg: 1663 v1: 86 rs: Final st: NotStopd t0: [05:00:00 27/09/2012] id: LDH Enzymes el: 0 cu: MICU cg: 1663 v1: 205 rs: Final st: NotStopd t0: [05:00:00 27/09/2012] id: Magnesium (1.6-2.6) Chemistry el: 0 cu: MICU cg: 1663 v1: 1.8 rs: Final st: NotStopd t0: [05:00:00 27/09/2012] id: Phosphorous(2.7-4.5) Chemistry el: 0 cu: MICU cg: 1663 v1: 3.1 u1: mEq/L rs: Final st: NotStopd t0: [05:00:00 27/09/2012] id: Potassium (3.5-5.3) Chemistry el: 0 cu: MICU cg: 1663 v1: 3.4 rs: Final st: NotStopd t0: [05:00:00 27/09/2012] id: Sodium (135-148) Chemistry el: 0 cu: MICU cg: 1663 v1: 128 rs: Final st: NotStopd
t0: [05:00:00 27/09/2012] id: Total Bili Chemistry el: 0 cu: MICU cg: 1663 v1: 20.3 rs: Final st: NotStopd t0: [05:00:00 27/09/2012] id: Total Bili (0-1.5) Chemistry el: 0 cu: MICU cg: 1663 v1: 20.3 rs: Final st: NotStopd
t0: [05:00:00 27/09/2012] id: Direct Bili Chemistry el: 0 cu: MICU cg: 1663 v1: 14.6 rs: Final st: NotStopd t0: [05:00:00 27/09/2012] id: Direct Bili (0-0.3) Chemistry el: 0 cu: MICU cg: 1663 v1: 14.6 rs: Final st: NotStopd
t0: [06:00:00 27/09/2012] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [06:00:00 27/09/2012] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [06:00:00 27/09/2012] id: Diet Type el: 0 cu: MICU cg: RN v1: NAS/Low Cholest st: NotStopd t0: [06:00:00 27/09/2012] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [06:00:00 27/09/2012] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [06:00:00 27/09/2012] id: HOB el: 0 cu: MICU cg: RN v1: 30 degrees st: NotStopd t0: [06:00:00 27/09/2012] id: Heart Rate el: 0 cu: MICU cg: RN v1: 97 u1: BPM st: NotStopd t0: [06:00:00 27/09/2012] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [06:00:00 27/09/2012] id: Activity el: 0 cu: MICU cg: RN v1: Bedrest st: NotStopd t0: [06:00:00 27/09/2012] id: Activity Tolerance el: 0 cu: MICU cg: RN v1: Tolerated Well st: NotStopd t0: [06:00:00 27/09/2012] id: Assistance Device el: 0 cu: MICU cg: RN v1: Independent st: NotStopd t0: [06:00:00 27/09/2012] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [06:00:00 27/09/2012] id: Respiratory Pattern el: 0 cu: MICU cg: RN v1: Regular st: NotStopd t0: [06:00:00 27/09/2012] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 21 u1: BPM st: NotStopd t0: [06:00:00 27/09/2012] id: Restraint Location el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [06:00:00 27/09/2012] id: Side Rails el: 0 cu: MICU cg: RN v1: Side Rails Up st: NotStopd t0: [06:00:00 27/09/2012] id: Turn el: 0 cu: MICU cg: RN v1: Turns by self st: NotStopd t0: [06:00:00 27/09/2012] id: Urine Source el: 0 cu: MICU cg: RN v1: Voids st: NotStopd t0: [06:00:00 27/09/2012] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [06:00:00 27/09/2012] id: Urine Out Void el: 1 cu: MICU cg: RN vo: 300 vu: ml
t0: [07:00:00 27/09/2012] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [07:00:00 27/09/2012] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [07:00:00 27/09/2012] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [07:00:00 27/09/2012] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [07:00:00 27/09/2012] id: Heart Rate el: 0 cu: MICU cg: RN v1: 89 u1: BPM st: NotStopd t0: [07:00:00 27/09/2012] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [07:00:00 27/09/2012] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [07:00:00 27/09/2012] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 17 u1: BPM st: NotStopd t0: [07:00:00 27/09/2012] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [08:00:00 27/09/2012] id: Pain Present el: 0 cu: MICU cg: RN v1: No st: NotStopd t0: [08:00:00 27/09/2012] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [08:00:00 27/09/2012] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [08:00:00 27/09/2012] id: Riker-SAS Scale el: 0 cu: MICU cg: RN v1: Calm/Cooperative st: NotStopd t0: [08:00:00 27/09/2012] id: Cough Effort el: 0 cu: MICU cg: RN v1: Strong st: NotStopd t0: [08:00:00 27/09/2012] id: Cough Reflex el: 0 cu: MICU cg: RN v1: Intact st: NotStopd t0: [08:00:00 27/09/2012] id: Cough Type el: 0 cu: MICU cg: RN v1: Productive st: NotStopd t0: [08:00:00 27/09/2012] id: GI Prophylaxis el: 0 cu: MICU cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [08:00:00 27/09/2012] id: Diet Type el: 0 cu: MICU cg: RN v1: NAS/Low Cholest st: NotStopd t0: [08:00:00 27/09/2012] id: Dorsal PedPulse R/L el: 0 cu: MICU cg: RN v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [08:00:00 27/09/2012] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [08:00:00 27/09/2012] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [08:00:00 27/09/2012] id: Eye Opening el: 0 cu: MICU cg: RN v1: 4 Spontaneously st: NotStopd t0: [08:00:00 27/09/2012] id: Follows Commands el: 0 cu: MICU cg: RN v1: Consistently st: NotStopd t0: [08:00:00 27/09/2012] id: GCS Total el: 0 cu: MICU cg: RN v1: 15 u1: points st: NotStopd t0: [08:00:00 27/09/2012] id: Gag Reflex el: 0 cu: MICU cg: RN v1: Intact st: NotStopd t0: [08:00:00 27/09/2012] id: HOB el: 0 cu: MICU cg: RN v1: 30 degrees st: NotStopd t0: [08:00:00 27/09/2012] id: Heart Rate el: 0 cu: MICU cg: RN v1: 92 u1: BPM st: NotStopd t0: [08:00:00 27/09/2012] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [08:00:00 27/09/2012] id: Abdominal Assessment el: 0 cu: MICU cg: RN v1: Soft Distended st: NotStopd t0: [08:00:00 27/09/2012] id: IV #1 Insert Date el: 0 cu: MICU cg: RN v1: ?? v2: ? st: NotStopd t0: [08:00:00 27/09/2012] id: IV #1 Site/Size el: 0 cu: MICU cg: RN v1: Right Antecub v2: 18 gauge st: NotStopd t0: [08:00:00 27/09/2012] id: IV #3 Insert Date el: 0 cu: MICU cg: RN v1: 8 v2: 28 st: NotStopd t0: [08:00:00 27/09/2012] id: IV #3 Site/Size el: 0 cu: MICU cg: RN v1: Left Antecub v2: 18 gauge st: NotStopd t0: [08:00:00 27/09/2012] id: Activity el: 0 cu: MICU cg: RN v1: Bedrest st: NotStopd t0: [08:00:00 27/09/2012] id: IV Site Appear #1 el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [08:00:00 27/09/2012] id: IV Site Appear #3 el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [08:00:00 27/09/2012] id: Activity Tolerance el: 0 cu: MICU cg: RN v1: Tolerated Well st: NotStopd t0: [08:00:00 27/09/2012] id: LLL Lung Sounds el: 0 cu: MICU cg: RN v1: Crackles st: NotStopd t0: [08:00:00 27/09/2012] id: LUL Lung Sounds el: 0 cu: MICU cg: RN v1: Clear st: NotStopd t0: [08:00:00 27/09/2012] id: Level of Conscious el: 0 cu: MICU cg: RN v1: Alert st: NotStopd t0: [08:00:00 27/09/2012] id: Motor Response el: 0 cu: MICU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [08:00:00 27/09/2012] id: NBP el: 0 cu: MICU cg: RN v1: 113 u1: mmHg v2: 52 u2: mmHg st: NotStopd t0: [08:00:00 27/09/2012] id: NBP Mean el: 0 cu: MICU cg: RN v1: 72.3333 u1: mmHg st: NotStopd t0: [08:00:00 27/09/2012] id: O2 Delivery Device el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [08:00:00 27/09/2012] id: Oral Cavity el: 0 cu: MICU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [08:00:00 27/09/2012] id: Orientation el: 0 cu: MICU cg: RN v1: Oriented x 3 st: NotStopd t0: [08:00:00 27/09/2012] id: AntiEmbDevice/Status el: 0 cu: MICU cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [08:00:00 27/09/2012] id: Pain Location el: 0 cu: MICU cg: RN v1: Not Indicated st: NotStopd t0: [08:00:00 27/09/2012] id: Position el: 0 cu: MICU cg: RN v1: Supine st: NotStopd t0: [08:00:00 27/09/2012] id: Assistance Device el: 0 cu: MICU cg: RN v1: Independent st: NotStopd t0: [08:00:00 27/09/2012] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [08:00:00 27/09/2012] id: Pupil Size R/L el: 0 cu: MICU cg: RN v1: 3 mm v2: 3 mm st: NotStopd t0: [08:00:00 27/09/2012] id: RLL Lung Sounds el: 0 cu: MICU cg: RN v1: Clear st: NotStopd t0: [08:00:00 27/09/2012] id: RUL Lung Sounds el: 0 cu: MICU cg: RN v1: Clear st: NotStopd t0: [08:00:00 27/09/2012] id: Respiratory Pattern el: 0 cu: MICU cg: RN v1: Regular st: NotStopd t0: [08:00:00 27/09/2012] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 20 u1: BPM st: NotStopd t0: [08:00:00 27/09/2012] id: Restraint Location el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [08:00:00 27/09/2012] id: Side Rails el: 0 cu: MICU cg: RN v1: Side Rails Up st: NotStopd t0: [08:00:00 27/09/2012] id: Skin Color el: 0 cu: MICU cg: RN v1: Jaundiced st: NotStopd t0: [08:00:00 27/09/2012] id: Skin Integrity el: 0 cu: MICU cg: RN v1: Intact st: NotStopd t0: [08:00:00 27/09/2012] id: Skin Temp/Condition el: 0 cu: MICU cg: RN v1: Warm v2: Dry st: NotStopd t0: [08:00:00 27/09/2012] id: SpO2 el: 0 cu: MICU cg: RN v1: 99 u1: % st: NotStopd t0: [08:00:00 27/09/2012] id: Spontaneous Movement el: 0 cu: MICU cg: RN v1: Purposeful st: NotStopd t0: [08:00:00 27/09/2012] id: Turn el: 0 cu: MICU cg: RN v1: Turns by self st: NotStopd t0: [08:00:00 27/09/2012] id: Urine Color/Appear el: 0 cu: MICU cg: RN v1: Yellow v2: Clear st: NotStopd t0: [08:00:00 27/09/2012] id: Urine Source el: 0 cu: MICU cg: RN v1: Voids st: NotStopd t0: [08:00:00 27/09/2012] id: Verbal Response el: 0 cu: MICU cg: RN v1: 5 Oriented st: NotStopd t0: [08:00:00 27/09/2012] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [08:00:00 27/09/2012] id: Behavior el: 0 cu: MICU cg: RN v1: Calm st: NotStopd t0: [08:00:00 27/09/2012] id: Bowel Sounds el: 0 cu: MICU cg: RN v1: Present st: NotStopd t0: [08:00:00 27/09/2012] id: Braden Activity el: 0 cu: MICU cg: RN v1: Bedfast st: NotStopd t0: [08:00:00 27/09/2012] id: Braden Frict/Shear el: 0 cu: MICU cg: RN v1: Potential Prob st: NotStopd t0: [08:00:00 27/09/2012] id: Braden Mobility el: 0 cu: MICU cg: RN v1: No Limitations st: NotStopd t0: [08:00:00 27/09/2012] id: Braden Moisture el: 0 cu: MICU cg: RN v1: Rarely Moist st: NotStopd t0: [08:00:00 27/09/2012] id: Braden Nutrition el: 0 cu: MICU cg: RN v1: Prob. Inadequate st: NotStopd t0: [08:00:00 27/09/2012] id: Braden Score el: 0 cu: MICU cg: RN v1: 17 u1: number st: NotStopd t0: [08:00:00 27/09/2012] id: Braden SensoryPercep el: 0 cu: MICU cg: RN v1: No Impairment st: NotStopd
t0: [08:00:00 27/09/2012] id: Po Intake PO/Gastric el: 1 cu: MICU cg: RN ai: 103 vo: 40 vu: ml t0: [08:00:00 27/09/2012] id: Urine Out Void el: 1 cu: MICU cg: RN vo: 100 vu: ml
t0: [09:00:00 27/09/2012] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [09:00:00 27/09/2012] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [09:00:00 27/09/2012] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [09:00:00 27/09/2012] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [09:00:00 27/09/2012] id: Heart Rate el: 0 cu: MICU cg: RN v1: 99 u1: BPM st: NotStopd t0: [09:00:00 27/09/2012] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [09:00:00 27/09/2012] id: NBP el: 0 cu: MICU cg: RN v1: 107 u1: mmHg v2: 49 u2: mmHg st: NotStopd t0: [09:00:00 27/09/2012] id: NBP Mean el: 0 cu: MICU cg: RN v1: 68.3333 u1: mmHg st: NotStopd t0: [09:00:00 27/09/2012] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [09:00:00 27/09/2012] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 23 u1: BPM st: NotStopd t0: [09:00:00 27/09/2012] id: SpO2 el: 0 cu: MICU cg: RN v1: 96 u1: % st: NotStopd t0: [09:00:00 27/09/2012] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [09:00:00 27/09/2012] id: Stool Out Stool el: 1 cu: MICU cg: RN vu: ml es: Medium t0: [09:00:00 27/09/2012] id: Urine Out Void el: 1 cu: MICU cg: RN vo: 150 vu: ml
t0: [08:00:00 27/09/2012] id: Temp. Site el: 0 cu: MICU cg: RN v1: Oral st: NotStopd t0: [08:00:00 27/09/2012] id: Temperature C (calc) el: 0 cu: MICU cg: RN v1: 37.8333 u1: Deg. C st: NotStopd t0: [08:00:00 27/09/2012] id: Temperature F el: 0 cu: MICU cg: RN v1: 100.1 u1: Deg. F st: NotStopd
t0: [10:00:00 27/09/2012] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [10:00:00 27/09/2012] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [10:00:00 27/09/2012] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: Rare st: NotStopd t0: [10:00:00 27/09/2012] id: Ectopy Type el: 0 cu: MICU cg: RN v1: PVC's st: NotStopd t0: [10:00:00 27/09/2012] id: Heart Rate el: 0 cu: MICU cg: RN v1: 101 u1: BPM st: NotStopd t0: [10:00:00 27/09/2012] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [10:00:00 27/09/2012] id: NBP el: 0 cu: MICU cg: RN v1: 117 u1: mmHg v2: 47 u2: mmHg st: NotStopd t0: [10:00:00 27/09/2012] id: NBP Mean el: 0 cu: MICU cg: RN v1: 70.3333 u1: mmHg st: NotStopd t0: [10:00:00 27/09/2012] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [10:00:00 27/09/2012] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 20 u1: BPM st: NotStopd t0: [10:00:00 27/09/2012] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
tf: [17:00:00 27/09/2012] pt: Unit Dose rt: PO fr: ONCE fs: 11 dn: 1 m1: Potassium Chloride v1: 40 u1: mEq
t0: [11:00:00 27/09/2012] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [11:00:00 27/09/2012] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [11:00:00 27/09/2012] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [11:00:00 27/09/2012] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [11:00:00 27/09/2012] id: Heart Rate el: 0 cu: MICU cg: RN v1: 93 u1: BPM st: NotStopd t0: [11:00:00 27/09/2012] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [11:00:00 27/09/2012] id: NBP el: 0 cu: MICU cg: RN v1: 0 u1: mmHg u2: mmHg st: NotStopd t0: [11:00:00 27/09/2012] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [11:00:00 27/09/2012] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 18 u1: BPM st: NotStopd t0: [11:00:00 27/09/2012] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [10:00:00 27/09/2012] id: Activity el: 0 cu: MICU cg: RN v1: Chair st: NotStopd t0: [12:00:00 27/09/2012] id: Pain Present el: 0 cu: MICU cg: RN v1: No st: NotStopd t0: [12:00:00 27/09/2012] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [12:00:00 27/09/2012] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [12:00:00 27/09/2012] id: Riker-SAS Scale el: 0 cu: MICU cg: RN v1: Calm/Cooperative st: NotStopd t0: [12:00:00 27/09/2012] id: Cough Effort el: 0 cu: MICU cg: RN v1: Strong st: NotStopd t0: [12:00:00 27/09/2012] id: Cough Reflex el: 0 cu: MICU cg: RN v1: Intact st: NotStopd t0: [12:00:00 27/09/2012] id: Cough Type el: 0 cu: MICU cg: RN v1: Nonproductive st: NotStopd t0: [12:00:00 27/09/2012] id: GI Prophylaxis el: 0 cu: MICU cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [12:00:00 27/09/2012] id: Diet Type el: 0 cu: MICU cg: RN v1: NAS/Low Cholest st: NotStopd t0: [12:00:00 27/09/2012] id: Dorsal PedPulse R/L el: 0 cu: MICU cg: RN v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [12:00:00 27/09/2012] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [12:00:00 27/09/2012] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [12:00:00 27/09/2012] id: Eye Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [12:00:00 27/09/2012] id: Eye Opening el: 0 cu: MICU cg: RN v1: 4 Spontaneously st: NotStopd t0: [12:00:00 27/09/2012] id: Follows Commands el: 0 cu: MICU cg: RN v1: Consistently st: NotStopd t0: [12:00:00 27/09/2012] id: GCS Total el: 0 cu: MICU cg: RN v1: 15 u1: points st: NotStopd t0: [12:00:00 27/09/2012] id: Gag Reflex el: 0 cu: MICU cg: RN v1: Intact st: NotStopd t0: [12:00:00 27/09/2012] id: HOB el: 0 cu: MICU cg: RN v1: 30 degrees st: NotStopd t0: [12:00:00 27/09/2012] id: Heart Rate el: 0 cu: MICU cg: RN v1: 95 u1: BPM st: NotStopd t0: [12:00:00 27/09/2012] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [12:00:00 27/09/2012] id: Abdominal Assessment el: 0 cu: MICU cg: RN v1: Soft Distended st: NotStopd t0: [12:00:00 27/09/2012] id: IV #1 Insert Date el: 0 cu: MICU cg: RN v1: ?? v2: ? st: NotStopd t0: [12:00:00 27/09/2012] id: IV #1 Site/Size el: 0 cu: MICU cg: RN v1: Right Antecub v2: 18 gauge st: NotStopd t0: [12:00:00 27/09/2012] id: IV #3 Insert Date el: 0 cu: MICU cg: RN v1: 8 v2: 28 st: NotStopd t0: [12:00:00 27/09/2012] id: IV #3 Site/Size el: 0 cu: MICU cg: RN v1: Left Antecub v2: 18 gauge st: NotStopd t0: [12:00:00 27/09/2012] id: Activity el: 0 cu: MICU cg: RN v1: Bedrest st: NotStopd t0: [12:00:00 27/09/2012] id: IV Site Appear #1 el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [12:00:00 27/09/2012] id: IV Site Appear #3 el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [12:00:00 27/09/2012] id: Activity Tolerance el: 0 cu: MICU cg: RN v1: Tolerated Well st: NotStopd t0: [12:00:00 27/09/2012] id: LLL Lung Sounds el: 0 cu: MICU cg: RN v1: Crackles st: NotStopd t0: [12:00:00 27/09/2012] id: LUL Lung Sounds el: 0 cu: MICU cg: RN v1: Clear st: NotStopd t0: [12:00:00 27/09/2012] id: Level of Conscious el: 0 cu: MICU cg: RN v1: Alert st: NotStopd t0: [12:00:00 27/09/2012] id: Motor Response el: 0 cu: MICU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [12:00:00 27/09/2012] id: NBP el: 0 cu: MICU cg: RN v1: 109 u1: mmHg v2: 51 u2: mmHg st: NotStopd t0: [12:00:00 27/09/2012] id: NBP Mean el: 0 cu: MICU cg: RN v1: 70.3333 u1: mmHg st: NotStopd t0: [12:00:00 27/09/2012] id: O2 Delivery Device el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [12:00:00 27/09/2012] id: Oral Cavity el: 0 cu: MICU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [12:00:00 27/09/2012] id: Orientation el: 0 cu: MICU cg: RN v1: Oriented x 3 st: NotStopd t0: [12:00:00 27/09/2012] id: AntiEmbDevice/Status el: 0 cu: MICU cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [12:00:00 27/09/2012] id: Pain Location el: 0 cu: MICU cg: RN v1: Not Indicated st: NotStopd t0: [12:00:00 27/09/2012] id: Position el: 0 cu: MICU cg: RN v1: Supine st: NotStopd t0: [12:00:00 27/09/2012] id: Assistance Device el: 0 cu: MICU cg: RN v1: Independent st: NotStopd t0: [12:00:00 27/09/2012] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [12:00:00 27/09/2012] id: Pupil Size R/L el: 0 cu: MICU cg: RN v1: 3 mm v2: 3 mm st: NotStopd t0: [12:00:00 27/09/2012] id: RLL Lung Sounds el: 0 cu: MICU cg: RN v1: Clear st: NotStopd t0: [12:00:00 27/09/2012] id: RUL Lung Sounds el: 0 cu: MICU cg: RN v1: Clear st: NotStopd t0: [12:00:00 27/09/2012] id: Respiratory Pattern el: 0 cu: MICU cg: RN v1: Regular st: NotStopd t0: [12:00:00 27/09/2012] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 19 u1: BPM st: NotStopd t0: [12:00:00 27/09/2012] id: Restraint Location el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [12:00:00 27/09/2012] id: Side Rails el: 0 cu: MICU cg: RN v1: Side Rails Up st: NotStopd t0: [12:00:00 27/09/2012] id: Skin Color el: 0 cu: MICU cg: RN v1: Jaundiced st: NotStopd t0: [12:00:00 27/09/2012] id: Skin Integrity el: 0 cu: MICU cg: RN v1: Intact st: NotStopd t0: [12:00:00 27/09/2012] id: Skin Temp/Condition el: 0 cu: MICU cg: RN v1: Warm v2: Dry st: NotStopd t0: [12:00:00 27/09/2012] id: SpO2 el: 0 cu: MICU cg: RN v1: 97 u1: % st: NotStopd t0: [12:00:00 27/09/2012] id: Spontaneous Movement el: 0 cu: MICU cg: RN v1: Purposeful st: NotStopd t0: [12:00:00 27/09/2012] id: Turn el: 0 cu: MICU cg: RN v1: Side to Side st: NotStopd t0: [12:00:00 27/09/2012] id: Urine Color/Appear el: 0 cu: MICU cg: RN v1: Amber v2: Clear st: NotStopd t0: [12:00:00 27/09/2012] id: Urine Source el: 0 cu: MICU cg: RN v1: Voids st: NotStopd t0: [12:00:00 27/09/2012] id: Verbal Response el: 0 cu: MICU cg: RN v1: 5 Oriented st: NotStopd t0: [12:00:00 27/09/2012] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [12:00:00 27/09/2012] id: Behavior el: 0 cu: MICU cg: RN v1: Calm st: NotStopd t0: [12:00:00 27/09/2012] id: Bowel Sounds el: 0 cu: MICU cg: RN v1: Present st: NotStopd t0: [12:00:00 27/09/2012] id: Braden Activity el: 0 cu: MICU cg: RN v1: Bedfast st: NotStopd t0: [12:00:00 27/09/2012] id: Braden Frict/Shear el: 0 cu: MICU cg: RN v1: Potential Prob st: NotStopd t0: [12:00:00 27/09/2012] id: Braden Mobility el: 0 cu: MICU cg: RN v1: No Limitations st: NotStopd t0: [12:00:00 27/09/2012] id: Braden Moisture el: 0 cu: MICU cg: RN v1: Rarely Moist st: NotStopd t0: [12:00:00 27/09/2012] id: Braden Nutrition el: 0 cu: MICU cg: RN v1: Prob. Inadequate st: NotStopd t0: [12:00:00 27/09/2012] id: Braden Score el: 0 cu: MICU cg: RN v1: 17 u1: number st: NotStopd t0: [12:00:00 27/09/2012] id: Braden SensoryPercep el: 0 cu: MICU cg: RN v1: No Impairment st: NotStopd
t0: [12:00:00 27/09/2012] id: Temp. Site el: 0 cu: MICU cg: RN v1: Oral st: NotStopd t0: [12:00:00 27/09/2012] id: Temperature C (calc) el: 0 cu: MICU cg: RN v1: 37.8889 u1: Deg. C st: NotStopd t0: [12:00:00 27/09/2012] id: Temperature F el: 0 cu: MICU cg: RN v1: 100.2 u1: Deg. F st: NotStopd t0: [13:00:00 27/09/2012] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [13:00:00 27/09/2012] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [13:00:00 27/09/2012] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [13:00:00 27/09/2012] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [13:00:00 27/09/2012] id: Heart Rate el: 0 cu: MICU cg: RN v1: 93 u1: BPM st: NotStopd t0: [13:00:00 27/09/2012] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [13:00:00 27/09/2012] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [13:00:00 27/09/2012] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 20 u1: BPM st: NotStopd t0: [13:00:00 27/09/2012] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [14:00:00 27/09/2012] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [14:00:00 27/09/2012] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [14:00:00 27/09/2012] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [14:00:00 27/09/2012] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [14:00:00 27/09/2012] id: Heart Rate el: 0 cu: MICU cg: RN v1: 90 u1: BPM st: NotStopd t0: [14:00:00 27/09/2012] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [14:00:00 27/09/2012] id: NBP el: 0 cu: MICU cg: RN v1: 117 u1: mmHg v2: 52 u2: mmHg st: NotStopd t0: [14:00:00 27/09/2012] id: NBP Mean el: 0 cu: MICU cg: RN v1: 73.6667 u1: mmHg st: NotStopd t0: [14:00:00 27/09/2012] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [14:00:00 27/09/2012] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 21 u1: BPM st: NotStopd t0: [14:00:00 27/09/2012] id: SpO2 el: 0 cu: MICU cg: RN v1: 97 u1: % st: NotStopd t0: [14:00:00 27/09/2012] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [15:00:00 27/09/2012] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [15:00:00 27/09/2012] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [15:00:00 27/09/2012] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [15:00:00 27/09/2012] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [15:00:00 27/09/2012] id: Heart Rate el: 0 cu: MICU cg: RN v1: 95 u1: BPM st: NotStopd t0: [15:00:00 27/09/2012] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [15:00:00 27/09/2012] id: NBP el: 0 cu: MICU cg: RN v1: 118 u1: mmHg v2: 45 u2: mmHg st: NotStopd t0: [15:00:00 27/09/2012] id: NBP Mean el: 0 cu: MICU cg: RN v1: 69.3333 u1: mmHg st: NotStopd t0: [15:00:00 27/09/2012] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [15:00:00 27/09/2012] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 19 u1: BPM st: NotStopd t0: [15:00:00 27/09/2012] id: SpO2 el: 0 cu: MICU cg: RN v1: 96 u1: % st: NotStopd t0: [15:00:00 27/09/2012] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [12:00:00 27/09/2012] id: Po Intake PO/Gastric el: 1 cu: MICU cg: RN ai: 103 vo: 40 vu: ml
t0: [15:00:00 27/09/2012] tf: [17:47:00 27/09/2012] dt: 167 id: D5W 250.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 105 vo: 100 vu: ml
t0: [15:00:00 27/09/2012] id: Urine Out Void el: 1 cu: MICU cg: RN vo: 450 vu: ml
t0: [16:00:00 27/09/2012] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [16:00:00 27/09/2012] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [16:00:00 27/09/2012] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [16:00:00 27/09/2012] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [16:00:00 27/09/2012] id: Heart Rate el: 0 cu: MICU cg: RN v1: 93 u1: BPM st: NotStopd t0: [16:00:00 27/09/2012] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [16:00:00 27/09/2012] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [16:00:00 27/09/2012] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 15 u1: BPM st: NotStopd t0: [16:00:00 27/09/2012] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
tf: [10:00:00 01/10/2012] pt: Unit Dose rt: TP fr: QID:PRN m1: Sarna Lotion v1: 1 u1: Appl
tf: [12:00:00 27/09/2012] pt: Unit Dose rt: PO fr: BID fs: 10, 22 dn: 2 m1: Furosemide v1: 20 u1: mg tf: [17:00:00 27/09/2012] pt: Unit Dose rt: PO fr: BID fs: 10, 22 dn: 2 m1: Furosemide v1: 40 u1: mg tf: [21:00:00 28/09/2012] pt: Unit Dose rt: PO fr: ONCE fs: 22 dn: 1 m1: Potassium Chloride v1: 40 u1: mEq
tf: [08:00:00 29/09/2012] pt: Unit Dose rt: PO fr: ONCE fs: 9 dn: 1 m1: Magnesium Oxide v1: 800 u1: mg
tf: [18:00:00 03/10/2012] pt: IV Piggyback rt: IV fr: Q12H fs: 0, 12 dn: 2 m1: Vancomycin HCl v1: 1000 u1: mg m2: Iso-Osmotic Dextrose v2: 200 u2: ml
tf: [09:00:00 30/09/2012] pt: Unit Dose rt: PO fr: ONCE fs: 10 dn: 1 m1: Neutra-Phos v1: 1 u1: PKT tf: [09:00:00 30/09/2012] pt: Unit Dose rt: PO fr: ONCE fs: 10 dn: 1 m1: Potassium Chloride v1: 40 u1: mEq
tf: [10:00:00 01/10/2012] pt: Unit Dose rt: PO fr: ONCE fs: 11 dn: 1 m1: Potassium Chloride v1: 40 u1: mEq
tf: [10:00:00 01/10/2012] pt: Unit Dose rt: PO fr: Q4-6H:PRN m1: Hydroxyzine HCl v1: 25 u1: mg
tf: [05:00:00 28/10/2012] pt: Unit Dose rt: PO fr: TID fs: 08, 16, 22 dn: 3 m1: Ursodiol v1: 300 u1: mg
tf: [12:00:00 01/10/2012] pt: Unit Dose rt: PO fr: QD fs: 10 dn: 1 m1: Phytonadione v1: 0 u1: mg
tf: [10:00:00 02/10/2012] pt: Unit Dose rt: PO fr: ONCE fs: 11 dn: 1 m1: Neutra-Phos v1: 2 u1: PKT
tf: [12:00:00 02/10/2012] pt: Unit Dose rt: PO fr: QD fs: 10 dn: 1 m1: Phytonadione v1: 15 u1: mg tf: [11:00:00 04/10/2012] pt: IV Piggyback rt: IV fr: Q12H fs: 2, 14 dn: 2 m1: Vancomycin HCl v1: 1000 u1: mg m2: Iso-Osmotic Dextrose v2: 200 u2: ml
tf: [14:00:00 04/10/2012] pt: Unit Dose rt: PO fr: QID fs: 10, 14, 18, 22 dn: 4 m1: Hydroxyzine HCl v1: 25 u1: mg tf: [10:00:00 21/11/2012] pt: Unit Dose rt: TP fr: QID fs: 10, 14, 18, 22 dn: 4 m1: Sarna Lotion v1: 1 u1: Appl
tf: [11:00:00 03/10/2012] pt: Unit Dose rt: PO fr: BID fs: 10, 22 dn: 2 m1: Famotidine v1: 20 u1: mg
tf: [23:00:00 02/10/2012] pt: IV Piggyback rt: IV fr: Q8H fs: 0, 8, 16 dn: 3 m1: Piperacillin-Tazobactam Na v1: 4.5 u1: gm m2: Iso-Osmotic Dextrose v2: 100 u2: ml
tf: [08:00:00 04/10/2012] pt: Unit Dose rt: PO fr: ONCE fs: 9 dn: 1 m1: Potassium Chloride v1: 40 u1: mEq
tf: [12:00:00 08/10/2012] pt: Unit Dose rt: PO fr: QD fs: 10 dn: 1 m1: Multivitamins v1: 1 u1: CAP
tf: [14:00:00 04/10/2012] pt: IV Piggyback rt: IV fr: Q12H fs: 0, 12 dn: 2 m1: Vancomycin HCl v1: 1000 u1: mg m2: Iso-Osmotic Dextrose v2: 200 u2: ml
tf: [16:00:00 21/10/2012] pt: Unit Dose rt: PO fr: TID fs: 08, 16, 22 dn: 3 m1: Pentoxifylline v1: 400 u1: mg
tf: [14:00:00 04/10/2012] pt: IV Piggyback rt: IV fr: Q12H fs: 2, 14 dn: 2 m1: Vancomycin HCl v1: 1000 u1: mg m2: Iso-Osmotic Dextrose v2: 200 u2: ml
tf: [15:00:00 04/10/2012] pt: IV Piggyback rt: SC fr: Q8H fs: 16, 0, 8 dn: 3 m1: Octreotide Acetate v1: 100 u1: mcg m2: AMP v2: 1 u2: AMP tf: [15:00:00 04/10/2012] pt: Unit Dose rt: PO fr: TID fs: 08, 16, 22 dn: 3 m1: Midodrine HCl v1: 10 u1: mg tf: [15:00:00 05/10/2012] pt: Unit Dose rt: IV fr: ONCE fs: 16 dn: 1 m1: Albumin 25% (12.5gm) v1: 50 u1: gm
tf: [00:00:00 06/10/2012] pt: Unit Dose rt: IV fr: ONCE fs: 11 dn: 1 m1: Albumin 25% (12.5gm) v1: 50 u1: gm
tf: [11:00:00 12/10/2012] pt: IV Piggyback rt: IV DRIP fr: INFUSION m1: Octreotide Acetate v1: 600 u1: mcg m2: D5W v2: 100 u2: ml
tf: [23:22:00 12/10/2012] dt: 10047 cu: MICU de: CC7
id: Propofol el: 200 cu: MICU cg: RN io: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions am: 500 du: mcgkgmin rt: IV Drip
t0: [00:00:00 06/10/2012] id: Neg Insp Force(>-25) el: 0 cu: MICU cg: -1 st: D/C'd t0: [00:00:00 06/10/2012] id: Vital Cap (>1.0)L el: 0 cu: MICU cg: -1 st: D/C'd
id: N/A el: 2 cu: MICU cg: RN io: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions vo: 50 du: vl rt: Intravenous Push
t0: [00:00:00 06/10/2012] id: Riker-SAS Scale el: 0 cu: MICU cg: RN v1: Calm/Cooperative st: NotStopd t0: [00:00:00 06/10/2012] id: Heart Rate el: 0 cu: MICU cg: RN v1: 80 u1: BPM st: NotStopd t0: [00:00:00 06/10/2012] id: NBP el: 0 cu: MICU cg: RN v1: 115 u1: mmHg v2: 41 u2: mmHg st: NotStopd t0: [00:00:00 06/10/2012] id: NBP Mean el: 0 cu: MICU cg: RN v1: 65.6667 u1: mmHg st: NotStopd t0: [00:00:00 06/10/2012] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 13 u1: BPM st: NotStopd t0: [00:00:00 06/10/2012] id: SpO2 el: 0 cu: MICU cg: RN v1: 98 u1: % st: NotStopd t0: [00:00:00 06/10/2012] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [00:00:00 06/10/2012] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 0 vu: ml
t0: [00:15:00 06/10/2012] id: Heart Rate el: 0 cu: MICU cg: RN v1: 107 u1: BPM st: NotStopd t0: [00:15:00 06/10/2012] id: NBP el: 0 cu: MICU cg: RN v1: 102 u1: mmHg v2: 36 u2: mmHg st: NotStopd t0: [00:15:00 06/10/2012] id: NBP Mean el: 0 cu: MICU cg: RN v1: 58 u1: mmHg st: NotStopd t0: [00:15:00 06/10/2012] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 20 u1: BPM st: NotStopd t0: [00:15:00 06/10/2012] id: Significant Events el: 0 cu: MICU cg: RN st: NotStopd t0: [00:15:00 06/10/2012] id: SpO2 el: 0 cu: MICU cg: RN v1: 99 u1: % st: NotStopd t0: [00:15:00 06/10/2012] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [00:15:00 06/10/2012] tf: [00:25:00 06/10/2012] dt: 10 id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 312.5 vu: ml t0: [00:15:00 06/10/2012] tf: [23:22:00 12/10/2012] dt: 10027 id: Gastric Emesis el: 1 cu: MICU cg: RN vo: 500 vu: ml
t0: [23:00:00 06/10/2012] dt: 24 id: Gastric Out Total el: 2 cu: MICU cg: RN cv: 500 ap: none
t0: [00:08:00 06/10/2012] id: Blood Products Hematology el: 0 cu: MICU cg: 1663 v1: Y rs: Final st: NotStopd
t0: [00:15:00 06/10/2012] id: IV #1 Site/Size el: 0 cu: MICU cg: RN v1: LL Ant Forearm v2: 20 gauge st: NotStopd t0: [00:15:00 06/10/2012] id: IV #2 Site/Size el: 0 cu: MICU cg: RN v1: LL Ant Forearm v2: 20 gauge st: NotStopd t0: [00:15:00 06/10/2012] id: IV #3 Insert Date el: 0 cu: MICU cg: RN v1: 9 v2: 12 st: NotStopd t0: [00:15:00 06/10/2012] id: IV #3 Site/Size el: 0 cu: MICU cg: RN v1: Right Hand v2: 18 gauge st: NotStopd t0: [00:15:00 06/10/2012] id: IV #4 Insert Date el: 0 cu: MICU cg: RN v1: 9 v2: 12 st: NotStopd t0: [00:15:00 06/10/2012] id: IV #4 Site/Size el: 0 cu: MICU cg: RN v1: RL Ant Forearm v2: 18 gauge st: NotStopd t0: [00:15:00 06/10/2012] id: IV Site Appear #1 el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [00:15:00 06/10/2012] id: IV Site Appear #2 el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [00:15:00 06/10/2012] id: IV Site Appear #3 el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [00:15:00 06/10/2012] id: IV Site Appear #4 el: 0 cu: MICU cg: RN v1: WNL st: NotStopd
t0: [23:35:00 05/10/2012] id: Hematocrit Hematology el: 0 cu: MICU cg: 1663 v1: 24.8 u1: % rs: Final st: NotStopd
t0: [00:25:00 06/10/2012] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [00:25:00 06/10/2012] id: Riker-SAS Scale el: 0 cu: MICU cg: RN v1: Calm/Cooperative st: NotStopd t0: [00:25:00 06/10/2012] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [00:25:00 06/10/2012] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [00:25:00 06/10/2012] id: Heart Rate el: 0 cu: MICU cg: RN v1: 95 u1: BPM st: NotStopd t0: [00:25:00 06/10/2012] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [00:25:00 06/10/2012] id: NBP el: 0 cu: MICU cg: RN v1: 90 u1: mmHg v2: 32 u2: mmHg st: NotStopd t0: [00:25:00 06/10/2012] id: NBP Mean el: 0 cu: MICU cg: RN v1: 51.3333 u1: mmHg st: NotStopd t0: [00:25:00 06/10/2012] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [00:25:00 06/10/2012] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 25 u1: BPM st: NotStopd t0: [00:25:00 06/10/2012] id: Significant Events el: 0 cu: MICU cg: RN v1: Fluid Bolus st: NotStopd t0: [00:25:00 06/10/2012] id: SpO2 el: 0 cu: MICU cg: RN v1: 98 u1: % st: NotStopd t0: [00:25:00 06/10/2012] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [00:25:00 06/10/2012] tf: [01:40:00 06/10/2012] dt: 75 id: D5W 250.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 105 vo: 250 vu: ml t0: [00:25:00 06/10/2012] id: Packed RBC's IV Infusions el: 1 cu: MICU cg: RN ai: 107 vu: ml nb: 1
t0: [00:30:00 06/10/2012] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [00:30:00 06/10/2012] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [00:30:00 06/10/2012] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [00:30:00 06/10/2012] id: Heart Rate el: 0 cu: MICU cg: RN v1: 92 u1: BPM st: NotStopd t0: [00:30:00 06/10/2012] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [00:30:00 06/10/2012] id: NBP el: 0 cu: MICU cg: RN v1: 97 u1: mmHg v2: 35 u2: mmHg st: NotStopd t0: [00:30:00 06/10/2012] id: NBP Mean el: 0 cu: MICU cg: RN v1: 55.6667 u1: mmHg st: NotStopd t0: [00:30:00 06/10/2012] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [00:30:00 06/10/2012] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 19 u1: BPM st: NotStopd t0: [00:30:00 06/10/2012] id: Significant Events el: 0 cu: MICU cg: RN v1: Intubated st: NotStopd t0: [00:30:00 06/10/2012] id: SpO2 el: 0 cu: MICU cg: RN v1: 98 u1: % st: NotStopd t0: [00:30:00 06/10/2012] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [00:25:00 06/10/2012] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 208.333 vu: ml st: Stopped
t0: [00:35:00 06/10/2012] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [00:35:00 06/10/2012] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [00:35:00 06/10/2012] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [00:35:00 06/10/2012] id: Heart Rate el: 0 cu: MICU cg: RN v1: 98 u1: BPM st: NotStopd t0: [00:35:00 06/10/2012] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [00:35:00 06/10/2012] id: NBP el: 0 cu: MICU cg: RN v1: 125 u1: mmHg v2: 58 u2: mmHg st: NotStopd t0: [00:35:00 06/10/2012] id: NBP Mean el: 0 cu: MICU cg: RN v1: 80.3333 u1: mmHg st: NotStopd t0: [00:35:00 06/10/2012] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [00:35:00 06/10/2012] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 22 u1: BPM st: NotStopd t0: [00:35:00 06/10/2012] id: SpO2 el: 0 cu: MICU cg: RN v1: 100 u1: % st: NotStopd t0: [00:35:00 06/10/2012] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [00:35:00 06/10/2012] id: D5W 250.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 105 vo: 6.66667 vu: ml t0: [00:35:00 06/10/2012] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 2 cu: MICU cg: RN ai: 107 vu: ml nb: 1 t0: [00:35:00 06/10/2012] id: Packed RBC's IV Infusions el: 1 cu: MICU cg: RN ai: 107 vu: ml nb: 1 t0: [00:35:00 06/10/2012] tf: [12:01:00 10/10/2012] dt: 6446 id: Urine Out Void el: 1 cu: MICU cg: RN vo: 300 vu: ml
t0: [00:35:00 06/10/2012] tf: [02:00:00 06/10/2012] dt: 85 id: Propofol el: 2 cu: MICU cg: RN so: N/A vo: 0 v1: 20 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [00:40:00 06/10/2012] id: Blood Products Hematology el: 0 cu: MICU cg: 1663 v1: Y rs: Final st: NotStopd
t0: [00:35:00 06/10/2012] id: HI/Minute/Vol/Alarm el: 0 cu: MICU cg: RRT v1: 20 t0: [00:35:00 06/10/2012] id: Compliance (40-60ml) el: 0 cu: MICU cg: RRT v1: 36.8421 u1: ml/cmH st: NotStopd t0: [00:35:00 06/10/2012] id: ETT Mark/Location el: 0 cu: MICU cg: RRT v1: 23cm v2: Lip st: NotStopd t0: [00:35:00 06/10/2012] id: FiO2 Set el: 0 cu: MICU cg: RRT v1: 0.8 u1: torr st: NotStopd t0: [00:35:00 06/10/2012] id: High Insp. Pressure el: 0 cu: MICU cg: RRT v1: 50 u1: cmH2O st: NotStopd t0: [00:35:00 06/10/2012] id: I:E Ratio el: 0 cu: MICU cg: RRT v1: 1:4 st: NotStopd t0: [00:35:00 06/10/2012] id: Airway Size el: 0 cu: MICU cg: RRT v1: 7.5 mm st: NotStopd t0: [00:35:00 06/10/2012] id: Airway Type el: 0 cu: MICU cg: RRT v1: Endotracheal st: NotStopd t0: [00:35:00 06/10/2012] id: Inspired Gas Temp el: 0 cu: MICU cg: RRT v1: 34 u1: Deg. C st: NotStopd t0: [00:35:00 06/10/2012] id: Intubation Date el: 0 cu: MICU cg: RRT v1: 9 v2: 13 st: NotStopd t0: [00:35:00 06/10/2012] id: Low Exhaled Min Vol el: 0 cu: MICU cg: RRT v1: 5 st: NotStopd t0: [00:35:00 06/10/2012] id: Minute Volume(Obser) el: 0 cu: MICU cg: RRT v1: 8.4 u1: L/min st: NotStopd t0: [00:35:00 06/10/2012] id: PEEP Set el: 0 cu: MICU cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [00:35:00 06/10/2012] id: Apnea Time Interval el: 0 cu: MICU cg: RRT v1: 20 st: NotStopd t0: [00:35:00 06/10/2012] id: Peak Insp. Pressure el: 0 cu: MICU cg: RRT v1: 24 u1: cmH2O st: NotStopd t0: [00:35:00 06/10/2012] id: Pressure Support el: 0 cu: MICU cg: RRT v1: 5 u1: . st: NotStopd t0: [00:35:00 06/10/2012] id: Resp Rate (Spont) el: 0 cu: MICU cg: RRT v1: 0 u1: BPM st: NotStopd t0: [00:35:00 06/10/2012] id: Resp Rate (Total) el: 0 cu: MICU cg: RRT v1: 12 u1: BPM st: NotStopd t0: [00:35:00 06/10/2012] id: Respiratory Rate Set el: 0 cu: MICU cg: RRT v1: 12 u1: BPM st: NotStopd t0: [00:35:00 06/10/2012] id: Sensitivity-Vent el: 0 cu: MICU cg: RRT v1: 3 u1: cmH2O st: NotStopd t0: [00:35:00 06/10/2012] id: Tidal Volume (Obser) el: 0 cu: MICU cg: RRT v1: 700 u1: ml/B st: NotStopd t0: [00:35:00 06/10/2012] id: Tidal Volume (Set) el: 0 cu: MICU cg: RRT v1: 700 u1: ml/B st: NotStopd t0: [00:35:00 06/10/2012] id: Ventilator Mode el: 0 cu: MICU cg: RRT v1: SIMV+PS st: NotStopd t0: [00:35:00 06/10/2012] id: Ventilator Type el: 0 cu: MICU cg: RRT v1: Drager st: NotStopd t0: [00:35:00 06/10/2012] id: Waveform-Vent el: 0 cu: MICU cg: RRT v1: RAMP st: NotStopd
t0: [00:40:00 06/10/2012] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [00:40:00 06/10/2012] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [00:40:00 06/10/2012] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [00:40:00 06/10/2012] id: Heart Rate el: 0 cu: MICU cg: RN v1: 96 u1: BPM st: NotStopd t0: [00:40:00 06/10/2012] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [00:40:00 06/10/2012] id: NBP el: 0 cu: MICU cg: RN v1: 97 u1: mmHg v2: 78 u2: mmHg st: NotStopd t0: [00:40:00 06/10/2012] id: NBP Mean el: 0 cu: MICU cg: RN v1: 84.3333 u1: mmHg st: NotStopd t0: [00:40:00 06/10/2012] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [00:40:00 06/10/2012] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 23 u1: BPM st: NotStopd t0: [00:40:00 06/10/2012] id: SpO2 el: 0 cu: MICU cg: RN v1: 100 u1: % st: NotStopd t0: [00:40:00 06/10/2012] id: Temp. Site el: 0 cu: MICU cg: RN v1: Axillary st: NotStopd t0: [00:40:00 06/10/2012] id: Temperature C (calc) el: 0 cu: MICU cg: RN v1: 36.3333 u1: Deg. C st: NotStopd t0: [00:40:00 06/10/2012] id: Temperature F el: 0 cu: MICU cg: RN v1: 97.4 u1: Deg. F st: NotStopd t0: [00:40:00 06/10/2012] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [00:40:00 06/10/2012] id: Propofol el: 2 cu: MICU cg: RN so: N/A vo: 0 v1: 75 du: mcgkgmin sv: 50 su: vl rt: IV Drip
id: Sandostatin el: 200 cu: MICU cg: RN io: D5W 100.0ml + 600mcghr Sandostatin IV Infusions am: 600 du: mcghr rt: IV Drip
tf: [11:00:00 16/10/2012] pt: IV Piggyback rt: IV fr: Q12H fs: 2, 14 dn: 2 m1: Pantoprazole Sodium v1: 40 u1: mg m2: NS v2: 100 u2: ml tf: [16:00:00 21/10/2012] pt: Unit Dose rt: IV fr: Q4H:PRN m1: Lorazepam v1: 2-4 u1: mg
id: D5W el: 2 cu: MICU cg: RN io: D5W 100.0ml + 600mcghr Sandostatin IV Infusions vo: 100 du: ml rt: Intravenous Push
t0: [00:45:00 06/10/2012] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [00:45:00 06/10/2012] id: Heart Rate el: 0 cu: MICU cg: RN v1: 96 u1: BPM st: NotStopd t0: [00:45:00 06/10/2012] id: NBP el: 0 cu: MICU cg: RN v1: 94 u1: mmHg v2: 34 u2: mmHg st: NotStopd t0: [00:45:00 06/10/2012] id: NBP Mean el: 0 cu: MICU cg: RN v1: 54 u1: mmHg st: NotStopd t0: [00:45:00 06/10/2012] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [00:45:00 06/10/2012] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 18 u1: BPM st: NotStopd t0: [00:45:00 06/10/2012] id: SpO2 el: 0 cu: MICU cg: RN v1: 100 u1: % st: NotStopd t0: [00:45:00 06/10/2012] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [00:45:00 06/10/2012] tf: [23:22:00 12/10/2012] dt: 9997 id: Sandostatin el: 2 cu: MICU cg: RN so: N/A vo: 0 v1: 75 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [00:45:00 06/10/2012] id: Sandostatin el: 2 cu: MICU cg: RN so: D5W vo: 0 v1: 50 du: mcghr sv: 100 su: ml rt: IV Drip
t0: [01:29:00 06/10/2012] id: Blood Products Hematology el: 0 cu: MICU cg: 1663 v1: Y rs: Final st: NotStopd
t0: [00:55:00 06/10/2012] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [00:55:00 06/10/2012] id: Heart Rate el: 0 cu: MICU cg: RN v1: 93 u1: BPM st: NotStopd t0: [00:55:00 06/10/2012] id: NBP el: 0 cu: MICU cg: RN v1: 91 u1: mmHg v2: 19 u2: mmHg st: NotStopd t0: [00:55:00 06/10/2012] id: NBP Mean el: 0 cu: MICU cg: RN v1: 43 u1: mmHg st: NotStopd t0: [00:55:00 06/10/2012] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [00:55:00 06/10/2012] id: SpO2 el: 0 cu: MICU cg: RN v1: 100 u1: % st: NotStopd t0: [00:55:00 06/10/2012] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [01:00:00 06/10/2012] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [01:00:00 06/10/2012] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [01:00:00 06/10/2012] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [01:00:00 06/10/2012] id: Heart Rate el: 0 cu: MICU cg: RN v1: 93 u1: BPM st: NotStopd t0: [01:00:00 06/10/2012] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [01:00:00 06/10/2012] id: NBP el: 0 cu: MICU cg: RN v1: 76 u1: mmHg v2: 24 u2: mmHg st: NotStopd t0: [01:00:00 06/10/2012] id: NBP Mean el: 0 cu: MICU cg: RN v1: 41.3333 u1: mmHg st: NotStopd t0: [01:00:00 06/10/2012] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [01:00:00 06/10/2012] id: Significant Events el: 0 cu: MICU cg: RN v1: Fluid Bolus st: NotStopd t0: [01:00:00 06/10/2012] id: SpO2 el: 0 cu: MICU cg: RN v1: 100 u1: % st: NotStopd t0: [01:00:00 06/10/2012] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [01:10:00 06/10/2012] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [01:10:00 06/10/2012] id: Heart Rate el: 0 cu: MICU cg: RN v1: 86 u1: BPM st: NotStopd t0: [01:10:00 06/10/2012] id: NBP el: 0 cu: MICU cg: RN v1: 89 u1: mmHg v2: 31 u2: mmHg st: NotStopd t0: [01:10:00 06/10/2012] id: NBP Mean el: 0 cu: MICU cg: RN v1: 50.3333 u1: mmHg st: NotStopd t0: [01:10:00 06/10/2012] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [01:10:00 06/10/2012] id: SpO2 el: 0 cu: MICU cg: RN v1: 100 u1: % st: NotStopd t0: [01:10:00 06/10/2012] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [01:20:00 06/10/2012] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [01:20:00 06/10/2012] id: Heart Rate el: 0 cu: MICU cg: RN v1: 82 u1: BPM st: NotStopd t0: [01:20:00 06/10/2012] id: NBP el: 0 cu: MICU cg: RN v1: 87 u1: mmHg v2: 28 u2: mmHg st: NotStopd t0: [01:20:00 06/10/2012] id: NBP Mean el: 0 cu: MICU cg: RN v1: 47.6667 u1: mmHg st: NotStopd t0: [01:20:00 06/10/2012] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [01:20:00 06/10/2012] id: SpO2 el: 0 cu: MICU cg: RN v1: 100 u1: % st: NotStopd t0: [01:20:00 06/10/2012] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [01:30:00 06/10/2012] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [01:30:00 06/10/2012] id: Heart Rate el: 0 cu: MICU cg: RN v1: 83 u1: BPM st: NotStopd t0: [01:30:00 06/10/2012] id: NBP el: 0 cu: MICU cg: RN v1: 84 u1: mmHg v2: 38 u2: mmHg st: NotStopd t0: [01:30:00 06/10/2012] id: NBP Mean el: 0 cu: MICU cg: RN v1: 53.3333 u1: mmHg st: NotStopd t0: [01:30:00 06/10/2012] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [01:30:00 06/10/2012] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [01:40:00 06/10/2012] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [01:40:00 06/10/2012] id: Heart Rate el: 0 cu: MICU cg: RN v1: 84 u1: BPM st: NotStopd t0: [01:40:00 06/10/2012] id: NBP el: 0 cu: MICU cg: RN v1: 97 u1: mmHg v2: 33 u2: mmHg st: NotStopd t0: [01:40:00 06/10/2012] id: NBP Mean el: 0 cu: MICU cg: RN v1: 54.3333 u1: mmHg st: NotStopd t0: [01:40:00 06/10/2012] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [01:40:00 06/10/2012] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [00:45:00 06/10/2012] tf: [23:22:00 12/10/2012] dt: 9997 id: Packed RBC's IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 375 vu: ml t0: [01:00:00 06/10/2012] tf: [23:22:00 12/10/2012] dt: 9982 id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 250 vu: ml t0: [01:00:00 06/10/2012] id: Packed RBC's IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 375 vu: ml t0: [01:30:00 06/10/2012] tf: [23:22:00 12/10/2012] dt: 9952 id: Fresh Frozen Plasma IV Infusions el: 1 cu: MICU cg: RN ai: 155 vu: ml nb: 1 t0: [01:20:00 06/10/2012] id: Fresh Frozen Plasma IV Infusions el: 1 cu: MICU cg: RN ai: 155 vu: ml nb: 1 t0: [01:30:00 06/10/2012] id: Fresh Frozen Plasma IV Infusions el: 1 cu: MICU cg: RN ai: 155 vo: 303 vu: ml t0: [01:40:00 06/10/2012] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 500 vu: ml t0: [01:40:00 06/10/2012] id: Fresh Frozen Plasma IV Infusions el: 1 cu: MICU cg: RN ai: 155 vo: 327 vu: ml nb: 1
t0: [00:55:00 06/10/2012] id: Propofol el: 2 cu: MICU cg: RN so: N/A vo: 0 v1: 50 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [00:55:00 06/10/2012] id: Sandostatin el: 2 cu: MICU cg: RN so: D5W vo: 0 v1: 50 du: mcghr sv: 100 su: ml rt: IV Drip t0: [01:00:00 06/10/2012] id: Propofol el: 2 cu: MICU cg: RN so: N/A vo: 0 v1: 25 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [01:00:00 06/10/2012] id: Sandostatin el: 2 cu: MICU cg: RN so: D5W vo: 0 v1: 50 du: mcghr sv: 100 su: ml rt: IV Drip t0: [01:10:00 06/10/2012] id: Propofol el: 2 cu: MICU cg: RN so: N/A vo: 0 v1: 25 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [01:10:00 06/10/2012] id: Sandostatin el: 2 cu: MICU cg: RN so: D5W vo: 0 v1: 50 du: mcghr sv: 100 su: ml rt: IV Drip t0: [01:20:00 06/10/2012] id: Propofol el: 2 cu: MICU cg: RN so: N/A vo: 0 v1: 25 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [01:20:00 06/10/2012] id: Sandostatin el: 2 cu: MICU cg: RN so: D5W vo: 0 v1: 50 du: mcghr sv: 100 su: ml rt: IV Drip t0: [01:30:00 06/10/2012] id: Propofol el: 2 cu: MICU cg: RN so: N/A vo: 0 v1: 25 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [01:30:00 06/10/2012] id: Sandostatin el: 2 cu: MICU cg: RN so: D5W vo: 0 v1: 50 du: mcghr sv: 100 su: ml rt: IV Drip t0: [01:40:00 06/10/2012] id: Propofol el: 2 cu: MICU cg: RN so: N/A vo: 0 v1: 25 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [01:40:00 06/10/2012] id: Sandostatin el: 2 cu: MICU cg: RN so: D5W vo: 0 v1: 50 du: mcghr sv: 100 su: ml rt: IV Drip
t0: [01:40:00 06/10/2012] id: Procedures el: 0 cu: MICU cg: RN v1: Endoscopy st: NotStopd
t0: [01:45:00 06/10/2012] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [01:45:00 06/10/2012] id: Heart Rate el: 0 cu: MICU cg: RN v1: 90 u1: BPM st: NotStopd t0: [01:45:00 06/10/2012] id: NBP el: 0 cu: MICU cg: RN v1: 103 u1: mmHg v2: 64 u2: mmHg st: NotStopd t0: [01:45:00 06/10/2012] id: NBP Mean el: 0 cu: MICU cg: RN v1: 77 u1: mmHg st: NotStopd t0: [01:45:00 06/10/2012] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [01:45:00 06/10/2012] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [01:50:00 06/10/2012] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [01:50:00 06/10/2012] id: Heart Rate el: 0 cu: MICU cg: RN v1: 87 u1: BPM st: NotStopd t0: [01:50:00 06/10/2012] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [01:50:00 06/10/2012] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [01:20:00 06/10/2012] tf: [02:00:00 06/10/2012] dt: 40 id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 2 cu: MICU cg: RN ai: 107 vo: 50 vu: ml t0: [01:40:00 06/10/2012] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 2 cu: MICU cg: RN ai: 107 vo: 25 vu: ml t0: [01:45:00 06/10/2012] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 104.167 vu: ml t0: [01:45:00 06/10/2012] id: Packed RBC's IV Infusions el: 1 cu: MICU cg: RN ai: 107 vu: ml nb: 1 t0: [01:45:00 06/10/2012] id: Fresh Frozen Plasma IV Infusions el: 1 cu: MICU cg: RN ai: 155 vo: 290 vu: ml nb: 1 t0: [01:50:00 06/10/2012] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 104.167 vu: ml t0: [01:50:00 06/10/2012] id: Fresh Frozen Plasma IV Infusions el: 1 cu: MICU cg: RN ai: 155 vo: 279 vu: ml
t0: [01:45:00 06/10/2012] id: Propofol el: 2 cu: MICU cg: RN so: N/A vo: 0 v1: 25 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [01:45:00 06/10/2012] id: Sandostatin el: 2 cu: MICU cg: RN so: D5W vo: 0 v1: 50 du: mcghr sv: 100 su: ml rt: IV Drip t0: [01:50:00 06/10/2012] id: Propofol el: 2 cu: MICU cg: RN so: N/A vo: 0 v1: 25 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [01:50:00 06/10/2012] id: Sandostatin el: 2 cu: MICU cg: RN so: D5W vo: 0 v1: 50 du: mcghr sv: 100 su: ml rt: IV Drip
id: Fentanyl el: 100 cu: MICU cg: RN io: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions am: 2500 du: mcghr rt: IV Drip id: Midazolam el: 100 cu: MICU cg: RN io: .9% Normal Saline 50.0ml + 50mghr Midazolam IV Infusions am: 50 du: mghr rt: IV Drip
io: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU cg: RN ra: 5 ru: ml/hr io: .9% Normal Saline 50.0ml + 50mghr Midazolam IV Infusions el: 1 cu: MICU cg: RN ra: 3 ru: ml/hr
tf: [08:00:00 10/10/2012] pt: IV Piggyback rt: IV DRIP fr: INFUSION m1: Fentanyl Citrate v1: 2500 u1: mcg m2: D5W v2: 250 u2: ml tf: [08:00:00 10/10/2012] pt: IV Piggyback rt: IV DRIP fr: TITRATE TO m1: Midazolam HCl v1: 50 u1: mg m2: D5W v2: 50 u2: ml tf: [08:00:00 10/10/2012] pt: IV Piggyback rt: IV DRIP fr: TITRATE TO m1: Norepinephrine v1: 4 u1: mg m2: D5W v2: 250 u2: ml
id: .9% Normal Saline el: 1 cu: MICU cg: RN io: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions vo: 250 du: ml rt: Intravenous Push id: .9% Normal Saline el: 1 cu: MICU cg: RN io: .9% Normal Saline 50.0ml + 50mghr Midazolam IV Infusions vo: 50 du: ml rt: Intravenous Push
t0: [01:55:00 06/10/2012] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [01:55:00 06/10/2012] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [01:55:00 06/10/2012] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [01:55:00 06/10/2012] id: Heart Rate el: 0 cu: MICU cg: RN v1: 86 u1: BPM st: NotStopd t0: [01:55:00 06/10/2012] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [01:55:00 06/10/2012] id: NBP el: 0 cu: MICU cg: RN v1: 118 u1: mmHg v2: 50 u2: mmHg st: NotStopd t0: [01:55:00 06/10/2012] id: NBP Mean el: 0 cu: MICU cg: RN v1: 72.6667 u1: mmHg st: NotStopd t0: [01:55:00 06/10/2012] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [01:55:00 06/10/2012] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [01:55:00 06/10/2012] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 104.167 vu: ml t0: [01:55:00 06/10/2012] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 2 cu: MICU cg: RN ai: 107 vo: 3.1575 vu: ml t0: [01:55:00 06/10/2012] id: Packed RBC's IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 375 vu: ml nb: 1 t0: [02:00:00 06/10/2012] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 104.167 vu: ml t0: [02:00:00 06/10/2012] id: Packed RBC's IV Infusions el: 1 cu: MICU cg: RN ai: 107 vu: ml nb: 1
t0: [01:55:00 06/10/2012] id: Propofol el: 2 cu: MICU cg: RN so: N/A vo: 0 v1: 25 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [01:55:00 06/10/2012] id: Sandostatin el: 2 cu: MICU cg: RN so: D5W vo: 0 v1: 50 du: mcghr sv: 100 su: ml rt: IV Drip
t0: [02:00:00 06/10/2012] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [02:00:00 06/10/2012] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [02:00:00 06/10/2012] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [02:00:00 06/10/2012] id: Heart Rate el: 0 cu: MICU cg: RN v1: 89 u1: BPM st: NotStopd t0: [02:00:00 06/10/2012] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [02:00:00 06/10/2012] id: NBP el: 0 cu: MICU cg: RN v1: 111 u1: mmHg v2: 50 u2: mmHg st: NotStopd t0: [02:00:00 06/10/2012] id: NBP Mean el: 0 cu: MICU cg: RN v1: 70.3333 u1: mmHg st: NotStopd t0: [02:00:00 06/10/2012] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [02:00:00 06/10/2012] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [01:40:00 06/10/2012] id: D5W 250.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 105 vo: 43.3333 vu: ml st: Stopped t0: [01:45:00 06/10/2012] id: D5W 250.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 105 vu: ml t0: [01:50:00 06/10/2012] id: D5W 250.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 105 vu: ml t0: [01:55:00 06/10/2012] id: D5W 250.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 105 vu: ml t0: [02:00:00 06/10/2012] id: D5W 250.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 105 vu: ml t0: [02:00:00 06/10/2012] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 2 cu: MICU cg: RN ai: 107 vo: 1.0525 vu: ml st: Stopped t0: [02:00:00 06/10/2012] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU cg: RN ai: 416 vu: ml nb: 1 t0: [02:00:00 06/10/2012] tf: [14:05:00 09/10/2012] dt: 5045 id: .9% Normal Saline 50.0ml + 50mghr Midazolam IV Infusions el: 1 cu: MICU cg: RN ai: 189 vo: 3 vu: ml nb: 1 t0: [02:00:00 06/10/2012] id: Urine Out Void el: 1 cu: MICU cg: RN vo: 5 vu: ml
t0: [02:00:00 06/10/2012] id: Propofol el: 2 cu: MICU cg: RN so: N/A vo: 0 v1: 25 du: mcgkgmin sv: 50 su: vl rt: IV Drip st: Stopped t0: [02:00:00 06/10/2012] id: Sandostatin el: 2 cu: MICU cg: RN so: D5W vo: 0 v1: 50 du: mcghr sv: 100 su: ml rt: IV Drip
t0: [23:00:00 06/10/2012] dt: 1 id: Total Hourly Output el: 2 cu: MICU cg: RN pv: 50 cv: 50 ap: none t0: [23:00:00 06/10/2012] dt: 24 id: Urine Out Total el: 2 cu: MICU cg: RN pv: 50 cv: 1270 ap: none t0: [23:00:00 06/10/2012] dt: 24 id: 24h Total Out el: 2 cu: MICU cg: RN pv: 50 cv: 3720 ap: carryForward
t0: [02:22:00 06/10/2012] id: Blood Products Hematology el: 0 cu: MICU cg: 1663 v1: Y rs: Final st: NotStopd
t0: [02:30:00 06/10/2012] id: FiO2 Set el: 0 cu: MICU cg: RRT v1: 0.6 u1: torr st: NotStopd
t0: [02:15:00 06/10/2012] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [02:15:00 06/10/2012] id: Heart Rate el: 0 cu: MICU cg: RN v1: 85 u1: BPM st: NotStopd t0: [02:15:00 06/10/2012] id: NBP el: 0 cu: MICU cg: RN v1: 111 u1: mmHg v2: 50 u2: mmHg st: NotStopd t0: [02:15:00 06/10/2012] id: NBP Mean el: 0 cu: MICU cg: RN v1: 70.3333 u1: mmHg st: NotStopd t0: [02:15:00 06/10/2012] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [02:15:00 06/10/2012] id: SpO2 el: 0 cu: MICU cg: RN v1: 100 u1: % st: NotStopd t0: [02:15:00 06/10/2012] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [02:20:00 06/10/2012] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [02:20:00 06/10/2012] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [02:20:00 06/10/2012] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [02:20:00 06/10/2012] id: Heart Rate el: 0 cu: MICU cg: RN v1: 82 u1: BPM st: NotStopd t0: [02:20:00 06/10/2012] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [02:20:00 06/10/2012] id: NBP el: 0 cu: MICU cg: RN v1: 117 u1: mmHg v2: 56 u2: mmHg st: NotStopd t0: [02:20:00 06/10/2012] id: NBP Mean el: 0 cu: MICU cg: RN v1: 76.3333 u1: mmHg st: NotStopd t0: [02:20:00 06/10/2012] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [02:20:00 06/10/2012] id: SpO2 el: 0 cu: MICU cg: RN v1: 100 u1: % st: NotStopd t0: [02:20:00 06/10/2012] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [02:15:00 06/10/2012] id: Packed RBC's IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 375 vu: ml t0: [02:20:00 06/10/2012] tf: [02:35:00 06/10/2012] dt: 15 id: D5W 250.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 105 vo: 200 vu: ml t0: [02:20:00 06/10/2012] id: Packed RBC's IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 375 vu: ml nb: 1 t0: [02:25:00 06/10/2012] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 520.833 vu: ml t0: [02:25:00 06/10/2012] id: Packed RBC's IV Infusions el: 1 cu: MICU cg: RN ai: 107 vu: ml nb: 1
t0: [02:00:00 06/10/2012] tf: [13:30:00 09/10/2012] dt: 5010 id: Fentanyl el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 250 su: ml rt: IV Drip t0: [02:00:00 06/10/2012] tf: [13:30:00 09/10/2012] dt: 5010 id: Midazolam el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 3 du: mghr sv: 50 su: ml rt: IV Drip t0: [02:15:00 06/10/2012] id: Sandostatin el: 2 cu: MICU cg: RN so: D5W vo: 0 v1: 50 du: mcghr sv: 100 su: ml rt: IV Drip t0: [02:20:00 06/10/2012] id: Sandostatin el: 2 cu: MICU cg: RN so: D5W vo: 0 v1: 50 du: mcghr sv: 100 su: ml rt: IV Drip
t0: [02:25:00 06/10/2012] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [02:25:00 06/10/2012] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [02:25:00 06/10/2012] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [02:25:00 06/10/2012] id: Heart Rate el: 0 cu: MICU cg: RN v1: 84 u1: BPM st: NotStopd t0: [02:25:00 06/10/2012] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [02:25:00 06/10/2012] id: NBP el: 0 cu: MICU cg: RN v1: 119 u1: mmHg v2: 56 u2: mmHg st: NotStopd t0: [02:25:00 06/10/2012] id: NBP Mean el: 0 cu: MICU cg: RN v1: 77 u1: mmHg st: NotStopd t0: [02:25:00 06/10/2012] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [02:25:00 06/10/2012] id: SpO2 el: 0 cu: MICU cg: RN v1: 100 u1: % st: NotStopd t0: [02:25:00 06/10/2012] id: Temp. Site el: 0 cu: MICU cg: RN v1: Oral st: NotStopd t0: [02:25:00 06/10/2012] id: Temperature C (calc) el: 0 cu: MICU cg: RN v1: 36.1111 u1: Deg. C st: NotStopd t0: [02:25:00 06/10/2012] id: Temperature F el: 0 cu: MICU cg: RN v1: 97 u1: Deg. F st: NotStopd t0: [02:25:00 06/10/2012] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [02:30:00 06/10/2012] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [02:30:00 06/10/2012] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [02:30:00 06/10/2012] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [02:30:00 06/10/2012] id: Heart Rate el: 0 cu: MICU cg: RN v1: 82 u1: BPM st: NotStopd t0: [02:30:00 06/10/2012] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [02:30:00 06/10/2012] id: NBP el: 0 cu: MICU cg: RN v1: 123 u1: mmHg v2: 56 u2: mmHg st: NotStopd t0: [02:30:00 06/10/2012] id: NBP Mean el: 0 cu: MICU cg: RN v1: 78.3333 u1: mmHg st: NotStopd t0: [02:30:00 06/10/2012] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [02:30:00 06/10/2012] id: SpO2 el: 0 cu: MICU cg: RN v1: 100 u1: % st: NotStopd t0: [02:30:00 06/10/2012] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [02:00:00 06/10/2012] tf: [13:00:00 12/10/2012] dt: 9300 id: D5W 100.0ml + 600mcghr Sandostatin IV Infusions el: 2 cu: MICU cg: RN ai: 107 vu: ml nb: 1 t0: [02:00:00 06/10/2012] id: D5W 100.0ml + 600mcghr Sandostatin IV Infusions el: 2 cu: MICU cg: RN ai: 107 vo: 8.3 vu: ml
t0: [02:25:00 06/10/2012] id: Fentanyl el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 250 su: ml rt: IV Drip t0: [02:25:00 06/10/2012] id: Midazolam el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 3 du: mghr sv: 50 su: ml rt: IV Drip t0: [02:25:00 06/10/2012] id: Sandostatin el: 2 cu: MICU cg: RN so: D5W vo: 0 v1: 50 du: mcghr sv: 100 su: ml rt: IV Drip t0: [02:30:00 06/10/2012] id: Fentanyl el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 250 su: ml rt: IV Drip t0: [02:30:00 06/10/2012] id: Midazolam el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 3 du: mghr sv: 50 su: ml rt: IV Drip t0: [02:30:00 06/10/2012] id: Sandostatin el: 2 cu: MICU cg: RN so: D5W vo: 0 v1: 50 du: mcghr sv: 100 su: ml rt: IV Drip
t0: [02:35:00 06/10/2012] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [02:35:00 06/10/2012] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [02:35:00 06/10/2012] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [02:35:00 06/10/2012] id: Heart Rate el: 0 cu: MICU cg: RN v1: 77 u1: BPM st: NotStopd t0: [02:35:00 06/10/2012] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [02:35:00 06/10/2012] id: NBP el: 0 cu: MICU cg: RN v1: 120 u1: mmHg v2: 61 u2: mmHg st: NotStopd t0: [02:35:00 06/10/2012] id: NBP Mean el: 0 cu: MICU cg: RN v1: 80.6667 u1: mmHg st: NotStopd t0: [02:35:00 06/10/2012] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [02:35:00 06/10/2012] id: SpO2 el: 0 cu: MICU cg: RN v1: 100 u1: % st: NotStopd t0: [02:35:00 06/10/2012] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [02:35:00 06/10/2012] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 208.333 vu: ml nb: 1 t0: [02:35:00 06/10/2012] id: Packed RBC's IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 375 vu: ml nb: 1 t0: [02:35:00 06/10/2012] id: D5W 100.0ml + 600mcghr Sandostatin IV Infusions el: 2 cu: MICU cg: RN ai: 107 vo: 4.86111 vu: ml t0: [02:35:00 06/10/2012] tf: [14:05:00 09/10/2012] dt: 5010 id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU cg: RN ai: 416 vo: 5 vu: ml t0: [02:35:00 06/10/2012] id: .9% Normal Saline 50.0ml + 50mghr Midazolam IV Infusions el: 1 cu: MICU cg: RN ai: 189 vo: 1.75 vu: ml
t0: [02:35:00 06/10/2012] id: Fentanyl el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 250 su: ml rt: IV Drip t0: [02:35:00 06/10/2012] id: Midazolam el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 3 du: mghr sv: 50 su: ml rt: IV Drip t0: [02:35:00 06/10/2012] id: Sandostatin el: 2 cu: MICU cg: RN so: D5W vo: 0 v1: 50 du: mcghr sv: 100 su: ml rt: IV Drip
t0: [02:45:00 06/10/2012] tf: [08:00:00 06/10/2012] dt: 315 id: D5W 250.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 20.8333 vu: ml t0: [02:45:00 06/10/2012] id: D5W 250.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 105 vo: 6.66667 vu: ml t0: [02:45:00 06/10/2012] id: Packed RBC's IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 375 vu: ml t0: [02:45:00 06/10/2012] id: D5W 100.0ml + 600mcghr Sandostatin IV Infusions el: 2 cu: MICU cg: RN ai: 107 vo: 1.38889 vu: ml t0: [02:45:00 06/10/2012] id: Fresh Frozen Plasma IV Infusions el: 1 cu: MICU cg: RN ai: 155 vu: ml nb: 1 t0: [02:45:00 06/10/2012] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU cg: RN ai: 416 vo: 0.833333 vu: ml t0: [02:45:00 06/10/2012] id: .9% Normal Saline 50.0ml + 50mghr Midazolam IV Infusions el: 1 cu: MICU cg: RN ai: 189 vo: 0.5 vu: ml
t0: [02:46:00 06/10/2012] id: Blood Products Hematology el: 0 cu: MICU cg: 1663 v1: Y rs: Final st: NotStopd
t0: [02:47:00 06/10/2012] id: Blood Products Hematology el: 0 cu: MICU cg: 1663 v1: Y rs: Final st: NotStopd
tf: [02:00:00 07/10/2012] pt: IV Piggyback rt: IV fr: ONCE fs: 3 dn: 1 m1: Magnesium Sulfate v1: 4 u1: gm m2: NS v2: 250 u2: ml tf: [02:00:00 07/10/2012] pt: Unit Dose rt: IV fr: ONCE fs: 3 dn: 1 m1: Calcium Gluconate v1: 2 u1: gm
t0: [03:06:00 06/10/2012] id: Art.pH ABG el: 0 cu: MICU cg: 1663 v1: 7.34 rs: Final st: NotStopd t0: [03:06:00 06/10/2012] id: Arterial Base Excess ABG el: 0 cu: MICU cg: 1663 v1: -9 rs: Final st: NotStopd t0: [03:06:00 06/10/2012] id: Arterial CO2(Calc) ABG el: 0 cu: MICU cg: 1663 v1: 15 rs: Final st: NotStopd t0: [03:06:00 06/10/2012] id: Arterial PaCO2 ABG el: 0 cu: MICU cg: 1663 v1: 26 u1: mmHg rs: Final st: NotStopd t0: [03:06:00 06/10/2012] id: Arterial PaO2 ABG el: 0 cu: MICU cg: 1663 v1: 166 u1: mmHg rs: Final st: NotStopd t0: [03:06:00 06/10/2012] id: Arterial pH ABG el: 0 cu: MICU cg: 1663 v1: 7.34 rs: Final st: NotStopd
t0: [02:45:00 06/10/2012] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [02:45:00 06/10/2012] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [02:45:00 06/10/2012] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [02:45:00 06/10/2012] id: Heart Rate el: 0 cu: MICU cg: RN v1: 78 u1: BPM st: NotStopd t0: [02:45:00 06/10/2012] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [02:45:00 06/10/2012] id: NBP el: 0 cu: MICU cg: RN v1: 121 u1: mmHg v2: 57 u2: mmHg st: NotStopd t0: [02:45:00 06/10/2012] id: NBP Mean el: 0 cu: MICU cg: RN v1: 78.3333 u1: mmHg st: NotStopd t0: [02:45:00 06/10/2012] id: Arterial BP el: 0 cu: MICU cg: RN v1: 0 u1: mmHg v2: 0 u2: mmHg st: NotStopd t0: [02:45:00 06/10/2012] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [02:45:00 06/10/2012] id: SpO2 el: 0 cu: MICU cg: RN v1: 100 u1: % st: NotStopd t0: [02:45:00 06/10/2012] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [02:50:00 06/10/2012] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [02:50:00 06/10/2012] id: Heart Rate el: 0 cu: MICU cg: RN v1: 78 u1: BPM st: NotStopd t0: [02:50:00 06/10/2012] id: NBP el: 0 cu: MICU cg: RN v1: 119 u1: mmHg v2: 55 u2: mmHg st: NotStopd t0: [02:50:00 06/10/2012] id: NBP Mean el: 0 cu: MICU cg: RN v1: 76.3333 u1: mmHg st: NotStopd t0: [02:50:00 06/10/2012] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [02:50:00 06/10/2012] id: SpO2 el: 0 cu: MICU cg: RN v1: 100 u1: % st: NotStopd t0: [02:50:00 06/10/2012] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [02:55:00 06/10/2012] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [02:55:00 06/10/2012] id: Heart Rate el: 0 cu: MICU cg: RN v1: 80 u1: BPM st: NotStopd t0: [02:55:00 06/10/2012] id: NBP el: 0 cu: MICU cg: RN v1: 122 u1: mmHg v2: 65 u2: mmHg st: NotStopd t0: [02:55:00 06/10/2012] id: NBP Mean el: 0 cu: MICU cg: RN v1: 84 u1: mmHg st: NotStopd t0: [02:55:00 06/10/2012] id: Arterial BP el: 0 cu: MICU cg: RN v1: 136 u1: mmHg v2: 76 u2: mmHg st: NotStopd t0: [02:55:00 06/10/2012] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 97 u1: mmHg st: NotStopd t0: [02:55:00 06/10/2012] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [02:55:00 06/10/2012] id: SpO2 el: 0 cu: MICU cg: RN v1: 100 u1: % st: NotStopd t0: [02:55:00 06/10/2012] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [03:00:00 06/10/2012] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [03:00:00 06/10/2012] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [03:00:00 06/10/2012] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [03:00:00 06/10/2012] id: Heart Rate el: 0 cu: MICU cg: RN v1: 80 u1: BPM st: NotStopd t0: [03:00:00 06/10/2012] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [03:00:00 06/10/2012] id: NBP el: 0 cu: MICU cg: RN v1: 104 u1: mmHg v2: 59 u2: mmHg st: NotStopd t0: [03:00:00 06/10/2012] id: NBP Mean el: 0 cu: MICU cg: RN v1: 74 u1: mmHg st: NotStopd t0: [03:00:00 06/10/2012] id: Arterial BP el: 0 cu: MICU cg: RN v1: 139 u1: mmHg v2: 74 u2: mmHg st: NotStopd t0: [03:00:00 06/10/2012] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 96 u1: mmHg st: NotStopd t0: [03:00:00 06/10/2012] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [03:00:00 06/10/2012] id: SpO2 el: 0 cu: MICU cg: RN v1: 100 u1: % st: NotStopd t0: [03:00:00 06/10/2012] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [03:05:00 06/10/2012] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [03:05:00 06/10/2012] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [03:05:00 06/10/2012] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [03:05:00 06/10/2012] id: Heart Rate el: 0 cu: MICU cg: RN v1: 78 u1: BPM st: NotStopd t0: [03:05:00 06/10/2012] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [03:05:00 06/10/2012] id: NBP el: 0 cu: MICU cg: RN v1: 118 u1: mmHg v2: 63 u2: mmHg st: NotStopd t0: [03:05:00 06/10/2012] id: NBP Mean el: 0 cu: MICU cg: RN v1: 81.3333 u1: mmHg st: NotStopd t0: [03:05:00 06/10/2012] id: Arterial BP el: 0 cu: MICU cg: RN v1: 139 u1: mmHg v2: 73 u2: mmHg st: NotStopd t0: [03:05:00 06/10/2012] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 95 u1: mmHg st: NotStopd t0: [03:05:00 06/10/2012] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [03:05:00 06/10/2012] id: SpO2 el: 0 cu: MICU cg: RN v1: 100 u1: % st: NotStopd t0: [03:05:00 06/10/2012] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [03:15:00 06/10/2012] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [03:15:00 06/10/2012] id: Heart Rate el: 0 cu: MICU cg: RN v1: 78 u1: BPM st: NotStopd t0: [03:15:00 06/10/2012] id: NBP el: 0 cu: MICU cg: RN v1: 114 u1: mmHg v2: 60 u2: mmHg st: NotStopd t0: [03:15:00 06/10/2012] id: NBP Mean el: 0 cu: MICU cg: RN v1: 78 u1: mmHg st: NotStopd t0: [03:15:00 06/10/2012] id: Arterial BP el: 0 cu: MICU cg: RN v1: 135 u1: mmHg v2: 72 u2: mmHg st: NotStopd t0: [03:15:00 06/10/2012] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 92 u1: mmHg st: NotStopd t0: [03:15:00 06/10/2012] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [03:15:00 06/10/2012] id: Procedures el: 0 cu: MICU cg: RN v1: Ultrasound st: NotStopd t0: [03:15:00 06/10/2012] id: SpO2 el: 0 cu: MICU cg: RN v1: 100 u1: % st: NotStopd t0: [03:15:00 06/10/2012] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [02:35:00 06/10/2012] id: D5W 250.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 105 vo: 100 vu: ml st: Stopped t0: [02:55:00 06/10/2012] id: Fresh Frozen Plasma IV Infusions el: 1 cu: MICU cg: RN ai: 155 vo: 197 vu: ml t0: [03:00:00 06/10/2012] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 31.25 vu: ml t0: [03:00:00 06/10/2012] id: D5W 100.0ml + 600mcghr Sandostatin IV Infusions el: 2 cu: MICU cg: RN ai: 107 vo: 2.08333 vu: ml t0: [03:00:00 06/10/2012] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU cg: RN ai: 416 vo: 1.25 vu: ml t0: [03:00:00 06/10/2012] id: .9% Normal Saline 50.0ml + 50mghr Midazolam IV Infusions el: 1 cu: MICU cg: RN ai: 189 vo: 0.75 vu: ml t0: [03:10:00 06/10/2012] id: Fresh Frozen Plasma IV Infusions el: 1 cu: MICU cg: RN ai: 155 vu: ml nb: 1
t0: [02:45:00 06/10/2012] id: Fentanyl el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 250 su: ml rt: IV Drip t0: [02:45:00 06/10/2012] id: Midazolam el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 3 du: mghr sv: 50 su: ml rt: IV Drip t0: [02:45:00 06/10/2012] id: Sandostatin el: 2 cu: MICU cg: RN so: D5W vo: 0 v1: 50 du: mcghr sv: 100 su: ml rt: IV Drip t0: [02:50:00 06/10/2012] id: Fentanyl el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 250 su: ml rt: IV Drip t0: [02:50:00 06/10/2012] id: Midazolam el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 3 du: mghr sv: 50 su: ml rt: IV Drip t0: [02:50:00 06/10/2012] id: Sandostatin el: 2 cu: MICU cg: RN so: D5W vo: 0 v1: 50 du: mcghr sv: 100 su: ml rt: IV Drip t0: [02:55:00 06/10/2012] id: Fentanyl el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 250 su: ml rt: IV Drip t0: [02:55:00 06/10/2012] id: Midazolam el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 3 du: mghr sv: 50 su: ml rt: IV Drip t0: [02:55:00 06/10/2012] id: Sandostatin el: 2 cu: MICU cg: RN so: D5W vo: 0 v1: 50 du: mcghr sv: 100 su: ml rt: IV Drip t0: [03:00:00 06/10/2012] id: Fentanyl el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 250 su: ml rt: IV Drip t0: [03:00:00 06/10/2012] id: Midazolam el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 3 du: mghr sv: 50 su: ml rt: IV Drip t0: [03:00:00 06/10/2012] id: Sandostatin el: 2 cu: MICU cg: RN so: D5W vo: 0 v1: 50 du: mcghr sv: 100 su: ml rt: IV Drip t0: [03:05:00 06/10/2012] id: Fentanyl el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 250 su: ml rt: IV Drip t0: [03:05:00 06/10/2012] id: Midazolam el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 3 du: mghr sv: 50 su: ml rt: IV Drip t0: [03:05:00 06/10/2012] id: Sandostatin el: 2 cu: MICU cg: RN so: D5W vo: 0 v1: 50 du: mcghr sv: 100 su: ml rt: IV Drip t0: [03:15:00 06/10/2012] id: Fentanyl el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 250 su: ml rt: IV Drip t0: [03:15:00 06/10/2012] id: Midazolam el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 3 du: mghr sv: 50 su: ml rt: IV Drip t0: [03:15:00 06/10/2012] id: Sandostatin el: 2 cu: MICU cg: RN so: D5W vo: 0 v1: 50 du: mcghr sv: 100 su: ml rt: IV Drip
t0: [23:00:00 06/10/2012] dt: 24 id: IV Infusion In Total el: 2 cu: MICU cg: RN pv: 146.333 cv: 6486.01 ap: none
t0: [03:25:00 06/10/2012] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [03:25:00 06/10/2012] id: Heart Rate el: 0 cu: MICU cg: RN v1: 78 u1: BPM st: NotStopd t0: [03:25:00 06/10/2012] id: NBP el: 0 cu: MICU cg: RN v1: 119 u1: mmHg v2: 56 u2: mmHg st: NotStopd t0: [03:25:00 06/10/2012] id: NBP Mean el: 0 cu: MICU cg: RN v1: 77 u1: mmHg st: NotStopd t0: [03:25:00 06/10/2012] id: Arterial BP el: 0 cu: MICU cg: RN v1: 132 u1: mmHg v2: 68 u2: mmHg st: NotStopd t0: [03:25:00 06/10/2012] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 89 u1: mmHg st: NotStopd t0: [03:25:00 06/10/2012] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [03:25:00 06/10/2012] id: SpO2 el: 0 cu: MICU cg: RN v1: 100 u1: % st: NotStopd t0: [03:25:00 06/10/2012] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [03:25:00 06/10/2012] id: Fresh Frozen Plasma IV Infusions el: 1 cu: MICU cg: RN ai: 155 vo: 191 vu: ml nb: 1
t0: [03:25:00 06/10/2012] id: Fentanyl el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 250 su: ml rt: IV Drip t0: [03:25:00 06/10/2012] id: Midazolam el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 3 du: mghr sv: 50 su: ml rt: IV Drip t0: [03:25:00 06/10/2012] id: Sandostatin el: 2 cu: MICU cg: RN so: D5W vo: 0 v1: 50 du: mcghr sv: 100 su: ml rt: IV Drip
t0: [03:50:00 06/10/2012] id: FiO2 Set el: 0 cu: MICU cg: RRT v1: 0.5 u1: torr st: NotStopd
t0: [02:50:00 06/10/2012] id: WBC (4-11,000) Hematology el: 0 cu: MICU cg: 1663 v1: 17.5 rs: Final st: NotStopd t0: [02:50:00 06/10/2012] id: PT el: 0 cu: MICU cg: 1663 v1: 15.7 rs: Final st: NotStopd t0: [02:50:00 06/10/2012] id: Fibrinogen Coags el: 0 cu: MICU cg: 1663 v1: 147 rs: Final st: NotStopd t0: [02:50:00 06/10/2012] id: INR Coags el: 0 cu: MICU cg: 1663 v1: 1.6 rs: Final st: NotStopd t0: [02:50:00 06/10/2012] id: PTT Coags el: 0 cu: MICU cg: 1663 v1: 44.2 rs: Final st: NotStopd t0: [02:50:00 06/10/2012] id: WBC Hematology el: 0 cu: MICU cg: 1663 v1: 17.5 rs: Final st: NotStopd t0: [02:50:00 06/10/2012] id: Fibrinogen (150-400) Coags el: 0 cu: MICU cg: 1663 v1: 147 rs: Final st: NotStopd t0: [02:50:00 06/10/2012] id: Hematocrit Hematology el: 0 cu: MICU cg: 1663 v1: 31 u1: % rs: Final st: NotStopd t0: [02:50:00 06/10/2012] id: Hemoglobin Hematology el: 0 cu: MICU cg: 1663 v1: 10.2 u1: gm/dl rs: Final st: NotStopd t0: [02:50:00 06/10/2012] id: INR (2-4 ref. range) Coags el: 0 cu: MICU cg: 1663 v1: 1.6 rs: Final st: NotStopd t0: [02:50:00 06/10/2012] id: PT(11-13.5) Coags el: 0 cu: MICU cg: 1663 v1: 15.7 rs: Final st: NotStopd t0: [02:50:00 06/10/2012] id: PTT(22-35) Coags el: 0 cu: MICU cg: 1663 v1: 44.2 rs: Final st: NotStopd t0: [02:50:00 06/10/2012] id: Platelets Hematology el: 0 cu: MICU cg: 1663 v1: 194 rs: Final st: NotStopd t0: [02:50:00 06/10/2012] id: RBC Hematology el: 0 cu: MICU cg: 1663 v1: 3.35 u1: /mic l rs: Final st: NotStopd t0: [02:50:00 06/10/2012] id: WBC (4-11,000) Hematology el: 0 cu: MICU cg: 1663 v1: 17.5 rs: Final st: NotStopd
t0: [02:50:00 06/10/2012] id: BUN el: 0 cu: MICU cg: 1663 v1: 17 rs: Final st: NotStopd t0: [02:50:00 06/10/2012] id: Albumin Chemistry el: 0 cu: MICU cg: 1663 v1: 2.9 rs: Final st: NotStopd t0: [02:50:00 06/10/2012] id: Calcium Chemistry el: 0 cu: MICU cg: 1663 v1: 8 u1: mg/dl rs: Final st: NotStopd t0: [02:50:00 06/10/2012] id: Chloride Chemistry el: 0 cu: MICU cg: 1663 v1: 98 rs: Final st: NotStopd t0: [02:50:00 06/10/2012] id: Creatinine Chemistry el: 0 cu: MICU cg: 1663 v1: 2.2 rs: Final st: NotStopd t0: [02:50:00 06/10/2012] id: Glucose Chemistry el: 0 cu: MICU cg: 1663 v1: 273 rs: Final st: NotStopd t0: [02:50:00 06/10/2012] id: Magnesium Chemistry el: 0 cu: MICU cg: 1663 v1: 2.2 rs: Final st: NotStopd t0: [02:50:00 06/10/2012] id: Phosphorous Chemistry el: 0 cu: MICU cg: 1663 v1: 6 u1: mEq/L rs: Final st: NotStopd t0: [02:50:00 06/10/2012] id: Potassium Chemistry el: 0 cu: MICU cg: 1663 v1: 4.6 rs: Final st: NotStopd t0: [02:50:00 06/10/2012] id: Sodium Chemistry el: 0 cu: MICU cg: 1663 v1: 127 rs: Final st: NotStopd t0: [02:50:00 06/10/2012] id: ALT Enzymes el: 0 cu: MICU cg: 1663 v1: 22 rs: Final st: NotStopd t0: [02:50:00 06/10/2012] id: AST Enzymes el: 0 cu: MICU cg: 1663 v1: 32 rs: Final st: NotStopd t0: [02:50:00 06/10/2012] id: Albumin (>3.2) Chemistry el: 0 cu: MICU cg: 1663 v1: 2.9 rs: Final st: NotStopd t0: [02:50:00 06/10/2012] id: Alk. Phosphate Enzymes el: 0 cu: MICU cg: 1663 v1: 119 rs: Final st: NotStopd t0: [02:50:00 06/10/2012] id: BUN (6-20) Chemistry el: 0 cu: MICU cg: 1663 v1: 17 rs: Final st: NotStopd t0: [02:50:00 06/10/2012] id: CPK Enzymes el: 0 cu: MICU cg: 1663 v1: 158 rs: Final st: NotStopd t0: [02:50:00 06/10/2012] id: Calcium (8.4-10.2) Chemistry el: 0 cu: MICU cg: 1663 v1: 8 u1: mg/dl rs: Final st: NotStopd t0: [02:50:00 06/10/2012] id: Chloride (100-112) Chemistry el: 0 cu: MICU cg: 1663 v1: 98 rs: Final st: NotStopd t0: [02:50:00 06/10/2012] id: Creatinine (0-1.3) Chemistry el: 0 cu: MICU cg: 1663 v1: 2.2 rs: Final st: NotStopd t0: [02:50:00 06/10/2012] id: Glucose (70-105) Chemistry el: 0 cu: MICU cg: 1663 v1: 273 rs: Final st: NotStopd t0: [02:50:00 06/10/2012] id: LDH Enzymes el: 0 cu: MICU cg: 1663 v1: 226 rs: Final st: NotStopd t0: [02:50:00 06/10/2012] id: Magnesium (1.6-2.6) Chemistry el: 0 cu: MICU cg: 1663 v1: 2.2 rs: Final st: NotStopd t0: [02:50:00 06/10/2012] id: Phosphorous(2.7-4.5) Chemistry el: 0 cu: MICU cg: 1663 v1: 6 u1: mEq/L rs: Final st: NotStopd t0: [02:50:00 06/10/2012] id: Potassium (3.5-5.3) Chemistry el: 0 cu: MICU cg: 1663 v1: 4.6 rs: Final st: NotStopd t0: [02:50:00 06/10/2012] id: Sodium (135-148) Chemistry el: 0 cu: MICU cg: 1663 v1: 127 rs: Final st: NotStopd
t0: [02:50:00 06/10/2012] id: Total Bili Chemistry el: 0 cu: MICU cg: 1663 v1: 21.8 rs: Final st: NotStopd t0: [02:50:00 06/10/2012] id: Carbon Dioxide Chemistry el: 0 cu: MICU cg: 1663 v1: 13 rs: Final st: NotStopd t0: [02:50:00 06/10/2012] id: Total Bili (0-1.5) Chemistry el: 0 cu: MICU cg: 1663 v1: 21.8 rs: Final st: NotStopd
t0: [04:30:00 06/10/2012] id: HI/Minute/Vol/Alarm el: 0 cu: MICU cg: RRT v1: 16 t0: [04:30:00 06/10/2012] id: Compliance (40-60ml) el: 0 cu: MICU cg: RRT v1: 50 u1: ml/cmH st: NotStopd t0: [04:30:00 06/10/2012] id: ETT Mark/Location el: 0 cu: MICU cg: RRT v1: 23cm v2: Lip st: NotStopd t0: [04:30:00 06/10/2012] id: FiO2 Set el: 0 cu: MICU cg: RRT v1: 0.5 u1: torr st: NotStopd t0: [04:30:00 06/10/2012] id: High Insp. Pressure el: 0 cu: MICU cg: RRT v1: 50 u1: cmH2O st: NotStopd t0: [04:30:00 06/10/2012] id: High Resp. Rate el: 0 cu: MICU cg: RRT v1: 40 u1: BPM st: NotStopd t0: [04:30:00 06/10/2012] id: I:E Ratio el: 0 cu: MICU cg: RRT v1: 1:4 st: NotStopd t0: [04:30:00 06/10/2012] id: Airway Size el: 0 cu: MICU cg: RRT v1: 7.5 mm st: NotStopd t0: [04:30:00 06/10/2012] id: Airway Type el: 0 cu: MICU cg: RRT v1: Endotracheal st: NotStopd t0: [04:30:00 06/10/2012] id: Inspired Gas Temp el: 0 cu: MICU cg: RRT v1: 34 u1: Deg. C st: NotStopd t0: [04:30:00 06/10/2012] id: Intubation Date el: 0 cu: MICU cg: RRT v1: 9 v2: 13 st: NotStopd t0: [04:30:00 06/10/2012] id: Low Exhaled Min Vol el: 0 cu: MICU cg: RRT v1: 6 st: NotStopd t0: [04:30:00 06/10/2012] id: Mean Airway Pressure el: 0 cu: MICU cg: RRT v1: 8 u1: cmH2O st: NotStopd t0: [04:30:00 06/10/2012] id: Minute Volume(Obser) el: 0 cu: MICU cg: RRT v1: 8.6 u1: L/min st: NotStopd t0: [04:30:00 06/10/2012] id: PEEP Set el: 0 cu: MICU cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [04:30:00 06/10/2012] id: Apnea Time Interval el: 0 cu: MICU cg: RRT v1: 20 st: NotStopd t0: [04:30:00 06/10/2012] id: Peak Insp. Pressure el: 0 cu: MICU cg: RRT v1: 19 u1: cmH2O st: NotStopd t0: [04:30:00 06/10/2012] id: Plateau Pressure el: 0 cu: MICU cg: RRT v1: 17 u1: cmH2O st: NotStopd t0: [04:30:00 06/10/2012] id: Pressure Support el: 0 cu: MICU cg: RRT v1: 5 u1: . st: NotStopd t0: [04:30:00 06/10/2012] id: Resp Rate (Spont) el: 0 cu: MICU cg: RRT v1: 0 u1: BPM st: NotStopd t0: [04:30:00 06/10/2012] id: Resp Rate (Total) el: 0 cu: MICU cg: RRT v1: 12 u1: BPM st: NotStopd t0: [04:30:00 06/10/2012] id: Respiratory Rate Set el: 0 cu: MICU cg: RRT v1: 12 u1: BPM st: NotStopd t0: [04:30:00 06/10/2012] id: Sensitivity-Vent el: 0 cu: MICU cg: RRT v1: 2 u1: cmH2O st: NotStopd t0: [04:30:00 06/10/2012] id: SpO2 el: 0 cu: MICU cg: RRT v1: 100 u1: % st: NotStopd t0: [04:30:00 06/10/2012] id: Tidal Volume (Obser) el: 0 cu: MICU cg: RRT v1: 680 u1: ml/B st: NotStopd t0: [04:30:00 06/10/2012] id: Tidal Volume (Set) el: 0 cu: MICU cg: RRT v1: 700 u1: ml/B st: NotStopd t0: [04:30:00 06/10/2012] id: Ventilator Mode el: 0 cu: MICU cg: RRT v1: SIMV+PS st: NotStopd t0: [04:30:00 06/10/2012] id: Ventilator Type el: 0 cu: MICU cg: RRT v1: Drager st: NotStopd t0: [04:30:00 06/10/2012] id: Waveform-Vent el: 0 cu: MICU cg: RRT v1: RAMP st: NotStopd
t0: [03:00:00 06/10/2012] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 13 u1: BPM st: NotStopd t0: [04:00:00 06/10/2012] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [04:00:00 06/10/2012] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [04:00:00 06/10/2012] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [04:00:00 06/10/2012] id: Heart Rate el: 0 cu: MICU cg: RN v1: 80 u1: BPM st: NotStopd t0: [04:00:00 06/10/2012] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [04:00:00 06/10/2012] id: Arterial BP el: 0 cu: MICU cg: RN v1: 136 u1: mmHg v2: 66 u2: mmHg st: NotStopd t0: [04:00:00 06/10/2012] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 87 u1: mmHg st: NotStopd t0: [04:00:00 06/10/2012] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [04:00:00 06/10/2012] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 13 u1: BPM st: NotStopd t0: [04:00:00 06/10/2012] id: SpO2 el: 0 cu: MICU cg: RN v1: 100 u1: % st: NotStopd t0: [04:00:00 06/10/2012] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [04:00:00 06/10/2012] id: Fentanyl el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 250 su: ml rt: IV Drip t0: [04:00:00 06/10/2012] id: Midazolam el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 3 du: mghr sv: 50 su: ml rt: IV Drip t0: [04:00:00 06/10/2012] id: Sandostatin el: 2 cu: MICU cg: RN so: D5W vo: 0 v1: 50 du: mcghr sv: 100 su: ml rt: IV Drip
t0: [05:00:00 06/10/2012] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [05:00:00 06/10/2012] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [05:00:00 06/10/2012] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [05:00:00 06/10/2012] id: Heart Rate el: 0 cu: MICU cg: RN v1: 83 u1: BPM st: NotStopd t0: [05:00:00 06/10/2012] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [05:00:00 06/10/2012] id: Arterial BP el: 0 cu: MICU cg: RN v1: 135 u1: mmHg v2: 65 u2: mmHg st: NotStopd t0: [05:00:00 06/10/2012] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 86 u1: mmHg st: NotStopd t0: [05:00:00 06/10/2012] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [05:00:00 06/10/2012] id: SpO2 el: 0 cu: MICU cg: RN v1: 100 u1: % st: NotStopd t0: [05:00:00 06/10/2012] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [05:00:00 06/10/2012] id: Midazolam el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 3 du: mghr sv: 50 su: ml rt: IV Drip t0: [05:00:00 06/10/2012] id: Sandostatin el: 2 cu: MICU cg: RN so: D5W vo: 0 v1: 50 du: mcghr sv: 100 su: ml rt: IV Drip
t0: [04:45:00 06/10/2012] id: Fresh Frozen Plasma IV Infusions el: 1 cu: MICU cg: RN ai: 155 vo: 217 vu: ml t0: [05:00:00 06/10/2012] id: Fresh Frozen Plasma IV Infusions el: 1 cu: MICU cg: RN ai: 155 vu: ml nb: 1
t0: [02:50:00 06/10/2012] id: CPK/MB Enzymes el: 0 cu: MICU cg: 1663 v1: 4 rs: Final st: NotStopd
t0: [01:00:00 06/10/2012] id: Cough Reflex el: 0 cu: MICU cg: RN v1: Intact st: NotStopd t0: [01:00:00 06/10/2012] id: GI Prophylaxis el: 0 cu: MICU cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [01:00:00 06/10/2012] id: Diet Type el: 0 cu: MICU cg: RN v1: NPO st: NotStopd t0: [01:00:00 06/10/2012] id: Dorsal PedPulse R/L el: 0 cu: MICU cg: RN v1: Strong/Palpable v2: Strong/Palpable st: NotStopd t0: [01:00:00 06/10/2012] id: Eye Opening el: 0 cu: MICU cg: RN v1: 4 Spontaneously st: NotStopd t0: [01:00:00 06/10/2012] id: Follows Commands el: 0 cu: MICU cg: RN v1: Consistently st: NotStopd t0: [01:00:00 06/10/2012] id: GCS Total el: 0 cu: MICU cg: RN v1: 15 u1: points st: NotStopd t0: [01:00:00 06/10/2012] id: Gag Reflex el: 0 cu: MICU cg: RN v1: Intact st: NotStopd t0: [01:00:00 06/10/2012] id: Abdominal Assessment el: 0 cu: MICU cg: RN v1: Ascites st: NotStopd t0: [01:00:00 06/10/2012] id: LLL Lung Sounds el: 0 cu: MICU cg: RN v1: Clear st: NotStopd t0: [01:00:00 06/10/2012] id: LUL Lung Sounds el: 0 cu: MICU cg: RN v1: Clear st: NotStopd t0: [01:00:00 06/10/2012] id: Level of Conscious el: 0 cu: MICU cg: RN v1: Alert st: NotStopd t0: [01:00:00 06/10/2012] id: Motor Response el: 0 cu: MICU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [01:00:00 06/10/2012] id: Oral Cavity el: 0 cu: MICU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [01:00:00 06/10/2012] id: Orientation el: 0 cu: MICU cg: RN v1: Oriented x 3 st: NotStopd t0: [01:00:00 06/10/2012] id: PostTib. Pulses R/L el: 0 cu: MICU cg: RN v1: Strong/Palpable v2: Strong/Palpable st: NotStopd t0: [01:00:00 06/10/2012] id: Pupil Size R/L el: 0 cu: MICU cg: RN v1: 3 mm v2: 3 mm st: NotStopd t0: [01:00:00 06/10/2012] id: RLL Lung Sounds el: 0 cu: MICU cg: RN v1: Clear st: NotStopd t0: [01:00:00 06/10/2012] id: RUL Lung Sounds el: 0 cu: MICU cg: RN v1: Clear st: NotStopd t0: [01:00:00 06/10/2012] id: Respiratory Pattern el: 0 cu: MICU cg: RN v1: Regular st: NotStopd t0: [01:00:00 06/10/2012] id: Spontaneous Movement el: 0 cu: MICU cg: RN v1: Purposeful st: NotStopd t0: [01:00:00 06/10/2012] id: Sputum Color/Consist el: 0 cu: MICU cg: RN v1: Yellow v2: Thick st: NotStopd t0: [01:00:00 06/10/2012] id: Sputum Source/Amt el: 0 cu: MICU cg: RN v1: Suctioned v2: Moderate st: NotStopd t0: [01:00:00 06/10/2012] id: Stool Guaiac el: 0 cu: MICU cg: RN v1: Positive st: NotStopd t0: [01:00:00 06/10/2012] id: Urine Color/Appear el: 0 cu: MICU cg: RN v1: Icteric v2: Clear st: NotStopd t0: [01:00:00 06/10/2012] id: Urine Source el: 0 cu: MICU cg: RN v1: Indwelling Cath st: NotStopd t0: [01:00:00 06/10/2012] id: Verbal Response el: 0 cu: MICU cg: RN v1: 5 Oriented st: NotStopd t0: [01:00:00 06/10/2012] id: Bowel Sounds el: 0 cu: MICU cg: RN v1: Present st: NotStopd t0: [05:00:00 06/10/2012] id: Procedures el: 0 cu: MICU cg: RN v1: Line Placement st: NotStopd t0: [06:00:00 06/10/2012] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [06:00:00 06/10/2012] id: Cough Effort el: 0 cu: MICU cg: RN v1: Strong st: NotStopd t0: [06:00:00 06/10/2012] id: Cough Reflex el: 0 cu: MICU cg: RN v1: Intact st: NotStopd t0: [06:00:00 06/10/2012] id: Cough Type el: 0 cu: MICU cg: RN v1: Productive st: NotStopd t0: [06:00:00 06/10/2012] id: GI Prophylaxis el: 0 cu: MICU cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [06:00:00 06/10/2012] id: Diet Type el: 0 cu: MICU cg: RN v1: NPO st: NotStopd t0: [06:00:00 06/10/2012] id: Dorsal PedPulse R/L el: 0 cu: MICU cg: RN v1: Strong/Palpable v2: Strong/Palpable st: NotStopd t0: [06:00:00 06/10/2012] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [06:00:00 06/10/2012] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [06:00:00 06/10/2012] id: Eye Opening el: 0 cu: MICU cg: RN v1: 2 To pain st: NotStopd t0: [06:00:00 06/10/2012] id: Follows Commands el: 0 cu: MICU cg: RN v1: Consistently st: NotStopd t0: [06:00:00 06/10/2012] id: GCS Total el: 0 cu: MICU cg: RN v1: 8 u1: points st: NotStopd t0: [06:00:00 06/10/2012] id: Gag Reflex el: 0 cu: MICU cg: RN v1: Intact st: NotStopd t0: [06:00:00 06/10/2012] id: Heart Rate el: 0 cu: MICU cg: RN v1: 88 u1: BPM st: NotStopd t0: [06:00:00 06/10/2012] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [06:00:00 06/10/2012] id: Abdominal Assessment el: 0 cu: MICU cg: RN v1: Ascites st: NotStopd t0: [06:00:00 06/10/2012] id: LLL Lung Sounds el: 0 cu: MICU cg: RN v1: Bronchial st: NotStopd t0: [06:00:00 06/10/2012] id: LUL Lung Sounds el: 0 cu: MICU cg: RN v1: Clear st: NotStopd t0: [06:00:00 06/10/2012] id: Level of Conscious el: 0 cu: MICU cg: RN v1: Arouse to Stimul st: NotStopd t0: [06:00:00 06/10/2012] id: Motor Response el: 0 cu: MICU cg: RN v1: 5 Localizes Pain st: NotStopd t0: [06:00:00 06/10/2012] id: Oral Cavity el: 0 cu: MICU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [06:00:00 06/10/2012] id: Orientation el: 0 cu: MICU cg: RN v1: Other/Remarks st: NotStopd t0: [06:00:00 06/10/2012] id: Arterial BP el: 0 cu: MICU cg: RN v1: 144 u1: mmHg v2: 66 u2: mmHg st: NotStopd t0: [06:00:00 06/10/2012] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 89 u1: mmHg st: NotStopd t0: [06:00:00 06/10/2012] id: PostTib. Pulses R/L el: 0 cu: MICU cg: RN v1: Strong/Palpable v2: Strong/Palpable st: NotStopd t0: [06:00:00 06/10/2012] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [06:00:00 06/10/2012] id: Pupil Size R/L el: 0 cu: MICU cg: RN v1: 3 mm v2: 3 mm st: NotStopd t0: [06:00:00 06/10/2012] id: RLL Lung Sounds el: 0 cu: MICU cg: RN v1: Clear st: NotStopd t0: [06:00:00 06/10/2012] id: RUL Lung Sounds el: 0 cu: MICU cg: RN v1: Clear st: NotStopd t0: [06:00:00 06/10/2012] id: Respiratory Pattern el: 0 cu: MICU cg: RN v1: Regular st: NotStopd t0: [06:00:00 06/10/2012] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 10 u1: BPM st: NotStopd t0: [06:00:00 06/10/2012] id: SpO2 el: 0 cu: MICU cg: RN v1: 100 u1: % st: NotStopd t0: [06:00:00 06/10/2012] id: Spontaneous Movement el: 0 cu: MICU cg: RN v1: Purposeful st: NotStopd t0: [06:00:00 06/10/2012] id: Stool Guaiac el: 0 cu: MICU cg: RN v1: Positive st: NotStopd t0: [06:00:00 06/10/2012] id: Temp. Site el: 0 cu: MICU cg: RN v1: Oral st: NotStopd t0: [06:00:00 06/10/2012] id: Temperature C (calc) el: 0 cu: MICU cg: RN v1: 36.1667 u1: Deg. C st: NotStopd t0: [06:00:00 06/10/2012] id: Temperature F el: 0 cu: MICU cg: RN v1: 97.1 u1: Deg. F st: NotStopd t0: [06:00:00 06/10/2012] id: Urine Color/Appear el: 0 cu: MICU cg: RN v1: Icteric v2: Clear st: NotStopd t0: [06:00:00 06/10/2012] id: Urine Source el: 0 cu: MICU cg: RN v1: Indwelling Cath st: NotStopd t0: [06:00:00 06/10/2012] id: Verbal Response el: 0 cu: MICU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [06:00:00 06/10/2012] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [06:00:00 06/10/2012] id: Bowel Sounds el: 0 cu: MICU cg: RN v1: Hypoactive st: NotStopd
t0: [06:00:00 06/10/2012] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 375 vu: ml t0: [06:00:00 06/10/2012] id: D5W 250.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 105 vo: 130 vu: ml t0: [06:00:00 06/10/2012] id: D5W 100.0ml + 600mcghr Sandostatin IV Infusions el: 2 cu: MICU cg: RN ai: 107 vo: 25 vu: ml t0: [06:00:00 06/10/2012] id: Fresh Frozen Plasma IV Infusions el: 1 cu: MICU cg: RN ai: 155 vo: 340 vu: ml t0: [06:00:00 06/10/2012] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU cg: RN ai: 416 vo: 20 vu: ml t0: [06:00:00 06/10/2012] id: Stool Out Stool el: 1 cu: MICU cg: RN vu: ml es: Large t0: [06:00:00 06/10/2012] id: .9% Normal Saline 50.0ml + 50mghr Midazolam IV Infusions el: 1 cu: MICU cg: RN ai: 189 vo: 9 vu: ml t0: [06:00:00 06/10/2012] id: Urine Out Void el: 1 cu: MICU cg: RN vo: 180 vu: ml
t0: [05:00:00 06/10/2012] id: Fentanyl el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 100 du: mcghr sv: 250 su: ml rt: IV Drip t0: [06:00:00 06/10/2012] id: Fentanyl el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 100 du: mcghr sv: 250 su: ml rt: IV Drip t0: [06:00:00 06/10/2012] id: Midazolam el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 3 du: mghr sv: 50 su: ml rt: IV Drip t0: [06:00:00 06/10/2012] id: Sandostatin el: 2 cu: MICU cg: RN so: D5W vo: 0 v1: 50 du: mcghr sv: 100 su: ml rt: IV Drip
t0: [02:50:00 06/10/2012] id: Amylase Enzymes el: 0 cu: MICU cg: 1663 v1: 66 rs: Final st: NotStopd
t0: [01:00:00 06/10/2012] id: Family Communication el: 0 cu: MICU cg: RN v1: Family Visited st: NotStopd t0: [01:00:00 06/10/2012] id: HOB el: 0 cu: MICU cg: RN v1: 45 degrees st: NotStopd t0: [01:00:00 06/10/2012] id: Activity el: 0 cu: MICU cg: RN v1: Bedrest st: NotStopd t0: [01:00:00 06/10/2012] id: Activity Tolerance el: 0 cu: MICU cg: RN v1: Good st: NotStopd t0: [01:00:00 06/10/2012] id: Oral Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [01:00:00 06/10/2012] id: AntiEmbDevice/Status el: 0 cu: MICU cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [01:00:00 06/10/2012] id: Position el: 0 cu: MICU cg: RN v1: Supine st: NotStopd t0: [01:00:00 06/10/2012] id: Assistance Device el: 0 cu: MICU cg: RN v1: 2 Person Assist st: NotStopd t0: [01:00:00 06/10/2012] id: Side Rails el: 0 cu: MICU cg: RN v1: Side Rails Up st: NotStopd t0: [01:00:00 06/10/2012] id: Skin Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [01:00:00 06/10/2012] id: Skin Color el: 0 cu: MICU cg: RN v1: Jaundiced st: NotStopd t0: [01:00:00 06/10/2012] id: Skin Integrity el: 0 cu: MICU cg: RN v1: Impaired st: NotStopd t0: [01:00:00 06/10/2012] id: Skin Temp/Condition el: 0 cu: MICU cg: RN v1: Cool v2: Dry st: NotStopd t0: [01:00:00 06/10/2012] id: Support Systems el: 0 cu: MICU cg: RN v1: Spouse st: NotStopd t0: [01:00:00 06/10/2012] id: Turn el: 0 cu: MICU cg: RN v1: Side to Side st: NotStopd t0: [01:00:00 06/10/2012] id: Back Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [01:00:00 06/10/2012] id: Behavior el: 0 cu: MICU cg: RN v1: Uncomfortable st: NotStopd t0: [01:00:00 06/10/2012] id: Braden Activity el: 0 cu: MICU cg: RN v1: Bedfast st: NotStopd t0: [01:00:00 06/10/2012] id: Braden Frict/Shear el: 0 cu: MICU cg: RN v1: Problem st: NotStopd t0: [01:00:00 06/10/2012] id: Braden Mobility el: 0 cu: MICU cg: RN v1: Very Limited st: NotStopd t0: [01:00:00 06/10/2012] id: Braden Moisture el: 0 cu: MICU cg: RN v1: Occ. Moist st: NotStopd t0: [01:00:00 06/10/2012] id: Braden Nutrition el: 0 cu: MICU cg: RN v1: Prob. Inadequate st: NotStopd t0: [01:00:00 06/10/2012] id: Braden Score el: 0 cu: MICU cg: RN v1: 12 u1: number st: NotStopd t0: [01:00:00 06/10/2012] id: Braden SensoryPercep el: 0 cu: MICU cg: RN v1: Sl. Limited st: NotStopd t0: [02:00:00 06/10/2012] id: Less Restrict Meas. el: 0 cu: MICU cg: RN v1: Medicated st: NotStopd t0: [02:00:00 06/10/2012] id: Range of Motion el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [02:00:00 06/10/2012] id: Circulation/SkinInt el: 0 cu: MICU cg: RN v1: Circulation Adeq st: NotStopd t0: [02:00:00 06/10/2012] id: Position Change el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [02:00:00 06/10/2012] id: Reason For Restraint el: 0 cu: MICU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [02:00:00 06/10/2012] id: Removed x 5 Mins el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [02:00:00 06/10/2012] id: Restraint Location el: 0 cu: MICU cg: RN v1: Both Arms st: NotStopd t0: [02:00:00 06/10/2012] id: Restraint Type el: 0 cu: MICU cg: RN v1: Soft Limb st: NotStopd t0: [02:00:00 06/10/2012] id: Restraints Evaluated el: 0 cu: MICU cg: RN v1: Behavior Conts st: NotStopd t0: [02:00:00 06/10/2012] id: Side Rails el: 0 cu: MICU cg: RN v1: Side Rails Up st: NotStopd t0: [04:00:00 06/10/2012] id: Less Restrict Meas. el: 0 cu: MICU cg: RN v1: Orientation st: NotStopd t0: [04:00:00 06/10/2012] id: Range of Motion el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [04:00:00 06/10/2012] id: Circulation/SkinInt el: 0 cu: MICU cg: RN v1: Circulation Adeq st: NotStopd t0: [04:00:00 06/10/2012] id: Position Change el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [04:00:00 06/10/2012] id: Reason For Restraint el: 0 cu: MICU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [04:00:00 06/10/2012] id: Removed x 5 Mins el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [04:00:00 06/10/2012] id: Restraint Location el: 0 cu: MICU cg: RN v1: Both Arms st: NotStopd t0: [04:00:00 06/10/2012] id: Restraint Type el: 0 cu: MICU cg: RN v1: Soft Limb st: NotStopd t0: [04:00:00 06/10/2012] id: Restraints Evaluated el: 0 cu: MICU cg: RN v1: Behavior Conts st: NotStopd t0: [04:00:00 06/10/2012] id: Side Rails el: 0 cu: MICU cg: RN v1: Side Rails Up st: NotStopd t0: [06:00:00 06/10/2012] id: Less Restrict Meas. el: 0 cu: MICU cg: RN v1: Orientation st: NotStopd t0: [06:00:00 06/10/2012] id: Range of Motion el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [06:00:00 06/10/2012] id: bath el: 1 cu: MICU cg: RN v1: DONE t0: [06:00:00 06/10/2012] id: Circulation/SkinInt el: 0 cu: MICU cg: RN v1: Circulation Adeq st: NotStopd t0: [06:00:00 06/10/2012] id: HOB el: 0 cu: MICU cg: RN v1: 45 degrees st: NotStopd t0: [06:00:00 06/10/2012] id: INV Line#1 Type/Site el: 0 cu: MICU cg: RN v1: A-Line v2: Left Radial st: NotStopd t0: [06:00:00 06/10/2012] id: INV Line#1 Zero/Cal el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [06:00:00 06/10/2012] id: INV Line#1InsertDate el: 0 cu: MICU cg: RN v1: 9 v2: 13 st: NotStopd t0: [06:00:00 06/10/2012] id: INV Line#1SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [06:00:00 06/10/2012] id: INV Line#2 Type/Site el: 0 cu: MICU cg: RN v1: Multi-lumen v2: Right Femoral st: NotStopd t0: [06:00:00 06/10/2012] id: INV Line#2InsertDate el: 0 cu: MICU cg: RN v1: 9 v2: 13 st: NotStopd t0: [06:00:00 06/10/2012] id: INV Line#2SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [06:00:00 06/10/2012] id: INV#1 WaveformAppear el: 0 cu: MICU cg: RN v1: Sharp st: NotStopd t0: [06:00:00 06/10/2012] id: IV #1 Site/Size el: 0 cu: MICU cg: RN v1: LL Ant Forearm v2: 20 gauge st: NotStopd t0: [06:00:00 06/10/2012] id: IV #2 Site/Size el: 0 cu: MICU cg: RN v1: LL Ant Forearm v2: 20 gauge st: NotStopd t0: [06:00:00 06/10/2012] id: IV #3 Insert Date el: 0 cu: MICU cg: RN v1: 9 v2: 12 st: NotStopd t0: [06:00:00 06/10/2012] id: IV #3 Site/Size el: 0 cu: MICU cg: RN v1: Right Hand v2: 18 gauge st: NotStopd t0: [06:00:00 06/10/2012] id: IV #4 Insert Date el: 0 cu: MICU cg: RN v1: 9 v2: 12 st: NotStopd t0: [06:00:00 06/10/2012] id: IV #4 Site/Size el: 0 cu: MICU cg: RN v1: RL Ant Forearm v2: 18 gauge st: NotStopd t0: [06:00:00 06/10/2012] id: Activity el: 0 cu: MICU cg: RN v1: Bedrest st: NotStopd t0: [06:00:00 06/10/2012] id: IV Site Appear #1 el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [06:00:00 06/10/2012] id: IV Site Appear #2 el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [06:00:00 06/10/2012] id: IV Site Appear #3 el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [06:00:00 06/10/2012] id: IV Site Appear #4 el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [06:00:00 06/10/2012] id: Activity Tolerance el: 0 cu: MICU cg: RN v1: Good st: NotStopd t0: [06:00:00 06/10/2012] id: Oral Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [06:00:00 06/10/2012] id: AntiEmbDevice/Status el: 0 cu: MICU cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [06:00:00 06/10/2012] id: Position el: 0 cu: MICU cg: RN v1: Right Side st: NotStopd t0: [06:00:00 06/10/2012] id: Position Change el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [06:00:00 06/10/2012] id: Assistance Device el: 0 cu: MICU cg: RN v1: 2 Person Assist st: NotStopd t0: [06:00:00 06/10/2012] id: Reason For Restraint el: 0 cu: MICU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [06:00:00 06/10/2012] id: Removed x 5 Mins el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [06:00:00 06/10/2012] id: Restraint Location el: 0 cu: MICU cg: RN v1: Both Arms st: NotStopd t0: [06:00:00 06/10/2012] id: Restraint Type el: 0 cu: MICU cg: RN v1: Soft Limb st: NotStopd t0: [06:00:00 06/10/2012] id: Restraints Evaluated el: 0 cu: MICU cg: RN v1: Behavior Conts st: NotStopd t0: [06:00:00 06/10/2012] id: Side Rails el: 0 cu: MICU cg: RN v1: Side Rails Up st: NotStopd t0: [06:00:00 06/10/2012] id: Skin Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [06:00:00 06/10/2012] id: Turn el: 0 cu: MICU cg: RN v1: Side to Side st: NotStopd t0: [06:00:00 06/10/2012] id: Back Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd
t0: [07:00:00 06/10/2012] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 2 cu: MICU cg: -1 ai: 107 vo: 0 st: D/C'd
t0: [07:30:00 06/10/2012] id: HI/Minute/Vol/Alarm el: 0 cu: MICU cg: RRT v1: 16 t0: [07:30:00 06/10/2012] id: Compliance (40-60ml) el: 0 cu: MICU cg: RRT v1: 50 u1: ml/cmH st: NotStopd t0: [07:30:00 06/10/2012] id: ETT Mark/Location el: 0 cu: MICU cg: RRT v1: 23cm v2: Lip st: NotStopd t0: [07:30:00 06/10/2012] id: FiO2 Set el: 0 cu: MICU cg: RRT v1: 0.5 u1: torr st: NotStopd t0: [07:30:00 06/10/2012] id: High Insp. Pressure el: 0 cu: MICU cg: RRT v1: 50 u1: cmH2O st: NotStopd t0: [07:30:00 06/10/2012] id: High Resp. Rate el: 0 cu: MICU cg: RRT v1: 40 u1: BPM st: NotStopd t0: [07:30:00 06/10/2012] id: I:E Ratio el: 0 cu: MICU cg: RRT v1: 1:4.0 st: NotStopd t0: [07:30:00 06/10/2012] id: Airway Size el: 0 cu: MICU cg: RRT v1: 7.5 mm st: NotStopd t0: [07:30:00 06/10/2012] id: Airway Type el: 0 cu: MICU cg: RRT v1: Endotracheal st: NotStopd t0: [07:30:00 06/10/2012] id: Inspired Gas Temp el: 0 cu: MICU cg: RRT v1: 34 u1: Deg. C st: NotStopd t0: [07:30:00 06/10/2012] id: Intubation Date el: 0 cu: MICU cg: RRT v1: 9 v2: 13 st: NotStopd t0: [07:30:00 06/10/2012] id: Low Exhaled Min Vol el: 0 cu: MICU cg: RRT v1: 6 st: NotStopd t0: [07:30:00 06/10/2012] id: Mean Airway Pressure el: 0 cu: MICU cg: RRT v1: 8 u1: cmH2O st: NotStopd t0: [07:30:00 06/10/2012] id: Minute Volume(Obser) el: 0 cu: MICU cg: RRT v1: 8.4 u1: L/min st: NotStopd t0: [07:30:00 06/10/2012] id: PEEP Set el: 0 cu: MICU cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [07:30:00 06/10/2012] id: Apnea Time Interval el: 0 cu: MICU cg: RRT v1: 20 st: NotStopd t0: [07:30:00 06/10/2012] id: Peak Insp. Pressure el: 0 cu: MICU cg: RRT v1: 19 u1: cmH2O st: NotStopd t0: [07:30:00 06/10/2012] id: Plateau Pressure el: 0 cu: MICU cg: RRT v1: 17 u1: cmH2O st: NotStopd t0: [07:30:00 06/10/2012] id: Pressure Support el: 0 cu: MICU cg: RRT v1: 5 u1: . st: NotStopd t0: [07:30:00 06/10/2012] id: Resp Rate (Spont) el: 0 cu: MICU cg: RRT v1: 0 u1: BPM st: NotStopd t0: [07:30:00 06/10/2012] id: Resp Rate (Total) el: 0 cu: MICU cg: RRT v1: 12 u1: BPM st: NotStopd t0: [07:30:00 06/10/2012] id: Respiratory Rate Set el: 0 cu: MICU cg: RRT v1: 12 u1: BPM st: NotStopd t0: [07:30:00 06/10/2012] id: Sensitivity-Vent el: 0 cu: MICU cg: RRT v1: 2 u1: cmH2O st: NotStopd t0: [07:30:00 06/10/2012] id: SpO2 el: 0 cu: MICU cg: RRT v1: 100 u1: % st: NotStopd t0: [07:30:00 06/10/2012] id: Tidal Volume (Obser) el: 0 cu: MICU cg: RRT v1: 700 u1: ml/B st: NotStopd t0: [07:30:00 06/10/2012] id: Tidal Volume (Set) el: 0 cu: MICU cg: RRT v1: 700 u1: ml/B st: NotStopd t0: [07:30:00 06/10/2012] id: Ventilator Mode el: 0 cu: MICU cg: RRT v1: SIMV+PS st: NotStopd t0: [07:30:00 06/10/2012] id: Ventilator Type el: 0 cu: MICU cg: RRT v1: Drager st: NotStopd t0: [07:30:00 06/10/2012] id: Waveform-Vent el: 0 cu: MICU cg: RRT v1: RAMP st: NotStopd
t0: [07:30:00 06/10/2012] id: WBC (4-11,000) Hematology el: 0 cu: MICU cg: 1663 v1: 18.5 rs: Final st: NotStopd t0: [07:30:00 06/10/2012] id: WBC Hematology el: 0 cu: MICU cg: 1663 v1: 18.5 rs: Final st: NotStopd t0: [07:30:00 06/10/2012] id: Hematocrit Hematology el: 0 cu: MICU cg: 1663 v1: 25.9 u1: % rs: Final st: NotStopd t0: [07:30:00 06/10/2012] id: Hemoglobin Hematology el: 0 cu: MICU cg: 1663 v1: 9.1 u1: gm/dl rs: Final st: NotStopd t0: [07:30:00 06/10/2012] id: Platelets Hematology el: 0 cu: MICU cg: 1663 v1: 193 rs: Final st: NotStopd t0: [07:30:00 06/10/2012] id: RBC Hematology el: 0 cu: MICU cg: 1663 v1: 2.9 u1: /mic l rs: Final st: NotStopd t0: [07:30:00 06/10/2012] id: WBC (4-11,000) Hematology el: 0 cu: MICU cg: 1663 v1: 18.5 rs: Final st: NotStopd
t0: [08:00:00 06/10/2012] id: Pain Present el: 0 cu: MICU cg: RN v1: No st: NotStopd t0: [08:00:00 06/10/2012] id: Range of Motion el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [08:00:00 06/10/2012] id: Circulation/SkinInt el: 0 cu: MICU cg: RN v1: Circulation Adeq st: NotStopd t0: [08:00:00 06/10/2012] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [08:00:00 06/10/2012] id: Riker-SAS Scale el: 0 cu: MICU cg: RN v1: Sedated st: NotStopd t0: [08:00:00 06/10/2012] id: Daily Wake Up el: 1 cu: MICU cg: RN v1: No/Other Remarks st: NotStopd t0: [08:00:00 06/10/2012] id: GI Prophylaxis el: 0 cu: MICU cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [08:00:00 06/10/2012] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [08:00:00 06/10/2012] id: Diet Type el: 0 cu: MICU cg: RN v1: NPO st: NotStopd t0: [08:00:00 06/10/2012] id: Dorsal PedPulse R/L el: 0 cu: MICU cg: RN v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [08:00:00 06/10/2012] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [08:00:00 06/10/2012] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [08:00:00 06/10/2012] id: Eye Opening el: 0 cu: MICU cg: RN v1: 3 To speech st: NotStopd t0: [08:00:00 06/10/2012] id: Follows Commands el: 0 cu: MICU cg: RN v1: Consistently st: NotStopd t0: [08:00:00 06/10/2012] id: GCS Total el: 0 cu: MICU cg: RN v1: 5 u1: points st: NotStopd t0: [08:00:00 06/10/2012] id: HOB el: 0 cu: MICU cg: RN v1: 15 degrees st: NotStopd t0: [08:00:00 06/10/2012] id: Heart Rate el: 0 cu: MICU cg: RN v1: 92 u1: BPM st: NotStopd t0: [08:00:00 06/10/2012] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [08:00:00 06/10/2012] id: INV Line#1 Type/Site el: 0 cu: MICU cg: RN v1: A-Line v2: Left Radial st: NotStopd t0: [08:00:00 06/10/2012] id: INV Line#1 Zero/Cal el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [08:00:00 06/10/2012] id: INV Line#1InsertDate el: 0 cu: MICU cg: RN v1: 9 v2: 13 st: NotStopd t0: [08:00:00 06/10/2012] id: INV Line#1SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [08:00:00 06/10/2012] id: INV Line#2 Type/Site el: 0 cu: MICU cg: RN v1: Multi-lumen v2: Right Femoral st: NotStopd t0: [08:00:00 06/10/2012] id: INV Line#2InsertDate el: 0 cu: MICU cg: RN v1: 9 v2: 13 st: NotStopd t0: [08:00:00 06/10/2012] id: INV Line#2SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [08:00:00 06/10/2012] id: Abdominal Assessment el: 0 cu: MICU cg: RN v1: Ascites st: NotStopd t0: [08:00:00 06/10/2012] id: INV#1 WaveformAppear el: 0 cu: MICU cg: RN v1: Sharp st: NotStopd t0: [08:00:00 06/10/2012] id: IV #1 Insert Date el: 0 cu: MICU cg: RN v1: 9 v2: 13 st: NotStopd t0: [08:00:00 06/10/2012] id: IV #1 Site/Size el: 0 cu: MICU cg: RN v1: LL Ant Forearm v2: 20 gauge st: NotStopd t0: [08:00:00 06/10/2012] id: IV #2 Insert Date el: 0 cu: MICU cg: RN v1: 9 v2: 13 st: NotStopd t0: [08:00:00 06/10/2012] id: IV #2 Site/Size el: 0 cu: MICU cg: RN v1: LL Ant Forearm v2: 20 gauge st: NotStopd t0: [08:00:00 06/10/2012] id: IV #3 Insert Date el: 0 cu: MICU cg: RN v1: 9 v2: 12 st: NotStopd t0: [08:00:00 06/10/2012] id: IV #3 Site/Size el: 0 cu: MICU cg: RN v1: Right Hand v2: 18 gauge st: NotStopd t0: [08:00:00 06/10/2012] id: IV #4 Insert Date el: 0 cu: MICU cg: RN v1: 9 v2: 12 st: NotStopd t0: [08:00:00 06/10/2012] id: IV #4 Site/Size el: 0 cu: MICU cg: RN v1: RL Ant Forearm v2: 18 gauge st: NotStopd t0: [08:00:00 06/10/2012] id: Activity el: 0 cu: MICU cg: RN v1: Bedrest st: NotStopd t0: [08:00:00 06/10/2012] id: IV Site Appear #1 el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [08:00:00 06/10/2012] id: IV Site Appear #2 el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [08:00:00 06/10/2012] id: IV Site Appear #3 el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [08:00:00 06/10/2012] id: IV Site Appear #4 el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [08:00:00 06/10/2012] id: Activity Tolerance el: 0 cu: MICU cg: RN v1: Good st: NotStopd t0: [08:00:00 06/10/2012] id: LUL Lung Sounds el: 0 cu: MICU cg: RN v1: Clear st: NotStopd t0: [08:00:00 06/10/2012] id: Level of Conscious el: 0 cu: MICU cg: RN v1: Arouse to Stimul st: NotStopd t0: [08:00:00 06/10/2012] id: Motor Response el: 0 cu: MICU cg: RN v1: 1 No Response st: NotStopd t0: [08:00:00 06/10/2012] id: Oral Cavity el: 0 cu: MICU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [08:00:00 06/10/2012] id: Orientation el: 0 cu: MICU cg: RN v1: Other/Remarks st: NotStopd t0: [08:00:00 06/10/2012] id: Arterial BP el: 0 cu: MICU cg: RN v1: 123 u1: mmHg v2: 56 u2: mmHg st: NotStopd t0: [08:00:00 06/10/2012] id: Pain Location el: 0 cu: MICU cg: RN v1: Not Indicated st: NotStopd t0: [08:00:00 06/10/2012] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 74 u1: mmHg st: NotStopd t0: [08:00:00 06/10/2012] id: Position el: 0 cu: MICU cg: RN v1: Supine st: NotStopd t0: [08:00:00 06/10/2012] id: Position Change el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [08:00:00 06/10/2012] id: PostTib. Pulses R/L el: 0 cu: MICU cg: RN v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [08:00:00 06/10/2012] id: Assistance Device el: 0 cu: MICU cg: RN v1: 2 Person Assist st: NotStopd t0: [08:00:00 06/10/2012] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [08:00:00 06/10/2012] id: Pupil Size R/L el: 0 cu: MICU cg: RN v1: Pinpoint v2: Pinpoint st: NotStopd t0: [08:00:00 06/10/2012] id: RUL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [08:00:00 06/10/2012] id: Reason For Restraint el: 0 cu: MICU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [08:00:00 06/10/2012] id: Removed x 5 Mins el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [08:00:00 06/10/2012] id: Respiratory Pattern el: 0 cu: MICU cg: RN v1: Regular st: NotStopd t0: [08:00:00 06/10/2012] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 12 u1: BPM st: NotStopd t0: [08:00:00 06/10/2012] id: Restraint Location el: 0 cu: MICU cg: RN v1: Both Arms st: NotStopd t0: [08:00:00 06/10/2012] id: Restraint Type el: 0 cu: MICU cg: RN v1: Soft Limb st: NotStopd t0: [08:00:00 06/10/2012] id: Restraints Evaluated el: 0 cu: MICU cg: RN v1: Behavior Conts st: NotStopd t0: [08:00:00 06/10/2012] id: Side Rails el: 0 cu: MICU cg: RN v1: Side Rails Up st: NotStopd t0: [08:00:00 06/10/2012] id: Skin Color el: 0 cu: MICU cg: RN v1: Jaundiced st: NotStopd t0: [08:00:00 06/10/2012] id: Skin Temp/Condition el: 0 cu: MICU cg: RN v1: Cool v2: Dry st: NotStopd t0: [08:00:00 06/10/2012] id: SpO2 el: 0 cu: MICU cg: RN v1: 100 u1: % st: NotStopd t0: [08:00:00 06/10/2012] id: Spontaneous Movement el: 0 cu: MICU cg: RN v1: Purposeful st: NotStopd t0: [08:00:00 06/10/2012] id: Support Systems el: 0 cu: MICU cg: RN v1: Spouse st: NotStopd t0: [08:00:00 06/10/2012] id: Temp. Site el: 0 cu: MICU cg: RN v1: Oral st: NotStopd t0: [08:00:00 06/10/2012] id: Temperature C (calc) el: 0 cu: MICU cg: RN v1: 36.3889 u1: Deg. C st: NotStopd t0: [08:00:00 06/10/2012] id: Temperature F el: 0 cu: MICU cg: RN v1: 97.5 u1: Deg. F st: NotStopd t0: [08:00:00 06/10/2012] id: Turn el: 0 cu: MICU cg: RN v1: Side to Side st: NotStopd t0: [08:00:00 06/10/2012] id: Urine Color/Appear el: 0 cu: MICU cg: RN v1: Icteric v2: Clear st: NotStopd t0: [08:00:00 06/10/2012] id: Urine Source el: 0 cu: MICU cg: RN v1: Indwelling Cath st: NotStopd t0: [08:00:00 06/10/2012] id: Verbal Response el: 0 cu: MICU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [08:00:00 06/10/2012] id: Daily Weight el: 0 cu: MICU cg: RN v1: 84.5 u1: kg st: NotStopd t0: [08:00:00 06/10/2012] id: Behavior el: 0 cu: MICU cg: RN v1: Sedated st: NotStopd t0: [08:00:00 06/10/2012] id: Bowel Sounds el: 0 cu: MICU cg: RN v1: Present st: NotStopd t0: [08:00:00 06/10/2012] id: Braden Activity el: 0 cu: MICU cg: RN v1: Bedfast st: NotStopd t0: [08:00:00 06/10/2012] id: Braden Frict/Shear el: 0 cu: MICU cg: RN v1: Potential Prob st: NotStopd t0: [08:00:00 06/10/2012] id: Braden Mobility el: 0 cu: MICU cg: RN v1: Sl. Limited st: NotStopd t0: [08:00:00 06/10/2012] id: Braden Moisture el: 0 cu: MICU cg: RN v1: Occ. Moist st: NotStopd t0: [08:00:00 06/10/2012] id: Braden Nutrition el: 0 cu: MICU cg: RN v1: Prob. Inadequate st: NotStopd t0: [08:00:00 06/10/2012] id: Braden Score el: 0 cu: MICU cg: RN v1: 14 u1: number st: NotStopd t0: [08:00:00 06/10/2012] id: Braden SensoryPercep el: 0 cu: MICU cg: RN v1: Sl. Limited st: NotStopd
t0: [08:00:00 06/10/2012] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 125 vu: ml t0: [08:00:00 06/10/2012] id: D5W 250.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 105 vo: 0 vu: ml t0: [08:00:00 06/10/2012] id: D5W 100.0ml + 600mcghr Sandostatin IV Infusions el: 2 cu: MICU cg: RN ai: 107 vo: 16.6667 vu: ml t0: [08:00:00 06/10/2012] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU cg: RN ai: 416 vo: 20 vu: ml t0: [08:00:00 06/10/2012] id: .9% Normal Saline 50.0ml + 50mghr Midazolam IV Infusions el: 1 cu: MICU cg: RN ai: 189 vo: 6 vu: ml t0: [08:00:00 06/10/2012] id: Urine Out Void el: 1 cu: MICU cg: RN vo: 80 vu: ml
t0: [08:00:00 06/10/2012] id: Fentanyl el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 100 du: mcghr sv: 250 su: ml rt: IV Drip t0: [08:00:00 06/10/2012] id: Midazolam el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 3 du: mghr sv: 50 su: ml rt: IV Drip t0: [08:00:00 06/10/2012] id: Sandostatin el: 2 cu: MICU cg: RN so: D5W vo: 0 v1: 50 du: mcghr sv: 100 su: ml rt: IV Drip
t0: [08:16:00 06/10/2012] id: Art.pH ABG el: 0 cu: MICU cg: 1663 v1: 7.4 rs: Final st: NotStopd t0: [08:16:00 06/10/2012] id: Arterial Base Excess ABG el: 0 cu: MICU cg: 1663 v1: -4 rs: Final st: NotStopd t0: [08:16:00 06/10/2012] id: Arterial CO2(Calc) ABG el: 0 cu: MICU cg: 1663 v1: 19 rs: Final st: NotStopd t0: [08:16:00 06/10/2012] id: Arterial PaCO2 ABG el: 0 cu: MICU cg: 1663 v1: 30 u1: mmHg rs: Final st: NotStopd t0: [08:16:00 06/10/2012] id: Arterial PaO2 ABG el: 0 cu: MICU cg: 1663 v1: 199 u1: mmHg rs: Final st: NotStopd t0: [08:16:00 06/10/2012] id: Arterial pH ABG el: 0 cu: MICU cg: 1663 v1: 7.4 rs: Final st: NotStopd
t0: [07:30:00 06/10/2012] id: BUN el: 0 cu: MICU cg: 1663 v1: 20 rs: Final st: NotStopd t0: [07:30:00 06/10/2012] id: Calcium Chemistry el: 0 cu: MICU cg: 1663 v1: 8.3 u1: mg/dl rs: Final st: NotStopd t0: [07:30:00 06/10/2012] id: Chloride Chemistry el: 0 cu: MICU cg: 1663 v1: 102 rs: Final st: NotStopd t0: [07:30:00 06/10/2012] id: Creatinine Chemistry el: 0 cu: MICU cg: 1663 v1: 2.4 rs: Final st: NotStopd t0: [07:30:00 06/10/2012] id: Glucose Chemistry el: 0 cu: MICU cg: 1663 v1: 162 rs: Final st: NotStopd t0: [07:30:00 06/10/2012] id: Magnesium Chemistry el: 0 cu: MICU cg: 1663 v1: 2.5 rs: Final st: NotStopd t0: [07:30:00 06/10/2012] id: Phosphorous Chemistry el: 0 cu: MICU cg: 1663 v1: 4.8 u1: mEq/L rs: Final st: NotStopd t0: [07:30:00 06/10/2012] id: Potassium Chemistry el: 0 cu: MICU cg: 1663 v1: 3.7 rs: Final st: NotStopd t0: [07:30:00 06/10/2012] id: Sodium Chemistry el: 0 cu: MICU cg: 1663 v1: 129 rs: Final st: NotStopd t0: [07:30:00 06/10/2012] id: ALT Enzymes el: 0 cu: MICU cg: 1663 v1: 21 rs: Final st: NotStopd t0: [07:30:00 06/10/2012] id: AST Enzymes el: 0 cu: MICU cg: 1663 v1: 31 rs: Final st: NotStopd t0: [07:30:00 06/10/2012] id: Alk. Phosphate Enzymes el: 0 cu: MICU cg: 1663 v1: 109 rs: Final st: NotStopd t0: [07:30:00 06/10/2012] id: Amylase Enzymes el: 0 cu: MICU cg: 1663 v1: 56 rs: Final st: NotStopd t0: [07:30:00 06/10/2012] id: BUN (6-20) Chemistry el: 0 cu: MICU cg: 1663 v1: 20 rs: Final st: NotStopd t0: [07:30:00 06/10/2012] id: Calcium (8.4-10.2) Chemistry el: 0 cu: MICU cg: 1663 v1: 8.3 u1: mg/dl rs: Final st: NotStopd t0: [07:30:00 06/10/2012] id: Carbon Dioxide Chemistry el: 0 cu: MICU cg: 1663 v1: 16 rs: Final st: NotStopd t0: [07:30:00 06/10/2012] id: Chloride (100-112) Chemistry el: 0 cu: MICU cg: 1663 v1: 102 rs: Final st: NotStopd t0: [07:30:00 06/10/2012] id: Creatinine (0-1.3) Chemistry el: 0 cu: MICU cg: 1663 v1: 2.4 rs: Final st: NotStopd t0: [07:30:00 06/10/2012] id: Glucose (70-105) Chemistry el: 0 cu: MICU cg: 1663 v1: 162 rs: Final st: NotStopd t0: [07:30:00 06/10/2012] id: LDH Enzymes el: 0 cu: MICU cg: 1663 v1: 182 rs: Final st: NotStopd t0: [07:30:00 06/10/2012] id: Magnesium (1.6-2.6) Chemistry el: 0 cu: MICU cg: 1663 v1: 2.5 rs: Final st: NotStopd t0: [07:30:00 06/10/2012] id: Phosphorous(2.7-4.5) Chemistry el: 0 cu: MICU cg: 1663 v1: 4.8 u1: mEq/L rs: Final st: NotStopd t0: [07:30:00 06/10/2012] id: Potassium (3.5-5.3) Chemistry el: 0 cu: MICU cg: 1663 v1: 3.7 rs: Final st: NotStopd t0: [07:30:00 06/10/2012] id: Sodium (135-148) Chemistry el: 0 cu: MICU cg: 1663 v1: 129 rs: Final st: NotStopd
t0: [07:30:00 06/10/2012] id: PT el: 0 cu: MICU cg: 1663 v1: 15.1 rs: Final st: NotStopd t0: [07:30:00 06/10/2012] id: INR Coags el: 0 cu: MICU cg: 1663 v1: 1.5 rs: Final st: NotStopd t0: [07:30:00 06/10/2012] id: PTT Coags el: 0 cu: MICU cg: 1663 v1: 38.5 rs: Final st: NotStopd t0: [07:30:00 06/10/2012] id: INR (2-4 ref. range) Coags el: 0 cu: MICU cg: 1663 v1: 1.5 rs: Final st: NotStopd t0: [07:30:00 06/10/2012] id: PT(11-13.5) Coags el: 0 cu: MICU cg: 1663 v1: 15.1 rs: Final st: NotStopd t0: [07:30:00 06/10/2012] id: PTT(22-35) Coags el: 0 cu: MICU cg: 1663 v1: 38.5 rs: Final st: NotStopd
t0: [08:00:00 06/10/2012] id: Packed RBC's IV Infusions el: 1 cu: MICU cg: RN ai: 107 vu: ml nb: 1
t0: [07:30:00 06/10/2012] id: Total Bili Chemistry el: 0 cu: MICU cg: 1663 v1: 26.4 rs: Final st: NotStopd t0: [07:30:00 06/10/2012] id: Total Bili (0-1.5) Chemistry el: 0 cu: MICU cg: 1663 v1: 26.4 rs: Final st: NotStopd
t0: [08:45:00 06/10/2012] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [08:45:00 06/10/2012] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [08:45:00 06/10/2012] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [08:45:00 06/10/2012] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [08:45:00 06/10/2012] id: Heart Rate el: 0 cu: MICU cg: RN v1: 89 u1: BPM st: NotStopd t0: [08:45:00 06/10/2012] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [08:45:00 06/10/2012] id: Arterial BP el: 0 cu: MICU cg: RN v1: 135 u1: mmHg v2: 62 u2: mmHg st: NotStopd t0: [08:45:00 06/10/2012] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 85 u1: mmHg st: NotStopd t0: [08:45:00 06/10/2012] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [08:45:00 06/10/2012] id: Previous WeightF el: 0 cu: MICU cg: RN v1: 84.5 u1: kg st: NotStopd t0: [08:45:00 06/10/2012] id: SpO2 el: 0 cu: MICU cg: RN v1: 100 u1: % st: NotStopd t0: [08:45:00 06/10/2012] id: Temp. Site el: 0 cu: MICU cg: RN v1: Oral st: NotStopd t0: [08:45:00 06/10/2012] id: Temperature C (calc) el: 0 cu: MICU cg: RN v1: 36.5556 u1: Deg. C st: NotStopd t0: [08:45:00 06/10/2012] id: Temperature F el: 0 cu: MICU cg: RN v1: 97.8 u1: Deg. F st: NotStopd t0: [08:45:00 06/10/2012] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [08:45:00 06/10/2012] id: Fentanyl el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 100 du: mcghr sv: 250 su: ml rt: IV Drip t0: [08:45:00 06/10/2012] id: Midazolam el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 3 du: mghr sv: 50 su: ml rt: IV Drip t0: [08:45:00 06/10/2012] id: Sandostatin el: 2 cu: MICU cg: RN so: D5W vo: 0 v1: 50 du: mcghr sv: 100 su: ml rt: IV Drip
t0: [08:00:00 06/10/2012] id: Eye Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [08:00:00 06/10/2012] id: Oral Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [08:00:00 06/10/2012] id: Skin Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [08:00:00 06/10/2012] id: Back Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [09:00:00 06/10/2012] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [09:00:00 06/10/2012] id: Riker-SAS Scale el: 0 cu: MICU cg: RN v1: Sedated st: NotStopd t0: [09:00:00 06/10/2012] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [09:00:00 06/10/2012] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [09:00:00 06/10/2012] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [09:00:00 06/10/2012] id: Heart Rate el: 0 cu: MICU cg: RN v1: 91 u1: BPM st: NotStopd t0: [09:00:00 06/10/2012] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [09:00:00 06/10/2012] id: Arterial BP el: 0 cu: MICU cg: RN v1: 122 u1: mmHg v2: 56 u2: mmHg st: NotStopd t0: [09:00:00 06/10/2012] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 75 u1: mmHg st: NotStopd t0: [09:00:00 06/10/2012] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [09:00:00 06/10/2012] id: Previous WeightF el: 0 cu: MICU cg: RN v1: 84.5 u1: kg st: NotStopd t0: [09:00:00 06/10/2012] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 12 u1: BPM st: NotStopd t0: [09:00:00 06/10/2012] id: SpO2 el: 0 cu: MICU cg: RN v1: 100 u1: % st: NotStopd t0: [09:00:00 06/10/2012] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [09:00:00 06/10/2012] tf: [15:00:00 06/10/2012] dt: 360 id: D5W 250.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 125 vu: ml t0: [09:00:00 06/10/2012] id: D5W 250.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 105 vo: 50 vu: ml t0: [09:00:00 06/10/2012] id: D5W 100.0ml + 600mcghr Sandostatin IV Infusions el: 2 cu: MICU cg: RN ai: 107 vo: 8.33333 vu: ml t0: [09:00:00 06/10/2012] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU cg: RN ai: 416 vo: 10 vu: ml t0: [09:00:00 06/10/2012] tf: [23:22:00 12/10/2012] dt: 9502 id: Stool Out Stool el: 1 cu: MICU cg: RN vo: 450 vu: ml t0: [09:00:00 06/10/2012] id: .9% Normal Saline 50.0ml + 50mghr Midazolam IV Infusions el: 1 cu: MICU cg: RN ai: 189 vo: 3 vu: ml t0: [09:00:00 06/10/2012] id: Urine Out Void el: 1 cu: MICU cg: RN vo: 25 vu: ml
t0: [09:00:00 06/10/2012] id: Fentanyl el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 100 du: mcghr sv: 250 su: ml rt: IV Drip t0: [09:00:00 06/10/2012] id: Midazolam el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 3 du: mghr sv: 50 su: ml rt: IV Drip t0: [09:00:00 06/10/2012] id: Sandostatin el: 2 cu: MICU cg: RN so: D5W vo: 0 v1: 50 du: mcghr sv: 100 su: ml rt: IV Drip
t0: [07:30:00 06/10/2012] id: CPK Enzymes el: 0 cu: MICU cg: 1663 v1: 99 rs: Final st: NotStopd
tf: [08:00:00 07/10/2012] pt: IV Piggyback rt: IV fr: ONCE fs: 9 dn: 1 m1: Potassium Chloride v1: 40 u1: mEq m2: SW v2: 100 u2: ml tf: [05:00:00 28/10/2012] pt: Unit Dose rt: SC fr: ASDIR m1: Insulin v1: 0 u1: UNIT
t0: [08:00:00 06/10/2012] id: Cough Effort el: 0 cu: MICU cg: RN v1: Strong st: NotStopd t0: [08:00:00 06/10/2012] id: Cough Reflex el: 0 cu: MICU cg: RN v1: Intact st: NotStopd t0: [08:00:00 06/10/2012] id: Gag Reflex el: 0 cu: MICU cg: RN v1: Intact st: NotStopd t0: [08:00:00 06/10/2012] id: LLL Lung Sounds el: 0 cu: MICU cg: RN v1: Clear st: NotStopd t0: [08:00:00 06/10/2012] id: RLL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [08:00:00 06/10/2012] id: Stool Guaiac el: 0 cu: MICU cg: RN v1: Positive st: NotStopd t0: [09:00:00 06/10/2012] id: Sputum Source/Amt el: 0 cu: MICU cg: RN v1: Suctioned v2: None st: NotStopd
t0: [09:00:00 06/10/2012] id: Packed RBC's IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 375 vu: ml nb: 1
t0: [02:50:00 06/10/2012] id: D-Dimer Coags el: 0 cu: MICU cg: 1663 v1: <500 rs: Final st: NotStopd t0: [02:50:00 06/10/2012] id: D-Dimer (0-500) Coags el: 0 cu: MICU cg: 1663 v1: <500 rs: Final st: NotStopd
t0: [09:30:00 06/10/2012] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [09:30:00 06/10/2012] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [09:30:00 06/10/2012] id: Heart Rate el: 0 cu: MICU cg: RN v1: 89 u1: BPM st: NotStopd t0: [09:30:00 06/10/2012] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [09:30:00 06/10/2012] id: Arterial BP el: 0 cu: MICU cg: RN v1: 120 u1: mmHg v2: 57 u2: mmHg st: NotStopd t0: [09:30:00 06/10/2012] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 75 u1: mmHg st: NotStopd t0: [09:30:00 06/10/2012] id: Previous WeightF el: 0 cu: MICU cg: RN v1: 84.5 u1: kg st: NotStopd t0: [09:30:00 06/10/2012] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 12 u1: BPM st: NotStopd t0: [09:30:00 06/10/2012] id: SpO2 el: 0 cu: MICU cg: RN v1: 100 u1: % st: NotStopd t0: [09:30:00 06/10/2012] id: Temp. Site el: 0 cu: MICU cg: RN v1: Oral st: NotStopd t0: [09:30:00 06/10/2012] id: Temperature C (calc) el: 0 cu: MICU cg: RN v1: 36.2222 u1: Deg. C st: NotStopd t0: [09:30:00 06/10/2012] id: Temperature F el: 0 cu: MICU cg: RN v1: 97.2 u1: Deg. F st: NotStopd t0: [09:30:00 06/10/2012] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [10:00:00 06/10/2012] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [10:00:00 06/10/2012] id: Riker-SAS Scale el: 0 cu: MICU cg: RN v1: Sedated st: NotStopd t0: [10:00:00 06/10/2012] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [10:00:00 06/10/2012] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [10:00:00 06/10/2012] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [10:00:00 06/10/2012] id: Heart Rate el: 0 cu: MICU cg: RN v1: 85 u1: BPM st: NotStopd t0: [10:00:00 06/10/2012] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [10:00:00 06/10/2012] id: Arterial BP el: 0 cu: MICU cg: RN v1: 120 u1: mmHg v2: 55 u2: mmHg st: NotStopd t0: [10:00:00 06/10/2012] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 74 u1: mmHg st: NotStopd t0: [10:00:00 06/10/2012] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [10:00:00 06/10/2012] id: Previous WeightF el: 0 cu: MICU cg: RN v1: 84.5 u1: kg st: NotStopd t0: [10:00:00 06/10/2012] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 11 u1: BPM st: NotStopd t0: [10:00:00 06/10/2012] id: SpO2 el: 0 cu: MICU cg: RN v1: 100 u1: % st: NotStopd t0: [10:00:00 06/10/2012] id: Temperature C (calc) el: 0 cu: MICU cg: RN v1: 36.2222 u1: Deg. C st: NotStopd t0: [10:00:00 06/10/2012] id: Temperature F el: 0 cu: MICU cg: RN v1: 97.2 u1: Deg. F st: NotStopd t0: [10:00:00 06/10/2012] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [10:00:00 06/10/2012] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 125 vu: ml t0: [10:00:00 06/10/2012] id: D5W 250.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 105 vo: 50 vu: ml t0: [10:00:00 06/10/2012] id: D5W 100.0ml + 600mcghr Sandostatin IV Infusions el: 2 cu: MICU cg: RN ai: 107 vo: 8.33333 vu: ml t0: [10:00:00 06/10/2012] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU cg: RN ai: 416 vo: 10 vu: ml t0: [10:00:00 06/10/2012] id: .9% Normal Saline 50.0ml + 50mghr Midazolam IV Infusions el: 1 cu: MICU cg: RN ai: 189 vo: 3 vu: ml t0: [10:00:00 06/10/2012] id: Urine Out Void el: 1 cu: MICU cg: RN vo: 15 vu: ml
t0: [10:00:00 06/10/2012] id: Fentanyl el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 100 du: mcghr sv: 250 su: ml rt: IV Drip t0: [10:00:00 06/10/2012] id: Midazolam el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 3 du: mghr sv: 50 su: ml rt: IV Drip t0: [10:00:00 06/10/2012] id: Sandostatin el: 2 cu: MICU cg: RN so: D5W vo: 0 v1: 50 du: mcghr sv: 100 su: ml rt: IV Drip
t0: [11:00:00 06/10/2012] id: Procedures el: 0 cu: MICU cg: RN v1: Angiography st: NotStopd
t0: [11:00:00 06/10/2012] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 125 vu: ml t0: [11:00:00 06/10/2012] id: D5W 250.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 105 vo: 50 vu: ml t0: [11:00:00 06/10/2012] id: Packed RBC's IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 375 vu: ml nb: 1 t0: [11:00:00 06/10/2012] id: D5W 100.0ml + 600mcghr Sandostatin IV Infusions el: 2 cu: MICU cg: RN ai: 107 vo: 8.33333 vu: ml t0: [11:00:00 06/10/2012] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU cg: RN ai: 416 vo: 10 vu: ml t0: [11:00:00 06/10/2012] id: .9% Normal Saline 50.0ml + 50mghr Midazolam IV Infusions el: 1 cu: MICU cg: RN ai: 189 vo: 3 vu: ml
t0: [13:00:00 06/10/2012] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [13:00:00 06/10/2012] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [13:00:00 06/10/2012] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [13:00:00 06/10/2012] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [13:00:00 06/10/2012] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [13:00:00 06/10/2012] id: Heart Rate el: 0 cu: MICU cg: RN v1: 80 u1: BPM st: NotStopd t0: [13:00:00 06/10/2012] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [13:00:00 06/10/2012] id: Arterial BP el: 0 cu: MICU cg: RN v1: 113 u1: mmHg v2: 55 u2: mmHg st: NotStopd t0: [13:00:00 06/10/2012] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 75 u1: mmHg st: NotStopd t0: [13:00:00 06/10/2012] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [13:00:00 06/10/2012] id: Previous WeightF el: 0 cu: MICU cg: RN v1: 84.5 u1: kg st: NotStopd t0: [13:00:00 06/10/2012] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 15 u1: BPM st: NotStopd t0: [13:00:00 06/10/2012] id: SpO2 el: 0 cu: MICU cg: RN v1: 100 u1: % st: NotStopd t0: [13:00:00 06/10/2012] id: Temp. Site el: 0 cu: MICU cg: RN v1: Oral st: NotStopd t0: [13:00:00 06/10/2012] id: Temperature C (calc) el: 0 cu: MICU cg: RN v1: 35.8333 u1: Deg. C st: NotStopd t0: [13:00:00 06/10/2012] id: Temperature F el: 0 cu: MICU cg: RN v1: 96.5 u1: Deg. F st: NotStopd t0: [13:00:00 06/10/2012] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [13:00:00 06/10/2012] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 250 vu: ml t0: [13:00:00 06/10/2012] id: D5W 250.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 105 vo: 80 vu: ml t0: [13:00:00 06/10/2012] id: D5W 100.0ml + 600mcghr Sandostatin IV Infusions el: 2 cu: MICU cg: RN ai: 107 vo: 16.6667 vu: ml t0: [13:00:00 06/10/2012] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU cg: RN ai: 416 vo: 20 vu: ml t0: [13:00:00 06/10/2012] id: .9% Normal Saline 50.0ml + 50mghr Midazolam IV Infusions el: 1 cu: MICU cg: RN ai: 189 vo: 6 vu: ml t0: [13:00:00 06/10/2012] id: Urine Out Void el: 1 cu: MICU cg: RN vo: 125 vu: ml
t0: [13:00:00 06/10/2012] id: Fentanyl el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 100 du: mcghr sv: 250 su: ml rt: IV Drip t0: [13:00:00 06/10/2012] id: Midazolam el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 3 du: mghr sv: 50 su: ml rt: IV Drip t0: [13:00:00 06/10/2012] id: Sandostatin el: 2 cu: MICU cg: RN so: D5W vo: 0 v1: 50 du: mcghr sv: 100 su: ml rt: IV Drip
t0: [13:00:00 06/10/2012] id: Dorsal PedPulse R/L el: 0 cu: MICU cg: RN v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [13:00:00 06/10/2012] id: Angio Appearance #1 el: 0 cu: MICU cg: RN v1: Clean and Dry v2: Clean and Dry st: NotStopd t0: [13:00:00 06/10/2012] id: Angio Dressing #1 el: 0 cu: MICU cg: RN v1: Dry Sterile Dsg st: NotStopd t0: [13:00:00 06/10/2012] id: Angio Site #1 el: 0 cu: MICU cg: RN v1: L Femoral st: NotStopd t0: [13:00:00 06/10/2012] id: PostTib. Pulses R/L el: 0 cu: MICU cg: RN v1: Easily Palpable v2: Easily Palpable st: NotStopd
t0: [08:00:00 06/10/2012] id: Less Restrict Meas. el: 0 cu: MICU cg: RN v1: Medicated st: NotStopd t0: [13:00:00 06/10/2012] id: Less Restrict Meas. el: 0 cu: MICU cg: RN v1: Medicated st: NotStopd t0: [13:00:00 06/10/2012] id: Circulation/SkinInt el: 0 cu: MICU cg: RN v1: Circulation Adeq st: NotStopd t0: [13:00:00 06/10/2012] id: Cough Effort el: 0 cu: MICU cg: RN v1: Strong st: NotStopd t0: [13:00:00 06/10/2012] id: Cough Reflex el: 0 cu: MICU cg: RN v1: Intact st: NotStopd t0: [13:00:00 06/10/2012] id: GI Prophylaxis el: 0 cu: MICU cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [13:00:00 06/10/2012] id: Diet Type el: 0 cu: MICU cg: RN v1: NPO st: NotStopd t0: [13:00:00 06/10/2012] id: Eye Opening el: 0 cu: MICU cg: RN v1: 3 To speech st: NotStopd t0: [13:00:00 06/10/2012] id: Follows Commands el: 0 cu: MICU cg: RN v1: Consistently st: NotStopd t0: [13:00:00 06/10/2012] id: GCS Total el: 0 cu: MICU cg: RN v1: 9 u1: points st: NotStopd t0: [13:00:00 06/10/2012] id: Gag Reflex el: 0 cu: MICU cg: RN v1: Intact st: NotStopd t0: [13:00:00 06/10/2012] id: HOB el: 0 cu: MICU cg: RN v1: 15 degrees st: NotStopd t0: [13:00:00 06/10/2012] id: INV Line#1 Type/Site el: 0 cu: MICU cg: RN v1: A-Line v2: Left Radial st: NotStopd t0: [13:00:00 06/10/2012] id: INV Line#1 Zero/Cal el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [13:00:00 06/10/2012] id: INV Line#1InsertDate el: 0 cu: MICU cg: RN v1: 9 v2: 13 st: NotStopd t0: [13:00:00 06/10/2012] id: INV Line#1SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [13:00:00 06/10/2012] id: INV Line#2 Type/Site el: 0 cu: MICU cg: RN v1: Multi-lumen v2: Right Femoral st: NotStopd t0: [13:00:00 06/10/2012] id: INV Line#2InsertDate el: 0 cu: MICU cg: RN v1: 9 v2: 13 st: NotStopd t0: [13:00:00 06/10/2012] id: INV Line#2SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [13:00:00 06/10/2012] id: Abdominal Assessment el: 0 cu: MICU cg: RN v1: Ascites st: NotStopd t0: [13:00:00 06/10/2012] id: INV#1 WaveformAppear el: 0 cu: MICU cg: RN v1: Sharp st: NotStopd t0: [13:00:00 06/10/2012] id: IV #1 Insert Date el: 0 cu: MICU cg: RN v1: 9 v2: 13 st: NotStopd t0: [13:00:00 06/10/2012] id: IV #1 Site/Size el: 0 cu: MICU cg: RN v1: LL Ant Forearm v2: 20 gauge st: NotStopd t0: [13:00:00 06/10/2012] id: IV #2 Insert Date el: 0 cu: MICU cg: RN v1: 9 v2: 13 st: NotStopd t0: [13:00:00 06/10/2012] id: IV #2 Site/Size el: 0 cu: MICU cg: RN v1: LL Ant Forearm v2: 20 gauge st: NotStopd t0: [13:00:00 06/10/2012] id: IV #3 Insert Date el: 0 cu: MICU cg: RN v1: 9 v2: 12 st: NotStopd t0: [13:00:00 06/10/2012] id: IV #3 Site/Size el: 0 cu: MICU cg: RN v1: Right Hand v2: 18 gauge st: NotStopd t0: [13:00:00 06/10/2012] id: IV #4 Insert Date el: 0 cu: MICU cg: RN v1: 9 v2: 12 st: NotStopd t0: [13:00:00 06/10/2012] id: IV #4 Site/Size el: 0 cu: MICU cg: RN v1: RL Ant Forearm v2: 18 gauge st: NotStopd t0: [13:00:00 06/10/2012] id: Activity el: 0 cu: MICU cg: RN v1: Bedrest st: NotStopd t0: [13:00:00 06/10/2012] id: IV Site Appear #1 el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [13:00:00 06/10/2012] id: IV Site Appear #2 el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [13:00:00 06/10/2012] id: IV Site Appear #3 el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [13:00:00 06/10/2012] id: IV Site Appear #4 el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [13:00:00 06/10/2012] id: Activity Tolerance el: 0 cu: MICU cg: RN v1: Good st: NotStopd t0: [13:00:00 06/10/2012] id: LLL Lung Sounds el: 0 cu: MICU cg: RN v1: Clear st: NotStopd t0: [13:00:00 06/10/2012] id: LUL Lung Sounds el: 0 cu: MICU cg: RN v1: Clear st: NotStopd t0: [13:00:00 06/10/2012] id: Level of Conscious el: 0 cu: MICU cg: RN v1: Arouse to Voice st: NotStopd t0: [13:00:00 06/10/2012] id: Motor Response el: 0 cu: MICU cg: RN v1: 5 Localizes Pain st: NotStopd t0: [13:00:00 06/10/2012] id: Oral Cavity el: 0 cu: MICU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [13:00:00 06/10/2012] id: Orientation el: 0 cu: MICU cg: RN v1: Other/Remarks st: NotStopd t0: [13:00:00 06/10/2012] id: Position el: 0 cu: MICU cg: RN v1: Right Side st: NotStopd t0: [13:00:00 06/10/2012] id: Position Change el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [13:00:00 06/10/2012] id: Assistance Device el: 0 cu: MICU cg: RN v1: 2 Person Assist st: NotStopd t0: [13:00:00 06/10/2012] id: Pupil Size R/L el: 0 cu: MICU cg: RN v1: Pinpoint v2: Pinpoint st: NotStopd t0: [13:00:00 06/10/2012] id: RLL Lung Sounds el: 0 cu: MICU cg: RN v1: Clear st: NotStopd t0: [13:00:00 06/10/2012] id: RUL Lung Sounds el: 0 cu: MICU cg: RN v1: Clear st: NotStopd t0: [13:00:00 06/10/2012] id: Reason For Restraint el: 0 cu: MICU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [13:00:00 06/10/2012] id: Respiratory Pattern el: 0 cu: MICU cg: RN v1: Regular st: NotStopd t0: [13:00:00 06/10/2012] id: Restraint Location el: 0 cu: MICU cg: RN v1: Both Arms st: NotStopd t0: [13:00:00 06/10/2012] id: Restraint Type el: 0 cu: MICU cg: RN v1: Soft Limb st: NotStopd t0: [13:00:00 06/10/2012] id: Restraints Evaluated el: 0 cu: MICU cg: RN v1: Behavior Conts st: NotStopd t0: [13:00:00 06/10/2012] id: Side Rails el: 0 cu: MICU cg: RN v1: Side Rails Up st: NotStopd t0: [13:00:00 06/10/2012] id: Skin Color el: 0 cu: MICU cg: RN v1: Jaundiced st: NotStopd t0: [13:00:00 06/10/2012] id: Skin Integrity el: 0 cu: MICU cg: RN v1: Intact st: NotStopd t0: [13:00:00 06/10/2012] id: Skin Temp/Condition el: 0 cu: MICU cg: RN v1: Cool v2: Dry st: NotStopd t0: [13:00:00 06/10/2012] id: Spontaneous Movement el: 0 cu: MICU cg: RN v1: Purposeful st: NotStopd t0: [13:00:00 06/10/2012] id: Support Systems el: 0 cu: MICU cg: RN v1: Spouse st: NotStopd t0: [13:00:00 06/10/2012] id: Turn el: 0 cu: MICU cg: RN v1: Side to Side st: NotStopd t0: [13:00:00 06/10/2012] id: Urine Color/Appear el: 0 cu: MICU cg: RN v1: Icteric v2: Clear st: NotStopd t0: [13:00:00 06/10/2012] id: Urine Source el: 0 cu: MICU cg: RN v1: Indwelling Cath st: NotStopd t0: [13:00:00 06/10/2012] id: Verbal Response el: 0 cu: MICU cg: RN v1: 1 No Response st: NotStopd t0: [13:00:00 06/10/2012] id: Behavior el: 0 cu: MICU cg: RN v1: Sedated st: NotStopd t0: [13:00:00 06/10/2012] id: Bowel Sounds el: 0 cu: MICU cg: RN v1: Hypoactive st: NotStopd t0: [13:15:00 06/10/2012] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [13:15:00 06/10/2012] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [13:15:00 06/10/2012] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [13:15:00 06/10/2012] id: Dorsal PedPulse R/L el: 0 cu: MICU cg: RN v1: Easily Palpable v2: Strong/Palpable st: NotStopd t0: [13:15:00 06/10/2012] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [13:15:00 06/10/2012] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [13:15:00 06/10/2012] id: Heart Rate el: 0 cu: MICU cg: RN v1: 82 u1: BPM st: NotStopd t0: [13:15:00 06/10/2012] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [13:15:00 06/10/2012] id: Angio Appearance #1 el: 0 cu: MICU cg: RN v1: Clean and Dry v2: Clean and Dry st: NotStopd t0: [13:15:00 06/10/2012] id: Angio Dressing #1 el: 0 cu: MICU cg: RN v1: Dry Sterile Dsg st: NotStopd t0: [13:15:00 06/10/2012] id: Angio Site #1 el: 0 cu: MICU cg: RN v1: L Femoral st: NotStopd t0: [13:15:00 06/10/2012] id: Arterial BP el: 0 cu: MICU cg: RN v1: 120 u1: mmHg v2: 62 u2: mmHg st: NotStopd t0: [13:15:00 06/10/2012] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 80 u1: mmHg st: NotStopd t0: [13:15:00 06/10/2012] id: PostTib. Pulses R/L el: 0 cu: MICU cg: RN v1: Easily Palpable v2: Strong/Palpable st: NotStopd t0: [13:15:00 06/10/2012] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [13:15:00 06/10/2012] id: Previous WeightF el: 0 cu: MICU cg: RN v1: 84.5 u1: kg st: NotStopd t0: [13:15:00 06/10/2012] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 12 u1: BPM st: NotStopd t0: [13:15:00 06/10/2012] id: SpO2 el: 0 cu: MICU cg: RN v1: 100 u1: % st: NotStopd t0: [13:15:00 06/10/2012] id: Temp. Site el: 0 cu: MICU cg: RN v1: Oral st: NotStopd t0: [13:15:00 06/10/2012] id: Temperature C (calc) el: 0 cu: MICU cg: RN v1: 35.8889 u1: Deg. C st: NotStopd t0: [13:15:00 06/10/2012] id: Temperature F el: 0 cu: MICU cg: RN v1: 96.6 u1: Deg. F st: NotStopd t0: [13:15:00 06/10/2012] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [13:30:00 06/10/2012] id: Dorsal PedPulse R/L el: 0 cu: MICU cg: RN v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [13:30:00 06/10/2012] id: Angio Appearance #1 el: 0 cu: MICU cg: RN v1: Clean and Dry v2: Clean and Dry st: NotStopd t0: [13:30:00 06/10/2012] id: Angio Dressing #1 el: 0 cu: MICU cg: RN v1: Dry Sterile Dsg st: NotStopd t0: [13:30:00 06/10/2012] id: Angio Site #1 el: 0 cu: MICU cg: RN v1: L Femoral st: NotStopd t0: [13:30:00 06/10/2012] id: PostTib. Pulses R/L el: 0 cu: MICU cg: RN v1: Easily Palpable v2: Easily Palpable st: NotStopd
t0: [13:15:00 06/10/2012] id: Fentanyl el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 100 du: mcghr sv: 250 su: ml rt: IV Drip t0: [13:15:00 06/10/2012] id: Midazolam el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 3 du: mghr sv: 50 su: ml rt: IV Drip t0: [13:15:00 06/10/2012] id: Sandostatin el: 2 cu: MICU cg: RN so: D5W vo: 0 v1: 50 du: mcghr sv: 100 su: ml rt: IV Drip
t0: [13:00:00 06/10/2012] id: Pain Present el: 0 cu: MICU cg: RN v1: No st: NotStopd t0: [13:00:00 06/10/2012] id: Riker-SAS Scale el: 0 cu: MICU cg: RN v1: Sedated st: NotStopd t0: [13:00:00 06/10/2012] id: Pain Location el: 0 cu: MICU cg: RN v1: Not Indicated st: NotStopd
t0: [13:00:00 06/10/2012] id: Hematocrit Hematology el: 0 cu: MICU cg: 1663 v1: 28.4 u1: % rs: Final st: NotStopd
t0: [14:00:00 06/10/2012] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [14:00:00 06/10/2012] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [14:00:00 06/10/2012] id: Riker-SAS Scale el: 0 cu: MICU cg: RN v1: Sedated st: NotStopd t0: [14:00:00 06/10/2012] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [14:00:00 06/10/2012] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [14:00:00 06/10/2012] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [14:00:00 06/10/2012] id: Heart Rate el: 0 cu: MICU cg: RN v1: 80 u1: BPM st: NotStopd t0: [14:00:00 06/10/2012] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [14:00:00 06/10/2012] id: Arterial BP el: 0 cu: MICU cg: RN v1: 116 u1: mmHg v2: 59 u2: mmHg st: NotStopd t0: [14:00:00 06/10/2012] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 77 u1: mmHg st: NotStopd t0: [14:00:00 06/10/2012] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [14:00:00 06/10/2012] id: Previous WeightF el: 0 cu: MICU cg: RN v1: 84.5 u1: kg st: NotStopd t0: [14:00:00 06/10/2012] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 12 u1: BPM st: NotStopd t0: [14:00:00 06/10/2012] id: SpO2 el: 0 cu: MICU cg: RN v1: 100 u1: % st: NotStopd t0: [14:00:00 06/10/2012] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [14:00:00 06/10/2012] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 125 vu: ml t0: [14:00:00 06/10/2012] id: D5W 250.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 105 vo: 100 vu: ml t0: [14:00:00 06/10/2012] id: D5W 100.0ml + 600mcghr Sandostatin IV Infusions el: 2 cu: MICU cg: RN ai: 107 vo: 8.33333 vu: ml t0: [14:00:00 06/10/2012] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU cg: RN ai: 416 vo: 10 vu: ml t0: [14:00:00 06/10/2012] id: .9% Normal Saline 50.0ml + 50mghr Midazolam IV Infusions el: 1 cu: MICU cg: RN ai: 189 vo: 3 vu: ml t0: [14:00:00 06/10/2012] id: Urine Out Void el: 1 cu: MICU cg: RN vo: 60 vu: ml
t0: [14:00:00 06/10/2012] id: Fentanyl el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 100 du: mcghr sv: 250 su: ml rt: IV Drip t0: [14:00:00 06/10/2012] id: Midazolam el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 3 du: mghr sv: 50 su: ml rt: IV Drip t0: [14:00:00 06/10/2012] id: Sandostatin el: 2 cu: MICU cg: RN so: D5W vo: 0 v1: 50 du: mcghr sv: 100 su: ml rt: IV Drip
t0: [14:00:00 06/10/2012] id: Fingerstick Glucose Chemistry el: 0 cu: MICU cg: RN v1: 123 rs: Manual st: NotStopd
t0: [14:00:00 06/10/2012] id: Dorsal PedPulse R/L el: 0 cu: MICU cg: RN v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [14:00:00 06/10/2012] id: Angio Appearance #1 el: 0 cu: MICU cg: RN v1: Clean and Dry v2: Clean and Dry st: NotStopd t0: [14:00:00 06/10/2012] id: Angio Dressing #1 el: 0 cu: MICU cg: RN v1: Dry Sterile Dsg st: NotStopd t0: [14:00:00 06/10/2012] id: Angio Site #1 el: 0 cu: MICU cg: RN v1: L Femoral st: NotStopd t0: [14:00:00 06/10/2012] id: PostTib. Pulses R/L el: 0 cu: MICU cg: RN v1: Easily Palpable v2: Easily Palpable st: NotStopd
t0: [13:00:00 06/10/2012] id: Packed RBC's IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 375 vu: ml nb: 1 t0: [14:00:00 06/10/2012] id: Packed RBC's IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 375 vu: ml t0: [14:00:00 06/10/2012] id: Fresh Frozen Plasma IV Infusions el: 1 cu: MICU cg: RN ai: 155 vu: ml nb: 1
t0: [13:45:00 06/10/2012] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [15:00:00 06/10/2012] id: Dorsal PedPulse R/L el: 0 cu: MICU cg: RN v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [15:00:00 06/10/2012] id: Angio Appearance #1 el: 0 cu: MICU cg: RN v1: Clean and Dry v2: Clean and Dry st: NotStopd t0: [15:00:00 06/10/2012] id: Angio Dressing #1 el: 0 cu: MICU cg: RN v1: Dry Sterile Dsg st: NotStopd t0: [15:00:00 06/10/2012] id: Angio Site #1 el: 0 cu: MICU cg: RN v1: L Femoral st: NotStopd t0: [15:00:00 06/10/2012] id: PostTib. Pulses R/L el: 0 cu: MICU cg: RN v1: Easily Palpable v2: Easily Palpable st: NotStopd
t0: [14:45:00 06/10/2012] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [14:45:00 06/10/2012] id: Riker-SAS Scale el: 0 cu: MICU cg: RN v1: Sedated st: NotStopd t0: [14:45:00 06/10/2012] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [14:45:00 06/10/2012] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [14:45:00 06/10/2012] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [14:45:00 06/10/2012] id: Heart Rate el: 0 cu: MICU cg: RN v1: 77 u1: BPM st: NotStopd t0: [14:45:00 06/10/2012] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [14:45:00 06/10/2012] id: Arterial BP el: 0 cu: MICU cg: RN v1: 112 u1: mmHg v2: 59 u2: mmHg st: NotStopd t0: [14:45:00 06/10/2012] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 78 u1: mmHg st: NotStopd t0: [14:45:00 06/10/2012] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [14:45:00 06/10/2012] id: Previous WeightF el: 0 cu: MICU cg: RN v1: 84.5 u1: kg st: NotStopd t0: [14:45:00 06/10/2012] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 12 u1: BPM st: NotStopd t0: [14:45:00 06/10/2012] id: SpO2 el: 0 cu: MICU cg: RN v1: 100 u1: % st: NotStopd t0: [14:45:00 06/10/2012] id: Temp. Site el: 0 cu: MICU cg: RN v1: Oral st: NotStopd t0: [14:45:00 06/10/2012] id: Temperature C (calc) el: 0 cu: MICU cg: RN v1: 35.9444 u1: Deg. C st: NotStopd t0: [14:45:00 06/10/2012] id: Temperature F el: 0 cu: MICU cg: RN v1: 96.7 u1: Deg. F st: NotStopd t0: [14:45:00 06/10/2012] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [14:45:00 06/10/2012] id: Fentanyl el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 100 du: mcghr sv: 250 su: ml rt: IV Drip t0: [14:45:00 06/10/2012] id: Midazolam el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 3 du: mghr sv: 50 su: ml rt: IV Drip t0: [14:45:00 06/10/2012] id: Sandostatin el: 2 cu: MICU cg: RN so: D5W vo: 0 v1: 50 du: mcghr sv: 100 su: ml rt: IV Drip
t0: [15:00:00 06/10/2012] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [15:00:00 06/10/2012] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [15:00:00 06/10/2012] id: Riker-SAS Scale el: 0 cu: MICU cg: RN v1: Sedated st: NotStopd t0: [15:00:00 06/10/2012] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [15:00:00 06/10/2012] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [15:00:00 06/10/2012] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [15:00:00 06/10/2012] id: Heart Rate el: 0 cu: MICU cg: RN v1: 79 u1: BPM st: NotStopd t0: [15:00:00 06/10/2012] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [15:00:00 06/10/2012] id: Arterial BP el: 0 cu: MICU cg: RN v1: 106 u1: mmHg v2: 53 u2: mmHg st: NotStopd t0: [15:00:00 06/10/2012] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 79 u1: mmHg st: NotStopd t0: [15:00:00 06/10/2012] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [15:00:00 06/10/2012] id: Previous WeightF el: 0 cu: MICU cg: RN v1: 84.5 u1: kg st: NotStopd t0: [15:00:00 06/10/2012] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 12 u1: BPM st: NotStopd t0: [15:00:00 06/10/2012] id: SpO2 el: 0 cu: MICU cg: RN v1: 100 u1: % st: NotStopd t0: [15:00:00 06/10/2012] id: Temp. Site el: 0 cu: MICU cg: RN v1: Oral st: NotStopd t0: [15:00:00 06/10/2012] id: Temperature C (calc) el: 0 cu: MICU cg: RN v1: 35.9444 u1: Deg. C st: NotStopd t0: [15:00:00 06/10/2012] id: Temperature F el: 0 cu: MICU cg: RN v1: 96.7 u1: Deg. F st: NotStopd t0: [15:00:00 06/10/2012] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [15:00:00 06/10/2012] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 125 vu: ml t0: [15:00:00 06/10/2012] id: D5W 250.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 105 vo: 0 vu: ml t0: [15:00:00 06/10/2012] id: D5W 100.0ml + 600mcghr Sandostatin IV Infusions el: 2 cu: MICU cg: RN ai: 107 vo: 8.33333 vu: ml t0: [15:00:00 06/10/2012] id: Fresh Frozen Plasma IV Infusions el: 1 cu: MICU cg: RN ai: 155 vo: 230 vu: ml nb: 1 t0: [15:00:00 06/10/2012] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU cg: RN ai: 416 vo: 10 vu: ml t0: [15:00:00 06/10/2012] id: .9% Normal Saline 50.0ml + 50mghr Midazolam IV Infusions el: 1 cu: MICU cg: RN ai: 189 vo: 3 vu: ml t0: [15:00:00 06/10/2012] id: Urine Out Void el: 1 cu: MICU cg: RN vo: 60 vu: ml
t0: [15:00:00 06/10/2012] id: Fentanyl el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 100 du: mcghr sv: 250 su: ml rt: IV Drip t0: [15:00:00 06/10/2012] id: Midazolam el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 3 du: mghr sv: 50 su: ml rt: IV Drip t0: [15:00:00 06/10/2012] id: Sandostatin el: 2 cu: MICU cg: RN so: D5W vo: 0 v1: 50 du: mcghr sv: 100 su: ml rt: IV Drip
t0: [15:00:00 06/10/2012] id: Hematocrit Hematology el: 0 cu: MICU cg: 1663 v1: 27.8 u1: % rs: Final st: NotStopd
t0: [15:45:00 06/10/2012] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [15:45:00 06/10/2012] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [15:45:00 06/10/2012] id: Riker-SAS Scale el: 0 cu: MICU cg: RN v1: Sedated st: NotStopd t0: [15:45:00 06/10/2012] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [15:45:00 06/10/2012] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [15:45:00 06/10/2012] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [15:45:00 06/10/2012] id: Heart Rate el: 0 cu: MICU cg: RN v1: 77 u1: BPM st: NotStopd t0: [15:45:00 06/10/2012] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [15:45:00 06/10/2012] id: Arterial BP el: 0 cu: MICU cg: RN v1: 104 u1: mmHg v2: 52 u2: mmHg st: NotStopd t0: [15:45:00 06/10/2012] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 70 u1: mmHg st: NotStopd t0: [15:45:00 06/10/2012] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [15:45:00 06/10/2012] id: Previous WeightF el: 0 cu: MICU cg: RN v1: 84.5 u1: kg st: NotStopd t0: [15:45:00 06/10/2012] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 12 u1: BPM st: NotStopd t0: [15:45:00 06/10/2012] id: SpO2 el: 0 cu: MICU cg: RN v1: 100 u1: % st: NotStopd t0: [15:45:00 06/10/2012] id: Temp. Site el: 0 cu: MICU cg: RN v1: Oral st: NotStopd t0: [15:45:00 06/10/2012] id: Temperature C (calc) el: 0 cu: MICU cg: RN v1: 35.9444 u1: Deg. C st: NotStopd t0: [15:45:00 06/10/2012] id: Temperature F el: 0 cu: MICU cg: RN v1: 96.7 u1: Deg. F st: NotStopd t0: [15:45:00 06/10/2012] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [15:45:00 06/10/2012] id: Fresh Frozen Plasma IV Infusions el: 1 cu: MICU cg: RN ai: 155 vo: 230 vu: ml nb: 1
t0: [15:45:00 06/10/2012] id: Fentanyl el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 100 du: mcghr sv: 250 su: ml rt: IV Drip t0: [15:45:00 06/10/2012] id: Midazolam el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 3 du: mghr sv: 50 su: ml rt: IV Drip t0: [15:45:00 06/10/2012] id: Sandostatin el: 2 cu: MICU cg: RN so: D5W vo: 0 v1: 50 du: mcghr sv: 100 su: ml rt: IV Drip
t0: [15:59:00 06/10/2012] id: Art.pH ABG el: 0 cu: MICU cg: 1663 v1: 7.39 rs: Final st: NotStopd t0: [15:59:00 06/10/2012] id: Potassium Chemistry el: 0 cu: MICU cg: 1663 v1: 4.6 rs: Final st: NotStopd t0: [15:59:00 06/10/2012] id: Arterial Base Excess ABG el: 0 cu: MICU cg: 1663 v1: -5 rs: Final st: NotStopd t0: [15:59:00 06/10/2012] id: Arterial CO2(Calc) ABG el: 0 cu: MICU cg: 1663 v1: 19 rs: Final st: NotStopd t0: [15:59:00 06/10/2012] id: Arterial PaCO2 ABG el: 0 cu: MICU cg: 1663 v1: 30 u1: mmHg rs: Final st: NotStopd t0: [15:59:00 06/10/2012] id: Arterial PaO2 ABG el: 0 cu: MICU cg: 1663 v1: 188 u1: mmHg rs: Final st: NotStopd t0: [15:59:00 06/10/2012] id: Arterial pH ABG el: 0 cu: MICU cg: 1663 v1: 7.39 rs: Final st: NotStopd t0: [15:59:00 06/10/2012] id: Potassium (3.5-5.3) Chemistry el: 0 cu: MICU cg: 1663 v1: 4.6 rs: Final st: NotStopd
t0: [16:00:00 06/10/2012] id: Less Restrict Meas. el: 0 cu: MICU cg: RN v1: Medicated st: NotStopd t0: [16:00:00 06/10/2012] id: Pain Present el: 0 cu: MICU cg: RN v1: No st: NotStopd t0: [16:00:00 06/10/2012] id: Range of Motion el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [16:00:00 06/10/2012] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [16:00:00 06/10/2012] id: Circulation/SkinInt el: 0 cu: MICU cg: RN v1: Circulation Adeq st: NotStopd t0: [16:00:00 06/10/2012] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [16:00:00 06/10/2012] id: Riker-SAS Scale el: 0 cu: MICU cg: RN v1: Sedated st: NotStopd t0: [16:00:00 06/10/2012] id: Cough Effort el: 0 cu: MICU cg: RN v1: Strong st: NotStopd t0: [16:00:00 06/10/2012] id: Cough Reflex el: 0 cu: MICU cg: RN v1: Intact st: NotStopd t0: [16:00:00 06/10/2012] id: Cough Type el: 0 cu: MICU cg: RN v1: Nonproductive st: NotStopd t0: [16:00:00 06/10/2012] id: GI Prophylaxis el: 0 cu: MICU cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [16:00:00 06/10/2012] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [16:00:00 06/10/2012] id: Diet Type el: 0 cu: MICU cg: RN v1: NPO st: NotStopd t0: [16:00:00 06/10/2012] id: Dorsal PedPulse R/L el: 0 cu: MICU cg: RN v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [16:00:00 06/10/2012] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [16:00:00 06/10/2012] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [16:00:00 06/10/2012] id: Eye Opening el: 0 cu: MICU cg: RN v1: 3 To speech st: NotStopd t0: [16:00:00 06/10/2012] id: Follows Commands el: 0 cu: MICU cg: RN v1: Consistently st: NotStopd t0: [16:00:00 06/10/2012] id: Gag Reflex el: 0 cu: MICU cg: RN v1: Intact st: NotStopd t0: [16:00:00 06/10/2012] id: HOB el: 0 cu: MICU cg: RN v1: 15 degrees st: NotStopd t0: [16:00:00 06/10/2012] id: Heart Rate el: 0 cu: MICU cg: RN v1: 82 u1: BPM st: NotStopd t0: [16:00:00 06/10/2012] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [16:00:00 06/10/2012] id: INV Line#1 Type/Site el: 0 cu: MICU cg: RN v1: A-Line v2: Left Radial st: NotStopd t0: [16:00:00 06/10/2012] id: INV Line#1 Zero/Cal el: 0 cu: MICU cg: RN v1: No st: NotStopd t0: [16:00:00 06/10/2012] id: INV Line#1InsertDate el: 0 cu: MICU cg: RN v1: 9 v2: 13 st: NotStopd t0: [16:00:00 06/10/2012] id: INV Line#1SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [16:00:00 06/10/2012] id: INV Line#2 Type/Site el: 0 cu: MICU cg: RN v1: Multi-lumen v2: Right Femoral st: NotStopd t0: [16:00:00 06/10/2012] id: INV Line#2InsertDate el: 0 cu: MICU cg: RN v1: 9 v2: 13 st: NotStopd t0: [16:00:00 06/10/2012] id: INV Line#2SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [16:00:00 06/10/2012] id: Abdominal Assessment el: 0 cu: MICU cg: RN v1: Ascites st: NotStopd t0: [16:00:00 06/10/2012] id: INV#1 WaveformAppear el: 0 cu: MICU cg: RN v1: Sharp st: NotStopd t0: [16:00:00 06/10/2012] id: IV #1 Insert Date el: 0 cu: MICU cg: RN v1: 9 v2: 13 st: NotStopd t0: [16:00:00 06/10/2012] id: IV #1 Site/Size el: 0 cu: MICU cg: RN v1: LL Ant Forearm v2: 20 gauge st: NotStopd t0: [16:00:00 06/10/2012] id: IV #2 Insert Date el: 0 cu: MICU cg: RN v1: 9 v2: 13 st: NotStopd t0: [16:00:00 06/10/2012] id: IV #2 Site/Size el: 0 cu: MICU cg: RN v1: LL Ant Forearm v2: 20 gauge st: NotStopd t0: [16:00:00 06/10/2012] id: IV #3 Insert Date el: 0 cu: MICU cg: RN v1: 9 v2: 12 st: NotStopd t0: [16:00:00 06/10/2012] id: IV #3 Site/Size el: 0 cu: MICU cg: RN v1: Right Hand v2: 18 gauge st: NotStopd t0: [16:00:00 06/10/2012] id: IV #4 Insert Date el: 0 cu: MICU cg: RN v1: 9 v2: 12 st: NotStopd t0: [16:00:00 06/10/2012] id: IV #4 Site/Size el: 0 cu: MICU cg: RN v1: RL Ant Forearm v2: 18 gauge st: NotStopd t0: [16:00:00 06/10/2012] id: Activity el: 0 cu: MICU cg: RN v1: Bedrest st: NotStopd t0: [16:00:00 06/10/2012] id: IV Site Appear #1 el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [16:00:00 06/10/2012] id: IV Site Appear #2 el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [16:00:00 06/10/2012] id: IV Site Appear #3 el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [16:00:00 06/10/2012] id: IV Site Appear #4 el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [16:00:00 06/10/2012] id: Activity Tolerance el: 0 cu: MICU cg: RN v1: Good st: NotStopd t0: [16:00:00 06/10/2012] id: LLL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [16:00:00 06/10/2012] id: LUL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [16:00:00 06/10/2012] id: Level of Conscious el: 0 cu: MICU cg: RN v1: Arouse to Voice st: NotStopd t0: [16:00:00 06/10/2012] id: Angio Appearance #1 el: 0 cu: MICU cg: RN v1: Clean and Dry v2: Clean and Dry st: NotStopd t0: [16:00:00 06/10/2012] id: Angio Dressing #1 el: 0 cu: MICU cg: RN v1: Dry Sterile Dsg st: NotStopd t0: [16:00:00 06/10/2012] id: Oral Cavity el: 0 cu: MICU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [16:00:00 06/10/2012] id: Orientation el: 0 cu: MICU cg: RN v1: Other/Remarks st: NotStopd t0: [16:00:00 06/10/2012] id: Angio Site #1 el: 0 cu: MICU cg: RN v1: L Femoral st: NotStopd t0: [16:00:00 06/10/2012] id: AntiEmbDevice/Status el: 0 cu: MICU cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [16:00:00 06/10/2012] id: Arterial BP el: 0 cu: MICU cg: RN v1: 130 u1: mmHg v2: 68 u2: mmHg st: NotStopd t0: [16:00:00 06/10/2012] id: Pain Location el: 0 cu: MICU cg: RN v1: Not Indicated st: NotStopd t0: [16:00:00 06/10/2012] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 92 u1: mmHg st: NotStopd t0: [16:00:00 06/10/2012] id: Position el: 0 cu: MICU cg: RN v1: Left Side st: NotStopd t0: [16:00:00 06/10/2012] id: Position Change el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [16:00:00 06/10/2012] id: PostTib. Pulses R/L el: 0 cu: MICU cg: RN v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [16:00:00 06/10/2012] id: Assistance Device el: 0 cu: MICU cg: RN v1: 2 Person Assist st: NotStopd t0: [16:00:00 06/10/2012] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [16:00:00 06/10/2012] id: Previous WeightF el: 0 cu: MICU cg: RN v1: 84.5 u1: kg st: NotStopd t0: [16:00:00 06/10/2012] id: Pupil Size R/L el: 0 cu: MICU cg: RN v1: Pinpoint v2: Pinpoint st: NotStopd t0: [16:00:00 06/10/2012] id: RLL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [16:00:00 06/10/2012] id: RUL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [16:00:00 06/10/2012] id: Reason For Restraint el: 0 cu: MICU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [16:00:00 06/10/2012] id: Removed x 5 Mins el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [16:00:00 06/10/2012] id: Respiratory Pattern el: 0 cu: MICU cg: RN v1: Regular st: NotStopd t0: [16:00:00 06/10/2012] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 12 u1: BPM st: NotStopd t0: [16:00:00 06/10/2012] id: Restraint Location el: 0 cu: MICU cg: RN v1: Both Arms st: NotStopd t0: [16:00:00 06/10/2012] id: Restraint Type el: 0 cu: MICU cg: RN v1: Soft Limb st: NotStopd t0: [16:00:00 06/10/2012] id: Restraints Evaluated el: 0 cu: MICU cg: RN v1: Behavior Conts st: NotStopd t0: [16:00:00 06/10/2012] id: Side Rails el: 0 cu: MICU cg: RN v1: Side Rails Up st: NotStopd t0: [16:00:00 06/10/2012] id: Skin Color el: 0 cu: MICU cg: RN v1: Jaundiced st: NotStopd t0: [16:00:00 06/10/2012] id: Skin Integrity el: 0 cu: MICU cg: RN v1: Intact st: NotStopd t0: [16:00:00 06/10/2012] id: Skin Temp/Condition el: 0 cu: MICU cg: RN v1: Cool v2: Dry st: NotStopd t0: [16:00:00 06/10/2012] id: SpO2 el: 0 cu: MICU cg: RN v1: 100 u1: % st: NotStopd t0: [16:00:00 06/10/2012] id: Spontaneous Movement el: 0 cu: MICU cg: RN v1: Purposeful st: NotStopd t0: [16:00:00 06/10/2012] id: Support Systems el: 0 cu: MICU cg: RN v1: Spouse st: NotStopd t0: [16:00:00 06/10/2012] id: Temp. Site el: 0 cu: MICU cg: RN v1: Oral st: NotStopd t0: [16:00:00 06/10/2012] id: Temperature C (calc) el: 0 cu: MICU cg: RN v1: 36.2222 u1: Deg. C st: NotStopd t0: [16:00:00 06/10/2012] id: Temperature F el: 0 cu: MICU cg: RN v1: 97.2 u1: Deg. F st: NotStopd t0: [16:00:00 06/10/2012] id: Turn el: 0 cu: MICU cg: RN v1: Side to Side st: NotStopd t0: [16:00:00 06/10/2012] id: Urine Color/Appear el: 0 cu: MICU cg: RN v1: Icteric v2: Clear st: NotStopd t0: [16:00:00 06/10/2012] id: Urine Source el: 0 cu: MICU cg: RN v1: Indwelling Cath st: NotStopd t0: [16:00:00 06/10/2012] id: Verbal Response el: 0 cu: MICU cg: RN v1: 1 No Response st: NotStopd t0: [16:00:00 06/10/2012] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [16:00:00 06/10/2012] id: Behavior el: 0 cu: MICU cg: RN v1: Sedated st: NotStopd t0: [16:00:00 06/10/2012] id: Bowel Sounds el: 0 cu: MICU cg: RN v1: Hypoactive st: NotStopd
t0: [16:00:00 06/10/2012] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 125 vu: ml t0: [16:00:00 06/10/2012] id: D5W 250.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 105 vo: 0 vu: ml t0: [16:00:00 06/10/2012] id: D5W 100.0ml + 600mcghr Sandostatin IV Infusions el: 2 cu: MICU cg: RN ai: 107 vo: 8.33333 vu: ml t0: [16:00:00 06/10/2012] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU cg: RN ai: 416 vo: 10 vu: ml t0: [16:00:00 06/10/2012] id: .9% Normal Saline 50.0ml + 50mghr Midazolam IV Infusions el: 1 cu: MICU cg: RN ai: 189 vo: 3 vu: ml t0: [16:00:00 06/10/2012] id: Urine Out Void el: 1 cu: MICU cg: RN vo: 80 vu: ml
t0: [16:00:00 06/10/2012] id: Fentanyl el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 100 du: mcghr sv: 250 su: ml rt: IV Drip t0: [16:00:00 06/10/2012] id: Midazolam el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 3 du: mghr sv: 50 su: ml rt: IV Drip t0: [16:00:00 06/10/2012] id: Sandostatin el: 2 cu: MICU cg: RN so: D5W vo: 0 v1: 50 du: mcghr sv: 100 su: ml rt: IV Drip
t0: [16:15:00 06/10/2012] id: Fresh Frozen Plasma IV Infusions el: 1 cu: MICU cg: RN ai: 155 vo: 230 vu: ml nb: 1
t0: [13:00:00 06/10/2012] id: HI/Minute/Vol/Alarm el: 0 cu: MICU cg: RRT v1: 16 t0: [13:00:00 06/10/2012] id: Compliance (40-60ml) el: 0 cu: MICU cg: RRT v1: 30.4348 u1: ml/cmH st: NotStopd t0: [13:00:00 06/10/2012] id: ETT Mark/Location el: 0 cu: MICU cg: RRT v1: 23cm v2: Lip st: NotStopd t0: [13:00:00 06/10/2012] id: FiO2 Set el: 0 cu: MICU cg: RRT v1: 0.5 u1: torr st: NotStopd t0: [13:00:00 06/10/2012] id: High Insp. Pressure el: 0 cu: MICU cg: RRT v1: 50 u1: cmH2O st: NotStopd t0: [13:00:00 06/10/2012] id: High Resp. Rate el: 0 cu: MICU cg: RRT v1: 40 u1: BPM st: NotStopd t0: [13:00:00 06/10/2012] id: I:E Ratio el: 0 cu: MICU cg: RRT v1: 1:4.0 st: NotStopd t0: [13:00:00 06/10/2012] id: Airway Size el: 0 cu: MICU cg: RRT v1: 7.5 mm st: NotStopd t0: [13:00:00 06/10/2012] id: Airway Type el: 0 cu: MICU cg: RRT v1: Endotracheal st: NotStopd t0: [13:00:00 06/10/2012] id: Inspired Gas Temp el: 0 cu: MICU cg: RRT v1: 34 u1: Deg. C st: NotStopd t0: [13:00:00 06/10/2012] id: Intubation Date el: 0 cu: MICU cg: RRT v1: 9 v2: 13 st: NotStopd t0: [13:00:00 06/10/2012] id: Low Exhaled Min Vol el: 0 cu: MICU cg: RRT v1: 6 st: NotStopd t0: [13:00:00 06/10/2012] id: Mean Airway Pressure el: 0 cu: MICU cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [13:00:00 06/10/2012] id: Minute Volume(Obser) el: 0 cu: MICU cg: RRT v1: 8.4 u1: L/min st: NotStopd t0: [13:00:00 06/10/2012] id: PEEP Set el: 0 cu: MICU cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [13:00:00 06/10/2012] id: Apnea Time Interval el: 0 cu: MICU cg: RRT v1: 20 st: NotStopd t0: [13:00:00 06/10/2012] id: Peak Insp. Pressure el: 0 cu: MICU cg: RRT v1: 28 u1: cmH2O st: NotStopd t0: [13:00:00 06/10/2012] id: Plateau Pressure el: 0 cu: MICU cg: RRT v1: 19 u1: cmH2O st: NotStopd t0: [13:00:00 06/10/2012] id: Pressure Support el: 0 cu: MICU cg: RRT v1: 5 u1: . st: NotStopd t0: [13:00:00 06/10/2012] id: Resp Rate (Spont) el: 0 cu: MICU cg: RRT v1: 0 u1: BPM st: NotStopd t0: [13:00:00 06/10/2012] id: Resp Rate (Total) el: 0 cu: MICU cg: RRT v1: 12 u1: BPM st: NotStopd t0: [13:00:00 06/10/2012] id: Respiratory Rate Set el: 0 cu: MICU cg: RRT v1: 12 u1: BPM st: NotStopd t0: [13:00:00 06/10/2012] id: Sensitivity-Vent el: 0 cu: MICU cg: RRT v1: 2 u1: cmH2O st: NotStopd t0: [13:00:00 06/10/2012] id: Tidal Volume (Obser) el: 0 cu: MICU cg: RRT v1: 700 u1: ml/B st: NotStopd t0: [13:00:00 06/10/2012] id: Tidal Volume (Set) el: 0 cu: MICU cg: RRT v1: 700 u1: ml/B st: NotStopd t0: [13:00:00 06/10/2012] id: Ventilator Mode el: 0 cu: MICU cg: RRT v1: SIMV+PS st: NotStopd t0: [13:00:00 06/10/2012] id: Ventilator Type el: 0 cu: MICU cg: RRT v1: Drager st: NotStopd t0: [13:00:00 06/10/2012] id: Waveform-Vent el: 0 cu: MICU cg: RRT v1: RAMP st: NotStopd
t0: [16:00:00 06/10/2012] id: HI/Minute/Vol/Alarm el: 0 cu: MICU cg: RRT v1: 16 t0: [16:00:00 06/10/2012] id: Compliance (40-60ml) el: 0 cu: MICU cg: RRT v1: 29.1667 u1: ml/cmH st: NotStopd t0: [16:00:00 06/10/2012] id: ETT Mark/Location el: 0 cu: MICU cg: RRT v1: 23cm v2: Lip st: NotStopd t0: [16:00:00 06/10/2012] id: FiO2 Set el: 0 cu: MICU cg: RRT v1: 0.4 u1: torr st: NotStopd t0: [16:00:00 06/10/2012] id: High Insp. Pressure el: 0 cu: MICU cg: RRT v1: 50 u1: cmH2O st: NotStopd t0: [16:00:00 06/10/2012] id: High Resp. Rate el: 0 cu: MICU cg: RRT v1: 40 u1: BPM st: NotStopd t0: [16:00:00 06/10/2012] id: I:E Ratio el: 0 cu: MICU cg: RRT v1: 1:4.0 st: NotStopd t0: [16:00:00 06/10/2012] id: Airway Size el: 0 cu: MICU cg: RRT v1: 7.5 mm st: NotStopd t0: [16:00:00 06/10/2012] id: Airway Type el: 0 cu: MICU cg: RRT v1: Endotracheal st: NotStopd t0: [16:00:00 06/10/2012] id: Inspired Gas Temp el: 0 cu: MICU cg: RRT v1: 34 u1: Deg. C st: NotStopd t0: [16:00:00 06/10/2012] id: Intubation Date el: 0 cu: MICU cg: RRT v1: 9 v2: 13 st: NotStopd t0: [16:00:00 06/10/2012] id: Low Exhaled Min Vol el: 0 cu: MICU cg: RRT v1: 6 st: NotStopd t0: [16:00:00 06/10/2012] id: Mean Airway Pressure el: 0 cu: MICU cg: RRT v1: 9 u1: cmH2O st: NotStopd t0: [16:00:00 06/10/2012] id: Minute Volume(Obser) el: 0 cu: MICU cg: RRT v1: 8.4 u1: L/min st: NotStopd t0: [16:00:00 06/10/2012] id: PEEP Set el: 0 cu: MICU cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [16:00:00 06/10/2012] id: Apnea Time Interval el: 0 cu: MICU cg: RRT v1: 20 st: NotStopd t0: [16:00:00 06/10/2012] id: Peak Flow el: 0 cu: MICU cg: RRT u1: L/m st: NotStopd t0: [16:00:00 06/10/2012] id: Peak Insp. Pressure el: 0 cu: MICU cg: RRT v1: 29 u1: cmH2O st: NotStopd t0: [16:00:00 06/10/2012] id: Plateau Pressure el: 0 cu: MICU cg: RRT v1: 19 u1: cmH2O st: NotStopd t0: [16:00:00 06/10/2012] id: Pressure Support el: 0 cu: MICU cg: RRT v1: 5 u1: . st: NotStopd t0: [16:00:00 06/10/2012] id: Resp Rate (Spont) el: 0 cu: MICU cg: RRT v1: 0 u1: BPM st: NotStopd t0: [16:00:00 06/10/2012] id: Resp Rate (Total) el: 0 cu: MICU cg: RRT v1: 12 u1: BPM st: NotStopd t0: [16:00:00 06/10/2012] id: Respiratory Rate Set el: 0 cu: MICU cg: RRT v1: 12 u1: BPM st: NotStopd t0: [16:00:00 06/10/2012] id: Sensitivity-Vent el: 0 cu: MICU cg: RRT v1: 2 u1: cmH2O st: NotStopd t0: [16:00:00 06/10/2012] id: Tidal Volume (Obser) el: 0 cu: MICU cg: RRT v1: 720 u1: ml/B st: NotStopd t0: [16:00:00 06/10/2012] id: Tidal Volume (Set) el: 0 cu: MICU cg: RRT v1: 700 u1: ml/B st: NotStopd t0: [16:00:00 06/10/2012] id: Ventilator Mode el: 0 cu: MICU cg: RRT v1: SIMV+PS st: NotStopd t0: [16:00:00 06/10/2012] id: Ventilator Type el: 0 cu: MICU cg: RRT v1: Drager st: NotStopd t0: [16:00:00 06/10/2012] id: Waveform-Vent el: 0 cu: MICU cg: RRT v1: RAMP st: NotStopd
t0: [17:00:00 06/10/2012] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [17:00:00 06/10/2012] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [17:00:00 06/10/2012] id: Riker-SAS Scale el: 0 cu: MICU cg: RN v1: Sedated st: NotStopd t0: [17:00:00 06/10/2012] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [17:00:00 06/10/2012] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [17:00:00 06/10/2012] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [17:00:00 06/10/2012] id: Heart Rate el: 0 cu: MICU cg: RN v1: 82 u1: BPM st: NotStopd t0: [17:00:00 06/10/2012] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [17:00:00 06/10/2012] id: Arterial BP el: 0 cu: MICU cg: RN v1: 118 u1: mmHg v2: 56 u2: mmHg st: NotStopd t0: [17:00:00 06/10/2012] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 74 u1: mmHg st: NotStopd t0: [17:00:00 06/10/2012] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [17:00:00 06/10/2012] id: Previous WeightF el: 0 cu: MICU cg: RN v1: 84.5 u1: kg st: NotStopd t0: [17:00:00 06/10/2012] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 12 u1: BPM st: NotStopd t0: [17:00:00 06/10/2012] id: SpO2 el: 0 cu: MICU cg: RN v1: 100 u1: % st: NotStopd t0: [17:00:00 06/10/2012] id: Temp. Site el: 0 cu: MICU cg: RN v1: Oral st: NotStopd t0: [17:00:00 06/10/2012] id: Temperature C (calc) el: 0 cu: MICU cg: RN v1: 36.3889 u1: Deg. C st: NotStopd t0: [17:00:00 06/10/2012] id: Temperature F el: 0 cu: MICU cg: RN v1: 97.5 u1: Deg. F st: NotStopd t0: [17:00:00 06/10/2012] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [17:15:00 06/10/2012] id: Temp. Site el: 0 cu: MICU cg: RN v1: Oral st: NotStopd t0: [17:15:00 06/10/2012] id: Temperature C (calc) el: 0 cu: MICU cg: RN v1: 36.5 u1: Deg. C st: NotStopd t0: [17:15:00 06/10/2012] id: Temperature F el: 0 cu: MICU cg: RN v1: 97.7 u1: Deg. F st: NotStopd
t0: [17:00:00 06/10/2012] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 125 vu: ml t0: [17:00:00 06/10/2012] id: Packed RBC's IV Infusions el: 1 cu: MICU cg: RN ai: 107 vu: ml nb: 1 t0: [17:00:00 06/10/2012] id: D5W 100.0ml + 600mcghr Sandostatin IV Infusions el: 2 cu: MICU cg: RN ai: 107 vo: 8.33333 vu: ml t0: [17:00:00 06/10/2012] id: Fresh Frozen Plasma IV Infusions el: 1 cu: MICU cg: RN ai: 155 vo: 178 vu: ml t0: [17:00:00 06/10/2012] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU cg: RN ai: 416 vo: 10 vu: ml t0: [17:00:00 06/10/2012] id: .9% Normal Saline 50.0ml + 50mghr Midazolam IV Infusions el: 1 cu: MICU cg: RN ai: 189 vo: 3 vu: ml t0: [17:00:00 06/10/2012] id: Urine Out Void el: 1 cu: MICU cg: RN vo: 65 vu: ml
t0: [17:00:00 06/10/2012] id: Fentanyl el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 100 du: mcghr sv: 250 su: ml rt: IV Drip t0: [17:00:00 06/10/2012] id: Midazolam el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 3 du: mghr sv: 50 su: ml rt: IV Drip t0: [17:00:00 06/10/2012] id: Sandostatin el: 2 cu: MICU cg: RN so: D5W vo: 0 v1: 50 du: mcghr sv: 100 su: ml rt: IV Drip
t0: [16:00:00 06/10/2012] id: Sputum Color/Consist el: 0 cu: MICU cg: RN v1: Clear v2: Thin st: NotStopd t0: [16:00:00 06/10/2012] id: Sputum Source/Amt el: 0 cu: MICU cg: RN v1: Suctioned v2: Scant st: NotStopd t0: [16:00:00 06/10/2012] id: Braden Activity el: 0 cu: MICU cg: RN v1: Bedfast st: NotStopd t0: [16:00:00 06/10/2012] id: Braden Frict/Shear el: 0 cu: MICU cg: RN v1: Potential Prob st: NotStopd t0: [16:00:00 06/10/2012] id: Braden Mobility el: 0 cu: MICU cg: RN v1: Sl. Limited st: NotStopd t0: [16:00:00 06/10/2012] id: Braden Moisture el: 0 cu: MICU cg: RN v1: Rarely Moist st: NotStopd t0: [16:00:00 06/10/2012] id: Braden Nutrition el: 0 cu: MICU cg: RN v1: Prob. Inadequate st: NotStopd t0: [16:00:00 06/10/2012] id: Braden Score el: 0 cu: MICU cg: RN v1: 15 u1: number st: NotStopd t0: [16:00:00 06/10/2012] id: Braden SensoryPercep el: 0 cu: MICU cg: RN v1: Sl. Limited st: NotStopd
t0: [18:00:00 06/10/2012] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [18:00:00 06/10/2012] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [18:00:00 06/10/2012] id: Riker-SAS Scale el: 0 cu: MICU cg: RN v1: Sedated st: NotStopd t0: [18:00:00 06/10/2012] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [18:00:00 06/10/2012] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [18:00:00 06/10/2012] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [18:00:00 06/10/2012] id: Heart Rate el: 0 cu: MICU cg: RN v1: 87 u1: BPM st: NotStopd t0: [18:00:00 06/10/2012] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [18:00:00 06/10/2012] id: Arterial BP el: 0 cu: MICU cg: RN v1: 117 u1: mmHg v2: 54 u2: mmHg st: NotStopd t0: [18:00:00 06/10/2012] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 72 u1: mmHg st: NotStopd t0: [18:00:00 06/10/2012] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [18:00:00 06/10/2012] id: Previous WeightF el: 0 cu: MICU cg: RN v1: 84.5 u1: kg st: NotStopd t0: [18:00:00 06/10/2012] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 12 u1: BPM st: NotStopd t0: [18:00:00 06/10/2012] id: SpO2 el: 0 cu: MICU cg: RN v1: 100 u1: % st: NotStopd t0: [18:00:00 06/10/2012] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [18:00:00 06/10/2012] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 125 vu: ml t0: [18:00:00 06/10/2012] id: D5W 100.0ml + 600mcghr Sandostatin IV Infusions el: 2 cu: MICU cg: RN ai: 107 vo: 8.33333 vu: ml t0: [18:00:00 06/10/2012] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU cg: RN ai: 416 vo: 10 vu: ml t0: [18:00:00 06/10/2012] id: Stool Out Stool el: 1 cu: MICU cg: RN vo: 400 vu: ml t0: [18:00:00 06/10/2012] id: .9% Normal Saline 50.0ml + 50mghr Midazolam IV Infusions el: 1 cu: MICU cg: RN ai: 189 vo: 3 vu: ml t0: [18:00:00 06/10/2012] id: Urine Out Void el: 1 cu: MICU cg: RN vo: 60 vu: ml
t0: [18:00:00 06/10/2012] id: Fentanyl el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 100 du: mcghr sv: 250 su: ml rt: IV Drip t0: [18:00:00 06/10/2012] id: Midazolam el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 3 du: mghr sv: 50 su: ml rt: IV Drip t0: [18:00:00 06/10/2012] id: Sandostatin el: 2 cu: MICU cg: RN so: D5W vo: 0 v1: 50 du: mcghr sv: 100 su: ml rt: IV Drip
t0: [18:00:00 06/10/2012] id: Fingerstick Glucose Chemistry el: 0 cu: MICU cg: RN v1: 137 rs: Manual st: NotStopd
t0: [18:06:00 06/10/2012] id: Art.pH ABG el: 0 cu: MICU cg: 1663 v1: 7.37 rs: Final st: NotStopd t0: [18:06:00 06/10/2012] id: Arterial Base Excess ABG el: 0 cu: MICU cg: 1663 v1: -6 rs: Final st: NotStopd t0: [18:06:00 06/10/2012] id: Arterial CO2(Calc) ABG el: 0 cu: MICU cg: 1663 v1: 18 rs: Final st: NotStopd t0: [18:06:00 06/10/2012] id: Arterial PaCO2 ABG el: 0 cu: MICU cg: 1663 v1: 30 u1: mmHg rs: Final st: NotStopd t0: [18:06:00 06/10/2012] id: Arterial PaO2 ABG el: 0 cu: MICU cg: 1663 v1: 118 u1: mmHg rs: Final st: NotStopd t0: [18:06:00 06/10/2012] id: Arterial pH ABG el: 0 cu: MICU cg: 1663 v1: 7.37 rs: Final st: NotStopd
t0: [18:15:00 06/10/2012] id: Hematocrit Hematology el: 0 cu: MICU cg: 1663 v1: 25 u1: % rs: Final st: NotStopd
t0: [19:00:00 06/10/2012] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [19:00:00 06/10/2012] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [19:00:00 06/10/2012] id: Riker-SAS Scale el: 0 cu: MICU cg: RN v1: Sedated st: NotStopd t0: [19:00:00 06/10/2012] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [19:00:00 06/10/2012] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [19:00:00 06/10/2012] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [19:00:00 06/10/2012] id: Heart Rate el: 0 cu: MICU cg: RN v1: 90 u1: BPM st: NotStopd t0: [19:00:00 06/10/2012] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [19:00:00 06/10/2012] id: Arterial BP el: 0 cu: MICU cg: RN v1: 114 u1: mmHg v2: 51 u2: mmHg st: NotStopd t0: [19:00:00 06/10/2012] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 69 u1: mmHg st: NotStopd t0: [19:00:00 06/10/2012] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [19:00:00 06/10/2012] id: Previous WeightF el: 0 cu: MICU cg: RN v1: 84.5 u1: kg st: NotStopd t0: [19:00:00 06/10/2012] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 12 u1: BPM st: NotStopd t0: [19:00:00 06/10/2012] id: SpO2 el: 0 cu: MICU cg: RN v1: 100 u1: % st: NotStopd t0: [19:00:00 06/10/2012] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [17:00:00 06/10/2012] id: D5W 250.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 105 vo: 0 vu: ml t0: [18:00:00 06/10/2012] id: D5W 250.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 105 vo: 0 vu: ml t0: [19:00:00 06/10/2012] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 125 vu: ml t0: [19:00:00 06/10/2012] id: D5W 250.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 105 vo: 0 vu: ml t0: [19:00:00 06/10/2012] id: D5W 100.0ml + 600mcghr Sandostatin IV Infusions el: 2 cu: MICU cg: RN ai: 107 vo: 8.33333 vu: ml t0: [19:00:00 06/10/2012] id: Fresh Frozen Plasma IV Infusions el: 1 cu: MICU cg: RN ai: 155 vo: 375 vu: ml t0: [19:00:00 06/10/2012] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU cg: RN ai: 416 vo: 10 vu: ml t0: [19:00:00 06/10/2012] id: .9% Normal Saline 50.0ml + 50mghr Midazolam IV Infusions el: 1 cu: MICU cg: RN ai: 189 vo: 3 vu: ml t0: [19:00:00 06/10/2012] id: Urine Out Void el: 1 cu: MICU cg: RN vo: 50 vu: ml
t0: [19:00:00 06/10/2012] id: Fentanyl el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 100 du: mcghr sv: 250 su: ml rt: IV Drip t0: [19:00:00 06/10/2012] id: Midazolam el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 3 du: mghr sv: 50 su: ml rt: IV Drip t0: [19:00:00 06/10/2012] id: Sandostatin el: 2 cu: MICU cg: RN so: D5W vo: 0 v1: 50 du: mcghr sv: 100 su: ml rt: IV Drip
t0: [19:30:00 06/10/2012] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [19:30:00 06/10/2012] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [19:30:00 06/10/2012] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [19:30:00 06/10/2012] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [19:30:00 06/10/2012] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [19:30:00 06/10/2012] id: Heart Rate el: 0 cu: MICU cg: RN v1: 92 u1: BPM st: NotStopd t0: [19:30:00 06/10/2012] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [19:30:00 06/10/2012] id: Arterial BP el: 0 cu: MICU cg: RN v1: 115 u1: mmHg v2: 52 u2: mmHg st: NotStopd t0: [19:30:00 06/10/2012] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 69 u1: mmHg st: NotStopd t0: [19:30:00 06/10/2012] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [19:30:00 06/10/2012] id: Previous WeightF el: 0 cu: MICU cg: RN v1: 84.5 u1: kg st: NotStopd t0: [19:30:00 06/10/2012] id: SpO2 el: 0 cu: MICU cg: RN v1: 100 u1: % st: NotStopd t0: [19:30:00 06/10/2012] id: Temp. Site el: 0 cu: MICU cg: RN v1: Oral st: NotStopd t0: [19:30:00 06/10/2012] id: Temperature C (calc) el: 0 cu: MICU cg: RN v1: 36.8333 u1: Deg. C st: NotStopd t0: [19:30:00 06/10/2012] id: Temperature F el: 0 cu: MICU cg: RN v1: 98.3 u1: Deg. F st: NotStopd t0: [19:30:00 06/10/2012] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [19:30:00 06/10/2012] id: Fentanyl el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 100 du: mcghr sv: 250 su: ml rt: IV Drip t0: [19:30:00 06/10/2012] id: Midazolam el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 3 du: mghr sv: 50 su: ml rt: IV Drip t0: [19:30:00 06/10/2012] id: Sandostatin el: 2 cu: MICU cg: RN so: D5W vo: 0 v1: 50 du: mcghr sv: 100 su: ml rt: IV Drip
t0: [19:45:00 06/10/2012] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [19:45:00 06/10/2012] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [19:45:00 06/10/2012] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [19:45:00 06/10/2012] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [19:45:00 06/10/2012] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [19:45:00 06/10/2012] id: Heart Rate el: 0 cu: MICU cg: RN v1: 90 u1: BPM st: NotStopd t0: [19:45:00 06/10/2012] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [19:45:00 06/10/2012] id: Arterial BP el: 0 cu: MICU cg: RN v1: 122 u1: mmHg v2: 56 u2: mmHg st: NotStopd t0: [19:45:00 06/10/2012] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 76 u1: mmHg st: NotStopd t0: [19:45:00 06/10/2012] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [19:45:00 06/10/2012] id: Previous WeightF el: 0 cu: MICU cg: RN v1: 84.5 u1: kg st: NotStopd t0: [19:45:00 06/10/2012] id: SpO2 el: 0 cu: MICU cg: RN v1: 100 u1: % st: NotStopd t0: [19:45:00 06/10/2012] id: Temp. Site el: 0 cu: MICU cg: RN v1: Oral st: NotStopd t0: [19:45:00 06/10/2012] id: Temperature C (calc) el: 0 cu: MICU cg: RN v1: 36.6111 u1: Deg. C st: NotStopd t0: [19:45:00 06/10/2012] id: Temperature F el: 0 cu: MICU cg: RN v1: 97.9 u1: Deg. F st: NotStopd t0: [19:45:00 06/10/2012] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [20:00:00 06/10/2012] id: Less Restrict Meas. el: 0 cu: MICU cg: RN v1: Medicated st: NotStopd t0: [20:00:00 06/10/2012] id: Range of Motion el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [20:00:00 06/10/2012] id: Circulation/SkinInt el: 0 cu: MICU cg: RN v1: Circulation Adeq st: NotStopd t0: [20:00:00 06/10/2012] id: Cough Effort el: 0 cu: MICU cg: RN v1: Strong st: NotStopd t0: [20:00:00 06/10/2012] id: Cough Reflex el: 0 cu: MICU cg: RN v1: Intact st: NotStopd t0: [20:00:00 06/10/2012] id: Cough Type el: 0 cu: MICU cg: RN v1: Nonproductive st: NotStopd t0: [20:00:00 06/10/2012] id: GI Prophylaxis el: 0 cu: MICU cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [20:00:00 06/10/2012] id: Diet Type el: 0 cu: MICU cg: RN v1: NPO st: NotStopd t0: [20:00:00 06/10/2012] id: Dorsal PedPulse R/L el: 0 cu: MICU cg: RN v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [20:00:00 06/10/2012] id: Eye Opening el: 0 cu: MICU cg: RN v1: 3 To speech st: NotStopd t0: [20:00:00 06/10/2012] id: Follows Commands el: 0 cu: MICU cg: RN v1: Consistently st: NotStopd t0: [20:00:00 06/10/2012] id: GCS Total el: 0 cu: MICU cg: RN v1: 10 u1: points st: NotStopd t0: [20:00:00 06/10/2012] id: Gag Reflex el: 0 cu: MICU cg: RN v1: Intact st: NotStopd t0: [20:00:00 06/10/2012] id: INV Line#1 Type/Site el: 0 cu: MICU cg: RN v1: A-Line v2: Left Radial st: NotStopd t0: [20:00:00 06/10/2012] id: INV Line#1 Zero/Cal el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [20:00:00 06/10/2012] id: INV Line#1InsertDate el: 0 cu: MICU cg: RN v1: 9 v2: 13 st: NotStopd t0: [20:00:00 06/10/2012] id: INV Line#1SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [20:00:00 06/10/2012] id: INV Line#2 Type/Site el: 0 cu: MICU cg: RN v1: Multi-lumen v2: Right Femoral st: NotStopd t0: [20:00:00 06/10/2012] id: INV Line#2InsertDate el: 0 cu: MICU cg: RN v1: 9 v2: 13 st: NotStopd t0: [20:00:00 06/10/2012] id: INV Line#2SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [20:00:00 06/10/2012] id: Abdominal Assessment el: 0 cu: MICU cg: RN v1: Ascites st: NotStopd t0: [20:00:00 06/10/2012] id: INV#1 WaveformAppear el: 0 cu: MICU cg: RN v1: Sharp st: NotStopd t0: [20:00:00 06/10/2012] id: IV #1 Insert Date el: 0 cu: MICU cg: RN v1: 9 v2: 13 st: NotStopd t0: [20:00:00 06/10/2012] id: IV #1 Site/Size el: 0 cu: MICU cg: RN v1: LL Ant Forearm v2: 20 gauge st: NotStopd t0: [20:00:00 06/10/2012] id: IV #2 Insert Date el: 0 cu: MICU cg: RN v1: 9 v2: 13 st: NotStopd t0: [20:00:00 06/10/2012] id: IV #2 Site/Size el: 0 cu: MICU cg: RN v1: LL Ant Forearm v2: 20 gauge st: NotStopd t0: [20:00:00 06/10/2012] id: IV #3 Insert Date el: 0 cu: MICU cg: RN v1: 9 v2: 12 st: NotStopd t0: [20:00:00 06/10/2012] id: IV #3 Site/Size el: 0 cu: MICU cg: RN v1: Right Hand v2: 18 gauge st: NotStopd t0: [20:00:00 06/10/2012] id: IV #4 Insert Date el: 0 cu: MICU cg: RN v1: 9 v2: 12 st: NotStopd t0: [20:00:00 06/10/2012] id: IV #4 Site/Size el: 0 cu: MICU cg: RN v1: RL Ant Forearm v2: 18 gauge st: NotStopd t0: [20:00:00 06/10/2012] id: IV Site Appear #1 el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [20:00:00 06/10/2012] id: IV Site Appear #2 el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [20:00:00 06/10/2012] id: IV Site Appear #3 el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [20:00:00 06/10/2012] id: IV Site Appear #4 el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [20:00:00 06/10/2012] id: LLL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [20:00:00 06/10/2012] id: LUL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [20:00:00 06/10/2012] id: Level of Conscious el: 0 cu: MICU cg: RN v1: Arouse to Voice st: NotStopd t0: [20:00:00 06/10/2012] id: Angio Appearance #1 el: 0 cu: MICU cg: RN v1: Clean and Dry v2: Clean and Dry st: NotStopd t0: [20:00:00 06/10/2012] id: Motor Response el: 0 cu: MICU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [20:00:00 06/10/2012] id: Angio Dressing #1 el: 0 cu: MICU cg: RN v1: Dry Sterile Dsg st: NotStopd t0: [20:00:00 06/10/2012] id: Oral Cavity el: 0 cu: MICU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [20:00:00 06/10/2012] id: Orientation el: 0 cu: MICU cg: RN v1: Other/Remarks st: NotStopd t0: [20:00:00 06/10/2012] id: Angio Site #1 el: 0 cu: MICU cg: RN v1: L Femoral st: NotStopd t0: [20:00:00 06/10/2012] id: Position Change el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [20:00:00 06/10/2012] id: PostTib. Pulses R/L el: 0 cu: MICU cg: RN v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [20:00:00 06/10/2012] id: Pupil Size R/L el: 0 cu: MICU cg: RN v1: Pinpoint v2: Pinpoint st: NotStopd t0: [20:00:00 06/10/2012] id: RLL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [20:00:00 06/10/2012] id: RUL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [20:00:00 06/10/2012] id: Reason For Restraint el: 0 cu: MICU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [20:00:00 06/10/2012] id: Removed x 5 Mins el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [20:00:00 06/10/2012] id: Respiratory Pattern el: 0 cu: MICU cg: RN v1: Regular st: NotStopd t0: [20:00:00 06/10/2012] id: Restraint Location el: 0 cu: MICU cg: RN v1: Both Arms st: NotStopd t0: [20:00:00 06/10/2012] id: Restraint Type el: 0 cu: MICU cg: RN v1: Soft Limb st: NotStopd t0: [20:00:00 06/10/2012] id: Restraints Evaluated el: 0 cu: MICU cg: RN v1: RestraintReapply st: NotStopd t0: [20:00:00 06/10/2012] id: Side Rails el: 0 cu: MICU cg: RN v1: Side Rails Up st: NotStopd t0: [20:00:00 06/10/2012] id: Skin Color el: 0 cu: MICU cg: RN v1: Jaundiced st: NotStopd t0: [20:00:00 06/10/2012] id: Skin Integrity el: 0 cu: MICU cg: RN v1: Intact st: NotStopd t0: [20:00:00 06/10/2012] id: Skin Temp/Condition el: 0 cu: MICU cg: RN v1: Cool v2: Dry st: NotStopd t0: [20:00:00 06/10/2012] id: Spontaneous Movement el: 0 cu: MICU cg: RN v1: Purposeful st: NotStopd t0: [20:00:00 06/10/2012] id: Support Systems el: 0 cu: MICU cg: RN v1: Spouse st: NotStopd t0: [20:00:00 06/10/2012] id: Urine Color/Appear el: 0 cu: MICU cg: RN v1: Icteric v2: Clear st: NotStopd t0: [20:00:00 06/10/2012] id: Urine Source el: 0 cu: MICU cg: RN v1: Indwelling Cath st: NotStopd t0: [20:00:00 06/10/2012] id: Verbal Response el: 0 cu: MICU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [20:00:00 06/10/2012] id: Behavior el: 0 cu: MICU cg: RN v1: Sedated st: NotStopd t0: [20:00:00 06/10/2012] id: Bowel Sounds el: 0 cu: MICU cg: RN v1: Hypoactive st: NotStopd t0: [20:00:00 06/10/2012] id: Braden Activity el: 0 cu: MICU cg: RN v1: Bedfast st: NotStopd t0: [20:00:00 06/10/2012] id: Braden Frict/Shear el: 0 cu: MICU cg: RN v1: Potential Prob st: NotStopd t0: [20:00:00 06/10/2012] id: Braden Mobility el: 0 cu: MICU cg: RN v1: Very Limited st: NotStopd t0: [20:00:00 06/10/2012] id: Braden Moisture el: 0 cu: MICU cg: RN v1: Occ. Moist st: NotStopd t0: [20:00:00 06/10/2012] id: Braden Nutrition el: 0 cu: MICU cg: RN v1: Prob. Inadequate st: NotStopd t0: [20:00:00 06/10/2012] id: Braden Score el: 0 cu: MICU cg: RN v1: 13 u1: number st: NotStopd t0: [20:00:00 06/10/2012] id: Braden SensoryPercep el: 0 cu: MICU cg: RN v1: Sl. Limited st: NotStopd
t0: [20:00:00 06/10/2012] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 125 vu: ml t0: [20:00:00 06/10/2012] id: D5W 250.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 105 vo: 0 vu: ml t0: [20:00:00 06/10/2012] id: D5W 100.0ml + 600mcghr Sandostatin IV Infusions el: 2 cu: MICU cg: RN ai: 107 vo: 8.33333 vu: ml t0: [20:00:00 06/10/2012] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU cg: RN ai: 416 vo: 10 vu: ml t0: [20:00:00 06/10/2012] id: .9% Normal Saline 50.0ml + 50mghr Midazolam IV Infusions el: 1 cu: MICU cg: RN ai: 189 vo: 3 vu: ml t0: [20:00:00 06/10/2012] id: Urine Out Void el: 1 cu: MICU cg: RN vo: 45 vu: ml
t0: [19:45:00 06/10/2012] id: Fentanyl el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 100 du: mcghr sv: 250 su: ml rt: IV Drip t0: [19:45:00 06/10/2012] id: Midazolam el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 3 du: mghr sv: 50 su: ml rt: IV Drip t0: [19:45:00 06/10/2012] id: Sandostatin el: 2 cu: MICU cg: RN so: D5W vo: 0 v1: 50 du: mcghr sv: 100 su: ml rt: IV Drip
t0: [19:15:00 06/10/2012] id: PT el: 0 cu: MICU cg: 1663 v1: 15.2 rs: Final st: NotStopd t0: [19:15:00 06/10/2012] id: INR Coags el: 0 cu: MICU cg: 1663 v1: 1.5 rs: Final st: NotStopd t0: [19:15:00 06/10/2012] id: PTT Coags el: 0 cu: MICU cg: 1663 v1: 38 rs: Final st: NotStopd t0: [19:15:00 06/10/2012] id: INR (2-4 ref. range) Coags el: 0 cu: MICU cg: 1663 v1: 1.5 rs: Final st: NotStopd t0: [19:15:00 06/10/2012] id: PT(11-13.5) Coags el: 0 cu: MICU cg: 1663 v1: 15.2 rs: Final st: NotStopd t0: [19:15:00 06/10/2012] id: PTT(22-35) Coags el: 0 cu: MICU cg: 1663 v1: 38 rs: Final st: NotStopd
t0: [20:00:00 06/10/2012] id: Pain Present el: 0 cu: MICU cg: RN v1: No st: NotStopd t0: [20:00:00 06/10/2012] id: Pain Assess Method el: 0 cu: MICU cg: RN v1: Non-verbal cues st: NotStopd t0: [20:00:00 06/10/2012] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [20:00:00 06/10/2012] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [20:00:00 06/10/2012] id: Riker-SAS Scale el: 0 cu: MICU cg: RN v1: Sedated st: NotStopd t0: [20:00:00 06/10/2012] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [20:00:00 06/10/2012] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [20:00:00 06/10/2012] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [20:00:00 06/10/2012] id: Heart Rate el: 0 cu: MICU cg: RN v1: 89 u1: BPM st: NotStopd t0: [20:00:00 06/10/2012] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [20:00:00 06/10/2012] id: Arterial BP el: 0 cu: MICU cg: RN v1: 121 u1: mmHg v2: 56 u2: mmHg st: NotStopd t0: [20:00:00 06/10/2012] id: Pain Location el: 0 cu: MICU cg: RN v1: Not Indicated st: NotStopd t0: [20:00:00 06/10/2012] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 75 u1: mmHg st: NotStopd t0: [20:00:00 06/10/2012] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [20:00:00 06/10/2012] id: Previous WeightF el: 0 cu: MICU cg: RN v1: 84.5 u1: kg st: NotStopd t0: [20:00:00 06/10/2012] id: SpO2 el: 0 cu: MICU cg: RN v1: 100 u1: % st: NotStopd t0: [20:00:00 06/10/2012] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [20:30:00 06/10/2012] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [20:30:00 06/10/2012] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [20:30:00 06/10/2012] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [20:30:00 06/10/2012] id: Heart Rate el: 0 cu: MICU cg: RN v1: 89 u1: BPM st: NotStopd t0: [20:30:00 06/10/2012] id: Arterial BP el: 0 cu: MICU cg: RN v1: 120 u1: mmHg v2: 56 u2: mmHg st: NotStopd t0: [20:30:00 06/10/2012] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 75 u1: mmHg st: NotStopd t0: [20:30:00 06/10/2012] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [20:30:00 06/10/2012] id: Previous Weight el: 0 cu: MICU cg: RN v1: 84.5 u1: kg st: NotStopd t0: [20:30:00 06/10/2012] id: Previous WeightF el: 0 cu: MICU cg: RN v1: 84.5 u1: kg st: NotStopd t0: [20:30:00 06/10/2012] id: SpO2 el: 0 cu: MICU cg: RN v1: 100 u1: % st: NotStopd t0: [20:30:00 06/10/2012] id: Temperature C (calc) el: 0 cu: MICU cg: RN v1: 36.6111 u1: Deg. C st: NotStopd t0: [20:30:00 06/10/2012] id: Temperature F el: 0 cu: MICU cg: RN v1: 97.9 u1: Deg. F st: NotStopd t0: [20:30:00 06/10/2012] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [19:00:00 06/10/2012] id: Packed RBC's IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 375 vu: ml
t0: [20:00:00 06/10/2012] id: Fentanyl el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 100 du: mcghr sv: 250 su: ml rt: IV Drip t0: [20:00:00 06/10/2012] id: Midazolam el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 3 du: mghr sv: 50 su: ml rt: IV Drip t0: [20:00:00 06/10/2012] id: Sandostatin el: 2 cu: MICU cg: RN so: D5W vo: 0 v1: 50 du: mcghr sv: 100 su: ml rt: IV Drip t0: [20:30:00 06/10/2012] id: Fentanyl el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 100 du: mcghr sv: 250 su: ml rt: IV Drip t0: [20:30:00 06/10/2012] id: Midazolam el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 3 du: mghr sv: 50 su: ml rt: IV Drip t0: [20:30:00 06/10/2012] id: Sandostatin el: 2 cu: MICU cg: RN so: D5W vo: 0 v1: 50 du: mcghr sv: 100 su: ml rt: IV Drip
t0: [20:30:00 06/10/2012] id: HI/Minute/Vol/Alarm el: 0 cu: MICU cg: RRT v1: 16 t0: [20:30:00 06/10/2012] id: Compliance (40-60ml) el: 0 cu: MICU cg: RRT v1: 36.8421 u1: ml/cmH st: NotStopd t0: [20:30:00 06/10/2012] id: ETT Mark/Location el: 0 cu: MICU cg: RRT v1: 23cm v2: Lip st: NotStopd t0: [20:30:00 06/10/2012] id: FiO2 Set el: 0 cu: MICU cg: RRT v1: 0.35 u1: torr st: NotStopd t0: [20:30:00 06/10/2012] id: High Insp. Pressure el: 0 cu: MICU cg: RRT v1: 50 u1: cmH2O st: NotStopd t0: [20:30:00 06/10/2012] id: High Resp. Rate el: 0 cu: MICU cg: RRT v1: 40 u1: BPM st: NotStopd t0: [20:30:00 06/10/2012] id: I:E Ratio el: 0 cu: MICU cg: RRT v1: 1:4 st: NotStopd t0: [20:30:00 06/10/2012] id: Airway Size el: 0 cu: MICU cg: RRT v1: 7.5 mm st: NotStopd t0: [20:30:00 06/10/2012] id: Airway Type el: 0 cu: MICU cg: RRT v1: Endotracheal st: NotStopd t0: [20:30:00 06/10/2012] id: Inspired Gas Temp el: 0 cu: MICU cg: RRT v1: 34 u1: Deg. C st: NotStopd t0: [20:30:00 06/10/2012] id: Intubation Date el: 0 cu: MICU cg: RRT v1: 9 v2: 13 st: NotStopd t0: [20:30:00 06/10/2012] id: Low Exhaled Min Vol el: 0 cu: MICU cg: RRT v1: 6 st: NotStopd t0: [20:30:00 06/10/2012] id: Mean Airway Pressure el: 0 cu: MICU cg: RRT v1: 8 u1: cmH2O st: NotStopd t0: [20:30:00 06/10/2012] id: Minute Volume(Obser) el: 0 cu: MICU cg: RRT v1: 9.23 u1: L/min st: NotStopd t0: [20:30:00 06/10/2012] id: PEEP Set el: 0 cu: MICU cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [20:30:00 06/10/2012] id: Apnea Time Interval el: 0 cu: MICU cg: RRT v1: 20 st: NotStopd t0: [20:30:00 06/10/2012] id: Peak Insp. Pressure el: 0 cu: MICU cg: RRT v1: 24 u1: cmH2O st: NotStopd t0: [20:30:00 06/10/2012] id: Plateau Pressure el: 0 cu: MICU cg: RRT v1: 20 u1: cmH2O st: NotStopd t0: [20:30:00 06/10/2012] id: Pressure Support el: 0 cu: MICU cg: RRT v1: 5 u1: . st: NotStopd t0: [20:30:00 06/10/2012] id: Resp Rate (Spont) el: 0 cu: MICU cg: RRT v1: 5 u1: BPM st: NotStopd t0: [20:30:00 06/10/2012] id: Resp Rate (Total) el: 0 cu: MICU cg: RRT v1: 17 u1: BPM st: NotStopd t0: [20:30:00 06/10/2012] id: Respiratory Rate Set el: 0 cu: MICU cg: RRT v1: 12 u1: BPM st: NotStopd t0: [20:30:00 06/10/2012] id: Sensitivity-Vent el: 0 cu: MICU cg: RRT v1: 2 u1: cmH2O st: NotStopd t0: [20:30:00 06/10/2012] id: Sputum Color/Consist el: 0 cu: MICU cg: RRT v1: Blood Tinged v2: Thick st: NotStopd t0: [20:30:00 06/10/2012] id: Sputum Source/Amt el: 0 cu: MICU cg: RRT v1: Suctioned v2: Moderate st: NotStopd t0: [20:30:00 06/10/2012] id: Tidal Volume (Obser) el: 0 cu: MICU cg: RRT v1: 773 u1: ml/B st: NotStopd t0: [20:30:00 06/10/2012] id: Tidal Volume (Set) el: 0 cu: MICU cg: RRT v1: 700 u1: ml/B st: NotStopd t0: [20:30:00 06/10/2012] id: Tidal Volume (Spont) el: 0 cu: MICU cg: RRT v1: 808 u1: ml/B st: NotStopd t0: [20:30:00 06/10/2012] id: Ventilator Mode el: 0 cu: MICU cg: RRT v1: SIMV+PS st: NotStopd t0: [20:30:00 06/10/2012] id: Ventilator Type el: 0 cu: MICU cg: RRT v1: Drager st: NotStopd t0: [20:30:00 06/10/2012] id: Waveform-Vent el: 0 cu: MICU cg: RRT v1: RAMP st: NotStopd
t0: [20:50:00 06/10/2012] id: Blood Products Hematology el: 0 cu: MICU cg: 1663 v1: Y rs: Final st: NotStopd
t0: [21:00:00 06/10/2012] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [21:00:00 06/10/2012] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [21:00:00 06/10/2012] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [21:00:00 06/10/2012] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [21:00:00 06/10/2012] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [21:00:00 06/10/2012] id: Eye Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [21:00:00 06/10/2012] id: HOB el: 0 cu: MICU cg: RN v1: 30 degrees st: NotStopd t0: [21:00:00 06/10/2012] id: Heart Rate el: 0 cu: MICU cg: RN v1: 97 u1: BPM st: NotStopd t0: [21:00:00 06/10/2012] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [21:00:00 06/10/2012] id: Activity el: 0 cu: MICU cg: RN v1: Bedrest st: NotStopd t0: [21:00:00 06/10/2012] id: Activity Tolerance el: 0 cu: MICU cg: RN v1: Tolerated Well st: NotStopd t0: [21:00:00 06/10/2012] id: Oral Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [21:00:00 06/10/2012] id: AntiEmbDevice/Status el: 0 cu: MICU cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [21:00:00 06/10/2012] id: Arterial BP el: 0 cu: MICU cg: RN v1: 105 u1: mmHg v2: 47 u2: mmHg st: NotStopd t0: [21:00:00 06/10/2012] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 65 u1: mmHg st: NotStopd t0: [21:00:00 06/10/2012] id: Position el: 0 cu: MICU cg: RN v1: Right Side st: NotStopd t0: [21:00:00 06/10/2012] id: Assistance Device el: 0 cu: MICU cg: RN v1: 1 Person Assist st: NotStopd t0: [21:00:00 06/10/2012] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [21:00:00 06/10/2012] id: Previous WeightF el: 0 cu: MICU cg: RN v1: 84.5 u1: kg st: NotStopd t0: [21:00:00 06/10/2012] id: Skin Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [21:00:00 06/10/2012] id: SpO2 el: 0 cu: MICU cg: RN v1: 100 u1: % st: NotStopd t0: [21:00:00 06/10/2012] id: Turn el: 0 cu: MICU cg: RN v1: Right Side st: NotStopd t0: [21:00:00 06/10/2012] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [21:00:00 06/10/2012] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 125 vu: ml t0: [21:00:00 06/10/2012] id: D5W 250.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 105 vo: 0 vu: ml t0: [21:00:00 06/10/2012] id: D5W 100.0ml + 600mcghr Sandostatin IV Infusions el: 2 cu: MICU cg: RN ai: 107 vo: 8.33333 vu: ml t0: [21:00:00 06/10/2012] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU cg: RN ai: 416 vo: 10 vu: ml t0: [21:00:00 06/10/2012] id: Stool Out Stool el: 1 cu: MICU cg: RN vo: 1100 vu: ml t0: [21:00:00 06/10/2012] id: .9% Normal Saline 50.0ml + 50mghr Midazolam IV Infusions el: 1 cu: MICU cg: RN ai: 189 vo: 3 vu: ml t0: [21:00:00 06/10/2012] id: Urine Out Void el: 1 cu: MICU cg: RN vo: 45 vu: ml
t0: [21:00:00 06/10/2012] id: Fentanyl el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 100 du: mcghr sv: 250 su: ml rt: IV Drip t0: [21:00:00 06/10/2012] id: Midazolam el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 3 du: mghr sv: 50 su: ml rt: IV Drip t0: [21:00:00 06/10/2012] id: Sandostatin el: 2 cu: MICU cg: RN so: D5W vo: 0 v1: 50 du: mcghr sv: 100 su: ml rt: IV Drip
t0: [23:00:00 06/10/2012] dt: 24 id: Stool Out Total el: 2 cu: MICU cg: RN cv: 1950 ap: carryForward
t0: [20:50:00 06/10/2012] id: Hematocrit Hematology el: 0 cu: MICU cg: 1663 v1: 26 u1: % rs: Final st: NotStopd
t0: [21:00:00 06/10/2012] id: Riker-SAS Scale el: 0 cu: MICU cg: RN v1: Sedated st: NotStopd t0: [21:00:00 06/10/2012] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 12 u1: BPM st: NotStopd t0: [21:00:00 06/10/2012] id: Sputum Color/Consist el: 0 cu: MICU cg: RN v1: Blood Tinged v2: Thick st: NotStopd t0: [21:00:00 06/10/2012] id: Sputum Source/Amt el: 0 cu: MICU cg: RN v1: Suctioned v2: Small st: NotStopd t0: [21:00:00 06/10/2012] id: Temp. Site el: 0 cu: MICU cg: RN v1: Oral st: NotStopd t0: [21:35:00 06/10/2012] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [21:35:00 06/10/2012] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [21:35:00 06/10/2012] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [21:35:00 06/10/2012] id: Heart Rate el: 0 cu: MICU cg: RN v1: 99 u1: BPM st: NotStopd t0: [21:35:00 06/10/2012] id: Arterial BP el: 0 cu: MICU cg: RN v1: 118 u1: mmHg v2: 56 u2: mmHg st: NotStopd t0: [21:35:00 06/10/2012] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 75 u1: mmHg st: NotStopd t0: [21:35:00 06/10/2012] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [21:35:00 06/10/2012] id: Previous WeightF el: 0 cu: MICU cg: RN v1: 84.5 u1: kg st: NotStopd t0: [21:35:00 06/10/2012] id: SpO2 el: 0 cu: MICU cg: RN v1: 100 u1: % st: NotStopd t0: [21:35:00 06/10/2012] id: Temperature C (calc) el: 0 cu: MICU cg: RN v1: 36.8333 u1: Deg. C st: NotStopd t0: [21:35:00 06/10/2012] id: Temperature F el: 0 cu: MICU cg: RN v1: 98.3 u1: Deg. F st: NotStopd t0: [21:35:00 06/10/2012] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [21:35:00 06/10/2012] id: Fresh Frozen Plasma IV Infusions el: 1 cu: MICU cg: RN ai: 155 vo: 464 vu: ml
t0: [21:35:00 06/10/2012] id: Fentanyl el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 100 du: mcghr sv: 250 su: ml rt: IV Drip t0: [21:35:00 06/10/2012] id: Midazolam el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 3 du: mghr sv: 50 su: ml rt: IV Drip t0: [21:35:00 06/10/2012] id: Sandostatin el: 2 cu: MICU cg: RN so: D5W vo: 0 v1: 50 du: mcghr sv: 100 su: ml rt: IV Drip
tf: [11:00:00 06/10/2012] pt: IV Piggyback rt: IV fr: BID fs: 10, 22 dn: 2 m1: Acetazolamide Sodium v1: 600 u1: mg m2: D5W v2: 100 u2: ml tf: [00:00:00 07/10/2012] pt: IV Piggyback rt: IV fr: BID fs: 10, 22 dn: 2 m1: Acetylcysteine 20% v1: 600 u1: mg m2: NS v2: 100 u2: ml tf: [21:00:00 07/10/2012] pt: Unit Dose rt: IV fr: ONCE fs: 22 dn: 1 m1: Phytonadione v1: 10 u1: mg
id: Cryoprecipitate el: 1 cu: MICU cg: RN io: Cryoprecipitate IV Drips du: ml rt: Intravenous Push
t0: [21:30:00 06/10/2012] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [21:30:00 06/10/2012] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [21:30:00 06/10/2012] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [21:30:00 06/10/2012] id: Heart Rate el: 0 cu: MICU cg: RN v1: 99 u1: BPM st: NotStopd t0: [21:30:00 06/10/2012] id: Arterial BP el: 0 cu: MICU cg: RN v1: 112 u1: mmHg v2: 52 u2: mmHg st: NotStopd t0: [21:30:00 06/10/2012] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 71 u1: mmHg st: NotStopd t0: [21:30:00 06/10/2012] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [21:30:00 06/10/2012] id: Previous WeightF el: 0 cu: MICU cg: RN v1: 84.5 u1: kg st: NotStopd t0: [21:30:00 06/10/2012] id: SpO2 el: 0 cu: MICU cg: RN v1: 100 u1: % st: NotStopd t0: [21:30:00 06/10/2012] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [21:50:00 06/10/2012] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [21:50:00 06/10/2012] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [21:50:00 06/10/2012] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [21:50:00 06/10/2012] id: Heart Rate el: 0 cu: MICU cg: RN v1: 92 u1: BPM st: NotStopd t0: [21:50:00 06/10/2012] id: Arterial BP el: 0 cu: MICU cg: RN v1: 108 u1: mmHg v2: 50 u2: mmHg st: NotStopd t0: [21:50:00 06/10/2012] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 67 u1: mmHg st: NotStopd t0: [21:50:00 06/10/2012] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [21:50:00 06/10/2012] id: Previous WeightF el: 0 cu: MICU cg: RN v1: 84.5 u1: kg st: NotStopd t0: [21:50:00 06/10/2012] id: SpO2 el: 0 cu: MICU cg: RN v1: 100 u1: % st: NotStopd t0: [21:50:00 06/10/2012] id: Temperature C (calc) el: 0 cu: MICU cg: RN v1: 36.9444 u1: Deg. C st: NotStopd t0: [21:50:00 06/10/2012] id: Temperature F el: 0 cu: MICU cg: RN v1: 98.5 u1: Deg. F st: NotStopd t0: [21:50:00 06/10/2012] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [22:00:00 06/10/2012] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [22:00:00 06/10/2012] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [22:00:00 06/10/2012] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [22:00:00 06/10/2012] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [22:00:00 06/10/2012] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [22:00:00 06/10/2012] id: Heart Rate el: 0 cu: MICU cg: RN v1: 93 u1: BPM st: NotStopd t0: [22:00:00 06/10/2012] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [22:00:00 06/10/2012] id: Arterial BP el: 0 cu: MICU cg: RN v1: 107 u1: mmHg v2: 50 u2: mmHg st: NotStopd t0: [22:00:00 06/10/2012] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 67 u1: mmHg st: NotStopd t0: [22:00:00 06/10/2012] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [22:00:00 06/10/2012] id: Previous WeightF el: 0 cu: MICU cg: RN v1: 84.5 u1: kg st: NotStopd t0: [22:00:00 06/10/2012] id: SpO2 el: 0 cu: MICU cg: RN v1: 100 u1: % st: NotStopd t0: [22:00:00 06/10/2012] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [22:00:00 06/10/2012] tf: [23:00:00 06/10/2012] dt: 60 id: D5W 250.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 125 vu: ml t0: [22:00:00 06/10/2012] id: D5W 250.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 105 vo: 50 vu: ml t0: [22:00:00 06/10/2012] id: Packed RBC's IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 375 vu: ml t0: [22:00:00 06/10/2012] id: D5W 100.0ml + 600mcghr Sandostatin IV Infusions el: 2 cu: MICU cg: RN ai: 107 vo: 8.33333 vu: ml t0: [22:00:00 06/10/2012] tf: [23:00:00 10/10/2012] dt: 5820 id: Cryoprecipitate IV Drips el: 1 cu: MICU cg: RN ai: 257 vo: 150 vu: ml t0: [22:00:00 06/10/2012] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU cg: RN ai: 416 vo: 10 vu: ml t0: [22:00:00 06/10/2012] id: .9% Normal Saline 50.0ml + 50mghr Midazolam IV Infusions el: 1 cu: MICU cg: RN ai: 189 vo: 3 vu: ml t0: [22:00:00 06/10/2012] id: Urine Out Void el: 1 cu: MICU cg: RN vo: 25 vu: ml
t0: [21:30:00 06/10/2012] id: Fentanyl el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 100 du: mcghr sv: 250 su: ml rt: IV Drip t0: [21:30:00 06/10/2012] id: Midazolam el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 3 du: mghr sv: 50 su: ml rt: IV Drip t0: [21:30:00 06/10/2012] id: Sandostatin el: 2 cu: MICU cg: RN so: D5W vo: 0 v1: 50 du: mcghr sv: 100 su: ml rt: IV Drip t0: [21:50:00 06/10/2012] id: Fentanyl el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 100 du: mcghr sv: 250 su: ml rt: IV Drip t0: [21:50:00 06/10/2012] id: Midazolam el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 3 du: mghr sv: 50 su: ml rt: IV Drip t0: [21:50:00 06/10/2012] id: Sandostatin el: 2 cu: MICU cg: RN so: D5W vo: 0 v1: 50 du: mcghr sv: 100 su: ml rt: IV Drip t0: [22:00:00 06/10/2012] id: Fentanyl el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 100 du: mcghr sv: 250 su: ml rt: IV Drip t0: [22:00:00 06/10/2012] id: Midazolam el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 3 du: mghr sv: 50 su: ml rt: IV Drip t0: [22:00:00 06/10/2012] id: Sandostatin el: 2 cu: MICU cg: RN so: D5W vo: 0 v1: 50 du: mcghr sv: 100 su: ml rt: IV Drip
t0: [21:45:00 06/10/2012] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [21:45:00 06/10/2012] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [21:45:00 06/10/2012] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [21:45:00 06/10/2012] id: Heart Rate el: 0 cu: MICU cg: RN v1: 94 u1: BPM st: NotStopd t0: [21:45:00 06/10/2012] id: Arterial BP el: 0 cu: MICU cg: RN v1: 115 u1: mmHg v2: 55 u2: mmHg st: NotStopd t0: [21:45:00 06/10/2012] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 73 u1: mmHg st: NotStopd t0: [21:45:00 06/10/2012] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [21:45:00 06/10/2012] id: Previous WeightF el: 0 cu: MICU cg: RN v1: 84.5 u1: kg st: NotStopd t0: [21:45:00 06/10/2012] id: SpO2 el: 0 cu: MICU cg: RN v1: 100 u1: % st: NotStopd t0: [21:45:00 06/10/2012] id: Temp. Site el: 0 cu: MICU cg: RN v1: Oral st: NotStopd t0: [21:45:00 06/10/2012] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [22:00:00 06/10/2012] id: Riker-SAS Scale el: 0 cu: MICU cg: RN v1: Sedated st: NotStopd t0: [22:00:00 06/10/2012] id: Previous Weight el: 0 cu: MICU cg: RN v1: 84.5 u1: kg st: NotStopd t0: [22:00:00 06/10/2012] id: Temp. Site el: 0 cu: MICU cg: RN v1: Oral st: NotStopd t0: [22:00:00 06/10/2012] id: Temperature C (calc) el: 0 cu: MICU cg: RN v1: 36.9444 u1: Deg. C st: NotStopd t0: [22:00:00 06/10/2012] id: Temperature F el: 0 cu: MICU cg: RN v1: 98.5 u1: Deg. F st: NotStopd t0: [22:15:00 06/10/2012] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [22:15:00 06/10/2012] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [22:15:00 06/10/2012] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [22:15:00 06/10/2012] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [22:15:00 06/10/2012] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [22:15:00 06/10/2012] id: Heart Rate el: 0 cu: MICU cg: RN v1: 94 u1: BPM st: NotStopd t0: [22:15:00 06/10/2012] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [22:15:00 06/10/2012] id: Arterial BP el: 0 cu: MICU cg: RN v1: 117 u1: mmHg v2: 54 u2: mmHg st: NotStopd t0: [22:15:00 06/10/2012] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 73 u1: mmHg st: NotStopd t0: [22:15:00 06/10/2012] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [22:15:00 06/10/2012] id: Previous Weight el: 0 cu: MICU cg: RN v1: 84.5 u1: kg st: NotStopd t0: [22:15:00 06/10/2012] id: Previous WeightF el: 0 cu: MICU cg: RN v1: 84.5 u1: kg st: NotStopd t0: [22:15:00 06/10/2012] id: SpO2 el: 0 cu: MICU cg: RN v1: 100 u1: % st: NotStopd t0: [22:15:00 06/10/2012] id: Temp. Site el: 0 cu: MICU cg: RN v1: Oral st: NotStopd t0: [22:15:00 06/10/2012] id: Temperature C (calc) el: 0 cu: MICU cg: RN v1: 36.8889 u1: Deg. C st: NotStopd t0: [22:15:00 06/10/2012] id: Temperature F el: 0 cu: MICU cg: RN v1: 98.4 u1: Deg. F st: NotStopd t0: [22:15:00 06/10/2012] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [21:45:00 06/10/2012] id: Fentanyl el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 100 du: mcghr sv: 250 su: ml rt: IV Drip t0: [21:45:00 06/10/2012] id: Midazolam el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 3 du: mghr sv: 50 su: ml rt: IV Drip t0: [21:45:00 06/10/2012] id: Sandostatin el: 2 cu: MICU cg: RN so: D5W vo: 0 v1: 50 du: mcghr sv: 100 su: ml rt: IV Drip t0: [22:15:00 06/10/2012] id: Fentanyl el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 100 du: mcghr sv: 250 su: ml rt: IV Drip t0: [22:15:00 06/10/2012] id: Midazolam el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 3 du: mghr sv: 50 su: ml rt: IV Drip t0: [22:15:00 06/10/2012] id: Sandostatin el: 2 cu: MICU cg: RN so: D5W vo: 0 v1: 50 du: mcghr sv: 100 su: ml rt: IV Drip
t0: [22:30:00 06/10/2012] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [22:30:00 06/10/2012] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [22:30:00 06/10/2012] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [22:30:00 06/10/2012] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [22:30:00 06/10/2012] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [22:30:00 06/10/2012] id: Heart Rate el: 0 cu: MICU cg: RN v1: 93 u1: BPM st: NotStopd t0: [22:30:00 06/10/2012] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [22:30:00 06/10/2012] id: Arterial BP el: 0 cu: MICU cg: RN v1: 117 u1: mmHg v2: 55 u2: mmHg st: NotStopd t0: [22:30:00 06/10/2012] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 74 u1: mmHg st: NotStopd t0: [22:30:00 06/10/2012] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [22:30:00 06/10/2012] id: Previous WeightF el: 0 cu: MICU cg: RN v1: 84.5 u1: kg st: NotStopd t0: [22:30:00 06/10/2012] id: SpO2 el: 0 cu: MICU cg: RN v1: 100 u1: % st: NotStopd t0: [22:30:00 06/10/2012] id: Temperature C (calc) el: 0 cu: MICU cg: RN v1: 36.9444 u1: Deg. C st: NotStopd t0: [22:30:00 06/10/2012] id: Temperature F el: 0 cu: MICU cg: RN v1: 98.5 u1: Deg. F st: NotStopd t0: [22:30:00 06/10/2012] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [22:30:00 06/10/2012] id: Fentanyl el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 100 du: mcghr sv: 250 su: ml rt: IV Drip t0: [22:30:00 06/10/2012] id: Midazolam el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 3 du: mghr sv: 50 su: ml rt: IV Drip t0: [22:30:00 06/10/2012] id: Sandostatin el: 2 cu: MICU cg: RN so: D5W vo: 0 v1: 50 du: mcghr sv: 100 su: ml rt: IV Drip
t0: [23:00:00 06/10/2012] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [23:00:00 06/10/2012] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [23:00:00 06/10/2012] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [23:00:00 06/10/2012] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [23:00:00 06/10/2012] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [23:00:00 06/10/2012] id: Heart Rate el: 0 cu: MICU cg: RN v1: 90 u1: BPM st: NotStopd t0: [23:00:00 06/10/2012] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [23:00:00 06/10/2012] id: Arterial BP el: 0 cu: MICU cg: RN v1: 119 u1: mmHg v2: 56 u2: mmHg st: NotStopd t0: [23:00:00 06/10/2012] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 74 u1: mmHg st: NotStopd t0: [23:00:00 06/10/2012] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [23:00:00 06/10/2012] id: Previous WeightF el: 0 cu: MICU cg: RN v1: 84.5 u1: kg st: NotStopd t0: [23:00:00 06/10/2012] id: SpO2 el: 0 cu: MICU cg: RN v1: 100 u1: % st: NotStopd t0: [23:00:00 06/10/2012] id: Temp. Site el: 0 cu: MICU cg: RN v1: Oral st: NotStopd t0: [23:00:00 06/10/2012] id: Temperature C (calc) el: 0 cu: MICU cg: RN v1: 36.8889 u1: Deg. C st: NotStopd t0: [23:00:00 06/10/2012] id: Temperature F el: 0 cu: MICU cg: RN v1: 98.4 u1: Deg. F st: NotStopd t0: [23:00:00 06/10/2012] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [23:00:00 06/10/2012] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 125 vu: ml t0: [23:00:00 06/10/2012] id: D5W 250.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 105 vo: 0 vu: ml t0: [23:00:00 06/10/2012] id: D5W 100.0ml + 600mcghr Sandostatin IV Infusions el: 2 cu: MICU cg: RN ai: 107 vo: 8.33333 vu: ml t0: [23:00:00 06/10/2012] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU cg: RN ai: 416 vo: 10 vu: ml t0: [23:00:00 06/10/2012] id: .9% Normal Saline 50.0ml + 50mghr Midazolam IV Infusions el: 1 cu: MICU cg: RN ai: 189 vo: 3 vu: ml t0: [23:00:00 06/10/2012] id: Urine Out Void el: 1 cu: MICU cg: RN vo: 50 vu: ml
t0: [23:00:00 06/10/2012] id: Fentanyl el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 100 du: mcghr sv: 250 su: ml rt: IV Drip t0: [23:00:00 06/10/2012] id: Midazolam el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 3 du: mghr sv: 50 su: ml rt: IV Drip t0: [23:00:00 06/10/2012] id: Sandostatin el: 2 cu: MICU cg: RN so: D5W vo: 0 v1: 50 du: mcghr sv: 100 su: ml rt: IV Drip
t0: [23:30:00 06/10/2012] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [23:30:00 06/10/2012] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [23:30:00 06/10/2012] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [23:30:00 06/10/2012] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [23:30:00 06/10/2012] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [23:30:00 06/10/2012] id: Heart Rate el: 0 cu: MICU cg: RN v1: 90 u1: BPM st: NotStopd t0: [23:30:00 06/10/2012] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [23:30:00 06/10/2012] id: Arterial BP el: 0 cu: MICU cg: RN v1: 118 u1: mmHg v2: 56 u2: mmHg st: NotStopd t0: [23:30:00 06/10/2012] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 75 u1: mmHg st: NotStopd t0: [23:30:00 06/10/2012] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [23:30:00 06/10/2012] id: Previous WeightF el: 0 cu: MICU cg: RN v1: 84.5 u1: kg st: NotStopd t0: [23:30:00 06/10/2012] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 18 u1: BPM st: NotStopd t0: [23:30:00 06/10/2012] id: SpO2 el: 0 cu: MICU cg: RN v1: 100 u1: % st: NotStopd t0: [23:30:00 06/10/2012] id: Temperature C (calc) el: 0 cu: MICU cg: RN v1: 36.8889 u1: Deg. C st: NotStopd t0: [23:30:00 06/10/2012] id: Temperature F el: 0 cu: MICU cg: RN v1: 98.4 u1: Deg. F st: NotStopd t0: [23:30:00 06/10/2012] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [23:00:00 06/10/2012] id: Packed RBC's IV Infusions el: 1 cu: MICU cg: RN ai: 107 vu: ml t0: [23:30:00 06/10/2012] id: Packed RBC's IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 375 vu: ml
t0: [23:30:00 06/10/2012] id: Fentanyl el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 100 du: mcghr sv: 250 su: ml rt: IV Drip t0: [23:30:00 06/10/2012] id: Midazolam el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 3 du: mghr sv: 50 su: ml rt: IV Drip t0: [23:30:00 06/10/2012] id: Sandostatin el: 2 cu: MICU cg: RN so: D5W vo: 0 v1: 50 du: mcghr sv: 100 su: ml rt: IV Drip
t0: [23:00:00 06/10/2012] dt: 1 id: Net Hourly Balance el: 2 cu: MICU cg: RN pv: 96.3333 cv: 96.3333 ap: none t0: [23:00:00 06/10/2012] dt: 24 id: 24h Total In el: 2 cu: MICU cg: RN pv: 146.333 cv: 15362 ap: none t0: [23:00:00 06/10/2012] dt: 24 id: 24h Net Body Balance el: 2 cu: MICU cg: RN pv: 96.3333 cv: 11642 ap: carryForward t0: [23:00:00 06/10/2012] dt: 24 id: Blood Products Total el: 2 cu: MICU cg: RN cv: 8876 ap: none t0: [23:00:00 06/10/2012] dt: multiple days id: LOS Net Body Balance el: 2 cu: MICU cg: RN pv: 96.3333 cv: 11642 ap: carryForward
t0: [21:00:00 06/10/2012] id: Fibrinogen Coags el: 0 cu: MICU cg: 1663 v1: 119 rs: Final st: NotStopd t0: [21:00:00 06/10/2012] id: Fibrinogen (150-400) Coags el: 0 cu: MICU cg: 1663 v1: 119 rs: Final st: NotStopd
t0: [00:00:00 07/10/2012] id: Pain Present el: 0 cu: MICU cg: RN v1: No st: NotStopd t0: [00:00:00 07/10/2012] id: Pain Assess Method el: 0 cu: MICU cg: RN v1: Non-verbal cues st: NotStopd t0: [00:00:00 07/10/2012] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [00:00:00 07/10/2012] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [00:00:00 07/10/2012] id: Riker-SAS Scale el: 0 cu: MICU cg: RN v1: Sedated st: NotStopd t0: [00:00:00 07/10/2012] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [00:00:00 07/10/2012] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [00:00:00 07/10/2012] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [00:00:00 07/10/2012] id: Heart Rate el: 0 cu: MICU cg: RN v1: 89 u1: BPM st: NotStopd t0: [00:00:00 07/10/2012] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [00:00:00 07/10/2012] id: Arterial BP el: 0 cu: MICU cg: RN v1: 116 u1: mmHg v2: 56 u2: mmHg st: NotStopd t0: [00:00:00 07/10/2012] id: Pain Location el: 0 cu: MICU cg: RN v1: Not Indicated st: NotStopd t0: [00:00:00 07/10/2012] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 74 u1: mmHg st: NotStopd t0: [00:00:00 07/10/2012] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [00:00:00 07/10/2012] id: Previous WeightF el: 0 cu: MICU cg: RN v1: 84.5 u1: kg st: NotStopd t0: [00:00:00 07/10/2012] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 23 u1: BPM st: NotStopd t0: [00:00:00 07/10/2012] id: SpO2 el: 0 cu: MICU cg: RN v1: 100 u1: % st: NotStopd t0: [00:00:00 07/10/2012] id: Sputum Color/Consist el: 0 cu: MICU cg: RN v1: Blood Tinged v2: Thick st: NotStopd t0: [00:00:00 07/10/2012] id: Sputum Source/Amt el: 0 cu: MICU cg: RN v1: Suctioned v2: Small st: NotStopd t0: [00:00:00 07/10/2012] id: Temp. Site el: 0 cu: MICU cg: RN v1: Oral st: NotStopd t0: [00:00:00 07/10/2012] id: Temperature C (calc) el: 0 cu: MICU cg: RN v1: 37.1667 u1: Deg. C st: NotStopd t0: [00:00:00 07/10/2012] id: Temperature F el: 0 cu: MICU cg: RN v1: 98.9 u1: Deg. F st: NotStopd t0: [00:00:00 07/10/2012] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [00:00:00 07/10/2012] id: Fingerstick Glucose Chemistry el: 0 cu: MICU cg: RN v1: 140 rs: Manual st: NotStopd
t0: [00:00:00 07/10/2012] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 125 vu: ml t0: [00:00:00 07/10/2012] id: D5W 100.0ml + 600mcghr Sandostatin IV Infusions el: 2 cu: MICU cg: RN ai: 107 vo: 8.33333 vu: ml t0: [00:00:00 07/10/2012] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU cg: RN ai: 416 vo: 10 vu: ml t0: [00:00:00 07/10/2012] id: .9% Normal Saline 50.0ml + 50mghr Midazolam IV Infusions el: 1 cu: MICU cg: RN ai: 189 vo: 3 vu: ml t0: [00:00:00 07/10/2012] id: Urine Out Void el: 1 cu: MICU cg: RN vo: 90 vu: ml
t0: [00:00:00 07/10/2012] id: Fentanyl el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 100 du: mcghr sv: 250 su: ml rt: IV Drip t0: [00:00:00 07/10/2012] id: Midazolam el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 3 du: mghr sv: 50 su: ml rt: IV Drip t0: [00:00:00 07/10/2012] id: Sandostatin el: 2 cu: MICU cg: RN so: D5W vo: 0 v1: 50 du: mcghr sv: 100 su: ml rt: IV Drip
t0: [23:00:00 06/10/2012] id: Chest PT R/L el: 0 cu: MICU cg: RN v1: Done v2: Done st: NotStopd t0: [23:00:00 06/10/2012] id: HOB el: 0 cu: MICU cg: RN v1: 30 degrees st: NotStopd t0: [23:00:00 06/10/2012] id: Activity el: 0 cu: MICU cg: RN v1: Bedrest st: NotStopd t0: [23:00:00 06/10/2012] id: Activity Tolerance el: 0 cu: MICU cg: RN v1: Tolerated Well st: NotStopd t0: [23:00:00 06/10/2012] id: AntiEmbDevice/Status el: 0 cu: MICU cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [23:00:00 06/10/2012] id: Position el: 0 cu: MICU cg: RN v1: Supine st: NotStopd t0: [23:00:00 06/10/2012] id: Assistance Device el: 0 cu: MICU cg: RN v1: 2 Person Assist st: NotStopd t0: [23:00:00 06/10/2012] id: Turn el: 0 cu: MICU cg: RN v1: Side to Side st: NotStopd t0: [23:00:00 06/10/2012] id: Back Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [00:00:00 07/10/2012] id: Cough Effort el: 0 cu: MICU cg: RN v1: Strong st: NotStopd t0: [00:00:00 07/10/2012] id: Cough Reflex el: 0 cu: MICU cg: RN v1: Intact st: NotStopd t0: [00:00:00 07/10/2012] id: Cough Type el: 0 cu: MICU cg: RN v1: Productive st: NotStopd t0: [00:00:00 07/10/2012] id: GI Prophylaxis el: 0 cu: MICU cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [00:00:00 07/10/2012] id: Diet Type el: 0 cu: MICU cg: RN v1: NPO st: NotStopd t0: [00:00:00 07/10/2012] id: Dorsal PedPulse R/L el: 0 cu: MICU cg: RN v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [00:00:00 07/10/2012] id: Eye Opening el: 0 cu: MICU cg: RN v1: 3 To speech st: NotStopd t0: [00:00:00 07/10/2012] id: Follows Commands el: 0 cu: MICU cg: RN v1: Consistently st: NotStopd t0: [00:00:00 07/10/2012] id: GCS Total el: 0 cu: MICU cg: RN v1: 10 u1: points st: NotStopd t0: [00:00:00 07/10/2012] id: Gag Reflex el: 0 cu: MICU cg: RN v1: Intact st: NotStopd t0: [00:00:00 07/10/2012] id: INV Line#1 Type/Site el: 0 cu: MICU cg: RN v1: A-Line v2: Left Radial st: NotStopd t0: [00:00:00 07/10/2012] id: INV Line#1 Zero/Cal el: 0 cu: MICU cg: RN v1: No st: NotStopd t0: [00:00:00 07/10/2012] id: INV Line#1InsertDate el: 0 cu: MICU cg: RN v1: 9 v2: 13 st: NotStopd t0: [00:00:00 07/10/2012] id: INV Line#1SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [00:00:00 07/10/2012] id: INV Line#2 Type/Site el: 0 cu: MICU cg: RN v1: Multi-lumen v2: Right Femoral st: NotStopd t0: [00:00:00 07/10/2012] id: INV Line#2InsertDate el: 0 cu: MICU cg: RN v1: 9 v2: 13 st: NotStopd t0: [00:00:00 07/10/2012] id: INV Line#2SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [00:00:00 07/10/2012] id: Abdominal Assessment el: 0 cu: MICU cg: RN v1: Ascites st: NotStopd t0: [00:00:00 07/10/2012] id: INV#1 WaveformAppear el: 0 cu: MICU cg: RN v1: Sharp st: NotStopd t0: [00:00:00 07/10/2012] id: IV #1 Insert Date el: 0 cu: MICU cg: RN v1: 9 v2: 13 st: NotStopd t0: [00:00:00 07/10/2012] id: IV #1 Site/Size el: 0 cu: MICU cg: RN v1: LL Ant Forearm v2: 20 gauge st: NotStopd t0: [00:00:00 07/10/2012] id: IV #2 Insert Date el: 0 cu: MICU cg: RN v1: 9 v2: 13 st: NotStopd t0: [00:00:00 07/10/2012] id: IV #2 Site/Size el: 0 cu: MICU cg: RN v1: LL Ant Forearm v2: 20 gauge st: NotStopd t0: [00:00:00 07/10/2012] id: IV #3 Insert Date el: 0 cu: MICU cg: RN v1: 9 v2: 12 st: NotStopd t0: [00:00:00 07/10/2012] id: IV #3 Site/Size el: 0 cu: MICU cg: RN v1: Right Hand v2: 18 gauge st: NotStopd t0: [00:00:00 07/10/2012] id: IV #4 Insert Date el: 0 cu: MICU cg: RN v1: 9 v2: 12 st: NotStopd t0: [00:00:00 07/10/2012] id: IV #4 Site/Size el: 0 cu: MICU cg: RN v1: RL Ant Forearm v2: 18 gauge st: NotStopd t0: [00:00:00 07/10/2012] id: IV Site Appear #1 el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [00:00:00 07/10/2012] id: IV Site Appear #2 el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [00:00:00 07/10/2012] id: IV Site Appear #3 el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [00:00:00 07/10/2012] id: IV Site Appear #4 el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [00:00:00 07/10/2012] id: LLL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [00:00:00 07/10/2012] id: LUL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [00:00:00 07/10/2012] id: Level of Conscious el: 0 cu: MICU cg: RN v1: Arouse to Voice st: NotStopd t0: [00:00:00 07/10/2012] id: Angio Appearance #1 el: 0 cu: MICU cg: RN v1: Clean and Dry st: NotStopd t0: [00:00:00 07/10/2012] id: Motor Response el: 0 cu: MICU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [00:00:00 07/10/2012] id: Oral Cavity el: 0 cu: MICU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [00:00:00 07/10/2012] id: Orientation el: 0 cu: MICU cg: RN v1: Other/Remarks st: NotStopd t0: [00:00:00 07/10/2012] id: Angio Site #1 el: 0 cu: MICU cg: RN v1: L Femoral st: NotStopd t0: [00:00:00 07/10/2012] id: PostTib. Pulses R/L el: 0 cu: MICU cg: RN v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [00:00:00 07/10/2012] id: Pupil Size R/L el: 0 cu: MICU cg: RN v1: Pinpoint v2: Pinpoint st: NotStopd t0: [00:00:00 07/10/2012] id: RLL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [00:00:00 07/10/2012] id: RUL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [00:00:00 07/10/2012] id: Reason For Restraint el: 0 cu: MICU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [00:00:00 07/10/2012] id: Respiratory Pattern el: 0 cu: MICU cg: RN v1: Regular st: NotStopd t0: [00:00:00 07/10/2012] id: Restraint Location el: 0 cu: MICU cg: RN v1: Both Arms st: NotStopd t0: [00:00:00 07/10/2012] id: Restraint Type el: 0 cu: MICU cg: RN v1: Soft Limb st: NotStopd t0: [00:00:00 07/10/2012] id: Side Rails el: 0 cu: MICU cg: RN v1: Side Rails Up st: NotStopd t0: [00:00:00 07/10/2012] id: Skin Color el: 0 cu: MICU cg: RN v1: Jaundiced st: NotStopd t0: [00:00:00 07/10/2012] id: Skin Integrity el: 0 cu: MICU cg: RN v1: Intact st: NotStopd t0: [00:00:00 07/10/2012] id: Skin Temp/Condition el: 0 cu: MICU cg: RN v1: Warm v2: Dry st: NotStopd t0: [00:00:00 07/10/2012] id: Spontaneous Movement el: 0 cu: MICU cg: RN v1: Purposeful st: NotStopd t0: [00:00:00 07/10/2012] id: Stool Guaiac el: 0 cu: MICU cg: RN v1: Positive st: NotStopd t0: [00:00:00 07/10/2012] id: Support Systems el: 0 cu: MICU cg: RN v1: Spouse st: NotStopd t0: [00:00:00 07/10/2012] id: Urine Color/Appear el: 0 cu: MICU cg: RN v1: Icteric v2: Clear st: NotStopd t0: [00:00:00 07/10/2012] id: Urine Source el: 0 cu: MICU cg: RN v1: Indwelling Cath st: NotStopd t0: [00:00:00 07/10/2012] id: Verbal Response el: 0 cu: MICU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [00:00:00 07/10/2012] id: Behavior el: 0 cu: MICU cg: RN v1: Sedated st: NotStopd t0: [00:00:00 07/10/2012] id: Bowel Sounds el: 0 cu: MICU cg: RN v1: Hypoactive st: NotStopd t0: [00:00:00 07/10/2012] id: Braden Activity el: 0 cu: MICU cg: RN v1: Bedfast st: NotStopd t0: [00:00:00 07/10/2012] id: Braden Frict/Shear el: 0 cu: MICU cg: RN v1: Potential Prob st: NotStopd t0: [00:00:00 07/10/2012] id: Braden Mobility el: 0 cu: MICU cg: RN v1: Very Limited st: NotStopd t0: [00:00:00 07/10/2012] id: Braden Moisture el: 0 cu: MICU cg: RN v1: Occ. Moist st: NotStopd t0: [00:00:00 07/10/2012] id: Braden Nutrition el: 0 cu: MICU cg: RN v1: Prob. Inadequate st: NotStopd t0: [00:00:00 07/10/2012] id: Braden Score el: 0 cu: MICU cg: RN v1: 13 u1: number st: NotStopd t0: [00:00:00 07/10/2012] id: Braden SensoryPercep el: 0 cu: MICU cg: RN v1: Sl. Limited st: NotStopd
t0: [00:30:00 07/10/2012] id: HI/Minute/Vol/Alarm el: 0 cu: MICU cg: RRT v1: 16 t0: [00:30:00 07/10/2012] id: Compliance (40-60ml) el: 0 cu: MICU cg: RRT v1: 28 u1: ml/cmH st: NotStopd t0: [00:30:00 07/10/2012] id: ETT Mark/Location el: 0 cu: MICU cg: RRT v1: 23cm v2: Lip st: NotStopd t0: [00:30:00 07/10/2012] id: FiO2 Set el: 0 cu: MICU cg: RRT v1: 0.35 u1: torr st: NotStopd t0: [00:30:00 07/10/2012] id: High Insp. Pressure el: 0 cu: MICU cg: RRT v1: 50 u1: cmH2O st: NotStopd t0: [00:30:00 07/10/2012] id: High Resp. Rate el: 0 cu: MICU cg: RRT v1: 40 u1: BPM st: NotStopd t0: [00:30:00 07/10/2012] id: I:E Ratio el: 0 cu: MICU cg: RRT v1: 1:4 st: NotStopd t0: [00:30:00 07/10/2012] id: Airway Size el: 0 cu: MICU cg: RRT v1: 7.5 mm st: NotStopd t0: [00:30:00 07/10/2012] id: Airway Type el: 0 cu: MICU cg: RRT v1: Endotracheal st: NotStopd t0: [00:30:00 07/10/2012] id: Inspired Gas Temp el: 0 cu: MICU cg: RRT v1: 34.2 u1: Deg. C st: NotStopd t0: [00:30:00 07/10/2012] id: Intubation Date el: 0 cu: MICU cg: RRT v1: 9 v2: 13 st: NotStopd t0: [00:30:00 07/10/2012] id: Low Exhaled Min Vol el: 0 cu: MICU cg: RRT v1: 6 st: NotStopd t0: [00:30:00 07/10/2012] id: Mean Airway Pressure el: 0 cu: MICU cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [00:30:00 07/10/2012] id: Minute Volume(Obser) el: 0 cu: MICU cg: RRT v1: 9.01 u1: L/min st: NotStopd t0: [00:30:00 07/10/2012] id: PEEP Set el: 0 cu: MICU cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [00:30:00 07/10/2012] id: Apnea Time Interval el: 0 cu: MICU cg: RRT v1: 20 st: NotStopd t0: [00:30:00 07/10/2012] id: Peak Insp. Pressure el: 0 cu: MICU cg: RRT v1: 30 u1: cmH2O st: NotStopd t0: [00:30:00 07/10/2012] id: Plateau Pressure el: 0 cu: MICU cg: RRT v1: 21 u1: cmH2O st: NotStopd t0: [00:30:00 07/10/2012] id: Pressure Support el: 0 cu: MICU cg: RRT v1: 5 u1: . st: NotStopd t0: [00:30:00 07/10/2012] id: Resp Rate (Spont) el: 0 cu: MICU cg: RRT v1: 0 u1: BPM st: NotStopd t0: [00:30:00 07/10/2012] id: Resp Rate (Total) el: 0 cu: MICU cg: RRT v1: 12 u1: BPM st: NotStopd t0: [00:30:00 07/10/2012] id: Respiratory Rate Set el: 0 cu: MICU cg: RRT v1: 12 u1: BPM st: NotStopd t0: [00:30:00 07/10/2012] id: Sensitivity-Vent el: 0 cu: MICU cg: RRT v1: 2 u1: cmH2O st: NotStopd t0: [00:30:00 07/10/2012] id: SpO2 el: 0 cu: MICU cg: RRT v1: 100 u1: % st: NotStopd t0: [00:30:00 07/10/2012] id: Tidal Volume (Obser) el: 0 cu: MICU cg: RRT v1: 781 u1: ml/B st: NotStopd t0: [00:30:00 07/10/2012] id: Tidal Volume (Set) el: 0 cu: MICU cg: RRT v1: 700 u1: ml/B st: NotStopd t0: [00:30:00 07/10/2012] id: Ventilator Mode el: 0 cu: MICU cg: RRT v1: SIMV+PS st: NotStopd t0: [00:30:00 07/10/2012] id: Ventilator Type el: 0 cu: MICU cg: RRT v1: Drager st: NotStopd t0: [00:30:00 07/10/2012] id: Waveform-Vent el: 0 cu: MICU cg: RRT v1: RAMP st: NotStopd
t0: [00:20:00 07/10/2012] id: Hematocrit Hematology el: 0 cu: MICU cg: 1663 v1: 26.2 u1: % rs: Final st: NotStopd
t0: [00:20:00 07/10/2012] id: PT el: 0 cu: MICU cg: 1663 v1: 15 rs: Final st: NotStopd t0: [00:20:00 07/10/2012] id: Fibrinogen Coags el: 0 cu: MICU cg: 1663 v1: 170 rs: Final st: NotStopd t0: [00:20:00 07/10/2012] id: INR Coags el: 0 cu: MICU cg: 1663 v1: 1.5 rs: Final st: NotStopd t0: [00:20:00 07/10/2012] id: PTT Coags el: 0 cu: MICU cg: 1663 v1: 38 rs: Final st: NotStopd t0: [00:20:00 07/10/2012] id: Fibrinogen (150-400) Coags el: 0 cu: MICU cg: 1663 v1: 170 rs: Final st: NotStopd t0: [00:20:00 07/10/2012] id: INR (2-4 ref. range) Coags el: 0 cu: MICU cg: 1663 v1: 1.5 rs: Final st: NotStopd t0: [00:20:00 07/10/2012] id: PT(11-13.5) Coags el: 0 cu: MICU cg: 1663 v1: 15 rs: Final st: NotStopd t0: [00:20:00 07/10/2012] id: PTT(22-35) Coags el: 0 cu: MICU cg: 1663 v1: 38 rs: Final st: NotStopd
t0: [01:00:00 07/10/2012] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [01:00:00 07/10/2012] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [01:00:00 07/10/2012] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [01:00:00 07/10/2012] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [01:00:00 07/10/2012] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [01:00:00 07/10/2012] id: Heart Rate el: 0 cu: MICU cg: RN v1: 92 u1: BPM st: NotStopd t0: [01:00:00 07/10/2012] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [01:00:00 07/10/2012] id: Arterial BP el: 0 cu: MICU cg: RN v1: 101 u1: mmHg v2: 46 u2: mmHg st: NotStopd t0: [01:00:00 07/10/2012] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 62 u1: mmHg st: NotStopd t0: [01:00:00 07/10/2012] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [01:00:00 07/10/2012] id: Previous WeightF el: 0 cu: MICU cg: RN v1: 84.5 u1: kg st: NotStopd t0: [01:00:00 07/10/2012] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 5 u1: BPM st: NotStopd t0: [01:00:00 07/10/2012] id: SpO2 el: 0 cu: MICU cg: RN v1: 100 u1: % st: NotStopd t0: [01:00:00 07/10/2012] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [01:00:00 07/10/2012] id: Fentanyl el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 100 du: mcghr sv: 250 su: ml rt: IV Drip t0: [01:00:00 07/10/2012] id: Midazolam el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 3 du: mghr sv: 50 su: ml rt: IV Drip t0: [01:00:00 07/10/2012] id: Sandostatin el: 2 cu: MICU cg: RN so: D5W vo: 0 v1: 50 du: mcghr sv: 100 su: ml rt: IV Drip
tf: [00:00:00 07/10/2012] pt: IV Piggyback rt: IV fr: 1X fs: 1 dn: 1 m1: Acetylcysteine 20% v1: 600 u1: mg m2: NS v2: 100 u2: ml tf: [01:00:00 07/10/2012] pt: IV Piggyback rt: IV fr: 1X fs: 1 dn: 1 m1: Acetylcysteine 20% v1: 600 u1: mg m2: NS v2: 250 u2: ml
t0: [00:00:00 07/10/2012] id: Less Restrict Meas. el: 0 cu: MICU cg: RN v1: Medicated st: NotStopd t0: [00:00:00 07/10/2012] id: Range of Motion el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [00:00:00 07/10/2012] id: Circulation/SkinInt el: 0 cu: MICU cg: RN v1: Circulation Adeq st: NotStopd t0: [00:00:00 07/10/2012] id: Position Change el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [00:00:00 07/10/2012] id: Removed x 5 Mins el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [00:00:00 07/10/2012] id: Restraints Evaluated el: 0 cu: MICU cg: RN v1: Behavior Conts st: NotStopd t0: [01:10:00 07/10/2012] id: Blood Products Hematology el: 0 cu: MICU cg: 1663 v1: Y rs: Final st: NotStopd
t0: [00:00:00 07/10/2012] tf: [03:00:00 07/10/2012] dt: 180 id: D5W 250.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 105 vo: 250 vu: ml t0: [01:00:00 07/10/2012] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 125 vu: ml t0: [01:00:00 07/10/2012] id: D5W 250.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 105 vo: 500 vu: ml t0: [01:00:00 07/10/2012] id: Packed RBC's IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 750 vu: ml t0: [01:00:00 07/10/2012] id: D5W 100.0ml + 600mcghr Sandostatin IV Infusions el: 2 cu: MICU cg: RN ai: 107 vo: 8.33333 vu: ml t0: [01:00:00 07/10/2012] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU cg: RN ai: 416 vo: 10 vu: ml t0: [01:00:00 07/10/2012] id: .9% Normal Saline 50.0ml + 50mghr Midazolam IV Infusions el: 1 cu: MICU cg: RN ai: 189 vo: 3 vu: ml t0: [01:00:00 07/10/2012] id: Urine Out Void el: 1 cu: MICU cg: RN vo: 35 vu: ml
t0: [01:00:00 07/10/2012] id: Temp. Site el: 0 cu: MICU cg: RN v1: Oral st: NotStopd t0: [01:00:00 07/10/2012] id: Temperature C (calc) el: 0 cu: MICU cg: RN v1: 37.2778 u1: Deg. C st: NotStopd t0: [01:00:00 07/10/2012] id: Temperature F el: 0 cu: MICU cg: RN v1: 99.1 u1: Deg. F st: NotStopd t0: [01:15:00 07/10/2012] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [01:15:00 07/10/2012] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [01:15:00 07/10/2012] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [01:15:00 07/10/2012] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [01:15:00 07/10/2012] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [01:15:00 07/10/2012] id: Heart Rate el: 0 cu: MICU cg: RN v1: 92 u1: BPM st: NotStopd t0: [01:15:00 07/10/2012] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [01:15:00 07/10/2012] id: Arterial BP el: 0 cu: MICU cg: RN v1: 107 u1: mmHg v2: 46 u2: mmHg st: NotStopd t0: [01:15:00 07/10/2012] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 63 u1: mmHg st: NotStopd t0: [01:15:00 07/10/2012] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [01:15:00 07/10/2012] id: Previous WeightF el: 0 cu: MICU cg: RN v1: 84.5 u1: kg st: NotStopd t0: [01:15:00 07/10/2012] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 0 u1: BPM st: NotStopd t0: [01:15:00 07/10/2012] id: SpO2 el: 0 cu: MICU cg: RN v1: 100 u1: % st: NotStopd t0: [01:15:00 07/10/2012] id: Temperature C (calc) el: 0 cu: MICU cg: RN v1: 37 u1: Deg. C st: NotStopd t0: [01:15:00 07/10/2012] id: Temperature F el: 0 cu: MICU cg: RN v1: 98.6 u1: Deg. F st: NotStopd t0: [01:15:00 07/10/2012] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [02:00:00 07/10/2012] id: Chest PT R/L el: 0 cu: MICU cg: RN v1: Done v2: Done st: NotStopd t0: [02:00:00 07/10/2012] id: HOB el: 0 cu: MICU cg: RN v1: 30 degrees st: NotStopd t0: [02:00:00 07/10/2012] id: Activity el: 0 cu: MICU cg: RN v1: Bedrest st: NotStopd t0: [02:00:00 07/10/2012] id: Activity Tolerance el: 0 cu: MICU cg: RN v1: Tolerated Well st: NotStopd t0: [02:00:00 07/10/2012] id: AntiEmbDevice/Status el: 0 cu: MICU cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [02:00:00 07/10/2012] id: Position el: 0 cu: MICU cg: RN v1: Left Side st: NotStopd t0: [02:00:00 07/10/2012] id: Assistance Device el: 0 cu: MICU cg: RN v1: 2 Person Assist st: NotStopd t0: [02:00:00 07/10/2012] id: Turn el: 0 cu: MICU cg: RN v1: Side to Side st: NotStopd
t0: [01:15:00 07/10/2012] id: Fentanyl el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 100 du: mcghr sv: 250 su: ml rt: IV Drip t0: [01:15:00 07/10/2012] id: Midazolam el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 3 du: mghr sv: 50 su: ml rt: IV Drip t0: [01:15:00 07/10/2012] id: Sandostatin el: 2 cu: MICU cg: RN so: D5W vo: 0 v1: 50 du: mcghr sv: 100 su: ml rt: IV Drip
t0: [01:45:00 07/10/2012] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [01:45:00 07/10/2012] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [01:45:00 07/10/2012] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [01:45:00 07/10/2012] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [01:45:00 07/10/2012] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [01:45:00 07/10/2012] id: Heart Rate el: 0 cu: MICU cg: RN v1: 92 u1: BPM st: NotStopd t0: [01:45:00 07/10/2012] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [01:45:00 07/10/2012] id: Arterial BP el: 0 cu: MICU cg: RN v1: 127 u1: mmHg v2: 59 u2: mmHg st: NotStopd t0: [01:45:00 07/10/2012] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 80 u1: mmHg st: NotStopd t0: [01:45:00 07/10/2012] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [01:45:00 07/10/2012] id: Previous WeightF el: 0 cu: MICU cg: RN v1: 84.5 u1: kg st: NotStopd t0: [01:45:00 07/10/2012] id: SpO2 el: 0 cu: MICU cg: RN v1: 100 u1: % st: NotStopd t0: [01:45:00 07/10/2012] id: Temp. Site el: 0 cu: MICU cg: RN v1: Oral st: NotStopd t0: [01:45:00 07/10/2012] id: Temperature C (calc) el: 0 cu: MICU cg: RN v1: 37.1667 u1: Deg. C st: NotStopd t0: [01:45:00 07/10/2012] id: Temperature F el: 0 cu: MICU cg: RN v1: 98.9 u1: Deg. F st: NotStopd t0: [01:45:00 07/10/2012] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [02:00:00 07/10/2012] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 125 vu: ml t0: [02:00:00 07/10/2012] id: D5W 100.0ml + 600mcghr Sandostatin IV Infusions el: 2 cu: MICU cg: RN ai: 107 vo: 8.33333 vu: ml t0: [02:00:00 07/10/2012] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU cg: RN ai: 416 vo: 10 vu: ml t0: [02:00:00 07/10/2012] id: .9% Normal Saline 50.0ml + 50mghr Midazolam IV Infusions el: 1 cu: MICU cg: RN ai: 189 vo: 3 vu: ml t0: [02:00:00 07/10/2012] id: Urine Out Void el: 1 cu: MICU cg: RN vo: 55 vu: ml
t0: [01:45:00 07/10/2012] id: Fentanyl el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 100 du: mcghr sv: 250 su: ml rt: IV Drip t0: [01:45:00 07/10/2012] id: Midazolam el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 3 du: mghr sv: 50 su: ml rt: IV Drip t0: [01:45:00 07/10/2012] id: Sandostatin el: 2 cu: MICU cg: RN so: D5W vo: 0 v1: 50 du: mcghr sv: 100 su: ml rt: IV Drip
t0: [02:00:00 07/10/2012] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [02:00:00 07/10/2012] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [02:00:00 07/10/2012] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [02:00:00 07/10/2012] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [02:00:00 07/10/2012] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [02:00:00 07/10/2012] id: Heart Rate el: 0 cu: MICU cg: RN v1: 90 u1: BPM st: NotStopd t0: [02:00:00 07/10/2012] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [02:00:00 07/10/2012] id: Arterial BP el: 0 cu: MICU cg: RN v1: 128 u1: mmHg v2: 60 u2: mmHg st: NotStopd t0: [02:00:00 07/10/2012] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 80 u1: mmHg st: NotStopd t0: [02:00:00 07/10/2012] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [02:00:00 07/10/2012] id: Previous WeightF el: 0 cu: MICU cg: RN v1: 84.5 u1: kg st: NotStopd t0: [02:00:00 07/10/2012] id: SpO2 el: 0 cu: MICU cg: RN v1: 100 u1: % st: NotStopd t0: [02:00:00 07/10/2012] id: Temp. Site el: 0 cu: MICU cg: RN v1: Oral st: NotStopd t0: [02:00:00 07/10/2012] id: Temperature C (calc) el: 0 cu: MICU cg: RN v1: 37.1667 u1: Deg. C st: NotStopd t0: [02:00:00 07/10/2012] id: Temperature F el: 0 cu: MICU cg: RN v1: 98.9 u1: Deg. F st: NotStopd t0: [02:00:00 07/10/2012] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [02:00:00 07/10/2012] id: D5W 250.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 105 vo: 100 vu: ml t0: [02:00:00 07/10/2012] id: Packed RBC's IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 750 vu: ml
t0: [02:00:00 07/10/2012] id: Fentanyl el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 100 du: mcghr sv: 250 su: ml rt: IV Drip t0: [02:00:00 07/10/2012] id: Midazolam el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 3 du: mghr sv: 50 su: ml rt: IV Drip t0: [02:00:00 07/10/2012] id: Sandostatin el: 2 cu: MICU cg: RN so: D5W vo: 0 v1: 50 du: mcghr sv: 100 su: ml rt: IV Drip
t0: [23:00:00 07/10/2012] dt: 24 id: Blood Products Total el: 2 cu: MICU cg: RN cv: 3177 ap: none
t0: [02:30:00 07/10/2012] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [02:30:00 07/10/2012] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [02:30:00 07/10/2012] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [02:30:00 07/10/2012] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [02:30:00 07/10/2012] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [02:30:00 07/10/2012] id: Heart Rate el: 0 cu: MICU cg: RN v1: 89 u1: BPM st: NotStopd t0: [02:30:00 07/10/2012] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [02:30:00 07/10/2012] id: Arterial BP el: 0 cu: MICU cg: RN v1: 136 u1: mmHg v2: 66 u2: mmHg st: NotStopd t0: [02:30:00 07/10/2012] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 87 u1: mmHg st: NotStopd t0: [02:30:00 07/10/2012] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [02:30:00 07/10/2012] id: Previous WeightF el: 0 cu: MICU cg: RN v1: 84.5 u1: kg st: NotStopd t0: [02:30:00 07/10/2012] id: SpO2 el: 0 cu: MICU cg: RN v1: 100 u1: % st: NotStopd t0: [02:30:00 07/10/2012] id: Temperature C (calc) el: 0 cu: MICU cg: RN v1: 37 u1: Deg. C st: NotStopd t0: [02:30:00 07/10/2012] id: Temperature F el: 0 cu: MICU cg: RN v1: 98.6 u1: Deg. F st: NotStopd t0: [02:30:00 07/10/2012] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [02:30:00 07/10/2012] id: Fentanyl el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 100 du: mcghr sv: 250 su: ml rt: IV Drip t0: [02:30:00 07/10/2012] id: Midazolam el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 3 du: mghr sv: 50 su: ml rt: IV Drip t0: [02:30:00 07/10/2012] id: Sandostatin el: 2 cu: MICU cg: RN so: D5W vo: 0 v1: 50 du: mcghr sv: 100 su: ml rt: IV Drip
t0: [03:00:00 07/10/2012] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [03:00:00 07/10/2012] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [03:00:00 07/10/2012] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [03:00:00 07/10/2012] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [03:00:00 07/10/2012] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [03:00:00 07/10/2012] id: HOB el: 0 cu: MICU cg: RN v1: 30 degrees st: NotStopd t0: [03:00:00 07/10/2012] id: Heart Rate el: 0 cu: MICU cg: RN v1: 90 u1: BPM st: NotStopd t0: [03:00:00 07/10/2012] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [03:00:00 07/10/2012] id: Activity el: 0 cu: MICU cg: RN v1: Bedrest st: NotStopd t0: [03:00:00 07/10/2012] id: Activity Tolerance el: 0 cu: MICU cg: RN v1: Tolerated Well st: NotStopd t0: [03:00:00 07/10/2012] id: AntiEmbDevice/Status el: 0 cu: MICU cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [03:00:00 07/10/2012] id: Arterial BP el: 0 cu: MICU cg: RN v1: 131 u1: mmHg v2: 61 u2: mmHg st: NotStopd t0: [03:00:00 07/10/2012] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 82 u1: mmHg st: NotStopd t0: [03:00:00 07/10/2012] id: Position el: 0 cu: MICU cg: RN v1: Supine st: NotStopd t0: [03:00:00 07/10/2012] id: Assistance Device el: 0 cu: MICU cg: RN v1: Supervised st: NotStopd t0: [03:00:00 07/10/2012] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [03:00:00 07/10/2012] id: Previous WeightF el: 0 cu: MICU cg: RN v1: 84.5 u1: kg st: NotStopd t0: [03:00:00 07/10/2012] id: SpO2 el: 0 cu: MICU cg: RN v1: 100 u1: % st: NotStopd t0: [03:00:00 07/10/2012] id: Temp. Site el: 0 cu: MICU cg: RN v1: Oral st: NotStopd t0: [03:00:00 07/10/2012] id: Temperature C (calc) el: 0 cu: MICU cg: RN v1: 37 u1: Deg. C st: NotStopd t0: [03:00:00 07/10/2012] id: Temperature F el: 0 cu: MICU cg: RN v1: 98.6 u1: Deg. F st: NotStopd t0: [03:00:00 07/10/2012] id: Turn el: 0 cu: MICU cg: RN v1: Back st: NotStopd t0: [03:00:00 07/10/2012] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [03:00:00 07/10/2012] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 125 vu: ml t0: [03:00:00 07/10/2012] id: D5W 250.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 105 vo: 0 vu: ml t0: [03:00:00 07/10/2012] id: D5W 100.0ml + 600mcghr Sandostatin IV Infusions el: 2 cu: MICU cg: RN ai: 107 vo: 8.33333 vu: ml t0: [03:00:00 07/10/2012] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU cg: RN ai: 416 vo: 10 vu: ml t0: [03:00:00 07/10/2012] id: .9% Normal Saline 50.0ml + 50mghr Midazolam IV Infusions el: 1 cu: MICU cg: RN ai: 189 vo: 3 vu: ml t0: [03:00:00 07/10/2012] id: Urine Out Void el: 1 cu: MICU cg: RN vo: 60 vu: ml
t0: [03:00:00 07/10/2012] id: Fentanyl el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 100 du: mcghr sv: 250 su: ml rt: IV Drip t0: [03:00:00 07/10/2012] id: Midazolam el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 3 du: mghr sv: 50 su: ml rt: IV Drip t0: [03:00:00 07/10/2012] id: Sandostatin el: 2 cu: MICU cg: RN so: D5W vo: 0 v1: 50 du: mcghr sv: 100 su: ml rt: IV Drip
t0: [23:00:00 07/10/2012] dt: 1 id: Total Hourly Output el: 2 cu: MICU cg: RN pv: 210 cv: 210 ap: none t0: [23:00:00 07/10/2012] dt: 1 id: Net Hourly Balance el: 2 cu: MICU cg: RN pv: -178.667 cv: -178.667 ap: none t0: [23:00:00 07/10/2012] dt: 24 id: IV Infusion In Total el: 2 cu: MICU cg: RN pv: 31.3333 cv: 3317 ap: none t0: [23:00:00 07/10/2012] dt: 24 id: 24h Total In el: 2 cu: MICU cg: RN pv: 31.3333 cv: 9984 ap: none t0: [23:00:00 07/10/2012] dt: 24 id: Urine Out Total el: 2 cu: MICU cg: RN pv: 60 cv: 1302 ap: none t0: [23:00:00 07/10/2012] dt: 24 id: 24h Net Body Balance el: 2 cu: MICU cg: RN pv: -178.667 cv: 7057 ap: none t0: [23:00:00 07/10/2012] dt: 24 id: 24h Total Out el: 2 cu: MICU cg: RN pv: 210 cv: 2927 ap: none t0: [23:00:00 07/10/2012] dt: multiple days id: LOS Net Body Balance el: 2 cu: MICU cg: RN pv: -178.667 cv: 18699 ap: carryForward
t0: [03:14:00 07/10/2012] id: Art.pH ABG el: 0 cu: MICU cg: 1663 v1: 7.36 rs: Final st: NotStopd t0: [03:14:00 07/10/2012] id: Arterial Base Excess ABG el: 0 cu: MICU cg: 1663 v1: -4 rs: Final st: NotStopd t0: [03:14:00 07/10/2012] id: Arterial CO2(Calc) ABG el: 0 cu: MICU cg: 1663 v1: 21 rs: Final st: NotStopd t0: [03:14:00 07/10/2012] id: Arterial PaCO2 ABG el: 0 cu: MICU cg: 1663 v1: 35 u1: mmHg rs: Final st: NotStopd t0: [03:14:00 07/10/2012] id: Arterial PaO2 ABG el: 0 cu: MICU cg: 1663 v1: 134 u1: mmHg rs: Final st: NotStopd t0: [03:14:00 07/10/2012] id: Arterial pH ABG el: 0 cu: MICU cg: 1663 v1: 7.36 rs: Final st: NotStopd t0: [03:14:00 07/10/2012] id: Ionized Calcium Chemistry el: 0 cu: MICU cg: 1663 v1: 1.04 rs: Final st: NotStopd
tf: [03:00:00 08/10/2012] pt: Unit Dose rt: IV fr: ONCE fs: 4 dn: 1 m1: Calcium Gluconate v1: 2 u1: gm
t0: [04:00:00 07/10/2012] id: Less Restrict Meas. el: 0 cu: MICU cg: RN v1: Medicated st: NotStopd t0: [04:00:00 07/10/2012] id: Pain Present el: 0 cu: MICU cg: RN v1: No st: NotStopd t0: [04:00:00 07/10/2012] id: Range of Motion el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [04:00:00 07/10/2012] id: bath el: 1 cu: MICU cg: RN v1: done t0: [04:00:00 07/10/2012] id: Pain Assess Method el: 0 cu: MICU cg: RN v1: Non-verbal cues st: NotStopd t0: [04:00:00 07/10/2012] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [04:00:00 07/10/2012] id: Chest PT R/L el: 0 cu: MICU cg: RN v1: Done v2: Done st: NotStopd t0: [04:00:00 07/10/2012] id: Circulation/SkinInt el: 0 cu: MICU cg: RN v1: Circulation Adeq st: NotStopd t0: [04:00:00 07/10/2012] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [04:00:00 07/10/2012] id: Riker-SAS Scale el: 0 cu: MICU cg: RN v1: Sedated st: NotStopd t0: [04:00:00 07/10/2012] id: Cough Effort el: 0 cu: MICU cg: RN v1: Strong st: NotStopd t0: [04:00:00 07/10/2012] id: Cough Reflex el: 0 cu: MICU cg: RN v1: Intact st: NotStopd t0: [04:00:00 07/10/2012] id: Cough Type el: 0 cu: MICU cg: RN v1: Productive st: NotStopd t0: [04:00:00 07/10/2012] id: GI Prophylaxis el: 0 cu: MICU cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [04:00:00 07/10/2012] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [04:00:00 07/10/2012] id: Diet Type el: 0 cu: MICU cg: RN v1: NPO st: NotStopd t0: [04:00:00 07/10/2012] id: Dorsal PedPulse R/L el: 0 cu: MICU cg: RN v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [04:00:00 07/10/2012] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [04:00:00 07/10/2012] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [04:00:00 07/10/2012] id: Eye Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [04:00:00 07/10/2012] id: Eye Opening el: 0 cu: MICU cg: RN v1: 3 To speech st: NotStopd t0: [04:00:00 07/10/2012] id: Follows Commands el: 0 cu: MICU cg: RN v1: Consistently st: NotStopd t0: [04:00:00 07/10/2012] id: GCS Total el: 0 cu: MICU cg: RN v1: 10 u1: points st: NotStopd t0: [04:00:00 07/10/2012] id: Gag Reflex el: 0 cu: MICU cg: RN v1: Intact st: NotStopd t0: [04:00:00 07/10/2012] id: HOB el: 0 cu: MICU cg: RN v1: 30 degrees st: NotStopd t0: [04:00:00 07/10/2012] id: Heart Rate el: 0 cu: MICU cg: RN v1: 90 u1: BPM st: NotStopd t0: [04:00:00 07/10/2012] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [04:00:00 07/10/2012] id: INV Line#1 Type/Site el: 0 cu: MICU cg: RN v1: A-Line v2: Left Radial st: NotStopd t0: [04:00:00 07/10/2012] id: INV Line#1 Zero/Cal el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [04:00:00 07/10/2012] id: INV Line#1InsertDate el: 0 cu: MICU cg: RN v1: 9 v2: 13 st: NotStopd t0: [04:00:00 07/10/2012] id: INV Line#1SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [04:00:00 07/10/2012] id: INV Line#2 Type/Site el: 0 cu: MICU cg: RN v1: Multi-lumen v2: Right Femoral st: NotStopd t0: [04:00:00 07/10/2012] id: INV Line#2InsertDate el: 0 cu: MICU cg: RN v1: 9 v2: 13 st: NotStopd t0: [04:00:00 07/10/2012] id: INV Line#2SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [04:00:00 07/10/2012] id: Abdominal Assessment el: 0 cu: MICU cg: RN v1: Ascites st: NotStopd t0: [04:00:00 07/10/2012] id: INV#1 WaveformAppear el: 0 cu: MICU cg: RN v1: Sharp st: NotStopd t0: [04:00:00 07/10/2012] id: IV #1 Insert Date el: 0 cu: MICU cg: RN v1: 9 v2: 13 st: NotStopd t0: [04:00:00 07/10/2012] id: IV #1 Site/Size el: 0 cu: MICU cg: RN v1: LL Ant Forearm v2: 20 gauge st: NotStopd t0: [04:00:00 07/10/2012] id: IV #2 Insert Date el: 0 cu: MICU cg: RN v1: 9 v2: 13 st: NotStopd t0: [04:00:00 07/10/2012] id: IV #2 Site/Size el: 0 cu: MICU cg: RN v1: LL Ant Forearm v2: 20 gauge st: NotStopd t0: [04:00:00 07/10/2012] id: IV #3 Insert Date el: 0 cu: MICU cg: RN v1: 9 v2: 12 st: NotStopd t0: [04:00:00 07/10/2012] id: IV #3 Site/Size el: 0 cu: MICU cg: RN v1: Right Hand v2: 18 gauge st: NotStopd t0: [04:00:00 07/10/2012] id: IV #4 Insert Date el: 0 cu: MICU cg: RN v1: 9 v2: 12 st: NotStopd t0: [04:00:00 07/10/2012] id: IV #4 Site/Size el: 0 cu: MICU cg: RN v1: RL Ant Forearm v2: 18 gauge st: NotStopd t0: [04:00:00 07/10/2012] id: Activity el: 0 cu: MICU cg: RN v1: Bedrest st: NotStopd t0: [04:00:00 07/10/2012] id: IV Site Appear #1 el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [04:00:00 07/10/2012] id: IV Site Appear #2 el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [04:00:00 07/10/2012] id: IV Site Appear #3 el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [04:00:00 07/10/2012] id: IV Site Appear #4 el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [04:00:00 07/10/2012] id: Activity Tolerance el: 0 cu: MICU cg: RN v1: Tolerated Well st: NotStopd t0: [04:00:00 07/10/2012] id: LLL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [04:00:00 07/10/2012] id: LUL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [04:00:00 07/10/2012] id: Level of Conscious el: 0 cu: MICU cg: RN v1: Arouse to Voice st: NotStopd t0: [04:00:00 07/10/2012] id: Angio Appearance #1 el: 0 cu: MICU cg: RN v1: Clean and Dry st: NotStopd t0: [04:00:00 07/10/2012] id: Motor Response el: 0 cu: MICU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [04:00:00 07/10/2012] id: Angio Dressing #1 el: 0 cu: MICU cg: RN v1: Dry Sterile Dsg st: NotStopd t0: [04:00:00 07/10/2012] id: Oral Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [04:00:00 07/10/2012] id: Oral Cavity el: 0 cu: MICU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [04:00:00 07/10/2012] id: Orientation el: 0 cu: MICU cg: RN v1: Other/Remarks st: NotStopd t0: [04:00:00 07/10/2012] id: Angio Site #1 el: 0 cu: MICU cg: RN v1: L Femoral st: NotStopd t0: [04:00:00 07/10/2012] id: AntiEmbDevice/Status el: 0 cu: MICU cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [04:00:00 07/10/2012] id: Arterial BP el: 0 cu: MICU cg: RN v1: 131 u1: mmHg v2: 63 u2: mmHg st: NotStopd t0: [04:00:00 07/10/2012] id: Pain Location el: 0 cu: MICU cg: RN v1: Not Indicated st: NotStopd t0: [04:00:00 07/10/2012] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 85 u1: mmHg st: NotStopd t0: [04:00:00 07/10/2012] id: Position el: 0 cu: MICU cg: RN v1: Right Side st: NotStopd t0: [04:00:00 07/10/2012] id: Position Change el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [04:00:00 07/10/2012] id: PostTib. Pulses R/L el: 0 cu: MICU cg: RN v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [04:00:00 07/10/2012] id: Assistance Device el: 0 cu: MICU cg: RN v1: 2 Person Assist st: NotStopd t0: [04:00:00 07/10/2012] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [04:00:00 07/10/2012] id: Previous WeightF el: 0 cu: MICU cg: RN v1: 84.5 u1: kg st: NotStopd t0: [04:00:00 07/10/2012] id: Pupil Size R/L el: 0 cu: MICU cg: RN v1: Pinpoint v2: Pinpoint st: NotStopd t0: [04:00:00 07/10/2012] id: RLL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [04:00:00 07/10/2012] id: RUL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [04:00:00 07/10/2012] id: Reason For Restraint el: 0 cu: MICU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [04:00:00 07/10/2012] id: Removed x 5 Mins el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [04:00:00 07/10/2012] id: Respiratory Pattern el: 0 cu: MICU cg: RN v1: Regular st: NotStopd t0: [04:00:00 07/10/2012] id: Restraint Location el: 0 cu: MICU cg: RN v1: Both Arms st: NotStopd t0: [04:00:00 07/10/2012] id: Restraint Type el: 0 cu: MICU cg: RN v1: Soft Limb st: NotStopd t0: [04:00:00 07/10/2012] id: Restraints Evaluated el: 0 cu: MICU cg: RN v1: Behavior Conts st: NotStopd t0: [04:00:00 07/10/2012] id: Side Rails el: 0 cu: MICU cg: RN v1: Side Rails Up st: NotStopd t0: [04:00:00 07/10/2012] id: Skin Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [04:00:00 07/10/2012] id: Skin Color el: 0 cu: MICU cg: RN v1: Jaundiced st: NotStopd t0: [04:00:00 07/10/2012] id: Skin Integrity el: 0 cu: MICU cg: RN v1: Intact st: NotStopd t0: [04:00:00 07/10/2012] id: Skin Temp/Condition el: 0 cu: MICU cg: RN v1: Warm v2: Dry st: NotStopd t0: [04:00:00 07/10/2012] id: SpO2 el: 0 cu: MICU cg: RN v1: 100 u1: % st: NotStopd t0: [04:00:00 07/10/2012] id: Spontaneous Movement el: 0 cu: MICU cg: RN v1: Purposeful st: NotStopd t0: [04:00:00 07/10/2012] id: Sputum Color/Consist el: 0 cu: MICU cg: RN v1: Tan v2: Thick st: NotStopd t0: [04:00:00 07/10/2012] id: Sputum Source/Amt el: 0 cu: MICU cg: RN v1: Suctioned v2: Moderate st: NotStopd t0: [04:00:00 07/10/2012] id: Stool Guaiac el: 0 cu: MICU cg: RN v1: Positive st: NotStopd t0: [04:00:00 07/10/2012] id: Support Systems el: 0 cu: MICU cg: RN v1: Spouse st: NotStopd t0: [04:00:00 07/10/2012] id: Turn el: 0 cu: MICU cg: RN v1: Side to Side st: NotStopd t0: [04:00:00 07/10/2012] id: Urine Color/Appear el: 0 cu: MICU cg: RN v1: Icteric v2: Clear st: NotStopd t0: [04:00:00 07/10/2012] id: Urine Source el: 0 cu: MICU cg: RN v1: Indwelling Cath st: NotStopd t0: [04:00:00 07/10/2012] id: Verbal Response el: 0 cu: MICU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [04:00:00 07/10/2012] id: Back Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [04:00:00 07/10/2012] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [04:00:00 07/10/2012] id: Bowel Sounds el: 0 cu: MICU cg: RN v1: Hypoactive st: NotStopd t0: [04:00:00 07/10/2012] id: Braden Activity el: 0 cu: MICU cg: RN v1: Bedfast st: NotStopd t0: [04:00:00 07/10/2012] id: Braden Frict/Shear el: 0 cu: MICU cg: RN v1: Potential Prob st: NotStopd t0: [04:00:00 07/10/2012] id: Braden Mobility el: 0 cu: MICU cg: RN v1: Very Limited st: NotStopd t0: [04:00:00 07/10/2012] id: Braden Moisture el: 0 cu: MICU cg: RN v1: Occ. Moist st: NotStopd t0: [04:00:00 07/10/2012] id: Braden Nutrition el: 0 cu: MICU cg: RN v1: Prob. Inadequate st: NotStopd t0: [04:00:00 07/10/2012] id: Braden Score el: 0 cu: MICU cg: RN v1: 13 u1: number st: NotStopd t0: [04:00:00 07/10/2012] id: Braden SensoryPercep el: 0 cu: MICU cg: RN v1: Sl. Limited st: NotStopd
t0: [04:00:00 07/10/2012] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 125 vu: ml t0: [04:00:00 07/10/2012] id: D5W 100.0ml + 600mcghr Sandostatin IV Infusions el: 2 cu: MICU cg: RN ai: 107 vo: 8.33333 vu: ml t0: [04:00:00 07/10/2012] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU cg: RN ai: 416 vo: 10 vu: ml t0: [04:00:00 07/10/2012] id: .9% Normal Saline 50.0ml + 50mghr Midazolam IV Infusions el: 1 cu: MICU cg: RN ai: 189 vo: 3 vu: ml t0: [04:00:00 07/10/2012] id: Urine Out Void el: 1 cu: MICU cg: RN vo: 60 vu: ml
t0: [04:00:00 07/10/2012] id: Fentanyl el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 100 du: mcghr sv: 250 su: ml rt: IV Drip t0: [04:00:00 07/10/2012] id: Midazolam el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 3 du: mghr sv: 50 su: ml rt: IV Drip t0: [04:00:00 07/10/2012] id: Sandostatin el: 2 cu: MICU cg: RN so: D5W vo: 0 v1: 50 du: mcghr sv: 100 su: ml rt: IV Drip
t0: [04:00:00 07/10/2012] id: WBC (4-11,000) Hematology el: 0 cu: MICU cg: 1663 v1: 16.7 rs: Final st: NotStopd t0: [04:00:00 07/10/2012] id: WBC Hematology el: 0 cu: MICU cg: 1663 v1: 16.7 rs: Final st: NotStopd t0: [04:00:00 07/10/2012] id: Hematocrit Hematology el: 0 cu: MICU cg: 1663 v1: 35.3 u1: % rs: Final st: NotStopd t0: [04:00:00 07/10/2012] id: Hemoglobin Hematology el: 0 cu: MICU cg: 1663 v1: 12.5 u1: gm/dl rs: Final st: NotStopd t0: [04:00:00 07/10/2012] id: Platelets Hematology el: 0 cu: MICU cg: 1663 v1: 103 rs: Final st: NotStopd t0: [04:00:00 07/10/2012] id: RBC Hematology el: 0 cu: MICU cg: 1663 v1: 4.16 u1: /mic l rs: Final st: NotStopd t0: [04:00:00 07/10/2012] id: WBC (4-11,000) Hematology el: 0 cu: MICU cg: 1663 v1: 16.7 rs: Final st: NotStopd
t0: [04:00:00 07/10/2012] id: PT el: 0 cu: MICU cg: 1663 v1: 14.5 rs: Final st: NotStopd t0: [04:00:00 07/10/2012] id: Fibrinogen Coags el: 0 cu: MICU cg: 1663 v1: 163 rs: Final st: NotStopd t0: [04:00:00 07/10/2012] id: INR Coags el: 0 cu: MICU cg: 1663 v1: 1.4 rs: Final st: NotStopd t0: [04:00:00 07/10/2012] id: PTT Coags el: 0 cu: MICU cg: 1663 v1: 36.2 rs: Final st: NotStopd t0: [04:00:00 07/10/2012] id: Fibrinogen (150-400) Coags el: 0 cu: MICU cg: 1663 v1: 163 rs: Final st: NotStopd t0: [04:00:00 07/10/2012] id: INR (2-4 ref. range) Coags el: 0 cu: MICU cg: 1663 v1: 1.4 rs: Final st: NotStopd t0: [04:00:00 07/10/2012] id: PT(11-13.5) Coags el: 0 cu: MICU cg: 1663 v1: 14.5 rs: Final st: NotStopd t0: [04:00:00 07/10/2012] id: PTT(22-35) Coags el: 0 cu: MICU cg: 1663 v1: 36.2 rs: Final st: NotStopd
t0: [04:00:00 07/10/2012] id: BUN el: 0 cu: MICU cg: 1663 v1: 29 rs: Final st: NotStopd t0: [04:00:00 07/10/2012] id: Calcium Chemistry el: 0 cu: MICU cg: 1663 v1: 7.3 u1: mg/dl rs: Final st: NotStopd t0: [04:00:00 07/10/2012] id: Chloride Chemistry el: 0 cu: MICU cg: 1663 v1: 109 rs: Final st: NotStopd t0: [04:00:00 07/10/2012] id: Creatinine Chemistry el: 0 cu: MICU cg: 1663 v1: 2.2 rs: Final st: NotStopd t0: [04:00:00 07/10/2012] id: Glucose Chemistry el: 0 cu: MICU cg: 1663 v1: 129 rs: Final st: NotStopd t0: [04:00:00 07/10/2012] id: Magnesium Chemistry el: 0 cu: MICU cg: 1663 v1: 2.1 rs: Final st: NotStopd t0: [04:00:00 07/10/2012] id: Phosphorous Chemistry el: 0 cu: MICU cg: 1663 v1: 4.9 u1: mEq/L rs: Final st: NotStopd t0: [04:00:00 07/10/2012] id: Potassium Chemistry el: 0 cu: MICU cg: 1663 v1: 4.6 rs: Final st: NotStopd t0: [04:00:00 07/10/2012] id: Sodium Chemistry el: 0 cu: MICU cg: 1663 v1: 134 rs: Final st: NotStopd t0: [04:00:00 07/10/2012] id: Total Bili Chemistry el: 0 cu: MICU cg: 1663 v1: 26.8 rs: Final st: NotStopd t0: [04:00:00 07/10/2012] id: ALT Enzymes el: 0 cu: MICU cg: 1663 v1: 20 rs: Final st: NotStopd t0: [04:00:00 07/10/2012] id: AST Enzymes el: 0 cu: MICU cg: 1663 v1: 34 rs: Final st: NotStopd t0: [04:00:00 07/10/2012] id: Alk. Phosphate Enzymes el: 0 cu: MICU cg: 1663 v1: 96 rs: Final st: NotStopd t0: [04:00:00 07/10/2012] id: BUN (6-20) Chemistry el: 0 cu: MICU cg: 1663 v1: 29 rs: Final st: NotStopd t0: [04:00:00 07/10/2012] id: Calcium (8.4-10.2) Chemistry el: 0 cu: MICU cg: 1663 v1: 7.3 u1: mg/dl rs: Final st: NotStopd t0: [04:00:00 07/10/2012] id: Carbon Dioxide Chemistry el: 0 cu: MICU cg: 1663 v1: 17 rs: Final st: NotStopd t0: [04:00:00 07/10/2012] id: Chloride (100-112) Chemistry el: 0 cu: MICU cg: 1663 v1: 109 rs: Final st: NotStopd t0: [04:00:00 07/10/2012] id: Creatinine (0-1.3) Chemistry el: 0 cu: MICU cg: 1663 v1: 2.2 rs: Final st: NotStopd t0: [04:00:00 07/10/2012] id: Glucose (70-105) Chemistry el: 0 cu: MICU cg: 1663 v1: 129 rs: Final st: NotStopd t0: [04:00:00 07/10/2012] id: LDH Enzymes el: 0 cu: MICU cg: 1663 v1: 208 rs: Final st: NotStopd t0: [04:00:00 07/10/2012] id: Magnesium (1.6-2.6) Chemistry el: 0 cu: MICU cg: 1663 v1: 2.1 rs: Final st: NotStopd t0: [04:00:00 07/10/2012] id: Phosphorous(2.7-4.5) Chemistry el: 0 cu: MICU cg: 1663 v1: 4.9 u1: mEq/L rs: Final st: NotStopd t0: [04:00:00 07/10/2012] id: Potassium (3.5-5.3) Chemistry el: 0 cu: MICU cg: 1663 v1: 4.6 rs: Final st: NotStopd t0: [04:00:00 07/10/2012] id: Sodium (135-148) Chemistry el: 0 cu: MICU cg: 1663 v1: 134 rs: Final st: NotStopd t0: [04:00:00 07/10/2012] id: Total Bili (0-1.5) Chemistry el: 0 cu: MICU cg: 1663 v1: 26.8 rs: Final st: NotStopd
t0: [04:45:00 07/10/2012] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [04:45:00 07/10/2012] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [04:45:00 07/10/2012] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [04:45:00 07/10/2012] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [04:45:00 07/10/2012] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [04:45:00 07/10/2012] id: Heart Rate el: 0 cu: MICU cg: RN v1: 88 u1: BPM st: NotStopd t0: [04:45:00 07/10/2012] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [04:45:00 07/10/2012] id: Arterial BP el: 0 cu: MICU cg: RN v1: 123 u1: mmHg v2: 57 u2: mmHg st: NotStopd t0: [04:45:00 07/10/2012] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 76 u1: mmHg st: NotStopd t0: [04:45:00 07/10/2012] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [04:45:00 07/10/2012] id: Previous WeightF el: 0 cu: MICU cg: RN v1: 84.5 u1: kg st: NotStopd t0: [04:45:00 07/10/2012] id: SpO2 el: 0 cu: MICU cg: RN v1: 100 u1: % st: NotStopd t0: [04:45:00 07/10/2012] id: Temperature C (calc) el: 0 cu: MICU cg: RN v1: 37.0556 u1: Deg. C st: NotStopd t0: [04:45:00 07/10/2012] id: Temperature F el: 0 cu: MICU cg: RN v1: 98.7 u1: Deg. F st: NotStopd t0: [04:45:00 07/10/2012] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [04:00:00 07/10/2012] tf: [05:00:00 07/10/2012] dt: 60 id: D5W 250.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 105 vo: 100 vu: ml t0: [04:00:00 07/10/2012] id: Packed RBC's IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 375 vu: ml t0: [05:00:00 07/10/2012] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 125 vu: ml t0: [05:00:00 07/10/2012] id: D5W 250.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 105 vo: 0 vu: ml t0: [05:00:00 07/10/2012] id: Packed RBC's IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 375 vu: ml t0: [05:00:00 07/10/2012] id: D5W 100.0ml + 600mcghr Sandostatin IV Infusions el: 2 cu: MICU cg: RN ai: 107 vo: 8.33333 vu: ml t0: [05:00:00 07/10/2012] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU cg: RN ai: 416 vo: 10 vu: ml t0: [05:00:00 07/10/2012] id: Stool Out Stool el: 1 cu: MICU cg: RN vo: 200 vu: ml t0: [05:00:00 07/10/2012] id: .9% Normal Saline 50.0ml + 50mghr Midazolam IV Infusions el: 1 cu: MICU cg: RN ai: 189 vo: 3 vu: ml t0: [05:00:00 07/10/2012] id: Urine Out Void el: 1 cu: MICU cg: RN vo: 60 vu: ml
t0: [04:45:00 07/10/2012] id: Fentanyl el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 100 du: mcghr sv: 250 su: ml rt: IV Drip t0: [04:45:00 07/10/2012] id: Midazolam el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 3 du: mghr sv: 50 su: ml rt: IV Drip t0: [04:45:00 07/10/2012] id: Sandostatin el: 2 cu: MICU cg: RN so: D5W vo: 0 v1: 50 du: mcghr sv: 100 su: ml rt: IV Drip
t0: [05:00:00 07/10/2012] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [05:00:00 07/10/2012] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [05:00:00 07/10/2012] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [05:00:00 07/10/2012] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [05:00:00 07/10/2012] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [05:00:00 07/10/2012] id: Heart Rate el: 0 cu: MICU cg: RN v1: 87 u1: BPM st: NotStopd t0: [05:00:00 07/10/2012] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [05:00:00 07/10/2012] id: Arterial BP el: 0 cu: MICU cg: RN v1: 123 u1: mmHg v2: 58 u2: mmHg st: NotStopd t0: [05:00:00 07/10/2012] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 77 u1: mmHg st: NotStopd t0: [05:00:00 07/10/2012] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [05:00:00 07/10/2012] id: Previous WeightF el: 0 cu: MICU cg: RN v1: 84.5 u1: kg st: NotStopd t0: [05:00:00 07/10/2012] id: SpO2 el: 0 cu: MICU cg: RN v1: 100 u1: % st: NotStopd t0: [05:00:00 07/10/2012] id: Temp. Site el: 0 cu: MICU cg: RN v1: Oral st: NotStopd t0: [05:00:00 07/10/2012] id: Temperature C (calc) el: 0 cu: MICU cg: RN v1: 37.1667 u1: Deg. C st: NotStopd t0: [05:00:00 07/10/2012] id: Temperature F el: 0 cu: MICU cg: RN v1: 98.9 u1: Deg. F st: NotStopd t0: [05:00:00 07/10/2012] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [05:00:00 07/10/2012] id: Fentanyl el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 100 du: mcghr sv: 250 su: ml rt: IV Drip t0: [05:00:00 07/10/2012] id: Midazolam el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 3 du: mghr sv: 50 su: ml rt: IV Drip t0: [05:00:00 07/10/2012] id: Sandostatin el: 2 cu: MICU cg: RN so: D5W vo: 0 v1: 50 du: mcghr sv: 100 su: ml rt: IV Drip
t0: [04:00:00 07/10/2012] id: HI/Minute/Vol/Alarm el: 0 cu: MICU cg: RRT v1: 16 t0: [04:00:00 07/10/2012] id: Compliance (40-60ml) el: 0 cu: MICU cg: RRT v1: 43.75 u1: ml/cmH st: NotStopd t0: [04:00:00 07/10/2012] id: ETT Mark/Location el: 0 cu: MICU cg: RRT v1: 23cm v2: Lip st: NotStopd t0: [04:00:00 07/10/2012] id: FiO2 Set el: 0 cu: MICU cg: RRT v1: 0.35 u1: torr st: NotStopd t0: [04:00:00 07/10/2012] id: High Insp. Pressure el: 0 cu: MICU cg: RRT v1: 50 u1: cmH2O st: NotStopd t0: [04:00:00 07/10/2012] id: High Resp. Rate el: 0 cu: MICU cg: RRT v1: 40 u1: BPM st: NotStopd t0: [04:00:00 07/10/2012] id: I:E Ratio el: 0 cu: MICU cg: RRT v1: 1:4 st: NotStopd t0: [04:00:00 07/10/2012] id: Airway Size el: 0 cu: MICU cg: RRT v1: 7.5 mm st: NotStopd t0: [04:00:00 07/10/2012] id: Airway Type el: 0 cu: MICU cg: RRT v1: Endotracheal st: NotStopd t0: [04:00:00 07/10/2012] id: Inspired Gas Temp el: 0 cu: MICU cg: RRT v1: 34 u1: Deg. C st: NotStopd t0: [04:00:00 07/10/2012] id: Intubation Date el: 0 cu: MICU cg: RRT v1: 9 v2: 13 st: NotStopd t0: [04:00:00 07/10/2012] id: Low Exhaled Min Vol el: 0 cu: MICU cg: RRT v1: 6 st: NotStopd t0: [04:00:00 07/10/2012] id: Mean Airway Pressure el: 0 cu: MICU cg: RRT v1: 8 u1: cmH2O st: NotStopd t0: [04:00:00 07/10/2012] id: Minute Volume(Obser) el: 0 cu: MICU cg: RRT v1: 8.72 u1: L/min st: NotStopd t0: [04:00:00 07/10/2012] id: PEEP Set el: 0 cu: MICU cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [04:00:00 07/10/2012] id: Apnea Time Interval el: 0 cu: MICU cg: RRT v1: 20 st: NotStopd t0: [04:00:00 07/10/2012] id: Peak Insp. Pressure el: 0 cu: MICU cg: RRT v1: 21 u1: cmH2O st: NotStopd t0: [04:00:00 07/10/2012] id: Plateau Pressure el: 0 cu: MICU cg: RRT v1: 18 u1: cmH2O st: NotStopd t0: [04:00:00 07/10/2012] id: Pressure Support el: 0 cu: MICU cg: RRT v1: 5 u1: . st: NotStopd t0: [04:00:00 07/10/2012] id: Resp Rate (Spont) el: 0 cu: MICU cg: RRT v1: 0 u1: BPM st: NotStopd t0: [04:00:00 07/10/2012] id: Resp Rate (Total) el: 0 cu: MICU cg: RRT v1: 12 u1: BPM st: NotStopd t0: [04:00:00 07/10/2012] id: Respiratory Rate Set el: 0 cu: MICU cg: RRT v1: 12 u1: BPM st: NotStopd t0: [04:00:00 07/10/2012] id: Sensitivity-Vent el: 0 cu: MICU cg: RRT v1: 2 u1: cmH2O st: NotStopd t0: [04:00:00 07/10/2012] id: Tidal Volume (Obser) el: 0 cu: MICU cg: RRT v1: 733 u1: ml/B st: NotStopd t0: [04:00:00 07/10/2012] id: Tidal Volume (Set) el: 0 cu: MICU cg: RRT v1: 700 u1: ml/B st: NotStopd t0: [04:00:00 07/10/2012] id: Ventilator Mode el: 0 cu: MICU cg: RRT v1: SIMV+PS st: NotStopd t0: [04:00:00 07/10/2012] id: Ventilator Type el: 0 cu: MICU cg: RRT v1: Drager st: NotStopd t0: [04:00:00 07/10/2012] id: Waveform-Vent el: 0 cu: MICU cg: RRT v1: RAMP st: NotStopd
t0: [05:15:00 07/10/2012] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [05:15:00 07/10/2012] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [05:15:00 07/10/2012] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [05:15:00 07/10/2012] id: Heart Rate el: 0 cu: MICU cg: RN v1: 86 u1: BPM st: NotStopd t0: [05:15:00 07/10/2012] id: Arterial BP el: 0 cu: MICU cg: RN v1: 124 u1: mmHg v2: 57 u2: mmHg st: NotStopd t0: [05:15:00 07/10/2012] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 77 u1: mmHg st: NotStopd t0: [05:15:00 07/10/2012] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [05:15:00 07/10/2012] id: Previous WeightF el: 0 cu: MICU cg: RN v1: 84.5 u1: kg st: NotStopd t0: [05:15:00 07/10/2012] id: SpO2 el: 0 cu: MICU cg: RN v1: 100 u1: % st: NotStopd t0: [05:15:00 07/10/2012] id: Temperature C (calc) el: 0 cu: MICU cg: RN v1: 37 u1: Deg. C st: NotStopd t0: [05:15:00 07/10/2012] id: Temperature F el: 0 cu: MICU cg: RN v1: 98.6 u1: Deg. F st: NotStopd t0: [05:15:00 07/10/2012] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [06:00:00 07/10/2012] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [06:00:00 07/10/2012] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [06:00:00 07/10/2012] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [06:00:00 07/10/2012] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [06:00:00 07/10/2012] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [06:00:00 07/10/2012] id: Heart Rate el: 0 cu: MICU cg: RN v1: 86 u1: BPM st: NotStopd t0: [06:00:00 07/10/2012] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [06:00:00 07/10/2012] id: Arterial BP el: 0 cu: MICU cg: RN v1: 115 u1: mmHg v2: 53 u2: mmHg st: NotStopd t0: [06:00:00 07/10/2012] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 73 u1: mmHg st: NotStopd t0: [06:00:00 07/10/2012] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [06:00:00 07/10/2012] id: Previous WeightF el: 0 cu: MICU cg: RN v1: 84.5 u1: kg st: NotStopd t0: [06:00:00 07/10/2012] id: SpO2 el: 0 cu: MICU cg: RN v1: 100 u1: % st: NotStopd t0: [06:00:00 07/10/2012] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [06:00:00 07/10/2012] tf: [03:00:00 08/10/2012] dt: 1260 id: .9% Normal Saline 1000.0ml IV Infusions el: 3 cu: MICU cg: RN ai: 107 vo: 125 vu: ml t0: [06:00:00 07/10/2012] id: D5W 250.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 105 vo: 0 vu: ml t0: [06:00:00 07/10/2012] id: D5W 100.0ml + 600mcghr Sandostatin IV Infusions el: 2 cu: MICU cg: RN ai: 107 vo: 8.33333 vu: ml t0: [06:00:00 07/10/2012] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU cg: RN ai: 416 vo: 10 vu: ml t0: [06:00:00 07/10/2012] id: .9% Normal Saline 50.0ml + 50mghr Midazolam IV Infusions el: 1 cu: MICU cg: RN ai: 189 vo: 3 vu: ml
t0: [05:15:00 07/10/2012] id: Fentanyl el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 100 du: mcghr sv: 250 su: ml rt: IV Drip t0: [05:15:00 07/10/2012] id: Midazolam el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 3 du: mghr sv: 50 su: ml rt: IV Drip t0: [05:15:00 07/10/2012] id: Sandostatin el: 2 cu: MICU cg: RN so: D5W vo: 0 v1: 50 du: mcghr sv: 100 su: ml rt: IV Drip t0: [06:00:00 07/10/2012] id: Fentanyl el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 100 du: mcghr sv: 250 su: ml rt: IV Drip t0: [06:00:00 07/10/2012] id: Midazolam el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 3 du: mghr sv: 50 su: ml rt: IV Drip t0: [06:00:00 07/10/2012] id: Sandostatin el: 2 cu: MICU cg: RN so: D5W vo: 0 v1: 50 du: mcghr sv: 100 su: ml rt: IV Drip
t0: [06:00:00 07/10/2012] id: HOB el: 0 cu: MICU cg: RN v1: 30 degrees st: NotStopd t0: [06:00:00 07/10/2012] id: Activity el: 0 cu: MICU cg: RN v1: Bedrest st: NotStopd t0: [06:00:00 07/10/2012] id: Activity Tolerance el: 0 cu: MICU cg: RN v1: Tolerated Well st: NotStopd t0: [06:00:00 07/10/2012] id: AntiEmbDevice/Status el: 0 cu: MICU cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [06:00:00 07/10/2012] id: Position el: 0 cu: MICU cg: RN v1: Supine st: NotStopd t0: [06:00:00 07/10/2012] id: Assistance Device el: 0 cu: MICU cg: RN v1: 1 Person Assist st: NotStopd t0: [06:00:00 07/10/2012] id: Turn el: 0 cu: MICU cg: RN v1: Back st: NotStopd
t0: [06:00:00 07/10/2012] id: Urine Out Void el: 1 cu: MICU cg: RN vo: 80 vu: ml
t0: [06:00:00 07/10/2012] id: Radiologic Study el: 0 cu: MICU cg: RN v1: Chest Xray st: NotStopd
t0: [07:00:00 07/10/2012] id: HI/Minute/Vol/Alarm el: 0 cu: MICU cg: RRT v1: 16 t0: [07:00:00 07/10/2012] id: Compliance (40-60ml) el: 0 cu: MICU cg: RRT v1: 41.1765 u1: ml/cmH st: NotStopd t0: [07:00:00 07/10/2012] id: ETT Mark/Location el: 0 cu: MICU cg: RRT v1: 23cm v2: Lip st: NotStopd t0: [07:00:00 07/10/2012] id: FiO2 Set el: 0 cu: MICU cg: RRT v1: 0.35 u1: torr st: NotStopd t0: [07:00:00 07/10/2012] id: High Insp. Pressure el: 0 cu: MICU cg: RRT v1: 50 u1: cmH2O st: NotStopd t0: [07:00:00 07/10/2012] id: High Resp. Rate el: 0 cu: MICU cg: RRT v1: 40 u1: BPM st: NotStopd t0: [07:00:00 07/10/2012] id: I:E Ratio el: 0 cu: MICU cg: RRT v1: 1:4.0 st: NotStopd t0: [07:00:00 07/10/2012] id: Airway Size el: 0 cu: MICU cg: RRT v1: 7.5 mm st: NotStopd t0: [07:00:00 07/10/2012] id: Airway Type el: 0 cu: MICU cg: RRT v1: Endotracheal st: NotStopd t0: [07:00:00 07/10/2012] id: Inspired Gas Temp el: 0 cu: MICU cg: RRT v1: 34 u1: Deg. C st: NotStopd t0: [07:00:00 07/10/2012] id: Intubation Date el: 0 cu: MICU cg: RRT v1: 9 v2: 13 st: NotStopd t0: [07:00:00 07/10/2012] id: Low Exhaled Min Vol el: 0 cu: MICU cg: RRT v1: 6 st: NotStopd t0: [07:00:00 07/10/2012] id: Mean Airway Pressure el: 0 cu: MICU cg: RRT v1: 8 u1: cmH2O st: NotStopd t0: [07:00:00 07/10/2012] id: Minute Volume(Obser) el: 0 cu: MICU cg: RRT v1: 10 u1: L/min st: NotStopd t0: [07:00:00 07/10/2012] id: PEEP Set el: 0 cu: MICU cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [07:00:00 07/10/2012] id: Apnea Time Interval el: 0 cu: MICU cg: RRT v1: 20 st: NotStopd t0: [07:00:00 07/10/2012] id: Peak Insp. Pressure el: 0 cu: MICU cg: RRT v1: 22 u1: cmH2O st: NotStopd t0: [07:00:00 07/10/2012] id: Plateau Pressure el: 0 cu: MICU cg: RRT v1: 19 u1: cmH2O st: NotStopd t0: [07:00:00 07/10/2012] id: Pressure Support el: 0 cu: MICU cg: RRT v1: 5 u1: . st: NotStopd t0: [07:00:00 07/10/2012] id: Resp Rate (Spont) el: 0 cu: MICU cg: RRT v1: 4 u1: BPM st: NotStopd t0: [07:00:00 07/10/2012] id: Resp Rate (Total) el: 0 cu: MICU cg: RRT v1: 16 u1: BPM st: NotStopd t0: [07:00:00 07/10/2012] id: Respiratory Rate Set el: 0 cu: MICU cg: RRT v1: 12 u1: BPM st: NotStopd t0: [07:00:00 07/10/2012] id: Sensitivity-Vent el: 0 cu: MICU cg: RRT v1: 2 u1: cmH2O st: NotStopd t0: [07:00:00 07/10/2012] id: SpO2 el: 0 cu: MICU cg: RRT v1: 99 u1: % st: NotStopd t0: [07:00:00 07/10/2012] id: Sputum Color/Consist el: 0 cu: MICU cg: RRT v1: Yellow v2: Thick st: NotStopd t0: [07:00:00 07/10/2012] id: Sputum Source/Amt el: 0 cu: MICU cg: RRT v1: Suctioned v2: Moderate st: NotStopd t0: [07:00:00 07/10/2012] id: Tidal Volume (Obser) el: 0 cu: MICU cg: RRT v1: 700 u1: ml/B st: NotStopd t0: [07:00:00 07/10/2012] id: Tidal Volume (Set) el: 0 cu: MICU cg: RRT v1: 700 u1: ml/B st: NotStopd t0: [07:00:00 07/10/2012] id: Ventilator Mode el: 0 cu: MICU cg: RRT v1: SIMV+PS st: NotStopd t0: [07:00:00 07/10/2012] id: Ventilator Type el: 0 cu: MICU cg: RRT v1: Drager st: NotStopd t0: [07:00:00 07/10/2012] id: Waveform-Vent el: 0 cu: MICU cg: RRT v1: RAMP st: NotStopd
t0: [08:00:00 07/10/2012] id: Less Restrict Meas. el: 0 cu: MICU cg: RN v1: Medicated st: NotStopd t0: [08:00:00 07/10/2012] id: Pain Present el: 0 cu: MICU cg: RN v1: No st: NotStopd t0: [08:00:00 07/10/2012] id: Pain Assess Method el: 0 cu: MICU cg: RN v1: Non-verbal cues st: NotStopd t0: [08:00:00 07/10/2012] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [08:00:00 07/10/2012] id: Circulation/SkinInt el: 0 cu: MICU cg: RN v1: Circulation Adeq st: NotStopd t0: [08:00:00 07/10/2012] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [08:00:00 07/10/2012] id: Riker-SAS Scale el: 0 cu: MICU cg: RN v1: Sedated st: NotStopd t0: [08:00:00 07/10/2012] id: Cough Reflex el: 0 cu: MICU cg: RN v1: Intact st: NotStopd t0: [08:00:00 07/10/2012] id: Daily Wake Up el: 1 cu: MICU cg: RN v1: Yes st: NotStopd t0: [08:00:00 07/10/2012] id: GI Prophylaxis el: 0 cu: MICU cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [08:00:00 07/10/2012] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [08:00:00 07/10/2012] id: Diet Type el: 0 cu: MICU cg: RN v1: NPO st: NotStopd t0: [08:00:00 07/10/2012] id: Dorsal PedPulse R/L el: 0 cu: MICU cg: RN v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [08:00:00 07/10/2012] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [08:00:00 07/10/2012] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [08:00:00 07/10/2012] id: Eye Opening el: 0 cu: MICU cg: RN v1: 3 To speech st: NotStopd t0: [08:00:00 07/10/2012] id: Follows Commands el: 0 cu: MICU cg: RN v1: Consistently st: NotStopd t0: [08:00:00 07/10/2012] id: Gag Reflex el: 0 cu: MICU cg: RN v1: Intact st: NotStopd t0: [08:00:00 07/10/2012] id: HOB el: 0 cu: MICU cg: RN v1: 30 degrees st: NotStopd t0: [08:00:00 07/10/2012] id: Heart Rate el: 0 cu: MICU cg: RN v1: 89 u1: BPM st: NotStopd t0: [08:00:00 07/10/2012] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [08:00:00 07/10/2012] id: INV Line#1 Type/Site el: 0 cu: MICU cg: RN v1: A-Line v2: Left Radial st: NotStopd t0: [08:00:00 07/10/2012] id: INV Line#1 Zero/Cal el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [08:00:00 07/10/2012] id: INV Line#1InsertDate el: 0 cu: MICU cg: RN v1: 9 v2: 13 st: NotStopd t0: [08:00:00 07/10/2012] id: INV Line#1SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [08:00:00 07/10/2012] id: INV Line#2 Type/Site el: 0 cu: MICU cg: RN v1: Multi-lumen v2: Right Femoral st: NotStopd t0: [08:00:00 07/10/2012] id: INV Line#2InsertDate el: 0 cu: MICU cg: RN v1: 9 v2: 13 st: NotStopd t0: [08:00:00 07/10/2012] id: INV Line#2SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [08:00:00 07/10/2012] id: Abdominal Assessment el: 0 cu: MICU cg: RN v1: Ascites st: NotStopd t0: [08:00:00 07/10/2012] id: INV#1 WaveformAppear el: 0 cu: MICU cg: RN v1: Sharp st: NotStopd t0: [08:00:00 07/10/2012] id: IV #1 Insert Date el: 0 cu: MICU cg: RN v1: 9 v2: 13 st: NotStopd t0: [08:00:00 07/10/2012] id: IV #1 Site/Size el: 0 cu: MICU cg: RN v1: LL Ant Forearm v2: 20 gauge st: NotStopd t0: [08:00:00 07/10/2012] id: IV #2 Insert Date el: 0 cu: MICU cg: RN v1: 9 v2: 13 st: NotStopd t0: [08:00:00 07/10/2012] id: IV #2 Site/Size el: 0 cu: MICU cg: RN v1: LL Ant Forearm v2: 20 gauge st: NotStopd t0: [08:00:00 07/10/2012] id: IV #3 Insert Date el: 0 cu: MICU cg: RN v1: 9 v2: 12 st: NotStopd t0: [08:00:00 07/10/2012] id: IV #3 Site/Size el: 0 cu: MICU cg: RN v1: Right Hand v2: 18 gauge st: NotStopd t0: [08:00:00 07/10/2012] id: IV #4 Insert Date el: 0 cu: MICU cg: RN v1: 9 v2: 12 st: NotStopd t0: [08:00:00 07/10/2012] id: IV #4 Site/Size el: 0 cu: MICU cg: RN v1: RL Ant Forearm v2: 18 gauge st: NotStopd t0: [08:00:00 07/10/2012] id: Activity el: 0 cu: MICU cg: RN v1: Bedrest st: NotStopd t0: [08:00:00 07/10/2012] id: IV Site Appear #1 el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [08:00:00 07/10/2012] id: IV Site Appear #2 el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [08:00:00 07/10/2012] id: IV Site Appear #3 el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [08:00:00 07/10/2012] id: IV Site Appear #4 el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [08:00:00 07/10/2012] id: LUL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [08:00:00 07/10/2012] id: Angio Appearance #1 el: 0 cu: MICU cg: RN v1: Clean and Dry st: NotStopd t0: [08:00:00 07/10/2012] id: Motor Response el: 0 cu: MICU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [08:00:00 07/10/2012] id: Angio Dressing #1 el: 0 cu: MICU cg: RN v1: Dry Sterile Dsg st: NotStopd t0: [08:00:00 07/10/2012] id: Oral Cavity el: 0 cu: MICU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [08:00:00 07/10/2012] id: Orientation el: 0 cu: MICU cg: RN v1: Other/Remarks st: NotStopd t0: [08:00:00 07/10/2012] id: Angio Site #1 el: 0 cu: MICU cg: RN v1: L Femoral st: NotStopd t0: [08:00:00 07/10/2012] id: AntiEmbDevice/Status el: 0 cu: MICU cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [08:00:00 07/10/2012] id: Arterial BP el: 0 cu: MICU cg: RN v1: 129 u1: mmHg v2: 62 u2: mmHg st: NotStopd t0: [08:00:00 07/10/2012] id: Pain Location el: 0 cu: MICU cg: RN v1: Not Indicated st: NotStopd t0: [08:00:00 07/10/2012] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 83 u1: mmHg st: NotStopd t0: [08:00:00 07/10/2012] id: Position el: 0 cu: MICU cg: RN v1: Supine st: NotStopd t0: [08:00:00 07/10/2012] id: Position Change el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [08:00:00 07/10/2012] id: PostTib. Pulses R/L el: 0 cu: MICU cg: RN v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [08:00:00 07/10/2012] id: Assistance Device el: 0 cu: MICU cg: RN v1: 2 Person Assist st: NotStopd t0: [08:00:00 07/10/2012] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [08:00:00 07/10/2012] id: Previous WeightF el: 0 cu: MICU cg: RN v1: 84.5 u1: kg st: NotStopd t0: [08:00:00 07/10/2012] id: Pupil Size R/L el: 0 cu: MICU cg: RN v1: Pinpoint v2: Pinpoint st: NotStopd t0: [08:00:00 07/10/2012] id: RUL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [08:00:00 07/10/2012] id: Reason For Restraint el: 0 cu: MICU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [08:00:00 07/10/2012] id: Respiratory Pattern el: 0 cu: MICU cg: RN v1: Regular st: NotStopd t0: [08:00:00 07/10/2012] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 19 u1: BPM st: NotStopd t0: [08:00:00 07/10/2012] id: Restraint Location el: 0 cu: MICU cg: RN v1: Both Arms st: NotStopd t0: [08:00:00 07/10/2012] id: Restraint Type el: 0 cu: MICU cg: RN v1: Soft Limb st: NotStopd t0: [08:00:00 07/10/2012] id: Restraints Evaluated el: 0 cu: MICU cg: RN v1: Behavior Conts st: NotStopd t0: [08:00:00 07/10/2012] id: Side Rails el: 0 cu: MICU cg: RN v1: Side Rails Up st: NotStopd t0: [08:00:00 07/10/2012] id: Skin Color el: 0 cu: MICU cg: RN v1: Jaundiced st: NotStopd t0: [08:00:00 07/10/2012] id: Skin Integrity el: 0 cu: MICU cg: RN v1: Intact st: NotStopd t0: [08:00:00 07/10/2012] id: Skin Temp/Condition el: 0 cu: MICU cg: RN v1: Warm v2: Dry st: NotStopd t0: [08:00:00 07/10/2012] id: SpO2 el: 0 cu: MICU cg: RN v1: 99 u1: % st: NotStopd t0: [08:00:00 07/10/2012] id: Spontaneous Movement el: 0 cu: MICU cg: RN v1: Purposeful st: NotStopd t0: [08:00:00 07/10/2012] id: Stool Guaiac el: 0 cu: MICU cg: RN v1: Positive st: NotStopd t0: [08:00:00 07/10/2012] id: Support Systems el: 0 cu: MICU cg: RN v1: Spouse st: NotStopd t0: [08:00:00 07/10/2012] id: Temp. Site el: 0 cu: MICU cg: RN v1: Oral st: NotStopd t0: [08:00:00 07/10/2012] id: Temperature C (calc) el: 0 cu: MICU cg: RN v1: 37.1667 u1: Deg. C st: NotStopd t0: [08:00:00 07/10/2012] id: Temperature F el: 0 cu: MICU cg: RN v1: 98.9 u1: Deg. F st: NotStopd t0: [08:00:00 07/10/2012] id: Turn el: 0 cu: MICU cg: RN v1: Back st: NotStopd t0: [08:00:00 07/10/2012] id: Urine Color/Appear el: 0 cu: MICU cg: RN v1: Icteric v2: Clear st: NotStopd t0: [08:00:00 07/10/2012] id: Urine Source el: 0 cu: MICU cg: RN v1: Indwelling Cath st: NotStopd t0: [08:00:00 07/10/2012] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [08:00:00 07/10/2012] id: Behavior el: 0 cu: MICU cg: RN v1: Sedated st: NotStopd t0: [08:00:00 07/10/2012] id: Bowel Sounds el: 0 cu: MICU cg: RN v1: Hypoactive st: NotStopd t0: [08:00:00 07/10/2012] id: Braden Activity el: 0 cu: MICU cg: RN v1: Bedfast st: NotStopd t0: [08:00:00 07/10/2012] id: Braden Frict/Shear el: 0 cu: MICU cg: RN v1: No Apparent Prob st: NotStopd t0: [08:00:00 07/10/2012] id: Braden Mobility el: 0 cu: MICU cg: RN v1: Sl. Limited st: NotStopd t0: [08:00:00 07/10/2012] id: Braden Moisture el: 0 cu: MICU cg: RN v1: Occ. Moist st: NotStopd t0: [08:00:00 07/10/2012] id: Braden Nutrition el: 0 cu: MICU cg: RN v1: Prob. Inadequate st: NotStopd t0: [08:00:00 07/10/2012] id: Braden Score el: 0 cu: MICU cg: RN v1: 15 u1: number st: NotStopd t0: [08:00:00 07/10/2012] id: Braden SensoryPercep el: 0 cu: MICU cg: RN v1: Sl. Limited st: NotStopd
t0: [08:00:00 07/10/2012] id: .9% Normal Saline 1000.0ml IV Infusions el: 3 cu: MICU cg: RN ai: 107 vo: 250 vu: ml t0: [08:00:00 07/10/2012] id: D5W 250.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 105 vo: 0 vu: ml t0: [08:00:00 07/10/2012] id: D5W 100.0ml + 600mcghr Sandostatin IV Infusions el: 2 cu: MICU cg: RN ai: 107 vo: 16.6667 vu: ml t0: [08:00:00 07/10/2012] id: .9% Normal Saline 50.0ml + 50mghr Midazolam IV Infusions el: 1 cu: MICU cg: RN ai: 189 vo: 6 vu: ml t0: [08:00:00 07/10/2012] id: Urine Out Void el: 1 cu: MICU cg: RN vo: 100 vu: ml
t0: [08:00:00 07/10/2012] id: Fentanyl el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 100 du: mcghr sv: 250 su: ml rt: IV Drip t0: [08:00:00 07/10/2012] id: Midazolam el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 3 du: mghr sv: 50 su: ml rt: IV Drip t0: [08:00:00 07/10/2012] id: Sandostatin el: 2 cu: MICU cg: RN so: D5W vo: 0 v1: 50 du: mcghr sv: 100 su: ml rt: IV Drip
t0: [06:00:00 07/10/2012] id: Previous Weight el: 0 cu: MICU cg: 1663 v1: 84.5 u1: kg st: NotStopd t0: [07:28:00 07/10/2012] id: Hematocrit Hematology el: 0 cu: MICU cg: 1663 v1: 37.6 u1: % rs: Final st: NotStopd
t0: [09:00:00 07/10/2012] id: Range of Motion el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [09:00:00 07/10/2012] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [09:00:00 07/10/2012] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [09:00:00 07/10/2012] id: Riker-SAS Scale el: 0 cu: MICU cg: RN v1: Sedated st: NotStopd t0: [09:00:00 07/10/2012] id: Cough Effort el: 0 cu: MICU cg: RN v1: Strong st: NotStopd t0: [09:00:00 07/10/2012] id: Cough Type el: 0 cu: MICU cg: RN v1: Productive st: NotStopd t0: [09:00:00 07/10/2012] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [09:00:00 07/10/2012] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [09:00:00 07/10/2012] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [09:00:00 07/10/2012] id: Heart Rate el: 0 cu: MICU cg: RN v1: 92 u1: BPM st: NotStopd t0: [09:00:00 07/10/2012] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [09:00:00 07/10/2012] id: LLL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [09:00:00 07/10/2012] id: Oral Cavity el: 0 cu: MICU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [09:00:00 07/10/2012] id: Arterial BP el: 0 cu: MICU cg: RN v1: 126 u1: mmHg v2: 56 u2: mmHg st: NotStopd t0: [09:00:00 07/10/2012] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 78 u1: mmHg st: NotStopd t0: [09:00:00 07/10/2012] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [09:00:00 07/10/2012] id: Previous WeightF el: 0 cu: MICU cg: RN v1: 84.5 u1: kg st: NotStopd t0: [09:00:00 07/10/2012] id: RLL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [09:00:00 07/10/2012] id: Removed x 5 Mins el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [09:00:00 07/10/2012] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 16 u1: BPM st: NotStopd t0: [09:00:00 07/10/2012] id: SpO2 el: 0 cu: MICU cg: RN v1: 99 u1: % st: NotStopd t0: [09:00:00 07/10/2012] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [08:00:00 07/10/2012] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU cg: RN ai: 416 vo: 20 vu: ml t0: [09:00:00 07/10/2012] id: .9% Normal Saline 1000.0ml IV Infusions el: 3 cu: MICU cg: RN ai: 107 vo: 125 vu: ml t0: [09:00:00 07/10/2012] id: D5W 250.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 105 vo: 0 vu: ml t0: [09:00:00 07/10/2012] id: D5W 100.0ml + 600mcghr Sandostatin IV Infusions el: 2 cu: MICU cg: RN ai: 107 vo: 8.33333 vu: ml t0: [09:00:00 07/10/2012] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU cg: RN ai: 416 vo: 10 vu: ml t0: [09:00:00 07/10/2012] id: .9% Normal Saline 50.0ml + 50mghr Midazolam IV Infusions el: 1 cu: MICU cg: RN ai: 189 vo: 3 vu: ml t0: [09:00:00 07/10/2012] id: Urine Out Void el: 1 cu: MICU cg: RN vo: 120 vu: ml
t0: [09:00:00 07/10/2012] id: Fentanyl el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 100 du: mcghr sv: 250 su: ml rt: IV Drip t0: [09:00:00 07/10/2012] id: Midazolam el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 3 du: mghr sv: 50 su: ml rt: IV Drip t0: [09:00:00 07/10/2012] id: Sandostatin el: 2 cu: MICU cg: RN so: D5W vo: 0 v1: 50 du: mcghr sv: 100 su: ml rt: IV Drip
t0: [09:00:00 07/10/2012] id: Sputum Color/Consist el: 0 cu: MICU cg: RN v1: Yellow v2: Thick st: NotStopd t0: [09:00:00 07/10/2012] id: Sputum Source/Amt el: 0 cu: MICU cg: RN v1: Suctioned v2: Moderate st: NotStopd
io: .9% Normal Saline 1000.0ml IV Infusions el: 3 cu: MICU cg: RN ra: 10 ru: ml/hr
id: .9% Normal Saline el: 3 cu: MICU cg: RN io: .9% Normal Saline 1000.0ml IV Infusions vo: 1000 du: ml rt: Intravenous Infusion
t0: [10:00:00 07/10/2012] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [10:00:00 07/10/2012] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [10:00:00 07/10/2012] id: Riker-SAS Scale el: 0 cu: MICU cg: RN v1: Sedated st: NotStopd t0: [10:00:00 07/10/2012] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [10:00:00 07/10/2012] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [10:00:00 07/10/2012] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [10:00:00 07/10/2012] id: Heart Rate el: 0 cu: MICU cg: RN v1: 96 u1: BPM st: NotStopd t0: [10:00:00 07/10/2012] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [10:00:00 07/10/2012] id: Arterial BP el: 0 cu: MICU cg: RN v1: 110 u1: mmHg v2: 50 u2: mmHg st: NotStopd t0: [10:00:00 07/10/2012] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 67 u1: mmHg st: NotStopd t0: [10:00:00 07/10/2012] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [10:00:00 07/10/2012] id: Previous WeightF el: 0 cu: MICU cg: RN v1: 84.5 u1: kg st: NotStopd t0: [10:00:00 07/10/2012] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 16 u1: BPM st: NotStopd t0: [10:00:00 07/10/2012] id: SpO2 el: 0 cu: MICU cg: RN v1: 100 u1: % st: NotStopd t0: [10:00:00 07/10/2012] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [10:00:00 07/10/2012] id: .9% Normal Saline 1000.0ml IV Infusions el: 3 cu: MICU cg: RN ai: 107 vo: 125 vu: ml t0: [10:00:00 07/10/2012] id: D5W 250.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 105 vo: 0 vu: ml t0: [10:00:00 07/10/2012] id: D5W 100.0ml + 600mcghr Sandostatin IV Infusions el: 2 cu: MICU cg: RN ai: 107 vo: 8.33333 vu: ml t0: [10:00:00 07/10/2012] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU cg: RN ai: 416 vo: 10 vu: ml t0: [10:00:00 07/10/2012] id: .9% Normal Saline 50.0ml + 50mghr Midazolam IV Infusions el: 1 cu: MICU cg: RN ai: 189 vo: 3 vu: ml t0: [10:00:00 07/10/2012] id: Urine Out Void el: 1 cu: MICU cg: RN vo: 60 vu: ml
t0: [10:00:00 07/10/2012] id: Fentanyl el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 100 du: mcghr sv: 250 su: ml rt: IV Drip t0: [10:00:00 07/10/2012] id: Midazolam el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 3 du: mghr sv: 50 su: ml rt: IV Drip t0: [10:00:00 07/10/2012] id: Sandostatin el: 2 cu: MICU cg: RN so: D5W vo: 0 v1: 50 du: mcghr sv: 100 su: ml rt: IV Drip
t0: [09:00:00 07/10/2012] id: bath el: 1 cu: MICU cg: RN v1: Done t0: [09:00:00 07/10/2012] id: Oral Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [09:00:00 07/10/2012] id: Skin Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [09:00:00 07/10/2012] id: Back Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [11:00:00 07/10/2012] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [11:00:00 07/10/2012] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [11:00:00 07/10/2012] id: Riker-SAS Scale el: 0 cu: MICU cg: RN v1: Sedated st: NotStopd t0: [11:00:00 07/10/2012] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [11:00:00 07/10/2012] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [11:00:00 07/10/2012] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [11:00:00 07/10/2012] id: HOB el: 0 cu: MICU cg: RN v1: 30 degrees st: NotStopd t0: [11:00:00 07/10/2012] id: Heart Rate el: 0 cu: MICU cg: RN v1: 95 u1: BPM st: NotStopd t0: [11:00:00 07/10/2012] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [11:00:00 07/10/2012] id: Activity el: 0 cu: MICU cg: RN v1: Bedrest st: NotStopd t0: [11:00:00 07/10/2012] id: Activity Tolerance el: 0 cu: MICU cg: RN v1: Tolerated Well st: NotStopd t0: [11:00:00 07/10/2012] id: AntiEmbDevice/Status el: 0 cu: MICU cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [11:00:00 07/10/2012] id: Arterial BP el: 0 cu: MICU cg: RN v1: 130 u1: mmHg v2: 62 u2: mmHg st: NotStopd t0: [11:00:00 07/10/2012] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 83 u1: mmHg st: NotStopd t0: [11:00:00 07/10/2012] id: Position el: 0 cu: MICU cg: RN v1: Left Side st: NotStopd t0: [11:00:00 07/10/2012] id: Assistance Device el: 0 cu: MICU cg: RN v1: 2 Person Assist st: NotStopd t0: [11:00:00 07/10/2012] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [11:00:00 07/10/2012] id: Previous WeightF el: 0 cu: MICU cg: RN v1: 84.5 u1: kg st: NotStopd t0: [11:00:00 07/10/2012] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 16 u1: BPM st: NotStopd t0: [11:00:00 07/10/2012] id: SpO2 el: 0 cu: MICU cg: RN v1: 98 u1: % st: NotStopd t0: [11:00:00 07/10/2012] id: Temp. Site el: 0 cu: MICU cg: RN v1: Oral st: NotStopd t0: [11:00:00 07/10/2012] id: Temperature C (calc) el: 0 cu: MICU cg: RN v1: 37.3333 u1: Deg. C st: NotStopd t0: [11:00:00 07/10/2012] id: Temperature F el: 0 cu: MICU cg: RN v1: 99.2 u1: Deg. F st: NotStopd t0: [11:00:00 07/10/2012] id: Turn el: 0 cu: MICU cg: RN v1: Side to Side st: NotStopd t0: [11:00:00 07/10/2012] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [11:00:00 07/10/2012] id: .9% Normal Saline 1000.0ml IV Infusions el: 3 cu: MICU cg: RN ai: 107 vo: 10 vu: ml t0: [11:00:00 07/10/2012] id: D5W 250.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 105 vo: 0 vu: ml t0: [11:00:00 07/10/2012] id: D5W 100.0ml + 600mcghr Sandostatin IV Infusions el: 2 cu: MICU cg: RN ai: 107 vo: 8.33333 vu: ml t0: [11:00:00 07/10/2012] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU cg: RN ai: 416 vo: 10 vu: ml t0: [11:00:00 07/10/2012] id: Stool Out Stool el: 1 cu: MICU cg: RN vo: 350 vu: ml t0: [11:00:00 07/10/2012] id: .9% Normal Saline 50.0ml + 50mghr Midazolam IV Infusions el: 1 cu: MICU cg: RN ai: 189 vo: 3 vu: ml t0: [11:00:00 07/10/2012] id: Urine Out Void el: 1 cu: MICU cg: RN vo: 60 vu: ml
t0: [11:00:00 07/10/2012] id: Fentanyl el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 100 du: mcghr sv: 250 su: ml rt: IV Drip t0: [11:00:00 07/10/2012] id: Midazolam el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 3 du: mghr sv: 50 su: ml rt: IV Drip t0: [11:00:00 07/10/2012] id: Sandostatin el: 2 cu: MICU cg: RN so: D5W vo: 0 v1: 50 du: mcghr sv: 100 su: ml rt: IV Drip
tf: [11:00:00 08/10/2012] pt: IV Piggyback rt: IV fr: BID fs: 12, 0 dn: 2 m1: Acetylcysteine 20% v1: 600 u1: mg m2: NS v2: 250 u2: ml
t0: [11:50:00 07/10/2012] id: Hematocrit Hematology el: 0 cu: MICU cg: 1663 v1: 38.8 u1: % rs: Final st: NotStopd
t0: [08:00:00 07/10/2012] id: GCS Total el: 0 cu: MICU cg: RN v1: 10 u1: points st: NotStopd t0: [08:00:00 07/10/2012] id: Level of Conscious el: 0 cu: MICU cg: RN v1: Arouse to Voice st: NotStopd t0: [08:00:00 07/10/2012] id: Verbal Response el: 0 cu: MICU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [11:00:00 07/10/2012] id: Readmit <48 hrs el: 0 cu: MICU cg: RN st: NotStopd t0: [12:00:00 07/10/2012] id: Less Restrict Meas. el: 0 cu: MICU cg: RN v1: Medicated st: NotStopd t0: [12:00:00 07/10/2012] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [12:00:00 07/10/2012] id: Circulation/SkinInt el: 0 cu: MICU cg: RN v1: Circulation Adeq st: NotStopd t0: [12:00:00 07/10/2012] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [12:00:00 07/10/2012] id: Riker-SAS Scale el: 0 cu: MICU cg: RN v1: Sedated st: NotStopd t0: [12:00:00 07/10/2012] id: Cough Effort el: 0 cu: MICU cg: RN v1: Strong st: NotStopd t0: [12:00:00 07/10/2012] id: Cough Reflex el: 0 cu: MICU cg: RN v1: Intact st: NotStopd t0: [12:00:00 07/10/2012] id: Cough Type el: 0 cu: MICU cg: RN v1: Nonproductive st: NotStopd t0: [12:00:00 07/10/2012] id: GI Prophylaxis el: 0 cu: MICU cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [12:00:00 07/10/2012] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [12:00:00 07/10/2012] id: Diet Type el: 0 cu: MICU cg: RN v1: NPO st: NotStopd t0: [12:00:00 07/10/2012] id: Dorsal PedPulse R/L el: 0 cu: MICU cg: RN v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [12:00:00 07/10/2012] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [12:00:00 07/10/2012] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [12:00:00 07/10/2012] id: Eye Opening el: 0 cu: MICU cg: RN v1: 3 To speech st: NotStopd t0: [12:00:00 07/10/2012] id: GCS Total el: 0 cu: MICU cg: RN v1: 10 u1: points st: NotStopd t0: [12:00:00 07/10/2012] id: Gag Reflex el: 0 cu: MICU cg: RN v1: Intact st: NotStopd t0: [12:00:00 07/10/2012] id: HOB el: 0 cu: MICU cg: RN v1: 30 degrees st: NotStopd t0: [12:00:00 07/10/2012] id: Heart Rate el: 0 cu: MICU cg: RN v1: 93 u1: BPM st: NotStopd t0: [12:00:00 07/10/2012] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [12:00:00 07/10/2012] id: Abdominal Assessment el: 0 cu: MICU cg: RN v1: Ascites st: NotStopd t0: [12:00:00 07/10/2012] id: Activity el: 0 cu: MICU cg: RN v1: Bedrest st: NotStopd t0: [12:00:00 07/10/2012] id: LUL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [12:00:00 07/10/2012] id: Level of Conscious el: 0 cu: MICU cg: RN v1: Arouse to Voice st: NotStopd t0: [12:00:00 07/10/2012] id: Angio Appearance #1 el: 0 cu: MICU cg: RN v1: Clean and Dry st: NotStopd t0: [12:00:00 07/10/2012] id: Motor Response el: 0 cu: MICU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [12:00:00 07/10/2012] id: Angio Dressing #1 el: 0 cu: MICU cg: RN v1: Dry Sterile Dsg st: NotStopd t0: [12:00:00 07/10/2012] id: Oral Cavity el: 0 cu: MICU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [12:00:00 07/10/2012] id: Orientation el: 0 cu: MICU cg: RN v1: Other/Remarks st: NotStopd t0: [12:00:00 07/10/2012] id: Angio Site #1 el: 0 cu: MICU cg: RN v1: L Femoral st: NotStopd t0: [12:00:00 07/10/2012] id: AntiEmbDevice/Status el: 0 cu: MICU cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [12:00:00 07/10/2012] id: Arterial BP el: 0 cu: MICU cg: RN v1: 124 u1: mmHg v2: 59 u2: mmHg st: NotStopd t0: [12:00:00 07/10/2012] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 78 u1: mmHg st: NotStopd t0: [12:00:00 07/10/2012] id: Position el: 0 cu: MICU cg: RN v1: Left Side st: NotStopd t0: [12:00:00 07/10/2012] id: PostTib. Pulses R/L el: 0 cu: MICU cg: RN v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [12:00:00 07/10/2012] id: Assistance Device el: 0 cu: MICU cg: RN v1: 2 Person Assist st: NotStopd t0: [12:00:00 07/10/2012] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [12:00:00 07/10/2012] id: Previous WeightF el: 0 cu: MICU cg: RN v1: 84.5 u1: kg st: NotStopd t0: [12:00:00 07/10/2012] id: RUL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [12:00:00 07/10/2012] id: Reason For Restraint el: 0 cu: MICU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [12:00:00 07/10/2012] id: Respiratory Pattern el: 0 cu: MICU cg: RN v1: Regular st: NotStopd t0: [12:00:00 07/10/2012] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 12 u1: BPM st: NotStopd t0: [12:00:00 07/10/2012] id: Restraint Location el: 0 cu: MICU cg: RN v1: Both Arms st: NotStopd t0: [12:00:00 07/10/2012] id: Restraint Type el: 0 cu: MICU cg: RN v1: Soft Limb st: NotStopd t0: [12:00:00 07/10/2012] id: Restraints Evaluated el: 0 cu: MICU cg: RN v1: Behavior Conts st: NotStopd t0: [12:00:00 07/10/2012] id: Side Rails el: 0 cu: MICU cg: RN v1: Side Rails Up st: NotStopd t0: [12:00:00 07/10/2012] id: Skin Color el: 0 cu: MICU cg: RN v1: Jaundiced st: NotStopd t0: [12:00:00 07/10/2012] id: Skin Integrity el: 0 cu: MICU cg: RN v1: Intact st: NotStopd t0: [12:00:00 07/10/2012] id: Skin Temp/Condition el: 0 cu: MICU cg: RN v1: Warm v2: Dry st: NotStopd t0: [12:00:00 07/10/2012] id: SpO2 el: 0 cu: MICU cg: RN v1: 99 u1: % st: NotStopd t0: [12:00:00 07/10/2012] id: Spontaneous Movement el: 0 cu: MICU cg: RN v1: Purposeful st: NotStopd t0: [12:00:00 07/10/2012] id: Stool Guaiac el: 0 cu: MICU cg: RN v1: Positive st: NotStopd t0: [12:00:00 07/10/2012] id: Temp. Site el: 0 cu: MICU cg: RN v1: Oral st: NotStopd t0: [12:00:00 07/10/2012] id: Temperature C (calc) el: 0 cu: MICU cg: RN v1: 37.2222 u1: Deg. C st: NotStopd t0: [12:00:00 07/10/2012] id: Temperature F el: 0 cu: MICU cg: RN v1: 99 u1: Deg. F st: NotStopd t0: [12:00:00 07/10/2012] id: Turn el: 0 cu: MICU cg: RN v1: Left Side st: NotStopd t0: [12:00:00 07/10/2012] id: Urine Color/Appear el: 0 cu: MICU cg: RN v1: Icteric v2: Clear st: NotStopd t0: [12:00:00 07/10/2012] id: Urine Source el: 0 cu: MICU cg: RN v1: Indwelling Cath st: NotStopd t0: [12:00:00 07/10/2012] id: Verbal Response el: 0 cu: MICU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [12:00:00 07/10/2012] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [12:00:00 07/10/2012] id: Behavior el: 0 cu: MICU cg: RN v1: Sedated st: NotStopd t0: [12:00:00 07/10/2012] id: Bowel Sounds el: 0 cu: MICU cg: RN v1: Hypoactive st: NotStopd t0: [12:00:00 07/10/2012] id: Braden Activity el: 0 cu: MICU cg: RN v1: Bedfast st: NotStopd t0: [12:00:00 07/10/2012] id: Braden Frict/Shear el: 0 cu: MICU cg: RN v1: Potential Prob st: NotStopd t0: [12:00:00 07/10/2012] id: Braden Mobility el: 0 cu: MICU cg: RN v1: Sl. Limited st: NotStopd t0: [12:00:00 07/10/2012] id: Braden Moisture el: 0 cu: MICU cg: RN v1: Occ. Moist st: NotStopd t0: [12:00:00 07/10/2012] id: Braden Nutrition el: 0 cu: MICU cg: RN v1: Prob. Inadequate st: NotStopd t0: [12:00:00 07/10/2012] id: Braden Score el: 0 cu: MICU cg: RN v1: 14 u1: number st: NotStopd t0: [12:00:00 07/10/2012] id: Braden SensoryPercep el: 0 cu: MICU cg: RN v1: Sl. Limited st: NotStopd
t0: [12:00:00 07/10/2012] id: .9% Normal Saline 1000.0ml IV Infusions el: 3 cu: MICU cg: RN ai: 107 vo: 10 vu: ml t0: [12:00:00 07/10/2012] id: D5W 250.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 105 vo: 0 vu: ml t0: [12:00:00 07/10/2012] id: D5W 100.0ml + 600mcghr Sandostatin IV Infusions el: 2 cu: MICU cg: RN ai: 107 vo: 8.33333 vu: ml t0: [12:00:00 07/10/2012] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU cg: RN ai: 416 vo: 10 vu: ml t0: [12:00:00 07/10/2012] id: .9% Normal Saline 50.0ml + 50mghr Midazolam IV Infusions el: 1 cu: MICU cg: RN ai: 189 vo: 3 vu: ml t0: [12:00:00 07/10/2012] id: Urine Out Void el: 1 cu: MICU cg: RN vo: 27 vu: ml
t0: [12:00:00 07/10/2012] id: Fentanyl el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 100 du: mcghr sv: 250 su: ml rt: IV Drip t0: [12:00:00 07/10/2012] id: Midazolam el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 3 du: mghr sv: 50 su: ml rt: IV Drip t0: [12:00:00 07/10/2012] id: Sandostatin el: 2 cu: MICU cg: RN so: D5W vo: 0 v1: 50 du: mcghr sv: 100 su: ml rt: IV Drip
t0: [12:00:00 07/10/2012] id: Fingerstick Glucose Chemistry el: 0 cu: MICU cg: RN v1: 92 rs: Manual st: NotStopd
t0: [12:40:00 07/10/2012] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [12:40:00 07/10/2012] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [12:40:00 07/10/2012] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [12:40:00 07/10/2012] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [12:40:00 07/10/2012] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [12:40:00 07/10/2012] id: Heart Rate el: 0 cu: MICU cg: RN v1: 94 u1: BPM st: NotStopd t0: [12:40:00 07/10/2012] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [12:40:00 07/10/2012] id: Arterial BP el: 0 cu: MICU cg: RN v1: 132 u1: mmHg v2: 66 u2: mmHg st: NotStopd t0: [12:40:00 07/10/2012] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 87 u1: mmHg st: NotStopd t0: [12:40:00 07/10/2012] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [12:40:00 07/10/2012] id: Previous WeightF el: 0 cu: MICU cg: RN v1: 84.5 u1: kg st: NotStopd t0: [12:40:00 07/10/2012] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 13 u1: BPM st: NotStopd t0: [12:40:00 07/10/2012] id: SpO2 el: 0 cu: MICU cg: RN v1: 100 u1: % st: NotStopd t0: [12:40:00 07/10/2012] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [12:40:00 07/10/2012] id: Fentanyl el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 100 du: mcghr sv: 250 su: ml rt: IV Drip t0: [12:40:00 07/10/2012] id: Midazolam el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 3 du: mghr sv: 50 su: ml rt: IV Drip t0: [12:40:00 07/10/2012] id: Sandostatin el: 2 cu: MICU cg: RN so: D5W vo: 0 v1: 50 du: mcghr sv: 100 su: ml rt: IV Drip
t0: [12:45:00 07/10/2012] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [12:45:00 07/10/2012] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [12:45:00 07/10/2012] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [12:45:00 07/10/2012] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [12:45:00 07/10/2012] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [12:45:00 07/10/2012] id: Heart Rate el: 0 cu: MICU cg: RN v1: 91 u1: BPM st: NotStopd t0: [12:45:00 07/10/2012] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [12:45:00 07/10/2012] id: Arterial BP el: 0 cu: MICU cg: RN v1: 131 u1: mmHg v2: 65 u2: mmHg st: NotStopd t0: [12:45:00 07/10/2012] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 86 u1: mmHg st: NotStopd t0: [12:45:00 07/10/2012] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [12:45:00 07/10/2012] id: Previous WeightF el: 0 cu: MICU cg: RN v1: 84.5 u1: kg st: NotStopd t0: [12:45:00 07/10/2012] id: SpO2 el: 0 cu: MICU cg: RN v1: 99 u1: % st: NotStopd t0: [12:45:00 07/10/2012] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [12:45:00 07/10/2012] id: Fentanyl el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 100 du: mcghr sv: 250 su: ml rt: IV Drip t0: [12:45:00 07/10/2012] id: Midazolam el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 3 du: mghr sv: 50 su: ml rt: IV Drip t0: [12:45:00 07/10/2012] id: Sandostatin el: 2 cu: MICU cg: RN so: D5W vo: 0 v1: 50 du: mcghr sv: 100 su: ml rt: IV Drip
t0: [11:40:00 07/10/2012] id: HI/Minute/Vol/Alarm el: 0 cu: MICU cg: RRT v1: 16 t0: [11:40:00 07/10/2012] id: Compliance (40-60ml) el: 0 cu: MICU cg: RRT v1: 41.1765 u1: ml/cmH st: NotStopd t0: [11:40:00 07/10/2012] id: ETT Mark/Location el: 0 cu: MICU cg: RRT v1: 23cm v2: Lip st: NotStopd t0: [11:40:00 07/10/2012] id: FiO2 Set el: 0 cu: MICU cg: RRT v1: 0.35 u1: torr st: NotStopd t0: [11:40:00 07/10/2012] id: High Insp. Pressure el: 0 cu: MICU cg: RRT v1: 50 u1: cmH2O st: NotStopd t0: [11:40:00 07/10/2012] id: High Resp. Rate el: 0 cu: MICU cg: RRT v1: 40 u1: BPM st: NotStopd t0: [11:40:00 07/10/2012] id: I:E Ratio el: 0 cu: MICU cg: RRT v1: 1:4.0 st: NotStopd t0: [11:40:00 07/10/2012] id: Airway Size el: 0 cu: MICU cg: RRT v1: 7.5 mm st: NotStopd t0: [11:40:00 07/10/2012] id: Airway Type el: 0 cu: MICU cg: RRT v1: Endotracheal st: NotStopd t0: [11:40:00 07/10/2012] id: Inspired Gas Temp el: 0 cu: MICU cg: RRT v1: 34 u1: Deg. C st: NotStopd t0: [11:40:00 07/10/2012] id: Intubation Date el: 0 cu: MICU cg: RRT v1: 9 v2: 13 st: NotStopd t0: [11:40:00 07/10/2012] id: Low Exhaled Min Vol el: 0 cu: MICU cg: RRT v1: 6 st: NotStopd t0: [11:40:00 07/10/2012] id: Mean Airway Pressure el: 0 cu: MICU cg: RRT v1: 8 u1: cmH2O st: NotStopd t0: [11:40:00 07/10/2012] id: Minute Volume(Obser) el: 0 cu: MICU cg: RRT v1: 8.4 u1: L/min st: NotStopd t0: [11:40:00 07/10/2012] id: PEEP Set el: 0 cu: MICU cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [11:40:00 07/10/2012] id: Apnea Time Interval el: 0 cu: MICU cg: RRT v1: 20 st: NotStopd t0: [11:40:00 07/10/2012] id: Peak Insp. Pressure el: 0 cu: MICU cg: RRT v1: 22 u1: cmH2O st: NotStopd t0: [11:40:00 07/10/2012] id: Plateau Pressure el: 0 cu: MICU cg: RRT v1: 18 u1: cmH2O st: NotStopd t0: [11:40:00 07/10/2012] id: Pressure Support el: 0 cu: MICU cg: RRT v1: 5 u1: . st: NotStopd t0: [11:40:00 07/10/2012] id: Resp Rate (Spont) el: 0 cu: MICU cg: RRT v1: 0 u1: BPM st: NotStopd t0: [11:40:00 07/10/2012] id: Resp Rate (Total) el: 0 cu: MICU cg: RRT v1: 12 u1: BPM st: NotStopd t0: [11:40:00 07/10/2012] id: Respiratory Rate Set el: 0 cu: MICU cg: RRT v1: 12 u1: BPM st: NotStopd t0: [11:40:00 07/10/2012] id: Sensitivity-Vent el: 0 cu: MICU cg: RRT v1: 2 u1: cmH2O st: NotStopd t0: [11:40:00 07/10/2012] id: SpO2 el: 0 cu: MICU cg: RRT v1: 98 u1: % st: NotStopd t0: [11:40:00 07/10/2012] id: Sputum Color/Consist el: 0 cu: MICU cg: RRT v1: Yellow v2: Thick st: NotStopd t0: [11:40:00 07/10/2012] id: Sputum Source/Amt el: 0 cu: MICU cg: RRT v1: Suctioned v2: Small st: NotStopd t0: [11:40:00 07/10/2012] id: Tidal Volume (Obser) el: 0 cu: MICU cg: RRT v1: 700 u1: ml/B st: NotStopd t0: [11:40:00 07/10/2012] id: Tidal Volume (Set) el: 0 cu: MICU cg: RRT v1: 700 u1: ml/B st: NotStopd t0: [11:40:00 07/10/2012] id: Ventilator Mode el: 0 cu: MICU cg: RRT v1: SIMV+PS st: NotStopd t0: [11:40:00 07/10/2012] id: Ventilator Type el: 0 cu: MICU cg: RRT v1: Drager st: NotStopd t0: [11:40:00 07/10/2012] id: Waveform-Vent el: 0 cu: MICU cg: RRT v1: RAMP st: NotStopd
tf: [01:00:00 07/10/2012] pt: IV Piggyback rt: IV fr: BID fs: 1, 13 dn: 2 m1: Acetylcysteine 20% v1: 600 u1: mg m2: NS v2: 250 u2: ml tf: [12:00:00 08/10/2012] pt: IV Piggyback rt: IV fr: ONCE fs: 13 dn: 1 m1: Phytonadione v1: 1 u1: mg m2: D5W v2: 50 u2: ml
t0: [12:45:00 07/10/2012] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 12 u1: BPM st: NotStopd t0: [12:50:00 07/10/2012] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [12:50:00 07/10/2012] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [12:50:00 07/10/2012] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [12:50:00 07/10/2012] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [12:50:00 07/10/2012] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [12:50:00 07/10/2012] id: Heart Rate el: 0 cu: MICU cg: RN v1: 93 u1: BPM st: NotStopd t0: [12:50:00 07/10/2012] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [12:50:00 07/10/2012] id: Arterial BP el: 0 cu: MICU cg: RN v1: 126 u1: mmHg v2: 64 u2: mmHg st: NotStopd t0: [12:50:00 07/10/2012] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 85 u1: mmHg st: NotStopd t0: [12:50:00 07/10/2012] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [12:50:00 07/10/2012] id: Previous WeightF el: 0 cu: MICU cg: RN v1: 84.5 u1: kg st: NotStopd t0: [12:50:00 07/10/2012] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 12 u1: BPM st: NotStopd t0: [12:50:00 07/10/2012] id: SpO2 el: 0 cu: MICU cg: RN v1: 97 u1: % st: NotStopd t0: [12:50:00 07/10/2012] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [12:55:00 07/10/2012] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [12:55:00 07/10/2012] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [12:55:00 07/10/2012] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [12:55:00 07/10/2012] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [12:55:00 07/10/2012] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [12:55:00 07/10/2012] id: Heart Rate el: 0 cu: MICU cg: RN v1: 99 u1: BPM st: NotStopd t0: [12:55:00 07/10/2012] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [12:55:00 07/10/2012] id: Arterial BP el: 0 cu: MICU cg: RN v1: 138 u1: mmHg v2: 79 u2: mmHg st: NotStopd t0: [12:55:00 07/10/2012] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 100 u1: mmHg st: NotStopd t0: [12:55:00 07/10/2012] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [12:55:00 07/10/2012] id: Previous WeightF el: 0 cu: MICU cg: RN v1: 84.5 u1: kg st: NotStopd t0: [12:55:00 07/10/2012] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 12 u1: BPM st: NotStopd t0: [12:55:00 07/10/2012] id: SpO2 el: 0 cu: MICU cg: RN v1: 99 u1: % st: NotStopd t0: [12:55:00 07/10/2012] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [13:00:00 07/10/2012] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [13:00:00 07/10/2012] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [13:00:00 07/10/2012] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [13:00:00 07/10/2012] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [13:00:00 07/10/2012] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [13:00:00 07/10/2012] id: Heart Rate el: 0 cu: MICU cg: RN v1: 96 u1: BPM st: NotStopd t0: [13:00:00 07/10/2012] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [13:00:00 07/10/2012] id: Arterial BP el: 0 cu: MICU cg: RN v1: 133 u1: mmHg v2: 68 u2: mmHg st: NotStopd t0: [13:00:00 07/10/2012] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 91 u1: mmHg st: NotStopd t0: [13:00:00 07/10/2012] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [13:00:00 07/10/2012] id: Previous WeightF el: 0 cu: MICU cg: RN v1: 84.5 u1: kg st: NotStopd t0: [13:00:00 07/10/2012] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 12 u1: BPM st: NotStopd t0: [13:00:00 07/10/2012] id: SpO2 el: 0 cu: MICU cg: RN v1: 97 u1: % st: NotStopd t0: [13:00:00 07/10/2012] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [13:05:00 07/10/2012] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [13:05:00 07/10/2012] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [13:05:00 07/10/2012] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [13:05:00 07/10/2012] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [13:05:00 07/10/2012] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [13:05:00 07/10/2012] id: Heart Rate el: 0 cu: MICU cg: RN v1: 98 u1: BPM st: NotStopd t0: [13:05:00 07/10/2012] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [13:05:00 07/10/2012] id: Arterial BP el: 0 cu: MICU cg: RN v1: 142 u1: mmHg v2: 75 u2: mmHg st: NotStopd t0: [13:05:00 07/10/2012] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 98 u1: mmHg st: NotStopd t0: [13:05:00 07/10/2012] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [13:05:00 07/10/2012] id: Previous WeightF el: 0 cu: MICU cg: RN v1: 84.5 u1: kg st: NotStopd t0: [13:05:00 07/10/2012] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 12 u1: BPM st: NotStopd t0: [13:05:00 07/10/2012] id: SpO2 el: 0 cu: MICU cg: RN v1: 97 u1: % st: NotStopd t0: [13:05:00 07/10/2012] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [13:10:00 07/10/2012] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [13:10:00 07/10/2012] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [13:10:00 07/10/2012] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [13:10:00 07/10/2012] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [13:10:00 07/10/2012] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [13:10:00 07/10/2012] id: Heart Rate el: 0 cu: MICU cg: RN v1: 103 u1: BPM st: NotStopd t0: [13:10:00 07/10/2012] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Sinus Tachy st: NotStopd t0: [13:10:00 07/10/2012] id: Arterial BP el: 0 cu: MICU cg: RN v1: 128 u1: mmHg v2: 70 u2: mmHg st: NotStopd t0: [13:10:00 07/10/2012] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 92 u1: mmHg st: NotStopd t0: [13:10:00 07/10/2012] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [13:10:00 07/10/2012] id: Previous WeightF el: 0 cu: MICU cg: RN v1: 84.5 u1: kg st: NotStopd t0: [13:10:00 07/10/2012] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 12 u1: BPM st: NotStopd t0: [13:10:00 07/10/2012] id: SpO2 el: 0 cu: MICU cg: RN v1: 100 u1: % st: NotStopd t0: [13:10:00 07/10/2012] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [13:00:00 07/10/2012] id: .9% Normal Saline 1000.0ml IV Infusions el: 3 cu: MICU cg: RN ai: 107 vo: 10 vu: ml t0: [13:00:00 07/10/2012] id: D5W 250.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 105 vo: 0 vu: ml t0: [13:00:00 07/10/2012] id: D5W 100.0ml + 600mcghr Sandostatin IV Infusions el: 2 cu: MICU cg: RN ai: 107 vo: 8.33333 vu: ml t0: [13:00:00 07/10/2012] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU cg: RN ai: 416 vo: 10 vu: ml t0: [13:00:00 07/10/2012] id: .9% Normal Saline 50.0ml + 50mghr Midazolam IV Infusions el: 1 cu: MICU cg: RN ai: 189 vo: 3 vu: ml t0: [13:00:00 07/10/2012] id: Urine Out Void el: 1 cu: MICU cg: RN vo: 40 vu: ml
t0: [12:50:00 07/10/2012] id: Fentanyl el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 100 du: mcghr sv: 250 su: ml rt: IV Drip t0: [12:50:00 07/10/2012] id: Midazolam el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 3 du: mghr sv: 50 su: ml rt: IV Drip t0: [12:50:00 07/10/2012] id: Sandostatin el: 2 cu: MICU cg: RN so: D5W vo: 0 v1: 50 du: mcghr sv: 100 su: ml rt: IV Drip t0: [12:55:00 07/10/2012] id: Fentanyl el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 100 du: mcghr sv: 250 su: ml rt: IV Drip t0: [12:55:00 07/10/2012] id: Midazolam el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 3 du: mghr sv: 50 su: ml rt: IV Drip t0: [12:55:00 07/10/2012] id: Sandostatin el: 2 cu: MICU cg: RN so: D5W vo: 0 v1: 50 du: mcghr sv: 100 su: ml rt: IV Drip t0: [13:00:00 07/10/2012] id: Fentanyl el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 100 du: mcghr sv: 250 su: ml rt: IV Drip t0: [13:00:00 07/10/2012] id: Midazolam el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 3 du: mghr sv: 50 su: ml rt: IV Drip t0: [13:00:00 07/10/2012] id: Sandostatin el: 2 cu: MICU cg: RN so: D5W vo: 0 v1: 50 du: mcghr sv: 100 su: ml rt: IV Drip t0: [13:05:00 07/10/2012] id: Fentanyl el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 100 du: mcghr sv: 250 su: ml rt: IV Drip t0: [13:05:00 07/10/2012] id: Midazolam el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 3 du: mghr sv: 50 su: ml rt: IV Drip t0: [13:05:00 07/10/2012] id: Sandostatin el: 2 cu: MICU cg: RN so: D5W vo: 0 v1: 50 du: mcghr sv: 100 su: ml rt: IV Drip t0: [13:10:00 07/10/2012] id: Fentanyl el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 100 du: mcghr sv: 250 su: ml rt: IV Drip t0: [13:10:00 07/10/2012] id: Midazolam el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 3 du: mghr sv: 50 su: ml rt: IV Drip t0: [13:10:00 07/10/2012] id: Sandostatin el: 2 cu: MICU cg: RN so: D5W vo: 0 v1: 50 du: mcghr sv: 100 su: ml rt: IV Drip
t0: [13:00:00 07/10/2012] id: Stool Out Stool el: 1 cu: MICU cg: RN vo: 725 vu: ml
t0: [13:00:00 07/10/2012] id: Procedures el: 0 cu: MICU cg: RN v1: Endoscopy st: NotStopd
t0: [13:41:00 07/10/2012] id: Art.pH ABG el: 0 cu: MICU cg: 1663 v1: 7.29 rs: Final st: NotStopd t0: [13:41:00 07/10/2012] id: Arterial PaCO2 ABG el: 0 cu: MICU cg: 1663 u1: mmHg rs: Final st: NotStopd t0: [13:41:00 07/10/2012] id: Arterial PaO2 ABG el: 0 cu: MICU cg: 1663 u1: mmHg rs: Final st: NotStopd t0: [13:41:00 07/10/2012] id: Arterial pH ABG el: 0 cu: MICU cg: 1663 v1: 7.29 rs: Final st: NotStopd t0: [13:41:00 07/10/2012] id: Ionized Calcium Chemistry el: 0 cu: MICU cg: 1663 v1: 1.15 rs: Final st: NotStopd
io: .9% Normal Saline 1000.0ml IV Infusions el: 4 cu: MICU cg: RN ra: 150 ru: ml/hr
id: .9% Normal Saline el: 4 cu: MICU cg: RN io: .9% Normal Saline 1000.0ml IV Infusions vo: 1000 du: ml rt: Intravenous Push
t0: [13:00:00 07/10/2012] id: Temp. Site el: 0 cu: MICU cg: RN v1: Oral st: NotStopd t0: [13:00:00 07/10/2012] id: Temperature C (calc) el: 0 cu: MICU cg: RN v1: 37.3333 u1: Deg. C st: NotStopd t0: [13:00:00 07/10/2012] id: Temperature F el: 0 cu: MICU cg: RN v1: 99.2 u1: Deg. F st: NotStopd t0: [14:00:00 07/10/2012] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [14:00:00 07/10/2012] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [14:00:00 07/10/2012] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [14:00:00 07/10/2012] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [14:00:00 07/10/2012] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [14:00:00 07/10/2012] id: Heart Rate el: 0 cu: MICU cg: RN v1: 99 u1: BPM st: NotStopd t0: [14:00:00 07/10/2012] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [14:00:00 07/10/2012] id: Arterial BP el: 0 cu: MICU cg: RN v1: 107 u1: mmHg v2: 51 u2: mmHg st: NotStopd t0: [14:00:00 07/10/2012] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 68 u1: mmHg st: NotStopd t0: [14:00:00 07/10/2012] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [14:00:00 07/10/2012] id: Previous WeightF el: 0 cu: MICU cg: RN v1: 84.5 u1: kg st: NotStopd t0: [14:00:00 07/10/2012] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 12 u1: BPM st: NotStopd t0: [14:00:00 07/10/2012] id: SpO2 el: 0 cu: MICU cg: RN v1: 98 u1: % st: NotStopd t0: [14:00:00 07/10/2012] id: Temp. Site el: 0 cu: MICU cg: RN v1: Oral st: NotStopd t0: [14:00:00 07/10/2012] id: Temperature C (calc) el: 0 cu: MICU cg: RN v1: 37.2778 u1: Deg. C st: NotStopd t0: [14:00:00 07/10/2012] id: Temperature F el: 0 cu: MICU cg: RN v1: 99.1 u1: Deg. F st: NotStopd t0: [14:00:00 07/10/2012] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [14:00:00 07/10/2012] id: .9% Normal Saline 1000.0ml IV Infusions el: 3 cu: MICU cg: RN ai: 107 vo: 10 vu: ml t0: [14:00:00 07/10/2012] id: D5W 100.0ml + 600mcghr Sandostatin IV Infusions el: 2 cu: MICU cg: RN ai: 107 vo: 8.33333 vu: ml t0: [14:00:00 07/10/2012] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU cg: RN ai: 416 vo: 10 vu: ml t0: [14:00:00 07/10/2012] id: .9% Normal Saline 50.0ml + 50mghr Midazolam IV Infusions el: 1 cu: MICU cg: RN ai: 189 vo: 3 vu: ml t0: [14:00:00 07/10/2012] id: Urine Out Void el: 1 cu: MICU cg: RN vo: 70 vu: ml
t0: [14:00:00 07/10/2012] id: Fentanyl el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 100 du: mcghr sv: 250 su: ml rt: IV Drip t0: [14:00:00 07/10/2012] id: Midazolam el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 3 du: mghr sv: 50 su: ml rt: IV Drip t0: [14:00:00 07/10/2012] id: Sandostatin el: 2 cu: MICU cg: RN so: D5W vo: 0 v1: 50 du: mcghr sv: 100 su: ml rt: IV Drip
t0: [14:00:00 07/10/2012] id: Cryoprecipitate IV Drips el: 1 cu: MICU cg: RN ai: 257 vo: 150 vu: ml nb: 1
t0: [14:24:00 07/10/2012] id: Art.pH ABG el: 0 cu: MICU cg: 1663 v1: 7.3 rs: Final st: NotStopd t0: [14:24:00 07/10/2012] id: Arterial Base Excess ABG el: 0 cu: MICU cg: 1663 v1: -7 rs: Final st: NotStopd t0: [14:24:00 07/10/2012] id: Arterial CO2(Calc) ABG el: 0 cu: MICU cg: 1663 v1: 18 rs: Final st: NotStopd t0: [14:24:00 07/10/2012] id: Arterial PaCO2 ABG el: 0 cu: MICU cg: 1663 v1: 35 u1: mmHg rs: Final st: NotStopd t0: [14:24:00 07/10/2012] id: Arterial PaO2 ABG el: 0 cu: MICU cg: 1663 v1: 103 u1: mmHg rs: Final st: NotStopd t0: [14:24:00 07/10/2012] id: Arterial pH ABG el: 0 cu: MICU cg: 1663 v1: 7.3 rs: Final st: NotStopd
t0: [14:30:00 07/10/2012] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [14:30:00 07/10/2012] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [14:30:00 07/10/2012] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [14:30:00 07/10/2012] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [14:30:00 07/10/2012] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [14:30:00 07/10/2012] id: Heart Rate el: 0 cu: MICU cg: RN v1: 96 u1: BPM st: NotStopd t0: [14:30:00 07/10/2012] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [14:30:00 07/10/2012] id: Arterial BP el: 0 cu: MICU cg: RN v1: 110 u1: mmHg v2: 51 u2: mmHg st: NotStopd t0: [14:30:00 07/10/2012] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 68 u1: mmHg st: NotStopd t0: [14:30:00 07/10/2012] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [14:30:00 07/10/2012] id: Previous WeightF el: 0 cu: MICU cg: RN v1: 84.5 u1: kg st: NotStopd t0: [14:30:00 07/10/2012] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 12 u1: BPM st: NotStopd t0: [14:30:00 07/10/2012] id: SpO2 el: 0 cu: MICU cg: RN v1: 98 u1: % st: NotStopd t0: [14:30:00 07/10/2012] id: Temp. Site el: 0 cu: MICU cg: RN v1: Oral st: NotStopd t0: [14:30:00 07/10/2012] id: Temperature C (calc) el: 0 cu: MICU cg: RN v1: 37 u1: Deg. C st: NotStopd t0: [14:30:00 07/10/2012] id: Temperature F el: 0 cu: MICU cg: RN v1: 98.6 u1: Deg. F st: NotStopd t0: [14:30:00 07/10/2012] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [14:00:00 07/10/2012] id: Fresh Frozen Plasma IV Infusions el: 1 cu: MICU cg: RN ai: 155 vo: 220 vu: ml nb: 1 t0: [14:30:00 07/10/2012] id: Fresh Frozen Plasma IV Infusions el: 1 cu: MICU cg: RN ai: 155 vu: ml nb: 1
t0: [14:30:00 07/10/2012] id: Fentanyl el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 100 du: mcghr sv: 250 su: ml rt: IV Drip t0: [14:30:00 07/10/2012] id: Midazolam el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 3 du: mghr sv: 50 su: ml rt: IV Drip t0: [14:30:00 07/10/2012] id: Sandostatin el: 2 cu: MICU cg: RN so: D5W vo: 0 v1: 50 du: mcghr sv: 100 su: ml rt: IV Drip
tf: [14:00:00 07/10/2012] pt: IV Piggyback rt: IV fr: ONCE fs: 15 dn: 1 m1: Sodium Bicarbonate v1: 150 u1: mEq m2: NS v2: 1000 u2: ml tf: [14:00:00 08/10/2012] pt: Unit Dose rt: IV fr: ONCE fs: 15 dn: 1 m1: Calcium Gluconate v1: 2 u1: gm
t0: [15:00:00 07/10/2012] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [15:00:00 07/10/2012] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [15:00:00 07/10/2012] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [15:00:00 07/10/2012] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [15:00:00 07/10/2012] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [15:00:00 07/10/2012] id: Heart Rate el: 0 cu: MICU cg: RN v1: 93 u1: BPM st: NotStopd t0: [15:00:00 07/10/2012] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [15:00:00 07/10/2012] id: Arterial BP el: 0 cu: MICU cg: RN v1: 122 u1: mmHg v2: 56 u2: mmHg st: NotStopd t0: [15:00:00 07/10/2012] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 75 u1: mmHg st: NotStopd t0: [15:00:00 07/10/2012] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [15:00:00 07/10/2012] id: Previous WeightF el: 0 cu: MICU cg: RN v1: 84.5 u1: kg st: NotStopd t0: [15:00:00 07/10/2012] id: Procedures el: 0 cu: MICU cg: RN v1: Angiography st: NotStopd t0: [15:00:00 07/10/2012] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 13 u1: BPM st: NotStopd t0: [15:00:00 07/10/2012] id: SpO2 el: 0 cu: MICU cg: RN v1: 98 u1: % st: NotStopd t0: [15:00:00 07/10/2012] id: Temp. Site el: 0 cu: MICU cg: RN v1: Oral st: NotStopd t0: [15:00:00 07/10/2012] id: Temperature C (calc) el: 0 cu: MICU cg: RN v1: 37.3889 u1: Deg. C st: NotStopd t0: [15:00:00 07/10/2012] id: Temperature F el: 0 cu: MICU cg: RN v1: 99.3 u1: Deg. F st: NotStopd t0: [15:00:00 07/10/2012] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [15:00:00 07/10/2012] id: .9% Normal Saline 1000.0ml IV Infusions el: 3 cu: MICU cg: RN ai: 107 vo: 10 vu: ml t0: [15:00:00 07/10/2012] id: D5W 250.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 105 vo: 100 vu: ml t0: [15:00:00 07/10/2012] id: D5W 100.0ml + 600mcghr Sandostatin IV Infusions el: 2 cu: MICU cg: RN ai: 107 vo: 8.33333 vu: ml t0: [15:00:00 07/10/2012] id: Fresh Frozen Plasma IV Infusions el: 1 cu: MICU cg: RN ai: 155 vo: 182 vu: ml t0: [15:00:00 07/10/2012] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU cg: RN ai: 416 vo: 10 vu: ml t0: [15:00:00 07/10/2012] id: .9% Normal Saline 50.0ml + 50mghr Midazolam IV Infusions el: 1 cu: MICU cg: RN ai: 189 vo: 3 vu: ml t0: [15:00:00 07/10/2012] id: Urine Out Void el: 1 cu: MICU cg: RN vo: 30 vu: ml
t0: [15:00:00 07/10/2012] id: Fentanyl el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 100 du: mcghr sv: 250 su: ml rt: IV Drip t0: [15:00:00 07/10/2012] id: Midazolam el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 3 du: mghr sv: 50 su: ml rt: IV Drip t0: [15:00:00 07/10/2012] id: Sandostatin el: 2 cu: MICU cg: RN so: D5W vo: 0 v1: 50 du: mcghr sv: 100 su: ml rt: IV Drip
t0: [15:11:00 07/10/2012] id: Blood Products Hematology el: 0 cu: MICU cg: 1663 v1: Y rs: Final st: NotStopd
t0: [15:30:00 07/10/2012] id: Hematocrit Hematology el: 0 cu: MICU cg: 1663 v1: 35.1 u1: % rs: Final st: NotStopd
t0: [16:00:00 07/10/2012] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd
t0: [14:00:00 07/10/2012] tf: [20:45:00 07/10/2012] dt: 405 id: D5W 250.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 105 vo: 250 vu: ml t0: [15:00:00 07/10/2012] id: Packed RBC's IV Infusions el: 1 cu: MICU cg: RN ai: 107 vu: ml nb: 1
tf: [07:00:00 11/10/2012] pt: IV Flush rt: IV fr: QD:PRN
t0: [20:00:00 07/10/2012] id: HI/Minute/Vol/Alarm el: 0 cu: MICU cg: RRT v1: 16 t0: [20:00:00 07/10/2012] id: Compliance (40-60ml) el: 0 cu: MICU cg: RRT v1: 31.8182 u1: ml/cmH st: NotStopd t0: [20:00:00 07/10/2012] id: ETT Mark/Location el: 0 cu: MICU cg: RRT v1: 23cm v2: Lip st: NotStopd t0: [20:00:00 07/10/2012] id: FiO2 Set el: 0 cu: MICU cg: RRT v1: 0.35 u1: torr st: NotStopd t0: [20:00:00 07/10/2012] id: High Insp. Pressure el: 0 cu: MICU cg: RRT v1: 50 u1: cmH2O st: NotStopd t0: [20:00:00 07/10/2012] id: High Resp. Rate el: 0 cu: MICU cg: RRT v1: 40 u1: BPM st: NotStopd t0: [20:00:00 07/10/2012] id: I:E Ratio el: 0 cu: MICU cg: RRT v1: 1:4 st: NotStopd t0: [20:00:00 07/10/2012] id: Airway Size el: 0 cu: MICU cg: RRT v1: 7.5 mm st: NotStopd t0: [20:00:00 07/10/2012] id: Airway Type el: 0 cu: MICU cg: RRT v1: Endotracheal st: NotStopd t0: [20:00:00 07/10/2012] id: Inspired Gas Temp el: 0 cu: MICU cg: RRT v1: 34.5 u1: Deg. C st: NotStopd t0: [20:00:00 07/10/2012] id: Intubation Date el: 0 cu: MICU cg: RRT v1: 9 v2: 13 st: NotStopd t0: [20:00:00 07/10/2012] id: Low Exhaled Min Vol el: 0 cu: MICU cg: RRT v1: 6 st: NotStopd t0: [20:00:00 07/10/2012] id: Mean Airway Pressure el: 0 cu: MICU cg: RRT v1: 12 u1: cmH2O st: NotStopd t0: [20:00:00 07/10/2012] id: Minute Volume(Obser) el: 0 cu: MICU cg: RRT v1: 8.54 u1: L/min st: NotStopd t0: [20:00:00 07/10/2012] id: PEEP Set el: 0 cu: MICU cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [20:00:00 07/10/2012] id: Apnea Time Interval el: 0 cu: MICU cg: RRT v1: 20 st: NotStopd t0: [20:00:00 07/10/2012] id: Peak Insp. Pressure el: 0 cu: MICU cg: RRT v1: 27 u1: cmH2O st: NotStopd t0: [20:00:00 07/10/2012] id: Plateau Pressure el: 0 cu: MICU cg: RRT v1: 23 u1: cmH2O st: NotStopd t0: [20:00:00 07/10/2012] id: Plateau-Off el: 0 cu: MICU cg: RRT v1: Yes st: NotStopd t0: [20:00:00 07/10/2012] id: Pressure Support el: 0 cu: MICU cg: RRT v1: 5 u1: . st: NotStopd t0: [20:00:00 07/10/2012] id: Resp Rate (Spont) el: 0 cu: MICU cg: RRT v1: 0 u1: BPM st: NotStopd t0: [20:00:00 07/10/2012] id: Resp Rate (Total) el: 0 cu: MICU cg: RRT v1: 12 u1: BPM st: NotStopd t0: [20:00:00 07/10/2012] id: Respiratory Rate Set el: 0 cu: MICU cg: RRT v1: 12 u1: BPM st: NotStopd t0: [20:00:00 07/10/2012] id: Sensitivity-Vent el: 0 cu: MICU cg: RRT v1: 2 u1: cmH2O st: NotStopd t0: [20:00:00 07/10/2012] id: Sputum Color/Consist el: 0 cu: MICU cg: RRT v1: Yellow v2: Thin st: NotStopd t0: [20:00:00 07/10/2012] id: Sputum Source/Amt el: 0 cu: MICU cg: RRT v1: Suctioned v2: Small st: NotStopd t0: [20:00:00 07/10/2012] id: Tidal Volume (Obser) el: 0 cu: MICU cg: RRT v1: 715 u1: ml/B st: NotStopd t0: [20:00:00 07/10/2012] id: Tidal Volume (Set) el: 0 cu: MICU cg: RRT v1: 700 u1: ml/B st: NotStopd t0: [20:00:00 07/10/2012] id: Ventilator Mode el: 0 cu: MICU cg: RRT v1: SIMV+PS st: NotStopd t0: [20:00:00 07/10/2012] id: Ventilator Type el: 0 cu: MICU cg: RRT v1: Drager st: NotStopd t0: [20:00:00 07/10/2012] id: Waveform-Vent el: 0 cu: MICU cg: RRT v1: RAMP st: NotStopd
t0: [20:39:00 07/10/2012] id: WBC (4-11,000) Hematology el: 0 cu: MICU cg: 1663 v1: 10.4 rs: Final st: NotStopd t0: [20:39:00 07/10/2012] id: WBC Hematology el: 0 cu: MICU cg: 1663 v1: 10.4 rs: Final st: NotStopd t0: [20:39:00 07/10/2012] id: Hematocrit Hematology el: 0 cu: MICU cg: 1663 v1: 34.2 u1: % rs: Final st: NotStopd t0: [20:39:00 07/10/2012] id: Hemoglobin Hematology el: 0 cu: MICU cg: 1663 v1: 12.3 u1: gm/dl rs: Final st: NotStopd t0: [20:39:00 07/10/2012] id: RBC Hematology el: 0 cu: MICU cg: 1663 v1: 4.02 u1: /mic l rs: Final st: NotStopd t0: [20:39:00 07/10/2012] id: WBC (4-11,000) Hematology el: 0 cu: MICU cg: 1663 v1: 10.4 rs: Final st: NotStopd
t0: [20:39:00 07/10/2012] id: BUN el: 0 cu: MICU cg: 1663 v1: 41 rs: Final st: NotStopd t0: [20:39:00 07/10/2012] id: Albumin Chemistry el: 0 cu: MICU cg: 1663 v1: 2.4 rs: Final st: NotStopd t0: [20:39:00 07/10/2012] id: Calcium Chemistry el: 0 cu: MICU cg: 1663 v1: 8.3 u1: mg/dl rs: Final st: NotStopd t0: [20:39:00 07/10/2012] id: Chloride Chemistry el: 0 cu: MICU cg: 1663 v1: 111 rs: Final st: NotStopd t0: [20:39:00 07/10/2012] id: Creatinine Chemistry el: 0 cu: MICU cg: 1663 v1: 2.3 rs: Final st: NotStopd t0: [20:39:00 07/10/2012] id: Glucose Chemistry el: 0 cu: MICU cg: 1663 v1: 99 rs: Final st: NotStopd t0: [20:39:00 07/10/2012] id: Magnesium Chemistry el: 0 cu: MICU cg: 1663 v1: 2 rs: Final st: NotStopd t0: [20:39:00 07/10/2012] id: Phosphorous Chemistry el: 0 cu: MICU cg: 1663 v1: 4.6 u1: mEq/L rs: Final st: NotStopd t0: [20:39:00 07/10/2012] id: Potassium Chemistry el: 0 cu: MICU cg: 1663 v1: 4.7 rs: Final st: NotStopd t0: [20:39:00 07/10/2012] id: Sodium Chemistry el: 0 cu: MICU cg: 1663 v1: 137 rs: Final st: NotStopd t0: [20:39:00 07/10/2012] id: Albumin (>3.2) Chemistry el: 0 cu: MICU cg: 1663 v1: 2.4 rs: Final st: NotStopd t0: [20:39:00 07/10/2012] id: BUN (6-20) Chemistry el: 0 cu: MICU cg: 1663 v1: 41 rs: Final st: NotStopd t0: [20:39:00 07/10/2012] id: Calcium (8.4-10.2) Chemistry el: 0 cu: MICU cg: 1663 v1: 8.3 u1: mg/dl rs: Final st: NotStopd t0: [20:39:00 07/10/2012] id: Carbon Dioxide Chemistry el: 0 cu: MICU cg: 1663 v1: 17 rs: Final st: NotStopd t0: [20:39:00 07/10/2012] id: Chloride (100-112) Chemistry el: 0 cu: MICU cg: 1663 v1: 111 rs: Final st: NotStopd t0: [20:39:00 07/10/2012] id: Creatinine (0-1.3) Chemistry el: 0 cu: MICU cg: 1663 v1: 2.3 rs: Final st: NotStopd t0: [20:39:00 07/10/2012] id: Glucose (70-105) Chemistry el: 0 cu: MICU cg: 1663 v1: 99 rs: Final st: NotStopd t0: [20:39:00 07/10/2012] id: Magnesium (1.6-2.6) Chemistry el: 0 cu: MICU cg: 1663 v1: 2 rs: Final st: NotStopd t0: [20:39:00 07/10/2012] id: Phosphorous(2.7-4.5) Chemistry el: 0 cu: MICU cg: 1663 v1: 4.6 u1: mEq/L rs: Final st: NotStopd t0: [20:39:00 07/10/2012] id: Potassium (3.5-5.3) Chemistry el: 0 cu: MICU cg: 1663 v1: 4.7 rs: Final st: NotStopd t0: [20:39:00 07/10/2012] id: Sodium (135-148) Chemistry el: 0 cu: MICU cg: 1663 v1: 137 rs: Final st: NotStopd
t0: [20:39:00 07/10/2012] id: PT el: 0 cu: MICU cg: 1663 v1: 14.4 rs: Final st: NotStopd t0: [20:39:00 07/10/2012] id: Fibrinogen Coags el: 0 cu: MICU cg: 1663 v1: 220 rs: Final st: NotStopd t0: [20:39:00 07/10/2012] id: INR Coags el: 0 cu: MICU cg: 1663 v1: 1.4 rs: Final st: NotStopd t0: [20:39:00 07/10/2012] id: PTT Coags el: 0 cu: MICU cg: 1663 v1: 39.2 rs: Final st: NotStopd t0: [20:39:00 07/10/2012] id: Fibrinogen (150-400) Coags el: 0 cu: MICU cg: 1663 v1: 220 rs: Final st: NotStopd t0: [20:39:00 07/10/2012] id: INR (2-4 ref. range) Coags el: 0 cu: MICU cg: 1663 v1: 1.4 rs: Final st: NotStopd t0: [20:39:00 07/10/2012] id: PT(11-13.5) Coags el: 0 cu: MICU cg: 1663 v1: 14.4 rs: Final st: NotStopd t0: [20:39:00 07/10/2012] id: PTT(22-35) Coags el: 0 cu: MICU cg: 1663 v1: 39.2 rs: Final st: NotStopd
t0: [20:00:00 07/10/2012] id: Pain Present el: 0 cu: MICU cg: RN v1: No st: NotStopd t0: [20:00:00 07/10/2012] id: Pain Assess Method el: 0 cu: MICU cg: RN v1: Non-verbal cues st: NotStopd t0: [20:00:00 07/10/2012] id: PainLevel Acceptable el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [20:00:00 07/10/2012] id: Cough Effort el: 0 cu: MICU cg: RN v1: Strong st: NotStopd t0: [20:00:00 07/10/2012] id: Cough Reflex el: 0 cu: MICU cg: RN v1: Impaired st: NotStopd t0: [20:00:00 07/10/2012] id: Cough Type el: 0 cu: MICU cg: RN v1: Productive st: NotStopd t0: [20:00:00 07/10/2012] id: GI Prophylaxis el: 0 cu: MICU cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [20:00:00 07/10/2012] id: Diet Type el: 0 cu: MICU cg: RN v1: NPO st: NotStopd t0: [20:00:00 07/10/2012] id: Dorsal PedPulse R/L el: 0 cu: MICU cg: RN v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [20:00:00 07/10/2012] id: Eye Opening el: 0 cu: MICU cg: RN v1: 1 No Response st: NotStopd t0: [20:00:00 07/10/2012] id: Follows Commands el: 0 cu: MICU cg: RN v1: No st: NotStopd t0: [20:00:00 07/10/2012] id: GCS Total el: 0 cu: MICU cg: RN v1: 6 u1: points st: NotStopd t0: [20:00:00 07/10/2012] id: Gag Reflex el: 0 cu: MICU cg: RN v1: Impaired st: NotStopd t0: [20:00:00 07/10/2012] id: INV Line#1 Type/Site el: 0 cu: MICU cg: RN v1: A-Line v2: Left Radial st: NotStopd t0: [20:00:00 07/10/2012] id: INV Line#1 Zero/Cal el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [20:00:00 07/10/2012] id: INV Line#1InsertDate el: 0 cu: MICU cg: RN v1: 9 v2: 13 st: NotStopd t0: [20:00:00 07/10/2012] id: INV Line#1SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [20:00:00 07/10/2012] id: INV Line#2 Type/Site el: 0 cu: MICU cg: RN v1: Multi-lumen v2: Right Femoral st: NotStopd t0: [20:00:00 07/10/2012] id: INV Line#2InsertDate el: 0 cu: MICU cg: RN v1: 9 v2: 13 st: NotStopd t0: [20:00:00 07/10/2012] id: INV Line#2SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [20:00:00 07/10/2012] id: INV Line#3 Type/Site el: 0 cu: MICU cg: RN v1: Multi-lumen v2: Right IJ st: NotStopd t0: [20:00:00 07/10/2012] id: INV Line#3InsertDate el: 0 cu: MICU cg: RN v1: 9 v2: 14 st: NotStopd t0: [20:00:00 07/10/2012] id: INV Line#3SiteAppear el: 0 cu: MICU cg: RN v1: Bleeding st: NotStopd t0: [20:00:00 07/10/2012] id: Abdominal Assessment el: 0 cu: MICU cg: RN v1: Ascites st: NotStopd t0: [20:00:00 07/10/2012] id: INV#1 WaveformAppear el: 0 cu: MICU cg: RN v1: Sharp st: NotStopd t0: [20:00:00 07/10/2012] id: INV#2 WaveformAppear el: 0 cu: MICU cg: RN v1: Sharp st: NotStopd t0: [20:00:00 07/10/2012] id: IV #1 Insert Date el: 0 cu: MICU cg: RN v1: 9 v2: 13 st: NotStopd t0: [20:00:00 07/10/2012] id: IV #1 Site/Size el: 0 cu: MICU cg: RN v1: LL Ant Forearm v2: 20 gauge st: NotStopd t0: [20:00:00 07/10/2012] id: IV #2 Insert Date el: 0 cu: MICU cg: RN v1: 9 v2: 13 st: NotStopd t0: [20:00:00 07/10/2012] id: IV #2 Site/Size el: 0 cu: MICU cg: RN v1: LL Ant Forearm v2: 20 gauge st: NotStopd t0: [20:00:00 07/10/2012] id: IV #3 Insert Date el: 0 cu: MICU cg: RN v1: 9 v2: 12 st: NotStopd t0: [20:00:00 07/10/2012] id: IV #3 Site/Size el: 0 cu: MICU cg: RN v1: Right Hand v2: 18 gauge st: NotStopd t0: [20:00:00 07/10/2012] id: IV #4 Insert Date el: 0 cu: MICU cg: RN v1: 9 v2: 12 st: NotStopd t0: [20:00:00 07/10/2012] id: IV #4 Site/Size el: 0 cu: MICU cg: RN v1: RL Ant Forearm v2: 18 gauge st: NotStopd t0: [20:00:00 07/10/2012] id: IV Site Appear #1 el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [20:00:00 07/10/2012] id: IV Site Appear #2 el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [20:00:00 07/10/2012] id: IV Site Appear #3 el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [20:00:00 07/10/2012] id: IV Site Appear #4 el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [20:00:00 07/10/2012] id: LLL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [20:00:00 07/10/2012] id: LUL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [20:00:00 07/10/2012] id: Level of Conscious el: 0 cu: MICU cg: RN v1: Sedated st: NotStopd t0: [20:00:00 07/10/2012] id: Angio Appearance #1 el: 0 cu: MICU cg: RN v1: Clean and Dry v2: Clean and Dry st: NotStopd t0: [20:00:00 07/10/2012] id: Motor Response el: 0 cu: MICU cg: RN v1: 4 Flex-withdraws st: NotStopd t0: [20:00:00 07/10/2012] id: Angio Dressing #1 el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [20:00:00 07/10/2012] id: Oral Cavity el: 0 cu: MICU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [20:00:00 07/10/2012] id: Orientation el: 0 cu: MICU cg: RN v1: Other/Remarks st: NotStopd t0: [20:00:00 07/10/2012] id: Angio Site #1 el: 0 cu: MICU cg: RN v1: L Femoral st: NotStopd t0: [20:00:00 07/10/2012] id: Pain Location el: 0 cu: MICU cg: RN v1: Not Indicated st: NotStopd t0: [20:00:00 07/10/2012] id: Pupil Size R/L el: 0 cu: MICU cg: RN v1: Pinpoint v2: Pinpoint st: NotStopd t0: [20:00:00 07/10/2012] id: RLL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [20:00:00 07/10/2012] id: RUL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [20:00:00 07/10/2012] id: Respiratory Pattern el: 0 cu: MICU cg: RN v1: Regular st: NotStopd t0: [20:00:00 07/10/2012] id: Spontaneous Movement el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [20:00:00 07/10/2012] id: Stool Guaiac el: 0 cu: MICU cg: RN v1: Positive st: NotStopd t0: [20:00:00 07/10/2012] id: Urine Color/Appear el: 0 cu: MICU cg: RN v1: Icteric v2: Clear st: NotStopd t0: [20:00:00 07/10/2012] id: Urine Source el: 0 cu: MICU cg: RN v1: Indwelling Cath st: NotStopd t0: [20:00:00 07/10/2012] id: Verbal Response el: 0 cu: MICU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [20:00:00 07/10/2012] id: Bowel Sounds el: 0 cu: MICU cg: RN v1: Hypoactive st: NotStopd t0: [20:45:00 07/10/2012] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [20:45:00 07/10/2012] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [20:45:00 07/10/2012] id: Riker-SAS Scale el: 0 cu: MICU cg: RN v1: Very Sedated st: NotStopd t0: [20:45:00 07/10/2012] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [20:45:00 07/10/2012] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [20:45:00 07/10/2012] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [20:45:00 07/10/2012] id: Heart Rate el: 0 cu: MICU cg: RN v1: 89 u1: BPM st: NotStopd t0: [20:45:00 07/10/2012] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [20:45:00 07/10/2012] id: Arterial BP el: 0 cu: MICU cg: RN v1: 119 u1: mmHg v2: 57 u2: mmHg st: NotStopd t0: [20:45:00 07/10/2012] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 75 u1: mmHg st: NotStopd t0: [20:45:00 07/10/2012] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [20:45:00 07/10/2012] id: Previous WeightF el: 0 cu: MICU cg: RN v1: 84.5 u1: kg st: NotStopd t0: [20:45:00 07/10/2012] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 0 u1: BPM st: NotStopd t0: [20:45:00 07/10/2012] id: SpO2 el: 0 cu: MICU cg: RN v1: 96 u1: % st: NotStopd t0: [20:45:00 07/10/2012] id: Temp. Site el: 0 cu: MICU cg: RN v1: Oral st: NotStopd t0: [20:45:00 07/10/2012] id: Temperature C (calc) el: 0 cu: MICU cg: RN v1: 37.1667 u1: Deg. C st: NotStopd t0: [20:45:00 07/10/2012] id: Temperature F el: 0 cu: MICU cg: RN v1: 98.9 u1: Deg. F st: NotStopd t0: [20:45:00 07/10/2012] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [21:00:00 07/10/2012] id: Less Restrict Meas. el: 0 cu: MICU cg: RN v1: Medicated st: NotStopd t0: [21:00:00 07/10/2012] id: Range of Motion el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [21:00:00 07/10/2012] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [21:00:00 07/10/2012] id: Circulation/SkinInt el: 0 cu: MICU cg: RN v1: Circulation Adeq st: NotStopd t0: [21:00:00 07/10/2012] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [21:00:00 07/10/2012] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [21:00:00 07/10/2012] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [21:00:00 07/10/2012] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [21:00:00 07/10/2012] id: Eye Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [21:00:00 07/10/2012] id: HOB el: 0 cu: MICU cg: RN v1: 30 degrees st: NotStopd t0: [21:00:00 07/10/2012] id: Heart Rate el: 0 cu: MICU cg: RN v1: 94 u1: BPM st: NotStopd t0: [21:00:00 07/10/2012] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [21:00:00 07/10/2012] id: Activity el: 0 cu: MICU cg: RN v1: Bedrest st: NotStopd t0: [21:00:00 07/10/2012] id: Activity Tolerance el: 0 cu: MICU cg: RN v1: Good st: NotStopd t0: [21:00:00 07/10/2012] id: Oral Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [21:00:00 07/10/2012] id: AntiEmbDevice/Status el: 0 cu: MICU cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [21:00:00 07/10/2012] id: Arterial BP el: 0 cu: MICU cg: RN v1: 137 u1: mmHg v2: 68 u2: mmHg st: NotStopd t0: [21:00:00 07/10/2012] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 90 u1: mmHg st: NotStopd t0: [21:00:00 07/10/2012] id: Position el: 0 cu: MICU cg: RN v1: Left Side st: NotStopd t0: [21:00:00 07/10/2012] id: Position Change el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [21:00:00 07/10/2012] id: Assistance Device el: 0 cu: MICU cg: RN v1: 2 Person Assist st: NotStopd t0: [21:00:00 07/10/2012] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [21:00:00 07/10/2012] id: Previous WeightF el: 0 cu: MICU cg: RN v1: 84.5 u1: kg st: NotStopd t0: [21:00:00 07/10/2012] id: Reason For Restraint el: 0 cu: MICU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [21:00:00 07/10/2012] id: Removed x 5 Mins el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [21:00:00 07/10/2012] id: Restraint Location el: 0 cu: MICU cg: RN v1: Both Arms st: NotStopd t0: [21:00:00 07/10/2012] id: Restraint Type el: 0 cu: MICU cg: RN v1: Soft Limb st: NotStopd t0: [21:00:00 07/10/2012] id: Restraints Evaluated el: 0 cu: MICU cg: RN v1: Behavior Conts st: NotStopd t0: [21:00:00 07/10/2012] id: Side Rails el: 0 cu: MICU cg: RN v1: Side Rails Up st: NotStopd t0: [21:00:00 07/10/2012] id: Skin Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [21:00:00 07/10/2012] id: Skin Color el: 0 cu: MICU cg: RN v1: Jaundiced st: NotStopd t0: [21:00:00 07/10/2012] id: Skin Integrity el: 0 cu: MICU cg: RN v1: Intact st: NotStopd t0: [21:00:00 07/10/2012] id: Skin Temp/Condition el: 0 cu: MICU cg: RN v1: Warm v2: Dry st: NotStopd t0: [21:00:00 07/10/2012] id: SpO2 el: 0 cu: MICU cg: RN v1: 97 u1: % st: NotStopd t0: [21:00:00 07/10/2012] id: Support Systems el: 0 cu: MICU cg: RN v1: Spouse st: NotStopd t0: [21:00:00 07/10/2012] id: Turn el: 0 cu: MICU cg: RN v1: Side to Side st: NotStopd t0: [21:00:00 07/10/2012] id: Back Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [21:00:00 07/10/2012] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [21:00:00 07/10/2012] id: Behavior el: 0 cu: MICU cg: RN v1: Sedated st: NotStopd t0: [21:00:00 07/10/2012] id: Braden Activity el: 0 cu: MICU cg: RN v1: Bedfast st: NotStopd t0: [21:00:00 07/10/2012] id: Braden Frict/Shear el: 0 cu: MICU cg: RN v1: Potential Prob st: NotStopd t0: [21:00:00 07/10/2012] id: Braden Mobility el: 0 cu: MICU cg: RN v1: Very Limited st: NotStopd t0: [21:00:00 07/10/2012] id: Braden Moisture el: 0 cu: MICU cg: RN v1: Occ. Moist st: NotStopd t0: [21:00:00 07/10/2012] id: Braden Nutrition el: 0 cu: MICU cg: RN v1: Prob. Inadequate st: NotStopd t0: [21:00:00 07/10/2012] id: Braden Score el: 0 cu: MICU cg: RN v1: 12 u1: number st: NotStopd t0: [21:00:00 07/10/2012] id: Braden SensoryPercep el: 0 cu: MICU cg: RN v1: Very Limited st: NotStopd t0: [21:15:00 07/10/2012] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [21:15:00 07/10/2012] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [21:15:00 07/10/2012] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [21:15:00 07/10/2012] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [21:15:00 07/10/2012] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [21:15:00 07/10/2012] id: Heart Rate el: 0 cu: MICU cg: RN v1: 100 u1: BPM st: NotStopd t0: [21:15:00 07/10/2012] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [21:15:00 07/10/2012] id: Arterial BP el: 0 cu: MICU cg: RN v1: 139 u1: mmHg v2: 71 u2: mmHg st: NotStopd t0: [21:15:00 07/10/2012] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 92 u1: mmHg st: NotStopd t0: [21:15:00 07/10/2012] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [21:15:00 07/10/2012] id: Previous WeightF el: 0 cu: MICU cg: RN v1: 84.5 u1: kg st: NotStopd t0: [21:15:00 07/10/2012] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 0 u1: BPM st: NotStopd t0: [21:15:00 07/10/2012] id: SpO2 el: 0 cu: MICU cg: RN v1: 97 u1: % st: NotStopd t0: [21:15:00 07/10/2012] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [21:30:00 07/10/2012] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [21:30:00 07/10/2012] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [21:30:00 07/10/2012] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [21:30:00 07/10/2012] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [21:30:00 07/10/2012] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [21:30:00 07/10/2012] id: Heart Rate el: 0 cu: MICU cg: RN v1: 91 u1: BPM st: NotStopd t0: [21:30:00 07/10/2012] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [21:30:00 07/10/2012] id: Arterial BP el: 0 cu: MICU cg: RN v1: 130 u1: mmHg v2: 64 u2: mmHg st: NotStopd t0: [21:30:00 07/10/2012] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 83 u1: mmHg st: NotStopd t0: [21:30:00 07/10/2012] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [21:30:00 07/10/2012] id: Previous WeightF el: 0 cu: MICU cg: RN v1: 84.5 u1: kg st: NotStopd t0: [21:30:00 07/10/2012] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 0 u1: BPM st: NotStopd t0: [21:30:00 07/10/2012] id: SpO2 el: 0 cu: MICU cg: RN v1: 97 u1: % st: NotStopd t0: [21:30:00 07/10/2012] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [21:45:00 07/10/2012] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [21:45:00 07/10/2012] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [21:45:00 07/10/2012] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [21:45:00 07/10/2012] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [21:45:00 07/10/2012] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [21:45:00 07/10/2012] id: Heart Rate el: 0 cu: MICU cg: RN v1: 88 u1: BPM st: NotStopd t0: [21:45:00 07/10/2012] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [21:45:00 07/10/2012] id: Arterial BP el: 0 cu: MICU cg: RN v1: 131 u1: mmHg v2: 64 u2: mmHg st: NotStopd t0: [21:45:00 07/10/2012] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 84 u1: mmHg st: NotStopd t0: [21:45:00 07/10/2012] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [21:45:00 07/10/2012] id: Previous WeightF el: 0 cu: MICU cg: RN v1: 84.5 u1: kg st: NotStopd t0: [21:45:00 07/10/2012] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 0 u1: BPM st: NotStopd t0: [21:45:00 07/10/2012] id: SpO2 el: 0 cu: MICU cg: RN v1: 97 u1: % st: NotStopd t0: [21:45:00 07/10/2012] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [20:45:00 07/10/2012] id: .9% Normal Saline 1000.0ml IV Infusions el: 3 cu: MICU cg: RN ai: 107 vo: 57.5 vu: ml t0: [20:45:00 07/10/2012] id: D5W 250.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 105 vo: 0 vu: ml t0: [20:45:00 07/10/2012] id: D5W 100.0ml + 600mcghr Sandostatin IV Infusions el: 2 cu: MICU cg: RN ai: 107 vo: 47.9167 vu: ml t0: [20:45:00 07/10/2012] tf: [23:00:00 07/10/2012] dt: 135 id: IR blood products Free Form Intake el: 1 cu: MICU cg: RN vo: 745 vu: ml t0: [20:45:00 07/10/2012] tf: [23:00:00 07/10/2012] dt: 135 id: IR intake Free Form Intake el: 1 cu: MICU cg: RN vo: 1000 vu: ml t0: [20:45:00 07/10/2012] tf: [23:22:00 12/10/2012] dt: 7357 id: IR output el: 1 cu: MICU cg: RN vo: 200 vu: ml t0: [20:45:00 07/10/2012] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU cg: RN ai: 416 vo: 57.5 vu: ml t0: [20:45:00 07/10/2012] id: .9% Normal Saline 50.0ml + 50mghr Midazolam IV Infusions el: 1 cu: MICU cg: RN ai: 189 vo: 17.25 vu: ml t0: [21:00:00 07/10/2012] id: .9% Normal Saline 1000.0ml IV Infusions el: 3 cu: MICU cg: RN ai: 107 vo: 2.5 vu: ml t0: [21:00:00 07/10/2012] id: D5W 250.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 105 vo: 0 vu: ml t0: [21:00:00 07/10/2012] id: D5W 100.0ml + 600mcghr Sandostatin IV Infusions el: 2 cu: MICU cg: RN ai: 107 vo: 2.08333 vu: ml t0: [21:00:00 07/10/2012] id: IR blood products Free Form Intake el: 1 cu: MICU cg: RN vo: 745 vu: ml t0: [21:00:00 07/10/2012] id: IR intake Free Form Intake el: 1 cu: MICU cg: RN vo: 1000 vu: ml t0: [21:00:00 07/10/2012] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU cg: RN ai: 416 vo: 2.5 vu: ml t0: [21:00:00 07/10/2012] id: .9% Normal Saline 50.0ml + 50mghr Midazolam IV Infusions el: 1 cu: MICU cg: RN ai: 189 vo: 0.75 vu: ml t0: [21:00:00 07/10/2012] id: Urine Out Void el: 1 cu: MICU cg: RN vo: 230 vu: ml
t0: [20:45:00 07/10/2012] id: Fentanyl el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 100 du: mcghr sv: 250 su: ml rt: IV Drip t0: [20:45:00 07/10/2012] id: Midazolam el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 3 du: mghr sv: 50 su: ml rt: IV Drip t0: [20:45:00 07/10/2012] id: Sandostatin el: 2 cu: MICU cg: RN so: D5W vo: 0 v1: 50 du: mcghr sv: 100 su: ml rt: IV Drip t0: [21:00:00 07/10/2012] id: Fentanyl el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 100 du: mcghr sv: 250 su: ml rt: IV Drip t0: [21:00:00 07/10/2012] id: Midazolam el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 3 du: mghr sv: 50 su: ml rt: IV Drip t0: [21:00:00 07/10/2012] id: Sandostatin el: 2 cu: MICU cg: RN so: D5W vo: 0 v1: 50 du: mcghr sv: 100 su: ml rt: IV Drip t0: [21:15:00 07/10/2012] id: Fentanyl el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 100 du: mcghr sv: 250 su: ml rt: IV Drip t0: [21:15:00 07/10/2012] id: Midazolam el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 3 du: mghr sv: 50 su: ml rt: IV Drip t0: [21:15:00 07/10/2012] id: Sandostatin el: 2 cu: MICU cg: RN so: D5W vo: 0 v1: 50 du: mcghr sv: 100 su: ml rt: IV Drip t0: [21:30:00 07/10/2012] id: Fentanyl el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 100 du: mcghr sv: 250 su: ml rt: IV Drip t0: [21:30:00 07/10/2012] id: Midazolam el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 3 du: mghr sv: 50 su: ml rt: IV Drip t0: [21:30:00 07/10/2012] id: Sandostatin el: 2 cu: MICU cg: RN so: D5W vo: 0 v1: 50 du: mcghr sv: 100 su: ml rt: IV Drip t0: [21:45:00 07/10/2012] id: Fentanyl el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 100 du: mcghr sv: 250 su: ml rt: IV Drip t0: [21:45:00 07/10/2012] id: Midazolam el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 3 du: mghr sv: 50 su: ml rt: IV Drip t0: [21:45:00 07/10/2012] id: Sandostatin el: 2 cu: MICU cg: RN so: D5W vo: 0 v1: 50 du: mcghr sv: 100 su: ml rt: IV Drip
t0: [20:39:00 07/10/2012] id: Platelets Hematology el: 0 cu: MICU cg: 1663 v1: 92 rs: Final st: NotStopd
t0: [22:00:00 07/10/2012] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [22:00:00 07/10/2012] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [22:00:00 07/10/2012] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [22:00:00 07/10/2012] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [22:00:00 07/10/2012] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [22:00:00 07/10/2012] id: Heart Rate el: 0 cu: MICU cg: RN v1: 87 u1: BPM st: NotStopd t0: [22:00:00 07/10/2012] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [22:00:00 07/10/2012] id: Arterial BP el: 0 cu: MICU cg: RN v1: 131 u1: mmHg v2: 62 u2: mmHg st: NotStopd t0: [22:00:00 07/10/2012] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 82 u1: mmHg st: NotStopd t0: [22:00:00 07/10/2012] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [22:00:00 07/10/2012] id: Previous WeightF el: 0 cu: MICU cg: RN v1: 84.5 u1: kg st: NotStopd t0: [22:00:00 07/10/2012] id: SpO2 el: 0 cu: MICU cg: RN v1: 98 u1: % st: NotStopd t0: [22:00:00 07/10/2012] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [22:00:00 07/10/2012] id: .9% Normal Saline 1000.0ml IV Infusions el: 3 cu: MICU cg: RN ai: 107 vo: 10 vu: ml t0: [22:00:00 07/10/2012] id: D5W 250.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 105 vo: 0 vu: ml t0: [22:00:00 07/10/2012] id: D5W 100.0ml + 600mcghr Sandostatin IV Infusions el: 2 cu: MICU cg: RN ai: 107 vo: 8.33333 vu: ml t0: [22:00:00 07/10/2012] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU cg: RN ai: 416 vo: 10 vu: ml t0: [22:00:00 07/10/2012] id: .9% Normal Saline 50.0ml + 50mghr Midazolam IV Infusions el: 1 cu: MICU cg: RN ai: 189 vo: 3 vu: ml t0: [22:00:00 07/10/2012] id: Urine Out Void el: 1 cu: MICU cg: RN vo: 65 vu: ml
t0: [22:00:00 07/10/2012] id: Fentanyl el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 100 du: mcghr sv: 250 su: ml rt: IV Drip t0: [22:00:00 07/10/2012] id: Midazolam el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 3 du: mghr sv: 50 su: ml rt: IV Drip t0: [22:00:00 07/10/2012] id: Sandostatin el: 2 cu: MICU cg: RN so: D5W vo: 0 v1: 50 du: mcghr sv: 100 su: ml rt: IV Drip
t0: [23:00:00 07/10/2012] id: IR blood products Free Form Intake el: 1 cu: MICU cg: -1 vo: 0 st: D/C'd t0: [23:00:00 07/10/2012] id: IR intake Free Form Intake el: 1 cu: MICU cg: -1 vo: 0 st: D/C'd
t0: [23:00:00 07/10/2012] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [23:00:00 07/10/2012] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [23:00:00 07/10/2012] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [23:00:00 07/10/2012] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [23:00:00 07/10/2012] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [23:00:00 07/10/2012] id: Heart Rate el: 0 cu: MICU cg: RN v1: 85 u1: BPM st: NotStopd t0: [23:00:00 07/10/2012] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [23:00:00 07/10/2012] id: Arterial BP el: 0 cu: MICU cg: RN v1: 124 u1: mmHg v2: 58 u2: mmHg st: NotStopd t0: [23:00:00 07/10/2012] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 78 u1: mmHg st: NotStopd t0: [23:00:00 07/10/2012] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [23:00:00 07/10/2012] id: Previous WeightF el: 0 cu: MICU cg: RN v1: 84.5 u1: kg st: NotStopd t0: [23:00:00 07/10/2012] id: SpO2 el: 0 cu: MICU cg: RN v1: 98 u1: % st: NotStopd t0: [23:00:00 07/10/2012] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [23:00:00 07/10/2012] id: .9% Normal Saline 1000.0ml IV Infusions el: 3 cu: MICU cg: RN ai: 107 vo: 10 vu: ml t0: [23:00:00 07/10/2012] id: D5W 250.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 105 vo: 0 vu: ml t0: [23:00:00 07/10/2012] id: D5W 100.0ml + 600mcghr Sandostatin IV Infusions el: 2 cu: MICU cg: RN ai: 107 vo: 8.33333 vu: ml t0: [23:00:00 07/10/2012] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU cg: RN ai: 416 vo: 10 vu: ml t0: [23:00:00 07/10/2012] id: .9% Normal Saline 50.0ml + 50mghr Midazolam IV Infusions el: 1 cu: MICU cg: RN ai: 189 vo: 3 vu: ml t0: [23:00:00 07/10/2012] id: Urine Out Void el: 1 cu: MICU cg: RN vo: 60 vu: ml
t0: [23:00:00 07/10/2012] id: Fentanyl el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 100 du: mcghr sv: 250 su: ml rt: IV Drip t0: [23:00:00 07/10/2012] id: Midazolam el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 3 du: mghr sv: 50 su: ml rt: IV Drip t0: [23:00:00 07/10/2012] id: Sandostatin el: 2 cu: MICU cg: RN so: D5W vo: 0 v1: 50 du: mcghr sv: 100 su: ml rt: IV Drip
t0: [23:00:00 07/10/2012] id: Less Restrict Meas. el: 0 cu: MICU cg: RN v1: Medicated st: NotStopd t0: [23:00:00 07/10/2012] id: Range of Motion el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [23:00:00 07/10/2012] id: Circulation/SkinInt el: 0 cu: MICU cg: RN v1: Circulation Adeq st: NotStopd t0: [23:00:00 07/10/2012] id: Position Change el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [23:00:00 07/10/2012] id: Reason For Restraint el: 0 cu: MICU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [23:00:00 07/10/2012] id: Removed x 5 Mins el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [23:00:00 07/10/2012] id: Restraint Location el: 0 cu: MICU cg: RN v1: Both Arms st: NotStopd t0: [23:00:00 07/10/2012] id: Restraint Type el: 0 cu: MICU cg: RN v1: Soft Limb st: NotStopd t0: [23:00:00 07/10/2012] id: Restraints Evaluated el: 0 cu: MICU cg: RN v1: RestraintReapply st: NotStopd t0: [23:00:00 07/10/2012] id: Side Rails el: 0 cu: MICU cg: RN v1: Side Rails Up st: NotStopd t0: [23:00:00 07/10/2012] id: Support Systems el: 0 cu: MICU cg: RN v1: Spouse st: NotStopd t0: [00:00:00 08/10/2012] id: Pain Present el: 0 cu: MICU cg: RN v1: No st: NotStopd t0: [00:00:00 08/10/2012] id: bath el: 1 cu: MICU cg: RN v1: done t0: [00:00:00 08/10/2012] id: Pain Assess Method el: 0 cu: MICU cg: RN v1: Non-verbal cues st: NotStopd t0: [00:00:00 08/10/2012] id: PainLevel Acceptable el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [00:00:00 08/10/2012] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [00:00:00 08/10/2012] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [00:00:00 08/10/2012] id: Riker-SAS Scale el: 0 cu: MICU cg: RN v1: Sedated st: NotStopd t0: [00:00:00 08/10/2012] id: Cough Effort el: 0 cu: MICU cg: RN v1: Strong st: NotStopd t0: [00:00:00 08/10/2012] id: Cough Reflex el: 0 cu: MICU cg: RN v1: Intact st: NotStopd t0: [00:00:00 08/10/2012] id: Cough Type el: 0 cu: MICU cg: RN v1: Productive st: NotStopd t0: [00:00:00 08/10/2012] id: GI Prophylaxis el: 0 cu: MICU cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [00:00:00 08/10/2012] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [00:00:00 08/10/2012] id: Diet Type el: 0 cu: MICU cg: RN v1: NPO st: NotStopd t0: [00:00:00 08/10/2012] id: Dorsal PedPulse R/L el: 0 cu: MICU cg: RN v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [00:00:00 08/10/2012] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [00:00:00 08/10/2012] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [00:00:00 08/10/2012] id: Eye Opening el: 0 cu: MICU cg: RN v1: 3 To speech st: NotStopd t0: [00:00:00 08/10/2012] id: Follows Commands el: 0 cu: MICU cg: RN v1: Consistently st: NotStopd t0: [00:00:00 08/10/2012] id: GCS Total el: 0 cu: MICU cg: RN v1: 9 u1: points st: NotStopd t0: [00:00:00 08/10/2012] id: Gag Reflex el: 0 cu: MICU cg: RN v1: Intact st: NotStopd t0: [00:00:00 08/10/2012] id: HOB el: 0 cu: MICU cg: RN v1: 30 degrees st: NotStopd t0: [00:00:00 08/10/2012] id: Heart Rate el: 0 cu: MICU cg: RN v1: 86 u1: BPM st: NotStopd t0: [00:00:00 08/10/2012] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [00:00:00 08/10/2012] id: INV Line#1 Type/Site el: 0 cu: MICU cg: RN v1: A-Line v2: Left Radial st: NotStopd t0: [00:00:00 08/10/2012] id: INV Line#1 Zero/Cal el: 0 cu: MICU cg: RN v1: No st: NotStopd t0: [00:00:00 08/10/2012] id: INV Line#1InsertDate el: 0 cu: MICU cg: RN v1: 9 v2: 13 st: NotStopd t0: [00:00:00 08/10/2012] id: INV Line#1SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [00:00:00 08/10/2012] id: INV Line#2 Type/Site el: 0 cu: MICU cg: RN v1: Multi-lumen v2: Right Femoral st: NotStopd t0: [00:00:00 08/10/2012] id: INV Line#2InsertDate el: 0 cu: MICU cg: RN v1: 9 v2: 13 st: NotStopd t0: [00:00:00 08/10/2012] id: INV Line#2SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [00:00:00 08/10/2012] id: INV Line#3 Type/Site el: 0 cu: MICU cg: RN v1: Multi-lumen v2: Right IJ st: NotStopd t0: [00:00:00 08/10/2012] id: INV Line#3InsertDate el: 0 cu: MICU cg: RN v1: 9 v2: 14 st: NotStopd t0: [00:00:00 08/10/2012] id: Abdominal Assessment el: 0 cu: MICU cg: RN v1: Ascites st: NotStopd t0: [00:00:00 08/10/2012] id: INV#1 WaveformAppear el: 0 cu: MICU cg: RN v1: Sharp st: NotStopd t0: [00:00:00 08/10/2012] id: IV #1 Insert Date el: 0 cu: MICU cg: RN v1: 9 v2: 13 st: NotStopd t0: [00:00:00 08/10/2012] id: IV #1 Site/Size el: 0 cu: MICU cg: RN v1: LL Ant Forearm v2: 20 gauge st: NotStopd t0: [00:00:00 08/10/2012] id: IV #2 Insert Date el: 0 cu: MICU cg: RN v1: 9 v2: 13 st: NotStopd t0: [00:00:00 08/10/2012] id: IV #2 Site/Size el: 0 cu: MICU cg: RN v1: LL Ant Forearm v2: 20 gauge st: NotStopd t0: [00:00:00 08/10/2012] id: IV #3 Insert Date el: 0 cu: MICU cg: RN v1: 9 v2: 12 st: NotStopd t0: [00:00:00 08/10/2012] id: IV #3 Site/Size el: 0 cu: MICU cg: RN v1: Right Hand v2: 18 gauge st: NotStopd t0: [00:00:00 08/10/2012] id: IV #4 Insert Date el: 0 cu: MICU cg: RN v1: 9 v2: 12 st: NotStopd t0: [00:00:00 08/10/2012] id: IV #4 Site/Size el: 0 cu: MICU cg: RN v1: RL Ant Forearm v2: 18 gauge st: NotStopd t0: [00:00:00 08/10/2012] id: Activity el: 0 cu: MICU cg: RN v1: Bedrest st: NotStopd t0: [00:00:00 08/10/2012] id: IV Site Appear #1 el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [00:00:00 08/10/2012] id: IV Site Appear #2 el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [00:00:00 08/10/2012] id: IV Site Appear #3 el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [00:00:00 08/10/2012] id: IV Site Appear #4 el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [00:00:00 08/10/2012] id: Activity Tolerance el: 0 cu: MICU cg: RN v1: Good st: NotStopd t0: [00:00:00 08/10/2012] id: LLL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [00:00:00 08/10/2012] id: LUL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [00:00:00 08/10/2012] id: Level of Conscious el: 0 cu: MICU cg: RN v1: Sedated st: NotStopd t0: [00:00:00 08/10/2012] id: Angio Appearance #1 el: 0 cu: MICU cg: RN v1: Clean and Dry st: NotStopd t0: [00:00:00 08/10/2012] id: Motor Response el: 0 cu: MICU cg: RN v1: 5 Localizes Pain st: NotStopd t0: [00:00:00 08/10/2012] id: Angio Dressing #1 el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [00:00:00 08/10/2012] id: Oral Cavity el: 0 cu: MICU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [00:00:00 08/10/2012] id: Orientation el: 0 cu: MICU cg: RN v1: Other/Remarks st: NotStopd t0: [00:00:00 08/10/2012] id: Angio Site #1 el: 0 cu: MICU cg: RN v1: L Femoral st: NotStopd t0: [00:00:00 08/10/2012] id: AntiEmbDevice/Status el: 0 cu: MICU cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [00:00:00 08/10/2012] id: Arterial BP el: 0 cu: MICU cg: RN v1: 130 u1: mmHg v2: 61 u2: mmHg st: NotStopd t0: [00:00:00 08/10/2012] id: Pain Location el: 0 cu: MICU cg: RN v1: Not Indicated st: NotStopd t0: [00:00:00 08/10/2012] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 81 u1: mmHg st: NotStopd t0: [00:00:00 08/10/2012] id: Position el: 0 cu: MICU cg: RN v1: Supine st: NotStopd t0: [00:00:00 08/10/2012] id: Assistance Device el: 0 cu: MICU cg: RN v1: 1 Person Assist st: NotStopd t0: [00:00:00 08/10/2012] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [00:00:00 08/10/2012] id: Previous WeightF el: 0 cu: MICU cg: RN v1: 84.5 u1: kg st: NotStopd t0: [00:00:00 08/10/2012] id: Pupil Size R/L el: 0 cu: MICU cg: RN v1: Pinpoint v2: Pinpoint st: NotStopd t0: [00:00:00 08/10/2012] id: RLL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [00:00:00 08/10/2012] id: RUL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [00:00:00 08/10/2012] id: Respiratory Pattern el: 0 cu: MICU cg: RN v1: Regular st: NotStopd t0: [00:00:00 08/10/2012] id: SpO2 el: 0 cu: MICU cg: RN v1: 98 u1: % st: NotStopd t0: [00:00:00 08/10/2012] id: Spontaneous Movement el: 0 cu: MICU cg: RN v1: Nonpurposeful st: NotStopd t0: [00:00:00 08/10/2012] id: Stool Guaiac el: 0 cu: MICU cg: RN v1: Positive st: NotStopd t0: [00:00:00 08/10/2012] id: Turn el: 0 cu: MICU cg: RN v1: Back st: NotStopd t0: [00:00:00 08/10/2012] id: Urine Color/Appear el: 0 cu: MICU cg: RN v1: Icteric v2: Clear st: NotStopd t0: [00:00:00 08/10/2012] id: Urine Source el: 0 cu: MICU cg: RN v1: Indwelling Cath st: NotStopd t0: [00:00:00 08/10/2012] id: Verbal Response el: 0 cu: MICU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [00:00:00 08/10/2012] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [00:00:00 08/10/2012] id: Bowel Sounds el: 0 cu: MICU cg: RN v1: Hypoactive st: NotStopd
t0: [23:00:00 07/10/2012] id: Stool Out Stool el: 1 cu: MICU cg: RN vo: 150 vu: ml t0: [00:00:00 08/10/2012] id: .9% Normal Saline 1000.0ml IV Infusions el: 3 cu: MICU cg: RN ai: 107 vo: 10 vu: ml t0: [00:00:00 08/10/2012] id: D5W 250.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 105 vo: 0 vu: ml t0: [00:00:00 08/10/2012] id: D5W 100.0ml + 600mcghr Sandostatin IV Infusions el: 2 cu: MICU cg: RN ai: 107 vo: 8.33333 vu: ml t0: [00:00:00 08/10/2012] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU cg: RN ai: 416 vo: 10 vu: ml t0: [00:00:00 08/10/2012] id: .9% Normal Saline 50.0ml + 50mghr Midazolam IV Infusions el: 1 cu: MICU cg: RN ai: 189 vo: 3 vu: ml t0: [00:00:00 08/10/2012] id: Urine Out Void el: 1 cu: MICU cg: RN vo: 100 vu: ml
t0: [00:00:00 08/10/2012] id: Fentanyl el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 100 du: mcghr sv: 250 su: ml rt: IV Drip t0: [00:00:00 08/10/2012] id: Midazolam el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 3 du: mghr sv: 50 su: ml rt: IV Drip t0: [00:00:00 08/10/2012] id: Sandostatin el: 2 cu: MICU cg: RN so: D5W vo: 0 v1: 50 du: mcghr sv: 100 su: ml rt: IV Drip
t0: [23:00:00 07/10/2012] dt: 24 id: Stool Out Total el: 2 cu: MICU cg: RN pv: 150 cv: 1425 ap: none
t0: [00:20:00 08/10/2012] id: Hematocrit Hematology el: 0 cu: MICU cg: 1663 v1: 36 u1: % rs: Final st: NotStopd
t0: [01:00:00 08/10/2012] id: HI/Minute/Vol/Alarm el: 0 cu: MICU cg: RRT v1: 16 t0: [01:00:00 08/10/2012] id: Compliance (40-60ml) el: 0 cu: MICU cg: RRT v1: 30.4348 u1: ml/cmH st: NotStopd t0: [01:00:00 08/10/2012] id: ETT Mark/Location el: 0 cu: MICU cg: RRT v1: 23cm v2: Lip st: NotStopd t0: [01:00:00 08/10/2012] id: FiO2 Set el: 0 cu: MICU cg: RRT v1: 0.35 u1: torr st: NotStopd t0: [01:00:00 08/10/2012] id: High Insp. Pressure el: 0 cu: MICU cg: RRT v1: 50 u1: cmH2O st: NotStopd t0: [01:00:00 08/10/2012] id: High Resp. Rate el: 0 cu: MICU cg: RRT v1: 40 u1: BPM st: NotStopd t0: [01:00:00 08/10/2012] id: I:E Ratio el: 0 cu: MICU cg: RRT v1: 1:4 st: NotStopd t0: [01:00:00 08/10/2012] id: Airway Size el: 0 cu: MICU cg: RRT v1: 7.5 mm st: NotStopd t0: [01:00:00 08/10/2012] id: Airway Type el: 0 cu: MICU cg: RRT v1: Endotracheal st: NotStopd t0: [01:00:00 08/10/2012] id: Inspired Gas Temp el: 0 cu: MICU cg: RRT v1: 34.2 u1: Deg. C st: NotStopd t0: [01:00:00 08/10/2012] id: Intubation Date el: 0 cu: MICU cg: RRT v1: 9 v2: 13 st: NotStopd t0: [01:00:00 08/10/2012] id: Low Exhaled Min Vol el: 0 cu: MICU cg: RRT v1: 6 st: NotStopd t0: [01:00:00 08/10/2012] id: Mean Airway Pressure el: 0 cu: MICU cg: RRT v1: 9 u1: cmH2O st: NotStopd t0: [01:00:00 08/10/2012] id: Minute Volume(Obser) el: 0 cu: MICU cg: RRT v1: 8.33 u1: L/min st: NotStopd t0: [01:00:00 08/10/2012] id: PEEP Set el: 0 cu: MICU cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [01:00:00 08/10/2012] id: Apnea Time Interval el: 0 cu: MICU cg: RRT v1: 20 st: NotStopd t0: [01:00:00 08/10/2012] id: Peak Insp. Pressure el: 0 cu: MICU cg: RRT v1: 28 u1: cmH2O st: NotStopd t0: [01:00:00 08/10/2012] id: Plateau Pressure el: 0 cu: MICU cg: RRT v1: 19 u1: cmH2O st: NotStopd t0: [01:00:00 08/10/2012] id: Plateau-Off el: 0 cu: MICU cg: RRT v1: Yes st: NotStopd t0: [01:00:00 08/10/2012] id: Pressure Support el: 0 cu: MICU cg: RRT v1: 5 u1: . st: NotStopd t0: [01:00:00 08/10/2012] id: Resp Rate (Spont) el: 0 cu: MICU cg: RRT v1: 0 u1: BPM st: NotStopd t0: [01:00:00 08/10/2012] id: Resp Rate (Total) el: 0 cu: MICU cg: RRT v1: 12 u1: BPM st: NotStopd t0: [01:00:00 08/10/2012] id: Respiratory Rate Set el: 0 cu: MICU cg: RRT v1: 12 u1: BPM st: NotStopd t0: [01:00:00 08/10/2012] id: Sensitivity-Vent el: 0 cu: MICU cg: RRT v1: 2 u1: cmH2O st: NotStopd t0: [01:00:00 08/10/2012] id: SpO2 el: 0 cu: MICU cg: RRT v1: 98 u1: % st: NotStopd t0: [01:00:00 08/10/2012] id: Tidal Volume (Obser) el: 0 cu: MICU cg: RRT v1: 720 u1: ml/B st: NotStopd t0: [01:00:00 08/10/2012] id: Tidal Volume (Set) el: 0 cu: MICU cg: RRT v1: 700 u1: ml/B st: NotStopd t0: [01:00:00 08/10/2012] id: Ventilator Mode el: 0 cu: MICU cg: RRT v1: SIMV+PS st: NotStopd t0: [01:00:00 08/10/2012] id: Ventilator Type el: 0 cu: MICU cg: RRT v1: Drager st: NotStopd t0: [01:00:00 08/10/2012] id: Waveform-Vent el: 0 cu: MICU cg: RRT v1: RAMP st: NotStopd
t0: [00:00:00 08/10/2012] id: INV Line#3SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [00:00:00 08/10/2012] id: Temp. Site el: 0 cu: MICU cg: RN v1: Oral st: NotStopd t0: [01:00:00 08/10/2012] id: Less Restrict Meas. el: 0 cu: MICU cg: RN v1: Medicated st: NotStopd t0: [01:00:00 08/10/2012] id: Range of Motion el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [01:00:00 08/10/2012] id: Circulation/SkinInt el: 0 cu: MICU cg: RN v1: Circulation Adeq st: NotStopd t0: [01:00:00 08/10/2012] id: Position Change el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [01:00:00 08/10/2012] id: Reason For Restraint el: 0 cu: MICU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [01:00:00 08/10/2012] id: Removed x 5 Mins el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [01:00:00 08/10/2012] id: Restraint Location el: 0 cu: MICU cg: RN v1: Both Arms st: NotStopd t0: [01:00:00 08/10/2012] id: Restraint Type el: 0 cu: MICU cg: RN v1: Soft Limb st: NotStopd t0: [01:00:00 08/10/2012] id: Restraints Evaluated el: 0 cu: MICU cg: RN v1: RestraintReapply st: NotStopd t0: [01:00:00 08/10/2012] id: Side Rails el: 0 cu: MICU cg: RN v1: Side Rails Up st: NotStopd t0: [01:00:00 08/10/2012] id: Support Systems el: 0 cu: MICU cg: RN v1: Spouse st: NotStopd t0: [01:00:00 08/10/2012] id: Fingerstick Glucose Chemistry el: 0 cu: MICU cg: RN v1: 76 rs: Manual st: NotStopd t0: [02:00:00 08/10/2012] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [02:00:00 08/10/2012] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [02:00:00 08/10/2012] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [02:00:00 08/10/2012] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [02:00:00 08/10/2012] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [02:00:00 08/10/2012] id: Heart Rate el: 0 cu: MICU cg: RN v1: 85 u1: BPM st: NotStopd t0: [02:00:00 08/10/2012] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [02:00:00 08/10/2012] id: Arterial BP el: 0 cu: MICU cg: RN v1: 130 u1: mmHg v2: 64 u2: mmHg st: NotStopd t0: [02:00:00 08/10/2012] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 83 u1: mmHg st: NotStopd t0: [02:00:00 08/10/2012] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [02:00:00 08/10/2012] id: SpO2 el: 0 cu: MICU cg: RN v1: 99 u1: % st: NotStopd t0: [02:00:00 08/10/2012] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [01:00:00 08/10/2012] id: .9% Normal Saline 1000.0ml IV Infusions el: 3 cu: MICU cg: RN ai: 107 vo: 10 vu: ml t0: [01:00:00 08/10/2012] id: D5W 250.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 105 vo: 0 vu: ml t0: [01:00:00 08/10/2012] id: D5W 100.0ml + 600mcghr Sandostatin IV Infusions el: 2 cu: MICU cg: RN ai: 107 vo: 8.33333 vu: ml t0: [01:00:00 08/10/2012] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU cg: RN ai: 416 vo: 10 vu: ml t0: [01:00:00 08/10/2012] id: .9% Normal Saline 50.0ml + 50mghr Midazolam IV Infusions el: 1 cu: MICU cg: RN ai: 189 vo: 3 vu: ml t0: [02:00:00 08/10/2012] id: .9% Normal Saline 1000.0ml IV Infusions el: 3 cu: MICU cg: RN ai: 107 vo: 10 vu: ml t0: [02:00:00 08/10/2012] id: D5W 100.0ml + 600mcghr Sandostatin IV Infusions el: 2 cu: MICU cg: RN ai: 107 vo: 8.33333 vu: ml t0: [02:00:00 08/10/2012] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU cg: RN ai: 416 vo: 10 vu: ml t0: [02:00:00 08/10/2012] id: .9% Normal Saline 50.0ml + 50mghr Midazolam IV Infusions el: 1 cu: MICU cg: RN ai: 189 vo: 3 vu: ml t0: [02:00:00 08/10/2012] id: Urine Out Void el: 1 cu: MICU cg: RN vo: 100 vu: ml
t0: [02:00:00 08/10/2012] id: Fentanyl el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 100 du: mcghr sv: 250 su: ml rt: IV Drip t0: [02:00:00 08/10/2012] id: Midazolam el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 3 du: mghr sv: 50 su: ml rt: IV Drip t0: [02:00:00 08/10/2012] id: Sandostatin el: 2 cu: MICU cg: RN so: D5W vo: 0 v1: 50 du: mcghr sv: 100 su: ml rt: IV Drip
t0: [00:00:00 08/10/2012] id: Temperature C (calc) el: 0 cu: MICU cg: RN v1: 37.2222 u1: Deg. C st: NotStopd t0: [00:00:00 08/10/2012] id: Temperature F el: 0 cu: MICU cg: RN v1: 99 u1: Deg. F st: NotStopd t0: [01:00:00 08/10/2012] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [01:00:00 08/10/2012] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [01:00:00 08/10/2012] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [01:00:00 08/10/2012] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [01:00:00 08/10/2012] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [01:00:00 08/10/2012] id: Heart Rate el: 0 cu: MICU cg: RN v1: 85 u1: BPM st: NotStopd t0: [01:00:00 08/10/2012] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [01:00:00 08/10/2012] id: Arterial BP el: 0 cu: MICU cg: RN v1: 114 u1: mmHg v2: 52 u2: mmHg st: NotStopd t0: [01:00:00 08/10/2012] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 69 u1: mmHg st: NotStopd t0: [01:00:00 08/10/2012] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [01:00:00 08/10/2012] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [02:00:00 08/10/2012] id: Previous Weight el: 0 cu: MICU cg: RN v1: 84.5 u1: kg st: NotStopd
t0: [01:00:00 08/10/2012] id: Fentanyl el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 100 du: mcghr sv: 250 su: ml rt: IV Drip t0: [01:00:00 08/10/2012] id: Midazolam el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 3 du: mghr sv: 50 su: ml rt: IV Drip t0: [01:00:00 08/10/2012] id: Sandostatin el: 2 cu: MICU cg: RN so: D5W vo: 0 v1: 50 du: mcghr sv: 100 su: ml rt: IV Drip
t0: [23:00:00 08/10/2012] dt: 1 id: Total Hourly Output el: 2 cu: MICU cg: RN pv: 50 cv: 50 ap: none t0: [23:00:00 08/10/2012] dt: 1 id: Net Hourly Balance el: 2 cu: MICU cg: RN pv: -50 cv: -50 ap: none t0: [23:00:00 08/10/2012] dt: 24 id: IV Infusion In Total el: 2 cu: MICU cg: RN cv: 920.667 ap: none t0: [23:00:00 08/10/2012] dt: 24 id: 24h Total In el: 2 cu: MICU cg: RN cv: 1171.47 ap: none t0: [23:00:00 08/10/2012] dt: 24 id: Urine Out Total el: 2 cu: MICU cg: RN pv: 50 cv: 1273 ap: none t0: [23:00:00 08/10/2012] dt: 24 id: 24h Net Body Balance el: 2 cu: MICU cg: RN pv: -50 cv: -326.533 ap: none t0: [23:00:00 08/10/2012] dt: 24 id: 24h Total Out el: 2 cu: MICU cg: RN pv: 50 cv: 1498 ap: none t0: [23:00:00 08/10/2012] dt: multiple days id: LOS Net Body Balance el: 2 cu: MICU cg: RN pv: -50 cv: 18372.5 ap: carryForward
t0: [03:00:00 08/10/2012] id: .9% Normal Saline 1000.0ml IV Infusions el: 3 cu: MICU cg: -1 ai: 107 vo: 0 st: D/C'd
t0: [03:00:00 08/10/2012] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [03:00:00 08/10/2012] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [03:00:00 08/10/2012] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [03:00:00 08/10/2012] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [03:00:00 08/10/2012] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [03:00:00 08/10/2012] id: Heart Rate el: 0 cu: MICU cg: RN v1: 91 u1: BPM st: NotStopd t0: [03:00:00 08/10/2012] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [03:00:00 08/10/2012] id: Arterial BP el: 0 cu: MICU cg: RN v1: 124 u1: mmHg v2: 60 u2: mmHg st: NotStopd t0: [03:00:00 08/10/2012] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 80 u1: mmHg st: NotStopd t0: [03:00:00 08/10/2012] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [03:00:00 08/10/2012] id: Previous WeightF el: 0 cu: MICU cg: RN v1: 84.5 u1: kg st: NotStopd t0: [03:00:00 08/10/2012] id: SpO2 el: 0 cu: MICU cg: RN v1: 98 u1: % st: NotStopd t0: [03:00:00 08/10/2012] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [02:00:00 08/10/2012] tf: [03:00:00 08/10/2012] dt: 60 id: D5W 250.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 105 vo: 100 vu: ml t0: [03:00:00 08/10/2012] id: D5W 250.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 105 vo: 0 vu: ml t0: [03:00:00 08/10/2012] id: D5W 100.0ml + 600mcghr Sandostatin IV Infusions el: 2 cu: MICU cg: RN ai: 107 vo: 8.33333 vu: ml t0: [03:00:00 08/10/2012] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU cg: RN ai: 416 vo: 10 vu: ml t0: [03:00:00 08/10/2012] id: .9% Normal Saline 50.0ml + 50mghr Midazolam IV Infusions el: 1 cu: MICU cg: RN ai: 189 vo: 3 vu: ml t0: [03:00:00 08/10/2012] id: Urine Out Void el: 1 cu: MICU cg: RN vo: 100 vu: ml
t0: [03:00:00 08/10/2012] id: Fentanyl el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 100 du: mcghr sv: 250 su: ml rt: IV Drip t0: [03:00:00 08/10/2012] id: Midazolam el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 3 du: mghr sv: 50 su: ml rt: IV Drip t0: [03:00:00 08/10/2012] id: Sandostatin el: 2 cu: MICU cg: RN so: D5W vo: 0 v1: 50 du: mcghr sv: 100 su: ml rt: IV Drip
t0: [03:51:00 08/10/2012] id: Art.pH ABG el: 0 cu: MICU cg: 1663 v1: 7.33 rs: Final st: NotStopd t0: [03:51:00 08/10/2012] id: Lactic Acid Chemistry el: 0 cu: MICU cg: 1663 v1: 1.1 rs: Final st: NotStopd t0: [03:51:00 08/10/2012] id: Arterial Base Excess ABG el: 0 cu: MICU cg: 1663 v1: -6 rs: Final st: NotStopd t0: [03:51:00 08/10/2012] id: Arterial CO2(Calc) ABG el: 0 cu: MICU cg: 1663 v1: 19 rs: Final st: NotStopd t0: [03:51:00 08/10/2012] id: Arterial PaCO2 ABG el: 0 cu: MICU cg: 1663 v1: 34 u1: mmHg rs: Final st: NotStopd t0: [03:51:00 08/10/2012] id: Arterial PaO2 ABG el: 0 cu: MICU cg: 1663 v1: 94 u1: mmHg rs: Final st: NotStopd t0: [03:51:00 08/10/2012] id: Arterial pH ABG el: 0 cu: MICU cg: 1663 v1: 7.33 rs: Final st: NotStopd t0: [03:51:00 08/10/2012] id: Ionized Calcium Chemistry el: 0 cu: MICU cg: 1663 v1: 1.19 rs: Final st: NotStopd t0: [03:51:00 08/10/2012] id: Lactic Acid(0.5-2.0) Chemistry el: 0 cu: MICU cg: 1663 v1: 1.1 rs: Final st: NotStopd t0: [03:51:00 08/10/2012] id: SaO2 ABG's el: 0 cu: MICU cg: 1663 v1: 98 u1: % rs: Final st: NotStopd
t0: [04:00:00 08/10/2012] id: INV#2 WaveformAppear el: 0 cu: MICU cg: -1 st: D/C'd
t0: [03:30:00 08/10/2012] id: WBC (4-11,000) Hematology el: 0 cu: MICU cg: 1663 v1: 12.1 rs: Final st: NotStopd t0: [03:30:00 08/10/2012] id: WBC Hematology el: 0 cu: MICU cg: 1663 v1: 12.1 rs: Final st: NotStopd t0: [03:30:00 08/10/2012] id: Hematocrit Hematology el: 0 cu: MICU cg: 1663 v1: 35.3 u1: % rs: Final st: NotStopd t0: [03:30:00 08/10/2012] id: Hemoglobin Hematology el: 0 cu: MICU cg: 1663 v1: 13 u1: gm/dl rs: Final st: NotStopd t0: [03:30:00 08/10/2012] id: Platelets Hematology el: 0 cu: MICU cg: 1663 v1: 88 rs: Final st: NotStopd t0: [03:30:00 08/10/2012] id: RBC Hematology el: 0 cu: MICU cg: 1663 v1: 4.21 u1: /mic l rs: Final st: NotStopd t0: [03:30:00 08/10/2012] id: WBC (4-11,000) Hematology el: 0 cu: MICU cg: 1663 v1: 12.1 rs: Final st: NotStopd t0: [03:51:00 08/10/2012] id: CaO2 el: 0 cu: MICU cg: 1663 v1: 17.363 u1: ml/dl st: NotStopd
t0: [03:00:00 08/10/2012] id: Less Restrict Meas. el: 0 cu: MICU cg: RN v1: Medicated st: NotStopd t0: [03:00:00 08/10/2012] id: Range of Motion el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [03:00:00 08/10/2012] id: Chest PT R/L el: 0 cu: MICU cg: RN v1: Done v2: Done st: NotStopd t0: [03:00:00 08/10/2012] id: Circulation/SkinInt el: 0 cu: MICU cg: RN v1: Circulation Adeq st: NotStopd t0: [03:00:00 08/10/2012] id: HOB el: 0 cu: MICU cg: RN v1: 30 degrees st: NotStopd t0: [03:00:00 08/10/2012] id: Activity el: 0 cu: MICU cg: RN v1: Bedrest st: NotStopd t0: [03:00:00 08/10/2012] id: Activity Tolerance el: 0 cu: MICU cg: RN v1: Tolerated Well st: NotStopd t0: [03:00:00 08/10/2012] id: Oral Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [03:00:00 08/10/2012] id: AntiEmbDevice/Status el: 0 cu: MICU cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [03:00:00 08/10/2012] id: Position el: 0 cu: MICU cg: RN v1: Right Side st: NotStopd t0: [03:00:00 08/10/2012] id: Position Change el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [03:00:00 08/10/2012] id: Assistance Device el: 0 cu: MICU cg: RN v1: 2 Person Assist st: NotStopd t0: [03:00:00 08/10/2012] id: Reason For Restraint el: 0 cu: MICU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [03:00:00 08/10/2012] id: Removed x 5 Mins el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [03:00:00 08/10/2012] id: Restraint Location el: 0 cu: MICU cg: RN v1: Both Arms st: NotStopd t0: [03:00:00 08/10/2012] id: Restraint Type el: 0 cu: MICU cg: RN v1: Soft Limb st: NotStopd t0: [03:00:00 08/10/2012] id: Restraints Evaluated el: 0 cu: MICU cg: RN v1: RestraintReapply st: NotStopd t0: [03:00:00 08/10/2012] id: Side Rails el: 0 cu: MICU cg: RN v1: Side Rails Up st: NotStopd t0: [03:00:00 08/10/2012] id: Support Systems el: 0 cu: MICU cg: RN v1: Spouse st: NotStopd t0: [03:00:00 08/10/2012] id: Turn el: 0 cu: MICU cg: RN v1: Side to Side st: NotStopd t0: [04:00:00 08/10/2012] id: Pain Present el: 0 cu: MICU cg: RN v1: No st: NotStopd t0: [04:00:00 08/10/2012] id: INV#2Chg o/Wire Date el: 0 cu: MICU cg: RN v1: 9 v2: 15 st: NotStopd t0: [04:00:00 08/10/2012] id: Pain Assess Method el: 0 cu: MICU cg: RN v1: Non-verbal cues st: NotStopd t0: [04:00:00 08/10/2012] id: PainLevel Acceptable el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [04:00:00 08/10/2012] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [04:00:00 08/10/2012] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [04:00:00 08/10/2012] id: Riker-SAS Scale el: 0 cu: MICU cg: RN v1: Sedated st: NotStopd t0: [04:00:00 08/10/2012] id: Cough Effort el: 0 cu: MICU cg: RN v1: Strong st: NotStopd t0: [04:00:00 08/10/2012] id: Cough Reflex el: 0 cu: MICU cg: RN v1: Intact st: NotStopd t0: [04:00:00 08/10/2012] id: Cough Type el: 0 cu: MICU cg: RN v1: Productive st: NotStopd t0: [04:00:00 08/10/2012] id: GI Prophylaxis el: 0 cu: MICU cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [04:00:00 08/10/2012] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [04:00:00 08/10/2012] id: Diet Type el: 0 cu: MICU cg: RN v1: NPO st: NotStopd t0: [04:00:00 08/10/2012] id: Dorsal PedPulse R/L el: 0 cu: MICU cg: RN v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [04:00:00 08/10/2012] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [04:00:00 08/10/2012] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [04:00:00 08/10/2012] id: Eye Opening el: 0 cu: MICU cg: RN v1: 3 To speech st: NotStopd t0: [04:00:00 08/10/2012] id: Follows Commands el: 0 cu: MICU cg: RN v1: Consistently st: NotStopd t0: [04:00:00 08/10/2012] id: GCS Total el: 0 cu: MICU cg: RN v1: 9 u1: points st: NotStopd t0: [04:00:00 08/10/2012] id: Gag Reflex el: 0 cu: MICU cg: RN v1: Intact st: NotStopd t0: [04:00:00 08/10/2012] id: Heart Rate el: 0 cu: MICU cg: RN v1: 87 u1: BPM st: NotStopd t0: [04:00:00 08/10/2012] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [04:00:00 08/10/2012] id: INV Line#1 Type/Site el: 0 cu: MICU cg: RN v1: A-Line v2: Left Radial st: NotStopd t0: [04:00:00 08/10/2012] id: INV Line#1 Zero/Cal el: 0 cu: MICU cg: RN v1: No st: NotStopd t0: [04:00:00 08/10/2012] id: INV Line#1InsertDate el: 0 cu: MICU cg: RN v1: 9 v2: 13 st: NotStopd t0: [04:00:00 08/10/2012] id: INV Line#1SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [04:00:00 08/10/2012] id: INV Line#2 Site Date el: 0 cu: MICU cg: RN v1: 9 v2: 15 st: NotStopd t0: [04:00:00 08/10/2012] id: INV Line#2 Type/Site el: 0 cu: MICU cg: RN v1: Multi-lumen v2: Right Femoral st: NotStopd t0: [04:00:00 08/10/2012] id: INV Line#2InsertDate el: 0 cu: MICU cg: RN v1: 9 v2: 13 st: NotStopd t0: [04:00:00 08/10/2012] id: INV Line#2SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [04:00:00 08/10/2012] id: INV Line#3 Type/Site el: 0 cu: MICU cg: RN v1: Multi-lumen v2: Right IJ st: NotStopd t0: [04:00:00 08/10/2012] id: INV Line#3InsertDate el: 0 cu: MICU cg: RN v1: 9 v2: 14 st: NotStopd t0: [04:00:00 08/10/2012] id: Abdominal Assessment el: 0 cu: MICU cg: RN v1: Ascites st: NotStopd t0: [04:00:00 08/10/2012] id: INV#1 WaveformAppear el: 0 cu: MICU cg: RN v1: Sharp st: NotStopd t0: [04:00:00 08/10/2012] id: IV #1 Insert Date el: 0 cu: MICU cg: RN v1: 9 v2: 13 st: NotStopd t0: [04:00:00 08/10/2012] id: IV #1 Site/Size el: 0 cu: MICU cg: RN v1: LL Ant Forearm v2: 20 gauge st: NotStopd t0: [04:00:00 08/10/2012] id: IV #2 Insert Date el: 0 cu: MICU cg: RN v1: 9 v2: 13 st: NotStopd t0: [04:00:00 08/10/2012] id: IV #2 Site/Size el: 0 cu: MICU cg: RN v1: LL Ant Forearm v2: 20 gauge st: NotStopd t0: [04:00:00 08/10/2012] id: IV #3 Insert Date el: 0 cu: MICU cg: RN v1: 9 v2: 12 st: NotStopd t0: [04:00:00 08/10/2012] id: IV #3 Site/Size el: 0 cu: MICU cg: RN v1: Right Hand v2: 18 gauge st: NotStopd t0: [04:00:00 08/10/2012] id: IV #4 Insert Date el: 0 cu: MICU cg: RN v1: 9 v2: 12 st: NotStopd t0: [04:00:00 08/10/2012] id: IV #4 Site/Size el: 0 cu: MICU cg: RN v1: RL Ant Forearm v2: 18 gauge st: NotStopd t0: [04:00:00 08/10/2012] id: IV Site Appear #1 el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [04:00:00 08/10/2012] id: IV Site Appear #2 el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [04:00:00 08/10/2012] id: IV Site Appear #3 el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [04:00:00 08/10/2012] id: IV Site Appear #4 el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [04:00:00 08/10/2012] id: LLL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [04:00:00 08/10/2012] id: LUL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [04:00:00 08/10/2012] id: Level of Conscious el: 0 cu: MICU cg: RN v1: Sedated st: NotStopd t0: [04:00:00 08/10/2012] id: Angio Appearance #1 el: 0 cu: MICU cg: RN v1: Clean and Dry st: NotStopd t0: [04:00:00 08/10/2012] id: Motor Response el: 0 cu: MICU cg: RN v1: 5 Localizes Pain st: NotStopd t0: [04:00:00 08/10/2012] id: Angio Dressing #1 el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [04:00:00 08/10/2012] id: Oral Cavity el: 0 cu: MICU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [04:00:00 08/10/2012] id: Orientation el: 0 cu: MICU cg: RN v1: Other/Remarks st: NotStopd t0: [04:00:00 08/10/2012] id: Angio Site #1 el: 0 cu: MICU cg: RN v1: L Femoral st: NotStopd t0: [04:00:00 08/10/2012] id: Arterial BP el: 0 cu: MICU cg: RN v1: 109 u1: mmHg v2: 49 u2: mmHg st: NotStopd t0: [04:00:00 08/10/2012] id: Pain Location el: 0 cu: MICU cg: RN v1: Not Indicated st: NotStopd t0: [04:00:00 08/10/2012] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 65 u1: mmHg st: NotStopd t0: [04:00:00 08/10/2012] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [04:00:00 08/10/2012] id: Previous WeightF el: 0 cu: MICU cg: RN v1: 84.5 u1: kg st: NotStopd t0: [04:00:00 08/10/2012] id: Pupil Size R/L el: 0 cu: MICU cg: RN v1: Pinpoint v2: Pinpoint st: NotStopd t0: [04:00:00 08/10/2012] id: RLL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [04:00:00 08/10/2012] id: RUL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [04:00:00 08/10/2012] id: Respiratory Pattern el: 0 cu: MICU cg: RN v1: Regular st: NotStopd t0: [04:00:00 08/10/2012] id: Skin Color el: 0 cu: MICU cg: RN v1: Jaundiced st: NotStopd t0: [04:00:00 08/10/2012] id: Skin Integrity el: 0 cu: MICU cg: RN v1: Intact st: NotStopd t0: [04:00:00 08/10/2012] id: SpO2 el: 0 cu: MICU cg: RN v1: 98 u1: % st: NotStopd t0: [04:00:00 08/10/2012] id: Spontaneous Movement el: 0 cu: MICU cg: RN v1: Nonpurposeful st: NotStopd t0: [04:00:00 08/10/2012] id: Stool Guaiac el: 0 cu: MICU cg: RN v1: Positive st: NotStopd t0: [04:00:00 08/10/2012] id: Temp. Site el: 0 cu: MICU cg: RN v1: Oral st: NotStopd t0: [04:00:00 08/10/2012] id: Temperature C (calc) el: 0 cu: MICU cg: RN v1: 37.1667 u1: Deg. C st: NotStopd t0: [04:00:00 08/10/2012] id: Temperature F el: 0 cu: MICU cg: RN v1: 98.9 u1: Deg. F st: NotStopd t0: [04:00:00 08/10/2012] id: Urine Color/Appear el: 0 cu: MICU cg: RN v1: Yellow v2: Clear st: NotStopd t0: [04:00:00 08/10/2012] id: Urine Source el: 0 cu: MICU cg: RN v1: Indwelling Cath st: NotStopd t0: [04:00:00 08/10/2012] id: Verbal Response el: 0 cu: MICU cg: RN v1: 1 No Response st: NotStopd t0: [04:00:00 08/10/2012] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [04:00:00 08/10/2012] id: Bowel Sounds el: 0 cu: MICU cg: RN v1: Hypoactive st: NotStopd t0: [04:00:00 08/10/2012] id: Braden Activity el: 0 cu: MICU cg: RN v1: Bedfast st: NotStopd t0: [04:00:00 08/10/2012] id: Braden Frict/Shear el: 0 cu: MICU cg: RN v1: Potential Prob st: NotStopd t0: [04:00:00 08/10/2012] id: Braden Mobility el: 0 cu: MICU cg: RN v1: Very Limited st: NotStopd t0: [04:00:00 08/10/2012] id: Braden Moisture el: 0 cu: MICU cg: RN v1: Occ. Moist st: NotStopd t0: [04:00:00 08/10/2012] id: Braden Nutrition el: 0 cu: MICU cg: RN v1: Prob. Inadequate st: NotStopd t0: [04:00:00 08/10/2012] id: Braden Score el: 0 cu: MICU cg: RN v1: 12 u1: number st: NotStopd t0: [04:00:00 08/10/2012] id: Braden SensoryPercep el: 0 cu: MICU cg: RN v1: Very Limited st: NotStopd
t0: [04:00:00 08/10/2012] id: D5W 250.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 105 vo: 0 vu: ml t0: [04:00:00 08/10/2012] id: D5W 100.0ml + 600mcghr Sandostatin IV Infusions el: 2 cu: MICU cg: RN ai: 107 vo: 8.33333 vu: ml t0: [04:00:00 08/10/2012] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU cg: RN ai: 416 vo: 10 vu: ml t0: [04:00:00 08/10/2012] id: .9% Normal Saline 50.0ml + 50mghr Midazolam IV Infusions el: 1 cu: MICU cg: RN ai: 189 vo: 3 vu: ml t0: [04:00:00 08/10/2012] id: Urine Out Void el: 1 cu: MICU cg: RN vo: 55 vu: ml
t0: [04:00:00 08/10/2012] id: Fentanyl el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 100 du: mcghr sv: 250 su: ml rt: IV Drip t0: [04:00:00 08/10/2012] id: Midazolam el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 3 du: mghr sv: 50 su: ml rt: IV Drip t0: [04:00:00 08/10/2012] id: Sandostatin el: 2 cu: MICU cg: RN so: D5W vo: 0 v1: 50 du: mcghr sv: 100 su: ml rt: IV Drip
t0: [03:30:00 08/10/2012] id: PT el: 0 cu: MICU cg: 1663 v1: 13.9 rs: Final st: NotStopd t0: [03:30:00 08/10/2012] id: Fibrinogen Coags el: 0 cu: MICU cg: 1663 v1: 241 rs: Final st: NotStopd t0: [03:30:00 08/10/2012] id: INR Coags el: 0 cu: MICU cg: 1663 v1: 1.3 rs: Final st: NotStopd t0: [03:30:00 08/10/2012] id: PTT Coags el: 0 cu: MICU cg: 1663 v1: 36.5 rs: Final st: NotStopd t0: [03:30:00 08/10/2012] id: Fibrinogen (150-400) Coags el: 0 cu: MICU cg: 1663 v1: 241 rs: Final st: NotStopd t0: [03:30:00 08/10/2012] id: INR (2-4 ref. range) Coags el: 0 cu: MICU cg: 1663 v1: 1.3 rs: Final st: NotStopd t0: [03:30:00 08/10/2012] id: PT(11-13.5) Coags el: 0 cu: MICU cg: 1663 v1: 13.9 rs: Final st: NotStopd t0: [03:30:00 08/10/2012] id: PTT(22-35) Coags el: 0 cu: MICU cg: 1663 v1: 36.5 rs: Final st: NotStopd
t0: [03:30:00 08/10/2012] id: BUN el: 0 cu: MICU cg: 1663 v1: 46 rs: Final st: NotStopd t0: [03:30:00 08/10/2012] id: Albumin Chemistry el: 0 cu: MICU cg: 1663 v1: 2.6 rs: Final st: NotStopd t0: [03:30:00 08/10/2012] id: Calcium Chemistry el: 0 cu: MICU cg: 1663 v1: 8.7 u1: mg/dl rs: Final st: NotStopd t0: [03:30:00 08/10/2012] id: Chloride Chemistry el: 0 cu: MICU cg: 1663 v1: 114 rs: Final st: NotStopd t0: [03:30:00 08/10/2012] id: Creatinine Chemistry el: 0 cu: MICU cg: 1663 v1: 2.4 rs: Final st: NotStopd t0: [03:30:00 08/10/2012] id: Glucose Chemistry el: 0 cu: MICU cg: 1663 v1: 86 rs: Final st: NotStopd t0: [03:30:00 08/10/2012] id: Magnesium Chemistry el: 0 cu: MICU cg: 1663 v1: 2 rs: Final st: NotStopd t0: [03:30:00 08/10/2012] id: Phosphorous Chemistry el: 0 cu: MICU cg: 1663 v1: 4.3 u1: mEq/L rs: Final st: NotStopd t0: [03:30:00 08/10/2012] id: Potassium Chemistry el: 0 cu: MICU cg: 1663 v1: 4.2 rs: Final st: NotStopd t0: [03:30:00 08/10/2012] id: Sodium Chemistry el: 0 cu: MICU cg: 1663 v1: 140 rs: Final st: NotStopd t0: [03:30:00 08/10/2012] id: ALT Enzymes el: 0 cu: MICU cg: 1663 v1: 22 rs: Final st: NotStopd t0: [03:30:00 08/10/2012] id: AST Enzymes el: 0 cu: MICU cg: 1663 v1: 43 rs: Final st: NotStopd t0: [03:30:00 08/10/2012] id: Albumin (>3.2) Chemistry el: 0 cu: MICU cg: 1663 v1: 2.6 rs: Final st: NotStopd t0: [03:30:00 08/10/2012] id: Alk. Phosphate Enzymes el: 0 cu: MICU cg: 1663 v1: 128 rs: Final st: NotStopd t0: [03:30:00 08/10/2012] id: BUN (6-20) Chemistry el: 0 cu: MICU cg: 1663 v1: 46 rs: Final st: NotStopd t0: [03:30:00 08/10/2012] id: Calcium (8.4-10.2) Chemistry el: 0 cu: MICU cg: 1663 v1: 8.7 u1: mg/dl rs: Final st: NotStopd t0: [03:30:00 08/10/2012] id: Carbon Dioxide Chemistry el: 0 cu: MICU cg: 1663 v1: 18 rs: Final st: NotStopd t0: [03:30:00 08/10/2012] id: Chloride (100-112) Chemistry el: 0 cu: MICU cg: 1663 v1: 114 rs: Final st: NotStopd t0: [03:30:00 08/10/2012] id: Creatinine (0-1.3) Chemistry el: 0 cu: MICU cg: 1663 v1: 2.4 rs: Final st: NotStopd t0: [03:30:00 08/10/2012] id: Glucose (70-105) Chemistry el: 0 cu: MICU cg: 1663 v1: 86 rs: Final st: NotStopd t0: [03:30:00 08/10/2012] id: Magnesium (1.6-2.6) Chemistry el: 0 cu: MICU cg: 1663 v1: 2 rs: Final st: NotStopd t0: [03:30:00 08/10/2012] id: Phosphorous(2.7-4.5) Chemistry el: 0 cu: MICU cg: 1663 v1: 4.3 u1: mEq/L rs: Final st: NotStopd t0: [03:30:00 08/10/2012] id: Potassium (3.5-5.3) Chemistry el: 0 cu: MICU cg: 1663 v1: 4.2 rs: Final st: NotStopd t0: [03:30:00 08/10/2012] id: Sodium (135-148) Chemistry el: 0 cu: MICU cg: 1663 v1: 140 rs: Final st: NotStopd
t0: [05:00:00 08/10/2012] id: HI/Minute/Vol/Alarm el: 0 cu: MICU cg: RRT v1: 16 t0: [05:00:00 08/10/2012] id: Compliance (40-60ml) el: 0 cu: MICU cg: RRT v1: 36.8421 u1: ml/cmH st: NotStopd t0: [05:00:00 08/10/2012] id: RSBI (<100) el: 0 cu: MICU cg: RRT v1: 27.907 u1: units st: NotStopd t0: [05:00:00 08/10/2012] id: ETT Mark/Location el: 0 cu: MICU cg: RRT v1: 23cm v2: Lip st: NotStopd t0: [05:00:00 08/10/2012] id: FiO2 Set el: 0 cu: MICU cg: RRT v1: 0.35 u1: torr st: NotStopd t0: [05:00:00 08/10/2012] id: High Insp. Pressure el: 0 cu: MICU cg: RRT v1: 50 u1: cmH2O st: NotStopd t0: [05:00:00 08/10/2012] id: High Resp. Rate el: 0 cu: MICU cg: RRT v1: 40 u1: BPM st: NotStopd t0: [05:00:00 08/10/2012] id: I:E Ratio el: 0 cu: MICU cg: RRT v1: 1:4 st: NotStopd t0: [05:00:00 08/10/2012] id: Airway Size el: 0 cu: MICU cg: RRT v1: 7.5 mm st: NotStopd t0: [05:00:00 08/10/2012] id: Airway Type el: 0 cu: MICU cg: RRT v1: Endotracheal st: NotStopd t0: [05:00:00 08/10/2012] id: Inspired Gas Temp el: 0 cu: MICU cg: RRT v1: 34.2 u1: Deg. C st: NotStopd t0: [05:00:00 08/10/2012] id: Intubation Date el: 0 cu: MICU cg: RRT v1: 9 v2: 13 st: NotStopd t0: [05:00:00 08/10/2012] id: Low Exhaled Min Vol el: 0 cu: MICU cg: RRT v1: 6 st: NotStopd t0: [05:00:00 08/10/2012] id: Mean Airway Pressure el: 0 cu: MICU cg: RRT v1: 9 u1: cmH2O st: NotStopd t0: [05:00:00 08/10/2012] id: Minute Volume(Obser) el: 0 cu: MICU cg: RRT v1: 8.53 u1: L/min st: NotStopd t0: [05:00:00 08/10/2012] id: PEEP Set el: 0 cu: MICU cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [05:00:00 08/10/2012] id: Apnea Time Interval el: 0 cu: MICU cg: RRT v1: 20 st: NotStopd t0: [05:00:00 08/10/2012] id: Peak Insp. Pressure el: 0 cu: MICU cg: RRT v1: 24 u1: cmH2O st: NotStopd t0: [05:00:00 08/10/2012] id: Plateau Pressure el: 0 cu: MICU cg: RRT v1: 18 u1: cmH2O st: NotStopd t0: [05:00:00 08/10/2012] id: Plateau-Off el: 0 cu: MICU cg: RRT v1: Yes st: NotStopd t0: [05:00:00 08/10/2012] id: Pressure Support el: 0 cu: MICU cg: RRT v1: 5 u1: . st: NotStopd t0: [05:00:00 08/10/2012] id: RSBI (<200) el: 0 cu: MICU cg: RRT v1: 27.907 u1: units st: NotStopd t0: [05:00:00 08/10/2012] id: Resp Rate (Spont) el: 0 cu: MICU cg: RRT v1: 0 u1: BPM st: NotStopd t0: [05:00:00 08/10/2012] id: Resp Rate (Total) el: 0 cu: MICU cg: RRT v1: 12 u1: BPM st: NotStopd t0: [05:00:00 08/10/2012] id: Respiratory Rate Set el: 0 cu: MICU cg: RRT v1: 12 u1: BPM st: NotStopd t0: [05:00:00 08/10/2012] id: Sensitivity-Vent el: 0 cu: MICU cg: RRT v1: 2 u1: cmH2O st: NotStopd t0: [05:00:00 08/10/2012] id: SpO2 el: 0 cu: MICU cg: RRT v1: 100 u1: % st: NotStopd t0: [05:00:00 08/10/2012] id: Spon RR (Mech.) el: 0 cu: MICU cg: RRT v1: 12 u1: BPM st: NotStopd t0: [05:00:00 08/10/2012] id: Spon. Vt (L) (Mech.) el: 0 cu: MICU cg: RRT v1: 0.43 u1: L st: NotStopd t0: [05:00:00 08/10/2012] id: Sputum Color/Consist el: 0 cu: MICU cg: RRT v1: Blood Tinged v2: Thick st: NotStopd t0: [05:00:00 08/10/2012] id: Sputum Source/Amt el: 0 cu: MICU cg: RRT v1: Suctioned v2: Moderate st: NotStopd t0: [05:00:00 08/10/2012] id: Tidal Volume (Obser) el: 0 cu: MICU cg: RRT v1: 713 u1: ml/B st: NotStopd t0: [05:00:00 08/10/2012] id: Tidal Volume (Set) el: 0 cu: MICU cg: RRT v1: 700 u1: ml/B st: NotStopd t0: [05:00:00 08/10/2012] id: Ventilator Mode el: 0 cu: MICU cg: RRT v1: SIMV+PS st: NotStopd t0: [05:00:00 08/10/2012] id: Ventilator Type el: 0 cu: MICU cg: RRT v1: Drager st: NotStopd t0: [05:00:00 08/10/2012] id: Waveform-Vent el: 0 cu: MICU cg: RRT v1: RAMP st: NotStopd
t0: [03:30:00 08/10/2012] id: Total Bili Chemistry el: 0 cu: MICU cg: 1663 v1: 27.5 rs: Final st: NotStopd t0: [03:30:00 08/10/2012] id: Total Bili (0-1.5) Chemistry el: 0 cu: MICU cg: 1663 v1: 27.5 rs: Final st: NotStopd
t0: [05:00:00 08/10/2012] id: Less Restrict Meas. el: 0 cu: MICU cg: RN v1: Medicated st: NotStopd t0: [05:00:00 08/10/2012] id: Range of Motion el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [05:00:00 08/10/2012] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [05:00:00 08/10/2012] id: Circulation/SkinInt el: 0 cu: MICU cg: RN v1: Circulation Adeq st: NotStopd t0: [05:00:00 08/10/2012] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [05:00:00 08/10/2012] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [05:00:00 08/10/2012] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [05:00:00 08/10/2012] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [05:00:00 08/10/2012] id: Heart Rate el: 0 cu: MICU cg: RN v1: 85 u1: BPM st: NotStopd t0: [05:00:00 08/10/2012] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [05:00:00 08/10/2012] id: Arterial BP el: 0 cu: MICU cg: RN v1: 108 u1: mmHg v2: 48 u2: mmHg st: NotStopd t0: [05:00:00 08/10/2012] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 65 u1: mmHg st: NotStopd t0: [05:00:00 08/10/2012] id: Position Change el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [05:00:00 08/10/2012] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [05:00:00 08/10/2012] id: Previous WeightF el: 0 cu: MICU cg: RN v1: 84.5 u1: kg st: NotStopd t0: [05:00:00 08/10/2012] id: Reason For Restraint el: 0 cu: MICU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [05:00:00 08/10/2012] id: Removed x 5 Mins el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [05:00:00 08/10/2012] id: Restraint Location el: 0 cu: MICU cg: RN v1: Both Arms st: NotStopd t0: [05:00:00 08/10/2012] id: Restraint Type el: 0 cu: MICU cg: RN v1: Soft Limb st: NotStopd t0: [05:00:00 08/10/2012] id: Restraints Evaluated el: 0 cu: MICU cg: RN v1: RestraintReapply st: NotStopd t0: [05:00:00 08/10/2012] id: Side Rails el: 0 cu: MICU cg: RN v1: Side Rails Up st: NotStopd t0: [05:00:00 08/10/2012] id: Support Systems el: 0 cu: MICU cg: RN v1: Spouse st: NotStopd t0: [05:00:00 08/10/2012] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [06:00:00 08/10/2012] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [06:00:00 08/10/2012] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [06:00:00 08/10/2012] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [06:00:00 08/10/2012] id: Glucose Chemistry el: 0 cu: MICU cg: RN v1: 81 rs: Manual st: NotStopd t0: [06:00:00 08/10/2012] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [06:00:00 08/10/2012] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [06:00:00 08/10/2012] id: Eye Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [06:00:00 08/10/2012] id: HOB el: 0 cu: MICU cg: RN v1: 30 degrees st: NotStopd t0: [06:00:00 08/10/2012] id: Heart Rate el: 0 cu: MICU cg: RN v1: 85 u1: BPM st: NotStopd t0: [06:00:00 08/10/2012] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [06:00:00 08/10/2012] id: Activity el: 0 cu: MICU cg: RN v1: Bedrest st: NotStopd t0: [06:00:00 08/10/2012] id: Activity Tolerance el: 0 cu: MICU cg: RN v1: Tolerated Well st: NotStopd t0: [06:00:00 08/10/2012] id: Oral Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [06:00:00 08/10/2012] id: AntiEmbDevice/Status el: 0 cu: MICU cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [06:00:00 08/10/2012] id: Arterial BP el: 0 cu: MICU cg: RN v1: 108 u1: mmHg v2: 48 u2: mmHg st: NotStopd t0: [06:00:00 08/10/2012] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 65 u1: mmHg st: NotStopd t0: [06:00:00 08/10/2012] id: Position el: 0 cu: MICU cg: RN v1: Left Side st: NotStopd t0: [06:00:00 08/10/2012] id: Assistance Device el: 0 cu: MICU cg: RN v1: 2 Person Assist st: NotStopd t0: [06:00:00 08/10/2012] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [06:00:00 08/10/2012] id: Previous WeightF el: 0 cu: MICU cg: RN v1: 84.5 u1: kg st: NotStopd t0: [06:00:00 08/10/2012] id: Skin Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [06:00:00 08/10/2012] id: SpO2 el: 0 cu: MICU cg: RN v1: 97 u1: % st: NotStopd t0: [06:00:00 08/10/2012] id: Turn el: 0 cu: MICU cg: RN v1: Side to Side st: NotStopd t0: [06:00:00 08/10/2012] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [06:00:00 08/10/2012] id: Glucose (70-105) Chemistry el: 0 cu: MICU cg: RN v1: 81 rs: Manual st: NotStopd
t0: [05:00:00 08/10/2012] id: D5W 250.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 105 vo: 0 vu: ml t0: [05:00:00 08/10/2012] id: D5W 100.0ml + 600mcghr Sandostatin IV Infusions el: 2 cu: MICU cg: RN ai: 107 vo: 8.33333 vu: ml t0: [05:00:00 08/10/2012] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU cg: RN ai: 416 vo: 10 vu: ml t0: [05:00:00 08/10/2012] id: .9% Normal Saline 50.0ml + 50mghr Midazolam IV Infusions el: 1 cu: MICU cg: RN ai: 189 vo: 3 vu: ml t0: [05:00:00 08/10/2012] id: Urine Out Void el: 1 cu: MICU cg: RN vo: 60 vu: ml t0: [06:00:00 08/10/2012] id: D5W 250.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 105 vo: 0 vu: ml t0: [06:00:00 08/10/2012] id: D5W 100.0ml + 600mcghr Sandostatin IV Infusions el: 2 cu: MICU cg: RN ai: 107 vo: 8.33333 vu: ml t0: [06:00:00 08/10/2012] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU cg: RN ai: 416 vo: 10 vu: ml t0: [06:00:00 08/10/2012] id: .9% Normal Saline 50.0ml + 50mghr Midazolam IV Infusions el: 1 cu: MICU cg: RN ai: 189 vo: 3 vu: ml t0: [06:00:00 08/10/2012] id: Urine Out Void el: 1 cu: MICU cg: RN vo: 38 vu: ml
t0: [05:00:00 08/10/2012] id: Fentanyl el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 100 du: mcghr sv: 250 su: ml rt: IV Drip t0: [05:00:00 08/10/2012] id: Midazolam el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 3 du: mghr sv: 50 su: ml rt: IV Drip t0: [05:00:00 08/10/2012] id: Sandostatin el: 2 cu: MICU cg: RN so: D5W vo: 0 v1: 50 du: mcghr sv: 100 su: ml rt: IV Drip t0: [06:00:00 08/10/2012] id: Fentanyl el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 100 du: mcghr sv: 250 su: ml rt: IV Drip t0: [06:00:00 08/10/2012] id: Midazolam el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 3 du: mghr sv: 50 su: ml rt: IV Drip t0: [06:00:00 08/10/2012] id: Sandostatin el: 2 cu: MICU cg: RN so: D5W vo: 0 v1: 50 du: mcghr sv: 100 su: ml rt: IV Drip
t0: [07:00:00 08/10/2012] id: Radiologic Study el: 0 cu: MICU cg: RN v1: Chest Xray st: NotStopd t0: [07:30:00 08/10/2012] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [07:30:00 08/10/2012] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [07:30:00 08/10/2012] id: Riker-SAS Scale el: 0 cu: MICU cg: RN v1: Sedated st: NotStopd t0: [07:30:00 08/10/2012] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [07:30:00 08/10/2012] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [07:30:00 08/10/2012] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [07:30:00 08/10/2012] id: Heart Rate el: 0 cu: MICU cg: RN v1: 88 u1: BPM st: NotStopd t0: [07:30:00 08/10/2012] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [07:30:00 08/10/2012] id: Arterial BP el: 0 cu: MICU cg: RN v1: 133 u1: mmHg v2: 61 u2: mmHg st: NotStopd t0: [07:30:00 08/10/2012] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 81 u1: mmHg st: NotStopd t0: [07:30:00 08/10/2012] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [07:30:00 08/10/2012] id: Previous WeightF el: 0 cu: MICU cg: RN v1: 84.5 u1: kg st: NotStopd t0: [07:30:00 08/10/2012] id: SpO2 el: 0 cu: MICU cg: RN v1: 97 u1: % st: NotStopd t0: [07:30:00 08/10/2012] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [07:30:00 08/10/2012] id: Fentanyl el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 100 du: mcghr sv: 250 su: ml rt: IV Drip t0: [07:30:00 08/10/2012] id: Midazolam el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 3 du: mghr sv: 50 su: ml rt: IV Drip t0: [07:30:00 08/10/2012] id: Sandostatin el: 2 cu: MICU cg: RN so: D5W vo: 0 v1: 50 du: mcghr sv: 100 su: ml rt: IV Drip
t0: [07:30:00 08/10/2012] id: HI/Minute/Vol/Alarm el: 0 cu: MICU cg: RRT v1: 16 t0: [07:30:00 08/10/2012] id: Compliance (40-60ml) el: 0 cu: MICU cg: RRT v1: 41.1765 u1: ml/cmH st: NotStopd t0: [07:30:00 08/10/2012] id: ETT Mark/Location el: 0 cu: MICU cg: RRT v1: 23cm v2: Lip st: NotStopd t0: [07:30:00 08/10/2012] id: FiO2 Set el: 0 cu: MICU cg: RRT v1: 0.35 u1: torr st: NotStopd t0: [07:30:00 08/10/2012] id: High Insp. Pressure el: 0 cu: MICU cg: RRT v1: 45 u1: cmH2O st: NotStopd t0: [07:30:00 08/10/2012] id: High Resp. Rate el: 0 cu: MICU cg: RRT v1: 40 u1: BPM st: NotStopd t0: [07:30:00 08/10/2012] id: I:E Ratio el: 0 cu: MICU cg: RRT v1: 1:4.0 st: NotStopd t0: [07:30:00 08/10/2012] id: Airway Size el: 0 cu: MICU cg: RRT v1: 7.5 mm st: NotStopd t0: [07:30:00 08/10/2012] id: Airway Type el: 0 cu: MICU cg: RRT v1: Endotracheal st: NotStopd t0: [07:30:00 08/10/2012] id: Inspired Gas Temp el: 0 cu: MICU cg: RRT v1: 34 u1: Deg. C st: NotStopd t0: [07:30:00 08/10/2012] id: Intubation Date el: 0 cu: MICU cg: RRT v1: 9 v2: 13 st: NotStopd t0: [07:30:00 08/10/2012] id: Low Exhaled Min Vol el: 0 cu: MICU cg: RRT v1: 6 st: NotStopd t0: [07:30:00 08/10/2012] id: Mean Airway Pressure el: 0 cu: MICU cg: RRT v1: 6 u1: cmH2O st: NotStopd t0: [07:30:00 08/10/2012] id: Minute Volume(Obser) el: 0 cu: MICU cg: RRT v1: 8.2 u1: L/min st: NotStopd t0: [07:30:00 08/10/2012] id: PEEP Set el: 0 cu: MICU cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [07:30:00 08/10/2012] id: Apnea Time Interval el: 0 cu: MICU cg: RRT v1: 20 st: NotStopd t0: [07:30:00 08/10/2012] id: Peak Insp. Pressure el: 0 cu: MICU cg: RRT v1: 22 u1: cmH2O st: NotStopd t0: [07:30:00 08/10/2012] id: Plateau Pressure el: 0 cu: MICU cg: RRT v1: 18 u1: cmH2O st: NotStopd t0: [07:30:00 08/10/2012] id: Plateau-Off el: 0 cu: MICU cg: RRT v1: Yes st: NotStopd t0: [07:30:00 08/10/2012] id: Pressure Support el: 0 cu: MICU cg: RRT v1: 5 u1: . st: NotStopd t0: [07:30:00 08/10/2012] id: Resp Rate (Spont) el: 0 cu: MICU cg: RRT v1: 0 u1: BPM st: NotStopd t0: [07:30:00 08/10/2012] id: Resp Rate (Total) el: 0 cu: MICU cg: RRT v1: 12 u1: BPM st: NotStopd t0: [07:30:00 08/10/2012] id: Respiratory Rate Set el: 0 cu: MICU cg: RRT v1: 12 u1: BPM st: NotStopd t0: [07:30:00 08/10/2012] id: Sensitivity-Vent el: 0 cu: MICU cg: RRT v1: 2 u1: cmH2O st: NotStopd t0: [07:30:00 08/10/2012] id: Tidal Volume (Obser) el: 0 cu: MICU cg: RRT v1: 700 u1: ml/B st: NotStopd t0: [07:30:00 08/10/2012] id: Tidal Volume (Set) el: 0 cu: MICU cg: RRT v1: 700 u1: ml/B st: NotStopd t0: [07:30:00 08/10/2012] id: Ventilator Mode el: 0 cu: MICU cg: RRT v1: SIMV+PS st: NotStopd t0: [07:30:00 08/10/2012] id: Ventilator Type el: 0 cu: MICU cg: RRT v1: Drager st: NotStopd t0: [07:30:00 08/10/2012] id: Waveform-Vent el: 0 cu: MICU cg: RRT v1: RAMP st: NotStopd
t0: [07:00:00 08/10/2012] id: Less Restrict Meas. el: 0 cu: MICU cg: RN v1: Medicated st: NotStopd t0: [07:00:00 08/10/2012] id: Range of Motion el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [07:00:00 08/10/2012] id: Circulation/SkinInt el: 0 cu: MICU cg: RN v1: Circulation Adeq st: NotStopd t0: [07:00:00 08/10/2012] id: Position Change el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [07:00:00 08/10/2012] id: Reason For Restraint el: 0 cu: MICU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [07:00:00 08/10/2012] id: Removed x 5 Mins el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [07:00:00 08/10/2012] id: Restraint Location el: 0 cu: MICU cg: RN v1: Both Arms st: NotStopd t0: [07:00:00 08/10/2012] id: Restraint Type el: 0 cu: MICU cg: RN v1: Soft Limb st: NotStopd t0: [07:00:00 08/10/2012] id: Restraints Evaluated el: 0 cu: MICU cg: RN v1: RestraintReapply st: NotStopd t0: [07:00:00 08/10/2012] id: Side Rails el: 0 cu: MICU cg: RN v1: Side Rails Up st: NotStopd t0: [08:00:00 08/10/2012] id: Less Restrict Meas. el: 0 cu: MICU cg: RN v1: Medicated st: NotStopd t0: [08:00:00 08/10/2012] id: Pain Present el: 0 cu: MICU cg: RN v1: No st: NotStopd t0: [08:00:00 08/10/2012] id: Range of Motion el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [08:00:00 08/10/2012] id: Pain Assess Method el: 0 cu: MICU cg: RN v1: Non-verbal cues st: NotStopd t0: [08:00:00 08/10/2012] id: PainLevel Acceptable el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [08:00:00 08/10/2012] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [08:00:00 08/10/2012] id: Circulation/SkinInt el: 0 cu: MICU cg: RN v1: Circulation Adeq st: NotStopd t0: [08:00:00 08/10/2012] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [08:00:00 08/10/2012] id: Cough Effort el: 0 cu: MICU cg: RN v1: Weak st: NotStopd t0: [08:00:00 08/10/2012] id: Cough Reflex el: 0 cu: MICU cg: RN v1: Intact st: NotStopd t0: [08:00:00 08/10/2012] id: Cough Type el: 0 cu: MICU cg: RN v1: Productive st: NotStopd t0: [08:00:00 08/10/2012] id: GI Prophylaxis el: 0 cu: MICU cg: RN v1: Proton/Pump/Inhi v2: Proton/Pump/Inhi st: NotStopd t0: [08:00:00 08/10/2012] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [08:00:00 08/10/2012] id: Diet Type el: 0 cu: MICU cg: RN v1: NPO st: NotStopd t0: [08:00:00 08/10/2012] id: Dorsal PedPulse R/L el: 0 cu: MICU cg: RN v1: Weak Palpable v2: Weak Palpable st: NotStopd t0: [08:00:00 08/10/2012] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [08:00:00 08/10/2012] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [08:00:00 08/10/2012] id: Eye Opening el: 0 cu: MICU cg: RN v1: 3 To speech st: NotStopd t0: [08:00:00 08/10/2012] id: Family Communication el: 0 cu: MICU cg: RN v1: Family Called st: NotStopd t0: [08:00:00 08/10/2012] id: Follows Commands el: 0 cu: MICU cg: RN v1: Consistently st: NotStopd t0: [08:00:00 08/10/2012] id: GCS Total el: 0 cu: MICU cg: RN v1: 10 u1: points st: NotStopd t0: [08:00:00 08/10/2012] id: Gag Reflex el: 0 cu: MICU cg: RN v1: Intact st: NotStopd t0: [08:00:00 08/10/2012] id: HOB el: 0 cu: MICU cg: RN v1: 45 degrees st: NotStopd t0: [08:00:00 08/10/2012] id: Heart Rate el: 0 cu: MICU cg: RN v1: 85 u1: BPM st: NotStopd t0: [08:00:00 08/10/2012] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [08:00:00 08/10/2012] id: INV Line#1 Type/Site el: 0 cu: MICU cg: RN v1: A-Line v2: Left Radial st: NotStopd t0: [08:00:00 08/10/2012] id: INV Line#1 Zero/Cal el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [08:00:00 08/10/2012] id: INV Line#1InsertDate el: 0 cu: MICU cg: RN v1: 9 v2: 13 st: NotStopd t0: [08:00:00 08/10/2012] id: INV Line#1SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [08:00:00 08/10/2012] id: INV Line#3InsertDate el: 0 cu: MICU cg: RN v1: 9 v2: 14 st: NotStopd t0: [08:00:00 08/10/2012] id: INV Line#3SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [08:00:00 08/10/2012] id: Abdominal Assessment el: 0 cu: MICU cg: RN v1: Ascites st: NotStopd t0: [08:00:00 08/10/2012] id: INV#1 WaveformAppear el: 0 cu: MICU cg: RN v1: Sharp st: NotStopd t0: [08:00:00 08/10/2012] id: IV #1 Insert Date el: 0 cu: MICU cg: RN v1: 9 v2: 13 st: NotStopd t0: [08:00:00 08/10/2012] id: IV #1 Site/Size el: 0 cu: MICU cg: RN v1: LL Ant Forearm v2: 20 gauge st: NotStopd t0: [08:00:00 08/10/2012] id: IV #2 Insert Date el: 0 cu: MICU cg: RN v1: 9 v2: 13 st: NotStopd t0: [08:00:00 08/10/2012] id: IV #2 Site/Size el: 0 cu: MICU cg: RN v1: LL Ant Forearm v2: 20 gauge st: NotStopd t0: [08:00:00 08/10/2012] id: IV #3 Insert Date el: 0 cu: MICU cg: RN v1: 9 v2: 12 st: NotStopd t0: [08:00:00 08/10/2012] id: IV #3 Site/Size el: 0 cu: MICU cg: RN v1: Right Hand v2: 18 gauge st: NotStopd t0: [08:00:00 08/10/2012] id: IV #4 Insert Date el: 0 cu: MICU cg: RN v1: 9 v2: 12 st: NotStopd t0: [08:00:00 08/10/2012] id: IV #4 Site/Size el: 0 cu: MICU cg: RN v1: RL Ant Forearm v2: 18 gauge st: NotStopd t0: [08:00:00 08/10/2012] id: Activity el: 0 cu: MICU cg: RN v1: Bedrest st: NotStopd t0: [08:00:00 08/10/2012] id: IV Site Appear #1 el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [08:00:00 08/10/2012] id: IV Site Appear #2 el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [08:00:00 08/10/2012] id: IV Site Appear #3 el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [08:00:00 08/10/2012] id: IV Site Appear #4 el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [08:00:00 08/10/2012] id: LLL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [08:00:00 08/10/2012] id: LUL Lung Sounds el: 0 cu: MICU cg: RN v1: Clear st: NotStopd t0: [08:00:00 08/10/2012] id: Level of Conscious el: 0 cu: MICU cg: RN v1: Arouse to Voice st: NotStopd t0: [08:00:00 08/10/2012] id: Angio Appearance #1 el: 0 cu: MICU cg: RN v1: Clean and Dry v2: Clean and Dry st: NotStopd t0: [08:00:00 08/10/2012] id: Motor Response el: 0 cu: MICU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [08:00:00 08/10/2012] id: Angio Dressing #1 el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [08:00:00 08/10/2012] id: Oral Cavity el: 0 cu: MICU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [08:00:00 08/10/2012] id: Orientation el: 0 cu: MICU cg: RN v1: Other/Remarks st: NotStopd t0: [08:00:00 08/10/2012] id: AntiEmbDevice/Status el: 0 cu: MICU cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [08:00:00 08/10/2012] id: Arterial BP el: 0 cu: MICU cg: RN v1: 130 u1: mmHg v2: 59 u2: mmHg st: NotStopd t0: [08:00:00 08/10/2012] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 79 u1: mmHg st: NotStopd t0: [08:00:00 08/10/2012] id: Position el: 0 cu: MICU cg: RN v1: Supine st: NotStopd t0: [08:00:00 08/10/2012] id: Position Change el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [08:00:00 08/10/2012] id: PostTib. Pulses R/L el: 0 cu: MICU cg: RN v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [08:00:00 08/10/2012] id: Assistance Device el: 0 cu: MICU cg: RN v1: 2 Person Assist st: NotStopd t0: [08:00:00 08/10/2012] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [08:00:00 08/10/2012] id: Pupil Response R/L el: 0 cu: MICU cg: RN v1: Brisk v2: Brisk st: NotStopd t0: [08:00:00 08/10/2012] id: Pupil Size R/L el: 0 cu: MICU cg: RN v1: 2 mm v2: 2 mm st: NotStopd t0: [08:00:00 08/10/2012] id: RLL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [08:00:00 08/10/2012] id: RUL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [08:00:00 08/10/2012] id: Reason For Restraint el: 0 cu: MICU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [08:00:00 08/10/2012] id: Removed x 5 Mins el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [08:00:00 08/10/2012] id: Respiratory Pattern el: 0 cu: MICU cg: RN v1: Regular st: NotStopd t0: [08:00:00 08/10/2012] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 12 u1: BPM st: NotStopd t0: [08:00:00 08/10/2012] id: Restraint Location el: 0 cu: MICU cg: RN v1: Both Arms st: NotStopd t0: [08:00:00 08/10/2012] id: Restraint Type el: 0 cu: MICU cg: RN v1: Soft Limb st: NotStopd t0: [08:00:00 08/10/2012] id: Restraints Evaluated el: 0 cu: MICU cg: RN v1: RestraintReapply st: NotStopd t0: [08:00:00 08/10/2012] id: Side Rails el: 0 cu: MICU cg: RN v1: Side Rails Up st: NotStopd t0: [08:00:00 08/10/2012] id: Skin Color el: 0 cu: MICU cg: RN v1: Jaundiced st: NotStopd t0: [08:00:00 08/10/2012] id: Skin Integrity el: 0 cu: MICU cg: RN v1: Intact st: NotStopd t0: [08:00:00 08/10/2012] id: Skin Temp/Condition el: 0 cu: MICU cg: RN v1: Warm v2: Dry st: NotStopd t0: [08:00:00 08/10/2012] id: SpO2 el: 0 cu: MICU cg: RN v1: 98 u1: % st: NotStopd t0: [08:00:00 08/10/2012] id: Spontaneous Movement el: 0 cu: MICU cg: RN v1: Nonpurposeful st: NotStopd t0: [08:00:00 08/10/2012] id: Sputum Color/Consist el: 0 cu: MICU cg: RN v1: Tan v2: Thick st: NotStopd t0: [08:00:00 08/10/2012] id: Sputum Source/Amt el: 0 cu: MICU cg: RN v1: Suctioned v2: Small st: NotStopd t0: [08:00:00 08/10/2012] id: Stool Guaiac el: 0 cu: MICU cg: RN v1: Positive st: NotStopd t0: [08:00:00 08/10/2012] id: Support Systems el: 0 cu: MICU cg: RN v1: Spouse st: NotStopd t0: [08:00:00 08/10/2012] id: Temp. Site el: 0 cu: MICU cg: RN v1: Oral st: NotStopd t0: [08:00:00 08/10/2012] id: Temperature C (calc) el: 0 cu: MICU cg: RN v1: 37.1667 u1: Deg. C st: NotStopd t0: [08:00:00 08/10/2012] id: Temperature F el: 0 cu: MICU cg: RN v1: 98.9 u1: Deg. F st: NotStopd t0: [08:00:00 08/10/2012] id: Turn el: 0 cu: MICU cg: RN v1: Back st: NotStopd t0: [08:00:00 08/10/2012] id: Urine Color/Appear el: 0 cu: MICU cg: RN v1: Icteric v2: Clear st: NotStopd t0: [08:00:00 08/10/2012] id: Urine Source el: 0 cu: MICU cg: RN v1: Indwelling Cath st: NotStopd t0: [08:00:00 08/10/2012] id: Verbal Response el: 0 cu: MICU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [08:00:00 08/10/2012] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [08:00:00 08/10/2012] id: Bowel Sounds el: 0 cu: MICU cg: RN v1: Hypoactive st: NotStopd t0: [08:00:00 08/10/2012] id: Braden Activity el: 0 cu: MICU cg: RN v1: Bedfast st: NotStopd t0: [08:00:00 08/10/2012] id: Braden Frict/Shear el: 0 cu: MICU cg: RN v1: Potential Prob st: NotStopd t0: [08:00:00 08/10/2012] id: Braden Mobility el: 0 cu: MICU cg: RN v1: Very Limited st: NotStopd t0: [08:00:00 08/10/2012] id: Braden Moisture el: 0 cu: MICU cg: RN v1: Occ. Moist st: NotStopd t0: [08:00:00 08/10/2012] id: Braden Nutrition el: 0 cu: MICU cg: RN v1: Prob. Inadequate st: NotStopd t0: [08:00:00 08/10/2012] id: Braden Score el: 0 cu: MICU cg: RN v1: 12 u1: number st: NotStopd t0: [08:00:00 08/10/2012] id: Braden SensoryPercep el: 0 cu: MICU cg: RN v1: Very Limited st: NotStopd
t0: [08:00:00 08/10/2012] id: D5W 250.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 105 vo: 0 vu: ml t0: [08:00:00 08/10/2012] id: D5W 100.0ml + 600mcghr Sandostatin IV Infusions el: 2 cu: MICU cg: RN ai: 107 vo: 16.6667 vu: ml t0: [08:00:00 08/10/2012] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU cg: RN ai: 416 vo: 20 vu: ml t0: [08:00:00 08/10/2012] id: .9% Normal Saline 50.0ml + 50mghr Midazolam IV Infusions el: 1 cu: MICU cg: RN ai: 189 vo: 6 vu: ml t0: [08:00:00 08/10/2012] id: Urine Out Void el: 1 cu: MICU cg: RN vo: 32 vu: ml
t0: [08:00:00 08/10/2012] id: Fentanyl el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 100 du: mcghr sv: 250 su: ml rt: IV Drip t0: [08:00:00 08/10/2012] id: Midazolam el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 3 du: mghr sv: 50 su: ml rt: IV Drip t0: [08:00:00 08/10/2012] id: Sandostatin el: 2 cu: MICU cg: RN so: D5W vo: 0 v1: 50 du: mcghr sv: 100 su: ml rt: IV Drip
t0: [08:00:00 08/10/2012] id: INV Line#3 Type/Site el: 0 cu: MICU cg: RN v1: Multi-lumen v2: Right IJ st: NotStopd
t0: [09:00:00 08/10/2012] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [09:00:00 08/10/2012] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [09:00:00 08/10/2012] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [09:00:00 08/10/2012] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [09:00:00 08/10/2012] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [09:00:00 08/10/2012] id: Heart Rate el: 0 cu: MICU cg: RN v1: 88 u1: BPM st: NotStopd t0: [09:00:00 08/10/2012] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [09:00:00 08/10/2012] id: Arterial BP el: 0 cu: MICU cg: RN v1: 106 u1: mmHg v2: 46 u2: mmHg st: NotStopd t0: [09:00:00 08/10/2012] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 63 u1: mmHg st: NotStopd t0: [09:00:00 08/10/2012] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [09:00:00 08/10/2012] id: Side Rails el: 0 cu: MICU cg: RN v1: Side Rails Up st: NotStopd t0: [09:00:00 08/10/2012] id: SpO2 el: 0 cu: MICU cg: RN v1: 97 u1: % st: NotStopd t0: [09:00:00 08/10/2012] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [09:00:00 08/10/2012] id: D5W 250.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 105 vo: 0 vu: ml t0: [09:00:00 08/10/2012] id: D5W 100.0ml + 600mcghr Sandostatin IV Infusions el: 2 cu: MICU cg: RN ai: 107 vo: 8.33333 vu: ml t0: [09:00:00 08/10/2012] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU cg: RN ai: 416 vo: 10 vu: ml t0: [09:00:00 08/10/2012] id: .9% Normal Saline 50.0ml + 50mghr Midazolam IV Infusions el: 1 cu: MICU cg: RN ai: 189 vo: 3 vu: ml t0: [09:00:00 08/10/2012] id: Urine Out Void el: 1 cu: MICU cg: RN vo: 60 vu: ml
t0: [09:00:00 08/10/2012] id: Fentanyl el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 100 du: mcghr sv: 250 su: ml rt: IV Drip t0: [09:00:00 08/10/2012] id: Midazolam el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 3 du: mghr sv: 50 su: ml rt: IV Drip t0: [09:00:00 08/10/2012] id: Sandostatin el: 2 cu: MICU cg: RN so: D5W vo: 0 v1: 50 du: mcghr sv: 100 su: ml rt: IV Drip
t0: [09:15:00 08/10/2012] id: Ventilator Mode el: 0 cu: MICU cg: RRT v1: CMV st: NotStopd
t0: [10:00:00 08/10/2012] id: Less Restrict Meas. el: 0 cu: MICU cg: RN v1: Medicated st: NotStopd t0: [10:00:00 08/10/2012] id: Range of Motion el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [10:00:00 08/10/2012] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [10:00:00 08/10/2012] id: Circulation/SkinInt el: 0 cu: MICU cg: RN v1: Circulation Adeq st: NotStopd t0: [10:00:00 08/10/2012] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [10:00:00 08/10/2012] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [10:00:00 08/10/2012] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [10:00:00 08/10/2012] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [10:00:00 08/10/2012] id: HOB el: 0 cu: MICU cg: RN v1: 45 degrees st: NotStopd t0: [10:00:00 08/10/2012] id: Heart Rate el: 0 cu: MICU cg: RN v1: 84 u1: BPM st: NotStopd t0: [10:00:00 08/10/2012] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [10:00:00 08/10/2012] id: Activity el: 0 cu: MICU cg: RN v1: Bedrest st: NotStopd t0: [10:00:00 08/10/2012] id: Activity Tolerance el: 0 cu: MICU cg: RN v1: Tolerated Well st: NotStopd t0: [10:00:00 08/10/2012] id: AntiEmbDevice/Status el: 0 cu: MICU cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [10:00:00 08/10/2012] id: Arterial BP el: 0 cu: MICU cg: RN v1: 103 u1: mmHg v2: 45 u2: mmHg st: NotStopd t0: [10:00:00 08/10/2012] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 61 u1: mmHg st: NotStopd t0: [10:00:00 08/10/2012] id: Position el: 0 cu: MICU cg: RN v1: Right Side st: NotStopd t0: [10:00:00 08/10/2012] id: Position Change el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [10:00:00 08/10/2012] id: Assistance Device el: 0 cu: MICU cg: RN v1: 2 Person Assist st: NotStopd t0: [10:00:00 08/10/2012] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [10:00:00 08/10/2012] id: Reason For Restraint el: 0 cu: MICU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [10:00:00 08/10/2012] id: Removed x 5 Mins el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [10:00:00 08/10/2012] id: Restraint Location el: 0 cu: MICU cg: RN v1: Both Arms st: NotStopd t0: [10:00:00 08/10/2012] id: Restraint Type el: 0 cu: MICU cg: RN v1: Soft Limb st: NotStopd t0: [10:00:00 08/10/2012] id: Restraints Evaluated el: 0 cu: MICU cg: RN v1: RestraintReapply st: NotStopd t0: [10:00:00 08/10/2012] id: Side Rails el: 0 cu: MICU cg: RN v1: Side Rails Up st: NotStopd t0: [10:00:00 08/10/2012] id: SpO2 el: 0 cu: MICU cg: RN v1: 98 u1: % st: NotStopd t0: [10:00:00 08/10/2012] id: Turn el: 0 cu: MICU cg: RN v1: Right Side st: NotStopd t0: [10:00:00 08/10/2012] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [10:00:00 08/10/2012] id: Fingerstick Glucose Chemistry el: 0 cu: MICU cg: RN v1: 67 rs: Manual st: NotStopd
t0: [10:00:00 08/10/2012] id: D5W 250.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 105 vo: 0 vu: ml t0: [10:00:00 08/10/2012] id: D5W 100.0ml + 600mcghr Sandostatin IV Infusions el: 2 cu: MICU cg: RN ai: 107 vo: 8.33333 vu: ml t0: [10:00:00 08/10/2012] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU cg: RN ai: 416 vo: 10 vu: ml t0: [10:00:00 08/10/2012] id: .9% Normal Saline 50.0ml + 50mghr Midazolam IV Infusions el: 1 cu: MICU cg: RN ai: 189 vo: 3 vu: ml t0: [10:00:00 08/10/2012] id: Urine Out Void el: 1 cu: MICU cg: RN vo: 33 vu: ml
t0: [10:00:00 08/10/2012] id: Fentanyl el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 100 du: mcghr sv: 250 su: ml rt: IV Drip t0: [10:00:00 08/10/2012] id: Midazolam el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 3 du: mghr sv: 50 su: ml rt: IV Drip t0: [10:00:00 08/10/2012] id: Sandostatin el: 2 cu: MICU cg: RN so: D5W vo: 0 v1: 50 du: mcghr sv: 100 su: ml rt: IV Drip
t0: [09:30:00 08/10/2012] id: Hematocrit Hematology el: 0 cu: MICU cg: 1663 v1: 35.1 u1: % rs: Final st: NotStopd
tf: [10:00:00 09/10/2012] pt: Unit Dose rt: IV fr: ONCE fs: 11 dn: 1 m1: Dextrose 50% v1: 12.5 u1: gm
t0: [11:00:00 08/10/2012] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [11:00:00 08/10/2012] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [11:00:00 08/10/2012] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [11:00:00 08/10/2012] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [11:00:00 08/10/2012] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [11:00:00 08/10/2012] id: Heart Rate el: 0 cu: MICU cg: RN v1: 92 u1: BPM st: NotStopd t0: [11:00:00 08/10/2012] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [11:00:00 08/10/2012] id: Arterial BP el: 0 cu: MICU cg: RN v1: 124 u1: mmHg v2: 56 u2: mmHg st: NotStopd t0: [11:00:00 08/10/2012] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 75 u1: mmHg st: NotStopd t0: [11:00:00 08/10/2012] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [11:00:00 08/10/2012] id: Procedures el: 0 cu: MICU cg: RN v1: Ultrasound st: NotStopd t0: [11:00:00 08/10/2012] id: Side Rails el: 0 cu: MICU cg: RN v1: Side Rails Up st: NotStopd t0: [11:00:00 08/10/2012] id: SpO2 el: 0 cu: MICU cg: RN v1: 97 u1: % st: NotStopd t0: [11:00:00 08/10/2012] id: Sputum Color/Consist el: 0 cu: MICU cg: RN v1: Tan v2: Thick st: NotStopd t0: [11:00:00 08/10/2012] id: Sputum Source/Amt el: 0 cu: MICU cg: RN v1: Suctioned v2: Small st: NotStopd t0: [11:00:00 08/10/2012] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [11:00:00 08/10/2012] id: D5W 250.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 105 vo: 0 vu: ml t0: [11:00:00 08/10/2012] id: D5W 100.0ml + 600mcghr Sandostatin IV Infusions el: 2 cu: MICU cg: RN ai: 107 vo: 8.33333 vu: ml t0: [11:00:00 08/10/2012] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU cg: RN ai: 416 vo: 10 vu: ml t0: [11:00:00 08/10/2012] id: .9% Normal Saline 50.0ml + 50mghr Midazolam IV Infusions el: 1 cu: MICU cg: RN ai: 189 vo: 3 vu: ml t0: [11:00:00 08/10/2012] id: Urine Out Void el: 1 cu: MICU cg: RN vo: 45 vu: ml
t0: [11:00:00 08/10/2012] id: Fentanyl el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 100 du: mcghr sv: 250 su: ml rt: IV Drip t0: [11:00:00 08/10/2012] id: Midazolam el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 3 du: mghr sv: 50 su: ml rt: IV Drip t0: [11:00:00 08/10/2012] id: Sandostatin el: 2 cu: MICU cg: RN so: D5W vo: 0 v1: 50 du: mcghr sv: 100 su: ml rt: IV Drip
t0: [11:30:00 08/10/2012] id: HI/Minute/Vol/Alarm el: 0 cu: MICU cg: RRT v1: 16 t0: [11:30:00 08/10/2012] id: Compliance (40-60ml) el: 0 cu: MICU cg: RRT v1: 30.4348 u1: ml/cmH st: NotStopd t0: [11:30:00 08/10/2012] id: ETT Mark/Location el: 0 cu: MICU cg: RRT v1: 23cm v2: Lip st: NotStopd t0: [11:30:00 08/10/2012] id: FiO2 Set el: 0 cu: MICU cg: RRT v1: 0.35 u1: torr st: NotStopd t0: [11:30:00 08/10/2012] id: High Insp. Pressure el: 0 cu: MICU cg: RRT v1: 45 u1: cmH2O st: NotStopd t0: [11:30:00 08/10/2012] id: High Resp. Rate el: 0 cu: MICU cg: RRT v1: 40 u1: BPM st: NotStopd t0: [11:30:00 08/10/2012] id: I:E Ratio el: 0 cu: MICU cg: RRT v1: 1:4.0 st: NotStopd t0: [11:30:00 08/10/2012] id: Airway Size el: 0 cu: MICU cg: RRT v1: 7.5 mm st: NotStopd t0: [11:30:00 08/10/2012] id: Airway Type el: 0 cu: MICU cg: RRT v1: Endotracheal st: NotStopd t0: [11:30:00 08/10/2012] id: Inspired Gas Temp el: 0 cu: MICU cg: RRT v1: 34.2 u1: Deg. C st: NotStopd t0: [11:30:00 08/10/2012] id: Intubation Date el: 0 cu: MICU cg: RRT v1: 9 v2: 13 st: NotStopd t0: [11:30:00 08/10/2012] id: Low Exhaled Min Vol el: 0 cu: MICU cg: RRT v1: 6 st: NotStopd t0: [11:30:00 08/10/2012] id: Mean Airway Pressure el: 0 cu: MICU cg: RRT v1: 6 u1: cmH2O st: NotStopd t0: [11:30:00 08/10/2012] id: Minute Volume(Obser) el: 0 cu: MICU cg: RRT v1: 8.2 u1: L/min st: NotStopd t0: [11:30:00 08/10/2012] id: PEEP Set el: 0 cu: MICU cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [11:30:00 08/10/2012] id: Apnea Time Interval el: 0 cu: MICU cg: RRT v1: 20 st: NotStopd t0: [11:30:00 08/10/2012] id: Peak Insp. Pressure el: 0 cu: MICU cg: RRT v1: 28 u1: cmH2O st: NotStopd t0: [11:30:00 08/10/2012] id: Plateau Pressure el: 0 cu: MICU cg: RRT v1: 19 u1: cmH2O st: NotStopd t0: [11:30:00 08/10/2012] id: Plateau-Off el: 0 cu: MICU cg: RRT v1: Yes st: NotStopd t0: [11:30:00 08/10/2012] id: Pressure Support el: 0 cu: MICU cg: RRT v1: 0 u1: . st: NotStopd t0: [11:30:00 08/10/2012] id: Resp Rate (Spont) el: 0 cu: MICU cg: RRT v1: 0 u1: BPM st: NotStopd t0: [11:30:00 08/10/2012] id: Resp Rate (Total) el: 0 cu: MICU cg: RRT v1: 12 u1: BPM st: NotStopd t0: [11:30:00 08/10/2012] id: Respiratory Rate Set el: 0 cu: MICU cg: RRT v1: 12 u1: BPM st: NotStopd t0: [11:30:00 08/10/2012] id: Sensitivity-Vent el: 0 cu: MICU cg: RRT v1: 2 u1: cmH2O st: NotStopd t0: [11:30:00 08/10/2012] id: SpO2 el: 0 cu: MICU cg: RRT v1: 97 u1: % st: NotStopd t0: [11:30:00 08/10/2012] id: Tidal Volume (Obser) el: 0 cu: MICU cg: RRT v1: 700 u1: ml/B st: NotStopd t0: [11:30:00 08/10/2012] id: Tidal Volume (Set) el: 0 cu: MICU cg: RRT v1: 700 u1: ml/B st: NotStopd t0: [11:30:00 08/10/2012] id: Ventilator Mode el: 0 cu: MICU cg: RRT v1: CMV st: NotStopd t0: [11:30:00 08/10/2012] id: Ventilator Type el: 0 cu: MICU cg: RRT v1: Drager st: NotStopd t0: [11:30:00 08/10/2012] id: Waveform-Vent el: 0 cu: MICU cg: RRT v1: RAMP st: NotStopd
t0: [08:00:00 08/10/2012] id: Angio Site #1 el: 0 cu: MICU cg: RN v1: R Femoral st: NotStopd t0: [12:00:00 08/10/2012] id: Less Restrict Meas. el: 0 cu: MICU cg: RN v1: Medicated st: NotStopd t0: [12:00:00 08/10/2012] id: Pain Present el: 0 cu: MICU cg: RN v1: No st: NotStopd t0: [12:00:00 08/10/2012] id: Range of Motion el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [12:00:00 08/10/2012] id: Pain Assess Method el: 0 cu: MICU cg: RN v1: Non-verbal cues st: NotStopd t0: [12:00:00 08/10/2012] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [12:00:00 08/10/2012] id: Circulation/SkinInt el: 0 cu: MICU cg: RN v1: Circulation Adeq st: NotStopd t0: [12:00:00 08/10/2012] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [12:00:00 08/10/2012] id: Riker-SAS Scale el: 0 cu: MICU cg: RN v1: Sedated st: NotStopd t0: [12:00:00 08/10/2012] id: Cough Effort el: 0 cu: MICU cg: RN v1: Strong st: NotStopd t0: [12:00:00 08/10/2012] id: Cough Reflex el: 0 cu: MICU cg: RN v1: Intact st: NotStopd t0: [12:00:00 08/10/2012] id: Cough Type el: 0 cu: MICU cg: RN v1: Productive st: NotStopd t0: [12:00:00 08/10/2012] id: GI Prophylaxis el: 0 cu: MICU cg: RN v1: Proton/Pump/Inhi v2: Proton/Pump/Inhi st: NotStopd t0: [12:00:00 08/10/2012] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [12:00:00 08/10/2012] id: Diet Type el: 0 cu: MICU cg: RN v1: NPO st: NotStopd t0: [12:00:00 08/10/2012] id: Dorsal PedPulse R/L el: 0 cu: MICU cg: RN v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [12:00:00 08/10/2012] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [12:00:00 08/10/2012] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [12:00:00 08/10/2012] id: Eye Opening el: 0 cu: MICU cg: RN v1: 3 To speech st: NotStopd t0: [12:00:00 08/10/2012] id: Follows Commands el: 0 cu: MICU cg: RN v1: Consistently st: NotStopd t0: [12:00:00 08/10/2012] id: GCS Total el: 0 cu: MICU cg: RN v1: 10 u1: points st: NotStopd t0: [12:00:00 08/10/2012] id: Gag Reflex el: 0 cu: MICU cg: RN v1: Intact st: NotStopd t0: [12:00:00 08/10/2012] id: HOB el: 0 cu: MICU cg: RN v1: 30 degrees st: NotStopd t0: [12:00:00 08/10/2012] id: Heart Rate el: 0 cu: MICU cg: RN v1: 89 u1: BPM st: NotStopd t0: [12:00:00 08/10/2012] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [12:00:00 08/10/2012] id: INV Line#1 Type/Site el: 0 cu: MICU cg: RN v1: A-Line v2: Left Radial st: NotStopd t0: [12:00:00 08/10/2012] id: INV Line#1 Zero/Cal el: 0 cu: MICU cg: RN v1: No st: NotStopd t0: [12:00:00 08/10/2012] id: INV Line#1InsertDate el: 0 cu: MICU cg: RN v1: 9 v2: 13 st: NotStopd t0: [12:00:00 08/10/2012] id: INV Line#1SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [12:00:00 08/10/2012] id: INV Line#3 Type/Site el: 0 cu: MICU cg: RN v1: Multi-lumen v2: Right IJ st: NotStopd t0: [12:00:00 08/10/2012] id: INV Line#3InsertDate el: 0 cu: MICU cg: RN v1: 9 v2: 14 st: NotStopd t0: [12:00:00 08/10/2012] id: INV Line#3SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [12:00:00 08/10/2012] id: Abdominal Assessment el: 0 cu: MICU cg: RN v1: Ascites st: NotStopd t0: [12:00:00 08/10/2012] id: INV#1 WaveformAppear el: 0 cu: MICU cg: RN v1: Sharp st: NotStopd t0: [12:00:00 08/10/2012] id: IV #1 Insert Date el: 0 cu: MICU cg: RN v1: 9 v2: 13 st: NotStopd t0: [12:00:00 08/10/2012] id: IV #1 Site/Size el: 0 cu: MICU cg: RN v1: LL Ant Forearm v2: 20 gauge st: NotStopd t0: [12:00:00 08/10/2012] id: IV #2 Insert Date el: 0 cu: MICU cg: RN v1: 9 v2: 13 st: NotStopd t0: [12:00:00 08/10/2012] id: IV #2 Site/Size el: 0 cu: MICU cg: RN v1: LL Ant Forearm v2: 20 gauge st: NotStopd t0: [12:00:00 08/10/2012] id: IV #3 Insert Date el: 0 cu: MICU cg: RN v1: 9 v2: 12 st: NotStopd t0: [12:00:00 08/10/2012] id: IV #3 Site/Size el: 0 cu: MICU cg: RN v1: Right Hand v2: 18 gauge st: NotStopd t0: [12:00:00 08/10/2012] id: IV #4 Insert Date el: 0 cu: MICU cg: RN v1: 9 v2: 12 st: NotStopd t0: [12:00:00 08/10/2012] id: IV #4 Site/Size el: 0 cu: MICU cg: RN v1: RL Ant Forearm v2: 18 gauge st: NotStopd t0: [12:00:00 08/10/2012] id: Activity el: 0 cu: MICU cg: RN v1: Bedrest st: NotStopd t0: [12:00:00 08/10/2012] id: IV Site Appear #1 el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [12:00:00 08/10/2012] id: IV Site Appear #2 el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [12:00:00 08/10/2012] id: IV Site Appear #3 el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [12:00:00 08/10/2012] id: IV Site Appear #4 el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [12:00:00 08/10/2012] id: Activity Tolerance el: 0 cu: MICU cg: RN v1: Tolerated Well st: NotStopd t0: [12:00:00 08/10/2012] id: LLL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [12:00:00 08/10/2012] id: LUL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [12:00:00 08/10/2012] id: Level of Conscious el: 0 cu: MICU cg: RN v1: Arouse to Voice st: NotStopd t0: [12:00:00 08/10/2012] id: Angio Appearance #1 el: 0 cu: MICU cg: RN v1: Clean and Dry v2: Clean and Dry st: NotStopd t0: [12:00:00 08/10/2012] id: Motor Response el: 0 cu: MICU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [12:00:00 08/10/2012] id: Angio Dressing #1 el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [12:00:00 08/10/2012] id: Oral Cavity el: 0 cu: MICU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [12:00:00 08/10/2012] id: Orientation el: 0 cu: MICU cg: RN v1: Other/Remarks st: NotStopd t0: [12:00:00 08/10/2012] id: Angio Site #1 el: 0 cu: MICU cg: RN v1: R Femoral st: NotStopd t0: [12:00:00 08/10/2012] id: AntiEmbDevice/Status el: 0 cu: MICU cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [12:00:00 08/10/2012] id: Arterial BP el: 0 cu: MICU cg: RN v1: 123 u1: mmHg v2: 58 u2: mmHg st: NotStopd t0: [12:00:00 08/10/2012] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 78 u1: mmHg st: NotStopd t0: [12:00:00 08/10/2012] id: Position el: 0 cu: MICU cg: RN v1: Left Side st: NotStopd t0: [12:00:00 08/10/2012] id: Position Change el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [12:00:00 08/10/2012] id: PostTib. Pulses R/L el: 0 cu: MICU cg: RN v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [12:00:00 08/10/2012] id: Assistance Device el: 0 cu: MICU cg: RN v1: 2 Person Assist st: NotStopd t0: [12:00:00 08/10/2012] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [12:00:00 08/10/2012] id: Pupil Response R/L el: 0 cu: MICU cg: RN v1: Brisk v2: Brisk st: NotStopd t0: [12:00:00 08/10/2012] id: Pupil Size R/L el: 0 cu: MICU cg: RN v1: 2 mm v2: 2 mm st: NotStopd t0: [12:00:00 08/10/2012] id: RLL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [12:00:00 08/10/2012] id: RUL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [12:00:00 08/10/2012] id: Reason For Restraint el: 0 cu: MICU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [12:00:00 08/10/2012] id: Removed x 5 Mins el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [12:00:00 08/10/2012] id: Respiratory Pattern el: 0 cu: MICU cg: RN v1: Regular st: NotStopd t0: [12:00:00 08/10/2012] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 13 u1: BPM st: NotStopd t0: [12:00:00 08/10/2012] id: Restraint Location el: 0 cu: MICU cg: RN v1: Both Arms st: NotStopd t0: [12:00:00 08/10/2012] id: Restraint Type el: 0 cu: MICU cg: RN v1: Soft Limb st: NotStopd t0: [12:00:00 08/10/2012] id: Restraints Evaluated el: 0 cu: MICU cg: RN v1: RestraintReapply st: NotStopd t0: [12:00:00 08/10/2012] id: Side Rails el: 0 cu: MICU cg: RN v1: Side Rails Up st: NotStopd t0: [12:00:00 08/10/2012] id: Skin Color el: 0 cu: MICU cg: RN v1: Jaundiced st: NotStopd t0: [12:00:00 08/10/2012] id: Skin Integrity el: 0 cu: MICU cg: RN v1: Intact st: NotStopd t0: [12:00:00 08/10/2012] id: Skin Temp/Condition el: 0 cu: MICU cg: RN v1: Warm v2: Dry st: NotStopd t0: [12:00:00 08/10/2012] id: SpO2 el: 0 cu: MICU cg: RN v1: 97 u1: % st: NotStopd t0: [12:00:00 08/10/2012] id: Spontaneous Movement el: 0 cu: MICU cg: RN v1: Nonpurposeful st: NotStopd t0: [12:00:00 08/10/2012] id: Stool Guaiac el: 0 cu: MICU cg: RN v1: Positive st: NotStopd t0: [12:00:00 08/10/2012] id: Support Systems el: 0 cu: MICU cg: RN v1: Spouse st: NotStopd t0: [12:00:00 08/10/2012] id: Temp. Site el: 0 cu: MICU cg: RN v1: Oral st: NotStopd t0: [12:00:00 08/10/2012] id: Temperature C (calc) el: 0 cu: MICU cg: RN v1: 37 u1: Deg. C st: NotStopd t0: [12:00:00 08/10/2012] id: Temperature F el: 0 cu: MICU cg: RN v1: 98.6 u1: Deg. F st: NotStopd t0: [12:00:00 08/10/2012] id: Turn el: 0 cu: MICU cg: RN v1: Left Side st: NotStopd t0: [12:00:00 08/10/2012] id: Urine Color/Appear el: 0 cu: MICU cg: RN v1: Icteric v2: Clear st: NotStopd t0: [12:00:00 08/10/2012] id: Urine Source el: 0 cu: MICU cg: RN v1: Indwelling Cath st: NotStopd t0: [12:00:00 08/10/2012] id: Verbal Response el: 0 cu: MICU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [12:00:00 08/10/2012] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [12:00:00 08/10/2012] id: Fingerstick Glucose Chemistry el: 0 cu: MICU cg: RN v1: 92 rs: Manual st: NotStopd t0: [12:00:00 08/10/2012] id: Bowel Sounds el: 0 cu: MICU cg: RN v1: Hypoactive st: NotStopd t0: [12:00:00 08/10/2012] id: Braden Activity el: 0 cu: MICU cg: RN v1: Bedfast st: NotStopd t0: [12:00:00 08/10/2012] id: Braden Frict/Shear el: 0 cu: MICU cg: RN v1: Potential Prob st: NotStopd t0: [12:00:00 08/10/2012] id: Braden Mobility el: 0 cu: MICU cg: RN v1: Very Limited st: NotStopd t0: [12:00:00 08/10/2012] id: Braden Moisture el: 0 cu: MICU cg: RN v1: Occ. Moist st: NotStopd t0: [12:00:00 08/10/2012] id: Braden Nutrition el: 0 cu: MICU cg: RN v1: Prob. Inadequate st: NotStopd t0: [12:00:00 08/10/2012] id: Braden Score el: 0 cu: MICU cg: RN v1: 12 u1: number st: NotStopd t0: [12:00:00 08/10/2012] id: Braden SensoryPercep el: 0 cu: MICU cg: RN v1: Very Limited st: NotStopd
t0: [12:00:00 08/10/2012] id: D5W 250.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 105 vo: 0 vu: ml t0: [12:00:00 08/10/2012] id: D5W 100.0ml + 600mcghr Sandostatin IV Infusions el: 2 cu: MICU cg: RN ai: 107 vo: 8.33333 vu: ml t0: [12:00:00 08/10/2012] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU cg: RN ai: 416 vo: 10 vu: ml t0: [12:00:00 08/10/2012] id: .9% Normal Saline 50.0ml + 50mghr Midazolam IV Infusions el: 1 cu: MICU cg: RN ai: 189 vo: 3 vu: ml t0: [12:00:00 08/10/2012] id: Urine Out Void el: 1 cu: MICU cg: RN vo: 60 vu: ml
t0: [12:00:00 08/10/2012] id: Fentanyl el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 100 du: mcghr sv: 250 su: ml rt: IV Drip t0: [12:00:00 08/10/2012] id: Midazolam el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 3 du: mghr sv: 50 su: ml rt: IV Drip t0: [12:00:00 08/10/2012] id: Sandostatin el: 2 cu: MICU cg: RN so: D5W vo: 0 v1: 50 du: mcghr sv: 100 su: ml rt: IV Drip
t0: [12:22:00 08/10/2012] id: Art.pH ABG el: 0 cu: MICU cg: 1663 v1: 7.34 rs: Final st: NotStopd t0: [12:22:00 08/10/2012] id: Arterial Base Excess ABG el: 0 cu: MICU cg: 1663 v1: -6 rs: Final st: NotStopd t0: [12:22:00 08/10/2012] id: Arterial CO2(Calc) ABG el: 0 cu: MICU cg: 1663 v1: 19 rs: Final st: NotStopd t0: [12:22:00 08/10/2012] id: Arterial PaCO2 ABG el: 0 cu: MICU cg: 1663 v1: 33 u1: mmHg rs: Final st: NotStopd t0: [12:22:00 08/10/2012] id: Arterial PaO2 ABG el: 0 cu: MICU cg: 1663 v1: 76 u1: mmHg rs: Final st: NotStopd t0: [12:22:00 08/10/2012] id: Arterial pH ABG el: 0 cu: MICU cg: 1663 v1: 7.34 rs: Final st: NotStopd
pt: TPN tf: [11:00:00 17/10/2012] pt: IV Piggyback rt: IV fr: Q8H fs: 13, 21, 5 dn: 3 m1: Metronidazole v1: 500 u1: mg m2: NS v2: 100 u2: ml
t0: [13:00:00 08/10/2012] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [13:00:00 08/10/2012] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [13:00:00 08/10/2012] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [13:00:00 08/10/2012] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [13:00:00 08/10/2012] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [13:00:00 08/10/2012] id: Heart Rate el: 0 cu: MICU cg: RN v1: 84 u1: BPM st: NotStopd t0: [13:00:00 08/10/2012] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [13:00:00 08/10/2012] id: Arterial BP el: 0 cu: MICU cg: RN v1: 103 u1: mmHg v2: 49 u2: mmHg st: NotStopd t0: [13:00:00 08/10/2012] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 64 u1: mmHg st: NotStopd t0: [13:00:00 08/10/2012] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [13:00:00 08/10/2012] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 13 u1: BPM st: NotStopd t0: [13:00:00 08/10/2012] id: Side Rails el: 0 cu: MICU cg: RN v1: Side Rails Up st: NotStopd t0: [13:00:00 08/10/2012] id: SpO2 el: 0 cu: MICU cg: RN v1: 97 u1: % st: NotStopd t0: [13:00:00 08/10/2012] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [13:00:00 08/10/2012] id: D5W 250.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 105 vo: 0 vu: ml t0: [13:00:00 08/10/2012] id: D5W 100.0ml + 600mcghr Sandostatin IV Infusions el: 2 cu: MICU cg: RN ai: 107 vo: 8.33333 vu: ml t0: [13:00:00 08/10/2012] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU cg: RN ai: 416 vo: 10 vu: ml t0: [13:00:00 08/10/2012] id: .9% Normal Saline 50.0ml + 50mghr Midazolam IV Infusions el: 1 cu: MICU cg: RN ai: 189 vo: 3 vu: ml t0: [13:00:00 08/10/2012] id: Urine Out Void el: 1 cu: MICU cg: RN vo: 35 vu: ml
t0: [13:00:00 08/10/2012] id: Fentanyl el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 100 du: mcghr sv: 250 su: ml rt: IV Drip t0: [13:00:00 08/10/2012] id: Midazolam el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 3 du: mghr sv: 50 su: ml rt: IV Drip t0: [13:00:00 08/10/2012] id: Sandostatin el: 2 cu: MICU cg: RN so: D5W vo: 0 v1: 50 du: mcghr sv: 100 su: ml rt: IV Drip
t0: [14:00:00 08/10/2012] id: Less Restrict Meas. el: 0 cu: MICU cg: RN v1: Medicated st: NotStopd t0: [14:00:00 08/10/2012] id: Range of Motion el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [14:00:00 08/10/2012] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [14:00:00 08/10/2012] id: Circulation/SkinInt el: 0 cu: MICU cg: RN v1: Circulation Adeq st: NotStopd t0: [14:00:00 08/10/2012] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [14:00:00 08/10/2012] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [14:00:00 08/10/2012] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [14:00:00 08/10/2012] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [14:00:00 08/10/2012] id: Heart Rate el: 0 cu: MICU cg: RN v1: 87 u1: BPM st: NotStopd t0: [14:00:00 08/10/2012] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [14:00:00 08/10/2012] id: Arterial BP el: 0 cu: MICU cg: RN v1: 116 u1: mmHg v2: 56 u2: mmHg st: NotStopd t0: [14:00:00 08/10/2012] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 75 u1: mmHg st: NotStopd t0: [14:00:00 08/10/2012] id: Position Change el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [14:00:00 08/10/2012] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [14:00:00 08/10/2012] id: Reason For Restraint el: 0 cu: MICU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [14:00:00 08/10/2012] id: Removed x 5 Mins el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [14:00:00 08/10/2012] id: Restraint Location el: 0 cu: MICU cg: RN v1: Both Arms st: NotStopd t0: [14:00:00 08/10/2012] id: Restraint Type el: 0 cu: MICU cg: RN v1: Soft Limb st: NotStopd t0: [14:00:00 08/10/2012] id: Restraints Evaluated el: 0 cu: MICU cg: RN v1: RestraintReapply st: NotStopd t0: [14:00:00 08/10/2012] id: Side Rails el: 0 cu: MICU cg: RN v1: Side Rails Up st: NotStopd t0: [14:00:00 08/10/2012] id: SpO2 el: 0 cu: MICU cg: RN v1: 97 u1: % st: NotStopd t0: [14:00:00 08/10/2012] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [14:00:00 08/10/2012] tf: [18:00:00 08/10/2012] dt: 240 id: D5W 250.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 105 vo: 100 vu: ml t0: [14:00:00 08/10/2012] id: D5W 100.0ml + 600mcghr Sandostatin IV Infusions el: 2 cu: MICU cg: RN ai: 107 vo: 8.33333 vu: ml t0: [14:00:00 08/10/2012] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU cg: RN ai: 416 vo: 10 vu: ml t0: [14:00:00 08/10/2012] id: Urine Out Void el: 1 cu: MICU cg: RN vo: 35 vu: ml
t0: [14:00:00 08/10/2012] id: Fentanyl el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 100 du: mcghr sv: 250 su: ml rt: IV Drip t0: [14:00:00 08/10/2012] id: Midazolam el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 3 du: mghr sv: 50 su: ml rt: IV Drip t0: [14:00:00 08/10/2012] id: Sandostatin el: 2 cu: MICU cg: RN so: D5W vo: 0 v1: 50 du: mcghr sv: 100 su: ml rt: IV Drip
t0: [03:30:00 08/10/2012] id: Serum Osmolality Chemistry el: 0 cu: MICU cg: 1663 v1: 299 rs: Final st: NotStopd
t0: [09:00:00 08/10/2012] id: Respiratory Rate el: 0 cu: MICU cg: RN u1: BPM st: NotStopd t0: [14:00:00 08/10/2012] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 13 u1: BPM st: NotStopd
t0: [15:00:00 08/10/2012] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [15:00:00 08/10/2012] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [15:00:00 08/10/2012] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [15:00:00 08/10/2012] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [15:00:00 08/10/2012] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [15:00:00 08/10/2012] id: Heart Rate el: 0 cu: MICU cg: RN v1: 83 u1: BPM st: NotStopd t0: [15:00:00 08/10/2012] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [15:00:00 08/10/2012] id: Arterial BP el: 0 cu: MICU cg: RN v1: 105 u1: mmHg v2: 49 u2: mmHg st: NotStopd t0: [15:00:00 08/10/2012] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 65 u1: mmHg st: NotStopd t0: [15:00:00 08/10/2012] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [15:00:00 08/10/2012] id: SpO2 el: 0 cu: MICU cg: RN v1: 98 u1: % st: NotStopd t0: [15:00:00 08/10/2012] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [15:00:00 08/10/2012] id: Fentanyl el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 100 du: mcghr sv: 250 su: ml rt: IV Drip t0: [15:00:00 08/10/2012] id: Midazolam el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 3 du: mghr sv: 50 su: ml rt: IV Drip t0: [15:00:00 08/10/2012] id: Sandostatin el: 2 cu: MICU cg: RN so: D5W vo: 0 v1: 50 du: mcghr sv: 100 su: ml rt: IV Drip
t0: [15:20:00 08/10/2012] id: HI/Minute/Vol/Alarm el: 0 cu: MICU cg: RRT v1: 16 t0: [15:20:00 08/10/2012] id: Compliance (40-60ml) el: 0 cu: MICU cg: RRT v1: 29.1667 u1: ml/cmH st: NotStopd t0: [15:20:00 08/10/2012] id: ETT Mark/Location el: 0 cu: MICU cg: RRT v1: 23cm v2: Lip st: NotStopd t0: [15:20:00 08/10/2012] id: FiO2 Set el: 0 cu: MICU cg: RRT v1: 0.35 u1: torr st: NotStopd t0: [15:20:00 08/10/2012] id: High Insp. Pressure el: 0 cu: MICU cg: RRT v1: 45 u1: cmH2O st: NotStopd t0: [15:20:00 08/10/2012] id: High Resp. Rate el: 0 cu: MICU cg: RRT v1: 40 u1: BPM st: NotStopd t0: [15:20:00 08/10/2012] id: I:E Ratio el: 0 cu: MICU cg: RRT v1: 1:4.0 st: NotStopd t0: [15:20:00 08/10/2012] id: Airway Size el: 0 cu: MICU cg: RRT v1: 7.5 mm st: NotStopd t0: [15:20:00 08/10/2012] id: Airway Type el: 0 cu: MICU cg: RRT v1: Endotracheal st: NotStopd t0: [15:20:00 08/10/2012] id: Inspired Gas Temp el: 0 cu: MICU cg: RRT v1: 34.2 u1: Deg. C st: NotStopd t0: [15:20:00 08/10/2012] id: Intubation Date el: 0 cu: MICU cg: RRT v1: 9 v2: 13 st: NotStopd t0: [15:20:00 08/10/2012] id: Low Exhaled Min Vol el: 0 cu: MICU cg: RRT v1: 6 st: NotStopd t0: [15:20:00 08/10/2012] id: Mean Airway Pressure el: 0 cu: MICU cg: RRT v1: 8 u1: cmH2O st: NotStopd t0: [15:20:00 08/10/2012] id: Minute Volume(Obser) el: 0 cu: MICU cg: RRT v1: 8.4 u1: L/min st: NotStopd t0: [15:20:00 08/10/2012] id: PEEP Set el: 0 cu: MICU cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [15:20:00 08/10/2012] id: Apnea Time Interval el: 0 cu: MICU cg: RRT v1: 20 st: NotStopd t0: [15:20:00 08/10/2012] id: Peak Insp. Pressure el: 0 cu: MICU cg: RRT v1: 29 u1: cmH2O st: NotStopd t0: [15:20:00 08/10/2012] id: Plateau Pressure el: 0 cu: MICU cg: RRT v1: 21 u1: cmH2O st: NotStopd t0: [15:20:00 08/10/2012] id: Plateau-Off el: 0 cu: MICU cg: RRT v1: Yes st: NotStopd t0: [15:20:00 08/10/2012] id: Resp Rate (Spont) el: 0 cu: MICU cg: RRT v1: 0 u1: BPM st: NotStopd t0: [15:20:00 08/10/2012] id: Resp Rate (Total) el: 0 cu: MICU cg: RRT v1: 12 u1: BPM st: NotStopd t0: [15:20:00 08/10/2012] id: Respiratory Rate Set el: 0 cu: MICU cg: RRT v1: 12 u1: BPM st: NotStopd t0: [15:20:00 08/10/2012] id: Sensitivity-Vent el: 0 cu: MICU cg: RRT v1: 2 u1: cmH2O st: NotStopd t0: [15:20:00 08/10/2012] id: SpO2 el: 0 cu: MICU cg: RRT v1: 98 u1: % st: NotStopd t0: [15:20:00 08/10/2012] id: Tidal Volume (Obser) el: 0 cu: MICU cg: RRT v1: 700 u1: ml/B st: NotStopd t0: [15:20:00 08/10/2012] id: Tidal Volume (Set) el: 0 cu: MICU cg: RRT v1: 700 u1: ml/B st: NotStopd t0: [15:20:00 08/10/2012] id: Ventilator Mode el: 0 cu: MICU cg: RRT v1: CMV st: NotStopd t0: [15:20:00 08/10/2012] id: Ventilator Type el: 0 cu: MICU cg: RRT v1: Drager st: NotStopd t0: [15:20:00 08/10/2012] id: Waveform-Vent el: 0 cu: MICU cg: RRT v1: RAMP st: NotStopd
t0: [14:00:00 08/10/2012] id: Hematocrit Hematology el: 0 cu: MICU cg: 1663 v1: 37.1 u1: % rs: Final st: NotStopd
io: TPN 1000.0ml IV Infusions el: 1 cu: MICU cg: RN ra: 41.8 ru: ml/hr
id: TPN el: 1 cu: MICU cg: RN io: TPN 1000.0ml IV Infusions vo: 1000 du: ml rt: Intravenous Push
t0: [14:00:00 08/10/2012] id: AntiEmbDevice/Status el: 0 cu: MICU cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [14:00:00 08/10/2012] id: Position el: 0 cu: MICU cg: RN v1: Left Side st: NotStopd t0: [16:00:00 08/10/2012] id: Less Restrict Meas. el: 0 cu: MICU cg: RN v1: Medicated st: NotStopd t0: [16:00:00 08/10/2012] id: Pain Present el: 0 cu: MICU cg: RN v1: No st: NotStopd t0: [16:00:00 08/10/2012] id: Range of Motion el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [16:00:00 08/10/2012] id: Pain Assess Method el: 0 cu: MICU cg: RN v1: Non-verbal cues st: NotStopd t0: [16:00:00 08/10/2012] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [16:00:00 08/10/2012] id: Circulation/SkinInt el: 0 cu: MICU cg: RN v1: Circulation Adeq st: NotStopd t0: [16:00:00 08/10/2012] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [16:00:00 08/10/2012] id: Riker-SAS Scale el: 0 cu: MICU cg: RN v1: Sedated st: NotStopd t0: [16:00:00 08/10/2012] id: Cough Effort el: 0 cu: MICU cg: RN v1: Weak st: NotStopd t0: [16:00:00 08/10/2012] id: Cough Reflex el: 0 cu: MICU cg: RN v1: Intact st: NotStopd t0: [16:00:00 08/10/2012] id: Cough Type el: 0 cu: MICU cg: RN v1: Productive st: NotStopd t0: [16:00:00 08/10/2012] id: GI Prophylaxis el: 0 cu: MICU cg: RN v1: Proton/Pump/Inhi v2: Proton/Pump/Inhi st: NotStopd t0: [16:00:00 08/10/2012] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [16:00:00 08/10/2012] id: Diet Type el: 0 cu: MICU cg: RN v1: NPO st: NotStopd t0: [16:00:00 08/10/2012] id: Dorsal PedPulse R/L el: 0 cu: MICU cg: RN v1: Weak Palpable v2: Weak Palpable st: NotStopd t0: [16:00:00 08/10/2012] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [16:00:00 08/10/2012] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [16:00:00 08/10/2012] id: Eye Opening el: 0 cu: MICU cg: RN v1: 3 To speech st: NotStopd t0: [16:00:00 08/10/2012] id: Family Communication el: 0 cu: MICU cg: RN v1: Family Visited st: NotStopd t0: [16:00:00 08/10/2012] id: Follows Commands el: 0 cu: MICU cg: RN v1: Consistently st: NotStopd t0: [16:00:00 08/10/2012] id: GCS Total el: 0 cu: MICU cg: RN v1: 10 u1: points st: NotStopd t0: [16:00:00 08/10/2012] id: Gag Reflex el: 0 cu: MICU cg: RN v1: Intact st: NotStopd t0: [16:00:00 08/10/2012] id: HOB el: 0 cu: MICU cg: RN v1: 30 degrees st: NotStopd t0: [16:00:00 08/10/2012] id: Heart Rate el: 0 cu: MICU cg: RN v1: 80 u1: BPM st: NotStopd t0: [16:00:00 08/10/2012] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [16:00:00 08/10/2012] id: INV Line#1 Type/Site el: 0 cu: MICU cg: RN v1: A-Line v2: Left Radial st: NotStopd t0: [16:00:00 08/10/2012] id: INV Line#1 Zero/Cal el: 0 cu: MICU cg: RN v1: No st: NotStopd t0: [16:00:00 08/10/2012] id: INV Line#1InsertDate el: 0 cu: MICU cg: RN v1: 9 v2: 13 st: NotStopd t0: [16:00:00 08/10/2012] id: INV Line#1SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [16:00:00 08/10/2012] id: INV Line#3 Type/Site el: 0 cu: MICU cg: RN v1: Multi-lumen v2: Right IJ st: NotStopd t0: [16:00:00 08/10/2012] id: INV Line#3InsertDate el: 0 cu: MICU cg: RN v1: 9 v2: 14 st: NotStopd t0: [16:00:00 08/10/2012] id: INV Line#3SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [16:00:00 08/10/2012] id: Abdominal Assessment el: 0 cu: MICU cg: RN v1: Ascites st: NotStopd t0: [16:00:00 08/10/2012] id: INV#1 WaveformAppear el: 0 cu: MICU cg: RN v1: Sharp st: NotStopd t0: [16:00:00 08/10/2012] id: IV #1 Insert Date el: 0 cu: MICU cg: RN v1: 9 v2: 13 st: NotStopd t0: [16:00:00 08/10/2012] id: IV #1 Site/Size el: 0 cu: MICU cg: RN v1: LL Ant Forearm v2: 20 gauge st: NotStopd t0: [16:00:00 08/10/2012] id: IV #2 Insert Date el: 0 cu: MICU cg: RN v1: 9 v2: 13 st: NotStopd t0: [16:00:00 08/10/2012] id: IV #2 Site/Size el: 0 cu: MICU cg: RN v1: LL Ant Forearm v2: 20 gauge st: NotStopd t0: [16:00:00 08/10/2012] id: IV #3 Insert Date el: 0 cu: MICU cg: RN v1: 9 v2: 12 st: NotStopd t0: [16:00:00 08/10/2012] id: IV #3 Site/Size el: 0 cu: MICU cg: RN v1: Right Hand v2: 18 gauge st: NotStopd t0: [16:00:00 08/10/2012] id: IV #4 Insert Date el: 0 cu: MICU cg: RN v1: 9 v2: 12 st: NotStopd t0: [16:00:00 08/10/2012] id: IV #4 Site/Size el: 0 cu: MICU cg: RN v1: RL Ant Forearm v2: 18 gauge st: NotStopd t0: [16:00:00 08/10/2012] id: Activity el: 0 cu: MICU cg: RN v1: Bedrest st: NotStopd t0: [16:00:00 08/10/2012] id: IV Site Appear #1 el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [16:00:00 08/10/2012] id: IV Site Appear #2 el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [16:00:00 08/10/2012] id: IV Site Appear #3 el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [16:00:00 08/10/2012] id: IV Site Appear #4 el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [16:00:00 08/10/2012] id: Activity Tolerance el: 0 cu: MICU cg: RN v1: Tolerated Well st: NotStopd t0: [16:00:00 08/10/2012] id: LLL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [16:00:00 08/10/2012] id: LUL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [16:00:00 08/10/2012] id: Level of Conscious el: 0 cu: MICU cg: RN v1: Arouse to Voice st: NotStopd t0: [16:00:00 08/10/2012] id: Angio Appearance #1 el: 0 cu: MICU cg: RN v1: Clean and Dry v2: Clean and Dry st: NotStopd t0: [16:00:00 08/10/2012] id: Motor Response el: 0 cu: MICU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [16:00:00 08/10/2012] id: Angio Dressing #1 el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [16:00:00 08/10/2012] id: Oral Cavity el: 0 cu: MICU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [16:00:00 08/10/2012] id: Orientation el: 0 cu: MICU cg: RN v1: Other/Remarks st: NotStopd t0: [16:00:00 08/10/2012] id: Angio Site #1 el: 0 cu: MICU cg: RN v1: R Femoral st: NotStopd t0: [16:00:00 08/10/2012] id: AntiEmbDevice/Status el: 0 cu: MICU cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [16:00:00 08/10/2012] id: Arterial BP el: 0 cu: MICU cg: RN v1: 104 u1: mmHg v2: 49 u2: mmHg st: NotStopd t0: [16:00:00 08/10/2012] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 65 u1: mmHg st: NotStopd t0: [16:00:00 08/10/2012] id: Position Change el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [16:00:00 08/10/2012] id: PostTib. Pulses R/L el: 0 cu: MICU cg: RN v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [16:00:00 08/10/2012] id: Assistance Device el: 0 cu: MICU cg: RN v1: 1 Person Assist st: NotStopd t0: [16:00:00 08/10/2012] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [16:00:00 08/10/2012] id: Pupil Response R/L el: 0 cu: MICU cg: RN v1: Brisk v2: Brisk st: NotStopd t0: [16:00:00 08/10/2012] id: Pupil Size R/L el: 0 cu: MICU cg: RN v1: 3 mm v2: 3 mm st: NotStopd t0: [16:00:00 08/10/2012] id: RLL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [16:00:00 08/10/2012] id: RUL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [16:00:00 08/10/2012] id: Reason For Restraint el: 0 cu: MICU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [16:00:00 08/10/2012] id: Removed x 5 Mins el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [16:00:00 08/10/2012] id: Respiratory Pattern el: 0 cu: MICU cg: RN v1: Regular st: NotStopd t0: [16:00:00 08/10/2012] id: Restraint Location el: 0 cu: MICU cg: RN v1: Both Arms st: NotStopd t0: [16:00:00 08/10/2012] id: Restraint Type el: 0 cu: MICU cg: RN v1: Soft Limb st: NotStopd t0: [16:00:00 08/10/2012] id: Restraints Evaluated el: 0 cu: MICU cg: RN v1: RestraintReapply st: NotStopd t0: [16:00:00 08/10/2012] id: Side Rails el: 0 cu: MICU cg: RN v1: Side Rails Up st: NotStopd t0: [16:00:00 08/10/2012] id: Skin Color el: 0 cu: MICU cg: RN v1: Jaundiced st: NotStopd t0: [16:00:00 08/10/2012] id: Skin Integrity el: 0 cu: MICU cg: RN v1: Intact st: NotStopd t0: [16:00:00 08/10/2012] id: Skin Temp/Condition el: 0 cu: MICU cg: RN v1: Warm v2: Dry st: NotStopd t0: [16:00:00 08/10/2012] id: SpO2 el: 0 cu: MICU cg: RN v1: 97 u1: % st: NotStopd t0: [16:00:00 08/10/2012] id: Spontaneous Movement el: 0 cu: MICU cg: RN v1: Nonpurposeful st: NotStopd t0: [16:00:00 08/10/2012] id: Stool Guaiac el: 0 cu: MICU cg: RN v1: Positive st: NotStopd t0: [16:00:00 08/10/2012] id: Support Systems el: 0 cu: MICU cg: RN v1: Spouse st: NotStopd t0: [16:00:00 08/10/2012] id: Temp. Site el: 0 cu: MICU cg: RN v1: Oral st: NotStopd t0: [16:00:00 08/10/2012] id: Temperature C (calc) el: 0 cu: MICU cg: RN v1: 36.8889 u1: Deg. C st: NotStopd t0: [16:00:00 08/10/2012] id: Temperature F el: 0 cu: MICU cg: RN v1: 98.4 u1: Deg. F st: NotStopd t0: [16:00:00 08/10/2012] id: Turn el: 0 cu: MICU cg: RN v1: Back st: NotStopd t0: [16:00:00 08/10/2012] id: Urine Color/Appear el: 0 cu: MICU cg: RN v1: Icteric v2: Clear st: NotStopd t0: [16:00:00 08/10/2012] id: Urine Source el: 0 cu: MICU cg: RN v1: Indwelling Cath st: NotStopd t0: [16:00:00 08/10/2012] id: Verbal Response el: 0 cu: MICU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [16:00:00 08/10/2012] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [16:00:00 08/10/2012] id: Bowel Sounds el: 0 cu: MICU cg: RN v1: Hypoactive st: NotStopd t0: [16:00:00 08/10/2012] id: Braden Activity el: 0 cu: MICU cg: RN v1: Bedfast st: NotStopd t0: [16:00:00 08/10/2012] id: Braden Frict/Shear el: 0 cu: MICU cg: RN v1: Potential Prob st: NotStopd t0: [16:00:00 08/10/2012] id: Braden Mobility el: 0 cu: MICU cg: RN v1: Very Limited st: NotStopd t0: [16:00:00 08/10/2012] id: Braden Moisture el: 0 cu: MICU cg: RN v1: Occ. Moist st: NotStopd t0: [16:00:00 08/10/2012] id: Braden Nutrition el: 0 cu: MICU cg: RN v1: Prob. Inadequate st: NotStopd t0: [16:00:00 08/10/2012] id: Braden Score el: 0 cu: MICU cg: RN v1: 12 u1: number st: NotStopd t0: [16:00:00 08/10/2012] id: Braden SensoryPercep el: 0 cu: MICU cg: RN v1: Very Limited st: NotStopd
t0: [14:00:00 08/10/2012] id: .9% Normal Saline 50.0ml + 50mghr Midazolam IV Infusions el: 1 cu: MICU cg: RN ai: 189 vo: 3 vu: ml nb: 1 t0: [16:00:00 08/10/2012] id: D5W 250.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 105 vo: 100 vu: ml t0: [16:00:00 08/10/2012] id: D5W 100.0ml + 600mcghr Sandostatin IV Infusions el: 2 cu: MICU cg: RN ai: 107 vo: 16.6667 vu: ml t0: [16:00:00 08/10/2012] id: TPN 1000.0ml IV Infusions el: 1 cu: MICU cg: RN ai: -1 vo: 0 vu: ml nb: 1 t0: [16:00:00 08/10/2012] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU cg: RN ai: 416 vo: 20 vu: ml t0: [16:00:00 08/10/2012] id: .9% Normal Saline 50.0ml + 50mghr Midazolam IV Infusions el: 1 cu: MICU cg: RN ai: 189 vo: 6 vu: ml t0: [16:00:00 08/10/2012] id: Urine Out Void el: 1 cu: MICU cg: RN vo: 110 vu: ml
t0: [16:00:00 08/10/2012] id: Fentanyl el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 100 du: mcghr sv: 250 su: ml rt: IV Drip t0: [16:00:00 08/10/2012] id: Midazolam el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 3 du: mghr sv: 50 su: ml rt: IV Drip t0: [16:00:00 08/10/2012] id: Sandostatin el: 2 cu: MICU cg: RN so: D5W vo: 0 v1: 50 du: mcghr sv: 100 su: ml rt: IV Drip
t0: [14:00:00 08/10/2012] id: Sputum Color/Consist el: 0 cu: MICU cg: RN v1: Tan v2: Thick st: NotStopd t0: [14:00:00 08/10/2012] id: Sputum Source/Amt el: 0 cu: MICU cg: RN v1: Suctioned v2: Small st: NotStopd t0: [17:30:00 08/10/2012] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [17:30:00 08/10/2012] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [17:30:00 08/10/2012] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [17:30:00 08/10/2012] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [17:30:00 08/10/2012] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [17:30:00 08/10/2012] id: Eye Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [17:30:00 08/10/2012] id: HOB el: 0 cu: MICU cg: RN v1: 30 degrees st: NotStopd t0: [17:30:00 08/10/2012] id: Heart Rate el: 0 cu: MICU cg: RN v1: 83 u1: BPM st: NotStopd t0: [17:30:00 08/10/2012] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [17:30:00 08/10/2012] id: Activity el: 0 cu: MICU cg: RN v1: Bedrest st: NotStopd t0: [17:30:00 08/10/2012] id: Activity Tolerance el: 0 cu: MICU cg: RN v1: Tolerated Well st: NotStopd t0: [17:30:00 08/10/2012] id: Oral Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [17:30:00 08/10/2012] id: AntiEmbDevice/Status el: 0 cu: MICU cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [17:30:00 08/10/2012] id: Arterial BP el: 0 cu: MICU cg: RN v1: 116 u1: mmHg v2: 54 u2: mmHg st: NotStopd t0: [17:30:00 08/10/2012] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 73 u1: mmHg st: NotStopd t0: [17:30:00 08/10/2012] id: Position el: 0 cu: MICU cg: RN v1: Right Side st: NotStopd t0: [17:30:00 08/10/2012] id: Assistance Device el: 0 cu: MICU cg: RN v1: 2 Person Assist st: NotStopd t0: [17:30:00 08/10/2012] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [17:30:00 08/10/2012] id: Side Rails el: 0 cu: MICU cg: RN v1: Side Rails Up st: NotStopd t0: [17:30:00 08/10/2012] id: SpO2 el: 0 cu: MICU cg: RN v1: 98 u1: % st: NotStopd t0: [17:30:00 08/10/2012] id: Turn el: 0 cu: MICU cg: RN v1: Right Side st: NotStopd t0: [17:30:00 08/10/2012] id: Back Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [17:30:00 08/10/2012] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [17:30:00 08/10/2012] id: Fentanyl el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 100 du: mcghr sv: 250 su: ml rt: IV Drip t0: [17:30:00 08/10/2012] id: Midazolam el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 3 du: mghr sv: 50 su: ml rt: IV Drip t0: [17:30:00 08/10/2012] id: Sandostatin el: 2 cu: MICU cg: RN so: D5W vo: 0 v1: 50 du: mcghr sv: 100 su: ml rt: IV Drip
t0: [18:00:00 08/10/2012] id: Less Restrict Meas. el: 0 cu: MICU cg: RN v1: Medicated st: NotStopd t0: [18:00:00 08/10/2012] id: Range of Motion el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [18:00:00 08/10/2012] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [18:00:00 08/10/2012] id: Circulation/SkinInt el: 0 cu: MICU cg: RN v1: Circulation Adeq st: NotStopd t0: [18:00:00 08/10/2012] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [18:00:00 08/10/2012] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [18:00:00 08/10/2012] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [18:00:00 08/10/2012] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [18:00:00 08/10/2012] id: Heart Rate el: 0 cu: MICU cg: RN v1: 80 u1: BPM st: NotStopd t0: [18:00:00 08/10/2012] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [18:00:00 08/10/2012] id: Arterial BP el: 0 cu: MICU cg: RN v1: 106 u1: mmHg v2: 48 u2: mmHg st: NotStopd t0: [18:00:00 08/10/2012] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 65 u1: mmHg st: NotStopd t0: [18:00:00 08/10/2012] id: Position Change el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [18:00:00 08/10/2012] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [18:00:00 08/10/2012] id: Reason For Restraint el: 0 cu: MICU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [18:00:00 08/10/2012] id: Removed x 5 Mins el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [18:00:00 08/10/2012] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 22 u1: BPM st: NotStopd t0: [18:00:00 08/10/2012] id: Restraint Location el: 0 cu: MICU cg: RN v1: Both Arms st: NotStopd t0: [18:00:00 08/10/2012] id: Restraint Type el: 0 cu: MICU cg: RN v1: Soft Limb st: NotStopd t0: [18:00:00 08/10/2012] id: Restraints Evaluated el: 0 cu: MICU cg: RN v1: RestraintReapply st: NotStopd t0: [18:00:00 08/10/2012] id: Side Rails el: 0 cu: MICU cg: RN v1: Side Rails Up st: NotStopd t0: [18:00:00 08/10/2012] id: SpO2 el: 0 cu: MICU cg: RN v1: 98 u1: % st: NotStopd t0: [18:00:00 08/10/2012] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [18:00:00 08/10/2012] id: Fingerstick Glucose Chemistry el: 0 cu: MICU cg: RN v1: 108 rs: Manual st: NotStopd
t0: [18:00:00 08/10/2012] id: D5W 250.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 105 vo: 0 vu: ml t0: [18:00:00 08/10/2012] id: D5W 100.0ml + 600mcghr Sandostatin IV Infusions el: 2 cu: MICU cg: RN ai: 107 vo: 16.6667 vu: ml t0: [18:00:00 08/10/2012] tf: [23:22:00 12/10/2012] dt: 6082 id: TPN 1000.0ml IV Infusions el: 1 cu: MICU cg: RN ai: -1 vo: 83.6 vu: ml t0: [18:00:00 08/10/2012] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU cg: RN ai: 416 vo: 20 vu: ml t0: [18:00:00 08/10/2012] id: Stool Out Stool el: 1 cu: MICU cg: RN vo: 225 vu: ml t0: [18:00:00 08/10/2012] id: .9% Normal Saline 50.0ml + 50mghr Midazolam IV Infusions el: 1 cu: MICU cg: RN ai: 189 vo: 6 vu: ml t0: [18:00:00 08/10/2012] id: Urine Out Void el: 1 cu: MICU cg: RN vo: 160 vu: ml
t0: [18:00:00 08/10/2012] id: Fentanyl el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 100 du: mcghr sv: 250 su: ml rt: IV Drip t0: [18:00:00 08/10/2012] id: Midazolam el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 3 du: mghr sv: 50 su: ml rt: IV Drip t0: [18:00:00 08/10/2012] id: Sandostatin el: 2 cu: MICU cg: RN so: D5W vo: 0 v1: 50 du: mcghr sv: 100 su: ml rt: IV Drip
t0: [23:00:00 08/10/2012] dt: 24 id: Stool Out Total el: 2 cu: MICU cg: RN cv: 225 ap: none
t0: [18:16:00 08/10/2012] id: BSA el: 1033 cu: MICU cg: -1 t0: [18:16:00 08/10/2012] id: Admit Wt el: 1032 cu: MICU cg: -1 v1: 84.2 u1: kg t0: [18:16:00 08/10/2012] id: Allergy 1 el: 1020 cu: MICU cg: -1 v1: No Known Drug Allergies t0: [18:16:00 08/10/2012] id: Diagnosis/op el: 1023 cu: MICU cg: -1 v1: VARICEAL BLEED t0: [18:16:00 08/10/2012] id: Service el: 1026 cu: MICU cg: -1 v1: MED t0: [18:16:00 08/10/2012] id: Admit Ht el: 1034 cu: MICU cg: -1 t0: [18:16:00 08/10/2012] id: Readmission el: 1014 cu: MICU cg: -1 t0: [18:16:00 08/10/2012] id: Marital Status el: 1006 cu: MICU cg: -1 v1: M t0: [18:16:00 08/10/2012] id: Religion el: 1000 cu: MICU cg: -1 v1: RCA t0: [18:16:00 08/10/2012] id: Allergy 2 el: 1021 cu: MICU cg: -1 t0: [18:16:00 08/10/2012] id: Ext el: 1010 cu: MICU cg: -1 t0: [18:16:00 08/10/2012] id: PIN el: 1012 cu: MICU cg: -1 t0: [18:16:00 08/10/2012] id: Allergy 3 el: 1022 cu: MICU cg: -1
t0: [20:00:00 08/10/2012] id: Less Restrict Meas. el: 0 cu: MICU cg: RN v1: Medicated st: NotStopd t0: [20:00:00 08/10/2012] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [20:00:00 08/10/2012] id: Circulation/SkinInt el: 0 cu: MICU cg: RN v1: Circulation Adeq st: NotStopd t0: [20:00:00 08/10/2012] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [20:00:00 08/10/2012] id: Cough Reflex el: 0 cu: MICU cg: RN v1: Intact st: NotStopd t0: [20:00:00 08/10/2012] id: GI Prophylaxis el: 0 cu: MICU cg: RN v1: Proton/Pump/Inhi v2: Proton/Pump/Inhi st: NotStopd t0: [20:00:00 08/10/2012] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [20:00:00 08/10/2012] id: Diet Type el: 0 cu: MICU cg: RN v1: NPO st: NotStopd t0: [20:00:00 08/10/2012] id: Dorsal PedPulse R/L el: 0 cu: MICU cg: RN v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [20:00:00 08/10/2012] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [20:00:00 08/10/2012] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [20:00:00 08/10/2012] id: Eye Opening el: 0 cu: MICU cg: RN v1: 3 To speech st: NotStopd t0: [20:00:00 08/10/2012] id: Follows Commands el: 0 cu: MICU cg: RN v1: Consistently st: NotStopd t0: [20:00:00 08/10/2012] id: GCS Total el: 0 cu: MICU cg: RN v1: 10 u1: points st: NotStopd t0: [20:00:00 08/10/2012] id: Gag Reflex el: 0 cu: MICU cg: RN v1: Intact st: NotStopd t0: [20:00:00 08/10/2012] id: HOB el: 0 cu: MICU cg: RN v1: 30 degrees st: NotStopd t0: [20:00:00 08/10/2012] id: Heart Rate el: 0 cu: MICU cg: RN v1: 82 u1: BPM st: NotStopd t0: [20:00:00 08/10/2012] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [20:00:00 08/10/2012] id: INV Line#1 Type/Site el: 0 cu: MICU cg: RN v1: A-Line v2: Left Radial st: NotStopd t0: [20:00:00 08/10/2012] id: INV Line#1 Zero/Cal el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [20:00:00 08/10/2012] id: INV Line#1InsertDate el: 0 cu: MICU cg: RN v1: 9 v2: 13 st: NotStopd t0: [20:00:00 08/10/2012] id: INV Line#1SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [20:00:00 08/10/2012] id: INV Line#3 Type/Site el: 0 cu: MICU cg: RN v1: Multi-lumen v2: Right IJ st: NotStopd t0: [20:00:00 08/10/2012] id: INV Line#3InsertDate el: 0 cu: MICU cg: RN v1: 9 v2: 14 st: NotStopd t0: [20:00:00 08/10/2012] id: INV Line#3SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [20:00:00 08/10/2012] id: Abdominal Assessment el: 0 cu: MICU cg: RN v1: Ascites st: NotStopd t0: [20:00:00 08/10/2012] id: INV#1 WaveformAppear el: 0 cu: MICU cg: RN v1: Sharp st: NotStopd t0: [20:00:00 08/10/2012] id: IV #1 Insert Date el: 0 cu: MICU cg: RN v1: 9 v2: 13 st: NotStopd t0: [20:00:00 08/10/2012] id: IV #1 Site/Size el: 0 cu: MICU cg: RN v1: LL Ant Forearm v2: 20 gauge st: NotStopd t0: [20:00:00 08/10/2012] id: IV #2 Insert Date el: 0 cu: MICU cg: RN v1: 9 v2: 13 st: NotStopd t0: [20:00:00 08/10/2012] id: IV #2 Site/Size el: 0 cu: MICU cg: RN v1: LL Ant Forearm v2: 20 gauge st: NotStopd t0: [20:00:00 08/10/2012] id: IV #3 Insert Date el: 0 cu: MICU cg: RN v1: 9 v2: 12 st: NotStopd t0: [20:00:00 08/10/2012] id: IV #3 Site/Size el: 0 cu: MICU cg: RN v1: Right Hand v2: 18 gauge st: NotStopd t0: [20:00:00 08/10/2012] id: IV #4 Insert Date el: 0 cu: MICU cg: RN v1: 9 v2: 12 st: NotStopd t0: [20:00:00 08/10/2012] id: IV #4 Site/Size el: 0 cu: MICU cg: RN v1: RL Ant Forearm v2: 18 gauge st: NotStopd t0: [20:00:00 08/10/2012] id: Activity el: 0 cu: MICU cg: RN v1: Bedrest st: NotStopd t0: [20:00:00 08/10/2012] id: IV Site Appear #1 el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [20:00:00 08/10/2012] id: IV Site Appear #2 el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [20:00:00 08/10/2012] id: IV Site Appear #3 el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [20:00:00 08/10/2012] id: IV Site Appear #4 el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [20:00:00 08/10/2012] id: Activity Tolerance el: 0 cu: MICU cg: RN v1: Tolerated Well st: NotStopd t0: [20:00:00 08/10/2012] id: Level of Conscious el: 0 cu: MICU cg: RN v1: Arouse to Voice st: NotStopd t0: [20:00:00 08/10/2012] id: Angio Appearance #1 el: 0 cu: MICU cg: RN v1: Clean and Dry v2: Clean and Dry st: NotStopd t0: [20:00:00 08/10/2012] id: Motor Response el: 0 cu: MICU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [20:00:00 08/10/2012] id: Oral Cavity el: 0 cu: MICU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [20:00:00 08/10/2012] id: Orientation el: 0 cu: MICU cg: RN v1: Other/Remarks st: NotStopd t0: [20:00:00 08/10/2012] id: Angio Site #1 el: 0 cu: MICU cg: RN v1: R Femoral st: NotStopd t0: [20:00:00 08/10/2012] id: AntiEmbDevice/Status el: 0 cu: MICU cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [20:00:00 08/10/2012] id: Arterial BP el: 0 cu: MICU cg: RN v1: 121 u1: mmHg v2: 59 u2: mmHg st: NotStopd t0: [20:00:00 08/10/2012] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 78 u1: mmHg st: NotStopd t0: [20:00:00 08/10/2012] id: Position el: 0 cu: MICU cg: RN v1: Right Side st: NotStopd t0: [20:00:00 08/10/2012] id: PostTib. Pulses R/L el: 0 cu: MICU cg: RN v1: Strong/Palpable v2: Strong/Palpable st: NotStopd t0: [20:00:00 08/10/2012] id: Assistance Device el: 0 cu: MICU cg: RN v1: 2 Person Assist st: NotStopd t0: [20:00:00 08/10/2012] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [20:00:00 08/10/2012] id: Pupil Response R/L el: 0 cu: MICU cg: RN v1: Brisk v2: Brisk st: NotStopd t0: [20:00:00 08/10/2012] id: Pupil Size R/L el: 0 cu: MICU cg: RN v1: 2 mm v2: 2 mm st: NotStopd t0: [20:00:00 08/10/2012] id: Reason For Restraint el: 0 cu: MICU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [20:00:00 08/10/2012] id: Respiratory Pattern el: 0 cu: MICU cg: RN v1: Regular st: NotStopd t0: [20:00:00 08/10/2012] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 21 u1: BPM st: NotStopd t0: [20:00:00 08/10/2012] id: Restraint Location el: 0 cu: MICU cg: RN v1: Both Arms st: NotStopd t0: [20:00:00 08/10/2012] id: Restraint Type el: 0 cu: MICU cg: RN v1: Soft Limb st: NotStopd t0: [20:00:00 08/10/2012] id: Side Rails el: 0 cu: MICU cg: RN v1: Side Rails Up st: NotStopd t0: [20:00:00 08/10/2012] id: Skin Color el: 0 cu: MICU cg: RN v1: Jaundiced st: NotStopd t0: [20:00:00 08/10/2012] id: Skin Integrity el: 0 cu: MICU cg: RN v1: Intact st: NotStopd t0: [20:00:00 08/10/2012] id: Skin Temp/Condition el: 0 cu: MICU cg: RN v1: Warm v2: Dry st: NotStopd t0: [20:00:00 08/10/2012] id: SpO2 el: 0 cu: MICU cg: RN v1: 99 u1: % st: NotStopd t0: [20:00:00 08/10/2012] id: Spontaneous Movement el: 0 cu: MICU cg: RN v1: Nonpurposeful st: NotStopd t0: [20:00:00 08/10/2012] id: Stool Guaiac el: 0 cu: MICU cg: RN v1: Positive st: NotStopd t0: [20:00:00 08/10/2012] id: Support Systems el: 0 cu: MICU cg: RN v1: Spouse st: NotStopd t0: [20:00:00 08/10/2012] id: Temp. Site el: 0 cu: MICU cg: RN v1: Oral st: NotStopd t0: [20:00:00 08/10/2012] id: Temperature C (calc) el: 0 cu: MICU cg: RN v1: 36.6667 u1: Deg. C st: NotStopd t0: [20:00:00 08/10/2012] id: Temperature F el: 0 cu: MICU cg: RN v1: 98 u1: Deg. F st: NotStopd t0: [20:00:00 08/10/2012] id: Turn el: 0 cu: MICU cg: RN v1: Right Side st: NotStopd t0: [20:00:00 08/10/2012] id: Urine Color/Appear el: 0 cu: MICU cg: RN v1: Icteric v2: Clear st: NotStopd t0: [20:00:00 08/10/2012] id: Urine Source el: 0 cu: MICU cg: RN v1: Indwelling Cath st: NotStopd t0: [20:00:00 08/10/2012] id: Verbal Response el: 0 cu: MICU cg: RN v1: 1 No Response st: NotStopd t0: [20:00:00 08/10/2012] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [20:00:00 08/10/2012] id: Bowel Sounds el: 0 cu: MICU cg: RN v1: Hypoactive st: NotStopd t0: [20:00:00 08/10/2012] id: Braden Activity el: 0 cu: MICU cg: RN v1: Bedfast st: NotStopd t0: [20:00:00 08/10/2012] id: Braden Frict/Shear el: 0 cu: MICU cg: RN v1: Potential Prob st: NotStopd t0: [20:00:00 08/10/2012] id: Braden Mobility el: 0 cu: MICU cg: RN v1: Very Limited st: NotStopd t0: [20:00:00 08/10/2012] id: Braden Moisture el: 0 cu: MICU cg: RN v1: Occ. Moist st: NotStopd t0: [20:00:00 08/10/2012] id: Braden Nutrition el: 0 cu: MICU cg: RN v1: Prob. Inadequate st: NotStopd t0: [20:00:00 08/10/2012] id: Braden Score el: 0 cu: MICU cg: RN v1: 12 u1: number st: NotStopd t0: [20:00:00 08/10/2012] id: Braden SensoryPercep el: 0 cu: MICU cg: RN v1: Very Limited st: NotStopd
t0: [20:00:00 08/10/2012] id: D5W 250.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 105 vo: 0 vu: ml t0: [20:00:00 08/10/2012] id: D5W 100.0ml + 600mcghr Sandostatin IV Infusions el: 2 cu: MICU cg: RN ai: 107 vo: 16.6667 vu: ml t0: [20:00:00 08/10/2012] id: TPN 1000.0ml IV Infusions el: 1 cu: MICU cg: RN ai: -1 vo: 83.6 vu: ml t0: [20:00:00 08/10/2012] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU cg: RN ai: 416 vo: 20 vu: ml t0: [20:00:00 08/10/2012] id: .9% Normal Saline 50.0ml + 50mghr Midazolam IV Infusions el: 1 cu: MICU cg: RN ai: 189 vo: 6 vu: ml t0: [20:00:00 08/10/2012] id: Urine Out Void el: 1 cu: MICU cg: RN vo: 100 vu: ml
t0: [20:00:00 08/10/2012] id: Fentanyl el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 100 du: mcghr sv: 250 su: ml rt: IV Drip t0: [20:00:00 08/10/2012] id: Midazolam el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 3 du: mghr sv: 50 su: ml rt: IV Drip t0: [20:00:00 08/10/2012] id: Sandostatin el: 2 cu: MICU cg: RN so: D5W vo: 0 v1: 50 du: mcghr sv: 100 su: ml rt: IV Drip
tf: [11:00:00 17/10/2012] pt: IV Piggyback rt: IV fr: Q24H fs: 20 dn: 1 m1: Ciprofloxacin in D5W v1: 200 u1: mg m2: D5W v2: 100 u2: ml
t0: [20:00:00 08/10/2012] id: HI/Minute/Vol/Alarm el: 0 cu: MICU cg: RRT v1: 16 t0: [20:00:00 08/10/2012] id: Compliance (40-60ml) el: 0 cu: MICU cg: RRT v1: 33.3333 u1: ml/cmH st: NotStopd t0: [20:00:00 08/10/2012] id: ETT Mark/Location el: 0 cu: MICU cg: RRT v1: 23cm v2: Lip st: NotStopd t0: [20:00:00 08/10/2012] id: FiO2 Set el: 0 cu: MICU cg: RRT v1: 0.35 u1: torr st: NotStopd t0: [20:00:00 08/10/2012] id: High Insp. Pressure el: 0 cu: MICU cg: RRT v1: 45 u1: cmH2O st: NotStopd t0: [20:00:00 08/10/2012] id: High Resp. Rate el: 0 cu: MICU cg: RRT v1: 20 u1: BPM st: NotStopd t0: [20:00:00 08/10/2012] id: I:E Ratio el: 0 cu: MICU cg: RRT v1: 1:4 st: NotStopd t0: [20:00:00 08/10/2012] id: Airway Size el: 0 cu: MICU cg: RRT v1: 7.5 mm st: NotStopd t0: [20:00:00 08/10/2012] id: Airway Type el: 0 cu: MICU cg: RRT v1: Endotracheal st: NotStopd t0: [20:00:00 08/10/2012] id: Inspired Gas Temp el: 0 cu: MICU cg: RRT v1: 34 u1: Deg. C st: NotStopd t0: [20:00:00 08/10/2012] id: Intubation Date el: 0 cu: MICU cg: RRT v1: 9 v2: 13 st: NotStopd t0: [20:00:00 08/10/2012] id: Low Exhaled Min Vol el: 0 cu: MICU cg: RRT v1: 6 st: NotStopd t0: [20:00:00 08/10/2012] id: Mean Airway Pressure el: 0 cu: MICU cg: RRT v1: 9 u1: cmH2O st: NotStopd t0: [20:00:00 08/10/2012] id: Minute Volume(Obser) el: 0 cu: MICU cg: RRT v1: 8.35 u1: L/min st: NotStopd t0: [20:00:00 08/10/2012] id: PEEP Set el: 0 cu: MICU cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [20:00:00 08/10/2012] id: Apnea Time Interval el: 0 cu: MICU cg: RRT v1: 20 st: NotStopd t0: [20:00:00 08/10/2012] id: Peak Insp. Pressure el: 0 cu: MICU cg: RRT v1: 26 u1: cmH2O st: NotStopd t0: [20:00:00 08/10/2012] id: Plateau Pressure el: 0 cu: MICU cg: RRT v1: 22 u1: cmH2O st: NotStopd t0: [20:00:00 08/10/2012] id: Plateau-Off el: 0 cu: MICU cg: RRT v1: Yes st: NotStopd t0: [20:00:00 08/10/2012] id: Resp Rate (Spont) el: 0 cu: MICU cg: RRT v1: 0 u1: BPM st: NotStopd t0: [20:00:00 08/10/2012] id: Resp Rate (Total) el: 0 cu: MICU cg: RRT v1: 12 u1: BPM st: NotStopd t0: [20:00:00 08/10/2012] id: Respiratory Rate Set el: 0 cu: MICU cg: RRT v1: 12 u1: BPM st: NotStopd t0: [20:00:00 08/10/2012] id: Sensitivity-Vent el: 0 cu: MICU cg: RRT v1: 2 u1: cmH2O st: NotStopd t0: [20:00:00 08/10/2012] id: Tidal Volume (Obser) el: 0 cu: MICU cg: RRT v1: 706 u1: ml/B st: NotStopd t0: [20:00:00 08/10/2012] id: Tidal Volume (Set) el: 0 cu: MICU cg: RRT v1: 700 u1: ml/B st: NotStopd t0: [20:00:00 08/10/2012] id: Ventilator Mode el: 0 cu: MICU cg: RRT v1: Assist Control st: NotStopd t0: [20:00:00 08/10/2012] id: Ventilator Type el: 0 cu: MICU cg: RRT v1: Drager st: NotStopd t0: [20:00:00 08/10/2012] id: Waveform-Vent el: 0 cu: MICU cg: RRT v1: RAMP st: NotStopd
t0: [20:00:00 08/10/2012] id: Fingerstick Glucose Chemistry el: 0 cu: MICU cg: RN v1: 118 rs: Manual st: NotStopd
t0: [20:21:00 08/10/2012] id: Hematocrit Hematology el: 0 cu: MICU cg: 1663 v1: 34.2 u1: % rs: Final st: NotStopd
t0: [22:00:00 08/10/2012] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [22:00:00 08/10/2012] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [22:00:00 08/10/2012] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [22:00:00 08/10/2012] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [22:00:00 08/10/2012] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [22:00:00 08/10/2012] id: Heart Rate el: 0 cu: MICU cg: RN v1: 84 u1: BPM st: NotStopd t0: [22:00:00 08/10/2012] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [22:00:00 08/10/2012] id: NBP el: 0 cu: MICU cg: RN v1: 0 u1: mmHg u2: mmHg st: NotStopd t0: [22:00:00 08/10/2012] id: Arterial BP el: 0 cu: MICU cg: RN v1: 118 u1: mmHg v2: 53 u2: mmHg st: NotStopd t0: [22:00:00 08/10/2012] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 72 u1: mmHg st: NotStopd t0: [22:00:00 08/10/2012] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [22:00:00 08/10/2012] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 23 u1: BPM st: NotStopd t0: [22:00:00 08/10/2012] id: SpO2 el: 0 cu: MICU cg: RN v1: 99 u1: % st: NotStopd t0: [22:00:00 08/10/2012] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [22:00:00 08/10/2012] tf: [01:00:00 09/10/2012] dt: 180 id: D5W 250.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 105 vo: 100 vu: ml t0: [22:00:00 08/10/2012] id: D5W 100.0ml + 600mcghr Sandostatin IV Infusions el: 2 cu: MICU cg: RN ai: 107 vo: 16.6667 vu: ml nb: 1 t0: [22:00:00 08/10/2012] id: TPN 1000.0ml IV Infusions el: 1 cu: MICU cg: RN ai: -1 vo: 83.6 vu: ml t0: [22:00:00 08/10/2012] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU cg: RN ai: 416 vo: 20 vu: ml t0: [22:00:00 08/10/2012] id: .9% Normal Saline 50.0ml + 50mghr Midazolam IV Infusions el: 1 cu: MICU cg: RN ai: 189 vo: 6 vu: ml t0: [22:00:00 08/10/2012] id: Urine Out Void el: 1 cu: MICU cg: RN vo: 100 vu: ml
t0: [22:00:00 08/10/2012] id: Fentanyl el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 100 du: mcghr sv: 250 su: ml rt: IV Drip t0: [22:00:00 08/10/2012] id: Midazolam el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 3 du: mghr sv: 50 su: ml rt: IV Drip t0: [22:00:00 08/10/2012] id: Sandostatin el: 2 cu: MICU cg: RN so: D5W vo: 0 v1: 50 du: mcghr sv: 100 su: ml rt: IV Drip
t0: [23:00:00 08/10/2012] dt: 24 id: IV Nutrition Total el: 2 cu: MICU cg: RN cv: 250.8 ap: none
t0: [23:00:00 08/10/2012] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [23:00:00 08/10/2012] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [23:00:00 08/10/2012] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [23:00:00 08/10/2012] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [23:00:00 08/10/2012] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [23:00:00 08/10/2012] id: Heart Rate el: 0 cu: MICU cg: RN v1: 81 u1: BPM st: NotStopd t0: [23:00:00 08/10/2012] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [23:00:00 08/10/2012] id: Arterial BP el: 0 cu: MICU cg: RN v1: 110 u1: mmHg v2: 47 u2: mmHg st: NotStopd t0: [23:00:00 08/10/2012] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 65 u1: mmHg st: NotStopd t0: [23:00:00 08/10/2012] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [23:00:00 08/10/2012] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 26 u1: BPM st: NotStopd t0: [23:00:00 08/10/2012] id: SpO2 el: 0 cu: MICU cg: RN v1: 99 u1: % st: NotStopd t0: [23:00:00 08/10/2012] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [23:00:00 08/10/2012] id: Urine Out Void el: 1 cu: MICU cg: RN vo: 50 vu: ml
t0: [23:00:00 08/10/2012] id: Fentanyl el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 100 du: mcghr sv: 250 su: ml rt: IV Drip t0: [23:00:00 08/10/2012] id: Midazolam el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 3 du: mghr sv: 50 su: ml rt: IV Drip t0: [23:00:00 08/10/2012] id: Sandostatin el: 2 cu: MICU cg: RN so: D5W vo: 0 v1: 50 du: mcghr sv: 100 su: ml rt: IV Drip
t0: [00:20:00 09/10/2012] id: HI/Minute/Vol/Alarm el: 0 cu: MICU cg: RRT v1: 16 t0: [00:20:00 09/10/2012] id: Compliance (40-60ml) el: 0 cu: MICU cg: RRT v1: 26.9231 u1: ml/cmH st: NotStopd t0: [00:20:00 09/10/2012] id: ETT Mark/Location el: 0 cu: MICU cg: RRT v1: 23cm v2: Lip st: NotStopd t0: [00:20:00 09/10/2012] id: FiO2 Set el: 0 cu: MICU cg: RRT v1: 0.35 u1: torr st: NotStopd t0: [00:20:00 09/10/2012] id: High Insp. Pressure el: 0 cu: MICU cg: RRT v1: 45 u1: cmH2O st: NotStopd t0: [00:20:00 09/10/2012] id: High Resp. Rate el: 0 cu: MICU cg: RRT v1: 20 u1: BPM st: NotStopd t0: [00:20:00 09/10/2012] id: I:E Ratio el: 0 cu: MICU cg: RRT v1: 1:4 st: NotStopd t0: [00:20:00 09/10/2012] id: Airway Size el: 0 cu: MICU cg: RRT v1: 7.5 mm st: NotStopd t0: [00:20:00 09/10/2012] id: Airway Type el: 0 cu: MICU cg: RRT v1: Endotracheal st: NotStopd t0: [00:20:00 09/10/2012] id: Inspired Gas Temp el: 0 cu: MICU cg: RRT v1: 34 u1: Deg. C st: NotStopd t0: [00:20:00 09/10/2012] id: Intubation Date el: 0 cu: MICU cg: RRT v1: 9 v2: 13 st: NotStopd t0: [00:20:00 09/10/2012] id: Low Exhaled Min Vol el: 0 cu: MICU cg: RRT v1: 6 st: NotStopd t0: [00:20:00 09/10/2012] id: Mean Airway Pressure el: 0 cu: MICU cg: RRT v1: 12 u1: cmH2O st: NotStopd t0: [00:20:00 09/10/2012] id: Minute Volume(Obser) el: 0 cu: MICU cg: RRT v1: 8.5 u1: L/min st: NotStopd t0: [00:20:00 09/10/2012] id: PEEP Set el: 0 cu: MICU cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [00:20:00 09/10/2012] id: Apnea Time Interval el: 0 cu: MICU cg: RRT v1: 20 st: NotStopd t0: [00:20:00 09/10/2012] id: Peak Insp. Pressure el: 0 cu: MICU cg: RRT v1: 31 u1: cmH2O st: NotStopd t0: [00:20:00 09/10/2012] id: Plateau Pressure el: 0 cu: MICU cg: RRT v1: 26 u1: cmH2O st: NotStopd t0: [00:20:00 09/10/2012] id: Plateau-Off el: 0 cu: MICU cg: RRT v1: Yes st: NotStopd t0: [00:20:00 09/10/2012] id: Resp Rate (Spont) el: 0 cu: MICU cg: RRT v1: 0 u1: BPM st: NotStopd t0: [00:20:00 09/10/2012] id: Resp Rate (Total) el: 0 cu: MICU cg: RRT v1: 12 u1: BPM st: NotStopd t0: [00:20:00 09/10/2012] id: Respiratory Rate Set el: 0 cu: MICU cg: RRT v1: 12 u1: BPM st: NotStopd t0: [00:20:00 09/10/2012] id: Sensitivity-Vent el: 0 cu: MICU cg: RRT v1: 2 u1: cmH2O st: NotStopd t0: [00:20:00 09/10/2012] id: SpO2 el: 0 cu: MICU cg: RRT v1: 99 u1: % st: NotStopd t0: [00:20:00 09/10/2012] id: Tidal Volume (Obser) el: 0 cu: MICU cg: RRT v1: 735 u1: ml/B st: NotStopd t0: [00:20:00 09/10/2012] id: Tidal Volume (Set) el: 0 cu: MICU cg: RRT v1: 700 u1: ml/B st: NotStopd t0: [00:20:00 09/10/2012] id: Ventilator Mode el: 0 cu: MICU cg: RRT v1: Assist Control st: NotStopd t0: [00:20:00 09/10/2012] id: Ventilator Type el: 0 cu: MICU cg: RRT v1: Drager st: NotStopd t0: [00:20:00 09/10/2012] id: Waveform-Vent el: 0 cu: MICU cg: RRT v1: RAMP st: NotStopd
t0: [00:00:00 09/10/2012] id: Range of Motion el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [00:00:00 09/10/2012] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [00:00:00 09/10/2012] id: Circulation/SkinInt el: 0 cu: MICU cg: RN v1: Circulation Adeq st: NotStopd t0: [00:00:00 09/10/2012] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [00:00:00 09/10/2012] id: Cough Reflex el: 0 cu: MICU cg: RN v1: Intact st: NotStopd t0: [00:00:00 09/10/2012] id: GI Prophylaxis el: 0 cu: MICU cg: RN v1: Proton/Pump/Inhi v2: Proton/Pump/Inhi st: NotStopd t0: [00:00:00 09/10/2012] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [00:00:00 09/10/2012] id: Diet Type el: 0 cu: MICU cg: RN v1: NPO st: NotStopd t0: [00:00:00 09/10/2012] id: Dorsal PedPulse R/L el: 0 cu: MICU cg: RN v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [00:00:00 09/10/2012] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [00:00:00 09/10/2012] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [00:00:00 09/10/2012] id: Eye Opening el: 0 cu: MICU cg: RN v1: 3 To speech st: NotStopd t0: [00:00:00 09/10/2012] id: Follows Commands el: 0 cu: MICU cg: RN v1: Consistently st: NotStopd t0: [00:00:00 09/10/2012] id: GCS Total el: 0 cu: MICU cg: RN v1: 9 u1: points st: NotStopd t0: [00:00:00 09/10/2012] id: Gag Reflex el: 0 cu: MICU cg: RN v1: Intact st: NotStopd t0: [00:00:00 09/10/2012] id: HOB el: 0 cu: MICU cg: RN v1: 30 degrees st: NotStopd t0: [00:00:00 09/10/2012] id: Heart Rate el: 0 cu: MICU cg: RN v1: 84 u1: BPM st: NotStopd t0: [00:00:00 09/10/2012] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [00:00:00 09/10/2012] id: Abdominal Assessment el: 0 cu: MICU cg: RN v1: Ascites st: NotStopd t0: [00:00:00 09/10/2012] id: Activity el: 0 cu: MICU cg: RN v1: Bedrest st: NotStopd t0: [00:00:00 09/10/2012] id: Activity Tolerance el: 0 cu: MICU cg: RN v1: Tolerated Well st: NotStopd t0: [00:00:00 09/10/2012] id: Level of Conscious el: 0 cu: MICU cg: RN v1: Arouse to Voice st: NotStopd t0: [00:00:00 09/10/2012] id: Angio Appearance #1 el: 0 cu: MICU cg: RN v1: Clean and Dry v2: Clean and Dry st: NotStopd t0: [00:00:00 09/10/2012] id: Motor Response el: 0 cu: MICU cg: RN v1: 5 Localizes Pain st: NotStopd t0: [00:00:00 09/10/2012] id: Oral Cavity el: 0 cu: MICU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [00:00:00 09/10/2012] id: Orientation el: 0 cu: MICU cg: RN v1: Other/Remarks st: NotStopd t0: [00:00:00 09/10/2012] id: Angio Site #1 el: 0 cu: MICU cg: RN v1: R Femoral st: NotStopd t0: [00:00:00 09/10/2012] id: AntiEmbDevice/Status el: 0 cu: MICU cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [00:00:00 09/10/2012] id: Arterial BP el: 0 cu: MICU cg: RN v1: 118 u1: mmHg v2: 52 u2: mmHg st: NotStopd t0: [00:00:00 09/10/2012] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 72 u1: mmHg st: NotStopd t0: [00:00:00 09/10/2012] id: Position el: 0 cu: MICU cg: RN v1: Right Side st: NotStopd t0: [00:00:00 09/10/2012] id: Position Change el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [00:00:00 09/10/2012] id: PostTib. Pulses R/L el: 0 cu: MICU cg: RN v1: Strong/Palpable v2: Strong/Palpable st: NotStopd t0: [00:00:00 09/10/2012] id: Assistance Device el: 0 cu: MICU cg: RN v1: 2 Person Assist st: NotStopd t0: [00:00:00 09/10/2012] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [00:00:00 09/10/2012] id: Pupil Response R/L el: 0 cu: MICU cg: RN v1: Brisk v2: Brisk st: NotStopd t0: [00:00:00 09/10/2012] id: Pupil Size R/L el: 0 cu: MICU cg: RN v1: 2 mm v2: 2 mm st: NotStopd t0: [00:00:00 09/10/2012] id: Reason For Restraint el: 0 cu: MICU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [00:00:00 09/10/2012] id: Removed x 5 Mins el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [00:00:00 09/10/2012] id: Respiratory Pattern el: 0 cu: MICU cg: RN v1: Regular st: NotStopd t0: [00:00:00 09/10/2012] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 23 u1: BPM st: NotStopd t0: [00:00:00 09/10/2012] id: Restraint Location el: 0 cu: MICU cg: RN v1: Both Arms st: NotStopd t0: [00:00:00 09/10/2012] id: Restraint Type el: 0 cu: MICU cg: RN v1: Soft Limb st: NotStopd t0: [00:00:00 09/10/2012] id: Restraints Evaluated el: 0 cu: MICU cg: RN v1: Behavior Conts st: NotStopd t0: [00:00:00 09/10/2012] id: Side Rails el: 0 cu: MICU cg: RN v1: Side Rails Up st: NotStopd t0: [00:00:00 09/10/2012] id: Skin Color el: 0 cu: MICU cg: RN v1: Jaundiced st: NotStopd t0: [00:00:00 09/10/2012] id: Skin Integrity el: 0 cu: MICU cg: RN v1: Intact st: NotStopd t0: [00:00:00 09/10/2012] id: Skin Temp/Condition el: 0 cu: MICU cg: RN v1: Warm v2: Dry st: NotStopd t0: [00:00:00 09/10/2012] id: SpO2 el: 0 cu: MICU cg: RN v1: 99 u1: % st: NotStopd t0: [00:00:00 09/10/2012] id: Spontaneous Movement el: 0 cu: MICU cg: RN v1: Nonpurposeful st: NotStopd t0: [00:00:00 09/10/2012] id: Sputum Color/Consist el: 0 cu: MICU cg: RN v1: Yellow v2: Thick st: NotStopd t0: [00:00:00 09/10/2012] id: Sputum Source/Amt el: 0 cu: MICU cg: RN v1: Suctioned v2: Moderate st: NotStopd t0: [00:00:00 09/10/2012] id: Stool Guaiac el: 0 cu: MICU cg: RN v1: Positive st: NotStopd t0: [00:00:00 09/10/2012] id: Support Systems el: 0 cu: MICU cg: RN v1: Spouse st: NotStopd t0: [00:00:00 09/10/2012] id: Temperature C (calc) el: 0 cu: MICU cg: RN v1: 36.7222 u1: Deg. C st: NotStopd t0: [00:00:00 09/10/2012] id: Temperature F el: 0 cu: MICU cg: RN v1: 98.1 u1: Deg. F st: NotStopd t0: [00:00:00 09/10/2012] id: Turn el: 0 cu: MICU cg: RN v1: Left Side st: NotStopd t0: [00:00:00 09/10/2012] id: Urine Color/Appear el: 0 cu: MICU cg: RN v1: Icteric v2: Clear st: NotStopd t0: [00:00:00 09/10/2012] id: Urine Source el: 0 cu: MICU cg: RN v1: Indwelling Cath st: NotStopd t0: [00:00:00 09/10/2012] id: Verbal Response el: 0 cu: MICU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [00:00:00 09/10/2012] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [00:00:00 09/10/2012] id: Fingerstick Glucose Chemistry el: 0 cu: MICU cg: RN v1: 119 rs: Manual st: NotStopd t0: [00:00:00 09/10/2012] id: Bowel Sounds el: 0 cu: MICU cg: RN v1: Hypoactive st: NotStopd t0: [00:00:00 09/10/2012] id: Braden Activity el: 0 cu: MICU cg: RN v1: Bedfast st: NotStopd t0: [00:00:00 09/10/2012] id: Braden Frict/Shear el: 0 cu: MICU cg: RN v1: Potential Prob st: NotStopd t0: [00:00:00 09/10/2012] id: Braden Mobility el: 0 cu: MICU cg: RN v1: Very Limited st: NotStopd t0: [00:00:00 09/10/2012] id: Braden Moisture el: 0 cu: MICU cg: RN v1: Occ. Moist st: NotStopd t0: [00:00:00 09/10/2012] id: Braden Nutrition el: 0 cu: MICU cg: RN v1: Prob. Inadequate st: NotStopd t0: [00:00:00 09/10/2012] id: Braden Score el: 0 cu: MICU cg: RN v1: 12 u1: number st: NotStopd t0: [00:00:00 09/10/2012] id: Braden SensoryPercep el: 0 cu: MICU cg: RN v1: Very Limited st: NotStopd
t0: [00:00:00 09/10/2012] id: D5W 250.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 105 vo: 100 vu: ml t0: [00:00:00 09/10/2012] id: D5W 100.0ml + 600mcghr Sandostatin IV Infusions el: 2 cu: MICU cg: RN ai: 107 vo: 16.6667 vu: ml t0: [00:00:00 09/10/2012] id: TPN 1000.0ml IV Infusions el: 1 cu: MICU cg: RN ai: -1 vo: 83.6 vu: ml t0: [00:00:00 09/10/2012] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU cg: RN ai: 416 vo: 20 vu: ml t0: [00:00:00 09/10/2012] id: Stool Out Stool el: 1 cu: MICU cg: RN vo: 100 vu: ml t0: [00:00:00 09/10/2012] id: .9% Normal Saline 50.0ml + 50mghr Midazolam IV Infusions el: 1 cu: MICU cg: RN ai: 189 vo: 6 vu: ml t0: [00:00:00 09/10/2012] id: Urine Out Void el: 1 cu: MICU cg: RN vo: 145 vu: ml
t0: [00:00:00 09/10/2012] id: Fentanyl el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 100 du: mcghr sv: 250 su: ml rt: IV Drip t0: [00:00:00 09/10/2012] id: Midazolam el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 3 du: mghr sv: 50 su: ml rt: IV Drip t0: [00:00:00 09/10/2012] id: Sandostatin el: 2 cu: MICU cg: RN so: D5W vo: 0 v1: 50 du: mcghr sv: 100 su: ml rt: IV Drip
t0: [23:00:00 09/10/2012] dt: 24 id: Stool Out Total el: 2 cu: MICU cg: RN cv: 125 ap: none
t0: [00:30:00 09/10/2012] id: Hematocrit Hematology el: 0 cu: MICU cg: 1663 v1: 36.5 u1: % rs: Final st: NotStopd
t0: [00:00:00 09/10/2012] id: Cough Effort el: 0 cu: MICU cg: RN v1: Weak st: NotStopd t0: [00:00:00 09/10/2012] id: Cough Type el: 0 cu: MICU cg: RN v1: Productive st: NotStopd t0: [00:00:00 09/10/2012] id: LLL Lung Sounds el: 0 cu: MICU cg: RN v1: Diminished st: NotStopd t0: [00:00:00 09/10/2012] id: LUL Lung Sounds el: 0 cu: MICU cg: RN v1: Rhonchi st: NotStopd t0: [00:00:00 09/10/2012] id: RLL Lung Sounds el: 0 cu: MICU cg: RN v1: Rhonchi st: NotStopd t0: [00:00:00 09/10/2012] id: RUL Lung Sounds el: 0 cu: MICU cg: RN v1: Rhonchi st: NotStopd
t0: [01:00:00 09/10/2012] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [01:00:00 09/10/2012] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [01:00:00 09/10/2012] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [01:00:00 09/10/2012] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [01:00:00 09/10/2012] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [01:00:00 09/10/2012] id: Heart Rate el: 0 cu: MICU cg: RN v1: 89 u1: BPM st: NotStopd t0: [01:00:00 09/10/2012] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [01:00:00 09/10/2012] id: Arterial BP el: 0 cu: MICU cg: RN v1: 126 u1: mmHg v2: 58 u2: mmHg st: NotStopd t0: [01:00:00 09/10/2012] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 77 u1: mmHg st: NotStopd t0: [01:00:00 09/10/2012] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [01:00:00 09/10/2012] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 20 u1: BPM st: NotStopd t0: [01:00:00 09/10/2012] id: SpO2 el: 0 cu: MICU cg: RN v1: 97 u1: % st: NotStopd t0: [01:00:00 09/10/2012] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [02:00:00 09/10/2012] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [02:00:00 09/10/2012] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [02:00:00 09/10/2012] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [02:00:00 09/10/2012] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [02:00:00 09/10/2012] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [02:00:00 09/10/2012] id: Heart Rate el: 0 cu: MICU cg: RN v1: 86 u1: BPM st: NotStopd t0: [02:00:00 09/10/2012] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [02:00:00 09/10/2012] id: Arterial BP el: 0 cu: MICU cg: RN v1: 123 u1: mmHg v2: 57 u2: mmHg st: NotStopd t0: [02:00:00 09/10/2012] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 76 u1: mmHg st: NotStopd t0: [02:00:00 09/10/2012] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [02:00:00 09/10/2012] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 19 u1: BPM st: NotStopd t0: [02:00:00 09/10/2012] id: SpO2 el: 0 cu: MICU cg: RN v1: 97 u1: % st: NotStopd t0: [02:00:00 09/10/2012] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [01:00:00 09/10/2012] id: D5W 250.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 105 vo: 0 vu: ml t0: [01:00:00 09/10/2012] id: D5W 100.0ml + 600mcghr Sandostatin IV Infusions el: 2 cu: MICU cg: RN ai: 107 vo: 8.33333 vu: ml t0: [01:00:00 09/10/2012] id: TPN 1000.0ml IV Infusions el: 1 cu: MICU cg: RN ai: -1 vo: 41.8 vu: ml t0: [01:00:00 09/10/2012] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU cg: RN ai: 416 vo: 10 vu: ml t0: [01:00:00 09/10/2012] id: .9% Normal Saline 50.0ml + 50mghr Midazolam IV Infusions el: 1 cu: MICU cg: RN ai: 189 vo: 3 vu: ml t0: [02:00:00 09/10/2012] id: D5W 250.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 105 vo: 0 vu: ml t0: [02:00:00 09/10/2012] id: D5W 100.0ml + 600mcghr Sandostatin IV Infusions el: 2 cu: MICU cg: RN ai: 107 vo: 8.33333 vu: ml t0: [02:00:00 09/10/2012] id: TPN 1000.0ml IV Infusions el: 1 cu: MICU cg: RN ai: -1 vo: 41.8 vu: ml t0: [02:00:00 09/10/2012] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU cg: RN ai: 416 vo: 10 vu: ml t0: [02:00:00 09/10/2012] id: .9% Normal Saline 50.0ml + 50mghr Midazolam IV Infusions el: 1 cu: MICU cg: RN ai: 189 vo: 3 vu: ml t0: [02:00:00 09/10/2012] id: Urine Out Void el: 1 cu: MICU cg: RN vo: 140 vu: ml
t0: [01:00:00 09/10/2012] id: Fentanyl el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 100 du: mcghr sv: 250 su: ml rt: IV Drip t0: [01:00:00 09/10/2012] id: Midazolam el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 3 du: mghr sv: 50 su: ml rt: IV Drip t0: [01:00:00 09/10/2012] id: Sandostatin el: 2 cu: MICU cg: RN so: D5W vo: 0 v1: 50 du: mcghr sv: 100 su: ml rt: IV Drip t0: [02:00:00 09/10/2012] id: Fentanyl el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 100 du: mcghr sv: 250 su: ml rt: IV Drip t0: [02:00:00 09/10/2012] id: Midazolam el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 3 du: mghr sv: 50 su: ml rt: IV Drip t0: [02:00:00 09/10/2012] id: Sandostatin el: 2 cu: MICU cg: RN so: D5W vo: 0 v1: 50 du: mcghr sv: 100 su: ml rt: IV Drip
t0: [23:00:00 09/10/2012] dt: 1 id: Total Hourly Output el: 2 cu: MICU cg: RN cv: 0 ap: none t0: [23:00:00 09/10/2012] dt: 1 id: Net Hourly Balance el: 2 cu: MICU cg: RN cv: 0 ap: none t0: [23:00:00 09/10/2012] dt: 24 id: IV Infusion In Total el: 2 cu: MICU cg: RN cv: 917.625 ap: none t0: [23:00:00 09/10/2012] dt: 24 id: IV Nutrition Total el: 2 cu: MICU cg: RN cv: 1018.8 ap: none t0: [23:00:00 09/10/2012] dt: 24 id: 24h Total In el: 2 cu: MICU cg: RN cv: 1936.43 ap: none t0: [23:00:00 09/10/2012] dt: 24 id: Urine Out Total el: 2 cu: MICU cg: RN cv: 1935 ap: none t0: [23:00:00 09/10/2012] dt: 24 id: 24h Net Body Balance el: 2 cu: MICU cg: RN cv: -123.575 ap: none t0: [23:00:00 09/10/2012] dt: 24 id: 24h Total Out el: 2 cu: MICU cg: RN cv: 2060 ap: none t0: [23:00:00 09/10/2012] dt: multiple days id: LOS Net Body Balance el: 2 cu: MICU cg: RN cv: 18248.9 ap: carryForward
t0: [04:00:00 09/10/2012] id: HI/Minute/Vol/Alarm el: 0 cu: MICU cg: RRT v1: 16 t0: [04:00:00 09/10/2012] id: Compliance (40-60ml) el: 0 cu: MICU cg: RRT v1: 46.6667 u1: ml/cmH st: NotStopd t0: [04:00:00 09/10/2012] id: ETT Mark/Location el: 0 cu: MICU cg: RRT v1: 23cm v2: Lip st: NotStopd t0: [04:00:00 09/10/2012] id: FiO2 Set el: 0 cu: MICU cg: RRT v1: 0.35 u1: torr st: NotStopd t0: [04:00:00 09/10/2012] id: High Insp. Pressure el: 0 cu: MICU cg: RRT v1: 45 u1: cmH2O st: NotStopd t0: [04:00:00 09/10/2012] id: High Resp. Rate el: 0 cu: MICU cg: RRT v1: 20 u1: BPM st: NotStopd t0: [04:00:00 09/10/2012] id: Airway Size el: 0 cu: MICU cg: RRT v1: 7.5 mm st: NotStopd t0: [04:00:00 09/10/2012] id: Airway Type el: 0 cu: MICU cg: RRT v1: Endotracheal st: NotStopd t0: [04:00:00 09/10/2012] id: Inspired Gas Temp el: 0 cu: MICU cg: RRT v1: 34 u1: Deg. C st: NotStopd t0: [04:00:00 09/10/2012] id: Intubation Date el: 0 cu: MICU cg: RRT v1: 9 v2: 13 st: NotStopd t0: [04:00:00 09/10/2012] id: Low Exhaled Min Vol el: 0 cu: MICU cg: RRT v1: 6 st: NotStopd t0: [04:00:00 09/10/2012] id: Mean Airway Pressure el: 0 cu: MICU cg: RRT v1: 8 u1: cmH2O st: NotStopd t0: [04:00:00 09/10/2012] id: Minute Volume(Obser) el: 0 cu: MICU cg: RRT v1: 10.9 u1: L/min st: NotStopd t0: [04:00:00 09/10/2012] id: PEEP Set el: 0 cu: MICU cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [04:00:00 09/10/2012] id: Apnea Time Interval el: 0 cu: MICU cg: RRT v1: 20 st: NotStopd t0: [04:00:00 09/10/2012] id: Peak Insp. Pressure el: 0 cu: MICU cg: RRT v1: 20 u1: cmH2O st: NotStopd t0: [04:00:00 09/10/2012] id: Plateau Pressure el: 0 cu: MICU cg: RRT v1: 17 u1: cmH2O st: NotStopd t0: [04:00:00 09/10/2012] id: Plateau-Off el: 0 cu: MICU cg: RRT v1: Yes st: NotStopd t0: [04:00:00 09/10/2012] id: Resp Rate (Spont) el: 0 cu: MICU cg: RRT v1: 3 u1: BPM st: NotStopd t0: [04:00:00 09/10/2012] id: Resp Rate (Total) el: 0 cu: MICU cg: RRT v1: 15 u1: BPM st: NotStopd t0: [04:00:00 09/10/2012] id: Respiratory Rate Set el: 0 cu: MICU cg: RRT v1: 12 u1: BPM st: NotStopd t0: [04:00:00 09/10/2012] id: Sensitivity-Vent el: 0 cu: MICU cg: RRT v1: 2 u1: cmH2O st: NotStopd t0: [04:00:00 09/10/2012] id: SpO2 el: 0 cu: MICU cg: RRT v1: 96 u1: % st: NotStopd t0: [04:00:00 09/10/2012] id: Tidal Volume (Obser) el: 0 cu: MICU cg: RRT v1: 730 u1: ml/B st: NotStopd t0: [04:00:00 09/10/2012] id: Tidal Volume (Set) el: 0 cu: MICU cg: RRT v1: 700 u1: ml/B st: NotStopd t0: [04:00:00 09/10/2012] id: Ventilator Mode el: 0 cu: MICU cg: RRT v1: Assist Control st: NotStopd t0: [04:00:00 09/10/2012] id: Ventilator Type el: 0 cu: MICU cg: RRT v1: Drager st: NotStopd t0: [04:00:00 09/10/2012] id: Waveform-Vent el: 0 cu: MICU cg: RRT v1: RAMP st: NotStopd
t0: [04:00:00 09/10/2012] id: Range of Motion el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [04:00:00 09/10/2012] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [04:00:00 09/10/2012] id: Circulation/SkinInt el: 0 cu: MICU cg: RN v1: Circulation Adeq st: NotStopd t0: [04:00:00 09/10/2012] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [04:00:00 09/10/2012] id: Cough Effort el: 0 cu: MICU cg: RN v1: Weak st: NotStopd t0: [04:00:00 09/10/2012] id: Cough Reflex el: 0 cu: MICU cg: RN v1: Intact st: NotStopd t0: [04:00:00 09/10/2012] id: Cough Type el: 0 cu: MICU cg: RN v1: Productive st: NotStopd t0: [04:00:00 09/10/2012] id: GI Prophylaxis el: 0 cu: MICU cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [04:00:00 09/10/2012] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [04:00:00 09/10/2012] id: Diet Type el: 0 cu: MICU cg: RN v1: NPO st: NotStopd t0: [04:00:00 09/10/2012] id: Dorsal PedPulse R/L el: 0 cu: MICU cg: RN v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [04:00:00 09/10/2012] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [04:00:00 09/10/2012] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [04:00:00 09/10/2012] id: Eye Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [04:00:00 09/10/2012] id: Eye Opening el: 0 cu: MICU cg: RN v1: 3 To speech st: NotStopd t0: [04:00:00 09/10/2012] id: Follows Commands el: 0 cu: MICU cg: RN v1: Consistently st: NotStopd t0: [04:00:00 09/10/2012] id: GCS Total el: 0 cu: MICU cg: RN v1: 9 u1: points st: NotStopd t0: [04:00:00 09/10/2012] id: Gag Reflex el: 0 cu: MICU cg: RN v1: Intact st: NotStopd t0: [04:00:00 09/10/2012] id: HOB el: 0 cu: MICU cg: RN v1: 30 degrees st: NotStopd t0: [04:00:00 09/10/2012] id: Heart Rate el: 0 cu: MICU cg: RN v1: 95 u1: BPM st: NotStopd t0: [04:00:00 09/10/2012] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [04:00:00 09/10/2012] id: INV Line#1 Type/Site el: 0 cu: MICU cg: RN v1: A-Line v2: Left Radial st: NotStopd t0: [04:00:00 09/10/2012] id: INV Line#1InsertDate el: 0 cu: MICU cg: RN v1: 9 v2: 13 st: NotStopd t0: [04:00:00 09/10/2012] id: INV Line#1SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [04:00:00 09/10/2012] id: INV Line#3 Type/Site el: 0 cu: MICU cg: RN v1: Multi-lumen v2: Right IJ st: NotStopd t0: [04:00:00 09/10/2012] id: INV Line#3InsertDate el: 0 cu: MICU cg: RN v1: 9 v2: 14 st: NotStopd t0: [04:00:00 09/10/2012] id: INV Line#3SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [04:00:00 09/10/2012] id: Abdominal Assessment el: 0 cu: MICU cg: RN v1: Ascites st: NotStopd t0: [04:00:00 09/10/2012] id: IV #1 Insert Date el: 0 cu: MICU cg: RN v1: 9 v2: 13 st: NotStopd t0: [04:00:00 09/10/2012] id: IV #1 Site/Size el: 0 cu: MICU cg: RN v1: LL Ant Forearm v2: 20 gauge st: NotStopd t0: [04:00:00 09/10/2012] id: IV #2 Insert Date el: 0 cu: MICU cg: RN v1: 9 v2: 13 st: NotStopd t0: [04:00:00 09/10/2012] id: IV #2 Site/Size el: 0 cu: MICU cg: RN v1: LL Ant Forearm v2: 20 gauge st: NotStopd t0: [04:00:00 09/10/2012] id: IV #3 Insert Date el: 0 cu: MICU cg: RN v1: 9 v2: 12 st: NotStopd t0: [04:00:00 09/10/2012] id: IV #3 Site/Size el: 0 cu: MICU cg: RN v1: Right Hand v2: 18 gauge st: NotStopd t0: [04:00:00 09/10/2012] id: IV #4 Insert Date el: 0 cu: MICU cg: RN v1: 9 v2: 12 st: NotStopd t0: [04:00:00 09/10/2012] id: IV #4 Site/Size el: 0 cu: MICU cg: RN v1: RL Ant Forearm v2: 18 gauge st: NotStopd t0: [04:00:00 09/10/2012] id: Activity el: 0 cu: MICU cg: RN v1: Bedrest st: NotStopd t0: [04:00:00 09/10/2012] id: IV Site Appear #1 el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [04:00:00 09/10/2012] id: IV Site Appear #2 el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [04:00:00 09/10/2012] id: IV Site Appear #3 el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [04:00:00 09/10/2012] id: IV Site Appear #4 el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [04:00:00 09/10/2012] id: Activity Tolerance el: 0 cu: MICU cg: RN v1: Tolerated Well st: NotStopd t0: [04:00:00 09/10/2012] id: LLL Lung Sounds el: 0 cu: MICU cg: RN v1: Diminished st: NotStopd t0: [04:00:00 09/10/2012] id: LUL Lung Sounds el: 0 cu: MICU cg: RN v1: Rhonchi st: NotStopd t0: [04:00:00 09/10/2012] id: Level of Conscious el: 0 cu: MICU cg: RN v1: Arouse to Voice st: NotStopd t0: [04:00:00 09/10/2012] id: Angio Appearance #1 el: 0 cu: MICU cg: RN v1: Clean and Dry v2: Clean and Dry st: NotStopd t0: [04:00:00 09/10/2012] id: Motor Response el: 0 cu: MICU cg: RN v1: 5 Localizes Pain st: NotStopd t0: [04:00:00 09/10/2012] id: Oral Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [04:00:00 09/10/2012] id: Oral Cavity el: 0 cu: MICU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [04:00:00 09/10/2012] id: Orientation el: 0 cu: MICU cg: RN v1: Other/Remarks st: NotStopd t0: [04:00:00 09/10/2012] id: Angio Site #1 el: 0 cu: MICU cg: RN v1: R Femoral st: NotStopd t0: [04:00:00 09/10/2012] id: AntiEmbDevice/Status el: 0 cu: MICU cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [04:00:00 09/10/2012] id: Arterial BP el: 0 cu: MICU cg: RN v1: 135 u1: mmHg v2: 73 u2: mmHg st: NotStopd t0: [04:00:00 09/10/2012] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 94 u1: mmHg st: NotStopd t0: [04:00:00 09/10/2012] id: Position el: 0 cu: MICU cg: RN v1: Supine st: NotStopd t0: [04:00:00 09/10/2012] id: Position Change el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [04:00:00 09/10/2012] id: PostTib. Pulses R/L el: 0 cu: MICU cg: RN v1: Strong/Palpable v2: Strong/Palpable st: NotStopd t0: [04:00:00 09/10/2012] id: Assistance Device el: 0 cu: MICU cg: RN v1: 2 Person Assist st: NotStopd t0: [04:00:00 09/10/2012] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [04:00:00 09/10/2012] id: Pupil Response R/L el: 0 cu: MICU cg: RN v1: Brisk v2: Brisk st: NotStopd t0: [04:00:00 09/10/2012] id: Pupil Size R/L el: 0 cu: MICU cg: RN v1: 2 mm v2: 2 mm st: NotStopd t0: [04:00:00 09/10/2012] id: RLL Lung Sounds el: 0 cu: MICU cg: RN v1: Rhonchi st: NotStopd t0: [04:00:00 09/10/2012] id: RUL Lung Sounds el: 0 cu: MICU cg: RN v1: Rhonchi st: NotStopd t0: [04:00:00 09/10/2012] id: Reason For Restraint el: 0 cu: MICU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [04:00:00 09/10/2012] id: Removed x 5 Mins el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [04:00:00 09/10/2012] id: Respiratory Pattern el: 0 cu: MICU cg: RN v1: Regular st: NotStopd t0: [04:00:00 09/10/2012] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 20 u1: BPM st: NotStopd t0: [04:00:00 09/10/2012] id: Restraint Location el: 0 cu: MICU cg: RN v1: Both Arms st: NotStopd t0: [04:00:00 09/10/2012] id: Restraint Type el: 0 cu: MICU cg: RN v1: Soft Limb st: NotStopd t0: [04:00:00 09/10/2012] id: Restraints Evaluated el: 0 cu: MICU cg: RN v1: Behavior Conts st: NotStopd t0: [04:00:00 09/10/2012] id: Side Rails el: 0 cu: MICU cg: RN v1: Side Rails Up st: NotStopd t0: [04:00:00 09/10/2012] id: Skin Color el: 0 cu: MICU cg: RN v1: Jaundiced st: NotStopd t0: [04:00:00 09/10/2012] id: Skin Integrity el: 0 cu: MICU cg: RN v1: Intact st: NotStopd t0: [04:00:00 09/10/2012] id: Skin Temp/Condition el: 0 cu: MICU cg: RN v1: Warm v2: Dry st: NotStopd t0: [04:00:00 09/10/2012] id: Spontaneous Movement el: 0 cu: MICU cg: RN v1: Nonpurposeful st: NotStopd t0: [04:00:00 09/10/2012] id: Sputum Color/Consist el: 0 cu: MICU cg: RN v1: Yellow v2: Thick st: NotStopd t0: [04:00:00 09/10/2012] id: Sputum Source/Amt el: 0 cu: MICU cg: RN v1: Suctioned v2: Small st: NotStopd t0: [04:00:00 09/10/2012] id: Stool Guaiac el: 0 cu: MICU cg: RN v1: Positive st: NotStopd t0: [04:00:00 09/10/2012] id: Support Systems el: 0 cu: MICU cg: RN v1: Spouse st: NotStopd t0: [04:00:00 09/10/2012] id: Temp. Site el: 0 cu: MICU cg: RN v1: Oral st: NotStopd t0: [04:00:00 09/10/2012] id: Temperature C (calc) el: 0 cu: MICU cg: RN v1: 36.8889 u1: Deg. C st: NotStopd t0: [04:00:00 09/10/2012] id: Temperature F el: 0 cu: MICU cg: RN v1: 98.4 u1: Deg. F st: NotStopd t0: [04:00:00 09/10/2012] id: Turn el: 0 cu: MICU cg: RN v1: Back st: NotStopd t0: [04:00:00 09/10/2012] id: Urine Color/Appear el: 0 cu: MICU cg: RN v1: Icteric v2: Clear st: NotStopd t0: [04:00:00 09/10/2012] id: Urine Source el: 0 cu: MICU cg: RN v1: Indwelling Cath st: NotStopd t0: [04:00:00 09/10/2012] id: Verbal Response el: 0 cu: MICU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [04:00:00 09/10/2012] id: Back Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [04:00:00 09/10/2012] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [04:00:00 09/10/2012] id: Bowel Sounds el: 0 cu: MICU cg: RN v1: Hypoactive st: NotStopd t0: [04:00:00 09/10/2012] id: Braden Activity el: 0 cu: MICU cg: RN v1: Bedfast st: NotStopd t0: [04:00:00 09/10/2012] id: Braden Frict/Shear el: 0 cu: MICU cg: RN v1: Potential Prob st: NotStopd t0: [04:00:00 09/10/2012] id: Braden Mobility el: 0 cu: MICU cg: RN v1: Very Limited st: NotStopd t0: [04:00:00 09/10/2012] id: Braden Moisture el: 0 cu: MICU cg: RN v1: Occ. Moist st: NotStopd t0: [04:00:00 09/10/2012] id: Braden Nutrition el: 0 cu: MICU cg: RN v1: Prob. Inadequate st: NotStopd t0: [04:00:00 09/10/2012] id: Braden Score el: 0 cu: MICU cg: RN v1: 12 u1: number st: NotStopd t0: [04:00:00 09/10/2012] id: Braden SensoryPercep el: 0 cu: MICU cg: RN v1: Very Limited st: NotStopd
t0: [04:00:00 09/10/2012] tf: [06:00:00 09/10/2012] dt: 120 id: D5W 250.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 105 vo: 100 vu: ml t0: [04:00:00 09/10/2012] id: D5W 100.0ml + 600mcghr Sandostatin IV Infusions el: 2 cu: MICU cg: RN ai: 107 vo: 16.6667 vu: ml t0: [04:00:00 09/10/2012] id: TPN 1000.0ml IV Infusions el: 1 cu: MICU cg: RN ai: -1 vo: 83.6 vu: ml t0: [04:00:00 09/10/2012] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU cg: RN ai: 416 vo: 20 vu: ml t0: [04:00:00 09/10/2012] id: .9% Normal Saline 50.0ml + 50mghr Midazolam IV Infusions el: 1 cu: MICU cg: RN ai: 189 vo: 6 vu: ml t0: [04:00:00 09/10/2012] id: Urine Out Void el: 1 cu: MICU cg: RN vo: 160 vu: ml
t0: [04:00:00 09/10/2012] id: Fentanyl el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 100 du: mcghr sv: 250 su: ml rt: IV Drip t0: [04:00:00 09/10/2012] id: Midazolam el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 3 du: mghr sv: 50 su: ml rt: IV Drip t0: [04:00:00 09/10/2012] id: Sandostatin el: 2 cu: MICU cg: RN so: D5W vo: 0 v1: 50 du: mcghr sv: 100 su: ml rt: IV Drip
t0: [04:41:00 09/10/2012] id: Art.pH ABG el: 0 cu: MICU cg: 1663 v1: 7.32 rs: Final st: NotStopd t0: [04:41:00 09/10/2012] id: Arterial Base Excess ABG el: 0 cu: MICU cg: 1663 v1: -7 rs: Final st: NotStopd t0: [04:41:00 09/10/2012] id: Arterial CO2(Calc) ABG el: 0 cu: MICU cg: 1663 v1: 18 rs: Final st: NotStopd t0: [04:41:00 09/10/2012] id: Arterial PaCO2 ABG el: 0 cu: MICU cg: 1663 v1: 34 u1: mmHg rs: Final st: NotStopd t0: [04:41:00 09/10/2012] id: Arterial PaO2 ABG el: 0 cu: MICU cg: 1663 v1: 77 u1: mmHg rs: Final st: NotStopd t0: [04:41:00 09/10/2012] id: Arterial pH ABG el: 0 cu: MICU cg: 1663 v1: 7.32 rs: Final st: NotStopd
t0: [04:00:00 09/10/2012] id: WBC (4-11,000) Hematology el: 0 cu: MICU cg: 1663 v1: 13.3 rs: Final st: NotStopd t0: [04:00:00 09/10/2012] id: WBC Hematology el: 0 cu: MICU cg: 1663 v1: 13.3 rs: Final st: NotStopd t0: [04:00:00 09/10/2012] id: Hematocrit Hematology el: 0 cu: MICU cg: 1663 v1: 37.5 u1: % rs: Final st: NotStopd t0: [04:00:00 09/10/2012] id: Hemoglobin Hematology el: 0 cu: MICU cg: 1663 v1: 12.8 u1: gm/dl rs: Final st: NotStopd t0: [04:00:00 09/10/2012] id: Platelets Hematology el: 0 cu: MICU cg: 1663 v1: 91 rs: Final st: NotStopd t0: [04:00:00 09/10/2012] id: RBC Hematology el: 0 cu: MICU cg: 1663 v1: 4.31 u1: /mic l rs: Final st: NotStopd t0: [04:00:00 09/10/2012] id: WBC (4-11,000) Hematology el: 0 cu: MICU cg: 1663 v1: 13.3 rs: Final st: NotStopd
t0: [04:00:00 09/10/2012] id: BUN el: 0 cu: MICU cg: 1663 v1: 54 rs: Final st: NotStopd t0: [04:00:00 09/10/2012] id: Calcium Chemistry el: 0 cu: MICU cg: 1663 v1: 9 u1: mg/dl rs: Final st: NotStopd t0: [04:00:00 09/10/2012] id: Chloride Chemistry el: 0 cu: MICU cg: 1663 v1: 112 rs: Final st: NotStopd t0: [04:00:00 09/10/2012] id: Creatinine Chemistry el: 0 cu: MICU cg: 1663 v1: 2.8 rs: Final st: NotStopd t0: [04:00:00 09/10/2012] id: Glucose Chemistry el: 0 cu: MICU cg: 1663 v1: 134 rs: Final st: NotStopd t0: [04:00:00 09/10/2012] id: Magnesium Chemistry el: 0 cu: MICU cg: 1663 v1: 2.2 rs: Final st: NotStopd t0: [04:00:00 09/10/2012] id: Phosphorous Chemistry el: 0 cu: MICU cg: 1663 v1: 5.1 u1: mEq/L rs: Final st: NotStopd t0: [04:00:00 09/10/2012] id: Potassium Chemistry el: 0 cu: MICU cg: 1663 v1: 3.9 rs: Final st: NotStopd t0: [04:00:00 09/10/2012] id: Sodium Chemistry el: 0 cu: MICU cg: 1663 v1: 139 rs: Final st: NotStopd t0: [04:00:00 09/10/2012] id: Alk. Phosphate Enzymes el: 0 cu: MICU cg: 1663 v1: 159 rs: Final st: NotStopd t0: [04:00:00 09/10/2012] id: BUN (6-20) Chemistry el: 0 cu: MICU cg: 1663 v1: 54 rs: Final st: NotStopd t0: [04:00:00 09/10/2012] id: Calcium (8.4-10.2) Chemistry el: 0 cu: MICU cg: 1663 v1: 9 u1: mg/dl rs: Final st: NotStopd t0: [04:00:00 09/10/2012] id: Carbon Dioxide Chemistry el: 0 cu: MICU cg: 1663 v1: 17 rs: Final st: NotStopd t0: [04:00:00 09/10/2012] id: Chloride (100-112) Chemistry el: 0 cu: MICU cg: 1663 v1: 112 rs: Final st: NotStopd t0: [04:00:00 09/10/2012] id: Creatinine (0-1.3) Chemistry el: 0 cu: MICU cg: 1663 v1: 2.8 rs: Final st: NotStopd t0: [04:00:00 09/10/2012] id: Glucose (70-105) Chemistry el: 0 cu: MICU cg: 1663 v1: 134 rs: Final st: NotStopd t0: [04:00:00 09/10/2012] id: Magnesium (1.6-2.6) Chemistry el: 0 cu: MICU cg: 1663 v1: 2.2 rs: Final st: NotStopd t0: [04:00:00 09/10/2012] id: Phosphorous(2.7-4.5) Chemistry el: 0 cu: MICU cg: 1663 v1: 5.1 u1: mEq/L rs: Final st: NotStopd t0: [04:00:00 09/10/2012] id: Potassium (3.5-5.3) Chemistry el: 0 cu: MICU cg: 1663 v1: 3.9 rs: Final st: NotStopd t0: [04:00:00 09/10/2012] id: Sodium (135-148) Chemistry el: 0 cu: MICU cg: 1663 v1: 139 rs: Final st: NotStopd
t0: [04:00:00 09/10/2012] id: Total Bili Chemistry el: 0 cu: MICU cg: 1663 v1: 26.8 rs: Final st: NotStopd t0: [04:00:00 09/10/2012] id: Total Bili (0-1.5) Chemistry el: 0 cu: MICU cg: 1663 v1: 26.8 rs: Final st: NotStopd
t0: [04:00:00 09/10/2012] id: PT el: 0 cu: MICU cg: 1663 v1: 14 rs: Final st: NotStopd t0: [04:00:00 09/10/2012] id: INR Coags el: 0 cu: MICU cg: 1663 v1: 1.3 rs: Final st: NotStopd t0: [04:00:00 09/10/2012] id: PTT Coags el: 0 cu: MICU cg: 1663 v1: 34.9 rs: Final st: NotStopd t0: [04:00:00 09/10/2012] id: INR (2-4 ref. range) Coags el: 0 cu: MICU cg: 1663 v1: 1.3 rs: Final st: NotStopd t0: [04:00:00 09/10/2012] id: PT(11-13.5) Coags el: 0 cu: MICU cg: 1663 v1: 14 rs: Final st: NotStopd t0: [04:00:00 09/10/2012] id: PTT(22-35) Coags el: 0 cu: MICU cg: 1663 v1: 34.9 rs: Final st: NotStopd
t0: [06:00:00 09/10/2012] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [06:00:00 09/10/2012] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [06:00:00 09/10/2012] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [06:00:00 09/10/2012] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [06:00:00 09/10/2012] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [06:00:00 09/10/2012] id: Heart Rate el: 0 cu: MICU cg: RN v1: 85 u1: BPM st: NotStopd t0: [06:00:00 09/10/2012] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [06:00:00 09/10/2012] id: Arterial BP el: 0 cu: MICU cg: RN v1: 123 u1: mmHg v2: 57 u2: mmHg st: NotStopd t0: [06:00:00 09/10/2012] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 77 u1: mmHg st: NotStopd t0: [06:00:00 09/10/2012] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [06:00:00 09/10/2012] id: SpO2 el: 0 cu: MICU cg: RN v1: 98 u1: % st: NotStopd t0: [06:00:00 09/10/2012] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [06:00:00 09/10/2012] id: D5W 250.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 105 vo: 0 vu: ml t0: [06:00:00 09/10/2012] id: D5W 100.0ml + 600mcghr Sandostatin IV Infusions el: 2 cu: MICU cg: RN ai: 107 vo: 16.6667 vu: ml t0: [06:00:00 09/10/2012] id: TPN 1000.0ml IV Infusions el: 1 cu: MICU cg: RN ai: -1 vo: 83.6 vu: ml t0: [06:00:00 09/10/2012] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU cg: RN ai: 416 vo: 20 vu: ml t0: [06:00:00 09/10/2012] id: .9% Normal Saline 50.0ml + 50mghr Midazolam IV Infusions el: 1 cu: MICU cg: RN ai: 189 vo: 6 vu: ml t0: [06:00:00 09/10/2012] id: Urine Out Void el: 1 cu: MICU cg: RN vo: 100 vu: ml
t0: [06:00:00 09/10/2012] id: Fentanyl el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 100 du: mcghr sv: 250 su: ml rt: IV Drip t0: [06:00:00 09/10/2012] id: Midazolam el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 3 du: mghr sv: 50 su: ml rt: IV Drip t0: [06:00:00 09/10/2012] id: Sandostatin el: 2 cu: MICU cg: RN so: D5W vo: 0 v1: 50 du: mcghr sv: 100 su: ml rt: IV Drip
t0: [06:00:00 09/10/2012] id: Stool Out Stool el: 1 cu: MICU cg: RN vo: 25 vu: ml
t0: [08:00:00 09/10/2012] id: INV#1Chg o/Wire Date el: 0 cu: MICU cg: -1 st: D/C'd t0: [08:00:00 09/10/2012] id: INV Line#1 Site Date el: 0 cu: MICU cg: -1 st: D/C'd t0: [08:00:00 09/10/2012] id: INV Line#2 D/C Date el: 0 cu: MICU cg: -1 st: D/C'd t0: [08:00:00 09/10/2012] id: INV Line#2 Zero/Cal el: 0 cu: MICU cg: -1 st: D/C'd t0: [08:00:00 09/10/2012] id: INV#3 WaveformAppear el: 0 cu: MICU cg: -1 st: D/C'd
t0: [08:00:00 09/10/2012] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [08:00:00 09/10/2012] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [08:00:00 09/10/2012] id: Riker-SAS Scale el: 0 cu: MICU cg: RN v1: Sedated st: NotStopd t0: [08:00:00 09/10/2012] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [08:00:00 09/10/2012] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [08:00:00 09/10/2012] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [08:00:00 09/10/2012] id: Heart Rate el: 0 cu: MICU cg: RN v1: 87 u1: BPM st: NotStopd t0: [08:00:00 09/10/2012] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [08:00:00 09/10/2012] id: Arterial BP el: 0 cu: MICU cg: RN v1: 128 u1: mmHg v2: 64 u2: mmHg st: NotStopd t0: [08:00:00 09/10/2012] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 84 u1: mmHg st: NotStopd t0: [08:00:00 09/10/2012] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [08:00:00 09/10/2012] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 21 u1: BPM st: NotStopd t0: [08:00:00 09/10/2012] id: SpO2 el: 0 cu: MICU cg: RN v1: 98 u1: % st: NotStopd t0: [08:00:00 09/10/2012] id: Temp. Site el: 0 cu: MICU cg: RN v1: Oral st: NotStopd t0: [08:00:00 09/10/2012] id: Temperature C (calc) el: 0 cu: MICU cg: RN v1: 36.7222 u1: Deg. C st: NotStopd t0: [08:00:00 09/10/2012] id: Temperature F el: 0 cu: MICU cg: RN v1: 98.1 u1: Deg. F st: NotStopd t0: [08:00:00 09/10/2012] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [08:00:00 09/10/2012] tf: [10:00:00 09/10/2012] dt: 120 id: D5W 250.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 105 vo: 100 vu: ml t0: [08:00:00 09/10/2012] id: D5W 100.0ml + 600mcghr Sandostatin IV Infusions el: 2 cu: MICU cg: RN ai: 107 vo: 16.6667 vu: ml t0: [08:00:00 09/10/2012] id: TPN 1000.0ml IV Infusions el: 1 cu: MICU cg: RN ai: -1 vo: 83.6 vu: ml t0: [08:00:00 09/10/2012] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU cg: RN ai: 416 vo: 20 vu: ml t0: [08:00:00 09/10/2012] id: .9% Normal Saline 50.0ml + 50mghr Midazolam IV Infusions el: 1 cu: MICU cg: RN ai: 189 vo: 6 vu: ml t0: [08:00:00 09/10/2012] id: Urine Out Void el: 1 cu: MICU cg: RN vo: 100 vu: ml
t0: [08:00:00 09/10/2012] id: Fentanyl el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 100 du: mcghr sv: 250 su: ml rt: IV Drip t0: [08:00:00 09/10/2012] id: Midazolam el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 3 du: mghr sv: 50 su: ml rt: IV Drip t0: [08:00:00 09/10/2012] id: Sandostatin el: 2 cu: MICU cg: RN so: D5W vo: 0 v1: 50 du: mcghr sv: 100 su: ml rt: IV Drip
t0: [08:00:00 09/10/2012] id: Less Restrict Meas. el: 0 cu: MICU cg: RN v1: Medicated st: NotStopd t0: [08:00:00 09/10/2012] id: Range of Motion el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [08:00:00 09/10/2012] id: Circulation/SkinInt el: 0 cu: MICU cg: RN v1: Circulation Adeq st: NotStopd t0: [08:00:00 09/10/2012] id: Cough Effort el: 0 cu: MICU cg: RN v1: Weak st: NotStopd t0: [08:00:00 09/10/2012] id: Cough Reflex el: 0 cu: MICU cg: RN v1: Intact st: NotStopd t0: [08:00:00 09/10/2012] id: GI Prophylaxis el: 0 cu: MICU cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [08:00:00 09/10/2012] id: Diet Type el: 0 cu: MICU cg: RN v1: NPO st: NotStopd t0: [08:00:00 09/10/2012] id: Eye Opening el: 0 cu: MICU cg: RN v1: 3 To speech st: NotStopd t0: [08:00:00 09/10/2012] id: GCS Total el: 0 cu: MICU cg: RN v1: 10 u1: points st: NotStopd t0: [08:00:00 09/10/2012] id: Gag Reflex el: 0 cu: MICU cg: RN v1: Intact st: NotStopd t0: [08:00:00 09/10/2012] id: HOB el: 0 cu: MICU cg: RN v1: 30 degrees st: NotStopd t0: [08:00:00 09/10/2012] id: INV Line#1 Type/Site el: 0 cu: MICU cg: RN v1: A-Line v2: Left Radial st: NotStopd t0: [08:00:00 09/10/2012] id: INV Line#1 Zero/Cal el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [08:00:00 09/10/2012] id: INV Line#1InsertDate el: 0 cu: MICU cg: RN v1: 9 v2: 13 st: NotStopd t0: [08:00:00 09/10/2012] id: INV Line#1SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [08:00:00 09/10/2012] id: INV Line#3 Type/Site el: 0 cu: MICU cg: RN v1: Multi-lumen v2: Right IJ st: NotStopd t0: [08:00:00 09/10/2012] id: INV Line#3InsertDate el: 0 cu: MICU cg: RN v1: 9 v2: 14 st: NotStopd t0: [08:00:00 09/10/2012] id: INV Line#3SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [08:00:00 09/10/2012] id: Abdominal Assessment el: 0 cu: MICU cg: RN v1: Ascites st: NotStopd t0: [08:00:00 09/10/2012] id: INV#1 WaveformAppear el: 0 cu: MICU cg: RN v1: Sharp st: NotStopd t0: [08:00:00 09/10/2012] id: IV #1 Insert Date el: 0 cu: MICU cg: RN v1: 9 v2: 13 st: NotStopd t0: [08:00:00 09/10/2012] id: IV #1 Site/Size el: 0 cu: MICU cg: RN v1: LL Ant Forearm v2: 20 gauge st: NotStopd t0: [08:00:00 09/10/2012] id: IV #2 Insert Date el: 0 cu: MICU cg: RN v1: 9 v2: 13 st: NotStopd t0: [08:00:00 09/10/2012] id: IV #2 Site/Size el: 0 cu: MICU cg: RN v1: RL Ant Forearm v2: 18 gauge st: NotStopd t0: [08:00:00 09/10/2012] id: IV #3 Insert Date el: 0 cu: MICU cg: RN v1: 9 v2: 12 st: NotStopd t0: [08:00:00 09/10/2012] id: IV #3 Site/Size el: 0 cu: MICU cg: RN v1: Right Hand v2: 18 gauge st: NotStopd t0: [08:00:00 09/10/2012] id: IV #4 Insert Date el: 0 cu: MICU cg: RN v1: 9 v2: 12 st: NotStopd t0: [08:00:00 09/10/2012] id: IV #4 Site/Size el: 0 cu: MICU cg: RN v1: RL Ant Forearm v2: 18 gauge st: NotStopd t0: [08:00:00 09/10/2012] id: Activity el: 0 cu: MICU cg: RN v1: Bedrest st: NotStopd t0: [08:00:00 09/10/2012] id: IV Site Appear #1 el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [08:00:00 09/10/2012] id: IV Site Appear #2 el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [08:00:00 09/10/2012] id: IV Site Appear #3 el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [08:00:00 09/10/2012] id: IV Site Appear #4 el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [08:00:00 09/10/2012] id: Activity Tolerance el: 0 cu: MICU cg: RN v1: Tolerated Well st: NotStopd t0: [08:00:00 09/10/2012] id: LLL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [08:00:00 09/10/2012] id: LUL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [08:00:00 09/10/2012] id: Level of Conscious el: 0 cu: MICU cg: RN v1: Arouse to Voice st: NotStopd t0: [08:00:00 09/10/2012] id: Angio Appearance #1 el: 0 cu: MICU cg: RN v1: Clean and Dry st: NotStopd t0: [08:00:00 09/10/2012] id: Motor Response el: 0 cu: MICU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [08:00:00 09/10/2012] id: Oral Cavity el: 0 cu: MICU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [08:00:00 09/10/2012] id: Orientation el: 0 cu: MICU cg: RN v1: Other/Remarks st: NotStopd t0: [08:00:00 09/10/2012] id: Angio Site #1 el: 0 cu: MICU cg: RN v1: R Femoral st: NotStopd t0: [08:00:00 09/10/2012] id: AntiEmbDevice/Status el: 0 cu: MICU cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [08:00:00 09/10/2012] id: Position el: 0 cu: MICU cg: RN v1: Supine st: NotStopd t0: [08:00:00 09/10/2012] id: Position Change el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [08:00:00 09/10/2012] id: Assistance Device el: 0 cu: MICU cg: RN v1: 2 Person Assist st: NotStopd t0: [08:00:00 09/10/2012] id: RLL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [08:00:00 09/10/2012] id: RUL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [08:00:00 09/10/2012] id: Reason For Restraint el: 0 cu: MICU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [08:00:00 09/10/2012] id: Removed x 5 Mins el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [08:00:00 09/10/2012] id: Respiratory Pattern el: 0 cu: MICU cg: RN v1: Regular st: NotStopd t0: [08:00:00 09/10/2012] id: Restraint Location el: 0 cu: MICU cg: RN v1: Both Arms st: NotStopd t0: [08:00:00 09/10/2012] id: Restraint Type el: 0 cu: MICU cg: RN v1: Soft Limb st: NotStopd t0: [08:00:00 09/10/2012] id: Restraints Evaluated el: 0 cu: MICU cg: RN v1: Behavior Conts st: NotStopd t0: [08:00:00 09/10/2012] id: Side Rails el: 0 cu: MICU cg: RN v1: Side Rails Up st: NotStopd t0: [08:00:00 09/10/2012] id: Skin Integrity el: 0 cu: MICU cg: RN v1: Intact st: NotStopd t0: [08:00:00 09/10/2012] id: Stool Guaiac el: 0 cu: MICU cg: RN v1: Positive st: NotStopd t0: [08:00:00 09/10/2012] id: Support Systems el: 0 cu: MICU cg: RN v1: Spouse st: NotStopd t0: [08:00:00 09/10/2012] id: Turn el: 0 cu: MICU cg: RN v1: Right Side st: NotStopd t0: [08:00:00 09/10/2012] id: Urine Color/Appear el: 0 cu: MICU cg: RN v1: Icteric v2: Clear st: NotStopd t0: [08:00:00 09/10/2012] id: Urine Source el: 0 cu: MICU cg: RN v1: Indwelling Cath st: NotStopd t0: [08:00:00 09/10/2012] id: Verbal Response el: 0 cu: MICU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [08:00:00 09/10/2012] id: Bowel Sounds el: 0 cu: MICU cg: RN v1: Hypoactive st: NotStopd
t0: [08:15:00 09/10/2012] id: Fentanyl el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 250 su: ml rt: IV Drip t0: [08:15:00 09/10/2012] id: Midazolam el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 1.5 du: mghr sv: 50 su: ml rt: IV Drip
t0: [08:30:00 09/10/2012] id: HI/Minute/Vol/Alarm el: 0 cu: MICU cg: 2827 v1: 16 t0: [08:30:00 09/10/2012] id: ETT Mark/Location el: 0 cu: MICU cg: 2827 v1: 24cm v2: Lip st: NotStopd t0: [08:30:00 09/10/2012] id: FiO2 Set el: 0 cu: MICU cg: 2827 v1: 0.35 u1: torr st: NotStopd t0: [08:30:00 09/10/2012] id: High Insp. Pressure el: 0 cu: MICU cg: 2827 v1: 30 u1: cmH2O st: NotStopd t0: [08:30:00 09/10/2012] id: High Resp. Rate el: 0 cu: MICU cg: 2827 v1: 25 u1: BPM st: NotStopd t0: [08:30:00 09/10/2012] id: Airway Size el: 0 cu: MICU cg: 2827 v1: 7.5 mm st: NotStopd t0: [08:30:00 09/10/2012] id: Airway Type el: 0 cu: MICU cg: 2827 v1: Endotracheal st: NotStopd t0: [08:30:00 09/10/2012] id: Inspired Gas Temp el: 0 cu: MICU cg: 2827 v1: 34.1 u1: Deg. C st: NotStopd t0: [08:30:00 09/10/2012] id: Low Exhaled Min Vol el: 0 cu: MICU cg: 2827 v1: 4 st: NotStopd t0: [08:30:00 09/10/2012] id: Minute Volume(Obser) el: 0 cu: MICU cg: 2827 v1: 7.3 u1: L/min st: NotStopd t0: [08:30:00 09/10/2012] id: PEEP Set el: 0 cu: MICU cg: 2827 v1: 5 u1: cmH2O st: NotStopd t0: [08:30:00 09/10/2012] id: Apnea Time Interval el: 0 cu: MICU cg: 2827 v1: 20 st: NotStopd t0: [08:30:00 09/10/2012] id: Plateau-Off el: 0 cu: MICU cg: 2827 v1: Not Applicable st: NotStopd t0: [08:30:00 09/10/2012] id: Pressure Support el: 0 cu: MICU cg: 2827 v1: 15 u1: . st: NotStopd t0: [08:30:00 09/10/2012] id: Resp Rate (Total) el: 0 cu: MICU cg: 2827 v1: 9 u1: BPM st: NotStopd t0: [08:30:00 09/10/2012] id: Sensitivity-Vent el: 0 cu: MICU cg: 2827 v1: 2 u1: cmH2O st: NotStopd t0: [08:30:00 09/10/2012] id: SpO2 el: 0 cu: MICU cg: 2827 v1: 98 u1: % st: NotStopd t0: [08:30:00 09/10/2012] id: Sputum Color/Consist el: 0 cu: MICU cg: 2827 v1: Yellow v2: Thick st: NotStopd t0: [08:30:00 09/10/2012] id: Sputum Source/Amt el: 0 cu: MICU cg: 2827 v1: Suctioned v2: Moderate st: NotStopd t0: [08:30:00 09/10/2012] id: Tidal Volume (Spont) el: 0 cu: MICU cg: 2827 v1: 860 u1: ml/B st: NotStopd t0: [08:30:00 09/10/2012] id: Ventilator Mode el: 0 cu: MICU cg: 2827 v1: CPAP+PS st: NotStopd t0: [08:30:00 09/10/2012] id: Ventilator Type el: 0 cu: MICU cg: 2827 v1: Drager st: NotStopd
t0: [10:00:00 09/10/2012] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [10:00:00 09/10/2012] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [10:00:00 09/10/2012] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [10:00:00 09/10/2012] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [10:00:00 09/10/2012] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [10:00:00 09/10/2012] id: Heart Rate el: 0 cu: MICU cg: RN v1: 81 u1: BPM st: NotStopd t0: [10:00:00 09/10/2012] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [10:00:00 09/10/2012] id: Arterial BP el: 0 cu: MICU cg: RN v1: 123 u1: mmHg v2: 58 u2: mmHg st: NotStopd t0: [10:00:00 09/10/2012] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 77 u1: mmHg st: NotStopd t0: [10:00:00 09/10/2012] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [10:00:00 09/10/2012] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 22 u1: BPM st: NotStopd t0: [10:00:00 09/10/2012] id: SpO2 el: 0 cu: MICU cg: RN v1: 98 u1: % st: NotStopd t0: [10:00:00 09/10/2012] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [10:00:00 09/10/2012] id: D5W 250.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 105 vo: 0 vu: ml t0: [10:00:00 09/10/2012] id: D5W 100.0ml + 600mcghr Sandostatin IV Infusions el: 2 cu: MICU cg: RN ai: 107 vo: 16.6667 vu: ml t0: [10:00:00 09/10/2012] id: TPN 1000.0ml IV Infusions el: 1 cu: MICU cg: RN ai: -1 vo: 83.6 vu: ml t0: [10:00:00 09/10/2012] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU cg: RN ai: 416 vo: 11.25 vu: ml t0: [10:00:00 09/10/2012] id: .9% Normal Saline 50.0ml + 50mghr Midazolam IV Infusions el: 1 cu: MICU cg: RN ai: 189 vo: 3.375 vu: ml t0: [10:00:00 09/10/2012] id: Urine Out Void el: 1 cu: MICU cg: RN vo: 150 vu: ml
t0: [10:00:00 09/10/2012] id: Fentanyl el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 250 su: ml rt: IV Drip t0: [10:00:00 09/10/2012] id: Midazolam el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 1.5 du: mghr sv: 50 su: ml rt: IV Drip t0: [10:00:00 09/10/2012] id: Sandostatin el: 2 cu: MICU cg: RN so: D5W vo: 0 v1: 50 du: mcghr sv: 100 su: ml rt: IV Drip
t0: [10:04:00 09/10/2012] id: ETT Mark/Location el: 0 cu: MICU cg: RRT v1: 24cm v2: Lip st: NotStopd t0: [10:04:00 09/10/2012] id: FiO2 Set el: 0 cu: MICU cg: RRT v1: 0.35 u1: torr st: NotStopd t0: [10:04:00 09/10/2012] id: Airway Size el: 0 cu: MICU cg: RRT v1: 7.5 mm st: NotStopd t0: [10:04:00 09/10/2012] id: Airway Type el: 0 cu: MICU cg: RRT v1: Endotracheal st: NotStopd t0: [10:04:00 09/10/2012] id: Intubation Date el: 0 cu: MICU cg: RRT v1: 9 v2: 13 st: NotStopd t0: [10:04:00 09/10/2012] id: Minute Volume(Obser) el: 0 cu: MICU cg: RRT v1: 7 u1: L/min st: NotStopd t0: [10:04:00 09/10/2012] id: PEEP Set el: 0 cu: MICU cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [10:04:00 09/10/2012] id: Pressure Support el: 0 cu: MICU cg: RRT v1: 5 u1: . st: NotStopd t0: [10:04:00 09/10/2012] id: Resp Rate (Total) el: 0 cu: MICU cg: RRT v1: 11 u1: BPM st: NotStopd t0: [10:04:00 09/10/2012] id: SpO2 el: 0 cu: MICU cg: RRT v1: 97 u1: % st: NotStopd t0: [10:04:00 09/10/2012] id: Tidal Volume (Spont) el: 0 cu: MICU cg: RRT v1: 650 u1: ml/B st: NotStopd t0: [10:04:00 09/10/2012] id: Ventilator Mode el: 0 cu: MICU cg: RRT v1: CPAP+PS st: NotStopd t0: [10:04:00 09/10/2012] id: Ventilator Type el: 0 cu: MICU cg: RRT v1: Drager st: NotStopd
t0: [09:00:00 09/10/2012] id: Sputum Source/Amt el: 0 cu: MICU cg: RRT v1: Expectorated v2: None st: NotStopd
t0: [10:15:00 09/10/2012] id: Hematocrit Hematology el: 0 cu: MICU cg: 1663 v1: 35 u1: % rs: Final st: NotStopd
t0: [11:54:00 09/10/2012] id: Art.pH ABG el: 0 cu: MICU cg: 1663 v1: 7.32 rs: Final st: NotStopd t0: [11:54:00 09/10/2012] id: Arterial Base Excess ABG el: 0 cu: MICU cg: 1663 v1: -6 rs: Final st: NotStopd t0: [11:54:00 09/10/2012] id: Arterial CO2(Calc) ABG el: 0 cu: MICU cg: 1663 v1: 19 rs: Final st: NotStopd t0: [11:54:00 09/10/2012] id: Arterial PaCO2 ABG el: 0 cu: MICU cg: 1663 v1: 36 u1: mmHg rs: Final st: NotStopd t0: [11:54:00 09/10/2012] id: Arterial PaO2 ABG el: 0 cu: MICU cg: 1663 v1: 82 u1: mmHg rs: Final st: NotStopd t0: [11:54:00 09/10/2012] id: Arterial pH ABG el: 0 cu: MICU cg: 1663 v1: 7.32 rs: Final st: NotStopd
t0: [11:00:00 09/10/2012] id: ETT Mark/Location el: 0 cu: MICU cg: 2827 v1: 24cm v2: Lip st: NotStopd t0: [11:00:00 09/10/2012] id: FiO2 Set el: 0 cu: MICU cg: 2827 v1: 0.35 u1: torr st: NotStopd t0: [11:00:00 09/10/2012] id: Airway Size el: 0 cu: MICU cg: 2827 v1: 7.5 mm st: NotStopd t0: [11:00:00 09/10/2012] id: Airway Type el: 0 cu: MICU cg: 2827 v1: Endotracheal st: NotStopd t0: [11:00:00 09/10/2012] id: Intubation Date el: 0 cu: MICU cg: 2827 v1: 9 v2: 13 st: NotStopd t0: [11:00:00 09/10/2012] id: Minute Volume(Obser) el: 0 cu: MICU cg: 2827 v1: 11.4 u1: L/min st: NotStopd t0: [11:00:00 09/10/2012] id: PEEP Set el: 0 cu: MICU cg: 2827 v1: 5 u1: cmH2O st: NotStopd t0: [11:00:00 09/10/2012] id: Pressure Support el: 0 cu: MICU cg: 2827 v1: 5 u1: . st: NotStopd t0: [11:00:00 09/10/2012] id: Resp Rate (Total) el: 0 cu: MICU cg: 2827 v1: 15 u1: BPM st: NotStopd t0: [11:00:00 09/10/2012] id: Sensitivity-Vent el: 0 cu: MICU cg: 2827 v1: 2 u1: cmH2O st: NotStopd t0: [11:00:00 09/10/2012] id: SpO2 el: 0 cu: MICU cg: 2827 v1: 100 u1: % st: NotStopd t0: [11:00:00 09/10/2012] id: Sputum Color/Consist el: 0 cu: MICU cg: 2827 v1: Yellow v2: Thin st: NotStopd t0: [11:00:00 09/10/2012] id: Sputum Source/Amt el: 0 cu: MICU cg: 2827 v1: Suctioned v2: Small st: NotStopd t0: [11:00:00 09/10/2012] id: Tidal Volume (Spont) el: 0 cu: MICU cg: 2827 v1: 750 u1: ml/B st: NotStopd t0: [11:00:00 09/10/2012] id: Ventilator Mode el: 0 cu: MICU cg: 2827 v1: CPAP+PS st: NotStopd t0: [11:00:00 09/10/2012] id: Ventilator Type el: 0 cu: MICU cg: 2827 v1: Drager st: NotStopd
t0: [12:00:00 09/10/2012] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [12:00:00 09/10/2012] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [12:00:00 09/10/2012] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [12:00:00 09/10/2012] id: Heart Rate el: 0 cu: MICU cg: RN v1: 85 u1: BPM st: NotStopd t0: [12:00:00 09/10/2012] id: Arterial BP el: 0 cu: MICU cg: RN v1: 124 u1: mmHg v2: 60 u2: mmHg st: NotStopd t0: [12:00:00 09/10/2012] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 80 u1: mmHg st: NotStopd t0: [12:00:00 09/10/2012] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [12:00:00 09/10/2012] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 14 u1: BPM st: NotStopd t0: [12:00:00 09/10/2012] id: SpO2 el: 0 cu: MICU cg: RN v1: 98 u1: % st: NotStopd t0: [12:00:00 09/10/2012] id: Temp. Site el: 0 cu: MICU cg: RN v1: Oral st: NotStopd t0: [12:00:00 09/10/2012] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [12:00:00 09/10/2012] id: D5W 250.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 105 vo: 0 vu: ml t0: [12:00:00 09/10/2012] id: D5W 100.0ml + 600mcghr Sandostatin IV Infusions el: 2 cu: MICU cg: RN ai: 107 vo: 16.6667 vu: ml nb: 1 t0: [12:00:00 09/10/2012] id: TPN 1000.0ml IV Infusions el: 1 cu: MICU cg: RN ai: -1 vo: 83.6 vu: ml t0: [12:00:00 09/10/2012] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU cg: RN ai: 416 vo: 10 vu: ml t0: [12:00:00 09/10/2012] id: .9% Normal Saline 50.0ml + 50mghr Midazolam IV Infusions el: 1 cu: MICU cg: RN ai: 189 vo: 3 vu: ml t0: [12:00:00 09/10/2012] id: Urine Out Void el: 1 cu: MICU cg: RN vo: 180 vu: ml
t0: [12:00:00 09/10/2012] id: Fentanyl el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 250 su: ml rt: IV Drip t0: [12:00:00 09/10/2012] id: Midazolam el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 1.5 du: mghr sv: 50 su: ml rt: IV Drip t0: [12:00:00 09/10/2012] id: Sandostatin el: 2 cu: MICU cg: RN so: D5W vo: 0 v1: 50 du: mcghr sv: 100 su: ml rt: IV Drip
pt: TPN
t0: [12:00:00 09/10/2012] id: Riker-SAS Scale el: 0 cu: MICU cg: RN v1: Sedated st: NotStopd t0: [12:00:00 09/10/2012] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [12:00:00 09/10/2012] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [12:00:00 09/10/2012] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd
t0: [13:00:00 09/10/2012] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [13:00:00 09/10/2012] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [13:00:00 09/10/2012] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [13:00:00 09/10/2012] id: Heart Rate el: 0 cu: MICU cg: RN v1: 80 u1: BPM st: NotStopd t0: [13:00:00 09/10/2012] id: Arterial BP el: 0 cu: MICU cg: RN v1: 115 u1: mmHg v2: 56 u2: mmHg st: NotStopd t0: [13:00:00 09/10/2012] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 74 u1: mmHg st: NotStopd t0: [13:00:00 09/10/2012] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [13:00:00 09/10/2012] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 17 u1: BPM st: NotStopd t0: [13:00:00 09/10/2012] id: SpO2 el: 0 cu: MICU cg: RN v1: 97 u1: % st: NotStopd t0: [13:00:00 09/10/2012] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [13:00:00 09/10/2012] id: Fentanyl el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 25 du: mcghr sv: 250 su: ml rt: IV Drip t0: [13:00:00 09/10/2012] id: Midazolam el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 1 du: mghr sv: 50 su: ml rt: IV Drip t0: [13:00:00 09/10/2012] id: Sandostatin el: 2 cu: MICU cg: RN so: D5W vo: 0 v1: 50 du: mcghr sv: 100 su: ml rt: IV Drip
t0: [13:30:00 09/10/2012] id: Fentanyl el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 du: mcghr sv: 250 su: ml rt: IV Drip st: Stopped t0: [13:30:00 09/10/2012] id: Midazolam el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 du: mghr sv: 50 su: ml rt: IV Drip st: Stopped
t0: [14:00:00 09/10/2012] id: Compliance (40-60ml) el: 0 cu: MICU cg: -1 st: D/C'd t0: [14:00:00 09/10/2012] id: RSBI (<100) el: 0 cu: MICU cg: -1 st: D/C'd t0: [14:00:00 09/10/2012] id: Cuff Pressure-Airway el: 0 cu: MICU cg: -1 st: D/C'd t0: [14:00:00 09/10/2012] id: RSBI Not Completed el: 0 cu: MICU cg: -1 st: D/C'd t0: [14:00:00 09/10/2012] id: ETT Mark/Location el: 0 cu: MICU cg: -1 st: D/C'd t0: [14:00:00 09/10/2012] id: ETT Position Change el: 0 cu: MICU cg: -1 st: D/C'd t0: [14:00:00 09/10/2012] id: High Insp. Pressure el: 0 cu: MICU cg: -1 st: D/C'd t0: [14:00:00 09/10/2012] id: High Resp. Rate el: 0 cu: MICU cg: -1 st: D/C'd t0: [14:00:00 09/10/2012] id: I:E Ratio el: 0 cu: MICU cg: -1 st: D/C'd t0: [14:00:00 09/10/2012] id: Airway Size el: 0 cu: MICU cg: -1 st: D/C'd t0: [14:00:00 09/10/2012] id: Airway Type el: 0 cu: MICU cg: -1 st: D/C'd t0: [14:00:00 09/10/2012] id: Inspired Gas Temp el: 0 cu: MICU cg: -1 st: D/C'd t0: [14:00:00 09/10/2012] id: Low Exhaled Min Vol el: 0 cu: MICU cg: -1 st: D/C'd t0: [14:00:00 09/10/2012] id: Mean Airway Pressure el: 0 cu: MICU cg: -1 st: D/C'd t0: [14:00:00 09/10/2012] id: Minute Volume(Obser) el: 0 cu: MICU cg: -1 st: D/C'd t0: [14:00:00 09/10/2012] id: PEEP Set el: 0 cu: MICU cg: -1 st: D/C'd t0: [14:00:00 09/10/2012] id: Apnea Time Interval el: 0 cu: MICU cg: -1 st: D/C'd t0: [14:00:00 09/10/2012] id: Peak Flow el: 0 cu: MICU cg: -1 st: D/C'd t0: [14:00:00 09/10/2012] id: Peak Insp. Pressure el: 0 cu: MICU cg: -1 st: D/C'd t0: [14:00:00 09/10/2012] id: Plateau Pressure el: 0 cu: MICU cg: -1 st: D/C'd t0: [14:00:00 09/10/2012] id: Plateau-Off el: 0 cu: MICU cg: -1 st: D/C'd t0: [14:00:00 09/10/2012] id: Pressure Support el: 0 cu: MICU cg: -1 st: D/C'd t0: [14:00:00 09/10/2012] id: RSBI (<200) el: 0 cu: MICU cg: -1 st: D/C'd t0: [14:00:00 09/10/2012] id: Resp Rate (Spont) el: 0 cu: MICU cg: -1 st: D/C'd t0: [14:00:00 09/10/2012] id: Respiratory Rate Set el: 0 cu: MICU cg: -1 st: D/C'd t0: [14:00:00 09/10/2012] id: Sensitivity-Vent el: 0 cu: MICU cg: -1 st: D/C'd t0: [14:00:00 09/10/2012] id: Spon RR (Mech.) el: 0 cu: MICU cg: -1 st: D/C'd t0: [14:00:00 09/10/2012] id: Spon. Vt (L) (Mech.) el: 0 cu: MICU cg: -1 st: D/C'd t0: [14:00:00 09/10/2012] id: Tidal Volume (Obser) el: 0 cu: MICU cg: -1 st: D/C'd t0: [14:00:00 09/10/2012] id: Tidal Volume (Set) el: 0 cu: MICU cg: -1 st: D/C'd t0: [14:00:00 09/10/2012] id: Tidal Volume (Spont) el: 0 cu: MICU cg: -1 st: D/C'd t0: [14:00:00 09/10/2012] id: Ventilator Mode el: 0 cu: MICU cg: -1 st: D/C'd t0: [14:00:00 09/10/2012] id: Waveform-Vent el: 0 cu: MICU cg: -1 st: D/C'd
t0: [14:00:00 09/10/2012] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [14:00:00 09/10/2012] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [14:00:00 09/10/2012] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [14:00:00 09/10/2012] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [14:00:00 09/10/2012] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [14:00:00 09/10/2012] id: Heart Rate el: 0 cu: MICU cg: RN v1: 91 u1: BPM st: NotStopd t0: [14:00:00 09/10/2012] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [14:00:00 09/10/2012] id: Arterial BP el: 0 cu: MICU cg: RN v1: 127 u1: mmHg v2: 61 u2: mmHg st: NotStopd t0: [14:00:00 09/10/2012] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 81 u1: mmHg st: NotStopd t0: [14:00:00 09/10/2012] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [14:00:00 09/10/2012] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 24 u1: BPM st: NotStopd t0: [14:00:00 09/10/2012] id: SpO2 el: 0 cu: MICU cg: RN v1: 96 u1: % st: NotStopd t0: [14:00:00 09/10/2012] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [14:00:00 09/10/2012] id: D5W 100.0ml + 600mcghr Sandostatin IV Infusions el: 2 cu: MICU cg: RN ai: 107 vo: 16.6667 vu: ml t0: [14:00:00 09/10/2012] id: TPN 1000.0ml IV Infusions el: 1 cu: MICU cg: RN ai: -1 vo: 83.6 vu: ml t0: [14:00:00 09/10/2012] id: Urine Out Void el: 1 cu: MICU cg: RN vo: 110 vu: ml
t0: [14:00:00 09/10/2012] id: Sandostatin el: 2 cu: MICU cg: RN so: D5W vo: 0 v1: 50 du: mcghr sv: 100 su: ml rt: IV Drip
t0: [01:00:00 08/10/2012] id: Previous WeightF el: 0 cu: MICU cg: RN u1: kg st: NotStopd t0: [02:00:00 08/10/2012] id: Previous WeightF el: 0 cu: MICU cg: RN u1: kg st: NotStopd t0: [13:00:00 09/10/2012] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [13:00:00 09/10/2012] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [13:00:00 09/10/2012] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd
t0: [14:00:00 09/10/2012] tf: [16:00:00 09/10/2012] dt: 120 id: D5W 250.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 105 vo: 50 vu: ml t0: [14:00:00 09/10/2012] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU cg: RN ai: 416 vo: 7.5 vu: ml st: NotStopd t0: [14:00:00 09/10/2012] id: .9% Normal Saline 50.0ml + 50mghr Midazolam IV Infusions el: 1 cu: MICU cg: RN ai: 189 vo: 2.5 vu: ml st: NotStopd t0: [14:05:00 09/10/2012] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU cg: RN ai: 416 vu: ml st: Stopped t0: [14:05:00 09/10/2012] id: .9% Normal Saline 50.0ml + 50mghr Midazolam IV Infusions el: 1 cu: MICU cg: RN ai: 189 vu: ml st: Stopped
t0: [14:15:00 09/10/2012] id: Extubation Date el: 0 cu: MICU cg: RRT v1: 9 v2: 16 st: NotStopd t0: [14:15:00 09/10/2012] id: FiO2 Set el: 0 cu: MICU cg: RRT v1: 0.5 u1: torr st: NotStopd t0: [14:15:00 09/10/2012] id: O2 Delivery Device el: 0 cu: MICU cg: RRT v1: Aerosol-Cool st: NotStopd t0: [14:15:00 09/10/2012] id: O2 Flow (lpm) el: 0 cu: MICU cg: RRT v1: 10 u1: lpm st: NotStopd t0: [14:15:00 09/10/2012] id: Resp Rate (Total) el: 0 cu: MICU cg: RRT v1: 17 u1: BPM st: NotStopd t0: [14:15:00 09/10/2012] id: Ventilator Type el: 0 cu: MICU cg: RRT v1: Other/Remarks st: NotStopd
t0: [04:00:00 09/10/2012] id: Triglyceride Chemistry el: 0 cu: MICU cg: 1663 v1: 154 rs: Final st: NotStopd t0: [04:00:00 09/10/2012] id: Triglyceride (0-200) Chemistry el: 0 cu: MICU cg: 1663 v1: 154 rs: Final st: NotStopd
t0: [16:15:00 09/10/2012] id: Art.pH ABG el: 0 cu: MICU cg: 1663 v1: 7.28 rs: Final st: NotStopd t0: [16:15:00 09/10/2012] id: Arterial Base Excess ABG el: 0 cu: MICU cg: 1663 v1: -6 rs: Final st: NotStopd t0: [16:15:00 09/10/2012] id: Arterial CO2(Calc) ABG el: 0 cu: MICU cg: 1663 v1: 21 rs: Final st: NotStopd t0: [16:15:00 09/10/2012] id: Arterial PaCO2 ABG el: 0 cu: MICU cg: 1663 v1: 42 u1: mmHg rs: Final st: NotStopd t0: [16:15:00 09/10/2012] id: Arterial PaO2 ABG el: 0 cu: MICU cg: 1663 v1: 99 u1: mmHg rs: Final st: NotStopd t0: [16:15:00 09/10/2012] id: Arterial pH ABG el: 0 cu: MICU cg: 1663 v1: 7.28 rs: Final st: NotStopd
t0: [10:00:00 09/10/2012] id: Less Restrict Meas. el: 0 cu: MICU cg: RN v1: Medicated st: NotStopd t0: [10:00:00 09/10/2012] id: Range of Motion el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [10:00:00 09/10/2012] id: Circulation/SkinInt el: 0 cu: MICU cg: RN v1: Circulation Adeq st: NotStopd t0: [10:00:00 09/10/2012] id: Position Change el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [10:00:00 09/10/2012] id: Reason For Restraint el: 0 cu: MICU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [10:00:00 09/10/2012] id: Removed x 5 Mins el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [10:00:00 09/10/2012] id: Restraint Location el: 0 cu: MICU cg: RN v1: Both Arms st: NotStopd t0: [10:00:00 09/10/2012] id: Restraint Type el: 0 cu: MICU cg: RN v1: Soft Limb st: NotStopd t0: [10:00:00 09/10/2012] id: Restraints Evaluated el: 0 cu: MICU cg: RN v1: Behavior Conts st: NotStopd t0: [10:00:00 09/10/2012] id: Side Rails el: 0 cu: MICU cg: RN v1: Side Rails Up st: NotStopd t0: [10:00:00 09/10/2012] id: Support Systems el: 0 cu: MICU cg: RN v1: Spouse st: NotStopd t0: [12:00:00 09/10/2012] id: Less Restrict Meas. el: 0 cu: MICU cg: RN v1: Medicated st: NotStopd t0: [12:00:00 09/10/2012] id: Range of Motion el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [12:00:00 09/10/2012] id: Circulation/SkinInt el: 0 cu: MICU cg: RN v1: Circulation Adeq st: NotStopd t0: [12:00:00 09/10/2012] id: Cough Effort el: 0 cu: MICU cg: RN v1: Weak st: NotStopd t0: [12:00:00 09/10/2012] id: Cough Reflex el: 0 cu: MICU cg: RN v1: Intact st: NotStopd t0: [12:00:00 09/10/2012] id: GI Prophylaxis el: 0 cu: MICU cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [12:00:00 09/10/2012] id: Diet Type el: 0 cu: MICU cg: RN v1: NPO st: NotStopd t0: [12:00:00 09/10/2012] id: Eye Opening el: 0 cu: MICU cg: RN v1: 3 To speech st: NotStopd t0: [12:00:00 09/10/2012] id: Family Communication el: 0 cu: MICU cg: RN v1: Family Visited st: NotStopd t0: [12:00:00 09/10/2012] id: GCS Total el: 0 cu: MICU cg: RN v1: 10 u1: points st: NotStopd t0: [12:00:00 09/10/2012] id: Gag Reflex el: 0 cu: MICU cg: RN v1: Intact st: NotStopd t0: [12:00:00 09/10/2012] id: HOB el: 0 cu: MICU cg: RN v1: 30 degrees st: NotStopd t0: [12:00:00 09/10/2012] id: INV Line#1 Type/Site el: 0 cu: MICU cg: RN v1: A-Line v2: Left Radial st: NotStopd t0: [12:00:00 09/10/2012] id: INV Line#1 Zero/Cal el: 0 cu: MICU cg: RN v1: No st: NotStopd t0: [12:00:00 09/10/2012] id: INV Line#1InsertDate el: 0 cu: MICU cg: RN v1: 9 v2: 13 st: NotStopd t0: [12:00:00 09/10/2012] id: INV Line#1SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [12:00:00 09/10/2012] id: INV Line#3 Type/Site el: 0 cu: MICU cg: RN v1: Multi-lumen v2: Right IJ st: NotStopd t0: [12:00:00 09/10/2012] id: INV Line#3InsertDate el: 0 cu: MICU cg: RN v1: 9 v2: 14 st: NotStopd t0: [12:00:00 09/10/2012] id: INV Line#3SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [12:00:00 09/10/2012] id: Abdominal Assessment el: 0 cu: MICU cg: RN v1: Ascites st: NotStopd t0: [12:00:00 09/10/2012] id: INV#1 WaveformAppear el: 0 cu: MICU cg: RN v1: Sharp st: NotStopd t0: [12:00:00 09/10/2012] id: IV #1 Insert Date el: 0 cu: MICU cg: RN v1: 9 v2: 13 st: NotStopd t0: [12:00:00 09/10/2012] id: IV #1 Site/Size el: 0 cu: MICU cg: RN v1: LL Ant Forearm v2: 20 gauge st: NotStopd t0: [12:00:00 09/10/2012] id: IV #2 Insert Date el: 0 cu: MICU cg: RN v1: 9 v2: 13 st: NotStopd t0: [12:00:00 09/10/2012] id: IV #2 Site/Size el: 0 cu: MICU cg: RN v1: RL Ant Forearm v2: 18 gauge st: NotStopd t0: [12:00:00 09/10/2012] id: IV #3 Insert Date el: 0 cu: MICU cg: RN v1: 9 v2: 12 st: NotStopd t0: [12:00:00 09/10/2012] id: IV #3 Site/Size el: 0 cu: MICU cg: RN v1: Right Hand v2: 18 gauge st: NotStopd t0: [12:00:00 09/10/2012] id: IV #4 Insert Date el: 0 cu: MICU cg: RN v1: 9 v2: 12 st: NotStopd t0: [12:00:00 09/10/2012] id: IV #4 Site/Size el: 0 cu: MICU cg: RN v1: RL Ant Forearm v2: 18 gauge st: NotStopd t0: [12:00:00 09/10/2012] id: Activity el: 0 cu: MICU cg: RN v1: Bedrest st: NotStopd t0: [12:00:00 09/10/2012] id: IV Site Appear #1 el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [12:00:00 09/10/2012] id: IV Site Appear #2 el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [12:00:00 09/10/2012] id: IV Site Appear #3 el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [12:00:00 09/10/2012] id: IV Site Appear #4 el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [12:00:00 09/10/2012] id: Activity Tolerance el: 0 cu: MICU cg: RN v1: Tolerated Well st: NotStopd t0: [12:00:00 09/10/2012] id: LLL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [12:00:00 09/10/2012] id: LUL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [12:00:00 09/10/2012] id: Level of Conscious el: 0 cu: MICU cg: RN v1: Arouse to Voice st: NotStopd t0: [12:00:00 09/10/2012] id: Angio Appearance #1 el: 0 cu: MICU cg: RN v1: Clean and Dry st: NotStopd t0: [12:00:00 09/10/2012] id: Motor Response el: 0 cu: MICU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [12:00:00 09/10/2012] id: Oral Cavity el: 0 cu: MICU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [12:00:00 09/10/2012] id: Orientation el: 0 cu: MICU cg: RN v1: Other/Remarks st: NotStopd t0: [12:00:00 09/10/2012] id: Angio Site #1 el: 0 cu: MICU cg: RN v1: R Femoral st: NotStopd t0: [12:00:00 09/10/2012] id: AntiEmbDevice/Status el: 0 cu: MICU cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [12:00:00 09/10/2012] id: Position el: 0 cu: MICU cg: RN v1: Supine st: NotStopd t0: [12:00:00 09/10/2012] id: Position Change el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [12:00:00 09/10/2012] id: Assistance Device el: 0 cu: MICU cg: RN v1: 2 Person Assist st: NotStopd t0: [12:00:00 09/10/2012] id: RLL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [12:00:00 09/10/2012] id: RUL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [12:00:00 09/10/2012] id: Reason For Restraint el: 0 cu: MICU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [12:00:00 09/10/2012] id: Removed x 5 Mins el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [12:00:00 09/10/2012] id: Respiratory Pattern el: 0 cu: MICU cg: RN v1: Regular st: NotStopd t0: [12:00:00 09/10/2012] id: Restraint Location el: 0 cu: MICU cg: RN v1: Both Arms st: NotStopd t0: [12:00:00 09/10/2012] id: Restraint Type el: 0 cu: MICU cg: RN v1: Soft Limb st: NotStopd t0: [12:00:00 09/10/2012] id: Restraints Evaluated el: 0 cu: MICU cg: RN v1: Behavior Conts st: NotStopd t0: [12:00:00 09/10/2012] id: Side Rails el: 0 cu: MICU cg: RN v1: Side Rails Up st: NotStopd t0: [12:00:00 09/10/2012] id: Stool Guaiac el: 0 cu: MICU cg: RN v1: Positive st: NotStopd t0: [12:00:00 09/10/2012] id: Support Systems el: 0 cu: MICU cg: RN v1: Friend st: NotStopd t0: [12:00:00 09/10/2012] id: Turn el: 0 cu: MICU cg: RN v1: Right Side st: NotStopd t0: [12:00:00 09/10/2012] id: Urine Color/Appear el: 0 cu: MICU cg: RN v1: Icteric v2: Clear st: NotStopd t0: [12:00:00 09/10/2012] id: Urine Source el: 0 cu: MICU cg: RN v1: Indwelling Cath st: NotStopd t0: [12:00:00 09/10/2012] id: Verbal Response el: 0 cu: MICU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [12:00:00 09/10/2012] id: Bowel Sounds el: 0 cu: MICU cg: RN v1: Hypoactive st: NotStopd t0: [14:00:00 09/10/2012] id: Range of Motion el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [14:00:00 09/10/2012] id: Circulation/SkinInt el: 0 cu: MICU cg: RN v1: Circulation Adeq st: NotStopd t0: [14:00:00 09/10/2012] id: Position Change el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [14:00:00 09/10/2012] id: Reason For Restraint el: 0 cu: MICU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [14:00:00 09/10/2012] id: Removed x 5 Mins el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [14:00:00 09/10/2012] id: Restraint Location el: 0 cu: MICU cg: RN v1: Both Arms st: NotStopd t0: [14:00:00 09/10/2012] id: Restraint Type el: 0 cu: MICU cg: RN v1: Soft Limb st: NotStopd t0: [14:00:00 09/10/2012] id: Restraints Evaluated el: 0 cu: MICU cg: RN v1: Behavior Conts st: NotStopd t0: [14:00:00 09/10/2012] id: Side Rails el: 0 cu: MICU cg: RN v1: Side Rails Up st: NotStopd t0: [14:00:00 09/10/2012] id: Support Systems el: 0 cu: MICU cg: RN v1: Spouse st: NotStopd t0: [14:00:00 09/10/2012] id: Turn el: 0 cu: MICU cg: RN v1: Back st: NotStopd t0: [16:00:00 09/10/2012] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [16:00:00 09/10/2012] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [16:00:00 09/10/2012] id: Cough Effort el: 0 cu: MICU cg: RN v1: Weak st: NotStopd t0: [16:00:00 09/10/2012] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [16:00:00 09/10/2012] id: Diet Type el: 0 cu: MICU cg: RN v1: NPO st: NotStopd t0: [16:00:00 09/10/2012] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [16:00:00 09/10/2012] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [16:00:00 09/10/2012] id: Eye Opening el: 0 cu: MICU cg: RN v1: 4 Spontaneously st: NotStopd t0: [16:00:00 09/10/2012] id: GCS Total el: 0 cu: MICU cg: RN v1: 11 u1: points st: NotStopd t0: [16:00:00 09/10/2012] id: HOB el: 0 cu: MICU cg: RN v1: 30 degrees st: NotStopd t0: [16:00:00 09/10/2012] id: Heart Rate el: 0 cu: MICU cg: RN v1: 88 u1: BPM st: NotStopd t0: [16:00:00 09/10/2012] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [16:00:00 09/10/2012] id: INV Line#1 Type/Site el: 0 cu: MICU cg: RN v1: A-Line v2: Left Radial st: NotStopd t0: [16:00:00 09/10/2012] id: INV Line#1 Zero/Cal el: 0 cu: MICU cg: RN v1: No st: NotStopd t0: [16:00:00 09/10/2012] id: INV Line#1InsertDate el: 0 cu: MICU cg: RN v1: 9 v2: 13 st: NotStopd t0: [16:00:00 09/10/2012] id: INV Line#1SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [16:00:00 09/10/2012] id: INV Line#3 Type/Site el: 0 cu: MICU cg: RN v1: Multi-lumen v2: Right IJ st: NotStopd t0: [16:00:00 09/10/2012] id: INV Line#3InsertDate el: 0 cu: MICU cg: RN v1: 9 v2: 14 st: NotStopd t0: [16:00:00 09/10/2012] id: INV Line#3SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [16:00:00 09/10/2012] id: INV#1 WaveformAppear el: 0 cu: MICU cg: RN v1: Sharp st: NotStopd t0: [16:00:00 09/10/2012] id: IV #1 Insert Date el: 0 cu: MICU cg: RN v1: 9 v2: 13 st: NotStopd t0: [16:00:00 09/10/2012] id: IV #1 Site/Size el: 0 cu: MICU cg: RN v1: LL Ant Forearm v2: 20 gauge st: NotStopd t0: [16:00:00 09/10/2012] id: IV #2 Insert Date el: 0 cu: MICU cg: RN v1: 9 v2: 13 st: NotStopd t0: [16:00:00 09/10/2012] id: IV #2 Site/Size el: 0 cu: MICU cg: RN v1: RL Ant Forearm v2: 18 gauge st: NotStopd t0: [16:00:00 09/10/2012] id: IV #3 Insert Date el: 0 cu: MICU cg: RN v1: 9 v2: 12 st: NotStopd t0: [16:00:00 09/10/2012] id: IV #3 Site/Size el: 0 cu: MICU cg: RN v1: Right Hand v2: 18 gauge st: NotStopd t0: [16:00:00 09/10/2012] id: IV #4 Insert Date el: 0 cu: MICU cg: RN v1: 9 v2: 12 st: NotStopd t0: [16:00:00 09/10/2012] id: IV #4 Site/Size el: 0 cu: MICU cg: RN v1: RL Ant Forearm v2: 18 gauge st: NotStopd t0: [16:00:00 09/10/2012] id: Activity el: 0 cu: MICU cg: RN v1: Bedrest st: NotStopd t0: [16:00:00 09/10/2012] id: IV Site Appear #1 el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [16:00:00 09/10/2012] id: IV Site Appear #2 el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [16:00:00 09/10/2012] id: IV Site Appear #3 el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [16:00:00 09/10/2012] id: IV Site Appear #4 el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [16:00:00 09/10/2012] id: Activity Tolerance el: 0 cu: MICU cg: RN v1: Tolerated Well st: NotStopd t0: [16:00:00 09/10/2012] id: LLL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [16:00:00 09/10/2012] id: LUL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [16:00:00 09/10/2012] id: Level of Conscious el: 0 cu: MICU cg: RN v1: Lethargic st: NotStopd t0: [16:00:00 09/10/2012] id: Motor Response el: 0 cu: MICU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [16:00:00 09/10/2012] id: Orientation el: 0 cu: MICU cg: RN v1: Other/Remarks st: NotStopd t0: [16:00:00 09/10/2012] id: Angio Site #1 el: 0 cu: MICU cg: RN v1: R Femoral st: NotStopd t0: [16:00:00 09/10/2012] id: AntiEmbDevice/Status el: 0 cu: MICU cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [16:00:00 09/10/2012] id: Arterial BP el: 0 cu: MICU cg: RN v1: 134 u1: mmHg v2: 68 u2: mmHg st: NotStopd t0: [16:00:00 09/10/2012] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 88 u1: mmHg st: NotStopd t0: [16:00:00 09/10/2012] id: Position el: 0 cu: MICU cg: RN v1: Supine st: NotStopd t0: [16:00:00 09/10/2012] id: Assistance Device el: 0 cu: MICU cg: RN v1: 2 Person Assist st: NotStopd t0: [16:00:00 09/10/2012] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [16:00:00 09/10/2012] id: RLL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [16:00:00 09/10/2012] id: RUL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [16:00:00 09/10/2012] id: Respiratory Pattern el: 0 cu: MICU cg: RN v1: Regular st: NotStopd t0: [16:00:00 09/10/2012] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 17 u1: BPM st: NotStopd t0: [16:00:00 09/10/2012] id: Restraint Location el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [16:00:00 09/10/2012] id: SpO2 el: 0 cu: MICU cg: RN v1: 99 u1: % st: NotStopd t0: [16:00:00 09/10/2012] id: Temp. Site el: 0 cu: MICU cg: RN v1: Oral st: NotStopd t0: [16:00:00 09/10/2012] id: Temperature C (calc) el: 0 cu: MICU cg: RN v1: 36.6111 u1: Deg. C st: NotStopd t0: [16:00:00 09/10/2012] id: Temperature F el: 0 cu: MICU cg: RN v1: 97.9 u1: Deg. F st: NotStopd t0: [16:00:00 09/10/2012] id: Turn el: 0 cu: MICU cg: RN v1: Left Side st: NotStopd t0: [16:00:00 09/10/2012] id: Urine Color/Appear el: 0 cu: MICU cg: RN v1: Icteric v2: Clear st: NotStopd t0: [16:00:00 09/10/2012] id: Urine Source el: 0 cu: MICU cg: RN v1: Indwelling Cath st: NotStopd t0: [16:00:00 09/10/2012] id: Verbal Response el: 0 cu: MICU cg: RN v1: 1 No Response st: NotStopd t0: [16:00:00 09/10/2012] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [18:00:00 09/10/2012] id: Restraint Location el: 0 cu: MICU cg: RN v1: None st: NotStopd
t0: [17:00:00 09/10/2012] tf: [18:00:00 09/10/2012] dt: 60 id: D5W 250.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 105 vo: 0 vu: ml t0: [16:00:00 09/10/2012] id: D5W 100.0ml + 600mcghr Sandostatin IV Infusions el: 2 cu: MICU cg: RN ai: 107 vo: 16.6667 vu: ml t0: [16:00:00 09/10/2012] id: TPN 1000.0ml IV Infusions el: 1 cu: MICU cg: RN ai: -1 vo: 83.6 vu: ml t0: [16:00:00 09/10/2012] id: Urine Out Void el: 1 cu: MICU cg: RN vo: 240 vu: ml t0: [17:00:00 09/10/2012] id: D5W 250.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 105 vo: 100 vu: ml
t0: [16:00:00 09/10/2012] id: Sandostatin el: 2 cu: MICU cg: RN so: D5W vo: 0 v1: 50 du: mcghr sv: 100 su: ml rt: IV Drip
t0: [17:45:00 09/10/2012] id: Art.pH ABG el: 0 cu: MICU cg: 1663 v1: 7.34 rs: Final st: NotStopd t0: [17:45:00 09/10/2012] id: Arterial Base Excess ABG el: 0 cu: MICU cg: 1663 v1: -5 rs: Final st: NotStopd t0: [17:45:00 09/10/2012] id: Arterial CO2(Calc) ABG el: 0 cu: MICU cg: 1663 v1: 20 rs: Final st: NotStopd t0: [17:45:00 09/10/2012] id: Arterial PaCO2 ABG el: 0 cu: MICU cg: 1663 v1: 36 u1: mmHg rs: Final st: NotStopd t0: [17:45:00 09/10/2012] id: Arterial PaO2 ABG el: 0 cu: MICU cg: 1663 v1: 74 u1: mmHg rs: Final st: NotStopd t0: [17:45:00 09/10/2012] id: Arterial pH ABG el: 0 cu: MICU cg: 1663 v1: 7.34 rs: Final st: NotStopd
t0: [18:00:00 09/10/2012] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [18:00:00 09/10/2012] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [18:00:00 09/10/2012] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [18:00:00 09/10/2012] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [18:00:00 09/10/2012] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [18:00:00 09/10/2012] id: Heart Rate el: 0 cu: MICU cg: RN v1: 90 u1: BPM st: NotStopd t0: [18:00:00 09/10/2012] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [18:00:00 09/10/2012] id: Arterial BP el: 0 cu: MICU cg: RN v1: 136 u1: mmHg v2: 69 u2: mmHg st: NotStopd t0: [18:00:00 09/10/2012] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 91 u1: mmHg st: NotStopd t0: [18:00:00 09/10/2012] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [18:00:00 09/10/2012] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 20 u1: BPM st: NotStopd t0: [18:00:00 09/10/2012] id: SpO2 el: 0 cu: MICU cg: RN v1: 96 u1: % st: NotStopd t0: [18:00:00 09/10/2012] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [15:00:00 09/10/2012] id: Urine Out Void el: 1 cu: MICU cg: RN vo: 30 vu: ml t0: [18:00:00 09/10/2012] id: D5W 250.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 105 vo: 0 vu: ml t0: [18:00:00 09/10/2012] id: D5W 100.0ml + 600mcghr Sandostatin IV Infusions el: 2 cu: MICU cg: RN ai: 107 vo: 16.6667 vu: ml t0: [18:00:00 09/10/2012] id: TPN 1000.0ml IV Infusions el: 1 cu: MICU cg: RN ai: -1 vo: 83.6 vu: ml t0: [18:00:00 09/10/2012] id: Urine Out Void el: 1 cu: MICU cg: RN vo: 180 vu: ml
t0: [18:00:00 09/10/2012] id: Sandostatin el: 2 cu: MICU cg: RN so: D5W vo: 0 v1: 50 du: mcghr sv: 100 su: ml rt: IV Drip
t0: [18:23:00 09/10/2012] id: Hematocrit Hematology el: 0 cu: MICU cg: 1663 v1: 37.5 u1: % rs: Final st: NotStopd
t0: [19:00:00 09/10/2012] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [19:00:00 09/10/2012] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [19:00:00 09/10/2012] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [19:00:00 09/10/2012] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [19:00:00 09/10/2012] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [19:00:00 09/10/2012] id: Heart Rate el: 0 cu: MICU cg: RN v1: 96 u1: BPM st: NotStopd t0: [19:00:00 09/10/2012] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [19:00:00 09/10/2012] id: Arterial BP el: 0 cu: MICU cg: RN v1: 145 u1: mmHg v2: 73 u2: mmHg st: NotStopd t0: [19:00:00 09/10/2012] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 95 u1: mmHg st: NotStopd t0: [19:00:00 09/10/2012] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [19:00:00 09/10/2012] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 20 u1: BPM st: NotStopd t0: [19:00:00 09/10/2012] id: SpO2 el: 0 cu: MICU cg: RN v1: 97 u1: % st: NotStopd t0: [19:00:00 09/10/2012] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [19:00:00 09/10/2012] id: D5W 250.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 105 vo: 0 vu: ml t0: [19:00:00 09/10/2012] id: D5W 100.0ml + 600mcghr Sandostatin IV Infusions el: 2 cu: MICU cg: RN ai: 107 vo: 8.33333 vu: ml t0: [19:00:00 09/10/2012] id: TPN 1000.0ml IV Infusions el: 1 cu: MICU cg: RN ai: -1 vo: 45.7 vu: ml
t0: [19:00:00 09/10/2012] id: Sandostatin el: 2 cu: MICU cg: RN so: D5W vo: 0 v1: 50 du: mcghr sv: 100 su: ml rt: IV Drip
t0: [20:00:00 09/10/2012] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [20:00:00 09/10/2012] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [20:00:00 09/10/2012] id: Cough Effort el: 0 cu: MICU cg: RN v1: Weak st: NotStopd t0: [20:00:00 09/10/2012] id: Cough Reflex el: 0 cu: MICU cg: RN v1: Impaired st: NotStopd t0: [20:00:00 09/10/2012] id: GI Prophylaxis el: 0 cu: MICU cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [20:00:00 09/10/2012] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [20:00:00 09/10/2012] id: Diet Type el: 0 cu: MICU cg: RN v1: NPO st: NotStopd t0: [20:00:00 09/10/2012] id: Dorsal PedPulse R/L el: 0 cu: MICU cg: RN v1: Strong/Palpable v2: Strong/Palpable st: NotStopd t0: [20:00:00 09/10/2012] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [20:00:00 09/10/2012] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [20:00:00 09/10/2012] id: Eye Opening el: 0 cu: MICU cg: RN v1: 3 To speech st: NotStopd t0: [20:00:00 09/10/2012] id: GCS Total el: 0 cu: MICU cg: RN v1: 10 u1: points st: NotStopd t0: [20:00:00 09/10/2012] id: Gag Reflex el: 0 cu: MICU cg: RN v1: Impaired st: NotStopd t0: [20:00:00 09/10/2012] id: Heart Rate el: 0 cu: MICU cg: RN v1: 95 u1: BPM st: NotStopd t0: [20:00:00 09/10/2012] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [20:00:00 09/10/2012] id: Abdominal Assessment el: 0 cu: MICU cg: RN v1: Ascites st: NotStopd t0: [20:00:00 09/10/2012] id: LLL Lung Sounds el: 0 cu: MICU cg: RN v1: Diminished st: NotStopd t0: [20:00:00 09/10/2012] id: LUL Lung Sounds el: 0 cu: MICU cg: RN v1: Clear st: NotStopd t0: [20:00:00 09/10/2012] id: Level of Conscious el: 0 cu: MICU cg: RN v1: Lethargic st: NotStopd t0: [20:00:00 09/10/2012] id: Motor Response el: 0 cu: MICU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [20:00:00 09/10/2012] id: Oral Cavity el: 0 cu: MICU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [20:00:00 09/10/2012] id: Orientation el: 0 cu: MICU cg: RN v1: Oriented x 1 st: NotStopd t0: [20:00:00 09/10/2012] id: Angio Site #1 el: 0 cu: MICU cg: RN v1: R Femoral st: NotStopd t0: [20:00:00 09/10/2012] id: Arterial BP el: 0 cu: MICU cg: RN v1: 139 u1: mmHg v2: 68 u2: mmHg st: NotStopd t0: [20:00:00 09/10/2012] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 90 u1: mmHg st: NotStopd t0: [20:00:00 09/10/2012] id: PostTib. Pulses R/L el: 0 cu: MICU cg: RN v1: Strong/Palpable v2: Strong/Palpable st: NotStopd t0: [20:00:00 09/10/2012] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [20:00:00 09/10/2012] id: RLL Lung Sounds el: 0 cu: MICU cg: RN v1: Diminished st: NotStopd t0: [20:00:00 09/10/2012] id: RUL Lung Sounds el: 0 cu: MICU cg: RN v1: Clear st: NotStopd t0: [20:00:00 09/10/2012] id: Respiratory Pattern el: 0 cu: MICU cg: RN v1: Regular st: NotStopd t0: [20:00:00 09/10/2012] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 20 u1: BPM st: NotStopd t0: [20:00:00 09/10/2012] id: SpO2 el: 0 cu: MICU cg: RN v1: 97 u1: % st: NotStopd t0: [20:00:00 09/10/2012] id: Temp. Site el: 0 cu: MICU cg: RN v1: Axillary st: NotStopd t0: [20:00:00 09/10/2012] id: Temperature C (calc) el: 0 cu: MICU cg: RN v1: 36.0556 u1: Deg. C st: NotStopd t0: [20:00:00 09/10/2012] id: Temperature F el: 0 cu: MICU cg: RN v1: 96.9 u1: Deg. F st: NotStopd t0: [20:00:00 09/10/2012] id: Urine Color/Appear el: 0 cu: MICU cg: RN v1: Icteric v2: Clear st: NotStopd t0: [20:00:00 09/10/2012] id: Urine Source el: 0 cu: MICU cg: RN v1: Indwelling Cath st: NotStopd t0: [20:00:00 09/10/2012] id: Verbal Response el: 0 cu: MICU cg: RN v1: 1 No Response st: NotStopd t0: [20:00:00 09/10/2012] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [20:00:00 09/10/2012] id: Bowel Sounds el: 0 cu: MICU cg: RN v1: Hypoactive st: NotStopd
t0: [20:00:00 09/10/2012] id: D5W 250.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 105 vo: 0 vu: ml t0: [20:00:00 09/10/2012] id: D5W 100.0ml + 600mcghr Sandostatin IV Infusions el: 2 cu: MICU cg: RN ai: 107 vo: 8.33333 vu: ml t0: [20:00:00 09/10/2012] id: TPN 1000.0ml IV Infusions el: 1 cu: MICU cg: RN ai: -1 vo: 45.7 vu: ml t0: [20:00:00 09/10/2012] id: Urine Out Void el: 1 cu: MICU cg: RN vo: 200 vu: ml
t0: [20:00:00 09/10/2012] id: Sandostatin el: 2 cu: MICU cg: RN so: D5W vo: 0 v1: 50 du: mcghr sv: 100 su: ml rt: IV Drip
t0: [21:00:00 09/10/2012] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [21:00:00 09/10/2012] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [21:00:00 09/10/2012] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [21:00:00 09/10/2012] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [21:00:00 09/10/2012] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [21:00:00 09/10/2012] id: Heart Rate el: 0 cu: MICU cg: RN v1: 90 u1: BPM st: NotStopd t0: [21:00:00 09/10/2012] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [21:00:00 09/10/2012] id: Arterial BP el: 0 cu: MICU cg: RN v1: 145 u1: mmHg v2: 73 u2: mmHg st: NotStopd t0: [21:00:00 09/10/2012] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [21:00:00 09/10/2012] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 16 u1: BPM st: NotStopd t0: [21:00:00 09/10/2012] id: SpO2 el: 0 cu: MICU cg: RN v1: 98 u1: % st: NotStopd t0: [21:00:00 09/10/2012] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [21:00:00 09/10/2012] id: D5W 250.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 105 vo: 0 vu: ml t0: [21:00:00 09/10/2012] id: D5W 100.0ml + 600mcghr Sandostatin IV Infusions el: 2 cu: MICU cg: RN ai: 107 vo: 8.33333 vu: ml t0: [21:00:00 09/10/2012] id: TPN 1000.0ml IV Infusions el: 1 cu: MICU cg: RN ai: -1 vo: 45.7 vu: ml
t0: [21:00:00 09/10/2012] id: Sandostatin el: 2 cu: MICU cg: RN so: D5W vo: 0 v1: 50 du: mcghr sv: 100 su: ml rt: IV Drip
t0: [20:00:00 09/10/2012] id: Less Restrict Meas. el: 0 cu: MICU cg: RN v1: Orientation st: NotStopd t0: [20:00:00 09/10/2012] id: Range of Motion el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [20:00:00 09/10/2012] id: Circulation/SkinInt el: 0 cu: MICU cg: RN v1: Circulation Adeq st: NotStopd t0: [20:00:00 09/10/2012] id: HOB el: 0 cu: MICU cg: RN v1: 30 degrees st: NotStopd t0: [20:00:00 09/10/2012] id: INV Line#1 Type/Site el: 0 cu: MICU cg: RN v1: A-Line v2: Left Radial st: NotStopd t0: [20:00:00 09/10/2012] id: INV Line#1 Zero/Cal el: 0 cu: MICU cg: RN v1: No st: NotStopd t0: [20:00:00 09/10/2012] id: INV Line#1InsertDate el: 0 cu: MICU cg: RN v1: 9 v2: 13 st: NotStopd t0: [20:00:00 09/10/2012] id: INV Line#1SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [20:00:00 09/10/2012] id: INV Line#3 Type/Site el: 0 cu: MICU cg: RN v1: Multi-lumen v2: Right IJ st: NotStopd t0: [20:00:00 09/10/2012] id: INV Line#3InsertDate el: 0 cu: MICU cg: RN v1: 9 v2: 14 st: NotStopd t0: [20:00:00 09/10/2012] id: INV Line#3SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [20:00:00 09/10/2012] id: INV#1 WaveformAppear el: 0 cu: MICU cg: RN v1: Sharp st: NotStopd t0: [20:00:00 09/10/2012] id: IV #1 Insert Date el: 0 cu: MICU cg: RN v1: 9 v2: 13 st: NotStopd t0: [20:00:00 09/10/2012] id: IV #1 Site/Size el: 0 cu: MICU cg: RN v1: LL Ant Forearm v2: 20 gauge st: NotStopd t0: [20:00:00 09/10/2012] id: IV #2 Insert Date el: 0 cu: MICU cg: RN v1: 9 v2: 13 st: NotStopd t0: [20:00:00 09/10/2012] id: IV #2 Site/Size el: 0 cu: MICU cg: RN v1: RL Ant Forearm v2: 18 gauge st: NotStopd t0: [20:00:00 09/10/2012] id: IV #3 Insert Date el: 0 cu: MICU cg: RN v1: 9 v2: 12 st: NotStopd t0: [20:00:00 09/10/2012] id: IV #3 Site/Size el: 0 cu: MICU cg: RN v1: Right Hand v2: 18 gauge st: NotStopd t0: [20:00:00 09/10/2012] id: IV #4 Insert Date el: 0 cu: MICU cg: RN v1: 9 v2: 12 st: NotStopd t0: [20:00:00 09/10/2012] id: IV #4 Site/Size el: 0 cu: MICU cg: RN v1: RL Ant Forearm v2: 18 gauge st: NotStopd t0: [20:00:00 09/10/2012] id: Activity el: 0 cu: MICU cg: RN v1: Bedrest st: NotStopd t0: [20:00:00 09/10/2012] id: IV Site Appear #1 el: 0 cu: MICU cg: RN v1: Infiltrated st: NotStopd t0: [20:00:00 09/10/2012] id: IV Site Appear #2 el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [20:00:00 09/10/2012] id: IV Site Appear #3 el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [20:00:00 09/10/2012] id: IV Site Appear #4 el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [20:00:00 09/10/2012] id: Activity Tolerance el: 0 cu: MICU cg: RN v1: Good st: NotStopd t0: [20:00:00 09/10/2012] id: Oral Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [20:00:00 09/10/2012] id: AntiEmbDevice/Status el: 0 cu: MICU cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [20:00:00 09/10/2012] id: Position el: 0 cu: MICU cg: RN v1: Supine st: NotStopd t0: [20:00:00 09/10/2012] id: Position Change el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [20:00:00 09/10/2012] id: Assistance Device el: 0 cu: MICU cg: RN v1: 2 Person Assist st: NotStopd t0: [20:00:00 09/10/2012] id: Reason For Restraint el: 0 cu: MICU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [20:00:00 09/10/2012] id: Removed x 5 Mins el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [20:00:00 09/10/2012] id: Restraint Location el: 0 cu: MICU cg: RN v1: Both Arms st: NotStopd t0: [20:00:00 09/10/2012] id: Restraint Type el: 0 cu: MICU cg: RN v1: Soft Limb st: NotStopd t0: [20:00:00 09/10/2012] id: Restraints Evaluated el: 0 cu: MICU cg: RN v1: Behavior Conts st: NotStopd t0: [20:00:00 09/10/2012] id: Side Rails el: 0 cu: MICU cg: RN v1: Side Rails Up st: NotStopd t0: [20:00:00 09/10/2012] id: Skin Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [20:00:00 09/10/2012] id: Skin Color el: 0 cu: MICU cg: RN v1: Jaundiced st: NotStopd t0: [20:00:00 09/10/2012] id: Skin Integrity el: 0 cu: MICU cg: RN v1: Intact st: NotStopd t0: [20:00:00 09/10/2012] id: Skin Temp/Condition el: 0 cu: MICU cg: RN v1: Warm v2: Dry st: NotStopd t0: [20:00:00 09/10/2012] id: Support Systems el: 0 cu: MICU cg: RN v1: Spouse st: NotStopd t0: [20:00:00 09/10/2012] id: Turn el: 0 cu: MICU cg: RN v1: Side to Side st: NotStopd t0: [20:00:00 09/10/2012] id: Back Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [20:00:00 09/10/2012] id: Braden Activity el: 0 cu: MICU cg: RN v1: Bedfast st: NotStopd t0: [20:00:00 09/10/2012] id: Braden Frict/Shear el: 0 cu: MICU cg: RN v1: Potential Prob st: NotStopd t0: [20:00:00 09/10/2012] id: Braden Mobility el: 0 cu: MICU cg: RN v1: Very Limited st: NotStopd t0: [20:00:00 09/10/2012] id: Braden Moisture el: 0 cu: MICU cg: RN v1: Occ. Moist st: NotStopd t0: [20:00:00 09/10/2012] id: Braden Nutrition el: 0 cu: MICU cg: RN v1: Very Poor st: NotStopd t0: [20:00:00 09/10/2012] id: Braden Score el: 0 cu: MICU cg: RN v1: 11 u1: number st: NotStopd t0: [20:00:00 09/10/2012] id: Braden SensoryPercep el: 0 cu: MICU cg: RN v1: Very Limited st: NotStopd
t0: [20:00:00 09/10/2012] id: Follows Commands el: 0 cu: MICU cg: RN v1: Inconsistently st: NotStopd t0: [20:00:00 09/10/2012] id: Spontaneous Movement el: 0 cu: MICU cg: RN v1: Purposeful st: NotStopd t0: [22:00:00 09/10/2012] id: Less Restrict Meas. el: 0 cu: MICU cg: RN v1: Orientation st: NotStopd t0: [22:00:00 09/10/2012] id: Range of Motion el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [22:00:00 09/10/2012] id: bath el: 1 cu: MICU cg: RN v1: done t0: [22:00:00 09/10/2012] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [22:00:00 09/10/2012] id: Circulation/SkinInt el: 0 cu: MICU cg: RN v1: Circulation Adeq st: NotStopd t0: [22:00:00 09/10/2012] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [22:00:00 09/10/2012] id: Cough/Deep Breathe el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [22:00:00 09/10/2012] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [22:00:00 09/10/2012] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [22:00:00 09/10/2012] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [22:00:00 09/10/2012] id: HOB el: 0 cu: MICU cg: RN v1: 30 degrees st: NotStopd t0: [22:00:00 09/10/2012] id: Heart Rate el: 0 cu: MICU cg: RN v1: 90 u1: BPM st: NotStopd t0: [22:00:00 09/10/2012] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [22:00:00 09/10/2012] id: Activity el: 0 cu: MICU cg: RN v1: Bedrest st: NotStopd t0: [22:00:00 09/10/2012] id: Activity Tolerance el: 0 cu: MICU cg: RN v1: Good st: NotStopd t0: [22:00:00 09/10/2012] id: Oral Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [22:00:00 09/10/2012] id: AntiEmbDevice/Status el: 0 cu: MICU cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [22:00:00 09/10/2012] id: Arterial BP el: 0 cu: MICU cg: RN v1: 145 u1: mmHg v2: 74 u2: mmHg st: NotStopd t0: [22:00:00 09/10/2012] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 97 u1: mmHg st: NotStopd t0: [22:00:00 09/10/2012] id: Position el: 0 cu: MICU cg: RN v1: Right Side st: NotStopd t0: [22:00:00 09/10/2012] id: Position Change el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [22:00:00 09/10/2012] id: Assistance Device el: 0 cu: MICU cg: RN v1: 2 Person Assist st: NotStopd t0: [22:00:00 09/10/2012] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [22:00:00 09/10/2012] id: Reason For Restraint el: 0 cu: MICU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [22:00:00 09/10/2012] id: Removed x 5 Mins el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [22:00:00 09/10/2012] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 16 u1: BPM st: NotStopd t0: [22:00:00 09/10/2012] id: Restraint Location el: 0 cu: MICU cg: RN v1: Both Arms st: NotStopd t0: [22:00:00 09/10/2012] id: Restraint Type el: 0 cu: MICU cg: RN v1: Soft Limb st: NotStopd t0: [22:00:00 09/10/2012] id: Restraints Evaluated el: 0 cu: MICU cg: RN v1: Behavior Conts st: NotStopd t0: [22:00:00 09/10/2012] id: Side Rails el: 0 cu: MICU cg: RN v1: Side Rails Up st: NotStopd t0: [22:00:00 09/10/2012] id: Skin Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [22:00:00 09/10/2012] id: SpO2 el: 0 cu: MICU cg: RN v1: 94 u1: % st: NotStopd t0: [22:00:00 09/10/2012] id: Support Systems el: 0 cu: MICU cg: RN v1: Spouse st: NotStopd t0: [22:00:00 09/10/2012] id: Turn el: 0 cu: MICU cg: RN v1: Side to Side st: NotStopd t0: [22:00:00 09/10/2012] id: Back Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [22:00:00 09/10/2012] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [22:00:00 09/10/2012] id: D5W 100.0ml + 600mcghr Sandostatin IV Infusions el: 2 cu: MICU cg: RN ai: 107 vo: 8.33333 vu: ml t0: [22:00:00 09/10/2012] id: TPN 1000.0ml IV Infusions el: 1 cu: MICU cg: RN ai: -1 vo: 45.7 vu: ml t0: [22:00:00 09/10/2012] id: Urine Out Void el: 1 cu: MICU cg: RN vo: 200 vu: ml
t0: [22:00:00 09/10/2012] id: Sandostatin el: 2 cu: MICU cg: RN so: D5W vo: 0 v1: 50 du: mcghr sv: 100 su: ml rt: IV Drip
t0: [22:00:00 09/10/2012] tf: [03:00:00 10/10/2012] dt: 300 id: D5W 250.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 105 vo: 100 vu: ml
t0: [23:00:00 09/10/2012] id: Fingerstick Glucose Chemistry el: 0 cu: MICU cg: CoWker v1: 140 rs: Manual st: NotStopd
t0: [23:09:00 09/10/2012] id: Art.pH ABG el: 0 cu: MICU cg: 1663 v1: 7.32 rs: Final st: NotStopd t0: [23:09:00 09/10/2012] id: Arterial Base Excess ABG el: 0 cu: MICU cg: 1663 v1: -6 rs: Final st: NotStopd t0: [23:09:00 09/10/2012] id: Arterial CO2(Calc) ABG el: 0 cu: MICU cg: 1663 v1: 19 rs: Final st: NotStopd t0: [23:09:00 09/10/2012] id: Arterial PaCO2 ABG el: 0 cu: MICU cg: 1663 v1: 36 u1: mmHg rs: Final st: NotStopd t0: [23:09:00 09/10/2012] id: Arterial PaO2 ABG el: 0 cu: MICU cg: 1663 v1: 91 u1: mmHg rs: Final st: NotStopd t0: [23:09:00 09/10/2012] id: Arterial pH ABG el: 0 cu: MICU cg: 1663 v1: 7.32 rs: Final st: NotStopd
t0: [00:00:00 10/10/2012] id: IV #1 Reason DC'D el: 0 cu: MICU cg: -1 st: D/C'd t0: [00:00:00 10/10/2012] id: IV #1 D/C Date el: 0 cu: MICU cg: -1 st: D/C'd t0: [00:00:00 10/10/2012] id: IV #1 Insert Date el: 0 cu: MICU cg: -1 st: D/C'd t0: [00:00:00 10/10/2012] id: IV #1 Site/Size el: 0 cu: MICU cg: -1 st: D/C'd t0: [00:00:00 10/10/2012] id: IV Site Appear #1 el: 0 cu: MICU cg: -1 st: D/C'd
t0: [20:00:00 09/10/2012] id: IV #1 D/C Date el: 0 cu: MICU cg: RN v1: 9 v2: 16 st: NotStopd t0: [23:00:00 09/10/2012] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [23:00:00 09/10/2012] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [23:00:00 09/10/2012] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [23:00:00 09/10/2012] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [23:00:00 09/10/2012] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [23:00:00 09/10/2012] id: Heart Rate el: 0 cu: MICU cg: RN v1: 90 u1: BPM st: NotStopd t0: [23:00:00 09/10/2012] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [23:00:00 09/10/2012] id: Arterial BP el: 0 cu: MICU cg: RN v1: 133 u1: mmHg v2: 68 u2: mmHg st: NotStopd t0: [23:00:00 09/10/2012] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 91 u1: mmHg st: NotStopd t0: [23:00:00 09/10/2012] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [23:00:00 09/10/2012] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 23 u1: BPM st: NotStopd t0: [23:00:00 09/10/2012] id: SpO2 el: 0 cu: MICU cg: RN v1: 98 u1: % st: NotStopd t0: [23:00:00 09/10/2012] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [00:00:00 10/10/2012] id: Less Restrict Meas. el: 0 cu: MICU cg: RN v1: Orientation st: NotStopd t0: [00:00:00 10/10/2012] id: Range of Motion el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [00:00:00 10/10/2012] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [00:00:00 10/10/2012] id: Circulation/SkinInt el: 0 cu: MICU cg: RN v1: Circulation Adeq st: NotStopd t0: [00:00:00 10/10/2012] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [00:00:00 10/10/2012] id: Cough Reflex el: 0 cu: MICU cg: RN v1: Impaired st: NotStopd t0: [00:00:00 10/10/2012] id: GI Prophylaxis el: 0 cu: MICU cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [00:00:00 10/10/2012] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [00:00:00 10/10/2012] id: Diet Type el: 0 cu: MICU cg: RN v1: NPO st: NotStopd t0: [00:00:00 10/10/2012] id: Dorsal PedPulse R/L el: 0 cu: MICU cg: RN v1: Strong/Palpable v2: Strong/Palpable st: NotStopd t0: [00:00:00 10/10/2012] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [00:00:00 10/10/2012] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [00:00:00 10/10/2012] id: Eye Opening el: 0 cu: MICU cg: RN v1: 1 No Response st: NotStopd t0: [00:00:00 10/10/2012] id: Follows Commands el: 0 cu: MICU cg: RN v1: Inconsistently st: NotStopd t0: [00:00:00 10/10/2012] id: GCS Total el: 0 cu: MICU cg: RN v1: 11 u1: points st: NotStopd t0: [00:00:00 10/10/2012] id: Gag Reflex el: 0 cu: MICU cg: RN v1: Impaired st: NotStopd t0: [00:00:00 10/10/2012] id: Heart Rate el: 0 cu: MICU cg: RN v1: 92 u1: BPM st: NotStopd t0: [00:00:00 10/10/2012] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [00:00:00 10/10/2012] id: INV Line#1 Type/Site el: 0 cu: MICU cg: RN v1: A-Line v2: Left Radial st: NotStopd t0: [00:00:00 10/10/2012] id: INV Line#1 Zero/Cal el: 0 cu: MICU cg: RN v1: No st: NotStopd t0: [00:00:00 10/10/2012] id: INV Line#1InsertDate el: 0 cu: MICU cg: RN v1: 9 v2: 13 st: NotStopd t0: [00:00:00 10/10/2012] id: INV Line#1SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [00:00:00 10/10/2012] id: INV Line#3 Type/Site el: 0 cu: MICU cg: RN v1: Multi-lumen v2: Right IJ st: NotStopd t0: [00:00:00 10/10/2012] id: INV Line#3InsertDate el: 0 cu: MICU cg: RN v1: 9 v2: 14 st: NotStopd t0: [00:00:00 10/10/2012] id: INV Line#3SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [00:00:00 10/10/2012] id: Abdominal Assessment el: 0 cu: MICU cg: RN v1: Ascites st: NotStopd t0: [00:00:00 10/10/2012] id: INV#1 WaveformAppear el: 0 cu: MICU cg: RN v1: Sharp st: NotStopd t0: [00:00:00 10/10/2012] id: IV #2 Insert Date el: 0 cu: MICU cg: RN v1: 9 v2: 13 st: NotStopd t0: [00:00:00 10/10/2012] id: IV #2 Site/Size el: 0 cu: MICU cg: RN v1: RL Ant Forearm v2: 18 gauge st: NotStopd t0: [00:00:00 10/10/2012] id: IV #3 Insert Date el: 0 cu: MICU cg: RN v1: 9 v2: 12 st: NotStopd t0: [00:00:00 10/10/2012] id: IV #3 Site/Size el: 0 cu: MICU cg: RN v1: Right Hand v2: 18 gauge st: NotStopd t0: [00:00:00 10/10/2012] id: IV #4 Insert Date el: 0 cu: MICU cg: RN v1: 9 v2: 12 st: NotStopd t0: [00:00:00 10/10/2012] id: IV #4 Site/Size el: 0 cu: MICU cg: RN v1: RL Ant Forearm v2: 18 gauge st: NotStopd t0: [00:00:00 10/10/2012] id: IV Site Appear #2 el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [00:00:00 10/10/2012] id: IV Site Appear #3 el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [00:00:00 10/10/2012] id: IV Site Appear #4 el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [00:00:00 10/10/2012] id: Level of Conscious el: 0 cu: MICU cg: RN v1: Lethargic st: NotStopd t0: [00:00:00 10/10/2012] id: Motor Response el: 0 cu: MICU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [00:00:00 10/10/2012] id: Oral Cavity el: 0 cu: MICU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [00:00:00 10/10/2012] id: Orientation el: 0 cu: MICU cg: RN v1: Oriented x 1 st: NotStopd t0: [00:00:00 10/10/2012] id: Angio Site #1 el: 0 cu: MICU cg: RN v1: R Femoral st: NotStopd t0: [00:00:00 10/10/2012] id: Arterial BP el: 0 cu: MICU cg: RN v1: 133 u1: mmHg v2: 69 u2: mmHg st: NotStopd t0: [00:00:00 10/10/2012] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 91 u1: mmHg st: NotStopd t0: [00:00:00 10/10/2012] id: Position Change el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [00:00:00 10/10/2012] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [00:00:00 10/10/2012] id: Reason For Restraint el: 0 cu: MICU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [00:00:00 10/10/2012] id: Removed x 5 Mins el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [00:00:00 10/10/2012] id: Respiratory Pattern el: 0 cu: MICU cg: RN v1: Regular st: NotStopd t0: [00:00:00 10/10/2012] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 17 u1: BPM st: NotStopd t0: [00:00:00 10/10/2012] id: Restraint Location el: 0 cu: MICU cg: RN v1: Both Arms st: NotStopd t0: [00:00:00 10/10/2012] id: Restraint Type el: 0 cu: MICU cg: RN v1: Soft Limb st: NotStopd t0: [00:00:00 10/10/2012] id: Restraints Evaluated el: 0 cu: MICU cg: RN v1: Behavior Conts st: NotStopd t0: [00:00:00 10/10/2012] id: Side Rails el: 0 cu: MICU cg: RN v1: Side Rails Up st: NotStopd t0: [00:00:00 10/10/2012] id: SpO2 el: 0 cu: MICU cg: RN v1: 99 u1: % st: NotStopd t0: [00:00:00 10/10/2012] id: Spontaneous Movement el: 0 cu: MICU cg: RN v1: Purposeful st: NotStopd t0: [00:00:00 10/10/2012] id: Support Systems el: 0 cu: MICU cg: RN v1: Spouse st: NotStopd t0: [00:00:00 10/10/2012] id: Temp. Site el: 0 cu: MICU cg: RN v1: Oral st: NotStopd t0: [00:00:00 10/10/2012] id: Temperature C (calc) el: 0 cu: MICU cg: RN v1: 36.1111 u1: Deg. C st: NotStopd t0: [00:00:00 10/10/2012] id: Temperature F el: 0 cu: MICU cg: RN v1: 97 u1: Deg. F st: NotStopd t0: [00:00:00 10/10/2012] id: Urine Color/Appear el: 0 cu: MICU cg: RN v1: Icteric v2: Clear st: NotStopd t0: [00:00:00 10/10/2012] id: Urine Source el: 0 cu: MICU cg: RN v1: Indwelling Cath st: NotStopd t0: [00:00:00 10/10/2012] id: Verbal Response el: 0 cu: MICU cg: RN v1: 4 Confused st: NotStopd t0: [00:00:00 10/10/2012] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [00:00:00 10/10/2012] id: D5W 250.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 105 vo: 100 vu: ml t0: [00:00:00 10/10/2012] id: D5W 100.0ml + 600mcghr Sandostatin IV Infusions el: 2 cu: MICU cg: RN ai: 107 vo: 16.6667 vu: ml t0: [00:00:00 10/10/2012] id: TPN 1000.0ml IV Infusions el: 1 cu: MICU cg: RN ai: -1 vo: 91.4 vu: ml t0: [00:00:00 10/10/2012] id: Urine Out Void el: 1 cu: MICU cg: RN vo: 200 vu: ml
t0: [23:00:00 09/10/2012] id: Sandostatin el: 2 cu: MICU cg: RN so: D5W vo: 0 v1: 50 du: mcghr sv: 100 su: ml rt: IV Drip t0: [00:00:00 10/10/2012] id: Sandostatin el: 2 cu: MICU cg: RN so: D5W vo: 0 v1: 50 du: mcghr sv: 100 su: ml rt: IV Drip
t0: [01:00:00 10/10/2012] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [01:00:00 10/10/2012] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [01:00:00 10/10/2012] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [01:00:00 10/10/2012] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [01:00:00 10/10/2012] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [01:00:00 10/10/2012] id: Heart Rate el: 0 cu: MICU cg: RN v1: 86 u1: BPM st: NotStopd t0: [01:00:00 10/10/2012] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [01:00:00 10/10/2012] id: Arterial BP el: 0 cu: MICU cg: RN v1: 131 u1: mmHg v2: 65 u2: mmHg st: NotStopd t0: [01:00:00 10/10/2012] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 86 u1: mmHg st: NotStopd t0: [01:00:00 10/10/2012] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [01:00:00 10/10/2012] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 24 u1: BPM st: NotStopd t0: [01:00:00 10/10/2012] id: SpO2 el: 0 cu: MICU cg: RN v1: 96 u1: % st: NotStopd t0: [01:00:00 10/10/2012] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [01:00:00 10/10/2012] id: Sandostatin el: 2 cu: MICU cg: RN so: D5W vo: 0 v1: 50 du: mcghr sv: 100 su: ml rt: IV Drip
t0: [02:00:00 10/10/2012] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [02:00:00 10/10/2012] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [02:00:00 10/10/2012] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [02:00:00 10/10/2012] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [02:00:00 10/10/2012] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [02:00:00 10/10/2012] id: Heart Rate el: 0 cu: MICU cg: RN v1: 86 u1: BPM st: NotStopd t0: [02:00:00 10/10/2012] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [02:00:00 10/10/2012] id: Arterial BP el: 0 cu: MICU cg: RN v1: 131 u1: mmHg v2: 65 u2: mmHg st: NotStopd t0: [02:00:00 10/10/2012] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 86 u1: mmHg st: NotStopd t0: [02:00:00 10/10/2012] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [02:00:00 10/10/2012] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 27 u1: BPM st: NotStopd t0: [02:00:00 10/10/2012] id: SpO2 el: 0 cu: MICU cg: RN v1: 96 u1: % st: NotStopd t0: [02:00:00 10/10/2012] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [03:00:00 10/10/2012] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [03:00:00 10/10/2012] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [03:00:00 10/10/2012] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [03:00:00 10/10/2012] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [03:00:00 10/10/2012] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [03:00:00 10/10/2012] id: Heart Rate el: 0 cu: MICU cg: RN v1: 86 u1: BPM st: NotStopd t0: [03:00:00 10/10/2012] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [03:00:00 10/10/2012] id: Arterial BP el: 0 cu: MICU cg: RN v1: 124 u1: mmHg v2: 66 u2: mmHg st: NotStopd t0: [03:00:00 10/10/2012] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 77 u1: mmHg st: NotStopd t0: [03:00:00 10/10/2012] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [03:00:00 10/10/2012] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 24 u1: BPM st: NotStopd t0: [03:00:00 10/10/2012] id: SpO2 el: 0 cu: MICU cg: RN v1: 95 u1: % st: NotStopd t0: [03:00:00 10/10/2012] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [02:00:00 10/10/2012] id: D5W 250.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 105 vo: 100 vu: ml t0: [03:00:00 10/10/2012] id: D5W 250.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 105 vo: 0 vu: ml t0: [03:00:00 10/10/2012] id: D5W 100.0ml + 600mcghr Sandostatin IV Infusions el: 2 cu: MICU cg: RN ai: 107 vo: 25 vu: ml t0: [03:00:00 10/10/2012] id: TPN 1000.0ml IV Infusions el: 1 cu: MICU cg: RN ai: -1 vo: 137.1 vu: ml t0: [03:00:00 10/10/2012] id: Urine Out Void el: 1 cu: MICU cg: RN vo: 260 vu: ml
t0: [02:00:00 10/10/2012] id: Sandostatin el: 2 cu: MICU cg: RN so: D5W vo: 0 v1: 50 du: mcghr sv: 100 su: ml rt: IV Drip t0: [03:00:00 10/10/2012] id: Sandostatin el: 2 cu: MICU cg: RN so: D5W vo: 0 v1: 50 du: mcghr sv: 100 su: ml rt: IV Drip
t0: [23:00:00 10/10/2012] dt: 24 id: IV Infusion In Total el: 2 cu: MICU cg: RN cv: 960 ap: none t0: [23:00:00 10/10/2012] dt: 24 id: IV Nutrition Total el: 2 cu: MICU cg: RN cv: 1198.3 ap: none t0: [23:00:00 10/10/2012] dt: 24 id: 24h Total In el: 2 cu: MICU cg: RN cv: 2158.3 ap: none
t0: [02:30:00 10/10/2012] id: WBC (4-11,000) Hematology el: 0 cu: MICU cg: 1663 v1: 11.9 rs: Final st: NotStopd t0: [02:30:00 10/10/2012] id: WBC Hematology el: 0 cu: MICU cg: 1663 v1: 11.9 rs: Final st: NotStopd t0: [02:30:00 10/10/2012] id: Hematocrit Hematology el: 0 cu: MICU cg: 1663 v1: 34.9 u1: % rs: Final st: NotStopd t0: [02:30:00 10/10/2012] id: Hemoglobin Hematology el: 0 cu: MICU cg: 1663 v1: 12.3 u1: gm/dl rs: Final st: NotStopd t0: [02:30:00 10/10/2012] id: Platelets Hematology el: 0 cu: MICU cg: 1663 v1: 78 rs: Final st: NotStopd t0: [02:30:00 10/10/2012] id: RBC Hematology el: 0 cu: MICU cg: 1663 v1: 4.01 u1: /mic l rs: Final st: NotStopd t0: [02:30:00 10/10/2012] id: WBC (4-11,000) Hematology el: 0 cu: MICU cg: 1663 v1: 11.9 rs: Final st: NotStopd
t0: [01:00:00 10/10/2012] id: HOB el: 0 cu: MICU cg: RN v1: 30 degrees st: NotStopd t0: [01:00:00 10/10/2012] id: Activity el: 0 cu: MICU cg: RN v1: Bedrest st: NotStopd t0: [01:00:00 10/10/2012] id: Activity Tolerance el: 0 cu: MICU cg: RN v1: Good st: NotStopd t0: [01:00:00 10/10/2012] id: AntiEmbDevice/Status el: 0 cu: MICU cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [01:00:00 10/10/2012] id: Position el: 0 cu: MICU cg: RN v1: Supine st: NotStopd t0: [01:00:00 10/10/2012] id: Assistance Device el: 0 cu: MICU cg: RN v1: Independent st: NotStopd t0: [01:00:00 10/10/2012] id: Turn el: 0 cu: MICU cg: RN v1: Back st: NotStopd t0: [02:00:00 10/10/2012] id: Less Restrict Meas. el: 0 cu: MICU cg: RN v1: Orientation st: NotStopd t0: [02:00:00 10/10/2012] id: Range of Motion el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [02:00:00 10/10/2012] id: Circulation/SkinInt el: 0 cu: MICU cg: RN v1: Circulation Adeq st: NotStopd t0: [02:00:00 10/10/2012] id: Position Change el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [02:00:00 10/10/2012] id: Reason For Restraint el: 0 cu: MICU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [02:00:00 10/10/2012] id: Removed x 5 Mins el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [02:00:00 10/10/2012] id: Restraint Location el: 0 cu: MICU cg: RN v1: Both Arms st: NotStopd t0: [02:00:00 10/10/2012] id: Restraint Type el: 0 cu: MICU cg: RN v1: Soft Limb st: NotStopd t0: [02:00:00 10/10/2012] id: Restraints Evaluated el: 0 cu: MICU cg: RN v1: Behavior Conts st: NotStopd t0: [02:00:00 10/10/2012] id: Side Rails el: 0 cu: MICU cg: RN v1: Side Rails Up st: NotStopd t0: [02:00:00 10/10/2012] id: Support Systems el: 0 cu: MICU cg: RN v1: Spouse st: NotStopd t0: [03:00:00 10/10/2012] id: Chest PT R/L el: 0 cu: MICU cg: RN v1: Done v2: Done st: NotStopd t0: [03:00:00 10/10/2012] id: Cough Effort el: 0 cu: MICU cg: RN v1: Strong st: NotStopd t0: [03:00:00 10/10/2012] id: Cough Reflex el: 0 cu: MICU cg: RN v1: Impaired st: NotStopd t0: [03:00:00 10/10/2012] id: Cough Type el: 0 cu: MICU cg: RN v1: Productive st: NotStopd t0: [03:00:00 10/10/2012] id: GI Prophylaxis el: 0 cu: MICU cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [03:00:00 10/10/2012] id: Diet Type el: 0 cu: MICU cg: RN v1: NPO st: NotStopd t0: [03:00:00 10/10/2012] id: Dorsal PedPulse R/L el: 0 cu: MICU cg: RN v1: Strong/Palpable v2: Strong/Palpable st: NotStopd t0: [03:00:00 10/10/2012] id: Eye Opening el: 0 cu: MICU cg: RN v1: 2 To pain st: NotStopd t0: [03:00:00 10/10/2012] id: Follows Commands el: 0 cu: MICU cg: RN v1: Inconsistently st: NotStopd t0: [03:00:00 10/10/2012] id: GCS Total el: 0 cu: MICU cg: RN v1: 9 u1: points st: NotStopd t0: [03:00:00 10/10/2012] id: Gag Reflex el: 0 cu: MICU cg: RN v1: Impaired st: NotStopd t0: [03:00:00 10/10/2012] id: HOB el: 0 cu: MICU cg: RN v1: 30 degrees st: NotStopd t0: [03:00:00 10/10/2012] id: INV Line#1 Type/Site el: 0 cu: MICU cg: RN v1: A-Line v2: Left Radial st: NotStopd t0: [03:00:00 10/10/2012] id: INV Line#1 Zero/Cal el: 0 cu: MICU cg: RN v1: No st: NotStopd t0: [03:00:00 10/10/2012] id: INV Line#1InsertDate el: 0 cu: MICU cg: RN v1: 9 v2: 13 st: NotStopd t0: [03:00:00 10/10/2012] id: INV Line#1SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [03:00:00 10/10/2012] id: INV Line#3 Type/Site el: 0 cu: MICU cg: RN v1: Multi-lumen v2: Right IJ st: NotStopd t0: [03:00:00 10/10/2012] id: INV Line#3InsertDate el: 0 cu: MICU cg: RN v1: 9 v2: 14 st: NotStopd t0: [03:00:00 10/10/2012] id: INV Line#3SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [03:00:00 10/10/2012] id: Abdominal Assessment el: 0 cu: MICU cg: RN v1: Ascites st: NotStopd t0: [03:00:00 10/10/2012] id: INV#1 WaveformAppear el: 0 cu: MICU cg: RN v1: Sharp st: NotStopd t0: [03:00:00 10/10/2012] id: IV #2 Insert Date el: 0 cu: MICU cg: RN v1: 9 v2: 13 st: NotStopd t0: [03:00:00 10/10/2012] id: IV #2 Site/Size el: 0 cu: MICU cg: RN v1: RL Ant Forearm v2: 18 gauge st: NotStopd t0: [03:00:00 10/10/2012] id: IV #3 Insert Date el: 0 cu: MICU cg: RN v1: 9 v2: 12 st: NotStopd t0: [03:00:00 10/10/2012] id: IV #3 Site/Size el: 0 cu: MICU cg: RN v1: Right Hand v2: 18 gauge st: NotStopd t0: [03:00:00 10/10/2012] id: IV #4 Insert Date el: 0 cu: MICU cg: RN v1: 9 v2: 12 st: NotStopd t0: [03:00:00 10/10/2012] id: IV #4 Site/Size el: 0 cu: MICU cg: RN v1: RL Ant Forearm v2: 18 gauge st: NotStopd t0: [03:00:00 10/10/2012] id: Activity el: 0 cu: MICU cg: RN v1: Bedrest st: NotStopd t0: [03:00:00 10/10/2012] id: IV Site Appear #2 el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [03:00:00 10/10/2012] id: IV Site Appear #3 el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [03:00:00 10/10/2012] id: IV Site Appear #4 el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [03:00:00 10/10/2012] id: Activity Tolerance el: 0 cu: MICU cg: RN v1: Tolerated Well st: NotStopd t0: [03:00:00 10/10/2012] id: LLL Lung Sounds el: 0 cu: MICU cg: RN v1: Diminished st: NotStopd t0: [03:00:00 10/10/2012] id: LUL Lung Sounds el: 0 cu: MICU cg: RN v1: Clear st: NotStopd t0: [03:00:00 10/10/2012] id: Level of Conscious el: 0 cu: MICU cg: RN v1: Lethargic st: NotStopd t0: [03:00:00 10/10/2012] id: Motor Response el: 0 cu: MICU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [03:00:00 10/10/2012] id: Oral Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [03:00:00 10/10/2012] id: Oral Cavity el: 0 cu: MICU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [03:00:00 10/10/2012] id: Orientation el: 0 cu: MICU cg: RN v1: Oriented x 1 st: NotStopd t0: [03:00:00 10/10/2012] id: Angio Site #1 el: 0 cu: MICU cg: RN v1: R Femoral st: NotStopd t0: [03:00:00 10/10/2012] id: AntiEmbDevice/Status el: 0 cu: MICU cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [03:00:00 10/10/2012] id: Position el: 0 cu: MICU cg: RN v1: Left Side st: NotStopd t0: [03:00:00 10/10/2012] id: PostTib. Pulses R/L el: 0 cu: MICU cg: RN v1: Strong/Palpable v2: Strong/Palpable st: NotStopd t0: [03:00:00 10/10/2012] id: Assistance Device el: 0 cu: MICU cg: RN v1: 2 Person Assist st: NotStopd t0: [03:00:00 10/10/2012] id: Pupil Response R/L el: 0 cu: MICU cg: RN v1: Brisk v2: Brisk st: NotStopd t0: [03:00:00 10/10/2012] id: Pupil Size R/L el: 0 cu: MICU cg: RN v1: 3 mm v2: 3 mm st: NotStopd t0: [03:00:00 10/10/2012] id: RLL Lung Sounds el: 0 cu: MICU cg: RN v1: Diminished st: NotStopd t0: [03:00:00 10/10/2012] id: RUL Lung Sounds el: 0 cu: MICU cg: RN v1: Clear st: NotStopd t0: [03:00:00 10/10/2012] id: Respiratory Pattern el: 0 cu: MICU cg: RN v1: Regular st: NotStopd t0: [03:00:00 10/10/2012] id: Skin Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [03:00:00 10/10/2012] id: Spontaneous Movement el: 0 cu: MICU cg: RN v1: Purposeful st: NotStopd t0: [03:00:00 10/10/2012] id: Sputum Color/Consist el: 0 cu: MICU cg: RN v1: Yellow v2: Thick st: NotStopd t0: [03:00:00 10/10/2012] id: Sputum Source/Amt el: 0 cu: MICU cg: RN v1: Suctioned v2: Moderate st: NotStopd t0: [03:00:00 10/10/2012] id: Temp. Site el: 0 cu: MICU cg: RN v1: Oral st: NotStopd t0: [03:00:00 10/10/2012] id: Temperature C (calc) el: 0 cu: MICU cg: RN v1: 35.9444 u1: Deg. C st: NotStopd t0: [03:00:00 10/10/2012] id: Temperature F el: 0 cu: MICU cg: RN v1: 96.7 u1: Deg. F st: NotStopd t0: [03:00:00 10/10/2012] id: Turn el: 0 cu: MICU cg: RN v1: Side to Side st: NotStopd t0: [03:00:00 10/10/2012] id: Urine Color/Appear el: 0 cu: MICU cg: RN v1: Icteric v2: Clear st: NotStopd t0: [03:00:00 10/10/2012] id: Urine Source el: 0 cu: MICU cg: RN v1: Indwelling Cath st: NotStopd t0: [03:00:00 10/10/2012] id: Verbal Response el: 0 cu: MICU cg: RN v1: 1 No Response st: NotStopd t0: [03:00:00 10/10/2012] id: Back Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [03:00:00 10/10/2012] id: Bowel Sounds el: 0 cu: MICU cg: RN v1: Present st: NotStopd
t0: [03:15:00 10/10/2012] id: Stool Out Stool el: 1 cu: MICU cg: RN vu: ml es: Large t0: [03:15:00 10/10/2012] id: Urine Out Void el: 1 cu: MICU cg: RN vo: 120 vu: ml
t0: [02:30:00 10/10/2012] id: PT el: 0 cu: MICU cg: 1663 v1: 15.3 rs: Final st: NotStopd t0: [02:30:00 10/10/2012] id: INR Coags el: 0 cu: MICU cg: 1663 v1: 1.5 rs: Final st: NotStopd t0: [02:30:00 10/10/2012] id: PTT Coags el: 0 cu: MICU cg: 1663 v1: 36.2 rs: Final st: NotStopd t0: [02:30:00 10/10/2012] id: INR (2-4 ref. range) Coags el: 0 cu: MICU cg: 1663 v1: 1.5 rs: Final st: NotStopd t0: [02:30:00 10/10/2012] id: PT(11-13.5) Coags el: 0 cu: MICU cg: 1663 v1: 15.3 rs: Final st: NotStopd t0: [02:30:00 10/10/2012] id: PTT(22-35) Coags el: 0 cu: MICU cg: 1663 v1: 36.2 rs: Final st: NotStopd
t0: [02:30:00 10/10/2012] id: BUN el: 0 cu: MICU cg: 1663 v1: 59 rs: Final st: NotStopd t0: [02:30:00 10/10/2012] id: Calcium Chemistry el: 0 cu: MICU cg: 1663 v1: 9.3 u1: mg/dl rs: Final st: NotStopd t0: [02:30:00 10/10/2012] id: Chloride Chemistry el: 0 cu: MICU cg: 1663 v1: 114 rs: Final st: NotStopd t0: [02:30:00 10/10/2012] id: Creatinine Chemistry el: 0 cu: MICU cg: 1663 v1: 2.9 rs: Final st: NotStopd t0: [02:30:00 10/10/2012] id: Glucose Chemistry el: 0 cu: MICU cg: 1663 v1: 130 rs: Final st: NotStopd t0: [02:30:00 10/10/2012] id: Magnesium Chemistry el: 0 cu: MICU cg: 1663 v1: 2.3 rs: Final st: NotStopd t0: [02:30:00 10/10/2012] id: Phosphorous Chemistry el: 0 cu: MICU cg: 1663 v1: 4.9 u1: mEq/L rs: Final st: NotStopd t0: [02:30:00 10/10/2012] id: Potassium Chemistry el: 0 cu: MICU cg: 1663 v1: 3.3 rs: Final st: NotStopd t0: [02:30:00 10/10/2012] id: Sodium Chemistry el: 0 cu: MICU cg: 1663 v1: 142 rs: Final st: NotStopd t0: [02:30:00 10/10/2012] id: ALT Enzymes el: 0 cu: MICU cg: 1663 v1: 22 rs: Final st: NotStopd t0: [02:30:00 10/10/2012] id: AST Enzymes el: 0 cu: MICU cg: 1663 v1: 44 rs: Final st: NotStopd t0: [02:30:00 10/10/2012] id: Alk. Phosphate Enzymes el: 0 cu: MICU cg: 1663 v1: 157 rs: Final st: NotStopd t0: [02:30:00 10/10/2012] id: BUN (6-20) Chemistry el: 0 cu: MICU cg: 1663 v1: 59 rs: Final st: NotStopd t0: [02:30:00 10/10/2012] id: Calcium (8.4-10.2) Chemistry el: 0 cu: MICU cg: 1663 v1: 9.3 u1: mg/dl rs: Final st: NotStopd t0: [02:30:00 10/10/2012] id: Carbon Dioxide Chemistry el: 0 cu: MICU cg: 1663 v1: 18 rs: Final st: NotStopd t0: [02:30:00 10/10/2012] id: Chloride (100-112) Chemistry el: 0 cu: MICU cg: 1663 v1: 114 rs: Final st: NotStopd t0: [02:30:00 10/10/2012] id: Creatinine (0-1.3) Chemistry el: 0 cu: MICU cg: 1663 v1: 2.9 rs: Final st: NotStopd t0: [02:30:00 10/10/2012] id: Glucose (70-105) Chemistry el: 0 cu: MICU cg: 1663 v1: 130 rs: Final st: NotStopd t0: [02:30:00 10/10/2012] id: Magnesium (1.6-2.6) Chemistry el: 0 cu: MICU cg: 1663 v1: 2.3 rs: Final st: NotStopd t0: [02:30:00 10/10/2012] id: Phosphorous(2.7-4.5) Chemistry el: 0 cu: MICU cg: 1663 v1: 4.9 u1: mEq/L rs: Final st: NotStopd t0: [02:30:00 10/10/2012] id: Potassium (3.5-5.3) Chemistry el: 0 cu: MICU cg: 1663 v1: 3.3 rs: Final st: NotStopd t0: [02:30:00 10/10/2012] id: Sodium (135-148) Chemistry el: 0 cu: MICU cg: 1663 v1: 142 rs: Final st: NotStopd
t0: [02:30:00 10/10/2012] id: Total Bili Chemistry el: 0 cu: MICU cg: 1663 v1: 28 rs: Final st: NotStopd t0: [02:30:00 10/10/2012] id: Total Bili (0-1.5) Chemistry el: 0 cu: MICU cg: 1663 v1: 28 rs: Final st: NotStopd
t0: [04:00:00 10/10/2012] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [04:00:00 10/10/2012] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [04:00:00 10/10/2012] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [04:00:00 10/10/2012] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [04:00:00 10/10/2012] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [04:00:00 10/10/2012] id: Heart Rate el: 0 cu: MICU cg: RN v1: 84 u1: BPM st: NotStopd t0: [04:00:00 10/10/2012] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [04:00:00 10/10/2012] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [04:00:00 10/10/2012] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 20 u1: BPM st: NotStopd t0: [04:00:00 10/10/2012] id: SpO2 el: 0 cu: MICU cg: RN v1: 97 u1: % st: NotStopd t0: [04:00:00 10/10/2012] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [04:00:00 10/10/2012] id: Sandostatin el: 2 cu: MICU cg: RN so: D5W vo: 0 v1: 50 du: mcghr sv: 100 su: ml rt: IV Drip
t0: [04:00:00 10/10/2012] id: INV Line#1 Zero/Cal el: 0 cu: MICU cg: -1 st: D/C'd t0: [04:00:00 10/10/2012] id: INV#1 WaveformAppear el: 0 cu: MICU cg: -1 st: D/C'd t0: [04:00:00 10/10/2012] id: Arterial BP el: 0 cu: MICU cg: -1 st: D/C'd t0: [04:00:00 10/10/2012] id: Arterial BP Mean el: 0 cu: MICU cg: -1 st: D/C'd
t0: [05:00:00 10/10/2012] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [05:00:00 10/10/2012] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [05:00:00 10/10/2012] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [05:00:00 10/10/2012] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [05:00:00 10/10/2012] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [05:00:00 10/10/2012] id: Heart Rate el: 0 cu: MICU cg: RN v1: 81 u1: BPM st: NotStopd t0: [05:00:00 10/10/2012] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [05:00:00 10/10/2012] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [05:00:00 10/10/2012] id: SpO2 el: 0 cu: MICU cg: RN v1: 97 u1: % st: NotStopd t0: [05:00:00 10/10/2012] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [05:00:00 10/10/2012] id: Sandostatin el: 2 cu: MICU cg: RN so: D5W vo: 0 v1: 50 du: mcghr sv: 100 su: ml rt: IV Drip
t0: [05:00:00 10/10/2012] id: Packed RBC's IV Infusions el: 1 cu: MICU cg: RN ai: 107 vu: ml nb: 1 t0: [05:00:00 10/10/2012] id: D5W 100.0ml + 600mcghr Sandostatin IV Infusions el: 2 cu: MICU cg: RN ai: 107 vo: 16.6667 vu: ml t0: [05:00:00 10/10/2012] id: TPN 1000.0ml IV Infusions el: 1 cu: MICU cg: RN ai: -1 vo: 91.4 vu: ml t0: [05:00:00 10/10/2012] id: Stool Out Stool el: 1 cu: MICU cg: RN vo: 700 vu: ml t0: [05:00:00 10/10/2012] id: Urine Out Void el: 1 cu: MICU cg: RN vo: 160 vu: ml
t0: [23:00:00 10/10/2012] dt: 24 id: Blood Products Total el: 2 cu: MICU cg: RN cv: 0 ap: none
t0: [04:00:00 10/10/2012] id: Less Restrict Meas. el: 0 cu: MICU cg: RN v1: Orientation st: NotStopd t0: [04:00:00 10/10/2012] id: Range of Motion el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [04:00:00 10/10/2012] id: Circulation/SkinInt el: 0 cu: MICU cg: RN v1: Circulation Adeq st: NotStopd t0: [04:00:00 10/10/2012] id: INV Line#1 D/C Date el: 0 cu: MICU cg: RN v1: 9 v2: 17 st: NotStopd t0: [04:00:00 10/10/2012] id: INV Line#1 Type/Site el: 0 cu: MICU cg: RN v1: A-Line v2: Left Radial st: NotStopd t0: [04:00:00 10/10/2012] id: INV Line#1InsertDate el: 0 cu: MICU cg: RN v1: 9 v2: 13 st: NotStopd t0: [04:00:00 10/10/2012] id: INV Line#1SiteAppear el: 0 cu: MICU cg: RN v1: Infiltrated st: NotStopd t0: [04:00:00 10/10/2012] id: INV Line#3 Type/Site el: 0 cu: MICU cg: RN v1: Multi-lumen v2: Right IJ st: NotStopd t0: [04:00:00 10/10/2012] id: INV Line#3InsertDate el: 0 cu: MICU cg: RN v1: 9 v2: 14 st: NotStopd t0: [04:00:00 10/10/2012] id: IV #2 Insert Date el: 0 cu: MICU cg: RN v1: 9 v2: 13 st: NotStopd t0: [04:00:00 10/10/2012] id: IV #2 Site/Size el: 0 cu: MICU cg: RN v1: RL Ant Forearm v2: 18 gauge st: NotStopd t0: [04:00:00 10/10/2012] id: IV #3 Insert Date el: 0 cu: MICU cg: RN v1: 9 v2: 12 st: NotStopd t0: [04:00:00 10/10/2012] id: IV #3 Site/Size el: 0 cu: MICU cg: RN v1: Right Hand v2: 18 gauge st: NotStopd t0: [04:00:00 10/10/2012] id: IV #4 Insert Date el: 0 cu: MICU cg: RN v1: 9 v2: 12 st: NotStopd t0: [04:00:00 10/10/2012] id: IV #4 Site/Size el: 0 cu: MICU cg: RN v1: RL Ant Forearm v2: 18 gauge st: NotStopd t0: [04:00:00 10/10/2012] id: Position Change el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [04:00:00 10/10/2012] id: Reason For Restraint el: 0 cu: MICU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [04:00:00 10/10/2012] id: Removed x 5 Mins el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [04:00:00 10/10/2012] id: Restraint Location el: 0 cu: MICU cg: RN v1: Both Arms st: NotStopd t0: [04:00:00 10/10/2012] id: Restraint Type el: 0 cu: MICU cg: RN v1: Soft Limb st: NotStopd t0: [04:00:00 10/10/2012] id: Restraints Evaluated el: 0 cu: MICU cg: RN v1: Behavior Conts st: NotStopd t0: [04:00:00 10/10/2012] id: Side Rails el: 0 cu: MICU cg: RN v1: Side Rails Up st: NotStopd t0: [04:00:00 10/10/2012] id: Support Systems el: 0 cu: MICU cg: RN v1: Spouse st: NotStopd t0: [05:00:00 10/10/2012] id: HOB el: 0 cu: MICU cg: RN v1: 30 degrees st: NotStopd t0: [05:00:00 10/10/2012] id: Activity el: 0 cu: MICU cg: RN v1: Bedrest st: NotStopd t0: [05:00:00 10/10/2012] id: Activity Tolerance el: 0 cu: MICU cg: RN v1: Good st: NotStopd t0: [05:00:00 10/10/2012] id: AntiEmbDevice/Status el: 0 cu: MICU cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [05:00:00 10/10/2012] id: Position el: 0 cu: MICU cg: RN v1: Right Side st: NotStopd t0: [05:00:00 10/10/2012] id: Assistance Device el: 0 cu: MICU cg: RN v1: 2 Person Assist st: NotStopd t0: [05:00:00 10/10/2012] id: Turn el: 0 cu: MICU cg: RN v1: Right Side st: NotStopd
t0: [05:00:00 10/10/2012] tf: [07:00:00 10/10/2012] dt: 120 id: D5W 250.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 105 vo: 50 vu: ml
t0: [05:00:00 10/10/2012] id: NBP el: 0 cu: MICU cg: RN v1: 119 u1: mmHg v2: 63 u2: mmHg st: NotStopd t0: [05:00:00 10/10/2012] id: NBP Mean el: 0 cu: MICU cg: RN v1: 81.6667 u1: mmHg st: NotStopd
tf: [04:00:00 11/10/2012] pt: IV Piggyback rt: IV fr: ONCE fs: 5 dn: 1 m1: Ceftazidime v1: 1 u1: gm m2: Iso-Osmotic Dextrose v2: 50 u2: ml
t0: [06:00:00 10/10/2012] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [06:00:00 10/10/2012] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [06:00:00 10/10/2012] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [06:00:00 10/10/2012] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [06:00:00 10/10/2012] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [06:00:00 10/10/2012] id: Heart Rate el: 0 cu: MICU cg: RN v1: 81 u1: BPM st: NotStopd t0: [06:00:00 10/10/2012] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [06:00:00 10/10/2012] id: NBP el: 0 cu: MICU cg: RN v1: 114 u1: mmHg v2: 62 u2: mmHg st: NotStopd t0: [06:00:00 10/10/2012] id: NBP Mean el: 0 cu: MICU cg: RN v1: 79.3333 u1: mmHg st: NotStopd t0: [06:00:00 10/10/2012] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [06:00:00 10/10/2012] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 16 u1: BPM st: NotStopd t0: [06:00:00 10/10/2012] id: SpO2 el: 0 cu: MICU cg: RN v1: 97 u1: % st: NotStopd t0: [06:00:00 10/10/2012] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [06:00:00 10/10/2012] id: D5W 100.0ml + 600mcghr Sandostatin IV Infusions el: 2 cu: MICU cg: RN ai: 107 vo: 8.33333 vu: ml t0: [06:00:00 10/10/2012] id: TPN 1000.0ml IV Infusions el: 1 cu: MICU cg: RN ai: -1 vo: 45.7 vu: ml t0: [06:00:00 10/10/2012] id: Urine Out Void el: 1 cu: MICU cg: RN vo: 120 vu: ml
t0: [06:00:00 10/10/2012] id: Sandostatin el: 2 cu: MICU cg: RN so: D5W vo: 0 v1: 50 du: mcghr sv: 100 su: ml rt: IV Drip
t0: [06:00:00 10/10/2012] id: Fingerstick Glucose Chemistry el: 0 cu: MICU cg: CoWker v1: 129 rs: Manual st: NotStopd
t0: [05:00:00 10/10/2012] id: Temp. Site el: 0 cu: MICU cg: RN v1: Oral st: NotStopd t0: [05:00:00 10/10/2012] id: Temperature C (calc) el: 0 cu: MICU cg: RN v1: 35.3889 u1: Deg. C st: NotStopd t0: [05:00:00 10/10/2012] id: Temperature F el: 0 cu: MICU cg: RN v1: 95.7 u1: Deg. F st: NotStopd
t0: [06:00:00 10/10/2012] id: D5W 250.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 105 vo: 50 vu: ml t0: [07:00:00 10/10/2012] id: D5W 250.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 105 vo: 0 vu: ml t0: [07:00:00 10/10/2012] id: D5W 100.0ml + 600mcghr Sandostatin IV Infusions el: 2 cu: MICU cg: RN ai: 107 vo: 8.33333 vu: ml t0: [07:00:00 10/10/2012] id: TPN 1000.0ml IV Infusions el: 1 cu: MICU cg: RN ai: -1 vo: 45.7 vu: ml t0: [07:00:00 10/10/2012] id: Urine Out Void el: 1 cu: MICU cg: RN vo: 110 vu: ml
tf: [11:00:00 12/10/2012] pt: IV Piggyback rt: IV fr: X1 fs: 7 m1: Potassium Chloride v1: 40 u1: mEq m2: SW v2: 50 u2: ml
tf: [09:00:00 12/10/2012] pt: IV Piggyback rt: IV fr: Q12H fs: 9, 21 dn: 2 m1: Ceftazidime v1: 1 u1: gm m2: Iso-Osmotic Dextrose v2: 50 u2: ml
t0: [08:00:00 10/10/2012] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [08:00:00 10/10/2012] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [08:00:00 10/10/2012] id: Riker-SAS Scale el: 0 cu: MICU cg: RN v1: Calm/Cooperative st: NotStopd t0: [08:00:00 10/10/2012] id: Cough Effort el: 0 cu: MICU cg: RN v1: Strong st: NotStopd t0: [08:00:00 10/10/2012] id: Cough Reflex el: 0 cu: MICU cg: RN v1: Intact st: NotStopd t0: [08:00:00 10/10/2012] id: Cough Type el: 0 cu: MICU cg: RN v1: Productive st: NotStopd t0: [08:00:00 10/10/2012] id: GI Prophylaxis el: 0 cu: MICU cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [08:00:00 10/10/2012] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [08:00:00 10/10/2012] id: Diet Type el: 0 cu: MICU cg: RN v1: NPO st: NotStopd t0: [08:00:00 10/10/2012] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [08:00:00 10/10/2012] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [08:00:00 10/10/2012] id: Eye Opening el: 0 cu: MICU cg: RN v1: 3 To speech st: NotStopd t0: [08:00:00 10/10/2012] id: Follows Commands el: 0 cu: MICU cg: RN v1: Inconsistently st: NotStopd t0: [08:00:00 10/10/2012] id: GCS Total el: 0 cu: MICU cg: RN v1: 10 u1: points st: NotStopd t0: [08:00:00 10/10/2012] id: Gag Reflex el: 0 cu: MICU cg: RN v1: Intact st: NotStopd t0: [08:00:00 10/10/2012] id: HOB el: 0 cu: MICU cg: RN v1: 30 degrees st: NotStopd t0: [08:00:00 10/10/2012] id: Heart Rate el: 0 cu: MICU cg: RN v1: 76 u1: BPM st: NotStopd t0: [08:00:00 10/10/2012] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [08:00:00 10/10/2012] id: INV Line#3 Type/Site el: 0 cu: MICU cg: RN v1: Multi-lumen v2: Right IJ st: NotStopd t0: [08:00:00 10/10/2012] id: INV Line#3InsertDate el: 0 cu: MICU cg: RN v1: 9 v2: 14 st: NotStopd t0: [08:00:00 10/10/2012] id: INV Line#3SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [08:00:00 10/10/2012] id: Abdominal Assessment el: 0 cu: MICU cg: RN v1: Ascites st: NotStopd t0: [08:00:00 10/10/2012] id: IV #2 Insert Date el: 0 cu: MICU cg: RN v1: 9 v2: 13 st: NotStopd t0: [08:00:00 10/10/2012] id: IV #2 Site/Size el: 0 cu: MICU cg: RN v1: RL Ant Forearm v2: 18 gauge st: NotStopd t0: [08:00:00 10/10/2012] id: IV #3 Insert Date el: 0 cu: MICU cg: RN v1: 9 v2: 12 st: NotStopd t0: [08:00:00 10/10/2012] id: IV #3 Site/Size el: 0 cu: MICU cg: RN v1: Right Hand v2: 18 gauge st: NotStopd t0: [08:00:00 10/10/2012] id: IV #4 Insert Date el: 0 cu: MICU cg: RN v1: 9 v2: 12 st: NotStopd t0: [08:00:00 10/10/2012] id: IV #4 Site/Size el: 0 cu: MICU cg: RN v1: RL Ant Forearm v2: 18 gauge st: NotStopd t0: [08:00:00 10/10/2012] id: Activity el: 0 cu: MICU cg: RN v1: Bedrest st: NotStopd t0: [08:00:00 10/10/2012] id: IV Site Appear #2 el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [08:00:00 10/10/2012] id: IV Site Appear #3 el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [08:00:00 10/10/2012] id: IV Site Appear #4 el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [08:00:00 10/10/2012] id: Activity Tolerance el: 0 cu: MICU cg: RN v1: Good st: NotStopd t0: [08:00:00 10/10/2012] id: LLL Lung Sounds el: 0 cu: MICU cg: RN v1: Diminished st: NotStopd t0: [08:00:00 10/10/2012] id: LUL Lung Sounds el: 0 cu: MICU cg: RN v1: Clear st: NotStopd t0: [08:00:00 10/10/2012] id: Level of Conscious el: 0 cu: MICU cg: RN v1: Lethargic st: NotStopd t0: [08:00:00 10/10/2012] id: Motor Response el: 0 cu: MICU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [08:00:00 10/10/2012] id: NBP el: 0 cu: MICU cg: RN v1: 111 u1: mmHg v2: 67 u2: mmHg st: NotStopd t0: [08:00:00 10/10/2012] id: NBP Mean el: 0 cu: MICU cg: RN v1: 81.6667 u1: mmHg st: NotStopd t0: [08:00:00 10/10/2012] id: Oral Cavity el: 0 cu: MICU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [08:00:00 10/10/2012] id: Orientation el: 0 cu: MICU cg: RN v1: Oriented x 1 st: NotStopd t0: [08:00:00 10/10/2012] id: Angio Site #1 el: 0 cu: MICU cg: RN v1: R Femoral st: NotStopd t0: [08:00:00 10/10/2012] id: AntiEmbDevice/Status el: 0 cu: MICU cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [08:00:00 10/10/2012] id: Position el: 0 cu: MICU cg: RN v1: Supine st: NotStopd t0: [08:00:00 10/10/2012] id: Assistance Device el: 0 cu: MICU cg: RN v1: 2 Person Assist st: NotStopd t0: [08:00:00 10/10/2012] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [08:00:00 10/10/2012] id: RLL Lung Sounds el: 0 cu: MICU cg: RN v1: Diminished st: NotStopd t0: [08:00:00 10/10/2012] id: RUL Lung Sounds el: 0 cu: MICU cg: RN v1: Clear st: NotStopd t0: [08:00:00 10/10/2012] id: Respiratory Pattern el: 0 cu: MICU cg: RN v1: Regular st: NotStopd t0: [08:00:00 10/10/2012] id: Restraint Location el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [08:00:00 10/10/2012] id: Side Rails el: 0 cu: MICU cg: RN v1: Side Rails Up st: NotStopd t0: [08:00:00 10/10/2012] id: SpO2 el: 0 cu: MICU cg: RN v1: 99 u1: % st: NotStopd t0: [08:00:00 10/10/2012] id: Spontaneous Movement el: 0 cu: MICU cg: RN v1: Purposeful st: NotStopd t0: [08:00:00 10/10/2012] id: Stool Guaiac el: 0 cu: MICU cg: RN v1: Positive st: NotStopd t0: [08:00:00 10/10/2012] id: Support Systems el: 0 cu: MICU cg: RN v1: Spouse st: NotStopd t0: [08:00:00 10/10/2012] id: Temp. Site el: 0 cu: MICU cg: RN v1: Oral st: NotStopd t0: [08:00:00 10/10/2012] id: Temperature C (calc) el: 0 cu: MICU cg: RN v1: 35.8333 u1: Deg. C st: NotStopd t0: [08:00:00 10/10/2012] id: Temperature F el: 0 cu: MICU cg: RN v1: 96.5 u1: Deg. F st: NotStopd t0: [08:00:00 10/10/2012] id: Turn el: 0 cu: MICU cg: RN v1: Back st: NotStopd t0: [08:00:00 10/10/2012] id: Urine Color/Appear el: 0 cu: MICU cg: RN v1: Icteric v2: Clear st: NotStopd t0: [08:00:00 10/10/2012] id: Urine Source el: 0 cu: MICU cg: RN v1: Indwelling Cath st: NotStopd t0: [08:00:00 10/10/2012] id: Verbal Response el: 0 cu: MICU cg: RN v1: 1 No Response st: NotStopd t0: [08:00:00 10/10/2012] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [08:00:00 10/10/2012] id: Bowel Sounds el: 0 cu: MICU cg: RN v1: Present st: NotStopd
t0: [08:00:00 10/10/2012] id: D5W 100.0ml + 600mcghr Sandostatin IV Infusions el: 2 cu: MICU cg: RN ai: 107 vo: 8.33333 vu: ml t0: [08:00:00 10/10/2012] id: TPN 1000.0ml IV Infusions el: 1 cu: MICU cg: RN ai: -1 vo: 45.7 vu: ml t0: [09:00:00 10/10/2012] id: Urine Out Void el: 1 cu: MICU cg: RN vo: 465 vu: ml
t0: [08:00:00 10/10/2012] id: Sandostatin el: 2 cu: MICU cg: RN so: D5W vo: 0 v1: 50 du: mcghr sv: 100 su: ml rt: IV Drip
t0: [10:00:00 10/10/2012] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [10:00:00 10/10/2012] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [10:00:00 10/10/2012] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [10:00:00 10/10/2012] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [10:00:00 10/10/2012] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [10:00:00 10/10/2012] id: Heart Rate el: 0 cu: MICU cg: RN v1: 82 u1: BPM st: NotStopd t0: [10:00:00 10/10/2012] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [10:00:00 10/10/2012] id: NBP el: 0 cu: MICU cg: RN v1: 118 u1: mmHg v2: 63 u2: mmHg st: NotStopd t0: [10:00:00 10/10/2012] id: NBP Mean el: 0 cu: MICU cg: RN v1: 81.3333 u1: mmHg st: NotStopd t0: [10:00:00 10/10/2012] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [10:00:00 10/10/2012] id: SpO2 el: 0 cu: MICU cg: RN v1: 98 u1: % st: NotStopd t0: [10:00:00 10/10/2012] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [08:00:00 10/10/2012] tf: [10:00:00 10/10/2012] dt: 120 id: D5W 250.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 105 vo: 100 vu: ml t0: [10:00:00 10/10/2012] id: D5W 250.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 105 vo: 0 vu: ml t0: [10:00:00 10/10/2012] id: D5W 100.0ml + 600mcghr Sandostatin IV Infusions el: 2 cu: MICU cg: RN ai: 107 vo: 16.6667 vu: ml t0: [10:00:00 10/10/2012] id: TPN 1000.0ml IV Infusions el: 1 cu: MICU cg: RN ai: -1 vo: 91.4 vu: ml
t0: [10:00:00 10/10/2012] id: Sandostatin el: 2 cu: MICU cg: RN so: D5W vo: 0 v1: 50 du: mcghr sv: 100 su: ml rt: IV Drip
io: .9% Normal Saline IV Infusions el: 1 cu: MICU cg: RN ra: 10 ru: ml/hr
tf: [11:00:00 12/10/2012] pt: Unit Dose rt: PR fr: Q6H:PRN m1: Lactulose Enema v1: 300 u1: ml
id: .9% Normal Saline el: 1 cu: MICU cg: RN io: .9% Normal Saline IV Infusions du: ml rt: Intravenous Infusion
t0: [12:00:00 10/10/2012] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [12:00:00 10/10/2012] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [12:00:00 10/10/2012] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [12:00:00 10/10/2012] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [12:00:00 10/10/2012] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [12:00:00 10/10/2012] id: Heart Rate el: 0 cu: MICU cg: RN v1: 90 u1: BPM st: NotStopd t0: [12:00:00 10/10/2012] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [12:00:00 10/10/2012] id: NBP el: 0 cu: MICU cg: RN v1: 111 u1: mmHg v2: 65 u2: mmHg st: NotStopd t0: [12:00:00 10/10/2012] id: NBP Mean el: 0 cu: MICU cg: RN v1: 80.3333 u1: mmHg st: NotStopd t0: [12:00:00 10/10/2012] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [12:00:00 10/10/2012] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 18 u1: BPM st: NotStopd t0: [12:00:00 10/10/2012] id: SpO2 el: 0 cu: MICU cg: RN v1: 96 u1: % st: NotStopd t0: [12:00:00 10/10/2012] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [12:00:00 10/10/2012] tf: [23:22:00 12/10/2012] dt: 3562 id: .9% Normal Saline IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 10 vu: ml nb: 1
t0: [12:00:00 10/10/2012] id: Sandostatin el: 2 cu: MICU cg: RN so: D5W vo: 0 v1: 50 du: mcghr sv: 100 su: ml rt: IV Drip
t0: [12:00:00 10/10/2012] id: Temperature C (calc) el: 0 cu: MICU cg: RN v1: 35.8333 u1: Deg. C st: NotStopd t0: [12:00:00 10/10/2012] id: Temperature F el: 0 cu: MICU cg: RN v1: 96.5 u1: Deg. F st: NotStopd
t0: [12:00:00 10/10/2012] id: D5W 250.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 105 vo: 0 vu: ml t0: [12:00:00 10/10/2012] id: D5W 100.0ml + 600mcghr Sandostatin IV Infusions el: 2 cu: MICU cg: RN ai: 107 vo: 16.6667 vu: ml nb: 1 t0: [12:00:00 10/10/2012] id: TPN 1000.0ml IV Infusions el: 1 cu: MICU cg: RN ai: -1 vo: 91.4 vu: ml t0: [12:00:00 10/10/2012] tf: [23:22:00 12/10/2012] dt: 3562 id: Urine Out Foley el: 2 cu: MICU cg: RN vo: 600 vu: ml
t0: [12:00:00 10/10/2012] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU cg: -1 ai: 416 vo: 0 st: D/C'd t0: [12:00:00 10/10/2012] id: .9% Normal Saline 50.0ml + 50mghr Midazolam IV Infusions el: 1 cu: MICU cg: -1 ai: 189 vo: 0 st: D/C'd
t0: [12:01:00 10/10/2012] id: Urine Out Void el: 1 cu: MICU cg: -1 vo: 0 st: D/C'd
t0: [12:00:00 10/10/2012] id: Hematocrit Hematology el: 0 cu: MICU cg: 1663 v1: 38.2 u1: % rs: Final st: NotStopd
t0: [12:00:00 10/10/2012] id: Cough Reflex el: 0 cu: MICU cg: RN v1: Intact st: NotStopd t0: [12:00:00 10/10/2012] id: Diet Type el: 0 cu: MICU cg: RN v1: NPO st: NotStopd t0: [12:00:00 10/10/2012] id: Eye Opening el: 0 cu: MICU cg: RN v1: 3 To speech st: NotStopd t0: [12:00:00 10/10/2012] id: GCS Total el: 0 cu: MICU cg: RN v1: 9 u1: points st: NotStopd t0: [12:00:00 10/10/2012] id: Gag Reflex el: 0 cu: MICU cg: RN v1: Impaired st: NotStopd t0: [12:00:00 10/10/2012] id: HOB el: 0 cu: MICU cg: RN v1: 30 degrees st: NotStopd t0: [12:00:00 10/10/2012] id: INV Line#3 Type/Site el: 0 cu: MICU cg: RN v1: Multi-lumen v2: Right IJ st: NotStopd t0: [12:00:00 10/10/2012] id: INV Line#3InsertDate el: 0 cu: MICU cg: RN v1: 9 v2: 14 st: NotStopd t0: [12:00:00 10/10/2012] id: IV #2 Insert Date el: 0 cu: MICU cg: RN v1: 9 v2: 13 st: NotStopd t0: [12:00:00 10/10/2012] id: IV #2 Site/Size el: 0 cu: MICU cg: RN v1: RL Ant Forearm v2: 18 gauge st: NotStopd t0: [12:00:00 10/10/2012] id: IV #3 Insert Date el: 0 cu: MICU cg: RN v1: 9 v2: 12 st: NotStopd t0: [12:00:00 10/10/2012] id: IV #3 Site/Size el: 0 cu: MICU cg: RN v1: Right Hand v2: 18 gauge st: NotStopd t0: [12:00:00 10/10/2012] id: IV #4 D/C Date el: 0 cu: MICU cg: RN v1: 9 v2: 17 st: NotStopd t0: [12:00:00 10/10/2012] id: IV #4 Insert Date el: 0 cu: MICU cg: RN v1: 9 v2: 12 st: NotStopd t0: [12:00:00 10/10/2012] id: IV #4 Site/Size el: 0 cu: MICU cg: RN v1: Right Antecub v2: 18 gauge st: NotStopd t0: [12:00:00 10/10/2012] id: IV Site Appear #2 el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [12:00:00 10/10/2012] id: IV Site Appear #3 el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [12:00:00 10/10/2012] id: IV Site Appear #4 el: 0 cu: MICU cg: RN v1: Redness st: NotStopd t0: [12:00:00 10/10/2012] id: Activity Tolerance el: 0 cu: MICU cg: RN v1: Good st: NotStopd t0: [12:00:00 10/10/2012] id: Level of Conscious el: 0 cu: MICU cg: RN v1: Lethargic st: NotStopd t0: [12:00:00 10/10/2012] id: Motor Response el: 0 cu: MICU cg: RN v1: 5 Localizes Pain st: NotStopd t0: [12:00:00 10/10/2012] id: Orientation el: 0 cu: MICU cg: RN v1: Other/Remarks st: NotStopd t0: [12:00:00 10/10/2012] id: Angio Site #1 el: 0 cu: MICU cg: RN v1: R Femoral st: NotStopd t0: [12:00:00 10/10/2012] id: AntiEmbDevice/Status el: 0 cu: MICU cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [12:00:00 10/10/2012] id: Position el: 0 cu: MICU cg: RN v1: Left Side st: NotStopd t0: [12:00:00 10/10/2012] id: Assistance Device el: 0 cu: MICU cg: RN v1: 2 Person Assist st: NotStopd t0: [12:00:00 10/10/2012] id: Reason For Restraint el: 0 cu: MICU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [12:00:00 10/10/2012] id: Respiratory Pattern el: 0 cu: MICU cg: RN v1: Regular st: NotStopd t0: [12:00:00 10/10/2012] id: Restraint Location el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [12:00:00 10/10/2012] id: Restraint Type el: 0 cu: MICU cg: RN v1: Soft Limb st: NotStopd t0: [12:00:00 10/10/2012] id: Side Rails el: 0 cu: MICU cg: RN v1: Side Rails Up st: NotStopd t0: [12:00:00 10/10/2012] id: Support Systems el: 0 cu: MICU cg: RN v1: Spouse st: NotStopd t0: [12:00:00 10/10/2012] id: Turn el: 0 cu: MICU cg: RN v1: Left Side st: NotStopd t0: [12:00:00 10/10/2012] id: Urine Source el: 0 cu: MICU cg: RN v1: Indwelling Cath st: NotStopd t0: [12:00:00 10/10/2012] id: Verbal Response el: 0 cu: MICU cg: RN v1: 1 No Response st: NotStopd t0: [12:00:00 10/10/2012] id: Back Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd
t0: [12:00:00 10/10/2012] id: Family Communication el: 0 cu: MICU cg: RN v1: Family Visited st: NotStopd t0: [12:00:00 10/10/2012] id: INV Line#3SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [12:00:00 10/10/2012] id: Skin Color el: 0 cu: MICU cg: RN v1: Jaundiced st: NotStopd t0: [12:00:00 10/10/2012] id: Skin Integrity el: 0 cu: MICU cg: RN v1: Impaired st: NotStopd t0: [12:00:00 10/10/2012] id: Skin Temp/Condition el: 0 cu: MICU cg: RN v1: Warm v2: Dry st: NotStopd t0: [12:00:00 10/10/2012] id: Braden Activity el: 0 cu: MICU cg: RN v1: Bedfast st: NotStopd t0: [12:00:00 10/10/2012] id: Braden Frict/Shear el: 0 cu: MICU cg: RN v1: Potential Prob st: NotStopd t0: [12:00:00 10/10/2012] id: Braden Mobility el: 0 cu: MICU cg: RN v1: Very Limited st: NotStopd t0: [12:00:00 10/10/2012] id: Braden Moisture el: 0 cu: MICU cg: RN v1: Occ. Moist st: NotStopd t0: [12:00:00 10/10/2012] id: Braden Nutrition el: 0 cu: MICU cg: RN v1: Prob. Inadequate st: NotStopd t0: [12:00:00 10/10/2012] id: Braden Score el: 0 cu: MICU cg: RN v1: 11 u1: number st: NotStopd t0: [12:00:00 10/10/2012] id: Braden SensoryPercep el: 0 cu: MICU cg: RN v1: Comp. Limited st: NotStopd
t0: [12:00:00 10/10/2012] id: Extubation Date el: 0 cu: MICU cg: RN v1: 9 v2: 16 st: NotStopd t0: [12:00:00 10/10/2012] id: FiO2 Set el: 0 cu: MICU cg: RN v1: 0.4 u1: torr st: NotStopd t0: [12:00:00 10/10/2012] id: Intubation Date el: 0 cu: MICU cg: RN v1: 9 v2: 13 st: NotStopd t0: [12:00:00 10/10/2012] id: O2 Delivery Device el: 0 cu: MICU cg: RN v1: Face Tent st: NotStopd t0: [12:00:00 10/10/2012] id: O2 Flow (lpm) el: 0 cu: MICU cg: RN v1: 10 u1: lpm st: NotStopd t0: [12:00:00 10/10/2012] id: Sputum Color/Consist el: 0 cu: MICU cg: RN v1: Blood Tinged v2: Thick st: NotStopd t0: [12:00:00 10/10/2012] id: Sputum Source/Amt el: 0 cu: MICU cg: RN v1: Suctioned v2: Copious st: NotStopd
pt: TPN
id: IV Piggyback el: 1 cu: MICU cg: RN io: IV Piggyback IV Infusions du: ml rt: IV Piggyback
t0: [13:00:00 10/10/2012] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [13:00:00 10/10/2012] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [13:00:00 10/10/2012] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [13:00:00 10/10/2012] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [13:00:00 10/10/2012] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [13:00:00 10/10/2012] id: Heart Rate el: 0 cu: MICU cg: RN v1: 85 u1: BPM st: NotStopd t0: [13:00:00 10/10/2012] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [13:00:00 10/10/2012] id: Activity el: 0 cu: MICU cg: RN v1: Bedrest st: NotStopd t0: [13:00:00 10/10/2012] id: NBP el: 0 cu: MICU cg: RN v1: 126 u1: mmHg v2: 68 u2: mmHg st: NotStopd t0: [13:00:00 10/10/2012] id: NBP Mean el: 0 cu: MICU cg: RN v1: 87.3333 u1: mmHg st: NotStopd t0: [13:00:00 10/10/2012] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [13:00:00 10/10/2012] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 24 u1: BPM st: NotStopd t0: [13:00:00 10/10/2012] id: SpO2 el: 0 cu: MICU cg: RN v1: 100 u1: % st: NotStopd t0: [13:00:00 10/10/2012] id: Turn el: 0 cu: MICU cg: RN v1: Side to Side st: NotStopd t0: [13:00:00 10/10/2012] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [13:00:00 10/10/2012] id: .9% Normal Saline IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 10 vu: ml t0: [13:00:00 10/10/2012] tf: [23:22:00 12/10/2012] dt: 3502 id: D5W 250.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 105 vo: 100 vu: ml t0: [13:00:00 10/10/2012] id: D5W 100.0ml + 600mcghr Sandostatin IV Infusions el: 2 cu: MICU cg: RN ai: 107 vo: 8.33333 vu: ml t0: [13:00:00 10/10/2012] id: Urine Out Foley el: 2 cu: MICU cg: RN vo: 125 vu: ml t0: [13:00:00 10/10/2012] tf: [23:22:00 12/10/2012] dt: 3502 id: TPN 1600.0ml IV Infusions el: 1 cu: MICU cg: RN ai: -1 vo: 45.7 vu: ml
t0: [13:00:00 10/10/2012] id: Sandostatin el: 2 cu: MICU cg: RN so: D5W vo: 0 v1: 50 du: mcghr sv: 100 su: ml rt: IV Drip
t0: [14:00:00 10/10/2012] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [14:00:00 10/10/2012] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [14:00:00 10/10/2012] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [14:00:00 10/10/2012] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [14:00:00 10/10/2012] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [14:00:00 10/10/2012] id: Heart Rate el: 0 cu: MICU cg: RN v1: 83 u1: BPM st: NotStopd t0: [14:00:00 10/10/2012] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [14:00:00 10/10/2012] id: NBP el: 0 cu: MICU cg: RN v1: 121 u1: mmHg v2: 63 u2: mmHg st: NotStopd t0: [14:00:00 10/10/2012] id: NBP Mean el: 0 cu: MICU cg: RN v1: 82.3333 u1: mmHg st: NotStopd t0: [14:00:00 10/10/2012] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [14:00:00 10/10/2012] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 20 u1: BPM st: NotStopd t0: [14:00:00 10/10/2012] id: SpO2 el: 0 cu: MICU cg: RN v1: 99 u1: % st: NotStopd t0: [14:00:00 10/10/2012] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [14:00:00 10/10/2012] id: .9% Normal Saline IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 10 vu: ml t0: [14:00:00 10/10/2012] id: D5W 100.0ml + 600mcghr Sandostatin IV Infusions el: 2 cu: MICU cg: RN ai: 107 vo: 8.33333 vu: ml t0: [14:00:00 10/10/2012] id: TPN 1600.0ml IV Infusions el: 1 cu: MICU cg: RN ai: -1 vo: 45.7 vu: ml
t0: [14:00:00 10/10/2012] id: Sandostatin el: 2 cu: MICU cg: RN so: D5W vo: 0 v1: 50 du: mcghr sv: 100 su: ml rt: IV Drip
t0: [14:00:00 10/10/2012] id: Urine Out Foley el: 2 cu: MICU cg: RN vo: 120 vu: ml
t0: [14:00:00 10/10/2012] id: Riker-SAS Scale el: 0 cu: MICU cg: RN v1: Sedated st: NotStopd
t0: [12:00:00 10/10/2012] id: Follows Commands el: 0 cu: MICU cg: RN v1: Inconsistently st: NotStopd t0: [12:00:00 10/10/2012] id: Spontaneous Movement el: 0 cu: MICU cg: RN v1: Purposeful st: NotStopd
t0: [12:00:00 10/10/2012] id: Behavior el: 0 cu: MICU cg: RN v1: Restless st: NotStopd
t0: [15:00:00 10/10/2012] tf: [23:22:00 12/10/2012] dt: 3382 id: IV Piggyback IV Infusions el: 1 cu: MICU cg: RN ai: 209 vo: 100 vu: ml t0: [15:00:00 10/10/2012] id: .9% Normal Saline IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 10 vu: ml t0: [15:00:00 10/10/2012] id: D5W 100.0ml + 600mcghr Sandostatin IV Infusions el: 2 cu: MICU cg: RN ai: 107 vo: 8.33333 vu: ml t0: [15:00:00 10/10/2012] id: TPN 1600.0ml IV Infusions el: 1 cu: MICU cg: RN ai: -1 vo: 45.7 vu: ml
t0: [12:00:00 10/10/2012] id: Temp. Site el: 0 cu: MICU cg: RN v1: Oral st: NotStopd
t0: [14:38:00 10/10/2012] id: Art.pH ABG el: 0 cu: MICU cg: 1663 v1: 7.32 rs: Final st: NotStopd t0: [14:38:00 10/10/2012] id: CaO2 el: 0 cu: MICU cg: 1663 v1: 15.1846 u1: ml/dl st: NotStopd t0: [14:38:00 10/10/2012] id: Arterial Base Excess ABG el: 0 cu: MICU cg: 1663 v1: -5 rs: Final st: NotStopd t0: [14:38:00 10/10/2012] id: Arterial CO2(Calc) ABG el: 0 cu: MICU cg: 1663 v1: 22 rs: Final st: NotStopd t0: [14:38:00 10/10/2012] id: Arterial PaCO2 ABG el: 0 cu: MICU cg: 1663 v1: 40 u1: mmHg rs: Final st: NotStopd t0: [14:38:00 10/10/2012] id: Arterial PaO2 ABG el: 0 cu: MICU cg: 1663 v1: 60 u1: mmHg rs: Final st: NotStopd t0: [14:38:00 10/10/2012] id: Arterial pH ABG el: 0 cu: MICU cg: 1663 v1: 7.32 rs: Final st: NotStopd t0: [14:38:00 10/10/2012] id: SaO2 ABG's el: 0 cu: MICU cg: 1663 v1: 91 u1: % rs: Final st: NotStopd t0: [15:00:00 10/10/2012] id: HOB el: 0 cu: MICU cg: RN v1: 30 degrees st: NotStopd t0: [15:00:00 10/10/2012] id: Activity el: 0 cu: MICU cg: RN v1: Bedrest st: NotStopd t0: [15:00:00 10/10/2012] id: Activity Tolerance el: 0 cu: MICU cg: RN v1: Tolerated Well st: NotStopd t0: [15:00:00 10/10/2012] id: AntiEmbDevice/Status el: 0 cu: MICU cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [15:00:00 10/10/2012] id: Assistance Device el: 0 cu: MICU cg: RN v1: 2 Person Assist st: NotStopd t0: [15:00:00 10/10/2012] id: Turn el: 0 cu: MICU cg: RN v1: Back st: NotStopd
t0: [15:00:00 10/10/2012] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [15:00:00 10/10/2012] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [15:00:00 10/10/2012] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [15:00:00 10/10/2012] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [15:00:00 10/10/2012] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [15:00:00 10/10/2012] id: Heart Rate el: 0 cu: MICU cg: RN v1: 80 u1: BPM st: NotStopd t0: [15:00:00 10/10/2012] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [15:00:00 10/10/2012] id: NBP el: 0 cu: MICU cg: RN v1: 120 u1: mmHg v2: 72 u2: mmHg st: NotStopd t0: [15:00:00 10/10/2012] id: NBP Mean el: 0 cu: MICU cg: RN v1: 88 u1: mmHg st: NotStopd t0: [15:00:00 10/10/2012] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [15:00:00 10/10/2012] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 20 u1: BPM st: NotStopd t0: [15:00:00 10/10/2012] id: SpO2 el: 0 cu: MICU cg: RN v1: 100 u1: % st: NotStopd t0: [15:00:00 10/10/2012] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [15:00:00 10/10/2012] id: Urine Out Foley el: 2 cu: MICU cg: RN vo: 200 vu: ml
t0: [15:00:00 10/10/2012] id: Sandostatin el: 2 cu: MICU cg: RN so: D5W vo: 0 v1: 50 du: mcghr sv: 100 su: ml rt: IV Drip
t0: [12:00:00 10/10/2012] id: Activity el: 0 cu: MICU cg: RN v1: Dangle st: NotStopd t0: [16:00:00 10/10/2012] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [16:00:00 10/10/2012] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [16:00:00 10/10/2012] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [16:00:00 10/10/2012] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [16:00:00 10/10/2012] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [16:00:00 10/10/2012] id: HOB el: 0 cu: MICU cg: RN v1: 30 degrees st: NotStopd t0: [16:00:00 10/10/2012] id: Heart Rate el: 0 cu: MICU cg: RN v1: 80 u1: BPM st: NotStopd t0: [16:00:00 10/10/2012] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [16:00:00 10/10/2012] id: NBP el: 0 cu: MICU cg: RN v1: 122 u1: mmHg v2: 67 u2: mmHg st: NotStopd t0: [16:00:00 10/10/2012] id: NBP Mean el: 0 cu: MICU cg: RN v1: 85.3333 u1: mmHg st: NotStopd t0: [16:00:00 10/10/2012] id: Assistance Device el: 0 cu: MICU cg: RN v1: 1 Person Assist st: NotStopd t0: [16:00:00 10/10/2012] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [16:00:00 10/10/2012] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 24 u1: BPM st: NotStopd t0: [16:00:00 10/10/2012] id: SpO2 el: 0 cu: MICU cg: RN v1: 98 u1: % st: NotStopd t0: [16:00:00 10/10/2012] id: Temp. Site el: 0 cu: MICU cg: RN v1: Oral st: NotStopd t0: [16:00:00 10/10/2012] id: Temperature C (calc) el: 0 cu: MICU cg: RN v1: 35.8333 u1: Deg. C st: NotStopd t0: [16:00:00 10/10/2012] id: Temperature F el: 0 cu: MICU cg: RN v1: 96.5 u1: Deg. F st: NotStopd t0: [16:00:00 10/10/2012] id: Turn el: 0 cu: MICU cg: RN v1: Side to Side st: NotStopd t0: [16:00:00 10/10/2012] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [16:00:00 10/10/2012] id: .9% Normal Saline IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 10 vu: ml t0: [16:00:00 10/10/2012] id: D5W 100.0ml + 600mcghr Sandostatin IV Infusions el: 2 cu: MICU cg: RN ai: 107 vo: 8.33333 vu: ml t0: [16:00:00 10/10/2012] id: Urine Out Foley el: 2 cu: MICU cg: RN vo: 200 vu: ml t0: [16:00:00 10/10/2012] id: TPN 1600.0ml IV Infusions el: 1 cu: MICU cg: RN ai: -1 vo: 45.7 vu: ml
t0: [16:00:00 10/10/2012] id: Sandostatin el: 2 cu: MICU cg: RN so: D5W vo: 0 v1: 50 du: mcghr sv: 100 su: ml rt: IV Drip
io: TPN 1600.0ml IV Infusions el: 1 cu: MICU cg: RN ra: 66 ru: ml/hr
id: TPN el: 1 cu: MICU cg: RN io: TPN 1600.0ml IV Infusions vo: 1600 du: ml rt: Intravenous Push
t0: [17:00:00 10/10/2012] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [17:00:00 10/10/2012] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [17:00:00 10/10/2012] id: Cough Effort el: 0 cu: MICU cg: RN v1: Weak st: NotStopd t0: [17:00:00 10/10/2012] id: Cough Reflex el: 0 cu: MICU cg: RN v1: Intact st: NotStopd t0: [17:00:00 10/10/2012] id: Cough Type el: 0 cu: MICU cg: RN v1: Productive st: NotStopd t0: [17:00:00 10/10/2012] id: GI Prophylaxis el: 0 cu: MICU cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [17:00:00 10/10/2012] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [17:00:00 10/10/2012] id: Diet Type el: 0 cu: MICU cg: RN v1: NPO st: NotStopd t0: [17:00:00 10/10/2012] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [17:00:00 10/10/2012] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [17:00:00 10/10/2012] id: Eye Opening el: 0 cu: MICU cg: RN v1: 4 Spontaneously st: NotStopd t0: [17:00:00 10/10/2012] id: Family Communication el: 0 cu: MICU cg: RN v1: Family Called st: NotStopd t0: [17:00:00 10/10/2012] id: GCS Total el: 0 cu: MICU cg: RN v1: 10 u1: points st: NotStopd t0: [17:00:00 10/10/2012] id: Gag Reflex el: 0 cu: MICU cg: RN v1: Impaired st: NotStopd t0: [17:00:00 10/10/2012] id: Heart Rate el: 0 cu: MICU cg: RN v1: 77 u1: BPM st: NotStopd t0: [17:00:00 10/10/2012] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [17:00:00 10/10/2012] id: INV Line#3 Type/Site el: 0 cu: MICU cg: RN v1: Multi-lumen v2: Right IJ st: NotStopd t0: [17:00:00 10/10/2012] id: INV Line#3InsertDate el: 0 cu: MICU cg: RN v1: 9 v2: 14 st: NotStopd t0: [17:00:00 10/10/2012] id: INV Line#3SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [17:00:00 10/10/2012] id: IV #2 Insert Date el: 0 cu: MICU cg: RN v1: 9 v2: 13 st: NotStopd t0: [17:00:00 10/10/2012] id: IV #2 Site/Size el: 0 cu: MICU cg: RN v1: RL Ant Forearm v2: 18 gauge st: NotStopd t0: [17:00:00 10/10/2012] id: IV #3 Insert Date el: 0 cu: MICU cg: RN v1: 9 v2: 12 st: NotStopd t0: [17:00:00 10/10/2012] id: IV #3 Site/Size el: 0 cu: MICU cg: RN v1: Right Hand v2: 18 gauge st: NotStopd t0: [17:00:00 10/10/2012] id: IV Site Appear #2 el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [17:00:00 10/10/2012] id: IV Site Appear #3 el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [17:00:00 10/10/2012] id: LLL Lung Sounds el: 0 cu: MICU cg: RN v1: Diminished st: NotStopd t0: [17:00:00 10/10/2012] id: LUL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [17:00:00 10/10/2012] id: Level of Conscious el: 0 cu: MICU cg: RN v1: Lethargic st: NotStopd t0: [17:00:00 10/10/2012] id: Motor Response el: 0 cu: MICU cg: RN v1: 5 Localizes Pain st: NotStopd t0: [17:00:00 10/10/2012] id: NBP el: 0 cu: MICU cg: RN v1: 128 u1: mmHg v2: 68 u2: mmHg st: NotStopd t0: [17:00:00 10/10/2012] id: NBP Mean el: 0 cu: MICU cg: RN v1: 88 u1: mmHg st: NotStopd t0: [17:00:00 10/10/2012] id: Oral Cavity el: 0 cu: MICU cg: RN v1: Bleeding Gum st: NotStopd t0: [17:00:00 10/10/2012] id: Orientation el: 0 cu: MICU cg: RN v1: Other/Remarks st: NotStopd t0: [17:00:00 10/10/2012] id: Angio Site #1 el: 0 cu: MICU cg: RN v1: R Femoral st: NotStopd t0: [17:00:00 10/10/2012] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [17:00:00 10/10/2012] id: RLL Lung Sounds el: 0 cu: MICU cg: RN v1: Diminished st: NotStopd t0: [17:00:00 10/10/2012] id: RUL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [17:00:00 10/10/2012] id: Reason For Restraint el: 0 cu: MICU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [17:00:00 10/10/2012] id: Respiratory Pattern el: 0 cu: MICU cg: RN v1: Regular st: NotStopd t0: [17:00:00 10/10/2012] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 24 u1: BPM st: NotStopd t0: [17:00:00 10/10/2012] id: Restraint Location el: 0 cu: MICU cg: RN v1: Both Arms st: NotStopd t0: [17:00:00 10/10/2012] id: Restraint Type el: 0 cu: MICU cg: RN v1: Soft Limb st: NotStopd t0: [17:00:00 10/10/2012] id: Side Rails el: 0 cu: MICU cg: RN v1: Side Rails Up st: NotStopd t0: [17:00:00 10/10/2012] id: SpO2 el: 0 cu: MICU cg: RN v1: 97 u1: % st: NotStopd t0: [17:00:00 10/10/2012] id: Support Systems el: 0 cu: MICU cg: RN v1: Spouse st: NotStopd t0: [17:00:00 10/10/2012] id: Urine Color/Appear el: 0 cu: MICU cg: RN v1: Icteric v2: Clear st: NotStopd t0: [17:00:00 10/10/2012] id: Urine Source el: 0 cu: MICU cg: RN v1: Indwelling Cath st: NotStopd t0: [17:00:00 10/10/2012] id: Verbal Response el: 0 cu: MICU cg: RN v1: 1 No Response st: NotStopd t0: [17:00:00 10/10/2012] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [17:00:00 10/10/2012] id: Behavior el: 0 cu: MICU cg: RN v1: Calm st: NotStopd t0: [17:00:00 10/10/2012] id: Bowel Sounds el: 0 cu: MICU cg: RN v1: Present st: NotStopd
t0: [17:00:00 10/10/2012] id: IV Piggyback IV Infusions el: 1 cu: MICU cg: RN ai: 209 vo: 50 vu: ml t0: [17:00:00 10/10/2012] id: .9% Normal Saline IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 10 vu: ml t0: [17:00:00 10/10/2012] id: D5W 100.0ml + 600mcghr Sandostatin IV Infusions el: 2 cu: MICU cg: RN ai: 107 vo: 8.33333 vu: ml t0: [17:00:00 10/10/2012] id: Urine Out Foley el: 2 cu: MICU cg: RN vo: 180 vu: ml t0: [17:00:00 10/10/2012] id: TPN 1600.0ml IV Infusions el: 1 cu: MICU cg: RN ai: -1 vo: 45.7 vu: ml
t0: [17:00:00 10/10/2012] id: Sandostatin el: 2 cu: MICU cg: RN so: D5W vo: 0 v1: 50 du: mcghr sv: 100 su: ml rt: IV Drip
t0: [17:30:00 10/10/2012] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [17:30:00 10/10/2012] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [17:30:00 10/10/2012] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [17:30:00 10/10/2012] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [17:30:00 10/10/2012] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [17:30:00 10/10/2012] id: Heart Rate el: 0 cu: MICU cg: RN v1: 76 u1: BPM st: NotStopd t0: [17:30:00 10/10/2012] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [17:30:00 10/10/2012] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [17:30:00 10/10/2012] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 18 u1: BPM st: NotStopd t0: [17:30:00 10/10/2012] id: SpO2 el: 0 cu: MICU cg: RN v1: 98 u1: % st: NotStopd t0: [17:30:00 10/10/2012] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [17:30:00 10/10/2012] id: .9% Normal Saline IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 5 vu: ml t0: [17:30:00 10/10/2012] id: D5W 100.0ml + 600mcghr Sandostatin IV Infusions el: 2 cu: MICU cg: RN ai: 107 vo: 4.16667 vu: ml t0: [17:30:00 10/10/2012] id: TPN 1600.0ml IV Infusions el: 1 cu: MICU cg: RN ai: -1 vo: 33 vu: ml nb: 1
t0: [17:30:00 10/10/2012] id: Sandostatin el: 2 cu: MICU cg: RN so: D5W vo: 0 v1: 50 du: mcghr sv: 100 su: ml rt: IV Drip
t0: [12:30:00 10/10/2012] id: Fingerstick Glucose Chemistry el: 0 cu: MICU cg: RN v1: 141 rs: Manual st: NotStopd t0: [17:30:00 10/10/2012] id: Fingerstick Glucose Chemistry el: 0 cu: MICU cg: RN v1: 121 rs: Manual st: NotStopd
t0: [17:30:00 10/10/2012] id: NBP el: 0 cu: MICU cg: RN v1: 120 u1: mmHg v2: 73 u2: mmHg st: NotStopd t0: [17:30:00 10/10/2012] id: NBP Mean el: 0 cu: MICU cg: RN v1: 88.6667 u1: mmHg st: NotStopd
t0: [18:00:00 10/10/2012] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [18:00:00 10/10/2012] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [18:00:00 10/10/2012] id: Riker-SAS Scale el: 0 cu: MICU cg: RN v1: Calm/Cooperative st: NotStopd t0: [18:00:00 10/10/2012] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [18:00:00 10/10/2012] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [18:00:00 10/10/2012] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [18:00:00 10/10/2012] id: FiO2 Set el: 0 cu: MICU cg: RN v1: 0.5 u1: torr st: NotStopd t0: [18:00:00 10/10/2012] id: Heart Rate el: 0 cu: MICU cg: RN v1: 78 u1: BPM st: NotStopd t0: [18:00:00 10/10/2012] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [18:00:00 10/10/2012] id: NBP el: 0 cu: MICU cg: RN v1: 118 u1: mmHg v2: 73 u2: mmHg st: NotStopd t0: [18:00:00 10/10/2012] id: NBP Mean el: 0 cu: MICU cg: RN v1: 88 u1: mmHg st: NotStopd t0: [18:00:00 10/10/2012] id: O2 Delivery Device el: 0 cu: MICU cg: RN v1: Aerosol-Cool st: NotStopd t0: [18:00:00 10/10/2012] id: O2 Flow (lpm) el: 0 cu: MICU cg: RN v1: 10 u1: lpm st: NotStopd t0: [18:00:00 10/10/2012] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [18:00:00 10/10/2012] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 21 u1: BPM st: NotStopd t0: [18:00:00 10/10/2012] id: SpO2 el: 0 cu: MICU cg: RN v1: 99 u1: % st: NotStopd t0: [18:00:00 10/10/2012] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [18:00:00 10/10/2012] id: .9% Normal Saline IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 5 vu: ml t0: [18:00:00 10/10/2012] id: D5W 100.0ml + 600mcghr Sandostatin IV Infusions el: 2 cu: MICU cg: RN ai: 107 vo: 4.16667 vu: ml t0: [18:00:00 10/10/2012] id: Urine Out Foley el: 2 cu: MICU cg: RN vo: 120 vu: ml t0: [18:00:00 10/10/2012] id: TPN 1600.0ml IV Infusions el: 1 cu: MICU cg: RN ai: -1 vo: 33 vu: ml
t0: [18:00:00 10/10/2012] id: Sandostatin el: 2 cu: MICU cg: RN so: D5W vo: 0 v1: 50 du: mcghr sv: 100 su: ml rt: IV Drip
t0: [19:00:00 10/10/2012] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [19:00:00 10/10/2012] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [19:00:00 10/10/2012] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [19:00:00 10/10/2012] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [19:00:00 10/10/2012] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [19:00:00 10/10/2012] id: Heart Rate el: 0 cu: MICU cg: RN v1: 81 u1: BPM st: NotStopd t0: [19:00:00 10/10/2012] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [19:00:00 10/10/2012] id: NBP el: 0 cu: MICU cg: RN v1: 119 u1: mmHg v2: 70 u2: mmHg st: NotStopd t0: [19:00:00 10/10/2012] id: NBP Mean el: 0 cu: MICU cg: RN v1: 86.3333 u1: mmHg st: NotStopd t0: [19:00:00 10/10/2012] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [19:00:00 10/10/2012] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 17 u1: BPM st: NotStopd t0: [19:00:00 10/10/2012] id: SpO2 el: 0 cu: MICU cg: RN v1: 100 u1: % st: NotStopd t0: [19:00:00 10/10/2012] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [19:00:00 10/10/2012] id: .9% Normal Saline IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 10 vu: ml t0: [19:00:00 10/10/2012] id: D5W 100.0ml + 600mcghr Sandostatin IV Infusions el: 2 cu: MICU cg: RN ai: 107 vo: 8.33333 vu: ml t0: [19:00:00 10/10/2012] id: Urine Out Foley el: 2 cu: MICU cg: RN vo: 100 vu: ml t0: [19:00:00 10/10/2012] id: TPN 1600.0ml IV Infusions el: 1 cu: MICU cg: RN ai: -1 vo: 66 vu: ml
t0: [19:00:00 10/10/2012] id: Sandostatin el: 2 cu: MICU cg: RN so: D5W vo: 0 v1: 50 du: mcghr sv: 100 su: ml rt: IV Drip
t0: [19:00:00 10/10/2012] id: HOB el: 0 cu: MICU cg: RN v1: 30 degrees st: NotStopd t0: [19:00:00 10/10/2012] id: INV Line#3 Type/Site el: 0 cu: MICU cg: RN v1: Multi-lumen v2: Right IJ st: NotStopd t0: [19:00:00 10/10/2012] id: INV Line#3InsertDate el: 0 cu: MICU cg: RN v1: 9 v2: 14 st: NotStopd t0: [19:00:00 10/10/2012] id: INV Line#3SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [19:00:00 10/10/2012] id: IV #2 Insert Date el: 0 cu: MICU cg: RN v1: 9 v2: 13 st: NotStopd t0: [19:00:00 10/10/2012] id: IV #2 Site/Size el: 0 cu: MICU cg: RN v1: RL Ant Forearm v2: 18 gauge st: NotStopd t0: [19:00:00 10/10/2012] id: IV #3 Insert Date el: 0 cu: MICU cg: RN v1: 9 v2: 12 st: NotStopd t0: [19:00:00 10/10/2012] id: IV #3 Site/Size el: 0 cu: MICU cg: RN v1: Right Hand v2: 18 gauge st: NotStopd t0: [19:00:00 10/10/2012] id: Activity el: 0 cu: MICU cg: RN v1: Bedrest st: NotStopd t0: [19:00:00 10/10/2012] id: IV Site Appear #2 el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [19:00:00 10/10/2012] id: IV Site Appear #3 el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [19:00:00 10/10/2012] id: Activity Tolerance el: 0 cu: MICU cg: RN v1: Tolerated Well st: NotStopd t0: [19:00:00 10/10/2012] id: AntiEmbDevice/Status el: 0 cu: MICU cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [19:00:00 10/10/2012] id: Assistance Device el: 0 cu: MICU cg: RN v1: 2 Person Assist st: NotStopd t0: [19:00:00 10/10/2012] id: Reason For Restraint el: 0 cu: MICU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [19:00:00 10/10/2012] id: Restraint Location el: 0 cu: MICU cg: RN v1: Both Arms st: NotStopd t0: [19:00:00 10/10/2012] id: Restraint Type el: 0 cu: MICU cg: RN v1: Soft Limb st: NotStopd t0: [19:00:00 10/10/2012] id: Side Rails el: 0 cu: MICU cg: RN v1: Side Rails Up st: NotStopd t0: [19:00:00 10/10/2012] id: Support Systems el: 0 cu: MICU cg: RN v1: Spouse st: NotStopd t0: [19:00:00 10/10/2012] id: Turn el: 0 cu: MICU cg: RN v1: Side to Side st: NotStopd
t0: [20:00:00 10/10/2012] id: .9% Normal Saline IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 10 vu: ml t0: [20:00:00 10/10/2012] id: D5W 100.0ml + 600mcghr Sandostatin IV Infusions el: 2 cu: MICU cg: RN ai: 107 vo: 8.33333 vu: ml t0: [20:00:00 10/10/2012] id: TPN 1600.0ml IV Infusions el: 1 cu: MICU cg: RN ai: -1 vo: 66 vu: ml
t0: [20:00:00 10/10/2012] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [20:00:00 10/10/2012] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [20:00:00 10/10/2012] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [20:00:00 10/10/2012] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [20:00:00 10/10/2012] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [20:00:00 10/10/2012] id: Heart Rate el: 0 cu: MICU cg: RN v1: 80 u1: BPM st: NotStopd t0: [20:00:00 10/10/2012] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [20:00:00 10/10/2012] id: NBP el: 0 cu: MICU cg: RN v1: 132 u1: mmHg v2: 67 u2: mmHg st: NotStopd t0: [20:00:00 10/10/2012] id: NBP Mean el: 0 cu: MICU cg: RN v1: 88.6667 u1: mmHg st: NotStopd t0: [20:00:00 10/10/2012] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [20:00:00 10/10/2012] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 22 u1: BPM st: NotStopd t0: [20:00:00 10/10/2012] id: SpO2 el: 0 cu: MICU cg: RN v1: 99 u1: % st: NotStopd t0: [20:00:00 10/10/2012] id: Temp. Site el: 0 cu: MICU cg: RN v1: Oral st: NotStopd t0: [20:00:00 10/10/2012] id: Temperature C (calc) el: 0 cu: MICU cg: RN v1: 35.5556 u1: Deg. C st: NotStopd t0: [20:00:00 10/10/2012] id: Temperature F el: 0 cu: MICU cg: RN v1: 96 u1: Deg. F st: NotStopd t0: [20:00:00 10/10/2012] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [20:00:00 10/10/2012] id: Urine Out Foley el: 2 cu: MICU cg: RN vo: 170 vu: ml
t0: [20:00:00 10/10/2012] id: Sandostatin el: 2 cu: MICU cg: RN so: D5W vo: 0 v1: 50 du: mcghr sv: 100 su: ml rt: IV Drip
t0: [19:00:00 10/10/2012] id: Stool Out Stool el: 1 cu: MICU cg: RN vo: 150 vu: ml
t0: [19:32:00 10/10/2012] id: Hematocrit Hematology el: 0 cu: MICU cg: 1663 v1: 38.1 u1: % rs: Final st: NotStopd
t0: [23:00:00 10/10/2012] dt: 24 id: Stool Out Total el: 2 cu: MICU cg: 1663 cv: 850 ap: carryForward
t0: [19:32:00 10/10/2012] id: Potassium Chemistry el: 0 cu: MICU cg: 1663 v1: 3.8 rs: Final st: NotStopd t0: [19:32:00 10/10/2012] id: Potassium (3.5-5.3) Chemistry el: 0 cu: MICU cg: 1663 v1: 3.8 rs: Final st: NotStopd
t0: [21:00:00 10/10/2012] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [21:00:00 10/10/2012] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [21:00:00 10/10/2012] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [21:00:00 10/10/2012] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [21:00:00 10/10/2012] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [21:00:00 10/10/2012] id: Heart Rate el: 0 cu: MICU cg: RN v1: 85 u1: BPM st: NotStopd t0: [21:00:00 10/10/2012] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [21:00:00 10/10/2012] id: NBP el: 0 cu: MICU cg: RN v1: 128 u1: mmHg v2: 74 u2: mmHg st: NotStopd t0: [21:00:00 10/10/2012] id: NBP Mean el: 0 cu: MICU cg: RN v1: 92 u1: mmHg st: NotStopd t0: [21:00:00 10/10/2012] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [21:00:00 10/10/2012] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 20 u1: BPM st: NotStopd t0: [21:00:00 10/10/2012] id: SpO2 el: 0 cu: MICU cg: RN v1: 97 u1: % st: NotStopd t0: [21:00:00 10/10/2012] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [21:00:00 10/10/2012] id: .9% Normal Saline IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 10 vu: ml t0: [21:00:00 10/10/2012] id: D5W 100.0ml + 600mcghr Sandostatin IV Infusions el: 2 cu: MICU cg: RN ai: 107 vo: 8.33333 vu: ml t0: [21:00:00 10/10/2012] id: TPN 1600.0ml IV Infusions el: 1 cu: MICU cg: RN ai: -1 vo: 66 vu: ml
t0: [21:00:00 10/10/2012] id: Sandostatin el: 2 cu: MICU cg: RN so: D5W vo: 0 v1: 50 du: mcghr sv: 100 su: ml rt: IV Drip
t0: [21:30:00 10/10/2012] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [21:30:00 10/10/2012] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [21:30:00 10/10/2012] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [21:30:00 10/10/2012] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [21:30:00 10/10/2012] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [21:30:00 10/10/2012] id: Heart Rate el: 0 cu: MICU cg: RN v1: 86 u1: BPM st: NotStopd t0: [21:30:00 10/10/2012] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [21:30:00 10/10/2012] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [21:30:00 10/10/2012] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 22 u1: BPM st: NotStopd t0: [21:30:00 10/10/2012] id: SpO2 el: 0 cu: MICU cg: RN v1: 97 u1: % st: NotStopd t0: [21:30:00 10/10/2012] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [21:30:00 10/10/2012] id: .9% Normal Saline IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 5 vu: ml t0: [21:30:00 10/10/2012] id: D5W 100.0ml + 600mcghr Sandostatin IV Infusions el: 2 cu: MICU cg: RN ai: 107 vo: 4.16667 vu: ml t0: [21:30:00 10/10/2012] id: Urine Out Foley el: 2 cu: MICU cg: RN vo: 300 vu: ml t0: [21:30:00 10/10/2012] id: TPN 1600.0ml IV Infusions el: 1 cu: MICU cg: RN ai: -1 vo: 33 vu: ml
t0: [21:30:00 10/10/2012] id: Sandostatin el: 2 cu: MICU cg: RN so: D5W vo: 0 v1: 50 du: mcghr sv: 100 su: ml rt: IV Drip
t0: [23:00:00 10/10/2012] dt: 1 id: Total Hourly Output el: 2 cu: MICU cg: RN cv: 0 ap: none t0: [23:00:00 10/10/2012] dt: 24 id: Urine Out Total el: 2 cu: MICU cg: RN cv: 3550 ap: none t0: [23:00:00 10/10/2012] dt: 24 id: 24h Total Out el: 2 cu: MICU cg: RN cv: 4400 ap: carryForward
t0: [22:00:00 10/10/2012] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [22:00:00 10/10/2012] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [22:00:00 10/10/2012] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [22:00:00 10/10/2012] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [22:00:00 10/10/2012] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [22:00:00 10/10/2012] id: Heart Rate el: 0 cu: MICU cg: RN v1: 82 u1: BPM st: NotStopd t0: [22:00:00 10/10/2012] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [22:00:00 10/10/2012] id: NBP el: 0 cu: MICU cg: RN v1: 131 u1: mmHg v2: 79 u2: mmHg st: NotStopd t0: [22:00:00 10/10/2012] id: NBP Mean el: 0 cu: MICU cg: RN v1: 96.3333 u1: mmHg st: NotStopd t0: [22:00:00 10/10/2012] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [22:00:00 10/10/2012] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 19 u1: BPM st: NotStopd t0: [22:00:00 10/10/2012] id: SpO2 el: 0 cu: MICU cg: RN v1: 99 u1: % st: NotStopd t0: [22:00:00 10/10/2012] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [22:00:00 10/10/2012] id: .9% Normal Saline IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 5 vu: ml t0: [22:00:00 10/10/2012] id: D5W 100.0ml + 600mcghr Sandostatin IV Infusions el: 2 cu: MICU cg: RN ai: 107 vo: 4.16667 vu: ml t0: [22:00:00 10/10/2012] id: TPN 1600.0ml IV Infusions el: 1 cu: MICU cg: RN ai: -1 vo: 33 vu: ml
t0: [22:00:00 10/10/2012] id: Sandostatin el: 2 cu: MICU cg: RN so: D5W vo: 0 v1: 50 du: mcghr sv: 100 su: ml rt: IV Drip
t0: [23:00:00 10/10/2012] dt: 1 id: Net Hourly Balance el: 2 cu: MICU cg: RN cv: 0 ap: none t0: [23:00:00 10/10/2012] dt: 24 id: 24h Net Body Balance el: 2 cu: MICU cg: RN cv: -2241.7 ap: carryForward t0: [23:00:00 10/10/2012] dt: multiple days id: LOS Net Body Balance el: 2 cu: MICU cg: RN cv: 16007.2 ap: carryForward
t0: [21:00:00 10/10/2012] id: Cough Reflex el: 0 cu: MICU cg: RN v1: Intact st: NotStopd t0: [21:00:00 10/10/2012] id: Diet Type el: 0 cu: MICU cg: RN v1: NPO st: NotStopd t0: [21:00:00 10/10/2012] id: Eye Opening el: 0 cu: MICU cg: RN v1: 4 Spontaneously st: NotStopd t0: [21:00:00 10/10/2012] id: GCS Total el: 0 cu: MICU cg: RN v1: 11 u1: points st: NotStopd t0: [21:00:00 10/10/2012] id: Gag Reflex el: 0 cu: MICU cg: RN v1: Impaired st: NotStopd t0: [21:00:00 10/10/2012] id: Level of Conscious el: 0 cu: MICU cg: RN v1: Lethargic st: NotStopd t0: [21:00:00 10/10/2012] id: Motor Response el: 0 cu: MICU cg: RN v1: 5 Localizes Pain st: NotStopd t0: [21:00:00 10/10/2012] id: Orientation el: 0 cu: MICU cg: RN v1: Other/Remarks st: NotStopd t0: [21:00:00 10/10/2012] id: Angio Site #1 el: 0 cu: MICU cg: RN v1: R Femoral st: NotStopd t0: [21:00:00 10/10/2012] id: Respiratory Pattern el: 0 cu: MICU cg: RN v1: Regular st: NotStopd t0: [21:00:00 10/10/2012] id: Urine Source el: 0 cu: MICU cg: RN v1: Indwelling Cath st: NotStopd t0: [21:00:00 10/10/2012] id: Verbal Response el: 0 cu: MICU cg: RN v1: 2 Incomp sounds st: NotStopd t0: [22:00:00 10/10/2012] id: Family Communication el: 0 cu: MICU cg: RN v1: Family Called st: NotStopd t0: [22:00:00 10/10/2012] id: HOB el: 0 cu: MICU cg: RN v1: 30 degrees st: NotStopd t0: [22:00:00 10/10/2012] id: INV Line#3 Type/Site el: 0 cu: MICU cg: RN v1: Multi-lumen v2: Right IJ st: NotStopd t0: [22:00:00 10/10/2012] id: INV Line#3InsertDate el: 0 cu: MICU cg: RN v1: 9 v2: 14 st: NotStopd t0: [22:00:00 10/10/2012] id: INV Line#3SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [22:00:00 10/10/2012] id: IV #2 Insert Date el: 0 cu: MICU cg: RN v1: 9 v2: 13 st: NotStopd t0: [22:00:00 10/10/2012] id: IV #2 Site/Size el: 0 cu: MICU cg: RN v1: RL Ant Forearm v2: 18 gauge st: NotStopd t0: [22:00:00 10/10/2012] id: IV #3 Insert Date el: 0 cu: MICU cg: RN v1: 9 v2: 12 st: NotStopd t0: [22:00:00 10/10/2012] id: IV #3 Site/Size el: 0 cu: MICU cg: RN v1: Right Hand v2: 18 gauge st: NotStopd t0: [22:00:00 10/10/2012] id: Activity el: 0 cu: MICU cg: RN v1: Bedrest st: NotStopd t0: [22:00:00 10/10/2012] id: IV Site Appear #2 el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [22:00:00 10/10/2012] id: IV Site Appear #3 el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [22:00:00 10/10/2012] id: Activity Tolerance el: 0 cu: MICU cg: RN v1: Good st: NotStopd t0: [22:00:00 10/10/2012] id: AntiEmbDevice/Status el: 0 cu: MICU cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [22:00:00 10/10/2012] id: Position el: 0 cu: MICU cg: RN v1: Supine st: NotStopd t0: [22:00:00 10/10/2012] id: Assistance Device el: 0 cu: MICU cg: RN v1: 2 Person Assist st: NotStopd t0: [22:00:00 10/10/2012] id: Reason For Restraint el: 0 cu: MICU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [22:00:00 10/10/2012] id: Restraint Location el: 0 cu: MICU cg: RN v1: Both Arms st: NotStopd t0: [22:00:00 10/10/2012] id: Restraint Type el: 0 cu: MICU cg: RN v1: Soft Limb st: NotStopd t0: [22:00:00 10/10/2012] id: Side Rails el: 0 cu: MICU cg: RN v1: Side Rails Up st: NotStopd t0: [22:00:00 10/10/2012] id: Support Systems el: 0 cu: MICU cg: RN v1: Spouse st: NotStopd t0: [22:00:00 10/10/2012] id: Turn el: 0 cu: MICU cg: RN v1: Side to Side st: NotStopd t0: [22:00:00 10/10/2012] id: Back Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd
t0: [23:00:00 10/10/2012] id: Angio Appearance #1 el: 0 cu: MICU cg: -1 st: D/C'd t0: [23:00:00 10/10/2012] id: Angio Dressing #1 el: 0 cu: MICU cg: -1 st: D/C'd
t0: [23:00:00 10/10/2012] id: Cryoprecipitate IV Drips el: 1 cu: MICU cg: -1 ai: 257 vo: 0 st: D/C'd
t0: [23:00:00 10/10/2012] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [23:00:00 10/10/2012] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [23:00:00 10/10/2012] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [23:00:00 10/10/2012] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [23:00:00 10/10/2012] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [23:00:00 10/10/2012] id: Heart Rate el: 0 cu: MICU cg: RN v1: 78 u1: BPM st: NotStopd t0: [23:00:00 10/10/2012] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [23:00:00 10/10/2012] id: NBP el: 0 cu: MICU cg: RN v1: 123 u1: mmHg v2: 72 u2: mmHg st: NotStopd t0: [23:00:00 10/10/2012] id: NBP Mean el: 0 cu: MICU cg: RN v1: 89 u1: mmHg st: NotStopd t0: [23:00:00 10/10/2012] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [23:00:00 10/10/2012] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 22 u1: BPM st: NotStopd t0: [23:00:00 10/10/2012] id: SpO2 el: 0 cu: MICU cg: RN v1: 97 u1: % st: NotStopd t0: [23:00:00 10/10/2012] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [00:00:00 11/10/2012] id: Less Restrict Meas. el: 0 cu: MICU cg: RN v1: Orientation st: NotStopd t0: [00:00:00 11/10/2012] id: Pain Present el: 0 cu: MICU cg: RN v1: No st: NotStopd t0: [00:00:00 11/10/2012] id: Range of Motion el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [00:00:00 11/10/2012] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [00:00:00 11/10/2012] id: Chest PT R/L el: 0 cu: MICU cg: RN v1: Done v2: Done st: NotStopd t0: [00:00:00 11/10/2012] id: Circulation/SkinInt el: 0 cu: MICU cg: RN v1: Circulation Adeq st: NotStopd t0: [00:00:00 11/10/2012] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [00:00:00 11/10/2012] id: Riker-SAS Scale el: 0 cu: MICU cg: RN v1: Calm/Cooperative st: NotStopd t0: [00:00:00 11/10/2012] id: Cough Effort el: 0 cu: MICU cg: RN v1: Weak st: NotStopd t0: [00:00:00 11/10/2012] id: Cough Reflex el: 0 cu: MICU cg: RN v1: Intact st: NotStopd t0: [00:00:00 11/10/2012] id: Cough Type el: 0 cu: MICU cg: RN v1: Productive st: NotStopd t0: [00:00:00 11/10/2012] id: Cough/Deep Breathe el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [00:00:00 11/10/2012] id: Daily Wake Up el: 1 cu: MICU cg: RN v1: No/Not Sedated st: NotStopd t0: [00:00:00 11/10/2012] id: GI Prophylaxis el: 0 cu: MICU cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [00:00:00 11/10/2012] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [00:00:00 11/10/2012] id: Diet Type el: 0 cu: MICU cg: RN v1: NPO st: NotStopd t0: [00:00:00 11/10/2012] id: Dorsal PedPulse R/L el: 0 cu: MICU cg: RN v1: Strong/Palpable v2: Strong/Palpable st: NotStopd t0: [00:00:00 11/10/2012] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [00:00:00 11/10/2012] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [00:00:00 11/10/2012] id: Extubation Date el: 0 cu: MICU cg: RN v1: 9 v2: 16 st: NotStopd t0: [00:00:00 11/10/2012] id: Eye Opening el: 0 cu: MICU cg: RN v1: 4 Spontaneously st: NotStopd t0: [00:00:00 11/10/2012] id: Follows Commands el: 0 cu: MICU cg: RN v1: Inconsistently st: NotStopd t0: [00:00:00 11/10/2012] id: GCS Total el: 0 cu: MICU cg: RN v1: 14 u1: points st: NotStopd t0: [00:00:00 11/10/2012] id: Gag Reflex el: 0 cu: MICU cg: RN v1: Impaired st: NotStopd t0: [00:00:00 11/10/2012] id: HOB el: 0 cu: MICU cg: RN v1: 30 degrees st: NotStopd t0: [00:00:00 11/10/2012] id: Heart Rate el: 0 cu: MICU cg: RN v1: 77 u1: BPM st: NotStopd t0: [00:00:00 11/10/2012] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [00:00:00 11/10/2012] id: INV Line#3 Type/Site el: 0 cu: MICU cg: RN v1: Multi-lumen v2: Right IJ st: NotStopd t0: [00:00:00 11/10/2012] id: INV Line#3InsertDate el: 0 cu: MICU cg: RN v1: 9 v2: 14 st: NotStopd t0: [00:00:00 11/10/2012] id: INV Line#3SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [00:00:00 11/10/2012] id: Abdominal Assessment el: 0 cu: MICU cg: RN v1: Ascites st: NotStopd t0: [00:00:00 11/10/2012] id: IV #2 Insert Date el: 0 cu: MICU cg: RN v1: 9 v2: 13 st: NotStopd t0: [00:00:00 11/10/2012] id: IV #2 Site/Size el: 0 cu: MICU cg: RN v1: RL Ant Forearm v2: 18 gauge st: NotStopd t0: [00:00:00 11/10/2012] id: IV #3 Insert Date el: 0 cu: MICU cg: RN v1: 9 v2: 12 st: NotStopd t0: [00:00:00 11/10/2012] id: IV #3 Site/Size el: 0 cu: MICU cg: RN v1: Right Hand v2: 18 gauge st: NotStopd t0: [00:00:00 11/10/2012] id: Activity el: 0 cu: MICU cg: RN v1: Bedrest st: NotStopd t0: [00:00:00 11/10/2012] id: IV Site Appear #2 el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [00:00:00 11/10/2012] id: IV Site Appear #3 el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [00:00:00 11/10/2012] id: Incentive Spirometry el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [00:00:00 11/10/2012] id: Intubation Date el: 0 cu: MICU cg: RN v1: 9 v2: 13 st: NotStopd t0: [00:00:00 11/10/2012] id: LUL Lung Sounds el: 0 cu: MICU cg: RN v1: Clear st: NotStopd t0: [00:00:00 11/10/2012] id: Level of Conscious el: 0 cu: MICU cg: RN v1: Lethargic st: NotStopd t0: [00:00:00 11/10/2012] id: Motor Response el: 0 cu: MICU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [00:00:00 11/10/2012] id: NBP el: 0 cu: MICU cg: RN v1: 136 u1: mmHg v2: 65 u2: mmHg st: NotStopd t0: [00:00:00 11/10/2012] id: NBP Mean el: 0 cu: MICU cg: RN v1: 88.6667 u1: mmHg st: NotStopd t0: [00:00:00 11/10/2012] id: O2 Delivery Device el: 0 cu: MICU cg: RN v1: Aerosol-Cool st: NotStopd t0: [00:00:00 11/10/2012] id: O2 Flow (lpm) el: 0 cu: MICU cg: RN v1: 10 u1: lpm st: NotStopd t0: [00:00:00 11/10/2012] id: Oral Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [00:00:00 11/10/2012] id: Oral Cavity el: 0 cu: MICU cg: RN v1: Bleeding Gum st: NotStopd t0: [00:00:00 11/10/2012] id: Orientation el: 0 cu: MICU cg: RN v1: Oriented x 1 st: NotStopd t0: [00:00:00 11/10/2012] id: Angio Site #1 el: 0 cu: MICU cg: RN v1: R Femoral st: NotStopd t0: [00:00:00 11/10/2012] id: AntiEmbDevice/Status el: 0 cu: MICU cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [00:00:00 11/10/2012] id: Position Change el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [00:00:00 11/10/2012] id: PostTib. Pulses R/L el: 0 cu: MICU cg: RN v1: Strong/Palpable v2: Strong/Palpable st: NotStopd t0: [00:00:00 11/10/2012] id: Assistance Device el: 0 cu: MICU cg: RN v1: 1 Person Assist st: NotStopd t0: [00:00:00 11/10/2012] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [00:00:00 11/10/2012] id: Pupil Response R/L el: 0 cu: MICU cg: RN v1: Brisk v2: Brisk st: NotStopd t0: [00:00:00 11/10/2012] id: Pupil Size R/L el: 0 cu: MICU cg: RN v1: 4 mm v2: 4 mm st: NotStopd t0: [00:00:00 11/10/2012] id: RUL Lung Sounds el: 0 cu: MICU cg: RN v1: Clear st: NotStopd t0: [00:00:00 11/10/2012] id: Reason For Restraint el: 0 cu: MICU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [00:00:00 11/10/2012] id: Removed x 5 Mins el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [00:00:00 11/10/2012] id: Respiratory Pattern el: 0 cu: MICU cg: RN v1: Regular st: NotStopd t0: [00:00:00 11/10/2012] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 20 u1: BPM st: NotStopd t0: [00:00:00 11/10/2012] id: Restraint Location el: 0 cu: MICU cg: RN v1: Both Arms st: NotStopd t0: [00:00:00 11/10/2012] id: Restraint Type el: 0 cu: MICU cg: RN v1: Soft Limb st: NotStopd t0: [00:00:00 11/10/2012] id: Restraints Evaluated el: 0 cu: MICU cg: RN v1: Behavior Conts st: NotStopd t0: [00:00:00 11/10/2012] id: Side Rails el: 0 cu: MICU cg: RN v1: Side Rails Up st: NotStopd t0: [00:00:00 11/10/2012] id: Skin Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [00:00:00 11/10/2012] id: SpO2 el: 0 cu: MICU cg: RN v1: 99 u1: % st: NotStopd t0: [00:00:00 11/10/2012] id: Spontaneous Movement el: 0 cu: MICU cg: RN v1: Purposeful st: NotStopd t0: [00:00:00 11/10/2012] id: Support Systems el: 0 cu: MICU cg: RN v1: Spouse st: NotStopd t0: [00:00:00 11/10/2012] id: Temp. Site el: 0 cu: MICU cg: RN v1: Axillary st: NotStopd t0: [00:00:00 11/10/2012] id: Temperature C (calc) el: 0 cu: MICU cg: RN v1: 35.0556 u1: Deg. C st: NotStopd t0: [00:00:00 11/10/2012] id: Temperature F el: 0 cu: MICU cg: RN v1: 95.1 u1: Deg. F st: NotStopd t0: [00:00:00 11/10/2012] id: Turn el: 0 cu: MICU cg: RN v1: Side to Side st: NotStopd t0: [00:00:00 11/10/2012] id: Urine Color/Appear el: 0 cu: MICU cg: RN v1: Icteric v2: Sediment st: NotStopd t0: [00:00:00 11/10/2012] id: Urine Source el: 0 cu: MICU cg: RN v1: Indwelling Cath st: NotStopd t0: [00:00:00 11/10/2012] id: Verbal Response el: 0 cu: MICU cg: RN v1: 4 Confused st: NotStopd t0: [00:00:00 11/10/2012] id: Back Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [00:00:00 11/10/2012] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [00:00:00 11/10/2012] id: Bowel Sounds el: 0 cu: MICU cg: RN v1: Present st: NotStopd
t0: [00:00:00 11/10/2012] id: .9% Normal Saline IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 20 vu: ml t0: [00:00:00 11/10/2012] id: D5W 100.0ml + 600mcghr Sandostatin IV Infusions el: 2 cu: MICU cg: RN ai: 107 vo: 16.6667 vu: ml t0: [00:00:00 11/10/2012] id: Urine Out Foley el: 2 cu: MICU cg: RN vo: 400 vu: ml t0: [00:00:00 11/10/2012] id: TPN 1600.0ml IV Infusions el: 1 cu: MICU cg: RN ai: -1 vo: 132 vu: ml
t0: [23:00:00 10/10/2012] id: Sandostatin el: 2 cu: MICU cg: RN so: D5W vo: 0 v1: 50 du: mcghr sv: 100 su: ml rt: IV Drip t0: [00:00:00 11/10/2012] id: Sandostatin el: 2 cu: MICU cg: RN so: D5W vo: 0 v1: 50 du: mcghr sv: 100 su: ml rt: IV Drip
t0: [00:01:00 11/10/2012] id: Angio Site #1 el: 0 cu: MICU cg: -1 st: D/C'd
t0: [00:00:00 11/10/2012] id: LLL Lung Sounds el: 0 cu: MICU cg: RN v1: Bronchial st: NotStopd t0: [00:00:00 11/10/2012] id: RLL Lung Sounds el: 0 cu: MICU cg: RN v1: Clear st: NotStopd
t0: [01:00:00 11/10/2012] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [01:00:00 11/10/2012] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [01:00:00 11/10/2012] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [01:00:00 11/10/2012] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [01:00:00 11/10/2012] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [01:00:00 11/10/2012] id: Heart Rate el: 0 cu: MICU cg: RN v1: 81 u1: BPM st: NotStopd t0: [01:00:00 11/10/2012] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [01:00:00 11/10/2012] id: NBP el: 0 cu: MICU cg: RN v1: 125 u1: mmHg v2: 63 u2: mmHg st: NotStopd t0: [01:00:00 11/10/2012] id: NBP Mean el: 0 cu: MICU cg: RN v1: 83.6667 u1: mmHg st: NotStopd t0: [01:00:00 11/10/2012] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [01:00:00 11/10/2012] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 27 u1: BPM st: NotStopd t0: [01:00:00 11/10/2012] id: SpO2 el: 0 cu: MICU cg: RN v1: 97 u1: % st: NotStopd t0: [01:00:00 11/10/2012] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [01:00:00 11/10/2012] id: IV Piggyback IV Infusions el: 1 cu: MICU cg: RN ai: 209 vo: 100 vu: ml t0: [01:00:00 11/10/2012] id: .9% Normal Saline IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 10 vu: ml t0: [01:00:00 11/10/2012] id: D5W 100.0ml + 600mcghr Sandostatin IV Infusions el: 2 cu: MICU cg: RN ai: 107 vo: 8.33333 vu: ml t0: [01:00:00 11/10/2012] id: Urine Out Foley el: 2 cu: MICU cg: RN vo: 200 vu: ml t0: [01:00:00 11/10/2012] id: TPN 1600.0ml IV Infusions el: 1 cu: MICU cg: RN ai: -1 vo: 66 vu: ml
t0: [01:00:00 11/10/2012] id: Sandostatin el: 2 cu: MICU cg: RN so: D5W vo: 0 v1: 50 du: mcghr sv: 100 su: ml rt: IV Drip
t0: [00:00:00 11/10/2012] id: Fingerstick Glucose Chemistry el: 0 cu: MICU cg: RN v1: 113 rs: Manual st: NotStopd t0: [02:00:00 11/10/2012] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [02:00:00 11/10/2012] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [02:00:00 11/10/2012] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [02:00:00 11/10/2012] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [02:00:00 11/10/2012] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [02:00:00 11/10/2012] id: HOB el: 0 cu: MICU cg: RN v1: 30 degrees st: NotStopd t0: [02:00:00 11/10/2012] id: Heart Rate el: 0 cu: MICU cg: RN v1: 78 u1: BPM st: NotStopd t0: [02:00:00 11/10/2012] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [02:00:00 11/10/2012] id: Activity el: 0 cu: MICU cg: RN v1: Bedrest st: NotStopd t0: [02:00:00 11/10/2012] id: Activity Tolerance el: 0 cu: MICU cg: RN v1: Good st: NotStopd t0: [02:00:00 11/10/2012] id: NBP el: 0 cu: MICU cg: RN v1: 132 u1: mmHg v2: 70 u2: mmHg st: NotStopd t0: [02:00:00 11/10/2012] id: NBP Mean el: 0 cu: MICU cg: RN v1: 90.6667 u1: mmHg st: NotStopd t0: [02:00:00 11/10/2012] id: AntiEmbDevice/Status el: 0 cu: MICU cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [02:00:00 11/10/2012] id: Position el: 0 cu: MICU cg: RN v1: Left Side st: NotStopd t0: [02:00:00 11/10/2012] id: Assistance Device el: 0 cu: MICU cg: RN v1: 2 Person Assist st: NotStopd t0: [02:00:00 11/10/2012] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [02:00:00 11/10/2012] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 24 u1: BPM st: NotStopd t0: [02:00:00 11/10/2012] id: SpO2 el: 0 cu: MICU cg: RN v1: 97 u1: % st: NotStopd t0: [02:00:00 11/10/2012] id: Turn el: 0 cu: MICU cg: RN v1: Left Side st: NotStopd t0: [02:00:00 11/10/2012] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [02:00:00 11/10/2012] id: IV Piggyback IV Infusions el: 1 cu: MICU cg: RN ai: 209 vo: 100 vu: ml t0: [02:00:00 11/10/2012] id: .9% Normal Saline IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 10 vu: ml t0: [02:00:00 11/10/2012] id: D5W 100.0ml + 600mcghr Sandostatin IV Infusions el: 2 cu: MICU cg: RN ai: 107 vo: 8.33333 vu: ml t0: [02:00:00 11/10/2012] id: Urine Out Foley el: 2 cu: MICU cg: RN vo: 120 vu: ml t0: [02:00:00 11/10/2012] id: TPN 1600.0ml IV Infusions el: 1 cu: MICU cg: RN ai: -1 vo: 66 vu: ml
t0: [02:00:00 11/10/2012] id: Sandostatin el: 2 cu: MICU cg: RN so: D5W vo: 0 v1: 50 du: mcghr sv: 100 su: ml rt: IV Drip
t0: [23:00:00 11/10/2012] dt: 1 id: Total Hourly Output el: 2 cu: MICU cg: RN pv: 400 cv: 400 ap: none t0: [23:00:00 11/10/2012] dt: 1 id: Net Hourly Balance el: 2 cu: MICU cg: RN pv: -312.467 cv: -312.467 ap: none t0: [23:00:00 11/10/2012] dt: 24 id: IV Infusion In Total el: 2 cu: MICU cg: RN pv: 18.3333 cv: 1058.33 ap: none t0: [23:00:00 11/10/2012] dt: 24 id: IV Nutrition Total el: 2 cu: MICU cg: RN pv: 69.2 cv: 1669.2 ap: none t0: [23:00:00 11/10/2012] dt: 24 id: 24h Total In el: 2 cu: MICU cg: RN pv: 87.5333 cv: 3895.53 ap: none t0: [23:00:00 11/10/2012] dt: 24 id: Urine Out Total el: 2 cu: MICU cg: RN pv: 400 cv: 4665 ap: none t0: [23:00:00 11/10/2012] dt: 24 id: 24h Net Body Balance el: 2 cu: MICU cg: RN pv: -312.467 cv: -1694.47 ap: none t0: [23:00:00 11/10/2012] dt: 24 id: 24h Total Out el: 2 cu: MICU cg: RN pv: 400 cv: 5590 ap: none t0: [23:00:00 11/10/2012] dt: multiple days id: LOS Net Body Balance el: 2 cu: MICU cg: RN pv: -312.467 cv: 14312.7 ap: carryForward
t0: [03:00:00 11/10/2012] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [03:00:00 11/10/2012] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [03:00:00 11/10/2012] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [03:00:00 11/10/2012] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [03:00:00 11/10/2012] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [03:00:00 11/10/2012] id: Heart Rate el: 0 cu: MICU cg: RN v1: 71 u1: BPM st: NotStopd t0: [03:00:00 11/10/2012] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [03:00:00 11/10/2012] id: NBP el: 0 cu: MICU cg: RN v1: 132 u1: mmHg v2: 75 u2: mmHg st: NotStopd t0: [03:00:00 11/10/2012] id: NBP Mean el: 0 cu: MICU cg: RN v1: 94 u1: mmHg st: NotStopd t0: [03:00:00 11/10/2012] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [03:00:00 11/10/2012] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 24 u1: BPM st: NotStopd t0: [03:00:00 11/10/2012] id: SpO2 el: 0 cu: MICU cg: RN v1: 99 u1: % st: NotStopd t0: [03:00:00 11/10/2012] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [04:00:00 11/10/2012] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [04:00:00 11/10/2012] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [04:00:00 11/10/2012] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [04:00:00 11/10/2012] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [04:00:00 11/10/2012] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [04:00:00 11/10/2012] id: Heart Rate el: 0 cu: MICU cg: RN v1: 79 u1: BPM st: NotStopd t0: [04:00:00 11/10/2012] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [04:00:00 11/10/2012] id: NBP el: 0 cu: MICU cg: RN v1: 133 u1: mmHg v2: 69 u2: mmHg st: NotStopd t0: [04:00:00 11/10/2012] id: NBP Mean el: 0 cu: MICU cg: RN v1: 90.3333 u1: mmHg st: NotStopd t0: [04:00:00 11/10/2012] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [04:00:00 11/10/2012] id: SpO2 el: 0 cu: MICU cg: RN v1: 99 u1: % st: NotStopd t0: [04:00:00 11/10/2012] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [03:00:00 11/10/2012] id: Sandostatin el: 2 cu: MICU cg: RN so: D5W vo: 0 v1: 50 du: mcghr sv: 100 su: ml rt: IV Drip t0: [04:00:00 11/10/2012] id: Sandostatin el: 2 cu: MICU cg: RN so: D5W vo: 0 v1: 50 du: mcghr sv: 100 su: ml rt: IV Drip
t0: [04:00:00 11/10/2012] id: Temp. Site el: 0 cu: MICU cg: RN v1: Oral st: NotStopd t0: [04:00:00 11/10/2012] id: Temperature C (calc) el: 0 cu: MICU cg: RN v1: 35.5556 u1: Deg. C st: NotStopd t0: [04:00:00 11/10/2012] id: Temperature F el: 0 cu: MICU cg: RN v1: 96 u1: Deg. F st: NotStopd t0: [05:00:00 11/10/2012] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [05:00:00 11/10/2012] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [05:00:00 11/10/2012] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [05:00:00 11/10/2012] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [05:00:00 11/10/2012] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [05:00:00 11/10/2012] id: Heart Rate el: 0 cu: MICU cg: RN v1: 78 u1: BPM st: NotStopd t0: [05:00:00 11/10/2012] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [05:00:00 11/10/2012] id: NBP el: 0 cu: MICU cg: RN v1: 128 u1: mmHg v2: 72 u2: mmHg st: NotStopd t0: [05:00:00 11/10/2012] id: NBP Mean el: 0 cu: MICU cg: RN v1: 90.6667 u1: mmHg st: NotStopd t0: [05:00:00 11/10/2012] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [05:00:00 11/10/2012] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 16 u1: BPM st: NotStopd t0: [05:00:00 11/10/2012] id: SpO2 el: 0 cu: MICU cg: RN v1: 97 u1: % st: NotStopd t0: [05:00:00 11/10/2012] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [05:00:00 11/10/2012] id: Sandostatin el: 2 cu: MICU cg: RN so: D5W vo: 0 v1: 50 du: mcghr sv: 100 su: ml rt: IV Drip
t0: [04:00:00 11/10/2012] id: Pain Present el: 0 cu: MICU cg: RN v1: No st: NotStopd
t0: [04:00:00 11/10/2012] id: .9% Normal Saline IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 20 vu: ml t0: [04:00:00 11/10/2012] id: D5W 100.0ml + 600mcghr Sandostatin IV Infusions el: 2 cu: MICU cg: RN ai: 107 vo: 16.6667 vu: ml t0: [04:00:00 11/10/2012] id: Stool Out Stool el: 1 cu: MICU cg: RN vo: 400 vu: ml t0: [04:00:00 11/10/2012] id: Urine Out Foley el: 2 cu: MICU cg: RN vo: 400 vu: ml t0: [04:00:00 11/10/2012] id: TPN 1600.0ml IV Infusions el: 1 cu: MICU cg: RN ai: -1 vo: 132 vu: ml t0: [05:00:00 11/10/2012] id: .9% Normal Saline IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 10 vu: ml t0: [05:00:00 11/10/2012] id: D5W 100.0ml + 600mcghr Sandostatin IV Infusions el: 2 cu: MICU cg: RN ai: 107 vo: 8.33333 vu: ml t0: [05:00:00 11/10/2012] id: Urine Out Foley el: 2 cu: MICU cg: RN vo: 120 vu: ml t0: [05:00:00 11/10/2012] id: TPN 1600.0ml IV Infusions el: 1 cu: MICU cg: RN ai: -1 vo: 66 vu: ml
t0: [02:00:00 11/10/2012] id: Less Restrict Meas. el: 0 cu: MICU cg: RN v1: Orientation st: NotStopd t0: [02:00:00 11/10/2012] id: Range of Motion el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [02:00:00 11/10/2012] id: Circulation/SkinInt el: 0 cu: MICU cg: RN v1: Circulation Adeq st: NotStopd t0: [02:00:00 11/10/2012] id: Position Change el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [02:00:00 11/10/2012] id: Reason For Restraint el: 0 cu: MICU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [02:00:00 11/10/2012] id: Removed x 5 Mins el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [02:00:00 11/10/2012] id: Restraint Location el: 0 cu: MICU cg: RN v1: Both Arms st: NotStopd t0: [02:00:00 11/10/2012] id: Restraint Type el: 0 cu: MICU cg: RN v1: Soft Limb st: NotStopd t0: [02:00:00 11/10/2012] id: Restraints Evaluated el: 0 cu: MICU cg: RN v1: Behavior Conts st: NotStopd t0: [02:00:00 11/10/2012] id: Side Rails el: 0 cu: MICU cg: RN v1: Side Rails Up st: NotStopd t0: [02:00:00 11/10/2012] id: Support Systems el: 0 cu: MICU cg: RN v1: Spouse st: NotStopd t0: [04:00:00 11/10/2012] id: Less Restrict Meas. el: 0 cu: MICU cg: RN v1: Orientation st: NotStopd t0: [04:00:00 11/10/2012] id: Range of Motion el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [04:00:00 11/10/2012] id: Circulation/SkinInt el: 0 cu: MICU cg: RN v1: Circulation Adeq st: NotStopd t0: [04:00:00 11/10/2012] id: Position Change el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [04:00:00 11/10/2012] id: Reason For Restraint el: 0 cu: MICU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [04:00:00 11/10/2012] id: Removed x 5 Mins el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [04:00:00 11/10/2012] id: Restraint Location el: 0 cu: MICU cg: RN v1: Both Arms st: NotStopd t0: [04:00:00 11/10/2012] id: Restraint Type el: 0 cu: MICU cg: RN v1: Soft Limb st: NotStopd t0: [04:00:00 11/10/2012] id: Restraints Evaluated el: 0 cu: MICU cg: RN v1: Behavior Conts st: NotStopd t0: [04:00:00 11/10/2012] id: Side Rails el: 0 cu: MICU cg: RN v1: Side Rails Up st: NotStopd t0: [04:00:00 11/10/2012] id: Skin Color el: 0 cu: MICU cg: RN v1: Jaundiced st: NotStopd t0: [04:00:00 11/10/2012] id: Skin Integrity el: 0 cu: MICU cg: RN v1: Impaired st: NotStopd t0: [04:00:00 11/10/2012] id: Skin Temp/Condition el: 0 cu: MICU cg: RN v1: Warm v2: Dry st: NotStopd t0: [04:00:00 11/10/2012] id: Support Systems el: 0 cu: MICU cg: RN v1: Spouse st: NotStopd t0: [04:00:00 11/10/2012] id: Braden Activity el: 0 cu: MICU cg: RN v1: Bedfast st: NotStopd t0: [04:00:00 11/10/2012] id: Braden Frict/Shear el: 0 cu: MICU cg: RN v1: Problem st: NotStopd t0: [04:00:00 11/10/2012] id: Braden Mobility el: 0 cu: MICU cg: RN v1: Very Limited st: NotStopd t0: [04:00:00 11/10/2012] id: Braden Moisture el: 0 cu: MICU cg: RN v1: Occ. Moist st: NotStopd t0: [04:00:00 11/10/2012] id: Braden Nutrition el: 0 cu: MICU cg: RN v1: Prob. Inadequate st: NotStopd t0: [04:00:00 11/10/2012] id: Braden Score el: 0 cu: MICU cg: RN v1: 11 u1: number st: NotStopd t0: [04:00:00 11/10/2012] id: Braden SensoryPercep el: 0 cu: MICU cg: RN v1: Very Limited st: NotStopd t0: [05:00:00 11/10/2012] id: bath el: 1 cu: MICU cg: RN v1: DONE t0: [05:00:00 11/10/2012] id: Chest PT R/L el: 0 cu: MICU cg: RN v1: Done v2: Done st: NotStopd t0: [05:00:00 11/10/2012] id: Cough Effort el: 0 cu: MICU cg: RN v1: Weak st: NotStopd t0: [05:00:00 11/10/2012] id: Cough Reflex el: 0 cu: MICU cg: RN v1: Intact st: NotStopd t0: [05:00:00 11/10/2012] id: Cough Type el: 0 cu: MICU cg: RN v1: Productive st: NotStopd t0: [05:00:00 11/10/2012] id: Cough/Deep Breathe el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [05:00:00 11/10/2012] id: GI Prophylaxis el: 0 cu: MICU cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [05:00:00 11/10/2012] id: Diet Type el: 0 cu: MICU cg: RN v1: NPO st: NotStopd t0: [05:00:00 11/10/2012] id: Dorsal PedPulse R/L el: 0 cu: MICU cg: RN v1: Strong/Palpable v2: Strong/Palpable st: NotStopd t0: [05:00:00 11/10/2012] id: Eye Opening el: 0 cu: MICU cg: RN v1: 4 Spontaneously st: NotStopd t0: [05:00:00 11/10/2012] id: Follows Commands el: 0 cu: MICU cg: RN v1: Inconsistently st: NotStopd t0: [05:00:00 11/10/2012] id: GCS Total el: 0 cu: MICU cg: RN v1: 11 u1: points st: NotStopd t0: [05:00:00 11/10/2012] id: Gag Reflex el: 0 cu: MICU cg: RN v1: Impaired st: NotStopd t0: [05:00:00 11/10/2012] id: HOB el: 0 cu: MICU cg: RN v1: 30 degrees st: NotStopd t0: [05:00:00 11/10/2012] id: INV Line#3 Type/Site el: 0 cu: MICU cg: RN v1: Multi-lumen v2: Right IJ st: NotStopd t0: [05:00:00 11/10/2012] id: INV Line#3InsertDate el: 0 cu: MICU cg: RN v1: 9 v2: 14 st: NotStopd t0: [05:00:00 11/10/2012] id: INV Line#3SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [05:00:00 11/10/2012] id: Abdominal Assessment el: 0 cu: MICU cg: RN v1: Ascites st: NotStopd t0: [05:00:00 11/10/2012] id: IV #2 Insert Date el: 0 cu: MICU cg: RN v1: 9 v2: 13 st: NotStopd t0: [05:00:00 11/10/2012] id: IV #2 Site/Size el: 0 cu: MICU cg: RN v1: RL Ant Forearm v2: 18 gauge st: NotStopd t0: [05:00:00 11/10/2012] id: IV #3 Insert Date el: 0 cu: MICU cg: RN v1: 9 v2: 12 st: NotStopd t0: [05:00:00 11/10/2012] id: IV #3 Site/Size el: 0 cu: MICU cg: RN v1: Right Hand v2: 18 gauge st: NotStopd t0: [05:00:00 11/10/2012] id: Activity el: 0 cu: MICU cg: RN v1: Bedrest st: NotStopd t0: [05:00:00 11/10/2012] id: IV Site Appear #2 el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [05:00:00 11/10/2012] id: IV Site Appear #3 el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [05:00:00 11/10/2012] id: Activity Tolerance el: 0 cu: MICU cg: RN v1: Good st: NotStopd t0: [05:00:00 11/10/2012] id: Incentive Spirometry el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [05:00:00 11/10/2012] id: LLL Lung Sounds el: 0 cu: MICU cg: RN v1: Bronchial st: NotStopd t0: [05:00:00 11/10/2012] id: LUL Lung Sounds el: 0 cu: MICU cg: RN v1: Clear st: NotStopd t0: [05:00:00 11/10/2012] id: Level of Conscious el: 0 cu: MICU cg: RN v1: Lethargic st: NotStopd t0: [05:00:00 11/10/2012] id: Motor Response el: 0 cu: MICU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [05:00:00 11/10/2012] id: Oral Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [05:00:00 11/10/2012] id: Oral Cavity el: 0 cu: MICU cg: RN v1: Bleeding Gum st: NotStopd t0: [05:00:00 11/10/2012] id: Orientation el: 0 cu: MICU cg: RN v1: Oriented x 1 st: NotStopd t0: [05:00:00 11/10/2012] id: AntiEmbDevice/Status el: 0 cu: MICU cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [05:00:00 11/10/2012] id: Position el: 0 cu: MICU cg: RN v1: Right Side st: NotStopd t0: [05:00:00 11/10/2012] id: PostTib. Pulses R/L el: 0 cu: MICU cg: RN v1: Strong/Palpable v2: Strong/Palpable st: NotStopd t0: [05:00:00 11/10/2012] id: Assistance Device el: 0 cu: MICU cg: RN v1: 2 Person Assist st: NotStopd t0: [05:00:00 11/10/2012] id: RLL Lung Sounds el: 0 cu: MICU cg: RN v1: Diminished st: NotStopd t0: [05:00:00 11/10/2012] id: RUL Lung Sounds el: 0 cu: MICU cg: RN v1: Clear st: NotStopd t0: [05:00:00 11/10/2012] id: Respiratory Pattern el: 0 cu: MICU cg: RN v1: Regular st: NotStopd t0: [05:00:00 11/10/2012] id: Skin Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [05:00:00 11/10/2012] id: Spontaneous Movement el: 0 cu: MICU cg: RN v1: Purposeful st: NotStopd t0: [05:00:00 11/10/2012] id: Turn el: 0 cu: MICU cg: RN v1: Side to Side st: NotStopd t0: [05:00:00 11/10/2012] id: Urine Color/Appear el: 0 cu: MICU cg: RN v1: Icteric v2: Clots st: NotStopd t0: [05:00:00 11/10/2012] id: Urine Source el: 0 cu: MICU cg: RN v1: Indwelling Cath st: NotStopd t0: [05:00:00 11/10/2012] id: Verbal Response el: 0 cu: MICU cg: RN v1: 1 No Response st: NotStopd t0: [05:00:00 11/10/2012] id: Back Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [06:00:00 11/10/2012] id: Less Restrict Meas. el: 0 cu: MICU cg: RN v1: Orientation st: NotStopd t0: [06:00:00 11/10/2012] id: Range of Motion el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [06:00:00 11/10/2012] id: Circulation/SkinInt el: 0 cu: MICU cg: RN v1: Circulation Adeq st: NotStopd t0: [06:00:00 11/10/2012] id: Position Change el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [06:00:00 11/10/2012] id: Reason For Restraint el: 0 cu: MICU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [06:00:00 11/10/2012] id: Removed x 5 Mins el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [06:00:00 11/10/2012] id: Restraint Location el: 0 cu: MICU cg: RN v1: Both Arms st: NotStopd t0: [06:00:00 11/10/2012] id: Restraint Type el: 0 cu: MICU cg: RN v1: Soft Limb st: NotStopd t0: [06:00:00 11/10/2012] id: Restraints Evaluated el: 0 cu: MICU cg: RN v1: Behavior Conts st: NotStopd t0: [06:00:00 11/10/2012] id: Side Rails el: 0 cu: MICU cg: RN v1: Side Rails Up st: NotStopd t0: [06:00:00 11/10/2012] id: Support Systems el: 0 cu: MICU cg: RN v1: Spouse st: NotStopd t0: [06:00:00 11/10/2012] id: Fingerstick Glucose Chemistry el: 0 cu: MICU cg: RN v1: 114 rs: Manual st: NotStopd
t0: [06:00:00 11/10/2012] id: .9% Normal Saline IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 10 vu: ml t0: [06:00:00 11/10/2012] id: D5W 100.0ml + 600mcghr Sandostatin IV Infusions el: 2 cu: MICU cg: RN ai: 107 vo: 8.33333 vu: ml t0: [06:00:00 11/10/2012] id: TPN 1600.0ml IV Infusions el: 1 cu: MICU cg: RN ai: -1 vo: 66 vu: ml
t0: [06:00:00 11/10/2012] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [06:00:00 11/10/2012] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [06:00:00 11/10/2012] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [06:00:00 11/10/2012] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [06:00:00 11/10/2012] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [06:00:00 11/10/2012] id: Heart Rate el: 0 cu: MICU cg: RN v1: 78 u1: BPM st: NotStopd t0: [06:00:00 11/10/2012] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [06:00:00 11/10/2012] id: NBP el: 0 cu: MICU cg: RN v1: 120 u1: mmHg v2: 62 u2: mmHg st: NotStopd t0: [06:00:00 11/10/2012] id: NBP Mean el: 0 cu: MICU cg: RN v1: 81.3333 u1: mmHg st: NotStopd t0: [06:00:00 11/10/2012] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [06:00:00 11/10/2012] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 22 u1: BPM st: NotStopd t0: [06:00:00 11/10/2012] id: SpO2 el: 0 cu: MICU cg: RN v1: 99 u1: % st: NotStopd t0: [06:00:00 11/10/2012] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [06:00:00 11/10/2012] id: Sandostatin el: 2 cu: MICU cg: RN so: D5W vo: 0 v1: 50 du: mcghr sv: 100 su: ml rt: IV Drip
t0: [05:00:00 11/10/2012] id: WBC (4-11,000) Hematology el: 0 cu: MICU cg: 1663 v1: 12.1 rs: Final st: NotStopd t0: [05:00:00 11/10/2012] id: WBC Hematology el: 0 cu: MICU cg: 1663 v1: 12.1 rs: Final st: NotStopd t0: [05:00:00 11/10/2012] id: Hematocrit Hematology el: 0 cu: MICU cg: 1663 v1: 39.4 u1: % rs: Final st: NotStopd t0: [05:00:00 11/10/2012] id: Hemoglobin Hematology el: 0 cu: MICU cg: 1663 v1: 13.5 u1: gm/dl rs: Final st: NotStopd t0: [05:00:00 11/10/2012] id: Platelets Hematology el: 0 cu: MICU cg: 1663 v1: 86 rs: Final st: NotStopd t0: [05:00:00 11/10/2012] id: RBC Hematology el: 0 cu: MICU cg: 1663 v1: 4.5 u1: /mic l rs: Final st: NotStopd t0: [05:00:00 11/10/2012] id: WBC (4-11,000) Hematology el: 0 cu: MICU cg: 1663 v1: 12.1 rs: Final st: NotStopd
t0: [05:00:00 11/10/2012] id: BUN el: 0 cu: MICU cg: 1663 v1: 55 rs: Final st: NotStopd t0: [05:00:00 11/10/2012] id: Calcium Chemistry el: 0 cu: MICU cg: 1663 v1: 10 u1: mg/dl rs: Final st: NotStopd t0: [05:00:00 11/10/2012] id: Chloride Chemistry el: 0 cu: MICU cg: 1663 v1: 114 rs: Final st: NotStopd t0: [05:00:00 11/10/2012] id: Creatinine Chemistry el: 0 cu: MICU cg: 1663 v1: 2.1 rs: Final st: NotStopd t0: [05:00:00 11/10/2012] id: Glucose Chemistry el: 0 cu: MICU cg: 1663 v1: 120 rs: Final st: NotStopd t0: [05:00:00 11/10/2012] id: Magnesium Chemistry el: 0 cu: MICU cg: 1663 v1: 2.1 rs: Final st: NotStopd t0: [05:00:00 11/10/2012] id: Phosphorous Chemistry el: 0 cu: MICU cg: 1663 v1: 3.6 u1: mEq/L rs: Final st: NotStopd t0: [05:00:00 11/10/2012] id: Potassium Chemistry el: 0 cu: MICU cg: 1663 v1: 3.7 rs: Final st: NotStopd t0: [05:00:00 11/10/2012] id: Sodium Chemistry el: 0 cu: MICU cg: 1663 v1: 144 rs: Final st: NotStopd t0: [05:00:00 11/10/2012] id: Alk. Phosphate Enzymes el: 0 cu: MICU cg: 1663 v1: 160 rs: Final st: NotStopd t0: [05:00:00 11/10/2012] id: BUN (6-20) Chemistry el: 0 cu: MICU cg: 1663 v1: 55 rs: Final st: NotStopd t0: [05:00:00 11/10/2012] id: Calcium (8.4-10.2) Chemistry el: 0 cu: MICU cg: 1663 v1: 10 u1: mg/dl rs: Final st: NotStopd t0: [05:00:00 11/10/2012] id: Carbon Dioxide Chemistry el: 0 cu: MICU cg: 1663 v1: 22 rs: Final st: NotStopd t0: [05:00:00 11/10/2012] id: Chloride (100-112) Chemistry el: 0 cu: MICU cg: 1663 v1: 114 rs: Final st: NotStopd t0: [05:00:00 11/10/2012] id: Creatinine (0-1.3) Chemistry el: 0 cu: MICU cg: 1663 v1: 2.1 rs: Final st: NotStopd t0: [05:00:00 11/10/2012] id: Glucose (70-105) Chemistry el: 0 cu: MICU cg: 1663 v1: 120 rs: Final st: NotStopd t0: [05:00:00 11/10/2012] id: Magnesium (1.6-2.6) Chemistry el: 0 cu: MICU cg: 1663 v1: 2.1 rs: Final st: NotStopd t0: [05:00:00 11/10/2012] id: Phosphorous(2.7-4.5) Chemistry el: 0 cu: MICU cg: 1663 v1: 3.6 u1: mEq/L rs: Final st: NotStopd t0: [05:00:00 11/10/2012] id: Potassium (3.5-5.3) Chemistry el: 0 cu: MICU cg: 1663 v1: 3.7 rs: Final st: NotStopd t0: [05:00:00 11/10/2012] id: Sodium (135-148) Chemistry el: 0 cu: MICU cg: 1663 v1: 144 rs: Final st: NotStopd
t0: [05:00:00 11/10/2012] id: PT el: 0 cu: MICU cg: 1663 v1: 16.7 rs: Final st: NotStopd t0: [05:00:00 11/10/2012] id: INR Coags el: 0 cu: MICU cg: 1663 v1: 1.8 rs: Final st: NotStopd t0: [05:00:00 11/10/2012] id: PTT Coags el: 0 cu: MICU cg: 1663 v1: 37.8 rs: Final st: NotStopd t0: [05:00:00 11/10/2012] id: INR (2-4 ref. range) Coags el: 0 cu: MICU cg: 1663 v1: 1.8 rs: Final st: NotStopd t0: [05:00:00 11/10/2012] id: PT(11-13.5) Coags el: 0 cu: MICU cg: 1663 v1: 16.7 rs: Final st: NotStopd t0: [05:00:00 11/10/2012] id: PTT(22-35) Coags el: 0 cu: MICU cg: 1663 v1: 37.8 rs: Final st: NotStopd
t0: [05:00:00 11/10/2012] id: Total Bili Chemistry el: 0 cu: MICU cg: 1663 v1: 28.8 rs: Final st: NotStopd t0: [05:00:00 11/10/2012] id: Total Bili (0-1.5) Chemistry el: 0 cu: MICU cg: 1663 v1: 28.8 rs: Final st: NotStopd
t0: [08:00:00 11/10/2012] id: Pain Present el: 0 cu: MICU cg: RN v1: No st: NotStopd t0: [08:00:00 11/10/2012] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [08:00:00 11/10/2012] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [08:00:00 11/10/2012] id: Riker-SAS Scale el: 0 cu: MICU cg: RN v1: Calm/Cooperative st: NotStopd t0: [08:00:00 11/10/2012] id: Cough Effort el: 0 cu: MICU cg: RN v1: Weak st: NotStopd t0: [08:00:00 11/10/2012] id: Cough Reflex el: 0 cu: MICU cg: RN v1: Intact st: NotStopd t0: [08:00:00 11/10/2012] id: Cough Type el: 0 cu: MICU cg: RN v1: Productive st: NotStopd t0: [08:00:00 11/10/2012] id: Daily Wake Up el: 1 cu: MICU cg: RN v1: No/Not Sedated st: NotStopd t0: [08:00:00 11/10/2012] id: GI Prophylaxis el: 0 cu: MICU cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [08:00:00 11/10/2012] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [08:00:00 11/10/2012] id: Diet Type el: 0 cu: MICU cg: RN v1: NPO st: NotStopd t0: [08:00:00 11/10/2012] id: Dorsal PedPulse R/L el: 0 cu: MICU cg: RN v1: Strong/Palpable v2: Strong/Palpable st: NotStopd t0: [08:00:00 11/10/2012] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [08:00:00 11/10/2012] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [08:00:00 11/10/2012] id: Eye Opening el: 0 cu: MICU cg: RN v1: 4 Spontaneously st: NotStopd t0: [08:00:00 11/10/2012] id: Family Communication el: 0 cu: MICU cg: RN v1: Family Called st: NotStopd t0: [08:00:00 11/10/2012] id: Follows Commands el: 0 cu: MICU cg: RN v1: Inconsistently st: NotStopd t0: [08:00:00 11/10/2012] id: GCS Total el: 0 cu: MICU cg: RN v1: 11 u1: points st: NotStopd t0: [08:00:00 11/10/2012] id: Gag Reflex el: 0 cu: MICU cg: RN v1: Impaired st: NotStopd t0: [08:00:00 11/10/2012] id: Heart Rate el: 0 cu: MICU cg: RN v1: 73 u1: BPM st: NotStopd t0: [08:00:00 11/10/2012] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [08:00:00 11/10/2012] id: INV Line#3 Type/Site el: 0 cu: MICU cg: RN v1: Multi-lumen v2: Right IJ st: NotStopd t0: [08:00:00 11/10/2012] id: INV Line#3InsertDate el: 0 cu: MICU cg: RN v1: 9 v2: 14 st: NotStopd t0: [08:00:00 11/10/2012] id: INV Line#3SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [08:00:00 11/10/2012] id: Abdominal Assessment el: 0 cu: MICU cg: RN v1: Ascites st: NotStopd t0: [08:00:00 11/10/2012] id: IV #2 Insert Date el: 0 cu: MICU cg: RN v1: 9 v2: 13 st: NotStopd t0: [08:00:00 11/10/2012] id: IV #2 Site/Size el: 0 cu: MICU cg: RN v1: RL Ant Forearm v2: 18 gauge st: NotStopd t0: [08:00:00 11/10/2012] id: IV #3 Insert Date el: 0 cu: MICU cg: RN v1: 9 v2: 12 st: NotStopd t0: [08:00:00 11/10/2012] id: IV #3 Site/Size el: 0 cu: MICU cg: RN v1: Right Hand v2: 18 gauge st: NotStopd t0: [08:00:00 11/10/2012] id: IV Site Appear #2 el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [08:00:00 11/10/2012] id: IV Site Appear #3 el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [08:00:00 11/10/2012] id: LLL Lung Sounds el: 0 cu: MICU cg: RN v1: Bronchial st: NotStopd t0: [08:00:00 11/10/2012] id: LUL Lung Sounds el: 0 cu: MICU cg: RN v1: Clear st: NotStopd t0: [08:00:00 11/10/2012] id: Level of Conscious el: 0 cu: MICU cg: RN v1: Lethargic st: NotStopd t0: [08:00:00 11/10/2012] id: Motor Response el: 0 cu: MICU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [08:00:00 11/10/2012] id: NBP el: 0 cu: MICU cg: RN v1: 126 u1: mmHg v2: 71 u2: mmHg st: NotStopd t0: [08:00:00 11/10/2012] id: NBP Mean el: 0 cu: MICU cg: RN v1: 89.3333 u1: mmHg st: NotStopd t0: [08:00:00 11/10/2012] id: O2 Delivery Device el: 0 cu: MICU cg: RN v1: Nasal Cannula st: NotStopd t0: [08:00:00 11/10/2012] id: O2 Flow (lpm) el: 0 cu: MICU cg: RN v1: 4 u1: lpm st: NotStopd t0: [08:00:00 11/10/2012] id: Oral Cavity el: 0 cu: MICU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [08:00:00 11/10/2012] id: Orientation el: 0 cu: MICU cg: RN st: NotStopd t0: [08:00:00 11/10/2012] id: Pain Location el: 0 cu: MICU cg: RN v1: Not Indicated st: NotStopd t0: [08:00:00 11/10/2012] id: PostTib. Pulses R/L el: 0 cu: MICU cg: RN v1: Strong/Palpable v2: Strong/Palpable st: NotStopd t0: [08:00:00 11/10/2012] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [08:00:00 11/10/2012] id: RLL Lung Sounds el: 0 cu: MICU cg: RN v1: Diminished st: NotStopd t0: [08:00:00 11/10/2012] id: RUL Lung Sounds el: 0 cu: MICU cg: RN v1: Clear st: NotStopd t0: [08:00:00 11/10/2012] id: Reason For Restraint el: 0 cu: MICU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [08:00:00 11/10/2012] id: Respiratory Pattern el: 0 cu: MICU cg: RN v1: Regular st: NotStopd t0: [08:00:00 11/10/2012] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 20 u1: BPM st: NotStopd t0: [08:00:00 11/10/2012] id: Restraint Location el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [08:00:00 11/10/2012] id: Restraint Type el: 0 cu: MICU cg: RN v1: Soft Limb st: NotStopd t0: [08:00:00 11/10/2012] id: Side Rails el: 0 cu: MICU cg: RN v1: Side Rails Up st: NotStopd t0: [08:00:00 11/10/2012] id: Skin Color el: 0 cu: MICU cg: RN v1: Jaundiced st: NotStopd t0: [08:00:00 11/10/2012] id: Skin Integrity el: 0 cu: MICU cg: RN v1: Intact st: NotStopd t0: [08:00:00 11/10/2012] id: Skin Temp/Condition el: 0 cu: MICU cg: RN v1: Warm v2: Dry st: NotStopd t0: [08:00:00 11/10/2012] id: SpO2 el: 0 cu: MICU cg: RN v1: 99 u1: % st: NotStopd t0: [08:00:00 11/10/2012] id: Spontaneous Movement el: 0 cu: MICU cg: RN v1: Purposeful st: NotStopd t0: [08:00:00 11/10/2012] id: Support Systems el: 0 cu: MICU cg: RN v1: Spouse st: NotStopd t0: [08:00:00 11/10/2012] id: Temp. Site el: 0 cu: MICU cg: RN v1: Oral st: NotStopd t0: [08:00:00 11/10/2012] id: Temperature C (calc) el: 0 cu: MICU cg: RN v1: 35.7778 u1: Deg. C st: NotStopd t0: [08:00:00 11/10/2012] id: Temperature F el: 0 cu: MICU cg: RN v1: 96.4 u1: Deg. F st: NotStopd t0: [08:00:00 11/10/2012] id: Urine Color/Appear el: 0 cu: MICU cg: RN v1: Icteric v2: Clear st: NotStopd t0: [08:00:00 11/10/2012] id: Urine Source el: 0 cu: MICU cg: RN v1: Indwelling Cath st: NotStopd t0: [08:00:00 11/10/2012] id: Verbal Response el: 0 cu: MICU cg: RN v1: 1 No Response st: NotStopd t0: [08:00:00 11/10/2012] id: Daily Weight el: 0 cu: MICU cg: RN v1: 87.3 u1: kg st: NotStopd t0: [08:00:00 11/10/2012] id: Bowel Sounds el: 0 cu: MICU cg: RN v1: Hypoactive st: NotStopd t0: [08:00:00 11/10/2012] id: Braden Activity el: 0 cu: MICU cg: RN v1: Bedfast st: NotStopd t0: [08:00:00 11/10/2012] id: Braden Frict/Shear el: 0 cu: MICU cg: RN v1: Potential Prob st: NotStopd t0: [08:00:00 11/10/2012] id: Braden Mobility el: 0 cu: MICU cg: RN v1: Very Limited st: NotStopd t0: [08:00:00 11/10/2012] id: Braden Moisture el: 0 cu: MICU cg: RN v1: Occ. Moist st: NotStopd t0: [08:00:00 11/10/2012] id: Braden Nutrition el: 0 cu: MICU cg: RN v1: Prob. Inadequate st: NotStopd t0: [08:00:00 11/10/2012] id: Braden Score el: 0 cu: MICU cg: RN v1: 13 u1: number st: NotStopd t0: [08:00:00 11/10/2012] id: Braden SensoryPercep el: 0 cu: MICU cg: RN v1: Sl. Limited st: NotStopd
t0: [08:00:00 11/10/2012] id: IV Piggyback IV Infusions el: 1 cu: MICU cg: RN ai: 209 vo: 100 vu: ml t0: [08:00:00 11/10/2012] id: .9% Normal Saline IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 20 vu: ml t0: [08:00:00 11/10/2012] id: D5W 100.0ml + 600mcghr Sandostatin IV Infusions el: 2 cu: MICU cg: RN ai: 107 vo: 16.6667 vu: ml t0: [08:00:00 11/10/2012] id: Urine Out Foley el: 2 cu: MICU cg: RN vo: 450 vu: ml t0: [08:00:00 11/10/2012] id: TPN 1600.0ml IV Infusions el: 1 cu: MICU cg: RN ai: -1 vo: 132 vu: ml
t0: [08:00:00 11/10/2012] id: Sandostatin el: 2 cu: MICU cg: RN so: D5W vo: 0 v1: 50 du: mcghr sv: 100 su: ml rt: IV Drip
t0: [09:00:00 11/10/2012] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [09:00:00 11/10/2012] id: Chest PT R/L el: 0 cu: MICU cg: RN v1: Done v2: Done st: NotStopd t0: [09:00:00 11/10/2012] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [09:00:00 11/10/2012] id: Cough/Deep Breathe el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [09:00:00 11/10/2012] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [09:00:00 11/10/2012] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [09:00:00 11/10/2012] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [09:00:00 11/10/2012] id: Eye Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [09:00:00 11/10/2012] id: HOB el: 0 cu: MICU cg: RN v1: 30 degrees st: NotStopd t0: [09:00:00 11/10/2012] id: Heart Rate el: 0 cu: MICU cg: RN v1: 79 u1: BPM st: NotStopd t0: [09:00:00 11/10/2012] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [09:00:00 11/10/2012] id: Activity el: 0 cu: MICU cg: RN v1: Bedrest st: NotStopd t0: [09:00:00 11/10/2012] id: Activity Tolerance el: 0 cu: MICU cg: RN v1: Tolerated Well st: NotStopd t0: [09:00:00 11/10/2012] id: NBP el: 0 cu: MICU cg: RN v1: 118 u1: mmHg v2: 69 u2: mmHg st: NotStopd t0: [09:00:00 11/10/2012] id: NBP Mean el: 0 cu: MICU cg: RN v1: 85.3333 u1: mmHg st: NotStopd t0: [09:00:00 11/10/2012] id: Oral Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [09:00:00 11/10/2012] id: AntiEmbDevice/Status el: 0 cu: MICU cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [09:00:00 11/10/2012] id: Position el: 0 cu: MICU cg: RN v1: Left Side st: NotStopd t0: [09:00:00 11/10/2012] id: Assistance Device el: 0 cu: MICU cg: RN v1: 1 Person Assist st: NotStopd t0: [09:00:00 11/10/2012] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [09:00:00 11/10/2012] id: Previous WeightF el: 0 cu: MICU cg: RN v1: 87.3 u1: kg st: NotStopd t0: [09:00:00 11/10/2012] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 20 u1: BPM st: NotStopd t0: [09:00:00 11/10/2012] id: SpO2 el: 0 cu: MICU cg: RN v1: 97 u1: % st: NotStopd t0: [09:00:00 11/10/2012] id: Turn el: 0 cu: MICU cg: RN v1: Side to Side st: NotStopd t0: [09:00:00 11/10/2012] id: Back Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [09:00:00 11/10/2012] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [09:00:00 11/10/2012] id: .9% Normal Saline IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 10 vu: ml t0: [09:00:00 11/10/2012] id: D5W 100.0ml + 600mcghr Sandostatin IV Infusions el: 2 cu: MICU cg: RN ai: 107 vo: 8.33333 vu: ml t0: [09:00:00 11/10/2012] id: Urine Out Foley el: 2 cu: MICU cg: RN vo: 100 vu: ml t0: [09:00:00 11/10/2012] id: TPN 1600.0ml IV Infusions el: 1 cu: MICU cg: RN ai: -1 vo: 66 vu: ml
t0: [09:00:00 11/10/2012] id: Sandostatin el: 2 cu: MICU cg: RN so: D5W vo: 0 v1: 50 du: mcghr sv: 100 su: ml rt: IV Drip
t0: [09:00:00 11/10/2012] id: IV #3 Reason DC'D el: 0 cu: MICU cg: -1 st: D/C'd t0: [09:00:00 11/10/2012] id: IV #2 D/C Date el: 0 cu: MICU cg: -1 st: D/C'd t0: [09:00:00 11/10/2012] id: IV #2 Insert Date el: 0 cu: MICU cg: -1 st: D/C'd t0: [09:00:00 11/10/2012] id: IV #2 Site/Size el: 0 cu: MICU cg: -1 st: D/C'd t0: [09:00:00 11/10/2012] id: IV #3 D/C Date el: 0 cu: MICU cg: -1 st: D/C'd t0: [09:00:00 11/10/2012] id: IV #3 Insert Date el: 0 cu: MICU cg: -1 st: D/C'd t0: [09:00:00 11/10/2012] id: IV #3 Site/Size el: 0 cu: MICU cg: -1 st: D/C'd t0: [09:00:00 11/10/2012] id: IV Site Appear #2 el: 0 cu: MICU cg: -1 st: D/C'd t0: [09:00:00 11/10/2012] id: IV Site Appear #3 el: 0 cu: MICU cg: -1 st: D/C'd
t0: [08:00:00 11/10/2012] id: IV #2 D/C Date el: 0 cu: MICU cg: RN v1: 9 v2: 18 st: NotStopd t0: [08:00:00 11/10/2012] id: IV #3 D/C Date el: 0 cu: MICU cg: RN v1: 9 v2: 18 st: NotStopd t0: [09:00:00 11/10/2012] id: IV #1 Insert Date el: 0 cu: MICU cg: RN v1: 9 v2: 18 st: NotStopd t0: [09:00:00 11/10/2012] id: IV #1 Site/Size el: 0 cu: MICU cg: RN v1: Left Antecub v2: 18 gauge st: NotStopd t0: [09:00:00 11/10/2012] id: IV #4 Insert Date el: 0 cu: MICU cg: RN v1: 9 v2: 18 st: NotStopd t0: [09:00:00 11/10/2012] id: IV #4 Site/Size el: 0 cu: MICU cg: RN v1: Left Wrist v2: 18 gauge st: NotStopd t0: [09:00:00 11/10/2012] id: IV Site Appear #1 el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [09:00:00 11/10/2012] id: IV Site Appear #4 el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [10:00:00 11/10/2012] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [10:00:00 11/10/2012] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [10:00:00 11/10/2012] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [10:00:00 11/10/2012] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [10:00:00 11/10/2012] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [10:00:00 11/10/2012] id: Heart Rate el: 0 cu: MICU cg: RN v1: 74 u1: BPM st: NotStopd t0: [10:00:00 11/10/2012] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [10:00:00 11/10/2012] id: NBP el: 0 cu: MICU cg: RN v1: 127 u1: mmHg v2: 71 u2: mmHg st: NotStopd t0: [10:00:00 11/10/2012] id: NBP Mean el: 0 cu: MICU cg: RN v1: 89.6667 u1: mmHg st: NotStopd t0: [10:00:00 11/10/2012] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [10:00:00 11/10/2012] id: Previous WeightF el: 0 cu: MICU cg: RN v1: 87.3 u1: kg st: NotStopd t0: [10:00:00 11/10/2012] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 22 u1: BPM st: NotStopd t0: [10:00:00 11/10/2012] id: SpO2 el: 0 cu: MICU cg: RN v1: 97 u1: % st: NotStopd t0: [10:00:00 11/10/2012] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [10:00:00 11/10/2012] id: .9% Normal Saline IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 10 vu: ml t0: [10:00:00 11/10/2012] id: D5W 100.0ml + 600mcghr Sandostatin IV Infusions el: 2 cu: MICU cg: RN ai: 107 vo: 8.33333 vu: ml t0: [10:00:00 11/10/2012] id: Urine Out Foley el: 2 cu: MICU cg: RN vo: 160 vu: ml t0: [10:00:00 11/10/2012] id: TPN 1600.0ml IV Infusions el: 1 cu: MICU cg: RN ai: -1 vo: 66 vu: ml
t0: [10:00:00 11/10/2012] id: Sandostatin el: 2 cu: MICU cg: RN so: D5W vo: 0 v1: 50 du: mcghr sv: 100 su: ml rt: IV Drip
pt: TPN
t0: [11:00:00 11/10/2012] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [11:00:00 11/10/2012] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [11:00:00 11/10/2012] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [11:00:00 11/10/2012] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [11:00:00 11/10/2012] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [11:00:00 11/10/2012] id: Heart Rate el: 0 cu: MICU cg: RN v1: 81 u1: BPM st: NotStopd t0: [11:00:00 11/10/2012] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [11:00:00 11/10/2012] id: NBP el: 0 cu: MICU cg: RN v1: 130 u1: mmHg v2: 68 u2: mmHg st: NotStopd t0: [11:00:00 11/10/2012] id: NBP Mean el: 0 cu: MICU cg: RN v1: 88.6667 u1: mmHg st: NotStopd t0: [11:00:00 11/10/2012] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [11:00:00 11/10/2012] id: Previous WeightF el: 0 cu: MICU cg: RN v1: 87.3 u1: kg st: NotStopd t0: [11:00:00 11/10/2012] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 19 u1: BPM st: NotStopd t0: [11:00:00 11/10/2012] id: SpO2 el: 0 cu: MICU cg: RN v1: 98 u1: % st: NotStopd t0: [11:00:00 11/10/2012] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [11:00:00 11/10/2012] id: .9% Normal Saline IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 10 vu: ml t0: [11:00:00 11/10/2012] id: D5W 100.0ml + 600mcghr Sandostatin IV Infusions el: 2 cu: MICU cg: RN ai: 107 vo: 8.33333 vu: ml t0: [11:00:00 11/10/2012] id: Urine Out Foley el: 2 cu: MICU cg: RN vo: 130 vu: ml t0: [11:00:00 11/10/2012] id: TPN 1600.0ml IV Infusions el: 1 cu: MICU cg: RN ai: -1 vo: 66 vu: ml
t0: [11:00:00 11/10/2012] id: Sandostatin el: 2 cu: MICU cg: RN so: D5W vo: 0 v1: 50 du: mcghr sv: 100 su: ml rt: IV Drip
t0: [12:00:00 11/10/2012] id: Less Restrict Meas. el: 0 cu: MICU cg: RN v1: Orientation st: NotStopd t0: [12:00:00 11/10/2012] id: Pain Present el: 0 cu: MICU cg: RN v1: No st: NotStopd t0: [12:00:00 11/10/2012] id: Range of Motion el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [12:00:00 11/10/2012] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [12:00:00 11/10/2012] id: Chest PT R/L el: 0 cu: MICU cg: RN v1: Done v2: Done st: NotStopd t0: [12:00:00 11/10/2012] id: Circulation/SkinInt el: 0 cu: MICU cg: RN v1: Circulation Adeq st: NotStopd t0: [12:00:00 11/10/2012] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [12:00:00 11/10/2012] id: Riker-SAS Scale el: 0 cu: MICU cg: RN v1: Calm/Cooperative st: NotStopd t0: [12:00:00 11/10/2012] id: Cough Effort el: 0 cu: MICU cg: RN v1: Weak st: NotStopd t0: [12:00:00 11/10/2012] id: Cough Reflex el: 0 cu: MICU cg: RN v1: Intact st: NotStopd t0: [12:00:00 11/10/2012] id: Cough Type el: 0 cu: MICU cg: RN v1: Productive st: NotStopd t0: [12:00:00 11/10/2012] id: Cough/Deep Breathe el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [12:00:00 11/10/2012] id: Daily Wake Up el: 1 cu: MICU cg: RN v1: No/Not Sedated st: NotStopd t0: [12:00:00 11/10/2012] id: GI Prophylaxis el: 0 cu: MICU cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [12:00:00 11/10/2012] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [12:00:00 11/10/2012] id: Diet Type el: 0 cu: MICU cg: RN v1: NPO st: NotStopd t0: [12:00:00 11/10/2012] id: Dorsal PedPulse R/L el: 0 cu: MICU cg: RN v1: Strong/Palpable v2: Strong/Palpable st: NotStopd t0: [12:00:00 11/10/2012] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [12:00:00 11/10/2012] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [12:00:00 11/10/2012] id: Eye Opening el: 0 cu: MICU cg: RN v1: 4 Spontaneously st: NotStopd t0: [12:00:00 11/10/2012] id: Follows Commands el: 0 cu: MICU cg: RN v1: Inconsistently st: NotStopd t0: [12:00:00 11/10/2012] id: GCS Total el: 0 cu: MICU cg: RN v1: 14 u1: points st: NotStopd t0: [12:00:00 11/10/2012] id: Gag Reflex el: 0 cu: MICU cg: RN v1: Impaired st: NotStopd t0: [12:00:00 11/10/2012] id: HOB el: 0 cu: MICU cg: RN v1: 30 degrees st: NotStopd t0: [12:00:00 11/10/2012] id: Heart Rate el: 0 cu: MICU cg: RN v1: 78 u1: BPM st: NotStopd t0: [12:00:00 11/10/2012] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [12:00:00 11/10/2012] id: Abdominal Assessment el: 0 cu: MICU cg: RN v1: Ascites st: NotStopd t0: [12:00:00 11/10/2012] id: Activity el: 0 cu: MICU cg: RN v1: Bedrest st: NotStopd t0: [12:00:00 11/10/2012] id: Activity Tolerance el: 0 cu: MICU cg: RN v1: Tolerated Well st: NotStopd t0: [12:00:00 11/10/2012] id: LLL Lung Sounds el: 0 cu: MICU cg: RN v1: Bronchial st: NotStopd t0: [12:00:00 11/10/2012] id: LUL Lung Sounds el: 0 cu: MICU cg: RN v1: Clear st: NotStopd t0: [12:00:00 11/10/2012] id: Level of Conscious el: 0 cu: MICU cg: RN v1: Lethargic st: NotStopd t0: [12:00:00 11/10/2012] id: Motor Response el: 0 cu: MICU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [12:00:00 11/10/2012] id: NBP el: 0 cu: MICU cg: RN v1: 116 u1: mmHg v2: 66 u2: mmHg st: NotStopd t0: [12:00:00 11/10/2012] id: NBP Mean el: 0 cu: MICU cg: RN v1: 82.6667 u1: mmHg st: NotStopd t0: [12:00:00 11/10/2012] id: O2 Delivery Device el: 0 cu: MICU cg: RN v1: Nasal Cannula st: NotStopd t0: [12:00:00 11/10/2012] id: O2 Flow (lpm) el: 0 cu: MICU cg: RN v1: 2 u1: lpm st: NotStopd t0: [12:00:00 11/10/2012] id: Oral Cavity el: 0 cu: MICU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [12:00:00 11/10/2012] id: Orientation el: 0 cu: MICU cg: RN v1: Oriented x 1 st: NotStopd t0: [12:00:00 11/10/2012] id: AntiEmbDevice/Status el: 0 cu: MICU cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [12:00:00 11/10/2012] id: Pain Location el: 0 cu: MICU cg: RN v1: Not Indicated st: NotStopd t0: [12:00:00 11/10/2012] id: Position el: 0 cu: MICU cg: RN v1: Left Side st: NotStopd t0: [12:00:00 11/10/2012] id: Position Change el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [12:00:00 11/10/2012] id: PostTib. Pulses R/L el: 0 cu: MICU cg: RN v1: Strong/Palpable v2: Strong/Palpable st: NotStopd t0: [12:00:00 11/10/2012] id: Assistance Device el: 0 cu: MICU cg: RN v1: 2 Person Assist st: NotStopd t0: [12:00:00 11/10/2012] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [12:00:00 11/10/2012] id: Previous WeightF el: 0 cu: MICU cg: RN v1: 87.3 u1: kg st: NotStopd t0: [12:00:00 11/10/2012] id: Pupil Response R/L el: 0 cu: MICU cg: RN v1: Brisk v2: Brisk st: NotStopd t0: [12:00:00 11/10/2012] id: Pupil Size R/L el: 0 cu: MICU cg: RN v1: 3 mm v2: 3 mm st: NotStopd t0: [12:00:00 11/10/2012] id: RLL Lung Sounds el: 0 cu: MICU cg: RN v1: Diminished st: NotStopd t0: [12:00:00 11/10/2012] id: RUL Lung Sounds el: 0 cu: MICU cg: RN v1: Clear st: NotStopd t0: [12:00:00 11/10/2012] id: Reason For Restraint el: 0 cu: MICU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [12:00:00 11/10/2012] id: Removed x 5 Mins el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [12:00:00 11/10/2012] id: Respiratory Pattern el: 0 cu: MICU cg: RN v1: Regular st: NotStopd t0: [12:00:00 11/10/2012] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 18 u1: BPM st: NotStopd t0: [12:00:00 11/10/2012] id: Restraint Location el: 0 cu: MICU cg: RN v1: Both Arms st: NotStopd t0: [12:00:00 11/10/2012] id: Restraint Type el: 0 cu: MICU cg: RN v1: Soft Limb st: NotStopd t0: [12:00:00 11/10/2012] id: Restraints Evaluated el: 0 cu: MICU cg: RN v1: Behavior Conts st: NotStopd t0: [12:00:00 11/10/2012] id: Side Rails el: 0 cu: MICU cg: RN v1: Side Rails Up st: NotStopd t0: [12:00:00 11/10/2012] id: Skin Color el: 0 cu: MICU cg: RN v1: Jaundiced st: NotStopd t0: [12:00:00 11/10/2012] id: Skin Integrity el: 0 cu: MICU cg: RN v1: Impaired st: NotStopd t0: [12:00:00 11/10/2012] id: Skin Temp/Condition el: 0 cu: MICU cg: RN v1: Warm v2: Dry st: NotStopd t0: [12:00:00 11/10/2012] id: SpO2 el: 0 cu: MICU cg: RN v1: 97 u1: % st: NotStopd t0: [12:00:00 11/10/2012] id: Spontaneous Movement el: 0 cu: MICU cg: RN v1: Purposeful st: NotStopd t0: [12:00:00 11/10/2012] id: Support Systems el: 0 cu: MICU cg: RN v1: Spouse st: NotStopd t0: [12:00:00 11/10/2012] id: Temp. Site el: 0 cu: MICU cg: RN v1: Oral st: NotStopd t0: [12:00:00 11/10/2012] id: Temperature C (calc) el: 0 cu: MICU cg: RN v1: 35.7222 u1: Deg. C st: NotStopd t0: [12:00:00 11/10/2012] id: Temperature F el: 0 cu: MICU cg: RN v1: 96.3 u1: Deg. F st: NotStopd t0: [12:00:00 11/10/2012] id: Turn el: 0 cu: MICU cg: RN v1: Side to Side st: NotStopd t0: [12:00:00 11/10/2012] id: Urine Color/Appear el: 0 cu: MICU cg: RN v1: Icteric v2: Clear st: NotStopd t0: [12:00:00 11/10/2012] id: Urine Source el: 0 cu: MICU cg: RN v1: Indwelling Cath st: NotStopd t0: [12:00:00 11/10/2012] id: Verbal Response el: 0 cu: MICU cg: RN v1: 4 Confused st: NotStopd t0: [12:00:00 11/10/2012] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [12:00:00 11/10/2012] id: Bowel Sounds el: 0 cu: MICU cg: RN v1: Hypoactive st: NotStopd
t0: [12:00:00 11/10/2012] id: .9% Normal Saline IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 10 vu: ml t0: [12:00:00 11/10/2012] id: D5W 100.0ml + 600mcghr Sandostatin IV Infusions el: 2 cu: MICU cg: RN ai: 107 vo: 8.33333 vu: ml t0: [12:00:00 11/10/2012] id: Urine Out Foley el: 2 cu: MICU cg: RN vo: 210 vu: ml t0: [12:00:00 11/10/2012] id: TPN 1600.0ml IV Infusions el: 1 cu: MICU cg: RN ai: -1 vo: 66 vu: ml
t0: [12:00:00 11/10/2012] id: Sandostatin el: 2 cu: MICU cg: RN so: D5W vo: 0 v1: 50 du: mcghr sv: 100 su: ml rt: IV Drip
t0: [12:21:00 11/10/2012] id: Blood Products Hematology el: 0 cu: MICU cg: 1663 v1: Y rs: Final st: NotStopd
t0: [12:00:00 11/10/2012] id: Fingerstick Glucose Chemistry el: 0 cu: MICU cg: CoWker v1: 118 rs: Manual st: NotStopd
t0: [13:00:00 11/10/2012] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [13:00:00 11/10/2012] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [13:00:00 11/10/2012] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [13:00:00 11/10/2012] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [13:00:00 11/10/2012] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [13:00:00 11/10/2012] id: Heart Rate el: 0 cu: MICU cg: RN v1: 74 u1: BPM st: NotStopd t0: [13:00:00 11/10/2012] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [13:00:00 11/10/2012] id: NBP el: 0 cu: MICU cg: RN v1: 129 u1: mmHg v2: 70 u2: mmHg st: NotStopd t0: [13:00:00 11/10/2012] id: NBP Mean el: 0 cu: MICU cg: RN v1: 89.6667 u1: mmHg st: NotStopd t0: [13:00:00 11/10/2012] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [13:00:00 11/10/2012] id: Previous WeightF el: 0 cu: MICU cg: RN v1: 87.3 u1: kg st: NotStopd t0: [13:00:00 11/10/2012] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 20 u1: BPM st: NotStopd t0: [13:00:00 11/10/2012] id: SpO2 el: 0 cu: MICU cg: RN v1: 98 u1: % st: NotStopd t0: [13:00:00 11/10/2012] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [13:00:00 11/10/2012] id: .9% Normal Saline IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 10 vu: ml t0: [13:00:00 11/10/2012] id: D5W 100.0ml + 600mcghr Sandostatin IV Infusions el: 2 cu: MICU cg: RN ai: 107 vo: 8.33333 vu: ml t0: [13:00:00 11/10/2012] id: Urine Out Foley el: 2 cu: MICU cg: RN vo: 140 vu: ml t0: [13:00:00 11/10/2012] id: TPN 1600.0ml IV Infusions el: 1 cu: MICU cg: RN ai: -1 vo: 66 vu: ml
t0: [13:00:00 11/10/2012] id: Sandostatin el: 2 cu: MICU cg: RN so: D5W vo: 0 v1: 50 du: mcghr sv: 100 su: ml rt: IV Drip
t0: [13:20:00 11/10/2012] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [13:20:00 11/10/2012] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [13:20:00 11/10/2012] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [13:20:00 11/10/2012] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [13:20:00 11/10/2012] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [13:20:00 11/10/2012] id: Heart Rate el: 0 cu: MICU cg: RN v1: 78 u1: BPM st: NotStopd t0: [13:20:00 11/10/2012] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [13:20:00 11/10/2012] id: NBP el: 0 cu: MICU cg: RN v1: 129 u1: mmHg v2: 70 u2: mmHg st: NotStopd t0: [13:20:00 11/10/2012] id: NBP Mean el: 0 cu: MICU cg: RN v1: 89.6667 u1: mmHg st: NotStopd t0: [13:20:00 11/10/2012] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [13:20:00 11/10/2012] id: Previous WeightF el: 0 cu: MICU cg: RN v1: 87.3 u1: kg st: NotStopd t0: [13:20:00 11/10/2012] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 20 u1: BPM st: NotStopd t0: [13:20:00 11/10/2012] id: SpO2 el: 0 cu: MICU cg: RN v1: 98 u1: % st: NotStopd t0: [13:20:00 11/10/2012] id: Temp. Site el: 0 cu: MICU cg: RN v1: Oral st: NotStopd t0: [13:20:00 11/10/2012] id: Temperature C (calc) el: 0 cu: MICU cg: RN v1: 36.1111 u1: Deg. C st: NotStopd t0: [13:20:00 11/10/2012] id: Temperature F el: 0 cu: MICU cg: RN v1: 97 u1: Deg. F st: NotStopd t0: [13:20:00 11/10/2012] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [13:20:00 11/10/2012] id: Sandostatin el: 2 cu: MICU cg: RN so: D5W vo: 0 v1: 50 du: mcghr sv: 100 su: ml rt: IV Drip
t0: [13:35:00 11/10/2012] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [13:35:00 11/10/2012] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [13:35:00 11/10/2012] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [13:35:00 11/10/2012] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [13:35:00 11/10/2012] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [13:35:00 11/10/2012] id: Heart Rate el: 0 cu: MICU cg: RN v1: 83 u1: BPM st: NotStopd t0: [13:35:00 11/10/2012] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [13:35:00 11/10/2012] id: NBP el: 0 cu: MICU cg: RN v1: 126 u1: mmHg v2: 77 u2: mmHg st: NotStopd t0: [13:35:00 11/10/2012] id: NBP Mean el: 0 cu: MICU cg: RN v1: 93.3333 u1: mmHg st: NotStopd t0: [13:35:00 11/10/2012] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [13:35:00 11/10/2012] id: Previous WeightF el: 0 cu: MICU cg: RN v1: 87.3 u1: kg st: NotStopd t0: [13:35:00 11/10/2012] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 22 u1: BPM st: NotStopd t0: [13:35:00 11/10/2012] id: SpO2 el: 0 cu: MICU cg: RN v1: 97 u1: % st: NotStopd t0: [13:35:00 11/10/2012] id: Temp. Site el: 0 cu: MICU cg: RN v1: Oral st: NotStopd t0: [13:35:00 11/10/2012] id: Temperature C (calc) el: 0 cu: MICU cg: RN v1: 35.6667 u1: Deg. C st: NotStopd t0: [13:35:00 11/10/2012] id: Temperature F el: 0 cu: MICU cg: RN v1: 96.2 u1: Deg. F st: NotStopd t0: [13:35:00 11/10/2012] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [13:35:00 11/10/2012] id: Sandostatin el: 2 cu: MICU cg: RN so: D5W vo: 0 v1: 50 du: mcghr sv: 100 su: ml rt: IV Drip
t0: [14:05:00 11/10/2012] id: Fresh Frozen Plasma IV Infusions el: 1 cu: MICU cg: RN ai: 155 vo: 273 vu: ml
t0: [14:00:00 11/10/2012] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [14:00:00 11/10/2012] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [14:00:00 11/10/2012] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [14:00:00 11/10/2012] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [14:00:00 11/10/2012] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [14:00:00 11/10/2012] id: Heart Rate el: 0 cu: MICU cg: RN v1: 89 u1: BPM st: NotStopd t0: [14:00:00 11/10/2012] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [14:00:00 11/10/2012] id: NBP el: 0 cu: MICU cg: RN v1: 115 u1: mmHg v2: 75 u2: mmHg st: NotStopd t0: [14:00:00 11/10/2012] id: NBP Mean el: 0 cu: MICU cg: RN v1: 88.3333 u1: mmHg st: NotStopd t0: [14:00:00 11/10/2012] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [14:00:00 11/10/2012] id: Previous WeightF el: 0 cu: MICU cg: RN v1: 87.3 u1: kg st: NotStopd t0: [14:00:00 11/10/2012] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 23 u1: BPM st: NotStopd t0: [14:00:00 11/10/2012] id: SpO2 el: 0 cu: MICU cg: RN v1: 96 u1: % st: NotStopd t0: [14:00:00 11/10/2012] id: Temp. Site el: 0 cu: MICU cg: RN v1: Oral st: NotStopd t0: [14:00:00 11/10/2012] id: Temperature C (calc) el: 0 cu: MICU cg: RN v1: 36.1111 u1: Deg. C st: NotStopd t0: [14:00:00 11/10/2012] id: Temperature F el: 0 cu: MICU cg: RN v1: 97 u1: Deg. F st: NotStopd t0: [14:00:00 11/10/2012] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [13:25:00 11/10/2012] id: Packed RBC's IV Infusions el: 1 cu: MICU cg: RN ai: 107 vu: ml nb: 1 t0: [13:25:00 11/10/2012] id: Fresh Frozen Plasma IV Infusions el: 1 cu: MICU cg: RN ai: 155 vo: 288 vu: ml nb: 1 t0: [14:00:00 11/10/2012] id: .9% Normal Saline IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 10 vu: ml t0: [14:00:00 11/10/2012] id: D5W 100.0ml + 600mcghr Sandostatin IV Infusions el: 2 cu: MICU cg: RN ai: 107 vo: 8.33333 vu: ml t0: [14:00:00 11/10/2012] id: Stool Out Stool el: 1 cu: MICU cg: RN vo: 225 vu: ml t0: [14:00:00 11/10/2012] id: Urine Out Foley el: 2 cu: MICU cg: RN vo: 100 vu: ml t0: [14:00:00 11/10/2012] id: TPN 1600.0ml IV Infusions el: 1 cu: MICU cg: RN ai: -1 vo: 66 vu: ml
t0: [14:00:00 11/10/2012] id: Sandostatin el: 2 cu: MICU cg: RN so: D5W vo: 0 v1: 50 du: mcghr sv: 100 su: ml rt: IV Drip
t0: [14:15:00 11/10/2012] id: Fresh Frozen Plasma IV Infusions el: 1 cu: MICU cg: RN ai: 155 vo: 306 vu: ml nb: 1
t0: [14:15:00 11/10/2012] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [14:15:00 11/10/2012] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [14:15:00 11/10/2012] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [14:15:00 11/10/2012] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [14:15:00 11/10/2012] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [14:15:00 11/10/2012] id: Heart Rate el: 0 cu: MICU cg: RN v1: 90 u1: BPM st: NotStopd t0: [14:15:00 11/10/2012] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [14:15:00 11/10/2012] id: NBP el: 0 cu: MICU cg: RN v1: 126 u1: mmHg v2: 78 u2: mmHg st: NotStopd t0: [14:15:00 11/10/2012] id: NBP Mean el: 0 cu: MICU cg: RN v1: 94 u1: mmHg st: NotStopd t0: [14:15:00 11/10/2012] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [14:15:00 11/10/2012] id: Previous WeightF el: 0 cu: MICU cg: RN v1: 87.3 u1: kg st: NotStopd t0: [14:15:00 11/10/2012] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 23 u1: BPM st: NotStopd t0: [14:15:00 11/10/2012] id: SpO2 el: 0 cu: MICU cg: RN v1: 96 u1: % st: NotStopd t0: [14:15:00 11/10/2012] id: Temp. Site el: 0 cu: MICU cg: RN v1: Oral st: NotStopd t0: [14:15:00 11/10/2012] id: Temperature C (calc) el: 0 cu: MICU cg: RN v1: 35.7222 u1: Deg. C st: NotStopd t0: [14:15:00 11/10/2012] id: Temperature F el: 0 cu: MICU cg: RN v1: 96.3 u1: Deg. F st: NotStopd t0: [14:15:00 11/10/2012] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [14:15:00 11/10/2012] id: Sandostatin el: 2 cu: MICU cg: RN so: D5W vo: 0 v1: 50 du: mcghr sv: 100 su: ml rt: IV Drip
t0: [15:00:00 11/10/2012] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [15:00:00 11/10/2012] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [15:00:00 11/10/2012] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [15:00:00 11/10/2012] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [15:00:00 11/10/2012] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [15:00:00 11/10/2012] id: Heart Rate el: 0 cu: MICU cg: RN v1: 79 u1: BPM st: NotStopd t0: [15:00:00 11/10/2012] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [15:00:00 11/10/2012] id: NBP el: 0 cu: MICU cg: RN v1: 130 u1: mmHg v2: 75 u2: mmHg st: NotStopd t0: [15:00:00 11/10/2012] id: NBP Mean el: 0 cu: MICU cg: RN v1: 93.3333 u1: mmHg st: NotStopd t0: [15:00:00 11/10/2012] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [15:00:00 11/10/2012] id: Previous WeightF el: 0 cu: MICU cg: RN v1: 87.3 u1: kg st: NotStopd t0: [15:00:00 11/10/2012] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 16 u1: BPM st: NotStopd t0: [15:00:00 11/10/2012] id: SpO2 el: 0 cu: MICU cg: RN v1: 97 u1: % st: NotStopd t0: [15:00:00 11/10/2012] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [15:00:00 11/10/2012] id: .9% Normal Saline IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 10 vu: ml t0: [15:00:00 11/10/2012] id: D5W 100.0ml + 600mcghr Sandostatin IV Infusions el: 2 cu: MICU cg: RN ai: 107 vo: 8.33333 vu: ml t0: [15:00:00 11/10/2012] id: Urine Out Foley el: 2 cu: MICU cg: RN vo: 210 vu: ml t0: [15:00:00 11/10/2012] id: TPN 1600.0ml IV Infusions el: 1 cu: MICU cg: RN ai: -1 vo: 66 vu: ml
t0: [15:00:00 11/10/2012] id: Sandostatin el: 2 cu: MICU cg: RN so: D5W vo: 0 v1: 50 du: mcghr sv: 100 su: ml rt: IV Drip
t0: [14:00:00 11/10/2012] id: Less Restrict Meas. el: 0 cu: MICU cg: RN v1: Orientation st: NotStopd t0: [14:00:00 11/10/2012] id: Range of Motion el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [14:00:00 11/10/2012] id: Circulation/SkinInt el: 0 cu: MICU cg: RN v1: Circulation Adeq st: NotStopd t0: [14:00:00 11/10/2012] id: Position Change el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [14:00:00 11/10/2012] id: Reason For Restraint el: 0 cu: MICU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [14:00:00 11/10/2012] id: Removed x 5 Mins el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [14:00:00 11/10/2012] id: Restraint Location el: 0 cu: MICU cg: RN v1: Both Arms st: NotStopd t0: [14:00:00 11/10/2012] id: Restraint Type el: 0 cu: MICU cg: RN v1: Soft Limb st: NotStopd t0: [14:00:00 11/10/2012] id: Restraints Evaluated el: 0 cu: MICU cg: RN v1: RestraintReapply st: NotStopd t0: [14:00:00 11/10/2012] id: Side Rails el: 0 cu: MICU cg: RN v1: Side Rails Up st: NotStopd t0: [16:00:00 11/10/2012] id: Less Restrict Meas. el: 0 cu: MICU cg: RN v1: Orientation st: NotStopd t0: [16:00:00 11/10/2012] id: Pain Present el: 0 cu: MICU cg: RN v1: No st: NotStopd t0: [16:00:00 11/10/2012] id: Range of Motion el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [16:00:00 11/10/2012] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [16:00:00 11/10/2012] id: Circulation/SkinInt el: 0 cu: MICU cg: RN v1: Circulation Adeq st: NotStopd t0: [16:00:00 11/10/2012] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [16:00:00 11/10/2012] id: Riker-SAS Scale el: 0 cu: MICU cg: RN v1: Calm/Cooperative st: NotStopd t0: [16:00:00 11/10/2012] id: Cough Effort el: 0 cu: MICU cg: RN v1: Weak st: NotStopd t0: [16:00:00 11/10/2012] id: Cough Reflex el: 0 cu: MICU cg: RN v1: Intact st: NotStopd t0: [16:00:00 11/10/2012] id: Cough Type el: 0 cu: MICU cg: RN v1: Productive st: NotStopd t0: [16:00:00 11/10/2012] id: GI Prophylaxis el: 0 cu: MICU cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [16:00:00 11/10/2012] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [16:00:00 11/10/2012] id: Diet Type el: 0 cu: MICU cg: RN v1: NPO st: NotStopd t0: [16:00:00 11/10/2012] id: Dorsal PedPulse R/L el: 0 cu: MICU cg: RN v1: Strong/Palpable v2: Strong/Palpable st: NotStopd t0: [16:00:00 11/10/2012] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [16:00:00 11/10/2012] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [16:00:00 11/10/2012] id: Eye Opening el: 0 cu: MICU cg: RN v1: 4 Spontaneously st: NotStopd t0: [16:00:00 11/10/2012] id: Follows Commands el: 0 cu: MICU cg: RN v1: Inconsistently st: NotStopd t0: [16:00:00 11/10/2012] id: GCS Total el: 0 cu: MICU cg: RN v1: 14 u1: points st: NotStopd t0: [16:00:00 11/10/2012] id: Gag Reflex el: 0 cu: MICU cg: RN v1: Impaired st: NotStopd t0: [16:00:00 11/10/2012] id: Heart Rate el: 0 cu: MICU cg: RN v1: 68 u1: BPM st: NotStopd t0: [16:00:00 11/10/2012] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [16:00:00 11/10/2012] id: Abdominal Assessment el: 0 cu: MICU cg: RN v1: Ascites st: NotStopd t0: [16:00:00 11/10/2012] id: LLL Lung Sounds el: 0 cu: MICU cg: RN v1: Bronchial st: NotStopd t0: [16:00:00 11/10/2012] id: LUL Lung Sounds el: 0 cu: MICU cg: RN v1: Clear st: NotStopd t0: [16:00:00 11/10/2012] id: Level of Conscious el: 0 cu: MICU cg: RN v1: Lethargic st: NotStopd t0: [16:00:00 11/10/2012] id: Motor Response el: 0 cu: MICU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [16:00:00 11/10/2012] id: NBP el: 0 cu: MICU cg: RN v1: 131 u1: mmHg v2: 88 u2: mmHg st: NotStopd t0: [16:00:00 11/10/2012] id: NBP Mean el: 0 cu: MICU cg: RN v1: 102.333 u1: mmHg st: NotStopd t0: [16:00:00 11/10/2012] id: O2 Delivery Device el: 0 cu: MICU cg: RN v1: Nasal Cannula st: NotStopd t0: [16:00:00 11/10/2012] id: O2 Flow (lpm) el: 0 cu: MICU cg: RN v1: 2 u1: lpm st: NotStopd t0: [16:00:00 11/10/2012] id: Oral Cavity el: 0 cu: MICU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [16:00:00 11/10/2012] id: Orientation el: 0 cu: MICU cg: RN v1: Oriented x 1 st: NotStopd t0: [16:00:00 11/10/2012] id: Pain Location el: 0 cu: MICU cg: RN v1: Not Indicated st: NotStopd t0: [16:00:00 11/10/2012] id: Pain Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [16:00:00 11/10/2012] id: Position Change el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [16:00:00 11/10/2012] id: PostTib. Pulses R/L el: 0 cu: MICU cg: RN v1: Strong/Palpable v2: Strong/Palpable st: NotStopd t0: [16:00:00 11/10/2012] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [16:00:00 11/10/2012] id: Previous WeightF el: 0 cu: MICU cg: RN v1: 87.3 u1: kg st: NotStopd t0: [16:00:00 11/10/2012] id: Pupil Response R/L el: 0 cu: MICU cg: RN v1: Brisk v2: Brisk st: NotStopd t0: [16:00:00 11/10/2012] id: Pupil Size R/L el: 0 cu: MICU cg: RN v1: 3 mm v2: 3 mm st: NotStopd t0: [16:00:00 11/10/2012] id: RLL Lung Sounds el: 0 cu: MICU cg: RN v1: Diminished st: NotStopd t0: [16:00:00 11/10/2012] id: RUL Lung Sounds el: 0 cu: MICU cg: RN v1: Clear st: NotStopd t0: [16:00:00 11/10/2012] id: Reason For Restraint el: 0 cu: MICU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [16:00:00 11/10/2012] id: Removed x 5 Mins el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [16:00:00 11/10/2012] id: Respiratory Pattern el: 0 cu: MICU cg: RN v1: Regular st: NotStopd t0: [16:00:00 11/10/2012] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 23 u1: BPM st: NotStopd t0: [16:00:00 11/10/2012] id: Restraint Location el: 0 cu: MICU cg: RN v1: Both Arms st: NotStopd t0: [16:00:00 11/10/2012] id: Restraint Type el: 0 cu: MICU cg: RN v1: Soft Limb st: NotStopd t0: [16:00:00 11/10/2012] id: Restraints Evaluated el: 0 cu: MICU cg: RN v1: RestraintReapply st: NotStopd t0: [16:00:00 11/10/2012] id: Side Rails el: 0 cu: MICU cg: RN v1: Side Rails Up st: NotStopd t0: [16:00:00 11/10/2012] id: Skin Color el: 0 cu: MICU cg: RN v1: Jaundiced st: NotStopd t0: [16:00:00 11/10/2012] id: Skin Integrity el: 0 cu: MICU cg: RN v1: Impaired st: NotStopd t0: [16:00:00 11/10/2012] id: Skin Temp/Condition el: 0 cu: MICU cg: RN v1: Warm v2: Dry st: NotStopd t0: [16:00:00 11/10/2012] id: SpO2 el: 0 cu: MICU cg: RN v1: 98 u1: % st: NotStopd t0: [16:00:00 11/10/2012] id: Spontaneous Movement el: 0 cu: MICU cg: RN v1: Purposeful st: NotStopd t0: [16:00:00 11/10/2012] id: Support Systems el: 0 cu: MICU cg: RN v1: Spouse st: NotStopd t0: [16:00:00 11/10/2012] id: Temp. Site el: 0 cu: MICU cg: RN v1: Oral st: NotStopd t0: [16:00:00 11/10/2012] id: Temperature C (calc) el: 0 cu: MICU cg: RN v1: 36.1667 u1: Deg. C st: NotStopd t0: [16:00:00 11/10/2012] id: Temperature F el: 0 cu: MICU cg: RN v1: 97.1 u1: Deg. F st: NotStopd t0: [16:00:00 11/10/2012] id: Urine Color/Appear el: 0 cu: MICU cg: RN v1: Icteric v2: Clear st: NotStopd t0: [16:00:00 11/10/2012] id: Urine Source el: 0 cu: MICU cg: RN v1: Indwelling Cath st: NotStopd t0: [16:00:00 11/10/2012] id: Verbal Response el: 0 cu: MICU cg: RN v1: 4 Confused st: NotStopd t0: [16:00:00 11/10/2012] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [16:00:00 11/10/2012] id: Bowel Sounds el: 0 cu: MICU cg: RN v1: Hypoactive st: NotStopd t0: [16:00:00 11/10/2012] id: Braden Activity el: 0 cu: MICU cg: RN v1: Bedfast st: NotStopd t0: [16:00:00 11/10/2012] id: Braden Frict/Shear el: 0 cu: MICU cg: RN v1: Potential Prob st: NotStopd t0: [16:00:00 11/10/2012] id: Braden Mobility el: 0 cu: MICU cg: RN v1: Very Limited st: NotStopd t0: [16:00:00 11/10/2012] id: Braden Moisture el: 0 cu: MICU cg: RN v1: Occ. Moist st: NotStopd t0: [16:00:00 11/10/2012] id: Braden Nutrition el: 0 cu: MICU cg: RN v1: Prob. Inadequate st: NotStopd t0: [16:00:00 11/10/2012] id: Braden Score el: 0 cu: MICU cg: RN v1: 12 u1: number st: NotStopd t0: [16:00:00 11/10/2012] id: Braden SensoryPercep el: 0 cu: MICU cg: RN v1: Very Limited st: NotStopd
t0: [16:00:00 11/10/2012] id: IV Piggyback IV Infusions el: 1 cu: MICU cg: RN ai: 209 vo: 100 vu: ml t0: [16:00:00 11/10/2012] id: .9% Normal Saline IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 10 vu: ml t0: [16:00:00 11/10/2012] id: D5W 100.0ml + 600mcghr Sandostatin IV Infusions el: 2 cu: MICU cg: RN ai: 107 vo: 8.33333 vu: ml t0: [16:00:00 11/10/2012] id: Urine Out Foley el: 2 cu: MICU cg: RN vo: 100 vu: ml t0: [16:00:00 11/10/2012] id: TPN 1600.0ml IV Infusions el: 1 cu: MICU cg: RN ai: -1 vo: 66 vu: ml
t0: [16:00:00 11/10/2012] id: Sandostatin el: 2 cu: MICU cg: RN so: D5W vo: 0 v1: 50 du: mcghr sv: 100 su: ml rt: IV Drip
t0: [14:00:00 11/10/2012] id: Chest PT R/L el: 0 cu: MICU cg: RN v1: Done v2: Done st: NotStopd t0: [14:00:00 11/10/2012] id: Cough/Deep Breathe el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [14:00:00 11/10/2012] id: Eye Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [14:00:00 11/10/2012] id: HOB el: 0 cu: MICU cg: RN v1: 30 degrees st: NotStopd t0: [14:00:00 11/10/2012] id: Activity el: 0 cu: MICU cg: RN v1: Bedrest st: NotStopd t0: [14:00:00 11/10/2012] id: Activity Tolerance el: 0 cu: MICU cg: RN v1: Tolerated Well st: NotStopd t0: [14:00:00 11/10/2012] id: Oral Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [14:00:00 11/10/2012] id: AntiEmbDevice/Status el: 0 cu: MICU cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [14:00:00 11/10/2012] id: Position el: 0 cu: MICU cg: RN v1: Supine st: NotStopd t0: [14:00:00 11/10/2012] id: Assistance Device el: 0 cu: MICU cg: RN v1: 2 Person Assist st: NotStopd t0: [14:00:00 11/10/2012] id: Turn el: 0 cu: MICU cg: RN v1: Side to Side st: NotStopd t0: [14:00:00 11/10/2012] id: Back Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [16:00:00 11/10/2012] id: INV Line#3 Type/Site el: 0 cu: MICU cg: RN v1: Multi-lumen v2: Right IJ st: NotStopd t0: [16:00:00 11/10/2012] id: INV Line#3InsertDate el: 0 cu: MICU cg: RN v1: 9 v2: 14 st: NotStopd t0: [16:00:00 11/10/2012] id: INV Line#3SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [16:00:00 11/10/2012] id: IV #1 Insert Date el: 0 cu: MICU cg: RN v1: 9 v2: 18 st: NotStopd t0: [16:00:00 11/10/2012] id: IV #1 Site/Size el: 0 cu: MICU cg: RN v1: Left Antecub v2: 18 gauge st: NotStopd t0: [16:00:00 11/10/2012] id: IV #4 Insert Date el: 0 cu: MICU cg: RN v1: 9 v2: 18 st: NotStopd t0: [16:00:00 11/10/2012] id: IV #4 Site/Size el: 0 cu: MICU cg: RN v1: Left Wrist v2: 18 gauge st: NotStopd t0: [16:00:00 11/10/2012] id: IV Site Appear #1 el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [16:00:00 11/10/2012] id: IV Site Appear #4 el: 0 cu: MICU cg: RN v1: WNL st: NotStopd
t0: [12:00:00 11/10/2012] id: IV Piggyback IV Infusions el: 1 cu: MICU cg: RN ai: 209 vo: 50 vu: ml t0: [16:00:00 11/10/2012] id: Fresh Frozen Plasma IV Infusions el: 1 cu: MICU cg: RN ai: 155 vo: 301 vu: ml
t0: [23:00:00 11/10/2012] dt: 24 id: Blood Products Total el: 2 cu: MICU cg: RN cv: 1168 ap: none
t0: [17:00:00 11/10/2012] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [17:00:00 11/10/2012] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [17:00:00 11/10/2012] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [17:00:00 11/10/2012] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [17:00:00 11/10/2012] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [17:00:00 11/10/2012] id: Heart Rate el: 0 cu: MICU cg: RN v1: 77 u1: BPM st: NotStopd t0: [17:00:00 11/10/2012] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [17:00:00 11/10/2012] id: NBP el: 0 cu: MICU cg: RN v1: 124 u1: mmHg v2: 74 u2: mmHg st: NotStopd t0: [17:00:00 11/10/2012] id: NBP Mean el: 0 cu: MICU cg: RN v1: 90.6667 u1: mmHg st: NotStopd t0: [17:00:00 11/10/2012] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [17:00:00 11/10/2012] id: Previous WeightF el: 0 cu: MICU cg: RN v1: 87.3 u1: kg st: NotStopd t0: [17:00:00 11/10/2012] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 22 u1: BPM st: NotStopd t0: [17:00:00 11/10/2012] id: SpO2 el: 0 cu: MICU cg: RN v1: 100 u1: % st: NotStopd t0: [17:00:00 11/10/2012] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [17:00:00 11/10/2012] id: IV Piggyback IV Infusions el: 1 cu: MICU cg: RN ai: 209 vo: 50 vu: ml t0: [17:00:00 11/10/2012] id: .9% Normal Saline IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 10 vu: ml t0: [17:00:00 11/10/2012] id: D5W 100.0ml + 600mcghr Sandostatin IV Infusions el: 2 cu: MICU cg: RN ai: 107 vo: 8.33333 vu: ml t0: [17:00:00 11/10/2012] id: Stool Out Stool el: 1 cu: MICU cg: RN vo: 200 vu: ml t0: [17:00:00 11/10/2012] id: Urine Out Foley el: 2 cu: MICU cg: RN vo: 100 vu: ml t0: [17:00:00 11/10/2012] id: TPN 1600.0ml IV Infusions el: 1 cu: MICU cg: RN ai: -1 vo: 66 vu: ml
t0: [17:00:00 11/10/2012] id: Sandostatin el: 2 cu: MICU cg: RN so: D5W vo: 0 v1: 50 du: mcghr sv: 100 su: ml rt: IV Drip
t0: [17:00:00 11/10/2012] id: Chest PT R/L el: 0 cu: MICU cg: RN v1: Done v2: Done st: NotStopd t0: [17:00:00 11/10/2012] id: Cough/Deep Breathe el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [17:00:00 11/10/2012] id: Eye Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [17:00:00 11/10/2012] id: HOB el: 0 cu: MICU cg: RN v1: 30 degrees st: NotStopd t0: [17:00:00 11/10/2012] id: Activity el: 0 cu: MICU cg: RN v1: Bedrest st: NotStopd t0: [17:00:00 11/10/2012] id: Activity Tolerance el: 0 cu: MICU cg: RN v1: Tolerated Well st: NotStopd t0: [17:00:00 11/10/2012] id: Oral Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [17:00:00 11/10/2012] id: AntiEmbDevice/Status el: 0 cu: MICU cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [17:00:00 11/10/2012] id: Position el: 0 cu: MICU cg: RN v1: Right Side st: NotStopd t0: [17:00:00 11/10/2012] id: Assistance Device el: 0 cu: MICU cg: RN v1: 1 Person Assist st: NotStopd t0: [17:00:00 11/10/2012] id: Turn el: 0 cu: MICU cg: RN v1: Side to Side st: NotStopd t0: [17:00:00 11/10/2012] id: Back Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd
t0: [18:00:00 11/10/2012] id: Fingerstick Glucose Chemistry el: 0 cu: MICU cg: RN v1: 111 rs: Manual st: NotStopd
t0: [18:00:00 11/10/2012] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [18:00:00 11/10/2012] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [18:00:00 11/10/2012] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [18:00:00 11/10/2012] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [18:00:00 11/10/2012] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [18:00:00 11/10/2012] id: Heart Rate el: 0 cu: MICU cg: RN v1: 72 u1: BPM st: NotStopd t0: [18:00:00 11/10/2012] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [18:00:00 11/10/2012] id: NBP el: 0 cu: MICU cg: RN v1: 138 u1: mmHg v2: 76 u2: mmHg st: NotStopd t0: [18:00:00 11/10/2012] id: NBP Mean el: 0 cu: MICU cg: RN v1: 96.6667 u1: mmHg st: NotStopd t0: [18:00:00 11/10/2012] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [18:00:00 11/10/2012] id: Previous WeightF el: 0 cu: MICU cg: RN v1: 87.3 u1: kg st: NotStopd t0: [18:00:00 11/10/2012] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 23 u1: BPM st: NotStopd t0: [18:00:00 11/10/2012] id: SpO2 el: 0 cu: MICU cg: RN v1: 99 u1: % st: NotStopd t0: [18:00:00 11/10/2012] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [18:00:00 11/10/2012] id: .9% Normal Saline IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 10 vu: ml t0: [18:00:00 11/10/2012] id: D5W 100.0ml + 600mcghr Sandostatin IV Infusions el: 2 cu: MICU cg: RN ai: 107 vo: 8.33333 vu: ml t0: [18:00:00 11/10/2012] id: Stool Out Stool el: 1 cu: MICU cg: RN vo: 100 vu: ml t0: [18:00:00 11/10/2012] id: Urine Out Foley el: 2 cu: MICU cg: RN vo: 90 vu: ml t0: [18:00:00 11/10/2012] id: TPN 1600.0ml IV Infusions el: 1 cu: MICU cg: RN ai: -1 vo: 69.2 vu: ml
t0: [18:00:00 11/10/2012] id: Sandostatin el: 2 cu: MICU cg: RN so: D5W vo: 0 v1: 50 du: mcghr sv: 100 su: ml rt: IV Drip
t0: [23:00:00 11/10/2012] dt: 24 id: Stool Out Total el: 2 cu: MICU cg: RN cv: 925 ap: none
t0: [18:17:00 11/10/2012] id: Arterial Base Excess ABG el: 0 cu: MICU cg: 1663 v1: 2 rs: Final st: NotStopd t0: [18:17:00 11/10/2012] id: Arterial CO2(Calc) ABG el: 0 cu: MICU cg: 1663 v1: 28 rs: Final st: NotStopd t0: [18:17:00 11/10/2012] id: Arterial PaCO2 ABG el: 0 cu: MICU cg: 1663 v1: 42 u1: mmHg rs: Final st: NotStopd t0: [18:17:00 11/10/2012] id: Arterial PaO2 ABG el: 0 cu: MICU cg: 1663 v1: 69 u1: mmHg rs: Final st: NotStopd
t0: [18:00:00 11/10/2012] id: Hematocrit Hematology el: 0 cu: MICU cg: RN v1: 36.6 u1: % rs: Final st: NotStopd t0: [18:17:00 11/10/2012] id: Art.pH ABG el: 0 cu: MICU cg: RN v1: 7.42 rs: Final st: NotStopd t0: [18:17:00 11/10/2012] id: Arterial pH ABG el: 0 cu: MICU cg: RN v1: 7.42 rs: Final st: NotStopd
t0: [19:00:00 11/10/2012] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [19:00:00 11/10/2012] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [19:00:00 11/10/2012] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [19:00:00 11/10/2012] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [19:00:00 11/10/2012] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [19:00:00 11/10/2012] id: Heart Rate el: 0 cu: MICU cg: RN v1: 67 u1: BPM st: NotStopd t0: [19:00:00 11/10/2012] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [19:00:00 11/10/2012] id: NBP el: 0 cu: MICU cg: RN v1: 134 u1: mmHg v2: 68 u2: mmHg st: NotStopd t0: [19:00:00 11/10/2012] id: NBP Mean el: 0 cu: MICU cg: RN v1: 90 u1: mmHg st: NotStopd t0: [19:00:00 11/10/2012] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [19:00:00 11/10/2012] id: Previous WeightF el: 0 cu: MICU cg: RN v1: 87.3 u1: kg st: NotStopd t0: [19:00:00 11/10/2012] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 20 u1: BPM st: NotStopd t0: [19:00:00 11/10/2012] id: SpO2 el: 0 cu: MICU cg: RN v1: 99 u1: % st: NotStopd t0: [19:00:00 11/10/2012] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [19:00:00 11/10/2012] id: .9% Normal Saline IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 10 vu: ml t0: [19:00:00 11/10/2012] id: D5W 100.0ml + 600mcghr Sandostatin IV Infusions el: 2 cu: MICU cg: RN ai: 107 vo: 8.33333 vu: ml t0: [19:00:00 11/10/2012] id: Urine Out Foley el: 2 cu: MICU cg: RN vo: 35 vu: ml t0: [19:00:00 11/10/2012] id: TPN 1600.0ml IV Infusions el: 1 cu: MICU cg: RN ai: -1 vo: 69.2 vu: ml
t0: [19:00:00 11/10/2012] id: Sandostatin el: 2 cu: MICU cg: RN so: D5W vo: 0 v1: 50 du: mcghr sv: 100 su: ml rt: IV Drip
t0: [20:00:00 11/10/2012] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [20:00:00 11/10/2012] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [20:00:00 11/10/2012] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [20:00:00 11/10/2012] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [20:00:00 11/10/2012] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [20:00:00 11/10/2012] id: Heart Rate el: 0 cu: MICU cg: RN v1: 86 u1: BPM st: NotStopd t0: [20:00:00 11/10/2012] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [20:00:00 11/10/2012] id: NBP el: 0 cu: MICU cg: RN v1: 134 u1: mmHg v2: 69 u2: mmHg st: NotStopd t0: [20:00:00 11/10/2012] id: NBP Mean el: 0 cu: MICU cg: RN v1: 90.6667 u1: mmHg st: NotStopd t0: [20:00:00 11/10/2012] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [20:00:00 11/10/2012] id: Previous WeightF el: 0 cu: MICU cg: RN v1: 87.3 u1: kg st: NotStopd t0: [20:00:00 11/10/2012] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 20 u1: BPM st: NotStopd t0: [20:00:00 11/10/2012] id: SpO2 el: 0 cu: MICU cg: RN v1: 98 u1: % st: NotStopd t0: [20:00:00 11/10/2012] id: Temp. Site el: 0 cu: MICU cg: RN v1: Axillary st: NotStopd t0: [20:00:00 11/10/2012] id: Temperature C (calc) el: 0 cu: MICU cg: RN v1: 36.3333 u1: Deg. C st: NotStopd t0: [20:00:00 11/10/2012] id: Temperature F el: 0 cu: MICU cg: RN v1: 97.4 u1: Deg. F st: NotStopd t0: [20:00:00 11/10/2012] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [21:00:00 11/10/2012] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [21:00:00 11/10/2012] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [21:00:00 11/10/2012] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [21:00:00 11/10/2012] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [21:00:00 11/10/2012] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [21:00:00 11/10/2012] id: Heart Rate el: 0 cu: MICU cg: RN v1: 79 u1: BPM st: NotStopd t0: [21:00:00 11/10/2012] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [21:00:00 11/10/2012] id: NBP el: 0 cu: MICU cg: RN v1: 129 u1: mmHg v2: 62 u2: mmHg st: NotStopd t0: [21:00:00 11/10/2012] id: NBP Mean el: 0 cu: MICU cg: RN v1: 84.3333 u1: mmHg st: NotStopd t0: [21:00:00 11/10/2012] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [21:00:00 11/10/2012] id: Previous WeightF el: 0 cu: MICU cg: RN v1: 87.3 u1: kg st: NotStopd t0: [21:00:00 11/10/2012] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 20 u1: BPM st: NotStopd t0: [21:00:00 11/10/2012] id: SpO2 el: 0 cu: MICU cg: RN v1: 97 u1: % st: NotStopd t0: [21:00:00 11/10/2012] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [20:00:00 11/10/2012] id: Sandostatin el: 2 cu: MICU cg: RN so: D5W vo: 0 v1: 50 du: mcghr sv: 100 su: ml rt: IV Drip t0: [21:00:00 11/10/2012] id: Sandostatin el: 2 cu: MICU cg: RN so: D5W vo: 0 v1: 50 du: mcghr sv: 100 su: ml rt: IV Drip
t0: [20:00:00 11/10/2012] id: Less Restrict Meas. el: 0 cu: MICU cg: RN v1: Orientation st: NotStopd t0: [20:00:00 11/10/2012] id: Range of Motion el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [20:00:00 11/10/2012] id: Circulation/SkinInt el: 0 cu: MICU cg: RN v1: Circulation Adeq st: NotStopd t0: [20:00:00 11/10/2012] id: Cough Effort el: 0 cu: MICU cg: RN v1: Weak st: NotStopd t0: [20:00:00 11/10/2012] id: Cough Reflex el: 0 cu: MICU cg: RN v1: Intact st: NotStopd t0: [20:00:00 11/10/2012] id: Cough Type el: 0 cu: MICU cg: RN v1: Productive st: NotStopd t0: [20:00:00 11/10/2012] id: GI Prophylaxis el: 0 cu: MICU cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [20:00:00 11/10/2012] id: Diet Type el: 0 cu: MICU cg: RN v1: NPO st: NotStopd t0: [20:00:00 11/10/2012] id: Dorsal PedPulse R/L el: 0 cu: MICU cg: RN v1: Strong/Palpable v2: Strong/Palpable st: NotStopd t0: [20:00:00 11/10/2012] id: Eye Opening el: 0 cu: MICU cg: RN v1: 4 Spontaneously st: NotStopd t0: [20:00:00 11/10/2012] id: Follows Commands el: 0 cu: MICU cg: RN v1: Inconsistently st: NotStopd t0: [20:00:00 11/10/2012] id: GCS Total el: 0 cu: MICU cg: RN v1: 13 u1: points st: NotStopd t0: [20:00:00 11/10/2012] id: Gag Reflex el: 0 cu: MICU cg: RN v1: Impaired st: NotStopd t0: [20:00:00 11/10/2012] id: INV Line#3 Type/Site el: 0 cu: MICU cg: RN v1: Multi-lumen v2: Right IJ st: NotStopd t0: [20:00:00 11/10/2012] id: INV Line#3InsertDate el: 0 cu: MICU cg: RN v1: 9 v2: 14 st: NotStopd t0: [20:00:00 11/10/2012] id: INV Line#3SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [20:00:00 11/10/2012] id: Abdominal Assessment el: 0 cu: MICU cg: RN v1: Ascites st: NotStopd t0: [20:00:00 11/10/2012] id: IV #1 Insert Date el: 0 cu: MICU cg: RN v1: 9 v2: 18 st: NotStopd t0: [20:00:00 11/10/2012] id: IV #1 Site/Size el: 0 cu: MICU cg: RN v1: Left Antecub v2: 18 gauge st: NotStopd t0: [20:00:00 11/10/2012] id: IV #4 Insert Date el: 0 cu: MICU cg: RN v1: 9 v2: 18 st: NotStopd t0: [20:00:00 11/10/2012] id: IV #4 Site/Size el: 0 cu: MICU cg: RN v1: Left Wrist v2: 18 gauge st: NotStopd t0: [20:00:00 11/10/2012] id: IV Site Appear #1 el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [20:00:00 11/10/2012] id: IV Site Appear #4 el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [20:00:00 11/10/2012] id: LLL Lung Sounds el: 0 cu: MICU cg: RN v1: Bronchial st: NotStopd t0: [20:00:00 11/10/2012] id: LUL Lung Sounds el: 0 cu: MICU cg: RN v1: Clear st: NotStopd t0: [20:00:00 11/10/2012] id: Level of Conscious el: 0 cu: MICU cg: RN v1: Lethargic st: NotStopd t0: [20:00:00 11/10/2012] id: Motor Response el: 0 cu: MICU cg: RN v1: 5 Localizes Pain st: NotStopd t0: [20:00:00 11/10/2012] id: Oral Cavity el: 0 cu: MICU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [20:00:00 11/10/2012] id: Orientation el: 0 cu: MICU cg: RN v1: Oriented x 1 st: NotStopd t0: [20:00:00 11/10/2012] id: Position Change el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [20:00:00 11/10/2012] id: PostTib. Pulses R/L el: 0 cu: MICU cg: RN v1: Strong/Palpable v2: Strong/Palpable st: NotStopd t0: [20:00:00 11/10/2012] id: Pupil Response R/L el: 0 cu: MICU cg: RN v1: Brisk v2: Brisk st: NotStopd t0: [20:00:00 11/10/2012] id: Pupil Size R/L el: 0 cu: MICU cg: RN v1: 3 mm v2: 3 mm st: NotStopd t0: [20:00:00 11/10/2012] id: RLL Lung Sounds el: 0 cu: MICU cg: RN v1: Bronchial st: NotStopd t0: [20:00:00 11/10/2012] id: RUL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [20:00:00 11/10/2012] id: Reason For Restraint el: 0 cu: MICU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [20:00:00 11/10/2012] id: Removed x 5 Mins el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [20:00:00 11/10/2012] id: Respiratory Pattern el: 0 cu: MICU cg: RN v1: Regular st: NotStopd t0: [20:00:00 11/10/2012] id: Restraint Location el: 0 cu: MICU cg: RN v1: Both Arms st: NotStopd t0: [20:00:00 11/10/2012] id: Restraint Type el: 0 cu: MICU cg: RN v1: Soft Limb st: NotStopd t0: [20:00:00 11/10/2012] id: Restraints Evaluated el: 0 cu: MICU cg: RN v1: Behavior Conts st: NotStopd t0: [20:00:00 11/10/2012] id: Side Rails el: 0 cu: MICU cg: RN v1: Side Rails Up st: NotStopd t0: [20:00:00 11/10/2012] id: Skin Color el: 0 cu: MICU cg: RN v1: Jaundiced st: NotStopd t0: [20:00:00 11/10/2012] id: Skin Integrity el: 0 cu: MICU cg: RN v1: Impaired st: NotStopd t0: [20:00:00 11/10/2012] id: Skin Temp/Condition el: 0 cu: MICU cg: RN v1: Warm v2: Dry st: NotStopd t0: [20:00:00 11/10/2012] id: Spontaneous Movement el: 0 cu: MICU cg: RN v1: Purposeful st: NotStopd t0: [20:00:00 11/10/2012] id: Support Systems el: 0 cu: MICU cg: RN v1: Spouse st: NotStopd t0: [20:00:00 11/10/2012] id: Turn el: 0 cu: MICU cg: RN v1: Back st: NotStopd t0: [20:00:00 11/10/2012] id: Urine Color/Appear el: 0 cu: MICU cg: RN v1: Icteric v2: Clear st: NotStopd t0: [20:00:00 11/10/2012] id: Urine Source el: 0 cu: MICU cg: RN v1: Indwelling Cath st: NotStopd t0: [20:00:00 11/10/2012] id: Verbal Response el: 0 cu: MICU cg: RN v1: 4 Confused st: NotStopd t0: [20:00:00 11/10/2012] id: Bowel Sounds el: 0 cu: MICU cg: RN v1: Hypoactive st: NotStopd t0: [21:00:00 11/10/2012] id: Chest PT R/L el: 0 cu: MICU cg: RN v1: Done v2: Done st: NotStopd t0: [21:00:00 11/10/2012] id: Cough/Deep Breathe el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [21:00:00 11/10/2012] id: HOB el: 0 cu: MICU cg: RN v1: 30 degrees st: NotStopd t0: [21:00:00 11/10/2012] id: Activity el: 0 cu: MICU cg: RN v1: Bedrest st: NotStopd t0: [21:00:00 11/10/2012] id: Activity Tolerance el: 0 cu: MICU cg: RN v1: Good st: NotStopd t0: [21:00:00 11/10/2012] id: Oral Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [21:00:00 11/10/2012] id: AntiEmbDevice/Status el: 0 cu: MICU cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [21:00:00 11/10/2012] id: Position el: 0 cu: MICU cg: RN v1: Right Side st: NotStopd t0: [21:00:00 11/10/2012] id: Assistance Device el: 0 cu: MICU cg: RN v1: 2 Person Assist st: NotStopd t0: [21:00:00 11/10/2012] id: Skin Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [21:00:00 11/10/2012] id: Turn el: 0 cu: MICU cg: RN v1: Side to Side st: NotStopd t0: [21:00:00 11/10/2012] id: Back Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd
t0: [21:00:00 11/10/2012] id: .9% Normal Saline IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 20 vu: ml t0: [21:00:00 11/10/2012] id: D5W 100.0ml + 600mcghr Sandostatin IV Infusions el: 2 cu: MICU cg: RN ai: 107 vo: 16.6667 vu: ml t0: [21:00:00 11/10/2012] id: Urine Out Foley el: 2 cu: MICU cg: RN vo: 400 vu: ml t0: [21:00:00 11/10/2012] id: TPN 1600.0ml IV Infusions el: 1 cu: MICU cg: RN ai: -1 vo: 138.4 vu: ml
tf: [11:00:00 12/10/2012] pt: Unit Dose rt: IV fr: ONCE fs: 21 dn: 1 m1: Furosemide v1: 20 u1: mg
t0: [22:00:00 11/10/2012] id: Less Restrict Meas. el: 0 cu: MICU cg: RN v1: Orientation st: NotStopd t0: [22:00:00 11/10/2012] id: Range of Motion el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [22:00:00 11/10/2012] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [22:00:00 11/10/2012] id: Circulation/SkinInt el: 0 cu: MICU cg: RN v1: Circulation Adeq st: NotStopd t0: [22:00:00 11/10/2012] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [22:00:00 11/10/2012] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [22:00:00 11/10/2012] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [22:00:00 11/10/2012] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [22:00:00 11/10/2012] id: Heart Rate el: 0 cu: MICU cg: RN v1: 69 u1: BPM st: NotStopd t0: [22:00:00 11/10/2012] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [22:00:00 11/10/2012] id: NBP el: 0 cu: MICU cg: RN v1: 116 u1: mmHg v2: 75 u2: mmHg st: NotStopd t0: [22:00:00 11/10/2012] id: NBP Mean el: 0 cu: MICU cg: RN v1: 88.6667 u1: mmHg st: NotStopd t0: [22:00:00 11/10/2012] id: Position Change el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [22:00:00 11/10/2012] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [22:00:00 11/10/2012] id: Previous WeightF el: 0 cu: MICU cg: RN v1: 87.3 u1: kg st: NotStopd t0: [22:00:00 11/10/2012] id: Reason For Restraint el: 0 cu: MICU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [22:00:00 11/10/2012] id: Removed x 5 Mins el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [22:00:00 11/10/2012] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 20 u1: BPM st: NotStopd t0: [22:00:00 11/10/2012] id: Restraint Location el: 0 cu: MICU cg: RN v1: Both Arms st: NotStopd t0: [22:00:00 11/10/2012] id: Restraint Type el: 0 cu: MICU cg: RN v1: Soft Limb st: NotStopd t0: [22:00:00 11/10/2012] id: Restraints Evaluated el: 0 cu: MICU cg: RN v1: Behavior Conts st: NotStopd t0: [22:00:00 11/10/2012] id: Side Rails el: 0 cu: MICU cg: RN v1: Side Rails Up st: NotStopd t0: [22:00:00 11/10/2012] id: SpO2 el: 0 cu: MICU cg: RN v1: 99 u1: % st: NotStopd t0: [22:00:00 11/10/2012] id: Support Systems el: 0 cu: MICU cg: RN v1: Spouse st: NotStopd t0: [22:00:00 11/10/2012] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [21:30:00 11/10/2012] id: Urine Out Foley el: 2 cu: MICU cg: RN vo: 400 vu: ml t0: [22:00:00 11/10/2012] id: .9% Normal Saline IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 10 vu: ml t0: [22:00:00 11/10/2012] id: D5W 100.0ml + 600mcghr Sandostatin IV Infusions el: 2 cu: MICU cg: RN ai: 107 vo: 8.33333 vu: ml t0: [22:00:00 11/10/2012] id: Urine Out Foley el: 2 cu: MICU cg: RN vo: 400 vu: ml t0: [22:00:00 11/10/2012] id: TPN 1600.0ml IV Infusions el: 1 cu: MICU cg: RN ai: -1 vo: 69.2 vu: ml
t0: [22:00:00 11/10/2012] id: Sandostatin el: 2 cu: MICU cg: RN so: D5W vo: 0 v1: 50 du: mcghr sv: 100 su: ml rt: IV Drip
t0: [23:00:00 11/10/2012] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [23:00:00 11/10/2012] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [23:00:00 11/10/2012] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [23:00:00 11/10/2012] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [23:00:00 11/10/2012] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [23:00:00 11/10/2012] id: Heart Rate el: 0 cu: MICU cg: RN v1: 90 u1: BPM st: NotStopd t0: [23:00:00 11/10/2012] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [23:00:00 11/10/2012] id: INV Line#3 Type/Site el: 0 cu: MICU cg: RN v1: Multi-lumen v2: Right IJ st: NotStopd t0: [23:00:00 11/10/2012] id: INV Line#3InsertDate el: 0 cu: MICU cg: RN v1: 9 v2: 14 st: NotStopd t0: [23:00:00 11/10/2012] id: IV #1 Insert Date el: 0 cu: MICU cg: RN v1: 9 v2: 18 st: NotStopd t0: [23:00:00 11/10/2012] id: IV #1 Site/Size el: 0 cu: MICU cg: RN v1: Left Antecub v2: 18 gauge st: NotStopd t0: [23:00:00 11/10/2012] id: IV #4 D/C Date el: 0 cu: MICU cg: RN v1: 8 v2: 18 st: NotStopd t0: [23:00:00 11/10/2012] id: IV #4 Insert Date el: 0 cu: MICU cg: RN v1: 9 v2: 18 st: NotStopd t0: [23:00:00 11/10/2012] id: IV #4 Site/Size el: 0 cu: MICU cg: RN v1: Left Wrist v2: 18 gauge st: NotStopd t0: [23:00:00 11/10/2012] id: IV Site Appear #1 el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [23:00:00 11/10/2012] id: IV Site Appear #4 el: 0 cu: MICU cg: RN v1: Other/Remarks st: NotStopd t0: [23:00:00 11/10/2012] id: NBP el: 0 cu: MICU cg: RN v1: 126 u1: mmHg v2: 81 u2: mmHg st: NotStopd t0: [23:00:00 11/10/2012] id: NBP Mean el: 0 cu: MICU cg: RN v1: 96 u1: mmHg st: NotStopd t0: [23:00:00 11/10/2012] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [23:00:00 11/10/2012] id: Previous WeightF el: 0 cu: MICU cg: RN v1: 87.3 u1: kg st: NotStopd t0: [23:00:00 11/10/2012] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 20 u1: BPM st: NotStopd t0: [23:00:00 11/10/2012] id: SpO2 el: 0 cu: MICU cg: RN v1: 96 u1: % st: NotStopd t0: [23:00:00 11/10/2012] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [23:00:00 11/10/2012] id: .9% Normal Saline IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 10 vu: ml t0: [23:00:00 11/10/2012] id: D5W 100.0ml + 600mcghr Sandostatin IV Infusions el: 2 cu: MICU cg: RN ai: 107 vo: 8.33333 vu: ml t0: [23:00:00 11/10/2012] id: Urine Out Foley el: 2 cu: MICU cg: RN vo: 400 vu: ml t0: [23:00:00 11/10/2012] id: TPN 1600.0ml IV Infusions el: 1 cu: MICU cg: RN ai: -1 vo: 69.2 vu: ml
t0: [23:00:00 11/10/2012] id: Sandostatin el: 2 cu: MICU cg: RN so: D5W vo: 0 v1: 50 du: mcghr sv: 100 su: ml rt: IV Drip
t0: [23:00:00 11/10/2012] id: Turn el: 0 cu: MICU cg: RN v1: Back st: NotStopd t0: [00:00:00 12/10/2012] id: Less Restrict Meas. el: 0 cu: MICU cg: RN v1: Orientation st: NotStopd t0: [00:00:00 12/10/2012] id: Range of Motion el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [00:00:00 12/10/2012] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [00:00:00 12/10/2012] id: Chest PT R/L el: 0 cu: MICU cg: RN v1: Done v2: Done st: NotStopd t0: [00:00:00 12/10/2012] id: Circulation/SkinInt el: 0 cu: MICU cg: RN v1: Circulation Adeq st: NotStopd t0: [00:00:00 12/10/2012] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [00:00:00 12/10/2012] id: Cough Effort el: 0 cu: MICU cg: RN v1: Weak st: NotStopd t0: [00:00:00 12/10/2012] id: Cough Reflex el: 0 cu: MICU cg: RN v1: Impaired st: NotStopd t0: [00:00:00 12/10/2012] id: Cough Type el: 0 cu: MICU cg: RN v1: Productive st: NotStopd t0: [00:00:00 12/10/2012] id: Cough/Deep Breathe el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [00:00:00 12/10/2012] id: GI Prophylaxis el: 0 cu: MICU cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [00:00:00 12/10/2012] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [00:00:00 12/10/2012] id: Diet Type el: 0 cu: MICU cg: RN v1: NPO st: NotStopd t0: [00:00:00 12/10/2012] id: Dorsal PedPulse R/L el: 0 cu: MICU cg: RN v1: Strong/Palpable v2: Strong/Palpable st: NotStopd t0: [00:00:00 12/10/2012] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [00:00:00 12/10/2012] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [00:00:00 12/10/2012] id: Eye Opening el: 0 cu: MICU cg: RN v1: 4 Spontaneously st: NotStopd t0: [00:00:00 12/10/2012] id: Follows Commands el: 0 cu: MICU cg: RN v1: Inconsistently st: NotStopd t0: [00:00:00 12/10/2012] id: GCS Total el: 0 cu: MICU cg: RN v1: 14 u1: points st: NotStopd t0: [00:00:00 12/10/2012] id: Gag Reflex el: 0 cu: MICU cg: RN v1: Impaired st: NotStopd t0: [00:00:00 12/10/2012] id: HOB el: 0 cu: MICU cg: RN v1: 45 degrees st: NotStopd t0: [00:00:00 12/10/2012] id: Heart Rate el: 0 cu: MICU cg: RN v1: 76 u1: BPM st: NotStopd t0: [00:00:00 12/10/2012] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [00:00:00 12/10/2012] id: Abdominal Assessment el: 0 cu: MICU cg: RN v1: Ascites st: NotStopd t0: [00:00:00 12/10/2012] id: Activity el: 0 cu: MICU cg: RN v1: Bedrest st: NotStopd t0: [00:00:00 12/10/2012] id: Activity Tolerance el: 0 cu: MICU cg: RN v1: Good st: NotStopd t0: [00:00:00 12/10/2012] id: LLL Lung Sounds el: 0 cu: MICU cg: RN v1: Bronchial st: NotStopd t0: [00:00:00 12/10/2012] id: LUL Lung Sounds el: 0 cu: MICU cg: RN v1: Clear st: NotStopd t0: [00:00:00 12/10/2012] id: Level of Conscious el: 0 cu: MICU cg: RN v1: Lethargic st: NotStopd t0: [00:00:00 12/10/2012] id: Motor Response el: 0 cu: MICU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [00:00:00 12/10/2012] id: NBP el: 0 cu: MICU cg: RN v1: 123 u1: mmHg v2: 63 u2: mmHg st: NotStopd t0: [00:00:00 12/10/2012] id: NBP Mean el: 0 cu: MICU cg: RN v1: 83 u1: mmHg st: NotStopd t0: [00:00:00 12/10/2012] id: O2 Delivery Device el: 0 cu: MICU cg: RN v1: Nasal Cannula st: NotStopd t0: [00:00:00 12/10/2012] id: O2 Flow (lpm) el: 0 cu: MICU cg: RN v1: 3 u1: lpm st: NotStopd t0: [00:00:00 12/10/2012] id: Oral Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [00:00:00 12/10/2012] id: Oral Cavity el: 0 cu: MICU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [00:00:00 12/10/2012] id: Orientation el: 0 cu: MICU cg: RN v1: Oriented x 1 st: NotStopd t0: [00:00:00 12/10/2012] id: AntiEmbDevice/Status el: 0 cu: MICU cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [00:00:00 12/10/2012] id: Position el: 0 cu: MICU cg: RN v1: Left Side st: NotStopd t0: [00:00:00 12/10/2012] id: Position Change el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [00:00:00 12/10/2012] id: PostTib. Pulses R/L el: 0 cu: MICU cg: RN v1: Strong/Palpable v2: Strong/Palpable st: NotStopd t0: [00:00:00 12/10/2012] id: Assistance Device el: 0 cu: MICU cg: RN v1: 2 Person Assist st: NotStopd t0: [00:00:00 12/10/2012] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [00:00:00 12/10/2012] id: Previous WeightF el: 0 cu: MICU cg: RN v1: 87.3 u1: kg st: NotStopd t0: [00:00:00 12/10/2012] id: Pupil Response R/L el: 0 cu: MICU cg: RN v1: Brisk v2: Brisk st: NotStopd t0: [00:00:00 12/10/2012] id: Pupil Size R/L el: 0 cu: MICU cg: RN v1: 3 mm v2: 3 mm st: NotStopd t0: [00:00:00 12/10/2012] id: RLL Lung Sounds el: 0 cu: MICU cg: RN v1: Diminished st: NotStopd t0: [00:00:00 12/10/2012] id: RUL Lung Sounds el: 0 cu: MICU cg: RN v1: Clear st: NotStopd t0: [00:00:00 12/10/2012] id: Reason For Restraint el: 0 cu: MICU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [00:00:00 12/10/2012] id: Removed x 5 Mins el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [00:00:00 12/10/2012] id: Respiratory Pattern el: 0 cu: MICU cg: RN v1: Regular st: NotStopd t0: [00:00:00 12/10/2012] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 16 u1: BPM st: NotStopd t0: [00:00:00 12/10/2012] id: Restraint Location el: 0 cu: MICU cg: RN v1: Both Arms st: NotStopd t0: [00:00:00 12/10/2012] id: Restraint Type el: 0 cu: MICU cg: RN v1: Soft Limb st: NotStopd t0: [00:00:00 12/10/2012] id: Restraints Evaluated el: 0 cu: MICU cg: RN v1: Behavior Conts st: NotStopd t0: [00:00:00 12/10/2012] id: Side Rails el: 0 cu: MICU cg: RN v1: Side Rails Up st: NotStopd t0: [00:00:00 12/10/2012] id: Skin Color el: 0 cu: MICU cg: RN v1: Jaundiced st: NotStopd t0: [00:00:00 12/10/2012] id: Skin Integrity el: 0 cu: MICU cg: RN v1: Impaired st: NotStopd t0: [00:00:00 12/10/2012] id: Skin Temp/Condition el: 0 cu: MICU cg: RN v1: Warm v2: Dry st: NotStopd t0: [00:00:00 12/10/2012] id: SpO2 el: 0 cu: MICU cg: RN v1: 96 u1: % st: NotStopd t0: [00:00:00 12/10/2012] id: Spontaneous Movement el: 0 cu: MICU cg: RN v1: Purposeful st: NotStopd t0: [00:00:00 12/10/2012] id: Support Systems el: 0 cu: MICU cg: RN v1: Spouse st: NotStopd t0: [00:00:00 12/10/2012] id: Temp. Site el: 0 cu: MICU cg: RN v1: Axillary st: NotStopd t0: [00:00:00 12/10/2012] id: Temperature C (calc) el: 0 cu: MICU cg: RN v1: 36.3333 u1: Deg. C st: NotStopd t0: [00:00:00 12/10/2012] id: Temperature F el: 0 cu: MICU cg: RN v1: 97.4 u1: Deg. F st: NotStopd t0: [00:00:00 12/10/2012] id: Turn el: 0 cu: MICU cg: RN v1: Side to Side st: NotStopd t0: [00:00:00 12/10/2012] id: Urine Color/Appear el: 0 cu: MICU cg: RN v1: Icteric v2: Clear st: NotStopd t0: [00:00:00 12/10/2012] id: Urine Source el: 0 cu: MICU cg: RN v1: Indwelling Cath st: NotStopd t0: [00:00:00 12/10/2012] id: Verbal Response el: 0 cu: MICU cg: RN v1: 4 Confused st: NotStopd t0: [00:00:00 12/10/2012] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [00:00:00 12/10/2012] id: Bowel Sounds el: 0 cu: MICU cg: RN v1: Hypoactive st: NotStopd t0: [00:00:00 12/10/2012] id: Braden Activity el: 0 cu: MICU cg: RN v1: Bedfast st: NotStopd t0: [00:00:00 12/10/2012] id: Braden Frict/Shear el: 0 cu: MICU cg: RN v1: Problem st: NotStopd t0: [00:00:00 12/10/2012] id: Braden Mobility el: 0 cu: MICU cg: RN v1: Very Limited st: NotStopd t0: [00:00:00 12/10/2012] id: Braden Moisture el: 0 cu: MICU cg: RN v1: Occ. Moist st: NotStopd t0: [00:00:00 12/10/2012] id: Braden Nutrition el: 0 cu: MICU cg: RN v1: Adequate st: NotStopd t0: [00:00:00 12/10/2012] id: Braden Score el: 0 cu: MICU cg: RN v1: 12 u1: number st: NotStopd t0: [00:00:00 12/10/2012] id: Braden SensoryPercep el: 0 cu: MICU cg: RN v1: Very Limited st: NotStopd
t0: [21:00:00 11/10/2012] id: IV Piggyback IV Infusions el: 1 cu: MICU cg: RN ai: 209 vo: 100 vu: ml t0: [00:00:00 12/10/2012] id: IV Piggyback IV Infusions el: 1 cu: MICU cg: RN ai: 209 vo: 100 vu: ml t0: [00:00:00 12/10/2012] id: .9% Normal Saline IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 10 vu: ml t0: [00:00:00 12/10/2012] id: D5W 100.0ml + 600mcghr Sandostatin IV Infusions el: 2 cu: MICU cg: RN ai: 107 vo: 8.33333 vu: ml t0: [00:00:00 12/10/2012] id: Urine Out Foley el: 2 cu: MICU cg: RN vo: 200 vu: ml t0: [00:00:00 12/10/2012] id: TPN 1600.0ml IV Infusions el: 1 cu: MICU cg: RN ai: -1 vo: 69.2 vu: ml
t0: [00:00:00 12/10/2012] id: Sandostatin el: 2 cu: MICU cg: RN so: D5W vo: 0 v1: 50 du: mcghr sv: 100 su: ml rt: IV Drip
t0: [00:00:00 12/10/2012] id: IV #4 D/C Date el: 0 cu: MICU cg: -1 st: D/C'd t0: [00:00:00 12/10/2012] id: IV #4 Insert Date el: 0 cu: MICU cg: -1 st: D/C'd t0: [00:00:00 12/10/2012] id: IV #4 Site/Size el: 0 cu: MICU cg: -1 st: D/C'd t0: [00:00:00 12/10/2012] id: IV Site Appear #4 el: 0 cu: MICU cg: -1 st: D/C'd
t0: [01:00:00 12/10/2012] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [01:00:00 12/10/2012] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [01:00:00 12/10/2012] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [01:00:00 12/10/2012] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [01:00:00 12/10/2012] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [01:00:00 12/10/2012] id: Heart Rate el: 0 cu: MICU cg: RN v1: 74 u1: BPM st: NotStopd t0: [01:00:00 12/10/2012] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [01:00:00 12/10/2012] id: NBP el: 0 cu: MICU cg: RN v1: 121 u1: mmHg v2: 61 u2: mmHg st: NotStopd t0: [01:00:00 12/10/2012] id: NBP Mean el: 0 cu: MICU cg: RN v1: 81 u1: mmHg st: NotStopd t0: [01:00:00 12/10/2012] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [01:00:00 12/10/2012] id: Previous WeightF el: 0 cu: MICU cg: RN v1: 87.3 u1: kg st: NotStopd t0: [01:00:00 12/10/2012] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 16 u1: BPM st: NotStopd t0: [01:00:00 12/10/2012] id: SpO2 el: 0 cu: MICU cg: RN v1: 99 u1: % st: NotStopd t0: [01:00:00 12/10/2012] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [01:00:00 12/10/2012] id: Sandostatin el: 2 cu: MICU cg: RN so: D5W vo: 0 v1: 50 du: mcghr sv: 100 su: ml rt: IV Drip
t0: [02:00:00 12/10/2012] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [02:00:00 12/10/2012] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [02:00:00 12/10/2012] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [02:00:00 12/10/2012] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [02:00:00 12/10/2012] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [02:00:00 12/10/2012] id: Heart Rate el: 0 cu: MICU cg: RN v1: 66 u1: BPM st: NotStopd t0: [02:00:00 12/10/2012] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [02:00:00 12/10/2012] id: NBP el: 0 cu: MICU cg: RN v1: 131 u1: mmHg v2: 75 u2: mmHg st: NotStopd t0: [02:00:00 12/10/2012] id: NBP Mean el: 0 cu: MICU cg: RN v1: 93.6667 u1: mmHg st: NotStopd t0: [02:00:00 12/10/2012] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [02:00:00 12/10/2012] id: Previous WeightF el: 0 cu: MICU cg: RN v1: 87.3 u1: kg st: NotStopd t0: [02:00:00 12/10/2012] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 16 u1: BPM st: NotStopd t0: [02:00:00 12/10/2012] id: SpO2 el: 0 cu: MICU cg: RN v1: 99 u1: % st: NotStopd t0: [02:00:00 12/10/2012] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [02:00:00 12/10/2012] id: .9% Normal Saline IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 20 vu: ml t0: [02:00:00 12/10/2012] id: D5W 100.0ml + 600mcghr Sandostatin IV Infusions el: 2 cu: MICU cg: RN ai: 107 vo: 16.6667 vu: ml t0: [02:00:00 12/10/2012] id: Urine Out Foley el: 2 cu: MICU cg: RN vo: 400 vu: ml t0: [02:00:00 12/10/2012] id: TPN 1600.0ml IV Infusions el: 1 cu: MICU cg: RN ai: -1 vo: 138.4 vu: ml
t0: [02:00:00 12/10/2012] id: Sandostatin el: 2 cu: MICU cg: RN so: D5W vo: 0 v1: 50 du: mcghr sv: 100 su: ml rt: IV Drip
t0: [23:00:00 12/10/2012] dt: 1 id: Total Hourly Output el: 2 cu: MICU cg: RN cv: 0 ap: none t0: [23:00:00 12/10/2012] dt: 24 id: IV Nutrition Total el: 2 cu: MICU cg: RN cv: 1482.8 ap: none t0: [23:00:00 12/10/2012] dt: 24 id: Urine Out Total el: 2 cu: MICU cg: RN cv: 3335 ap: none t0: [23:00:00 12/10/2012] dt: 24 id: 24h Total Out el: 2 cu: MICU cg: RN cv: 3805 ap: none
t0: [02:00:00 12/10/2012] id: Less Restrict Meas. el: 0 cu: MICU cg: RN v1: Orientation st: NotStopd t0: [02:00:00 12/10/2012] id: Range of Motion el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [02:00:00 12/10/2012] id: Circulation/SkinInt el: 0 cu: MICU cg: RN v1: Circulation Adeq st: NotStopd t0: [02:00:00 12/10/2012] id: Position Change el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [02:00:00 12/10/2012] id: Reason For Restraint el: 0 cu: MICU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [02:00:00 12/10/2012] id: Removed x 5 Mins el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [02:00:00 12/10/2012] id: Restraint Location el: 0 cu: MICU cg: RN v1: Both Arms st: NotStopd t0: [02:00:00 12/10/2012] id: Restraint Type el: 0 cu: MICU cg: RN v1: Soft Limb st: NotStopd t0: [02:00:00 12/10/2012] id: Restraints Evaluated el: 0 cu: MICU cg: RN v1: Behavior Conts st: NotStopd t0: [02:00:00 12/10/2012] id: Side Rails el: 0 cu: MICU cg: RN v1: Side Rails Up st: NotStopd t0: [02:00:00 12/10/2012] id: Support Systems el: 0 cu: MICU cg: RN v1: Spouse st: NotStopd
t0: [02:00:00 12/10/2012] id: IV Piggyback IV Infusions el: 1 cu: MICU cg: RN ai: 209 vo: 100 vu: ml
t0: [23:00:00 12/10/2012] dt: 1 id: Net Hourly Balance el: 2 cu: MICU cg: RN cv: 0 ap: none t0: [23:00:00 12/10/2012] dt: 24 id: IV Infusion In Total el: 2 cu: MICU cg: RN cv: 2380 ap: none t0: [23:00:00 12/10/2012] dt: 24 id: 24h Total In el: 2 cu: MICU cg: RN cv: 4162.8 ap: none t0: [23:00:00 12/10/2012] dt: 24 id: 24h Net Body Balance el: 2 cu: MICU cg: RN cv: 357.8 ap: none t0: [23:00:00 12/10/2012] dt: multiple days id: LOS Net Body Balance el: 2 cu: MICU cg: RN cv: 14670.5 ap: carryForward
t0: [03:00:00 12/10/2012] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [03:00:00 12/10/2012] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [03:00:00 12/10/2012] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [03:00:00 12/10/2012] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [03:00:00 12/10/2012] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [03:00:00 12/10/2012] id: Heart Rate el: 0 cu: MICU cg: RN v1: 62 u1: BPM st: NotStopd t0: [03:00:00 12/10/2012] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [03:00:00 12/10/2012] id: NBP el: 0 cu: MICU cg: RN v1: 131 u1: mmHg v2: 68 u2: mmHg st: NotStopd t0: [03:00:00 12/10/2012] id: NBP Mean el: 0 cu: MICU cg: RN v1: 89 u1: mmHg st: NotStopd t0: [03:00:00 12/10/2012] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [03:00:00 12/10/2012] id: Previous WeightF el: 0 cu: MICU cg: RN v1: 87.3 u1: kg st: NotStopd t0: [03:00:00 12/10/2012] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 20 u1: BPM st: NotStopd t0: [03:00:00 12/10/2012] id: SpO2 el: 0 cu: MICU cg: RN v1: 99 u1: % st: NotStopd t0: [03:00:00 12/10/2012] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [04:00:00 12/10/2012] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [04:00:00 12/10/2012] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [04:00:00 12/10/2012] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [04:00:00 12/10/2012] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [04:00:00 12/10/2012] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [04:00:00 12/10/2012] id: Heart Rate el: 0 cu: MICU cg: RN v1: 71 u1: BPM st: NotStopd t0: [04:00:00 12/10/2012] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [04:00:00 12/10/2012] id: NBP el: 0 cu: MICU cg: RN v1: 126 u1: mmHg v2: 68 u2: mmHg st: NotStopd t0: [04:00:00 12/10/2012] id: NBP Mean el: 0 cu: MICU cg: RN v1: 87.3333 u1: mmHg st: NotStopd t0: [04:00:00 12/10/2012] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [04:00:00 12/10/2012] id: Previous WeightF el: 0 cu: MICU cg: RN v1: 87.3 u1: kg st: NotStopd t0: [04:00:00 12/10/2012] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 24 u1: BPM st: NotStopd t0: [04:00:00 12/10/2012] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [04:00:00 12/10/2012] id: .9% Normal Saline IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 20 vu: ml t0: [04:00:00 12/10/2012] id: D5W 100.0ml + 600mcghr Sandostatin IV Infusions el: 2 cu: MICU cg: RN ai: 107 vo: 16.6667 vu: ml t0: [04:00:00 12/10/2012] id: Urine Out Foley el: 2 cu: MICU cg: RN vo: 400 vu: ml t0: [04:00:00 12/10/2012] id: TPN 1600.0ml IV Infusions el: 1 cu: MICU cg: RN ai: -1 vo: 138.4 vu: ml
t0: [03:00:00 12/10/2012] id: Sandostatin el: 2 cu: MICU cg: RN so: D5W vo: 0 v1: 50 du: mcghr sv: 100 su: ml rt: IV Drip t0: [04:00:00 12/10/2012] id: Sandostatin el: 2 cu: MICU cg: RN so: D5W vo: 0 v1: 50 du: mcghr sv: 100 su: ml rt: IV Drip
t0: [04:00:00 12/10/2012] id: Cough Reflex el: 0 cu: MICU cg: RN v1: Intact st: NotStopd t0: [04:00:00 12/10/2012] id: GI Prophylaxis el: 0 cu: MICU cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [04:00:00 12/10/2012] id: Diet Type el: 0 cu: MICU cg: RN v1: NPO st: NotStopd t0: [04:00:00 12/10/2012] id: Eye Opening el: 0 cu: MICU cg: RN v1: 4 Spontaneously st: NotStopd t0: [04:00:00 12/10/2012] id: GCS Total el: 0 cu: MICU cg: RN v1: 14 u1: points st: NotStopd t0: [04:00:00 12/10/2012] id: Gag Reflex el: 0 cu: MICU cg: RN v1: Intact st: NotStopd t0: [04:00:00 12/10/2012] id: Abdominal Assessment el: 0 cu: MICU cg: RN v1: Ascites st: NotStopd t0: [04:00:00 12/10/2012] id: Level of Conscious el: 0 cu: MICU cg: RN v1: Lethargic st: NotStopd t0: [04:00:00 12/10/2012] id: Motor Response el: 0 cu: MICU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [04:00:00 12/10/2012] id: Oral Cavity el: 0 cu: MICU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [04:00:00 12/10/2012] id: Orientation el: 0 cu: MICU cg: RN v1: Oriented x 1 st: NotStopd t0: [04:00:00 12/10/2012] id: Respiratory Pattern el: 0 cu: MICU cg: RN v1: Regular st: NotStopd t0: [04:00:00 12/10/2012] id: Urine Color/Appear el: 0 cu: MICU cg: RN v1: Icteric v2: Sediment st: NotStopd t0: [04:00:00 12/10/2012] id: Urine Source el: 0 cu: MICU cg: RN v1: Indwelling Cath st: NotStopd t0: [04:00:00 12/10/2012] id: Verbal Response el: 0 cu: MICU cg: RN v1: 4 Confused st: NotStopd
t0: [03:00:00 12/10/2012] id: Position el: 0 cu: MICU cg: RN v1: Supine st: NotStopd t0: [04:00:00 12/10/2012] id: Less Restrict Meas. el: 0 cu: MICU cg: RN v1: Orientation st: NotStopd t0: [04:00:00 12/10/2012] id: Range of Motion el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [04:00:00 12/10/2012] id: Circulation/SkinInt el: 0 cu: MICU cg: RN v1: Circulation Adeq st: NotStopd t0: [04:00:00 12/10/2012] id: Cough Effort el: 0 cu: MICU cg: RN v1: Weak st: NotStopd t0: [04:00:00 12/10/2012] id: Cough Type el: 0 cu: MICU cg: RN v1: Productive st: NotStopd t0: [04:00:00 12/10/2012] id: INV Line#3 Type/Site el: 0 cu: MICU cg: RN v1: Multi-lumen v2: Right IJ st: NotStopd t0: [04:00:00 12/10/2012] id: INV Line#3InsertDate el: 0 cu: MICU cg: RN v1: 9 v2: 14 st: NotStopd t0: [04:00:00 12/10/2012] id: INV Line#3SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [04:00:00 12/10/2012] id: IV #1 Insert Date el: 0 cu: MICU cg: RN v1: 9 v2: 18 st: NotStopd t0: [04:00:00 12/10/2012] id: IV #1 Site/Size el: 0 cu: MICU cg: RN v1: Left Antecub v2: 18 gauge st: NotStopd t0: [04:00:00 12/10/2012] id: IV Site Appear #1 el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [04:00:00 12/10/2012] id: LLL Lung Sounds el: 0 cu: MICU cg: RN v1: Bronchial st: NotStopd t0: [04:00:00 12/10/2012] id: LUL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [04:00:00 12/10/2012] id: Position Change el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [04:00:00 12/10/2012] id: RLL Lung Sounds el: 0 cu: MICU cg: RN v1: Bronchial st: NotStopd t0: [04:00:00 12/10/2012] id: RUL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [04:00:00 12/10/2012] id: Reason For Restraint el: 0 cu: MICU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [04:00:00 12/10/2012] id: Removed x 5 Mins el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [04:00:00 12/10/2012] id: Restraint Location el: 0 cu: MICU cg: RN v1: Both Arms st: NotStopd t0: [04:00:00 12/10/2012] id: Restraint Type el: 0 cu: MICU cg: RN v1: Soft Limb st: NotStopd t0: [04:00:00 12/10/2012] id: Restraints Evaluated el: 0 cu: MICU cg: RN v1: Behavior Conts st: NotStopd t0: [04:00:00 12/10/2012] id: Side Rails el: 0 cu: MICU cg: RN v1: Side Rails Up st: NotStopd t0: [04:00:00 12/10/2012] id: Support Systems el: 0 cu: MICU cg: RN v1: Spouse st: NotStopd t0: [05:00:00 12/10/2012] id: bath el: 1 cu: MICU cg: RN v1: DONE t0: [05:00:00 12/10/2012] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [05:00:00 12/10/2012] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [05:00:00 12/10/2012] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [05:00:00 12/10/2012] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [05:00:00 12/10/2012] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [05:00:00 12/10/2012] id: HOB el: 0 cu: MICU cg: RN v1: 45 degrees st: NotStopd t0: [05:00:00 12/10/2012] id: Heart Rate el: 0 cu: MICU cg: RN v1: 82 u1: BPM st: NotStopd t0: [05:00:00 12/10/2012] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [05:00:00 12/10/2012] id: Activity el: 0 cu: MICU cg: RN v1: Bedrest st: NotStopd t0: [05:00:00 12/10/2012] id: Activity Tolerance el: 0 cu: MICU cg: RN v1: Good st: NotStopd t0: [05:00:00 12/10/2012] id: Oral Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [05:00:00 12/10/2012] id: AntiEmbDevice/Status el: 0 cu: MICU cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [05:00:00 12/10/2012] id: Position el: 0 cu: MICU cg: RN v1: Right Side st: NotStopd t0: [05:00:00 12/10/2012] id: Assistance Device el: 0 cu: MICU cg: RN v1: 2 Person Assist st: NotStopd t0: [05:00:00 12/10/2012] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [05:00:00 12/10/2012] id: Previous WeightF el: 0 cu: MICU cg: RN v1: 87.3 u1: kg st: NotStopd t0: [05:00:00 12/10/2012] id: Skin Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [05:00:00 12/10/2012] id: Turn el: 0 cu: MICU cg: RN v1: Side to Side st: NotStopd t0: [05:00:00 12/10/2012] id: Back Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [05:00:00 12/10/2012] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [05:00:00 12/10/2012] id: .9% Normal Saline IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 10 vu: ml t0: [05:00:00 12/10/2012] id: D5W 100.0ml + 600mcghr Sandostatin IV Infusions el: 2 cu: MICU cg: RN ai: 107 vo: 8.33333 vu: ml t0: [05:00:00 12/10/2012] id: Urine Out Foley el: 2 cu: MICU cg: RN vo: 120 vu: ml t0: [05:00:00 12/10/2012] id: TPN 1600.0ml IV Infusions el: 1 cu: MICU cg: RN ai: -1 vo: 69.2 vu: ml
t0: [05:00:00 12/10/2012] id: Sandostatin el: 2 cu: MICU cg: RN so: D5W vo: 0 v1: 50 du: mcghr sv: 100 su: ml rt: IV Drip
t0: [04:00:00 12/10/2012] id: Follows Commands el: 0 cu: MICU cg: RN v1: Inconsistently st: NotStopd t0: [04:00:00 12/10/2012] id: Pupil Response R/L el: 0 cu: MICU cg: RN v1: Brisk v2: Brisk st: NotStopd t0: [04:00:00 12/10/2012] id: Pupil Size R/L el: 0 cu: MICU cg: RN v1: 4 mm v2: 4 mm st: NotStopd t0: [04:00:00 12/10/2012] id: Spontaneous Movement el: 0 cu: MICU cg: RN v1: Purposeful st: NotStopd t0: [05:00:00 12/10/2012] id: NBP el: 0 cu: MICU cg: RN v1: 125 u1: mmHg v2: 60 u2: mmHg st: NotStopd t0: [05:00:00 12/10/2012] id: NBP Mean el: 0 cu: MICU cg: RN v1: 81.6667 u1: mmHg st: NotStopd t0: [05:00:00 12/10/2012] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 20 u1: BPM st: NotStopd t0: [05:00:00 12/10/2012] id: SpO2 el: 0 cu: MICU cg: RN v1: 98 u1: % st: NotStopd t0: [05:00:00 12/10/2012] id: Temp. Site el: 0 cu: MICU cg: RN v1: Axillary st: NotStopd t0: [05:00:00 12/10/2012] id: Temperature C (calc) el: 0 cu: MICU cg: RN v1: 36.2778 u1: Deg. C st: NotStopd t0: [05:00:00 12/10/2012] id: Temperature F el: 0 cu: MICU cg: RN v1: 97.3 u1: Deg. F st: NotStopd
t0: [06:00:00 12/10/2012] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [06:00:00 12/10/2012] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [06:00:00 12/10/2012] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [06:00:00 12/10/2012] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [06:00:00 12/10/2012] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [06:00:00 12/10/2012] id: Heart Rate el: 0 cu: MICU cg: RN v1: 69 u1: BPM st: NotStopd t0: [06:00:00 12/10/2012] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [06:00:00 12/10/2012] id: NBP el: 0 cu: MICU cg: RN v1: 125 u1: mmHg v2: 60 u2: mmHg st: NotStopd t0: [06:00:00 12/10/2012] id: NBP Mean el: 0 cu: MICU cg: RN v1: 81.6667 u1: mmHg st: NotStopd t0: [06:00:00 12/10/2012] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [06:00:00 12/10/2012] id: Previous WeightF el: 0 cu: MICU cg: RN v1: 87.3 u1: kg st: NotStopd t0: [06:00:00 12/10/2012] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 15 u1: BPM st: NotStopd t0: [06:00:00 12/10/2012] id: SpO2 el: 0 cu: MICU cg: RN v1: 100 u1: % st: NotStopd t0: [06:00:00 12/10/2012] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [06:00:00 12/10/2012] id: Sandostatin el: 2 cu: MICU cg: RN so: D5W vo: 0 v1: 50 du: mcghr sv: 100 su: ml rt: IV Drip
t0: [06:00:00 12/10/2012] id: .9% Normal Saline IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 10 vu: ml t0: [06:00:00 12/10/2012] id: D5W 100.0ml + 600mcghr Sandostatin IV Infusions el: 2 cu: MICU cg: RN ai: 107 vo: 8.33333 vu: ml t0: [06:00:00 12/10/2012] id: Urine Out Foley el: 2 cu: MICU cg: RN vo: 120 vu: ml t0: [06:00:00 12/10/2012] id: TPN 1600.0ml IV Infusions el: 1 cu: MICU cg: RN ai: -1 vo: 69.2 vu: ml
t0: [06:00:00 12/10/2012] id: Fingerstick Glucose Chemistry el: 0 cu: MICU cg: RN v1: 112 rs: Manual st: NotStopd
t0: [06:30:00 12/10/2012] id: .9% Normal Saline IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 5 vu: ml t0: [06:30:00 12/10/2012] id: D5W 100.0ml + 600mcghr Sandostatin IV Infusions el: 2 cu: MICU cg: RN ai: 107 vo: 4.16667 vu: ml t0: [06:30:00 12/10/2012] id: Urine Out Foley el: 2 cu: MICU cg: RN vo: 120 vu: ml t0: [06:30:00 12/10/2012] id: TPN 1600.0ml IV Infusions el: 1 cu: MICU cg: RN ai: -1 vo: 34.6 vu: ml
t0: [06:19:00 12/10/2012] id: WBC (4-11,000) Hematology el: 0 cu: MICU cg: 1663 v1: 11.7 rs: Final st: NotStopd t0: [06:19:00 12/10/2012] id: WBC Hematology el: 0 cu: MICU cg: 1663 v1: 11.7 rs: Final st: NotStopd t0: [06:19:00 12/10/2012] id: Hematocrit Hematology el: 0 cu: MICU cg: 1663 v1: 37.5 u1: % rs: Final st: NotStopd t0: [06:19:00 12/10/2012] id: Hemoglobin Hematology el: 0 cu: MICU cg: 1663 v1: 12.9 u1: gm/dl rs: Final st: NotStopd t0: [06:19:00 12/10/2012] id: Platelets Hematology el: 0 cu: MICU cg: 1663 v1: 93 rs: Final st: NotStopd t0: [06:19:00 12/10/2012] id: RBC Hematology el: 0 cu: MICU cg: 1663 v1: 4.3 u1: /mic l rs: Final st: NotStopd t0: [06:19:00 12/10/2012] id: WBC (4-11,000) Hematology el: 0 cu: MICU cg: 1663 v1: 11.7 rs: Final st: NotStopd
t0: [06:19:00 12/10/2012] id: BUN el: 0 cu: MICU cg: 1663 v1: 48 rs: Final st: NotStopd t0: [06:19:00 12/10/2012] id: PT el: 0 cu: MICU cg: 1663 v1: 16.4 rs: Final st: NotStopd t0: [06:19:00 12/10/2012] id: Calcium Chemistry el: 0 cu: MICU cg: 1663 v1: 10.1 u1: mg/dl rs: Final st: NotStopd t0: [06:19:00 12/10/2012] id: Chloride Chemistry el: 0 cu: MICU cg: 1663 v1: 109 rs: Final st: NotStopd t0: [06:19:00 12/10/2012] id: Creatinine Chemistry el: 0 cu: MICU cg: 1663 v1: 1.8 rs: Final st: NotStopd t0: [06:19:00 12/10/2012] id: Glucose Chemistry el: 0 cu: MICU cg: 1663 v1: 102 rs: Final st: NotStopd t0: [06:19:00 12/10/2012] id: INR Coags el: 0 cu: MICU cg: 1663 v1: 1.8 rs: Final st: NotStopd t0: [06:19:00 12/10/2012] id: Magnesium Chemistry el: 0 cu: MICU cg: 1663 v1: 1.8 rs: Final st: NotStopd t0: [06:19:00 12/10/2012] id: PTT Coags el: 0 cu: MICU cg: 1663 v1: 38.7 rs: Final st: NotStopd t0: [06:19:00 12/10/2012] id: Phosphorous Chemistry el: 0 cu: MICU cg: 1663 v1: 3.2 u1: mEq/L rs: Final st: NotStopd t0: [06:19:00 12/10/2012] id: Potassium Chemistry el: 0 cu: MICU cg: 1663 v1: 3.4 rs: Final st: NotStopd t0: [06:19:00 12/10/2012] id: Sodium Chemistry el: 0 cu: MICU cg: 1663 v1: 146 rs: Final st: NotStopd t0: [06:19:00 12/10/2012] id: Alk. Phosphate Enzymes el: 0 cu: MICU cg: 1663 v1: 146 rs: Final st: NotStopd t0: [06:19:00 12/10/2012] id: BUN (6-20) Chemistry el: 0 cu: MICU cg: 1663 v1: 48 rs: Final st: NotStopd t0: [06:19:00 12/10/2012] id: Calcium (8.4-10.2) Chemistry el: 0 cu: MICU cg: 1663 v1: 10.1 u1: mg/dl rs: Final st: NotStopd t0: [06:19:00 12/10/2012] id: Carbon Dioxide Chemistry el: 0 cu: MICU cg: 1663 v1: 28 rs: Final st: NotStopd t0: [06:19:00 12/10/2012] id: Chloride (100-112) Chemistry el: 0 cu: MICU cg: 1663 v1: 109 rs: Final st: NotStopd t0: [06:19:00 12/10/2012] id: Creatinine (0-1.3) Chemistry el: 0 cu: MICU cg: 1663 v1: 1.8 rs: Final st: NotStopd t0: [06:19:00 12/10/2012] id: Glucose (70-105) Chemistry el: 0 cu: MICU cg: 1663 v1: 102 rs: Final st: NotStopd t0: [06:19:00 12/10/2012] id: INR (2-4 ref. range) Coags el: 0 cu: MICU cg: 1663 v1: 1.8 rs: Final st: NotStopd t0: [06:19:00 12/10/2012] id: Magnesium (1.6-2.6) Chemistry el: 0 cu: MICU cg: 1663 v1: 1.8 rs: Final st: NotStopd t0: [06:19:00 12/10/2012] id: PT(11-13.5) Coags el: 0 cu: MICU cg: 1663 v1: 16.4 rs: Final st: NotStopd t0: [06:19:00 12/10/2012] id: PTT(22-35) Coags el: 0 cu: MICU cg: 1663 v1: 38.7 rs: Final st: NotStopd t0: [06:19:00 12/10/2012] id: Phosphorous(2.7-4.5) Chemistry el: 0 cu: MICU cg: 1663 v1: 3.2 u1: mEq/L rs: Final st: NotStopd t0: [06:19:00 12/10/2012] id: Potassium (3.5-5.3) Chemistry el: 0 cu: MICU cg: 1663 v1: 3.4 rs: Final st: NotStopd t0: [06:19:00 12/10/2012] id: Sodium (135-148) Chemistry el: 0 cu: MICU cg: 1663 v1: 146 rs: Final st: NotStopd
t0: [06:19:00 12/10/2012] id: Total Bili Chemistry el: 0 cu: MICU cg: 1663 v1: 26.7 rs: Final st: NotStopd t0: [06:19:00 12/10/2012] id: Total Bili (0-1.5) Chemistry el: 0 cu: MICU cg: 1663 v1: 26.7 rs: Final st: NotStopd
tf: [23:00:00 12/10/2012] pt: IV Piggyback rt: IV fr: ONCE fs: 8 dn: 1 m1: Magnesium Sulfate v1: 4 u1: gm m2: NS v2: 250 u2: ml tf: [23:00:00 12/10/2012] pt: IV Piggyback rt: IV fr: ONCE fs: 8 dn: 1 m1: Potassium Chloride v1: 40 u1: mEq m2: SW v2: 100 u2: ml
t0: [07:00:00 12/10/2012] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [07:00:00 12/10/2012] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [07:00:00 12/10/2012] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [07:00:00 12/10/2012] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [07:00:00 12/10/2012] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [07:00:00 12/10/2012] id: Heart Rate el: 0 cu: MICU cg: RN v1: 72 u1: BPM st: NotStopd t0: [07:00:00 12/10/2012] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [07:00:00 12/10/2012] id: NBP el: 0 cu: MICU cg: RN v1: 133 u1: mmHg v2: 79 u2: mmHg st: NotStopd t0: [07:00:00 12/10/2012] id: NBP Mean el: 0 cu: MICU cg: RN v1: 97 u1: mmHg st: NotStopd t0: [07:00:00 12/10/2012] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [07:00:00 12/10/2012] id: Previous WeightF el: 0 cu: MICU cg: RN v1: 87.3 u1: kg st: NotStopd t0: [07:00:00 12/10/2012] id: SpO2 el: 0 cu: MICU cg: RN v1: 98 u1: % st: NotStopd t0: [07:00:00 12/10/2012] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [07:30:00 12/10/2012] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [07:30:00 12/10/2012] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [07:30:00 12/10/2012] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [07:30:00 12/10/2012] id: Heart Rate el: 0 cu: MICU cg: RN v1: 65 u1: BPM st: NotStopd t0: [07:30:00 12/10/2012] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [07:30:00 12/10/2012] id: Previous WeightF el: 0 cu: MICU cg: RN v1: 87.3 u1: kg st: NotStopd t0: [07:30:00 12/10/2012] id: SpO2 el: 0 cu: MICU cg: RN v1: 99 u1: % st: NotStopd t0: [07:30:00 12/10/2012] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [08:00:00 12/10/2012] id: Less Restrict Meas. el: 0 cu: MICU cg: RN v1: Orientation st: NotStopd t0: [08:00:00 12/10/2012] id: Range of Motion el: 0 cu: MICU cg: RN v1: Not Done st: NotStopd t0: [08:00:00 12/10/2012] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [08:00:00 12/10/2012] id: Circulation/SkinInt el: 0 cu: MICU cg: RN v1: Circulation Adeq st: NotStopd t0: [08:00:00 12/10/2012] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [08:00:00 12/10/2012] id: Cough Effort el: 0 cu: MICU cg: RN v1: Weak st: NotStopd t0: [08:00:00 12/10/2012] id: Cough Reflex el: 0 cu: MICU cg: RN v1: Intact st: NotStopd t0: [08:00:00 12/10/2012] id: GI Prophylaxis el: 0 cu: MICU cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [08:00:00 12/10/2012] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [08:00:00 12/10/2012] id: Diet Type el: 0 cu: MICU cg: RN v1: NPO st: NotStopd t0: [08:00:00 12/10/2012] id: Dorsal PedPulse R/L el: 0 cu: MICU cg: RN v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [08:00:00 12/10/2012] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [08:00:00 12/10/2012] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [08:00:00 12/10/2012] id: Eye Opening el: 0 cu: MICU cg: RN v1: 4 Spontaneously st: NotStopd t0: [08:00:00 12/10/2012] id: Follows Commands el: 0 cu: MICU cg: RN v1: Consistently st: NotStopd t0: [08:00:00 12/10/2012] id: GCS Total el: 0 cu: MICU cg: RN v1: 14 u1: points st: NotStopd t0: [08:00:00 12/10/2012] id: Gag Reflex el: 0 cu: MICU cg: RN v1: Intact st: NotStopd t0: [08:00:00 12/10/2012] id: HOB el: 0 cu: MICU cg: RN v1: 45 degrees st: NotStopd t0: [08:00:00 12/10/2012] id: Heart Rate el: 0 cu: MICU cg: RN v1: 62 u1: BPM st: NotStopd t0: [08:00:00 12/10/2012] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [08:00:00 12/10/2012] id: INV Line#3 Type/Site el: 0 cu: MICU cg: RN v1: Multi-lumen v2: Right IJ st: NotStopd t0: [08:00:00 12/10/2012] id: INV Line#3InsertDate el: 0 cu: MICU cg: RN v1: 9 v2: 14 st: NotStopd t0: [08:00:00 12/10/2012] id: INV Line#3SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [08:00:00 12/10/2012] id: Abdominal Assessment el: 0 cu: MICU cg: RN v1: Ascites st: NotStopd t0: [08:00:00 12/10/2012] id: IV #1 Insert Date el: 0 cu: MICU cg: RN v1: 9 v2: 18 st: NotStopd t0: [08:00:00 12/10/2012] id: IV #1 Site/Size el: 0 cu: MICU cg: RN v1: Left Antecub v2: 18 gauge st: NotStopd t0: [08:00:00 12/10/2012] id: IV Site Appear #1 el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [08:00:00 12/10/2012] id: LUL Lung Sounds el: 0 cu: MICU cg: RN v1: Clear st: NotStopd t0: [08:00:00 12/10/2012] id: Level of Conscious el: 0 cu: MICU cg: RN v1: Alert st: NotStopd t0: [08:00:00 12/10/2012] id: Motor Response el: 0 cu: MICU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [08:00:00 12/10/2012] id: NBP el: 0 cu: MICU cg: RN v1: 128 u1: mmHg v2: 67 u2: mmHg st: NotStopd t0: [08:00:00 12/10/2012] id: NBP Mean el: 0 cu: MICU cg: RN v1: 87.3333 u1: mmHg st: NotStopd t0: [08:00:00 12/10/2012] id: Oral Cavity el: 0 cu: MICU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [08:00:00 12/10/2012] id: Orientation el: 0 cu: MICU cg: RN v1: Oriented x 2 st: NotStopd t0: [08:00:00 12/10/2012] id: AntiEmbDevice/Status el: 0 cu: MICU cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [08:00:00 12/10/2012] id: Position el: 0 cu: MICU cg: RN v1: Supine st: NotStopd t0: [08:00:00 12/10/2012] id: Position Change el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [08:00:00 12/10/2012] id: PostTib. Pulses R/L el: 0 cu: MICU cg: RN v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [08:00:00 12/10/2012] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [08:00:00 12/10/2012] id: Previous Weight el: 0 cu: MICU cg: RN v1: 87.3 u1: kg st: NotStopd t0: [08:00:00 12/10/2012] id: Previous WeightF el: 0 cu: MICU cg: RN v1: 87.3 u1: kg st: NotStopd t0: [08:00:00 12/10/2012] id: RUL Lung Sounds el: 0 cu: MICU cg: RN v1: Clear st: NotStopd t0: [08:00:00 12/10/2012] id: Reason For Restraint el: 0 cu: MICU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [08:00:00 12/10/2012] id: Removed x 5 Mins el: 0 cu: MICU cg: RN v1: Not Done st: NotStopd t0: [08:00:00 12/10/2012] id: Respiratory Pattern el: 0 cu: MICU cg: RN v1: Regular st: NotStopd t0: [08:00:00 12/10/2012] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 18 u1: BPM st: NotStopd t0: [08:00:00 12/10/2012] id: Restraint Location el: 0 cu: MICU cg: RN v1: Both Arms st: NotStopd t0: [08:00:00 12/10/2012] id: Restraint Type el: 0 cu: MICU cg: RN v1: Soft Limb st: NotStopd t0: [08:00:00 12/10/2012] id: Restraints Evaluated el: 0 cu: MICU cg: RN v1: RestraintReapply st: NotStopd t0: [08:00:00 12/10/2012] id: Side Rails el: 0 cu: MICU cg: RN v1: Side Rails Up st: NotStopd t0: [08:00:00 12/10/2012] id: SpO2 el: 0 cu: MICU cg: RN v1: 99 u1: % st: NotStopd t0: [08:00:00 12/10/2012] id: Spontaneous Movement el: 0 cu: MICU cg: RN v1: Purposeful st: NotStopd t0: [08:00:00 12/10/2012] id: Support Systems el: 0 cu: MICU cg: RN v1: Spouse st: NotStopd t0: [08:00:00 12/10/2012] id: Temp. Site el: 0 cu: MICU cg: RN v1: Axillary st: NotStopd t0: [08:00:00 12/10/2012] id: Temperature C (calc) el: 0 cu: MICU cg: RN v1: 35.8333 u1: Deg. C st: NotStopd t0: [08:00:00 12/10/2012] id: Temperature F el: 0 cu: MICU cg: RN v1: 96.5 u1: Deg. F st: NotStopd t0: [08:00:00 12/10/2012] id: Urine Color/Appear el: 0 cu: MICU cg: RN v1: Icteric v2: Clear st: NotStopd t0: [08:00:00 12/10/2012] id: Urine Source el: 0 cu: MICU cg: RN v1: Indwelling Cath st: NotStopd t0: [08:00:00 12/10/2012] id: Verbal Response el: 0 cu: MICU cg: RN v1: 4 Confused st: NotStopd t0: [08:00:00 12/10/2012] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [08:00:00 12/10/2012] id: Bowel Sounds el: 0 cu: MICU cg: RN v1: Hypoactive st: NotStopd t0: [08:30:00 12/10/2012] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [08:30:00 12/10/2012] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [08:30:00 12/10/2012] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [08:30:00 12/10/2012] id: Heart Rate el: 0 cu: MICU cg: RN v1: 64 u1: BPM st: NotStopd t0: [08:30:00 12/10/2012] id: NBP el: 0 cu: MICU cg: RN v1: 129 u1: mmHg v2: 62 u2: mmHg st: NotStopd t0: [08:30:00 12/10/2012] id: NBP Mean el: 0 cu: MICU cg: RN v1: 84.3333 u1: mmHg st: NotStopd t0: [08:30:00 12/10/2012] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [08:30:00 12/10/2012] id: Previous Weight el: 0 cu: MICU cg: RN v1: 87.3 u1: kg st: NotStopd t0: [08:30:00 12/10/2012] id: Previous WeightF el: 0 cu: MICU cg: RN v1: 87.3 u1: kg st: NotStopd t0: [08:30:00 12/10/2012] id: SpO2 el: 0 cu: MICU cg: RN v1: 99 u1: % st: NotStopd t0: [08:30:00 12/10/2012] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [08:30:00 12/10/2012] id: .9% Normal Saline IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 20 vu: ml t0: [08:30:00 12/10/2012] id: D5W 100.0ml + 600mcghr Sandostatin IV Infusions el: 2 cu: MICU cg: RN ai: 107 vo: 16.6667 vu: ml t0: [08:30:00 12/10/2012] id: Urine Out Foley el: 2 cu: MICU cg: RN vo: 380 vu: ml t0: [08:30:00 12/10/2012] id: TPN 1600.0ml IV Infusions el: 1 cu: MICU cg: RN ai: -1 vo: 138.4 vu: ml
t0: [07:00:00 12/10/2012] id: Sandostatin el: 2 cu: MICU cg: RN so: D5W vo: 0 v1: 50 du: mcghr sv: 100 su: ml rt: IV Drip t0: [07:30:00 12/10/2012] id: Sandostatin el: 2 cu: MICU cg: RN so: D5W vo: 0 v1: 50 du: mcghr sv: 100 su: ml rt: IV Drip t0: [08:00:00 12/10/2012] id: Sandostatin el: 2 cu: MICU cg: RN so: D5W vo: 0 v1: 50 du: mcghr sv: 100 su: ml rt: IV Drip t0: [08:30:00 12/10/2012] id: Sandostatin el: 2 cu: MICU cg: RN so: D5W vo: 0 v1: 50 du: mcghr sv: 100 su: ml rt: IV Drip
t0: [09:00:00 12/10/2012] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [09:00:00 12/10/2012] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [09:00:00 12/10/2012] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [09:00:00 12/10/2012] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [09:00:00 12/10/2012] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [09:00:00 12/10/2012] id: Heart Rate el: 0 cu: MICU cg: RN v1: 75 u1: BPM st: NotStopd t0: [09:00:00 12/10/2012] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [09:00:00 12/10/2012] id: NBP el: 0 cu: MICU cg: RN v1: 126 u1: mmHg v2: 65 u2: mmHg st: NotStopd t0: [09:00:00 12/10/2012] id: NBP Mean el: 0 cu: MICU cg: RN v1: 85.3333 u1: mmHg st: NotStopd t0: [09:00:00 12/10/2012] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [09:00:00 12/10/2012] id: Previous WeightF el: 0 cu: MICU cg: RN v1: 87.3 u1: kg st: NotStopd t0: [09:00:00 12/10/2012] id: SpO2 el: 0 cu: MICU cg: RN v1: 99 u1: % st: NotStopd t0: [09:00:00 12/10/2012] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [09:00:00 12/10/2012] id: IV Piggyback IV Infusions el: 1 cu: MICU cg: RN ai: 209 vo: 100 vu: ml t0: [09:00:00 12/10/2012] id: .9% Normal Saline IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 5 vu: ml t0: [09:00:00 12/10/2012] id: D5W 100.0ml + 600mcghr Sandostatin IV Infusions el: 2 cu: MICU cg: RN ai: 107 vo: 4.16667 vu: ml t0: [09:00:00 12/10/2012] id: TPN 1600.0ml IV Infusions el: 1 cu: MICU cg: RN ai: -1 vo: 34.6 vu: ml
t0: [09:00:00 12/10/2012] id: Sandostatin el: 2 cu: MICU cg: RN so: D5W vo: 0 v1: 50 du: mcghr sv: 100 su: ml rt: IV Drip
t0: [10:00:00 12/10/2012] id: Pain Present el: 0 cu: MICU cg: RN v1: No st: NotStopd t0: [10:00:00 12/10/2012] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [10:00:00 12/10/2012] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [10:00:00 12/10/2012] id: Daily Wake Up el: 1 cu: MICU cg: RN v1: No/Not Sedated st: NotStopd t0: [10:00:00 12/10/2012] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [10:00:00 12/10/2012] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [10:00:00 12/10/2012] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [10:00:00 12/10/2012] id: Heart Rate el: 0 cu: MICU cg: RN v1: 67 u1: BPM st: NotStopd t0: [10:00:00 12/10/2012] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [10:00:00 12/10/2012] id: NBP el: 0 cu: MICU cg: RN v1: 128 u1: mmHg v2: 68 u2: mmHg st: NotStopd t0: [10:00:00 12/10/2012] id: NBP Mean el: 0 cu: MICU cg: RN v1: 88 u1: mmHg st: NotStopd t0: [10:00:00 12/10/2012] id: O2 Delivery Device el: 0 cu: MICU cg: RN v1: Nasal Cannula st: NotStopd t0: [10:00:00 12/10/2012] id: O2 Flow (lpm) el: 0 cu: MICU cg: RN v1: 3 u1: lpm st: NotStopd t0: [10:00:00 12/10/2012] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [10:00:00 12/10/2012] id: Previous WeightF el: 0 cu: MICU cg: RN v1: 87.3 u1: kg st: NotStopd t0: [10:00:00 12/10/2012] id: SpO2 el: 0 cu: MICU cg: RN v1: 98 u1: % st: NotStopd t0: [10:00:00 12/10/2012] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [11:00:00 12/10/2012] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [11:00:00 12/10/2012] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [11:00:00 12/10/2012] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [11:00:00 12/10/2012] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [11:00:00 12/10/2012] id: Heart Rate el: 0 cu: MICU cg: RN v1: 68 u1: BPM st: NotStopd t0: [11:00:00 12/10/2012] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [11:00:00 12/10/2012] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [11:00:00 12/10/2012] id: Previous WeightF el: 0 cu: MICU cg: RN v1: 87.3 u1: kg st: NotStopd t0: [11:00:00 12/10/2012] id: SpO2 el: 0 cu: MICU cg: RN v1: 98 u1: % st: NotStopd t0: [11:00:00 12/10/2012] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [11:00:00 12/10/2012] id: .9% Normal Saline IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 20 vu: ml t0: [11:00:00 12/10/2012] id: D5W 100.0ml + 600mcghr Sandostatin IV Infusions el: 2 cu: MICU cg: RN ai: 107 vo: 16.6667 vu: ml t0: [11:00:00 12/10/2012] id: Urine Out Foley el: 2 cu: MICU cg: RN vo: 300 vu: ml t0: [11:00:00 12/10/2012] id: TPN 1600.0ml IV Infusions el: 1 cu: MICU cg: RN ai: -1 vo: 138.4 vu: ml
t0: [10:00:00 12/10/2012] id: Sandostatin el: 2 cu: MICU cg: RN so: D5W vo: 0 v1: 50 du: mcghr sv: 100 su: ml rt: IV Drip t0: [11:00:00 12/10/2012] id: Sandostatin el: 2 cu: MICU cg: RN so: D5W vo: 0 v1: 50 du: mcghr sv: 100 su: ml rt: IV Drip
tf: [16:00:00 12/10/2012] pt: Unit Dose rt: PR fr: Q6H:PRN m1: Lactulose Enema v1: 300 u1: ml tf: [23:00:00 12/10/2012] pt: Unit Dose rt: PO fr: ONCE fs: 12 dn: 1 m1: Potassium Chloride v1: 20 u1: mEq tf: [11:00:00 17/10/2012] pt: IV Piggyback rt: IV fr: Q12H fs: 12, 0 dn: 2 m1: Ceftazidime v1: 1 u1: gm m2: Iso-Osmotic Dextrose v2: 50 u2: ml
id: D5W el: 1 cu: MICU cg: RN io: D5W IV Infusions du: ml rt: Intravenous Push
t0: [11:00:00 12/10/2012] id: Less Restrict Meas. el: 0 cu: MICU cg: RN v1: Orientation st: NotStopd t0: [11:00:00 12/10/2012] id: Range of Motion el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [11:00:00 12/10/2012] id: Chest PT R/L el: 0 cu: MICU cg: RN v1: Done v2: Done st: NotStopd t0: [11:00:00 12/10/2012] id: Circulation/SkinInt el: 0 cu: MICU cg: RN v1: Circulation Adeq st: NotStopd t0: [11:00:00 12/10/2012] id: Cough/Deep Breathe el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [11:00:00 12/10/2012] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [11:00:00 12/10/2012] id: Eye Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [11:00:00 12/10/2012] id: Family Communication el: 0 cu: MICU cg: RN v1: Family Visited st: NotStopd t0: [11:00:00 12/10/2012] id: HOB el: 0 cu: MICU cg: RN v1: 45 degrees st: NotStopd t0: [11:00:00 12/10/2012] id: Activity el: 0 cu: MICU cg: RN v1: Bedrest st: NotStopd t0: [11:00:00 12/10/2012] id: Activity Tolerance el: 0 cu: MICU cg: RN v1: Tolerated Well st: NotStopd t0: [11:00:00 12/10/2012] id: NBP el: 0 cu: MICU cg: RN v1: 131 u1: mmHg v2: 73 u2: mmHg st: NotStopd t0: [11:00:00 12/10/2012] id: NBP Mean el: 0 cu: MICU cg: RN v1: 92.3333 u1: mmHg st: NotStopd t0: [11:00:00 12/10/2012] id: Oral Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [11:00:00 12/10/2012] id: AntiEmbDevice/Status el: 0 cu: MICU cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [11:00:00 12/10/2012] id: Position el: 0 cu: MICU cg: RN v1: Supine st: NotStopd t0: [11:00:00 12/10/2012] id: Position Change el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [11:00:00 12/10/2012] id: Assistance Device el: 0 cu: MICU cg: RN v1: 2 Person Assist st: NotStopd t0: [11:00:00 12/10/2012] id: Reason For Restraint el: 0 cu: MICU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [11:00:00 12/10/2012] id: Removed x 5 Mins el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [11:00:00 12/10/2012] id: Restraint Location el: 0 cu: MICU cg: RN v1: Both Arms st: NotStopd t0: [11:00:00 12/10/2012] id: Restraint Type el: 0 cu: MICU cg: RN v1: Soft Limb st: NotStopd t0: [11:00:00 12/10/2012] id: Restraints Evaluated el: 0 cu: MICU cg: RN v1: RestraintReapply st: NotStopd t0: [11:00:00 12/10/2012] id: Side Rails el: 0 cu: MICU cg: RN v1: Side Rails Up st: NotStopd t0: [11:00:00 12/10/2012] id: Skin Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [11:00:00 12/10/2012] id: Skin Color el: 0 cu: MICU cg: RN v1: Jaundiced st: NotStopd t0: [11:00:00 12/10/2012] id: Skin Integrity el: 0 cu: MICU cg: RN v1: Intact st: NotStopd t0: [11:00:00 12/10/2012] id: Skin Temp/Condition el: 0 cu: MICU cg: RN v1: Warm v2: Dry st: NotStopd t0: [11:00:00 12/10/2012] id: Support Systems el: 0 cu: MICU cg: RN v1: Spouse st: NotStopd t0: [11:00:00 12/10/2012] id: Turn el: 0 cu: MICU cg: RN v1: Side to Side st: NotStopd t0: [11:00:00 12/10/2012] id: Back Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [11:00:00 12/10/2012] id: Braden Activity el: 0 cu: MICU cg: RN v1: Bedfast st: NotStopd t0: [11:00:00 12/10/2012] id: Braden Frict/Shear el: 0 cu: MICU cg: RN v1: Potential Prob st: NotStopd t0: [11:00:00 12/10/2012] id: Braden Mobility el: 0 cu: MICU cg: RN v1: Very Limited st: NotStopd t0: [11:00:00 12/10/2012] id: Braden Moisture el: 0 cu: MICU cg: RN v1: Occ. Moist st: NotStopd t0: [11:00:00 12/10/2012] id: Braden Nutrition el: 0 cu: MICU cg: RN v1: Prob. Inadequate st: NotStopd t0: [11:00:00 12/10/2012] id: Braden Score el: 0 cu: MICU cg: RN v1: 12 u1: number st: NotStopd t0: [11:00:00 12/10/2012] id: Braden SensoryPercep el: 0 cu: MICU cg: RN v1: Very Limited st: NotStopd t0: [12:00:00 12/10/2012] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [12:00:00 12/10/2012] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [12:00:00 12/10/2012] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [12:00:00 12/10/2012] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [12:00:00 12/10/2012] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [12:00:00 12/10/2012] id: Heart Rate el: 0 cu: MICU cg: RN v1: 65 u1: BPM st: NotStopd t0: [12:00:00 12/10/2012] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [12:00:00 12/10/2012] id: INV Line#3 Type/Site el: 0 cu: MICU cg: RN v1: Multi-lumen v2: Right IJ st: NotStopd t0: [12:00:00 12/10/2012] id: INV Line#3InsertDate el: 0 cu: MICU cg: RN v1: 9 v2: 14 st: NotStopd t0: [12:00:00 12/10/2012] id: INV Line#3SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [12:00:00 12/10/2012] id: IV #1 Insert Date el: 0 cu: MICU cg: RN v1: 9 v2: 18 st: NotStopd t0: [12:00:00 12/10/2012] id: IV #1 Site/Size el: 0 cu: MICU cg: RN v1: Left Antecub v2: 18 gauge st: NotStopd t0: [12:00:00 12/10/2012] id: NBP el: 0 cu: MICU cg: RN v1: 120 u1: mmHg v2: 76 u2: mmHg st: NotStopd t0: [12:00:00 12/10/2012] id: NBP Mean el: 0 cu: MICU cg: RN v1: 90.6667 u1: mmHg st: NotStopd t0: [12:00:00 12/10/2012] id: O2 Delivery Device el: 0 cu: MICU cg: RN v1: Nasal Cannula st: NotStopd t0: [12:00:00 12/10/2012] id: O2 Flow (lpm) el: 0 cu: MICU cg: RN v1: 3 u1: lpm st: NotStopd t0: [12:00:00 12/10/2012] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [12:00:00 12/10/2012] id: Previous WeightF el: 0 cu: MICU cg: RN v1: 87.3 u1: kg st: NotStopd t0: [12:00:00 12/10/2012] id: SpO2 el: 0 cu: MICU cg: RN v1: 99 u1: % st: NotStopd t0: [12:00:00 12/10/2012] id: Temp. Site el: 0 cu: MICU cg: RN v1: Axillary st: NotStopd t0: [12:00:00 12/10/2012] id: Temperature C (calc) el: 0 cu: MICU cg: RN v1: 36.2222 u1: Deg. C st: NotStopd t0: [12:00:00 12/10/2012] id: Temperature F el: 0 cu: MICU cg: RN v1: 97.2 u1: Deg. F st: NotStopd t0: [12:00:00 12/10/2012] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [10:00:00 12/10/2012] id: IV Piggyback IV Infusions el: 1 cu: MICU cg: RN ai: 209 vo: 100 vu: ml t0: [11:00:00 12/10/2012] id: IV Piggyback IV Infusions el: 1 cu: MICU cg: RN ai: 209 vo: 250 vu: ml t0: [12:00:00 12/10/2012] id: .9% Normal Saline IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 10 vu: ml t0: [12:00:00 12/10/2012] tf: [23:22:00 12/10/2012] dt: 682 id: D5W IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 100 vu: ml nb: 1 t0: [12:00:00 12/10/2012] id: Urine Out Foley el: 2 cu: MICU cg: RN vo: 140 vu: ml t0: [12:00:00 12/10/2012] id: TPN 1600.0ml IV Infusions el: 1 cu: MICU cg: RN ai: -1 vo: 69.2 vu: ml
t0: [13:00:00 12/10/2012] id: D5W 100.0ml + 600mcghr Sandostatin IV Infusions el: 2 cu: MICU cg: -1 ai: 107 vo: 0 st: D/C'd
t0: [12:30:00 12/10/2012] id: Serum Osmolality Chemistry el: 0 cu: MICU cg: 1663 v1: 320 rs: Final st: NotStopd
t0: [09:00:00 12/10/2012] id: Riker-SAS Scale el: 0 cu: MICU cg: RN v1: Calm/Cooperative st: NotStopd t0: [10:00:00 12/10/2012] id: Pain Assess Method el: 0 cu: MICU cg: RN v1: Pt Verbalized st: NotStopd t0: [11:00:00 12/10/2012] id: Riker-SAS Scale el: 0 cu: MICU cg: RN v1: Calm/Cooperative st: NotStopd t0: [12:00:00 12/10/2012] id: Cough Effort el: 0 cu: MICU cg: RN v1: Strong st: NotStopd t0: [12:00:00 12/10/2012] id: Cough Reflex el: 0 cu: MICU cg: RN v1: Intact st: NotStopd t0: [12:00:00 12/10/2012] id: Cough Type el: 0 cu: MICU cg: RN v1: Productive st: NotStopd t0: [12:00:00 12/10/2012] id: GI Prophylaxis el: 0 cu: MICU cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [12:00:00 12/10/2012] id: Diet Type el: 0 cu: MICU cg: RN v1: NPO st: NotStopd t0: [12:00:00 12/10/2012] id: Eye Opening el: 0 cu: MICU cg: RN v1: 4 Spontaneously st: NotStopd t0: [12:00:00 12/10/2012] id: Follows Commands el: 0 cu: MICU cg: RN v1: Consistently st: NotStopd t0: [12:00:00 12/10/2012] id: GCS Total el: 0 cu: MICU cg: RN v1: 15 u1: points st: NotStopd t0: [12:00:00 12/10/2012] id: Gag Reflex el: 0 cu: MICU cg: RN v1: Intact st: NotStopd t0: [12:00:00 12/10/2012] id: Abdominal Assessment el: 0 cu: MICU cg: RN v1: Soft st: NotStopd t0: [12:00:00 12/10/2012] id: IV Site Appear #1 el: 0 cu: MICU cg: RN v1: Other/Remarks st: NotStopd t0: [12:00:00 12/10/2012] id: LLL Lung Sounds el: 0 cu: MICU cg: RN v1: Clear st: NotStopd t0: [12:00:00 12/10/2012] id: LUL Lung Sounds el: 0 cu: MICU cg: RN v1: Clear st: NotStopd t0: [12:00:00 12/10/2012] id: Level of Conscious el: 0 cu: MICU cg: RN v1: Alert st: NotStopd t0: [12:00:00 12/10/2012] id: Motor Response el: 0 cu: MICU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [12:00:00 12/10/2012] id: Oral Cavity el: 0 cu: MICU cg: RN v1: Thrush st: NotStopd t0: [12:00:00 12/10/2012] id: Orientation el: 0 cu: MICU cg: RN v1: Oriented x 1 st: NotStopd t0: [12:00:00 12/10/2012] id: RLL Lung Sounds el: 0 cu: MICU cg: RN v1: Clear st: NotStopd t0: [12:00:00 12/10/2012] id: RUL Lung Sounds el: 0 cu: MICU cg: RN v1: Clear st: NotStopd t0: [12:00:00 12/10/2012] id: Respiratory Pattern el: 0 cu: MICU cg: RN v1: Regular st: NotStopd t0: [12:00:00 12/10/2012] id: Spontaneous Movement el: 0 cu: MICU cg: RN v1: Purposeful st: NotStopd t0: [12:00:00 12/10/2012] id: Urine Color/Appear el: 0 cu: MICU cg: RN v1: Icteric v2: Sediment st: NotStopd t0: [12:00:00 12/10/2012] id: Urine Source el: 0 cu: MICU cg: RN v1: Indwelling Cath st: NotStopd t0: [12:00:00 12/10/2012] id: Verbal Response el: 0 cu: MICU cg: RN v1: 5 Oriented st: NotStopd t0: [12:00:00 12/10/2012] id: Bowel Sounds el: 0 cu: MICU cg: RN v1: Hypoactive st: NotStopd t0: [13:00:00 12/10/2012] id: Less Restrict Meas. el: 0 cu: MICU cg: RN v1: Orientation st: NotStopd t0: [13:00:00 12/10/2012] id: Pain Present el: 0 cu: MICU cg: RN v1: No st: NotStopd t0: [13:00:00 12/10/2012] id: Range of Motion el: 0 cu: MICU cg: RN v1: Not Done st: NotStopd t0: [13:00:00 12/10/2012] id: Pain Assess Method el: 0 cu: MICU cg: RN v1: Pt Verbalized st: NotStopd t0: [13:00:00 12/10/2012] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [13:00:00 12/10/2012] id: Circulation/SkinInt el: 0 cu: MICU cg: RN v1: Circulation Adeq st: NotStopd t0: [13:00:00 12/10/2012] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [13:00:00 12/10/2012] id: Riker-SAS Scale el: 0 cu: MICU cg: RN v1: Calm/Cooperative st: NotStopd t0: [13:00:00 12/10/2012] id: Cough/Deep Breathe el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [13:00:00 12/10/2012] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [13:00:00 12/10/2012] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [13:00:00 12/10/2012] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [13:00:00 12/10/2012] id: HOB el: 0 cu: MICU cg: RN v1: 45 degrees st: NotStopd t0: [13:00:00 12/10/2012] id: Heart Rate el: 0 cu: MICU cg: RN v1: 67 u1: BPM st: NotStopd t0: [13:00:00 12/10/2012] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [13:00:00 12/10/2012] id: INV Line#3 Type/Site el: 0 cu: MICU cg: RN v1: Multi-lumen v2: Right IJ st: NotStopd t0: [13:00:00 12/10/2012] id: INV Line#3InsertDate el: 0 cu: MICU cg: RN v1: 9 v2: 14 st: NotStopd t0: [13:00:00 12/10/2012] id: IV #1 Insert Date el: 0 cu: MICU cg: RN v1: 9 v2: 18 st: NotStopd t0: [13:00:00 12/10/2012] id: IV #1 Site/Size el: 0 cu: MICU cg: RN v1: Left Antecub v2: 18 gauge st: NotStopd t0: [13:00:00 12/10/2012] id: Activity el: 0 cu: MICU cg: RN v1: Bedrest st: NotStopd t0: [13:00:00 12/10/2012] id: IV Site Appear #1 el: 0 cu: MICU cg: RN v1: Other/Remarks st: NotStopd t0: [13:00:00 12/10/2012] id: NBP el: 0 cu: MICU cg: RN v1: 125 u1: mmHg v2: 70 u2: mmHg st: NotStopd t0: [13:00:00 12/10/2012] id: NBP Mean el: 0 cu: MICU cg: RN v1: 88.3333 u1: mmHg st: NotStopd t0: [13:00:00 12/10/2012] id: Oral Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [13:00:00 12/10/2012] id: AntiEmbDevice/Status el: 0 cu: MICU cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [13:00:00 12/10/2012] id: Position el: 0 cu: MICU cg: RN v1: Supine st: NotStopd t0: [13:00:00 12/10/2012] id: Position Change el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [13:00:00 12/10/2012] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [13:00:00 12/10/2012] id: Previous WeightF el: 0 cu: MICU cg: RN v1: 87.3 u1: kg st: NotStopd t0: [13:00:00 12/10/2012] id: Reason For Restraint el: 0 cu: MICU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [13:00:00 12/10/2012] id: Removed x 5 Mins el: 0 cu: MICU cg: RN v1: Not Done st: NotStopd t0: [13:00:00 12/10/2012] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 16 u1: BPM st: NotStopd t0: [13:00:00 12/10/2012] id: Restraint Location el: 0 cu: MICU cg: RN v1: Both Arms st: NotStopd t0: [13:00:00 12/10/2012] id: Restraint Type el: 0 cu: MICU cg: RN v1: Soft Limb st: NotStopd t0: [13:00:00 12/10/2012] id: Restraints Evaluated el: 0 cu: MICU cg: RN v1: RestraintReapply st: NotStopd t0: [13:00:00 12/10/2012] id: Side Rails el: 0 cu: MICU cg: RN v1: Side Rails Up st: NotStopd t0: [13:00:00 12/10/2012] id: SpO2 el: 0 cu: MICU cg: RN v1: 98 u1: % st: NotStopd t0: [13:00:00 12/10/2012] id: Support Systems el: 0 cu: MICU cg: RN v1: Spouse st: NotStopd t0: [13:00:00 12/10/2012] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [12:00:00 12/10/2012] id: D5W 100.0ml + 600mcghr Sandostatin IV Infusions el: 2 cu: MICU cg: RN ai: 107 vu: ml t0: [13:00:00 12/10/2012] id: .9% Normal Saline IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 10 vu: ml t0: [13:00:00 12/10/2012] id: D5W IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 100 vu: ml t0: [13:00:00 12/10/2012] id: TPN 1600.0ml IV Infusions el: 1 cu: MICU cg: RN ai: -1 vo: 69.2 vu: ml
t0: [12:00:00 12/10/2012] id: Sandostatin el: 2 cu: MICU cg: RN so: D5W vo: 0 du: mcghr sv: 100 su: ml rt: IV Drip
t0: [13:30:00 12/10/2012] id: IV Piggyback IV Infusions el: 1 cu: MICU cg: RN ai: 209 vo: 100 vu: ml
tf: [23:00:00 12/10/2012] pt: Unit Dose rt: PO fr: QID:PRN m1: Nystatin Oral Suspension v1: 5 u1: ml tf: [18:00:00 29/11/2012] pt: Unit Dose rt: TP fr: PRN m1: Miconazole Powder 2% v1: 1 u1: Appl
t0: [14:00:00 12/10/2012] id: Fingerstick Glucose Chemistry el: 0 cu: MICU cg: RN v1: 127 rs: Manual st: NotStopd
t0: [10:00:00 12/10/2012] id: Sputum Color/Consist el: 0 cu: MICU cg: RN v1: Other/Remarks v2: Thick st: NotStopd t0: [10:00:00 12/10/2012] id: Sputum Source/Amt el: 0 cu: MICU cg: RN v1: Suctioned v2: Small st: NotStopd t0: [12:00:00 12/10/2012] id: Sputum Color/Consist el: 0 cu: MICU cg: RN v1: Other/Remarks v2: Thick st: NotStopd t0: [12:00:00 12/10/2012] id: Sputum Source/Amt el: 0 cu: MICU cg: RN v1: Suctioned v2: Small st: NotStopd t0: [14:00:00 12/10/2012] id: O2 Delivery Device el: 0 cu: MICU cg: RN v1: Nasal Cannula st: NotStopd t0: [14:00:00 12/10/2012] id: O2 Flow (lpm) el: 0 cu: MICU cg: RN v1: 3 u1: lpm st: NotStopd t0: [14:00:00 12/10/2012] id: SpO2 el: 0 cu: MICU cg: RN v1: 99 u1: % st: NotStopd t0: [14:00:00 12/10/2012] id: Sputum Color/Consist el: 0 cu: MICU cg: RN v1: Other/Remarks v2: Thick st: NotStopd t0: [14:00:00 12/10/2012] id: Sputum Source/Amt el: 0 cu: MICU cg: RN v1: Suctioned v2: Moderate st: NotStopd
t0: [14:00:00 12/10/2012] id: .9% Normal Saline IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 10 vu: ml t0: [14:00:00 12/10/2012] id: Urine Out Foley el: 2 cu: MICU cg: RN vo: 280 vu: ml t0: [14:00:00 12/10/2012] id: TPN 1600.0ml IV Infusions el: 1 cu: MICU cg: RN ai: -1 vo: 69.2 vu: ml
t0: [06:19:00 12/10/2012] id: Serum Osmolality Chemistry el: 0 cu: MICU cg: 1663 v1: 313 rs: Final st: NotStopd
t0: [14:00:00 12/10/2012] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [14:00:00 12/10/2012] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [14:00:00 12/10/2012] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [14:00:00 12/10/2012] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [14:00:00 12/10/2012] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [14:00:00 12/10/2012] id: Heart Rate el: 0 cu: MICU cg: RN v1: 68 u1: BPM st: NotStopd t0: [14:00:00 12/10/2012] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [14:00:00 12/10/2012] id: NBP el: 0 cu: MICU cg: RN v1: 132 u1: mmHg v2: 68 u2: mmHg st: NotStopd t0: [14:00:00 12/10/2012] id: NBP Mean el: 0 cu: MICU cg: RN v1: 89.3333 u1: mmHg st: NotStopd t0: [14:00:00 12/10/2012] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [14:00:00 12/10/2012] id: Previous WeightF el: 0 cu: MICU cg: RN v1: 87.3 u1: kg st: NotStopd t0: [14:00:00 12/10/2012] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 23 u1: BPM st: NotStopd t0: [14:00:00 12/10/2012] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [15:00:00 12/10/2012] id: Less Restrict Meas. el: 0 cu: MICU cg: RN v1: Orientation st: NotStopd t0: [15:00:00 12/10/2012] id: Range of Motion el: 0 cu: MICU cg: RN v1: Not Done st: NotStopd t0: [15:00:00 12/10/2012] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [15:00:00 12/10/2012] id: Circulation/SkinInt el: 0 cu: MICU cg: RN v1: Circulation Adeq st: NotStopd t0: [15:00:00 12/10/2012] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [15:00:00 12/10/2012] id: Riker-SAS Scale el: 0 cu: MICU cg: RN v1: Calm/Cooperative st: NotStopd t0: [15:00:00 12/10/2012] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [15:00:00 12/10/2012] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [15:00:00 12/10/2012] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [15:00:00 12/10/2012] id: Heart Rate el: 0 cu: MICU cg: RN v1: 69 u1: BPM st: NotStopd t0: [15:00:00 12/10/2012] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [15:00:00 12/10/2012] id: NBP el: 0 cu: MICU cg: RN v1: 124 u1: mmHg v2: 59 u2: mmHg st: NotStopd t0: [15:00:00 12/10/2012] id: NBP Mean el: 0 cu: MICU cg: RN v1: 80.6667 u1: mmHg st: NotStopd t0: [15:00:00 12/10/2012] id: Position Change el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [15:00:00 12/10/2012] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [15:00:00 12/10/2012] id: Previous WeightF el: 0 cu: MICU cg: RN v1: 87.3 u1: kg st: NotStopd t0: [15:00:00 12/10/2012] id: Reason For Restraint el: 0 cu: MICU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [15:00:00 12/10/2012] id: Removed x 5 Mins el: 0 cu: MICU cg: RN v1: Not Done st: NotStopd t0: [15:00:00 12/10/2012] id: Restraint Location el: 0 cu: MICU cg: RN v1: Both Arms st: NotStopd t0: [15:00:00 12/10/2012] id: Restraint Type el: 0 cu: MICU cg: RN v1: Soft Limb st: NotStopd t0: [15:00:00 12/10/2012] id: Restraints Evaluated el: 0 cu: MICU cg: RN v1: RestraintReapply st: NotStopd t0: [15:00:00 12/10/2012] id: Side Rails el: 0 cu: MICU cg: RN v1: Side Rails Up st: NotStopd t0: [15:00:00 12/10/2012] id: SpO2 el: 0 cu: MICU cg: RN v1: 98 u1: % st: NotStopd t0: [15:00:00 12/10/2012] id: Support Systems el: 0 cu: MICU cg: RN v1: Spouse st: NotStopd t0: [15:00:00 12/10/2012] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [15:00:00 12/10/2012] id: .9% Normal Saline IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 10 vu: ml t0: [15:00:00 12/10/2012] id: Stool Out Stool el: 1 cu: MICU cg: RN vo: 120 vu: ml t0: [15:00:00 12/10/2012] id: TPN 1600.0ml IV Infusions el: 1 cu: MICU cg: RN ai: -1 vo: 69.2 vu: ml
t0: [14:00:00 12/10/2012] id: HOB el: 0 cu: MICU cg: RN v1: 45 degrees st: NotStopd t0: [14:00:00 12/10/2012] id: Activity el: 0 cu: MICU cg: RN v1: Bedrest st: NotStopd t0: [14:00:00 12/10/2012] id: Activity Tolerance el: 0 cu: MICU cg: RN v1: Tolerated Well st: NotStopd t0: [14:00:00 12/10/2012] id: AntiEmbDevice/Status el: 0 cu: MICU cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [14:00:00 12/10/2012] id: Position el: 0 cu: MICU cg: RN v1: Left Side st: NotStopd t0: [14:00:00 12/10/2012] id: Assistance Device el: 0 cu: MICU cg: RN v1: 1 Person Assist st: NotStopd t0: [14:00:00 12/10/2012] id: Turn el: 0 cu: MICU cg: RN v1: Left Side st: NotStopd
t0: [15:30:00 12/10/2012] id: IV Piggyback IV Infusions el: 1 cu: MICU cg: RN ai: 209 vo: 100 vu: ml
t0: [14:00:00 12/10/2012] id: D5W IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 100 vu: ml t0: [15:00:00 12/10/2012] id: D5W IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 100 vu: ml
t0: [15:30:00 12/10/2012] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [15:30:00 12/10/2012] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [15:30:00 12/10/2012] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [15:30:00 12/10/2012] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [15:30:00 12/10/2012] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [15:30:00 12/10/2012] id: Heart Rate el: 0 cu: MICU cg: RN v1: 70 u1: BPM st: NotStopd t0: [15:30:00 12/10/2012] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [15:30:00 12/10/2012] id: NBP el: 0 cu: MICU cg: RN v1: 119 u1: mmHg v2: 54 u2: mmHg st: NotStopd t0: [15:30:00 12/10/2012] id: NBP Mean el: 0 cu: MICU cg: RN v1: 75.6667 u1: mmHg st: NotStopd t0: [15:30:00 12/10/2012] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [15:30:00 12/10/2012] id: Previous WeightF el: 0 cu: MICU cg: RN v1: 87.3 u1: kg st: NotStopd t0: [15:30:00 12/10/2012] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 18 u1: BPM st: NotStopd t0: [15:30:00 12/10/2012] id: SpO2 el: 0 cu: MICU cg: RN v1: 98 u1: % st: NotStopd t0: [15:30:00 12/10/2012] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [15:30:00 12/10/2012] id: .9% Normal Saline IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 5 vu: ml t0: [15:30:00 12/10/2012] id: D5W IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 50 vu: ml t0: [15:30:00 12/10/2012] id: Urine Out Foley el: 2 cu: MICU cg: RN vo: 150 vu: ml t0: [15:30:00 12/10/2012] id: TPN 1600.0ml IV Infusions el: 1 cu: MICU cg: RN ai: -1 vo: 34.6 vu: ml
t0: [16:00:00 12/10/2012] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [16:00:00 12/10/2012] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [16:00:00 12/10/2012] id: Cough Effort el: 0 cu: MICU cg: RN v1: Strong st: NotStopd t0: [16:00:00 12/10/2012] id: Cough Reflex el: 0 cu: MICU cg: RN v1: Intact st: NotStopd t0: [16:00:00 12/10/2012] id: Cough Type el: 0 cu: MICU cg: RN v1: Productive st: NotStopd t0: [16:00:00 12/10/2012] id: Cough/Deep Breathe el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [16:00:00 12/10/2012] id: IV #1 Reason DC'D el: 0 cu: MICU cg: RN v1: Clotted off st: NotStopd t0: [16:00:00 12/10/2012] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [16:00:00 12/10/2012] id: Diet Type el: 0 cu: MICU cg: RN v1: NPO st: NotStopd t0: [16:00:00 12/10/2012] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [16:00:00 12/10/2012] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [16:00:00 12/10/2012] id: Eye Opening el: 0 cu: MICU cg: RN v1: 3 To speech st: NotStopd t0: [16:00:00 12/10/2012] id: GCS Total el: 0 cu: MICU cg: RN v1: 12 u1: points st: NotStopd t0: [16:00:00 12/10/2012] id: Gag Reflex el: 0 cu: MICU cg: RN v1: Intact st: NotStopd t0: [16:00:00 12/10/2012] id: HOB el: 0 cu: MICU cg: RN v1: 45 degrees st: NotStopd t0: [16:00:00 12/10/2012] id: Heart Rate el: 0 cu: MICU cg: RN v1: 67 u1: BPM st: NotStopd t0: [16:00:00 12/10/2012] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [16:00:00 12/10/2012] id: INV Line#3 Type/Site el: 0 cu: MICU cg: RN v1: Multi-lumen v2: Right IJ st: NotStopd t0: [16:00:00 12/10/2012] id: INV Line#3InsertDate el: 0 cu: MICU cg: RN v1: 9 v2: 14 st: NotStopd t0: [16:00:00 12/10/2012] id: IV #1 D/C Date el: 0 cu: MICU cg: RN v1: 9 v2: 19 st: NotStopd t0: [16:00:00 12/10/2012] id: IV #1 Insert Date el: 0 cu: MICU cg: RN v1: 9 v2: 18 st: NotStopd t0: [16:00:00 12/10/2012] id: IV #1 Site/Size el: 0 cu: MICU cg: RN v1: Left Antecub v2: 18 gauge st: NotStopd t0: [16:00:00 12/10/2012] id: Activity el: 0 cu: MICU cg: RN v1: Bedrest st: NotStopd t0: [16:00:00 12/10/2012] id: IV Site Appear #1 el: 0 cu: MICU cg: RN v1: Infiltrated st: NotStopd t0: [16:00:00 12/10/2012] id: Activity Tolerance el: 0 cu: MICU cg: RN v1: Tolerated Well st: NotStopd t0: [16:00:00 12/10/2012] id: LLL Lung Sounds el: 0 cu: MICU cg: RN v1: Diminished st: NotStopd t0: [16:00:00 12/10/2012] id: LUL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [16:00:00 12/10/2012] id: Level of Conscious el: 0 cu: MICU cg: RN v1: Lethargic st: NotStopd t0: [16:00:00 12/10/2012] id: Motor Response el: 0 cu: MICU cg: RN v1: 5 Localizes Pain st: NotStopd t0: [16:00:00 12/10/2012] id: NBP el: 0 cu: MICU cg: RN v1: 121 u1: mmHg v2: 58 u2: mmHg st: NotStopd t0: [16:00:00 12/10/2012] id: NBP Mean el: 0 cu: MICU cg: RN v1: 79 u1: mmHg st: NotStopd t0: [16:00:00 12/10/2012] id: Oral Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [16:00:00 12/10/2012] id: Oral Cavity el: 0 cu: MICU cg: RN v1: Thrush st: NotStopd t0: [16:00:00 12/10/2012] id: Orientation el: 0 cu: MICU cg: RN v1: Oriented x 1 st: NotStopd t0: [16:00:00 12/10/2012] id: AntiEmbDevice/Status el: 0 cu: MICU cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [16:00:00 12/10/2012] id: Position el: 0 cu: MICU cg: RN v1: Supine st: NotStopd t0: [16:00:00 12/10/2012] id: Assistance Device el: 0 cu: MICU cg: RN v1: 1 Person Assist st: NotStopd t0: [16:00:00 12/10/2012] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [16:00:00 12/10/2012] id: Previous WeightF el: 0 cu: MICU cg: RN v1: 87.3 u1: kg st: NotStopd t0: [16:00:00 12/10/2012] id: RLL Lung Sounds el: 0 cu: MICU cg: RN v1: Diminished st: NotStopd t0: [16:00:00 12/10/2012] id: RUL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [16:00:00 12/10/2012] id: Respiratory Pattern el: 0 cu: MICU cg: RN v1: Regular st: NotStopd t0: [16:00:00 12/10/2012] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 17 u1: BPM st: NotStopd t0: [16:00:00 12/10/2012] id: SpO2 el: 0 cu: MICU cg: RN v1: 99 u1: % st: NotStopd t0: [16:00:00 12/10/2012] id: Temp. Site el: 0 cu: MICU cg: RN v1: Oral st: NotStopd t0: [16:00:00 12/10/2012] id: Temperature C (calc) el: 0 cu: MICU cg: RN v1: 36.4444 u1: Deg. C st: NotStopd t0: [16:00:00 12/10/2012] id: Temperature F el: 0 cu: MICU cg: RN v1: 97.6 u1: Deg. F st: NotStopd t0: [16:00:00 12/10/2012] id: Turn el: 0 cu: MICU cg: RN v1: Back st: NotStopd t0: [16:00:00 12/10/2012] id: Urine Source el: 0 cu: MICU cg: RN v1: Indwelling Cath st: NotStopd t0: [16:00:00 12/10/2012] id: Verbal Response el: 0 cu: MICU cg: RN v1: 4 Confused st: NotStopd t0: [16:00:00 12/10/2012] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [16:00:00 12/10/2012] id: .9% Normal Saline IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 5 vu: ml t0: [16:00:00 12/10/2012] id: D5W IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 50 vu: ml t0: [16:00:00 12/10/2012] id: Urine Out Foley el: 2 cu: MICU cg: RN vo: 25 vu: ml t0: [16:00:00 12/10/2012] id: TPN 1600.0ml IV Infusions el: 1 cu: MICU cg: RN ai: -1 vo: 34.6 vu: ml
tf: [23:00:00 12/10/2012] pt: IV Large Volume rt: IV fr: ONCE fs: 16 dn: 1 m1: Multivitamin 12 v1: 10 u1: ml m2: Travasol 4.25% W/ Dextrose 5% v2: 1000 u2: ml
t0: [17:00:00 12/10/2012] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [17:00:00 12/10/2012] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [17:00:00 12/10/2012] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [17:00:00 12/10/2012] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [17:00:00 12/10/2012] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [17:00:00 12/10/2012] id: Heart Rate el: 0 cu: MICU cg: RN v1: 67 u1: BPM st: NotStopd t0: [17:00:00 12/10/2012] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [17:00:00 12/10/2012] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [17:00:00 12/10/2012] id: Previous WeightF el: 0 cu: MICU cg: RN v1: 87.3 u1: kg st: NotStopd t0: [17:00:00 12/10/2012] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 18 u1: BPM st: NotStopd t0: [17:00:00 12/10/2012] id: SpO2 el: 0 cu: MICU cg: RN v1: 97 u1: % st: NotStopd t0: [17:00:00 12/10/2012] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [17:00:00 12/10/2012] id: .9% Normal Saline IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 10 vu: ml t0: [17:00:00 12/10/2012] id: D5W IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 100 vu: ml t0: [17:00:00 12/10/2012] id: Urine Out Foley el: 2 cu: MICU cg: RN vo: 120 vu: ml t0: [17:00:00 12/10/2012] id: TPN 1600.0ml IV Infusions el: 1 cu: MICU cg: RN ai: -1 vo: 69.2 vu: ml
tf: [17:00:00 15/10/2012] pt: Unit Dose rt: PR fr: Q6H fs: 17, 23, 5, 11 dn: 4 m1: Lactulose Enema v1: 300 u1: ml
t0: [18:00:00 12/10/2012] id: IV #1 Reason DC'D el: 0 cu: MICU cg: -1 st: D/C'd t0: [18:00:00 12/10/2012] id: IV #1 D/C Date el: 0 cu: MICU cg: -1 st: D/C'd t0: [18:00:00 12/10/2012] id: IV #1 Insert Date el: 0 cu: MICU cg: -1 st: D/C'd t0: [18:00:00 12/10/2012] id: IV #1 Site/Size el: 0 cu: MICU cg: -1 st: D/C'd t0: [18:00:00 12/10/2012] id: IV Site Appear #1 el: 0 cu: MICU cg: -1 st: D/C'd
io: PPN 1000.0ml IV Infusions el: 1 cu: MICU cg: RN ra: 42 ru: ml/hr
id: PPN el: 1 cu: MICU cg: RN io: PPN 1000.0ml IV Infusions vo: 1000 du: ml rt: Intravenous Push
t0: [18:00:00 12/10/2012] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [18:00:00 12/10/2012] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [18:00:00 12/10/2012] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [18:00:00 12/10/2012] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [18:00:00 12/10/2012] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [18:00:00 12/10/2012] id: Heart Rate el: 0 cu: MICU cg: RN v1: 79 u1: BPM st: NotStopd t0: [18:00:00 12/10/2012] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [18:00:00 12/10/2012] id: NBP el: 0 cu: MICU cg: RN v1: 129 u1: mmHg v2: 62 u2: mmHg st: NotStopd t0: [18:00:00 12/10/2012] id: NBP Mean el: 0 cu: MICU cg: RN v1: 84.3333 u1: mmHg st: NotStopd t0: [18:00:00 12/10/2012] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [18:00:00 12/10/2012] id: Previous WeightF el: 0 cu: MICU cg: RN v1: 87.3 u1: kg st: NotStopd t0: [18:00:00 12/10/2012] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 18 u1: BPM st: NotStopd t0: [18:00:00 12/10/2012] id: SpO2 el: 0 cu: MICU cg: RN v1: 98 u1: % st: NotStopd t0: [18:00:00 12/10/2012] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [18:00:00 12/10/2012] id: .9% Normal Saline IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 10 vu: ml t0: [18:00:00 12/10/2012] id: D5W IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 100 vu: ml t0: [18:00:00 12/10/2012] id: PPN 1000.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 0 vu: ml nb: 1 t0: [18:00:00 12/10/2012] id: Urine Out Foley el: 2 cu: MICU cg: RN vo: 120 vu: ml t0: [18:00:00 12/10/2012] id: TPN 1600.0ml IV Infusions el: 1 cu: MICU cg: RN ai: -1 vo: 69.2 vu: ml
t0: [18:00:00 12/10/2012] id: HOB el: 0 cu: MICU cg: RN v1: 45 degrees st: NotStopd t0: [18:00:00 12/10/2012] id: Activity el: 0 cu: MICU cg: RN v1: Bedrest st: NotStopd t0: [18:00:00 12/10/2012] id: Activity Tolerance el: 0 cu: MICU cg: RN v1: Tolerated Well st: NotStopd t0: [18:00:00 12/10/2012] id: AntiEmbDevice/Status el: 0 cu: MICU cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [18:00:00 12/10/2012] id: Position el: 0 cu: MICU cg: RN v1: Left Side st: NotStopd t0: [18:00:00 12/10/2012] id: Assistance Device el: 0 cu: MICU cg: RN v1: 1 Person Assist st: NotStopd t0: [18:00:00 12/10/2012] id: Turn el: 0 cu: MICU cg: RN v1: Left Side st: NotStopd t0: [18:00:00 12/10/2012] id: Fingerstick Glucose Chemistry el: 0 cu: MICU cg: RN v1: 135 rs: Manual st: NotStopd
t0: [19:00:00 12/10/2012] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [19:00:00 12/10/2012] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [19:00:00 12/10/2012] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [19:00:00 12/10/2012] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [19:00:00 12/10/2012] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [19:00:00 12/10/2012] id: Heart Rate el: 0 cu: MICU cg: RN v1: 72 u1: BPM st: NotStopd t0: [19:00:00 12/10/2012] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [19:00:00 12/10/2012] id: NBP el: 0 cu: MICU cg: RN v1: 110 u1: mmHg v2: 54 u2: mmHg st: NotStopd t0: [19:00:00 12/10/2012] id: NBP Mean el: 0 cu: MICU cg: RN v1: 72.6667 u1: mmHg st: NotStopd t0: [19:00:00 12/10/2012] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [19:00:00 12/10/2012] id: Previous WeightF el: 0 cu: MICU cg: RN v1: 87.3 u1: kg st: NotStopd t0: [19:00:00 12/10/2012] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 19 u1: BPM st: NotStopd t0: [19:00:00 12/10/2012] id: SpO2 el: 0 cu: MICU cg: RN v1: 99 u1: % st: NotStopd t0: [19:00:00 12/10/2012] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [17:00:00 12/10/2012] tf: [23:22:00 12/10/2012] dt: 382 id: Po Intake PO/Gastric el: 1 cu: MICU cg: RN ai: 103 vo: 300 vu: ml t0: [19:00:00 12/10/2012] id: .9% Normal Saline IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 10 vu: ml t0: [19:00:00 12/10/2012] id: D5W IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 100 vu: ml t0: [19:00:00 12/10/2012] tf: [23:22:00 12/10/2012] dt: 262 id: PPN 1000.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 42 vu: ml
t0: [23:00:00 12/10/2012] dt: 24 id: PO/Gastric In Total el: 2 cu: MICU cg: RN cv: 300 ap: none
t0: [20:00:00 12/10/2012] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [20:00:00 12/10/2012] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [20:00:00 12/10/2012] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [20:00:00 12/10/2012] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [20:00:00 12/10/2012] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [20:00:00 12/10/2012] id: Heart Rate el: 0 cu: MICU cg: RN v1: 73 u1: BPM st: NotStopd t0: [20:00:00 12/10/2012] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [20:00:00 12/10/2012] id: NBP el: 0 cu: MICU cg: RN v1: 107 u1: mmHg v2: 54 u2: mmHg st: NotStopd t0: [20:00:00 12/10/2012] id: NBP Mean el: 0 cu: MICU cg: RN v1: 71.6667 u1: mmHg st: NotStopd t0: [20:00:00 12/10/2012] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [20:00:00 12/10/2012] id: Previous WeightF el: 0 cu: MICU cg: RN v1: 87.3 u1: kg st: NotStopd t0: [20:00:00 12/10/2012] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 20 u1: BPM st: NotStopd t0: [20:00:00 12/10/2012] id: SpO2 el: 0 cu: MICU cg: RN v1: 98 u1: % st: NotStopd t0: [20:00:00 12/10/2012] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [20:00:00 12/10/2012] id: .9% Normal Saline IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 10 vu: ml t0: [20:00:00 12/10/2012] id: D5W IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 100 vu: ml t0: [20:00:00 12/10/2012] id: PPN 1000.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 42 vu: ml
t0: [20:00:00 12/10/2012] id: Temp. Site el: 0 cu: MICU cg: RN v1: Oral st: NotStopd
t0: [20:00:00 12/10/2012] id: Urine Out Foley el: 2 cu: MICU cg: RN vo: 100 vu: ml
t0: [20:00:00 12/10/2012] id: Temperature C (calc) el: 0 cu: MICU cg: RN v1: 37.0556 u1: Deg. C st: NotStopd t0: [20:00:00 12/10/2012] id: Temperature F el: 0 cu: MICU cg: RN v1: 98.7 u1: Deg. F st: NotStopd
t0: [20:00:00 12/10/2012] id: Riker-SAS Scale el: 0 cu: MICU cg: RN v1: Calm/Cooperative st: NotStopd
t0: [20:00:00 12/10/2012] id: Cough Effort el: 0 cu: MICU cg: RN v1: Strong st: NotStopd t0: [20:00:00 12/10/2012] id: Cough Reflex el: 0 cu: MICU cg: RN v1: Intact st: NotStopd t0: [20:00:00 12/10/2012] id: Cough Type el: 0 cu: MICU cg: RN v1: Productive st: NotStopd t0: [20:00:00 12/10/2012] id: Diet Type el: 0 cu: MICU cg: RN v1: Clear Liquid st: NotStopd t0: [20:00:00 12/10/2012] id: Eye Opening el: 0 cu: MICU cg: RN v1: 3 To speech st: NotStopd t0: [20:00:00 12/10/2012] id: GCS Total el: 0 cu: MICU cg: RN v1: 12 u1: points st: NotStopd t0: [20:00:00 12/10/2012] id: Gag Reflex el: 0 cu: MICU cg: RN v1: Intact st: NotStopd t0: [20:00:00 12/10/2012] id: LLL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [20:00:00 12/10/2012] id: LUL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [20:00:00 12/10/2012] id: Level of Conscious el: 0 cu: MICU cg: RN v1: Lethargic st: NotStopd t0: [20:00:00 12/10/2012] id: Motor Response el: 0 cu: MICU cg: RN v1: 5 Localizes Pain st: NotStopd t0: [20:00:00 12/10/2012] id: Oral Cavity el: 0 cu: MICU cg: RN v1: Oral Ulcers st: NotStopd t0: [20:00:00 12/10/2012] id: Orientation el: 0 cu: MICU cg: RN v1: Oriented x 1 st: NotStopd t0: [20:00:00 12/10/2012] id: RLL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [20:00:00 12/10/2012] id: RUL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [20:00:00 12/10/2012] id: Respiratory Pattern el: 0 cu: MICU cg: RN v1: Regular st: NotStopd t0: [20:00:00 12/10/2012] id: Urine Source el: 0 cu: MICU cg: RN v1: Indwelling Cath st: NotStopd t0: [20:00:00 12/10/2012] id: Verbal Response el: 0 cu: MICU cg: RN v1: 4 Confused st: NotStopd
t0: [21:00:00 12/10/2012] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [21:00:00 12/10/2012] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [21:00:00 12/10/2012] id: Cough/Deep Breathe el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [21:00:00 12/10/2012] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [21:00:00 12/10/2012] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [21:00:00 12/10/2012] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [21:00:00 12/10/2012] id: HOB el: 0 cu: MICU cg: RN v1: 45 degrees st: NotStopd t0: [21:00:00 12/10/2012] id: Heart Rate el: 0 cu: MICU cg: RN v1: 87 u1: BPM st: NotStopd t0: [21:00:00 12/10/2012] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [21:00:00 12/10/2012] id: Activity el: 0 cu: MICU cg: RN v1: Bedrest st: NotStopd t0: [21:00:00 12/10/2012] id: Activity Tolerance el: 0 cu: MICU cg: RN v1: Tolerated Well st: NotStopd t0: [21:00:00 12/10/2012] id: NBP el: 0 cu: MICU cg: RN v1: 112 u1: mmHg v2: 47 u2: mmHg st: NotStopd t0: [21:00:00 12/10/2012] id: NBP Mean el: 0 cu: MICU cg: RN v1: 68.6667 u1: mmHg st: NotStopd t0: [21:00:00 12/10/2012] id: AntiEmbDevice/Status el: 0 cu: MICU cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [21:00:00 12/10/2012] id: Position el: 0 cu: MICU cg: RN v1: Supine st: NotStopd t0: [21:00:00 12/10/2012] id: Assistance Device el: 0 cu: MICU cg: RN v1: 2 Person Assist st: NotStopd t0: [21:00:00 12/10/2012] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [21:00:00 12/10/2012] id: Previous WeightF el: 0 cu: MICU cg: RN v1: 87.3 u1: kg st: NotStopd t0: [21:00:00 12/10/2012] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 20 u1: BPM st: NotStopd t0: [21:00:00 12/10/2012] id: SpO2 el: 0 cu: MICU cg: RN v1: 97 u1: % st: NotStopd t0: [21:00:00 12/10/2012] id: Turn el: 0 cu: MICU cg: RN v1: Side to Side st: NotStopd t0: [21:00:00 12/10/2012] id: Back Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [21:00:00 12/10/2012] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [21:00:00 12/10/2012] id: .9% Normal Saline IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 10 vu: ml t0: [21:00:00 12/10/2012] id: D5W IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 100 vu: ml t0: [21:00:00 12/10/2012] id: PPN 1000.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 42 vu: ml t0: [21:00:00 12/10/2012] id: Urine Out Foley el: 2 cu: MICU cg: RN vo: 240 vu: ml
t0: [23:00:00 12/10/2012] dt: 24 id: Stool Out Total el: 2 cu: MICU cg: RN cv: 470 ap: none
t0: [21:00:00 12/10/2012] id: Stool Out Stool el: 1 cu: MICU cg: RN vo: 350 vu: ml
t0: [21:00:00 12/10/2012] id: Diet Type el: 0 cu: MICU cg: RN v1: NPO st: NotStopd t0: [21:00:00 12/10/2012] id: Respiratory Pattern el: 0 cu: MICU cg: RN v1: Regular st: NotStopd t0: [21:00:00 12/10/2012] id: Urine Source el: 0 cu: MICU cg: RN v1: Indwelling Cath st: NotStopd
t0: [20:20:00 12/10/2012] id: Hematocrit Hematology el: 0 cu: MICU cg: 1663 v1: 36.9 u1: % rs: Final st: NotStopd
t0: [20:00:00 12/10/2012] id: Range of Motion el: 0 cu: MICU cg: RN v1: Not Done st: NotStopd t0: [20:00:00 12/10/2012] id: Circulation/SkinInt el: 0 cu: MICU cg: RN v1: Circulation Adeq st: NotStopd t0: [20:00:00 12/10/2012] id: Position Change el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [20:00:00 12/10/2012] id: Reason For Restraint el: 0 cu: MICU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [20:00:00 12/10/2012] id: Removed x 5 Mins el: 0 cu: MICU cg: RN v1: Not Done st: NotStopd t0: [20:00:00 12/10/2012] id: Restraint Location el: 0 cu: MICU cg: RN v1: Both Arms st: NotStopd t0: [20:00:00 12/10/2012] id: Restraint Type el: 0 cu: MICU cg: RN v1: Soft Limb st: NotStopd t0: [20:00:00 12/10/2012] id: Restraints Evaluated el: 0 cu: MICU cg: RN v1: RestraintReapply st: NotStopd t0: [20:00:00 12/10/2012] id: Side Rails el: 0 cu: MICU cg: RN v1: Side Rails Up st: NotStopd t0: [20:00:00 12/10/2012] id: Support Systems el: 0 cu: MICU cg: RN v1: Spouse st: NotStopd
t0: [22:00:00 12/10/2012] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [22:00:00 12/10/2012] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [22:00:00 12/10/2012] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [22:00:00 12/10/2012] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [22:00:00 12/10/2012] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [22:00:00 12/10/2012] id: Heart Rate el: 0 cu: MICU cg: RN v1: 77 u1: BPM st: NotStopd t0: [22:00:00 12/10/2012] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [22:00:00 12/10/2012] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [22:00:00 12/10/2012] id: Previous WeightF el: 0 cu: MICU cg: RN v1: 87.3 u1: kg st: NotStopd t0: [22:00:00 12/10/2012] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 20 u1: BPM st: NotStopd t0: [22:00:00 12/10/2012] id: SpO2 el: 0 cu: MICU cg: RN v1: 97 u1: % st: NotStopd t0: [22:00:00 12/10/2012] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [22:00:00 12/10/2012] id: .9% Normal Saline IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 10 vu: ml t0: [22:00:00 12/10/2012] id: D5W IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 100 vu: ml t0: [22:00:00 12/10/2012] id: PPN 1000.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 42 vu: ml
t0: [22:00:00 12/10/2012] id: NBP el: 0 cu: MICU cg: RN v1: 114 u1: mmHg v2: 50 u2: mmHg st: NotStopd t0: [22:00:00 12/10/2012] id: NBP Mean el: 0 cu: MICU cg: RN v1: 71.3333 u1: mmHg st: NotStopd
t0: [22:00:00 12/10/2012] id: Urine Out Foley el: 2 cu: MICU cg: RN vo: 120 vu: ml
t0: [22:00:00 12/10/2012] id: IV Piggyback IV Infusions el: 1 cu: MICU cg: RN ai: 209 vo: 100 vu: ml
tf: [08:00:00 16/10/2012] pt: Unit Dose rt: PO fr: QD fs: 10 dn: 1 m1: Multivitamins v1: 1 u1: CAP
pt: TPN
tf: [17:00:00 15/10/2012] pt: Unit Dose rt: PO fr: TID fs: 08, 16, 22 dn: 3 m1: Lactulose v1: 30 u1: ml
tf: [08:00:00 15/10/2012] pt: IV Piggyback rt: IV fr: ONCE fs: 9 dn: 1 m1: Magnesium Sulfate v1: 3 u1: gm m2: NS v2: 250 u2: ml tf: [08:00:00 15/10/2012] pt: Unit Dose rt: PO fr: ONCE fs: 9 dn: 1 m1: Potassium Chloride v1: 40 u1: mEq tf: [08:00:00 15/10/2012] pt: Unit Dose rt: PO fr: ONCE fs: 9 dn: 1 m1: Potassium Chloride v1: 60 u1: mEq tf: [08:00:00 15/10/2012] pt: Unit Dose rt: PO fr: ONCE fs: 9 dn: 1 m1: Potassium Chloride v1: 80 u1: mEq
pt: TPN tf: [11:00:00 14/10/2012] pt: Unit Dose rt: PO fr: ONCE fs: 12 dn: 1 m1: Potassium Chloride v1: 40 u1: mEq
tf: [09:00:00 15/10/2012] pt: Unit Dose rt: PO fr: ONCE fs: 10 dn: 1 m1: Potassium Chloride v1: 60 u1: mEq tf: [12:00:00 15/10/2012] pt: Unit Dose rt: PO fr: ONCE fs: 10 dn: 1 m1: Potassium Chloride v1: 80 u1: mEq
pt: TPN
tf: [12:00:00 16/10/2012] pt: Unit Dose rt: PO fr: ONCE fs: 13 dn: 1 m1: Potassium Chloride v1: 40 u1: mEq
tf: [20:00:00 16/10/2012] pt: Unit Dose rt: PO fr: ONCE fs: 21 dn: 1 m1: Potassium Chloride v1: 40 u1: mEq
pt: TPN
tf: [13:00:00 16/10/2012] pt: Unit Dose rt: PO fr: QD fs: 10 dn: 1 m1: Nadolol v1: 20 u1: mg tf: [17:00:00 21/10/2012] pt: Unit Dose rt: PO fr: QD fs: 10 dn: 1 m1: Spironolactone v1: 50 u1: mg
tf: [16:00:00 21/10/2012] pt: Unit Dose rt: PO fr: Q12H fs: 12, 0 dn: 2 m1: Pantoprazole v1: 40 u1: mg
tf: [17:00:00 21/10/2012] pt: Unit Dose rt: PO fr: Q12H fs: 12, 0 dn: 2 m1: Ciprofloxacin HCl v1: 250 u1: mg
tf: [14:00:00 18/10/2012] pt: IV Large Volume rt: IV fr: ONCE fs: 15 dn: 1 m1: Multivitamin 12 v1: 10 u1: ml m2: Travasol 4.25% W/ Dextrose 5% v2: 1000 u2: ml tf: [14:00:00 18/10/2012] pt: Unit Dose rt: PO fr: ONCE fs: 15 dn: 1 m1: Lactulose v1: 30 u1: ml
tf: [16:00:00 21/10/2012] pt: Unit Dose rt: PO fr: HS:PRN m1: traZODONE HCl v1: 25 u1: mg tf: [13:00:00 26/10/2012] pt: Unit Dose rt: PO fr: PRN m1: Lactulose v1: 15 u1: ml
tf: [21:00:00 20/10/2012] pt: Unit Dose rt: PO fr: ONCE fs: 22 dn: 1 m1: traZODONE HCl v1: 25 u1: mg
tf: [09:00:00 24/10/2012] pt: Unit Dose rt: SC fr: QD fs: 10 dn: 1 m1: Phytonadione v1: 10 u1: mg
tf: [17:00:00 21/10/2012] pt: Unit Dose rt: IV fr: Q6H fs: 16, 22, 4, 10 dn: 4 m1: Metoclopramide v1: 10 u1: mg
tf: [21:09:00 25/10/2012] dt: 6060 cu: MICU-A de: CC7
t0: [16:09:00 21/10/2012] id: BSA el: 1033 cu: MICU-A cg: -1 t0: [16:09:00 21/10/2012] id: Admit Wt el: 1032 cu: MICU-A cg: -1 v1: 84.2 u1: kg t0: [16:09:00 21/10/2012] id: Allergy 1 el: 1020 cu: MICU-A cg: -1 v1: No Known Drug Allergies t0: [16:09:00 21/10/2012] id: Diagnosis/op el: 1023 cu: MICU-A cg: -1 v1: VARICEAL BLEED t0: [16:09:00 21/10/2012] id: Service el: 1026 cu: MICU-A cg: -1 v1: MED t0: [16:09:00 21/10/2012] id: Admit Ht el: 1034 cu: MICU-A cg: -1 t0: [16:09:00 21/10/2012] id: Readmission el: 1014 cu: MICU-A cg: -1 t0: [16:09:00 21/10/2012] id: Marital Status el: 1006 cu: MICU-A cg: -1 v1: M t0: [16:09:00 21/10/2012] id: Religion el: 1000 cu: MICU-A cg: -1 v1: RCA t0: [16:09:00 21/10/2012] id: Allergy 2 el: 1021 cu: MICU-A cg: -1 t0: [16:09:00 21/10/2012] id: Ext el: 1010 cu: MICU-A cg: -1 t0: [16:09:00 21/10/2012] id: PIN el: 1012 cu: MICU-A cg: -1 t0: [16:09:00 21/10/2012] id: Allergy 3 el: 1022 cu: MICU-A cg: -1
t0: [16:00:00 21/10/2012] id: Riker-SAS Scale el: 0 cu: MICU-A cg: RN v1: Calm/Cooperative st: NotStopd t0: [16:00:00 21/10/2012] id: Cough Effort el: 0 cu: MICU-A cg: RN v1: Strong st: NotStopd t0: [16:00:00 21/10/2012] id: Cough Reflex el: 0 cu: MICU-A cg: RN v1: Intact st: NotStopd t0: [16:00:00 21/10/2012] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [16:00:00 21/10/2012] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [16:00:00 21/10/2012] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [16:00:00 21/10/2012] id: Eye Opening el: 0 cu: MICU-A cg: RN v1: 4 Spontaneously st: NotStopd t0: [16:00:00 21/10/2012] id: Follows Commands el: 0 cu: MICU-A cg: RN v1: Consistently st: NotStopd t0: [16:00:00 21/10/2012] id: GCS Total el: 0 cu: MICU-A cg: RN v1: 15 u1: points st: NotStopd t0: [16:00:00 21/10/2012] id: HOB el: 0 cu: MICU-A cg: RN v1: 45 degrees st: NotStopd t0: [16:00:00 21/10/2012] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 70 u1: BPM st: NotStopd t0: [16:00:00 21/10/2012] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [16:00:00 21/10/2012] id: IV #1 Insert Date el: 0 cu: MICU-A cg: RN v1: 9 v2: 28 st: NotStopd t0: [16:00:00 21/10/2012] id: IV #1 Site/Size el: 0 cu: MICU-A cg: RN v1: Right Antecub v2: 20 gauge st: NotStopd t0: [16:00:00 21/10/2012] id: Activity el: 0 cu: MICU-A cg: RN v1: Bedrest st: NotStopd t0: [16:00:00 21/10/2012] id: IV Site Appear #1 el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [16:00:00 21/10/2012] id: LLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Diminished st: NotStopd t0: [16:00:00 21/10/2012] id: LUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Clear st: NotStopd t0: [16:00:00 21/10/2012] id: Level of Conscious el: 0 cu: MICU-A cg: RN v1: Alert st: NotStopd t0: [16:00:00 21/10/2012] id: Motor Response el: 0 cu: MICU-A cg: RN v1: 6 Obeys Commands st: NotStopd t0: [16:00:00 21/10/2012] id: NBP el: 0 cu: MICU-A cg: RN v1: 110 u1: mmHg v2: 68 u2: mmHg st: NotStopd t0: [16:00:00 21/10/2012] id: NBP Mean el: 0 cu: MICU-A cg: RN v1: 82 u1: mmHg st: NotStopd t0: [16:00:00 21/10/2012] id: O2 Delivery Device el: 0 cu: MICU-A cg: RN v1: Nasal Cannula st: NotStopd t0: [16:00:00 21/10/2012] id: O2 Flow (lpm) el: 0 cu: MICU-A cg: RN v1: 2 u1: lpm st: NotStopd t0: [16:00:00 21/10/2012] id: Orientation el: 0 cu: MICU-A cg: RN v1: Oriented x 3 st: NotStopd t0: [16:00:00 21/10/2012] id: Position el: 0 cu: MICU-A cg: RN v1: Supine st: NotStopd t0: [16:00:00 21/10/2012] id: PostTib. Pulses R/L el: 0 cu: MICU-A cg: RN v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [16:00:00 21/10/2012] id: Precautions el: 0 cu: MICU-A cg: RN v1: Contact st: NotStopd t0: [16:00:00 21/10/2012] id: RLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Diminished st: NotStopd t0: [16:00:00 21/10/2012] id: RUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Clear st: NotStopd t0: [16:00:00 21/10/2012] id: Respiratory Pattern el: 0 cu: MICU-A cg: RN v1: Regular st: NotStopd t0: [16:00:00 21/10/2012] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 16 u1: BPM st: NotStopd t0: [16:00:00 21/10/2012] id: Skin Color el: 0 cu: MICU-A cg: RN v1: Pale st: NotStopd t0: [16:00:00 21/10/2012] id: Skin Integrity el: 0 cu: MICU-A cg: RN v1: Intact st: NotStopd t0: [16:00:00 21/10/2012] id: Skin Temp/Condition el: 0 cu: MICU-A cg: RN v1: Warm v2: Dry st: NotStopd t0: [16:00:00 21/10/2012] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 97 u1: % st: NotStopd t0: [16:00:00 21/10/2012] id: Spontaneous Movement el: 0 cu: MICU-A cg: RN v1: Purposeful st: NotStopd t0: [16:00:00 21/10/2012] id: Temp. Site el: 0 cu: MICU-A cg: RN v1: Oral st: NotStopd t0: [16:00:00 21/10/2012] id: Temperature C (calc) el: 0 cu: MICU-A cg: RN v1: 36.6667 u1: Deg. C st: NotStopd t0: [16:00:00 21/10/2012] id: Temperature F el: 0 cu: MICU-A cg: RN v1: 98 u1: Deg. F st: NotStopd t0: [16:00:00 21/10/2012] id: Turn el: 0 cu: MICU-A cg: RN v1: Back st: NotStopd t0: [16:00:00 21/10/2012] id: Urine Source el: 0 cu: MICU-A cg: RN v1: Voids st: NotStopd t0: [16:00:00 21/10/2012] id: Verbal Response el: 0 cu: MICU-A cg: RN v1: 5 Oriented st: NotStopd t0: [16:00:00 21/10/2012] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [16:00:00 21/10/2012] id: Behavior el: 0 cu: MICU-A cg: RN v1: Calm st: NotStopd t0: [16:00:00 21/10/2012] id: Braden Activity el: 0 cu: MICU-A cg: RN v1: Bedfast st: NotStopd t0: [16:00:00 21/10/2012] id: Braden Frict/Shear el: 0 cu: MICU-A cg: RN v1: No Apparent Prob st: NotStopd t0: [16:00:00 21/10/2012] id: Braden Mobility el: 0 cu: MICU-A cg: RN v1: Sl. Limited st: NotStopd t0: [16:00:00 21/10/2012] id: Braden Moisture el: 0 cu: MICU-A cg: RN v1: Rarely Moist st: NotStopd t0: [16:00:00 21/10/2012] id: Braden Nutrition el: 0 cu: MICU-A cg: RN v1: Prob. Inadequate st: NotStopd t0: [16:00:00 21/10/2012] id: Braden Score el: 0 cu: MICU-A cg: RN v1: 17 u1: number st: NotStopd t0: [16:00:00 21/10/2012] id: Braden SensoryPercep el: 0 cu: MICU-A cg: RN v1: No Impairment st: NotStopd
t0: [16:06:00 21/10/2012] id: Hematocrit Hematology el: 0 cu: MICU-A cg: 1663 v1: 28.1 u1: % rs: Final st: NotStopd
t0: [16:06:00 21/10/2012] id: PT el: 0 cu: MICU-A cg: 1663 v1: 17.4 rs: Final st: NotStopd t0: [16:06:00 21/10/2012] id: INR Coags el: 0 cu: MICU-A cg: 1663 v1: 2 rs: Final st: NotStopd t0: [16:06:00 21/10/2012] id: PTT Coags el: 0 cu: MICU-A cg: 1663 v1: 37.4 rs: Final st: NotStopd t0: [16:06:00 21/10/2012] id: INR (2-4 ref. range) Coags el: 0 cu: MICU-A cg: 1663 v1: 2 rs: Final st: NotStopd t0: [16:06:00 21/10/2012] id: PT(11-13.5) Coags el: 0 cu: MICU-A cg: 1663 v1: 17.4 rs: Final st: NotStopd t0: [16:06:00 21/10/2012] id: PTT(22-35) Coags el: 0 cu: MICU-A cg: 1663 v1: 37.4 rs: Final st: NotStopd
id: Sandostatin el: 100 cu: MICU-A cg: RN io: .9% Normal Saline 100.0ml + 600mcghr Sandostatin IV Infusions am: 600 du: mcghr rt: IV Drip
io: .9% Normal Saline 100.0ml + 600mcghr Sandostatin IV Infusions el: 1 cu: MICU-A cg: RN ra: 8.3 ru: ml/hr
tf: [09:00:00 25/10/2012] pt: IV Piggyback rt: IV DRIP fr: INFUSION m1: Octreotide Acetate v1: 600 u1: mcg m2: D5W v2: 100 u2: ml tf: [09:00:00 25/10/2012] pt: IV Piggyback rt: IV fr: Q12H fs: 18, 6 dn: 2 m1: Pantoprazole Sodium v1: 40 u1: mg m2: NS v2: 100 u2: ml tf: [13:00:00 28/10/2012] pt: IV Piggyback rt: IV fr: Q12H fs: 18, 6 dn: 2 m1: Ciprofloxacin v1: 200 u1: mg m2: D5W v2: 100 u2: ml
id: .9% Normal Saline el: 1 cu: MICU-A cg: RN io: .9% Normal Saline 100.0ml + 600mcghr Sandostatin IV Infusions vo: 100 du: ml rt: Intravenous Push
t0: [16:00:00 21/10/2012] id: Diet Type el: 0 cu: MICU-A cg: RN v1: NPO st: NotStopd t0: [16:00:00 21/10/2012] id: Oral Cavity el: 0 cu: MICU-A cg: RN st: NotStopd t0: [16:00:00 21/10/2012] id: Urine Color/Appear el: 0 cu: MICU-A cg: RN v1: Orange v2: Clear st: NotStopd t0: [18:00:00 21/10/2012] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [18:00:00 21/10/2012] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [18:00:00 21/10/2012] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [18:00:00 21/10/2012] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 58 u1: BPM st: NotStopd t0: [18:00:00 21/10/2012] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Sinus Brady st: NotStopd t0: [18:00:00 21/10/2012] id: NBP el: 0 cu: MICU-A cg: RN v1: 102 u1: mmHg v2: 41 u2: mmHg st: NotStopd t0: [18:00:00 21/10/2012] id: NBP Mean el: 0 cu: MICU-A cg: RN v1: 61.3333 u1: mmHg st: NotStopd t0: [18:00:00 21/10/2012] id: Precautions el: 0 cu: MICU-A cg: RN v1: Contact st: NotStopd t0: [18:00:00 21/10/2012] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 14 u1: BPM st: NotStopd t0: [18:00:00 21/10/2012] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 99 u1: % st: NotStopd t0: [18:00:00 21/10/2012] id: Temp. Site el: 0 cu: MICU-A cg: RN v1: Oral st: NotStopd t0: [18:00:00 21/10/2012] id: Temperature C (calc) el: 0 cu: MICU-A cg: RN v1: 37.1111 u1: Deg. C st: NotStopd t0: [18:00:00 21/10/2012] id: Temperature F el: 0 cu: MICU-A cg: RN v1: 98.8 u1: Deg. F st: NotStopd t0: [18:00:00 21/10/2012] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [18:00:00 21/10/2012] tf: [16:20:00 23/10/2012] dt: 2780 id: Fresh Frozen Plasma IV Infusions el: 1 cu: MICU-A cg: RN ai: 155 vo: 311 vu: ml t0: [18:00:00 21/10/2012] tf: [21:09:00 25/10/2012] dt: 5949 id: Urine Out Void el: 2 cu: MICU-A cg: RN vo: 250 vu: ml
t0: [18:00:00 21/10/2012] tf: [21:09:00 25/10/2012] dt: 5949 id: Sandostatin el: 3 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 49.8 du: mcghr sv: 100 su: ml rt: IV Drip
t0: [23:00:00 21/10/2012] dt: 24 id: Urine Out Total el: 2 cu: MICU-A cg: RN cv: 250 ap: none
t0: [19:00:00 21/10/2012] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [19:00:00 21/10/2012] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [19:00:00 21/10/2012] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [19:00:00 21/10/2012] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 71 u1: BPM st: NotStopd t0: [19:00:00 21/10/2012] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Sinus Brady st: NotStopd t0: [19:00:00 21/10/2012] id: NBP el: 0 cu: MICU-A cg: RN v1: 100 u1: mmHg v2: 43 u2: mmHg st: NotStopd t0: [19:00:00 21/10/2012] id: NBP Mean el: 0 cu: MICU-A cg: RN v1: 62 u1: mmHg st: NotStopd t0: [19:00:00 21/10/2012] id: Precautions el: 0 cu: MICU-A cg: RN v1: Contact st: NotStopd t0: [19:00:00 21/10/2012] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 13 u1: BPM st: NotStopd t0: [19:00:00 21/10/2012] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 99 u1: % st: NotStopd t0: [19:00:00 21/10/2012] id: Temp. Site el: 0 cu: MICU-A cg: RN v1: Oral st: NotStopd t0: [19:00:00 21/10/2012] id: Temperature C (calc) el: 0 cu: MICU-A cg: RN v1: 36.5556 u1: Deg. C st: NotStopd t0: [19:00:00 21/10/2012] id: Temperature F el: 0 cu: MICU-A cg: RN v1: 97.8 u1: Deg. F st: NotStopd t0: [19:00:00 21/10/2012] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [19:00:00 21/10/2012] tf: [21:09:00 25/10/2012] dt: 5889 id: .9% Normal Saline IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 50 vu: ml t0: [19:00:00 21/10/2012] id: Fresh Frozen Plasma IV Infusions el: 1 cu: MICU-A cg: RN ai: 155 vo: 301 vu: ml
t0: [19:00:00 21/10/2012] id: Sandostatin el: 3 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 49.8 du: mcghr sv: 100 su: ml rt: IV Drip
t0: [18:42:00 21/10/2012] id: Blood Products Hematology el: 0 cu: MICU-A cg: 1663 v1: Y rs: Final st: NotStopd
t0: [20:00:00 21/10/2012] id: Cough Effort el: 0 cu: MICU-A cg: RN v1: Strong st: NotStopd t0: [20:00:00 21/10/2012] id: Cough Reflex el: 0 cu: MICU-A cg: RN v1: Intact st: NotStopd t0: [20:00:00 21/10/2012] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [20:00:00 21/10/2012] id: Diet Type el: 0 cu: MICU-A cg: RN v1: NPO st: NotStopd t0: [20:00:00 21/10/2012] id: Dorsal PedPulse R/L el: 0 cu: MICU-A cg: RN v1: Weak Palpable v2: Weak Palpable st: NotStopd t0: [20:00:00 21/10/2012] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [20:00:00 21/10/2012] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [20:00:00 21/10/2012] id: Eye Opening el: 0 cu: MICU-A cg: RN v1: 4 Spontaneously st: NotStopd t0: [20:00:00 21/10/2012] id: Follows Commands el: 0 cu: MICU-A cg: RN v1: Consistently st: NotStopd t0: [20:00:00 21/10/2012] id: GCS Total el: 0 cu: MICU-A cg: RN v1: 15 u1: points st: NotStopd t0: [20:00:00 21/10/2012] id: HOB el: 0 cu: MICU-A cg: RN v1: 30 degrees st: NotStopd t0: [20:00:00 21/10/2012] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 68 u1: BPM st: NotStopd t0: [20:00:00 21/10/2012] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [20:00:00 21/10/2012] id: IV #1 Insert Date el: 0 cu: MICU-A cg: RN v1: 9 v2: 28 st: NotStopd t0: [20:00:00 21/10/2012] id: IV #1 Site/Size el: 0 cu: MICU-A cg: RN v1: Right Antecub v2: 20 gauge st: NotStopd t0: [20:00:00 21/10/2012] id: IV #2 Insert Date el: 0 cu: MICU-A cg: RN v1: 9 v2: 28 st: NotStopd t0: [20:00:00 21/10/2012] id: IV #2 Site/Size el: 0 cu: MICU-A cg: RN v1: LU Ant Forearm v2: 16 gauge st: NotStopd t0: [20:00:00 21/10/2012] id: Activity el: 0 cu: MICU-A cg: RN v1: Bedrest st: NotStopd t0: [20:00:00 21/10/2012] id: IV Site Appear #1 el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [20:00:00 21/10/2012] id: IV Site Appear #2 el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [20:00:00 21/10/2012] id: Activity Tolerance el: 0 cu: MICU-A cg: RN v1: Tolerated Well st: NotStopd t0: [20:00:00 21/10/2012] id: LLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Diminished st: NotStopd t0: [20:00:00 21/10/2012] id: LUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Clear st: NotStopd t0: [20:00:00 21/10/2012] id: Level of Conscious el: 0 cu: MICU-A cg: RN v1: Alert st: NotStopd t0: [20:00:00 21/10/2012] id: Motor Response el: 0 cu: MICU-A cg: RN v1: 6 Obeys Commands st: NotStopd t0: [20:00:00 21/10/2012] id: NBP el: 0 cu: MICU-A cg: RN v1: 100 u1: mmHg v2: 52 u2: mmHg st: NotStopd t0: [20:00:00 21/10/2012] id: NBP Mean el: 0 cu: MICU-A cg: RN v1: 68 u1: mmHg st: NotStopd t0: [20:00:00 21/10/2012] id: Orientation el: 0 cu: MICU-A cg: RN v1: Oriented x 3 st: NotStopd t0: [20:00:00 21/10/2012] id: PostTib. Pulses R/L el: 0 cu: MICU-A cg: RN v1: Weak Palpable v2: Weak Palpable st: NotStopd t0: [20:00:00 21/10/2012] id: Assistance Device el: 0 cu: MICU-A cg: RN v1: Independent st: NotStopd t0: [20:00:00 21/10/2012] id: Precautions el: 0 cu: MICU-A cg: RN v1: Contact st: NotStopd t0: [20:00:00 21/10/2012] id: Pupil Response R/L el: 0 cu: MICU-A cg: RN v1: Brisk v2: Brisk st: NotStopd t0: [20:00:00 21/10/2012] id: Pupil Size R/L el: 0 cu: MICU-A cg: RN v1: 3 mm v2: 3 mm st: NotStopd t0: [20:00:00 21/10/2012] id: RLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Diminished st: NotStopd t0: [20:00:00 21/10/2012] id: RUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Clear st: NotStopd t0: [20:00:00 21/10/2012] id: Respiratory Pattern el: 0 cu: MICU-A cg: RN v1: Regular st: NotStopd t0: [20:00:00 21/10/2012] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 13 u1: BPM st: NotStopd t0: [20:00:00 21/10/2012] id: Skin Color el: 0 cu: MICU-A cg: RN v1: Jaundiced st: NotStopd t0: [20:00:00 21/10/2012] id: Skin Integrity el: 0 cu: MICU-A cg: RN v1: Intact st: NotStopd t0: [20:00:00 21/10/2012] id: Skin Temp/Condition el: 0 cu: MICU-A cg: RN v1: Warm v2: Dry st: NotStopd t0: [20:00:00 21/10/2012] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 98 u1: % st: NotStopd t0: [20:00:00 21/10/2012] id: Spontaneous Movement el: 0 cu: MICU-A cg: RN v1: Purposeful st: NotStopd t0: [20:00:00 21/10/2012] id: Temperature C (calc) el: 0 cu: MICU-A cg: RN v1: 36.5556 u1: Deg. C st: NotStopd t0: [20:00:00 21/10/2012] id: Temperature F el: 0 cu: MICU-A cg: RN v1: 97.8 u1: Deg. F st: NotStopd t0: [20:00:00 21/10/2012] id: Turn el: 0 cu: MICU-A cg: RN v1: Turns by self st: NotStopd t0: [20:00:00 21/10/2012] id: Urine Source el: 0 cu: MICU-A cg: RN v1: Voids st: NotStopd t0: [20:00:00 21/10/2012] id: Verbal Response el: 0 cu: MICU-A cg: RN v1: 5 Oriented st: NotStopd t0: [20:00:00 21/10/2012] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [20:00:00 21/10/2012] id: Braden Activity el: 0 cu: MICU-A cg: RN v1: Bedfast st: NotStopd t0: [20:00:00 21/10/2012] id: Braden Frict/Shear el: 0 cu: MICU-A cg: RN v1: Potential Prob st: NotStopd t0: [20:00:00 21/10/2012] id: Braden Mobility el: 0 cu: MICU-A cg: RN v1: Sl. Limited st: NotStopd t0: [20:00:00 21/10/2012] id: Braden Moisture el: 0 cu: MICU-A cg: RN v1: Rarely Moist st: NotStopd t0: [20:00:00 21/10/2012] id: Braden Nutrition el: 0 cu: MICU-A cg: RN v1: Prob. Inadequate st: NotStopd t0: [20:00:00 21/10/2012] id: Braden Score el: 0 cu: MICU-A cg: RN v1: 16 u1: number st: NotStopd t0: [20:00:00 21/10/2012] id: Braden SensoryPercep el: 0 cu: MICU-A cg: RN v1: No Impairment st: NotStopd
t0: [20:00:00 21/10/2012] id: Sandostatin el: 3 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 49.8 du: mcghr sv: 100 su: ml rt: IV Drip
t0: [19:50:00 21/10/2012] id: Hematocrit Hematology el: 0 cu: MICU-A cg: 1663 v1: 25 u1: % rs: Final st: NotStopd
t0: [21:00:00 21/10/2012] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [21:00:00 21/10/2012] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 74 u1: BPM st: NotStopd t0: [21:00:00 21/10/2012] id: NBP el: 0 cu: MICU-A cg: RN v1: 101 u1: mmHg v2: 50 u2: mmHg st: NotStopd t0: [21:00:00 21/10/2012] id: NBP Mean el: 0 cu: MICU-A cg: RN v1: 67 u1: mmHg st: NotStopd t0: [21:00:00 21/10/2012] id: Orthostat BP sitting el: 0 cu: MICU-A cg: RN v1: 101 u1: mmHg v2: 50 u2: mmHg st: NotStopd t0: [21:00:00 21/10/2012] id: Orthostat HR sitting el: 0 cu: MICU-A cg: RN v1: 84 u1: BPM st: NotStopd t0: [21:00:00 21/10/2012] id: Orthostatic BP lying el: 0 cu: MICU-A cg: RN v1: 103 u1: mmHg v2: 50 u2: mmHg st: NotStopd t0: [21:00:00 21/10/2012] id: Orthostatic HR lying el: 0 cu: MICU-A cg: RN v1: 74 u1: BPM st: NotStopd t0: [21:00:00 21/10/2012] id: Precautions el: 0 cu: MICU-A cg: RN v1: Contact st: NotStopd t0: [21:00:00 21/10/2012] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 16 u1: BPM st: NotStopd t0: [21:00:00 21/10/2012] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 98 u1: % st: NotStopd t0: [21:00:00 21/10/2012] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [21:00:00 21/10/2012] id: .9% Normal Saline IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 20 vu: ml t0: [21:00:00 21/10/2012] id: Fresh Frozen Plasma IV Infusions el: 1 cu: MICU-A cg: RN ai: 155 vo: 375 vu: ml t0: [21:00:00 21/10/2012] tf: [21:09:00 25/10/2012] dt: 5769 id: Stool Out Stool el: 1 cu: MICU-A cg: RN vo: 300 vu: ml
t0: [21:00:00 21/10/2012] id: Sandostatin el: 3 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 49.8 du: mcghr sv: 100 su: ml rt: IV Drip
t0: [23:00:00 21/10/2012] dt: 1 id: Total Hourly Output el: 2 cu: MICU-A cg: RN cv: 0 ap: none t0: [23:00:00 21/10/2012] dt: 24 id: IV Infusion In Total el: 2 cu: MICU-A cg: RN cv: 70 ap: none t0: [23:00:00 21/10/2012] dt: 24 id: Stool Out Total el: 2 cu: MICU-A cg: RN cv: 300 ap: none t0: [23:00:00 21/10/2012] dt: 24 id: 24h Total Out el: 2 cu: MICU-A cg: RN cv: 550 ap: none
t0: [19:50:00 21/10/2012] id: BUN el: 0 cu: MICU-A cg: 1663 v1: 16 rs: Final st: NotStopd t0: [19:50:00 21/10/2012] id: Calcium Chemistry el: 0 cu: MICU-A cg: 1663 v1: 8.4 u1: mg/dl rs: Final st: NotStopd t0: [19:50:00 21/10/2012] id: Chloride Chemistry el: 0 cu: MICU-A cg: 1663 v1: 107 rs: Final st: NotStopd t0: [19:50:00 21/10/2012] id: Creatinine Chemistry el: 0 cu: MICU-A cg: 1663 v1: 1 rs: Final st: NotStopd t0: [19:50:00 21/10/2012] id: Glucose Chemistry el: 0 cu: MICU-A cg: 1663 v1: 87 rs: Final st: NotStopd t0: [19:50:00 21/10/2012] id: Magnesium Chemistry el: 0 cu: MICU-A cg: 1663 v1: 1.7 rs: Final st: NotStopd t0: [19:50:00 21/10/2012] id: Phosphorous Chemistry el: 0 cu: MICU-A cg: 1663 v1: 3.6 u1: mEq/L rs: Final st: NotStopd t0: [19:50:00 21/10/2012] id: Potassium Chemistry el: 0 cu: MICU-A cg: 1663 v1: 5.2 rs: Final st: NotStopd t0: [19:50:00 21/10/2012] id: Sodium Chemistry el: 0 cu: MICU-A cg: 1663 v1: 135 rs: Final st: NotStopd t0: [19:50:00 21/10/2012] id: BUN (6-20) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 16 rs: Final st: NotStopd t0: [19:50:00 21/10/2012] id: Calcium (8.4-10.2) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 8.4 u1: mg/dl rs: Final st: NotStopd t0: [19:50:00 21/10/2012] id: Carbon Dioxide Chemistry el: 0 cu: MICU-A cg: 1663 v1: 20 rs: Final st: NotStopd t0: [19:50:00 21/10/2012] id: Chloride (100-112) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 107 rs: Final st: NotStopd t0: [19:50:00 21/10/2012] id: Creatinine (0-1.3) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 1 rs: Final st: NotStopd t0: [19:50:00 21/10/2012] id: Glucose (70-105) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 87 rs: Final st: NotStopd t0: [19:50:00 21/10/2012] id: Magnesium (1.6-2.6) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 1.7 rs: Final st: NotStopd t0: [19:50:00 21/10/2012] id: Phosphorous(2.7-4.5) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 3.6 u1: mEq/L rs: Final st: NotStopd t0: [19:50:00 21/10/2012] id: Potassium (3.5-5.3) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 5.2 rs: Final st: NotStopd t0: [19:50:00 21/10/2012] id: Sodium (135-148) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 135 rs: Final st: NotStopd
t0: [21:00:00 21/10/2012] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [21:00:00 21/10/2012] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [21:00:00 21/10/2012] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [22:00:00 21/10/2012] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [22:00:00 21/10/2012] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [22:00:00 21/10/2012] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [22:00:00 21/10/2012] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 72 u1: BPM st: NotStopd t0: [22:00:00 21/10/2012] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [22:00:00 21/10/2012] id: NBP el: 0 cu: MICU-A cg: RN v1: 101 u1: mmHg v2: 46 u2: mmHg st: NotStopd t0: [22:00:00 21/10/2012] id: NBP Mean el: 0 cu: MICU-A cg: RN v1: 64.3333 u1: mmHg st: NotStopd t0: [22:00:00 21/10/2012] id: Precautions el: 0 cu: MICU-A cg: RN v1: Contact st: NotStopd t0: [22:00:00 21/10/2012] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 16 u1: BPM st: NotStopd t0: [22:00:00 21/10/2012] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 99 u1: % st: NotStopd t0: [22:00:00 21/10/2012] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [22:00:00 21/10/2012] id: Sandostatin el: 3 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 49.8 du: mcghr sv: 100 su: ml rt: IV Drip
t0: [22:00:00 21/10/2012] id: Procedures el: 0 cu: MICU-A cg: RN v1: Endoscopy st: NotStopd t0: [22:15:00 21/10/2012] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [22:15:00 21/10/2012] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [22:15:00 21/10/2012] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [22:15:00 21/10/2012] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 91 u1: BPM st: NotStopd t0: [22:15:00 21/10/2012] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [22:15:00 21/10/2012] id: NBP el: 0 cu: MICU-A cg: RN v1: 101 u1: mmHg v2: 52 u2: mmHg st: NotStopd t0: [22:15:00 21/10/2012] id: NBP Mean el: 0 cu: MICU-A cg: RN v1: 68.3333 u1: mmHg st: NotStopd t0: [22:15:00 21/10/2012] id: Precautions el: 0 cu: MICU-A cg: RN v1: Contact st: NotStopd t0: [22:15:00 21/10/2012] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 16 u1: BPM st: NotStopd t0: [22:15:00 21/10/2012] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 97 u1: % st: NotStopd t0: [22:15:00 21/10/2012] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [22:30:00 21/10/2012] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [22:30:00 21/10/2012] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [22:30:00 21/10/2012] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [22:30:00 21/10/2012] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 94 u1: BPM st: NotStopd t0: [22:30:00 21/10/2012] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [22:30:00 21/10/2012] id: NBP el: 0 cu: MICU-A cg: RN v1: 104 u1: mmHg v2: 59 u2: mmHg st: NotStopd t0: [22:30:00 21/10/2012] id: NBP Mean el: 0 cu: MICU-A cg: RN v1: 74 u1: mmHg st: NotStopd t0: [22:30:00 21/10/2012] id: Precautions el: 0 cu: MICU-A cg: RN v1: Contact st: NotStopd t0: [22:30:00 21/10/2012] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 14 u1: BPM st: NotStopd t0: [22:30:00 21/10/2012] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 96 u1: % st: NotStopd t0: [22:30:00 21/10/2012] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [22:15:00 21/10/2012] id: Sandostatin el: 3 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 49.8 du: mcghr sv: 100 su: ml rt: IV Drip t0: [22:30:00 21/10/2012] id: Sandostatin el: 3 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 49.8 du: mcghr sv: 100 su: ml rt: IV Drip
t0: [22:45:00 21/10/2012] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [22:45:00 21/10/2012] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [22:45:00 21/10/2012] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [22:45:00 21/10/2012] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 86 u1: BPM st: NotStopd t0: [22:45:00 21/10/2012] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [22:45:00 21/10/2012] id: NBP el: 0 cu: MICU-A cg: RN v1: 103 u1: mmHg v2: 50 u2: mmHg st: NotStopd t0: [22:45:00 21/10/2012] id: NBP Mean el: 0 cu: MICU-A cg: RN v1: 67.6667 u1: mmHg st: NotStopd t0: [22:45:00 21/10/2012] id: Precautions el: 0 cu: MICU-A cg: RN v1: Contact st: NotStopd t0: [22:45:00 21/10/2012] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 12 u1: BPM st: NotStopd t0: [22:45:00 21/10/2012] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 96 u1: % st: NotStopd t0: [22:45:00 21/10/2012] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [22:45:00 21/10/2012] id: Sandostatin el: 3 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 49.8 du: mcghr sv: 100 su: ml rt: IV Drip
t0: [22:45:00 21/10/2012] id: Fresh Frozen Plasma IV Infusions el: 1 cu: MICU-A cg: RN ai: 155 vo: 375 vu: ml
t0: [23:00:00 21/10/2012] dt: 1 id: Net Hourly Balance el: 2 cu: MICU-A cg: RN pv: 375 cv: 375 ap: none t0: [23:00:00 21/10/2012] dt: 24 id: 24h Total In el: 2 cu: MICU-A cg: RN pv: 375 cv: 1432 ap: none t0: [23:00:00 21/10/2012] dt: 24 id: 24h Net Body Balance el: 2 cu: MICU-A cg: RN pv: 375 cv: 882 ap: none t0: [23:00:00 21/10/2012] dt: 24 id: Blood Products Total el: 2 cu: MICU-A cg: RN pv: 375 cv: 1362 ap: none t0: [23:00:00 21/10/2012] dt: multiple days id: LOS Net Body Balance el: 2 cu: MICU-A cg: RN pv: 375 cv: 882 ap: none
t0: [23:00:00 21/10/2012] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [23:00:00 21/10/2012] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [23:00:00 21/10/2012] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [23:00:00 21/10/2012] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 84 u1: BPM st: NotStopd t0: [23:00:00 21/10/2012] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [23:00:00 21/10/2012] id: NBP el: 0 cu: MICU-A cg: RN v1: 100 u1: mmHg v2: 52 u2: mmHg st: NotStopd t0: [23:00:00 21/10/2012] id: NBP Mean el: 0 cu: MICU-A cg: RN v1: 68 u1: mmHg st: NotStopd t0: [23:00:00 21/10/2012] id: Precautions el: 0 cu: MICU-A cg: RN v1: Contact st: NotStopd t0: [23:00:00 21/10/2012] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 13 u1: BPM st: NotStopd t0: [23:00:00 21/10/2012] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 96 u1: % st: NotStopd t0: [23:00:00 21/10/2012] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [23:00:00 21/10/2012] id: Sandostatin el: 3 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 49.8 du: mcghr sv: 100 su: ml rt: IV Drip
tf: [22:00:00 22/10/2012] pt: Unit Dose rt: IV fr: ONCE fs: 23 dn: 1 m1: Meperidine v1: 50-100 u1: mg tf: [22:00:00 22/10/2012] pt: Unit Dose rt: IV fr: ONCE fs: 23 dn: 1 m1: Midazolam HCl v1: 2-4 u1: mg
t0: [23:15:00 21/10/2012] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [23:15:00 21/10/2012] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [23:15:00 21/10/2012] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [23:15:00 21/10/2012] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 83 u1: BPM st: NotStopd t0: [23:15:00 21/10/2012] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [23:15:00 21/10/2012] id: NBP el: 0 cu: MICU-A cg: RN v1: 106 u1: mmHg v2: 53 u2: mmHg st: NotStopd t0: [23:15:00 21/10/2012] id: NBP Mean el: 0 cu: MICU-A cg: RN v1: 70.6667 u1: mmHg st: NotStopd t0: [23:15:00 21/10/2012] id: Precautions el: 0 cu: MICU-A cg: RN v1: Contact st: NotStopd t0: [23:15:00 21/10/2012] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 15 u1: BPM st: NotStopd t0: [23:15:00 21/10/2012] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 97 u1: % st: NotStopd t0: [23:15:00 21/10/2012] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [23:30:00 21/10/2012] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [23:30:00 21/10/2012] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [23:30:00 21/10/2012] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [23:30:00 21/10/2012] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 83 u1: BPM st: NotStopd t0: [23:30:00 21/10/2012] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [23:30:00 21/10/2012] id: Precautions el: 0 cu: MICU-A cg: RN v1: Contact st: NotStopd t0: [23:30:00 21/10/2012] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 15 u1: BPM st: NotStopd t0: [23:30:00 21/10/2012] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 97 u1: % st: NotStopd t0: [23:30:00 21/10/2012] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [23:15:00 21/10/2012] id: Sandostatin el: 3 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 49.8 du: mcghr sv: 100 su: ml rt: IV Drip t0: [23:30:00 21/10/2012] id: Sandostatin el: 3 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 49.8 du: mcghr sv: 100 su: ml rt: IV Drip
tf: [23:00:00 22/10/2012] pt: Unit Dose rt: PR fr: ONCE fs: 0 dn: 1 m1: Sodium Polystyrene Sulfonate v1: 30 u1: gm
t0: [00:00:00 22/10/2012] id: Cough Effort el: 0 cu: MICU-A cg: RN v1: Strong st: NotStopd t0: [00:00:00 22/10/2012] id: GI Prophylaxis el: 0 cu: MICU-A cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [00:00:00 22/10/2012] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [00:00:00 22/10/2012] id: Diet Type el: 0 cu: MICU-A cg: RN v1: NPO st: NotStopd t0: [00:00:00 22/10/2012] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [00:00:00 22/10/2012] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [00:00:00 22/10/2012] id: Eye Opening el: 0 cu: MICU-A cg: RN v1: 4 Spontaneously st: NotStopd t0: [00:00:00 22/10/2012] id: Follows Commands el: 0 cu: MICU-A cg: RN v1: Consistently st: NotStopd t0: [00:00:00 22/10/2012] id: GCS Total el: 0 cu: MICU-A cg: RN v1: 15 u1: points st: NotStopd t0: [00:00:00 22/10/2012] id: HOB el: 0 cu: MICU-A cg: RN v1: 15 degrees st: NotStopd t0: [00:00:00 22/10/2012] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 74 u1: BPM st: NotStopd t0: [00:00:00 22/10/2012] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [00:00:00 22/10/2012] id: Abdominal Assessment el: 0 cu: MICU-A cg: RN v1: Soft st: NotStopd t0: [00:00:00 22/10/2012] id: Activity el: 0 cu: MICU-A cg: RN v1: Bedrest st: NotStopd t0: [00:00:00 22/10/2012] id: Activity Tolerance el: 0 cu: MICU-A cg: RN v1: Tolerated Well st: NotStopd t0: [00:00:00 22/10/2012] id: LLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Diminished st: NotStopd t0: [00:00:00 22/10/2012] id: LUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Clear st: NotStopd t0: [00:00:00 22/10/2012] id: Level of Conscious el: 0 cu: MICU-A cg: RN v1: Dozing Intermit st: NotStopd t0: [00:00:00 22/10/2012] id: Motor Response el: 0 cu: MICU-A cg: RN v1: 6 Obeys Commands st: NotStopd t0: [00:00:00 22/10/2012] id: NBP el: 0 cu: MICU-A cg: RN v1: 97 u1: mmHg v2: 57 u2: mmHg st: NotStopd t0: [00:00:00 22/10/2012] id: NBP Mean el: 0 cu: MICU-A cg: RN v1: 70.3333 u1: mmHg st: NotStopd t0: [00:00:00 22/10/2012] id: Oral Cavity el: 0 cu: MICU-A cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [00:00:00 22/10/2012] id: Orientation el: 0 cu: MICU-A cg: RN v1: Oriented x 3 st: NotStopd t0: [00:00:00 22/10/2012] id: Assistance Device el: 0 cu: MICU-A cg: RN v1: Independent st: NotStopd t0: [00:00:00 22/10/2012] id: Precautions el: 0 cu: MICU-A cg: RN v1: Contact st: NotStopd t0: [00:00:00 22/10/2012] id: RLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Diminished st: NotStopd t0: [00:00:00 22/10/2012] id: RUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Clear st: NotStopd t0: [00:00:00 22/10/2012] id: Respiratory Pattern el: 0 cu: MICU-A cg: RN v1: Regular st: NotStopd t0: [00:00:00 22/10/2012] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 14 u1: BPM st: NotStopd t0: [00:00:00 22/10/2012] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 96 u1: % st: NotStopd t0: [00:00:00 22/10/2012] id: Spontaneous Movement el: 0 cu: MICU-A cg: RN v1: Purposeful st: NotStopd t0: [00:00:00 22/10/2012] id: Turn el: 0 cu: MICU-A cg: RN v1: Left Side st: NotStopd t0: [00:00:00 22/10/2012] id: Verbal Response el: 0 cu: MICU-A cg: RN v1: 5 Oriented st: NotStopd t0: [00:00:00 22/10/2012] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [00:00:00 22/10/2012] id: Bowel Sounds el: 0 cu: MICU-A cg: RN v1: Present st: NotStopd
t0: [00:00:00 22/10/2012] id: Sandostatin el: 3 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 49.8 du: mcghr sv: 100 su: ml rt: IV Drip
t0: [00:00:00 22/10/2012] id: Fingerstick Glucose Chemistry el: 0 cu: MICU-A cg: CoWker v1: 112 rs: Manual st: NotStopd
t0: [19:50:00 21/10/2012] id: Albumin Chemistry el: 0 cu: MICU-A cg: 1663 v1: 2.8 rs: Final st: NotStopd t0: [19:50:00 21/10/2012] id: Albumin (>3.2) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 2.8 rs: Final st: NotStopd
t0: [00:10:00 22/10/2012] id: Hematocrit Hematology el: 0 cu: MICU-A cg: 1663 v1: 23.1 u1: % rs: Final st: NotStopd
t0: [00:10:00 22/10/2012] id: Potassium Chemistry el: 0 cu: MICU-A cg: 1663 v1: 5.6 rs: Final st: NotStopd t0: [00:10:00 22/10/2012] id: Potassium (3.5-5.3) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 5.6 rs: Final st: NotStopd
t0: [00:54:00 22/10/2012] id: Blood Products Hematology el: 0 cu: MICU-A cg: 1663 v1: Y rs: Final st: NotStopd
t0: [01:00:00 22/10/2012] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [01:00:00 22/10/2012] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [01:00:00 22/10/2012] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [01:00:00 22/10/2012] id: Temperature C (calc) el: 0 cu: MICU-A cg: RN v1: 37.1667 u1: Deg. C st: NotStopd t0: [01:00:00 22/10/2012] id: Temperature F el: 0 cu: MICU-A cg: RN v1: 98.9 u1: Deg. F st: NotStopd
t0: [01:00:00 22/10/2012] id: .9% Normal Saline IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 40 vu: ml t0: [01:00:00 22/10/2012] id: Fresh Frozen Plasma IV Infusions el: 1 cu: MICU-A cg: RN ai: 155 vo: 375 vu: ml
t0: [01:00:00 22/10/2012] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [01:00:00 22/10/2012] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 70 u1: BPM st: NotStopd t0: [01:00:00 22/10/2012] id: NBP el: 0 cu: MICU-A cg: RN v1: 87 u1: mmHg v2: 48 u2: mmHg st: NotStopd t0: [01:00:00 22/10/2012] id: NBP Mean el: 0 cu: MICU-A cg: RN v1: 61 u1: mmHg st: NotStopd t0: [01:00:00 22/10/2012] id: Precautions el: 0 cu: MICU-A cg: RN v1: Contact st: NotStopd t0: [01:00:00 22/10/2012] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 7 u1: BPM st: NotStopd t0: [01:00:00 22/10/2012] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 98 u1: % st: NotStopd t0: [01:00:00 22/10/2012] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [01:00:00 22/10/2012] id: Sandostatin el: 3 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 49.8 du: mcghr sv: 100 su: ml rt: IV Drip
t0: [02:00:00 22/10/2012] id: GI Prophylaxis el: 0 cu: MICU-A cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [02:00:00 22/10/2012] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [02:00:00 22/10/2012] id: Diet Type el: 0 cu: MICU-A cg: RN v1: NPO st: NotStopd t0: [02:00:00 22/10/2012] id: Dorsal PedPulse R/L el: 0 cu: MICU-A cg: RN v1: Weak Palpable v2: Weak Palpable st: NotStopd t0: [02:00:00 22/10/2012] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [02:00:00 22/10/2012] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [02:00:00 22/10/2012] id: Eye Opening el: 0 cu: MICU-A cg: RN v1: 4 Spontaneously st: NotStopd t0: [02:00:00 22/10/2012] id: Follows Commands el: 0 cu: MICU-A cg: RN v1: Consistently st: NotStopd t0: [02:00:00 22/10/2012] id: GCS Total el: 0 cu: MICU-A cg: RN v1: 14 u1: points st: NotStopd t0: [02:00:00 22/10/2012] id: HOB el: 0 cu: MICU-A cg: RN v1: 15 degrees st: NotStopd t0: [02:00:00 22/10/2012] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 85 u1: BPM st: NotStopd t0: [02:00:00 22/10/2012] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [02:00:00 22/10/2012] id: Abdominal Assessment el: 0 cu: MICU-A cg: RN v1: Soft st: NotStopd t0: [02:00:00 22/10/2012] id: Activity el: 0 cu: MICU-A cg: RN v1: Bedrest st: NotStopd t0: [02:00:00 22/10/2012] id: Activity Tolerance el: 0 cu: MICU-A cg: RN v1: Good st: NotStopd t0: [02:00:00 22/10/2012] id: LLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Crackles st: NotStopd t0: [02:00:00 22/10/2012] id: LUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Clear st: NotStopd t0: [02:00:00 22/10/2012] id: Level of Conscious el: 0 cu: MICU-A cg: RN v1: Alert st: NotStopd t0: [02:00:00 22/10/2012] id: Motor Response el: 0 cu: MICU-A cg: RN v1: 6 Obeys Commands st: NotStopd t0: [02:00:00 22/10/2012] id: NBP el: 0 cu: MICU-A cg: RN v1: 92 u1: mmHg v2: 49 u2: mmHg st: NotStopd t0: [02:00:00 22/10/2012] id: NBP Mean el: 0 cu: MICU-A cg: RN v1: 63.3333 u1: mmHg st: NotStopd t0: [02:00:00 22/10/2012] id: Oral Cavity el: 0 cu: MICU-A cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [02:00:00 22/10/2012] id: Orientation el: 0 cu: MICU-A cg: RN v1: Disoriented st: NotStopd t0: [02:00:00 22/10/2012] id: PostTib. Pulses R/L el: 0 cu: MICU-A cg: RN v1: Weak Palpable v2: Weak Palpable st: NotStopd t0: [02:00:00 22/10/2012] id: Assistance Device el: 0 cu: MICU-A cg: RN v1: Independent st: NotStopd t0: [02:00:00 22/10/2012] id: Precautions el: 0 cu: MICU-A cg: RN v1: Contact st: NotStopd t0: [02:00:00 22/10/2012] id: RLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Diminished st: NotStopd t0: [02:00:00 22/10/2012] id: RUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Clear st: NotStopd t0: [02:00:00 22/10/2012] id: Respiratory Pattern el: 0 cu: MICU-A cg: RN v1: Regular st: NotStopd t0: [02:00:00 22/10/2012] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 15 u1: BPM st: NotStopd t0: [02:00:00 22/10/2012] id: Spontaneous Movement el: 0 cu: MICU-A cg: RN v1: Purposeful st: NotStopd t0: [02:00:00 22/10/2012] id: Turn el: 0 cu: MICU-A cg: RN v1: Turns by self st: NotStopd t0: [02:00:00 22/10/2012] id: Urine Source el: 0 cu: MICU-A cg: RN v1: Voids st: NotStopd t0: [02:00:00 22/10/2012] id: Verbal Response el: 0 cu: MICU-A cg: RN v1: 4 Confused st: NotStopd t0: [02:00:00 22/10/2012] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [02:00:00 22/10/2012] id: Bowel Sounds el: 0 cu: MICU-A cg: RN v1: Present st: NotStopd
t0: [02:00:00 22/10/2012] id: .9% Normal Saline IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [02:00:00 22/10/2012] id: Fresh Frozen Plasma IV Infusions el: 1 cu: MICU-A cg: RN ai: 155 vo: 375 vu: ml
t0: [02:00:00 22/10/2012] id: Sandostatin el: 3 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 49.8 du: mcghr sv: 100 su: ml rt: IV Drip
t0: [23:00:00 22/10/2012] dt: 1 id: Net Hourly Balance el: 2 cu: MICU-A cg: RN pv: 58.3 cv: 58.3 ap: none t0: [23:00:00 22/10/2012] dt: 24 id: IV Infusion In Total el: 2 cu: MICU-A cg: RN pv: 58.3 cv: 1197.73 ap: none t0: [23:00:00 22/10/2012] dt: 24 id: 24h Total In el: 2 cu: MICU-A cg: RN pv: 58.3 cv: 2747.73 ap: none t0: [23:00:00 22/10/2012] dt: 24 id: 24h Net Body Balance el: 2 cu: MICU-A cg: RN pv: 58.3 cv: -202.27 ap: none t0: [23:00:00 22/10/2012] dt: 24 id: Blood Products Total el: 2 cu: MICU-A cg: RN cv: 750 ap: none t0: [23:00:00 22/10/2012] dt: multiple days id: LOS Net Body Balance el: 2 cu: MICU-A cg: RN pv: 58.3 cv: 679.73 ap: none
t0: [03:00:00 22/10/2012] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [03:00:00 22/10/2012] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [03:00:00 22/10/2012] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [03:00:00 22/10/2012] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 94 u1: BPM st: NotStopd t0: [03:00:00 22/10/2012] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [03:00:00 22/10/2012] id: NBP el: 0 cu: MICU-A cg: RN v1: 108 u1: mmHg v2: 51 u2: mmHg st: NotStopd t0: [03:00:00 22/10/2012] id: NBP Mean el: 0 cu: MICU-A cg: RN v1: 70 u1: mmHg st: NotStopd t0: [03:00:00 22/10/2012] id: Precautions el: 0 cu: MICU-A cg: RN v1: Contact st: NotStopd t0: [03:00:00 22/10/2012] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 21 u1: BPM st: NotStopd t0: [03:00:00 22/10/2012] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 97 u1: % st: NotStopd t0: [03:00:00 22/10/2012] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [03:00:00 22/10/2012] id: Sandostatin el: 3 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 49.8 du: mcghr sv: 100 su: ml rt: IV Drip
t0: [04:00:00 22/10/2012] id: bath el: 1 cu: MICU-A cg: RN v1: done t0: [04:00:00 22/10/2012] id: GI Prophylaxis el: 0 cu: MICU-A cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [04:00:00 22/10/2012] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [04:00:00 22/10/2012] id: Diet Type el: 0 cu: MICU-A cg: RN v1: NPO st: NotStopd t0: [04:00:00 22/10/2012] id: Dorsal PedPulse R/L el: 0 cu: MICU-A cg: RN v1: Weak Palpable v2: Weak Palpable st: NotStopd t0: [04:00:00 22/10/2012] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [04:00:00 22/10/2012] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [04:00:00 22/10/2012] id: Eye Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [04:00:00 22/10/2012] id: Eye Opening el: 0 cu: MICU-A cg: RN v1: 4 Spontaneously st: NotStopd t0: [04:00:00 22/10/2012] id: Follows Commands el: 0 cu: MICU-A cg: RN v1: Consistently st: NotStopd t0: [04:00:00 22/10/2012] id: GCS Total el: 0 cu: MICU-A cg: RN v1: 14 u1: points st: NotStopd t0: [04:00:00 22/10/2012] id: HOB el: 0 cu: MICU-A cg: RN v1: 15 degrees st: NotStopd t0: [04:00:00 22/10/2012] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 82 u1: BPM st: NotStopd t0: [04:00:00 22/10/2012] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [04:00:00 22/10/2012] id: Abdominal Assessment el: 0 cu: MICU-A cg: RN v1: Soft st: NotStopd t0: [04:00:00 22/10/2012] id: Activity el: 0 cu: MICU-A cg: RN v1: Bedrest st: NotStopd t0: [04:00:00 22/10/2012] id: Activity Tolerance el: 0 cu: MICU-A cg: RN v1: Tolerated Well st: NotStopd t0: [04:00:00 22/10/2012] id: LLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Crackles st: NotStopd t0: [04:00:00 22/10/2012] id: LUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Clear st: NotStopd t0: [04:00:00 22/10/2012] id: Level of Conscious el: 0 cu: MICU-A cg: RN v1: Alert st: NotStopd t0: [04:00:00 22/10/2012] id: Motor Response el: 0 cu: MICU-A cg: RN v1: 6 Obeys Commands st: NotStopd t0: [04:00:00 22/10/2012] id: NBP el: 0 cu: MICU-A cg: RN v1: 103 u1: mmHg v2: 53 u2: mmHg st: NotStopd t0: [04:00:00 22/10/2012] id: NBP Mean el: 0 cu: MICU-A cg: RN v1: 69.6667 u1: mmHg st: NotStopd t0: [04:00:00 22/10/2012] id: Oral Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [04:00:00 22/10/2012] id: Oral Cavity el: 0 cu: MICU-A cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [04:00:00 22/10/2012] id: Orientation el: 0 cu: MICU-A cg: RN v1: Oriented x 3 st: NotStopd t0: [04:00:00 22/10/2012] id: PostTib. Pulses R/L el: 0 cu: MICU-A cg: RN v1: Weak Palpable v2: Weak Palpable st: NotStopd t0: [04:00:00 22/10/2012] id: Assistance Device el: 0 cu: MICU-A cg: RN v1: Independent st: NotStopd t0: [04:00:00 22/10/2012] id: Precautions el: 0 cu: MICU-A cg: RN v1: Contact st: NotStopd t0: [04:00:00 22/10/2012] id: RLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Diminished st: NotStopd t0: [04:00:00 22/10/2012] id: RUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Clear st: NotStopd t0: [04:00:00 22/10/2012] id: Respiratory Pattern el: 0 cu: MICU-A cg: RN v1: Regular st: NotStopd t0: [04:00:00 22/10/2012] id: Skin Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [04:00:00 22/10/2012] id: Spontaneous Movement el: 0 cu: MICU-A cg: RN v1: Purposeful st: NotStopd t0: [04:00:00 22/10/2012] id: Turn el: 0 cu: MICU-A cg: RN v1: Turns by self st: NotStopd t0: [04:00:00 22/10/2012] id: Urine Color/Appear el: 0 cu: MICU-A cg: RN v1: Amber v2: Clear st: NotStopd t0: [04:00:00 22/10/2012] id: Urine Source el: 0 cu: MICU-A cg: RN v1: Voids st: NotStopd t0: [04:00:00 22/10/2012] id: Verbal Response el: 0 cu: MICU-A cg: RN v1: 4 Confused st: NotStopd t0: [04:00:00 22/10/2012] id: Back Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [04:00:00 22/10/2012] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [04:00:00 22/10/2012] id: Bowel Sounds el: 0 cu: MICU-A cg: RN v1: Present st: NotStopd
t0: [04:00:00 22/10/2012] tf: [01:00:00 24/10/2012] dt: 2700 id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 500 vu: ml t0: [04:00:00 22/10/2012] id: Urine Out Foley el: 2 cu: MICU-A cg: RN vo: 500 vu: ml
t0: [04:00:00 22/10/2012] id: Sandostatin el: 3 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 49.8 du: mcghr sv: 100 su: ml rt: IV Drip
t0: [04:00:00 22/10/2012] id: WBC (4-11,000) Hematology el: 0 cu: MICU-A cg: 1663 v1: 16.2 rs: Final st: NotStopd t0: [04:00:00 22/10/2012] id: WBC Hematology el: 0 cu: MICU-A cg: 1663 v1: 16.2 rs: Final st: NotStopd t0: [04:00:00 22/10/2012] id: Hematocrit Hematology el: 0 cu: MICU-A cg: 1663 v1: 34.3 u1: % rs: Final st: NotStopd t0: [04:00:00 22/10/2012] id: Hemoglobin Hematology el: 0 cu: MICU-A cg: 1663 v1: 11 u1: gm/dl rs: Final st: NotStopd t0: [04:00:00 22/10/2012] id: Platelets Hematology el: 0 cu: MICU-A cg: 1663 v1: 127 rs: Final st: NotStopd t0: [04:00:00 22/10/2012] id: RBC Hematology el: 0 cu: MICU-A cg: 1663 v1: 3.8 u1: /mic l rs: Final st: NotStopd t0: [04:00:00 22/10/2012] id: WBC (4-11,000) Hematology el: 0 cu: MICU-A cg: 1663 v1: 16.2 rs: Final st: NotStopd
t0: [04:00:00 22/10/2012] id: PT el: 0 cu: MICU-A cg: 1663 v1: 16.1 rs: Final st: NotStopd t0: [04:00:00 22/10/2012] id: INR Coags el: 0 cu: MICU-A cg: 1663 v1: 1.7 rs: Final st: NotStopd t0: [04:00:00 22/10/2012] id: PTT Coags el: 0 cu: MICU-A cg: 1663 v1: 33.9 rs: Final st: NotStopd t0: [04:00:00 22/10/2012] id: INR (2-4 ref. range) Coags el: 0 cu: MICU-A cg: 1663 v1: 1.7 rs: Final st: NotStopd t0: [04:00:00 22/10/2012] id: PT(11-13.5) Coags el: 0 cu: MICU-A cg: 1663 v1: 16.1 rs: Final st: NotStopd t0: [04:00:00 22/10/2012] id: PTT(22-35) Coags el: 0 cu: MICU-A cg: 1663 v1: 33.9 rs: Final st: NotStopd
t0: [04:00:00 22/10/2012] id: BUN el: 0 cu: MICU-A cg: 1663 v1: 18 rs: Final st: NotStopd t0: [04:00:00 22/10/2012] id: Calcium Chemistry el: 0 cu: MICU-A cg: 1663 v1: 8.3 u1: mg/dl rs: Final st: NotStopd t0: [04:00:00 22/10/2012] id: Chloride Chemistry el: 0 cu: MICU-A cg: 1663 v1: 108 rs: Final st: NotStopd t0: [04:00:00 22/10/2012] id: Creatinine Chemistry el: 0 cu: MICU-A cg: 1663 v1: 0.9 rs: Final st: NotStopd t0: [04:00:00 22/10/2012] id: Glucose Chemistry el: 0 cu: MICU-A cg: 1663 v1: 103 rs: Final st: NotStopd t0: [04:00:00 22/10/2012] id: Magnesium Chemistry el: 0 cu: MICU-A cg: 1663 v1: 1.7 rs: Final st: NotStopd t0: [04:00:00 22/10/2012] id: Phosphorous Chemistry el: 0 cu: MICU-A cg: 1663 v1: 3.7 u1: mEq/L rs: Final st: NotStopd t0: [04:00:00 22/10/2012] id: Potassium Chemistry el: 0 cu: MICU-A cg: 1663 v1: 4.9 rs: Final st: NotStopd t0: [04:00:00 22/10/2012] id: Sodium Chemistry el: 0 cu: MICU-A cg: 1663 v1: 136 rs: Final st: NotStopd t0: [04:00:00 22/10/2012] id: ALT Enzymes el: 0 cu: MICU-A cg: 1663 v1: 36 rs: Final st: NotStopd t0: [04:00:00 22/10/2012] id: AST Enzymes el: 0 cu: MICU-A cg: 1663 v1: 48 rs: Final st: NotStopd t0: [04:00:00 22/10/2012] id: Alk. Phosphate Enzymes el: 0 cu: MICU-A cg: 1663 v1: 99 rs: Final st: NotStopd t0: [04:00:00 22/10/2012] id: BUN (6-20) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 18 rs: Final st: NotStopd t0: [04:00:00 22/10/2012] id: Calcium (8.4-10.2) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 8.3 u1: mg/dl rs: Final st: NotStopd t0: [04:00:00 22/10/2012] id: Carbon Dioxide Chemistry el: 0 cu: MICU-A cg: 1663 v1: 19 rs: Final st: NotStopd t0: [04:00:00 22/10/2012] id: Chloride (100-112) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 108 rs: Final st: NotStopd t0: [04:00:00 22/10/2012] id: Creatinine (0-1.3) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 0.9 rs: Final st: NotStopd t0: [04:00:00 22/10/2012] id: Glucose (70-105) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 103 rs: Final st: NotStopd t0: [04:00:00 22/10/2012] id: Magnesium (1.6-2.6) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 1.7 rs: Final st: NotStopd t0: [04:00:00 22/10/2012] id: Phosphorous(2.7-4.5) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 3.7 u1: mEq/L rs: Final st: NotStopd t0: [04:00:00 22/10/2012] id: Potassium (3.5-5.3) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 4.9 rs: Final st: NotStopd t0: [04:00:00 22/10/2012] id: Sodium (135-148) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 136 rs: Final st: NotStopd
t0: [04:00:00 22/10/2012] id: Total Bili Chemistry el: 0 cu: MICU-A cg: 1663 v1: 22.7 rs: Final st: NotStopd t0: [04:00:00 22/10/2012] id: Total Bili (0-1.5) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 22.7 rs: Final st: NotStopd
t0: [06:00:00 22/10/2012] id: Fingerstick Glucose Chemistry el: 0 cu: MICU-A cg: CoWker v1: 109 rs: Manual st: NotStopd
t0: [05:00:00 22/10/2012] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [05:00:00 22/10/2012] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [05:00:00 22/10/2012] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [05:00:00 22/10/2012] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 72 u1: BPM st: NotStopd t0: [05:00:00 22/10/2012] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [05:00:00 22/10/2012] id: NBP el: 0 cu: MICU-A cg: RN v1: 99 u1: mmHg v2: 50 u2: mmHg st: NotStopd t0: [05:00:00 22/10/2012] id: NBP Mean el: 0 cu: MICU-A cg: RN v1: 66.3333 u1: mmHg st: NotStopd t0: [05:00:00 22/10/2012] id: Precautions el: 0 cu: MICU-A cg: RN v1: Contact st: NotStopd t0: [05:00:00 22/10/2012] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 18 u1: BPM st: NotStopd t0: [05:00:00 22/10/2012] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 97 u1: % st: NotStopd t0: [05:00:00 22/10/2012] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [06:00:00 22/10/2012] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [06:00:00 22/10/2012] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [06:00:00 22/10/2012] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [06:00:00 22/10/2012] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 70 u1: BPM st: NotStopd t0: [06:00:00 22/10/2012] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [06:00:00 22/10/2012] id: Level of Conscious el: 0 cu: MICU-A cg: RN v1: Sleeping st: NotStopd t0: [06:00:00 22/10/2012] id: NBP el: 0 cu: MICU-A cg: RN v1: 103 u1: mmHg v2: 45 u2: mmHg st: NotStopd t0: [06:00:00 22/10/2012] id: NBP Mean el: 0 cu: MICU-A cg: RN v1: 64.3333 u1: mmHg st: NotStopd t0: [06:00:00 22/10/2012] id: Precautions el: 0 cu: MICU-A cg: RN v1: Contact st: NotStopd t0: [06:00:00 22/10/2012] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 13 u1: BPM st: NotStopd t0: [06:00:00 22/10/2012] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 96 u1: % st: NotStopd t0: [06:00:00 22/10/2012] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [05:00:00 22/10/2012] id: Sandostatin el: 3 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 49.8 du: mcghr sv: 100 su: ml rt: IV Drip t0: [06:00:00 22/10/2012] id: Sandostatin el: 3 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 49.8 du: mcghr sv: 100 su: ml rt: IV Drip
t0: [07:00:00 22/10/2012] id: Temperature C el: 0 cu: MICU-A cg: -1 st: D/C'd
tf: [06:00:00 23/10/2012] pt: Unit Dose rt: IV fr: ONCE fs: 7 dn: 1 m1: Magnesium Sulfate v1: 1 u1: gm
t0: [07:00:00 22/10/2012] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [07:00:00 22/10/2012] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [07:00:00 22/10/2012] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [07:00:00 22/10/2012] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 69 u1: BPM st: NotStopd t0: [07:00:00 22/10/2012] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [07:00:00 22/10/2012] id: NBP el: 0 cu: MICU-A cg: RN v1: 104 u1: mmHg v2: 50 u2: mmHg st: NotStopd t0: [07:00:00 22/10/2012] id: NBP Mean el: 0 cu: MICU-A cg: RN v1: 68 u1: mmHg st: NotStopd t0: [07:00:00 22/10/2012] id: Precautions el: 0 cu: MICU-A cg: RN v1: Contact st: NotStopd t0: [07:00:00 22/10/2012] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 14 u1: BPM st: NotStopd t0: [07:00:00 22/10/2012] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 98 u1: % st: NotStopd t0: [07:00:00 22/10/2012] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [07:00:00 22/10/2012] id: Sandostatin el: 3 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 49.8 du: mcghr sv: 100 su: ml rt: IV Drip
t0: [08:00:00 22/10/2012] id: Pain Present el: 0 cu: MICU-A cg: RN v1: No st: NotStopd t0: [08:00:00 22/10/2012] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [08:00:00 22/10/2012] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [08:00:00 22/10/2012] id: Riker-SAS Scale el: 0 cu: MICU-A cg: RN v1: Calm/Cooperative st: NotStopd t0: [08:00:00 22/10/2012] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [08:00:00 22/10/2012] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [08:00:00 22/10/2012] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [08:00:00 22/10/2012] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 80 u1: BPM st: NotStopd t0: [08:00:00 22/10/2012] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [08:00:00 22/10/2012] id: NBP el: 0 cu: MICU-A cg: RN v1: 107 u1: mmHg v2: 47 u2: mmHg st: NotStopd t0: [08:00:00 22/10/2012] id: NBP Mean el: 0 cu: MICU-A cg: RN v1: 67 u1: mmHg st: NotStopd t0: [08:00:00 22/10/2012] id: O2 Delivery Device el: 0 cu: MICU-A cg: RN v1: Nasal Cannula st: NotStopd t0: [08:00:00 22/10/2012] id: O2 Flow (lpm) el: 0 cu: MICU-A cg: RN v1: 2 u1: lpm st: NotStopd t0: [08:00:00 22/10/2012] id: Pain Location el: 0 cu: MICU-A cg: RN v1: Not Indicated st: NotStopd t0: [08:00:00 22/10/2012] id: Pain Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [08:00:00 22/10/2012] id: Precautions el: 0 cu: MICU-A cg: RN v1: Contact st: NotStopd t0: [08:00:00 22/10/2012] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 17 u1: BPM st: NotStopd t0: [08:00:00 22/10/2012] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 96 u1: % st: NotStopd t0: [08:00:00 22/10/2012] id: Temp. Site el: 0 cu: MICU-A cg: RN v1: Oral st: NotStopd t0: [08:00:00 22/10/2012] id: Temperature C (calc) el: 0 cu: MICU-A cg: RN v1: 36.6667 u1: Deg. C st: NotStopd t0: [08:00:00 22/10/2012] id: Temperature F el: 0 cu: MICU-A cg: RN v1: 98 u1: Deg. F st: NotStopd t0: [08:00:00 22/10/2012] id: Daily Weight el: 0 cu: MICU-A cg: RN v1: 92 u1: kg st: NotStopd
t0: [08:00:00 22/10/2012] id: Sandostatin el: 3 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 49.8 du: mcghr sv: 100 su: ml rt: IV Drip
t0: [08:00:00 22/10/2012] id: Less Restrict Meas. el: 0 cu: MICU-A cg: -1 st: D/C'd t0: [08:00:00 22/10/2012] id: Range of Motion el: 0 cu: MICU-A cg: -1 st: D/C'd t0: [08:00:00 22/10/2012] id: Circulation/SkinInt el: 0 cu: MICU-A cg: -1 st: D/C'd t0: [08:00:00 22/10/2012] id: INV Line#3 Type/Site el: 0 cu: MICU-A cg: -1 st: D/C'd t0: [08:00:00 22/10/2012] id: INV Line#3InsertDate el: 0 cu: MICU-A cg: -1 st: D/C'd t0: [08:00:00 22/10/2012] id: INV Line#3SiteAppear el: 0 cu: MICU-A cg: -1 st: D/C'd t0: [08:00:00 22/10/2012] id: Position Change el: 0 cu: MICU-A cg: -1 st: D/C'd t0: [08:00:00 22/10/2012] id: Reason For Restraint el: 0 cu: MICU-A cg: -1 st: D/C'd t0: [08:00:00 22/10/2012] id: Removed x 5 Mins el: 0 cu: MICU-A cg: -1 st: D/C'd t0: [08:00:00 22/10/2012] id: Restraint Location el: 0 cu: MICU-A cg: -1 st: D/C'd t0: [08:00:00 22/10/2012] id: Restraint Type el: 0 cu: MICU-A cg: -1 st: D/C'd t0: [08:00:00 22/10/2012] id: Restraints Evaluated el: 0 cu: MICU-A cg: -1 st: D/C'd
io: .9% Normal Saline 999.0ml IV Infusions el: 1 cu: MICU-A cg: RN ra: 10 ru: ml/hr lo: Left Arm
t0: [08:00:00 22/10/2012] id: Gastric Meds PO/Gastric el: 1 cu: MICU-A cg: -1 ai: 155 vo: 0 st: D/C'd t0: [08:00:00 22/10/2012] id: D5W IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 0 st: D/C'd t0: [08:00:00 22/10/2012] id: PPN 1000.0ml IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 0 st: D/C'd
id: D5W el: 2 cu: MICU-A cg: RN io: D5W 100.0ml IV Infusions vo: 100 du: ml rt: Intravenous Push id: .9% Normal Saline el: 1 cu: MICU-A cg: RN io: .9% Normal Saline 999.0ml IV Infusions vo: 999 du: ml rt: Intravenous Infusion
t0: [08:00:00 22/10/2012] id: GI Prophylaxis el: 0 cu: MICU-A cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [08:00:00 22/10/2012] id: Diet Type el: 0 cu: MICU-A cg: RN v1: NPO st: NotStopd t0: [08:00:00 22/10/2012] id: Dorsal PedPulse R/L el: 0 cu: MICU-A cg: RN v1: Weak Palpable v2: Weak Palpable st: NotStopd t0: [08:00:00 22/10/2012] id: Eye Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [08:00:00 22/10/2012] id: Eye Opening el: 0 cu: MICU-A cg: RN v1: 4 Spontaneously st: NotStopd t0: [08:00:00 22/10/2012] id: Follows Commands el: 0 cu: MICU-A cg: RN v1: Consistently st: NotStopd t0: [08:00:00 22/10/2012] id: GCS Total el: 0 cu: MICU-A cg: RN v1: 15 u1: points st: NotStopd t0: [08:00:00 22/10/2012] id: HOB el: 0 cu: MICU-A cg: RN v1: 30 degrees st: NotStopd t0: [08:00:00 22/10/2012] id: Abdominal Assessment el: 0 cu: MICU-A cg: RN v1: Soft st: NotStopd t0: [08:00:00 22/10/2012] id: IV #1 Insert Date el: 0 cu: MICU-A cg: RN v1: 9 v2: 28 st: NotStopd t0: [08:00:00 22/10/2012] id: IV #1 Site/Size el: 0 cu: MICU-A cg: RN v1: Right Antecub v2: 20 gauge st: NotStopd t0: [08:00:00 22/10/2012] id: IV #2 Insert Date el: 0 cu: MICU-A cg: RN v1: 9 v2: 28 st: NotStopd t0: [08:00:00 22/10/2012] id: IV #2 Site/Size el: 0 cu: MICU-A cg: RN v1: LU Ant Forearm v2: 16 gauge st: NotStopd t0: [08:00:00 22/10/2012] id: IV Site Appear #1 el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [08:00:00 22/10/2012] id: IV Site Appear #2 el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [08:00:00 22/10/2012] id: LLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Clear st: NotStopd t0: [08:00:00 22/10/2012] id: LUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Clear st: NotStopd t0: [08:00:00 22/10/2012] id: Level of Conscious el: 0 cu: MICU-A cg: RN v1: Confused st: NotStopd t0: [08:00:00 22/10/2012] id: Motor Response el: 0 cu: MICU-A cg: RN v1: 6 Obeys Commands st: NotStopd t0: [08:00:00 22/10/2012] id: Oral Cavity el: 0 cu: MICU-A cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [08:00:00 22/10/2012] id: Orientation el: 0 cu: MICU-A cg: RN v1: Oriented x 3 st: NotStopd t0: [08:00:00 22/10/2012] id: Position el: 0 cu: MICU-A cg: RN v1: Supine st: NotStopd t0: [08:00:00 22/10/2012] id: RLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Clear st: NotStopd t0: [08:00:00 22/10/2012] id: RUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Clear st: NotStopd t0: [08:00:00 22/10/2012] id: Respiratory Pattern el: 0 cu: MICU-A cg: RN v1: Regular st: NotStopd t0: [08:00:00 22/10/2012] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [08:00:00 22/10/2012] id: Skin Integrity el: 0 cu: MICU-A cg: RN v1: Intact st: NotStopd t0: [08:00:00 22/10/2012] id: Spontaneous Movement el: 0 cu: MICU-A cg: RN v1: Purposeful st: NotStopd t0: [08:00:00 22/10/2012] id: Turn el: 0 cu: MICU-A cg: RN v1: Back st: NotStopd t0: [08:00:00 22/10/2012] id: Urine Source el: 0 cu: MICU-A cg: RN v1: Voids st: NotStopd t0: [08:00:00 22/10/2012] id: Verbal Response el: 0 cu: MICU-A cg: RN v1: 5 Oriented st: NotStopd t0: [08:00:00 22/10/2012] id: Behavior el: 0 cu: MICU-A cg: RN v1: Confused st: NotStopd t0: [08:00:00 22/10/2012] id: Bowel Sounds el: 0 cu: MICU-A cg: RN v1: Hypoactive st: NotStopd t0: [08:00:00 22/10/2012] id: Braden Activity el: 0 cu: MICU-A cg: RN v1: Bedfast st: NotStopd t0: [08:00:00 22/10/2012] id: Braden Frict/Shear el: 0 cu: MICU-A cg: RN v1: Potential Prob st: NotStopd t0: [08:00:00 22/10/2012] id: Braden Mobility el: 0 cu: MICU-A cg: RN v1: Sl. Limited st: NotStopd t0: [08:00:00 22/10/2012] id: Braden Moisture el: 0 cu: MICU-A cg: RN v1: Rarely Moist st: NotStopd t0: [08:00:00 22/10/2012] id: Braden Nutrition el: 0 cu: MICU-A cg: RN v1: Prob. Inadequate st: NotStopd t0: [08:00:00 22/10/2012] id: Braden Score el: 0 cu: MICU-A cg: RN v1: 15 u1: number st: NotStopd t0: [08:00:00 22/10/2012] id: Braden SensoryPercep el: 0 cu: MICU-A cg: RN v1: Sl. Limited st: NotStopd
t0: [05:00:00 22/10/2012] tf: [16:00:00 24/10/2012] dt: 3540 id: .9% Normal Saline 100.0ml + 600mcghr Sandostatin IV Infusions el: 1 cu: MICU-A cg: RN ai: 127 vo: 8.3 vu: ml t0: [06:00:00 22/10/2012] id: .9% Normal Saline 100.0ml + 600mcghr Sandostatin IV Infusions el: 1 cu: MICU-A cg: RN ai: 127 vo: 8.3 vu: ml t0: [07:00:00 22/10/2012] id: .9% Normal Saline 100.0ml + 600mcghr Sandostatin IV Infusions el: 1 cu: MICU-A cg: RN ai: 127 vo: 8.3 vu: ml t0: [08:00:00 22/10/2012] tf: [20:00:00 23/10/2012] dt: 2160 id: D5W 100.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 103 vo: 100 vu: ml t0: [08:00:00 22/10/2012] tf: [21:09:00 25/10/2012] dt: 5109 id: Po Intake PO/Gastric el: 2 cu: MICU-A cg: RN ai: 105 vo: 100 vu: ml t0: [08:00:00 22/10/2012] tf: [21:09:00 25/10/2012] dt: 5109 id: IV Piggyback IV Infusions el: 1 cu: MICU-A cg: RN ai: 209 vo: 50 vu: ml t0: [08:00:00 22/10/2012] id: .9% Normal Saline 999.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 189 vo: 0 vu: ml t0: [08:00:00 22/10/2012] id: .9% Normal Saline 100.0ml + 600mcghr Sandostatin IV Infusions el: 1 cu: MICU-A cg: RN ai: 127 vo: 8.33 vu: ml
t0: [09:00:00 22/10/2012] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [09:00:00 22/10/2012] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [09:00:00 22/10/2012] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [09:00:00 22/10/2012] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [09:00:00 22/10/2012] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [09:00:00 22/10/2012] id: HOB el: 0 cu: MICU-A cg: RN v1: 30 degrees st: NotStopd t0: [09:00:00 22/10/2012] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 75 u1: BPM st: NotStopd t0: [09:00:00 22/10/2012] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [09:00:00 22/10/2012] id: Activity el: 0 cu: MICU-A cg: RN v1: Bedrest st: NotStopd t0: [09:00:00 22/10/2012] id: Activity Tolerance el: 0 cu: MICU-A cg: RN v1: Tolerated Well st: NotStopd t0: [09:00:00 22/10/2012] id: NBP el: 0 cu: MICU-A cg: RN v1: 102 u1: mmHg v2: 51 u2: mmHg st: NotStopd t0: [09:00:00 22/10/2012] id: NBP Mean el: 0 cu: MICU-A cg: RN v1: 68 u1: mmHg st: NotStopd t0: [09:00:00 22/10/2012] id: AntiEmbDevice/Status el: 0 cu: MICU-A cg: RN v1: Compress Sleeves v2: Off st: NotStopd t0: [09:00:00 22/10/2012] id: Assistance Device el: 0 cu: MICU-A cg: RN v1: Independent st: NotStopd t0: [09:00:00 22/10/2012] id: Precautions el: 0 cu: MICU-A cg: RN v1: Contact st: NotStopd t0: [09:00:00 22/10/2012] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 92 u1: kg st: NotStopd t0: [09:00:00 22/10/2012] id: Procedures el: 0 cu: MICU-A cg: RN v1: Ultrasound st: NotStopd t0: [09:00:00 22/10/2012] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 15 u1: BPM st: NotStopd t0: [09:00:00 22/10/2012] id: Skin Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [09:00:00 22/10/2012] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 97 u1: % st: NotStopd t0: [09:00:00 22/10/2012] id: Stool Guaiac el: 0 cu: MICU-A cg: RN v1: Positive st: NotStopd t0: [09:00:00 22/10/2012] id: Turn el: 0 cu: MICU-A cg: RN v1: Back st: NotStopd t0: [09:00:00 22/10/2012] id: Urine Color/Appear el: 0 cu: MICU-A cg: RN v1: Amber v2: Clear st: NotStopd t0: [09:00:00 22/10/2012] id: Urine Source el: 0 cu: MICU-A cg: RN v1: Voids st: NotStopd t0: [09:00:00 22/10/2012] id: Back Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [09:00:00 22/10/2012] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [09:00:00 22/10/2012] id: Fingerstick Glucose Chemistry el: 0 cu: MICU-A cg: RN v1: 102 rs: Manual st: NotStopd
t0: [09:00:00 22/10/2012] tf: [13:00:00 22/10/2012] dt: 240 id: .9% Normal Saline 999.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 189 vo: 10 vu: ml t0: [09:00:00 22/10/2012] id: Stool Out Stool el: 1 cu: MICU-A cg: RN vo: 500 vu: ml t0: [09:00:00 22/10/2012] id: .9% Normal Saline 100.0ml + 600mcghr Sandostatin IV Infusions el: 1 cu: MICU-A cg: RN ai: 127 vo: 8.3 vu: ml
t0: [09:00:00 22/10/2012] id: Sandostatin el: 3 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 49.8 du: mcghr sv: 100 su: ml rt: IV Drip
t0: [08:40:00 22/10/2012] id: Hematocrit Hematology el: 0 cu: MICU-A cg: 1663 v1: 32.9 u1: % rs: Final st: NotStopd
t0: [09:00:00 22/10/2012] id: Family Communication el: 0 cu: MICU-A cg: RN v1: Family Called st: NotStopd
t0: [04:00:00 22/10/2012] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [05:00:00 22/10/2012] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [06:00:00 22/10/2012] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [07:00:00 22/10/2012] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [10:00:00 22/10/2012] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [10:00:00 22/10/2012] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [10:00:00 22/10/2012] id: Riker-SAS Scale el: 0 cu: MICU-A cg: RN v1: Calm/Cooperative st: NotStopd t0: [10:00:00 22/10/2012] id: GI Prophylaxis el: 0 cu: MICU-A cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [10:00:00 22/10/2012] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [10:00:00 22/10/2012] id: Diet Type el: 0 cu: MICU-A cg: RN v1: NPO st: NotStopd t0: [10:00:00 22/10/2012] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [10:00:00 22/10/2012] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [10:00:00 22/10/2012] id: Eye Opening el: 0 cu: MICU-A cg: RN v1: 4 Spontaneously st: NotStopd t0: [10:00:00 22/10/2012] id: GCS Total el: 0 cu: MICU-A cg: RN v1: 15 u1: points st: NotStopd t0: [10:00:00 22/10/2012] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 75 u1: BPM st: NotStopd t0: [10:00:00 22/10/2012] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [10:00:00 22/10/2012] id: Level of Conscious el: 0 cu: MICU-A cg: RN v1: Alert st: NotStopd t0: [10:00:00 22/10/2012] id: Motor Response el: 0 cu: MICU-A cg: RN v1: 6 Obeys Commands st: NotStopd t0: [10:00:00 22/10/2012] id: NBP el: 0 cu: MICU-A cg: RN v1: 101 u1: mmHg v2: 54 u2: mmHg st: NotStopd t0: [10:00:00 22/10/2012] id: NBP Mean el: 0 cu: MICU-A cg: RN v1: 69.6667 u1: mmHg st: NotStopd t0: [10:00:00 22/10/2012] id: Oral Cavity el: 0 cu: MICU-A cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [10:00:00 22/10/2012] id: Orientation el: 0 cu: MICU-A cg: RN v1: Oriented x 3 st: NotStopd t0: [10:00:00 22/10/2012] id: Precautions el: 0 cu: MICU-A cg: RN v1: Contact st: NotStopd t0: [10:00:00 22/10/2012] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 92 u1: kg st: NotStopd t0: [10:00:00 22/10/2012] id: Respiratory Pattern el: 0 cu: MICU-A cg: RN v1: Regular st: NotStopd t0: [10:00:00 22/10/2012] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 16 u1: BPM st: NotStopd t0: [10:00:00 22/10/2012] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [10:00:00 22/10/2012] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 98 u1: % st: NotStopd t0: [10:00:00 22/10/2012] id: Verbal Response el: 0 cu: MICU-A cg: RN v1: 5 Oriented st: NotStopd t0: [10:00:00 22/10/2012] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [10:00:00 22/10/2012] id: .9% Normal Saline 999.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 189 vo: 10 vu: ml t0: [10:00:00 22/10/2012] id: .9% Normal Saline 100.0ml + 600mcghr Sandostatin IV Infusions el: 1 cu: MICU-A cg: RN ai: 127 vo: 8.3 vu: ml
t0: [10:00:00 22/10/2012] id: Sandostatin el: 3 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 49.8 du: mcghr sv: 100 su: ml rt: IV Drip
io: D5/.45NS 50.0ml IV Infusions el: 1 cu: MICU-A cg: RN ra: 999 ru: ml/hr lo: Right Int. Jugular
id: D5/.45NS el: 1 cu: MICU-A cg: RN io: D5/.45NS 50.0ml IV Infusions vo: 50 du: ml rt: Intravenous Push
t0: [11:00:00 22/10/2012] id: Pain Present el: 0 cu: MICU-A cg: RN v1: No st: NotStopd t0: [11:00:00 22/10/2012] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [11:00:00 22/10/2012] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [11:00:00 22/10/2012] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [11:00:00 22/10/2012] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [11:00:00 22/10/2012] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [11:00:00 22/10/2012] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 67 u1: BPM st: NotStopd t0: [11:00:00 22/10/2012] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [11:00:00 22/10/2012] id: NBP el: 0 cu: MICU-A cg: RN v1: 99 u1: mmHg v2: 52 u2: mmHg st: NotStopd t0: [11:00:00 22/10/2012] id: NBP Mean el: 0 cu: MICU-A cg: RN v1: 67.6667 u1: mmHg st: NotStopd t0: [11:00:00 22/10/2012] id: O2 Delivery Device el: 0 cu: MICU-A cg: RN v1: Nasal Cannula st: NotStopd t0: [11:00:00 22/10/2012] id: O2 Flow (lpm) el: 0 cu: MICU-A cg: RN v1: 2 u1: lpm st: NotStopd t0: [11:00:00 22/10/2012] id: Pain Location el: 0 cu: MICU-A cg: RN v1: Not Indicated st: NotStopd t0: [11:00:00 22/10/2012] id: Pain Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [11:00:00 22/10/2012] id: Precautions el: 0 cu: MICU-A cg: RN v1: Contact st: NotStopd t0: [11:00:00 22/10/2012] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 92 u1: kg st: NotStopd t0: [11:00:00 22/10/2012] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 12 u1: BPM st: NotStopd t0: [11:00:00 22/10/2012] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 98 u1: % st: NotStopd t0: [11:00:00 22/10/2012] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [11:00:00 22/10/2012] id: .9% Normal Saline 999.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 189 vo: 10 vu: ml t0: [11:00:00 22/10/2012] id: .9% Normal Saline 100.0ml + 600mcghr Sandostatin IV Infusions el: 1 cu: MICU-A cg: RN ai: 127 vo: 8.3 vu: ml
t0: [11:00:00 22/10/2012] id: Sandostatin el: 3 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 49.8 du: mcghr sv: 100 su: ml rt: IV Drip
t0: [12:00:00 22/10/2012] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [12:00:00 22/10/2012] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [12:00:00 22/10/2012] id: Riker-SAS Scale el: 0 cu: MICU-A cg: RN v1: Calm/Cooperative st: NotStopd t0: [12:00:00 22/10/2012] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [12:00:00 22/10/2012] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [12:00:00 22/10/2012] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [12:00:00 22/10/2012] id: Eye Opening el: 0 cu: MICU-A cg: RN v1: 4 Spontaneously st: NotStopd t0: [12:00:00 22/10/2012] id: GCS Total el: 0 cu: MICU-A cg: RN v1: 15 u1: points st: NotStopd t0: [12:00:00 22/10/2012] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 73 u1: BPM st: NotStopd t0: [12:00:00 22/10/2012] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [12:00:00 22/10/2012] id: IV #1 Insert Date el: 0 cu: MICU-A cg: RN v1: 9 v2: 28 st: NotStopd t0: [12:00:00 22/10/2012] id: IV #1 Site/Size el: 0 cu: MICU-A cg: RN v1: Right Antecub v2: 20 gauge st: NotStopd t0: [12:00:00 22/10/2012] id: IV #2 Insert Date el: 0 cu: MICU-A cg: RN v1: 9 v2: 28 st: NotStopd t0: [12:00:00 22/10/2012] id: IV #2 Site/Size el: 0 cu: MICU-A cg: RN v1: LU Ant Forearm v2: 16 gauge st: NotStopd t0: [12:00:00 22/10/2012] id: IV Site Appear #1 el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [12:00:00 22/10/2012] id: IV Site Appear #2 el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [12:00:00 22/10/2012] id: Level of Conscious el: 0 cu: MICU-A cg: RN v1: Alert st: NotStopd t0: [12:00:00 22/10/2012] id: Motor Response el: 0 cu: MICU-A cg: RN v1: 6 Obeys Commands st: NotStopd t0: [12:00:00 22/10/2012] id: NBP el: 0 cu: MICU-A cg: RN v1: 104 u1: mmHg v2: 48 u2: mmHg st: NotStopd t0: [12:00:00 22/10/2012] id: NBP Mean el: 0 cu: MICU-A cg: RN v1: 66.6667 u1: mmHg st: NotStopd t0: [12:00:00 22/10/2012] id: Orientation el: 0 cu: MICU-A cg: RN v1: Oriented x 3 st: NotStopd t0: [12:00:00 22/10/2012] id: Precautions el: 0 cu: MICU-A cg: RN v1: Contact st: NotStopd t0: [12:00:00 22/10/2012] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 92 u1: kg st: NotStopd t0: [12:00:00 22/10/2012] id: Respiratory Pattern el: 0 cu: MICU-A cg: RN v1: Regular st: NotStopd t0: [12:00:00 22/10/2012] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 18 u1: BPM st: NotStopd t0: [12:00:00 22/10/2012] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [12:00:00 22/10/2012] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 98 u1: % st: NotStopd t0: [12:00:00 22/10/2012] id: Temp. Site el: 0 cu: MICU-A cg: RN v1: Oral st: NotStopd t0: [12:00:00 22/10/2012] id: Temperature C (calc) el: 0 cu: MICU-A cg: RN v1: 36.8889 u1: Deg. C st: NotStopd t0: [12:00:00 22/10/2012] id: Temperature F el: 0 cu: MICU-A cg: RN v1: 98.4 u1: Deg. F st: NotStopd t0: [12:00:00 22/10/2012] id: Verbal Response el: 0 cu: MICU-A cg: RN v1: 5 Oriented st: NotStopd t0: [12:00:00 22/10/2012] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [12:00:00 22/10/2012] id: Behavior el: 0 cu: MICU-A cg: RN v1: Calm st: NotStopd
t0: [11:00:00 22/10/2012] tf: [05:00:00 23/10/2012] dt: 1080 id: D5/.45NS 50.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 112 vo: 50 vu: ml nb: 1 t0: [12:00:00 22/10/2012] id: .9% Normal Saline 999.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 189 vo: 10 vu: ml t0: [12:00:00 22/10/2012] id: D5/.45NS 50.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 112 vo: 50 vu: ml t0: [12:00:00 22/10/2012] id: Stool Out Stool el: 1 cu: MICU-A cg: RN vo: 250 vu: ml t0: [12:00:00 22/10/2012] id: Urine Out Foley el: 2 cu: MICU-A cg: RN vo: 350 vu: ml t0: [12:00:00 22/10/2012] id: .9% Normal Saline 100.0ml + 600mcghr Sandostatin IV Infusions el: 1 cu: MICU-A cg: RN ai: 127 vo: 8.3 vu: ml
t0: [12:00:00 22/10/2012] id: Sandostatin el: 3 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 49.8 du: mcghr sv: 100 su: ml rt: IV Drip
t0: [04:00:00 22/10/2012] id: Albumin Chemistry el: 0 cu: MICU-A cg: 1663 v1: 2.7 rs: Final st: NotStopd t0: [04:00:00 22/10/2012] id: Albumin (>3.2) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 2.7 rs: Final st: NotStopd
io: D5/.45NS 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ra: 50 ru: ml/hr lo: Right Int. Jugular io: D5/.45NS 999.0ml IV Infusions el: 1 cu: MICU-A cg: RN ra: 50 ru: ml/hr lo: Right Int. Jugular
t0: [13:00:00 22/10/2012] id: .9% Normal Saline 999.0ml IV Infusions el: 1 cu: MICU-A cg: -1 ai: 189 vo: 0 st: D/C'd
id: D5/.45NS el: 1 cu: MICU-A cg: RN io: D5/.45NS 1000.0ml IV Infusions vo: 999 du: ml rt: Intravenous Push id: D5/.45NS el: 1 cu: MICU-A cg: RN io: D5/.45NS 999.0ml IV Infusions vo: 999 du: ml rt: Intravenous Push
t0: [12:40:00 22/10/2012] id: Hematocrit Hematology el: 0 cu: MICU-A cg: 1663 v1: 33.2 u1: % rs: Final st: NotStopd
t0: [13:00:00 22/10/2012] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [13:00:00 22/10/2012] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [13:00:00 22/10/2012] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [13:00:00 22/10/2012] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [13:00:00 22/10/2012] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [13:00:00 22/10/2012] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 74 u1: BPM st: NotStopd t0: [13:00:00 22/10/2012] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [13:00:00 22/10/2012] id: NBP el: 0 cu: MICU-A cg: RN v1: 108 u1: mmHg v2: 51 u2: mmHg st: NotStopd t0: [13:00:00 22/10/2012] id: NBP Mean el: 0 cu: MICU-A cg: RN v1: 70 u1: mmHg st: NotStopd t0: [13:00:00 22/10/2012] id: Precautions el: 0 cu: MICU-A cg: RN v1: Contact st: NotStopd t0: [13:00:00 22/10/2012] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 92 u1: kg st: NotStopd t0: [13:00:00 22/10/2012] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 18 u1: BPM st: NotStopd t0: [13:00:00 22/10/2012] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 99 u1: % st: NotStopd t0: [13:00:00 22/10/2012] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [13:00:00 22/10/2012] id: D5/.45NS 50.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 112 vo: 50 vu: ml t0: [13:00:00 22/10/2012] id: .9% Normal Saline 100.0ml + 600mcghr Sandostatin IV Infusions el: 1 cu: MICU-A cg: RN ai: 127 vo: 8.3 vu: ml
t0: [13:00:00 22/10/2012] id: Sandostatin el: 3 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 49.8 du: mcghr sv: 100 su: ml rt: IV Drip
t0: [13:00:00 22/10/2012] id: Family Communication el: 0 cu: MICU-A cg: RN v1: Family Called st: NotStopd t0: [13:00:00 22/10/2012] id: Fingerstick Glucose Chemistry el: 0 cu: MICU-A cg: RN v1: 110 rs: Manual st: NotStopd t0: [14:00:00 22/10/2012] id: Pain Present el: 0 cu: MICU-A cg: RN v1: No st: NotStopd t0: [14:00:00 22/10/2012] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [14:00:00 22/10/2012] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [14:00:00 22/10/2012] id: Riker-SAS Scale el: 0 cu: MICU-A cg: RN v1: Calm/Cooperative st: NotStopd t0: [14:00:00 22/10/2012] id: GI Prophylaxis el: 0 cu: MICU-A cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [14:00:00 22/10/2012] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [14:00:00 22/10/2012] id: Diet Type el: 0 cu: MICU-A cg: RN v1: NPO st: NotStopd t0: [14:00:00 22/10/2012] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [14:00:00 22/10/2012] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [14:00:00 22/10/2012] id: Eye Opening el: 0 cu: MICU-A cg: RN v1: 4 Spontaneously st: NotStopd t0: [14:00:00 22/10/2012] id: GCS Total el: 0 cu: MICU-A cg: RN v1: 15 u1: points st: NotStopd t0: [14:00:00 22/10/2012] id: HOB el: 0 cu: MICU-A cg: RN v1: 30 degrees st: NotStopd t0: [14:00:00 22/10/2012] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 74 u1: BPM st: NotStopd t0: [14:00:00 22/10/2012] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [14:00:00 22/10/2012] id: Activity el: 0 cu: MICU-A cg: RN v1: Bedrest st: NotStopd t0: [14:00:00 22/10/2012] id: Level of Conscious el: 0 cu: MICU-A cg: RN v1: Alert st: NotStopd t0: [14:00:00 22/10/2012] id: Motor Response el: 0 cu: MICU-A cg: RN v1: 6 Obeys Commands st: NotStopd t0: [14:00:00 22/10/2012] id: NBP el: 0 cu: MICU-A cg: RN v1: 106 u1: mmHg v2: 52 u2: mmHg st: NotStopd t0: [14:00:00 22/10/2012] id: NBP Mean el: 0 cu: MICU-A cg: RN v1: 70 u1: mmHg st: NotStopd t0: [14:00:00 22/10/2012] id: O2 Delivery Device el: 0 cu: MICU-A cg: RN v1: Nasal Cannula st: NotStopd t0: [14:00:00 22/10/2012] id: O2 Flow (lpm) el: 0 cu: MICU-A cg: RN v1: 2 u1: lpm st: NotStopd t0: [14:00:00 22/10/2012] id: Oral Cavity el: 0 cu: MICU-A cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [14:00:00 22/10/2012] id: Orientation el: 0 cu: MICU-A cg: RN v1: Oriented x 3 st: NotStopd t0: [14:00:00 22/10/2012] id: Pain Location el: 0 cu: MICU-A cg: RN v1: Not Indicated st: NotStopd t0: [14:00:00 22/10/2012] id: Pain Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [14:00:00 22/10/2012] id: Assistance Device el: 0 cu: MICU-A cg: RN v1: Independent st: NotStopd t0: [14:00:00 22/10/2012] id: Precautions el: 0 cu: MICU-A cg: RN v1: Contact st: NotStopd t0: [14:00:00 22/10/2012] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 92 u1: kg st: NotStopd t0: [14:00:00 22/10/2012] id: Respiratory Pattern el: 0 cu: MICU-A cg: RN v1: Regular st: NotStopd t0: [14:00:00 22/10/2012] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 16 u1: BPM st: NotStopd t0: [14:00:00 22/10/2012] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [14:00:00 22/10/2012] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 99 u1: % st: NotStopd t0: [14:00:00 22/10/2012] id: Turn el: 0 cu: MICU-A cg: RN v1: Back st: NotStopd t0: [14:00:00 22/10/2012] id: Urine Source el: 0 cu: MICU-A cg: RN v1: Voids st: NotStopd t0: [14:00:00 22/10/2012] id: Verbal Response el: 0 cu: MICU-A cg: RN v1: 5 Oriented st: NotStopd t0: [14:00:00 22/10/2012] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [14:00:00 22/10/2012] id: Behavior el: 0 cu: MICU-A cg: RN v1: Calm st: NotStopd
t0: [14:00:00 22/10/2012] id: D5/.45NS 50.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 112 vo: 50 vu: ml t0: [14:00:00 22/10/2012] id: .9% Normal Saline 100.0ml + 600mcghr Sandostatin IV Infusions el: 1 cu: MICU-A cg: RN ai: 127 vo: 8.3 vu: ml
t0: [14:00:00 22/10/2012] id: Sandostatin el: 3 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 49.8 du: mcghr sv: 100 su: ml rt: IV Drip
t0: [15:00:00 22/10/2012] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [15:00:00 22/10/2012] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [15:00:00 22/10/2012] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [15:00:00 22/10/2012] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [15:00:00 22/10/2012] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [15:00:00 22/10/2012] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 75 u1: BPM st: NotStopd t0: [15:00:00 22/10/2012] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [15:00:00 22/10/2012] id: NBP el: 0 cu: MICU-A cg: RN v1: 107 u1: mmHg v2: 53 u2: mmHg st: NotStopd t0: [15:00:00 22/10/2012] id: NBP Mean el: 0 cu: MICU-A cg: RN v1: 71 u1: mmHg st: NotStopd t0: [15:00:00 22/10/2012] id: Precautions el: 0 cu: MICU-A cg: RN v1: Contact st: NotStopd t0: [15:00:00 22/10/2012] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 92 u1: kg st: NotStopd t0: [15:00:00 22/10/2012] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 14 u1: BPM st: NotStopd t0: [15:00:00 22/10/2012] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 98 u1: % st: NotStopd t0: [15:00:00 22/10/2012] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [15:00:00 22/10/2012] id: D5/.45NS 50.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 112 vo: 50 vu: ml t0: [15:00:00 22/10/2012] id: .9% Normal Saline 100.0ml + 600mcghr Sandostatin IV Infusions el: 1 cu: MICU-A cg: RN ai: 127 vo: 8.3 vu: ml
t0: [15:00:00 22/10/2012] id: Sandostatin el: 3 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 49.8 du: mcghr sv: 100 su: ml rt: IV Drip
t0: [15:00:00 22/10/2012] id: Cough Reflex el: 0 cu: MICU-A cg: -1 st: D/C'd t0: [15:00:00 22/10/2012] id: Gag Reflex el: 0 cu: MICU-A cg: -1 st: D/C'd t0: [15:00:00 22/10/2012] id: Pupil Response R/L el: 0 cu: MICU-A cg: -1 st: D/C'd t0: [15:00:00 22/10/2012] id: Pupil Size R/L el: 0 cu: MICU-A cg: -1 st: D/C'd
t0: [15:00:00 22/10/2012] id: IV #1 Insert Date el: 0 cu: MICU-A cg: RN v1: 9 v2: 28 st: NotStopd t0: [15:00:00 22/10/2012] id: IV #1 Site/Size el: 0 cu: MICU-A cg: RN v1: Right Antecub v2: 20 gauge st: NotStopd t0: [15:00:00 22/10/2012] id: IV #2 Insert Date el: 0 cu: MICU-A cg: RN v1: 9 v2: 28 st: NotStopd t0: [15:00:00 22/10/2012] id: IV #2 Site/Size el: 0 cu: MICU-A cg: RN v1: LU Ant Forearm v2: 16 gauge st: NotStopd t0: [15:00:00 22/10/2012] id: Activity el: 0 cu: MICU-A cg: RN v1: Chair st: NotStopd t0: [15:00:00 22/10/2012] id: IV Site Appear #1 el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [15:00:00 22/10/2012] id: IV Site Appear #2 el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [15:00:00 22/10/2012] id: Activity Tolerance el: 0 cu: MICU-A cg: RN v1: Tolerated Well st: NotStopd t0: [15:00:00 22/10/2012] id: Orthostat BP sitting el: 0 cu: MICU-A cg: RN v1: 103 u1: mmHg v2: 54 u2: mmHg st: NotStopd t0: [15:00:00 22/10/2012] id: Orthostat HR sitting el: 0 cu: MICU-A cg: RN v1: 68 u1: BPM st: NotStopd t0: [15:00:00 22/10/2012] id: OrthostatBP standing el: 0 cu: MICU-A cg: RN v1: 106 u1: mmHg v2: 47 u2: mmHg st: NotStopd t0: [15:00:00 22/10/2012] id: OrthostatHR standing el: 0 cu: MICU-A cg: RN v1: 82 u1: BPM st: NotStopd t0: [15:00:00 22/10/2012] id: Orthostatic BP lying el: 0 cu: MICU-A cg: RN v1: 107 u1: mmHg v2: 53 u2: mmHg st: NotStopd t0: [15:00:00 22/10/2012] id: Orthostatic HR lying el: 0 cu: MICU-A cg: RN v1: 71 u1: BPM st: NotStopd t0: [15:00:00 22/10/2012] id: AntiEmbDevice/Status el: 0 cu: MICU-A cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [15:00:00 22/10/2012] id: Assistance Device el: 0 cu: MICU-A cg: RN v1: Supervised st: NotStopd t0: [15:00:00 22/10/2012] id: Skin Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [15:00:00 22/10/2012] id: Temp. Site el: 0 cu: MICU-A cg: RN v1: Oral st: NotStopd t0: [15:00:00 22/10/2012] id: Temperature C (calc) el: 0 cu: MICU-A cg: RN v1: 36.6111 u1: Deg. C st: NotStopd t0: [15:00:00 22/10/2012] id: Temperature F el: 0 cu: MICU-A cg: RN v1: 97.9 u1: Deg. F st: NotStopd t0: [15:00:00 22/10/2012] id: Back Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd
t0: [15:00:00 22/10/2012] id: Stool Out Stool el: 1 cu: MICU-A cg: RN vo: 125 vu: ml
t0: [14:00:00 22/10/2012] id: Dorsal PedPulse R/L el: 0 cu: MICU-A cg: RN v1: Weak Palpable v2: Weak Palpable st: NotStopd t0: [14:00:00 22/10/2012] id: Follows Commands el: 0 cu: MICU-A cg: RN v1: Consistently st: NotStopd t0: [14:00:00 22/10/2012] id: Abdominal Assessment el: 0 cu: MICU-A cg: RN v1: Soft st: NotStopd t0: [14:00:00 22/10/2012] id: LLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Clear st: NotStopd t0: [14:00:00 22/10/2012] id: LUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Clear st: NotStopd t0: [14:00:00 22/10/2012] id: RLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Clear st: NotStopd t0: [14:00:00 22/10/2012] id: RUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Clear st: NotStopd t0: [14:00:00 22/10/2012] id: Spontaneous Movement el: 0 cu: MICU-A cg: RN v1: Purposeful st: NotStopd t0: [14:00:00 22/10/2012] id: Bowel Sounds el: 0 cu: MICU-A cg: RN v1: Present st: NotStopd
t0: [16:00:00 22/10/2012] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [16:00:00 22/10/2012] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [16:00:00 22/10/2012] id: Riker-SAS Scale el: 0 cu: MICU-A cg: RN v1: Calm/Cooperative st: NotStopd t0: [16:00:00 22/10/2012] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [16:00:00 22/10/2012] id: Diet Type el: 0 cu: MICU-A cg: RN v1: Clear Liquid st: NotStopd t0: [16:00:00 22/10/2012] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [16:00:00 22/10/2012] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [16:00:00 22/10/2012] id: Eye Opening el: 0 cu: MICU-A cg: RN v1: 4 Spontaneously st: NotStopd t0: [16:00:00 22/10/2012] id: GCS Total el: 0 cu: MICU-A cg: RN v1: 15 u1: points st: NotStopd t0: [16:00:00 22/10/2012] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 69 u1: BPM st: NotStopd t0: [16:00:00 22/10/2012] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [16:00:00 22/10/2012] id: Activity el: 0 cu: MICU-A cg: RN v1: Chair st: NotStopd t0: [16:00:00 22/10/2012] id: Level of Conscious el: 0 cu: MICU-A cg: RN v1: Alert st: NotStopd t0: [16:00:00 22/10/2012] id: Motor Response el: 0 cu: MICU-A cg: RN v1: 6 Obeys Commands st: NotStopd t0: [16:00:00 22/10/2012] id: NBP el: 0 cu: MICU-A cg: RN v1: 104 u1: mmHg v2: 49 u2: mmHg st: NotStopd t0: [16:00:00 22/10/2012] id: NBP Mean el: 0 cu: MICU-A cg: RN v1: 67.3333 u1: mmHg st: NotStopd t0: [16:00:00 22/10/2012] id: Orientation el: 0 cu: MICU-A cg: RN v1: Oriented x 3 st: NotStopd t0: [16:00:00 22/10/2012] id: Precautions el: 0 cu: MICU-A cg: RN v1: Contact st: NotStopd t0: [16:00:00 22/10/2012] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 92 u1: kg st: NotStopd t0: [16:00:00 22/10/2012] id: Respiratory Pattern el: 0 cu: MICU-A cg: RN v1: Regular st: NotStopd t0: [16:00:00 22/10/2012] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 17 u1: BPM st: NotStopd t0: [16:00:00 22/10/2012] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [16:00:00 22/10/2012] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 99 u1: % st: NotStopd t0: [16:00:00 22/10/2012] id: Verbal Response el: 0 cu: MICU-A cg: RN v1: 5 Oriented st: NotStopd t0: [16:00:00 22/10/2012] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [16:00:00 22/10/2012] id: Po Intake PO/Gastric el: 1 cu: MICU-A cg: RN ai: 103 vo: 120 vu: ml t0: [16:00:00 22/10/2012] id: D5/.45NS 50.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 112 vo: 50 vu: ml t0: [16:00:00 22/10/2012] id: .9% Normal Saline 100.0ml + 600mcghr Sandostatin IV Infusions el: 1 cu: MICU-A cg: RN ai: 127 vo: 8.3 vu: ml
t0: [16:00:00 22/10/2012] id: Sandostatin el: 3 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 49.8 du: mcghr sv: 100 su: ml rt: IV Drip
t0: [09:00:00 22/10/2012] id: Urine Out Foley el: 2 cu: MICU-A cg: RN vo: 50 vu: ml
t0: [17:00:00 22/10/2012] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [17:00:00 22/10/2012] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [17:00:00 22/10/2012] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [17:00:00 22/10/2012] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [17:00:00 22/10/2012] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [17:00:00 22/10/2012] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 68 u1: BPM st: NotStopd t0: [17:00:00 22/10/2012] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [17:00:00 22/10/2012] id: Activity el: 0 cu: MICU-A cg: RN v1: Chair st: NotStopd t0: [17:00:00 22/10/2012] id: NBP el: 0 cu: MICU-A cg: RN v1: 97 u1: mmHg v2: 48 u2: mmHg st: NotStopd t0: [17:00:00 22/10/2012] id: NBP Mean el: 0 cu: MICU-A cg: RN v1: 64.3333 u1: mmHg st: NotStopd t0: [17:00:00 22/10/2012] id: O2 Delivery Device el: 0 cu: MICU-A cg: RN v1: Nasal Cannula st: NotStopd t0: [17:00:00 22/10/2012] id: O2 Flow (lpm) el: 0 cu: MICU-A cg: RN v1: 2 u1: lpm st: NotStopd t0: [17:00:00 22/10/2012] id: Precautions el: 0 cu: MICU-A cg: RN v1: Contact st: NotStopd t0: [17:00:00 22/10/2012] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 92 u1: kg st: NotStopd t0: [17:00:00 22/10/2012] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 15 u1: BPM st: NotStopd t0: [17:00:00 22/10/2012] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 100 u1: % st: NotStopd t0: [17:00:00 22/10/2012] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [17:00:00 22/10/2012] id: Behavior el: 0 cu: MICU-A cg: RN v1: Calm st: NotStopd
t0: [17:00:00 22/10/2012] id: D5/.45NS 50.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 112 vo: 50 vu: ml t0: [17:00:00 22/10/2012] id: .9% Normal Saline 100.0ml + 600mcghr Sandostatin IV Infusions el: 1 cu: MICU-A cg: RN ai: 127 vo: 8.3 vu: ml
t0: [17:00:00 22/10/2012] id: Sandostatin el: 3 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 49.8 du: mcghr sv: 100 su: ml rt: IV Drip
t0: [14:00:00 22/10/2012] id: Stool Guaiac el: 0 cu: MICU-A cg: RN v1: Positive st: NotStopd t0: [17:00:00 22/10/2012] id: LLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Clear st: NotStopd t0: [17:00:00 22/10/2012] id: LUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Clear st: NotStopd t0: [17:00:00 22/10/2012] id: RLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Clear st: NotStopd t0: [17:00:00 22/10/2012] id: RUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Clear st: NotStopd t0: [17:00:00 22/10/2012] id: Respiratory Pattern el: 0 cu: MICU-A cg: RN v1: Regular st: NotStopd t0: [18:00:00 22/10/2012] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [18:00:00 22/10/2012] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [18:00:00 22/10/2012] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [18:00:00 22/10/2012] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [18:00:00 22/10/2012] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [18:00:00 22/10/2012] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 71 u1: BPM st: NotStopd t0: [18:00:00 22/10/2012] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [18:00:00 22/10/2012] id: Activity el: 0 cu: MICU-A cg: RN v1: Chair st: NotStopd t0: [18:00:00 22/10/2012] id: NBP el: 0 cu: MICU-A cg: RN v1: 103 u1: mmHg v2: 47 u2: mmHg st: NotStopd t0: [18:00:00 22/10/2012] id: NBP Mean el: 0 cu: MICU-A cg: RN v1: 65.6667 u1: mmHg st: NotStopd t0: [18:00:00 22/10/2012] id: Precautions el: 0 cu: MICU-A cg: RN v1: Contact st: NotStopd t0: [18:00:00 22/10/2012] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 92 u1: kg st: NotStopd t0: [18:00:00 22/10/2012] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 17 u1: BPM st: NotStopd t0: [18:00:00 22/10/2012] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 97 u1: % st: NotStopd t0: [18:00:00 22/10/2012] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [19:00:00 22/10/2012] id: Pain Present el: 0 cu: MICU-A cg: RN v1: No st: NotStopd t0: [19:00:00 22/10/2012] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [19:00:00 22/10/2012] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [19:00:00 22/10/2012] id: Riker-SAS Scale el: 0 cu: MICU-A cg: RN v1: Calm/Cooperative st: NotStopd t0: [19:00:00 22/10/2012] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [19:00:00 22/10/2012] id: Diet Type el: 0 cu: MICU-A cg: RN v1: Clear Liquid st: NotStopd t0: [19:00:00 22/10/2012] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [19:00:00 22/10/2012] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [19:00:00 22/10/2012] id: Eye Opening el: 0 cu: MICU-A cg: RN v1: 4 Spontaneously st: NotStopd t0: [19:00:00 22/10/2012] id: Family Communication el: 0 cu: MICU-A cg: RN v1: Family Visited st: NotStopd t0: [19:00:00 22/10/2012] id: GCS Total el: 0 cu: MICU-A cg: RN v1: 15 u1: points st: NotStopd t0: [19:00:00 22/10/2012] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 69 u1: BPM st: NotStopd t0: [19:00:00 22/10/2012] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [19:00:00 22/10/2012] id: IV #1 Insert Date el: 0 cu: MICU-A cg: RN v1: 9 v2: 28 st: NotStopd t0: [19:00:00 22/10/2012] id: IV #1 Site/Size el: 0 cu: MICU-A cg: RN v1: Right Antecub v2: 20 gauge st: NotStopd t0: [19:00:00 22/10/2012] id: IV #2 Insert Date el: 0 cu: MICU-A cg: RN v1: 9 v2: 28 st: NotStopd t0: [19:00:00 22/10/2012] id: IV #2 Site/Size el: 0 cu: MICU-A cg: RN v1: LU Ant Forearm v2: 16 gauge st: NotStopd t0: [19:00:00 22/10/2012] id: Activity el: 0 cu: MICU-A cg: RN v1: Chair st: NotStopd t0: [19:00:00 22/10/2012] id: IV Site Appear #1 el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [19:00:00 22/10/2012] id: IV Site Appear #2 el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [19:00:00 22/10/2012] id: Level of Conscious el: 0 cu: MICU-A cg: RN v1: Alert st: NotStopd t0: [19:00:00 22/10/2012] id: Motor Response el: 0 cu: MICU-A cg: RN v1: 6 Obeys Commands st: NotStopd t0: [19:00:00 22/10/2012] id: NBP el: 0 cu: MICU-A cg: RN v1: 106 u1: mmHg v2: 55 u2: mmHg st: NotStopd t0: [19:00:00 22/10/2012] id: NBP Mean el: 0 cu: MICU-A cg: RN v1: 72 u1: mmHg st: NotStopd t0: [19:00:00 22/10/2012] id: O2 Delivery Device el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [19:00:00 22/10/2012] id: Orientation el: 0 cu: MICU-A cg: RN v1: Oriented x 3 st: NotStopd t0: [19:00:00 22/10/2012] id: Pain Location el: 0 cu: MICU-A cg: RN v1: Not Indicated st: NotStopd t0: [19:00:00 22/10/2012] id: Pain Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [19:00:00 22/10/2012] id: Precautions el: 0 cu: MICU-A cg: RN v1: Contact st: NotStopd t0: [19:00:00 22/10/2012] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 92 u1: kg st: NotStopd t0: [19:00:00 22/10/2012] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 19 u1: BPM st: NotStopd t0: [19:00:00 22/10/2012] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 99 u1: % st: NotStopd t0: [19:00:00 22/10/2012] id: Support Systems el: 0 cu: MICU-A cg: RN v1: Spouse st: NotStopd t0: [19:00:00 22/10/2012] id: Urine Source el: 0 cu: MICU-A cg: RN v1: Voids st: NotStopd t0: [19:00:00 22/10/2012] id: Verbal Response el: 0 cu: MICU-A cg: RN v1: 5 Oriented st: NotStopd t0: [19:00:00 22/10/2012] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [19:00:00 22/10/2012] id: Behavior el: 0 cu: MICU-A cg: RN v1: Calm st: NotStopd
t0: [18:00:00 22/10/2012] id: D5/.45NS 50.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 112 vo: 50 vu: ml t0: [18:00:00 22/10/2012] id: .9% Normal Saline 100.0ml + 600mcghr Sandostatin IV Infusions el: 1 cu: MICU-A cg: RN ai: 127 vo: 8.3 vu: ml t0: [19:00:00 22/10/2012] id: Po Intake PO/Gastric el: 1 cu: MICU-A cg: RN ai: 103 vo: 220 vu: ml t0: [19:00:00 22/10/2012] id: D5/.45NS 50.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 112 vo: 50 vu: ml t0: [19:00:00 22/10/2012] id: Stool Out Stool el: 1 cu: MICU-A cg: RN vo: 225 vu: ml t0: [19:00:00 22/10/2012] id: .9% Normal Saline 100.0ml + 600mcghr Sandostatin IV Infusions el: 1 cu: MICU-A cg: RN ai: 127 vo: 8.3 vu: ml
t0: [18:00:00 22/10/2012] id: Sandostatin el: 3 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 49.8 du: mcghr sv: 100 su: ml rt: IV Drip t0: [19:00:00 22/10/2012] id: Sandostatin el: 3 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 49.8 du: mcghr sv: 100 su: ml rt: IV Drip
t0: [19:05:00 22/10/2012] id: Hematocrit Hematology el: 0 cu: MICU-A cg: 1663 v1: 35.4 u1: % rs: Final st: NotStopd
t0: [20:00:00 22/10/2012] id: Pain Present el: 0 cu: MICU-A cg: RN v1: No st: NotStopd t0: [20:00:00 22/10/2012] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [20:00:00 22/10/2012] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [20:00:00 22/10/2012] id: Riker-SAS Scale el: 0 cu: MICU-A cg: RN v1: Calm/Cooperative st: NotStopd t0: [20:00:00 22/10/2012] id: GI Prophylaxis el: 0 cu: MICU-A cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [20:00:00 22/10/2012] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [20:00:00 22/10/2012] id: Diet Type el: 0 cu: MICU-A cg: RN v1: Clear Liquid st: NotStopd t0: [20:00:00 22/10/2012] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [20:00:00 22/10/2012] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [20:00:00 22/10/2012] id: Eye Opening el: 0 cu: MICU-A cg: RN v1: 4 Spontaneously st: NotStopd t0: [20:00:00 22/10/2012] id: Follows Commands el: 0 cu: MICU-A cg: RN v1: Consistently st: NotStopd t0: [20:00:00 22/10/2012] id: GCS Total el: 0 cu: MICU-A cg: RN v1: 15 u1: points st: NotStopd t0: [20:00:00 22/10/2012] id: HOB el: 0 cu: MICU-A cg: RN v1: 30 degrees st: NotStopd t0: [20:00:00 22/10/2012] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 71 u1: BPM st: NotStopd t0: [20:00:00 22/10/2012] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [20:00:00 22/10/2012] id: Abdominal Assessment el: 0 cu: MICU-A cg: RN v1: Soft st: NotStopd t0: [20:00:00 22/10/2012] id: IV #1 Insert Date el: 0 cu: MICU-A cg: RN v1: 9 v2: 28 st: NotStopd t0: [20:00:00 22/10/2012] id: IV #1 Site/Size el: 0 cu: MICU-A cg: RN v1: Right Antecub v2: 20 gauge st: NotStopd t0: [20:00:00 22/10/2012] id: IV #2 Insert Date el: 0 cu: MICU-A cg: RN v1: 9 v2: 28 st: NotStopd t0: [20:00:00 22/10/2012] id: IV #2 Site/Size el: 0 cu: MICU-A cg: RN v1: LU Ant Forearm v2: 16 gauge st: NotStopd t0: [20:00:00 22/10/2012] id: Activity el: 0 cu: MICU-A cg: RN v1: Bedrest st: NotStopd t0: [20:00:00 22/10/2012] id: IV Site Appear #1 el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [20:00:00 22/10/2012] id: IV Site Appear #2 el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [20:00:00 22/10/2012] id: Activity Tolerance el: 0 cu: MICU-A cg: RN v1: Tolerated Well st: NotStopd t0: [20:00:00 22/10/2012] id: LLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Clear st: NotStopd t0: [20:00:00 22/10/2012] id: LUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Clear st: NotStopd t0: [20:00:00 22/10/2012] id: Level of Conscious el: 0 cu: MICU-A cg: RN v1: Alert st: NotStopd t0: [20:00:00 22/10/2012] id: Motor Response el: 0 cu: MICU-A cg: RN v1: 6 Obeys Commands st: NotStopd t0: [20:00:00 22/10/2012] id: NBP el: 0 cu: MICU-A cg: RN v1: 105 u1: mmHg v2: 47 u2: mmHg st: NotStopd t0: [20:00:00 22/10/2012] id: NBP Mean el: 0 cu: MICU-A cg: RN v1: 66.3333 u1: mmHg st: NotStopd t0: [20:00:00 22/10/2012] id: Oral Cavity el: 0 cu: MICU-A cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [20:00:00 22/10/2012] id: Orientation el: 0 cu: MICU-A cg: RN v1: Oriented x 3 st: NotStopd t0: [20:00:00 22/10/2012] id: AntiEmbDevice/Status el: 0 cu: MICU-A cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [20:00:00 22/10/2012] id: Pain Location el: 0 cu: MICU-A cg: RN v1: Not Indicated st: NotStopd t0: [20:00:00 22/10/2012] id: Position el: 0 cu: MICU-A cg: RN v1: Supine st: NotStopd t0: [20:00:00 22/10/2012] id: Assistance Device el: 0 cu: MICU-A cg: RN v1: 1 Person Assist st: NotStopd t0: [20:00:00 22/10/2012] id: Precautions el: 0 cu: MICU-A cg: RN v1: Contact st: NotStopd t0: [20:00:00 22/10/2012] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 92 u1: kg st: NotStopd t0: [20:00:00 22/10/2012] id: RLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Clear st: NotStopd t0: [20:00:00 22/10/2012] id: RUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Clear st: NotStopd t0: [20:00:00 22/10/2012] id: Respiratory Pattern el: 0 cu: MICU-A cg: RN v1: Regular st: NotStopd t0: [20:00:00 22/10/2012] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 24 u1: BPM st: NotStopd t0: [20:00:00 22/10/2012] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [20:00:00 22/10/2012] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 98 u1: % st: NotStopd t0: [20:00:00 22/10/2012] id: Spontaneous Movement el: 0 cu: MICU-A cg: RN v1: Purposeful st: NotStopd t0: [20:00:00 22/10/2012] id: Support Systems el: 0 cu: MICU-A cg: RN v1: Spouse st: NotStopd t0: [20:00:00 22/10/2012] id: Turn el: 0 cu: MICU-A cg: RN v1: Back st: NotStopd t0: [20:00:00 22/10/2012] id: Urine Source el: 0 cu: MICU-A cg: RN v1: Voids st: NotStopd t0: [20:00:00 22/10/2012] id: Verbal Response el: 0 cu: MICU-A cg: RN v1: 5 Oriented st: NotStopd t0: [20:00:00 22/10/2012] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [20:00:00 22/10/2012] id: Behavior el: 0 cu: MICU-A cg: RN v1: Calm st: NotStopd t0: [20:00:00 22/10/2012] id: Bowel Sounds el: 0 cu: MICU-A cg: RN v1: Present st: NotStopd
t0: [20:00:00 22/10/2012] id: Po Intake PO/Gastric el: 1 cu: MICU-A cg: RN ai: 103 vo: 120 vu: ml t0: [20:00:00 22/10/2012] id: D5W 100.0ml IV Infusions el: 2 cu: MICU-A cg: RN ai: 105 vo: 50 vu: ml t0: [20:00:00 22/10/2012] id: D5/.45NS 50.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 112 vo: 50 vu: ml t0: [20:00:00 22/10/2012] id: .9% Normal Saline 100.0ml + 600mcghr Sandostatin IV Infusions el: 1 cu: MICU-A cg: RN ai: 127 vo: 8.3 vu: ml
t0: [20:00:00 22/10/2012] id: Sandostatin el: 3 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 49.8 du: mcghr sv: 100 su: ml rt: IV Drip
t0: [19:40:00 22/10/2012] id: PT el: 0 cu: MICU-A cg: 1663 v1: 16.1 rs: Final st: NotStopd t0: [19:40:00 22/10/2012] id: PTT Coags el: 0 cu: MICU-A cg: 1663 v1: 34.3 rs: Final st: NotStopd t0: [19:40:00 22/10/2012] id: PT(11-13.5) Coags el: 0 cu: MICU-A cg: 1663 v1: 16.1 rs: Final st: NotStopd t0: [19:40:00 22/10/2012] id: PTT(22-35) Coags el: 0 cu: MICU-A cg: 1663 v1: 34.3 rs: Final st: NotStopd
t0: [19:40:00 22/10/2012] id: INR Coags el: 0 cu: MICU-A cg: 1663 v1: 1.7 rs: Final st: NotStopd t0: [19:40:00 22/10/2012] id: INR (2-4 ref. range) Coags el: 0 cu: MICU-A cg: 1663 v1: 1.7 rs: Final st: NotStopd
t0: [21:00:00 22/10/2012] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [21:00:00 22/10/2012] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [21:00:00 22/10/2012] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [21:00:00 22/10/2012] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [21:00:00 22/10/2012] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [21:00:00 22/10/2012] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 71 u1: BPM st: NotStopd t0: [21:00:00 22/10/2012] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [21:00:00 22/10/2012] id: NBP el: 0 cu: MICU-A cg: RN v1: 95 u1: mmHg v2: 51 u2: mmHg st: NotStopd t0: [21:00:00 22/10/2012] id: NBP Mean el: 0 cu: MICU-A cg: RN v1: 65.6667 u1: mmHg st: NotStopd t0: [21:00:00 22/10/2012] id: Precautions el: 0 cu: MICU-A cg: RN v1: Contact st: NotStopd t0: [21:00:00 22/10/2012] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 92 u1: kg st: NotStopd t0: [21:00:00 22/10/2012] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 16 u1: BPM st: NotStopd t0: [21:00:00 22/10/2012] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 98 u1: % st: NotStopd t0: [21:00:00 22/10/2012] id: Temp. Site el: 0 cu: MICU-A cg: RN v1: Oral st: NotStopd t0: [21:00:00 22/10/2012] id: Temperature C (calc) el: 0 cu: MICU-A cg: RN v1: 36.7778 u1: Deg. C st: NotStopd t0: [21:00:00 22/10/2012] id: Temperature F el: 0 cu: MICU-A cg: RN v1: 98.2 u1: Deg. F st: NotStopd t0: [21:00:00 22/10/2012] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [21:00:00 22/10/2012] id: D5/.45NS 50.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 112 vo: 50 vu: ml t0: [21:00:00 22/10/2012] id: .9% Normal Saline 100.0ml + 600mcghr Sandostatin IV Infusions el: 1 cu: MICU-A cg: RN ai: 127 vo: 8.3 vu: ml
t0: [21:00:00 22/10/2012] id: Sandostatin el: 3 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 49.8 du: mcghr sv: 100 su: ml rt: IV Drip
t0: [21:30:00 22/10/2012] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [21:30:00 22/10/2012] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [21:30:00 22/10/2012] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [21:30:00 22/10/2012] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [21:30:00 22/10/2012] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [21:30:00 22/10/2012] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 73 u1: BPM st: NotStopd t0: [21:30:00 22/10/2012] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [21:30:00 22/10/2012] id: NBP el: 0 cu: MICU-A cg: RN v1: 100 u1: mmHg v2: 53 u2: mmHg st: NotStopd t0: [21:30:00 22/10/2012] id: NBP Mean el: 0 cu: MICU-A cg: RN v1: 68.6667 u1: mmHg st: NotStopd t0: [21:30:00 22/10/2012] id: Precautions el: 0 cu: MICU-A cg: RN v1: Contact st: NotStopd t0: [21:30:00 22/10/2012] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 92 u1: kg st: NotStopd t0: [21:30:00 22/10/2012] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 18 u1: BPM st: NotStopd t0: [21:30:00 22/10/2012] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [21:30:00 22/10/2012] id: Po Intake PO/Gastric el: 1 cu: MICU-A cg: RN ai: 103 vo: 120 vu: ml t0: [21:30:00 22/10/2012] id: D5/.45NS 50.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 112 vo: 25 vu: ml t0: [21:30:00 22/10/2012] id: Stool Out Stool el: 1 cu: MICU-A cg: RN vo: 100 vu: ml t0: [21:30:00 22/10/2012] id: Urine Out Void el: 2 cu: MICU-A cg: RN vo: 350 vu: ml t0: [21:30:00 22/10/2012] id: .9% Normal Saline 100.0ml + 600mcghr Sandostatin IV Infusions el: 1 cu: MICU-A cg: RN ai: 127 vo: 4.15 vu: ml
t0: [21:30:00 22/10/2012] id: Sandostatin el: 3 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 49.8 du: mcghr sv: 100 su: ml rt: IV Drip
t0: [23:00:00 22/10/2012] dt: 1 id: Total Hourly Output el: 2 cu: MICU-A cg: RN cv: 0 ap: none t0: [23:00:00 22/10/2012] dt: 24 id: Stool Out Total el: 2 cu: MICU-A cg: RN cv: 1700 ap: none t0: [23:00:00 22/10/2012] dt: 24 id: Urine Out Total el: 2 cu: MICU-A cg: RN cv: 1250 ap: none t0: [23:00:00 22/10/2012] dt: 24 id: 24h Total Out el: 2 cu: MICU-A cg: RN cv: 2950 ap: none
t0: [22:00:00 22/10/2012] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [22:00:00 22/10/2012] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [22:00:00 22/10/2012] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [22:00:00 22/10/2012] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [22:00:00 22/10/2012] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [22:00:00 22/10/2012] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 79 u1: BPM st: NotStopd t0: [22:00:00 22/10/2012] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [22:00:00 22/10/2012] id: NBP el: 0 cu: MICU-A cg: RN v1: 105 u1: mmHg v2: 31 u2: mmHg st: NotStopd t0: [22:00:00 22/10/2012] id: NBP Mean el: 0 cu: MICU-A cg: RN v1: 55.6667 u1: mmHg st: NotStopd t0: [22:00:00 22/10/2012] id: Precautions el: 0 cu: MICU-A cg: RN v1: Contact st: NotStopd t0: [22:00:00 22/10/2012] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 92 u1: kg st: NotStopd t0: [22:00:00 22/10/2012] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 20 u1: BPM st: NotStopd t0: [22:00:00 22/10/2012] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [22:00:00 22/10/2012] id: Po Intake PO/Gastric el: 1 cu: MICU-A cg: RN ai: 103 vo: 120 vu: ml t0: [22:00:00 22/10/2012] id: IV Piggyback IV Infusions el: 1 cu: MICU-A cg: RN ai: 209 vo: 100 vu: ml t0: [22:00:00 22/10/2012] id: D5/.45NS 50.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 112 vo: 25 vu: ml t0: [22:00:00 22/10/2012] id: .9% Normal Saline 100.0ml + 600mcghr Sandostatin IV Infusions el: 1 cu: MICU-A cg: RN ai: 127 vo: 4.15 vu: ml
t0: [22:00:00 22/10/2012] id: Sandostatin el: 3 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 49.8 du: mcghr sv: 100 su: ml rt: IV Drip
t0: [23:00:00 22/10/2012] dt: 24 id: PO/Gastric In Total el: 2 cu: MICU-A cg: RN cv: 800 ap: none
t0: [23:00:00 22/10/2012] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [23:00:00 22/10/2012] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [23:00:00 22/10/2012] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [23:00:00 22/10/2012] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [23:00:00 22/10/2012] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [23:00:00 22/10/2012] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 74 u1: BPM st: NotStopd t0: [23:00:00 22/10/2012] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [23:00:00 22/10/2012] id: NBP el: 0 cu: MICU-A cg: RN v1: 104 u1: mmHg v2: 50 u2: mmHg st: NotStopd t0: [23:00:00 22/10/2012] id: NBP Mean el: 0 cu: MICU-A cg: RN v1: 68 u1: mmHg st: NotStopd t0: [23:00:00 22/10/2012] id: Precautions el: 0 cu: MICU-A cg: RN v1: Contact st: NotStopd t0: [23:00:00 22/10/2012] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 92 u1: kg st: NotStopd t0: [23:00:00 22/10/2012] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 17 u1: BPM st: NotStopd t0: [23:00:00 22/10/2012] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [23:00:00 22/10/2012] id: D5/.45NS 50.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 112 vo: 50 vu: ml t0: [23:00:00 22/10/2012] id: .9% Normal Saline 100.0ml + 600mcghr Sandostatin IV Infusions el: 1 cu: MICU-A cg: RN ai: 127 vo: 8.3 vu: ml
t0: [23:00:00 22/10/2012] id: Sandostatin el: 3 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 49.8 du: mcghr sv: 100 su: ml rt: IV Drip
t0: [00:00:00 23/10/2012] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [00:00:00 23/10/2012] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [00:00:00 23/10/2012] id: Riker-SAS Scale el: 0 cu: MICU-A cg: RN v1: Calm/Cooperative st: NotStopd t0: [00:00:00 23/10/2012] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [00:00:00 23/10/2012] id: Diet Type el: 0 cu: MICU-A cg: RN v1: Clear Liquid st: NotStopd t0: [00:00:00 23/10/2012] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [00:00:00 23/10/2012] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [00:00:00 23/10/2012] id: Eye Opening el: 0 cu: MICU-A cg: RN v1: 4 Spontaneously st: NotStopd t0: [00:00:00 23/10/2012] id: Follows Commands el: 0 cu: MICU-A cg: RN v1: Consistently st: NotStopd t0: [00:00:00 23/10/2012] id: GCS Total el: 0 cu: MICU-A cg: RN v1: 15 u1: points st: NotStopd t0: [00:00:00 23/10/2012] id: HOB el: 0 cu: MICU-A cg: RN v1: 30 degrees st: NotStopd t0: [00:00:00 23/10/2012] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 70 u1: BPM st: NotStopd t0: [00:00:00 23/10/2012] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [00:00:00 23/10/2012] id: Abdominal Assessment el: 0 cu: MICU-A cg: RN v1: Soft st: NotStopd t0: [00:00:00 23/10/2012] id: IV #1 Insert Date el: 0 cu: MICU-A cg: RN v1: 9 v2: 28 st: NotStopd t0: [00:00:00 23/10/2012] id: IV #1 Site/Size el: 0 cu: MICU-A cg: RN v1: Right Antecub v2: 20 gauge st: NotStopd t0: [00:00:00 23/10/2012] id: IV #2 Insert Date el: 0 cu: MICU-A cg: RN v1: 9 v2: 28 st: NotStopd t0: [00:00:00 23/10/2012] id: IV #2 Site/Size el: 0 cu: MICU-A cg: RN v1: LU Ant Forearm v2: 16 gauge st: NotStopd t0: [00:00:00 23/10/2012] id: Activity el: 0 cu: MICU-A cg: RN v1: Bedrest st: NotStopd t0: [00:00:00 23/10/2012] id: IV Site Appear #1 el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [00:00:00 23/10/2012] id: IV Site Appear #2 el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [00:00:00 23/10/2012] id: Activity Tolerance el: 0 cu: MICU-A cg: RN v1: Tolerated Well st: NotStopd t0: [00:00:00 23/10/2012] id: LLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Clear st: NotStopd t0: [00:00:00 23/10/2012] id: LUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Clear st: NotStopd t0: [00:00:00 23/10/2012] id: Level of Conscious el: 0 cu: MICU-A cg: RN v1: Alert st: NotStopd t0: [00:00:00 23/10/2012] id: Motor Response el: 0 cu: MICU-A cg: RN v1: 6 Obeys Commands st: NotStopd t0: [00:00:00 23/10/2012] id: NBP el: 0 cu: MICU-A cg: RN v1: 107 u1: mmHg v2: 46 u2: mmHg st: NotStopd t0: [00:00:00 23/10/2012] id: NBP Mean el: 0 cu: MICU-A cg: RN v1: 66.3333 u1: mmHg st: NotStopd t0: [00:00:00 23/10/2012] id: Oral Cavity el: 0 cu: MICU-A cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [00:00:00 23/10/2012] id: Orientation el: 0 cu: MICU-A cg: RN v1: Oriented x 3 st: NotStopd t0: [00:00:00 23/10/2012] id: AntiEmbDevice/Status el: 0 cu: MICU-A cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [00:00:00 23/10/2012] id: Position el: 0 cu: MICU-A cg: RN v1: Right Side st: NotStopd t0: [00:00:00 23/10/2012] id: Assistance Device el: 0 cu: MICU-A cg: RN v1: 1 Person Assist st: NotStopd t0: [00:00:00 23/10/2012] id: Precautions el: 0 cu: MICU-A cg: RN v1: Contact st: NotStopd t0: [00:00:00 23/10/2012] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 92 u1: kg st: NotStopd t0: [00:00:00 23/10/2012] id: RLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Clear st: NotStopd t0: [00:00:00 23/10/2012] id: RUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Clear st: NotStopd t0: [00:00:00 23/10/2012] id: Respiratory Pattern el: 0 cu: MICU-A cg: RN v1: Regular st: NotStopd t0: [00:00:00 23/10/2012] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 19 u1: BPM st: NotStopd t0: [00:00:00 23/10/2012] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [00:00:00 23/10/2012] id: Spontaneous Movement el: 0 cu: MICU-A cg: RN v1: Purposeful st: NotStopd t0: [00:00:00 23/10/2012] id: Support Systems el: 0 cu: MICU-A cg: RN v1: Spouse st: NotStopd t0: [00:00:00 23/10/2012] id: Temp. Site el: 0 cu: MICU-A cg: RN v1: Oral st: NotStopd t0: [00:00:00 23/10/2012] id: Temperature C (calc) el: 0 cu: MICU-A cg: RN v1: 36.7778 u1: Deg. C st: NotStopd t0: [00:00:00 23/10/2012] id: Temperature F el: 0 cu: MICU-A cg: RN v1: 98.2 u1: Deg. F st: NotStopd t0: [00:00:00 23/10/2012] id: Turn el: 0 cu: MICU-A cg: RN v1: Right Side st: NotStopd t0: [00:00:00 23/10/2012] id: Urine Color/Appear el: 0 cu: MICU-A cg: RN v1: Amber v2: Clear st: NotStopd t0: [00:00:00 23/10/2012] id: Urine Source el: 0 cu: MICU-A cg: RN v1: Voids st: NotStopd t0: [00:00:00 23/10/2012] id: Verbal Response el: 0 cu: MICU-A cg: RN v1: 5 Oriented st: NotStopd t0: [00:00:00 23/10/2012] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [00:00:00 23/10/2012] id: Behavior el: 0 cu: MICU-A cg: RN v1: Calm st: NotStopd t0: [00:00:00 23/10/2012] id: Fingerstick Glucose Chemistry el: 0 cu: MICU-A cg: RN v1: 162 rs: Manual st: NotStopd t0: [00:00:00 23/10/2012] id: Bowel Sounds el: 0 cu: MICU-A cg: RN v1: Present st: NotStopd
t0: [00:00:00 23/10/2012] id: Po Intake PO/Gastric el: 1 cu: MICU-A cg: RN ai: 103 vo: 240 vu: ml t0: [00:00:00 23/10/2012] id: D5/.45NS 50.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 112 vo: 50 vu: ml t0: [00:00:00 23/10/2012] id: .9% Normal Saline 100.0ml + 600mcghr Sandostatin IV Infusions el: 1 cu: MICU-A cg: RN ai: 127 vo: 8.3 vu: ml
t0: [00:00:00 23/10/2012] id: Sandostatin el: 3 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 49.8 du: mcghr sv: 100 su: ml rt: IV Drip
t0: [23:00:00 23/10/2012] dt: 24 id: PO/Gastric In Total el: 2 cu: MICU-A cg: RN cv: 240 ap: none
t0: [23:30:00 22/10/2012] id: Hematocrit Hematology el: 0 cu: MICU-A cg: 1663 v1: 32.1 u1: % rs: Final st: NotStopd
tf: [05:00:00 28/10/2012] pt: Unit Dose rt: PO fr: HS:PRN m1: traZODONE HCl v1: 25 u1: mg
t0: [01:00:00 23/10/2012] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [01:00:00 23/10/2012] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [01:00:00 23/10/2012] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [01:00:00 23/10/2012] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [01:00:00 23/10/2012] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [01:00:00 23/10/2012] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 70 u1: BPM st: NotStopd t0: [01:00:00 23/10/2012] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [01:00:00 23/10/2012] id: NBP el: 0 cu: MICU-A cg: RN v1: 102 u1: mmHg v2: 36 u2: mmHg st: NotStopd t0: [01:00:00 23/10/2012] id: NBP Mean el: 0 cu: MICU-A cg: RN v1: 58 u1: mmHg st: NotStopd t0: [01:00:00 23/10/2012] id: Precautions el: 0 cu: MICU-A cg: RN v1: Contact st: NotStopd t0: [01:00:00 23/10/2012] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 92 u1: kg st: NotStopd t0: [01:00:00 23/10/2012] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 16 u1: BPM st: NotStopd t0: [01:00:00 23/10/2012] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [02:00:00 23/10/2012] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [02:00:00 23/10/2012] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [02:00:00 23/10/2012] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [02:00:00 23/10/2012] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [02:00:00 23/10/2012] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [02:00:00 23/10/2012] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 71 u1: BPM st: NotStopd t0: [02:00:00 23/10/2012] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [02:00:00 23/10/2012] id: NBP el: 0 cu: MICU-A cg: RN v1: 106 u1: mmHg v2: 50 u2: mmHg st: NotStopd t0: [02:00:00 23/10/2012] id: NBP Mean el: 0 cu: MICU-A cg: RN v1: 68.6667 u1: mmHg st: NotStopd t0: [02:00:00 23/10/2012] id: Precautions el: 0 cu: MICU-A cg: RN v1: Contact st: NotStopd t0: [02:00:00 23/10/2012] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 92 u1: kg st: NotStopd t0: [02:00:00 23/10/2012] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 16 u1: BPM st: NotStopd t0: [02:00:00 23/10/2012] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [01:00:00 23/10/2012] id: D5/.45NS 50.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 112 vo: 50 vu: ml t0: [01:00:00 23/10/2012] id: .9% Normal Saline 100.0ml + 600mcghr Sandostatin IV Infusions el: 1 cu: MICU-A cg: RN ai: 127 vo: 8.3 vu: ml t0: [02:00:00 23/10/2012] id: D5/.45NS 50.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 112 vo: 50 vu: ml t0: [02:00:00 23/10/2012] id: .9% Normal Saline 100.0ml + 600mcghr Sandostatin IV Infusions el: 1 cu: MICU-A cg: RN ai: 127 vo: 8.3 vu: ml
t0: [01:00:00 23/10/2012] id: Sandostatin el: 3 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 49.8 du: mcghr sv: 100 su: ml rt: IV Drip t0: [02:00:00 23/10/2012] id: Sandostatin el: 3 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 49.8 du: mcghr sv: 100 su: ml rt: IV Drip
t0: [02:00:00 23/10/2012] id: Stool Out Stool el: 1 cu: MICU-A cg: RN vo: 50 vu: ml
id: .9% Normal Saline el: 5 cu: MICU-A cg: RN io: .9% Normal Saline 1000.0ml IV Infusions vo: 1000 du: ml rt: Intravenous Push
t0: [03:00:00 23/10/2012] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [03:00:00 23/10/2012] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [03:00:00 23/10/2012] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [03:00:00 23/10/2012] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [03:00:00 23/10/2012] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [03:00:00 23/10/2012] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 72 u1: BPM st: NotStopd t0: [03:00:00 23/10/2012] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [03:00:00 23/10/2012] id: NBP el: 0 cu: MICU-A cg: RN v1: 106 u1: mmHg v2: 46 u2: mmHg st: NotStopd t0: [03:00:00 23/10/2012] id: NBP Mean el: 0 cu: MICU-A cg: RN v1: 66 u1: mmHg st: NotStopd t0: [03:00:00 23/10/2012] id: Precautions el: 0 cu: MICU-A cg: RN v1: Contact st: NotStopd t0: [03:00:00 23/10/2012] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 92 u1: kg st: NotStopd t0: [03:00:00 23/10/2012] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 17 u1: BPM st: NotStopd t0: [03:00:00 23/10/2012] id: Significant Events el: 0 cu: MICU-A cg: RN v1: Fluid Bolus st: NotStopd t0: [03:00:00 23/10/2012] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [03:00:00 23/10/2012] tf: [07:00:00 23/10/2012] dt: 240 id: .9% Normal Saline 1000.0ml IV Infusions el: 5 cu: MICU-A cg: RN ai: 107 vo: 500 vu: ml t0: [03:00:00 23/10/2012] id: D5/.45NS 50.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 112 vo: 50 vu: ml t0: [03:00:00 23/10/2012] id: Stool Out Stool el: 1 cu: MICU-A cg: RN vo: 700 vu: ml t0: [03:00:00 23/10/2012] id: .9% Normal Saline 100.0ml + 600mcghr Sandostatin IV Infusions el: 1 cu: MICU-A cg: RN ai: 127 vo: 8.3 vu: ml
t0: [03:00:00 23/10/2012] id: Sandostatin el: 3 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 49.8 du: mcghr sv: 100 su: ml rt: IV Drip
t0: [23:00:00 23/10/2012] dt: 24 id: Gastric Out Total el: 2 cu: MICU-A cg: RN cv: 200 ap: none
t0: [04:00:00 23/10/2012] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [04:00:00 23/10/2012] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [04:00:00 23/10/2012] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [04:00:00 23/10/2012] id: Diet Type el: 0 cu: MICU-A cg: RN v1: Clear Liquid st: NotStopd t0: [04:00:00 23/10/2012] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [04:00:00 23/10/2012] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [04:00:00 23/10/2012] id: Eye Opening el: 0 cu: MICU-A cg: RN v1: 4 Spontaneously st: NotStopd t0: [04:00:00 23/10/2012] id: Follows Commands el: 0 cu: MICU-A cg: RN v1: Consistently st: NotStopd t0: [04:00:00 23/10/2012] id: GCS Total el: 0 cu: MICU-A cg: RN v1: 15 u1: points st: NotStopd t0: [04:00:00 23/10/2012] id: HOB el: 0 cu: MICU-A cg: RN v1: Flat in Bed st: NotStopd t0: [04:00:00 23/10/2012] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 81 u1: BPM st: NotStopd t0: [04:00:00 23/10/2012] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [04:00:00 23/10/2012] id: Abdominal Assessment el: 0 cu: MICU-A cg: RN v1: Soft st: NotStopd t0: [04:00:00 23/10/2012] id: IV #1 Insert Date el: 0 cu: MICU-A cg: RN v1: 9 v2: 28 st: NotStopd t0: [04:00:00 23/10/2012] id: IV #1 Site/Size el: 0 cu: MICU-A cg: RN v1: Right Antecub v2: 20 gauge st: NotStopd t0: [04:00:00 23/10/2012] id: IV #2 Insert Date el: 0 cu: MICU-A cg: RN v1: 9 v2: 28 st: NotStopd t0: [04:00:00 23/10/2012] id: IV #2 Site/Size el: 0 cu: MICU-A cg: RN v1: LU Ant Forearm v2: 16 gauge st: NotStopd t0: [04:00:00 23/10/2012] id: Activity el: 0 cu: MICU-A cg: RN v1: Bedrest st: NotStopd t0: [04:00:00 23/10/2012] id: IV Site Appear #1 el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [04:00:00 23/10/2012] id: IV Site Appear #2 el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [04:00:00 23/10/2012] id: Activity Tolerance el: 0 cu: MICU-A cg: RN v1: Tolerated Well st: NotStopd t0: [04:00:00 23/10/2012] id: LLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Clear st: NotStopd t0: [04:00:00 23/10/2012] id: LUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Clear st: NotStopd t0: [04:00:00 23/10/2012] id: Level of Conscious el: 0 cu: MICU-A cg: RN v1: Alert st: NotStopd t0: [04:00:00 23/10/2012] id: Motor Response el: 0 cu: MICU-A cg: RN v1: 6 Obeys Commands st: NotStopd t0: [04:00:00 23/10/2012] id: NBP el: 0 cu: MICU-A cg: RN v1: 100 u1: mmHg v2: 33 u2: mmHg st: NotStopd t0: [04:00:00 23/10/2012] id: NBP Mean el: 0 cu: MICU-A cg: RN v1: 55.3333 u1: mmHg st: NotStopd t0: [04:00:00 23/10/2012] id: Oral Cavity el: 0 cu: MICU-A cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [04:00:00 23/10/2012] id: Orientation el: 0 cu: MICU-A cg: RN v1: Oriented x 3 st: NotStopd t0: [04:00:00 23/10/2012] id: AntiEmbDevice/Status el: 0 cu: MICU-A cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [04:00:00 23/10/2012] id: Position el: 0 cu: MICU-A cg: RN v1: Supine st: NotStopd t0: [04:00:00 23/10/2012] id: Assistance Device el: 0 cu: MICU-A cg: RN v1: 2 Person Assist st: NotStopd t0: [04:00:00 23/10/2012] id: Precautions el: 0 cu: MICU-A cg: RN v1: Contact st: NotStopd t0: [04:00:00 23/10/2012] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 92 u1: kg st: NotStopd t0: [04:00:00 23/10/2012] id: RLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Clear st: NotStopd t0: [04:00:00 23/10/2012] id: RUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Clear st: NotStopd t0: [04:00:00 23/10/2012] id: Respiratory Pattern el: 0 cu: MICU-A cg: RN v1: Regular st: NotStopd t0: [04:00:00 23/10/2012] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 17 u1: BPM st: NotStopd t0: [04:00:00 23/10/2012] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [04:00:00 23/10/2012] id: Skin Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [04:00:00 23/10/2012] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 96 u1: % st: NotStopd t0: [04:00:00 23/10/2012] id: Support Systems el: 0 cu: MICU-A cg: RN v1: Spouse st: NotStopd t0: [04:00:00 23/10/2012] id: Turn el: 0 cu: MICU-A cg: RN v1: Back st: NotStopd t0: [04:00:00 23/10/2012] id: Urine Source el: 0 cu: MICU-A cg: RN v1: Voids st: NotStopd t0: [04:00:00 23/10/2012] id: Verbal Response el: 0 cu: MICU-A cg: RN v1: 5 Oriented st: NotStopd t0: [04:00:00 23/10/2012] id: Back Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [04:00:00 23/10/2012] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [04:00:00 23/10/2012] id: Behavior el: 0 cu: MICU-A cg: RN v1: Appropriate st: NotStopd
t0: [03:00:00 23/10/2012] tf: [21:09:00 25/10/2012] dt: 3969 id: Gastric Emesis el: 1 cu: MICU-A cg: RN vo: 200 vu: ml t0: [04:00:00 23/10/2012] id: IV Piggyback IV Infusions el: 1 cu: MICU-A cg: RN ai: 209 vo: 100 vu: ml t0: [04:00:00 23/10/2012] id: D5/.45NS 50.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 112 vo: 50 vu: ml t0: [04:00:00 23/10/2012] id: .9% Normal Saline 100.0ml + 600mcghr Sandostatin IV Infusions el: 1 cu: MICU-A cg: RN ai: 127 vo: 8.3 vu: ml
t0: [04:00:00 23/10/2012] id: Sandostatin el: 3 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 49.8 du: mcghr sv: 100 su: ml rt: IV Drip
t0: [03:00:00 23/10/2012] id: Pain Present el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [03:00:00 23/10/2012] id: Pain Assess Method el: 0 cu: MICU-A cg: RN v1: Pt Verbalized st: NotStopd t0: [03:00:00 23/10/2012] id: Pain Cause el: 0 cu: MICU-A cg: RN v1: Other/Remarks st: NotStopd t0: [03:00:00 23/10/2012] id: Pain Location el: 0 cu: MICU-A cg: RN v1: Abdominal st: NotStopd t0: [03:00:00 23/10/2012] id: Pain Type el: 0 cu: MICU-A cg: RN v1: Aching st: NotStopd
tf: [03:00:00 24/10/2012] pt: Unit Dose rt: IV fr: ONCE fs: 4 dn: 1 m1: Metoclopramide v1: 10 u1: mg tf: [22:00:00 06/11/2012] pt: Unit Dose rt: IV fr: Q6H:PRN m1: Ondansetron v1: 4 u1: mg
t0: [04:30:00 23/10/2012] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [04:30:00 23/10/2012] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [04:30:00 23/10/2012] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [04:30:00 23/10/2012] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [04:30:00 23/10/2012] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [04:30:00 23/10/2012] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 81 u1: BPM st: NotStopd t0: [04:30:00 23/10/2012] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [04:30:00 23/10/2012] id: NBP el: 0 cu: MICU-A cg: RN v1: 97 u1: mmHg v2: 39 u2: mmHg st: NotStopd t0: [04:30:00 23/10/2012] id: NBP Mean el: 0 cu: MICU-A cg: RN v1: 58.3333 u1: mmHg st: NotStopd t0: [04:30:00 23/10/2012] id: Precautions el: 0 cu: MICU-A cg: RN v1: Contact st: NotStopd t0: [04:30:00 23/10/2012] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 92 u1: kg st: NotStopd t0: [04:30:00 23/10/2012] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 19 u1: BPM st: NotStopd t0: [04:30:00 23/10/2012] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 95 u1: % st: NotStopd t0: [04:30:00 23/10/2012] id: Temp. Site el: 0 cu: MICU-A cg: RN v1: Oral st: NotStopd t0: [04:30:00 23/10/2012] id: Temperature C (calc) el: 0 cu: MICU-A cg: RN v1: 36.7778 u1: Deg. C st: NotStopd t0: [04:30:00 23/10/2012] id: Temperature F el: 0 cu: MICU-A cg: RN v1: 98.2 u1: Deg. F st: NotStopd t0: [04:30:00 23/10/2012] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [04:30:00 23/10/2012] tf: [12:00:00 23/10/2012] dt: 450 id: Packed RBC's IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 375 vu: ml nb: 1 t0: [04:30:00 23/10/2012] id: D5/.45NS 50.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 112 vo: 25 vu: ml t0: [04:30:00 23/10/2012] id: .9% Normal Saline 100.0ml + 600mcghr Sandostatin IV Infusions el: 1 cu: MICU-A cg: RN ai: 127 vo: 4.15 vu: ml
t0: [04:30:00 23/10/2012] id: Sandostatin el: 3 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 49.8 du: mcghr sv: 100 su: ml rt: IV Drip
t0: [03:20:00 23/10/2012] id: WBC (4-11,000) Hematology el: 0 cu: MICU-A cg: 1663 v1: 19.3 rs: Final st: NotStopd t0: [03:20:00 23/10/2012] id: BUN el: 0 cu: MICU-A cg: 1663 v1: 19 rs: Final st: NotStopd t0: [03:20:00 23/10/2012] id: PT el: 0 cu: MICU-A cg: 1663 v1: 17.9 rs: Final st: NotStopd t0: [03:20:00 23/10/2012] id: Calcium Chemistry el: 0 cu: MICU-A cg: 1663 v1: 8.1 u1: mg/dl rs: Final st: NotStopd t0: [03:20:00 23/10/2012] id: Chloride Chemistry el: 0 cu: MICU-A cg: 1663 v1: 106 rs: Final st: NotStopd t0: [03:20:00 23/10/2012] id: Creatinine Chemistry el: 0 cu: MICU-A cg: 1663 v1: 0.9 rs: Final st: NotStopd t0: [03:20:00 23/10/2012] id: Glucose Chemistry el: 0 cu: MICU-A cg: 1663 v1: 95 rs: Final st: NotStopd t0: [03:20:00 23/10/2012] id: INR Coags el: 0 cu: MICU-A cg: 1663 v1: 2.1 rs: Final st: NotStopd t0: [03:20:00 23/10/2012] id: Magnesium Chemistry el: 0 cu: MICU-A cg: 1663 v1: 1.5 rs: Final st: NotStopd t0: [03:20:00 23/10/2012] id: PTT Coags el: 0 cu: MICU-A cg: 1663 v1: 39.6 rs: Final st: NotStopd t0: [03:20:00 23/10/2012] id: Phosphorous Chemistry el: 0 cu: MICU-A cg: 1663 v1: 2.8 u1: mEq/L rs: Final st: NotStopd t0: [03:20:00 23/10/2012] id: Potassium Chemistry el: 0 cu: MICU-A cg: 1663 v1: 3.9 rs: Final st: NotStopd t0: [03:20:00 23/10/2012] id: Sodium Chemistry el: 0 cu: MICU-A cg: 1663 v1: 132 rs: Final st: NotStopd t0: [03:20:00 23/10/2012] id: WBC Hematology el: 0 cu: MICU-A cg: 1663 v1: 19.3 rs: Final st: NotStopd t0: [03:20:00 23/10/2012] id: BUN (6-20) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 19 rs: Final st: NotStopd t0: [03:20:00 23/10/2012] id: Calcium (8.4-10.2) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 8.1 u1: mg/dl rs: Final st: NotStopd t0: [03:20:00 23/10/2012] id: Carbon Dioxide Chemistry el: 0 cu: MICU-A cg: 1663 v1: 17 rs: Final st: NotStopd t0: [03:20:00 23/10/2012] id: Chloride (100-112) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 106 rs: Final st: NotStopd t0: [03:20:00 23/10/2012] id: Creatinine (0-1.3) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 0.9 rs: Final st: NotStopd t0: [03:20:00 23/10/2012] id: Glucose (70-105) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 95 rs: Final st: NotStopd t0: [03:20:00 23/10/2012] id: Hematocrit Hematology el: 0 cu: MICU-A cg: 1663 v1: 27.7 u1: % rs: Final st: NotStopd t0: [03:20:00 23/10/2012] id: Hemoglobin Hematology el: 0 cu: MICU-A cg: 1663 v1: 9.2 u1: gm/dl rs: Final st: NotStopd t0: [03:20:00 23/10/2012] id: INR (2-4 ref. range) Coags el: 0 cu: MICU-A cg: 1663 v1: 2.1 rs: Final st: NotStopd t0: [03:20:00 23/10/2012] id: Magnesium (1.6-2.6) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 1.5 rs: Final st: NotStopd t0: [03:20:00 23/10/2012] id: PT(11-13.5) Coags el: 0 cu: MICU-A cg: 1663 v1: 17.9 rs: Final st: NotStopd t0: [03:20:00 23/10/2012] id: PTT(22-35) Coags el: 0 cu: MICU-A cg: 1663 v1: 39.6 rs: Final st: NotStopd t0: [03:20:00 23/10/2012] id: Phosphorous(2.7-4.5) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 2.8 u1: mEq/L rs: Final st: NotStopd t0: [03:20:00 23/10/2012] id: Platelets Hematology el: 0 cu: MICU-A cg: 1663 v1: 182 rs: Final st: NotStopd t0: [03:20:00 23/10/2012] id: Potassium (3.5-5.3) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 3.9 rs: Final st: NotStopd t0: [03:20:00 23/10/2012] id: RBC Hematology el: 0 cu: MICU-A cg: 1663 v1: 3.02 u1: /mic l rs: Final st: NotStopd t0: [03:20:00 23/10/2012] id: Sodium (135-148) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 132 rs: Final st: NotStopd t0: [03:20:00 23/10/2012] id: WBC (4-11,000) Hematology el: 0 cu: MICU-A cg: 1663 v1: 19.3 rs: Final st: NotStopd
t0: [04:00:00 23/10/2012] id: Hematocrit Hematology el: 0 cu: MICU-A cg: 1663 v1: 26.1 u1: % rs: Final st: NotStopd t0: [05:00:00 23/10/2012] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [05:00:00 23/10/2012] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [05:00:00 23/10/2012] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [05:00:00 23/10/2012] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [05:00:00 23/10/2012] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [05:00:00 23/10/2012] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 80 u1: BPM st: NotStopd t0: [05:00:00 23/10/2012] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [05:00:00 23/10/2012] id: NBP el: 0 cu: MICU-A cg: RN v1: 100 u1: mmHg v2: 39 u2: mmHg st: NotStopd t0: [05:00:00 23/10/2012] id: NBP Mean el: 0 cu: MICU-A cg: RN v1: 59.3333 u1: mmHg st: NotStopd t0: [05:00:00 23/10/2012] id: Precautions el: 0 cu: MICU-A cg: RN v1: Contact st: NotStopd t0: [05:00:00 23/10/2012] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 92 u1: kg st: NotStopd t0: [05:00:00 23/10/2012] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 15 u1: BPM st: NotStopd t0: [05:00:00 23/10/2012] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 99 u1: % st: NotStopd t0: [05:00:00 23/10/2012] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [05:00:00 23/10/2012] id: D5/.45NS 50.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 112 vo: 0 vu: ml t0: [05:00:00 23/10/2012] id: .9% Normal Saline 100.0ml + 600mcghr Sandostatin IV Infusions el: 1 cu: MICU-A cg: RN ai: 127 vo: 4.15 vu: ml
t0: [05:00:00 23/10/2012] id: Sandostatin el: 3 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 49.8 du: mcghr sv: 100 su: ml rt: IV Drip
t0: [05:30:00 23/10/2012] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [05:30:00 23/10/2012] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [05:30:00 23/10/2012] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [05:30:00 23/10/2012] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [05:30:00 23/10/2012] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [05:30:00 23/10/2012] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 79 u1: BPM st: NotStopd t0: [05:30:00 23/10/2012] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [05:30:00 23/10/2012] id: NBP el: 0 cu: MICU-A cg: RN v1: 91 u1: mmHg v2: 48 u2: mmHg st: NotStopd t0: [05:30:00 23/10/2012] id: NBP Mean el: 0 cu: MICU-A cg: RN v1: 62.3333 u1: mmHg st: NotStopd t0: [05:30:00 23/10/2012] id: Precautions el: 0 cu: MICU-A cg: RN v1: Contact st: NotStopd t0: [05:30:00 23/10/2012] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 92 u1: kg st: NotStopd t0: [05:30:00 23/10/2012] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 15 u1: BPM st: NotStopd t0: [05:30:00 23/10/2012] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 94 u1: % st: NotStopd t0: [05:30:00 23/10/2012] id: Temp. Site el: 0 cu: MICU-A cg: RN v1: Oral st: NotStopd t0: [05:30:00 23/10/2012] id: Temperature C (calc) el: 0 cu: MICU-A cg: RN v1: 37 u1: Deg. C st: NotStopd t0: [05:30:00 23/10/2012] id: Temperature F el: 0 cu: MICU-A cg: RN v1: 98.6 u1: Deg. F st: NotStopd t0: [05:30:00 23/10/2012] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [05:30:00 23/10/2012] id: Sandostatin el: 3 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 49.8 du: mcghr sv: 100 su: ml rt: IV Drip
t0: [06:00:00 23/10/2012] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [06:00:00 23/10/2012] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [06:00:00 23/10/2012] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [06:00:00 23/10/2012] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [06:00:00 23/10/2012] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [06:00:00 23/10/2012] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 73 u1: BPM st: NotStopd t0: [06:00:00 23/10/2012] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [06:00:00 23/10/2012] id: NBP el: 0 cu: MICU-A cg: RN v1: 99 u1: mmHg v2: 44 u2: mmHg st: NotStopd t0: [06:00:00 23/10/2012] id: NBP Mean el: 0 cu: MICU-A cg: RN v1: 62.3333 u1: mmHg st: NotStopd t0: [06:00:00 23/10/2012] id: Precautions el: 0 cu: MICU-A cg: RN v1: Contact st: NotStopd t0: [06:00:00 23/10/2012] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 92 u1: kg st: NotStopd t0: [06:00:00 23/10/2012] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 14 u1: BPM st: NotStopd t0: [06:00:00 23/10/2012] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 94 u1: % st: NotStopd t0: [06:00:00 23/10/2012] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [06:00:00 23/10/2012] id: Fingerstick Glucose Chemistry el: 0 cu: MICU-A cg: RN v1: 115 rs: Manual st: NotStopd
t0: [06:00:00 23/10/2012] id: D5/.45NS 50.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 112 vo: 0 vu: ml t0: [06:00:00 23/10/2012] id: .9% Normal Saline 100.0ml + 600mcghr Sandostatin IV Infusions el: 1 cu: MICU-A cg: RN ai: 127 vo: 8.3 vu: ml
t0: [06:00:00 23/10/2012] id: Sandostatin el: 3 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 49.8 du: mcghr sv: 100 su: ml rt: IV Drip
t0: [06:30:00 23/10/2012] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [06:30:00 23/10/2012] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [06:30:00 23/10/2012] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [06:30:00 23/10/2012] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [06:30:00 23/10/2012] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [06:30:00 23/10/2012] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 68 u1: BPM st: NotStopd t0: [06:30:00 23/10/2012] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [06:30:00 23/10/2012] id: NBP el: 0 cu: MICU-A cg: RN v1: 106 u1: mmHg v2: 44 u2: mmHg st: NotStopd t0: [06:30:00 23/10/2012] id: NBP Mean el: 0 cu: MICU-A cg: RN v1: 64.6667 u1: mmHg st: NotStopd t0: [06:30:00 23/10/2012] id: Precautions el: 0 cu: MICU-A cg: RN v1: Contact st: NotStopd t0: [06:30:00 23/10/2012] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 92 u1: kg st: NotStopd t0: [06:30:00 23/10/2012] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 12 u1: BPM st: NotStopd t0: [06:30:00 23/10/2012] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 99 u1: % st: NotStopd t0: [06:30:00 23/10/2012] id: Temp. Site el: 0 cu: MICU-A cg: RN v1: Oral st: NotStopd t0: [06:30:00 23/10/2012] id: Temperature C (calc) el: 0 cu: MICU-A cg: RN v1: 37 u1: Deg. C st: NotStopd t0: [06:30:00 23/10/2012] id: Temperature F el: 0 cu: MICU-A cg: RN v1: 98.6 u1: Deg. F st: NotStopd t0: [06:30:00 23/10/2012] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [06:30:00 23/10/2012] id: Fresh Frozen Plasma IV Infusions el: 1 cu: MICU-A cg: RN ai: 155 vo: 237 vu: ml nb: 1
t0: [06:30:00 23/10/2012] id: Sandostatin el: 3 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 49.8 du: mcghr sv: 100 su: ml rt: IV Drip
t0: [05:00:00 23/10/2012] id: O2 Delivery Device el: 0 cu: MICU-A cg: RN v1: Nasal Cannula st: NotStopd t0: [05:00:00 23/10/2012] id: O2 Flow (lpm) el: 0 cu: MICU-A cg: RN v1: 2 u1: lpm st: NotStopd t0: [07:00:00 23/10/2012] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [07:00:00 23/10/2012] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [07:00:00 23/10/2012] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [07:00:00 23/10/2012] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [07:00:00 23/10/2012] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [07:00:00 23/10/2012] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 69 u1: BPM st: NotStopd t0: [07:00:00 23/10/2012] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [07:00:00 23/10/2012] id: NBP el: 0 cu: MICU-A cg: RN v1: 97 u1: mmHg v2: 41 u2: mmHg st: NotStopd t0: [07:00:00 23/10/2012] id: NBP Mean el: 0 cu: MICU-A cg: RN v1: 59.6667 u1: mmHg st: NotStopd t0: [07:00:00 23/10/2012] id: Precautions el: 0 cu: MICU-A cg: RN v1: Contact st: NotStopd t0: [07:00:00 23/10/2012] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 92 u1: kg st: NotStopd t0: [07:00:00 23/10/2012] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 12 u1: BPM st: NotStopd t0: [07:00:00 23/10/2012] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 98 u1: % st: NotStopd t0: [07:00:00 23/10/2012] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [07:00:00 23/10/2012] id: IV Piggyback IV Infusions el: 1 cu: MICU-A cg: RN ai: 209 vo: 100 vu: ml t0: [07:00:00 23/10/2012] id: .9% Normal Saline 1000.0ml IV Infusions el: 5 cu: MICU-A cg: RN ai: 107 vo: 0 vu: ml t0: [07:00:00 23/10/2012] id: .9% Normal Saline 100.0ml + 600mcghr Sandostatin IV Infusions el: 1 cu: MICU-A cg: RN ai: 127 vo: 8.3 vu: ml
t0: [07:00:00 23/10/2012] id: Sandostatin el: 3 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 49.8 du: mcghr sv: 100 su: ml rt: IV Drip
tf: [06:00:00 24/10/2012] pt: Unit Dose rt: IV fr: ONCE fs: 7 dn: 1 m1: Magnesium Sulfate v1: 2 u1: gm
t0: [08:00:00 23/10/2012] id: Service Type el: 0 cu: MICU-A cg: RNC v1: MICU st: NotStopd t0: [08:00:00 23/10/2012] id: Code Status el: 0 cu: MICU-A cg: RNC v1: Full Code st: NotStopd t0: [08:00:00 23/10/2012] id: Riker-SAS Scale el: 0 cu: MICU-A cg: RNC v1: Calm/Cooperative st: NotStopd t0: [08:00:00 23/10/2012] id: Risk for Falls el: 0 cu: MICU-A cg: RNC v1: Yes st: NotStopd t0: [08:00:00 23/10/2012] id: Ectopy Type el: 0 cu: MICU-A cg: RNC v1: None st: NotStopd t0: [08:00:00 23/10/2012] id: Eye Opening el: 0 cu: MICU-A cg: RNC v1: 4 Spontaneously st: NotStopd t0: [08:00:00 23/10/2012] id: Follows Commands el: 0 cu: MICU-A cg: RNC v1: Consistently st: NotStopd t0: [08:00:00 23/10/2012] id: GCS Total el: 0 cu: MICU-A cg: RNC v1: 15 u1: points st: NotStopd t0: [08:00:00 23/10/2012] id: HOB el: 0 cu: MICU-A cg: RNC v1: 15 degrees st: NotStopd t0: [08:00:00 23/10/2012] id: Heart Rate el: 0 cu: MICU-A cg: RNC v1: 70 u1: BPM st: NotStopd t0: [08:00:00 23/10/2012] id: Heart Rhythm el: 0 cu: MICU-A cg: RNC v1: Normal Sinus st: NotStopd t0: [08:00:00 23/10/2012] id: Abdominal Assessment el: 0 cu: MICU-A cg: RNC v1: Soft st: NotStopd t0: [08:00:00 23/10/2012] id: IV #1 Insert Date el: 0 cu: MICU-A cg: RNC v1: 9 v2: 28 st: NotStopd t0: [08:00:00 23/10/2012] id: IV #1 Site/Size el: 0 cu: MICU-A cg: RNC v1: Right Antecub v2: 20 gauge st: NotStopd t0: [08:00:00 23/10/2012] id: IV #2 Insert Date el: 0 cu: MICU-A cg: RNC v1: 9 v2: 28 st: NotStopd t0: [08:00:00 23/10/2012] id: IV #2 Site/Size el: 0 cu: MICU-A cg: RNC v1: LU Ant Forearm v2: 16 gauge st: NotStopd t0: [08:00:00 23/10/2012] id: Activity el: 0 cu: MICU-A cg: RNC v1: Bedrest st: NotStopd t0: [08:00:00 23/10/2012] id: Activity Tolerance el: 0 cu: MICU-A cg: RNC v1: Tolerated Well st: NotStopd t0: [08:00:00 23/10/2012] id: LLL Lung Sounds el: 0 cu: MICU-A cg: RNC v1: Clear st: NotStopd t0: [08:00:00 23/10/2012] id: LUL Lung Sounds el: 0 cu: MICU-A cg: RNC v1: Clear st: NotStopd t0: [08:00:00 23/10/2012] id: Level of Conscious el: 0 cu: MICU-A cg: RNC v1: Alert st: NotStopd t0: [08:00:00 23/10/2012] id: Motor Response el: 0 cu: MICU-A cg: RNC v1: 6 Obeys Commands st: NotStopd t0: [08:00:00 23/10/2012] id: NBP el: 0 cu: MICU-A cg: RNC v1: 103 u1: mmHg v2: 47 u2: mmHg st: NotStopd t0: [08:00:00 23/10/2012] id: NBP Mean el: 0 cu: MICU-A cg: RNC v1: 65.6667 u1: mmHg st: NotStopd t0: [08:00:00 23/10/2012] id: Oral Cavity el: 0 cu: MICU-A cg: RNC v1: Teeth/Tissue WNL st: NotStopd t0: [08:00:00 23/10/2012] id: Orientation el: 0 cu: MICU-A cg: RNC v1: Oriented x 3 st: NotStopd t0: [08:00:00 23/10/2012] id: AntiEmbDevice/Status el: 0 cu: MICU-A cg: RNC v1: Compress Sleeves v2: On st: NotStopd t0: [08:00:00 23/10/2012] id: Position el: 0 cu: MICU-A cg: RNC v1: Supine st: NotStopd t0: [08:00:00 23/10/2012] id: Assistance Device el: 0 cu: MICU-A cg: RNC v1: Independent st: NotStopd t0: [08:00:00 23/10/2012] id: Precautions el: 0 cu: MICU-A cg: RNC v1: Contact st: NotStopd t0: [08:00:00 23/10/2012] id: Previous WeightF el: 0 cu: MICU-A cg: RNC v1: 92 u1: kg st: NotStopd t0: [08:00:00 23/10/2012] id: RLL Lung Sounds el: 0 cu: MICU-A cg: RNC v1: Clear st: NotStopd t0: [08:00:00 23/10/2012] id: RUL Lung Sounds el: 0 cu: MICU-A cg: RNC v1: Clear st: NotStopd t0: [08:00:00 23/10/2012] id: Respiratory Pattern el: 0 cu: MICU-A cg: RNC v1: Regular st: NotStopd t0: [08:00:00 23/10/2012] id: Respiratory Rate el: 0 cu: MICU-A cg: RNC v1: 14 u1: BPM st: NotStopd t0: [08:00:00 23/10/2012] id: Side Rails el: 0 cu: MICU-A cg: RNC v1: Side Rails Up st: NotStopd t0: [08:00:00 23/10/2012] id: SpO2 el: 0 cu: MICU-A cg: RNC v1: 98 u1: % st: NotStopd t0: [08:00:00 23/10/2012] id: Spontaneous Movement el: 0 cu: MICU-A cg: RNC v1: Purposeful st: NotStopd t0: [08:00:00 23/10/2012] id: Support Systems el: 0 cu: MICU-A cg: RNC v1: Spouse st: NotStopd t0: [08:00:00 23/10/2012] id: Temp. Site el: 0 cu: MICU-A cg: RNC v1: Oral st: NotStopd t0: [08:00:00 23/10/2012] id: Turn el: 0 cu: MICU-A cg: RNC v1: Turns by self st: NotStopd t0: [08:00:00 23/10/2012] id: Urine Source el: 0 cu: MICU-A cg: RNC v1: Voids st: NotStopd t0: [08:00:00 23/10/2012] id: Verbal Response el: 0 cu: MICU-A cg: RNC v1: 5 Oriented st: NotStopd t0: [08:00:00 23/10/2012] id: calprevflg el: 0 cu: MICU-A cg: RNC v1: 1 u1: kg st: NotStopd t0: [08:00:00 23/10/2012] id: Behavior el: 0 cu: MICU-A cg: RNC v1: Appropriate st: NotStopd t0: [08:00:00 23/10/2012] id: Bowel Sounds el: 0 cu: MICU-A cg: RNC v1: Present st: NotStopd t0: [09:00:00 23/10/2012] id: bath el: 1 cu: MICU-A cg: RNC v1: done t0: [09:00:00 23/10/2012] id: Eye Care el: 0 cu: MICU-A cg: RNC v1: Done st: NotStopd t0: [09:00:00 23/10/2012] id: Oral Care el: 0 cu: MICU-A cg: RNC v1: Done st: NotStopd t0: [09:00:00 23/10/2012] id: Skin Care el: 0 cu: MICU-A cg: RNC v1: Done st: NotStopd t0: [09:00:00 23/10/2012] id: Back Care el: 0 cu: MICU-A cg: RNC v1: Done st: NotStopd
t0: [08:00:00 23/10/2012] tf: [20:00:00 23/10/2012] dt: 720 id: .9% Normal Saline 1000.0ml IV Infusions el: 5 cu: MICU-A cg: RNC ai: 107 vo: 10 vu: ml t0: [08:00:00 23/10/2012] tf: [10:00:00 23/10/2012] dt: 120 id: .9% Normal Saline 999.0ml IV Infusions el: 1 cu: MICU-A cg: RNC ai: 189 vo: 10 vu: ml t0: [08:00:00 23/10/2012] id: Urine Out Foley el: 2 cu: MICU-A cg: RNC vo: 550 vu: ml t0: [08:00:00 23/10/2012] id: .9% Normal Saline 100.0ml + 600mcghr Sandostatin IV Infusions el: 1 cu: MICU-A cg: RNC ai: 127 vo: 8.3 vu: ml t0: [09:00:00 23/10/2012] id: D5W 100.0ml IV Infusions el: 2 cu: MICU-A cg: RNC ai: 105 vo: 100 vu: ml t0: [09:00:00 23/10/2012] id: IV Piggyback IV Infusions el: 1 cu: MICU-A cg: RNC ai: 209 vo: 100 vu: ml t0: [09:00:00 23/10/2012] id: .9% Normal Saline 1000.0ml IV Infusions el: 5 cu: MICU-A cg: RNC ai: 107 vo: 10 vu: ml t0: [09:00:00 23/10/2012] id: .9% Normal Saline 999.0ml IV Infusions el: 1 cu: MICU-A cg: RNC ai: 189 vo: 10 vu: ml t0: [09:00:00 23/10/2012] id: Urine Out Foley el: 2 cu: MICU-A cg: RNC vo: 250 vu: ml t0: [09:00:00 23/10/2012] id: .9% Normal Saline 100.0ml + 600mcghr Sandostatin IV Infusions el: 1 cu: MICU-A cg: RNC ai: 127 vo: 8.3 vu: ml
t0: [08:00:00 23/10/2012] id: Sandostatin el: 3 cu: MICU-A cg: RNC so: .9% Normal Saline vo: 0 v1: 49.8 du: mcghr sv: 100 su: ml rt: IV Drip
t0: [09:00:00 23/10/2012] id: Code Status el: 0 cu: MICU-A cg: RNC v1: Full Code st: NotStopd t0: [09:00:00 23/10/2012] id: Riker-SAS Scale el: 0 cu: MICU-A cg: RNC v1: Calm/Cooperative st: NotStopd t0: [09:00:00 23/10/2012] id: Risk for Falls el: 0 cu: MICU-A cg: RNC v1: Yes st: NotStopd t0: [09:00:00 23/10/2012] id: Ectopy Type el: 0 cu: MICU-A cg: RNC v1: None st: NotStopd t0: [09:00:00 23/10/2012] id: Eye Opening el: 0 cu: MICU-A cg: RNC v1: 4 Spontaneously st: NotStopd t0: [09:00:00 23/10/2012] id: GCS Total el: 0 cu: MICU-A cg: RNC v1: 15 u1: points st: NotStopd t0: [09:00:00 23/10/2012] id: Heart Rate el: 0 cu: MICU-A cg: RNC v1: 92 u1: BPM st: NotStopd t0: [09:00:00 23/10/2012] id: Heart Rhythm el: 0 cu: MICU-A cg: RNC v1: Normal Sinus st: NotStopd t0: [09:00:00 23/10/2012] id: Abdominal Assessment el: 0 cu: MICU-A cg: RNC v1: Soft st: NotStopd t0: [09:00:00 23/10/2012] id: Level of Conscious el: 0 cu: MICU-A cg: RNC v1: Alert st: NotStopd t0: [09:00:00 23/10/2012] id: Motor Response el: 0 cu: MICU-A cg: RNC v1: 6 Obeys Commands st: NotStopd t0: [09:00:00 23/10/2012] id: NBP el: 0 cu: MICU-A cg: RNC v1: 96 u1: mmHg v2: 45 u2: mmHg st: NotStopd t0: [09:00:00 23/10/2012] id: NBP Mean el: 0 cu: MICU-A cg: RNC v1: 62 u1: mmHg st: NotStopd t0: [09:00:00 23/10/2012] id: Orientation el: 0 cu: MICU-A cg: RNC v1: Oriented x 3 st: NotStopd t0: [09:00:00 23/10/2012] id: Precautions el: 0 cu: MICU-A cg: RNC v1: Contact st: NotStopd t0: [09:00:00 23/10/2012] id: Previous WeightF el: 0 cu: MICU-A cg: RNC v1: 92 u1: kg st: NotStopd t0: [09:00:00 23/10/2012] id: Respiratory Pattern el: 0 cu: MICU-A cg: RNC v1: Regular st: NotStopd t0: [09:00:00 23/10/2012] id: Respiratory Rate el: 0 cu: MICU-A cg: RNC v1: 24 u1: BPM st: NotStopd t0: [09:00:00 23/10/2012] id: Stool Color/Consist el: 0 cu: MICU-A cg: RNC v1: Maroon v2: Loose st: NotStopd t0: [09:00:00 23/10/2012] id: Stool Guaiac el: 0 cu: MICU-A cg: RNC v1: Positive st: NotStopd t0: [09:00:00 23/10/2012] id: Urine Source el: 0 cu: MICU-A cg: RNC v1: Voids st: NotStopd t0: [09:00:00 23/10/2012] id: Verbal Response el: 0 cu: MICU-A cg: RNC v1: 5 Oriented st: NotStopd t0: [09:00:00 23/10/2012] id: calprevflg el: 0 cu: MICU-A cg: RNC v1: 1 u1: kg st: NotStopd t0: [09:00:00 23/10/2012] id: Bowel Sounds el: 0 cu: MICU-A cg: RNC v1: Present st: NotStopd
t0: [09:00:00 23/10/2012] id: Stool Out Stool el: 1 cu: MICU-A cg: RNC vo: 850 vu: ml
t0: [09:00:00 23/10/2012] id: Sandostatin el: 3 cu: MICU-A cg: RNC so: .9% Normal Saline vo: 0 v1: 49.8 du: mcghr sv: 100 su: ml rt: IV Drip
t0: [07:00:00 23/10/2012] id: O2 Delivery Device el: 0 cu: MICU-A cg: RNC v1: Nasal Cannula st: NotStopd t0: [07:00:00 23/10/2012] id: O2 Flow (lpm) el: 0 cu: MICU-A cg: RNC v1: 2 u1: lpm st: NotStopd t0: [08:00:00 23/10/2012] id: Diet Type el: 0 cu: MICU-A cg: RNC v1: NPO st: NotStopd t0: [08:00:00 23/10/2012] id: O2 Delivery Device el: 0 cu: MICU-A cg: RNC v1: Nasal Cannula st: NotStopd t0: [08:00:00 23/10/2012] id: O2 Flow (lpm) el: 0 cu: MICU-A cg: RNC v1: 2 u1: lpm st: NotStopd t0: [09:00:00 23/10/2012] id: Diet Type el: 0 cu: MICU-A cg: RNC v1: NPO st: NotStopd t0: [09:00:00 23/10/2012] id: O2 Delivery Device el: 0 cu: MICU-A cg: RNC v1: Nasal Cannula st: NotStopd t0: [09:00:00 23/10/2012] id: O2 Flow (lpm) el: 0 cu: MICU-A cg: RNC v1: 2 u1: lpm st: NotStopd t0: [10:00:00 23/10/2012] id: Diet Type el: 0 cu: MICU-A cg: RNC v1: NPO st: NotStopd t0: [10:00:00 23/10/2012] id: Eye Opening el: 0 cu: MICU-A cg: RNC v1: 4 Spontaneously st: NotStopd t0: [10:00:00 23/10/2012] id: Follows Commands el: 0 cu: MICU-A cg: RNC v1: Consistently st: NotStopd t0: [10:00:00 23/10/2012] id: GCS Total el: 0 cu: MICU-A cg: RNC v1: 15 u1: points st: NotStopd t0: [10:00:00 23/10/2012] id: Abdominal Assessment el: 0 cu: MICU-A cg: RNC v1: Soft st: NotStopd t0: [10:00:00 23/10/2012] id: Level of Conscious el: 0 cu: MICU-A cg: RNC v1: Alert st: NotStopd t0: [10:00:00 23/10/2012] id: Motor Response el: 0 cu: MICU-A cg: RNC v1: 6 Obeys Commands st: NotStopd t0: [10:00:00 23/10/2012] id: O2 Delivery Device el: 0 cu: MICU-A cg: RNC v1: None st: NotStopd t0: [10:00:00 23/10/2012] id: Oral Cavity el: 0 cu: MICU-A cg: RNC v1: Teeth/Tissue WNL st: NotStopd t0: [10:00:00 23/10/2012] id: Orientation el: 0 cu: MICU-A cg: RNC v1: Oriented x 3 st: NotStopd t0: [10:00:00 23/10/2012] id: Respiratory Pattern el: 0 cu: MICU-A cg: RNC v1: Regular st: NotStopd t0: [10:00:00 23/10/2012] id: SpO2 el: 0 cu: MICU-A cg: RNC v1: 95 u1: % st: NotStopd t0: [10:00:00 23/10/2012] id: Spontaneous Movement el: 0 cu: MICU-A cg: RNC v1: Purposeful st: NotStopd t0: [10:00:00 23/10/2012] id: Urine Source el: 0 cu: MICU-A cg: RNC v1: Voids st: NotStopd t0: [10:00:00 23/10/2012] id: Verbal Response el: 0 cu: MICU-A cg: RNC v1: 5 Oriented st: NotStopd t0: [10:00:00 23/10/2012] id: Bowel Sounds el: 0 cu: MICU-A cg: RNC v1: Present st: NotStopd
t0: [10:00:00 23/10/2012] id: .9% Normal Saline 1000.0ml IV Infusions el: 5 cu: MICU-A cg: RNC ai: 107 vo: 10 vu: ml t0: [10:00:00 23/10/2012] id: .9% Normal Saline 999.0ml IV Infusions el: 1 cu: MICU-A cg: RNC ai: 189 vo: 0 vu: ml t0: [10:00:00 23/10/2012] id: .9% Normal Saline 100.0ml + 600mcghr Sandostatin IV Infusions el: 1 cu: MICU-A cg: RNC ai: 127 vo: 8.3 vu: ml
tf: [05:00:00 28/10/2012] pt: Unit Dose rt: PO fr: QD fs: 10 dn: 1 m1: Nadolol v1: 20 u1: mg
t0: [09:00:00 23/10/2012] id: Service Type el: 0 cu: MICU-A cg: RNC v1: MICU st: NotStopd t0: [10:00:00 23/10/2012] id: Service Type el: 0 cu: MICU-A cg: RNC v1: MICU st: NotStopd t0: [10:00:00 23/10/2012] id: Code Status el: 0 cu: MICU-A cg: RNC v1: Full Code st: NotStopd t0: [10:00:00 23/10/2012] id: Riker-SAS Scale el: 0 cu: MICU-A cg: RNC v1: Calm/Cooperative st: NotStopd t0: [10:00:00 23/10/2012] id: Risk for Falls el: 0 cu: MICU-A cg: RNC v1: Yes st: NotStopd t0: [10:00:00 23/10/2012] id: Ectopy Type el: 0 cu: MICU-A cg: RNC v1: None st: NotStopd t0: [10:00:00 23/10/2012] id: Heart Rate el: 0 cu: MICU-A cg: RNC v1: 75 u1: BPM st: NotStopd t0: [10:00:00 23/10/2012] id: Heart Rhythm el: 0 cu: MICU-A cg: RNC v1: Normal Sinus st: NotStopd t0: [10:00:00 23/10/2012] id: Precautions el: 0 cu: MICU-A cg: RNC v1: Contact st: NotStopd t0: [10:00:00 23/10/2012] id: Previous WeightF el: 0 cu: MICU-A cg: RNC v1: 92 u1: kg st: NotStopd t0: [10:00:00 23/10/2012] id: Respiratory Rate el: 0 cu: MICU-A cg: RNC v1: 18 u1: BPM st: NotStopd t0: [10:00:00 23/10/2012] id: calprevflg el: 0 cu: MICU-A cg: RNC v1: 1 u1: kg st: NotStopd
t0: [10:00:00 23/10/2012] id: Sandostatin el: 3 cu: MICU-A cg: RNC so: .9% Normal Saline vo: 0 v1: 49.8 du: mcghr sv: 100 su: ml rt: IV Drip
t0: [08:00:00 23/10/2012] id: Hematocrit Hematology el: 0 cu: MICU-A cg: 1663 v1: 27.7 u1: % rs: Final st: NotStopd
t0: [08:00:00 23/10/2012] id: Pain Present el: 0 cu: MICU-A cg: RNC v1: No st: NotStopd t0: [08:00:00 23/10/2012] id: Temperature C (calc) el: 0 cu: MICU-A cg: RNC v1: 37.1111 u1: Deg. C st: NotStopd t0: [08:00:00 23/10/2012] id: Temperature F el: 0 cu: MICU-A cg: RNC v1: 98.8 u1: Deg. F st: NotStopd t0: [10:00:00 23/10/2012] id: Pain Present el: 0 cu: MICU-A cg: RNC v1: No st: NotStopd t0: [11:00:00 23/10/2012] id: Service Type el: 0 cu: MICU-A cg: RNC v1: MICU st: NotStopd t0: [11:00:00 23/10/2012] id: Code Status el: 0 cu: MICU-A cg: RNC v1: Full Code st: NotStopd t0: [11:00:00 23/10/2012] id: Riker-SAS Scale el: 0 cu: MICU-A cg: RNC v1: Calm/Cooperative st: NotStopd t0: [11:00:00 23/10/2012] id: Risk for Falls el: 0 cu: MICU-A cg: RNC v1: Yes st: NotStopd t0: [11:00:00 23/10/2012] id: Ectopy Type el: 0 cu: MICU-A cg: RNC v1: None st: NotStopd t0: [11:00:00 23/10/2012] id: Heart Rate el: 0 cu: MICU-A cg: RNC v1: 74 u1: BPM st: NotStopd t0: [11:00:00 23/10/2012] id: Heart Rhythm el: 0 cu: MICU-A cg: RNC v1: Normal Sinus st: NotStopd t0: [11:00:00 23/10/2012] id: NBP el: 0 cu: MICU-A cg: RNC v1: 102 u1: mmHg v2: 48 u2: mmHg st: NotStopd t0: [11:00:00 23/10/2012] id: NBP Mean el: 0 cu: MICU-A cg: RNC v1: 66 u1: mmHg st: NotStopd t0: [11:00:00 23/10/2012] id: O2 Delivery Device el: 0 cu: MICU-A cg: RNC v1: None st: NotStopd t0: [11:00:00 23/10/2012] id: Precautions el: 0 cu: MICU-A cg: RNC v1: Contact st: NotStopd t0: [11:00:00 23/10/2012] id: Previous WeightF el: 0 cu: MICU-A cg: RNC v1: 92 u1: kg st: NotStopd t0: [11:00:00 23/10/2012] id: Respiratory Rate el: 0 cu: MICU-A cg: RNC v1: 16 u1: BPM st: NotStopd t0: [11:00:00 23/10/2012] id: SpO2 el: 0 cu: MICU-A cg: RNC v1: 100 u1: % st: NotStopd t0: [11:00:00 23/10/2012] id: calprevflg el: 0 cu: MICU-A cg: RNC v1: 1 u1: kg st: NotStopd
t0: [11:00:00 23/10/2012] id: .9% Normal Saline 1000.0ml IV Infusions el: 5 cu: MICU-A cg: RNC ai: 107 vo: 10 vu: ml t0: [11:00:00 23/10/2012] tf: [12:00:00 23/10/2012] dt: 60 id: .9% Normal Saline 999.0ml IV Infusions el: 1 cu: MICU-A cg: RNC ai: 189 vo: 10 vu: ml t0: [11:00:00 23/10/2012] id: .9% Normal Saline 100.0ml + 600mcghr Sandostatin IV Infusions el: 1 cu: MICU-A cg: RNC ai: 127 vo: 8.3 vu: ml
t0: [11:00:00 23/10/2012] id: Sandostatin el: 3 cu: MICU-A cg: RNC so: .9% Normal Saline vo: 0 v1: 49.8 du: mcghr sv: 100 su: ml rt: IV Drip
t0: [08:00:00 23/10/2012] id: Skin Color el: 0 cu: MICU-A cg: RNC v1: Jaundiced st: NotStopd t0: [08:00:00 23/10/2012] id: Skin Integrity el: 0 cu: MICU-A cg: RNC v1: Intact st: NotStopd t0: [08:00:00 23/10/2012] id: Skin Temp/Condition el: 0 cu: MICU-A cg: RNC v1: Warm v2: Dry st: NotStopd t0: [08:00:00 23/10/2012] id: Braden Activity el: 0 cu: MICU-A cg: RNC v1: Chairfast st: NotStopd t0: [08:00:00 23/10/2012] id: Braden Frict/Shear el: 0 cu: MICU-A cg: RNC v1: Potential Prob st: NotStopd t0: [08:00:00 23/10/2012] id: Braden Mobility el: 0 cu: MICU-A cg: RNC v1: Sl. Limited st: NotStopd t0: [08:00:00 23/10/2012] id: Braden Moisture el: 0 cu: MICU-A cg: RNC v1: Rarely Moist st: NotStopd t0: [08:00:00 23/10/2012] id: Braden Nutrition el: 0 cu: MICU-A cg: RNC v1: Prob. Inadequate st: NotStopd t0: [08:00:00 23/10/2012] id: Braden Score el: 0 cu: MICU-A cg: RNC v1: 17 u1: number st: NotStopd t0: [08:00:00 23/10/2012] id: Braden SensoryPercep el: 0 cu: MICU-A cg: RNC v1: No Impairment st: NotStopd
t0: [12:00:00 23/10/2012] id: Fingerstick Glucose Chemistry el: 0 cu: MICU-A cg: Co-Wk v1: 128 rs: Manual st: NotStopd
t0: [12:00:00 23/10/2012] id: Service Type el: 0 cu: MICU-A cg: RNC v1: MICU st: NotStopd t0: [12:00:00 23/10/2012] id: Code Status el: 0 cu: MICU-A cg: RNC v1: Full Code st: NotStopd t0: [12:00:00 23/10/2012] id: Riker-SAS Scale el: 0 cu: MICU-A cg: RNC v1: Calm/Cooperative st: NotStopd t0: [12:00:00 23/10/2012] id: Risk for Falls el: 0 cu: MICU-A cg: RNC v1: Yes st: NotStopd t0: [12:00:00 23/10/2012] id: Ectopy Type el: 0 cu: MICU-A cg: RNC v1: None st: NotStopd t0: [12:00:00 23/10/2012] id: Heart Rate el: 0 cu: MICU-A cg: RNC v1: 76 u1: BPM st: NotStopd t0: [12:00:00 23/10/2012] id: Heart Rhythm el: 0 cu: MICU-A cg: RNC v1: Normal Sinus st: NotStopd t0: [12:00:00 23/10/2012] id: Precautions el: 0 cu: MICU-A cg: RNC v1: Contact st: NotStopd t0: [12:00:00 23/10/2012] id: Previous WeightF el: 0 cu: MICU-A cg: RNC v1: 92 u1: kg st: NotStopd t0: [12:00:00 23/10/2012] id: Respiratory Rate el: 0 cu: MICU-A cg: RNC v1: 18 u1: BPM st: NotStopd t0: [12:00:00 23/10/2012] id: SpO2 el: 0 cu: MICU-A cg: RNC v1: 97 u1: % st: NotStopd t0: [12:00:00 23/10/2012] id: Temp. Site el: 0 cu: MICU-A cg: RNC v1: Oral st: NotStopd t0: [12:00:00 23/10/2012] id: Temperature C (calc) el: 0 cu: MICU-A cg: RNC v1: 37 u1: Deg. C st: NotStopd t0: [12:00:00 23/10/2012] id: Temperature F el: 0 cu: MICU-A cg: RNC v1: 98.6 u1: Deg. F st: NotStopd t0: [12:00:00 23/10/2012] id: calprevflg el: 0 cu: MICU-A cg: RNC v1: 1 u1: kg st: NotStopd t0: [13:00:00 23/10/2012] id: Service Type el: 0 cu: MICU-A cg: RNC v1: MICU st: NotStopd t0: [13:00:00 23/10/2012] id: Code Status el: 0 cu: MICU-A cg: RNC v1: Full Code st: NotStopd t0: [13:00:00 23/10/2012] id: Risk for Falls el: 0 cu: MICU-A cg: RNC v1: Yes st: NotStopd t0: [13:00:00 23/10/2012] id: Heart Rate el: 0 cu: MICU-A cg: RNC v1: 76 u1: BPM st: NotStopd t0: [13:00:00 23/10/2012] id: Precautions el: 0 cu: MICU-A cg: RNC v1: Contact st: NotStopd t0: [13:00:00 23/10/2012] id: Previous WeightF el: 0 cu: MICU-A cg: RNC v1: 92 u1: kg st: NotStopd t0: [13:00:00 23/10/2012] id: Respiratory Rate el: 0 cu: MICU-A cg: RNC v1: 19 u1: BPM st: NotStopd t0: [13:00:00 23/10/2012] id: SpO2 el: 0 cu: MICU-A cg: RNC v1: 97 u1: % st: NotStopd t0: [13:00:00 23/10/2012] id: calprevflg el: 0 cu: MICU-A cg: RNC v1: 1 u1: kg st: NotStopd
t0: [12:00:00 23/10/2012] id: .9% Normal Saline 1000.0ml IV Infusions el: 5 cu: MICU-A cg: RNC ai: 107 vo: 10 vu: ml t0: [12:00:00 23/10/2012] id: Packed RBC's IV Infusions el: 1 cu: MICU-A cg: RNC ai: 107 vo: 0 vu: ml nb: 1 t0: [12:00:00 23/10/2012] id: .9% Normal Saline 999.0ml IV Infusions el: 1 cu: MICU-A cg: RNC ai: 189 vo: 0 vu: ml t0: [12:00:00 23/10/2012] id: .9% Normal Saline 100.0ml + 600mcghr Sandostatin IV Infusions el: 1 cu: MICU-A cg: RNC ai: 127 vo: 8.3 vu: ml t0: [13:00:00 23/10/2012] id: .9% Normal Saline 1000.0ml IV Infusions el: 5 cu: MICU-A cg: RNC ai: 107 vo: 10 vu: ml t0: [13:00:00 23/10/2012] id: .9% Normal Saline 999.0ml IV Infusions el: 1 cu: MICU-A cg: RNC ai: 189 vo: 0 vu: ml t0: [13:00:00 23/10/2012] id: Urine Out Foley el: 2 cu: MICU-A cg: RNC vo: 375 vu: ml t0: [13:00:00 23/10/2012] id: .9% Normal Saline 100.0ml + 600mcghr Sandostatin IV Infusions el: 1 cu: MICU-A cg: RNC ai: 127 vo: 8.3 vu: ml
t0: [12:00:00 23/10/2012] id: Sandostatin el: 3 cu: MICU-A cg: RNC so: .9% Normal Saline vo: 0 v1: 49.8 du: mcghr sv: 100 su: ml rt: IV Drip t0: [13:00:00 23/10/2012] id: Sandostatin el: 3 cu: MICU-A cg: RNC so: .9% Normal Saline vo: 0 v1: 49.8 du: mcghr sv: 100 su: ml rt: IV Drip
t0: [08:00:00 23/10/2012] id: Family Communication el: 0 cu: MICU-A cg: RNC v1: Family Called st: NotStopd t0: [10:00:00 23/10/2012] id: IV #1 Insert Date el: 0 cu: MICU-A cg: RNC v1: 9 v2: 28 st: NotStopd t0: [10:00:00 23/10/2012] id: IV #1 Site/Size el: 0 cu: MICU-A cg: RNC v1: Right Antecub v2: 20 gauge st: NotStopd t0: [10:00:00 23/10/2012] id: IV #2 Insert Date el: 0 cu: MICU-A cg: RNC v1: 9 v2: 28 st: NotStopd t0: [10:00:00 23/10/2012] id: IV #2 Site/Size el: 0 cu: MICU-A cg: RNC v1: LU Ant Forearm v2: 16 gauge st: NotStopd t0: [12:00:00 23/10/2012] id: Pain Present el: 0 cu: MICU-A cg: RNC v1: No st: NotStopd t0: [12:00:00 23/10/2012] id: Diet Type el: 0 cu: MICU-A cg: RNC v1: NPO st: NotStopd t0: [12:00:00 23/10/2012] id: Eye Opening el: 0 cu: MICU-A cg: RNC v1: 4 Spontaneously st: NotStopd t0: [12:00:00 23/10/2012] id: Follows Commands el: 0 cu: MICU-A cg: RNC v1: Consistently st: NotStopd t0: [12:00:00 23/10/2012] id: GCS Total el: 0 cu: MICU-A cg: RNC v1: 15 u1: points st: NotStopd t0: [12:00:00 23/10/2012] id: HOB el: 0 cu: MICU-A cg: RNC v1: 30 degrees st: NotStopd t0: [12:00:00 23/10/2012] id: Abdominal Assessment el: 0 cu: MICU-A cg: RNC v1: Soft st: NotStopd t0: [12:00:00 23/10/2012] id: IV #1 Insert Date el: 0 cu: MICU-A cg: RNC v1: 9 v2: 28 st: NotStopd t0: [12:00:00 23/10/2012] id: IV #1 Site/Size el: 0 cu: MICU-A cg: RNC v1: Right Antecub v2: 20 gauge st: NotStopd t0: [12:00:00 23/10/2012] id: IV #2 Insert Date el: 0 cu: MICU-A cg: RNC v1: 9 v2: 28 st: NotStopd t0: [12:00:00 23/10/2012] id: IV #2 Site/Size el: 0 cu: MICU-A cg: RNC v1: LU Ant Forearm v2: 16 gauge st: NotStopd t0: [12:00:00 23/10/2012] id: Activity el: 0 cu: MICU-A cg: RNC v1: Bedrest st: NotStopd t0: [12:00:00 23/10/2012] id: Activity Tolerance el: 0 cu: MICU-A cg: RNC v1: Tolerated Well st: NotStopd t0: [12:00:00 23/10/2012] id: LLL Lung Sounds el: 0 cu: MICU-A cg: RNC v1: Clear st: NotStopd t0: [12:00:00 23/10/2012] id: LUL Lung Sounds el: 0 cu: MICU-A cg: RNC v1: Clear st: NotStopd t0: [12:00:00 23/10/2012] id: Level of Conscious el: 0 cu: MICU-A cg: RNC v1: Alert st: NotStopd t0: [12:00:00 23/10/2012] id: Motor Response el: 0 cu: MICU-A cg: RNC v1: 6 Obeys Commands st: NotStopd t0: [12:00:00 23/10/2012] id: O2 Delivery Device el: 0 cu: MICU-A cg: RNC v1: None st: NotStopd t0: [12:00:00 23/10/2012] id: Orientation el: 0 cu: MICU-A cg: RNC v1: Oriented x 3 st: NotStopd t0: [12:00:00 23/10/2012] id: AntiEmbDevice/Status el: 0 cu: MICU-A cg: RNC v2: Off st: NotStopd t0: [12:00:00 23/10/2012] id: Assistance Device el: 0 cu: MICU-A cg: RNC v1: Independent st: NotStopd t0: [12:00:00 23/10/2012] id: RLL Lung Sounds el: 0 cu: MICU-A cg: RNC v1: Clear st: NotStopd t0: [12:00:00 23/10/2012] id: RUL Lung Sounds el: 0 cu: MICU-A cg: RNC v1: Clear st: NotStopd t0: [12:00:00 23/10/2012] id: Respiratory Pattern el: 0 cu: MICU-A cg: RNC v1: Regular st: NotStopd t0: [12:00:00 23/10/2012] id: Side Rails el: 0 cu: MICU-A cg: RNC v1: Side Rails Up st: NotStopd t0: [12:00:00 23/10/2012] id: Skin Color el: 0 cu: MICU-A cg: RNC v1: Jaundiced st: NotStopd t0: [12:00:00 23/10/2012] id: Skin Integrity el: 0 cu: MICU-A cg: RNC v1: Intact st: NotStopd t0: [12:00:00 23/10/2012] id: Skin Temp/Condition el: 0 cu: MICU-A cg: RNC v1: Warm v2: Dry st: NotStopd t0: [12:00:00 23/10/2012] id: Spontaneous Movement el: 0 cu: MICU-A cg: RNC v1: Purposeful st: NotStopd t0: [12:00:00 23/10/2012] id: Support Systems el: 0 cu: MICU-A cg: RNC v1: Spouse st: NotStopd t0: [12:00:00 23/10/2012] id: Turn el: 0 cu: MICU-A cg: RNC v1: Turns by self st: NotStopd t0: [12:00:00 23/10/2012] id: Urine Source el: 0 cu: MICU-A cg: RNC v1: Voids st: NotStopd t0: [12:00:00 23/10/2012] id: Verbal Response el: 0 cu: MICU-A cg: RNC v1: 5 Oriented st: NotStopd t0: [12:00:00 23/10/2012] id: Behavior el: 0 cu: MICU-A cg: RNC v1: Appropriate st: NotStopd t0: [12:00:00 23/10/2012] id: Bowel Sounds el: 0 cu: MICU-A cg: RNC v1: Present st: NotStopd t0: [13:00:00 23/10/2012] id: Ectopy Type el: 0 cu: MICU-A cg: RNC v1: None st: NotStopd t0: [13:00:00 23/10/2012] id: Heart Rhythm el: 0 cu: MICU-A cg: RNC v1: Normal Sinus st: NotStopd t0: [14:00:00 23/10/2012] id: Pain Present el: 0 cu: MICU-A cg: RNC v1: No st: NotStopd t0: [14:00:00 23/10/2012] id: Service Type el: 0 cu: MICU-A cg: RNC v1: MICU st: NotStopd t0: [14:00:00 23/10/2012] id: Code Status el: 0 cu: MICU-A cg: RNC v1: Full Code st: NotStopd t0: [14:00:00 23/10/2012] id: Riker-SAS Scale el: 0 cu: MICU-A cg: RNC v1: Calm/Cooperative st: NotStopd t0: [14:00:00 23/10/2012] id: Risk for Falls el: 0 cu: MICU-A cg: RNC v1: Yes st: NotStopd t0: [14:00:00 23/10/2012] id: Diet Type el: 0 cu: MICU-A cg: RNC v1: NPO st: NotStopd t0: [14:00:00 23/10/2012] id: Ectopy Type el: 0 cu: MICU-A cg: RNC v1: None st: NotStopd t0: [14:00:00 23/10/2012] id: Eye Opening el: 0 cu: MICU-A cg: RNC v1: 4 Spontaneously st: NotStopd t0: [14:00:00 23/10/2012] id: GCS Total el: 0 cu: MICU-A cg: RNC v1: 15 u1: points st: NotStopd t0: [14:00:00 23/10/2012] id: Heart Rate el: 0 cu: MICU-A cg: RNC v1: 70 u1: BPM st: NotStopd t0: [14:00:00 23/10/2012] id: Heart Rhythm el: 0 cu: MICU-A cg: RNC v1: Normal Sinus st: NotStopd t0: [14:00:00 23/10/2012] id: Abdominal Assessment el: 0 cu: MICU-A cg: RNC v1: Soft st: NotStopd t0: [14:00:00 23/10/2012] id: IV #1 Insert Date el: 0 cu: MICU-A cg: RNC v1: 9 v2: 28 st: NotStopd t0: [14:00:00 23/10/2012] id: IV #1 Site/Size el: 0 cu: MICU-A cg: RNC v1: Right Antecub v2: 20 gauge st: NotStopd t0: [14:00:00 23/10/2012] id: IV #2 Insert Date el: 0 cu: MICU-A cg: RNC v1: 9 v2: 28 st: NotStopd t0: [14:00:00 23/10/2012] id: IV #2 Site/Size el: 0 cu: MICU-A cg: RNC v1: LU Ant Forearm v2: 16 gauge st: NotStopd t0: [14:00:00 23/10/2012] id: Level of Conscious el: 0 cu: MICU-A cg: RNC v1: Alert st: NotStopd t0: [14:00:00 23/10/2012] id: Motor Response el: 0 cu: MICU-A cg: RNC v1: 6 Obeys Commands st: NotStopd t0: [14:00:00 23/10/2012] id: NBP el: 0 cu: MICU-A cg: RNC v1: 103 u1: mmHg v2: 51 u2: mmHg st: NotStopd t0: [14:00:00 23/10/2012] id: NBP Mean el: 0 cu: MICU-A cg: RNC v1: 68.3333 u1: mmHg st: NotStopd t0: [14:00:00 23/10/2012] id: O2 Delivery Device el: 0 cu: MICU-A cg: RNC v1: None st: NotStopd t0: [14:00:00 23/10/2012] id: Orientation el: 0 cu: MICU-A cg: RNC v1: Oriented x 3 st: NotStopd t0: [14:00:00 23/10/2012] id: Precautions el: 0 cu: MICU-A cg: RNC v1: Contact st: NotStopd t0: [14:00:00 23/10/2012] id: Previous WeightF el: 0 cu: MICU-A cg: RNC v1: 92 u1: kg st: NotStopd t0: [14:00:00 23/10/2012] id: Respiratory Pattern el: 0 cu: MICU-A cg: RNC v1: Regular st: NotStopd t0: [14:00:00 23/10/2012] id: Respiratory Rate el: 0 cu: MICU-A cg: RNC v1: 17 u1: BPM st: NotStopd t0: [14:00:00 23/10/2012] id: Side Rails el: 0 cu: MICU-A cg: RNC v1: Side Rails Up st: NotStopd t0: [14:00:00 23/10/2012] id: Skin Color el: 0 cu: MICU-A cg: RNC v1: Jaundiced st: NotStopd t0: [14:00:00 23/10/2012] id: Skin Integrity el: 0 cu: MICU-A cg: RNC v1: Intact st: NotStopd t0: [14:00:00 23/10/2012] id: Skin Temp/Condition el: 0 cu: MICU-A cg: RNC v1: Warm v2: Dry st: NotStopd t0: [14:00:00 23/10/2012] id: SpO2 el: 0 cu: MICU-A cg: RNC v1: 98 u1: % st: NotStopd t0: [14:00:00 23/10/2012] id: Support Systems el: 0 cu: MICU-A cg: RNC v1: Spouse st: NotStopd t0: [14:00:00 23/10/2012] id: Urine Source el: 0 cu: MICU-A cg: RNC v1: Voids st: NotStopd t0: [14:00:00 23/10/2012] id: Verbal Response el: 0 cu: MICU-A cg: RNC v1: 5 Oriented st: NotStopd t0: [14:00:00 23/10/2012] id: calprevflg el: 0 cu: MICU-A cg: RNC v1: 1 u1: kg st: NotStopd t0: [14:00:00 23/10/2012] id: Behavior el: 0 cu: MICU-A cg: RNC v1: Appropriate st: NotStopd t0: [14:00:00 23/10/2012] id: Bowel Sounds el: 0 cu: MICU-A cg: RNC v1: Present st: NotStopd t0: [15:00:00 23/10/2012] id: Service Type el: 0 cu: MICU-A cg: RNC v1: MICU st: NotStopd t0: [15:00:00 23/10/2012] id: Code Status el: 0 cu: MICU-A cg: RNC v1: Full Code st: NotStopd t0: [15:00:00 23/10/2012] id: Risk for Falls el: 0 cu: MICU-A cg: RNC v1: Yes st: NotStopd t0: [15:00:00 23/10/2012] id: Ectopy Type el: 0 cu: MICU-A cg: RNC v1: None st: NotStopd t0: [15:00:00 23/10/2012] id: Heart Rate el: 0 cu: MICU-A cg: RNC v1: 80 u1: BPM st: NotStopd t0: [15:00:00 23/10/2012] id: Heart Rhythm el: 0 cu: MICU-A cg: RNC v1: Normal Sinus st: NotStopd t0: [15:00:00 23/10/2012] id: O2 Delivery Device el: 0 cu: MICU-A cg: RNC v1: None st: NotStopd t0: [15:00:00 23/10/2012] id: Precautions el: 0 cu: MICU-A cg: RNC v1: Contact st: NotStopd t0: [15:00:00 23/10/2012] id: Previous WeightF el: 0 cu: MICU-A cg: RNC v1: 92 u1: kg st: NotStopd t0: [15:00:00 23/10/2012] id: Respiratory Rate el: 0 cu: MICU-A cg: RNC v1: 20 u1: BPM st: NotStopd t0: [15:00:00 23/10/2012] id: SpO2 el: 0 cu: MICU-A cg: RNC v1: 100 u1: % st: NotStopd t0: [15:00:00 23/10/2012] id: Temp. Site el: 0 cu: MICU-A cg: RNC v1: Oral st: NotStopd t0: [15:00:00 23/10/2012] id: Temperature C (calc) el: 0 cu: MICU-A cg: RNC v1: 37.2778 u1: Deg. C st: NotStopd t0: [15:00:00 23/10/2012] id: Temperature F el: 0 cu: MICU-A cg: RNC v1: 99.1 u1: Deg. F st: NotStopd t0: [15:00:00 23/10/2012] id: calprevflg el: 0 cu: MICU-A cg: RNC v1: 1 u1: kg st: NotStopd
t0: [14:00:00 23/10/2012] id: .9% Normal Saline 1000.0ml IV Infusions el: 5 cu: MICU-A cg: RNC ai: 107 vo: 10 vu: ml t0: [14:00:00 23/10/2012] tf: [15:00:00 23/10/2012] dt: 60 id: Packed RBC's IV Infusions el: 1 cu: MICU-A cg: RNC ai: 107 vo: 375 vu: ml t0: [14:00:00 23/10/2012] id: .9% Normal Saline 999.0ml IV Infusions el: 1 cu: MICU-A cg: RNC ai: 189 vo: 0 vu: ml t0: [14:00:00 23/10/2012] id: .9% Normal Saline 100.0ml + 600mcghr Sandostatin IV Infusions el: 1 cu: MICU-A cg: RNC ai: 127 vo: 8.3 vu: ml t0: [15:00:00 23/10/2012] id: .9% Normal Saline 1000.0ml IV Infusions el: 5 cu: MICU-A cg: RNC ai: 107 vo: 10 vu: ml t0: [15:00:00 23/10/2012] id: Packed RBC's IV Infusions el: 1 cu: MICU-A cg: RNC ai: 107 vo: 0 vu: ml nb: 1 t0: [15:00:00 23/10/2012] id: .9% Normal Saline 999.0ml IV Infusions el: 1 cu: MICU-A cg: RNC ai: 189 vo: 0 vu: ml t0: [15:00:00 23/10/2012] id: .9% Normal Saline 100.0ml + 600mcghr Sandostatin IV Infusions el: 1 cu: MICU-A cg: RNC ai: 127 vo: 8.3 vu: ml
t0: [14:00:00 23/10/2012] id: Sandostatin el: 3 cu: MICU-A cg: RNC so: .9% Normal Saline vo: 0 v1: 49.8 du: mcghr sv: 100 su: ml rt: IV Drip t0: [15:00:00 23/10/2012] id: Sandostatin el: 3 cu: MICU-A cg: RNC so: .9% Normal Saline vo: 0 v1: 49.8 du: mcghr sv: 100 su: ml rt: IV Drip
t0: [15:31:00 23/10/2012] id: .9% Normal Saline 999.0ml IV Infusions el: 1 cu: MICU-A cg: -1 ai: 189 vo: 0 st: D/C'd
t0: [15:30:00 23/10/2012] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [15:30:00 23/10/2012] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [15:30:00 23/10/2012] id: Riker-SAS Scale el: 0 cu: MICU-A cg: RN v1: Calm/Cooperative st: NotStopd t0: [15:30:00 23/10/2012] id: Cough Effort el: 0 cu: MICU-A cg: RN v1: Strong st: NotStopd t0: [15:30:00 23/10/2012] id: Cough Type el: 0 cu: MICU-A cg: RN v1: Nonproductive st: NotStopd t0: [15:30:00 23/10/2012] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [15:30:00 23/10/2012] id: Diet Type el: 0 cu: MICU-A cg: RN v1: NPO st: NotStopd t0: [15:30:00 23/10/2012] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [15:30:00 23/10/2012] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [15:30:00 23/10/2012] id: Eye Opening el: 0 cu: MICU-A cg: RN v1: 4 Spontaneously st: NotStopd t0: [15:30:00 23/10/2012] id: Follows Commands el: 0 cu: MICU-A cg: RN v1: Consistently st: NotStopd t0: [15:30:00 23/10/2012] id: GCS Total el: 0 cu: MICU-A cg: RN v1: 15 u1: points st: NotStopd t0: [15:30:00 23/10/2012] id: HOB el: 0 cu: MICU-A cg: RN v1: 30 degrees st: NotStopd t0: [15:30:00 23/10/2012] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 63 u1: BPM st: NotStopd t0: [15:30:00 23/10/2012] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [15:30:00 23/10/2012] id: Abdominal Assessment el: 0 cu: MICU-A cg: RN v1: Soft Distended st: NotStopd t0: [15:30:00 23/10/2012] id: IV #1 Insert Date el: 0 cu: MICU-A cg: RN v1: 9 v2: 28 st: NotStopd t0: [15:30:00 23/10/2012] id: IV #1 Site/Size el: 0 cu: MICU-A cg: RN v1: Right Antecub v2: 20 gauge st: NotStopd t0: [15:30:00 23/10/2012] id: IV #2 Insert Date el: 0 cu: MICU-A cg: RN v1: 9 v2: 28 st: NotStopd t0: [15:30:00 23/10/2012] id: IV #2 Site/Size el: 0 cu: MICU-A cg: RN v1: LU Ant Forearm v2: 16 gauge st: NotStopd t0: [15:30:00 23/10/2012] id: Activity el: 0 cu: MICU-A cg: RN v1: Bedrest st: NotStopd t0: [15:30:00 23/10/2012] id: IV Site Appear #1 el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [15:30:00 23/10/2012] id: IV Site Appear #2 el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [15:30:00 23/10/2012] id: Activity Tolerance el: 0 cu: MICU-A cg: RN v1: Tolerated Well st: NotStopd t0: [15:30:00 23/10/2012] id: LLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Crackles st: NotStopd t0: [15:30:00 23/10/2012] id: LUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Clear st: NotStopd t0: [15:30:00 23/10/2012] id: Level of Conscious el: 0 cu: MICU-A cg: RN v1: Alert st: NotStopd t0: [15:30:00 23/10/2012] id: Motor Response el: 0 cu: MICU-A cg: RN v1: 6 Obeys Commands st: NotStopd t0: [15:30:00 23/10/2012] id: NBP el: 0 cu: MICU-A cg: RN v1: 108 u1: mmHg v2: 53 u2: mmHg st: NotStopd t0: [15:30:00 23/10/2012] id: NBP Mean el: 0 cu: MICU-A cg: RN v1: 71.3333 u1: mmHg st: NotStopd t0: [15:30:00 23/10/2012] id: Oral Cavity el: 0 cu: MICU-A cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [15:30:00 23/10/2012] id: Orientation el: 0 cu: MICU-A cg: RN v1: Oriented x 3 st: NotStopd t0: [15:30:00 23/10/2012] id: AntiEmbDevice/Status el: 0 cu: MICU-A cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [15:30:00 23/10/2012] id: Position el: 0 cu: MICU-A cg: RN v1: Supine st: NotStopd t0: [15:30:00 23/10/2012] id: Assistance Device el: 0 cu: MICU-A cg: RN v1: Supervised st: NotStopd t0: [15:30:00 23/10/2012] id: Precautions el: 0 cu: MICU-A cg: RN v1: Contact st: NotStopd t0: [15:30:00 23/10/2012] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 92 u1: kg st: NotStopd t0: [15:30:00 23/10/2012] id: RLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Crackles st: NotStopd t0: [15:30:00 23/10/2012] id: RUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Clear st: NotStopd t0: [15:30:00 23/10/2012] id: Respiratory Pattern el: 0 cu: MICU-A cg: RN v1: Regular st: NotStopd t0: [15:30:00 23/10/2012] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 17 u1: BPM st: NotStopd t0: [15:30:00 23/10/2012] id: Skin Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [15:30:00 23/10/2012] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 99 u1: % st: NotStopd t0: [15:30:00 23/10/2012] id: Spontaneous Movement el: 0 cu: MICU-A cg: RN v1: Purposeful st: NotStopd t0: [15:30:00 23/10/2012] id: Temp. Site el: 0 cu: MICU-A cg: RN v1: Oral st: NotStopd t0: [15:30:00 23/10/2012] id: Temperature C (calc) el: 0 cu: MICU-A cg: RN v1: 37.4444 u1: Deg. C st: NotStopd t0: [15:30:00 23/10/2012] id: Temperature F el: 0 cu: MICU-A cg: RN v1: 99.4 u1: Deg. F st: NotStopd t0: [15:30:00 23/10/2012] id: Turn el: 0 cu: MICU-A cg: RN v1: Side to Side st: NotStopd t0: [15:30:00 23/10/2012] id: Urine Color/Appear el: 0 cu: MICU-A cg: RN v1: Icteric v2: Clear st: NotStopd t0: [15:30:00 23/10/2012] id: Urine Source el: 0 cu: MICU-A cg: RN v1: Voids st: NotStopd t0: [15:30:00 23/10/2012] id: Verbal Response el: 0 cu: MICU-A cg: RN v1: 5 Oriented st: NotStopd t0: [15:30:00 23/10/2012] id: Back Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [15:30:00 23/10/2012] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [15:30:00 23/10/2012] id: Bowel Sounds el: 0 cu: MICU-A cg: RN v1: Present st: NotStopd t0: [16:00:00 23/10/2012] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [16:00:00 23/10/2012] id: Skin Color el: 0 cu: MICU-A cg: RN v1: Jaundiced st: NotStopd t0: [16:00:00 23/10/2012] id: Skin Integrity el: 0 cu: MICU-A cg: RN v1: Intact st: NotStopd t0: [16:00:00 23/10/2012] id: Skin Temp/Condition el: 0 cu: MICU-A cg: RN v1: Warm v2: Dry st: NotStopd t0: [16:00:00 23/10/2012] id: Support Systems el: 0 cu: MICU-A cg: RN v1: Spouse st: NotStopd t0: [16:00:00 23/10/2012] id: Behavior el: 0 cu: MICU-A cg: RN v1: Appropriate st: NotStopd t0: [16:00:00 23/10/2012] id: Braden Activity el: 0 cu: MICU-A cg: RN v1: Bedfast st: NotStopd t0: [16:00:00 23/10/2012] id: Braden Frict/Shear el: 0 cu: MICU-A cg: RN v1: Potential Prob st: NotStopd t0: [16:00:00 23/10/2012] id: Braden Mobility el: 0 cu: MICU-A cg: RN v1: No Limitations st: NotStopd t0: [16:00:00 23/10/2012] id: Braden Moisture el: 0 cu: MICU-A cg: RN v1: Rarely Moist st: NotStopd t0: [16:00:00 23/10/2012] id: Braden Nutrition el: 0 cu: MICU-A cg: RN v1: Prob. Inadequate st: NotStopd t0: [16:00:00 23/10/2012] id: Braden Score el: 0 cu: MICU-A cg: RN v1: 17 u1: number st: NotStopd t0: [16:00:00 23/10/2012] id: Braden SensoryPercep el: 0 cu: MICU-A cg: RN v1: No Impairment st: NotStopd
t0: [15:30:00 23/10/2012] id: Stool Out Stool el: 1 cu: MICU-A cg: RN vo: 300 vu: ml t0: [15:30:00 23/10/2012] id: Urine Out Void el: 2 cu: MICU-A cg: RN vo: 300 vu: ml t0: [15:30:00 23/10/2012] id: .9% Normal Saline 100.0ml + 600mcghr Sandostatin IV Infusions el: 1 cu: MICU-A cg: RN ai: 127 vo: 4.15 vu: ml
t0: [15:30:00 23/10/2012] id: Sandostatin el: 3 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 49.8 du: mcghr sv: 100 su: ml rt: IV Drip
t0: [16:15:00 23/10/2012] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [16:15:00 23/10/2012] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [16:15:00 23/10/2012] id: Riker-SAS Scale el: 0 cu: MICU-A cg: RN v1: Calm/Cooperative st: NotStopd t0: [16:15:00 23/10/2012] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [16:15:00 23/10/2012] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [16:15:00 23/10/2012] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [16:15:00 23/10/2012] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 63 u1: BPM st: NotStopd t0: [16:15:00 23/10/2012] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [16:15:00 23/10/2012] id: NBP el: 0 cu: MICU-A cg: RN v1: 110 u1: mmHg v2: 53 u2: mmHg st: NotStopd t0: [16:15:00 23/10/2012] id: NBP Mean el: 0 cu: MICU-A cg: RN v1: 72 u1: mmHg st: NotStopd t0: [16:15:00 23/10/2012] id: Precautions el: 0 cu: MICU-A cg: RN v1: Contact st: NotStopd t0: [16:15:00 23/10/2012] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 92 u1: kg st: NotStopd t0: [16:15:00 23/10/2012] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 17 u1: BPM st: NotStopd t0: [16:15:00 23/10/2012] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 97 u1: % st: NotStopd t0: [16:15:00 23/10/2012] id: Temp. Site el: 0 cu: MICU-A cg: RN v1: Oral st: NotStopd t0: [16:15:00 23/10/2012] id: Temperature C (calc) el: 0 cu: MICU-A cg: RN v1: 37.3889 u1: Deg. C st: NotStopd t0: [16:15:00 23/10/2012] id: Temperature F el: 0 cu: MICU-A cg: RN v1: 99.3 u1: Deg. F st: NotStopd t0: [16:15:00 23/10/2012] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [16:15:00 23/10/2012] tf: [03:00:00 24/10/2012] dt: 645 id: Packed RBC's IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 375 vu: ml t0: [16:20:00 23/10/2012] id: Fresh Frozen Plasma IV Infusions el: 1 cu: MICU-A cg: RN ai: 155 vo: 0 vu: ml nb: 1
t0: [16:15:00 23/10/2012] id: Sandostatin el: 3 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 49.8 du: mcghr sv: 100 su: ml rt: IV Drip
t0: [17:00:00 23/10/2012] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [17:00:00 23/10/2012] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [17:00:00 23/10/2012] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [17:00:00 23/10/2012] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [17:00:00 23/10/2012] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [17:00:00 23/10/2012] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 67 u1: BPM st: NotStopd t0: [17:00:00 23/10/2012] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [17:00:00 23/10/2012] id: NBP el: 0 cu: MICU-A cg: RN v1: 110 u1: mmHg v2: 60 u2: mmHg st: NotStopd t0: [17:00:00 23/10/2012] id: NBP Mean el: 0 cu: MICU-A cg: RN v1: 76.6667 u1: mmHg st: NotStopd t0: [17:00:00 23/10/2012] id: Precautions el: 0 cu: MICU-A cg: RN v1: Contact st: NotStopd t0: [17:00:00 23/10/2012] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 92 u1: kg st: NotStopd t0: [17:00:00 23/10/2012] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 19 u1: BPM st: NotStopd t0: [17:00:00 23/10/2012] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 98 u1: % st: NotStopd t0: [17:00:00 23/10/2012] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [18:00:00 23/10/2012] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [18:00:00 23/10/2012] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [18:00:00 23/10/2012] id: Riker-SAS Scale el: 0 cu: MICU-A cg: RN v1: Calm/Cooperative st: NotStopd t0: [18:00:00 23/10/2012] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [18:00:00 23/10/2012] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [18:00:00 23/10/2012] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [18:00:00 23/10/2012] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 67 u1: BPM st: NotStopd t0: [18:00:00 23/10/2012] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [18:00:00 23/10/2012] id: NBP el: 0 cu: MICU-A cg: RN v1: 103 u1: mmHg v2: 51 u2: mmHg st: NotStopd t0: [18:00:00 23/10/2012] id: NBP Mean el: 0 cu: MICU-A cg: RN v1: 68.3333 u1: mmHg st: NotStopd t0: [18:00:00 23/10/2012] id: Precautions el: 0 cu: MICU-A cg: RN v1: Contact st: NotStopd t0: [18:00:00 23/10/2012] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 92 u1: kg st: NotStopd t0: [18:00:00 23/10/2012] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 21 u1: BPM st: NotStopd t0: [18:00:00 23/10/2012] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [17:00:00 23/10/2012] tf: [00:00:00 24/10/2012] dt: 420 id: Fresh Frozen Plasma IV Infusions el: 1 cu: MICU-A cg: RN ai: 155 vo: 329 vu: ml t0: [17:00:00 23/10/2012] id: .9% Normal Saline 100.0ml + 600mcghr Sandostatin IV Infusions el: 1 cu: MICU-A cg: RN ai: 127 vo: 12.45 vu: ml t0: [17:45:00 23/10/2012] id: .9% Normal Saline 100.0ml + 600mcghr Sandostatin IV Infusions el: 1 cu: MICU-A cg: RN ai: 127 vo: 6.225 vu: ml
t0: [17:00:00 23/10/2012] id: Sandostatin el: 3 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 49.8 du: mcghr sv: 100 su: ml rt: IV Drip t0: [18:00:00 23/10/2012] id: Sandostatin el: 3 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 49.8 du: mcghr sv: 100 su: ml rt: IV Drip
t0: [23:00:00 23/10/2012] dt: 24 id: Blood Products Total el: 2 cu: MICU-A cg: RN cv: 1691 ap: none
t0: [15:30:00 23/10/2012] id: Stool Color/Consist el: 0 cu: MICU-A cg: RN v1: Melena v2: Loose st: NotStopd t0: [15:30:00 23/10/2012] id: Stool Guaiac el: 0 cu: MICU-A cg: RN v1: Positive st: NotStopd t0: [18:00:00 23/10/2012] id: Stool Color/Consist el: 0 cu: MICU-A cg: RN v1: Maroon v2: Liquid st: NotStopd t0: [18:00:00 23/10/2012] id: Stool Guaiac el: 0 cu: MICU-A cg: RN v1: Positive st: NotStopd
t0: [18:00:00 23/10/2012] id: Stool Out Stool el: 1 cu: MICU-A cg: RN vo: 350 vu: ml t0: [18:00:00 23/10/2012] id: Urine Out Void el: 2 cu: MICU-A cg: RN vo: 250 vu: ml
t0: [23:00:00 23/10/2012] dt: 24 id: Urine Out Total el: 2 cu: MICU-A cg: RN cv: 1725 ap: none
t0: [18:00:00 23/10/2012] id: Fingerstick Glucose Chemistry el: 0 cu: MICU-A cg: CoWker v1: 82 rs: Manual st: NotStopd
t0: [18:39:00 23/10/2012] id: Hematocrit Hematology el: 0 cu: MICU-A cg: 1663 v1: 30.8 u1: % rs: Final st: NotStopd
t0: [18:39:00 23/10/2012] id: PT el: 0 cu: MICU-A cg: 1663 v1: 15.6 rs: Final st: NotStopd t0: [18:39:00 23/10/2012] id: INR Coags el: 0 cu: MICU-A cg: 1663 v1: 1.6 rs: Final st: NotStopd t0: [18:39:00 23/10/2012] id: PTT Coags el: 0 cu: MICU-A cg: 1663 v1: 34.1 rs: Final st: NotStopd t0: [18:39:00 23/10/2012] id: INR (2-4 ref. range) Coags el: 0 cu: MICU-A cg: 1663 v1: 1.6 rs: Final st: NotStopd t0: [18:39:00 23/10/2012] id: PT(11-13.5) Coags el: 0 cu: MICU-A cg: 1663 v1: 15.6 rs: Final st: NotStopd t0: [18:39:00 23/10/2012] id: PTT(22-35) Coags el: 0 cu: MICU-A cg: 1663 v1: 34.1 rs: Final st: NotStopd
t0: [20:00:00 23/10/2012] id: D5W 100.0ml IV Infusions el: 2 cu: MICU-A cg: -1 ai: 105 vo: 0 st: D/C'd
t0: [20:00:00 23/10/2012] id: Pain Present el: 0 cu: MICU-A cg: RN v1: No st: NotStopd t0: [20:00:00 23/10/2012] id: Pain Assess Method el: 0 cu: MICU-A cg: RN v1: Pt Verbalized st: NotStopd t0: [20:00:00 23/10/2012] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [20:00:00 23/10/2012] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [20:00:00 23/10/2012] id: Riker-SAS Scale el: 0 cu: MICU-A cg: RN v1: Calm/Cooperative st: NotStopd t0: [20:00:00 23/10/2012] id: Daily Wake Up el: 1 cu: MICU-A cg: RN v1: No/Not Sedated st: NotStopd t0: [20:00:00 23/10/2012] id: GI Prophylaxis el: 0 cu: MICU-A cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [20:00:00 23/10/2012] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [20:00:00 23/10/2012] id: Diet Type el: 0 cu: MICU-A cg: RN v1: NPO st: NotStopd t0: [20:00:00 23/10/2012] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [20:00:00 23/10/2012] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [20:00:00 23/10/2012] id: Eye Opening el: 0 cu: MICU-A cg: RN v1: 4 Spontaneously st: NotStopd t0: [20:00:00 23/10/2012] id: Follows Commands el: 0 cu: MICU-A cg: RN v1: Consistently st: NotStopd t0: [20:00:00 23/10/2012] id: GCS Total el: 0 cu: MICU-A cg: RN v1: 15 u1: points st: NotStopd t0: [20:00:00 23/10/2012] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 56 u1: BPM st: NotStopd t0: [20:00:00 23/10/2012] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Sinus Brady st: NotStopd t0: [20:00:00 23/10/2012] id: Abdominal Assessment el: 0 cu: MICU-A cg: RN v1: Soft Distended st: NotStopd t0: [20:00:00 23/10/2012] id: IV #1 Insert Date el: 0 cu: MICU-A cg: RN v1: 9 v2: 28 st: NotStopd t0: [20:00:00 23/10/2012] id: IV #1 Site/Size el: 0 cu: MICU-A cg: RN v1: Right Antecub v2: 20 gauge st: NotStopd t0: [20:00:00 23/10/2012] id: IV #2 Insert Date el: 0 cu: MICU-A cg: RN v1: 9 v2: 28 st: NotStopd t0: [20:00:00 23/10/2012] id: IV #2 Site/Size el: 0 cu: MICU-A cg: RN v1: LU Ant Forearm v2: 16 gauge st: NotStopd t0: [20:00:00 23/10/2012] id: IV Site Appear #1 el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [20:00:00 23/10/2012] id: IV Site Appear #2 el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [20:00:00 23/10/2012] id: Level of Conscious el: 0 cu: MICU-A cg: RN v1: Alert st: NotStopd t0: [20:00:00 23/10/2012] id: Motor Response el: 0 cu: MICU-A cg: RN v1: 6 Obeys Commands st: NotStopd t0: [20:00:00 23/10/2012] id: NBP el: 0 cu: MICU-A cg: RN v1: 104 u1: mmHg v2: 47 u2: mmHg st: NotStopd t0: [20:00:00 23/10/2012] id: NBP Mean el: 0 cu: MICU-A cg: RN v1: 66 u1: mmHg st: NotStopd t0: [20:00:00 23/10/2012] id: O2 Delivery Device el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [20:00:00 23/10/2012] id: Oral Cavity el: 0 cu: MICU-A cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [20:00:00 23/10/2012] id: Orientation el: 0 cu: MICU-A cg: RN v1: Oriented x 3 st: NotStopd t0: [20:00:00 23/10/2012] id: Precautions el: 0 cu: MICU-A cg: RN v1: Contact st: NotStopd t0: [20:00:00 23/10/2012] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 92 u1: kg st: NotStopd t0: [20:00:00 23/10/2012] id: Respiratory Pattern el: 0 cu: MICU-A cg: RN v1: Regular st: NotStopd t0: [20:00:00 23/10/2012] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 16 u1: BPM st: NotStopd t0: [20:00:00 23/10/2012] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [20:00:00 23/10/2012] id: Skin Color el: 0 cu: MICU-A cg: RN v1: Jaundiced st: NotStopd t0: [20:00:00 23/10/2012] id: Skin Integrity el: 0 cu: MICU-A cg: RN v1: Intact st: NotStopd t0: [20:00:00 23/10/2012] id: Skin Temp/Condition el: 0 cu: MICU-A cg: RN v1: Warm v2: Dry st: NotStopd t0: [20:00:00 23/10/2012] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 98 u1: % st: NotStopd t0: [20:00:00 23/10/2012] id: Spontaneous Movement el: 0 cu: MICU-A cg: RN v1: Purposeful st: NotStopd t0: [20:00:00 23/10/2012] id: Support Systems el: 0 cu: MICU-A cg: RN v1: Spouse st: NotStopd t0: [20:00:00 23/10/2012] id: Temp. Site el: 0 cu: MICU-A cg: RN v1: Oral st: NotStopd t0: [20:00:00 23/10/2012] id: Temperature C (calc) el: 0 cu: MICU-A cg: RN v1: 37.3889 u1: Deg. C st: NotStopd t0: [20:00:00 23/10/2012] id: Temperature F el: 0 cu: MICU-A cg: RN v1: 99.3 u1: Deg. F st: NotStopd t0: [20:00:00 23/10/2012] id: Urine Color/Appear el: 0 cu: MICU-A cg: RN v1: Icteric v2: Clear st: NotStopd t0: [20:00:00 23/10/2012] id: Urine Source el: 0 cu: MICU-A cg: RN v1: Voids st: NotStopd t0: [20:00:00 23/10/2012] id: Verbal Response el: 0 cu: MICU-A cg: RN v1: 5 Oriented st: NotStopd t0: [20:00:00 23/10/2012] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [20:00:00 23/10/2012] id: Behavior el: 0 cu: MICU-A cg: RN v1: Appropriate st: NotStopd t0: [20:00:00 23/10/2012] id: Braden Activity el: 0 cu: MICU-A cg: RN v1: Bedfast st: NotStopd t0: [20:00:00 23/10/2012] id: Braden Frict/Shear el: 0 cu: MICU-A cg: RN v1: Potential Prob st: NotStopd t0: [20:00:00 23/10/2012] id: Braden Mobility el: 0 cu: MICU-A cg: RN v1: No Limitations st: NotStopd t0: [20:00:00 23/10/2012] id: Braden Moisture el: 0 cu: MICU-A cg: RN v1: Rarely Moist st: NotStopd t0: [20:00:00 23/10/2012] id: Braden Nutrition el: 0 cu: MICU-A cg: RN v1: Prob. Inadequate st: NotStopd t0: [20:00:00 23/10/2012] id: Braden Score el: 0 cu: MICU-A cg: RN v1: 17 u1: number st: NotStopd t0: [20:00:00 23/10/2012] id: Braden SensoryPercep el: 0 cu: MICU-A cg: RN v1: No Impairment st: NotStopd
t0: [20:00:00 23/10/2012] id: IV Piggyback IV Infusions el: 1 cu: MICU-A cg: RN ai: 209 vo: 100 vu: ml t0: [20:00:00 23/10/2012] id: .9% Normal Saline 1000.0ml IV Infusions el: 5 cu: MICU-A cg: RN ai: 107 vo: 0 vu: ml nb: 1 t0: [20:00:00 23/10/2012] id: .9% Normal Saline 100.0ml + 600mcghr Sandostatin IV Infusions el: 1 cu: MICU-A cg: RN ai: 127 vo: 18.675 vu: ml
t0: [20:00:00 23/10/2012] id: Sandostatin el: 3 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 49.8 du: mcghr sv: 100 su: ml rt: IV Drip
t0: [20:00:00 23/10/2012] id: IV #2 Reason DC'D el: 0 cu: MICU-A cg: RN v1: Treatment DC'D st: NotStopd t0: [20:00:00 23/10/2012] id: IV #2 D/C Date el: 0 cu: MICU-A cg: RN v1: 9 v2: 30 st: NotStopd t0: [20:00:00 23/10/2012] id: IV #3 Insert Date el: 0 cu: MICU-A cg: RN v1: 9 v2: 30 st: NotStopd t0: [20:00:00 23/10/2012] id: IV #3 Site/Size el: 0 cu: MICU-A cg: RN v1: Left Hand v2: 20 gauge st: NotStopd t0: [20:00:00 23/10/2012] id: IV #4 Insert Date el: 0 cu: MICU-A cg: RN v1: 9 v2: 30 st: NotStopd t0: [20:00:00 23/10/2012] id: IV #4 Site/Size el: 0 cu: MICU-A cg: RN v1: Left Antecub v2: 18 gauge st: NotStopd t0: [20:00:00 23/10/2012] id: IV Site Appear #3 el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [20:00:00 23/10/2012] id: IV Site Appear #4 el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [20:00:00 23/10/2012] id: Stool Color/Consist el: 0 cu: MICU-A cg: RN v1: Maroon v2: Liquid st: NotStopd t0: [20:00:00 23/10/2012] id: Stool Guaiac el: 0 cu: MICU-A cg: RN v1: Positive st: NotStopd
t0: [20:00:00 23/10/2012] id: Stool Out Stool el: 1 cu: MICU-A cg: RN vo: 100 vu: ml
t0: [23:00:00 23/10/2012] dt: 1 id: Total Hourly Output el: 2 cu: MICU-A cg: RN cv: 0 ap: none t0: [23:00:00 23/10/2012] dt: 24 id: Stool Out Total el: 2 cu: MICU-A cg: RN cv: 2350 ap: none t0: [23:00:00 23/10/2012] dt: 24 id: 24h Total Out el: 2 cu: MICU-A cg: RN cv: 4275 ap: none
t0: [20:00:00 23/10/2012] id: HOB el: 0 cu: MICU-A cg: RN v1: 30 degrees st: NotStopd t0: [20:00:00 23/10/2012] id: Activity el: 0 cu: MICU-A cg: RN v1: Bedrest st: NotStopd t0: [20:00:00 23/10/2012] id: Activity Tolerance el: 0 cu: MICU-A cg: RN v1: Tolerated Well st: NotStopd t0: [20:00:00 23/10/2012] id: AntiEmbDevice/Status el: 0 cu: MICU-A cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [20:00:00 23/10/2012] id: Position el: 0 cu: MICU-A cg: RN v1: Supine st: NotStopd t0: [20:00:00 23/10/2012] id: Assistance Device el: 0 cu: MICU-A cg: RN v1: Independent st: NotStopd t0: [20:00:00 23/10/2012] id: Turn el: 0 cu: MICU-A cg: RN v1: Turns by self st: NotStopd t0: [21:00:00 23/10/2012] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [21:00:00 23/10/2012] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [21:00:00 23/10/2012] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [21:00:00 23/10/2012] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [21:00:00 23/10/2012] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [21:00:00 23/10/2012] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 59 u1: BPM st: NotStopd t0: [21:00:00 23/10/2012] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Sinus Brady st: NotStopd t0: [21:00:00 23/10/2012] id: NBP el: 0 cu: MICU-A cg: RN v1: 109 u1: mmHg v2: 44 u2: mmHg st: NotStopd t0: [21:00:00 23/10/2012] id: NBP Mean el: 0 cu: MICU-A cg: RN v1: 65.6667 u1: mmHg st: NotStopd t0: [21:00:00 23/10/2012] id: Oral Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [21:00:00 23/10/2012] id: Precautions el: 0 cu: MICU-A cg: RN v1: Contact st: NotStopd t0: [21:00:00 23/10/2012] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 92 u1: kg st: NotStopd t0: [21:00:00 23/10/2012] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 14 u1: BPM st: NotStopd t0: [21:00:00 23/10/2012] id: Skin Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [21:00:00 23/10/2012] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 100 u1: % st: NotStopd t0: [21:00:00 23/10/2012] id: Back Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [21:00:00 23/10/2012] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [21:00:00 23/10/2012] id: .9% Normal Saline 1000.0ml IV Infusions el: 5 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml st: Stopped t0: [21:00:00 23/10/2012] id: D5/.45NS 50.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 112 vo: 0 vu: ml nb: 1 t0: [21:00:00 23/10/2012] id: .9% Normal Saline 100.0ml + 600mcghr Sandostatin IV Infusions el: 1 cu: MICU-A cg: RN ai: 127 vo: 8.3 vu: ml
t0: [21:00:00 23/10/2012] id: Sandostatin el: 3 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 49.8 du: mcghr sv: 100 su: ml rt: IV Drip
t0: [21:53:00 23/10/2012] id: Hematocrit Hematology el: 0 cu: MICU-A cg: 1663 v1: 30.7 u1: % rs: Final st: NotStopd
t0: [22:00:00 23/10/2012] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [22:00:00 23/10/2012] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [22:00:00 23/10/2012] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [22:00:00 23/10/2012] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [22:00:00 23/10/2012] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [22:00:00 23/10/2012] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 62 u1: BPM st: NotStopd t0: [22:00:00 23/10/2012] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Sinus Brady st: NotStopd t0: [22:00:00 23/10/2012] id: NBP el: 0 cu: MICU-A cg: RN v1: 95 u1: mmHg v2: 58 u2: mmHg st: NotStopd t0: [22:00:00 23/10/2012] id: NBP Mean el: 0 cu: MICU-A cg: RN v1: 70.3333 u1: mmHg st: NotStopd t0: [22:00:00 23/10/2012] id: Precautions el: 0 cu: MICU-A cg: RN v1: Contact st: NotStopd t0: [22:00:00 23/10/2012] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 92 u1: kg st: NotStopd t0: [22:00:00 23/10/2012] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 16 u1: BPM st: NotStopd t0: [22:00:00 23/10/2012] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 96 u1: % st: NotStopd t0: [22:00:00 23/10/2012] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [22:00:00 23/10/2012] id: IV Piggyback IV Infusions el: 1 cu: MICU-A cg: RN ai: 209 vo: 100 vu: ml t0: [22:00:00 23/10/2012] tf: [08:00:00 24/10/2012] dt: 600 id: D5/.45NS 50.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 112 vo: 30 vu: ml t0: [22:00:00 23/10/2012] id: .9% Normal Saline 100.0ml + 600mcghr Sandostatin IV Infusions el: 1 cu: MICU-A cg: RN ai: 127 vo: 8.3 vu: ml
t0: [22:00:00 23/10/2012] id: Sandostatin el: 3 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 49.8 du: mcghr sv: 100 su: ml rt: IV Drip
t0: [23:00:00 23/10/2012] dt: 1 id: Net Hourly Balance el: 2 cu: MICU-A cg: RN cv: 0 ap: none t0: [23:00:00 23/10/2012] dt: 24 id: IV Infusion In Total el: 2 cu: MICU-A cg: RN cv: 1715.9 ap: none t0: [23:00:00 23/10/2012] dt: 24 id: 24h Total In el: 2 cu: MICU-A cg: RN cv: 3646.9 ap: none t0: [23:00:00 23/10/2012] dt: 24 id: 24h Net Body Balance el: 2 cu: MICU-A cg: RN cv: -628.1 ap: none t0: [23:00:00 23/10/2012] dt: multiple days id: LOS Net Body Balance el: 2 cu: MICU-A cg: RN cv: 51.6299 ap: none
t0: [21:53:00 23/10/2012] id: PT el: 0 cu: MICU-A cg: 1663 v1: 16 rs: Final st: NotStopd t0: [21:53:00 23/10/2012] id: INR Coags el: 0 cu: MICU-A cg: 1663 v1: 1.7 rs: Final st: NotStopd t0: [21:53:00 23/10/2012] id: PTT Coags el: 0 cu: MICU-A cg: 1663 v1: 35.6 rs: Final st: NotStopd t0: [21:53:00 23/10/2012] id: INR (2-4 ref. range) Coags el: 0 cu: MICU-A cg: 1663 v1: 1.7 rs: Final st: NotStopd t0: [21:53:00 23/10/2012] id: PT(11-13.5) Coags el: 0 cu: MICU-A cg: 1663 v1: 16 rs: Final st: NotStopd t0: [21:53:00 23/10/2012] id: PTT(22-35) Coags el: 0 cu: MICU-A cg: 1663 v1: 35.6 rs: Final st: NotStopd
t0: [23:00:00 23/10/2012] id: Fingerstick Glucose Chemistry el: 0 cu: MICU-A cg: CoWker v1: 90 rs: Manual st: NotStopd
t0: [23:00:00 23/10/2012] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [23:00:00 23/10/2012] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [23:00:00 23/10/2012] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [23:00:00 23/10/2012] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [23:00:00 23/10/2012] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [23:00:00 23/10/2012] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 58 u1: BPM st: NotStopd t0: [23:00:00 23/10/2012] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Sinus Brady st: NotStopd t0: [23:00:00 23/10/2012] id: NBP el: 0 cu: MICU-A cg: RN v1: 97 u1: mmHg v2: 58 u2: mmHg st: NotStopd t0: [23:00:00 23/10/2012] id: NBP Mean el: 0 cu: MICU-A cg: RN v1: 71 u1: mmHg st: NotStopd t0: [23:00:00 23/10/2012] id: Precautions el: 0 cu: MICU-A cg: RN v1: Contact st: NotStopd t0: [23:00:00 23/10/2012] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 92 u1: kg st: NotStopd t0: [23:00:00 23/10/2012] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 8 u1: BPM st: NotStopd t0: [23:00:00 23/10/2012] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [00:00:00 24/10/2012] id: Pain Present el: 0 cu: MICU-A cg: RN v1: No st: NotStopd t0: [00:00:00 24/10/2012] id: Pain Assess Method el: 0 cu: MICU-A cg: RN v1: Pt Verbalized st: NotStopd t0: [00:00:00 24/10/2012] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [00:00:00 24/10/2012] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [00:00:00 24/10/2012] id: Riker-SAS Scale el: 0 cu: MICU-A cg: RN v1: Calm/Cooperative st: NotStopd t0: [00:00:00 24/10/2012] id: Daily Wake Up el: 1 cu: MICU-A cg: RN v1: No/Not Sedated st: NotStopd t0: [00:00:00 24/10/2012] id: GI Prophylaxis el: 0 cu: MICU-A cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [00:00:00 24/10/2012] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [00:00:00 24/10/2012] id: Diet Type el: 0 cu: MICU-A cg: RN v1: NPO st: NotStopd t0: [00:00:00 24/10/2012] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [00:00:00 24/10/2012] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [00:00:00 24/10/2012] id: Eye Opening el: 0 cu: MICU-A cg: RN v1: 4 Spontaneously st: NotStopd t0: [00:00:00 24/10/2012] id: Follows Commands el: 0 cu: MICU-A cg: RN v1: Consistently st: NotStopd t0: [00:00:00 24/10/2012] id: GCS Total el: 0 cu: MICU-A cg: RN v1: 15 u1: points st: NotStopd t0: [00:00:00 24/10/2012] id: HOB el: 0 cu: MICU-A cg: RN v1: 30 degrees st: NotStopd t0: [00:00:00 24/10/2012] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 59 u1: BPM st: NotStopd t0: [00:00:00 24/10/2012] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Sinus Brady st: NotStopd t0: [00:00:00 24/10/2012] id: Abdominal Assessment el: 0 cu: MICU-A cg: RN v1: Soft Distended st: NotStopd t0: [00:00:00 24/10/2012] id: IV #1 Insert Date el: 0 cu: MICU-A cg: RN v1: 9 v2: 28 st: NotStopd t0: [00:00:00 24/10/2012] id: IV #1 Site/Size el: 0 cu: MICU-A cg: RN v1: Right Antecub v2: 20 gauge st: NotStopd t0: [00:00:00 24/10/2012] id: IV #3 Insert Date el: 0 cu: MICU-A cg: RN v1: 9 v2: 30 st: NotStopd t0: [00:00:00 24/10/2012] id: IV #3 Site/Size el: 0 cu: MICU-A cg: RN v1: Left Hand v2: 20 gauge st: NotStopd t0: [00:00:00 24/10/2012] id: IV #4 Insert Date el: 0 cu: MICU-A cg: RN v1: 9 v2: 30 st: NotStopd t0: [00:00:00 24/10/2012] id: IV #4 Site/Size el: 0 cu: MICU-A cg: RN v1: Left Antecub v2: 18 gauge st: NotStopd t0: [00:00:00 24/10/2012] id: Activity el: 0 cu: MICU-A cg: RN v1: Bedrest st: NotStopd t0: [00:00:00 24/10/2012] id: IV Site Appear #1 el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [00:00:00 24/10/2012] id: IV Site Appear #3 el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [00:00:00 24/10/2012] id: IV Site Appear #4 el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [00:00:00 24/10/2012] id: Activity Tolerance el: 0 cu: MICU-A cg: RN v1: Tolerated Well st: NotStopd t0: [00:00:00 24/10/2012] id: Level of Conscious el: 0 cu: MICU-A cg: RN v1: Alert st: NotStopd t0: [00:00:00 24/10/2012] id: Motor Response el: 0 cu: MICU-A cg: RN v1: 6 Obeys Commands st: NotStopd t0: [00:00:00 24/10/2012] id: NBP el: 0 cu: MICU-A cg: RN v1: 100 u1: mmHg v2: 45 u2: mmHg st: NotStopd t0: [00:00:00 24/10/2012] id: NBP Mean el: 0 cu: MICU-A cg: RN v1: 63.3333 u1: mmHg st: NotStopd t0: [00:00:00 24/10/2012] id: O2 Delivery Device el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [00:00:00 24/10/2012] id: Oral Cavity el: 0 cu: MICU-A cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [00:00:00 24/10/2012] id: Orientation el: 0 cu: MICU-A cg: RN v1: Oriented x 3 st: NotStopd t0: [00:00:00 24/10/2012] id: AntiEmbDevice/Status el: 0 cu: MICU-A cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [00:00:00 24/10/2012] id: Pain Location el: 0 cu: MICU-A cg: RN v1: Not Indicated st: NotStopd t0: [00:00:00 24/10/2012] id: Position el: 0 cu: MICU-A cg: RN v1: Supine st: NotStopd t0: [00:00:00 24/10/2012] id: Assistance Device el: 0 cu: MICU-A cg: RN v1: Independent st: NotStopd t0: [00:00:00 24/10/2012] id: Precautions el: 0 cu: MICU-A cg: RN v1: Contact st: NotStopd t0: [00:00:00 24/10/2012] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 92 u1: kg st: NotStopd t0: [00:00:00 24/10/2012] id: Respiratory Pattern el: 0 cu: MICU-A cg: RN v1: Regular st: NotStopd t0: [00:00:00 24/10/2012] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 14 u1: BPM st: NotStopd t0: [00:00:00 24/10/2012] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [00:00:00 24/10/2012] id: Skin Color el: 0 cu: MICU-A cg: RN v1: Jaundiced st: NotStopd t0: [00:00:00 24/10/2012] id: Skin Integrity el: 0 cu: MICU-A cg: RN v1: Intact st: NotStopd t0: [00:00:00 24/10/2012] id: Skin Temp/Condition el: 0 cu: MICU-A cg: RN v1: Warm v2: Dry st: NotStopd t0: [00:00:00 24/10/2012] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 98 u1: % st: NotStopd t0: [00:00:00 24/10/2012] id: Spontaneous Movement el: 0 cu: MICU-A cg: RN v1: Purposeful st: NotStopd t0: [00:00:00 24/10/2012] id: Support Systems el: 0 cu: MICU-A cg: RN v1: Spouse st: NotStopd t0: [00:00:00 24/10/2012] id: Temp. Site el: 0 cu: MICU-A cg: RN v1: Oral st: NotStopd t0: [00:00:00 24/10/2012] id: Temperature C (calc) el: 0 cu: MICU-A cg: RN v1: 37.2778 u1: Deg. C st: NotStopd t0: [00:00:00 24/10/2012] id: Temperature F el: 0 cu: MICU-A cg: RN v1: 99.1 u1: Deg. F st: NotStopd t0: [00:00:00 24/10/2012] id: Turn el: 0 cu: MICU-A cg: RN v1: Turns by self st: NotStopd t0: [00:00:00 24/10/2012] id: Urine Color/Appear el: 0 cu: MICU-A cg: RN v1: Icteric v2: Clear st: NotStopd t0: [00:00:00 24/10/2012] id: Urine Source el: 0 cu: MICU-A cg: RN v1: Voids st: NotStopd t0: [00:00:00 24/10/2012] id: Verbal Response el: 0 cu: MICU-A cg: RN v1: 5 Oriented st: NotStopd t0: [00:00:00 24/10/2012] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [00:00:00 24/10/2012] id: Behavior el: 0 cu: MICU-A cg: RN v1: Appropriate st: NotStopd t0: [00:00:00 24/10/2012] id: Braden Activity el: 0 cu: MICU-A cg: RN v1: Bedfast st: NotStopd t0: [00:00:00 24/10/2012] id: Braden Frict/Shear el: 0 cu: MICU-A cg: RN v1: Potential Prob st: NotStopd t0: [00:00:00 24/10/2012] id: Braden Mobility el: 0 cu: MICU-A cg: RN v1: No Limitations st: NotStopd t0: [00:00:00 24/10/2012] id: Braden Moisture el: 0 cu: MICU-A cg: RN v1: Rarely Moist st: NotStopd t0: [00:00:00 24/10/2012] id: Braden Nutrition el: 0 cu: MICU-A cg: RN v1: Prob. Inadequate st: NotStopd t0: [00:00:00 24/10/2012] id: Braden Score el: 0 cu: MICU-A cg: RN v1: 17 u1: number st: NotStopd t0: [00:00:00 24/10/2012] id: Braden SensoryPercep el: 0 cu: MICU-A cg: RN v1: No Impairment st: NotStopd
t0: [00:00:00 24/10/2012] id: D5/.45NS 50.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 112 vo: 150 vu: ml t0: [00:00:00 24/10/2012] id: .9% Normal Saline 100.0ml + 600mcghr Sandostatin IV Infusions el: 1 cu: MICU-A cg: RN ai: 127 vo: 16.6 vu: ml
t0: [23:00:00 23/10/2012] id: Sandostatin el: 3 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 49.8 du: mcghr sv: 100 su: ml rt: IV Drip t0: [00:00:00 24/10/2012] id: Sandostatin el: 3 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 49.8 du: mcghr sv: 100 su: ml rt: IV Drip
t0: [00:00:00 24/10/2012] id: Fresh Frozen Plasma IV Infusions el: 1 cu: MICU-A cg: RN ai: 155 vo: 0 vu: ml nb: 1
t0: [00:30:00 24/10/2012] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [00:30:00 24/10/2012] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [00:30:00 24/10/2012] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [00:30:00 24/10/2012] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [00:30:00 24/10/2012] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [00:30:00 24/10/2012] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 58 u1: BPM st: NotStopd t0: [00:30:00 24/10/2012] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Sinus Brady st: NotStopd t0: [00:30:00 24/10/2012] id: NBP el: 0 cu: MICU-A cg: RN v1: 102 u1: mmHg v2: 48 u2: mmHg st: NotStopd t0: [00:30:00 24/10/2012] id: NBP Mean el: 0 cu: MICU-A cg: RN v1: 66 u1: mmHg st: NotStopd t0: [00:30:00 24/10/2012] id: Precautions el: 0 cu: MICU-A cg: RN v1: Contact st: NotStopd t0: [00:30:00 24/10/2012] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 92 u1: kg st: NotStopd t0: [00:30:00 24/10/2012] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 14 u1: BPM st: NotStopd t0: [00:30:00 24/10/2012] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 95 u1: % st: NotStopd t0: [00:30:00 24/10/2012] id: Temp. Site el: 0 cu: MICU-A cg: RN v1: Oral st: NotStopd t0: [00:30:00 24/10/2012] id: Temperature C (calc) el: 0 cu: MICU-A cg: RN v1: 37.1111 u1: Deg. C st: NotStopd t0: [00:30:00 24/10/2012] id: Temperature F el: 0 cu: MICU-A cg: RN v1: 98.8 u1: Deg. F st: NotStopd t0: [00:30:00 24/10/2012] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [00:30:00 24/10/2012] tf: [21:09:00 25/10/2012] dt: 2679 id: Fresh Frozen Plasma IV Infusions el: 1 cu: MICU-A cg: RN ai: 155 vo: 278 vu: ml nb: 1
t0: [00:30:00 24/10/2012] id: Sandostatin el: 3 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 49.8 du: mcghr sv: 100 su: ml rt: IV Drip
t0: [01:00:00 24/10/2012] id: Cough Effort el: 0 cu: MICU-A cg: -1 st: D/C'd t0: [01:00:00 24/10/2012] id: Cough Type el: 0 cu: MICU-A cg: -1 st: D/C'd
t0: [01:00:00 24/10/2012] id: Urine Out Foley el: 2 cu: MICU-A cg: -1 vo: 0 st: D/C'd
t0: [00:00:00 24/10/2012] id: LLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Clear st: NotStopd t0: [00:00:00 24/10/2012] id: LUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Clear st: NotStopd t0: [00:00:00 24/10/2012] id: RLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Clear st: NotStopd t0: [00:00:00 24/10/2012] id: RUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Clear st: NotStopd t0: [00:00:00 24/10/2012] id: Stool Color/Consist el: 0 cu: MICU-A cg: RN v1: Maroon v2: Liquid st: NotStopd t0: [00:00:00 24/10/2012] id: Stool Guaiac el: 0 cu: MICU-A cg: RN v1: Positive st: NotStopd t0: [00:00:00 24/10/2012] id: Bowel Sounds el: 0 cu: MICU-A cg: RN v1: Present st: NotStopd t0: [01:00:00 24/10/2012] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [01:00:00 24/10/2012] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [01:00:00 24/10/2012] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [01:00:00 24/10/2012] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [01:00:00 24/10/2012] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [01:00:00 24/10/2012] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 56 u1: BPM st: NotStopd t0: [01:00:00 24/10/2012] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Sinus Brady st: NotStopd t0: [01:00:00 24/10/2012] id: NBP el: 0 cu: MICU-A cg: RN v1: 102 u1: mmHg v2: 48 u2: mmHg st: NotStopd t0: [01:00:00 24/10/2012] id: NBP Mean el: 0 cu: MICU-A cg: RN v1: 66 u1: mmHg st: NotStopd t0: [01:00:00 24/10/2012] id: Precautions el: 0 cu: MICU-A cg: RN v1: Contact st: NotStopd t0: [01:00:00 24/10/2012] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 92 u1: kg st: NotStopd t0: [01:00:00 24/10/2012] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 17 u1: BPM st: NotStopd t0: [01:00:00 24/10/2012] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 99 u1: % st: NotStopd t0: [01:00:00 24/10/2012] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [01:00:00 24/10/2012] id: D5/.45NS 50.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 112 vo: 75 vu: ml t0: [01:00:00 24/10/2012] id: Stool Out Stool el: 1 cu: MICU-A cg: RN vo: 50 vu: ml t0: [01:00:00 24/10/2012] id: Urine Out Void el: 2 cu: MICU-A cg: RN vo: 300 vu: ml t0: [01:00:00 24/10/2012] id: .9% Normal Saline 100.0ml + 600mcghr Sandostatin IV Infusions el: 1 cu: MICU-A cg: RN ai: 127 vo: 8.3 vu: ml
t0: [01:00:00 24/10/2012] id: Sandostatin el: 3 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 49.8 du: mcghr sv: 100 su: ml rt: IV Drip
t0: [23:00:00 24/10/2012] dt: 1 id: Total Hourly Output el: 2 cu: MICU-A cg: RN cv: 0 ap: none t0: [23:00:00 24/10/2012] dt: 24 id: Stool Out Total el: 2 cu: MICU-A cg: RN cv: 50 ap: none t0: [23:00:00 24/10/2012] dt: 24 id: Urine Out Total el: 2 cu: MICU-A cg: RN cv: 1160 ap: none t0: [23:00:00 24/10/2012] dt: 24 id: 24h Total Out el: 2 cu: MICU-A cg: RN cv: 1610 ap: none
t0: [01:46:00 24/10/2012] id: Blood Products Hematology el: 0 cu: MICU-A cg: 1663 v1: Y rs: Final st: NotStopd
t0: [22:00:00 23/10/2012] id: Procedures el: 0 cu: MICU-A cg: RN v1: Other/Remarks st: NotStopd t0: [02:00:00 24/10/2012] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [02:00:00 24/10/2012] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [02:00:00 24/10/2012] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [02:00:00 24/10/2012] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [02:00:00 24/10/2012] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [02:00:00 24/10/2012] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 61 u1: BPM st: NotStopd t0: [02:00:00 24/10/2012] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [02:00:00 24/10/2012] id: NBP el: 0 cu: MICU-A cg: RN v1: 107 u1: mmHg v2: 52 u2: mmHg st: NotStopd t0: [02:00:00 24/10/2012] id: NBP Mean el: 0 cu: MICU-A cg: RN v1: 70.3333 u1: mmHg st: NotStopd t0: [02:00:00 24/10/2012] id: Precautions el: 0 cu: MICU-A cg: RN v1: Contact st: NotStopd t0: [02:00:00 24/10/2012] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 92 u1: kg st: NotStopd t0: [02:00:00 24/10/2012] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 17 u1: BPM st: NotStopd t0: [02:00:00 24/10/2012] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 98 u1: % st: NotStopd t0: [02:00:00 24/10/2012] id: Temp. Site el: 0 cu: MICU-A cg: RN v1: Oral st: NotStopd t0: [02:00:00 24/10/2012] id: Temperature C (calc) el: 0 cu: MICU-A cg: RN v1: 36.7222 u1: Deg. C st: NotStopd t0: [02:00:00 24/10/2012] id: Temperature F el: 0 cu: MICU-A cg: RN v1: 98.1 u1: Deg. F st: NotStopd t0: [02:00:00 24/10/2012] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [02:00:00 24/10/2012] id: Fresh Frozen Plasma IV Infusions el: 1 cu: MICU-A cg: RN ai: 155 vo: 270 vu: ml t0: [02:00:00 24/10/2012] id: D5/.45NS 50.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 112 vo: 75 vu: ml t0: [02:00:00 24/10/2012] id: .9% Normal Saline 100.0ml + 600mcghr Sandostatin IV Infusions el: 1 cu: MICU-A cg: RN ai: 127 vo: 8.3 vu: ml
t0: [02:00:00 24/10/2012] id: Sandostatin el: 3 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 49.8 du: mcghr sv: 100 su: ml rt: IV Drip
t0: [02:00:00 24/10/2012] id: Procedures el: 0 cu: MICU-A cg: RN v1: Other/Remarks st: NotStopd
t0: [02:00:00 24/10/2012] id: Hematocrit Hematology el: 0 cu: MICU-A cg: 1663 v1: 28.1 u1: % rs: Final st: NotStopd
t0: [02:00:00 24/10/2012] id: PT el: 0 cu: MICU-A cg: 1663 v1: 15.4 rs: Final st: NotStopd t0: [02:00:00 24/10/2012] id: INR Coags el: 0 cu: MICU-A cg: 1663 v1: 1.6 rs: Final st: NotStopd t0: [02:00:00 24/10/2012] id: PTT Coags el: 0 cu: MICU-A cg: 1663 v1: 35.6 rs: Final st: NotStopd t0: [02:00:00 24/10/2012] id: INR (2-4 ref. range) Coags el: 0 cu: MICU-A cg: 1663 v1: 1.6 rs: Final st: NotStopd t0: [02:00:00 24/10/2012] id: PT(11-13.5) Coags el: 0 cu: MICU-A cg: 1663 v1: 15.4 rs: Final st: NotStopd t0: [02:00:00 24/10/2012] id: PTT(22-35) Coags el: 0 cu: MICU-A cg: 1663 v1: 35.6 rs: Final st: NotStopd
t0: [03:00:00 24/10/2012] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [03:00:00 24/10/2012] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [03:00:00 24/10/2012] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [03:00:00 24/10/2012] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [03:00:00 24/10/2012] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [03:00:00 24/10/2012] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 60 u1: BPM st: NotStopd t0: [03:00:00 24/10/2012] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [03:00:00 24/10/2012] id: NBP el: 0 cu: MICU-A cg: RN v1: 105 u1: mmHg v2: 47 u2: mmHg st: NotStopd t0: [03:00:00 24/10/2012] id: NBP Mean el: 0 cu: MICU-A cg: RN v1: 66.3333 u1: mmHg st: NotStopd t0: [03:00:00 24/10/2012] id: Precautions el: 0 cu: MICU-A cg: RN v1: Contact st: NotStopd t0: [03:00:00 24/10/2012] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 92 u1: kg st: NotStopd t0: [03:00:00 24/10/2012] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 16 u1: BPM st: NotStopd t0: [03:00:00 24/10/2012] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 97 u1: % st: NotStopd t0: [03:00:00 24/10/2012] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [03:00:00 24/10/2012] id: Sandostatin el: 3 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 49.8 du: mcghr sv: 100 su: ml rt: IV Drip
t0: [03:00:00 24/10/2012] id: Temp. Site el: 0 cu: MICU-A cg: RN v1: Oral st: NotStopd t0: [03:00:00 24/10/2012] id: Temperature C (calc) el: 0 cu: MICU-A cg: RN v1: 36.9444 u1: Deg. C st: NotStopd t0: [03:00:00 24/10/2012] id: Temperature F el: 0 cu: MICU-A cg: RN v1: 98.5 u1: Deg. F st: NotStopd
t0: [03:00:00 24/10/2012] id: Packed RBC's IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 0 vu: ml nb: 1
t0: [23:00:00 24/10/2012] dt: 24 id: Blood Products Total el: 2 cu: MICU-A cg: RN cv: 1504 ap: none
t0: [03:30:00 24/10/2012] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [03:30:00 24/10/2012] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [03:30:00 24/10/2012] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [03:30:00 24/10/2012] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [03:30:00 24/10/2012] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [03:30:00 24/10/2012] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 62 u1: BPM st: NotStopd t0: [03:30:00 24/10/2012] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [03:30:00 24/10/2012] id: NBP el: 0 cu: MICU-A cg: RN v1: 108 u1: mmHg v2: 51 u2: mmHg st: NotStopd t0: [03:30:00 24/10/2012] id: NBP Mean el: 0 cu: MICU-A cg: RN v1: 70 u1: mmHg st: NotStopd t0: [03:30:00 24/10/2012] id: Precautions el: 0 cu: MICU-A cg: RN v1: Contact st: NotStopd t0: [03:30:00 24/10/2012] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 92 u1: kg st: NotStopd t0: [03:30:00 24/10/2012] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 13 u1: BPM st: NotStopd t0: [03:30:00 24/10/2012] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 98 u1: % st: NotStopd t0: [03:30:00 24/10/2012] id: Temp. Site el: 0 cu: MICU-A cg: RN v1: Oral st: NotStopd t0: [03:30:00 24/10/2012] id: Temperature C (calc) el: 0 cu: MICU-A cg: RN v1: 37 u1: Deg. C st: NotStopd t0: [03:30:00 24/10/2012] id: Temperature F el: 0 cu: MICU-A cg: RN v1: 98.6 u1: Deg. F st: NotStopd t0: [03:30:00 24/10/2012] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [04:00:00 24/10/2012] id: Pain Present el: 0 cu: MICU-A cg: RN v1: No st: NotStopd t0: [04:00:00 24/10/2012] id: Pain Assess Method el: 0 cu: MICU-A cg: RN v1: Pt Verbalized st: NotStopd t0: [04:00:00 24/10/2012] id: Riker-SAS Scale el: 0 cu: MICU-A cg: RN v1: Calm/Cooperative st: NotStopd t0: [04:00:00 24/10/2012] id: Daily Wake Up el: 1 cu: MICU-A cg: RN v1: No/Not Sedated st: NotStopd t0: [04:00:00 24/10/2012] id: GI Prophylaxis el: 0 cu: MICU-A cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [04:00:00 24/10/2012] id: Diet Type el: 0 cu: MICU-A cg: RN v1: NPO st: NotStopd t0: [04:00:00 24/10/2012] id: Eye Opening el: 0 cu: MICU-A cg: RN v1: 4 Spontaneously st: NotStopd t0: [04:00:00 24/10/2012] id: Follows Commands el: 0 cu: MICU-A cg: RN v1: Consistently st: NotStopd t0: [04:00:00 24/10/2012] id: GCS Total el: 0 cu: MICU-A cg: RN v1: 15 u1: points st: NotStopd t0: [04:00:00 24/10/2012] id: HOB el: 0 cu: MICU-A cg: RN v1: 30 degrees st: NotStopd t0: [04:00:00 24/10/2012] id: Abdominal Assessment el: 0 cu: MICU-A cg: RN v1: Soft Distended st: NotStopd t0: [04:00:00 24/10/2012] id: IV #1 Insert Date el: 0 cu: MICU-A cg: RN v1: 9 v2: 28 st: NotStopd t0: [04:00:00 24/10/2012] id: IV #1 Site/Size el: 0 cu: MICU-A cg: RN v1: Right Antecub v2: 20 gauge st: NotStopd t0: [04:00:00 24/10/2012] id: IV #3 Insert Date el: 0 cu: MICU-A cg: RN v1: 9 v2: 30 st: NotStopd t0: [04:00:00 24/10/2012] id: IV #3 Site/Size el: 0 cu: MICU-A cg: RN v1: Left Hand v2: 20 gauge st: NotStopd t0: [04:00:00 24/10/2012] id: IV #4 Insert Date el: 0 cu: MICU-A cg: RN v1: 9 v2: 30 st: NotStopd t0: [04:00:00 24/10/2012] id: IV #4 Site/Size el: 0 cu: MICU-A cg: RN v1: Left Antecub v2: 18 gauge st: NotStopd t0: [04:00:00 24/10/2012] id: Activity el: 0 cu: MICU-A cg: RN v1: Bedrest st: NotStopd t0: [04:00:00 24/10/2012] id: IV Site Appear #1 el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [04:00:00 24/10/2012] id: IV Site Appear #3 el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [04:00:00 24/10/2012] id: IV Site Appear #4 el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [04:00:00 24/10/2012] id: Activity Tolerance el: 0 cu: MICU-A cg: RN v1: Tolerated Well st: NotStopd t0: [04:00:00 24/10/2012] id: Level of Conscious el: 0 cu: MICU-A cg: RN v1: Alert st: NotStopd t0: [04:00:00 24/10/2012] id: Motor Response el: 0 cu: MICU-A cg: RN v1: 6 Obeys Commands st: NotStopd t0: [04:00:00 24/10/2012] id: O2 Delivery Device el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [04:00:00 24/10/2012] id: Oral Cavity el: 0 cu: MICU-A cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [04:00:00 24/10/2012] id: Orientation el: 0 cu: MICU-A cg: RN v1: Oriented x 3 st: NotStopd t0: [04:00:00 24/10/2012] id: AntiEmbDevice/Status el: 0 cu: MICU-A cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [04:00:00 24/10/2012] id: Pain Location el: 0 cu: MICU-A cg: RN v1: Not Indicated st: NotStopd t0: [04:00:00 24/10/2012] id: Assistance Device el: 0 cu: MICU-A cg: RN v1: Independent st: NotStopd t0: [04:00:00 24/10/2012] id: Respiratory Pattern el: 0 cu: MICU-A cg: RN v1: Regular st: NotStopd t0: [04:00:00 24/10/2012] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [04:00:00 24/10/2012] id: Skin Color el: 0 cu: MICU-A cg: RN v1: Jaundiced st: NotStopd t0: [04:00:00 24/10/2012] id: Skin Integrity el: 0 cu: MICU-A cg: RN v1: Intact st: NotStopd t0: [04:00:00 24/10/2012] id: Skin Temp/Condition el: 0 cu: MICU-A cg: RN v1: Warm v2: Dry st: NotStopd t0: [04:00:00 24/10/2012] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 97 u1: % st: NotStopd t0: [04:00:00 24/10/2012] id: Spontaneous Movement el: 0 cu: MICU-A cg: RN v1: Purposeful st: NotStopd t0: [04:00:00 24/10/2012] id: Support Systems el: 0 cu: MICU-A cg: RN v1: Spouse st: NotStopd t0: [04:00:00 24/10/2012] id: Turn el: 0 cu: MICU-A cg: RN v1: Turns by self st: NotStopd t0: [04:00:00 24/10/2012] id: Urine Color/Appear el: 0 cu: MICU-A cg: RN v1: Icteric v2: Clear st: NotStopd t0: [04:00:00 24/10/2012] id: Urine Source el: 0 cu: MICU-A cg: RN v1: Voids st: NotStopd t0: [04:00:00 24/10/2012] id: Verbal Response el: 0 cu: MICU-A cg: RN v1: 5 Oriented st: NotStopd t0: [04:00:00 24/10/2012] id: Behavior el: 0 cu: MICU-A cg: RN v1: Appropriate st: NotStopd t0: [04:00:00 24/10/2012] id: Bowel Sounds el: 0 cu: MICU-A cg: RN v1: Present st: NotStopd
t0: [04:00:00 24/10/2012] id: D5/.45NS 50.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 112 vo: 30 vu: ml t0: [04:00:00 24/10/2012] id: .9% Normal Saline 100.0ml + 600mcghr Sandostatin IV Infusions el: 1 cu: MICU-A cg: RN ai: 127 vo: 16.6 vu: ml
t0: [03:30:00 24/10/2012] id: Sandostatin el: 3 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 49.8 du: mcghr sv: 100 su: ml rt: IV Drip
t0: [04:00:00 24/10/2012] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [04:00:00 24/10/2012] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [04:00:00 24/10/2012] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [04:00:00 24/10/2012] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [04:00:00 24/10/2012] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [04:00:00 24/10/2012] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 56 u1: BPM st: NotStopd t0: [04:00:00 24/10/2012] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Sinus Brady st: NotStopd t0: [04:00:00 24/10/2012] id: NBP el: 0 cu: MICU-A cg: RN v1: 110 u1: mmHg v2: 46 u2: mmHg st: NotStopd t0: [04:00:00 24/10/2012] id: NBP Mean el: 0 cu: MICU-A cg: RN v1: 67.3333 u1: mmHg st: NotStopd t0: [04:00:00 24/10/2012] id: Precautions el: 0 cu: MICU-A cg: RN v1: Contact st: NotStopd t0: [04:00:00 24/10/2012] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 92 u1: kg st: NotStopd t0: [04:00:00 24/10/2012] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 16 u1: BPM st: NotStopd t0: [04:00:00 24/10/2012] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [04:00:00 24/10/2012] id: Sandostatin el: 3 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 49.8 du: mcghr sv: 100 su: ml rt: IV Drip
t0: [05:00:00 24/10/2012] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [05:00:00 24/10/2012] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [05:00:00 24/10/2012] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [05:00:00 24/10/2012] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [05:00:00 24/10/2012] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [05:00:00 24/10/2012] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 57 u1: BPM st: NotStopd t0: [05:00:00 24/10/2012] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Sinus Brady st: NotStopd t0: [05:00:00 24/10/2012] id: NBP el: 0 cu: MICU-A cg: RN v1: 104 u1: mmHg v2: 43 u2: mmHg st: NotStopd t0: [05:00:00 24/10/2012] id: NBP Mean el: 0 cu: MICU-A cg: RN v1: 63.3333 u1: mmHg st: NotStopd t0: [05:00:00 24/10/2012] id: Precautions el: 0 cu: MICU-A cg: RN v1: Contact st: NotStopd t0: [05:00:00 24/10/2012] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 92 u1: kg st: NotStopd t0: [05:00:00 24/10/2012] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 19 u1: BPM st: NotStopd t0: [05:00:00 24/10/2012] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 98 u1: % st: NotStopd t0: [05:00:00 24/10/2012] id: Temp. Site el: 0 cu: MICU-A cg: RN v1: Oral st: NotStopd t0: [05:00:00 24/10/2012] id: Temperature C (calc) el: 0 cu: MICU-A cg: RN v1: 36.7222 u1: Deg. C st: NotStopd t0: [05:00:00 24/10/2012] id: Temperature F el: 0 cu: MICU-A cg: RN v1: 98.1 u1: Deg. F st: NotStopd t0: [05:00:00 24/10/2012] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [05:00:00 24/10/2012] id: Urine Out Void el: 2 cu: MICU-A cg: RN vo: 200 vu: ml t0: [05:00:00 24/10/2012] id: .9% Normal Saline 100.0ml + 600mcghr Sandostatin IV Infusions el: 1 cu: MICU-A cg: RN ai: 127 vo: 8.3 vu: ml
t0: [05:00:00 24/10/2012] id: Sandostatin el: 3 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 49.8 du: mcghr sv: 100 su: ml rt: IV Drip
t0: [05:00:00 24/10/2012] id: D5/.45NS 50.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 112 vo: 10 vu: ml t0: [06:00:00 24/10/2012] id: D5/.45NS 50.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 112 vo: 10 vu: ml
t0: [06:00:00 24/10/2012] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [06:00:00 24/10/2012] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [06:00:00 24/10/2012] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [06:00:00 24/10/2012] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [06:00:00 24/10/2012] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [06:00:00 24/10/2012] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 60 u1: BPM st: NotStopd t0: [06:00:00 24/10/2012] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [06:00:00 24/10/2012] id: NBP el: 0 cu: MICU-A cg: RN v1: 105 u1: mmHg v2: 55 u2: mmHg st: NotStopd t0: [06:00:00 24/10/2012] id: NBP Mean el: 0 cu: MICU-A cg: RN v1: 71.6667 u1: mmHg st: NotStopd t0: [06:00:00 24/10/2012] id: Precautions el: 0 cu: MICU-A cg: RN v1: Contact st: NotStopd t0: [06:00:00 24/10/2012] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 92 u1: kg st: NotStopd t0: [06:00:00 24/10/2012] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 14 u1: BPM st: NotStopd t0: [06:00:00 24/10/2012] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 98 u1: % st: NotStopd t0: [06:00:00 24/10/2012] id: Temp. Site el: 0 cu: MICU-A cg: RN v1: Oral st: NotStopd t0: [06:00:00 24/10/2012] id: Temperature C (calc) el: 0 cu: MICU-A cg: RN v1: 36.5 u1: Deg. C st: NotStopd t0: [06:00:00 24/10/2012] id: Temperature F el: 0 cu: MICU-A cg: RN v1: 97.7 u1: Deg. F st: NotStopd t0: [06:00:00 24/10/2012] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [06:00:00 24/10/2012] tf: [08:00:00 24/10/2012] dt: 120 id: Packed RBC's IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 375 vu: ml
t0: [06:00:00 24/10/2012] id: Sandostatin el: 3 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 49.8 du: mcghr sv: 100 su: ml rt: IV Drip
t0: [06:00:00 24/10/2012] id: .9% Normal Saline 100.0ml + 600mcghr Sandostatin IV Infusions el: 1 cu: MICU-A cg: RN ai: 127 vo: 8.3 vu: ml nb: 1
t0: [06:30:00 24/10/2012] id: WBC (4-11,000) Hematology el: 0 cu: MICU-A cg: 1663 v1: 9.2 rs: Final st: NotStopd t0: [06:30:00 24/10/2012] id: WBC Hematology el: 0 cu: MICU-A cg: 1663 v1: 9.2 rs: Final st: NotStopd t0: [06:30:00 24/10/2012] id: Hematocrit Hematology el: 0 cu: MICU-A cg: 1663 v1: 29.3 u1: % rs: Final st: NotStopd t0: [06:30:00 24/10/2012] id: Hemoglobin Hematology el: 0 cu: MICU-A cg: 1663 v1: 9.9 u1: gm/dl rs: Final st: NotStopd t0: [06:30:00 24/10/2012] id: Platelets Hematology el: 0 cu: MICU-A cg: 1663 v1: 118 rs: Final st: NotStopd t0: [06:30:00 24/10/2012] id: RBC Hematology el: 0 cu: MICU-A cg: 1663 v1: 3.29 u1: /mic l rs: Final st: NotStopd t0: [06:30:00 24/10/2012] id: WBC (4-11,000) Hematology el: 0 cu: MICU-A cg: 1663 v1: 9.2 rs: Final st: NotStopd
t0: [06:30:00 24/10/2012] id: PT el: 0 cu: MICU-A cg: 1663 v1: 16.1 rs: Final st: NotStopd t0: [06:30:00 24/10/2012] id: INR Coags el: 0 cu: MICU-A cg: 1663 v1: 1.7 rs: Final st: NotStopd t0: [06:30:00 24/10/2012] id: PTT Coags el: 0 cu: MICU-A cg: 1663 v1: 37 rs: Final st: NotStopd t0: [06:30:00 24/10/2012] id: INR (2-4 ref. range) Coags el: 0 cu: MICU-A cg: 1663 v1: 1.7 rs: Final st: NotStopd t0: [06:30:00 24/10/2012] id: PT(11-13.5) Coags el: 0 cu: MICU-A cg: 1663 v1: 16.1 rs: Final st: NotStopd t0: [06:30:00 24/10/2012] id: PTT(22-35) Coags el: 0 cu: MICU-A cg: 1663 v1: 37 rs: Final st: NotStopd
t0: [06:30:00 24/10/2012] id: BUN el: 0 cu: MICU-A cg: 1663 v1: 17 rs: Final st: NotStopd t0: [06:30:00 24/10/2012] id: Calcium Chemistry el: 0 cu: MICU-A cg: 1663 v1: 8.6 u1: mg/dl rs: Final st: NotStopd t0: [06:30:00 24/10/2012] id: Chloride Chemistry el: 0 cu: MICU-A cg: 1663 v1: 110 rs: Final st: NotStopd t0: [06:30:00 24/10/2012] id: Creatinine Chemistry el: 0 cu: MICU-A cg: 1663 v1: 0.8 rs: Final st: NotStopd t0: [06:30:00 24/10/2012] id: Glucose Chemistry el: 0 cu: MICU-A cg: 1663 v1: 84 rs: Final st: NotStopd t0: [06:30:00 24/10/2012] id: Magnesium Chemistry el: 0 cu: MICU-A cg: 1663 v1: 1.7 rs: Final st: NotStopd t0: [06:30:00 24/10/2012] id: Phosphorous Chemistry el: 0 cu: MICU-A cg: 1663 v1: 3.1 u1: mEq/L rs: Final st: NotStopd t0: [06:30:00 24/10/2012] id: Potassium Chemistry el: 0 cu: MICU-A cg: 1663 v1: 4 rs: Final st: NotStopd t0: [06:30:00 24/10/2012] id: Sodium Chemistry el: 0 cu: MICU-A cg: 1663 v1: 135 rs: Final st: NotStopd t0: [06:30:00 24/10/2012] id: BUN (6-20) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 17 rs: Final st: NotStopd t0: [06:30:00 24/10/2012] id: Calcium (8.4-10.2) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 8.6 u1: mg/dl rs: Final st: NotStopd t0: [06:30:00 24/10/2012] id: Carbon Dioxide Chemistry el: 0 cu: MICU-A cg: 1663 v1: 16 rs: Final st: NotStopd t0: [06:30:00 24/10/2012] id: Chloride (100-112) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 110 rs: Final st: NotStopd t0: [06:30:00 24/10/2012] id: Creatinine (0-1.3) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 0.8 rs: Final st: NotStopd t0: [06:30:00 24/10/2012] id: Glucose (70-105) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 84 rs: Final st: NotStopd t0: [06:30:00 24/10/2012] id: Magnesium (1.6-2.6) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 1.7 rs: Final st: NotStopd t0: [06:30:00 24/10/2012] id: Phosphorous(2.7-4.5) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 3.1 u1: mEq/L rs: Final st: NotStopd t0: [06:30:00 24/10/2012] id: Potassium (3.5-5.3) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 4 rs: Final st: NotStopd t0: [06:30:00 24/10/2012] id: Sodium (135-148) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 135 rs: Final st: NotStopd
t0: [08:00:00 24/10/2012] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [08:00:00 24/10/2012] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [08:00:00 24/10/2012] id: GI Prophylaxis el: 0 cu: MICU-A cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [08:00:00 24/10/2012] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [08:00:00 24/10/2012] id: Diet Type el: 0 cu: MICU-A cg: RN v1: NPO st: NotStopd t0: [08:00:00 24/10/2012] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [08:00:00 24/10/2012] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [08:00:00 24/10/2012] id: Eye Opening el: 0 cu: MICU-A cg: RN v1: 4 Spontaneously st: NotStopd t0: [08:00:00 24/10/2012] id: Follows Commands el: 0 cu: MICU-A cg: RN v1: Consistently st: NotStopd t0: [08:00:00 24/10/2012] id: GCS Total el: 0 cu: MICU-A cg: RN v1: 15 u1: points st: NotStopd t0: [08:00:00 24/10/2012] id: HOB el: 0 cu: MICU-A cg: RN v1: 45 degrees st: NotStopd t0: [08:00:00 24/10/2012] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 58 u1: BPM st: NotStopd t0: [08:00:00 24/10/2012] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Sinus Brady st: NotStopd t0: [08:00:00 24/10/2012] id: Abdominal Assessment el: 0 cu: MICU-A cg: RN v1: Soft Distended st: NotStopd t0: [08:00:00 24/10/2012] id: IV #1 Insert Date el: 0 cu: MICU-A cg: RN v1: 9 v2: 28 st: NotStopd t0: [08:00:00 24/10/2012] id: IV #1 Site/Size el: 0 cu: MICU-A cg: RN v1: Right Antecub v2: 20 gauge st: NotStopd t0: [08:00:00 24/10/2012] id: IV #3 Insert Date el: 0 cu: MICU-A cg: RN v1: 9 v2: 30 st: NotStopd t0: [08:00:00 24/10/2012] id: IV #3 Site/Size el: 0 cu: MICU-A cg: RN v1: Left Hand v2: 20 gauge st: NotStopd t0: [08:00:00 24/10/2012] id: IV #4 Insert Date el: 0 cu: MICU-A cg: RN v1: 9 v2: 30 st: NotStopd t0: [08:00:00 24/10/2012] id: IV #4 Site/Size el: 0 cu: MICU-A cg: RN v1: Left Antecub v2: 18 gauge st: NotStopd t0: [08:00:00 24/10/2012] id: Activity el: 0 cu: MICU-A cg: RN v1: Bedrest st: NotStopd t0: [08:00:00 24/10/2012] id: IV Site Appear #1 el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [08:00:00 24/10/2012] id: IV Site Appear #3 el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [08:00:00 24/10/2012] id: IV Site Appear #4 el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [08:00:00 24/10/2012] id: Activity Tolerance el: 0 cu: MICU-A cg: RN v1: Tolerated Well st: NotStopd t0: [08:00:00 24/10/2012] id: LLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Crackles st: NotStopd t0: [08:00:00 24/10/2012] id: LUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Clear st: NotStopd t0: [08:00:00 24/10/2012] id: Level of Conscious el: 0 cu: MICU-A cg: RN v1: Alert st: NotStopd t0: [08:00:00 24/10/2012] id: Motor Response el: 0 cu: MICU-A cg: RN v1: 6 Obeys Commands st: NotStopd t0: [08:00:00 24/10/2012] id: NBP el: 0 cu: MICU-A cg: RN v1: 102 u1: mmHg v2: 50 u2: mmHg st: NotStopd t0: [08:00:00 24/10/2012] id: NBP Mean el: 0 cu: MICU-A cg: RN v1: 67.3333 u1: mmHg st: NotStopd t0: [08:00:00 24/10/2012] id: Oral Cavity el: 0 cu: MICU-A cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [08:00:00 24/10/2012] id: Orientation el: 0 cu: MICU-A cg: RN v1: Oriented x 3 st: NotStopd t0: [08:00:00 24/10/2012] id: AntiEmbDevice/Status el: 0 cu: MICU-A cg: RN v1: Compress Sleeves v2: Off st: NotStopd t0: [08:00:00 24/10/2012] id: Precautions el: 0 cu: MICU-A cg: RN v1: Contact st: NotStopd t0: [08:00:00 24/10/2012] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 92 u1: kg st: NotStopd t0: [08:00:00 24/10/2012] id: RLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Crackles st: NotStopd t0: [08:00:00 24/10/2012] id: RUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Clear st: NotStopd t0: [08:00:00 24/10/2012] id: Respiratory Pattern el: 0 cu: MICU-A cg: RN v1: Regular st: NotStopd t0: [08:00:00 24/10/2012] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 16 u1: BPM st: NotStopd t0: [08:00:00 24/10/2012] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [08:00:00 24/10/2012] id: Skin Color el: 0 cu: MICU-A cg: RN v1: Jaundiced st: NotStopd t0: [08:00:00 24/10/2012] id: Skin Integrity el: 0 cu: MICU-A cg: RN v1: Intact st: NotStopd t0: [08:00:00 24/10/2012] id: Skin Temp/Condition el: 0 cu: MICU-A cg: RN v1: Warm v2: Dry st: NotStopd t0: [08:00:00 24/10/2012] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 95 u1: % st: NotStopd t0: [08:00:00 24/10/2012] id: Spontaneous Movement el: 0 cu: MICU-A cg: RN v1: Purposeful st: NotStopd t0: [08:00:00 24/10/2012] id: Support Systems el: 0 cu: MICU-A cg: RN v1: Spouse st: NotStopd t0: [08:00:00 24/10/2012] id: Temp. Site el: 0 cu: MICU-A cg: RN v1: Oral st: NotStopd t0: [08:00:00 24/10/2012] id: Temperature C (calc) el: 0 cu: MICU-A cg: RN v1: 37.1667 u1: Deg. C st: NotStopd t0: [08:00:00 24/10/2012] id: Temperature F el: 0 cu: MICU-A cg: RN v1: 98.9 u1: Deg. F st: NotStopd t0: [08:00:00 24/10/2012] id: Turn el: 0 cu: MICU-A cg: RN v1: Turns by self st: NotStopd t0: [08:00:00 24/10/2012] id: Urine Color/Appear el: 0 cu: MICU-A cg: RN v1: Icteric v2: Cloudy st: NotStopd t0: [08:00:00 24/10/2012] id: Urine Source el: 0 cu: MICU-A cg: RN v1: Voids st: NotStopd t0: [08:00:00 24/10/2012] id: Verbal Response el: 0 cu: MICU-A cg: RN v1: 5 Oriented st: NotStopd t0: [08:00:00 24/10/2012] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [08:00:00 24/10/2012] id: Behavior el: 0 cu: MICU-A cg: RN v1: Anxious st: NotStopd t0: [08:00:00 24/10/2012] id: Bowel Sounds el: 0 cu: MICU-A cg: RN v1: Present st: NotStopd t0: [08:00:00 24/10/2012] id: Braden Activity el: 0 cu: MICU-A cg: RN v1: Bedfast st: NotStopd t0: [08:00:00 24/10/2012] id: Braden Frict/Shear el: 0 cu: MICU-A cg: RN v1: Potential Prob st: NotStopd t0: [08:00:00 24/10/2012] id: Braden Mobility el: 0 cu: MICU-A cg: RN v1: Sl. Limited st: NotStopd t0: [08:00:00 24/10/2012] id: Braden Moisture el: 0 cu: MICU-A cg: RN v1: Rarely Moist st: NotStopd t0: [08:00:00 24/10/2012] id: Braden Nutrition el: 0 cu: MICU-A cg: RN v1: Prob. Inadequate st: NotStopd t0: [08:00:00 24/10/2012] id: Braden Score el: 0 cu: MICU-A cg: RN v1: 15 u1: number st: NotStopd t0: [08:00:00 24/10/2012] id: Braden SensoryPercep el: 0 cu: MICU-A cg: RN v1: Sl. Limited st: NotStopd t0: [08:15:00 24/10/2012] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [08:15:00 24/10/2012] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [08:15:00 24/10/2012] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [08:15:00 24/10/2012] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [08:15:00 24/10/2012] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [08:15:00 24/10/2012] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 55 u1: BPM st: NotStopd t0: [08:15:00 24/10/2012] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Sinus Brady st: NotStopd t0: [08:15:00 24/10/2012] id: NBP el: 0 cu: MICU-A cg: RN v1: 101 u1: mmHg v2: 41 u2: mmHg st: NotStopd t0: [08:15:00 24/10/2012] id: NBP Mean el: 0 cu: MICU-A cg: RN v1: 61 u1: mmHg st: NotStopd t0: [08:15:00 24/10/2012] id: Precautions el: 0 cu: MICU-A cg: RN v1: Contact st: NotStopd t0: [08:15:00 24/10/2012] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 15 u1: BPM st: NotStopd t0: [08:15:00 24/10/2012] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 97 u1: % st: NotStopd t0: [08:15:00 24/10/2012] id: Temperature C (calc) el: 0 cu: MICU-A cg: RN v1: 37.0556 u1: Deg. C st: NotStopd t0: [08:15:00 24/10/2012] id: Temperature F el: 0 cu: MICU-A cg: RN v1: 98.7 u1: Deg. F st: NotStopd t0: [08:15:00 24/10/2012] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [08:00:00 24/10/2012] id: IV Piggyback IV Infusions el: 1 cu: MICU-A cg: RN ai: 209 vo: 100 vu: ml t0: [08:00:00 24/10/2012] id: Packed RBC's IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 0 vu: ml nb: 1 t0: [08:00:00 24/10/2012] id: D5/.45NS 50.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 112 vo: 150 vu: ml st: Stopped t0: [08:00:00 24/10/2012] id: Urine Out Void el: 2 cu: MICU-A cg: RN vo: 100 vu: ml t0: [08:00:00 24/10/2012] id: .9% Normal Saline 100.0ml + 600mcghr Sandostatin IV Infusions el: 1 cu: MICU-A cg: RN ai: 127 vo: 16.6 vu: ml
t0: [08:00:00 24/10/2012] id: Sandostatin el: 3 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 49.8 du: mcghr sv: 100 su: ml rt: IV Drip t0: [08:15:00 24/10/2012] id: Sandostatin el: 3 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 49.8 du: mcghr sv: 100 su: ml rt: IV Drip
t0: [08:00:00 24/10/2012] id: Riker-SAS Scale el: 0 cu: MICU-A cg: RN v1: Calm/Cooperative st: NotStopd t0: [09:00:00 24/10/2012] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [09:00:00 24/10/2012] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [09:00:00 24/10/2012] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [09:00:00 24/10/2012] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [09:00:00 24/10/2012] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [09:00:00 24/10/2012] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 54 u1: BPM st: NotStopd t0: [09:00:00 24/10/2012] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Sinus Brady st: NotStopd t0: [09:00:00 24/10/2012] id: NBP el: 0 cu: MICU-A cg: RN v1: 101 u1: mmHg v2: 41 u2: mmHg st: NotStopd t0: [09:00:00 24/10/2012] id: NBP Mean el: 0 cu: MICU-A cg: RN v1: 61 u1: mmHg st: NotStopd t0: [09:00:00 24/10/2012] id: Precautions el: 0 cu: MICU-A cg: RN v1: Contact st: NotStopd t0: [09:00:00 24/10/2012] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 17 u1: BPM st: NotStopd t0: [09:00:00 24/10/2012] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 97 u1: % st: NotStopd t0: [09:00:00 24/10/2012] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [09:00:00 24/10/2012] id: .9% Normal Saline 100.0ml + 600mcghr Sandostatin IV Infusions el: 1 cu: MICU-A cg: RN ai: 127 vo: 8.3 vu: ml
t0: [09:00:00 24/10/2012] id: Sandostatin el: 3 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 49.8 du: mcghr sv: 100 su: ml rt: IV Drip
t0: [10:00:00 24/10/2012] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [10:00:00 24/10/2012] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [10:00:00 24/10/2012] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [10:00:00 24/10/2012] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [10:00:00 24/10/2012] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [10:00:00 24/10/2012] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 55 u1: BPM st: NotStopd t0: [10:00:00 24/10/2012] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Sinus Brady st: NotStopd t0: [10:00:00 24/10/2012] id: NBP el: 0 cu: MICU-A cg: RN v1: 101 u1: mmHg v2: 46 u2: mmHg st: NotStopd t0: [10:00:00 24/10/2012] id: NBP Mean el: 0 cu: MICU-A cg: RN v1: 64.3333 u1: mmHg st: NotStopd t0: [10:00:00 24/10/2012] id: Precautions el: 0 cu: MICU-A cg: RN v1: Contact st: NotStopd t0: [10:00:00 24/10/2012] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 17 u1: BPM st: NotStopd t0: [10:00:00 24/10/2012] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 97 u1: % st: NotStopd t0: [10:00:00 24/10/2012] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [10:15:00 24/10/2012] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [10:15:00 24/10/2012] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [10:15:00 24/10/2012] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [10:15:00 24/10/2012] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [10:15:00 24/10/2012] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [10:15:00 24/10/2012] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 54 u1: BPM st: NotStopd t0: [10:15:00 24/10/2012] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Sinus Brady st: NotStopd t0: [10:15:00 24/10/2012] id: NBP el: 0 cu: MICU-A cg: RN v1: 101 u1: mmHg v2: 46 u2: mmHg st: NotStopd t0: [10:15:00 24/10/2012] id: NBP Mean el: 0 cu: MICU-A cg: RN v1: 64.3333 u1: mmHg st: NotStopd t0: [10:15:00 24/10/2012] id: Precautions el: 0 cu: MICU-A cg: RN v1: Contact st: NotStopd t0: [10:15:00 24/10/2012] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 17 u1: BPM st: NotStopd t0: [10:15:00 24/10/2012] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 99 u1: % st: NotStopd t0: [10:15:00 24/10/2012] id: Temp. Site el: 0 cu: MICU-A cg: RN v1: Oral st: NotStopd t0: [10:15:00 24/10/2012] id: Temperature C (calc) el: 0 cu: MICU-A cg: RN v1: 37.3889 u1: Deg. C st: NotStopd t0: [10:15:00 24/10/2012] id: Temperature F el: 0 cu: MICU-A cg: RN v1: 99.3 u1: Deg. F st: NotStopd t0: [10:15:00 24/10/2012] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [10:15:00 24/10/2012] tf: [10:15:00 25/10/2012] dt: 1440 id: Packed RBC's IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 375 vu: ml t0: [10:15:00 24/10/2012] id: .9% Normal Saline 100.0ml + 600mcghr Sandostatin IV Infusions el: 1 cu: MICU-A cg: RN ai: 127 vo: 10.375 vu: ml
t0: [10:00:00 24/10/2012] id: Sandostatin el: 3 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 49.8 du: mcghr sv: 100 su: ml rt: IV Drip t0: [10:15:00 24/10/2012] id: Sandostatin el: 3 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 49.8 du: mcghr sv: 100 su: ml rt: IV Drip
t0: [10:30:00 24/10/2012] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [10:30:00 24/10/2012] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [10:30:00 24/10/2012] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [10:30:00 24/10/2012] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [10:30:00 24/10/2012] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [10:30:00 24/10/2012] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 52 u1: BPM st: NotStopd t0: [10:30:00 24/10/2012] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Sinus Brady st: NotStopd t0: [10:30:00 24/10/2012] id: NBP el: 0 cu: MICU-A cg: RN v1: 102 u1: mmHg v2: 46 u2: mmHg st: NotStopd t0: [10:30:00 24/10/2012] id: NBP Mean el: 0 cu: MICU-A cg: RN v1: 64.6667 u1: mmHg st: NotStopd t0: [10:30:00 24/10/2012] id: Precautions el: 0 cu: MICU-A cg: RN v1: Contact st: NotStopd t0: [10:30:00 24/10/2012] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 14 u1: BPM st: NotStopd t0: [10:30:00 24/10/2012] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [10:30:00 24/10/2012] id: Fresh Frozen Plasma IV Infusions el: 1 cu: MICU-A cg: RN ai: 155 vo: 206 vu: ml t0: [10:30:00 24/10/2012] id: .9% Normal Saline 100.0ml + 600mcghr Sandostatin IV Infusions el: 1 cu: MICU-A cg: RN ai: 127 vo: 2.075 vu: ml
t0: [10:30:00 24/10/2012] id: Sandostatin el: 3 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 49.8 du: mcghr sv: 100 su: ml rt: IV Drip
t0: [11:00:00 24/10/2012] id: Service Type el: 0 cu: MICU-A cg: Co-Wk v1: MICU st: NotStopd t0: [11:00:00 24/10/2012] id: Code Status el: 0 cu: MICU-A cg: Co-Wk v1: Full Code st: NotStopd t0: [11:00:00 24/10/2012] id: Risk for Falls el: 0 cu: MICU-A cg: Co-Wk v1: Yes st: NotStopd t0: [11:00:00 24/10/2012] id: Ectopy Frequency el: 0 cu: MICU-A cg: Co-Wk v1: None st: NotStopd t0: [11:00:00 24/10/2012] id: Ectopy Type el: 0 cu: MICU-A cg: Co-Wk v1: None st: NotStopd t0: [11:00:00 24/10/2012] id: Heart Rate el: 0 cu: MICU-A cg: Co-Wk v1: 53 u1: BPM st: NotStopd t0: [11:00:00 24/10/2012] id: Heart Rhythm el: 0 cu: MICU-A cg: Co-Wk v1: Sinus Brady st: NotStopd t0: [11:00:00 24/10/2012] id: NBP el: 0 cu: MICU-A cg: Co-Wk v1: 94 u1: mmHg v2: 56 u2: mmHg st: NotStopd t0: [11:00:00 24/10/2012] id: NBP Mean el: 0 cu: MICU-A cg: Co-Wk v1: 68.6667 u1: mmHg st: NotStopd t0: [11:00:00 24/10/2012] id: Precautions el: 0 cu: MICU-A cg: Co-Wk v1: Contact st: NotStopd t0: [11:00:00 24/10/2012] id: Procedures el: 0 cu: MICU-A cg: Co-Wk v1: Angiography st: NotStopd t0: [11:00:00 24/10/2012] id: Respiratory Rate el: 0 cu: MICU-A cg: Co-Wk v1: 15 u1: BPM st: NotStopd t0: [11:00:00 24/10/2012] id: calprevflg el: 0 cu: MICU-A cg: Co-Wk v1: 1 u1: kg st: NotStopd
t0: [11:00:00 24/10/2012] id: Sandostatin el: 3 cu: MICU-A cg: Co-Wk so: .9% Normal Saline vo: 0 v1: 49.8 du: mcghr sv: 100 su: ml rt: IV Drip
t0: [12:15:00 24/10/2012] id: Blood Products Hematology el: 0 cu: MICU-A cg: 1663 v1: Y rs: Final st: NotStopd
id: OR Crystalloid el: 1 cu: MICU-A cg: RN io: OR Crystalloid OR Intake du: ml rt: Intravenous Push id: OR FFP el: 1 cu: MICU-A cg: RN io: OR FFP OR Intake du: ml rt: Intravenous Push
t0: [15:05:00 24/10/2012] id: bath el: 1 cu: MICU-A cg: RN v1: done t0: [15:05:00 24/10/2012] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [15:05:00 24/10/2012] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [15:05:00 24/10/2012] id: GI Prophylaxis el: 0 cu: MICU-A cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [15:05:00 24/10/2012] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [15:05:00 24/10/2012] id: Diet Type el: 0 cu: MICU-A cg: RN v1: NPO st: NotStopd t0: [15:05:00 24/10/2012] id: Eye Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [15:05:00 24/10/2012] id: Eye Opening el: 0 cu: MICU-A cg: RN v1: 4 Spontaneously st: NotStopd t0: [15:05:00 24/10/2012] id: Family Communication el: 0 cu: MICU-A cg: RN v1: Family Called st: NotStopd t0: [15:05:00 24/10/2012] id: Follows Commands el: 0 cu: MICU-A cg: RN v1: Consistently st: NotStopd t0: [15:05:00 24/10/2012] id: GCS Total el: 0 cu: MICU-A cg: RN v1: 15 u1: points st: NotStopd t0: [15:05:00 24/10/2012] id: HOB el: 0 cu: MICU-A cg: RN v1: 30 degrees st: NotStopd t0: [15:05:00 24/10/2012] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 71 u1: BPM st: NotStopd t0: [15:05:00 24/10/2012] id: INV Line#1 Type/Site el: 0 cu: MICU-A cg: RN v1: A-Line v2: Left Radial st: NotStopd t0: [15:05:00 24/10/2012] id: INV Line#1 Zero/Cal el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [15:05:00 24/10/2012] id: INV Line#1InsertDate el: 0 cu: MICU-A cg: RN v1: 10 v2: 1 st: NotStopd t0: [15:05:00 24/10/2012] id: INV Line#1SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [15:05:00 24/10/2012] id: INV Line#2 Type/Site el: 0 cu: MICU-A cg: RN v1: Multi-lumen v2: Right IJ st: NotStopd t0: [15:05:00 24/10/2012] id: INV Line#2InsertDate el: 0 cu: MICU-A cg: RN v1: 10 v2: 1 st: NotStopd t0: [15:05:00 24/10/2012] id: INV Line#2SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [15:05:00 24/10/2012] id: Abdominal Assessment el: 0 cu: MICU-A cg: RN v1: Soft Distended st: NotStopd t0: [15:05:00 24/10/2012] id: INV#1 WaveformAppear el: 0 cu: MICU-A cg: RN v1: Sharp st: NotStopd t0: [15:05:00 24/10/2012] id: IV #1 Insert Date el: 0 cu: MICU-A cg: RN v1: 9 v2: 28 st: NotStopd t0: [15:05:00 24/10/2012] id: IV #1 Site/Size el: 0 cu: MICU-A cg: RN v1: Right Antecub v2: 20 gauge st: NotStopd t0: [15:05:00 24/10/2012] id: IV #3 Insert Date el: 0 cu: MICU-A cg: RN v1: 9 v2: 30 st: NotStopd t0: [15:05:00 24/10/2012] id: IV #3 Site/Size el: 0 cu: MICU-A cg: RN v1: Left Hand v2: 20 gauge st: NotStopd t0: [15:05:00 24/10/2012] id: IV #4 Insert Date el: 0 cu: MICU-A cg: RN v1: 9 v2: 30 st: NotStopd t0: [15:05:00 24/10/2012] id: IV #4 Site/Size el: 0 cu: MICU-A cg: RN v1: Left Antecub v2: 18 gauge st: NotStopd t0: [15:05:00 24/10/2012] id: Activity el: 0 cu: MICU-A cg: RN v1: Bedrest st: NotStopd t0: [15:05:00 24/10/2012] id: IV Site Appear #1 el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [15:05:00 24/10/2012] id: IV Site Appear #3 el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [15:05:00 24/10/2012] id: IV Site Appear #4 el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [15:05:00 24/10/2012] id: Activity Tolerance el: 0 cu: MICU-A cg: RN v1: Tolerated Well st: NotStopd t0: [15:05:00 24/10/2012] id: LLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Diminished st: NotStopd t0: [15:05:00 24/10/2012] id: LUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Clear st: NotStopd t0: [15:05:00 24/10/2012] id: Level of Conscious el: 0 cu: MICU-A cg: RN v1: Sedated st: NotStopd t0: [15:05:00 24/10/2012] id: Motor Response el: 0 cu: MICU-A cg: RN v1: 6 Obeys Commands st: NotStopd t0: [15:05:00 24/10/2012] id: O2 Delivery Device el: 0 cu: MICU-A cg: RN v1: Medium Conc Mask st: NotStopd t0: [15:05:00 24/10/2012] id: O2 Flow (lpm) el: 0 cu: MICU-A cg: RN v1: 6 u1: lpm st: NotStopd t0: [15:05:00 24/10/2012] id: Oral Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [15:05:00 24/10/2012] id: Oral Cavity el: 0 cu: MICU-A cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [15:05:00 24/10/2012] id: Orientation el: 0 cu: MICU-A cg: RN v1: Oriented x 3 st: NotStopd t0: [15:05:00 24/10/2012] id: AntiEmbDevice/Status el: 0 cu: MICU-A cg: RN v1: Compress Sleeves v2: Off st: NotStopd t0: [15:05:00 24/10/2012] id: Position el: 0 cu: MICU-A cg: RN v1: Supine st: NotStopd t0: [15:05:00 24/10/2012] id: Assistance Device el: 0 cu: MICU-A cg: RN v1: 2 Person Assist st: NotStopd t0: [15:05:00 24/10/2012] id: Precautions el: 0 cu: MICU-A cg: RN v1: Contact st: NotStopd t0: [15:05:00 24/10/2012] id: RLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Diminished st: NotStopd t0: [15:05:00 24/10/2012] id: RUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Clear st: NotStopd t0: [15:05:00 24/10/2012] id: Respiratory Pattern el: 0 cu: MICU-A cg: RN v1: Regular st: NotStopd t0: [15:05:00 24/10/2012] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 12 u1: BPM st: NotStopd t0: [15:05:00 24/10/2012] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [15:05:00 24/10/2012] id: Skin Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [15:05:00 24/10/2012] id: Skin Color el: 0 cu: MICU-A cg: RN v1: Jaundiced st: NotStopd t0: [15:05:00 24/10/2012] id: Skin Integrity el: 0 cu: MICU-A cg: RN v1: Intact st: NotStopd t0: [15:05:00 24/10/2012] id: Skin Temp/Condition el: 0 cu: MICU-A cg: RN v1: Warm v2: Dry st: NotStopd t0: [15:05:00 24/10/2012] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 94 u1: % st: NotStopd t0: [15:05:00 24/10/2012] id: Spontaneous Movement el: 0 cu: MICU-A cg: RN v1: Purposeful st: NotStopd t0: [15:05:00 24/10/2012] id: Support Systems el: 0 cu: MICU-A cg: RN v1: Spouse st: NotStopd t0: [15:05:00 24/10/2012] id: Temp. Site el: 0 cu: MICU-A cg: RN v1: Oral st: NotStopd t0: [15:05:00 24/10/2012] id: Temperature C (calc) el: 0 cu: MICU-A cg: RN v1: 36.6667 u1: Deg. C st: NotStopd t0: [15:05:00 24/10/2012] id: Temperature F el: 0 cu: MICU-A cg: RN v1: 98 u1: Deg. F st: NotStopd t0: [15:05:00 24/10/2012] id: Turn el: 0 cu: MICU-A cg: RN v1: Side to Side st: NotStopd t0: [15:05:00 24/10/2012] id: Urine Color/Appear el: 0 cu: MICU-A cg: RN v1: Icteric v2: Cloudy st: NotStopd t0: [15:05:00 24/10/2012] id: Urine Source el: 0 cu: MICU-A cg: RN v1: Voids st: NotStopd t0: [15:05:00 24/10/2012] id: Verbal Response el: 0 cu: MICU-A cg: RN v1: 5 Oriented st: NotStopd t0: [15:05:00 24/10/2012] id: Back Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [15:05:00 24/10/2012] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [15:05:00 24/10/2012] id: Fingerstick Glucose Chemistry el: 0 cu: MICU-A cg: RN v1: 77 rs: Manual st: NotStopd t0: [15:05:00 24/10/2012] id: Bowel Sounds el: 0 cu: MICU-A cg: RN v1: Present st: NotStopd t0: [15:05:00 24/10/2012] id: Braden Activity el: 0 cu: MICU-A cg: RN v1: Bedfast st: NotStopd t0: [15:05:00 24/10/2012] id: Braden Frict/Shear el: 0 cu: MICU-A cg: RN v1: Potential Prob st: NotStopd t0: [15:05:00 24/10/2012] id: Braden Mobility el: 0 cu: MICU-A cg: RN v1: Very Limited st: NotStopd t0: [15:05:00 24/10/2012] id: Braden Moisture el: 0 cu: MICU-A cg: RN v1: Rarely Moist st: NotStopd t0: [15:05:00 24/10/2012] id: Braden Nutrition el: 0 cu: MICU-A cg: RN v1: Prob. Inadequate st: NotStopd t0: [15:05:00 24/10/2012] id: Braden Score el: 0 cu: MICU-A cg: RN v1: 13 u1: number st: NotStopd t0: [15:05:00 24/10/2012] id: Braden SensoryPercep el: 0 cu: MICU-A cg: RN v1: Very Limited st: NotStopd t0: [15:30:00 24/10/2012] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [15:30:00 24/10/2012] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [15:30:00 24/10/2012] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [15:30:00 24/10/2012] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 70 u1: BPM st: NotStopd t0: [15:30:00 24/10/2012] id: Precautions el: 0 cu: MICU-A cg: RN v1: Contact st: NotStopd t0: [15:30:00 24/10/2012] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 19 u1: BPM st: NotStopd t0: [15:30:00 24/10/2012] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 99 u1: % st: NotStopd t0: [15:30:00 24/10/2012] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [15:00:00 24/10/2012] tf: [21:09:00 25/10/2012] dt: 1809 id: OR Crystalloid OR Intake el: 1 cu: MICU-A cg: RN ai: 106 vo: 2000 vu: ml t0: [15:00:00 24/10/2012] tf: [21:09:00 25/10/2012] dt: 1809 id: OR FFP OR Intake el: 1 cu: MICU-A cg: RN ai: 158 vo: 247 vu: ml t0: [15:00:00 24/10/2012] tf: [21:09:00 25/10/2012] dt: 1809 id: OR Out OR Urine el: 1 cu: MICU-A cg: RN vo: 400 vu: ml
t0: [15:05:00 24/10/2012] id: Sandostatin el: 3 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 49.8 du: mcghr sv: 100 su: ml rt: IV Drip t0: [15:30:00 24/10/2012] id: Sandostatin el: 3 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 49.8 du: mcghr sv: 100 su: ml rt: IV Drip
t0: [15:05:00 24/10/2012] id: NBP el: 0 cu: MICU-A cg: RN u1: mmHg u2: mmHg st: NotStopd t0: [15:05:00 24/10/2012] id: NBP Mean el: 0 cu: MICU-A cg: RN u1: mmHg st: NotStopd t0: [15:05:00 24/10/2012] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 118 u1: mmHg v2: 56 u2: mmHg st: NotStopd t0: [15:05:00 24/10/2012] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 74 u1: mmHg st: NotStopd t0: [15:15:00 24/10/2012] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [15:15:00 24/10/2012] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [15:15:00 24/10/2012] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [15:15:00 24/10/2012] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 129 u1: mmHg v2: 66 u2: mmHg st: NotStopd t0: [15:15:00 24/10/2012] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 88 u1: mmHg st: NotStopd t0: [15:15:00 24/10/2012] id: Precautions el: 0 cu: MICU-A cg: RN v1: Contact st: NotStopd t0: [15:15:00 24/10/2012] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 14 u1: BPM st: NotStopd t0: [15:15:00 24/10/2012] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 97 u1: % st: NotStopd t0: [15:30:00 24/10/2012] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 128 u1: mmHg v2: 62 u2: mmHg st: NotStopd t0: [15:30:00 24/10/2012] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 82 u1: mmHg st: NotStopd
t0: [15:15:00 24/10/2012] id: Sandostatin el: 3 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 49.8 du: mcghr sv: 100 su: ml rt: IV Drip
t0: [15:00:00 24/10/2012] id: Riker-SAS Scale el: 0 cu: MICU-A cg: RN v1: Sedated st: NotStopd t0: [16:00:00 24/10/2012] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [16:00:00 24/10/2012] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [16:00:00 24/10/2012] id: Riker-SAS Scale el: 0 cu: MICU-A cg: RN v1: Calm/Cooperative st: NotStopd t0: [16:00:00 24/10/2012] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [16:00:00 24/10/2012] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 72 u1: BPM st: NotStopd t0: [16:00:00 24/10/2012] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 131 u1: mmHg v2: 64 u2: mmHg st: NotStopd t0: [16:00:00 24/10/2012] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 83 u1: mmHg st: NotStopd t0: [16:00:00 24/10/2012] id: Precautions el: 0 cu: MICU-A cg: RN v1: Contact st: NotStopd t0: [16:00:00 24/10/2012] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 18 u1: BPM st: NotStopd t0: [16:00:00 24/10/2012] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 95 u1: % st: NotStopd t0: [16:00:00 24/10/2012] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [16:00:00 24/10/2012] id: D5/.45NS 50.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 112 vo: 0 vu: ml nb: 1 t0: [16:00:00 24/10/2012] id: .9% Normal Saline 100.0ml + 600mcghr Sandostatin IV Infusions el: 1 cu: MICU-A cg: RN ai: 127 vo: 0 vu: ml nb: 1
t0: [16:00:00 24/10/2012] id: Sandostatin el: 3 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 49.8 du: mcghr sv: 100 su: ml rt: IV Drip
t0: [16:00:00 24/10/2012] id: O2 Delivery Device el: 0 cu: MICU-A cg: RN v1: Nasal Cannula st: NotStopd t0: [16:00:00 24/10/2012] id: O2 Flow (lpm) el: 0 cu: MICU-A cg: RN v1: 2 u1: lpm st: NotStopd
t0: [16:30:00 24/10/2012] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [16:30:00 24/10/2012] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [16:30:00 24/10/2012] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [16:30:00 24/10/2012] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 70 u1: BPM st: NotStopd t0: [16:30:00 24/10/2012] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 126 u1: mmHg v2: 61 u2: mmHg st: NotStopd t0: [16:30:00 24/10/2012] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 81 u1: mmHg st: NotStopd t0: [16:30:00 24/10/2012] id: Precautions el: 0 cu: MICU-A cg: RN v1: Contact st: NotStopd t0: [16:30:00 24/10/2012] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 21 u1: BPM st: NotStopd t0: [16:30:00 24/10/2012] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 98 u1: % st: NotStopd t0: [16:30:00 24/10/2012] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [16:30:00 24/10/2012] id: Sandostatin el: 3 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 49.8 du: mcghr sv: 100 su: ml rt: IV Drip
t0: [15:30:00 24/10/2012] id: Hematocrit Hematology el: 0 cu: MICU-A cg: 1663 v1: 31.2 u1: % rs: Final st: NotStopd
t0: [15:30:00 24/10/2012] id: PT el: 0 cu: MICU-A cg: 1663 v1: 15 rs: Final st: NotStopd t0: [15:30:00 24/10/2012] id: INR Coags el: 0 cu: MICU-A cg: 1663 v1: 1.5 rs: Final st: NotStopd t0: [15:30:00 24/10/2012] id: PTT Coags el: 0 cu: MICU-A cg: 1663 v1: 40.7 rs: Final st: NotStopd t0: [15:30:00 24/10/2012] id: INR (2-4 ref. range) Coags el: 0 cu: MICU-A cg: 1663 v1: 1.5 rs: Final st: NotStopd t0: [15:30:00 24/10/2012] id: PT(11-13.5) Coags el: 0 cu: MICU-A cg: 1663 v1: 15 rs: Final st: NotStopd t0: [15:30:00 24/10/2012] id: PTT(22-35) Coags el: 0 cu: MICU-A cg: 1663 v1: 40.7 rs: Final st: NotStopd
t0: [17:00:00 24/10/2012] id: HOB el: 0 cu: MICU-A cg: RN v1: 45 degrees st: NotStopd t0: [17:00:00 24/10/2012] id: Activity el: 0 cu: MICU-A cg: RN v1: Bedrest st: NotStopd t0: [17:00:00 24/10/2012] id: Activity Tolerance el: 0 cu: MICU-A cg: RN v1: Tolerated Well st: NotStopd t0: [17:00:00 24/10/2012] id: Oral Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [17:00:00 24/10/2012] id: AntiEmbDevice/Status el: 0 cu: MICU-A cg: RN v1: Compress Sleeves v2: Off st: NotStopd t0: [17:00:00 24/10/2012] id: Position el: 0 cu: MICU-A cg: RN v1: Supine st: NotStopd t0: [17:00:00 24/10/2012] id: Assistance Device el: 0 cu: MICU-A cg: RN v1: 2 Person Assist st: NotStopd t0: [17:00:00 24/10/2012] id: Skin Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [17:00:00 24/10/2012] id: Turn el: 0 cu: MICU-A cg: RN v1: Side to Side st: NotStopd t0: [17:00:00 24/10/2012] id: Back Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd
t0: [15:00:00 24/10/2012] id: INV Line#1 Type/Site el: 0 cu: MICU-A cg: RN v1: A-Line v2: Left Radial st: NotStopd t0: [15:00:00 24/10/2012] id: INV Line#1 Zero/Cal el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [15:00:00 24/10/2012] id: INV Line#1InsertDate el: 0 cu: MICU-A cg: RN v1: 10 v2: 1 st: NotStopd t0: [15:00:00 24/10/2012] id: INV Line#1SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [15:00:00 24/10/2012] id: INV Line#2 Type/Site el: 0 cu: MICU-A cg: RN v1: Multi-lumen v2: Right IJ st: NotStopd t0: [15:00:00 24/10/2012] id: INV Line#2InsertDate el: 0 cu: MICU-A cg: RN v1: 10 v2: 1 st: NotStopd t0: [15:00:00 24/10/2012] id: INV Line#2SiteAppear el: 0 cu: MICU-A cg: RN v1: Bleeding st: NotStopd t0: [15:00:00 24/10/2012] id: INV#1 WaveformAppear el: 0 cu: MICU-A cg: RN v1: Sharp st: NotStopd t0: [15:00:00 24/10/2012] id: IV #1 Insert Date el: 0 cu: MICU-A cg: RN v1: 9 v2: 28 st: NotStopd t0: [15:00:00 24/10/2012] id: IV #1 Site/Size el: 0 cu: MICU-A cg: RN v1: Right Antecub v2: 20 gauge st: NotStopd t0: [15:00:00 24/10/2012] id: IV #3 Insert Date el: 0 cu: MICU-A cg: RN v1: 9 v2: 30 st: NotStopd t0: [15:00:00 24/10/2012] id: IV #3 Site/Size el: 0 cu: MICU-A cg: RN v1: Left Hand v2: 20 gauge st: NotStopd t0: [15:00:00 24/10/2012] id: IV #4 Insert Date el: 0 cu: MICU-A cg: RN v1: 9 v2: 30 st: NotStopd t0: [15:00:00 24/10/2012] id: IV #4 Site/Size el: 0 cu: MICU-A cg: RN v1: Left Antecub v2: 18 gauge st: NotStopd
t0: [15:00:00 24/10/2012] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [15:00:00 24/10/2012] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [15:00:00 24/10/2012] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [15:30:00 24/10/2012] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [15:30:00 24/10/2012] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [15:30:00 24/10/2012] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [16:00:00 24/10/2012] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [16:00:00 24/10/2012] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [16:00:00 24/10/2012] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [16:30:00 24/10/2012] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [16:30:00 24/10/2012] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [16:30:00 24/10/2012] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [17:00:00 24/10/2012] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [17:00:00 24/10/2012] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [17:00:00 24/10/2012] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [17:00:00 24/10/2012] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [17:00:00 24/10/2012] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [17:00:00 24/10/2012] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 68 u1: BPM st: NotStopd t0: [17:00:00 24/10/2012] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [17:00:00 24/10/2012] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 132 u1: mmHg v2: 64 u2: mmHg st: NotStopd t0: [17:00:00 24/10/2012] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 84 u1: mmHg st: NotStopd t0: [17:00:00 24/10/2012] id: Precautions el: 0 cu: MICU-A cg: RN v1: Contact st: NotStopd t0: [17:00:00 24/10/2012] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 15 u1: BPM st: NotStopd t0: [17:00:00 24/10/2012] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 98 u1: % st: NotStopd t0: [17:00:00 24/10/2012] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [17:30:00 24/10/2012] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [17:30:00 24/10/2012] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [17:30:00 24/10/2012] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [17:30:00 24/10/2012] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [17:30:00 24/10/2012] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [17:30:00 24/10/2012] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 70 u1: BPM st: NotStopd t0: [17:30:00 24/10/2012] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [17:30:00 24/10/2012] id: NBP el: 0 cu: MICU-A cg: RN v1: 98 u1: mmHg v2: 74 u2: mmHg st: NotStopd t0: [17:30:00 24/10/2012] id: NBP Mean el: 0 cu: MICU-A cg: RN v1: 82 u1: mmHg st: NotStopd t0: [17:30:00 24/10/2012] id: Precautions el: 0 cu: MICU-A cg: RN v1: Contact st: NotStopd t0: [17:30:00 24/10/2012] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 20 u1: BPM st: NotStopd t0: [17:30:00 24/10/2012] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 99 u1: % st: NotStopd t0: [17:30:00 24/10/2012] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [17:00:00 24/10/2012] id: Sandostatin el: 3 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 49.8 du: mcghr sv: 100 su: ml rt: IV Drip t0: [17:30:00 24/10/2012] id: Sandostatin el: 3 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 49.8 du: mcghr sv: 100 su: ml rt: IV Drip
t0: [15:00:00 24/10/2012] id: INV Line#1 D/C Date el: 0 cu: MICU-A cg: RN st: NotStopd t0: [17:00:00 24/10/2012] id: INV Line#1 D/C Date el: 0 cu: MICU-A cg: RN v1: 10 v2: 1 st: NotStopd t0: [17:00:00 24/10/2012] id: INV Line#1 Type/Site el: 0 cu: MICU-A cg: RN v1: A-Line v2: Left Radial st: NotStopd t0: [17:00:00 24/10/2012] id: INV Line#1InsertDate el: 0 cu: MICU-A cg: RN v1: 10 v2: 1 st: NotStopd t0: [17:00:00 24/10/2012] id: INV Line#2 Type/Site el: 0 cu: MICU-A cg: RN v1: Multi-lumen v2: Right IJ st: NotStopd t0: [17:00:00 24/10/2012] id: INV Line#2InsertDate el: 0 cu: MICU-A cg: RN v1: 10 v2: 1 st: NotStopd t0: [17:00:00 24/10/2012] id: INV Line#2SiteAppear el: 0 cu: MICU-A cg: RN v1: Bleeding st: NotStopd t0: [17:00:00 24/10/2012] id: IV #1 Insert Date el: 0 cu: MICU-A cg: RN v1: 9 v2: 28 st: NotStopd t0: [17:00:00 24/10/2012] id: IV #1 Site/Size el: 0 cu: MICU-A cg: RN v1: Right Antecub v2: 20 gauge st: NotStopd t0: [17:00:00 24/10/2012] id: IV #3 Insert Date el: 0 cu: MICU-A cg: RN v1: 9 v2: 30 st: NotStopd t0: [17:00:00 24/10/2012] id: IV #3 Site/Size el: 0 cu: MICU-A cg: RN v1: Left Hand v2: 20 gauge st: NotStopd t0: [17:00:00 24/10/2012] id: IV #4 Insert Date el: 0 cu: MICU-A cg: RN v1: 9 v2: 30 st: NotStopd t0: [17:00:00 24/10/2012] id: IV #4 Site/Size el: 0 cu: MICU-A cg: RN v1: Left Antecub v2: 18 gauge st: NotStopd t0: [17:00:00 24/10/2012] id: IV Site Appear #1 el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [17:00:00 24/10/2012] id: IV Site Appear #3 el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [17:00:00 24/10/2012] id: IV Site Appear #4 el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd
t0: [17:00:00 24/10/2012] tf: [14:00:00 25/10/2012] dt: 1260 id: D5/.45NS 50.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 112 vo: 75 vu: ml t0: [17:00:00 24/10/2012] tf: [21:09:00 25/10/2012] dt: 1689 id: Urine Out Foley el: 2 cu: MICU-A cg: RN vo: 200 vu: ml t0: [17:00:00 24/10/2012] tf: [10:00:00 25/10/2012] dt: 1020 id: .9% Normal Saline 100.0ml + 600mcghr Sandostatin IV Infusions el: 1 cu: MICU-A cg: RN ai: 127 vo: 8.3 vu: ml
t0: [18:00:00 24/10/2012] id: Fingerstick Glucose Chemistry el: 0 cu: MICU-A cg: Co-Wk v1: 89 rs: Manual st: NotStopd
t0: [18:00:00 24/10/2012] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [18:00:00 24/10/2012] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [18:00:00 24/10/2012] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [18:00:00 24/10/2012] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [18:00:00 24/10/2012] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [18:00:00 24/10/2012] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 68 u1: BPM st: NotStopd t0: [18:00:00 24/10/2012] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [18:00:00 24/10/2012] id: NBP el: 0 cu: MICU-A cg: RN v1: 95 u1: mmHg v2: 37 u2: mmHg st: NotStopd t0: [18:00:00 24/10/2012] id: NBP Mean el: 0 cu: MICU-A cg: RN v1: 56.3333 u1: mmHg st: NotStopd t0: [18:00:00 24/10/2012] id: Precautions el: 0 cu: MICU-A cg: RN v1: Contact st: NotStopd t0: [18:00:00 24/10/2012] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 18 u1: BPM st: NotStopd t0: [18:00:00 24/10/2012] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 99 u1: % st: NotStopd t0: [18:00:00 24/10/2012] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [18:00:00 24/10/2012] id: D5/.45NS 50.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 112 vo: 75 vu: ml t0: [18:00:00 24/10/2012] id: Urine Out Foley el: 2 cu: MICU-A cg: RN vo: 100 vu: ml t0: [18:00:00 24/10/2012] id: .9% Normal Saline 100.0ml + 600mcghr Sandostatin IV Infusions el: 1 cu: MICU-A cg: RN ai: 127 vo: 8.3 vu: ml
t0: [18:00:00 24/10/2012] id: Sandostatin el: 3 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 49.8 du: mcghr sv: 100 su: ml rt: IV Drip
t0: [18:30:00 24/10/2012] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [18:30:00 24/10/2012] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [18:30:00 24/10/2012] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [18:30:00 24/10/2012] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [18:30:00 24/10/2012] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [18:30:00 24/10/2012] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 71 u1: BPM st: NotStopd t0: [18:30:00 24/10/2012] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [18:30:00 24/10/2012] id: NBP el: 0 cu: MICU-A cg: RN v1: 97 u1: mmHg v2: 52 u2: mmHg st: NotStopd t0: [18:30:00 24/10/2012] id: NBP Mean el: 0 cu: MICU-A cg: RN v1: 67 u1: mmHg st: NotStopd t0: [18:30:00 24/10/2012] id: Precautions el: 0 cu: MICU-A cg: RN v1: Contact st: NotStopd t0: [18:30:00 24/10/2012] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 20 u1: BPM st: NotStopd t0: [18:30:00 24/10/2012] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 94 u1: % st: NotStopd t0: [18:30:00 24/10/2012] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [19:00:00 24/10/2012] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [19:00:00 24/10/2012] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [19:00:00 24/10/2012] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [19:00:00 24/10/2012] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [19:00:00 24/10/2012] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [19:00:00 24/10/2012] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 73 u1: BPM st: NotStopd t0: [19:00:00 24/10/2012] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [19:00:00 24/10/2012] id: NBP el: 0 cu: MICU-A cg: RN v1: 101 u1: mmHg v2: 49 u2: mmHg st: NotStopd t0: [19:00:00 24/10/2012] id: NBP Mean el: 0 cu: MICU-A cg: RN v1: 66.3333 u1: mmHg st: NotStopd t0: [19:00:00 24/10/2012] id: Precautions el: 0 cu: MICU-A cg: RN v1: Contact st: NotStopd t0: [19:00:00 24/10/2012] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 20 u1: BPM st: NotStopd t0: [19:00:00 24/10/2012] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 95 u1: % st: NotStopd t0: [19:00:00 24/10/2012] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [18:30:00 24/10/2012] id: Sandostatin el: 3 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 49.8 du: mcghr sv: 100 su: ml rt: IV Drip t0: [19:00:00 24/10/2012] id: Sandostatin el: 3 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 49.8 du: mcghr sv: 100 su: ml rt: IV Drip
t0: [19:45:00 24/10/2012] id: Hematocrit Hematology el: 0 cu: MICU-A cg: 1663 v1: 30.5 u1: % rs: Final st: NotStopd
t0: [20:00:00 24/10/2012] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [20:00:00 24/10/2012] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [20:00:00 24/10/2012] id: Riker-SAS Scale el: 0 cu: MICU-A cg: RN v1: Calm/Cooperative st: NotStopd t0: [20:00:00 24/10/2012] id: GI Prophylaxis el: 0 cu: MICU-A cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [20:00:00 24/10/2012] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [20:00:00 24/10/2012] id: Diet Type el: 0 cu: MICU-A cg: RN v1: Clear Liquid st: NotStopd t0: [20:00:00 24/10/2012] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [20:00:00 24/10/2012] id: Eye Opening el: 0 cu: MICU-A cg: RN v1: 4 Spontaneously st: NotStopd t0: [20:00:00 24/10/2012] id: Follows Commands el: 0 cu: MICU-A cg: RN v1: Consistently st: NotStopd t0: [20:00:00 24/10/2012] id: GCS Total el: 0 cu: MICU-A cg: RN v1: 15 u1: points st: NotStopd t0: [20:00:00 24/10/2012] id: HOB el: 0 cu: MICU-A cg: RN v1: 45 degrees st: NotStopd t0: [20:00:00 24/10/2012] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 71 u1: BPM st: NotStopd t0: [20:00:00 24/10/2012] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [20:00:00 24/10/2012] id: INV Line#2 Type/Site el: 0 cu: MICU-A cg: RN v1: Multi-lumen v2: Right IJ st: NotStopd t0: [20:00:00 24/10/2012] id: INV Line#2InsertDate el: 0 cu: MICU-A cg: RN v1: 10 v2: 1 st: NotStopd t0: [20:00:00 24/10/2012] id: INV Line#2SiteAppear el: 0 cu: MICU-A cg: RN v1: Other/Remarks st: NotStopd t0: [20:00:00 24/10/2012] id: Abdominal Assessment el: 0 cu: MICU-A cg: RN v1: Soft Distended st: NotStopd t0: [20:00:00 24/10/2012] id: IV #1 Insert Date el: 0 cu: MICU-A cg: RN v1: 9 v2: 28 st: NotStopd t0: [20:00:00 24/10/2012] id: IV #1 Site/Size el: 0 cu: MICU-A cg: RN v1: Right Antecub v2: 20 gauge st: NotStopd t0: [20:00:00 24/10/2012] id: IV #3 Insert Date el: 0 cu: MICU-A cg: RN v1: 9 v2: 30 st: NotStopd t0: [20:00:00 24/10/2012] id: IV #3 Site/Size el: 0 cu: MICU-A cg: RN v1: Left Hand v2: 20 gauge st: NotStopd t0: [20:00:00 24/10/2012] id: IV #4 Insert Date el: 0 cu: MICU-A cg: RN v1: 9 v2: 30 st: NotStopd t0: [20:00:00 24/10/2012] id: IV #4 Site/Size el: 0 cu: MICU-A cg: RN v1: Left Antecub v2: 18 gauge st: NotStopd t0: [20:00:00 24/10/2012] id: Activity el: 0 cu: MICU-A cg: RN v1: Bedrest st: NotStopd t0: [20:00:00 24/10/2012] id: IV Site Appear #1 el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [20:00:00 24/10/2012] id: IV Site Appear #3 el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [20:00:00 24/10/2012] id: IV Site Appear #4 el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [20:00:00 24/10/2012] id: Activity Tolerance el: 0 cu: MICU-A cg: RN v1: Good st: NotStopd t0: [20:00:00 24/10/2012] id: LLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Diminished st: NotStopd t0: [20:00:00 24/10/2012] id: LUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Clear st: NotStopd t0: [20:00:00 24/10/2012] id: Level of Conscious el: 0 cu: MICU-A cg: RN v1: Alert st: NotStopd t0: [20:00:00 24/10/2012] id: Motor Response el: 0 cu: MICU-A cg: RN v1: 6 Obeys Commands st: NotStopd t0: [20:00:00 24/10/2012] id: NBP el: 0 cu: MICU-A cg: RN v1: 112 u1: mmHg v2: 40 u2: mmHg st: NotStopd t0: [20:00:00 24/10/2012] id: NBP Mean el: 0 cu: MICU-A cg: RN v1: 64 u1: mmHg st: NotStopd t0: [20:00:00 24/10/2012] id: O2 Delivery Device el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [20:00:00 24/10/2012] id: Oral Cavity el: 0 cu: MICU-A cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [20:00:00 24/10/2012] id: Orientation el: 0 cu: MICU-A cg: RN v1: Oriented x 3 st: NotStopd t0: [20:00:00 24/10/2012] id: AntiEmbDevice/Status el: 0 cu: MICU-A cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [20:00:00 24/10/2012] id: Position el: 0 cu: MICU-A cg: RN v1: Supine st: NotStopd t0: [20:00:00 24/10/2012] id: Assistance Device el: 0 cu: MICU-A cg: RN v1: Supervised st: NotStopd t0: [20:00:00 24/10/2012] id: Precautions el: 0 cu: MICU-A cg: RN v1: Contact st: NotStopd t0: [20:00:00 24/10/2012] id: RLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Diminished st: NotStopd t0: [20:00:00 24/10/2012] id: RUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Clear st: NotStopd t0: [20:00:00 24/10/2012] id: Respiratory Pattern el: 0 cu: MICU-A cg: RN v1: Regular st: NotStopd t0: [20:00:00 24/10/2012] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 20 u1: BPM st: NotStopd t0: [20:00:00 24/10/2012] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [20:00:00 24/10/2012] id: Skin Color el: 0 cu: MICU-A cg: RN v1: Jaundiced st: NotStopd t0: [20:00:00 24/10/2012] id: Skin Integrity el: 0 cu: MICU-A cg: RN v1: Intact st: NotStopd t0: [20:00:00 24/10/2012] id: Skin Temp/Condition el: 0 cu: MICU-A cg: RN v1: Warm v2: Dry st: NotStopd t0: [20:00:00 24/10/2012] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 95 u1: % st: NotStopd t0: [20:00:00 24/10/2012] id: Spontaneous Movement el: 0 cu: MICU-A cg: RN v1: Purposeful st: NotStopd t0: [20:00:00 24/10/2012] id: Support Systems el: 0 cu: MICU-A cg: RN v1: Spouse st: NotStopd t0: [20:00:00 24/10/2012] id: Temp. Site el: 0 cu: MICU-A cg: RN v1: Oral st: NotStopd t0: [20:00:00 24/10/2012] id: Temperature C (calc) el: 0 cu: MICU-A cg: RN v1: 37.1667 u1: Deg. C st: NotStopd t0: [20:00:00 24/10/2012] id: Temperature F el: 0 cu: MICU-A cg: RN v1: 98.9 u1: Deg. F st: NotStopd t0: [20:00:00 24/10/2012] id: Turn el: 0 cu: MICU-A cg: RN v1: Turns by self st: NotStopd t0: [20:00:00 24/10/2012] id: Urine Color/Appear el: 0 cu: MICU-A cg: RN v1: Amber v2: Clear st: NotStopd t0: [20:00:00 24/10/2012] id: Urine Source el: 0 cu: MICU-A cg: RN v1: Voids st: NotStopd t0: [20:00:00 24/10/2012] id: Verbal Response el: 0 cu: MICU-A cg: RN v1: 5 Oriented st: NotStopd t0: [20:00:00 24/10/2012] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [20:00:00 24/10/2012] id: Bowel Sounds el: 0 cu: MICU-A cg: RN v1: Present st: NotStopd t0: [20:00:00 24/10/2012] id: Braden Activity el: 0 cu: MICU-A cg: RN v1: Bedfast st: NotStopd t0: [20:00:00 24/10/2012] id: Braden Frict/Shear el: 0 cu: MICU-A cg: RN v1: Potential Prob st: NotStopd t0: [20:00:00 24/10/2012] id: Braden Mobility el: 0 cu: MICU-A cg: RN v1: Very Limited st: NotStopd t0: [20:00:00 24/10/2012] id: Braden Moisture el: 0 cu: MICU-A cg: RN v1: Occ. Moist st: NotStopd t0: [20:00:00 24/10/2012] id: Braden Nutrition el: 0 cu: MICU-A cg: RN v1: Prob. Inadequate st: NotStopd t0: [20:00:00 24/10/2012] id: Braden Score el: 0 cu: MICU-A cg: RN v1: 13 u1: number st: NotStopd t0: [20:00:00 24/10/2012] id: Braden SensoryPercep el: 0 cu: MICU-A cg: RN v1: Sl. Limited st: NotStopd t0: [21:00:00 24/10/2012] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [21:00:00 24/10/2012] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [21:00:00 24/10/2012] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [21:00:00 24/10/2012] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [21:00:00 24/10/2012] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 66 u1: BPM st: NotStopd t0: [21:00:00 24/10/2012] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [21:00:00 24/10/2012] id: NBP el: 0 cu: MICU-A cg: RN v1: 108 u1: mmHg v2: 47 u2: mmHg st: NotStopd t0: [21:00:00 24/10/2012] id: NBP Mean el: 0 cu: MICU-A cg: RN v1: 67.3333 u1: mmHg st: NotStopd t0: [21:00:00 24/10/2012] id: Precautions el: 0 cu: MICU-A cg: RN v1: Contact st: NotStopd t0: [21:00:00 24/10/2012] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 18 u1: BPM st: NotStopd t0: [21:00:00 24/10/2012] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 97 u1: % st: NotStopd t0: [21:00:00 24/10/2012] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [20:00:00 24/10/2012] id: D5/.45NS 50.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 112 vo: 150 vu: ml t0: [20:00:00 24/10/2012] id: Urine Out Foley el: 2 cu: MICU-A cg: RN vo: 140 vu: ml t0: [20:00:00 24/10/2012] id: .9% Normal Saline 100.0ml + 600mcghr Sandostatin IV Infusions el: 1 cu: MICU-A cg: RN ai: 127 vo: 16.6 vu: ml t0: [21:00:00 24/10/2012] id: D5/.45NS 50.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 112 vo: 75 vu: ml t0: [21:00:00 24/10/2012] id: .9% Normal Saline 100.0ml + 600mcghr Sandostatin IV Infusions el: 1 cu: MICU-A cg: RN ai: 127 vo: 8.3 vu: ml
t0: [20:00:00 24/10/2012] id: Sandostatin el: 3 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 49.8 du: mcghr sv: 100 su: ml rt: IV Drip t0: [21:00:00 24/10/2012] id: Sandostatin el: 3 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 49.8 du: mcghr sv: 100 su: ml rt: IV Drip
t0: [22:00:00 24/10/2012] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [22:00:00 24/10/2012] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [22:00:00 24/10/2012] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [22:00:00 24/10/2012] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [22:00:00 24/10/2012] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 66 u1: BPM st: NotStopd t0: [22:00:00 24/10/2012] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [22:00:00 24/10/2012] id: NBP el: 0 cu: MICU-A cg: RN v1: 109 u1: mmHg v2: 43 u2: mmHg st: NotStopd t0: [22:00:00 24/10/2012] id: NBP Mean el: 0 cu: MICU-A cg: RN v1: 65 u1: mmHg st: NotStopd t0: [22:00:00 24/10/2012] id: Precautions el: 0 cu: MICU-A cg: RN v1: Contact st: NotStopd t0: [22:00:00 24/10/2012] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 18 u1: BPM st: NotStopd t0: [22:00:00 24/10/2012] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 97 u1: % st: NotStopd t0: [22:00:00 24/10/2012] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [23:00:00 24/10/2012] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [23:00:00 24/10/2012] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [23:00:00 24/10/2012] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [23:00:00 24/10/2012] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [23:00:00 24/10/2012] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 61 u1: BPM st: NotStopd t0: [23:00:00 24/10/2012] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [23:00:00 24/10/2012] id: NBP el: 0 cu: MICU-A cg: RN v1: 104 u1: mmHg v2: 41 u2: mmHg st: NotStopd t0: [23:00:00 24/10/2012] id: NBP Mean el: 0 cu: MICU-A cg: RN v1: 62 u1: mmHg st: NotStopd t0: [23:00:00 24/10/2012] id: Precautions el: 0 cu: MICU-A cg: RN v1: Contact st: NotStopd t0: [23:00:00 24/10/2012] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 15 u1: BPM st: NotStopd t0: [23:00:00 24/10/2012] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 93 u1: % st: NotStopd t0: [23:00:00 24/10/2012] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [22:00:00 24/10/2012] id: D5/.45NS 50.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 112 vo: 75 vu: ml t0: [22:00:00 24/10/2012] id: Urine Out Foley el: 2 cu: MICU-A cg: RN vo: 120 vu: ml t0: [22:00:00 24/10/2012] id: .9% Normal Saline 100.0ml + 600mcghr Sandostatin IV Infusions el: 1 cu: MICU-A cg: RN ai: 127 vo: 8.3 vu: ml t0: [23:00:00 24/10/2012] id: D5/.45NS 50.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 112 vo: 75 vu: ml t0: [23:00:00 24/10/2012] id: .9% Normal Saline 100.0ml + 600mcghr Sandostatin IV Infusions el: 1 cu: MICU-A cg: RN ai: 127 vo: 8.3 vu: ml
t0: [22:00:00 24/10/2012] id: Sandostatin el: 3 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 49.8 du: mcghr sv: 100 su: ml rt: IV Drip t0: [23:00:00 24/10/2012] id: Sandostatin el: 3 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 49.8 du: mcghr sv: 100 su: ml rt: IV Drip
t0: [22:00:00 24/10/2012] id: Back Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [00:00:00 25/10/2012] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [00:00:00 25/10/2012] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [00:00:00 25/10/2012] id: Riker-SAS Scale el: 0 cu: MICU-A cg: RN v1: Calm/Cooperative st: NotStopd t0: [00:00:00 25/10/2012] id: GI Prophylaxis el: 0 cu: MICU-A cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [00:00:00 25/10/2012] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [00:00:00 25/10/2012] id: Diet Type el: 0 cu: MICU-A cg: RN v1: Clear Liquid st: NotStopd t0: [00:00:00 25/10/2012] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [00:00:00 25/10/2012] id: Eye Opening el: 0 cu: MICU-A cg: RN v1: 3 To speech st: NotStopd t0: [00:00:00 25/10/2012] id: Follows Commands el: 0 cu: MICU-A cg: RN v1: Consistently st: NotStopd t0: [00:00:00 25/10/2012] id: GCS Total el: 0 cu: MICU-A cg: RN v1: 14 u1: points st: NotStopd t0: [00:00:00 25/10/2012] id: HOB el: 0 cu: MICU-A cg: RN v1: 30 degrees st: NotStopd t0: [00:00:00 25/10/2012] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 62 u1: BPM st: NotStopd t0: [00:00:00 25/10/2012] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [00:00:00 25/10/2012] id: INV Line#2 Type/Site el: 0 cu: MICU-A cg: RN v1: Multi-lumen v2: Right IJ st: NotStopd t0: [00:00:00 25/10/2012] id: INV Line#2InsertDate el: 0 cu: MICU-A cg: RN v1: 10 v2: 1 st: NotStopd t0: [00:00:00 25/10/2012] id: INV Line#2SiteAppear el: 0 cu: MICU-A cg: RN v1: Other/Remarks st: NotStopd t0: [00:00:00 25/10/2012] id: Abdominal Assessment el: 0 cu: MICU-A cg: RN v1: Soft Distended st: NotStopd t0: [00:00:00 25/10/2012] id: IV #1 Insert Date el: 0 cu: MICU-A cg: RN v1: 9 v2: 28 st: NotStopd t0: [00:00:00 25/10/2012] id: IV #1 Site/Size el: 0 cu: MICU-A cg: RN v1: Right Antecub v2: 20 gauge st: NotStopd t0: [00:00:00 25/10/2012] id: IV #3 Insert Date el: 0 cu: MICU-A cg: RN v1: 9 v2: 30 st: NotStopd t0: [00:00:00 25/10/2012] id: IV #3 Site/Size el: 0 cu: MICU-A cg: RN v1: Left Hand v2: 20 gauge st: NotStopd t0: [00:00:00 25/10/2012] id: IV #4 Insert Date el: 0 cu: MICU-A cg: RN v1: 9 v2: 30 st: NotStopd t0: [00:00:00 25/10/2012] id: IV #4 Site/Size el: 0 cu: MICU-A cg: RN v1: Left Antecub v2: 18 gauge st: NotStopd t0: [00:00:00 25/10/2012] id: Activity el: 0 cu: MICU-A cg: RN v1: Bedrest st: NotStopd t0: [00:00:00 25/10/2012] id: IV Site Appear #1 el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [00:00:00 25/10/2012] id: IV Site Appear #3 el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [00:00:00 25/10/2012] id: IV Site Appear #4 el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [00:00:00 25/10/2012] id: Activity Tolerance el: 0 cu: MICU-A cg: RN v1: Good st: NotStopd t0: [00:00:00 25/10/2012] id: LLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Diminished st: NotStopd t0: [00:00:00 25/10/2012] id: LUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Clear st: NotStopd t0: [00:00:00 25/10/2012] id: Level of Conscious el: 0 cu: MICU-A cg: RN v1: Sleeping st: NotStopd t0: [00:00:00 25/10/2012] id: Motor Response el: 0 cu: MICU-A cg: RN v1: 6 Obeys Commands st: NotStopd t0: [00:00:00 25/10/2012] id: NBP el: 0 cu: MICU-A cg: RN v1: 94 u1: mmHg v2: 37 u2: mmHg st: NotStopd t0: [00:00:00 25/10/2012] id: NBP Mean el: 0 cu: MICU-A cg: RN v1: 56 u1: mmHg st: NotStopd t0: [00:00:00 25/10/2012] id: O2 Delivery Device el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [00:00:00 25/10/2012] id: Oral Cavity el: 0 cu: MICU-A cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [00:00:00 25/10/2012] id: Orientation el: 0 cu: MICU-A cg: RN v1: Oriented x 3 st: NotStopd t0: [00:00:00 25/10/2012] id: AntiEmbDevice/Status el: 0 cu: MICU-A cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [00:00:00 25/10/2012] id: Position el: 0 cu: MICU-A cg: RN v1: Left Side st: NotStopd t0: [00:00:00 25/10/2012] id: Assistance Device el: 0 cu: MICU-A cg: RN v1: Independent st: NotStopd t0: [00:00:00 25/10/2012] id: Precautions el: 0 cu: MICU-A cg: RN v1: Contact st: NotStopd t0: [00:00:00 25/10/2012] id: RLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Diminished st: NotStopd t0: [00:00:00 25/10/2012] id: RUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Clear st: NotStopd t0: [00:00:00 25/10/2012] id: Respiratory Pattern el: 0 cu: MICU-A cg: RN v1: Regular st: NotStopd t0: [00:00:00 25/10/2012] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 13 u1: BPM st: NotStopd t0: [00:00:00 25/10/2012] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [00:00:00 25/10/2012] id: Skin Color el: 0 cu: MICU-A cg: RN v1: Jaundiced st: NotStopd t0: [00:00:00 25/10/2012] id: Skin Integrity el: 0 cu: MICU-A cg: RN v1: Intact st: NotStopd t0: [00:00:00 25/10/2012] id: Skin Temp/Condition el: 0 cu: MICU-A cg: RN v1: Warm v2: Dry st: NotStopd t0: [00:00:00 25/10/2012] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 95 u1: % st: NotStopd t0: [00:00:00 25/10/2012] id: Spontaneous Movement el: 0 cu: MICU-A cg: RN v1: Purposeful st: NotStopd t0: [00:00:00 25/10/2012] id: Support Systems el: 0 cu: MICU-A cg: RN v1: Spouse st: NotStopd t0: [00:00:00 25/10/2012] id: Temp. Site el: 0 cu: MICU-A cg: RN v1: Oral st: NotStopd t0: [00:00:00 25/10/2012] id: Temperature C (calc) el: 0 cu: MICU-A cg: RN v1: 36.8889 u1: Deg. C st: NotStopd t0: [00:00:00 25/10/2012] id: Temperature F el: 0 cu: MICU-A cg: RN v1: 98.4 u1: Deg. F st: NotStopd t0: [00:00:00 25/10/2012] id: Turn el: 0 cu: MICU-A cg: RN v1: Left Side st: NotStopd t0: [00:00:00 25/10/2012] id: Urine Color/Appear el: 0 cu: MICU-A cg: RN v1: Amber v2: Clear st: NotStopd t0: [00:00:00 25/10/2012] id: Urine Source el: 0 cu: MICU-A cg: RN v1: Voids st: NotStopd t0: [00:00:00 25/10/2012] id: Verbal Response el: 0 cu: MICU-A cg: RN v1: 5 Oriented st: NotStopd t0: [00:00:00 25/10/2012] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [00:00:00 25/10/2012] id: Fingerstick Glucose Chemistry el: 0 cu: MICU-A cg: RN v1: 116 rs: Manual st: NotStopd t0: [00:00:00 25/10/2012] id: Bowel Sounds el: 0 cu: MICU-A cg: RN v1: Present st: NotStopd t0: [00:00:00 25/10/2012] id: Braden Activity el: 0 cu: MICU-A cg: RN v1: Bedfast st: NotStopd t0: [00:00:00 25/10/2012] id: Braden Frict/Shear el: 0 cu: MICU-A cg: RN v1: Potential Prob st: NotStopd t0: [00:00:00 25/10/2012] id: Braden Mobility el: 0 cu: MICU-A cg: RN v1: Very Limited st: NotStopd t0: [00:00:00 25/10/2012] id: Braden Moisture el: 0 cu: MICU-A cg: RN v1: Occ. Moist st: NotStopd t0: [00:00:00 25/10/2012] id: Braden Nutrition el: 0 cu: MICU-A cg: RN v1: Prob. Inadequate st: NotStopd t0: [00:00:00 25/10/2012] id: Braden Score el: 0 cu: MICU-A cg: RN v1: 13 u1: number st: NotStopd t0: [00:00:00 25/10/2012] id: Braden SensoryPercep el: 0 cu: MICU-A cg: RN v1: Sl. Limited st: NotStopd
t0: [20:00:00 24/10/2012] id: IV Piggyback IV Infusions el: 1 cu: MICU-A cg: RN ai: 209 vo: 100 vu: ml t0: [22:00:00 24/10/2012] id: IV Piggyback IV Infusions el: 1 cu: MICU-A cg: RN ai: 209 vo: 100 vu: ml t0: [00:00:00 25/10/2012] id: D5/.45NS 50.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 112 vo: 75 vu: ml t0: [00:00:00 25/10/2012] id: Urine Out Foley el: 2 cu: MICU-A cg: RN vo: 65 vu: ml t0: [00:00:00 25/10/2012] id: .9% Normal Saline 100.0ml + 600mcghr Sandostatin IV Infusions el: 1 cu: MICU-A cg: RN ai: 127 vo: 8.3 vu: ml
t0: [00:00:00 25/10/2012] id: Sandostatin el: 3 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 49.8 du: mcghr sv: 100 su: ml rt: IV Drip
t0: [23:00:00 24/10/2012] dt: 1 id: Net Hourly Balance el: 2 cu: MICU-A cg: RN pv: 83.3 cv: 83.3 ap: none t0: [23:00:00 24/10/2012] dt: 24 id: IV Infusion In Total el: 2 cu: MICU-A cg: RN pv: 83.3 cv: 1486.85 ap: none t0: [23:00:00 24/10/2012] dt: 24 id: 24h Total In el: 2 cu: MICU-A cg: RN pv: 83.3 cv: 5237.85 ap: none t0: [23:00:00 24/10/2012] dt: 24 id: 24h Net Body Balance el: 2 cu: MICU-A cg: RN pv: 83.3 cv: 3627.85 ap: none t0: [23:00:00 24/10/2012] dt: multiple days id: LOS Net Body Balance el: 2 cu: MICU-A cg: RN pv: 83.3 cv: 3679.48 ap: none
t0: [01:00:00 25/10/2012] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [01:00:00 25/10/2012] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [01:00:00 25/10/2012] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [01:00:00 25/10/2012] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [01:00:00 25/10/2012] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 63 u1: BPM st: NotStopd t0: [01:00:00 25/10/2012] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [01:00:00 25/10/2012] id: NBP el: 0 cu: MICU-A cg: RN v1: 94 u1: mmHg v2: 36 u2: mmHg st: NotStopd t0: [01:00:00 25/10/2012] id: NBP Mean el: 0 cu: MICU-A cg: RN v1: 55.3333 u1: mmHg st: NotStopd t0: [01:00:00 25/10/2012] id: Precautions el: 0 cu: MICU-A cg: RN v1: Contact st: NotStopd t0: [01:00:00 25/10/2012] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 14 u1: BPM st: NotStopd t0: [01:00:00 25/10/2012] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 94 u1: % st: NotStopd t0: [01:00:00 25/10/2012] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [01:00:00 25/10/2012] id: D5/.45NS 50.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 112 vo: 75 vu: ml t0: [01:00:00 25/10/2012] id: .9% Normal Saline 100.0ml + 600mcghr Sandostatin IV Infusions el: 1 cu: MICU-A cg: RN ai: 127 vo: 8.3 vu: ml
t0: [01:00:00 25/10/2012] id: Sandostatin el: 3 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 49.8 du: mcghr sv: 100 su: ml rt: IV Drip
t0: [00:30:00 25/10/2012] id: Hematocrit Hematology el: 0 cu: MICU-A cg: 1663 v1: 28.7 u1: % rs: Final st: NotStopd
t0: [02:00:00 25/10/2012] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [02:00:00 25/10/2012] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [02:00:00 25/10/2012] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [02:00:00 25/10/2012] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [02:00:00 25/10/2012] id: HOB el: 0 cu: MICU-A cg: RN v1: 30 degrees st: NotStopd t0: [02:00:00 25/10/2012] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 60 u1: BPM st: NotStopd t0: [02:00:00 25/10/2012] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [02:00:00 25/10/2012] id: Activity el: 0 cu: MICU-A cg: RN v1: Bedrest st: NotStopd t0: [02:00:00 25/10/2012] id: Activity Tolerance el: 0 cu: MICU-A cg: RN v1: Good st: NotStopd t0: [02:00:00 25/10/2012] id: NBP el: 0 cu: MICU-A cg: RN v1: 97 u1: mmHg v2: 42 u2: mmHg st: NotStopd t0: [02:00:00 25/10/2012] id: NBP Mean el: 0 cu: MICU-A cg: RN v1: 60.3333 u1: mmHg st: NotStopd t0: [02:00:00 25/10/2012] id: AntiEmbDevice/Status el: 0 cu: MICU-A cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [02:00:00 25/10/2012] id: Position el: 0 cu: MICU-A cg: RN v1: Right Side st: NotStopd t0: [02:00:00 25/10/2012] id: Assistance Device el: 0 cu: MICU-A cg: RN v1: Independent st: NotStopd t0: [02:00:00 25/10/2012] id: Precautions el: 0 cu: MICU-A cg: RN v1: Contact st: NotStopd t0: [02:00:00 25/10/2012] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 13 u1: BPM st: NotStopd t0: [02:00:00 25/10/2012] id: Turn el: 0 cu: MICU-A cg: RN v1: Right Side st: NotStopd t0: [02:00:00 25/10/2012] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [03:00:00 25/10/2012] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [03:00:00 25/10/2012] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [03:00:00 25/10/2012] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [03:00:00 25/10/2012] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [03:00:00 25/10/2012] id: HOB el: 0 cu: MICU-A cg: RN v1: 30 degrees st: NotStopd t0: [03:00:00 25/10/2012] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 61 u1: BPM st: NotStopd t0: [03:00:00 25/10/2012] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [03:00:00 25/10/2012] id: Activity el: 0 cu: MICU-A cg: RN v1: Bedrest st: NotStopd t0: [03:00:00 25/10/2012] id: Activity Tolerance el: 0 cu: MICU-A cg: RN v1: Good st: NotStopd t0: [03:00:00 25/10/2012] id: NBP el: 0 cu: MICU-A cg: RN v1: 101 u1: mmHg v2: 38 u2: mmHg st: NotStopd t0: [03:00:00 25/10/2012] id: NBP Mean el: 0 cu: MICU-A cg: RN v1: 59 u1: mmHg st: NotStopd t0: [03:00:00 25/10/2012] id: AntiEmbDevice/Status el: 0 cu: MICU-A cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [03:00:00 25/10/2012] id: Position el: 0 cu: MICU-A cg: RN v1: Supine st: NotStopd t0: [03:00:00 25/10/2012] id: Assistance Device el: 0 cu: MICU-A cg: RN v1: Independent st: NotStopd t0: [03:00:00 25/10/2012] id: Precautions el: 0 cu: MICU-A cg: RN v1: Contact st: NotStopd t0: [03:00:00 25/10/2012] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 26 u1: BPM st: NotStopd t0: [03:00:00 25/10/2012] id: Turn el: 0 cu: MICU-A cg: RN v1: Back st: NotStopd t0: [03:00:00 25/10/2012] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [02:00:00 25/10/2012] id: Sandostatin el: 3 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 49.8 du: mcghr sv: 100 su: ml rt: IV Drip t0: [03:00:00 25/10/2012] id: Sandostatin el: 3 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 49.8 du: mcghr sv: 100 su: ml rt: IV Drip
t0: [02:00:00 25/10/2012] id: D5/.45NS 50.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 112 vo: 75 vu: ml t0: [02:00:00 25/10/2012] id: .9% Normal Saline 100.0ml + 600mcghr Sandostatin IV Infusions el: 1 cu: MICU-A cg: RN ai: 127 vo: 8.3 vu: ml t0: [03:00:00 25/10/2012] id: D5/.45NS 50.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 112 vo: 75 vu: ml t0: [03:00:00 25/10/2012] id: .9% Normal Saline 100.0ml + 600mcghr Sandostatin IV Infusions el: 1 cu: MICU-A cg: RN ai: 127 vo: 8.3 vu: ml
t0: [23:00:00 25/10/2012] dt: 24 id: IV Infusion In Total el: 2 cu: MICU-A cg: RN cv: 1435.05 ap: none t0: [23:00:00 25/10/2012] dt: 24 id: 24h Total In el: 2 cu: MICU-A cg: RN cv: 2170.05 ap: none
t0: [03:00:00 25/10/2012] id: Urine Out Foley el: 2 cu: MICU-A cg: RN vo: 90 vu: ml
t0: [23:00:00 25/10/2012] dt: 1 id: Total Hourly Output el: 2 cu: MICU-A cg: RN cv: 0 ap: none t0: [23:00:00 25/10/2012] dt: 1 id: Net Hourly Balance el: 2 cu: MICU-A cg: RN cv: 0 ap: none t0: [23:00:00 25/10/2012] dt: 24 id: Urine Out Total el: 2 cu: MICU-A cg: RN cv: 990 ap: none t0: [23:00:00 25/10/2012] dt: 24 id: 24h Net Body Balance el: 2 cu: MICU-A cg: RN cv: 1180.05 ap: carryForward t0: [23:00:00 25/10/2012] dt: 24 id: 24h Total Out el: 2 cu: MICU-A cg: RN cv: 990 ap: carryForward t0: [23:00:00 25/10/2012] dt: multiple days id: LOS Net Body Balance el: 2 cu: MICU-A cg: RN cv: 4859.53 ap: carryForward
t0: [04:00:00 25/10/2012] id: INV Line#1 D/C Date el: 0 cu: MICU-A cg: -1 st: D/C'd t0: [04:00:00 25/10/2012] id: INV Line#1 Type/Site el: 0 cu: MICU-A cg: -1 st: D/C'd t0: [04:00:00 25/10/2012] id: INV Line#1 Zero/Cal el: 0 cu: MICU-A cg: -1 st: D/C'd t0: [04:00:00 25/10/2012] id: INV Line#1InsertDate el: 0 cu: MICU-A cg: -1 st: D/C'd t0: [04:00:00 25/10/2012] id: INV Line#1SiteAppear el: 0 cu: MICU-A cg: -1 st: D/C'd t0: [04:00:00 25/10/2012] id: INV#1 WaveformAppear el: 0 cu: MICU-A cg: -1 st: D/C'd
t0: [20:00:00 24/10/2012] id: INV Line#1 D/C Date el: 0 cu: MICU-A cg: RN v1: 10 v2: 1 st: NotStopd t0: [20:00:00 24/10/2012] id: INV Line#1 Type/Site el: 0 cu: MICU-A cg: RN st: NotStopd t0: [20:00:00 24/10/2012] id: INV Line#1InsertDate el: 0 cu: MICU-A cg: RN st: NotStopd t0: [20:00:00 24/10/2012] id: INV Line#1SiteAppear el: 0 cu: MICU-A cg: RN st: NotStopd t0: [00:00:00 25/10/2012] id: INV Line#1 Type/Site el: 0 cu: MICU-A cg: RN st: NotStopd t0: [00:00:00 25/10/2012] id: INV Line#1InsertDate el: 0 cu: MICU-A cg: RN st: NotStopd t0: [00:00:00 25/10/2012] id: INV Line#1SiteAppear el: 0 cu: MICU-A cg: RN st: NotStopd t0: [04:00:00 25/10/2012] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [04:00:00 25/10/2012] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [04:00:00 25/10/2012] id: Riker-SAS Scale el: 0 cu: MICU-A cg: RN v1: Calm/Cooperative st: NotStopd t0: [04:00:00 25/10/2012] id: GI Prophylaxis el: 0 cu: MICU-A cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [04:00:00 25/10/2012] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [04:00:00 25/10/2012] id: Diet Type el: 0 cu: MICU-A cg: RN v1: Clear Liquid st: NotStopd t0: [04:00:00 25/10/2012] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [04:00:00 25/10/2012] id: Eye Opening el: 0 cu: MICU-A cg: RN v1: 3 To speech st: NotStopd t0: [04:00:00 25/10/2012] id: Follows Commands el: 0 cu: MICU-A cg: RN v1: Consistently st: NotStopd t0: [04:00:00 25/10/2012] id: GCS Total el: 0 cu: MICU-A cg: RN v1: 14 u1: points st: NotStopd t0: [04:00:00 25/10/2012] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 63 u1: BPM st: NotStopd t0: [04:00:00 25/10/2012] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [04:00:00 25/10/2012] id: INV Line#2 Type/Site el: 0 cu: MICU-A cg: RN v1: Multi-lumen v2: Right IJ st: NotStopd t0: [04:00:00 25/10/2012] id: INV Line#2InsertDate el: 0 cu: MICU-A cg: RN v1: 10 v2: 1 st: NotStopd t0: [04:00:00 25/10/2012] id: INV Line#2SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [04:00:00 25/10/2012] id: Abdominal Assessment el: 0 cu: MICU-A cg: RN v1: Soft Distended st: NotStopd t0: [04:00:00 25/10/2012] id: IV #1 Insert Date el: 0 cu: MICU-A cg: RN v1: 9 v2: 28 st: NotStopd t0: [04:00:00 25/10/2012] id: IV #1 Site/Size el: 0 cu: MICU-A cg: RN v1: Right Antecub v2: 20 gauge st: NotStopd t0: [04:00:00 25/10/2012] id: IV #3 Insert Date el: 0 cu: MICU-A cg: RN v1: 9 v2: 30 st: NotStopd t0: [04:00:00 25/10/2012] id: IV #3 Site/Size el: 0 cu: MICU-A cg: RN v1: Left Hand v2: 20 gauge st: NotStopd t0: [04:00:00 25/10/2012] id: IV #4 Insert Date el: 0 cu: MICU-A cg: RN v1: 9 v2: 30 st: NotStopd t0: [04:00:00 25/10/2012] id: IV #4 Site/Size el: 0 cu: MICU-A cg: RN v1: Left Antecub v2: 18 gauge st: NotStopd t0: [04:00:00 25/10/2012] id: IV Site Appear #1 el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [04:00:00 25/10/2012] id: IV Site Appear #3 el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [04:00:00 25/10/2012] id: IV Site Appear #4 el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [04:00:00 25/10/2012] id: LLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Diminished st: NotStopd t0: [04:00:00 25/10/2012] id: LUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Clear st: NotStopd t0: [04:00:00 25/10/2012] id: Level of Conscious el: 0 cu: MICU-A cg: RN v1: Sleeping st: NotStopd t0: [04:00:00 25/10/2012] id: Motor Response el: 0 cu: MICU-A cg: RN v1: 6 Obeys Commands st: NotStopd t0: [04:00:00 25/10/2012] id: NBP el: 0 cu: MICU-A cg: RN v1: 98 u1: mmHg v2: 42 u2: mmHg st: NotStopd t0: [04:00:00 25/10/2012] id: NBP Mean el: 0 cu: MICU-A cg: RN v1: 60.6667 u1: mmHg st: NotStopd t0: [04:00:00 25/10/2012] id: O2 Delivery Device el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [04:00:00 25/10/2012] id: Oral Cavity el: 0 cu: MICU-A cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [04:00:00 25/10/2012] id: Orientation el: 0 cu: MICU-A cg: RN v1: Oriented x 3 st: NotStopd t0: [04:00:00 25/10/2012] id: Precautions el: 0 cu: MICU-A cg: RN v1: Contact st: NotStopd t0: [04:00:00 25/10/2012] id: RLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Diminished st: NotStopd t0: [04:00:00 25/10/2012] id: RUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Clear st: NotStopd t0: [04:00:00 25/10/2012] id: Respiratory Pattern el: 0 cu: MICU-A cg: RN v1: Regular st: NotStopd t0: [04:00:00 25/10/2012] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 25 u1: BPM st: NotStopd t0: [04:00:00 25/10/2012] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [04:00:00 25/10/2012] id: Skin Color el: 0 cu: MICU-A cg: RN v1: Jaundiced st: NotStopd t0: [04:00:00 25/10/2012] id: Skin Integrity el: 0 cu: MICU-A cg: RN v1: Intact st: NotStopd t0: [04:00:00 25/10/2012] id: Skin Temp/Condition el: 0 cu: MICU-A cg: RN v1: Warm v2: Dry st: NotStopd t0: [04:00:00 25/10/2012] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 96 u1: % st: NotStopd t0: [04:00:00 25/10/2012] id: Spontaneous Movement el: 0 cu: MICU-A cg: RN v1: Purposeful st: NotStopd t0: [04:00:00 25/10/2012] id: Support Systems el: 0 cu: MICU-A cg: RN v1: Spouse st: NotStopd t0: [04:00:00 25/10/2012] id: Temp. Site el: 0 cu: MICU-A cg: RN v1: Oral st: NotStopd t0: [04:00:00 25/10/2012] id: Temperature C (calc) el: 0 cu: MICU-A cg: RN v1: 36.6667 u1: Deg. C st: NotStopd t0: [04:00:00 25/10/2012] id: Temperature F el: 0 cu: MICU-A cg: RN v1: 98 u1: Deg. F st: NotStopd t0: [04:00:00 25/10/2012] id: Urine Color/Appear el: 0 cu: MICU-A cg: RN v1: Amber v2: Clear st: NotStopd t0: [04:00:00 25/10/2012] id: Urine Source el: 0 cu: MICU-A cg: RN v1: Voids st: NotStopd t0: [04:00:00 25/10/2012] id: Verbal Response el: 0 cu: MICU-A cg: RN v1: 5 Oriented st: NotStopd t0: [04:00:00 25/10/2012] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [04:00:00 25/10/2012] id: Bowel Sounds el: 0 cu: MICU-A cg: RN v1: Present st: NotStopd t0: [04:00:00 25/10/2012] id: Braden Activity el: 0 cu: MICU-A cg: RN v1: Bedfast st: NotStopd t0: [04:00:00 25/10/2012] id: Braden Frict/Shear el: 0 cu: MICU-A cg: RN v1: Potential Prob st: NotStopd t0: [04:00:00 25/10/2012] id: Braden Mobility el: 0 cu: MICU-A cg: RN v1: Very Limited st: NotStopd t0: [04:00:00 25/10/2012] id: Braden Moisture el: 0 cu: MICU-A cg: RN v1: Occ. Moist st: NotStopd t0: [04:00:00 25/10/2012] id: Braden Nutrition el: 0 cu: MICU-A cg: RN v1: Prob. Inadequate st: NotStopd t0: [04:00:00 25/10/2012] id: Braden Score el: 0 cu: MICU-A cg: RN v1: 13 u1: number st: NotStopd t0: [04:00:00 25/10/2012] id: Braden SensoryPercep el: 0 cu: MICU-A cg: RN v1: Sl. Limited st: NotStopd t0: [05:00:00 25/10/2012] id: HOB el: 0 cu: MICU-A cg: RN v1: 30 degrees st: NotStopd t0: [05:00:00 25/10/2012] id: Activity el: 0 cu: MICU-A cg: RN v1: Bedrest st: NotStopd t0: [05:00:00 25/10/2012] id: Activity Tolerance el: 0 cu: MICU-A cg: RN v1: Good st: NotStopd t0: [05:00:00 25/10/2012] id: AntiEmbDevice/Status el: 0 cu: MICU-A cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [05:00:00 25/10/2012] id: Position el: 0 cu: MICU-A cg: RN v1: Left Side st: NotStopd t0: [05:00:00 25/10/2012] id: Assistance Device el: 0 cu: MICU-A cg: RN v1: Independent st: NotStopd t0: [05:00:00 25/10/2012] id: Turn el: 0 cu: MICU-A cg: RN v1: Left Side st: NotStopd
t0: [04:00:00 25/10/2012] id: D5/.45NS 50.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 112 vo: 75 vu: ml t0: [04:00:00 25/10/2012] id: .9% Normal Saline 100.0ml + 600mcghr Sandostatin IV Infusions el: 1 cu: MICU-A cg: RN ai: 127 vo: 8.3 vu: ml
t0: [04:00:00 25/10/2012] id: Sandostatin el: 3 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 49.8 du: mcghr sv: 100 su: ml rt: IV Drip
t0: [04:10:00 25/10/2012] id: WBC (4-11,000) Hematology el: 0 cu: MICU-A cg: 1663 v1: 5.2 rs: Final st: NotStopd t0: [04:10:00 25/10/2012] id: WBC Hematology el: 0 cu: MICU-A cg: 1663 v1: 5.2 rs: Final st: NotStopd t0: [04:10:00 25/10/2012] id: Hematocrit Hematology el: 0 cu: MICU-A cg: 1663 v1: 28.5 u1: % rs: Final st: NotStopd t0: [04:10:00 25/10/2012] id: Hemoglobin Hematology el: 0 cu: MICU-A cg: 1663 v1: 9.4 u1: gm/dl rs: Final st: NotStopd t0: [04:10:00 25/10/2012] id: RBC Hematology el: 0 cu: MICU-A cg: 1663 v1: 3.17 u1: /mic l rs: Final st: NotStopd t0: [04:10:00 25/10/2012] id: WBC (4-11,000) Hematology el: 0 cu: MICU-A cg: 1663 v1: 5.2 rs: Final st: NotStopd
t0: [05:00:00 25/10/2012] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [05:00:00 25/10/2012] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [05:00:00 25/10/2012] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [05:00:00 25/10/2012] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 64 u1: BPM st: NotStopd t0: [05:00:00 25/10/2012] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [05:00:00 25/10/2012] id: NBP el: 0 cu: MICU-A cg: RN v1: 102 u1: mmHg v2: 45 u2: mmHg st: NotStopd t0: [05:00:00 25/10/2012] id: NBP Mean el: 0 cu: MICU-A cg: RN v1: 64 u1: mmHg st: NotStopd t0: [05:00:00 25/10/2012] id: Precautions el: 0 cu: MICU-A cg: RN v1: Contact st: NotStopd t0: [05:00:00 25/10/2012] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 20 u1: BPM st: NotStopd t0: [05:00:00 25/10/2012] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [05:00:00 25/10/2012] id: D5/.45NS 50.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 112 vo: 75 vu: ml t0: [05:00:00 25/10/2012] id: Urine Out Foley el: 2 cu: MICU-A cg: RN vo: 75 vu: ml t0: [05:00:00 25/10/2012] id: .9% Normal Saline 100.0ml + 600mcghr Sandostatin IV Infusions el: 1 cu: MICU-A cg: RN ai: 127 vo: 8.3 vu: ml
t0: [05:00:00 25/10/2012] id: Sandostatin el: 3 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 49.8 du: mcghr sv: 100 su: ml rt: IV Drip
t0: [04:10:00 25/10/2012] id: BUN el: 0 cu: MICU-A cg: 1663 v1: 16 rs: Final st: NotStopd t0: [04:10:00 25/10/2012] id: Calcium Chemistry el: 0 cu: MICU-A cg: 1663 v1: 8.1 u1: mg/dl rs: Final st: NotStopd t0: [04:10:00 25/10/2012] id: Chloride Chemistry el: 0 cu: MICU-A cg: 1663 v1: 109 rs: Final st: NotStopd t0: [04:10:00 25/10/2012] id: Creatinine Chemistry el: 0 cu: MICU-A cg: 1663 v1: 0.9 rs: Final st: NotStopd t0: [04:10:00 25/10/2012] id: Glucose Chemistry el: 0 cu: MICU-A cg: 1663 v1: 113 rs: Final st: NotStopd t0: [04:10:00 25/10/2012] id: Magnesium Chemistry el: 0 cu: MICU-A cg: 1663 v1: 1.5 rs: Final st: NotStopd t0: [04:10:00 25/10/2012] id: Phosphorous Chemistry el: 0 cu: MICU-A cg: 1663 v1: 4 u1: mEq/L rs: Final st: NotStopd t0: [04:10:00 25/10/2012] id: Potassium Chemistry el: 0 cu: MICU-A cg: 1663 v1: 4 rs: Final st: NotStopd t0: [04:10:00 25/10/2012] id: Sodium Chemistry el: 0 cu: MICU-A cg: 1663 v1: 135 rs: Final st: NotStopd t0: [04:10:00 25/10/2012] id: BUN (6-20) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 16 rs: Final st: NotStopd t0: [04:10:00 25/10/2012] id: Calcium (8.4-10.2) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 8.1 u1: mg/dl rs: Final st: NotStopd t0: [04:10:00 25/10/2012] id: Carbon Dioxide Chemistry el: 0 cu: MICU-A cg: 1663 v1: 18 rs: Final st: NotStopd t0: [04:10:00 25/10/2012] id: Chloride (100-112) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 109 rs: Final st: NotStopd t0: [04:10:00 25/10/2012] id: Creatinine (0-1.3) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 0.9 rs: Final st: NotStopd t0: [04:10:00 25/10/2012] id: Glucose (70-105) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 113 rs: Final st: NotStopd t0: [04:10:00 25/10/2012] id: Magnesium (1.6-2.6) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 1.5 rs: Final st: NotStopd t0: [04:10:00 25/10/2012] id: Phosphorous(2.7-4.5) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 4 u1: mEq/L rs: Final st: NotStopd t0: [04:10:00 25/10/2012] id: Potassium (3.5-5.3) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 4 rs: Final st: NotStopd t0: [04:10:00 25/10/2012] id: Sodium (135-148) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 135 rs: Final st: NotStopd
t0: [04:10:00 25/10/2012] id: Platelets Hematology el: 0 cu: MICU-A cg: 1663 v1: 89 rs: Final st: NotStopd
t0: [05:00:00 25/10/2012] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [06:00:00 25/10/2012] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [06:00:00 25/10/2012] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [06:00:00 25/10/2012] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [06:00:00 25/10/2012] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [06:00:00 25/10/2012] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 66 u1: BPM st: NotStopd t0: [06:00:00 25/10/2012] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [06:00:00 25/10/2012] id: NBP el: 0 cu: MICU-A cg: RN v1: 111 u1: mmHg v2: 91 u2: mmHg st: NotStopd t0: [06:00:00 25/10/2012] id: NBP Mean el: 0 cu: MICU-A cg: RN v1: 97.6667 u1: mmHg st: NotStopd t0: [06:00:00 25/10/2012] id: Precautions el: 0 cu: MICU-A cg: RN v1: Contact st: NotStopd t0: [06:00:00 25/10/2012] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 20 u1: BPM st: NotStopd t0: [06:00:00 25/10/2012] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 96 u1: % st: NotStopd t0: [06:00:00 25/10/2012] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [06:00:00 25/10/2012] id: D5/.45NS 50.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 112 vo: 75 vu: ml t0: [06:00:00 25/10/2012] id: .9% Normal Saline 100.0ml + 600mcghr Sandostatin IV Infusions el: 1 cu: MICU-A cg: RN ai: 127 vo: 8.3 vu: ml
t0: [06:00:00 25/10/2012] id: Sandostatin el: 3 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 49.8 du: mcghr sv: 100 su: ml rt: IV Drip
t0: [05:00:00 25/10/2012] id: Back Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd
t0: [04:10:00 25/10/2012] id: PT el: 0 cu: MICU-A cg: 1663 v1: 14.8 rs: Final st: NotStopd t0: [04:10:00 25/10/2012] id: INR Coags el: 0 cu: MICU-A cg: 1663 v1: 1.4 rs: Final st: NotStopd t0: [04:10:00 25/10/2012] id: PTT Coags el: 0 cu: MICU-A cg: 1663 v1: 39.5 rs: Final st: NotStopd t0: [04:10:00 25/10/2012] id: INR (2-4 ref. range) Coags el: 0 cu: MICU-A cg: 1663 v1: 1.4 rs: Final st: NotStopd t0: [04:10:00 25/10/2012] id: PT(11-13.5) Coags el: 0 cu: MICU-A cg: 1663 v1: 14.8 rs: Final st: NotStopd t0: [04:10:00 25/10/2012] id: PTT(22-35) Coags el: 0 cu: MICU-A cg: 1663 v1: 39.5 rs: Final st: NotStopd
t0: [08:00:00 25/10/2012] id: Pain Present el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [08:00:00 25/10/2012] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [08:00:00 25/10/2012] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [08:00:00 25/10/2012] id: Riker-SAS Scale el: 0 cu: MICU-A cg: RN v1: Calm/Cooperative st: NotStopd t0: [08:00:00 25/10/2012] id: Daily Wake Up el: 1 cu: MICU-A cg: RN v1: No/Not Sedated st: NotStopd t0: [08:00:00 25/10/2012] id: GI Prophylaxis el: 0 cu: MICU-A cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [08:00:00 25/10/2012] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [08:00:00 25/10/2012] id: Diet Type el: 0 cu: MICU-A cg: RN v1: Clear Liquid st: NotStopd t0: [08:00:00 25/10/2012] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [08:00:00 25/10/2012] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [08:00:00 25/10/2012] id: Eye Opening el: 0 cu: MICU-A cg: RN v1: 4 Spontaneously st: NotStopd t0: [08:00:00 25/10/2012] id: Follows Commands el: 0 cu: MICU-A cg: RN v1: Consistently st: NotStopd t0: [08:00:00 25/10/2012] id: GCS Total el: 0 cu: MICU-A cg: RN v1: 15 u1: points st: NotStopd t0: [08:00:00 25/10/2012] id: HOB el: 0 cu: MICU-A cg: RN v1: 30 degrees st: NotStopd t0: [08:00:00 25/10/2012] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 61 u1: BPM st: NotStopd t0: [08:00:00 25/10/2012] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [08:00:00 25/10/2012] id: INV Line#2 Type/Site el: 0 cu: MICU-A cg: RN v1: Multi-lumen v2: Right IJ st: NotStopd t0: [08:00:00 25/10/2012] id: INV Line#2InsertDate el: 0 cu: MICU-A cg: RN v1: 10 v2: 1 st: NotStopd t0: [08:00:00 25/10/2012] id: INV Line#2SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [08:00:00 25/10/2012] id: Abdominal Assessment el: 0 cu: MICU-A cg: RN v1: Soft Distended st: NotStopd t0: [08:00:00 25/10/2012] id: IV #1 Insert Date el: 0 cu: MICU-A cg: RN v1: 9 v2: 28 st: NotStopd t0: [08:00:00 25/10/2012] id: IV #1 Site/Size el: 0 cu: MICU-A cg: RN v1: Right Antecub v2: 20 gauge st: NotStopd t0: [08:00:00 25/10/2012] id: IV #3 Insert Date el: 0 cu: MICU-A cg: RN v1: 9 v2: 30 st: NotStopd t0: [08:00:00 25/10/2012] id: IV #3 Site/Size el: 0 cu: MICU-A cg: RN v1: Left Hand v2: 20 gauge st: NotStopd t0: [08:00:00 25/10/2012] id: IV #4 Insert Date el: 0 cu: MICU-A cg: RN v1: 9 v2: 30 st: NotStopd t0: [08:00:00 25/10/2012] id: IV #4 Site/Size el: 0 cu: MICU-A cg: RN v1: Left Antecub v2: 18 gauge st: NotStopd t0: [08:00:00 25/10/2012] id: Activity el: 0 cu: MICU-A cg: RN v1: Bedrest st: NotStopd t0: [08:00:00 25/10/2012] id: IV Site Appear #1 el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [08:00:00 25/10/2012] id: IV Site Appear #3 el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [08:00:00 25/10/2012] id: IV Site Appear #4 el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [08:00:00 25/10/2012] id: LLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Crackles st: NotStopd t0: [08:00:00 25/10/2012] id: LUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Clear st: NotStopd t0: [08:00:00 25/10/2012] id: Level of Conscious el: 0 cu: MICU-A cg: RN v1: Sleeping st: NotStopd t0: [08:00:00 25/10/2012] id: Motor Response el: 0 cu: MICU-A cg: RN v1: 6 Obeys Commands st: NotStopd t0: [08:00:00 25/10/2012] id: NBP el: 0 cu: MICU-A cg: RN v1: 96 u1: mmHg v2: 33 u2: mmHg st: NotStopd t0: [08:00:00 25/10/2012] id: NBP Mean el: 0 cu: MICU-A cg: RN v1: 54 u1: mmHg st: NotStopd t0: [08:00:00 25/10/2012] id: O2 Delivery Device el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [08:00:00 25/10/2012] id: Oral Cavity el: 0 cu: MICU-A cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [08:00:00 25/10/2012] id: Orientation el: 0 cu: MICU-A cg: RN v1: Oriented x 3 st: NotStopd t0: [08:00:00 25/10/2012] id: Pain Location el: 0 cu: MICU-A cg: RN v1: Other/Remarks st: NotStopd t0: [08:00:00 25/10/2012] id: Pain Type el: 0 cu: MICU-A cg: RN v1: Aching st: NotStopd t0: [08:00:00 25/10/2012] id: Precautions el: 0 cu: MICU-A cg: RN v1: Contact st: NotStopd t0: [08:00:00 25/10/2012] id: RLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Crackles st: NotStopd t0: [08:00:00 25/10/2012] id: RUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Clear st: NotStopd t0: [08:00:00 25/10/2012] id: Respiratory Pattern el: 0 cu: MICU-A cg: RN v1: Regular st: NotStopd t0: [08:00:00 25/10/2012] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 14 u1: BPM st: NotStopd t0: [08:00:00 25/10/2012] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [08:00:00 25/10/2012] id: Skin Color el: 0 cu: MICU-A cg: RN v1: Jaundiced st: NotStopd t0: [08:00:00 25/10/2012] id: Skin Integrity el: 0 cu: MICU-A cg: RN v1: Intact st: NotStopd t0: [08:00:00 25/10/2012] id: Skin Temp/Condition el: 0 cu: MICU-A cg: RN v1: Warm v2: Dry st: NotStopd t0: [08:00:00 25/10/2012] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 96 u1: % st: NotStopd t0: [08:00:00 25/10/2012] id: Spontaneous Movement el: 0 cu: MICU-A cg: RN v1: Purposeful st: NotStopd t0: [08:00:00 25/10/2012] id: Support Systems el: 0 cu: MICU-A cg: RN v1: Spouse st: NotStopd t0: [08:00:00 25/10/2012] id: Temp. Site el: 0 cu: MICU-A cg: RN v1: Oral st: NotStopd t0: [08:00:00 25/10/2012] id: Temperature C (calc) el: 0 cu: MICU-A cg: RN v1: 37.1667 u1: Deg. C st: NotStopd t0: [08:00:00 25/10/2012] id: Temperature F el: 0 cu: MICU-A cg: RN v1: 98.9 u1: Deg. F st: NotStopd t0: [08:00:00 25/10/2012] id: Turn el: 0 cu: MICU-A cg: RN v1: Turns by self st: NotStopd t0: [08:00:00 25/10/2012] id: Urine Color/Appear el: 0 cu: MICU-A cg: RN v1: Icteric v2: Cloudy st: NotStopd t0: [08:00:00 25/10/2012] id: Urine Source el: 0 cu: MICU-A cg: RN v1: Voids st: NotStopd t0: [08:00:00 25/10/2012] id: Verbal Response el: 0 cu: MICU-A cg: RN v1: 5 Oriented st: NotStopd t0: [08:00:00 25/10/2012] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [08:00:00 25/10/2012] id: Bowel Sounds el: 0 cu: MICU-A cg: RN v1: Present st: NotStopd t0: [08:00:00 25/10/2012] id: Braden Activity el: 0 cu: MICU-A cg: RN v1: Bedfast st: NotStopd t0: [08:00:00 25/10/2012] id: Braden Frict/Shear el: 0 cu: MICU-A cg: RN v1: Potential Prob st: NotStopd t0: [08:00:00 25/10/2012] id: Braden Mobility el: 0 cu: MICU-A cg: RN v1: Sl. Limited st: NotStopd t0: [08:00:00 25/10/2012] id: Braden Moisture el: 0 cu: MICU-A cg: RN v1: Rarely Moist st: NotStopd t0: [08:00:00 25/10/2012] id: Braden Nutrition el: 0 cu: MICU-A cg: RN v1: Prob. Inadequate st: NotStopd t0: [08:00:00 25/10/2012] id: Braden Score el: 0 cu: MICU-A cg: RN v1: 15 u1: number st: NotStopd t0: [08:00:00 25/10/2012] id: Braden SensoryPercep el: 0 cu: MICU-A cg: RN v1: Sl. Limited st: NotStopd
t0: [08:00:00 25/10/2012] id: IV Piggyback IV Infusions el: 1 cu: MICU-A cg: RN ai: 209 vo: 100 vu: ml t0: [08:00:00 25/10/2012] id: D5/.45NS 50.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 112 vo: 150 vu: ml t0: [08:00:00 25/10/2012] id: Urine Out Foley el: 2 cu: MICU-A cg: RN vo: 140 vu: ml t0: [08:00:00 25/10/2012] id: .9% Normal Saline 100.0ml + 600mcghr Sandostatin IV Infusions el: 1 cu: MICU-A cg: RN ai: 127 vo: 16.6 vu: ml
t0: [08:00:00 25/10/2012] id: Sandostatin el: 3 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 49.8 du: mcghr sv: 100 su: ml rt: IV Drip
tf: [21:00:00 25/10/2012] pt: Unit Dose rt: IV fr: ONCE fs: 8 dn: 1 m1: Magnesium Sulfate v1: 2 u1: gm
t0: [08:00:00 25/10/2012] id: Hematocrit Hematology el: 0 cu: MICU-A cg: 1663 v1: 27.9 u1: % rs: Final st: NotStopd
t0: [09:00:00 25/10/2012] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [09:00:00 25/10/2012] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [09:00:00 25/10/2012] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [09:00:00 25/10/2012] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [09:00:00 25/10/2012] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [09:00:00 25/10/2012] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 66 u1: BPM st: NotStopd t0: [09:00:00 25/10/2012] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [09:00:00 25/10/2012] id: NBP el: 0 cu: MICU-A cg: RN v1: 99 u1: mmHg v2: 46 u2: mmHg st: NotStopd t0: [09:00:00 25/10/2012] id: NBP Mean el: 0 cu: MICU-A cg: RN v1: 63.6667 u1: mmHg st: NotStopd t0: [09:00:00 25/10/2012] id: Precautions el: 0 cu: MICU-A cg: RN v1: Contact st: NotStopd t0: [09:00:00 25/10/2012] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 17 u1: BPM st: NotStopd t0: [09:00:00 25/10/2012] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 97 u1: % st: NotStopd t0: [09:00:00 25/10/2012] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [08:00:00 25/10/2012] id: Po Intake PO/Gastric el: 1 cu: MICU-A cg: RN ai: 103 vo: 120 vu: ml
t0: [09:00:00 25/10/2012] id: Sandostatin el: 3 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 49.8 du: mcghr sv: 100 su: ml rt: IV Drip
t0: [09:50:00 25/10/2012] id: Blood Products Hematology el: 0 cu: MICU-A cg: 1663 v1: Y rs: Final st: NotStopd
t0: [10:00:00 25/10/2012] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [10:00:00 25/10/2012] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [10:00:00 25/10/2012] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [10:00:00 25/10/2012] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [10:00:00 25/10/2012] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [10:00:00 25/10/2012] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 66 u1: BPM st: NotStopd t0: [10:00:00 25/10/2012] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [10:00:00 25/10/2012] id: NBP el: 0 cu: MICU-A cg: RN v1: 108 u1: mmHg v2: 46 u2: mmHg st: NotStopd t0: [10:00:00 25/10/2012] id: NBP Mean el: 0 cu: MICU-A cg: RN v1: 66.6667 u1: mmHg st: NotStopd t0: [10:00:00 25/10/2012] id: Precautions el: 0 cu: MICU-A cg: RN v1: Contact st: NotStopd t0: [10:00:00 25/10/2012] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 19 u1: BPM st: NotStopd t0: [10:00:00 25/10/2012] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 96 u1: % st: NotStopd t0: [10:00:00 25/10/2012] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [10:00:00 25/10/2012] id: IV Piggyback IV Infusions el: 1 cu: MICU-A cg: RN ai: 209 vo: 100 vu: ml t0: [10:00:00 25/10/2012] id: D5/.45NS 50.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 112 vo: 150 vu: ml t0: [10:00:00 25/10/2012] id: Urine Out Foley el: 2 cu: MICU-A cg: RN vo: 70 vu: ml t0: [10:00:00 25/10/2012] id: .9% Normal Saline 100.0ml + 600mcghr Sandostatin IV Infusions el: 1 cu: MICU-A cg: RN ai: 127 vo: 16.6 vu: ml st: Stopped
t0: [10:00:00 25/10/2012] id: Sandostatin el: 3 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 49.8 du: mcghr sv: 100 su: ml rt: IV Drip
tf: [05:00:00 28/10/2012] pt: Unit Dose rt: PO fr: Q12H fs: 10, 22 dn: 2 m1: Pantoprazole v1: 40 u1: mg tf: [05:00:00 28/10/2012] pt: Unit Dose rt: PO fr: QD fs: 10 dn: 1 m1: Spironolactone v1: 50 u1: mg
t0: [10:15:00 25/10/2012] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [10:15:00 25/10/2012] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [10:15:00 25/10/2012] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [10:15:00 25/10/2012] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [10:15:00 25/10/2012] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 63 u1: BPM st: NotStopd t0: [10:15:00 25/10/2012] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [10:15:00 25/10/2012] id: Precautions el: 0 cu: MICU-A cg: RN v1: Contact st: NotStopd t0: [10:15:00 25/10/2012] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 19 u1: BPM st: NotStopd t0: [10:15:00 25/10/2012] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 97 u1: % st: NotStopd t0: [10:15:00 25/10/2012] id: Temp. Site el: 0 cu: MICU-A cg: RN v1: Oral st: NotStopd t0: [10:15:00 25/10/2012] id: Temperature C (calc) el: 0 cu: MICU-A cg: RN v1: 37.1111 u1: Deg. C st: NotStopd t0: [10:15:00 25/10/2012] id: Temperature F el: 0 cu: MICU-A cg: RN v1: 98.8 u1: Deg. F st: NotStopd t0: [10:15:00 25/10/2012] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [10:15:00 25/10/2012] id: Packed RBC's IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 0 vu: ml nb: 1 t0: [10:15:00 25/10/2012] id: D5/.45NS 50.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 112 vo: 18.75 vu: ml
t0: [10:15:00 25/10/2012] id: Sandostatin el: 3 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 49.8 du: mcghr sv: 100 su: ml rt: IV Drip
t0: [10:30:00 25/10/2012] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [10:30:00 25/10/2012] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [10:30:00 25/10/2012] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [10:30:00 25/10/2012] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [10:30:00 25/10/2012] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 64 u1: BPM st: NotStopd t0: [10:30:00 25/10/2012] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [10:30:00 25/10/2012] id: NBP el: 0 cu: MICU-A cg: RN v1: 107 u1: mmHg v2: 45 u2: mmHg st: NotStopd t0: [10:30:00 25/10/2012] id: NBP Mean el: 0 cu: MICU-A cg: RN v1: 65.6667 u1: mmHg st: NotStopd t0: [10:30:00 25/10/2012] id: Precautions el: 0 cu: MICU-A cg: RN v1: Contact st: NotStopd t0: [10:30:00 25/10/2012] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 19 u1: BPM st: NotStopd t0: [10:30:00 25/10/2012] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 96 u1: % st: NotStopd t0: [10:30:00 25/10/2012] id: Temperature C (calc) el: 0 cu: MICU-A cg: RN v1: 37 u1: Deg. C st: NotStopd t0: [10:30:00 25/10/2012] id: Temperature F el: 0 cu: MICU-A cg: RN v1: 98.6 u1: Deg. F st: NotStopd t0: [10:30:00 25/10/2012] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [10:30:00 25/10/2012] id: Sandostatin el: 3 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 49.8 du: mcghr sv: 100 su: ml rt: IV Drip
t0: [11:00:00 25/10/2012] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [11:00:00 25/10/2012] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [11:00:00 25/10/2012] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [11:00:00 25/10/2012] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [11:00:00 25/10/2012] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [11:00:00 25/10/2012] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 60 u1: BPM st: NotStopd t0: [11:00:00 25/10/2012] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [11:00:00 25/10/2012] id: NBP el: 0 cu: MICU-A cg: RN v1: 107 u1: mmHg v2: 48 u2: mmHg st: NotStopd t0: [11:00:00 25/10/2012] id: NBP Mean el: 0 cu: MICU-A cg: RN v1: 67.6667 u1: mmHg st: NotStopd t0: [11:00:00 25/10/2012] id: Precautions el: 0 cu: MICU-A cg: RN v1: Contact st: NotStopd t0: [11:00:00 25/10/2012] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 23 u1: BPM st: NotStopd t0: [11:00:00 25/10/2012] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 97 u1: % st: NotStopd t0: [11:00:00 25/10/2012] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [11:00:00 25/10/2012] id: Urine Out Foley el: 2 cu: MICU-A cg: RN vo: 90 vu: ml
t0: [11:00:00 25/10/2012] id: Sandostatin el: 3 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 49.8 du: mcghr sv: 100 su: ml rt: IV Drip
t0: [11:15:00 25/10/2012] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [11:15:00 25/10/2012] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [11:15:00 25/10/2012] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [11:15:00 25/10/2012] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [11:15:00 25/10/2012] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [11:15:00 25/10/2012] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 65 u1: BPM st: NotStopd t0: [11:15:00 25/10/2012] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [11:15:00 25/10/2012] id: Precautions el: 0 cu: MICU-A cg: RN v1: Contact st: NotStopd t0: [11:15:00 25/10/2012] id: Procedures el: 0 cu: MICU-A cg: RN v1: Ultrasound st: NotStopd t0: [11:15:00 25/10/2012] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 19 u1: BPM st: NotStopd t0: [11:15:00 25/10/2012] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 98 u1: % st: NotStopd t0: [11:15:00 25/10/2012] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [11:15:00 25/10/2012] id: Sandostatin el: 3 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 49.8 du: mcghr sv: 100 su: ml rt: IV Drip
t0: [12:45:00 25/10/2012] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [12:45:00 25/10/2012] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [12:45:00 25/10/2012] id: Riker-SAS Scale el: 0 cu: MICU-A cg: RN v1: Calm/Cooperative st: NotStopd t0: [12:45:00 25/10/2012] id: GI Prophylaxis el: 0 cu: MICU-A cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [12:45:00 25/10/2012] id: IV #1 Reason DC'D el: 0 cu: MICU-A cg: RN v1: Clotted off st: NotStopd t0: [12:45:00 25/10/2012] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [12:45:00 25/10/2012] id: Diet Type el: 0 cu: MICU-A cg: RN v1: Clear Liquid st: NotStopd t0: [12:45:00 25/10/2012] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [12:45:00 25/10/2012] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [12:45:00 25/10/2012] id: Eye Opening el: 0 cu: MICU-A cg: RN v1: 4 Spontaneously st: NotStopd t0: [12:45:00 25/10/2012] id: Follows Commands el: 0 cu: MICU-A cg: RN v1: Consistently st: NotStopd t0: [12:45:00 25/10/2012] id: GCS Total el: 0 cu: MICU-A cg: RN v1: 15 u1: points st: NotStopd t0: [12:45:00 25/10/2012] id: HOB el: 0 cu: MICU-A cg: RN v1: 30 degrees st: NotStopd t0: [12:45:00 25/10/2012] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 62 u1: BPM st: NotStopd t0: [12:45:00 25/10/2012] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [12:45:00 25/10/2012] id: INV Line#2 Type/Site el: 0 cu: MICU-A cg: RN v1: Multi-lumen v2: Right IJ st: NotStopd t0: [12:45:00 25/10/2012] id: INV Line#2InsertDate el: 0 cu: MICU-A cg: RN v1: 10 v2: 1 st: NotStopd t0: [12:45:00 25/10/2012] id: INV Line#2SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [12:45:00 25/10/2012] id: Abdominal Assessment el: 0 cu: MICU-A cg: RN v1: Soft Distended st: NotStopd t0: [12:45:00 25/10/2012] id: IV #1 D/C Date el: 0 cu: MICU-A cg: RN v1: 10 v2: 2 st: NotStopd t0: [12:45:00 25/10/2012] id: IV #1 Insert Date el: 0 cu: MICU-A cg: RN v1: 9 v2: 28 st: NotStopd t0: [12:45:00 25/10/2012] id: IV #1 Site/Size el: 0 cu: MICU-A cg: RN v1: Right Antecub v2: 20 gauge st: NotStopd t0: [12:45:00 25/10/2012] id: IV #3 Insert Date el: 0 cu: MICU-A cg: RN v1: 9 v2: 30 st: NotStopd t0: [12:45:00 25/10/2012] id: IV #3 Site/Size el: 0 cu: MICU-A cg: RN v1: Left Hand v2: 20 gauge st: NotStopd t0: [12:45:00 25/10/2012] id: IV #4 Insert Date el: 0 cu: MICU-A cg: RN v1: 9 v2: 30 st: NotStopd t0: [12:45:00 25/10/2012] id: IV #4 Site/Size el: 0 cu: MICU-A cg: RN v1: Left Antecub v2: 18 gauge st: NotStopd t0: [12:45:00 25/10/2012] id: Activity el: 0 cu: MICU-A cg: RN v1: Bedrest st: NotStopd t0: [12:45:00 25/10/2012] id: IV Site Appear #3 el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [12:45:00 25/10/2012] id: IV Site Appear #4 el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [12:45:00 25/10/2012] id: Activity Tolerance el: 0 cu: MICU-A cg: RN v1: Tolerated Well st: NotStopd t0: [12:45:00 25/10/2012] id: Level of Conscious el: 0 cu: MICU-A cg: RN v1: Alert st: NotStopd t0: [12:45:00 25/10/2012] id: Motor Response el: 0 cu: MICU-A cg: RN v1: 6 Obeys Commands st: NotStopd t0: [12:45:00 25/10/2012] id: NBP el: 0 cu: MICU-A cg: RN v1: 117 u1: mmHg v2: 59 u2: mmHg st: NotStopd t0: [12:45:00 25/10/2012] id: NBP Mean el: 0 cu: MICU-A cg: RN v1: 78.3333 u1: mmHg st: NotStopd t0: [12:45:00 25/10/2012] id: O2 Delivery Device el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [12:45:00 25/10/2012] id: Oral Cavity el: 0 cu: MICU-A cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [12:45:00 25/10/2012] id: Orientation el: 0 cu: MICU-A cg: RN v1: Oriented x 3 st: NotStopd t0: [12:45:00 25/10/2012] id: AntiEmbDevice/Status el: 0 cu: MICU-A cg: RN v1: Compress Sleeves v2: Off st: NotStopd t0: [12:45:00 25/10/2012] id: Position el: 0 cu: MICU-A cg: RN v1: Supine st: NotStopd t0: [12:45:00 25/10/2012] id: Assistance Device el: 0 cu: MICU-A cg: RN v1: 1 Person Assist st: NotStopd t0: [12:45:00 25/10/2012] id: Precautions el: 0 cu: MICU-A cg: RN v1: Contact st: NotStopd t0: [12:45:00 25/10/2012] id: Respiratory Pattern el: 0 cu: MICU-A cg: RN v1: Regular st: NotStopd t0: [12:45:00 25/10/2012] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [12:45:00 25/10/2012] id: Skin Color el: 0 cu: MICU-A cg: RN v1: Ashen st: NotStopd t0: [12:45:00 25/10/2012] id: Skin Integrity el: 0 cu: MICU-A cg: RN v1: Intact st: NotStopd t0: [12:45:00 25/10/2012] id: Skin Temp/Condition el: 0 cu: MICU-A cg: RN v1: Warm v2: Dry st: NotStopd t0: [12:45:00 25/10/2012] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 97 u1: % st: NotStopd t0: [12:45:00 25/10/2012] id: Spontaneous Movement el: 0 cu: MICU-A cg: RN v1: Purposeful st: NotStopd t0: [12:45:00 25/10/2012] id: Support Systems el: 0 cu: MICU-A cg: RN v1: Spouse st: NotStopd t0: [12:45:00 25/10/2012] id: Turn el: 0 cu: MICU-A cg: RN v1: Side to Side st: NotStopd t0: [12:45:00 25/10/2012] id: Urine Color/Appear el: 0 cu: MICU-A cg: RN v1: Icteric v2: Cloudy st: NotStopd t0: [12:45:00 25/10/2012] id: Urine Source el: 0 cu: MICU-A cg: RN v1: Voids st: NotStopd t0: [12:45:00 25/10/2012] id: Verbal Response el: 0 cu: MICU-A cg: RN v1: 5 Oriented st: NotStopd t0: [12:45:00 25/10/2012] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [12:45:00 25/10/2012] id: Bowel Sounds el: 0 cu: MICU-A cg: RN v1: Present st: NotStopd t0: [12:45:00 25/10/2012] id: Braden Activity el: 0 cu: MICU-A cg: RN v1: Chairfast st: NotStopd t0: [12:45:00 25/10/2012] id: Braden Frict/Shear el: 0 cu: MICU-A cg: RN v1: Potential Prob st: NotStopd t0: [12:45:00 25/10/2012] id: Braden Mobility el: 0 cu: MICU-A cg: RN v1: Sl. Limited st: NotStopd t0: [12:45:00 25/10/2012] id: Braden Moisture el: 0 cu: MICU-A cg: RN v1: Rarely Moist st: NotStopd t0: [12:45:00 25/10/2012] id: Braden Nutrition el: 0 cu: MICU-A cg: RN v1: Prob. Inadequate st: NotStopd t0: [12:45:00 25/10/2012] id: Braden Score el: 0 cu: MICU-A cg: RN v1: 16 u1: number st: NotStopd t0: [12:45:00 25/10/2012] id: Braden SensoryPercep el: 0 cu: MICU-A cg: RN v1: Sl. Limited st: NotStopd
t0: [12:45:00 25/10/2012] id: D5/.45NS 50.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 112 vo: 187.5 vu: ml t0: [12:45:00 25/10/2012] id: Urine Out Foley el: 2 cu: MICU-A cg: RN vo: 70 vu: ml
t0: [12:45:00 25/10/2012] id: Sandostatin el: 3 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 49.8 du: mcghr sv: 100 su: ml rt: IV Drip
t0: [12:45:00 25/10/2012] id: Stool Color/Consist el: 0 cu: MICU-A cg: RN v1: Brown v2: Liquid st: NotStopd t0: [12:45:00 25/10/2012] id: Stool Guaiac el: 0 cu: MICU-A cg: RN v1: Positive st: NotStopd
t0: [12:45:00 25/10/2012] id: Stool Out Stool el: 1 cu: MICU-A cg: RN vu: ml es: Medium
t0: [13:00:00 25/10/2012] id: IV #1 Reason DC'D el: 0 cu: MICU-A cg: -1 st: D/C'd t0: [13:00:00 25/10/2012] id: IV #1 D/C Date el: 0 cu: MICU-A cg: -1 st: D/C'd t0: [13:00:00 25/10/2012] id: IV #1 Insert Date el: 0 cu: MICU-A cg: -1 st: D/C'd t0: [13:00:00 25/10/2012] id: IV #1 Site/Size el: 0 cu: MICU-A cg: -1 st: D/C'd t0: [13:00:00 25/10/2012] id: IV Site Appear #1 el: 0 cu: MICU-A cg: -1 st: D/C'd
t0: [11:00:00 25/10/2012] id: Fingerstick Glucose Chemistry el: 0 cu: MICU-A cg: Co-Wk v1: 136 rs: Manual st: NotStopd
t0: [14:00:00 25/10/2012] id: bath el: 1 cu: MICU-A cg: RN v1: done t0: [14:00:00 25/10/2012] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [14:00:00 25/10/2012] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [14:00:00 25/10/2012] id: GI Prophylaxis el: 0 cu: MICU-A cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [14:00:00 25/10/2012] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [14:00:00 25/10/2012] id: Diet Type el: 0 cu: MICU-A cg: RN v1: Clear Liquid st: NotStopd t0: [14:00:00 25/10/2012] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [14:00:00 25/10/2012] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [14:00:00 25/10/2012] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 62 u1: BPM st: NotStopd t0: [14:00:00 25/10/2012] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [14:00:00 25/10/2012] id: INV Line#2 Type/Site el: 0 cu: MICU-A cg: RN v1: Multi-lumen v2: Right IJ st: NotStopd t0: [14:00:00 25/10/2012] id: INV Line#2InsertDate el: 0 cu: MICU-A cg: RN v1: 10 v2: 1 st: NotStopd t0: [14:00:00 25/10/2012] id: INV Line#2SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [14:00:00 25/10/2012] id: Abdominal Assessment el: 0 cu: MICU-A cg: RN v1: Soft Distended st: NotStopd t0: [14:00:00 25/10/2012] id: IV #3 Insert Date el: 0 cu: MICU-A cg: RN v1: 9 v2: 30 st: NotStopd t0: [14:00:00 25/10/2012] id: IV #3 Site/Size el: 0 cu: MICU-A cg: RN v1: Left Hand v2: 20 gauge st: NotStopd t0: [14:00:00 25/10/2012] id: IV #4 Insert Date el: 0 cu: MICU-A cg: RN v1: 9 v2: 30 st: NotStopd t0: [14:00:00 25/10/2012] id: IV #4 Site/Size el: 0 cu: MICU-A cg: RN v1: Left Antecub v2: 18 gauge st: NotStopd t0: [14:00:00 25/10/2012] id: IV Site Appear #3 el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [14:00:00 25/10/2012] id: IV Site Appear #4 el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [14:00:00 25/10/2012] id: LLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Crackles st: NotStopd t0: [14:00:00 25/10/2012] id: LUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Clear st: NotStopd t0: [14:00:00 25/10/2012] id: NBP el: 0 cu: MICU-A cg: RN v1: 106 u1: mmHg v2: 46 u2: mmHg st: NotStopd t0: [14:00:00 25/10/2012] id: NBP Mean el: 0 cu: MICU-A cg: RN v1: 66 u1: mmHg st: NotStopd t0: [14:00:00 25/10/2012] id: Oral Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [14:00:00 25/10/2012] id: Oral Cavity el: 0 cu: MICU-A cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [14:00:00 25/10/2012] id: Precautions el: 0 cu: MICU-A cg: RN v1: Contact st: NotStopd t0: [14:00:00 25/10/2012] id: RLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Crackles st: NotStopd t0: [14:00:00 25/10/2012] id: RUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Clear st: NotStopd t0: [14:00:00 25/10/2012] id: Respiratory Pattern el: 0 cu: MICU-A cg: RN v1: Regular st: NotStopd t0: [14:00:00 25/10/2012] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 19 u1: BPM st: NotStopd t0: [14:00:00 25/10/2012] id: Skin Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [14:00:00 25/10/2012] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 97 u1: % st: NotStopd t0: [14:00:00 25/10/2012] id: Urine Color/Appear el: 0 cu: MICU-A cg: RN v1: Icteric v2: Cloudy st: NotStopd t0: [14:00:00 25/10/2012] id: Urine Source el: 0 cu: MICU-A cg: RN v1: Voids st: NotStopd t0: [14:00:00 25/10/2012] id: Back Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [14:00:00 25/10/2012] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [14:00:00 25/10/2012] id: Bowel Sounds el: 0 cu: MICU-A cg: RN v1: Present st: NotStopd
t0: [14:00:00 25/10/2012] tf: [21:09:00 25/10/2012] dt: 429 id: Packed RBC's IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 375 vu: ml t0: [14:00:00 25/10/2012] id: D5/.45NS 50.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 112 vo: 93.75 vu: ml st: Stopped
t0: [23:00:00 25/10/2012] dt: 24 id: Blood Products Total el: 2 cu: MICU cg: RN cv: 375 ap: none
t0: [04:10:00 25/10/2012] id: Albumin Chemistry el: 0 cu: MICU-A cg: 1663 v1: 2.5 rs: Final st: NotStopd t0: [04:10:00 25/10/2012] id: Total Bili Chemistry el: 0 cu: MICU-A cg: 1663 v1: 19.6 rs: Final st: NotStopd t0: [04:10:00 25/10/2012] id: ALT Enzymes el: 0 cu: MICU-A cg: 1663 v1: 35 rs: Final st: NotStopd t0: [04:10:00 25/10/2012] id: AST Enzymes el: 0 cu: MICU-A cg: 1663 v1: 52 rs: Final st: NotStopd t0: [04:10:00 25/10/2012] id: Albumin (>3.2) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 2.5 rs: Final st: NotStopd t0: [04:10:00 25/10/2012] id: Alk. Phosphate Enzymes el: 0 cu: MICU-A cg: 1663 v1: 80 rs: Final st: NotStopd t0: [04:10:00 25/10/2012] id: LDH Enzymes el: 0 cu: MICU-A cg: 1663 v1: 169 rs: Final st: NotStopd t0: [04:10:00 25/10/2012] id: Total Bili (0-1.5) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 19.6 rs: Final st: NotStopd
t0: [15:00:00 25/10/2012] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [15:00:00 25/10/2012] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [15:00:00 25/10/2012] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [15:00:00 25/10/2012] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [15:00:00 25/10/2012] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [15:00:00 25/10/2012] id: HOB el: 0 cu: MICU-A cg: RN v1: 45 degrees st: NotStopd t0: [15:00:00 25/10/2012] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 56 u1: BPM st: NotStopd t0: [15:00:00 25/10/2012] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Sinus Brady st: NotStopd t0: [15:00:00 25/10/2012] id: Activity el: 0 cu: MICU-A cg: RN v1: Bedrest st: NotStopd t0: [15:00:00 25/10/2012] id: NBP el: 0 cu: MICU-A cg: RN v1: 101 u1: mmHg v2: 52 u2: mmHg st: NotStopd t0: [15:00:00 25/10/2012] id: NBP Mean el: 0 cu: MICU-A cg: RN v1: 68.3333 u1: mmHg st: NotStopd t0: [15:00:00 25/10/2012] id: Position el: 0 cu: MICU-A cg: RN v1: Supine st: NotStopd t0: [15:00:00 25/10/2012] id: Precautions el: 0 cu: MICU-A cg: RN v1: Contact st: NotStopd t0: [15:00:00 25/10/2012] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 17 u1: BPM st: NotStopd t0: [15:00:00 25/10/2012] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 100 u1: % st: NotStopd t0: [15:00:00 25/10/2012] id: Turn el: 0 cu: MICU-A cg: RN v1: Turns by self st: NotStopd t0: [15:00:00 25/10/2012] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [15:00:00 25/10/2012] id: Urine Out Foley el: 2 cu: MICU-A cg: RN vo: 240 vu: ml
t0: [14:00:00 25/10/2012] id: Temp. Site el: 0 cu: MICU-A cg: RN v1: Oral st: NotStopd t0: [14:00:00 25/10/2012] id: Temperature C (calc) el: 0 cu: MICU-A cg: RN v1: 37.1111 u1: Deg. C st: NotStopd t0: [14:00:00 25/10/2012] id: Temperature F el: 0 cu: MICU-A cg: RN v1: 98.8 u1: Deg. F st: NotStopd t0: [16:00:00 25/10/2012] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [16:00:00 25/10/2012] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [16:00:00 25/10/2012] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [16:00:00 25/10/2012] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [16:00:00 25/10/2012] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [16:00:00 25/10/2012] id: HOB el: 0 cu: MICU-A cg: RN v1: 45 degrees st: NotStopd t0: [16:00:00 25/10/2012] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 57 u1: BPM st: NotStopd t0: [16:00:00 25/10/2012] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Sinus Brady st: NotStopd t0: [16:00:00 25/10/2012] id: Activity el: 0 cu: MICU-A cg: RN v1: Bedrest st: NotStopd t0: [16:00:00 25/10/2012] id: Activity Tolerance el: 0 cu: MICU-A cg: RN v1: Tolerated Well st: NotStopd t0: [16:00:00 25/10/2012] id: AntiEmbDevice/Status el: 0 cu: MICU-A cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [16:00:00 25/10/2012] id: Position el: 0 cu: MICU-A cg: RN v1: Supine st: NotStopd t0: [16:00:00 25/10/2012] id: Assistance Device el: 0 cu: MICU-A cg: RN v1: 1 Person Assist st: NotStopd t0: [16:00:00 25/10/2012] id: Precautions el: 0 cu: MICU-A cg: RN v1: Contact st: NotStopd t0: [16:00:00 25/10/2012] id: Respiratory Pattern el: 0 cu: MICU-A cg: RN v1: Regular st: NotStopd t0: [16:00:00 25/10/2012] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 17 u1: BPM st: NotStopd t0: [16:00:00 25/10/2012] id: Skin Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [16:00:00 25/10/2012] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 99 u1: % st: NotStopd t0: [16:00:00 25/10/2012] id: Stool Color/Consist el: 0 cu: MICU-A cg: RN v1: Brown v2: Liquid st: NotStopd t0: [16:00:00 25/10/2012] id: Stool Guaiac el: 0 cu: MICU-A cg: RN v1: Positive st: NotStopd t0: [16:00:00 25/10/2012] id: Turn el: 0 cu: MICU-A cg: RN v1: Side to Side st: NotStopd t0: [16:00:00 25/10/2012] id: Urine Source el: 0 cu: MICU-A cg: RN v1: Voids st: NotStopd t0: [16:00:00 25/10/2012] id: Back Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [16:00:00 25/10/2012] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [16:00:00 25/10/2012] id: Stool Out Stool el: 1 cu: MICU-A cg: RN vu: ml es: Medium
t0: [23:00:00 25/10/2012] dt: 24 id: Stool Out Total el: 2 cu: MICU cg: RN cv: 0 ap: carryForward
t0: [16:00:00 25/10/2012] id: NBP el: 0 cu: MICU-A cg: RN v1: 108 u1: mmHg v2: 49 u2: mmHg st: NotStopd t0: [16:00:00 25/10/2012] id: NBP Mean el: 0 cu: MICU-A cg: RN v1: 68.6667 u1: mmHg st: NotStopd
t0: [16:00:00 25/10/2012] id: Pain Present el: 0 cu: MICU-A cg: RN v1: No st: NotStopd t0: [16:00:00 25/10/2012] id: Pain Assess Method el: 0 cu: MICU-A cg: RN v1: Pt Verbalized st: NotStopd t0: [16:00:00 25/10/2012] id: Riker-SAS Scale el: 0 cu: MICU-A cg: RN v1: Calm/Cooperative st: NotStopd t0: [16:00:00 25/10/2012] id: GI Prophylaxis el: 0 cu: MICU-A cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [16:00:00 25/10/2012] id: Diet Type el: 0 cu: MICU-A cg: RN v1: Full Liquid st: NotStopd t0: [16:00:00 25/10/2012] id: Eye Opening el: 0 cu: MICU-A cg: RN v1: 4 Spontaneously st: NotStopd t0: [16:00:00 25/10/2012] id: Follows Commands el: 0 cu: MICU-A cg: RN v1: Consistently st: NotStopd t0: [16:00:00 25/10/2012] id: GCS Total el: 0 cu: MICU-A cg: RN v1: 15 u1: points st: NotStopd t0: [16:00:00 25/10/2012] id: INV Line#2 Type/Site el: 0 cu: MICU-A cg: RN v1: Multi-lumen v2: Right IJ st: NotStopd t0: [16:00:00 25/10/2012] id: INV Line#2InsertDate el: 0 cu: MICU-A cg: RN v1: 10 v2: 1 st: NotStopd t0: [16:00:00 25/10/2012] id: INV Line#2SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [16:00:00 25/10/2012] id: Abdominal Assessment el: 0 cu: MICU-A cg: RN v1: Soft Distended st: NotStopd t0: [16:00:00 25/10/2012] id: IV #3 Insert Date el: 0 cu: MICU-A cg: RN v1: 9 v2: 30 st: NotStopd t0: [16:00:00 25/10/2012] id: IV #3 Site/Size el: 0 cu: MICU-A cg: RN v1: Left Hand v2: 20 gauge st: NotStopd t0: [16:00:00 25/10/2012] id: IV #4 Insert Date el: 0 cu: MICU-A cg: RN v1: 9 v2: 30 st: NotStopd t0: [16:00:00 25/10/2012] id: IV #4 Site/Size el: 0 cu: MICU-A cg: RN v1: Left Antecub v2: 18 gauge st: NotStopd t0: [16:00:00 25/10/2012] id: IV Site Appear #3 el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [16:00:00 25/10/2012] id: IV Site Appear #4 el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [16:00:00 25/10/2012] id: LLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Crackles st: NotStopd t0: [16:00:00 25/10/2012] id: LUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Clear st: NotStopd t0: [16:00:00 25/10/2012] id: Level of Conscious el: 0 cu: MICU-A cg: RN v1: Alert st: NotStopd t0: [16:00:00 25/10/2012] id: Motor Response el: 0 cu: MICU-A cg: RN v1: 6 Obeys Commands st: NotStopd t0: [16:00:00 25/10/2012] id: O2 Delivery Device el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [16:00:00 25/10/2012] id: Oral Cavity el: 0 cu: MICU-A cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [16:00:00 25/10/2012] id: Orientation el: 0 cu: MICU-A cg: RN v1: Oriented x 3 st: NotStopd t0: [16:00:00 25/10/2012] id: Pain Location el: 0 cu: MICU-A cg: RN v1: Not Indicated st: NotStopd t0: [16:00:00 25/10/2012] id: RLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Crackles st: NotStopd t0: [16:00:00 25/10/2012] id: RUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Clear st: NotStopd t0: [16:00:00 25/10/2012] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [16:00:00 25/10/2012] id: Skin Color el: 0 cu: MICU-A cg: RN v1: Jaundiced st: NotStopd t0: [16:00:00 25/10/2012] id: Skin Integrity el: 0 cu: MICU-A cg: RN v1: Intact st: NotStopd t0: [16:00:00 25/10/2012] id: Skin Temp/Condition el: 0 cu: MICU-A cg: RN v1: Warm v2: Dry st: NotStopd t0: [16:00:00 25/10/2012] id: Spontaneous Movement el: 0 cu: MICU-A cg: RN v1: Purposeful st: NotStopd t0: [16:00:00 25/10/2012] id: Support Systems el: 0 cu: MICU-A cg: RN v1: Spouse st: NotStopd t0: [16:00:00 25/10/2012] id: Temp. Site el: 0 cu: MICU-A cg: RN v1: Oral st: NotStopd t0: [16:00:00 25/10/2012] id: Temperature C (calc) el: 0 cu: MICU-A cg: RN v1: 37.2222 u1: Deg. C st: NotStopd t0: [16:00:00 25/10/2012] id: Temperature F el: 0 cu: MICU-A cg: RN v1: 99 u1: Deg. F st: NotStopd t0: [16:00:00 25/10/2012] id: Urine Color/Appear el: 0 cu: MICU-A cg: RN v1: Icteric v2: Cloudy st: NotStopd t0: [16:00:00 25/10/2012] id: Verbal Response el: 0 cu: MICU-A cg: RN v1: 5 Oriented st: NotStopd t0: [16:00:00 25/10/2012] id: Bowel Sounds el: 0 cu: MICU-A cg: RN v1: Present st: NotStopd t0: [16:00:00 25/10/2012] id: Braden Activity el: 0 cu: MICU-A cg: RN v1: Bedfast st: NotStopd t0: [16:00:00 25/10/2012] id: Braden Frict/Shear el: 0 cu: MICU-A cg: RN v1: Potential Prob st: NotStopd t0: [16:00:00 25/10/2012] id: Braden Mobility el: 0 cu: MICU-A cg: RN v1: Sl. Limited st: NotStopd t0: [16:00:00 25/10/2012] id: Braden Moisture el: 0 cu: MICU-A cg: RN v1: Rarely Moist st: NotStopd t0: [16:00:00 25/10/2012] id: Braden Nutrition el: 0 cu: MICU-A cg: RN v1: Prob. Inadequate st: NotStopd t0: [16:00:00 25/10/2012] id: Braden Score el: 0 cu: MICU-A cg: RN v1: 15 u1: number st: NotStopd t0: [16:00:00 25/10/2012] id: Braden SensoryPercep el: 0 cu: MICU-A cg: RN v1: Sl. Limited st: NotStopd
t0: [13:00:00 25/10/2012] id: Po Intake PO/Gastric el: 1 cu: MICU-A cg: RN ai: 103 vo: 120 vu: ml t0: [13:00:00 25/10/2012] id: D5/.45NS 50.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 112 vo: 18.75 vu: ml t0: [16:00:00 25/10/2012] id: Po Intake PO/Gastric el: 1 cu: MICU-A cg: RN ai: 103 vo: 120 vu: ml
t0: [23:00:00 25/10/2012] dt: 24 id: PO/Gastric In Total el: 2 cu: MICU cg: RN cv: 360 ap: none
t0: [17:00:00 25/10/2012] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [17:00:00 25/10/2012] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [17:00:00 25/10/2012] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [17:00:00 25/10/2012] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [17:00:00 25/10/2012] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [17:00:00 25/10/2012] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 56 u1: BPM st: NotStopd t0: [17:00:00 25/10/2012] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Sinus Brady st: NotStopd t0: [17:00:00 25/10/2012] id: Activity el: 0 cu: MICU-A cg: RN v1: Chair st: NotStopd t0: [17:00:00 25/10/2012] id: Activity Tolerance el: 0 cu: MICU-A cg: RN v1: Tolerated Well st: NotStopd t0: [17:00:00 25/10/2012] id: NBP el: 0 cu: MICU-A cg: RN v1: 102 u1: mmHg v2: 51 u2: mmHg st: NotStopd t0: [17:00:00 25/10/2012] id: NBP Mean el: 0 cu: MICU-A cg: RN v1: 68 u1: mmHg st: NotStopd t0: [17:00:00 25/10/2012] id: AntiEmbDevice/Status el: 0 cu: MICU-A cg: RN v1: Compress Sleeves v2: Off st: NotStopd t0: [17:00:00 25/10/2012] id: Assistance Device el: 0 cu: MICU-A cg: RN v1: 1 Person Assist st: NotStopd t0: [17:00:00 25/10/2012] id: Precautions el: 0 cu: MICU-A cg: RN v1: Contact st: NotStopd t0: [17:00:00 25/10/2012] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 17 u1: BPM st: NotStopd t0: [17:00:00 25/10/2012] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 98 u1: % st: NotStopd t0: [17:00:00 25/10/2012] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [17:00:00 25/10/2012] id: Urine Out Foley el: 2 cu: MICU-A cg: RN vo: 150 vu: ml
t0: [17:00:00 25/10/2012] id: Fingerstick Glucose Chemistry el: 0 cu: MICU-A cg: RN v1: 132 rs: Manual st: NotStopd
t0: [18:00:00 25/10/2012] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [18:00:00 25/10/2012] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [18:00:00 25/10/2012] id: Family Communication el: 0 cu: MICU-A cg: RN v1: Family Visited st: NotStopd t0: [18:00:00 25/10/2012] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 62 u1: BPM st: NotStopd t0: [18:00:00 25/10/2012] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [18:00:00 25/10/2012] id: NBP el: 0 cu: MICU-A cg: RN v1: 110 u1: mmHg v2: 49 u2: mmHg st: NotStopd t0: [18:00:00 25/10/2012] id: NBP Mean el: 0 cu: MICU-A cg: RN v1: 69.3333 u1: mmHg st: NotStopd t0: [18:00:00 25/10/2012] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [18:00:00 25/10/2012] id: Support Systems el: 0 cu: MICU-A cg: RN v1: Spouse st: NotStopd t0: [18:00:00 25/10/2012] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [17:15:00 25/10/2012] id: WBC (4-11,000) Hematology el: 0 cu: MICU-A cg: 1663 v1: 6.4 rs: Final st: NotStopd t0: [17:15:00 25/10/2012] id: WBC Hematology el: 0 cu: MICU-A cg: 1663 v1: 6.4 rs: Final st: NotStopd t0: [17:15:00 25/10/2012] id: Hematocrit Hematology el: 0 cu: MICU-A cg: 1663 v1: 32.2 u1: % rs: Final st: NotStopd t0: [17:15:00 25/10/2012] id: Hemoglobin Hematology el: 0 cu: MICU-A cg: 1663 v1: 10.9 u1: gm/dl rs: Final st: NotStopd t0: [17:15:00 25/10/2012] id: Platelets Hematology el: 0 cu: MICU-A cg: 1663 v1: 89 rs: Final st: NotStopd t0: [17:15:00 25/10/2012] id: RBC Hematology el: 0 cu: MICU-A cg: 1663 v1: 3.61 u1: /mic l rs: Final st: NotStopd t0: [17:15:00 25/10/2012] id: WBC (4-11,000) Hematology el: 0 cu: MICU-A cg: 1663 v1: 6.4 rs: Final st: NotStopd
t0: [17:15:00 25/10/2012] id: PT el: 0 cu: MICU-A cg: 1663 v1: 15.1 rs: Final st: NotStopd t0: [17:15:00 25/10/2012] id: INR Coags el: 0 cu: MICU-A cg: 1663 v1: 1.5 rs: Final st: NotStopd t0: [17:15:00 25/10/2012] id: PTT Coags el: 0 cu: MICU-A cg: 1663 v1: 36.3 rs: Final st: NotStopd t0: [17:15:00 25/10/2012] id: INR (2-4 ref. range) Coags el: 0 cu: MICU-A cg: 1663 v1: 1.5 rs: Final st: NotStopd t0: [17:15:00 25/10/2012] id: PT(11-13.5) Coags el: 0 cu: MICU-A cg: 1663 v1: 15.1 rs: Final st: NotStopd t0: [17:15:00 25/10/2012] id: PTT(22-35) Coags el: 0 cu: MICU-A cg: 1663 v1: 36.3 rs: Final st: NotStopd
t0: [14:00:00 25/10/2012] id: Sandostatin el: 3 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 du: mcghr sv: 100 su: ml rt: IV Drip t0: [15:00:00 25/10/2012] id: Sandostatin el: 3 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 du: mcghr sv: 100 su: ml rt: IV Drip t0: [16:00:00 25/10/2012] id: Sandostatin el: 3 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 du: mcghr sv: 100 su: ml rt: IV Drip t0: [17:00:00 25/10/2012] id: Sandostatin el: 3 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 du: mcghr sv: 100 su: ml rt: IV Drip
t0: [16:00:00 25/10/2012] id: IV #3 Reason DC'D el: 0 cu: MICU-A cg: RN v1: Clotted off st: NotStopd t0: [16:00:00 25/10/2012] id: IV #3 D/C Date el: 0 cu: MICU-A cg: RN v1: 10 v2: 2 st: NotStopd
tf: [22:00:00 06/11/2012] pt: IV Flush rt: IV fr: QD:PRN
tf: [05:00:00 28/10/2012] pt: Unit Dose rt: PO fr: TID:PRN m1: Lactulose v1: 15 u1: ml tf: [10:00:00 21/11/2012] pt: Unit Dose rt: TP fr: QID fs: 10, 14, 18, 22 dn: 4 m1: Neomycin-Polymyxin-Bacitracin v1: 1 u1: Appl
id: Sandostatin el: 100 cu: MICU cg: RN io: D5W 100.0ml + 600mcghr Sandostatin IV Infusions am: 600 du: mcghr rt: IV Drip id: Sandostatin el: 300 cu: MICU cg: RN io: D5W 100.0ml + 600mcghr Sandostatin IV Infusions am: 600 du: mcghr rt: IV Drip
io: D5W 100.0ml + 600mcghr Sandostatin IV Infusions el: 1 cu: MICU cg: RN ra: 8.33333 ru: ml/hr io: D5W 100.0ml + 600mcghr Sandostatin IV Infusions el: 3 cu: MICU cg: RN ra: 8.33333 ru: ml/hr
t0: [05:00:00 28/10/2012] id: OR Crystalloid OR Intake el: 1 cu: MICU cg: -1 ai: 106 vo: 0 st: D/C'd t0: [05:00:00 28/10/2012] id: OR FFP OR Intake el: 1 cu: MICU cg: -1 ai: 158 vo: 0 st: D/C'd t0: [05:00:00 28/10/2012] id: IR output el: 1 cu: MICU cg: -1 vo: 0 st: D/C'd t0: [05:00:00 28/10/2012] id: OR Out OR Urine el: 1 cu: MICU cg: -1 vo: 0 st: D/C'd t0: [05:00:00 28/10/2012] id: Urine Out Void el: 2 cu: MICU cg: -1 vo: 0 st: D/C'd t0: [05:00:00 28/10/2012] id: .9% Normal Saline 100.0ml + 600mcghr Sandostatin IV Infusions el: 1 cu: MICU cg: -1 ai: 127 vo: 0 st: D/C'd
id: D5W el: 1 cu: MICU cg: RN io: D5W 100.0ml + 600mcghr Sandostatin IV Infusions vo: 100 du: ml rt: Intravenous Push id: D5W el: 3 cu: MICU cg: RN io: D5W 100.0ml + 600mcghr Sandostatin IV Infusions vo: 100 du: ml rt: Intravenous Push id: .9% Normal Saline el: 6 cu: MICU cg: RN io: .9% Normal Saline 1000.0ml IV Infusions vo: 1000 du: ml rt: Intravenous Push
tf: [17:50:00 30/10/2012] dt: 3641 cu: MICU de: FA7A
t0: [05:00:00 28/10/2012] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [05:00:00 28/10/2012] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [05:00:00 28/10/2012] id: Riker-SAS Scale el: 0 cu: MICU cg: RN v1: Calm/Cooperative st: NotStopd t0: [05:00:00 28/10/2012] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [05:00:00 28/10/2012] id: Readmit <48 hrs el: 0 cu: MICU cg: RN v1: No st: NotStopd t0: [05:00:00 28/10/2012] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [05:00:00 28/10/2012] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [05:00:00 28/10/2012] id: Heart Rate el: 0 cu: MICU cg: RN v1: 73 u1: BPM st: NotStopd t0: [05:00:00 28/10/2012] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [05:00:00 28/10/2012] id: NBP el: 0 cu: MICU cg: RN v1: 100 u1: mmHg v2: 40 u2: mmHg st: NotStopd t0: [05:00:00 28/10/2012] id: NBP Mean el: 0 cu: MICU cg: RN v1: 60 u1: mmHg st: NotStopd t0: [05:00:00 28/10/2012] id: O2 Delivery Device el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [05:00:00 28/10/2012] id: Precautions el: 0 cu: MICU cg: RN v1: Contact st: NotStopd t0: [05:00:00 28/10/2012] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 17 u1: BPM st: NotStopd t0: [05:00:00 28/10/2012] id: SpO2 el: 0 cu: MICU cg: RN v1: 97 u1: % st: NotStopd t0: [05:00:00 28/10/2012] id: Temperature C (calc) el: 0 cu: MICU cg: RN v1: 38.4444 u1: Deg. C st: NotStopd t0: [05:00:00 28/10/2012] id: Temperature F el: 0 cu: MICU cg: RN v1: 101.2 u1: Deg. F st: NotStopd t0: [05:00:00 28/10/2012] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [23:00:00 26/10/2012] dt: multiple days id: LOS Net Body Balance el: 2 cu: MICU cg: RN cv: 4859.53 ap: carryForward t0: [23:00:00 27/10/2012] dt: multiple days id: LOS Net Body Balance el: 2 cu: MICU cg: RN cv: 4859.53 ap: carryForward
t0: [05:00:00 28/10/2012] id: Pain Present el: 0 cu: MICU cg: RN v1: No st: NotStopd t0: [05:00:00 28/10/2012] id: Pain Assess Method el: 0 cu: MICU cg: RN v1: Pt Verbalized st: NotStopd t0: [05:00:00 28/10/2012] id: Daily Wake Up el: 1 cu: MICU cg: RN v1: No/Not Sedated st: NotStopd t0: [05:00:00 28/10/2012] id: GI Prophylaxis el: 0 cu: MICU cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [05:00:00 28/10/2012] id: Diet Type el: 0 cu: MICU cg: RN v1: NPO st: NotStopd t0: [05:00:00 28/10/2012] id: Dorsal PedPulse R/L el: 0 cu: MICU cg: RN v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [05:00:00 28/10/2012] id: Eye Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [05:00:00 28/10/2012] id: Eye Opening el: 0 cu: MICU cg: RN v1: 4 Spontaneously st: NotStopd t0: [05:00:00 28/10/2012] id: Follows Commands el: 0 cu: MICU cg: RN v1: Consistently st: NotStopd t0: [05:00:00 28/10/2012] id: GCS Total el: 0 cu: MICU cg: RN v1: 15 u1: points st: NotStopd t0: [05:00:00 28/10/2012] id: HOB el: 0 cu: MICU cg: RN v1: 30 degrees st: NotStopd t0: [05:00:00 28/10/2012] id: INV Line#1 Type/Site el: 0 cu: MICU cg: RN v1: Multi-lumen v2: Right Subclavian st: NotStopd t0: [05:00:00 28/10/2012] id: INV Line#1SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [05:00:00 28/10/2012] id: Abdominal Assessment el: 0 cu: MICU cg: RN v1: Firm Distended st: NotStopd t0: [05:00:00 28/10/2012] id: Activity el: 0 cu: MICU cg: RN v1: Bedrest st: NotStopd t0: [05:00:00 28/10/2012] id: Activity Tolerance el: 0 cu: MICU cg: RN v1: Tolerated Well st: NotStopd t0: [05:00:00 28/10/2012] id: LLL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [05:00:00 28/10/2012] id: LUL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [05:00:00 28/10/2012] id: Level of Conscious el: 0 cu: MICU cg: RN v1: Alert st: NotStopd t0: [05:00:00 28/10/2012] id: Motor Response el: 0 cu: MICU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [05:00:00 28/10/2012] id: Oral Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [05:00:00 28/10/2012] id: Oral Cavity el: 0 cu: MICU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [05:00:00 28/10/2012] id: Orientation el: 0 cu: MICU cg: RN v1: Oriented x 3 st: NotStopd t0: [05:00:00 28/10/2012] id: AntiEmbDevice/Status el: 0 cu: MICU cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [05:00:00 28/10/2012] id: Pain Location el: 0 cu: MICU cg: RN v1: Not Indicated st: NotStopd t0: [05:00:00 28/10/2012] id: Position el: 0 cu: MICU cg: RN v1: Supine st: NotStopd t0: [05:00:00 28/10/2012] id: PostTib. Pulses R/L el: 0 cu: MICU cg: RN v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [05:00:00 28/10/2012] id: Assistance Device el: 0 cu: MICU cg: RN v1: 1 Person Assist st: NotStopd t0: [05:00:00 28/10/2012] id: RLL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [05:00:00 28/10/2012] id: RUL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [05:00:00 28/10/2012] id: Respiratory Pattern el: 0 cu: MICU cg: RN v1: Regular st: NotStopd t0: [05:00:00 28/10/2012] id: Side Rails el: 0 cu: MICU cg: RN v1: Side Rails Up st: NotStopd t0: [05:00:00 28/10/2012] id: Skin Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [05:00:00 28/10/2012] id: Skin Color el: 0 cu: MICU cg: RN v1: Jaundiced st: NotStopd t0: [05:00:00 28/10/2012] id: Skin Integrity el: 0 cu: MICU cg: RN v1: Intact st: NotStopd t0: [05:00:00 28/10/2012] id: Skin Temp/Condition el: 0 cu: MICU cg: RN v1: Warm v2: Dry st: NotStopd t0: [05:00:00 28/10/2012] id: Spontaneous Movement el: 0 cu: MICU cg: RN v1: Purposeful st: NotStopd t0: [05:00:00 28/10/2012] id: Stool Color/Consist el: 0 cu: MICU cg: RN v1: Melena v2: Liquid st: NotStopd t0: [05:00:00 28/10/2012] id: Stool Guaiac el: 0 cu: MICU cg: RN v1: Positive st: NotStopd t0: [05:00:00 28/10/2012] id: Support Systems el: 0 cu: MICU cg: RN v1: Spouse st: NotStopd t0: [05:00:00 28/10/2012] id: Temp. Site el: 0 cu: MICU cg: RN v1: Oral st: NotStopd t0: [05:00:00 28/10/2012] id: Turn el: 0 cu: MICU cg: RN v1: Turns by self st: NotStopd t0: [05:00:00 28/10/2012] id: Urine Color/Appear el: 0 cu: MICU cg: RN v1: Icteric v2: Clear st: NotStopd t0: [05:00:00 28/10/2012] id: Urine Source el: 0 cu: MICU cg: RN v1: Voids st: NotStopd t0: [05:00:00 28/10/2012] id: Verbal Response el: 0 cu: MICU cg: RN v1: 5 Oriented st: NotStopd t0: [05:00:00 28/10/2012] id: Back Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [05:00:00 28/10/2012] id: Behavior el: 0 cu: MICU cg: RN v1: Calm st: NotStopd t0: [05:00:00 28/10/2012] id: Bowel Sounds el: 0 cu: MICU cg: RN v1: Hypoactive st: NotStopd t0: [05:00:00 28/10/2012] id: Braden Activity el: 0 cu: MICU cg: RN v1: Bedfast st: NotStopd t0: [05:00:00 28/10/2012] id: Braden Frict/Shear el: 0 cu: MICU cg: RN v1: No Apparent Prob st: NotStopd t0: [05:00:00 28/10/2012] id: Braden Mobility el: 0 cu: MICU cg: RN v1: Sl. Limited st: NotStopd t0: [05:00:00 28/10/2012] id: Braden Moisture el: 0 cu: MICU cg: RN v1: Occ. Moist st: NotStopd t0: [05:00:00 28/10/2012] id: Braden Nutrition el: 0 cu: MICU cg: RN v1: Adequate st: NotStopd t0: [05:00:00 28/10/2012] id: Braden Score el: 0 cu: MICU cg: RN v1: 16 u1: number st: NotStopd t0: [05:00:00 28/10/2012] id: Braden SensoryPercep el: 0 cu: MICU cg: RN v1: Sl. Limited st: NotStopd t0: [05:15:00 28/10/2012] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [05:15:00 28/10/2012] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [05:15:00 28/10/2012] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [05:15:00 28/10/2012] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [05:15:00 28/10/2012] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [05:15:00 28/10/2012] id: Heart Rate el: 0 cu: MICU cg: RN v1: 74 u1: BPM st: NotStopd t0: [05:15:00 28/10/2012] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [05:15:00 28/10/2012] id: NBP el: 0 cu: MICU cg: RN v1: 88 u1: mmHg v2: 33 u2: mmHg st: NotStopd t0: [05:15:00 28/10/2012] id: NBP Mean el: 0 cu: MICU cg: RN v1: 51.3333 u1: mmHg st: NotStopd t0: [05:15:00 28/10/2012] id: Precautions el: 0 cu: MICU cg: RN v1: Contact st: NotStopd t0: [05:15:00 28/10/2012] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 19 u1: BPM st: NotStopd t0: [05:15:00 28/10/2012] id: Temp. Site el: 0 cu: MICU cg: RN v1: Oral st: NotStopd t0: [05:15:00 28/10/2012] id: Temperature C (calc) el: 0 cu: MICU cg: RN v1: 38.4444 u1: Deg. C st: NotStopd t0: [05:15:00 28/10/2012] id: Temperature F el: 0 cu: MICU cg: RN v1: 101.2 u1: Deg. F st: NotStopd t0: [05:15:00 28/10/2012] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [05:30:00 28/10/2012] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [05:30:00 28/10/2012] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [05:30:00 28/10/2012] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [05:30:00 28/10/2012] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [05:30:00 28/10/2012] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [05:30:00 28/10/2012] id: Heart Rate el: 0 cu: MICU cg: RN v1: 76 u1: BPM st: NotStopd t0: [05:30:00 28/10/2012] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [05:30:00 28/10/2012] id: NBP el: 0 cu: MICU cg: RN v1: 98 u1: mmHg v2: 41 u2: mmHg st: NotStopd t0: [05:30:00 28/10/2012] id: NBP Mean el: 0 cu: MICU cg: RN v1: 60 u1: mmHg st: NotStopd t0: [05:30:00 28/10/2012] id: Precautions el: 0 cu: MICU cg: RN v1: Contact st: NotStopd t0: [05:30:00 28/10/2012] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 16 u1: BPM st: NotStopd t0: [05:30:00 28/10/2012] id: SpO2 el: 0 cu: MICU cg: RN v1: 98 u1: % st: NotStopd t0: [05:30:00 28/10/2012] id: Temp. Site el: 0 cu: MICU cg: RN v1: Oral st: NotStopd t0: [05:30:00 28/10/2012] id: Temperature C (calc) el: 0 cu: MICU cg: RN v1: 38.4444 u1: Deg. C st: NotStopd t0: [05:30:00 28/10/2012] id: Temperature F el: 0 cu: MICU cg: RN v1: 101.2 u1: Deg. F st: NotStopd t0: [05:30:00 28/10/2012] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [05:45:00 28/10/2012] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [05:45:00 28/10/2012] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [05:45:00 28/10/2012] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [05:45:00 28/10/2012] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [05:45:00 28/10/2012] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [05:45:00 28/10/2012] id: Heart Rate el: 0 cu: MICU cg: RN v1: 73 u1: BPM st: NotStopd t0: [05:45:00 28/10/2012] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [05:45:00 28/10/2012] id: NBP el: 0 cu: MICU cg: RN v1: 104 u1: mmHg v2: 41 u2: mmHg st: NotStopd t0: [05:45:00 28/10/2012] id: NBP Mean el: 0 cu: MICU cg: RN v1: 62 u1: mmHg st: NotStopd t0: [05:45:00 28/10/2012] id: Precautions el: 0 cu: MICU cg: RN v1: Contact st: NotStopd t0: [05:45:00 28/10/2012] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 19 u1: BPM st: NotStopd t0: [05:45:00 28/10/2012] id: SpO2 el: 0 cu: MICU cg: RN v1: 97 u1: % st: NotStopd t0: [05:45:00 28/10/2012] id: Temp. Site el: 0 cu: MICU cg: RN v1: Oral st: NotStopd t0: [05:45:00 28/10/2012] id: Temperature C (calc) el: 0 cu: MICU cg: RN v1: 38.4444 u1: Deg. C st: NotStopd t0: [05:45:00 28/10/2012] id: Temperature F el: 0 cu: MICU cg: RN v1: 101.2 u1: Deg. F st: NotStopd t0: [05:45:00 28/10/2012] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [06:00:00 28/10/2012] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [06:00:00 28/10/2012] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [06:00:00 28/10/2012] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [06:00:00 28/10/2012] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [06:00:00 28/10/2012] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [06:00:00 28/10/2012] id: Heart Rate el: 0 cu: MICU cg: RN v1: 73 u1: BPM st: NotStopd t0: [06:00:00 28/10/2012] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [06:00:00 28/10/2012] id: NBP el: 0 cu: MICU cg: RN v1: 104 u1: mmHg v2: 41 u2: mmHg st: NotStopd t0: [06:00:00 28/10/2012] id: NBP Mean el: 0 cu: MICU cg: RN v1: 62 u1: mmHg st: NotStopd t0: [06:00:00 28/10/2012] id: Precautions el: 0 cu: MICU cg: RN v1: Contact st: NotStopd t0: [06:00:00 28/10/2012] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 19 u1: BPM st: NotStopd t0: [06:00:00 28/10/2012] id: SpO2 el: 0 cu: MICU cg: RN v1: 97 u1: % st: NotStopd t0: [06:00:00 28/10/2012] id: Temp. Site el: 0 cu: MICU cg: RN v1: Oral st: NotStopd t0: [06:00:00 28/10/2012] id: Temperature C (calc) el: 0 cu: MICU cg: RN v1: 38.4444 u1: Deg. C st: NotStopd t0: [06:00:00 28/10/2012] id: Temperature F el: 0 cu: MICU cg: RN v1: 101.2 u1: Deg. F st: NotStopd t0: [06:00:00 28/10/2012] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [05:00:00 28/10/2012] tf: [17:50:00 30/10/2012] dt: 3650 id: IV Piggyback IV Infusions el: 1 cu: MICU cg: RN ai: 209 vo: 100 vu: ml t0: [05:00:00 28/10/2012] tf: [10:00:00 28/10/2012] dt: 300 id: .9% Normal Saline 1000.0ml IV Infusions el: 6 cu: MICU cg: RN ai: 107 vo: 10 vu: ml t0: [05:00:00 28/10/2012] tf: [17:50:00 30/10/2012] dt: 3650 id: Fresh Frozen Plasma IV Infusions el: 1 cu: MICU cg: RN ai: 155 vo: 246 vu: ml t0: [06:00:00 28/10/2012] tf: [17:50:00 30/10/2012] dt: 3590 id: Urine Out Foley el: 1 cu: MICU cg: RN vu: ml es: Large t0: [06:00:00 28/10/2012] id: .9% Normal Saline 1000.0ml IV Infusions el: 6 cu: MICU cg: RN ai: 107 vo: 10 vu: ml t0: [06:00:00 28/10/2012] id: Fresh Frozen Plasma IV Infusions el: 1 cu: MICU cg: RN ai: 155 vo: 286 vu: ml t0: [06:00:00 28/10/2012] id: Urine Out Foley el: 2 cu: MICU cg: RN vo: 400 vu: ml
t0: [05:00:00 28/10/2012] tf: [17:50:00 30/10/2012] dt: 3650 id: Sandostatin el: 4 cu: MICU cg: RN so: D5W vo: 0 v1: 50 du: mcghr sv: 100 su: ml rt: IV Drip
tf: [13:00:00 30/10/2012] pt: IV Piggyback rt: IV fr: Q12H fs: 6, 18 dn: 2 m1: Pantoprazole Sodium v1: 40 u1: mg m2: NS v2: 100 u2: ml tf: [14:00:00 01/11/2012] pt: IV Piggyback rt: IV DRIP fr: INFUSION m1: Octreotide Acetate v1: 600 u1: mcg m2: D5W v2: 100 u2: ml tf: [12:00:00 03/11/2012] pt: IV Piggyback rt: IV fr: Q12H fs: 6, 18 dn: 2 m1: Vancomycin HCl v1: 1000 u1: mg m2: Iso-Osmotic Dextrose v2: 200 u2: ml
t0: [06:15:00 28/10/2012] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [06:15:00 28/10/2012] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [06:15:00 28/10/2012] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [06:15:00 28/10/2012] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [06:15:00 28/10/2012] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [06:15:00 28/10/2012] id: Heart Rate el: 0 cu: MICU cg: RN v1: 74 u1: BPM st: NotStopd t0: [06:15:00 28/10/2012] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [06:15:00 28/10/2012] id: NBP el: 0 cu: MICU cg: RN v1: 98 u1: mmHg v2: 34 u2: mmHg st: NotStopd t0: [06:15:00 28/10/2012] id: NBP Mean el: 0 cu: MICU cg: RN v1: 55.3333 u1: mmHg st: NotStopd t0: [06:15:00 28/10/2012] id: Precautions el: 0 cu: MICU cg: RN v1: Contact st: NotStopd t0: [06:15:00 28/10/2012] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 16 u1: BPM st: NotStopd t0: [06:15:00 28/10/2012] id: SpO2 el: 0 cu: MICU cg: RN v1: 97 u1: % st: NotStopd t0: [06:15:00 28/10/2012] id: Temp. Site el: 0 cu: MICU cg: RN v1: Oral st: NotStopd t0: [06:15:00 28/10/2012] id: Temperature C (calc) el: 0 cu: MICU cg: RN v1: 38.3333 u1: Deg. C st: NotStopd t0: [06:15:00 28/10/2012] id: Temperature F el: 0 cu: MICU cg: RN v1: 101 u1: Deg. F st: NotStopd t0: [06:15:00 28/10/2012] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [06:22:00 28/10/2012] id: Blood Products Hematology el: 0 cu: MICU cg: 1663 v1: Y rs: Final st: NotStopd t0: [06:30:00 28/10/2012] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [06:30:00 28/10/2012] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [06:30:00 28/10/2012] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [06:30:00 28/10/2012] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [06:30:00 28/10/2012] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [06:30:00 28/10/2012] id: Heart Rate el: 0 cu: MICU cg: RN v1: 67 u1: BPM st: NotStopd t0: [06:30:00 28/10/2012] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [06:30:00 28/10/2012] id: NBP el: 0 cu: MICU cg: RN v1: 96 u1: mmHg v2: 35 u2: mmHg st: NotStopd t0: [06:30:00 28/10/2012] id: NBP Mean el: 0 cu: MICU cg: RN v1: 55.3333 u1: mmHg st: NotStopd t0: [06:30:00 28/10/2012] id: Precautions el: 0 cu: MICU cg: RN v1: Contact st: NotStopd t0: [06:30:00 28/10/2012] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 16 u1: BPM st: NotStopd t0: [06:30:00 28/10/2012] id: SpO2 el: 0 cu: MICU cg: RN v1: 96 u1: % st: NotStopd t0: [06:30:00 28/10/2012] id: Temp. Site el: 0 cu: MICU cg: RN v1: Oral st: NotStopd t0: [06:30:00 28/10/2012] id: Temperature C (calc) el: 0 cu: MICU cg: RN v1: 38.3333 u1: Deg. C st: NotStopd t0: [06:30:00 28/10/2012] id: Temperature F el: 0 cu: MICU cg: RN v1: 101 u1: Deg. F st: NotStopd t0: [06:30:00 28/10/2012] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [06:45:00 28/10/2012] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [06:45:00 28/10/2012] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [06:45:00 28/10/2012] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [06:45:00 28/10/2012] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [06:45:00 28/10/2012] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [06:45:00 28/10/2012] id: Heart Rate el: 0 cu: MICU cg: RN v1: 67 u1: BPM st: NotStopd t0: [06:45:00 28/10/2012] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [06:45:00 28/10/2012] id: NBP el: 0 cu: MICU cg: RN v1: 95 u1: mmHg v2: 52 u2: mmHg st: NotStopd t0: [06:45:00 28/10/2012] id: NBP Mean el: 0 cu: MICU cg: RN v1: 66.3333 u1: mmHg st: NotStopd t0: [06:45:00 28/10/2012] id: Precautions el: 0 cu: MICU cg: RN v1: Contact st: NotStopd t0: [06:45:00 28/10/2012] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 16 u1: BPM st: NotStopd t0: [06:45:00 28/10/2012] id: SpO2 el: 0 cu: MICU cg: RN v1: 96 u1: % st: NotStopd t0: [06:45:00 28/10/2012] id: Temp. Site el: 0 cu: MICU cg: RN v1: Oral st: NotStopd t0: [06:45:00 28/10/2012] id: Temperature C (calc) el: 0 cu: MICU cg: RN v1: 38.3333 u1: Deg. C st: NotStopd t0: [06:45:00 28/10/2012] id: Temperature F el: 0 cu: MICU cg: RN v1: 101 u1: Deg. F st: NotStopd t0: [06:45:00 28/10/2012] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [06:15:00 28/10/2012] id: Fresh Frozen Plasma IV Infusions el: 1 cu: MICU cg: RN ai: 155 vo: 303 vu: ml t0: [06:30:00 28/10/2012] id: Fresh Frozen Plasma IV Infusions el: 1 cu: MICU cg: RN ai: 155 vo: 299 vu: ml
t0: [06:15:00 28/10/2012] id: Sandostatin el: 4 cu: MICU cg: RN so: D5W vo: 0 v1: 50 du: mcghr sv: 100 su: ml rt: IV Drip t0: [06:30:00 28/10/2012] id: Sandostatin el: 4 cu: MICU cg: RN so: D5W vo: 0 v1: 50 du: mcghr sv: 100 su: ml rt: IV Drip t0: [06:45:00 28/10/2012] id: Sandostatin el: 4 cu: MICU cg: RN so: D5W vo: 0 v1: 50 du: mcghr sv: 100 su: ml rt: IV Drip
t0: [07:00:00 28/10/2012] id: Stool Out Stool el: 1 cu: MICU cg: RN vu: ml es: Medium
t0: [06:38:00 28/10/2012] id: Hematocrit Hematology el: 0 cu: MICU cg: 1663 v1: 21.3 u1: % rs: Final st: NotStopd t0: [07:00:00 28/10/2012] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [07:00:00 28/10/2012] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [07:00:00 28/10/2012] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [07:00:00 28/10/2012] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [07:00:00 28/10/2012] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [07:00:00 28/10/2012] id: Heart Rate el: 0 cu: MICU cg: RN v1: 75 u1: BPM st: NotStopd t0: [07:00:00 28/10/2012] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [07:00:00 28/10/2012] id: NBP el: 0 cu: MICU cg: RN v1: 101 u1: mmHg v2: 36 u2: mmHg st: NotStopd t0: [07:00:00 28/10/2012] id: NBP Mean el: 0 cu: MICU cg: RN v1: 57.6667 u1: mmHg st: NotStopd t0: [07:00:00 28/10/2012] id: Precautions el: 0 cu: MICU cg: RN v1: Contact st: NotStopd t0: [07:00:00 28/10/2012] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 27 u1: BPM st: NotStopd t0: [07:00:00 28/10/2012] id: SpO2 el: 0 cu: MICU cg: RN v1: 98 u1: % st: NotStopd t0: [07:00:00 28/10/2012] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [07:00:00 28/10/2012] id: Sandostatin el: 4 cu: MICU cg: RN so: D5W vo: 0 v1: 50 du: mcghr sv: 100 su: ml rt: IV Drip
t0: [06:38:00 28/10/2012] id: PT el: 0 cu: MICU cg: 1663 v1: 15.7 rs: Final st: NotStopd t0: [06:38:00 28/10/2012] id: INR Coags el: 0 cu: MICU cg: 1663 v1: 1.6 rs: Final st: NotStopd t0: [06:38:00 28/10/2012] id: PTT Coags el: 0 cu: MICU cg: 1663 v1: 40 rs: Final st: NotStopd t0: [06:38:00 28/10/2012] id: INR (2-4 ref. range) Coags el: 0 cu: MICU cg: 1663 v1: 1.6 rs: Final st: NotStopd t0: [06:38:00 28/10/2012] id: PT(11-13.5) Coags el: 0 cu: MICU cg: 1663 v1: 15.7 rs: Final st: NotStopd t0: [06:38:00 28/10/2012] id: PTT(22-35) Coags el: 0 cu: MICU cg: 1663 v1: 40 rs: Final st: NotStopd
t0: [07:15:00 28/10/2012] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [07:15:00 28/10/2012] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [07:15:00 28/10/2012] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [07:15:00 28/10/2012] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [07:15:00 28/10/2012] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [07:15:00 28/10/2012] id: Heart Rate el: 0 cu: MICU cg: RN v1: 68 u1: BPM st: NotStopd t0: [07:15:00 28/10/2012] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [07:15:00 28/10/2012] id: NBP el: 0 cu: MICU cg: RN v1: 100 u1: mmHg v2: 33 u2: mmHg st: NotStopd t0: [07:15:00 28/10/2012] id: NBP Mean el: 0 cu: MICU cg: RN v1: 55.3333 u1: mmHg st: NotStopd t0: [07:15:00 28/10/2012] id: Precautions el: 0 cu: MICU cg: RN v1: Contact st: NotStopd t0: [07:15:00 28/10/2012] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 21 u1: BPM st: NotStopd t0: [07:15:00 28/10/2012] id: SpO2 el: 0 cu: MICU cg: RN v1: 98 u1: % st: NotStopd t0: [07:15:00 28/10/2012] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [07:30:00 28/10/2012] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [07:30:00 28/10/2012] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [07:30:00 28/10/2012] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [07:30:00 28/10/2012] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [07:30:00 28/10/2012] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [07:30:00 28/10/2012] id: Heart Rate el: 0 cu: MICU cg: RN v1: 68 u1: BPM st: NotStopd t0: [07:30:00 28/10/2012] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [07:30:00 28/10/2012] id: NBP el: 0 cu: MICU cg: RN v1: 97 u1: mmHg v2: 35 u2: mmHg st: NotStopd t0: [07:30:00 28/10/2012] id: NBP Mean el: 0 cu: MICU cg: RN v1: 55.6667 u1: mmHg st: NotStopd t0: [07:30:00 28/10/2012] id: Precautions el: 0 cu: MICU cg: RN v1: Contact st: NotStopd t0: [07:30:00 28/10/2012] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 21 u1: BPM st: NotStopd t0: [07:30:00 28/10/2012] id: SpO2 el: 0 cu: MICU cg: RN v1: 98 u1: % st: NotStopd t0: [07:30:00 28/10/2012] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [07:00:00 28/10/2012] id: Urine Out Foley el: 2 cu: MICU cg: RN vo: 100 vu: ml t0: [07:30:00 28/10/2012] id: Packed RBC's IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 375 vu: ml
t0: [07:15:00 28/10/2012] id: Sandostatin el: 4 cu: MICU cg: RN so: D5W vo: 0 v1: 50 du: mcghr sv: 100 su: ml rt: IV Drip t0: [07:30:00 28/10/2012] id: Sandostatin el: 4 cu: MICU cg: RN so: D5W vo: 0 v1: 50 du: mcghr sv: 100 su: ml rt: IV Drip
t0: [07:30:00 28/10/2012] id: Temp. Site el: 0 cu: MICU cg: RN v1: Oral st: NotStopd t0: [07:30:00 28/10/2012] id: Temperature C (calc) el: 0 cu: MICU cg: RN v1: 38.0556 u1: Deg. C st: NotStopd t0: [07:30:00 28/10/2012] id: Temperature F el: 0 cu: MICU cg: RN v1: 100.5 u1: Deg. F st: NotStopd t0: [07:45:00 28/10/2012] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [07:45:00 28/10/2012] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [07:45:00 28/10/2012] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [07:45:00 28/10/2012] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [07:45:00 28/10/2012] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [07:45:00 28/10/2012] id: Heart Rate el: 0 cu: MICU cg: RN v1: 67 u1: BPM st: NotStopd t0: [07:45:00 28/10/2012] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [07:45:00 28/10/2012] id: NBP el: 0 cu: MICU cg: RN v1: 101 u1: mmHg v2: 38 u2: mmHg st: NotStopd t0: [07:45:00 28/10/2012] id: NBP Mean el: 0 cu: MICU cg: RN v1: 59 u1: mmHg st: NotStopd t0: [07:45:00 28/10/2012] id: Precautions el: 0 cu: MICU cg: RN v1: Contact st: NotStopd t0: [07:45:00 28/10/2012] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 18 u1: BPM st: NotStopd t0: [07:45:00 28/10/2012] id: SpO2 el: 0 cu: MICU cg: RN v1: 99 u1: % st: NotStopd t0: [07:45:00 28/10/2012] id: Temp. Site el: 0 cu: MICU cg: RN v1: Oral st: NotStopd t0: [07:45:00 28/10/2012] id: Temperature C (calc) el: 0 cu: MICU cg: RN v1: 38.0556 u1: Deg. C st: NotStopd t0: [07:45:00 28/10/2012] id: Temperature F el: 0 cu: MICU cg: RN v1: 100.5 u1: Deg. F st: NotStopd t0: [07:45:00 28/10/2012] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [07:45:00 28/10/2012] id: Sandostatin el: 4 cu: MICU cg: RN so: D5W vo: 0 v1: 50 du: mcghr sv: 100 su: ml rt: IV Drip
tf: [09:00:00 28/10/2012] pt: Unit Dose rt: IV fr: ONCE fs: 8 dn: 1 m1: Midazolam HCl v1: 1-10 u1: mg tf: [09:00:00 28/10/2012] pt: Unit Dose rt: IV fr: PRN m1: Fentanyl Citrate v1: 25-100 u1: mcg
t0: [08:00:00 28/10/2012] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [08:00:00 28/10/2012] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [08:00:00 28/10/2012] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [08:00:00 28/10/2012] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [08:00:00 28/10/2012] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [08:00:00 28/10/2012] id: Heart Rate el: 0 cu: MICU cg: RN v1: 70 u1: BPM st: NotStopd t0: [08:00:00 28/10/2012] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [08:00:00 28/10/2012] id: NBP el: 0 cu: MICU cg: RN v1: 95 u1: mmHg v2: 39 u2: mmHg st: NotStopd t0: [08:00:00 28/10/2012] id: NBP Mean el: 0 cu: MICU cg: RN v1: 57.6667 u1: mmHg st: NotStopd t0: [08:00:00 28/10/2012] id: Precautions el: 0 cu: MICU cg: RN v1: Contact st: NotStopd t0: [08:00:00 28/10/2012] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 19 u1: BPM st: NotStopd t0: [08:00:00 28/10/2012] id: SpO2 el: 0 cu: MICU cg: RN v1: 100 u1: % st: NotStopd t0: [08:00:00 28/10/2012] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [08:00:00 28/10/2012] id: Sandostatin el: 4 cu: MICU cg: RN so: D5W vo: 0 v1: 50 du: mcghr sv: 100 su: ml rt: IV Drip
t0: [08:00:00 28/10/2012] id: Temp. Site el: 0 cu: MICU cg: RN v1: Oral st: NotStopd t0: [08:00:00 28/10/2012] id: Temperature C (calc) el: 0 cu: MICU cg: RN v1: 37.6667 u1: Deg. C st: NotStopd t0: [08:00:00 28/10/2012] id: Temperature F el: 0 cu: MICU cg: RN v1: 99.8 u1: Deg. F st: NotStopd t0: [08:10:00 28/10/2012] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [08:10:00 28/10/2012] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [08:10:00 28/10/2012] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [08:10:00 28/10/2012] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [08:10:00 28/10/2012] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [08:10:00 28/10/2012] id: Heart Rate el: 0 cu: MICU cg: RN v1: 70 u1: BPM st: NotStopd t0: [08:10:00 28/10/2012] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [08:10:00 28/10/2012] id: NBP el: 0 cu: MICU cg: RN v1: 102 u1: mmHg v2: 40 u2: mmHg st: NotStopd t0: [08:10:00 28/10/2012] id: NBP Mean el: 0 cu: MICU cg: RN v1: 60.6667 u1: mmHg st: NotStopd t0: [08:10:00 28/10/2012] id: Precautions el: 0 cu: MICU cg: RN v1: Contact st: NotStopd t0: [08:10:00 28/10/2012] id: Procedures el: 0 cu: MICU cg: RN v1: Endoscopy st: NotStopd t0: [08:10:00 28/10/2012] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 20 u1: BPM st: NotStopd t0: [08:10:00 28/10/2012] id: SpO2 el: 0 cu: MICU cg: RN v1: 98 u1: % st: NotStopd t0: [08:10:00 28/10/2012] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [08:10:00 28/10/2012] id: Packed RBC's IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 375 vu: ml
t0: [08:10:00 28/10/2012] id: Sandostatin el: 4 cu: MICU cg: RN so: D5W vo: 0 v1: 50 du: mcghr sv: 100 su: ml rt: IV Drip
t0: [08:15:00 28/10/2012] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [08:15:00 28/10/2012] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [08:15:00 28/10/2012] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [08:15:00 28/10/2012] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [08:15:00 28/10/2012] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [08:15:00 28/10/2012] id: Heart Rate el: 0 cu: MICU cg: RN v1: 72 u1: BPM st: NotStopd t0: [08:15:00 28/10/2012] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [08:15:00 28/10/2012] id: NBP el: 0 cu: MICU cg: RN v1: 80 u1: mmHg v2: 28 u2: mmHg st: NotStopd t0: [08:15:00 28/10/2012] id: NBP Mean el: 0 cu: MICU cg: RN v1: 45.3333 u1: mmHg st: NotStopd t0: [08:15:00 28/10/2012] id: Precautions el: 0 cu: MICU cg: RN v1: Contact st: NotStopd t0: [08:15:00 28/10/2012] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 17 u1: BPM st: NotStopd t0: [08:15:00 28/10/2012] id: SpO2 el: 0 cu: MICU cg: RN v1: 97 u1: % st: NotStopd t0: [08:15:00 28/10/2012] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [08:15:00 28/10/2012] id: Sandostatin el: 4 cu: MICU cg: RN so: D5W vo: 0 v1: 50 du: mcghr sv: 100 su: ml rt: IV Drip
t0: [08:20:00 28/10/2012] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [08:20:00 28/10/2012] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [08:20:00 28/10/2012] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [08:20:00 28/10/2012] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [08:20:00 28/10/2012] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [08:20:00 28/10/2012] id: Heart Rate el: 0 cu: MICU cg: RN v1: 80 u1: BPM st: NotStopd t0: [08:20:00 28/10/2012] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [08:20:00 28/10/2012] id: NBP el: 0 cu: MICU cg: RN v1: 80 u1: mmHg v2: 32 u2: mmHg st: NotStopd t0: [08:20:00 28/10/2012] id: NBP Mean el: 0 cu: MICU cg: RN v1: 48 u1: mmHg st: NotStopd t0: [08:20:00 28/10/2012] id: Precautions el: 0 cu: MICU cg: RN v1: Contact st: NotStopd t0: [08:20:00 28/10/2012] id: Procedures el: 0 cu: MICU cg: RN st: NotStopd t0: [08:20:00 28/10/2012] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 20 u1: BPM st: NotStopd t0: [08:20:00 28/10/2012] id: SpO2 el: 0 cu: MICU cg: RN v1: 97 u1: % st: NotStopd t0: [08:20:00 28/10/2012] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [08:20:00 28/10/2012] id: .9% Normal Saline 1000.0ml IV Infusions el: 6 cu: MICU cg: RN ai: 107 vo: 500 vu: ml
t0: [08:20:00 28/10/2012] id: Sandostatin el: 4 cu: MICU cg: RN so: D5W vo: 0 v1: 50 du: mcghr sv: 100 su: ml rt: IV Drip
t0: [08:10:00 28/10/2012] id: Temp. Site el: 0 cu: MICU cg: RN v1: Oral st: NotStopd t0: [08:10:00 28/10/2012] id: Temperature C (calc) el: 0 cu: MICU cg: RN v1: 37.6667 u1: Deg. C st: NotStopd t0: [08:10:00 28/10/2012] id: Temperature F el: 0 cu: MICU cg: RN v1: 99.8 u1: Deg. F st: NotStopd t0: [08:25:00 28/10/2012] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [08:25:00 28/10/2012] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [08:25:00 28/10/2012] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [08:25:00 28/10/2012] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [08:25:00 28/10/2012] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [08:25:00 28/10/2012] id: Heart Rate el: 0 cu: MICU cg: RN v1: 74 u1: BPM st: NotStopd t0: [08:25:00 28/10/2012] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [08:25:00 28/10/2012] id: NBP el: 0 cu: MICU cg: RN v1: 90 u1: mmHg v2: 34 u2: mmHg st: NotStopd t0: [08:25:00 28/10/2012] id: NBP Mean el: 0 cu: MICU cg: RN v1: 52.6667 u1: mmHg st: NotStopd t0: [08:25:00 28/10/2012] id: Precautions el: 0 cu: MICU cg: RN v1: Contact st: NotStopd t0: [08:25:00 28/10/2012] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 20 u1: BPM st: NotStopd t0: [08:25:00 28/10/2012] id: SpO2 el: 0 cu: MICU cg: RN v1: 99 u1: % st: NotStopd t0: [08:25:00 28/10/2012] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [08:25:00 28/10/2012] id: Sandostatin el: 4 cu: MICU cg: RN so: D5W vo: 0 v1: 50 du: mcghr sv: 100 su: ml rt: IV Drip
t0: [08:30:00 28/10/2012] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [08:30:00 28/10/2012] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [08:30:00 28/10/2012] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [08:30:00 28/10/2012] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [08:30:00 28/10/2012] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [08:30:00 28/10/2012] id: Heart Rate el: 0 cu: MICU cg: RN v1: 75 u1: BPM st: NotStopd t0: [08:30:00 28/10/2012] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [08:30:00 28/10/2012] id: NBP el: 0 cu: MICU cg: RN v1: 86 u1: mmHg v2: 30 u2: mmHg st: NotStopd t0: [08:30:00 28/10/2012] id: NBP Mean el: 0 cu: MICU cg: RN v1: 48.6667 u1: mmHg st: NotStopd t0: [08:30:00 28/10/2012] id: Precautions el: 0 cu: MICU cg: RN v1: Contact st: NotStopd t0: [08:30:00 28/10/2012] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 21 u1: BPM st: NotStopd t0: [08:30:00 28/10/2012] id: SpO2 el: 0 cu: MICU cg: RN v1: 98 u1: % st: NotStopd t0: [08:30:00 28/10/2012] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [08:30:00 28/10/2012] id: Sandostatin el: 4 cu: MICU cg: RN so: D5W vo: 0 v1: 50 du: mcghr sv: 100 su: ml rt: IV Drip
t0: [08:30:00 28/10/2012] id: Procedures el: 0 cu: MICU cg: RN st: NotStopd
t0: [08:15:00 28/10/2012] id: Significant Events el: 0 cu: MICU cg: RN v1: Fluid Bolus st: NotStopd
t0: [08:00:00 28/10/2012] id: Pain Present el: 0 cu: MICU cg: RN v1: No st: NotStopd t0: [08:00:00 28/10/2012] id: Pain Assess Method el: 0 cu: MICU cg: RN v1: Pt Verbalized st: NotStopd t0: [08:00:00 28/10/2012] id: Riker-SAS Scale el: 0 cu: MICU cg: RN v1: Calm/Cooperative st: NotStopd t0: [08:00:00 28/10/2012] id: Cough/Deep Breathe el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [08:00:00 28/10/2012] id: Daily Wake Up el: 1 cu: MICU cg: RN v1: No/Not Sedated st: NotStopd t0: [08:00:00 28/10/2012] id: GI Prophylaxis el: 0 cu: MICU cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [08:00:00 28/10/2012] id: Diet Type el: 0 cu: MICU cg: RN v1: NPO st: NotStopd t0: [08:00:00 28/10/2012] id: Dorsal PedPulse R/L el: 0 cu: MICU cg: RN v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [08:00:00 28/10/2012] id: Eye Opening el: 0 cu: MICU cg: RN v1: 4 Spontaneously st: NotStopd t0: [08:00:00 28/10/2012] id: Follows Commands el: 0 cu: MICU cg: RN v1: Consistently st: NotStopd t0: [08:00:00 28/10/2012] id: GCS Total el: 0 cu: MICU cg: RN v1: 15 u1: points st: NotStopd t0: [08:00:00 28/10/2012] id: HOB el: 0 cu: MICU cg: RN v1: 30 degrees st: NotStopd t0: [08:00:00 28/10/2012] id: INV Line#1 Type/Site el: 0 cu: MICU cg: RN v1: Multi-lumen v2: Right Subclavian st: NotStopd t0: [08:00:00 28/10/2012] id: INV Line#1SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [08:00:00 28/10/2012] id: Abdominal Assessment el: 0 cu: MICU cg: RN v1: Firm Distended st: NotStopd t0: [08:00:00 28/10/2012] id: Activity el: 0 cu: MICU cg: RN v1: Bedrest st: NotStopd t0: [08:00:00 28/10/2012] id: Activity Tolerance el: 0 cu: MICU cg: RN v1: Tolerated Well st: NotStopd t0: [08:00:00 28/10/2012] id: LLL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [08:00:00 28/10/2012] id: LUL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [08:00:00 28/10/2012] id: Level of Conscious el: 0 cu: MICU cg: RN v1: Alert st: NotStopd t0: [08:00:00 28/10/2012] id: Motor Response el: 0 cu: MICU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [08:00:00 28/10/2012] id: O2 Delivery Device el: 0 cu: MICU cg: RN v1: Nasal Cannula st: NotStopd t0: [08:00:00 28/10/2012] id: O2 Flow (lpm) el: 0 cu: MICU cg: RN v1: 2 u1: lpm st: NotStopd t0: [08:00:00 28/10/2012] id: Orientation el: 0 cu: MICU cg: RN v1: Oriented x 3 st: NotStopd t0: [08:00:00 28/10/2012] id: AntiEmbDevice/Status el: 0 cu: MICU cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [08:00:00 28/10/2012] id: Pain Location el: 0 cu: MICU cg: RN v1: Not Indicated st: NotStopd t0: [08:00:00 28/10/2012] id: Position el: 0 cu: MICU cg: RN v1: Supine st: NotStopd t0: [08:00:00 28/10/2012] id: PostTib. Pulses R/L el: 0 cu: MICU cg: RN v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [08:00:00 28/10/2012] id: Assistance Device el: 0 cu: MICU cg: RN v1: 1 Person Assist st: NotStopd t0: [08:00:00 28/10/2012] id: RLL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [08:00:00 28/10/2012] id: RUL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [08:00:00 28/10/2012] id: Respiratory Pattern el: 0 cu: MICU cg: RN v1: Regular st: NotStopd t0: [08:00:00 28/10/2012] id: Side Rails el: 0 cu: MICU cg: RN v1: Side Rails Up st: NotStopd t0: [08:00:00 28/10/2012] id: Skin Color el: 0 cu: MICU cg: RN v1: Jaundiced st: NotStopd t0: [08:00:00 28/10/2012] id: Skin Temp/Condition el: 0 cu: MICU cg: RN v1: Warm v2: Dry st: NotStopd t0: [08:00:00 28/10/2012] id: Spontaneous Movement el: 0 cu: MICU cg: RN v1: Purposeful st: NotStopd t0: [08:00:00 28/10/2012] id: Sputum Color/Consist el: 0 cu: MICU cg: RN v1: White v2: Thin st: NotStopd t0: [08:00:00 28/10/2012] id: Sputum Source/Amt el: 0 cu: MICU cg: RN v1: Expectorated v2: Scant st: NotStopd t0: [08:00:00 28/10/2012] id: Support Systems el: 0 cu: MICU cg: RN v1: Spouse st: NotStopd t0: [08:00:00 28/10/2012] id: Turn el: 0 cu: MICU cg: RN v1: Side to Side st: NotStopd t0: [08:00:00 28/10/2012] id: Urine Color/Appear el: 0 cu: MICU cg: RN v1: Icteric v2: Clear st: NotStopd t0: [08:00:00 28/10/2012] id: Verbal Response el: 0 cu: MICU cg: RN v1: 5 Oriented st: NotStopd t0: [08:00:00 28/10/2012] id: Behavior el: 0 cu: MICU cg: RN v1: Calm st: NotStopd t0: [08:00:00 28/10/2012] id: Bowel Sounds el: 0 cu: MICU cg: RN v1: Hypoactive st: NotStopd t0: [08:00:00 28/10/2012] id: Braden Activity el: 0 cu: MICU cg: RN v1: Bedfast st: NotStopd t0: [08:00:00 28/10/2012] id: Braden Frict/Shear el: 0 cu: MICU cg: RN v1: Potential Prob st: NotStopd t0: [08:00:00 28/10/2012] id: Braden Mobility el: 0 cu: MICU cg: RN v1: Sl. Limited st: NotStopd t0: [08:00:00 28/10/2012] id: Braden Moisture el: 0 cu: MICU cg: RN v1: Occ. Moist st: NotStopd t0: [08:00:00 28/10/2012] id: Braden Nutrition el: 0 cu: MICU cg: RN v1: Prob. Inadequate st: NotStopd t0: [08:00:00 28/10/2012] id: Braden Score el: 0 cu: MICU cg: RN v1: 14 u1: number st: NotStopd t0: [08:00:00 28/10/2012] id: Braden SensoryPercep el: 0 cu: MICU cg: RN v1: Sl. Limited st: NotStopd
t0: [07:00:00 28/10/2012] id: .9% Normal Saline 1000.0ml IV Infusions el: 6 cu: MICU cg: RN ai: 107 vo: 10 vu: ml t0: [08:00:00 28/10/2012] id: .9% Normal Saline 1000.0ml IV Infusions el: 6 cu: MICU cg: RN ai: 107 vo: 10 vu: ml t0: [08:00:00 28/10/2012] id: Urine Out Foley el: 2 cu: MICU cg: RN vo: 100 vu: ml
t0: [08:35:00 28/10/2012] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [08:35:00 28/10/2012] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [08:35:00 28/10/2012] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [08:35:00 28/10/2012] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [08:35:00 28/10/2012] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [08:35:00 28/10/2012] id: Heart Rate el: 0 cu: MICU cg: RN v1: 77 u1: BPM st: NotStopd t0: [08:35:00 28/10/2012] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [08:35:00 28/10/2012] id: NBP el: 0 cu: MICU cg: RN v1: 86 u1: mmHg v2: 36 u2: mmHg st: NotStopd t0: [08:35:00 28/10/2012] id: NBP Mean el: 0 cu: MICU cg: RN v1: 52.6667 u1: mmHg st: NotStopd t0: [08:35:00 28/10/2012] id: Precautions el: 0 cu: MICU cg: RN v1: Contact st: NotStopd t0: [08:35:00 28/10/2012] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 21 u1: BPM st: NotStopd t0: [08:35:00 28/10/2012] id: SpO2 el: 0 cu: MICU cg: RN v1: 99 u1: % st: NotStopd t0: [08:35:00 28/10/2012] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [08:40:00 28/10/2012] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [08:40:00 28/10/2012] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [08:40:00 28/10/2012] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [08:40:00 28/10/2012] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [08:40:00 28/10/2012] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [08:40:00 28/10/2012] id: Heart Rate el: 0 cu: MICU cg: RN v1: 75 u1: BPM st: NotStopd t0: [08:40:00 28/10/2012] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [08:40:00 28/10/2012] id: NBP el: 0 cu: MICU cg: RN v1: 107 u1: mmHg v2: 68 u2: mmHg st: NotStopd t0: [08:40:00 28/10/2012] id: NBP Mean el: 0 cu: MICU cg: RN v1: 81 u1: mmHg st: NotStopd t0: [08:40:00 28/10/2012] id: Precautions el: 0 cu: MICU cg: RN v1: Contact st: NotStopd t0: [08:40:00 28/10/2012] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 22 u1: BPM st: NotStopd t0: [08:40:00 28/10/2012] id: SpO2 el: 0 cu: MICU cg: RN v1: 99 u1: % st: NotStopd t0: [08:40:00 28/10/2012] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [08:45:00 28/10/2012] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [08:45:00 28/10/2012] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [08:45:00 28/10/2012] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [08:45:00 28/10/2012] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [08:45:00 28/10/2012] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [08:45:00 28/10/2012] id: Heart Rate el: 0 cu: MICU cg: RN v1: 69 u1: BPM st: NotStopd t0: [08:45:00 28/10/2012] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [08:45:00 28/10/2012] id: NBP el: 0 cu: MICU cg: RN v1: 100 u1: mmHg v2: 39 u2: mmHg st: NotStopd t0: [08:45:00 28/10/2012] id: NBP Mean el: 0 cu: MICU cg: RN v1: 59.3333 u1: mmHg st: NotStopd t0: [08:45:00 28/10/2012] id: Precautions el: 0 cu: MICU cg: RN v1: Contact st: NotStopd t0: [08:45:00 28/10/2012] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 18 u1: BPM st: NotStopd t0: [08:45:00 28/10/2012] id: SpO2 el: 0 cu: MICU cg: RN v1: 99 u1: % st: NotStopd t0: [08:45:00 28/10/2012] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [09:00:00 28/10/2012] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [09:00:00 28/10/2012] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [09:00:00 28/10/2012] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [09:00:00 28/10/2012] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [09:00:00 28/10/2012] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [09:00:00 28/10/2012] id: Heart Rate el: 0 cu: MICU cg: RN v1: 67 u1: BPM st: NotStopd t0: [09:00:00 28/10/2012] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [09:00:00 28/10/2012] id: NBP el: 0 cu: MICU cg: RN v1: 101 u1: mmHg v2: 39 u2: mmHg st: NotStopd t0: [09:00:00 28/10/2012] id: NBP Mean el: 0 cu: MICU cg: RN v1: 59.6667 u1: mmHg st: NotStopd t0: [09:00:00 28/10/2012] id: Precautions el: 0 cu: MICU cg: RN v1: Contact st: NotStopd t0: [09:00:00 28/10/2012] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 17 u1: BPM st: NotStopd t0: [09:00:00 28/10/2012] id: SpO2 el: 0 cu: MICU cg: RN v1: 99 u1: % st: NotStopd t0: [09:00:00 28/10/2012] id: Temp. Site el: 0 cu: MICU cg: RN v1: Oral st: NotStopd t0: [09:00:00 28/10/2012] id: Temperature C (calc) el: 0 cu: MICU cg: RN v1: 37.5 u1: Deg. C st: NotStopd t0: [09:00:00 28/10/2012] id: Temperature F el: 0 cu: MICU cg: RN v1: 99.5 u1: Deg. F st: NotStopd t0: [09:00:00 28/10/2012] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [09:00:00 28/10/2012] id: D5W 100.0ml + 600mcghr Sandostatin IV Infusions el: 3 cu: MICU cg: RN ai: 127 vo: 8.3 vu: ml t0: [09:00:00 28/10/2012] id: D5/.45NS 50.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 112 vu: ml nb: 1 t0: [09:00:00 28/10/2012] id: Urine Out Foley el: 2 cu: MICU cg: RN vo: 30 vu: ml
t0: [08:35:00 28/10/2012] id: Sandostatin el: 4 cu: MICU cg: RN so: D5W vo: 0 v1: 50 du: mcghr sv: 100 su: ml rt: IV Drip t0: [08:40:00 28/10/2012] id: Sandostatin el: 4 cu: MICU cg: RN so: D5W vo: 0 v1: 50 du: mcghr sv: 100 su: ml rt: IV Drip t0: [08:45:00 28/10/2012] id: Sandostatin el: 4 cu: MICU cg: RN so: D5W vo: 0 v1: 50 du: mcghr sv: 100 su: ml rt: IV Drip t0: [09:00:00 28/10/2012] id: Sandostatin el: 4 cu: MICU cg: RN so: D5W vo: 0 v1: 50 du: mcghr sv: 100 su: ml rt: IV Drip
tf: [13:00:00 28/10/2012] pt: IV Piggyback rt: IV fr: INFUSION m1: Vasopressin v1: 100 u1: UNIT m2: D5W v2: 250 u2: ml
t0: [09:15:00 28/10/2012] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [09:15:00 28/10/2012] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [09:15:00 28/10/2012] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [09:15:00 28/10/2012] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [09:15:00 28/10/2012] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [09:15:00 28/10/2012] id: Heart Rate el: 0 cu: MICU cg: RN v1: 65 u1: BPM st: NotStopd t0: [09:15:00 28/10/2012] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [09:15:00 28/10/2012] id: NBP el: 0 cu: MICU cg: RN v1: 100 u1: mmHg v2: 33 u2: mmHg st: NotStopd t0: [09:15:00 28/10/2012] id: NBP Mean el: 0 cu: MICU cg: RN v1: 55.3333 u1: mmHg st: NotStopd t0: [09:15:00 28/10/2012] id: Precautions el: 0 cu: MICU cg: RN v1: Contact st: NotStopd t0: [09:15:00 28/10/2012] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 15 u1: BPM st: NotStopd t0: [09:15:00 28/10/2012] id: SpO2 el: 0 cu: MICU cg: RN v1: 99 u1: % st: NotStopd t0: [09:15:00 28/10/2012] id: Temp. Site el: 0 cu: MICU cg: RN v1: Oral st: NotStopd t0: [09:15:00 28/10/2012] id: Temperature C (calc) el: 0 cu: MICU cg: RN v1: 37.5 u1: Deg. C st: NotStopd t0: [09:15:00 28/10/2012] id: Temperature F el: 0 cu: MICU cg: RN v1: 99.5 u1: Deg. F st: NotStopd t0: [09:15:00 28/10/2012] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [09:00:00 28/10/2012] id: Packed RBC's IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 375 vu: ml nb: 1
t0: [09:15:00 28/10/2012] id: Sandostatin el: 4 cu: MICU cg: RN so: D5W vo: 0 v1: 50 du: mcghr sv: 100 su: ml rt: IV Drip
t0: [08:00:00 28/10/2012] tf: [17:50:00 30/10/2012] dt: 3470 id: D5W 100.0ml + 600mcghr Sandostatin IV Infusions el: 3 cu: MICU cg: RN ai: 127 vo: 8.3 vu: ml t0: [08:30:00 28/10/2012] id: IV Piggyback IV Infusions el: 1 cu: MICU cg: RN ai: 209 vo: 100 vu: ml
t0: [08:54:00 28/10/2012] id: WBC (4-11,000) Hematology el: 0 cu: MICU cg: 1663 v1: 6.4 rs: Final st: NotStopd t0: [08:54:00 28/10/2012] id: WBC Hematology el: 0 cu: MICU cg: 1663 v1: 6.4 rs: Final st: NotStopd t0: [08:54:00 28/10/2012] id: Hematocrit Hematology el: 0 cu: MICU cg: 1663 v1: 26.9 u1: % rs: Final st: NotStopd t0: [08:54:00 28/10/2012] id: Hemoglobin Hematology el: 0 cu: MICU cg: 1663 v1: 9.4 u1: gm/dl rs: Final st: NotStopd t0: [08:54:00 28/10/2012] id: Platelets Hematology el: 0 cu: MICU cg: 1663 v1: 75 rs: Final st: NotStopd t0: [08:54:00 28/10/2012] id: RBC Hematology el: 0 cu: MICU cg: 1663 v1: 3.02 u1: /mic l rs: Final st: NotStopd t0: [08:54:00 28/10/2012] id: WBC (4-11,000) Hematology el: 0 cu: MICU cg: 1663 v1: 6.4 rs: Final st: NotStopd
t0: [08:54:00 28/10/2012] id: PT el: 0 cu: MICU cg: 1663 v1: 15.6 rs: Final st: NotStopd t0: [08:54:00 28/10/2012] id: Fibrinogen Coags el: 0 cu: MICU cg: 1663 v1: 146 rs: Final st: NotStopd t0: [08:54:00 28/10/2012] id: INR Coags el: 0 cu: MICU cg: 1663 v1: 1.6 rs: Final st: NotStopd t0: [08:54:00 28/10/2012] id: PTT Coags el: 0 cu: MICU cg: 1663 v1: 39.3 rs: Final st: NotStopd t0: [08:54:00 28/10/2012] id: Fibrinogen (150-400) Coags el: 0 cu: MICU cg: 1663 v1: 146 rs: Final st: NotStopd t0: [08:54:00 28/10/2012] id: INR (2-4 ref. range) Coags el: 0 cu: MICU cg: 1663 v1: 1.6 rs: Final st: NotStopd t0: [08:54:00 28/10/2012] id: PT(11-13.5) Coags el: 0 cu: MICU cg: 1663 v1: 15.6 rs: Final st: NotStopd t0: [08:54:00 28/10/2012] id: PTT(22-35) Coags el: 0 cu: MICU cg: 1663 v1: 39.3 rs: Final st: NotStopd
t0: [09:30:00 28/10/2012] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [09:30:00 28/10/2012] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [09:30:00 28/10/2012] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [09:30:00 28/10/2012] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [09:30:00 28/10/2012] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [09:30:00 28/10/2012] id: Heart Rate el: 0 cu: MICU cg: RN v1: 66 u1: BPM st: NotStopd t0: [09:30:00 28/10/2012] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [09:30:00 28/10/2012] id: NBP el: 0 cu: MICU cg: RN v1: 91 u1: mmHg v2: 29 u2: mmHg st: NotStopd t0: [09:30:00 28/10/2012] id: NBP Mean el: 0 cu: MICU cg: RN v1: 49.6667 u1: mmHg st: NotStopd t0: [09:30:00 28/10/2012] id: Precautions el: 0 cu: MICU cg: RN v1: Contact st: NotStopd t0: [09:30:00 28/10/2012] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 16 u1: BPM st: NotStopd t0: [09:30:00 28/10/2012] id: SpO2 el: 0 cu: MICU cg: RN v1: 99 u1: % st: NotStopd t0: [09:30:00 28/10/2012] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [09:30:00 28/10/2012] id: Sandostatin el: 4 cu: MICU cg: RN so: D5W vo: 0 v1: 50 du: mcghr sv: 100 su: ml rt: IV Drip
t0: [09:50:00 28/10/2012] id: Blood Products Hematology el: 0 cu: MICU cg: 1663 v1: Y rs: Final st: NotStopd
t0: [08:54:00 28/10/2012] id: BUN el: 0 cu: MICU cg: 1663 v1: 9 rs: Final st: NotStopd t0: [08:54:00 28/10/2012] id: Calcium Chemistry el: 0 cu: MICU cg: 1663 v1: 7.8 u1: mg/dl rs: Final st: NotStopd t0: [08:54:00 28/10/2012] id: Chloride Chemistry el: 0 cu: MICU cg: 1663 v1: 106 rs: Final st: NotStopd t0: [08:54:00 28/10/2012] id: Creatinine Chemistry el: 0 cu: MICU cg: 1663 v1: 0.8 rs: Final st: NotStopd t0: [08:54:00 28/10/2012] id: Glucose Chemistry el: 0 cu: MICU cg: 1663 v1: 116 rs: Final st: NotStopd t0: [08:54:00 28/10/2012] id: Magnesium Chemistry el: 0 cu: MICU cg: 1663 v1: 1.3 rs: Final st: NotStopd t0: [08:54:00 28/10/2012] id: Phosphorous Chemistry el: 0 cu: MICU cg: 1663 v1: 3.5 u1: mEq/L rs: Final st: NotStopd t0: [08:54:00 28/10/2012] id: Potassium Chemistry el: 0 cu: MICU cg: 1663 v1: 3.9 rs: Final st: NotStopd t0: [08:54:00 28/10/2012] id: Sodium Chemistry el: 0 cu: MICU cg: 1663 v1: 132 rs: Final st: NotStopd t0: [08:54:00 28/10/2012] id: BUN (6-20) Chemistry el: 0 cu: MICU cg: 1663 v1: 9 rs: Final st: NotStopd t0: [08:54:00 28/10/2012] id: Calcium (8.4-10.2) Chemistry el: 0 cu: MICU cg: 1663 v1: 7.8 u1: mg/dl rs: Final st: NotStopd t0: [08:54:00 28/10/2012] id: Carbon Dioxide Chemistry el: 0 cu: MICU cg: 1663 v1: 17 rs: Final st: NotStopd t0: [08:54:00 28/10/2012] id: Chloride (100-112) Chemistry el: 0 cu: MICU cg: 1663 v1: 106 rs: Final st: NotStopd t0: [08:54:00 28/10/2012] id: Creatinine (0-1.3) Chemistry el: 0 cu: MICU cg: 1663 v1: 0.8 rs: Final st: NotStopd t0: [08:54:00 28/10/2012] id: Glucose (70-105) Chemistry el: 0 cu: MICU cg: 1663 v1: 116 rs: Final st: NotStopd t0: [08:54:00 28/10/2012] id: Magnesium (1.6-2.6) Chemistry el: 0 cu: MICU cg: 1663 v1: 1.3 rs: Final st: NotStopd t0: [08:54:00 28/10/2012] id: Phosphorous(2.7-4.5) Chemistry el: 0 cu: MICU cg: 1663 v1: 3.5 u1: mEq/L rs: Final st: NotStopd t0: [08:54:00 28/10/2012] id: Potassium (3.5-5.3) Chemistry el: 0 cu: MICU cg: 1663 v1: 3.9 rs: Final st: NotStopd t0: [08:54:00 28/10/2012] id: Sodium (135-148) Chemistry el: 0 cu: MICU cg: 1663 v1: 132 rs: Final st: NotStopd
t0: [09:45:00 28/10/2012] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [09:45:00 28/10/2012] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [09:45:00 28/10/2012] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [09:45:00 28/10/2012] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [09:45:00 28/10/2012] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [09:45:00 28/10/2012] id: Heart Rate el: 0 cu: MICU cg: RN v1: 66 u1: BPM st: NotStopd t0: [09:45:00 28/10/2012] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [09:45:00 28/10/2012] id: NBP el: 0 cu: MICU cg: RN v1: 98 u1: mmHg v2: 37 u2: mmHg st: NotStopd t0: [09:45:00 28/10/2012] id: NBP Mean el: 0 cu: MICU cg: RN v1: 57.3333 u1: mmHg st: NotStopd t0: [09:45:00 28/10/2012] id: Precautions el: 0 cu: MICU cg: RN v1: Contact st: NotStopd t0: [09:45:00 28/10/2012] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 15 u1: BPM st: NotStopd t0: [09:45:00 28/10/2012] id: SpO2 el: 0 cu: MICU cg: RN v1: 98 u1: % st: NotStopd t0: [09:45:00 28/10/2012] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [10:00:00 28/10/2012] id: Pain Present el: 0 cu: MICU cg: RN v1: No st: NotStopd t0: [10:00:00 28/10/2012] id: Pain Assess Method el: 0 cu: MICU cg: RN v1: Pt Verbalized st: NotStopd t0: [10:00:00 28/10/2012] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [10:00:00 28/10/2012] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [10:00:00 28/10/2012] id: Riker-SAS Scale el: 0 cu: MICU cg: RN v1: Calm/Cooperative st: NotStopd t0: [10:00:00 28/10/2012] id: Daily Wake Up el: 1 cu: MICU cg: RN v1: No/Not Sedated st: NotStopd t0: [10:00:00 28/10/2012] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [10:00:00 28/10/2012] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [10:00:00 28/10/2012] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [10:00:00 28/10/2012] id: Heart Rate el: 0 cu: MICU cg: RN v1: 64 u1: BPM st: NotStopd t0: [10:00:00 28/10/2012] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [10:00:00 28/10/2012] id: NBP el: 0 cu: MICU cg: RN v1: 98 u1: mmHg v2: 37 u2: mmHg st: NotStopd t0: [10:00:00 28/10/2012] id: NBP Mean el: 0 cu: MICU cg: RN v1: 57.3333 u1: mmHg st: NotStopd t0: [10:00:00 28/10/2012] id: O2 Delivery Device el: 0 cu: MICU cg: RN v1: Nasal Cannula st: NotStopd t0: [10:00:00 28/10/2012] id: O2 Flow (lpm) el: 0 cu: MICU cg: RN v1: 2 u1: lpm st: NotStopd t0: [10:00:00 28/10/2012] id: Precautions el: 0 cu: MICU cg: RN v1: Contact st: NotStopd t0: [10:00:00 28/10/2012] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 15 u1: BPM st: NotStopd t0: [10:00:00 28/10/2012] id: SpO2 el: 0 cu: MICU cg: RN v1: 98 u1: % st: NotStopd t0: [10:00:00 28/10/2012] id: Sputum Color/Consist el: 0 cu: MICU cg: RN v1: White v2: Thick st: NotStopd t0: [10:00:00 28/10/2012] id: Sputum Source/Amt el: 0 cu: MICU cg: RN v1: Expectorated v2: Scant st: NotStopd t0: [10:00:00 28/10/2012] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [10:00:00 28/10/2012] id: IV Piggyback IV Infusions el: 1 cu: MICU cg: RN ai: 209 vo: 200 vu: ml t0: [10:00:00 28/10/2012] id: .9% Normal Saline 1000.0ml IV Infusions el: 6 cu: MICU cg: -1 ai: 107 vo: 0 st: D/C'd t0: [10:00:00 28/10/2012] id: D5W 100.0ml + 600mcghr Sandostatin IV Infusions el: 3 cu: MICU cg: RN ai: 127 vo: 8.33333 vu: ml t0: [10:00:00 28/10/2012] tf: [17:50:00 30/10/2012] dt: 3350 id: D5/.45NS 50.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 112 vo: 100 vu: ml t0: [10:00:00 28/10/2012] id: Urine Out Foley el: 2 cu: MICU cg: RN vo: 50 vu: ml
t0: [09:45:00 28/10/2012] id: Sandostatin el: 4 cu: MICU cg: RN so: D5W vo: 0 v1: 50 du: mcghr sv: 100 su: ml rt: IV Drip t0: [10:00:00 28/10/2012] id: Sandostatin el: 4 cu: MICU cg: RN so: D5W vo: 0 v1: 50 du: mcghr sv: 100 su: ml rt: IV Drip
t0: [08:00:00 28/10/2012] id: Family Communication el: 0 cu: MICU cg: RN v1: Fam Talked to MD st: NotStopd t0: [10:00:00 28/10/2012] id: bath el: 1 cu: MICU cg: RN v1: done t0: [10:00:00 28/10/2012] id: Cough/Deep Breathe el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [10:00:00 28/10/2012] id: GI Prophylaxis el: 0 cu: MICU cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [10:00:00 28/10/2012] id: Diet Type el: 0 cu: MICU cg: RN v1: NPO st: NotStopd t0: [10:00:00 28/10/2012] id: Dorsal PedPulse R/L el: 0 cu: MICU cg: RN v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [10:00:00 28/10/2012] id: Eye Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [10:00:00 28/10/2012] id: Eye Opening el: 0 cu: MICU cg: RN v1: 4 Spontaneously st: NotStopd t0: [10:00:00 28/10/2012] id: Follows Commands el: 0 cu: MICU cg: RN v1: Consistently st: NotStopd t0: [10:00:00 28/10/2012] id: GCS Total el: 0 cu: MICU cg: RN v1: 15 u1: points st: NotStopd t0: [10:00:00 28/10/2012] id: HOB el: 0 cu: MICU cg: RN v1: 30 degrees st: NotStopd t0: [10:00:00 28/10/2012] id: Abdominal Assessment el: 0 cu: MICU cg: RN v1: Firm Distended st: NotStopd t0: [10:00:00 28/10/2012] id: Activity el: 0 cu: MICU cg: RN v1: Bedrest st: NotStopd t0: [10:00:00 28/10/2012] id: Activity Tolerance el: 0 cu: MICU cg: RN v1: Tolerated Well st: NotStopd t0: [10:00:00 28/10/2012] id: LLL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [10:00:00 28/10/2012] id: LUL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [10:00:00 28/10/2012] id: Level of Conscious el: 0 cu: MICU cg: RN v1: Alert st: NotStopd t0: [10:00:00 28/10/2012] id: Motor Response el: 0 cu: MICU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [10:00:00 28/10/2012] id: Oral Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [10:00:00 28/10/2012] id: Orientation el: 0 cu: MICU cg: RN v1: Oriented x 3 st: NotStopd t0: [10:00:00 28/10/2012] id: AntiEmbDevice/Status el: 0 cu: MICU cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [10:00:00 28/10/2012] id: Position el: 0 cu: MICU cg: RN v1: Supine st: NotStopd t0: [10:00:00 28/10/2012] id: PostTib. Pulses R/L el: 0 cu: MICU cg: RN v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [10:00:00 28/10/2012] id: Assistance Device el: 0 cu: MICU cg: RN v1: 1 Person Assist st: NotStopd t0: [10:00:00 28/10/2012] id: RLL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [10:00:00 28/10/2012] id: RUL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [10:00:00 28/10/2012] id: Respiratory Pattern el: 0 cu: MICU cg: RN v1: Regular st: NotStopd t0: [10:00:00 28/10/2012] id: Side Rails el: 0 cu: MICU cg: RN v1: Side Rails Up st: NotStopd t0: [10:00:00 28/10/2012] id: Skin Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [10:00:00 28/10/2012] id: Spontaneous Movement el: 0 cu: MICU cg: RN v1: Purposeful st: NotStopd t0: [10:00:00 28/10/2012] id: Support Systems el: 0 cu: MICU cg: RN v1: Spouse st: NotStopd t0: [10:00:00 28/10/2012] id: Turn el: 0 cu: MICU cg: RN v1: Side to Side st: NotStopd t0: [10:00:00 28/10/2012] id: Urine Color/Appear el: 0 cu: MICU cg: RN v1: Icteric v2: Clear st: NotStopd t0: [10:00:00 28/10/2012] id: Verbal Response el: 0 cu: MICU cg: RN v1: 5 Oriented st: NotStopd t0: [10:00:00 28/10/2012] id: Back Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [10:00:00 28/10/2012] id: Behavior el: 0 cu: MICU cg: RN v1: Calm st: NotStopd t0: [10:00:00 28/10/2012] id: Bowel Sounds el: 0 cu: MICU cg: RN v1: Hypoactive st: NotStopd
t0: [10:00:00 28/10/2012] id: Temp. Site el: 0 cu: MICU cg: RN v1: Oral st: NotStopd t0: [10:00:00 28/10/2012] id: Temperature C (calc) el: 0 cu: MICU cg: RN v1: 36.7222 u1: Deg. C st: NotStopd t0: [10:00:00 28/10/2012] id: Temperature F el: 0 cu: MICU cg: RN v1: 98.1 u1: Deg. F st: NotStopd t0: [10:15:00 28/10/2012] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [10:15:00 28/10/2012] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [10:15:00 28/10/2012] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [10:15:00 28/10/2012] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [10:15:00 28/10/2012] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [10:15:00 28/10/2012] id: Heart Rate el: 0 cu: MICU cg: RN v1: 67 u1: BPM st: NotStopd t0: [10:15:00 28/10/2012] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [10:15:00 28/10/2012] id: Precautions el: 0 cu: MICU cg: RN v1: Contact st: NotStopd t0: [10:15:00 28/10/2012] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 16 u1: BPM st: NotStopd t0: [10:15:00 28/10/2012] id: SpO2 el: 0 cu: MICU cg: RN v1: 99 u1: % st: NotStopd t0: [10:15:00 28/10/2012] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [10:15:00 28/10/2012] id: Sandostatin el: 4 cu: MICU cg: RN so: D5W vo: 0 v1: 50 du: mcghr sv: 100 su: ml rt: IV Drip
t0: [10:30:00 28/10/2012] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [10:30:00 28/10/2012] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [10:30:00 28/10/2012] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [10:30:00 28/10/2012] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [10:30:00 28/10/2012] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [10:30:00 28/10/2012] id: Heart Rate el: 0 cu: MICU cg: RN v1: 70 u1: BPM st: NotStopd t0: [10:30:00 28/10/2012] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [10:30:00 28/10/2012] id: NBP el: 0 cu: MICU cg: RN v1: 96 u1: mmHg v2: 31 u2: mmHg st: NotStopd t0: [10:30:00 28/10/2012] id: NBP Mean el: 0 cu: MICU cg: RN v1: 52.6667 u1: mmHg st: NotStopd t0: [10:30:00 28/10/2012] id: Precautions el: 0 cu: MICU cg: RN v1: Contact st: NotStopd t0: [10:30:00 28/10/2012] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 19 u1: BPM st: NotStopd t0: [10:30:00 28/10/2012] id: SpO2 el: 0 cu: MICU cg: RN v1: 99 u1: % st: NotStopd t0: [10:30:00 28/10/2012] id: Temp. Site el: 0 cu: MICU cg: RN v1: Oral st: NotStopd t0: [10:30:00 28/10/2012] id: Temperature C (calc) el: 0 cu: MICU cg: RN v1: 36.9444 u1: Deg. C st: NotStopd t0: [10:30:00 28/10/2012] id: Temperature F el: 0 cu: MICU cg: RN v1: 98.5 u1: Deg. F st: NotStopd t0: [10:30:00 28/10/2012] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [10:30:00 28/10/2012] id: IV Piggyback IV Infusions el: 1 cu: MICU cg: RN ai: 209 vo: 100 vu: ml
t0: [10:30:00 28/10/2012] id: Sandostatin el: 4 cu: MICU cg: RN so: D5W vo: 0 v1: 50 du: mcghr sv: 100 su: ml rt: IV Drip
t0: [10:45:00 28/10/2012] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [10:45:00 28/10/2012] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [10:45:00 28/10/2012] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [10:45:00 28/10/2012] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [10:45:00 28/10/2012] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [10:45:00 28/10/2012] id: Heart Rate el: 0 cu: MICU cg: RN v1: 68 u1: BPM st: NotStopd t0: [10:45:00 28/10/2012] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [10:45:00 28/10/2012] id: NBP el: 0 cu: MICU cg: RN v1: 92 u1: mmHg v2: 42 u2: mmHg st: NotStopd t0: [10:45:00 28/10/2012] id: NBP Mean el: 0 cu: MICU cg: RN v1: 58.6667 u1: mmHg st: NotStopd t0: [10:45:00 28/10/2012] id: Precautions el: 0 cu: MICU cg: RN v1: Contact st: NotStopd t0: [10:45:00 28/10/2012] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 19 u1: BPM st: NotStopd t0: [10:45:00 28/10/2012] id: SpO2 el: 0 cu: MICU cg: RN v1: 100 u1: % st: NotStopd t0: [10:45:00 28/10/2012] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [11:00:00 28/10/2012] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [11:00:00 28/10/2012] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [11:00:00 28/10/2012] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [11:00:00 28/10/2012] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [11:00:00 28/10/2012] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [11:00:00 28/10/2012] id: Heart Rate el: 0 cu: MICU cg: RN v1: 67 u1: BPM st: NotStopd t0: [11:00:00 28/10/2012] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [11:00:00 28/10/2012] id: NBP el: 0 cu: MICU cg: RN v1: 92 u1: mmHg v2: 42 u2: mmHg st: NotStopd t0: [11:00:00 28/10/2012] id: NBP Mean el: 0 cu: MICU cg: RN v1: 58.6667 u1: mmHg st: NotStopd t0: [11:00:00 28/10/2012] id: O2 Delivery Device el: 0 cu: MICU cg: RN v1: Nasal Cannula st: NotStopd t0: [11:00:00 28/10/2012] id: O2 Flow (lpm) el: 0 cu: MICU cg: RN v1: 2 u1: lpm st: NotStopd t0: [11:00:00 28/10/2012] id: Precautions el: 0 cu: MICU cg: RN v1: Contact st: NotStopd t0: [11:00:00 28/10/2012] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 21 u1: BPM st: NotStopd t0: [11:00:00 28/10/2012] id: SpO2 el: 0 cu: MICU cg: RN v1: 100 u1: % st: NotStopd t0: [11:00:00 28/10/2012] id: Temperature C (calc) el: 0 cu: MICU cg: RN v1: 36.9444 u1: Deg. C st: NotStopd t0: [11:00:00 28/10/2012] id: Temperature F el: 0 cu: MICU cg: RN v1: 98.5 u1: Deg. F st: NotStopd t0: [11:00:00 28/10/2012] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [11:00:00 28/10/2012] id: Packed RBC's IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 375 vu: ml t0: [11:00:00 28/10/2012] id: D5W 100.0ml + 600mcghr Sandostatin IV Infusions el: 3 cu: MICU cg: RN ai: 127 vo: 8.33333 vu: ml t0: [11:00:00 28/10/2012] id: D5/.45NS 50.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 112 vo: 100 vu: ml t0: [11:00:00 28/10/2012] id: Urine Out Foley el: 2 cu: MICU cg: RN vo: 30 vu: ml
t0: [10:45:00 28/10/2012] id: Sandostatin el: 4 cu: MICU cg: RN so: D5W vo: 0 v1: 50 du: mcghr sv: 100 su: ml rt: IV Drip t0: [11:00:00 28/10/2012] id: Sandostatin el: 4 cu: MICU cg: RN so: D5W vo: 0 v1: 50 du: mcghr sv: 100 su: ml rt: IV Drip
t0: [11:00:00 28/10/2012] id: FiO2 Set el: 0 cu: MICU cg: -1 st: D/C'd t0: [11:00:00 28/10/2012] id: Orthostat BP sitting el: 0 cu: MICU cg: -1 st: D/C'd t0: [11:00:00 28/10/2012] id: Orthostat HR sitting el: 0 cu: MICU cg: -1 st: D/C'd t0: [11:00:00 28/10/2012] id: OrthostatBP standing el: 0 cu: MICU cg: -1 st: D/C'd t0: [11:00:00 28/10/2012] id: OrthostatHR standing el: 0 cu: MICU cg: -1 st: D/C'd t0: [11:00:00 28/10/2012] id: Orthostatic BP lying el: 0 cu: MICU cg: -1 st: D/C'd t0: [11:00:00 28/10/2012] id: Orthostatic HR lying el: 0 cu: MICU cg: -1 st: D/C'd t0: [11:00:00 28/10/2012] id: Resp Rate (Total) el: 0 cu: MICU cg: -1 st: D/C'd t0: [11:00:00 28/10/2012] id: Ventilator Type el: 0 cu: MICU cg: -1 st: D/C'd
t0: [11:00:00 28/10/2012] id: Stool Out Stool el: 1 cu: MICU cg: RN vu: ml es: Large
tf: [04:00:00 29/10/2012] pt: Unit Dose rt: IV fr: ONCE fs: 11 dn: 1 m1: Magnesium Sulfate v1: 2 u1: gm
t0: [08:00:00 28/10/2012] id: Imp Skin Cleanse #1 el: 0 cu: MICU cg: RN v1: Soap & H20 st: NotStopd t0: [08:00:00 28/10/2012] id: ImpSkin Character #1 el: 0 cu: MICU cg: RN v1: Abrasion st: NotStopd t0: [08:00:00 28/10/2012] id: ImpSkin Treatment #1 el: 0 cu: MICU cg: RN v1: Open to Air st: NotStopd t0: [08:00:00 28/10/2012] id: ImpSkin Wound Base#1 el: 0 cu: MICU cg: RN v1: Pink st: NotStopd t0: [08:00:00 28/10/2012] id: Impaired Skin Site#1 el: 0 cu: MICU cg: RN v1: Coccyx st: NotStopd t0: [08:00:00 28/10/2012] id: Oral Cavity el: 0 cu: MICU cg: RN v1: Bleeding Gum st: NotStopd t0: [08:00:00 28/10/2012] id: Skin Integrity el: 0 cu: MICU cg: RN v1: Impaired st: NotStopd t0: [10:00:00 28/10/2012] id: Oral Cavity el: 0 cu: MICU cg: RN v1: Bleeding Gum st: NotStopd t0: [11:00:00 28/10/2012] id: Temp. Site el: 0 cu: MICU cg: RN v1: Oral st: NotStopd t0: [11:15:00 28/10/2012] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [11:15:00 28/10/2012] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [11:15:00 28/10/2012] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [11:15:00 28/10/2012] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [11:15:00 28/10/2012] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [11:15:00 28/10/2012] id: Heart Rate el: 0 cu: MICU cg: RN v1: 65 u1: BPM st: NotStopd t0: [11:15:00 28/10/2012] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [11:15:00 28/10/2012] id: NBP el: 0 cu: MICU cg: RN v1: 103 u1: mmHg v2: 41 u2: mmHg st: NotStopd t0: [11:15:00 28/10/2012] id: NBP Mean el: 0 cu: MICU cg: RN v1: 61.6667 u1: mmHg st: NotStopd t0: [11:15:00 28/10/2012] id: Precautions el: 0 cu: MICU cg: RN v1: Contact st: NotStopd t0: [11:15:00 28/10/2012] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 20 u1: BPM st: NotStopd t0: [11:15:00 28/10/2012] id: SpO2 el: 0 cu: MICU cg: RN v1: 98 u1: % st: NotStopd t0: [11:15:00 28/10/2012] id: Temp. Site el: 0 cu: MICU cg: RN v1: Oral st: NotStopd t0: [11:15:00 28/10/2012] id: Temperature C (calc) el: 0 cu: MICU cg: RN v1: 36.9444 u1: Deg. C st: NotStopd t0: [11:15:00 28/10/2012] id: Temperature F el: 0 cu: MICU cg: RN v1: 98.5 u1: Deg. F st: NotStopd t0: [11:15:00 28/10/2012] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [11:30:00 28/10/2012] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [11:30:00 28/10/2012] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [11:30:00 28/10/2012] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [11:30:00 28/10/2012] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [11:30:00 28/10/2012] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [11:30:00 28/10/2012] id: Heart Rate el: 0 cu: MICU cg: RN v1: 67 u1: BPM st: NotStopd t0: [11:30:00 28/10/2012] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [11:30:00 28/10/2012] id: NBP el: 0 cu: MICU cg: RN v1: 96 u1: mmHg v2: 34 u2: mmHg st: NotStopd t0: [11:30:00 28/10/2012] id: NBP Mean el: 0 cu: MICU cg: RN v1: 54.6667 u1: mmHg st: NotStopd t0: [11:30:00 28/10/2012] id: Precautions el: 0 cu: MICU cg: RN v1: Contact st: NotStopd t0: [11:30:00 28/10/2012] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 20 u1: BPM st: NotStopd t0: [11:30:00 28/10/2012] id: SpO2 el: 0 cu: MICU cg: RN v1: 99 u1: % st: NotStopd t0: [11:30:00 28/10/2012] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [11:45:00 28/10/2012] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [11:45:00 28/10/2012] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [11:45:00 28/10/2012] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [11:45:00 28/10/2012] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [11:45:00 28/10/2012] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [11:45:00 28/10/2012] id: Heart Rate el: 0 cu: MICU cg: RN v1: 66 u1: BPM st: NotStopd t0: [11:45:00 28/10/2012] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [11:45:00 28/10/2012] id: NBP el: 0 cu: MICU cg: RN v1: 103 u1: mmHg v2: 41 u2: mmHg st: NotStopd t0: [11:45:00 28/10/2012] id: NBP Mean el: 0 cu: MICU cg: RN v1: 61.6667 u1: mmHg st: NotStopd t0: [11:45:00 28/10/2012] id: Precautions el: 0 cu: MICU cg: RN v1: Contact st: NotStopd t0: [11:45:00 28/10/2012] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 20 u1: BPM st: NotStopd t0: [11:45:00 28/10/2012] id: SpO2 el: 0 cu: MICU cg: RN v1: 99 u1: % st: NotStopd t0: [11:45:00 28/10/2012] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [12:00:00 28/10/2012] id: Pain Present el: 0 cu: MICU cg: RN v1: No st: NotStopd t0: [12:00:00 28/10/2012] id: Pain Assess Method el: 0 cu: MICU cg: RN v1: Pt Verbalized st: NotStopd t0: [12:00:00 28/10/2012] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [12:00:00 28/10/2012] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [12:00:00 28/10/2012] id: Riker-SAS Scale el: 0 cu: MICU cg: RN v1: Calm/Cooperative st: NotStopd t0: [12:00:00 28/10/2012] id: Cough/Deep Breathe el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [12:00:00 28/10/2012] id: Daily Wake Up el: 1 cu: MICU cg: RN v1: No/Not Sedated st: NotStopd t0: [12:00:00 28/10/2012] id: GI Prophylaxis el: 0 cu: MICU cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [12:00:00 28/10/2012] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [12:00:00 28/10/2012] id: Diet Type el: 0 cu: MICU cg: RN v1: NPO st: NotStopd t0: [12:00:00 28/10/2012] id: Dorsal PedPulse R/L el: 0 cu: MICU cg: RN v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [12:00:00 28/10/2012] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [12:00:00 28/10/2012] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [12:00:00 28/10/2012] id: Eye Opening el: 0 cu: MICU cg: RN v1: 4 Spontaneously st: NotStopd t0: [12:00:00 28/10/2012] id: Follows Commands el: 0 cu: MICU cg: RN v1: Consistently st: NotStopd t0: [12:00:00 28/10/2012] id: GCS Total el: 0 cu: MICU cg: RN v1: 15 u1: points st: NotStopd t0: [12:00:00 28/10/2012] id: HOB el: 0 cu: MICU cg: RN v1: 30 degrees st: NotStopd t0: [12:00:00 28/10/2012] id: Heart Rate el: 0 cu: MICU cg: RN v1: 66 u1: BPM st: NotStopd t0: [12:00:00 28/10/2012] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [12:00:00 28/10/2012] id: INV Line#1 Type/Site el: 0 cu: MICU cg: RN v1: Multi-lumen v2: Right Subclavian st: NotStopd t0: [12:00:00 28/10/2012] id: INV Line#1SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [12:00:00 28/10/2012] id: Abdominal Assessment el: 0 cu: MICU cg: RN v1: Firm Distended st: NotStopd t0: [12:00:00 28/10/2012] id: Activity el: 0 cu: MICU cg: RN v1: Bedrest st: NotStopd t0: [12:00:00 28/10/2012] id: Activity Tolerance el: 0 cu: MICU cg: RN v1: Tolerated Well st: NotStopd t0: [12:00:00 28/10/2012] id: Imp Skin Cleanse #1 el: 0 cu: MICU cg: RN v1: Soap & H20 st: NotStopd t0: [12:00:00 28/10/2012] id: ImpSkin Character #1 el: 0 cu: MICU cg: RN v1: Abrasion st: NotStopd t0: [12:00:00 28/10/2012] id: ImpSkin Treatment #1 el: 0 cu: MICU cg: RN v1: Open to Air st: NotStopd t0: [12:00:00 28/10/2012] id: ImpSkin Wound Base#1 el: 0 cu: MICU cg: RN v1: Pink st: NotStopd t0: [12:00:00 28/10/2012] id: Impaired Skin Site#1 el: 0 cu: MICU cg: RN v1: Coccyx st: NotStopd t0: [12:00:00 28/10/2012] id: LLL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [12:00:00 28/10/2012] id: LUL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [12:00:00 28/10/2012] id: Level of Conscious el: 0 cu: MICU cg: RN v1: Alert st: NotStopd t0: [12:00:00 28/10/2012] id: Motor Response el: 0 cu: MICU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [12:00:00 28/10/2012] id: NBP el: 0 cu: MICU cg: RN v1: 103 u1: mmHg v2: 41 u2: mmHg st: NotStopd t0: [12:00:00 28/10/2012] id: NBP Mean el: 0 cu: MICU cg: RN v1: 61.6667 u1: mmHg st: NotStopd t0: [12:00:00 28/10/2012] id: O2 Delivery Device el: 0 cu: MICU cg: RN v1: Nasal Cannula st: NotStopd t0: [12:00:00 28/10/2012] id: O2 Flow (lpm) el: 0 cu: MICU cg: RN v1: 2 u1: lpm st: NotStopd t0: [12:00:00 28/10/2012] id: Oral Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [12:00:00 28/10/2012] id: Oral Cavity el: 0 cu: MICU cg: RN v1: Bleeding Gum st: NotStopd t0: [12:00:00 28/10/2012] id: Orientation el: 0 cu: MICU cg: RN v1: Oriented x 3 st: NotStopd t0: [12:00:00 28/10/2012] id: AntiEmbDevice/Status el: 0 cu: MICU cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [12:00:00 28/10/2012] id: Pain Location el: 0 cu: MICU cg: RN v1: Not Indicated st: NotStopd t0: [12:00:00 28/10/2012] id: Position el: 0 cu: MICU cg: RN v1: Right Side st: NotStopd t0: [12:00:00 28/10/2012] id: PostTib. Pulses R/L el: 0 cu: MICU cg: RN v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [12:00:00 28/10/2012] id: Assistance Device el: 0 cu: MICU cg: RN v1: 2 Person Assist st: NotStopd t0: [12:00:00 28/10/2012] id: Precautions el: 0 cu: MICU cg: RN v1: Contact st: NotStopd t0: [12:00:00 28/10/2012] id: RLL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [12:00:00 28/10/2012] id: RUL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [12:00:00 28/10/2012] id: Respiratory Pattern el: 0 cu: MICU cg: RN v1: Regular st: NotStopd t0: [12:00:00 28/10/2012] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 19 u1: BPM st: NotStopd t0: [12:00:00 28/10/2012] id: Side Rails el: 0 cu: MICU cg: RN v1: Side Rails Up st: NotStopd t0: [12:00:00 28/10/2012] id: Skin Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [12:00:00 28/10/2012] id: Skin Color el: 0 cu: MICU cg: RN v1: Jaundiced st: NotStopd t0: [12:00:00 28/10/2012] id: Skin Integrity el: 0 cu: MICU cg: RN v1: Impaired st: NotStopd t0: [12:00:00 28/10/2012] id: Skin Temp/Condition el: 0 cu: MICU cg: RN v1: Warm v2: Dry st: NotStopd t0: [12:00:00 28/10/2012] id: SpO2 el: 0 cu: MICU cg: RN v1: 100 u1: % st: NotStopd t0: [12:00:00 28/10/2012] id: Spontaneous Movement el: 0 cu: MICU cg: RN v1: Purposeful st: NotStopd t0: [12:00:00 28/10/2012] id: Stool Guaiac el: 0 cu: MICU cg: RN v1: Positive st: NotStopd t0: [12:00:00 28/10/2012] id: Support Systems el: 0 cu: MICU cg: RN v1: Spouse st: NotStopd t0: [12:00:00 28/10/2012] id: Temp. Site el: 0 cu: MICU cg: RN v1: Oral st: NotStopd t0: [12:00:00 28/10/2012] id: Temperature C (calc) el: 0 cu: MICU cg: RN v1: 37.1111 u1: Deg. C st: NotStopd t0: [12:00:00 28/10/2012] id: Temperature F el: 0 cu: MICU cg: RN v1: 98.8 u1: Deg. F st: NotStopd t0: [12:00:00 28/10/2012] id: Turn el: 0 cu: MICU cg: RN v1: Side to Side st: NotStopd t0: [12:00:00 28/10/2012] id: Urine Color/Appear el: 0 cu: MICU cg: RN v1: Icteric v2: Sediment st: NotStopd t0: [12:00:00 28/10/2012] id: Verbal Response el: 0 cu: MICU cg: RN v1: 5 Oriented st: NotStopd t0: [12:00:00 28/10/2012] id: Back Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [12:00:00 28/10/2012] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [12:00:00 28/10/2012] id: Behavior el: 0 cu: MICU cg: RN v1: Calm st: NotStopd t0: [12:00:00 28/10/2012] id: Bowel Sounds el: 0 cu: MICU cg: RN v1: Hypoactive st: NotStopd
t0: [12:00:00 28/10/2012] id: D5W 100.0ml + 600mcghr Sandostatin IV Infusions el: 3 cu: MICU cg: RN ai: 127 vo: 8.33333 vu: ml t0: [12:00:00 28/10/2012] id: D5/.45NS 50.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 112 vo: 100 vu: ml t0: [12:00:00 28/10/2012] id: Urine Out Foley el: 2 cu: MICU cg: RN vo: 50 vu: ml
t0: [11:15:00 28/10/2012] id: Sandostatin el: 4 cu: MICU cg: RN so: D5W vo: 0 v1: 50 du: mcghr sv: 100 su: ml rt: IV Drip t0: [11:30:00 28/10/2012] id: Sandostatin el: 4 cu: MICU cg: RN so: D5W vo: 0 v1: 50 du: mcghr sv: 100 su: ml rt: IV Drip t0: [11:45:00 28/10/2012] id: Sandostatin el: 4 cu: MICU cg: RN so: D5W vo: 0 v1: 50 du: mcghr sv: 100 su: ml rt: IV Drip t0: [12:00:00 28/10/2012] id: Sandostatin el: 4 cu: MICU cg: RN so: D5W vo: 0 v1: 50 du: mcghr sv: 100 su: ml rt: IV Drip
t0: [12:15:00 28/10/2012] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [12:15:00 28/10/2012] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [12:15:00 28/10/2012] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [12:15:00 28/10/2012] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [12:15:00 28/10/2012] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [12:15:00 28/10/2012] id: Heart Rate el: 0 cu: MICU cg: RN v1: 66 u1: BPM st: NotStopd t0: [12:15:00 28/10/2012] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [12:15:00 28/10/2012] id: NBP el: 0 cu: MICU cg: RN v1: 91 u1: mmHg v2: 32 u2: mmHg st: NotStopd t0: [12:15:00 28/10/2012] id: NBP Mean el: 0 cu: MICU cg: RN v1: 51.6667 u1: mmHg st: NotStopd t0: [12:15:00 28/10/2012] id: Precautions el: 0 cu: MICU cg: RN v1: Contact st: NotStopd t0: [12:15:00 28/10/2012] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 18 u1: BPM st: NotStopd t0: [12:15:00 28/10/2012] id: SpO2 el: 0 cu: MICU cg: RN v1: 100 u1: % st: NotStopd t0: [12:15:00 28/10/2012] id: Temp. Site el: 0 cu: MICU cg: RN v1: Oral st: NotStopd t0: [12:15:00 28/10/2012] id: Temperature C (calc) el: 0 cu: MICU cg: RN v1: 37.1111 u1: Deg. C st: NotStopd t0: [12:15:00 28/10/2012] id: Temperature F el: 0 cu: MICU cg: RN v1: 98.8 u1: Deg. F st: NotStopd t0: [12:15:00 28/10/2012] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [12:15:00 28/10/2012] id: Sandostatin el: 4 cu: MICU cg: RN so: D5W vo: 0 v1: 50 du: mcghr sv: 100 su: ml rt: IV Drip
t0: [12:30:00 28/10/2012] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [12:30:00 28/10/2012] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [12:30:00 28/10/2012] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [12:30:00 28/10/2012] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [12:30:00 28/10/2012] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [12:30:00 28/10/2012] id: Heart Rate el: 0 cu: MICU cg: RN v1: 72 u1: BPM st: NotStopd t0: [12:30:00 28/10/2012] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [12:30:00 28/10/2012] id: NBP el: 0 cu: MICU cg: RN v1: 90 u1: mmHg v2: 33 u2: mmHg st: NotStopd t0: [12:30:00 28/10/2012] id: NBP Mean el: 0 cu: MICU cg: RN v1: 52 u1: mmHg st: NotStopd t0: [12:30:00 28/10/2012] id: Precautions el: 0 cu: MICU cg: RN v1: Contact st: NotStopd t0: [12:30:00 28/10/2012] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 21 u1: BPM st: NotStopd t0: [12:30:00 28/10/2012] id: SpO2 el: 0 cu: MICU cg: RN v1: 100 u1: % st: NotStopd t0: [12:30:00 28/10/2012] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [12:30:00 28/10/2012] id: Sandostatin el: 4 cu: MICU cg: RN so: D5W vo: 0 v1: 50 du: mcghr sv: 100 su: ml rt: IV Drip
t0: [12:45:00 28/10/2012] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [12:45:00 28/10/2012] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [12:45:00 28/10/2012] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [12:45:00 28/10/2012] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [12:45:00 28/10/2012] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [12:45:00 28/10/2012] id: Heart Rate el: 0 cu: MICU cg: RN v1: 72 u1: BPM st: NotStopd t0: [12:45:00 28/10/2012] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [12:45:00 28/10/2012] id: NBP el: 0 cu: MICU cg: RN v1: 101 u1: mmHg v2: 34 u2: mmHg st: NotStopd t0: [12:45:00 28/10/2012] id: NBP Mean el: 0 cu: MICU cg: RN v1: 56.3333 u1: mmHg st: NotStopd t0: [12:45:00 28/10/2012] id: Precautions el: 0 cu: MICU cg: RN v1: Contact st: NotStopd t0: [12:45:00 28/10/2012] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 20 u1: BPM st: NotStopd t0: [12:45:00 28/10/2012] id: SpO2 el: 0 cu: MICU cg: RN v1: 100 u1: % st: NotStopd t0: [12:45:00 28/10/2012] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [13:00:00 28/10/2012] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [13:00:00 28/10/2012] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [13:00:00 28/10/2012] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [13:00:00 28/10/2012] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [13:00:00 28/10/2012] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [13:00:00 28/10/2012] id: Heart Rate el: 0 cu: MICU cg: RN v1: 72 u1: BPM st: NotStopd t0: [13:00:00 28/10/2012] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [13:00:00 28/10/2012] id: NBP el: 0 cu: MICU cg: RN v1: 106 u1: mmHg v2: 41 u2: mmHg st: NotStopd t0: [13:00:00 28/10/2012] id: NBP Mean el: 0 cu: MICU cg: RN v1: 62.6667 u1: mmHg st: NotStopd t0: [13:00:00 28/10/2012] id: Precautions el: 0 cu: MICU cg: RN v1: Contact st: NotStopd t0: [13:00:00 28/10/2012] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 21 u1: BPM st: NotStopd t0: [13:00:00 28/10/2012] id: SpO2 el: 0 cu: MICU cg: RN v1: 100 u1: % st: NotStopd t0: [13:00:00 28/10/2012] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [13:00:00 28/10/2012] id: D5W 100.0ml + 600mcghr Sandostatin IV Infusions el: 3 cu: MICU cg: RN ai: 127 vo: 8.33333 vu: ml t0: [13:00:00 28/10/2012] id: D5/.45NS 50.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 112 vo: 100 vu: ml t0: [13:00:00 28/10/2012] id: Urine Out Foley el: 2 cu: MICU cg: RN vo: 30 vu: ml
t0: [12:45:00 28/10/2012] id: Sandostatin el: 4 cu: MICU cg: RN so: D5W vo: 0 v1: 50 du: mcghr sv: 100 su: ml rt: IV Drip t0: [13:00:00 28/10/2012] id: Sandostatin el: 4 cu: MICU cg: RN so: D5W vo: 0 v1: 50 du: mcghr sv: 100 su: ml rt: IV Drip
id: KCL el: 100 cu: MICU cg: RN io: D5W 50.0ml IV Infusions am: 20 du: mEq rt: Intravenous Push
id: D5W el: 1 cu: MICU cg: RN io: D5W 50.0ml IV Infusions vo: 50 du: ml rt: Intravenous Push
t0: [13:00:00 28/10/2012] id: Hematocrit Hematology el: 0 cu: MICU cg: 1663 v1: 32.8 u1: % rs: Final st: NotStopd
t0: [13:15:00 28/10/2012] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [13:15:00 28/10/2012] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [13:15:00 28/10/2012] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [13:15:00 28/10/2012] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [13:15:00 28/10/2012] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [13:15:00 28/10/2012] id: Heart Rate el: 0 cu: MICU cg: RN v1: 77 u1: BPM st: NotStopd t0: [13:15:00 28/10/2012] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [13:15:00 28/10/2012] id: NBP el: 0 cu: MICU cg: RN v1: 104 u1: mmHg v2: 41 u2: mmHg st: NotStopd t0: [13:15:00 28/10/2012] id: NBP Mean el: 0 cu: MICU cg: RN v1: 62 u1: mmHg st: NotStopd t0: [13:15:00 28/10/2012] id: Precautions el: 0 cu: MICU cg: RN v1: Contact st: NotStopd t0: [13:15:00 28/10/2012] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 17 u1: BPM st: NotStopd t0: [13:15:00 28/10/2012] id: SpO2 el: 0 cu: MICU cg: RN v1: 98 u1: % st: NotStopd t0: [13:15:00 28/10/2012] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [13:30:00 28/10/2012] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [13:30:00 28/10/2012] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [13:30:00 28/10/2012] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [13:30:00 28/10/2012] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [13:30:00 28/10/2012] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [13:30:00 28/10/2012] id: Heart Rate el: 0 cu: MICU cg: RN v1: 66 u1: BPM st: NotStopd t0: [13:30:00 28/10/2012] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [13:30:00 28/10/2012] id: NBP el: 0 cu: MICU cg: RN v1: 112 u1: mmHg v2: 49 u2: mmHg st: NotStopd t0: [13:30:00 28/10/2012] id: NBP Mean el: 0 cu: MICU cg: RN v1: 70 u1: mmHg st: NotStopd t0: [13:30:00 28/10/2012] id: Precautions el: 0 cu: MICU cg: RN v1: Contact st: NotStopd t0: [13:30:00 28/10/2012] id: Procedures el: 0 cu: MICU cg: RN v1: Ultrasound st: NotStopd t0: [13:30:00 28/10/2012] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 15 u1: BPM st: NotStopd t0: [13:30:00 28/10/2012] id: SpO2 el: 0 cu: MICU cg: RN v1: 100 u1: % st: NotStopd t0: [13:30:00 28/10/2012] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [13:45:00 28/10/2012] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [13:45:00 28/10/2012] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [13:45:00 28/10/2012] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [13:45:00 28/10/2012] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [13:45:00 28/10/2012] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [13:45:00 28/10/2012] id: Heart Rate el: 0 cu: MICU cg: RN v1: 69 u1: BPM st: NotStopd t0: [13:45:00 28/10/2012] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [13:45:00 28/10/2012] id: NBP el: 0 cu: MICU cg: RN v1: 110 u1: mmHg v2: 46 u2: mmHg st: NotStopd t0: [13:45:00 28/10/2012] id: NBP Mean el: 0 cu: MICU cg: RN v1: 67.3333 u1: mmHg st: NotStopd t0: [13:45:00 28/10/2012] id: Precautions el: 0 cu: MICU cg: RN v1: Contact st: NotStopd t0: [13:45:00 28/10/2012] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 16 u1: BPM st: NotStopd t0: [13:45:00 28/10/2012] id: SpO2 el: 0 cu: MICU cg: RN v1: 99 u1: % st: NotStopd t0: [13:45:00 28/10/2012] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [13:30:00 28/10/2012] id: IV Piggyback IV Infusions el: 1 cu: MICU cg: RN ai: 209 vo: 200 vu: ml t0: [13:30:00 28/10/2012] tf: [17:50:00 30/10/2012] dt: 3140 id: D5W 50.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 109 vo: 50 vu: ml
t0: [13:15:00 28/10/2012] id: Sandostatin el: 4 cu: MICU cg: RN so: D5W vo: 0 v1: 50 du: mcghr sv: 100 su: ml rt: IV Drip t0: [13:30:00 28/10/2012] id: Sandostatin el: 4 cu: MICU cg: RN so: D5W vo: 0 v1: 50 du: mcghr sv: 100 su: ml rt: IV Drip t0: [13:45:00 28/10/2012] id: Sandostatin el: 4 cu: MICU cg: RN so: D5W vo: 0 v1: 50 du: mcghr sv: 100 su: ml rt: IV Drip
t0: [08:00:00 28/10/2012] id: Urine Source el: 0 cu: MICU cg: RN v1: Indwelling Cath st: NotStopd t0: [10:00:00 28/10/2012] id: Urine Source el: 0 cu: MICU cg: RN v1: Indwelling Cath st: NotStopd t0: [12:00:00 28/10/2012] id: Urine Source el: 0 cu: MICU cg: RN v1: Indwelling Cath st: NotStopd t0: [14:00:00 28/10/2012] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [14:00:00 28/10/2012] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [14:00:00 28/10/2012] id: GI Prophylaxis el: 0 cu: MICU cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [14:00:00 28/10/2012] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [14:00:00 28/10/2012] id: Diet Type el: 0 cu: MICU cg: RN v1: NPO st: NotStopd t0: [14:00:00 28/10/2012] id: Dorsal PedPulse R/L el: 0 cu: MICU cg: RN v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [14:00:00 28/10/2012] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [14:00:00 28/10/2012] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [14:00:00 28/10/2012] id: Eye Opening el: 0 cu: MICU cg: RN v1: 4 Spontaneously st: NotStopd t0: [14:00:00 28/10/2012] id: Follows Commands el: 0 cu: MICU cg: RN v1: Consistently st: NotStopd t0: [14:00:00 28/10/2012] id: GCS Total el: 0 cu: MICU cg: RN v1: 15 u1: points st: NotStopd t0: [14:00:00 28/10/2012] id: Heart Rate el: 0 cu: MICU cg: RN v1: 68 u1: BPM st: NotStopd t0: [14:00:00 28/10/2012] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [14:00:00 28/10/2012] id: Abdominal Assessment el: 0 cu: MICU cg: RN v1: Firm Distended st: NotStopd t0: [14:00:00 28/10/2012] id: Imp Skin Cleanse #1 el: 0 cu: MICU cg: RN v1: Soap & H20 st: NotStopd t0: [14:00:00 28/10/2012] id: ImpSkin Character #1 el: 0 cu: MICU cg: RN v1: Abrasion st: NotStopd t0: [14:00:00 28/10/2012] id: ImpSkin Treatment #1 el: 0 cu: MICU cg: RN v1: Open to Air st: NotStopd t0: [14:00:00 28/10/2012] id: ImpSkin Wound Base#1 el: 0 cu: MICU cg: RN v1: Pink st: NotStopd t0: [14:00:00 28/10/2012] id: Impaired Skin Site#1 el: 0 cu: MICU cg: RN v1: Coccyx st: NotStopd t0: [14:00:00 28/10/2012] id: LLL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [14:00:00 28/10/2012] id: LUL Lung Sounds el: 0 cu: MICU cg: RN v1: Clear st: NotStopd t0: [14:00:00 28/10/2012] id: Level of Conscious el: 0 cu: MICU cg: RN v1: Alert st: NotStopd t0: [14:00:00 28/10/2012] id: Motor Response el: 0 cu: MICU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [14:00:00 28/10/2012] id: Oral Cavity el: 0 cu: MICU cg: RN v1: Bleeding Gum st: NotStopd t0: [14:00:00 28/10/2012] id: Orientation el: 0 cu: MICU cg: RN v1: Oriented x 3 st: NotStopd t0: [14:00:00 28/10/2012] id: PostTib. Pulses R/L el: 0 cu: MICU cg: RN v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [14:00:00 28/10/2012] id: Precautions el: 0 cu: MICU cg: RN v1: Contact st: NotStopd t0: [14:00:00 28/10/2012] id: RLL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [14:00:00 28/10/2012] id: RUL Lung Sounds el: 0 cu: MICU cg: RN v1: Clear st: NotStopd t0: [14:00:00 28/10/2012] id: Respiratory Pattern el: 0 cu: MICU cg: RN v1: Regular st: NotStopd t0: [14:00:00 28/10/2012] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 16 u1: BPM st: NotStopd t0: [14:00:00 28/10/2012] id: Side Rails el: 0 cu: MICU cg: RN v1: Side Rails Up st: NotStopd t0: [14:00:00 28/10/2012] id: Skin Color el: 0 cu: MICU cg: RN v1: Jaundiced st: NotStopd t0: [14:00:00 28/10/2012] id: Skin Integrity el: 0 cu: MICU cg: RN v1: Impaired st: NotStopd t0: [14:00:00 28/10/2012] id: Skin Temp/Condition el: 0 cu: MICU cg: RN v1: Warm v2: Dry st: NotStopd t0: [14:00:00 28/10/2012] id: SpO2 el: 0 cu: MICU cg: RN v1: 99 u1: % st: NotStopd t0: [14:00:00 28/10/2012] id: Spontaneous Movement el: 0 cu: MICU cg: RN v1: Purposeful st: NotStopd t0: [14:00:00 28/10/2012] id: Support Systems el: 0 cu: MICU cg: RN v1: Spouse st: NotStopd t0: [14:00:00 28/10/2012] id: Urine Color/Appear el: 0 cu: MICU cg: RN v1: Icteric v2: Sediment st: NotStopd t0: [14:00:00 28/10/2012] id: Urine Source el: 0 cu: MICU cg: RN v1: Indwelling Cath st: NotStopd t0: [14:00:00 28/10/2012] id: Verbal Response el: 0 cu: MICU cg: RN v1: 5 Oriented st: NotStopd t0: [14:00:00 28/10/2012] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [14:00:00 28/10/2012] id: Behavior el: 0 cu: MICU cg: RN v1: Calm st: NotStopd t0: [14:00:00 28/10/2012] id: Bowel Sounds el: 0 cu: MICU cg: RN v1: Hypoactive st: NotStopd
t0: [14:00:00 28/10/2012] id: D5W 100.0ml + 600mcghr Sandostatin IV Infusions el: 3 cu: MICU cg: RN ai: 127 vo: 8.33333 vu: ml t0: [14:00:00 28/10/2012] id: D5/.45NS 50.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 112 vo: 100 vu: ml t0: [14:00:00 28/10/2012] id: Urine Out Foley el: 2 cu: MICU cg: RN vo: 100 vu: ml
t0: [14:00:00 28/10/2012] id: Sandostatin el: 4 cu: MICU cg: RN so: D5W vo: 0 v1: 50 du: mcghr sv: 100 su: ml rt: IV Drip
tf: [04:00:00 29/10/2012] pt: IV Piggyback rt: IV fr: ONCE fs: 14 dn: 1 m1: Potassium Chloride v1: 40 u1: mEq m2: SW v2: 100 u2: ml tf: [11:00:00 29/10/2012] pt: IV Piggyback rt: IV fr: Q12H fs: 18, 6 dn: 2 m1: Ciprofloxacin v1: 400 u1: mg m2: D5W v2: 200 u2: ml tf: [13:00:00 29/10/2012] pt: Unit Dose rt: IV fr: ONCE fs: 14 dn: 1 m1: Calcium Gluconate v1: 2 u1: gm tf: [13:00:00 29/10/2012] pt: Unit Dose rt: IV fr: ONCE fs: 14 dn: 1 m1: Magnesium Sulfate v1: 2 u1: gm
id: Cryoprecipitate el: 2 cu: MICU cg: RN io: Cryoprecipitate IV Drips du: ml rt: Intravenous Push
t0: [14:00:00 28/10/2012] id: NBP el: 0 cu: MICU cg: RN v1: 93 u1: mmHg v2: 44 u2: mmHg st: NotStopd t0: [14:00:00 28/10/2012] id: NBP Mean el: 0 cu: MICU cg: RN v1: 60.3333 u1: mmHg st: NotStopd t0: [14:15:00 28/10/2012] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [14:15:00 28/10/2012] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [14:15:00 28/10/2012] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [14:15:00 28/10/2012] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [14:15:00 28/10/2012] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [14:15:00 28/10/2012] id: Heart Rate el: 0 cu: MICU cg: RN v1: 79 u1: BPM st: NotStopd t0: [14:15:00 28/10/2012] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [14:15:00 28/10/2012] id: NBP el: 0 cu: MICU cg: RN v1: 110 u1: mmHg v2: 37 u2: mmHg st: NotStopd t0: [14:15:00 28/10/2012] id: NBP Mean el: 0 cu: MICU cg: RN v1: 61.3333 u1: mmHg st: NotStopd t0: [14:15:00 28/10/2012] id: Precautions el: 0 cu: MICU cg: RN v1: Contact st: NotStopd t0: [14:15:00 28/10/2012] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 24 u1: BPM st: NotStopd t0: [14:15:00 28/10/2012] id: SpO2 el: 0 cu: MICU cg: RN v1: 100 u1: % st: NotStopd t0: [14:15:00 28/10/2012] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [14:15:00 28/10/2012] id: Sandostatin el: 4 cu: MICU cg: RN so: D5W vo: 0 v1: 50 du: mcghr sv: 100 su: ml rt: IV Drip
t0: [14:30:00 28/10/2012] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [14:30:00 28/10/2012] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [14:30:00 28/10/2012] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [14:30:00 28/10/2012] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [14:30:00 28/10/2012] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [14:30:00 28/10/2012] id: Heart Rate el: 0 cu: MICU cg: RN v1: 68 u1: BPM st: NotStopd t0: [14:30:00 28/10/2012] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [14:30:00 28/10/2012] id: NBP el: 0 cu: MICU cg: RN v1: 100 u1: mmHg v2: 46 u2: mmHg st: NotStopd t0: [14:30:00 28/10/2012] id: NBP Mean el: 0 cu: MICU cg: RN v1: 64 u1: mmHg st: NotStopd t0: [14:30:00 28/10/2012] id: Precautions el: 0 cu: MICU cg: RN v1: Contact st: NotStopd t0: [14:30:00 28/10/2012] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 16 u1: BPM st: NotStopd t0: [14:30:00 28/10/2012] id: SpO2 el: 0 cu: MICU cg: RN v1: 98 u1: % st: NotStopd t0: [14:30:00 28/10/2012] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [14:30:00 28/10/2012] id: Sandostatin el: 4 cu: MICU cg: RN so: D5W vo: 0 v1: 50 du: mcghr sv: 100 su: ml rt: IV Drip
t0: [13:00:00 28/10/2012] id: O2 Delivery Device el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [13:00:00 28/10/2012] id: O2 Flow (lpm) el: 0 cu: MICU cg: RN u1: lpm st: NotStopd t0: [14:00:00 28/10/2012] id: O2 Delivery Device el: 0 cu: MICU cg: RN v1: None st: NotStopd
t0: [11:00:00 28/10/2012] id: Stool Color/Consist el: 0 cu: MICU cg: RN v1: Melena v2: Liquid st: NotStopd t0: [11:00:00 28/10/2012] id: Stool Guaiac el: 0 cu: MICU cg: RN v1: Positive st: NotStopd
t0: [14:50:00 28/10/2012] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [14:50:00 28/10/2012] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [14:50:00 28/10/2012] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [14:50:00 28/10/2012] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [14:50:00 28/10/2012] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [14:50:00 28/10/2012] id: Heart Rate el: 0 cu: MICU cg: RN v1: 67 u1: BPM st: NotStopd t0: [14:50:00 28/10/2012] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [14:50:00 28/10/2012] id: NBP el: 0 cu: MICU cg: RN v1: 99 u1: mmHg v2: 41 u2: mmHg st: NotStopd t0: [14:50:00 28/10/2012] id: NBP Mean el: 0 cu: MICU cg: RN v1: 60.3333 u1: mmHg st: NotStopd t0: [14:50:00 28/10/2012] id: Precautions el: 0 cu: MICU cg: RN v1: Contact st: NotStopd t0: [14:50:00 28/10/2012] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 16 u1: BPM st: NotStopd t0: [14:50:00 28/10/2012] id: SpO2 el: 0 cu: MICU cg: RN v1: 98 u1: % st: NotStopd t0: [14:50:00 28/10/2012] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [14:50:00 28/10/2012] tf: [17:50:00 30/10/2012] dt: 3060 id: Cryoprecipitate IV Drips el: 2 cu: MICU cg: RN ai: -1 vo: 150 vu: ml
t0: [14:50:00 28/10/2012] id: Sandostatin el: 4 cu: MICU cg: RN so: D5W vo: 0 v1: 50 du: mcghr sv: 100 su: ml rt: IV Drip
t0: [14:50:00 28/10/2012] id: Temp. Site el: 0 cu: MICU cg: RN v1: Oral st: NotStopd t0: [14:50:00 28/10/2012] id: Temperature C (calc) el: 0 cu: MICU cg: RN v1: 36.4444 u1: Deg. C st: NotStopd t0: [14:50:00 28/10/2012] id: Temperature F el: 0 cu: MICU cg: RN v1: 97.6 u1: Deg. F st: NotStopd t0: [14:55:00 28/10/2012] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [14:55:00 28/10/2012] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [14:55:00 28/10/2012] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [14:55:00 28/10/2012] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [14:55:00 28/10/2012] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [14:55:00 28/10/2012] id: Heart Rate el: 0 cu: MICU cg: RN v1: 68 u1: BPM st: NotStopd t0: [14:55:00 28/10/2012] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [14:55:00 28/10/2012] id: NBP el: 0 cu: MICU cg: RN v1: 113 u1: mmHg v2: 49 u2: mmHg st: NotStopd t0: [14:55:00 28/10/2012] id: NBP Mean el: 0 cu: MICU cg: RN v1: 70.3333 u1: mmHg st: NotStopd t0: [14:55:00 28/10/2012] id: Precautions el: 0 cu: MICU cg: RN v1: Contact st: NotStopd t0: [14:55:00 28/10/2012] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 16 u1: BPM st: NotStopd t0: [14:55:00 28/10/2012] id: SpO2 el: 0 cu: MICU cg: RN v1: 99 u1: % st: NotStopd t0: [14:55:00 28/10/2012] id: Temp. Site el: 0 cu: MICU cg: RN v1: Oral st: NotStopd t0: [14:55:00 28/10/2012] id: Temperature C (calc) el: 0 cu: MICU cg: RN v1: 36.4444 u1: Deg. C st: NotStopd t0: [14:55:00 28/10/2012] id: Temperature F el: 0 cu: MICU cg: RN v1: 97.6 u1: Deg. F st: NotStopd t0: [14:55:00 28/10/2012] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [15:00:00 28/10/2012] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [15:00:00 28/10/2012] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [15:00:00 28/10/2012] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [15:00:00 28/10/2012] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [15:00:00 28/10/2012] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [15:00:00 28/10/2012] id: Heart Rate el: 0 cu: MICU cg: RN v1: 70 u1: BPM st: NotStopd t0: [15:00:00 28/10/2012] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [15:00:00 28/10/2012] id: NBP el: 0 cu: MICU cg: RN v1: 109 u1: mmHg v2: 47 u2: mmHg st: NotStopd t0: [15:00:00 28/10/2012] id: NBP Mean el: 0 cu: MICU cg: RN v1: 67.6667 u1: mmHg st: NotStopd t0: [15:00:00 28/10/2012] id: Precautions el: 0 cu: MICU cg: RN v1: Contact st: NotStopd t0: [15:00:00 28/10/2012] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 18 u1: BPM st: NotStopd t0: [15:00:00 28/10/2012] id: SpO2 el: 0 cu: MICU cg: RN v1: 99 u1: % st: NotStopd t0: [15:00:00 28/10/2012] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [15:15:00 28/10/2012] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [15:15:00 28/10/2012] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [15:15:00 28/10/2012] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [15:15:00 28/10/2012] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [15:15:00 28/10/2012] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [15:15:00 28/10/2012] id: Heart Rate el: 0 cu: MICU cg: RN v1: 70 u1: BPM st: NotStopd t0: [15:15:00 28/10/2012] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [15:15:00 28/10/2012] id: NBP el: 0 cu: MICU cg: RN v1: 113 u1: mmHg v2: 49 u2: mmHg st: NotStopd t0: [15:15:00 28/10/2012] id: NBP Mean el: 0 cu: MICU cg: RN v1: 70.3333 u1: mmHg st: NotStopd t0: [15:15:00 28/10/2012] id: Precautions el: 0 cu: MICU cg: RN v1: Contact st: NotStopd t0: [15:15:00 28/10/2012] id: Radiologic Study el: 0 cu: MICU cg: RN v1: Chest Xray st: NotStopd t0: [15:15:00 28/10/2012] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 19 u1: BPM st: NotStopd t0: [15:15:00 28/10/2012] id: SpO2 el: 0 cu: MICU cg: RN v1: 98 u1: % st: NotStopd t0: [15:15:00 28/10/2012] id: Temp. Site el: 0 cu: MICU cg: RN v1: Oral st: NotStopd t0: [15:15:00 28/10/2012] id: Temperature C (calc) el: 0 cu: MICU cg: RN v1: 36.4444 u1: Deg. C st: NotStopd t0: [15:15:00 28/10/2012] id: Temperature F el: 0 cu: MICU cg: RN v1: 97.6 u1: Deg. F st: NotStopd t0: [15:15:00 28/10/2012] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [15:30:00 28/10/2012] id: D5W 50.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 109 vo: 50 vu: ml
t0: [14:55:00 28/10/2012] id: Sandostatin el: 4 cu: MICU cg: RN so: D5W vo: 0 v1: 50 du: mcghr sv: 100 su: ml rt: IV Drip t0: [15:00:00 28/10/2012] id: Sandostatin el: 4 cu: MICU cg: RN so: D5W vo: 0 v1: 50 du: mcghr sv: 100 su: ml rt: IV Drip t0: [15:15:00 28/10/2012] id: Sandostatin el: 4 cu: MICU cg: RN so: D5W vo: 0 v1: 50 du: mcghr sv: 100 su: ml rt: IV Drip
t0: [15:30:00 28/10/2012] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [15:30:00 28/10/2012] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [15:30:00 28/10/2012] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [15:30:00 28/10/2012] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [15:30:00 28/10/2012] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [15:30:00 28/10/2012] id: Heart Rate el: 0 cu: MICU cg: RN v1: 73 u1: BPM st: NotStopd t0: [15:30:00 28/10/2012] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [15:30:00 28/10/2012] id: NBP el: 0 cu: MICU cg: RN v1: 106 u1: mmHg v2: 39 u2: mmHg st: NotStopd t0: [15:30:00 28/10/2012] id: NBP Mean el: 0 cu: MICU cg: RN v1: 61.3333 u1: mmHg st: NotStopd t0: [15:30:00 28/10/2012] id: Precautions el: 0 cu: MICU cg: RN v1: Contact st: NotStopd t0: [15:30:00 28/10/2012] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 18 u1: BPM st: NotStopd t0: [15:30:00 28/10/2012] id: SpO2 el: 0 cu: MICU cg: RN v1: 99 u1: % st: NotStopd t0: [15:30:00 28/10/2012] id: Temp. Site el: 0 cu: MICU cg: RN v1: Oral st: NotStopd t0: [15:30:00 28/10/2012] id: Temperature C (calc) el: 0 cu: MICU cg: RN v1: 37.5 u1: Deg. C st: NotStopd t0: [15:30:00 28/10/2012] id: Temperature F el: 0 cu: MICU cg: RN v1: 99.5 u1: Deg. F st: NotStopd t0: [15:30:00 28/10/2012] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [15:00:00 28/10/2012] id: D5W 100.0ml + 600mcghr Sandostatin IV Infusions el: 3 cu: MICU cg: RN ai: 127 vo: 8.33333 vu: ml t0: [15:00:00 28/10/2012] id: D5/.45NS 50.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 112 vo: 100 vu: ml t0: [15:00:00 28/10/2012] id: Urine Out Foley el: 2 cu: MICU cg: RN vo: 40 vu: ml
t0: [15:30:00 28/10/2012] id: Sandostatin el: 4 cu: MICU cg: RN so: D5W vo: 0 v1: 50 du: mcghr sv: 100 su: ml rt: IV Drip
t0: [14:00:00 28/10/2012] id: Cough/Deep Breathe el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [14:00:00 28/10/2012] id: Eye Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [14:00:00 28/10/2012] id: HOB el: 0 cu: MICU cg: RN v1: 30 degrees st: NotStopd t0: [14:00:00 28/10/2012] id: Activity el: 0 cu: MICU cg: RN v1: Bedrest st: NotStopd t0: [14:00:00 28/10/2012] id: Activity Tolerance el: 0 cu: MICU cg: RN v1: Tolerated Well st: NotStopd t0: [14:00:00 28/10/2012] id: Oral Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [14:00:00 28/10/2012] id: AntiEmbDevice/Status el: 0 cu: MICU cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [14:00:00 28/10/2012] id: Position el: 0 cu: MICU cg: RN v1: Left Side st: NotStopd t0: [14:00:00 28/10/2012] id: Assistance Device el: 0 cu: MICU cg: RN v1: 1 Person Assist st: NotStopd t0: [14:00:00 28/10/2012] id: Skin Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [14:00:00 28/10/2012] id: Turn el: 0 cu: MICU cg: RN v1: Side to Side st: NotStopd t0: [14:00:00 28/10/2012] id: Back Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [16:00:00 28/10/2012] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [16:00:00 28/10/2012] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [16:00:00 28/10/2012] id: Cough/Deep Breathe el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [16:00:00 28/10/2012] id: GI Prophylaxis el: 0 cu: MICU cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [16:00:00 28/10/2012] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [16:00:00 28/10/2012] id: Diet Type el: 0 cu: MICU cg: RN v1: NPO st: NotStopd t0: [16:00:00 28/10/2012] id: Dorsal PedPulse R/L el: 0 cu: MICU cg: RN v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [16:00:00 28/10/2012] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [16:00:00 28/10/2012] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [16:00:00 28/10/2012] id: Eye Opening el: 0 cu: MICU cg: RN v1: 4 Spontaneously st: NotStopd t0: [16:00:00 28/10/2012] id: Follows Commands el: 0 cu: MICU cg: RN v1: Consistently st: NotStopd t0: [16:00:00 28/10/2012] id: GCS Total el: 0 cu: MICU cg: RN v1: 15 u1: points st: NotStopd t0: [16:00:00 28/10/2012] id: HOB el: 0 cu: MICU cg: RN v1: 30 degrees st: NotStopd t0: [16:00:00 28/10/2012] id: Heart Rate el: 0 cu: MICU cg: RN v1: 77 u1: BPM st: NotStopd t0: [16:00:00 28/10/2012] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [16:00:00 28/10/2012] id: Abdominal Assessment el: 0 cu: MICU cg: RN v1: Firm Distended st: NotStopd t0: [16:00:00 28/10/2012] id: Activity el: 0 cu: MICU cg: RN v1: Bedrest st: NotStopd t0: [16:00:00 28/10/2012] id: Activity Tolerance el: 0 cu: MICU cg: RN v1: Tolerated Well st: NotStopd t0: [16:00:00 28/10/2012] id: Imp Skin Cleanse #1 el: 0 cu: MICU cg: RN v1: Soap & H20 st: NotStopd t0: [16:00:00 28/10/2012] id: ImpSkin Character #1 el: 0 cu: MICU cg: RN v1: Abrasion st: NotStopd t0: [16:00:00 28/10/2012] id: ImpSkin Treatment #1 el: 0 cu: MICU cg: RN v1: Open to Air st: NotStopd t0: [16:00:00 28/10/2012] id: ImpSkin Wound Base#1 el: 0 cu: MICU cg: RN v1: Pink st: NotStopd t0: [16:00:00 28/10/2012] id: Impaired Skin Site#1 el: 0 cu: MICU cg: RN v1: Coccyx st: NotStopd t0: [16:00:00 28/10/2012] id: LLL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [16:00:00 28/10/2012] id: LUL Lung Sounds el: 0 cu: MICU cg: RN v1: Clear st: NotStopd t0: [16:00:00 28/10/2012] id: Level of Conscious el: 0 cu: MICU cg: RN v1: Alert st: NotStopd t0: [16:00:00 28/10/2012] id: Motor Response el: 0 cu: MICU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [16:00:00 28/10/2012] id: NBP el: 0 cu: MICU cg: RN v1: 93 u1: mmHg v2: 50 u2: mmHg st: NotStopd t0: [16:00:00 28/10/2012] id: NBP Mean el: 0 cu: MICU cg: RN v1: 64.3333 u1: mmHg st: NotStopd t0: [16:00:00 28/10/2012] id: Oral Cavity el: 0 cu: MICU cg: RN v1: Bleeding Gum st: NotStopd t0: [16:00:00 28/10/2012] id: Orientation el: 0 cu: MICU cg: RN v1: Oriented x 3 st: NotStopd t0: [16:00:00 28/10/2012] id: AntiEmbDevice/Status el: 0 cu: MICU cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [16:00:00 28/10/2012] id: Position el: 0 cu: MICU cg: RN v1: Supine st: NotStopd t0: [16:00:00 28/10/2012] id: PostTib. Pulses R/L el: 0 cu: MICU cg: RN v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [16:00:00 28/10/2012] id: Assistance Device el: 0 cu: MICU cg: RN v1: 1 Person Assist st: NotStopd t0: [16:00:00 28/10/2012] id: Precautions el: 0 cu: MICU cg: RN v1: Contact st: NotStopd t0: [16:00:00 28/10/2012] id: RLL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [16:00:00 28/10/2012] id: RUL Lung Sounds el: 0 cu: MICU cg: RN v1: Clear st: NotStopd t0: [16:00:00 28/10/2012] id: Respiratory Pattern el: 0 cu: MICU cg: RN v1: Regular st: NotStopd t0: [16:00:00 28/10/2012] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 16 u1: BPM st: NotStopd t0: [16:00:00 28/10/2012] id: Side Rails el: 0 cu: MICU cg: RN v1: Side Rails Up st: NotStopd t0: [16:00:00 28/10/2012] id: Skin Color el: 0 cu: MICU cg: RN v1: Jaundiced st: NotStopd t0: [16:00:00 28/10/2012] id: Skin Integrity el: 0 cu: MICU cg: RN v1: Impaired st: NotStopd t0: [16:00:00 28/10/2012] id: Skin Temp/Condition el: 0 cu: MICU cg: RN v1: Warm v2: Dry st: NotStopd t0: [16:00:00 28/10/2012] id: SpO2 el: 0 cu: MICU cg: RN v1: 99 u1: % st: NotStopd t0: [16:00:00 28/10/2012] id: Spontaneous Movement el: 0 cu: MICU cg: RN v1: Purposeful st: NotStopd t0: [16:00:00 28/10/2012] id: Support Systems el: 0 cu: MICU cg: RN v1: Spouse st: NotStopd t0: [16:00:00 28/10/2012] id: Temp. Site el: 0 cu: MICU cg: RN v1: Oral st: NotStopd t0: [16:00:00 28/10/2012] id: Temperature C (calc) el: 0 cu: MICU cg: RN v1: 36.4444 u1: Deg. C st: NotStopd t0: [16:00:00 28/10/2012] id: Temperature F el: 0 cu: MICU cg: RN v1: 97.6 u1: Deg. F st: NotStopd t0: [16:00:00 28/10/2012] id: Turn el: 0 cu: MICU cg: RN v1: Side to Side st: NotStopd t0: [16:00:00 28/10/2012] id: Urine Color/Appear el: 0 cu: MICU cg: RN v1: Icteric v2: Sediment st: NotStopd t0: [16:00:00 28/10/2012] id: Urine Source el: 0 cu: MICU cg: RN v1: Indwelling Cath st: NotStopd t0: [16:00:00 28/10/2012] id: Verbal Response el: 0 cu: MICU cg: RN v1: 5 Oriented st: NotStopd t0: [16:00:00 28/10/2012] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [16:00:00 28/10/2012] id: Behavior el: 0 cu: MICU cg: RN v1: Calm st: NotStopd t0: [16:00:00 28/10/2012] id: Bowel Sounds el: 0 cu: MICU cg: RN v1: Hypoactive st: NotStopd
t0: [16:00:00 28/10/2012] id: D5W 100.0ml + 600mcghr Sandostatin IV Infusions el: 3 cu: MICU cg: RN ai: 127 vo: 8.33333 vu: ml t0: [16:00:00 28/10/2012] id: D5/.45NS 50.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 112 vo: 100 vu: ml t0: [16:00:00 28/10/2012] id: Urine Out Foley el: 2 cu: MICU cg: RN vo: 50 vu: ml
t0: [16:00:00 28/10/2012] id: Sandostatin el: 4 cu: MICU cg: RN so: D5W vo: 0 v1: 50 du: mcghr sv: 100 su: ml rt: IV Drip
t0: [15:00:00 28/10/2012] id: O2 Delivery Device el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [16:00:00 28/10/2012] id: O2 Delivery Device el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [16:30:00 28/10/2012] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [16:30:00 28/10/2012] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [16:30:00 28/10/2012] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [16:30:00 28/10/2012] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [16:30:00 28/10/2012] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [16:30:00 28/10/2012] id: Heart Rate el: 0 cu: MICU cg: RN v1: 88 u1: BPM st: NotStopd t0: [16:30:00 28/10/2012] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [16:30:00 28/10/2012] id: NBP el: 0 cu: MICU cg: RN v1: 121 u1: mmHg v2: 93 u2: mmHg st: NotStopd t0: [16:30:00 28/10/2012] id: NBP Mean el: 0 cu: MICU cg: RN v1: 102.333 u1: mmHg st: NotStopd t0: [16:30:00 28/10/2012] id: Precautions el: 0 cu: MICU cg: RN v1: Contact st: NotStopd t0: [16:30:00 28/10/2012] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 27 u1: BPM st: NotStopd t0: [16:30:00 28/10/2012] id: SpO2 el: 0 cu: MICU cg: RN v1: 99 u1: % st: NotStopd t0: [16:30:00 28/10/2012] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [17:00:00 28/10/2012] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [17:00:00 28/10/2012] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [17:00:00 28/10/2012] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [17:00:00 28/10/2012] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [17:00:00 28/10/2012] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [17:00:00 28/10/2012] id: Heart Rate el: 0 cu: MICU cg: RN v1: 78 u1: BPM st: NotStopd t0: [17:00:00 28/10/2012] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [17:00:00 28/10/2012] id: NBP el: 0 cu: MICU cg: RN v1: 115 u1: mmHg v2: 45 u2: mmHg st: NotStopd t0: [17:00:00 28/10/2012] id: NBP Mean el: 0 cu: MICU cg: RN v1: 68.3333 u1: mmHg st: NotStopd t0: [17:00:00 28/10/2012] id: O2 Delivery Device el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [17:00:00 28/10/2012] id: Precautions el: 0 cu: MICU cg: RN v1: Contact st: NotStopd t0: [17:00:00 28/10/2012] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 20 u1: BPM st: NotStopd t0: [17:00:00 28/10/2012] id: SpO2 el: 0 cu: MICU cg: RN v1: 100 u1: % st: NotStopd t0: [17:00:00 28/10/2012] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [17:00:00 28/10/2012] id: D5W 100.0ml + 600mcghr Sandostatin IV Infusions el: 3 cu: MICU cg: RN ai: 127 vo: 8.33333 vu: ml t0: [17:00:00 28/10/2012] id: D5/.45NS 50.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 112 vo: 100 vu: ml t0: [17:00:00 28/10/2012] id: Urine Out Foley el: 2 cu: MICU cg: RN vo: 80 vu: ml
t0: [16:30:00 28/10/2012] id: Sandostatin el: 4 cu: MICU cg: RN so: D5W vo: 0 v1: 50 du: mcghr sv: 100 su: ml rt: IV Drip t0: [17:00:00 28/10/2012] id: Sandostatin el: 4 cu: MICU cg: RN so: D5W vo: 0 v1: 50 du: mcghr sv: 100 su: ml rt: IV Drip
t0: [16:00:00 28/10/2012] id: Pain Present el: 0 cu: MICU cg: RN v1: No st: NotStopd t0: [16:00:00 28/10/2012] id: Pain Assess Method el: 0 cu: MICU cg: RN v1: Pt Verbalized st: NotStopd t0: [16:00:00 28/10/2012] id: Riker-SAS Scale el: 0 cu: MICU cg: RN v1: Calm/Cooperative st: NotStopd t0: [16:00:00 28/10/2012] id: Daily Wake Up el: 1 cu: MICU cg: RN v1: No/Not Sedated st: NotStopd t0: [16:00:00 28/10/2012] id: Incentive Spirometry el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [16:00:00 28/10/2012] id: Pain Location el: 0 cu: MICU cg: RN v1: Not Indicated st: NotStopd t0: [18:00:00 28/10/2012] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [18:00:00 28/10/2012] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [18:00:00 28/10/2012] id: Cough/Deep Breathe el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [18:00:00 28/10/2012] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [18:00:00 28/10/2012] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [18:00:00 28/10/2012] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [18:00:00 28/10/2012] id: Eye Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [18:00:00 28/10/2012] id: HOB el: 0 cu: MICU cg: RN v1: 30 degrees st: NotStopd t0: [18:00:00 28/10/2012] id: Heart Rate el: 0 cu: MICU cg: RN v1: 76 u1: BPM st: NotStopd t0: [18:00:00 28/10/2012] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [18:00:00 28/10/2012] id: Activity el: 0 cu: MICU cg: RN v1: Bedrest st: NotStopd t0: [18:00:00 28/10/2012] id: Activity Tolerance el: 0 cu: MICU cg: RN v1: Tolerated Well st: NotStopd t0: [18:00:00 28/10/2012] id: Incentive Spirometry el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [18:00:00 28/10/2012] id: NBP el: 0 cu: MICU cg: RN v1: 106 u1: mmHg v2: 48 u2: mmHg st: NotStopd t0: [18:00:00 28/10/2012] id: NBP Mean el: 0 cu: MICU cg: RN v1: 67.3333 u1: mmHg st: NotStopd t0: [18:00:00 28/10/2012] id: O2 Delivery Device el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [18:00:00 28/10/2012] id: Oral Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [18:00:00 28/10/2012] id: AntiEmbDevice/Status el: 0 cu: MICU cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [18:00:00 28/10/2012] id: Position el: 0 cu: MICU cg: RN v1: Supine st: NotStopd t0: [18:00:00 28/10/2012] id: Assistance Device el: 0 cu: MICU cg: RN v1: 1 Person Assist st: NotStopd t0: [18:00:00 28/10/2012] id: Precautions el: 0 cu: MICU cg: RN v1: Contact st: NotStopd t0: [18:00:00 28/10/2012] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 21 u1: BPM st: NotStopd t0: [18:00:00 28/10/2012] id: Skin Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [18:00:00 28/10/2012] id: SpO2 el: 0 cu: MICU cg: RN v1: 100 u1: % st: NotStopd t0: [18:00:00 28/10/2012] id: Turn el: 0 cu: MICU cg: RN v1: Side to Side st: NotStopd t0: [18:00:00 28/10/2012] id: Back Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [18:00:00 28/10/2012] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [18:00:00 28/10/2012] id: IV Piggyback IV Infusions el: 1 cu: MICU cg: RN ai: 209 vo: 100 vu: ml t0: [18:00:00 28/10/2012] id: D5W 100.0ml + 600mcghr Sandostatin IV Infusions el: 3 cu: MICU cg: RN ai: 127 vo: 8.33333 vu: ml t0: [18:00:00 28/10/2012] id: D5/.45NS 50.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 112 vo: 100 vu: ml t0: [18:00:00 28/10/2012] id: Urine Out Foley el: 2 cu: MICU cg: RN vo: 50 vu: ml
t0: [18:00:00 28/10/2012] id: Sandostatin el: 4 cu: MICU cg: RN so: D5W vo: 0 v1: 50 du: mcghr sv: 100 su: ml rt: IV Drip
t0: [18:00:00 28/10/2012] id: INV Line#1 Type/Site el: 0 cu: MICU cg: RN v1: Multi-lumen v2: Right Subclavian st: NotStopd t0: [18:00:00 28/10/2012] id: INV Line#1SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd
t0: [18:00:00 28/10/2012] id: WBC (4-11,000) Hematology el: 0 cu: MICU cg: 1663 v1: 8 rs: Final st: NotStopd t0: [18:00:00 28/10/2012] id: WBC Hematology el: 0 cu: MICU cg: 1663 v1: 8 rs: Final st: NotStopd t0: [18:00:00 28/10/2012] id: Hematocrit Hematology el: 0 cu: MICU cg: 1663 v1: 34.4 u1: % rs: Final st: NotStopd t0: [18:00:00 28/10/2012] id: Hemoglobin Hematology el: 0 cu: MICU cg: 1663 v1: 11.3 u1: gm/dl rs: Final st: NotStopd t0: [18:00:00 28/10/2012] id: Platelets Hematology el: 0 cu: MICU cg: 1663 v1: 100 rs: Final st: NotStopd t0: [18:00:00 28/10/2012] id: RBC Hematology el: 0 cu: MICU cg: 1663 v1: 3.94 u1: /mic l rs: Final st: NotStopd t0: [18:00:00 28/10/2012] id: WBC (4-11,000) Hematology el: 0 cu: MICU cg: 1663 v1: 8 rs: Final st: NotStopd
t0: [18:00:00 28/10/2012] id: GI Prophylaxis el: 0 cu: MICU cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [18:00:00 28/10/2012] id: Diet Type el: 0 cu: MICU cg: RN v1: NPO st: NotStopd t0: [18:00:00 28/10/2012] id: Eye Opening el: 0 cu: MICU cg: RN v1: 4 Spontaneously st: NotStopd t0: [18:00:00 28/10/2012] id: Follows Commands el: 0 cu: MICU cg: RN v1: Consistently st: NotStopd t0: [18:00:00 28/10/2012] id: GCS Total el: 0 cu: MICU cg: RN v1: 15 u1: points st: NotStopd t0: [18:00:00 28/10/2012] id: Abdominal Assessment el: 0 cu: MICU cg: RN v1: Firm Distended st: NotStopd t0: [18:00:00 28/10/2012] id: Imp Skin Cleanse #1 el: 0 cu: MICU cg: RN v1: Soap & H20 st: NotStopd t0: [18:00:00 28/10/2012] id: ImpSkin Character #1 el: 0 cu: MICU cg: RN v1: Abrasion st: NotStopd t0: [18:00:00 28/10/2012] id: ImpSkin Treatment #1 el: 0 cu: MICU cg: RN v1: Open to Air st: NotStopd t0: [18:00:00 28/10/2012] id: ImpSkin Wound Base#1 el: 0 cu: MICU cg: RN v1: Pink st: NotStopd t0: [18:00:00 28/10/2012] id: Impaired Skin Site#1 el: 0 cu: MICU cg: RN v1: Coccyx st: NotStopd t0: [18:00:00 28/10/2012] id: LLL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [18:00:00 28/10/2012] id: LUL Lung Sounds el: 0 cu: MICU cg: RN v1: Clear st: NotStopd t0: [18:00:00 28/10/2012] id: Level of Conscious el: 0 cu: MICU cg: RN v1: Alert st: NotStopd t0: [18:00:00 28/10/2012] id: Motor Response el: 0 cu: MICU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [18:00:00 28/10/2012] id: Oral Cavity el: 0 cu: MICU cg: RN v1: Bleeding Gum st: NotStopd t0: [18:00:00 28/10/2012] id: Orientation el: 0 cu: MICU cg: RN v1: Oriented x 3 st: NotStopd t0: [18:00:00 28/10/2012] id: RLL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [18:00:00 28/10/2012] id: RUL Lung Sounds el: 0 cu: MICU cg: RN v1: Clear st: NotStopd t0: [18:00:00 28/10/2012] id: Respiratory Pattern el: 0 cu: MICU cg: RN v1: Regular st: NotStopd t0: [18:00:00 28/10/2012] id: Side Rails el: 0 cu: MICU cg: RN v1: Side Rails Up st: NotStopd t0: [18:00:00 28/10/2012] id: Skin Color el: 0 cu: MICU cg: RN v1: Jaundiced st: NotStopd t0: [18:00:00 28/10/2012] id: Skin Integrity el: 0 cu: MICU cg: RN v1: Impaired st: NotStopd t0: [18:00:00 28/10/2012] id: Skin Temp/Condition el: 0 cu: MICU cg: RN v1: Warm v2: Dry st: NotStopd t0: [18:00:00 28/10/2012] id: Spontaneous Movement el: 0 cu: MICU cg: RN v1: Purposeful st: NotStopd t0: [18:00:00 28/10/2012] id: Support Systems el: 0 cu: MICU cg: RN v1: Spouse st: NotStopd t0: [18:00:00 28/10/2012] id: Urine Color/Appear el: 0 cu: MICU cg: RN v1: Icteric v2: Sediment st: NotStopd t0: [18:00:00 28/10/2012] id: Urine Source el: 0 cu: MICU cg: RN v1: Indwelling Cath st: NotStopd t0: [18:00:00 28/10/2012] id: Verbal Response el: 0 cu: MICU cg: RN v1: 5 Oriented st: NotStopd t0: [18:00:00 28/10/2012] id: Behavior el: 0 cu: MICU cg: RN v1: Calm st: NotStopd t0: [18:00:00 28/10/2012] id: Bowel Sounds el: 0 cu: MICU cg: RN v1: Hypoactive st: NotStopd t0: [19:00:00 28/10/2012] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [19:00:00 28/10/2012] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [19:00:00 28/10/2012] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [19:00:00 28/10/2012] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [19:00:00 28/10/2012] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [19:00:00 28/10/2012] id: Heart Rate el: 0 cu: MICU cg: RN v1: 78 u1: BPM st: NotStopd t0: [19:00:00 28/10/2012] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [19:00:00 28/10/2012] id: O2 Delivery Device el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [19:00:00 28/10/2012] id: Precautions el: 0 cu: MICU cg: RN v1: Contact st: NotStopd t0: [19:00:00 28/10/2012] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 29 u1: BPM st: NotStopd t0: [19:00:00 28/10/2012] id: SpO2 el: 0 cu: MICU cg: RN v1: 100 u1: % st: NotStopd t0: [19:00:00 28/10/2012] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [19:00:00 28/10/2012] id: D5W 100.0ml + 600mcghr Sandostatin IV Infusions el: 3 cu: MICU cg: RN ai: 127 vo: 8.33333 vu: ml t0: [19:00:00 28/10/2012] id: D5/.45NS 50.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 112 vo: 100 vu: ml
t0: [19:00:00 28/10/2012] id: Sandostatin el: 4 cu: MICU cg: RN so: D5W vo: 0 v1: 50 du: mcghr sv: 100 su: ml rt: IV Drip
t0: [19:00:00 28/10/2012] id: NBP el: 0 cu: MICU cg: RN v1: 114 u1: mmHg v2: 54 u2: mmHg st: NotStopd t0: [19:00:00 28/10/2012] id: NBP Mean el: 0 cu: MICU cg: RN v1: 74 u1: mmHg st: NotStopd
t0: [19:00:00 28/10/2012] id: Urine Out Foley el: 2 cu: MICU cg: RN vo: 100 vu: ml
t0: [18:00:00 28/10/2012] id: Fibrinogen Coags el: 0 cu: MICU cg: 1663 v1: 238 rs: Final st: NotStopd t0: [18:00:00 28/10/2012] id: Fibrinogen (150-400) Coags el: 0 cu: MICU cg: 1663 v1: 238 rs: Final st: NotStopd
t0: [18:00:00 28/10/2012] id: Calcium Chemistry el: 0 cu: MICU cg: 1663 v1: 8.4 u1: mg/dl rs: Final st: NotStopd t0: [18:00:00 28/10/2012] id: Magnesium Chemistry el: 0 cu: MICU cg: 1663 v1: 1.9 rs: Final st: NotStopd t0: [18:00:00 28/10/2012] id: Potassium Chemistry el: 0 cu: MICU cg: 1663 v1: 4 rs: Final st: NotStopd t0: [18:00:00 28/10/2012] id: Calcium (8.4-10.2) Chemistry el: 0 cu: MICU cg: 1663 v1: 8.4 u1: mg/dl rs: Final st: NotStopd t0: [18:00:00 28/10/2012] id: Magnesium (1.6-2.6) Chemistry el: 0 cu: MICU cg: 1663 v1: 1.9 rs: Final st: NotStopd t0: [18:00:00 28/10/2012] id: Potassium (3.5-5.3) Chemistry el: 0 cu: MICU cg: 1663 v1: 4 rs: Final st: NotStopd
t0: [06:45:00 28/10/2012] tf: [17:50:00 30/10/2012] dt: 3545 id: Packed RBC's IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 375 vu: ml
t0: [23:00:00 28/10/2012] dt: 24 id: Blood Products Total el: 2 cu: MICU cg: RN cv: 3159 ap: none
t0: [18:00:00 28/10/2012] id: PT el: 0 cu: MICU cg: 1663 v1: 14.9 rs: Final st: NotStopd t0: [18:00:00 28/10/2012] id: INR Coags el: 0 cu: MICU cg: 1663 v1: 1.5 rs: Final st: NotStopd t0: [18:00:00 28/10/2012] id: PTT Coags el: 0 cu: MICU cg: 1663 v1: 37.4 rs: Final st: NotStopd t0: [18:00:00 28/10/2012] id: INR (2-4 ref. range) Coags el: 0 cu: MICU cg: 1663 v1: 1.5 rs: Final st: NotStopd t0: [18:00:00 28/10/2012] id: PT(11-13.5) Coags el: 0 cu: MICU cg: 1663 v1: 14.9 rs: Final st: NotStopd t0: [18:00:00 28/10/2012] id: PTT(22-35) Coags el: 0 cu: MICU cg: 1663 v1: 37.4 rs: Final st: NotStopd
t0: [20:00:00 28/10/2012] id: Pain Present el: 0 cu: MICU cg: RN v1: No st: NotStopd t0: [20:00:00 28/10/2012] id: bath el: 1 cu: MICU cg: RN v1: Done t0: [20:00:00 28/10/2012] id: Pain Assess Method el: 0 cu: MICU cg: RN v1: Pt Verbalized st: NotStopd t0: [20:00:00 28/10/2012] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [20:00:00 28/10/2012] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [20:00:00 28/10/2012] id: Riker-SAS Scale el: 0 cu: MICU cg: RN v1: Calm/Cooperative st: NotStopd t0: [20:00:00 28/10/2012] id: Daily Wake Up el: 1 cu: MICU cg: RN v1: No/Not Sedated st: NotStopd t0: [20:00:00 28/10/2012] id: GI Prophylaxis el: 0 cu: MICU cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [20:00:00 28/10/2012] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [20:00:00 28/10/2012] id: Diet Type el: 0 cu: MICU cg: RN v1: NPO st: NotStopd t0: [20:00:00 28/10/2012] id: Dorsal PedPulse R/L el: 0 cu: MICU cg: RN v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [20:00:00 28/10/2012] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [20:00:00 28/10/2012] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [20:00:00 28/10/2012] id: Eye Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [20:00:00 28/10/2012] id: Eye Opening el: 0 cu: MICU cg: RN v1: 4 Spontaneously st: NotStopd t0: [20:00:00 28/10/2012] id: Follows Commands el: 0 cu: MICU cg: RN v1: Consistently st: NotStopd t0: [20:00:00 28/10/2012] id: GCS Total el: 0 cu: MICU cg: RN v1: 15 u1: points st: NotStopd t0: [20:00:00 28/10/2012] id: HOB el: 0 cu: MICU cg: RN v1: 90 degrees st: NotStopd t0: [20:00:00 28/10/2012] id: Heart Rate el: 0 cu: MICU cg: RN v1: 78 u1: BPM st: NotStopd t0: [20:00:00 28/10/2012] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [20:00:00 28/10/2012] id: INV Line#1 Type/Site el: 0 cu: MICU cg: RN v1: Multi-lumen v2: Right Subclavian st: NotStopd t0: [20:00:00 28/10/2012] id: INV Line#1SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [20:00:00 28/10/2012] id: Abdominal Assessment el: 0 cu: MICU cg: RN v1: Firm Distended st: NotStopd t0: [20:00:00 28/10/2012] id: Activity el: 0 cu: MICU cg: RN v1: Bedrest st: NotStopd t0: [20:00:00 28/10/2012] id: Activity Tolerance el: 0 cu: MICU cg: RN v1: Tolerated Well st: NotStopd t0: [20:00:00 28/10/2012] id: Imp Skin Cleanse #1 el: 0 cu: MICU cg: RN v1: Soap & H20 st: NotStopd t0: [20:00:00 28/10/2012] id: ImpSkin Character #1 el: 0 cu: MICU cg: RN v1: Abrasion st: NotStopd t0: [20:00:00 28/10/2012] id: ImpSkin Treatment #1 el: 0 cu: MICU cg: RN v1: Open to Air st: NotStopd t0: [20:00:00 28/10/2012] id: ImpSkin Wound Base#1 el: 0 cu: MICU cg: RN v1: Pink st: NotStopd t0: [20:00:00 28/10/2012] id: Impaired Skin Site#1 el: 0 cu: MICU cg: RN v1: Coccyx st: NotStopd t0: [20:00:00 28/10/2012] id: LLL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [20:00:00 28/10/2012] id: LUL Lung Sounds el: 0 cu: MICU cg: RN v1: Clear st: NotStopd t0: [20:00:00 28/10/2012] id: Level of Conscious el: 0 cu: MICU cg: RN v1: Alert st: NotStopd t0: [20:00:00 28/10/2012] id: Motor Response el: 0 cu: MICU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [20:00:00 28/10/2012] id: NBP el: 0 cu: MICU cg: RN v1: 108 u1: mmHg v2: 47 u2: mmHg st: NotStopd t0: [20:00:00 28/10/2012] id: NBP Mean el: 0 cu: MICU cg: RN v1: 67.3333 u1: mmHg st: NotStopd t0: [20:00:00 28/10/2012] id: O2 Delivery Device el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [20:00:00 28/10/2012] id: Oral Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [20:00:00 28/10/2012] id: Oral Cavity el: 0 cu: MICU cg: RN v1: Bleeding Gum st: NotStopd t0: [20:00:00 28/10/2012] id: Orientation el: 0 cu: MICU cg: RN v1: Oriented x 3 st: NotStopd t0: [20:00:00 28/10/2012] id: AntiEmbDevice/Status el: 0 cu: MICU cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [20:00:00 28/10/2012] id: Pain Location el: 0 cu: MICU cg: RN v1: Not Indicated st: NotStopd t0: [20:00:00 28/10/2012] id: Position el: 0 cu: MICU cg: RN v1: Supine st: NotStopd t0: [20:00:00 28/10/2012] id: PostTib. Pulses R/L el: 0 cu: MICU cg: RN v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [20:00:00 28/10/2012] id: Assistance Device el: 0 cu: MICU cg: RN v1: 1 Person Assist st: NotStopd t0: [20:00:00 28/10/2012] id: Precautions el: 0 cu: MICU cg: RN v1: Contact st: NotStopd t0: [20:00:00 28/10/2012] id: RLL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [20:00:00 28/10/2012] id: RUL Lung Sounds el: 0 cu: MICU cg: RN v1: Clear st: NotStopd t0: [20:00:00 28/10/2012] id: Respiratory Pattern el: 0 cu: MICU cg: RN v1: Regular st: NotStopd t0: [20:00:00 28/10/2012] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 18 u1: BPM st: NotStopd t0: [20:00:00 28/10/2012] id: Side Rails el: 0 cu: MICU cg: RN v1: Side Rails Up st: NotStopd t0: [20:00:00 28/10/2012] id: Skin Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [20:00:00 28/10/2012] id: Skin Color el: 0 cu: MICU cg: RN v1: Jaundiced st: NotStopd t0: [20:00:00 28/10/2012] id: Skin Integrity el: 0 cu: MICU cg: RN v1: Impaired st: NotStopd t0: [20:00:00 28/10/2012] id: Skin Temp/Condition el: 0 cu: MICU cg: RN v1: Warm v2: Dry st: NotStopd t0: [20:00:00 28/10/2012] id: SpO2 el: 0 cu: MICU cg: RN v1: 100 u1: % st: NotStopd t0: [20:00:00 28/10/2012] id: Spontaneous Movement el: 0 cu: MICU cg: RN v1: Purposeful st: NotStopd t0: [20:00:00 28/10/2012] id: Support Systems el: 0 cu: MICU cg: RN v1: Spouse st: NotStopd t0: [20:00:00 28/10/2012] id: Temp. Site el: 0 cu: MICU cg: RN v1: Oral st: NotStopd t0: [20:00:00 28/10/2012] id: Temperature C (calc) el: 0 cu: MICU cg: RN v1: 36.5556 u1: Deg. C st: NotStopd t0: [20:00:00 28/10/2012] id: Temperature F el: 0 cu: MICU cg: RN v1: 97.8 u1: Deg. F st: NotStopd t0: [20:00:00 28/10/2012] id: Turn el: 0 cu: MICU cg: RN v1: Side to Side st: NotStopd t0: [20:00:00 28/10/2012] id: Urine Color/Appear el: 0 cu: MICU cg: RN v1: Icteric v2: Sediment st: NotStopd t0: [20:00:00 28/10/2012] id: Urine Source el: 0 cu: MICU cg: RN v1: Indwelling Cath st: NotStopd t0: [20:00:00 28/10/2012] id: Verbal Response el: 0 cu: MICU cg: RN v1: 5 Oriented st: NotStopd t0: [20:00:00 28/10/2012] id: Back Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [20:00:00 28/10/2012] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [20:00:00 28/10/2012] id: Behavior el: 0 cu: MICU cg: RN v1: Calm st: NotStopd t0: [20:00:00 28/10/2012] id: Bowel Sounds el: 0 cu: MICU cg: RN v1: Hypoactive st: NotStopd
t0: [20:00:00 28/10/2012] id: D5W 100.0ml + 600mcghr Sandostatin IV Infusions el: 3 cu: MICU cg: RN ai: 127 vo: 8.33333 vu: ml t0: [20:00:00 28/10/2012] id: D5/.45NS 50.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 112 vo: 100 vu: ml
t0: [20:00:00 28/10/2012] id: Sandostatin el: 4 cu: MICU cg: RN so: D5W vo: 0 v1: 50 du: mcghr sv: 100 su: ml rt: IV Drip
t0: [21:00:00 28/10/2012] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [21:00:00 28/10/2012] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [21:00:00 28/10/2012] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [21:00:00 28/10/2012] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [21:00:00 28/10/2012] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [21:00:00 28/10/2012] id: Heart Rate el: 0 cu: MICU cg: RN v1: 75 u1: BPM st: NotStopd t0: [21:00:00 28/10/2012] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [21:00:00 28/10/2012] id: NBP el: 0 cu: MICU cg: RN v1: 108 u1: mmHg v2: 38 u2: mmHg st: NotStopd t0: [21:00:00 28/10/2012] id: NBP Mean el: 0 cu: MICU cg: RN v1: 61.3333 u1: mmHg st: NotStopd t0: [21:00:00 28/10/2012] id: Precautions el: 0 cu: MICU cg: RN v1: Contact st: NotStopd t0: [21:00:00 28/10/2012] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 20 u1: BPM st: NotStopd t0: [21:00:00 28/10/2012] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [21:00:00 28/10/2012] id: D5W 100.0ml + 600mcghr Sandostatin IV Infusions el: 3 cu: MICU cg: RN ai: 127 vo: 8.33333 vu: ml t0: [21:00:00 28/10/2012] id: D5/.45NS 50.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 112 vo: 100 vu: ml
t0: [21:00:00 28/10/2012] id: Sandostatin el: 4 cu: MICU cg: RN so: D5W vo: 0 v1: 50 du: mcghr sv: 100 su: ml rt: IV Drip
t0: [22:00:00 28/10/2012] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [22:00:00 28/10/2012] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [22:00:00 28/10/2012] id: Cough/Deep Breathe el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [22:00:00 28/10/2012] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [22:00:00 28/10/2012] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [22:00:00 28/10/2012] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [22:00:00 28/10/2012] id: HOB el: 0 cu: MICU cg: RN v1: 90 degrees st: NotStopd t0: [22:00:00 28/10/2012] id: Heart Rate el: 0 cu: MICU cg: RN v1: 77 u1: BPM st: NotStopd t0: [22:00:00 28/10/2012] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [22:00:00 28/10/2012] id: Activity el: 0 cu: MICU cg: RN v1: Bedrest st: NotStopd t0: [22:00:00 28/10/2012] id: Activity Tolerance el: 0 cu: MICU cg: RN v1: Tolerated Well st: NotStopd t0: [22:00:00 28/10/2012] id: Incentive Spirometry el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [22:00:00 28/10/2012] id: NBP el: 0 cu: MICU cg: RN v1: 109 u1: mmHg v2: 49 u2: mmHg st: NotStopd t0: [22:00:00 28/10/2012] id: NBP Mean el: 0 cu: MICU cg: RN v1: 69 u1: mmHg st: NotStopd t0: [22:00:00 28/10/2012] id: AntiEmbDevice/Status el: 0 cu: MICU cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [22:00:00 28/10/2012] id: Position el: 0 cu: MICU cg: RN v1: Supine st: NotStopd t0: [22:00:00 28/10/2012] id: Assistance Device el: 0 cu: MICU cg: RN v1: 1 Person Assist st: NotStopd t0: [22:00:00 28/10/2012] id: Precautions el: 0 cu: MICU cg: RN v1: Contact st: NotStopd t0: [22:00:00 28/10/2012] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 19 u1: BPM st: NotStopd t0: [22:00:00 28/10/2012] id: SpO2 el: 0 cu: MICU cg: RN v1: 100 u1: % st: NotStopd t0: [22:00:00 28/10/2012] id: Turn el: 0 cu: MICU cg: RN v1: Side to Side st: NotStopd t0: [22:00:00 28/10/2012] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [20:00:00 28/10/2012] id: IV Piggyback IV Infusions el: 1 cu: MICU cg: RN ai: 209 vo: 200 vu: ml t0: [22:00:00 28/10/2012] id: IV Piggyback IV Infusions el: 1 cu: MICU cg: RN ai: 209 vo: 200 vu: ml t0: [22:00:00 28/10/2012] id: D5W 100.0ml + 600mcghr Sandostatin IV Infusions el: 3 cu: MICU cg: RN ai: 127 vo: 8.33333 vu: ml t0: [22:00:00 28/10/2012] id: D5/.45NS 50.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 112 vo: 100 vu: ml
t0: [22:00:00 28/10/2012] id: Sandostatin el: 4 cu: MICU cg: RN so: D5W vo: 0 v1: 50 du: mcghr sv: 100 su: ml rt: IV Drip
t0: [21:24:00 28/10/2012] id: Hematocrit Hematology el: 0 cu: MICU cg: 1663 v1: 33 u1: % rs: Final st: NotStopd t0: [21:24:00 28/10/2012] id: Platelets Hematology el: 0 cu: MICU cg: 1663 v1: 90 rs: Final st: NotStopd
tf: [10:00:00 08/11/2012] pt: Unit Dose rt: PO fr: HS:PRN m1: traZODONE HCl v1: 25 u1: mg
t0: [23:00:00 28/10/2012] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [23:00:00 28/10/2012] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [23:00:00 28/10/2012] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [23:00:00 28/10/2012] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [23:00:00 28/10/2012] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [23:00:00 28/10/2012] id: Heart Rate el: 0 cu: MICU cg: RN v1: 77 u1: BPM st: NotStopd t0: [23:00:00 28/10/2012] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [23:00:00 28/10/2012] id: NBP el: 0 cu: MICU cg: RN v1: 110 u1: mmHg v2: 50 u2: mmHg st: NotStopd t0: [23:00:00 28/10/2012] id: NBP Mean el: 0 cu: MICU cg: RN v1: 70 u1: mmHg st: NotStopd t0: [23:00:00 28/10/2012] id: Precautions el: 0 cu: MICU cg: RN v1: Contact st: NotStopd t0: [23:00:00 28/10/2012] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 20 u1: BPM st: NotStopd t0: [23:00:00 28/10/2012] id: SpO2 el: 0 cu: MICU cg: RN v1: 97 u1: % st: NotStopd t0: [23:00:00 28/10/2012] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [23:00:00 28/10/2012] id: D5W 100.0ml + 600mcghr Sandostatin IV Infusions el: 3 cu: MICU cg: RN ai: 127 vo: 8.33333 vu: ml t0: [23:00:00 28/10/2012] id: D5/.45NS 50.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 112 vo: 100 vu: ml
t0: [23:00:00 28/10/2012] id: Sandostatin el: 4 cu: MICU cg: RN so: D5W vo: 0 v1: 50 du: mcghr sv: 100 su: ml rt: IV Drip
t0: [23:00:00 28/10/2012] dt: 24 id: IV Infusion In Total el: 2 cu: MICU cg: RN pv: 108.333 cv: 3373.27 ap: none t0: [23:00:00 28/10/2012] dt: 24 id: 24h Total In el: 2 cu: MICU cg: RN pv: 108.333 cv: 6532.27 ap: none
t0: [23:00:00 28/10/2012] id: INV Line#1 Type/Site el: 0 cu: MICU cg: RN v1: Multi-lumen v2: Right Subclavian st: NotStopd t0: [23:00:00 28/10/2012] id: INV Line#1SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [00:00:00 29/10/2012] id: Pain Present el: 0 cu: MICU cg: RN v1: No st: NotStopd t0: [00:00:00 29/10/2012] id: Pain Assess Method el: 0 cu: MICU cg: RN v1: Pt Verbalized st: NotStopd t0: [00:00:00 29/10/2012] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [00:00:00 29/10/2012] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [00:00:00 29/10/2012] id: Riker-SAS Scale el: 0 cu: MICU cg: RN v1: Calm/Cooperative st: NotStopd t0: [00:00:00 29/10/2012] id: Cough/Deep Breathe el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [00:00:00 29/10/2012] id: Daily Wake Up el: 1 cu: MICU cg: RN v1: No/Not Sedated st: NotStopd t0: [00:00:00 29/10/2012] id: GI Prophylaxis el: 0 cu: MICU cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [00:00:00 29/10/2012] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [00:00:00 29/10/2012] id: Diet Type el: 0 cu: MICU cg: RN v1: NPO st: NotStopd t0: [00:00:00 29/10/2012] id: Dorsal PedPulse R/L el: 0 cu: MICU cg: RN v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [00:00:00 29/10/2012] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [00:00:00 29/10/2012] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [00:00:00 29/10/2012] id: Eye Opening el: 0 cu: MICU cg: RN v1: 4 Spontaneously st: NotStopd t0: [00:00:00 29/10/2012] id: Family Communication el: 0 cu: MICU cg: RN v1: Fam Talked to RN st: NotStopd t0: [00:00:00 29/10/2012] id: Follows Commands el: 0 cu: MICU cg: RN v1: Consistently st: NotStopd t0: [00:00:00 29/10/2012] id: GCS Total el: 0 cu: MICU cg: RN v1: 15 u1: points st: NotStopd t0: [00:00:00 29/10/2012] id: HOB el: 0 cu: MICU cg: RN v1: 90 degrees st: NotStopd t0: [00:00:00 29/10/2012] id: Heart Rate el: 0 cu: MICU cg: RN v1: 76 u1: BPM st: NotStopd t0: [00:00:00 29/10/2012] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [00:00:00 29/10/2012] id: Abdominal Assessment el: 0 cu: MICU cg: RN v1: Firm Distended st: NotStopd t0: [00:00:00 29/10/2012] id: Activity el: 0 cu: MICU cg: RN v1: Bedrest st: NotStopd t0: [00:00:00 29/10/2012] id: Activity Tolerance el: 0 cu: MICU cg: RN v1: Tolerated Well st: NotStopd t0: [00:00:00 29/10/2012] id: Imp Skin Cleanse #1 el: 0 cu: MICU cg: RN v1: Soap & H20 st: NotStopd t0: [00:00:00 29/10/2012] id: ImpSkin Character #1 el: 0 cu: MICU cg: RN v1: Abrasion st: NotStopd t0: [00:00:00 29/10/2012] id: ImpSkin Treatment #1 el: 0 cu: MICU cg: RN v1: Open to Air st: NotStopd t0: [00:00:00 29/10/2012] id: ImpSkin Wound Base#1 el: 0 cu: MICU cg: RN v1: Pink st: NotStopd t0: [00:00:00 29/10/2012] id: Impaired Skin Site#1 el: 0 cu: MICU cg: RN v1: Coccyx st: NotStopd t0: [00:00:00 29/10/2012] id: Incentive Spirometry el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [00:00:00 29/10/2012] id: LLL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [00:00:00 29/10/2012] id: LUL Lung Sounds el: 0 cu: MICU cg: RN v1: Clear st: NotStopd t0: [00:00:00 29/10/2012] id: Level of Conscious el: 0 cu: MICU cg: RN v1: Alert st: NotStopd t0: [00:00:00 29/10/2012] id: Motor Response el: 0 cu: MICU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [00:00:00 29/10/2012] id: NBP el: 0 cu: MICU cg: RN v1: 109 u1: mmHg v2: 48 u2: mmHg st: NotStopd t0: [00:00:00 29/10/2012] id: NBP Mean el: 0 cu: MICU cg: RN v1: 68.3333 u1: mmHg st: NotStopd t0: [00:00:00 29/10/2012] id: O2 Delivery Device el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [00:00:00 29/10/2012] id: Oral Cavity el: 0 cu: MICU cg: RN v1: Bleeding Gum st: NotStopd t0: [00:00:00 29/10/2012] id: Orientation el: 0 cu: MICU cg: RN v1: Oriented x 3 st: NotStopd t0: [00:00:00 29/10/2012] id: AntiEmbDevice/Status el: 0 cu: MICU cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [00:00:00 29/10/2012] id: Pain Location el: 0 cu: MICU cg: RN v1: Not Indicated st: NotStopd t0: [00:00:00 29/10/2012] id: Position el: 0 cu: MICU cg: RN v1: Right Side st: NotStopd t0: [00:00:00 29/10/2012] id: PostTib. Pulses R/L el: 0 cu: MICU cg: RN v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [00:00:00 29/10/2012] id: Assistance Device el: 0 cu: MICU cg: RN v1: 1 Person Assist st: NotStopd t0: [00:00:00 29/10/2012] id: Precautions el: 0 cu: MICU cg: RN v1: Contact st: NotStopd t0: [00:00:00 29/10/2012] id: RLL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [00:00:00 29/10/2012] id: RUL Lung Sounds el: 0 cu: MICU cg: RN v1: Clear st: NotStopd t0: [00:00:00 29/10/2012] id: Respiratory Pattern el: 0 cu: MICU cg: RN v1: Regular st: NotStopd t0: [00:00:00 29/10/2012] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 17 u1: BPM st: NotStopd t0: [00:00:00 29/10/2012] id: Side Rails el: 0 cu: MICU cg: RN v1: Side Rails Up st: NotStopd t0: [00:00:00 29/10/2012] id: Skin Color el: 0 cu: MICU cg: RN v1: Jaundiced st: NotStopd t0: [00:00:00 29/10/2012] id: Skin Integrity el: 0 cu: MICU cg: RN v1: Impaired st: NotStopd t0: [00:00:00 29/10/2012] id: Skin Temp/Condition el: 0 cu: MICU cg: RN v1: Warm v2: Dry st: NotStopd t0: [00:00:00 29/10/2012] id: SpO2 el: 0 cu: MICU cg: RN v1: 98 u1: % st: NotStopd t0: [00:00:00 29/10/2012] id: Spontaneous Movement el: 0 cu: MICU cg: RN v1: Purposeful st: NotStopd t0: [00:00:00 29/10/2012] id: Support Systems el: 0 cu: MICU cg: RN v1: Spouse st: NotStopd t0: [00:00:00 29/10/2012] id: Temp. Site el: 0 cu: MICU cg: RN v1: Oral st: NotStopd t0: [00:00:00 29/10/2012] id: Temperature C (calc) el: 0 cu: MICU cg: RN v1: 37.1667 u1: Deg. C st: NotStopd t0: [00:00:00 29/10/2012] id: Temperature F el: 0 cu: MICU cg: RN v1: 98.9 u1: Deg. F st: NotStopd t0: [00:00:00 29/10/2012] id: Turn el: 0 cu: MICU cg: RN v1: Side to Side st: NotStopd t0: [00:00:00 29/10/2012] id: Urine Color/Appear el: 0 cu: MICU cg: RN v1: Icteric v2: Sediment st: NotStopd t0: [00:00:00 29/10/2012] id: Urine Source el: 0 cu: MICU cg: RN v1: Indwelling Cath st: NotStopd t0: [00:00:00 29/10/2012] id: Verbal Response el: 0 cu: MICU cg: RN v1: 5 Oriented st: NotStopd t0: [00:00:00 29/10/2012] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [00:00:00 29/10/2012] id: Behavior el: 0 cu: MICU cg: RN v1: Calm st: NotStopd t0: [00:00:00 29/10/2012] id: Bowel Sounds el: 0 cu: MICU cg: RN v1: Hypoactive st: NotStopd
t0: [20:00:00 28/10/2012] id: Urine Out Foley el: 2 cu: MICU cg: RN vo: 100 vu: ml t0: [21:00:00 28/10/2012] id: Urine Out Foley el: 2 cu: MICU cg: RN vo: 100 vu: ml t0: [22:00:00 28/10/2012] id: Urine Out Foley el: 2 cu: MICU cg: RN vo: 50 vu: ml t0: [23:00:00 28/10/2012] id: Stool Out Stool el: 1 cu: MICU cg: RN vu: ml es: Medium t0: [23:00:00 28/10/2012] id: Urine Out Foley el: 2 cu: MICU cg: RN vo: 50 vu: ml t0: [00:00:00 29/10/2012] id: D5W 100.0ml + 600mcghr Sandostatin IV Infusions el: 3 cu: MICU cg: RN ai: 127 vo: 8.33333 vu: ml t0: [00:00:00 29/10/2012] id: D5/.45NS 50.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 112 vo: 100 vu: ml t0: [00:00:00 29/10/2012] id: Urine Out Foley el: 2 cu: MICU cg: RN vo: 50 vu: ml
t0: [00:00:00 29/10/2012] id: Sandostatin el: 4 cu: MICU cg: RN so: D5W vo: 0 v1: 50 du: mcghr sv: 100 su: ml rt: IV Drip
t0: [23:00:00 28/10/2012] dt: 1 id: Total Hourly Output el: 2 cu: MICU cg: RN pv: 50 cv: 50 ap: estimateVol t0: [23:00:00 28/10/2012] dt: 1 id: Net Hourly Balance el: 2 cu: MICU cg: RN pv: 58.3333 cv: 58.3333 ap: estimateVol t0: [23:00:00 28/10/2012] dt: 24 id: Stool Out Total el: 2 cu: MICU cg: RN cv: 0 ap: estimateVol t0: [23:00:00 28/10/2012] dt: 24 id: Urine Out Total el: 2 cu: MICU cg: RN pv: 50 cv: 1510 ap: none t0: [23:00:00 28/10/2012] dt: 24 id: 24h Net Body Balance el: 2 cu: MICU cg: RN pv: 58.3333 cv: 5022.27 ap: estimateVol t0: [23:00:00 28/10/2012] dt: 24 id: 24h Total Out el: 2 cu: MICU cg: RN pv: 50 cv: 1510 ap: estimateVol t0: [23:00:00 28/10/2012] dt: multiple days id: LOS Net Body Balance el: 2 cu: MICU cg: RN pv: 58.3333 cv: 9881.79 ap: estimateVol
t0: [01:00:00 29/10/2012] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [01:00:00 29/10/2012] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [01:00:00 29/10/2012] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [01:00:00 29/10/2012] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [01:00:00 29/10/2012] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [01:00:00 29/10/2012] id: Heart Rate el: 0 cu: MICU cg: RN v1: 75 u1: BPM st: NotStopd t0: [01:00:00 29/10/2012] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [01:00:00 29/10/2012] id: NBP el: 0 cu: MICU cg: RN v1: 110 u1: mmHg v2: 50 u2: mmHg st: NotStopd t0: [01:00:00 29/10/2012] id: NBP Mean el: 0 cu: MICU cg: RN v1: 70 u1: mmHg st: NotStopd t0: [01:00:00 29/10/2012] id: Precautions el: 0 cu: MICU cg: RN v1: Contact st: NotStopd t0: [01:00:00 29/10/2012] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 17 u1: BPM st: NotStopd t0: [01:00:00 29/10/2012] id: SpO2 el: 0 cu: MICU cg: RN v1: 98 u1: % st: NotStopd t0: [01:00:00 29/10/2012] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [01:00:00 29/10/2012] id: D5W 100.0ml + 600mcghr Sandostatin IV Infusions el: 3 cu: MICU cg: RN ai: 127 vo: 8.33333 vu: ml t0: [01:00:00 29/10/2012] id: D5/.45NS 50.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 112 vo: 100 vu: ml
t0: [01:00:00 29/10/2012] id: Sandostatin el: 4 cu: MICU cg: RN so: D5W vo: 0 v1: 50 du: mcghr sv: 100 su: ml rt: IV Drip
t0: [02:00:00 29/10/2012] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [02:00:00 29/10/2012] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [02:00:00 29/10/2012] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [02:00:00 29/10/2012] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [02:00:00 29/10/2012] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [02:00:00 29/10/2012] id: Heart Rate el: 0 cu: MICU cg: RN v1: 89 u1: BPM st: NotStopd t0: [02:00:00 29/10/2012] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [02:00:00 29/10/2012] id: NBP el: 0 cu: MICU cg: RN v1: 97 u1: mmHg v2: 57 u2: mmHg st: NotStopd t0: [02:00:00 29/10/2012] id: NBP Mean el: 0 cu: MICU cg: RN v1: 70.3333 u1: mmHg st: NotStopd t0: [02:00:00 29/10/2012] id: Precautions el: 0 cu: MICU cg: RN v1: Contact st: NotStopd t0: [02:00:00 29/10/2012] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 26 u1: BPM st: NotStopd t0: [02:00:00 29/10/2012] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [01:00:00 29/10/2012] id: Urine Out Foley el: 2 cu: MICU cg: RN vo: 100 vu: ml t0: [02:00:00 29/10/2012] id: D5W 100.0ml + 600mcghr Sandostatin IV Infusions el: 3 cu: MICU cg: RN ai: 127 vo: 8.33333 vu: ml t0: [02:00:00 29/10/2012] id: D5/.45NS 50.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 112 vo: 100 vu: ml t0: [02:00:00 29/10/2012] id: Urine Out Foley el: 2 cu: MICU cg: RN vo: 100 vu: ml
t0: [02:00:00 29/10/2012] id: Sandostatin el: 4 cu: MICU cg: RN so: D5W vo: 0 v1: 50 du: mcghr sv: 100 su: ml rt: IV Drip
t0: [23:00:00 29/10/2012] dt: 1 id: Total Hourly Output el: 2 cu: MICU cg: RN pv: 200 cv: 200 ap: estimateVol t0: [23:00:00 29/10/2012] dt: 1 id: Net Hourly Balance el: 2 cu: MICU cg: RN pv: -91.6667 cv: -91.6667 ap: estimateVol t0: [23:00:00 29/10/2012] dt: 24 id: IV Infusion In Total el: 2 cu: MICU cg: RN pv: 108.333 cv: 3600 ap: none t0: [23:00:00 29/10/2012] dt: 24 id: 24h Total In el: 2 cu: MICU cg: RN pv: 108.333 cv: 4443 ap: none t0: [23:00:00 29/10/2012] dt: 24 id: Urine Out Total el: 2 cu: MICU cg: RN pv: 200 cv: 3210 ap: none t0: [23:00:00 29/10/2012] dt: 24 id: 24h Net Body Balance el: 2 cu: MICU cg: RN pv: -91.6667 cv: 1233 ap: estimateVol t0: [23:00:00 29/10/2012] dt: 24 id: 24h Total Out el: 2 cu: MICU cg: RN pv: 200 cv: 3210 ap: estimateVol t0: [23:00:00 29/10/2012] dt: multiple days id: LOS Net Body Balance el: 2 cu: MICU cg: RN pv: -91.6667 cv: 11114.8 ap: estimateVol
t0: [01:30:00 29/10/2012] id: Hematocrit Hematology el: 0 cu: MICU cg: 1663 v1: 32.8 u1: % rs: Final st: NotStopd t0: [01:30:00 29/10/2012] id: Platelets Hematology el: 0 cu: MICU cg: 1663 v1: 93 rs: Final st: NotStopd
t0: [03:00:00 29/10/2012] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [03:00:00 29/10/2012] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [03:00:00 29/10/2012] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [03:00:00 29/10/2012] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [03:00:00 29/10/2012] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [03:00:00 29/10/2012] id: Heart Rate el: 0 cu: MICU cg: RN v1: 80 u1: BPM st: NotStopd t0: [03:00:00 29/10/2012] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [03:00:00 29/10/2012] id: NBP el: 0 cu: MICU cg: RN v1: 101 u1: mmHg v2: 43 u2: mmHg st: NotStopd t0: [03:00:00 29/10/2012] id: NBP Mean el: 0 cu: MICU cg: RN v1: 62.3333 u1: mmHg st: NotStopd t0: [03:00:00 29/10/2012] id: Precautions el: 0 cu: MICU cg: RN v1: Contact st: NotStopd t0: [03:00:00 29/10/2012] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 21 u1: BPM st: NotStopd t0: [03:00:00 29/10/2012] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [04:00:00 29/10/2012] id: Pain Level el: 0 cu: MICU cg: RN v1: 5-Moderate st: NotStopd t0: [04:00:00 29/10/2012] id: Pain Present el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [04:00:00 29/10/2012] id: Pain Assess Method el: 0 cu: MICU cg: RN v1: Pt Verbalized st: NotStopd t0: [04:00:00 29/10/2012] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [04:00:00 29/10/2012] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [04:00:00 29/10/2012] id: Riker-SAS Scale el: 0 cu: MICU cg: RN v1: Calm/Cooperative st: NotStopd t0: [04:00:00 29/10/2012] id: Cough/Deep Breathe el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [04:00:00 29/10/2012] id: Daily Wake Up el: 1 cu: MICU cg: RN v1: No/Not Sedated st: NotStopd t0: [04:00:00 29/10/2012] id: GI Prophylaxis el: 0 cu: MICU cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [04:00:00 29/10/2012] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [04:00:00 29/10/2012] id: Diet Type el: 0 cu: MICU cg: RN v1: NPO st: NotStopd t0: [04:00:00 29/10/2012] id: Dorsal PedPulse R/L el: 0 cu: MICU cg: RN v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [04:00:00 29/10/2012] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [04:00:00 29/10/2012] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [04:00:00 29/10/2012] id: Eye Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [04:00:00 29/10/2012] id: Eye Opening el: 0 cu: MICU cg: RN v1: 4 Spontaneously st: NotStopd t0: [04:00:00 29/10/2012] id: Follows Commands el: 0 cu: MICU cg: RN v1: Consistently st: NotStopd t0: [04:00:00 29/10/2012] id: GCS Total el: 0 cu: MICU cg: RN v1: 15 u1: points st: NotStopd t0: [04:00:00 29/10/2012] id: HOB el: 0 cu: MICU cg: RN v1: 30 degrees st: NotStopd t0: [04:00:00 29/10/2012] id: Heart Rate el: 0 cu: MICU cg: RN v1: 69 u1: BPM st: NotStopd t0: [04:00:00 29/10/2012] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [04:00:00 29/10/2012] id: INV Line#1 Type/Site el: 0 cu: MICU cg: RN v1: Multi-lumen v2: Right Subclavian st: NotStopd t0: [04:00:00 29/10/2012] id: INV Line#1SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [04:00:00 29/10/2012] id: Abdominal Assessment el: 0 cu: MICU cg: RN v1: Firm Distended st: NotStopd t0: [04:00:00 29/10/2012] id: Activity el: 0 cu: MICU cg: RN v1: Bedrest st: NotStopd t0: [04:00:00 29/10/2012] id: Activity Tolerance el: 0 cu: MICU cg: RN v1: Tolerated Well st: NotStopd t0: [04:00:00 29/10/2012] id: Imp Skin Cleanse #1 el: 0 cu: MICU cg: RN v1: Soap & H20 st: NotStopd t0: [04:00:00 29/10/2012] id: ImpSkin Character #1 el: 0 cu: MICU cg: RN v1: Abrasion st: NotStopd t0: [04:00:00 29/10/2012] id: ImpSkin Treatment #1 el: 0 cu: MICU cg: RN v1: Open to Air st: NotStopd t0: [04:00:00 29/10/2012] id: ImpSkin Wound Base#1 el: 0 cu: MICU cg: RN v1: Pink st: NotStopd t0: [04:00:00 29/10/2012] id: Impaired Skin Site#1 el: 0 cu: MICU cg: RN v1: Coccyx st: NotStopd t0: [04:00:00 29/10/2012] id: Incentive Spirometry el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [04:00:00 29/10/2012] id: LLL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [04:00:00 29/10/2012] id: LUL Lung Sounds el: 0 cu: MICU cg: RN v1: Clear st: NotStopd t0: [04:00:00 29/10/2012] id: Level of Conscious el: 0 cu: MICU cg: RN v1: Alert st: NotStopd t0: [04:00:00 29/10/2012] id: Motor Response el: 0 cu: MICU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [04:00:00 29/10/2012] id: NBP el: 0 cu: MICU cg: RN v1: 108 u1: mmHg v2: 57 u2: mmHg st: NotStopd t0: [04:00:00 29/10/2012] id: NBP Mean el: 0 cu: MICU cg: RN v1: 74 u1: mmHg st: NotStopd t0: [04:00:00 29/10/2012] id: O2 Delivery Device el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [04:00:00 29/10/2012] id: Oral Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [04:00:00 29/10/2012] id: Oral Cavity el: 0 cu: MICU cg: RN v1: Bleeding Gum st: NotStopd t0: [04:00:00 29/10/2012] id: Orientation el: 0 cu: MICU cg: RN v1: Oriented x 3 st: NotStopd t0: [04:00:00 29/10/2012] id: AntiEmbDevice/Status el: 0 cu: MICU cg: RN v1: Compress Sleeves v2: Off st: NotStopd t0: [04:00:00 29/10/2012] id: Pain Cause el: 0 cu: MICU cg: RN v1: Incisional st: NotStopd t0: [04:00:00 29/10/2012] id: Pain Level (Rest) el: 0 cu: MICU cg: RN v1: 5-Moderate st: NotStopd t0: [04:00:00 29/10/2012] id: Pain Location el: 0 cu: MICU cg: RN v1: Neck st: NotStopd t0: [04:00:00 29/10/2012] id: Pain Management el: 1 cu: MICU cg: RN v1: IV Push v2: Repositioned st: NotStopd t0: [04:00:00 29/10/2012] id: Pain Type el: 0 cu: MICU cg: RN v1: Aching st: NotStopd t0: [04:00:00 29/10/2012] id: Position el: 0 cu: MICU cg: RN v1: Left Side st: NotStopd t0: [04:00:00 29/10/2012] id: PostTib. Pulses R/L el: 0 cu: MICU cg: RN v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [04:00:00 29/10/2012] id: Assistance Device el: 0 cu: MICU cg: RN v1: 1 Person Assist st: NotStopd t0: [04:00:00 29/10/2012] id: Precautions el: 0 cu: MICU cg: RN v1: Contact st: NotStopd t0: [04:00:00 29/10/2012] id: RLL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [04:00:00 29/10/2012] id: RUL Lung Sounds el: 0 cu: MICU cg: RN v1: Clear st: NotStopd t0: [04:00:00 29/10/2012] id: Respiratory Pattern el: 0 cu: MICU cg: RN v1: Regular st: NotStopd t0: [04:00:00 29/10/2012] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 13 u1: BPM st: NotStopd t0: [04:00:00 29/10/2012] id: Side Rails el: 0 cu: MICU cg: RN v1: Side Rails Up st: NotStopd t0: [04:00:00 29/10/2012] id: Skin Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [04:00:00 29/10/2012] id: Skin Color el: 0 cu: MICU cg: RN v1: Jaundiced st: NotStopd t0: [04:00:00 29/10/2012] id: Skin Integrity el: 0 cu: MICU cg: RN v1: Impaired st: NotStopd t0: [04:00:00 29/10/2012] id: Skin Temp/Condition el: 0 cu: MICU cg: RN v1: Warm v2: Dry st: NotStopd t0: [04:00:00 29/10/2012] id: Spontaneous Movement el: 0 cu: MICU cg: RN v1: Purposeful st: NotStopd t0: [04:00:00 29/10/2012] id: Support Systems el: 0 cu: MICU cg: RN v1: Spouse st: NotStopd t0: [04:00:00 29/10/2012] id: Temp. Site el: 0 cu: MICU cg: RN v1: Oral st: NotStopd t0: [04:00:00 29/10/2012] id: Temperature C (calc) el: 0 cu: MICU cg: RN v1: 36.8889 u1: Deg. C st: NotStopd t0: [04:00:00 29/10/2012] id: Temperature F el: 0 cu: MICU cg: RN v1: 98.4 u1: Deg. F st: NotStopd t0: [04:00:00 29/10/2012] id: Turn el: 0 cu: MICU cg: RN v1: Side to Side st: NotStopd t0: [04:00:00 29/10/2012] id: Urine Color/Appear el: 0 cu: MICU cg: RN v1: Icteric v2: Sediment st: NotStopd t0: [04:00:00 29/10/2012] id: Urine Source el: 0 cu: MICU cg: RN v1: Indwelling Cath st: NotStopd t0: [04:00:00 29/10/2012] id: Verbal Response el: 0 cu: MICU cg: RN v1: 5 Oriented st: NotStopd t0: [04:00:00 29/10/2012] id: Back Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [04:00:00 29/10/2012] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [04:00:00 29/10/2012] id: Behavior el: 0 cu: MICU cg: RN v1: Calm st: NotStopd t0: [04:00:00 29/10/2012] id: Bowel Sounds el: 0 cu: MICU cg: RN v1: Hypoactive st: NotStopd
t0: [03:00:00 29/10/2012] id: D5W 100.0ml + 600mcghr Sandostatin IV Infusions el: 3 cu: MICU cg: RN ai: 127 vo: 8.33333 vu: ml t0: [03:00:00 29/10/2012] id: D5/.45NS 50.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 112 vo: 100 vu: ml t0: [03:00:00 29/10/2012] id: Urine Out Foley el: 2 cu: MICU cg: RN vo: 100 vu: ml t0: [04:00:00 29/10/2012] id: D5W 100.0ml + 600mcghr Sandostatin IV Infusions el: 3 cu: MICU cg: RN ai: 127 vo: 8.33333 vu: ml t0: [04:00:00 29/10/2012] id: D5/.45NS 50.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 112 vo: 100 vu: ml t0: [04:00:00 29/10/2012] id: Urine Out Foley el: 2 cu: MICU cg: RN vo: 100 vu: ml
t0: [03:00:00 29/10/2012] id: Sandostatin el: 4 cu: MICU cg: RN so: D5W vo: 0 v1: 50 du: mcghr sv: 100 su: ml rt: IV Drip t0: [04:00:00 29/10/2012] id: Sandostatin el: 4 cu: MICU cg: RN so: D5W vo: 0 v1: 50 du: mcghr sv: 100 su: ml rt: IV Drip
t0: [03:23:00 29/10/2012] id: WBC (4-11,000) Hematology el: 0 cu: MICU cg: 1663 v1: 7.1 rs: Final st: NotStopd t0: [03:23:00 29/10/2012] id: WBC Hematology el: 0 cu: MICU cg: 1663 v1: 7.1 rs: Final st: NotStopd t0: [03:23:00 29/10/2012] id: Hematocrit Hematology el: 0 cu: MICU cg: 1663 v1: 32.4 u1: % rs: Final st: NotStopd t0: [03:23:00 29/10/2012] id: Hemoglobin Hematology el: 0 cu: MICU cg: 1663 v1: 10.6 u1: gm/dl rs: Final st: NotStopd t0: [03:23:00 29/10/2012] id: Platelets Hematology el: 0 cu: MICU cg: 1663 v1: 98 rs: Final st: NotStopd t0: [03:23:00 29/10/2012] id: RBC Hematology el: 0 cu: MICU cg: 1663 v1: 3.73 u1: /mic l rs: Final st: NotStopd t0: [03:23:00 29/10/2012] id: WBC (4-11,000) Hematology el: 0 cu: MICU cg: 1663 v1: 7.1 rs: Final st: NotStopd
tf: [22:00:00 06/11/2012] pt: Unit Dose rt: IV fr: Q4H:PRN m1: Morphine Sulfate v1: 2 u1: mg
t0: [03:23:00 29/10/2012] id: BUN el: 0 cu: MICU cg: 1663 v1: 8 rs: Final st: NotStopd t0: [03:23:00 29/10/2012] id: Albumin Chemistry el: 0 cu: MICU cg: 1663 v1: 2.6 rs: Final st: NotStopd t0: [03:23:00 29/10/2012] id: Calcium Chemistry el: 0 cu: MICU cg: 1663 v1: 8.2 u1: mg/dl rs: Final st: NotStopd t0: [03:23:00 29/10/2012] id: Chloride Chemistry el: 0 cu: MICU cg: 1663 v1: 105 rs: Final st: NotStopd t0: [03:23:00 29/10/2012] id: Creatinine Chemistry el: 0 cu: MICU cg: 1663 v1: 0.9 rs: Final st: NotStopd t0: [03:23:00 29/10/2012] id: Glucose Chemistry el: 0 cu: MICU cg: 1663 v1: 111 rs: Final st: NotStopd t0: [03:23:00 29/10/2012] id: Magnesium Chemistry el: 0 cu: MICU cg: 1663 v1: 1.7 rs: Final st: NotStopd t0: [03:23:00 29/10/2012] id: Phosphorous Chemistry el: 0 cu: MICU cg: 1663 v1: 2.8 u1: mEq/L rs: Final st: NotStopd t0: [03:23:00 29/10/2012] id: Potassium Chemistry el: 0 cu: MICU cg: 1663 v1: 3.6 rs: Final st: NotStopd t0: [03:23:00 29/10/2012] id: Sodium Chemistry el: 0 cu: MICU cg: 1663 v1: 132 rs: Final st: NotStopd t0: [03:23:00 29/10/2012] id: ALT Enzymes el: 0 cu: MICU cg: 1663 v1: 33 rs: Final st: NotStopd t0: [03:23:00 29/10/2012] id: AST Enzymes el: 0 cu: MICU cg: 1663 v1: 36 rs: Final st: NotStopd t0: [03:23:00 29/10/2012] id: Albumin (>3.2) Chemistry el: 0 cu: MICU cg: 1663 v1: 2.6 rs: Final st: NotStopd t0: [03:23:00 29/10/2012] id: Alk. Phosphate Enzymes el: 0 cu: MICU cg: 1663 v1: 88 rs: Final st: NotStopd t0: [03:23:00 29/10/2012] id: BUN (6-20) Chemistry el: 0 cu: MICU cg: 1663 v1: 8 rs: Final st: NotStopd t0: [03:23:00 29/10/2012] id: Calcium (8.4-10.2) Chemistry el: 0 cu: MICU cg: 1663 v1: 8.2 u1: mg/dl rs: Final st: NotStopd t0: [03:23:00 29/10/2012] id: Carbon Dioxide Chemistry el: 0 cu: MICU cg: 1663 v1: 16 rs: Final st: NotStopd t0: [03:23:00 29/10/2012] id: Chloride (100-112) Chemistry el: 0 cu: MICU cg: 1663 v1: 105 rs: Final st: NotStopd t0: [03:23:00 29/10/2012] id: Creatinine (0-1.3) Chemistry el: 0 cu: MICU cg: 1663 v1: 0.9 rs: Final st: NotStopd t0: [03:23:00 29/10/2012] id: Glucose (70-105) Chemistry el: 0 cu: MICU cg: 1663 v1: 111 rs: Final st: NotStopd t0: [03:23:00 29/10/2012] id: LDH Enzymes el: 0 cu: MICU cg: 1663 v1: 169 rs: Final st: NotStopd t0: [03:23:00 29/10/2012] id: Magnesium (1.6-2.6) Chemistry el: 0 cu: MICU cg: 1663 v1: 1.7 rs: Final st: NotStopd t0: [03:23:00 29/10/2012] id: Phosphorous(2.7-4.5) Chemistry el: 0 cu: MICU cg: 1663 v1: 2.8 u1: mEq/L rs: Final st: NotStopd t0: [03:23:00 29/10/2012] id: Potassium (3.5-5.3) Chemistry el: 0 cu: MICU cg: 1663 v1: 3.6 rs: Final st: NotStopd t0: [03:23:00 29/10/2012] id: Sodium (135-148) Chemistry el: 0 cu: MICU cg: 1663 v1: 132 rs: Final st: NotStopd
t0: [03:23:00 29/10/2012] id: Total Bili Chemistry el: 0 cu: MICU cg: 1663 v1: 23.2 rs: Final st: NotStopd t0: [03:23:00 29/10/2012] id: Total Bili (0-1.5) Chemistry el: 0 cu: MICU cg: 1663 v1: 23.2 rs: Final st: NotStopd
t0: [02:00:00 29/10/2012] id: SpO2 el: 0 cu: MICU cg: RN v1: 98 u1: % st: NotStopd t0: [03:00:00 29/10/2012] id: SpO2 el: 0 cu: MICU cg: RN v1: 98 u1: % st: NotStopd t0: [03:23:00 29/10/2012] id: PT el: 0 cu: MICU cg: 1663 v1: 15.3 rs: Final st: NotStopd t0: [03:23:00 29/10/2012] id: INR Coags el: 0 cu: MICU cg: 1663 v1: 1.5 rs: Final st: NotStopd t0: [03:23:00 29/10/2012] id: PTT Coags el: 0 cu: MICU cg: 1663 v1: 38.7 rs: Final st: NotStopd t0: [03:23:00 29/10/2012] id: INR (2-4 ref. range) Coags el: 0 cu: MICU cg: 1663 v1: 1.5 rs: Final st: NotStopd t0: [03:23:00 29/10/2012] id: PT(11-13.5) Coags el: 0 cu: MICU cg: 1663 v1: 15.3 rs: Final st: NotStopd t0: [03:23:00 29/10/2012] id: PTT(22-35) Coags el: 0 cu: MICU cg: 1663 v1: 38.7 rs: Final st: NotStopd t0: [04:00:00 29/10/2012] id: SpO2 el: 0 cu: MICU cg: RN v1: 98 u1: % st: NotStopd t0: [05:00:00 29/10/2012] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [05:00:00 29/10/2012] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [05:00:00 29/10/2012] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [05:00:00 29/10/2012] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [05:00:00 29/10/2012] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [05:00:00 29/10/2012] id: Heart Rate el: 0 cu: MICU cg: RN v1: 70 u1: BPM st: NotStopd t0: [05:00:00 29/10/2012] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [05:00:00 29/10/2012] id: NBP el: 0 cu: MICU cg: RN v1: 110 u1: mmHg v2: 57 u2: mmHg st: NotStopd t0: [05:00:00 29/10/2012] id: NBP Mean el: 0 cu: MICU cg: RN v1: 74.6667 u1: mmHg st: NotStopd t0: [05:00:00 29/10/2012] id: Precautions el: 0 cu: MICU cg: RN v1: Contact st: NotStopd t0: [05:00:00 29/10/2012] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 14 u1: BPM st: NotStopd t0: [05:00:00 29/10/2012] id: SpO2 el: 0 cu: MICU cg: RN v1: 98 u1: % st: NotStopd t0: [05:00:00 29/10/2012] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [05:00:00 29/10/2012] id: D5W 100.0ml + 600mcghr Sandostatin IV Infusions el: 3 cu: MICU cg: RN ai: 127 vo: 8.33333 vu: ml t0: [05:00:00 29/10/2012] id: D5/.45NS 50.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 112 vo: 100 vu: ml t0: [05:00:00 29/10/2012] id: Urine Out Foley el: 2 cu: MICU cg: RN vo: 50 vu: ml
t0: [05:00:00 29/10/2012] id: Sandostatin el: 4 cu: MICU cg: RN so: D5W vo: 0 v1: 50 du: mcghr sv: 100 su: ml rt: IV Drip
t0: [06:00:00 29/10/2012] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [06:00:00 29/10/2012] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [06:00:00 29/10/2012] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [06:00:00 29/10/2012] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [06:00:00 29/10/2012] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [06:00:00 29/10/2012] id: Heart Rate el: 0 cu: MICU cg: RN v1: 75 u1: BPM st: NotStopd t0: [06:00:00 29/10/2012] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [06:00:00 29/10/2012] id: NBP el: 0 cu: MICU cg: RN v1: 110 u1: mmHg v2: 58 u2: mmHg st: NotStopd t0: [06:00:00 29/10/2012] id: NBP Mean el: 0 cu: MICU cg: RN v1: 75.3333 u1: mmHg st: NotStopd t0: [06:00:00 29/10/2012] id: Precautions el: 0 cu: MICU cg: RN v1: Contact st: NotStopd t0: [06:00:00 29/10/2012] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 17 u1: BPM st: NotStopd t0: [06:00:00 29/10/2012] id: SpO2 el: 0 cu: MICU cg: RN v1: 100 u1: % st: NotStopd t0: [06:00:00 29/10/2012] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [06:00:00 29/10/2012] id: IV Piggyback IV Infusions el: 1 cu: MICU cg: RN ai: 209 vo: 100 vu: ml t0: [06:00:00 29/10/2012] id: D5W 100.0ml + 600mcghr Sandostatin IV Infusions el: 3 cu: MICU cg: RN ai: 127 vo: 8.33333 vu: ml t0: [06:00:00 29/10/2012] id: D5/.45NS 50.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 112 vo: 100 vu: ml t0: [06:00:00 29/10/2012] id: Urine Out Foley el: 2 cu: MICU cg: RN vo: 50 vu: ml
t0: [06:00:00 29/10/2012] id: Sandostatin el: 4 cu: MICU cg: RN so: D5W vo: 0 v1: 50 du: mcghr sv: 100 su: ml rt: IV Drip
t0: [07:00:00 29/10/2012] id: Pain Present el: 0 cu: MICU cg: RN v1: No st: NotStopd t0: [07:00:00 29/10/2012] id: Pain Assess Method el: 0 cu: MICU cg: RN v1: Pt Verbalized st: NotStopd t0: [07:00:00 29/10/2012] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [07:00:00 29/10/2012] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [07:00:00 29/10/2012] id: Riker-SAS Scale el: 0 cu: MICU cg: RN v1: Calm/Cooperative st: NotStopd t0: [07:00:00 29/10/2012] id: Daily Wake Up el: 1 cu: MICU cg: RN v1: No/Not Sedated st: NotStopd t0: [07:00:00 29/10/2012] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [07:00:00 29/10/2012] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [07:00:00 29/10/2012] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [07:00:00 29/10/2012] id: Heart Rate el: 0 cu: MICU cg: RN v1: 79 u1: BPM st: NotStopd t0: [07:00:00 29/10/2012] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [07:00:00 29/10/2012] id: NBP el: 0 cu: MICU cg: RN v1: 98 u1: mmHg v2: 46 u2: mmHg st: NotStopd t0: [07:00:00 29/10/2012] id: NBP Mean el: 0 cu: MICU cg: RN v1: 63.3333 u1: mmHg st: NotStopd t0: [07:00:00 29/10/2012] id: Pain Location el: 0 cu: MICU cg: RN v1: Not Indicated st: NotStopd t0: [07:00:00 29/10/2012] id: Precautions el: 0 cu: MICU cg: RN v1: Contact st: NotStopd t0: [07:00:00 29/10/2012] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 18 u1: BPM st: NotStopd t0: [07:00:00 29/10/2012] id: SpO2 el: 0 cu: MICU cg: RN v1: 100 u1: % st: NotStopd t0: [07:00:00 29/10/2012] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [08:00:00 29/10/2012] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [08:00:00 29/10/2012] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [08:00:00 29/10/2012] id: Cough/Deep Breathe el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [08:00:00 29/10/2012] id: GI Prophylaxis el: 0 cu: MICU cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [08:00:00 29/10/2012] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [08:00:00 29/10/2012] id: Diet Type el: 0 cu: MICU cg: RN v1: NPO st: NotStopd t0: [08:00:00 29/10/2012] id: Dorsal PedPulse R/L el: 0 cu: MICU cg: RN v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [08:00:00 29/10/2012] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [08:00:00 29/10/2012] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [08:00:00 29/10/2012] id: Eye Opening el: 0 cu: MICU cg: RN v1: 4 Spontaneously st: NotStopd t0: [08:00:00 29/10/2012] id: Follows Commands el: 0 cu: MICU cg: RN v1: Consistently st: NotStopd t0: [08:00:00 29/10/2012] id: GCS Total el: 0 cu: MICU cg: RN v1: 15 u1: points st: NotStopd t0: [08:00:00 29/10/2012] id: HOB el: 0 cu: MICU cg: RN v1: 30 degrees st: NotStopd t0: [08:00:00 29/10/2012] id: Heart Rate el: 0 cu: MICU cg: RN v1: 71 u1: BPM st: NotStopd t0: [08:00:00 29/10/2012] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [08:00:00 29/10/2012] id: INV Line#1 Type/Site el: 0 cu: MICU cg: RN v1: Multi-lumen v2: Right Subclavian st: NotStopd t0: [08:00:00 29/10/2012] id: INV Line#1SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [08:00:00 29/10/2012] id: Abdominal Assessment el: 0 cu: MICU cg: RN v1: Firm Distended st: NotStopd t0: [08:00:00 29/10/2012] id: Activity el: 0 cu: MICU cg: RN v1: Bedrest st: NotStopd t0: [08:00:00 29/10/2012] id: Activity Tolerance el: 0 cu: MICU cg: RN v1: Tolerated Well st: NotStopd t0: [08:00:00 29/10/2012] id: Imp Skin Cleanse #1 el: 0 cu: MICU cg: RN v1: Soap & H20 st: NotStopd t0: [08:00:00 29/10/2012] id: ImpSkin Character #1 el: 0 cu: MICU cg: RN v1: Abrasion st: NotStopd t0: [08:00:00 29/10/2012] id: ImpSkin Treatment #1 el: 0 cu: MICU cg: RN v1: Open to Air st: NotStopd t0: [08:00:00 29/10/2012] id: ImpSkin Wound Base#1 el: 0 cu: MICU cg: RN v1: Pink st: NotStopd t0: [08:00:00 29/10/2012] id: Impaired Skin Site#1 el: 0 cu: MICU cg: RN v1: Coccyx st: NotStopd t0: [08:00:00 29/10/2012] id: Incentive Spirometry el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [08:00:00 29/10/2012] id: LLL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [08:00:00 29/10/2012] id: LUL Lung Sounds el: 0 cu: MICU cg: RN v1: Clear st: NotStopd t0: [08:00:00 29/10/2012] id: Level of Conscious el: 0 cu: MICU cg: RN v1: Alert st: NotStopd t0: [08:00:00 29/10/2012] id: Motor Response el: 0 cu: MICU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [08:00:00 29/10/2012] id: NBP el: 0 cu: MICU cg: RN v1: 105 u1: mmHg v2: 61 u2: mmHg st: NotStopd t0: [08:00:00 29/10/2012] id: NBP Mean el: 0 cu: MICU cg: RN v1: 75.6667 u1: mmHg st: NotStopd t0: [08:00:00 29/10/2012] id: O2 Delivery Device el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [08:00:00 29/10/2012] id: Oral Cavity el: 0 cu: MICU cg: RN v1: Bleeding Gum st: NotStopd t0: [08:00:00 29/10/2012] id: Orientation el: 0 cu: MICU cg: RN v1: Oriented x 3 st: NotStopd t0: [08:00:00 29/10/2012] id: AntiEmbDevice/Status el: 0 cu: MICU cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [08:00:00 29/10/2012] id: Position el: 0 cu: MICU cg: RN v1: Supine st: NotStopd t0: [08:00:00 29/10/2012] id: PostTib. Pulses R/L el: 0 cu: MICU cg: RN v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [08:00:00 29/10/2012] id: Assistance Device el: 0 cu: MICU cg: RN v1: 1 Person Assist st: NotStopd t0: [08:00:00 29/10/2012] id: Precautions el: 0 cu: MICU cg: RN v1: Contact st: NotStopd t0: [08:00:00 29/10/2012] id: RLL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [08:00:00 29/10/2012] id: RUL Lung Sounds el: 0 cu: MICU cg: RN v1: Clear st: NotStopd t0: [08:00:00 29/10/2012] id: Respiratory Pattern el: 0 cu: MICU cg: RN v1: Regular st: NotStopd t0: [08:00:00 29/10/2012] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 16 u1: BPM st: NotStopd t0: [08:00:00 29/10/2012] id: Side Rails el: 0 cu: MICU cg: RN v1: Side Rails Up st: NotStopd t0: [08:00:00 29/10/2012] id: Skin Color el: 0 cu: MICU cg: RN v1: Jaundiced st: NotStopd t0: [08:00:00 29/10/2012] id: Skin Integrity el: 0 cu: MICU cg: RN v1: Impaired st: NotStopd t0: [08:00:00 29/10/2012] id: Skin Temp/Condition el: 0 cu: MICU cg: RN v1: Warm v2: Dry st: NotStopd t0: [08:00:00 29/10/2012] id: SpO2 el: 0 cu: MICU cg: RN v1: 98 u1: % st: NotStopd t0: [08:00:00 29/10/2012] id: Spontaneous Movement el: 0 cu: MICU cg: RN v1: Purposeful st: NotStopd t0: [08:00:00 29/10/2012] id: Sputum Color/Consist el: 0 cu: MICU cg: RN v1: White v2: Thick st: NotStopd t0: [08:00:00 29/10/2012] id: Sputum Source/Amt el: 0 cu: MICU cg: RN v1: Expectorated v2: Scant st: NotStopd t0: [08:00:00 29/10/2012] id: Support Systems el: 0 cu: MICU cg: RN v1: Spouse st: NotStopd t0: [08:00:00 29/10/2012] id: Temp. Site el: 0 cu: MICU cg: RN v1: Oral st: NotStopd t0: [08:00:00 29/10/2012] id: Temperature C (calc) el: 0 cu: MICU cg: RN v1: 37.5 u1: Deg. C st: NotStopd t0: [08:00:00 29/10/2012] id: Temperature F el: 0 cu: MICU cg: RN v1: 99.5 u1: Deg. F st: NotStopd t0: [08:00:00 29/10/2012] id: Turn el: 0 cu: MICU cg: RN v1: Side to Side st: NotStopd t0: [08:00:00 29/10/2012] id: Urine Color/Appear el: 0 cu: MICU cg: RN v1: Icteric v2: Sediment st: NotStopd t0: [08:00:00 29/10/2012] id: Urine Source el: 0 cu: MICU cg: RN v1: Indwelling Cath st: NotStopd t0: [08:00:00 29/10/2012] id: Verbal Response el: 0 cu: MICU cg: RN v1: 5 Oriented st: NotStopd t0: [08:00:00 29/10/2012] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [08:00:00 29/10/2012] id: Behavior el: 0 cu: MICU cg: RN v1: Calm st: NotStopd t0: [08:00:00 29/10/2012] id: Bowel Sounds el: 0 cu: MICU cg: RN v1: Hypoactive st: NotStopd t0: [08:00:00 29/10/2012] id: Braden Activity el: 0 cu: MICU cg: RN v1: Bedfast st: NotStopd t0: [08:00:00 29/10/2012] id: Braden Frict/Shear el: 0 cu: MICU cg: RN v1: Problem st: NotStopd t0: [08:00:00 29/10/2012] id: Braden Mobility el: 0 cu: MICU cg: RN v1: Sl. Limited st: NotStopd t0: [08:00:00 29/10/2012] id: Braden Moisture el: 0 cu: MICU cg: RN v1: Moist st: NotStopd t0: [08:00:00 29/10/2012] id: Braden Nutrition el: 0 cu: MICU cg: RN v1: Prob. Inadequate st: NotStopd t0: [08:00:00 29/10/2012] id: Braden Score el: 0 cu: MICU cg: RN v1: 13 u1: number st: NotStopd t0: [08:00:00 29/10/2012] id: Braden SensoryPercep el: 0 cu: MICU cg: RN v1: No Impairment st: NotStopd
t0: [07:00:00 29/10/2012] id: D5W 100.0ml + 600mcghr Sandostatin IV Infusions el: 3 cu: MICU cg: RN ai: 127 vo: 8.33333 vu: ml t0: [07:00:00 29/10/2012] id: D5/.45NS 50.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 112 vo: 100 vu: ml t0: [08:00:00 29/10/2012] id: IV Piggyback IV Infusions el: 1 cu: MICU cg: RN ai: 209 vo: 200 vu: ml t0: [08:00:00 29/10/2012] id: D5W 100.0ml + 600mcghr Sandostatin IV Infusions el: 3 cu: MICU cg: RN ai: 127 vo: 8.33333 vu: ml t0: [08:00:00 29/10/2012] id: D5/.45NS 50.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 112 vo: 100 vu: ml t0: [08:00:00 29/10/2012] id: Urine Out Foley el: 2 cu: MICU cg: RN vo: 200 vu: ml
t0: [07:00:00 29/10/2012] id: Sandostatin el: 4 cu: MICU cg: RN so: D5W vo: 0 v1: 50 du: mcghr sv: 100 su: ml rt: IV Drip t0: [08:00:00 29/10/2012] id: Sandostatin el: 4 cu: MICU cg: RN so: D5W vo: 0 v1: 50 du: mcghr sv: 100 su: ml rt: IV Drip
t0: [08:00:00 29/10/2012] id: Hematocrit Hematology el: 0 cu: MICU cg: 1663 v1: 32.3 u1: % rs: Final st: NotStopd t0: [08:00:00 29/10/2012] id: Platelets Hematology el: 0 cu: MICU cg: 1663 v1: 92 rs: Final st: NotStopd
t0: [09:00:00 29/10/2012] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [09:00:00 29/10/2012] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [09:00:00 29/10/2012] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [09:00:00 29/10/2012] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [09:00:00 29/10/2012] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [09:00:00 29/10/2012] id: Heart Rate el: 0 cu: MICU cg: RN v1: 74 u1: BPM st: NotStopd t0: [09:00:00 29/10/2012] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [09:00:00 29/10/2012] id: NBP el: 0 cu: MICU cg: RN v1: 102 u1: mmHg v2: 50 u2: mmHg st: NotStopd t0: [09:00:00 29/10/2012] id: NBP Mean el: 0 cu: MICU cg: RN v1: 67.3333 u1: mmHg st: NotStopd t0: [09:00:00 29/10/2012] id: Precautions el: 0 cu: MICU cg: RN v1: Contact st: NotStopd t0: [09:00:00 29/10/2012] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 17 u1: BPM st: NotStopd t0: [09:00:00 29/10/2012] id: SpO2 el: 0 cu: MICU cg: RN v1: 98 u1: % st: NotStopd t0: [09:00:00 29/10/2012] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [09:00:00 29/10/2012] id: D5W 100.0ml + 600mcghr Sandostatin IV Infusions el: 3 cu: MICU cg: RN ai: 127 vo: 8.33333 vu: ml t0: [09:00:00 29/10/2012] id: D5/.45NS 50.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 112 vo: 100 vu: ml t0: [09:00:00 29/10/2012] id: Urine Out Foley el: 2 cu: MICU cg: RN vo: 120 vu: ml
t0: [09:00:00 29/10/2012] id: Sandostatin el: 4 cu: MICU cg: RN so: D5W vo: 0 v1: 50 du: mcghr sv: 100 su: ml rt: IV Drip
tf: [09:00:00 01/11/2012] pt: Unit Dose rt: SC fr: QD fs: 10 dn: 1 m1: Phytonadione v1: 10 u1: mg
t0: [08:00:00 29/10/2012] id: PT el: 0 cu: MICU cg: 1663 v1: 15 rs: Final st: NotStopd t0: [08:00:00 29/10/2012] id: INR Coags el: 0 cu: MICU cg: 1663 v1: 1.5 rs: Final st: NotStopd t0: [08:00:00 29/10/2012] id: PTT Coags el: 0 cu: MICU cg: 1663 v1: 37.5 rs: Final st: NotStopd t0: [08:00:00 29/10/2012] id: INR (2-4 ref. range) Coags el: 0 cu: MICU cg: 1663 v1: 1.5 rs: Final st: NotStopd t0: [08:00:00 29/10/2012] id: PT(11-13.5) Coags el: 0 cu: MICU cg: 1663 v1: 15 rs: Final st: NotStopd t0: [08:00:00 29/10/2012] id: PTT(22-35) Coags el: 0 cu: MICU cg: 1663 v1: 37.5 rs: Final st: NotStopd
t0: [10:00:00 29/10/2012] id: Pain Present el: 0 cu: MICU cg: RN v1: No st: NotStopd t0: [10:00:00 29/10/2012] id: Pain Assess Method el: 0 cu: MICU cg: RN v1: Pt Verbalized st: NotStopd t0: [10:00:00 29/10/2012] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [10:00:00 29/10/2012] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [10:00:00 29/10/2012] id: Riker-SAS Scale el: 0 cu: MICU cg: RN v1: Calm/Cooperative st: NotStopd t0: [10:00:00 29/10/2012] id: Cough/Deep Breathe el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [10:00:00 29/10/2012] id: Daily Wake Up el: 1 cu: MICU cg: RN v1: No/Hemodyn Issue st: NotStopd t0: [10:00:00 29/10/2012] id: GI Prophylaxis el: 0 cu: MICU cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [10:00:00 29/10/2012] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [10:00:00 29/10/2012] id: Diet Type el: 0 cu: MICU cg: RN v1: NPO st: NotStopd t0: [10:00:00 29/10/2012] id: Dorsal PedPulse R/L el: 0 cu: MICU cg: RN v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [10:00:00 29/10/2012] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [10:00:00 29/10/2012] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [10:00:00 29/10/2012] id: Eye Opening el: 0 cu: MICU cg: RN v1: 4 Spontaneously st: NotStopd t0: [10:00:00 29/10/2012] id: Follows Commands el: 0 cu: MICU cg: RN v1: Consistently st: NotStopd t0: [10:00:00 29/10/2012] id: GCS Total el: 0 cu: MICU cg: RN v1: 15 u1: points st: NotStopd t0: [10:00:00 29/10/2012] id: HOB el: 0 cu: MICU cg: RN v1: 30 degrees st: NotStopd t0: [10:00:00 29/10/2012] id: Heart Rate el: 0 cu: MICU cg: RN v1: 72 u1: BPM st: NotStopd t0: [10:00:00 29/10/2012] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [10:00:00 29/10/2012] id: Abdominal Assessment el: 0 cu: MICU cg: RN v1: Firm Distended st: NotStopd t0: [10:00:00 29/10/2012] id: Activity el: 0 cu: MICU cg: RN v1: Bedrest st: NotStopd t0: [10:00:00 29/10/2012] id: Activity Tolerance el: 0 cu: MICU cg: RN v1: Tolerated Well st: NotStopd t0: [10:00:00 29/10/2012] id: Imp Skin Cleanse #1 el: 0 cu: MICU cg: RN v1: Soap & H20 st: NotStopd t0: [10:00:00 29/10/2012] id: ImpSkin Character #1 el: 0 cu: MICU cg: RN v1: Abrasion st: NotStopd t0: [10:00:00 29/10/2012] id: ImpSkin Treatment #1 el: 0 cu: MICU cg: RN v1: Open to Air st: NotStopd t0: [10:00:00 29/10/2012] id: ImpSkin Wound Base#1 el: 0 cu: MICU cg: RN v1: Pink st: NotStopd t0: [10:00:00 29/10/2012] id: Impaired Skin Site#1 el: 0 cu: MICU cg: RN v1: Coccyx st: NotStopd t0: [10:00:00 29/10/2012] id: Incentive Spirometry el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [10:00:00 29/10/2012] id: LLL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [10:00:00 29/10/2012] id: LUL Lung Sounds el: 0 cu: MICU cg: RN v1: Clear st: NotStopd t0: [10:00:00 29/10/2012] id: Level of Conscious el: 0 cu: MICU cg: RN v1: Alert st: NotStopd t0: [10:00:00 29/10/2012] id: Motor Response el: 0 cu: MICU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [10:00:00 29/10/2012] id: NBP el: 0 cu: MICU cg: RN v1: 105 u1: mmHg v2: 42 u2: mmHg st: NotStopd t0: [10:00:00 29/10/2012] id: NBP Mean el: 0 cu: MICU cg: RN v1: 63 u1: mmHg st: NotStopd t0: [10:00:00 29/10/2012] id: O2 Delivery Device el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [10:00:00 29/10/2012] id: Oral Cavity el: 0 cu: MICU cg: RN v1: Bleeding Gum st: NotStopd t0: [10:00:00 29/10/2012] id: Orientation el: 0 cu: MICU cg: RN v1: Oriented x 3 st: NotStopd t0: [10:00:00 29/10/2012] id: AntiEmbDevice/Status el: 0 cu: MICU cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [10:00:00 29/10/2012] id: Pain Location el: 0 cu: MICU cg: RN v1: Not Indicated st: NotStopd t0: [10:00:00 29/10/2012] id: Position el: 0 cu: MICU cg: RN v1: Right Side st: NotStopd t0: [10:00:00 29/10/2012] id: PostTib. Pulses R/L el: 0 cu: MICU cg: RN v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [10:00:00 29/10/2012] id: Assistance Device el: 0 cu: MICU cg: RN v1: 1 Person Assist st: NotStopd t0: [10:00:00 29/10/2012] id: Precautions el: 0 cu: MICU cg: RN v1: Contact st: NotStopd t0: [10:00:00 29/10/2012] id: RLL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [10:00:00 29/10/2012] id: RUL Lung Sounds el: 0 cu: MICU cg: RN v1: Clear st: NotStopd t0: [10:00:00 29/10/2012] id: Respiratory Pattern el: 0 cu: MICU cg: RN v1: Regular st: NotStopd t0: [10:00:00 29/10/2012] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 18 u1: BPM st: NotStopd t0: [10:00:00 29/10/2012] id: Side Rails el: 0 cu: MICU cg: RN v1: Side Rails Up st: NotStopd t0: [10:00:00 29/10/2012] id: Skin Color el: 0 cu: MICU cg: RN v1: Jaundiced st: NotStopd t0: [10:00:00 29/10/2012] id: Skin Integrity el: 0 cu: MICU cg: RN v1: Impaired st: NotStopd t0: [10:00:00 29/10/2012] id: Skin Temp/Condition el: 0 cu: MICU cg: RN v1: Warm v2: Dry st: NotStopd t0: [10:00:00 29/10/2012] id: SpO2 el: 0 cu: MICU cg: RN v1: 98 u1: % st: NotStopd t0: [10:00:00 29/10/2012] id: Spontaneous Movement el: 0 cu: MICU cg: RN v1: Purposeful st: NotStopd t0: [10:00:00 29/10/2012] id: Support Systems el: 0 cu: MICU cg: RN v1: Spouse st: NotStopd t0: [10:00:00 29/10/2012] id: Turn el: 0 cu: MICU cg: RN v1: Side to Side st: NotStopd t0: [10:00:00 29/10/2012] id: Urine Color/Appear el: 0 cu: MICU cg: RN v1: Icteric v2: Sediment st: NotStopd t0: [10:00:00 29/10/2012] id: Urine Source el: 0 cu: MICU cg: RN v1: Indwelling Cath st: NotStopd t0: [10:00:00 29/10/2012] id: Verbal Response el: 0 cu: MICU cg: RN v1: 5 Oriented st: NotStopd t0: [10:00:00 29/10/2012] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [10:00:00 29/10/2012] id: Behavior el: 0 cu: MICU cg: RN v1: Calm st: NotStopd t0: [10:00:00 29/10/2012] id: Bowel Sounds el: 0 cu: MICU cg: RN v1: Hypoactive st: NotStopd
t0: [10:00:00 29/10/2012] id: IV Piggyback IV Infusions el: 1 cu: MICU cg: RN ai: 209 vo: 200 vu: ml t0: [10:00:00 29/10/2012] id: D5W 100.0ml + 600mcghr Sandostatin IV Infusions el: 3 cu: MICU cg: RN ai: 127 vo: 8.33333 vu: ml t0: [10:00:00 29/10/2012] id: D5/.45NS 50.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 112 vo: 100 vu: ml t0: [10:00:00 29/10/2012] id: Urine Out Foley el: 2 cu: MICU cg: RN vo: 120 vu: ml
t0: [10:00:00 29/10/2012] id: Sandostatin el: 4 cu: MICU cg: RN so: D5W vo: 0 v1: 50 du: mcghr sv: 100 su: ml rt: IV Drip
tf: [05:00:00 30/10/2012] pt: Unit Dose rt: IV fr: ONCE fs: 11 dn: 1 m1: Magnesium Sulfate v1: 2 u1: gm
t0: [11:00:00 29/10/2012] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [11:00:00 29/10/2012] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [11:00:00 29/10/2012] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [11:00:00 29/10/2012] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [11:00:00 29/10/2012] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [11:00:00 29/10/2012] id: Heart Rate el: 0 cu: MICU cg: RN v1: 73 u1: BPM st: NotStopd t0: [11:00:00 29/10/2012] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [11:00:00 29/10/2012] id: NBP el: 0 cu: MICU cg: RN v1: 106 u1: mmHg v2: 39 u2: mmHg st: NotStopd t0: [11:00:00 29/10/2012] id: NBP Mean el: 0 cu: MICU cg: RN v1: 61.3333 u1: mmHg st: NotStopd t0: [11:00:00 29/10/2012] id: Precautions el: 0 cu: MICU cg: RN v1: Contact st: NotStopd t0: [11:00:00 29/10/2012] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 19 u1: BPM st: NotStopd t0: [11:00:00 29/10/2012] id: SpO2 el: 0 cu: MICU cg: RN v1: 97 u1: % st: NotStopd t0: [11:00:00 29/10/2012] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [11:00:00 29/10/2012] id: D5W 100.0ml + 600mcghr Sandostatin IV Infusions el: 3 cu: MICU cg: RN ai: 127 vo: 8.33333 vu: ml t0: [11:00:00 29/10/2012] id: D5/.45NS 50.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 112 vo: 100 vu: ml t0: [11:00:00 29/10/2012] id: Urine Out Foley el: 2 cu: MICU cg: RN vo: 120 vu: ml
t0: [11:00:00 29/10/2012] id: Sandostatin el: 4 cu: MICU cg: RN so: D5W vo: 0 v1: 50 du: mcghr sv: 100 su: ml rt: IV Drip
tf: [10:00:00 08/11/2012] pt: Unit Dose rt: PO fr: PRN m1: Cetylpyridinium Chl (Cepacol) v1: 1 u1: LOZ
t0: [10:00:00 29/10/2012] id: Pain Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [12:00:00 29/10/2012] id: Pain Present el: 0 cu: MICU cg: RN v1: No st: NotStopd t0: [12:00:00 29/10/2012] id: Pain Assess Method el: 0 cu: MICU cg: RN v1: Pt Verbalized st: NotStopd t0: [12:00:00 29/10/2012] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [12:00:00 29/10/2012] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [12:00:00 29/10/2012] id: Riker-SAS Scale el: 0 cu: MICU cg: RN v1: Calm/Cooperative st: NotStopd t0: [12:00:00 29/10/2012] id: Cough/Deep Breathe el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [12:00:00 29/10/2012] id: Daily Wake Up el: 1 cu: MICU cg: RN v1: No/Hemodyn Issue st: NotStopd t0: [12:00:00 29/10/2012] id: GI Prophylaxis el: 0 cu: MICU cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [12:00:00 29/10/2012] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [12:00:00 29/10/2012] id: Diet Type el: 0 cu: MICU cg: RN v1: NPO st: NotStopd t0: [12:00:00 29/10/2012] id: Dorsal PedPulse R/L el: 0 cu: MICU cg: RN v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [12:00:00 29/10/2012] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [12:00:00 29/10/2012] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [12:00:00 29/10/2012] id: Eye Opening el: 0 cu: MICU cg: RN v1: 4 Spontaneously st: NotStopd t0: [12:00:00 29/10/2012] id: Follows Commands el: 0 cu: MICU cg: RN v1: Consistently st: NotStopd t0: [12:00:00 29/10/2012] id: GCS Total el: 0 cu: MICU cg: RN v1: 15 u1: points st: NotStopd t0: [12:00:00 29/10/2012] id: HOB el: 0 cu: MICU cg: RN v1: 30 degrees st: NotStopd t0: [12:00:00 29/10/2012] id: Heart Rate el: 0 cu: MICU cg: RN v1: 70 u1: BPM st: NotStopd t0: [12:00:00 29/10/2012] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [12:00:00 29/10/2012] id: INV Line#1 Type/Site el: 0 cu: MICU cg: RN v1: Multi-lumen v2: Right Subclavian st: NotStopd t0: [12:00:00 29/10/2012] id: INV Line#1SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [12:00:00 29/10/2012] id: Abdominal Assessment el: 0 cu: MICU cg: RN v1: Firm Distended st: NotStopd t0: [12:00:00 29/10/2012] id: Activity el: 0 cu: MICU cg: RN v1: Bedrest st: NotStopd t0: [12:00:00 29/10/2012] id: Activity Tolerance el: 0 cu: MICU cg: RN v1: Tolerated Well st: NotStopd t0: [12:00:00 29/10/2012] id: Imp Skin Cleanse #1 el: 0 cu: MICU cg: RN v1: Soap & H20 st: NotStopd t0: [12:00:00 29/10/2012] id: ImpSkin Character #1 el: 0 cu: MICU cg: RN v1: Abrasion st: NotStopd t0: [12:00:00 29/10/2012] id: ImpSkin Treatment #1 el: 0 cu: MICU cg: RN v1: Open to Air st: NotStopd t0: [12:00:00 29/10/2012] id: ImpSkin Wound Base#1 el: 0 cu: MICU cg: RN v1: Pink st: NotStopd t0: [12:00:00 29/10/2012] id: Impaired Skin Site#1 el: 0 cu: MICU cg: RN v1: Coccyx st: NotStopd t0: [12:00:00 29/10/2012] id: Incentive Spirometry el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [12:00:00 29/10/2012] id: LLL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [12:00:00 29/10/2012] id: LUL Lung Sounds el: 0 cu: MICU cg: RN v1: Clear st: NotStopd t0: [12:00:00 29/10/2012] id: Level of Conscious el: 0 cu: MICU cg: RN v1: Alert st: NotStopd t0: [12:00:00 29/10/2012] id: Motor Response el: 0 cu: MICU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [12:00:00 29/10/2012] id: NBP el: 0 cu: MICU cg: RN v1: 99 u1: mmHg v2: 64 u2: mmHg st: NotStopd t0: [12:00:00 29/10/2012] id: NBP Mean el: 0 cu: MICU cg: RN v1: 75.6667 u1: mmHg st: NotStopd t0: [12:00:00 29/10/2012] id: O2 Delivery Device el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [12:00:00 29/10/2012] id: Oral Cavity el: 0 cu: MICU cg: RN v1: Bleeding Gum st: NotStopd t0: [12:00:00 29/10/2012] id: Orientation el: 0 cu: MICU cg: RN v1: Oriented x 3 st: NotStopd t0: [12:00:00 29/10/2012] id: Pain Location el: 0 cu: MICU cg: RN v1: Not Indicated st: NotStopd t0: [12:00:00 29/10/2012] id: Pain Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [12:00:00 29/10/2012] id: Position el: 0 cu: MICU cg: RN v1: Supine st: NotStopd t0: [12:00:00 29/10/2012] id: PostTib. Pulses R/L el: 0 cu: MICU cg: RN v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [12:00:00 29/10/2012] id: Assistance Device el: 0 cu: MICU cg: RN v1: 1 Person Assist st: NotStopd t0: [12:00:00 29/10/2012] id: Precautions el: 0 cu: MICU cg: RN v1: Contact st: NotStopd t0: [12:00:00 29/10/2012] id: RLL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [12:00:00 29/10/2012] id: RUL Lung Sounds el: 0 cu: MICU cg: RN v1: Clear st: NotStopd t0: [12:00:00 29/10/2012] id: Respiratory Pattern el: 0 cu: MICU cg: RN v1: Regular st: NotStopd t0: [12:00:00 29/10/2012] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 18 u1: BPM st: NotStopd t0: [12:00:00 29/10/2012] id: Side Rails el: 0 cu: MICU cg: RN v1: Side Rails Up st: NotStopd t0: [12:00:00 29/10/2012] id: Skin Color el: 0 cu: MICU cg: RN v1: Jaundiced st: NotStopd t0: [12:00:00 29/10/2012] id: Skin Integrity el: 0 cu: MICU cg: RN v1: Impaired st: NotStopd t0: [12:00:00 29/10/2012] id: Skin Temp/Condition el: 0 cu: MICU cg: RN v1: Warm v2: Dry st: NotStopd t0: [12:00:00 29/10/2012] id: SpO2 el: 0 cu: MICU cg: RN v1: 98 u1: % st: NotStopd t0: [12:00:00 29/10/2012] id: Spontaneous Movement el: 0 cu: MICU cg: RN v1: Purposeful st: NotStopd t0: [12:00:00 29/10/2012] id: Support Systems el: 0 cu: MICU cg: RN v1: Spouse st: NotStopd t0: [12:00:00 29/10/2012] id: Temp. Site el: 0 cu: MICU cg: RN v1: Oral st: NotStopd t0: [12:00:00 29/10/2012] id: Temperature C (calc) el: 0 cu: MICU cg: RN v1: 37.2778 u1: Deg. C st: NotStopd t0: [12:00:00 29/10/2012] id: Temperature F el: 0 cu: MICU cg: RN v1: 99.1 u1: Deg. F st: NotStopd t0: [12:00:00 29/10/2012] id: Turn el: 0 cu: MICU cg: RN v1: Side to Side st: NotStopd t0: [12:00:00 29/10/2012] id: Urine Color/Appear el: 0 cu: MICU cg: RN v1: Icteric v2: Sediment st: NotStopd t0: [12:00:00 29/10/2012] id: Urine Source el: 0 cu: MICU cg: RN v1: Indwelling Cath st: NotStopd t0: [12:00:00 29/10/2012] id: Verbal Response el: 0 cu: MICU cg: RN v1: 5 Oriented st: NotStopd t0: [12:00:00 29/10/2012] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [12:00:00 29/10/2012] id: Behavior el: 0 cu: MICU cg: RN v1: Calm st: NotStopd t0: [12:00:00 29/10/2012] id: Bowel Sounds el: 0 cu: MICU cg: RN v1: Hypoactive st: NotStopd
t0: [12:00:00 29/10/2012] id: D5W 100.0ml + 600mcghr Sandostatin IV Infusions el: 3 cu: MICU cg: RN ai: 127 vo: 8.33333 vu: ml t0: [12:00:00 29/10/2012] id: D5/.45NS 50.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 112 vo: 100 vu: ml t0: [12:00:00 29/10/2012] id: Urine Out Foley el: 2 cu: MICU cg: RN vo: 100 vu: ml
t0: [12:00:00 29/10/2012] id: Sandostatin el: 4 cu: MICU cg: RN so: D5W vo: 0 v1: 50 du: mcghr sv: 100 su: ml rt: IV Drip
t0: [12:00:00 29/10/2012] id: Sputum Color/Consist el: 0 cu: MICU cg: RN v1: White v2: Thick st: NotStopd t0: [12:00:00 29/10/2012] id: Sputum Source/Amt el: 0 cu: MICU cg: RN v1: Expectorated v2: Scant st: NotStopd
tf: [21:00:00 01/11/2012] pt: Unit Dose rt: PO fr: Q8H:PRN m1: Lactulose v1: 15 u1: ml
t0: [12:00:00 29/10/2012] id: AntiEmbDevice/Status el: 0 cu: MICU cg: RN v1: Compress Sleeves v2: Off st: NotStopd t0: [12:00:00 29/10/2012] id: Stool Color/Consist el: 0 cu: MICU cg: RN v1: Melena v2: Liquid st: NotStopd t0: [12:00:00 29/10/2012] id: Stool Guaiac el: 0 cu: MICU cg: RN v1: Positive st: NotStopd t0: [13:00:00 29/10/2012] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [13:00:00 29/10/2012] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [13:00:00 29/10/2012] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [13:00:00 29/10/2012] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [13:00:00 29/10/2012] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [13:00:00 29/10/2012] id: Heart Rate el: 0 cu: MICU cg: RN v1: 70 u1: BPM st: NotStopd t0: [13:00:00 29/10/2012] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [13:00:00 29/10/2012] id: Activity el: 0 cu: MICU cg: RN v1: Chair st: NotStopd t0: [13:00:00 29/10/2012] id: Activity Tolerance el: 0 cu: MICU cg: RN v1: Tolerated Well st: NotStopd t0: [13:00:00 29/10/2012] id: NBP el: 0 cu: MICU cg: RN v1: 97 u1: mmHg v2: 54 u2: mmHg st: NotStopd t0: [13:00:00 29/10/2012] id: NBP Mean el: 0 cu: MICU cg: RN v1: 68.3333 u1: mmHg st: NotStopd t0: [13:00:00 29/10/2012] id: O2 Delivery Device el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [13:00:00 29/10/2012] id: AntiEmbDevice/Status el: 0 cu: MICU cg: RN v1: Compress Sleeves v2: Off st: NotStopd t0: [13:00:00 29/10/2012] id: Assistance Device el: 0 cu: MICU cg: RN v1: 1 Person Assist st: NotStopd t0: [13:00:00 29/10/2012] id: Precautions el: 0 cu: MICU cg: RN v1: Contact st: NotStopd t0: [13:00:00 29/10/2012] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 14 u1: BPM st: NotStopd t0: [13:00:00 29/10/2012] id: SpO2 el: 0 cu: MICU cg: RN v1: 98 u1: % st: NotStopd t0: [13:00:00 29/10/2012] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [12:00:00 29/10/2012] id: Stool Out Stool el: 1 cu: MICU cg: RN vu: ml es: Medium t0: [13:00:00 29/10/2012] tf: [17:50:00 30/10/2012] dt: 1730 id: Po Intake PO/Gastric el: 1 cu: MICU cg: RN ai: 103 vo: 100 vu: ml t0: [13:00:00 29/10/2012] id: D5W 100.0ml + 600mcghr Sandostatin IV Infusions el: 3 cu: MICU cg: RN ai: 127 vo: 8.33333 vu: ml t0: [13:00:00 29/10/2012] id: D5/.45NS 50.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 112 vo: 100 vu: ml t0: [13:00:00 29/10/2012] id: Urine Out Foley el: 2 cu: MICU cg: RN vo: 100 vu: ml
t0: [13:00:00 29/10/2012] id: Sandostatin el: 4 cu: MICU cg: RN so: D5W vo: 0 v1: 50 du: mcghr sv: 100 su: ml rt: IV Drip
tf: [05:00:00 30/10/2012] pt: IV Piggyback rt: IV fr: ONCE fs: 14 dn: 1 m1: Potassium Chloride v1: 40 u1: mEq m2: SW v2: 100 u2: ml
t0: [14:00:00 29/10/2012] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [14:00:00 29/10/2012] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [14:00:00 29/10/2012] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [14:00:00 29/10/2012] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [14:00:00 29/10/2012] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [14:00:00 29/10/2012] id: Heart Rate el: 0 cu: MICU cg: RN v1: 71 u1: BPM st: NotStopd t0: [14:00:00 29/10/2012] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [14:00:00 29/10/2012] id: Precautions el: 0 cu: MICU cg: RN v1: Contact st: NotStopd t0: [14:00:00 29/10/2012] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 16 u1: BPM st: NotStopd t0: [14:00:00 29/10/2012] id: SpO2 el: 0 cu: MICU cg: RN v1: 98 u1: % st: NotStopd t0: [14:00:00 29/10/2012] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [14:00:00 29/10/2012] id: D5W 100.0ml + 600mcghr Sandostatin IV Infusions el: 3 cu: MICU cg: RN ai: 127 vo: 8.33333 vu: ml t0: [14:00:00 29/10/2012] id: D5/.45NS 50.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 112 vo: 100 vu: ml t0: [14:00:00 29/10/2012] id: Urine Out Foley el: 2 cu: MICU cg: RN vo: 300 vu: ml
t0: [14:00:00 29/10/2012] id: Sandostatin el: 4 cu: MICU cg: RN so: D5W vo: 0 v1: 50 du: mcghr sv: 100 su: ml rt: IV Drip
t0: [14:00:00 29/10/2012] id: NBP el: 0 cu: MICU cg: RN v1: 101 u1: mmHg v2: 53 u2: mmHg st: NotStopd t0: [14:00:00 29/10/2012] id: NBP Mean el: 0 cu: MICU cg: RN v1: 69 u1: mmHg st: NotStopd
t0: [14:00:00 29/10/2012] id: Stool Out Stool el: 1 cu: MICU cg: RN vu: ml es: Medium
t0: [14:00:00 29/10/2012] id: GI Prophylaxis el: 0 cu: MICU cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [14:00:00 29/10/2012] id: Diet Type el: 0 cu: MICU cg: RN v1: NPO st: NotStopd t0: [14:00:00 29/10/2012] id: Dorsal PedPulse R/L el: 0 cu: MICU cg: RN v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [14:00:00 29/10/2012] id: Eye Opening el: 0 cu: MICU cg: RN v1: 4 Spontaneously st: NotStopd t0: [14:00:00 29/10/2012] id: Follows Commands el: 0 cu: MICU cg: RN v1: Consistently st: NotStopd t0: [14:00:00 29/10/2012] id: GCS Total el: 0 cu: MICU cg: RN v1: 15 u1: points st: NotStopd t0: [14:00:00 29/10/2012] id: Abdominal Assessment el: 0 cu: MICU cg: RN v1: Firm Distended st: NotStopd t0: [14:00:00 29/10/2012] id: Imp Skin Cleanse #1 el: 0 cu: MICU cg: RN v1: Soap & H20 st: NotStopd t0: [14:00:00 29/10/2012] id: ImpSkin Character #1 el: 0 cu: MICU cg: RN v1: Abrasion st: NotStopd t0: [14:00:00 29/10/2012] id: ImpSkin Treatment #1 el: 0 cu: MICU cg: RN v1: Open to Air st: NotStopd t0: [14:00:00 29/10/2012] id: ImpSkin Wound Base#1 el: 0 cu: MICU cg: RN v1: Pink st: NotStopd t0: [14:00:00 29/10/2012] id: Impaired Skin Site#1 el: 0 cu: MICU cg: RN v1: Coccyx st: NotStopd t0: [14:00:00 29/10/2012] id: LLL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [14:00:00 29/10/2012] id: LUL Lung Sounds el: 0 cu: MICU cg: RN v1: Clear st: NotStopd t0: [14:00:00 29/10/2012] id: Level of Conscious el: 0 cu: MICU cg: RN v1: Alert st: NotStopd t0: [14:00:00 29/10/2012] id: Motor Response el: 0 cu: MICU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [14:00:00 29/10/2012] id: Oral Cavity el: 0 cu: MICU cg: RN v1: Bleeding Gum st: NotStopd t0: [14:00:00 29/10/2012] id: Orientation el: 0 cu: MICU cg: RN v1: Oriented x 3 st: NotStopd t0: [14:00:00 29/10/2012] id: PostTib. Pulses R/L el: 0 cu: MICU cg: RN v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [14:00:00 29/10/2012] id: RLL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [14:00:00 29/10/2012] id: RUL Lung Sounds el: 0 cu: MICU cg: RN v1: Clear st: NotStopd t0: [14:00:00 29/10/2012] id: Respiratory Pattern el: 0 cu: MICU cg: RN v1: Regular st: NotStopd t0: [14:00:00 29/10/2012] id: Side Rails el: 0 cu: MICU cg: RN v1: Side Rails Up st: NotStopd t0: [14:00:00 29/10/2012] id: Skin Color el: 0 cu: MICU cg: RN v1: Jaundiced st: NotStopd t0: [14:00:00 29/10/2012] id: Skin Integrity el: 0 cu: MICU cg: RN v1: Impaired st: NotStopd t0: [14:00:00 29/10/2012] id: Skin Temp/Condition el: 0 cu: MICU cg: RN v1: Warm v2: Dry st: NotStopd t0: [14:00:00 29/10/2012] id: Spiritual Support el: 0 cu: MICU cg: RN v1: Clergy Visited st: NotStopd t0: [14:00:00 29/10/2012] id: Spontaneous Movement el: 0 cu: MICU cg: RN v1: Purposeful st: NotStopd t0: [14:00:00 29/10/2012] id: Stool Color/Consist el: 0 cu: MICU cg: RN v1: Melena v2: Liquid st: NotStopd t0: [14:00:00 29/10/2012] id: Stool Guaiac el: 0 cu: MICU cg: RN v1: Positive st: NotStopd t0: [14:00:00 29/10/2012] id: Support Systems el: 0 cu: MICU cg: RN v1: Spouse st: NotStopd t0: [14:00:00 29/10/2012] id: Urine Color/Appear el: 0 cu: MICU cg: RN v1: Icteric v2: Sediment st: NotStopd t0: [14:00:00 29/10/2012] id: Urine Source el: 0 cu: MICU cg: RN v1: Indwelling Cath st: NotStopd t0: [14:00:00 29/10/2012] id: Verbal Response el: 0 cu: MICU cg: RN v1: 5 Oriented st: NotStopd t0: [14:00:00 29/10/2012] id: Behavior el: 0 cu: MICU cg: RN v1: Calm st: NotStopd t0: [14:00:00 29/10/2012] id: Bowel Sounds el: 0 cu: MICU cg: RN v1: Hypoactive st: NotStopd
t0: [14:00:00 29/10/2012] id: Hematocrit Hematology el: 0 cu: MICU cg: 1663 v1: 31.8 u1: % rs: Final st: NotStopd t0: [14:00:00 29/10/2012] id: Platelets Hematology el: 0 cu: MICU cg: 1663 v1: 94 rs: Final st: NotStopd
t0: [14:00:00 29/10/2012] id: PT el: 0 cu: MICU cg: 1663 v1: 15.5 rs: Final st: NotStopd t0: [14:00:00 29/10/2012] id: INR Coags el: 0 cu: MICU cg: 1663 v1: 1.6 rs: Final st: NotStopd t0: [14:00:00 29/10/2012] id: PTT Coags el: 0 cu: MICU cg: 1663 v1: 37.5 rs: Final st: NotStopd t0: [14:00:00 29/10/2012] id: INR (2-4 ref. range) Coags el: 0 cu: MICU cg: 1663 v1: 1.6 rs: Final st: NotStopd t0: [14:00:00 29/10/2012] id: PT(11-13.5) Coags el: 0 cu: MICU cg: 1663 v1: 15.5 rs: Final st: NotStopd t0: [14:00:00 29/10/2012] id: PTT(22-35) Coags el: 0 cu: MICU cg: 1663 v1: 37.5 rs: Final st: NotStopd
t0: [11:00:00 29/10/2012] id: bath el: 1 cu: MICU cg: RN v1: done t0: [11:00:00 29/10/2012] id: Eye Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [11:00:00 29/10/2012] id: Oral Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [11:00:00 29/10/2012] id: Skin Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [11:00:00 29/10/2012] id: Back Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [14:00:00 29/10/2012] id: Cough/Deep Breathe el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [14:00:00 29/10/2012] id: HOB el: 0 cu: MICU cg: RN v1: 30 degrees st: NotStopd t0: [14:00:00 29/10/2012] id: Activity el: 0 cu: MICU cg: RN v1: Bedrest st: NotStopd t0: [14:00:00 29/10/2012] id: Activity Tolerance el: 0 cu: MICU cg: RN v1: Tolerated Well st: NotStopd t0: [14:00:00 29/10/2012] id: Incentive Spirometry el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [14:00:00 29/10/2012] id: AntiEmbDevice/Status el: 0 cu: MICU cg: RN v1: Compress Sleeves st: NotStopd t0: [14:00:00 29/10/2012] id: Position el: 0 cu: MICU cg: RN v1: Supine st: NotStopd t0: [14:00:00 29/10/2012] id: Assistance Device el: 0 cu: MICU cg: RN v1: 1 Person Assist st: NotStopd t0: [14:00:00 29/10/2012] id: Turn el: 0 cu: MICU cg: RN v1: Side to Side st: NotStopd t0: [15:00:00 29/10/2012] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [15:00:00 29/10/2012] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [15:00:00 29/10/2012] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [15:00:00 29/10/2012] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [15:00:00 29/10/2012] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [15:00:00 29/10/2012] id: Eye Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [15:00:00 29/10/2012] id: HOB el: 0 cu: MICU cg: RN v1: 45 degrees st: NotStopd t0: [15:00:00 29/10/2012] id: Heart Rate el: 0 cu: MICU cg: RN v1: 69 u1: BPM st: NotStopd t0: [15:00:00 29/10/2012] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [15:00:00 29/10/2012] id: Activity el: 0 cu: MICU cg: RN v1: Bedrest st: NotStopd t0: [15:00:00 29/10/2012] id: Activity Tolerance el: 0 cu: MICU cg: RN v1: Tolerated Well st: NotStopd t0: [15:00:00 29/10/2012] id: NBP el: 0 cu: MICU cg: RN v1: 114 u1: mmHg v2: 68 u2: mmHg st: NotStopd t0: [15:00:00 29/10/2012] id: NBP Mean el: 0 cu: MICU cg: RN v1: 83.3333 u1: mmHg st: NotStopd t0: [15:00:00 29/10/2012] id: Oral Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [15:00:00 29/10/2012] id: AntiEmbDevice/Status el: 0 cu: MICU cg: RN v1: Compress Sleeves v2: Off st: NotStopd t0: [15:00:00 29/10/2012] id: Position el: 0 cu: MICU cg: RN v1: Supine st: NotStopd t0: [15:00:00 29/10/2012] id: Assistance Device el: 0 cu: MICU cg: RN v1: 1 Person Assist st: NotStopd t0: [15:00:00 29/10/2012] id: Precautions el: 0 cu: MICU cg: RN v1: Contact st: NotStopd t0: [15:00:00 29/10/2012] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 16 u1: BPM st: NotStopd t0: [15:00:00 29/10/2012] id: Skin Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [15:00:00 29/10/2012] id: SpO2 el: 0 cu: MICU cg: RN v1: 98 u1: % st: NotStopd t0: [15:00:00 29/10/2012] id: Turn el: 0 cu: MICU cg: RN v1: Side to Side st: NotStopd t0: [15:00:00 29/10/2012] id: Back Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [15:00:00 29/10/2012] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [16:00:00 29/10/2012] id: Pain Present el: 0 cu: MICU cg: RN v1: No st: NotStopd t0: [16:00:00 29/10/2012] id: Pain Assess Method el: 0 cu: MICU cg: RN v1: Pt Verbalized st: NotStopd t0: [16:00:00 29/10/2012] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [16:00:00 29/10/2012] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [16:00:00 29/10/2012] id: Riker-SAS Scale el: 0 cu: MICU cg: RN v1: Calm/Cooperative st: NotStopd t0: [16:00:00 29/10/2012] id: Daily Wake Up el: 1 cu: MICU cg: RN v1: No/Not Sedated st: NotStopd t0: [16:00:00 29/10/2012] id: GI Prophylaxis el: 0 cu: MICU cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [16:00:00 29/10/2012] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [16:00:00 29/10/2012] id: Diet Type el: 0 cu: MICU cg: RN v1: NPO st: NotStopd t0: [16:00:00 29/10/2012] id: Dorsal PedPulse R/L el: 0 cu: MICU cg: RN v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [16:00:00 29/10/2012] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [16:00:00 29/10/2012] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [16:00:00 29/10/2012] id: Eye Opening el: 0 cu: MICU cg: RN v1: 4 Spontaneously st: NotStopd t0: [16:00:00 29/10/2012] id: Follows Commands el: 0 cu: MICU cg: RN v1: Consistently st: NotStopd t0: [16:00:00 29/10/2012] id: GCS Total el: 0 cu: MICU cg: RN v1: 15 u1: points st: NotStopd t0: [16:00:00 29/10/2012] id: Heart Rate el: 0 cu: MICU cg: RN v1: 68 u1: BPM st: NotStopd t0: [16:00:00 29/10/2012] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [16:00:00 29/10/2012] id: INV Line#1 Type/Site el: 0 cu: MICU cg: RN v1: Multi-lumen v2: Right Subclavian st: NotStopd t0: [16:00:00 29/10/2012] id: INV Line#1SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [16:00:00 29/10/2012] id: Abdominal Assessment el: 0 cu: MICU cg: RN v1: Firm Distended st: NotStopd t0: [16:00:00 29/10/2012] id: Imp Skin Cleanse #1 el: 0 cu: MICU cg: RN v1: Soap & H20 st: NotStopd t0: [16:00:00 29/10/2012] id: ImpSkin Character #1 el: 0 cu: MICU cg: RN v1: Abrasion st: NotStopd t0: [16:00:00 29/10/2012] id: ImpSkin Treatment #1 el: 0 cu: MICU cg: RN v1: Open to Air st: NotStopd t0: [16:00:00 29/10/2012] id: ImpSkin Wound Base#1 el: 0 cu: MICU cg: RN v1: Pink st: NotStopd t0: [16:00:00 29/10/2012] id: Impaired Skin Site#1 el: 0 cu: MICU cg: RN v1: Coccyx st: NotStopd t0: [16:00:00 29/10/2012] id: LLL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [16:00:00 29/10/2012] id: LUL Lung Sounds el: 0 cu: MICU cg: RN v1: Clear st: NotStopd t0: [16:00:00 29/10/2012] id: Level of Conscious el: 0 cu: MICU cg: RN v1: Alert st: NotStopd t0: [16:00:00 29/10/2012] id: Motor Response el: 0 cu: MICU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [16:00:00 29/10/2012] id: NBP el: 0 cu: MICU cg: RN v1: 114 u1: mmHg v2: 57 u2: mmHg st: NotStopd t0: [16:00:00 29/10/2012] id: NBP Mean el: 0 cu: MICU cg: RN v1: 76 u1: mmHg st: NotStopd t0: [16:00:00 29/10/2012] id: O2 Delivery Device el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [16:00:00 29/10/2012] id: Oral Cavity el: 0 cu: MICU cg: RN v1: Bleeding Gum st: NotStopd t0: [16:00:00 29/10/2012] id: Orientation el: 0 cu: MICU cg: RN v1: Oriented x 3 st: NotStopd t0: [16:00:00 29/10/2012] id: Pain Location el: 0 cu: MICU cg: RN v1: Not Indicated st: NotStopd t0: [16:00:00 29/10/2012] id: Pain Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [16:00:00 29/10/2012] id: PostTib. Pulses R/L el: 0 cu: MICU cg: RN v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [16:00:00 29/10/2012] id: Precautions el: 0 cu: MICU cg: RN v1: Contact st: NotStopd t0: [16:00:00 29/10/2012] id: RLL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [16:00:00 29/10/2012] id: RUL Lung Sounds el: 0 cu: MICU cg: RN v1: Clear st: NotStopd t0: [16:00:00 29/10/2012] id: Respiratory Pattern el: 0 cu: MICU cg: RN v1: Regular st: NotStopd t0: [16:00:00 29/10/2012] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 18 u1: BPM st: NotStopd t0: [16:00:00 29/10/2012] id: Side Rails el: 0 cu: MICU cg: RN v1: Side Rails Up st: NotStopd t0: [16:00:00 29/10/2012] id: Skin Color el: 0 cu: MICU cg: RN v1: Jaundiced st: NotStopd t0: [16:00:00 29/10/2012] id: Skin Integrity el: 0 cu: MICU cg: RN v1: Impaired st: NotStopd t0: [16:00:00 29/10/2012] id: Skin Temp/Condition el: 0 cu: MICU cg: RN v1: Warm v2: Dry st: NotStopd t0: [16:00:00 29/10/2012] id: SpO2 el: 0 cu: MICU cg: RN v1: 98 u1: % st: NotStopd t0: [16:00:00 29/10/2012] id: Spontaneous Movement el: 0 cu: MICU cg: RN v1: Purposeful st: NotStopd t0: [16:00:00 29/10/2012] id: Support Systems el: 0 cu: MICU cg: RN v1: Spouse st: NotStopd t0: [16:00:00 29/10/2012] id: Temp. Site el: 0 cu: MICU cg: RN v1: Oral st: NotStopd t0: [16:00:00 29/10/2012] id: Temperature C (calc) el: 0 cu: MICU cg: RN v1: 37.2778 u1: Deg. C st: NotStopd t0: [16:00:00 29/10/2012] id: Temperature F el: 0 cu: MICU cg: RN v1: 99.1 u1: Deg. F st: NotStopd t0: [16:00:00 29/10/2012] id: Urine Color/Appear el: 0 cu: MICU cg: RN v1: Icteric v2: Sediment st: NotStopd t0: [16:00:00 29/10/2012] id: Urine Source el: 0 cu: MICU cg: RN v1: Indwelling Cath st: NotStopd t0: [16:00:00 29/10/2012] id: Verbal Response el: 0 cu: MICU cg: RN v1: 5 Oriented st: NotStopd t0: [16:00:00 29/10/2012] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [16:00:00 29/10/2012] id: Behavior el: 0 cu: MICU cg: RN v1: Calm st: NotStopd t0: [16:00:00 29/10/2012] id: Bowel Sounds el: 0 cu: MICU cg: RN v1: Hypoactive st: NotStopd
t0: [14:00:00 29/10/2012] id: Po Intake PO/Gastric el: 1 cu: MICU cg: RN ai: 103 vo: 120 vu: ml t0: [15:00:00 29/10/2012] id: Po Intake PO/Gastric el: 1 cu: MICU cg: RN ai: 103 vo: 100 vu: ml t0: [15:00:00 29/10/2012] id: D5W 100.0ml + 600mcghr Sandostatin IV Infusions el: 3 cu: MICU cg: RN ai: 127 vo: 8.33333 vu: ml t0: [15:00:00 29/10/2012] id: D5/.45NS 50.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 112 vo: 100 vu: ml t0: [15:00:00 29/10/2012] id: Urine Out Foley el: 2 cu: MICU cg: RN vo: 200 vu: ml t0: [16:00:00 29/10/2012] id: D5W 100.0ml + 600mcghr Sandostatin IV Infusions el: 3 cu: MICU cg: RN ai: 127 vo: 8.33333 vu: ml t0: [16:00:00 29/10/2012] id: D5/.45NS 50.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 112 vo: 100 vu: ml t0: [16:00:00 29/10/2012] id: Urine Out Foley el: 2 cu: MICU cg: RN vo: 100 vu: ml
t0: [15:00:00 29/10/2012] id: Sandostatin el: 4 cu: MICU cg: RN so: D5W vo: 0 v1: 50 du: mcghr sv: 100 su: ml rt: IV Drip t0: [16:00:00 29/10/2012] id: Sandostatin el: 4 cu: MICU cg: RN so: D5W vo: 0 v1: 50 du: mcghr sv: 100 su: ml rt: IV Drip
t0: [17:00:00 29/10/2012] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [17:00:00 29/10/2012] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [17:00:00 29/10/2012] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [17:00:00 29/10/2012] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [17:00:00 29/10/2012] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [17:00:00 29/10/2012] id: Heart Rate el: 0 cu: MICU cg: RN v1: 72 u1: BPM st: NotStopd t0: [17:00:00 29/10/2012] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [17:00:00 29/10/2012] id: NBP el: 0 cu: MICU cg: RN v1: 112 u1: mmHg v2: 51 u2: mmHg st: NotStopd t0: [17:00:00 29/10/2012] id: NBP Mean el: 0 cu: MICU cg: RN v1: 71.3333 u1: mmHg st: NotStopd t0: [17:00:00 29/10/2012] id: Precautions el: 0 cu: MICU cg: RN v1: Contact st: NotStopd t0: [17:00:00 29/10/2012] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 18 u1: BPM st: NotStopd t0: [17:00:00 29/10/2012] id: SpO2 el: 0 cu: MICU cg: RN v1: 100 u1: % st: NotStopd t0: [17:00:00 29/10/2012] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [17:00:00 29/10/2012] id: D5W 100.0ml + 600mcghr Sandostatin IV Infusions el: 3 cu: MICU cg: RN ai: 127 vo: 8.33333 vu: ml t0: [17:00:00 29/10/2012] id: D5/.45NS 50.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 112 vo: 100 vu: ml t0: [17:00:00 29/10/2012] id: Urine Out Foley el: 2 cu: MICU cg: RN vo: 200 vu: ml
t0: [17:00:00 29/10/2012] id: Sandostatin el: 4 cu: MICU cg: RN so: D5W vo: 0 v1: 50 du: mcghr sv: 100 su: ml rt: IV Drip
tf: [14:00:00 01/11/2012] pt: IV Piggyback rt: IV fr: Q12H fs: 18, 6 dn: 2 m1: Ciprofloxacin v1: 200 u1: mg m2: D5W v2: 100 u2: ml
t0: [18:00:00 29/10/2012] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [18:00:00 29/10/2012] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [18:00:00 29/10/2012] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [18:00:00 29/10/2012] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [18:00:00 29/10/2012] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [18:00:00 29/10/2012] id: Heart Rate el: 0 cu: MICU cg: RN v1: 75 u1: BPM st: NotStopd t0: [18:00:00 29/10/2012] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [18:00:00 29/10/2012] id: NBP el: 0 cu: MICU cg: RN v1: 107 u1: mmHg v2: 51 u2: mmHg st: NotStopd t0: [18:00:00 29/10/2012] id: NBP Mean el: 0 cu: MICU cg: RN v1: 69.6667 u1: mmHg st: NotStopd t0: [18:00:00 29/10/2012] id: Precautions el: 0 cu: MICU cg: RN v1: Contact st: NotStopd t0: [18:00:00 29/10/2012] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 20 u1: BPM st: NotStopd t0: [18:00:00 29/10/2012] id: SpO2 el: 0 cu: MICU cg: RN v1: 98 u1: % st: NotStopd t0: [18:00:00 29/10/2012] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [17:00:00 29/10/2012] id: Po Intake PO/Gastric el: 1 cu: MICU cg: RN ai: 103 vo: 180 vu: ml t0: [18:00:00 29/10/2012] id: D5W 100.0ml + 600mcghr Sandostatin IV Infusions el: 3 cu: MICU cg: RN ai: 127 vo: 8.33333 vu: ml t0: [18:00:00 29/10/2012] id: D5/.45NS 50.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 112 vo: 100 vu: ml t0: [18:00:00 29/10/2012] id: Urine Out Foley el: 2 cu: MICU cg: RN vo: 200 vu: ml
t0: [18:00:00 29/10/2012] id: Sandostatin el: 4 cu: MICU cg: RN so: D5W vo: 0 v1: 50 du: mcghr sv: 100 su: ml rt: IV Drip
t0: [23:00:00 29/10/2012] dt: 24 id: PO/Gastric In Total el: 2 cu: MICU cg: RN cv: 500 ap: none
t0: [18:00:00 29/10/2012] id: O2 Delivery Device el: 0 cu: MICU cg: RN v1: None st: NotStopd
t0: [18:00:00 29/10/2012] id: IV Piggyback IV Infusions el: 1 cu: MICU cg: RN ai: 209 vo: 100 vu: ml
t0: [19:00:00 29/10/2012] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [19:00:00 29/10/2012] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [19:00:00 29/10/2012] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [19:00:00 29/10/2012] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [19:00:00 29/10/2012] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [19:00:00 29/10/2012] id: Heart Rate el: 0 cu: MICU cg: RN v1: 68 u1: BPM st: NotStopd t0: [19:00:00 29/10/2012] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [19:00:00 29/10/2012] id: Precautions el: 0 cu: MICU cg: RN v1: Contact st: NotStopd t0: [19:00:00 29/10/2012] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 17 u1: BPM st: NotStopd t0: [19:00:00 29/10/2012] id: SpO2 el: 0 cu: MICU cg: RN v1: 98 u1: % st: NotStopd t0: [19:00:00 29/10/2012] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [19:00:00 29/10/2012] id: D5W 100.0ml + 600mcghr Sandostatin IV Infusions el: 3 cu: MICU cg: RN ai: 127 vo: 8.33333 vu: ml t0: [19:00:00 29/10/2012] id: D5/.45NS 50.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 112 vo: 100 vu: ml t0: [19:00:00 29/10/2012] id: Urine Out Foley el: 2 cu: MICU cg: RN vo: 100 vu: ml
t0: [19:00:00 29/10/2012] id: Sandostatin el: 4 cu: MICU cg: RN so: D5W vo: 0 v1: 50 du: mcghr sv: 100 su: ml rt: IV Drip
t0: [19:00:00 29/10/2012] id: NBP el: 0 cu: MICU cg: RN v1: 115 u1: mmHg v2: 49 u2: mmHg st: NotStopd t0: [19:00:00 29/10/2012] id: NBP Mean el: 0 cu: MICU cg: RN v1: 71 u1: mmHg st: NotStopd
t0: [19:15:00 29/10/2012] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [19:15:00 29/10/2012] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [19:15:00 29/10/2012] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [19:15:00 29/10/2012] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [19:15:00 29/10/2012] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [19:15:00 29/10/2012] id: Heart Rate el: 0 cu: MICU cg: RN v1: 72 u1: BPM st: NotStopd t0: [19:15:00 29/10/2012] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [19:15:00 29/10/2012] id: NBP el: 0 cu: MICU cg: RN v1: 108 u1: mmHg v2: 55 u2: mmHg st: NotStopd t0: [19:15:00 29/10/2012] id: NBP Mean el: 0 cu: MICU cg: RN v1: 72.6667 u1: mmHg st: NotStopd t0: [19:15:00 29/10/2012] id: Precautions el: 0 cu: MICU cg: RN v1: Contact st: NotStopd t0: [19:15:00 29/10/2012] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 17 u1: BPM st: NotStopd t0: [19:15:00 29/10/2012] id: Temp. Site el: 0 cu: MICU cg: RN v1: Oral st: NotStopd t0: [19:15:00 29/10/2012] id: Temperature C (calc) el: 0 cu: MICU cg: RN v1: 37.2778 u1: Deg. C st: NotStopd t0: [19:15:00 29/10/2012] id: Temperature F el: 0 cu: MICU cg: RN v1: 99.1 u1: Deg. F st: NotStopd t0: [19:15:00 29/10/2012] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [19:30:00 29/10/2012] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [19:30:00 29/10/2012] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [19:30:00 29/10/2012] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [19:30:00 29/10/2012] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [19:30:00 29/10/2012] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [19:30:00 29/10/2012] id: Heart Rate el: 0 cu: MICU cg: RN v1: 74 u1: BPM st: NotStopd t0: [19:30:00 29/10/2012] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [19:30:00 29/10/2012] id: NBP el: 0 cu: MICU cg: RN v1: 110 u1: mmHg v2: 58 u2: mmHg st: NotStopd t0: [19:30:00 29/10/2012] id: NBP Mean el: 0 cu: MICU cg: RN v1: 75.3333 u1: mmHg st: NotStopd t0: [19:30:00 29/10/2012] id: Precautions el: 0 cu: MICU cg: RN v1: Contact st: NotStopd t0: [19:30:00 29/10/2012] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 20 u1: BPM st: NotStopd t0: [19:30:00 29/10/2012] id: Temp. Site el: 0 cu: MICU cg: RN v1: Oral st: NotStopd t0: [19:30:00 29/10/2012] id: Temperature C (calc) el: 0 cu: MICU cg: RN v1: 37.2778 u1: Deg. C st: NotStopd t0: [19:30:00 29/10/2012] id: Temperature F el: 0 cu: MICU cg: RN v1: 99.1 u1: Deg. F st: NotStopd t0: [19:30:00 29/10/2012] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [19:45:00 29/10/2012] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [19:45:00 29/10/2012] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [19:45:00 29/10/2012] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [19:45:00 29/10/2012] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [19:45:00 29/10/2012] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [19:45:00 29/10/2012] id: Heart Rate el: 0 cu: MICU cg: RN v1: 80 u1: BPM st: NotStopd t0: [19:45:00 29/10/2012] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [19:45:00 29/10/2012] id: NBP el: 0 cu: MICU cg: RN v1: 106 u1: mmHg v2: 53 u2: mmHg st: NotStopd t0: [19:45:00 29/10/2012] id: NBP Mean el: 0 cu: MICU cg: RN v1: 70.6667 u1: mmHg st: NotStopd t0: [19:45:00 29/10/2012] id: Precautions el: 0 cu: MICU cg: RN v1: Contact st: NotStopd t0: [19:45:00 29/10/2012] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 15 u1: BPM st: NotStopd t0: [19:45:00 29/10/2012] id: Temp. Site el: 0 cu: MICU cg: RN v1: Oral st: NotStopd t0: [19:45:00 29/10/2012] id: Temperature C (calc) el: 0 cu: MICU cg: RN v1: 37.2778 u1: Deg. C st: NotStopd t0: [19:45:00 29/10/2012] id: Temperature F el: 0 cu: MICU cg: RN v1: 99.1 u1: Deg. F st: NotStopd t0: [19:45:00 29/10/2012] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [20:00:00 29/10/2012] id: Pain Present el: 0 cu: MICU cg: RN v1: No st: NotStopd t0: [20:00:00 29/10/2012] id: bath el: 1 cu: MICU cg: RN v1: Done t0: [20:00:00 29/10/2012] id: Pain Assess Method el: 0 cu: MICU cg: RN v1: Pt Verbalized st: NotStopd t0: [20:00:00 29/10/2012] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [20:00:00 29/10/2012] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [20:00:00 29/10/2012] id: Riker-SAS Scale el: 0 cu: MICU cg: RN v1: Calm/Cooperative st: NotStopd t0: [20:00:00 29/10/2012] id: Daily Wake Up el: 1 cu: MICU cg: RN v1: No/Not Sedated st: NotStopd t0: [20:00:00 29/10/2012] id: GI Prophylaxis el: 0 cu: MICU cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [20:00:00 29/10/2012] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [20:00:00 29/10/2012] id: Diet Type el: 0 cu: MICU cg: RN v1: NPO st: NotStopd t0: [20:00:00 29/10/2012] id: Dorsal PedPulse R/L el: 0 cu: MICU cg: RN v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [20:00:00 29/10/2012] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [20:00:00 29/10/2012] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [20:00:00 29/10/2012] id: Eye Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [20:00:00 29/10/2012] id: Eye Opening el: 0 cu: MICU cg: RN v1: 4 Spontaneously st: NotStopd t0: [20:00:00 29/10/2012] id: Follows Commands el: 0 cu: MICU cg: RN v1: Consistently st: NotStopd t0: [20:00:00 29/10/2012] id: GCS Total el: 0 cu: MICU cg: RN v1: 15 u1: points st: NotStopd t0: [20:00:00 29/10/2012] id: HOB el: 0 cu: MICU cg: RN v1: 90 degrees st: NotStopd t0: [20:00:00 29/10/2012] id: Heart Rate el: 0 cu: MICU cg: RN v1: 83 u1: BPM st: NotStopd t0: [20:00:00 29/10/2012] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [20:00:00 29/10/2012] id: INV Line#1 Type/Site el: 0 cu: MICU cg: RN v1: Multi-lumen v2: Right Subclavian st: NotStopd t0: [20:00:00 29/10/2012] id: INV Line#1SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [20:00:00 29/10/2012] id: Abdominal Assessment el: 0 cu: MICU cg: RN v1: Firm Distended st: NotStopd t0: [20:00:00 29/10/2012] id: Activity el: 0 cu: MICU cg: RN v1: Bedrest st: NotStopd t0: [20:00:00 29/10/2012] id: Activity Tolerance el: 0 cu: MICU cg: RN v1: Tolerated Well st: NotStopd t0: [20:00:00 29/10/2012] id: Imp Skin Cleanse #1 el: 0 cu: MICU cg: RN v1: Soap & H20 st: NotStopd t0: [20:00:00 29/10/2012] id: ImpSkin Character #1 el: 0 cu: MICU cg: RN v1: Abrasion st: NotStopd t0: [20:00:00 29/10/2012] id: ImpSkin Treatment #1 el: 0 cu: MICU cg: RN v1: Open to Air st: NotStopd t0: [20:00:00 29/10/2012] id: ImpSkin Wound Base#1 el: 0 cu: MICU cg: RN v1: Pink st: NotStopd t0: [20:00:00 29/10/2012] id: Impaired Skin Site#1 el: 0 cu: MICU cg: RN v1: Coccyx st: NotStopd t0: [20:00:00 29/10/2012] id: LLL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [20:00:00 29/10/2012] id: LUL Lung Sounds el: 0 cu: MICU cg: RN v1: Clear st: NotStopd t0: [20:00:00 29/10/2012] id: Level of Conscious el: 0 cu: MICU cg: RN v1: Alert st: NotStopd t0: [20:00:00 29/10/2012] id: Motor Response el: 0 cu: MICU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [20:00:00 29/10/2012] id: NBP el: 0 cu: MICU cg: RN v1: 106 u1: mmHg v2: 58 u2: mmHg st: NotStopd t0: [20:00:00 29/10/2012] id: NBP Mean el: 0 cu: MICU cg: RN v1: 74 u1: mmHg st: NotStopd t0: [20:00:00 29/10/2012] id: O2 Delivery Device el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [20:00:00 29/10/2012] id: Oral Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [20:00:00 29/10/2012] id: Oral Cavity el: 0 cu: MICU cg: RN v1: Bleeding Gum st: NotStopd t0: [20:00:00 29/10/2012] id: Orientation el: 0 cu: MICU cg: RN v1: Oriented x 3 st: NotStopd t0: [20:00:00 29/10/2012] id: AntiEmbDevice/Status el: 0 cu: MICU cg: RN v1: Compress Sleeves v2: Off st: NotStopd t0: [20:00:00 29/10/2012] id: Pain Location el: 0 cu: MICU cg: RN v1: Not Indicated st: NotStopd t0: [20:00:00 29/10/2012] id: Pain Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [20:00:00 29/10/2012] id: Position el: 0 cu: MICU cg: RN v1: Supine st: NotStopd t0: [20:00:00 29/10/2012] id: PostTib. Pulses R/L el: 0 cu: MICU cg: RN v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [20:00:00 29/10/2012] id: Assistance Device el: 0 cu: MICU cg: RN v1: 1 Person Assist st: NotStopd t0: [20:00:00 29/10/2012] id: Precautions el: 0 cu: MICU cg: RN v1: Contact st: NotStopd t0: [20:00:00 29/10/2012] id: RLL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [20:00:00 29/10/2012] id: RUL Lung Sounds el: 0 cu: MICU cg: RN v1: Clear st: NotStopd t0: [20:00:00 29/10/2012] id: Respiratory Pattern el: 0 cu: MICU cg: RN v1: Regular st: NotStopd t0: [20:00:00 29/10/2012] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 15 u1: BPM st: NotStopd t0: [20:00:00 29/10/2012] id: Side Rails el: 0 cu: MICU cg: RN v1: Side Rails Up st: NotStopd t0: [20:00:00 29/10/2012] id: Skin Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [20:00:00 29/10/2012] id: Skin Color el: 0 cu: MICU cg: RN v1: Jaundiced st: NotStopd t0: [20:00:00 29/10/2012] id: Skin Integrity el: 0 cu: MICU cg: RN v1: Impaired st: NotStopd t0: [20:00:00 29/10/2012] id: Skin Temp/Condition el: 0 cu: MICU cg: RN v1: Warm v2: Dry st: NotStopd t0: [20:00:00 29/10/2012] id: SpO2 el: 0 cu: MICU cg: RN v1: 100 u1: % st: NotStopd t0: [20:00:00 29/10/2012] id: Spontaneous Movement el: 0 cu: MICU cg: RN v1: Purposeful st: NotStopd t0: [20:00:00 29/10/2012] id: Support Systems el: 0 cu: MICU cg: RN v1: Spouse st: NotStopd t0: [20:00:00 29/10/2012] id: Temp. Site el: 0 cu: MICU cg: RN v1: Oral st: NotStopd t0: [20:00:00 29/10/2012] id: Temperature C (calc) el: 0 cu: MICU cg: RN v1: 37.2778 u1: Deg. C st: NotStopd t0: [20:00:00 29/10/2012] id: Temperature F el: 0 cu: MICU cg: RN v1: 99.1 u1: Deg. F st: NotStopd t0: [20:00:00 29/10/2012] id: Turn el: 0 cu: MICU cg: RN v1: Side to Side st: NotStopd t0: [20:00:00 29/10/2012] id: Urine Color/Appear el: 0 cu: MICU cg: RN v1: Icteric v2: Clear st: NotStopd t0: [20:00:00 29/10/2012] id: Urine Source el: 0 cu: MICU cg: RN v1: Indwelling Cath st: NotStopd t0: [20:00:00 29/10/2012] id: Verbal Response el: 0 cu: MICU cg: RN v1: 5 Oriented st: NotStopd t0: [20:00:00 29/10/2012] id: Back Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [20:00:00 29/10/2012] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [20:00:00 29/10/2012] id: Behavior el: 0 cu: MICU cg: RN v1: Calm st: NotStopd t0: [20:00:00 29/10/2012] id: Bowel Sounds el: 0 cu: MICU cg: RN v1: Hypoactive st: NotStopd
t0: [20:00:00 29/10/2012] id: D5W 100.0ml + 600mcghr Sandostatin IV Infusions el: 3 cu: MICU cg: RN ai: 127 vo: 8.33333 vu: ml t0: [20:00:00 29/10/2012] id: Fresh Frozen Plasma IV Infusions el: 1 cu: MICU cg: RN ai: 155 vo: 343 vu: ml t0: [20:00:00 29/10/2012] id: D5/.45NS 50.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 112 vo: 100 vu: ml t0: [20:00:00 29/10/2012] id: Urine Out Foley el: 2 cu: MICU cg: RN vo: 200 vu: ml
t0: [19:15:00 29/10/2012] id: Sandostatin el: 4 cu: MICU cg: RN so: D5W vo: 0 v1: 50 du: mcghr sv: 100 su: ml rt: IV Drip t0: [19:30:00 29/10/2012] id: Sandostatin el: 4 cu: MICU cg: RN so: D5W vo: 0 v1: 50 du: mcghr sv: 100 su: ml rt: IV Drip t0: [19:45:00 29/10/2012] id: Sandostatin el: 4 cu: MICU cg: RN so: D5W vo: 0 v1: 50 du: mcghr sv: 100 su: ml rt: IV Drip t0: [20:00:00 29/10/2012] id: Sandostatin el: 4 cu: MICU cg: RN so: D5W vo: 0 v1: 50 du: mcghr sv: 100 su: ml rt: IV Drip
t0: [23:00:00 29/10/2012] dt: 24 id: Blood Products Total el: 2 cu: MICU cg: RN cv: 343 ap: none
t0: [20:21:00 29/10/2012] id: Hematocrit Hematology el: 0 cu: MICU cg: 1663 v1: 32 u1: % rs: Final st: NotStopd t0: [20:21:00 29/10/2012] id: Platelets Hematology el: 0 cu: MICU cg: 1663 v1: 100 rs: Final st: NotStopd
t0: [21:00:00 29/10/2012] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [21:00:00 29/10/2012] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [21:00:00 29/10/2012] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [21:00:00 29/10/2012] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [21:00:00 29/10/2012] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [21:00:00 29/10/2012] id: Heart Rate el: 0 cu: MICU cg: RN v1: 72 u1: BPM st: NotStopd t0: [21:00:00 29/10/2012] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [21:00:00 29/10/2012] id: NBP el: 0 cu: MICU cg: RN v1: 110 u1: mmHg v2: 60 u2: mmHg st: NotStopd t0: [21:00:00 29/10/2012] id: NBP Mean el: 0 cu: MICU cg: RN v1: 76.6667 u1: mmHg st: NotStopd t0: [21:00:00 29/10/2012] id: Precautions el: 0 cu: MICU cg: RN v1: Contact st: NotStopd t0: [21:00:00 29/10/2012] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 21 u1: BPM st: NotStopd t0: [21:00:00 29/10/2012] id: SpO2 el: 0 cu: MICU cg: RN v1: 100 u1: % st: NotStopd t0: [21:00:00 29/10/2012] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [21:00:00 29/10/2012] id: D5W 100.0ml + 600mcghr Sandostatin IV Infusions el: 3 cu: MICU cg: RN ai: 127 vo: 8.33333 vu: ml t0: [21:00:00 29/10/2012] id: D5/.45NS 50.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 112 vo: 100 vu: ml t0: [21:00:00 29/10/2012] id: Urine Out Foley el: 2 cu: MICU cg: RN vo: 200 vu: ml
t0: [21:00:00 29/10/2012] id: Sandostatin el: 4 cu: MICU cg: RN so: D5W vo: 0 v1: 50 du: mcghr sv: 100 su: ml rt: IV Drip
t0: [20:21:00 29/10/2012] id: PT el: 0 cu: MICU cg: 1663 v1: 15 rs: Final st: NotStopd t0: [20:21:00 29/10/2012] id: INR Coags el: 0 cu: MICU cg: 1663 v1: 1.5 rs: Final st: NotStopd t0: [20:21:00 29/10/2012] id: PTT Coags el: 0 cu: MICU cg: 1663 v1: 36.8 rs: Final st: NotStopd t0: [20:21:00 29/10/2012] id: INR (2-4 ref. range) Coags el: 0 cu: MICU cg: 1663 v1: 1.5 rs: Final st: NotStopd t0: [20:21:00 29/10/2012] id: PT(11-13.5) Coags el: 0 cu: MICU cg: 1663 v1: 15 rs: Final st: NotStopd t0: [20:21:00 29/10/2012] id: PTT(22-35) Coags el: 0 cu: MICU cg: 1663 v1: 36.8 rs: Final st: NotStopd
t0: [22:00:00 29/10/2012] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [22:00:00 29/10/2012] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [22:00:00 29/10/2012] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [22:00:00 29/10/2012] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [22:00:00 29/10/2012] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [22:00:00 29/10/2012] id: Heart Rate el: 0 cu: MICU cg: RN v1: 83 u1: BPM st: NotStopd t0: [22:00:00 29/10/2012] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [22:00:00 29/10/2012] id: NBP el: 0 cu: MICU cg: RN v1: 114 u1: mmHg v2: 44 u2: mmHg st: NotStopd t0: [22:00:00 29/10/2012] id: NBP Mean el: 0 cu: MICU cg: RN v1: 67.3333 u1: mmHg st: NotStopd t0: [22:00:00 29/10/2012] id: Precautions el: 0 cu: MICU cg: RN v1: Contact st: NotStopd t0: [22:00:00 29/10/2012] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 21 u1: BPM st: NotStopd t0: [22:00:00 29/10/2012] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [20:00:00 29/10/2012] id: IV Piggyback IV Infusions el: 1 cu: MICU cg: RN ai: 209 vo: 200 vu: ml t0: [22:00:00 29/10/2012] id: IV Piggyback IV Infusions el: 1 cu: MICU cg: RN ai: 209 vo: 200 vu: ml t0: [22:00:00 29/10/2012] id: D5W 100.0ml + 600mcghr Sandostatin IV Infusions el: 3 cu: MICU cg: RN ai: 127 vo: 8.33333 vu: ml t0: [22:00:00 29/10/2012] id: D5/.45NS 50.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 112 vo: 100 vu: ml
t0: [22:00:00 29/10/2012] id: Sandostatin el: 4 cu: MICU cg: RN so: D5W vo: 0 v1: 50 du: mcghr sv: 100 su: ml rt: IV Drip
t0: [23:00:00 29/10/2012] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [23:00:00 29/10/2012] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [23:00:00 29/10/2012] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [23:00:00 29/10/2012] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [23:00:00 29/10/2012] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [23:00:00 29/10/2012] id: Heart Rate el: 0 cu: MICU cg: RN v1: 76 u1: BPM st: NotStopd t0: [23:00:00 29/10/2012] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [23:00:00 29/10/2012] id: NBP el: 0 cu: MICU cg: RN v1: 118 u1: mmHg v2: 56 u2: mmHg st: NotStopd t0: [23:00:00 29/10/2012] id: NBP Mean el: 0 cu: MICU cg: RN v1: 76.6667 u1: mmHg st: NotStopd t0: [23:00:00 29/10/2012] id: Precautions el: 0 cu: MICU cg: RN v1: Contact st: NotStopd t0: [23:00:00 29/10/2012] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 18 u1: BPM st: NotStopd t0: [23:00:00 29/10/2012] id: SpO2 el: 0 cu: MICU cg: RN v1: 100 u1: % st: NotStopd t0: [23:00:00 29/10/2012] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [22:00:00 29/10/2012] id: Urine Out Foley el: 2 cu: MICU cg: RN vo: 200 vu: ml t0: [23:00:00 29/10/2012] id: D5W 100.0ml + 600mcghr Sandostatin IV Infusions el: 3 cu: MICU cg: RN ai: 127 vo: 8.33333 vu: ml t0: [23:00:00 29/10/2012] id: D5/.45NS 50.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 112 vo: 100 vu: ml t0: [23:00:00 29/10/2012] id: Stool Out Stool el: 1 cu: MICU cg: RN vu: ml es: Large t0: [23:00:00 29/10/2012] id: Urine Out Foley el: 2 cu: MICU cg: RN vo: 200 vu: ml
t0: [23:00:00 29/10/2012] id: Sandostatin el: 4 cu: MICU cg: RN so: D5W vo: 0 v1: 50 du: mcghr sv: 100 su: ml rt: IV Drip
t0: [23:00:00 29/10/2012] dt: 24 id: Stool Out Total el: 2 cu: MICU cg: RN cv: 0 ap: estimateVol
t0: [20:00:00 29/10/2012] id: Cough/Deep Breathe el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [22:00:00 29/10/2012] id: Cough/Deep Breathe el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [00:00:00 30/10/2012] id: Pain Present el: 0 cu: MICU cg: RN v1: No st: NotStopd t0: [00:00:00 30/10/2012] id: Pain Assess Method el: 0 cu: MICU cg: RN v1: Pt Verbalized st: NotStopd t0: [00:00:00 30/10/2012] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [00:00:00 30/10/2012] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [00:00:00 30/10/2012] id: Riker-SAS Scale el: 0 cu: MICU cg: RN v1: Calm/Cooperative st: NotStopd t0: [00:00:00 30/10/2012] id: Cough/Deep Breathe el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [00:00:00 30/10/2012] id: Daily Wake Up el: 1 cu: MICU cg: RN v1: No/Not Sedated st: NotStopd t0: [00:00:00 30/10/2012] id: GI Prophylaxis el: 0 cu: MICU cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [00:00:00 30/10/2012] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [00:00:00 30/10/2012] id: Diet Type el: 0 cu: MICU cg: RN v1: Clear Liquid st: NotStopd t0: [00:00:00 30/10/2012] id: Dorsal PedPulse R/L el: 0 cu: MICU cg: RN v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [00:00:00 30/10/2012] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [00:00:00 30/10/2012] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [00:00:00 30/10/2012] id: Eye Opening el: 0 cu: MICU cg: RN v1: 4 Spontaneously st: NotStopd t0: [00:00:00 30/10/2012] id: Follows Commands el: 0 cu: MICU cg: RN v1: Consistently st: NotStopd t0: [00:00:00 30/10/2012] id: GCS Total el: 0 cu: MICU cg: RN v1: 15 u1: points st: NotStopd t0: [00:00:00 30/10/2012] id: HOB el: 0 cu: MICU cg: RN v1: 30 degrees st: NotStopd t0: [00:00:00 30/10/2012] id: Heart Rate el: 0 cu: MICU cg: RN v1: 68 u1: BPM st: NotStopd t0: [00:00:00 30/10/2012] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [00:00:00 30/10/2012] id: INV Line#1 Type/Site el: 0 cu: MICU cg: RN v1: Multi-lumen v2: Right Subclavian st: NotStopd t0: [00:00:00 30/10/2012] id: INV Line#1SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [00:00:00 30/10/2012] id: Abdominal Assessment el: 0 cu: MICU cg: RN v1: Firm Distended st: NotStopd t0: [00:00:00 30/10/2012] id: Activity el: 0 cu: MICU cg: RN v1: Bedrest st: NotStopd t0: [00:00:00 30/10/2012] id: Activity Tolerance el: 0 cu: MICU cg: RN v1: Tolerated Well st: NotStopd t0: [00:00:00 30/10/2012] id: Imp Skin Cleanse #1 el: 0 cu: MICU cg: RN v1: Soap & H20 st: NotStopd t0: [00:00:00 30/10/2012] id: ImpSkin Character #1 el: 0 cu: MICU cg: RN v1: Abrasion st: NotStopd t0: [00:00:00 30/10/2012] id: ImpSkin Treatment #1 el: 0 cu: MICU cg: RN v1: Open to Air st: NotStopd t0: [00:00:00 30/10/2012] id: ImpSkin Wound Base#1 el: 0 cu: MICU cg: RN v1: Pink st: NotStopd t0: [00:00:00 30/10/2012] id: Impaired Skin Site#1 el: 0 cu: MICU cg: RN v1: Coccyx st: NotStopd t0: [00:00:00 30/10/2012] id: LLL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [00:00:00 30/10/2012] id: LUL Lung Sounds el: 0 cu: MICU cg: RN v1: Clear st: NotStopd t0: [00:00:00 30/10/2012] id: Level of Conscious el: 0 cu: MICU cg: RN v1: Alert st: NotStopd t0: [00:00:00 30/10/2012] id: Motor Response el: 0 cu: MICU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [00:00:00 30/10/2012] id: NBP el: 0 cu: MICU cg: RN v1: 115 u1: mmHg v2: 58 u2: mmHg st: NotStopd t0: [00:00:00 30/10/2012] id: NBP Mean el: 0 cu: MICU cg: RN v1: 77 u1: mmHg st: NotStopd t0: [00:00:00 30/10/2012] id: O2 Delivery Device el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [00:00:00 30/10/2012] id: Oral Cavity el: 0 cu: MICU cg: RN v1: Bleeding Gum st: NotStopd t0: [00:00:00 30/10/2012] id: Orientation el: 0 cu: MICU cg: RN v1: Oriented x 3 st: NotStopd t0: [00:00:00 30/10/2012] id: AntiEmbDevice/Status el: 0 cu: MICU cg: RN v1: Compress Sleeves v2: Off st: NotStopd t0: [00:00:00 30/10/2012] id: Pain Location el: 0 cu: MICU cg: RN v1: Not Indicated st: NotStopd t0: [00:00:00 30/10/2012] id: Pain Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [00:00:00 30/10/2012] id: Position el: 0 cu: MICU cg: RN v1: Right Side st: NotStopd t0: [00:00:00 30/10/2012] id: PostTib. Pulses R/L el: 0 cu: MICU cg: RN v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [00:00:00 30/10/2012] id: Assistance Device el: 0 cu: MICU cg: RN v1: 1 Person Assist st: NotStopd t0: [00:00:00 30/10/2012] id: Precautions el: 0 cu: MICU cg: RN v1: Contact st: NotStopd t0: [00:00:00 30/10/2012] id: RLL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [00:00:00 30/10/2012] id: RUL Lung Sounds el: 0 cu: MICU cg: RN v1: Clear st: NotStopd t0: [00:00:00 30/10/2012] id: Respiratory Pattern el: 0 cu: MICU cg: RN v1: Regular st: NotStopd t0: [00:00:00 30/10/2012] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 17 u1: BPM st: NotStopd t0: [00:00:00 30/10/2012] id: Side Rails el: 0 cu: MICU cg: RN v1: Side Rails Up st: NotStopd t0: [00:00:00 30/10/2012] id: Skin Color el: 0 cu: MICU cg: RN v1: Jaundiced st: NotStopd t0: [00:00:00 30/10/2012] id: Skin Integrity el: 0 cu: MICU cg: RN v1: Impaired st: NotStopd t0: [00:00:00 30/10/2012] id: Skin Temp/Condition el: 0 cu: MICU cg: RN v1: Warm v2: Dry st: NotStopd t0: [00:00:00 30/10/2012] id: Spontaneous Movement el: 0 cu: MICU cg: RN v1: Purposeful st: NotStopd t0: [00:00:00 30/10/2012] id: Support Systems el: 0 cu: MICU cg: RN v1: Spouse st: NotStopd t0: [00:00:00 30/10/2012] id: Temp. Site el: 0 cu: MICU cg: RN v1: Oral st: NotStopd t0: [00:00:00 30/10/2012] id: Temperature C (calc) el: 0 cu: MICU cg: RN v1: 37.0556 u1: Deg. C st: NotStopd t0: [00:00:00 30/10/2012] id: Temperature F el: 0 cu: MICU cg: RN v1: 98.7 u1: Deg. F st: NotStopd t0: [00:00:00 30/10/2012] id: Turn el: 0 cu: MICU cg: RN v1: Side to Side st: NotStopd t0: [00:00:00 30/10/2012] id: Urine Color/Appear el: 0 cu: MICU cg: RN v1: Icteric v2: Clear st: NotStopd t0: [00:00:00 30/10/2012] id: Urine Source el: 0 cu: MICU cg: RN v1: Indwelling Cath st: NotStopd t0: [00:00:00 30/10/2012] id: Verbal Response el: 0 cu: MICU cg: RN v1: 5 Oriented st: NotStopd t0: [00:00:00 30/10/2012] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [00:00:00 30/10/2012] id: Behavior el: 0 cu: MICU cg: RN v1: Calm st: NotStopd t0: [00:00:00 30/10/2012] id: Bowel Sounds el: 0 cu: MICU cg: RN v1: Hypoactive st: NotStopd t0: [01:00:00 30/10/2012] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [01:00:00 30/10/2012] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [01:00:00 30/10/2012] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [01:00:00 30/10/2012] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [01:00:00 30/10/2012] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [01:00:00 30/10/2012] id: Heart Rate el: 0 cu: MICU cg: RN v1: 72 u1: BPM st: NotStopd t0: [01:00:00 30/10/2012] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [01:00:00 30/10/2012] id: NBP el: 0 cu: MICU cg: RN v1: 112 u1: mmHg v2: 52 u2: mmHg st: NotStopd t0: [01:00:00 30/10/2012] id: NBP Mean el: 0 cu: MICU cg: RN v1: 72 u1: mmHg st: NotStopd t0: [01:00:00 30/10/2012] id: Precautions el: 0 cu: MICU cg: RN v1: Contact st: NotStopd t0: [01:00:00 30/10/2012] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 19 u1: BPM st: NotStopd t0: [01:00:00 30/10/2012] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [02:00:00 30/10/2012] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [02:00:00 30/10/2012] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [02:00:00 30/10/2012] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [02:00:00 30/10/2012] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [02:00:00 30/10/2012] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [02:00:00 30/10/2012] id: Heart Rate el: 0 cu: MICU cg: RN v1: 66 u1: BPM st: NotStopd t0: [02:00:00 30/10/2012] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [02:00:00 30/10/2012] id: NBP el: 0 cu: MICU cg: RN v1: 103 u1: mmHg v2: 47 u2: mmHg st: NotStopd t0: [02:00:00 30/10/2012] id: NBP Mean el: 0 cu: MICU cg: RN v1: 65.6667 u1: mmHg st: NotStopd t0: [02:00:00 30/10/2012] id: Precautions el: 0 cu: MICU cg: RN v1: Contact st: NotStopd t0: [02:00:00 30/10/2012] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 12 u1: BPM st: NotStopd t0: [02:00:00 30/10/2012] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [00:00:00 30/10/2012] id: D5W 100.0ml + 600mcghr Sandostatin IV Infusions el: 3 cu: MICU cg: RN ai: 127 vo: 8.33333 vu: ml t0: [00:00:00 30/10/2012] id: D5/.45NS 50.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 112 vo: 10 vu: ml t0: [00:00:00 30/10/2012] id: Urine Out Foley el: 2 cu: MICU cg: RN vo: 300 vu: ml t0: [01:00:00 30/10/2012] id: D5W 100.0ml + 600mcghr Sandostatin IV Infusions el: 3 cu: MICU cg: RN ai: 127 vo: 8.33333 vu: ml t0: [01:00:00 30/10/2012] id: D5/.45NS 50.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 112 vo: 10 vu: ml t0: [01:00:00 30/10/2012] id: Urine Out Foley el: 2 cu: MICU cg: RN vu: ml t0: [02:00:00 30/10/2012] id: D5W 100.0ml + 600mcghr Sandostatin IV Infusions el: 3 cu: MICU cg: RN ai: 127 vo: 8.33333 vu: ml t0: [02:00:00 30/10/2012] id: D5/.45NS 50.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 112 vo: 10 vu: ml
t0: [00:00:00 30/10/2012] id: Sandostatin el: 4 cu: MICU cg: RN so: D5W vo: 0 v1: 50 du: mcghr sv: 100 su: ml rt: IV Drip t0: [01:00:00 30/10/2012] id: Sandostatin el: 4 cu: MICU cg: RN so: D5W vo: 0 v1: 50 du: mcghr sv: 100 su: ml rt: IV Drip t0: [02:00:00 30/10/2012] id: Sandostatin el: 4 cu: MICU cg: RN so: D5W vo: 0 v1: 50 du: mcghr sv: 100 su: ml rt: IV Drip
t0: [23:00:00 30/10/2012] dt: 1 id: Total Hourly Output el: 2 cu: MICU-A cg: RN cv: 0 ap: none t0: [23:00:00 30/10/2012] dt: 1 id: Net Hourly Balance el: 2 cu: MICU-A cg: RN cv: 0 ap: none t0: [23:00:00 30/10/2012] dt: 24 id: IV Infusion In Total el: 2 cu: MICU-A cg: RN cv: 600 ap: none t0: [23:00:00 30/10/2012] dt: 24 id: 24h Total In el: 2 cu: MICU-A cg: RN cv: 1370 ap: none t0: [23:00:00 30/10/2012] dt: 24 id: Urine Out Total el: 2 cu: MICU-A cg: RN cv: 3200 ap: none t0: [23:00:00 30/10/2012] dt: 24 id: 24h Net Body Balance el: 2 cu: MICU-A cg: RN cv: -1830 ap: none t0: [23:00:00 30/10/2012] dt: 24 id: 24h Total Out el: 2 cu: MICU-A cg: RN cv: 3200 ap: none t0: [23:00:00 30/10/2012] dt: multiple days id: LOS Net Body Balance el: 2 cu: MICU-A cg: RN cv: 9284.78 ap: carryForward
t0: [03:21:00 30/10/2012] id: WBC (4-11,000) Hematology el: 0 cu: MICU cg: 1663 v1: 7 rs: Final st: NotStopd t0: [03:21:00 30/10/2012] id: WBC Hematology el: 0 cu: MICU cg: 1663 v1: 7 rs: Final st: NotStopd t0: [03:21:00 30/10/2012] id: Hematocrit Hematology el: 0 cu: MICU cg: 1663 v1: 29.9 u1: % rs: Final st: NotStopd t0: [03:21:00 30/10/2012] id: Hemoglobin Hematology el: 0 cu: MICU cg: 1663 v1: 10.2 u1: gm/dl rs: Final st: NotStopd t0: [03:21:00 30/10/2012] id: Platelets Hematology el: 0 cu: MICU cg: 1663 v1: 99 rs: Final st: NotStopd t0: [03:21:00 30/10/2012] id: RBC Hematology el: 0 cu: MICU cg: 1663 v1: 3.4 u1: /mic l rs: Final st: NotStopd t0: [03:21:00 30/10/2012] id: WBC (4-11,000) Hematology el: 0 cu: MICU cg: 1663 v1: 7 rs: Final st: NotStopd
t0: [03:00:00 30/10/2012] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [03:00:00 30/10/2012] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [03:00:00 30/10/2012] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [03:00:00 30/10/2012] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [03:00:00 30/10/2012] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [03:00:00 30/10/2012] id: HOB el: 0 cu: MICU cg: RN v1: 30 degrees st: NotStopd t0: [03:00:00 30/10/2012] id: Heart Rate el: 0 cu: MICU cg: RN v1: 73 u1: BPM st: NotStopd t0: [03:00:00 30/10/2012] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [03:00:00 30/10/2012] id: Activity el: 0 cu: MICU cg: RN v1: Bedrest st: NotStopd t0: [03:00:00 30/10/2012] id: Activity Tolerance el: 0 cu: MICU cg: RN v1: Tolerated Well st: NotStopd t0: [03:00:00 30/10/2012] id: NBP el: 0 cu: MICU cg: RN v1: 110 u1: mmHg v2: 44 u2: mmHg st: NotStopd t0: [03:00:00 30/10/2012] id: NBP Mean el: 0 cu: MICU cg: RN v1: 66 u1: mmHg st: NotStopd t0: [03:00:00 30/10/2012] id: AntiEmbDevice/Status el: 0 cu: MICU cg: RN v1: Compress Sleeves v2: Off st: NotStopd t0: [03:00:00 30/10/2012] id: Position el: 0 cu: MICU cg: RN v1: Supine st: NotStopd t0: [03:00:00 30/10/2012] id: Assistance Device el: 0 cu: MICU cg: RN v1: 1 Person Assist st: NotStopd t0: [03:00:00 30/10/2012] id: Precautions el: 0 cu: MICU cg: RN v1: Contact st: NotStopd t0: [03:00:00 30/10/2012] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 17 u1: BPM st: NotStopd t0: [03:00:00 30/10/2012] id: Turn el: 0 cu: MICU cg: RN v1: Side to Side st: NotStopd t0: [03:00:00 30/10/2012] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [04:00:00 30/10/2012] id: Pain Present el: 0 cu: MICU cg: RN v1: No st: NotStopd t0: [04:00:00 30/10/2012] id: Pain Assess Method el: 0 cu: MICU cg: RN v1: Pt Verbalized st: NotStopd t0: [04:00:00 30/10/2012] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [04:00:00 30/10/2012] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [04:00:00 30/10/2012] id: Riker-SAS Scale el: 0 cu: MICU cg: RN v1: Calm/Cooperative st: NotStopd t0: [04:00:00 30/10/2012] id: Daily Wake Up el: 1 cu: MICU cg: RN v1: No/Not Sedated st: NotStopd t0: [04:00:00 30/10/2012] id: GI Prophylaxis el: 0 cu: MICU cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [04:00:00 30/10/2012] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [04:00:00 30/10/2012] id: Diet Type el: 0 cu: MICU cg: RN v1: Clear Liquid st: NotStopd t0: [04:00:00 30/10/2012] id: Dorsal PedPulse R/L el: 0 cu: MICU cg: RN v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [04:00:00 30/10/2012] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [04:00:00 30/10/2012] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [04:00:00 30/10/2012] id: Eye Opening el: 0 cu: MICU cg: RN v1: 4 Spontaneously st: NotStopd t0: [04:00:00 30/10/2012] id: Follows Commands el: 0 cu: MICU cg: RN v1: Consistently st: NotStopd t0: [04:00:00 30/10/2012] id: GCS Total el: 0 cu: MICU cg: RN v1: 15 u1: points st: NotStopd t0: [04:00:00 30/10/2012] id: Heart Rate el: 0 cu: MICU cg: RN v1: 68 u1: BPM st: NotStopd t0: [04:00:00 30/10/2012] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [04:00:00 30/10/2012] id: INV Line#1 Type/Site el: 0 cu: MICU cg: RN v1: Multi-lumen v2: Right Subclavian st: NotStopd t0: [04:00:00 30/10/2012] id: INV Line#1SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [04:00:00 30/10/2012] id: Abdominal Assessment el: 0 cu: MICU cg: RN v1: Firm Distended st: NotStopd t0: [04:00:00 30/10/2012] id: LLL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [04:00:00 30/10/2012] id: LUL Lung Sounds el: 0 cu: MICU cg: RN v1: Clear st: NotStopd t0: [04:00:00 30/10/2012] id: Level of Conscious el: 0 cu: MICU cg: RN v1: Alert st: NotStopd t0: [04:00:00 30/10/2012] id: Motor Response el: 0 cu: MICU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [04:00:00 30/10/2012] id: NBP el: 0 cu: MICU cg: RN v1: 115 u1: mmHg v2: 47 u2: mmHg st: NotStopd t0: [04:00:00 30/10/2012] id: NBP Mean el: 0 cu: MICU cg: RN v1: 69.6667 u1: mmHg st: NotStopd t0: [04:00:00 30/10/2012] id: O2 Delivery Device el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [04:00:00 30/10/2012] id: Oral Cavity el: 0 cu: MICU cg: RN v1: Bleeding Gum st: NotStopd t0: [04:00:00 30/10/2012] id: Orientation el: 0 cu: MICU cg: RN v1: Oriented x 3 st: NotStopd t0: [04:00:00 30/10/2012] id: Pain Location el: 0 cu: MICU cg: RN v1: Not Indicated st: NotStopd t0: [04:00:00 30/10/2012] id: PostTib. Pulses R/L el: 0 cu: MICU cg: RN v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [04:00:00 30/10/2012] id: Precautions el: 0 cu: MICU cg: RN v1: Contact st: NotStopd t0: [04:00:00 30/10/2012] id: RLL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [04:00:00 30/10/2012] id: RUL Lung Sounds el: 0 cu: MICU cg: RN v1: Clear st: NotStopd t0: [04:00:00 30/10/2012] id: Respiratory Pattern el: 0 cu: MICU cg: RN v1: Regular st: NotStopd t0: [04:00:00 30/10/2012] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 17 u1: BPM st: NotStopd t0: [04:00:00 30/10/2012] id: Spontaneous Movement el: 0 cu: MICU cg: RN v1: Purposeful st: NotStopd t0: [04:00:00 30/10/2012] id: Temp. Site el: 0 cu: MICU cg: RN v1: Oral st: NotStopd t0: [04:00:00 30/10/2012] id: Temperature C (calc) el: 0 cu: MICU cg: RN v1: 36.8889 u1: Deg. C st: NotStopd t0: [04:00:00 30/10/2012] id: Temperature F el: 0 cu: MICU cg: RN v1: 98.4 u1: Deg. F st: NotStopd t0: [04:00:00 30/10/2012] id: Urine Color/Appear el: 0 cu: MICU cg: RN v1: Yellow v2: Clear st: NotStopd t0: [04:00:00 30/10/2012] id: Urine Source el: 0 cu: MICU cg: RN v1: Indwelling Cath st: NotStopd t0: [04:00:00 30/10/2012] id: Verbal Response el: 0 cu: MICU cg: RN v1: 5 Oriented st: NotStopd t0: [04:00:00 30/10/2012] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [04:00:00 30/10/2012] id: Bowel Sounds el: 0 cu: MICU cg: RN v1: Present st: NotStopd
t0: [03:00:00 30/10/2012] id: D5W 100.0ml + 600mcghr Sandostatin IV Infusions el: 3 cu: MICU cg: RN ai: 127 vo: 8.33333 vu: ml t0: [03:00:00 30/10/2012] id: D5/.45NS 50.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 112 vo: 10 vu: ml t0: [04:00:00 30/10/2012] id: D5W 100.0ml + 600mcghr Sandostatin IV Infusions el: 3 cu: MICU cg: RN ai: 127 vo: 8.33333 vu: ml t0: [04:00:00 30/10/2012] id: D5/.45NS 50.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 112 vo: 10 vu: ml t0: [04:00:00 30/10/2012] id: Urine Out Foley el: 2 cu: MICU cg: RN vo: 450 vu: ml
t0: [03:00:00 30/10/2012] id: Sandostatin el: 4 cu: MICU cg: RN so: D5W vo: 0 v1: 50 du: mcghr sv: 100 su: ml rt: IV Drip t0: [04:00:00 30/10/2012] id: Sandostatin el: 4 cu: MICU cg: RN so: D5W vo: 0 v1: 50 du: mcghr sv: 100 su: ml rt: IV Drip
t0: [03:21:00 30/10/2012] id: PT el: 0 cu: MICU cg: 1663 v1: 15.5 rs: Final st: NotStopd t0: [03:21:00 30/10/2012] id: INR Coags el: 0 cu: MICU cg: 1663 v1: 1.6 rs: Final st: NotStopd t0: [03:21:00 30/10/2012] id: PTT Coags el: 0 cu: MICU cg: 1663 v1: 37.6 rs: Final st: NotStopd t0: [03:21:00 30/10/2012] id: INR (2-4 ref. range) Coags el: 0 cu: MICU cg: 1663 v1: 1.6 rs: Final st: NotStopd t0: [03:21:00 30/10/2012] id: PT(11-13.5) Coags el: 0 cu: MICU cg: 1663 v1: 15.5 rs: Final st: NotStopd t0: [03:21:00 30/10/2012] id: PTT(22-35) Coags el: 0 cu: MICU cg: 1663 v1: 37.6 rs: Final st: NotStopd
t0: [03:21:00 30/10/2012] id: BUN el: 0 cu: MICU cg: 1663 v1: 7 rs: Final st: NotStopd t0: [03:21:00 30/10/2012] id: Calcium Chemistry el: 0 cu: MICU cg: 1663 v1: 8 u1: mg/dl rs: Final st: NotStopd t0: [03:21:00 30/10/2012] id: Chloride Chemistry el: 0 cu: MICU cg: 1663 v1: 104 rs: Final st: NotStopd t0: [03:21:00 30/10/2012] id: Creatinine Chemistry el: 0 cu: MICU cg: 1663 v1: 0.8 rs: Final st: NotStopd t0: [03:21:00 30/10/2012] id: Glucose Chemistry el: 0 cu: MICU cg: 1663 v1: 121 rs: Final st: NotStopd t0: [03:21:00 30/10/2012] id: Magnesium Chemistry el: 0 cu: MICU cg: 1663 v1: 1.6 rs: Final st: NotStopd t0: [03:21:00 30/10/2012] id: Phosphorous Chemistry el: 0 cu: MICU cg: 1663 v1: 3.2 u1: mEq/L rs: Final st: NotStopd t0: [03:21:00 30/10/2012] id: Potassium Chemistry el: 0 cu: MICU cg: 1663 v1: 3.7 rs: Final st: NotStopd t0: [03:21:00 30/10/2012] id: Sodium Chemistry el: 0 cu: MICU cg: 1663 v1: 130 rs: Final st: NotStopd t0: [03:21:00 30/10/2012] id: BUN (6-20) Chemistry el: 0 cu: MICU cg: 1663 v1: 7 rs: Final st: NotStopd t0: [03:21:00 30/10/2012] id: Calcium (8.4-10.2) Chemistry el: 0 cu: MICU cg: 1663 v1: 8 u1: mg/dl rs: Final st: NotStopd t0: [03:21:00 30/10/2012] id: Carbon Dioxide Chemistry el: 0 cu: MICU cg: 1663 v1: 17 rs: Final st: NotStopd t0: [03:21:00 30/10/2012] id: Chloride (100-112) Chemistry el: 0 cu: MICU cg: 1663 v1: 104 rs: Final st: NotStopd t0: [03:21:00 30/10/2012] id: Creatinine (0-1.3) Chemistry el: 0 cu: MICU cg: 1663 v1: 0.8 rs: Final st: NotStopd t0: [03:21:00 30/10/2012] id: Glucose (70-105) Chemistry el: 0 cu: MICU cg: 1663 v1: 121 rs: Final st: NotStopd t0: [03:21:00 30/10/2012] id: Magnesium (1.6-2.6) Chemistry el: 0 cu: MICU cg: 1663 v1: 1.6 rs: Final st: NotStopd t0: [03:21:00 30/10/2012] id: Phosphorous(2.7-4.5) Chemistry el: 0 cu: MICU cg: 1663 v1: 3.2 u1: mEq/L rs: Final st: NotStopd t0: [03:21:00 30/10/2012] id: Potassium (3.5-5.3) Chemistry el: 0 cu: MICU cg: 1663 v1: 3.7 rs: Final st: NotStopd t0: [03:21:00 30/10/2012] id: Sodium (135-148) Chemistry el: 0 cu: MICU cg: 1663 v1: 130 rs: Final st: NotStopd
t0: [04:00:00 30/10/2012] id: Imp Skin Cleanse #1 el: 0 cu: MICU cg: RN v1: Soap & H20 st: NotStopd t0: [04:00:00 30/10/2012] id: ImpSkin Character #1 el: 0 cu: MICU cg: RN v1: Abrasion st: NotStopd t0: [04:00:00 30/10/2012] id: ImpSkin Treatment #1 el: 0 cu: MICU cg: RN v1: Open to Air st: NotStopd t0: [04:00:00 30/10/2012] id: ImpSkin Wound Base#1 el: 0 cu: MICU cg: RN v1: Pink st: NotStopd t0: [04:00:00 30/10/2012] id: Impaired Skin Site#1 el: 0 cu: MICU cg: RN v1: Coccyx st: NotStopd t0: [04:00:00 30/10/2012] id: Side Rails el: 0 cu: MICU cg: RN v1: Side Rails Up st: NotStopd t0: [04:00:00 30/10/2012] id: Skin Color el: 0 cu: MICU cg: RN v1: Jaundiced st: NotStopd t0: [04:00:00 30/10/2012] id: Skin Integrity el: 0 cu: MICU cg: RN v1: Impaired st: NotStopd t0: [04:00:00 30/10/2012] id: Skin Temp/Condition el: 0 cu: MICU cg: RN v1: Warm v2: Dry st: NotStopd t0: [04:00:00 30/10/2012] id: Support Systems el: 0 cu: MICU cg: RN v1: Spouse st: NotStopd t0: [04:00:00 30/10/2012] id: Behavior el: 0 cu: MICU cg: RN v1: Calm st: NotStopd t0: [05:00:00 30/10/2012] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [05:00:00 30/10/2012] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [05:00:00 30/10/2012] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [05:00:00 30/10/2012] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [05:00:00 30/10/2012] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [05:00:00 30/10/2012] id: Heart Rate el: 0 cu: MICU cg: RN v1: 71 u1: BPM st: NotStopd t0: [05:00:00 30/10/2012] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [05:00:00 30/10/2012] id: NBP el: 0 cu: MICU cg: RN v1: 114 u1: mmHg v2: 50 u2: mmHg st: NotStopd t0: [05:00:00 30/10/2012] id: NBP Mean el: 0 cu: MICU cg: RN v1: 71.3333 u1: mmHg st: NotStopd t0: [05:00:00 30/10/2012] id: Precautions el: 0 cu: MICU cg: RN v1: Contact st: NotStopd t0: [05:00:00 30/10/2012] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 22 u1: BPM st: NotStopd t0: [05:00:00 30/10/2012] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [05:00:00 30/10/2012] id: D5W 100.0ml + 600mcghr Sandostatin IV Infusions el: 3 cu: MICU cg: RN ai: 127 vo: 8.33333 vu: ml t0: [05:00:00 30/10/2012] id: D5/.45NS 50.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 112 vo: 10 vu: ml
t0: [05:00:00 30/10/2012] id: Sandostatin el: 4 cu: MICU cg: RN so: D5W vo: 0 v1: 50 du: mcghr sv: 100 su: ml rt: IV Drip
t0: [06:00:00 30/10/2012] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [06:00:00 30/10/2012] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [06:00:00 30/10/2012] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [06:00:00 30/10/2012] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [06:00:00 30/10/2012] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [06:00:00 30/10/2012] id: Heart Rate el: 0 cu: MICU cg: RN v1: 73 u1: BPM st: NotStopd t0: [06:00:00 30/10/2012] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [06:00:00 30/10/2012] id: NBP el: 0 cu: MICU cg: RN v1: 115 u1: mmHg v2: 65 u2: mmHg st: NotStopd t0: [06:00:00 30/10/2012] id: NBP Mean el: 0 cu: MICU cg: RN v1: 81.6667 u1: mmHg st: NotStopd t0: [06:00:00 30/10/2012] id: Precautions el: 0 cu: MICU cg: RN v1: Contact st: NotStopd t0: [06:00:00 30/10/2012] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 15 u1: BPM st: NotStopd t0: [06:00:00 30/10/2012] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [06:00:00 30/10/2012] id: D5W 100.0ml + 600mcghr Sandostatin IV Infusions el: 3 cu: MICU cg: RN ai: 127 vo: 8.33333 vu: ml t0: [06:00:00 30/10/2012] id: D5/.45NS 50.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 112 vo: 10 vu: ml
t0: [06:00:00 30/10/2012] id: Sandostatin el: 4 cu: MICU cg: RN so: D5W vo: 0 v1: 50 du: mcghr sv: 100 su: ml rt: IV Drip
t0: [07:00:00 30/10/2012] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [07:00:00 30/10/2012] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [07:00:00 30/10/2012] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [07:00:00 30/10/2012] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [07:00:00 30/10/2012] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [07:00:00 30/10/2012] id: Heart Rate el: 0 cu: MICU cg: RN v1: 75 u1: BPM st: NotStopd t0: [07:00:00 30/10/2012] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [07:00:00 30/10/2012] id: NBP el: 0 cu: MICU cg: RN v1: 99 u1: mmHg v2: 49 u2: mmHg st: NotStopd t0: [07:00:00 30/10/2012] id: NBP Mean el: 0 cu: MICU cg: RN v1: 65.6667 u1: mmHg st: NotStopd t0: [07:00:00 30/10/2012] id: Precautions el: 0 cu: MICU cg: RN v1: Contact st: NotStopd t0: [07:00:00 30/10/2012] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 17 u1: BPM st: NotStopd t0: [07:00:00 30/10/2012] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [08:00:00 30/10/2012] id: Pain Present el: 0 cu: MICU cg: RN v1: No st: NotStopd t0: [08:00:00 30/10/2012] id: Pain Assess Method el: 0 cu: MICU cg: RN v1: Pt Verbalized st: NotStopd t0: [08:00:00 30/10/2012] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [08:00:00 30/10/2012] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [08:00:00 30/10/2012] id: Riker-SAS Scale el: 0 cu: MICU cg: RN v1: Calm/Cooperative st: NotStopd t0: [08:00:00 30/10/2012] id: Cough/Deep Breathe el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [08:00:00 30/10/2012] id: Daily Wake Up el: 1 cu: MICU cg: RN v1: No/Not Sedated st: NotStopd t0: [08:00:00 30/10/2012] id: GI Prophylaxis el: 0 cu: MICU cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [08:00:00 30/10/2012] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [08:00:00 30/10/2012] id: Diet Type el: 0 cu: MICU cg: RN v1: Full Liquid st: NotStopd t0: [08:00:00 30/10/2012] id: Dorsal PedPulse R/L el: 0 cu: MICU cg: RN v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [08:00:00 30/10/2012] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [08:00:00 30/10/2012] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [08:00:00 30/10/2012] id: Eye Opening el: 0 cu: MICU cg: RN v1: 4 Spontaneously st: NotStopd t0: [08:00:00 30/10/2012] id: Follows Commands el: 0 cu: MICU cg: RN v1: Consistently st: NotStopd t0: [08:00:00 30/10/2012] id: GCS Total el: 0 cu: MICU cg: RN v1: 15 u1: points st: NotStopd t0: [08:00:00 30/10/2012] id: HOB el: 0 cu: MICU cg: RN v1: 30 degrees st: NotStopd t0: [08:00:00 30/10/2012] id: Heart Rate el: 0 cu: MICU cg: RN v1: 80 u1: BPM st: NotStopd t0: [08:00:00 30/10/2012] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [08:00:00 30/10/2012] id: INV Line#1 Type/Site el: 0 cu: MICU cg: RN v1: Multi-lumen v2: Right Subclavian st: NotStopd t0: [08:00:00 30/10/2012] id: INV Line#1SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [08:00:00 30/10/2012] id: Abdominal Assessment el: 0 cu: MICU cg: RN v1: Firm Distended st: NotStopd t0: [08:00:00 30/10/2012] id: Activity el: 0 cu: MICU cg: RN v1: Bedrest st: NotStopd t0: [08:00:00 30/10/2012] id: Activity Tolerance el: 0 cu: MICU cg: RN v1: Tolerated Well st: NotStopd t0: [08:00:00 30/10/2012] id: Imp Skin Cleanse #1 el: 0 cu: MICU cg: RN v1: Soap & H20 st: NotStopd t0: [08:00:00 30/10/2012] id: ImpSkin Character #1 el: 0 cu: MICU cg: RN v1: Abrasion st: NotStopd t0: [08:00:00 30/10/2012] id: ImpSkin Treatment #1 el: 0 cu: MICU cg: RN v1: Open to Air st: NotStopd t0: [08:00:00 30/10/2012] id: ImpSkin Wound Base#1 el: 0 cu: MICU cg: RN v1: Pink st: NotStopd t0: [08:00:00 30/10/2012] id: Impaired Skin Site#1 el: 0 cu: MICU cg: RN v1: Coccyx st: NotStopd t0: [08:00:00 30/10/2012] id: Incentive Spirometry el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [08:00:00 30/10/2012] id: Level of Conscious el: 0 cu: MICU cg: RN v1: Alert st: NotStopd t0: [08:00:00 30/10/2012] id: Motor Response el: 0 cu: MICU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [08:00:00 30/10/2012] id: NBP el: 0 cu: MICU cg: RN v1: 112 u1: mmHg v2: 46 u2: mmHg st: NotStopd t0: [08:00:00 30/10/2012] id: NBP Mean el: 0 cu: MICU cg: RN v1: 68 u1: mmHg st: NotStopd t0: [08:00:00 30/10/2012] id: O2 Delivery Device el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [08:00:00 30/10/2012] id: Oral Cavity el: 0 cu: MICU cg: RN v1: Bleeding Gum st: NotStopd t0: [08:00:00 30/10/2012] id: Orientation el: 0 cu: MICU cg: RN v1: Oriented x 3 st: NotStopd t0: [08:00:00 30/10/2012] id: Pain Location el: 0 cu: MICU cg: RN v1: Not Indicated st: NotStopd t0: [08:00:00 30/10/2012] id: Pain Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [08:00:00 30/10/2012] id: Position el: 0 cu: MICU cg: RN v1: Supine st: NotStopd t0: [08:00:00 30/10/2012] id: PostTib. Pulses R/L el: 0 cu: MICU cg: RN v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [08:00:00 30/10/2012] id: Assistance Device el: 0 cu: MICU cg: RN v1: 1 Person Assist st: NotStopd t0: [08:00:00 30/10/2012] id: Precautions el: 0 cu: MICU cg: RN v1: Contact st: NotStopd t0: [08:00:00 30/10/2012] id: Respiratory Pattern el: 0 cu: MICU cg: RN v1: Regular st: NotStopd t0: [08:00:00 30/10/2012] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 17 u1: BPM st: NotStopd t0: [08:00:00 30/10/2012] id: Side Rails el: 0 cu: MICU cg: RN v1: Side Rails Up st: NotStopd t0: [08:00:00 30/10/2012] id: Skin Color el: 0 cu: MICU cg: RN v1: Jaundiced st: NotStopd t0: [08:00:00 30/10/2012] id: Skin Integrity el: 0 cu: MICU cg: RN v1: Impaired st: NotStopd t0: [08:00:00 30/10/2012] id: Skin Temp/Condition el: 0 cu: MICU cg: RN v1: Warm v2: Dry st: NotStopd t0: [08:00:00 30/10/2012] id: Spontaneous Movement el: 0 cu: MICU cg: RN v1: Purposeful st: NotStopd t0: [08:00:00 30/10/2012] id: Support Systems el: 0 cu: MICU cg: RN v1: Spouse st: NotStopd t0: [08:00:00 30/10/2012] id: Temp. Site el: 0 cu: MICU cg: RN v1: Oral st: NotStopd t0: [08:00:00 30/10/2012] id: Temperature C (calc) el: 0 cu: MICU cg: RN v1: 37.1667 u1: Deg. C st: NotStopd t0: [08:00:00 30/10/2012] id: Temperature F el: 0 cu: MICU cg: RN v1: 98.9 u1: Deg. F st: NotStopd t0: [08:00:00 30/10/2012] id: Turn el: 0 cu: MICU cg: RN v1: Side to Side st: NotStopd t0: [08:00:00 30/10/2012] id: Urine Color/Appear el: 0 cu: MICU cg: RN v1: Icteric v2: Sediment st: NotStopd t0: [08:00:00 30/10/2012] id: Urine Source el: 0 cu: MICU cg: RN v1: Voids st: NotStopd t0: [08:00:00 30/10/2012] id: Verbal Response el: 0 cu: MICU cg: RN v1: 5 Oriented st: NotStopd t0: [08:00:00 30/10/2012] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [08:00:00 30/10/2012] id: Behavior el: 0 cu: MICU cg: RN v1: Calm st: NotStopd t0: [08:00:00 30/10/2012] id: Bowel Sounds el: 0 cu: MICU cg: RN v1: Present st: NotStopd
t0: [07:00:00 30/10/2012] id: D5W 100.0ml + 600mcghr Sandostatin IV Infusions el: 3 cu: MICU cg: RN ai: 127 vo: 8.33333 vu: ml t0: [07:00:00 30/10/2012] id: D5/.45NS 50.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 112 vo: 10 vu: ml t0: [07:00:00 30/10/2012] id: Urine Out Foley el: 2 cu: MICU cg: RN vo: 650 vu: ml t0: [08:00:00 30/10/2012] id: IV Piggyback IV Infusions el: 1 cu: MICU cg: RN ai: 209 vo: 100 vu: ml t0: [08:00:00 30/10/2012] id: D5W 100.0ml + 600mcghr Sandostatin IV Infusions el: 3 cu: MICU cg: RN ai: 127 vo: 8.33333 vu: ml t0: [08:00:00 30/10/2012] id: D5/.45NS 50.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 112 vo: 10 vu: ml
t0: [07:00:00 30/10/2012] id: Sandostatin el: 4 cu: MICU cg: RN so: D5W vo: 0 v1: 50 du: mcghr sv: 100 su: ml rt: IV Drip t0: [08:00:00 30/10/2012] id: Sandostatin el: 4 cu: MICU cg: RN so: D5W vo: 0 v1: 50 du: mcghr sv: 100 su: ml rt: IV Drip
t0: [08:00:00 30/10/2012] id: LLL Lung Sounds el: 0 cu: MICU cg: RN v1: Diminished st: NotStopd t0: [08:00:00 30/10/2012] id: LUL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [08:00:00 30/10/2012] id: AntiEmbDevice/Status el: 0 cu: MICU cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [08:00:00 30/10/2012] id: RLL Lung Sounds el: 0 cu: MICU cg: RN v1: Diminished st: NotStopd t0: [08:00:00 30/10/2012] id: RUL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [08:00:00 30/10/2012] id: SpO2 el: 0 cu: MICU cg: RN v1: 99 u1: % st: NotStopd
t0: [09:00:00 30/10/2012] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [09:00:00 30/10/2012] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [09:00:00 30/10/2012] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [09:00:00 30/10/2012] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [09:00:00 30/10/2012] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [09:00:00 30/10/2012] id: Heart Rate el: 0 cu: MICU cg: RN v1: 71 u1: BPM st: NotStopd t0: [09:00:00 30/10/2012] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [09:00:00 30/10/2012] id: NBP el: 0 cu: MICU cg: RN v1: 105 u1: mmHg v2: 54 u2: mmHg st: NotStopd t0: [09:00:00 30/10/2012] id: NBP Mean el: 0 cu: MICU cg: RN v1: 71 u1: mmHg st: NotStopd t0: [09:00:00 30/10/2012] id: O2 Delivery Device el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [09:00:00 30/10/2012] id: Precautions el: 0 cu: MICU cg: RN v1: Contact st: NotStopd t0: [09:00:00 30/10/2012] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 19 u1: BPM st: NotStopd t0: [09:00:00 30/10/2012] id: SpO2 el: 0 cu: MICU cg: RN v1: 99 u1: % st: NotStopd t0: [09:00:00 30/10/2012] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [09:00:00 30/10/2012] id: Po Intake PO/Gastric el: 1 cu: MICU cg: RN ai: 103 vo: 200 vu: ml t0: [09:00:00 30/10/2012] id: D5W 100.0ml + 600mcghr Sandostatin IV Infusions el: 3 cu: MICU cg: RN ai: 127 vo: 8.33333 vu: ml t0: [09:00:00 30/10/2012] id: D5/.45NS 50.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 112 vo: 10 vu: ml
t0: [09:00:00 30/10/2012] id: Sandostatin el: 4 cu: MICU cg: RN so: D5W vo: 0 v1: 50 du: mcghr sv: 100 su: ml rt: IV Drip
t0: [10:00:00 30/10/2012] id: bath el: 1 cu: MICU cg: RN v1: do ne t0: [10:00:00 30/10/2012] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [10:00:00 30/10/2012] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [10:00:00 30/10/2012] id: GI Prophylaxis el: 0 cu: MICU cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [10:00:00 30/10/2012] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [10:00:00 30/10/2012] id: Diet Type el: 0 cu: MICU cg: RN v1: Full Liquid st: NotStopd t0: [10:00:00 30/10/2012] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [10:00:00 30/10/2012] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [10:00:00 30/10/2012] id: Eye Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [10:00:00 30/10/2012] id: Eye Opening el: 0 cu: MICU cg: RN v1: 4 Spontaneously st: NotStopd t0: [10:00:00 30/10/2012] id: Follows Commands el: 0 cu: MICU cg: RN v1: Consistently st: NotStopd t0: [10:00:00 30/10/2012] id: GCS Total el: 0 cu: MICU cg: RN v1: 15 u1: points st: NotStopd t0: [10:00:00 30/10/2012] id: Heart Rate el: 0 cu: MICU cg: RN v1: 66 u1: BPM st: NotStopd t0: [10:00:00 30/10/2012] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [10:00:00 30/10/2012] id: Abdominal Assessment el: 0 cu: MICU cg: RN v1: Firm Distended st: NotStopd t0: [10:00:00 30/10/2012] id: Activity el: 0 cu: MICU cg: RN v1: Chair st: NotStopd t0: [10:00:00 30/10/2012] id: Activity Tolerance el: 0 cu: MICU cg: RN v1: Tolerated Well st: NotStopd t0: [10:00:00 30/10/2012] id: Imp Skin Cleanse #1 el: 0 cu: MICU cg: RN v1: Soap & H20 st: NotStopd t0: [10:00:00 30/10/2012] id: ImpSkin Character #1 el: 0 cu: MICU cg: RN v1: Abrasion st: NotStopd t0: [10:00:00 30/10/2012] id: ImpSkin Treatment #1 el: 0 cu: MICU cg: RN v1: Open to Air st: NotStopd t0: [10:00:00 30/10/2012] id: ImpSkin Wound Base#1 el: 0 cu: MICU cg: RN v1: Pink st: NotStopd t0: [10:00:00 30/10/2012] id: Impaired Skin Site#1 el: 0 cu: MICU cg: RN v1: Coccyx st: NotStopd t0: [10:00:00 30/10/2012] id: LLL Lung Sounds el: 0 cu: MICU cg: RN v1: Diminished st: NotStopd t0: [10:00:00 30/10/2012] id: LUL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [10:00:00 30/10/2012] id: Level of Conscious el: 0 cu: MICU cg: RN v1: Alert st: NotStopd t0: [10:00:00 30/10/2012] id: Motor Response el: 0 cu: MICU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [10:00:00 30/10/2012] id: NBP el: 0 cu: MICU cg: RN v1: 107 u1: mmHg v2: 45 u2: mmHg st: NotStopd t0: [10:00:00 30/10/2012] id: NBP Mean el: 0 cu: MICU cg: RN v1: 65.6667 u1: mmHg st: NotStopd t0: [10:00:00 30/10/2012] id: O2 Delivery Device el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [10:00:00 30/10/2012] id: Oral Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [10:00:00 30/10/2012] id: Oral Cavity el: 0 cu: MICU cg: RN v1: Bleeding Gum st: NotStopd t0: [10:00:00 30/10/2012] id: Orientation el: 0 cu: MICU cg: RN v1: Oriented x 3 st: NotStopd t0: [10:00:00 30/10/2012] id: AntiEmbDevice/Status el: 0 cu: MICU cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [10:00:00 30/10/2012] id: Assistance Device el: 0 cu: MICU cg: RN v1: 1 Person Assist st: NotStopd t0: [10:00:00 30/10/2012] id: Precautions el: 0 cu: MICU cg: RN v1: Contact st: NotStopd t0: [10:00:00 30/10/2012] id: RLL Lung Sounds el: 0 cu: MICU cg: RN v1: Diminished st: NotStopd t0: [10:00:00 30/10/2012] id: RUL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [10:00:00 30/10/2012] id: Respiratory Pattern el: 0 cu: MICU cg: RN v1: Regular st: NotStopd t0: [10:00:00 30/10/2012] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 13 u1: BPM st: NotStopd t0: [10:00:00 30/10/2012] id: Side Rails el: 0 cu: MICU cg: RN v1: Side Rails Up st: NotStopd t0: [10:00:00 30/10/2012] id: Skin Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [10:00:00 30/10/2012] id: Skin Color el: 0 cu: MICU cg: RN v1: Jaundiced st: NotStopd t0: [10:00:00 30/10/2012] id: Skin Integrity el: 0 cu: MICU cg: RN v1: Impaired st: NotStopd t0: [10:00:00 30/10/2012] id: Skin Temp/Condition el: 0 cu: MICU cg: RN v1: Warm v2: Dry st: NotStopd t0: [10:00:00 30/10/2012] id: SpO2 el: 0 cu: MICU cg: RN v1: 99 u1: % st: NotStopd t0: [10:00:00 30/10/2012] id: Spontaneous Movement el: 0 cu: MICU cg: RN v1: Purposeful st: NotStopd t0: [10:00:00 30/10/2012] id: Support Systems el: 0 cu: MICU cg: RN v1: Spouse st: NotStopd t0: [10:00:00 30/10/2012] id: Urine Color/Appear el: 0 cu: MICU cg: RN v1: Icteric v2: Sediment st: NotStopd t0: [10:00:00 30/10/2012] id: Urine Source el: 0 cu: MICU cg: RN v1: Voids st: NotStopd t0: [10:00:00 30/10/2012] id: Verbal Response el: 0 cu: MICU cg: RN v1: 5 Oriented st: NotStopd t0: [10:00:00 30/10/2012] id: Back Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [10:00:00 30/10/2012] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [10:00:00 30/10/2012] id: Behavior el: 0 cu: MICU cg: RN v1: Calm st: NotStopd t0: [10:00:00 30/10/2012] id: Bowel Sounds el: 0 cu: MICU cg: RN v1: Present st: NotStopd
t0: [10:00:00 30/10/2012] id: Po Intake PO/Gastric el: 1 cu: MICU cg: RN ai: 103 vo: 120 vu: ml t0: [10:00:00 30/10/2012] id: D5W 100.0ml + 600mcghr Sandostatin IV Infusions el: 3 cu: MICU cg: RN ai: 127 vo: 8.33333 vu: ml t0: [10:00:00 30/10/2012] id: D5/.45NS 50.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 112 vo: 10 vu: ml
t0: [10:00:00 30/10/2012] id: Sandostatin el: 4 cu: MICU cg: RN so: D5W vo: 0 v1: 50 du: mcghr sv: 100 su: ml rt: IV Drip
tf: [14:00:00 01/11/2012] pt: Unit Dose rt: PO fr: QD fs: 10 dn: 1 m1: Nadolol v1: 20 u1: mg tf: [21:00:00 01/11/2012] pt: Unit Dose rt: PO fr: QD fs: 10 dn: 1 m1: Spironolactone v1: 50 u1: mg
t0: [11:00:00 30/10/2012] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [11:00:00 30/10/2012] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [11:00:00 30/10/2012] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [11:00:00 30/10/2012] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [11:00:00 30/10/2012] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [11:00:00 30/10/2012] id: Heart Rate el: 0 cu: MICU cg: RN v1: 73 u1: BPM st: NotStopd t0: [11:00:00 30/10/2012] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [11:00:00 30/10/2012] id: NBP el: 0 cu: MICU cg: RN v1: 112 u1: mmHg v2: 45 u2: mmHg st: NotStopd t0: [11:00:00 30/10/2012] id: NBP Mean el: 0 cu: MICU cg: RN v1: 67.3333 u1: mmHg st: NotStopd t0: [11:00:00 30/10/2012] id: Precautions el: 0 cu: MICU cg: RN v1: Contact st: NotStopd t0: [11:00:00 30/10/2012] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 16 u1: BPM st: NotStopd t0: [11:00:00 30/10/2012] id: SpO2 el: 0 cu: MICU cg: RN v1: 99 u1: % st: NotStopd t0: [11:00:00 30/10/2012] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [11:00:00 30/10/2012] id: D5W 100.0ml + 600mcghr Sandostatin IV Infusions el: 3 cu: MICU cg: RN ai: 127 vo: 8.33333 vu: ml t0: [11:00:00 30/10/2012] id: D5/.45NS 50.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 112 vo: 10 vu: ml
t0: [11:00:00 30/10/2012] id: Sandostatin el: 4 cu: MICU cg: RN so: D5W vo: 0 v1: 50 du: mcghr sv: 100 su: ml rt: IV Drip
t0: [11:00:00 30/10/2012] id: Procedures el: 0 cu: MICU cg: RN v1: Culture/remarks st: NotStopd
tf: [20:00:00 30/10/2012] pt: Unit Dose rt: IV fr: ONCE fs: 11 dn: 1 m1: Magnesium Sulfate v1: 2 u1: gm
t0: [11:00:00 30/10/2012] id: Hematocrit Hematology el: 0 cu: MICU cg: 1663 v1: 32.5 u1: % rs: Final st: NotStopd t0: [11:00:00 30/10/2012] id: Platelets Hematology el: 0 cu: MICU cg: 1663 v1: 96 rs: Final st: NotStopd
t0: [11:00:00 30/10/2012] id: PT el: 0 cu: MICU cg: 1663 v1: 15.4 rs: Final st: NotStopd t0: [11:00:00 30/10/2012] id: INR Coags el: 0 cu: MICU cg: 1663 v1: 1.6 rs: Final st: NotStopd t0: [11:00:00 30/10/2012] id: PTT Coags el: 0 cu: MICU cg: 1663 v1: 37.8 rs: Final st: NotStopd t0: [11:00:00 30/10/2012] id: INR (2-4 ref. range) Coags el: 0 cu: MICU cg: 1663 v1: 1.6 rs: Final st: NotStopd t0: [11:00:00 30/10/2012] id: PT(11-13.5) Coags el: 0 cu: MICU cg: 1663 v1: 15.4 rs: Final st: NotStopd t0: [11:00:00 30/10/2012] id: PTT(22-35) Coags el: 0 cu: MICU cg: 1663 v1: 37.8 rs: Final st: NotStopd
t0: [10:00:00 30/10/2012] id: IV Piggyback IV Infusions el: 1 cu: MICU cg: RN ai: 209 vo: 200 vu: ml
t0: [12:00:00 30/10/2012] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [12:00:00 30/10/2012] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [12:00:00 30/10/2012] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [12:00:00 30/10/2012] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [12:00:00 30/10/2012] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [12:00:00 30/10/2012] id: Heart Rate el: 0 cu: MICU cg: RN v1: 67 u1: BPM st: NotStopd t0: [12:00:00 30/10/2012] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [12:00:00 30/10/2012] id: Precautions el: 0 cu: MICU cg: RN v1: Contact st: NotStopd t0: [12:00:00 30/10/2012] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 16 u1: BPM st: NotStopd t0: [12:00:00 30/10/2012] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [12:00:00 30/10/2012] id: D5W 100.0ml + 600mcghr Sandostatin IV Infusions el: 3 cu: MICU cg: RN ai: 127 vo: 8.33333 vu: ml t0: [12:00:00 30/10/2012] id: D5/.45NS 50.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 112 vo: 10 vu: ml t0: [12:00:00 30/10/2012] id: Urine Out Foley el: 2 cu: MICU cg: RN vo: 500 vu: ml
t0: [12:00:00 30/10/2012] id: Sandostatin el: 4 cu: MICU cg: RN so: D5W vo: 0 v1: 50 du: mcghr sv: 100 su: ml rt: IV Drip
t0: [12:00:00 30/10/2012] id: Temp. Site el: 0 cu: MICU cg: RN v1: Oral st: NotStopd t0: [12:00:00 30/10/2012] id: Temperature C (calc) el: 0 cu: MICU cg: RN v1: 37.1667 u1: Deg. C st: NotStopd t0: [12:00:00 30/10/2012] id: Temperature F el: 0 cu: MICU cg: RN v1: 98.9 u1: Deg. F st: NotStopd
t0: [10:00:00 30/10/2012] id: Cough/Deep Breathe el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [10:00:00 30/10/2012] id: Incentive Spirometry el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [11:00:00 30/10/2012] id: Cough/Deep Breathe el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [11:00:00 30/10/2012] id: Activity el: 0 cu: MICU cg: RN v1: Chair st: NotStopd t0: [11:00:00 30/10/2012] id: Incentive Spirometry el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [11:00:00 30/10/2012] id: O2 Delivery Device el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [12:00:00 30/10/2012] id: Cough/Deep Breathe el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [12:00:00 30/10/2012] id: Activity el: 0 cu: MICU cg: RN v1: Chair st: NotStopd t0: [12:00:00 30/10/2012] id: Incentive Spirometry el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [12:00:00 30/10/2012] id: NBP el: 0 cu: MICU cg: RN v1: 112 u1: mmHg v2: 53 u2: mmHg st: NotStopd t0: [12:00:00 30/10/2012] id: NBP Mean el: 0 cu: MICU cg: RN v1: 72.6667 u1: mmHg st: NotStopd t0: [12:00:00 30/10/2012] id: O2 Delivery Device el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [12:00:00 30/10/2012] id: Procedures el: 0 cu: MICU cg: RN v1: Cardiac Echo st: NotStopd t0: [12:00:00 30/10/2012] id: SpO2 el: 0 cu: MICU cg: RN v1: 99 u1: % st: NotStopd t0: [13:00:00 30/10/2012] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [13:00:00 30/10/2012] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [13:00:00 30/10/2012] id: Cough/Deep Breathe el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [13:00:00 30/10/2012] id: GI Prophylaxis el: 0 cu: MICU cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [13:00:00 30/10/2012] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [13:00:00 30/10/2012] id: Diet Type el: 0 cu: MICU cg: RN v1: Full Liquid st: NotStopd t0: [13:00:00 30/10/2012] id: Dorsal PedPulse R/L el: 0 cu: MICU cg: RN v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [13:00:00 30/10/2012] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [13:00:00 30/10/2012] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [13:00:00 30/10/2012] id: Eye Opening el: 0 cu: MICU cg: RN v1: 4 Spontaneously st: NotStopd t0: [13:00:00 30/10/2012] id: Follows Commands el: 0 cu: MICU cg: RN v1: Consistently st: NotStopd t0: [13:00:00 30/10/2012] id: GCS Total el: 0 cu: MICU cg: RN v1: 15 u1: points st: NotStopd t0: [13:00:00 30/10/2012] id: HOB el: 0 cu: MICU cg: RN v1: 45 degrees st: NotStopd t0: [13:00:00 30/10/2012] id: Heart Rate el: 0 cu: MICU cg: RN v1: 67 u1: BPM st: NotStopd t0: [13:00:00 30/10/2012] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [13:00:00 30/10/2012] id: INV Line#1 Type/Site el: 0 cu: MICU cg: RN v1: Multi-lumen v2: Right Subclavian st: NotStopd t0: [13:00:00 30/10/2012] id: INV Line#1SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [13:00:00 30/10/2012] id: Abdominal Assessment el: 0 cu: MICU cg: RN v1: Firm Distended st: NotStopd t0: [13:00:00 30/10/2012] id: Activity el: 0 cu: MICU cg: RN v1: Bedrest st: NotStopd t0: [13:00:00 30/10/2012] id: Activity Tolerance el: 0 cu: MICU cg: RN v1: Tolerated Well st: NotStopd t0: [13:00:00 30/10/2012] id: Imp Skin Cleanse #1 el: 0 cu: MICU cg: RN v1: Soap & H20 st: NotStopd t0: [13:00:00 30/10/2012] id: ImpSkin Character #1 el: 0 cu: MICU cg: RN v1: Abrasion st: NotStopd t0: [13:00:00 30/10/2012] id: ImpSkin Treatment #1 el: 0 cu: MICU cg: RN v1: Open to Air st: NotStopd t0: [13:00:00 30/10/2012] id: ImpSkin Wound Base#1 el: 0 cu: MICU cg: RN v1: Pink st: NotStopd t0: [13:00:00 30/10/2012] id: Impaired Skin Site#1 el: 0 cu: MICU cg: RN v1: Coccyx st: NotStopd t0: [13:00:00 30/10/2012] id: Incentive Spirometry el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [13:00:00 30/10/2012] id: LLL Lung Sounds el: 0 cu: MICU cg: RN v1: Diminished st: NotStopd t0: [13:00:00 30/10/2012] id: LUL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [13:00:00 30/10/2012] id: Level of Conscious el: 0 cu: MICU cg: RN v1: Alert st: NotStopd t0: [13:00:00 30/10/2012] id: Motor Response el: 0 cu: MICU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [13:00:00 30/10/2012] id: NBP el: 0 cu: MICU cg: RN v1: 112 u1: mmHg v2: 53 u2: mmHg st: NotStopd t0: [13:00:00 30/10/2012] id: NBP Mean el: 0 cu: MICU cg: RN v1: 72.6667 u1: mmHg st: NotStopd t0: [13:00:00 30/10/2012] id: O2 Delivery Device el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [13:00:00 30/10/2012] id: Oral Cavity el: 0 cu: MICU cg: RN v1: Bleeding Gum st: NotStopd t0: [13:00:00 30/10/2012] id: Orientation el: 0 cu: MICU cg: RN v1: Oriented x 3 st: NotStopd t0: [13:00:00 30/10/2012] id: AntiEmbDevice/Status el: 0 cu: MICU cg: RN v1: Elastic Stocking v2: On st: NotStopd t0: [13:00:00 30/10/2012] id: PostTib. Pulses R/L el: 0 cu: MICU cg: RN v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [13:00:00 30/10/2012] id: Assistance Device el: 0 cu: MICU cg: RN v1: 1 Person Assist st: NotStopd t0: [13:00:00 30/10/2012] id: Precautions el: 0 cu: MICU cg: RN v1: Contact st: NotStopd t0: [13:00:00 30/10/2012] id: RLL Lung Sounds el: 0 cu: MICU cg: RN v1: Diminished st: NotStopd t0: [13:00:00 30/10/2012] id: RUL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [13:00:00 30/10/2012] id: Respiratory Pattern el: 0 cu: MICU cg: RN v1: Regular st: NotStopd t0: [13:00:00 30/10/2012] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 18 u1: BPM st: NotStopd t0: [13:00:00 30/10/2012] id: Side Rails el: 0 cu: MICU cg: RN v1: Side Rails Up st: NotStopd t0: [13:00:00 30/10/2012] id: Skin Color el: 0 cu: MICU cg: RN v1: Jaundiced st: NotStopd t0: [13:00:00 30/10/2012] id: Skin Integrity el: 0 cu: MICU cg: RN v1: Impaired st: NotStopd t0: [13:00:00 30/10/2012] id: Skin Temp/Condition el: 0 cu: MICU cg: RN v1: Warm v2: Dry st: NotStopd t0: [13:00:00 30/10/2012] id: SpO2 el: 0 cu: MICU cg: RN v1: 99 u1: % st: NotStopd t0: [13:00:00 30/10/2012] id: Spontaneous Movement el: 0 cu: MICU cg: RN v1: Purposeful st: NotStopd t0: [13:00:00 30/10/2012] id: Support Systems el: 0 cu: MICU cg: RN v1: Spouse st: NotStopd t0: [13:00:00 30/10/2012] id: Turn el: 0 cu: MICU cg: RN v1: Side to Side st: NotStopd t0: [13:00:00 30/10/2012] id: Urine Color/Appear el: 0 cu: MICU cg: RN v1: Icteric v2: Sediment st: NotStopd t0: [13:00:00 30/10/2012] id: Urine Source el: 0 cu: MICU cg: RN v1: Voids st: NotStopd t0: [13:00:00 30/10/2012] id: Verbal Response el: 0 cu: MICU cg: RN v1: 5 Oriented st: NotStopd t0: [13:00:00 30/10/2012] id: Back Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [13:00:00 30/10/2012] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [13:00:00 30/10/2012] id: Behavior el: 0 cu: MICU cg: RN v1: Calm st: NotStopd t0: [13:00:00 30/10/2012] id: Bowel Sounds el: 0 cu: MICU cg: RN v1: Present st: NotStopd
t0: [13:00:00 30/10/2012] id: D5W 100.0ml + 600mcghr Sandostatin IV Infusions el: 3 cu: MICU cg: RN ai: 127 vo: 8.33333 vu: ml t0: [13:00:00 30/10/2012] id: D5/.45NS 50.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 112 vo: 10 vu: ml t0: [13:00:00 30/10/2012] id: Urine Out Foley el: 2 cu: MICU cg: RN vo: 400 vu: ml
t0: [13:00:00 30/10/2012] id: Sandostatin el: 4 cu: MICU cg: RN so: D5W vo: 0 v1: 50 du: mcghr sv: 100 su: ml rt: IV Drip
tf: [20:00:00 30/10/2012] pt: IV Piggyback rt: IV fr: ONCE fs: 14 dn: 1 m1: Potassium Chloride v1: 40 u1: mEq m2: SW v2: 100 u2: ml tf: [21:00:00 01/11/2012] pt: Unit Dose rt: PO fr: Q12H fs: 14, 2 dn: 2 m1: Pantoprazole v1: 40 u1: mg
t0: [14:00:00 30/10/2012] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [14:00:00 30/10/2012] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [14:00:00 30/10/2012] id: Cough/Deep Breathe el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [14:00:00 30/10/2012] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [14:00:00 30/10/2012] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [14:00:00 30/10/2012] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [14:00:00 30/10/2012] id: HOB el: 0 cu: MICU cg: RN v1: 30 degrees st: NotStopd t0: [14:00:00 30/10/2012] id: Heart Rate el: 0 cu: MICU cg: RN v1: 72 u1: BPM st: NotStopd t0: [14:00:00 30/10/2012] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [14:00:00 30/10/2012] id: Activity el: 0 cu: MICU cg: RN v1: Bedrest st: NotStopd t0: [14:00:00 30/10/2012] id: Activity Tolerance el: 0 cu: MICU cg: RN v1: Tolerated Well st: NotStopd t0: [14:00:00 30/10/2012] id: Incentive Spirometry el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [14:00:00 30/10/2012] id: NBP el: 0 cu: MICU cg: RN v1: 103 u1: mmHg v2: 49 u2: mmHg st: NotStopd t0: [14:00:00 30/10/2012] id: NBP Mean el: 0 cu: MICU cg: RN v1: 67 u1: mmHg st: NotStopd t0: [14:00:00 30/10/2012] id: O2 Delivery Device el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [14:00:00 30/10/2012] id: AntiEmbDevice/Status el: 0 cu: MICU cg: RN v1: Elastic Stocking v2: On st: NotStopd t0: [14:00:00 30/10/2012] id: Assistance Device el: 0 cu: MICU cg: RN v1: 1 Person Assist st: NotStopd t0: [14:00:00 30/10/2012] id: Precautions el: 0 cu: MICU cg: RN v1: Contact st: NotStopd t0: [14:00:00 30/10/2012] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 17 u1: BPM st: NotStopd t0: [14:00:00 30/10/2012] id: Turn el: 0 cu: MICU cg: RN v1: Side to Side st: NotStopd t0: [14:00:00 30/10/2012] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [12:00:00 30/10/2012] id: Po Intake PO/Gastric el: 1 cu: MICU cg: RN ai: 103 vo: 120 vu: ml t0: [13:00:00 30/10/2012] id: Po Intake PO/Gastric el: 1 cu: MICU cg: RN ai: 103 vo: 230 vu: ml
t0: [14:00:00 30/10/2012] id: Sandostatin el: 4 cu: MICU cg: RN so: D5W vo: 0 v1: 50 du: mcghr sv: 100 su: ml rt: IV Drip
t0: [14:00:00 30/10/2012] id: D5W 100.0ml + 600mcghr Sandostatin IV Infusions el: 3 cu: MICU cg: RN ai: 127 vo: 8.33333 vu: ml t0: [14:00:00 30/10/2012] id: D5/.45NS 50.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 112 vo: 10 vu: ml t0: [14:00:00 30/10/2012] id: Urine Out Foley el: 2 cu: MICU cg: RN vo: 400 vu: ml
t0: [12:00:00 30/10/2012] id: Pain Present el: 0 cu: MICU cg: RN v1: No st: NotStopd t0: [12:00:00 30/10/2012] id: Pain Assess Method el: 0 cu: MICU cg: RN v1: Pt Verbalized st: NotStopd t0: [12:00:00 30/10/2012] id: Riker-SAS Scale el: 0 cu: MICU cg: RN v1: Calm/Cooperative st: NotStopd t0: [12:00:00 30/10/2012] id: Daily Wake Up el: 1 cu: MICU cg: RN v1: No/Not Sedated st: NotStopd t0: [12:00:00 30/10/2012] id: Pain Location el: 0 cu: MICU cg: RN v1: Not Indicated st: NotStopd t0: [12:00:00 30/10/2012] id: Pain Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [15:00:00 30/10/2012] id: Pain Present el: 0 cu: MICU cg: RN v1: No st: NotStopd t0: [15:00:00 30/10/2012] id: Pain Assess Method el: 0 cu: MICU cg: RN v1: Pt Verbalized st: NotStopd t0: [15:00:00 30/10/2012] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [15:00:00 30/10/2012] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [15:00:00 30/10/2012] id: Riker-SAS Scale el: 0 cu: MICU cg: RN v1: Calm/Cooperative st: NotStopd t0: [15:00:00 30/10/2012] id: Daily Wake Up el: 1 cu: MICU cg: RN v1: No/Hemodyn Issue st: NotStopd t0: [15:00:00 30/10/2012] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [15:00:00 30/10/2012] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [15:00:00 30/10/2012] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [15:00:00 30/10/2012] id: Heart Rate el: 0 cu: MICU cg: RN v1: 70 u1: BPM st: NotStopd t0: [15:00:00 30/10/2012] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [15:00:00 30/10/2012] id: NBP el: 0 cu: MICU cg: RN v1: 112 u1: mmHg v2: 56 u2: mmHg st: NotStopd t0: [15:00:00 30/10/2012] id: NBP Mean el: 0 cu: MICU cg: RN v1: 74.6667 u1: mmHg st: NotStopd t0: [15:00:00 30/10/2012] id: O2 Delivery Device el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [15:00:00 30/10/2012] id: Pain Location el: 0 cu: MICU cg: RN v1: Not Indicated st: NotStopd t0: [15:00:00 30/10/2012] id: Pain Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [15:00:00 30/10/2012] id: Precautions el: 0 cu: MICU cg: RN v1: Contact st: NotStopd t0: [15:00:00 30/10/2012] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 21 u1: BPM st: NotStopd t0: [15:00:00 30/10/2012] id: SpO2 el: 0 cu: MICU cg: RN v1: 99 u1: % st: NotStopd t0: [15:00:00 30/10/2012] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [15:00:00 30/10/2012] id: Po Intake PO/Gastric el: 1 cu: MICU cg: RN ai: 103 vo: 100 vu: ml t0: [15:00:00 30/10/2012] id: D5W 100.0ml + 600mcghr Sandostatin IV Infusions el: 3 cu: MICU cg: RN ai: 127 vo: 8.33333 vu: ml
t0: [15:00:00 30/10/2012] id: Sandostatin el: 4 cu: MICU cg: RN so: D5W vo: 0 v1: 50 du: mcghr sv: 100 su: ml rt: IV Drip
t0: [23:00:00 30/10/2012] dt: 24 id: PO/Gastric In Total el: 2 cu: MICU-A cg: RN cv: 770 ap: none
t0: [16:00:00 30/10/2012] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [16:00:00 30/10/2012] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [16:00:00 30/10/2012] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [16:00:00 30/10/2012] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [16:00:00 30/10/2012] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [16:00:00 30/10/2012] id: Heart Rate el: 0 cu: MICU cg: RN v1: 68 u1: BPM st: NotStopd t0: [16:00:00 30/10/2012] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [16:00:00 30/10/2012] id: NBP el: 0 cu: MICU cg: RN v1: 102 u1: mmHg v2: 45 u2: mmHg st: NotStopd t0: [16:00:00 30/10/2012] id: NBP Mean el: 0 cu: MICU cg: RN v1: 64 u1: mmHg st: NotStopd t0: [16:00:00 30/10/2012] id: Precautions el: 0 cu: MICU cg: RN v1: Contact st: NotStopd t0: [16:00:00 30/10/2012] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 17 u1: BPM st: NotStopd t0: [16:00:00 30/10/2012] id: Temperature C (calc) el: 0 cu: MICU cg: RN v1: 37.1667 u1: Deg. C st: NotStopd t0: [16:00:00 30/10/2012] id: Temperature F el: 0 cu: MICU cg: RN v1: 98.9 u1: Deg. F st: NotStopd t0: [16:00:00 30/10/2012] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [16:00:00 30/10/2012] id: Sandostatin el: 4 cu: MICU cg: RN so: D5W vo: 0 v1: 50 du: mcghr sv: 100 su: ml rt: IV Drip
t0: [16:00:00 30/10/2012] id: SpO2 el: 0 cu: MICU cg: RN v1: 99 u1: % st: NotStopd
t0: [17:00:00 30/10/2012] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [17:00:00 30/10/2012] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [17:00:00 30/10/2012] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [17:00:00 30/10/2012] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [17:00:00 30/10/2012] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [17:00:00 30/10/2012] id: Heart Rate el: 0 cu: MICU cg: RN v1: 71 u1: BPM st: NotStopd t0: [17:00:00 30/10/2012] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [17:00:00 30/10/2012] id: NBP el: 0 cu: MICU cg: RN v1: 102 u1: mmHg v2: 45 u2: mmHg st: NotStopd t0: [17:00:00 30/10/2012] id: NBP Mean el: 0 cu: MICU cg: RN v1: 64 u1: mmHg st: NotStopd t0: [17:00:00 30/10/2012] id: O2 Delivery Device el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [17:00:00 30/10/2012] id: Precautions el: 0 cu: MICU cg: RN v1: Contact st: NotStopd t0: [17:00:00 30/10/2012] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 17 u1: BPM st: NotStopd t0: [17:00:00 30/10/2012] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [16:00:00 30/10/2012] id: D5W 100.0ml + 600mcghr Sandostatin IV Infusions el: 3 cu: MICU cg: RN ai: 127 vo: 8.33333 vu: ml t0: [17:00:00 30/10/2012] id: D5W 100.0ml + 600mcghr Sandostatin IV Infusions el: 3 cu: MICU cg: RN ai: 127 vo: 8.33333 vu: ml t0: [17:00:00 30/10/2012] id: Urine Out Foley el: 2 cu: MICU cg: RN vo: 500 vu: ml
t0: [17:00:00 30/10/2012] id: Sandostatin el: 4 cu: MICU cg: RN so: D5W vo: 0 v1: 50 du: mcghr sv: 100 su: ml rt: IV Drip
tf: [22:00:00 01/11/2012] pt: IV Piggyback rt: IV fr: ONCE fs: 23 dn: 1 m1: Vancomycin HCl v1: 1000 u1: mg m2: Iso-Osmotic Dextrose v2: 200 u2: ml
tf: [12:00:00 03/11/2012] pt: IV Piggyback rt: IV fr: Q12H fs: 6, 18 dn: 2 m1: Vancomycin HCl v1: 1000 u1: mg m2: Iso-Osmotic Dextrose v2: 200 u2: ml
tf: [21:00:00 01/11/2012] pt: Unit Dose rt: PO fr: QD fs: 10 dn: 1 m1: Nadolol v1: 30 u1: mg
t0: [22:00:00 01/11/2012] id: INV#2Chg o/Wire Date el: 0 cu: MICU-A cg: -1 st: D/C'd t0: [22:00:00 01/11/2012] id: Cartridge/Bag Change el: 0 cu: MICU-A cg: -1 st: D/C'd t0: [22:00:00 01/11/2012] id: Initials (2 RNs) el: 0 cu: MICU-A cg: -1 st: D/C'd t0: [22:00:00 01/11/2012] id: Med Wasted/Amt el: 0 cu: MICU-A cg: -1 st: D/C'd t0: [22:00:00 01/11/2012] id: Aggitation el: 0 cu: MICU-A cg: -1 st: D/C'd t0: [22:00:00 01/11/2012] id: Anxiety el: 0 cu: MICU-A cg: -1 st: D/C'd t0: [22:00:00 01/11/2012] id: Ataxia el: 0 cu: MICU-A cg: -1 st: D/C'd t0: [22:00:00 01/11/2012] id: Auditory Disturbance el: 0 cu: MICU-A cg: -1 st: D/C'd t0: [22:00:00 01/11/2012] id: CIWA Sum Total el: 0 cu: MICU-A cg: -1 st: D/C'd t0: [22:00:00 01/11/2012] id: Drowsiness el: 0 cu: MICU-A cg: -1 st: D/C'd t0: [22:00:00 01/11/2012] id: Headache el: 0 cu: MICU-A cg: -1 st: D/C'd t0: [22:00:00 01/11/2012] id: Insomnia el: 0 cu: MICU-A cg: -1 st: D/C'd t0: [22:00:00 01/11/2012] id: Nausea and Vomiting el: 0 cu: MICU-A cg: -1 st: D/C'd t0: [22:00:00 01/11/2012] id: Orient/Clouding Sens el: 0 cu: MICU-A cg: -1 st: D/C'd t0: [22:00:00 01/11/2012] id: Paroxysmal Sweats el: 0 cu: MICU-A cg: -1 st: D/C'd t0: [22:00:00 01/11/2012] id: Seizure el: 0 cu: MICU-A cg: -1 st: D/C'd t0: [22:00:00 01/11/2012] id: Slurred Speech el: 0 cu: MICU-A cg: -1 st: D/C'd t0: [22:00:00 01/11/2012] id: Sustained Nystamus el: 0 cu: MICU-A cg: -1 st: D/C'd t0: [22:00:00 01/11/2012] id: Tactile Disturbances el: 0 cu: MICU-A cg: -1 st: D/C'd t0: [22:00:00 01/11/2012] id: Tremor el: 0 cu: MICU-A cg: -1 st: D/C'd t0: [22:00:00 01/11/2012] id: Visual Disturbances el: 0 cu: MICU-A cg: -1 st: D/C'd t0: [22:00:00 01/11/2012] id: IV #4 Reason DC'D el: 0 cu: MICU-A cg: -1 st: D/C'd t0: [22:00:00 01/11/2012] id: INV Line#2 D/C Date el: 0 cu: MICU-A cg: -1 st: D/C'd t0: [22:00:00 01/11/2012] id: INV Line#2 Site Date el: 0 cu: MICU-A cg: -1 st: D/C'd t0: [22:00:00 01/11/2012] id: INV Line#2 Type/Site el: 0 cu: MICU-A cg: -1 st: D/C'd t0: [22:00:00 01/11/2012] id: INV Line#2 Zero/Cal el: 0 cu: MICU-A cg: -1 st: D/C'd t0: [22:00:00 01/11/2012] id: INV Line#2InsertDate el: 0 cu: MICU-A cg: -1 st: D/C'd t0: [22:00:00 01/11/2012] id: INV Line#2SiteAppear el: 0 cu: MICU-A cg: -1 st: D/C'd t0: [22:00:00 01/11/2012] id: INV#2 WaveformAppear el: 0 cu: MICU-A cg: -1 st: D/C'd t0: [22:00:00 01/11/2012] id: IV #4 D/C Date el: 0 cu: MICU-A cg: -1 st: D/C'd t0: [22:00:00 01/11/2012] id: IV #4 Insert Date el: 0 cu: MICU-A cg: -1 st: D/C'd t0: [22:00:00 01/11/2012] id: IV #4 Site/Size el: 0 cu: MICU-A cg: -1 st: D/C'd t0: [22:00:00 01/11/2012] id: IV Site Appear #4 el: 0 cu: MICU-A cg: -1 st: D/C'd
io: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ra: 10 ru: ml/hr io: .9% Normal Saline 1000.0ml IV Infusions el: 7 cu: MICU-A cg: RN ra: 10 ru: ml/hr
t0: [22:00:00 01/11/2012] id: D5W 50.0ml IV Infusions el: 1 cu: MICU-A cg: -1 ai: 109 vo: 0 st: D/C'd t0: [22:00:00 01/11/2012] id: D5/.45NS 50.0ml IV Infusions el: 1 cu: MICU-A cg: -1 ai: 112 vo: 0 st: D/C'd
id: .9% Normal Saline el: 1 cu: MICU-A cg: RN io: .9% Normal Saline 1000.0ml IV Infusions vo: 1000 du: ml rt: Intravenous Push id: .9% Normal Saline el: 7 cu: MICU-A cg: RN io: .9% Normal Saline 1000.0ml IV Infusions vo: 1000 du: ml rt: Intravenous Push id: Pre-Admission Intake el: 2 cu: MICU-A cg: RN io: Pre-Admission Intake Pre-Admission Intake du: cc rt: Intravenous Push
tf: [13:57:00 06/11/2012] dt: 6677 cu: MICU-A de: FA7A
t0: [21:55:00 01/11/2012] id: PT el: 0 cu: MICU-A cg: 1663 v1: 17.5 rs: Final st: NotStopd t0: [21:55:00 01/11/2012] id: INR Coags el: 0 cu: MICU-A cg: 1663 v1: 2 rs: Final st: NotStopd t0: [21:55:00 01/11/2012] id: PTT Coags el: 0 cu: MICU-A cg: 1663 v1: 42.7 rs: Final st: NotStopd t0: [21:55:00 01/11/2012] id: INR (2-4 ref. range) Coags el: 0 cu: MICU-A cg: 1663 v1: 2 rs: Final st: NotStopd t0: [21:55:00 01/11/2012] id: PT(11-13.5) Coags el: 0 cu: MICU-A cg: 1663 v1: 17.5 rs: Final st: NotStopd t0: [21:55:00 01/11/2012] id: PTT(22-35) Coags el: 0 cu: MICU-A cg: 1663 v1: 42.7 rs: Final st: NotStopd
t0: [22:45:00 01/11/2012] id: Pain Level el: 0 cu: MICU-A cg: RN v1: 3-Mild to Mod st: NotStopd t0: [22:45:00 01/11/2012] id: Pain Present el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [22:45:00 01/11/2012] id: Pain Assess Method el: 0 cu: MICU-A cg: RN v1: Pt Verbalized st: NotStopd t0: [22:45:00 01/11/2012] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [22:45:00 01/11/2012] id: Riker-SAS Scale el: 0 cu: MICU-A cg: RN v1: Calm/Cooperative st: NotStopd t0: [22:45:00 01/11/2012] id: Daily Wake Up el: 1 cu: MICU-A cg: RN v1: No/Not Sedated st: NotStopd t0: [22:45:00 01/11/2012] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [22:45:00 01/11/2012] id: Diet Type el: 0 cu: MICU-A cg: RN v1: NPO st: NotStopd t0: [22:45:00 01/11/2012] id: Dorsal PedPulse R/L el: 0 cu: MICU-A cg: RN v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [22:45:00 01/11/2012] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [22:45:00 01/11/2012] id: Eye Opening el: 0 cu: MICU-A cg: RN v1: 4 Spontaneously st: NotStopd t0: [22:45:00 01/11/2012] id: Follows Commands el: 0 cu: MICU-A cg: RN v1: Consistently st: NotStopd t0: [22:45:00 01/11/2012] id: GCS Total el: 0 cu: MICU-A cg: RN v1: 15 u1: points st: NotStopd t0: [22:45:00 01/11/2012] id: HOB el: 0 cu: MICU-A cg: RN v1: 30 degrees st: NotStopd t0: [22:45:00 01/11/2012] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 68 u1: BPM st: NotStopd t0: [22:45:00 01/11/2012] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [22:45:00 01/11/2012] id: INV Line#1 Type/Site el: 0 cu: MICU-A cg: RN v1: PICC line v2: Left Antecub st: NotStopd t0: [22:45:00 01/11/2012] id: INV Line#1InsertDate el: 0 cu: MICU-A cg: RN v1: 10 v2: 9 st: NotStopd t0: [22:45:00 01/11/2012] id: INV Line#1SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [22:45:00 01/11/2012] id: Abdominal Assessment el: 0 cu: MICU-A cg: RN v1: Ascites st: NotStopd t0: [22:45:00 01/11/2012] id: IV #3 Insert Date el: 0 cu: MICU-A cg: RN v1: 10 v2: 9 st: NotStopd t0: [22:45:00 01/11/2012] id: IV #3 Site/Size el: 0 cu: MICU-A cg: RN v1: Right Antecub v2: 18 gauge st: NotStopd t0: [22:45:00 01/11/2012] id: Activity el: 0 cu: MICU-A cg: RN v1: Bedrest st: NotStopd t0: [22:45:00 01/11/2012] id: IV Site Appear #3 el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [22:45:00 01/11/2012] id: Activity Tolerance el: 0 cu: MICU-A cg: RN v1: Tolerated Well st: NotStopd t0: [22:45:00 01/11/2012] id: Imp Skin Cleanse #1 el: 0 cu: MICU-A cg: RN v1: Soap & H20 st: NotStopd t0: [22:45:00 01/11/2012] id: ImpSkin Character #1 el: 0 cu: MICU-A cg: RN v1: Abrasion st: NotStopd t0: [22:45:00 01/11/2012] id: ImpSkin Treatment #1 el: 0 cu: MICU-A cg: RN v1: Open to Air st: NotStopd t0: [22:45:00 01/11/2012] id: ImpSkin Wound Base#1 el: 0 cu: MICU-A cg: RN v1: Pink st: NotStopd t0: [22:45:00 01/11/2012] id: Impaired Skin Site#1 el: 0 cu: MICU-A cg: RN v1: Coccyx st: NotStopd t0: [22:45:00 01/11/2012] id: LLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Clear st: NotStopd t0: [22:45:00 01/11/2012] id: LUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Clear st: NotStopd t0: [22:45:00 01/11/2012] id: Level of Conscious el: 0 cu: MICU-A cg: RN v1: Alert st: NotStopd t0: [22:45:00 01/11/2012] id: Motor Response el: 0 cu: MICU-A cg: RN v1: 6 Obeys Commands st: NotStopd t0: [22:45:00 01/11/2012] id: NBP el: 0 cu: MICU-A cg: RN v1: 97 u1: mmHg v2: 37 u2: mmHg st: NotStopd t0: [22:45:00 01/11/2012] id: NBP Mean el: 0 cu: MICU-A cg: RN v1: 57 u1: mmHg st: NotStopd t0: [22:45:00 01/11/2012] id: O2 Delivery Device el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [22:45:00 01/11/2012] id: Oral Cavity el: 0 cu: MICU-A cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [22:45:00 01/11/2012] id: Orientation el: 0 cu: MICU-A cg: RN v1: Oriented x 3 st: NotStopd t0: [22:45:00 01/11/2012] id: AntiEmbDevice/Status el: 0 cu: MICU-A cg: RN v1: Compress Sleeves v2: Off st: NotStopd t0: [22:45:00 01/11/2012] id: Pain Cause el: 0 cu: MICU-A cg: RN v1: At Rest st: NotStopd t0: [22:45:00 01/11/2012] id: Pain Level (Rest) el: 0 cu: MICU-A cg: RN v1: 3-Mild to Mod st: NotStopd t0: [22:45:00 01/11/2012] id: Pain Location el: 0 cu: MICU-A cg: RN v1: Abdominal st: NotStopd t0: [22:45:00 01/11/2012] id: Pain Type el: 0 cu: MICU-A cg: RN v1: Aching st: NotStopd t0: [22:45:00 01/11/2012] id: Position el: 0 cu: MICU-A cg: RN v1: Supine st: NotStopd t0: [22:45:00 01/11/2012] id: Assistance Device el: 0 cu: MICU-A cg: RN v1: 2 Person Assist st: NotStopd t0: [22:45:00 01/11/2012] id: Precautions el: 0 cu: MICU-A cg: RN v1: Contact st: NotStopd t0: [22:45:00 01/11/2012] id: RLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Clear st: NotStopd t0: [22:45:00 01/11/2012] id: RUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Clear st: NotStopd t0: [22:45:00 01/11/2012] id: Respiratory Pattern el: 0 cu: MICU-A cg: RN v1: Regular st: NotStopd t0: [22:45:00 01/11/2012] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 28 u1: BPM st: NotStopd t0: [22:45:00 01/11/2012] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [22:45:00 01/11/2012] id: Skin Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [22:45:00 01/11/2012] id: Skin Color el: 0 cu: MICU-A cg: RN v1: Jaundiced st: NotStopd t0: [22:45:00 01/11/2012] id: Skin Integrity el: 0 cu: MICU-A cg: RN v1: Impaired st: NotStopd t0: [22:45:00 01/11/2012] id: Skin Temp/Condition el: 0 cu: MICU-A cg: RN v1: Warm v2: Dry st: NotStopd t0: [22:45:00 01/11/2012] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 97 u1: % st: NotStopd t0: [22:45:00 01/11/2012] id: Spontaneous Movement el: 0 cu: MICU-A cg: RN v1: Purposeful st: NotStopd t0: [22:45:00 01/11/2012] id: Support Systems el: 0 cu: MICU-A cg: RN v1: Spouse st: NotStopd t0: [22:45:00 01/11/2012] id: Temp. Site el: 0 cu: MICU-A cg: RN v1: Oral st: NotStopd t0: [22:45:00 01/11/2012] id: Temperature C (calc) el: 0 cu: MICU-A cg: RN v1: 37.3889 u1: Deg. C st: NotStopd t0: [22:45:00 01/11/2012] id: Temperature F el: 0 cu: MICU-A cg: RN v1: 99.3 u1: Deg. F st: NotStopd t0: [22:45:00 01/11/2012] id: Turn el: 0 cu: MICU-A cg: RN v1: Side to Side st: NotStopd t0: [22:45:00 01/11/2012] id: Verbal Response el: 0 cu: MICU-A cg: RN v1: 5 Oriented st: NotStopd t0: [22:45:00 01/11/2012] id: Back Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [22:45:00 01/11/2012] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [22:45:00 01/11/2012] id: Bowel Sounds el: 0 cu: MICU-A cg: RN v1: Present st: NotStopd t0: [22:45:00 01/11/2012] id: Braden Activity el: 0 cu: MICU-A cg: RN v1: Bedfast st: NotStopd t0: [22:45:00 01/11/2012] id: Braden Frict/Shear el: 0 cu: MICU-A cg: RN v1: Potential Prob st: NotStopd t0: [22:45:00 01/11/2012] id: Braden Mobility el: 0 cu: MICU-A cg: RN v1: Sl. Limited st: NotStopd t0: [22:45:00 01/11/2012] id: Braden Moisture el: 0 cu: MICU-A cg: RN v1: Rarely Moist st: NotStopd t0: [22:45:00 01/11/2012] id: Braden Nutrition el: 0 cu: MICU-A cg: RN v1: Prob. Inadequate st: NotStopd t0: [22:45:00 01/11/2012] id: Braden Score el: 0 cu: MICU-A cg: RN v1: 15 u1: number st: NotStopd t0: [22:45:00 01/11/2012] id: Braden SensoryPercep el: 0 cu: MICU-A cg: RN v1: Sl. Limited st: NotStopd
t0: [22:45:00 01/11/2012] tf: [13:57:00 06/11/2012] dt: 6672 id: Pre-Admission Intake Pre-Admission Intake el: 2 cu: MICU-A cg: RN ai: 160 vo: 400 vu: ml t0: [22:45:00 01/11/2012] tf: [13:57:00 06/11/2012] dt: 6672 id: Fresh Frozen Plasma IV Infusions el: 1 cu: MICU-A cg: RN ai: 155 vo: 338 vu: ml
t0: [23:00:00 31/10/2012] dt: multiple days id: LOS Net Body Balance el: 2 cu: MICU-A cg: RN cv: 9284.78 ap: carryForward
t0: [22:45:00 01/11/2012] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [22:45:00 01/11/2012] id: PostTib. Pulses R/L el: 0 cu: MICU-A cg: RN v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [22:45:00 01/11/2012] id: Previous Weight el: 0 cu: MICU-A cg: RN v1: 95.5 u1: kg st: NotStopd t0: [22:45:00 01/11/2012] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 95.5 u1: kg st: NotStopd t0: [22:45:00 01/11/2012] id: Urine Source el: 0 cu: MICU-A cg: RN v1: Voids st: NotStopd t0: [22:45:00 01/11/2012] id: Weight Change el: 0 cu: MICU-A cg: RN v1: 0 u1: kg st: NotStopd t0: [22:45:00 01/11/2012] id: Daily Weight el: 0 cu: MICU-A cg: RN v1: 95.5 u1: kg st: NotStopd
t0: [22:45:00 01/11/2012] id: .9% Normal Saline 1000.0ml IV Infusions el: 7 cu: MICU-A cg: RN ai: 107 vo: 0 vu: ml nb: 1 t0: [23:00:00 01/11/2012] id: Fresh Frozen Plasma IV Infusions el: 1 cu: MICU-A cg: RN ai: 155 vo: 363 vu: ml
tf: [10:00:00 06/11/2012] pt: IV Piggyback rt: IV fr: Q12H fs: 4, 16 dn: 2 m1: Pantoprazole Sodium v1: 40 u1: mg m2: NS v2: 100 u2: ml
t0: [23:00:00 01/11/2012] tf: [01:00:00 02/11/2012] dt: 120 id: .9% Normal Saline 1000.0ml IV Infusions el: 7 cu: MICU-A cg: RN ai: 107 vo: 2.5 vu: ml t0: [23:00:00 01/11/2012] tf: [13:57:00 06/11/2012] dt: 6657 id: Stool Out Stool el: 1 cu: MICU-A cg: RN vo: 400 vu: ml t0: [23:00:00 01/11/2012] tf: [13:57:00 06/11/2012] dt: 6657 id: Gastric Emesis el: 1 cu: MICU-A cg: RN vo: 500 vu: ml
t0: [23:30:00 01/11/2012] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [23:30:00 01/11/2012] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [23:30:00 01/11/2012] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [23:30:00 01/11/2012] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: Occasional st: NotStopd t0: [23:30:00 01/11/2012] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: PVC's st: NotStopd t0: [23:30:00 01/11/2012] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 77 u1: BPM st: NotStopd t0: [23:30:00 01/11/2012] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [23:30:00 01/11/2012] id: NBP el: 0 cu: MICU-A cg: RN v1: 124 u1: mmHg v2: 63 u2: mmHg st: NotStopd t0: [23:30:00 01/11/2012] id: NBP Mean el: 0 cu: MICU-A cg: RN v1: 83.3333 u1: mmHg st: NotStopd t0: [23:30:00 01/11/2012] id: Precautions el: 0 cu: MICU-A cg: RN v1: Contact st: NotStopd t0: [23:30:00 01/11/2012] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 95.5 u1: kg st: NotStopd t0: [23:30:00 01/11/2012] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 16 u1: BPM st: NotStopd t0: [23:30:00 01/11/2012] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 97 u1: % st: NotStopd t0: [23:30:00 01/11/2012] id: Temp. Site el: 0 cu: MICU-A cg: RN v1: Oral st: NotStopd t0: [23:30:00 01/11/2012] id: Temperature C (calc) el: 0 cu: MICU-A cg: RN v1: 37.1111 u1: Deg. C st: NotStopd t0: [23:30:00 01/11/2012] id: Temperature F el: 0 cu: MICU-A cg: RN v1: 98.8 u1: Deg. F st: NotStopd t0: [23:30:00 01/11/2012] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [23:38:00 01/11/2012] id: Blood Products Hematology el: 0 cu: MICU-A cg: 1663 v1: Y rs: Final st: NotStopd
t0: [23:00:00 01/11/2012] dt: 1 id: Total Hourly Output el: 2 cu: MICU-A cg: 1663 pv: 900 cv: 900 ap: none t0: [23:00:00 01/11/2012] dt: 1 id: Net Hourly Balance el: 2 cu: MICU-A cg: 1663 pv: -196.5 cv: -196.5 ap: none t0: [23:00:00 01/11/2012] dt: 24 id: Gastric Out Total el: 2 cu: MICU-A cg: 1663 pv: 500 cv: 500 ap: none t0: [23:00:00 01/11/2012] dt: 24 id: IV Infusion In Total el: 2 cu: MICU-A cg: 1663 pv: 2.5 cv: 2.5 ap: none t0: [23:00:00 01/11/2012] dt: 24 id: 24h Total In el: 2 cu: MICU-A cg: 1663 pv: 1103.5 cv: 1103.5 ap: none t0: [23:00:00 01/11/2012] dt: 24 id: Stool Out Total el: 2 cu: MICU-A cg: 1663 pv: 400 cv: 400 ap: none t0: [23:00:00 01/11/2012] dt: 24 id: 24h Net Body Balance el: 2 cu: MICU-A cg: 1663 pv: 203.5 cv: 203.5 ap: none t0: [23:00:00 01/11/2012] dt: 24 id: 24h Total Out el: 2 cu: MICU-A cg: 1663 pv: 900 cv: 900 ap: none t0: [23:00:00 01/11/2012] dt: 24 id: Blood Products Total el: 2 cu: MICU-A cg: 1663 pv: 701 cv: 701 ap: none t0: [23:00:00 01/11/2012] dt: multiple days id: LOS Net Body Balance el: 2 cu: MICU-A cg: 1663 pv: 203.5 cv: 9488.28 ap: carryForward
t0: [00:00:00 02/11/2012] id: Pain Present el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [00:00:00 02/11/2012] id: Pain Assess Method el: 0 cu: MICU-A cg: RN v1: Pt Verbalized st: NotStopd t0: [00:00:00 02/11/2012] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [00:00:00 02/11/2012] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [00:00:00 02/11/2012] id: Riker-SAS Scale el: 0 cu: MICU-A cg: RN v1: Calm/Cooperative st: NotStopd t0: [00:00:00 02/11/2012] id: Daily Wake Up el: 1 cu: MICU-A cg: RN v1: No/Not Sedated st: NotStopd t0: [00:00:00 02/11/2012] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [00:00:00 02/11/2012] id: Diet Type el: 0 cu: MICU-A cg: RN v1: NPO st: NotStopd t0: [00:00:00 02/11/2012] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: Occasional st: NotStopd t0: [00:00:00 02/11/2012] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: PVC's st: NotStopd t0: [00:00:00 02/11/2012] id: Eye Opening el: 0 cu: MICU-A cg: RN v1: 4 Spontaneously st: NotStopd t0: [00:00:00 02/11/2012] id: Follows Commands el: 0 cu: MICU-A cg: RN v1: Consistently st: NotStopd t0: [00:00:00 02/11/2012] id: GCS Total el: 0 cu: MICU-A cg: RN v1: 15 u1: points st: NotStopd t0: [00:00:00 02/11/2012] id: HOB el: 0 cu: MICU-A cg: RN v1: 30 degrees st: NotStopd t0: [00:00:00 02/11/2012] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 79 u1: BPM st: NotStopd t0: [00:00:00 02/11/2012] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [00:00:00 02/11/2012] id: INV Line#1 Type/Site el: 0 cu: MICU-A cg: RN v1: PICC line v2: Left Antecub st: NotStopd t0: [00:00:00 02/11/2012] id: INV Line#1InsertDate el: 0 cu: MICU-A cg: RN v1: 10 v2: 9 st: NotStopd t0: [00:00:00 02/11/2012] id: INV Line#1SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [00:00:00 02/11/2012] id: Abdominal Assessment el: 0 cu: MICU-A cg: RN v1: Ascites st: NotStopd t0: [00:00:00 02/11/2012] id: IV #3 Insert Date el: 0 cu: MICU-A cg: RN v1: 10 v2: 9 st: NotStopd t0: [00:00:00 02/11/2012] id: IV #3 Site/Size el: 0 cu: MICU-A cg: RN v1: Right Antecub v2: 18 gauge st: NotStopd t0: [00:00:00 02/11/2012] id: Activity el: 0 cu: MICU-A cg: RN v1: Bedrest st: NotStopd t0: [00:00:00 02/11/2012] id: IV Site Appear #3 el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [00:00:00 02/11/2012] id: Activity Tolerance el: 0 cu: MICU-A cg: RN v1: Tolerated Well st: NotStopd t0: [00:00:00 02/11/2012] id: Imp Skin Cleanse #1 el: 0 cu: MICU-A cg: RN v1: Soap & H20 st: NotStopd t0: [00:00:00 02/11/2012] id: ImpSkin Character #1 el: 0 cu: MICU-A cg: RN v1: Abrasion st: NotStopd t0: [00:00:00 02/11/2012] id: ImpSkin Treatment #1 el: 0 cu: MICU-A cg: RN v1: Open to Air st: NotStopd t0: [00:00:00 02/11/2012] id: ImpSkin Wound Base#1 el: 0 cu: MICU-A cg: RN v1: Pink st: NotStopd t0: [00:00:00 02/11/2012] id: Impaired Skin Site#1 el: 0 cu: MICU-A cg: RN v1: Coccyx st: NotStopd t0: [00:00:00 02/11/2012] id: Level of Conscious el: 0 cu: MICU-A cg: RN v1: Alert st: NotStopd t0: [00:00:00 02/11/2012] id: Motor Response el: 0 cu: MICU-A cg: RN v1: 6 Obeys Commands st: NotStopd t0: [00:00:00 02/11/2012] id: NBP el: 0 cu: MICU-A cg: RN v1: 90 u1: mmHg v2: 26 u2: mmHg st: NotStopd t0: [00:00:00 02/11/2012] id: NBP Mean el: 0 cu: MICU-A cg: RN v1: 47.3333 u1: mmHg st: NotStopd t0: [00:00:00 02/11/2012] id: O2 Delivery Device el: 0 cu: MICU-A cg: RN v1: Nasal Cannula st: NotStopd t0: [00:00:00 02/11/2012] id: O2 Flow (lpm) el: 0 cu: MICU-A cg: RN v1: 2 u1: lpm st: NotStopd t0: [00:00:00 02/11/2012] id: Oral Cavity el: 0 cu: MICU-A cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [00:00:00 02/11/2012] id: Orientation el: 0 cu: MICU-A cg: RN v1: Oriented x 3 st: NotStopd t0: [00:00:00 02/11/2012] id: Pain Cause el: 0 cu: MICU-A cg: RN v1: At Rest st: NotStopd t0: [00:00:00 02/11/2012] id: Pain Location el: 0 cu: MICU-A cg: RN v1: Abdominal st: NotStopd t0: [00:00:00 02/11/2012] id: Pain Type el: 0 cu: MICU-A cg: RN v1: Aching st: NotStopd t0: [00:00:00 02/11/2012] id: Position el: 0 cu: MICU-A cg: RN v1: Left Side st: NotStopd t0: [00:00:00 02/11/2012] id: Assistance Device el: 0 cu: MICU-A cg: RN v1: Supervised st: NotStopd t0: [00:00:00 02/11/2012] id: Precautions el: 0 cu: MICU-A cg: RN v1: Contact st: NotStopd t0: [00:00:00 02/11/2012] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 95.5 u1: kg st: NotStopd t0: [00:00:00 02/11/2012] id: Respiratory Pattern el: 0 cu: MICU-A cg: RN v1: Regular st: NotStopd t0: [00:00:00 02/11/2012] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 15 u1: BPM st: NotStopd t0: [00:00:00 02/11/2012] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [00:00:00 02/11/2012] id: Skin Color el: 0 cu: MICU-A cg: RN v1: Jaundiced st: NotStopd t0: [00:00:00 02/11/2012] id: Skin Integrity el: 0 cu: MICU-A cg: RN v1: Impaired st: NotStopd t0: [00:00:00 02/11/2012] id: Skin Temp/Condition el: 0 cu: MICU-A cg: RN v1: Warm v2: Dry st: NotStopd t0: [00:00:00 02/11/2012] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 97 u1: % st: NotStopd t0: [00:00:00 02/11/2012] id: Spontaneous Movement el: 0 cu: MICU-A cg: RN v1: Purposeful st: NotStopd t0: [00:00:00 02/11/2012] id: Support Systems el: 0 cu: MICU-A cg: RN v1: Spouse st: NotStopd t0: [00:00:00 02/11/2012] id: Temp. Site el: 0 cu: MICU-A cg: RN v1: Oral st: NotStopd t0: [00:00:00 02/11/2012] id: Temperature C (calc) el: 0 cu: MICU-A cg: RN v1: 37.1111 u1: Deg. C st: NotStopd t0: [00:00:00 02/11/2012] id: Temperature F el: 0 cu: MICU-A cg: RN v1: 98.8 u1: Deg. F st: NotStopd t0: [00:00:00 02/11/2012] id: Turn el: 0 cu: MICU-A cg: RN v1: Turns by self st: NotStopd t0: [00:00:00 02/11/2012] id: Urine Source el: 0 cu: MICU-A cg: RN v1: Voids st: NotStopd t0: [00:00:00 02/11/2012] id: Verbal Response el: 0 cu: MICU-A cg: RN v1: 5 Oriented st: NotStopd t0: [00:00:00 02/11/2012] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [00:00:00 02/11/2012] id: Bowel Sounds el: 0 cu: MICU-A cg: RN v1: Present st: NotStopd t0: [00:00:00 02/11/2012] id: Braden Activity el: 0 cu: MICU-A cg: RN v1: Bedfast st: NotStopd t0: [00:00:00 02/11/2012] id: Braden Frict/Shear el: 0 cu: MICU-A cg: RN v1: Problem st: NotStopd t0: [00:00:00 02/11/2012] id: Braden Mobility el: 0 cu: MICU-A cg: RN v1: Sl. Limited st: NotStopd t0: [00:00:00 02/11/2012] id: Braden Moisture el: 0 cu: MICU-A cg: RN v1: Rarely Moist st: NotStopd t0: [00:00:00 02/11/2012] id: Braden Nutrition el: 0 cu: MICU-A cg: RN v1: Very Poor st: NotStopd t0: [00:00:00 02/11/2012] id: Braden Score el: 0 cu: MICU-A cg: RN v1: 14 u1: number st: NotStopd t0: [00:00:00 02/11/2012] id: Braden SensoryPercep el: 0 cu: MICU-A cg: RN v1: No Impairment st: NotStopd
t0: [00:00:00 02/11/2012] id: .9% Normal Saline 1000.0ml IV Infusions el: 7 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [00:00:00 02/11/2012] id: Fresh Frozen Plasma IV Infusions el: 1 cu: MICU-A cg: RN ai: 155 vo: 313 vu: ml
tf: [23:00:00 02/11/2012] pt: Unit Dose rt: IV fr: ONCE fs: 0 dn: 1 m1: Fentanyl Citrate v1: 25-100 u1: mcg tf: [23:00:00 02/11/2012] pt: Unit Dose rt: IV fr: ONCE fs: 0 dn: 1 m1: Magnesium Sulfate v1: 2 u1: gm tf: [23:00:00 02/11/2012] pt: Unit Dose rt: IV fr: ONCE fs: 0 dn: 1 m1: Midazolam HCl v1: 2 u1: mg tf: [23:00:00 02/11/2012] pt: Unit Dose rt: TP fr: ONCE fs: 0 dn: 1 m1: Thrombin v1: 5000 u1: UNIT tf: [22:00:00 06/11/2012] pt: IV Piggyback rt: IV DRIP fr: INFUSION m1: Octreotide Acetate v1: 600 u1: mcg m2: D5W v2: 100 u2: ml
t0: [00:57:00 02/11/2012] id: Blood Products Hematology el: 0 cu: MICU-A cg: 1663 v1: Y rs: Final st: NotStopd
t0: [01:00:00 02/11/2012] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [01:00:00 02/11/2012] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [01:00:00 02/11/2012] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [01:00:00 02/11/2012] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: Occasional st: NotStopd t0: [01:00:00 02/11/2012] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: PVC's st: NotStopd t0: [01:00:00 02/11/2012] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 78 u1: BPM st: NotStopd t0: [01:00:00 02/11/2012] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [01:00:00 02/11/2012] id: NBP el: 0 cu: MICU-A cg: RN v1: 88 u1: mmHg v2: 28 u2: mmHg st: NotStopd t0: [01:00:00 02/11/2012] id: NBP Mean el: 0 cu: MICU-A cg: RN v1: 48 u1: mmHg st: NotStopd t0: [01:00:00 02/11/2012] id: Precautions el: 0 cu: MICU-A cg: RN v1: Contact st: NotStopd t0: [01:00:00 02/11/2012] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 95.5 u1: kg st: NotStopd t0: [01:00:00 02/11/2012] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 17 u1: BPM st: NotStopd t0: [01:00:00 02/11/2012] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 100 u1: % st: NotStopd t0: [01:00:00 02/11/2012] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [01:30:00 02/11/2012] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [01:30:00 02/11/2012] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [01:30:00 02/11/2012] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [01:30:00 02/11/2012] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: Occasional st: NotStopd t0: [01:30:00 02/11/2012] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: PVC's st: NotStopd t0: [01:30:00 02/11/2012] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 72 u1: BPM st: NotStopd t0: [01:30:00 02/11/2012] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [01:30:00 02/11/2012] id: NBP el: 0 cu: MICU-A cg: RN v1: 97 u1: mmHg v2: 19 u2: mmHg st: NotStopd t0: [01:30:00 02/11/2012] id: NBP Mean el: 0 cu: MICU-A cg: RN v1: 45 u1: mmHg st: NotStopd t0: [01:30:00 02/11/2012] id: Precautions el: 0 cu: MICU-A cg: RN v1: Contact st: NotStopd t0: [01:30:00 02/11/2012] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 95.5 u1: kg st: NotStopd t0: [01:30:00 02/11/2012] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 15 u1: BPM st: NotStopd t0: [01:30:00 02/11/2012] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 100 u1: % st: NotStopd t0: [01:30:00 02/11/2012] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [01:00:00 02/11/2012] id: .9% Normal Saline 1000.0ml IV Infusions el: 7 cu: MICU-A cg: RN ai: 107 vu: ml st: Stopped t0: [01:00:00 02/11/2012] tf: [18:15:00 03/11/2012] dt: 2475 id: Packed RBC's IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 375 vu: ml
t0: [01:45:00 02/11/2012] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [01:45:00 02/11/2012] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [01:45:00 02/11/2012] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [01:45:00 02/11/2012] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: Occasional st: NotStopd t0: [01:45:00 02/11/2012] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: PVC's st: NotStopd t0: [01:45:00 02/11/2012] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 71 u1: BPM st: NotStopd t0: [01:45:00 02/11/2012] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [01:45:00 02/11/2012] id: NBP el: 0 cu: MICU-A cg: RN v1: 98 u1: mmHg v2: 32 u2: mmHg st: NotStopd t0: [01:45:00 02/11/2012] id: NBP Mean el: 0 cu: MICU-A cg: RN v1: 54 u1: mmHg st: NotStopd t0: [01:45:00 02/11/2012] id: Precautions el: 0 cu: MICU-A cg: RN v1: Contact st: NotStopd t0: [01:45:00 02/11/2012] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 95.5 u1: kg st: NotStopd t0: [01:45:00 02/11/2012] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 14 u1: BPM st: NotStopd t0: [01:45:00 02/11/2012] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 100 u1: % st: NotStopd t0: [01:45:00 02/11/2012] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [01:35:00 02/11/2012] id: Packed RBC's IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 375 vu: ml
t0: [22:45:00 01/11/2012] id: Stool Color/Consist el: 0 cu: MICU-A cg: RN v1: Maroon v2: Liquid st: NotStopd t0: [22:45:00 01/11/2012] id: Stool Guaiac el: 0 cu: MICU-A cg: RN v1: Positive st: NotStopd t0: [00:00:00 02/11/2012] id: Stool Color/Consist el: 0 cu: MICU-A cg: RN v1: Maroon v2: Liquid st: NotStopd t0: [00:00:00 02/11/2012] id: Stool Guaiac el: 0 cu: MICU-A cg: RN v1: Positive st: NotStopd t0: [02:00:00 02/11/2012] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [02:00:00 02/11/2012] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [02:00:00 02/11/2012] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [02:00:00 02/11/2012] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: Occasional st: NotStopd t0: [02:00:00 02/11/2012] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: PVC's st: NotStopd t0: [02:00:00 02/11/2012] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 72 u1: BPM st: NotStopd t0: [02:00:00 02/11/2012] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [02:00:00 02/11/2012] id: NBP el: 0 cu: MICU-A cg: RN v1: 102 u1: mmHg v2: 36 u2: mmHg st: NotStopd t0: [02:00:00 02/11/2012] id: NBP Mean el: 0 cu: MICU-A cg: RN v1: 58 u1: mmHg st: NotStopd t0: [02:00:00 02/11/2012] id: O2 Delivery Device el: 0 cu: MICU-A cg: RN v1: Nasal Cannula st: NotStopd t0: [02:00:00 02/11/2012] id: O2 Flow (lpm) el: 0 cu: MICU-A cg: RN v1: 2 u1: lpm st: NotStopd t0: [02:00:00 02/11/2012] id: Precautions el: 0 cu: MICU-A cg: RN v1: Contact st: NotStopd t0: [02:00:00 02/11/2012] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 95.5 u1: kg st: NotStopd t0: [02:00:00 02/11/2012] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 20 u1: BPM st: NotStopd t0: [02:00:00 02/11/2012] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 100 u1: % st: NotStopd t0: [02:00:00 02/11/2012] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [01:00:00 02/11/2012] id: Stool Out Stool el: 1 cu: MICU-A cg: RN vo: 250 vu: ml t0: [01:55:00 02/11/2012] id: Packed RBC's IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 375 vu: ml
t0: [23:00:00 02/11/2012] dt: 1 id: Total Hourly Output el: 2 cu: MICU-A cg: RN cv: 0 ap: none t0: [23:00:00 02/11/2012] dt: 24 id: Stool Out Total el: 2 cu: MICU-A cg: RN cv: 1150 ap: none t0: [23:00:00 02/11/2012] dt: 24 id: 24h Total Out el: 2 cu: MICU-A cg: RN cv: 1534 ap: none
t0: [02:00:00 02/11/2012] id: Packed RBC's IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 375 vu: ml
t0: [23:00:00 02/11/2012] dt: 24 id: Blood Products Total el: 2 cu: MICU-A cg: RN cv: 4910 ap: none
t0: [02:00:00 02/11/2012] tf: [04:00:00 02/11/2012] dt: 120 id: .9% Normal Saline 1000.0ml IV Infusions el: 7 cu: MICU-A cg: RN ai: 107 vo: 250 vu: ml
t0: [23:00:00 02/11/2012] dt: 1 id: Net Hourly Balance el: 2 cu: MICU-A cg: RN cv: 0 ap: none t0: [23:00:00 02/11/2012] dt: 24 id: IV Infusion In Total el: 2 cu: MICU-A cg: RN cv: 4928.04 ap: none t0: [23:00:00 02/11/2012] dt: 24 id: 24h Total In el: 2 cu: MICU-A cg: RN cv: 9838.04 ap: none t0: [23:00:00 02/11/2012] dt: 24 id: 24h Net Body Balance el: 2 cu: MICU-A cg: RN cv: 8304.04 ap: none t0: [23:00:00 02/11/2012] dt: multiple days id: LOS Net Body Balance el: 2 cu: MICU-A cg: RN cv: 17792.3 ap: carryForward
t0: [02:30:00 02/11/2012] id: Hematocrit Hematology el: 0 cu: MICU-A cg: 1663 v1: 23.1 u1: % rs: Final st: NotStopd
id: Propofol el: 300 cu: MICU-A cg: RN io: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions am: 500 du: mcgkgmin rt: IV Drip
io: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 3 cu: MICU-A cg: RN ra: 15 ru: ml/hr
id: N/A el: 3 cu: MICU-A cg: RN io: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions vo: 50 du: vl rt: Intravenous Push
t0: [03:00:00 02/11/2012] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [03:00:00 02/11/2012] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [03:00:00 02/11/2012] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [03:00:00 02/11/2012] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: Occasional st: NotStopd t0: [03:00:00 02/11/2012] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: PVC's st: NotStopd t0: [03:00:00 02/11/2012] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 83 u1: BPM st: NotStopd t0: [03:00:00 02/11/2012] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [03:00:00 02/11/2012] id: NBP el: 0 cu: MICU-A cg: RN v1: 113 u1: mmHg v2: 52 u2: mmHg st: NotStopd t0: [03:00:00 02/11/2012] id: NBP Mean el: 0 cu: MICU-A cg: RN v1: 72.3333 u1: mmHg st: NotStopd t0: [03:00:00 02/11/2012] id: Precautions el: 0 cu: MICU-A cg: RN v1: Contact st: NotStopd t0: [03:00:00 02/11/2012] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 95.5 u1: kg st: NotStopd t0: [03:00:00 02/11/2012] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 16 u1: BPM st: NotStopd t0: [03:00:00 02/11/2012] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 100 u1: % st: NotStopd t0: [03:00:00 02/11/2012] id: Temp. Site el: 0 cu: MICU-A cg: RN v1: Oral st: NotStopd t0: [03:00:00 02/11/2012] id: Temperature C (calc) el: 0 cu: MICU-A cg: RN v1: 37 u1: Deg. C st: NotStopd t0: [03:00:00 02/11/2012] id: Temperature F el: 0 cu: MICU-A cg: RN v1: 98.6 u1: Deg. F st: NotStopd t0: [03:00:00 02/11/2012] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [03:45:00 02/11/2012] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [03:45:00 02/11/2012] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [03:45:00 02/11/2012] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [03:45:00 02/11/2012] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: Occasional st: NotStopd t0: [03:45:00 02/11/2012] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: PVC's st: NotStopd t0: [03:45:00 02/11/2012] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 87 u1: BPM st: NotStopd t0: [03:45:00 02/11/2012] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [03:45:00 02/11/2012] id: NBP el: 0 cu: MICU-A cg: RN v1: 101 u1: mmHg v2: 36 u2: mmHg st: NotStopd t0: [03:45:00 02/11/2012] id: NBP Mean el: 0 cu: MICU-A cg: RN v1: 57.6667 u1: mmHg st: NotStopd t0: [03:45:00 02/11/2012] id: Precautions el: 0 cu: MICU-A cg: RN v1: Contact st: NotStopd t0: [03:45:00 02/11/2012] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 95.5 u1: kg st: NotStopd t0: [03:45:00 02/11/2012] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 18 u1: BPM st: NotStopd t0: [03:45:00 02/11/2012] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 100 u1: % st: NotStopd t0: [03:45:00 02/11/2012] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [03:50:00 02/11/2012] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [03:50:00 02/11/2012] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [03:50:00 02/11/2012] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [03:50:00 02/11/2012] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: Occasional st: NotStopd t0: [03:50:00 02/11/2012] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: PVC's st: NotStopd t0: [03:50:00 02/11/2012] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 88 u1: BPM st: NotStopd t0: [03:50:00 02/11/2012] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [03:50:00 02/11/2012] id: NBP el: 0 cu: MICU-A cg: RN v1: 123 u1: mmHg v2: 66 u2: mmHg st: NotStopd t0: [03:50:00 02/11/2012] id: NBP Mean el: 0 cu: MICU-A cg: RN v1: 85 u1: mmHg st: NotStopd t0: [03:50:00 02/11/2012] id: Precautions el: 0 cu: MICU-A cg: RN v1: Contact st: NotStopd t0: [03:50:00 02/11/2012] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 95.5 u1: kg st: NotStopd t0: [03:50:00 02/11/2012] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 17 u1: BPM st: NotStopd t0: [03:50:00 02/11/2012] id: Significant Events el: 0 cu: MICU-A cg: RN v1: Intubated st: NotStopd t0: [03:50:00 02/11/2012] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 100 u1: % st: NotStopd t0: [03:50:00 02/11/2012] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [03:57:00 02/11/2012] id: BSA el: 1033 cu: MICU-A cg: -1 t0: [03:57:00 02/11/2012] id: Admit Wt el: 1032 cu: MICU-A cg: -1 v1: 84.2 u1: kg t0: [03:57:00 02/11/2012] id: Allergy 1 el: 1020 cu: MICU-A cg: -1 v1: No Known Drug Allergies t0: [03:57:00 02/11/2012] id: Diagnosis/op el: 1023 cu: MICU-A cg: -1 v1: VARICEAL BLEED t0: [03:57:00 02/11/2012] id: Service el: 1026 cu: MICU-A cg: -1 v1: MED t0: [03:57:00 02/11/2012] id: Admit Ht el: 1034 cu: MICU-A cg: -1 t0: [03:57:00 02/11/2012] id: Readmission el: 1014 cu: MICU-A cg: -1 t0: [03:57:00 02/11/2012] id: Marital Status el: 1006 cu: MICU-A cg: -1 v1: M t0: [03:57:00 02/11/2012] id: Religion el: 1000 cu: MICU-A cg: -1 v1: RCA t0: [03:57:00 02/11/2012] id: Allergy 2 el: 1021 cu: MICU-A cg: -1 t0: [03:57:00 02/11/2012] id: Ext el: 1010 cu: MICU-A cg: -1 t0: [03:57:00 02/11/2012] id: PIN el: 1012 cu: MICU-A cg: -1 t0: [03:57:00 02/11/2012] id: Allergy 3 el: 1022 cu: MICU-A cg: -1
t0: [04:00:00 02/11/2012] id: O2 Delivery Device el: 0 cu: MICU-A cg: -1 st: D/C'd t0: [04:00:00 02/11/2012] id: O2 Flow (lpm) el: 0 cu: MICU-A cg: -1 st: D/C'd
t0: [03:51:00 02/11/2012] id: Venous CO2(Calc) VBG'S el: 0 cu: MICU-A cg: 1663 v1: 20 rs: Final st: NotStopd t0: [03:51:00 02/11/2012] id: Venous PvCO2 VBG's el: 0 cu: MICU-A cg: 1663 v1: 36 u1: mmHg rs: Final st: NotStopd t0: [03:51:00 02/11/2012] id: Venous PvO2 Mixed Venous Gases el: 0 cu: MICU-A cg: 1663 v1: 38 u1: mmHg rs: Final st: NotStopd t0: [03:51:00 02/11/2012] id: Venous pH VBG's el: 0 cu: MICU-A cg: 1663 v1: 7.33 u1: pH rs: Final st: NotStopd
t0: [03:00:00 02/11/2012] tf: [13:57:00 06/11/2012] dt: 6417 id: Propofol el: 3 cu: MICU-A cg: RN so: N/A vo: 0 v1: 29.6912 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [04:00:00 02/11/2012] id: Compliance (40-60ml) el: 0 cu: MICU-A cg: RRT v1: 41.1765 u1: ml/cmH st: NotStopd t0: [04:00:00 02/11/2012] id: ETT Mark/Location el: 0 cu: MICU-A cg: RRT v1: 21cm v2: Lip st: NotStopd t0: [04:00:00 02/11/2012] id: FiO2 Set el: 0 cu: MICU-A cg: RRT v1: 1 u1: torr st: NotStopd t0: [04:00:00 02/11/2012] id: High Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 40 u1: cmH2O st: NotStopd t0: [04:00:00 02/11/2012] id: High Resp. Rate el: 0 cu: MICU-A cg: RRT v1: 15 u1: BPM st: NotStopd t0: [04:00:00 02/11/2012] id: I:E Ratio el: 0 cu: MICU-A cg: RRT v1: 1:4 st: NotStopd t0: [04:00:00 02/11/2012] id: Airway Size el: 0 cu: MICU-A cg: RRT v1: 8.0 mm st: NotStopd t0: [04:00:00 02/11/2012] id: Airway Type el: 0 cu: MICU-A cg: RRT v1: Endotracheal st: NotStopd t0: [04:00:00 02/11/2012] id: Inspired Gas Temp el: 0 cu: MICU-A cg: RRT u1: Deg. C st: NotStopd t0: [04:00:00 02/11/2012] id: Intubation Date el: 0 cu: MICU-A cg: RRT v1: 10 v2: 10 st: NotStopd t0: [04:00:00 02/11/2012] id: Low Exhaled Min Vol el: 0 cu: MICU-A cg: RRT v1: 3 st: NotStopd t0: [04:00:00 02/11/2012] id: Mean Airway Pressure el: 0 cu: MICU-A cg: RRT v1: 9 u1: cmH2O st: NotStopd t0: [04:00:00 02/11/2012] id: Minute Volume(Obser) el: 0 cu: MICU-A cg: RRT v1: 11.2 u1: L/min st: NotStopd t0: [04:00:00 02/11/2012] id: PEEP Set el: 0 cu: MICU-A cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [04:00:00 02/11/2012] id: Peak Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 22 u1: cmH2O st: NotStopd t0: [04:00:00 02/11/2012] id: Plateau Pressure el: 0 cu: MICU-A cg: RRT v1: 18 u1: cmH2O st: NotStopd t0: [04:00:00 02/11/2012] id: Plateau-Off el: 0 cu: MICU-A cg: RRT v1: Yes st: NotStopd t0: [04:00:00 02/11/2012] id: Pressure Support el: 0 cu: MICU-A cg: RRT v1: 0 u1: . st: NotStopd t0: [04:00:00 02/11/2012] id: Resp Rate (Spont) el: 0 cu: MICU-A cg: RRT v1: 4 u1: BPM st: NotStopd t0: [04:00:00 02/11/2012] id: Resp Rate (Total) el: 0 cu: MICU-A cg: RRT v1: 16 u1: BPM st: NotStopd t0: [04:00:00 02/11/2012] id: Respiratory Rate Set el: 0 cu: MICU-A cg: RRT v1: 12 u1: BPM st: NotStopd t0: [04:00:00 02/11/2012] id: Sensitivity-Vent el: 0 cu: MICU-A cg: RRT v1: 2 u1: cmH2O st: NotStopd t0: [04:00:00 02/11/2012] id: SpO2 el: 0 cu: MICU-A cg: RRT v1: 100 u1: % st: NotStopd t0: [04:00:00 02/11/2012] id: Tidal Volume (Obser) el: 0 cu: MICU-A cg: RRT v1: 704 u1: ml/B st: NotStopd t0: [04:00:00 02/11/2012] id: Tidal Volume (Set) el: 0 cu: MICU-A cg: RRT v1: 700 u1: ml/B st: NotStopd t0: [04:00:00 02/11/2012] id: Ventilator Mode el: 0 cu: MICU-A cg: RRT v1: Assist Control st: NotStopd t0: [04:00:00 02/11/2012] id: Ventilator Type el: 0 cu: MICU-A cg: RRT v1: Drager st: NotStopd t0: [04:00:00 02/11/2012] id: Waveform-Vent el: 0 cu: MICU-A cg: RRT v1: RAMP st: NotStopd
t0: [02:30:00 02/11/2012] id: Procedures el: 0 cu: MICU-A cg: RN v1: Line Placement st: NotStopd t0: [03:00:00 02/11/2012] id: Procedures el: 0 cu: MICU-A cg: RN v1: Other/Remarks st: NotStopd t0: [03:00:00 02/11/2012] id: Radiologic Study el: 0 cu: MICU-A cg: RN v1: Chest Xray st: NotStopd t0: [04:00:00 02/11/2012] id: Pain Present el: 0 cu: MICU-A cg: RN v1: No st: NotStopd t0: [04:00:00 02/11/2012] id: Pain Assess Method el: 0 cu: MICU-A cg: RN v1: Grimace Scale st: NotStopd t0: [04:00:00 02/11/2012] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [04:00:00 02/11/2012] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [04:00:00 02/11/2012] id: Riker-SAS Scale el: 0 cu: MICU-A cg: RN v1: Sedated st: NotStopd t0: [04:00:00 02/11/2012] id: GI Prophylaxis el: 0 cu: MICU-A cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [04:00:00 02/11/2012] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [04:00:00 02/11/2012] id: Diet Type el: 0 cu: MICU-A cg: RN v1: NPO st: NotStopd t0: [04:00:00 02/11/2012] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: Occasional st: NotStopd t0: [04:00:00 02/11/2012] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: PVC's st: NotStopd t0: [04:00:00 02/11/2012] id: Eye Opening el: 0 cu: MICU-A cg: RN v1: 2 To pain st: NotStopd t0: [04:00:00 02/11/2012] id: Follows Commands el: 0 cu: MICU-A cg: RN v1: No st: NotStopd t0: [04:00:00 02/11/2012] id: GCS Total el: 0 cu: MICU-A cg: RN v1: 8 u1: points st: NotStopd t0: [04:00:00 02/11/2012] id: HOB el: 0 cu: MICU-A cg: RN v1: 15 degrees st: NotStopd t0: [04:00:00 02/11/2012] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 84 u1: BPM st: NotStopd t0: [04:00:00 02/11/2012] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [04:00:00 02/11/2012] id: INV Line#1 Type/Site el: 0 cu: MICU-A cg: RN v1: PICC line v2: Left Antecub st: NotStopd t0: [04:00:00 02/11/2012] id: INV Line#1InsertDate el: 0 cu: MICU-A cg: RN v1: 10 v2: 9 st: NotStopd t0: [04:00:00 02/11/2012] id: INV Line#1SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [04:00:00 02/11/2012] id: INV Line#2 Type/Site el: 0 cu: MICU-A cg: RN v1: Introducer v2: Left IJ st: NotStopd t0: [04:00:00 02/11/2012] id: INV Line#2InsertDate el: 0 cu: MICU-A cg: RN v1: 10 v2: 10 st: NotStopd t0: [04:00:00 02/11/2012] id: INV Line#2SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [04:00:00 02/11/2012] id: Abdominal Assessment el: 0 cu: MICU-A cg: RN v1: Ascites st: NotStopd t0: [04:00:00 02/11/2012] id: IV #3 Insert Date el: 0 cu: MICU-A cg: RN v1: 10 v2: 9 st: NotStopd t0: [04:00:00 02/11/2012] id: IV #3 Site/Size el: 0 cu: MICU-A cg: RN v1: Right Antecub v2: 18 gauge st: NotStopd t0: [04:00:00 02/11/2012] id: Activity el: 0 cu: MICU-A cg: RN v1: Bedrest st: NotStopd t0: [04:00:00 02/11/2012] id: IV Site Appear #3 el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [04:00:00 02/11/2012] id: Activity Tolerance el: 0 cu: MICU-A cg: RN v1: Tolerated Well st: NotStopd t0: [04:00:00 02/11/2012] id: Imp Skin Cleanse #1 el: 0 cu: MICU-A cg: RN v1: Soap & H20 st: NotStopd t0: [04:00:00 02/11/2012] id: ImpSkin Character #1 el: 0 cu: MICU-A cg: RN v1: Abrasion st: NotStopd t0: [04:00:00 02/11/2012] id: ImpSkin Treatment #1 el: 0 cu: MICU-A cg: RN v1: Open to Air st: NotStopd t0: [04:00:00 02/11/2012] id: ImpSkin Wound Base#1 el: 0 cu: MICU-A cg: RN v1: Pink st: NotStopd t0: [04:00:00 02/11/2012] id: Impaired Skin Site#1 el: 0 cu: MICU-A cg: RN v1: Coccyx st: NotStopd t0: [04:00:00 02/11/2012] id: LLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [04:00:00 02/11/2012] id: LUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [04:00:00 02/11/2012] id: Level of Conscious el: 0 cu: MICU-A cg: RN v1: Sedated st: NotStopd t0: [04:00:00 02/11/2012] id: Motor Response el: 0 cu: MICU-A cg: RN v1: 5 Localizes Pain st: NotStopd t0: [04:00:00 02/11/2012] id: NBP el: 0 cu: MICU-A cg: RN v1: 105 u1: mmHg v2: 23 u2: mmHg st: NotStopd t0: [04:00:00 02/11/2012] id: NBP Mean el: 0 cu: MICU-A cg: RN v1: 50.3333 u1: mmHg st: NotStopd t0: [04:00:00 02/11/2012] id: Oral Cavity el: 0 cu: MICU-A cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [04:00:00 02/11/2012] id: Orientation el: 0 cu: MICU-A cg: RN v1: Other/Remarks st: NotStopd t0: [04:00:00 02/11/2012] id: Pain Location el: 0 cu: MICU-A cg: RN v1: Not Indicated st: NotStopd t0: [04:00:00 02/11/2012] id: Position el: 0 cu: MICU-A cg: RN v1: Left Side st: NotStopd t0: [04:00:00 02/11/2012] id: Assistance Device el: 0 cu: MICU-A cg: RN v1: 2 Person Assist st: NotStopd t0: [04:00:00 02/11/2012] id: Precautions el: 0 cu: MICU-A cg: RN v1: Contact st: NotStopd t0: [04:00:00 02/11/2012] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 95.5 u1: kg st: NotStopd t0: [04:00:00 02/11/2012] id: RLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [04:00:00 02/11/2012] id: RUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [04:00:00 02/11/2012] id: Respiratory Pattern el: 0 cu: MICU-A cg: RN v1: Regular st: NotStopd t0: [04:00:00 02/11/2012] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 16 u1: BPM st: NotStopd t0: [04:00:00 02/11/2012] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [04:00:00 02/11/2012] id: Skin Color el: 0 cu: MICU-A cg: RN v1: Jaundiced st: NotStopd t0: [04:00:00 02/11/2012] id: Skin Integrity el: 0 cu: MICU-A cg: RN v1: Impaired st: NotStopd t0: [04:00:00 02/11/2012] id: Skin Temp/Condition el: 0 cu: MICU-A cg: RN v1: Warm v2: Dry st: NotStopd t0: [04:00:00 02/11/2012] id: Spontaneous Movement el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [04:00:00 02/11/2012] id: Stool Color/Consist el: 0 cu: MICU-A cg: RN v1: Maroon v2: Liquid st: NotStopd t0: [04:00:00 02/11/2012] id: Stool Management el: 0 cu: MICU-A cg: RN v1: Fecal Incont Bag st: NotStopd t0: [04:00:00 02/11/2012] id: Support Systems el: 0 cu: MICU-A cg: RN v1: Spouse st: NotStopd t0: [04:00:00 02/11/2012] id: Turn el: 0 cu: MICU-A cg: RN v1: Side to Side st: NotStopd t0: [04:00:00 02/11/2012] id: Urine Source el: 0 cu: MICU-A cg: RN v1: Voids st: NotStopd t0: [04:00:00 02/11/2012] id: Verbal Response el: 0 cu: MICU-A cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [04:00:00 02/11/2012] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [04:00:00 02/11/2012] id: Bowel Sounds el: 0 cu: MICU-A cg: RN v1: Present st: NotStopd
t0: [04:00:00 02/11/2012] tf: [13:57:00 06/11/2012] dt: 6357 id: IV Piggyback IV Infusions el: 1 cu: MICU-A cg: RN ai: 209 vo: 100 vu: ml t0: [04:00:00 02/11/2012] id: .9% Normal Saline 1000.0ml IV Infusions el: 7 cu: MICU-A cg: RN ai: 107 vo: 0 vu: ml nb: 1 t0: [04:00:00 02/11/2012] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 3 cu: MICU-A cg: RN ai: 126 vo: 0 vu: ml nb: 1
t0: [04:00:00 02/11/2012] id: Propofol el: 3 cu: MICU-A cg: RN so: N/A vo: 0 v1: 39.5883 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [04:05:00 02/11/2012] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [04:05:00 02/11/2012] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [04:05:00 02/11/2012] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [04:05:00 02/11/2012] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: Occasional st: NotStopd t0: [04:05:00 02/11/2012] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: PVC's st: NotStopd t0: [04:05:00 02/11/2012] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 86 u1: BPM st: NotStopd t0: [04:05:00 02/11/2012] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [04:05:00 02/11/2012] id: NBP el: 0 cu: MICU-A cg: RN v1: 98 u1: mmHg v2: 30 u2: mmHg st: NotStopd t0: [04:05:00 02/11/2012] id: NBP Mean el: 0 cu: MICU-A cg: RN v1: 52.6667 u1: mmHg st: NotStopd t0: [04:05:00 02/11/2012] id: Precautions el: 0 cu: MICU-A cg: RN v1: Contact st: NotStopd t0: [04:05:00 02/11/2012] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 95.5 u1: kg st: NotStopd t0: [04:05:00 02/11/2012] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 17 u1: BPM st: NotStopd t0: [04:05:00 02/11/2012] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 100 u1: % st: NotStopd t0: [04:05:00 02/11/2012] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [04:10:00 02/11/2012] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [04:10:00 02/11/2012] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [04:10:00 02/11/2012] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [04:10:00 02/11/2012] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: Occasional st: NotStopd t0: [04:10:00 02/11/2012] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: PVC's st: NotStopd t0: [04:10:00 02/11/2012] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 91 u1: BPM st: NotStopd t0: [04:10:00 02/11/2012] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [04:10:00 02/11/2012] id: NBP el: 0 cu: MICU-A cg: RN v1: 96 u1: mmHg v2: 29 u2: mmHg st: NotStopd t0: [04:10:00 02/11/2012] id: NBP Mean el: 0 cu: MICU-A cg: RN v1: 51.3333 u1: mmHg st: NotStopd t0: [04:10:00 02/11/2012] id: Precautions el: 0 cu: MICU-A cg: RN v1: Contact st: NotStopd t0: [04:10:00 02/11/2012] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 95.5 u1: kg st: NotStopd t0: [04:10:00 02/11/2012] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 15 u1: BPM st: NotStopd t0: [04:10:00 02/11/2012] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 100 u1: % st: NotStopd t0: [04:10:00 02/11/2012] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [04:15:00 02/11/2012] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [04:15:00 02/11/2012] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [04:15:00 02/11/2012] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [04:15:00 02/11/2012] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: Occasional st: NotStopd t0: [04:15:00 02/11/2012] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: PVC's st: NotStopd t0: [04:15:00 02/11/2012] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 83 u1: BPM st: NotStopd t0: [04:15:00 02/11/2012] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [04:15:00 02/11/2012] id: NBP el: 0 cu: MICU-A cg: RN v1: 105 u1: mmHg v2: 23 u2: mmHg st: NotStopd t0: [04:15:00 02/11/2012] id: NBP Mean el: 0 cu: MICU-A cg: RN v1: 50.3333 u1: mmHg st: NotStopd t0: [04:15:00 02/11/2012] id: Precautions el: 0 cu: MICU-A cg: RN v1: Contact st: NotStopd t0: [04:15:00 02/11/2012] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 95.5 u1: kg st: NotStopd t0: [04:15:00 02/11/2012] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 15 u1: BPM st: NotStopd t0: [04:15:00 02/11/2012] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 100 u1: % st: NotStopd t0: [04:15:00 02/11/2012] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [04:20:00 02/11/2012] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [04:20:00 02/11/2012] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [04:20:00 02/11/2012] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [04:20:00 02/11/2012] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: Occasional st: NotStopd t0: [04:20:00 02/11/2012] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: PVC's st: NotStopd t0: [04:20:00 02/11/2012] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 83 u1: BPM st: NotStopd t0: [04:20:00 02/11/2012] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [04:20:00 02/11/2012] id: NBP el: 0 cu: MICU-A cg: RN v1: 92 u1: mmHg v2: 19 u2: mmHg st: NotStopd t0: [04:20:00 02/11/2012] id: NBP Mean el: 0 cu: MICU-A cg: RN v1: 43.3333 u1: mmHg st: NotStopd t0: [04:20:00 02/11/2012] id: Precautions el: 0 cu: MICU-A cg: RN v1: Contact st: NotStopd t0: [04:20:00 02/11/2012] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 95.5 u1: kg st: NotStopd t0: [04:20:00 02/11/2012] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 15 u1: BPM st: NotStopd t0: [04:20:00 02/11/2012] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 100 u1: % st: NotStopd t0: [04:20:00 02/11/2012] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [04:25:00 02/11/2012] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [04:25:00 02/11/2012] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [04:25:00 02/11/2012] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [04:25:00 02/11/2012] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: Occasional st: NotStopd t0: [04:25:00 02/11/2012] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: PVC's st: NotStopd t0: [04:25:00 02/11/2012] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 87 u1: BPM st: NotStopd t0: [04:25:00 02/11/2012] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [04:25:00 02/11/2012] id: NBP el: 0 cu: MICU-A cg: RN v1: 73 u1: mmHg v2: 15 u2: mmHg st: NotStopd t0: [04:25:00 02/11/2012] id: NBP Mean el: 0 cu: MICU-A cg: RN v1: 34.3333 u1: mmHg st: NotStopd t0: [04:25:00 02/11/2012] id: Precautions el: 0 cu: MICU-A cg: RN v1: Contact st: NotStopd t0: [04:25:00 02/11/2012] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 95.5 u1: kg st: NotStopd t0: [04:25:00 02/11/2012] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 19 u1: BPM st: NotStopd t0: [04:25:00 02/11/2012] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 100 u1: % st: NotStopd t0: [04:25:00 02/11/2012] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [04:30:00 02/11/2012] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [04:30:00 02/11/2012] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [04:30:00 02/11/2012] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [04:30:00 02/11/2012] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: Occasional st: NotStopd t0: [04:30:00 02/11/2012] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: PVC's st: NotStopd t0: [04:30:00 02/11/2012] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 91 u1: BPM st: NotStopd t0: [04:30:00 02/11/2012] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [04:30:00 02/11/2012] id: NBP el: 0 cu: MICU-A cg: RN v1: 92 u1: mmHg v2: 65 u2: mmHg st: NotStopd t0: [04:30:00 02/11/2012] id: NBP Mean el: 0 cu: MICU-A cg: RN v1: 74 u1: mmHg st: NotStopd t0: [04:30:00 02/11/2012] id: Precautions el: 0 cu: MICU-A cg: RN v1: Contact st: NotStopd t0: [04:30:00 02/11/2012] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 95.5 u1: kg st: NotStopd t0: [04:30:00 02/11/2012] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 18 u1: BPM st: NotStopd t0: [04:30:00 02/11/2012] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 100 u1: % st: NotStopd t0: [04:30:00 02/11/2012] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [04:05:00 02/11/2012] id: Propofol el: 3 cu: MICU-A cg: RN so: N/A vo: 0 v1: 39.5883 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [04:10:00 02/11/2012] id: Propofol el: 3 cu: MICU-A cg: RN so: N/A vo: 0 v1: 39.5883 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [04:15:00 02/11/2012] id: Propofol el: 3 cu: MICU-A cg: RN so: N/A vo: 0 v1: 39.5883 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [04:20:00 02/11/2012] id: Propofol el: 3 cu: MICU-A cg: RN so: N/A vo: 0 v1: 39.5883 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [04:25:00 02/11/2012] id: Propofol el: 3 cu: MICU-A cg: RN so: N/A vo: 0 v1: 31.6706 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [04:30:00 02/11/2012] id: Propofol el: 3 cu: MICU-A cg: RN so: N/A vo: 0 v1: 39.5883 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [03:00:00 02/11/2012] id: Hematocrit Hematology el: 0 cu: MICU-A cg: 1663 v1: 29 u1: % rs: Final st: NotStopd
t0: [04:55:00 02/11/2012] id: Blood Products Hematology el: 0 cu: MICU-A cg: 1663 v1: Y rs: Final st: NotStopd
tf: [04:00:00 03/11/2012] pt: Unit Dose rt: IV fr: ONCE fs: 5 dn: 1 m1: Etomidate v1: 20 u1: mg tf: [04:00:00 03/11/2012] pt: Unit Dose rt: IV fr: ONCE fs: 5 dn: 1 m1: Succinylcholine v1: 200 u1: mg tf: [10:00:00 06/11/2012] pt: Unit Dose rt: IV DRIP fr: TITRATE TO m1: Propofol (Generic) v1: 1000 u1: mg
t0: [03:00:00 02/11/2012] id: PT el: 0 cu: MICU-A cg: 1663 v1: 11.3 rs: Final st: NotStopd t0: [03:00:00 02/11/2012] id: INR Coags el: 0 cu: MICU-A cg: 1663 v1: 0.8 rs: Final st: NotStopd t0: [03:00:00 02/11/2012] id: PTT Coags el: 0 cu: MICU-A cg: 1663 v1: 53.4 rs: Final st: NotStopd t0: [03:00:00 02/11/2012] id: INR (2-4 ref. range) Coags el: 0 cu: MICU-A cg: 1663 v1: 0.8 rs: Final st: NotStopd t0: [03:00:00 02/11/2012] id: PT(11-13.5) Coags el: 0 cu: MICU-A cg: 1663 v1: 11.3 rs: Final st: NotStopd t0: [03:00:00 02/11/2012] id: PTT(22-35) Coags el: 0 cu: MICU-A cg: 1663 v1: 53.4 rs: Final st: NotStopd
t0: [05:00:00 02/11/2012] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [05:00:00 02/11/2012] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [05:00:00 02/11/2012] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [05:00:00 02/11/2012] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: Occasional st: NotStopd t0: [05:00:00 02/11/2012] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: PVC's st: NotStopd t0: [05:00:00 02/11/2012] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 89 u1: BPM st: NotStopd t0: [05:00:00 02/11/2012] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [05:00:00 02/11/2012] id: NBP el: 0 cu: MICU-A cg: RN v1: 100 u1: mmHg v2: 34 u2: mmHg st: NotStopd t0: [05:00:00 02/11/2012] id: NBP Mean el: 0 cu: MICU-A cg: RN v1: 56 u1: mmHg st: NotStopd t0: [05:00:00 02/11/2012] id: Precautions el: 0 cu: MICU-A cg: RN v1: Contact st: NotStopd t0: [05:00:00 02/11/2012] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 95.5 u1: kg st: NotStopd t0: [05:00:00 02/11/2012] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 21 u1: BPM st: NotStopd t0: [05:00:00 02/11/2012] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 100 u1: % st: NotStopd t0: [05:00:00 02/11/2012] id: Temperature C (calc) el: 0 cu: MICU-A cg: RN v1: 37.2778 u1: Deg. C st: NotStopd t0: [05:00:00 02/11/2012] id: Temperature F el: 0 cu: MICU-A cg: RN v1: 99.1 u1: Deg. F st: NotStopd t0: [05:00:00 02/11/2012] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [05:30:00 02/11/2012] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [05:30:00 02/11/2012] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [05:30:00 02/11/2012] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [05:30:00 02/11/2012] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: Occasional st: NotStopd t0: [05:30:00 02/11/2012] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: PVC's st: NotStopd t0: [05:30:00 02/11/2012] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 93 u1: BPM st: NotStopd t0: [05:30:00 02/11/2012] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [05:30:00 02/11/2012] id: NBP el: 0 cu: MICU-A cg: RN v1: 111 u1: mmHg v2: 31 u2: mmHg st: NotStopd t0: [05:30:00 02/11/2012] id: NBP Mean el: 0 cu: MICU-A cg: RN v1: 57.6667 u1: mmHg st: NotStopd t0: [05:30:00 02/11/2012] id: Precautions el: 0 cu: MICU-A cg: RN v1: Contact st: NotStopd t0: [05:30:00 02/11/2012] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 95.5 u1: kg st: NotStopd t0: [05:30:00 02/11/2012] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 23 u1: BPM st: NotStopd t0: [05:30:00 02/11/2012] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 100 u1: % st: NotStopd t0: [05:30:00 02/11/2012] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [06:00:00 02/11/2012] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [06:00:00 02/11/2012] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [06:00:00 02/11/2012] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [06:00:00 02/11/2012] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: Occasional st: NotStopd t0: [06:00:00 02/11/2012] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: PVC's st: NotStopd t0: [06:00:00 02/11/2012] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 86 u1: BPM st: NotStopd t0: [06:00:00 02/11/2012] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [06:00:00 02/11/2012] id: Precautions el: 0 cu: MICU-A cg: RN v1: Contact st: NotStopd t0: [06:00:00 02/11/2012] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 95.5 u1: kg st: NotStopd t0: [06:00:00 02/11/2012] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 18 u1: BPM st: NotStopd t0: [06:00:00 02/11/2012] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 100 u1: % st: NotStopd t0: [06:00:00 02/11/2012] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [05:00:00 02/11/2012] tf: [17:30:00 05/11/2012] dt: 5070 id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 375 vu: ml t0: [04:00:00 02/11/2012] id: Fresh Frozen Plasma IV Infusions el: 1 cu: MICU-A cg: RN ai: 155 vo: 359 vu: ml t0: [05:00:00 02/11/2012] id: IV Piggyback IV Infusions el: 1 cu: MICU-A cg: RN ai: 209 vo: 200 vu: ml t0: [05:00:00 02/11/2012] tf: [13:57:00 06/11/2012] dt: 6297 id: .9% Normal Saline 1000.0ml IV Infusions el: 7 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [05:00:00 02/11/2012] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 3 cu: MICU-A cg: RN ai: 126 vo: 19.6667 vu: ml t0: [05:00:00 02/11/2012] id: Packed RBC's IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 375 vu: ml t0: [05:00:00 02/11/2012] id: Fresh Frozen Plasma IV Infusions el: 1 cu: MICU-A cg: RN ai: 155 vo: 338 vu: ml t0: [06:00:00 02/11/2012] tf: [13:57:00 06/11/2012] dt: 6237 id: D5W 100.0ml + 600mcghr Sandostatin IV Infusions el: 3 cu: MICU-A cg: RN ai: 127 vo: 0 vu: ml nb: 1 t0: [06:00:00 02/11/2012] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 3 cu: MICU-A cg: RN ai: 126 vo: 20 vu: ml t0: [06:00:00 02/11/2012] id: D5W 100.0ml + 600mcghr Sandostatin IV Infusions el: 3 cu: MICU-A cg: RN ai: 127 vo: 4.15 vu: ml t0: [06:00:00 02/11/2012] tf: [17:00:00 02/11/2012] dt: 660 id: Urine Out Foley el: 2 cu: MICU-A cg: RN vo: 160 vu: ml
t0: [05:30:00 02/11/2012] tf: [13:57:00 06/11/2012] dt: 6267 id: Sandostatin el: 3 cu: MICU-A cg: RN so: N/A vo: 0 v1: 49.4854 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [05:30:00 02/11/2012] id: Propofol el: 3 cu: MICU-A cg: RN so: N/A vo: 0 v1: 39.5883 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [05:30:00 02/11/2012] id: Sandostatin el: 4 cu: MICU-A cg: RN so: D5W vo: 0 v1: 49.8 du: mcghr sv: 100 su: ml rt: IV Drip t0: [06:00:00 02/11/2012] id: Propofol el: 3 cu: MICU-A cg: RN so: N/A vo: 0 v1: 49.4854 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [03:00:00 02/11/2012] id: Fibrinogen Coags el: 0 cu: MICU-A cg: 1663 v1: 95 rs: Final st: NotStopd t0: [03:00:00 02/11/2012] id: Fibrinogen (150-400) Coags el: 0 cu: MICU-A cg: 1663 v1: 95 rs: Final st: NotStopd
t0: [06:00:00 02/11/2012] id: .9% Normal Saline 1000.0ml IV Infusions el: 7 cu: MICU-A cg: RN ai: 107 vo: 1000 vu: ml
t0: [05:00:00 02/11/2012] id: WBC (4-11,000) Hematology el: 0 cu: MICU-A cg: 1663 v1: 17.2 rs: Final st: NotStopd t0: [05:00:00 02/11/2012] id: WBC Hematology el: 0 cu: MICU-A cg: 1663 v1: 17.2 rs: Final st: NotStopd t0: [05:00:00 02/11/2012] id: Hematocrit Hematology el: 0 cu: MICU-A cg: 1663 v1: 25.1 u1: % rs: Final st: NotStopd t0: [05:00:00 02/11/2012] id: Hemoglobin Hematology el: 0 cu: MICU-A cg: 1663 v1: 8.8 u1: gm/dl rs: Final st: NotStopd t0: [05:00:00 02/11/2012] id: Platelets Hematology el: 0 cu: MICU-A cg: 1663 v1: 94 rs: Final st: NotStopd t0: [05:00:00 02/11/2012] id: RBC Hematology el: 0 cu: MICU-A cg: 1663 v1: 2.79 u1: /mic l rs: Final st: NotStopd t0: [05:00:00 02/11/2012] id: WBC (4-11,000) Hematology el: 0 cu: MICU-A cg: 1663 v1: 17.2 rs: Final st: NotStopd
t0: [06:00:00 02/11/2012] id: Sputum Color/Consist el: 0 cu: MICU-A cg: RN v1: Rusty v2: Thin st: NotStopd t0: [06:00:00 02/11/2012] id: Sputum Source/Amt el: 0 cu: MICU-A cg: RN v1: Suctioned v2: Scant st: NotStopd
t0: [06:00:00 02/11/2012] id: NBP el: 0 cu: MICU-A cg: -1 st: D/C'd t0: [06:00:00 02/11/2012] id: NBP Mean el: 0 cu: MICU-A cg: -1 st: D/C'd
tf: [05:00:00 03/11/2012] pt: IV Piggyback rt: IV fr: ONCE fs: 6 dn: 1 m1: Octreotide Acetate v1: 50 u1: mcg m2: AMP v2: 1 u2: AMP tf: [05:00:00 03/11/2012] pt: Unit Dose rt: IV fr: ONCE fs: 6 dn: 1 m1: Meperidine v1: 12.5 u1: mg
t0: [05:00:00 02/11/2012] id: PT el: 0 cu: MICU-A cg: 1663 v1: 14 rs: Final st: NotStopd t0: [05:00:00 02/11/2012] id: INR Coags el: 0 cu: MICU-A cg: 1663 v1: 1.3 rs: Final st: NotStopd t0: [05:00:00 02/11/2012] id: PTT Coags el: 0 cu: MICU-A cg: 1663 v1: 44.1 rs: Final st: NotStopd t0: [05:00:00 02/11/2012] id: INR (2-4 ref. range) Coags el: 0 cu: MICU-A cg: 1663 v1: 1.3 rs: Final st: NotStopd t0: [05:00:00 02/11/2012] id: PT(11-13.5) Coags el: 0 cu: MICU-A cg: 1663 v1: 14 rs: Final st: NotStopd t0: [05:00:00 02/11/2012] id: PTT(22-35) Coags el: 0 cu: MICU-A cg: 1663 v1: 44.1 rs: Final st: NotStopd
t0: [06:00:00 02/11/2012] id: Compliance (40-60ml) el: 0 cu: MICU-A cg: RRT v1: 100 u1: ml/cmH st: NotStopd t0: [06:00:00 02/11/2012] id: RSBI Not Completed el: 0 cu: MICU-A cg: RRT v1: FiO2> 60% st: NotStopd t0: [06:00:00 02/11/2012] id: ETT Mark/Location el: 0 cu: MICU-A cg: RRT v1: 21cm v2: Lip st: NotStopd t0: [06:00:00 02/11/2012] id: FiO2 Set el: 0 cu: MICU-A cg: RRT v1: 0.6 u1: torr st: NotStopd t0: [06:00:00 02/11/2012] id: High Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 40 u1: cmH2O st: NotStopd t0: [06:00:00 02/11/2012] id: High Resp. Rate el: 0 cu: MICU-A cg: RRT v1: 15 u1: BPM st: NotStopd t0: [06:00:00 02/11/2012] id: I:E Ratio el: 0 cu: MICU-A cg: RRT v1: 1:4 st: NotStopd t0: [06:00:00 02/11/2012] id: Airway Size el: 0 cu: MICU-A cg: RRT v1: 8.0 mm st: NotStopd t0: [06:00:00 02/11/2012] id: Airway Type el: 0 cu: MICU-A cg: RRT v1: Endotracheal st: NotStopd t0: [06:00:00 02/11/2012] id: Intubation Date el: 0 cu: MICU-A cg: RRT v1: 10 v2: 10 st: NotStopd t0: [06:00:00 02/11/2012] id: Low Exhaled Min Vol el: 0 cu: MICU-A cg: RRT v1: 3 st: NotStopd t0: [06:00:00 02/11/2012] id: Mean Airway Pressure el: 0 cu: MICU-A cg: RRT v1: 7 u1: cmH2O st: NotStopd t0: [06:00:00 02/11/2012] id: Minute Volume(Obser) el: 0 cu: MICU-A cg: RRT v1: 10.4 u1: L/min st: NotStopd t0: [06:00:00 02/11/2012] id: PEEP Set el: 0 cu: MICU-A cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [06:00:00 02/11/2012] id: Peak Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 12 u1: cmH2O st: NotStopd t0: [06:00:00 02/11/2012] id: Plateau-Off el: 0 cu: MICU-A cg: RRT v1: Yes st: NotStopd t0: [06:00:00 02/11/2012] id: Resp Rate (Spont) el: 0 cu: MICU-A cg: RRT v1: 4 u1: BPM st: NotStopd t0: [06:00:00 02/11/2012] id: Resp Rate (Total) el: 0 cu: MICU-A cg: RRT v1: 16 u1: BPM st: NotStopd t0: [06:00:00 02/11/2012] id: Respiratory Rate Set el: 0 cu: MICU-A cg: RRT v1: 12 u1: BPM st: NotStopd t0: [06:00:00 02/11/2012] id: Sensitivity-Vent el: 0 cu: MICU-A cg: RRT v1: 2 u1: cmH2O st: NotStopd t0: [06:00:00 02/11/2012] id: Tidal Volume (Obser) el: 0 cu: MICU-A cg: RRT v1: 743 u1: ml/B st: NotStopd t0: [06:00:00 02/11/2012] id: Tidal Volume (Set) el: 0 cu: MICU-A cg: RRT v1: 700 u1: ml/B st: NotStopd t0: [06:00:00 02/11/2012] id: Ventilator Mode el: 0 cu: MICU-A cg: RRT v1: Assist Control st: NotStopd t0: [06:00:00 02/11/2012] id: Ventilator Type el: 0 cu: MICU-A cg: RRT v1: Drager st: NotStopd t0: [06:00:00 02/11/2012] id: Waveform-Vent el: 0 cu: MICU-A cg: RRT v1: RAMP st: NotStopd
t0: [04:00:00 02/11/2012] id: Procedures el: 0 cu: MICU-A cg: RN v1: Endoscopy st: NotStopd
t0: [05:00:00 02/11/2012] id: BUN el: 0 cu: MICU-A cg: 1663 v1: 10 rs: Final st: NotStopd t0: [05:00:00 02/11/2012] id: Albumin Chemistry el: 0 cu: MICU-A cg: 1663 v1: 1.8 rs: Final st: NotStopd t0: [05:00:00 02/11/2012] id: Calcium Chemistry el: 0 cu: MICU-A cg: 1663 v1: 6.5 u1: mg/dl rs: Final st: NotStopd t0: [05:00:00 02/11/2012] id: Chloride Chemistry el: 0 cu: MICU-A cg: 1663 v1: 111 rs: Final st: NotStopd t0: [05:00:00 02/11/2012] id: Creatinine Chemistry el: 0 cu: MICU-A cg: 1663 v1: 0.9 rs: Final st: NotStopd t0: [05:00:00 02/11/2012] id: Glucose Chemistry el: 0 cu: MICU-A cg: 1663 v1: 139 rs: Final st: NotStopd t0: [05:00:00 02/11/2012] id: Magnesium Chemistry el: 0 cu: MICU-A cg: 1663 v1: 1.2 rs: Final st: NotStopd t0: [05:00:00 02/11/2012] id: Phosphorous Chemistry el: 0 cu: MICU-A cg: 1663 v1: 5.2 u1: mEq/L rs: Final st: NotStopd t0: [05:00:00 02/11/2012] id: Potassium Chemistry el: 0 cu: MICU-A cg: 1663 v1: 4.7 rs: Final st: NotStopd t0: [05:00:00 02/11/2012] id: Sodium Chemistry el: 0 cu: MICU-A cg: 1663 v1: 136 rs: Final st: NotStopd t0: [05:00:00 02/11/2012] id: Total Bili Chemistry el: 0 cu: MICU-A cg: 1663 v1: 11.5 rs: Final st: NotStopd t0: [05:00:00 02/11/2012] id: HOB el: 0 cu: MICU-A cg: RN v1: 15 degrees st: NotStopd t0: [05:00:00 02/11/2012] id: Activity el: 0 cu: MICU-A cg: RN v1: Bedrest st: NotStopd t0: [05:00:00 02/11/2012] id: Activity Tolerance el: 0 cu: MICU-A cg: RN v1: Tolerated Well st: NotStopd t0: [05:00:00 02/11/2012] id: Position el: 0 cu: MICU-A cg: RN v1: Supine st: NotStopd t0: [05:00:00 02/11/2012] id: Assistance Device el: 0 cu: MICU-A cg: RN v1: 2 Person Assist st: NotStopd t0: [05:00:00 02/11/2012] id: Skin Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [05:00:00 02/11/2012] id: Turn el: 0 cu: MICU-A cg: RN v1: Side to Side st: NotStopd t0: [05:00:00 02/11/2012] id: Back Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [05:00:00 02/11/2012] id: ALT Enzymes el: 0 cu: MICU-A cg: 1663 v1: 19 rs: Final st: NotStopd t0: [05:00:00 02/11/2012] id: AST Enzymes el: 0 cu: MICU-A cg: 1663 v1: 31 rs: Final st: NotStopd t0: [05:00:00 02/11/2012] id: Albumin (>3.2) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 1.8 rs: Final st: NotStopd t0: [05:00:00 02/11/2012] id: Alk. Phosphate Enzymes el: 0 cu: MICU-A cg: 1663 v1: 49 rs: Final st: NotStopd t0: [05:00:00 02/11/2012] id: BUN (6-20) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 10 rs: Final st: NotStopd t0: [05:00:00 02/11/2012] id: Calcium (8.4-10.2) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 6.5 u1: mg/dl rs: Final st: NotStopd t0: [05:00:00 02/11/2012] id: Carbon Dioxide Chemistry el: 0 cu: MICU-A cg: 1663 v1: 15 rs: Final st: NotStopd t0: [05:00:00 02/11/2012] id: Chloride (100-112) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 111 rs: Final st: NotStopd t0: [05:00:00 02/11/2012] id: Creatinine (0-1.3) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 0.9 rs: Final st: NotStopd t0: [05:00:00 02/11/2012] id: Glucose (70-105) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 139 rs: Final st: NotStopd t0: [05:00:00 02/11/2012] id: Magnesium (1.6-2.6) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 1.2 rs: Final st: NotStopd t0: [05:00:00 02/11/2012] id: Phosphorous(2.7-4.5) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 5.2 u1: mEq/L rs: Final st: NotStopd t0: [05:00:00 02/11/2012] id: Potassium (3.5-5.3) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 4.7 rs: Final st: NotStopd t0: [05:00:00 02/11/2012] id: Sodium (135-148) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 136 rs: Final st: NotStopd t0: [05:00:00 02/11/2012] id: Total Bili (0-1.5) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 11.5 rs: Final st: NotStopd t0: [06:00:00 02/11/2012] id: INV Line#3 Type/Site el: 0 cu: MICU-A cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [06:00:00 02/11/2012] id: INV Line#3 Zero/Cal el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [06:00:00 02/11/2012] id: INV Line#3InsertDate el: 0 cu: MICU-A cg: RN v1: 10 v2: 10 st: NotStopd t0: [06:00:00 02/11/2012] id: INV Line#3SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [06:00:00 02/11/2012] id: INV#3 WaveformAppear el: 0 cu: MICU-A cg: RN v1: Sharp st: NotStopd t0: [06:00:00 02/11/2012] id: Procedures el: 0 cu: MICU-A cg: RN v1: Line Placement st: NotStopd
t0: [06:00:00 02/11/2012] id: Sandostatin el: 4 cu: MICU-A cg: RN so: D5W vo: 0 v1: 49.8 du: mcghr sv: 100 su: ml rt: IV Drip
t0: [06:00:00 02/11/2012] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 126 u1: mmHg v2: 46 u2: mmHg st: NotStopd t0: [06:00:00 02/11/2012] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 66 u1: mmHg st: NotStopd
t0: [07:00:00 02/11/2012] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [07:00:00 02/11/2012] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [07:00:00 02/11/2012] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [07:00:00 02/11/2012] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [07:00:00 02/11/2012] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [07:00:00 02/11/2012] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 79 u1: BPM st: NotStopd t0: [07:00:00 02/11/2012] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [07:00:00 02/11/2012] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 100 u1: mmHg v2: 35 u2: mmHg st: NotStopd t0: [07:00:00 02/11/2012] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 53 u1: mmHg st: NotStopd t0: [07:00:00 02/11/2012] id: Precautions el: 0 cu: MICU-A cg: RN v1: Contact st: NotStopd t0: [07:00:00 02/11/2012] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 95.5 u1: kg st: NotStopd t0: [07:00:00 02/11/2012] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 14 u1: BPM st: NotStopd t0: [07:00:00 02/11/2012] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 100 u1: % st: NotStopd t0: [07:00:00 02/11/2012] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [07:30:00 02/11/2012] id: Procedures el: 0 cu: MICU-A cg: RN v1: Other/Remarks st: NotStopd
t0: [07:00:00 02/11/2012] id: Propofol el: 3 cu: MICU-A cg: RN so: N/A vo: 0 v1: 49.4854 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [07:00:00 02/11/2012] id: Sandostatin el: 4 cu: MICU-A cg: RN so: D5W vo: 0 v1: 49.8 du: mcghr sv: 100 su: ml rt: IV Drip
t0: [07:35:00 02/11/2012] id: Venous CO2(Calc) VBG'S el: 0 cu: MICU-A cg: 1663 v1: 19 rs: Final st: NotStopd t0: [07:35:00 02/11/2012] id: Venous PvCO2 VBG's el: 0 cu: MICU-A cg: 1663 v1: 32 u1: mmHg rs: Final st: NotStopd t0: [07:35:00 02/11/2012] id: Venous pH VBG's el: 0 cu: MICU-A cg: 1663 v1: 7.37 u1: pH rs: Final st: NotStopd
t0: [08:17:00 02/11/2012] id: Compliance (40-60ml) el: 0 cu: MICU-A cg: RRT v1: 50 u1: ml/cmH st: NotStopd t0: [08:17:00 02/11/2012] id: ETT Mark/Location el: 0 cu: MICU-A cg: RRT v1: 21cm v2: Lip st: NotStopd t0: [08:17:00 02/11/2012] id: FiO2 Set el: 0 cu: MICU-A cg: RRT v1: 0.6 u1: torr st: NotStopd t0: [08:17:00 02/11/2012] id: High Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 40 u1: cmH2O st: NotStopd t0: [08:17:00 02/11/2012] id: High Resp. Rate el: 0 cu: MICU-A cg: RRT v1: 15 u1: BPM st: NotStopd t0: [08:17:00 02/11/2012] id: I:E Ratio el: 0 cu: MICU-A cg: RRT v1: 1:4 st: NotStopd t0: [08:17:00 02/11/2012] id: Airway Size el: 0 cu: MICU-A cg: RRT v1: 8.0 mm st: NotStopd t0: [08:17:00 02/11/2012] id: Airway Type el: 0 cu: MICU-A cg: RRT v1: Endotracheal st: NotStopd t0: [08:17:00 02/11/2012] id: Intubation Date el: 0 cu: MICU-A cg: RRT v1: 10 v2: 10 st: NotStopd t0: [08:17:00 02/11/2012] id: Low Exhaled Min Vol el: 0 cu: MICU-A cg: RRT v1: 3 st: NotStopd t0: [08:17:00 02/11/2012] id: Mean Airway Pressure el: 0 cu: MICU-A cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [08:17:00 02/11/2012] id: Minute Volume(Obser) el: 0 cu: MICU-A cg: RRT v1: 6.5 u1: L/min st: NotStopd t0: [08:17:00 02/11/2012] id: PEEP Set el: 0 cu: MICU-A cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [08:17:00 02/11/2012] id: Peak Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 19 u1: cmH2O st: NotStopd t0: [08:17:00 02/11/2012] id: Plateau Pressure el: 0 cu: MICU-A cg: RRT v1: 13 u1: cmH2O st: NotStopd t0: [08:17:00 02/11/2012] id: Plateau-Off el: 0 cu: MICU-A cg: RRT v1: Yes st: NotStopd t0: [08:17:00 02/11/2012] id: Resp Rate (Spont) el: 0 cu: MICU-A cg: RRT v1: 1 u1: BPM st: NotStopd t0: [08:17:00 02/11/2012] id: Resp Rate (Total) el: 0 cu: MICU-A cg: RRT v1: 13 u1: BPM st: NotStopd t0: [08:17:00 02/11/2012] id: Respiratory Rate Set el: 0 cu: MICU-A cg: RRT v1: 12 u1: BPM st: NotStopd t0: [08:17:00 02/11/2012] id: Sensitivity-Vent el: 0 cu: MICU-A cg: RRT v1: 2 u1: cmH2O st: NotStopd t0: [08:17:00 02/11/2012] id: SpO2 el: 0 cu: MICU-A cg: RRT v1: 100 u1: % st: NotStopd t0: [08:17:00 02/11/2012] id: Tidal Volume (Obser) el: 0 cu: MICU-A cg: RRT v1: 777 u1: ml/B st: NotStopd t0: [08:17:00 02/11/2012] id: Tidal Volume (Set) el: 0 cu: MICU-A cg: RRT v1: 700 u1: ml/B st: NotStopd t0: [08:17:00 02/11/2012] id: Ventilator Mode el: 0 cu: MICU-A cg: RRT v1: Assist Control st: NotStopd t0: [08:17:00 02/11/2012] id: Ventilator Type el: 0 cu: MICU-A cg: RRT v1: Drager st: NotStopd t0: [08:17:00 02/11/2012] id: Waveform-Vent el: 0 cu: MICU-A cg: RRT v1: RAMP st: NotStopd
t0: [08:00:00 02/11/2012] id: Pain Assess Method el: 0 cu: MICU-A cg: RN v1: Grimace Scale st: NotStopd t0: [08:00:00 02/11/2012] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [08:00:00 02/11/2012] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [08:00:00 02/11/2012] id: Riker-SAS Scale el: 0 cu: MICU-A cg: RN v1: Sedated st: NotStopd t0: [08:00:00 02/11/2012] id: GI Prophylaxis el: 0 cu: MICU-A cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [08:00:00 02/11/2012] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [08:00:00 02/11/2012] id: Diet Type el: 0 cu: MICU-A cg: RN v1: NPO st: NotStopd t0: [08:00:00 02/11/2012] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [08:00:00 02/11/2012] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [08:00:00 02/11/2012] id: Eye Opening el: 0 cu: MICU-A cg: RN v1: 2 To pain st: NotStopd t0: [08:00:00 02/11/2012] id: Follows Commands el: 0 cu: MICU-A cg: RN v1: No st: NotStopd t0: [08:00:00 02/11/2012] id: GCS Total el: 0 cu: MICU-A cg: RN v1: 8 u1: points st: NotStopd t0: [08:00:00 02/11/2012] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 82 u1: BPM st: NotStopd t0: [08:00:00 02/11/2012] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [08:00:00 02/11/2012] id: INV Line#1 Type/Site el: 0 cu: MICU-A cg: RN v1: PICC line v2: Left Antecub st: NotStopd t0: [08:00:00 02/11/2012] id: INV Line#1InsertDate el: 0 cu: MICU-A cg: RN v1: 10 v2: 9 st: NotStopd t0: [08:00:00 02/11/2012] id: INV Line#1SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [08:00:00 02/11/2012] id: INV Line#2 Type/Site el: 0 cu: MICU-A cg: RN v1: Introducer v2: Left IJ st: NotStopd t0: [08:00:00 02/11/2012] id: INV Line#2InsertDate el: 0 cu: MICU-A cg: RN v1: 10 v2: 10 st: NotStopd t0: [08:00:00 02/11/2012] id: INV Line#2SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [08:00:00 02/11/2012] id: INV Line#3 Type/Site el: 0 cu: MICU-A cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [08:00:00 02/11/2012] id: INV Line#3InsertDate el: 0 cu: MICU-A cg: RN v1: 10 v2: 10 st: NotStopd t0: [08:00:00 02/11/2012] id: INV Line#3SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [08:00:00 02/11/2012] id: Abdominal Assessment el: 0 cu: MICU-A cg: RN v1: Ascites st: NotStopd t0: [08:00:00 02/11/2012] id: IV #3 Insert Date el: 0 cu: MICU-A cg: RN v1: 10 v2: 9 st: NotStopd t0: [08:00:00 02/11/2012] id: IV #3 Site/Size el: 0 cu: MICU-A cg: RN v1: Right Antecub v2: 18 gauge st: NotStopd t0: [08:00:00 02/11/2012] id: IV Site Appear #3 el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [08:00:00 02/11/2012] id: ImpSkin Character #1 el: 0 cu: MICU-A cg: RN v1: Abrasion st: NotStopd t0: [08:00:00 02/11/2012] id: ImpSkin Wound Base#1 el: 0 cu: MICU-A cg: RN v1: Pink st: NotStopd t0: [08:00:00 02/11/2012] id: Impaired Skin Site#1 el: 0 cu: MICU-A cg: RN v1: Coccyx st: NotStopd t0: [08:00:00 02/11/2012] id: LLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [08:00:00 02/11/2012] id: LUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [08:00:00 02/11/2012] id: Level of Conscious el: 0 cu: MICU-A cg: RN v1: Arouse to Stimul st: NotStopd t0: [08:00:00 02/11/2012] id: Motor Response el: 0 cu: MICU-A cg: RN v1: 5 Localizes Pain st: NotStopd t0: [08:00:00 02/11/2012] id: Oral Cavity el: 0 cu: MICU-A cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [08:00:00 02/11/2012] id: Orientation el: 0 cu: MICU-A cg: RN v1: Other/Remarks st: NotStopd t0: [08:00:00 02/11/2012] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 93 u1: mmHg v2: 33 u2: mmHg st: NotStopd t0: [08:00:00 02/11/2012] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 51 u1: mmHg st: NotStopd t0: [08:00:00 02/11/2012] id: Precautions el: 0 cu: MICU-A cg: RN v1: Contact st: NotStopd t0: [08:00:00 02/11/2012] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 95.5 u1: kg st: NotStopd t0: [08:00:00 02/11/2012] id: Procedures el: 0 cu: MICU-A cg: RN st: NotStopd t0: [08:00:00 02/11/2012] id: RLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [08:00:00 02/11/2012] id: RUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Clear st: NotStopd t0: [08:00:00 02/11/2012] id: Respiratory Pattern el: 0 cu: MICU-A cg: RN v1: Regular st: NotStopd t0: [08:00:00 02/11/2012] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 15 u1: BPM st: NotStopd t0: [08:00:00 02/11/2012] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [08:00:00 02/11/2012] id: Skin Color el: 0 cu: MICU-A cg: RN v1: Jaundiced st: NotStopd t0: [08:00:00 02/11/2012] id: Skin Integrity el: 0 cu: MICU-A cg: RN v1: Impaired st: NotStopd t0: [08:00:00 02/11/2012] id: Skin Temp/Condition el: 0 cu: MICU-A cg: RN v1: Warm v2: Dry st: NotStopd t0: [08:00:00 02/11/2012] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 100 u1: % st: NotStopd t0: [08:00:00 02/11/2012] id: Spontaneous Movement el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [08:00:00 02/11/2012] id: Stool Color/Consist el: 0 cu: MICU-A cg: RN v1: Maroon v2: Liquid st: NotStopd t0: [08:00:00 02/11/2012] id: Stool Management el: 0 cu: MICU-A cg: RN v1: Fecal Incont Bag st: NotStopd t0: [08:00:00 02/11/2012] id: Support Systems el: 0 cu: MICU-A cg: RN v1: Spouse st: NotStopd t0: [08:00:00 02/11/2012] id: Temp. Site el: 0 cu: MICU-A cg: RN v1: Oral st: NotStopd t0: [08:00:00 02/11/2012] id: Temperature C (calc) el: 0 cu: MICU-A cg: RN v1: 36.8889 u1: Deg. C st: NotStopd t0: [08:00:00 02/11/2012] id: Temperature F el: 0 cu: MICU-A cg: RN v1: 98.4 u1: Deg. F st: NotStopd t0: [08:00:00 02/11/2012] id: Urine Color/Appear el: 0 cu: MICU-A cg: RN v1: Orange v2: Clear st: NotStopd t0: [08:00:00 02/11/2012] id: Urine Source el: 0 cu: MICU-A cg: RN v1: Voids st: NotStopd t0: [08:00:00 02/11/2012] id: Verbal Response el: 0 cu: MICU-A cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [08:00:00 02/11/2012] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [08:00:00 02/11/2012] id: Bowel Sounds el: 0 cu: MICU-A cg: RN v1: Present st: NotStopd t0: [08:00:00 02/11/2012] id: Braden Activity el: 0 cu: MICU-A cg: RN v1: Bedfast st: NotStopd t0: [08:00:00 02/11/2012] id: Braden Frict/Shear el: 0 cu: MICU-A cg: RN v1: Potential Prob st: NotStopd t0: [08:00:00 02/11/2012] id: Braden Mobility el: 0 cu: MICU-A cg: RN v1: Very Limited st: NotStopd t0: [08:00:00 02/11/2012] id: Braden Moisture el: 0 cu: MICU-A cg: RN v1: Rarely Moist st: NotStopd t0: [08:00:00 02/11/2012] id: Braden Nutrition el: 0 cu: MICU-A cg: RN v1: Very Poor st: NotStopd t0: [08:00:00 02/11/2012] id: Braden Score el: 0 cu: MICU-A cg: RN v1: 12 u1: number st: NotStopd t0: [08:00:00 02/11/2012] id: Braden SensoryPercep el: 0 cu: MICU-A cg: RN v1: Very Limited st: NotStopd t0: [09:00:00 02/11/2012] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [09:00:00 02/11/2012] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [09:00:00 02/11/2012] id: Riker-SAS Scale el: 0 cu: MICU-A cg: RN v1: Very Sedated st: NotStopd t0: [09:00:00 02/11/2012] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [09:00:00 02/11/2012] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [09:00:00 02/11/2012] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [09:00:00 02/11/2012] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 82 u1: BPM st: NotStopd t0: [09:00:00 02/11/2012] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [09:00:00 02/11/2012] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 92 u1: mmHg v2: 33 u2: mmHg st: NotStopd t0: [09:00:00 02/11/2012] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 50 u1: mmHg st: NotStopd t0: [09:00:00 02/11/2012] id: Precautions el: 0 cu: MICU-A cg: RN v1: Contact st: NotStopd t0: [09:00:00 02/11/2012] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 95.5 u1: kg st: NotStopd t0: [09:00:00 02/11/2012] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 14 u1: BPM st: NotStopd t0: [09:00:00 02/11/2012] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 100 u1: % st: NotStopd t0: [09:00:00 02/11/2012] id: Temp. Site el: 0 cu: MICU-A cg: RN v1: Oral st: NotStopd t0: [09:00:00 02/11/2012] id: Temperature C (calc) el: 0 cu: MICU-A cg: RN v1: 37.6667 u1: Deg. C st: NotStopd t0: [09:00:00 02/11/2012] id: Temperature F el: 0 cu: MICU-A cg: RN v1: 99.8 u1: Deg. F st: NotStopd t0: [09:00:00 02/11/2012] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [08:00:00 02/11/2012] id: .9% Normal Saline 1000.0ml IV Infusions el: 7 cu: MICU-A cg: RN ai: 107 vo: 20 vu: ml t0: [08:00:00 02/11/2012] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 3 cu: MICU-A cg: RN ai: 126 vo: 50 vu: ml t0: [08:00:00 02/11/2012] id: Packed RBC's IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 375 vu: ml t0: [08:00:00 02/11/2012] id: D5W 100.0ml + 600mcghr Sandostatin IV Infusions el: 3 cu: MICU-A cg: RN ai: 127 vo: 16.6 vu: ml t0: [08:00:00 02/11/2012] tf: [13:57:00 06/11/2012] dt: 6117 id: Cryoprecipitate IV Drips el: 2 cu: MICU-A cg: RN ai: -1 vo: 150 vu: ml t0: [08:00:00 02/11/2012] id: Urine Out Foley el: 2 cu: MICU-A cg: RN vo: 10 vu: ml t0: [09:00:00 02/11/2012] id: .9% Normal Saline 1000.0ml IV Infusions el: 7 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [09:00:00 02/11/2012] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 3 cu: MICU-A cg: RN ai: 126 vo: 25 vu: ml t0: [09:00:00 02/11/2012] id: D5W 100.0ml + 600mcghr Sandostatin IV Infusions el: 3 cu: MICU-A cg: RN ai: 127 vo: 8.3 vu: ml t0: [09:00:00 02/11/2012] id: Urine Out Foley el: 2 cu: MICU-A cg: RN vo: 12 vu: ml
t0: [08:00:00 02/11/2012] id: Propofol el: 3 cu: MICU-A cg: RN so: N/A vo: 0 v1: 49.4854 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [08:00:00 02/11/2012] id: Sandostatin el: 4 cu: MICU-A cg: RN so: D5W vo: 0 v1: 49.8 du: mcghr sv: 100 su: ml rt: IV Drip t0: [09:00:00 02/11/2012] id: Propofol el: 3 cu: MICU-A cg: RN so: N/A vo: 0 v1: 49.4854 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [09:00:00 02/11/2012] id: Sandostatin el: 4 cu: MICU-A cg: RN so: D5W vo: 0 v1: 49.8 du: mcghr sv: 100 su: ml rt: IV Drip
t0: [10:00:00 02/11/2012] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [10:00:00 02/11/2012] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [10:00:00 02/11/2012] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [10:00:00 02/11/2012] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [10:00:00 02/11/2012] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 86 u1: BPM st: NotStopd t0: [10:00:00 02/11/2012] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [10:00:00 02/11/2012] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 93 u1: mmHg v2: 34 u2: mmHg st: NotStopd t0: [10:00:00 02/11/2012] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 52 u1: mmHg st: NotStopd t0: [10:00:00 02/11/2012] id: Precautions el: 0 cu: MICU-A cg: RN v1: Contact st: NotStopd t0: [10:00:00 02/11/2012] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 95.5 u1: kg st: NotStopd t0: [10:00:00 02/11/2012] id: Procedures el: 0 cu: MICU-A cg: RN v1: Ultrasound st: NotStopd t0: [10:00:00 02/11/2012] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 15 u1: BPM st: NotStopd t0: [10:00:00 02/11/2012] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 100 u1: % st: NotStopd t0: [10:00:00 02/11/2012] id: Temp. Site el: 0 cu: MICU-A cg: RN v1: Oral st: NotStopd t0: [10:00:00 02/11/2012] id: Temperature C (calc) el: 0 cu: MICU-A cg: RN v1: 37.7778 u1: Deg. C st: NotStopd t0: [10:00:00 02/11/2012] id: Temperature F el: 0 cu: MICU-A cg: RN v1: 100 u1: Deg. F st: NotStopd t0: [10:00:00 02/11/2012] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [09:00:00 02/11/2012] id: Packed RBC's IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 375 vu: ml t0: [10:00:00 02/11/2012] id: .9% Normal Saline 1000.0ml IV Infusions el: 7 cu: MICU-A cg: RN ai: 107 vo: 250 vu: ml t0: [10:00:00 02/11/2012] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 3 cu: MICU-A cg: RN ai: 126 vo: 25 vu: ml t0: [10:00:00 02/11/2012] id: D5W 100.0ml + 600mcghr Sandostatin IV Infusions el: 3 cu: MICU-A cg: RN ai: 127 vo: 8.3 vu: ml t0: [10:00:00 02/11/2012] id: Urine Out Foley el: 2 cu: MICU-A cg: RN vo: 30 vu: ml
t0: [10:00:00 02/11/2012] id: Propofol el: 3 cu: MICU-A cg: RN so: N/A vo: 0 v1: 60 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [10:00:00 02/11/2012] id: Sandostatin el: 4 cu: MICU-A cg: RN so: D5W vo: 0 v1: 49.8 du: mcghr sv: 100 su: ml rt: IV Drip
tf: [09:00:00 05/11/2012] pt: Unit Dose rt: SC fr: QD fs: 10 dn: 1 m1: Phytonadione v1: 10 u1: mg tf: [16:00:00 15/11/2012] pt: IV Piggyback rt: IV fr: Q12H fs: 6, 18 dn: 2 m1: Ciprofloxacin v1: 200 u1: mg m2: D5W v2: 100 u2: ml
t0: [11:00:00 02/11/2012] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [11:00:00 02/11/2012] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [11:00:00 02/11/2012] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [11:00:00 02/11/2012] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [11:00:00 02/11/2012] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [11:00:00 02/11/2012] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 77 u1: BPM st: NotStopd t0: [11:00:00 02/11/2012] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [11:00:00 02/11/2012] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 92 u1: mmHg v2: 33 u2: mmHg st: NotStopd t0: [11:00:00 02/11/2012] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 50 u1: mmHg st: NotStopd t0: [11:00:00 02/11/2012] id: Precautions el: 0 cu: MICU-A cg: RN v1: Contact st: NotStopd t0: [11:00:00 02/11/2012] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 95.5 u1: kg st: NotStopd t0: [11:00:00 02/11/2012] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 13 u1: BPM st: NotStopd t0: [11:00:00 02/11/2012] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 100 u1: % st: NotStopd t0: [11:00:00 02/11/2012] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [11:00:00 02/11/2012] id: Fingerstick Glucose Chemistry el: 0 cu: MICU-A cg: RN v1: 123 rs: Manual st: NotStopd
t0: [11:00:00 02/11/2012] id: .9% Normal Saline 1000.0ml IV Infusions el: 7 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [11:00:00 02/11/2012] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 3 cu: MICU-A cg: RN ai: 126 vo: 30.312 vu: ml t0: [11:00:00 02/11/2012] id: Packed RBC's IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 375 vu: ml t0: [11:00:00 02/11/2012] id: D5W 100.0ml + 600mcghr Sandostatin IV Infusions el: 3 cu: MICU-A cg: RN ai: 127 vo: 8.3 vu: ml
t0: [11:00:00 02/11/2012] id: Propofol el: 3 cu: MICU-A cg: RN so: N/A vo: 0 v1: 60 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [11:00:00 02/11/2012] id: Sandostatin el: 4 cu: MICU-A cg: RN so: D5W vo: 0 v1: 49.8 du: mcghr sv: 100 su: ml rt: IV Drip
t0: [11:00:00 02/11/2012] id: Urine Out Foley el: 2 cu: MICU-A cg: RN vo: 15 vu: ml
t0: [10:27:00 02/11/2012] id: PT el: 0 cu: MICU-A cg: 1663 v1: 14 rs: Final st: NotStopd t0: [10:27:00 02/11/2012] id: INR Coags el: 0 cu: MICU-A cg: 1663 v1: 1.3 rs: Final st: NotStopd t0: [10:27:00 02/11/2012] id: PTT Coags el: 0 cu: MICU-A cg: 1663 v1: 39.1 rs: Final st: NotStopd t0: [10:27:00 02/11/2012] id: INR (2-4 ref. range) Coags el: 0 cu: MICU-A cg: 1663 v1: 1.3 rs: Final st: NotStopd t0: [10:27:00 02/11/2012] id: PT(11-13.5) Coags el: 0 cu: MICU-A cg: 1663 v1: 14 rs: Final st: NotStopd t0: [10:27:00 02/11/2012] id: PTT(22-35) Coags el: 0 cu: MICU-A cg: 1663 v1: 39.1 rs: Final st: NotStopd
t0: [10:27:00 02/11/2012] id: Hematocrit Hematology el: 0 cu: MICU-A cg: RN v1: 28.8 u1: % rs: Final st: NotStopd t0: [11:00:00 02/11/2012] id: Temp. Site el: 0 cu: MICU-A cg: RN v1: Oral st: NotStopd t0: [11:00:00 02/11/2012] id: Temperature C (calc) el: 0 cu: MICU-A cg: RN v1: 37.1667 u1: Deg. C st: NotStopd t0: [11:00:00 02/11/2012] id: Temperature F el: 0 cu: MICU-A cg: RN v1: 98.9 u1: Deg. F st: NotStopd t0: [12:00:00 02/11/2012] id: Pain Present el: 0 cu: MICU-A cg: RN v1: No st: NotStopd t0: [12:00:00 02/11/2012] id: Pain Assess Method el: 0 cu: MICU-A cg: RN v1: Grimace Scale st: NotStopd t0: [12:00:00 02/11/2012] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [12:00:00 02/11/2012] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [12:00:00 02/11/2012] id: Riker-SAS Scale el: 0 cu: MICU-A cg: RN v1: Sedated st: NotStopd t0: [12:00:00 02/11/2012] id: GI Prophylaxis el: 0 cu: MICU-A cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [12:00:00 02/11/2012] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [12:00:00 02/11/2012] id: Diet Type el: 0 cu: MICU-A cg: RN v1: NPO st: NotStopd t0: [12:00:00 02/11/2012] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [12:00:00 02/11/2012] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [12:00:00 02/11/2012] id: Eye Opening el: 0 cu: MICU-A cg: RN v1: 2 To pain st: NotStopd t0: [12:00:00 02/11/2012] id: Follows Commands el: 0 cu: MICU-A cg: RN v1: No st: NotStopd t0: [12:00:00 02/11/2012] id: GCS Total el: 0 cu: MICU-A cg: RN v1: 8 u1: points st: NotStopd t0: [12:00:00 02/11/2012] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 79 u1: BPM st: NotStopd t0: [12:00:00 02/11/2012] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [12:00:00 02/11/2012] id: Abdominal Assessment el: 0 cu: MICU-A cg: RN v1: Ascites st: NotStopd t0: [12:00:00 02/11/2012] id: Level of Conscious el: 0 cu: MICU-A cg: RN v1: Arouse to Stimul st: NotStopd t0: [12:00:00 02/11/2012] id: Motor Response el: 0 cu: MICU-A cg: RN v1: 5 Localizes Pain st: NotStopd t0: [12:00:00 02/11/2012] id: Oral Cavity el: 0 cu: MICU-A cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [12:00:00 02/11/2012] id: Orientation el: 0 cu: MICU-A cg: RN v1: Other/Remarks st: NotStopd t0: [12:00:00 02/11/2012] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 106 u1: mmHg v2: 39 u2: mmHg st: NotStopd t0: [12:00:00 02/11/2012] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 58 u1: mmHg st: NotStopd t0: [12:00:00 02/11/2012] id: Precautions el: 0 cu: MICU-A cg: RN v1: Contact st: NotStopd t0: [12:00:00 02/11/2012] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 95.5 u1: kg st: NotStopd t0: [12:00:00 02/11/2012] id: Respiratory Pattern el: 0 cu: MICU-A cg: RN v1: Regular st: NotStopd t0: [12:00:00 02/11/2012] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 12 u1: BPM st: NotStopd t0: [12:00:00 02/11/2012] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 100 u1: % st: NotStopd t0: [12:00:00 02/11/2012] id: Spontaneous Movement el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [12:00:00 02/11/2012] id: Stool Color/Consist el: 0 cu: MICU-A cg: RN v1: Black v2: Liquid st: NotStopd t0: [12:00:00 02/11/2012] id: Stool Management el: 0 cu: MICU-A cg: RN v1: Fecal Incont Bag st: NotStopd t0: [12:00:00 02/11/2012] id: Urine Color/Appear el: 0 cu: MICU-A cg: RN v1: Orange v2: Clear st: NotStopd t0: [12:00:00 02/11/2012] id: Urine Source el: 0 cu: MICU-A cg: RN v1: Voids st: NotStopd t0: [12:00:00 02/11/2012] id: Verbal Response el: 0 cu: MICU-A cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [12:00:00 02/11/2012] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [12:00:00 02/11/2012] id: Bowel Sounds el: 0 cu: MICU-A cg: RN v1: Present st: NotStopd
t0: [10:00:00 02/11/2012] id: IV Piggyback IV Infusions el: 1 cu: MICU-A cg: RN ai: 209 vo: 250 vu: ml t0: [12:00:00 02/11/2012] id: .9% Normal Saline 1000.0ml IV Infusions el: 7 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [12:00:00 02/11/2012] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 3 cu: MICU-A cg: RN ai: 126 vo: 30.312 vu: ml t0: [12:00:00 02/11/2012] id: Packed RBC's IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 375 vu: ml t0: [12:00:00 02/11/2012] id: D5W 100.0ml + 600mcghr Sandostatin IV Infusions el: 3 cu: MICU-A cg: RN ai: 127 vo: 8.3 vu: ml t0: [12:00:00 02/11/2012] id: Urine Out Foley el: 2 cu: MICU-A cg: RN vo: 5 vu: ml
t0: [12:00:00 02/11/2012] id: Propofol el: 3 cu: MICU-A cg: RN so: N/A vo: 0 v1: 65 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [12:00:00 02/11/2012] id: Sandostatin el: 4 cu: MICU-A cg: RN so: D5W vo: 0 v1: 49.8 du: mcghr sv: 100 su: ml rt: IV Drip
tf: [12:00:00 03/11/2012] pt: IV Piggyback rt: IV fr: 1X fs: 13 dn: 1 m1: Erythromycin Lactobionate v1: 500 u1: mg m2: NS v2: 150 u2: ml
t0: [13:00:00 02/11/2012] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [13:00:00 02/11/2012] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [13:00:00 02/11/2012] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [13:00:00 02/11/2012] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [13:00:00 02/11/2012] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [13:00:00 02/11/2012] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 80 u1: BPM st: NotStopd t0: [13:00:00 02/11/2012] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [13:00:00 02/11/2012] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 100 u1: mmHg v2: 41 u2: mmHg st: NotStopd t0: [13:00:00 02/11/2012] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 57 u1: mmHg st: NotStopd t0: [13:00:00 02/11/2012] id: Precautions el: 0 cu: MICU-A cg: RN v1: Contact st: NotStopd t0: [13:00:00 02/11/2012] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 95.5 u1: kg st: NotStopd t0: [13:00:00 02/11/2012] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 12 u1: BPM st: NotStopd t0: [13:00:00 02/11/2012] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 100 u1: % st: NotStopd t0: [13:00:00 02/11/2012] id: Temp. Site el: 0 cu: MICU-A cg: RN v1: Oral st: NotStopd t0: [13:00:00 02/11/2012] id: Temperature C (calc) el: 0 cu: MICU-A cg: RN v1: 37.6111 u1: Deg. C st: NotStopd t0: [13:00:00 02/11/2012] id: Temperature F el: 0 cu: MICU-A cg: RN v1: 99.7 u1: Deg. F st: NotStopd t0: [13:00:00 02/11/2012] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [13:00:00 02/11/2012] id: .9% Normal Saline 1000.0ml IV Infusions el: 7 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [13:00:00 02/11/2012] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 3 cu: MICU-A cg: RN ai: 126 vo: 32.838 vu: ml t0: [13:00:00 02/11/2012] id: D5W 100.0ml + 600mcghr Sandostatin IV Infusions el: 3 cu: MICU-A cg: RN ai: 127 vo: 8.3 vu: ml t0: [13:00:00 02/11/2012] id: Urine Out Foley el: 2 cu: MICU-A cg: RN vo: 25 vu: ml
t0: [13:00:00 02/11/2012] id: Propofol el: 3 cu: MICU-A cg: RN so: N/A vo: 0 v1: 65 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [13:00:00 02/11/2012] id: Sandostatin el: 4 cu: MICU-A cg: RN so: D5W vo: 0 v1: 49.8 du: mcghr sv: 100 su: ml rt: IV Drip
t0: [13:18:00 02/11/2012] id: Art.pH ABG el: 0 cu: MICU-A cg: 1663 v1: 7.39 rs: Final st: NotStopd t0: [13:18:00 02/11/2012] id: Lactic Acid Chemistry el: 0 cu: MICU-A cg: 1663 v1: 1.8 rs: Final st: NotStopd t0: [13:18:00 02/11/2012] id: Arterial Base Excess ABG el: 0 cu: MICU-A cg: 1663 v1: -4 rs: Final st: NotStopd t0: [13:18:00 02/11/2012] id: Arterial CO2(Calc) ABG el: 0 cu: MICU-A cg: 1663 v1: 20 rs: Final st: NotStopd t0: [13:18:00 02/11/2012] id: Arterial PaCO2 ABG el: 0 cu: MICU-A cg: 1663 v1: 32 u1: mmHg rs: Final st: NotStopd t0: [13:18:00 02/11/2012] id: Arterial PaO2 ABG el: 0 cu: MICU-A cg: 1663 v1: 102 u1: mmHg rs: Final st: NotStopd t0: [13:18:00 02/11/2012] id: Arterial pH ABG el: 0 cu: MICU-A cg: 1663 v1: 7.39 rs: Final st: NotStopd t0: [13:18:00 02/11/2012] id: Ionized Calcium Chemistry el: 0 cu: MICU-A cg: 1663 v1: 1.05 rs: Final st: NotStopd t0: [13:18:00 02/11/2012] id: Lactic Acid(0.5-2.0) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 1.8 rs: Final st: NotStopd
t0: [13:24:00 02/11/2012] id: Blood Products Hematology el: 0 cu: MICU-A cg: 1663 v1: Y rs: Final st: NotStopd
t0: [13:22:00 02/11/2012] id: WBC (4-11,000) Hematology el: 0 cu: MICU-A cg: 1663 v1: 15.9 rs: Final st: NotStopd t0: [13:22:00 02/11/2012] id: WBC Hematology el: 0 cu: MICU-A cg: 1663 v1: 15.9 rs: Final st: NotStopd t0: [13:22:00 02/11/2012] id: Hemoglobin Hematology el: 0 cu: MICU-A cg: 1663 v1: 11.9 u1: gm/dl rs: Final st: NotStopd t0: [13:22:00 02/11/2012] id: Platelets Hematology el: 0 cu: MICU-A cg: 1663 v1: 74 rs: Final st: NotStopd t0: [13:22:00 02/11/2012] id: RBC Hematology el: 0 cu: MICU-A cg: 1663 v1: 3.78 u1: /mic l rs: Final st: NotStopd t0: [13:22:00 02/11/2012] id: WBC (4-11,000) Hematology el: 0 cu: MICU-A cg: 1663 v1: 15.9 rs: Final st: NotStopd
t0: [13:00:00 02/11/2012] id: Compliance (40-60ml) el: 0 cu: MICU-A cg: RRT v1: 33.3333 u1: ml/cmH st: NotStopd t0: [13:00:00 02/11/2012] id: ETT Mark/Location el: 0 cu: MICU-A cg: RRT v1: 21cm v2: Lip st: NotStopd t0: [13:00:00 02/11/2012] id: FiO2 Set el: 0 cu: MICU-A cg: RRT v1: 0.6 u1: torr st: NotStopd t0: [13:00:00 02/11/2012] id: High Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 40 u1: cmH2O st: NotStopd t0: [13:00:00 02/11/2012] id: High Resp. Rate el: 0 cu: MICU-A cg: RRT v1: 15 u1: BPM st: NotStopd t0: [13:00:00 02/11/2012] id: I:E Ratio el: 0 cu: MICU-A cg: RRT v1: 1:4 st: NotStopd t0: [13:00:00 02/11/2012] id: Airway Size el: 0 cu: MICU-A cg: RRT v1: 8.0 mm st: NotStopd t0: [13:00:00 02/11/2012] id: Airway Type el: 0 cu: MICU-A cg: RRT v1: Endotracheal st: NotStopd t0: [13:00:00 02/11/2012] id: Intubation Date el: 0 cu: MICU-A cg: RRT v1: 10 v2: 10 st: NotStopd t0: [13:00:00 02/11/2012] id: Low Exhaled Min Vol el: 0 cu: MICU-A cg: RRT v1: 3 st: NotStopd t0: [13:00:00 02/11/2012] id: Mean Airway Pressure el: 0 cu: MICU-A cg: RRT v1: 9 u1: cmH2O st: NotStopd t0: [13:00:00 02/11/2012] id: Minute Volume(Obser) el: 0 cu: MICU-A cg: RRT v1: 8.3 u1: L/min st: NotStopd t0: [13:00:00 02/11/2012] id: PEEP Set el: 0 cu: MICU-A cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [13:00:00 02/11/2012] id: Peak Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 26 u1: cmH2O st: NotStopd t0: [13:00:00 02/11/2012] id: Plateau Pressure el: 0 cu: MICU-A cg: RRT v1: 22 u1: cmH2O st: NotStopd t0: [13:00:00 02/11/2012] id: Plateau-Off el: 0 cu: MICU-A cg: RRT v1: Yes st: NotStopd t0: [13:00:00 02/11/2012] id: Resp Rate (Spont) el: 0 cu: MICU-A cg: RRT v1: 0 u1: BPM st: NotStopd t0: [13:00:00 02/11/2012] id: Resp Rate (Total) el: 0 cu: MICU-A cg: RRT v1: 12 u1: BPM st: NotStopd t0: [13:00:00 02/11/2012] id: Respiratory Rate Set el: 0 cu: MICU-A cg: RRT v1: 12 u1: BPM st: NotStopd t0: [13:00:00 02/11/2012] id: Sensitivity-Vent el: 0 cu: MICU-A cg: RRT v1: 2 u1: cmH2O st: NotStopd t0: [13:00:00 02/11/2012] id: Tidal Volume (Obser) el: 0 cu: MICU-A cg: RRT v1: 700 u1: ml/B st: NotStopd t0: [13:00:00 02/11/2012] id: Tidal Volume (Set) el: 0 cu: MICU-A cg: RRT v1: 700 u1: ml/B st: NotStopd t0: [13:00:00 02/11/2012] id: Ventilator Mode el: 0 cu: MICU-A cg: RRT v1: CMV st: NotStopd t0: [13:00:00 02/11/2012] id: Ventilator Type el: 0 cu: MICU-A cg: RRT v1: Drager st: NotStopd t0: [13:00:00 02/11/2012] id: Waveform-Vent el: 0 cu: MICU-A cg: RRT v1: RAMP st: NotStopd
t0: [13:22:00 02/11/2012] id: PT el: 0 cu: MICU-A cg: 1663 v1: 14.8 rs: Final st: NotStopd t0: [13:22:00 02/11/2012] id: INR Coags el: 0 cu: MICU-A cg: 1663 v1: 1.5 rs: Final st: NotStopd t0: [13:22:00 02/11/2012] id: PTT Coags el: 0 cu: MICU-A cg: 1663 v1: 39.4 rs: Final st: NotStopd t0: [13:22:00 02/11/2012] id: INR (2-4 ref. range) Coags el: 0 cu: MICU-A cg: 1663 v1: 1.5 rs: Final st: NotStopd t0: [13:22:00 02/11/2012] id: PT(11-13.5) Coags el: 0 cu: MICU-A cg: 1663 v1: 14.8 rs: Final st: NotStopd t0: [13:22:00 02/11/2012] id: PTT(22-35) Coags el: 0 cu: MICU-A cg: 1663 v1: 39.4 rs: Final st: NotStopd
t0: [13:22:00 02/11/2012] id: Fibrinogen Coags el: 0 cu: MICU-A cg: 1663 v1: 193 rs: Final st: NotStopd t0: [13:22:00 02/11/2012] id: Fibrinogen (150-400) Coags el: 0 cu: MICU-A cg: 1663 v1: 193 rs: Final st: NotStopd
t0: [13:22:00 02/11/2012] id: BUN el: 0 cu: MICU-A cg: 1663 v1: 17 rs: Final st: NotStopd t0: [13:22:00 02/11/2012] id: Calcium Chemistry el: 0 cu: MICU-A cg: 1663 v1: 6.9 u1: mg/dl rs: Final st: NotStopd t0: [13:22:00 02/11/2012] id: Chloride Chemistry el: 0 cu: MICU-A cg: 1663 v1: 110 rs: Final st: NotStopd t0: [13:22:00 02/11/2012] id: Creatinine Chemistry el: 0 cu: MICU-A cg: 1663 v1: 1.4 rs: Final st: NotStopd t0: [13:22:00 02/11/2012] id: Glucose Chemistry el: 0 cu: MICU-A cg: 1663 v1: 116 rs: Final st: NotStopd t0: [13:22:00 02/11/2012] id: Magnesium Chemistry el: 0 cu: MICU-A cg: 1663 v1: 1.6 rs: Final st: NotStopd t0: [13:22:00 02/11/2012] id: Phosphorous Chemistry el: 0 cu: MICU-A cg: 1663 v1: 5.3 u1: mEq/L rs: Final st: NotStopd t0: [13:22:00 02/11/2012] id: Potassium Chemistry el: 0 cu: MICU-A cg: 1663 v1: 4.8 rs: Final st: NotStopd t0: [13:22:00 02/11/2012] id: Sodium Chemistry el: 0 cu: MICU-A cg: 1663 v1: 136 rs: Final st: NotStopd t0: [13:22:00 02/11/2012] id: BUN (6-20) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 17 rs: Final st: NotStopd t0: [13:22:00 02/11/2012] id: Calcium (8.4-10.2) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 6.9 u1: mg/dl rs: Final st: NotStopd t0: [13:22:00 02/11/2012] id: Carbon Dioxide Chemistry el: 0 cu: MICU-A cg: 1663 v1: 16 rs: Final st: NotStopd t0: [13:22:00 02/11/2012] id: Chloride (100-112) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 110 rs: Final st: NotStopd t0: [13:22:00 02/11/2012] id: Creatinine (0-1.3) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 1.4 rs: Final st: NotStopd t0: [13:22:00 02/11/2012] id: Glucose (70-105) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 116 rs: Final st: NotStopd t0: [13:22:00 02/11/2012] id: Magnesium (1.6-2.6) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 1.6 rs: Final st: NotStopd t0: [13:22:00 02/11/2012] id: Phosphorous(2.7-4.5) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 5.3 u1: mEq/L rs: Final st: NotStopd t0: [13:22:00 02/11/2012] id: Potassium (3.5-5.3) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 4.8 rs: Final st: NotStopd t0: [13:22:00 02/11/2012] id: Sodium (135-148) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 136 rs: Final st: NotStopd
t0: [14:00:00 02/11/2012] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [14:00:00 02/11/2012] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [14:00:00 02/11/2012] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [14:00:00 02/11/2012] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [14:00:00 02/11/2012] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [14:00:00 02/11/2012] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 83 u1: BPM st: NotStopd t0: [14:00:00 02/11/2012] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [14:00:00 02/11/2012] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 95 u1: mmHg v2: 40 u2: mmHg st: NotStopd t0: [14:00:00 02/11/2012] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 56 u1: mmHg st: NotStopd t0: [14:00:00 02/11/2012] id: Precautions el: 0 cu: MICU-A cg: RN v1: Contact st: NotStopd t0: [14:00:00 02/11/2012] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 95.5 u1: kg st: NotStopd t0: [14:00:00 02/11/2012] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 13 u1: BPM st: NotStopd t0: [14:00:00 02/11/2012] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 100 u1: % st: NotStopd t0: [14:00:00 02/11/2012] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [14:00:00 02/11/2012] id: IV Piggyback IV Infusions el: 1 cu: MICU-A cg: RN ai: 209 vo: 250 vu: ml t0: [14:00:00 02/11/2012] id: .9% Normal Saline 1000.0ml IV Infusions el: 7 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [14:00:00 02/11/2012] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 3 cu: MICU-A cg: RN ai: 126 vo: 32.838 vu: ml t0: [14:00:00 02/11/2012] id: D5W 100.0ml + 600mcghr Sandostatin IV Infusions el: 3 cu: MICU-A cg: RN ai: 127 vo: 8.3 vu: ml t0: [14:00:00 02/11/2012] id: Urine Out Foley el: 2 cu: MICU-A cg: RN vo: 20 vu: ml
t0: [14:00:00 02/11/2012] id: Propofol el: 3 cu: MICU-A cg: RN so: N/A vo: 0 v1: 65 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [14:00:00 02/11/2012] id: Sandostatin el: 4 cu: MICU-A cg: RN so: D5W vo: 0 v1: 49.8 du: mcghr sv: 100 su: ml rt: IV Drip
t0: [13:22:00 02/11/2012] id: Hematocrit Hematology el: 0 cu: MICU-A cg: RRT v1: 32.7 u1: % rs: Final st: NotStopd t0: [15:00:00 02/11/2012] id: Service Type el: 0 cu: MICU-A cg: RRT v1: MICU st: NotStopd t0: [15:00:00 02/11/2012] id: Code Status el: 0 cu: MICU-A cg: RRT v1: Full Code st: NotStopd t0: [15:00:00 02/11/2012] id: Risk for Falls el: 0 cu: MICU-A cg: RRT v1: Yes st: NotStopd t0: [15:00:00 02/11/2012] id: Ectopy Frequency el: 0 cu: MICU-A cg: RRT v1: None st: NotStopd t0: [15:00:00 02/11/2012] id: Ectopy Type el: 0 cu: MICU-A cg: RRT v1: None st: NotStopd t0: [15:00:00 02/11/2012] id: Heart Rate el: 0 cu: MICU-A cg: RRT v1: 79 u1: BPM st: NotStopd t0: [15:00:00 02/11/2012] id: Heart Rhythm el: 0 cu: MICU-A cg: RRT v1: Normal Sinus st: NotStopd t0: [15:00:00 02/11/2012] id: Arterial BP el: 0 cu: MICU-A cg: RRT v1: 93 u1: mmHg v2: 35 u2: mmHg st: NotStopd t0: [15:00:00 02/11/2012] id: Arterial BP Mean el: 0 cu: MICU-A cg: RRT v1: 52 u1: mmHg st: NotStopd t0: [15:00:00 02/11/2012] id: Precautions el: 0 cu: MICU-A cg: RRT v1: Contact st: NotStopd t0: [15:00:00 02/11/2012] id: Previous WeightF el: 0 cu: MICU-A cg: RRT v1: 95.5 u1: kg st: NotStopd t0: [15:00:00 02/11/2012] id: Respiratory Rate el: 0 cu: MICU-A cg: RRT v1: 14 u1: BPM st: NotStopd t0: [15:00:00 02/11/2012] id: SpO2 el: 0 cu: MICU-A cg: RRT v1: 99 u1: % st: NotStopd t0: [15:00:00 02/11/2012] id: calprevflg el: 0 cu: MICU-A cg: RRT v1: 1 u1: kg st: NotStopd t0: [15:20:00 02/11/2012] id: Service Type el: 0 cu: MICU-A cg: RRT v1: MICU st: NotStopd t0: [15:20:00 02/11/2012] id: Code Status el: 0 cu: MICU-A cg: RRT v1: Full Code st: NotStopd t0: [15:20:00 02/11/2012] id: Risk for Falls el: 0 cu: MICU-A cg: RRT v1: Yes st: NotStopd t0: [15:20:00 02/11/2012] id: Heart Rate el: 0 cu: MICU-A cg: RRT v1: 80 u1: BPM st: NotStopd t0: [15:20:00 02/11/2012] id: Arterial BP el: 0 cu: MICU-A cg: RRT v1: 90 u1: mmHg v2: 34 u2: mmHg st: NotStopd t0: [15:20:00 02/11/2012] id: Arterial BP Mean el: 0 cu: MICU-A cg: RRT v1: 51 u1: mmHg st: NotStopd t0: [15:20:00 02/11/2012] id: Precautions el: 0 cu: MICU-A cg: RRT v1: Contact st: NotStopd t0: [15:20:00 02/11/2012] id: Previous WeightF el: 0 cu: MICU-A cg: RRT v1: 95.5 u1: kg st: NotStopd t0: [15:20:00 02/11/2012] id: Respiratory Rate el: 0 cu: MICU-A cg: RRT v1: 13 u1: BPM st: NotStopd t0: [15:20:00 02/11/2012] id: SpO2 el: 0 cu: MICU-A cg: RRT v1: 99 u1: % st: NotStopd t0: [15:20:00 02/11/2012] id: calprevflg el: 0 cu: MICU-A cg: RRT v1: 1 u1: kg st: NotStopd t0: [15:25:00 02/11/2012] id: Service Type el: 0 cu: MICU-A cg: RRT v1: MICU st: NotStopd t0: [15:25:00 02/11/2012] id: Code Status el: 0 cu: MICU-A cg: RRT v1: Full Code st: NotStopd t0: [15:25:00 02/11/2012] id: Risk for Falls el: 0 cu: MICU-A cg: RRT v1: Yes st: NotStopd t0: [15:25:00 02/11/2012] id: Heart Rate el: 0 cu: MICU-A cg: RRT v1: 80 u1: BPM st: NotStopd t0: [15:25:00 02/11/2012] id: Arterial BP el: 0 cu: MICU-A cg: RRT v1: 98 u1: mmHg v2: 36 u2: mmHg st: NotStopd t0: [15:25:00 02/11/2012] id: Arterial BP Mean el: 0 cu: MICU-A cg: RRT v1: 54 u1: mmHg st: NotStopd t0: [15:25:00 02/11/2012] id: Precautions el: 0 cu: MICU-A cg: RRT v1: Contact st: NotStopd t0: [15:25:00 02/11/2012] id: Previous WeightF el: 0 cu: MICU-A cg: RRT v1: 95.5 u1: kg st: NotStopd t0: [15:25:00 02/11/2012] id: Respiratory Rate el: 0 cu: MICU-A cg: RRT v1: 12 u1: BPM st: NotStopd t0: [15:25:00 02/11/2012] id: SpO2 el: 0 cu: MICU-A cg: RRT v1: 100 u1: % st: NotStopd t0: [15:25:00 02/11/2012] id: calprevflg el: 0 cu: MICU-A cg: RRT v1: 1 u1: kg st: NotStopd t0: [15:30:00 02/11/2012] id: Service Type el: 0 cu: MICU-A cg: RRT v1: MICU st: NotStopd t0: [15:30:00 02/11/2012] id: Code Status el: 0 cu: MICU-A cg: RRT v1: Full Code st: NotStopd t0: [15:30:00 02/11/2012] id: Risk for Falls el: 0 cu: MICU-A cg: RRT v1: Yes st: NotStopd t0: [15:30:00 02/11/2012] id: Heart Rate el: 0 cu: MICU-A cg: RRT v1: 80 u1: BPM st: NotStopd t0: [15:30:00 02/11/2012] id: Arterial BP el: 0 cu: MICU-A cg: RRT v1: 101 u1: mmHg v2: 38 u2: mmHg st: NotStopd t0: [15:30:00 02/11/2012] id: Arterial BP Mean el: 0 cu: MICU-A cg: RRT v1: 56 u1: mmHg st: NotStopd t0: [15:30:00 02/11/2012] id: Precautions el: 0 cu: MICU-A cg: RRT v1: Contact st: NotStopd t0: [15:30:00 02/11/2012] id: Previous WeightF el: 0 cu: MICU-A cg: RRT v1: 95.5 u1: kg st: NotStopd t0: [15:30:00 02/11/2012] id: Respiratory Rate el: 0 cu: MICU-A cg: RRT v1: 12 u1: BPM st: NotStopd t0: [15:30:00 02/11/2012] id: SpO2 el: 0 cu: MICU-A cg: RRT v1: 100 u1: % st: NotStopd t0: [15:30:00 02/11/2012] id: calprevflg el: 0 cu: MICU-A cg: RRT v1: 1 u1: kg st: NotStopd t0: [15:35:00 02/11/2012] id: Service Type el: 0 cu: MICU-A cg: RRT v1: MICU st: NotStopd t0: [15:35:00 02/11/2012] id: Code Status el: 0 cu: MICU-A cg: RRT v1: Full Code st: NotStopd t0: [15:35:00 02/11/2012] id: Risk for Falls el: 0 cu: MICU-A cg: RRT v1: Yes st: NotStopd t0: [15:35:00 02/11/2012] id: Heart Rate el: 0 cu: MICU-A cg: RRT v1: 81 u1: BPM st: NotStopd t0: [15:35:00 02/11/2012] id: Arterial BP el: 0 cu: MICU-A cg: RRT v1: 104 u1: mmHg v2: 37 u2: mmHg st: NotStopd t0: [15:35:00 02/11/2012] id: Arterial BP Mean el: 0 cu: MICU-A cg: RRT v1: 57 u1: mmHg st: NotStopd t0: [15:35:00 02/11/2012] id: Precautions el: 0 cu: MICU-A cg: RRT v1: Contact st: NotStopd t0: [15:35:00 02/11/2012] id: Previous WeightF el: 0 cu: MICU-A cg: RRT v1: 95.5 u1: kg st: NotStopd t0: [15:35:00 02/11/2012] id: Respiratory Rate el: 0 cu: MICU-A cg: RRT v1: 14 u1: BPM st: NotStopd t0: [15:35:00 02/11/2012] id: SpO2 el: 0 cu: MICU-A cg: RRT v1: 100 u1: % st: NotStopd t0: [15:35:00 02/11/2012] id: calprevflg el: 0 cu: MICU-A cg: RRT v1: 1 u1: kg st: NotStopd t0: [15:40:00 02/11/2012] id: Service Type el: 0 cu: MICU-A cg: RRT v1: MICU st: NotStopd t0: [15:40:00 02/11/2012] id: Code Status el: 0 cu: MICU-A cg: RRT v1: Full Code st: NotStopd t0: [15:40:00 02/11/2012] id: Risk for Falls el: 0 cu: MICU-A cg: RRT v1: Yes st: NotStopd t0: [15:40:00 02/11/2012] id: Heart Rate el: 0 cu: MICU-A cg: RRT v1: 76 u1: BPM st: NotStopd t0: [15:40:00 02/11/2012] id: Arterial BP el: 0 cu: MICU-A cg: RRT v1: 79 u1: mmHg v2: 30 u2: mmHg st: NotStopd t0: [15:40:00 02/11/2012] id: Arterial BP Mean el: 0 cu: MICU-A cg: RRT v1: 43 u1: mmHg st: NotStopd t0: [15:40:00 02/11/2012] id: Precautions el: 0 cu: MICU-A cg: RRT v1: Contact st: NotStopd t0: [15:40:00 02/11/2012] id: Previous WeightF el: 0 cu: MICU-A cg: RRT v1: 95.5 u1: kg st: NotStopd t0: [15:40:00 02/11/2012] id: Respiratory Rate el: 0 cu: MICU-A cg: RRT v1: 12 u1: BPM st: NotStopd t0: [15:40:00 02/11/2012] id: SpO2 el: 0 cu: MICU-A cg: RRT v1: 100 u1: % st: NotStopd t0: [15:40:00 02/11/2012] id: calprevflg el: 0 cu: MICU-A cg: RRT v1: 1 u1: kg st: NotStopd t0: [15:45:00 02/11/2012] id: Service Type el: 0 cu: MICU-A cg: RRT v1: MICU st: NotStopd t0: [15:45:00 02/11/2012] id: Code Status el: 0 cu: MICU-A cg: RRT v1: Full Code st: NotStopd t0: [15:45:00 02/11/2012] id: Risk for Falls el: 0 cu: MICU-A cg: RRT v1: Yes st: NotStopd t0: [15:45:00 02/11/2012] id: Heart Rate el: 0 cu: MICU-A cg: RRT v1: 78 u1: BPM st: NotStopd t0: [15:45:00 02/11/2012] id: Arterial BP el: 0 cu: MICU-A cg: RRT v1: 95 u1: mmHg v2: 44 u2: mmHg st: NotStopd t0: [15:45:00 02/11/2012] id: Arterial BP Mean el: 0 cu: MICU-A cg: RRT v1: 59 u1: mmHg st: NotStopd t0: [15:45:00 02/11/2012] id: Precautions el: 0 cu: MICU-A cg: RRT v1: Contact st: NotStopd t0: [15:45:00 02/11/2012] id: Previous WeightF el: 0 cu: MICU-A cg: RRT v1: 95.5 u1: kg st: NotStopd t0: [15:45:00 02/11/2012] id: Respiratory Rate el: 0 cu: MICU-A cg: RRT v1: 22 u1: BPM st: NotStopd t0: [15:45:00 02/11/2012] id: SpO2 el: 0 cu: MICU-A cg: RRT v1: 98 u1: % st: NotStopd t0: [15:45:00 02/11/2012] id: calprevflg el: 0 cu: MICU-A cg: RRT v1: 1 u1: kg st: NotStopd t0: [15:50:00 02/11/2012] id: Service Type el: 0 cu: MICU-A cg: RRT v1: MICU st: NotStopd t0: [15:50:00 02/11/2012] id: Code Status el: 0 cu: MICU-A cg: RRT v1: Full Code st: NotStopd t0: [15:50:00 02/11/2012] id: Risk for Falls el: 0 cu: MICU-A cg: RRT v1: Yes st: NotStopd t0: [15:50:00 02/11/2012] id: Heart Rate el: 0 cu: MICU-A cg: RRT v1: 78 u1: BPM st: NotStopd t0: [15:50:00 02/11/2012] id: Arterial BP el: 0 cu: MICU-A cg: RRT v1: 93 u1: mmHg v2: 42 u2: mmHg st: NotStopd t0: [15:50:00 02/11/2012] id: Arterial BP Mean el: 0 cu: MICU-A cg: RRT v1: 56 u1: mmHg st: NotStopd t0: [15:50:00 02/11/2012] id: Precautions el: 0 cu: MICU-A cg: RRT v1: Contact st: NotStopd t0: [15:50:00 02/11/2012] id: Previous Weight el: 0 cu: MICU-A cg: RRT v1: 95.5 u1: kg st: NotStopd t0: [15:50:00 02/11/2012] id: Previous WeightF el: 0 cu: MICU-A cg: RRT v1: 95.5 u1: kg st: NotStopd t0: [15:50:00 02/11/2012] id: Respiratory Rate el: 0 cu: MICU-A cg: RRT v1: 14 u1: BPM st: NotStopd t0: [15:50:00 02/11/2012] id: SpO2 el: 0 cu: MICU-A cg: RRT v1: 99 u1: % st: NotStopd t0: [15:50:00 02/11/2012] id: calprevflg el: 0 cu: MICU-A cg: RRT v1: 1 u1: kg st: NotStopd t0: [15:55:00 02/11/2012] id: Service Type el: 0 cu: MICU-A cg: RRT v1: MICU st: NotStopd t0: [15:55:00 02/11/2012] id: Code Status el: 0 cu: MICU-A cg: RRT v1: Full Code st: NotStopd t0: [15:55:00 02/11/2012] id: Risk for Falls el: 0 cu: MICU-A cg: RRT v1: Yes st: NotStopd t0: [15:55:00 02/11/2012] id: Heart Rate el: 0 cu: MICU-A cg: RRT v1: 77 u1: BPM st: NotStopd t0: [15:55:00 02/11/2012] id: Arterial BP el: 0 cu: MICU-A cg: RRT v1: 77 u1: mmHg v2: 34 u2: mmHg st: NotStopd t0: [15:55:00 02/11/2012] id: Arterial BP Mean el: 0 cu: MICU-A cg: RRT v1: 47 u1: mmHg st: NotStopd t0: [15:55:00 02/11/2012] id: Precautions el: 0 cu: MICU-A cg: RRT v1: Contact st: NotStopd t0: [15:55:00 02/11/2012] id: Previous Weight el: 0 cu: MICU-A cg: RRT v1: 95.5 u1: kg st: NotStopd t0: [15:55:00 02/11/2012] id: Previous WeightF el: 0 cu: MICU-A cg: RRT v1: 95.5 u1: kg st: NotStopd t0: [15:55:00 02/11/2012] id: Respiratory Rate el: 0 cu: MICU-A cg: RRT v1: 18 u1: BPM st: NotStopd t0: [15:55:00 02/11/2012] id: SpO2 el: 0 cu: MICU-A cg: RRT v1: 97 u1: % st: NotStopd t0: [15:55:00 02/11/2012] id: calprevflg el: 0 cu: MICU-A cg: RRT v1: 1 u1: kg st: NotStopd t0: [16:00:00 02/11/2012] id: Service Type el: 0 cu: MICU-A cg: RRT v1: MICU st: NotStopd t0: [16:00:00 02/11/2012] id: Code Status el: 0 cu: MICU-A cg: RRT v1: Full Code st: NotStopd t0: [16:00:00 02/11/2012] id: Risk for Falls el: 0 cu: MICU-A cg: RRT v1: Yes st: NotStopd t0: [16:00:00 02/11/2012] id: Ectopy Frequency el: 0 cu: MICU-A cg: RRT v1: Rare st: NotStopd t0: [16:00:00 02/11/2012] id: Ectopy Type el: 0 cu: MICU-A cg: RRT v1: PVC's st: NotStopd t0: [16:00:00 02/11/2012] id: Heart Rate el: 0 cu: MICU-A cg: RRT v1: 81 u1: BPM st: NotStopd t0: [16:00:00 02/11/2012] id: Heart Rhythm el: 0 cu: MICU-A cg: RRT v1: Normal Sinus st: NotStopd t0: [16:00:00 02/11/2012] id: Arterial BP el: 0 cu: MICU-A cg: RRT v1: 90 u1: mmHg v2: 37 u2: mmHg st: NotStopd t0: [16:00:00 02/11/2012] id: Arterial BP Mean el: 0 cu: MICU-A cg: RRT v1: 52 u1: mmHg st: NotStopd t0: [16:00:00 02/11/2012] id: Precautions el: 0 cu: MICU-A cg: RRT v1: Contact st: NotStopd t0: [16:00:00 02/11/2012] id: Previous Weight el: 0 cu: MICU-A cg: RRT v1: 95.5 u1: kg st: NotStopd t0: [16:00:00 02/11/2012] id: Previous WeightF el: 0 cu: MICU-A cg: RRT v1: 95.5 u1: kg st: NotStopd t0: [16:00:00 02/11/2012] id: Procedures el: 0 cu: MICU-A cg: RRT v1: Endoscopy st: NotStopd t0: [16:00:00 02/11/2012] id: Respiratory Rate el: 0 cu: MICU-A cg: RRT v1: 14 u1: BPM st: NotStopd t0: [16:00:00 02/11/2012] id: SpO2 el: 0 cu: MICU-A cg: RRT v1: 89 u1: % st: NotStopd t0: [16:00:00 02/11/2012] id: calprevflg el: 0 cu: MICU-A cg: RRT v1: 1 u1: kg st: NotStopd t0: [16:05:00 02/11/2012] id: Service Type el: 0 cu: MICU-A cg: RRT v1: MICU st: NotStopd t0: [16:05:00 02/11/2012] id: Code Status el: 0 cu: MICU-A cg: RRT v1: Full Code st: NotStopd t0: [16:05:00 02/11/2012] id: Risk for Falls el: 0 cu: MICU-A cg: RRT v1: Yes st: NotStopd t0: [16:05:00 02/11/2012] id: Heart Rate el: 0 cu: MICU-A cg: RRT v1: 81 u1: BPM st: NotStopd t0: [16:05:00 02/11/2012] id: Arterial BP el: 0 cu: MICU-A cg: RRT v1: 82 u1: mmHg v2: 34 u2: mmHg st: NotStopd t0: [16:05:00 02/11/2012] id: Arterial BP Mean el: 0 cu: MICU-A cg: RRT v1: 48 u1: mmHg st: NotStopd t0: [16:05:00 02/11/2012] id: Precautions el: 0 cu: MICU-A cg: RRT v1: Contact st: NotStopd t0: [16:05:00 02/11/2012] id: Previous Weight el: 0 cu: MICU-A cg: RRT v1: 95.5 u1: kg st: NotStopd t0: [16:05:00 02/11/2012] id: Previous WeightF el: 0 cu: MICU-A cg: RRT v1: 95.5 u1: kg st: NotStopd t0: [16:05:00 02/11/2012] id: Respiratory Rate el: 0 cu: MICU-A cg: RRT v1: 15 u1: BPM st: NotStopd t0: [16:05:00 02/11/2012] id: SpO2 el: 0 cu: MICU-A cg: RRT v1: 94 u1: % st: NotStopd t0: [16:05:00 02/11/2012] id: calprevflg el: 0 cu: MICU-A cg: RRT v1: 1 u1: kg st: NotStopd t0: [16:10:00 02/11/2012] id: Service Type el: 0 cu: MICU-A cg: RRT v1: MICU st: NotStopd t0: [16:10:00 02/11/2012] id: Code Status el: 0 cu: MICU-A cg: RRT v1: Full Code st: NotStopd t0: [16:10:00 02/11/2012] id: Risk for Falls el: 0 cu: MICU-A cg: RRT v1: Yes st: NotStopd t0: [16:10:00 02/11/2012] id: Heart Rate el: 0 cu: MICU-A cg: RRT v1: 81 u1: BPM st: NotStopd t0: [16:10:00 02/11/2012] id: Arterial BP el: 0 cu: MICU-A cg: RRT v1: 93 u1: mmHg v2: 37 u2: mmHg st: NotStopd t0: [16:10:00 02/11/2012] id: Arterial BP Mean el: 0 cu: MICU-A cg: RRT v1: 53 u1: mmHg st: NotStopd t0: [16:10:00 02/11/2012] id: Precautions el: 0 cu: MICU-A cg: RRT v1: Contact st: NotStopd t0: [16:10:00 02/11/2012] id: Previous Weight el: 0 cu: MICU-A cg: RRT v1: 95.5 u1: kg st: NotStopd t0: [16:10:00 02/11/2012] id: Previous WeightF el: 0 cu: MICU-A cg: RRT v1: 95.5 u1: kg st: NotStopd t0: [16:10:00 02/11/2012] id: Respiratory Rate el: 0 cu: MICU-A cg: RRT v1: 15 u1: BPM st: NotStopd t0: [16:10:00 02/11/2012] id: SpO2 el: 0 cu: MICU-A cg: RRT v1: 97 u1: % st: NotStopd t0: [16:10:00 02/11/2012] id: calprevflg el: 0 cu: MICU-A cg: RRT v1: 1 u1: kg st: NotStopd t0: [16:15:00 02/11/2012] id: Service Type el: 0 cu: MICU-A cg: RRT v1: MICU st: NotStopd t0: [16:15:00 02/11/2012] id: Code Status el: 0 cu: MICU-A cg: RRT v1: Full Code st: NotStopd t0: [16:15:00 02/11/2012] id: Risk for Falls el: 0 cu: MICU-A cg: RRT v1: Yes st: NotStopd t0: [16:15:00 02/11/2012] id: Heart Rate el: 0 cu: MICU-A cg: RRT v1: 81 u1: BPM st: NotStopd t0: [16:15:00 02/11/2012] id: Arterial BP el: 0 cu: MICU-A cg: RRT v1: 91 u1: mmHg v2: 36 u2: mmHg st: NotStopd t0: [16:15:00 02/11/2012] id: Arterial BP Mean el: 0 cu: MICU-A cg: RRT v1: 52 u1: mmHg st: NotStopd t0: [16:15:00 02/11/2012] id: Precautions el: 0 cu: MICU-A cg: RRT v1: Contact st: NotStopd t0: [16:15:00 02/11/2012] id: Previous Weight el: 0 cu: MICU-A cg: RRT v1: 95.5 u1: kg st: NotStopd t0: [16:15:00 02/11/2012] id: Previous WeightF el: 0 cu: MICU-A cg: RRT v1: 95.5 u1: kg st: NotStopd t0: [16:15:00 02/11/2012] id: Procedures el: 0 cu: MICU-A cg: RRT st: NotStopd t0: [16:15:00 02/11/2012] id: Respiratory Rate el: 0 cu: MICU-A cg: RRT v1: 14 u1: BPM st: NotStopd t0: [16:15:00 02/11/2012] id: SpO2 el: 0 cu: MICU-A cg: RRT v1: 99 u1: % st: NotStopd t0: [16:15:00 02/11/2012] id: calprevflg el: 0 cu: MICU-A cg: RRT v1: 1 u1: kg st: NotStopd
t0: [15:00:00 02/11/2012] id: Propofol el: 3 cu: MICU-A cg: RRT so: N/A vo: 0 v1: 65 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [15:00:00 02/11/2012] id: Sandostatin el: 4 cu: MICU-A cg: RRT so: D5W vo: 0 v1: 49.8 du: mcghr sv: 100 su: ml rt: IV Drip t0: [15:20:00 02/11/2012] id: Propofol el: 3 cu: MICU-A cg: RRT so: N/A vo: 0 v1: 65 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [15:20:00 02/11/2012] id: Sandostatin el: 4 cu: MICU-A cg: RRT so: D5W vo: 0 v1: 49.8 du: mcghr sv: 100 su: ml rt: IV Drip t0: [15:25:00 02/11/2012] id: Propofol el: 3 cu: MICU-A cg: RRT so: N/A vo: 0 v1: 65 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [15:25:00 02/11/2012] id: Sandostatin el: 4 cu: MICU-A cg: RRT so: D5W vo: 0 v1: 49.8 du: mcghr sv: 100 su: ml rt: IV Drip t0: [15:30:00 02/11/2012] id: Propofol el: 3 cu: MICU-A cg: RRT so: N/A vo: 0 v1: 65 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [15:30:00 02/11/2012] id: Sandostatin el: 4 cu: MICU-A cg: RRT so: D5W vo: 0 v1: 49.8 du: mcghr sv: 100 su: ml rt: IV Drip t0: [15:35:00 02/11/2012] id: Propofol el: 3 cu: MICU-A cg: RRT so: N/A vo: 0 v1: 65 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [15:35:00 02/11/2012] id: Sandostatin el: 4 cu: MICU-A cg: RRT so: D5W vo: 0 v1: 49.8 du: mcghr sv: 100 su: ml rt: IV Drip t0: [15:40:00 02/11/2012] id: Propofol el: 3 cu: MICU-A cg: RRT so: N/A vo: 0 v1: 65 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [15:40:00 02/11/2012] id: Sandostatin el: 4 cu: MICU-A cg: RRT so: D5W vo: 0 v1: 49.8 du: mcghr sv: 100 su: ml rt: IV Drip t0: [15:45:00 02/11/2012] id: Propofol el: 3 cu: MICU-A cg: RRT so: N/A vo: 0 v1: 65 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [15:45:00 02/11/2012] id: Sandostatin el: 4 cu: MICU-A cg: RRT so: D5W vo: 0 v1: 49.8 du: mcghr sv: 100 su: ml rt: IV Drip t0: [15:50:00 02/11/2012] id: Propofol el: 3 cu: MICU-A cg: RRT so: N/A vo: 0 v1: 65 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [15:50:00 02/11/2012] id: Sandostatin el: 4 cu: MICU-A cg: RRT so: D5W vo: 0 v1: 49.8 du: mcghr sv: 100 su: ml rt: IV Drip t0: [15:55:00 02/11/2012] id: Propofol el: 3 cu: MICU-A cg: RRT so: N/A vo: 0 v1: 65 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [15:55:00 02/11/2012] id: Sandostatin el: 4 cu: MICU-A cg: RRT so: D5W vo: 0 v1: 49.8 du: mcghr sv: 100 su: ml rt: IV Drip t0: [16:00:00 02/11/2012] id: Propofol el: 3 cu: MICU-A cg: RRT so: N/A vo: 0 v1: 65 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [16:00:00 02/11/2012] id: Sandostatin el: 4 cu: MICU-A cg: RRT so: D5W vo: 0 v1: 49.8 du: mcghr sv: 100 su: ml rt: IV Drip t0: [16:05:00 02/11/2012] id: Propofol el: 3 cu: MICU-A cg: RRT so: N/A vo: 0 v1: 65 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [16:05:00 02/11/2012] id: Sandostatin el: 4 cu: MICU-A cg: RRT so: D5W vo: 0 v1: 49.8 du: mcghr sv: 100 su: ml rt: IV Drip t0: [16:10:00 02/11/2012] id: Propofol el: 3 cu: MICU-A cg: RRT so: N/A vo: 0 v1: 65 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [16:10:00 02/11/2012] id: Sandostatin el: 4 cu: MICU-A cg: RRT so: D5W vo: 0 v1: 49.8 du: mcghr sv: 100 su: ml rt: IV Drip t0: [16:15:00 02/11/2012] id: Propofol el: 3 cu: MICU-A cg: RRT so: N/A vo: 0 v1: 65 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [16:15:00 02/11/2012] id: Sandostatin el: 4 cu: MICU-A cg: RRT so: D5W vo: 0 v1: 49.8 du: mcghr sv: 100 su: ml rt: IV Drip
t0: [16:25:00 02/11/2012] id: Compliance (40-60ml) el: 0 cu: MICU-A cg: RRT v1: 36.8421 u1: ml/cmH st: NotStopd t0: [16:25:00 02/11/2012] id: ETT Mark/Location el: 0 cu: MICU-A cg: RRT v1: 21cm v2: Lip st: NotStopd t0: [16:25:00 02/11/2012] id: FiO2 Set el: 0 cu: MICU-A cg: RRT v1: 0.6 u1: torr st: NotStopd t0: [16:25:00 02/11/2012] id: High Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 40 u1: cmH2O st: NotStopd t0: [16:25:00 02/11/2012] id: High Resp. Rate el: 0 cu: MICU-A cg: RRT v1: 15 u1: BPM st: NotStopd t0: [16:25:00 02/11/2012] id: I:E Ratio el: 0 cu: MICU-A cg: RRT v1: 1:4 st: NotStopd t0: [16:25:00 02/11/2012] id: Airway Size el: 0 cu: MICU-A cg: RRT v1: 8.0 mm st: NotStopd t0: [16:25:00 02/11/2012] id: Airway Type el: 0 cu: MICU-A cg: RRT v1: Endotracheal st: NotStopd t0: [16:25:00 02/11/2012] id: Intubation Date el: 0 cu: MICU-A cg: RRT v1: 10 v2: 10 st: NotStopd t0: [16:25:00 02/11/2012] id: Low Exhaled Min Vol el: 0 cu: MICU-A cg: RRT v1: 3 st: NotStopd t0: [16:25:00 02/11/2012] id: Mean Airway Pressure el: 0 cu: MICU-A cg: RRT v1: 9 u1: cmH2O st: NotStopd t0: [16:25:00 02/11/2012] id: Minute Volume(Obser) el: 0 cu: MICU-A cg: RRT v1: 11 u1: L/min st: NotStopd t0: [16:25:00 02/11/2012] id: PEEP Set el: 0 cu: MICU-A cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [16:25:00 02/11/2012] id: Peak Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 24 u1: cmH2O st: NotStopd t0: [16:25:00 02/11/2012] id: Plateau Pressure el: 0 cu: MICU-A cg: RRT v1: 21 u1: cmH2O st: NotStopd t0: [16:25:00 02/11/2012] id: Plateau-Off el: 0 cu: MICU-A cg: RRT v1: Yes st: NotStopd t0: [16:25:00 02/11/2012] id: Resp Rate (Spont) el: 0 cu: MICU-A cg: RRT v1: 4 u1: BPM st: NotStopd t0: [16:25:00 02/11/2012] id: Resp Rate (Total) el: 0 cu: MICU-A cg: RRT v1: 16 u1: BPM st: NotStopd t0: [16:25:00 02/11/2012] id: Respiratory Rate Set el: 0 cu: MICU-A cg: RRT v1: 12 u1: BPM st: NotStopd t0: [16:25:00 02/11/2012] id: Sensitivity-Vent el: 0 cu: MICU-A cg: RRT v1: 2 u1: cmH2O st: NotStopd t0: [16:25:00 02/11/2012] id: SpO2 el: 0 cu: MICU-A cg: RRT v1: 100 u1: % st: NotStopd t0: [16:25:00 02/11/2012] id: Tidal Volume (Obser) el: 0 cu: MICU-A cg: RRT v1: 720 u1: ml/B st: NotStopd t0: [16:25:00 02/11/2012] id: Tidal Volume (Set) el: 0 cu: MICU-A cg: RRT v1: 700 u1: ml/B st: NotStopd t0: [16:25:00 02/11/2012] id: Ventilator Mode el: 0 cu: MICU-A cg: RRT v1: CMV st: NotStopd t0: [16:25:00 02/11/2012] id: Ventilator Type el: 0 cu: MICU-A cg: RRT v1: Drager st: NotStopd t0: [16:25:00 02/11/2012] id: Waveform-Vent el: 0 cu: MICU-A cg: RRT v1: RAMP st: NotStopd
tf: [16:00:00 03/11/2012] pt: Unit Dose rt: IV fr: ONCE fs: 17 dn: 1 m1: Albumin 5% (12.5gm) v1: 50 u1: gm
t0: [16:00:00 02/11/2012] id: Temp. Site el: 0 cu: MICU-A cg: RN v1: Oral st: NotStopd t0: [16:00:00 02/11/2012] id: Temperature C (calc) el: 0 cu: MICU-A cg: RN v1: 36.8889 u1: Deg. C st: NotStopd t0: [16:00:00 02/11/2012] id: Temperature F el: 0 cu: MICU-A cg: RN v1: 98.4 u1: Deg. F st: NotStopd t0: [17:00:00 02/11/2012] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [17:00:00 02/11/2012] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [17:00:00 02/11/2012] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [17:00:00 02/11/2012] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [17:00:00 02/11/2012] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [17:00:00 02/11/2012] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 79 u1: BPM st: NotStopd t0: [17:00:00 02/11/2012] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [17:00:00 02/11/2012] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 89 u1: mmHg v2: 34 u2: mmHg st: NotStopd t0: [17:00:00 02/11/2012] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 50 u1: mmHg st: NotStopd t0: [17:00:00 02/11/2012] id: Precautions el: 0 cu: MICU-A cg: RN v1: Contact st: NotStopd t0: [17:00:00 02/11/2012] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 95.5 u1: kg st: NotStopd t0: [17:00:00 02/11/2012] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 14 u1: BPM st: NotStopd t0: [17:00:00 02/11/2012] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 99 u1: % st: NotStopd t0: [17:00:00 02/11/2012] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [16:00:00 02/11/2012] id: IV Piggyback IV Infusions el: 1 cu: MICU-A cg: RN ai: 209 vo: 200 vu: ml t0: [16:00:00 02/11/2012] id: .9% Normal Saline 1000.0ml IV Infusions el: 7 cu: MICU-A cg: RN ai: 107 vo: 20 vu: ml t0: [16:00:00 02/11/2012] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 3 cu: MICU-A cg: RN ai: 126 vo: 65.676 vu: ml t0: [16:00:00 02/11/2012] id: D5W 100.0ml + 600mcghr Sandostatin IV Infusions el: 3 cu: MICU-A cg: RN ai: 127 vo: 16.6 vu: ml t0: [16:00:00 02/11/2012] id: Urine Out Foley el: 2 cu: MICU-A cg: RN vo: 15 vu: ml t0: [17:00:00 02/11/2012] id: IV Piggyback IV Infusions el: 1 cu: MICU-A cg: RN ai: 209 vo: 500 vu: ml t0: [17:00:00 02/11/2012] id: .9% Normal Saline 1000.0ml IV Infusions el: 7 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [17:00:00 02/11/2012] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 3 cu: MICU-A cg: RN ai: 126 vo: 32.838 vu: ml t0: [17:00:00 02/11/2012] id: D5W 100.0ml + 600mcghr Sandostatin IV Infusions el: 3 cu: MICU-A cg: RN ai: 127 vo: 8.3 vu: ml t0: [17:00:00 02/11/2012] id: Urine Out Foley el: 2 cu: MICU-A cg: RN vo: 0 vu: ml
t0: [17:00:00 02/11/2012] id: Propofol el: 3 cu: MICU-A cg: RN so: N/A vo: 0 v1: 65 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [17:00:00 02/11/2012] id: Sandostatin el: 4 cu: MICU-A cg: RN so: D5W vo: 0 v1: 49.8 du: mcghr sv: 100 su: ml rt: IV Drip
t0: [17:31:00 02/11/2012] id: Hematocrit Hematology el: 0 cu: MICU-A cg: 1663 v1: 31.7 u1: % rs: Final st: NotStopd
t0: [17:31:00 02/11/2012] id: PT el: 0 cu: MICU-A cg: 1663 v1: 16 rs: Final st: NotStopd t0: [17:31:00 02/11/2012] id: INR Coags el: 0 cu: MICU-A cg: 1663 v1: 1.7 rs: Final st: NotStopd t0: [17:31:00 02/11/2012] id: PTT Coags el: 0 cu: MICU-A cg: 1663 v1: 46.4 rs: Final st: NotStopd t0: [17:31:00 02/11/2012] id: INR (2-4 ref. range) Coags el: 0 cu: MICU-A cg: 1663 v1: 1.7 rs: Final st: NotStopd t0: [17:31:00 02/11/2012] id: PT(11-13.5) Coags el: 0 cu: MICU-A cg: 1663 v1: 16 rs: Final st: NotStopd t0: [17:31:00 02/11/2012] id: PTT(22-35) Coags el: 0 cu: MICU-A cg: 1663 v1: 46.4 rs: Final st: NotStopd
t0: [18:00:00 02/11/2012] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [18:00:00 02/11/2012] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [18:00:00 02/11/2012] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [18:00:00 02/11/2012] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [18:00:00 02/11/2012] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [18:00:00 02/11/2012] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 77 u1: BPM st: NotStopd t0: [18:00:00 02/11/2012] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [18:00:00 02/11/2012] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 103 u1: mmHg v2: 40 u2: mmHg st: NotStopd t0: [18:00:00 02/11/2012] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 58 u1: mmHg st: NotStopd t0: [18:00:00 02/11/2012] id: Precautions el: 0 cu: MICU-A cg: RN v1: Contact st: NotStopd t0: [18:00:00 02/11/2012] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 95.5 u1: kg st: NotStopd t0: [18:00:00 02/11/2012] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 13 u1: BPM st: NotStopd t0: [18:00:00 02/11/2012] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 99 u1: % st: NotStopd t0: [18:00:00 02/11/2012] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [18:00:00 02/11/2012] id: IV Piggyback IV Infusions el: 1 cu: MICU-A cg: RN ai: 209 vo: 100 vu: ml t0: [18:00:00 02/11/2012] id: .9% Normal Saline 1000.0ml IV Infusions el: 7 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [18:00:00 02/11/2012] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 3 cu: MICU-A cg: RN ai: 126 vo: 32.838 vu: ml t0: [18:00:00 02/11/2012] id: D5W 100.0ml + 600mcghr Sandostatin IV Infusions el: 3 cu: MICU-A cg: RN ai: 127 vo: 8.3 vu: ml t0: [18:00:00 02/11/2012] tf: [13:57:00 06/11/2012] dt: 5517 id: Urine Out Foley el: 2 cu: MICU-A cg: RN vo: 25 vu: ml
t0: [18:00:00 02/11/2012] id: Propofol el: 3 cu: MICU-A cg: RN so: N/A vo: 0 v1: 65 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [18:00:00 02/11/2012] id: Sandostatin el: 4 cu: MICU-A cg: RN so: D5W vo: 0 v1: 49.8 du: mcghr sv: 100 su: ml rt: IV Drip
t0: [12:00:00 02/11/2012] id: Eye Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [12:00:00 02/11/2012] id: Oral Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [12:00:00 02/11/2012] id: Skin Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [12:00:00 02/11/2012] id: Back Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [16:00:00 02/11/2012] id: Diet Type el: 0 cu: MICU-A cg: RN v1: NPO st: NotStopd t0: [16:00:00 02/11/2012] id: Eye Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [16:00:00 02/11/2012] id: Eye Opening el: 0 cu: MICU-A cg: RN v1: 2 To pain st: NotStopd t0: [16:00:00 02/11/2012] id: Family Communication el: 0 cu: MICU-A cg: RN v1: Family Called st: NotStopd t0: [16:00:00 02/11/2012] id: Follows Commands el: 0 cu: MICU-A cg: RN v1: No st: NotStopd t0: [16:00:00 02/11/2012] id: GCS Total el: 0 cu: MICU-A cg: RN v1: 8 u1: points st: NotStopd t0: [16:00:00 02/11/2012] id: HOB el: 0 cu: MICU-A cg: RN v1: 30 degrees st: NotStopd t0: [16:00:00 02/11/2012] id: INV Line#1 Type/Site el: 0 cu: MICU-A cg: RN v1: PICC line v2: Left Antecub st: NotStopd t0: [16:00:00 02/11/2012] id: INV Line#1InsertDate el: 0 cu: MICU-A cg: RN v1: 10 v2: 9 st: NotStopd t0: [16:00:00 02/11/2012] id: INV Line#1SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [16:00:00 02/11/2012] id: INV Line#2 Type/Site el: 0 cu: MICU-A cg: RN v1: Introducer v2: Left IJ st: NotStopd t0: [16:00:00 02/11/2012] id: INV Line#2InsertDate el: 0 cu: MICU-A cg: RN v1: 10 v2: 10 st: NotStopd t0: [16:00:00 02/11/2012] id: INV Line#2SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [16:00:00 02/11/2012] id: INV Line#3 Type/Site el: 0 cu: MICU-A cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [16:00:00 02/11/2012] id: INV Line#3InsertDate el: 0 cu: MICU-A cg: RN v1: 10 v2: 10 st: NotStopd t0: [16:00:00 02/11/2012] id: INV Line#3SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [16:00:00 02/11/2012] id: INV#3 WaveformAppear el: 0 cu: MICU-A cg: RN v1: Sharp st: NotStopd t0: [16:00:00 02/11/2012] id: IV #3 Insert Date el: 0 cu: MICU-A cg: RN v1: 10 v2: 9 st: NotStopd t0: [16:00:00 02/11/2012] id: IV #3 Site/Size el: 0 cu: MICU-A cg: RN v1: Right Antecub v2: 18 gauge st: NotStopd t0: [16:00:00 02/11/2012] id: Activity el: 0 cu: MICU-A cg: RN v1: Bedrest st: NotStopd t0: [16:00:00 02/11/2012] id: IV Site Appear #3 el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [16:00:00 02/11/2012] id: Activity Tolerance el: 0 cu: MICU-A cg: RN v1: Fair st: NotStopd t0: [16:00:00 02/11/2012] id: Imp Skin Cleanse #1 el: 0 cu: MICU-A cg: RN v1: Soap & H20 st: NotStopd t0: [16:00:00 02/11/2012] id: ImpSkin Character #1 el: 0 cu: MICU-A cg: RN v1: Abrasion st: NotStopd t0: [16:00:00 02/11/2012] id: ImpSkin Treatment #1 el: 0 cu: MICU-A cg: RN v1: Open to Air st: NotStopd t0: [16:00:00 02/11/2012] id: ImpSkin Wound Base#1 el: 0 cu: MICU-A cg: RN v1: Pink st: NotStopd t0: [16:00:00 02/11/2012] id: Impaired Skin Site#1 el: 0 cu: MICU-A cg: RN v1: Coccyx st: NotStopd t0: [16:00:00 02/11/2012] id: Level of Conscious el: 0 cu: MICU-A cg: RN v1: Arouse to Stimul st: NotStopd t0: [16:00:00 02/11/2012] id: Motor Response el: 0 cu: MICU-A cg: RN v1: 5 Localizes Pain st: NotStopd t0: [16:00:00 02/11/2012] id: Oral Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [16:00:00 02/11/2012] id: Orientation el: 0 cu: MICU-A cg: RN v1: Other/Remarks st: NotStopd t0: [16:00:00 02/11/2012] id: AntiEmbDevice/Status el: 0 cu: MICU-A cg: RN v1: Compress Sleeves st: NotStopd t0: [16:00:00 02/11/2012] id: Assistance Device el: 0 cu: MICU-A cg: RN v1: 2 Person Assist st: NotStopd t0: [16:00:00 02/11/2012] id: Respiratory Pattern el: 0 cu: MICU-A cg: RN v1: Regular st: NotStopd t0: [16:00:00 02/11/2012] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [16:00:00 02/11/2012] id: Skin Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [16:00:00 02/11/2012] id: Skin Color el: 0 cu: MICU-A cg: RN v1: Pale st: NotStopd t0: [16:00:00 02/11/2012] id: Skin Integrity el: 0 cu: MICU-A cg: RN v1: Impaired st: NotStopd t0: [16:00:00 02/11/2012] id: Skin Temp/Condition el: 0 cu: MICU-A cg: RN v1: Warm v2: Dry st: NotStopd t0: [16:00:00 02/11/2012] id: Spontaneous Movement el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [16:00:00 02/11/2012] id: Support Systems el: 0 cu: MICU-A cg: RN v1: Spouse st: NotStopd t0: [16:00:00 02/11/2012] id: Turn el: 0 cu: MICU-A cg: RN v1: Left Side st: NotStopd t0: [16:00:00 02/11/2012] id: Urine Source el: 0 cu: MICU-A cg: RN v1: Voids st: NotStopd t0: [16:00:00 02/11/2012] id: Verbal Response el: 0 cu: MICU-A cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [16:00:00 02/11/2012] id: Back Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [16:00:00 02/11/2012] id: Braden Activity el: 0 cu: MICU-A cg: RN v1: Bedfast st: NotStopd t0: [16:00:00 02/11/2012] id: Braden Frict/Shear el: 0 cu: MICU-A cg: RN v1: No Apparent Prob st: NotStopd t0: [16:00:00 02/11/2012] id: Braden Mobility el: 0 cu: MICU-A cg: RN v1: Very Limited st: NotStopd t0: [16:00:00 02/11/2012] id: Braden Moisture el: 0 cu: MICU-A cg: RN v1: Rarely Moist st: NotStopd t0: [16:00:00 02/11/2012] id: Braden Nutrition el: 0 cu: MICU-A cg: RN v1: Very Poor st: NotStopd t0: [16:00:00 02/11/2012] id: Braden Score el: 0 cu: MICU-A cg: RN v1: 13 u1: number st: NotStopd t0: [16:00:00 02/11/2012] id: Braden SensoryPercep el: 0 cu: MICU-A cg: RN v1: Very Limited st: NotStopd
t0: [16:00:00 02/11/2012] id: Pain Present el: 0 cu: MICU-A cg: RN v1: No st: NotStopd t0: [16:00:00 02/11/2012] id: Pain Assess Method el: 0 cu: MICU-A cg: RN v1: Grimace Scale st: NotStopd t0: [19:00:00 02/11/2012] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [19:00:00 02/11/2012] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [19:00:00 02/11/2012] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [19:00:00 02/11/2012] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [19:00:00 02/11/2012] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [19:00:00 02/11/2012] id: Eye Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [19:00:00 02/11/2012] id: HOB el: 0 cu: MICU-A cg: RN v1: 30 degrees st: NotStopd t0: [19:00:00 02/11/2012] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 73 u1: BPM st: NotStopd t0: [19:00:00 02/11/2012] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [19:00:00 02/11/2012] id: Activity el: 0 cu: MICU-A cg: RN v1: Bedrest st: NotStopd t0: [19:00:00 02/11/2012] id: Activity Tolerance el: 0 cu: MICU-A cg: RN v1: Good st: NotStopd t0: [19:00:00 02/11/2012] id: Oral Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [19:00:00 02/11/2012] id: AntiEmbDevice/Status el: 0 cu: MICU-A cg: RN v1: Compress Sleeves st: NotStopd t0: [19:00:00 02/11/2012] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 105 u1: mmHg v2: 38 u2: mmHg st: NotStopd t0: [19:00:00 02/11/2012] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 56 u1: mmHg st: NotStopd t0: [19:00:00 02/11/2012] id: Position el: 0 cu: MICU-A cg: RN v1: Right Side st: NotStopd t0: [19:00:00 02/11/2012] id: Assistance Device el: 0 cu: MICU-A cg: RN v1: 2 Person Assist st: NotStopd t0: [19:00:00 02/11/2012] id: Precautions el: 0 cu: MICU-A cg: RN v1: Contact st: NotStopd t0: [19:00:00 02/11/2012] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 95.5 u1: kg st: NotStopd t0: [19:00:00 02/11/2012] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 15 u1: BPM st: NotStopd t0: [19:00:00 02/11/2012] id: Skin Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [19:00:00 02/11/2012] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 99 u1: % st: NotStopd t0: [19:00:00 02/11/2012] id: Turn el: 0 cu: MICU-A cg: RN v1: Right Side st: NotStopd t0: [19:00:00 02/11/2012] id: Back Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [19:00:00 02/11/2012] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [20:00:00 02/11/2012] id: Pain Present el: 0 cu: MICU-A cg: RN v1: No st: NotStopd t0: [20:00:00 02/11/2012] id: Pain Assess Method el: 0 cu: MICU-A cg: RN v1: Grimace Scale st: NotStopd t0: [20:00:00 02/11/2012] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [20:00:00 02/11/2012] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [20:00:00 02/11/2012] id: Riker-SAS Scale el: 0 cu: MICU-A cg: RN v1: Sedated st: NotStopd t0: [20:00:00 02/11/2012] id: GI Prophylaxis el: 0 cu: MICU-A cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [20:00:00 02/11/2012] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [20:00:00 02/11/2012] id: Diet Type el: 0 cu: MICU-A cg: RN v1: NPO st: NotStopd t0: [20:00:00 02/11/2012] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [20:00:00 02/11/2012] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [20:00:00 02/11/2012] id: Eye Opening el: 0 cu: MICU-A cg: RN v1: 2 To pain st: NotStopd t0: [20:00:00 02/11/2012] id: Family Communication el: 0 cu: MICU-A cg: RN v1: Family Called st: NotStopd t0: [20:00:00 02/11/2012] id: Follows Commands el: 0 cu: MICU-A cg: RN v1: No st: NotStopd t0: [20:00:00 02/11/2012] id: GCS Total el: 0 cu: MICU-A cg: RN v1: 8 u1: points st: NotStopd t0: [20:00:00 02/11/2012] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 68 u1: BPM st: NotStopd t0: [20:00:00 02/11/2012] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [20:00:00 02/11/2012] id: INV Line#1 Type/Site el: 0 cu: MICU-A cg: RN v1: PICC line v2: Left Antecub st: NotStopd t0: [20:00:00 02/11/2012] id: INV Line#1InsertDate el: 0 cu: MICU-A cg: RN v1: 10 v2: 9 st: NotStopd t0: [20:00:00 02/11/2012] id: INV Line#1SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [20:00:00 02/11/2012] id: INV Line#2 Type/Site el: 0 cu: MICU-A cg: RN v1: Introducer v2: Left IJ st: NotStopd t0: [20:00:00 02/11/2012] id: INV Line#2InsertDate el: 0 cu: MICU-A cg: RN v1: 10 v2: 10 st: NotStopd t0: [20:00:00 02/11/2012] id: INV Line#2SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [20:00:00 02/11/2012] id: INV Line#3 Type/Site el: 0 cu: MICU-A cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [20:00:00 02/11/2012] id: INV Line#3 Zero/Cal el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [20:00:00 02/11/2012] id: INV Line#3InsertDate el: 0 cu: MICU-A cg: RN v1: 10 v2: 10 st: NotStopd t0: [20:00:00 02/11/2012] id: INV Line#3SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [20:00:00 02/11/2012] id: Abdominal Assessment el: 0 cu: MICU-A cg: RN v1: Firm Distended st: NotStopd t0: [20:00:00 02/11/2012] id: INV#3 WaveformAppear el: 0 cu: MICU-A cg: RN v1: Sharp st: NotStopd t0: [20:00:00 02/11/2012] id: IV #3 Insert Date el: 0 cu: MICU-A cg: RN v1: 10 v2: 9 st: NotStopd t0: [20:00:00 02/11/2012] id: IV #3 Site/Size el: 0 cu: MICU-A cg: RN v1: Right Antecub v2: 18 gauge st: NotStopd t0: [20:00:00 02/11/2012] id: IV Site Appear #3 el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [20:00:00 02/11/2012] id: Impaired Skin Site#1 el: 0 cu: MICU-A cg: RN v1: Coccyx st: NotStopd t0: [20:00:00 02/11/2012] id: Level of Conscious el: 0 cu: MICU-A cg: RN v1: Arouse to Stimul st: NotStopd t0: [20:00:00 02/11/2012] id: Motor Response el: 0 cu: MICU-A cg: RN v1: 5 Localizes Pain st: NotStopd t0: [20:00:00 02/11/2012] id: Oral Cavity el: 0 cu: MICU-A cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [20:00:00 02/11/2012] id: Orientation el: 0 cu: MICU-A cg: RN v1: Other/Remarks st: NotStopd t0: [20:00:00 02/11/2012] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 88 u1: mmHg v2: 35 u2: mmHg st: NotStopd t0: [20:00:00 02/11/2012] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 51 u1: mmHg st: NotStopd t0: [20:00:00 02/11/2012] id: Precautions el: 0 cu: MICU-A cg: RN v1: Contact st: NotStopd t0: [20:00:00 02/11/2012] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 95.5 u1: kg st: NotStopd t0: [20:00:00 02/11/2012] id: Respiratory Pattern el: 0 cu: MICU-A cg: RN v1: Regular st: NotStopd t0: [20:00:00 02/11/2012] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 12 u1: BPM st: NotStopd t0: [20:00:00 02/11/2012] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [20:00:00 02/11/2012] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 97 u1: % st: NotStopd t0: [20:00:00 02/11/2012] id: Spontaneous Movement el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [20:00:00 02/11/2012] id: Stool Color/Consist el: 0 cu: MICU-A cg: RN v1: Black v2: Liquid st: NotStopd t0: [20:00:00 02/11/2012] id: Stool Guaiac el: 0 cu: MICU-A cg: RN v1: Positive st: NotStopd t0: [20:00:00 02/11/2012] id: Stool Management el: 0 cu: MICU-A cg: RN v1: Fecal Incont Bag st: NotStopd t0: [20:00:00 02/11/2012] id: Support Systems el: 0 cu: MICU-A cg: RN v1: Spouse st: NotStopd t0: [20:00:00 02/11/2012] id: Temp. Site el: 0 cu: MICU-A cg: RN v1: Oral st: NotStopd t0: [20:00:00 02/11/2012] id: Temperature C (calc) el: 0 cu: MICU-A cg: RN v1: 36.0556 u1: Deg. C st: NotStopd t0: [20:00:00 02/11/2012] id: Temperature F el: 0 cu: MICU-A cg: RN v1: 96.9 u1: Deg. F st: NotStopd t0: [20:00:00 02/11/2012] id: Urine Color/Appear el: 0 cu: MICU-A cg: RN v1: Orange v2: Clear st: NotStopd t0: [20:00:00 02/11/2012] id: Urine Source el: 0 cu: MICU-A cg: RN v1: Voids st: NotStopd t0: [20:00:00 02/11/2012] id: Verbal Response el: 0 cu: MICU-A cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [20:00:00 02/11/2012] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [20:00:00 02/11/2012] id: Bowel Sounds el: 0 cu: MICU-A cg: RN v1: Present st: NotStopd
t0: [19:00:00 02/11/2012] id: .9% Normal Saline 1000.0ml IV Infusions el: 7 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [19:00:00 02/11/2012] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 3 cu: MICU-A cg: RN ai: 126 vo: 32.838 vu: ml t0: [19:00:00 02/11/2012] id: D5W 100.0ml + 600mcghr Sandostatin IV Infusions el: 3 cu: MICU-A cg: RN ai: 127 vo: 8.3 vu: ml t0: [19:00:00 02/11/2012] id: Urine Out Foley el: 2 cu: MICU-A cg: RN vo: 20 vu: ml t0: [20:00:00 02/11/2012] id: IV Piggyback IV Infusions el: 1 cu: MICU-A cg: RN ai: 209 vo: 1000 vu: ml t0: [20:00:00 02/11/2012] id: .9% Normal Saline 1000.0ml IV Infusions el: 7 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [20:00:00 02/11/2012] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 3 cu: MICU-A cg: RN ai: 126 vo: 30.312 vu: ml t0: [20:00:00 02/11/2012] id: D5W 100.0ml + 600mcghr Sandostatin IV Infusions el: 3 cu: MICU-A cg: RN ai: 127 vo: 8.3 vu: ml t0: [20:00:00 02/11/2012] id: Stool Out Stool el: 1 cu: MICU-A cg: RN vo: 900 vu: ml t0: [20:00:00 02/11/2012] id: Urine Out Foley el: 2 cu: MICU-A cg: RN vo: 30 vu: ml
t0: [19:00:00 02/11/2012] id: Propofol el: 3 cu: MICU-A cg: RN so: N/A vo: 0 v1: 60 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [19:00:00 02/11/2012] id: Sandostatin el: 4 cu: MICU-A cg: RN so: D5W vo: 0 v1: 49.8 du: mcghr sv: 100 su: ml rt: IV Drip t0: [20:00:00 02/11/2012] id: Propofol el: 3 cu: MICU-A cg: RN so: N/A vo: 0 v1: 60 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [20:00:00 02/11/2012] id: Sandostatin el: 4 cu: MICU-A cg: RN so: D5W vo: 0 v1: 49.8 du: mcghr sv: 100 su: ml rt: IV Drip
t0: [21:00:00 02/11/2012] id: Compliance (40-60ml) el: 0 cu: MICU-A cg: RRT v1: 26.9231 u1: ml/cmH st: NotStopd t0: [21:00:00 02/11/2012] id: ETT Mark/Location el: 0 cu: MICU-A cg: RRT v1: 21cm v2: Lip st: NotStopd t0: [21:00:00 02/11/2012] id: FiO2 Set el: 0 cu: MICU-A cg: RRT v1: 0.6 u1: torr st: NotStopd t0: [21:00:00 02/11/2012] id: I:E Ratio el: 0 cu: MICU-A cg: RRT v1: 1:4.0 st: NotStopd t0: [21:00:00 02/11/2012] id: Airway Size el: 0 cu: MICU-A cg: RRT v1: 8.0 mm st: NotStopd t0: [21:00:00 02/11/2012] id: Airway Type el: 0 cu: MICU-A cg: RRT v1: Endotracheal st: NotStopd t0: [21:00:00 02/11/2012] id: Intubation Date el: 0 cu: MICU-A cg: RRT v1: 10 v2: 10 st: NotStopd t0: [21:00:00 02/11/2012] id: Mean Airway Pressure el: 0 cu: MICU-A cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [21:00:00 02/11/2012] id: Minute Volume(Obser) el: 0 cu: MICU-A cg: RRT v1: 7.84 u1: L/min st: NotStopd t0: [21:00:00 02/11/2012] id: PEEP Set el: 0 cu: MICU-A cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [21:00:00 02/11/2012] id: Peak Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 31 u1: cmH2O st: NotStopd t0: [21:00:00 02/11/2012] id: Plateau Pressure el: 0 cu: MICU-A cg: RRT v1: 22 u1: cmH2O st: NotStopd t0: [21:00:00 02/11/2012] id: Plateau-Off el: 0 cu: MICU-A cg: RRT v1: Yes st: NotStopd t0: [21:00:00 02/11/2012] id: Resp Rate (Spont) el: 0 cu: MICU-A cg: RRT v1: 0 u1: BPM st: NotStopd t0: [21:00:00 02/11/2012] id: Resp Rate (Total) el: 0 cu: MICU-A cg: RRT v1: 12 u1: BPM st: NotStopd t0: [21:00:00 02/11/2012] id: Respiratory Rate Set el: 0 cu: MICU-A cg: RRT v1: 12 u1: BPM st: NotStopd t0: [21:00:00 02/11/2012] id: Sensitivity-Vent el: 0 cu: MICU-A cg: RRT v1: 2 u1: cmH2O st: NotStopd t0: [21:00:00 02/11/2012] id: SpO2 el: 0 cu: MICU-A cg: RRT v1: 99 u1: % st: NotStopd t0: [21:00:00 02/11/2012] id: Tidal Volume (Obser) el: 0 cu: MICU-A cg: RRT v1: 689 u1: ml/B st: NotStopd t0: [21:00:00 02/11/2012] id: Tidal Volume (Set) el: 0 cu: MICU-A cg: RRT v1: 700 u1: ml/B st: NotStopd t0: [21:00:00 02/11/2012] id: Ventilator Mode el: 0 cu: MICU-A cg: RRT v1: CMV st: NotStopd t0: [21:00:00 02/11/2012] id: Ventilator Type el: 0 cu: MICU-A cg: RRT v1: Drager st: NotStopd t0: [21:00:00 02/11/2012] id: Waveform-Vent el: 0 cu: MICU-A cg: RRT v1: RAMP st: NotStopd
t0: [17:31:00 02/11/2012] id: Magnesium Chemistry el: 0 cu: MICU-A cg: 1663 v1: 1.6 rs: Final st: NotStopd t0: [17:31:00 02/11/2012] id: Carbon Dioxide Chemistry el: 0 cu: MICU-A cg: 1663 v1: 13 rs: Final st: NotStopd t0: [17:31:00 02/11/2012] id: Magnesium (1.6-2.6) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 1.6 rs: Final st: NotStopd
t0: [21:00:00 02/11/2012] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [21:00:00 02/11/2012] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [21:00:00 02/11/2012] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [21:00:00 02/11/2012] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [21:00:00 02/11/2012] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [21:00:00 02/11/2012] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 67 u1: BPM st: NotStopd t0: [21:00:00 02/11/2012] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [21:00:00 02/11/2012] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 103 u1: mmHg v2: 40 u2: mmHg st: NotStopd t0: [21:00:00 02/11/2012] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 57 u1: mmHg st: NotStopd t0: [21:00:00 02/11/2012] id: Precautions el: 0 cu: MICU-A cg: RN v1: Contact st: NotStopd t0: [21:00:00 02/11/2012] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 95.5 u1: kg st: NotStopd t0: [21:00:00 02/11/2012] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 12 u1: BPM st: NotStopd t0: [21:00:00 02/11/2012] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [22:00:00 02/11/2012] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [22:00:00 02/11/2012] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [22:00:00 02/11/2012] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [22:00:00 02/11/2012] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [22:00:00 02/11/2012] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [22:00:00 02/11/2012] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 68 u1: BPM st: NotStopd t0: [22:00:00 02/11/2012] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [22:00:00 02/11/2012] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 110 u1: mmHg v2: 45 u2: mmHg st: NotStopd t0: [22:00:00 02/11/2012] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 62 u1: mmHg st: NotStopd t0: [22:00:00 02/11/2012] id: Precautions el: 0 cu: MICU-A cg: RN v1: Contact st: NotStopd t0: [22:00:00 02/11/2012] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 95.5 u1: kg st: NotStopd t0: [22:00:00 02/11/2012] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 12 u1: BPM st: NotStopd t0: [22:00:00 02/11/2012] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 99 u1: % st: NotStopd t0: [22:00:00 02/11/2012] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [21:00:00 02/11/2012] id: .9% Normal Saline 1000.0ml IV Infusions el: 7 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [21:00:00 02/11/2012] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 3 cu: MICU-A cg: RN ai: 126 vo: 30.312 vu: ml t0: [21:00:00 02/11/2012] id: D5W 100.0ml + 600mcghr Sandostatin IV Infusions el: 3 cu: MICU-A cg: RN ai: 127 vo: 8.3 vu: ml t0: [22:00:00 02/11/2012] id: .9% Normal Saline 1000.0ml IV Infusions el: 7 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [22:00:00 02/11/2012] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 3 cu: MICU-A cg: RN ai: 126 vo: 30.312 vu: ml t0: [22:00:00 02/11/2012] id: D5W 100.0ml + 600mcghr Sandostatin IV Infusions el: 3 cu: MICU-A cg: RN ai: 127 vo: 8.3 vu: ml t0: [22:00:00 02/11/2012] id: Urine Out Foley el: 2 cu: MICU-A cg: RN vo: 17 vu: ml
t0: [21:00:00 02/11/2012] id: Propofol el: 3 cu: MICU-A cg: RN so: N/A vo: 0 v1: 60 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [21:00:00 02/11/2012] id: Sandostatin el: 4 cu: MICU-A cg: RN so: D5W vo: 0 v1: 49.8 du: mcghr sv: 100 su: ml rt: IV Drip t0: [22:00:00 02/11/2012] id: Propofol el: 3 cu: MICU-A cg: RN so: N/A vo: 0 v1: 60 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [22:00:00 02/11/2012] id: Sandostatin el: 4 cu: MICU-A cg: RN so: D5W vo: 0 v1: 49.8 du: mcghr sv: 100 su: ml rt: IV Drip
t0: [23:00:00 02/11/2012] dt: 24 id: Urine Out Total el: 2 cu: MICU-A cg: RN cv: 384 ap: none
t0: [22:06:00 02/11/2012] id: Hematocrit Hematology el: 0 cu: MICU-A cg: 1663 v1: 30.6 u1: % rs: Final st: NotStopd
t0: [22:28:00 02/11/2012] id: Art.pH ABG el: 0 cu: MICU-A cg: 1663 v1: 7.36 rs: Final st: NotStopd t0: [22:28:00 02/11/2012] id: Arterial Base Excess ABG el: 0 cu: MICU-A cg: 1663 v1: -6 rs: Final st: NotStopd t0: [22:28:00 02/11/2012] id: Arterial CO2(Calc) ABG el: 0 cu: MICU-A cg: 1663 v1: 19 rs: Final st: NotStopd t0: [22:28:00 02/11/2012] id: Arterial PaCO2 ABG el: 0 cu: MICU-A cg: 1663 v1: 32 u1: mmHg rs: Final st: NotStopd t0: [22:28:00 02/11/2012] id: Arterial PaO2 ABG el: 0 cu: MICU-A cg: 1663 v1: 81 u1: mmHg rs: Final st: NotStopd t0: [22:28:00 02/11/2012] id: Arterial pH ABG el: 0 cu: MICU-A cg: 1663 v1: 7.36 rs: Final st: NotStopd
t0: [17:31:00 02/11/2012] id: BUN el: 0 cu: MICU-A cg: 1663 v1: 19 rs: Final st: NotStopd t0: [17:31:00 02/11/2012] id: Calcium Chemistry el: 0 cu: MICU-A cg: 1663 v1: 6.7 u1: mg/dl rs: Final st: NotStopd t0: [17:31:00 02/11/2012] id: Chloride Chemistry el: 0 cu: MICU-A cg: 1663 v1: 112 rs: Final st: NotStopd t0: [17:31:00 02/11/2012] id: Creatinine Chemistry el: 0 cu: MICU-A cg: 1663 v1: 1.4 rs: Final st: NotStopd t0: [17:31:00 02/11/2012] id: Glucose Chemistry el: 0 cu: MICU-A cg: 1663 v1: 123 rs: Final st: NotStopd t0: [17:31:00 02/11/2012] id: Phosphorous Chemistry el: 0 cu: MICU-A cg: 1663 v1: 5.2 u1: mEq/L rs: Final st: NotStopd t0: [17:31:00 02/11/2012] id: Potassium Chemistry el: 0 cu: MICU-A cg: 1663 v1: 4.4 rs: Final st: NotStopd t0: [17:31:00 02/11/2012] id: Sodium Chemistry el: 0 cu: MICU-A cg: 1663 v1: 136 rs: Final st: NotStopd t0: [17:31:00 02/11/2012] id: BUN (6-20) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 19 rs: Final st: NotStopd t0: [17:31:00 02/11/2012] id: Calcium (8.4-10.2) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 6.7 u1: mg/dl rs: Final st: NotStopd t0: [17:31:00 02/11/2012] id: Chloride (100-112) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 112 rs: Final st: NotStopd t0: [17:31:00 02/11/2012] id: Creatinine (0-1.3) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 1.4 rs: Final st: NotStopd t0: [17:31:00 02/11/2012] id: Glucose (70-105) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 123 rs: Final st: NotStopd t0: [17:31:00 02/11/2012] id: Phosphorous(2.7-4.5) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 5.2 u1: mEq/L rs: Final st: NotStopd t0: [17:31:00 02/11/2012] id: Potassium (3.5-5.3) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 4.4 rs: Final st: NotStopd t0: [17:31:00 02/11/2012] id: Sodium (135-148) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 136 rs: Final st: NotStopd
t0: [23:00:00 02/11/2012] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [23:00:00 02/11/2012] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [23:00:00 02/11/2012] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [23:00:00 02/11/2012] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 70 u1: BPM st: NotStopd t0: [23:00:00 02/11/2012] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 114 u1: mmHg v2: 48 u2: mmHg st: NotStopd t0: [23:00:00 02/11/2012] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 66 u1: mmHg st: NotStopd t0: [23:00:00 02/11/2012] id: Precautions el: 0 cu: MICU-A cg: RN v1: Contact st: NotStopd t0: [23:00:00 02/11/2012] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 95.5 u1: kg st: NotStopd t0: [23:00:00 02/11/2012] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 12 u1: BPM st: NotStopd t0: [23:00:00 02/11/2012] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 99 u1: % st: NotStopd t0: [23:00:00 02/11/2012] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [23:00:00 02/11/2012] id: Propofol el: 3 cu: MICU-A cg: RN so: N/A vo: 0 v1: 60 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [23:00:00 02/11/2012] id: Sandostatin el: 4 cu: MICU-A cg: RN so: D5W vo: 0 v1: 49.8 du: mcghr sv: 100 su: ml rt: IV Drip
t0: [00:00:00 03/11/2012] id: Fingerstick Glucose Chemistry el: 0 cu: MICU-A cg: CoWker v1: 119 rs: Manual st: NotStopd
t0: [01:00:00 03/11/2012] id: Compliance (40-60ml) el: 0 cu: MICU-A cg: RRT v1: 25.9259 u1: ml/cmH st: NotStopd t0: [01:00:00 03/11/2012] id: ETT Mark/Location el: 0 cu: MICU-A cg: RRT v1: 21cm v2: Lip st: NotStopd t0: [01:00:00 03/11/2012] id: high min vent el: 0 cu: MICU-A cg: RRT v1: 15 t0: [01:00:00 03/11/2012] id: FiO2 Set el: 0 cu: MICU-A cg: RRT v1: 0.6 u1: torr st: NotStopd t0: [01:00:00 03/11/2012] id: High Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 40 u1: cmH2O st: NotStopd t0: [01:00:00 03/11/2012] id: High Resp. Rate el: 0 cu: MICU-A cg: RRT v1: 10 u1: BPM st: NotStopd t0: [01:00:00 03/11/2012] id: I:E Ratio el: 0 cu: MICU-A cg: RRT v1: 1:4.0 st: NotStopd t0: [01:00:00 03/11/2012] id: Airway Size el: 0 cu: MICU-A cg: RRT v1: 8.0 mm st: NotStopd t0: [01:00:00 03/11/2012] id: Airway Type el: 0 cu: MICU-A cg: RRT v1: Endotracheal st: NotStopd t0: [01:00:00 03/11/2012] id: Intubation Date el: 0 cu: MICU-A cg: RRT v1: 10 v2: 10 st: NotStopd t0: [01:00:00 03/11/2012] id: Low Exhaled Min Vol el: 0 cu: MICU-A cg: RRT v1: 5 st: NotStopd t0: [01:00:00 03/11/2012] id: Mean Airway Pressure el: 0 cu: MICU-A cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [01:00:00 03/11/2012] id: Minute Volume(Obser) el: 0 cu: MICU-A cg: RRT v1: 7.8 u1: L/min st: NotStopd t0: [01:00:00 03/11/2012] id: PEEP Set el: 0 cu: MICU-A cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [01:00:00 03/11/2012] id: Apnea Time Interval el: 0 cu: MICU-A cg: RRT v1: 20 st: NotStopd t0: [01:00:00 03/11/2012] id: Peak Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 32 u1: cmH2O st: NotStopd t0: [01:00:00 03/11/2012] id: Plateau Pressure el: 0 cu: MICU-A cg: RRT v1: 22 u1: cmH2O st: NotStopd t0: [01:00:00 03/11/2012] id: Plateau-Off el: 0 cu: MICU-A cg: RRT v1: Yes st: NotStopd t0: [01:00:00 03/11/2012] id: Resp Rate (Spont) el: 0 cu: MICU-A cg: RRT v1: 0 u1: BPM st: NotStopd t0: [01:00:00 03/11/2012] id: Resp Rate (Total) el: 0 cu: MICU-A cg: RRT v1: 12 u1: BPM st: NotStopd t0: [01:00:00 03/11/2012] id: Respiratory Rate Set el: 0 cu: MICU-A cg: RRT v1: 12 u1: BPM st: NotStopd t0: [01:00:00 03/11/2012] id: Sensitivity-Vent el: 0 cu: MICU-A cg: RRT v1: 2 u1: cmH2O st: NotStopd t0: [01:00:00 03/11/2012] id: SpO2 el: 0 cu: MICU-A cg: RRT v1: 100 u1: % st: NotStopd t0: [01:00:00 03/11/2012] id: Tidal Volume (Obser) el: 0 cu: MICU-A cg: RRT v1: 689 u1: ml/B st: NotStopd t0: [01:00:00 03/11/2012] id: Tidal Volume (Set) el: 0 cu: MICU-A cg: RRT v1: 700 u1: ml/B st: NotStopd t0: [01:00:00 03/11/2012] id: Ventilator Mode el: 0 cu: MICU-A cg: RRT v1: CMV st: NotStopd t0: [01:00:00 03/11/2012] id: Ventilator Type el: 0 cu: MICU-A cg: RRT v1: Drager st: NotStopd t0: [01:00:00 03/11/2012] id: Waveform-Vent el: 0 cu: MICU-A cg: RRT v1: RAMP st: NotStopd
t0: [23:00:00 02/11/2012] id: GI Prophylaxis el: 0 cu: MICU-A cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [23:00:00 02/11/2012] id: Diet Type el: 0 cu: MICU-A cg: RN v1: NPO st: NotStopd t0: [23:00:00 02/11/2012] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [23:00:00 02/11/2012] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [23:00:00 02/11/2012] id: Eye Opening el: 0 cu: MICU-A cg: RN v1: 1 No Response st: NotStopd t0: [23:00:00 02/11/2012] id: Follows Commands el: 0 cu: MICU-A cg: RN v1: No st: NotStopd t0: [23:00:00 02/11/2012] id: GCS Total el: 0 cu: MICU-A cg: RN v1: 3 u1: points st: NotStopd t0: [23:00:00 02/11/2012] id: HOB el: 0 cu: MICU-A cg: RN v1: 30 degrees st: NotStopd t0: [23:00:00 02/11/2012] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [23:00:00 02/11/2012] id: Abdominal Assessment el: 0 cu: MICU-A cg: RN v1: Firm Distended st: NotStopd t0: [23:00:00 02/11/2012] id: Activity el: 0 cu: MICU-A cg: RN v1: Bedrest st: NotStopd t0: [23:00:00 02/11/2012] id: Activity Tolerance el: 0 cu: MICU-A cg: RN v1: Fair st: NotStopd t0: [23:00:00 02/11/2012] id: Imp Skin Cleanse #1 el: 0 cu: MICU-A cg: RN v1: Soap & H20 st: NotStopd t0: [23:00:00 02/11/2012] id: ImpSkin Character #1 el: 0 cu: MICU-A cg: RN v1: Abrasion st: NotStopd t0: [23:00:00 02/11/2012] id: ImpSkin Treatment #1 el: 0 cu: MICU-A cg: RN v1: Duoderm st: NotStopd t0: [23:00:00 02/11/2012] id: ImpSkin Wound Base#1 el: 0 cu: MICU-A cg: RN v1: Red st: NotStopd t0: [23:00:00 02/11/2012] id: Impaired Skin Site#1 el: 0 cu: MICU-A cg: RN v1: Coccyx st: NotStopd t0: [23:00:00 02/11/2012] id: LLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [23:00:00 02/11/2012] id: LUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [23:00:00 02/11/2012] id: Level of Conscious el: 0 cu: MICU-A cg: RN v1: Sedated st: NotStopd t0: [23:00:00 02/11/2012] id: Motor Response el: 0 cu: MICU-A cg: RN v1: 1 No Response st: NotStopd t0: [23:00:00 02/11/2012] id: Oral Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [23:00:00 02/11/2012] id: Oral Cavity el: 0 cu: MICU-A cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [23:00:00 02/11/2012] id: Orientation el: 0 cu: MICU-A cg: RN v1: Other/Remarks st: NotStopd t0: [23:00:00 02/11/2012] id: AntiEmbDevice/Status el: 0 cu: MICU-A cg: RN v1: Compress Sleeves st: NotStopd t0: [23:00:00 02/11/2012] id: Position el: 0 cu: MICU-A cg: RN v1: Left Side st: NotStopd t0: [23:00:00 02/11/2012] id: Assistance Device el: 0 cu: MICU-A cg: RN v1: 2 Person Assist st: NotStopd t0: [23:00:00 02/11/2012] id: RLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [23:00:00 02/11/2012] id: RUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [23:00:00 02/11/2012] id: Respiratory Pattern el: 0 cu: MICU-A cg: RN v1: Regular st: NotStopd t0: [23:00:00 02/11/2012] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [23:00:00 02/11/2012] id: Skin Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [23:00:00 02/11/2012] id: Skin Color el: 0 cu: MICU-A cg: RN v1: Pale st: NotStopd t0: [23:00:00 02/11/2012] id: Skin Integrity el: 0 cu: MICU-A cg: RN v1: Impaired st: NotStopd t0: [23:00:00 02/11/2012] id: Skin Temp/Condition el: 0 cu: MICU-A cg: RN v1: Warm v2: Dry st: NotStopd t0: [23:00:00 02/11/2012] id: Spontaneous Movement el: 0 cu: MICU-A cg: RN v1: Purposeful st: NotStopd t0: [23:00:00 02/11/2012] id: Stool Color/Consist el: 0 cu: MICU-A cg: RN v1: Black v2: Liquid st: NotStopd t0: [23:00:00 02/11/2012] id: Stool Guaiac el: 0 cu: MICU-A cg: RN v1: Positive st: NotStopd t0: [23:00:00 02/11/2012] id: Stool Management el: 0 cu: MICU-A cg: RN v1: Fecal Incont Bag st: NotStopd t0: [23:00:00 02/11/2012] id: Support Systems el: 0 cu: MICU-A cg: RN v1: Spouse st: NotStopd t0: [23:00:00 02/11/2012] id: Temperature C (calc) el: 0 cu: MICU-A cg: RN v1: 35.9444 u1: Deg. C st: NotStopd t0: [23:00:00 02/11/2012] id: Temperature F el: 0 cu: MICU-A cg: RN v1: 96.7 u1: Deg. F st: NotStopd t0: [23:00:00 02/11/2012] id: Turn el: 0 cu: MICU-A cg: RN v1: Left Side st: NotStopd t0: [23:00:00 02/11/2012] id: Urine Color/Appear el: 0 cu: MICU-A cg: RN v1: Orange v2: Clear st: NotStopd t0: [23:00:00 02/11/2012] id: Urine Source el: 0 cu: MICU-A cg: RN v1: Voids st: NotStopd t0: [23:00:00 02/11/2012] id: Verbal Response el: 0 cu: MICU-A cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [23:00:00 02/11/2012] id: Back Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [23:00:00 02/11/2012] id: Bowel Sounds el: 0 cu: MICU-A cg: RN v1: Present st: NotStopd t0: [23:00:00 02/11/2012] id: Braden Activity el: 0 cu: MICU-A cg: RN v1: Bedfast st: NotStopd t0: [23:00:00 02/11/2012] id: Braden Frict/Shear el: 0 cu: MICU-A cg: RN v1: Problem st: NotStopd t0: [23:00:00 02/11/2012] id: Braden Mobility el: 0 cu: MICU-A cg: RN v1: Very Limited st: NotStopd t0: [23:00:00 02/11/2012] id: Braden Moisture el: 0 cu: MICU-A cg: RN v1: Occ. Moist st: NotStopd t0: [23:00:00 02/11/2012] id: Braden Nutrition el: 0 cu: MICU-A cg: RN v1: Very Poor st: NotStopd t0: [23:00:00 02/11/2012] id: Braden Score el: 0 cu: MICU-A cg: RN v1: 10 u1: number st: NotStopd t0: [23:00:00 02/11/2012] id: Braden SensoryPercep el: 0 cu: MICU-A cg: RN v1: Very Limited st: NotStopd
t0: [00:00:00 03/11/2012] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [00:00:00 03/11/2012] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [00:00:00 03/11/2012] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [00:00:00 03/11/2012] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 69 u1: BPM st: NotStopd t0: [00:00:00 03/11/2012] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 118 u1: mmHg v2: 52 u2: mmHg st: NotStopd t0: [00:00:00 03/11/2012] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 71 u1: mmHg st: NotStopd t0: [00:00:00 03/11/2012] id: Precautions el: 0 cu: MICU-A cg: RN v1: Contact st: NotStopd t0: [00:00:00 03/11/2012] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 95.5 u1: kg st: NotStopd t0: [00:00:00 03/11/2012] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 12 u1: BPM st: NotStopd t0: [00:00:00 03/11/2012] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 99 u1: % st: NotStopd t0: [00:00:00 03/11/2012] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [01:00:00 03/11/2012] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [01:00:00 03/11/2012] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [01:00:00 03/11/2012] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [01:00:00 03/11/2012] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [01:00:00 03/11/2012] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [01:00:00 03/11/2012] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 69 u1: BPM st: NotStopd t0: [01:00:00 03/11/2012] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [01:00:00 03/11/2012] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 88 u1: mmHg v2: 33 u2: mmHg st: NotStopd t0: [01:00:00 03/11/2012] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 48 u1: mmHg st: NotStopd t0: [01:00:00 03/11/2012] id: Precautions el: 0 cu: MICU-A cg: RN v1: Contact st: NotStopd t0: [01:00:00 03/11/2012] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 95.5 u1: kg st: NotStopd t0: [01:00:00 03/11/2012] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 12 u1: BPM st: NotStopd t0: [01:00:00 03/11/2012] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [00:00:00 03/11/2012] id: Urine Out Foley el: 2 cu: MICU-A cg: RN vo: 20 vu: ml t0: [01:00:00 03/11/2012] id: .9% Normal Saline 1000.0ml IV Infusions el: 7 cu: MICU-A cg: RN ai: 107 vo: 500 vu: ml t0: [01:00:00 03/11/2012] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 3 cu: MICU-A cg: RN ai: 126 vo: 90.936 vu: ml t0: [01:00:00 03/11/2012] id: D5W 100.0ml + 600mcghr Sandostatin IV Infusions el: 3 cu: MICU-A cg: RN ai: 127 vo: 24.9 vu: ml t0: [01:00:00 03/11/2012] id: Urine Out Foley el: 2 cu: MICU-A cg: RN vo: 20 vu: ml
t0: [00:00:00 03/11/2012] id: Propofol el: 3 cu: MICU-A cg: RN so: N/A vo: 0 v1: 60 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [00:00:00 03/11/2012] id: Sandostatin el: 4 cu: MICU-A cg: RN so: D5W vo: 0 v1: 49.8 du: mcghr sv: 100 su: ml rt: IV Drip t0: [01:00:00 03/11/2012] id: Propofol el: 3 cu: MICU-A cg: RN so: N/A vo: 0 v1: 60 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [01:00:00 03/11/2012] id: Sandostatin el: 4 cu: MICU-A cg: RN so: D5W vo: 0 v1: 49.8 du: mcghr sv: 100 su: ml rt: IV Drip
t0: [01:37:00 03/11/2012] id: Art.pH ABG el: 0 cu: MICU-A cg: 1663 v1: 7.37 rs: Final st: NotStopd t0: [01:37:00 03/11/2012] id: Arterial Base Excess ABG el: 0 cu: MICU-A cg: 1663 v1: -5 rs: Final st: NotStopd t0: [01:37:00 03/11/2012] id: Arterial CO2(Calc) ABG el: 0 cu: MICU-A cg: 1663 v1: 19 rs: Final st: NotStopd t0: [01:37:00 03/11/2012] id: Arterial PaCO2 ABG el: 0 cu: MICU-A cg: 1663 v1: 32 u1: mmHg rs: Final st: NotStopd t0: [01:37:00 03/11/2012] id: Arterial PaO2 ABG el: 0 cu: MICU-A cg: 1663 v1: 102 u1: mmHg rs: Final st: NotStopd t0: [01:37:00 03/11/2012] id: Arterial pH ABG el: 0 cu: MICU-A cg: 1663 v1: 7.37 rs: Final st: NotStopd t0: [01:37:00 03/11/2012] id: Hematocrit Hematology el: 0 cu: MICU-A cg: 1663 v1: 31 u1: % rs: Final st: NotStopd t0: [01:37:00 03/11/2012] id: Ionized Calcium Chemistry el: 0 cu: MICU-A cg: 1663 v1: 1.05 rs: Final st: NotStopd
t0: [02:00:00 03/11/2012] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [02:00:00 03/11/2012] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [02:00:00 03/11/2012] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [02:00:00 03/11/2012] id: ETT Mark/Location el: 0 cu: MICU-A cg: RN v1: 21cm v2: Lip st: NotStopd t0: [02:00:00 03/11/2012] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [02:00:00 03/11/2012] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [02:00:00 03/11/2012] id: FiO2 Set el: 0 cu: MICU-A cg: RN v1: 0.6 u1: torr st: NotStopd t0: [02:00:00 03/11/2012] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 66 u1: BPM st: NotStopd t0: [02:00:00 03/11/2012] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [02:00:00 03/11/2012] id: Airway Size el: 0 cu: MICU-A cg: RN v1: 8.0 mm st: NotStopd t0: [02:00:00 03/11/2012] id: Airway Type el: 0 cu: MICU-A cg: RN v1: Endotracheal st: NotStopd t0: [02:00:00 03/11/2012] id: Intubation Date el: 0 cu: MICU-A cg: RN v1: 10 v2: 10 st: NotStopd t0: [02:00:00 03/11/2012] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 90 u1: mmHg v2: 35 u2: mmHg st: NotStopd t0: [02:00:00 03/11/2012] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 51 u1: mmHg st: NotStopd t0: [02:00:00 03/11/2012] id: Precautions el: 0 cu: MICU-A cg: RN v1: Contact st: NotStopd t0: [02:00:00 03/11/2012] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 95.5 u1: kg st: NotStopd t0: [02:00:00 03/11/2012] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 12 u1: BPM st: NotStopd t0: [02:00:00 03/11/2012] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 100 u1: % st: NotStopd t0: [02:00:00 03/11/2012] id: Ventilator Type el: 0 cu: MICU-A cg: RN v1: Drager st: NotStopd t0: [02:00:00 03/11/2012] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [02:00:00 03/11/2012] id: .9% Normal Saline 1000.0ml IV Infusions el: 7 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [02:00:00 03/11/2012] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 3 cu: MICU-A cg: RN ai: 126 vo: 30.312 vu: ml t0: [02:00:00 03/11/2012] id: D5W 100.0ml + 600mcghr Sandostatin IV Infusions el: 3 cu: MICU-A cg: RN ai: 127 vo: 8.3 vu: ml t0: [02:00:00 03/11/2012] id: Urine Out Foley el: 2 cu: MICU-A cg: RN vo: 10 vu: ml
t0: [02:00:00 03/11/2012] id: Propofol el: 3 cu: MICU-A cg: RN so: N/A vo: 0 v1: 60 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [02:00:00 03/11/2012] id: Sandostatin el: 4 cu: MICU-A cg: RN so: D5W vo: 0 v1: 49.8 du: mcghr sv: 100 su: ml rt: IV Drip
t0: [23:00:00 03/11/2012] dt: 1 id: Total Hourly Output el: 2 cu: MICU-A cg: RN pv: 25 cv: 25 ap: none t0: [23:00:00 03/11/2012] dt: 1 id: Net Hourly Balance el: 2 cu: MICU-A cg: RN pv: 18.56 cv: 18.56 ap: none t0: [23:00:00 03/11/2012] dt: 24 id: IV Infusion In Total el: 2 cu: MICU-A cg: RN pv: 43.56 cv: 2911.3 ap: none t0: [23:00:00 03/11/2012] dt: 24 id: 24h Total In el: 2 cu: MICU-A cg: RN pv: 43.56 cv: 4130.3 ap: none t0: [23:00:00 03/11/2012] dt: 24 id: Urine Out Total el: 2 cu: MICU-A cg: RN pv: 25 cv: 538 ap: none t0: [23:00:00 03/11/2012] dt: 24 id: 24h Net Body Balance el: 2 cu: MICU-A cg: RN pv: 18.56 cv: 2742.3 ap: none t0: [23:00:00 03/11/2012] dt: 24 id: 24h Total Out el: 2 cu: MICU-A cg: RN pv: 25 cv: 1388 ap: none t0: [23:00:00 03/11/2012] dt: multiple days id: LOS Net Body Balance el: 2 cu: MICU-A cg: RN pv: 18.56 cv: 20534.6 ap: carryForward
t0: [07:00:00 03/11/2012] id: Family Communication el: 0 cu: MICU-A cg: RN v1: Family Called st: NotStopd t0: [08:00:00 03/11/2012] id: Less Restrict Meas. el: 0 cu: MICU-A cg: RN v1: Medicated st: NotStopd t0: [08:00:00 03/11/2012] id: Range of Motion el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [08:00:00 03/11/2012] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [08:00:00 03/11/2012] id: Circulation/SkinInt el: 0 cu: MICU-A cg: RN v1: Circulation Adeq st: NotStopd t0: [08:00:00 03/11/2012] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [08:00:00 03/11/2012] id: Riker-SAS Scale el: 0 cu: MICU-A cg: RN v1: Very Sedated st: NotStopd t0: [08:00:00 03/11/2012] id: GI Prophylaxis el: 0 cu: MICU-A cg: RN v1: Proton/Pump/Inhi v2: Other/Remarks st: NotStopd t0: [08:00:00 03/11/2012] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [08:00:00 03/11/2012] id: Diet Type el: 0 cu: MICU-A cg: RN v1: NPO st: NotStopd t0: [08:00:00 03/11/2012] id: Dorsal PedPulse R/L el: 0 cu: MICU-A cg: RN v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [08:00:00 03/11/2012] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [08:00:00 03/11/2012] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [08:00:00 03/11/2012] id: Eye Opening el: 0 cu: MICU-A cg: RN v1: 1 No Response st: NotStopd t0: [08:00:00 03/11/2012] id: Follows Commands el: 0 cu: MICU-A cg: RN v1: No st: NotStopd t0: [08:00:00 03/11/2012] id: GCS Total el: 0 cu: MICU-A cg: RN v1: 7 u1: points st: NotStopd t0: [08:00:00 03/11/2012] id: HOB el: 0 cu: MICU-A cg: RN v1: 30 degrees st: NotStopd t0: [08:00:00 03/11/2012] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 68 u1: BPM st: NotStopd t0: [08:00:00 03/11/2012] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [08:00:00 03/11/2012] id: INV Line#1 Type/Site el: 0 cu: MICU-A cg: RN v1: PICC line v2: Left Antecub st: NotStopd t0: [08:00:00 03/11/2012] id: INV Line#1InsertDate el: 0 cu: MICU-A cg: RN v1: 10 v2: 9 st: NotStopd t0: [08:00:00 03/11/2012] id: INV Line#1SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [08:00:00 03/11/2012] id: INV Line#2 Type/Site el: 0 cu: MICU-A cg: RN v1: Introducer v2: Left IJ st: NotStopd t0: [08:00:00 03/11/2012] id: INV Line#2InsertDate el: 0 cu: MICU-A cg: RN v1: 10 v2: 10 st: NotStopd t0: [08:00:00 03/11/2012] id: INV Line#2SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [08:00:00 03/11/2012] id: INV Line#3 Type/Site el: 0 cu: MICU-A cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [08:00:00 03/11/2012] id: INV Line#3 Zero/Cal el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [08:00:00 03/11/2012] id: INV Line#3InsertDate el: 0 cu: MICU-A cg: RN v1: 10 v2: 10 st: NotStopd t0: [08:00:00 03/11/2012] id: INV Line#3SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [08:00:00 03/11/2012] id: Abdominal Assessment el: 0 cu: MICU-A cg: RN v1: Ascites st: NotStopd t0: [08:00:00 03/11/2012] id: INV#3 WaveformAppear el: 0 cu: MICU-A cg: RN v1: Sharp st: NotStopd t0: [08:00:00 03/11/2012] id: IV #3 Insert Date el: 0 cu: MICU-A cg: RN v1: 10 v2: 9 st: NotStopd t0: [08:00:00 03/11/2012] id: IV #3 Site/Size el: 0 cu: MICU-A cg: RN v1: Right Antecub v2: 18 gauge st: NotStopd t0: [08:00:00 03/11/2012] id: Activity el: 0 cu: MICU-A cg: RN v1: Bedrest st: NotStopd t0: [08:00:00 03/11/2012] id: IV Site Appear #3 el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [08:00:00 03/11/2012] id: Activity Tolerance el: 0 cu: MICU-A cg: RN v1: Tolerated Well st: NotStopd t0: [08:00:00 03/11/2012] id: Impaired Skin Site#1 el: 0 cu: MICU-A cg: RN v1: Coccyx st: NotStopd t0: [08:00:00 03/11/2012] id: LLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [08:00:00 03/11/2012] id: LUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [08:00:00 03/11/2012] id: Level of Conscious el: 0 cu: MICU-A cg: RN v1: Sedated st: NotStopd t0: [08:00:00 03/11/2012] id: Motor Response el: 0 cu: MICU-A cg: RN v1: 5 Localizes Pain st: NotStopd t0: [08:00:00 03/11/2012] id: Oral Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [08:00:00 03/11/2012] id: Oral Cavity el: 0 cu: MICU-A cg: RN v1: Bleeding Gum st: NotStopd t0: [08:00:00 03/11/2012] id: Orientation el: 0 cu: MICU-A cg: RN v1: Other/Remarks st: NotStopd t0: [08:00:00 03/11/2012] id: AntiEmbDevice/Status el: 0 cu: MICU-A cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [08:00:00 03/11/2012] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 106 u1: mmHg v2: 46 u2: mmHg st: NotStopd t0: [08:00:00 03/11/2012] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 64 u1: mmHg st: NotStopd t0: [08:00:00 03/11/2012] id: Position el: 0 cu: MICU-A cg: RN v1: Left Side st: NotStopd t0: [08:00:00 03/11/2012] id: Position Change el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [08:00:00 03/11/2012] id: PostTib. Pulses R/L el: 0 cu: MICU-A cg: RN v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [08:00:00 03/11/2012] id: Assistance Device el: 0 cu: MICU-A cg: RN v1: Total Lift st: NotStopd t0: [08:00:00 03/11/2012] id: Precautions el: 0 cu: MICU-A cg: RN v1: Contact st: NotStopd t0: [08:00:00 03/11/2012] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 95.5 u1: kg st: NotStopd t0: [08:00:00 03/11/2012] id: RLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [08:00:00 03/11/2012] id: RUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [08:00:00 03/11/2012] id: Reason For Restraint el: 0 cu: MICU-A cg: RN v1: Ext/TXInterfere st: NotStopd t0: [08:00:00 03/11/2012] id: Removed x 5 Mins el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [08:00:00 03/11/2012] id: Respiratory Pattern el: 0 cu: MICU-A cg: RN v1: Regular st: NotStopd t0: [08:00:00 03/11/2012] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 13 u1: BPM st: NotStopd t0: [08:00:00 03/11/2012] id: Restraint Location el: 0 cu: MICU-A cg: RN v1: Both Arms st: NotStopd t0: [08:00:00 03/11/2012] id: Restraint Type el: 0 cu: MICU-A cg: RN v1: Soft Limb st: NotStopd t0: [08:00:00 03/11/2012] id: Restraints Evaluated el: 0 cu: MICU-A cg: RN v1: Behavior Conts st: NotStopd t0: [08:00:00 03/11/2012] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [08:00:00 03/11/2012] id: Skin Color el: 0 cu: MICU-A cg: RN v1: Jaundiced st: NotStopd t0: [08:00:00 03/11/2012] id: Skin Integrity el: 0 cu: MICU-A cg: RN v1: Impaired st: NotStopd t0: [08:00:00 03/11/2012] id: Skin Temp/Condition el: 0 cu: MICU-A cg: RN v1: Warm v2: Dry st: NotStopd t0: [08:00:00 03/11/2012] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 98 u1: % st: NotStopd t0: [08:00:00 03/11/2012] id: Spontaneous Movement el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [08:00:00 03/11/2012] id: Sputum Color/Consist el: 0 cu: MICU-A cg: RN v1: Brown v2: Thick st: NotStopd t0: [08:00:00 03/11/2012] id: Sputum Source/Amt el: 0 cu: MICU-A cg: RN v1: Suctioned v2: Scant st: NotStopd t0: [08:00:00 03/11/2012] id: Support Systems el: 0 cu: MICU-A cg: RN v1: Spouse st: NotStopd t0: [08:00:00 03/11/2012] id: Temp. Site el: 0 cu: MICU-A cg: RN v1: Oral st: NotStopd t0: [08:00:00 03/11/2012] id: Temperature C (calc) el: 0 cu: MICU-A cg: RN v1: 35.0556 u1: Deg. C st: NotStopd t0: [08:00:00 03/11/2012] id: Temperature F el: 0 cu: MICU-A cg: RN v1: 95.1 u1: Deg. F st: NotStopd t0: [08:00:00 03/11/2012] id: Turn el: 0 cu: MICU-A cg: RN v1: Left Side st: NotStopd t0: [08:00:00 03/11/2012] id: Urine Color/Appear el: 0 cu: MICU-A cg: RN v1: Icteric v2: Cloudy st: NotStopd t0: [08:00:00 03/11/2012] id: Urine Source el: 0 cu: MICU-A cg: RN v1: Indwelling Cath st: NotStopd t0: [08:00:00 03/11/2012] id: Verbal Response el: 0 cu: MICU-A cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [08:00:00 03/11/2012] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [08:00:00 03/11/2012] id: Bowel Sounds el: 0 cu: MICU-A cg: RN v1: Present st: NotStopd t0: [08:00:00 03/11/2012] id: Braden Activity el: 0 cu: MICU-A cg: RN v1: Bedfast st: NotStopd t0: [08:00:00 03/11/2012] id: Braden Frict/Shear el: 0 cu: MICU-A cg: RN v1: Problem st: NotStopd t0: [08:00:00 03/11/2012] id: Braden Mobility el: 0 cu: MICU-A cg: RN v1: Comp. Immobile st: NotStopd t0: [08:00:00 03/11/2012] id: Braden Moisture el: 0 cu: MICU-A cg: RN v1: Moist st: NotStopd t0: [08:00:00 03/11/2012] id: Braden Nutrition el: 0 cu: MICU-A cg: RN v1: Very Poor st: NotStopd t0: [08:00:00 03/11/2012] id: Braden Score el: 0 cu: MICU-A cg: RN v1: 7 u1: number st: NotStopd t0: [08:00:00 03/11/2012] id: Braden SensoryPercep el: 0 cu: MICU-A cg: RN v1: Comp. Limited st: NotStopd
t0: [03:00:00 03/11/2012] id: Urine Out Foley el: 2 cu: MICU-A cg: RN vo: 10 vu: ml t0: [04:00:00 03/11/2012] id: Urine Out Foley el: 2 cu: MICU-A cg: RN vo: 15 vu: ml t0: [05:00:00 03/11/2012] id: Urine Out Foley el: 2 cu: MICU-A cg: RN vo: 10 vu: ml t0: [06:00:00 03/11/2012] id: Stool Out Stool el: 1 cu: MICU-A cg: RN vo: 150 vu: ml t0: [06:00:00 03/11/2012] id: Urine Out Foley el: 2 cu: MICU-A cg: RN vo: 30 vu: ml t0: [08:00:00 03/11/2012] id: .9% Normal Saline 1000.0ml IV Infusions el: 7 cu: MICU-A cg: RN ai: 107 vo: 60 vu: ml t0: [08:00:00 03/11/2012] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 3 cu: MICU-A cg: RN ai: 126 vo: 181.872 vu: ml t0: [08:00:00 03/11/2012] id: D5W 100.0ml + 600mcghr Sandostatin IV Infusions el: 3 cu: MICU-A cg: RN ai: 127 vo: 49.8 vu: ml t0: [08:00:00 03/11/2012] id: Urine Out Foley el: 2 cu: MICU-A cg: RN vo: 60 vu: ml
t0: [08:00:00 03/11/2012] id: Propofol el: 3 cu: MICU-A cg: RN so: N/A vo: 0 v1: 60 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [08:00:00 03/11/2012] id: Sandostatin el: 4 cu: MICU-A cg: RN so: D5W vo: 0 v1: 49.8 du: mcghr sv: 100 su: ml rt: IV Drip
t0: [04:00:00 03/11/2012] id: WBC (4-11,000) Hematology el: 0 cu: MICU-A cg: 1663 v1: 9.2 rs: Final st: NotStopd t0: [04:00:00 03/11/2012] id: WBC Hematology el: 0 cu: MICU-A cg: 1663 v1: 9.2 rs: Final st: NotStopd t0: [04:00:00 03/11/2012] id: Hematocrit Hematology el: 0 cu: MICU-A cg: 1663 v1: 33.4 u1: % rs: Final st: NotStopd t0: [04:00:00 03/11/2012] id: Hemoglobin Hematology el: 0 cu: MICU-A cg: 1663 v1: 11.1 u1: gm/dl rs: Final st: NotStopd t0: [04:00:00 03/11/2012] id: RBC Hematology el: 0 cu: MICU-A cg: 1663 v1: 3.8 u1: /mic l rs: Final st: NotStopd t0: [04:00:00 03/11/2012] id: WBC (4-11,000) Hematology el: 0 cu: MICU-A cg: 1663 v1: 9.2 rs: Final st: NotStopd
t0: [04:00:00 03/11/2012] id: Platelets Hematology el: 0 cu: MICU-A cg: 1663 v1: 53 rs: Final st: NotStopd
t0: [09:00:00 03/11/2012] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [09:00:00 03/11/2012] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [09:00:00 03/11/2012] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [09:00:00 03/11/2012] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [09:00:00 03/11/2012] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [09:00:00 03/11/2012] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 69 u1: BPM st: NotStopd t0: [09:00:00 03/11/2012] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [09:00:00 03/11/2012] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 99 u1: mmHg v2: 44 u2: mmHg st: NotStopd t0: [09:00:00 03/11/2012] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 60 u1: mmHg st: NotStopd t0: [09:00:00 03/11/2012] id: Precautions el: 0 cu: MICU-A cg: RN v1: Contact st: NotStopd t0: [09:00:00 03/11/2012] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 95.5 u1: kg st: NotStopd t0: [09:00:00 03/11/2012] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 15 u1: BPM st: NotStopd t0: [09:00:00 03/11/2012] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 98 u1: % st: NotStopd t0: [09:00:00 03/11/2012] id: Temp. Site el: 0 cu: MICU-A cg: RN v1: Oral st: NotStopd t0: [09:00:00 03/11/2012] id: Temperature C (calc) el: 0 cu: MICU-A cg: RN v1: 35.5556 u1: Deg. C st: NotStopd t0: [09:00:00 03/11/2012] id: Temperature F el: 0 cu: MICU-A cg: RN v1: 96 u1: Deg. F st: NotStopd t0: [09:00:00 03/11/2012] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [11:00:00 03/11/2012] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [11:00:00 03/11/2012] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [11:00:00 03/11/2012] id: Riker-SAS Scale el: 0 cu: MICU-A cg: RN v1: Sedated st: NotStopd t0: [11:00:00 03/11/2012] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [11:00:00 03/11/2012] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [11:00:00 03/11/2012] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [11:00:00 03/11/2012] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 75 u1: BPM st: NotStopd t0: [11:00:00 03/11/2012] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [11:00:00 03/11/2012] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 106 u1: mmHg v2: 48 u2: mmHg st: NotStopd t0: [11:00:00 03/11/2012] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 63 u1: mmHg st: NotStopd t0: [11:00:00 03/11/2012] id: Precautions el: 0 cu: MICU-A cg: RN v1: Contact st: NotStopd t0: [11:00:00 03/11/2012] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 95.5 u1: kg st: NotStopd t0: [11:00:00 03/11/2012] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 17 u1: BPM st: NotStopd t0: [11:00:00 03/11/2012] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 97 u1: % st: NotStopd t0: [11:00:00 03/11/2012] id: Temp. Site el: 0 cu: MICU-A cg: RN v1: Oral st: NotStopd t0: [11:00:00 03/11/2012] id: Temperature C (calc) el: 0 cu: MICU-A cg: RN v1: 35.8889 u1: Deg. C st: NotStopd t0: [11:00:00 03/11/2012] id: Temperature F el: 0 cu: MICU-A cg: RN v1: 96.6 u1: Deg. F st: NotStopd t0: [11:00:00 03/11/2012] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [09:00:00 03/11/2012] id: .9% Normal Saline 1000.0ml IV Infusions el: 7 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [09:00:00 03/11/2012] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 3 cu: MICU-A cg: RN ai: 126 vo: 30.312 vu: ml t0: [09:00:00 03/11/2012] id: D5W 100.0ml + 600mcghr Sandostatin IV Infusions el: 3 cu: MICU-A cg: RN ai: 127 vo: 8.3 vu: ml t0: [09:00:00 03/11/2012] id: Urine Out Foley el: 2 cu: MICU-A cg: RN vo: 30 vu: ml t0: [11:00:00 03/11/2012] id: .9% Normal Saline 1000.0ml IV Infusions el: 7 cu: MICU-A cg: RN ai: 107 vo: 20 vu: ml t0: [11:00:00 03/11/2012] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 3 cu: MICU-A cg: RN ai: 126 vo: 60.624 vu: ml t0: [11:00:00 03/11/2012] id: D5W 100.0ml + 600mcghr Sandostatin IV Infusions el: 3 cu: MICU-A cg: RN ai: 127 vo: 16.6 vu: ml t0: [11:00:00 03/11/2012] id: Urine Out Foley el: 2 cu: MICU-A cg: RN vo: 25 vu: ml
t0: [09:00:00 03/11/2012] id: Propofol el: 3 cu: MICU-A cg: RN so: N/A vo: 0 v1: 60 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [09:00:00 03/11/2012] id: Sandostatin el: 4 cu: MICU-A cg: RN so: D5W vo: 0 v1: 49.8 du: mcghr sv: 100 su: ml rt: IV Drip t0: [11:00:00 03/11/2012] id: Propofol el: 3 cu: MICU-A cg: RN so: N/A vo: 0 v1: 60 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [11:00:00 03/11/2012] id: Sandostatin el: 4 cu: MICU-A cg: RN so: D5W vo: 0 v1: 49.8 du: mcghr sv: 100 su: ml rt: IV Drip
t0: [04:00:00 03/11/2012] id: BUN el: 0 cu: MICU-A cg: 1663 v1: 22 rs: Final st: NotStopd t0: [04:00:00 03/11/2012] id: Albumin Chemistry el: 0 cu: MICU-A cg: 1663 v1: 2.3 rs: Final st: NotStopd t0: [04:00:00 03/11/2012] id: Calcium Chemistry el: 0 cu: MICU-A cg: 1663 v1: 7.3 u1: mg/dl rs: Final st: NotStopd t0: [04:00:00 03/11/2012] id: Chloride Chemistry el: 0 cu: MICU-A cg: 1663 v1: 110 rs: Final st: NotStopd t0: [04:00:00 03/11/2012] id: Creatinine Chemistry el: 0 cu: MICU-A cg: 1663 v1: 1.6 rs: Final st: NotStopd t0: [04:00:00 03/11/2012] id: Glucose Chemistry el: 0 cu: MICU-A cg: 1663 v1: 117 rs: Final st: NotStopd t0: [04:00:00 03/11/2012] id: Magnesium Chemistry el: 0 cu: MICU-A cg: 1663 v1: 1.6 rs: Final st: NotStopd t0: [04:00:00 03/11/2012] id: Phosphorous Chemistry el: 0 cu: MICU-A cg: 1663 v1: 5 u1: mEq/L rs: Final st: NotStopd t0: [04:00:00 03/11/2012] id: Potassium Chemistry el: 0 cu: MICU-A cg: 1663 v1: 4.1 rs: Final st: NotStopd t0: [04:00:00 03/11/2012] id: Sodium Chemistry el: 0 cu: MICU-A cg: 1663 v1: 135 rs: Final st: NotStopd t0: [04:00:00 03/11/2012] id: Total Bili Chemistry el: 0 cu: MICU-A cg: 1663 v1: 15.5 rs: Final st: NotStopd t0: [04:00:00 03/11/2012] id: Albumin (>3.2) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 2.3 rs: Final st: NotStopd t0: [04:00:00 03/11/2012] id: Alk. Phosphate Enzymes el: 0 cu: MICU-A cg: 1663 v1: 59 rs: Final st: NotStopd t0: [04:00:00 03/11/2012] id: BUN (6-20) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 22 rs: Final st: NotStopd t0: [04:00:00 03/11/2012] id: Calcium (8.4-10.2) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 7.3 u1: mg/dl rs: Final st: NotStopd t0: [04:00:00 03/11/2012] id: Carbon Dioxide Chemistry el: 0 cu: MICU-A cg: 1663 v1: 16 rs: Final st: NotStopd t0: [04:00:00 03/11/2012] id: Chloride (100-112) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 110 rs: Final st: NotStopd t0: [04:00:00 03/11/2012] id: Creatinine (0-1.3) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 1.6 rs: Final st: NotStopd t0: [04:00:00 03/11/2012] id: Glucose (70-105) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 117 rs: Final st: NotStopd t0: [04:00:00 03/11/2012] id: Magnesium (1.6-2.6) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 1.6 rs: Final st: NotStopd t0: [04:00:00 03/11/2012] id: Phosphorous(2.7-4.5) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 5 u1: mEq/L rs: Final st: NotStopd t0: [04:00:00 03/11/2012] id: Potassium (3.5-5.3) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 4.1 rs: Final st: NotStopd t0: [04:00:00 03/11/2012] id: Sodium (135-148) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 135 rs: Final st: NotStopd t0: [04:00:00 03/11/2012] id: Total Bili (0-1.5) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 15.5 rs: Final st: NotStopd
t0: [12:00:00 03/11/2012] id: Compliance (40-60ml) el: 0 cu: MICU-A cg: RRT v1: 38.8889 u1: ml/cmH st: NotStopd t0: [12:00:00 03/11/2012] id: ETT Mark/Location el: 0 cu: MICU-A cg: RRT v1: 21cm v2: Lip st: NotStopd t0: [12:00:00 03/11/2012] id: high min vent el: 0 cu: MICU-A cg: RRT v1: 15 t0: [12:00:00 03/11/2012] id: FiO2 Set el: 0 cu: MICU-A cg: RRT v1: 0.6 u1: torr st: NotStopd t0: [12:00:00 03/11/2012] id: High Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 40 u1: cmH2O st: NotStopd t0: [12:00:00 03/11/2012] id: High Resp. Rate el: 0 cu: MICU-A cg: RRT v1: 10 u1: BPM st: NotStopd t0: [12:00:00 03/11/2012] id: I:E Ratio el: 0 cu: MICU-A cg: RRT v1: 1:4 st: NotStopd t0: [12:00:00 03/11/2012] id: Airway Size el: 0 cu: MICU-A cg: RRT v1: 8.0 mm st: NotStopd t0: [12:00:00 03/11/2012] id: Airway Type el: 0 cu: MICU-A cg: RRT v1: Endotracheal st: NotStopd t0: [12:00:00 03/11/2012] id: Intubation Date el: 0 cu: MICU-A cg: RRT v1: 10 v2: 10 st: NotStopd t0: [12:00:00 03/11/2012] id: Low Exhaled Min Vol el: 0 cu: MICU-A cg: RRT v1: 5 st: NotStopd t0: [12:00:00 03/11/2012] id: Mean Airway Pressure el: 0 cu: MICU-A cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [12:00:00 03/11/2012] id: Minute Volume(Obser) el: 0 cu: MICU-A cg: RRT v1: 8.2 u1: L/min st: NotStopd t0: [12:00:00 03/11/2012] id: PEEP Set el: 0 cu: MICU-A cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [12:00:00 03/11/2012] id: Apnea Time Interval el: 0 cu: MICU-A cg: RRT v1: 20 st: NotStopd t0: [12:00:00 03/11/2012] id: Peak Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 23 u1: cmH2O st: NotStopd t0: [12:00:00 03/11/2012] id: Plateau Pressure el: 0 cu: MICU-A cg: RRT v1: 20 u1: cmH2O st: NotStopd t0: [12:00:00 03/11/2012] id: Plateau-Off el: 0 cu: MICU-A cg: RRT v1: Yes st: NotStopd t0: [12:00:00 03/11/2012] id: Pressure Support el: 0 cu: MICU-A cg: RRT v1: 0 u1: . st: NotStopd t0: [12:00:00 03/11/2012] id: Resp Rate (Spont) el: 0 cu: MICU-A cg: RRT v1: 0 u1: BPM st: NotStopd t0: [12:00:00 03/11/2012] id: Resp Rate (Total) el: 0 cu: MICU-A cg: RRT v1: 12 u1: BPM st: NotStopd t0: [12:00:00 03/11/2012] id: Respiratory Rate Set el: 0 cu: MICU-A cg: RRT v1: 12 u1: BPM st: NotStopd t0: [12:00:00 03/11/2012] id: Sensitivity-Vent el: 0 cu: MICU-A cg: RRT v1: 2 u1: cmH2O st: NotStopd t0: [12:00:00 03/11/2012] id: SpO2 el: 0 cu: MICU-A cg: RRT v1: 98 u1: % st: NotStopd t0: [12:00:00 03/11/2012] id: Tidal Volume (Obser) el: 0 cu: MICU-A cg: RRT v1: 685 u1: ml/B st: NotStopd t0: [12:00:00 03/11/2012] id: Tidal Volume (Set) el: 0 cu: MICU-A cg: RRT v1: 700 u1: ml/B st: NotStopd t0: [12:00:00 03/11/2012] id: Ventilator Mode el: 0 cu: MICU-A cg: RRT v1: Assist Control st: NotStopd t0: [12:00:00 03/11/2012] id: Ventilator Type el: 0 cu: MICU-A cg: RRT v1: Drager st: NotStopd t0: [12:00:00 03/11/2012] id: Waveform-Vent el: 0 cu: MICU-A cg: RRT v1: RAMP st: NotStopd
t0: [01:30:00 03/11/2012] id: Art.pH ABG el: 0 cu: MICU-A cg: 1663 v1: 7.37 rs: Final st: NotStopd t0: [01:30:00 03/11/2012] id: Arterial Base Excess ABG el: 0 cu: MICU-A cg: 1663 v1: -5 rs: Final st: NotStopd t0: [01:30:00 03/11/2012] id: Arterial CO2(Calc) ABG el: 0 cu: MICU-A cg: 1663 v1: 19 rs: Final st: NotStopd t0: [01:30:00 03/11/2012] id: Arterial PaCO2 ABG el: 0 cu: MICU-A cg: 1663 v1: 32 u1: mmHg rs: Final st: NotStopd t0: [01:30:00 03/11/2012] id: Arterial PaO2 ABG el: 0 cu: MICU-A cg: 1663 v1: 112 u1: mmHg rs: Final st: NotStopd t0: [01:30:00 03/11/2012] id: Arterial pH ABG el: 0 cu: MICU-A cg: 1663 v1: 7.37 rs: Final st: NotStopd t0: [01:30:00 03/11/2012] id: Hematocrit Hematology el: 0 cu: MICU-A cg: 1663 v1: 31 u1: % rs: Final st: NotStopd t0: [01:30:00 03/11/2012] id: Ionized Calcium Chemistry el: 0 cu: MICU-A cg: 1663 v1: 1.05 rs: Final st: NotStopd t0: [12:00:00 03/11/2012] id: Hematocrit Hematology el: 0 cu: MICU-A cg: 1663 v1: 31.5 u1: % rs: Final st: NotStopd
tf: [12:00:00 04/11/2012] pt: Unit Dose rt: IV fr: ONCE fs: 13 dn: 1 m1: Albumin 25% (12.5gm) v1: 50 u1: gm
t0: [12:00:00 03/11/2012] id: PT el: 0 cu: MICU-A cg: 1663 v1: 15.4 rs: Final st: NotStopd t0: [12:00:00 03/11/2012] id: INR Coags el: 0 cu: MICU-A cg: 1663 v1: 1.6 rs: Final st: NotStopd t0: [12:00:00 03/11/2012] id: PTT Coags el: 0 cu: MICU-A cg: 1663 v1: 45.3 rs: Final st: NotStopd t0: [12:00:00 03/11/2012] id: INR (2-4 ref. range) Coags el: 0 cu: MICU-A cg: 1663 v1: 1.6 rs: Final st: NotStopd t0: [12:00:00 03/11/2012] id: PT(11-13.5) Coags el: 0 cu: MICU-A cg: 1663 v1: 15.4 rs: Final st: NotStopd t0: [12:00:00 03/11/2012] id: PTT(22-35) Coags el: 0 cu: MICU-A cg: 1663 v1: 45.3 rs: Final st: NotStopd
t0: [12:00:00 03/11/2012] id: Serum Osmolality Chemistry el: 0 cu: MICU-A cg: 1663 v1: 282 rs: Final st: NotStopd
tf: [14:00:00 04/11/2012] pt: Unit Dose rt: IV fr: ONCE fs: 15 dn: 1 m1: Calcium Gluconate v1: 2 u1: gm tf: [14:00:00 04/11/2012] pt: Unit Dose rt: IV fr: ONCE fs: 15 dn: 1 m1: Magnesium Sulfate v1: 2 u1: gm
id: Platelets el: 1 cu: MICU-A cg: RN io: Platelets IV Infusions du: ml rt: Intravenous Push
t0: [12:00:00 03/11/2012] id: Less Restrict Meas. el: 0 cu: MICU-A cg: RN v1: Medicated st: NotStopd t0: [12:00:00 03/11/2012] id: Range of Motion el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [12:00:00 03/11/2012] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [12:00:00 03/11/2012] id: Circulation/SkinInt el: 0 cu: MICU-A cg: RN v1: Circulation Adeq st: NotStopd t0: [12:00:00 03/11/2012] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [12:00:00 03/11/2012] id: GI Prophylaxis el: 0 cu: MICU-A cg: RN v1: Proton/Pump/Inhi v2: Other/Remarks st: NotStopd t0: [12:00:00 03/11/2012] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [12:00:00 03/11/2012] id: Diet Type el: 0 cu: MICU-A cg: RN v1: NPO st: NotStopd t0: [12:00:00 03/11/2012] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [12:00:00 03/11/2012] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [12:00:00 03/11/2012] id: Eye Opening el: 0 cu: MICU-A cg: RN v1: 2 To pain st: NotStopd t0: [12:00:00 03/11/2012] id: Follows Commands el: 0 cu: MICU-A cg: RN v1: No st: NotStopd t0: [12:00:00 03/11/2012] id: GCS Total el: 0 cu: MICU-A cg: RN v1: 8 u1: points st: NotStopd t0: [12:00:00 03/11/2012] id: HOB el: 0 cu: MICU-A cg: RN v1: 30 degrees st: NotStopd t0: [12:00:00 03/11/2012] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 72 u1: BPM st: NotStopd t0: [12:00:00 03/11/2012] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [12:00:00 03/11/2012] id: INV Line#1 Type/Site el: 0 cu: MICU-A cg: RN v1: PICC line v2: Left Antecub st: NotStopd t0: [12:00:00 03/11/2012] id: INV Line#1InsertDate el: 0 cu: MICU-A cg: RN v1: 10 v2: 9 st: NotStopd t0: [12:00:00 03/11/2012] id: INV Line#1SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [12:00:00 03/11/2012] id: INV Line#2 Type/Site el: 0 cu: MICU-A cg: RN v1: Introducer v2: Left IJ st: NotStopd t0: [12:00:00 03/11/2012] id: INV Line#2InsertDate el: 0 cu: MICU-A cg: RN v1: 10 v2: 10 st: NotStopd t0: [12:00:00 03/11/2012] id: INV Line#2SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [12:00:00 03/11/2012] id: INV Line#3 Type/Site el: 0 cu: MICU-A cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [12:00:00 03/11/2012] id: INV Line#3 Zero/Cal el: 0 cu: MICU-A cg: RN v1: No st: NotStopd t0: [12:00:00 03/11/2012] id: INV Line#3InsertDate el: 0 cu: MICU-A cg: RN v1: 10 v2: 10 st: NotStopd t0: [12:00:00 03/11/2012] id: INV Line#3SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [12:00:00 03/11/2012] id: Abdominal Assessment el: 0 cu: MICU-A cg: RN v1: Ascites st: NotStopd t0: [12:00:00 03/11/2012] id: INV#3 WaveformAppear el: 0 cu: MICU-A cg: RN v1: Sharp st: NotStopd t0: [12:00:00 03/11/2012] id: IV #3 Insert Date el: 0 cu: MICU-A cg: RN v1: 10 v2: 9 st: NotStopd t0: [12:00:00 03/11/2012] id: IV #3 Site/Size el: 0 cu: MICU-A cg: RN v1: Right Antecub v2: 18 gauge st: NotStopd t0: [12:00:00 03/11/2012] id: Activity el: 0 cu: MICU-A cg: RN v1: Bedrest st: NotStopd t0: [12:00:00 03/11/2012] id: IV Site Appear #3 el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [12:00:00 03/11/2012] id: Activity Tolerance el: 0 cu: MICU-A cg: RN v1: Tolerated Well st: NotStopd t0: [12:00:00 03/11/2012] id: Impaired Skin Site#1 el: 0 cu: MICU-A cg: RN v1: Coccyx st: NotStopd t0: [12:00:00 03/11/2012] id: LLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [12:00:00 03/11/2012] id: LUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [12:00:00 03/11/2012] id: Level of Conscious el: 0 cu: MICU-A cg: RN v1: Sedated st: NotStopd t0: [12:00:00 03/11/2012] id: Motor Response el: 0 cu: MICU-A cg: RN v1: 5 Localizes Pain st: NotStopd t0: [12:00:00 03/11/2012] id: Oral Cavity el: 0 cu: MICU-A cg: RN v1: Bleeding Gum st: NotStopd t0: [12:00:00 03/11/2012] id: Orientation el: 0 cu: MICU-A cg: RN v1: Other/Remarks st: NotStopd t0: [12:00:00 03/11/2012] id: AntiEmbDevice/Status el: 0 cu: MICU-A cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [12:00:00 03/11/2012] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 90 u1: mmHg v2: 35 u2: mmHg st: NotStopd t0: [12:00:00 03/11/2012] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 49 u1: mmHg st: NotStopd t0: [12:00:00 03/11/2012] id: Position el: 0 cu: MICU-A cg: RN v1: Right Side st: NotStopd t0: [12:00:00 03/11/2012] id: Position Change el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [12:00:00 03/11/2012] id: Assistance Device el: 0 cu: MICU-A cg: RN v1: Total Lift st: NotStopd t0: [12:00:00 03/11/2012] id: Precautions el: 0 cu: MICU-A cg: RN v1: Contact st: NotStopd t0: [12:00:00 03/11/2012] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 95.5 u1: kg st: NotStopd t0: [12:00:00 03/11/2012] id: RLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [12:00:00 03/11/2012] id: RUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [12:00:00 03/11/2012] id: Reason For Restraint el: 0 cu: MICU-A cg: RN v1: Ext/TXInterfere st: NotStopd t0: [12:00:00 03/11/2012] id: Removed x 5 Mins el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [12:00:00 03/11/2012] id: Respiratory Pattern el: 0 cu: MICU-A cg: RN v1: Regular st: NotStopd t0: [12:00:00 03/11/2012] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 13 u1: BPM st: NotStopd t0: [12:00:00 03/11/2012] id: Restraint Location el: 0 cu: MICU-A cg: RN v1: Both Arms st: NotStopd t0: [12:00:00 03/11/2012] id: Restraint Type el: 0 cu: MICU-A cg: RN v1: Soft Limb st: NotStopd t0: [12:00:00 03/11/2012] id: Restraints Evaluated el: 0 cu: MICU-A cg: RN v1: Behavior Conts st: NotStopd t0: [12:00:00 03/11/2012] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [12:00:00 03/11/2012] id: Skin Integrity el: 0 cu: MICU-A cg: RN v1: Impaired st: NotStopd t0: [12:00:00 03/11/2012] id: Spontaneous Movement el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [12:00:00 03/11/2012] id: Support Systems el: 0 cu: MICU-A cg: RN v1: Spouse st: NotStopd t0: [12:00:00 03/11/2012] id: Temp. Site el: 0 cu: MICU-A cg: RN v1: Oral st: NotStopd t0: [12:00:00 03/11/2012] id: Temperature C (calc) el: 0 cu: MICU-A cg: RN v1: 36.2222 u1: Deg. C st: NotStopd t0: [12:00:00 03/11/2012] id: Temperature F el: 0 cu: MICU-A cg: RN v1: 97.2 u1: Deg. F st: NotStopd t0: [12:00:00 03/11/2012] id: Turn el: 0 cu: MICU-A cg: RN v1: Right Side st: NotStopd t0: [12:00:00 03/11/2012] id: Urine Color/Appear el: 0 cu: MICU-A cg: RN v1: Icteric v2: Cloudy st: NotStopd t0: [12:00:00 03/11/2012] id: Urine Source el: 0 cu: MICU-A cg: RN v1: Indwelling Cath st: NotStopd t0: [12:00:00 03/11/2012] id: Verbal Response el: 0 cu: MICU-A cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [12:00:00 03/11/2012] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [12:00:00 03/11/2012] id: Bowel Sounds el: 0 cu: MICU-A cg: RN v1: Present st: NotStopd t0: [12:30:00 03/11/2012] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [12:30:00 03/11/2012] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [12:30:00 03/11/2012] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [12:30:00 03/11/2012] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [12:30:00 03/11/2012] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [12:30:00 03/11/2012] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 72 u1: BPM st: NotStopd t0: [12:30:00 03/11/2012] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [12:30:00 03/11/2012] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 85 u1: mmHg v2: 33 u2: mmHg st: NotStopd t0: [12:30:00 03/11/2012] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 47 u1: mmHg st: NotStopd t0: [12:30:00 03/11/2012] id: Precautions el: 0 cu: MICU-A cg: RN v1: Contact st: NotStopd t0: [12:30:00 03/11/2012] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 95.5 u1: kg st: NotStopd t0: [12:30:00 03/11/2012] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 12 u1: BPM st: NotStopd t0: [12:30:00 03/11/2012] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 99 u1: % st: NotStopd t0: [12:30:00 03/11/2012] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [13:00:00 03/11/2012] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [13:00:00 03/11/2012] id: CVP el: 0 cu: MICU-A cg: RN v1: 6 u1: mmHg st: NotStopd t0: [13:00:00 03/11/2012] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [13:00:00 03/11/2012] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [13:00:00 03/11/2012] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [13:00:00 03/11/2012] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [13:00:00 03/11/2012] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 73 u1: BPM st: NotStopd t0: [13:00:00 03/11/2012] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [13:00:00 03/11/2012] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 97 u1: mmHg v2: 39 u2: mmHg st: NotStopd t0: [13:00:00 03/11/2012] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 54 u1: mmHg st: NotStopd t0: [13:00:00 03/11/2012] id: Precautions el: 0 cu: MICU-A cg: RN v1: Contact st: NotStopd t0: [13:00:00 03/11/2012] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 95.5 u1: kg st: NotStopd t0: [13:00:00 03/11/2012] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 13 u1: BPM st: NotStopd t0: [13:00:00 03/11/2012] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 99 u1: % st: NotStopd t0: [13:00:00 03/11/2012] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [14:00:00 03/11/2012] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [14:00:00 03/11/2012] id: CVP el: 0 cu: MICU-A cg: RN v1: 3 u1: mmHg st: NotStopd t0: [14:00:00 03/11/2012] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [14:00:00 03/11/2012] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [14:00:00 03/11/2012] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [14:00:00 03/11/2012] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [14:00:00 03/11/2012] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 72 u1: BPM st: NotStopd t0: [14:00:00 03/11/2012] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [14:00:00 03/11/2012] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 103 u1: mmHg v2: 40 u2: mmHg st: NotStopd t0: [14:00:00 03/11/2012] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 59 u1: mmHg st: NotStopd t0: [14:00:00 03/11/2012] id: Precautions el: 0 cu: MICU-A cg: RN v1: Contact st: NotStopd t0: [14:00:00 03/11/2012] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 95.5 u1: kg st: NotStopd t0: [14:00:00 03/11/2012] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 16 u1: BPM st: NotStopd t0: [14:00:00 03/11/2012] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 98 u1: % st: NotStopd t0: [14:00:00 03/11/2012] id: Temp. Site el: 0 cu: MICU-A cg: RN v1: Oral st: NotStopd t0: [14:00:00 03/11/2012] id: Temperature C (calc) el: 0 cu: MICU-A cg: RN v1: 36.1667 u1: Deg. C st: NotStopd t0: [14:00:00 03/11/2012] id: Temperature F el: 0 cu: MICU-A cg: RN v1: 97.1 u1: Deg. F st: NotStopd t0: [14:00:00 03/11/2012] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [14:15:00 03/11/2012] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [14:15:00 03/11/2012] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [14:15:00 03/11/2012] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [14:15:00 03/11/2012] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [14:15:00 03/11/2012] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [14:15:00 03/11/2012] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 71 u1: BPM st: NotStopd t0: [14:15:00 03/11/2012] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [14:15:00 03/11/2012] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 106 u1: mmHg v2: 41 u2: mmHg st: NotStopd t0: [14:15:00 03/11/2012] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 58 u1: mmHg st: NotStopd t0: [14:15:00 03/11/2012] id: Precautions el: 0 cu: MICU-A cg: RN v1: Contact st: NotStopd t0: [14:15:00 03/11/2012] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 95.5 u1: kg st: NotStopd t0: [14:15:00 03/11/2012] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 14 u1: BPM st: NotStopd t0: [14:15:00 03/11/2012] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 98 u1: % st: NotStopd t0: [14:15:00 03/11/2012] id: Temp. Site el: 0 cu: MICU-A cg: RN v1: Oral st: NotStopd t0: [14:15:00 03/11/2012] id: Temperature C (calc) el: 0 cu: MICU-A cg: RN v1: 36.2222 u1: Deg. C st: NotStopd t0: [14:15:00 03/11/2012] id: Temperature F el: 0 cu: MICU-A cg: RN v1: 97.2 u1: Deg. F st: NotStopd t0: [14:15:00 03/11/2012] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [15:00:00 03/11/2012] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [15:00:00 03/11/2012] id: CVP el: 0 cu: MICU-A cg: RN v1: 5 u1: mmHg st: NotStopd t0: [15:00:00 03/11/2012] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [15:00:00 03/11/2012] id: Riker-SAS Scale el: 0 cu: MICU-A cg: RN v1: Sedated st: NotStopd t0: [15:00:00 03/11/2012] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [15:00:00 03/11/2012] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [15:00:00 03/11/2012] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [15:00:00 03/11/2012] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 69 u1: BPM st: NotStopd t0: [15:00:00 03/11/2012] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [15:00:00 03/11/2012] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 104 u1: mmHg v2: 39 u2: mmHg st: NotStopd t0: [15:00:00 03/11/2012] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 57 u1: mmHg st: NotStopd t0: [15:00:00 03/11/2012] id: Precautions el: 0 cu: MICU-A cg: RN v1: Contact st: NotStopd t0: [15:00:00 03/11/2012] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 95.5 u1: kg st: NotStopd t0: [15:00:00 03/11/2012] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 12 u1: BPM st: NotStopd t0: [15:00:00 03/11/2012] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 96 u1: % st: NotStopd t0: [15:00:00 03/11/2012] id: Temp. Site el: 0 cu: MICU-A cg: RN v1: Oral st: NotStopd t0: [15:00:00 03/11/2012] id: Temperature C (calc) el: 0 cu: MICU-A cg: RN v1: 36.2778 u1: Deg. C st: NotStopd t0: [15:00:00 03/11/2012] id: Temperature F el: 0 cu: MICU-A cg: RN v1: 97.3 u1: Deg. F st: NotStopd t0: [15:00:00 03/11/2012] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [10:00:00 03/11/2012] id: Urine Out Foley el: 2 cu: MICU-A cg: RN vo: 33 vu: ml t0: [12:00:00 03/11/2012] id: IV Piggyback IV Infusions el: 1 cu: MICU-A cg: RN ai: 209 vo: 100 vu: ml t0: [12:00:00 03/11/2012] id: Urine Out Foley el: 2 cu: MICU-A cg: RN vo: 15 vu: ml t0: [13:00:00 03/11/2012] id: Urine Out Foley el: 2 cu: MICU-A cg: RN vo: 10 vu: ml t0: [14:00:00 03/11/2012] id: IV Piggyback IV Infusions el: 1 cu: MICU-A cg: RN ai: 209 vo: 300 vu: ml t0: [14:00:00 03/11/2012] id: .9% Normal Saline 1000.0ml IV Infusions el: 7 cu: MICU-A cg: RN ai: 107 vo: 30 vu: ml t0: [14:00:00 03/11/2012] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 3 cu: MICU-A cg: RN ai: 126 vo: 90.936 vu: ml t0: [14:00:00 03/11/2012] id: D5W 100.0ml + 600mcghr Sandostatin IV Infusions el: 3 cu: MICU-A cg: RN ai: 127 vo: 24.9 vu: ml t0: [14:00:00 03/11/2012] id: Platelets IV Infusions el: 1 cu: MICU-A cg: RN ai: -1 vo: 0 vu: ml nb: 1 t0: [14:00:00 03/11/2012] id: Urine Out Foley el: 2 cu: MICU-A cg: RN vo: 20 vu: ml t0: [15:00:00 03/11/2012] id: IV Piggyback IV Infusions el: 1 cu: MICU-A cg: RN ai: 209 vo: 100 vu: ml t0: [15:00:00 03/11/2012] id: .9% Normal Saline 1000.0ml IV Infusions el: 7 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [15:00:00 03/11/2012] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 3 cu: MICU-A cg: RN ai: 126 vo: 30.312 vu: ml t0: [15:00:00 03/11/2012] id: D5W 100.0ml + 600mcghr Sandostatin IV Infusions el: 3 cu: MICU-A cg: RN ai: 127 vo: 8.3 vu: ml t0: [15:00:00 03/11/2012] id: Urine Out Foley el: 2 cu: MICU-A cg: RN vo: 10 vu: ml
t0: [12:00:00 03/11/2012] id: Propofol el: 3 cu: MICU-A cg: RN so: N/A vo: 0 v1: 60 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [12:00:00 03/11/2012] id: Sandostatin el: 4 cu: MICU-A cg: RN so: D5W vo: 0 v1: 49.8 du: mcghr sv: 100 su: ml rt: IV Drip t0: [12:30:00 03/11/2012] id: Propofol el: 3 cu: MICU-A cg: RN so: N/A vo: 0 v1: 60 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [12:30:00 03/11/2012] id: Sandostatin el: 4 cu: MICU-A cg: RN so: D5W vo: 0 v1: 49.8 du: mcghr sv: 100 su: ml rt: IV Drip t0: [13:00:00 03/11/2012] id: Propofol el: 3 cu: MICU-A cg: RN so: N/A vo: 0 v1: 60 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [13:00:00 03/11/2012] id: Sandostatin el: 4 cu: MICU-A cg: RN so: D5W vo: 0 v1: 49.8 du: mcghr sv: 100 su: ml rt: IV Drip t0: [14:00:00 03/11/2012] id: Propofol el: 3 cu: MICU-A cg: RN so: N/A vo: 0 v1: 60 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [14:00:00 03/11/2012] id: Sandostatin el: 4 cu: MICU-A cg: RN so: D5W vo: 0 v1: 49.8 du: mcghr sv: 100 su: ml rt: IV Drip t0: [14:15:00 03/11/2012] id: Propofol el: 3 cu: MICU-A cg: RN so: N/A vo: 0 v1: 60 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [14:15:00 03/11/2012] id: Sandostatin el: 4 cu: MICU-A cg: RN so: D5W vo: 0 v1: 49.8 du: mcghr sv: 100 su: ml rt: IV Drip t0: [15:00:00 03/11/2012] id: Propofol el: 3 cu: MICU-A cg: RN so: N/A vo: 0 v1: 60 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [15:00:00 03/11/2012] id: Sandostatin el: 4 cu: MICU-A cg: RN so: D5W vo: 0 v1: 49.8 du: mcghr sv: 100 su: ml rt: IV Drip
t0: [15:30:00 03/11/2012] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [15:30:00 03/11/2012] id: CVP el: 0 cu: MICU-A cg: RN v1: 5 u1: mmHg st: NotStopd t0: [15:30:00 03/11/2012] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [15:30:00 03/11/2012] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [15:30:00 03/11/2012] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [15:30:00 03/11/2012] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [15:30:00 03/11/2012] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 70 u1: BPM st: NotStopd t0: [15:30:00 03/11/2012] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [15:30:00 03/11/2012] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 102 u1: mmHg v2: 39 u2: mmHg st: NotStopd t0: [15:30:00 03/11/2012] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 56 u1: mmHg st: NotStopd t0: [15:30:00 03/11/2012] id: Precautions el: 0 cu: MICU-A cg: RN v1: Contact st: NotStopd t0: [15:30:00 03/11/2012] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 95.5 u1: kg st: NotStopd t0: [15:30:00 03/11/2012] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 14 u1: BPM st: NotStopd t0: [15:30:00 03/11/2012] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 96 u1: % st: NotStopd t0: [15:30:00 03/11/2012] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [15:30:00 03/11/2012] id: IV Piggyback IV Infusions el: 1 cu: MICU-A cg: RN ai: 209 vo: 250 vu: ml
t0: [15:30:00 03/11/2012] id: Propofol el: 3 cu: MICU-A cg: RN so: N/A vo: 0 v1: 60 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [15:30:00 03/11/2012] id: Sandostatin el: 4 cu: MICU-A cg: RN so: D5W vo: 0 v1: 49.8 du: mcghr sv: 100 su: ml rt: IV Drip
tf: [15:00:00 04/11/2012] pt: Unit Dose rt: PR fr: Q24H fs: 16 dn: 1 m1: Lactulose Enema v1: 300 u1: ml
t0: [16:00:00 03/11/2012] id: Less Restrict Meas. el: 0 cu: MICU-A cg: RN v1: Medicated st: NotStopd t0: [16:00:00 03/11/2012] id: Pain Present el: 0 cu: MICU-A cg: RN v1: No st: NotStopd t0: [16:00:00 03/11/2012] id: Range of Motion el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [16:00:00 03/11/2012] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [16:00:00 03/11/2012] id: CVP el: 0 cu: MICU-A cg: RN v1: 7 u1: mmHg st: NotStopd t0: [16:00:00 03/11/2012] id: Circulation/SkinInt el: 0 cu: MICU-A cg: RN v1: Circulation Adeq st: NotStopd t0: [16:00:00 03/11/2012] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [16:00:00 03/11/2012] id: Riker-SAS Scale el: 0 cu: MICU-A cg: RN v1: Sedated st: NotStopd t0: [16:00:00 03/11/2012] id: Daily Wake Up el: 1 cu: MICU-A cg: RN v1: No/Hemodyn Issue st: NotStopd t0: [16:00:00 03/11/2012] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [16:00:00 03/11/2012] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [16:00:00 03/11/2012] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [16:00:00 03/11/2012] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 71 u1: BPM st: NotStopd t0: [16:00:00 03/11/2012] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [16:00:00 03/11/2012] id: INV Line#1 Type/Site el: 0 cu: MICU-A cg: RN v1: PICC line v2: Left Antecub st: NotStopd t0: [16:00:00 03/11/2012] id: INV Line#1InsertDate el: 0 cu: MICU-A cg: RN v1: 10 v2: 9 st: NotStopd t0: [16:00:00 03/11/2012] id: INV Line#1SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [16:00:00 03/11/2012] id: INV Line#2 Type/Site el: 0 cu: MICU-A cg: RN v1: Introducer v2: Left IJ st: NotStopd t0: [16:00:00 03/11/2012] id: INV Line#2InsertDate el: 0 cu: MICU-A cg: RN v1: 10 v2: 10 st: NotStopd t0: [16:00:00 03/11/2012] id: INV Line#2SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [16:00:00 03/11/2012] id: INV Line#3 Type/Site el: 0 cu: MICU-A cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [16:00:00 03/11/2012] id: INV Line#3 Zero/Cal el: 0 cu: MICU-A cg: RN v1: No st: NotStopd t0: [16:00:00 03/11/2012] id: INV Line#3InsertDate el: 0 cu: MICU-A cg: RN v1: 10 v2: 10 st: NotStopd t0: [16:00:00 03/11/2012] id: INV Line#3SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [16:00:00 03/11/2012] id: INV#3 WaveformAppear el: 0 cu: MICU-A cg: RN v1: Sharp st: NotStopd t0: [16:00:00 03/11/2012] id: IV #3 Insert Date el: 0 cu: MICU-A cg: RN v1: 10 v2: 9 st: NotStopd t0: [16:00:00 03/11/2012] id: IV #3 Site/Size el: 0 cu: MICU-A cg: RN v1: Right Antecub v2: 18 gauge st: NotStopd t0: [16:00:00 03/11/2012] id: IV Site Appear #3 el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [16:00:00 03/11/2012] id: Impaired Skin Site#1 el: 0 cu: MICU-A cg: RN v1: Coccyx st: NotStopd t0: [16:00:00 03/11/2012] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 119 u1: mmHg v2: 47 u2: mmHg st: NotStopd t0: [16:00:00 03/11/2012] id: Pain Location el: 0 cu: MICU-A cg: RN v1: Not Indicated st: NotStopd t0: [16:00:00 03/11/2012] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 67 u1: mmHg st: NotStopd t0: [16:00:00 03/11/2012] id: Position Change el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [16:00:00 03/11/2012] id: Precautions el: 0 cu: MICU-A cg: RN v1: Contact st: NotStopd t0: [16:00:00 03/11/2012] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 95.5 u1: kg st: NotStopd t0: [16:00:00 03/11/2012] id: Reason For Restraint el: 0 cu: MICU-A cg: RN v1: Ext/TXInterfere st: NotStopd t0: [16:00:00 03/11/2012] id: Removed x 5 Mins el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [16:00:00 03/11/2012] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 13 u1: BPM st: NotStopd t0: [16:00:00 03/11/2012] id: Restraint Location el: 0 cu: MICU-A cg: RN v1: Both Arms st: NotStopd t0: [16:00:00 03/11/2012] id: Restraint Type el: 0 cu: MICU-A cg: RN v1: Soft Limb st: NotStopd t0: [16:00:00 03/11/2012] id: Restraints Evaluated el: 0 cu: MICU-A cg: RN v1: Behavior Conts st: NotStopd t0: [16:00:00 03/11/2012] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [16:00:00 03/11/2012] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 97 u1: % st: NotStopd t0: [16:00:00 03/11/2012] id: Support Systems el: 0 cu: MICU-A cg: RN v1: Spouse st: NotStopd t0: [16:00:00 03/11/2012] id: Temp. Site el: 0 cu: MICU-A cg: RN v1: Oral st: NotStopd t0: [16:00:00 03/11/2012] id: Temperature C (calc) el: 0 cu: MICU-A cg: RN v1: 36.2778 u1: Deg. C st: NotStopd t0: [16:00:00 03/11/2012] id: Temperature F el: 0 cu: MICU-A cg: RN v1: 97.3 u1: Deg. F st: NotStopd t0: [16:00:00 03/11/2012] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [16:00:00 03/11/2012] id: .9% Normal Saline 1000.0ml IV Infusions el: 7 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [16:00:00 03/11/2012] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 3 cu: MICU-A cg: RN ai: 126 vo: 30.312 vu: ml t0: [16:00:00 03/11/2012] id: D5W 100.0ml + 600mcghr Sandostatin IV Infusions el: 3 cu: MICU-A cg: RN ai: 127 vo: 8.3 vu: ml t0: [16:00:00 03/11/2012] id: Urine Out Foley el: 2 cu: MICU-A cg: RN vo: 20 vu: ml
t0: [16:00:00 03/11/2012] id: Propofol el: 3 cu: MICU-A cg: RN so: N/A vo: 0 v1: 60 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [16:00:00 03/11/2012] id: Sandostatin el: 4 cu: MICU-A cg: RN so: D5W vo: 0 v1: 49.8 du: mcghr sv: 100 su: ml rt: IV Drip
t0: [16:00:00 03/11/2012] id: Hematocrit Hematology el: 0 cu: MICU-A cg: 1663 v1: 28.1 u1: % rs: Final st: NotStopd
id: Supplement el: 1 cu: MICU-A cg: RN io: Supplement PO/Gastric du: ml rt: Oral or Nasogastric
t0: [16:00:00 03/11/2012] id: GI Prophylaxis el: 0 cu: MICU-A cg: RN v1: Proton/Pump/Inhi v2: Other/Remarks st: NotStopd t0: [16:00:00 03/11/2012] id: Diet Type el: 0 cu: MICU-A cg: RN v1: NPO st: NotStopd t0: [16:00:00 03/11/2012] id: Eye Opening el: 0 cu: MICU-A cg: RN v1: 2 To pain st: NotStopd t0: [16:00:00 03/11/2012] id: Follows Commands el: 0 cu: MICU-A cg: RN v1: No st: NotStopd t0: [16:00:00 03/11/2012] id: GCS Total el: 0 cu: MICU-A cg: RN v1: 4 u1: points st: NotStopd t0: [16:00:00 03/11/2012] id: Abdominal Assessment el: 0 cu: MICU-A cg: RN v1: Ascites st: NotStopd t0: [16:00:00 03/11/2012] id: LLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [16:00:00 03/11/2012] id: LUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [16:00:00 03/11/2012] id: Level of Conscious el: 0 cu: MICU-A cg: RN v1: Sedated st: NotStopd t0: [16:00:00 03/11/2012] id: Motor Response el: 0 cu: MICU-A cg: RN v1: 1 No Response st: NotStopd t0: [16:00:00 03/11/2012] id: Oral Cavity el: 0 cu: MICU-A cg: RN v1: Bleeding Gum st: NotStopd t0: [16:00:00 03/11/2012] id: Orientation el: 0 cu: MICU-A cg: RN v1: Other/Remarks st: NotStopd t0: [16:00:00 03/11/2012] id: RLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [16:00:00 03/11/2012] id: RUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [16:00:00 03/11/2012] id: Respiratory Pattern el: 0 cu: MICU-A cg: RN v1: Regular st: NotStopd t0: [16:00:00 03/11/2012] id: Spontaneous Movement el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [16:00:00 03/11/2012] id: Stool Color/Consist el: 0 cu: MICU-A cg: RN v1: Black v2: Liquid st: NotStopd t0: [16:00:00 03/11/2012] id: Stool Guaiac el: 0 cu: MICU-A cg: RN v1: Positive st: NotStopd t0: [16:00:00 03/11/2012] id: Stool Management el: 0 cu: MICU-A cg: RN v1: Fecal Incont Bag st: NotStopd t0: [16:00:00 03/11/2012] id: Urine Color/Appear el: 0 cu: MICU-A cg: RN v1: Icteric v2: Cloudy st: NotStopd t0: [16:00:00 03/11/2012] id: Urine Source el: 0 cu: MICU-A cg: RN v1: Indwelling Cath st: NotStopd t0: [16:00:00 03/11/2012] id: Verbal Response el: 0 cu: MICU-A cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [16:00:00 03/11/2012] id: Bowel Sounds el: 0 cu: MICU-A cg: RN v1: Present st: NotStopd t0: [17:00:00 03/11/2012] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [17:00:00 03/11/2012] id: CVP el: 0 cu: MICU-A cg: RN v1: 13 u1: mmHg st: NotStopd t0: [17:00:00 03/11/2012] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [17:00:00 03/11/2012] id: Riker-SAS Scale el: 0 cu: MICU-A cg: RN v1: Sedated st: NotStopd t0: [17:00:00 03/11/2012] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [17:00:00 03/11/2012] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [17:00:00 03/11/2012] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [17:00:00 03/11/2012] id: HOB el: 0 cu: MICU-A cg: RN v1: 30 degrees st: NotStopd t0: [17:00:00 03/11/2012] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 71 u1: BPM st: NotStopd t0: [17:00:00 03/11/2012] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [17:00:00 03/11/2012] id: Activity el: 0 cu: MICU-A cg: RN v1: Bedrest st: NotStopd t0: [17:00:00 03/11/2012] id: Activity Tolerance el: 0 cu: MICU-A cg: RN v1: Tolerated Well st: NotStopd t0: [17:00:00 03/11/2012] id: Oral Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [17:00:00 03/11/2012] id: AntiEmbDevice/Status el: 0 cu: MICU-A cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [17:00:00 03/11/2012] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 112 u1: mmHg v2: 41 u2: mmHg st: NotStopd t0: [17:00:00 03/11/2012] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 61 u1: mmHg st: NotStopd t0: [17:00:00 03/11/2012] id: Position el: 0 cu: MICU-A cg: RN v1: Left Side st: NotStopd t0: [17:00:00 03/11/2012] id: Assistance Device el: 0 cu: MICU-A cg: RN v1: Total Lift st: NotStopd t0: [17:00:00 03/11/2012] id: Precautions el: 0 cu: MICU-A cg: RN v1: Contact st: NotStopd t0: [17:00:00 03/11/2012] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 95.5 u1: kg st: NotStopd t0: [17:00:00 03/11/2012] id: Procedures el: 0 cu: MICU-A cg: RN v1: Paracentesis st: NotStopd t0: [17:00:00 03/11/2012] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 13 u1: BPM st: NotStopd t0: [17:00:00 03/11/2012] id: Skin Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [17:00:00 03/11/2012] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 96 u1: % st: NotStopd t0: [17:00:00 03/11/2012] id: Sputum Color/Consist el: 0 cu: MICU-A cg: RN v1: Brown v2: Thin st: NotStopd t0: [17:00:00 03/11/2012] id: Sputum Source/Amt el: 0 cu: MICU-A cg: RN v1: Suctioned v2: Scant st: NotStopd t0: [17:00:00 03/11/2012] id: Temp. Site el: 0 cu: MICU-A cg: RN v1: Oral st: NotStopd t0: [17:00:00 03/11/2012] id: Temperature C (calc) el: 0 cu: MICU-A cg: RN v1: 36.3889 u1: Deg. C st: NotStopd t0: [17:00:00 03/11/2012] id: Temperature F el: 0 cu: MICU-A cg: RN v1: 97.5 u1: Deg. F st: NotStopd t0: [17:00:00 03/11/2012] id: Turn el: 0 cu: MICU-A cg: RN v1: Side to Side st: NotStopd t0: [17:00:00 03/11/2012] id: Back Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [17:00:00 03/11/2012] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [16:00:00 03/11/2012] tf: [13:57:00 06/11/2012] dt: 4197 id: Platelets IV Infusions el: 1 cu: MICU-A cg: RN ai: -1 vo: 219 vu: ml t0: [17:00:00 03/11/2012] id: .9% Normal Saline 1000.0ml IV Infusions el: 7 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [17:00:00 03/11/2012] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 3 cu: MICU-A cg: RN ai: 126 vo: 30.312 vu: ml t0: [17:00:00 03/11/2012] id: D5W 100.0ml + 600mcghr Sandostatin IV Infusions el: 3 cu: MICU-A cg: RN ai: 127 vo: 8.3 vu: ml t0: [17:00:00 03/11/2012] id: Stool Out Stool el: 1 cu: MICU-A cg: RN vo: 700 vu: ml t0: [17:00:00 03/11/2012] id: Urine Out Foley el: 2 cu: MICU-A cg: RN vo: 25 vu: ml t0: [17:00:00 03/11/2012] tf: [13:57:00 06/11/2012] dt: 4137 id: Supplement PO/Gastric el: 1 cu: MICU-A cg: RN ai: -1 vo: 1000 vu: ml
t0: [17:00:00 03/11/2012] id: Propofol el: 3 cu: MICU-A cg: RN so: N/A vo: 0 v1: 60 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [17:00:00 03/11/2012] id: Sandostatin el: 4 cu: MICU-A cg: RN so: D5W vo: 0 v1: 49.8 du: mcghr sv: 100 su: ml rt: IV Drip
t0: [23:00:00 03/11/2012] dt: 24 id: PO/Gastric In Total el: 2 cu: MICU-A cg: RN cv: 1000 ap: none t0: [23:00:00 03/11/2012] dt: 24 id: Stool Out Total el: 2 cu: MICU-A cg: RN cv: 850 ap: none
t0: [17:00:00 03/11/2012] id: Compliance (40-60ml) el: 0 cu: MICU-A cg: RRT v1: 35 u1: ml/cmH st: NotStopd t0: [17:00:00 03/11/2012] id: ETT Mark/Location el: 0 cu: MICU-A cg: RRT v1: 21cm v2: Lip st: NotStopd t0: [17:00:00 03/11/2012] id: high min vent el: 0 cu: MICU-A cg: RRT v1: 15 t0: [17:00:00 03/11/2012] id: FiO2 Set el: 0 cu: MICU-A cg: RRT v1: 0.5 u1: torr st: NotStopd t0: [17:00:00 03/11/2012] id: High Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 40 u1: cmH2O st: NotStopd t0: [17:00:00 03/11/2012] id: High Resp. Rate el: 0 cu: MICU-A cg: RRT v1: 10 u1: BPM st: NotStopd t0: [17:00:00 03/11/2012] id: I:E Ratio el: 0 cu: MICU-A cg: RRT v1: 1:4 st: NotStopd t0: [17:00:00 03/11/2012] id: Airway Size el: 0 cu: MICU-A cg: RRT v1: 8.0 mm st: NotStopd t0: [17:00:00 03/11/2012] id: Airway Type el: 0 cu: MICU-A cg: RRT v1: Endotracheal st: NotStopd t0: [17:00:00 03/11/2012] id: Intubation Date el: 0 cu: MICU-A cg: RRT v1: 10 v2: 10 st: NotStopd t0: [17:00:00 03/11/2012] id: Low Exhaled Min Vol el: 0 cu: MICU-A cg: RRT v1: 5 st: NotStopd t0: [17:00:00 03/11/2012] id: Mean Airway Pressure el: 0 cu: MICU-A cg: RRT v1: 9 u1: cmH2O st: NotStopd t0: [17:00:00 03/11/2012] id: Minute Volume(Obser) el: 0 cu: MICU-A cg: RRT v1: 8 u1: L/min st: NotStopd t0: [17:00:00 03/11/2012] id: PEEP Set el: 0 cu: MICU-A cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [17:00:00 03/11/2012] id: Apnea Time Interval el: 0 cu: MICU-A cg: RRT v1: 20 st: NotStopd t0: [17:00:00 03/11/2012] id: Peak Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 25 u1: cmH2O st: NotStopd t0: [17:00:00 03/11/2012] id: Plateau Pressure el: 0 cu: MICU-A cg: RRT v1: 23 u1: cmH2O st: NotStopd t0: [17:00:00 03/11/2012] id: Plateau-Off el: 0 cu: MICU-A cg: RRT v1: Yes st: NotStopd t0: [17:00:00 03/11/2012] id: Pressure Support el: 0 cu: MICU-A cg: RRT v1: 0 u1: . st: NotStopd t0: [17:00:00 03/11/2012] id: Resp Rate (Spont) el: 0 cu: MICU-A cg: RRT v1: 0 u1: BPM st: NotStopd t0: [17:00:00 03/11/2012] id: Resp Rate (Total) el: 0 cu: MICU-A cg: RRT v1: 12 u1: BPM st: NotStopd t0: [17:00:00 03/11/2012] id: Respiratory Rate Set el: 0 cu: MICU-A cg: RRT v1: 12 u1: BPM st: NotStopd t0: [17:00:00 03/11/2012] id: Sensitivity-Vent el: 0 cu: MICU-A cg: RRT v1: 2 u1: cmH2O st: NotStopd t0: [17:00:00 03/11/2012] id: Tidal Volume (Obser) el: 0 cu: MICU-A cg: RRT v1: 702 u1: ml/B st: NotStopd t0: [17:00:00 03/11/2012] id: Tidal Volume (Set) el: 0 cu: MICU-A cg: RRT v1: 700 u1: ml/B st: NotStopd t0: [17:00:00 03/11/2012] id: Ventilator Mode el: 0 cu: MICU-A cg: RRT v1: Assist Control st: NotStopd t0: [17:00:00 03/11/2012] id: Ventilator Type el: 0 cu: MICU-A cg: RRT v1: Drager st: NotStopd t0: [17:00:00 03/11/2012] id: Waveform-Vent el: 0 cu: MICU-A cg: RRT v1: RAMP st: NotStopd
t0: [18:00:00 03/11/2012] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [18:00:00 03/11/2012] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [18:00:00 03/11/2012] id: Riker-SAS Scale el: 0 cu: MICU-A cg: RN v1: Sedated st: NotStopd t0: [18:00:00 03/11/2012] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [18:00:00 03/11/2012] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [18:00:00 03/11/2012] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [18:00:00 03/11/2012] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 75 u1: BPM st: NotStopd t0: [18:00:00 03/11/2012] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [18:00:00 03/11/2012] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 109 u1: mmHg v2: 40 u2: mmHg st: NotStopd t0: [18:00:00 03/11/2012] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 61 u1: mmHg st: NotStopd t0: [18:00:00 03/11/2012] id: Precautions el: 0 cu: MICU-A cg: RN v1: Contact st: NotStopd t0: [18:00:00 03/11/2012] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 95.5 u1: kg st: NotStopd t0: [18:00:00 03/11/2012] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 13 u1: BPM st: NotStopd t0: [18:00:00 03/11/2012] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 97 u1: % st: NotStopd t0: [18:00:00 03/11/2012] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [18:00:00 03/11/2012] id: IV Piggyback IV Infusions el: 1 cu: MICU-A cg: RN ai: 209 vo: 500 vu: ml t0: [18:00:00 03/11/2012] id: .9% Normal Saline 1000.0ml IV Infusions el: 7 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [18:00:00 03/11/2012] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 3 cu: MICU-A cg: RN ai: 126 vo: 30.312 vu: ml t0: [18:00:00 03/11/2012] id: D5W 100.0ml + 600mcghr Sandostatin IV Infusions el: 3 cu: MICU-A cg: RN ai: 127 vo: 8.3 vu: ml t0: [18:00:00 03/11/2012] id: Urine Out Foley el: 2 cu: MICU-A cg: RN vo: 10 vu: ml
t0: [18:00:00 03/11/2012] id: Propofol el: 3 cu: MICU-A cg: RN so: N/A vo: 0 v1: 60 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [18:00:00 03/11/2012] id: Sandostatin el: 4 cu: MICU-A cg: RN so: D5W vo: 0 v1: 49.8 du: mcghr sv: 100 su: ml rt: IV Drip
t0: [18:15:00 03/11/2012] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [18:15:00 03/11/2012] id: CVP el: 0 cu: MICU-A cg: RN v1: 16 u1: mmHg st: NotStopd t0: [18:15:00 03/11/2012] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [18:15:00 03/11/2012] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [18:15:00 03/11/2012] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [18:15:00 03/11/2012] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [18:15:00 03/11/2012] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 76 u1: BPM st: NotStopd t0: [18:15:00 03/11/2012] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [18:15:00 03/11/2012] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 118 u1: mmHg v2: 48 u2: mmHg st: NotStopd t0: [18:15:00 03/11/2012] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 69 u1: mmHg st: NotStopd t0: [18:15:00 03/11/2012] id: Precautions el: 0 cu: MICU-A cg: RN v1: Contact st: NotStopd t0: [18:15:00 03/11/2012] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 95.5 u1: kg st: NotStopd t0: [18:15:00 03/11/2012] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 12 u1: BPM st: NotStopd t0: [18:15:00 03/11/2012] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 98 u1: % st: NotStopd t0: [18:15:00 03/11/2012] id: Temp. Site el: 0 cu: MICU-A cg: RN v1: Oral st: NotStopd t0: [18:15:00 03/11/2012] id: Temperature C (calc) el: 0 cu: MICU-A cg: RN v1: 36.3333 u1: Deg. C st: NotStopd t0: [18:15:00 03/11/2012] id: Temperature F el: 0 cu: MICU-A cg: RN v1: 97.4 u1: Deg. F st: NotStopd t0: [18:15:00 03/11/2012] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [18:15:00 03/11/2012] id: Packed RBC's IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 0 vu: ml nb: 1
t0: [18:15:00 03/11/2012] id: Sandostatin el: 4 cu: MICU-A cg: RN so: D5W vo: 0 v1: 49.8 du: mcghr sv: 100 su: ml rt: IV Drip
t0: [23:00:00 03/11/2012] dt: 24 id: Blood Products Total el: 2 cu: MICU-A cg: RN cv: 219 ap: none
t0: [18:15:00 03/11/2012] id: Propofol el: 3 cu: MICU-A cg: RN so: N/A vo: 0 v1: 50 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [16:00:00 03/11/2012] id: Platelets Hematology el: 0 cu: MICU-A cg: 1663 v1: 63 rs: Final st: NotStopd
t0: [19:00:00 03/11/2012] id: Less Restrict Meas. el: 0 cu: MICU-A cg: RN v1: Medicated st: NotStopd t0: [19:00:00 03/11/2012] id: Range of Motion el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [19:00:00 03/11/2012] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [19:00:00 03/11/2012] id: CVP el: 0 cu: MICU-A cg: RN v1: 18 u1: mmHg st: NotStopd t0: [19:00:00 03/11/2012] id: Circulation/SkinInt el: 0 cu: MICU-A cg: RN v1: Circulation Adeq st: NotStopd t0: [19:00:00 03/11/2012] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [19:00:00 03/11/2012] id: Riker-SAS Scale el: 0 cu: MICU-A cg: RN v1: Sedated st: NotStopd t0: [19:00:00 03/11/2012] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [19:00:00 03/11/2012] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [19:00:00 03/11/2012] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [19:00:00 03/11/2012] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 74 u1: BPM st: NotStopd t0: [19:00:00 03/11/2012] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [19:00:00 03/11/2012] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 134 u1: mmHg v2: 56 u2: mmHg st: NotStopd t0: [19:00:00 03/11/2012] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 77 u1: mmHg st: NotStopd t0: [19:00:00 03/11/2012] id: Position Change el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [19:00:00 03/11/2012] id: Precautions el: 0 cu: MICU-A cg: RN v1: Contact st: NotStopd t0: [19:00:00 03/11/2012] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 95.5 u1: kg st: NotStopd t0: [19:00:00 03/11/2012] id: Reason For Restraint el: 0 cu: MICU-A cg: RN v1: Ext/TXInterfere st: NotStopd t0: [19:00:00 03/11/2012] id: Removed x 5 Mins el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [19:00:00 03/11/2012] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 14 u1: BPM st: NotStopd t0: [19:00:00 03/11/2012] id: Restraint Location el: 0 cu: MICU-A cg: RN v1: Both Arms st: NotStopd t0: [19:00:00 03/11/2012] id: Restraint Type el: 0 cu: MICU-A cg: RN v1: Soft Limb st: NotStopd t0: [19:00:00 03/11/2012] id: Restraints Evaluated el: 0 cu: MICU-A cg: RN v1: Behavior Conts st: NotStopd t0: [19:00:00 03/11/2012] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [19:00:00 03/11/2012] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 97 u1: % st: NotStopd t0: [19:00:00 03/11/2012] id: Temp. Site el: 0 cu: MICU-A cg: RN v1: Oral st: NotStopd t0: [19:00:00 03/11/2012] id: Temperature C (calc) el: 0 cu: MICU-A cg: RN v1: 36.2778 u1: Deg. C st: NotStopd t0: [19:00:00 03/11/2012] id: Temperature F el: 0 cu: MICU-A cg: RN v1: 97.3 u1: Deg. F st: NotStopd t0: [19:00:00 03/11/2012] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [19:00:00 03/11/2012] id: .9% Normal Saline 1000.0ml IV Infusions el: 7 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [19:00:00 03/11/2012] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 3 cu: MICU-A cg: RN ai: 126 vo: 26.523 vu: ml t0: [19:00:00 03/11/2012] id: D5W 100.0ml + 600mcghr Sandostatin IV Infusions el: 3 cu: MICU-A cg: RN ai: 127 vo: 8.3 vu: ml t0: [19:00:00 03/11/2012] id: Urine Out Foley el: 2 cu: MICU-A cg: RN vo: 35 vu: ml
t0: [19:00:00 03/11/2012] id: Propofol el: 3 cu: MICU-A cg: RN so: N/A vo: 0 v1: 50 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [19:00:00 03/11/2012] id: Sandostatin el: 4 cu: MICU-A cg: RN so: D5W vo: 0 v1: 49.8 du: mcghr sv: 100 su: ml rt: IV Drip
t0: [20:00:00 03/11/2012] id: Less Restrict Meas. el: 0 cu: MICU-A cg: RN v1: Medicated st: NotStopd t0: [20:00:00 03/11/2012] id: Pain Present el: 0 cu: MICU-A cg: RN v1: No st: NotStopd t0: [20:00:00 03/11/2012] id: Range of Motion el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [20:00:00 03/11/2012] id: Pain Assess Method el: 0 cu: MICU-A cg: RN v1: Non-verbal cues st: NotStopd t0: [20:00:00 03/11/2012] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [20:00:00 03/11/2012] id: CVP el: 0 cu: MICU-A cg: RN v1: 16 u1: mmHg st: NotStopd t0: [20:00:00 03/11/2012] id: Circulation/SkinInt el: 0 cu: MICU-A cg: RN v1: Circulation Adeq st: NotStopd t0: [20:00:00 03/11/2012] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [20:00:00 03/11/2012] id: Riker-SAS Scale el: 0 cu: MICU-A cg: RN v1: Sedated st: NotStopd t0: [20:00:00 03/11/2012] id: Daily Wake Up el: 1 cu: MICU-A cg: RN v1: No/Hemodyn Issue st: NotStopd t0: [20:00:00 03/11/2012] id: GI Prophylaxis el: 0 cu: MICU-A cg: RN v1: Proton/Pump/Inhi v2: Other/Remarks st: NotStopd t0: [20:00:00 03/11/2012] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [20:00:00 03/11/2012] id: Diet Type el: 0 cu: MICU-A cg: RN v1: NPO st: NotStopd t0: [20:00:00 03/11/2012] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [20:00:00 03/11/2012] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [20:00:00 03/11/2012] id: Eye Opening el: 0 cu: MICU-A cg: RN v1: 3 To speech st: NotStopd t0: [20:00:00 03/11/2012] id: Follows Commands el: 0 cu: MICU-A cg: RN v1: Inconsistently st: NotStopd t0: [20:00:00 03/11/2012] id: GCS Total el: 0 cu: MICU-A cg: RN v1: 10 u1: points st: NotStopd t0: [20:00:00 03/11/2012] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 75 u1: BPM st: NotStopd t0: [20:00:00 03/11/2012] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [20:00:00 03/11/2012] id: INV Line#1 Type/Site el: 0 cu: MICU-A cg: RN v1: PICC line v2: Left Antecub st: NotStopd t0: [20:00:00 03/11/2012] id: INV Line#1InsertDate el: 0 cu: MICU-A cg: RN v1: 10 v2: 9 st: NotStopd t0: [20:00:00 03/11/2012] id: INV Line#1SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [20:00:00 03/11/2012] id: INV Line#2 Type/Site el: 0 cu: MICU-A cg: RN v1: Introducer v2: Left IJ st: NotStopd t0: [20:00:00 03/11/2012] id: INV Line#2InsertDate el: 0 cu: MICU-A cg: RN v1: 10 v2: 10 st: NotStopd t0: [20:00:00 03/11/2012] id: INV Line#2SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [20:00:00 03/11/2012] id: INV Line#3 Type/Site el: 0 cu: MICU-A cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [20:00:00 03/11/2012] id: INV Line#3 Zero/Cal el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [20:00:00 03/11/2012] id: INV Line#3InsertDate el: 0 cu: MICU-A cg: RN v1: 10 v2: 10 st: NotStopd t0: [20:00:00 03/11/2012] id: INV Line#3SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [20:00:00 03/11/2012] id: Abdominal Assessment el: 0 cu: MICU-A cg: RN v1: Ascites st: NotStopd t0: [20:00:00 03/11/2012] id: INV#3 WaveformAppear el: 0 cu: MICU-A cg: RN v1: Sharp st: NotStopd t0: [20:00:00 03/11/2012] id: IV #3 Insert Date el: 0 cu: MICU-A cg: RN v1: 10 v2: 9 st: NotStopd t0: [20:00:00 03/11/2012] id: IV #3 Site/Size el: 0 cu: MICU-A cg: RN v1: Right Antecub v2: 18 gauge st: NotStopd t0: [20:00:00 03/11/2012] id: IV Site Appear #3 el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [20:00:00 03/11/2012] id: Impaired Skin Site#1 el: 0 cu: MICU-A cg: RN v1: Coccyx st: NotStopd t0: [20:00:00 03/11/2012] id: LLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Diminished st: NotStopd t0: [20:00:00 03/11/2012] id: LUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [20:00:00 03/11/2012] id: Level of Conscious el: 0 cu: MICU-A cg: RN v1: Arouse to Voice st: NotStopd t0: [20:00:00 03/11/2012] id: Motor Response el: 0 cu: MICU-A cg: RN v1: 6 Obeys Commands st: NotStopd t0: [20:00:00 03/11/2012] id: Oral Cavity el: 0 cu: MICU-A cg: RN v1: Bleeding Gum st: NotStopd t0: [20:00:00 03/11/2012] id: Orientation el: 0 cu: MICU-A cg: RN v1: Other/Remarks st: NotStopd t0: [20:00:00 03/11/2012] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 124 u1: mmHg v2: 53 u2: mmHg st: NotStopd t0: [20:00:00 03/11/2012] id: Pain Location el: 0 cu: MICU-A cg: RN v1: Not Indicated st: NotStopd t0: [20:00:00 03/11/2012] id: Pain Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [20:00:00 03/11/2012] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 74 u1: mmHg st: NotStopd t0: [20:00:00 03/11/2012] id: Position Change el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [20:00:00 03/11/2012] id: Precautions el: 0 cu: MICU-A cg: RN v1: Contact st: NotStopd t0: [20:00:00 03/11/2012] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 95.5 u1: kg st: NotStopd t0: [20:00:00 03/11/2012] id: RLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Diminished st: NotStopd t0: [20:00:00 03/11/2012] id: RUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [20:00:00 03/11/2012] id: Reason For Restraint el: 0 cu: MICU-A cg: RN v1: Ext/TXInterfere st: NotStopd t0: [20:00:00 03/11/2012] id: Removed x 5 Mins el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [20:00:00 03/11/2012] id: Respiratory Pattern el: 0 cu: MICU-A cg: RN v1: Regular st: NotStopd t0: [20:00:00 03/11/2012] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 15 u1: BPM st: NotStopd t0: [20:00:00 03/11/2012] id: Restraint Location el: 0 cu: MICU-A cg: RN v1: Both Arms st: NotStopd t0: [20:00:00 03/11/2012] id: Restraint Type el: 0 cu: MICU-A cg: RN v1: Soft Limb st: NotStopd t0: [20:00:00 03/11/2012] id: Restraints Evaluated el: 0 cu: MICU-A cg: RN v1: Behavior Conts st: NotStopd t0: [20:00:00 03/11/2012] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [20:00:00 03/11/2012] id: Skin Color el: 0 cu: MICU-A cg: RN v1: Jaundiced st: NotStopd t0: [20:00:00 03/11/2012] id: Skin Integrity el: 0 cu: MICU-A cg: RN v1: Impaired st: NotStopd t0: [20:00:00 03/11/2012] id: Skin Temp/Condition el: 0 cu: MICU-A cg: RN v1: Cool v2: Dry st: NotStopd t0: [20:00:00 03/11/2012] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 97 u1: % st: NotStopd t0: [20:00:00 03/11/2012] id: Spontaneous Movement el: 0 cu: MICU-A cg: RN v1: Purposeful st: NotStopd t0: [20:00:00 03/11/2012] id: Stool Color/Consist el: 0 cu: MICU-A cg: RN v1: Black v2: Liquid st: NotStopd t0: [20:00:00 03/11/2012] id: Stool Guaiac el: 0 cu: MICU-A cg: RN v1: Positive st: NotStopd t0: [20:00:00 03/11/2012] id: Stool Management el: 0 cu: MICU-A cg: RN v1: Fecal Incont Bag st: NotStopd t0: [20:00:00 03/11/2012] id: Support Systems el: 0 cu: MICU-A cg: RN v1: Spouse st: NotStopd t0: [20:00:00 03/11/2012] id: Temp. Site el: 0 cu: MICU-A cg: RN v1: Oral st: NotStopd t0: [20:00:00 03/11/2012] id: Temperature C (calc) el: 0 cu: MICU-A cg: RN v1: 36.2778 u1: Deg. C st: NotStopd t0: [20:00:00 03/11/2012] id: Temperature F el: 0 cu: MICU-A cg: RN v1: 97.3 u1: Deg. F st: NotStopd t0: [20:00:00 03/11/2012] id: Urine Color/Appear el: 0 cu: MICU-A cg: RN v1: Icteric v2: Cloudy st: NotStopd t0: [20:00:00 03/11/2012] id: Urine Source el: 0 cu: MICU-A cg: RN v1: Indwelling Cath st: NotStopd t0: [20:00:00 03/11/2012] id: Verbal Response el: 0 cu: MICU-A cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [20:00:00 03/11/2012] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [20:00:00 03/11/2012] id: Behavior el: 0 cu: MICU-A cg: RN v1: Sedated st: NotStopd t0: [20:00:00 03/11/2012] id: Bowel Sounds el: 0 cu: MICU-A cg: RN v1: Present st: NotStopd t0: [20:00:00 03/11/2012] id: Braden Activity el: 0 cu: MICU-A cg: RN v1: Bedfast st: NotStopd t0: [20:00:00 03/11/2012] id: Braden Frict/Shear el: 0 cu: MICU-A cg: RN v1: Potential Prob st: NotStopd t0: [20:00:00 03/11/2012] id: Braden Mobility el: 0 cu: MICU-A cg: RN v1: Very Limited st: NotStopd t0: [20:00:00 03/11/2012] id: Braden Moisture el: 0 cu: MICU-A cg: RN v1: Occ. Moist st: NotStopd t0: [20:00:00 03/11/2012] id: Braden Nutrition el: 0 cu: MICU-A cg: RN v1: Very Poor st: NotStopd t0: [20:00:00 03/11/2012] id: Braden Score el: 0 cu: MICU-A cg: RN v1: 11 u1: number st: NotStopd t0: [20:00:00 03/11/2012] id: Braden SensoryPercep el: 0 cu: MICU-A cg: RN v1: Very Limited st: NotStopd
t0: [20:00:00 03/11/2012] id: .9% Normal Saline 1000.0ml IV Infusions el: 7 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [20:00:00 03/11/2012] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 3 cu: MICU-A cg: RN ai: 126 vo: 25.26 vu: ml t0: [20:00:00 03/11/2012] id: D5W 100.0ml + 600mcghr Sandostatin IV Infusions el: 3 cu: MICU-A cg: RN ai: 127 vo: 8.3 vu: ml t0: [20:00:00 03/11/2012] id: Urine Out Foley el: 2 cu: MICU-A cg: RN vo: 25 vu: ml
t0: [20:00:00 03/11/2012] id: Propofol el: 3 cu: MICU-A cg: RN so: N/A vo: 0 v1: 50 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [20:00:00 03/11/2012] id: Sandostatin el: 4 cu: MICU-A cg: RN so: D5W vo: 0 v1: 49.8 du: mcghr sv: 100 su: ml rt: IV Drip
t0: [20:00:00 03/11/2012] id: Compliance (40-60ml) el: 0 cu: MICU-A cg: RRT v1: 41.1765 u1: ml/cmH st: NotStopd t0: [20:00:00 03/11/2012] id: ETT Mark/Location el: 0 cu: MICU-A cg: RRT v1: 21cm v2: Lip st: NotStopd t0: [20:00:00 03/11/2012] id: high min vent el: 0 cu: MICU-A cg: RRT v1: 15 t0: [20:00:00 03/11/2012] id: FiO2 Set el: 0 cu: MICU-A cg: RRT v1: 0.5 u1: torr st: NotStopd t0: [20:00:00 03/11/2012] id: High Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 40 u1: cmH2O st: NotStopd t0: [20:00:00 03/11/2012] id: High Resp. Rate el: 0 cu: MICU-A cg: RRT v1: 10 u1: BPM st: NotStopd t0: [20:00:00 03/11/2012] id: I:E Ratio el: 0 cu: MICU-A cg: RRT v1: 1:4.0 st: NotStopd t0: [20:00:00 03/11/2012] id: Airway Size el: 0 cu: MICU-A cg: RRT v1: 8.0 mm st: NotStopd t0: [20:00:00 03/11/2012] id: Airway Type el: 0 cu: MICU-A cg: RRT v1: Endotracheal st: NotStopd t0: [20:00:00 03/11/2012] id: Intubation Date el: 0 cu: MICU-A cg: RRT v1: 10 v2: 10 st: NotStopd t0: [20:00:00 03/11/2012] id: Low Exhaled Min Vol el: 0 cu: MICU-A cg: RRT v1: 5 st: NotStopd t0: [20:00:00 03/11/2012] id: Mean Airway Pressure el: 0 cu: MICU-A cg: RRT v1: 9 u1: cmH2O st: NotStopd t0: [20:00:00 03/11/2012] id: Minute Volume(Obser) el: 0 cu: MICU-A cg: RRT v1: 8.7 u1: L/min st: NotStopd t0: [20:00:00 03/11/2012] id: PEEP Set el: 0 cu: MICU-A cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [20:00:00 03/11/2012] id: Apnea Time Interval el: 0 cu: MICU-A cg: RRT v1: 20 st: NotStopd t0: [20:00:00 03/11/2012] id: Peak Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 22 u1: cmH2O st: NotStopd t0: [20:00:00 03/11/2012] id: Plateau Pressure el: 0 cu: MICU-A cg: RRT v1: 14 u1: cmH2O st: NotStopd t0: [20:00:00 03/11/2012] id: Plateau-Off el: 0 cu: MICU-A cg: RRT v1: Yes st: NotStopd t0: [20:00:00 03/11/2012] id: Pressure Support el: 0 cu: MICU-A cg: RRT v1: 0 u1: . st: NotStopd t0: [20:00:00 03/11/2012] id: Resp Rate (Spont) el: 0 cu: MICU-A cg: RRT v1: 1 u1: BPM st: NotStopd t0: [20:00:00 03/11/2012] id: Resp Rate (Total) el: 0 cu: MICU-A cg: RRT v1: 13 u1: BPM st: NotStopd t0: [20:00:00 03/11/2012] id: Respiratory Rate Set el: 0 cu: MICU-A cg: RRT v1: 12 u1: BPM st: NotStopd t0: [20:00:00 03/11/2012] id: Sensitivity-Vent el: 0 cu: MICU-A cg: RRT v1: 2 u1: cmH2O st: NotStopd t0: [20:00:00 03/11/2012] id: Tidal Volume (Obser) el: 0 cu: MICU-A cg: RRT v1: 700 u1: ml/B st: NotStopd t0: [20:00:00 03/11/2012] id: Tidal Volume (Set) el: 0 cu: MICU-A cg: RRT v1: 700 u1: ml/B st: NotStopd t0: [20:00:00 03/11/2012] id: Ventilator Mode el: 0 cu: MICU-A cg: RRT v1: Assist Control st: NotStopd t0: [20:00:00 03/11/2012] id: Ventilator Type el: 0 cu: MICU-A cg: RRT v1: Drager st: NotStopd t0: [20:00:00 03/11/2012] id: Waveform-Vent el: 0 cu: MICU-A cg: RRT v1: RAMP st: NotStopd
t0: [20:00:00 03/11/2012] id: Hematocrit Hematology el: 0 cu: MICU-A cg: 1663 v1: 31 u1: % rs: Final st: NotStopd
t0: [21:00:00 03/11/2012] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [21:00:00 03/11/2012] id: CVP el: 0 cu: MICU-A cg: RN v1: 16 u1: mmHg st: NotStopd t0: [21:00:00 03/11/2012] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [21:00:00 03/11/2012] id: Riker-SAS Scale el: 0 cu: MICU-A cg: RN v1: Sedated st: NotStopd t0: [21:00:00 03/11/2012] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [21:00:00 03/11/2012] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [21:00:00 03/11/2012] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [21:00:00 03/11/2012] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 74 u1: BPM st: NotStopd t0: [21:00:00 03/11/2012] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [21:00:00 03/11/2012] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 134 u1: mmHg v2: 54 u2: mmHg st: NotStopd t0: [21:00:00 03/11/2012] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 77 u1: mmHg st: NotStopd t0: [21:00:00 03/11/2012] id: Precautions el: 0 cu: MICU-A cg: RN v1: Contact st: NotStopd t0: [21:00:00 03/11/2012] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 95.5 u1: kg st: NotStopd t0: [21:00:00 03/11/2012] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 13 u1: BPM st: NotStopd t0: [21:00:00 03/11/2012] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 99 u1: % st: NotStopd t0: [21:00:00 03/11/2012] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [21:00:00 03/11/2012] id: .9% Normal Saline 1000.0ml IV Infusions el: 7 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [21:00:00 03/11/2012] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 3 cu: MICU-A cg: RN ai: 126 vo: 25.26 vu: ml t0: [21:00:00 03/11/2012] id: D5W 100.0ml + 600mcghr Sandostatin IV Infusions el: 3 cu: MICU-A cg: RN ai: 127 vo: 8.3 vu: ml t0: [21:00:00 03/11/2012] id: Urine Out Foley el: 2 cu: MICU-A cg: RN vo: 30 vu: ml
t0: [21:00:00 03/11/2012] id: Propofol el: 3 cu: MICU-A cg: RN so: N/A vo: 0 v1: 50 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [21:00:00 03/11/2012] id: Sandostatin el: 4 cu: MICU-A cg: RN so: D5W vo: 0 v1: 49.8 du: mcghr sv: 100 su: ml rt: IV Drip
t0: [18:30:00 03/11/2012] id: Vancomycin/Random Drug Level el: 0 cu: MICU-A cg: 1663 v1: 32.8 rs: Final st: NotStopd
t0: [22:00:00 03/11/2012] id: Less Restrict Meas. el: 0 cu: MICU-A cg: RN v1: Medicated st: NotStopd t0: [22:00:00 03/11/2012] id: Range of Motion el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [22:00:00 03/11/2012] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [22:00:00 03/11/2012] id: CVP el: 0 cu: MICU-A cg: RN v1: 18 u1: mmHg st: NotStopd t0: [22:00:00 03/11/2012] id: Circulation/SkinInt el: 0 cu: MICU-A cg: RN v1: Circulation Adeq st: NotStopd t0: [22:00:00 03/11/2012] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [22:00:00 03/11/2012] id: Riker-SAS Scale el: 0 cu: MICU-A cg: RN v1: Sedated st: NotStopd t0: [22:00:00 03/11/2012] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [22:00:00 03/11/2012] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [22:00:00 03/11/2012] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [22:00:00 03/11/2012] id: HOB el: 0 cu: MICU-A cg: RN v1: 30 degrees st: NotStopd t0: [22:00:00 03/11/2012] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 76 u1: BPM st: NotStopd t0: [22:00:00 03/11/2012] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [22:00:00 03/11/2012] id: Activity el: 0 cu: MICU-A cg: RN v1: Bedrest st: NotStopd t0: [22:00:00 03/11/2012] id: Activity Tolerance el: 0 cu: MICU-A cg: RN v1: Tolerated Well st: NotStopd t0: [22:00:00 03/11/2012] id: AntiEmbDevice/Status el: 0 cu: MICU-A cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [22:00:00 03/11/2012] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 137 u1: mmHg v2: 61 u2: mmHg st: NotStopd t0: [22:00:00 03/11/2012] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 83 u1: mmHg st: NotStopd t0: [22:00:00 03/11/2012] id: Position el: 0 cu: MICU-A cg: RN v1: Right Side st: NotStopd t0: [22:00:00 03/11/2012] id: Position Change el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [22:00:00 03/11/2012] id: Assistance Device el: 0 cu: MICU-A cg: RN v1: 2 Person Assist st: NotStopd t0: [22:00:00 03/11/2012] id: Precautions el: 0 cu: MICU-A cg: RN v1: Contact st: NotStopd t0: [22:00:00 03/11/2012] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 95.5 u1: kg st: NotStopd t0: [22:00:00 03/11/2012] id: Reason For Restraint el: 0 cu: MICU-A cg: RN v1: Ext/TXInterfere st: NotStopd t0: [22:00:00 03/11/2012] id: Removed x 5 Mins el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [22:00:00 03/11/2012] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 12 u1: BPM st: NotStopd t0: [22:00:00 03/11/2012] id: Restraint Location el: 0 cu: MICU-A cg: RN v1: Both Arms st: NotStopd t0: [22:00:00 03/11/2012] id: Restraint Type el: 0 cu: MICU-A cg: RN v1: Soft Limb st: NotStopd t0: [22:00:00 03/11/2012] id: Restraints Evaluated el: 0 cu: MICU-A cg: RN v1: Behavior Conts st: NotStopd t0: [22:00:00 03/11/2012] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [22:00:00 03/11/2012] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 100 u1: % st: NotStopd t0: [22:00:00 03/11/2012] id: Temp. Site el: 0 cu: MICU-A cg: RN v1: Oral st: NotStopd t0: [22:00:00 03/11/2012] id: Temperature C (calc) el: 0 cu: MICU-A cg: RN v1: 36.6667 u1: Deg. C st: NotStopd t0: [22:00:00 03/11/2012] id: Temperature F el: 0 cu: MICU-A cg: RN v1: 98 u1: Deg. F st: NotStopd t0: [22:00:00 03/11/2012] id: Turn el: 0 cu: MICU-A cg: RN v1: Right Side st: NotStopd t0: [22:00:00 03/11/2012] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [22:00:00 03/11/2012] id: .9% Normal Saline 1000.0ml IV Infusions el: 7 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [22:00:00 03/11/2012] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 3 cu: MICU-A cg: RN ai: 126 vo: 25.26 vu: ml t0: [22:00:00 03/11/2012] id: D5W 100.0ml + 600mcghr Sandostatin IV Infusions el: 3 cu: MICU-A cg: RN ai: 127 vo: 8.3 vu: ml t0: [22:00:00 03/11/2012] id: Urine Out Foley el: 2 cu: MICU-A cg: RN vo: 50 vu: ml
t0: [22:00:00 03/11/2012] id: Propofol el: 3 cu: MICU-A cg: RN so: N/A vo: 0 v1: 50 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [22:00:00 03/11/2012] id: Sandostatin el: 4 cu: MICU-A cg: RN so: D5W vo: 0 v1: 49.8 du: mcghr sv: 100 su: ml rt: IV Drip
t0: [23:00:00 03/11/2012] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [23:00:00 03/11/2012] id: CVP el: 0 cu: MICU-A cg: RN v1: 10 u1: mmHg st: NotStopd t0: [23:00:00 03/11/2012] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [23:00:00 03/11/2012] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [23:00:00 03/11/2012] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [23:00:00 03/11/2012] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [23:00:00 03/11/2012] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 70 u1: BPM st: NotStopd t0: [23:00:00 03/11/2012] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [23:00:00 03/11/2012] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 114 u1: mmHg v2: 43 u2: mmHg st: NotStopd t0: [23:00:00 03/11/2012] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 63 u1: mmHg st: NotStopd t0: [23:00:00 03/11/2012] id: Precautions el: 0 cu: MICU-A cg: RN v1: Contact st: NotStopd t0: [23:00:00 03/11/2012] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 12 u1: BPM st: NotStopd t0: [23:00:00 03/11/2012] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 100 u1: % st: NotStopd t0: [23:00:00 03/11/2012] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [00:00:00 04/11/2012] id: Less Restrict Meas. el: 0 cu: MICU-A cg: RN v1: Medicated st: NotStopd t0: [00:00:00 04/11/2012] id: Pain Present el: 0 cu: MICU-A cg: RN v1: No st: NotStopd t0: [00:00:00 04/11/2012] id: Range of Motion el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [00:00:00 04/11/2012] id: Pain Assess Method el: 0 cu: MICU-A cg: RN v1: Non-verbal cues st: NotStopd t0: [00:00:00 04/11/2012] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [00:00:00 04/11/2012] id: CVP el: 0 cu: MICU-A cg: RN v1: 10 u1: mmHg st: NotStopd t0: [00:00:00 04/11/2012] id: Circulation/SkinInt el: 0 cu: MICU-A cg: RN v1: Circulation Adeq st: NotStopd t0: [00:00:00 04/11/2012] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [00:00:00 04/11/2012] id: Riker-SAS Scale el: 0 cu: MICU-A cg: RN v1: Sedated st: NotStopd t0: [00:00:00 04/11/2012] id: Daily Wake Up el: 1 cu: MICU-A cg: RN v1: No/Not Sedated st: NotStopd t0: [00:00:00 04/11/2012] id: GI Prophylaxis el: 0 cu: MICU-A cg: RN v1: Proton/Pump/Inhi v2: Other/Remarks st: NotStopd t0: [00:00:00 04/11/2012] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [00:00:00 04/11/2012] id: Diet Type el: 0 cu: MICU-A cg: RN v1: NPO st: NotStopd t0: [00:00:00 04/11/2012] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [00:00:00 04/11/2012] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [00:00:00 04/11/2012] id: Eye Opening el: 0 cu: MICU-A cg: RN v1: 3 To speech st: NotStopd t0: [00:00:00 04/11/2012] id: Follows Commands el: 0 cu: MICU-A cg: RN v1: Consistently st: NotStopd t0: [00:00:00 04/11/2012] id: GCS Total el: 0 cu: MICU-A cg: RN v1: 10 u1: points st: NotStopd t0: [00:00:00 04/11/2012] id: HOB el: 0 cu: MICU-A cg: RN v1: 30 degrees st: NotStopd t0: [00:00:00 04/11/2012] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 72 u1: BPM st: NotStopd t0: [00:00:00 04/11/2012] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [00:00:00 04/11/2012] id: INV Line#1 Type/Site el: 0 cu: MICU-A cg: RN v1: PICC line v2: Left Antecub st: NotStopd t0: [00:00:00 04/11/2012] id: INV Line#1InsertDate el: 0 cu: MICU-A cg: RN v1: 10 v2: 9 st: NotStopd t0: [00:00:00 04/11/2012] id: INV Line#1SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [00:00:00 04/11/2012] id: INV Line#2 Type/Site el: 0 cu: MICU-A cg: RN v1: Introducer v2: Left IJ st: NotStopd t0: [00:00:00 04/11/2012] id: INV Line#2InsertDate el: 0 cu: MICU-A cg: RN v1: 10 v2: 10 st: NotStopd t0: [00:00:00 04/11/2012] id: INV Line#2SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [00:00:00 04/11/2012] id: INV Line#3 Type/Site el: 0 cu: MICU-A cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [00:00:00 04/11/2012] id: INV Line#3 Zero/Cal el: 0 cu: MICU-A cg: RN v1: No st: NotStopd t0: [00:00:00 04/11/2012] id: INV Line#3InsertDate el: 0 cu: MICU-A cg: RN v1: 10 v2: 10 st: NotStopd t0: [00:00:00 04/11/2012] id: INV Line#3SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [00:00:00 04/11/2012] id: Abdominal Assessment el: 0 cu: MICU-A cg: RN v1: Ascites st: NotStopd t0: [00:00:00 04/11/2012] id: INV#3 WaveformAppear el: 0 cu: MICU-A cg: RN v1: Sharp st: NotStopd t0: [00:00:00 04/11/2012] id: IV #3 Insert Date el: 0 cu: MICU-A cg: RN v1: 10 v2: 9 st: NotStopd t0: [00:00:00 04/11/2012] id: IV #3 Site/Size el: 0 cu: MICU-A cg: RN v1: Right Antecub v2: 18 gauge st: NotStopd t0: [00:00:00 04/11/2012] id: Activity el: 0 cu: MICU-A cg: RN v1: Bedrest st: NotStopd t0: [00:00:00 04/11/2012] id: IV Site Appear #3 el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [00:00:00 04/11/2012] id: Activity Tolerance el: 0 cu: MICU-A cg: RN v1: Tolerated Well st: NotStopd t0: [00:00:00 04/11/2012] id: Impaired Skin Site#1 el: 0 cu: MICU-A cg: RN v1: Coccyx st: NotStopd t0: [00:00:00 04/11/2012] id: LLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [00:00:00 04/11/2012] id: LUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [00:00:00 04/11/2012] id: Level of Conscious el: 0 cu: MICU-A cg: RN v1: Arouse to Voice st: NotStopd t0: [00:00:00 04/11/2012] id: Motor Response el: 0 cu: MICU-A cg: RN v1: 6 Obeys Commands st: NotStopd t0: [00:00:00 04/11/2012] id: Oral Cavity el: 0 cu: MICU-A cg: RN v1: Bleeding Gum st: NotStopd t0: [00:00:00 04/11/2012] id: Orientation el: 0 cu: MICU-A cg: RN v1: Other/Remarks st: NotStopd t0: [00:00:00 04/11/2012] id: AntiEmbDevice/Status el: 0 cu: MICU-A cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [00:00:00 04/11/2012] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 120 u1: mmHg v2: 48 u2: mmHg st: NotStopd t0: [00:00:00 04/11/2012] id: Pain Location el: 0 cu: MICU-A cg: RN v1: Not Indicated st: NotStopd t0: [00:00:00 04/11/2012] id: Pain Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [00:00:00 04/11/2012] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 68 u1: mmHg st: NotStopd t0: [00:00:00 04/11/2012] id: Position el: 0 cu: MICU-A cg: RN v1: Left Side st: NotStopd t0: [00:00:00 04/11/2012] id: Position Change el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [00:00:00 04/11/2012] id: Assistance Device el: 0 cu: MICU-A cg: RN v1: 2 Person Assist st: NotStopd t0: [00:00:00 04/11/2012] id: Precautions el: 0 cu: MICU-A cg: RN v1: Contact st: NotStopd t0: [00:00:00 04/11/2012] id: RLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [00:00:00 04/11/2012] id: RUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [00:00:00 04/11/2012] id: Reason For Restraint el: 0 cu: MICU-A cg: RN v1: Ext/TXInterfere st: NotStopd t0: [00:00:00 04/11/2012] id: Removed x 5 Mins el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [00:00:00 04/11/2012] id: Respiratory Pattern el: 0 cu: MICU-A cg: RN v1: Regular st: NotStopd t0: [00:00:00 04/11/2012] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 12 u1: BPM st: NotStopd t0: [00:00:00 04/11/2012] id: Restraint Location el: 0 cu: MICU-A cg: RN v1: Both Arms st: NotStopd t0: [00:00:00 04/11/2012] id: Restraint Type el: 0 cu: MICU-A cg: RN v1: Soft Limb st: NotStopd t0: [00:00:00 04/11/2012] id: Restraints Evaluated el: 0 cu: MICU-A cg: RN v1: Behavior Conts st: NotStopd t0: [00:00:00 04/11/2012] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [00:00:00 04/11/2012] id: Skin Color el: 0 cu: MICU-A cg: RN v1: Jaundiced st: NotStopd t0: [00:00:00 04/11/2012] id: Skin Integrity el: 0 cu: MICU-A cg: RN v1: Impaired st: NotStopd t0: [00:00:00 04/11/2012] id: Skin Temp/Condition el: 0 cu: MICU-A cg: RN v1: Cool v2: Dry st: NotStopd t0: [00:00:00 04/11/2012] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 100 u1: % st: NotStopd t0: [00:00:00 04/11/2012] id: Spontaneous Movement el: 0 cu: MICU-A cg: RN v1: Purposeful st: NotStopd t0: [00:00:00 04/11/2012] id: Stool Color/Consist el: 0 cu: MICU-A cg: RN v1: Black v2: Liquid st: NotStopd t0: [00:00:00 04/11/2012] id: Stool Guaiac el: 0 cu: MICU-A cg: RN v1: Positive st: NotStopd t0: [00:00:00 04/11/2012] id: Stool Management el: 0 cu: MICU-A cg: RN v1: Fecal Incont Bag st: NotStopd t0: [00:00:00 04/11/2012] id: Support Systems el: 0 cu: MICU-A cg: RN v1: Spouse st: NotStopd t0: [00:00:00 04/11/2012] id: Temp. Site el: 0 cu: MICU-A cg: RN v1: Oral st: NotStopd t0: [00:00:00 04/11/2012] id: Temperature C (calc) el: 0 cu: MICU-A cg: RN v1: 36.4444 u1: Deg. C st: NotStopd t0: [00:00:00 04/11/2012] id: Temperature F el: 0 cu: MICU-A cg: RN v1: 97.6 u1: Deg. F st: NotStopd t0: [00:00:00 04/11/2012] id: Turn el: 0 cu: MICU-A cg: RN v1: Left Side st: NotStopd t0: [00:00:00 04/11/2012] id: Urine Color/Appear el: 0 cu: MICU-A cg: RN v1: Icteric v2: Cloudy st: NotStopd t0: [00:00:00 04/11/2012] id: Urine Source el: 0 cu: MICU-A cg: RN v1: Indwelling Cath st: NotStopd t0: [00:00:00 04/11/2012] id: Verbal Response el: 0 cu: MICU-A cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [00:00:00 04/11/2012] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [00:00:00 04/11/2012] id: Behavior el: 0 cu: MICU-A cg: RN v1: Sedated st: NotStopd t0: [00:00:00 04/11/2012] id: Bowel Sounds el: 0 cu: MICU-A cg: RN v1: Present st: NotStopd
t0: [23:00:00 03/11/2012] id: .9% Normal Saline 1000.0ml IV Infusions el: 7 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [23:00:00 03/11/2012] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 3 cu: MICU-A cg: RN ai: 126 vo: 25.26 vu: ml t0: [23:00:00 03/11/2012] id: D5W 100.0ml + 600mcghr Sandostatin IV Infusions el: 3 cu: MICU-A cg: RN ai: 127 vo: 8.3 vu: ml t0: [23:00:00 03/11/2012] id: Urine Out Foley el: 2 cu: MICU-A cg: RN vo: 25 vu: ml t0: [00:00:00 04/11/2012] id: IV Piggyback IV Infusions el: 1 cu: MICU-A cg: RN ai: 209 vo: 100 vu: ml t0: [00:00:00 04/11/2012] id: .9% Normal Saline 1000.0ml IV Infusions el: 7 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [00:00:00 04/11/2012] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 3 cu: MICU-A cg: RN ai: 126 vo: 25.26 vu: ml t0: [00:00:00 04/11/2012] id: D5W 100.0ml + 600mcghr Sandostatin IV Infusions el: 3 cu: MICU-A cg: RN ai: 127 vo: 8.3 vu: ml t0: [00:00:00 04/11/2012] id: Urine Out Foley el: 2 cu: MICU-A cg: RN vo: 20 vu: ml
t0: [23:00:00 03/11/2012] id: Propofol el: 3 cu: MICU-A cg: RN so: N/A vo: 0 v1: 50 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [23:00:00 03/11/2012] id: Sandostatin el: 4 cu: MICU-A cg: RN so: D5W vo: 0 v1: 49.8 du: mcghr sv: 100 su: ml rt: IV Drip t0: [00:00:00 04/11/2012] id: Propofol el: 3 cu: MICU-A cg: RN so: N/A vo: 0 v1: 50 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [00:00:00 04/11/2012] id: Sandostatin el: 4 cu: MICU-A cg: RN so: D5W vo: 0 v1: 49.8 du: mcghr sv: 100 su: ml rt: IV Drip
t0: [01:00:00 04/11/2012] id: Compliance (40-60ml) el: 0 cu: MICU-A cg: RRT v1: 30.4348 u1: ml/cmH st: NotStopd t0: [01:00:00 04/11/2012] id: ETT Mark/Location el: 0 cu: MICU-A cg: RRT v1: 21cm v2: Lip st: NotStopd t0: [01:00:00 04/11/2012] id: high min vent el: 0 cu: MICU-A cg: RRT v1: 15 t0: [01:00:00 04/11/2012] id: FiO2 Set el: 0 cu: MICU-A cg: RRT v1: 0.5 u1: torr st: NotStopd t0: [01:00:00 04/11/2012] id: High Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 40 u1: cmH2O st: NotStopd t0: [01:00:00 04/11/2012] id: High Resp. Rate el: 0 cu: MICU-A cg: RRT v1: 10 u1: BPM st: NotStopd t0: [01:00:00 04/11/2012] id: I:E Ratio el: 0 cu: MICU-A cg: RRT v1: 1:4.0 st: NotStopd t0: [01:00:00 04/11/2012] id: Airway Size el: 0 cu: MICU-A cg: RRT v1: 8.0 mm st: NotStopd t0: [01:00:00 04/11/2012] id: Airway Type el: 0 cu: MICU-A cg: RRT v1: Endotracheal st: NotStopd t0: [01:00:00 04/11/2012] id: Intubation Date el: 0 cu: MICU-A cg: RRT v1: 10 v2: 10 st: NotStopd t0: [01:00:00 04/11/2012] id: Low Exhaled Min Vol el: 0 cu: MICU-A cg: RRT v1: 5 st: NotStopd t0: [01:00:00 04/11/2012] id: Mean Airway Pressure el: 0 cu: MICU-A cg: RRT v1: 9 u1: cmH2O st: NotStopd t0: [01:00:00 04/11/2012] id: Minute Volume(Obser) el: 0 cu: MICU-A cg: RRT v1: 7.7 u1: L/min st: NotStopd t0: [01:00:00 04/11/2012] id: PEEP Set el: 0 cu: MICU-A cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [01:00:00 04/11/2012] id: Apnea Time Interval el: 0 cu: MICU-A cg: RRT v1: 20 st: NotStopd t0: [01:00:00 04/11/2012] id: Peak Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 28 u1: cmH2O st: NotStopd t0: [01:00:00 04/11/2012] id: Plateau Pressure el: 0 cu: MICU-A cg: RRT v1: 18 u1: cmH2O st: NotStopd t0: [01:00:00 04/11/2012] id: Plateau-Off el: 0 cu: MICU-A cg: RRT v1: Yes st: NotStopd t0: [01:00:00 04/11/2012] id: Pressure Support el: 0 cu: MICU-A cg: RRT v1: 0 u1: . st: NotStopd t0: [01:00:00 04/11/2012] id: Resp Rate (Spont) el: 0 cu: MICU-A cg: RRT v1: 0 u1: BPM st: NotStopd t0: [01:00:00 04/11/2012] id: Resp Rate (Total) el: 0 cu: MICU-A cg: RRT v1: 12 u1: BPM st: NotStopd t0: [01:00:00 04/11/2012] id: Respiratory Rate Set el: 0 cu: MICU-A cg: RRT v1: 12 u1: BPM st: NotStopd t0: [01:00:00 04/11/2012] id: Sensitivity-Vent el: 0 cu: MICU-A cg: RRT v1: 2 u1: cmH2O st: NotStopd t0: [01:00:00 04/11/2012] id: SpO2 el: 0 cu: MICU-A cg: RRT v1: 97 u1: % st: NotStopd t0: [01:00:00 04/11/2012] id: Sputum Color/Consist el: 0 cu: MICU-A cg: RRT v1: Yellow v2: Thin st: NotStopd t0: [01:00:00 04/11/2012] id: Sputum Source/Amt el: 0 cu: MICU-A cg: RRT v1: Suctioned v2: Moderate st: NotStopd t0: [01:00:00 04/11/2012] id: Tidal Volume (Obser) el: 0 cu: MICU-A cg: RRT v1: 655 u1: ml/B st: NotStopd t0: [01:00:00 04/11/2012] id: Tidal Volume (Set) el: 0 cu: MICU-A cg: RRT v1: 700 u1: ml/B st: NotStopd t0: [01:00:00 04/11/2012] id: Ventilator Mode el: 0 cu: MICU-A cg: RRT v1: Assist Control st: NotStopd t0: [01:00:00 04/11/2012] id: Ventilator Type el: 0 cu: MICU-A cg: RRT v1: Drager st: NotStopd t0: [01:00:00 04/11/2012] id: Waveform-Vent el: 0 cu: MICU-A cg: RRT v1: RAMP st: NotStopd
t0: [00:30:00 04/11/2012] id: Hematocrit Hematology el: 0 cu: MICU-A cg: 1663 v1: 29.3 u1: % rs: Final st: NotStopd
t0: [01:00:00 04/11/2012] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [01:00:00 04/11/2012] id: CVP el: 0 cu: MICU-A cg: RN v1: 9 u1: mmHg st: NotStopd t0: [01:00:00 04/11/2012] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [01:00:00 04/11/2012] id: Riker-SAS Scale el: 0 cu: MICU-A cg: RN v1: Sedated st: NotStopd t0: [01:00:00 04/11/2012] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [01:00:00 04/11/2012] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [01:00:00 04/11/2012] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [01:00:00 04/11/2012] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 70 u1: BPM st: NotStopd t0: [01:00:00 04/11/2012] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [01:00:00 04/11/2012] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 104 u1: mmHg v2: 41 u2: mmHg st: NotStopd t0: [01:00:00 04/11/2012] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 58 u1: mmHg st: NotStopd t0: [01:00:00 04/11/2012] id: Precautions el: 0 cu: MICU-A cg: RN v1: Contact st: NotStopd t0: [01:00:00 04/11/2012] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 12 u1: BPM st: NotStopd t0: [01:00:00 04/11/2012] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [01:00:00 04/11/2012] id: .9% Normal Saline 1000.0ml IV Infusions el: 7 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [01:00:00 04/11/2012] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 3 cu: MICU-A cg: RN ai: 126 vo: 25.26 vu: ml t0: [01:00:00 04/11/2012] id: D5W 100.0ml + 600mcghr Sandostatin IV Infusions el: 3 cu: MICU-A cg: RN ai: 127 vo: 8.3 vu: ml t0: [01:00:00 04/11/2012] id: Urine Out Foley el: 2 cu: MICU-A cg: RN vo: 25 vu: ml
t0: [01:00:00 04/11/2012] id: Propofol el: 3 cu: MICU-A cg: RN so: N/A vo: 0 v1: 50 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [01:00:00 04/11/2012] id: Sandostatin el: 4 cu: MICU-A cg: RN so: D5W vo: 0 v1: 49.8 du: mcghr sv: 100 su: ml rt: IV Drip
t0: [02:00:00 04/11/2012] id: Less Restrict Meas. el: 0 cu: MICU-A cg: RN v1: Medicated st: NotStopd t0: [02:00:00 04/11/2012] id: Range of Motion el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [02:00:00 04/11/2012] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [02:00:00 04/11/2012] id: CVP el: 0 cu: MICU-A cg: RN v1: 10 u1: mmHg st: NotStopd t0: [02:00:00 04/11/2012] id: Circulation/SkinInt el: 0 cu: MICU-A cg: RN v1: Circulation Adeq st: NotStopd t0: [02:00:00 04/11/2012] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [02:00:00 04/11/2012] id: Riker-SAS Scale el: 0 cu: MICU-A cg: RN v1: Sedated st: NotStopd t0: [02:00:00 04/11/2012] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [02:00:00 04/11/2012] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [02:00:00 04/11/2012] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [02:00:00 04/11/2012] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 68 u1: BPM st: NotStopd t0: [02:00:00 04/11/2012] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [02:00:00 04/11/2012] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 115 u1: mmHg v2: 46 u2: mmHg st: NotStopd t0: [02:00:00 04/11/2012] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 65 u1: mmHg st: NotStopd t0: [02:00:00 04/11/2012] id: Position Change el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [02:00:00 04/11/2012] id: Precautions el: 0 cu: MICU-A cg: RN v1: Contact st: NotStopd t0: [02:00:00 04/11/2012] id: Reason For Restraint el: 0 cu: MICU-A cg: RN v1: Ext/TXInterfere st: NotStopd t0: [02:00:00 04/11/2012] id: Removed x 5 Mins el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [02:00:00 04/11/2012] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 12 u1: BPM st: NotStopd t0: [02:00:00 04/11/2012] id: Restraint Location el: 0 cu: MICU-A cg: RN v1: Both Arms st: NotStopd t0: [02:00:00 04/11/2012] id: Restraint Type el: 0 cu: MICU-A cg: RN v1: Soft Limb st: NotStopd t0: [02:00:00 04/11/2012] id: Restraints Evaluated el: 0 cu: MICU-A cg: RN v1: Behavior Conts st: NotStopd t0: [02:00:00 04/11/2012] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [02:00:00 04/11/2012] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 97 u1: % st: NotStopd t0: [02:00:00 04/11/2012] id: Temp. Site el: 0 cu: MICU-A cg: RN v1: Oral st: NotStopd t0: [02:00:00 04/11/2012] id: Temperature C (calc) el: 0 cu: MICU-A cg: RN v1: 36.4444 u1: Deg. C st: NotStopd t0: [02:00:00 04/11/2012] id: Temperature F el: 0 cu: MICU-A cg: RN v1: 97.6 u1: Deg. F st: NotStopd t0: [02:00:00 04/11/2012] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [02:00:00 04/11/2012] id: .9% Normal Saline 1000.0ml IV Infusions el: 7 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [02:00:00 04/11/2012] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 3 cu: MICU-A cg: RN ai: 126 vo: 25.26 vu: ml t0: [02:00:00 04/11/2012] id: D5W 100.0ml + 600mcghr Sandostatin IV Infusions el: 3 cu: MICU-A cg: RN ai: 127 vo: 8.3 vu: ml t0: [02:00:00 04/11/2012] id: Urine Out Foley el: 2 cu: MICU-A cg: RN vo: 20 vu: ml
t0: [02:00:00 04/11/2012] id: Propofol el: 3 cu: MICU-A cg: RN so: N/A vo: 0 v1: 50 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [02:00:00 04/11/2012] id: Sandostatin el: 4 cu: MICU-A cg: RN so: D5W vo: 0 v1: 49.8 du: mcghr sv: 100 su: ml rt: IV Drip
t0: [03:00:00 04/11/2012] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [03:00:00 04/11/2012] id: CVP el: 0 cu: MICU-A cg: RN v1: 10 u1: mmHg st: NotStopd t0: [03:00:00 04/11/2012] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [03:00:00 04/11/2012] id: Riker-SAS Scale el: 0 cu: MICU-A cg: RN v1: Sedated st: NotStopd t0: [03:00:00 04/11/2012] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [03:00:00 04/11/2012] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [03:00:00 04/11/2012] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [03:00:00 04/11/2012] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 71 u1: BPM st: NotStopd t0: [03:00:00 04/11/2012] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [03:00:00 04/11/2012] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 115 u1: mmHg v2: 45 u2: mmHg st: NotStopd t0: [03:00:00 04/11/2012] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 65 u1: mmHg st: NotStopd t0: [03:00:00 04/11/2012] id: Precautions el: 0 cu: MICU-A cg: RN v1: Contact st: NotStopd t0: [03:00:00 04/11/2012] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 12 u1: BPM st: NotStopd t0: [03:00:00 04/11/2012] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 98 u1: % st: NotStopd t0: [03:00:00 04/11/2012] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [03:00:00 04/11/2012] id: .9% Normal Saline 1000.0ml IV Infusions el: 7 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [03:00:00 04/11/2012] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 3 cu: MICU-A cg: RN ai: 126 vo: 25.26 vu: ml t0: [03:00:00 04/11/2012] id: D5W 100.0ml + 600mcghr Sandostatin IV Infusions el: 3 cu: MICU-A cg: RN ai: 127 vo: 8.3 vu: ml t0: [03:00:00 04/11/2012] id: Urine Out Foley el: 2 cu: MICU-A cg: RN vo: 35 vu: ml
t0: [03:00:00 04/11/2012] id: Propofol el: 3 cu: MICU-A cg: RN so: N/A vo: 0 v1: 50 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [03:00:00 04/11/2012] id: Sandostatin el: 4 cu: MICU-A cg: RN so: D5W vo: 0 v1: 49.8 du: mcghr sv: 100 su: ml rt: IV Drip
t0: [03:41:00 04/11/2012] id: Art.pH ABG el: 0 cu: MICU-A cg: 1663 v1: 7.36 rs: Final st: NotStopd t0: [03:41:00 04/11/2012] id: Arterial Base Excess ABG el: 0 cu: MICU-A cg: 1663 v1: -6 rs: Final st: NotStopd t0: [03:41:00 04/11/2012] id: Arterial CO2(Calc) ABG el: 0 cu: MICU-A cg: 1663 v1: 18 rs: Final st: NotStopd t0: [03:41:00 04/11/2012] id: Arterial PaCO2 ABG el: 0 cu: MICU-A cg: 1663 v1: 30 u1: mmHg rs: Final st: NotStopd t0: [03:41:00 04/11/2012] id: Arterial PaO2 ABG el: 0 cu: MICU-A cg: 1663 v1: 77 u1: mmHg rs: Final st: NotStopd t0: [03:41:00 04/11/2012] id: Arterial pH ABG el: 0 cu: MICU-A cg: 1663 v1: 7.36 rs: Final st: NotStopd
t0: [04:00:00 04/11/2012] id: Less Restrict Meas. el: 0 cu: MICU-A cg: RN v1: Medicated st: NotStopd t0: [04:00:00 04/11/2012] id: Pain Present el: 0 cu: MICU-A cg: RN v1: No st: NotStopd t0: [04:00:00 04/11/2012] id: Range of Motion el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [04:00:00 04/11/2012] id: Pain Assess Method el: 0 cu: MICU-A cg: RN v1: Non-verbal cues st: NotStopd t0: [04:00:00 04/11/2012] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [04:00:00 04/11/2012] id: CVP el: 0 cu: MICU-A cg: RN v1: 11 u1: mmHg st: NotStopd t0: [04:00:00 04/11/2012] id: Circulation/SkinInt el: 0 cu: MICU-A cg: RN v1: Circulation Adeq st: NotStopd t0: [04:00:00 04/11/2012] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [04:00:00 04/11/2012] id: Riker-SAS Scale el: 0 cu: MICU-A cg: RN v1: Sedated st: NotStopd t0: [04:00:00 04/11/2012] id: Daily Wake Up el: 1 cu: MICU-A cg: RN v1: No/Not Sedated st: NotStopd t0: [04:00:00 04/11/2012] id: GI Prophylaxis el: 0 cu: MICU-A cg: RN v1: Proton/Pump/Inhi v2: Other/Remarks st: NotStopd t0: [04:00:00 04/11/2012] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [04:00:00 04/11/2012] id: Diet Type el: 0 cu: MICU-A cg: RN v1: NPO st: NotStopd t0: [04:00:00 04/11/2012] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [04:00:00 04/11/2012] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [04:00:00 04/11/2012] id: Eye Opening el: 0 cu: MICU-A cg: RN v1: 3 To speech st: NotStopd t0: [04:00:00 04/11/2012] id: Follows Commands el: 0 cu: MICU-A cg: RN v1: Inconsistently st: NotStopd t0: [04:00:00 04/11/2012] id: GCS Total el: 0 cu: MICU-A cg: RN v1: 10 u1: points st: NotStopd t0: [04:00:00 04/11/2012] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 71 u1: BPM st: NotStopd t0: [04:00:00 04/11/2012] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [04:00:00 04/11/2012] id: INV Line#1 Type/Site el: 0 cu: MICU-A cg: RN v1: PICC line v2: Left Antecub st: NotStopd t0: [04:00:00 04/11/2012] id: INV Line#1InsertDate el: 0 cu: MICU-A cg: RN v1: 10 v2: 9 st: NotStopd t0: [04:00:00 04/11/2012] id: INV Line#1SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [04:00:00 04/11/2012] id: INV Line#2 Type/Site el: 0 cu: MICU-A cg: RN v1: Introducer v2: Left IJ st: NotStopd t0: [04:00:00 04/11/2012] id: INV Line#2InsertDate el: 0 cu: MICU-A cg: RN v1: 10 v2: 10 st: NotStopd t0: [04:00:00 04/11/2012] id: INV Line#2SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [04:00:00 04/11/2012] id: INV Line#3 Type/Site el: 0 cu: MICU-A cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [04:00:00 04/11/2012] id: INV Line#3 Zero/Cal el: 0 cu: MICU-A cg: RN v1: No st: NotStopd t0: [04:00:00 04/11/2012] id: INV Line#3InsertDate el: 0 cu: MICU-A cg: RN v1: 10 v2: 10 st: NotStopd t0: [04:00:00 04/11/2012] id: INV Line#3SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [04:00:00 04/11/2012] id: Abdominal Assessment el: 0 cu: MICU-A cg: RN v1: Ascites st: NotStopd t0: [04:00:00 04/11/2012] id: INV#3 WaveformAppear el: 0 cu: MICU-A cg: RN v1: Sharp st: NotStopd t0: [04:00:00 04/11/2012] id: IV #3 Insert Date el: 0 cu: MICU-A cg: RN v1: 10 v2: 9 st: NotStopd t0: [04:00:00 04/11/2012] id: IV #3 Site/Size el: 0 cu: MICU-A cg: RN v1: Right Antecub v2: 18 gauge st: NotStopd t0: [04:00:00 04/11/2012] id: IV Site Appear #3 el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [04:00:00 04/11/2012] id: Impaired Skin Site#1 el: 0 cu: MICU-A cg: RN v1: Coccyx st: NotStopd t0: [04:00:00 04/11/2012] id: LLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [04:00:00 04/11/2012] id: LUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [04:00:00 04/11/2012] id: Level of Conscious el: 0 cu: MICU-A cg: RN v1: Arouse to Voice st: NotStopd t0: [04:00:00 04/11/2012] id: Motor Response el: 0 cu: MICU-A cg: RN v1: 6 Obeys Commands st: NotStopd t0: [04:00:00 04/11/2012] id: Oral Cavity el: 0 cu: MICU-A cg: RN v1: Bleeding Gum st: NotStopd t0: [04:00:00 04/11/2012] id: Orientation el: 0 cu: MICU-A cg: RN v1: Other/Remarks st: NotStopd t0: [04:00:00 04/11/2012] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 121 u1: mmHg v2: 49 u2: mmHg st: NotStopd t0: [04:00:00 04/11/2012] id: Pain Location el: 0 cu: MICU-A cg: RN v1: Not Indicated st: NotStopd t0: [04:00:00 04/11/2012] id: Pain Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [04:00:00 04/11/2012] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 69 u1: mmHg st: NotStopd t0: [04:00:00 04/11/2012] id: Position Change el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [04:00:00 04/11/2012] id: Precautions el: 0 cu: MICU-A cg: RN v1: Contact st: NotStopd t0: [04:00:00 04/11/2012] id: RLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Diminished st: NotStopd t0: [04:00:00 04/11/2012] id: RUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [04:00:00 04/11/2012] id: Reason For Restraint el: 0 cu: MICU-A cg: RN v1: Ext/TXInterfere st: NotStopd t0: [04:00:00 04/11/2012] id: Removed x 5 Mins el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [04:00:00 04/11/2012] id: Respiratory Pattern el: 0 cu: MICU-A cg: RN v1: Regular st: NotStopd t0: [04:00:00 04/11/2012] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 12 u1: BPM st: NotStopd t0: [04:00:00 04/11/2012] id: Restraint Location el: 0 cu: MICU-A cg: RN v1: Both Arms st: NotStopd t0: [04:00:00 04/11/2012] id: Restraint Type el: 0 cu: MICU-A cg: RN v1: Soft Limb st: NotStopd t0: [04:00:00 04/11/2012] id: Restraints Evaluated el: 0 cu: MICU-A cg: RN v1: Behavior Conts st: NotStopd t0: [04:00:00 04/11/2012] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [04:00:00 04/11/2012] id: Skin Color el: 0 cu: MICU-A cg: RN v1: Jaundiced st: NotStopd t0: [04:00:00 04/11/2012] id: Skin Integrity el: 0 cu: MICU-A cg: RN v1: Impaired st: NotStopd t0: [04:00:00 04/11/2012] id: Skin Temp/Condition el: 0 cu: MICU-A cg: RN v1: Cool v2: Dry st: NotStopd t0: [04:00:00 04/11/2012] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 97 u1: % st: NotStopd t0: [04:00:00 04/11/2012] id: Spontaneous Movement el: 0 cu: MICU-A cg: RN v1: Purposeful st: NotStopd t0: [04:00:00 04/11/2012] id: Stool Color/Consist el: 0 cu: MICU-A cg: RN v1: Black v2: Liquid st: NotStopd t0: [04:00:00 04/11/2012] id: Stool Guaiac el: 0 cu: MICU-A cg: RN v1: Positive st: NotStopd t0: [04:00:00 04/11/2012] id: Stool Management el: 0 cu: MICU-A cg: RN v1: Fecal Incont Bag st: NotStopd t0: [04:00:00 04/11/2012] id: Support Systems el: 0 cu: MICU-A cg: RN v1: Spouse st: NotStopd t0: [04:00:00 04/11/2012] id: Temp. Site el: 0 cu: MICU-A cg: RN v1: Oral st: NotStopd t0: [04:00:00 04/11/2012] id: Temperature C (calc) el: 0 cu: MICU-A cg: RN v1: 36.3889 u1: Deg. C st: NotStopd t0: [04:00:00 04/11/2012] id: Temperature F el: 0 cu: MICU-A cg: RN v1: 97.5 u1: Deg. F st: NotStopd t0: [04:00:00 04/11/2012] id: Urine Color/Appear el: 0 cu: MICU-A cg: RN v1: Icteric v2: Cloudy st: NotStopd t0: [04:00:00 04/11/2012] id: Urine Source el: 0 cu: MICU-A cg: RN v1: Indwelling Cath st: NotStopd t0: [04:00:00 04/11/2012] id: Verbal Response el: 0 cu: MICU-A cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [04:00:00 04/11/2012] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [04:00:00 04/11/2012] id: Behavior el: 0 cu: MICU-A cg: RN v1: Sedated st: NotStopd t0: [04:00:00 04/11/2012] id: Bowel Sounds el: 0 cu: MICU-A cg: RN v1: Present st: NotStopd
t0: [04:00:00 04/11/2012] id: .9% Normal Saline 1000.0ml IV Infusions el: 7 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [04:00:00 04/11/2012] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 3 cu: MICU-A cg: RN ai: 126 vo: 25.26 vu: ml t0: [04:00:00 04/11/2012] id: D5W 100.0ml + 600mcghr Sandostatin IV Infusions el: 3 cu: MICU-A cg: RN ai: 127 vo: 8.3 vu: ml t0: [04:00:00 04/11/2012] id: Urine Out Foley el: 2 cu: MICU-A cg: RN vo: 30 vu: ml
t0: [04:00:00 04/11/2012] id: Propofol el: 3 cu: MICU-A cg: RN so: N/A vo: 0 v1: 50 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [04:00:00 04/11/2012] id: Sandostatin el: 4 cu: MICU-A cg: RN so: D5W vo: 0 v1: 49.8 du: mcghr sv: 100 su: ml rt: IV Drip
t0: [04:00:00 04/11/2012] id: IV Piggyback IV Infusions el: 1 cu: MICU-A cg: RN ai: 209 vo: 100 vu: ml
t0: [03:40:00 04/11/2012] id: WBC (4-11,000) Hematology el: 0 cu: MICU-A cg: 1663 v1: 7.8 rs: Final st: NotStopd t0: [03:40:00 04/11/2012] id: WBC Hematology el: 0 cu: MICU-A cg: 1663 v1: 7.8 rs: Final st: NotStopd t0: [03:40:00 04/11/2012] id: Hematocrit Hematology el: 0 cu: MICU-A cg: 1663 v1: 30.6 u1: % rs: Final st: NotStopd t0: [03:40:00 04/11/2012] id: Hemoglobin Hematology el: 0 cu: MICU-A cg: 1663 v1: 10.9 u1: gm/dl rs: Final st: NotStopd t0: [03:40:00 04/11/2012] id: Platelets Hematology el: 0 cu: MICU-A cg: 1663 v1: 78 rs: Final st: NotStopd t0: [03:40:00 04/11/2012] id: RBC Hematology el: 0 cu: MICU-A cg: 1663 v1: 3.53 u1: /mic l rs: Final st: NotStopd t0: [03:40:00 04/11/2012] id: WBC (4-11,000) Hematology el: 0 cu: MICU-A cg: 1663 v1: 7.8 rs: Final st: NotStopd
t0: [05:00:00 04/11/2012] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [05:00:00 04/11/2012] id: CVP el: 0 cu: MICU-A cg: RN v1: 9 u1: mmHg st: NotStopd t0: [05:00:00 04/11/2012] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [05:00:00 04/11/2012] id: Riker-SAS Scale el: 0 cu: MICU-A cg: RN v1: Sedated st: NotStopd t0: [05:00:00 04/11/2012] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [05:00:00 04/11/2012] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [05:00:00 04/11/2012] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [05:00:00 04/11/2012] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 72 u1: BPM st: NotStopd t0: [05:00:00 04/11/2012] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [05:00:00 04/11/2012] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 127 u1: mmHg v2: 52 u2: mmHg st: NotStopd t0: [05:00:00 04/11/2012] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 73 u1: mmHg st: NotStopd t0: [05:00:00 04/11/2012] id: Precautions el: 0 cu: MICU-A cg: RN v1: Contact st: NotStopd t0: [05:00:00 04/11/2012] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 12 u1: BPM st: NotStopd t0: [05:00:00 04/11/2012] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 98 u1: % st: NotStopd t0: [05:00:00 04/11/2012] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [05:00:00 04/11/2012] id: .9% Normal Saline 1000.0ml IV Infusions el: 7 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [05:00:00 04/11/2012] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 3 cu: MICU-A cg: RN ai: 126 vo: 25.26 vu: ml t0: [05:00:00 04/11/2012] id: D5W 100.0ml + 600mcghr Sandostatin IV Infusions el: 3 cu: MICU-A cg: RN ai: 127 vo: 8.3 vu: ml t0: [05:00:00 04/11/2012] id: Urine Out Foley el: 2 cu: MICU-A cg: RN vo: 40 vu: ml
t0: [05:00:00 04/11/2012] id: Propofol el: 3 cu: MICU-A cg: RN so: N/A vo: 0 v1: 50 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [05:00:00 04/11/2012] id: Sandostatin el: 4 cu: MICU-A cg: RN so: D5W vo: 0 v1: 49.8 du: mcghr sv: 100 su: ml rt: IV Drip
t0: [03:40:00 04/11/2012] id: BUN el: 0 cu: MICU-A cg: 1663 v1: 23 rs: Final st: NotStopd t0: [03:40:00 04/11/2012] id: Albumin Chemistry el: 0 cu: MICU-A cg: 1663 v1: 2.6 rs: Final st: NotStopd t0: [03:40:00 04/11/2012] id: Calcium Chemistry el: 0 cu: MICU-A cg: 1663 v1: 8 u1: mg/dl rs: Final st: NotStopd t0: [03:40:00 04/11/2012] id: Chloride Chemistry el: 0 cu: MICU-A cg: 1663 v1: 108 rs: Final st: NotStopd t0: [03:40:00 04/11/2012] id: Creatinine Chemistry el: 0 cu: MICU-A cg: 1663 v1: 2.2 rs: Final st: NotStopd t0: [03:40:00 04/11/2012] id: Glucose Chemistry el: 0 cu: MICU-A cg: 1663 v1: 90 rs: Final st: NotStopd t0: [03:40:00 04/11/2012] id: Phosphorous Chemistry el: 0 cu: MICU-A cg: 1663 v1: 5.4 u1: mEq/L rs: Final st: NotStopd t0: [03:40:00 04/11/2012] id: Potassium Chemistry el: 0 cu: MICU-A cg: 1663 v1: 3.8 rs: Final st: NotStopd t0: [03:40:00 04/11/2012] id: Sodium Chemistry el: 0 cu: MICU-A cg: 1663 v1: 134 rs: Final st: NotStopd t0: [03:40:00 04/11/2012] id: Total Bili Chemistry el: 0 cu: MICU-A cg: 1663 v1: 13.6 rs: Final st: NotStopd t0: [03:40:00 04/11/2012] id: Albumin (>3.2) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 2.6 rs: Final st: NotStopd t0: [03:40:00 04/11/2012] id: Alk. Phosphate Enzymes el: 0 cu: MICU-A cg: 1663 v1: 73 rs: Final st: NotStopd t0: [03:40:00 04/11/2012] id: BUN (6-20) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 23 rs: Final st: NotStopd t0: [03:40:00 04/11/2012] id: Calcium (8.4-10.2) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 8 u1: mg/dl rs: Final st: NotStopd t0: [03:40:00 04/11/2012] id: Carbon Dioxide Chemistry el: 0 cu: MICU-A cg: 1663 v1: 15 rs: Final st: NotStopd t0: [03:40:00 04/11/2012] id: Chloride (100-112) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 108 rs: Final st: NotStopd t0: [03:40:00 04/11/2012] id: Creatinine (0-1.3) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 2.2 rs: Final st: NotStopd t0: [03:40:00 04/11/2012] id: Glucose (70-105) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 90 rs: Final st: NotStopd t0: [03:40:00 04/11/2012] id: Phosphorous(2.7-4.5) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 5.4 u1: mEq/L rs: Final st: NotStopd t0: [03:40:00 04/11/2012] id: Potassium (3.5-5.3) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 3.8 rs: Final st: NotStopd t0: [03:40:00 04/11/2012] id: Sodium (135-148) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 134 rs: Final st: NotStopd t0: [03:40:00 04/11/2012] id: Total Bili (0-1.5) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 13.6 rs: Final st: NotStopd
t0: [05:00:00 04/11/2012] id: HOB el: 0 cu: MICU-A cg: RN v1: 30 degrees st: NotStopd t0: [05:00:00 04/11/2012] id: Activity el: 0 cu: MICU-A cg: RN v1: Bedrest st: NotStopd t0: [05:00:00 04/11/2012] id: Activity Tolerance el: 0 cu: MICU-A cg: RN v1: Tolerated Well st: NotStopd t0: [05:00:00 04/11/2012] id: AntiEmbDevice/Status el: 0 cu: MICU-A cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [05:00:00 04/11/2012] id: Position el: 0 cu: MICU-A cg: RN v1: Right Side st: NotStopd t0: [05:00:00 04/11/2012] id: Assistance Device el: 0 cu: MICU-A cg: RN v1: 2 Person Assist st: NotStopd t0: [05:00:00 04/11/2012] id: Skin Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [05:00:00 04/11/2012] id: Turn el: 0 cu: MICU-A cg: RN v1: Side to Side st: NotStopd t0: [05:00:00 04/11/2012] id: Back Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [06:00:00 04/11/2012] id: Less Restrict Meas. el: 0 cu: MICU-A cg: RN v1: Medicated st: NotStopd t0: [06:00:00 04/11/2012] id: Range of Motion el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [06:00:00 04/11/2012] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [06:00:00 04/11/2012] id: CVP el: 0 cu: MICU-A cg: RN v1: 13 u1: mmHg st: NotStopd t0: [06:00:00 04/11/2012] id: Circulation/SkinInt el: 0 cu: MICU-A cg: RN v1: Circulation Adeq st: NotStopd t0: [06:00:00 04/11/2012] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [06:00:00 04/11/2012] id: Riker-SAS Scale el: 0 cu: MICU-A cg: RN v1: Sedated st: NotStopd t0: [06:00:00 04/11/2012] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [06:00:00 04/11/2012] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [06:00:00 04/11/2012] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [06:00:00 04/11/2012] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 73 u1: BPM st: NotStopd t0: [06:00:00 04/11/2012] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [06:00:00 04/11/2012] id: Impaired Skin Site#1 el: 0 cu: MICU-A cg: RN v1: Coccyx st: NotStopd t0: [06:00:00 04/11/2012] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 124 u1: mmHg v2: 55 u2: mmHg st: NotStopd t0: [06:00:00 04/11/2012] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 74 u1: mmHg st: NotStopd t0: [06:00:00 04/11/2012] id: Position Change el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [06:00:00 04/11/2012] id: Precautions el: 0 cu: MICU-A cg: RN v1: Contact st: NotStopd t0: [06:00:00 04/11/2012] id: Reason For Restraint el: 0 cu: MICU-A cg: RN v1: Ext/TXInterfere st: NotStopd t0: [06:00:00 04/11/2012] id: Removed x 5 Mins el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [06:00:00 04/11/2012] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 13 u1: BPM st: NotStopd t0: [06:00:00 04/11/2012] id: Restraint Location el: 0 cu: MICU-A cg: RN v1: Both Arms st: NotStopd t0: [06:00:00 04/11/2012] id: Restraint Type el: 0 cu: MICU-A cg: RN v1: Soft Limb st: NotStopd t0: [06:00:00 04/11/2012] id: Restraints Evaluated el: 0 cu: MICU-A cg: RN v1: Behavior Conts st: NotStopd t0: [06:00:00 04/11/2012] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [06:00:00 04/11/2012] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 97 u1: % st: NotStopd t0: [06:00:00 04/11/2012] id: Support Systems el: 0 cu: MICU-A cg: RN v1: Spouse st: NotStopd t0: [06:00:00 04/11/2012] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [06:00:00 04/11/2012] id: Behavior el: 0 cu: MICU-A cg: RN v1: Sedated st: NotStopd
t0: [06:00:00 04/11/2012] id: .9% Normal Saline 1000.0ml IV Infusions el: 7 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [06:00:00 04/11/2012] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 3 cu: MICU-A cg: RN ai: 126 vo: 25.26 vu: ml t0: [06:00:00 04/11/2012] id: D5W 100.0ml + 600mcghr Sandostatin IV Infusions el: 3 cu: MICU-A cg: RN ai: 127 vo: 8.3 vu: ml t0: [06:00:00 04/11/2012] id: Stool Out Stool el: 1 cu: MICU-A cg: RN vo: 800 vu: ml t0: [06:00:00 04/11/2012] id: Urine Out Foley el: 2 cu: MICU-A cg: RN vo: 40 vu: ml
t0: [06:00:00 04/11/2012] id: Propofol el: 3 cu: MICU-A cg: RN so: N/A vo: 0 v1: 50 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [06:00:00 04/11/2012] id: Sandostatin el: 4 cu: MICU-A cg: RN so: D5W vo: 0 v1: 49.8 du: mcghr sv: 100 su: ml rt: IV Drip
t0: [05:00:00 04/11/2012] id: Compliance (40-60ml) el: 0 cu: MICU-A cg: RRT v1: 36.8421 u1: ml/cmH st: NotStopd t0: [05:00:00 04/11/2012] id: ETT Mark/Location el: 0 cu: MICU-A cg: RRT v1: 21cm v2: Lip st: NotStopd t0: [05:00:00 04/11/2012] id: high min vent el: 0 cu: MICU-A cg: RRT v1: 15 t0: [05:00:00 04/11/2012] id: FiO2 Set el: 0 cu: MICU-A cg: RRT v1: 0.5 u1: torr st: NotStopd t0: [05:00:00 04/11/2012] id: High Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 40 u1: cmH2O st: NotStopd t0: [05:00:00 04/11/2012] id: High Resp. Rate el: 0 cu: MICU-A cg: RRT v1: 10 u1: BPM st: NotStopd t0: [05:00:00 04/11/2012] id: I:E Ratio el: 0 cu: MICU-A cg: RRT v1: 1:4 st: NotStopd t0: [05:00:00 04/11/2012] id: Airway Size el: 0 cu: MICU-A cg: RRT v1: 8.0 mm st: NotStopd t0: [05:00:00 04/11/2012] id: Airway Type el: 0 cu: MICU-A cg: RRT v1: Endotracheal st: NotStopd t0: [05:00:00 04/11/2012] id: Intubation Date el: 0 cu: MICU-A cg: RRT v1: 10 v2: 10 st: NotStopd t0: [05:00:00 04/11/2012] id: Low Exhaled Min Vol el: 0 cu: MICU-A cg: RRT v1: 5 st: NotStopd t0: [05:00:00 04/11/2012] id: Mean Airway Pressure el: 0 cu: MICU-A cg: RRT v1: 9 u1: cmH2O st: NotStopd t0: [05:00:00 04/11/2012] id: Minute Volume(Obser) el: 0 cu: MICU-A cg: RRT v1: 7.8 u1: L/min st: NotStopd t0: [05:00:00 04/11/2012] id: PEEP Set el: 0 cu: MICU-A cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [05:00:00 04/11/2012] id: Apnea Time Interval el: 0 cu: MICU-A cg: RRT v1: 20 st: NotStopd t0: [05:00:00 04/11/2012] id: Peak Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 24 u1: cmH2O st: NotStopd t0: [05:00:00 04/11/2012] id: Plateau Pressure el: 0 cu: MICU-A cg: RRT v1: 19 u1: cmH2O st: NotStopd t0: [05:00:00 04/11/2012] id: Plateau-Off el: 0 cu: MICU-A cg: RRT v1: Yes st: NotStopd t0: [05:00:00 04/11/2012] id: Pressure Support el: 0 cu: MICU-A cg: RRT v1: 0 u1: . st: NotStopd t0: [05:00:00 04/11/2012] id: Resp Rate (Spont) el: 0 cu: MICU-A cg: RRT v1: 0 u1: BPM st: NotStopd t0: [05:00:00 04/11/2012] id: Resp Rate (Total) el: 0 cu: MICU-A cg: RRT v1: 12 u1: BPM st: NotStopd t0: [05:00:00 04/11/2012] id: Respiratory Rate Set el: 0 cu: MICU-A cg: RRT v1: 12 u1: BPM st: NotStopd t0: [05:00:00 04/11/2012] id: Sensitivity-Vent el: 0 cu: MICU-A cg: RRT v1: 2 u1: cmH2O st: NotStopd t0: [05:00:00 04/11/2012] id: Tidal Volume (Obser) el: 0 cu: MICU-A cg: RRT v1: 677 u1: ml/B st: NotStopd t0: [05:00:00 04/11/2012] id: Tidal Volume (Set) el: 0 cu: MICU-A cg: RRT v1: 700 u1: ml/B st: NotStopd t0: [05:00:00 04/11/2012] id: Ventilator Mode el: 0 cu: MICU-A cg: RRT v1: Assist Control st: NotStopd t0: [05:00:00 04/11/2012] id: Ventilator Type el: 0 cu: MICU-A cg: RRT v1: Drager st: NotStopd t0: [05:00:00 04/11/2012] id: Waveform-Vent el: 0 cu: MICU-A cg: RRT v1: RAMP st: NotStopd
t0: [07:00:00 04/11/2012] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [07:00:00 04/11/2012] id: CVP el: 0 cu: MICU-A cg: RN v1: 8 u1: mmHg st: NotStopd t0: [07:00:00 04/11/2012] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [07:00:00 04/11/2012] id: Riker-SAS Scale el: 0 cu: MICU-A cg: RN v1: Sedated st: NotStopd t0: [07:00:00 04/11/2012] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [07:00:00 04/11/2012] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [07:00:00 04/11/2012] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [07:00:00 04/11/2012] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 68 u1: BPM st: NotStopd t0: [07:00:00 04/11/2012] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [07:00:00 04/11/2012] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 112 u1: mmHg v2: 50 u2: mmHg st: NotStopd t0: [07:00:00 04/11/2012] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 67 u1: mmHg st: NotStopd t0: [07:00:00 04/11/2012] id: Precautions el: 0 cu: MICU-A cg: RN v1: Contact st: NotStopd t0: [07:00:00 04/11/2012] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 12 u1: BPM st: NotStopd t0: [07:00:00 04/11/2012] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 98 u1: % st: NotStopd t0: [07:00:00 04/11/2012] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [07:00:00 04/11/2012] id: .9% Normal Saline 1000.0ml IV Infusions el: 7 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [07:00:00 04/11/2012] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 3 cu: MICU-A cg: RN ai: 126 vo: 25.26 vu: ml t0: [07:00:00 04/11/2012] id: D5W 100.0ml + 600mcghr Sandostatin IV Infusions el: 3 cu: MICU-A cg: RN ai: 127 vo: 8.3 vu: ml t0: [07:00:00 04/11/2012] id: Urine Out Foley el: 2 cu: MICU-A cg: RN vo: 20 vu: ml
t0: [07:00:00 04/11/2012] id: Propofol el: 3 cu: MICU-A cg: RN so: N/A vo: 0 v1: 50 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [07:00:00 04/11/2012] id: Sandostatin el: 4 cu: MICU-A cg: RN so: D5W vo: 0 v1: 49.8 du: mcghr sv: 100 su: ml rt: IV Drip
t0: [08:00:00 04/11/2012] id: Less Restrict Meas. el: 0 cu: MICU-A cg: RN v1: Medicated st: NotStopd t0: [08:00:00 04/11/2012] id: Range of Motion el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [08:00:00 04/11/2012] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [08:00:00 04/11/2012] id: CVP el: 0 cu: MICU-A cg: RN v1: 8 u1: mmHg st: NotStopd t0: [08:00:00 04/11/2012] id: Circulation/SkinInt el: 0 cu: MICU-A cg: RN v1: Circulation Adeq st: NotStopd t0: [08:00:00 04/11/2012] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [08:00:00 04/11/2012] id: Riker-SAS Scale el: 0 cu: MICU-A cg: RN v1: Sedated st: NotStopd t0: [08:00:00 04/11/2012] id: Daily Wake Up el: 1 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [08:00:00 04/11/2012] id: GI Prophylaxis el: 0 cu: MICU-A cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [08:00:00 04/11/2012] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [08:00:00 04/11/2012] id: Diet Type el: 0 cu: MICU-A cg: RN v1: NPO st: NotStopd t0: [08:00:00 04/11/2012] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [08:00:00 04/11/2012] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [08:00:00 04/11/2012] id: Eye Opening el: 0 cu: MICU-A cg: RN v1: 3 To speech st: NotStopd t0: [08:00:00 04/11/2012] id: Follows Commands el: 0 cu: MICU-A cg: RN v1: Consistently st: NotStopd t0: [08:00:00 04/11/2012] id: GCS Total el: 0 cu: MICU-A cg: RN v1: 10 u1: points st: NotStopd t0: [08:00:00 04/11/2012] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 68 u1: BPM st: NotStopd t0: [08:00:00 04/11/2012] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [08:00:00 04/11/2012] id: Abdominal Assessment el: 0 cu: MICU-A cg: RN v1: Ascites st: NotStopd t0: [08:00:00 04/11/2012] id: Impaired Skin Site#1 el: 0 cu: MICU-A cg: RN v1: Coccyx st: NotStopd t0: [08:00:00 04/11/2012] id: Level of Conscious el: 0 cu: MICU-A cg: RN v1: Arouse to Voice st: NotStopd t0: [08:00:00 04/11/2012] id: Motor Response el: 0 cu: MICU-A cg: RN v1: 6 Obeys Commands st: NotStopd t0: [08:00:00 04/11/2012] id: Oral Cavity el: 0 cu: MICU-A cg: RN v1: Bleeding Gum st: NotStopd t0: [08:00:00 04/11/2012] id: Orientation el: 0 cu: MICU-A cg: RN v1: Other/Remarks st: NotStopd t0: [08:00:00 04/11/2012] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 128 u1: mmHg v2: 56 u2: mmHg st: NotStopd t0: [08:00:00 04/11/2012] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 76 u1: mmHg st: NotStopd t0: [08:00:00 04/11/2012] id: Position Change el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [08:00:00 04/11/2012] id: Precautions el: 0 cu: MICU-A cg: RN v1: Contact st: NotStopd t0: [08:00:00 04/11/2012] id: Reason For Restraint el: 0 cu: MICU-A cg: RN v1: Ext/TXInterfere st: NotStopd t0: [08:00:00 04/11/2012] id: Removed x 5 Mins el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [08:00:00 04/11/2012] id: Respiratory Pattern el: 0 cu: MICU-A cg: RN v1: Regular st: NotStopd t0: [08:00:00 04/11/2012] id: Restraint Location el: 0 cu: MICU-A cg: RN v1: Both Arms st: NotStopd t0: [08:00:00 04/11/2012] id: Restraint Type el: 0 cu: MICU-A cg: RN v1: Soft Limb st: NotStopd t0: [08:00:00 04/11/2012] id: Restraints Evaluated el: 0 cu: MICU-A cg: RN v1: Behavior Conts st: NotStopd t0: [08:00:00 04/11/2012] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [08:00:00 04/11/2012] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 98 u1: % st: NotStopd t0: [08:00:00 04/11/2012] id: Spontaneous Movement el: 0 cu: MICU-A cg: RN v1: Purposeful st: NotStopd t0: [08:00:00 04/11/2012] id: Stool Color/Consist el: 0 cu: MICU-A cg: RN v1: Black v2: Liquid st: NotStopd t0: [08:00:00 04/11/2012] id: Stool Guaiac el: 0 cu: MICU-A cg: RN v1: Positive st: NotStopd t0: [08:00:00 04/11/2012] id: Stool Management el: 0 cu: MICU-A cg: RN v1: Fecal Incont Bag st: NotStopd t0: [08:00:00 04/11/2012] id: Support Systems el: 0 cu: MICU-A cg: RN v1: Spouse st: NotStopd t0: [08:00:00 04/11/2012] id: Temp. Site el: 0 cu: MICU-A cg: RN v1: Oral st: NotStopd t0: [08:00:00 04/11/2012] id: Temperature C (calc) el: 0 cu: MICU-A cg: RN v1: 36.1111 u1: Deg. C st: NotStopd t0: [08:00:00 04/11/2012] id: Temperature F el: 0 cu: MICU-A cg: RN v1: 97 u1: Deg. F st: NotStopd t0: [08:00:00 04/11/2012] id: Urine Color/Appear el: 0 cu: MICU-A cg: RN v1: Orange v2: Clear st: NotStopd t0: [08:00:00 04/11/2012] id: Urine Source el: 0 cu: MICU-A cg: RN v1: Indwelling Cath st: NotStopd t0: [08:00:00 04/11/2012] id: Verbal Response el: 0 cu: MICU-A cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [08:00:00 04/11/2012] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [08:00:00 04/11/2012] id: Behavior el: 0 cu: MICU-A cg: RN v1: Sedated st: NotStopd t0: [08:00:00 04/11/2012] id: Bowel Sounds el: 0 cu: MICU-A cg: RN v1: Present st: NotStopd
t0: [08:00:00 04/11/2012] id: .9% Normal Saline 1000.0ml IV Infusions el: 7 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [08:00:00 04/11/2012] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 3 cu: MICU-A cg: RN ai: 126 vo: 25.26 vu: ml t0: [08:00:00 04/11/2012] id: D5W 100.0ml + 600mcghr Sandostatin IV Infusions el: 3 cu: MICU-A cg: RN ai: 127 vo: 8.3 vu: ml t0: [08:00:00 04/11/2012] id: Urine Out Foley el: 2 cu: MICU-A cg: RN vo: 35 vu: ml
t0: [08:00:00 04/11/2012] id: Propofol el: 3 cu: MICU-A cg: RN so: N/A vo: 0 v1: 50 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [08:00:00 04/11/2012] id: Sandostatin el: 4 cu: MICU-A cg: RN so: D5W vo: 0 v1: 49.8 du: mcghr sv: 100 su: ml rt: IV Drip
tf: [07:00:00 05/11/2012] pt: IV Piggyback rt: IV fr: ONCE fs: 8 dn: 1 m1: Potassium Chloride v1: 20 u1: mEq m2: SW v2: 50 u2: ml tf: [07:00:00 05/11/2012] pt: Unit Dose rt: IV fr: ONCE fs: 8 dn: 1 m1: Magnesium Sulfate v1: 2 u1: gm
t0: [08:00:00 04/11/2012] id: Compliance (40-60ml) el: 0 cu: MICU-A cg: RRT v1: 35 u1: ml/cmH st: NotStopd t0: [08:00:00 04/11/2012] id: ETT Mark/Location el: 0 cu: MICU-A cg: RRT v1: 21cm v2: Lip st: NotStopd t0: [08:00:00 04/11/2012] id: high min vent el: 0 cu: MICU-A cg: RRT v1: 15 t0: [08:00:00 04/11/2012] id: FiO2 Set el: 0 cu: MICU-A cg: RRT v1: 0.5 u1: torr st: NotStopd t0: [08:00:00 04/11/2012] id: High Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 40 u1: cmH2O st: NotStopd t0: [08:00:00 04/11/2012] id: High Resp. Rate el: 0 cu: MICU-A cg: RRT v1: 10 u1: BPM st: NotStopd t0: [08:00:00 04/11/2012] id: I:E Ratio el: 0 cu: MICU-A cg: RRT v1: 1:4 st: NotStopd t0: [08:00:00 04/11/2012] id: Airway Size el: 0 cu: MICU-A cg: RRT v1: 8.0 mm st: NotStopd t0: [08:00:00 04/11/2012] id: Airway Type el: 0 cu: MICU-A cg: RRT v1: Endotracheal st: NotStopd t0: [08:00:00 04/11/2012] id: Inspired Gas Temp el: 0 cu: MICU-A cg: RRT u1: Deg. C st: NotStopd t0: [08:00:00 04/11/2012] id: Intubation Date el: 0 cu: MICU-A cg: RRT v1: 10 v2: 10 st: NotStopd t0: [08:00:00 04/11/2012] id: Low Exhaled Min Vol el: 0 cu: MICU-A cg: RRT v1: 5 st: NotStopd t0: [08:00:00 04/11/2012] id: Mean Airway Pressure el: 0 cu: MICU-A cg: RRT v1: 9 u1: cmH2O st: NotStopd t0: [08:00:00 04/11/2012] id: Minute Volume(Obser) el: 0 cu: MICU-A cg: RRT v1: 7.8 u1: L/min st: NotStopd t0: [08:00:00 04/11/2012] id: PEEP Set el: 0 cu: MICU-A cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [08:00:00 04/11/2012] id: Apnea Time Interval el: 0 cu: MICU-A cg: RRT v1: 20 st: NotStopd t0: [08:00:00 04/11/2012] id: Peak Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 25 u1: cmH2O st: NotStopd t0: [08:00:00 04/11/2012] id: Plateau Pressure el: 0 cu: MICU-A cg: RRT v1: 19 u1: cmH2O st: NotStopd t0: [08:00:00 04/11/2012] id: Plateau-Off el: 0 cu: MICU-A cg: RRT v1: Yes st: NotStopd t0: [08:00:00 04/11/2012] id: Pressure Support el: 0 cu: MICU-A cg: RRT v1: 0 u1: . st: NotStopd t0: [08:00:00 04/11/2012] id: Resp Rate (Spont) el: 0 cu: MICU-A cg: RRT v1: 0 u1: BPM st: NotStopd t0: [08:00:00 04/11/2012] id: Resp Rate (Total) el: 0 cu: MICU-A cg: RRT v1: 12 u1: BPM st: NotStopd t0: [08:00:00 04/11/2012] id: Respiratory Rate Set el: 0 cu: MICU-A cg: RRT v1: 12 u1: BPM st: NotStopd t0: [08:00:00 04/11/2012] id: Sensitivity-Vent el: 0 cu: MICU-A cg: RRT v1: 2 u1: cmH2O st: NotStopd t0: [08:00:00 04/11/2012] id: Tidal Volume (Obser) el: 0 cu: MICU-A cg: RRT v1: 670 u1: ml/B st: NotStopd t0: [08:00:00 04/11/2012] id: Tidal Volume (Set) el: 0 cu: MICU-A cg: RRT v1: 700 u1: ml/B st: NotStopd t0: [08:00:00 04/11/2012] id: Ventilator Mode el: 0 cu: MICU-A cg: RRT v1: Assist Control st: NotStopd t0: [08:00:00 04/11/2012] id: Ventilator Type el: 0 cu: MICU-A cg: RRT v1: Drager st: NotStopd t0: [08:00:00 04/11/2012] id: Waveform-Vent el: 0 cu: MICU-A cg: RRT v1: RAMP st: NotStopd
t0: [09:00:00 04/11/2012] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [09:00:00 04/11/2012] id: CVP el: 0 cu: MICU-A cg: RN v1: 9 u1: mmHg st: NotStopd t0: [09:00:00 04/11/2012] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [09:00:00 04/11/2012] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [09:00:00 04/11/2012] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [09:00:00 04/11/2012] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [09:00:00 04/11/2012] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 69 u1: BPM st: NotStopd t0: [09:00:00 04/11/2012] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [09:00:00 04/11/2012] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 122 u1: mmHg v2: 51 u2: mmHg st: NotStopd t0: [09:00:00 04/11/2012] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 70 u1: mmHg st: NotStopd t0: [09:00:00 04/11/2012] id: Precautions el: 0 cu: MICU-A cg: RN v1: Contact st: NotStopd t0: [09:00:00 04/11/2012] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 98 u1: % st: NotStopd t0: [09:00:00 04/11/2012] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [09:00:00 04/11/2012] id: .9% Normal Saline 1000.0ml IV Infusions el: 7 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [09:00:00 04/11/2012] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 3 cu: MICU-A cg: RN ai: 126 vo: 25.26 vu: ml t0: [09:00:00 04/11/2012] id: D5W 100.0ml + 600mcghr Sandostatin IV Infusions el: 3 cu: MICU-A cg: RN ai: 127 vo: 8.3 vu: ml t0: [09:00:00 04/11/2012] id: Urine Out Foley el: 2 cu: MICU-A cg: RN vo: 22 vu: ml
t0: [09:00:00 04/11/2012] id: Propofol el: 3 cu: MICU-A cg: RN so: N/A vo: 0 v1: 50 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [09:00:00 04/11/2012] id: Sandostatin el: 4 cu: MICU-A cg: RN so: D5W vo: 0 v1: 49.8 du: mcghr sv: 100 su: ml rt: IV Drip
t0: [10:00:00 04/11/2012] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [10:00:00 04/11/2012] id: CVP el: 0 cu: MICU-A cg: RN v1: 9 u1: mmHg st: NotStopd t0: [10:00:00 04/11/2012] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [10:00:00 04/11/2012] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [10:00:00 04/11/2012] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [10:00:00 04/11/2012] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [10:00:00 04/11/2012] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 71 u1: BPM st: NotStopd t0: [10:00:00 04/11/2012] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [10:00:00 04/11/2012] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 123 u1: mmHg v2: 52 u2: mmHg st: NotStopd t0: [10:00:00 04/11/2012] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 71 u1: mmHg st: NotStopd t0: [10:00:00 04/11/2012] id: Precautions el: 0 cu: MICU-A cg: RN v1: Contact st: NotStopd t0: [10:00:00 04/11/2012] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 98 u1: % st: NotStopd t0: [10:00:00 04/11/2012] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [11:00:00 04/11/2012] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [11:00:00 04/11/2012] id: CVP el: 0 cu: MICU-A cg: RN v1: 7 u1: mmHg st: NotStopd t0: [11:00:00 04/11/2012] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [11:00:00 04/11/2012] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [11:00:00 04/11/2012] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [11:00:00 04/11/2012] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [11:00:00 04/11/2012] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 69 u1: BPM st: NotStopd t0: [11:00:00 04/11/2012] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [11:00:00 04/11/2012] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 121 u1: mmHg v2: 50 u2: mmHg st: NotStopd t0: [11:00:00 04/11/2012] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 69 u1: mmHg st: NotStopd t0: [11:00:00 04/11/2012] id: Precautions el: 0 cu: MICU-A cg: RN v1: Contact st: NotStopd t0: [11:00:00 04/11/2012] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 98 u1: % st: NotStopd t0: [11:00:00 04/11/2012] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [10:00:00 04/11/2012] id: .9% Normal Saline 1000.0ml IV Infusions el: 7 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [10:00:00 04/11/2012] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 3 cu: MICU-A cg: RN ai: 126 vo: 25.26 vu: ml t0: [10:00:00 04/11/2012] id: D5W 100.0ml + 600mcghr Sandostatin IV Infusions el: 3 cu: MICU-A cg: RN ai: 127 vo: 8.3 vu: ml t0: [10:00:00 04/11/2012] id: Urine Out Foley el: 2 cu: MICU-A cg: RN vo: 40 vu: ml t0: [11:00:00 04/11/2012] id: .9% Normal Saline 1000.0ml IV Infusions el: 7 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [11:00:00 04/11/2012] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 3 cu: MICU-A cg: RN ai: 126 vo: 25.26 vu: ml t0: [11:00:00 04/11/2012] id: D5W 100.0ml + 600mcghr Sandostatin IV Infusions el: 3 cu: MICU-A cg: RN ai: 127 vo: 8.3 vu: ml t0: [11:00:00 04/11/2012] id: Urine Out Foley el: 2 cu: MICU-A cg: RN vo: 40 vu: ml
t0: [10:00:00 04/11/2012] id: Propofol el: 3 cu: MICU-A cg: RN so: N/A vo: 0 v1: 50 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [10:00:00 04/11/2012] id: Sandostatin el: 4 cu: MICU-A cg: RN so: D5W vo: 0 v1: 49.8 du: mcghr sv: 100 su: ml rt: IV Drip t0: [11:00:00 04/11/2012] id: Propofol el: 3 cu: MICU-A cg: RN so: N/A vo: 0 v1: 50 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [11:00:00 04/11/2012] id: Sandostatin el: 4 cu: MICU-A cg: RN so: D5W vo: 0 v1: 49.8 du: mcghr sv: 100 su: ml rt: IV Drip
t0: [10:30:00 04/11/2012] id: WBC (4-11,000) Hematology el: 0 cu: MICU-A cg: 1663 v1: 6.9 rs: Final st: NotStopd t0: [10:30:00 04/11/2012] id: WBC Hematology el: 0 cu: MICU-A cg: 1663 v1: 6.9 rs: Final st: NotStopd t0: [10:30:00 04/11/2012] id: Hematocrit Hematology el: 0 cu: MICU-A cg: 1663 v1: 29.8 u1: % rs: Final st: NotStopd t0: [10:30:00 04/11/2012] id: Hemoglobin Hematology el: 0 cu: MICU-A cg: 1663 v1: 10.5 u1: gm/dl rs: Final st: NotStopd t0: [10:30:00 04/11/2012] id: Platelets Hematology el: 0 cu: MICU-A cg: 1663 v1: 75 rs: Final st: NotStopd t0: [10:30:00 04/11/2012] id: RBC Hematology el: 0 cu: MICU-A cg: 1663 v1: 3.39 u1: /mic l rs: Final st: NotStopd t0: [10:30:00 04/11/2012] id: WBC (4-11,000) Hematology el: 0 cu: MICU-A cg: 1663 v1: 6.9 rs: Final st: NotStopd
t0: [11:20:00 04/11/2012] id: ETT Mark/Location el: 0 cu: MICU-A cg: RRT v1: 21cm v2: Lip st: NotStopd t0: [11:20:00 04/11/2012] id: high min vent el: 0 cu: MICU-A cg: RRT v1: 15 t0: [11:20:00 04/11/2012] id: FiO2 Set el: 0 cu: MICU-A cg: RRT v1: 0.5 u1: torr st: NotStopd t0: [11:20:00 04/11/2012] id: High Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 40 u1: cmH2O st: NotStopd t0: [11:20:00 04/11/2012] id: High Resp. Rate el: 0 cu: MICU-A cg: RRT v1: 10 u1: BPM st: NotStopd t0: [11:20:00 04/11/2012] id: Airway Size el: 0 cu: MICU-A cg: RRT v1: 8.0 mm st: NotStopd t0: [11:20:00 04/11/2012] id: Airway Type el: 0 cu: MICU-A cg: RRT v1: Endotracheal st: NotStopd t0: [11:20:00 04/11/2012] id: Intubation Date el: 0 cu: MICU-A cg: RRT v1: 10 v2: 10 st: NotStopd t0: [11:20:00 04/11/2012] id: Low Exhaled Min Vol el: 0 cu: MICU-A cg: RRT v1: 5 st: NotStopd t0: [11:20:00 04/11/2012] id: Mean Airway Pressure el: 0 cu: MICU-A cg: RRT v1: 8 u1: cmH2O st: NotStopd t0: [11:20:00 04/11/2012] id: Minute Volume(Obser) el: 0 cu: MICU-A cg: RRT v1: 6 u1: L/min st: NotStopd t0: [11:20:00 04/11/2012] id: PEEP Set el: 0 cu: MICU-A cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [11:20:00 04/11/2012] id: Apnea Time Interval el: 0 cu: MICU-A cg: RRT v1: 20 st: NotStopd t0: [11:20:00 04/11/2012] id: Plateau-Off el: 0 cu: MICU-A cg: RRT v1: Not Applicable st: NotStopd t0: [11:20:00 04/11/2012] id: Pressure Support el: 0 cu: MICU-A cg: RRT v1: 15 u1: . st: NotStopd t0: [11:20:00 04/11/2012] id: Resp Rate (Total) el: 0 cu: MICU-A cg: RRT v1: 9 u1: BPM st: NotStopd t0: [11:20:00 04/11/2012] id: Sensitivity-Vent el: 0 cu: MICU-A cg: RRT v1: 2 u1: cmH2O st: NotStopd t0: [11:20:00 04/11/2012] id: SpO2 el: 0 cu: MICU-A cg: RRT v1: 98 u1: % st: NotStopd t0: [11:20:00 04/11/2012] id: Tidal Volume (Spont) el: 0 cu: MICU-A cg: RRT v1: 640 u1: ml/B st: NotStopd t0: [11:20:00 04/11/2012] id: Ventilator Mode el: 0 cu: MICU-A cg: RRT v1: CPAP+PS st: NotStopd t0: [11:20:00 04/11/2012] id: Ventilator Type el: 0 cu: MICU-A cg: RRT v1: Drager st: NotStopd t0: [11:20:00 04/11/2012] id: Waveform-Vent el: 0 cu: MICU-A cg: RRT v1: RAMP st: NotStopd
pt: TPN
t0: [03:40:00 04/11/2012] id: Magnesium Chemistry el: 0 cu: MICU-A cg: RN v1: 1.9 rs: Final st: NotStopd t0: [03:40:00 04/11/2012] id: Magnesium (1.6-2.6) Chemistry el: 0 cu: MICU-A cg: RN v1: 1.9 rs: Final st: NotStopd t0: [09:00:00 04/11/2012] id: Turn el: 0 cu: MICU-A cg: RN v1: Logroll st: NotStopd t0: [10:00:00 04/11/2012] id: Less Restrict Meas. el: 0 cu: MICU-A cg: RN v1: Medicated st: NotStopd t0: [10:00:00 04/11/2012] id: Range of Motion el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [10:00:00 04/11/2012] id: Circulation/SkinInt el: 0 cu: MICU-A cg: RN v1: Circulation Adeq st: NotStopd t0: [10:00:00 04/11/2012] id: Impaired Skin Site#1 el: 0 cu: MICU-A cg: RN v1: Coccyx st: NotStopd t0: [10:00:00 04/11/2012] id: Position Change el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [10:00:00 04/11/2012] id: Reason For Restraint el: 0 cu: MICU-A cg: RN v1: Ext/TXInterfere st: NotStopd t0: [10:00:00 04/11/2012] id: Removed x 5 Mins el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [10:00:00 04/11/2012] id: Restraint Location el: 0 cu: MICU-A cg: RN v1: Both Arms st: NotStopd t0: [10:00:00 04/11/2012] id: Restraint Type el: 0 cu: MICU-A cg: RN v1: Soft Limb st: NotStopd t0: [10:00:00 04/11/2012] id: Restraints Evaluated el: 0 cu: MICU-A cg: RN v1: Behavior Conts st: NotStopd t0: [10:00:00 04/11/2012] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [10:00:00 04/11/2012] id: Support Systems el: 0 cu: MICU-A cg: RN v1: Spouse st: NotStopd t0: [12:00:00 04/11/2012] id: Less Restrict Meas. el: 0 cu: MICU-A cg: RN v1: Medicated st: NotStopd t0: [12:00:00 04/11/2012] id: Pain Present el: 0 cu: MICU-A cg: RN v1: No st: NotStopd t0: [12:00:00 04/11/2012] id: Range of Motion el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [12:00:00 04/11/2012] id: Pain Assess Method el: 0 cu: MICU-A cg: RN v1: Non-verbal cues st: NotStopd t0: [12:00:00 04/11/2012] id: PainLevel Acceptable el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [12:00:00 04/11/2012] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [12:00:00 04/11/2012] id: CVP el: 0 cu: MICU-A cg: RN v1: 11 u1: mmHg st: NotStopd t0: [12:00:00 04/11/2012] id: Circulation/SkinInt el: 0 cu: MICU-A cg: RN v1: Circulation Adeq st: NotStopd t0: [12:00:00 04/11/2012] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [12:00:00 04/11/2012] id: Riker-SAS Scale el: 0 cu: MICU-A cg: RN v1: Sedated st: NotStopd t0: [12:00:00 04/11/2012] id: GI Prophylaxis el: 0 cu: MICU-A cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [12:00:00 04/11/2012] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [12:00:00 04/11/2012] id: Diet Type el: 0 cu: MICU-A cg: RN v1: NPO st: NotStopd t0: [12:00:00 04/11/2012] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [12:00:00 04/11/2012] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [12:00:00 04/11/2012] id: Eye Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [12:00:00 04/11/2012] id: Eye Opening el: 0 cu: MICU-A cg: RN v1: 3 To speech st: NotStopd t0: [12:00:00 04/11/2012] id: Family Communication el: 0 cu: MICU-A cg: RN v1: Family Called st: NotStopd t0: [12:00:00 04/11/2012] id: Follows Commands el: 0 cu: MICU-A cg: RN v1: Consistently st: NotStopd t0: [12:00:00 04/11/2012] id: GCS Total el: 0 cu: MICU-A cg: RN v1: 10 u1: points st: NotStopd t0: [12:00:00 04/11/2012] id: HOB el: 0 cu: MICU-A cg: RN v1: 30 degrees st: NotStopd t0: [12:00:00 04/11/2012] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 69 u1: BPM st: NotStopd t0: [12:00:00 04/11/2012] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [12:00:00 04/11/2012] id: INV Line#1 Type/Site el: 0 cu: MICU-A cg: RN v1: PICC line v2: Left Antecub st: NotStopd t0: [12:00:00 04/11/2012] id: INV Line#1InsertDate el: 0 cu: MICU-A cg: RN v1: 10 v2: 9 st: NotStopd t0: [12:00:00 04/11/2012] id: INV Line#1SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [12:00:00 04/11/2012] id: INV Line#2 Type/Site el: 0 cu: MICU-A cg: RN v1: Introducer v2: Left IJ st: NotStopd t0: [12:00:00 04/11/2012] id: INV Line#2InsertDate el: 0 cu: MICU-A cg: RN v1: 10 v2: 10 st: NotStopd t0: [12:00:00 04/11/2012] id: INV Line#2SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [12:00:00 04/11/2012] id: INV Line#3 Type/Site el: 0 cu: MICU-A cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [12:00:00 04/11/2012] id: INV Line#3 Zero/Cal el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [12:00:00 04/11/2012] id: INV Line#3InsertDate el: 0 cu: MICU-A cg: RN v1: 10 v2: 10 st: NotStopd t0: [12:00:00 04/11/2012] id: INV Line#3SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [12:00:00 04/11/2012] id: Abdominal Assessment el: 0 cu: MICU-A cg: RN v1: Ascites st: NotStopd t0: [12:00:00 04/11/2012] id: INV#3 WaveformAppear el: 0 cu: MICU-A cg: RN v1: Sharp st: NotStopd t0: [12:00:00 04/11/2012] id: IV #3 Insert Date el: 0 cu: MICU-A cg: RN v1: 10 v2: 9 st: NotStopd t0: [12:00:00 04/11/2012] id: IV #3 Site/Size el: 0 cu: MICU-A cg: RN v1: Right Antecub v2: 18 gauge st: NotStopd t0: [12:00:00 04/11/2012] id: Activity el: 0 cu: MICU-A cg: RN v1: Bedrest st: NotStopd t0: [12:00:00 04/11/2012] id: IV Site Appear #3 el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [12:00:00 04/11/2012] id: Activity Tolerance el: 0 cu: MICU-A cg: RN v1: Good st: NotStopd t0: [12:00:00 04/11/2012] id: Imp Skin Cleanse #1 el: 0 cu: MICU-A cg: RN v1: Soap & H20 st: NotStopd t0: [12:00:00 04/11/2012] id: ImpSkin Character #1 el: 0 cu: MICU-A cg: RN v1: Abrasion st: NotStopd t0: [12:00:00 04/11/2012] id: ImpSkin Treatment #1 el: 0 cu: MICU-A cg: RN v1: Open to Air st: NotStopd t0: [12:00:00 04/11/2012] id: ImpSkin Wound Base#1 el: 0 cu: MICU-A cg: RN v1: Pink st: NotStopd t0: [12:00:00 04/11/2012] id: Impaired Skin Site#1 el: 0 cu: MICU-A cg: RN v1: Coccyx st: NotStopd t0: [12:00:00 04/11/2012] id: LLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Crackles st: NotStopd t0: [12:00:00 04/11/2012] id: LUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Clear st: NotStopd t0: [12:00:00 04/11/2012] id: Level of Conscious el: 0 cu: MICU-A cg: RN v1: Arouse to Voice st: NotStopd t0: [12:00:00 04/11/2012] id: Motor Response el: 0 cu: MICU-A cg: RN v1: 6 Obeys Commands st: NotStopd t0: [12:00:00 04/11/2012] id: Oral Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [12:00:00 04/11/2012] id: Oral Cavity el: 0 cu: MICU-A cg: RN v1: Bleeding Gum st: NotStopd t0: [12:00:00 04/11/2012] id: Orientation el: 0 cu: MICU-A cg: RN v1: Other/Remarks st: NotStopd t0: [12:00:00 04/11/2012] id: AntiEmbDevice/Status el: 0 cu: MICU-A cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [12:00:00 04/11/2012] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 109 u1: mmHg v2: 44 u2: mmHg st: NotStopd t0: [12:00:00 04/11/2012] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 62 u1: mmHg st: NotStopd t0: [12:00:00 04/11/2012] id: Position el: 0 cu: MICU-A cg: RN v1: Left Side st: NotStopd t0: [12:00:00 04/11/2012] id: Position Change el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [12:00:00 04/11/2012] id: Assistance Device el: 0 cu: MICU-A cg: RN v1: 2 Person Assist st: NotStopd t0: [12:00:00 04/11/2012] id: Precautions el: 0 cu: MICU-A cg: RN v1: Contact st: NotStopd t0: [12:00:00 04/11/2012] id: RLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Crackles st: NotStopd t0: [12:00:00 04/11/2012] id: Reason For Restraint el: 0 cu: MICU-A cg: RN v1: Ext/TXInterfere st: NotStopd t0: [12:00:00 04/11/2012] id: Removed x 5 Mins el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [12:00:00 04/11/2012] id: Respiratory Pattern el: 0 cu: MICU-A cg: RN v1: Regular st: NotStopd t0: [12:00:00 04/11/2012] id: Restraint Location el: 0 cu: MICU-A cg: RN v1: Both Arms st: NotStopd t0: [12:00:00 04/11/2012] id: Restraint Type el: 0 cu: MICU-A cg: RN v1: Soft Limb st: NotStopd t0: [12:00:00 04/11/2012] id: Restraints Evaluated el: 0 cu: MICU-A cg: RN v1: Behavior Conts st: NotStopd t0: [12:00:00 04/11/2012] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [12:00:00 04/11/2012] id: Skin Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [12:00:00 04/11/2012] id: Skin Color el: 0 cu: MICU-A cg: RN v1: Pale st: NotStopd t0: [12:00:00 04/11/2012] id: Skin Integrity el: 0 cu: MICU-A cg: RN v1: Impaired st: NotStopd t0: [12:00:00 04/11/2012] id: Skin Temp/Condition el: 0 cu: MICU-A cg: RN v1: Warm v2: Dry st: NotStopd t0: [12:00:00 04/11/2012] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 96 u1: % st: NotStopd t0: [12:00:00 04/11/2012] id: Spontaneous Movement el: 0 cu: MICU-A cg: RN v1: Purposeful st: NotStopd t0: [12:00:00 04/11/2012] id: Stool Color/Consist el: 0 cu: MICU-A cg: RN v1: Black v2: Liquid st: NotStopd t0: [12:00:00 04/11/2012] id: Stool Management el: 0 cu: MICU-A cg: RN v1: Fecal Incont Bag st: NotStopd t0: [12:00:00 04/11/2012] id: Support Systems el: 0 cu: MICU-A cg: RN v1: Spouse st: NotStopd t0: [12:00:00 04/11/2012] id: Temperature C (calc) el: 0 cu: MICU-A cg: RN v1: 36.3889 u1: Deg. C st: NotStopd t0: [12:00:00 04/11/2012] id: Temperature F el: 0 cu: MICU-A cg: RN v1: 97.5 u1: Deg. F st: NotStopd t0: [12:00:00 04/11/2012] id: Turn el: 0 cu: MICU-A cg: RN v1: Left Side st: NotStopd t0: [12:00:00 04/11/2012] id: Urine Color/Appear el: 0 cu: MICU-A cg: RN v1: Orange v2: Clear st: NotStopd t0: [12:00:00 04/11/2012] id: Urine Source el: 0 cu: MICU-A cg: RN v1: Indwelling Cath st: NotStopd t0: [12:00:00 04/11/2012] id: Verbal Response el: 0 cu: MICU-A cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [12:00:00 04/11/2012] id: Back Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [12:00:00 04/11/2012] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [12:00:00 04/11/2012] id: Behavior el: 0 cu: MICU-A cg: RN v1: Sedated st: NotStopd t0: [12:00:00 04/11/2012] id: Bowel Sounds el: 0 cu: MICU-A cg: RN v1: Present st: NotStopd t0: [12:00:00 04/11/2012] id: Braden Activity el: 0 cu: MICU-A cg: RN v1: Bedfast st: NotStopd t0: [12:00:00 04/11/2012] id: Braden Frict/Shear el: 0 cu: MICU-A cg: RN v1: Potential Prob st: NotStopd t0: [12:00:00 04/11/2012] id: Braden Mobility el: 0 cu: MICU-A cg: RN v1: Very Limited st: NotStopd t0: [12:00:00 04/11/2012] id: Braden Moisture el: 0 cu: MICU-A cg: RN v1: Rarely Moist st: NotStopd t0: [12:00:00 04/11/2012] id: Braden Nutrition el: 0 cu: MICU-A cg: RN v1: Very Poor st: NotStopd t0: [12:00:00 04/11/2012] id: Braden Score el: 0 cu: MICU-A cg: RN v1: 12 u1: number st: NotStopd t0: [12:00:00 04/11/2012] id: Braden SensoryPercep el: 0 cu: MICU-A cg: RN v1: Very Limited st: NotStopd
t0: [11:00:00 04/11/2012] id: IV Piggyback IV Infusions el: 1 cu: MICU-A cg: RN ai: 209 vo: 50 vu: ml t0: [12:00:00 04/11/2012] id: .9% Normal Saline 1000.0ml IV Infusions el: 7 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [12:00:00 04/11/2012] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 3 cu: MICU-A cg: RN ai: 126 vo: 25.26 vu: ml t0: [12:00:00 04/11/2012] id: D5W 100.0ml + 600mcghr Sandostatin IV Infusions el: 3 cu: MICU-A cg: RN ai: 127 vo: 8.3 vu: ml t0: [12:00:00 04/11/2012] id: Urine Out Foley el: 2 cu: MICU-A cg: RN vo: 45 vu: ml
t0: [12:00:00 04/11/2012] id: Propofol el: 3 cu: MICU-A cg: RN so: N/A vo: 0 v1: 50 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [12:00:00 04/11/2012] id: Sandostatin el: 4 cu: MICU-A cg: RN so: D5W vo: 0 v1: 49.8 du: mcghr sv: 100 su: ml rt: IV Drip
t0: [10:30:00 04/11/2012] id: Vancomycin/Random Drug Level el: 0 cu: MICU-A cg: 1663 v1: 25.5 rs: Final st: NotStopd
t0: [12:20:00 04/11/2012] id: ETT Mark/Location el: 0 cu: MICU-A cg: RRT v1: 21cm v2: Lip st: NotStopd t0: [12:20:00 04/11/2012] id: high min vent el: 0 cu: MICU-A cg: RRT v1: 15 t0: [12:20:00 04/11/2012] id: FiO2 Set el: 0 cu: MICU-A cg: RRT v1: 0.5 u1: torr st: NotStopd t0: [12:20:00 04/11/2012] id: High Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 40 u1: cmH2O st: NotStopd t0: [12:20:00 04/11/2012] id: High Resp. Rate el: 0 cu: MICU-A cg: RRT v1: 10 u1: BPM st: NotStopd t0: [12:20:00 04/11/2012] id: Airway Size el: 0 cu: MICU-A cg: RRT v1: 8.0 mm st: NotStopd t0: [12:20:00 04/11/2012] id: Airway Type el: 0 cu: MICU-A cg: RRT v1: Endotracheal st: NotStopd t0: [12:20:00 04/11/2012] id: Intubation Date el: 0 cu: MICU-A cg: RRT v1: 10 v2: 10 st: NotStopd t0: [12:20:00 04/11/2012] id: Low Exhaled Min Vol el: 0 cu: MICU-A cg: RRT v1: 5 st: NotStopd t0: [12:20:00 04/11/2012] id: Mean Airway Pressure el: 0 cu: MICU-A cg: RRT v1: 9 u1: cmH2O st: NotStopd t0: [12:20:00 04/11/2012] id: Micro-Neb Treatment el: 0 cu: MICU-A cg: RRT st: NotStopd t0: [12:20:00 04/11/2012] id: Minute Volume(Obser) el: 0 cu: MICU-A cg: RRT v1: 6.9 u1: L/min st: NotStopd t0: [12:20:00 04/11/2012] id: PEEP Set el: 0 cu: MICU-A cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [12:20:00 04/11/2012] id: Apnea Time Interval el: 0 cu: MICU-A cg: RRT v1: 20 st: NotStopd t0: [12:20:00 04/11/2012] id: Plateau-Off el: 0 cu: MICU-A cg: RRT v1: Not Applicable st: NotStopd t0: [12:20:00 04/11/2012] id: Pressure Support el: 0 cu: MICU-A cg: RRT v1: 15 u1: . st: NotStopd t0: [12:20:00 04/11/2012] id: Resp Rate (Total) el: 0 cu: MICU-A cg: RRT v1: 10 u1: BPM st: NotStopd t0: [12:20:00 04/11/2012] id: Sensitivity-Vent el: 0 cu: MICU-A cg: RRT v1: 2 u1: cmH2O st: NotStopd t0: [12:20:00 04/11/2012] id: SpO2 el: 0 cu: MICU-A cg: RRT v1: 97 u1: % st: NotStopd t0: [12:20:00 04/11/2012] id: Tidal Volume (Spont) el: 0 cu: MICU-A cg: RRT v1: 660 u1: ml/B st: NotStopd t0: [12:20:00 04/11/2012] id: Ventilator Mode el: 0 cu: MICU-A cg: RRT v1: CPAP+PS st: NotStopd t0: [12:20:00 04/11/2012] id: Ventilator Type el: 0 cu: MICU-A cg: RRT v1: Drager st: NotStopd t0: [12:20:00 04/11/2012] id: Waveform-Vent el: 0 cu: MICU-A cg: RRT v1: RAMP st: NotStopd
t0: [12:20:00 04/11/2012] id: Art.pH ABG el: 0 cu: MICU-A cg: 1663 v1: 7.34 rs: Final st: NotStopd t0: [12:20:00 04/11/2012] id: AaDO2 el: 0 cu: MICU-A cg: 1663 v1: 244.5 u1: mmHg st: NotStopd t0: [12:20:00 04/11/2012] id: PAO2 el: 0 cu: MICU-A cg: 1663 v1: 323.5 u1: mmHg st: NotStopd t0: [12:20:00 04/11/2012] id: Arterial Base Excess ABG el: 0 cu: MICU-A cg: 1663 v1: -6 rs: Final st: NotStopd t0: [12:20:00 04/11/2012] id: Arterial CO2(Calc) ABG el: 0 cu: MICU-A cg: 1663 v1: 19 rs: Final st: NotStopd t0: [12:20:00 04/11/2012] id: Arterial PaCO2 ABG el: 0 cu: MICU-A cg: 1663 v1: 33 u1: mmHg rs: Final st: NotStopd t0: [12:20:00 04/11/2012] id: Arterial PaO2 ABG el: 0 cu: MICU-A cg: 1663 v1: 79 u1: mmHg rs: Final st: NotStopd t0: [12:20:00 04/11/2012] id: Arterial pH ABG el: 0 cu: MICU-A cg: 1663 v1: 7.34 rs: Final st: NotStopd
t0: [13:00:00 04/11/2012] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [13:00:00 04/11/2012] id: CVP el: 0 cu: MICU-A cg: RN v1: 12 u1: mmHg st: NotStopd t0: [13:00:00 04/11/2012] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [13:00:00 04/11/2012] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [13:00:00 04/11/2012] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [13:00:00 04/11/2012] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [13:00:00 04/11/2012] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 66 u1: BPM st: NotStopd t0: [13:00:00 04/11/2012] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [13:00:00 04/11/2012] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 103 u1: mmHg v2: 41 u2: mmHg st: NotStopd t0: [13:00:00 04/11/2012] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 58 u1: mmHg st: NotStopd t0: [13:00:00 04/11/2012] id: Precautions el: 0 cu: MICU-A cg: RN v1: Contact st: NotStopd t0: [13:00:00 04/11/2012] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 97 u1: % st: NotStopd t0: [13:00:00 04/11/2012] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [13:00:00 04/11/2012] id: .9% Normal Saline 1000.0ml IV Infusions el: 7 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [13:00:00 04/11/2012] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 3 cu: MICU-A cg: RN ai: 126 vo: 25.26 vu: ml t0: [13:00:00 04/11/2012] id: D5W 100.0ml + 600mcghr Sandostatin IV Infusions el: 3 cu: MICU-A cg: RN ai: 127 vo: 8.3 vu: ml t0: [13:00:00 04/11/2012] id: Urine Out Foley el: 2 cu: MICU-A cg: RN vo: 35 vu: ml
t0: [13:00:00 04/11/2012] id: Propofol el: 3 cu: MICU-A cg: RN so: N/A vo: 0 v1: 40 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [13:00:00 04/11/2012] id: Sandostatin el: 4 cu: MICU-A cg: RN so: D5W vo: 0 v1: 49.8 du: mcghr sv: 100 su: ml rt: IV Drip
t0: [10:30:00 04/11/2012] id: Differential-Bands Hematology el: 0 cu: MICU-A cg: 1663 v1: 1 rs: Final st: NotStopd t0: [10:30:00 04/11/2012] id: Differential-Basos Hematology el: 0 cu: MICU-A cg: 1663 v1: 1 rs: Final st: NotStopd t0: [10:30:00 04/11/2012] id: Differential-Eos Hematology el: 0 cu: MICU-A cg: 1663 v1: 3 rs: Final st: NotStopd t0: [10:30:00 04/11/2012] id: Differential-Lymphs Hematology el: 0 cu: MICU-A cg: 1663 v1: 8 rs: Final st: NotStopd t0: [10:30:00 04/11/2012] id: Differential-Monos Hematology el: 0 cu: MICU-A cg: 1663 v1: 5 rs: Final st: NotStopd t0: [10:30:00 04/11/2012] id: Differential-Polys Hematology el: 0 cu: MICU-A cg: 1663 v1: 82 rs: Final st: NotStopd
t0: [14:00:00 04/11/2012] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [14:00:00 04/11/2012] id: CVP el: 0 cu: MICU-A cg: RN v1: 13 u1: mmHg st: NotStopd t0: [14:00:00 04/11/2012] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [14:00:00 04/11/2012] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [14:00:00 04/11/2012] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [14:00:00 04/11/2012] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [14:00:00 04/11/2012] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 71 u1: BPM st: NotStopd t0: [14:00:00 04/11/2012] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [14:00:00 04/11/2012] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 119 u1: mmHg v2: 48 u2: mmHg st: NotStopd t0: [14:00:00 04/11/2012] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 67 u1: mmHg st: NotStopd t0: [14:00:00 04/11/2012] id: Precautions el: 0 cu: MICU-A cg: RN v1: Contact st: NotStopd t0: [14:00:00 04/11/2012] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 97 u1: % st: NotStopd t0: [14:00:00 04/11/2012] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [12:00:00 04/11/2012] id: IV Piggyback IV Infusions el: 1 cu: MICU-A cg: RN ai: 209 vo: 100 vu: ml t0: [14:00:00 04/11/2012] id: .9% Normal Saline 1000.0ml IV Infusions el: 7 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [14:00:00 04/11/2012] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 3 cu: MICU-A cg: RN ai: 126 vo: 20.208 vu: ml t0: [14:00:00 04/11/2012] id: D5W 100.0ml + 600mcghr Sandostatin IV Infusions el: 3 cu: MICU-A cg: RN ai: 127 vo: 8.3 vu: ml t0: [14:00:00 04/11/2012] id: Urine Out Foley el: 2 cu: MICU-A cg: RN vo: 25 vu: ml t0: [15:00:00 04/11/2012] id: .9% Normal Saline 1000.0ml IV Infusions el: 7 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [15:00:00 04/11/2012] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 3 cu: MICU-A cg: RN ai: 126 vo: 10.104 vu: ml t0: [15:00:00 04/11/2012] id: D5W 100.0ml + 600mcghr Sandostatin IV Infusions el: 3 cu: MICU-A cg: RN ai: 127 vo: 8.3 vu: ml t0: [15:00:00 04/11/2012] id: Urine Out Foley el: 2 cu: MICU-A cg: RN vo: 40 vu: ml
t0: [14:00:00 04/11/2012] id: Propofol el: 3 cu: MICU-A cg: RN so: N/A vo: 0 v1: 20 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [14:00:00 04/11/2012] id: Sandostatin el: 4 cu: MICU-A cg: RN so: D5W vo: 0 v1: 49.8 du: mcghr sv: 100 su: ml rt: IV Drip
t0: [12:00:00 04/11/2012] id: RUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Bronchial st: NotStopd t0: [15:00:00 04/11/2012] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [15:00:00 04/11/2012] id: CVP el: 0 cu: MICU-A cg: RN v1: 12 u1: mmHg st: NotStopd t0: [15:00:00 04/11/2012] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [15:00:00 04/11/2012] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [15:00:00 04/11/2012] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [15:00:00 04/11/2012] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [15:00:00 04/11/2012] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 71 u1: BPM st: NotStopd t0: [15:00:00 04/11/2012] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [15:00:00 04/11/2012] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 119 u1: mmHg v2: 47 u2: mmHg st: NotStopd t0: [15:00:00 04/11/2012] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 66 u1: mmHg st: NotStopd t0: [15:00:00 04/11/2012] id: Precautions el: 0 cu: MICU-A cg: RN v1: Contact st: NotStopd t0: [15:00:00 04/11/2012] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 97 u1: % st: NotStopd t0: [15:00:00 04/11/2012] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [16:00:00 04/11/2012] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [16:00:00 04/11/2012] id: CVP el: 0 cu: MICU-A cg: RN v1: 7 u1: mmHg st: NotStopd t0: [16:00:00 04/11/2012] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [16:00:00 04/11/2012] id: GI Prophylaxis el: 0 cu: MICU-A cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [16:00:00 04/11/2012] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [16:00:00 04/11/2012] id: Diet Type el: 0 cu: MICU-A cg: RN v1: NPO st: NotStopd t0: [16:00:00 04/11/2012] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [16:00:00 04/11/2012] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [16:00:00 04/11/2012] id: Eye Opening el: 0 cu: MICU-A cg: RN v1: 4 Spontaneously st: NotStopd t0: [16:00:00 04/11/2012] id: Follows Commands el: 0 cu: MICU-A cg: RN v1: Consistently st: NotStopd t0: [16:00:00 04/11/2012] id: GCS Total el: 0 cu: MICU-A cg: RN v1: 11 u1: points st: NotStopd t0: [16:00:00 04/11/2012] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 70 u1: BPM st: NotStopd t0: [16:00:00 04/11/2012] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [16:00:00 04/11/2012] id: Abdominal Assessment el: 0 cu: MICU-A cg: RN v1: Ascites st: NotStopd t0: [16:00:00 04/11/2012] id: Level of Conscious el: 0 cu: MICU-A cg: RN v1: Alert st: NotStopd t0: [16:00:00 04/11/2012] id: Motor Response el: 0 cu: MICU-A cg: RN v1: 6 Obeys Commands st: NotStopd t0: [16:00:00 04/11/2012] id: Oral Cavity el: 0 cu: MICU-A cg: RN v1: Bleeding Gum st: NotStopd t0: [16:00:00 04/11/2012] id: Orientation el: 0 cu: MICU-A cg: RN v1: Other/Remarks st: NotStopd t0: [16:00:00 04/11/2012] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 130 u1: mmHg v2: 56 u2: mmHg st: NotStopd t0: [16:00:00 04/11/2012] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 76 u1: mmHg st: NotStopd t0: [16:00:00 04/11/2012] id: Precautions el: 0 cu: MICU-A cg: RN v1: Contact st: NotStopd t0: [16:00:00 04/11/2012] id: Respiratory Pattern el: 0 cu: MICU-A cg: RN v1: Regular st: NotStopd t0: [16:00:00 04/11/2012] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 98 u1: % st: NotStopd t0: [16:00:00 04/11/2012] id: Spontaneous Movement el: 0 cu: MICU-A cg: RN v1: Purposeful st: NotStopd t0: [16:00:00 04/11/2012] id: Stool Color/Consist el: 0 cu: MICU-A cg: RN v1: Black v2: Liquid st: NotStopd t0: [16:00:00 04/11/2012] id: Stool Management el: 0 cu: MICU-A cg: RN v1: Fecal Incont Bag st: NotStopd t0: [16:00:00 04/11/2012] id: Temp. Site el: 0 cu: MICU-A cg: RN v1: Oral st: NotStopd t0: [16:00:00 04/11/2012] id: Temperature C (calc) el: 0 cu: MICU-A cg: RN v1: 36.3333 u1: Deg. C st: NotStopd t0: [16:00:00 04/11/2012] id: Temperature F el: 0 cu: MICU-A cg: RN v1: 97.4 u1: Deg. F st: NotStopd t0: [16:00:00 04/11/2012] id: Urine Source el: 0 cu: MICU-A cg: RN v1: Indwelling Cath st: NotStopd t0: [16:00:00 04/11/2012] id: Verbal Response el: 0 cu: MICU-A cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [16:00:00 04/11/2012] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [16:00:00 04/11/2012] id: Bowel Sounds el: 0 cu: MICU-A cg: RN v1: Present st: NotStopd
t0: [16:00:00 04/11/2012] id: IV Piggyback IV Infusions el: 1 cu: MICU-A cg: RN ai: 209 vo: 100 vu: ml t0: [16:00:00 04/11/2012] id: .9% Normal Saline 1000.0ml IV Infusions el: 7 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [16:00:00 04/11/2012] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 3 cu: MICU-A cg: RN ai: 126 vo: 10.104 vu: ml t0: [16:00:00 04/11/2012] id: D5W 100.0ml + 600mcghr Sandostatin IV Infusions el: 3 cu: MICU-A cg: RN ai: 127 vo: 8.3 vu: ml t0: [16:00:00 04/11/2012] id: Urine Out Foley el: 2 cu: MICU-A cg: RN vo: 80 vu: ml
t0: [15:00:00 04/11/2012] id: Propofol el: 3 cu: MICU-A cg: RN so: N/A vo: 0 v1: 20 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [15:00:00 04/11/2012] id: Sandostatin el: 4 cu: MICU-A cg: RN so: D5W vo: 0 v1: 49.8 du: mcghr sv: 100 su: ml rt: IV Drip t0: [16:00:00 04/11/2012] id: Propofol el: 3 cu: MICU-A cg: RN so: N/A vo: 0 v1: 20 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [16:00:00 04/11/2012] id: Sandostatin el: 4 cu: MICU-A cg: RN so: D5W vo: 0 v1: 49.8 du: mcghr sv: 100 su: ml rt: IV Drip
t0: [16:54:00 04/11/2012] id: ETT Mark/Location el: 0 cu: MICU-A cg: RRT v1: 21cm v2: Lip st: NotStopd t0: [16:54:00 04/11/2012] id: high min vent el: 0 cu: MICU-A cg: RRT v1: 15 t0: [16:54:00 04/11/2012] id: FiO2 Set el: 0 cu: MICU-A cg: RRT v1: 0.5 u1: torr st: NotStopd t0: [16:54:00 04/11/2012] id: High Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 40 u1: cmH2O st: NotStopd t0: [16:54:00 04/11/2012] id: High Resp. Rate el: 0 cu: MICU-A cg: RRT v1: 10 u1: BPM st: NotStopd t0: [16:54:00 04/11/2012] id: Airway Size el: 0 cu: MICU-A cg: RRT v1: 8.0 mm st: NotStopd t0: [16:54:00 04/11/2012] id: Airway Type el: 0 cu: MICU-A cg: RRT v1: Endotracheal st: NotStopd t0: [16:54:00 04/11/2012] id: Intubation Date el: 0 cu: MICU-A cg: RRT v1: 10 v2: 10 st: NotStopd t0: [16:54:00 04/11/2012] id: Low Exhaled Min Vol el: 0 cu: MICU-A cg: RRT v1: 5 st: NotStopd t0: [16:54:00 04/11/2012] id: Mean Airway Pressure el: 0 cu: MICU-A cg: RRT v1: 9 u1: cmH2O st: NotStopd t0: [16:54:00 04/11/2012] id: Minute Volume(Obser) el: 0 cu: MICU-A cg: RRT v1: 9.1 u1: L/min st: NotStopd t0: [16:54:00 04/11/2012] id: PEEP Set el: 0 cu: MICU-A cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [16:54:00 04/11/2012] id: Apnea Time Interval el: 0 cu: MICU-A cg: RRT v1: 20 st: NotStopd t0: [16:54:00 04/11/2012] id: Plateau-Off el: 0 cu: MICU-A cg: RRT v1: Not Applicable st: NotStopd t0: [16:54:00 04/11/2012] id: Pressure Support el: 0 cu: MICU-A cg: RRT v1: 15 u1: . st: NotStopd t0: [16:54:00 04/11/2012] id: Resp Rate (Total) el: 0 cu: MICU-A cg: RRT v1: 11 u1: BPM st: NotStopd t0: [16:54:00 04/11/2012] id: Sensitivity-Vent el: 0 cu: MICU-A cg: RRT v1: 2 u1: cmH2O st: NotStopd t0: [16:54:00 04/11/2012] id: SpO2 el: 0 cu: MICU-A cg: RRT v1: 99 u1: % st: NotStopd t0: [16:54:00 04/11/2012] id: Tidal Volume (Spont) el: 0 cu: MICU-A cg: RRT v1: 890 u1: ml/B st: NotStopd t0: [16:54:00 04/11/2012] id: Ventilator Mode el: 0 cu: MICU-A cg: RRT v1: CPAP+PS st: NotStopd t0: [16:54:00 04/11/2012] id: Ventilator Type el: 0 cu: MICU-A cg: RRT v1: Drager st: NotStopd t0: [16:54:00 04/11/2012] id: Waveform-Vent el: 0 cu: MICU-A cg: RRT v1: RAMP st: NotStopd
t0: [14:00:00 04/11/2012] id: Less Restrict Meas. el: 0 cu: MICU-A cg: RN v1: Medicated st: NotStopd t0: [14:00:00 04/11/2012] id: Range of Motion el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [14:00:00 04/11/2012] id: Circulation/SkinInt el: 0 cu: MICU-A cg: RN v1: Circulation Adeq st: NotStopd t0: [14:00:00 04/11/2012] id: Impaired Skin Site#1 el: 0 cu: MICU-A cg: RN v1: Coccyx st: NotStopd t0: [14:00:00 04/11/2012] id: Position Change el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [14:00:00 04/11/2012] id: Reason For Restraint el: 0 cu: MICU-A cg: RN v1: Ext/TXInterfere st: NotStopd t0: [14:00:00 04/11/2012] id: Removed x 5 Mins el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [14:00:00 04/11/2012] id: Restraint Location el: 0 cu: MICU-A cg: RN v1: Both Arms st: NotStopd t0: [14:00:00 04/11/2012] id: Restraint Type el: 0 cu: MICU-A cg: RN v1: Soft Limb st: NotStopd t0: [14:00:00 04/11/2012] id: Restraints Evaluated el: 0 cu: MICU-A cg: RN v1: Behavior Conts st: NotStopd t0: [14:00:00 04/11/2012] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [14:00:00 04/11/2012] id: Support Systems el: 0 cu: MICU-A cg: RN v1: Spouse st: NotStopd t0: [15:00:00 04/11/2012] id: HOB el: 0 cu: MICU-A cg: RN v1: 30 degrees st: NotStopd t0: [15:00:00 04/11/2012] id: Activity el: 0 cu: MICU-A cg: RN v1: Bedrest st: NotStopd t0: [15:00:00 04/11/2012] id: Activity Tolerance el: 0 cu: MICU-A cg: RN v1: Fair st: NotStopd t0: [15:00:00 04/11/2012] id: AntiEmbDevice/Status el: 0 cu: MICU-A cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [15:00:00 04/11/2012] id: Position el: 0 cu: MICU-A cg: RN v1: Right Side st: NotStopd t0: [15:00:00 04/11/2012] id: Assistance Device el: 0 cu: MICU-A cg: RN v1: 2 Person Assist st: NotStopd t0: [15:00:00 04/11/2012] id: Turn el: 0 cu: MICU-A cg: RN v1: Right Side st: NotStopd t0: [16:00:00 04/11/2012] id: Less Restrict Meas. el: 0 cu: MICU-A cg: RN v1: Medicated st: NotStopd t0: [16:00:00 04/11/2012] id: Range of Motion el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [16:00:00 04/11/2012] id: Circulation/SkinInt el: 0 cu: MICU-A cg: RN v1: Circulation Adeq st: NotStopd t0: [16:00:00 04/11/2012] id: Eye Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [16:00:00 04/11/2012] id: INV Line#1 Type/Site el: 0 cu: MICU-A cg: RN v1: PICC line v2: Left Antecub st: NotStopd t0: [16:00:00 04/11/2012] id: INV Line#1InsertDate el: 0 cu: MICU-A cg: RN v1: 10 v2: 9 st: NotStopd t0: [16:00:00 04/11/2012] id: INV Line#1SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [16:00:00 04/11/2012] id: INV Line#2 Type/Site el: 0 cu: MICU-A cg: RN v1: Introducer v2: Left IJ st: NotStopd t0: [16:00:00 04/11/2012] id: INV Line#2InsertDate el: 0 cu: MICU-A cg: RN v1: 10 v2: 10 st: NotStopd t0: [16:00:00 04/11/2012] id: INV Line#2SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [16:00:00 04/11/2012] id: INV Line#3 Type/Site el: 0 cu: MICU-A cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [16:00:00 04/11/2012] id: INV Line#3 Zero/Cal el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [16:00:00 04/11/2012] id: INV Line#3InsertDate el: 0 cu: MICU-A cg: RN v1: 10 v2: 10 st: NotStopd t0: [16:00:00 04/11/2012] id: INV Line#3SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [16:00:00 04/11/2012] id: INV#3 WaveformAppear el: 0 cu: MICU-A cg: RN v1: Sharp st: NotStopd t0: [16:00:00 04/11/2012] id: IV #3 Insert Date el: 0 cu: MICU-A cg: RN v1: 10 v2: 9 st: NotStopd t0: [16:00:00 04/11/2012] id: IV #3 Site/Size el: 0 cu: MICU-A cg: RN v1: Right Antecub v2: 18 gauge st: NotStopd t0: [16:00:00 04/11/2012] id: IV Site Appear #3 el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [16:00:00 04/11/2012] id: Imp Skin Cleanse #1 el: 0 cu: MICU-A cg: RN v1: Soap & H20 st: NotStopd t0: [16:00:00 04/11/2012] id: ImpSkin Character #1 el: 0 cu: MICU-A cg: RN v1: Abrasion st: NotStopd t0: [16:00:00 04/11/2012] id: ImpSkin Treatment #1 el: 0 cu: MICU-A cg: RN v1: Open to Air st: NotStopd t0: [16:00:00 04/11/2012] id: ImpSkin Wound Base#1 el: 0 cu: MICU-A cg: RN v1: Pink st: NotStopd t0: [16:00:00 04/11/2012] id: Impaired Skin Site#1 el: 0 cu: MICU-A cg: RN v1: Coccyx st: NotStopd t0: [16:00:00 04/11/2012] id: Oral Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [16:00:00 04/11/2012] id: Position Change el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [16:00:00 04/11/2012] id: Reason For Restraint el: 0 cu: MICU-A cg: RN v1: Ext/TXInterfere st: NotStopd t0: [16:00:00 04/11/2012] id: Removed x 5 Mins el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [16:00:00 04/11/2012] id: Restraint Location el: 0 cu: MICU-A cg: RN v1: Both Arms st: NotStopd t0: [16:00:00 04/11/2012] id: Restraint Type el: 0 cu: MICU-A cg: RN v1: Soft Limb st: NotStopd t0: [16:00:00 04/11/2012] id: Restraints Evaluated el: 0 cu: MICU-A cg: RN v1: Behavior Conts st: NotStopd t0: [16:00:00 04/11/2012] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [16:00:00 04/11/2012] id: Skin Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [16:00:00 04/11/2012] id: Skin Color el: 0 cu: MICU-A cg: RN v1: Pale st: NotStopd t0: [16:00:00 04/11/2012] id: Skin Integrity el: 0 cu: MICU-A cg: RN v1: Impaired st: NotStopd t0: [16:00:00 04/11/2012] id: Skin Temp/Condition el: 0 cu: MICU-A cg: RN v1: Warm v2: Dry st: NotStopd t0: [16:00:00 04/11/2012] id: Support Systems el: 0 cu: MICU-A cg: RN v1: Spouse st: NotStopd t0: [16:00:00 04/11/2012] id: Back Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [17:00:00 04/11/2012] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [17:00:00 04/11/2012] id: CVP el: 0 cu: MICU-A cg: RN v1: 8 u1: mmHg st: NotStopd t0: [17:00:00 04/11/2012] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [17:00:00 04/11/2012] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [17:00:00 04/11/2012] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [17:00:00 04/11/2012] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [17:00:00 04/11/2012] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 69 u1: BPM st: NotStopd t0: [17:00:00 04/11/2012] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [17:00:00 04/11/2012] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 133 u1: mmHg v2: 55 u2: mmHg st: NotStopd t0: [17:00:00 04/11/2012] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 75 u1: mmHg st: NotStopd t0: [17:00:00 04/11/2012] id: Precautions el: 0 cu: MICU-A cg: RN v1: Contact st: NotStopd t0: [17:00:00 04/11/2012] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 98 u1: % st: NotStopd t0: [17:00:00 04/11/2012] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [18:00:00 04/11/2012] id: Less Restrict Meas. el: 0 cu: MICU-A cg: RN v1: Medicated st: NotStopd t0: [18:00:00 04/11/2012] id: Range of Motion el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [18:00:00 04/11/2012] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [18:00:00 04/11/2012] id: CVP el: 0 cu: MICU-A cg: RN v1: 9 u1: mmHg st: NotStopd t0: [18:00:00 04/11/2012] id: Circulation/SkinInt el: 0 cu: MICU-A cg: RN v1: Circulation Adeq st: NotStopd t0: [18:00:00 04/11/2012] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [18:00:00 04/11/2012] id: Riker-SAS Scale el: 0 cu: MICU-A cg: RN v1: Sedated st: NotStopd t0: [18:00:00 04/11/2012] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [18:00:00 04/11/2012] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [18:00:00 04/11/2012] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [18:00:00 04/11/2012] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 68 u1: BPM st: NotStopd t0: [18:00:00 04/11/2012] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [18:00:00 04/11/2012] id: Impaired Skin Site#1 el: 0 cu: MICU-A cg: RN v1: Coccyx st: NotStopd t0: [18:00:00 04/11/2012] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 129 u1: mmHg v2: 52 u2: mmHg st: NotStopd t0: [18:00:00 04/11/2012] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 72 u1: mmHg st: NotStopd t0: [18:00:00 04/11/2012] id: Position Change el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [18:00:00 04/11/2012] id: Precautions el: 0 cu: MICU-A cg: RN v1: Contact st: NotStopd t0: [18:00:00 04/11/2012] id: Reason For Restraint el: 0 cu: MICU-A cg: RN v1: Ext/TXInterfere st: NotStopd t0: [18:00:00 04/11/2012] id: Removed x 5 Mins el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [18:00:00 04/11/2012] id: Restraint Location el: 0 cu: MICU-A cg: RN v1: Both Arms st: NotStopd t0: [18:00:00 04/11/2012] id: Restraint Type el: 0 cu: MICU-A cg: RN v1: Soft Limb st: NotStopd t0: [18:00:00 04/11/2012] id: Restraints Evaluated el: 0 cu: MICU-A cg: RN v1: Behavior Conts st: NotStopd t0: [18:00:00 04/11/2012] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [18:00:00 04/11/2012] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 98 u1: % st: NotStopd t0: [18:00:00 04/11/2012] id: Support Systems el: 0 cu: MICU-A cg: RN v1: Spouse st: NotStopd t0: [18:00:00 04/11/2012] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [15:00:00 04/11/2012] id: Stool Out Stool el: 1 cu: MICU-A cg: RN vo: 200 vu: ml t0: [17:30:00 04/11/2012] id: .9% Normal Saline 1000.0ml IV Infusions el: 7 cu: MICU-A cg: RN ai: 107 vo: 15 vu: ml t0: [17:30:00 04/11/2012] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 3 cu: MICU-A cg: RN ai: 126 vo: 20.208 vu: ml t0: [17:30:00 04/11/2012] id: D5W 100.0ml + 600mcghr Sandostatin IV Infusions el: 3 cu: MICU-A cg: RN ai: 127 vo: 12.45 vu: ml t0: [17:30:00 04/11/2012] id: Urine Out Foley el: 2 cu: MICU-A cg: RN vo: 60 vu: ml
t0: [17:00:00 04/11/2012] id: Propofol el: 3 cu: MICU-A cg: RN so: N/A vo: 0 v1: 40 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [17:00:00 04/11/2012] id: Sandostatin el: 4 cu: MICU-A cg: RN so: D5W vo: 0 v1: 49.8 du: mcghr sv: 100 su: ml rt: IV Drip t0: [18:00:00 04/11/2012] id: Propofol el: 3 cu: MICU-A cg: RN so: N/A vo: 0 v1: 40 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [18:00:00 04/11/2012] id: Sandostatin el: 4 cu: MICU-A cg: RN so: D5W vo: 0 v1: 49.8 du: mcghr sv: 100 su: ml rt: IV Drip
t0: [23:00:00 04/11/2012] dt: 24 id: Stool Out Total el: 2 cu: MICU-A cg: RN cv: 1000 ap: none
t0: [17:44:00 04/11/2012] id: WBC (4-11,000) Hematology el: 0 cu: MICU-A cg: 1663 v1: 6.9 rs: Final st: NotStopd t0: [17:44:00 04/11/2012] id: WBC Hematology el: 0 cu: MICU-A cg: 1663 v1: 6.9 rs: Final st: NotStopd t0: [17:44:00 04/11/2012] id: Hematocrit Hematology el: 0 cu: MICU-A cg: 1663 v1: 31.8 u1: % rs: Final st: NotStopd t0: [17:44:00 04/11/2012] id: Hemoglobin Hematology el: 0 cu: MICU-A cg: 1663 v1: 10.4 u1: gm/dl rs: Final st: NotStopd t0: [17:44:00 04/11/2012] id: Platelets Hematology el: 0 cu: MICU-A cg: 1663 v1: 74 rs: Final st: NotStopd t0: [17:44:00 04/11/2012] id: RBC Hematology el: 0 cu: MICU-A cg: 1663 v1: 3.57 u1: /mic l rs: Final st: NotStopd t0: [17:44:00 04/11/2012] id: WBC (4-11,000) Hematology el: 0 cu: MICU-A cg: 1663 v1: 6.9 rs: Final st: NotStopd
t0: [17:44:00 04/11/2012] id: Potassium Chemistry el: 0 cu: MICU-A cg: 1663 v1: 3.9 rs: Final st: NotStopd t0: [17:44:00 04/11/2012] id: Potassium (3.5-5.3) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 3.9 rs: Final st: NotStopd
t0: [19:00:00 04/11/2012] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [19:00:00 04/11/2012] id: CVP el: 0 cu: MICU-A cg: RN v1: 10 u1: mmHg st: NotStopd t0: [19:00:00 04/11/2012] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [19:00:00 04/11/2012] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [19:00:00 04/11/2012] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [19:00:00 04/11/2012] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [19:00:00 04/11/2012] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 78 u1: BPM st: NotStopd t0: [19:00:00 04/11/2012] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [19:00:00 04/11/2012] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 126 u1: mmHg v2: 55 u2: mmHg st: NotStopd t0: [19:00:00 04/11/2012] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 76 u1: mmHg st: NotStopd t0: [19:00:00 04/11/2012] id: Precautions el: 0 cu: MICU-A cg: RN v1: Contact st: NotStopd t0: [19:00:00 04/11/2012] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [19:00:00 04/11/2012] id: .9% Normal Saline 1000.0ml IV Infusions el: 7 cu: MICU-A cg: RN ai: 107 vo: 15 vu: ml t0: [19:00:00 04/11/2012] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 3 cu: MICU-A cg: RN ai: 126 vo: 30.312 vu: ml t0: [19:00:00 04/11/2012] id: D5W 100.0ml + 600mcghr Sandostatin IV Infusions el: 3 cu: MICU-A cg: RN ai: 127 vo: 12.45 vu: ml t0: [19:00:00 04/11/2012] id: Urine Out Foley el: 2 cu: MICU-A cg: RN vo: 70 vu: ml
t0: [19:00:00 04/11/2012] id: Propofol el: 3 cu: MICU-A cg: RN so: N/A vo: 0 v1: 40 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [19:00:00 04/11/2012] id: Sandostatin el: 4 cu: MICU-A cg: RN so: D5W vo: 0 v1: 49.8 du: mcghr sv: 100 su: ml rt: IV Drip
t0: [17:44:00 04/11/2012] id: PT el: 0 cu: MICU-A cg: 1663 v1: 14.5 rs: Final st: NotStopd t0: [17:44:00 04/11/2012] id: Fibrinogen Coags el: 0 cu: MICU-A cg: 1663 v1: 152 rs: Final st: NotStopd t0: [17:44:00 04/11/2012] id: INR Coags el: 0 cu: MICU-A cg: 1663 v1: 1.4 rs: Final st: NotStopd t0: [17:44:00 04/11/2012] id: PTT Coags el: 0 cu: MICU-A cg: 1663 v1: 39.1 rs: Final st: NotStopd t0: [17:44:00 04/11/2012] id: Fibrinogen (150-400) Coags el: 0 cu: MICU-A cg: 1663 v1: 152 rs: Final st: NotStopd t0: [17:44:00 04/11/2012] id: INR (2-4 ref. range) Coags el: 0 cu: MICU-A cg: 1663 v1: 1.4 rs: Final st: NotStopd t0: [17:44:00 04/11/2012] id: PT(11-13.5) Coags el: 0 cu: MICU-A cg: 1663 v1: 14.5 rs: Final st: NotStopd t0: [17:44:00 04/11/2012] id: PTT(22-35) Coags el: 0 cu: MICU-A cg: 1663 v1: 39.1 rs: Final st: NotStopd
t0: [20:00:00 04/11/2012] id: Pain Present el: 0 cu: MICU-A cg: RN v1: No st: NotStopd t0: [20:00:00 04/11/2012] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [20:00:00 04/11/2012] id: CVP el: 0 cu: MICU-A cg: RN v1: 6 u1: mmHg st: NotStopd t0: [20:00:00 04/11/2012] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [20:00:00 04/11/2012] id: Riker-SAS Scale el: 0 cu: MICU-A cg: RN v1: Sedated st: NotStopd t0: [20:00:00 04/11/2012] id: GI Prophylaxis el: 0 cu: MICU-A cg: RN v1: Proton/Pump/Inhi v2: Other/Remarks st: NotStopd t0: [20:00:00 04/11/2012] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [20:00:00 04/11/2012] id: Diet Type el: 0 cu: MICU-A cg: RN v1: NPO st: NotStopd t0: [20:00:00 04/11/2012] id: Dorsal PedPulse R/L el: 0 cu: MICU-A cg: RN v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [20:00:00 04/11/2012] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [20:00:00 04/11/2012] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [20:00:00 04/11/2012] id: Eye Opening el: 0 cu: MICU-A cg: RN v1: 3 To speech st: NotStopd t0: [20:00:00 04/11/2012] id: Follows Commands el: 0 cu: MICU-A cg: RN v1: Consistently st: NotStopd t0: [20:00:00 04/11/2012] id: GCS Total el: 0 cu: MICU-A cg: RN v1: 10 u1: points st: NotStopd t0: [20:00:00 04/11/2012] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 71 u1: BPM st: NotStopd t0: [20:00:00 04/11/2012] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [20:00:00 04/11/2012] id: INV Line#1 Type/Site el: 0 cu: MICU-A cg: RN v1: PICC line v2: Left Antecub st: NotStopd t0: [20:00:00 04/11/2012] id: INV Line#1InsertDate el: 0 cu: MICU-A cg: RN v1: 10 v2: 9 st: NotStopd t0: [20:00:00 04/11/2012] id: INV Line#1SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [20:00:00 04/11/2012] id: INV Line#2 Type/Site el: 0 cu: MICU-A cg: RN v1: Introducer v2: Left IJ st: NotStopd t0: [20:00:00 04/11/2012] id: INV Line#2InsertDate el: 0 cu: MICU-A cg: RN v1: 10 v2: 10 st: NotStopd t0: [20:00:00 04/11/2012] id: INV Line#2SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [20:00:00 04/11/2012] id: INV Line#3 Type/Site el: 0 cu: MICU-A cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [20:00:00 04/11/2012] id: INV Line#3 Zero/Cal el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [20:00:00 04/11/2012] id: INV Line#3InsertDate el: 0 cu: MICU-A cg: RN v1: 10 v2: 10 st: NotStopd t0: [20:00:00 04/11/2012] id: INV Line#3SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [20:00:00 04/11/2012] id: Abdominal Assessment el: 0 cu: MICU-A cg: RN v1: Ascites st: NotStopd t0: [20:00:00 04/11/2012] id: INV#3 WaveformAppear el: 0 cu: MICU-A cg: RN v1: Sharp st: NotStopd t0: [20:00:00 04/11/2012] id: LLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [20:00:00 04/11/2012] id: LUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [20:00:00 04/11/2012] id: Level of Conscious el: 0 cu: MICU-A cg: RN v1: Arouse to Voice st: NotStopd t0: [20:00:00 04/11/2012] id: Motor Response el: 0 cu: MICU-A cg: RN v1: 6 Obeys Commands st: NotStopd t0: [20:00:00 04/11/2012] id: Oral Cavity el: 0 cu: MICU-A cg: RN v1: Bleeding Gum st: NotStopd t0: [20:00:00 04/11/2012] id: Orientation el: 0 cu: MICU-A cg: RN v1: Other/Remarks st: NotStopd t0: [20:00:00 04/11/2012] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 143 u1: mmHg v2: 63 u2: mmHg st: NotStopd t0: [20:00:00 04/11/2012] id: Pain Location el: 0 cu: MICU-A cg: RN v1: Not Indicated st: NotStopd t0: [20:00:00 04/11/2012] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 84 u1: mmHg st: NotStopd t0: [20:00:00 04/11/2012] id: PostTib. Pulses R/L el: 0 cu: MICU-A cg: RN v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [20:00:00 04/11/2012] id: Precautions el: 0 cu: MICU-A cg: RN v1: Contact st: NotStopd t0: [20:00:00 04/11/2012] id: RLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [20:00:00 04/11/2012] id: RUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [20:00:00 04/11/2012] id: Respiratory Pattern el: 0 cu: MICU-A cg: RN v1: Regular st: NotStopd t0: [20:00:00 04/11/2012] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 12 u1: BPM st: NotStopd t0: [20:00:00 04/11/2012] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 97 u1: % st: NotStopd t0: [20:00:00 04/11/2012] id: Spontaneous Movement el: 0 cu: MICU-A cg: RN v1: Purposeful st: NotStopd t0: [20:00:00 04/11/2012] id: Sputum Color/Consist el: 0 cu: MICU-A cg: RN v1: Other/Remarks v2: Thin st: NotStopd t0: [20:00:00 04/11/2012] id: Sputum Source/Amt el: 0 cu: MICU-A cg: RN v1: Suctioned v2: Small st: NotStopd t0: [20:00:00 04/11/2012] id: Stool Color/Consist el: 0 cu: MICU-A cg: RN v1: Black v2: Liquid st: NotStopd t0: [20:00:00 04/11/2012] id: Stool Guaiac el: 0 cu: MICU-A cg: RN v1: Positive st: NotStopd t0: [20:00:00 04/11/2012] id: Stool Management el: 0 cu: MICU-A cg: RN v1: Fecal Incont Bag st: NotStopd t0: [20:00:00 04/11/2012] id: Temp. Site el: 0 cu: MICU-A cg: RN v1: Oral st: NotStopd t0: [20:00:00 04/11/2012] id: Temperature C (calc) el: 0 cu: MICU-A cg: RN v1: 36.7222 u1: Deg. C st: NotStopd t0: [20:00:00 04/11/2012] id: Temperature F el: 0 cu: MICU-A cg: RN v1: 98.1 u1: Deg. F st: NotStopd t0: [20:00:00 04/11/2012] id: Urine Color/Appear el: 0 cu: MICU-A cg: RN v1: Icteric v2: Cloudy st: NotStopd t0: [20:00:00 04/11/2012] id: Urine Source el: 0 cu: MICU-A cg: RN v1: Indwelling Cath st: NotStopd t0: [20:00:00 04/11/2012] id: Verbal Response el: 0 cu: MICU-A cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [20:00:00 04/11/2012] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [20:00:00 04/11/2012] id: Bowel Sounds el: 0 cu: MICU-A cg: RN v1: Present st: NotStopd
t0: [20:00:00 04/11/2012] id: .9% Normal Saline 1000.0ml IV Infusions el: 7 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [20:00:00 04/11/2012] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 3 cu: MICU-A cg: RN ai: 126 vo: 20.208 vu: ml t0: [20:00:00 04/11/2012] id: D5W 100.0ml + 600mcghr Sandostatin IV Infusions el: 3 cu: MICU-A cg: RN ai: 127 vo: 8.3 vu: ml t0: [20:00:00 04/11/2012] id: Urine Out Foley el: 2 cu: MICU-A cg: RN vo: 40 vu: ml
t0: [20:00:00 04/11/2012] id: Propofol el: 3 cu: MICU-A cg: RN so: N/A vo: 0 v1: 40 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [20:00:00 04/11/2012] id: Sandostatin el: 4 cu: MICU-A cg: RN so: D5W vo: 0 v1: 49.8 du: mcghr sv: 100 su: ml rt: IV Drip
t0: [20:00:00 04/11/2012] id: IV #3 Reason DC'D el: 0 cu: MICU-A cg: -1 st: D/C'd t0: [20:00:00 04/11/2012] id: IV #3 D/C Date el: 0 cu: MICU-A cg: -1 st: D/C'd t0: [20:00:00 04/11/2012] id: IV #3 Insert Date el: 0 cu: MICU-A cg: -1 st: D/C'd t0: [20:00:00 04/11/2012] id: IV #3 Site/Size el: 0 cu: MICU-A cg: -1 st: D/C'd t0: [20:00:00 04/11/2012] id: IV Site Appear #3 el: 0 cu: MICU-A cg: -1 st: D/C'd
t0: [20:00:00 04/11/2012] id: Less Restrict Meas. el: 0 cu: MICU-A cg: RN v1: Medicated st: NotStopd t0: [20:00:00 04/11/2012] id: Range of Motion el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [20:00:00 04/11/2012] id: Circulation/SkinInt el: 0 cu: MICU-A cg: RN v1: Circulation Adeq st: NotStopd t0: [20:00:00 04/11/2012] id: HOB el: 0 cu: MICU-A cg: RN v1: 30 degrees st: NotStopd t0: [20:00:00 04/11/2012] id: Activity el: 0 cu: MICU-A cg: RN v1: Bedrest st: NotStopd t0: [20:00:00 04/11/2012] id: Activity Tolerance el: 0 cu: MICU-A cg: RN v1: Tolerated Well st: NotStopd t0: [20:00:00 04/11/2012] id: ImpSkin Character #1 el: 0 cu: MICU-A cg: RN v1: Other/Remarks st: NotStopd t0: [20:00:00 04/11/2012] id: ImpSkin Treatment #1 el: 0 cu: MICU-A cg: RN v1: Open to Air st: NotStopd t0: [20:00:00 04/11/2012] id: ImpSkin Wound Base#1 el: 0 cu: MICU-A cg: RN v1: Pink st: NotStopd t0: [20:00:00 04/11/2012] id: Impaired Skin Site#1 el: 0 cu: MICU-A cg: RN v1: Coccyx st: NotStopd t0: [20:00:00 04/11/2012] id: Oral Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [20:00:00 04/11/2012] id: AntiEmbDevice/Status el: 0 cu: MICU-A cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [20:00:00 04/11/2012] id: Position el: 0 cu: MICU-A cg: RN v1: Left Side st: NotStopd t0: [20:00:00 04/11/2012] id: Position Change el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [20:00:00 04/11/2012] id: Assistance Device el: 0 cu: MICU-A cg: RN v1: Total Lift st: NotStopd t0: [20:00:00 04/11/2012] id: Reason For Restraint el: 0 cu: MICU-A cg: RN v1: Ext/TXInterfere st: NotStopd t0: [20:00:00 04/11/2012] id: Removed x 5 Mins el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [20:00:00 04/11/2012] id: Restraint Location el: 0 cu: MICU-A cg: RN v1: Both Arms st: NotStopd t0: [20:00:00 04/11/2012] id: Restraint Type el: 0 cu: MICU-A cg: RN v1: Soft Limb st: NotStopd t0: [20:00:00 04/11/2012] id: Restraints Evaluated el: 0 cu: MICU-A cg: RN v1: Behavior Conts st: NotStopd t0: [20:00:00 04/11/2012] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [20:00:00 04/11/2012] id: Skin Color el: 0 cu: MICU-A cg: RN v1: Jaundiced st: NotStopd t0: [20:00:00 04/11/2012] id: Skin Integrity el: 0 cu: MICU-A cg: RN v1: Impaired st: NotStopd t0: [20:00:00 04/11/2012] id: Skin Temp/Condition el: 0 cu: MICU-A cg: RN v1: Warm v2: Dry st: NotStopd t0: [20:00:00 04/11/2012] id: Support Systems el: 0 cu: MICU-A cg: RN v1: Spouse st: NotStopd t0: [20:00:00 04/11/2012] id: Turn el: 0 cu: MICU-A cg: RN v1: Left Side st: NotStopd t0: [20:00:00 04/11/2012] id: Braden Activity el: 0 cu: MICU-A cg: RN v1: Bedfast st: NotStopd t0: [20:00:00 04/11/2012] id: Braden Frict/Shear el: 0 cu: MICU-A cg: RN v1: Problem st: NotStopd t0: [20:00:00 04/11/2012] id: Braden Mobility el: 0 cu: MICU-A cg: RN v1: Comp. Immobile st: NotStopd t0: [20:00:00 04/11/2012] id: Braden Moisture el: 0 cu: MICU-A cg: RN v1: Occ. Moist st: NotStopd t0: [20:00:00 04/11/2012] id: Braden Nutrition el: 0 cu: MICU-A cg: RN v1: Prob. Inadequate st: NotStopd t0: [20:00:00 04/11/2012] id: Braden Score el: 0 cu: MICU-A cg: RN v1: 9 u1: number st: NotStopd t0: [20:00:00 04/11/2012] id: Braden SensoryPercep el: 0 cu: MICU-A cg: RN v1: Comp. Limited st: NotStopd
t0: [21:00:00 04/11/2012] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [21:00:00 04/11/2012] id: CVP el: 0 cu: MICU-A cg: RN v1: 11 u1: mmHg st: NotStopd t0: [21:00:00 04/11/2012] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [21:00:00 04/11/2012] id: Riker-SAS Scale el: 0 cu: MICU-A cg: RN v1: Sedated st: NotStopd t0: [21:00:00 04/11/2012] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [21:00:00 04/11/2012] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [21:00:00 04/11/2012] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [21:00:00 04/11/2012] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 70 u1: BPM st: NotStopd t0: [21:00:00 04/11/2012] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [21:00:00 04/11/2012] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 136 u1: mmHg v2: 53 u2: mmHg st: NotStopd t0: [21:00:00 04/11/2012] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 75 u1: mmHg st: NotStopd t0: [21:00:00 04/11/2012] id: Precautions el: 0 cu: MICU-A cg: RN v1: Contact st: NotStopd t0: [21:00:00 04/11/2012] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 10 u1: BPM st: NotStopd t0: [21:00:00 04/11/2012] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 97 u1: % st: NotStopd t0: [21:00:00 04/11/2012] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [21:00:00 04/11/2012] id: .9% Normal Saline 1000.0ml IV Infusions el: 7 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [21:00:00 04/11/2012] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 3 cu: MICU-A cg: RN ai: 126 vo: 20.208 vu: ml t0: [21:00:00 04/11/2012] id: D5W 100.0ml + 600mcghr Sandostatin IV Infusions el: 3 cu: MICU-A cg: RN ai: 127 vo: 8.3 vu: ml t0: [21:00:00 04/11/2012] id: Urine Out Foley el: 2 cu: MICU-A cg: RN vo: 60 vu: ml
t0: [21:00:00 04/11/2012] id: Propofol el: 3 cu: MICU-A cg: RN so: N/A vo: 0 v1: 40 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [21:00:00 04/11/2012] id: Sandostatin el: 4 cu: MICU-A cg: RN so: D5W vo: 0 v1: 49.8 du: mcghr sv: 100 su: ml rt: IV Drip
t0: [21:00:00 04/11/2012] id: Compliance (40-60ml) el: 0 cu: MICU-A cg: RRT v1: 33.3333 u1: ml/cmH st: NotStopd t0: [21:00:00 04/11/2012] id: ETT Mark/Location el: 0 cu: MICU-A cg: RRT v1: 21cm v2: Lip st: NotStopd t0: [21:00:00 04/11/2012] id: high min vent el: 0 cu: MICU-A cg: RRT v1: 12 t0: [21:00:00 04/11/2012] id: FiO2 Set el: 0 cu: MICU-A cg: RRT v1: 0.5 u1: torr st: NotStopd t0: [21:00:00 04/11/2012] id: High Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 35 u1: cmH2O st: NotStopd t0: [21:00:00 04/11/2012] id: High Resp. Rate el: 0 cu: MICU-A cg: RRT v1: 15 u1: BPM st: NotStopd t0: [21:00:00 04/11/2012] id: I:E Ratio el: 0 cu: MICU-A cg: RRT v1: 1:4.0 st: NotStopd t0: [21:00:00 04/11/2012] id: Airway Size el: 0 cu: MICU-A cg: RRT v1: 8.0 mm st: NotStopd t0: [21:00:00 04/11/2012] id: Airway Type el: 0 cu: MICU-A cg: RRT v1: Endotracheal st: NotStopd t0: [21:00:00 04/11/2012] id: Intubation Date el: 0 cu: MICU-A cg: RRT v1: 10 v2: 10 st: NotStopd t0: [21:00:00 04/11/2012] id: Low Exhaled Min Vol el: 0 cu: MICU-A cg: RRT v1: 5 st: NotStopd t0: [21:00:00 04/11/2012] id: Mean Airway Pressure el: 0 cu: MICU-A cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [21:00:00 04/11/2012] id: Minute Volume(Obser) el: 0 cu: MICU-A cg: RRT v1: 9.6 u1: L/min st: NotStopd t0: [21:00:00 04/11/2012] id: PEEP Set el: 0 cu: MICU-A cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [21:00:00 04/11/2012] id: Apnea Time Interval el: 0 cu: MICU-A cg: RRT v1: 20 st: NotStopd t0: [21:00:00 04/11/2012] id: Peak Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 26 u1: cmH2O st: NotStopd t0: [21:00:00 04/11/2012] id: Plateau Pressure el: 0 cu: MICU-A cg: RRT v1: 22 u1: cmH2O st: NotStopd t0: [21:00:00 04/11/2012] id: Plateau-Off el: 0 cu: MICU-A cg: RRT v1: Not Applicable st: NotStopd t0: [21:00:00 04/11/2012] id: Pressure Support el: 0 cu: MICU-A cg: RRT v1: 15 u1: . st: NotStopd t0: [21:00:00 04/11/2012] id: Resp Rate (Spont) el: 0 cu: MICU-A cg: RRT v1: 2 u1: BPM st: NotStopd t0: [21:00:00 04/11/2012] id: Resp Rate (Total) el: 0 cu: MICU-A cg: RRT v1: 14 u1: BPM st: NotStopd t0: [21:00:00 04/11/2012] id: Respiratory Rate Set el: 0 cu: MICU-A cg: RRT v1: 12 u1: BPM st: NotStopd t0: [21:00:00 04/11/2012] id: Sensitivity-Vent el: 0 cu: MICU-A cg: RRT v1: 2 u1: cmH2O st: NotStopd t0: [21:00:00 04/11/2012] id: Tidal Volume (Obser) el: 0 cu: MICU-A cg: RRT v1: 770 u1: ml/B st: NotStopd t0: [21:00:00 04/11/2012] id: Tidal Volume (Set) el: 0 cu: MICU-A cg: RRT v1: 700 u1: ml/B st: NotStopd t0: [21:00:00 04/11/2012] id: Ventilator Mode el: 0 cu: MICU-A cg: RRT v1: Assist Control st: NotStopd t0: [21:00:00 04/11/2012] id: Ventilator Type el: 0 cu: MICU-A cg: RRT v1: Drager st: NotStopd t0: [21:00:00 04/11/2012] id: Waveform-Vent el: 0 cu: MICU-A cg: RRT v1: RAMP st: NotStopd
t0: [22:00:00 04/11/2012] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [22:00:00 04/11/2012] id: CVP el: 0 cu: MICU-A cg: RN v1: 10 u1: mmHg st: NotStopd t0: [22:00:00 04/11/2012] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [22:00:00 04/11/2012] id: Riker-SAS Scale el: 0 cu: MICU-A cg: RN v1: Sedated st: NotStopd t0: [22:00:00 04/11/2012] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [22:00:00 04/11/2012] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [22:00:00 04/11/2012] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [22:00:00 04/11/2012] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 69 u1: BPM st: NotStopd t0: [22:00:00 04/11/2012] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [22:00:00 04/11/2012] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 139 u1: mmHg v2: 54 u2: mmHg st: NotStopd t0: [22:00:00 04/11/2012] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 77 u1: mmHg st: NotStopd t0: [22:00:00 04/11/2012] id: Precautions el: 0 cu: MICU-A cg: RN v1: Contact st: NotStopd t0: [22:00:00 04/11/2012] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 12 u1: BPM st: NotStopd t0: [22:00:00 04/11/2012] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 97 u1: % st: NotStopd t0: [22:00:00 04/11/2012] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [22:00:00 04/11/2012] id: .9% Normal Saline 1000.0ml IV Infusions el: 7 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [22:00:00 04/11/2012] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 3 cu: MICU-A cg: RN ai: 126 vo: 20.208 vu: ml t0: [22:00:00 04/11/2012] id: D5W 100.0ml + 600mcghr Sandostatin IV Infusions el: 3 cu: MICU-A cg: RN ai: 127 vo: 8.3 vu: ml t0: [22:00:00 04/11/2012] id: Urine Out Foley el: 2 cu: MICU-A cg: RN vo: 80 vu: ml
t0: [22:00:00 04/11/2012] id: Propofol el: 3 cu: MICU-A cg: RN so: N/A vo: 0 v1: 40 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [22:00:00 04/11/2012] id: Sandostatin el: 4 cu: MICU-A cg: RN so: D5W vo: 0 v1: 49.8 du: mcghr sv: 100 su: ml rt: IV Drip
t0: [10:31:00 04/11/2012] id: Hematocrit Hematology el: 0 cu: MICU-A cg: 1663 v1: 31.6 u1: % rs: Final st: NotStopd
t0: [23:00:00 04/11/2012] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [23:00:00 04/11/2012] id: CVP el: 0 cu: MICU-A cg: RN v1: 10 u1: mmHg st: NotStopd t0: [23:00:00 04/11/2012] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [23:00:00 04/11/2012] id: Riker-SAS Scale el: 0 cu: MICU-A cg: RN v1: Sedated st: NotStopd t0: [23:00:00 04/11/2012] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [23:00:00 04/11/2012] id: ETT Position Change el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [23:00:00 04/11/2012] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [23:00:00 04/11/2012] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [23:00:00 04/11/2012] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 73 u1: BPM st: NotStopd t0: [23:00:00 04/11/2012] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [23:00:00 04/11/2012] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 141 u1: mmHg v2: 58 u2: mmHg st: NotStopd t0: [23:00:00 04/11/2012] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 81 u1: mmHg st: NotStopd t0: [23:00:00 04/11/2012] id: Precautions el: 0 cu: MICU-A cg: RN v1: Contact st: NotStopd t0: [23:00:00 04/11/2012] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 14 u1: BPM st: NotStopd t0: [23:00:00 04/11/2012] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 100 u1: % st: NotStopd t0: [23:00:00 04/11/2012] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [23:00:00 04/11/2012] id: .9% Normal Saline 1000.0ml IV Infusions el: 7 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [23:00:00 04/11/2012] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 3 cu: MICU-A cg: RN ai: 126 vo: 20.208 vu: ml t0: [23:00:00 04/11/2012] id: D5W 100.0ml + 600mcghr Sandostatin IV Infusions el: 3 cu: MICU-A cg: RN ai: 127 vo: 8.3 vu: ml t0: [23:00:00 04/11/2012] id: Urine Out Foley el: 2 cu: MICU-A cg: RN vo: 100 vu: ml
t0: [23:00:00 04/11/2012] id: Propofol el: 3 cu: MICU-A cg: RN so: N/A vo: 0 v1: 40 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [23:00:00 04/11/2012] id: Sandostatin el: 4 cu: MICU-A cg: RN so: D5W vo: 0 v1: 49.8 du: mcghr sv: 100 su: ml rt: IV Drip
t0: [23:00:00 04/11/2012] dt: 1 id: Total Hourly Output el: 2 cu: MICU-A cg: RN pv: 100 cv: 100 ap: none t0: [23:00:00 04/11/2012] dt: 24 id: IV Infusion In Total el: 2 cu: MICU-A cg: RN pv: 38.508 cv: 1414.61 ap: none t0: [23:00:00 04/11/2012] dt: 24 id: Urine Out Total el: 2 cu: MICU-A cg: RN pv: 100 cv: 1002 ap: none t0: [23:00:00 04/11/2012] dt: 24 id: 24h Total Out el: 2 cu: MICU-A cg: RN pv: 100 cv: 2002 ap: none
io: TPN 1000.0ml IV Infusions el: 2 cu: MICU-A cg: RN ra: 41.8 ru: ml/hr
id: TPN el: 2 cu: MICU-A cg: RN io: TPN 1000.0ml IV Infusions vo: 1000 du: ml rt: Intravenous Push
t0: [23:30:00 04/11/2012] id: Hematocrit Hematology el: 0 cu: MICU-A cg: 1663 v1: 30.1 u1: % rs: Final st: NotStopd
t0: [23:00:00 04/11/2012] id: Sputum Color/Consist el: 0 cu: MICU-A cg: RN v1: Other/Remarks v2: Thick st: NotStopd t0: [23:00:00 04/11/2012] id: Sputum Source/Amt el: 0 cu: MICU-A cg: RN v1: Suctioned v2: Scant st: NotStopd t0: [00:00:00 05/11/2012] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [00:00:00 05/11/2012] id: CVP el: 0 cu: MICU-A cg: RN v1: 12 u1: mmHg st: NotStopd t0: [00:00:00 05/11/2012] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [00:00:00 05/11/2012] id: Riker-SAS Scale el: 0 cu: MICU-A cg: RN v1: Sedated st: NotStopd t0: [00:00:00 05/11/2012] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [00:00:00 05/11/2012] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [00:00:00 05/11/2012] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [00:00:00 05/11/2012] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 71 u1: BPM st: NotStopd t0: [00:00:00 05/11/2012] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [00:00:00 05/11/2012] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 137 u1: mmHg v2: 53 u2: mmHg st: NotStopd t0: [00:00:00 05/11/2012] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 76 u1: mmHg st: NotStopd t0: [00:00:00 05/11/2012] id: Precautions el: 0 cu: MICU-A cg: RN v1: Contact st: NotStopd t0: [00:00:00 05/11/2012] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 15 u1: BPM st: NotStopd t0: [00:00:00 05/11/2012] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 97 u1: % st: NotStopd t0: [00:00:00 05/11/2012] id: Temp. Site el: 0 cu: MICU-A cg: RN v1: Oral st: NotStopd t0: [00:00:00 05/11/2012] id: Temperature C (calc) el: 0 cu: MICU-A cg: RN v1: 36.8333 u1: Deg. C st: NotStopd t0: [00:00:00 05/11/2012] id: Temperature F el: 0 cu: MICU-A cg: RN v1: 98.3 u1: Deg. F st: NotStopd t0: [00:00:00 05/11/2012] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [01:00:00 05/11/2012] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [01:00:00 05/11/2012] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [01:00:00 05/11/2012] id: Riker-SAS Scale el: 0 cu: MICU-A cg: RN v1: Sedated st: NotStopd t0: [01:00:00 05/11/2012] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [01:00:00 05/11/2012] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [01:00:00 05/11/2012] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [01:00:00 05/11/2012] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 74 u1: BPM st: NotStopd t0: [01:00:00 05/11/2012] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [01:00:00 05/11/2012] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 132 u1: mmHg v2: 53 u2: mmHg st: NotStopd t0: [01:00:00 05/11/2012] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 74 u1: mmHg st: NotStopd t0: [01:00:00 05/11/2012] id: Precautions el: 0 cu: MICU-A cg: RN v1: Contact st: NotStopd t0: [01:00:00 05/11/2012] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 13 u1: BPM st: NotStopd t0: [01:00:00 05/11/2012] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 99 u1: % st: NotStopd t0: [01:00:00 05/11/2012] id: Sputum Color/Consist el: 0 cu: MICU-A cg: RN v1: Other/Remarks v2: Thick st: NotStopd t0: [01:00:00 05/11/2012] id: Sputum Source/Amt el: 0 cu: MICU-A cg: RN v1: Suctioned v2: Scant st: NotStopd t0: [01:00:00 05/11/2012] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [20:00:00 04/11/2012] tf: [01:00:00 05/11/2012] dt: 300 id: TPN 1000.0ml IV Infusions el: 2 cu: MICU-A cg: RN ai: -1 vo: 41.8 vu: ml nb: 1 t0: [01:00:00 05/11/2012] id: .9% Normal Saline 1000.0ml IV Infusions el: 7 cu: MICU-A cg: RN ai: 107 vo: 20 vu: ml t0: [01:00:00 05/11/2012] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 3 cu: MICU-A cg: RN ai: 126 vo: 40.416 vu: ml t0: [01:00:00 05/11/2012] id: D5W 100.0ml + 600mcghr Sandostatin IV Infusions el: 3 cu: MICU-A cg: RN ai: 127 vo: 16.6 vu: ml t0: [01:00:00 05/11/2012] id: Urine Out Foley el: 2 cu: MICU-A cg: RN vo: 120 vu: ml
t0: [00:00:00 05/11/2012] id: Propofol el: 3 cu: MICU-A cg: RN so: N/A vo: 0 v1: 40 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [00:00:00 05/11/2012] id: Sandostatin el: 4 cu: MICU-A cg: RN so: D5W vo: 0 v1: 49.8 du: mcghr sv: 100 su: ml rt: IV Drip t0: [01:00:00 05/11/2012] id: Propofol el: 3 cu: MICU-A cg: RN so: N/A vo: 0 v1: 40 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [01:00:00 05/11/2012] id: Sandostatin el: 4 cu: MICU-A cg: RN so: D5W vo: 0 v1: 49.8 du: mcghr sv: 100 su: ml rt: IV Drip
t0: [22:00:00 04/11/2012] id: Less Restrict Meas. el: 0 cu: MICU-A cg: RN v1: Medicated st: NotStopd t0: [22:00:00 04/11/2012] id: Range of Motion el: 0 cu: MICU-A cg: RN v1: Not Done st: NotStopd t0: [22:00:00 04/11/2012] id: Circulation/SkinInt el: 0 cu: MICU-A cg: RN v1: Circulation Adeq st: NotStopd t0: [22:00:00 04/11/2012] id: Impaired Skin Site#1 el: 0 cu: MICU-A cg: RN v1: Coccyx st: NotStopd t0: [22:00:00 04/11/2012] id: Position Change el: 0 cu: MICU-A cg: RN v1: Not Done st: NotStopd t0: [22:00:00 04/11/2012] id: Reason For Restraint el: 0 cu: MICU-A cg: RN v1: Ext/TXInterfere st: NotStopd t0: [22:00:00 04/11/2012] id: Removed x 5 Mins el: 0 cu: MICU-A cg: RN v1: Not Done st: NotStopd t0: [22:00:00 04/11/2012] id: Restraint Location el: 0 cu: MICU-A cg: RN v1: Both Arms st: NotStopd t0: [22:00:00 04/11/2012] id: Restraint Type el: 0 cu: MICU-A cg: RN v1: Soft Limb st: NotStopd t0: [22:00:00 04/11/2012] id: Restraints Evaluated el: 0 cu: MICU-A cg: RN v1: Behavior Conts st: NotStopd t0: [22:00:00 04/11/2012] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [22:00:00 04/11/2012] id: Support Systems el: 0 cu: MICU-A cg: RN v1: Spouse st: NotStopd t0: [00:00:00 05/11/2012] id: Less Restrict Meas. el: 0 cu: MICU-A cg: RN v1: Medicated st: NotStopd t0: [00:00:00 05/11/2012] id: Range of Motion el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [00:00:00 05/11/2012] id: Circulation/SkinInt el: 0 cu: MICU-A cg: RN v1: Circulation Adeq st: NotStopd t0: [00:00:00 05/11/2012] id: GI Prophylaxis el: 0 cu: MICU-A cg: RN v1: Proton/Pump/Inhi v2: Other/Remarks st: NotStopd t0: [00:00:00 05/11/2012] id: Diet Type el: 0 cu: MICU-A cg: RN v1: NPO st: NotStopd t0: [00:00:00 05/11/2012] id: Dorsal PedPulse R/L el: 0 cu: MICU-A cg: RN v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [00:00:00 05/11/2012] id: Eye Opening el: 0 cu: MICU-A cg: RN v1: 3 To speech st: NotStopd t0: [00:00:00 05/11/2012] id: Follows Commands el: 0 cu: MICU-A cg: RN v1: Inconsistently st: NotStopd t0: [00:00:00 05/11/2012] id: GCS Total el: 0 cu: MICU-A cg: RN v1: 10 u1: points st: NotStopd t0: [00:00:00 05/11/2012] id: Abdominal Assessment el: 0 cu: MICU-A cg: RN v1: Ascites st: NotStopd t0: [00:00:00 05/11/2012] id: Imp Skin Cleanse #1 el: 0 cu: MICU-A cg: RN v1: Soap & H20 st: NotStopd t0: [00:00:00 05/11/2012] id: ImpSkin Character #1 el: 0 cu: MICU-A cg: RN v1: Other/Remarks st: NotStopd t0: [00:00:00 05/11/2012] id: ImpSkin Treatment #1 el: 0 cu: MICU-A cg: RN v1: Open to Air st: NotStopd t0: [00:00:00 05/11/2012] id: ImpSkin Wound Base#1 el: 0 cu: MICU-A cg: RN v1: Pink st: NotStopd t0: [00:00:00 05/11/2012] id: Impaired Skin Site#1 el: 0 cu: MICU-A cg: RN v1: Coccyx st: NotStopd t0: [00:00:00 05/11/2012] id: LLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [00:00:00 05/11/2012] id: LUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Rhonchi st: NotStopd t0: [00:00:00 05/11/2012] id: Level of Conscious el: 0 cu: MICU-A cg: RN v1: Arouse to Voice st: NotStopd t0: [00:00:00 05/11/2012] id: Motor Response el: 0 cu: MICU-A cg: RN v1: 6 Obeys Commands st: NotStopd t0: [00:00:00 05/11/2012] id: Oral Cavity el: 0 cu: MICU-A cg: RN v1: Oral Ulcers st: NotStopd t0: [00:00:00 05/11/2012] id: Orientation el: 0 cu: MICU-A cg: RN v1: Other/Remarks st: NotStopd t0: [00:00:00 05/11/2012] id: Position Change el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [00:00:00 05/11/2012] id: PostTib. Pulses R/L el: 0 cu: MICU-A cg: RN v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [00:00:00 05/11/2012] id: RLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [00:00:00 05/11/2012] id: RUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Rhonchi st: NotStopd t0: [00:00:00 05/11/2012] id: Reason For Restraint el: 0 cu: MICU-A cg: RN v1: Ext/TXInterfere st: NotStopd t0: [00:00:00 05/11/2012] id: Removed x 5 Mins el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [00:00:00 05/11/2012] id: Respiratory Pattern el: 0 cu: MICU-A cg: RN v1: Regular st: NotStopd t0: [00:00:00 05/11/2012] id: Restraint Location el: 0 cu: MICU-A cg: RN v1: Both Arms st: NotStopd t0: [00:00:00 05/11/2012] id: Restraint Type el: 0 cu: MICU-A cg: RN v1: Soft Limb st: NotStopd t0: [00:00:00 05/11/2012] id: Restraints Evaluated el: 0 cu: MICU-A cg: RN v1: Behavior Conts st: NotStopd t0: [00:00:00 05/11/2012] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [00:00:00 05/11/2012] id: Skin Integrity el: 0 cu: MICU-A cg: RN v1: Impaired st: NotStopd t0: [00:00:00 05/11/2012] id: Spontaneous Movement el: 0 cu: MICU-A cg: RN v1: Purposeful st: NotStopd t0: [00:00:00 05/11/2012] id: Support Systems el: 0 cu: MICU-A cg: RN v1: Spouse st: NotStopd t0: [00:00:00 05/11/2012] id: Urine Color/Appear el: 0 cu: MICU-A cg: RN v1: Icteric v2: Clear st: NotStopd t0: [00:00:00 05/11/2012] id: Urine Source el: 0 cu: MICU-A cg: RN v1: Indwelling Cath st: NotStopd t0: [00:00:00 05/11/2012] id: Verbal Response el: 0 cu: MICU-A cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [00:00:00 05/11/2012] id: Bowel Sounds el: 0 cu: MICU-A cg: RN v1: Present st: NotStopd t0: [01:00:00 05/11/2012] id: bath el: 1 cu: MICU-A cg: RN v1: done t0: [01:00:00 05/11/2012] id: Compliance (40-60ml) el: 0 cu: MICU-A cg: RRT v1: 31.8182 u1: ml/cmH st: NotStopd t0: [01:00:00 05/11/2012] id: ETT Mark/Location el: 0 cu: MICU-A cg: RRT v1: 21cm v2: Lip st: NotStopd t0: [01:00:00 05/11/2012] id: high min vent el: 0 cu: MICU-A cg: RRT v1: 12 t0: [01:00:00 05/11/2012] id: Eye Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [01:00:00 05/11/2012] id: FiO2 Set el: 0 cu: MICU-A cg: RRT v1: 0.5 u1: torr st: NotStopd t0: [01:00:00 05/11/2012] id: HOB el: 0 cu: MICU-A cg: RN v1: 30 degrees st: NotStopd t0: [01:00:00 05/11/2012] id: High Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 35 u1: cmH2O st: NotStopd t0: [01:00:00 05/11/2012] id: High Resp. Rate el: 0 cu: MICU-A cg: RRT v1: 15 u1: BPM st: NotStopd t0: [01:00:00 05/11/2012] id: I:E Ratio el: 0 cu: MICU-A cg: RRT v1: 1:4.0 st: NotStopd t0: [01:00:00 05/11/2012] id: INV Line#1 Type/Site el: 0 cu: MICU-A cg: RN v1: PICC line v2: Left Antecub st: NotStopd t0: [01:00:00 05/11/2012] id: INV Line#1InsertDate el: 0 cu: MICU-A cg: RN v1: 10 v2: 9 st: NotStopd t0: [01:00:00 05/11/2012] id: INV Line#1SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [01:00:00 05/11/2012] id: INV Line#2 Type/Site el: 0 cu: MICU-A cg: RN v1: Introducer v2: Left IJ st: NotStopd t0: [01:00:00 05/11/2012] id: INV Line#2InsertDate el: 0 cu: MICU-A cg: RN v1: 10 v2: 10 st: NotStopd t0: [01:00:00 05/11/2012] id: INV Line#2SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [01:00:00 05/11/2012] id: INV Line#3 Type/Site el: 0 cu: MICU-A cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [01:00:00 05/11/2012] id: INV Line#3 Zero/Cal el: 0 cu: MICU-A cg: RN v1: No st: NotStopd t0: [01:00:00 05/11/2012] id: INV Line#3InsertDate el: 0 cu: MICU-A cg: RN v1: 10 v2: 10 st: NotStopd t0: [01:00:00 05/11/2012] id: INV Line#3SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [01:00:00 05/11/2012] id: INV#3 WaveformAppear el: 0 cu: MICU-A cg: RN v1: Sharp st: NotStopd t0: [01:00:00 05/11/2012] id: Activity el: 0 cu: MICU-A cg: RN v1: Bedrest st: NotStopd t0: [01:00:00 05/11/2012] id: Activity Tolerance el: 0 cu: MICU-A cg: RN v1: Tolerated Well st: NotStopd t0: [01:00:00 05/11/2012] id: Airway Size el: 0 cu: MICU-A cg: RRT v1: 8.0 mm st: NotStopd t0: [01:00:00 05/11/2012] id: Airway Type el: 0 cu: MICU-A cg: RRT v1: Endotracheal st: NotStopd t0: [01:00:00 05/11/2012] id: Intubation Date el: 0 cu: MICU-A cg: RRT v1: 10 v2: 10 st: NotStopd t0: [01:00:00 05/11/2012] id: Low Exhaled Min Vol el: 0 cu: MICU-A cg: RRT v1: 5 st: NotStopd t0: [01:00:00 05/11/2012] id: Mean Airway Pressure el: 0 cu: MICU-A cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [01:00:00 05/11/2012] id: Minute Volume(Obser) el: 0 cu: MICU-A cg: RRT v1: 9.8 u1: L/min st: NotStopd t0: [01:00:00 05/11/2012] id: Oral Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [01:00:00 05/11/2012] id: AntiEmbDevice/Status el: 0 cu: MICU-A cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [01:00:00 05/11/2012] id: PEEP Set el: 0 cu: MICU-A cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [01:00:00 05/11/2012] id: Apnea Time Interval el: 0 cu: MICU-A cg: RRT v1: 20 st: NotStopd t0: [01:00:00 05/11/2012] id: Peak Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 27 u1: cmH2O st: NotStopd t0: [01:00:00 05/11/2012] id: Plateau-Off el: 0 cu: MICU-A cg: RRT v1: Not Applicable st: NotStopd t0: [01:00:00 05/11/2012] id: Position el: 0 cu: MICU-A cg: RN v1: Right Side st: NotStopd t0: [01:00:00 05/11/2012] id: Assistance Device el: 0 cu: MICU-A cg: RN v1: Total Lift st: NotStopd t0: [01:00:00 05/11/2012] id: Pressure Support el: 0 cu: MICU-A cg: RRT v1: 15 u1: . st: NotStopd t0: [01:00:00 05/11/2012] id: Resp Rate (Spont) el: 0 cu: MICU-A cg: RRT v1: 2 u1: BPM st: NotStopd t0: [01:00:00 05/11/2012] id: Resp Rate (Total) el: 0 cu: MICU-A cg: RRT v1: 14 u1: BPM st: NotStopd t0: [01:00:00 05/11/2012] id: Respiratory Rate Set el: 0 cu: MICU-A cg: RRT v1: 12 u1: BPM st: NotStopd t0: [01:00:00 05/11/2012] id: Sensitivity-Vent el: 0 cu: MICU-A cg: RRT v1: 2 u1: cmH2O st: NotStopd t0: [01:00:00 05/11/2012] id: Skin Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [01:00:00 05/11/2012] id: Tidal Volume (Obser) el: 0 cu: MICU-A cg: RRT v1: 760 u1: ml/B st: NotStopd t0: [01:00:00 05/11/2012] id: Tidal Volume (Set) el: 0 cu: MICU-A cg: RRT v1: 700 u1: ml/B st: NotStopd t0: [01:00:00 05/11/2012] id: Turn el: 0 cu: MICU-A cg: RN v1: Side to Side st: NotStopd t0: [01:00:00 05/11/2012] id: Ventilator Mode el: 0 cu: MICU-A cg: RRT v1: Assist Control st: NotStopd t0: [01:00:00 05/11/2012] id: Ventilator Type el: 0 cu: MICU-A cg: RRT v1: Drager st: NotStopd t0: [01:00:00 05/11/2012] id: Back Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [01:00:00 05/11/2012] id: Waveform-Vent el: 0 cu: MICU-A cg: RRT v1: RAMP st: NotStopd
t0: [21:00:00 04/11/2012] id: TPN 1000.0ml IV Infusions el: 2 cu: MICU-A cg: RN ai: -1 vo: 41.8 vu: ml t0: [22:00:00 04/11/2012] id: TPN 1000.0ml IV Infusions el: 2 cu: MICU-A cg: RN ai: -1 vo: 41.8 vu: ml t0: [23:00:00 04/11/2012] id: TPN 1000.0ml IV Infusions el: 2 cu: MICU-A cg: RN ai: -1 vo: 41.8 vu: ml t0: [00:00:00 05/11/2012] id: TPN 1000.0ml IV Infusions el: 2 cu: MICU-A cg: RN ai: -1 vo: 41.8 vu: ml t0: [01:00:00 05/11/2012] id: TPN 1000.0ml IV Infusions el: 2 cu: MICU-A cg: RN ai: -1 vo: 41.8 vu: ml st: Stopped
t0: [23:00:00 04/11/2012] dt: 1 id: Net Hourly Balance el: 2 cu: MICU-A cg: RRT pv: -19.692 cv: -19.692 ap: none t0: [23:00:00 04/11/2012] dt: 24 id: IV Nutrition Total el: 2 cu: MICU-A cg: RRT pv: 41.8 cv: 167.2 ap: none t0: [23:00:00 04/11/2012] dt: 24 id: 24h Total In el: 2 cu: MICU-A cg: RRT pv: 80.308 cv: 1581.81 ap: none t0: [23:00:00 04/11/2012] dt: 24 id: 24h Net Body Balance el: 2 cu: MICU-A cg: RRT pv: -19.692 cv: -420.192 ap: none t0: [23:00:00 04/11/2012] dt: multiple days id: LOS Net Body Balance el: 2 cu: MICU-A cg: RRT pv: -19.692 cv: 20114.4 ap: carryForward t0: [23:00:00 05/11/2012] dt: 24 id: IV Nutrition Total el: 2 cu: MICU-A cg: RN pv: 41.8 cv: 877.8 ap: none
t0: [02:00:00 05/11/2012] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [02:00:00 05/11/2012] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [02:00:00 05/11/2012] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [02:00:00 05/11/2012] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [02:00:00 05/11/2012] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [02:00:00 05/11/2012] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 73 u1: BPM st: NotStopd t0: [02:00:00 05/11/2012] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [02:00:00 05/11/2012] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 139 u1: mmHg v2: 60 u2: mmHg st: NotStopd t0: [02:00:00 05/11/2012] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 82 u1: mmHg st: NotStopd t0: [02:00:00 05/11/2012] id: Precautions el: 0 cu: MICU-A cg: RN v1: Contact st: NotStopd t0: [02:00:00 05/11/2012] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 14 u1: BPM st: NotStopd t0: [02:00:00 05/11/2012] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 98 u1: % st: NotStopd t0: [02:00:00 05/11/2012] id: Sputum Color/Consist el: 0 cu: MICU-A cg: RN v1: Other/Remarks v2: Thick st: NotStopd t0: [02:00:00 05/11/2012] id: Sputum Source/Amt el: 0 cu: MICU-A cg: RN v1: Suctioned v2: Moderate st: NotStopd t0: [02:00:00 05/11/2012] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [02:00:00 05/11/2012] id: .9% Normal Saline 1000.0ml IV Infusions el: 7 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [02:00:00 05/11/2012] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 3 cu: MICU-A cg: RN ai: 126 vo: 20.208 vu: ml t0: [02:00:00 05/11/2012] id: D5W 100.0ml + 600mcghr Sandostatin IV Infusions el: 3 cu: MICU-A cg: RN ai: 127 vo: 8.3 vu: ml t0: [02:00:00 05/11/2012] id: Urine Out Foley el: 2 cu: MICU-A cg: RN vo: 80 vu: ml
t0: [02:00:00 05/11/2012] id: Propofol el: 3 cu: MICU-A cg: RN so: N/A vo: 0 v1: 50 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [02:00:00 05/11/2012] id: Sandostatin el: 4 cu: MICU-A cg: RN so: D5W vo: 0 v1: 49.8 du: mcghr sv: 100 su: ml rt: IV Drip
t0: [03:00:00 05/11/2012] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [03:00:00 05/11/2012] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [03:00:00 05/11/2012] id: Riker-SAS Scale el: 0 cu: MICU-A cg: RN v1: Sedated st: NotStopd t0: [03:00:00 05/11/2012] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [03:00:00 05/11/2012] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [03:00:00 05/11/2012] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [03:00:00 05/11/2012] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 71 u1: BPM st: NotStopd t0: [03:00:00 05/11/2012] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [03:00:00 05/11/2012] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 113 u1: mmHg v2: 46 u2: mmHg st: NotStopd t0: [03:00:00 05/11/2012] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 65 u1: mmHg st: NotStopd t0: [03:00:00 05/11/2012] id: Precautions el: 0 cu: MICU-A cg: RN v1: Contact st: NotStopd t0: [03:00:00 05/11/2012] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 12 u1: BPM st: NotStopd t0: [03:00:00 05/11/2012] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 100 u1: % st: NotStopd t0: [03:00:00 05/11/2012] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [03:00:00 05/11/2012] id: .9% Normal Saline 1000.0ml IV Infusions el: 7 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [03:00:00 05/11/2012] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 3 cu: MICU-A cg: RN ai: 126 vo: 25.26 vu: ml t0: [03:00:00 05/11/2012] id: D5W 100.0ml + 600mcghr Sandostatin IV Infusions el: 3 cu: MICU-A cg: RN ai: 127 vo: 8.3 vu: ml t0: [03:00:00 05/11/2012] id: Urine Out Foley el: 2 cu: MICU-A cg: RN vo: 60 vu: ml
t0: [03:00:00 05/11/2012] id: Propofol el: 3 cu: MICU-A cg: RN so: N/A vo: 0 v1: 40 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [03:00:00 05/11/2012] id: Sandostatin el: 4 cu: MICU-A cg: RN so: D5W vo: 0 v1: 49.8 du: mcghr sv: 100 su: ml rt: IV Drip
t0: [23:00:00 05/11/2012] dt: 1 id: Total Hourly Output el: 2 cu: MICU-A cg: RN pv: 140 cv: 140 ap: none t0: [23:00:00 05/11/2012] dt: 1 id: Net Hourly Balance el: 2 cu: MICU-A cg: RN pv: -79.9 cv: -79.9 ap: none t0: [23:00:00 05/11/2012] dt: 24 id: IV Infusion In Total el: 2 cu: MICU-A cg: RN pv: 18.3 cv: 1422.63 ap: none t0: [23:00:00 05/11/2012] dt: 24 id: 24h Total In el: 2 cu: MICU-A cg: RN pv: 60.1 cv: 2300.43 ap: none t0: [23:00:00 05/11/2012] dt: 24 id: Urine Out Total el: 2 cu: MICU-A cg: RN pv: 140 cv: 1920 ap: none t0: [23:00:00 05/11/2012] dt: 24 id: 24h Net Body Balance el: 2 cu: MICU-A cg: RN pv: -79.9 cv: -419.568 ap: none t0: [23:00:00 05/11/2012] dt: 24 id: 24h Total Out el: 2 cu: MICU-A cg: RN pv: 140 cv: 2720 ap: none t0: [23:00:00 05/11/2012] dt: multiple days id: LOS Net Body Balance el: 2 cu: MICU-A cg: RN pv: -79.9 cv: 19694.9 ap: carryForward
t0: [02:00:00 05/11/2012] id: Less Restrict Meas. el: 0 cu: MICU-A cg: RN v1: Medicated st: NotStopd t0: [02:00:00 05/11/2012] id: Range of Motion el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [02:00:00 05/11/2012] id: Circulation/SkinInt el: 0 cu: MICU-A cg: RN v1: Circulation Adeq st: NotStopd t0: [02:00:00 05/11/2012] id: Impaired Skin Site#1 el: 0 cu: MICU-A cg: RN v1: Coccyx st: NotStopd t0: [02:00:00 05/11/2012] id: Position Change el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [02:00:00 05/11/2012] id: Reason For Restraint el: 0 cu: MICU-A cg: RN v1: Ext/TXInterfere st: NotStopd t0: [02:00:00 05/11/2012] id: Removed x 5 Mins el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [02:00:00 05/11/2012] id: Restraint Location el: 0 cu: MICU-A cg: RN v1: Both Arms st: NotStopd t0: [02:00:00 05/11/2012] id: Restraint Type el: 0 cu: MICU-A cg: RN v1: Soft Limb st: NotStopd t0: [02:00:00 05/11/2012] id: Restraints Evaluated el: 0 cu: MICU-A cg: RN v1: Behavior Conts st: NotStopd t0: [02:00:00 05/11/2012] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [02:00:00 05/11/2012] id: Support Systems el: 0 cu: MICU-A cg: RN v1: Spouse st: NotStopd t0: [04:00:00 05/11/2012] id: Less Restrict Meas. el: 0 cu: MICU-A cg: RN v1: Medicated st: NotStopd t0: [04:00:00 05/11/2012] id: Range of Motion el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [04:00:00 05/11/2012] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [04:00:00 05/11/2012] id: Circulation/SkinInt el: 0 cu: MICU-A cg: RN v1: Circulation Adeq st: NotStopd t0: [04:00:00 05/11/2012] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [04:00:00 05/11/2012] id: Riker-SAS Scale el: 0 cu: MICU-A cg: RN v1: Calm/Cooperative st: NotStopd t0: [04:00:00 05/11/2012] id: GI Prophylaxis el: 0 cu: MICU-A cg: RN v1: Proton/Pump/Inhi v2: Other/Remarks st: NotStopd t0: [04:00:00 05/11/2012] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [04:00:00 05/11/2012] id: Diet Type el: 0 cu: MICU-A cg: RN v1: NPO st: NotStopd t0: [04:00:00 05/11/2012] id: Dorsal PedPulse R/L el: 0 cu: MICU-A cg: RN v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [04:00:00 05/11/2012] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [04:00:00 05/11/2012] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [04:00:00 05/11/2012] id: Eye Opening el: 0 cu: MICU-A cg: RN v1: 4 Spontaneously st: NotStopd t0: [04:00:00 05/11/2012] id: Follows Commands el: 0 cu: MICU-A cg: RN v1: Consistently st: NotStopd t0: [04:00:00 05/11/2012] id: GCS Total el: 0 cu: MICU-A cg: RN v1: 11 u1: points st: NotStopd t0: [04:00:00 05/11/2012] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 71 u1: BPM st: NotStopd t0: [04:00:00 05/11/2012] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [04:00:00 05/11/2012] id: INV Line#1 Type/Site el: 0 cu: MICU-A cg: RN v1: PICC line v2: Left Antecub st: NotStopd t0: [04:00:00 05/11/2012] id: INV Line#1InsertDate el: 0 cu: MICU-A cg: RN v1: 10 v2: 9 st: NotStopd t0: [04:00:00 05/11/2012] id: INV Line#1SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [04:00:00 05/11/2012] id: INV Line#2 Type/Site el: 0 cu: MICU-A cg: RN v1: Introducer v2: Left IJ st: NotStopd t0: [04:00:00 05/11/2012] id: INV Line#2InsertDate el: 0 cu: MICU-A cg: RN v1: 10 v2: 10 st: NotStopd t0: [04:00:00 05/11/2012] id: INV Line#2SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [04:00:00 05/11/2012] id: INV Line#3 Type/Site el: 0 cu: MICU-A cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [04:00:00 05/11/2012] id: INV Line#3 Zero/Cal el: 0 cu: MICU-A cg: RN v1: No st: NotStopd t0: [04:00:00 05/11/2012] id: INV Line#3InsertDate el: 0 cu: MICU-A cg: RN v1: 10 v2: 10 st: NotStopd t0: [04:00:00 05/11/2012] id: INV Line#3SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [04:00:00 05/11/2012] id: Abdominal Assessment el: 0 cu: MICU-A cg: RN v1: Ascites st: NotStopd t0: [04:00:00 05/11/2012] id: INV#3 WaveformAppear el: 0 cu: MICU-A cg: RN v1: Sharp st: NotStopd t0: [04:00:00 05/11/2012] id: Impaired Skin Site#1 el: 0 cu: MICU-A cg: RN v1: Coccyx st: NotStopd t0: [04:00:00 05/11/2012] id: LLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [04:00:00 05/11/2012] id: LUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Rhonchi st: NotStopd t0: [04:00:00 05/11/2012] id: Level of Conscious el: 0 cu: MICU-A cg: RN v1: Alert st: NotStopd t0: [04:00:00 05/11/2012] id: Motor Response el: 0 cu: MICU-A cg: RN v1: 6 Obeys Commands st: NotStopd t0: [04:00:00 05/11/2012] id: Oral Cavity el: 0 cu: MICU-A cg: RN v1: Oral Ulcers st: NotStopd t0: [04:00:00 05/11/2012] id: Orientation el: 0 cu: MICU-A cg: RN v1: Other/Remarks st: NotStopd t0: [04:00:00 05/11/2012] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 135 u1: mmHg v2: 58 u2: mmHg st: NotStopd t0: [04:00:00 05/11/2012] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 79 u1: mmHg st: NotStopd t0: [04:00:00 05/11/2012] id: Position Change el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [04:00:00 05/11/2012] id: PostTib. Pulses R/L el: 0 cu: MICU-A cg: RN v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [04:00:00 05/11/2012] id: Precautions el: 0 cu: MICU-A cg: RN v1: Contact st: NotStopd t0: [04:00:00 05/11/2012] id: RLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [04:00:00 05/11/2012] id: RUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Rhonchi st: NotStopd t0: [04:00:00 05/11/2012] id: Reason For Restraint el: 0 cu: MICU-A cg: RN v1: Ext/TXInterfere st: NotStopd t0: [04:00:00 05/11/2012] id: Removed x 5 Mins el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [04:00:00 05/11/2012] id: Respiratory Pattern el: 0 cu: MICU-A cg: RN v1: Regular st: NotStopd t0: [04:00:00 05/11/2012] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 15 u1: BPM st: NotStopd t0: [04:00:00 05/11/2012] id: Restraint Location el: 0 cu: MICU-A cg: RN v1: Both Arms st: NotStopd t0: [04:00:00 05/11/2012] id: Restraint Type el: 0 cu: MICU-A cg: RN v1: Soft Limb st: NotStopd t0: [04:00:00 05/11/2012] id: Restraints Evaluated el: 0 cu: MICU-A cg: RN v1: Behavior Conts st: NotStopd t0: [04:00:00 05/11/2012] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [04:00:00 05/11/2012] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 100 u1: % st: NotStopd t0: [04:00:00 05/11/2012] id: Spontaneous Movement el: 0 cu: MICU-A cg: RN v1: Purposeful st: NotStopd t0: [04:00:00 05/11/2012] id: Sputum Color/Consist el: 0 cu: MICU-A cg: RN v1: Other/Remarks v2: Thick st: NotStopd t0: [04:00:00 05/11/2012] id: Sputum Source/Amt el: 0 cu: MICU-A cg: RN v1: Suctioned v2: Moderate st: NotStopd t0: [04:00:00 05/11/2012] id: Support Systems el: 0 cu: MICU-A cg: RN v1: Spouse st: NotStopd t0: [04:00:00 05/11/2012] id: Temp. Site el: 0 cu: MICU-A cg: RN v1: Oral st: NotStopd t0: [04:00:00 05/11/2012] id: Temperature C (calc) el: 0 cu: MICU-A cg: RN v1: 36.6667 u1: Deg. C st: NotStopd t0: [04:00:00 05/11/2012] id: Temperature F el: 0 cu: MICU-A cg: RN v1: 98 u1: Deg. F st: NotStopd t0: [04:00:00 05/11/2012] id: Urine Color/Appear el: 0 cu: MICU-A cg: RN v1: Icteric v2: Clear st: NotStopd t0: [04:00:00 05/11/2012] id: Urine Source el: 0 cu: MICU-A cg: RN v1: Indwelling Cath st: NotStopd t0: [04:00:00 05/11/2012] id: Verbal Response el: 0 cu: MICU-A cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [04:00:00 05/11/2012] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [04:00:00 05/11/2012] id: Bowel Sounds el: 0 cu: MICU-A cg: RN v1: Present st: NotStopd
t0: [00:00:00 05/11/2012] id: IV Piggyback IV Infusions el: 1 cu: MICU-A cg: RN ai: 209 vo: 100 vu: ml t0: [04:00:00 05/11/2012] id: IV Piggyback IV Infusions el: 1 cu: MICU-A cg: RN ai: 209 vo: 100 vu: ml t0: [04:00:00 05/11/2012] id: .9% Normal Saline 1000.0ml IV Infusions el: 7 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [04:00:00 05/11/2012] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 3 cu: MICU-A cg: RN ai: 126 vo: 20.208 vu: ml t0: [04:00:00 05/11/2012] id: D5W 100.0ml + 600mcghr Sandostatin IV Infusions el: 3 cu: MICU-A cg: RN ai: 127 vo: 8.3 vu: ml t0: [04:00:00 05/11/2012] id: TPN 1000.0ml IV Infusions el: 2 cu: MICU-A cg: RN ai: -1 vo: 0 vu: ml nb: 1 t0: [04:00:00 05/11/2012] id: Urine Out Foley el: 2 cu: MICU-A cg: RN vo: 40 vu: ml
t0: [04:00:00 05/11/2012] id: Propofol el: 3 cu: MICU-A cg: RN so: N/A vo: 0 v1: 40 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [04:00:00 05/11/2012] id: Sandostatin el: 4 cu: MICU-A cg: RN so: D5W vo: 0 v1: 49.8 du: mcghr sv: 100 su: ml rt: IV Drip
t0: [05:24:00 05/11/2012] id: Art.pH ABG el: 0 cu: MICU-A cg: 1663 v1: 7.34 rs: Final st: NotStopd t0: [05:24:00 05/11/2012] id: Arterial Base Excess ABG el: 0 cu: MICU-A cg: 1663 v1: -7 rs: Final st: NotStopd t0: [05:24:00 05/11/2012] id: Arterial CO2(Calc) ABG el: 0 cu: MICU-A cg: 1663 v1: 18 rs: Final st: NotStopd t0: [05:24:00 05/11/2012] id: Arterial PaCO2 ABG el: 0 cu: MICU-A cg: 1663 v1: 32 u1: mmHg rs: Final st: NotStopd t0: [05:24:00 05/11/2012] id: Arterial PaO2 ABG el: 0 cu: MICU-A cg: 1663 v1: 90 u1: mmHg rs: Final st: NotStopd t0: [05:24:00 05/11/2012] id: Arterial pH ABG el: 0 cu: MICU-A cg: 1663 v1: 7.34 rs: Final st: NotStopd
t0: [05:30:00 05/11/2012] id: Compliance (40-60ml) el: 0 cu: MICU-A cg: RRT v1: 33.3333 u1: ml/cmH st: NotStopd t0: [05:30:00 05/11/2012] id: RSBI Not Completed el: 0 cu: MICU-A cg: RRT v1: No Spon Resp st: NotStopd t0: [05:30:00 05/11/2012] id: ETT Mark/Location el: 0 cu: MICU-A cg: RRT v1: 21cm v2: Lip st: NotStopd t0: [05:30:00 05/11/2012] id: high min vent el: 0 cu: MICU-A cg: RRT v1: 15 t0: [05:30:00 05/11/2012] id: FiO2 Set el: 0 cu: MICU-A cg: RRT v1: 0.5 u1: torr st: NotStopd t0: [05:30:00 05/11/2012] id: High Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 35 u1: cmH2O st: NotStopd t0: [05:30:00 05/11/2012] id: High Resp. Rate el: 0 cu: MICU-A cg: RRT v1: 15 u1: BPM st: NotStopd t0: [05:30:00 05/11/2012] id: I:E Ratio el: 0 cu: MICU-A cg: RRT v1: 1:4.0 st: NotStopd t0: [05:30:00 05/11/2012] id: Airway Size el: 0 cu: MICU-A cg: RRT v1: 8.0 mm st: NotStopd t0: [05:30:00 05/11/2012] id: Airway Type el: 0 cu: MICU-A cg: RRT v1: Endotracheal st: NotStopd t0: [05:30:00 05/11/2012] id: Intubation Date el: 0 cu: MICU-A cg: RRT v1: 10 v2: 10 st: NotStopd t0: [05:30:00 05/11/2012] id: Low Exhaled Min Vol el: 0 cu: MICU-A cg: RRT v1: 5 st: NotStopd t0: [05:30:00 05/11/2012] id: Mean Airway Pressure el: 0 cu: MICU-A cg: RRT v1: 9 u1: cmH2O st: NotStopd t0: [05:30:00 05/11/2012] id: Minute Volume(Obser) el: 0 cu: MICU-A cg: RRT v1: 7.6 u1: L/min st: NotStopd t0: [05:30:00 05/11/2012] id: PEEP Set el: 0 cu: MICU-A cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [05:30:00 05/11/2012] id: Apnea Time Interval el: 0 cu: MICU-A cg: RRT v1: 20 st: NotStopd t0: [05:30:00 05/11/2012] id: Peak Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 26 u1: cmH2O st: NotStopd t0: [05:30:00 05/11/2012] id: Plateau Pressure el: 0 cu: MICU-A cg: RRT v1: 20 u1: cmH2O st: NotStopd t0: [05:30:00 05/11/2012] id: Pressure Support el: 0 cu: MICU-A cg: RRT v1: 0 u1: . st: NotStopd t0: [05:30:00 05/11/2012] id: Resp Rate (Spont) el: 0 cu: MICU-A cg: RRT v1: 0 u1: BPM st: NotStopd t0: [05:30:00 05/11/2012] id: Resp Rate (Total) el: 0 cu: MICU-A cg: RRT v1: 12 u1: BPM st: NotStopd t0: [05:30:00 05/11/2012] id: Respiratory Rate Set el: 0 cu: MICU-A cg: RRT v1: 12 u1: BPM st: NotStopd t0: [05:30:00 05/11/2012] id: Sensitivity-Vent el: 0 cu: MICU-A cg: RRT v1: 2 u1: cmH2O st: NotStopd t0: [05:30:00 05/11/2012] id: SpO2 el: 0 cu: MICU-A cg: RRT v1: 99 u1: % st: NotStopd t0: [05:30:00 05/11/2012] id: Tidal Volume (Obser) el: 0 cu: MICU-A cg: RRT v1: 700 u1: ml/B st: NotStopd t0: [05:30:00 05/11/2012] id: Tidal Volume (Set) el: 0 cu: MICU-A cg: RRT v1: 700 u1: ml/B st: NotStopd t0: [05:30:00 05/11/2012] id: Ventilator Mode el: 0 cu: MICU-A cg: RRT v1: Assist Control st: NotStopd t0: [05:30:00 05/11/2012] id: Ventilator Type el: 0 cu: MICU-A cg: RRT v1: Drager st: NotStopd t0: [05:30:00 05/11/2012] id: Waveform-Vent el: 0 cu: MICU-A cg: RRT v1: RAMP st: NotStopd
t0: [05:00:00 05/11/2012] id: WBC (4-11,000) Hematology el: 0 cu: MICU-A cg: 1663 v1: 7 rs: Final st: NotStopd t0: [05:00:00 05/11/2012] id: WBC Hematology el: 0 cu: MICU-A cg: 1663 v1: 7 rs: Final st: NotStopd t0: [05:00:00 05/11/2012] id: Hematocrit Hematology el: 0 cu: MICU-A cg: 1663 v1: 30.8 u1: % rs: Final st: NotStopd t0: [05:00:00 05/11/2012] id: Hemoglobin Hematology el: 0 cu: MICU-A cg: 1663 v1: 10.2 u1: gm/dl rs: Final st: NotStopd t0: [05:00:00 05/11/2012] id: Platelets Hematology el: 0 cu: MICU-A cg: 1663 v1: 70 rs: Final st: NotStopd t0: [05:00:00 05/11/2012] id: RBC Hematology el: 0 cu: MICU-A cg: 1663 v1: 3.43 u1: /mic l rs: Final st: NotStopd t0: [05:00:00 05/11/2012] id: WBC (4-11,000) Hematology el: 0 cu: MICU-A cg: 1663 v1: 7 rs: Final st: NotStopd
t0: [05:00:00 05/11/2012] id: PT el: 0 cu: MICU-A cg: 1663 v1: 14.7 rs: Final st: NotStopd t0: [05:00:00 05/11/2012] id: Fibrinogen Coags el: 0 cu: MICU-A cg: 1663 v1: 138 rs: Final st: NotStopd t0: [05:00:00 05/11/2012] id: INR Coags el: 0 cu: MICU-A cg: 1663 v1: 1.4 rs: Final st: NotStopd t0: [05:00:00 05/11/2012] id: PTT Coags el: 0 cu: MICU-A cg: 1663 v1: 39.1 rs: Final st: NotStopd t0: [05:00:00 05/11/2012] id: Fibrinogen (150-400) Coags el: 0 cu: MICU-A cg: 1663 v1: 138 rs: Final st: NotStopd t0: [05:00:00 05/11/2012] id: INR (2-4 ref. range) Coags el: 0 cu: MICU-A cg: 1663 v1: 1.4 rs: Final st: NotStopd t0: [05:00:00 05/11/2012] id: PT(11-13.5) Coags el: 0 cu: MICU-A cg: 1663 v1: 14.7 rs: Final st: NotStopd t0: [05:00:00 05/11/2012] id: PTT(22-35) Coags el: 0 cu: MICU-A cg: 1663 v1: 39.1 rs: Final st: NotStopd
t0: [05:00:00 05/11/2012] id: BUN el: 0 cu: MICU-A cg: 1663 v1: 23 rs: Final st: NotStopd t0: [05:00:00 05/11/2012] id: Calcium Chemistry el: 0 cu: MICU-A cg: 1663 v1: 8 u1: mg/dl rs: Final st: NotStopd t0: [05:00:00 05/11/2012] id: Chloride Chemistry el: 0 cu: MICU-A cg: 1663 v1: 108 rs: Final st: NotStopd t0: [05:00:00 05/11/2012] id: Creatinine Chemistry el: 0 cu: MICU-A cg: 1663 v1: 2.5 rs: Final st: NotStopd t0: [05:00:00 05/11/2012] id: Magnesium Chemistry el: 0 cu: MICU-A cg: 1663 v1: 2.2 rs: Final st: NotStopd t0: [05:00:00 05/11/2012] id: Phosphorous Chemistry el: 0 cu: MICU-A cg: 1663 v1: 5.4 u1: mEq/L rs: Final st: NotStopd t0: [05:00:00 05/11/2012] id: Potassium Chemistry el: 0 cu: MICU-A cg: 1663 v1: 3.9 rs: Final st: NotStopd t0: [05:00:00 05/11/2012] id: Sodium Chemistry el: 0 cu: MICU-A cg: 1663 v1: 134 rs: Final st: NotStopd t0: [05:00:00 05/11/2012] id: BUN (6-20) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 23 rs: Final st: NotStopd t0: [05:00:00 05/11/2012] id: Calcium (8.4-10.2) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 8 u1: mg/dl rs: Final st: NotStopd t0: [05:00:00 05/11/2012] id: Carbon Dioxide Chemistry el: 0 cu: MICU-A cg: 1663 v1: 16 rs: Final st: NotStopd t0: [05:00:00 05/11/2012] id: Chloride (100-112) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 108 rs: Final st: NotStopd t0: [05:00:00 05/11/2012] id: Creatinine (0-1.3) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 2.5 rs: Final st: NotStopd t0: [05:00:00 05/11/2012] id: Magnesium (1.6-2.6) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 2.2 rs: Final st: NotStopd t0: [05:00:00 05/11/2012] id: Phosphorous(2.7-4.5) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 5.4 u1: mEq/L rs: Final st: NotStopd t0: [05:00:00 05/11/2012] id: Potassium (3.5-5.3) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 3.9 rs: Final st: NotStopd t0: [05:00:00 05/11/2012] id: Sodium (135-148) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 134 rs: Final st: NotStopd
t0: [05:00:00 05/11/2012] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [05:00:00 05/11/2012] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [05:00:00 05/11/2012] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [05:00:00 05/11/2012] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [05:00:00 05/11/2012] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [05:00:00 05/11/2012] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 73 u1: BPM st: NotStopd t0: [05:00:00 05/11/2012] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [05:00:00 05/11/2012] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 129 u1: mmHg v2: 52 u2: mmHg st: NotStopd t0: [05:00:00 05/11/2012] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 74 u1: mmHg st: NotStopd t0: [05:00:00 05/11/2012] id: Precautions el: 0 cu: MICU-A cg: RN v1: Contact st: NotStopd t0: [05:00:00 05/11/2012] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 20 u1: BPM st: NotStopd t0: [05:00:00 05/11/2012] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 100 u1: % st: NotStopd t0: [05:00:00 05/11/2012] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [06:00:00 05/11/2012] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [06:00:00 05/11/2012] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [06:00:00 05/11/2012] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [06:00:00 05/11/2012] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [06:00:00 05/11/2012] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [06:00:00 05/11/2012] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 67 u1: BPM st: NotStopd t0: [06:00:00 05/11/2012] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [06:00:00 05/11/2012] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 128 u1: mmHg v2: 50 u2: mmHg st: NotStopd t0: [06:00:00 05/11/2012] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 70 u1: mmHg st: NotStopd t0: [06:00:00 05/11/2012] id: Precautions el: 0 cu: MICU-A cg: RN v1: Contact st: NotStopd t0: [06:00:00 05/11/2012] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 12 u1: BPM st: NotStopd t0: [06:00:00 05/11/2012] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 99 u1: % st: NotStopd t0: [06:00:00 05/11/2012] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [05:00:00 05/11/2012] id: .9% Normal Saline 1000.0ml IV Infusions el: 7 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [05:00:00 05/11/2012] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 3 cu: MICU-A cg: RN ai: 126 vo: 20.208 vu: ml t0: [05:00:00 05/11/2012] id: D5W 100.0ml + 600mcghr Sandostatin IV Infusions el: 3 cu: MICU-A cg: RN ai: 127 vo: 8.3 vu: ml t0: [05:00:00 05/11/2012] tf: [07:00:00 06/11/2012] dt: 1560 id: TPN 1000.0ml IV Infusions el: 2 cu: MICU-A cg: RN ai: -1 vo: 41.8 vu: ml t0: [05:00:00 05/11/2012] id: Urine Out Foley el: 2 cu: MICU-A cg: RN vo: 65 vu: ml t0: [06:00:00 05/11/2012] id: .9% Normal Saline 1000.0ml IV Infusions el: 7 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [06:00:00 05/11/2012] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 3 cu: MICU-A cg: RN ai: 126 vo: 20.208 vu: ml t0: [06:00:00 05/11/2012] id: D5W 100.0ml + 600mcghr Sandostatin IV Infusions el: 3 cu: MICU-A cg: RN ai: 127 vo: 8.3 vu: ml t0: [06:00:00 05/11/2012] id: TPN 1000.0ml IV Infusions el: 2 cu: MICU-A cg: RN ai: -1 vo: 41.8 vu: ml t0: [06:00:00 05/11/2012] id: Urine Out Foley el: 2 cu: MICU-A cg: RN vo: 50 vu: ml
t0: [05:00:00 05/11/2012] id: Propofol el: 3 cu: MICU-A cg: RN so: N/A vo: 0 v1: 40 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [05:00:00 05/11/2012] id: Sandostatin el: 4 cu: MICU-A cg: RN so: D5W vo: 0 v1: 49.8 du: mcghr sv: 100 su: ml rt: IV Drip t0: [06:00:00 05/11/2012] id: Propofol el: 3 cu: MICU-A cg: RN so: N/A vo: 0 v1: 40 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [06:00:00 05/11/2012] id: Sandostatin el: 4 cu: MICU-A cg: RN so: D5W vo: 0 v1: 49.8 du: mcghr sv: 100 su: ml rt: IV Drip
t0: [05:00:00 05/11/2012] id: Glucose Chemistry el: 0 cu: MICU-A cg: 1663 v1: 113 rs: Final st: NotStopd t0: [05:00:00 05/11/2012] id: Glucose (70-105) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 113 rs: Final st: NotStopd
t0: [05:00:00 05/11/2012] id: Vancomycin/Random Drug Level el: 0 cu: MICU-A cg: 1663 v1: 20.4 rs: Final st: NotStopd
t0: [08:00:00 05/11/2012] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [08:00:00 05/11/2012] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [08:00:00 05/11/2012] id: Riker-SAS Scale el: 0 cu: MICU-A cg: RN v1: Calm/Cooperative st: NotStopd t0: [08:00:00 05/11/2012] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [08:00:00 05/11/2012] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [08:00:00 05/11/2012] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [08:00:00 05/11/2012] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 70 u1: BPM st: NotStopd t0: [08:00:00 05/11/2012] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [08:00:00 05/11/2012] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 130 u1: mmHg v2: 52 u2: mmHg st: NotStopd t0: [08:00:00 05/11/2012] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 73 u1: mmHg st: NotStopd t0: [08:00:00 05/11/2012] id: Precautions el: 0 cu: MICU-A cg: RN v1: Contact st: NotStopd t0: [08:00:00 05/11/2012] id: Previous Weight el: 0 cu: MICU-A cg: RN v1: 100.7 u1: kg st: NotStopd t0: [08:00:00 05/11/2012] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 100.7 u1: kg st: NotStopd t0: [08:00:00 05/11/2012] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 15 u1: BPM st: NotStopd t0: [08:00:00 05/11/2012] id: Temp. Site el: 0 cu: MICU-A cg: RN v1: Oral st: NotStopd t0: [08:00:00 05/11/2012] id: Temperature C (calc) el: 0 cu: MICU-A cg: RN v1: 37 u1: Deg. C st: NotStopd t0: [08:00:00 05/11/2012] id: Temperature F el: 0 cu: MICU-A cg: RN v1: 98.6 u1: Deg. F st: NotStopd t0: [08:00:00 05/11/2012] id: Weight Change el: 0 cu: MICU-A cg: RN v1: 0 u1: kg st: NotStopd t0: [08:00:00 05/11/2012] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [08:00:00 05/11/2012] id: Daily Weight el: 0 cu: MICU-A cg: RN v1: 100.7 u1: kg st: NotStopd
t0: [08:00:00 05/11/2012] id: .9% Normal Saline 1000.0ml IV Infusions el: 7 cu: MICU-A cg: RN ai: 107 vo: 20 vu: ml t0: [08:00:00 05/11/2012] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 3 cu: MICU-A cg: RN ai: 126 vo: 40.416 vu: ml t0: [08:00:00 05/11/2012] id: D5W 100.0ml + 600mcghr Sandostatin IV Infusions el: 3 cu: MICU-A cg: RN ai: 127 vo: 16.6 vu: ml t0: [08:00:00 05/11/2012] id: TPN 1000.0ml IV Infusions el: 2 cu: MICU-A cg: RN ai: -1 vo: 83.6 vu: ml t0: [08:00:00 05/11/2012] id: Urine Out Foley el: 2 cu: MICU-A cg: RN vo: 120 vu: ml
t0: [08:00:00 05/11/2012] id: Propofol el: 3 cu: MICU-A cg: RN so: N/A vo: 0 v1: 40 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [08:00:00 05/11/2012] id: Sandostatin el: 4 cu: MICU-A cg: RN so: D5W vo: 0 v1: 49.8 du: mcghr sv: 100 su: ml rt: IV Drip
t0: [09:00:00 05/11/2012] id: Compliance (40-60ml) el: 0 cu: MICU-A cg: RRT v1: 30.4348 u1: ml/cmH st: NotStopd t0: [09:00:00 05/11/2012] id: ETT Mark/Location el: 0 cu: MICU-A cg: RRT v1: 21cm v2: Lip st: NotStopd t0: [09:00:00 05/11/2012] id: high min vent el: 0 cu: MICU-A cg: RRT v1: 15 t0: [09:00:00 05/11/2012] id: FiO2 Set el: 0 cu: MICU-A cg: RRT v1: 0.5 u1: torr st: NotStopd t0: [09:00:00 05/11/2012] id: High Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 50 u1: cmH2O st: NotStopd t0: [09:00:00 05/11/2012] id: High Resp. Rate el: 0 cu: MICU-A cg: RRT v1: 15 u1: BPM st: NotStopd t0: [09:00:00 05/11/2012] id: I:E Ratio el: 0 cu: MICU-A cg: RRT v1: 1:4.0 st: NotStopd t0: [09:00:00 05/11/2012] id: Airway Size el: 0 cu: MICU-A cg: RRT v1: 8.0 mm st: NotStopd t0: [09:00:00 05/11/2012] id: Airway Type el: 0 cu: MICU-A cg: RRT v1: Endotracheal st: NotStopd t0: [09:00:00 05/11/2012] id: Intubation Date el: 0 cu: MICU-A cg: RRT v1: 10 v2: 10 st: NotStopd t0: [09:00:00 05/11/2012] id: Low Exhaled Min Vol el: 0 cu: MICU-A cg: RRT v1: 5 st: NotStopd t0: [09:00:00 05/11/2012] id: Mean Airway Pressure el: 0 cu: MICU-A cg: RRT v1: 9 u1: cmH2O st: NotStopd t0: [09:00:00 05/11/2012] id: Minute Volume(Obser) el: 0 cu: MICU-A cg: RRT v1: 7.8 u1: L/min st: NotStopd t0: [09:00:00 05/11/2012] id: PEEP Set el: 0 cu: MICU-A cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [09:00:00 05/11/2012] id: Apnea Time Interval el: 0 cu: MICU-A cg: RRT v1: 20 st: NotStopd t0: [09:00:00 05/11/2012] id: Peak Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 28 u1: cmH2O st: NotStopd t0: [09:00:00 05/11/2012] id: Plateau Pressure el: 0 cu: MICU-A cg: RRT v1: 20 u1: cmH2O st: NotStopd t0: [09:00:00 05/11/2012] id: Plateau-Off el: 0 cu: MICU-A cg: RRT v1: Yes st: NotStopd t0: [09:00:00 05/11/2012] id: Pressure Support el: 0 cu: MICU-A cg: RRT v1: 0 u1: . st: NotStopd t0: [09:00:00 05/11/2012] id: Resp Rate (Spont) el: 0 cu: MICU-A cg: RRT v1: 0 u1: BPM st: NotStopd t0: [09:00:00 05/11/2012] id: Resp Rate (Total) el: 0 cu: MICU-A cg: RRT v1: 12 u1: BPM st: NotStopd t0: [09:00:00 05/11/2012] id: Respiratory Rate Set el: 0 cu: MICU-A cg: RRT v1: 12 u1: BPM st: NotStopd t0: [09:00:00 05/11/2012] id: Sensitivity-Vent el: 0 cu: MICU-A cg: RRT v1: 2 u1: cmH2O st: NotStopd t0: [09:00:00 05/11/2012] id: Tidal Volume (Obser) el: 0 cu: MICU-A cg: RRT v1: 673 u1: ml/B st: NotStopd t0: [09:00:00 05/11/2012] id: Tidal Volume (Set) el: 0 cu: MICU-A cg: RRT v1: 700 u1: ml/B st: NotStopd t0: [09:00:00 05/11/2012] id: Ventilator Mode el: 0 cu: MICU-A cg: RRT v1: Assist Control st: NotStopd t0: [09:00:00 05/11/2012] id: Ventilator Type el: 0 cu: MICU-A cg: RRT v1: Drager st: NotStopd t0: [09:00:00 05/11/2012] id: Waveform-Vent el: 0 cu: MICU-A cg: RRT v1: RAMP st: NotStopd
t0: [08:00:00 05/11/2012] id: GI Prophylaxis el: 0 cu: MICU-A cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [08:00:00 05/11/2012] id: Eye Opening el: 0 cu: MICU-A cg: RN v1: 4 Spontaneously st: NotStopd t0: [08:00:00 05/11/2012] id: Follows Commands el: 0 cu: MICU-A cg: RN v1: Consistently st: NotStopd t0: [08:00:00 05/11/2012] id: GCS Total el: 0 cu: MICU-A cg: RN v1: 11 u1: points st: NotStopd t0: [08:00:00 05/11/2012] id: INV Line#1 Type/Site el: 0 cu: MICU-A cg: RN v1: PICC line v2: Left Antecub st: NotStopd t0: [08:00:00 05/11/2012] id: INV Line#1InsertDate el: 0 cu: MICU-A cg: RN v1: 10 v2: 9 st: NotStopd t0: [08:00:00 05/11/2012] id: INV Line#1SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [08:00:00 05/11/2012] id: INV Line#2 Type/Site el: 0 cu: MICU-A cg: RN v1: Introducer v2: Left IJ st: NotStopd t0: [08:00:00 05/11/2012] id: INV Line#2InsertDate el: 0 cu: MICU-A cg: RN v1: 10 v2: 10 st: NotStopd t0: [08:00:00 05/11/2012] id: INV Line#2SiteAppear el: 0 cu: MICU-A cg: RN v1: Other/Remarks st: NotStopd t0: [08:00:00 05/11/2012] id: INV Line#3 Type/Site el: 0 cu: MICU-A cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [08:00:00 05/11/2012] id: INV Line#3 Zero/Cal el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [08:00:00 05/11/2012] id: INV Line#3InsertDate el: 0 cu: MICU-A cg: RN v1: 10 v2: 10 st: NotStopd t0: [08:00:00 05/11/2012] id: INV Line#3SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [08:00:00 05/11/2012] id: Abdominal Assessment el: 0 cu: MICU-A cg: RN v1: Ascites st: NotStopd t0: [08:00:00 05/11/2012] id: INV#3 WaveformAppear el: 0 cu: MICU-A cg: RN v1: Sharp st: NotStopd t0: [08:00:00 05/11/2012] id: Level of Conscious el: 0 cu: MICU-A cg: RN v1: Alert st: NotStopd t0: [08:00:00 05/11/2012] id: Motor Response el: 0 cu: MICU-A cg: RN v1: 6 Obeys Commands st: NotStopd t0: [08:00:00 05/11/2012] id: Oral Cavity el: 0 cu: MICU-A cg: RN v1: Oral Ulcers st: NotStopd t0: [08:00:00 05/11/2012] id: Orientation el: 0 cu: MICU-A cg: RN v1: Other/Remarks st: NotStopd t0: [08:00:00 05/11/2012] id: Respiratory Pattern el: 0 cu: MICU-A cg: RN v1: Regular st: NotStopd t0: [08:00:00 05/11/2012] id: Spontaneous Movement el: 0 cu: MICU-A cg: RN v1: Purposeful st: NotStopd t0: [08:00:00 05/11/2012] id: Urine Source el: 0 cu: MICU-A cg: RN v1: Indwelling Cath st: NotStopd t0: [08:00:00 05/11/2012] id: Verbal Response el: 0 cu: MICU-A cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [08:00:00 05/11/2012] id: Bowel Sounds el: 0 cu: MICU-A cg: RN v1: Present st: NotStopd t0: [09:00:00 05/11/2012] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [09:00:00 05/11/2012] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [09:00:00 05/11/2012] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [09:00:00 05/11/2012] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [09:00:00 05/11/2012] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [09:00:00 05/11/2012] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 69 u1: BPM st: NotStopd t0: [09:00:00 05/11/2012] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [09:00:00 05/11/2012] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 135 u1: mmHg v2: 51 u2: mmHg st: NotStopd t0: [09:00:00 05/11/2012] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 73 u1: mmHg st: NotStopd t0: [09:00:00 05/11/2012] id: Precautions el: 0 cu: MICU-A cg: RN v1: Contact st: NotStopd t0: [09:00:00 05/11/2012] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 100.7 u1: kg st: NotStopd t0: [09:00:00 05/11/2012] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 12 u1: BPM st: NotStopd t0: [09:00:00 05/11/2012] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [09:00:00 05/11/2012] id: .9% Normal Saline 1000.0ml IV Infusions el: 7 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [09:00:00 05/11/2012] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 3 cu: MICU-A cg: RN ai: 126 vo: 20.208 vu: ml t0: [09:00:00 05/11/2012] id: D5W 100.0ml + 600mcghr Sandostatin IV Infusions el: 3 cu: MICU-A cg: RN ai: 127 vo: 8.3 vu: ml t0: [09:00:00 05/11/2012] id: TPN 1000.0ml IV Infusions el: 2 cu: MICU-A cg: RN ai: -1 vo: 41.8 vu: ml t0: [09:00:00 05/11/2012] id: Urine Out Foley el: 2 cu: MICU-A cg: RN vo: 100 vu: ml
t0: [09:00:00 05/11/2012] id: Propofol el: 3 cu: MICU-A cg: RN so: N/A vo: 0 v1: 40 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [09:00:00 05/11/2012] id: Sandostatin el: 4 cu: MICU-A cg: RN so: D5W vo: 0 v1: 49.8 du: mcghr sv: 100 su: ml rt: IV Drip
tf: [13:00:00 05/11/2012] pt: Unit Dose rt: PO fr: QD fs: 10 dn: 1 m1: Nadolol v1: 20 u1: mg
t0: [10:00:00 05/11/2012] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [10:00:00 05/11/2012] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [10:00:00 05/11/2012] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [10:00:00 05/11/2012] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [10:00:00 05/11/2012] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [10:00:00 05/11/2012] id: Eye Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [10:00:00 05/11/2012] id: HOB el: 0 cu: MICU-A cg: RN v1: 30 degrees st: NotStopd t0: [10:00:00 05/11/2012] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 67 u1: BPM st: NotStopd t0: [10:00:00 05/11/2012] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [10:00:00 05/11/2012] id: Activity el: 0 cu: MICU-A cg: RN v1: Bedrest st: NotStopd t0: [10:00:00 05/11/2012] id: Activity Tolerance el: 0 cu: MICU-A cg: RN v1: Fair st: NotStopd t0: [10:00:00 05/11/2012] id: Oral Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [10:00:00 05/11/2012] id: AntiEmbDevice/Status el: 0 cu: MICU-A cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [10:00:00 05/11/2012] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 122 u1: mmHg v2: 49 u2: mmHg st: NotStopd t0: [10:00:00 05/11/2012] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 69 u1: mmHg st: NotStopd t0: [10:00:00 05/11/2012] id: Position el: 0 cu: MICU-A cg: RN v1: Right Side st: NotStopd t0: [10:00:00 05/11/2012] id: Assistance Device el: 0 cu: MICU-A cg: RN v1: 2 Person Assist st: NotStopd t0: [10:00:00 05/11/2012] id: Precautions el: 0 cu: MICU-A cg: RN v1: Contact st: NotStopd t0: [10:00:00 05/11/2012] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 100.7 u1: kg st: NotStopd t0: [10:00:00 05/11/2012] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 14 u1: BPM st: NotStopd t0: [10:00:00 05/11/2012] id: Skin Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [10:00:00 05/11/2012] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 97 u1: % st: NotStopd t0: [10:00:00 05/11/2012] id: Turn el: 0 cu: MICU-A cg: RN v1: Right Side st: NotStopd t0: [10:00:00 05/11/2012] id: Back Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [10:00:00 05/11/2012] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [10:00:00 05/11/2012] id: .9% Normal Saline 1000.0ml IV Infusions el: 7 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [10:00:00 05/11/2012] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 3 cu: MICU-A cg: RN ai: 126 vo: 20.208 vu: ml t0: [10:00:00 05/11/2012] id: D5W 100.0ml + 600mcghr Sandostatin IV Infusions el: 3 cu: MICU-A cg: RN ai: 127 vo: 8.3 vu: ml t0: [10:00:00 05/11/2012] id: TPN 1000.0ml IV Infusions el: 2 cu: MICU-A cg: RN ai: -1 vo: 41.8 vu: ml t0: [10:00:00 05/11/2012] id: Urine Out Foley el: 2 cu: MICU-A cg: RN vo: 100 vu: ml
t0: [10:00:00 05/11/2012] id: Propofol el: 3 cu: MICU-A cg: RN so: N/A vo: 0 v1: 40 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [10:00:00 05/11/2012] id: Sandostatin el: 4 cu: MICU-A cg: RN so: D5W vo: 0 v1: 49.8 du: mcghr sv: 100 su: ml rt: IV Drip
t0: [12:00:00 05/11/2012] id: Compliance (40-60ml) el: 0 cu: MICU-A cg: RRT v1: 24.1379 u1: ml/cmH st: NotStopd t0: [12:00:00 05/11/2012] id: ETT Mark/Location el: 0 cu: MICU-A cg: RRT v1: 21cm v2: Lip st: NotStopd t0: [12:00:00 05/11/2012] id: high min vent el: 0 cu: MICU-A cg: RRT v1: 15 t0: [12:00:00 05/11/2012] id: FiO2 Set el: 0 cu: MICU-A cg: RRT v1: 0.5 u1: torr st: NotStopd t0: [12:00:00 05/11/2012] id: High Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 50 u1: cmH2O st: NotStopd t0: [12:00:00 05/11/2012] id: High Resp. Rate el: 0 cu: MICU-A cg: RRT v1: 15 u1: BPM st: NotStopd t0: [12:00:00 05/11/2012] id: Airway Size el: 0 cu: MICU-A cg: RRT v1: 8.0 mm st: NotStopd t0: [12:00:00 05/11/2012] id: Airway Type el: 0 cu: MICU-A cg: RRT v1: Endotracheal st: NotStopd t0: [12:00:00 05/11/2012] id: Intubation Date el: 0 cu: MICU-A cg: RRT v1: 10 v2: 10 st: NotStopd t0: [12:00:00 05/11/2012] id: Low Exhaled Min Vol el: 0 cu: MICU-A cg: RRT v1: 5 st: NotStopd t0: [12:00:00 05/11/2012] id: Mean Airway Pressure el: 0 cu: MICU-A cg: RRT v1: 9 u1: cmH2O st: NotStopd t0: [12:00:00 05/11/2012] id: Minute Volume(Obser) el: 0 cu: MICU-A cg: RRT v1: 7.8 u1: L/min st: NotStopd t0: [12:00:00 05/11/2012] id: PEEP Set el: 0 cu: MICU-A cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [12:00:00 05/11/2012] id: Apnea Time Interval el: 0 cu: MICU-A cg: RRT v1: 20 st: NotStopd t0: [12:00:00 05/11/2012] id: Peak Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 34 u1: cmH2O st: NotStopd t0: [12:00:00 05/11/2012] id: Plateau Pressure el: 0 cu: MICU-A cg: RRT v1: 21 u1: cmH2O st: NotStopd t0: [12:00:00 05/11/2012] id: Plateau-Off el: 0 cu: MICU-A cg: RRT v1: Yes st: NotStopd t0: [12:00:00 05/11/2012] id: Resp Rate (Spont) el: 0 cu: MICU-A cg: RRT v1: 0 u1: BPM st: NotStopd t0: [12:00:00 05/11/2012] id: Resp Rate (Total) el: 0 cu: MICU-A cg: RRT v1: 12 u1: BPM st: NotStopd t0: [12:00:00 05/11/2012] id: Respiratory Rate Set el: 0 cu: MICU-A cg: RRT v1: 12 u1: BPM st: NotStopd t0: [12:00:00 05/11/2012] id: Sensitivity-Vent el: 0 cu: MICU-A cg: RRT v1: 2 u1: cmH2O st: NotStopd t0: [12:00:00 05/11/2012] id: SpO2 el: 0 cu: MICU-A cg: RRT v1: 96 u1: % st: NotStopd t0: [12:00:00 05/11/2012] id: Tidal Volume (Obser) el: 0 cu: MICU-A cg: RRT v1: 681 u1: ml/B st: NotStopd t0: [12:00:00 05/11/2012] id: Tidal Volume (Set) el: 0 cu: MICU-A cg: RRT v1: 700 u1: ml/B st: NotStopd t0: [12:00:00 05/11/2012] id: Ventilator Mode el: 0 cu: MICU-A cg: RRT v1: Assist Control st: NotStopd t0: [12:00:00 05/11/2012] id: Ventilator Type el: 0 cu: MICU-A cg: RRT v1: Drager st: NotStopd t0: [12:00:00 05/11/2012] id: Waveform-Vent el: 0 cu: MICU-A cg: RRT v1: RAMP st: NotStopd
t0: [12:00:00 05/11/2012] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [12:00:00 05/11/2012] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [12:00:00 05/11/2012] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [12:00:00 05/11/2012] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [12:00:00 05/11/2012] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [12:00:00 05/11/2012] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 64 u1: BPM st: NotStopd t0: [12:00:00 05/11/2012] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [12:00:00 05/11/2012] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 127 u1: mmHg v2: 54 u2: mmHg st: NotStopd t0: [12:00:00 05/11/2012] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 73 u1: mmHg st: NotStopd t0: [12:00:00 05/11/2012] id: Precautions el: 0 cu: MICU-A cg: RN v1: Contact st: NotStopd t0: [12:00:00 05/11/2012] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 100.7 u1: kg st: NotStopd t0: [12:00:00 05/11/2012] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 12 u1: BPM st: NotStopd t0: [12:00:00 05/11/2012] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [12:00:00 05/11/2012] id: .9% Normal Saline 1000.0ml IV Infusions el: 7 cu: MICU-A cg: RN ai: 107 vo: 20 vu: ml t0: [12:00:00 05/11/2012] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 3 cu: MICU-A cg: RN ai: 126 vo: 40.416 vu: ml t0: [12:00:00 05/11/2012] id: D5W 100.0ml + 600mcghr Sandostatin IV Infusions el: 3 cu: MICU-A cg: RN ai: 127 vo: 16.6 vu: ml t0: [12:00:00 05/11/2012] id: TPN 1000.0ml IV Infusions el: 2 cu: MICU-A cg: RN ai: -1 vo: 83.6 vu: ml t0: [12:00:00 05/11/2012] id: Urine Out Foley el: 2 cu: MICU-A cg: RN vo: 120 vu: ml
t0: [12:00:00 05/11/2012] id: Propofol el: 3 cu: MICU-A cg: RN so: N/A vo: 0 v1: 40 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [12:00:00 05/11/2012] id: Sandostatin el: 4 cu: MICU-A cg: RN so: D5W vo: 0 v1: 49.8 du: mcghr sv: 100 su: ml rt: IV Drip
pt: TPN
t0: [13:00:00 05/11/2012] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [13:00:00 05/11/2012] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [13:00:00 05/11/2012] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [13:00:00 05/11/2012] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [13:00:00 05/11/2012] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [13:00:00 05/11/2012] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 67 u1: BPM st: NotStopd t0: [13:00:00 05/11/2012] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [13:00:00 05/11/2012] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 130 u1: mmHg v2: 56 u2: mmHg st: NotStopd t0: [13:00:00 05/11/2012] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 75 u1: mmHg st: NotStopd t0: [13:00:00 05/11/2012] id: Precautions el: 0 cu: MICU-A cg: RN v1: Contact st: NotStopd t0: [13:00:00 05/11/2012] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 100.7 u1: kg st: NotStopd t0: [13:00:00 05/11/2012] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 18 u1: BPM st: NotStopd t0: [13:00:00 05/11/2012] id: Temp. Site el: 0 cu: MICU-A cg: RN v1: Oral st: NotStopd t0: [13:00:00 05/11/2012] id: Temperature C (calc) el: 0 cu: MICU-A cg: RN v1: 36.6111 u1: Deg. C st: NotStopd t0: [13:00:00 05/11/2012] id: Temperature F el: 0 cu: MICU-A cg: RN v1: 97.9 u1: Deg. F st: NotStopd t0: [13:00:00 05/11/2012] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [13:00:00 05/11/2012] id: .9% Normal Saline 1000.0ml IV Infusions el: 7 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [13:00:00 05/11/2012] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 3 cu: MICU-A cg: RN ai: 126 vo: 20.208 vu: ml t0: [13:00:00 05/11/2012] id: D5W 100.0ml + 600mcghr Sandostatin IV Infusions el: 3 cu: MICU-A cg: RN ai: 127 vo: 8.3 vu: ml t0: [13:00:00 05/11/2012] id: TPN 1000.0ml IV Infusions el: 2 cu: MICU-A cg: RN ai: -1 vo: 41.8 vu: ml t0: [13:00:00 05/11/2012] id: Urine Out Foley el: 2 cu: MICU-A cg: RN vo: 80 vu: ml
t0: [13:00:00 05/11/2012] id: Propofol el: 3 cu: MICU-A cg: RN so: N/A vo: 0 v1: 40 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [13:00:00 05/11/2012] id: Sandostatin el: 4 cu: MICU-A cg: RN so: D5W vo: 0 v1: 49.8 du: mcghr sv: 100 su: ml rt: IV Drip
t0: [14:20:00 05/11/2012] id: ETT Mark/Location el: 0 cu: MICU-A cg: RRT v1: 21cm v2: Lip st: NotStopd t0: [14:20:00 05/11/2012] id: high min vent el: 0 cu: MICU-A cg: RRT v1: 15 t0: [14:20:00 05/11/2012] id: FiO2 Set el: 0 cu: MICU-A cg: RRT v1: 0.5 u1: torr st: NotStopd t0: [14:20:00 05/11/2012] id: High Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 50 u1: cmH2O st: NotStopd t0: [14:20:00 05/11/2012] id: High Resp. Rate el: 0 cu: MICU-A cg: RRT v1: 15 u1: BPM st: NotStopd t0: [14:20:00 05/11/2012] id: Airway Size el: 0 cu: MICU-A cg: RRT v1: 8.0 mm st: NotStopd t0: [14:20:00 05/11/2012] id: Airway Type el: 0 cu: MICU-A cg: RRT v1: Endotracheal st: NotStopd t0: [14:20:00 05/11/2012] id: Intubation Date el: 0 cu: MICU-A cg: RRT v1: 10 v2: 10 st: NotStopd t0: [14:20:00 05/11/2012] id: Low Exhaled Min Vol el: 0 cu: MICU-A cg: RRT v1: 5 st: NotStopd t0: [14:20:00 05/11/2012] id: Mean Airway Pressure el: 0 cu: MICU-A cg: RRT v1: 7 u1: cmH2O st: NotStopd t0: [14:20:00 05/11/2012] id: Minute Volume(Obser) el: 0 cu: MICU-A cg: RRT v1: 8.5 u1: L/min st: NotStopd t0: [14:20:00 05/11/2012] id: PEEP Set el: 0 cu: MICU-A cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [14:20:00 05/11/2012] id: Apnea Time Interval el: 0 cu: MICU-A cg: RRT v1: 20 st: NotStopd t0: [14:20:00 05/11/2012] id: Plateau-Off el: 0 cu: MICU-A cg: RRT v1: Yes st: NotStopd t0: [14:20:00 05/11/2012] id: Resp Rate (Total) el: 0 cu: MICU-A cg: RRT v1: 12 u1: BPM st: NotStopd t0: [14:20:00 05/11/2012] id: Sensitivity-Vent el: 0 cu: MICU-A cg: RRT v1: 2 u1: cmH2O st: NotStopd t0: [14:20:00 05/11/2012] id: Sputum Color/Consist el: 0 cu: MICU-A cg: RRT v1: Yellow v2: Thick st: NotStopd t0: [14:20:00 05/11/2012] id: Sputum Source/Amt el: 0 cu: MICU-A cg: RRT v1: Suctioned v2: Moderate st: NotStopd t0: [14:20:00 05/11/2012] id: Tidal Volume (Spont) el: 0 cu: MICU-A cg: RRT v1: 744 u1: ml/B st: NotStopd t0: [14:20:00 05/11/2012] id: Ventilator Mode el: 0 cu: MICU-A cg: RRT v1: CPAP+PS st: NotStopd t0: [14:20:00 05/11/2012] id: Ventilator Type el: 0 cu: MICU-A cg: RRT v1: Drager st: NotStopd
t0: [08:00:00 05/11/2012] id: Less Restrict Meas. el: 0 cu: MICU-A cg: RN v1: Medicated st: NotStopd t0: [08:00:00 05/11/2012] id: Range of Motion el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [08:00:00 05/11/2012] id: Circulation/SkinInt el: 0 cu: MICU-A cg: RN v1: Circulation Adeq st: NotStopd t0: [08:00:00 05/11/2012] id: Diet Type el: 0 cu: MICU-A cg: RN v1: TPN st: NotStopd t0: [08:00:00 05/11/2012] id: Impaired Skin Site#1 el: 0 cu: MICU-A cg: RN v1: Coccyx st: NotStopd t0: [08:00:00 05/11/2012] id: Position Change el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [08:00:00 05/11/2012] id: Reason For Restraint el: 0 cu: MICU-A cg: RN v1: Ext/TXInterfere st: NotStopd t0: [08:00:00 05/11/2012] id: Removed x 5 Mins el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [08:00:00 05/11/2012] id: Restraint Location el: 0 cu: MICU-A cg: RN v1: Both Arms st: NotStopd t0: [08:00:00 05/11/2012] id: Restraint Type el: 0 cu: MICU-A cg: RN v1: Soft Limb st: NotStopd t0: [08:00:00 05/11/2012] id: Restraints Evaluated el: 0 cu: MICU-A cg: RN v1: Behavior Conts st: NotStopd t0: [08:00:00 05/11/2012] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [08:00:00 05/11/2012] id: Support Systems el: 0 cu: MICU-A cg: RN v1: Spouse st: NotStopd t0: [10:00:00 05/11/2012] id: Less Restrict Meas. el: 0 cu: MICU-A cg: RN v1: Medicated st: NotStopd t0: [10:00:00 05/11/2012] id: Range of Motion el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [10:00:00 05/11/2012] id: Circulation/SkinInt el: 0 cu: MICU-A cg: RN v1: Circulation Adeq st: NotStopd t0: [10:00:00 05/11/2012] id: Impaired Skin Site#1 el: 0 cu: MICU-A cg: RN v1: Coccyx st: NotStopd t0: [10:00:00 05/11/2012] id: Position Change el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [10:00:00 05/11/2012] id: Reason For Restraint el: 0 cu: MICU-A cg: RN v1: Ext/TXInterfere st: NotStopd t0: [10:00:00 05/11/2012] id: Removed x 5 Mins el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [10:00:00 05/11/2012] id: Restraint Location el: 0 cu: MICU-A cg: RN v1: Both Arms st: NotStopd t0: [10:00:00 05/11/2012] id: Restraint Type el: 0 cu: MICU-A cg: RN v1: Soft Limb st: NotStopd t0: [10:00:00 05/11/2012] id: Restraints Evaluated el: 0 cu: MICU-A cg: RN v1: Behavior Conts st: NotStopd t0: [10:00:00 05/11/2012] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [10:00:00 05/11/2012] id: Support Systems el: 0 cu: MICU-A cg: RN v1: Spouse st: NotStopd t0: [12:00:00 05/11/2012] id: Less Restrict Meas. el: 0 cu: MICU-A cg: RN v1: Medicated st: NotStopd t0: [12:00:00 05/11/2012] id: Range of Motion el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [12:00:00 05/11/2012] id: Circulation/SkinInt el: 0 cu: MICU-A cg: RN v1: Circulation Adeq st: NotStopd t0: [12:00:00 05/11/2012] id: Impaired Skin Site#1 el: 0 cu: MICU-A cg: RN v1: Coccyx st: NotStopd t0: [12:00:00 05/11/2012] id: Position Change el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [12:00:00 05/11/2012] id: Reason For Restraint el: 0 cu: MICU-A cg: RN v1: Ext/TXInterfere st: NotStopd t0: [12:00:00 05/11/2012] id: Removed x 5 Mins el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [12:00:00 05/11/2012] id: Restraint Location el: 0 cu: MICU-A cg: RN v1: Both Arms st: NotStopd t0: [12:00:00 05/11/2012] id: Restraint Type el: 0 cu: MICU-A cg: RN v1: Soft Limb st: NotStopd t0: [12:00:00 05/11/2012] id: Restraints Evaluated el: 0 cu: MICU-A cg: RN v1: Behavior Conts st: NotStopd t0: [12:00:00 05/11/2012] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [12:00:00 05/11/2012] id: Support Systems el: 0 cu: MICU-A cg: RN v1: Spouse st: NotStopd t0: [12:00:00 05/11/2012] id: Turn el: 0 cu: MICU-A cg: RN v1: Back st: NotStopd t0: [14:00:00 05/11/2012] id: Less Restrict Meas. el: 0 cu: MICU-A cg: RN v1: Medicated st: NotStopd t0: [14:00:00 05/11/2012] id: Range of Motion el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [14:00:00 05/11/2012] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [14:00:00 05/11/2012] id: Circulation/SkinInt el: 0 cu: MICU-A cg: RN v1: Circulation Adeq st: NotStopd t0: [14:00:00 05/11/2012] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [14:00:00 05/11/2012] id: GI Prophylaxis el: 0 cu: MICU-A cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [14:00:00 05/11/2012] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [14:00:00 05/11/2012] id: Diet Type el: 0 cu: MICU-A cg: RN v1: TPN st: NotStopd t0: [14:00:00 05/11/2012] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [14:00:00 05/11/2012] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [14:00:00 05/11/2012] id: Eye Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [14:00:00 05/11/2012] id: Eye Opening el: 0 cu: MICU-A cg: RN v1: 4 Spontaneously st: NotStopd t0: [14:00:00 05/11/2012] id: Family Communication el: 0 cu: MICU-A cg: RN v1: Family Called st: NotStopd t0: [14:00:00 05/11/2012] id: Follows Commands el: 0 cu: MICU-A cg: RN v1: Consistently st: NotStopd t0: [14:00:00 05/11/2012] id: GCS Total el: 0 cu: MICU-A cg: RN v1: 11 u1: points st: NotStopd t0: [14:00:00 05/11/2012] id: HOB el: 0 cu: MICU-A cg: RN v1: 30 degrees st: NotStopd t0: [14:00:00 05/11/2012] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 66 u1: BPM st: NotStopd t0: [14:00:00 05/11/2012] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [14:00:00 05/11/2012] id: INV Line#1 Type/Site el: 0 cu: MICU-A cg: RN v1: PICC line v2: Left Antecub st: NotStopd t0: [14:00:00 05/11/2012] id: INV Line#1InsertDate el: 0 cu: MICU-A cg: RN v1: 10 v2: 9 st: NotStopd t0: [14:00:00 05/11/2012] id: INV Line#1SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [14:00:00 05/11/2012] id: INV Line#2 Type/Site el: 0 cu: MICU-A cg: RN v1: Introducer v2: Left IJ st: NotStopd t0: [14:00:00 05/11/2012] id: INV Line#2InsertDate el: 0 cu: MICU-A cg: RN v1: 10 v2: 10 st: NotStopd t0: [14:00:00 05/11/2012] id: INV Line#2SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [14:00:00 05/11/2012] id: INV Line#3 Type/Site el: 0 cu: MICU-A cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [14:00:00 05/11/2012] id: INV Line#3InsertDate el: 0 cu: MICU-A cg: RN v1: 10 v2: 10 st: NotStopd t0: [14:00:00 05/11/2012] id: INV Line#3SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [14:00:00 05/11/2012] id: Abdominal Assessment el: 0 cu: MICU-A cg: RN v1: Ascites st: NotStopd t0: [14:00:00 05/11/2012] id: INV#3 WaveformAppear el: 0 cu: MICU-A cg: RN v1: Sharp st: NotStopd t0: [14:00:00 05/11/2012] id: Activity el: 0 cu: MICU-A cg: RN v1: Bedrest st: NotStopd t0: [14:00:00 05/11/2012] id: Activity Tolerance el: 0 cu: MICU-A cg: RN v1: Good st: NotStopd t0: [14:00:00 05/11/2012] id: Imp Skin Cleanse #1 el: 0 cu: MICU-A cg: RN v1: Soap & H20 st: NotStopd t0: [14:00:00 05/11/2012] id: ImpSkin Character #1 el: 0 cu: MICU-A cg: RN v1: Abrasion st: NotStopd t0: [14:00:00 05/11/2012] id: ImpSkin Treatment #1 el: 0 cu: MICU-A cg: RN v1: Open to Air st: NotStopd t0: [14:00:00 05/11/2012] id: ImpSkin Wound Base#1 el: 0 cu: MICU-A cg: RN v1: Pink st: NotStopd t0: [14:00:00 05/11/2012] id: Impaired Skin Site#1 el: 0 cu: MICU-A cg: RN v1: Coccyx st: NotStopd t0: [14:00:00 05/11/2012] id: Level of Conscious el: 0 cu: MICU-A cg: RN v1: Arouse to Voice st: NotStopd t0: [14:00:00 05/11/2012] id: Motor Response el: 0 cu: MICU-A cg: RN v1: 6 Obeys Commands st: NotStopd t0: [14:00:00 05/11/2012] id: Oral Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [14:00:00 05/11/2012] id: Oral Cavity el: 0 cu: MICU-A cg: RN v1: Oral Ulcers st: NotStopd t0: [14:00:00 05/11/2012] id: Orientation el: 0 cu: MICU-A cg: RN v1: Other/Remarks st: NotStopd t0: [14:00:00 05/11/2012] id: AntiEmbDevice/Status el: 0 cu: MICU-A cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [14:00:00 05/11/2012] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 123 u1: mmHg v2: 52 u2: mmHg st: NotStopd t0: [14:00:00 05/11/2012] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 72 u1: mmHg st: NotStopd t0: [14:00:00 05/11/2012] id: Position el: 0 cu: MICU-A cg: RN v1: Left Side st: NotStopd t0: [14:00:00 05/11/2012] id: Position Change el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [14:00:00 05/11/2012] id: Assistance Device el: 0 cu: MICU-A cg: RN v1: 2 Person Assist st: NotStopd t0: [14:00:00 05/11/2012] id: Precautions el: 0 cu: MICU-A cg: RN v1: Contact st: NotStopd t0: [14:00:00 05/11/2012] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 100.7 u1: kg st: NotStopd t0: [14:00:00 05/11/2012] id: Reason For Restraint el: 0 cu: MICU-A cg: RN v1: Ext/TXInterfere st: NotStopd t0: [14:00:00 05/11/2012] id: Removed x 5 Mins el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [14:00:00 05/11/2012] id: Respiratory Pattern el: 0 cu: MICU-A cg: RN v1: Regular st: NotStopd t0: [14:00:00 05/11/2012] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 12 u1: BPM st: NotStopd t0: [14:00:00 05/11/2012] id: Restraint Location el: 0 cu: MICU-A cg: RN v1: Both Arms st: NotStopd t0: [14:00:00 05/11/2012] id: Restraint Type el: 0 cu: MICU-A cg: RN v1: Soft Limb st: NotStopd t0: [14:00:00 05/11/2012] id: Restraints Evaluated el: 0 cu: MICU-A cg: RN v1: Behavior Conts st: NotStopd t0: [14:00:00 05/11/2012] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [14:00:00 05/11/2012] id: Skin Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [14:00:00 05/11/2012] id: Spontaneous Movement el: 0 cu: MICU-A cg: RN v1: Purposeful st: NotStopd t0: [14:00:00 05/11/2012] id: Support Systems el: 0 cu: MICU-A cg: RN v1: Spouse st: NotStopd t0: [14:00:00 05/11/2012] id: Turn el: 0 cu: MICU-A cg: RN v1: Left Side st: NotStopd t0: [14:00:00 05/11/2012] id: Urine Color/Appear el: 0 cu: MICU-A cg: RN v1: Orange v2: Clear st: NotStopd t0: [14:00:00 05/11/2012] id: Urine Source el: 0 cu: MICU-A cg: RN v1: Indwelling Cath st: NotStopd t0: [14:00:00 05/11/2012] id: Verbal Response el: 0 cu: MICU-A cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [14:00:00 05/11/2012] id: Back Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [14:00:00 05/11/2012] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [14:00:00 05/11/2012] id: Behavior el: 0 cu: MICU-A cg: RN v1: Sedated st: NotStopd t0: [14:00:00 05/11/2012] id: Bowel Sounds el: 0 cu: MICU-A cg: RN v1: Present st: NotStopd t0: [14:00:00 05/11/2012] id: Braden Activity el: 0 cu: MICU-A cg: RN v1: Bedfast st: NotStopd t0: [14:00:00 05/11/2012] id: Braden Frict/Shear el: 0 cu: MICU-A cg: RN v1: Potential Prob st: NotStopd t0: [14:00:00 05/11/2012] id: Braden Mobility el: 0 cu: MICU-A cg: RN v1: Very Limited st: NotStopd t0: [14:00:00 05/11/2012] id: Braden Moisture el: 0 cu: MICU-A cg: RN v1: Rarely Moist st: NotStopd t0: [14:00:00 05/11/2012] id: Braden Nutrition el: 0 cu: MICU-A cg: RN v1: Adequate st: NotStopd t0: [14:00:00 05/11/2012] id: Braden Score el: 0 cu: MICU-A cg: RN v1: 14 u1: number st: NotStopd t0: [14:00:00 05/11/2012] id: Braden SensoryPercep el: 0 cu: MICU-A cg: RN v1: Very Limited st: NotStopd t0: [14:30:00 05/11/2012] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [14:30:00 05/11/2012] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [14:30:00 05/11/2012] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [14:30:00 05/11/2012] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [14:30:00 05/11/2012] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [14:30:00 05/11/2012] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 65 u1: BPM st: NotStopd t0: [14:30:00 05/11/2012] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [14:30:00 05/11/2012] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 129 u1: mmHg v2: 56 u2: mmHg st: NotStopd t0: [14:30:00 05/11/2012] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 76 u1: mmHg st: NotStopd t0: [14:30:00 05/11/2012] id: Precautions el: 0 cu: MICU-A cg: RN v1: Contact st: NotStopd t0: [14:30:00 05/11/2012] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 100.7 u1: kg st: NotStopd t0: [14:30:00 05/11/2012] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 15 u1: BPM st: NotStopd t0: [14:30:00 05/11/2012] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 95 u1: % st: NotStopd t0: [14:30:00 05/11/2012] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [14:30:00 05/11/2012] id: .9% Normal Saline 1000.0ml IV Infusions el: 7 cu: MICU-A cg: RN ai: 107 vo: 15 vu: ml t0: [14:30:00 05/11/2012] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 3 cu: MICU-A cg: RN ai: 126 vo: 30.312 vu: ml t0: [14:30:00 05/11/2012] id: D5W 100.0ml + 600mcghr Sandostatin IV Infusions el: 3 cu: MICU-A cg: RN ai: 127 vo: 12.45 vu: ml t0: [14:30:00 05/11/2012] id: TPN 1000.0ml IV Infusions el: 2 cu: MICU-A cg: RN ai: -1 vo: 62.7 vu: ml t0: [14:30:00 05/11/2012] id: Urine Out Foley el: 2 cu: MICU-A cg: RN vo: 110 vu: ml
t0: [14:00:00 05/11/2012] id: Propofol el: 3 cu: MICU-A cg: RN so: N/A vo: 0 v1: 40 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [14:00:00 05/11/2012] id: Sandostatin el: 4 cu: MICU-A cg: RN so: D5W vo: 0 v1: 49.8 du: mcghr sv: 100 su: ml rt: IV Drip t0: [14:30:00 05/11/2012] id: Propofol el: 3 cu: MICU-A cg: RN so: N/A vo: 0 v1: 20 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [14:30:00 05/11/2012] id: Sandostatin el: 4 cu: MICU-A cg: RN so: D5W vo: 0 v1: 49.8 du: mcghr sv: 100 su: ml rt: IV Drip
tf: [14:00:00 06/11/2012] pt: Unit Dose rt: IV fr: ONCE fs: 15 dn: 1 m1: Sodium Bicarbonate v1: 100 u1: mEq
t0: [14:20:00 05/11/2012] id: Pressure Support el: 0 cu: MICU-A cg: RRT v1: 12 u1: . st: NotStopd
t0: [16:00:00 05/11/2012] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [16:00:00 05/11/2012] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [16:00:00 05/11/2012] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [16:00:00 05/11/2012] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [16:00:00 05/11/2012] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [16:00:00 05/11/2012] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 66 u1: BPM st: NotStopd t0: [16:00:00 05/11/2012] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [16:00:00 05/11/2012] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 115 u1: mmHg v2: 45 u2: mmHg st: NotStopd t0: [16:00:00 05/11/2012] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 67 u1: mmHg st: NotStopd t0: [16:00:00 05/11/2012] id: Precautions el: 0 cu: MICU-A cg: RN v1: Contact st: NotStopd t0: [16:00:00 05/11/2012] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 100.7 u1: kg st: NotStopd t0: [16:00:00 05/11/2012] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 14 u1: BPM st: NotStopd t0: [16:00:00 05/11/2012] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 95 u1: % st: NotStopd t0: [16:00:00 05/11/2012] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [16:00:00 05/11/2012] id: IV Piggyback IV Infusions el: 1 cu: MICU-A cg: RN ai: 209 vo: 450 vu: ml t0: [16:00:00 05/11/2012] id: .9% Normal Saline 1000.0ml IV Infusions el: 7 cu: MICU-A cg: RN ai: 107 vo: 15 vu: ml t0: [16:00:00 05/11/2012] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 3 cu: MICU-A cg: RN ai: 126 vo: 15.156 vu: ml t0: [16:00:00 05/11/2012] id: D5W 100.0ml + 600mcghr Sandostatin IV Infusions el: 3 cu: MICU-A cg: RN ai: 127 vo: 12.45 vu: ml t0: [16:00:00 05/11/2012] id: TPN 1000.0ml IV Infusions el: 2 cu: MICU-A cg: RN ai: -1 vo: 62.7 vu: ml t0: [16:00:00 05/11/2012] id: Urine Out Foley el: 2 cu: MICU-A cg: RN vo: 100 vu: ml
t0: [16:00:00 05/11/2012] id: Sandostatin el: 4 cu: MICU-A cg: RN so: D5W vo: 0 v1: 49.8 du: mcghr sv: 100 su: ml rt: IV Drip
t0: [15:00:00 05/11/2012] id: Neg Insp Force(>-25) el: 0 cu: MICU-A cg: RRT v1: 37 u1: . st: NotStopd t0: [15:00:00 05/11/2012] id: PEEP Set el: 0 cu: MICU-A cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [15:00:00 05/11/2012] id: Pressure Support el: 0 cu: MICU-A cg: RRT v1: 5 u1: . st: NotStopd t0: [15:00:00 05/11/2012] id: Ventilator Mode el: 0 cu: MICU-A cg: RRT v1: CPAP+PS st: NotStopd
t0: [15:00:00 05/11/2012] id: Sputum Color/Consist el: 0 cu: MICU-A cg: RN v1: Yellow v2: Thick st: NotStopd t0: [15:00:00 05/11/2012] id: Sputum Source/Amt el: 0 cu: MICU-A cg: RN v1: Suctioned v2: Moderate st: NotStopd t0: [16:00:00 05/11/2012] id: Pain Present el: 0 cu: MICU-A cg: RN v1: No st: NotStopd t0: [16:00:00 05/11/2012] id: Pain Assess Method el: 0 cu: MICU-A cg: RN v1: Non-verbal cues st: NotStopd t0: [16:00:00 05/11/2012] id: Riker-SAS Scale el: 0 cu: MICU-A cg: RN v1: Calm/Cooperative st: NotStopd t0: [16:00:00 05/11/2012] id: Daily Wake Up el: 1 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [16:00:00 05/11/2012] id: Diet Type el: 0 cu: MICU-A cg: RN v1: TPN st: NotStopd t0: [16:00:00 05/11/2012] id: Eye Opening el: 0 cu: MICU-A cg: RN v1: 4 Spontaneously st: NotStopd t0: [16:00:00 05/11/2012] id: Follows Commands el: 0 cu: MICU-A cg: RN v1: Consistently st: NotStopd t0: [16:00:00 05/11/2012] id: GCS Total el: 0 cu: MICU-A cg: RN v1: 11 u1: points st: NotStopd t0: [16:00:00 05/11/2012] id: Level of Conscious el: 0 cu: MICU-A cg: RN v1: Alert st: NotStopd t0: [16:00:00 05/11/2012] id: Motor Response el: 0 cu: MICU-A cg: RN v1: 6 Obeys Commands st: NotStopd t0: [16:00:00 05/11/2012] id: Orientation el: 0 cu: MICU-A cg: RN v1: Other/Remarks st: NotStopd t0: [16:00:00 05/11/2012] id: Respiratory Pattern el: 0 cu: MICU-A cg: RN v1: Regular st: NotStopd t0: [16:00:00 05/11/2012] id: Spontaneous Movement el: 0 cu: MICU-A cg: RN v1: Purposeful st: NotStopd t0: [16:00:00 05/11/2012] id: Temp. Site el: 0 cu: MICU-A cg: RN v1: Oral st: NotStopd t0: [16:00:00 05/11/2012] id: Temperature C (calc) el: 0 cu: MICU-A cg: RN v1: 36.3333 u1: Deg. C st: NotStopd t0: [16:00:00 05/11/2012] id: Temperature F el: 0 cu: MICU-A cg: RN v1: 97.4 u1: Deg. F st: NotStopd t0: [16:00:00 05/11/2012] id: Urine Source el: 0 cu: MICU-A cg: RN v1: Indwelling Cath st: NotStopd t0: [16:00:00 05/11/2012] id: Verbal Response el: 0 cu: MICU-A cg: RN v1: 1.0 ET/Trach st: NotStopd
t0: [16:00:00 05/11/2012] id: Propofol el: 3 cu: MICU-A cg: RN so: N/A vo: 0 v1: 0 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [16:33:00 05/11/2012] id: Art.pH ABG el: 0 cu: MICU-A cg: 1663 v1: 7.38 rs: Final st: NotStopd t0: [16:33:00 05/11/2012] id: Arterial Base Excess ABG el: 0 cu: MICU-A cg: 1663 v1: -3 rs: Final st: NotStopd t0: [16:33:00 05/11/2012] id: Arterial CO2(Calc) ABG el: 0 cu: MICU-A cg: 1663 v1: 21 rs: Final st: NotStopd t0: [16:33:00 05/11/2012] id: Arterial PaCO2 ABG el: 0 cu: MICU-A cg: 1663 v1: 34 u1: mmHg rs: Final st: NotStopd t0: [16:33:00 05/11/2012] id: Arterial PaO2 ABG el: 0 cu: MICU-A cg: 1663 v1: 85 u1: mmHg rs: Final st: NotStopd t0: [16:33:00 05/11/2012] id: Arterial pH ABG el: 0 cu: MICU-A cg: 1663 v1: 7.38 rs: Final st: NotStopd
t0: [17:30:00 05/11/2012] id: Less Restrict Meas. el: 0 cu: MICU-A cg: RN v1: Orientation st: NotStopd t0: [17:30:00 05/11/2012] id: Range of Motion el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [17:30:00 05/11/2012] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [17:30:00 05/11/2012] id: Circulation/SkinInt el: 0 cu: MICU-A cg: RN v1: Circulation Adeq st: NotStopd t0: [17:30:00 05/11/2012] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [17:30:00 05/11/2012] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [17:30:00 05/11/2012] id: Diet Type el: 0 cu: MICU-A cg: RN v1: TPN st: NotStopd t0: [17:30:00 05/11/2012] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [17:30:00 05/11/2012] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [17:30:00 05/11/2012] id: Eye Opening el: 0 cu: MICU-A cg: RN v1: 4 Spontaneously st: NotStopd t0: [17:30:00 05/11/2012] id: Follows Commands el: 0 cu: MICU-A cg: RN v1: Consistently st: NotStopd t0: [17:30:00 05/11/2012] id: GCS Total el: 0 cu: MICU-A cg: RN v1: 11 u1: points st: NotStopd t0: [17:30:00 05/11/2012] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 74 u1: BPM st: NotStopd t0: [17:30:00 05/11/2012] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [17:30:00 05/11/2012] id: Imp Skin Cleanse #1 el: 0 cu: MICU-A cg: RN v1: Soap & H20 st: NotStopd t0: [17:30:00 05/11/2012] id: ImpSkin Character #1 el: 0 cu: MICU-A cg: RN v1: Abrasion st: NotStopd t0: [17:30:00 05/11/2012] id: ImpSkin Treatment #1 el: 0 cu: MICU-A cg: RN v1: Duoderm st: NotStopd t0: [17:30:00 05/11/2012] id: ImpSkin Wound Base#1 el: 0 cu: MICU-A cg: RN v1: Pink st: NotStopd t0: [17:30:00 05/11/2012] id: Impaired Skin Site#1 el: 0 cu: MICU-A cg: RN v1: Coccyx st: NotStopd t0: [17:30:00 05/11/2012] id: Level of Conscious el: 0 cu: MICU-A cg: RN v1: Alert st: NotStopd t0: [17:30:00 05/11/2012] id: Motor Response el: 0 cu: MICU-A cg: RN v1: 6 Obeys Commands st: NotStopd t0: [17:30:00 05/11/2012] id: Orientation el: 0 cu: MICU-A cg: RN v1: Other/Remarks st: NotStopd t0: [17:30:00 05/11/2012] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 155 u1: mmHg v2: 64 u2: mmHg st: NotStopd t0: [17:30:00 05/11/2012] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 89 u1: mmHg st: NotStopd t0: [17:30:00 05/11/2012] id: Position Change el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [17:30:00 05/11/2012] id: Precautions el: 0 cu: MICU-A cg: RN v1: Contact st: NotStopd t0: [17:30:00 05/11/2012] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 100.7 u1: kg st: NotStopd t0: [17:30:00 05/11/2012] id: Reason For Restraint el: 0 cu: MICU-A cg: RN v1: Ext/TXInterfere st: NotStopd t0: [17:30:00 05/11/2012] id: Removed x 5 Mins el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [17:30:00 05/11/2012] id: Respiratory Pattern el: 0 cu: MICU-A cg: RN v1: Regular st: NotStopd t0: [17:30:00 05/11/2012] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 16 u1: BPM st: NotStopd t0: [17:30:00 05/11/2012] id: Restraint Location el: 0 cu: MICU-A cg: RN v1: Both Arms st: NotStopd t0: [17:30:00 05/11/2012] id: Restraint Type el: 0 cu: MICU-A cg: RN v1: Soft Limb st: NotStopd t0: [17:30:00 05/11/2012] id: Restraints Evaluated el: 0 cu: MICU-A cg: RN v1: Restraint DC'd st: NotStopd t0: [17:30:00 05/11/2012] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [17:30:00 05/11/2012] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 98 u1: % st: NotStopd t0: [17:30:00 05/11/2012] id: Spontaneous Movement el: 0 cu: MICU-A cg: RN v1: Purposeful st: NotStopd t0: [17:30:00 05/11/2012] id: Support Systems el: 0 cu: MICU-A cg: RN v1: Spouse st: NotStopd t0: [17:30:00 05/11/2012] id: Urine Source el: 0 cu: MICU-A cg: RN v1: Indwelling Cath st: NotStopd t0: [17:30:00 05/11/2012] id: Verbal Response el: 0 cu: MICU-A cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [17:30:00 05/11/2012] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [17:30:00 05/11/2012] id: Behavior el: 0 cu: MICU-A cg: RN v1: Calm st: NotStopd
t0: [17:30:00 05/11/2012] id: .9% Normal Saline 1000.0ml IV Infusions el: 7 cu: MICU-A cg: RN ai: 107 vo: 15 vu: ml t0: [17:30:00 05/11/2012] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 3 cu: MICU-A cg: RN ai: 126 vo: 0 vu: ml t0: [17:30:00 05/11/2012] id: D5W 100.0ml + 600mcghr Sandostatin IV Infusions el: 3 cu: MICU-A cg: RN ai: 127 vo: 12.45 vu: ml t0: [17:30:00 05/11/2012] id: TPN 1000.0ml IV Infusions el: 2 cu: MICU-A cg: RN ai: -1 vo: 62.7 vu: ml t0: [17:30:00 05/11/2012] id: Stool Out Stool el: 1 cu: MICU-A cg: RN vo: 800 vu: ml t0: [17:30:00 05/11/2012] id: Urine Out Foley el: 2 cu: MICU-A cg: RN vo: 135 vu: ml
t0: [17:30:00 05/11/2012] id: Propofol el: 3 cu: MICU-A cg: RN so: N/A vo: 0 v1: 0 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [17:30:00 05/11/2012] id: Sandostatin el: 4 cu: MICU-A cg: RN so: D5W vo: 0 v1: 49.8 du: mcghr sv: 100 su: ml rt: IV Drip
t0: [23:00:00 05/11/2012] dt: 24 id: Stool Out Total el: 2 cu: MICU-A cg: RN cv: 800 ap: none
t0: [17:40:00 05/11/2012] id: Extubation Date el: 0 cu: MICU-A cg: RRT v1: 10 v2: 13 st: NotStopd t0: [17:40:00 05/11/2012] id: FiO2 Set el: 0 cu: MICU-A cg: RRT v1: 1 u1: torr st: NotStopd t0: [17:40:00 05/11/2012] id: O2 Delivery Device el: 0 cu: MICU-A cg: RRT v1: Aerosol-Cool st: NotStopd t0: [17:40:00 05/11/2012] id: O2 Flow (lpm) el: 0 cu: MICU-A cg: RRT v1: 15 u1: lpm st: NotStopd
t0: [18:20:00 05/11/2012] id: Art.pH ABG el: 0 cu: MICU-A cg: 1663 v1: 7.37 rs: Final st: NotStopd t0: [18:20:00 05/11/2012] id: Arterial Base Excess ABG el: 0 cu: MICU-A cg: 1663 v1: -4 rs: Final st: NotStopd t0: [18:20:00 05/11/2012] id: Arterial CO2(Calc) ABG el: 0 cu: MICU-A cg: 1663 v1: 20 rs: Final st: NotStopd t0: [18:20:00 05/11/2012] id: Arterial PaCO2 ABG el: 0 cu: MICU-A cg: 1663 v1: 33 u1: mmHg rs: Final st: NotStopd t0: [18:20:00 05/11/2012] id: Arterial PaO2 ABG el: 0 cu: MICU-A cg: 1663 v1: 98 u1: mmHg rs: Final st: NotStopd t0: [18:20:00 05/11/2012] id: Arterial pH ABG el: 0 cu: MICU-A cg: 1663 v1: 7.37 rs: Final st: NotStopd
t0: [17:30:00 05/11/2012] id: Significant Events el: 0 cu: MICU-A cg: RN v1: Extubated st: NotStopd t0: [18:00:00 05/11/2012] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [18:00:00 05/11/2012] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [18:00:00 05/11/2012] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [18:00:00 05/11/2012] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [18:00:00 05/11/2012] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [18:00:00 05/11/2012] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 75 u1: BPM st: NotStopd t0: [18:00:00 05/11/2012] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [18:00:00 05/11/2012] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 155 u1: mmHg v2: 71 u2: mmHg st: NotStopd t0: [18:00:00 05/11/2012] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 96 u1: mmHg st: NotStopd t0: [18:00:00 05/11/2012] id: Precautions el: 0 cu: MICU-A cg: RN v1: Contact st: NotStopd t0: [18:00:00 05/11/2012] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 100.7 u1: kg st: NotStopd t0: [18:00:00 05/11/2012] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 19 u1: BPM st: NotStopd t0: [18:00:00 05/11/2012] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 96 u1: % st: NotStopd t0: [18:00:00 05/11/2012] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [18:00:00 05/11/2012] id: Propofol el: 3 cu: MICU-A cg: RN so: N/A vo: 0 v1: 0 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [18:00:00 05/11/2012] id: Sandostatin el: 4 cu: MICU-A cg: RN so: D5W vo: 0 v1: 49.8 du: mcghr sv: 100 su: ml rt: IV Drip
t0: [19:00:00 05/11/2012] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [19:00:00 05/11/2012] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [19:00:00 05/11/2012] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [19:00:00 05/11/2012] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [19:00:00 05/11/2012] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [19:00:00 05/11/2012] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 75 u1: BPM st: NotStopd t0: [19:00:00 05/11/2012] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [19:00:00 05/11/2012] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 153 u1: mmHg v2: 71 u2: mmHg st: NotStopd t0: [19:00:00 05/11/2012] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 95 u1: mmHg st: NotStopd t0: [19:00:00 05/11/2012] id: Precautions el: 0 cu: MICU-A cg: RN v1: Contact st: NotStopd t0: [19:00:00 05/11/2012] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 100.7 u1: kg st: NotStopd t0: [19:00:00 05/11/2012] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 20 u1: BPM st: NotStopd t0: [19:00:00 05/11/2012] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 96 u1: % st: NotStopd t0: [19:00:00 05/11/2012] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [20:00:00 05/11/2012] id: Pain Present el: 0 cu: MICU-A cg: RN v1: No st: NotStopd t0: [20:00:00 05/11/2012] id: Pain Assess Method el: 0 cu: MICU-A cg: RN v1: Pt Verbalized st: NotStopd t0: [20:00:00 05/11/2012] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [20:00:00 05/11/2012] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [20:00:00 05/11/2012] id: Riker-SAS Scale el: 0 cu: MICU-A cg: RN v1: Calm/Cooperative st: NotStopd t0: [20:00:00 05/11/2012] id: Daily Wake Up el: 1 cu: MICU-A cg: RN v1: No/Not Sedated st: NotStopd t0: [20:00:00 05/11/2012] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [20:00:00 05/11/2012] id: Diet Type el: 0 cu: MICU-A cg: RN v1: TPN st: NotStopd t0: [20:00:00 05/11/2012] id: Dorsal PedPulse R/L el: 0 cu: MICU-A cg: RN v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [20:00:00 05/11/2012] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [20:00:00 05/11/2012] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [20:00:00 05/11/2012] id: Eye Opening el: 0 cu: MICU-A cg: RN v1: 4 Spontaneously st: NotStopd t0: [20:00:00 05/11/2012] id: Follows Commands el: 0 cu: MICU-A cg: RN v1: Consistently st: NotStopd t0: [20:00:00 05/11/2012] id: GCS Total el: 0 cu: MICU-A cg: RN v1: 15 u1: points st: NotStopd t0: [20:00:00 05/11/2012] id: HOB el: 0 cu: MICU-A cg: RN v1: 45 degrees st: NotStopd t0: [20:00:00 05/11/2012] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 75 u1: BPM st: NotStopd t0: [20:00:00 05/11/2012] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [20:00:00 05/11/2012] id: INV Line#1 Type/Site el: 0 cu: MICU-A cg: RN v1: PICC line v2: Left Antecub st: NotStopd t0: [20:00:00 05/11/2012] id: INV Line#1InsertDate el: 0 cu: MICU-A cg: RN v1: 10 v2: 9 st: NotStopd t0: [20:00:00 05/11/2012] id: INV Line#1SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [20:00:00 05/11/2012] id: INV Line#2 Type/Site el: 0 cu: MICU-A cg: RN v1: Introducer v2: Left IJ st: NotStopd t0: [20:00:00 05/11/2012] id: INV Line#2InsertDate el: 0 cu: MICU-A cg: RN v1: 10 v2: 10 st: NotStopd t0: [20:00:00 05/11/2012] id: INV Line#2SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [20:00:00 05/11/2012] id: INV Line#3 Type/Site el: 0 cu: MICU-A cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [20:00:00 05/11/2012] id: INV Line#3 Zero/Cal el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [20:00:00 05/11/2012] id: INV Line#3InsertDate el: 0 cu: MICU-A cg: RN v1: 10 v2: 10 st: NotStopd t0: [20:00:00 05/11/2012] id: INV Line#3SiteAppear el: 0 cu: MICU-A cg: RN v1: Bleeding st: NotStopd t0: [20:00:00 05/11/2012] id: Abdominal Assessment el: 0 cu: MICU-A cg: RN v1: Ascites st: NotStopd t0: [20:00:00 05/11/2012] id: INV#3 WaveformAppear el: 0 cu: MICU-A cg: RN v1: Sharp st: NotStopd t0: [20:00:00 05/11/2012] id: Activity el: 0 cu: MICU-A cg: RN v1: Bedrest st: NotStopd t0: [20:00:00 05/11/2012] id: Activity Tolerance el: 0 cu: MICU-A cg: RN v1: Tolerated Well st: NotStopd t0: [20:00:00 05/11/2012] id: ImpSkin Character #1 el: 0 cu: MICU-A cg: RN v1: Abrasion st: NotStopd t0: [20:00:00 05/11/2012] id: ImpSkin Wound Base#1 el: 0 cu: MICU-A cg: RN v1: Pink st: NotStopd t0: [20:00:00 05/11/2012] id: Impaired Skin Site#1 el: 0 cu: MICU-A cg: RN v1: Coccyx st: NotStopd t0: [20:00:00 05/11/2012] id: LLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Diminished st: NotStopd t0: [20:00:00 05/11/2012] id: LUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Rhonchi st: NotStopd t0: [20:00:00 05/11/2012] id: Level of Conscious el: 0 cu: MICU-A cg: RN v1: Alert st: NotStopd t0: [20:00:00 05/11/2012] id: Motor Response el: 0 cu: MICU-A cg: RN v1: 6 Obeys Commands st: NotStopd t0: [20:00:00 05/11/2012] id: O2 Delivery Device el: 0 cu: MICU-A cg: RN v1: Nasal Cannula st: NotStopd t0: [20:00:00 05/11/2012] id: O2 Flow (lpm) el: 0 cu: MICU-A cg: RN v1: 4 u1: lpm st: NotStopd t0: [20:00:00 05/11/2012] id: Oral Cavity el: 0 cu: MICU-A cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [20:00:00 05/11/2012] id: Orientation el: 0 cu: MICU-A cg: RN v1: Oriented x 3 st: NotStopd t0: [20:00:00 05/11/2012] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 145 u1: mmHg v2: 65 u2: mmHg st: NotStopd t0: [20:00:00 05/11/2012] id: Pain Location el: 0 cu: MICU-A cg: RN v1: Not Indicated st: NotStopd t0: [20:00:00 05/11/2012] id: Pain Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [20:00:00 05/11/2012] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 90 u1: mmHg st: NotStopd t0: [20:00:00 05/11/2012] id: Position el: 0 cu: MICU-A cg: RN v1: Supine st: NotStopd t0: [20:00:00 05/11/2012] id: PostTib. Pulses R/L el: 0 cu: MICU-A cg: RN v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [20:00:00 05/11/2012] id: Assistance Device el: 0 cu: MICU-A cg: RN v1: 1 Person Assist st: NotStopd t0: [20:00:00 05/11/2012] id: Precautions el: 0 cu: MICU-A cg: RN v1: Contact st: NotStopd t0: [20:00:00 05/11/2012] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 100.7 u1: kg st: NotStopd t0: [20:00:00 05/11/2012] id: RLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Diminished st: NotStopd t0: [20:00:00 05/11/2012] id: RUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Rhonchi st: NotStopd t0: [20:00:00 05/11/2012] id: Respiratory Pattern el: 0 cu: MICU-A cg: RN v1: Regular st: NotStopd t0: [20:00:00 05/11/2012] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 24 u1: BPM st: NotStopd t0: [20:00:00 05/11/2012] id: Restraint Location el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [20:00:00 05/11/2012] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [20:00:00 05/11/2012] id: Skin Color el: 0 cu: MICU-A cg: RN v1: Jaundiced st: NotStopd t0: [20:00:00 05/11/2012] id: Skin Integrity el: 0 cu: MICU-A cg: RN v1: Impaired st: NotStopd t0: [20:00:00 05/11/2012] id: Skin Temp/Condition el: 0 cu: MICU-A cg: RN v1: Warm v2: Dry st: NotStopd t0: [20:00:00 05/11/2012] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 93 u1: % st: NotStopd t0: [20:00:00 05/11/2012] id: Spontaneous Movement el: 0 cu: MICU-A cg: RN v1: Purposeful st: NotStopd t0: [20:00:00 05/11/2012] id: Support Systems el: 0 cu: MICU-A cg: RN v1: Spouse st: NotStopd t0: [20:00:00 05/11/2012] id: Temp. Site el: 0 cu: MICU-A cg: RN v1: Oral st: NotStopd t0: [20:00:00 05/11/2012] id: Temperature C (calc) el: 0 cu: MICU-A cg: RN v1: 36.3333 u1: Deg. C st: NotStopd t0: [20:00:00 05/11/2012] id: Temperature F el: 0 cu: MICU-A cg: RN v1: 97.4 u1: Deg. F st: NotStopd t0: [20:00:00 05/11/2012] id: Turn el: 0 cu: MICU-A cg: RN v1: Side to Side st: NotStopd t0: [20:00:00 05/11/2012] id: Urine Color/Appear el: 0 cu: MICU-A cg: RN v1: Icteric v2: Cloudy st: NotStopd t0: [20:00:00 05/11/2012] id: Urine Source el: 0 cu: MICU-A cg: RN v1: Indwelling Cath st: NotStopd t0: [20:00:00 05/11/2012] id: Verbal Response el: 0 cu: MICU-A cg: RN v1: 5 Oriented st: NotStopd t0: [20:00:00 05/11/2012] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [20:00:00 05/11/2012] id: Behavior el: 0 cu: MICU-A cg: RN v1: Calm st: NotStopd t0: [20:00:00 05/11/2012] id: Bowel Sounds el: 0 cu: MICU-A cg: RN v1: Present st: NotStopd t0: [20:00:00 05/11/2012] id: Braden Activity el: 0 cu: MICU-A cg: RN v1: Bedfast st: NotStopd t0: [20:00:00 05/11/2012] id: Braden Frict/Shear el: 0 cu: MICU-A cg: RN v1: Potential Prob st: NotStopd t0: [20:00:00 05/11/2012] id: Braden Mobility el: 0 cu: MICU-A cg: RN v1: Sl. Limited st: NotStopd t0: [20:00:00 05/11/2012] id: Braden Moisture el: 0 cu: MICU-A cg: RN v1: Occ. Moist st: NotStopd t0: [20:00:00 05/11/2012] id: Braden Nutrition el: 0 cu: MICU-A cg: RN v1: Adequate st: NotStopd t0: [20:00:00 05/11/2012] id: Braden Score el: 0 cu: MICU-A cg: RN v1: 16 u1: number st: NotStopd t0: [20:00:00 05/11/2012] id: Braden SensoryPercep el: 0 cu: MICU-A cg: RN v1: No Impairment st: NotStopd
t0: [20:00:00 05/11/2012] id: .9% Normal Saline 1000.0ml IV Infusions el: 7 cu: MICU-A cg: RN ai: 107 vo: 25 vu: ml t0: [20:00:00 05/11/2012] id: D5W 100.0ml + 600mcghr Sandostatin IV Infusions el: 3 cu: MICU-A cg: RN ai: 127 vo: 20.75 vu: ml t0: [20:00:00 05/11/2012] id: TPN 1000.0ml IV Infusions el: 2 cu: MICU-A cg: RN ai: -1 vo: 104.5 vu: ml t0: [20:00:00 05/11/2012] id: Urine Out Foley el: 2 cu: MICU-A cg: RN vo: 300 vu: ml
t0: [19:00:00 05/11/2012] id: Propofol el: 3 cu: MICU-A cg: RN so: N/A vo: 0 v1: 0 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [19:00:00 05/11/2012] id: Sandostatin el: 4 cu: MICU-A cg: RN so: D5W vo: 0 v1: 49.8 du: mcghr sv: 100 su: ml rt: IV Drip t0: [20:00:00 05/11/2012] id: Propofol el: 3 cu: MICU-A cg: RN so: N/A vo: 0 v1: 0 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [20:00:00 05/11/2012] id: Sandostatin el: 4 cu: MICU-A cg: RN so: D5W vo: 0 v1: 49.8 du: mcghr sv: 100 su: ml rt: IV Drip
t0: [21:00:00 05/11/2012] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 3 cu: MICU-A cg: -1 ai: 126 vo: 0 st: D/C'd
t0: [21:00:00 05/11/2012] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [21:00:00 05/11/2012] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [21:00:00 05/11/2012] id: Riker-SAS Scale el: 0 cu: MICU-A cg: RN v1: Calm/Cooperative st: NotStopd t0: [21:00:00 05/11/2012] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [21:00:00 05/11/2012] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [21:00:00 05/11/2012] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [21:00:00 05/11/2012] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 78 u1: BPM st: NotStopd t0: [21:00:00 05/11/2012] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [21:00:00 05/11/2012] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 168 u1: mmHg v2: 78 u2: mmHg st: NotStopd t0: [21:00:00 05/11/2012] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 103 u1: mmHg st: NotStopd t0: [21:00:00 05/11/2012] id: Precautions el: 0 cu: MICU-A cg: RN v1: Contact st: NotStopd t0: [21:00:00 05/11/2012] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 100.7 u1: kg st: NotStopd t0: [21:00:00 05/11/2012] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 16 u1: BPM st: NotStopd t0: [21:00:00 05/11/2012] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 99 u1: % st: NotStopd t0: [21:00:00 05/11/2012] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [21:00:00 05/11/2012] id: .9% Normal Saline 1000.0ml IV Infusions el: 7 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [21:00:00 05/11/2012] id: D5W 100.0ml + 600mcghr Sandostatin IV Infusions el: 3 cu: MICU-A cg: RN ai: 127 vo: 8.3 vu: ml t0: [21:00:00 05/11/2012] id: TPN 1000.0ml IV Infusions el: 2 cu: MICU-A cg: RN ai: -1 vo: 41.8 vu: ml t0: [21:00:00 05/11/2012] id: Urine Out Foley el: 2 cu: MICU-A cg: RN vo: 80 vu: ml
t0: [21:00:00 05/11/2012] id: Propofol el: 3 cu: MICU-A cg: RN so: N/A vo: 0 v1: 0 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [21:00:00 05/11/2012] id: Sandostatin el: 4 cu: MICU-A cg: RN so: D5W vo: 0 v1: 49.8 du: mcghr sv: 100 su: ml rt: IV Drip
t0: [22:00:00 05/11/2012] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [22:00:00 05/11/2012] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [22:00:00 05/11/2012] id: Riker-SAS Scale el: 0 cu: MICU-A cg: RN v1: Calm/Cooperative st: NotStopd t0: [22:00:00 05/11/2012] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [22:00:00 05/11/2012] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [22:00:00 05/11/2012] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [22:00:00 05/11/2012] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 83 u1: BPM st: NotStopd t0: [22:00:00 05/11/2012] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [22:00:00 05/11/2012] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 135 u1: mmHg v2: 57 u2: mmHg st: NotStopd t0: [22:00:00 05/11/2012] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 82 u1: mmHg st: NotStopd t0: [22:00:00 05/11/2012] id: Precautions el: 0 cu: MICU-A cg: RN v1: Contact st: NotStopd t0: [22:00:00 05/11/2012] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 100.7 u1: kg st: NotStopd t0: [22:00:00 05/11/2012] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 20 u1: BPM st: NotStopd t0: [22:00:00 05/11/2012] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 99 u1: % st: NotStopd t0: [22:00:00 05/11/2012] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [22:00:00 05/11/2012] id: .9% Normal Saline 1000.0ml IV Infusions el: 7 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [22:00:00 05/11/2012] id: D5W 100.0ml + 600mcghr Sandostatin IV Infusions el: 3 cu: MICU-A cg: RN ai: 127 vo: 8.3 vu: ml t0: [22:00:00 05/11/2012] id: TPN 1000.0ml IV Infusions el: 2 cu: MICU-A cg: RN ai: -1 vo: 41.8 vu: ml t0: [22:00:00 05/11/2012] id: Urine Out Foley el: 2 cu: MICU-A cg: RN vo: 120 vu: ml
t0: [22:00:00 05/11/2012] id: Sandostatin el: 4 cu: MICU-A cg: RN so: D5W vo: 0 v1: 49.8 du: mcghr sv: 100 su: ml rt: IV Drip
t0: [22:21:00 05/11/2012] id: PT el: 0 cu: MICU-A cg: 1663 v1: 14.6 rs: Final st: NotStopd t0: [22:21:00 05/11/2012] id: INR Coags el: 0 cu: MICU-A cg: 1663 v1: 1.4 rs: Final st: NotStopd t0: [22:21:00 05/11/2012] id: PTT Coags el: 0 cu: MICU-A cg: 1663 v1: 35.7 rs: Final st: NotStopd t0: [22:21:00 05/11/2012] id: INR (2-4 ref. range) Coags el: 0 cu: MICU-A cg: 1663 v1: 1.4 rs: Final st: NotStopd t0: [22:21:00 05/11/2012] id: PT(11-13.5) Coags el: 0 cu: MICU-A cg: 1663 v1: 14.6 rs: Final st: NotStopd t0: [22:21:00 05/11/2012] id: PTT(22-35) Coags el: 0 cu: MICU-A cg: 1663 v1: 35.7 rs: Final st: NotStopd
t0: [23:00:00 05/11/2012] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [23:00:00 05/11/2012] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [23:00:00 05/11/2012] id: Riker-SAS Scale el: 0 cu: MICU-A cg: RN v1: Calm/Cooperative st: NotStopd t0: [23:00:00 05/11/2012] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [23:00:00 05/11/2012] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [23:00:00 05/11/2012] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [23:00:00 05/11/2012] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 86 u1: BPM st: NotStopd t0: [23:00:00 05/11/2012] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [23:00:00 05/11/2012] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 132 u1: mmHg v2: 57 u2: mmHg st: NotStopd t0: [23:00:00 05/11/2012] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 81 u1: mmHg st: NotStopd t0: [23:00:00 05/11/2012] id: Precautions el: 0 cu: MICU-A cg: RN v1: Contact st: NotStopd t0: [23:00:00 05/11/2012] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 100.7 u1: kg st: NotStopd t0: [23:00:00 05/11/2012] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 20 u1: BPM st: NotStopd t0: [23:00:00 05/11/2012] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 98 u1: % st: NotStopd t0: [23:00:00 05/11/2012] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [23:00:00 05/11/2012] id: .9% Normal Saline 1000.0ml IV Infusions el: 7 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [23:00:00 05/11/2012] id: D5W 100.0ml + 600mcghr Sandostatin IV Infusions el: 3 cu: MICU-A cg: RN ai: 127 vo: 8.3 vu: ml t0: [23:00:00 05/11/2012] id: TPN 1000.0ml IV Infusions el: 2 cu: MICU-A cg: RN ai: -1 vo: 41.8 vu: ml t0: [23:00:00 05/11/2012] id: Urine Out Foley el: 2 cu: MICU-A cg: RN vo: 140 vu: ml
t0: [23:00:00 05/11/2012] id: Sandostatin el: 4 cu: MICU-A cg: RN so: D5W vo: 0 v1: 49.8 du: mcghr sv: 100 su: ml rt: IV Drip
t0: [00:00:00 06/11/2012] id: INV Line#3 Zero/Cal el: 0 cu: MICU-A cg: -1 st: D/C'd t0: [00:00:00 06/11/2012] id: INV#3 WaveformAppear el: 0 cu: MICU-A cg: -1 st: D/C'd
t0: [00:00:00 06/11/2012] id: Pain Present el: 0 cu: MICU-A cg: RN v1: No st: NotStopd t0: [00:00:00 06/11/2012] id: bath el: 1 cu: MICU-A cg: RN v1: Done t0: [00:00:00 06/11/2012] id: Pain Assess Method el: 0 cu: MICU-A cg: RN v1: Pt Verbalized st: NotStopd t0: [00:00:00 06/11/2012] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [00:00:00 06/11/2012] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [00:00:00 06/11/2012] id: Riker-SAS Scale el: 0 cu: MICU-A cg: RN v1: Calm/Cooperative st: NotStopd t0: [00:00:00 06/11/2012] id: Daily Wake Up el: 1 cu: MICU-A cg: RN v1: No/Not Sedated st: NotStopd t0: [00:00:00 06/11/2012] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [00:00:00 06/11/2012] id: Diet Type el: 0 cu: MICU-A cg: RN v1: TPN st: NotStopd t0: [00:00:00 06/11/2012] id: Dorsal PedPulse R/L el: 0 cu: MICU-A cg: RN v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [00:00:00 06/11/2012] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [00:00:00 06/11/2012] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [00:00:00 06/11/2012] id: Eye Opening el: 0 cu: MICU-A cg: RN v1: 4 Spontaneously st: NotStopd t0: [00:00:00 06/11/2012] id: Follows Commands el: 0 cu: MICU-A cg: RN v1: Consistently st: NotStopd t0: [00:00:00 06/11/2012] id: GCS Total el: 0 cu: MICU-A cg: RN v1: 15 u1: points st: NotStopd t0: [00:00:00 06/11/2012] id: HOB el: 0 cu: MICU-A cg: RN v1: 45 degrees st: NotStopd t0: [00:00:00 06/11/2012] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 80 u1: BPM st: NotStopd t0: [00:00:00 06/11/2012] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [00:00:00 06/11/2012] id: INV Line#1 Type/Site el: 0 cu: MICU-A cg: RN v1: PICC line v2: Left Antecub st: NotStopd t0: [00:00:00 06/11/2012] id: INV Line#1InsertDate el: 0 cu: MICU-A cg: RN v1: 10 v2: 9 st: NotStopd t0: [00:00:00 06/11/2012] id: INV Line#1SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [00:00:00 06/11/2012] id: INV Line#2 Type/Site el: 0 cu: MICU-A cg: RN v1: Introducer v2: Left IJ st: NotStopd t0: [00:00:00 06/11/2012] id: INV Line#2InsertDate el: 0 cu: MICU-A cg: RN v1: 10 v2: 10 st: NotStopd t0: [00:00:00 06/11/2012] id: INV Line#2SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [00:00:00 06/11/2012] id: INV Line#3 D/C Date el: 0 cu: MICU-A cg: RN v1: 10 v2: 14 st: NotStopd t0: [00:00:00 06/11/2012] id: INV Line#3 Type/Site el: 0 cu: MICU-A cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [00:00:00 06/11/2012] id: INV Line#3InsertDate el: 0 cu: MICU-A cg: RN v1: 10 v2: 10 st: NotStopd t0: [00:00:00 06/11/2012] id: INV Line#3SiteAppear el: 0 cu: MICU-A cg: RN v1: Bleeding st: NotStopd t0: [00:00:00 06/11/2012] id: Abdominal Assessment el: 0 cu: MICU-A cg: RN v1: Ascites st: NotStopd t0: [00:00:00 06/11/2012] id: Activity el: 0 cu: MICU-A cg: RN v1: Bedrest st: NotStopd t0: [00:00:00 06/11/2012] id: Activity Tolerance el: 0 cu: MICU-A cg: RN v1: Tolerated Well st: NotStopd t0: [00:00:00 06/11/2012] id: ImpSkin Character #1 el: 0 cu: MICU-A cg: RN v1: Abrasion st: NotStopd t0: [00:00:00 06/11/2012] id: ImpSkin Wound Base#1 el: 0 cu: MICU-A cg: RN v1: Pink st: NotStopd t0: [00:00:00 06/11/2012] id: Impaired Skin Site#1 el: 0 cu: MICU-A cg: RN v1: Coccyx st: NotStopd t0: [00:00:00 06/11/2012] id: LLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Diminished st: NotStopd t0: [00:00:00 06/11/2012] id: LUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Rhonchi st: NotStopd t0: [00:00:00 06/11/2012] id: Level of Conscious el: 0 cu: MICU-A cg: RN v1: Alert st: NotStopd t0: [00:00:00 06/11/2012] id: Motor Response el: 0 cu: MICU-A cg: RN v1: 6 Obeys Commands st: NotStopd t0: [00:00:00 06/11/2012] id: NBP el: 0 cu: MICU-A cg: RN v1: 121 u1: mmHg v2: 53 u2: mmHg st: NotStopd t0: [00:00:00 06/11/2012] id: NBP Mean el: 0 cu: MICU-A cg: RN v1: 75.6667 u1: mmHg st: NotStopd t0: [00:00:00 06/11/2012] id: O2 Delivery Device el: 0 cu: MICU-A cg: RN v1: Nasal Cannula st: NotStopd t0: [00:00:00 06/11/2012] id: O2 Flow (lpm) el: 0 cu: MICU-A cg: RN v1: 4 u1: lpm st: NotStopd t0: [00:00:00 06/11/2012] id: Oral Cavity el: 0 cu: MICU-A cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [00:00:00 06/11/2012] id: Orientation el: 0 cu: MICU-A cg: RN v1: Oriented x 3 st: NotStopd t0: [00:00:00 06/11/2012] id: Pain Location el: 0 cu: MICU-A cg: RN v1: Not Indicated st: NotStopd t0: [00:00:00 06/11/2012] id: Pain Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [00:00:00 06/11/2012] id: Position el: 0 cu: MICU-A cg: RN v1: Supine st: NotStopd t0: [00:00:00 06/11/2012] id: PostTib. Pulses R/L el: 0 cu: MICU-A cg: RN v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [00:00:00 06/11/2012] id: Assistance Device el: 0 cu: MICU-A cg: RN v1: 2 Person Assist st: NotStopd t0: [00:00:00 06/11/2012] id: Precautions el: 0 cu: MICU-A cg: RN v1: Contact st: NotStopd t0: [00:00:00 06/11/2012] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 100.7 u1: kg st: NotStopd t0: [00:00:00 06/11/2012] id: RLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Diminished st: NotStopd t0: [00:00:00 06/11/2012] id: RUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Rhonchi st: NotStopd t0: [00:00:00 06/11/2012] id: Respiratory Pattern el: 0 cu: MICU-A cg: RN v1: Regular st: NotStopd t0: [00:00:00 06/11/2012] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 16 u1: BPM st: NotStopd t0: [00:00:00 06/11/2012] id: Restraint Location el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [00:00:00 06/11/2012] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [00:00:00 06/11/2012] id: Skin Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [00:00:00 06/11/2012] id: Skin Color el: 0 cu: MICU-A cg: RN v1: Jaundiced st: NotStopd t0: [00:00:00 06/11/2012] id: Skin Integrity el: 0 cu: MICU-A cg: RN v1: Impaired st: NotStopd t0: [00:00:00 06/11/2012] id: Skin Temp/Condition el: 0 cu: MICU-A cg: RN v1: Warm v2: Dry st: NotStopd t0: [00:00:00 06/11/2012] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 100 u1: % st: NotStopd t0: [00:00:00 06/11/2012] id: Spontaneous Movement el: 0 cu: MICU-A cg: RN v1: Purposeful st: NotStopd t0: [00:00:00 06/11/2012] id: Stool Color/Consist el: 0 cu: MICU-A cg: RN v1: Green v2: Liquid st: NotStopd t0: [00:00:00 06/11/2012] id: Stool Guaiac el: 0 cu: MICU-A cg: RN v1: Positive st: NotStopd t0: [00:00:00 06/11/2012] id: Support Systems el: 0 cu: MICU-A cg: RN v1: Spouse st: NotStopd t0: [00:00:00 06/11/2012] id: Temp. Site el: 0 cu: MICU-A cg: RN v1: Oral st: NotStopd t0: [00:00:00 06/11/2012] id: Temperature C (calc) el: 0 cu: MICU-A cg: RN v1: 37.1111 u1: Deg. C st: NotStopd t0: [00:00:00 06/11/2012] id: Temperature F el: 0 cu: MICU-A cg: RN v1: 98.8 u1: Deg. F st: NotStopd t0: [00:00:00 06/11/2012] id: Turn el: 0 cu: MICU-A cg: RN v1: Side to Side st: NotStopd t0: [00:00:00 06/11/2012] id: Urine Color/Appear el: 0 cu: MICU-A cg: RN v1: Icteric v2: Cloudy st: NotStopd t0: [00:00:00 06/11/2012] id: Urine Source el: 0 cu: MICU-A cg: RN v1: Indwelling Cath st: NotStopd t0: [00:00:00 06/11/2012] id: Verbal Response el: 0 cu: MICU-A cg: RN v1: 5 Oriented st: NotStopd t0: [00:00:00 06/11/2012] id: Back Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [00:00:00 06/11/2012] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [00:00:00 06/11/2012] id: Behavior el: 0 cu: MICU-A cg: RN v1: Calm st: NotStopd t0: [00:00:00 06/11/2012] id: Bowel Sounds el: 0 cu: MICU-A cg: RN v1: Present st: NotStopd
t0: [00:00:00 06/11/2012] tf: [13:57:00 06/11/2012] dt: 837 id: Po Intake PO/Gastric el: 1 cu: MICU-A cg: RN ai: 103 vo: 240 vu: ml t0: [00:00:00 06/11/2012] id: .9% Normal Saline 1000.0ml IV Infusions el: 7 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [00:00:00 06/11/2012] id: D5W 100.0ml + 600mcghr Sandostatin IV Infusions el: 3 cu: MICU-A cg: RN ai: 127 vo: 8.3 vu: ml t0: [00:00:00 06/11/2012] id: TPN 1000.0ml IV Infusions el: 2 cu: MICU-A cg: RN ai: -1 vo: 41.8 vu: ml t0: [00:00:00 06/11/2012] id: Urine Out Foley el: 2 cu: MICU-A cg: RN vo: 180 vu: ml
t0: [00:00:00 06/11/2012] id: Sandostatin el: 4 cu: MICU-A cg: RN so: D5W vo: 0 v1: 49.8 du: mcghr sv: 100 su: ml rt: IV Drip
t0: [01:00:00 06/11/2012] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [01:00:00 06/11/2012] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [01:00:00 06/11/2012] id: Riker-SAS Scale el: 0 cu: MICU-A cg: RN v1: Calm/Cooperative st: NotStopd t0: [01:00:00 06/11/2012] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [01:00:00 06/11/2012] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [01:00:00 06/11/2012] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [01:00:00 06/11/2012] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 81 u1: BPM st: NotStopd t0: [01:00:00 06/11/2012] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [01:00:00 06/11/2012] id: NBP el: 0 cu: MICU-A cg: RN v1: 105 u1: mmHg v2: 61 u2: mmHg st: NotStopd t0: [01:00:00 06/11/2012] id: NBP Mean el: 0 cu: MICU-A cg: RN v1: 75.6667 u1: mmHg st: NotStopd t0: [01:00:00 06/11/2012] id: Precautions el: 0 cu: MICU-A cg: RN v1: Contact st: NotStopd t0: [01:00:00 06/11/2012] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 100.7 u1: kg st: NotStopd t0: [01:00:00 06/11/2012] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 18 u1: BPM st: NotStopd t0: [01:00:00 06/11/2012] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 100 u1: % st: NotStopd t0: [01:00:00 06/11/2012] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [00:00:00 06/11/2012] id: Gastric Emesis el: 1 cu: MICU-A cg: RN vu: ml es: Medium t0: [01:00:00 06/11/2012] id: .9% Normal Saline 1000.0ml IV Infusions el: 7 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [01:00:00 06/11/2012] id: D5W 100.0ml + 600mcghr Sandostatin IV Infusions el: 3 cu: MICU-A cg: RN ai: 127 vo: 8.3 vu: ml t0: [01:00:00 06/11/2012] id: TPN 1000.0ml IV Infusions el: 2 cu: MICU-A cg: RN ai: -1 vo: 41.8 vu: ml t0: [01:00:00 06/11/2012] id: Urine Out Foley el: 2 cu: MICU-A cg: RN vo: 120 vu: ml
t0: [01:00:00 06/11/2012] id: Sandostatin el: 4 cu: MICU-A cg: RN so: D5W vo: 0 v1: 49.8 du: mcghr sv: 100 su: ml rt: IV Drip
t0: [23:00:00 06/11/2012] dt: 24 id: Gastric Out Total el: 2 cu: MICU-A cg: RN cv: 0 ap: carryForward
t0: [02:00:00 06/11/2012] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [02:00:00 06/11/2012] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [02:00:00 06/11/2012] id: Riker-SAS Scale el: 0 cu: MICU-A cg: RN v1: Calm/Cooperative st: NotStopd t0: [02:00:00 06/11/2012] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [02:00:00 06/11/2012] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [02:00:00 06/11/2012] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [02:00:00 06/11/2012] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 80 u1: BPM st: NotStopd t0: [02:00:00 06/11/2012] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [02:00:00 06/11/2012] id: NBP el: 0 cu: MICU-A cg: RN v1: 116 u1: mmHg v2: 52 u2: mmHg st: NotStopd t0: [02:00:00 06/11/2012] id: NBP Mean el: 0 cu: MICU-A cg: RN v1: 73.3333 u1: mmHg st: NotStopd t0: [02:00:00 06/11/2012] id: Precautions el: 0 cu: MICU-A cg: RN v1: Contact st: NotStopd t0: [02:00:00 06/11/2012] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 100.7 u1: kg st: NotStopd t0: [02:00:00 06/11/2012] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 16 u1: BPM st: NotStopd t0: [02:00:00 06/11/2012] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 100 u1: % st: NotStopd t0: [02:00:00 06/11/2012] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [02:00:00 06/11/2012] id: .9% Normal Saline 1000.0ml IV Infusions el: 7 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [02:00:00 06/11/2012] id: D5W 100.0ml + 600mcghr Sandostatin IV Infusions el: 3 cu: MICU-A cg: RN ai: 127 vo: 8.3 vu: ml t0: [02:00:00 06/11/2012] id: TPN 1000.0ml IV Infusions el: 2 cu: MICU-A cg: RN ai: -1 vo: 41.8 vu: ml t0: [02:00:00 06/11/2012] id: Urine Out Foley el: 2 cu: MICU-A cg: RN vo: 180 vu: ml
t0: [02:00:00 06/11/2012] id: Sandostatin el: 4 cu: MICU-A cg: RN so: D5W vo: 0 v1: 49.8 du: mcghr sv: 100 su: ml rt: IV Drip
t0: [03:00:00 06/11/2012] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [03:00:00 06/11/2012] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [03:00:00 06/11/2012] id: Riker-SAS Scale el: 0 cu: MICU-A cg: RN v1: Calm/Cooperative st: NotStopd t0: [03:00:00 06/11/2012] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [03:00:00 06/11/2012] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [03:00:00 06/11/2012] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [03:00:00 06/11/2012] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 84 u1: BPM st: NotStopd t0: [03:00:00 06/11/2012] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [03:00:00 06/11/2012] id: NBP el: 0 cu: MICU-A cg: RN v1: 119 u1: mmHg v2: 61 u2: mmHg st: NotStopd t0: [03:00:00 06/11/2012] id: NBP Mean el: 0 cu: MICU-A cg: RN v1: 80.3333 u1: mmHg st: NotStopd t0: [03:00:00 06/11/2012] id: Precautions el: 0 cu: MICU-A cg: RN v1: Contact st: NotStopd t0: [03:00:00 06/11/2012] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 100.7 u1: kg st: NotStopd t0: [03:00:00 06/11/2012] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 17 u1: BPM st: NotStopd t0: [03:00:00 06/11/2012] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 100 u1: % st: NotStopd t0: [03:00:00 06/11/2012] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [03:00:00 06/11/2012] id: Po Intake PO/Gastric el: 1 cu: MICU-A cg: RN ai: 103 vo: 240 vu: ml t0: [03:00:00 06/11/2012] id: .9% Normal Saline 1000.0ml IV Infusions el: 7 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [03:00:00 06/11/2012] id: D5W 100.0ml + 600mcghr Sandostatin IV Infusions el: 3 cu: MICU-A cg: RN ai: 127 vo: 8.3 vu: ml t0: [03:00:00 06/11/2012] id: TPN 1000.0ml IV Infusions el: 2 cu: MICU-A cg: RN ai: -1 vo: 41.8 vu: ml t0: [03:00:00 06/11/2012] id: Urine Out Foley el: 2 cu: MICU-A cg: RN vo: 60 vu: ml
t0: [03:00:00 06/11/2012] id: Sandostatin el: 4 cu: MICU-A cg: RN so: D5W vo: 0 v1: 49.8 du: mcghr sv: 100 su: ml rt: IV Drip
t0: [23:00:00 06/11/2012] dt: 1 id: Total Hourly Output el: 2 cu: MICU-A cg: RN cv: 0 ap: none t0: [23:00:00 06/11/2012] dt: 1 id: Net Hourly Balance el: 2 cu: MICU-A cg: RN cv: 0 ap: none t0: [23:00:00 06/11/2012] dt: 24 id: IV Infusion In Total el: 2 cu: MICU-A cg: RN cv: 656.2 ap: none t0: [23:00:00 06/11/2012] dt: 24 id: IV Nutrition Total el: 2 cu: MICU-A cg: RN cv: 292.6 ap: none t0: [23:00:00 06/11/2012] dt: 24 id: 24h Total In el: 2 cu: MICU-A cg: RN cv: 2168.8 ap: none t0: [23:00:00 06/11/2012] dt: 24 id: PO/Gastric In Total el: 2 cu: MICU-A cg: RN cv: 1220 ap: none t0: [23:00:00 06/11/2012] dt: 24 id: Urine Out Total el: 2 cu: MICU-A cg: RN cv: 1700 ap: none t0: [23:00:00 06/11/2012] dt: 24 id: 24h Net Body Balance el: 2 cu: MICU-A cg: RN cv: 468.8 ap: carryForward t0: [23:00:00 06/11/2012] dt: 24 id: 24h Total Out el: 2 cu: MICU-A cg: RN cv: 1700 ap: carryForward t0: [23:00:00 06/11/2012] dt: multiple days id: LOS Net Body Balance el: 2 cu: MICU-A cg: RN cv: 20163.7 ap: carryForward
t0: [04:00:00 06/11/2012] id: Pain Present el: 0 cu: MICU-A cg: RN v1: No st: NotStopd t0: [04:00:00 06/11/2012] id: Pain Assess Method el: 0 cu: MICU-A cg: RN v1: Pt Verbalized st: NotStopd t0: [04:00:00 06/11/2012] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [04:00:00 06/11/2012] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [04:00:00 06/11/2012] id: Riker-SAS Scale el: 0 cu: MICU-A cg: RN v1: Calm/Cooperative st: NotStopd t0: [04:00:00 06/11/2012] id: Daily Wake Up el: 1 cu: MICU-A cg: RN v1: No/Not Sedated st: NotStopd t0: [04:00:00 06/11/2012] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [04:00:00 06/11/2012] id: Diet Type el: 0 cu: MICU-A cg: RN v1: TPN st: NotStopd t0: [04:00:00 06/11/2012] id: Dorsal PedPulse R/L el: 0 cu: MICU-A cg: RN v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [04:00:00 06/11/2012] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [04:00:00 06/11/2012] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [04:00:00 06/11/2012] id: Eye Opening el: 0 cu: MICU-A cg: RN v1: 4 Spontaneously st: NotStopd t0: [04:00:00 06/11/2012] id: Follows Commands el: 0 cu: MICU-A cg: RN v1: Consistently st: NotStopd t0: [04:00:00 06/11/2012] id: GCS Total el: 0 cu: MICU-A cg: RN v1: 15 u1: points st: NotStopd t0: [04:00:00 06/11/2012] id: HOB el: 0 cu: MICU-A cg: RN v1: 45 degrees st: NotStopd t0: [04:00:00 06/11/2012] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 82 u1: BPM st: NotStopd t0: [04:00:00 06/11/2012] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [04:00:00 06/11/2012] id: INV Line#1 Type/Site el: 0 cu: MICU-A cg: RN v1: PICC line v2: Left Antecub st: NotStopd t0: [04:00:00 06/11/2012] id: INV Line#1InsertDate el: 0 cu: MICU-A cg: RN v1: 10 v2: 9 st: NotStopd t0: [04:00:00 06/11/2012] id: INV Line#1SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [04:00:00 06/11/2012] id: INV Line#2 Type/Site el: 0 cu: MICU-A cg: RN v1: Introducer v2: Left IJ st: NotStopd t0: [04:00:00 06/11/2012] id: INV Line#2InsertDate el: 0 cu: MICU-A cg: RN v1: 10 v2: 10 st: NotStopd t0: [04:00:00 06/11/2012] id: INV Line#2SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [04:00:00 06/11/2012] id: Abdominal Assessment el: 0 cu: MICU-A cg: RN v1: Ascites st: NotStopd t0: [04:00:00 06/11/2012] id: Activity el: 0 cu: MICU-A cg: RN v1: Bedrest st: NotStopd t0: [04:00:00 06/11/2012] id: Activity Tolerance el: 0 cu: MICU-A cg: RN v1: Tolerated Well st: NotStopd t0: [04:00:00 06/11/2012] id: Impaired Skin Site#1 el: 0 cu: MICU-A cg: RN v1: Coccyx st: NotStopd t0: [04:00:00 06/11/2012] id: LLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Diminished st: NotStopd t0: [04:00:00 06/11/2012] id: LUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [04:00:00 06/11/2012] id: Level of Conscious el: 0 cu: MICU-A cg: RN v1: Alert st: NotStopd t0: [04:00:00 06/11/2012] id: Motor Response el: 0 cu: MICU-A cg: RN v1: 6 Obeys Commands st: NotStopd t0: [04:00:00 06/11/2012] id: NBP el: 0 cu: MICU-A cg: RN v1: 114 u1: mmHg v2: 52 u2: mmHg st: NotStopd t0: [04:00:00 06/11/2012] id: NBP Mean el: 0 cu: MICU-A cg: RN v1: 72.6667 u1: mmHg st: NotStopd t0: [04:00:00 06/11/2012] id: O2 Delivery Device el: 0 cu: MICU-A cg: RN v1: Nasal Cannula st: NotStopd t0: [04:00:00 06/11/2012] id: O2 Flow (lpm) el: 0 cu: MICU-A cg: RN v1: 2 u1: lpm st: NotStopd t0: [04:00:00 06/11/2012] id: Oral Cavity el: 0 cu: MICU-A cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [04:00:00 06/11/2012] id: Orientation el: 0 cu: MICU-A cg: RN v1: Oriented x 3 st: NotStopd t0: [04:00:00 06/11/2012] id: Pain Location el: 0 cu: MICU-A cg: RN v1: Not Indicated st: NotStopd t0: [04:00:00 06/11/2012] id: Pain Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [04:00:00 06/11/2012] id: Position el: 0 cu: MICU-A cg: RN v1: Right Side st: NotStopd t0: [04:00:00 06/11/2012] id: PostTib. Pulses R/L el: 0 cu: MICU-A cg: RN v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [04:00:00 06/11/2012] id: Assistance Device el: 0 cu: MICU-A cg: RN v1: 1 Person Assist st: NotStopd t0: [04:00:00 06/11/2012] id: Precautions el: 0 cu: MICU-A cg: RN v1: Contact st: NotStopd t0: [04:00:00 06/11/2012] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 100.7 u1: kg st: NotStopd t0: [04:00:00 06/11/2012] id: RLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Diminished st: NotStopd t0: [04:00:00 06/11/2012] id: RUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [04:00:00 06/11/2012] id: Respiratory Pattern el: 0 cu: MICU-A cg: RN v1: Regular st: NotStopd t0: [04:00:00 06/11/2012] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 15 u1: BPM st: NotStopd t0: [04:00:00 06/11/2012] id: Restraint Location el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [04:00:00 06/11/2012] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [04:00:00 06/11/2012] id: Skin Color el: 0 cu: MICU-A cg: RN v1: Jaundiced st: NotStopd t0: [04:00:00 06/11/2012] id: Skin Integrity el: 0 cu: MICU-A cg: RN v1: Impaired st: NotStopd t0: [04:00:00 06/11/2012] id: Skin Temp/Condition el: 0 cu: MICU-A cg: RN v1: Warm v2: Dry st: NotStopd t0: [04:00:00 06/11/2012] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 99 u1: % st: NotStopd t0: [04:00:00 06/11/2012] id: Spontaneous Movement el: 0 cu: MICU-A cg: RN v1: Purposeful st: NotStopd t0: [04:00:00 06/11/2012] id: Support Systems el: 0 cu: MICU-A cg: RN v1: Spouse st: NotStopd t0: [04:00:00 06/11/2012] id: Temp. Site el: 0 cu: MICU-A cg: RN v1: Oral st: NotStopd t0: [04:00:00 06/11/2012] id: Temperature C (calc) el: 0 cu: MICU-A cg: RN v1: 37.0556 u1: Deg. C st: NotStopd t0: [04:00:00 06/11/2012] id: Temperature F el: 0 cu: MICU-A cg: RN v1: 98.7 u1: Deg. F st: NotStopd t0: [04:00:00 06/11/2012] id: Turn el: 0 cu: MICU-A cg: RN v1: Right Side st: NotStopd t0: [04:00:00 06/11/2012] id: Urine Color/Appear el: 0 cu: MICU-A cg: RN v1: Icteric v2: Cloudy st: NotStopd t0: [04:00:00 06/11/2012] id: Urine Source el: 0 cu: MICU-A cg: RN v1: Indwelling Cath st: NotStopd t0: [04:00:00 06/11/2012] id: Verbal Response el: 0 cu: MICU-A cg: RN v1: 5 Oriented st: NotStopd t0: [04:00:00 06/11/2012] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [04:00:00 06/11/2012] id: Behavior el: 0 cu: MICU-A cg: RN v1: Calm st: NotStopd t0: [04:00:00 06/11/2012] id: Bowel Sounds el: 0 cu: MICU-A cg: RN v1: Present st: NotStopd
t0: [04:00:00 06/11/2012] id: .9% Normal Saline 1000.0ml IV Infusions el: 7 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [04:00:00 06/11/2012] id: D5W 100.0ml + 600mcghr Sandostatin IV Infusions el: 3 cu: MICU-A cg: RN ai: 127 vo: 8.3 vu: ml t0: [04:00:00 06/11/2012] id: TPN 1000.0ml IV Infusions el: 2 cu: MICU-A cg: RN ai: -1 vo: 41.8 vu: ml t0: [04:00:00 06/11/2012] id: Urine Out Foley el: 2 cu: MICU-A cg: RN vo: 80 vu: ml
t0: [04:00:00 06/11/2012] id: Sandostatin el: 4 cu: MICU-A cg: RN so: D5W vo: 0 v1: 49.8 du: mcghr sv: 100 su: ml rt: IV Drip
t0: [04:00:00 06/11/2012] id: IV Piggyback IV Infusions el: 1 cu: MICU-A cg: RN ai: 209 vo: 100 vu: ml
t0: [04:15:00 06/11/2012] id: WBC (4-11,000) Hematology el: 0 cu: MICU-A cg: 1663 v1: 6.1 rs: Final st: NotStopd t0: [04:15:00 06/11/2012] id: WBC Hematology el: 0 cu: MICU-A cg: 1663 v1: 6.1 rs: Final st: NotStopd t0: [04:15:00 06/11/2012] id: Hematocrit Hematology el: 0 cu: MICU-A cg: 1663 v1: 28.5 u1: % rs: Final st: NotStopd t0: [04:15:00 06/11/2012] id: Hemoglobin Hematology el: 0 cu: MICU-A cg: 1663 v1: 9.9 u1: gm/dl rs: Final st: NotStopd t0: [04:15:00 06/11/2012] id: Platelets Hematology el: 0 cu: MICU-A cg: 1663 v1: 71 rs: Final st: NotStopd t0: [04:15:00 06/11/2012] id: RBC Hematology el: 0 cu: MICU-A cg: 1663 v1: 3.18 u1: /mic l rs: Final st: NotStopd t0: [04:15:00 06/11/2012] id: WBC (4-11,000) Hematology el: 0 cu: MICU-A cg: 1663 v1: 6.1 rs: Final st: NotStopd
t0: [04:15:00 06/11/2012] id: PT el: 0 cu: MICU-A cg: 1663 v1: 15.1 rs: Final st: NotStopd t0: [04:15:00 06/11/2012] id: INR Coags el: 0 cu: MICU-A cg: 1663 v1: 1.5 rs: Final st: NotStopd t0: [04:15:00 06/11/2012] id: PTT Coags el: 0 cu: MICU-A cg: 1663 v1: 47.1 rs: Final st: NotStopd t0: [04:15:00 06/11/2012] id: INR (2-4 ref. range) Coags el: 0 cu: MICU-A cg: 1663 v1: 1.5 rs: Final st: NotStopd t0: [04:15:00 06/11/2012] id: PT(11-13.5) Coags el: 0 cu: MICU-A cg: 1663 v1: 15.1 rs: Final st: NotStopd t0: [04:15:00 06/11/2012] id: PTT(22-35) Coags el: 0 cu: MICU-A cg: 1663 v1: 47.1 rs: Final st: NotStopd
t0: [04:15:00 06/11/2012] id: BUN el: 0 cu: MICU-A cg: 1663 v1: 24 rs: Final st: NotStopd t0: [04:15:00 06/11/2012] id: Calcium Chemistry el: 0 cu: MICU-A cg: 1663 v1: 8.4 u1: mg/dl rs: Final st: NotStopd t0: [04:15:00 06/11/2012] id: Chloride Chemistry el: 0 cu: MICU-A cg: 1663 v1: 106 rs: Final st: NotStopd t0: [04:15:00 06/11/2012] id: Creatinine Chemistry el: 0 cu: MICU-A cg: 1663 v1: 2.4 rs: Final st: NotStopd t0: [04:15:00 06/11/2012] id: Glucose Chemistry el: 0 cu: MICU-A cg: 1663 v1: 150 rs: Final st: NotStopd t0: [04:15:00 06/11/2012] id: Magnesium Chemistry el: 0 cu: MICU-A cg: 1663 v1: 2 rs: Final st: NotStopd t0: [04:15:00 06/11/2012] id: Phosphorous Chemistry el: 0 cu: MICU-A cg: 1663 v1: 4.4 u1: mEq/L rs: Final st: NotStopd t0: [04:15:00 06/11/2012] id: Potassium Chemistry el: 0 cu: MICU-A cg: 1663 v1: 3.4 rs: Final st: NotStopd t0: [04:15:00 06/11/2012] id: Sodium Chemistry el: 0 cu: MICU-A cg: 1663 v1: 136 rs: Final st: NotStopd t0: [04:15:00 06/11/2012] id: BUN (6-20) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 24 rs: Final st: NotStopd t0: [04:15:00 06/11/2012] id: Calcium (8.4-10.2) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 8.4 u1: mg/dl rs: Final st: NotStopd t0: [04:15:00 06/11/2012] id: Carbon Dioxide Chemistry el: 0 cu: MICU-A cg: 1663 v1: 19 rs: Final st: NotStopd t0: [04:15:00 06/11/2012] id: Chloride (100-112) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 106 rs: Final st: NotStopd t0: [04:15:00 06/11/2012] id: Creatinine (0-1.3) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 2.4 rs: Final st: NotStopd t0: [04:15:00 06/11/2012] id: Glucose (70-105) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 150 rs: Final st: NotStopd t0: [04:15:00 06/11/2012] id: Magnesium (1.6-2.6) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 2 rs: Final st: NotStopd t0: [04:15:00 06/11/2012] id: Phosphorous(2.7-4.5) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 4.4 u1: mEq/L rs: Final st: NotStopd t0: [04:15:00 06/11/2012] id: Potassium (3.5-5.3) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 3.4 rs: Final st: NotStopd t0: [04:15:00 06/11/2012] id: Sodium (135-148) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 136 rs: Final st: NotStopd
t0: [05:00:00 06/11/2012] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [05:00:00 06/11/2012] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [05:00:00 06/11/2012] id: Riker-SAS Scale el: 0 cu: MICU-A cg: RN v1: Calm/Cooperative st: NotStopd t0: [05:00:00 06/11/2012] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [05:00:00 06/11/2012] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [05:00:00 06/11/2012] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [05:00:00 06/11/2012] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 83 u1: BPM st: NotStopd t0: [05:00:00 06/11/2012] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [05:00:00 06/11/2012] id: NBP el: 0 cu: MICU-A cg: RN v1: 112 u1: mmHg v2: 53 u2: mmHg st: NotStopd t0: [05:00:00 06/11/2012] id: NBP Mean el: 0 cu: MICU-A cg: RN v1: 72.6667 u1: mmHg st: NotStopd t0: [05:00:00 06/11/2012] id: Precautions el: 0 cu: MICU-A cg: RN v1: Contact st: NotStopd t0: [05:00:00 06/11/2012] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 100.7 u1: kg st: NotStopd t0: [05:00:00 06/11/2012] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 15 u1: BPM st: NotStopd t0: [05:00:00 06/11/2012] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 99 u1: % st: NotStopd t0: [05:00:00 06/11/2012] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [06:00:00 06/11/2012] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [06:00:00 06/11/2012] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [06:00:00 06/11/2012] id: Riker-SAS Scale el: 0 cu: MICU-A cg: RN v1: Calm/Cooperative st: NotStopd t0: [06:00:00 06/11/2012] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [06:00:00 06/11/2012] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [06:00:00 06/11/2012] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [06:00:00 06/11/2012] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 87 u1: BPM st: NotStopd t0: [06:00:00 06/11/2012] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [06:00:00 06/11/2012] id: NBP el: 0 cu: MICU-A cg: RN v1: 118 u1: mmHg v2: 57 u2: mmHg st: NotStopd t0: [06:00:00 06/11/2012] id: NBP Mean el: 0 cu: MICU-A cg: RN v1: 77.3333 u1: mmHg st: NotStopd t0: [06:00:00 06/11/2012] id: Precautions el: 0 cu: MICU-A cg: RN v1: Contact st: NotStopd t0: [06:00:00 06/11/2012] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 100.7 u1: kg st: NotStopd t0: [06:00:00 06/11/2012] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 18 u1: BPM st: NotStopd t0: [06:00:00 06/11/2012] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 99 u1: % st: NotStopd t0: [06:00:00 06/11/2012] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [05:00:00 06/11/2012] id: Po Intake PO/Gastric el: 1 cu: MICU-A cg: RN ai: 103 vo: 240 vu: ml t0: [05:00:00 06/11/2012] id: .9% Normal Saline 1000.0ml IV Infusions el: 7 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [05:00:00 06/11/2012] id: D5W 100.0ml + 600mcghr Sandostatin IV Infusions el: 3 cu: MICU-A cg: RN ai: 127 vo: 8.3 vu: ml t0: [05:00:00 06/11/2012] id: TPN 1000.0ml IV Infusions el: 2 cu: MICU-A cg: RN ai: -1 vo: 41.8 vu: ml t0: [05:00:00 06/11/2012] id: Urine Out Foley el: 2 cu: MICU-A cg: RN vo: 200 vu: ml t0: [06:00:00 06/11/2012] id: .9% Normal Saline 1000.0ml IV Infusions el: 7 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [06:00:00 06/11/2012] id: D5W 100.0ml + 600mcghr Sandostatin IV Infusions el: 3 cu: MICU-A cg: RN ai: 127 vo: 8.3 vu: ml t0: [06:00:00 06/11/2012] id: TPN 1000.0ml IV Infusions el: 2 cu: MICU-A cg: RN ai: -1 vo: 41.8 vu: ml t0: [06:00:00 06/11/2012] id: Urine Out Foley el: 2 cu: MICU-A cg: RN vo: 100 vu: ml
t0: [05:00:00 06/11/2012] id: Sandostatin el: 4 cu: MICU-A cg: RN so: D5W vo: 0 v1: 49.8 du: mcghr sv: 100 su: ml rt: IV Drip t0: [06:00:00 06/11/2012] id: Sandostatin el: 4 cu: MICU-A cg: RN so: D5W vo: 0 v1: 49.8 du: mcghr sv: 100 su: ml rt: IV Drip
t0: [06:00:00 06/11/2012] id: IV Piggyback IV Infusions el: 1 cu: MICU-A cg: RN ai: 209 vo: 100 vu: ml
t0: [04:15:00 06/11/2012] id: Vancomycin/Random Drug Level el: 0 cu: MICU-A cg: 1663 v1: 14.2 rs: Final st: NotStopd
tf: [10:00:00 08/11/2012] pt: Unit Dose rt: PO fr: TID fs: 08, 16, 22 dn: 3 m1: Lactulose v1: 30 u1: ml
tf: [22:00:00 06/11/2012] pt: Unit Dose rt: PO fr: ONCE fs: 9 dn: 1 m1: Potassium Chloride v1: 40 u1: mEq tf: [22:00:00 06/11/2012] pt: Unit Dose rt: PO fr: ONCE fs: 9 dn: 1 m1: Potassium Chloride v1: 60 u1: mEq tf: [22:00:00 06/11/2012] pt: Unit Dose rt: PO fr: ONCE fs: 9 dn: 1 m1: Potassium Chloride v1: 80 u1: mEq
t0: [07:00:00 06/11/2012] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [07:00:00 06/11/2012] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [07:00:00 06/11/2012] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [07:00:00 06/11/2012] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [07:00:00 06/11/2012] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [07:00:00 06/11/2012] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 82 u1: BPM st: NotStopd t0: [07:00:00 06/11/2012] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [07:00:00 06/11/2012] id: NBP el: 0 cu: MICU-A cg: RN v1: 116 u1: mmHg v2: 51 u2: mmHg st: NotStopd t0: [07:00:00 06/11/2012] id: NBP Mean el: 0 cu: MICU-A cg: RN v1: 72.6667 u1: mmHg st: NotStopd t0: [07:00:00 06/11/2012] id: Precautions el: 0 cu: MICU-A cg: RN v1: Contact st: NotStopd t0: [07:00:00 06/11/2012] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 100.7 u1: kg st: NotStopd t0: [07:00:00 06/11/2012] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 16 u1: BPM st: NotStopd t0: [07:00:00 06/11/2012] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [08:00:00 06/11/2012] id: Pain Present el: 0 cu: MICU-A cg: RN v1: No st: NotStopd t0: [08:00:00 06/11/2012] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [08:00:00 06/11/2012] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [08:00:00 06/11/2012] id: Riker-SAS Scale el: 0 cu: MICU-A cg: RN v1: Calm/Cooperative st: NotStopd t0: [08:00:00 06/11/2012] id: Daily Wake Up el: 1 cu: MICU-A cg: RN v1: No/Not Sedated st: NotStopd t0: [08:00:00 06/11/2012] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [08:00:00 06/11/2012] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [08:00:00 06/11/2012] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [08:00:00 06/11/2012] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 82 u1: BPM st: NotStopd t0: [08:00:00 06/11/2012] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [08:00:00 06/11/2012] id: NBP el: 0 cu: MICU-A cg: RN v1: 114 u1: mmHg v2: 55 u2: mmHg st: NotStopd t0: [08:00:00 06/11/2012] id: NBP Mean el: 0 cu: MICU-A cg: RN v1: 74.6667 u1: mmHg st: NotStopd t0: [08:00:00 06/11/2012] id: O2 Delivery Device el: 0 cu: MICU-A cg: RN v1: Nasal Cannula st: NotStopd t0: [08:00:00 06/11/2012] id: O2 Flow (lpm) el: 0 cu: MICU-A cg: RN v1: 2 u1: lpm st: NotStopd t0: [08:00:00 06/11/2012] id: Precautions el: 0 cu: MICU-A cg: RN v1: Contact st: NotStopd t0: [08:00:00 06/11/2012] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 100.7 u1: kg st: NotStopd t0: [08:00:00 06/11/2012] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 16 u1: BPM st: NotStopd t0: [08:00:00 06/11/2012] id: Temp. Site el: 0 cu: MICU-A cg: RN v1: Oral st: NotStopd t0: [08:00:00 06/11/2012] id: Temperature C (calc) el: 0 cu: MICU-A cg: RN v1: 37.6111 u1: Deg. C st: NotStopd t0: [08:00:00 06/11/2012] id: Temperature F el: 0 cu: MICU-A cg: RN v1: 99.7 u1: Deg. F st: NotStopd t0: [08:00:00 06/11/2012] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [07:00:00 06/11/2012] id: TPN 1000.0ml IV Infusions el: 2 cu: MICU-A cg: RN ai: -1 vu: ml st: Stopped t0: [08:00:00 06/11/2012] id: Po Intake PO/Gastric el: 1 cu: MICU-A cg: RN ai: 103 vo: 200 vu: ml t0: [08:00:00 06/11/2012] id: .9% Normal Saline 1000.0ml IV Infusions el: 7 cu: MICU-A cg: RN ai: 107 vo: 20 vu: ml t0: [08:00:00 06/11/2012] id: D5W 100.0ml + 600mcghr Sandostatin IV Infusions el: 3 cu: MICU-A cg: RN ai: 127 vo: 16.6 vu: ml t0: [09:00:00 06/11/2012] id: Po Intake PO/Gastric el: 1 cu: MICU-A cg: RN ai: 103 vo: 200 vu: ml t0: [09:00:00 06/11/2012] id: .9% Normal Saline 1000.0ml IV Infusions el: 7 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [09:00:00 06/11/2012] id: D5W 100.0ml + 600mcghr Sandostatin IV Infusions el: 3 cu: MICU-A cg: RN ai: 127 vo: 8.3 vu: ml t0: [09:00:00 06/11/2012] id: Urine Out Foley el: 2 cu: MICU-A cg: RN vo: 380 vu: ml
t0: [07:00:00 06/11/2012] id: Sandostatin el: 4 cu: MICU-A cg: RN so: D5W vo: 0 v1: 49.8 du: mcghr sv: 100 su: ml rt: IV Drip t0: [08:00:00 06/11/2012] id: Sandostatin el: 4 cu: MICU-A cg: RN so: D5W vo: 0 v1: 49.8 du: mcghr sv: 100 su: ml rt: IV Drip
t0: [08:00:00 06/11/2012] id: Diet Type el: 0 cu: MICU-A cg: RN v1: TPN st: NotStopd t0: [08:00:00 06/11/2012] id: Dorsal PedPulse R/L el: 0 cu: MICU-A cg: RN v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [08:00:00 06/11/2012] id: Eye Opening el: 0 cu: MICU-A cg: RN v1: 4 Spontaneously st: NotStopd t0: [08:00:00 06/11/2012] id: Follows Commands el: 0 cu: MICU-A cg: RN v1: Consistently st: NotStopd t0: [08:00:00 06/11/2012] id: GCS Total el: 0 cu: MICU-A cg: RN v1: 15 u1: points st: NotStopd t0: [08:00:00 06/11/2012] id: Abdominal Assessment el: 0 cu: MICU-A cg: RN v1: Ascites st: NotStopd t0: [08:00:00 06/11/2012] id: LLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Diminished st: NotStopd t0: [08:00:00 06/11/2012] id: LUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [08:00:00 06/11/2012] id: Level of Conscious el: 0 cu: MICU-A cg: RN v1: Alert st: NotStopd t0: [08:00:00 06/11/2012] id: Motor Response el: 0 cu: MICU-A cg: RN v1: 6 Obeys Commands st: NotStopd t0: [08:00:00 06/11/2012] id: Oral Cavity el: 0 cu: MICU-A cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [08:00:00 06/11/2012] id: Orientation el: 0 cu: MICU-A cg: RN v1: Oriented x 3 st: NotStopd t0: [08:00:00 06/11/2012] id: PostTib. Pulses R/L el: 0 cu: MICU-A cg: RN v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [08:00:00 06/11/2012] id: RLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Diminished st: NotStopd t0: [08:00:00 06/11/2012] id: RUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [08:00:00 06/11/2012] id: Respiratory Pattern el: 0 cu: MICU-A cg: RN v1: Regular st: NotStopd t0: [08:00:00 06/11/2012] id: Spontaneous Movement el: 0 cu: MICU-A cg: RN v1: Purposeful st: NotStopd t0: [08:00:00 06/11/2012] id: Urine Source el: 0 cu: MICU-A cg: RN v1: Indwelling Cath st: NotStopd t0: [08:00:00 06/11/2012] id: Verbal Response el: 0 cu: MICU-A cg: RN v1: 5 Oriented st: NotStopd t0: [08:00:00 06/11/2012] id: Bowel Sounds el: 0 cu: MICU-A cg: RN v1: Present st: NotStopd
t0: [09:00:00 06/11/2012] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [09:00:00 06/11/2012] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [09:00:00 06/11/2012] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [09:00:00 06/11/2012] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [09:00:00 06/11/2012] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 78 u1: BPM st: NotStopd t0: [09:00:00 06/11/2012] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [09:00:00 06/11/2012] id: NBP el: 0 cu: MICU-A cg: RN v1: 107 u1: mmHg v2: 55 u2: mmHg st: NotStopd t0: [09:00:00 06/11/2012] id: NBP Mean el: 0 cu: MICU-A cg: RN v1: 72.3333 u1: mmHg st: NotStopd t0: [09:00:00 06/11/2012] id: Precautions el: 0 cu: MICU-A cg: RN v1: Contact st: NotStopd t0: [09:00:00 06/11/2012] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 100.7 u1: kg st: NotStopd t0: [09:00:00 06/11/2012] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 17 u1: BPM st: NotStopd t0: [09:00:00 06/11/2012] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 96 u1: % st: NotStopd t0: [09:00:00 06/11/2012] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [09:00:00 06/11/2012] id: Sandostatin el: 4 cu: MICU-A cg: RN so: D5W vo: 0 v1: 49.8 du: mcghr sv: 100 su: ml rt: IV Drip
tf: [10:00:00 08/11/2012] pt: Unit Dose rt: PO fr: QD fs: 10 dn: 1 m1: Nadolol v1: 20 u1: mg
t0: [10:00:00 06/11/2012] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [10:00:00 06/11/2012] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [10:00:00 06/11/2012] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [10:00:00 06/11/2012] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [10:00:00 06/11/2012] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 76 u1: BPM st: NotStopd t0: [10:00:00 06/11/2012] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [10:00:00 06/11/2012] id: NBP el: 0 cu: MICU-A cg: RN v1: 117 u1: mmHg v2: 56 u2: mmHg st: NotStopd t0: [10:00:00 06/11/2012] id: NBP Mean el: 0 cu: MICU-A cg: RN v1: 76.3333 u1: mmHg st: NotStopd t0: [10:00:00 06/11/2012] id: Precautions el: 0 cu: MICU-A cg: RN v1: Contact st: NotStopd t0: [10:00:00 06/11/2012] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 100.7 u1: kg st: NotStopd t0: [10:00:00 06/11/2012] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 14 u1: BPM st: NotStopd t0: [10:00:00 06/11/2012] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 97 u1: % st: NotStopd t0: [10:00:00 06/11/2012] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [10:00:00 06/11/2012] id: .9% Normal Saline 1000.0ml IV Infusions el: 7 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [10:00:00 06/11/2012] id: D5W 100.0ml + 600mcghr Sandostatin IV Infusions el: 3 cu: MICU-A cg: RN ai: 127 vo: 8.3 vu: ml
t0: [10:00:00 06/11/2012] id: Sandostatin el: 4 cu: MICU-A cg: RN so: D5W vo: 0 v1: 49.8 du: mcghr sv: 100 su: ml rt: IV Drip
t0: [08:00:00 06/11/2012] id: Impaired Skin Site#1 el: 0 cu: MICU-A cg: RN v1: Coccyx st: NotStopd t0: [08:00:00 06/11/2012] id: Restraint Location el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [08:00:00 06/11/2012] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [08:00:00 06/11/2012] id: Skin Color el: 0 cu: MICU-A cg: RN v1: Jaundiced st: NotStopd t0: [08:00:00 06/11/2012] id: Skin Integrity el: 0 cu: MICU-A cg: RN v1: Impaired st: NotStopd t0: [08:00:00 06/11/2012] id: Skin Temp/Condition el: 0 cu: MICU-A cg: RN v1: Warm v2: Dry st: NotStopd t0: [08:00:00 06/11/2012] id: Support Systems el: 0 cu: MICU-A cg: RN v1: Spouse st: NotStopd
tf: [22:00:00 06/11/2012] pt: IV Piggyback rt: IV fr: ONCE fs: 11 dn: 1 m1: Vancomycin HCl v1: 1000 u1: mg m2: Iso-Osmotic Dextrose v2: 200 u2: ml tf: [10:00:00 08/11/2012] pt: Unit Dose rt: PO fr: Q12H fs: 11, 23 dn: 2 m1: Pantoprazole v1: 40 u1: mg
t0: [11:00:00 06/11/2012] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [11:00:00 06/11/2012] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [11:00:00 06/11/2012] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [11:00:00 06/11/2012] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [11:00:00 06/11/2012] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 80 u1: BPM st: NotStopd t0: [11:00:00 06/11/2012] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [11:00:00 06/11/2012] id: NBP el: 0 cu: MICU-A cg: RN v1: 106 u1: mmHg v2: 53 u2: mmHg st: NotStopd t0: [11:00:00 06/11/2012] id: NBP Mean el: 0 cu: MICU-A cg: RN v1: 70.6667 u1: mmHg st: NotStopd t0: [11:00:00 06/11/2012] id: Precautions el: 0 cu: MICU-A cg: RN v1: Contact st: NotStopd t0: [11:00:00 06/11/2012] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 11 u1: BPM st: NotStopd t0: [11:00:00 06/11/2012] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [11:00:00 06/11/2012] id: .9% Normal Saline 1000.0ml IV Infusions el: 7 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [11:00:00 06/11/2012] id: D5W 100.0ml + 600mcghr Sandostatin IV Infusions el: 3 cu: MICU-A cg: RN ai: 127 vo: 8.3 vu: ml t0: [11:00:00 06/11/2012] id: Urine Out Foley el: 2 cu: MICU-A cg: RN vo: 220 vu: ml
t0: [11:00:00 06/11/2012] id: Sandostatin el: 4 cu: MICU-A cg: RN so: D5W vo: 0 v1: 49.8 du: mcghr sv: 100 su: ml rt: IV Drip
t0: [08:00:00 06/11/2012] id: INV Line#1 Type/Site el: 0 cu: MICU-A cg: RN v1: PICC line v2: Left Antecub st: NotStopd t0: [08:00:00 06/11/2012] id: INV Line#1InsertDate el: 0 cu: MICU-A cg: RN v1: 10 v2: 9 st: NotStopd t0: [08:00:00 06/11/2012] id: INV Line#1SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [08:00:00 06/11/2012] id: INV Line#2 Type/Site el: 0 cu: MICU-A cg: RN v1: Introducer v2: Left IJ st: NotStopd t0: [08:00:00 06/11/2012] id: INV Line#2InsertDate el: 0 cu: MICU-A cg: RN v1: 10 v2: 10 st: NotStopd t0: [08:00:00 06/11/2012] id: INV Line#2SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [11:00:00 06/11/2012] id: INV Line#1 Type/Site el: 0 cu: MICU-A cg: RN v1: PICC line v2: Left Antecub st: NotStopd t0: [11:00:00 06/11/2012] id: INV Line#1InsertDate el: 0 cu: MICU-A cg: RN v1: 10 v2: 9 st: NotStopd t0: [11:00:00 06/11/2012] id: INV Line#1SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [11:00:00 06/11/2012] id: INV Line#2 Type/Site el: 0 cu: MICU-A cg: RN v1: Introducer v2: Left IJ st: NotStopd t0: [11:00:00 06/11/2012] id: INV Line#2InsertDate el: 0 cu: MICU-A cg: RN v1: 10 v2: 10 st: NotStopd t0: [11:00:00 06/11/2012] id: INV Line#2SiteAppear el: 0 cu: MICU-A cg: RN v1: Bleeding st: NotStopd
t0: [12:00:00 06/11/2012] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [12:00:00 06/11/2012] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [12:00:00 06/11/2012] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [12:00:00 06/11/2012] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [12:00:00 06/11/2012] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 76 u1: BPM st: NotStopd t0: [12:00:00 06/11/2012] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [12:00:00 06/11/2012] id: NBP el: 0 cu: MICU-A cg: RN v1: 102 u1: mmHg v2: 54 u2: mmHg st: NotStopd t0: [12:00:00 06/11/2012] id: NBP Mean el: 0 cu: MICU-A cg: RN v1: 70 u1: mmHg st: NotStopd t0: [12:00:00 06/11/2012] id: Precautions el: 0 cu: MICU-A cg: RN v1: Contact st: NotStopd t0: [12:00:00 06/11/2012] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 15 u1: BPM st: NotStopd t0: [12:00:00 06/11/2012] id: Temperature C (calc) el: 0 cu: MICU-A cg: RN v1: 37.1111 u1: Deg. C st: NotStopd t0: [12:00:00 06/11/2012] id: Temperature F el: 0 cu: MICU-A cg: RN v1: 98.8 u1: Deg. F st: NotStopd t0: [12:00:00 06/11/2012] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [12:00:00 06/11/2012] id: .9% Normal Saline 1000.0ml IV Infusions el: 7 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [12:00:00 06/11/2012] id: D5W 100.0ml + 600mcghr Sandostatin IV Infusions el: 3 cu: MICU-A cg: RN ai: 127 vo: 8.3 vu: ml t0: [13:00:00 06/11/2012] id: .9% Normal Saline 1000.0ml IV Infusions el: 7 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [13:00:00 06/11/2012] id: D5W 100.0ml + 600mcghr Sandostatin IV Infusions el: 3 cu: MICU-A cg: RN ai: 127 vo: 8.3 vu: ml t0: [13:00:00 06/11/2012] id: Urine Out Foley el: 2 cu: MICU-A cg: RN vo: 180 vu: ml
t0: [12:00:00 06/11/2012] id: Sandostatin el: 4 cu: MICU-A cg: RN so: D5W vo: 0 v1: 49.8 du: mcghr sv: 100 su: ml rt: IV Drip
t0: [13:00:00 06/11/2012] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [13:00:00 06/11/2012] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [13:00:00 06/11/2012] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [13:00:00 06/11/2012] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [13:00:00 06/11/2012] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 78 u1: BPM st: NotStopd t0: [13:00:00 06/11/2012] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [13:00:00 06/11/2012] id: NBP el: 0 cu: MICU-A cg: RN v1: 111 u1: mmHg v2: 52 u2: mmHg st: NotStopd t0: [13:00:00 06/11/2012] id: NBP Mean el: 0 cu: MICU-A cg: RN v1: 71.6667 u1: mmHg st: NotStopd t0: [13:00:00 06/11/2012] id: Precautions el: 0 cu: MICU-A cg: RN v1: Contact st: NotStopd t0: [13:00:00 06/11/2012] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 100.7 u1: kg st: NotStopd t0: [13:00:00 06/11/2012] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 21 u1: BPM st: NotStopd t0: [13:00:00 06/11/2012] id: Temp. Site el: 0 cu: MICU-A cg: RN v1: Oral st: NotStopd t0: [13:00:00 06/11/2012] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [13:00:00 06/11/2012] id: Po Intake PO/Gastric el: 1 cu: MICU-A cg: RN ai: 103 vo: 100 vu: ml t0: [13:00:00 06/11/2012] id: IV Piggyback IV Infusions el: 1 cu: MICU-A cg: RN ai: 209 vo: 200 vu: ml
t0: [13:00:00 06/11/2012] id: Sandostatin el: 4 cu: MICU-A cg: RN so: D5W vo: 0 v1: 49.8 du: mcghr sv: 100 su: ml rt: IV Drip
tf: [16:00:00 15/11/2012] pt: IV Piggyback rt: IV DRIP fr: INFUSION m1: Octreotide Acetate v1: 600 u1: mcg m2: D5W v2: 100 u2: ml
tf: [22:00:00 07/11/2012] pt: IV Piggyback rt: IV fr: ONCE fs: 23 dn: 1 m1: Vancomycin HCl v1: 1000 u1: mg m2: Iso-Osmotic Dextrose v2: 200 u2: ml
tf: [16:00:00 07/11/2012] pt: IV Piggyback rt: IV fr: ONCE fs: 13 dn: 1 m1: Vancomycin HCl v1: 1000 u1: mg m2: Iso-Osmotic Dextrose v2: 200 u2: ml
tf: [10:00:00 08/11/2012] pt: IV Piggyback rt: IV fr: ONCE fs: 17 dn: 1 m1: Vancomycin HCl v1: 1000 u1: mg m2: Iso-Osmotic Dextrose v2: 200 u2: ml
tf: [10:00:00 08/11/2012] pt: IV Piggyback rt: IV DRIP fr: INFUSION m1: Octreotide Acetate v1: 600 u1: mcg m2: D5W v2: 100 u2: ml
tf: [16:06:00 09/11/2012] dt: 1915 cu: CSRU de: MICU-A
t0: [08:18:00 08/11/2012] id: BSA el: 1033 cu: MICU-A cg: -1 t0: [08:18:00 08/11/2012] id: Admit Wt el: 1032 cu: MICU-A cg: -1 t0: [08:18:00 08/11/2012] id: Allergy 1 el: 1020 cu: MICU-A cg: -1 v1: No Known Drug Allergies t0: [08:18:00 08/11/2012] id: Diagnosis/op el: 1023 cu: MICU-A cg: -1 v1: VARICEAL BLEED t0: [08:18:00 08/11/2012] id: Service el: 1026 cu: MICU-A cg: -1 v1: SUR t0: [08:18:00 08/11/2012] id: Admit Ht el: 1034 cu: MICU-A cg: -1 t0: [08:18:00 08/11/2012] id: Readmission el: 1014 cu: MICU-A cg: -1 t0: [08:18:00 08/11/2012] id: Marital Status el: 1006 cu: MICU-A cg: -1 v1: M t0: [08:18:00 08/11/2012] id: Religion el: 1000 cu: MICU-A cg: -1 v1: RCA t0: [08:18:00 08/11/2012] id: Allergy 2 el: 1021 cu: MICU-A cg: -1 t0: [08:18:00 08/11/2012] id: Ext el: 1010 cu: MICU-A cg: -1 t0: [08:18:00 08/11/2012] id: PIN el: 1012 cu: MICU-A cg: -1 t0: [08:18:00 08/11/2012] id: Allergy 3 el: 1022 cu: MICU-A cg: -1
t0: [07:45:00 08/11/2012] id: PT el: 0 cu: CSRU cg: 3161 v1: 15.6 rs: Final st: NotStopd t0: [07:45:00 08/11/2012] id: INR Coags el: 0 cu: CSRU cg: 3161 v1: 1.6 rs: Final st: NotStopd t0: [07:45:00 08/11/2012] id: PTT Coags el: 0 cu: CSRU cg: 3161 v1: 37 rs: Final st: NotStopd t0: [07:45:00 08/11/2012] id: INR (2-4 ref. range) Coags el: 0 cu: CSRU cg: 3161 v1: 1.6 rs: Final st: NotStopd t0: [07:45:00 08/11/2012] id: PT(11-13.5) Coags el: 0 cu: CSRU cg: 3161 v1: 15.6 rs: Final st: NotStopd t0: [07:45:00 08/11/2012] id: PTT(22-35) Coags el: 0 cu: CSRU cg: 3161 v1: 37 rs: Final st: NotStopd t0: [08:15:00 08/11/2012] id: Pain Level el: 0 cu: CSRU cg: RN v1: 4-Mild to Mod st: NotStopd t0: [08:15:00 08/11/2012] id: Pain Present el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [08:15:00 08/11/2012] id: Riker-SAS Scale el: 0 cu: CSRU cg: RN v1: Calm/Cooperative st: NotStopd t0: [08:15:00 08/11/2012] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [08:15:00 08/11/2012] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 77 u1: BPM st: NotStopd t0: [08:15:00 08/11/2012] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [08:15:00 08/11/2012] id: Pain Level (Rest) el: 0 cu: CSRU cg: RN v1: 4-Mild to Mod st: NotStopd t0: [08:15:00 08/11/2012] id: Pain Location el: 0 cu: CSRU cg: RN v1: Abdominal st: NotStopd t0: [08:15:00 08/11/2012] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 19 u1: BPM st: NotStopd t0: [08:15:00 08/11/2012] id: SpO2 el: 0 cu: CSRU cg: RN v1: 96 u1: % st: NotStopd t0: [08:15:00 08/11/2012] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [08:20:00 08/11/2012] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [08:20:00 08/11/2012] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 96 u1: BPM st: NotStopd t0: [08:20:00 08/11/2012] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [08:20:00 08/11/2012] id: NBP el: 0 cu: CSRU cg: RN v1: 101 u1: mmHg v2: 42 u2: mmHg st: NotStopd t0: [08:20:00 08/11/2012] id: NBP Mean el: 0 cu: CSRU cg: RN v1: 61.6667 u1: mmHg st: NotStopd t0: [08:20:00 08/11/2012] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 10 u1: BPM st: NotStopd t0: [08:20:00 08/11/2012] id: SpO2 el: 0 cu: CSRU cg: RN v1: 97 u1: % st: NotStopd t0: [08:20:00 08/11/2012] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Oral st: NotStopd t0: [08:20:00 08/11/2012] id: Temperature C (calc) el: 0 cu: CSRU cg: RN v1: 37.4444 u1: Deg. C st: NotStopd t0: [08:20:00 08/11/2012] id: Temperature F el: 0 cu: CSRU cg: RN v1: 99.4 u1: Deg. F st: NotStopd t0: [08:20:00 08/11/2012] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [08:25:00 08/11/2012] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [08:25:00 08/11/2012] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 77 u1: BPM st: NotStopd t0: [08:25:00 08/11/2012] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [08:25:00 08/11/2012] id: NBP el: 0 cu: CSRU cg: RN v1: 97 u1: mmHg v2: 43 u2: mmHg st: NotStopd t0: [08:25:00 08/11/2012] id: NBP Mean el: 0 cu: CSRU cg: RN v1: 61 u1: mmHg st: NotStopd t0: [08:25:00 08/11/2012] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 19 u1: BPM st: NotStopd t0: [08:25:00 08/11/2012] id: SpO2 el: 0 cu: CSRU cg: RN v1: 96 u1: % st: NotStopd t0: [08:25:00 08/11/2012] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [08:30:00 08/11/2012] id: Riker-SAS Scale el: 0 cu: CSRU cg: RN v1: Sedated st: NotStopd t0: [08:30:00 08/11/2012] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [08:30:00 08/11/2012] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 90 u1: BPM st: NotStopd t0: [08:30:00 08/11/2012] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [08:30:00 08/11/2012] id: NBP el: 0 cu: CSRU cg: RN v1: 103 u1: mmHg v2: 32 u2: mmHg st: NotStopd t0: [08:30:00 08/11/2012] id: NBP Mean el: 0 cu: CSRU cg: RN v1: 55.6667 u1: mmHg st: NotStopd t0: [08:30:00 08/11/2012] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 19 u1: BPM st: NotStopd t0: [08:30:00 08/11/2012] id: Significant Events el: 0 cu: CSRU cg: RN v1: Intubated st: NotStopd t0: [08:30:00 08/11/2012] id: SpO2 el: 0 cu: CSRU cg: RN v1: 100 u1: % st: NotStopd t0: [08:30:00 08/11/2012] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [08:35:00 08/11/2012] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [08:35:00 08/11/2012] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 87 u1: BPM st: NotStopd t0: [08:35:00 08/11/2012] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [08:35:00 08/11/2012] id: NBP el: 0 cu: CSRU cg: RN v1: 102 u1: mmHg v2: 40 u2: mmHg st: NotStopd t0: [08:35:00 08/11/2012] id: NBP Mean el: 0 cu: CSRU cg: RN v1: 60.6667 u1: mmHg st: NotStopd t0: [08:35:00 08/11/2012] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 16 u1: BPM st: NotStopd t0: [08:35:00 08/11/2012] id: SpO2 el: 0 cu: CSRU cg: RN v1: 99 u1: % st: NotStopd t0: [08:35:00 08/11/2012] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [08:40:00 08/11/2012] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [08:40:00 08/11/2012] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 85 u1: BPM st: NotStopd t0: [08:40:00 08/11/2012] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [08:40:00 08/11/2012] id: NBP el: 0 cu: CSRU cg: RN v1: 100 u1: mmHg v2: 35 u2: mmHg st: NotStopd t0: [08:40:00 08/11/2012] id: NBP Mean el: 0 cu: CSRU cg: RN v1: 56.6667 u1: mmHg st: NotStopd t0: [08:40:00 08/11/2012] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 12 u1: BPM st: NotStopd t0: [08:40:00 08/11/2012] id: SpO2 el: 0 cu: CSRU cg: RN v1: 100 u1: % st: NotStopd t0: [08:40:00 08/11/2012] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [09:00:00 08/11/2012] id: INV Line#1 Type/Site el: 0 cu: CSRU cg: RN v1: PICC line v2: Left Antecub st: NotStopd t0: [09:00:00 08/11/2012] id: INV Line#1SiteAppear el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [09:00:00 08/11/2012] id: IV #1 Insert Date el: 0 cu: CSRU cg: RN v1: 10 v2: 16 st: NotStopd t0: [09:00:00 08/11/2012] id: IV #1 Site/Size el: 0 cu: CSRU cg: RN v1: Right Hand v2: 18 gauge st: NotStopd t0: [09:00:00 08/11/2012] id: IV #2 Insert Date el: 0 cu: CSRU cg: RN v1: 10 v2: 14 st: NotStopd t0: [09:00:00 08/11/2012] id: IV #2 Site/Size el: 0 cu: CSRU cg: RN v1: Right Wrist v2: 20 gauge st: NotStopd t0: [09:00:00 08/11/2012] id: IV #3 Insert Date el: 0 cu: CSRU cg: RN v1: 10 v2: 16 st: NotStopd t0: [09:00:00 08/11/2012] id: IV #3 Site/Size el: 0 cu: CSRU cg: RN v1: Left Hand v2: 18 gauge st: NotStopd t0: [09:00:00 08/11/2012] id: IV Site Appear #1 el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [09:00:00 08/11/2012] id: IV Site Appear #2 el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [09:00:00 08/11/2012] id: IV Site Appear #3 el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd
t0: [23:00:00 07/11/2012] dt: multiple days id: LOS Net Body Balance el: 3 cu: CSRU cg: RN cv: 20163.7 ap: carryForward
t0: [11:00:00 06/11/2012] id: Previous WeightF el: 0 cu: MICU-A cg: 3161 u1: kg st: NotStopd t0: [12:00:00 06/11/2012] id: Previous Weight el: 0 cu: CSRU cg: 3161 v1: 100.7 u1: kg st: NotStopd t0: [12:00:00 06/11/2012] id: Previous WeightF el: 0 cu: MICU-A cg: 3161 u1: kg st: NotStopd t0: [07:45:00 08/11/2012] id: BUN el: 0 cu: CSRU cg: 3161 v1: 16 rs: Final st: NotStopd t0: [07:45:00 08/11/2012] id: Calcium Chemistry el: 0 cu: CSRU cg: 3161 v1: 7.6 u1: mg/dl rs: Final st: NotStopd t0: [07:45:00 08/11/2012] id: Chloride Chemistry el: 0 cu: CSRU cg: 3161 v1: 113 rs: Final st: NotStopd t0: [07:45:00 08/11/2012] id: Creatinine Chemistry el: 0 cu: CSRU cg: 3161 v1: 1.6 rs: Final st: NotStopd t0: [07:45:00 08/11/2012] id: Glucose Chemistry el: 0 cu: CSRU cg: 3161 v1: 114 rs: Final st: NotStopd t0: [07:45:00 08/11/2012] id: Magnesium Chemistry el: 0 cu: CSRU cg: 3161 v1: 1.6 rs: Final st: NotStopd t0: [07:45:00 08/11/2012] id: Phosphorous Chemistry el: 0 cu: CSRU cg: 3161 v1: 3.3 u1: mEq/L rs: Final st: NotStopd t0: [07:45:00 08/11/2012] id: Potassium Chemistry el: 0 cu: CSRU cg: 3161 v1: 4 rs: Final st: NotStopd t0: [07:45:00 08/11/2012] id: Sodium Chemistry el: 0 cu: CSRU cg: 3161 v1: 141 rs: Final st: NotStopd t0: [07:45:00 08/11/2012] id: Total Bili Chemistry el: 0 cu: CSRU cg: 3161 v1: 11.6 rs: Final st: NotStopd t0: [07:45:00 08/11/2012] id: ALT Enzymes el: 0 cu: CSRU cg: 3161 v1: 24 rs: Final st: NotStopd t0: [07:45:00 08/11/2012] id: AST Enzymes el: 0 cu: CSRU cg: 3161 v1: 47 rs: Final st: NotStopd t0: [07:45:00 08/11/2012] id: Alk. Phosphate Enzymes el: 0 cu: CSRU cg: 3161 v1: 84 rs: Final st: NotStopd t0: [07:45:00 08/11/2012] id: BUN (6-20) Chemistry el: 0 cu: CSRU cg: 3161 v1: 16 rs: Final st: NotStopd t0: [07:45:00 08/11/2012] id: Calcium (8.4-10.2) Chemistry el: 0 cu: CSRU cg: 3161 v1: 7.6 u1: mg/dl rs: Final st: NotStopd t0: [07:45:00 08/11/2012] id: Carbon Dioxide Chemistry el: 0 cu: CSRU cg: 3161 v1: 20 rs: Final st: NotStopd t0: [07:45:00 08/11/2012] id: Chloride (100-112) Chemistry el: 0 cu: CSRU cg: 3161 v1: 113 rs: Final st: NotStopd t0: [07:45:00 08/11/2012] id: Creatinine (0-1.3) Chemistry el: 0 cu: CSRU cg: 3161 v1: 1.6 rs: Final st: NotStopd t0: [07:45:00 08/11/2012] id: Glucose (70-105) Chemistry el: 0 cu: CSRU cg: 3161 v1: 114 rs: Final st: NotStopd t0: [07:45:00 08/11/2012] id: Magnesium (1.6-2.6) Chemistry el: 0 cu: CSRU cg: 3161 v1: 1.6 rs: Final st: NotStopd t0: [07:45:00 08/11/2012] id: Phosphorous(2.7-4.5) Chemistry el: 0 cu: CSRU cg: 3161 v1: 3.3 u1: mEq/L rs: Final st: NotStopd t0: [07:45:00 08/11/2012] id: Potassium (3.5-5.3) Chemistry el: 0 cu: CSRU cg: 3161 v1: 4 rs: Final st: NotStopd t0: [07:45:00 08/11/2012] id: Sodium (135-148) Chemistry el: 0 cu: CSRU cg: 3161 v1: 141 rs: Final st: NotStopd t0: [07:45:00 08/11/2012] id: Total Bili (0-1.5) Chemistry el: 0 cu: CSRU cg: 3161 v1: 11.6 rs: Final st: NotStopd t0: [08:00:00 08/11/2012] id: Compliance (40-60ml) el: 0 cu: CSRU cg: RRT v1: 31.8182 u1: ml/cmH st: NotStopd t0: [08:00:00 08/11/2012] id: ETT Mark/Location el: 0 cu: CSRU cg: RRT v1: 22cm v2: Lip st: NotStopd t0: [08:00:00 08/11/2012] id: FiO2 Set el: 0 cu: CSRU cg: RRT v1: 1 u1: torr st: NotStopd t0: [08:00:00 08/11/2012] id: High Insp. Pressure el: 0 cu: CSRU cg: RRT v1: 50 u1: cmH2O st: NotStopd t0: [08:00:00 08/11/2012] id: High Resp. Rate el: 0 cu: CSRU cg: RRT v1: 36 u1: BPM st: NotStopd t0: [08:00:00 08/11/2012] id: I:E Ratio el: 0 cu: CSRU cg: RRT v1: 1:2.8 st: NotStopd t0: [08:00:00 08/11/2012] id: Airway Size el: 0 cu: CSRU cg: RRT v1: 8.0 mm st: NotStopd t0: [08:00:00 08/11/2012] id: Airway Type el: 0 cu: CSRU cg: RRT v1: Endotracheal st: NotStopd t0: [08:00:00 08/11/2012] id: Inspired Gas Temp el: 0 cu: CSRU cg: RRT u1: Deg. C st: NotStopd t0: [08:00:00 08/11/2012] id: Intubation Date el: 0 cu: CSRU cg: RRT v1: 10 v2: 16 st: NotStopd t0: [08:00:00 08/11/2012] id: Low Exhaled Min Vol el: 0 cu: CSRU cg: RRT v1: 5 st: NotStopd t0: [08:00:00 08/11/2012] id: Mean Airway Pressure el: 0 cu: CSRU cg: RRT v1: 11 u1: cmH2O st: NotStopd t0: [08:00:00 08/11/2012] id: Minute Volume(Obser) el: 0 cu: CSRU cg: RRT v1: 8.7 u1: L/min st: NotStopd t0: [08:00:00 08/11/2012] id: PEEP Set el: 0 cu: CSRU cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [08:00:00 08/11/2012] id: Apnea Time Interval el: 0 cu: CSRU cg: RRT v1: 20 st: NotStopd t0: [08:00:00 08/11/2012] id: Peak Flow el: 0 cu: CSRU cg: RRT v1: 60 u1: L/m st: NotStopd t0: [08:00:00 08/11/2012] id: Peak Insp. Pressure el: 0 cu: CSRU cg: RRT v1: 27 u1: cmH2O st: NotStopd t0: [08:00:00 08/11/2012] id: Plateau Pressure el: 0 cu: CSRU cg: RRT v1: 24 u1: cmH2O st: NotStopd t0: [08:00:00 08/11/2012] id: Plateau-Off el: 0 cu: CSRU cg: RRT v1: Yes st: NotStopd t0: [08:00:00 08/11/2012] id: Resp Rate (Spont) el: 0 cu: CSRU cg: RRT v1: 0 u1: BPM st: NotStopd t0: [08:00:00 08/11/2012] id: Resp Rate (Total) el: 0 cu: CSRU cg: RRT v1: 12 u1: BPM st: NotStopd t0: [08:00:00 08/11/2012] id: Respiratory Rate Set el: 0 cu: CSRU cg: RRT v1: 12 u1: BPM st: NotStopd t0: [08:00:00 08/11/2012] id: Sensitivity-Vent el: 0 cu: CSRU cg: RRT v1: 3 u1: cmH2O st: NotStopd t0: [08:00:00 08/11/2012] id: Sputum Color/Consist el: 0 cu: CSRU cg: RRT v1: Bloody v2: Thick st: NotStopd t0: [08:00:00 08/11/2012] id: Sputum Source/Amt el: 0 cu: CSRU cg: RRT v1: Suctioned v2: Moderate st: NotStopd t0: [08:00:00 08/11/2012] id: Tidal Volume (Obser) el: 0 cu: CSRU cg: RRT v1: 680 u1: ml/B st: NotStopd t0: [08:00:00 08/11/2012] id: Tidal Volume (Set) el: 0 cu: CSRU cg: RRT v1: 700 u1: ml/B st: NotStopd t0: [08:00:00 08/11/2012] id: Ventilator Mode el: 0 cu: CSRU cg: RRT v1: Assist Control st: NotStopd t0: [08:00:00 08/11/2012] id: Ventilator Type el: 0 cu: CSRU cg: RRT v1: 7200A st: NotStopd t0: [08:00:00 08/11/2012] id: Waveform-Vent el: 0 cu: CSRU cg: RRT v1: RAMP st: NotStopd
id: Propofol el: 100 cu: MICU-A cg: RN io: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions am: 500 du: mcgkgmin rt: IV Drip
id: N/A el: 1 cu: MICU-A cg: RN io: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions vo: 50 du: vl rt: Intravenous Push
t0: [08:45:00 08/11/2012] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [08:45:00 08/11/2012] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 85 u1: BPM st: NotStopd t0: [08:45:00 08/11/2012] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [08:45:00 08/11/2012] id: NBP el: 0 cu: CSRU cg: RN v1: 101 u1: mmHg v2: 72 u2: mmHg st: NotStopd t0: [08:45:00 08/11/2012] id: NBP Mean el: 0 cu: CSRU cg: RN v1: 81.6667 u1: mmHg st: NotStopd t0: [08:45:00 08/11/2012] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 21 u1: BPM st: NotStopd t0: [08:45:00 08/11/2012] id: SpO2 el: 0 cu: CSRU cg: RN v1: 100 u1: % st: NotStopd t0: [08:45:00 08/11/2012] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [09:00:00 08/11/2012] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [09:00:00 08/11/2012] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [09:00:00 08/11/2012] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 83 u1: BPM st: NotStopd t0: [09:00:00 08/11/2012] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [09:00:00 08/11/2012] id: NBP el: 0 cu: CSRU cg: RN v1: 99 u1: mmHg v2: 38 u2: mmHg st: NotStopd t0: [09:00:00 08/11/2012] id: NBP Mean el: 0 cu: CSRU cg: RN v1: 58.3333 u1: mmHg st: NotStopd t0: [09:00:00 08/11/2012] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 20 u1: BPM st: NotStopd t0: [09:00:00 08/11/2012] id: SpO2 el: 0 cu: CSRU cg: RN v1: 100 u1: % st: NotStopd t0: [09:00:00 08/11/2012] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [08:50:00 08/11/2012] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [08:50:00 08/11/2012] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 85 u1: BPM st: NotStopd t0: [08:50:00 08/11/2012] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [08:50:00 08/11/2012] id: NBP el: 0 cu: CSRU cg: RN v1: 105 u1: mmHg v2: 48 u2: mmHg st: NotStopd t0: [08:50:00 08/11/2012] id: NBP Mean el: 0 cu: CSRU cg: RN v1: 67 u1: mmHg st: NotStopd t0: [08:50:00 08/11/2012] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 22 u1: BPM st: NotStopd t0: [08:50:00 08/11/2012] id: SpO2 el: 0 cu: CSRU cg: RN v1: 100 u1: % st: NotStopd t0: [08:50:00 08/11/2012] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [09:10:00 08/11/2012] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [09:10:00 08/11/2012] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [09:10:00 08/11/2012] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 75 u1: BPM st: NotStopd t0: [09:10:00 08/11/2012] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [09:10:00 08/11/2012] id: NBP el: 0 cu: CSRU cg: RN v1: 87 u1: mmHg v2: 60 u2: mmHg st: NotStopd t0: [09:10:00 08/11/2012] id: NBP Mean el: 0 cu: CSRU cg: RN v1: 69 u1: mmHg st: NotStopd t0: [09:10:00 08/11/2012] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 23 u1: BPM st: NotStopd t0: [09:10:00 08/11/2012] id: SpO2 el: 0 cu: CSRU cg: RN v1: 100 u1: % st: NotStopd t0: [09:10:00 08/11/2012] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [09:15:00 08/11/2012] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [09:15:00 08/11/2012] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [09:15:00 08/11/2012] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 82 u1: BPM st: NotStopd t0: [09:15:00 08/11/2012] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [09:15:00 08/11/2012] id: NBP el: 0 cu: CSRU cg: RN v1: 98 u1: mmHg v2: 40 u2: mmHg st: NotStopd t0: [09:15:00 08/11/2012] id: NBP Mean el: 0 cu: CSRU cg: RN v1: 59.3333 u1: mmHg st: NotStopd t0: [09:15:00 08/11/2012] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 12 u1: BPM st: NotStopd t0: [09:15:00 08/11/2012] id: SpO2 el: 0 cu: CSRU cg: RN v1: 100 u1: % st: NotStopd t0: [09:15:00 08/11/2012] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [09:20:00 08/11/2012] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [09:20:00 08/11/2012] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [09:20:00 08/11/2012] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 83 u1: BPM st: NotStopd t0: [09:20:00 08/11/2012] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [09:20:00 08/11/2012] id: NBP el: 0 cu: CSRU cg: RN v1: 97 u1: mmHg v2: 36 u2: mmHg st: NotStopd t0: [09:20:00 08/11/2012] id: NBP Mean el: 0 cu: CSRU cg: RN v1: 56.3333 u1: mmHg st: NotStopd t0: [09:20:00 08/11/2012] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 16 u1: BPM st: NotStopd t0: [09:20:00 08/11/2012] id: SpO2 el: 0 cu: CSRU cg: RN v1: 100 u1: % st: NotStopd t0: [09:20:00 08/11/2012] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [09:30:00 08/11/2012] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [09:30:00 08/11/2012] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 82 u1: BPM st: NotStopd t0: [09:30:00 08/11/2012] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [09:30:00 08/11/2012] id: NBP el: 0 cu: CSRU cg: RN v1: 87 u1: mmHg v2: 32 u2: mmHg st: NotStopd t0: [09:30:00 08/11/2012] id: NBP Mean el: 0 cu: CSRU cg: RN v1: 50.3333 u1: mmHg st: NotStopd t0: [09:30:00 08/11/2012] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 12 u1: BPM st: NotStopd t0: [09:30:00 08/11/2012] id: SpO2 el: 0 cu: CSRU cg: RN v1: 100 u1: % st: NotStopd t0: [09:30:00 08/11/2012] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [08:40:00 08/11/2012] tf: [16:06:00 09/11/2012] dt: 1886 id: Propofol el: 1 cu: CSRU cg: RN so: N/A vo: 0 v1: 50 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [08:50:00 08/11/2012] id: Propofol el: 1 cu: CSRU cg: RN so: N/A vo: 0 v1: 50 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [09:00:00 08/11/2012] id: Propofol el: 1 cu: CSRU cg: RN so: N/A vo: 0 v1: 50 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [09:20:00 08/11/2012] id: Propofol el: 1 cu: CSRU cg: RN so: N/A vo: 0 v1: 100 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [08:30:00 08/11/2012] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [08:30:00 08/11/2012] id: Precautions el: 0 cu: CSRU cg: RN v1: Contact st: NotStopd t0: [09:00:00 08/11/2012] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [09:00:00 08/11/2012] id: Precautions el: 0 cu: CSRU cg: RN v1: Contact st: NotStopd t0: [09:35:00 08/11/2012] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [09:35:00 08/11/2012] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [09:35:00 08/11/2012] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 77 u1: BPM st: NotStopd t0: [09:35:00 08/11/2012] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [09:35:00 08/11/2012] id: NBP el: 0 cu: CSRU cg: RN v1: 96 u1: mmHg v2: 42 u2: mmHg st: NotStopd t0: [09:35:00 08/11/2012] id: NBP Mean el: 0 cu: CSRU cg: RN v1: 60 u1: mmHg st: NotStopd t0: [09:35:00 08/11/2012] id: Precautions el: 0 cu: CSRU cg: RN v1: Contact st: NotStopd t0: [09:35:00 08/11/2012] id: Procedures el: 0 cu: CSRU cg: RN v1: Endoscopy st: NotStopd t0: [09:35:00 08/11/2012] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 17 u1: BPM st: NotStopd t0: [09:35:00 08/11/2012] id: SpO2 el: 0 cu: CSRU cg: RN v1: 100 u1: % st: NotStopd t0: [09:35:00 08/11/2012] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [09:30:00 08/11/2012] id: Propofol el: 1 cu: CSRU cg: RN so: N/A vo: 0 v1: 100 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [09:35:00 08/11/2012] id: Propofol el: 1 cu: CSRU cg: RN so: N/A vo: 0 v1: 100 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [09:28:00 08/11/2012] id: Hematocrit Hematology el: 0 cu: CSRU cg: 3161 v1: 26.6 u1: % rs: Final st: NotStopd
tf: [14:00:00 08/11/2012] pt: Unit Dose rt: PO fr: QD fs: 10 dn: 1 m1: Nadolol v1: 20 u1: mg tf: [17:00:00 08/11/2012] pt: Unit Dose rt: PO fr: QD fs: 10 dn: 1 m1: Phytonadione v1: 5 u1: mg tf: [09:00:00 11/11/2012] pt: Unit Dose rt: SC fr: QD fs: 10 dn: 1 m1: Phytonadione v1: 5 u1: mg
t0: [10:05:00 08/11/2012] id: Blood Products Hematology el: 0 cu: CSRU cg: 3161 v1: Y rs: Final st: NotStopd
t0: [09:40:00 08/11/2012] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [09:40:00 08/11/2012] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [09:40:00 08/11/2012] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 84 u1: BPM st: NotStopd t0: [09:40:00 08/11/2012] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [09:40:00 08/11/2012] id: NBP el: 0 cu: CSRU cg: RN v1: 99 u1: mmHg v2: 44 u2: mmHg st: NotStopd t0: [09:40:00 08/11/2012] id: NBP Mean el: 0 cu: CSRU cg: RN v1: 62.3333 u1: mmHg st: NotStopd t0: [09:40:00 08/11/2012] id: Precautions el: 0 cu: CSRU cg: RN v1: Contact st: NotStopd t0: [09:40:00 08/11/2012] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 13 u1: BPM st: NotStopd t0: [09:40:00 08/11/2012] id: SpO2 el: 0 cu: CSRU cg: RN v1: 100 u1: % st: NotStopd t0: [09:40:00 08/11/2012] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [09:45:00 08/11/2012] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [09:45:00 08/11/2012] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [09:45:00 08/11/2012] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 82 u1: BPM st: NotStopd t0: [09:45:00 08/11/2012] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [09:45:00 08/11/2012] id: NBP el: 0 cu: CSRU cg: RN v1: 99 u1: mmHg v2: 34 u2: mmHg st: NotStopd t0: [09:45:00 08/11/2012] id: NBP Mean el: 0 cu: CSRU cg: RN v1: 55.6667 u1: mmHg st: NotStopd t0: [09:45:00 08/11/2012] id: Precautions el: 0 cu: CSRU cg: RN v1: Contact st: NotStopd t0: [09:45:00 08/11/2012] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 12 u1: BPM st: NotStopd t0: [09:45:00 08/11/2012] id: SpO2 el: 0 cu: CSRU cg: RN v1: 100 u1: % st: NotStopd t0: [09:45:00 08/11/2012] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [09:50:00 08/11/2012] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [09:50:00 08/11/2012] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [09:50:00 08/11/2012] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 78 u1: BPM st: NotStopd t0: [09:50:00 08/11/2012] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [09:50:00 08/11/2012] id: NBP el: 0 cu: CSRU cg: RN v1: 95 u1: mmHg v2: 36 u2: mmHg st: NotStopd t0: [09:50:00 08/11/2012] id: NBP Mean el: 0 cu: CSRU cg: RN v1: 55.6667 u1: mmHg st: NotStopd t0: [09:50:00 08/11/2012] id: Precautions el: 0 cu: CSRU cg: RN v1: Contact st: NotStopd t0: [09:50:00 08/11/2012] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 12 u1: BPM st: NotStopd t0: [09:50:00 08/11/2012] id: SpO2 el: 0 cu: CSRU cg: RN v1: 100 u1: % st: NotStopd t0: [09:50:00 08/11/2012] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [10:00:00 08/11/2012] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [10:00:00 08/11/2012] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [10:00:00 08/11/2012] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 81 u1: BPM st: NotStopd t0: [10:00:00 08/11/2012] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [10:00:00 08/11/2012] id: NBP el: 0 cu: CSRU cg: RN v1: 97 u1: mmHg v2: 44 u2: mmHg st: NotStopd t0: [10:00:00 08/11/2012] id: NBP Mean el: 0 cu: CSRU cg: RN v1: 61.6667 u1: mmHg st: NotStopd t0: [10:00:00 08/11/2012] id: Precautions el: 0 cu: CSRU cg: RN v1: Contact st: NotStopd t0: [10:00:00 08/11/2012] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 12 u1: BPM st: NotStopd t0: [10:00:00 08/11/2012] id: SpO2 el: 0 cu: CSRU cg: RN v1: 100 u1: % st: NotStopd t0: [10:00:00 08/11/2012] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [09:40:00 08/11/2012] id: Propofol el: 1 cu: CSRU cg: RN so: N/A vo: 0 v1: 100 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [09:45:00 08/11/2012] id: Propofol el: 1 cu: CSRU cg: RN so: N/A vo: 0 v1: 100 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [09:50:00 08/11/2012] id: Propofol el: 1 cu: CSRU cg: RN so: N/A vo: 0 v1: 100 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [10:00:00 08/11/2012] id: Propofol el: 1 cu: CSRU cg: RN so: N/A vo: 0 v1: 100 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [10:10:00 08/11/2012] id: Art.pH ABG el: 0 cu: CSRU cg: 3161 v1: 7.31 rs: Final st: NotStopd t0: [10:10:00 08/11/2012] id: Glucose Chemistry el: 0 cu: CSRU cg: 3161 v1: 142 rs: Final st: NotStopd t0: [10:10:00 08/11/2012] id: Potassium Chemistry el: 0 cu: CSRU cg: 3161 v1: 3.5 rs: Final st: NotStopd t0: [10:10:00 08/11/2012] id: Arterial Base Excess ABG el: 0 cu: CSRU cg: 3161 v1: -8 rs: Final st: NotStopd t0: [10:10:00 08/11/2012] id: Arterial CO2(Calc) ABG el: 0 cu: CSRU cg: 3161 v1: 17 rs: Final st: NotStopd t0: [10:10:00 08/11/2012] id: Arterial PaCO2 ABG el: 0 cu: CSRU cg: 3161 v1: 33 u1: mmHg rs: Final st: NotStopd t0: [10:10:00 08/11/2012] id: Arterial PaO2 ABG el: 0 cu: CSRU cg: 3161 v1: 272 u1: mmHg rs: Final st: NotStopd t0: [10:10:00 08/11/2012] id: Arterial pH ABG el: 0 cu: CSRU cg: 3161 v1: 7.31 rs: Final st: NotStopd t0: [10:10:00 08/11/2012] id: Glucose (70-105) Chemistry el: 0 cu: CSRU cg: 3161 v1: 142 rs: Final st: NotStopd t0: [10:10:00 08/11/2012] id: Ionized Calcium Chemistry el: 0 cu: CSRU cg: 3161 v1: 1.05 rs: Final st: NotStopd t0: [10:10:00 08/11/2012] id: Potassium (3.5-5.3) Chemistry el: 0 cu: CSRU cg: 3161 v1: 3.5 rs: Final st: NotStopd
t0: [10:15:00 08/11/2012] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [10:15:00 08/11/2012] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [10:15:00 08/11/2012] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 79 u1: BPM st: NotStopd t0: [10:15:00 08/11/2012] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [10:15:00 08/11/2012] id: NBP el: 0 cu: CSRU cg: RN v1: 93 u1: mmHg v2: 42 u2: mmHg st: NotStopd t0: [10:15:00 08/11/2012] id: NBP Mean el: 0 cu: CSRU cg: RN v1: 59 u1: mmHg st: NotStopd t0: [10:15:00 08/11/2012] id: Precautions el: 0 cu: CSRU cg: RN v1: Contact st: NotStopd t0: [10:15:00 08/11/2012] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 11 u1: BPM st: NotStopd t0: [10:15:00 08/11/2012] id: SpO2 el: 0 cu: CSRU cg: RN v1: 100 u1: % st: NotStopd t0: [10:15:00 08/11/2012] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [08:15:00 08/11/2012] tf: [16:06:00 09/11/2012] dt: 1911 id: Sandostatin el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 50 du: mcghr sv: 100 su: ml rt: IV Drip t0: [08:20:00 08/11/2012] id: Sandostatin el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 50 du: mcghr sv: 100 su: ml rt: IV Drip t0: [08:25:00 08/11/2012] id: Sandostatin el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 50 du: mcghr sv: 100 su: ml rt: IV Drip t0: [08:30:00 08/11/2012] id: Sandostatin el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 50 du: mcghr sv: 100 su: ml rt: IV Drip t0: [08:35:00 08/11/2012] id: Sandostatin el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 50 du: mcghr sv: 100 su: ml rt: IV Drip t0: [08:40:00 08/11/2012] id: Sandostatin el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 50 du: mcghr sv: 100 su: ml rt: IV Drip t0: [08:45:00 08/11/2012] id: Sandostatin el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 50 du: mcghr sv: 100 su: ml rt: IV Drip t0: [08:50:00 08/11/2012] id: Sandostatin el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 50 du: mcghr sv: 100 su: ml rt: IV Drip t0: [09:00:00 08/11/2012] id: Sandostatin el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 50 du: mcghr sv: 100 su: ml rt: IV Drip t0: [09:10:00 08/11/2012] id: Sandostatin el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 50 du: mcghr sv: 100 su: ml rt: IV Drip t0: [09:15:00 08/11/2012] id: Sandostatin el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 50 du: mcghr sv: 100 su: ml rt: IV Drip t0: [09:20:00 08/11/2012] id: Sandostatin el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 50 du: mcghr sv: 100 su: ml rt: IV Drip t0: [09:30:00 08/11/2012] id: Sandostatin el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 50 du: mcghr sv: 100 su: ml rt: IV Drip t0: [09:35:00 08/11/2012] id: Sandostatin el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 50 du: mcghr sv: 100 su: ml rt: IV Drip t0: [09:40:00 08/11/2012] id: Sandostatin el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 50 du: mcghr sv: 100 su: ml rt: IV Drip t0: [09:45:00 08/11/2012] id: Sandostatin el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 50 du: mcghr sv: 100 su: ml rt: IV Drip t0: [09:50:00 08/11/2012] id: Sandostatin el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 50 du: mcghr sv: 100 su: ml rt: IV Drip t0: [10:00:00 08/11/2012] id: Sandostatin el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 50 du: mcghr sv: 100 su: ml rt: IV Drip t0: [10:15:00 08/11/2012] id: Propofol el: 1 cu: CSRU cg: RN so: N/A vo: 0 v1: 100 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [10:15:00 08/11/2012] id: Sandostatin el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 50 du: mcghr sv: 100 su: ml rt: IV Drip
t0: [10:38:00 08/11/2012] id: FiO2 Set el: 0 cu: CSRU cg: RRT v1: 0.5 u1: torr st: NotStopd t0: [10:38:00 08/11/2012] id: Respiratory Rate Set el: 0 cu: CSRU cg: RRT v1: 16 u1: BPM st: NotStopd
tf: [12:00:00 08/11/2012] pt: IV Piggyback rt: IV DRIP fr: TITRATE TO m1: Propofol (Generic) v1: 500 u1: mg m2: Soln. v2: 50 u2: ml tf: [10:00:00 09/11/2012] pt: IV Piggyback rt: IV fr: ONCE fs: 11 dn: 1 m1: Potassium Chloride v1: 40 u1: mEq m2: NS v2: 500 u2: ml tf: [10:00:00 09/11/2012] pt: Unit Dose rt: IV fr: ONCE fs: 11 dn: 1 m1: Calcium Gluconate v1: 2 u1: gm tf: [10:00:00 09/11/2012] pt: Unit Dose rt: IV fr: ONCE fs: 11 dn: 1 m1: Calcium Gluconate v1: 2 u1: gm tf: [19:00:00 22/11/2012] pt: IV Piggyback rt: IV fr: Q12H fs: 2, 14 dn: 2 m1: Pantoprazole Sodium v1: 40 u1: mg m2: NS v2: 100 u2: ml
t0: [10:30:00 08/11/2012] id: Service Type el: 0 cu: CSRU cg: RN v1: MICU st: NotStopd t0: [10:30:00 08/11/2012] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [10:30:00 08/11/2012] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [10:30:00 08/11/2012] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [10:30:00 08/11/2012] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 75 u1: BPM st: NotStopd t0: [10:30:00 08/11/2012] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [10:30:00 08/11/2012] id: NBP el: 0 cu: CSRU cg: RN v1: 96 u1: mmHg v2: 39 u2: mmHg st: NotStopd t0: [10:30:00 08/11/2012] id: NBP Mean el: 0 cu: CSRU cg: RN v1: 58 u1: mmHg st: NotStopd t0: [10:30:00 08/11/2012] id: Precautions el: 0 cu: CSRU cg: RN v1: Contact st: NotStopd t0: [10:30:00 08/11/2012] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 12 u1: BPM st: NotStopd t0: [10:30:00 08/11/2012] id: SpO2 el: 0 cu: CSRU cg: RN v1: 100 u1: % st: NotStopd t0: [10:30:00 08/11/2012] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Oral st: NotStopd t0: [10:30:00 08/11/2012] id: Temperature C (calc) el: 0 cu: CSRU cg: RN v1: 35.2222 u1: Deg. C st: NotStopd t0: [10:30:00 08/11/2012] id: Temperature F el: 0 cu: CSRU cg: RN v1: 95.4 u1: Deg. F st: NotStopd t0: [10:30:00 08/11/2012] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [11:00:00 08/11/2012] id: Service Type el: 0 cu: CSRU cg: RN v1: MICU st: NotStopd t0: [11:00:00 08/11/2012] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [11:00:00 08/11/2012] id: Riker-SAS Scale el: 0 cu: CSRU cg: RN v1: Sedated st: NotStopd t0: [11:00:00 08/11/2012] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [11:00:00 08/11/2012] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 76 u1: BPM st: NotStopd t0: [11:00:00 08/11/2012] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [11:00:00 08/11/2012] id: NBP el: 0 cu: CSRU cg: RN v1: 94 u1: mmHg v2: 61 u2: mmHg st: NotStopd t0: [11:00:00 08/11/2012] id: NBP Mean el: 0 cu: CSRU cg: RN v1: 72 u1: mmHg st: NotStopd t0: [11:00:00 08/11/2012] id: Precautions el: 0 cu: CSRU cg: RN v1: Contact st: NotStopd t0: [11:00:00 08/11/2012] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 13 u1: BPM st: NotStopd t0: [11:00:00 08/11/2012] id: SpO2 el: 0 cu: CSRU cg: RN v1: 99 u1: % st: NotStopd t0: [11:00:00 08/11/2012] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [11:30:00 08/11/2012] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [11:30:00 08/11/2012] id: Riker-SAS Scale el: 0 cu: CSRU cg: RN v1: Sedated st: NotStopd t0: [11:30:00 08/11/2012] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [11:30:00 08/11/2012] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 58 u1: BPM st: NotStopd t0: [11:30:00 08/11/2012] id: NBP el: 0 cu: CSRU cg: RN v1: 97 u1: mmHg v2: 44 u2: mmHg st: NotStopd t0: [11:30:00 08/11/2012] id: NBP Mean el: 0 cu: CSRU cg: RN v1: 61.6667 u1: mmHg st: NotStopd t0: [11:30:00 08/11/2012] id: Precautions el: 0 cu: CSRU cg: RN v1: Contact st: NotStopd t0: [11:30:00 08/11/2012] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 17 u1: BPM st: NotStopd t0: [11:30:00 08/11/2012] id: SpO2 el: 0 cu: CSRU cg: RN v1: 100 u1: % st: NotStopd t0: [11:30:00 08/11/2012] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [10:30:00 08/11/2012] id: Propofol el: 1 cu: CSRU cg: RN so: N/A vo: 0 v1: 100 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [10:30:00 08/11/2012] id: Sandostatin el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 50 du: mcghr sv: 100 su: ml rt: IV Drip t0: [11:00:00 08/11/2012] id: Propofol el: 1 cu: CSRU cg: RN so: N/A vo: 0 v1: 100 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [11:00:00 08/11/2012] id: Sandostatin el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 50 du: mcghr sv: 100 su: ml rt: IV Drip t0: [11:30:00 08/11/2012] id: Propofol el: 1 cu: CSRU cg: RN so: N/A vo: 0 v1: 100 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [11:30:00 08/11/2012] id: Sandostatin el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 50 du: mcghr sv: 100 su: ml rt: IV Drip
t0: [11:30:00 08/11/2012] id: Service Type el: 0 cu: CSRU cg: RN v1: MICU st: NotStopd t0: [11:30:00 08/11/2012] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Oral st: NotStopd t0: [11:30:00 08/11/2012] id: Temperature C (calc) el: 0 cu: CSRU cg: RN v1: 34.8333 u1: Deg. C st: NotStopd t0: [11:30:00 08/11/2012] id: Temperature F el: 0 cu: CSRU cg: RN v1: 94.7 u1: Deg. F st: NotStopd t0: [12:00:00 08/11/2012] id: Service Type el: 0 cu: CSRU cg: RN v1: MICU st: NotStopd t0: [12:00:00 08/11/2012] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [12:00:00 08/11/2012] id: Riker-SAS Scale el: 0 cu: CSRU cg: RN v1: Sedated st: NotStopd t0: [12:00:00 08/11/2012] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [12:00:00 08/11/2012] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 55 u1: BPM st: NotStopd t0: [12:00:00 08/11/2012] id: NBP el: 0 cu: CSRU cg: RN v1: 105 u1: mmHg v2: 58 u2: mmHg st: NotStopd t0: [12:00:00 08/11/2012] id: NBP Mean el: 0 cu: CSRU cg: RN v1: 73.6667 u1: mmHg st: NotStopd t0: [12:00:00 08/11/2012] id: Precautions el: 0 cu: CSRU cg: RN v1: Contact st: NotStopd t0: [12:00:00 08/11/2012] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 16 u1: BPM st: NotStopd t0: [12:00:00 08/11/2012] id: SpO2 el: 0 cu: CSRU cg: RN v1: 100 u1: % st: NotStopd t0: [12:00:00 08/11/2012] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [12:00:00 08/11/2012] id: Propofol el: 1 cu: CSRU cg: RN so: N/A vo: 0 v1: 100 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [12:00:00 08/11/2012] id: Sandostatin el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 50 du: mcghr sv: 100 su: ml rt: IV Drip
t0: [11:53:00 08/11/2012] id: Compliance (40-60ml) el: 0 cu: CSRU cg: RRT v1: 41.1765 u1: ml/cmH st: NotStopd t0: [11:53:00 08/11/2012] id: ETT Mark/Location el: 0 cu: CSRU cg: RRT v1: 22cm v2: Lip st: NotStopd t0: [11:53:00 08/11/2012] id: FiO2 Set el: 0 cu: CSRU cg: RRT v1: 0.5 u1: torr st: NotStopd t0: [11:53:00 08/11/2012] id: High Insp. Pressure el: 0 cu: CSRU cg: RRT v1: 50 u1: cmH2O st: NotStopd t0: [11:53:00 08/11/2012] id: High Resp. Rate el: 0 cu: CSRU cg: RRT v1: 36 u1: BPM st: NotStopd t0: [11:53:00 08/11/2012] id: I:E Ratio el: 0 cu: CSRU cg: RRT v1: 1:2.8 st: NotStopd t0: [11:53:00 08/11/2012] id: Airway Size el: 0 cu: CSRU cg: RRT v1: 8.0 mm st: NotStopd t0: [11:53:00 08/11/2012] id: Airway Type el: 0 cu: CSRU cg: RRT v1: Endotracheal st: NotStopd t0: [11:53:00 08/11/2012] id: Inspired Gas Temp el: 0 cu: CSRU cg: RRT u1: Deg. C st: NotStopd t0: [11:53:00 08/11/2012] id: Intubation Date el: 0 cu: CSRU cg: RRT v1: 10 v2: 16 st: NotStopd t0: [11:53:00 08/11/2012] id: Low Exhaled Min Vol el: 0 cu: CSRU cg: RRT v1: 5 st: NotStopd t0: [11:53:00 08/11/2012] id: Mean Airway Pressure el: 0 cu: CSRU cg: RRT v1: 12 u1: cmH2O st: NotStopd t0: [11:53:00 08/11/2012] id: Minute Volume(Obser) el: 0 cu: CSRU cg: RRT v1: 10.7 u1: L/min st: NotStopd t0: [11:53:00 08/11/2012] id: PEEP Set el: 0 cu: CSRU cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [11:53:00 08/11/2012] id: Apnea Time Interval el: 0 cu: CSRU cg: RRT v1: 20 st: NotStopd t0: [11:53:00 08/11/2012] id: Peak Flow el: 0 cu: CSRU cg: RRT v1: 60 u1: L/m st: NotStopd t0: [11:53:00 08/11/2012] id: Peak Insp. Pressure el: 0 cu: CSRU cg: RRT v1: 22 u1: cmH2O st: NotStopd t0: [11:53:00 08/11/2012] id: Plateau-Off el: 0 cu: CSRU cg: RRT v1: Yes st: NotStopd t0: [11:53:00 08/11/2012] id: Resp Rate (Spont) el: 0 cu: CSRU cg: RRT v1: 0 u1: BPM st: NotStopd t0: [11:53:00 08/11/2012] id: Resp Rate (Total) el: 0 cu: CSRU cg: RRT v1: 16 u1: BPM st: NotStopd t0: [11:53:00 08/11/2012] id: Respiratory Rate Set el: 0 cu: CSRU cg: RRT v1: 16 u1: BPM st: NotStopd t0: [11:53:00 08/11/2012] id: Sensitivity-Vent el: 0 cu: CSRU cg: RRT v1: 3 u1: cmH2O st: NotStopd t0: [11:53:00 08/11/2012] id: SpO2 el: 0 cu: CSRU cg: RRT v1: 100 u1: % st: NotStopd t0: [11:53:00 08/11/2012] id: Tidal Volume (Obser) el: 0 cu: CSRU cg: RRT v1: 670 u1: ml/B st: NotStopd t0: [11:53:00 08/11/2012] id: Tidal Volume (Set) el: 0 cu: CSRU cg: RRT v1: 700 u1: ml/B st: NotStopd t0: [11:53:00 08/11/2012] id: Ventilator Mode el: 0 cu: CSRU cg: RRT v1: Assist Control st: NotStopd t0: [11:53:00 08/11/2012] id: Ventilator Type el: 0 cu: CSRU cg: RRT v1: 7200A st: NotStopd t0: [11:53:00 08/11/2012] id: Waveform-Vent el: 0 cu: CSRU cg: RRT v1: RAMP st: NotStopd
id: KCL el: 100 cu: CSRU cg: RN io: .9% Normal Saline 500.0ml IV Infusions am: 40 du: mEq rt: Intravenous Push
io: .9% Normal Saline 500.0ml IV Infusions el: 1 cu: CSRU cg: RN ra: 125 ru: ml/hr
id: .9% Normal Saline el: 1 cu: CSRU cg: RN io: .9% Normal Saline 500.0ml IV Infusions vo: 500 du: ml rt: Intravenous Infusion
t0: [08:00:00 08/11/2012] tf: [16:06:00 09/11/2012] dt: 1926 id: D5W 100.0ml + 600mcghr Sandostatin IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 8.3 vu: ml t0: [10:00:00 08/11/2012] tf: [01:00:00 09/11/2012] dt: 900 id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: CSRU cg: RN ai: 126 vo: 0 vu: ml t0: [09:00:00 08/11/2012] id: D5W 100.0ml + 600mcghr Sandostatin IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 8.325 vu: ml t0: [10:00:00 08/11/2012] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: CSRU cg: RN ai: 126 vo: 42.1 vu: ml t0: [10:00:00 08/11/2012] id: D5W 100.0ml + 600mcghr Sandostatin IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 8.33333 vu: ml t0: [11:00:00 08/11/2012] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: CSRU cg: RN ai: 126 vo: 50.52 vu: ml t0: [11:00:00 08/11/2012] id: D5W 100.0ml + 600mcghr Sandostatin IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 8.33333 vu: ml t0: [12:00:00 08/11/2012] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: CSRU cg: RN ai: 126 vo: 50.52 vu: ml t0: [12:00:00 08/11/2012] id: D5W 100.0ml + 600mcghr Sandostatin IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 8.33333 vu: ml
t0: [12:00:00 08/11/2012] id: .9% Normal Saline 500.0ml IV Infusions el: 1 cu: CSRU cg: RN ai: 126 vo: 0 vu: ml nb: 1
t0: [11:30:00 08/11/2012] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Sinus Brady st: NotStopd t0: [12:00:00 08/11/2012] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Sinus Brady st: NotStopd t0: [12:00:00 08/11/2012] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Axillary st: NotStopd t0: [12:00:00 08/11/2012] id: Temperature C (calc) el: 0 cu: CSRU cg: RN v1: 34.7778 u1: Deg. C st: NotStopd t0: [12:00:00 08/11/2012] id: Temperature F el: 0 cu: CSRU cg: RN v1: 94.6 u1: Deg. F st: NotStopd t0: [12:30:00 08/11/2012] id: Service Type el: 0 cu: CSRU cg: RN v1: MICU st: NotStopd t0: [12:30:00 08/11/2012] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [12:30:00 08/11/2012] id: Riker-SAS Scale el: 0 cu: CSRU cg: RN v1: Sedated st: NotStopd t0: [12:30:00 08/11/2012] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [12:30:00 08/11/2012] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 49 u1: BPM st: NotStopd t0: [12:30:00 08/11/2012] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Sinus Brady st: NotStopd t0: [12:30:00 08/11/2012] id: NBP el: 0 cu: CSRU cg: RN v1: 105 u1: mmHg v2: 58 u2: mmHg st: NotStopd t0: [12:30:00 08/11/2012] id: NBP Mean el: 0 cu: CSRU cg: RN v1: 73.6667 u1: mmHg st: NotStopd t0: [12:30:00 08/11/2012] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 97 u1: mmHg v2: 45 u2: mmHg st: NotStopd t0: [12:30:00 08/11/2012] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 64 u1: mmHg st: NotStopd t0: [12:30:00 08/11/2012] id: Precautions el: 0 cu: CSRU cg: RN v1: Contact st: NotStopd t0: [12:30:00 08/11/2012] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 16 u1: BPM st: NotStopd t0: [12:30:00 08/11/2012] id: SpO2 el: 0 cu: CSRU cg: RN v1: 100 u1: % st: NotStopd t0: [12:30:00 08/11/2012] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Axillary st: NotStopd t0: [12:30:00 08/11/2012] id: Temperature C (calc) el: 0 cu: CSRU cg: RN v1: 34.3889 u1: Deg. C st: NotStopd t0: [12:30:00 08/11/2012] id: Temperature F el: 0 cu: CSRU cg: RN v1: 93.9 u1: Deg. F st: NotStopd t0: [12:30:00 08/11/2012] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [12:30:00 08/11/2012] id: Propofol el: 1 cu: CSRU cg: RN so: N/A vo: 0 v1: 100 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [12:30:00 08/11/2012] id: Sandostatin el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 50 du: mcghr sv: 100 su: ml rt: IV Drip
t0: [09:00:00 08/11/2012] id: Eye Opening el: 0 cu: CSRU cg: RN v1: 1 No Response st: NotStopd t0: [09:00:00 08/11/2012] id: GCS Total el: 0 cu: CSRU cg: RN v1: 3 u1: points st: NotStopd t0: [09:00:00 08/11/2012] id: Level of Conscious el: 0 cu: CSRU cg: RN v1: Sedated st: NotStopd t0: [09:00:00 08/11/2012] id: Motor Response el: 0 cu: CSRU cg: RN v1: 1 No Response st: NotStopd t0: [09:00:00 08/11/2012] id: Orientation el: 0 cu: CSRU cg: RN v1: Other/Remarks st: NotStopd t0: [09:00:00 08/11/2012] id: Verbal Response el: 0 cu: CSRU cg: RN v1: 1.0 ET/Trach st: NotStopd
tf: [13:00:00 08/11/2012] pt: IV Piggyback rt: IV DRIP fr: TITRATE TO m1: Propofol (Generic) v1: 500 u1: mg m2: Soln. v2: 50 u2: ml
t0: [13:00:00 08/11/2012] id: Art.pH ABG el: 0 cu: CSRU cg: 3161 v1: 7.52 rs: Final st: NotStopd t0: [13:00:00 08/11/2012] id: Lactic Acid Chemistry el: 0 cu: CSRU cg: 3161 v1: 4.3 rs: Final st: NotStopd t0: [13:00:00 08/11/2012] id: Arterial Base Excess ABG el: 0 cu: CSRU cg: 3161 v1: -4 rs: Final st: NotStopd t0: [13:00:00 08/11/2012] id: Arterial CO2(Calc) ABG el: 0 cu: CSRU cg: 3161 v1: 15 rs: Final st: NotStopd t0: [13:00:00 08/11/2012] id: Arterial PaCO2 ABG el: 0 cu: CSRU cg: 3161 v1: 18 u1: mmHg rs: Final st: NotStopd t0: [13:00:00 08/11/2012] id: Arterial PaO2 ABG el: 0 cu: CSRU cg: 3161 v1: 156 u1: mmHg rs: Final st: NotStopd t0: [13:00:00 08/11/2012] id: Arterial pH ABG el: 0 cu: CSRU cg: 3161 v1: 7.52 rs: Final st: NotStopd t0: [13:00:00 08/11/2012] id: Ionized Calcium Chemistry el: 0 cu: CSRU cg: 3161 v1: 1.08 rs: Final st: NotStopd t0: [13:00:00 08/11/2012] id: Lactic Acid(0.5-2.0) Chemistry el: 0 cu: CSRU cg: 3161 v1: 4.3 rs: Final st: NotStopd
t0: [13:00:00 08/11/2012] id: Service Type el: 0 cu: CSRU cg: RN v1: MICU st: NotStopd t0: [13:00:00 08/11/2012] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [13:00:00 08/11/2012] id: Riker-SAS Scale el: 0 cu: CSRU cg: RN v1: Sedated st: NotStopd t0: [13:00:00 08/11/2012] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: Rare st: NotStopd t0: [13:00:00 08/11/2012] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: PAC's st: NotStopd t0: [13:00:00 08/11/2012] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 39 u1: BPM st: NotStopd t0: [13:00:00 08/11/2012] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Sinus Brady st: NotStopd t0: [13:00:00 08/11/2012] id: NBP el: 0 cu: CSRU cg: RN v1: 103 u1: mmHg v2: 57 u2: mmHg st: NotStopd t0: [13:00:00 08/11/2012] id: NBP Mean el: 0 cu: CSRU cg: RN v1: 72.3333 u1: mmHg st: NotStopd t0: [13:00:00 08/11/2012] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 104 u1: mmHg v2: 54 u2: mmHg st: NotStopd t0: [13:00:00 08/11/2012] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 74 u1: mmHg st: NotStopd t0: [13:00:00 08/11/2012] id: Precautions el: 0 cu: CSRU cg: RN v1: Contact st: NotStopd t0: [13:00:00 08/11/2012] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 16 u1: BPM st: NotStopd t0: [13:00:00 08/11/2012] id: SpO2 el: 0 cu: CSRU cg: RN v1: 100 u1: % st: NotStopd t0: [13:00:00 08/11/2012] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [13:00:00 08/11/2012] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: CSRU cg: RN ai: 126 vo: 50.52 vu: ml t0: [13:00:00 08/11/2012] id: D5W 100.0ml + 600mcghr Sandostatin IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 8.33333 vu: ml t0: [13:00:00 08/11/2012] tf: [17:00:00 08/11/2012] dt: 240 id: .9% Normal Saline 500.0ml IV Infusions el: 1 cu: CSRU cg: RN ai: 126 vo: 125 vu: ml
t0: [13:00:00 08/11/2012] id: Propofol el: 1 cu: CSRU cg: RN so: N/A vo: 0 v1: 80 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [13:00:00 08/11/2012] id: Sandostatin el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 50 du: mcghr sv: 100 su: ml rt: IV Drip
t0: [13:00:00 08/11/2012] id: Respiratory Rate Set el: 0 cu: CSRU cg: RRT v1: 14 u1: BPM st: NotStopd t0: [13:00:00 08/11/2012] id: Tidal Volume (Set) el: 0 cu: CSRU cg: RRT v1: 600 u1: ml/B st: NotStopd
t0: [12:55:00 08/11/2012] id: PT el: 0 cu: CSRU cg: 3161 v1: 15.6 rs: Final st: NotStopd t0: [12:55:00 08/11/2012] id: INR Coags el: 0 cu: CSRU cg: 3161 v1: 1.6 rs: Final st: NotStopd t0: [12:55:00 08/11/2012] id: PTT Coags el: 0 cu: CSRU cg: 3161 v1: 43 rs: Final st: NotStopd t0: [12:55:00 08/11/2012] id: INR (2-4 ref. range) Coags el: 0 cu: CSRU cg: 3161 v1: 1.6 rs: Final st: NotStopd t0: [12:55:00 08/11/2012] id: PT(11-13.5) Coags el: 0 cu: CSRU cg: 3161 v1: 15.6 rs: Final st: NotStopd t0: [12:55:00 08/11/2012] id: PTT(22-35) Coags el: 0 cu: CSRU cg: 3161 v1: 43 rs: Final st: NotStopd
t0: [13:00:00 08/11/2012] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Axillary st: NotStopd t0: [13:00:00 08/11/2012] id: Temperature C (calc) el: 0 cu: CSRU cg: RN v1: 33.9444 u1: Deg. C st: NotStopd t0: [13:00:00 08/11/2012] id: Temperature F el: 0 cu: CSRU cg: RN v1: 93.1 u1: Deg. F st: NotStopd t0: [13:15:00 08/11/2012] id: Service Type el: 0 cu: CSRU cg: RN v1: MICU st: NotStopd t0: [13:15:00 08/11/2012] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [13:15:00 08/11/2012] id: Riker-SAS Scale el: 0 cu: CSRU cg: RN v1: Sedated st: NotStopd t0: [13:15:00 08/11/2012] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: Rare st: NotStopd t0: [13:15:00 08/11/2012] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: PAC's st: NotStopd t0: [13:15:00 08/11/2012] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 42 u1: BPM st: NotStopd t0: [13:15:00 08/11/2012] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Sinus Brady st: NotStopd t0: [13:15:00 08/11/2012] id: NBP el: 0 cu: CSRU cg: RN v1: 104 u1: mmHg v2: 62 u2: mmHg st: NotStopd t0: [13:15:00 08/11/2012] id: NBP Mean el: 0 cu: CSRU cg: RN v1: 76 u1: mmHg st: NotStopd t0: [13:15:00 08/11/2012] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 94 u1: mmHg v2: 47 u2: mmHg st: NotStopd t0: [13:15:00 08/11/2012] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 66 u1: mmHg st: NotStopd t0: [13:15:00 08/11/2012] id: Precautions el: 0 cu: CSRU cg: RN v1: Contact st: NotStopd t0: [13:15:00 08/11/2012] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 16 u1: BPM st: NotStopd t0: [13:15:00 08/11/2012] id: SpO2 el: 0 cu: CSRU cg: RN v1: 100 u1: % st: NotStopd t0: [13:15:00 08/11/2012] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [13:30:00 08/11/2012] id: Service Type el: 0 cu: CSRU cg: RN v1: MICU st: NotStopd t0: [13:30:00 08/11/2012] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [13:30:00 08/11/2012] id: Riker-SAS Scale el: 0 cu: CSRU cg: RN v1: Sedated st: NotStopd t0: [13:30:00 08/11/2012] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: Rare st: NotStopd t0: [13:30:00 08/11/2012] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: PAC's st: NotStopd t0: [13:30:00 08/11/2012] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 38 u1: BPM st: NotStopd t0: [13:30:00 08/11/2012] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Sinus Brady st: NotStopd t0: [13:30:00 08/11/2012] id: NBP el: 0 cu: CSRU cg: RN v1: 109 u1: mmHg v2: 60 u2: mmHg st: NotStopd t0: [13:30:00 08/11/2012] id: NBP Mean el: 0 cu: CSRU cg: RN v1: 76.3333 u1: mmHg st: NotStopd t0: [13:30:00 08/11/2012] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 106 u1: mmHg v2: 55 u2: mmHg st: NotStopd t0: [13:30:00 08/11/2012] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 76 u1: mmHg st: NotStopd t0: [13:30:00 08/11/2012] id: Precautions el: 0 cu: CSRU cg: RN v1: Contact st: NotStopd t0: [13:30:00 08/11/2012] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 14 u1: BPM st: NotStopd t0: [13:30:00 08/11/2012] id: SpO2 el: 0 cu: CSRU cg: RN v1: 100 u1: % st: NotStopd t0: [13:30:00 08/11/2012] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Oral st: NotStopd t0: [13:30:00 08/11/2012] id: Temperature C (calc) el: 0 cu: CSRU cg: RN v1: 34.3333 u1: Deg. C st: NotStopd t0: [13:30:00 08/11/2012] id: Temperature F el: 0 cu: CSRU cg: RN v1: 93.8 u1: Deg. F st: NotStopd t0: [13:30:00 08/11/2012] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [13:15:00 08/11/2012] id: Propofol el: 1 cu: CSRU cg: RN so: N/A vo: 0 v1: 60 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [13:15:00 08/11/2012] id: Sandostatin el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 50 du: mcghr sv: 100 su: ml rt: IV Drip t0: [13:30:00 08/11/2012] id: Propofol el: 1 cu: CSRU cg: RN so: N/A vo: 0 v1: 40 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [13:30:00 08/11/2012] id: Sandostatin el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 50 du: mcghr sv: 100 su: ml rt: IV Drip
t0: [12:55:00 08/11/2012] id: BUN el: 0 cu: CSRU cg: 3161 v1: 15 rs: Final st: NotStopd t0: [12:55:00 08/11/2012] id: Calcium Chemistry el: 0 cu: CSRU cg: 3161 v1: 8 u1: mg/dl rs: Final st: NotStopd t0: [12:55:00 08/11/2012] id: Chloride Chemistry el: 0 cu: CSRU cg: 3161 v1: 114 rs: Final st: NotStopd t0: [12:55:00 08/11/2012] id: Creatinine Chemistry el: 0 cu: CSRU cg: 3161 v1: 1.5 rs: Final st: NotStopd t0: [12:55:00 08/11/2012] id: Glucose Chemistry el: 0 cu: CSRU cg: 3161 v1: 147 rs: Final st: NotStopd t0: [12:55:00 08/11/2012] id: Magnesium Chemistry el: 0 cu: CSRU cg: 3161 v1: 1.4 rs: Final st: NotStopd t0: [12:55:00 08/11/2012] id: Phosphorous Chemistry el: 0 cu: CSRU cg: 3161 v1: 4.1 u1: mEq/L rs: Final st: NotStopd t0: [12:55:00 08/11/2012] id: Potassium Chemistry el: 0 cu: CSRU cg: 3161 v1: 3.9 rs: Final st: NotStopd t0: [12:55:00 08/11/2012] id: Sodium Chemistry el: 0 cu: CSRU cg: 3161 v1: 140 rs: Final st: NotStopd t0: [12:55:00 08/11/2012] id: BUN (6-20) Chemistry el: 0 cu: CSRU cg: 3161 v1: 15 rs: Final st: NotStopd t0: [12:55:00 08/11/2012] id: Calcium (8.4-10.2) Chemistry el: 0 cu: CSRU cg: 3161 v1: 8 u1: mg/dl rs: Final st: NotStopd t0: [12:55:00 08/11/2012] id: Chloride (100-112) Chemistry el: 0 cu: CSRU cg: 3161 v1: 114 rs: Final st: NotStopd t0: [12:55:00 08/11/2012] id: Creatinine (0-1.3) Chemistry el: 0 cu: CSRU cg: 3161 v1: 1.5 rs: Final st: NotStopd t0: [12:55:00 08/11/2012] id: Glucose (70-105) Chemistry el: 0 cu: CSRU cg: 3161 v1: 147 rs: Final st: NotStopd t0: [12:55:00 08/11/2012] id: Magnesium (1.6-2.6) Chemistry el: 0 cu: CSRU cg: 3161 v1: 1.4 rs: Final st: NotStopd t0: [12:55:00 08/11/2012] id: Phosphorous(2.7-4.5) Chemistry el: 0 cu: CSRU cg: 3161 v1: 4.1 u1: mEq/L rs: Final st: NotStopd t0: [12:55:00 08/11/2012] id: Potassium (3.5-5.3) Chemistry el: 0 cu: CSRU cg: 3161 v1: 3.9 rs: Final st: NotStopd t0: [12:55:00 08/11/2012] id: Sodium (135-148) Chemistry el: 0 cu: CSRU cg: 3161 v1: 140 rs: Final st: NotStopd
t0: [12:55:00 08/11/2012] id: Hematocrit Hematology el: 0 cu: CSRU cg: 3161 v1: 28 u1: % rs: Final st: NotStopd t0: [12:55:00 08/11/2012] id: Platelets Hematology el: 0 cu: CSRU cg: 3161 v1: 102 rs: Final st: NotStopd
t0: [13:00:00 08/11/2012] id: Procedures el: 0 cu: CSRU cg: RN v1: EKG st: NotStopd
t0: [12:55:00 08/11/2012] id: Carbon Dioxide Chemistry el: 0 cu: CSRU cg: 3161 v1: 14 rs: Final st: NotStopd
id: Fentanyl el: 100 cu: MICU-A cg: RN io: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions am: 2500 du: mcghr rt: IV Drip id: Midazolam el: 100 cu: MICU-A cg: RN io: .9% Normal Saline 50.0ml + 50mghr Midazolam IV Infusions am: 50 du: mghr rt: IV Drip
tf: [20:00:00 08/11/2012] pt: IV Piggyback rt: IV DRIP fr: INFUSION m1: Fentanyl Citrate v1: 2500 u1: mcg m2: D5W v2: 250 u2: ml tf: [20:00:00 08/11/2012] pt: IV Piggyback rt: IV DRIP fr: TITRATE TO m1: Midazolam HCl v1: 50 u1: mg m2: D5W v2: 50 u2: ml tf: [13:00:00 09/11/2012] pt: IV Piggyback rt: IV fr: ONCE fs: 14 dn: 1 m1: Calcium Gluconate v1: 3 u1: gm m2: D5W v2: 250 u2: ml
id: Gastric Meds el: 1 cu: CSRU cg: RN io: Gastric Meds PO/Gastric du: ml rt: Gastric/Feeding Tube id: .9% Normal Saline el: 1 cu: MICU-A cg: RN io: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions vo: 250 du: ml rt: Intravenous Push id: .9% Normal Saline el: 1 cu: MICU-A cg: RN io: .9% Normal Saline 50.0ml + 50mghr Midazolam IV Infusions vo: 50 du: ml rt: Intravenous Push
t0: [09:00:00 08/11/2012] id: Circulation/SkinInt el: 0 cu: CSRU cg: RN v1: Circulation Adeq st: NotStopd t0: [09:00:00 08/11/2012] id: Reason For Restraint el: 0 cu: CSRU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [09:00:00 08/11/2012] id: Restraint Location el: 0 cu: CSRU cg: RN v1: Both Arms st: NotStopd t0: [09:00:00 08/11/2012] id: Restraint Type el: 0 cu: CSRU cg: RN v1: Soft Limb st: NotStopd t0: [09:00:00 08/11/2012] id: Side Rails el: 0 cu: CSRU cg: RN v1: Side Rails Up st: NotStopd t0: [09:30:00 08/11/2012] id: HOB el: 0 cu: CSRU cg: RN v1: 15 degrees st: NotStopd t0: [09:30:00 08/11/2012] id: Activity el: 0 cu: CSRU cg: RN v1: Bedrest st: NotStopd t0: [09:30:00 08/11/2012] id: Activity Tolerance el: 0 cu: CSRU cg: RN v1: Tolerated Well st: NotStopd t0: [09:30:00 08/11/2012] id: Position el: 0 cu: CSRU cg: RN v1: Supine st: NotStopd t0: [09:30:00 08/11/2012] id: Assistance Device el: 0 cu: CSRU cg: RN v1: 2 Person Assist st: NotStopd t0: [09:30:00 08/11/2012] id: Skin Care el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [09:30:00 08/11/2012] id: Stool Color/Consist el: 0 cu: CSRU cg: RN v1: Melena v2: Liquid st: NotStopd t0: [09:30:00 08/11/2012] id: Stool Management el: 0 cu: CSRU cg: RN v1: Fecal Incont Bag st: NotStopd t0: [09:30:00 08/11/2012] id: Turn el: 0 cu: CSRU cg: RN v1: Side to Side st: NotStopd t0: [09:30:00 08/11/2012] id: Urine Color/Appear el: 0 cu: CSRU cg: RN v1: Amber v2: Clear st: NotStopd t0: [09:30:00 08/11/2012] id: Urine Source el: 0 cu: CSRU cg: RN v1: Indwelling Cath st: NotStopd t0: [09:30:00 08/11/2012] id: Back Care el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [10:30:00 08/11/2012] id: Stool Color/Consist el: 0 cu: CSRU cg: RN v1: Bright Red Blood v2: Liquid st: NotStopd t0: [10:30:00 08/11/2012] id: Stool Management el: 0 cu: CSRU cg: RN v1: Fecal Incont Bag st: NotStopd t0: [11:00:00 08/11/2012] id: Eye Care el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [11:00:00 08/11/2012] id: HOB el: 0 cu: CSRU cg: RN v1: 15 degrees st: NotStopd t0: [11:00:00 08/11/2012] id: Activity el: 0 cu: CSRU cg: RN v1: Bedrest st: NotStopd t0: [11:00:00 08/11/2012] id: Activity Tolerance el: 0 cu: CSRU cg: RN v1: Tolerated Well st: NotStopd t0: [11:00:00 08/11/2012] id: Oral Care el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [11:00:00 08/11/2012] id: Position el: 0 cu: CSRU cg: RN v1: Supine st: NotStopd t0: [11:00:00 08/11/2012] id: Assistance Device el: 0 cu: CSRU cg: RN v1: 2 Person Assist st: NotStopd t0: [11:00:00 08/11/2012] id: Skin Care el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [11:00:00 08/11/2012] id: Turn el: 0 cu: CSRU cg: RN v1: Side to Side st: NotStopd t0: [11:00:00 08/11/2012] id: Back Care el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [13:00:00 08/11/2012] id: Range of Motion el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [13:00:00 08/11/2012] id: Circulation/SkinInt el: 0 cu: CSRU cg: RN v1: Circulation Adeq st: NotStopd t0: [13:00:00 08/11/2012] id: GI Prophylaxis el: 0 cu: CSRU cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [13:00:00 08/11/2012] id: Diet Type el: 0 cu: CSRU cg: RN v1: NPO st: NotStopd t0: [13:00:00 08/11/2012] id: Eye Opening el: 0 cu: CSRU cg: RN v1: 1 No Response st: NotStopd t0: [13:00:00 08/11/2012] id: Follows Commands el: 0 cu: CSRU cg: RN v1: No st: NotStopd t0: [13:00:00 08/11/2012] id: GCS Total el: 0 cu: CSRU cg: RN v1: 3 u1: points st: NotStopd t0: [13:00:00 08/11/2012] id: HOB el: 0 cu: CSRU cg: RN v1: 15 degrees st: NotStopd t0: [13:00:00 08/11/2012] id: Abdominal Assessment el: 0 cu: CSRU cg: RN v1: Soft Distended st: NotStopd t0: [13:00:00 08/11/2012] id: Activity el: 0 cu: CSRU cg: RN v1: Bedrest st: NotStopd t0: [13:00:00 08/11/2012] id: ImpSkin Treatment #1 el: 0 cu: CSRU cg: RN v1: Duoderm st: NotStopd t0: [13:00:00 08/11/2012] id: Impaired Skin Site#1 el: 0 cu: CSRU cg: RN v1: Coccyx st: NotStopd t0: [13:00:00 08/11/2012] id: LLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [13:00:00 08/11/2012] id: LUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [13:00:00 08/11/2012] id: Level of Conscious el: 0 cu: CSRU cg: RN v1: Sedated st: NotStopd t0: [13:00:00 08/11/2012] id: Motor Response el: 0 cu: CSRU cg: RN v1: 1 No Response st: NotStopd t0: [13:00:00 08/11/2012] id: Oral Cavity el: 0 cu: CSRU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [13:00:00 08/11/2012] id: Orientation el: 0 cu: CSRU cg: RN v1: Other/Remarks st: NotStopd t0: [13:00:00 08/11/2012] id: AntiEmbDevice/Status el: 0 cu: CSRU cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [13:00:00 08/11/2012] id: Position el: 0 cu: CSRU cg: RN v1: Supine st: NotStopd t0: [13:00:00 08/11/2012] id: Position Change el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [13:00:00 08/11/2012] id: RLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Coarse st: NotStopd t0: [13:00:00 08/11/2012] id: RUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [13:00:00 08/11/2012] id: Reason For Restraint el: 0 cu: CSRU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [13:00:00 08/11/2012] id: Removed x 5 Mins el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [13:00:00 08/11/2012] id: Respiratory Pattern el: 0 cu: CSRU cg: RN v1: Regular st: NotStopd t0: [13:00:00 08/11/2012] id: Restraint Location el: 0 cu: CSRU cg: RN v1: Both Arms st: NotStopd t0: [13:00:00 08/11/2012] id: Restraint Type el: 0 cu: CSRU cg: RN v1: Soft Limb st: NotStopd t0: [13:00:00 08/11/2012] id: Restraints Evaluated el: 0 cu: CSRU cg: RN v1: Behavior Conts st: NotStopd t0: [13:00:00 08/11/2012] id: Side Rails el: 0 cu: CSRU cg: RN v1: Side Rails Up st: NotStopd t0: [13:00:00 08/11/2012] id: Skin Color el: 0 cu: CSRU cg: RN v1: Jaundiced st: NotStopd t0: [13:00:00 08/11/2012] id: Skin Integrity el: 0 cu: CSRU cg: RN v1: Impaired st: NotStopd t0: [13:00:00 08/11/2012] id: Skin Temp/Condition el: 0 cu: CSRU cg: RN v1: Warm v2: Dry st: NotStopd t0: [13:00:00 08/11/2012] id: Spontaneous Movement el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [13:00:00 08/11/2012] id: Stool Management el: 0 cu: CSRU cg: RN v1: Fecal Incont Bag st: NotStopd t0: [13:00:00 08/11/2012] id: Turn el: 0 cu: CSRU cg: RN v1: Back st: NotStopd t0: [13:00:00 08/11/2012] id: Urine Color/Appear el: 0 cu: CSRU cg: RN v1: Amber st: NotStopd t0: [13:00:00 08/11/2012] id: Urine Source el: 0 cu: CSRU cg: RN v1: Indwelling Cath st: NotStopd t0: [13:00:00 08/11/2012] id: Verbal Response el: 0 cu: CSRU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [13:00:00 08/11/2012] id: Behavior el: 0 cu: CSRU cg: RN v1: Sedated st: NotStopd t0: [13:00:00 08/11/2012] id: Bowel Sounds el: 0 cu: CSRU cg: RN v1: Absent st: NotStopd t0: [13:00:00 08/11/2012] id: Braden Activity el: 0 cu: CSRU cg: RN v1: Bedfast st: NotStopd t0: [13:00:00 08/11/2012] id: Braden Frict/Shear el: 0 cu: CSRU cg: RN v1: Potential Prob st: NotStopd t0: [13:00:00 08/11/2012] id: Braden Mobility el: 0 cu: CSRU cg: RN v1: Comp. Immobile st: NotStopd t0: [13:00:00 08/11/2012] id: Braden Moisture el: 0 cu: CSRU cg: RN v1: Rarely Moist st: NotStopd t0: [13:00:00 08/11/2012] id: Braden Nutrition el: 0 cu: CSRU cg: RN v1: Prob. Inadequate st: NotStopd t0: [13:00:00 08/11/2012] id: Braden Score el: 0 cu: CSRU cg: RN v1: 11 u1: number st: NotStopd t0: [13:00:00 08/11/2012] id: Braden SensoryPercep el: 0 cu: CSRU cg: RN v1: Comp. Limited st: NotStopd t0: [14:00:00 08/11/2012] id: Service Type el: 0 cu: CSRU cg: RN v1: MICU st: NotStopd t0: [14:00:00 08/11/2012] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [14:00:00 08/11/2012] id: Riker-SAS Scale el: 0 cu: CSRU cg: RN v1: Sedated st: NotStopd t0: [14:00:00 08/11/2012] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [14:00:00 08/11/2012] id: Readmit <48 hrs el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [14:00:00 08/11/2012] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [14:00:00 08/11/2012] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 45 u1: BPM st: NotStopd t0: [14:00:00 08/11/2012] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Sinus Brady st: NotStopd t0: [14:00:00 08/11/2012] id: NBP el: 0 cu: CSRU cg: RN v1: 103 u1: mmHg v2: 52 u2: mmHg st: NotStopd t0: [14:00:00 08/11/2012] id: NBP Mean el: 0 cu: CSRU cg: RN v1: 69 u1: mmHg st: NotStopd t0: [14:00:00 08/11/2012] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 100 u1: mmHg v2: 49 u2: mmHg st: NotStopd t0: [14:00:00 08/11/2012] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 68 u1: mmHg st: NotStopd t0: [14:00:00 08/11/2012] id: Precautions el: 0 cu: CSRU cg: RN v1: Contact st: NotStopd t0: [14:00:00 08/11/2012] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 14 u1: BPM st: NotStopd t0: [14:00:00 08/11/2012] id: SpO2 el: 0 cu: CSRU cg: RN v1: 100 u1: % st: NotStopd t0: [14:00:00 08/11/2012] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [14:00:00 08/11/2012] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: CSRU cg: RN ai: 126 vo: 27.786 vu: ml t0: [14:00:00 08/11/2012] id: D5W 100.0ml + 600mcghr Sandostatin IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 8.33333 vu: ml t0: [14:00:00 08/11/2012] id: .9% Normal Saline 500.0ml IV Infusions el: 1 cu: CSRU cg: RN ai: 126 vo: 125 vu: ml
t0: [14:00:00 08/11/2012] id: Propofol el: 1 cu: CSRU cg: RN so: N/A vo: 0 v1: 40 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [14:00:00 08/11/2012] id: Sandostatin el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 50 du: mcghr sv: 100 su: ml rt: IV Drip
t0: [14:00:00 08/11/2012] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Oral st: NotStopd t0: [14:00:00 08/11/2012] id: Temperature C (calc) el: 0 cu: CSRU cg: RN v1: 34.8889 u1: Deg. C st: NotStopd t0: [14:00:00 08/11/2012] id: Temperature F el: 0 cu: CSRU cg: RN v1: 94.8 u1: Deg. F st: NotStopd t0: [14:30:00 08/11/2012] id: Service Type el: 0 cu: CSRU cg: RN v1: MICU st: NotStopd t0: [14:30:00 08/11/2012] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [14:30:00 08/11/2012] id: Riker-SAS Scale el: 0 cu: CSRU cg: RN v1: Sedated st: NotStopd t0: [14:30:00 08/11/2012] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [14:30:00 08/11/2012] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [14:30:00 08/11/2012] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 49 u1: BPM st: NotStopd t0: [14:30:00 08/11/2012] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Sinus Brady st: NotStopd t0: [14:30:00 08/11/2012] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 113 u1: mmHg v2: 54 u2: mmHg st: NotStopd t0: [14:30:00 08/11/2012] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 74 u1: mmHg st: NotStopd t0: [14:30:00 08/11/2012] id: Precautions el: 0 cu: CSRU cg: RN v1: Contact st: NotStopd t0: [14:30:00 08/11/2012] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 14 u1: BPM st: NotStopd t0: [14:30:00 08/11/2012] id: SpO2 el: 0 cu: CSRU cg: RN v1: 100 u1: % st: NotStopd t0: [14:30:00 08/11/2012] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [14:30:00 08/11/2012] tf: [16:06:00 09/11/2012] dt: 1536 id: Fentanyl el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 25 du: mcghr sv: 250 su: ml rt: IV Drip t0: [14:30:00 08/11/2012] tf: [16:06:00 09/11/2012] dt: 1536 id: Midazolam el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 0.5 du: mghr sv: 50 su: ml rt: IV Drip t0: [14:30:00 08/11/2012] id: Propofol el: 1 cu: CSRU cg: RN so: N/A vo: 0 v1: 0 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [14:30:00 08/11/2012] id: Sandostatin el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 50 du: mcghr sv: 100 su: ml rt: IV Drip
t0: [14:41:00 08/11/2012] id: Art.pH ABG el: 0 cu: CSRU cg: 3161 v1: 7.4 rs: Final st: NotStopd t0: [14:41:00 08/11/2012] id: Arterial Base Excess ABG el: 0 cu: CSRU cg: 3161 v1: -4 rs: Final st: NotStopd t0: [14:41:00 08/11/2012] id: Arterial CO2(Calc) ABG el: 0 cu: CSRU cg: 3161 v1: 19 rs: Final st: NotStopd t0: [14:41:00 08/11/2012] id: Arterial PaCO2 ABG el: 0 cu: CSRU cg: 3161 v1: 29 u1: mmHg rs: Final st: NotStopd t0: [14:41:00 08/11/2012] id: Arterial PaO2 ABG el: 0 cu: CSRU cg: 3161 v1: 183 u1: mmHg rs: Final st: NotStopd t0: [14:41:00 08/11/2012] id: Arterial pH ABG el: 0 cu: CSRU cg: 3161 v1: 7.4 rs: Final st: NotStopd
t0: [14:30:00 08/11/2012] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: CSRU cg: RN ai: 416 vo: 0 vu: ml t0: [14:30:00 08/11/2012] id: .9% Normal Saline 50.0ml + 50mghr Midazolam IV Infusions el: 1 cu: CSRU cg: RN ai: 431 vo: 0 vu: ml
t0: [15:00:00 08/11/2012] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Oral st: NotStopd t0: [15:00:00 08/11/2012] id: Temperature C (calc) el: 0 cu: CSRU cg: RN v1: 35.5556 u1: Deg. C st: NotStopd t0: [15:00:00 08/11/2012] id: Temperature F el: 0 cu: CSRU cg: RN v1: 96 u1: Deg. F st: NotStopd
tf: [16:00:00 08/11/2012] pt: IV Piggyback rt: IV fr: ONCE fs: 15 dn: 1 m1: Potassium Chloride v1: 40 u1: mEq m2: SW v2: 50 u2: ml
t0: [09:00:00 08/11/2012] id: GI Prophylaxis el: 0 cu: CSRU cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [09:00:00 08/11/2012] id: Diet Type el: 0 cu: CSRU cg: RN v1: NPO st: NotStopd t0: [09:00:00 08/11/2012] id: Abdominal Assessment el: 0 cu: CSRU cg: RN v1: Firm Distended st: NotStopd t0: [09:00:00 08/11/2012] id: Imp Skin Cleanse #1 el: 0 cu: CSRU cg: RN v1: Wound Cleanser st: NotStopd t0: [09:00:00 08/11/2012] id: ImpSkin Character #1 el: 0 cu: CSRU cg: RN v1: Abrasion st: NotStopd t0: [09:00:00 08/11/2012] id: ImpSkin Treatment #1 el: 0 cu: CSRU cg: RN v1: Duoderm st: NotStopd t0: [09:00:00 08/11/2012] id: ImpSkin Wound Base#1 el: 0 cu: CSRU cg: RN v1: Pink st: NotStopd t0: [09:00:00 08/11/2012] id: Impaired Skin Site#1 el: 0 cu: CSRU cg: RN v1: Coccyx st: NotStopd t0: [09:00:00 08/11/2012] id: LLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Coarse st: NotStopd t0: [09:00:00 08/11/2012] id: LUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [09:00:00 08/11/2012] id: Oral Cavity el: 0 cu: CSRU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [09:00:00 08/11/2012] id: RLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Coarse st: NotStopd t0: [09:00:00 08/11/2012] id: RUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [09:00:00 08/11/2012] id: Respiratory Pattern el: 0 cu: CSRU cg: RN v1: Regular st: NotStopd t0: [09:00:00 08/11/2012] id: Skin Color el: 0 cu: CSRU cg: RN v1: Jaundiced st: NotStopd t0: [09:00:00 08/11/2012] id: Skin Integrity el: 0 cu: CSRU cg: RN v1: Impaired st: NotStopd t0: [09:00:00 08/11/2012] id: Skin Temp/Condition el: 0 cu: CSRU cg: RN v1: Warm v2: Dry st: NotStopd t0: [09:00:00 08/11/2012] id: Stool Color/Consist el: 0 cu: CSRU cg: RN v1: Melena v2: Liquid st: NotStopd t0: [09:00:00 08/11/2012] id: Stool Guaiac el: 0 cu: CSRU cg: RN v1: Positive st: NotStopd t0: [09:00:00 08/11/2012] id: Stool Management el: 0 cu: CSRU cg: RN v1: Fecal Incont Bag st: NotStopd t0: [09:00:00 08/11/2012] id: Urine Color/Appear el: 0 cu: CSRU cg: RN v1: Amber v2: Clear st: NotStopd t0: [09:00:00 08/11/2012] id: Urine Source el: 0 cu: CSRU cg: RN v1: Indwelling Cath st: NotStopd t0: [09:00:00 08/11/2012] id: Bowel Sounds el: 0 cu: CSRU cg: RN v1: Absent st: NotStopd t0: [09:00:00 08/11/2012] id: Braden Activity el: 0 cu: CSRU cg: RN v1: Bedfast st: NotStopd t0: [09:00:00 08/11/2012] id: Braden Frict/Shear el: 0 cu: CSRU cg: RN v1: Potential Prob st: NotStopd t0: [09:00:00 08/11/2012] id: Braden Mobility el: 0 cu: CSRU cg: RN v1: Very Limited st: NotStopd t0: [09:00:00 08/11/2012] id: Braden Moisture el: 0 cu: CSRU cg: RN v1: Moist st: NotStopd t0: [09:00:00 08/11/2012] id: Braden Nutrition el: 0 cu: CSRU cg: RN v1: Prob. Inadequate st: NotStopd t0: [09:00:00 08/11/2012] id: Braden Score el: 0 cu: CSRU cg: RN v1: 11 u1: number st: NotStopd t0: [09:00:00 08/11/2012] id: Braden SensoryPercep el: 0 cu: CSRU cg: RN v1: Very Limited st: NotStopd t0: [12:00:00 08/11/2012] id: INV Line#1 Type/Site el: 0 cu: CSRU cg: RN v1: PICC line v2: Left Antecub st: NotStopd t0: [12:00:00 08/11/2012] id: INV Line#1SiteAppear el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [12:00:00 08/11/2012] id: IV #1 Insert Date el: 0 cu: CSRU cg: RN v1: 10 v2: 16 st: NotStopd t0: [12:00:00 08/11/2012] id: IV #1 Site/Size el: 0 cu: CSRU cg: RN v1: Right Hand v2: 18 gauge st: NotStopd t0: [12:00:00 08/11/2012] id: IV #2 Insert Date el: 0 cu: CSRU cg: RN v1: 10 v2: 14 st: NotStopd t0: [12:00:00 08/11/2012] id: IV #2 Site/Size el: 0 cu: CSRU cg: RN v1: Right Wrist v2: 20 gauge st: NotStopd t0: [12:00:00 08/11/2012] id: IV #3 Insert Date el: 0 cu: CSRU cg: RN v1: 10 v2: 16 st: NotStopd t0: [12:00:00 08/11/2012] id: IV #3 Site/Size el: 0 cu: CSRU cg: RN v1: Left Hand v2: 18 gauge st: NotStopd t0: [12:00:00 08/11/2012] id: IV Site Appear #1 el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [12:00:00 08/11/2012] id: IV Site Appear #2 el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [12:00:00 08/11/2012] id: IV Site Appear #3 el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [13:30:00 08/11/2012] id: INV Line#2 Type/Site el: 0 cu: CSRU cg: RN v1: A-Line v2: Left Radial st: NotStopd t0: [13:30:00 08/11/2012] id: INV Line#2 Zero/Cal el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [13:30:00 08/11/2012] id: INV Line#2InsertDate el: 0 cu: CSRU cg: RN v1: 10 v2: 16 st: NotStopd t0: [13:30:00 08/11/2012] id: INV Line#2SiteAppear el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [13:30:00 08/11/2012] id: INV#2 WaveformAppear el: 0 cu: CSRU cg: RN v1: Sharp st: NotStopd t0: [15:00:00 08/11/2012] id: Service Type el: 0 cu: CSRU cg: RN v1: MICU st: NotStopd t0: [15:00:00 08/11/2012] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [15:00:00 08/11/2012] id: Riker-SAS Scale el: 0 cu: CSRU cg: RN v1: Sedated st: NotStopd t0: [15:00:00 08/11/2012] id: GI Prophylaxis el: 0 cu: CSRU cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [15:00:00 08/11/2012] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [15:00:00 08/11/2012] id: Diet Type el: 0 cu: CSRU cg: RN v1: NPO st: NotStopd t0: [15:00:00 08/11/2012] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [15:00:00 08/11/2012] id: Eye Opening el: 0 cu: CSRU cg: RN v1: 1 No Response st: NotStopd t0: [15:00:00 08/11/2012] id: Follows Commands el: 0 cu: CSRU cg: RN v1: No st: NotStopd t0: [15:00:00 08/11/2012] id: GCS Total el: 0 cu: CSRU cg: RN v1: 3 u1: points st: NotStopd t0: [15:00:00 08/11/2012] id: GI#1 Tube PlaceCheck el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [15:00:00 08/11/2012] id: GI#1 Tube Stat/Drain el: 0 cu: CSRU cg: RN v1: Low Cont Suction v2: Dark Red Blood st: NotStopd t0: [15:00:00 08/11/2012] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 66 u1: BPM st: NotStopd t0: [15:00:00 08/11/2012] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [15:00:00 08/11/2012] id: Abdominal Assessment el: 0 cu: CSRU cg: RN v1: Soft Distended st: NotStopd t0: [15:00:00 08/11/2012] id: LLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [15:00:00 08/11/2012] id: LUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [15:00:00 08/11/2012] id: Level of Conscious el: 0 cu: CSRU cg: RN v1: Sedated st: NotStopd t0: [15:00:00 08/11/2012] id: Motor Response el: 0 cu: CSRU cg: RN v1: 1 No Response st: NotStopd t0: [15:00:00 08/11/2012] id: Oral Cavity el: 0 cu: CSRU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [15:00:00 08/11/2012] id: Orientation el: 0 cu: CSRU cg: RN v1: Other/Remarks st: NotStopd t0: [15:00:00 08/11/2012] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 120 u1: mmHg v2: 60 u2: mmHg st: NotStopd t0: [15:00:00 08/11/2012] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 81 u1: mmHg st: NotStopd t0: [15:00:00 08/11/2012] id: Precautions el: 0 cu: CSRU cg: RN v1: Contact st: NotStopd t0: [15:00:00 08/11/2012] id: RLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Coarse st: NotStopd t0: [15:00:00 08/11/2012] id: RUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [15:00:00 08/11/2012] id: Respiratory Pattern el: 0 cu: CSRU cg: RN v1: Regular st: NotStopd t0: [15:00:00 08/11/2012] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 14 u1: BPM st: NotStopd t0: [15:00:00 08/11/2012] id: SpO2 el: 0 cu: CSRU cg: RN v1: 100 u1: % st: NotStopd t0: [15:00:00 08/11/2012] id: Spontaneous Movement el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [15:00:00 08/11/2012] id: Stool Management el: 0 cu: CSRU cg: RN v1: Fecal Incont Bag st: NotStopd t0: [15:00:00 08/11/2012] id: Urine Color/Appear el: 0 cu: CSRU cg: RN v1: Amber v2: Clear st: NotStopd t0: [15:00:00 08/11/2012] id: Urine Source el: 0 cu: CSRU cg: RN v1: Indwelling Cath st: NotStopd t0: [15:00:00 08/11/2012] id: Verbal Response el: 0 cu: CSRU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [15:00:00 08/11/2012] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [15:00:00 08/11/2012] id: Bowel Sounds el: 0 cu: CSRU cg: RN v1: Absent st: NotStopd
t0: [15:00:00 08/11/2012] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: CSRU cg: RN ai: 126 vo: 10.104 vu: ml t0: [15:00:00 08/11/2012] id: D5W 100.0ml + 600mcghr Sandostatin IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 8.33333 vu: ml t0: [15:00:00 08/11/2012] id: .9% Normal Saline 500.0ml IV Infusions el: 1 cu: CSRU cg: RN ai: 126 vo: 125 vu: ml t0: [15:00:00 08/11/2012] tf: [23:00:00 08/11/2012] dt: 480 id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: CSRU cg: RN ai: 416 vo: 1.25 vu: ml t0: [15:00:00 08/11/2012] tf: [23:00:00 08/11/2012] dt: 480 id: .9% Normal Saline 50.0ml + 50mghr Midazolam IV Infusions el: 1 cu: CSRU cg: RN ai: 431 vo: 0.25 vu: ml
t0: [15:00:00 08/11/2012] id: Fentanyl el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 250 su: ml rt: IV Drip t0: [15:00:00 08/11/2012] id: Midazolam el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 0.5 du: mghr sv: 50 su: ml rt: IV Drip t0: [15:00:00 08/11/2012] id: Propofol el: 1 cu: CSRU cg: RN so: N/A vo: 0 v1: 0 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [15:00:00 08/11/2012] id: Sandostatin el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 50 du: mcghr sv: 100 su: ml rt: IV Drip
t0: [12:00:00 08/11/2012] id: WarmingDevice/Status el: 0 cu: CSRU cg: RN v1: Blanket v2: On st: NotStopd t0: [12:30:00 08/11/2012] id: WarmingDevice/Status el: 0 cu: CSRU cg: RN v1: Bair Hugger v2: On st: NotStopd t0: [14:00:00 08/11/2012] id: WarmingDevice/Status el: 0 cu: CSRU cg: RN v1: Bair Hugger v2: On st: NotStopd t0: [14:35:00 08/11/2012] id: WBC (4-11,000) Hematology el: 0 cu: CSRU cg: 3161 v1: 8.8 rs: Final st: NotStopd t0: [14:35:00 08/11/2012] id: WBC Hematology el: 0 cu: CSRU cg: 3161 v1: 8.8 rs: Final st: NotStopd t0: [14:35:00 08/11/2012] id: Hematocrit Hematology el: 0 cu: CSRU cg: 3161 v1: 29 u1: % rs: Final st: NotStopd t0: [14:35:00 08/11/2012] id: Hemoglobin Hematology el: 0 cu: CSRU cg: 3161 v1: 10.1 u1: gm/dl rs: Final st: NotStopd t0: [14:35:00 08/11/2012] id: Platelets Hematology el: 0 cu: CSRU cg: 3161 v1: 91 rs: Final st: NotStopd t0: [14:35:00 08/11/2012] id: RBC Hematology el: 0 cu: CSRU cg: 3161 v1: 3.23 u1: /mic l rs: Final st: NotStopd t0: [14:35:00 08/11/2012] id: WBC (4-11,000) Hematology el: 0 cu: CSRU cg: 3161 v1: 8.8 rs: Final st: NotStopd t0: [15:00:00 08/11/2012] id: Oral Care el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [15:00:00 08/11/2012] id: WarmingDevice/Status el: 0 cu: CSRU cg: RN v1: Bair Hugger v2: Off st: NotStopd t0: [15:15:00 08/11/2012] id: Service Type el: 0 cu: CSRU cg: RN v1: MICU st: NotStopd t0: [15:15:00 08/11/2012] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [15:15:00 08/11/2012] id: Riker-SAS Scale el: 0 cu: CSRU cg: RN v1: Sedated st: NotStopd t0: [15:15:00 08/11/2012] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [15:15:00 08/11/2012] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [15:15:00 08/11/2012] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 63 u1: BPM st: NotStopd t0: [15:15:00 08/11/2012] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [15:15:00 08/11/2012] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 124 u1: mmHg v2: 57 u2: mmHg st: NotStopd t0: [15:15:00 08/11/2012] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 80 u1: mmHg st: NotStopd t0: [15:15:00 08/11/2012] id: Precautions el: 0 cu: CSRU cg: RN v1: Contact st: NotStopd t0: [15:15:00 08/11/2012] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 14 u1: BPM st: NotStopd t0: [15:15:00 08/11/2012] id: SpO2 el: 0 cu: CSRU cg: RN v1: 100 u1: % st: NotStopd t0: [15:15:00 08/11/2012] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [15:15:00 08/11/2012] id: Fentanyl el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 250 su: ml rt: IV Drip t0: [15:15:00 08/11/2012] id: Midazolam el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 1 du: mghr sv: 50 su: ml rt: IV Drip t0: [15:15:00 08/11/2012] id: Propofol el: 1 cu: CSRU cg: RN so: N/A vo: 0 v1: 0 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [15:15:00 08/11/2012] id: Sandostatin el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 50 du: mcghr sv: 100 su: ml rt: IV Drip
t0: [15:30:00 08/11/2012] id: Pain Present el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [15:30:00 08/11/2012] id: Pain Assess Method el: 0 cu: CSRU cg: RN v1: Non-verbal cues st: NotStopd t0: [15:30:00 08/11/2012] id: PainLevel Acceptable el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [15:30:00 08/11/2012] id: Service Type el: 0 cu: CSRU cg: RN v1: MICU st: NotStopd t0: [15:30:00 08/11/2012] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [15:30:00 08/11/2012] id: Riker-SAS Scale el: 0 cu: CSRU cg: RN v1: Calm/Cooperative st: NotStopd t0: [15:30:00 08/11/2012] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [15:30:00 08/11/2012] id: Dorsal PedPulse R/L el: 0 cu: CSRU cg: RN v1: Doppler v2: Doppler st: NotStopd t0: [15:30:00 08/11/2012] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [15:30:00 08/11/2012] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 67 u1: BPM st: NotStopd t0: [15:30:00 08/11/2012] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [15:30:00 08/11/2012] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 123 u1: mmHg v2: 58 u2: mmHg st: NotStopd t0: [15:30:00 08/11/2012] id: Pain Location el: 0 cu: CSRU cg: RN v1: Abdominal st: NotStopd t0: [15:30:00 08/11/2012] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 80 u1: mmHg st: NotStopd t0: [15:30:00 08/11/2012] id: PostTib. Pulses R/L el: 0 cu: CSRU cg: RN v1: Doppler v2: Doppler st: NotStopd t0: [15:30:00 08/11/2012] id: Precautions el: 0 cu: CSRU cg: RN v1: Contact st: NotStopd t0: [15:30:00 08/11/2012] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 14 u1: BPM st: NotStopd t0: [15:30:00 08/11/2012] id: SpO2 el: 0 cu: CSRU cg: RN v1: 100 u1: % st: NotStopd t0: [15:30:00 08/11/2012] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Oral st: NotStopd t0: [15:30:00 08/11/2012] id: Temperature C (calc) el: 0 cu: CSRU cg: RN v1: 36.0556 u1: Deg. C st: NotStopd t0: [15:30:00 08/11/2012] id: Temperature F el: 0 cu: CSRU cg: RN v1: 96.9 u1: Deg. F st: NotStopd t0: [15:30:00 08/11/2012] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [15:30:00 08/11/2012] id: Fentanyl el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 250 su: ml rt: IV Drip t0: [15:30:00 08/11/2012] id: Midazolam el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 1 du: mghr sv: 50 su: ml rt: IV Drip t0: [15:30:00 08/11/2012] id: Sandostatin el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 50 du: mcghr sv: 100 su: ml rt: IV Drip
t0: [15:00:00 08/11/2012] id: Compliance (40-60ml) el: 0 cu: CSRU cg: RRT v1: 31.5789 u1: ml/cmH st: NotStopd t0: [15:00:00 08/11/2012] id: ETT Mark/Location el: 0 cu: CSRU cg: RRT v1: 22cm v2: Lip st: NotStopd t0: [15:00:00 08/11/2012] id: High Insp. Pressure el: 0 cu: CSRU cg: RRT v1: 50 u1: cmH2O st: NotStopd t0: [15:00:00 08/11/2012] id: High Resp. Rate el: 0 cu: CSRU cg: RRT v1: 36 u1: BPM st: NotStopd t0: [15:00:00 08/11/2012] id: I:E Ratio el: 0 cu: CSRU cg: RRT v1: 1:2.8 st: NotStopd t0: [15:00:00 08/11/2012] id: Airway Size el: 0 cu: CSRU cg: RRT v1: 8.0 mm st: NotStopd t0: [15:00:00 08/11/2012] id: Airway Type el: 0 cu: CSRU cg: RRT v1: Endotracheal st: NotStopd t0: [15:00:00 08/11/2012] id: Inspired Gas Temp el: 0 cu: CSRU cg: RRT u1: Deg. C st: NotStopd t0: [15:00:00 08/11/2012] id: Intubation Date el: 0 cu: CSRU cg: RRT v1: 10 v2: 16 st: NotStopd t0: [15:00:00 08/11/2012] id: Low Exhaled Min Vol el: 0 cu: CSRU cg: RRT v1: 5 st: NotStopd t0: [15:00:00 08/11/2012] id: Mean Airway Pressure el: 0 cu: CSRU cg: RRT v1: 11 u1: cmH2O st: NotStopd t0: [15:00:00 08/11/2012] id: Minute Volume(Obser) el: 0 cu: CSRU cg: RRT v1: 7.8 u1: L/min st: NotStopd t0: [15:00:00 08/11/2012] id: PEEP Set el: 0 cu: CSRU cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [15:00:00 08/11/2012] id: Apnea Time Interval el: 0 cu: CSRU cg: RRT v1: 20 st: NotStopd t0: [15:00:00 08/11/2012] id: Peak Flow el: 0 cu: CSRU cg: RRT v1: 60 u1: L/m st: NotStopd t0: [15:00:00 08/11/2012] id: Peak Insp. Pressure el: 0 cu: CSRU cg: RRT v1: 24 u1: cmH2O st: NotStopd t0: [15:00:00 08/11/2012] id: Plateau-Off el: 0 cu: CSRU cg: RRT v1: Yes st: NotStopd t0: [15:00:00 08/11/2012] id: Resp Rate (Spont) el: 0 cu: CSRU cg: RRT v1: 0 u1: BPM st: NotStopd t0: [15:00:00 08/11/2012] id: Resp Rate (Total) el: 0 cu: CSRU cg: RRT v1: 14 u1: BPM st: NotStopd t0: [15:00:00 08/11/2012] id: Respiratory Rate Set el: 0 cu: CSRU cg: RRT v1: 14 u1: BPM st: NotStopd t0: [15:00:00 08/11/2012] id: Sensitivity-Vent el: 0 cu: CSRU cg: RRT v1: 3 u1: cmH2O st: NotStopd t0: [15:00:00 08/11/2012] id: Tidal Volume (Obser) el: 0 cu: CSRU cg: RRT v1: 580 u1: ml/B st: NotStopd t0: [15:00:00 08/11/2012] id: Tidal Volume (Set) el: 0 cu: CSRU cg: RRT v1: 600 u1: ml/B st: NotStopd t0: [15:00:00 08/11/2012] id: Ventilator Mode el: 0 cu: CSRU cg: RRT v1: Assist Control st: NotStopd t0: [15:00:00 08/11/2012] id: Ventilator Type el: 0 cu: CSRU cg: RRT v1: 7200A st: NotStopd t0: [15:00:00 08/11/2012] id: Waveform-Vent el: 0 cu: CSRU cg: RRT v1: RAMP st: NotStopd
t0: [15:00:00 08/11/2012] id: FiO2 Set el: 0 cu: CSRU cg: RRT v1: 0.4 u1: torr st: NotStopd
t0: [16:00:00 08/11/2012] id: INV Line#1 Type/Site el: 0 cu: CSRU cg: RN v1: PICC line v2: Left Antecub st: NotStopd t0: [16:00:00 08/11/2012] id: INV Line#1SiteAppear el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [16:00:00 08/11/2012] id: INV Line#2 Type/Site el: 0 cu: CSRU cg: RN v1: A-Line v2: Left Radial st: NotStopd t0: [16:00:00 08/11/2012] id: INV Line#2 Zero/Cal el: 0 cu: CSRU cg: RN v1: No st: NotStopd t0: [16:00:00 08/11/2012] id: INV Line#2InsertDate el: 0 cu: CSRU cg: RN v1: 10 v2: 16 st: NotStopd t0: [16:00:00 08/11/2012] id: INV Line#2SiteAppear el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [16:00:00 08/11/2012] id: INV#2 WaveformAppear el: 0 cu: CSRU cg: RN v1: Sharp st: NotStopd t0: [16:00:00 08/11/2012] id: IV #1 Insert Date el: 0 cu: CSRU cg: RN v1: 10 v2: 16 st: NotStopd t0: [16:00:00 08/11/2012] id: IV #1 Site/Size el: 0 cu: CSRU cg: RN v1: Right Hand v2: 18 gauge st: NotStopd t0: [16:00:00 08/11/2012] id: IV #2 Insert Date el: 0 cu: CSRU cg: RN v1: 10 v2: 14 st: NotStopd t0: [16:00:00 08/11/2012] id: IV #2 Site/Size el: 0 cu: CSRU cg: RN v1: Right Wrist v2: 20 gauge st: NotStopd t0: [16:00:00 08/11/2012] id: IV #3 Insert Date el: 0 cu: CSRU cg: RN v1: 10 v2: 16 st: NotStopd t0: [16:00:00 08/11/2012] id: IV #3 Site/Size el: 0 cu: CSRU cg: RN v1: Left Hand v2: 18 gauge st: NotStopd t0: [16:00:00 08/11/2012] id: IV Site Appear #1 el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [16:00:00 08/11/2012] id: IV Site Appear #2 el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [16:00:00 08/11/2012] id: IV Site Appear #3 el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [16:00:00 08/11/2012] id: Procedures el: 0 cu: CSRU cg: RN v1: Ultrasound st: NotStopd
t0: [16:00:00 08/11/2012] id: D5W 100.0ml + 600mcghr Sandostatin IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 8.33333 vu: ml t0: [16:00:00 08/11/2012] id: .9% Normal Saline 500.0ml IV Infusions el: 1 cu: CSRU cg: RN ai: 126 vo: 125 vu: ml t0: [16:00:00 08/11/2012] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: CSRU cg: RN ai: 416 vo: 5 vu: ml t0: [16:00:00 08/11/2012] id: .9% Normal Saline 50.0ml + 50mghr Midazolam IV Infusions el: 1 cu: CSRU cg: RN ai: 431 vo: 0.875 vu: ml
t0: [23:00:00 08/11/2012] dt: 24 id: Stool Out Total el: 3 cu: CSRU cg: RN cv: 900 ap: carryForward
t0: [16:00:00 08/11/2012] id: Service Type el: 0 cu: CSRU cg: RN v1: MICU st: NotStopd t0: [16:00:00 08/11/2012] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [16:00:00 08/11/2012] id: Riker-SAS Scale el: 0 cu: CSRU cg: RN v1: Sedated st: NotStopd t0: [16:00:00 08/11/2012] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [16:00:00 08/11/2012] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [16:00:00 08/11/2012] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 62 u1: BPM st: NotStopd t0: [16:00:00 08/11/2012] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [16:00:00 08/11/2012] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 121 u1: mmHg v2: 54 u2: mmHg st: NotStopd t0: [16:00:00 08/11/2012] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 76 u1: mmHg st: NotStopd t0: [16:00:00 08/11/2012] id: Precautions el: 0 cu: CSRU cg: RN v1: Contact st: NotStopd t0: [16:00:00 08/11/2012] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 14 u1: BPM st: NotStopd t0: [16:00:00 08/11/2012] id: SpO2 el: 0 cu: CSRU cg: RN v1: 98 u1: % st: NotStopd t0: [16:00:00 08/11/2012] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [16:00:00 08/11/2012] id: Fentanyl el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 250 su: ml rt: IV Drip t0: [16:00:00 08/11/2012] id: Midazolam el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 1 du: mghr sv: 50 su: ml rt: IV Drip t0: [16:00:00 08/11/2012] id: Sandostatin el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 50 du: mcghr sv: 100 su: ml rt: IV Drip
t0: [15:00:00 08/11/2012] id: GI Intub #1/Site el: 0 cu: CSRU cg: RN v1: Salem Sump v2: Left Nare st: NotStopd t0: [16:00:00 08/11/2012] id: Less Restrict Meas. el: 0 cu: CSRU cg: RN v1: Medicated st: NotStopd t0: [16:00:00 08/11/2012] id: Range of Motion el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [16:00:00 08/11/2012] id: Circulation/SkinInt el: 0 cu: CSRU cg: RN v1: Circulation Adeq st: NotStopd t0: [16:00:00 08/11/2012] id: GI Prophylaxis el: 0 cu: CSRU cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [16:00:00 08/11/2012] id: Diet Type el: 0 cu: CSRU cg: RN v1: NPO st: NotStopd t0: [16:00:00 08/11/2012] id: Eye Opening el: 0 cu: CSRU cg: RN v1: 1 No Response st: NotStopd t0: [16:00:00 08/11/2012] id: Family Communication el: 0 cu: CSRU cg: RN v1: Family Called st: NotStopd t0: [16:00:00 08/11/2012] id: Follows Commands el: 0 cu: CSRU cg: RN v1: Consistently st: NotStopd t0: [16:00:00 08/11/2012] id: GCS Total el: 0 cu: CSRU cg: RN v1: 8 u1: points st: NotStopd t0: [16:00:00 08/11/2012] id: GI Intub #1/Site el: 0 cu: CSRU cg: RN v1: Salem Sump v2: Left Nare st: NotStopd t0: [16:00:00 08/11/2012] id: GI#1 Tube PlaceCheck el: 0 cu: CSRU cg: RN v1: Not Done st: NotStopd t0: [16:00:00 08/11/2012] id: GI#1 Tube Stat/Drain el: 0 cu: CSRU cg: RN v1: Low Cont Suction v2: Dark Red Blood st: NotStopd t0: [16:00:00 08/11/2012] id: HOB el: 0 cu: CSRU cg: RN v1: 15 degrees st: NotStopd t0: [16:00:00 08/11/2012] id: INV Line#1InsertDate el: 0 cu: CSRU cg: RN v1: 10 v2: 8 st: NotStopd t0: [16:00:00 08/11/2012] id: Abdominal Assessment el: 0 cu: CSRU cg: RN v1: Soft Distended st: NotStopd t0: [16:00:00 08/11/2012] id: Activity el: 0 cu: CSRU cg: RN v1: Bedrest st: NotStopd t0: [16:00:00 08/11/2012] id: Activity Tolerance el: 0 cu: CSRU cg: RN v1: Tolerated Well st: NotStopd t0: [16:00:00 08/11/2012] id: ImpSkin Treatment #1 el: 0 cu: CSRU cg: RN v1: Duoderm st: NotStopd t0: [16:00:00 08/11/2012] id: Impaired Skin Site#1 el: 0 cu: CSRU cg: RN v1: Coccyx st: NotStopd t0: [16:00:00 08/11/2012] id: LLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Coarse st: NotStopd t0: [16:00:00 08/11/2012] id: LUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [16:00:00 08/11/2012] id: Level of Conscious el: 0 cu: CSRU cg: RN v1: Arouse to Voice st: NotStopd t0: [16:00:00 08/11/2012] id: Motor Response el: 0 cu: CSRU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [16:00:00 08/11/2012] id: Oral Cavity el: 0 cu: CSRU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [16:00:00 08/11/2012] id: Orientation el: 0 cu: CSRU cg: RN v1: Other/Remarks st: NotStopd t0: [16:00:00 08/11/2012] id: AntiEmbDevice/Status el: 0 cu: CSRU cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [16:00:00 08/11/2012] id: Position el: 0 cu: CSRU cg: RN v1: Supine st: NotStopd t0: [16:00:00 08/11/2012] id: Position Change el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [16:00:00 08/11/2012] id: RLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Coarse st: NotStopd t0: [16:00:00 08/11/2012] id: RUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [16:00:00 08/11/2012] id: Reason For Restraint el: 0 cu: CSRU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [16:00:00 08/11/2012] id: Removed x 5 Mins el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [16:00:00 08/11/2012] id: Respiratory Pattern el: 0 cu: CSRU cg: RN v1: Regular st: NotStopd t0: [16:00:00 08/11/2012] id: Restraint Location el: 0 cu: CSRU cg: RN v1: Both Arms st: NotStopd t0: [16:00:00 08/11/2012] id: Restraint Type el: 0 cu: CSRU cg: RN v1: Soft Limb st: NotStopd t0: [16:00:00 08/11/2012] id: Restraints Evaluated el: 0 cu: CSRU cg: RN v1: RestraintReapply st: NotStopd t0: [16:00:00 08/11/2012] id: Side Rails el: 0 cu: CSRU cg: RN v1: Side Rails Up st: NotStopd t0: [16:00:00 08/11/2012] id: Skin Color el: 0 cu: CSRU cg: RN v1: Jaundiced st: NotStopd t0: [16:00:00 08/11/2012] id: Skin Integrity el: 0 cu: CSRU cg: RN v1: Impaired st: NotStopd t0: [16:00:00 08/11/2012] id: Skin Temp/Condition el: 0 cu: CSRU cg: RN v1: Warm v2: Dry st: NotStopd t0: [16:00:00 08/11/2012] id: Spontaneous Movement el: 0 cu: CSRU cg: RN v1: Purposeful st: NotStopd t0: [16:00:00 08/11/2012] id: Stool Management el: 0 cu: CSRU cg: RN v1: Fecal Incont Bag st: NotStopd t0: [16:00:00 08/11/2012] id: Support Systems el: 0 cu: CSRU cg: RN v1: Spouse st: NotStopd t0: [16:00:00 08/11/2012] id: Turn el: 0 cu: CSRU cg: RN v1: Back st: NotStopd t0: [16:00:00 08/11/2012] id: Urine Color/Appear el: 0 cu: CSRU cg: RN v1: Amber v2: Clear st: NotStopd t0: [16:00:00 08/11/2012] id: Urine Source el: 0 cu: CSRU cg: RN v1: Indwelling Cath st: NotStopd t0: [16:00:00 08/11/2012] id: Verbal Response el: 0 cu: CSRU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [16:00:00 08/11/2012] id: WarmingDevice/Status el: 0 cu: CSRU cg: RN v1: Blanket v2: On st: NotStopd t0: [16:00:00 08/11/2012] id: Behavior el: 0 cu: CSRU cg: RN v1: Sedated st: NotStopd t0: [16:00:00 08/11/2012] id: Bowel Sounds el: 0 cu: CSRU cg: RN v1: Absent st: NotStopd t0: [16:00:00 08/11/2012] id: Braden Activity el: 0 cu: CSRU cg: RN v1: Bedfast st: NotStopd t0: [16:00:00 08/11/2012] id: Braden Frict/Shear el: 0 cu: CSRU cg: RN v1: Potential Prob st: NotStopd t0: [16:00:00 08/11/2012] id: Braden Mobility el: 0 cu: CSRU cg: RN v1: Sl. Limited st: NotStopd t0: [16:00:00 08/11/2012] id: Braden Moisture el: 0 cu: CSRU cg: RN v1: Rarely Moist st: NotStopd t0: [16:00:00 08/11/2012] id: Braden Nutrition el: 0 cu: CSRU cg: RN v1: Prob. Inadequate st: NotStopd t0: [16:00:00 08/11/2012] id: Braden Score el: 0 cu: CSRU cg: RN v1: 15 u1: number st: NotStopd t0: [16:00:00 08/11/2012] id: Braden SensoryPercep el: 0 cu: CSRU cg: RN v1: Sl. Limited st: NotStopd
t0: [16:30:00 08/11/2012] id: Service Type el: 0 cu: CSRU cg: RN v1: MICU st: NotStopd t0: [16:30:00 08/11/2012] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [16:30:00 08/11/2012] id: Riker-SAS Scale el: 0 cu: CSRU cg: RN v1: Sedated st: NotStopd t0: [16:30:00 08/11/2012] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [16:30:00 08/11/2012] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [16:30:00 08/11/2012] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 64 u1: BPM st: NotStopd t0: [16:30:00 08/11/2012] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [16:30:00 08/11/2012] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 122 u1: mmHg v2: 54 u2: mmHg st: NotStopd t0: [16:30:00 08/11/2012] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 76 u1: mmHg st: NotStopd t0: [16:30:00 08/11/2012] id: Precautions el: 0 cu: CSRU cg: RN v1: Contact st: NotStopd t0: [16:30:00 08/11/2012] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 14 u1: BPM st: NotStopd t0: [16:30:00 08/11/2012] id: SpO2 el: 0 cu: CSRU cg: RN v1: 99 u1: % st: NotStopd t0: [16:30:00 08/11/2012] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Oral st: NotStopd t0: [16:30:00 08/11/2012] id: Temperature C (calc) el: 0 cu: CSRU cg: RN v1: 36.2222 u1: Deg. C st: NotStopd t0: [16:30:00 08/11/2012] id: Temperature F el: 0 cu: CSRU cg: RN v1: 97.2 u1: Deg. F st: NotStopd t0: [16:30:00 08/11/2012] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [16:30:00 08/11/2012] id: Fentanyl el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 250 su: ml rt: IV Drip t0: [16:30:00 08/11/2012] id: Midazolam el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 1 du: mghr sv: 50 su: ml rt: IV Drip t0: [16:30:00 08/11/2012] id: Sandostatin el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 50 du: mcghr sv: 100 su: ml rt: IV Drip
t0: [17:00:00 08/11/2012] id: Service Type el: 0 cu: CSRU cg: RN v1: MICU st: NotStopd t0: [17:00:00 08/11/2012] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [17:00:00 08/11/2012] id: Riker-SAS Scale el: 0 cu: CSRU cg: RN v1: Sedated st: NotStopd t0: [17:00:00 08/11/2012] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [17:00:00 08/11/2012] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [17:00:00 08/11/2012] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 62 u1: BPM st: NotStopd t0: [17:00:00 08/11/2012] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [17:00:00 08/11/2012] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 119 u1: mmHg v2: 52 u2: mmHg st: NotStopd t0: [17:00:00 08/11/2012] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 73 u1: mmHg st: NotStopd t0: [17:00:00 08/11/2012] id: Precautions el: 0 cu: CSRU cg: RN v1: Contact st: NotStopd t0: [17:00:00 08/11/2012] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 14 u1: BPM st: NotStopd t0: [17:00:00 08/11/2012] id: SpO2 el: 0 cu: CSRU cg: RN v1: 100 u1: % st: NotStopd t0: [17:00:00 08/11/2012] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [17:00:00 08/11/2012] id: D5W 100.0ml + 600mcghr Sandostatin IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 8.33333 vu: ml t0: [17:00:00 08/11/2012] id: .9% Normal Saline 500.0ml IV Infusions el: 1 cu: CSRU cg: RN ai: 126 vo: 125 vu: ml st: Stopped t0: [17:00:00 08/11/2012] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: CSRU cg: RN ai: 416 vo: 5 vu: ml t0: [17:00:00 08/11/2012] id: .9% Normal Saline 50.0ml + 50mghr Midazolam IV Infusions el: 1 cu: CSRU cg: RN ai: 431 vo: 1 vu: ml
t0: [17:00:00 08/11/2012] id: Fentanyl el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 250 su: ml rt: IV Drip t0: [17:00:00 08/11/2012] id: Midazolam el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 1 du: mghr sv: 50 su: ml rt: IV Drip t0: [17:00:00 08/11/2012] id: Sandostatin el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 50 du: mcghr sv: 100 su: ml rt: IV Drip
t0: [17:05:00 08/11/2012] id: Art.pH ABG el: 0 cu: CSRU cg: 3161 v1: 7.39 rs: Final st: NotStopd t0: [17:05:00 08/11/2012] id: Arterial Base Excess ABG el: 0 cu: CSRU cg: 3161 v1: -5 rs: Final st: NotStopd t0: [17:05:00 08/11/2012] id: Arterial CO2(Calc) ABG el: 0 cu: CSRU cg: 3161 v1: 19 rs: Final st: NotStopd t0: [17:05:00 08/11/2012] id: Arterial PaCO2 ABG el: 0 cu: CSRU cg: 3161 v1: 30 u1: mmHg rs: Final st: NotStopd t0: [17:05:00 08/11/2012] id: Arterial PaO2 ABG el: 0 cu: CSRU cg: 3161 v1: 107 u1: mmHg rs: Final st: NotStopd t0: [17:05:00 08/11/2012] id: Arterial pH ABG el: 0 cu: CSRU cg: 3161 v1: 7.39 rs: Final st: NotStopd
t0: [17:05:00 08/11/2012] id: CaO2 el: 0 cu: CSRU cg: 3161 v1: 13.595 u1: ml/dl st: NotStopd t0: [17:05:00 08/11/2012] id: Glucose Chemistry el: 0 cu: CSRU cg: 3161 v1: 137 rs: Final st: NotStopd t0: [17:05:00 08/11/2012] id: Potassium Chemistry el: 0 cu: CSRU cg: 3161 v1: 4 rs: Final st: NotStopd t0: [17:05:00 08/11/2012] id: Glucose (70-105) Chemistry el: 0 cu: CSRU cg: 3161 v1: 137 rs: Final st: NotStopd t0: [17:05:00 08/11/2012] id: Ionized Calcium Chemistry el: 0 cu: CSRU cg: 3161 v1: 1.19 rs: Final st: NotStopd t0: [17:05:00 08/11/2012] id: Potassium (3.5-5.3) Chemistry el: 0 cu: CSRU cg: 3161 v1: 4 rs: Final st: NotStopd t0: [17:05:00 08/11/2012] id: SaO2 ABG's el: 0 cu: CSRU cg: 3161 v1: 98 u1: % rs: Final st: NotStopd
t0: [17:09:00 08/11/2012] id: Hematocrit Hematology el: 0 cu: CSRU cg: 3161 v1: 32 u1: % rs: Final st: NotStopd t0: [17:09:00 08/11/2012] id: Platelets Hematology el: 0 cu: CSRU cg: 3161 v1: 84 rs: Final st: NotStopd
t0: [18:00:00 08/11/2012] id: D5W 100.0ml + 600mcghr Sandostatin IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 8.33333 vu: ml t0: [18:00:00 08/11/2012] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: CSRU cg: RN ai: 416 vo: 5 vu: ml t0: [18:00:00 08/11/2012] id: .9% Normal Saline 50.0ml + 50mghr Midazolam IV Infusions el: 1 cu: CSRU cg: RN ai: 431 vo: 1 vu: ml
t0: [17:30:00 08/11/2012] id: Service Type el: 0 cu: CSRU cg: RN v1: MICU st: NotStopd t0: [17:30:00 08/11/2012] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [17:30:00 08/11/2012] id: Riker-SAS Scale el: 0 cu: CSRU cg: RN v1: Sedated st: NotStopd t0: [17:30:00 08/11/2012] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [17:30:00 08/11/2012] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [17:30:00 08/11/2012] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 63 u1: BPM st: NotStopd t0: [17:30:00 08/11/2012] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [17:30:00 08/11/2012] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 120 u1: mmHg v2: 54 u2: mmHg st: NotStopd t0: [17:30:00 08/11/2012] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 75 u1: mmHg st: NotStopd t0: [17:30:00 08/11/2012] id: Precautions el: 0 cu: CSRU cg: RN v1: Contact st: NotStopd t0: [17:30:00 08/11/2012] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 14 u1: BPM st: NotStopd t0: [17:30:00 08/11/2012] id: SpO2 el: 0 cu: CSRU cg: RN v1: 100 u1: % st: NotStopd t0: [17:30:00 08/11/2012] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [17:30:00 08/11/2012] id: Fentanyl el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 250 su: ml rt: IV Drip t0: [17:30:00 08/11/2012] id: Midazolam el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 1 du: mghr sv: 50 su: ml rt: IV Drip t0: [17:30:00 08/11/2012] id: Sandostatin el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 50 du: mcghr sv: 100 su: ml rt: IV Drip
t0: [17:09:00 08/11/2012] id: PT el: 0 cu: CSRU cg: 3161 v1: 16.1 rs: Final st: NotStopd t0: [17:09:00 08/11/2012] id: INR Coags el: 0 cu: CSRU cg: 3161 v1: 1.7 rs: Final st: NotStopd t0: [17:09:00 08/11/2012] id: PTT Coags el: 0 cu: CSRU cg: 3161 v1: 41.4 rs: Final st: NotStopd t0: [17:09:00 08/11/2012] id: INR (2-4 ref. range) Coags el: 0 cu: CSRU cg: 3161 v1: 1.7 rs: Final st: NotStopd t0: [17:09:00 08/11/2012] id: PT(11-13.5) Coags el: 0 cu: CSRU cg: 3161 v1: 16.1 rs: Final st: NotStopd t0: [17:09:00 08/11/2012] id: PTT(22-35) Coags el: 0 cu: CSRU cg: 3161 v1: 41.4 rs: Final st: NotStopd
id: KCL el: 100 cu: CSRU cg: RN io: D5/.45NS 2000.0ml IV Infusions am: 20 du: mEq rt: Intravenous Push
io: D5/.45NS 2000.0ml IV Infusions el: 1 cu: CSRU cg: RN ra: 125 ru: ml/hr
id: D5/.45NS el: 1 cu: CSRU cg: RN io: D5/.45NS 2000.0ml IV Infusions vo: 2000 du: ml rt: Intravenous Push
t0: [18:00:00 08/11/2012] id: Service Type el: 0 cu: CSRU cg: RN v1: MICU st: NotStopd t0: [18:00:00 08/11/2012] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [18:00:00 08/11/2012] id: Riker-SAS Scale el: 0 cu: CSRU cg: RN v1: Calm/Cooperative st: NotStopd t0: [18:00:00 08/11/2012] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [18:00:00 08/11/2012] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [18:00:00 08/11/2012] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 67 u1: BPM st: NotStopd t0: [18:00:00 08/11/2012] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [18:00:00 08/11/2012] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 128 u1: mmHg v2: 58 u2: mmHg st: NotStopd t0: [18:00:00 08/11/2012] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 82 u1: mmHg st: NotStopd t0: [18:00:00 08/11/2012] id: Precautions el: 0 cu: CSRU cg: RN v1: Contact st: NotStopd t0: [18:00:00 08/11/2012] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 30 u1: BPM st: NotStopd t0: [18:00:00 08/11/2012] id: SpO2 el: 0 cu: CSRU cg: RN v1: 98 u1: % st: NotStopd t0: [18:00:00 08/11/2012] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Oral st: NotStopd t0: [18:00:00 08/11/2012] id: Temperature C (calc) el: 0 cu: CSRU cg: RN v1: 36.3889 u1: Deg. C st: NotStopd t0: [18:00:00 08/11/2012] id: Temperature F el: 0 cu: CSRU cg: RN v1: 97.5 u1: Deg. F st: NotStopd t0: [18:00:00 08/11/2012] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [18:00:00 08/11/2012] tf: [16:06:00 09/11/2012] dt: 1326 id: Gastric Nasogastric el: 1 cu: CSRU cg: RN vo: 200 vu: ml t0: [18:00:00 08/11/2012] id: D5/.45NS 2000.0ml IV Infusions el: 1 cu: CSRU cg: RN ai: 113 vo: 0 vu: ml nb: 1
t0: [18:00:00 08/11/2012] id: Fentanyl el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 250 su: ml rt: IV Drip t0: [18:00:00 08/11/2012] id: Midazolam el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 1 du: mghr sv: 50 su: ml rt: IV Drip t0: [18:00:00 08/11/2012] id: Sandostatin el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 50 du: mcghr sv: 100 su: ml rt: IV Drip
t0: [23:00:00 08/11/2012] dt: 24 id: Gastric Out Total el: 3 cu: CSRU cg: RN cv: 2000 ap: none
t0: [18:00:00 08/11/2012] id: Eye Care el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [18:00:00 08/11/2012] id: HOB el: 0 cu: CSRU cg: RN v1: 30 degrees st: NotStopd t0: [18:00:00 08/11/2012] id: INV Line#1 Type/Site el: 0 cu: CSRU cg: RN v1: PICC line v2: Left Antecub st: NotStopd t0: [18:00:00 08/11/2012] id: INV Line#1InsertDate el: 0 cu: CSRU cg: RN v1: 10 v2: 8 st: NotStopd t0: [18:00:00 08/11/2012] id: INV Line#1SiteAppear el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [18:00:00 08/11/2012] id: INV Line#2 Type/Site el: 0 cu: CSRU cg: RN v1: A-Line v2: Left Radial st: NotStopd t0: [18:00:00 08/11/2012] id: INV Line#2 Zero/Cal el: 0 cu: CSRU cg: RN v1: No st: NotStopd t0: [18:00:00 08/11/2012] id: INV Line#2InsertDate el: 0 cu: CSRU cg: RN v1: 10 v2: 16 st: NotStopd t0: [18:00:00 08/11/2012] id: INV Line#2SiteAppear el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [18:00:00 08/11/2012] id: INV#2 WaveformAppear el: 0 cu: CSRU cg: RN v1: Sharp st: NotStopd t0: [18:00:00 08/11/2012] id: IV #1 Insert Date el: 0 cu: CSRU cg: RN v1: 10 v2: 16 st: NotStopd t0: [18:00:00 08/11/2012] id: IV #1 Site/Size el: 0 cu: CSRU cg: RN v1: Right Hand v2: 18 gauge st: NotStopd t0: [18:00:00 08/11/2012] id: IV #2 Insert Date el: 0 cu: CSRU cg: RN v1: 10 v2: 14 st: NotStopd t0: [18:00:00 08/11/2012] id: IV #2 Site/Size el: 0 cu: CSRU cg: RN v1: Right Wrist v2: 20 gauge st: NotStopd t0: [18:00:00 08/11/2012] id: IV #3 Insert Date el: 0 cu: CSRU cg: RN v1: 10 v2: 16 st: NotStopd t0: [18:00:00 08/11/2012] id: IV #3 Site/Size el: 0 cu: CSRU cg: RN v1: Left Hand v2: 18 gauge st: NotStopd t0: [18:00:00 08/11/2012] id: Activity el: 0 cu: CSRU cg: RN v1: Bedrest st: NotStopd t0: [18:00:00 08/11/2012] id: IV Site Appear #1 el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [18:00:00 08/11/2012] id: IV Site Appear #2 el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [18:00:00 08/11/2012] id: IV Site Appear #3 el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [18:00:00 08/11/2012] id: Activity Tolerance el: 0 cu: CSRU cg: RN v1: Tolerated Well st: NotStopd t0: [18:00:00 08/11/2012] id: Oral Care el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [18:00:00 08/11/2012] id: AntiEmbDevice/Status el: 0 cu: CSRU cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [18:00:00 08/11/2012] id: Position el: 0 cu: CSRU cg: RN v1: Right Side st: NotStopd t0: [18:00:00 08/11/2012] id: Assistance Device el: 0 cu: CSRU cg: RN v1: 2 Person Assist st: NotStopd t0: [18:00:00 08/11/2012] id: Skin Care el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [18:00:00 08/11/2012] id: Turn el: 0 cu: CSRU cg: RN v1: Side to Side st: NotStopd t0: [18:00:00 08/11/2012] id: Back Care el: 0 cu: CSRU cg: RN v1: Done st: NotStopd
t0: [18:30:00 08/11/2012] id: Service Type el: 0 cu: CSRU cg: RN v1: MICU st: NotStopd t0: [18:30:00 08/11/2012] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [18:30:00 08/11/2012] id: Riker-SAS Scale el: 0 cu: CSRU cg: RN v1: Sedated st: NotStopd t0: [18:30:00 08/11/2012] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [18:30:00 08/11/2012] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [18:30:00 08/11/2012] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 66 u1: BPM st: NotStopd t0: [18:30:00 08/11/2012] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [18:30:00 08/11/2012] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 124 u1: mmHg v2: 54 u2: mmHg st: NotStopd t0: [18:30:00 08/11/2012] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 75 u1: mmHg st: NotStopd t0: [18:30:00 08/11/2012] id: Precautions el: 0 cu: CSRU cg: RN v1: Contact st: NotStopd t0: [18:30:00 08/11/2012] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 14 u1: BPM st: NotStopd t0: [18:30:00 08/11/2012] id: SpO2 el: 0 cu: CSRU cg: RN v1: 100 u1: % st: NotStopd t0: [18:30:00 08/11/2012] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [19:00:00 08/11/2012] id: D5W 100.0ml + 600mcghr Sandostatin IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 8.33333 vu: ml t0: [19:00:00 08/11/2012] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: CSRU cg: RN ai: 416 vo: 5 vu: ml t0: [19:00:00 08/11/2012] id: .9% Normal Saline 50.0ml + 50mghr Midazolam IV Infusions el: 1 cu: CSRU cg: RN ai: 431 vo: 1 vu: ml t0: [19:00:00 08/11/2012] tf: [22:00:00 08/11/2012] dt: 180 id: D5/.45NS 2000.0ml IV Infusions el: 1 cu: CSRU cg: RN ai: 113 vo: 125 vu: ml
t0: [18:30:00 08/11/2012] id: Fentanyl el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 250 su: ml rt: IV Drip t0: [18:30:00 08/11/2012] id: Midazolam el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 1 du: mghr sv: 50 su: ml rt: IV Drip t0: [18:30:00 08/11/2012] id: Sandostatin el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 50 du: mcghr sv: 100 su: ml rt: IV Drip
t0: [19:00:00 08/11/2012] id: Service Type el: 0 cu: CSRU cg: RN v1: MICU st: NotStopd t0: [19:00:00 08/11/2012] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [19:00:00 08/11/2012] id: Riker-SAS Scale el: 0 cu: CSRU cg: RN v1: Sedated st: NotStopd t0: [19:00:00 08/11/2012] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [19:00:00 08/11/2012] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [19:00:00 08/11/2012] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 60 u1: BPM st: NotStopd t0: [19:00:00 08/11/2012] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [19:00:00 08/11/2012] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 120 u1: mmHg v2: 54 u2: mmHg st: NotStopd t0: [19:00:00 08/11/2012] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 75 u1: mmHg st: NotStopd t0: [19:00:00 08/11/2012] id: Precautions el: 0 cu: CSRU cg: RN v1: Contact st: NotStopd t0: [19:00:00 08/11/2012] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 14 u1: BPM st: NotStopd t0: [19:00:00 08/11/2012] id: SpO2 el: 0 cu: CSRU cg: RN v1: 100 u1: % st: NotStopd t0: [19:00:00 08/11/2012] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [19:00:00 08/11/2012] id: Fentanyl el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 250 su: ml rt: IV Drip t0: [19:00:00 08/11/2012] id: Midazolam el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 1 du: mghr sv: 50 su: ml rt: IV Drip t0: [19:00:00 08/11/2012] id: Sandostatin el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 50 du: mcghr sv: 100 su: ml rt: IV Drip
t0: [19:07:00 08/11/2012] id: Hematocrit Hematology el: 0 cu: CSRU cg: 3161 v1: 29.1 u1: % rs: Final st: NotStopd t0: [19:07:00 08/11/2012] id: Platelets Hematology el: 0 cu: CSRU cg: 3161 v1: 103 rs: Final st: NotStopd
t0: [20:00:00 08/11/2012] id: Compliance (40-60ml) el: 0 cu: CSRU cg: RRT v1: 35.2941 u1: ml/cmH st: NotStopd t0: [20:00:00 08/11/2012] id: ETT Mark/Location el: 0 cu: CSRU cg: RRT v1: 22cm v2: Lip st: NotStopd t0: [20:00:00 08/11/2012] id: FiO2 Set el: 0 cu: CSRU cg: RRT v1: 0.4 u1: torr st: NotStopd t0: [20:00:00 08/11/2012] id: Flow-By (lpm) el: 0 cu: CSRU cg: RRT v1: 6 u1: lpm st: NotStopd t0: [20:00:00 08/11/2012] id: Flow-by Sensitivity el: 0 cu: CSRU cg: RRT v1: 3 u1: cmH2O st: NotStopd t0: [20:00:00 08/11/2012] id: High Insp. Pressure el: 0 cu: CSRU cg: RRT v1: 50 u1: cmH2O st: NotStopd t0: [20:00:00 08/11/2012] id: High Resp. Rate el: 0 cu: CSRU cg: RRT v1: 36 u1: BPM st: NotStopd t0: [20:00:00 08/11/2012] id: I:E Ratio el: 0 cu: CSRU cg: RRT v1: 2.3 st: NotStopd t0: [20:00:00 08/11/2012] id: Airway Size el: 0 cu: CSRU cg: RRT v1: 8.0 mm st: NotStopd t0: [20:00:00 08/11/2012] id: Airway Type el: 0 cu: CSRU cg: RRT v1: Endotracheal st: NotStopd t0: [20:00:00 08/11/2012] id: Inspired Gas Temp el: 0 cu: CSRU cg: RRT u1: Deg. C st: NotStopd t0: [20:00:00 08/11/2012] id: Intubation Date el: 0 cu: CSRU cg: RRT v1: 10 v2: 16 st: NotStopd t0: [20:00:00 08/11/2012] id: Low Exhaled Min Vol el: 0 cu: CSRU cg: RRT v1: 5 st: NotStopd t0: [20:00:00 08/11/2012] id: Mean Airway Pressure el: 0 cu: CSRU cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [20:00:00 08/11/2012] id: Minute Volume(Obser) el: 0 cu: CSRU cg: RRT v1: 8.1 u1: L/min st: NotStopd t0: [20:00:00 08/11/2012] id: PEEP Set el: 0 cu: CSRU cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [20:00:00 08/11/2012] id: Apnea Time Interval el: 0 cu: CSRU cg: RRT v1: 20 st: NotStopd t0: [20:00:00 08/11/2012] id: Peak Flow el: 0 cu: CSRU cg: RRT v1: 60 u1: L/m st: NotStopd t0: [20:00:00 08/11/2012] id: Peak Insp. Pressure el: 0 cu: CSRU cg: RRT v1: 22 u1: cmH2O st: NotStopd t0: [20:00:00 08/11/2012] id: Plateau Pressure el: 0 cu: CSRU cg: RRT v1: 18 u1: cmH2O st: NotStopd t0: [20:00:00 08/11/2012] id: Resp Rate (Spont) el: 0 cu: CSRU cg: RRT v1: 0 u1: BPM st: NotStopd t0: [20:00:00 08/11/2012] id: Resp Rate (Total) el: 0 cu: CSRU cg: RRT v1: 14 u1: BPM st: NotStopd t0: [20:00:00 08/11/2012] id: Respiratory Rate Set el: 0 cu: CSRU cg: RRT v1: 14 u1: BPM st: NotStopd t0: [20:00:00 08/11/2012] id: Sensitivity-Vent el: 0 cu: CSRU cg: RRT v1: 3 u1: cmH2O st: NotStopd t0: [20:00:00 08/11/2012] id: SpO2 el: 0 cu: CSRU cg: RRT v1: 100 u1: % st: NotStopd t0: [20:00:00 08/11/2012] id: Sputum Color/Consist el: 0 cu: CSRU cg: RRT v1: Blood Tinged v2: Thick st: NotStopd t0: [20:00:00 08/11/2012] id: Sputum Source/Amt el: 0 cu: CSRU cg: RRT v1: Suctioned v2: Small st: NotStopd t0: [20:00:00 08/11/2012] id: Tidal Volume (Obser) el: 0 cu: CSRU cg: RRT v1: 570 u1: ml/B st: NotStopd t0: [20:00:00 08/11/2012] id: Tidal Volume (Set) el: 0 cu: CSRU cg: RRT v1: 600 u1: ml/B st: NotStopd t0: [20:00:00 08/11/2012] id: Ventilator Mode el: 0 cu: CSRU cg: RRT v1: Assist Control st: NotStopd t0: [20:00:00 08/11/2012] id: Ventilator Type el: 0 cu: CSRU cg: RRT v1: 7200A st: NotStopd t0: [20:00:00 08/11/2012] id: Waveform-Vent el: 0 cu: CSRU cg: RRT v1: RAMP st: NotStopd
t0: [20:00:00 08/11/2012] id: Service Type el: 0 cu: CSRU cg: RN v1: MICU st: NotStopd t0: [20:00:00 08/11/2012] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [20:00:00 08/11/2012] id: Riker-SAS Scale el: 0 cu: CSRU cg: RN v1: Sedated st: NotStopd t0: [20:00:00 08/11/2012] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [20:00:00 08/11/2012] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [20:00:00 08/11/2012] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 61 u1: BPM st: NotStopd t0: [20:00:00 08/11/2012] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [20:00:00 08/11/2012] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 116 u1: mmHg v2: 51 u2: mmHg st: NotStopd t0: [20:00:00 08/11/2012] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 71 u1: mmHg st: NotStopd t0: [20:00:00 08/11/2012] id: Precautions el: 0 cu: CSRU cg: RN v1: Contact st: NotStopd t0: [20:00:00 08/11/2012] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 14 u1: BPM st: NotStopd t0: [20:00:00 08/11/2012] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [20:00:00 08/11/2012] id: Fentanyl el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 250 su: ml rt: IV Drip t0: [20:00:00 08/11/2012] id: Midazolam el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 1 du: mghr sv: 50 su: ml rt: IV Drip t0: [20:00:00 08/11/2012] id: Sandostatin el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 50 du: mcghr sv: 100 su: ml rt: IV Drip
t0: [19:07:00 08/11/2012] id: PT el: 0 cu: CSRU cg: 3161 v1: 15.6 rs: Final st: NotStopd t0: [19:07:00 08/11/2012] id: INR Coags el: 0 cu: CSRU cg: 3161 v1: 1.6 rs: Final st: NotStopd t0: [19:07:00 08/11/2012] id: INR (2-4 ref. range) Coags el: 0 cu: CSRU cg: 3161 v1: 1.6 rs: Final st: NotStopd t0: [19:07:00 08/11/2012] id: PT(11-13.5) Coags el: 0 cu: CSRU cg: 3161 v1: 15.6 rs: Final st: NotStopd
t0: [20:00:00 08/11/2012] id: Less Restrict Meas. el: 0 cu: CSRU cg: RN v1: Medicated st: NotStopd t0: [20:00:00 08/11/2012] id: Pain Present el: 0 cu: CSRU cg: RN v1: No st: NotStopd t0: [20:00:00 08/11/2012] id: Pain Assess Method el: 0 cu: CSRU cg: RN v1: Non-verbal cues st: NotStopd t0: [20:00:00 08/11/2012] id: PainLevel Acceptable el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [20:00:00 08/11/2012] id: Circulation/SkinInt el: 0 cu: CSRU cg: RN v1: Circulation Adeq st: NotStopd t0: [20:00:00 08/11/2012] id: GI Prophylaxis el: 0 cu: CSRU cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [20:00:00 08/11/2012] id: Diet Type el: 0 cu: CSRU cg: RN v1: NPO st: NotStopd t0: [20:00:00 08/11/2012] id: Dorsal PedPulse R/L el: 0 cu: CSRU cg: RN v1: Doppler v2: Doppler st: NotStopd t0: [20:00:00 08/11/2012] id: Eye Opening el: 0 cu: CSRU cg: RN v1: 1 No Response st: NotStopd t0: [20:00:00 08/11/2012] id: Follows Commands el: 0 cu: CSRU cg: RN v1: Consistently st: NotStopd t0: [20:00:00 08/11/2012] id: GCS Total el: 0 cu: CSRU cg: RN v1: 8 u1: points st: NotStopd t0: [20:00:00 08/11/2012] id: GI Intub #1/Site el: 0 cu: CSRU cg: RN v1: Salem Sump v2: Left Nare st: NotStopd t0: [20:00:00 08/11/2012] id: GI#1 Tube PlaceCheck el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [20:00:00 08/11/2012] id: GI#1 Tube Stat/Drain el: 0 cu: CSRU cg: RN v1: Low Cont Suction v2: Bright Red Blood st: NotStopd t0: [20:00:00 08/11/2012] id: HOB el: 0 cu: CSRU cg: RN v1: 30 degrees st: NotStopd t0: [20:00:00 08/11/2012] id: INV Line#1 Type/Site el: 0 cu: CSRU cg: RN v1: PICC line v2: Left Antecub st: NotStopd t0: [20:00:00 08/11/2012] id: INV Line#1InsertDate el: 0 cu: CSRU cg: RN v1: 10 v2: 8 st: NotStopd t0: [20:00:00 08/11/2012] id: INV Line#1SiteAppear el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [20:00:00 08/11/2012] id: INV Line#2 Type/Site el: 0 cu: CSRU cg: RN v1: A-Line v2: Left Radial st: NotStopd t0: [20:00:00 08/11/2012] id: INV Line#2 Zero/Cal el: 0 cu: CSRU cg: RN v1: No st: NotStopd t0: [20:00:00 08/11/2012] id: INV Line#2InsertDate el: 0 cu: CSRU cg: RN v1: 10 v2: 16 st: NotStopd t0: [20:00:00 08/11/2012] id: INV Line#2SiteAppear el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [20:00:00 08/11/2012] id: Abdominal Assessment el: 0 cu: CSRU cg: RN v1: Soft Distended st: NotStopd t0: [20:00:00 08/11/2012] id: INV#2 WaveformAppear el: 0 cu: CSRU cg: RN v1: Sharp st: NotStopd t0: [20:00:00 08/11/2012] id: IV #1 Insert Date el: 0 cu: CSRU cg: RN v1: 10 v2: 16 st: NotStopd t0: [20:00:00 08/11/2012] id: IV #1 Site/Size el: 0 cu: CSRU cg: RN v1: Right Hand v2: 18 gauge st: NotStopd t0: [20:00:00 08/11/2012] id: IV #2 Insert Date el: 0 cu: CSRU cg: RN v1: 10 v2: 14 st: NotStopd t0: [20:00:00 08/11/2012] id: IV #2 Site/Size el: 0 cu: CSRU cg: RN v1: Right Wrist v2: 20 gauge st: NotStopd t0: [20:00:00 08/11/2012] id: IV #3 Insert Date el: 0 cu: CSRU cg: RN v1: 10 v2: 16 st: NotStopd t0: [20:00:00 08/11/2012] id: IV #3 Site/Size el: 0 cu: CSRU cg: RN v1: Left Hand v2: 18 gauge st: NotStopd t0: [20:00:00 08/11/2012] id: IV Site Appear #1 el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [20:00:00 08/11/2012] id: IV Site Appear #2 el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [20:00:00 08/11/2012] id: IV Site Appear #3 el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [20:00:00 08/11/2012] id: ImpSkin Treatment #1 el: 0 cu: CSRU cg: RN v1: Duoderm st: NotStopd t0: [20:00:00 08/11/2012] id: Impaired Skin Site#1 el: 0 cu: CSRU cg: RN v1: Coccyx st: NotStopd t0: [20:00:00 08/11/2012] id: LLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Diminished st: NotStopd t0: [20:00:00 08/11/2012] id: LUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [20:00:00 08/11/2012] id: Level of Conscious el: 0 cu: CSRU cg: RN v1: Arouse to Voice st: NotStopd t0: [20:00:00 08/11/2012] id: Motor Response el: 0 cu: CSRU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [20:00:00 08/11/2012] id: Oral Cavity el: 0 cu: CSRU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [20:00:00 08/11/2012] id: Pain Location el: 0 cu: CSRU cg: RN v1: Not Indicated st: NotStopd t0: [20:00:00 08/11/2012] id: Position el: 0 cu: CSRU cg: RN v1: Right Side st: NotStopd t0: [20:00:00 08/11/2012] id: Position Change el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [20:00:00 08/11/2012] id: PostTib. Pulses R/L el: 0 cu: CSRU cg: RN v1: Doppler v2: Doppler st: NotStopd t0: [20:00:00 08/11/2012] id: Pupil Response R/L el: 0 cu: CSRU cg: RN v1: Sluggish st: NotStopd t0: [20:00:00 08/11/2012] id: Pupil Size R/L el: 0 cu: CSRU cg: RN v1: 3 mm v2: 3 mm st: NotStopd t0: [20:00:00 08/11/2012] id: RLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Diminished st: NotStopd t0: [20:00:00 08/11/2012] id: RUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [20:00:00 08/11/2012] id: Reason For Restraint el: 0 cu: CSRU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [20:00:00 08/11/2012] id: Respiratory Pattern el: 0 cu: CSRU cg: RN v1: Regular st: NotStopd t0: [20:00:00 08/11/2012] id: Restraint Location el: 0 cu: CSRU cg: RN v1: Both Arms st: NotStopd t0: [20:00:00 08/11/2012] id: Restraint Type el: 0 cu: CSRU cg: RN v1: Soft Limb st: NotStopd t0: [20:00:00 08/11/2012] id: Restraints Evaluated el: 0 cu: CSRU cg: RN v1: Behavior Conts st: NotStopd t0: [20:00:00 08/11/2012] id: Side Rails el: 0 cu: CSRU cg: RN v1: Side Rails Up st: NotStopd t0: [20:00:00 08/11/2012] id: Skin Color el: 0 cu: CSRU cg: RN v1: Jaundiced st: NotStopd t0: [20:00:00 08/11/2012] id: Skin Integrity el: 0 cu: CSRU cg: RN v1: Impaired st: NotStopd t0: [20:00:00 08/11/2012] id: Skin Temp/Condition el: 0 cu: CSRU cg: RN v1: Warm v2: Dry st: NotStopd t0: [20:00:00 08/11/2012] id: Spontaneous Movement el: 0 cu: CSRU cg: RN v1: Purposeful st: NotStopd t0: [20:00:00 08/11/2012] id: Stool Management el: 0 cu: CSRU cg: RN v1: Fecal Incont Bag st: NotStopd t0: [20:00:00 08/11/2012] id: Support Systems el: 0 cu: CSRU cg: RN v1: Spouse st: NotStopd t0: [20:00:00 08/11/2012] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Oral st: NotStopd t0: [20:00:00 08/11/2012] id: Temperature C (calc) el: 0 cu: CSRU cg: RN v1: 36.7222 u1: Deg. C st: NotStopd t0: [20:00:00 08/11/2012] id: Temperature F el: 0 cu: CSRU cg: RN v1: 98.1 u1: Deg. F st: NotStopd t0: [20:00:00 08/11/2012] id: Turn el: 0 cu: CSRU cg: RN v1: Right Side st: NotStopd t0: [20:00:00 08/11/2012] id: Urine Color/Appear el: 0 cu: CSRU cg: RN v1: Brown v2: Clear st: NotStopd t0: [20:00:00 08/11/2012] id: Urine Source el: 0 cu: CSRU cg: RN v1: Indwelling Cath st: NotStopd t0: [20:00:00 08/11/2012] id: Verbal Response el: 0 cu: CSRU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [20:00:00 08/11/2012] id: WarmingDevice/Status el: 0 cu: CSRU cg: RN v1: Blanket v2: On st: NotStopd t0: [20:00:00 08/11/2012] id: Bowel Sounds el: 0 cu: CSRU cg: RN v1: Absent st: NotStopd
t0: [20:00:00 08/11/2012] id: D5W 100.0ml + 600mcghr Sandostatin IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 8.33333 vu: ml t0: [20:00:00 08/11/2012] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: CSRU cg: RN ai: 416 vo: 5 vu: ml t0: [20:00:00 08/11/2012] id: .9% Normal Saline 50.0ml + 50mghr Midazolam IV Infusions el: 1 cu: CSRU cg: RN ai: 431 vo: 1 vu: ml t0: [20:00:00 08/11/2012] id: D5/.45NS 2000.0ml IV Infusions el: 1 cu: CSRU cg: RN ai: 113 vo: 125 vu: ml
tf: [00:00:00 09/11/2012] pt: Unit Dose rt: IV DRIP fr: TITRATE TO m1: Propofol (Generic) v1: 1000 u1: mg
t0: [21:00:00 08/11/2012] id: Service Type el: 0 cu: CSRU cg: RN v1: MICU st: NotStopd t0: [21:00:00 08/11/2012] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [21:00:00 08/11/2012] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [21:00:00 08/11/2012] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [21:00:00 08/11/2012] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 61 u1: BPM st: NotStopd t0: [21:00:00 08/11/2012] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [21:00:00 08/11/2012] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 108 u1: mmHg v2: 49 u2: mmHg st: NotStopd t0: [21:00:00 08/11/2012] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 67 u1: mmHg st: NotStopd t0: [21:00:00 08/11/2012] id: Precautions el: 0 cu: CSRU cg: RN v1: Contact st: NotStopd t0: [21:00:00 08/11/2012] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 14 u1: BPM st: NotStopd t0: [21:00:00 08/11/2012] id: SpO2 el: 0 cu: CSRU cg: RN v1: 100 u1: % st: NotStopd t0: [21:00:00 08/11/2012] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [21:00:00 08/11/2012] id: D5W 100.0ml + 600mcghr Sandostatin IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 8.33333 vu: ml t0: [21:00:00 08/11/2012] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: CSRU cg: RN ai: 416 vo: 5 vu: ml t0: [21:00:00 08/11/2012] id: .9% Normal Saline 50.0ml + 50mghr Midazolam IV Infusions el: 1 cu: CSRU cg: RN ai: 431 vo: 1 vu: ml t0: [21:00:00 08/11/2012] id: D5/.45NS 2000.0ml IV Infusions el: 1 cu: CSRU cg: RN ai: 113 vo: 150 vu: ml
t0: [21:00:00 08/11/2012] id: Fentanyl el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 250 su: ml rt: IV Drip t0: [21:00:00 08/11/2012] id: Midazolam el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 1 du: mghr sv: 50 su: ml rt: IV Drip t0: [21:00:00 08/11/2012] id: Sandostatin el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 50 du: mcghr sv: 100 su: ml rt: IV Drip
t0: [21:30:00 08/11/2012] id: Fentanyl el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 0 du: mcghr sv: 250 su: ml rt: IV Drip t0: [21:30:00 08/11/2012] id: Propofol el: 1 cu: CSRU cg: RN so: N/A vo: 0 v1: 30 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [22:00:00 08/11/2012] id: Service Type el: 0 cu: CSRU cg: RN v1: MICU st: NotStopd t0: [22:00:00 08/11/2012] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [22:00:00 08/11/2012] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [22:00:00 08/11/2012] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [22:00:00 08/11/2012] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 66 u1: BPM st: NotStopd t0: [22:00:00 08/11/2012] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [22:00:00 08/11/2012] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 106 u1: mmHg v2: 44 u2: mmHg st: NotStopd t0: [22:00:00 08/11/2012] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 62 u1: mmHg st: NotStopd t0: [22:00:00 08/11/2012] id: Precautions el: 0 cu: CSRU cg: RN v1: Contact st: NotStopd t0: [22:00:00 08/11/2012] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 14 u1: BPM st: NotStopd t0: [22:00:00 08/11/2012] id: SpO2 el: 0 cu: CSRU cg: RN v1: 99 u1: % st: NotStopd t0: [22:00:00 08/11/2012] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [21:30:00 08/11/2012] id: Midazolam el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 0 du: mghr sv: 50 su: ml rt: IV Drip t0: [21:30:00 08/11/2012] id: Sandostatin el: 1 cu: CSRU cg: RN so: D5W vo: 0 du: mcghr sv: 100 su: ml rt: IV Drip t0: [22:00:00 08/11/2012] id: Fentanyl el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 0 du: mcghr sv: 250 su: ml rt: IV Drip t0: [22:00:00 08/11/2012] id: Midazolam el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 0 du: mghr sv: 50 su: ml rt: IV Drip t0: [22:00:00 08/11/2012] id: Propofol el: 1 cu: CSRU cg: RN so: N/A vo: 0 v1: 40 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [22:00:00 08/11/2012] id: Sandostatin el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 50 du: mcghr sv: 100 su: ml rt: IV Drip
t0: [22:00:00 08/11/2012] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: CSRU cg: RN ai: 126 vo: 7.578 vu: ml t0: [22:00:00 08/11/2012] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: CSRU cg: RN ai: 416 vo: 2.5 vu: ml t0: [22:00:00 08/11/2012] id: .9% Normal Saline 50.0ml + 50mghr Midazolam IV Infusions el: 1 cu: CSRU cg: RN ai: 431 vo: 0.5 vu: ml t0: [22:00:00 08/11/2012] id: D5/.45NS 2000.0ml IV Infusions el: 1 cu: CSRU cg: RN ai: 113 vo: 0 vu: ml
tf: [21:00:00 09/11/2012] pt: Unit Dose rt: IV fr: ONCE fs: 22 dn: 1 m1: Magnesium Sulfate v1: 2 u1: gm
t0: [22:30:00 08/11/2012] id: Service Type el: 0 cu: CSRU cg: RN v1: MICU st: NotStopd t0: [22:30:00 08/11/2012] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [22:30:00 08/11/2012] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [22:30:00 08/11/2012] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [22:30:00 08/11/2012] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [22:30:00 08/11/2012] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 62 u1: BPM st: NotStopd t0: [22:30:00 08/11/2012] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [22:30:00 08/11/2012] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 96 u1: mmHg v2: 38 u2: mmHg st: NotStopd t0: [22:30:00 08/11/2012] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 54 u1: mmHg st: NotStopd t0: [22:30:00 08/11/2012] id: Precautions el: 0 cu: CSRU cg: RN v1: Contact st: NotStopd t0: [22:30:00 08/11/2012] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 15 u1: BPM st: NotStopd t0: [22:30:00 08/11/2012] id: SpO2 el: 0 cu: CSRU cg: RN v1: 98 u1: % st: NotStopd t0: [22:30:00 08/11/2012] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Oral st: NotStopd t0: [22:30:00 08/11/2012] id: Temperature C (calc) el: 0 cu: CSRU cg: RN v1: 36.4444 u1: Deg. C st: NotStopd t0: [22:30:00 08/11/2012] id: Temperature F el: 0 cu: CSRU cg: RN v1: 97.6 u1: Deg. F st: NotStopd t0: [22:30:00 08/11/2012] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [22:30:00 08/11/2012] id: Fentanyl el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 0 du: mcghr sv: 250 su: ml rt: IV Drip t0: [22:30:00 08/11/2012] id: Midazolam el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 0 du: mghr sv: 50 su: ml rt: IV Drip t0: [22:30:00 08/11/2012] id: Propofol el: 1 cu: CSRU cg: RN so: N/A vo: 0 v1: 40 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [22:30:00 08/11/2012] id: Sandostatin el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 50 du: mcghr sv: 100 su: ml rt: IV Drip
t0: [23:00:00 08/11/2012] id: Service Type el: 0 cu: CSRU cg: RN v1: MICU st: NotStopd t0: [23:00:00 08/11/2012] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [23:00:00 08/11/2012] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [23:00:00 08/11/2012] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [23:00:00 08/11/2012] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [23:00:00 08/11/2012] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 59 u1: BPM st: NotStopd t0: [23:00:00 08/11/2012] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Sinus Brady st: NotStopd t0: [23:00:00 08/11/2012] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 108 u1: mmHg v2: 45 u2: mmHg st: NotStopd t0: [23:00:00 08/11/2012] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 63 u1: mmHg st: NotStopd t0: [23:00:00 08/11/2012] id: Precautions el: 0 cu: CSRU cg: RN v1: Contact st: NotStopd t0: [23:00:00 08/11/2012] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 14 u1: BPM st: NotStopd t0: [23:00:00 08/11/2012] id: SpO2 el: 0 cu: CSRU cg: RN v1: 100 u1: % st: NotStopd t0: [23:00:00 08/11/2012] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Oral st: NotStopd t0: [23:00:00 08/11/2012] id: Temperature C (calc) el: 0 cu: CSRU cg: RN v1: 36.4444 u1: Deg. C st: NotStopd t0: [23:00:00 08/11/2012] id: Temperature F el: 0 cu: CSRU cg: RN v1: 97.6 u1: Deg. F st: NotStopd t0: [23:00:00 08/11/2012] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [23:00:00 08/11/2012] id: Fentanyl el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 0 du: mcghr sv: 250 su: ml rt: IV Drip t0: [23:00:00 08/11/2012] id: Midazolam el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 0 du: mghr sv: 50 su: ml rt: IV Drip t0: [23:00:00 08/11/2012] id: Propofol el: 1 cu: CSRU cg: RN so: N/A vo: 0 v1: 20 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [23:00:00 08/11/2012] id: Sandostatin el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 50 du: mcghr sv: 100 su: ml rt: IV Drip
t0: [23:00:00 08/11/2012] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: CSRU cg: RN ai: 126 vo: 20.208 vu: ml t0: [23:00:00 08/11/2012] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: CSRU cg: RN ai: 416 vo: 0 vu: ml t0: [23:00:00 08/11/2012] id: .9% Normal Saline 50.0ml + 50mghr Midazolam IV Infusions el: 1 cu: CSRU cg: RN ai: 431 vo: 0 vu: ml t0: [23:00:00 08/11/2012] tf: [06:00:00 09/11/2012] dt: 420 id: D5/.45NS 2000.0ml IV Infusions el: 1 cu: CSRU cg: RN ai: 113 vo: 150 vu: ml
t0: [23:00:00 08/11/2012] dt: 1 id: Total Hourly Output el: 3 cu: CSRU cg: RN pv: 12 cv: 12 ap: none t0: [23:00:00 08/11/2012] dt: 24 id: Urine Out Total el: 3 cu: CSRU cg: RN pv: 12 cv: 656 ap: none t0: [23:00:00 08/11/2012] dt: 24 id: 24h Total Out el: 3 cu: CSRU cg: RN pv: 12 cv: 3556 ap: carryForward t0: [23:00:00 08/11/2012] dt: 24 id: Blood Products Total el: 3 cu: CSRU cg: RN pv: 434 cv: 5485 ap: none
t0: [23:15:00 08/11/2012] id: Service Type el: 0 cu: CSRU cg: RN v1: MICU st: NotStopd t0: [23:15:00 08/11/2012] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [23:15:00 08/11/2012] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [23:15:00 08/11/2012] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [23:15:00 08/11/2012] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [23:15:00 08/11/2012] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 58 u1: BPM st: NotStopd t0: [23:15:00 08/11/2012] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Sinus Brady st: NotStopd t0: [23:15:00 08/11/2012] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 107 u1: mmHg v2: 44 u2: mmHg st: NotStopd t0: [23:15:00 08/11/2012] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 63 u1: mmHg st: NotStopd t0: [23:15:00 08/11/2012] id: Precautions el: 0 cu: CSRU cg: RN v1: Contact st: NotStopd t0: [23:15:00 08/11/2012] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 14 u1: BPM st: NotStopd t0: [23:15:00 08/11/2012] id: SpO2 el: 0 cu: CSRU cg: RN v1: 100 u1: % st: NotStopd t0: [23:15:00 08/11/2012] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Oral st: NotStopd t0: [23:15:00 08/11/2012] id: Temperature C (calc) el: 0 cu: CSRU cg: RN v1: 36.4444 u1: Deg. C st: NotStopd t0: [23:15:00 08/11/2012] id: Temperature F el: 0 cu: CSRU cg: RN v1: 97.6 u1: Deg. F st: NotStopd t0: [23:15:00 08/11/2012] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [23:15:00 08/11/2012] id: Fentanyl el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 0 du: mcghr sv: 250 su: ml rt: IV Drip t0: [23:15:00 08/11/2012] id: Midazolam el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 0 du: mghr sv: 50 su: ml rt: IV Drip t0: [23:15:00 08/11/2012] id: Propofol el: 1 cu: CSRU cg: RN so: N/A vo: 0 v1: 30 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [23:15:00 08/11/2012] id: Sandostatin el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 50 du: mcghr sv: 100 su: ml rt: IV Drip
t0: [22:00:00 08/11/2012] id: HOB el: 0 cu: CSRU cg: RN v1: 30 degrees st: NotStopd t0: [22:00:00 08/11/2012] id: Activity el: 0 cu: CSRU cg: RN v1: Bedrest st: NotStopd t0: [22:00:00 08/11/2012] id: Activity Tolerance el: 0 cu: CSRU cg: RN v1: Tolerated Well st: NotStopd t0: [22:00:00 08/11/2012] id: Oral Care el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [22:00:00 08/11/2012] id: AntiEmbDevice/Status el: 0 cu: CSRU cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [22:00:00 08/11/2012] id: Position el: 0 cu: CSRU cg: RN v1: Left Side st: NotStopd t0: [22:00:00 08/11/2012] id: Assistance Device el: 0 cu: CSRU cg: RN v1: 2 Person Assist st: NotStopd t0: [22:00:00 08/11/2012] id: Turn el: 0 cu: CSRU cg: RN v1: Left Side st: NotStopd t0: [22:00:00 08/11/2012] id: WarmingDevice/Status el: 0 cu: CSRU cg: RN v1: Blanket v2: On st: NotStopd
t0: [23:30:00 08/11/2012] id: Service Type el: 0 cu: CSRU cg: RN v1: MICU st: NotStopd t0: [23:30:00 08/11/2012] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [23:30:00 08/11/2012] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [23:30:00 08/11/2012] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [23:30:00 08/11/2012] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [23:30:00 08/11/2012] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 58 u1: BPM st: NotStopd t0: [23:30:00 08/11/2012] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Sinus Brady st: NotStopd t0: [23:30:00 08/11/2012] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 106 u1: mmHg v2: 42 u2: mmHg st: NotStopd t0: [23:30:00 08/11/2012] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 61 u1: mmHg st: NotStopd t0: [23:30:00 08/11/2012] id: Precautions el: 0 cu: CSRU cg: RN v1: Contact st: NotStopd t0: [23:30:00 08/11/2012] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 14 u1: BPM st: NotStopd t0: [23:30:00 08/11/2012] id: SpO2 el: 0 cu: CSRU cg: RN v1: 100 u1: % st: NotStopd t0: [23:30:00 08/11/2012] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Oral st: NotStopd t0: [23:30:00 08/11/2012] id: Temperature C (calc) el: 0 cu: CSRU cg: RN v1: 36.5556 u1: Deg. C st: NotStopd t0: [23:30:00 08/11/2012] id: Temperature F el: 0 cu: CSRU cg: RN v1: 97.8 u1: Deg. F st: NotStopd t0: [23:30:00 08/11/2012] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [23:30:00 08/11/2012] id: Fentanyl el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 0 du: mcghr sv: 250 su: ml rt: IV Drip t0: [23:30:00 08/11/2012] id: Midazolam el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 0 du: mghr sv: 50 su: ml rt: IV Drip t0: [23:30:00 08/11/2012] id: Propofol el: 1 cu: CSRU cg: RN so: N/A vo: 0 v1: 30 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [23:30:00 08/11/2012] id: Sandostatin el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 50 du: mcghr sv: 100 su: ml rt: IV Drip
t0: [23:45:00 08/11/2012] id: Service Type el: 0 cu: CSRU cg: RN v1: MICU st: NotStopd t0: [23:45:00 08/11/2012] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [23:45:00 08/11/2012] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [23:45:00 08/11/2012] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [23:45:00 08/11/2012] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [23:45:00 08/11/2012] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 55 u1: BPM st: NotStopd t0: [23:45:00 08/11/2012] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Sinus Brady st: NotStopd t0: [23:45:00 08/11/2012] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 108 u1: mmHg v2: 44 u2: mmHg st: NotStopd t0: [23:45:00 08/11/2012] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 63 u1: mmHg st: NotStopd t0: [23:45:00 08/11/2012] id: Precautions el: 0 cu: CSRU cg: RN v1: Contact st: NotStopd t0: [23:45:00 08/11/2012] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 14 u1: BPM st: NotStopd t0: [23:45:00 08/11/2012] id: SpO2 el: 0 cu: CSRU cg: RN v1: 100 u1: % st: NotStopd t0: [23:45:00 08/11/2012] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Oral st: NotStopd t0: [23:45:00 08/11/2012] id: Temperature C (calc) el: 0 cu: CSRU cg: RN v1: 36.5556 u1: Deg. C st: NotStopd t0: [23:45:00 08/11/2012] id: Temperature F el: 0 cu: CSRU cg: RN v1: 97.8 u1: Deg. F st: NotStopd t0: [23:45:00 08/11/2012] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [23:45:00 08/11/2012] id: Fentanyl el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 0 du: mcghr sv: 250 su: ml rt: IV Drip t0: [23:45:00 08/11/2012] id: Midazolam el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 0 du: mghr sv: 50 su: ml rt: IV Drip t0: [23:45:00 08/11/2012] id: Propofol el: 1 cu: CSRU cg: RN so: N/A vo: 0 v1: 20 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [23:45:00 08/11/2012] id: Sandostatin el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 50 du: mcghr sv: 100 su: ml rt: IV Drip
t0: [23:37:00 08/11/2012] id: Art.pH ABG el: 0 cu: CSRU cg: 3161 v1: 7.41 rs: Final st: NotStopd t0: [23:37:00 08/11/2012] id: CaO2 el: 0 cu: CSRU cg: 3161 v1: 13.6043 u1: ml/dl st: NotStopd t0: [23:37:00 08/11/2012] id: Glucose Chemistry el: 0 cu: CSRU cg: 3161 v1: 122 rs: Final st: NotStopd t0: [23:37:00 08/11/2012] id: Potassium Chemistry el: 0 cu: CSRU cg: 3161 v1: 3.7 rs: Final st: NotStopd t0: [23:37:00 08/11/2012] id: Arterial Base Excess ABG el: 0 cu: CSRU cg: 3161 v1: -4 rs: Final st: NotStopd t0: [23:37:00 08/11/2012] id: Arterial CO2(Calc) ABG el: 0 cu: CSRU cg: 3161 v1: 19 rs: Final st: NotStopd t0: [23:37:00 08/11/2012] id: Arterial PaCO2 ABG el: 0 cu: CSRU cg: 3161 v1: 29 u1: mmHg rs: Final st: NotStopd t0: [23:37:00 08/11/2012] id: Arterial PaO2 ABG el: 0 cu: CSRU cg: 3161 v1: 110 u1: mmHg rs: Final st: NotStopd t0: [23:37:00 08/11/2012] id: Arterial pH ABG el: 0 cu: CSRU cg: 3161 v1: 7.41 rs: Final st: NotStopd t0: [23:37:00 08/11/2012] id: Glucose (70-105) Chemistry el: 0 cu: CSRU cg: 3161 v1: 122 rs: Final st: NotStopd t0: [23:37:00 08/11/2012] id: Ionized Calcium Chemistry el: 0 cu: CSRU cg: 3161 v1: 1.14 rs: Final st: NotStopd t0: [23:37:00 08/11/2012] id: Potassium (3.5-5.3) Chemistry el: 0 cu: CSRU cg: 3161 v1: 3.7 rs: Final st: NotStopd t0: [23:37:00 08/11/2012] id: SaO2 ABG's el: 0 cu: CSRU cg: 3161 v1: 98 u1: % rs: Final st: NotStopd
t0: [23:30:00 08/11/2012] id: Hematocrit Hematology el: 0 cu: CSRU cg: 3161 v1: 27.5 u1: % rs: Final st: NotStopd t0: [23:30:00 08/11/2012] id: Platelets Hematology el: 0 cu: CSRU cg: 3161 v1: 103 rs: Final st: NotStopd
t0: [00:00:00 09/11/2012] id: Service Type el: 0 cu: CSRU cg: RN v1: MICU st: NotStopd t0: [00:00:00 09/11/2012] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [00:00:00 09/11/2012] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [00:00:00 09/11/2012] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [00:00:00 09/11/2012] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [00:00:00 09/11/2012] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 55 u1: BPM st: NotStopd t0: [00:00:00 09/11/2012] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Sinus Brady st: NotStopd t0: [00:00:00 09/11/2012] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 105 u1: mmHg v2: 44 u2: mmHg st: NotStopd t0: [00:00:00 09/11/2012] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 62 u1: mmHg st: NotStopd t0: [00:00:00 09/11/2012] id: Precautions el: 0 cu: CSRU cg: RN v1: Contact st: NotStopd t0: [00:00:00 09/11/2012] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 14 u1: BPM st: NotStopd t0: [00:00:00 09/11/2012] id: SpO2 el: 0 cu: CSRU cg: RN v1: 100 u1: % st: NotStopd t0: [00:00:00 09/11/2012] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Oral st: NotStopd t0: [00:00:00 09/11/2012] id: Temperature C (calc) el: 0 cu: CSRU cg: RN v1: 36.3333 u1: Deg. C st: NotStopd t0: [00:00:00 09/11/2012] id: Temperature F el: 0 cu: CSRU cg: RN v1: 97.4 u1: Deg. F st: NotStopd t0: [00:00:00 09/11/2012] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [00:00:00 09/11/2012] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: CSRU cg: RN ai: 126 vo: 12.63 vu: ml t0: [00:00:00 09/11/2012] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: CSRU cg: RN ai: 416 vo: 0 vu: ml t0: [00:00:00 09/11/2012] id: .9% Normal Saline 50.0ml + 50mghr Midazolam IV Infusions el: 1 cu: CSRU cg: RN ai: 431 vo: 0 vu: ml t0: [00:00:00 09/11/2012] id: D5/.45NS 2000.0ml IV Infusions el: 1 cu: CSRU cg: RN ai: 113 vo: 150 vu: ml
t0: [00:00:00 09/11/2012] id: Sandostatin el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 50 du: mcghr sv: 100 su: ml rt: IV Drip
t0: [22:00:00 08/11/2012] id: D5W 100.0ml + 600mcghr Sandostatin IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 8.3 vu: ml t0: [23:00:00 08/11/2012] id: D5W 100.0ml + 600mcghr Sandostatin IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 8.33333 vu: ml t0: [00:00:00 09/11/2012] id: D5W 100.0ml + 600mcghr Sandostatin IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 8.33333 vu: ml
t0: [23:00:00 08/11/2012] dt: 1 id: Net Hourly Balance el: 3 cu: CSRU cg: RN pv: 600.541 cv: 600.541 ap: none t0: [23:00:00 08/11/2012] dt: 24 id: IV Infusion In Total el: 3 cu: CSRU cg: RN pv: 178.541 cv: 6317.97 ap: none t0: [23:00:00 08/11/2012] dt: 24 id: 24h Total In el: 3 cu: CSRU cg: RN pv: 612.541 cv: 11803 ap: none t0: [23:00:00 08/11/2012] dt: 24 id: 24h Net Body Balance el: 3 cu: CSRU cg: RN pv: 600.541 cv: 8246.97 ap: carryForward t0: [23:00:00 08/11/2012] dt: multiple days id: LOS Net Body Balance el: 3 cu: CSRU cg: RN pv: 600.541 cv: 28410.7 ap: carryForward
t0: [00:00:00 09/11/2012] id: Micro-Neb Treatment el: 0 cu: CSRU cg: -1 st: D/C'd
t0: [23:30:00 08/11/2012] id: PT el: 0 cu: CSRU cg: 3161 v1: 15 rs: Final st: NotStopd t0: [23:30:00 08/11/2012] id: INR Coags el: 0 cu: CSRU cg: 3161 v1: 1.5 rs: Final st: NotStopd t0: [23:30:00 08/11/2012] id: PTT Coags el: 0 cu: CSRU cg: 3161 v1: 39.6 rs: Final st: NotStopd t0: [23:30:00 08/11/2012] id: INR (2-4 ref. range) Coags el: 0 cu: CSRU cg: 3161 v1: 1.5 rs: Final st: NotStopd t0: [23:30:00 08/11/2012] id: PT(11-13.5) Coags el: 0 cu: CSRU cg: 3161 v1: 15 rs: Final st: NotStopd t0: [23:30:00 08/11/2012] id: PTT(22-35) Coags el: 0 cu: CSRU cg: 3161 v1: 39.6 rs: Final st: NotStopd
t0: [21:00:00 08/11/2012] id: Family Communication el: 0 cu: CSRU cg: RN v1: Family Visited st: NotStopd
t0: [00:00:00 09/11/2012] id: Pain Present el: 0 cu: CSRU cg: RN v1: No st: NotStopd t0: [00:00:00 09/11/2012] id: Pain Assess Method el: 0 cu: CSRU cg: RN v1: Non-verbal cues st: NotStopd t0: [00:00:00 09/11/2012] id: PainLevel Acceptable el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [00:00:00 09/11/2012] id: Riker-SAS Scale el: 0 cu: CSRU cg: RN v1: Calm/Cooperative st: NotStopd t0: [00:00:00 09/11/2012] id: Daily Wake Up el: 1 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [00:00:00 09/11/2012] id: GI Prophylaxis el: 0 cu: CSRU cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [00:00:00 09/11/2012] id: Diet Type el: 0 cu: CSRU cg: RN v1: NPO st: NotStopd t0: [00:00:00 09/11/2012] id: Eye Opening el: 0 cu: CSRU cg: RN v1: 3 To speech st: NotStopd t0: [00:00:00 09/11/2012] id: Follows Commands el: 0 cu: CSRU cg: RN v1: Consistently st: NotStopd t0: [00:00:00 09/11/2012] id: GCS Total el: 0 cu: CSRU cg: RN v1: 10 u1: points st: NotStopd t0: [00:00:00 09/11/2012] id: GI Intub #1/Site el: 0 cu: CSRU cg: RN v1: Salem Sump v2: Left Nare st: NotStopd t0: [00:00:00 09/11/2012] id: GI#1 Tube Stat/Drain el: 0 cu: CSRU cg: RN v1: Low Cont Suction v2: Bright Red Blood st: NotStopd t0: [00:00:00 09/11/2012] id: Abdominal Assessment el: 0 cu: CSRU cg: RN v1: Soft Distended st: NotStopd t0: [00:00:00 09/11/2012] id: Level of Conscious el: 0 cu: CSRU cg: RN v1: Arouse to Voice st: NotStopd t0: [00:00:00 09/11/2012] id: Motor Response el: 0 cu: CSRU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [00:00:00 09/11/2012] id: Oral Cavity el: 0 cu: CSRU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [00:00:00 09/11/2012] id: Pain Location el: 0 cu: CSRU cg: RN v1: Not Indicated st: NotStopd t0: [00:00:00 09/11/2012] id: Respiratory Pattern el: 0 cu: CSRU cg: RN v1: Regular st: NotStopd t0: [00:00:00 09/11/2012] id: Spontaneous Movement el: 0 cu: CSRU cg: RN v1: Purposeful st: NotStopd t0: [00:00:00 09/11/2012] id: Stool Management el: 0 cu: CSRU cg: RN v1: Fecal Incont Bag st: NotStopd t0: [00:00:00 09/11/2012] id: Urine Color/Appear el: 0 cu: CSRU cg: RN v1: Brown v2: Clear st: NotStopd t0: [00:00:00 09/11/2012] id: Urine Source el: 0 cu: CSRU cg: RN v1: Indwelling Cath st: NotStopd t0: [00:00:00 09/11/2012] id: Verbal Response el: 0 cu: CSRU cg: RN v1: 1.0 ET/Trach st: NotStopd
t0: [00:00:00 09/11/2012] id: Fentanyl el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 250 su: ml rt: IV Drip t0: [00:00:00 09/11/2012] id: Midazolam el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 1 du: mghr sv: 50 su: ml rt: IV Drip t0: [00:00:00 09/11/2012] id: Propofol el: 1 cu: CSRU cg: RN so: N/A vo: 0 v1: 0 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [00:00:00 09/11/2012] id: Compliance (40-60ml) el: 0 cu: CSRU cg: RRT v1: 27.2727 u1: ml/cmH st: NotStopd t0: [00:00:00 09/11/2012] id: ETT Mark/Location el: 0 cu: CSRU cg: RRT v1: 22cm v2: Lip st: NotStopd t0: [00:00:00 09/11/2012] id: FiO2 Set el: 0 cu: CSRU cg: RRT v1: 0.4 u1: torr st: NotStopd t0: [00:00:00 09/11/2012] id: Flow-By (lpm) el: 0 cu: CSRU cg: RRT v1: 6 u1: lpm st: NotStopd t0: [00:00:00 09/11/2012] id: Flow-by Sensitivity el: 0 cu: CSRU cg: RRT v1: 3 u1: cmH2O st: NotStopd t0: [00:00:00 09/11/2012] id: High Insp. Pressure el: 0 cu: CSRU cg: RRT v1: 50 u1: cmH2O st: NotStopd t0: [00:00:00 09/11/2012] id: High Resp. Rate el: 0 cu: CSRU cg: RRT v1: 36 u1: BPM st: NotStopd t0: [00:00:00 09/11/2012] id: Airway Size el: 0 cu: CSRU cg: RRT v1: 8.0 mm st: NotStopd t0: [00:00:00 09/11/2012] id: Airway Type el: 0 cu: CSRU cg: RRT v1: Endotracheal st: NotStopd t0: [00:00:00 09/11/2012] id: Inspired Gas Temp el: 0 cu: CSRU cg: RRT u1: Deg. C st: NotStopd t0: [00:00:00 09/11/2012] id: Intubation Date el: 0 cu: CSRU cg: RRT v1: 10 v2: 16 st: NotStopd t0: [00:00:00 09/11/2012] id: Low Exhaled Min Vol el: 0 cu: CSRU cg: RRT v1: 5 st: NotStopd t0: [00:00:00 09/11/2012] id: Mean Airway Pressure el: 0 cu: CSRU cg: RRT v1: 11 u1: cmH2O st: NotStopd t0: [00:00:00 09/11/2012] id: Minute Volume(Obser) el: 0 cu: CSRU cg: RRT v1: 7.6 u1: L/min st: NotStopd t0: [00:00:00 09/11/2012] id: PEEP Set el: 0 cu: CSRU cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [00:00:00 09/11/2012] id: Apnea Time Interval el: 0 cu: CSRU cg: RRT v1: 20 st: NotStopd t0: [00:00:00 09/11/2012] id: Peak Flow el: 0 cu: CSRU cg: RRT v1: 60 u1: L/m st: NotStopd t0: [00:00:00 09/11/2012] id: Peak Insp. Pressure el: 0 cu: CSRU cg: RRT v1: 27 u1: cmH2O st: NotStopd t0: [00:00:00 09/11/2012] id: Plateau Pressure el: 0 cu: CSRU cg: RRT v1: 19 u1: cmH2O st: NotStopd t0: [00:00:00 09/11/2012] id: Plateau-Off el: 0 cu: CSRU cg: RRT v1: Yes st: NotStopd t0: [00:00:00 09/11/2012] id: Resp Rate (Spont) el: 0 cu: CSRU cg: RRT v1: 0 u1: BPM st: NotStopd t0: [00:00:00 09/11/2012] id: Resp Rate (Total) el: 0 cu: CSRU cg: RRT v1: 14 u1: BPM st: NotStopd t0: [00:00:00 09/11/2012] id: Respiratory Rate Set el: 0 cu: CSRU cg: RRT v1: 14 u1: BPM st: NotStopd t0: [00:00:00 09/11/2012] id: Sensitivity-Vent el: 0 cu: CSRU cg: RRT v1: 3 u1: cmH2O st: NotStopd t0: [00:00:00 09/11/2012] id: Sputum Color/Consist el: 0 cu: CSRU cg: RRT v1: Blood Tinged v2: Thick st: NotStopd t0: [00:00:00 09/11/2012] id: Sputum Source/Amt el: 0 cu: CSRU cg: RRT v1: Suctioned v2: Small st: NotStopd t0: [00:00:00 09/11/2012] id: Tidal Volume (Obser) el: 0 cu: CSRU cg: RRT v1: 560 u1: ml/B st: NotStopd t0: [00:00:00 09/11/2012] id: Tidal Volume (Set) el: 0 cu: CSRU cg: RRT v1: 600 u1: ml/B st: NotStopd t0: [00:00:00 09/11/2012] id: Ventilator Mode el: 0 cu: CSRU cg: RRT v1: Assist Control st: NotStopd t0: [00:00:00 09/11/2012] id: Ventilator Type el: 0 cu: CSRU cg: RRT v1: 7200A st: NotStopd t0: [00:00:00 09/11/2012] id: Waveform-Vent el: 0 cu: CSRU cg: RRT v1: RAMP st: NotStopd
t0: [00:00:00 09/11/2012] id: Dorsal PedPulse R/L el: 0 cu: CSRU cg: RN v1: Doppler v2: Doppler st: NotStopd t0: [00:00:00 09/11/2012] id: LLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Diminished st: NotStopd t0: [00:00:00 09/11/2012] id: LUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [00:00:00 09/11/2012] id: PostTib. Pulses R/L el: 0 cu: CSRU cg: RN v1: Doppler v2: Doppler st: NotStopd t0: [00:00:00 09/11/2012] id: RLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Diminished st: NotStopd t0: [00:00:00 09/11/2012] id: RUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [00:00:00 09/11/2012] id: Bowel Sounds el: 0 cu: CSRU cg: RN v1: Hypoactive st: NotStopd t0: [00:30:00 09/11/2012] id: Service Type el: 0 cu: CSRU cg: RN v1: MICU st: NotStopd t0: [00:30:00 09/11/2012] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [00:30:00 09/11/2012] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [00:30:00 09/11/2012] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [00:30:00 09/11/2012] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [00:30:00 09/11/2012] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 57 u1: BPM st: NotStopd t0: [00:30:00 09/11/2012] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Sinus Brady st: NotStopd t0: [00:30:00 09/11/2012] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 121 u1: mmHg v2: 53 u2: mmHg st: NotStopd t0: [00:30:00 09/11/2012] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 75 u1: mmHg st: NotStopd t0: [00:30:00 09/11/2012] id: Precautions el: 0 cu: CSRU cg: RN v1: Contact st: NotStopd t0: [00:30:00 09/11/2012] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 13 u1: BPM st: NotStopd t0: [00:30:00 09/11/2012] id: SpO2 el: 0 cu: CSRU cg: RN v1: 99 u1: % st: NotStopd t0: [00:30:00 09/11/2012] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [00:30:00 09/11/2012] id: Fentanyl el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 250 su: ml rt: IV Drip t0: [00:30:00 09/11/2012] id: Midazolam el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 2 du: mghr sv: 50 su: ml rt: IV Drip t0: [00:30:00 09/11/2012] id: Propofol el: 1 cu: CSRU cg: RN so: N/A vo: 0 v1: 0 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [00:30:00 09/11/2012] id: Sandostatin el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 50 du: mcghr sv: 100 su: ml rt: IV Drip
t0: [01:00:00 09/11/2012] id: Service Type el: 0 cu: CSRU cg: RN v1: MICU st: NotStopd t0: [01:00:00 09/11/2012] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [01:00:00 09/11/2012] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [01:00:00 09/11/2012] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [01:00:00 09/11/2012] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [01:00:00 09/11/2012] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 61 u1: BPM st: NotStopd t0: [01:00:00 09/11/2012] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [01:00:00 09/11/2012] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 131 u1: mmHg v2: 61 u2: mmHg st: NotStopd t0: [01:00:00 09/11/2012] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 84 u1: mmHg st: NotStopd t0: [01:00:00 09/11/2012] id: Precautions el: 0 cu: CSRU cg: RN v1: Contact st: NotStopd t0: [01:00:00 09/11/2012] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 24 u1: BPM st: NotStopd t0: [01:00:00 09/11/2012] id: SpO2 el: 0 cu: CSRU cg: RN v1: 99 u1: % st: NotStopd t0: [01:00:00 09/11/2012] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Oral st: NotStopd t0: [01:00:00 09/11/2012] id: Temperature C (calc) el: 0 cu: CSRU cg: RN v1: 36.5556 u1: Deg. C st: NotStopd t0: [01:00:00 09/11/2012] id: Temperature F el: 0 cu: CSRU cg: RN v1: 97.8 u1: Deg. F st: NotStopd t0: [01:00:00 09/11/2012] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [01:00:00 09/11/2012] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: CSRU cg: RN ai: 126 vo: 0 vu: ml t0: [01:00:00 09/11/2012] id: D5W 100.0ml + 600mcghr Sandostatin IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 8.33333 vu: ml t0: [01:00:00 09/11/2012] tf: [16:06:00 09/11/2012] dt: 906 id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: CSRU cg: RN ai: 416 vo: 5 vu: ml t0: [01:00:00 09/11/2012] tf: [16:06:00 09/11/2012] dt: 906 id: .9% Normal Saline 50.0ml + 50mghr Midazolam IV Infusions el: 1 cu: CSRU cg: RN ai: 431 vo: 1.5 vu: ml t0: [01:00:00 09/11/2012] id: D5/.45NS 2000.0ml IV Infusions el: 1 cu: CSRU cg: RN ai: 113 vo: 150 vu: ml
t0: [01:00:00 09/11/2012] id: Fentanyl el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 250 su: ml rt: IV Drip t0: [01:00:00 09/11/2012] id: Midazolam el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 2 du: mghr sv: 50 su: ml rt: IV Drip t0: [01:00:00 09/11/2012] id: Propofol el: 1 cu: CSRU cg: RN so: N/A vo: 0 v1: 0 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [01:00:00 09/11/2012] id: Sandostatin el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 50 du: mcghr sv: 100 su: ml rt: IV Drip
tf: [23:00:00 12/11/2012] pt: IV Piggyback rt: IV DRIP fr: INFUSION m1: Fentanyl Citrate v1: 2500 u1: mcg m2: D5W v2: 250 u2: ml tf: [23:00:00 12/11/2012] pt: IV Piggyback rt: IV DRIP fr: TITRATE TO m1: Midazolam HCl v1: 50 u1: mg m2: D5W v2: 50 u2: ml
t0: [01:01:00 09/11/2012] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: CSRU cg: -1 ai: 126 vo: 0 st: D/C'd
t0: [01:15:00 09/11/2012] id: Service Type el: 0 cu: CSRU cg: RN v1: MICU st: NotStopd t0: [01:15:00 09/11/2012] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [01:15:00 09/11/2012] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [01:15:00 09/11/2012] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [01:15:00 09/11/2012] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [01:15:00 09/11/2012] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 57 u1: BPM st: NotStopd t0: [01:15:00 09/11/2012] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Sinus Brady st: NotStopd t0: [01:15:00 09/11/2012] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 119 u1: mmHg v2: 52 u2: mmHg st: NotStopd t0: [01:15:00 09/11/2012] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 72 u1: mmHg st: NotStopd t0: [01:15:00 09/11/2012] id: Precautions el: 0 cu: CSRU cg: RN v1: Contact st: NotStopd t0: [01:15:00 09/11/2012] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 14 u1: BPM st: NotStopd t0: [01:15:00 09/11/2012] id: SpO2 el: 0 cu: CSRU cg: RN v1: 99 u1: % st: NotStopd t0: [01:15:00 09/11/2012] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [01:15:00 09/11/2012] id: Fentanyl el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 250 su: ml rt: IV Drip t0: [01:15:00 09/11/2012] id: Midazolam el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 2 du: mghr sv: 50 su: ml rt: IV Drip t0: [01:15:00 09/11/2012] id: Sandostatin el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 50 du: mcghr sv: 100 su: ml rt: IV Drip
t0: [01:21:00 09/11/2012] id: Blood Products Hematology el: 0 cu: CSRU cg: 3161 v1: Y rs: Final st: NotStopd
t0: [00:00:00 09/11/2012] id: Range of Motion el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [00:00:00 09/11/2012] id: Circulation/SkinInt el: 0 cu: CSRU cg: RN v1: Circulation Adeq st: NotStopd t0: [00:00:00 09/11/2012] id: Family Communication el: 0 cu: CSRU cg: RN v1: Family Called st: NotStopd t0: [00:00:00 09/11/2012] id: INV Line#1 Type/Site el: 0 cu: CSRU cg: RN v1: PICC line v2: Left Antecub st: NotStopd t0: [00:00:00 09/11/2012] id: INV Line#1InsertDate el: 0 cu: CSRU cg: RN v1: 10 v2: 8 st: NotStopd t0: [00:00:00 09/11/2012] id: INV Line#1SiteAppear el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [00:00:00 09/11/2012] id: INV Line#2 Type/Site el: 0 cu: CSRU cg: RN v1: A-Line v2: Left Radial st: NotStopd t0: [00:00:00 09/11/2012] id: INV Line#2InsertDate el: 0 cu: CSRU cg: RN v1: 10 v2: 16 st: NotStopd t0: [00:00:00 09/11/2012] id: INV Line#2SiteAppear el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [00:00:00 09/11/2012] id: INV#2 WaveformAppear el: 0 cu: CSRU cg: RN v1: Sharp st: NotStopd t0: [00:00:00 09/11/2012] id: IV #1 Insert Date el: 0 cu: CSRU cg: RN v1: 10 v2: 16 st: NotStopd t0: [00:00:00 09/11/2012] id: IV #1 Site/Size el: 0 cu: CSRU cg: RN v1: Right Hand v2: 18 gauge st: NotStopd t0: [00:00:00 09/11/2012] id: IV #2 Insert Date el: 0 cu: CSRU cg: RN v1: 10 v2: 14 st: NotStopd t0: [00:00:00 09/11/2012] id: IV #2 Site/Size el: 0 cu: CSRU cg: RN v1: Right Wrist v2: 20 gauge st: NotStopd t0: [00:00:00 09/11/2012] id: IV #3 Insert Date el: 0 cu: CSRU cg: RN v1: 10 v2: 16 st: NotStopd t0: [00:00:00 09/11/2012] id: IV #3 Site/Size el: 0 cu: CSRU cg: RN v1: Left Hand v2: 18 gauge st: NotStopd t0: [00:00:00 09/11/2012] id: IV Site Appear #1 el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [00:00:00 09/11/2012] id: IV Site Appear #2 el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [00:00:00 09/11/2012] id: IV Site Appear #3 el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [00:00:00 09/11/2012] id: ImpSkin Treatment #1 el: 0 cu: CSRU cg: RN v1: Duoderm st: NotStopd t0: [00:00:00 09/11/2012] id: Impaired Skin Site#1 el: 0 cu: CSRU cg: RN v1: Coccyx st: NotStopd t0: [00:00:00 09/11/2012] id: Position Change el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [00:00:00 09/11/2012] id: Reason For Restraint el: 0 cu: CSRU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [00:00:00 09/11/2012] id: Removed x 5 Mins el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [00:00:00 09/11/2012] id: Restraint Location el: 0 cu: CSRU cg: RN v1: Both Arms st: NotStopd t0: [00:00:00 09/11/2012] id: Restraint Type el: 0 cu: CSRU cg: RN v1: Soft Limb st: NotStopd t0: [00:00:00 09/11/2012] id: Restraints Evaluated el: 0 cu: CSRU cg: RN v1: Behavior Conts st: NotStopd t0: [00:00:00 09/11/2012] id: Side Rails el: 0 cu: CSRU cg: RN v1: Side Rails Up st: NotStopd t0: [00:00:00 09/11/2012] id: Skin Color el: 0 cu: CSRU cg: RN v1: Jaundiced st: NotStopd t0: [00:00:00 09/11/2012] id: Skin Integrity el: 0 cu: CSRU cg: RN v1: Impaired st: NotStopd t0: [00:00:00 09/11/2012] id: Skin Temp/Condition el: 0 cu: CSRU cg: RN v1: Warm v2: Dry st: NotStopd t0: [00:00:00 09/11/2012] id: Stool Color/Consist el: 0 cu: CSRU cg: RN v1: Black v2: Liquid st: NotStopd t0: [00:00:00 09/11/2012] id: Support Systems el: 0 cu: CSRU cg: RN v1: Spouse st: NotStopd t0: [00:00:00 09/11/2012] id: Behavior el: 0 cu: CSRU cg: RN v1: Calm st: NotStopd t0: [00:00:00 09/11/2012] id: Braden Activity el: 0 cu: CSRU cg: RN v1: Bedfast st: NotStopd t0: [00:00:00 09/11/2012] id: Braden Frict/Shear el: 0 cu: CSRU cg: RN v1: Problem st: NotStopd t0: [00:00:00 09/11/2012] id: Braden Mobility el: 0 cu: CSRU cg: RN v1: Very Limited st: NotStopd t0: [00:00:00 09/11/2012] id: Braden Moisture el: 0 cu: CSRU cg: RN v1: Rarely Moist st: NotStopd t0: [00:00:00 09/11/2012] id: Braden Nutrition el: 0 cu: CSRU cg: RN v1: Prob. Inadequate st: NotStopd t0: [00:00:00 09/11/2012] id: Braden Score el: 0 cu: CSRU cg: RN v1: 13 u1: number st: NotStopd t0: [00:00:00 09/11/2012] id: Braden SensoryPercep el: 0 cu: CSRU cg: RN v1: Sl. Limited st: NotStopd t0: [01:00:00 09/11/2012] id: HOB el: 0 cu: CSRU cg: RN v1: 45 degrees st: NotStopd t0: [01:00:00 09/11/2012] id: Activity el: 0 cu: CSRU cg: RN v1: Bedrest st: NotStopd t0: [01:00:00 09/11/2012] id: Activity Tolerance el: 0 cu: CSRU cg: RN v1: Tolerated Well st: NotStopd t0: [01:00:00 09/11/2012] id: Oral Care el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [01:00:00 09/11/2012] id: AntiEmbDevice/Status el: 0 cu: CSRU cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [01:00:00 09/11/2012] id: Position el: 0 cu: CSRU cg: RN v1: Right Side st: NotStopd t0: [01:00:00 09/11/2012] id: Assistance Device el: 0 cu: CSRU cg: RN v1: 2 Person Assist st: NotStopd t0: [01:00:00 09/11/2012] id: Turn el: 0 cu: CSRU cg: RN v1: Right Side st: NotStopd t0: [01:00:00 09/11/2012] id: WarmingDevice/Status el: 0 cu: CSRU cg: RN v1: Blanket v2: On st: NotStopd t0: [02:00:00 09/11/2012] id: Service Type el: 0 cu: CSRU cg: RN v1: MICU st: NotStopd t0: [02:00:00 09/11/2012] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [02:00:00 09/11/2012] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [02:00:00 09/11/2012] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [02:00:00 09/11/2012] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [02:00:00 09/11/2012] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 58 u1: BPM st: NotStopd t0: [02:00:00 09/11/2012] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Sinus Brady st: NotStopd t0: [02:00:00 09/11/2012] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 127 u1: mmHg v2: 59 u2: mmHg st: NotStopd t0: [02:00:00 09/11/2012] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 82 u1: mmHg st: NotStopd t0: [02:00:00 09/11/2012] id: Precautions el: 0 cu: CSRU cg: RN v1: Contact st: NotStopd t0: [02:00:00 09/11/2012] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 14 u1: BPM st: NotStopd t0: [02:00:00 09/11/2012] id: SpO2 el: 0 cu: CSRU cg: RN v1: 100 u1: % st: NotStopd t0: [02:00:00 09/11/2012] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Oral st: NotStopd t0: [02:00:00 09/11/2012] id: Temperature C (calc) el: 0 cu: CSRU cg: RN v1: 36.6111 u1: Deg. C st: NotStopd t0: [02:00:00 09/11/2012] id: Temperature F el: 0 cu: CSRU cg: RN v1: 97.9 u1: Deg. F st: NotStopd t0: [02:00:00 09/11/2012] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [02:00:00 09/11/2012] id: D5W 100.0ml + 600mcghr Sandostatin IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 8.33333 vu: ml t0: [02:00:00 09/11/2012] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: CSRU cg: RN ai: 416 vo: 5 vu: ml t0: [02:00:00 09/11/2012] id: .9% Normal Saline 50.0ml + 50mghr Midazolam IV Infusions el: 1 cu: CSRU cg: RN ai: 431 vo: 2 vu: ml t0: [02:00:00 09/11/2012] id: D5/.45NS 2000.0ml IV Infusions el: 1 cu: CSRU cg: RN ai: 113 vo: 150 vu: ml
t0: [02:00:00 09/11/2012] id: Fentanyl el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 250 su: ml rt: IV Drip t0: [02:00:00 09/11/2012] id: Sandostatin el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 50 du: mcghr sv: 100 su: ml rt: IV Drip
t0: [23:00:00 09/11/2012] dt: 24 id: Blood Products Total el: 3 cu: CSRU cg: RN cv: 2732 ap: none
t0: [02:00:00 09/11/2012] id: Midazolam el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 1 du: mghr sv: 50 su: ml rt: IV Drip
t0: [02:45:00 09/11/2012] id: Service Type el: 0 cu: CSRU cg: RN v1: MICU st: NotStopd t0: [02:45:00 09/11/2012] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [02:45:00 09/11/2012] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [02:45:00 09/11/2012] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [02:45:00 09/11/2012] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [02:45:00 09/11/2012] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 57 u1: BPM st: NotStopd t0: [02:45:00 09/11/2012] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Sinus Brady st: NotStopd t0: [02:45:00 09/11/2012] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 110 u1: mmHg v2: 56 u2: mmHg st: NotStopd t0: [02:45:00 09/11/2012] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 75 u1: mmHg st: NotStopd t0: [02:45:00 09/11/2012] id: Precautions el: 0 cu: CSRU cg: RN v1: Contact st: NotStopd t0: [02:45:00 09/11/2012] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 18 u1: BPM st: NotStopd t0: [02:45:00 09/11/2012] id: SpO2 el: 0 cu: CSRU cg: RN v1: 99 u1: % st: NotStopd t0: [02:45:00 09/11/2012] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Oral st: NotStopd t0: [02:45:00 09/11/2012] id: Temperature C (calc) el: 0 cu: CSRU cg: RN v1: 36.4444 u1: Deg. C st: NotStopd t0: [02:45:00 09/11/2012] id: Temperature F el: 0 cu: CSRU cg: RN v1: 97.6 u1: Deg. F st: NotStopd t0: [02:45:00 09/11/2012] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [02:45:00 09/11/2012] id: Fentanyl el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 250 su: ml rt: IV Drip t0: [02:45:00 09/11/2012] id: Midazolam el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 1 du: mghr sv: 50 su: ml rt: IV Drip t0: [02:45:00 09/11/2012] id: Sandostatin el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 50 du: mcghr sv: 100 su: ml rt: IV Drip
t0: [03:00:00 09/11/2012] id: Service Type el: 0 cu: CSRU cg: RN v1: MICU st: NotStopd t0: [03:00:00 09/11/2012] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [03:00:00 09/11/2012] id: Riker-SAS Scale el: 0 cu: CSRU cg: RN v1: Sedated st: NotStopd t0: [03:00:00 09/11/2012] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [03:00:00 09/11/2012] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [03:00:00 09/11/2012] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [03:00:00 09/11/2012] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 53 u1: BPM st: NotStopd t0: [03:00:00 09/11/2012] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Sinus Brady st: NotStopd t0: [03:00:00 09/11/2012] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 117 u1: mmHg v2: 58 u2: mmHg st: NotStopd t0: [03:00:00 09/11/2012] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 78 u1: mmHg st: NotStopd t0: [03:00:00 09/11/2012] id: Precautions el: 0 cu: CSRU cg: RN v1: Contact st: NotStopd t0: [03:00:00 09/11/2012] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 14 u1: BPM st: NotStopd t0: [03:00:00 09/11/2012] id: SpO2 el: 0 cu: CSRU cg: RN v1: 100 u1: % st: NotStopd t0: [03:00:00 09/11/2012] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [03:00:00 09/11/2012] id: D5W 100.0ml + 600mcghr Sandostatin IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 8.33333 vu: ml t0: [03:00:00 09/11/2012] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: CSRU cg: RN ai: 416 vo: 5 vu: ml t0: [03:00:00 09/11/2012] id: .9% Normal Saline 50.0ml + 50mghr Midazolam IV Infusions el: 1 cu: CSRU cg: RN ai: 431 vo: 1 vu: ml t0: [03:00:00 09/11/2012] id: D5/.45NS 2000.0ml IV Infusions el: 1 cu: CSRU cg: RN ai: 113 vo: 150 vu: ml
t0: [03:00:00 09/11/2012] id: Fentanyl el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 250 su: ml rt: IV Drip t0: [03:00:00 09/11/2012] id: Midazolam el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 1 du: mghr sv: 50 su: ml rt: IV Drip t0: [03:00:00 09/11/2012] id: Sandostatin el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 50 du: mcghr sv: 100 su: ml rt: IV Drip
t0: [23:00:00 09/11/2012] dt: 1 id: Total Hourly Output el: 3 cu: CSRU cg: Co-Wkr cv: 0 ap: none t0: [23:00:00 09/11/2012] dt: 1 id: Net Hourly Balance el: 3 cu: CSRU cg: Co-Wkr cv: 0 ap: none t0: [23:00:00 09/11/2012] dt: 24 id: IV Infusion In Total el: 3 cu: CSRU cg: Co-Wkr cv: 3376.05 ap: none t0: [23:00:00 09/11/2012] dt: 24 id: 24h Total In el: 3 cu: CSRU cg: Co-Wkr cv: 6108.05 ap: none t0: [23:00:00 09/11/2012] dt: 24 id: Urine Out Total el: 3 cu: CSRU cg: Co-Wkr cv: 651 ap: none t0: [23:00:00 09/11/2012] dt: 24 id: 24h Net Body Balance el: 3 cu: CSRU cg: Co-Wkr cv: 5357.05 ap: none t0: [23:00:00 09/11/2012] dt: 24 id: 24h Total Out el: 3 cu: CSRU cg: Co-Wkr cv: 751 ap: none t0: [23:00:00 09/11/2012] dt: multiple days id: LOS Net Body Balance el: 3 cu: CSRU cg: Co-Wkr cv: 33767.7 ap: carryForward
t0: [03:00:00 09/11/2012] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Oral st: NotStopd t0: [03:00:00 09/11/2012] id: Temperature C (calc) el: 0 cu: CSRU cg: RN v1: 36.6111 u1: Deg. C st: NotStopd t0: [03:00:00 09/11/2012] id: Temperature F el: 0 cu: CSRU cg: RN v1: 97.9 u1: Deg. F st: NotStopd
t0: [03:26:00 09/11/2012] id: Art.pH ABG el: 0 cu: CSRU cg: 3161 v1: 7.41 rs: Final st: NotStopd t0: [03:26:00 09/11/2012] id: Arterial Base Excess ABG el: 0 cu: CSRU cg: 3161 v1: -4 rs: Final st: NotStopd t0: [03:26:00 09/11/2012] id: Arterial CO2(Calc) ABG el: 0 cu: CSRU cg: 3161 v1: 19 rs: Final st: NotStopd t0: [03:26:00 09/11/2012] id: Arterial PaCO2 ABG el: 0 cu: CSRU cg: 3161 v1: 29 u1: mmHg rs: Final st: NotStopd t0: [03:26:00 09/11/2012] id: Arterial PaO2 ABG el: 0 cu: CSRU cg: 3161 v1: 121 u1: mmHg rs: Final st: NotStopd t0: [03:26:00 09/11/2012] id: Arterial pH ABG el: 0 cu: CSRU cg: 3161 v1: 7.41 rs: Final st: NotStopd t0: [03:26:00 09/11/2012] id: SaO2 ABG's el: 0 cu: CSRU cg: 3161 v1: 99 u1: % rs: Final st: NotStopd
t0: [04:00:00 09/11/2012] id: Compliance (40-60ml) el: 0 cu: CSRU cg: RRT v1: 26.087 u1: ml/cmH st: NotStopd t0: [04:00:00 09/11/2012] id: RSBI Not Completed el: 0 cu: CSRU cg: RRT v1: No Spon Resp st: NotStopd t0: [04:00:00 09/11/2012] id: ETT Mark/Location el: 0 cu: CSRU cg: RRT v1: 22cm v2: Lip st: NotStopd t0: [04:00:00 09/11/2012] id: FiO2 Set el: 0 cu: CSRU cg: RRT v1: 0.4 u1: torr st: NotStopd t0: [04:00:00 09/11/2012] id: Flow-By (lpm) el: 0 cu: CSRU cg: RRT v1: 6 u1: lpm st: NotStopd t0: [04:00:00 09/11/2012] id: Flow-by Sensitivity el: 0 cu: CSRU cg: RRT v1: 3 u1: cmH2O st: NotStopd t0: [04:00:00 09/11/2012] id: High Insp. Pressure el: 0 cu: CSRU cg: RRT v1: 50 u1: cmH2O st: NotStopd t0: [04:00:00 09/11/2012] id: High Resp. Rate el: 0 cu: CSRU cg: RRT v1: 36 u1: BPM st: NotStopd t0: [04:00:00 09/11/2012] id: I:E Ratio el: 0 cu: CSRU cg: RRT v1: 2.3 st: NotStopd t0: [04:00:00 09/11/2012] id: Airway Size el: 0 cu: CSRU cg: RRT v1: 8.0 mm st: NotStopd t0: [04:00:00 09/11/2012] id: Airway Type el: 0 cu: CSRU cg: RRT v1: Endotracheal st: NotStopd t0: [04:00:00 09/11/2012] id: Inspired Gas Temp el: 0 cu: CSRU cg: RRT u1: Deg. C st: NotStopd t0: [04:00:00 09/11/2012] id: Intubation Date el: 0 cu: CSRU cg: RRT v1: 10 v2: 16 st: NotStopd t0: [04:00:00 09/11/2012] id: Low Exhaled Min Vol el: 0 cu: CSRU cg: RRT v1: 5 st: NotStopd t0: [04:00:00 09/11/2012] id: Mean Airway Pressure el: 0 cu: CSRU cg: RRT v1: 11 u1: cmH2O st: NotStopd t0: [04:00:00 09/11/2012] id: Minute Volume(Obser) el: 0 cu: CSRU cg: RRT v1: 7.7 u1: L/min st: NotStopd t0: [04:00:00 09/11/2012] id: PEEP Set el: 0 cu: CSRU cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [04:00:00 09/11/2012] id: Apnea Time Interval el: 0 cu: CSRU cg: RRT v1: 20 st: NotStopd t0: [04:00:00 09/11/2012] id: Peak Flow el: 0 cu: CSRU cg: RRT v1: 60 u1: L/m st: NotStopd t0: [04:00:00 09/11/2012] id: Peak Insp. Pressure el: 0 cu: CSRU cg: RRT v1: 28 u1: cmH2O st: NotStopd t0: [04:00:00 09/11/2012] id: Plateau Pressure el: 0 cu: CSRU cg: RRT v1: 21 u1: cmH2O st: NotStopd t0: [04:00:00 09/11/2012] id: Plateau-Off el: 0 cu: CSRU cg: RRT v1: Yes st: NotStopd t0: [04:00:00 09/11/2012] id: Resp Rate (Spont) el: 0 cu: CSRU cg: RRT v1: 0 u1: BPM st: NotStopd t0: [04:00:00 09/11/2012] id: Resp Rate (Total) el: 0 cu: CSRU cg: RRT v1: 14 u1: BPM st: NotStopd t0: [04:00:00 09/11/2012] id: Respiratory Rate Set el: 0 cu: CSRU cg: RRT v1: 14 u1: BPM st: NotStopd t0: [04:00:00 09/11/2012] id: Sensitivity-Vent el: 0 cu: CSRU cg: RRT v1: 3 u1: cmH2O st: NotStopd t0: [04:00:00 09/11/2012] id: SpO2 el: 0 cu: CSRU cg: RRT v1: 100 u1: % st: NotStopd t0: [04:00:00 09/11/2012] id: Sputum Color/Consist el: 0 cu: CSRU cg: RRT v1: Tan v2: Thick st: NotStopd t0: [04:00:00 09/11/2012] id: Sputum Source/Amt el: 0 cu: CSRU cg: RRT v1: Suctioned v2: Small st: NotStopd t0: [04:00:00 09/11/2012] id: Tidal Volume (Obser) el: 0 cu: CSRU cg: RRT v1: 550 u1: ml/B st: NotStopd t0: [04:00:00 09/11/2012] id: Tidal Volume (Set) el: 0 cu: CSRU cg: RRT v1: 600 u1: ml/B st: NotStopd t0: [04:00:00 09/11/2012] id: Ventilator Mode el: 0 cu: CSRU cg: RRT v1: Assist Control st: NotStopd t0: [04:00:00 09/11/2012] id: Ventilator Type el: 0 cu: CSRU cg: RRT v1: 7200A st: NotStopd t0: [04:00:00 09/11/2012] id: Waveform-Vent el: 0 cu: CSRU cg: RRT v1: RAMP st: NotStopd
t0: [02:30:00 09/11/2012] id: WBC (4-11,000) Hematology el: 0 cu: CSRU cg: 3161 v1: 7.5 rs: Final st: NotStopd t0: [02:30:00 09/11/2012] id: WBC Hematology el: 0 cu: CSRU cg: 3161 v1: 7.5 rs: Final st: NotStopd t0: [02:30:00 09/11/2012] id: Hematocrit Hematology el: 0 cu: CSRU cg: 3161 v1: 28.4 u1: % rs: Final st: NotStopd t0: [02:30:00 09/11/2012] id: Hemoglobin Hematology el: 0 cu: CSRU cg: 3161 v1: 9.8 u1: gm/dl rs: Final st: NotStopd t0: [02:30:00 09/11/2012] id: Platelets Hematology el: 0 cu: CSRU cg: 3161 v1: 122 rs: Final st: NotStopd t0: [02:30:00 09/11/2012] id: RBC Hematology el: 0 cu: CSRU cg: 3161 v1: 3.18 u1: /mic l rs: Final st: NotStopd t0: [02:30:00 09/11/2012] id: WBC (4-11,000) Hematology el: 0 cu: CSRU cg: 3161 v1: 7.5 rs: Final st: NotStopd t0: [03:26:00 09/11/2012] id: CaO2 el: 0 cu: CSRU cg: 3161 v1: 13.3758 u1: ml/dl st: NotStopd
t0: [04:00:00 09/11/2012] id: Range of Motion el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [04:00:00 09/11/2012] id: Service Type el: 0 cu: CSRU cg: RN v1: MICU st: NotStopd t0: [04:00:00 09/11/2012] id: Circulation/SkinInt el: 0 cu: CSRU cg: RN v1: Circulation Adeq st: NotStopd t0: [04:00:00 09/11/2012] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [04:00:00 09/11/2012] id: GI Prophylaxis el: 0 cu: CSRU cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [04:00:00 09/11/2012] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [04:00:00 09/11/2012] id: Diet Type el: 0 cu: CSRU cg: RN v1: NPO st: NotStopd t0: [04:00:00 09/11/2012] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [04:00:00 09/11/2012] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [04:00:00 09/11/2012] id: Follows Commands el: 0 cu: CSRU cg: RN v1: Consistently st: NotStopd t0: [04:00:00 09/11/2012] id: GI Intub #1/Site el: 0 cu: CSRU cg: RN v1: Salem Sump v2: Left Nare st: NotStopd t0: [04:00:00 09/11/2012] id: GI#1 Tube Stat/Drain el: 0 cu: CSRU cg: RN v1: Low Cont Suction v2: Clear st: NotStopd t0: [04:00:00 09/11/2012] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 70 u1: BPM st: NotStopd t0: [04:00:00 09/11/2012] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [04:00:00 09/11/2012] id: Abdominal Assessment el: 0 cu: CSRU cg: RN v1: Ascites st: NotStopd t0: [04:00:00 09/11/2012] id: ImpSkin Treatment #1 el: 0 cu: CSRU cg: RN v1: Duoderm st: NotStopd t0: [04:00:00 09/11/2012] id: Impaired Skin Site#1 el: 0 cu: CSRU cg: RN v1: Coccyx st: NotStopd t0: [04:00:00 09/11/2012] id: Level of Conscious el: 0 cu: CSRU cg: RN v1: Arouse to Voice st: NotStopd t0: [04:00:00 09/11/2012] id: Oral Cavity el: 0 cu: CSRU cg: RN v1: Bleeding Gum st: NotStopd t0: [04:00:00 09/11/2012] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 123 u1: mmHg v2: 61 u2: mmHg st: NotStopd t0: [04:00:00 09/11/2012] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 83 u1: mmHg st: NotStopd t0: [04:00:00 09/11/2012] id: Position Change el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [04:00:00 09/11/2012] id: Precautions el: 0 cu: CSRU cg: RN v1: Contact st: NotStopd t0: [04:00:00 09/11/2012] id: Reason For Restraint el: 0 cu: CSRU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [04:00:00 09/11/2012] id: Removed x 5 Mins el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [04:00:00 09/11/2012] id: Respiratory Pattern el: 0 cu: CSRU cg: RN v1: Regular st: NotStopd t0: [04:00:00 09/11/2012] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 22 u1: BPM st: NotStopd t0: [04:00:00 09/11/2012] id: Restraint Location el: 0 cu: CSRU cg: RN v1: Both Arms st: NotStopd t0: [04:00:00 09/11/2012] id: Restraint Type el: 0 cu: CSRU cg: RN v1: Soft Limb st: NotStopd t0: [04:00:00 09/11/2012] id: Restraints Evaluated el: 0 cu: CSRU cg: RN v1: Behavior Conts st: NotStopd t0: [04:00:00 09/11/2012] id: Side Rails el: 0 cu: CSRU cg: RN v1: Side Rails Up st: NotStopd t0: [04:00:00 09/11/2012] id: Skin Color el: 0 cu: CSRU cg: RN v1: Jaundiced st: NotStopd t0: [04:00:00 09/11/2012] id: Skin Integrity el: 0 cu: CSRU cg: RN v1: Impaired st: NotStopd t0: [04:00:00 09/11/2012] id: Skin Temp/Condition el: 0 cu: CSRU cg: RN v1: Warm v2: Dry st: NotStopd t0: [04:00:00 09/11/2012] id: Spontaneous Movement el: 0 cu: CSRU cg: RN v1: Purposeful st: NotStopd t0: [04:00:00 09/11/2012] id: Stool Color/Consist el: 0 cu: CSRU cg: RN v1: Black v2: Liquid st: NotStopd t0: [04:00:00 09/11/2012] id: Stool Management el: 0 cu: CSRU cg: RN v1: Fecal Incont Bag st: NotStopd t0: [04:00:00 09/11/2012] id: Support Systems el: 0 cu: CSRU cg: RN v1: Spouse st: NotStopd t0: [04:00:00 09/11/2012] id: Urine Color/Appear el: 0 cu: CSRU cg: RN v1: Brown v2: Clear st: NotStopd t0: [04:00:00 09/11/2012] id: Urine Source el: 0 cu: CSRU cg: RN v1: Indwelling Cath st: NotStopd t0: [04:00:00 09/11/2012] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [04:00:00 09/11/2012] id: Behavior el: 0 cu: CSRU cg: RN v1: Sedated st: NotStopd
t0: [04:00:00 09/11/2012] id: D5W 100.0ml + 600mcghr Sandostatin IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 8.33333 vu: ml t0: [04:00:00 09/11/2012] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: CSRU cg: RN ai: 416 vo: 5 vu: ml t0: [04:00:00 09/11/2012] id: .9% Normal Saline 50.0ml + 50mghr Midazolam IV Infusions el: 1 cu: CSRU cg: RN ai: 431 vo: 1 vu: ml t0: [04:00:00 09/11/2012] id: D5/.45NS 2000.0ml IV Infusions el: 1 cu: CSRU cg: RN ai: 113 vo: 150 vu: ml
t0: [04:00:00 09/11/2012] id: Fentanyl el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 250 su: ml rt: IV Drip t0: [04:00:00 09/11/2012] id: Midazolam el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 1 du: mghr sv: 50 su: ml rt: IV Drip t0: [04:00:00 09/11/2012] id: Sandostatin el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 50 du: mcghr sv: 100 su: ml rt: IV Drip
t0: [02:30:00 09/11/2012] id: BUN el: 0 cu: CSRU cg: 3161 v1: 13 rs: Final st: NotStopd t0: [02:30:00 09/11/2012] id: PT el: 0 cu: CSRU cg: 3161 v1: 14.3 rs: Final st: NotStopd t0: [02:30:00 09/11/2012] id: Calcium Chemistry el: 0 cu: CSRU cg: 3161 v1: 8.5 u1: mg/dl rs: Final st: NotStopd t0: [02:30:00 09/11/2012] id: Chloride Chemistry el: 0 cu: CSRU cg: 3161 v1: 112 rs: Final st: NotStopd t0: [02:30:00 09/11/2012] id: Creatinine Chemistry el: 0 cu: CSRU cg: 3161 v1: 1.5 rs: Final st: NotStopd t0: [02:30:00 09/11/2012] id: Glucose Chemistry el: 0 cu: CSRU cg: 3161 v1: 126 rs: Final st: NotStopd t0: [02:30:00 09/11/2012] id: INR Coags el: 0 cu: CSRU cg: 3161 v1: 1.4 rs: Final st: NotStopd t0: [02:30:00 09/11/2012] id: Magnesium Chemistry el: 0 cu: CSRU cg: 3161 v1: 1.7 rs: Final st: NotStopd t0: [02:30:00 09/11/2012] id: PTT Coags el: 0 cu: CSRU cg: 3161 v1: 36.1 rs: Final st: NotStopd t0: [02:30:00 09/11/2012] id: Phosphorous Chemistry el: 0 cu: CSRU cg: 3161 v1: 3.9 u1: mEq/L rs: Final st: NotStopd t0: [02:30:00 09/11/2012] id: Potassium Chemistry el: 0 cu: CSRU cg: 3161 v1: 3.6 rs: Final st: NotStopd t0: [02:30:00 09/11/2012] id: Sodium Chemistry el: 0 cu: CSRU cg: 3161 v1: 139 rs: Final st: NotStopd t0: [02:30:00 09/11/2012] id: Total Bili Chemistry el: 0 cu: CSRU cg: 3161 v1: 10.4 rs: Final st: NotStopd t0: [02:30:00 09/11/2012] id: ALT Enzymes el: 0 cu: CSRU cg: 3161 v1: 24 rs: Final st: NotStopd t0: [02:30:00 09/11/2012] id: AST Enzymes el: 0 cu: CSRU cg: 3161 v1: 37 rs: Final st: NotStopd t0: [02:30:00 09/11/2012] id: Alk. Phosphate Enzymes el: 0 cu: CSRU cg: 3161 v1: 76 rs: Final st: NotStopd t0: [02:30:00 09/11/2012] id: BUN (6-20) Chemistry el: 0 cu: CSRU cg: 3161 v1: 13 rs: Final st: NotStopd t0: [02:30:00 09/11/2012] id: Calcium (8.4-10.2) Chemistry el: 0 cu: CSRU cg: 3161 v1: 8.5 u1: mg/dl rs: Final st: NotStopd t0: [02:30:00 09/11/2012] id: Carbon Dioxide Chemistry el: 0 cu: CSRU cg: 3161 v1: 18 rs: Final st: NotStopd t0: [02:30:00 09/11/2012] id: Chloride (100-112) Chemistry el: 0 cu: CSRU cg: 3161 v1: 112 rs: Final st: NotStopd t0: [02:30:00 09/11/2012] id: Creatinine (0-1.3) Chemistry el: 0 cu: CSRU cg: 3161 v1: 1.5 rs: Final st: NotStopd t0: [02:30:00 09/11/2012] id: Glucose (70-105) Chemistry el: 0 cu: CSRU cg: 3161 v1: 126 rs: Final st: NotStopd t0: [02:30:00 09/11/2012] id: INR (2-4 ref. range) Coags el: 0 cu: CSRU cg: 3161 v1: 1.4 rs: Final st: NotStopd t0: [02:30:00 09/11/2012] id: Magnesium (1.6-2.6) Chemistry el: 0 cu: CSRU cg: 3161 v1: 1.7 rs: Final st: NotStopd t0: [02:30:00 09/11/2012] id: PT(11-13.5) Coags el: 0 cu: CSRU cg: 3161 v1: 14.3 rs: Final st: NotStopd t0: [02:30:00 09/11/2012] id: PTT(22-35) Coags el: 0 cu: CSRU cg: 3161 v1: 36.1 rs: Final st: NotStopd t0: [02:30:00 09/11/2012] id: Phosphorous(2.7-4.5) Chemistry el: 0 cu: CSRU cg: 3161 v1: 3.9 u1: mEq/L rs: Final st: NotStopd t0: [02:30:00 09/11/2012] id: Potassium (3.5-5.3) Chemistry el: 0 cu: CSRU cg: 3161 v1: 3.6 rs: Final st: NotStopd t0: [02:30:00 09/11/2012] id: Sodium (135-148) Chemistry el: 0 cu: CSRU cg: 3161 v1: 139 rs: Final st: NotStopd t0: [02:30:00 09/11/2012] id: Total Bili (0-1.5) Chemistry el: 0 cu: CSRU cg: 3161 v1: 10.4 rs: Final st: NotStopd
t0: [04:00:00 09/11/2012] id: Riker-SAS Scale el: 0 cu: CSRU cg: RN v1: Sedated st: NotStopd t0: [04:00:00 09/11/2012] id: Pain Location el: 0 cu: CSRU cg: RN v1: Not Indicated st: NotStopd t0: [05:00:00 09/11/2012] id: Service Type el: 0 cu: CSRU cg: RN v1: MICU st: NotStopd t0: [05:00:00 09/11/2012] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [05:00:00 09/11/2012] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [05:00:00 09/11/2012] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [05:00:00 09/11/2012] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [05:00:00 09/11/2012] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 61 u1: BPM st: NotStopd t0: [05:00:00 09/11/2012] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [05:00:00 09/11/2012] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 115 u1: mmHg v2: 51 u2: mmHg st: NotStopd t0: [05:00:00 09/11/2012] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 71 u1: mmHg st: NotStopd t0: [05:00:00 09/11/2012] id: Precautions el: 0 cu: CSRU cg: RN v1: Contact st: NotStopd t0: [05:00:00 09/11/2012] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 16 u1: BPM st: NotStopd t0: [05:00:00 09/11/2012] id: SpO2 el: 0 cu: CSRU cg: RN v1: 99 u1: % st: NotStopd t0: [05:00:00 09/11/2012] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Oral st: NotStopd t0: [05:00:00 09/11/2012] id: Temperature C (calc) el: 0 cu: CSRU cg: RN v1: 36.5556 u1: Deg. C st: NotStopd t0: [05:00:00 09/11/2012] id: Temperature F el: 0 cu: CSRU cg: RN v1: 97.8 u1: Deg. F st: NotStopd t0: [05:00:00 09/11/2012] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [05:00:00 09/11/2012] id: D5W 100.0ml + 600mcghr Sandostatin IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 8.33333 vu: ml t0: [05:00:00 09/11/2012] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: CSRU cg: RN ai: 416 vo: 5 vu: ml t0: [05:00:00 09/11/2012] id: .9% Normal Saline 50.0ml + 50mghr Midazolam IV Infusions el: 1 cu: CSRU cg: RN ai: 431 vo: 1 vu: ml t0: [05:00:00 09/11/2012] id: D5/.45NS 2000.0ml IV Infusions el: 1 cu: CSRU cg: RN ai: 113 vo: 150 vu: ml
t0: [05:00:00 09/11/2012] id: Fentanyl el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 250 su: ml rt: IV Drip t0: [05:00:00 09/11/2012] id: Midazolam el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 2 du: mghr sv: 50 su: ml rt: IV Drip t0: [05:00:00 09/11/2012] id: Sandostatin el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 50 du: mcghr sv: 100 su: ml rt: IV Drip
t0: [04:00:00 09/11/2012] id: HOB el: 0 cu: CSRU cg: RN v1: 45 degrees st: NotStopd t0: [04:00:00 09/11/2012] id: INV Line#1 Type/Site el: 0 cu: CSRU cg: RN v1: PICC line v2: Left Antecub st: NotStopd t0: [04:00:00 09/11/2012] id: INV Line#1InsertDate el: 0 cu: CSRU cg: RN v1: 10 v2: 8 st: NotStopd t0: [04:00:00 09/11/2012] id: INV Line#1SiteAppear el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [04:00:00 09/11/2012] id: INV Line#2 Type/Site el: 0 cu: CSRU cg: RN v1: A-Line v2: Left Radial st: NotStopd t0: [04:00:00 09/11/2012] id: INV Line#2InsertDate el: 0 cu: CSRU cg: RN v1: 10 v2: 16 st: NotStopd t0: [04:00:00 09/11/2012] id: INV Line#2SiteAppear el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [04:00:00 09/11/2012] id: INV#2 WaveformAppear el: 0 cu: CSRU cg: RN v1: Sharp st: NotStopd t0: [04:00:00 09/11/2012] id: IV #1 Insert Date el: 0 cu: CSRU cg: RN v1: 10 v2: 16 st: NotStopd t0: [04:00:00 09/11/2012] id: IV #1 Site/Size el: 0 cu: CSRU cg: RN v1: Right Hand v2: 18 gauge st: NotStopd t0: [04:00:00 09/11/2012] id: IV #2 Insert Date el: 0 cu: CSRU cg: RN v1: 10 v2: 14 st: NotStopd t0: [04:00:00 09/11/2012] id: IV #2 Site/Size el: 0 cu: CSRU cg: RN v1: Right Wrist v2: 20 gauge st: NotStopd t0: [04:00:00 09/11/2012] id: IV #3 Insert Date el: 0 cu: CSRU cg: RN v1: 10 v2: 16 st: NotStopd t0: [04:00:00 09/11/2012] id: IV #3 Site/Size el: 0 cu: CSRU cg: RN v1: Left Hand v2: 18 gauge st: NotStopd t0: [04:00:00 09/11/2012] id: Activity el: 0 cu: CSRU cg: RN v1: Bedrest st: NotStopd t0: [04:00:00 09/11/2012] id: IV Site Appear #1 el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [04:00:00 09/11/2012] id: IV Site Appear #2 el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [04:00:00 09/11/2012] id: IV Site Appear #3 el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [04:00:00 09/11/2012] id: Activity Tolerance el: 0 cu: CSRU cg: RN v1: Tolerated Well st: NotStopd t0: [04:00:00 09/11/2012] id: Oral Care el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [04:00:00 09/11/2012] id: Position el: 0 cu: CSRU cg: RN v1: Supine st: NotStopd t0: [04:00:00 09/11/2012] id: Assistance Device el: 0 cu: CSRU cg: RN v1: 1 Person Assist st: NotStopd t0: [04:00:00 09/11/2012] id: Turn el: 0 cu: CSRU cg: RN v1: Back st: NotStopd t0: [04:00:00 09/11/2012] id: WarmingDevice/Status el: 0 cu: CSRU cg: RN v1: Blanket v2: On st: NotStopd t0: [05:30:00 09/11/2012] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Oral st: NotStopd t0: [05:30:00 09/11/2012] id: Temperature C (calc) el: 0 cu: CSRU cg: RN v1: 36.7222 u1: Deg. C st: NotStopd t0: [05:30:00 09/11/2012] id: Temperature F el: 0 cu: CSRU cg: RN v1: 98.1 u1: Deg. F st: NotStopd
t0: [06:00:00 09/11/2012] id: D5W 100.0ml + 600mcghr Sandostatin IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 8.33333 vu: ml t0: [06:00:00 09/11/2012] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: CSRU cg: RN ai: 416 vo: 5 vu: ml t0: [06:00:00 09/11/2012] id: .9% Normal Saline 50.0ml + 50mghr Midazolam IV Infusions el: 1 cu: CSRU cg: RN ai: 431 vo: 2 vu: ml
t0: [06:00:00 09/11/2012] id: D5/.45NS 2000.0ml IV Infusions el: 1 cu: CSRU cg: RN ai: 113 vo: 0 vu: ml
t0: [06:00:00 09/11/2012] id: Service Type el: 0 cu: CSRU cg: RN v1: MICU st: NotStopd t0: [06:00:00 09/11/2012] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [06:00:00 09/11/2012] id: Riker-SAS Scale el: 0 cu: CSRU cg: RN v1: Calm/Cooperative st: NotStopd t0: [06:00:00 09/11/2012] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [06:00:00 09/11/2012] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [06:00:00 09/11/2012] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [06:00:00 09/11/2012] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 60 u1: BPM st: NotStopd t0: [06:00:00 09/11/2012] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [06:00:00 09/11/2012] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 119 u1: mmHg v2: 52 u2: mmHg st: NotStopd t0: [06:00:00 09/11/2012] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 74 u1: mmHg st: NotStopd t0: [06:00:00 09/11/2012] id: Precautions el: 0 cu: CSRU cg: RN v1: Contact st: NotStopd t0: [06:00:00 09/11/2012] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 16 u1: BPM st: NotStopd t0: [06:00:00 09/11/2012] id: SpO2 el: 0 cu: CSRU cg: RN v1: 99 u1: % st: NotStopd t0: [06:00:00 09/11/2012] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [06:00:00 09/11/2012] id: Fentanyl el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 250 su: ml rt: IV Drip t0: [06:00:00 09/11/2012] id: Midazolam el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 2 du: mghr sv: 50 su: ml rt: IV Drip t0: [06:00:00 09/11/2012] id: Sandostatin el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 50 du: mcghr sv: 100 su: ml rt: IV Drip
t0: [06:00:00 09/11/2012] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Oral st: NotStopd t0: [06:00:00 09/11/2012] id: Temperature C (calc) el: 0 cu: CSRU cg: RN v1: 36.5556 u1: Deg. C st: NotStopd t0: [06:00:00 09/11/2012] id: Temperature F el: 0 cu: CSRU cg: RN v1: 97.8 u1: Deg. F st: NotStopd
t0: [02:30:00 09/11/2012] id: Vancomycin/Random Drug Level el: 0 cu: CSRU cg: 3161 v1: 10.8 rs: Final st: NotStopd
t0: [07:00:00 09/11/2012] id: Pain Present el: 0 cu: CSRU cg: RN v1: No st: NotStopd t0: [07:00:00 09/11/2012] id: Pain Assess Method el: 0 cu: CSRU cg: RN v1: Non-verbal cues st: NotStopd t0: [07:00:00 09/11/2012] id: Service Type el: 0 cu: CSRU cg: RN v1: MICU st: NotStopd t0: [07:00:00 09/11/2012] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [07:00:00 09/11/2012] id: Riker-SAS Scale el: 0 cu: CSRU cg: RN v1: Calm/Cooperative st: NotStopd t0: [07:00:00 09/11/2012] id: Daily Wake Up el: 1 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [07:00:00 09/11/2012] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [07:00:00 09/11/2012] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [07:00:00 09/11/2012] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [07:00:00 09/11/2012] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 61 u1: BPM st: NotStopd t0: [07:00:00 09/11/2012] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [07:00:00 09/11/2012] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 127 u1: mmHg v2: 57 u2: mmHg st: NotStopd t0: [07:00:00 09/11/2012] id: Pain Location el: 0 cu: CSRU cg: RN v1: Not Indicated st: NotStopd t0: [07:00:00 09/11/2012] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 79 u1: mmHg st: NotStopd t0: [07:00:00 09/11/2012] id: Precautions el: 0 cu: CSRU cg: RN v1: Contact st: NotStopd t0: [07:00:00 09/11/2012] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 14 u1: BPM st: NotStopd t0: [07:00:00 09/11/2012] id: SpO2 el: 0 cu: CSRU cg: RN v1: 99 u1: % st: NotStopd t0: [07:00:00 09/11/2012] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Oral st: NotStopd t0: [07:00:00 09/11/2012] id: Temperature C (calc) el: 0 cu: CSRU cg: RN v1: 36.5556 u1: Deg. C st: NotStopd t0: [07:00:00 09/11/2012] id: Temperature F el: 0 cu: CSRU cg: RN v1: 97.8 u1: Deg. F st: NotStopd t0: [07:00:00 09/11/2012] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [07:00:00 09/11/2012] id: D5W 100.0ml + 600mcghr Sandostatin IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 8.33333 vu: ml t0: [07:00:00 09/11/2012] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: CSRU cg: RN ai: 416 vo: 5 vu: ml t0: [07:00:00 09/11/2012] id: .9% Normal Saline 50.0ml + 50mghr Midazolam IV Infusions el: 1 cu: CSRU cg: RN ai: 431 vo: 2 vu: ml t0: [07:00:00 09/11/2012] tf: [12:00:00 09/11/2012] dt: 300 id: D5/.45NS 2000.0ml IV Infusions el: 1 cu: CSRU cg: RN ai: 113 vo: 150 vu: ml
t0: [07:00:00 09/11/2012] id: Fentanyl el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 250 su: ml rt: IV Drip t0: [07:00:00 09/11/2012] id: Midazolam el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 2 du: mghr sv: 50 su: ml rt: IV Drip t0: [07:00:00 09/11/2012] id: Sandostatin el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 50 du: mcghr sv: 100 su: ml rt: IV Drip
t0: [06:00:00 09/11/2012] id: Eye Care el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [06:00:00 09/11/2012] id: HOB el: 0 cu: CSRU cg: RN v1: 30 degrees st: NotStopd t0: [06:00:00 09/11/2012] id: Activity el: 0 cu: CSRU cg: RN v1: Bedrest st: NotStopd t0: [06:00:00 09/11/2012] id: Activity Tolerance el: 0 cu: CSRU cg: RN v1: Tolerated Well st: NotStopd t0: [06:00:00 09/11/2012] id: Oral Care el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [06:00:00 09/11/2012] id: AntiEmbDevice/Status el: 0 cu: CSRU cg: RN v1: Compress Sleeves v2: Off st: NotStopd t0: [06:00:00 09/11/2012] id: Position el: 0 cu: CSRU cg: RN v1: Right Side st: NotStopd t0: [06:00:00 09/11/2012] id: Assistance Device el: 0 cu: CSRU cg: RN v1: 2 Person Assist st: NotStopd t0: [06:00:00 09/11/2012] id: Skin Care el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [06:00:00 09/11/2012] id: Turn el: 0 cu: CSRU cg: RN v1: Side to Side st: NotStopd t0: [06:00:00 09/11/2012] id: Back Care el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [06:00:00 09/11/2012] id: WarmingDevice/Status el: 0 cu: CSRU cg: RN v1: Blanket v2: On st: NotStopd
t0: [07:39:00 09/11/2012] id: Art.pH ABG el: 0 cu: CSRU cg: 3161 v1: 7.38 rs: Final st: NotStopd t0: [07:39:00 09/11/2012] id: CaO2 el: 0 cu: CSRU cg: 3161 v1: 13.4161 u1: ml/dl st: NotStopd t0: [07:39:00 09/11/2012] id: Glucose Chemistry el: 0 cu: CSRU cg: 3161 v1: 127 rs: Final st: NotStopd t0: [07:39:00 09/11/2012] id: Potassium Chemistry el: 0 cu: CSRU cg: 3161 v1: 3.7 rs: Final st: NotStopd t0: [07:39:00 09/11/2012] id: Arterial Base Excess ABG el: 0 cu: CSRU cg: 3161 v1: -5 rs: Final st: NotStopd t0: [07:39:00 09/11/2012] id: Arterial CO2(Calc) ABG el: 0 cu: CSRU cg: 3161 v1: 18 rs: Final st: NotStopd t0: [07:39:00 09/11/2012] id: Arterial PaCO2 ABG el: 0 cu: CSRU cg: 3161 v1: 30 u1: mmHg rs: Final st: NotStopd t0: [07:39:00 09/11/2012] id: Arterial PaO2 ABG el: 0 cu: CSRU cg: 3161 v1: 134 u1: mmHg rs: Final st: NotStopd t0: [07:39:00 09/11/2012] id: Arterial pH ABG el: 0 cu: CSRU cg: 3161 v1: 7.38 rs: Final st: NotStopd t0: [07:39:00 09/11/2012] id: Glucose (70-105) Chemistry el: 0 cu: CSRU cg: 3161 v1: 127 rs: Final st: NotStopd t0: [07:39:00 09/11/2012] id: Ionized Calcium Chemistry el: 0 cu: CSRU cg: 3161 v1: 1.1 rs: Final st: NotStopd t0: [07:39:00 09/11/2012] id: Potassium (3.5-5.3) Chemistry el: 0 cu: CSRU cg: 3161 v1: 3.7 rs: Final st: NotStopd t0: [07:39:00 09/11/2012] id: SaO2 ABG's el: 0 cu: CSRU cg: 3161 v1: 99 u1: % rs: Final st: NotStopd
t0: [08:00:00 09/11/2012] id: Service Type el: 0 cu: CSRU cg: RN v1: MICU st: NotStopd t0: [08:00:00 09/11/2012] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [08:00:00 09/11/2012] id: Riker-SAS Scale el: 0 cu: CSRU cg: RN v1: Calm/Cooperative st: NotStopd t0: [08:00:00 09/11/2012] id: GI Prophylaxis el: 0 cu: CSRU cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [08:00:00 09/11/2012] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [08:00:00 09/11/2012] id: Diet Type el: 0 cu: CSRU cg: RN v1: NPO st: NotStopd t0: [08:00:00 09/11/2012] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [08:00:00 09/11/2012] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [08:00:00 09/11/2012] id: Eye Opening el: 0 cu: CSRU cg: RN v1: 3 To speech st: NotStopd t0: [08:00:00 09/11/2012] id: Follows Commands el: 0 cu: CSRU cg: RN v1: Consistently st: NotStopd t0: [08:00:00 09/11/2012] id: GCS Total el: 0 cu: CSRU cg: RN v1: 10 u1: points st: NotStopd t0: [08:00:00 09/11/2012] id: GI Intub #1/Site el: 0 cu: CSRU cg: RN v1: Salem Sump v2: Left Nare st: NotStopd t0: [08:00:00 09/11/2012] id: GI#1 Tube PlaceCheck el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [08:00:00 09/11/2012] id: GI#1 Tube Stat/Drain el: 0 cu: CSRU cg: RN v1: Low Cont Suction v2: Pink Tinged st: NotStopd t0: [08:00:00 09/11/2012] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 59 u1: BPM st: NotStopd t0: [08:00:00 09/11/2012] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Sinus Brady st: NotStopd t0: [08:00:00 09/11/2012] id: Abdominal Assessment el: 0 cu: CSRU cg: RN v1: Ascites st: NotStopd t0: [08:00:00 09/11/2012] id: LLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Diminished st: NotStopd t0: [08:00:00 09/11/2012] id: LUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [08:00:00 09/11/2012] id: Level of Conscious el: 0 cu: CSRU cg: RN v1: Arouse to Voice st: NotStopd t0: [08:00:00 09/11/2012] id: Motor Response el: 0 cu: CSRU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [08:00:00 09/11/2012] id: Oral Cavity el: 0 cu: CSRU cg: RN v1: Bleeding Gum st: NotStopd t0: [08:00:00 09/11/2012] id: Orientation el: 0 cu: CSRU cg: RN v1: Other/Remarks st: NotStopd t0: [08:00:00 09/11/2012] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 114 u1: mmHg v2: 61 u2: mmHg st: NotStopd t0: [08:00:00 09/11/2012] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 82 u1: mmHg st: NotStopd t0: [08:00:00 09/11/2012] id: Precautions el: 0 cu: CSRU cg: RN v1: Contact st: NotStopd t0: [08:00:00 09/11/2012] id: RLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Diminished st: NotStopd t0: [08:00:00 09/11/2012] id: RUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [08:00:00 09/11/2012] id: Respiratory Pattern el: 0 cu: CSRU cg: RN v1: Regular st: NotStopd t0: [08:00:00 09/11/2012] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 14 u1: BPM st: NotStopd t0: [08:00:00 09/11/2012] id: Spontaneous Movement el: 0 cu: CSRU cg: RN v1: Purposeful st: NotStopd t0: [08:00:00 09/11/2012] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Oral st: NotStopd t0: [08:00:00 09/11/2012] id: Temperature C (calc) el: 0 cu: CSRU cg: RN v1: 36.2778 u1: Deg. C st: NotStopd t0: [08:00:00 09/11/2012] id: Temperature F el: 0 cu: CSRU cg: RN v1: 97.3 u1: Deg. F st: NotStopd t0: [08:00:00 09/11/2012] id: Verbal Response el: 0 cu: CSRU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [08:00:00 09/11/2012] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [08:00:00 09/11/2012] id: Bowel Sounds el: 0 cu: CSRU cg: RN v1: Hypoactive st: NotStopd
t0: [08:00:00 09/11/2012] id: D5W 100.0ml + 600mcghr Sandostatin IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 8.33333 vu: ml t0: [08:00:00 09/11/2012] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: CSRU cg: RN ai: 416 vo: 5 vu: ml t0: [08:00:00 09/11/2012] id: .9% Normal Saline 50.0ml + 50mghr Midazolam IV Infusions el: 1 cu: CSRU cg: RN ai: 431 vo: 2 vu: ml t0: [08:00:00 09/11/2012] id: D5/.45NS 2000.0ml IV Infusions el: 1 cu: CSRU cg: RN ai: 113 vo: 150 vu: ml
t0: [08:00:00 09/11/2012] id: Fentanyl el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 250 su: ml rt: IV Drip t0: [08:00:00 09/11/2012] id: Midazolam el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 2 du: mghr sv: 50 su: ml rt: IV Drip t0: [08:00:00 09/11/2012] id: Sandostatin el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 50 du: mcghr sv: 100 su: ml rt: IV Drip
t0: [08:00:00 09/11/2012] id: Compliance (40-60ml) el: 0 cu: CSRU cg: RRT v1: 22.2222 u1: ml/cmH st: NotStopd t0: [08:00:00 09/11/2012] id: ETT Mark/Location el: 0 cu: CSRU cg: RRT v1: 22cm v2: Lip st: NotStopd t0: [08:00:00 09/11/2012] id: FiO2 Set el: 0 cu: CSRU cg: RRT v1: 0.4 u1: torr st: NotStopd t0: [08:00:00 09/11/2012] id: Flow-By (lpm) el: 0 cu: CSRU cg: RRT v1: 6 u1: lpm st: NotStopd t0: [08:00:00 09/11/2012] id: Flow-by Sensitivity el: 0 cu: CSRU cg: RRT v1: 3 u1: cmH2O st: NotStopd t0: [08:00:00 09/11/2012] id: High Insp. Pressure el: 0 cu: CSRU cg: RRT v1: 50 u1: cmH2O st: NotStopd t0: [08:00:00 09/11/2012] id: High Resp. Rate el: 0 cu: CSRU cg: RRT v1: 36 u1: BPM st: NotStopd t0: [08:00:00 09/11/2012] id: I:E Ratio el: 0 cu: CSRU cg: RRT v1: 2.3 st: NotStopd t0: [08:00:00 09/11/2012] id: Airway Size el: 0 cu: CSRU cg: RRT v1: 8.0 mm st: NotStopd t0: [08:00:00 09/11/2012] id: Airway Type el: 0 cu: CSRU cg: RRT v1: Endotracheal st: NotStopd t0: [08:00:00 09/11/2012] id: Inspired Gas Temp el: 0 cu: CSRU cg: RRT u1: Deg. C st: NotStopd t0: [08:00:00 09/11/2012] id: Intubation Date el: 0 cu: CSRU cg: RRT v1: 10 v2: 16 st: NotStopd t0: [08:00:00 09/11/2012] id: Low Exhaled Min Vol el: 0 cu: CSRU cg: RRT v1: 5 st: NotStopd t0: [08:00:00 09/11/2012] id: Mean Airway Pressure el: 0 cu: CSRU cg: RRT v1: 12 u1: cmH2O st: NotStopd t0: [08:00:00 09/11/2012] id: Minute Volume(Obser) el: 0 cu: CSRU cg: RRT v1: 8 u1: L/min st: NotStopd t0: [08:00:00 09/11/2012] id: PEEP Set el: 0 cu: CSRU cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [08:00:00 09/11/2012] id: Apnea Time Interval el: 0 cu: CSRU cg: RRT v1: 20 st: NotStopd t0: [08:00:00 09/11/2012] id: Peak Flow el: 0 cu: CSRU cg: RRT v1: 50 u1: L/m st: NotStopd t0: [08:00:00 09/11/2012] id: Peak Insp. Pressure el: 0 cu: CSRU cg: RRT v1: 32 u1: cmH2O st: NotStopd t0: [08:00:00 09/11/2012] id: Plateau Pressure el: 0 cu: CSRU cg: RRT v1: 22 u1: cmH2O st: NotStopd t0: [08:00:00 09/11/2012] id: Plateau-Off el: 0 cu: CSRU cg: RRT v1: Yes st: NotStopd t0: [08:00:00 09/11/2012] id: Resp Rate (Spont) el: 0 cu: CSRU cg: RRT v1: 0 u1: BPM st: NotStopd t0: [08:00:00 09/11/2012] id: Resp Rate (Total) el: 0 cu: CSRU cg: RRT v1: 14 u1: BPM st: NotStopd t0: [08:00:00 09/11/2012] id: Respiratory Rate Set el: 0 cu: CSRU cg: RRT v1: 14 u1: BPM st: NotStopd t0: [08:00:00 09/11/2012] id: Sensitivity-Vent el: 0 cu: CSRU cg: RRT v1: 3 u1: cmH2O st: NotStopd t0: [08:00:00 09/11/2012] id: Tidal Volume (Obser) el: 0 cu: CSRU cg: RRT v1: 580 u1: ml/B st: NotStopd t0: [08:00:00 09/11/2012] id: Tidal Volume (Set) el: 0 cu: CSRU cg: RRT v1: 600 u1: ml/B st: NotStopd t0: [08:00:00 09/11/2012] id: Ventilator Mode el: 0 cu: CSRU cg: RRT v1: Assist Control st: NotStopd t0: [08:00:00 09/11/2012] id: Ventilator Type el: 0 cu: CSRU cg: RRT v1: 7200A st: NotStopd t0: [08:00:00 09/11/2012] id: Waveform-Vent el: 0 cu: CSRU cg: RRT v1: RAMP st: NotStopd
t0: [07:27:00 09/11/2012] id: Platelets Hematology el: 0 cu: CSRU cg: 3161 v1: 150 rs: Final st: NotStopd
t0: [07:27:00 09/11/2012] id: Magnesium Chemistry el: 0 cu: CSRU cg: 3161 v1: 1.6 rs: Final st: NotStopd t0: [07:27:00 09/11/2012] id: Magnesium (1.6-2.6) Chemistry el: 0 cu: CSRU cg: 3161 v1: 1.6 rs: Final st: NotStopd
t0: [08:00:00 09/11/2012] id: Less Restrict Meas. el: 0 cu: CSRU cg: RN v1: Medicated st: NotStopd t0: [08:00:00 09/11/2012] id: Pain Present el: 0 cu: CSRU cg: RN v1: No st: NotStopd t0: [08:00:00 09/11/2012] id: Range of Motion el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [08:00:00 09/11/2012] id: Pain Assess Method el: 0 cu: CSRU cg: RN v1: Non-verbal cues st: NotStopd t0: [08:00:00 09/11/2012] id: PainLevel Acceptable el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [08:00:00 09/11/2012] id: Circulation/SkinInt el: 0 cu: CSRU cg: RN v1: Circulation Adeq st: NotStopd t0: [08:00:00 09/11/2012] id: HOB el: 0 cu: CSRU cg: RN v1: 45 degrees st: NotStopd t0: [08:00:00 09/11/2012] id: INV Line#1 Type/Site el: 0 cu: CSRU cg: RN v1: PICC line v2: Left Antecub st: NotStopd t0: [08:00:00 09/11/2012] id: INV Line#1InsertDate el: 0 cu: CSRU cg: RN v1: 10 v2: 8 st: NotStopd t0: [08:00:00 09/11/2012] id: INV Line#1SiteAppear el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [08:00:00 09/11/2012] id: INV Line#2 Type/Site el: 0 cu: CSRU cg: RN v1: A-Line v2: Left Radial st: NotStopd t0: [08:00:00 09/11/2012] id: INV Line#2 Zero/Cal el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [08:00:00 09/11/2012] id: INV Line#2InsertDate el: 0 cu: CSRU cg: RN v1: 10 v2: 16 st: NotStopd t0: [08:00:00 09/11/2012] id: INV Line#2SiteAppear el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [08:00:00 09/11/2012] id: INV#2 WaveformAppear el: 0 cu: CSRU cg: RN v1: Sharp st: NotStopd t0: [08:00:00 09/11/2012] id: IV #1 Insert Date el: 0 cu: CSRU cg: RN v1: 10 v2: 16 st: NotStopd t0: [08:00:00 09/11/2012] id: IV #1 Site/Size el: 0 cu: CSRU cg: RN v1: Right Hand v2: 18 gauge st: NotStopd t0: [08:00:00 09/11/2012] id: IV #2 D/C Date el: 0 cu: CSRU cg: RN v1: 10 v2: 17 st: NotStopd t0: [08:00:00 09/11/2012] id: IV #2 Insert Date el: 0 cu: CSRU cg: RN v1: 10 v2: 14 st: NotStopd t0: [08:00:00 09/11/2012] id: IV #2 Site/Size el: 0 cu: CSRU cg: RN v1: Right Wrist v2: 20 gauge st: NotStopd t0: [08:00:00 09/11/2012] id: IV #3 Insert Date el: 0 cu: CSRU cg: RN v1: 10 v2: 16 st: NotStopd t0: [08:00:00 09/11/2012] id: IV #3 Site/Size el: 0 cu: CSRU cg: RN v1: Left Hand v2: 18 gauge st: NotStopd t0: [08:00:00 09/11/2012] id: Activity el: 0 cu: CSRU cg: RN v1: Bedrest st: NotStopd t0: [08:00:00 09/11/2012] id: IV Site Appear #1 el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [08:00:00 09/11/2012] id: IV Site Appear #2 el: 0 cu: CSRU cg: RN v1: Infiltrated st: NotStopd t0: [08:00:00 09/11/2012] id: IV Site Appear #3 el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [08:00:00 09/11/2012] id: Activity Tolerance el: 0 cu: CSRU cg: RN v1: Tolerated Well st: NotStopd t0: [08:00:00 09/11/2012] id: ImpSkin Treatment #1 el: 0 cu: CSRU cg: RN v1: Duoderm st: NotStopd t0: [08:00:00 09/11/2012] id: Impaired Skin Site#1 el: 0 cu: CSRU cg: RN v1: Coccyx st: NotStopd t0: [08:00:00 09/11/2012] id: AntiEmbDevice/Status el: 0 cu: CSRU cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [08:00:00 09/11/2012] id: Pain Location el: 0 cu: CSRU cg: RN v1: Not Indicated st: NotStopd t0: [08:00:00 09/11/2012] id: Position el: 0 cu: CSRU cg: RN v1: Supine st: NotStopd t0: [08:00:00 09/11/2012] id: Position Change el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [08:00:00 09/11/2012] id: Assistance Device el: 0 cu: CSRU cg: RN v1: 2 Person Assist st: NotStopd t0: [08:00:00 09/11/2012] id: Reason For Restraint el: 0 cu: CSRU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [08:00:00 09/11/2012] id: Removed x 5 Mins el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [08:00:00 09/11/2012] id: Restraint Location el: 0 cu: CSRU cg: RN v1: Both Arms st: NotStopd t0: [08:00:00 09/11/2012] id: Restraint Type el: 0 cu: CSRU cg: RN v1: Soft Limb st: NotStopd t0: [08:00:00 09/11/2012] id: Restraints Evaluated el: 0 cu: CSRU cg: RN v1: RestraintReapply st: NotStopd t0: [08:00:00 09/11/2012] id: Side Rails el: 0 cu: CSRU cg: RN v1: Side Rails Up st: NotStopd t0: [08:00:00 09/11/2012] id: Skin Color el: 0 cu: CSRU cg: RN v1: Jaundiced st: NotStopd t0: [08:00:00 09/11/2012] id: Skin Integrity el: 0 cu: CSRU cg: RN v1: Impaired st: NotStopd t0: [08:00:00 09/11/2012] id: Skin Temp/Condition el: 0 cu: CSRU cg: RN v1: Warm v2: Dry st: NotStopd t0: [08:00:00 09/11/2012] id: Stool Color/Consist el: 0 cu: CSRU cg: RN v1: Black v2: Liquid st: NotStopd t0: [08:00:00 09/11/2012] id: Stool Management el: 0 cu: CSRU cg: RN v1: Fecal Incont Bag st: NotStopd t0: [08:00:00 09/11/2012] id: Support Systems el: 0 cu: CSRU cg: RN v1: Spouse st: NotStopd t0: [08:00:00 09/11/2012] id: Turn el: 0 cu: CSRU cg: RN v1: Back st: NotStopd t0: [08:00:00 09/11/2012] id: Urine Color/Appear el: 0 cu: CSRU cg: RN v1: Icteric v2: Clear st: NotStopd t0: [08:00:00 09/11/2012] id: Urine Source el: 0 cu: CSRU cg: RN v1: Indwelling Cath st: NotStopd t0: [08:00:00 09/11/2012] id: WarmingDevice/Status el: 0 cu: CSRU cg: RN v1: Blanket v2: On st: NotStopd t0: [08:00:00 09/11/2012] id: Behavior el: 0 cu: CSRU cg: RN v1: Appropriate st: NotStopd t0: [08:00:00 09/11/2012] id: Braden Activity el: 0 cu: CSRU cg: RN v1: Bedfast st: NotStopd t0: [08:00:00 09/11/2012] id: Braden Frict/Shear el: 0 cu: CSRU cg: RN v1: Potential Prob st: NotStopd t0: [08:00:00 09/11/2012] id: Braden Mobility el: 0 cu: CSRU cg: RN v1: No Limitations st: NotStopd t0: [08:00:00 09/11/2012] id: Braden Moisture el: 0 cu: CSRU cg: RN v1: Rarely Moist st: NotStopd t0: [08:00:00 09/11/2012] id: Braden Nutrition el: 0 cu: CSRU cg: RN v1: Prob. Inadequate st: NotStopd t0: [08:00:00 09/11/2012] id: Braden Score el: 0 cu: CSRU cg: RN v1: 16 u1: number st: NotStopd t0: [08:00:00 09/11/2012] id: Braden SensoryPercep el: 0 cu: CSRU cg: RN v1: Sl. Limited st: NotStopd
t0: [07:27:00 09/11/2012] id: PT el: 0 cu: CSRU cg: 3161 v1: 14 rs: Final st: NotStopd t0: [07:27:00 09/11/2012] id: INR Coags el: 0 cu: CSRU cg: 3161 v1: 1.3 rs: Final st: NotStopd t0: [07:27:00 09/11/2012] id: PTT Coags el: 0 cu: CSRU cg: 3161 v1: 34.9 rs: Final st: NotStopd t0: [07:27:00 09/11/2012] id: INR (2-4 ref. range) Coags el: 0 cu: CSRU cg: 3161 v1: 1.3 rs: Final st: NotStopd t0: [07:27:00 09/11/2012] id: PT(11-13.5) Coags el: 0 cu: CSRU cg: 3161 v1: 14 rs: Final st: NotStopd t0: [07:27:00 09/11/2012] id: PTT(22-35) Coags el: 0 cu: CSRU cg: 3161 v1: 34.9 rs: Final st: NotStopd
t0: [09:00:00 09/11/2012] id: Service Type el: 0 cu: CSRU cg: RN v1: MICU st: NotStopd t0: [09:00:00 09/11/2012] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [09:00:00 09/11/2012] id: Riker-SAS Scale el: 0 cu: CSRU cg: RN v1: Calm/Cooperative st: NotStopd t0: [09:00:00 09/11/2012] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [09:00:00 09/11/2012] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [09:00:00 09/11/2012] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [09:00:00 09/11/2012] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 73 u1: BPM st: NotStopd t0: [09:00:00 09/11/2012] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [09:00:00 09/11/2012] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 129 u1: mmHg v2: 66 u2: mmHg st: NotStopd t0: [09:00:00 09/11/2012] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 88 u1: mmHg st: NotStopd t0: [09:00:00 09/11/2012] id: Precautions el: 0 cu: CSRU cg: RN v1: Contact st: NotStopd t0: [09:00:00 09/11/2012] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 16 u1: BPM st: NotStopd t0: [09:00:00 09/11/2012] id: SpO2 el: 0 cu: CSRU cg: RN v1: 100 u1: % st: NotStopd t0: [09:00:00 09/11/2012] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [09:00:00 09/11/2012] id: D5W 100.0ml + 600mcghr Sandostatin IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 8.33333 vu: ml t0: [09:00:00 09/11/2012] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: CSRU cg: RN ai: 416 vo: 5 vu: ml t0: [09:00:00 09/11/2012] id: .9% Normal Saline 50.0ml + 50mghr Midazolam IV Infusions el: 1 cu: CSRU cg: RN ai: 431 vo: 2 vu: ml t0: [09:00:00 09/11/2012] id: D5/.45NS 2000.0ml IV Infusions el: 1 cu: CSRU cg: RN ai: 113 vo: 150 vu: ml
t0: [09:00:00 09/11/2012] id: Fentanyl el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 75 du: mcghr sv: 250 su: ml rt: IV Drip t0: [09:00:00 09/11/2012] id: Midazolam el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 2 du: mghr sv: 50 su: ml rt: IV Drip t0: [09:00:00 09/11/2012] id: Sandostatin el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 50 du: mcghr sv: 100 su: ml rt: IV Drip
t0: [10:00:00 09/11/2012] id: Service Type el: 0 cu: CSRU cg: RN v1: MICU st: NotStopd t0: [10:00:00 09/11/2012] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [10:00:00 09/11/2012] id: Riker-SAS Scale el: 0 cu: CSRU cg: RN v1: Calm/Cooperative st: NotStopd t0: [10:00:00 09/11/2012] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [10:00:00 09/11/2012] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [10:00:00 09/11/2012] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [10:00:00 09/11/2012] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 64 u1: BPM st: NotStopd t0: [10:00:00 09/11/2012] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [10:00:00 09/11/2012] id: IV #2 D/C Date el: 0 cu: CSRU cg: -1 st: D/C'd t0: [10:00:00 09/11/2012] id: IV #2 Insert Date el: 0 cu: CSRU cg: -1 st: D/C'd t0: [10:00:00 09/11/2012] id: IV #2 Site/Size el: 0 cu: CSRU cg: -1 st: D/C'd t0: [10:00:00 09/11/2012] id: IV Site Appear #2 el: 0 cu: CSRU cg: -1 st: D/C'd t0: [10:00:00 09/11/2012] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 122 u1: mmHg v2: 64 u2: mmHg st: NotStopd t0: [10:00:00 09/11/2012] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 81 u1: mmHg st: NotStopd t0: [10:00:00 09/11/2012] id: Precautions el: 0 cu: CSRU cg: RN v1: Contact st: NotStopd t0: [10:00:00 09/11/2012] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 14 u1: BPM st: NotStopd t0: [10:00:00 09/11/2012] id: SpO2 el: 0 cu: CSRU cg: RN v1: 99 u1: % st: NotStopd t0: [10:00:00 09/11/2012] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [10:00:00 09/11/2012] id: D5W 100.0ml + 600mcghr Sandostatin IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 8.33333 vu: ml t0: [10:00:00 09/11/2012] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: CSRU cg: RN ai: 416 vo: 7.5 vu: ml t0: [10:00:00 09/11/2012] id: .9% Normal Saline 50.0ml + 50mghr Midazolam IV Infusions el: 1 cu: CSRU cg: RN ai: 431 vo: 2 vu: ml t0: [10:00:00 09/11/2012] id: D5/.45NS 2000.0ml IV Infusions el: 1 cu: CSRU cg: RN ai: 113 vo: 150 vu: ml
t0: [10:00:00 09/11/2012] id: Fentanyl el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 75 du: mcghr sv: 250 su: ml rt: IV Drip t0: [10:00:00 09/11/2012] id: Midazolam el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 2 du: mghr sv: 50 su: ml rt: IV Drip t0: [10:00:00 09/11/2012] id: Sandostatin el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 50 du: mcghr sv: 100 su: ml rt: IV Drip
tf: [09:00:00 10/11/2012] pt: IV Piggyback rt: IV fr: ONCE fs: 10 dn: 1 m1: Potassium Chloride v1: 40 u1: mEq m2: NS v2: 500 u2: ml tf: [09:00:00 10/11/2012] pt: IV Piggyback rt: IV fr: ONCE fs: 10 dn: 1 m1: Vancomycin HCl v1: 1000 u1: mg m2: Iso-Osmotic Dextrose v2: 200 u2: ml tf: [18:00:00 29/11/2012] pt: Unit Dose rt: PO fr: QD fs: 10 dn: 1 m1: Nadolol v1: 20 u1: mg
t0: [10:00:00 09/11/2012] id: .9% Normal Saline 500.0ml IV Infusions el: 1 cu: CSRU cg: RN ai: 126 vo: 0 vu: ml nb: 1
t0: [11:00:00 09/11/2012] id: Pain Present el: 0 cu: CSRU cg: RN v1: No st: NotStopd t0: [11:00:00 09/11/2012] id: Pain Assess Method el: 0 cu: CSRU cg: RN v1: Non-verbal cues st: NotStopd t0: [11:00:00 09/11/2012] id: PainLevel Acceptable el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [11:00:00 09/11/2012] id: Service Type el: 0 cu: CSRU cg: RN v1: MICU st: NotStopd t0: [11:00:00 09/11/2012] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [11:00:00 09/11/2012] id: Riker-SAS Scale el: 0 cu: CSRU cg: RN v1: Calm/Cooperative st: NotStopd t0: [11:00:00 09/11/2012] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [11:00:00 09/11/2012] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [11:00:00 09/11/2012] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [11:00:00 09/11/2012] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 62 u1: BPM st: NotStopd t0: [11:00:00 09/11/2012] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [11:00:00 09/11/2012] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 124 u1: mmHg v2: 59 u2: mmHg st: NotStopd t0: [11:00:00 09/11/2012] id: Pain Location el: 0 cu: CSRU cg: RN v1: Not Indicated st: NotStopd t0: [11:00:00 09/11/2012] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 81 u1: mmHg st: NotStopd t0: [11:00:00 09/11/2012] id: Precautions el: 0 cu: CSRU cg: RN v1: Contact st: NotStopd t0: [11:00:00 09/11/2012] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 21 u1: BPM st: NotStopd t0: [11:00:00 09/11/2012] id: SpO2 el: 0 cu: CSRU cg: RN v1: 100 u1: % st: NotStopd t0: [11:00:00 09/11/2012] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [11:00:00 09/11/2012] id: D5W 100.0ml + 600mcghr Sandostatin IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 8.33333 vu: ml t0: [11:00:00 09/11/2012] tf: [16:06:00 09/11/2012] dt: 306 id: .9% Normal Saline 500.0ml IV Infusions el: 1 cu: CSRU cg: RN ai: 126 vo: 125 vu: ml t0: [11:00:00 09/11/2012] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: CSRU cg: RN ai: 416 vo: 7.5 vu: ml t0: [11:00:00 09/11/2012] id: .9% Normal Saline 50.0ml + 50mghr Midazolam IV Infusions el: 1 cu: CSRU cg: RN ai: 431 vo: 2 vu: ml t0: [11:00:00 09/11/2012] id: D5/.45NS 2000.0ml IV Infusions el: 1 cu: CSRU cg: RN ai: 113 vo: 150 vu: ml
t0: [11:00:00 09/11/2012] id: Fentanyl el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 75 du: mcghr sv: 250 su: ml rt: IV Drip t0: [11:00:00 09/11/2012] id: Midazolam el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 2 du: mghr sv: 50 su: ml rt: IV Drip t0: [11:00:00 09/11/2012] id: Sandostatin el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 50 du: mcghr sv: 100 su: ml rt: IV Drip
t0: [11:00:00 09/11/2012] id: Compliance (40-60ml) el: 0 cu: CSRU cg: RRT v1: 23.0769 u1: ml/cmH st: NotStopd t0: [11:00:00 09/11/2012] id: ETT Mark/Location el: 0 cu: CSRU cg: RRT v1: 22cm v2: Lip st: NotStopd t0: [11:00:00 09/11/2012] id: FiO2 Set el: 0 cu: CSRU cg: RRT v1: 0.4 u1: torr st: NotStopd t0: [11:00:00 09/11/2012] id: Flow-By (lpm) el: 0 cu: CSRU cg: RRT v1: 6 u1: lpm st: NotStopd t0: [11:00:00 09/11/2012] id: Flow-by Sensitivity el: 0 cu: CSRU cg: RRT v1: 3 u1: cmH2O st: NotStopd t0: [11:00:00 09/11/2012] id: High Insp. Pressure el: 0 cu: CSRU cg: RRT v1: 50 u1: cmH2O st: NotStopd t0: [11:00:00 09/11/2012] id: High Resp. Rate el: 0 cu: CSRU cg: RRT v1: 36 u1: BPM st: NotStopd t0: [11:00:00 09/11/2012] id: I:E Ratio el: 0 cu: CSRU cg: RRT v1: 2.3 st: NotStopd t0: [11:00:00 09/11/2012] id: Airway Size el: 0 cu: CSRU cg: RRT v1: 8.0 mm st: NotStopd t0: [11:00:00 09/11/2012] id: Airway Type el: 0 cu: CSRU cg: RRT v1: Endotracheal st: NotStopd t0: [11:00:00 09/11/2012] id: Inspired Gas Temp el: 0 cu: CSRU cg: RRT u1: Deg. C st: NotStopd t0: [11:00:00 09/11/2012] id: Intubation Date el: 0 cu: CSRU cg: RRT v1: 10 v2: 16 st: NotStopd t0: [11:00:00 09/11/2012] id: Low Exhaled Min Vol el: 0 cu: CSRU cg: RRT v1: 5 st: NotStopd t0: [11:00:00 09/11/2012] id: Mean Airway Pressure el: 0 cu: CSRU cg: RRT v1: 12 u1: cmH2O st: NotStopd t0: [11:00:00 09/11/2012] id: Minute Volume(Obser) el: 0 cu: CSRU cg: RRT v1: 8 u1: L/min st: NotStopd t0: [11:00:00 09/11/2012] id: PEEP Set el: 0 cu: CSRU cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [11:00:00 09/11/2012] id: Apnea Time Interval el: 0 cu: CSRU cg: RRT v1: 20 st: NotStopd t0: [11:00:00 09/11/2012] id: Peak Flow el: 0 cu: CSRU cg: RRT v1: 50 u1: L/m st: NotStopd t0: [11:00:00 09/11/2012] id: Peak Insp. Pressure el: 0 cu: CSRU cg: RRT v1: 31 u1: cmH2O st: NotStopd t0: [11:00:00 09/11/2012] id: Plateau Pressure el: 0 cu: CSRU cg: RRT v1: 24 u1: cmH2O st: NotStopd t0: [11:00:00 09/11/2012] id: Plateau-Off el: 0 cu: CSRU cg: RRT v1: Yes st: NotStopd t0: [11:00:00 09/11/2012] id: Resp Rate (Spont) el: 0 cu: CSRU cg: RRT v1: 0 u1: BPM st: NotStopd t0: [11:00:00 09/11/2012] id: Resp Rate (Total) el: 0 cu: CSRU cg: RRT v1: 14 u1: BPM st: NotStopd t0: [11:00:00 09/11/2012] id: Respiratory Rate Set el: 0 cu: CSRU cg: RRT v1: 14 u1: BPM st: NotStopd t0: [11:00:00 09/11/2012] id: Sensitivity-Vent el: 0 cu: CSRU cg: RRT v1: 3 u1: cmH2O st: NotStopd t0: [11:00:00 09/11/2012] id: Tidal Volume (Obser) el: 0 cu: CSRU cg: RRT v1: 580 u1: ml/B st: NotStopd t0: [11:00:00 09/11/2012] id: Tidal Volume (Set) el: 0 cu: CSRU cg: RRT v1: 600 u1: ml/B st: NotStopd t0: [11:00:00 09/11/2012] id: Ventilator Mode el: 0 cu: CSRU cg: RRT v1: Assist Control st: NotStopd t0: [11:00:00 09/11/2012] id: Ventilator Type el: 0 cu: CSRU cg: RRT v1: 7200A st: NotStopd t0: [11:00:00 09/11/2012] id: Waveform-Vent el: 0 cu: CSRU cg: RRT v1: RAMP st: NotStopd
t0: [08:00:00 09/11/2012] id: Dorsal PedPulse R/L el: 0 cu: CSRU cg: RN v1: Doppler v2: Doppler st: NotStopd t0: [08:00:00 09/11/2012] id: PostTib. Pulses R/L el: 0 cu: CSRU cg: RN v1: Doppler v2: Doppler st: NotStopd t0: [09:00:00 09/11/2012] id: Family Communication el: 0 cu: CSRU cg: RN v1: Family Called st: NotStopd t0: [09:00:00 09/11/2012] id: Support Systems el: 0 cu: CSRU cg: RN v1: Spouse st: NotStopd t0: [11:00:00 09/11/2012] id: Eye Care el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [11:00:00 09/11/2012] id: HOB el: 0 cu: CSRU cg: RN v1: 45 degrees st: NotStopd t0: [11:00:00 09/11/2012] id: Activity el: 0 cu: CSRU cg: RN v1: Bedrest st: NotStopd t0: [11:00:00 09/11/2012] id: Activity Tolerance el: 0 cu: CSRU cg: RN v1: Tolerated Well st: NotStopd t0: [11:00:00 09/11/2012] id: Oral Care el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [11:00:00 09/11/2012] id: AntiEmbDevice/Status el: 0 cu: CSRU cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [11:00:00 09/11/2012] id: Position el: 0 cu: CSRU cg: RN v1: Left Side st: NotStopd t0: [11:00:00 09/11/2012] id: Assistance Device el: 0 cu: CSRU cg: RN v1: 2 Person Assist st: NotStopd t0: [11:00:00 09/11/2012] id: Skin Care el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [11:00:00 09/11/2012] id: Turn el: 0 cu: CSRU cg: RN v1: Side to Side st: NotStopd t0: [11:00:00 09/11/2012] id: Back Care el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [12:00:00 09/11/2012] id: Less Restrict Meas. el: 0 cu: CSRU cg: RN v1: Medicated st: NotStopd t0: [12:00:00 09/11/2012] id: Pain Present el: 0 cu: CSRU cg: RN v1: No st: NotStopd t0: [12:00:00 09/11/2012] id: Range of Motion el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [12:00:00 09/11/2012] id: Pain Assess Method el: 0 cu: CSRU cg: RN v1: Non-verbal cues st: NotStopd t0: [12:00:00 09/11/2012] id: PainLevel Acceptable el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [12:00:00 09/11/2012] id: Service Type el: 0 cu: CSRU cg: RN v1: MICU st: NotStopd t0: [12:00:00 09/11/2012] id: Circulation/SkinInt el: 0 cu: CSRU cg: RN v1: Circulation Adeq st: NotStopd t0: [12:00:00 09/11/2012] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [12:00:00 09/11/2012] id: Riker-SAS Scale el: 0 cu: CSRU cg: RN v1: Calm/Cooperative st: NotStopd t0: [12:00:00 09/11/2012] id: GI Prophylaxis el: 0 cu: CSRU cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [12:00:00 09/11/2012] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [12:00:00 09/11/2012] id: Diet Type el: 0 cu: CSRU cg: RN v1: NPO st: NotStopd t0: [12:00:00 09/11/2012] id: Dorsal PedPulse R/L el: 0 cu: CSRU cg: RN v1: Doppler v2: Doppler st: NotStopd t0: [12:00:00 09/11/2012] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [12:00:00 09/11/2012] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [12:00:00 09/11/2012] id: Eye Opening el: 0 cu: CSRU cg: RN v1: 4 Spontaneously st: NotStopd t0: [12:00:00 09/11/2012] id: Family Communication el: 0 cu: CSRU cg: RN v1: Family Called st: NotStopd t0: [12:00:00 09/11/2012] id: Follows Commands el: 0 cu: CSRU cg: RN v1: Consistently st: NotStopd t0: [12:00:00 09/11/2012] id: GCS Total el: 0 cu: CSRU cg: RN v1: 11 u1: points st: NotStopd t0: [12:00:00 09/11/2012] id: GI Intub #1/Site el: 0 cu: CSRU cg: RN v1: Salem Sump v2: Left Nare st: NotStopd t0: [12:00:00 09/11/2012] id: GI#1 Tube PlaceCheck el: 0 cu: CSRU cg: RN v1: Not Done st: NotStopd t0: [12:00:00 09/11/2012] id: GI#1 Tube Stat/Drain el: 0 cu: CSRU cg: RN v1: Low Cont Suction v2: Yellow st: NotStopd t0: [12:00:00 09/11/2012] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 68 u1: BPM st: NotStopd t0: [12:00:00 09/11/2012] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [12:00:00 09/11/2012] id: INV Line#1 Type/Site el: 0 cu: CSRU cg: RN v1: PICC line v2: Left Antecub st: NotStopd t0: [12:00:00 09/11/2012] id: INV Line#1InsertDate el: 0 cu: CSRU cg: RN v1: 10 v2: 8 st: NotStopd t0: [12:00:00 09/11/2012] id: INV Line#1SiteAppear el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [12:00:00 09/11/2012] id: INV Line#2 Type/Site el: 0 cu: CSRU cg: RN v1: A-Line v2: Left Radial st: NotStopd t0: [12:00:00 09/11/2012] id: INV Line#2 Zero/Cal el: 0 cu: CSRU cg: RN v1: No st: NotStopd t0: [12:00:00 09/11/2012] id: INV Line#2InsertDate el: 0 cu: CSRU cg: RN v1: 10 v2: 16 st: NotStopd t0: [12:00:00 09/11/2012] id: INV Line#2SiteAppear el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [12:00:00 09/11/2012] id: Abdominal Assessment el: 0 cu: CSRU cg: RN v1: Ascites st: NotStopd t0: [12:00:00 09/11/2012] id: INV#2 WaveformAppear el: 0 cu: CSRU cg: RN v1: Sharp st: NotStopd t0: [12:00:00 09/11/2012] id: IV #1 Insert Date el: 0 cu: CSRU cg: RN v1: 10 v2: 16 st: NotStopd t0: [12:00:00 09/11/2012] id: IV #1 Site/Size el: 0 cu: CSRU cg: RN v1: Right Hand v2: 18 gauge st: NotStopd t0: [12:00:00 09/11/2012] id: IV #3 Insert Date el: 0 cu: CSRU cg: RN v1: 10 v2: 16 st: NotStopd t0: [12:00:00 09/11/2012] id: IV #3 Site/Size el: 0 cu: CSRU cg: RN v1: Left Hand v2: 18 gauge st: NotStopd t0: [12:00:00 09/11/2012] id: IV Site Appear #1 el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [12:00:00 09/11/2012] id: IV Site Appear #3 el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [12:00:00 09/11/2012] id: Imp Skin Cleanse #1 el: 0 cu: CSRU cg: RN v1: Wound Cleanser st: NotStopd t0: [12:00:00 09/11/2012] id: ImpSkin Character #1 el: 0 cu: CSRU cg: RN v1: Abrasion st: NotStopd t0: [12:00:00 09/11/2012] id: ImpSkin Treatment #1 el: 0 cu: CSRU cg: RN v1: Duoderm st: NotStopd t0: [12:00:00 09/11/2012] id: ImpSkin Wound Base#1 el: 0 cu: CSRU cg: RN v1: Pink st: NotStopd t0: [12:00:00 09/11/2012] id: Impaired Skin Site#1 el: 0 cu: CSRU cg: RN v1: Coccyx st: NotStopd t0: [12:00:00 09/11/2012] id: LLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Coarse st: NotStopd t0: [12:00:00 09/11/2012] id: LUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [12:00:00 09/11/2012] id: Level of Conscious el: 0 cu: CSRU cg: RN v1: Arouse to Voice st: NotStopd t0: [12:00:00 09/11/2012] id: Motor Response el: 0 cu: CSRU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [12:00:00 09/11/2012] id: Oral Cavity el: 0 cu: CSRU cg: RN v1: Bleeding Gum st: NotStopd t0: [12:00:00 09/11/2012] id: Orientation el: 0 cu: CSRU cg: RN v1: Other/Remarks st: NotStopd t0: [12:00:00 09/11/2012] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 127 u1: mmHg v2: 61 u2: mmHg st: NotStopd t0: [12:00:00 09/11/2012] id: Pain Location el: 0 cu: CSRU cg: RN v1: Not Indicated st: NotStopd t0: [12:00:00 09/11/2012] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 82 u1: mmHg st: NotStopd t0: [12:00:00 09/11/2012] id: Position Change el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [12:00:00 09/11/2012] id: PostTib. Pulses R/L el: 0 cu: CSRU cg: RN v1: Doppler v2: Doppler st: NotStopd t0: [12:00:00 09/11/2012] id: Precautions el: 0 cu: CSRU cg: RN v1: Contact st: NotStopd t0: [12:00:00 09/11/2012] id: RLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Coarse st: NotStopd t0: [12:00:00 09/11/2012] id: RUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [12:00:00 09/11/2012] id: Reason For Restraint el: 0 cu: CSRU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [12:00:00 09/11/2012] id: Removed x 5 Mins el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [12:00:00 09/11/2012] id: Respiratory Pattern el: 0 cu: CSRU cg: RN v1: Regular st: NotStopd t0: [12:00:00 09/11/2012] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 15 u1: BPM st: NotStopd t0: [12:00:00 09/11/2012] id: Restraint Location el: 0 cu: CSRU cg: RN v1: Both Arms st: NotStopd t0: [12:00:00 09/11/2012] id: Restraint Type el: 0 cu: CSRU cg: RN v1: Soft Limb st: NotStopd t0: [12:00:00 09/11/2012] id: Restraints Evaluated el: 0 cu: CSRU cg: RN v1: RestraintReapply st: NotStopd t0: [12:00:00 09/11/2012] id: Side Rails el: 0 cu: CSRU cg: RN v1: Side Rails Up st: NotStopd t0: [12:00:00 09/11/2012] id: Skin Color el: 0 cu: CSRU cg: RN v1: Jaundiced st: NotStopd t0: [12:00:00 09/11/2012] id: Skin Integrity el: 0 cu: CSRU cg: RN v1: Impaired st: NotStopd t0: [12:00:00 09/11/2012] id: Skin Temp/Condition el: 0 cu: CSRU cg: RN v1: Warm v2: Dry st: NotStopd t0: [12:00:00 09/11/2012] id: SpO2 el: 0 cu: CSRU cg: RN v1: 98 u1: % st: NotStopd t0: [12:00:00 09/11/2012] id: Spontaneous Movement el: 0 cu: CSRU cg: RN v1: Purposeful st: NotStopd t0: [12:00:00 09/11/2012] id: Stool Color/Consist el: 0 cu: CSRU cg: RN v1: Black v2: Liquid st: NotStopd t0: [12:00:00 09/11/2012] id: Stool Management el: 0 cu: CSRU cg: RN v1: Fecal Incont Bag st: NotStopd t0: [12:00:00 09/11/2012] id: Support Systems el: 0 cu: CSRU cg: RN v1: Spouse st: NotStopd t0: [12:00:00 09/11/2012] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Oral st: NotStopd t0: [12:00:00 09/11/2012] id: Temperature C (calc) el: 0 cu: CSRU cg: RN v1: 36.5 u1: Deg. C st: NotStopd t0: [12:00:00 09/11/2012] id: Temperature F el: 0 cu: CSRU cg: RN v1: 97.7 u1: Deg. F st: NotStopd t0: [12:00:00 09/11/2012] id: Urine Color/Appear el: 0 cu: CSRU cg: RN v1: Icteric v2: Clear st: NotStopd t0: [12:00:00 09/11/2012] id: Urine Source el: 0 cu: CSRU cg: RN v1: Indwelling Cath st: NotStopd t0: [12:00:00 09/11/2012] id: Verbal Response el: 0 cu: CSRU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [12:00:00 09/11/2012] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [12:00:00 09/11/2012] id: Behavior el: 0 cu: CSRU cg: RN v1: Calm st: NotStopd t0: [12:00:00 09/11/2012] id: Bowel Sounds el: 0 cu: CSRU cg: RN v1: Present st: NotStopd
t0: [12:00:00 09/11/2012] id: D5W 100.0ml + 600mcghr Sandostatin IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 8.33333 vu: ml t0: [12:00:00 09/11/2012] id: .9% Normal Saline 500.0ml IV Infusions el: 1 cu: CSRU cg: RN ai: 126 vo: 125 vu: ml t0: [12:00:00 09/11/2012] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: CSRU cg: RN ai: 416 vo: 7.5 vu: ml t0: [12:00:00 09/11/2012] id: .9% Normal Saline 50.0ml + 50mghr Midazolam IV Infusions el: 1 cu: CSRU cg: RN ai: 431 vo: 2 vu: ml t0: [12:00:00 09/11/2012] id: D5/.45NS 2000.0ml IV Infusions el: 1 cu: CSRU cg: RN ai: 113 vo: 0 vu: ml
t0: [12:00:00 09/11/2012] id: Fentanyl el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 75 du: mcghr sv: 250 su: ml rt: IV Drip t0: [12:00:00 09/11/2012] id: Midazolam el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 2 du: mghr sv: 50 su: ml rt: IV Drip t0: [12:00:00 09/11/2012] id: Sandostatin el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 50 du: mcghr sv: 100 su: ml rt: IV Drip
t0: [13:00:00 09/11/2012] id: Service Type el: 0 cu: CSRU cg: RN v1: MICU st: NotStopd t0: [13:00:00 09/11/2012] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [13:00:00 09/11/2012] id: Riker-SAS Scale el: 0 cu: CSRU cg: RN v1: Calm/Cooperative st: NotStopd t0: [13:00:00 09/11/2012] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [13:00:00 09/11/2012] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [13:00:00 09/11/2012] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [13:00:00 09/11/2012] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 67 u1: BPM st: NotStopd t0: [13:00:00 09/11/2012] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [13:00:00 09/11/2012] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 118 u1: mmHg v2: 53 u2: mmHg st: NotStopd t0: [13:00:00 09/11/2012] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 72 u1: mmHg st: NotStopd t0: [13:00:00 09/11/2012] id: Precautions el: 0 cu: CSRU cg: RN v1: Contact st: NotStopd t0: [13:00:00 09/11/2012] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 14 u1: BPM st: NotStopd t0: [13:00:00 09/11/2012] id: SpO2 el: 0 cu: CSRU cg: RN v1: 99 u1: % st: NotStopd t0: [13:00:00 09/11/2012] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [13:00:00 09/11/2012] id: D5W 100.0ml + 600mcghr Sandostatin IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 8.33333 vu: ml t0: [13:00:00 09/11/2012] id: .9% Normal Saline 500.0ml IV Infusions el: 1 cu: CSRU cg: RN ai: 126 vo: 125 vu: ml t0: [13:00:00 09/11/2012] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: CSRU cg: RN ai: 416 vo: 7.5 vu: ml t0: [13:00:00 09/11/2012] id: .9% Normal Saline 50.0ml + 50mghr Midazolam IV Infusions el: 1 cu: CSRU cg: RN ai: 431 vo: 2 vu: ml
t0: [13:00:00 09/11/2012] id: Fentanyl el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 75 du: mcghr sv: 250 su: ml rt: IV Drip t0: [13:00:00 09/11/2012] id: Midazolam el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 2 du: mghr sv: 50 su: ml rt: IV Drip t0: [13:00:00 09/11/2012] id: Sandostatin el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 50 du: mcghr sv: 100 su: ml rt: IV Drip
tf: [13:00:00 10/11/2012] pt: Unit Dose rt: IV fr: ONCE fs: 14 dn: 1 m1: Magnesium Sulfate v1: 2 u1: gm
t0: [14:00:00 09/11/2012] id: Service Type el: 0 cu: CSRU cg: RN v1: MICU st: NotStopd t0: [14:00:00 09/11/2012] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [14:00:00 09/11/2012] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [14:00:00 09/11/2012] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [14:00:00 09/11/2012] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [14:00:00 09/11/2012] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 63 u1: BPM st: NotStopd t0: [14:00:00 09/11/2012] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [14:00:00 09/11/2012] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 123 u1: mmHg v2: 56 u2: mmHg st: NotStopd t0: [14:00:00 09/11/2012] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 77 u1: mmHg st: NotStopd t0: [14:00:00 09/11/2012] id: Precautions el: 0 cu: CSRU cg: RN v1: Contact st: NotStopd t0: [14:00:00 09/11/2012] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 14 u1: BPM st: NotStopd t0: [14:00:00 09/11/2012] id: SpO2 el: 0 cu: CSRU cg: RN v1: 98 u1: % st: NotStopd t0: [14:00:00 09/11/2012] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [14:00:00 09/11/2012] id: D5W 100.0ml + 600mcghr Sandostatin IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 8.33333 vu: ml t0: [14:00:00 09/11/2012] id: .9% Normal Saline 500.0ml IV Infusions el: 1 cu: CSRU cg: RN ai: 126 vo: 125 vu: ml t0: [14:00:00 09/11/2012] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: CSRU cg: RN ai: 416 vo: 7.5 vu: ml t0: [14:00:00 09/11/2012] id: .9% Normal Saline 50.0ml + 50mghr Midazolam IV Infusions el: 1 cu: CSRU cg: RN ai: 431 vo: 2 vu: ml
t0: [14:00:00 09/11/2012] id: Fentanyl el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 75 du: mcghr sv: 250 su: ml rt: IV Drip t0: [14:00:00 09/11/2012] id: Midazolam el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 2 du: mghr sv: 50 su: ml rt: IV Drip t0: [14:00:00 09/11/2012] id: Sandostatin el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 50 du: mcghr sv: 100 su: ml rt: IV Drip
t0: [13:20:00 09/11/2012] id: Hematocrit Hematology el: 0 cu: CSRU cg: 3161 v1: 29.4 u1: % rs: Final st: NotStopd t0: [13:20:00 09/11/2012] id: Platelets Hematology el: 0 cu: CSRU cg: 3161 v1: 137 rs: Final st: NotStopd
t0: [14:30:00 09/11/2012] id: Service Type el: 0 cu: CSRU cg: RN v1: MICU st: NotStopd t0: [14:30:00 09/11/2012] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [14:30:00 09/11/2012] id: Riker-SAS Scale el: 0 cu: CSRU cg: RN v1: Calm/Cooperative st: NotStopd t0: [14:30:00 09/11/2012] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [14:30:00 09/11/2012] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [14:30:00 09/11/2012] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [14:30:00 09/11/2012] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 66 u1: BPM st: NotStopd t0: [14:30:00 09/11/2012] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [14:30:00 09/11/2012] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 118 u1: mmHg v2: 53 u2: mmHg st: NotStopd t0: [14:30:00 09/11/2012] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 73 u1: mmHg st: NotStopd t0: [14:30:00 09/11/2012] id: Precautions el: 0 cu: CSRU cg: RN v1: Contact st: NotStopd t0: [14:30:00 09/11/2012] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 14 u1: BPM st: NotStopd t0: [14:30:00 09/11/2012] id: SpO2 el: 0 cu: CSRU cg: RN v1: 98 u1: % st: NotStopd t0: [14:30:00 09/11/2012] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [14:30:00 09/11/2012] id: Fentanyl el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 250 su: ml rt: IV Drip t0: [14:30:00 09/11/2012] id: Midazolam el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 2 du: mghr sv: 50 su: ml rt: IV Drip t0: [14:30:00 09/11/2012] id: Sandostatin el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 50 du: mcghr sv: 100 su: ml rt: IV Drip
t0: [13:20:00 09/11/2012] id: PT el: 0 cu: CSRU cg: 3161 v1: 14.2 rs: Final st: NotStopd t0: [13:20:00 09/11/2012] id: INR Coags el: 0 cu: CSRU cg: 3161 v1: 1.3 rs: Final st: NotStopd t0: [13:20:00 09/11/2012] id: PTT Coags el: 0 cu: CSRU cg: 3161 v1: 36.2 rs: Final st: NotStopd t0: [13:20:00 09/11/2012] id: INR (2-4 ref. range) Coags el: 0 cu: CSRU cg: 3161 v1: 1.3 rs: Final st: NotStopd t0: [13:20:00 09/11/2012] id: PT(11-13.5) Coags el: 0 cu: CSRU cg: 3161 v1: 14.2 rs: Final st: NotStopd t0: [13:20:00 09/11/2012] id: PTT(22-35) Coags el: 0 cu: CSRU cg: 3161 v1: 36.2 rs: Final st: NotStopd
t0: [15:00:00 09/11/2012] id: Service Type el: 0 cu: CSRU cg: RN v1: MICU st: NotStopd t0: [15:00:00 09/11/2012] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [15:00:00 09/11/2012] id: Riker-SAS Scale el: 0 cu: CSRU cg: RN v1: Calm/Cooperative st: NotStopd t0: [15:00:00 09/11/2012] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [15:00:00 09/11/2012] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [15:00:00 09/11/2012] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [15:00:00 09/11/2012] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 65 u1: BPM st: NotStopd t0: [15:00:00 09/11/2012] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [15:00:00 09/11/2012] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 123 u1: mmHg v2: 56 u2: mmHg st: NotStopd t0: [15:00:00 09/11/2012] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 77 u1: mmHg st: NotStopd t0: [15:00:00 09/11/2012] id: Precautions el: 0 cu: CSRU cg: RN v1: Contact st: NotStopd t0: [15:00:00 09/11/2012] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 14 u1: BPM st: NotStopd t0: [15:00:00 09/11/2012] id: SpO2 el: 0 cu: CSRU cg: RN v1: 98 u1: % st: NotStopd t0: [15:00:00 09/11/2012] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [13:00:00 09/11/2012] id: Gastric Nasogastric el: 1 cu: CSRU cg: RN vo: 100 vu: ml t0: [15:00:00 09/11/2012] id: D5W 100.0ml + 600mcghr Sandostatin IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 8.33333 vu: ml t0: [15:00:00 09/11/2012] id: .9% Normal Saline 500.0ml IV Infusions el: 1 cu: CSRU cg: RN ai: 126 vo: 125 vu: ml t0: [15:00:00 09/11/2012] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: CSRU cg: RN ai: 416 vo: 6.25 vu: ml t0: [15:00:00 09/11/2012] id: .9% Normal Saline 50.0ml + 50mghr Midazolam IV Infusions el: 1 cu: CSRU cg: RN ai: 431 vo: 2 vu: ml
t0: [15:00:00 09/11/2012] id: Fentanyl el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 250 su: ml rt: IV Drip t0: [15:00:00 09/11/2012] id: Midazolam el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 1.5 du: mghr sv: 50 su: ml rt: IV Drip t0: [15:00:00 09/11/2012] id: Sandostatin el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 50 du: mcghr sv: 100 su: ml rt: IV Drip
t0: [23:00:00 09/11/2012] dt: 24 id: Gastric Out Total el: 3 cu: CSRU cg: RN cv: 100 ap: none
t0: [15:00:00 09/11/2012] id: Compliance (40-60ml) el: 0 cu: CSRU cg: RRT v1: 26.087 u1: ml/cmH st: NotStopd t0: [15:00:00 09/11/2012] id: ETT Mark/Location el: 0 cu: CSRU cg: RRT v1: 22cm v2: Lip st: NotStopd t0: [15:00:00 09/11/2012] id: FiO2 Set el: 0 cu: CSRU cg: RRT v1: 0.4 u1: torr st: NotStopd t0: [15:00:00 09/11/2012] id: Flow-By (lpm) el: 0 cu: CSRU cg: RRT v1: 6 u1: lpm st: NotStopd t0: [15:00:00 09/11/2012] id: Flow-by Sensitivity el: 0 cu: CSRU cg: RRT v1: 3 u1: cmH2O st: NotStopd t0: [15:00:00 09/11/2012] id: High Insp. Pressure el: 0 cu: CSRU cg: RRT v1: 50 u1: cmH2O st: NotStopd t0: [15:00:00 09/11/2012] id: High Resp. Rate el: 0 cu: CSRU cg: RRT v1: 36 u1: BPM st: NotStopd t0: [15:00:00 09/11/2012] id: I:E Ratio el: 0 cu: CSRU cg: RRT v1: 2.3 st: NotStopd t0: [15:00:00 09/11/2012] id: Airway Size el: 0 cu: CSRU cg: RRT v1: 8.0 mm st: NotStopd t0: [15:00:00 09/11/2012] id: Airway Type el: 0 cu: CSRU cg: RRT v1: Endotracheal st: NotStopd t0: [15:00:00 09/11/2012] id: Inspired Gas Temp el: 0 cu: CSRU cg: RRT u1: Deg. C st: NotStopd t0: [15:00:00 09/11/2012] id: Intubation Date el: 0 cu: CSRU cg: RRT v1: 10 v2: 16 st: NotStopd t0: [15:00:00 09/11/2012] id: Low Exhaled Min Vol el: 0 cu: CSRU cg: RRT v1: 5 st: NotStopd t0: [15:00:00 09/11/2012] id: Mean Airway Pressure el: 0 cu: CSRU cg: RRT v1: 12 u1: cmH2O st: NotStopd t0: [15:00:00 09/11/2012] id: Minute Volume(Obser) el: 0 cu: CSRU cg: RRT v1: 7.9 u1: L/min st: NotStopd t0: [15:00:00 09/11/2012] id: PEEP Set el: 0 cu: CSRU cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [15:00:00 09/11/2012] id: Apnea Time Interval el: 0 cu: CSRU cg: RRT v1: 20 st: NotStopd t0: [15:00:00 09/11/2012] id: Peak Flow el: 0 cu: CSRU cg: RRT v1: 50 u1: L/m st: NotStopd t0: [15:00:00 09/11/2012] id: Peak Insp. Pressure el: 0 cu: CSRU cg: RRT v1: 28 u1: cmH2O st: NotStopd t0: [15:00:00 09/11/2012] id: Plateau-Off el: 0 cu: CSRU cg: RRT v1: Yes st: NotStopd t0: [15:00:00 09/11/2012] id: Resp Rate (Spont) el: 0 cu: CSRU cg: RRT v1: 0 u1: BPM st: NotStopd t0: [15:00:00 09/11/2012] id: Resp Rate (Total) el: 0 cu: CSRU cg: RRT v1: 14 u1: BPM st: NotStopd t0: [15:00:00 09/11/2012] id: Respiratory Rate Set el: 0 cu: CSRU cg: RRT v1: 14 u1: BPM st: NotStopd t0: [15:00:00 09/11/2012] id: Sensitivity-Vent el: 0 cu: CSRU cg: RRT v1: 3 u1: cmH2O st: NotStopd t0: [15:00:00 09/11/2012] id: Tidal Volume (Obser) el: 0 cu: CSRU cg: RRT v1: 560 u1: ml/B st: NotStopd t0: [15:00:00 09/11/2012] id: Tidal Volume (Set) el: 0 cu: CSRU cg: RRT v1: 600 u1: ml/B st: NotStopd t0: [15:00:00 09/11/2012] id: Ventilator Mode el: 0 cu: CSRU cg: RRT v1: Assist Control st: NotStopd t0: [15:00:00 09/11/2012] id: Ventilator Type el: 0 cu: CSRU cg: RRT v1: 7200A st: NotStopd t0: [15:00:00 09/11/2012] id: Waveform-Vent el: 0 cu: CSRU cg: RRT v1: RAMP st: NotStopd
t0: [16:00:00 09/11/2012] id: Service Type el: 0 cu: CSRU cg: Co-Wkr v1: MICU st: NotStopd t0: [16:00:00 09/11/2012] id: Code Status el: 0 cu: CSRU cg: Co-Wkr v1: Full Code st: NotStopd t0: [16:00:00 09/11/2012] id: Risk for Falls el: 0 cu: CSRU cg: Co-Wkr v1: Yes st: NotStopd t0: [16:00:00 09/11/2012] id: Heart Rate el: 0 cu: CSRU cg: Co-Wkr v1: 68 u1: BPM st: NotStopd t0: [16:00:00 09/11/2012] id: Arterial BP el: 0 cu: CSRU cg: Co-Wkr v1: 121 u1: mmHg v2: 56 u2: mmHg st: NotStopd t0: [16:00:00 09/11/2012] id: Arterial BP Mean el: 0 cu: CSRU cg: Co-Wkr v1: 75 u1: mmHg st: NotStopd t0: [16:00:00 09/11/2012] id: Precautions el: 0 cu: CSRU cg: Co-Wkr v1: Contact st: NotStopd t0: [16:00:00 09/11/2012] id: Respiratory Rate el: 0 cu: CSRU cg: Co-Wkr v1: 14 u1: BPM st: NotStopd t0: [16:00:00 09/11/2012] id: SpO2 el: 0 cu: CSRU cg: Co-Wkr v1: 100 u1: % st: NotStopd t0: [16:00:00 09/11/2012] id: calprevflg el: 0 cu: CSRU cg: Co-Wkr v1: 1 u1: kg st: NotStopd
t0: [16:00:00 09/11/2012] id: Fentanyl el: 1 cu: CSRU cg: Co-Wkr so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 250 su: ml rt: IV Drip t0: [16:00:00 09/11/2012] id: Midazolam el: 1 cu: CSRU cg: Co-Wkr so: .9% Normal Saline vo: 0 v1: 1.5 du: mghr sv: 50 su: ml rt: IV Drip t0: [16:00:00 09/11/2012] id: Sandostatin el: 1 cu: CSRU cg: Co-Wkr so: D5W vo: 0 v1: 50 du: mcghr sv: 100 su: ml rt: IV Drip
t0: [16:00:00 09/11/2012] id: D5W 100.0ml + 600mcghr Sandostatin IV Infusions el: 1 cu: CSRU cg: Co-Wkr ai: 107 vo: 8.33333 vu: ml t0: [16:00:00 09/11/2012] id: .9% Normal Saline 500.0ml IV Infusions el: 1 cu: CSRU cg: Co-Wkr ai: 126 vo: 125 vu: ml t0: [16:00:00 09/11/2012] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: CSRU cg: Co-Wkr ai: 416 vo: 5 vu: ml t0: [16:00:00 09/11/2012] id: .9% Normal Saline 50.0ml + 50mghr Midazolam IV Infusions el: 1 cu: CSRU cg: Co-Wkr ai: 431 vo: 1.5 vu: ml
t0: [06:00:00 09/11/2012] id: Previous Weight el: 0 cu: CSRU cg: RN v1: 115.6 u1: kg st: NotStopd t0: [06:00:00 09/11/2012] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 115.6 u1: kg st: NotStopd t0: [06:00:00 09/11/2012] id: Weight Change el: 0 cu: CSRU cg: RN v1: 0 u1: kg st: NotStopd t0: [06:00:00 09/11/2012] id: Daily Weight el: 0 cu: CSRU cg: RN v1: 115.6 u1: kg st: NotStopd t0: [07:00:00 09/11/2012] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 115.6 u1: kg st: NotStopd t0: [08:00:00 09/11/2012] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 115.6 u1: kg st: NotStopd t0: [09:00:00 09/11/2012] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 115.6 u1: kg st: NotStopd t0: [10:00:00 09/11/2012] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 115.6 u1: kg st: NotStopd t0: [11:00:00 09/11/2012] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 115.6 u1: kg st: NotStopd t0: [12:00:00 09/11/2012] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 115.6 u1: kg st: NotStopd t0: [13:00:00 09/11/2012] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 115.6 u1: kg st: NotStopd t0: [14:00:00 09/11/2012] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 115.6 u1: kg st: NotStopd t0: [14:30:00 09/11/2012] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 115.6 u1: kg st: NotStopd t0: [15:00:00 09/11/2012] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 115.6 u1: kg st: NotStopd t0: [16:00:00 09/11/2012] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 115.6 u1: kg st: NotStopd
tf: [18:00:00 29/11/2012] pt: Unit Dose rt: PO fr: TID fs: 08, 16, 22 dn: 3 m1: Lactulose v1: 30 u1: ml
tf: [21:40:00 12/11/2012] dt: 4653 cu: MICU-A de: FA6A
t0: [16:00:00 09/11/2012] id: Less Restrict Meas. el: 0 cu: MICU-A cg: RN v1: Medicated st: NotStopd t0: [16:00:00 09/11/2012] id: Pain Present el: 0 cu: MICU-A cg: RN v1: No st: NotStopd t0: [16:00:00 09/11/2012] id: Pain Assess Method el: 0 cu: MICU-A cg: RN v1: Non-verbal cues st: NotStopd t0: [16:00:00 09/11/2012] id: PainLevel Acceptable el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [16:00:00 09/11/2012] id: Circulation/SkinInt el: 0 cu: MICU-A cg: RN v1: Circulation Adeq st: NotStopd t0: [16:00:00 09/11/2012] id: Riker-SAS Scale el: 0 cu: MICU-A cg: RN v1: Calm/Cooperative st: NotStopd t0: [16:00:00 09/11/2012] id: GI Prophylaxis el: 0 cu: MICU-A cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [16:00:00 09/11/2012] id: Diet Type el: 0 cu: MICU-A cg: RN v1: NPO st: NotStopd t0: [16:00:00 09/11/2012] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [16:00:00 09/11/2012] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [16:00:00 09/11/2012] id: Eye Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [16:00:00 09/11/2012] id: Eye Opening el: 0 cu: MICU-A cg: RN v1: 3 To speech st: NotStopd t0: [16:00:00 09/11/2012] id: Follows Commands el: 0 cu: MICU-A cg: RN v1: Consistently st: NotStopd t0: [16:00:00 09/11/2012] id: GCS Total el: 0 cu: MICU-A cg: RN v1: 10 u1: points st: NotStopd t0: [16:00:00 09/11/2012] id: GI Intub #1/Site el: 0 cu: MICU-A cg: RN v1: Salem Sump v2: Left Nare st: NotStopd t0: [16:00:00 09/11/2012] id: GI#1 Tube Stat/Drain el: 0 cu: MICU-A cg: RN v1: Clamped st: NotStopd t0: [16:00:00 09/11/2012] id: HOB el: 0 cu: MICU-A cg: RN v1: 45 degrees st: NotStopd t0: [16:00:00 09/11/2012] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [16:00:00 09/11/2012] id: INV Line#1 Type/Site el: 0 cu: MICU-A cg: RN v1: PICC line v2: Left Antecub st: NotStopd t0: [16:00:00 09/11/2012] id: INV Line#1InsertDate el: 0 cu: MICU-A cg: RN v1: 10 v2: 8 st: NotStopd t0: [16:00:00 09/11/2012] id: INV Line#1SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [16:00:00 09/11/2012] id: INV Line#2 Type/Site el: 0 cu: MICU-A cg: RN v1: A-Line v2: Left Radial st: NotStopd t0: [16:00:00 09/11/2012] id: INV Line#2 Zero/Cal el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [16:00:00 09/11/2012] id: INV Line#2InsertDate el: 0 cu: MICU-A cg: RN v1: 10 v2: 16 st: NotStopd t0: [16:00:00 09/11/2012] id: INV Line#2SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [16:00:00 09/11/2012] id: Abdominal Assessment el: 0 cu: MICU-A cg: RN v1: Ascites st: NotStopd t0: [16:00:00 09/11/2012] id: INV#2 WaveformAppear el: 0 cu: MICU-A cg: RN v1: Sharp st: NotStopd t0: [16:00:00 09/11/2012] id: IV #1 Insert Date el: 0 cu: MICU-A cg: RN v1: 10 v2: 16 st: NotStopd t0: [16:00:00 09/11/2012] id: IV #1 Site/Size el: 0 cu: MICU-A cg: RN v1: Right Hand v2: 18 gauge st: NotStopd t0: [16:00:00 09/11/2012] id: IV #3 Insert Date el: 0 cu: MICU-A cg: RN v1: 10 v2: 16 st: NotStopd t0: [16:00:00 09/11/2012] id: IV #3 Site/Size el: 0 cu: MICU-A cg: RN v1: Left Hand v2: 18 gauge st: NotStopd t0: [16:00:00 09/11/2012] id: Activity el: 0 cu: MICU-A cg: RN v1: Bedrest st: NotStopd t0: [16:00:00 09/11/2012] id: IV Site Appear #1 el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [16:00:00 09/11/2012] id: IV Site Appear #3 el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [16:00:00 09/11/2012] id: Activity Tolerance el: 0 cu: MICU-A cg: RN v1: Tolerated Well st: NotStopd t0: [16:00:00 09/11/2012] id: Impaired Skin Site#1 el: 0 cu: MICU-A cg: RN v1: Coccyx st: NotStopd t0: [16:00:00 09/11/2012] id: LLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [16:00:00 09/11/2012] id: LUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [16:00:00 09/11/2012] id: Level of Conscious el: 0 cu: MICU-A cg: RN v1: Arouse to Voice st: NotStopd t0: [16:00:00 09/11/2012] id: Motor Response el: 0 cu: MICU-A cg: RN v1: 6 Obeys Commands st: NotStopd t0: [16:00:00 09/11/2012] id: Oral Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [16:00:00 09/11/2012] id: Oral Cavity el: 0 cu: MICU-A cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [16:00:00 09/11/2012] id: Orientation el: 0 cu: MICU-A cg: RN v1: Other/Remarks st: NotStopd t0: [16:00:00 09/11/2012] id: AntiEmbDevice/Status el: 0 cu: MICU-A cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [16:00:00 09/11/2012] id: Pain Location el: 0 cu: MICU-A cg: RN v1: Not Indicated st: NotStopd t0: [16:00:00 09/11/2012] id: Position el: 0 cu: MICU-A cg: RN v1: Supine st: NotStopd t0: [16:00:00 09/11/2012] id: Position Change el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [16:00:00 09/11/2012] id: Assistance Device el: 0 cu: MICU-A cg: RN v1: 2 Person Assist st: NotStopd t0: [16:00:00 09/11/2012] id: RLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [16:00:00 09/11/2012] id: RUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [16:00:00 09/11/2012] id: Reason For Restraint el: 0 cu: MICU-A cg: RN v1: Ext/TXInterfere st: NotStopd t0: [16:00:00 09/11/2012] id: Respiratory Pattern el: 0 cu: MICU-A cg: RN v1: Regular st: NotStopd t0: [16:00:00 09/11/2012] id: Restraint Location el: 0 cu: MICU-A cg: RN v1: Both Arms st: NotStopd t0: [16:00:00 09/11/2012] id: Restraint Type el: 0 cu: MICU-A cg: RN v1: Soft Limb st: NotStopd t0: [16:00:00 09/11/2012] id: Restraints Evaluated el: 0 cu: MICU-A cg: RN v1: Behavior Conts st: NotStopd t0: [16:00:00 09/11/2012] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [16:00:00 09/11/2012] id: Significant Events el: 0 cu: MICU-A cg: RN v1: Other/Remarks st: NotStopd t0: [16:00:00 09/11/2012] id: Skin Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [16:00:00 09/11/2012] id: Spontaneous Movement el: 0 cu: MICU-A cg: RN v1: Purposeful st: NotStopd t0: [16:00:00 09/11/2012] id: Support Systems el: 0 cu: MICU-A cg: RN v1: Spouse st: NotStopd t0: [16:00:00 09/11/2012] id: Turn el: 0 cu: MICU-A cg: RN v1: Side to Side st: NotStopd t0: [16:00:00 09/11/2012] id: Urine Color/Appear el: 0 cu: MICU-A cg: RN v1: Icteric v2: Clear st: NotStopd t0: [16:00:00 09/11/2012] id: Urine Source el: 0 cu: MICU-A cg: RN v1: Indwelling Cath st: NotStopd t0: [16:00:00 09/11/2012] id: Verbal Response el: 0 cu: MICU-A cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [16:00:00 09/11/2012] id: Back Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [16:00:00 09/11/2012] id: Behavior el: 0 cu: MICU-A cg: RN v1: Calm st: NotStopd t0: [16:00:00 09/11/2012] id: Bowel Sounds el: 0 cu: MICU-A cg: RN v1: Present st: NotStopd
t0: [17:00:00 09/11/2012] id: Compliance (40-60ml) el: 0 cu: MICU-A cg: RRT v1: 26.5487 u1: ml/cmH st: NotStopd t0: [17:00:00 09/11/2012] id: ETT Mark/Location el: 0 cu: MICU-A cg: RRT v1: 22cm v2: Lip st: NotStopd t0: [17:00:00 09/11/2012] id: FiO2 Set el: 0 cu: MICU-A cg: RRT v1: 0.4 u1: torr st: NotStopd t0: [17:00:00 09/11/2012] id: Flow-By (lpm) el: 0 cu: MICU-A cg: RRT v1: 6 u1: lpm st: NotStopd t0: [17:00:00 09/11/2012] id: Flow-by Sensitivity el: 0 cu: MICU-A cg: RRT v1: 3 u1: cmH2O st: NotStopd t0: [17:00:00 09/11/2012] id: High Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 50 u1: cmH2O st: NotStopd t0: [17:00:00 09/11/2012] id: High Resp. Rate el: 0 cu: MICU-A cg: RRT v1: 35 u1: BPM st: NotStopd t0: [17:00:00 09/11/2012] id: I:E Ratio el: 0 cu: MICU-A cg: RRT v1: 1:2.3 st: NotStopd t0: [17:00:00 09/11/2012] id: Airway Size el: 0 cu: MICU-A cg: RRT v1: 8.0 mm st: NotStopd t0: [17:00:00 09/11/2012] id: Airway Type el: 0 cu: MICU-A cg: RRT v1: Endotracheal st: NotStopd t0: [17:00:00 09/11/2012] id: Inspired Gas Temp el: 0 cu: MICU-A cg: RRT u1: Deg. C st: NotStopd t0: [17:00:00 09/11/2012] id: Intubation Date el: 0 cu: MICU-A cg: RRT v1: 10 v2: 16 st: NotStopd t0: [17:00:00 09/11/2012] id: Low Exhaled Min Vol el: 0 cu: MICU-A cg: RRT v1: 3 st: NotStopd t0: [17:00:00 09/11/2012] id: Mean Airway Pressure el: 0 cu: MICU-A cg: RRT v1: 15.6 u1: cmH2O st: NotStopd t0: [17:00:00 09/11/2012] id: Minute Volume(Obser) el: 0 cu: MICU-A cg: RRT v1: 7.9 u1: L/min st: NotStopd t0: [17:00:00 09/11/2012] id: PEEP Set el: 0 cu: MICU-A cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [17:00:00 09/11/2012] id: Apnea Time Interval el: 0 cu: MICU-A cg: RRT v1: 20 st: NotStopd t0: [17:00:00 09/11/2012] id: Peak Flow el: 0 cu: MICU-A cg: RRT v1: 50 u1: L/m st: NotStopd t0: [17:00:00 09/11/2012] id: Peak Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 27.6 u1: cmH2O st: NotStopd t0: [17:00:00 09/11/2012] id: Plateau Pressure el: 0 cu: MICU-A cg: RRT v1: 22.5 u1: cmH2O st: NotStopd t0: [17:00:00 09/11/2012] id: Plateau-Off el: 0 cu: MICU-A cg: RRT v1: Yes st: NotStopd t0: [17:00:00 09/11/2012] id: Resp Rate (Spont) el: 0 cu: MICU-A cg: RRT v1: 0 u1: BPM st: NotStopd t0: [17:00:00 09/11/2012] id: Resp Rate (Total) el: 0 cu: MICU-A cg: RRT v1: 14 u1: BPM st: NotStopd t0: [17:00:00 09/11/2012] id: Respiratory Rate Set el: 0 cu: MICU-A cg: RRT v1: 14 u1: BPM st: NotStopd t0: [17:00:00 09/11/2012] id: Sensitivity-Vent el: 0 cu: MICU-A cg: RRT v1: 2 u1: cmH2O st: NotStopd t0: [17:00:00 09/11/2012] id: SpO2 el: 0 cu: MICU-A cg: RRT v1: 99 u1: % st: NotStopd t0: [17:00:00 09/11/2012] id: Tidal Volume (Obser) el: 0 cu: MICU-A cg: RRT v1: 570 u1: ml/B st: NotStopd t0: [17:00:00 09/11/2012] id: Tidal Volume (Set) el: 0 cu: MICU-A cg: RRT v1: 600 u1: ml/B st: NotStopd t0: [17:00:00 09/11/2012] id: Ventilator Mode el: 0 cu: MICU-A cg: RRT v1: Assist Control st: NotStopd t0: [17:00:00 09/11/2012] id: Ventilator Type el: 0 cu: MICU-A cg: RRT v1: 7200A st: NotStopd t0: [17:00:00 09/11/2012] id: Waveform-Vent el: 0 cu: MICU-A cg: RRT v1: RAMP st: NotStopd
t0: [17:00:00 09/11/2012] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [17:00:00 09/11/2012] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [17:00:00 09/11/2012] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [17:00:00 09/11/2012] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [17:00:00 09/11/2012] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [17:00:00 09/11/2012] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 65 u1: BPM st: NotStopd t0: [17:00:00 09/11/2012] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [17:00:00 09/11/2012] id: NBP el: 0 cu: MICU-A cg: RN v1: 114 u1: mmHg v2: 50 u2: mmHg st: NotStopd t0: [17:00:00 09/11/2012] id: NBP Mean el: 0 cu: MICU-A cg: RN v1: 71.3333 u1: mmHg st: NotStopd t0: [17:00:00 09/11/2012] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 133 u1: mmHg v2: 65 u2: mmHg st: NotStopd t0: [17:00:00 09/11/2012] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 86 u1: mmHg st: NotStopd t0: [17:00:00 09/11/2012] id: Precautions el: 0 cu: MICU-A cg: RN v1: Contact st: NotStopd t0: [17:00:00 09/11/2012] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 115.6 u1: kg st: NotStopd t0: [17:00:00 09/11/2012] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 14 u1: BPM st: NotStopd t0: [17:00:00 09/11/2012] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [18:00:00 09/11/2012] id: Pain Present el: 0 cu: MICU-A cg: RN v1: No st: NotStopd t0: [18:00:00 09/11/2012] id: Pain Assess Method el: 0 cu: MICU-A cg: RN v1: Non-verbal cues st: NotStopd t0: [18:00:00 09/11/2012] id: PainLevel Acceptable el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [18:00:00 09/11/2012] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [18:00:00 09/11/2012] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [18:00:00 09/11/2012] id: Riker-SAS Scale el: 0 cu: MICU-A cg: RN v1: Calm/Cooperative st: NotStopd t0: [18:00:00 09/11/2012] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [18:00:00 09/11/2012] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [18:00:00 09/11/2012] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [18:00:00 09/11/2012] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 66 u1: BPM st: NotStopd t0: [18:00:00 09/11/2012] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [18:00:00 09/11/2012] id: NBP el: 0 cu: MICU-A cg: RN v1: 113 u1: mmHg v2: 55 u2: mmHg st: NotStopd t0: [18:00:00 09/11/2012] id: NBP Mean el: 0 cu: MICU-A cg: RN v1: 74.3333 u1: mmHg st: NotStopd t0: [18:00:00 09/11/2012] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 135 u1: mmHg v2: 66 u2: mmHg st: NotStopd t0: [18:00:00 09/11/2012] id: Pain Location el: 0 cu: MICU-A cg: RN v1: Not Indicated st: NotStopd t0: [18:00:00 09/11/2012] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 88 u1: mmHg st: NotStopd t0: [18:00:00 09/11/2012] id: Precautions el: 0 cu: MICU-A cg: RN v1: Contact st: NotStopd t0: [18:00:00 09/11/2012] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 115.6 u1: kg st: NotStopd t0: [18:00:00 09/11/2012] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 14 u1: BPM st: NotStopd t0: [18:00:00 09/11/2012] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 98 u1: % st: NotStopd t0: [18:00:00 09/11/2012] id: Temp. Site el: 0 cu: MICU-A cg: RN v1: Oral st: NotStopd t0: [18:00:00 09/11/2012] id: Temperature C (calc) el: 0 cu: MICU-A cg: RN v1: 36.6111 u1: Deg. C st: NotStopd t0: [18:00:00 09/11/2012] id: Temperature F el: 0 cu: MICU-A cg: RN v1: 97.9 u1: Deg. F st: NotStopd t0: [18:00:00 09/11/2012] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [17:00:00 09/11/2012] tf: [21:40:00 12/11/2012] dt: 4600 id: D5W 100.0ml + 600mcghr Sandostatin IV Infusions el: 1 cu: MICU-A cg: RN ai: 127 vo: 8.33333 vu: ml t0: [17:00:00 09/11/2012] tf: [05:00:00 10/11/2012] dt: 720 id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU-A cg: RN ai: 416 vo: 5 vu: ml t0: [17:00:00 09/11/2012] tf: [05:00:00 10/11/2012] dt: 720 id: .9% Normal Saline 50.0ml + 50mghr Midazolam IV Infusions el: 1 cu: MICU-A cg: RN ai: 431 vo: 1.5 vu: ml t0: [18:00:00 09/11/2012] id: D5W 100.0ml + 600mcghr Sandostatin IV Infusions el: 1 cu: MICU-A cg: RN ai: 127 vo: 8.33333 vu: ml t0: [18:00:00 09/11/2012] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU-A cg: RN ai: 416 vo: 5 vu: ml t0: [18:00:00 09/11/2012] id: .9% Normal Saline 50.0ml + 50mghr Midazolam IV Infusions el: 1 cu: MICU-A cg: RN ai: 431 vo: 1.5 vu: ml
t0: [17:00:00 09/11/2012] tf: [05:00:00 10/11/2012] dt: 720 id: Fentanyl el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 250 su: ml rt: IV Drip t0: [17:00:00 09/11/2012] tf: [05:00:00 10/11/2012] dt: 720 id: Midazolam el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 1.5 du: mghr sv: 50 su: ml rt: IV Drip t0: [17:00:00 09/11/2012] tf: [21:40:00 12/11/2012] dt: 4600 id: Sandostatin el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 50 du: mcghr sv: 100 su: ml rt: IV Drip t0: [18:00:00 09/11/2012] id: Fentanyl el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 250 su: ml rt: IV Drip t0: [18:00:00 09/11/2012] id: Midazolam el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 1.5 du: mghr sv: 50 su: ml rt: IV Drip t0: [18:00:00 09/11/2012] id: Sandostatin el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 50 du: mcghr sv: 100 su: ml rt: IV Drip
t0: [23:00:00 09/11/2012] dt: 24 id: Stool Out Total el: 2 cu: MICU-A cg: RN cv: 50 ap: none
t0: [19:00:00 09/11/2012] id: Less Restrict Meas. el: 0 cu: MICU-A cg: RN v1: Medicated st: NotStopd t0: [19:00:00 09/11/2012] id: Range of Motion el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [19:00:00 09/11/2012] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [19:00:00 09/11/2012] id: Circulation/SkinInt el: 0 cu: MICU-A cg: RN v1: Circulation Adeq st: NotStopd t0: [19:00:00 09/11/2012] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [19:00:00 09/11/2012] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [19:00:00 09/11/2012] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [19:00:00 09/11/2012] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [19:00:00 09/11/2012] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 79 u1: BPM st: NotStopd t0: [19:00:00 09/11/2012] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [19:00:00 09/11/2012] id: Impaired Skin Site#1 el: 0 cu: MICU-A cg: RN v1: Coccyx st: NotStopd t0: [19:00:00 09/11/2012] id: NBP el: 0 cu: MICU-A cg: RN v1: 116 u1: mmHg v2: 57 u2: mmHg st: NotStopd t0: [19:00:00 09/11/2012] id: NBP Mean el: 0 cu: MICU-A cg: RN v1: 76.6667 u1: mmHg st: NotStopd t0: [19:00:00 09/11/2012] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 137 u1: mmHg v2: 70 u2: mmHg st: NotStopd t0: [19:00:00 09/11/2012] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 92 u1: mmHg st: NotStopd t0: [19:00:00 09/11/2012] id: Position Change el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [19:00:00 09/11/2012] id: Precautions el: 0 cu: MICU-A cg: RN v1: Contact st: NotStopd t0: [19:00:00 09/11/2012] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 115.6 u1: kg st: NotStopd t0: [19:00:00 09/11/2012] id: Reason For Restraint el: 0 cu: MICU-A cg: RN v1: Ext/TXInterfere st: NotStopd t0: [19:00:00 09/11/2012] id: Removed x 5 Mins el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [19:00:00 09/11/2012] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 15 u1: BPM st: NotStopd t0: [19:00:00 09/11/2012] id: Restraint Location el: 0 cu: MICU-A cg: RN v1: Both Arms st: NotStopd t0: [19:00:00 09/11/2012] id: Restraint Type el: 0 cu: MICU-A cg: RN v1: Soft Limb st: NotStopd t0: [19:00:00 09/11/2012] id: Restraints Evaluated el: 0 cu: MICU-A cg: RN v1: Behavior Conts st: NotStopd t0: [19:00:00 09/11/2012] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [19:00:00 09/11/2012] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 98 u1: % st: NotStopd t0: [19:00:00 09/11/2012] id: Support Systems el: 0 cu: MICU-A cg: RN v1: Spouse st: NotStopd t0: [19:00:00 09/11/2012] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [19:00:00 09/11/2012] id: Fentanyl el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 250 su: ml rt: IV Drip t0: [19:00:00 09/11/2012] id: Midazolam el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 1.5 du: mghr sv: 50 su: ml rt: IV Drip t0: [19:00:00 09/11/2012] id: Sandostatin el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 50 du: mcghr sv: 100 su: ml rt: IV Drip
t0: [19:40:00 09/11/2012] id: Compliance (40-60ml) el: 0 cu: MICU-A cg: RRT v1: 20.979 u1: ml/cmH st: NotStopd t0: [19:40:00 09/11/2012] id: ETT Mark/Location el: 0 cu: MICU-A cg: RRT v1: 22cm v2: Lip st: NotStopd t0: [19:40:00 09/11/2012] id: FiO2 Set el: 0 cu: MICU-A cg: RRT v1: 0.4 u1: torr st: NotStopd t0: [19:40:00 09/11/2012] id: Flow-By (lpm) el: 0 cu: MICU-A cg: RRT v1: 6 u1: lpm st: NotStopd t0: [19:40:00 09/11/2012] id: Flow-by Sensitivity el: 0 cu: MICU-A cg: RRT v1: 3 u1: cmH2O st: NotStopd t0: [19:40:00 09/11/2012] id: High Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 50 u1: cmH2O st: NotStopd t0: [19:40:00 09/11/2012] id: High Resp. Rate el: 0 cu: MICU-A cg: RRT v1: 35 u1: BPM st: NotStopd t0: [19:40:00 09/11/2012] id: I:E Ratio el: 0 cu: MICU-A cg: RRT v1: 1:2.3 st: NotStopd t0: [19:40:00 09/11/2012] id: Airway Size el: 0 cu: MICU-A cg: RRT v1: 8.0 mm st: NotStopd t0: [19:40:00 09/11/2012] id: Airway Type el: 0 cu: MICU-A cg: RRT v1: Endotracheal st: NotStopd t0: [19:40:00 09/11/2012] id: Inspired Gas Temp el: 0 cu: MICU-A cg: RRT u1: Deg. C st: NotStopd t0: [19:40:00 09/11/2012] id: Intubation Date el: 0 cu: MICU-A cg: RRT v1: 10 v2: 16 st: NotStopd t0: [19:40:00 09/11/2012] id: Low Exhaled Min Vol el: 0 cu: MICU-A cg: RRT v1: 3 st: NotStopd t0: [19:40:00 09/11/2012] id: Mean Airway Pressure el: 0 cu: MICU-A cg: RRT v1: 11.6 u1: cmH2O st: NotStopd t0: [19:40:00 09/11/2012] id: Minute Volume(Obser) el: 0 cu: MICU-A cg: RRT v1: 9.34 u1: L/min st: NotStopd t0: [19:40:00 09/11/2012] id: PEEP Set el: 0 cu: MICU-A cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [19:40:00 09/11/2012] id: Apnea Time Interval el: 0 cu: MICU-A cg: RRT v1: 20 st: NotStopd t0: [19:40:00 09/11/2012] id: Peak Flow el: 0 cu: MICU-A cg: RRT v1: 50 u1: L/m st: NotStopd t0: [19:40:00 09/11/2012] id: Peak Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 33.6 u1: cmH2O st: NotStopd t0: [19:40:00 09/11/2012] id: Plateau Pressure el: 0 cu: MICU-A cg: RRT v1: 20.4 u1: cmH2O st: NotStopd t0: [19:40:00 09/11/2012] id: Plateau-Off el: 0 cu: MICU-A cg: RRT v1: Yes st: NotStopd t0: [19:40:00 09/11/2012] id: Resp Rate (Spont) el: 0 cu: MICU-A cg: RRT v1: 2 u1: BPM st: NotStopd t0: [19:40:00 09/11/2012] id: Resp Rate (Total) el: 0 cu: MICU-A cg: RRT v1: 16 u1: BPM st: NotStopd t0: [19:40:00 09/11/2012] id: Respiratory Rate Set el: 0 cu: MICU-A cg: RRT v1: 14 u1: BPM st: NotStopd t0: [19:40:00 09/11/2012] id: SpO2 el: 0 cu: MICU-A cg: RRT v1: 99 u1: % st: NotStopd t0: [19:40:00 09/11/2012] id: Tidal Volume (Obser) el: 0 cu: MICU-A cg: RRT v1: 550 u1: ml/B st: NotStopd t0: [19:40:00 09/11/2012] id: Tidal Volume (Set) el: 0 cu: MICU-A cg: RRT v1: 600 u1: ml/B st: NotStopd t0: [19:40:00 09/11/2012] id: Ventilator Mode el: 0 cu: MICU-A cg: RRT v1: Assist Control st: NotStopd t0: [19:40:00 09/11/2012] id: Ventilator Type el: 0 cu: MICU-A cg: RRT v1: 7200A st: NotStopd t0: [19:40:00 09/11/2012] id: Waveform-Vent el: 0 cu: MICU-A cg: RRT v1: RAMP st: NotStopd
id: TF Residual el: 1 cu: MICU-A cg: RN io: TF Residual Gastric/TF Residual du: ml rt: Gastric/Feeding Tube
t0: [20:00:00 09/11/2012] id: Pain Present el: 0 cu: MICU-A cg: RN v1: No st: NotStopd t0: [20:00:00 09/11/2012] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [20:00:00 09/11/2012] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [20:00:00 09/11/2012] id: Riker-SAS Scale el: 0 cu: MICU-A cg: RN v1: Calm/Cooperative st: NotStopd t0: [20:00:00 09/11/2012] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [20:00:00 09/11/2012] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [20:00:00 09/11/2012] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [20:00:00 09/11/2012] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 67 u1: BPM st: NotStopd t0: [20:00:00 09/11/2012] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [20:00:00 09/11/2012] id: INV Line#1 Type/Site el: 0 cu: MICU-A cg: RN v1: PICC line v2: Left Antecub st: NotStopd t0: [20:00:00 09/11/2012] id: INV Line#1InsertDate el: 0 cu: MICU-A cg: RN v1: 10 v2: 8 st: NotStopd t0: [20:00:00 09/11/2012] id: INV Line#1SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [20:00:00 09/11/2012] id: INV Line#2 Type/Site el: 0 cu: MICU-A cg: RN v1: A-Line v2: Left Radial st: NotStopd t0: [20:00:00 09/11/2012] id: INV Line#2 Zero/Cal el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [20:00:00 09/11/2012] id: INV Line#2InsertDate el: 0 cu: MICU-A cg: RN v1: 10 v2: 16 st: NotStopd t0: [20:00:00 09/11/2012] id: INV Line#2SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [20:00:00 09/11/2012] id: INV#2 WaveformAppear el: 0 cu: MICU-A cg: RN v1: Sharp st: NotStopd t0: [20:00:00 09/11/2012] id: IV #1 Insert Date el: 0 cu: MICU-A cg: RN v1: 10 v2: 16 st: NotStopd t0: [20:00:00 09/11/2012] id: IV #1 Site/Size el: 0 cu: MICU-A cg: RN v1: Right Hand v2: 18 gauge st: NotStopd t0: [20:00:00 09/11/2012] id: IV #3 Insert Date el: 0 cu: MICU-A cg: RN v1: 10 v2: 16 st: NotStopd t0: [20:00:00 09/11/2012] id: IV #3 Site/Size el: 0 cu: MICU-A cg: RN v1: Left Hand v2: 18 gauge st: NotStopd t0: [20:00:00 09/11/2012] id: IV Site Appear #1 el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [20:00:00 09/11/2012] id: IV Site Appear #3 el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [20:00:00 09/11/2012] id: NBP el: 0 cu: MICU-A cg: RN v1: 115 u1: mmHg v2: 57 u2: mmHg st: NotStopd t0: [20:00:00 09/11/2012] id: NBP Mean el: 0 cu: MICU-A cg: RN v1: 76.3333 u1: mmHg st: NotStopd t0: [20:00:00 09/11/2012] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 129 u1: mmHg v2: 58 u2: mmHg st: NotStopd t0: [20:00:00 09/11/2012] id: Pain Location el: 0 cu: MICU-A cg: RN v1: Not Indicated st: NotStopd t0: [20:00:00 09/11/2012] id: Pain Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [20:00:00 09/11/2012] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 79 u1: mmHg st: NotStopd t0: [20:00:00 09/11/2012] id: Precautions el: 0 cu: MICU-A cg: RN v1: Contact st: NotStopd t0: [20:00:00 09/11/2012] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 115.6 u1: kg st: NotStopd t0: [20:00:00 09/11/2012] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 18 u1: BPM st: NotStopd t0: [20:00:00 09/11/2012] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 100 u1: % st: NotStopd t0: [20:00:00 09/11/2012] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [19:00:00 09/11/2012] id: D5W 100.0ml + 600mcghr Sandostatin IV Infusions el: 1 cu: MICU-A cg: RN ai: 127 vo: 8.33333 vu: ml t0: [19:00:00 09/11/2012] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU-A cg: RN ai: 416 vo: 5 vu: ml t0: [19:00:00 09/11/2012] id: .9% Normal Saline 50.0ml + 50mghr Midazolam IV Infusions el: 1 cu: MICU-A cg: RN ai: 431 vo: 1.5 vu: ml t0: [20:00:00 09/11/2012] id: D5W 100.0ml + 600mcghr Sandostatin IV Infusions el: 1 cu: MICU-A cg: RN ai: 127 vo: 8.33333 vu: ml t0: [20:00:00 09/11/2012] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU-A cg: RN ai: 416 vo: 5 vu: ml t0: [20:00:00 09/11/2012] id: .9% Normal Saline 50.0ml + 50mghr Midazolam IV Infusions el: 1 cu: MICU-A cg: RN ai: 431 vo: 1.5 vu: ml
t0: [20:00:00 09/11/2012] id: Fentanyl el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 250 su: ml rt: IV Drip t0: [20:00:00 09/11/2012] id: Midazolam el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 1.5 du: mghr sv: 50 su: ml rt: IV Drip t0: [20:00:00 09/11/2012] id: Sandostatin el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 50 du: mcghr sv: 100 su: ml rt: IV Drip
t0: [21:00:00 09/11/2012] id: Less Restrict Meas. el: 0 cu: MICU-A cg: RN v1: Medicated st: NotStopd t0: [21:00:00 09/11/2012] id: Range of Motion el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [21:00:00 09/11/2012] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [21:00:00 09/11/2012] id: Circulation/SkinInt el: 0 cu: MICU-A cg: RN v1: Circulation Adeq st: NotStopd t0: [21:00:00 09/11/2012] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [21:00:00 09/11/2012] id: GI Prophylaxis el: 0 cu: MICU-A cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [21:00:00 09/11/2012] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [21:00:00 09/11/2012] id: Diet Type el: 0 cu: MICU-A cg: RN v1: NPO st: NotStopd t0: [21:00:00 09/11/2012] id: Dorsal PedPulse R/L el: 0 cu: MICU-A cg: RN v1: Diff to Palpate v2: Diff to Palpate st: NotStopd t0: [21:00:00 09/11/2012] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [21:00:00 09/11/2012] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [21:00:00 09/11/2012] id: Eye Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [21:00:00 09/11/2012] id: Eye Opening el: 0 cu: MICU-A cg: RN v1: 4 Spontaneously st: NotStopd t0: [21:00:00 09/11/2012] id: Follows Commands el: 0 cu: MICU-A cg: RN v1: Consistently st: NotStopd t0: [21:00:00 09/11/2012] id: GCS Total el: 0 cu: MICU-A cg: RN v1: 11 u1: points st: NotStopd t0: [21:00:00 09/11/2012] id: GI Intub #1/Site el: 0 cu: MICU-A cg: RN v1: Salem Sump v2: Left Nare st: NotStopd t0: [21:00:00 09/11/2012] id: GI#1 Tube PlaceCheck el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [21:00:00 09/11/2012] id: GI#1 Tube Stat/Drain el: 0 cu: MICU-A cg: RN v1: Clamped v2: Bilious st: NotStopd t0: [21:00:00 09/11/2012] id: HOB el: 0 cu: MICU-A cg: RN v1: 30 degrees st: NotStopd t0: [21:00:00 09/11/2012] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 74 u1: BPM st: NotStopd t0: [21:00:00 09/11/2012] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [21:00:00 09/11/2012] id: Abdominal Assessment el: 0 cu: MICU-A cg: RN v1: Ascites st: NotStopd t0: [21:00:00 09/11/2012] id: Activity el: 0 cu: MICU-A cg: RN v1: Bedrest st: NotStopd t0: [21:00:00 09/11/2012] id: Activity Tolerance el: 0 cu: MICU-A cg: RN v1: Tolerated Well st: NotStopd t0: [21:00:00 09/11/2012] id: Impaired Skin Site#1 el: 0 cu: MICU-A cg: RN v1: Coccyx st: NotStopd t0: [21:00:00 09/11/2012] id: LLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Diminished st: NotStopd t0: [21:00:00 09/11/2012] id: LUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [21:00:00 09/11/2012] id: Level of Conscious el: 0 cu: MICU-A cg: RN v1: Alert st: NotStopd t0: [21:00:00 09/11/2012] id: Motor Response el: 0 cu: MICU-A cg: RN v1: 6 Obeys Commands st: NotStopd t0: [21:00:00 09/11/2012] id: NBP el: 0 cu: MICU-A cg: RN v1: 112 u1: mmHg v2: 54 u2: mmHg st: NotStopd t0: [21:00:00 09/11/2012] id: NBP Mean el: 0 cu: MICU-A cg: RN v1: 73.3333 u1: mmHg st: NotStopd t0: [21:00:00 09/11/2012] id: Oral Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [21:00:00 09/11/2012] id: Oral Cavity el: 0 cu: MICU-A cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [21:00:00 09/11/2012] id: Orientation el: 0 cu: MICU-A cg: RN v1: Other/Remarks st: NotStopd t0: [21:00:00 09/11/2012] id: AntiEmbDevice/Status el: 0 cu: MICU-A cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [21:00:00 09/11/2012] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 133 u1: mmHg v2: 61 u2: mmHg st: NotStopd t0: [21:00:00 09/11/2012] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 84 u1: mmHg st: NotStopd t0: [21:00:00 09/11/2012] id: Position el: 0 cu: MICU-A cg: RN v1: Right Side st: NotStopd t0: [21:00:00 09/11/2012] id: Position Change el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [21:00:00 09/11/2012] id: Assistance Device el: 0 cu: MICU-A cg: RN v1: 2 Person Assist st: NotStopd t0: [21:00:00 09/11/2012] id: Precautions el: 0 cu: MICU-A cg: RN v1: Contact st: NotStopd t0: [21:00:00 09/11/2012] id: RLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Diminished st: NotStopd t0: [21:00:00 09/11/2012] id: RUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [21:00:00 09/11/2012] id: Reason For Restraint el: 0 cu: MICU-A cg: RN v1: Ext/TXInterfere st: NotStopd t0: [21:00:00 09/11/2012] id: Removed x 5 Mins el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [21:00:00 09/11/2012] id: Respiratory Pattern el: 0 cu: MICU-A cg: RN v1: Regular st: NotStopd t0: [21:00:00 09/11/2012] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 14 u1: BPM st: NotStopd t0: [21:00:00 09/11/2012] id: Restraint Location el: 0 cu: MICU-A cg: RN v1: Both Arms st: NotStopd t0: [21:00:00 09/11/2012] id: Restraint Type el: 0 cu: MICU-A cg: RN v1: Soft Limb st: NotStopd t0: [21:00:00 09/11/2012] id: Restraints Evaluated el: 0 cu: MICU-A cg: RN v1: Behavior Conts st: NotStopd t0: [21:00:00 09/11/2012] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [21:00:00 09/11/2012] id: Skin Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [21:00:00 09/11/2012] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 100 u1: % st: NotStopd t0: [21:00:00 09/11/2012] id: Spontaneous Movement el: 0 cu: MICU-A cg: RN v1: Purposeful st: NotStopd t0: [21:00:00 09/11/2012] id: Sputum Color/Consist el: 0 cu: MICU-A cg: RN v1: Tan v2: Thick st: NotStopd t0: [21:00:00 09/11/2012] id: Sputum Source/Amt el: 0 cu: MICU-A cg: RN v1: Suctioned v2: Small st: NotStopd t0: [21:00:00 09/11/2012] id: Support Systems el: 0 cu: MICU-A cg: RN v1: Spouse st: NotStopd t0: [21:00:00 09/11/2012] id: Temp. Site el: 0 cu: MICU-A cg: RN v1: Oral st: NotStopd t0: [21:00:00 09/11/2012] id: Turn el: 0 cu: MICU-A cg: RN v1: Side to Side st: NotStopd t0: [21:00:00 09/11/2012] id: Urine Color/Appear el: 0 cu: MICU-A cg: RN v1: Icteric v2: Cloudy st: NotStopd t0: [21:00:00 09/11/2012] id: Urine Source el: 0 cu: MICU-A cg: RN v1: Indwelling Cath st: NotStopd t0: [21:00:00 09/11/2012] id: Verbal Response el: 0 cu: MICU-A cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [21:00:00 09/11/2012] id: Back Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [21:00:00 09/11/2012] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [21:00:00 09/11/2012] id: Bowel Sounds el: 0 cu: MICU-A cg: RN v1: Present st: NotStopd
t0: [20:00:00 09/11/2012] tf: [21:40:00 12/11/2012] dt: 4420 id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 50 vu: ml t0: [21:00:00 09/11/2012] tf: [21:40:00 12/11/2012] dt: 4360 id: TF Residual Gastric/TF Residual el: 1 cu: MICU-A cg: RN ai: 128 vo: 80 vu: ml t0: [21:00:00 09/11/2012] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 50 vu: ml t0: [21:00:00 09/11/2012] id: D5W 100.0ml + 600mcghr Sandostatin IV Infusions el: 1 cu: MICU-A cg: RN ai: 127 vo: 8.33333 vu: ml t0: [21:00:00 09/11/2012] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU-A cg: RN ai: 416 vo: 2.5 vu: ml t0: [21:00:00 09/11/2012] id: .9% Normal Saline 50.0ml + 50mghr Midazolam IV Infusions el: 1 cu: MICU-A cg: RN ai: 431 vo: 1 vu: ml
t0: [21:00:00 09/11/2012] id: Fentanyl el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 250 du: mcghr sv: 250 su: ml rt: IV Drip t0: [21:00:00 09/11/2012] id: Midazolam el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 1 du: mghr sv: 50 su: ml rt: IV Drip t0: [21:00:00 09/11/2012] id: Sandostatin el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 50 du: mcghr sv: 100 su: ml rt: IV Drip
t0: [23:00:00 09/11/2012] dt: 24 id: PO/Gastric In Total el: 2 cu: MICU-A cg: RN cv: 40 ap: none
t0: [21:00:00 09/11/2012] id: CVP el: 0 cu: MICU-A cg: -1 st: D/C'd
t0: [20:00:00 09/11/2012] id: Sputum Color/Consist el: 0 cu: MICU-A cg: RN v1: Yellow v2: Thick st: NotStopd t0: [20:00:00 09/11/2012] id: Sputum Source/Amt el: 0 cu: MICU-A cg: RN v1: Suctioned v2: Small st: NotStopd t0: [21:00:00 09/11/2012] id: Previous Weight el: 0 cu: MICU-A cg: RN v1: 120 u1: kg st: NotStopd t0: [21:00:00 09/11/2012] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 120 u1: kg st: NotStopd t0: [21:00:00 09/11/2012] id: Stool Management el: 0 cu: MICU-A cg: RN v1: Fecal Incont Bag st: NotStopd t0: [21:00:00 09/11/2012] id: Temperature C (calc) el: 0 cu: MICU-A cg: RN v1: 37.1111 u1: Deg. C st: NotStopd t0: [21:00:00 09/11/2012] id: Temperature F el: 0 cu: MICU-A cg: RN v1: 98.8 u1: Deg. F st: NotStopd t0: [21:00:00 09/11/2012] id: Weight Change el: 0 cu: MICU-A cg: RN v1: 0 u1: kg st: NotStopd t0: [21:00:00 09/11/2012] id: Daily Weight el: 0 cu: MICU-A cg: RN v1: 120 u1: kg st: NotStopd t0: [21:00:00 09/11/2012] id: Fingerstick Glucose Chemistry el: 0 cu: MICU-A cg: RN v1: 85 rs: Manual st: NotStopd t0: [21:00:00 09/11/2012] id: Braden Activity el: 0 cu: MICU-A cg: RN v1: Bedfast st: NotStopd t0: [21:00:00 09/11/2012] id: Braden Frict/Shear el: 0 cu: MICU-A cg: RN v1: Potential Prob st: NotStopd t0: [21:00:00 09/11/2012] id: Braden Mobility el: 0 cu: MICU-A cg: RN v1: Very Limited st: NotStopd t0: [21:00:00 09/11/2012] id: Braden Moisture el: 0 cu: MICU-A cg: RN v1: Occ. Moist st: NotStopd t0: [21:00:00 09/11/2012] id: Braden Nutrition el: 0 cu: MICU-A cg: RN v1: Very Poor st: NotStopd t0: [21:00:00 09/11/2012] id: Braden Score el: 0 cu: MICU-A cg: RN v1: 12 u1: number st: NotStopd t0: [21:00:00 09/11/2012] id: Braden SensoryPercep el: 0 cu: MICU-A cg: RN v1: Sl. Limited st: NotStopd
t0: [21:00:00 09/11/2012] id: Hematocrit Hematology el: 0 cu: MICU-A cg: 1663 v1: 32.5 u1: % rs: Final st: NotStopd
t0: [22:00:00 09/11/2012] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [22:00:00 09/11/2012] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [22:00:00 09/11/2012] id: Riker-SAS Scale el: 0 cu: MICU-A cg: RN v1: Calm/Cooperative st: NotStopd t0: [22:00:00 09/11/2012] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [22:00:00 09/11/2012] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [22:00:00 09/11/2012] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [22:00:00 09/11/2012] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 71 u1: BPM st: NotStopd t0: [22:00:00 09/11/2012] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [22:00:00 09/11/2012] id: NBP el: 0 cu: MICU-A cg: RN v1: 114 u1: mmHg v2: 55 u2: mmHg st: NotStopd t0: [22:00:00 09/11/2012] id: NBP Mean el: 0 cu: MICU-A cg: RN v1: 74.6667 u1: mmHg st: NotStopd t0: [22:00:00 09/11/2012] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 126 u1: mmHg v2: 55 u2: mmHg st: NotStopd t0: [22:00:00 09/11/2012] id: Pain Management el: 1 cu: MICU-A cg: RN v1: IV Gtt v2: IV Gtt st: NotStopd t0: [22:00:00 09/11/2012] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 77 u1: mmHg st: NotStopd t0: [22:00:00 09/11/2012] id: Precautions el: 0 cu: MICU-A cg: RN v1: Contact st: NotStopd t0: [22:00:00 09/11/2012] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 120 u1: kg st: NotStopd t0: [22:00:00 09/11/2012] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 14 u1: BPM st: NotStopd t0: [22:00:00 09/11/2012] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 99 u1: % st: NotStopd t0: [22:00:00 09/11/2012] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [22:00:00 09/11/2012] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 50 vu: ml t0: [22:00:00 09/11/2012] id: D5W 100.0ml + 600mcghr Sandostatin IV Infusions el: 1 cu: MICU-A cg: RN ai: 127 vo: 8.33333 vu: ml t0: [22:00:00 09/11/2012] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU-A cg: RN ai: 416 vo: 2.5 vu: ml t0: [22:00:00 09/11/2012] id: .9% Normal Saline 50.0ml + 50mghr Midazolam IV Infusions el: 1 cu: MICU-A cg: RN ai: 431 vo: 1 vu: ml
t0: [22:00:00 09/11/2012] id: Fentanyl el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 250 du: mcghr sv: 250 su: ml rt: IV Drip t0: [22:00:00 09/11/2012] id: Midazolam el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 1 du: mghr sv: 50 su: ml rt: IV Drip t0: [22:00:00 09/11/2012] id: Sandostatin el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 50 du: mcghr sv: 100 su: ml rt: IV Drip
t0: [21:00:00 09/11/2012] id: PT el: 0 cu: MICU-A cg: 1663 v1: 14.3 rs: Final st: NotStopd t0: [21:00:00 09/11/2012] id: INR Coags el: 0 cu: MICU-A cg: 1663 v1: 1.3 rs: Final st: NotStopd t0: [21:00:00 09/11/2012] id: PTT Coags el: 0 cu: MICU-A cg: 1663 v1: 37.4 rs: Final st: NotStopd t0: [21:00:00 09/11/2012] id: INR (2-4 ref. range) Coags el: 0 cu: MICU-A cg: 1663 v1: 1.3 rs: Final st: NotStopd t0: [21:00:00 09/11/2012] id: PT(11-13.5) Coags el: 0 cu: MICU-A cg: 1663 v1: 14.3 rs: Final st: NotStopd t0: [21:00:00 09/11/2012] id: PTT(22-35) Coags el: 0 cu: MICU-A cg: 1663 v1: 37.4 rs: Final st: NotStopd
t0: [23:00:00 09/11/2012] id: Less Restrict Meas. el: 0 cu: MICU-A cg: RN v1: Medicated st: NotStopd t0: [23:00:00 09/11/2012] id: Range of Motion el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [23:00:00 09/11/2012] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [23:00:00 09/11/2012] id: Circulation/SkinInt el: 0 cu: MICU-A cg: RN v1: Circulation Adeq st: NotStopd t0: [23:00:00 09/11/2012] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [23:00:00 09/11/2012] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [23:00:00 09/11/2012] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [23:00:00 09/11/2012] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [23:00:00 09/11/2012] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 75 u1: BPM st: NotStopd t0: [23:00:00 09/11/2012] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [23:00:00 09/11/2012] id: Level of Conscious el: 0 cu: MICU-A cg: RN v1: Sleeping st: NotStopd t0: [23:00:00 09/11/2012] id: NBP el: 0 cu: MICU-A cg: RN v1: 115 u1: mmHg v2: 53 u2: mmHg st: NotStopd t0: [23:00:00 09/11/2012] id: NBP Mean el: 0 cu: MICU-A cg: RN v1: 73.6667 u1: mmHg st: NotStopd t0: [23:00:00 09/11/2012] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 91 u1: mmHg v2: 69 u2: mmHg st: NotStopd t0: [23:00:00 09/11/2012] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 83 u1: mmHg st: NotStopd t0: [23:00:00 09/11/2012] id: Position Change el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [23:00:00 09/11/2012] id: Precautions el: 0 cu: MICU-A cg: RN v1: Contact st: NotStopd t0: [23:00:00 09/11/2012] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 120 u1: kg st: NotStopd t0: [23:00:00 09/11/2012] id: Reason For Restraint el: 0 cu: MICU-A cg: RN v1: Ext/TXInterfere st: NotStopd t0: [23:00:00 09/11/2012] id: Removed x 5 Mins el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [23:00:00 09/11/2012] id: Respiratory Pattern el: 0 cu: MICU-A cg: RN v1: Regular st: NotStopd t0: [23:00:00 09/11/2012] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 17 u1: BPM st: NotStopd t0: [23:00:00 09/11/2012] id: Restraint Location el: 0 cu: MICU-A cg: RN v1: Both Arms st: NotStopd t0: [23:00:00 09/11/2012] id: Restraint Type el: 0 cu: MICU-A cg: RN v1: Soft Limb st: NotStopd t0: [23:00:00 09/11/2012] id: Restraints Evaluated el: 0 cu: MICU-A cg: RN v1: Behavior Conts st: NotStopd t0: [23:00:00 09/11/2012] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [23:00:00 09/11/2012] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 100 u1: % st: NotStopd t0: [23:00:00 09/11/2012] id: Sputum Color/Consist el: 0 cu: MICU-A cg: RN v1: Tan v2: Thick st: NotStopd t0: [23:00:00 09/11/2012] id: Sputum Source/Amt el: 0 cu: MICU-A cg: RN v1: Suctioned v2: Scant st: NotStopd t0: [23:00:00 09/11/2012] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [23:00:00 09/11/2012] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 50 vu: ml t0: [23:00:00 09/11/2012] id: D5W 100.0ml + 600mcghr Sandostatin IV Infusions el: 1 cu: MICU-A cg: RN ai: 127 vo: 8.33333 vu: ml t0: [23:00:00 09/11/2012] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU-A cg: RN ai: 416 vo: 25 vu: ml t0: [23:00:00 09/11/2012] id: .9% Normal Saline 50.0ml + 50mghr Midazolam IV Infusions el: 1 cu: MICU-A cg: RN ai: 431 vo: 1 vu: ml
t0: [23:00:00 09/11/2012] id: Fentanyl el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 250 du: mcghr sv: 250 su: ml rt: IV Drip t0: [23:00:00 09/11/2012] id: Midazolam el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 1 du: mghr sv: 50 su: ml rt: IV Drip t0: [23:00:00 09/11/2012] id: Sandostatin el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 50 du: mcghr sv: 100 su: ml rt: IV Drip
t0: [23:00:00 09/11/2012] dt: 24 id: IV Infusion In Total el: 2 cu: MICU-A cg: RN pv: 84.3333 cv: 4368.38 ap: none t0: [23:00:00 09/11/2012] dt: 24 id: 24h Total In el: 2 cu: MICU-A cg: RN pv: 84.3333 cv: 7140.38 ap: none
t0: [23:00:00 09/11/2012] dt: 1 id: Total Hourly Output el: 2 cu: MICU-A cg: RN pv: 100 cv: 100 ap: none t0: [23:00:00 09/11/2012] dt: 1 id: Net Hourly Balance el: 2 cu: MICU-A cg: RN pv: -15.6667 cv: -15.6667 ap: none t0: [23:00:00 09/11/2012] dt: 24 id: Urine Out Total el: 2 cu: MICU-A cg: RN pv: 100 cv: 981 ap: none t0: [23:00:00 09/11/2012] dt: 24 id: 24h Net Body Balance el: 2 cu: MICU-A cg: RN pv: -15.6667 cv: 6009.38 ap: none t0: [23:00:00 09/11/2012] dt: 24 id: 24h Total Out el: 2 cu: MICU-A cg: RN pv: 100 cv: 1131 ap: none t0: [23:00:00 09/11/2012] dt: multiple days id: LOS Net Body Balance el: 2 cu: MICU-A cg: RN pv: -15.6667 cv: 34420 ap: carryForward
t0: [00:00:00 10/11/2012] id: Pain Present el: 0 cu: MICU-A cg: RN v1: No st: NotStopd t0: [00:00:00 10/11/2012] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [00:00:00 10/11/2012] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [00:00:00 10/11/2012] id: Riker-SAS Scale el: 0 cu: MICU-A cg: RN v1: Calm/Cooperative st: NotStopd t0: [00:00:00 10/11/2012] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [00:00:00 10/11/2012] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [00:00:00 10/11/2012] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [00:00:00 10/11/2012] id: Eye Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [00:00:00 10/11/2012] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 69 u1: BPM st: NotStopd t0: [00:00:00 10/11/2012] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [00:00:00 10/11/2012] id: INV Line#1 Type/Site el: 0 cu: MICU-A cg: RN v1: PICC line v2: Left Antecub st: NotStopd t0: [00:00:00 10/11/2012] id: INV Line#1InsertDate el: 0 cu: MICU-A cg: RN v1: 10 v2: 8 st: NotStopd t0: [00:00:00 10/11/2012] id: INV Line#1SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [00:00:00 10/11/2012] id: INV Line#2 Type/Site el: 0 cu: MICU-A cg: RN v1: A-Line v2: Left Radial st: NotStopd t0: [00:00:00 10/11/2012] id: INV Line#2 Zero/Cal el: 0 cu: MICU-A cg: RN v1: No st: NotStopd t0: [00:00:00 10/11/2012] id: INV Line#2InsertDate el: 0 cu: MICU-A cg: RN v1: 10 v2: 16 st: NotStopd t0: [00:00:00 10/11/2012] id: INV Line#2SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [00:00:00 10/11/2012] id: INV#2 WaveformAppear el: 0 cu: MICU-A cg: RN v1: Sharp st: NotStopd t0: [00:00:00 10/11/2012] id: IV #1 Insert Date el: 0 cu: MICU-A cg: RN v1: 10 v2: 16 st: NotStopd t0: [00:00:00 10/11/2012] id: IV #1 Site/Size el: 0 cu: MICU-A cg: RN v1: Right Hand v2: 18 gauge st: NotStopd t0: [00:00:00 10/11/2012] id: IV #3 Insert Date el: 0 cu: MICU-A cg: RN v1: 10 v2: 16 st: NotStopd t0: [00:00:00 10/11/2012] id: IV #3 Site/Size el: 0 cu: MICU-A cg: RN v1: Left Hand v2: 18 gauge st: NotStopd t0: [00:00:00 10/11/2012] id: IV Site Appear #1 el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [00:00:00 10/11/2012] id: IV Site Appear #3 el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [00:00:00 10/11/2012] id: Oral Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [00:00:00 10/11/2012] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 126 u1: mmHg v2: 63 u2: mmHg st: NotStopd t0: [00:00:00 10/11/2012] id: Pain Location el: 0 cu: MICU-A cg: RN v1: Not Indicated st: NotStopd t0: [00:00:00 10/11/2012] id: Pain Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [00:00:00 10/11/2012] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 84 u1: mmHg st: NotStopd t0: [00:00:00 10/11/2012] id: Precautions el: 0 cu: MICU-A cg: RN v1: Contact st: NotStopd t0: [00:00:00 10/11/2012] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 120 u1: kg st: NotStopd t0: [00:00:00 10/11/2012] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 14 u1: BPM st: NotStopd t0: [00:00:00 10/11/2012] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 99 u1: % st: NotStopd t0: [00:00:00 10/11/2012] id: Temp. Site el: 0 cu: MICU-A cg: RN v1: Oral st: NotStopd t0: [00:00:00 10/11/2012] id: Temperature C (calc) el: 0 cu: MICU-A cg: RN v1: 37.0556 u1: Deg. C st: NotStopd t0: [00:00:00 10/11/2012] id: Temperature F el: 0 cu: MICU-A cg: RN v1: 98.7 u1: Deg. F st: NotStopd t0: [00:00:00 10/11/2012] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [00:00:00 10/11/2012] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 50 vu: ml t0: [00:00:00 10/11/2012] id: D5W 100.0ml + 600mcghr Sandostatin IV Infusions el: 1 cu: MICU-A cg: RN ai: 127 vo: 8.33333 vu: ml t0: [00:00:00 10/11/2012] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU-A cg: RN ai: 416 vo: 25 vu: ml t0: [00:00:00 10/11/2012] id: .9% Normal Saline 50.0ml + 50mghr Midazolam IV Infusions el: 1 cu: MICU-A cg: RN ai: 431 vo: 1 vu: ml
t0: [00:00:00 10/11/2012] id: Fentanyl el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 250 du: mcghr sv: 250 su: ml rt: IV Drip t0: [00:00:00 10/11/2012] id: Midazolam el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 1 du: mghr sv: 50 su: ml rt: IV Drip t0: [00:00:00 10/11/2012] id: Sandostatin el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 50 du: mcghr sv: 100 su: ml rt: IV Drip
t0: [00:00:00 10/11/2012] id: Compliance (40-60ml) el: 0 cu: MICU-A cg: RRT v1: 19.3548 u1: ml/cmH st: NotStopd t0: [00:00:00 10/11/2012] id: ETT Mark/Location el: 0 cu: MICU-A cg: RRT v1: 22cm v2: Lip st: NotStopd t0: [00:00:00 10/11/2012] id: FiO2 Set el: 0 cu: MICU-A cg: RRT v1: 0.4 u1: torr st: NotStopd t0: [00:00:00 10/11/2012] id: High Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 50 u1: cmH2O st: NotStopd t0: [00:00:00 10/11/2012] id: High Resp. Rate el: 0 cu: MICU-A cg: RRT v1: 35 u1: BPM st: NotStopd t0: [00:00:00 10/11/2012] id: Airway Size el: 0 cu: MICU-A cg: RRT v1: 8.0 mm st: NotStopd t0: [00:00:00 10/11/2012] id: Airway Type el: 0 cu: MICU-A cg: RRT v1: Endotracheal st: NotStopd t0: [00:00:00 10/11/2012] id: Intubation Date el: 0 cu: MICU-A cg: RRT v1: 10 v2: 16 st: NotStopd t0: [00:00:00 10/11/2012] id: Low Exhaled Min Vol el: 0 cu: MICU-A cg: RRT v1: 3 st: NotStopd t0: [00:00:00 10/11/2012] id: Mean Airway Pressure el: 0 cu: MICU-A cg: RRT v1: 11.2 u1: cmH2O st: NotStopd t0: [00:00:00 10/11/2012] id: Minute Volume(Obser) el: 0 cu: MICU-A cg: RRT v1: 8.5 u1: L/min st: NotStopd t0: [00:00:00 10/11/2012] id: PEEP Set el: 0 cu: MICU-A cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [00:00:00 10/11/2012] id: Apnea Time Interval el: 0 cu: MICU-A cg: RRT v1: 20 st: NotStopd t0: [00:00:00 10/11/2012] id: Peak Flow el: 0 cu: MICU-A cg: RRT v1: 50 u1: L/m st: NotStopd t0: [00:00:00 10/11/2012] id: Peak Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 36 u1: cmH2O st: NotStopd t0: [00:00:00 10/11/2012] id: Plateau Pressure el: 0 cu: MICU-A cg: RRT v1: 28 u1: cmH2O st: NotStopd t0: [00:00:00 10/11/2012] id: Plateau-Off el: 0 cu: MICU-A cg: RRT v1: Yes st: NotStopd t0: [00:00:00 10/11/2012] id: Resp Rate (Spont) el: 0 cu: MICU-A cg: RRT v1: 0 u1: BPM st: NotStopd t0: [00:00:00 10/11/2012] id: Resp Rate (Total) el: 0 cu: MICU-A cg: RRT v1: 14 u1: BPM st: NotStopd t0: [00:00:00 10/11/2012] id: Respiratory Rate Set el: 0 cu: MICU-A cg: RRT v1: 14 u1: BPM st: NotStopd t0: [00:00:00 10/11/2012] id: Sensitivity-Vent el: 0 cu: MICU-A cg: RRT v1: 2 u1: cmH2O st: NotStopd t0: [00:00:00 10/11/2012] id: Tidal Volume (Obser) el: 0 cu: MICU-A cg: RRT v1: 600 u1: ml/B st: NotStopd t0: [00:00:00 10/11/2012] id: Tidal Volume (Set) el: 0 cu: MICU-A cg: RRT v1: 600 u1: ml/B st: NotStopd t0: [00:00:00 10/11/2012] id: Ventilator Mode el: 0 cu: MICU-A cg: RRT v1: Assist Control st: NotStopd t0: [00:00:00 10/11/2012] id: Ventilator Type el: 0 cu: MICU-A cg: RRT v1: 7200A st: NotStopd t0: [00:00:00 10/11/2012] id: Waveform-Vent el: 0 cu: MICU-A cg: RRT v1: RAMP st: NotStopd
t0: [00:00:00 10/11/2012] id: NBP el: 0 cu: MICU-A cg: RN v1: 113 u1: mmHg v2: 43 u2: mmHg st: NotStopd t0: [00:00:00 10/11/2012] id: NBP Mean el: 0 cu: MICU-A cg: RN v1: 66.3333 u1: mmHg st: NotStopd
t0: [00:00:00 10/11/2012] id: TF Residual Gastric/TF Residual el: 1 cu: MICU-A cg: RN ai: 128 vo: 60 vu: ml
t0: [01:00:00 10/11/2012] id: Less Restrict Meas. el: 0 cu: MICU-A cg: RN v1: Medicated st: NotStopd t0: [01:00:00 10/11/2012] id: Range of Motion el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [01:00:00 10/11/2012] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [01:00:00 10/11/2012] id: Circulation/SkinInt el: 0 cu: MICU-A cg: RN v1: Circulation Adeq st: NotStopd t0: [01:00:00 10/11/2012] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [01:00:00 10/11/2012] id: GI Prophylaxis el: 0 cu: MICU-A cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [01:00:00 10/11/2012] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [01:00:00 10/11/2012] id: Diet Type el: 0 cu: MICU-A cg: RN v1: NPO st: NotStopd t0: [01:00:00 10/11/2012] id: Dorsal PedPulse R/L el: 0 cu: MICU-A cg: RN v1: Diff to Palpate v2: Diff to Palpate st: NotStopd t0: [01:00:00 10/11/2012] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [01:00:00 10/11/2012] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [01:00:00 10/11/2012] id: Eye Opening el: 0 cu: MICU-A cg: RN v1: 4 Spontaneously st: NotStopd t0: [01:00:00 10/11/2012] id: Follows Commands el: 0 cu: MICU-A cg: RN v1: Consistently st: NotStopd t0: [01:00:00 10/11/2012] id: GCS Total el: 0 cu: MICU-A cg: RN v1: 11 u1: points st: NotStopd t0: [01:00:00 10/11/2012] id: GI Intub #1/Site el: 0 cu: MICU-A cg: RN v1: Salem Sump v2: Left Nare st: NotStopd t0: [01:00:00 10/11/2012] id: GI#1 Tube PlaceCheck el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [01:00:00 10/11/2012] id: GI#1 Tube Stat/Drain el: 0 cu: MICU-A cg: RN v1: Clamped v2: Bilious st: NotStopd t0: [01:00:00 10/11/2012] id: HOB el: 0 cu: MICU-A cg: RN v1: 30 degrees st: NotStopd t0: [01:00:00 10/11/2012] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 79 u1: BPM st: NotStopd t0: [01:00:00 10/11/2012] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [01:00:00 10/11/2012] id: INV Line#2 Zero/Cal el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [01:00:00 10/11/2012] id: Abdominal Assessment el: 0 cu: MICU-A cg: RN v1: Ascites st: NotStopd t0: [01:00:00 10/11/2012] id: Activity el: 0 cu: MICU-A cg: RN v1: Bedrest st: NotStopd t0: [01:00:00 10/11/2012] id: Activity Tolerance el: 0 cu: MICU-A cg: RN v1: Tolerated Well st: NotStopd t0: [01:00:00 10/11/2012] id: Impaired Skin Site#1 el: 0 cu: MICU-A cg: RN v1: Coccyx st: NotStopd t0: [01:00:00 10/11/2012] id: LLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Diminished st: NotStopd t0: [01:00:00 10/11/2012] id: LUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [01:00:00 10/11/2012] id: Level of Conscious el: 0 cu: MICU-A cg: RN v1: Alert st: NotStopd t0: [01:00:00 10/11/2012] id: Motor Response el: 0 cu: MICU-A cg: RN v1: 6 Obeys Commands st: NotStopd t0: [01:00:00 10/11/2012] id: Oral Cavity el: 0 cu: MICU-A cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [01:00:00 10/11/2012] id: Orientation el: 0 cu: MICU-A cg: RN v1: Other/Remarks st: NotStopd t0: [01:00:00 10/11/2012] id: AntiEmbDevice/Status el: 0 cu: MICU-A cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [01:00:00 10/11/2012] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 154 u1: mmHg v2: 78 u2: mmHg st: NotStopd t0: [01:00:00 10/11/2012] id: Pain Management el: 1 cu: MICU-A cg: RN v1: IV Gtt v2: IV Gtt st: NotStopd t0: [01:00:00 10/11/2012] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 103 u1: mmHg st: NotStopd t0: [01:00:00 10/11/2012] id: Position el: 0 cu: MICU-A cg: RN v1: Left Side st: NotStopd t0: [01:00:00 10/11/2012] id: Position Change el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [01:00:00 10/11/2012] id: Assistance Device el: 0 cu: MICU-A cg: RN v1: 2 Person Assist st: NotStopd t0: [01:00:00 10/11/2012] id: Precautions el: 0 cu: MICU-A cg: RN v1: Contact st: NotStopd t0: [01:00:00 10/11/2012] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 120 u1: kg st: NotStopd t0: [01:00:00 10/11/2012] id: RLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Diminished st: NotStopd t0: [01:00:00 10/11/2012] id: RUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [01:00:00 10/11/2012] id: Reason For Restraint el: 0 cu: MICU-A cg: RN v1: Ext/TXInterfere st: NotStopd t0: [01:00:00 10/11/2012] id: Removed x 5 Mins el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [01:00:00 10/11/2012] id: Respiratory Pattern el: 0 cu: MICU-A cg: RN v1: Regular st: NotStopd t0: [01:00:00 10/11/2012] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 19 u1: BPM st: NotStopd t0: [01:00:00 10/11/2012] id: Restraint Location el: 0 cu: MICU-A cg: RN v1: Both Arms st: NotStopd t0: [01:00:00 10/11/2012] id: Restraint Type el: 0 cu: MICU-A cg: RN v1: Soft Limb st: NotStopd t0: [01:00:00 10/11/2012] id: Restraints Evaluated el: 0 cu: MICU-A cg: RN v1: Behavior Conts st: NotStopd t0: [01:00:00 10/11/2012] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [01:00:00 10/11/2012] id: Skin Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [01:00:00 10/11/2012] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 100 u1: % st: NotStopd t0: [01:00:00 10/11/2012] id: Spontaneous Movement el: 0 cu: MICU-A cg: RN v1: Purposeful st: NotStopd t0: [01:00:00 10/11/2012] id: Sputum Color/Consist el: 0 cu: MICU-A cg: RN v1: Yellow v2: Thick st: NotStopd t0: [01:00:00 10/11/2012] id: Sputum Source/Amt el: 0 cu: MICU-A cg: RN v1: Suctioned v2: Small st: NotStopd t0: [01:00:00 10/11/2012] id: Stool Guaiac el: 0 cu: MICU-A cg: RN v1: Positive st: NotStopd t0: [01:00:00 10/11/2012] id: Stool Management el: 0 cu: MICU-A cg: RN v1: Fecal Incont Bag st: NotStopd t0: [01:00:00 10/11/2012] id: Support Systems el: 0 cu: MICU-A cg: RN v1: Spouse st: NotStopd t0: [01:00:00 10/11/2012] id: Turn el: 0 cu: MICU-A cg: RN v1: Side to Side st: NotStopd t0: [01:00:00 10/11/2012] id: Urine Color/Appear el: 0 cu: MICU-A cg: RN v1: Icteric v2: Cloudy st: NotStopd t0: [01:00:00 10/11/2012] id: Urine Source el: 0 cu: MICU-A cg: RN v1: Indwelling Cath st: NotStopd t0: [01:00:00 10/11/2012] id: Verbal Response el: 0 cu: MICU-A cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [01:00:00 10/11/2012] id: Back Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [01:00:00 10/11/2012] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [01:00:00 10/11/2012] id: Bowel Sounds el: 0 cu: MICU-A cg: RN v1: Present st: NotStopd
t0: [01:00:00 10/11/2012] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 50 vu: ml t0: [01:00:00 10/11/2012] id: D5W 100.0ml + 600mcghr Sandostatin IV Infusions el: 1 cu: MICU-A cg: RN ai: 127 vo: 8.33333 vu: ml t0: [01:00:00 10/11/2012] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU-A cg: RN ai: 416 vo: 25 vu: ml t0: [01:00:00 10/11/2012] id: .9% Normal Saline 50.0ml + 50mghr Midazolam IV Infusions el: 1 cu: MICU-A cg: RN ai: 431 vo: 1 vu: ml
t0: [01:00:00 10/11/2012] id: Fentanyl el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 250 du: mcghr sv: 250 su: ml rt: IV Drip t0: [01:00:00 10/11/2012] id: Midazolam el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 1 du: mghr sv: 50 su: ml rt: IV Drip t0: [01:00:00 10/11/2012] id: Sandostatin el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 50 du: mcghr sv: 100 su: ml rt: IV Drip
t0: [02:00:00 10/11/2012] id: Sputum Color/Consist el: 0 cu: MICU-A cg: RRT v1: Yellow v2: Thick st: NotStopd t0: [02:00:00 10/11/2012] id: Sputum Source/Amt el: 0 cu: MICU-A cg: RRT v1: Suctioned v2: Moderate st: NotStopd
t0: [02:00:00 10/11/2012] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [02:00:00 10/11/2012] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [02:00:00 10/11/2012] id: Riker-SAS Scale el: 0 cu: MICU-A cg: RN v1: Calm/Cooperative st: NotStopd t0: [02:00:00 10/11/2012] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [02:00:00 10/11/2012] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [02:00:00 10/11/2012] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [02:00:00 10/11/2012] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 75 u1: BPM st: NotStopd t0: [02:00:00 10/11/2012] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [02:00:00 10/11/2012] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 139 u1: mmHg v2: 70 u2: mmHg st: NotStopd t0: [02:00:00 10/11/2012] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 92 u1: mmHg st: NotStopd t0: [02:00:00 10/11/2012] id: Precautions el: 0 cu: MICU-A cg: RN v1: Contact st: NotStopd t0: [02:00:00 10/11/2012] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 120 u1: kg st: NotStopd t0: [02:00:00 10/11/2012] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 14 u1: BPM st: NotStopd t0: [02:00:00 10/11/2012] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 100 u1: % st: NotStopd t0: [02:00:00 10/11/2012] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [02:00:00 10/11/2012] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 50 vu: ml t0: [02:00:00 10/11/2012] id: D5W 100.0ml + 600mcghr Sandostatin IV Infusions el: 1 cu: MICU-A cg: RN ai: 127 vo: 8.33333 vu: ml t0: [02:00:00 10/11/2012] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU-A cg: RN ai: 416 vo: 25 vu: ml t0: [02:00:00 10/11/2012] id: .9% Normal Saline 50.0ml + 50mghr Midazolam IV Infusions el: 1 cu: MICU-A cg: RN ai: 431 vo: 1 vu: ml
t0: [02:00:00 10/11/2012] id: Fentanyl el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 250 du: mcghr sv: 250 su: ml rt: IV Drip t0: [02:00:00 10/11/2012] id: Midazolam el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 1 du: mghr sv: 50 su: ml rt: IV Drip t0: [02:00:00 10/11/2012] id: Sandostatin el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 50 du: mcghr sv: 100 su: ml rt: IV Drip
t0: [03:00:00 10/11/2012] id: Less Restrict Meas. el: 0 cu: MICU-A cg: RN v1: Medicated st: NotStopd t0: [03:00:00 10/11/2012] id: Range of Motion el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [03:00:00 10/11/2012] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [03:00:00 10/11/2012] id: Circulation/SkinInt el: 0 cu: MICU-A cg: RN v1: Circulation Adeq st: NotStopd t0: [03:00:00 10/11/2012] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [03:00:00 10/11/2012] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [03:00:00 10/11/2012] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [03:00:00 10/11/2012] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [03:00:00 10/11/2012] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 71 u1: BPM st: NotStopd t0: [03:00:00 10/11/2012] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [03:00:00 10/11/2012] id: Level of Conscious el: 0 cu: MICU-A cg: RN v1: Sleeping st: NotStopd t0: [03:00:00 10/11/2012] id: NBP el: 0 cu: MICU-A cg: RN v1: 115 u1: mmHg v2: 49 u2: mmHg st: NotStopd t0: [03:00:00 10/11/2012] id: NBP Mean el: 0 cu: MICU-A cg: RN v1: 71 u1: mmHg st: NotStopd t0: [03:00:00 10/11/2012] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 134 u1: mmHg v2: 68 u2: mmHg st: NotStopd t0: [03:00:00 10/11/2012] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 89 u1: mmHg st: NotStopd t0: [03:00:00 10/11/2012] id: Position Change el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [03:00:00 10/11/2012] id: Precautions el: 0 cu: MICU-A cg: RN v1: Contact st: NotStopd t0: [03:00:00 10/11/2012] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 120 u1: kg st: NotStopd t0: [03:00:00 10/11/2012] id: Reason For Restraint el: 0 cu: MICU-A cg: RN v1: Ext/TXInterfere st: NotStopd t0: [03:00:00 10/11/2012] id: Removed x 5 Mins el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [03:00:00 10/11/2012] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 14 u1: BPM st: NotStopd t0: [03:00:00 10/11/2012] id: Restraint Location el: 0 cu: MICU-A cg: RN v1: Both Arms st: NotStopd t0: [03:00:00 10/11/2012] id: Restraint Type el: 0 cu: MICU-A cg: RN v1: Soft Limb st: NotStopd t0: [03:00:00 10/11/2012] id: Restraints Evaluated el: 0 cu: MICU-A cg: RN v1: Behavior Conts st: NotStopd t0: [03:00:00 10/11/2012] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [03:00:00 10/11/2012] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 100 u1: % st: NotStopd t0: [03:00:00 10/11/2012] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [03:00:00 10/11/2012] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 50 vu: ml t0: [03:00:00 10/11/2012] id: D5W 100.0ml + 600mcghr Sandostatin IV Infusions el: 1 cu: MICU-A cg: RN ai: 127 vo: 8.33333 vu: ml t0: [03:00:00 10/11/2012] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU-A cg: RN ai: 416 vo: 25 vu: ml t0: [03:00:00 10/11/2012] id: .9% Normal Saline 50.0ml + 50mghr Midazolam IV Infusions el: 1 cu: MICU-A cg: RN ai: 431 vo: 1 vu: ml
t0: [03:00:00 10/11/2012] id: Fentanyl el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 250 du: mcghr sv: 250 su: ml rt: IV Drip t0: [03:00:00 10/11/2012] id: Midazolam el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 1 du: mghr sv: 50 su: ml rt: IV Drip t0: [03:00:00 10/11/2012] id: Sandostatin el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 50 du: mcghr sv: 100 su: ml rt: IV Drip
t0: [23:00:00 10/11/2012] dt: 1 id: Total Hourly Output el: 2 cu: MICU-A cg: RN pv: 170 cv: 170 ap: none t0: [23:00:00 10/11/2012] dt: 1 id: Net Hourly Balance el: 2 cu: MICU-A cg: RN pv: -31.6667 cv: -31.6667 ap: none t0: [23:00:00 10/11/2012] dt: 24 id: IV Infusion In Total el: 2 cu: MICU-A cg: RN pv: 18.3333 cv: 1370 ap: none t0: [23:00:00 10/11/2012] dt: 24 id: 24h Total In el: 2 cu: MICU-A cg: RN pv: 138.333 cv: 1920 ap: none t0: [23:00:00 10/11/2012] dt: 24 id: Urine Out Total el: 2 cu: MICU-A cg: RN pv: 170 cv: 3315 ap: none t0: [23:00:00 10/11/2012] dt: 24 id: 24h Net Body Balance el: 2 cu: MICU-A cg: RN pv: -31.6667 cv: -1395 ap: none t0: [23:00:00 10/11/2012] dt: 24 id: 24h Total Out el: 2 cu: MICU-A cg: RN pv: 170 cv: 3315 ap: none t0: [23:00:00 10/11/2012] dt: multiple days id: LOS Net Body Balance el: 2 cu: MICU-A cg: RN pv: -31.6667 cv: 33025 ap: carryForward
t0: [04:00:00 10/11/2012] id: Pain Present el: 0 cu: MICU-A cg: RN v1: No st: NotStopd t0: [04:00:00 10/11/2012] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [04:00:00 10/11/2012] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [04:00:00 10/11/2012] id: Riker-SAS Scale el: 0 cu: MICU-A cg: RN v1: Calm/Cooperative st: NotStopd t0: [04:00:00 10/11/2012] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [04:00:00 10/11/2012] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [04:00:00 10/11/2012] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [04:00:00 10/11/2012] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 63 u1: BPM st: NotStopd t0: [04:00:00 10/11/2012] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [04:00:00 10/11/2012] id: INV Line#1 Type/Site el: 0 cu: MICU-A cg: RN v1: PICC line v2: Left Antecub st: NotStopd t0: [04:00:00 10/11/2012] id: INV Line#1InsertDate el: 0 cu: MICU-A cg: RN v1: 10 v2: 8 st: NotStopd t0: [04:00:00 10/11/2012] id: INV Line#1SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [04:00:00 10/11/2012] id: INV Line#2 Type/Site el: 0 cu: MICU-A cg: RN v1: A-Line v2: Left Radial st: NotStopd t0: [04:00:00 10/11/2012] id: INV Line#2 Zero/Cal el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [04:00:00 10/11/2012] id: INV Line#2InsertDate el: 0 cu: MICU-A cg: RN v1: 10 v2: 16 st: NotStopd t0: [04:00:00 10/11/2012] id: INV Line#2SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [04:00:00 10/11/2012] id: INV#2 WaveformAppear el: 0 cu: MICU-A cg: RN v1: Sharp st: NotStopd t0: [04:00:00 10/11/2012] id: IV #1 Insert Date el: 0 cu: MICU-A cg: RN v1: 10 v2: 16 st: NotStopd t0: [04:00:00 10/11/2012] id: IV #1 Site/Size el: 0 cu: MICU-A cg: RN v1: Right Hand v2: 18 gauge st: NotStopd t0: [04:00:00 10/11/2012] id: IV #3 Insert Date el: 0 cu: MICU-A cg: RN v1: 10 v2: 16 st: NotStopd t0: [04:00:00 10/11/2012] id: IV #3 Site/Size el: 0 cu: MICU-A cg: RN v1: Left Hand v2: 18 gauge st: NotStopd t0: [04:00:00 10/11/2012] id: IV Site Appear #1 el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [04:00:00 10/11/2012] id: IV Site Appear #3 el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [04:00:00 10/11/2012] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 128 u1: mmHg v2: 65 u2: mmHg st: NotStopd t0: [04:00:00 10/11/2012] id: Pain Location el: 0 cu: MICU-A cg: RN v1: Not Indicated st: NotStopd t0: [04:00:00 10/11/2012] id: Pain Management el: 1 cu: MICU-A cg: RN v1: IV Gtt v2: IV Gtt st: NotStopd t0: [04:00:00 10/11/2012] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 84 u1: mmHg st: NotStopd t0: [04:00:00 10/11/2012] id: Precautions el: 0 cu: MICU-A cg: RN v1: Contact st: NotStopd t0: [04:00:00 10/11/2012] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 120 u1: kg st: NotStopd t0: [04:00:00 10/11/2012] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 14 u1: BPM st: NotStopd t0: [04:00:00 10/11/2012] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 99 u1: % st: NotStopd t0: [04:00:00 10/11/2012] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [04:00:00 10/11/2012] id: Fingerstick Glucose Chemistry el: 0 cu: MICU-A cg: RN v1: 79 rs: Manual st: NotStopd
t0: [04:00:00 10/11/2012] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 50 vu: ml t0: [04:00:00 10/11/2012] id: D5W 100.0ml + 600mcghr Sandostatin IV Infusions el: 1 cu: MICU-A cg: RN ai: 127 vo: 8.33333 vu: ml t0: [04:00:00 10/11/2012] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU-A cg: RN ai: 416 vo: 25 vu: ml t0: [04:00:00 10/11/2012] id: .9% Normal Saline 50.0ml + 50mghr Midazolam IV Infusions el: 1 cu: MICU-A cg: RN ai: 431 vo: 1 vu: ml
t0: [04:00:00 10/11/2012] id: Fentanyl el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 250 du: mcghr sv: 250 su: ml rt: IV Drip t0: [04:00:00 10/11/2012] id: Midazolam el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 1 du: mghr sv: 50 su: ml rt: IV Drip t0: [04:00:00 10/11/2012] id: Sandostatin el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 50 du: mcghr sv: 100 su: ml rt: IV Drip
t0: [04:35:00 10/11/2012] id: Art.pH ABG el: 0 cu: MICU-A cg: 1663 v1: 7.41 rs: Final st: NotStopd t0: [04:35:00 10/11/2012] id: Arterial Base Excess ABG el: 0 cu: MICU-A cg: 1663 v1: -3 rs: Final st: NotStopd t0: [04:35:00 10/11/2012] id: Arterial CO2(Calc) ABG el: 0 cu: MICU-A cg: 1663 v1: 20 rs: Final st: NotStopd t0: [04:35:00 10/11/2012] id: Arterial PaCO2 ABG el: 0 cu: MICU-A cg: 1663 v1: 31 u1: mmHg rs: Final st: NotStopd t0: [04:35:00 10/11/2012] id: Arterial PaO2 ABG el: 0 cu: MICU-A cg: 1663 v1: 97 u1: mmHg rs: Final st: NotStopd t0: [04:35:00 10/11/2012] id: Arterial pH ABG el: 0 cu: MICU-A cg: 1663 v1: 7.41 rs: Final st: NotStopd
t0: [04:00:00 10/11/2012] id: Compliance (40-60ml) el: 0 cu: MICU-A cg: RRT v1: 33.3333 u1: ml/cmH st: NotStopd t0: [04:00:00 10/11/2012] id: ETT Mark/Location el: 0 cu: MICU-A cg: RRT v1: 22cm v2: Lip st: NotStopd t0: [04:00:00 10/11/2012] id: FiO2 Set el: 0 cu: MICU-A cg: RRT v1: 0.4 u1: torr st: NotStopd t0: [04:00:00 10/11/2012] id: High Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 50 u1: cmH2O st: NotStopd t0: [04:00:00 10/11/2012] id: High Resp. Rate el: 0 cu: MICU-A cg: RRT v1: 35 u1: BPM st: NotStopd t0: [04:00:00 10/11/2012] id: Airway Size el: 0 cu: MICU-A cg: RRT v1: 8.0 mm st: NotStopd t0: [04:00:00 10/11/2012] id: Airway Type el: 0 cu: MICU-A cg: RRT v1: Endotracheal st: NotStopd t0: [04:00:00 10/11/2012] id: Intubation Date el: 0 cu: MICU-A cg: RRT v1: 10 v2: 16 st: NotStopd t0: [04:00:00 10/11/2012] id: Low Exhaled Min Vol el: 0 cu: MICU-A cg: RRT v1: 3 st: NotStopd t0: [04:00:00 10/11/2012] id: Mean Airway Pressure el: 0 cu: MICU-A cg: RRT v1: 7.7 u1: cmH2O st: NotStopd t0: [04:00:00 10/11/2012] id: Minute Volume(Obser) el: 0 cu: MICU-A cg: RRT v1: 8.9 u1: L/min st: NotStopd t0: [04:00:00 10/11/2012] id: PEEP Set el: 0 cu: MICU-A cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [04:00:00 10/11/2012] id: Apnea Time Interval el: 0 cu: MICU-A cg: RRT v1: 20 st: NotStopd t0: [04:00:00 10/11/2012] id: Peak Flow el: 0 cu: MICU-A cg: RRT v1: 50 u1: L/m st: NotStopd t0: [04:00:00 10/11/2012] id: Peak Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 23 u1: cmH2O st: NotStopd t0: [04:00:00 10/11/2012] id: Plateau-Off el: 0 cu: MICU-A cg: RRT v1: Yes st: NotStopd t0: [04:00:00 10/11/2012] id: Resp Rate (Spont) el: 0 cu: MICU-A cg: RRT v1: 1 u1: BPM st: NotStopd t0: [04:00:00 10/11/2012] id: Resp Rate (Total) el: 0 cu: MICU-A cg: RRT v1: 15 u1: BPM st: NotStopd t0: [04:00:00 10/11/2012] id: Respiratory Rate Set el: 0 cu: MICU-A cg: RRT v1: 14 u1: BPM st: NotStopd t0: [04:00:00 10/11/2012] id: Sensitivity-Vent el: 0 cu: MICU-A cg: RRT v1: 2 u1: cmH2O st: NotStopd t0: [04:00:00 10/11/2012] id: Sputum Color/Consist el: 0 cu: MICU-A cg: RRT v1: Yellow v2: Thick st: NotStopd t0: [04:00:00 10/11/2012] id: Sputum Source/Amt el: 0 cu: MICU-A cg: RRT v1: Suctioned v2: Small st: NotStopd t0: [04:00:00 10/11/2012] id: Tidal Volume (Obser) el: 0 cu: MICU-A cg: RRT v1: 610 u1: ml/B st: NotStopd t0: [04:00:00 10/11/2012] id: Tidal Volume (Set) el: 0 cu: MICU-A cg: RRT v1: 600 u1: ml/B st: NotStopd t0: [04:00:00 10/11/2012] id: Ventilator Mode el: 0 cu: MICU-A cg: RRT v1: Assist Control st: NotStopd t0: [04:00:00 10/11/2012] id: Ventilator Type el: 0 cu: MICU-A cg: RRT v1: 7200A st: NotStopd t0: [04:00:00 10/11/2012] id: Waveform-Vent el: 0 cu: MICU-A cg: RRT v1: RAMP st: NotStopd
t0: [05:00:00 10/11/2012] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU-A cg: -1 ai: 416 vo: 0 st: D/C'd t0: [05:00:00 10/11/2012] id: .9% Normal Saline 50.0ml + 50mghr Midazolam IV Infusions el: 1 cu: MICU-A cg: -1 ai: 431 vo: 0 st: D/C'd
t0: [05:00:00 10/11/2012] id: Less Restrict Meas. el: 0 cu: MICU-A cg: RN v1: Medicated st: NotStopd t0: [05:00:00 10/11/2012] id: Range of Motion el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [05:00:00 10/11/2012] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [05:00:00 10/11/2012] id: Circulation/SkinInt el: 0 cu: MICU-A cg: RN v1: Circulation Adeq st: NotStopd t0: [05:00:00 10/11/2012] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [05:00:00 10/11/2012] id: GI Prophylaxis el: 0 cu: MICU-A cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [05:00:00 10/11/2012] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [05:00:00 10/11/2012] id: Diet Type el: 0 cu: MICU-A cg: RN v1: NPO st: NotStopd t0: [05:00:00 10/11/2012] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [05:00:00 10/11/2012] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [05:00:00 10/11/2012] id: Eye Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [05:00:00 10/11/2012] id: Eye Opening el: 0 cu: MICU-A cg: RN v1: 4 Spontaneously st: NotStopd t0: [05:00:00 10/11/2012] id: Follows Commands el: 0 cu: MICU-A cg: RN v1: Consistently st: NotStopd t0: [05:00:00 10/11/2012] id: GCS Total el: 0 cu: MICU-A cg: RN v1: 11 u1: points st: NotStopd t0: [05:00:00 10/11/2012] id: GI Intub #1/Site el: 0 cu: MICU-A cg: RN v1: Salem Sump v2: Left Nare st: NotStopd t0: [05:00:00 10/11/2012] id: GI#1 Tube PlaceCheck el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [05:00:00 10/11/2012] id: GI#1 Tube Stat/Drain el: 0 cu: MICU-A cg: RN v1: Clamped v2: Bilious st: NotStopd t0: [05:00:00 10/11/2012] id: HOB el: 0 cu: MICU-A cg: RN v1: 30 degrees st: NotStopd t0: [05:00:00 10/11/2012] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 77 u1: BPM st: NotStopd t0: [05:00:00 10/11/2012] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [05:00:00 10/11/2012] id: Abdominal Assessment el: 0 cu: MICU-A cg: RN v1: Ascites st: NotStopd t0: [05:00:00 10/11/2012] id: Activity el: 0 cu: MICU-A cg: RN v1: Bedrest st: NotStopd t0: [05:00:00 10/11/2012] id: Activity Tolerance el: 0 cu: MICU-A cg: RN v1: Tolerated Well st: NotStopd t0: [05:00:00 10/11/2012] id: Impaired Skin Site#1 el: 0 cu: MICU-A cg: RN v1: Coccyx st: NotStopd t0: [05:00:00 10/11/2012] id: LLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Diminished st: NotStopd t0: [05:00:00 10/11/2012] id: LUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [05:00:00 10/11/2012] id: Level of Conscious el: 0 cu: MICU-A cg: RN v1: Alert st: NotStopd t0: [05:00:00 10/11/2012] id: Motor Response el: 0 cu: MICU-A cg: RN v1: 6 Obeys Commands st: NotStopd t0: [05:00:00 10/11/2012] id: NBP el: 0 cu: MICU-A cg: RN v1: 121 u1: mmHg v2: 60 u2: mmHg st: NotStopd t0: [05:00:00 10/11/2012] id: NBP Mean el: 0 cu: MICU-A cg: RN v1: 80.3333 u1: mmHg st: NotStopd t0: [05:00:00 10/11/2012] id: Oral Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [05:00:00 10/11/2012] id: Oral Cavity el: 0 cu: MICU-A cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [05:00:00 10/11/2012] id: Orientation el: 0 cu: MICU-A cg: RN v1: Other/Remarks st: NotStopd t0: [05:00:00 10/11/2012] id: AntiEmbDevice/Status el: 0 cu: MICU-A cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [05:00:00 10/11/2012] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 130 u1: mmHg v2: 60 u2: mmHg st: NotStopd t0: [05:00:00 10/11/2012] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 83 u1: mmHg st: NotStopd t0: [05:00:00 10/11/2012] id: Position el: 0 cu: MICU-A cg: RN v1: Supine st: NotStopd t0: [05:00:00 10/11/2012] id: Position Change el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [05:00:00 10/11/2012] id: Assistance Device el: 0 cu: MICU-A cg: RN v1: 2 Person Assist st: NotStopd t0: [05:00:00 10/11/2012] id: Precautions el: 0 cu: MICU-A cg: RN v1: Contact st: NotStopd t0: [05:00:00 10/11/2012] id: Previous Weight el: 0 cu: MICU-A cg: RN v1: 123 u1: kg st: NotStopd t0: [05:00:00 10/11/2012] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 123 u1: kg st: NotStopd t0: [05:00:00 10/11/2012] id: RLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Diminished st: NotStopd t0: [05:00:00 10/11/2012] id: RUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [05:00:00 10/11/2012] id: Reason For Restraint el: 0 cu: MICU-A cg: RN v1: Ext/TXInterfere st: NotStopd t0: [05:00:00 10/11/2012] id: Removed x 5 Mins el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [05:00:00 10/11/2012] id: Respiratory Pattern el: 0 cu: MICU-A cg: RN v1: Regular st: NotStopd t0: [05:00:00 10/11/2012] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 14 u1: BPM st: NotStopd t0: [05:00:00 10/11/2012] id: Restraint Location el: 0 cu: MICU-A cg: RN v1: Both Arms st: NotStopd t0: [05:00:00 10/11/2012] id: Restraint Type el: 0 cu: MICU-A cg: RN v1: Soft Limb st: NotStopd t0: [05:00:00 10/11/2012] id: Restraints Evaluated el: 0 cu: MICU-A cg: RN v1: Behavior Conts st: NotStopd t0: [05:00:00 10/11/2012] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [05:00:00 10/11/2012] id: Skin Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [05:00:00 10/11/2012] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 100 u1: % st: NotStopd t0: [05:00:00 10/11/2012] id: Spontaneous Movement el: 0 cu: MICU-A cg: RN v1: Purposeful st: NotStopd t0: [05:00:00 10/11/2012] id: Stool Guaiac el: 0 cu: MICU-A cg: RN v1: Positive st: NotStopd t0: [05:00:00 10/11/2012] id: Stool Management el: 0 cu: MICU-A cg: RN v1: Fecal Incont Bag st: NotStopd t0: [05:00:00 10/11/2012] id: Support Systems el: 0 cu: MICU-A cg: RN v1: Spouse st: NotStopd t0: [05:00:00 10/11/2012] id: Temp. Site el: 0 cu: MICU-A cg: RN v1: Oral st: NotStopd t0: [05:00:00 10/11/2012] id: Temperature C (calc) el: 0 cu: MICU-A cg: RN v1: 37.4444 u1: Deg. C st: NotStopd t0: [05:00:00 10/11/2012] id: Temperature F el: 0 cu: MICU-A cg: RN v1: 99.4 u1: Deg. F st: NotStopd t0: [05:00:00 10/11/2012] id: Turn el: 0 cu: MICU-A cg: RN v1: Side to Side st: NotStopd t0: [05:00:00 10/11/2012] id: Urine Color/Appear el: 0 cu: MICU-A cg: RN v1: Icteric v2: Cloudy st: NotStopd t0: [05:00:00 10/11/2012] id: Urine Source el: 0 cu: MICU-A cg: RN v1: Indwelling Cath st: NotStopd t0: [05:00:00 10/11/2012] id: Verbal Response el: 0 cu: MICU-A cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [05:00:00 10/11/2012] id: Back Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [05:00:00 10/11/2012] id: Weight Change el: 0 cu: MICU-A cg: RN v1: 0 u1: kg st: NotStopd t0: [05:00:00 10/11/2012] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [05:00:00 10/11/2012] id: Daily Weight el: 0 cu: MICU-A cg: RN v1: 123 u1: kg st: NotStopd t0: [05:00:00 10/11/2012] id: Bowel Sounds el: 0 cu: MICU-A cg: RN v1: Present st: NotStopd t0: [05:00:00 10/11/2012] id: Braden Activity el: 0 cu: MICU-A cg: RN v1: Bedfast st: NotStopd t0: [05:00:00 10/11/2012] id: Braden Frict/Shear el: 0 cu: MICU-A cg: RN v1: Problem st: NotStopd t0: [05:00:00 10/11/2012] id: Braden Mobility el: 0 cu: MICU-A cg: RN v1: Very Limited st: NotStopd t0: [05:00:00 10/11/2012] id: Braden Moisture el: 0 cu: MICU-A cg: RN v1: Occ. Moist st: NotStopd t0: [05:00:00 10/11/2012] id: Braden Nutrition el: 0 cu: MICU-A cg: RN v1: Very Poor st: NotStopd t0: [05:00:00 10/11/2012] id: Braden Score el: 0 cu: MICU-A cg: RN v1: 11 u1: number st: NotStopd t0: [05:00:00 10/11/2012] id: Braden SensoryPercep el: 0 cu: MICU-A cg: RN v1: Sl. Limited st: NotStopd
t0: [05:00:00 10/11/2012] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [05:00:00 10/11/2012] id: D5W 100.0ml + 600mcghr Sandostatin IV Infusions el: 1 cu: MICU-A cg: RN ai: 127 vo: 8.33333 vu: ml
t0: [05:00:00 10/11/2012] id: Fentanyl el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 du: mcghr sv: 250 su: ml rt: IV Drip st: Stopped t0: [05:00:00 10/11/2012] id: Midazolam el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 du: mghr sv: 50 su: ml rt: IV Drip st: Stopped t0: [05:00:00 10/11/2012] id: Sandostatin el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 50 du: mcghr sv: 100 su: ml rt: IV Drip
t0: [04:55:00 10/11/2012] id: WBC (4-11,000) Hematology el: 0 cu: MICU-A cg: 1663 v1: 7.6 rs: Final st: NotStopd t0: [04:55:00 10/11/2012] id: WBC Hematology el: 0 cu: MICU-A cg: 1663 v1: 7.6 rs: Final st: NotStopd t0: [04:55:00 10/11/2012] id: Hematocrit Hematology el: 0 cu: MICU-A cg: 1663 v1: 30.9 u1: % rs: Final st: NotStopd t0: [04:55:00 10/11/2012] id: Hemoglobin Hematology el: 0 cu: MICU-A cg: 1663 v1: 10.9 u1: gm/dl rs: Final st: NotStopd t0: [04:55:00 10/11/2012] id: Platelets Hematology el: 0 cu: MICU-A cg: 1663 v1: 140 rs: Final st: NotStopd t0: [04:55:00 10/11/2012] id: RBC Hematology el: 0 cu: MICU-A cg: 1663 v1: 3.44 u1: /mic l rs: Final st: NotStopd t0: [04:55:00 10/11/2012] id: WBC (4-11,000) Hematology el: 0 cu: MICU-A cg: 1663 v1: 7.6 rs: Final st: NotStopd
t0: [04:55:00 10/11/2012] id: PT el: 0 cu: MICU-A cg: 1663 v1: 14.9 rs: Final st: NotStopd t0: [04:55:00 10/11/2012] id: INR Coags el: 0 cu: MICU-A cg: 1663 v1: 1.5 rs: Final st: NotStopd t0: [04:55:00 10/11/2012] id: PTT Coags el: 0 cu: MICU-A cg: 1663 v1: 36.1 rs: Final st: NotStopd t0: [04:55:00 10/11/2012] id: INR (2-4 ref. range) Coags el: 0 cu: MICU-A cg: 1663 v1: 1.5 rs: Final st: NotStopd t0: [04:55:00 10/11/2012] id: PT(11-13.5) Coags el: 0 cu: MICU-A cg: 1663 v1: 14.9 rs: Final st: NotStopd t0: [04:55:00 10/11/2012] id: PTT(22-35) Coags el: 0 cu: MICU-A cg: 1663 v1: 36.1 rs: Final st: NotStopd
t0: [06:00:00 10/11/2012] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [06:00:00 10/11/2012] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [06:00:00 10/11/2012] id: Riker-SAS Scale el: 0 cu: MICU-A cg: RN v1: Calm/Cooperative st: NotStopd t0: [06:00:00 10/11/2012] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [06:00:00 10/11/2012] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [06:00:00 10/11/2012] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [06:00:00 10/11/2012] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 73 u1: BPM st: NotStopd t0: [06:00:00 10/11/2012] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [06:00:00 10/11/2012] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 125 u1: mmHg v2: 55 u2: mmHg st: NotStopd t0: [06:00:00 10/11/2012] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 76 u1: mmHg st: NotStopd t0: [06:00:00 10/11/2012] id: Precautions el: 0 cu: MICU-A cg: RN v1: Contact st: NotStopd t0: [06:00:00 10/11/2012] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 123 u1: kg st: NotStopd t0: [06:00:00 10/11/2012] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 24 u1: BPM st: NotStopd t0: [06:00:00 10/11/2012] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 100 u1: % st: NotStopd t0: [06:00:00 10/11/2012] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [06:00:00 10/11/2012] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [06:00:00 10/11/2012] id: D5W 100.0ml + 600mcghr Sandostatin IV Infusions el: 1 cu: MICU-A cg: RN ai: 127 vo: 8.33333 vu: ml
t0: [06:00:00 10/11/2012] id: Sandostatin el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 50 du: mcghr sv: 100 su: ml rt: IV Drip
t0: [04:55:00 10/11/2012] id: BUN el: 0 cu: MICU-A cg: 1663 v1: 12 rs: Final st: NotStopd t0: [04:55:00 10/11/2012] id: Calcium Chemistry el: 0 cu: MICU-A cg: 1663 v1: 8.5 u1: mg/dl rs: Final st: NotStopd t0: [04:55:00 10/11/2012] id: Chloride Chemistry el: 0 cu: MICU-A cg: 1663 v1: 113 rs: Final st: NotStopd t0: [04:55:00 10/11/2012] id: Creatinine Chemistry el: 0 cu: MICU-A cg: 1663 v1: 1.3 rs: Final st: NotStopd t0: [04:55:00 10/11/2012] id: Glucose Chemistry el: 0 cu: MICU-A cg: 1663 v1: 72 rs: Final st: NotStopd t0: [04:55:00 10/11/2012] id: Magnesium Chemistry el: 0 cu: MICU-A cg: 1663 v1: 1.7 rs: Final st: NotStopd t0: [04:55:00 10/11/2012] id: Phosphorous Chemistry el: 0 cu: MICU-A cg: 1663 v1: 3.5 u1: mEq/L rs: Final st: NotStopd t0: [04:55:00 10/11/2012] id: Potassium Chemistry el: 0 cu: MICU-A cg: 1663 v1: 3.9 rs: Final st: NotStopd t0: [04:55:00 10/11/2012] id: Sodium Chemistry el: 0 cu: MICU-A cg: 1663 v1: 139 rs: Final st: NotStopd t0: [04:55:00 10/11/2012] id: BUN (6-20) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 12 rs: Final st: NotStopd t0: [04:55:00 10/11/2012] id: Calcium (8.4-10.2) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 8.5 u1: mg/dl rs: Final st: NotStopd t0: [04:55:00 10/11/2012] id: Carbon Dioxide Chemistry el: 0 cu: MICU-A cg: 1663 v1: 19 rs: Final st: NotStopd t0: [04:55:00 10/11/2012] id: Chloride (100-112) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 113 rs: Final st: NotStopd t0: [04:55:00 10/11/2012] id: Creatinine (0-1.3) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 1.3 rs: Final st: NotStopd t0: [04:55:00 10/11/2012] id: Glucose (70-105) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 72 rs: Final st: NotStopd t0: [04:55:00 10/11/2012] id: Magnesium (1.6-2.6) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 1.7 rs: Final st: NotStopd t0: [04:55:00 10/11/2012] id: Phosphorous(2.7-4.5) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 3.5 u1: mEq/L rs: Final st: NotStopd t0: [04:55:00 10/11/2012] id: Potassium (3.5-5.3) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 3.9 rs: Final st: NotStopd t0: [04:55:00 10/11/2012] id: Sodium (135-148) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 139 rs: Final st: NotStopd
t0: [06:00:00 10/11/2012] id: IV #3 Reason DC'D el: 0 cu: MICU-A cg: -1 st: D/C'd t0: [06:00:00 10/11/2012] id: IV #3 D/C Date el: 0 cu: MICU-A cg: -1 st: D/C'd t0: [06:00:00 10/11/2012] id: IV #3 Insert Date el: 0 cu: MICU-A cg: -1 st: D/C'd t0: [06:00:00 10/11/2012] id: IV #3 Site/Size el: 0 cu: MICU-A cg: -1 st: D/C'd t0: [06:00:00 10/11/2012] id: IV Site Appear #3 el: 0 cu: MICU-A cg: -1 st: D/C'd
t0: [06:00:00 10/11/2012] id: RSBI (<100) el: 0 cu: MICU-A cg: RRT v1: 34.0909 u1: units st: NotStopd t0: [06:00:00 10/11/2012] id: PEEP Set el: 0 cu: MICU-A cg: RRT v1: 0 u1: cmH2O st: NotStopd t0: [06:00:00 10/11/2012] id: Pressure Support el: 0 cu: MICU-A cg: RRT v1: 5 u1: . st: NotStopd t0: [06:00:00 10/11/2012] id: RSBI (<200) el: 0 cu: MICU-A cg: RRT v1: 34.0909 u1: units st: NotStopd t0: [06:00:00 10/11/2012] id: Respiratory Rate Set el: 0 cu: MICU-A cg: RRT v1: 15 u1: BPM st: NotStopd t0: [06:00:00 10/11/2012] id: Spon RR (Mech.) el: 0 cu: MICU-A cg: RRT v1: 15 u1: BPM st: NotStopd t0: [06:00:00 10/11/2012] id: Spon. Vt (L) (Mech.) el: 0 cu: MICU-A cg: RRT v1: 0.44 u1: L st: NotStopd t0: [06:00:00 10/11/2012] id: Tidal Volume (Spont) el: 0 cu: MICU-A cg: RRT v1: 440 u1: ml/B st: NotStopd t0: [06:00:00 10/11/2012] id: Ventilator Mode el: 0 cu: MICU-A cg: RRT v1: CPAP+PS st: NotStopd
t0: [05:00:00 10/11/2012] id: IV #3 Reason DC'D el: 0 cu: MICU-A cg: RN v1: Infiltrated st: NotStopd t0: [05:00:00 10/11/2012] id: IV #3 D/C Date el: 0 cu: MICU-A cg: RN v1: 10 v2: 18 st: NotStopd t0: [07:00:00 10/11/2012] id: Less Restrict Meas. el: 0 cu: MICU-A cg: RN v1: Orientation st: NotStopd t0: [07:00:00 10/11/2012] id: Range of Motion el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [07:00:00 10/11/2012] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [07:00:00 10/11/2012] id: Circulation/SkinInt el: 0 cu: MICU-A cg: RN v1: Circulation Adeq st: NotStopd t0: [07:00:00 10/11/2012] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [07:00:00 10/11/2012] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [07:00:00 10/11/2012] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [07:00:00 10/11/2012] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [07:00:00 10/11/2012] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 80 u1: BPM st: NotStopd t0: [07:00:00 10/11/2012] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [07:00:00 10/11/2012] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 122 u1: mmHg v2: 58 u2: mmHg st: NotStopd t0: [07:00:00 10/11/2012] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 79 u1: mmHg st: NotStopd t0: [07:00:00 10/11/2012] id: Position Change el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [07:00:00 10/11/2012] id: Precautions el: 0 cu: MICU-A cg: RN v1: Contact st: NotStopd t0: [07:00:00 10/11/2012] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 123 u1: kg st: NotStopd t0: [07:00:00 10/11/2012] id: Reason For Restraint el: 0 cu: MICU-A cg: RN v1: Ext/TXInterfere st: NotStopd t0: [07:00:00 10/11/2012] id: Removed x 5 Mins el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [07:00:00 10/11/2012] id: Respiratory Pattern el: 0 cu: MICU-A cg: RN v1: Tachypneic st: NotStopd t0: [07:00:00 10/11/2012] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 28 u1: BPM st: NotStopd t0: [07:00:00 10/11/2012] id: Restraint Location el: 0 cu: MICU-A cg: RN v1: Both Arms st: NotStopd t0: [07:00:00 10/11/2012] id: Restraint Type el: 0 cu: MICU-A cg: RN v1: Soft Limb st: NotStopd t0: [07:00:00 10/11/2012] id: Restraints Evaluated el: 0 cu: MICU-A cg: RN v1: Behavior Conts st: NotStopd t0: [07:00:00 10/11/2012] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [07:00:00 10/11/2012] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 99 u1: % st: NotStopd t0: [07:00:00 10/11/2012] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [07:00:00 10/11/2012] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [07:00:00 10/11/2012] id: D5W 100.0ml + 600mcghr Sandostatin IV Infusions el: 1 cu: MICU-A cg: RN ai: 127 vo: 8.33333 vu: ml
t0: [07:00:00 10/11/2012] id: Sandostatin el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 50 du: mcghr sv: 100 su: ml rt: IV Drip
t0: [07:47:00 10/11/2012] id: Art.pH ABG el: 0 cu: MICU-A cg: 1663 v1: 7.27 rs: Final st: NotStopd t0: [07:47:00 10/11/2012] id: CaO2 el: 0 cu: MICU-A cg: 1663 v1: 14.484 u1: ml/dl st: NotStopd t0: [07:47:00 10/11/2012] id: Arterial Base Excess ABG el: 0 cu: MICU-A cg: 1663 v1: -5 rs: Final st: NotStopd t0: [07:47:00 10/11/2012] id: Arterial CO2(Calc) ABG el: 0 cu: MICU-A cg: 1663 v1: 22 rs: Final st: NotStopd t0: [07:47:00 10/11/2012] id: Arterial PaCO2 ABG el: 0 cu: MICU-A cg: 1663 v1: 45 u1: mmHg rs: Final st: NotStopd t0: [07:47:00 10/11/2012] id: Arterial PaO2 ABG el: 0 cu: MICU-A cg: 1663 v1: 102 u1: mmHg rs: Final st: NotStopd t0: [07:47:00 10/11/2012] id: Arterial pH ABG el: 0 cu: MICU-A cg: 1663 v1: 7.27 rs: Final st: NotStopd t0: [07:47:00 10/11/2012] id: SaO2 ABG's el: 0 cu: MICU-A cg: 1663 v1: 97 u1: % rs: Final st: NotStopd
t0: [08:00:00 10/11/2012] id: Pain Present el: 0 cu: MICU-A cg: RN v1: No st: NotStopd t0: [08:00:00 10/11/2012] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [08:00:00 10/11/2012] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [08:00:00 10/11/2012] id: Riker-SAS Scale el: 0 cu: MICU-A cg: RN v1: Calm/Cooperative st: NotStopd t0: [08:00:00 10/11/2012] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [08:00:00 10/11/2012] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [08:00:00 10/11/2012] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [08:00:00 10/11/2012] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 88 u1: BPM st: NotStopd t0: [08:00:00 10/11/2012] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [08:00:00 10/11/2012] id: NBP el: 0 cu: MICU-A cg: RN v1: 129 u1: mmHg v2: 68 u2: mmHg st: NotStopd t0: [08:00:00 10/11/2012] id: NBP Mean el: 0 cu: MICU-A cg: RN v1: 88.3333 u1: mmHg st: NotStopd t0: [08:00:00 10/11/2012] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 129 u1: mmHg v2: 77 u2: mmHg st: NotStopd t0: [08:00:00 10/11/2012] id: Pain Location el: 0 cu: MICU-A cg: RN v1: Not Indicated st: NotStopd t0: [08:00:00 10/11/2012] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 97 u1: mmHg st: NotStopd t0: [08:00:00 10/11/2012] id: Precautions el: 0 cu: MICU-A cg: RN v1: Contact st: NotStopd t0: [08:00:00 10/11/2012] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 123 u1: kg st: NotStopd t0: [08:00:00 10/11/2012] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 40 u1: BPM st: NotStopd t0: [08:00:00 10/11/2012] id: Temperature C (calc) el: 0 cu: MICU-A cg: RN v1: 37.2778 u1: Deg. C st: NotStopd t0: [08:00:00 10/11/2012] id: Temperature F el: 0 cu: MICU-A cg: RN v1: 99.1 u1: Deg. F st: NotStopd t0: [08:00:00 10/11/2012] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [08:00:00 10/11/2012] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [08:00:00 10/11/2012] id: D5W 100.0ml + 600mcghr Sandostatin IV Infusions el: 1 cu: MICU-A cg: RN ai: 127 vo: 8.33333 vu: ml
t0: [08:00:00 10/11/2012] id: Sandostatin el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 50 du: mcghr sv: 100 su: ml rt: IV Drip
t0: [08:00:00 10/11/2012] id: ETT Mark/Location el: 0 cu: MICU-A cg: RRT v1: 22cm v2: Lip st: NotStopd t0: [08:00:00 10/11/2012] id: FiO2 Set el: 0 cu: MICU-A cg: RRT v1: 0.4 u1: torr st: NotStopd t0: [08:00:00 10/11/2012] id: High Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 50 u1: cmH2O st: NotStopd t0: [08:00:00 10/11/2012] id: High Resp. Rate el: 0 cu: MICU-A cg: RRT v1: 35 u1: BPM st: NotStopd t0: [08:00:00 10/11/2012] id: Airway Size el: 0 cu: MICU-A cg: RRT v1: 8.0 mm st: NotStopd t0: [08:00:00 10/11/2012] id: Airway Type el: 0 cu: MICU-A cg: RRT v1: Endotracheal st: NotStopd t0: [08:00:00 10/11/2012] id: Intubation Date el: 0 cu: MICU-A cg: RRT v1: 10 v2: 16 st: NotStopd t0: [08:00:00 10/11/2012] id: Low Exhaled Min Vol el: 0 cu: MICU-A cg: RRT v1: 3 st: NotStopd t0: [08:00:00 10/11/2012] id: Mean Airway Pressure el: 0 cu: MICU-A cg: RRT v1: 6 u1: cmH2O st: NotStopd t0: [08:00:00 10/11/2012] id: Minute Volume(Obser) el: 0 cu: MICU-A cg: RRT v1: 9.1 u1: L/min st: NotStopd t0: [08:00:00 10/11/2012] id: PEEP Set el: 0 cu: MICU-A cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [08:00:00 10/11/2012] id: Apnea Time Interval el: 0 cu: MICU-A cg: RRT v1: 20 st: NotStopd t0: [08:00:00 10/11/2012] id: Plateau-Off el: 0 cu: MICU-A cg: RRT v1: Not Applicable st: NotStopd t0: [08:00:00 10/11/2012] id: Pressure Support el: 0 cu: MICU-A cg: RRT v1: 5 u1: . st: NotStopd t0: [08:00:00 10/11/2012] id: Resp Rate (Total) el: 0 cu: MICU-A cg: RRT v1: 22 u1: BPM st: NotStopd t0: [08:00:00 10/11/2012] id: Sensitivity-Vent el: 0 cu: MICU-A cg: RRT v1: 2 u1: cmH2O st: NotStopd t0: [08:00:00 10/11/2012] id: SpO2 el: 0 cu: MICU-A cg: RRT v1: 98 u1: % st: NotStopd t0: [08:00:00 10/11/2012] id: Sputum Color/Consist el: 0 cu: MICU-A cg: RRT v1: Yellow v2: Thick st: NotStopd t0: [08:00:00 10/11/2012] id: Sputum Source/Amt el: 0 cu: MICU-A cg: RRT v1: Suctioned v2: Moderate st: NotStopd t0: [08:00:00 10/11/2012] id: Tidal Volume (Spont) el: 0 cu: MICU-A cg: RRT v1: 520 u1: ml/B st: NotStopd t0: [08:00:00 10/11/2012] id: Ventilator Mode el: 0 cu: MICU-A cg: RRT v1: CPAP+PS st: NotStopd t0: [08:00:00 10/11/2012] id: Ventilator Type el: 0 cu: MICU-A cg: RRT v1: 7200A st: NotStopd
t0: [09:00:00 10/11/2012] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [09:00:00 10/11/2012] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [09:00:00 10/11/2012] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [09:00:00 10/11/2012] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 89 u1: BPM st: NotStopd t0: [09:00:00 10/11/2012] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 129 u1: mmHg v2: 72 u2: mmHg st: NotStopd t0: [09:00:00 10/11/2012] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 94 u1: mmHg st: NotStopd t0: [09:00:00 10/11/2012] id: Precautions el: 0 cu: MICU-A cg: RN v1: Contact st: NotStopd t0: [09:00:00 10/11/2012] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 123 u1: kg st: NotStopd t0: [09:00:00 10/11/2012] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 24 u1: BPM st: NotStopd t0: [09:00:00 10/11/2012] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [09:00:00 10/11/2012] id: Sandostatin el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 50 du: mcghr sv: 100 su: ml rt: IV Drip
t0: [09:00:00 10/11/2012] id: Pressure Support el: 0 cu: MICU-A cg: RRT v1: 10 u1: . st: NotStopd
t0: [10:35:00 10/11/2012] id: Art.pH ABG el: 0 cu: MICU-A cg: 1663 v1: 7.26 rs: Final st: NotStopd t0: [10:35:00 10/11/2012] id: Arterial Base Excess ABG el: 0 cu: MICU-A cg: 1663 v1: -5 rs: Final st: NotStopd t0: [10:35:00 10/11/2012] id: Arterial CO2(Calc) ABG el: 0 cu: MICU-A cg: 1663 v1: 23 rs: Final st: NotStopd t0: [10:35:00 10/11/2012] id: Arterial PaCO2 ABG el: 0 cu: MICU-A cg: 1663 v1: 48 u1: mmHg rs: Final st: NotStopd t0: [10:35:00 10/11/2012] id: Arterial PaO2 ABG el: 0 cu: MICU-A cg: 1663 v1: 92 u1: mmHg rs: Final st: NotStopd t0: [10:35:00 10/11/2012] id: Arterial pH ABG el: 0 cu: MICU-A cg: 1663 v1: 7.26 rs: Final st: NotStopd
t0: [09:00:00 10/11/2012] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [09:00:00 10/11/2012] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [09:00:00 10/11/2012] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [09:00:00 10/11/2012] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 98 u1: % st: NotStopd t0: [10:00:00 10/11/2012] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [10:00:00 10/11/2012] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [10:00:00 10/11/2012] id: Riker-SAS Scale el: 0 cu: MICU-A cg: RN v1: Calm/Cooperative st: NotStopd t0: [10:00:00 10/11/2012] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [10:00:00 10/11/2012] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [10:00:00 10/11/2012] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [10:00:00 10/11/2012] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 83 u1: BPM st: NotStopd t0: [10:00:00 10/11/2012] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [10:00:00 10/11/2012] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 139 u1: mmHg v2: 72 u2: mmHg st: NotStopd t0: [10:00:00 10/11/2012] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 95 u1: mmHg st: NotStopd t0: [10:00:00 10/11/2012] id: Precautions el: 0 cu: MICU-A cg: RN v1: Contact st: NotStopd t0: [10:00:00 10/11/2012] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 123 u1: kg st: NotStopd t0: [10:00:00 10/11/2012] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 24 u1: BPM st: NotStopd t0: [10:00:00 10/11/2012] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 97 u1: % st: NotStopd t0: [10:00:00 10/11/2012] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [11:00:00 10/11/2012] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [11:00:00 10/11/2012] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [11:00:00 10/11/2012] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [11:00:00 10/11/2012] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [11:00:00 10/11/2012] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [11:00:00 10/11/2012] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 85 u1: BPM st: NotStopd t0: [11:00:00 10/11/2012] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [11:00:00 10/11/2012] id: NBP el: 0 cu: MICU-A cg: RN v1: 0 u1: mmHg u2: mmHg st: NotStopd t0: [11:00:00 10/11/2012] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 125 u1: mmHg v2: 66 u2: mmHg st: NotStopd t0: [11:00:00 10/11/2012] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 89 u1: mmHg st: NotStopd t0: [11:00:00 10/11/2012] id: Precautions el: 0 cu: MICU-A cg: RN v1: Contact st: NotStopd t0: [11:00:00 10/11/2012] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 123 u1: kg st: NotStopd t0: [11:00:00 10/11/2012] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 20 u1: BPM st: NotStopd t0: [11:00:00 10/11/2012] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [09:00:00 10/11/2012] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [09:00:00 10/11/2012] id: D5W 100.0ml + 600mcghr Sandostatin IV Infusions el: 1 cu: MICU-A cg: RN ai: 127 vo: 8.33333 vu: ml t0: [10:00:00 10/11/2012] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [10:00:00 10/11/2012] id: D5W 100.0ml + 600mcghr Sandostatin IV Infusions el: 1 cu: MICU-A cg: RN ai: 127 vo: 8.33333 vu: ml t0: [11:00:00 10/11/2012] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [11:00:00 10/11/2012] id: D5W 100.0ml + 600mcghr Sandostatin IV Infusions el: 1 cu: MICU-A cg: RN ai: 127 vo: 8.33333 vu: ml nb: 1
t0: [10:00:00 10/11/2012] id: Sandostatin el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 50 du: mcghr sv: 100 su: ml rt: IV Drip t0: [11:00:00 10/11/2012] id: Sandostatin el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 50 du: mcghr sv: 100 su: ml rt: IV Drip
t0: [07:00:00 10/11/2012] id: Level of Conscious el: 0 cu: MICU-A cg: RN v1: Sleeping st: NotStopd t0: [08:00:00 10/11/2012] id: Less Restrict Meas. el: 0 cu: MICU-A cg: RN v1: Orientation st: NotStopd t0: [08:00:00 10/11/2012] id: Range of Motion el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [08:00:00 10/11/2012] id: Circulation/SkinInt el: 0 cu: MICU-A cg: RN v1: Circulation Adeq st: NotStopd t0: [08:00:00 10/11/2012] id: GI Prophylaxis el: 0 cu: MICU-A cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [08:00:00 10/11/2012] id: Diet Type el: 0 cu: MICU-A cg: RN v1: NPO st: NotStopd t0: [08:00:00 10/11/2012] id: Dorsal PedPulse R/L el: 0 cu: MICU-A cg: RN st: NotStopd t0: [08:00:00 10/11/2012] id: Eye Opening el: 0 cu: MICU-A cg: RN v1: 4 Spontaneously st: NotStopd t0: [08:00:00 10/11/2012] id: Follows Commands el: 0 cu: MICU-A cg: RN v1: Consistently st: NotStopd t0: [08:00:00 10/11/2012] id: GCS Total el: 0 cu: MICU-A cg: RN v1: 11 u1: points st: NotStopd t0: [08:00:00 10/11/2012] id: GI Intub #1/Site el: 0 cu: MICU-A cg: RN v1: Salem Sump v2: Left Nare st: NotStopd t0: [08:00:00 10/11/2012] id: GI#1 Tube PlaceCheck el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [08:00:00 10/11/2012] id: GI#1 Tube Stat/Drain el: 0 cu: MICU-A cg: RN v1: Clamped v2: Bilious st: NotStopd t0: [08:00:00 10/11/2012] id: Abdominal Assessment el: 0 cu: MICU-A cg: RN v1: Ascites st: NotStopd t0: [08:00:00 10/11/2012] id: Impaired Skin Site#1 el: 0 cu: MICU-A cg: RN v1: Coccyx st: NotStopd t0: [08:00:00 10/11/2012] id: LLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Diminished st: NotStopd t0: [08:00:00 10/11/2012] id: LUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [08:00:00 10/11/2012] id: Level of Conscious el: 0 cu: MICU-A cg: RN v1: Alert st: NotStopd t0: [08:00:00 10/11/2012] id: Motor Response el: 0 cu: MICU-A cg: RN v1: 6 Obeys Commands st: NotStopd t0: [08:00:00 10/11/2012] id: Orientation el: 0 cu: MICU-A cg: RN v1: Other/Remarks st: NotStopd t0: [08:00:00 10/11/2012] id: Position Change el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [08:00:00 10/11/2012] id: RLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Diminished st: NotStopd t0: [08:00:00 10/11/2012] id: RUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [08:00:00 10/11/2012] id: Reason For Restraint el: 0 cu: MICU-A cg: RN v1: Ext/TXInterfere st: NotStopd t0: [08:00:00 10/11/2012] id: Removed x 5 Mins el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [08:00:00 10/11/2012] id: Respiratory Pattern el: 0 cu: MICU-A cg: RN v1: Regular st: NotStopd t0: [08:00:00 10/11/2012] id: Restraint Location el: 0 cu: MICU-A cg: RN v1: Both Arms st: NotStopd t0: [08:00:00 10/11/2012] id: Restraint Type el: 0 cu: MICU-A cg: RN v1: Soft Limb st: NotStopd t0: [08:00:00 10/11/2012] id: Restraints Evaluated el: 0 cu: MICU-A cg: RN v1: Behavior Conts st: NotStopd t0: [08:00:00 10/11/2012] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [08:00:00 10/11/2012] id: Spontaneous Movement el: 0 cu: MICU-A cg: RN v1: Purposeful st: NotStopd t0: [08:00:00 10/11/2012] id: Support Systems el: 0 cu: MICU-A cg: RN v1: Spouse st: NotStopd t0: [08:00:00 10/11/2012] id: Urine Color/Appear el: 0 cu: MICU-A cg: RN v1: Icteric v2: Clear st: NotStopd t0: [08:00:00 10/11/2012] id: Urine Source el: 0 cu: MICU-A cg: RN v1: Indwelling Cath st: NotStopd t0: [08:00:00 10/11/2012] id: Verbal Response el: 0 cu: MICU-A cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [08:00:00 10/11/2012] id: Bowel Sounds el: 0 cu: MICU-A cg: RN v1: Present st: NotStopd t0: [08:00:00 10/11/2012] id: Braden Activity el: 0 cu: MICU-A cg: RN v1: Bedfast st: NotStopd t0: [08:00:00 10/11/2012] id: Braden Frict/Shear el: 0 cu: MICU-A cg: RN v1: Potential Prob st: NotStopd t0: [08:00:00 10/11/2012] id: Braden Mobility el: 0 cu: MICU-A cg: RN v1: Very Limited st: NotStopd t0: [08:00:00 10/11/2012] id: Braden Moisture el: 0 cu: MICU-A cg: RN v1: Rarely Moist st: NotStopd t0: [08:00:00 10/11/2012] id: Braden Nutrition el: 0 cu: MICU-A cg: RN v1: Very Poor st: NotStopd t0: [08:00:00 10/11/2012] id: Braden Score el: 0 cu: MICU-A cg: RN v1: 13 u1: number st: NotStopd t0: [08:00:00 10/11/2012] id: Braden SensoryPercep el: 0 cu: MICU-A cg: RN v1: Sl. Limited st: NotStopd
tf: [10:00:00 11/11/2012] pt: Unit Dose rt: IV fr: ONCE fs: 11 dn: 1 m1: Furosemide v1: 20 u1: mg
t0: [10:36:00 10/11/2012] id: Hematocrit Hematology el: 0 cu: MICU-A cg: 1663 v1: 34 u1: % rs: Final st: NotStopd
t0: [10:36:00 10/11/2012] id: PT el: 0 cu: MICU-A cg: 1663 v1: 14.4 rs: Final st: NotStopd t0: [10:36:00 10/11/2012] id: INR Coags el: 0 cu: MICU-A cg: 1663 v1: 1.4 rs: Final st: NotStopd t0: [10:36:00 10/11/2012] id: INR (2-4 ref. range) Coags el: 0 cu: MICU-A cg: 1663 v1: 1.4 rs: Final st: NotStopd t0: [10:36:00 10/11/2012] id: PT(11-13.5) Coags el: 0 cu: MICU-A cg: 1663 v1: 14.4 rs: Final st: NotStopd
t0: [04:55:00 10/11/2012] id: Vancomycin/Random Drug Level el: 0 cu: MICU-A cg: 1663 v1: 12.9 rs: Final st: NotStopd
t0: [11:00:00 10/11/2012] id: ETT Mark/Location el: 0 cu: MICU-A cg: RRT v1: 22cm v2: Lip st: NotStopd t0: [11:00:00 10/11/2012] id: FiO2 Set el: 0 cu: MICU-A cg: RRT v1: 0.4 u1: torr st: NotStopd t0: [11:00:00 10/11/2012] id: High Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 30 u1: cmH2O st: NotStopd t0: [11:00:00 10/11/2012] id: High Resp. Rate el: 0 cu: MICU-A cg: RRT v1: 35 u1: BPM st: NotStopd t0: [11:00:00 10/11/2012] id: Airway Size el: 0 cu: MICU-A cg: RRT v1: 8.0 mm st: NotStopd t0: [11:00:00 10/11/2012] id: Airway Type el: 0 cu: MICU-A cg: RRT v1: Endotracheal st: NotStopd t0: [11:00:00 10/11/2012] id: Intubation Date el: 0 cu: MICU-A cg: RRT v1: 10 v2: 16 st: NotStopd t0: [11:00:00 10/11/2012] id: Low Exhaled Min Vol el: 0 cu: MICU-A cg: RRT v1: 3 st: NotStopd t0: [11:00:00 10/11/2012] id: Mean Airway Pressure el: 0 cu: MICU-A cg: RRT v1: 7 u1: cmH2O st: NotStopd t0: [11:00:00 10/11/2012] id: Minute Volume(Obser) el: 0 cu: MICU-A cg: RRT v1: 8.3 u1: L/min st: NotStopd t0: [11:00:00 10/11/2012] id: PEEP Set el: 0 cu: MICU-A cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [11:00:00 10/11/2012] id: Apnea Time Interval el: 0 cu: MICU-A cg: RRT v1: 20 st: NotStopd t0: [11:00:00 10/11/2012] id: Plateau-Off el: 0 cu: MICU-A cg: RRT v1: Yes st: NotStopd t0: [11:00:00 10/11/2012] id: Pressure Support el: 0 cu: MICU-A cg: RRT v1: 10 u1: . st: NotStopd t0: [11:00:00 10/11/2012] id: Resp Rate (Total) el: 0 cu: MICU-A cg: RRT v1: 18 u1: BPM st: NotStopd t0: [11:00:00 10/11/2012] id: Sensitivity-Vent el: 0 cu: MICU-A cg: RRT v1: 2 u1: cmH2O st: NotStopd t0: [11:00:00 10/11/2012] id: Tidal Volume (Spont) el: 0 cu: MICU-A cg: RRT v1: 450 u1: ml/B st: NotStopd t0: [11:00:00 10/11/2012] id: Ventilator Mode el: 0 cu: MICU-A cg: RRT v1: CPAP+PS st: NotStopd t0: [11:00:00 10/11/2012] id: Ventilator Type el: 0 cu: MICU-A cg: RRT v1: 7200A st: NotStopd
t0: [12:00:00 10/11/2012] id: Fingerstick Glucose Chemistry el: 0 cu: MICU-A cg: CoWker v1: 84 rs: Manual st: NotStopd
t0: [13:00:00 10/11/2012] id: Service Type el: 0 cu: MICU-A cg: CoWker v1: MICU st: NotStopd t0: [13:00:00 10/11/2012] id: Code Status el: 0 cu: MICU-A cg: CoWker v1: Full Code st: NotStopd t0: [13:00:00 10/11/2012] id: Risk for Falls el: 0 cu: MICU-A cg: CoWker v1: Yes st: NotStopd t0: [13:00:00 10/11/2012] id: Heart Rate el: 0 cu: MICU-A cg: CoWker v1: 79 u1: BPM st: NotStopd t0: [13:00:00 10/11/2012] id: NBP el: 0 cu: MICU-A cg: CoWker v1: 117 u1: mmHg v2: 74 u2: mmHg st: NotStopd t0: [13:00:00 10/11/2012] id: NBP Mean el: 0 cu: MICU-A cg: CoWker v1: 88.3333 u1: mmHg st: NotStopd t0: [13:00:00 10/11/2012] id: Arterial BP el: 0 cu: MICU-A cg: CoWker v1: 137 u1: mmHg v2: 64 u2: mmHg st: NotStopd t0: [13:00:00 10/11/2012] id: Arterial BP Mean el: 0 cu: MICU-A cg: CoWker v1: 87 u1: mmHg st: NotStopd t0: [13:00:00 10/11/2012] id: Precautions el: 0 cu: MICU-A cg: CoWker v1: Universal st: NotStopd t0: [13:00:00 10/11/2012] id: Previous WeightF el: 0 cu: MICU-A cg: CoWker v1: 123 u1: kg st: NotStopd t0: [13:00:00 10/11/2012] id: Respiratory Rate el: 0 cu: MICU-A cg: CoWker v1: 17 u1: BPM st: NotStopd t0: [13:00:00 10/11/2012] id: SpO2 el: 0 cu: MICU-A cg: CoWker v1: 100 u1: % st: NotStopd t0: [13:00:00 10/11/2012] id: calprevflg el: 0 cu: MICU-A cg: CoWker v1: 1 u1: kg st: NotStopd
t0: [08:00:00 10/11/2012] id: Pain Assess Method el: 0 cu: MICU-A cg: RN v1: Non-verbal cues st: NotStopd t0: [08:00:00 10/11/2012] id: PainLevel Acceptable el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [08:00:00 10/11/2012] id: Eye Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [08:00:00 10/11/2012] id: HOB el: 0 cu: MICU-A cg: RN v1: 30 degrees st: NotStopd t0: [08:00:00 10/11/2012] id: INV Line#1 Type/Site el: 0 cu: MICU-A cg: RN v1: PICC line v2: Left Antecub st: NotStopd t0: [08:00:00 10/11/2012] id: INV Line#1InsertDate el: 0 cu: MICU-A cg: RN v1: 10 v2: 8 st: NotStopd t0: [08:00:00 10/11/2012] id: INV Line#1SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [08:00:00 10/11/2012] id: INV Line#2 Type/Site el: 0 cu: MICU-A cg: RN v1: A-Line v2: Left Radial st: NotStopd t0: [08:00:00 10/11/2012] id: INV Line#2 Zero/Cal el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [08:00:00 10/11/2012] id: INV Line#2InsertDate el: 0 cu: MICU-A cg: RN v1: 10 v2: 16 st: NotStopd t0: [08:00:00 10/11/2012] id: INV Line#2SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [08:00:00 10/11/2012] id: INV#2 WaveformAppear el: 0 cu: MICU-A cg: RN v1: Sharp st: NotStopd t0: [08:00:00 10/11/2012] id: IV #1 Insert Date el: 0 cu: MICU-A cg: RN v1: 10 v2: 16 st: NotStopd t0: [08:00:00 10/11/2012] id: IV #1 Site/Size el: 0 cu: MICU-A cg: RN v1: Right Hand v2: 18 gauge st: NotStopd t0: [08:00:00 10/11/2012] id: Activity el: 0 cu: MICU-A cg: RN v1: Bedrest st: NotStopd t0: [08:00:00 10/11/2012] id: IV Site Appear #1 el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [08:00:00 10/11/2012] id: Activity Tolerance el: 0 cu: MICU-A cg: RN v1: Tolerated Well st: NotStopd t0: [08:00:00 10/11/2012] id: Oral Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [08:00:00 10/11/2012] id: AntiEmbDevice/Status el: 0 cu: MICU-A cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [08:00:00 10/11/2012] id: Position el: 0 cu: MICU-A cg: RN v1: Supine st: NotStopd t0: [08:00:00 10/11/2012] id: Assistance Device el: 0 cu: MICU-A cg: RN v1: 1 Person Assist st: NotStopd t0: [08:00:00 10/11/2012] id: Skin Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [08:00:00 10/11/2012] id: Turn el: 0 cu: MICU-A cg: RN v1: Side to Side st: NotStopd t0: [08:00:00 10/11/2012] id: Back Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [10:00:00 10/11/2012] id: Pain Present el: 0 cu: MICU-A cg: RN v1: No st: NotStopd t0: [10:00:00 10/11/2012] id: Pain Assess Method el: 0 cu: MICU-A cg: RN v1: Non-verbal cues st: NotStopd t0: [10:00:00 10/11/2012] id: PainLevel Acceptable el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [10:00:00 10/11/2012] id: Pain Location el: 0 cu: MICU-A cg: RN v1: Not Indicated st: NotStopd t0: [11:00:00 10/11/2012] id: Less Restrict Meas. el: 0 cu: MICU-A cg: RN v1: Orientation st: NotStopd t0: [11:00:00 10/11/2012] id: Range of Motion el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [11:00:00 10/11/2012] id: Circulation/SkinInt el: 0 cu: MICU-A cg: RN v1: Circulation Adeq st: NotStopd t0: [11:00:00 10/11/2012] id: GI Prophylaxis el: 0 cu: MICU-A cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [11:00:00 10/11/2012] id: Diet Type el: 0 cu: MICU-A cg: RN v1: NPO st: NotStopd t0: [11:00:00 10/11/2012] id: Eye Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [11:00:00 10/11/2012] id: Eye Opening el: 0 cu: MICU-A cg: RN v1: 4 Spontaneously st: NotStopd t0: [11:00:00 10/11/2012] id: Family Communication el: 0 cu: MICU-A cg: RN v1: Family Visited st: NotStopd t0: [11:00:00 10/11/2012] id: Follows Commands el: 0 cu: MICU-A cg: RN v1: Consistently st: NotStopd t0: [11:00:00 10/11/2012] id: GCS Total el: 0 cu: MICU-A cg: RN v1: 11 u1: points st: NotStopd t0: [11:00:00 10/11/2012] id: GI Intub #1/Site el: 0 cu: MICU-A cg: RN v1: Salem Sump v2: Left Nare st: NotStopd t0: [11:00:00 10/11/2012] id: GI#1 Tube PlaceCheck el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [11:00:00 10/11/2012] id: GI#1 Tube Stat/Drain el: 0 cu: MICU-A cg: RN v1: Clamped v2: Bilious st: NotStopd t0: [11:00:00 10/11/2012] id: HOB el: 0 cu: MICU-A cg: RN v1: 90 degrees st: NotStopd t0: [11:00:00 10/11/2012] id: INV Line#1 Type/Site el: 0 cu: MICU-A cg: RN v1: PICC line v2: Left Antecub st: NotStopd t0: [11:00:00 10/11/2012] id: INV Line#1InsertDate el: 0 cu: MICU-A cg: RN v1: 10 v2: 8 st: NotStopd t0: [11:00:00 10/11/2012] id: INV Line#1SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [11:00:00 10/11/2012] id: INV Line#2 Type/Site el: 0 cu: MICU-A cg: RN v1: A-Line v2: Left Radial st: NotStopd t0: [11:00:00 10/11/2012] id: INV Line#2 Zero/Cal el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [11:00:00 10/11/2012] id: INV Line#2InsertDate el: 0 cu: MICU-A cg: RN v1: 10 v2: 16 st: NotStopd t0: [11:00:00 10/11/2012] id: INV Line#2SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [11:00:00 10/11/2012] id: Abdominal Assessment el: 0 cu: MICU-A cg: RN v1: Ascites st: NotStopd t0: [11:00:00 10/11/2012] id: INV#2 WaveformAppear el: 0 cu: MICU-A cg: RN v1: Dampened st: NotStopd t0: [11:00:00 10/11/2012] id: IV #1 Insert Date el: 0 cu: MICU-A cg: RN v1: 10 v2: 16 st: NotStopd t0: [11:00:00 10/11/2012] id: IV #1 Site/Size el: 0 cu: MICU-A cg: RN v1: Right Hand v2: 18 gauge st: NotStopd t0: [11:00:00 10/11/2012] id: Activity el: 0 cu: MICU-A cg: RN v1: Bedrest st: NotStopd t0: [11:00:00 10/11/2012] id: IV Site Appear #1 el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [11:00:00 10/11/2012] id: Activity Tolerance el: 0 cu: MICU-A cg: RN v1: Tolerated Well st: NotStopd t0: [11:00:00 10/11/2012] id: Impaired Skin Site#1 el: 0 cu: MICU-A cg: RN v1: Coccyx st: NotStopd t0: [11:00:00 10/11/2012] id: LLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Crackles st: NotStopd t0: [11:00:00 10/11/2012] id: LUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [11:00:00 10/11/2012] id: Level of Conscious el: 0 cu: MICU-A cg: RN v1: Alert st: NotStopd t0: [11:00:00 10/11/2012] id: Motor Response el: 0 cu: MICU-A cg: RN v1: 6 Obeys Commands st: NotStopd t0: [11:00:00 10/11/2012] id: Oral Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [11:00:00 10/11/2012] id: Orientation el: 0 cu: MICU-A cg: RN v1: Oriented x 3 st: NotStopd t0: [11:00:00 10/11/2012] id: AntiEmbDevice/Status el: 0 cu: MICU-A cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [11:00:00 10/11/2012] id: Position el: 0 cu: MICU-A cg: RN v1: Supine st: NotStopd t0: [11:00:00 10/11/2012] id: Position Change el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [11:00:00 10/11/2012] id: Assistance Device el: 0 cu: MICU-A cg: RN v1: 1 Person Assist st: NotStopd t0: [11:00:00 10/11/2012] id: RLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Crackles st: NotStopd t0: [11:00:00 10/11/2012] id: RUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [11:00:00 10/11/2012] id: Reason For Restraint el: 0 cu: MICU-A cg: RN v1: Ext/TXInterfere st: NotStopd t0: [11:00:00 10/11/2012] id: Removed x 5 Mins el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [11:00:00 10/11/2012] id: Respiratory Pattern el: 0 cu: MICU-A cg: RN v1: Regular st: NotStopd t0: [11:00:00 10/11/2012] id: Restraint Location el: 0 cu: MICU-A cg: RN v1: Both Arms st: NotStopd t0: [11:00:00 10/11/2012] id: Restraint Type el: 0 cu: MICU-A cg: RN v1: Soft Limb st: NotStopd t0: [11:00:00 10/11/2012] id: Restraints Evaluated el: 0 cu: MICU-A cg: RN v1: Behavior Conts st: NotStopd t0: [11:00:00 10/11/2012] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [11:00:00 10/11/2012] id: Skin Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [11:00:00 10/11/2012] id: Spontaneous Movement el: 0 cu: MICU-A cg: RN v1: Purposeful st: NotStopd t0: [11:00:00 10/11/2012] id: Support Systems el: 0 cu: MICU-A cg: RN v1: Spouse st: NotStopd t0: [11:00:00 10/11/2012] id: Turn el: 0 cu: MICU-A cg: RN v1: Side to Side st: NotStopd t0: [11:00:00 10/11/2012] id: Urine Color/Appear el: 0 cu: MICU-A cg: RN v1: Icteric v2: Clear st: NotStopd t0: [11:00:00 10/11/2012] id: Urine Source el: 0 cu: MICU-A cg: RN v1: Indwelling Cath st: NotStopd t0: [11:00:00 10/11/2012] id: Verbal Response el: 0 cu: MICU-A cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [11:00:00 10/11/2012] id: Back Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [11:00:00 10/11/2012] id: Bowel Sounds el: 0 cu: MICU-A cg: RN v1: Present st: NotStopd t0: [11:00:00 10/11/2012] id: Braden Activity el: 0 cu: MICU-A cg: RN v1: Bedfast st: NotStopd t0: [11:00:00 10/11/2012] id: Braden Frict/Shear el: 0 cu: MICU-A cg: RN v1: Potential Prob st: NotStopd t0: [11:00:00 10/11/2012] id: Braden Mobility el: 0 cu: MICU-A cg: RN v1: Very Limited st: NotStopd t0: [11:00:00 10/11/2012] id: Braden Moisture el: 0 cu: MICU-A cg: RN v1: Rarely Moist st: NotStopd t0: [11:00:00 10/11/2012] id: Braden Nutrition el: 0 cu: MICU-A cg: RN v1: Very Poor st: NotStopd t0: [11:00:00 10/11/2012] id: Braden Score el: 0 cu: MICU-A cg: RN v1: 13 u1: number st: NotStopd t0: [11:00:00 10/11/2012] id: Braden SensoryPercep el: 0 cu: MICU-A cg: RN v1: Sl. Limited st: NotStopd t0: [12:00:00 10/11/2012] id: Pain Present el: 0 cu: MICU-A cg: RN v1: No st: NotStopd t0: [12:00:00 10/11/2012] id: Pain Assess Method el: 0 cu: MICU-A cg: RN v1: Non-verbal cues st: NotStopd t0: [12:00:00 10/11/2012] id: PainLevel Acceptable el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [12:00:00 10/11/2012] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [12:00:00 10/11/2012] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [12:00:00 10/11/2012] id: Riker-SAS Scale el: 0 cu: MICU-A cg: RN v1: Calm/Cooperative st: NotStopd t0: [12:00:00 10/11/2012] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [12:00:00 10/11/2012] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [12:00:00 10/11/2012] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [12:00:00 10/11/2012] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 83 u1: BPM st: NotStopd t0: [12:00:00 10/11/2012] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [12:00:00 10/11/2012] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 139 u1: mmHg v2: 64 u2: mmHg st: NotStopd t0: [12:00:00 10/11/2012] id: Pain Location el: 0 cu: MICU-A cg: RN v1: Not Indicated st: NotStopd t0: [12:00:00 10/11/2012] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 89 u1: mmHg st: NotStopd t0: [12:00:00 10/11/2012] id: Precautions el: 0 cu: MICU-A cg: RN v1: Contact st: NotStopd t0: [12:00:00 10/11/2012] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 123 u1: kg st: NotStopd t0: [12:00:00 10/11/2012] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 23 u1: BPM st: NotStopd t0: [12:00:00 10/11/2012] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [13:00:00 10/11/2012] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [13:00:00 10/11/2012] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [13:00:00 10/11/2012] id: Family Communication el: 0 cu: MICU-A cg: RN v1: Family Visited st: NotStopd t0: [13:00:00 10/11/2012] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [13:00:00 10/11/2012] id: Impaired Skin Site#1 el: 0 cu: MICU-A cg: RN v1: Coccyx st: NotStopd t0: [13:00:00 10/11/2012] id: Reason For Restraint el: 0 cu: MICU-A cg: RN v1: Ext/TXInterfere st: NotStopd t0: [13:00:00 10/11/2012] id: Restraint Location el: 0 cu: MICU-A cg: RN v1: Both Arms st: NotStopd t0: [13:00:00 10/11/2012] id: Restraint Type el: 0 cu: MICU-A cg: RN v1: Soft Limb st: NotStopd t0: [13:00:00 10/11/2012] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [13:00:00 10/11/2012] id: Support Systems el: 0 cu: MICU-A cg: RN v1: Spouse st: NotStopd t0: [14:00:00 10/11/2012] id: Less Restrict Meas. el: 0 cu: MICU-A cg: RN v1: Orientation st: NotStopd t0: [14:00:00 10/11/2012] id: Pain Present el: 0 cu: MICU-A cg: RN v1: No st: NotStopd t0: [14:00:00 10/11/2012] id: Range of Motion el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [14:00:00 10/11/2012] id: Pain Assess Method el: 0 cu: MICU-A cg: RN v1: Non-verbal cues st: NotStopd t0: [14:00:00 10/11/2012] id: PainLevel Acceptable el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [14:00:00 10/11/2012] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [14:00:00 10/11/2012] id: Circulation/SkinInt el: 0 cu: MICU-A cg: RN v1: Circulation Adeq st: NotStopd t0: [14:00:00 10/11/2012] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [14:00:00 10/11/2012] id: Riker-SAS Scale el: 0 cu: MICU-A cg: RN v1: Calm/Cooperative st: NotStopd t0: [14:00:00 10/11/2012] id: GI Prophylaxis el: 0 cu: MICU-A cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [14:00:00 10/11/2012] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [14:00:00 10/11/2012] id: Diet Type el: 0 cu: MICU-A cg: RN v1: NPO st: NotStopd t0: [14:00:00 10/11/2012] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [14:00:00 10/11/2012] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [14:00:00 10/11/2012] id: Eye Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [14:00:00 10/11/2012] id: Eye Opening el: 0 cu: MICU-A cg: RN v1: 4 Spontaneously st: NotStopd t0: [14:00:00 10/11/2012] id: Follows Commands el: 0 cu: MICU-A cg: RN v1: Consistently st: NotStopd t0: [14:00:00 10/11/2012] id: GCS Total el: 0 cu: MICU-A cg: RN v1: 11 u1: points st: NotStopd t0: [14:00:00 10/11/2012] id: GI Intub #1/Site el: 0 cu: MICU-A cg: RN v1: Salem Sump v2: Left Nare st: NotStopd t0: [14:00:00 10/11/2012] id: GI#1 Tube Stat/Drain el: 0 cu: MICU-A cg: RN v1: Gravity v2: Bilious st: NotStopd t0: [14:00:00 10/11/2012] id: HOB el: 0 cu: MICU-A cg: RN v1: 30 degrees st: NotStopd t0: [14:00:00 10/11/2012] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 76 u1: BPM st: NotStopd t0: [14:00:00 10/11/2012] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [14:00:00 10/11/2012] id: INV Line#1 Type/Site el: 0 cu: MICU-A cg: RN v1: PICC line v2: Left Antecub st: NotStopd t0: [14:00:00 10/11/2012] id: INV Line#1InsertDate el: 0 cu: MICU-A cg: RN v1: 10 v2: 8 st: NotStopd t0: [14:00:00 10/11/2012] id: INV Line#1SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [14:00:00 10/11/2012] id: INV Line#2 Type/Site el: 0 cu: MICU-A cg: RN v1: A-Line v2: Left Radial st: NotStopd t0: [14:00:00 10/11/2012] id: INV Line#2 Zero/Cal el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [14:00:00 10/11/2012] id: INV Line#2InsertDate el: 0 cu: MICU-A cg: RN v1: 10 v2: 16 st: NotStopd t0: [14:00:00 10/11/2012] id: INV Line#2SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [14:00:00 10/11/2012] id: Abdominal Assessment el: 0 cu: MICU-A cg: RN v1: Ascites st: NotStopd t0: [14:00:00 10/11/2012] id: INV#2 WaveformAppear el: 0 cu: MICU-A cg: RN v1: Sharp st: NotStopd t0: [14:00:00 10/11/2012] id: IV #1 Insert Date el: 0 cu: MICU-A cg: RN v1: 10 v2: 16 st: NotStopd t0: [14:00:00 10/11/2012] id: IV #1 Site/Size el: 0 cu: MICU-A cg: RN v1: Right Hand v2: 18 gauge st: NotStopd t0: [14:00:00 10/11/2012] id: Activity el: 0 cu: MICU-A cg: RN v1: Bedrest st: NotStopd t0: [14:00:00 10/11/2012] id: IV Site Appear #1 el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [14:00:00 10/11/2012] id: Activity Tolerance el: 0 cu: MICU-A cg: RN v1: Tolerated Well st: NotStopd t0: [14:00:00 10/11/2012] id: Impaired Skin Site#1 el: 0 cu: MICU-A cg: RN v1: Coccyx st: NotStopd t0: [14:00:00 10/11/2012] id: LLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [14:00:00 10/11/2012] id: LUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [14:00:00 10/11/2012] id: Level of Conscious el: 0 cu: MICU-A cg: RN v1: Alert st: NotStopd t0: [14:00:00 10/11/2012] id: Motor Response el: 0 cu: MICU-A cg: RN v1: 6 Obeys Commands st: NotStopd t0: [14:00:00 10/11/2012] id: Oral Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [14:00:00 10/11/2012] id: Orientation el: 0 cu: MICU-A cg: RN v1: Other/Remarks st: NotStopd t0: [14:00:00 10/11/2012] id: AntiEmbDevice/Status el: 0 cu: MICU-A cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [14:00:00 10/11/2012] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 132 u1: mmHg v2: 55 u2: mmHg st: NotStopd t0: [14:00:00 10/11/2012] id: Pain Location el: 0 cu: MICU-A cg: RN v1: Not Indicated st: NotStopd t0: [14:00:00 10/11/2012] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 78 u1: mmHg st: NotStopd t0: [14:00:00 10/11/2012] id: Position el: 0 cu: MICU-A cg: RN v1: Right Side st: NotStopd t0: [14:00:00 10/11/2012] id: Position Change el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [14:00:00 10/11/2012] id: Assistance Device el: 0 cu: MICU-A cg: RN v1: 1 Person Assist st: NotStopd t0: [14:00:00 10/11/2012] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [14:00:00 10/11/2012] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 123 u1: kg st: NotStopd t0: [14:00:00 10/11/2012] id: Pupil Response R/L el: 0 cu: MICU-A cg: RN v1: Brisk v2: Brisk st: NotStopd t0: [14:00:00 10/11/2012] id: Pupil Size R/L el: 0 cu: MICU-A cg: RN v1: 3 mm v2: 3 mm st: NotStopd t0: [14:00:00 10/11/2012] id: RLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Diminished st: NotStopd t0: [14:00:00 10/11/2012] id: RUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Clear st: NotStopd t0: [14:00:00 10/11/2012] id: Reason For Restraint el: 0 cu: MICU-A cg: RN v1: Ext/TXInterfere st: NotStopd t0: [14:00:00 10/11/2012] id: Removed x 5 Mins el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [14:00:00 10/11/2012] id: Respiratory Pattern el: 0 cu: MICU-A cg: RN v1: Regular st: NotStopd t0: [14:00:00 10/11/2012] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 19 u1: BPM st: NotStopd t0: [14:00:00 10/11/2012] id: Restraint Location el: 0 cu: MICU-A cg: RN v1: Both Arms st: NotStopd t0: [14:00:00 10/11/2012] id: Restraint Type el: 0 cu: MICU-A cg: RN v1: Soft Limb st: NotStopd t0: [14:00:00 10/11/2012] id: Restraints Evaluated el: 0 cu: MICU-A cg: RN v1: Behavior Conts st: NotStopd t0: [14:00:00 10/11/2012] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [14:00:00 10/11/2012] id: Skin Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [14:00:00 10/11/2012] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 96 u1: % st: NotStopd t0: [14:00:00 10/11/2012] id: Spontaneous Movement el: 0 cu: MICU-A cg: RN v1: Purposeful st: NotStopd t0: [14:00:00 10/11/2012] id: Support Systems el: 0 cu: MICU-A cg: RN v1: Spouse st: NotStopd t0: [14:00:00 10/11/2012] id: Temperature C (calc) el: 0 cu: MICU-A cg: RN v1: 38.1111 u1: Deg. C st: NotStopd t0: [14:00:00 10/11/2012] id: Temperature F el: 0 cu: MICU-A cg: RN v1: 100.6 u1: Deg. F st: NotStopd t0: [14:00:00 10/11/2012] id: Turn el: 0 cu: MICU-A cg: RN v1: Side to Side st: NotStopd t0: [14:00:00 10/11/2012] id: Urine Color/Appear el: 0 cu: MICU-A cg: RN v1: Amber v2: Clear st: NotStopd t0: [14:00:00 10/11/2012] id: Urine Source el: 0 cu: MICU-A cg: RN v1: Indwelling Cath st: NotStopd t0: [14:00:00 10/11/2012] id: Verbal Response el: 0 cu: MICU-A cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [14:00:00 10/11/2012] id: Back Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [14:00:00 10/11/2012] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [14:00:00 10/11/2012] id: Bowel Sounds el: 0 cu: MICU-A cg: RN v1: Present st: NotStopd t0: [14:00:00 10/11/2012] id: Braden Activity el: 0 cu: MICU-A cg: RN v1: Bedfast st: NotStopd t0: [14:00:00 10/11/2012] id: Braden Frict/Shear el: 0 cu: MICU-A cg: RN v1: Potential Prob st: NotStopd t0: [14:00:00 10/11/2012] id: Braden Mobility el: 0 cu: MICU-A cg: RN v1: Very Limited st: NotStopd t0: [14:00:00 10/11/2012] id: Braden Moisture el: 0 cu: MICU-A cg: RN v1: Rarely Moist st: NotStopd t0: [14:00:00 10/11/2012] id: Braden Nutrition el: 0 cu: MICU-A cg: RN v1: Very Poor st: NotStopd t0: [14:00:00 10/11/2012] id: Braden Score el: 0 cu: MICU-A cg: RN v1: 13 u1: number st: NotStopd t0: [14:00:00 10/11/2012] id: Braden SensoryPercep el: 0 cu: MICU-A cg: RN v1: Sl. Limited st: NotStopd
t0: [12:00:00 10/11/2012] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [12:00:00 10/11/2012] id: D5W 100.0ml + 600mcghr Sandostatin IV Infusions el: 1 cu: MICU-A cg: RN ai: 127 vo: 8.33333 vu: ml t0: [13:00:00 10/11/2012] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [13:00:00 10/11/2012] id: D5W 100.0ml + 600mcghr Sandostatin IV Infusions el: 1 cu: MICU-A cg: RN ai: 127 vo: 8.33333 vu: ml t0: [14:00:00 10/11/2012] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [14:00:00 10/11/2012] id: D5W 100.0ml + 600mcghr Sandostatin IV Infusions el: 1 cu: MICU-A cg: RN ai: 127 vo: 8.33333 vu: ml
t0: [12:00:00 10/11/2012] id: Sandostatin el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 50 du: mcghr sv: 100 su: ml rt: IV Drip t0: [13:00:00 10/11/2012] id: Sandostatin el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 50 du: mcghr sv: 100 su: ml rt: IV Drip t0: [14:00:00 10/11/2012] id: Sandostatin el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 50 du: mcghr sv: 100 su: ml rt: IV Drip
t0: [23:00:00 10/11/2012] dt: 24 id: Blood Products Total el: 2 cu: MICU-A cg: RN cv: 310 ap: none
t0: [15:00:00 10/11/2012] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [15:00:00 10/11/2012] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [15:00:00 10/11/2012] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [15:00:00 10/11/2012] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [15:00:00 10/11/2012] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [15:00:00 10/11/2012] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 75 u1: BPM st: NotStopd t0: [15:00:00 10/11/2012] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [15:00:00 10/11/2012] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 140 u1: mmHg v2: 62 u2: mmHg st: NotStopd t0: [15:00:00 10/11/2012] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 85 u1: mmHg st: NotStopd t0: [15:00:00 10/11/2012] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [15:00:00 10/11/2012] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 123 u1: kg st: NotStopd t0: [15:00:00 10/11/2012] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 13 u1: BPM st: NotStopd t0: [15:00:00 10/11/2012] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 96 u1: % st: NotStopd t0: [15:00:00 10/11/2012] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [15:00:00 10/11/2012] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [15:00:00 10/11/2012] id: D5W 100.0ml + 600mcghr Sandostatin IV Infusions el: 1 cu: MICU-A cg: RN ai: 127 vo: 8.33333 vu: ml
t0: [15:00:00 10/11/2012] id: Sandostatin el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 50 du: mcghr sv: 100 su: ml rt: IV Drip
t0: [15:47:00 10/11/2012] id: Art.pH ABG el: 0 cu: MICU-A cg: 1663 v1: 7.39 rs: Final st: NotStopd t0: [15:47:00 10/11/2012] id: Arterial Base Excess ABG el: 0 cu: MICU-A cg: 1663 v1: -2 rs: Final st: NotStopd t0: [15:47:00 10/11/2012] id: Arterial CO2(Calc) ABG el: 0 cu: MICU-A cg: 1663 v1: 23 rs: Final st: NotStopd t0: [15:47:00 10/11/2012] id: Arterial PaCO2 ABG el: 0 cu: MICU-A cg: 1663 v1: 36 u1: mmHg rs: Final st: NotStopd t0: [15:47:00 10/11/2012] id: Arterial PaO2 ABG el: 0 cu: MICU-A cg: 1663 v1: 104 u1: mmHg rs: Final st: NotStopd t0: [15:47:00 10/11/2012] id: Arterial pH ABG el: 0 cu: MICU-A cg: 1663 v1: 7.39 rs: Final st: NotStopd
t0: [16:00:00 10/11/2012] id: Extubation Date el: 0 cu: MICU-A cg: RRT v1: 10 v2: 18 st: NotStopd t0: [16:00:00 10/11/2012] id: Intubation Date el: 0 cu: MICU-A cg: RRT v1: 10 v2: 16 st: NotStopd t0: [16:00:00 10/11/2012] id: O2 Delivery Device el: 0 cu: MICU-A cg: RRT v1: Nasal Cannula st: NotStopd t0: [16:00:00 10/11/2012] id: O2 Flow (lpm) el: 0 cu: MICU-A cg: RRT v1: 3 u1: lpm st: NotStopd t0: [16:00:00 10/11/2012] id: SpO2 el: 0 cu: MICU-A cg: RRT v1: 96 u1: % st: NotStopd
t0: [18:00:00 10/11/2012] id: O2 Delivery Device el: 0 cu: MICU-A cg: RRT v1: Nasal Cannula st: NotStopd t0: [18:00:00 10/11/2012] id: O2 Flow (lpm) el: 0 cu: MICU-A cg: RRT v1: 2 u1: lpm st: NotStopd t0: [18:00:00 10/11/2012] id: SpO2 el: 0 cu: MICU-A cg: RRT v1: 98 u1: % st: NotStopd
t0: [17:52:00 10/11/2012] id: Art.pH ABG el: 0 cu: MICU-A cg: 1663 v1: 7.42 rs: Final st: NotStopd t0: [17:52:00 10/11/2012] id: Arterial Base Excess ABG el: 0 cu: MICU-A cg: 1663 v1: -2 rs: Final st: NotStopd t0: [17:52:00 10/11/2012] id: Arterial CO2(Calc) ABG el: 0 cu: MICU-A cg: 1663 v1: 21 rs: Final st: NotStopd t0: [17:52:00 10/11/2012] id: Arterial PaCO2 ABG el: 0 cu: MICU-A cg: 1663 v1: 32 u1: mmHg rs: Final st: NotStopd t0: [17:52:00 10/11/2012] id: Arterial PaO2 ABG el: 0 cu: MICU-A cg: 1663 v1: 88 u1: mmHg rs: Final st: NotStopd t0: [17:52:00 10/11/2012] id: Arterial pH ABG el: 0 cu: MICU-A cg: 1663 v1: 7.42 rs: Final st: NotStopd
t0: [18:00:00 10/11/2012] id: Fingerstick Glucose Chemistry el: 0 cu: MICU-A cg: CoWker v1: 73 rs: Manual st: NotStopd
t0: [16:00:00 10/11/2012] id: Pain Present el: 0 cu: MICU-A cg: RN v1: No st: NotStopd t0: [16:00:00 10/11/2012] id: Pain Assess Method el: 0 cu: MICU-A cg: RN v1: Non-verbal cues st: NotStopd t0: [16:00:00 10/11/2012] id: PainLevel Acceptable el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [16:00:00 10/11/2012] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [16:00:00 10/11/2012] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [16:00:00 10/11/2012] id: Riker-SAS Scale el: 0 cu: MICU-A cg: RN v1: Calm/Cooperative st: NotStopd t0: [16:00:00 10/11/2012] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [16:00:00 10/11/2012] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [16:00:00 10/11/2012] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [16:00:00 10/11/2012] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 81 u1: BPM st: NotStopd t0: [16:00:00 10/11/2012] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [16:00:00 10/11/2012] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 136 u1: mmHg v2: 66 u2: mmHg st: NotStopd t0: [16:00:00 10/11/2012] id: Pain Location el: 0 cu: MICU-A cg: RN v1: Not Indicated st: NotStopd t0: [16:00:00 10/11/2012] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 88 u1: mmHg st: NotStopd t0: [16:00:00 10/11/2012] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [16:00:00 10/11/2012] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 123 u1: kg st: NotStopd t0: [16:00:00 10/11/2012] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 22 u1: BPM st: NotStopd t0: [16:00:00 10/11/2012] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [17:00:00 10/11/2012] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [17:00:00 10/11/2012] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [17:00:00 10/11/2012] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [17:00:00 10/11/2012] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [17:00:00 10/11/2012] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [17:00:00 10/11/2012] id: Eye Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [17:00:00 10/11/2012] id: HOB el: 0 cu: MICU-A cg: RN v1: Flat in Bed st: NotStopd t0: [17:00:00 10/11/2012] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 82 u1: BPM st: NotStopd t0: [17:00:00 10/11/2012] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [17:00:00 10/11/2012] id: INV Line#1 Type/Site el: 0 cu: MICU-A cg: RN v1: PICC line v2: Left Antecub st: NotStopd t0: [17:00:00 10/11/2012] id: INV Line#1InsertDate el: 0 cu: MICU-A cg: RN v1: 10 v2: 8 st: NotStopd t0: [17:00:00 10/11/2012] id: INV Line#1SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [17:00:00 10/11/2012] id: INV Line#2 Type/Site el: 0 cu: MICU-A cg: RN v1: A-Line v2: Left Radial st: NotStopd t0: [17:00:00 10/11/2012] id: INV Line#2 Zero/Cal el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [17:00:00 10/11/2012] id: INV Line#2InsertDate el: 0 cu: MICU-A cg: RN v1: 10 v2: 16 st: NotStopd t0: [17:00:00 10/11/2012] id: INV Line#2SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [17:00:00 10/11/2012] id: INV#2 WaveformAppear el: 0 cu: MICU-A cg: RN v1: Sharp st: NotStopd t0: [17:00:00 10/11/2012] id: IV #1 Insert Date el: 0 cu: MICU-A cg: RN v1: 10 v2: 16 st: NotStopd t0: [17:00:00 10/11/2012] id: IV #1 Site/Size el: 0 cu: MICU-A cg: RN v1: Right Hand v2: 18 gauge st: NotStopd t0: [17:00:00 10/11/2012] id: Activity el: 0 cu: MICU-A cg: RN v1: Bedrest st: NotStopd t0: [17:00:00 10/11/2012] id: Activity Tolerance el: 0 cu: MICU-A cg: RN v1: Tolerated Well st: NotStopd t0: [17:00:00 10/11/2012] id: Oral Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [17:00:00 10/11/2012] id: AntiEmbDevice/Status el: 0 cu: MICU-A cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [17:00:00 10/11/2012] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 132 u1: mmHg v2: 61 u2: mmHg st: NotStopd t0: [17:00:00 10/11/2012] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 83 u1: mmHg st: NotStopd t0: [17:00:00 10/11/2012] id: Position el: 0 cu: MICU-A cg: RN v1: Supine st: NotStopd t0: [17:00:00 10/11/2012] id: Assistance Device el: 0 cu: MICU-A cg: RN v1: 2 Person Assist st: NotStopd t0: [17:00:00 10/11/2012] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [17:00:00 10/11/2012] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 123 u1: kg st: NotStopd t0: [17:00:00 10/11/2012] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 23 u1: BPM st: NotStopd t0: [17:00:00 10/11/2012] id: Skin Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [17:00:00 10/11/2012] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 93 u1: % st: NotStopd t0: [17:00:00 10/11/2012] id: Turn el: 0 cu: MICU-A cg: RN v1: Side to Side st: NotStopd t0: [17:00:00 10/11/2012] id: Back Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [17:00:00 10/11/2012] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [18:00:00 10/11/2012] id: Pain Present el: 0 cu: MICU-A cg: RN v1: No st: NotStopd t0: [18:00:00 10/11/2012] id: Pain Assess Method el: 0 cu: MICU-A cg: RN v1: Non-verbal cues st: NotStopd t0: [18:00:00 10/11/2012] id: PainLevel Acceptable el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [18:00:00 10/11/2012] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [18:00:00 10/11/2012] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [18:00:00 10/11/2012] id: Riker-SAS Scale el: 0 cu: MICU-A cg: RN v1: Calm/Cooperative st: NotStopd t0: [18:00:00 10/11/2012] id: GI Prophylaxis el: 0 cu: MICU-A cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [18:00:00 10/11/2012] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [18:00:00 10/11/2012] id: Diet Type el: 0 cu: MICU-A cg: RN v1: NPO st: NotStopd t0: [18:00:00 10/11/2012] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [18:00:00 10/11/2012] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [18:00:00 10/11/2012] id: Eye Opening el: 0 cu: MICU-A cg: RN v1: 4 Spontaneously st: NotStopd t0: [18:00:00 10/11/2012] id: Follows Commands el: 0 cu: MICU-A cg: RN v1: Consistently st: NotStopd t0: [18:00:00 10/11/2012] id: GCS Total el: 0 cu: MICU-A cg: RN v1: 15 u1: points st: NotStopd t0: [18:00:00 10/11/2012] id: GI Intub #1/Site el: 0 cu: MICU-A cg: RN v1: Salem Sump v2: Left Nare st: NotStopd t0: [18:00:00 10/11/2012] id: GI#1 Tube Stat/Drain el: 0 cu: MICU-A cg: RN v1: Clamped v2: Bilious st: NotStopd t0: [18:00:00 10/11/2012] id: HOB el: 0 cu: MICU-A cg: RN v1: 45 degrees st: NotStopd t0: [18:00:00 10/11/2012] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 75 u1: BPM st: NotStopd t0: [18:00:00 10/11/2012] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [18:00:00 10/11/2012] id: Abdominal Assessment el: 0 cu: MICU-A cg: RN v1: Ascites st: NotStopd t0: [18:00:00 10/11/2012] id: Activity el: 0 cu: MICU-A cg: RN v1: Bedrest st: NotStopd t0: [18:00:00 10/11/2012] id: Activity Tolerance el: 0 cu: MICU-A cg: RN v1: Tolerated Well st: NotStopd t0: [18:00:00 10/11/2012] id: Impaired Skin Site#1 el: 0 cu: MICU-A cg: RN v1: Coccyx st: NotStopd t0: [18:00:00 10/11/2012] id: LLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [18:00:00 10/11/2012] id: LUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Clear st: NotStopd t0: [18:00:00 10/11/2012] id: Level of Conscious el: 0 cu: MICU-A cg: RN v1: Alert st: NotStopd t0: [18:00:00 10/11/2012] id: Motor Response el: 0 cu: MICU-A cg: RN v1: 6 Obeys Commands st: NotStopd t0: [18:00:00 10/11/2012] id: Orientation el: 0 cu: MICU-A cg: RN v1: Oriented x 3 st: NotStopd t0: [18:00:00 10/11/2012] id: AntiEmbDevice/Status el: 0 cu: MICU-A cg: RN v1: Compress Sleeves v2: Off st: NotStopd t0: [18:00:00 10/11/2012] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 126 u1: mmHg v2: 54 u2: mmHg st: NotStopd t0: [18:00:00 10/11/2012] id: Pain Location el: 0 cu: MICU-A cg: RN v1: Not Indicated st: NotStopd t0: [18:00:00 10/11/2012] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 74 u1: mmHg st: NotStopd t0: [18:00:00 10/11/2012] id: Position el: 0 cu: MICU-A cg: RN v1: Left Side st: NotStopd t0: [18:00:00 10/11/2012] id: Assistance Device el: 0 cu: MICU-A cg: RN v1: Independent st: NotStopd t0: [18:00:00 10/11/2012] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [18:00:00 10/11/2012] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 123 u1: kg st: NotStopd t0: [18:00:00 10/11/2012] id: RLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Diminished st: NotStopd t0: [18:00:00 10/11/2012] id: RUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Clear st: NotStopd t0: [18:00:00 10/11/2012] id: Respiratory Pattern el: 0 cu: MICU-A cg: RN v1: Regular st: NotStopd t0: [18:00:00 10/11/2012] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 16 u1: BPM st: NotStopd t0: [18:00:00 10/11/2012] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [18:00:00 10/11/2012] id: Spontaneous Movement el: 0 cu: MICU-A cg: RN v1: Purposeful st: NotStopd t0: [18:00:00 10/11/2012] id: Support Systems el: 0 cu: MICU-A cg: RN v1: Spouse st: NotStopd t0: [18:00:00 10/11/2012] id: Temp. Site el: 0 cu: MICU-A cg: RN v1: Oral st: NotStopd t0: [18:00:00 10/11/2012] id: Temperature C (calc) el: 0 cu: MICU-A cg: RN v1: 37.2778 u1: Deg. C st: NotStopd t0: [18:00:00 10/11/2012] id: Temperature F el: 0 cu: MICU-A cg: RN v1: 99.1 u1: Deg. F st: NotStopd t0: [18:00:00 10/11/2012] id: Turn el: 0 cu: MICU-A cg: RN v1: Left Side st: NotStopd t0: [18:00:00 10/11/2012] id: Urine Color/Appear el: 0 cu: MICU-A cg: RN v1: Amber v2: Clear st: NotStopd t0: [18:00:00 10/11/2012] id: Urine Source el: 0 cu: MICU-A cg: RN v1: Indwelling Cath st: NotStopd t0: [18:00:00 10/11/2012] id: Verbal Response el: 0 cu: MICU-A cg: RN v1: 5 Oriented st: NotStopd t0: [18:00:00 10/11/2012] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [18:00:00 10/11/2012] id: Bowel Sounds el: 0 cu: MICU-A cg: RN v1: Present st: NotStopd t0: [18:00:00 10/11/2012] id: Braden Activity el: 0 cu: MICU-A cg: RN v1: Bedfast st: NotStopd t0: [18:00:00 10/11/2012] id: Braden Frict/Shear el: 0 cu: MICU-A cg: RN v1: Potential Prob st: NotStopd t0: [18:00:00 10/11/2012] id: Braden Mobility el: 0 cu: MICU-A cg: RN v1: Very Limited st: NotStopd t0: [18:00:00 10/11/2012] id: Braden Moisture el: 0 cu: MICU-A cg: RN v1: Rarely Moist st: NotStopd t0: [18:00:00 10/11/2012] id: Braden Nutrition el: 0 cu: MICU-A cg: RN v1: Very Poor st: NotStopd t0: [18:00:00 10/11/2012] id: Braden Score el: 0 cu: MICU-A cg: RN v1: 13 u1: number st: NotStopd t0: [18:00:00 10/11/2012] id: Braden SensoryPercep el: 0 cu: MICU-A cg: RN v1: Sl. Limited st: NotStopd
t0: [16:00:00 10/11/2012] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [16:00:00 10/11/2012] id: D5W 100.0ml + 600mcghr Sandostatin IV Infusions el: 1 cu: MICU-A cg: RN ai: 127 vo: 8.33333 vu: ml t0: [17:00:00 10/11/2012] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [17:00:00 10/11/2012] id: D5W 100.0ml + 600mcghr Sandostatin IV Infusions el: 1 cu: MICU-A cg: RN ai: 127 vo: 8.33333 vu: ml t0: [18:00:00 10/11/2012] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [18:00:00 10/11/2012] id: D5W 100.0ml + 600mcghr Sandostatin IV Infusions el: 1 cu: MICU-A cg: RN ai: 127 vo: 8.33333 vu: ml
t0: [16:00:00 10/11/2012] id: Sandostatin el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 50 du: mcghr sv: 100 su: ml rt: IV Drip t0: [17:00:00 10/11/2012] id: Sandostatin el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 50 du: mcghr sv: 100 su: ml rt: IV Drip t0: [18:00:00 10/11/2012] id: Sandostatin el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 50 du: mcghr sv: 100 su: ml rt: IV Drip
t0: [17:30:00 10/11/2012] id: Hematocrit Hematology el: 0 cu: MICU-A cg: 1663 v1: 32.5 u1: % rs: Final st: NotStopd
t0: [19:00:00 10/11/2012] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [19:00:00 10/11/2012] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [19:00:00 10/11/2012] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [19:00:00 10/11/2012] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [19:00:00 10/11/2012] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [19:00:00 10/11/2012] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 72 u1: BPM st: NotStopd t0: [19:00:00 10/11/2012] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [19:00:00 10/11/2012] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 139 u1: mmHg v2: 65 u2: mmHg st: NotStopd t0: [19:00:00 10/11/2012] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 86 u1: mmHg st: NotStopd t0: [19:00:00 10/11/2012] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [19:00:00 10/11/2012] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 123 u1: kg st: NotStopd t0: [19:00:00 10/11/2012] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 16 u1: BPM st: NotStopd t0: [19:00:00 10/11/2012] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 100 u1: % st: NotStopd t0: [19:00:00 10/11/2012] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [19:00:00 10/11/2012] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [19:00:00 10/11/2012] id: D5W 100.0ml + 600mcghr Sandostatin IV Infusions el: 1 cu: MICU-A cg: RN ai: 127 vo: 8.33333 vu: ml
t0: [19:00:00 10/11/2012] id: Sandostatin el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 50 du: mcghr sv: 100 su: ml rt: IV Drip
tf: [18:00:00 11/11/2012] pt: IV Piggyback rt: IV fr: ONCE fs: 19 dn: 1 m1: Vancomycin HCl v1: 1000 u1: mg m2: Iso-Osmotic Dextrose v2: 200 u2: ml
t0: [17:00:00 10/11/2012] id: Diet Type el: 0 cu: MICU-A cg: RN v1: NPO st: NotStopd t0: [17:00:00 10/11/2012] id: GI Intub #1/Site el: 0 cu: MICU-A cg: RN v1: Salem Sump v2: Left Nare st: NotStopd t0: [17:00:00 10/11/2012] id: Respiratory Pattern el: 0 cu: MICU-A cg: RN v1: Regular st: NotStopd t0: [17:00:00 10/11/2012] id: Urine Source el: 0 cu: MICU-A cg: RN v1: Indwelling Cath st: NotStopd
t0: [17:30:00 10/11/2012] id: BUN el: 0 cu: MICU-A cg: 1663 v1: 12 rs: Final st: NotStopd t0: [17:30:00 10/11/2012] id: Calcium Chemistry el: 0 cu: MICU-A cg: 1663 v1: 8.7 u1: mg/dl rs: Final st: NotStopd t0: [17:30:00 10/11/2012] id: Chloride Chemistry el: 0 cu: MICU-A cg: 1663 v1: 111 rs: Final st: NotStopd t0: [17:30:00 10/11/2012] id: Creatinine Chemistry el: 0 cu: MICU-A cg: 1663 v1: 1.4 rs: Final st: NotStopd t0: [17:30:00 10/11/2012] id: Glucose Chemistry el: 0 cu: MICU-A cg: 1663 v1: 71 rs: Final st: NotStopd t0: [17:30:00 10/11/2012] id: Magnesium Chemistry el: 0 cu: MICU-A cg: 1663 v1: 1.6 rs: Final st: NotStopd t0: [17:30:00 10/11/2012] id: Phosphorous Chemistry el: 0 cu: MICU-A cg: 1663 v1: 4.2 u1: mEq/L rs: Final st: NotStopd t0: [17:30:00 10/11/2012] id: Potassium Chemistry el: 0 cu: MICU-A cg: 1663 v1: 3.8 rs: Final st: NotStopd t0: [17:30:00 10/11/2012] id: Sodium Chemistry el: 0 cu: MICU-A cg: 1663 v1: 141 rs: Final st: NotStopd t0: [17:30:00 10/11/2012] id: BUN (6-20) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 12 rs: Final st: NotStopd t0: [17:30:00 10/11/2012] id: Calcium (8.4-10.2) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 8.7 u1: mg/dl rs: Final st: NotStopd t0: [17:30:00 10/11/2012] id: Carbon Dioxide Chemistry el: 0 cu: MICU-A cg: 1663 v1: 20 rs: Final st: NotStopd t0: [17:30:00 10/11/2012] id: Chloride (100-112) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 111 rs: Final st: NotStopd t0: [17:30:00 10/11/2012] id: Creatinine (0-1.3) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 1.4 rs: Final st: NotStopd t0: [17:30:00 10/11/2012] id: Glucose (70-105) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 71 rs: Final st: NotStopd t0: [17:30:00 10/11/2012] id: Magnesium (1.6-2.6) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 1.6 rs: Final st: NotStopd t0: [17:30:00 10/11/2012] id: Phosphorous(2.7-4.5) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 4.2 u1: mEq/L rs: Final st: NotStopd t0: [17:30:00 10/11/2012] id: Potassium (3.5-5.3) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 3.8 rs: Final st: NotStopd t0: [17:30:00 10/11/2012] id: Sodium (135-148) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 141 rs: Final st: NotStopd
t0: [20:00:00 10/11/2012] id: Less Restrict Meas. el: 0 cu: MICU-A cg: -1 st: D/C'd t0: [20:00:00 10/11/2012] id: Range of Motion el: 0 cu: MICU-A cg: -1 st: D/C'd t0: [20:00:00 10/11/2012] id: Circulation/SkinInt el: 0 cu: MICU-A cg: -1 st: D/C'd t0: [20:00:00 10/11/2012] id: Position Change el: 0 cu: MICU-A cg: -1 st: D/C'd t0: [20:00:00 10/11/2012] id: Reason For Restraint el: 0 cu: MICU-A cg: -1 st: D/C'd t0: [20:00:00 10/11/2012] id: Removed x 5 Mins el: 0 cu: MICU-A cg: -1 st: D/C'd t0: [20:00:00 10/11/2012] id: Restraint Location el: 0 cu: MICU-A cg: -1 st: D/C'd t0: [20:00:00 10/11/2012] id: Restraint Type el: 0 cu: MICU-A cg: -1 st: D/C'd t0: [20:00:00 10/11/2012] id: Restraints Evaluated el: 0 cu: MICU-A cg: -1 st: D/C'd
t0: [20:00:00 10/11/2012] id: Pain Present el: 0 cu: MICU-A cg: RN v1: No st: NotStopd t0: [20:00:00 10/11/2012] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [20:00:00 10/11/2012] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [20:00:00 10/11/2012] id: Riker-SAS Scale el: 0 cu: MICU-A cg: RN v1: Calm/Cooperative st: NotStopd t0: [20:00:00 10/11/2012] id: GI Prophylaxis el: 0 cu: MICU-A cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [20:00:00 10/11/2012] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [20:00:00 10/11/2012] id: Diet Type el: 0 cu: MICU-A cg: RN v1: Clear Liquid st: NotStopd t0: [20:00:00 10/11/2012] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [20:00:00 10/11/2012] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [20:00:00 10/11/2012] id: Eye Opening el: 0 cu: MICU-A cg: RN v1: 4 Spontaneously st: NotStopd t0: [20:00:00 10/11/2012] id: Follows Commands el: 0 cu: MICU-A cg: RN v1: Consistently st: NotStopd t0: [20:00:00 10/11/2012] id: GCS Total el: 0 cu: MICU-A cg: RN v1: 15 u1: points st: NotStopd t0: [20:00:00 10/11/2012] id: GI Intub #1/Site el: 0 cu: MICU-A cg: RN v1: Salem Sump v2: Left Nare st: NotStopd t0: [20:00:00 10/11/2012] id: GI#1 Tube Stat/Drain el: 0 cu: MICU-A cg: RN v1: Clamped st: NotStopd t0: [20:00:00 10/11/2012] id: HOB el: 0 cu: MICU-A cg: RN v1: 30 degrees st: NotStopd t0: [20:00:00 10/11/2012] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 69 u1: BPM st: NotStopd t0: [20:00:00 10/11/2012] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [20:00:00 10/11/2012] id: INV Line#1 Type/Site el: 0 cu: MICU-A cg: RN v1: PICC line v2: Left Antecub st: NotStopd t0: [20:00:00 10/11/2012] id: INV Line#1InsertDate el: 0 cu: MICU-A cg: RN v1: 10 v2: 8 st: NotStopd t0: [20:00:00 10/11/2012] id: INV Line#1SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [20:00:00 10/11/2012] id: INV Line#2 Type/Site el: 0 cu: MICU-A cg: RN v1: A-Line v2: Left Radial st: NotStopd t0: [20:00:00 10/11/2012] id: INV Line#2 Zero/Cal el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [20:00:00 10/11/2012] id: INV Line#2InsertDate el: 0 cu: MICU-A cg: RN v1: 10 v2: 16 st: NotStopd t0: [20:00:00 10/11/2012] id: INV Line#2SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [20:00:00 10/11/2012] id: Abdominal Assessment el: 0 cu: MICU-A cg: RN v1: Ascites st: NotStopd t0: [20:00:00 10/11/2012] id: INV#2 WaveformAppear el: 0 cu: MICU-A cg: RN v1: Sharp st: NotStopd t0: [20:00:00 10/11/2012] id: IV #1 Insert Date el: 0 cu: MICU-A cg: RN v1: 10 v2: 16 st: NotStopd t0: [20:00:00 10/11/2012] id: IV #1 Site/Size el: 0 cu: MICU-A cg: RN v1: Right Hand v2: 18 gauge st: NotStopd t0: [20:00:00 10/11/2012] id: Activity el: 0 cu: MICU-A cg: RN v1: Bedrest st: NotStopd t0: [20:00:00 10/11/2012] id: IV Site Appear #1 el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [20:00:00 10/11/2012] id: Activity Tolerance el: 0 cu: MICU-A cg: RN v1: Tolerated Well st: NotStopd t0: [20:00:00 10/11/2012] id: Impaired Skin Site#1 el: 0 cu: MICU-A cg: RN v1: Coccyx st: NotStopd t0: [20:00:00 10/11/2012] id: LLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [20:00:00 10/11/2012] id: LUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Clear st: NotStopd t0: [20:00:00 10/11/2012] id: Level of Conscious el: 0 cu: MICU-A cg: RN v1: Alert st: NotStopd t0: [20:00:00 10/11/2012] id: Motor Response el: 0 cu: MICU-A cg: RN v1: 6 Obeys Commands st: NotStopd t0: [20:00:00 10/11/2012] id: O2 Delivery Device el: 0 cu: MICU-A cg: RN v1: Nasal Cannula st: NotStopd t0: [20:00:00 10/11/2012] id: O2 Flow (lpm) el: 0 cu: MICU-A cg: RN v1: 2 u1: lpm st: NotStopd t0: [20:00:00 10/11/2012] id: Oral Cavity el: 0 cu: MICU-A cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [20:00:00 10/11/2012] id: Orientation el: 0 cu: MICU-A cg: RN v1: Oriented x 3 st: NotStopd t0: [20:00:00 10/11/2012] id: AntiEmbDevice/Status el: 0 cu: MICU-A cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [20:00:00 10/11/2012] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 143 u1: mmHg v2: 66 u2: mmHg st: NotStopd t0: [20:00:00 10/11/2012] id: Pain Location el: 0 cu: MICU-A cg: RN v1: Not Indicated st: NotStopd t0: [20:00:00 10/11/2012] id: Pain Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [20:00:00 10/11/2012] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 89 u1: mmHg st: NotStopd t0: [20:00:00 10/11/2012] id: Position el: 0 cu: MICU-A cg: RN v1: Supine st: NotStopd t0: [20:00:00 10/11/2012] id: Assistance Device el: 0 cu: MICU-A cg: RN v1: 1 Person Assist st: NotStopd t0: [20:00:00 10/11/2012] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [20:00:00 10/11/2012] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 123 u1: kg st: NotStopd t0: [20:00:00 10/11/2012] id: RLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Diminished st: NotStopd t0: [20:00:00 10/11/2012] id: RUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Clear st: NotStopd t0: [20:00:00 10/11/2012] id: Respiratory Pattern el: 0 cu: MICU-A cg: RN v1: Regular st: NotStopd t0: [20:00:00 10/11/2012] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 24 u1: BPM st: NotStopd t0: [20:00:00 10/11/2012] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [20:00:00 10/11/2012] id: Skin Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [20:00:00 10/11/2012] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 100 u1: % st: NotStopd t0: [20:00:00 10/11/2012] id: Spontaneous Movement el: 0 cu: MICU-A cg: RN v1: Purposeful st: NotStopd t0: [20:00:00 10/11/2012] id: Support Systems el: 0 cu: MICU-A cg: RN v1: Spouse st: NotStopd t0: [20:00:00 10/11/2012] id: Temp. Site el: 0 cu: MICU-A cg: RN v1: Oral st: NotStopd t0: [20:00:00 10/11/2012] id: Temperature C (calc) el: 0 cu: MICU-A cg: RN v1: 37.5556 u1: Deg. C st: NotStopd t0: [20:00:00 10/11/2012] id: Temperature F el: 0 cu: MICU-A cg: RN v1: 99.6 u1: Deg. F st: NotStopd t0: [20:00:00 10/11/2012] id: Turn el: 0 cu: MICU-A cg: RN v1: Side to Side st: NotStopd t0: [20:00:00 10/11/2012] id: Urine Color/Appear el: 0 cu: MICU-A cg: RN v1: Amber v2: Cloudy st: NotStopd t0: [20:00:00 10/11/2012] id: Urine Source el: 0 cu: MICU-A cg: RN v1: Indwelling Cath st: NotStopd t0: [20:00:00 10/11/2012] id: Verbal Response el: 0 cu: MICU-A cg: RN v1: 5 Oriented st: NotStopd t0: [20:00:00 10/11/2012] id: Back Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [20:00:00 10/11/2012] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [20:00:00 10/11/2012] id: Bowel Sounds el: 0 cu: MICU-A cg: RN v1: Present st: NotStopd
t0: [20:00:00 10/11/2012] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [20:00:00 10/11/2012] id: D5W 100.0ml + 600mcghr Sandostatin IV Infusions el: 1 cu: MICU-A cg: RN ai: 127 vo: 8.33333 vu: ml
t0: [20:00:00 10/11/2012] id: Sandostatin el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 50 du: mcghr sv: 100 su: ml rt: IV Drip
t0: [18:00:00 10/11/2012] id: Less Restrict Meas. el: 0 cu: MICU-A cg: RN st: NotStopd t0: [18:00:00 10/11/2012] id: Range of Motion el: 0 cu: MICU-A cg: RN st: NotStopd t0: [18:00:00 10/11/2012] id: Circulation/SkinInt el: 0 cu: MICU-A cg: RN st: NotStopd t0: [18:00:00 10/11/2012] id: Position Change el: 0 cu: MICU-A cg: RN st: NotStopd t0: [18:00:00 10/11/2012] id: Reason For Restraint el: 0 cu: MICU-A cg: RN st: NotStopd t0: [18:00:00 10/11/2012] id: Removed x 5 Mins el: 0 cu: MICU-A cg: RN st: NotStopd t0: [18:00:00 10/11/2012] id: Restraint Location el: 0 cu: MICU-A cg: RN st: NotStopd t0: [18:00:00 10/11/2012] id: Restraint Type el: 0 cu: MICU-A cg: RN st: NotStopd t0: [18:00:00 10/11/2012] id: Restraints Evaluated el: 0 cu: MICU-A cg: RN st: NotStopd t0: [21:00:00 10/11/2012] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [21:00:00 10/11/2012] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [21:00:00 10/11/2012] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [21:00:00 10/11/2012] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [21:00:00 10/11/2012] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [21:00:00 10/11/2012] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 72 u1: BPM st: NotStopd t0: [21:00:00 10/11/2012] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [21:00:00 10/11/2012] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 120 u1: mmHg v2: 53 u2: mmHg st: NotStopd t0: [21:00:00 10/11/2012] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 73 u1: mmHg st: NotStopd t0: [21:00:00 10/11/2012] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [21:00:00 10/11/2012] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 123 u1: kg st: NotStopd t0: [21:00:00 10/11/2012] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 19 u1: BPM st: NotStopd t0: [21:00:00 10/11/2012] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 99 u1: % st: NotStopd t0: [21:00:00 10/11/2012] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [21:00:00 10/11/2012] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [21:00:00 10/11/2012] id: D5W 100.0ml + 600mcghr Sandostatin IV Infusions el: 1 cu: MICU-A cg: RN ai: 127 vo: 8.33333 vu: ml
t0: [21:00:00 10/11/2012] id: Sandostatin el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 50 du: mcghr sv: 100 su: ml rt: IV Drip
tf: [21:00:00 11/11/2012] pt: IV Piggyback rt: IV fr: ONCE fs: 22 dn: 1 m1: Potassium Chloride v1: 20 u1: mEq m2: SW v2: 50 u2: ml tf: [21:00:00 11/11/2012] pt: Unit Dose rt: IV fr: ONCE fs: 22 dn: 1 m1: Magnesium Sulfate v1: 2 u1: gm
t0: [22:00:00 10/11/2012] id: Pain Present el: 0 cu: MICU-A cg: RN v1: No st: NotStopd t0: [22:00:00 10/11/2012] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [22:00:00 10/11/2012] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [22:00:00 10/11/2012] id: Riker-SAS Scale el: 0 cu: MICU-A cg: RN v1: Calm/Cooperative st: NotStopd t0: [22:00:00 10/11/2012] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [22:00:00 10/11/2012] id: Diet Type el: 0 cu: MICU-A cg: RN v1: Clear Liquid st: NotStopd t0: [22:00:00 10/11/2012] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [22:00:00 10/11/2012] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [22:00:00 10/11/2012] id: Eye Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [22:00:00 10/11/2012] id: Eye Opening el: 0 cu: MICU-A cg: RN v1: 4 Spontaneously st: NotStopd t0: [22:00:00 10/11/2012] id: Follows Commands el: 0 cu: MICU-A cg: RN v1: Consistently st: NotStopd t0: [22:00:00 10/11/2012] id: GCS Total el: 0 cu: MICU-A cg: RN v1: 15 u1: points st: NotStopd t0: [22:00:00 10/11/2012] id: GI Intub #1/Site el: 0 cu: MICU-A cg: RN v1: Salem Sump v2: Left Nare st: NotStopd t0: [22:00:00 10/11/2012] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 73 u1: BPM st: NotStopd t0: [22:00:00 10/11/2012] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [22:00:00 10/11/2012] id: Level of Conscious el: 0 cu: MICU-A cg: RN v1: Alert st: NotStopd t0: [22:00:00 10/11/2012] id: Motor Response el: 0 cu: MICU-A cg: RN v1: 6 Obeys Commands st: NotStopd t0: [22:00:00 10/11/2012] id: Oral Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [22:00:00 10/11/2012] id: Orientation el: 0 cu: MICU-A cg: RN v1: Oriented x 3 st: NotStopd t0: [22:00:00 10/11/2012] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 120 u1: mmHg v2: 55 u2: mmHg st: NotStopd t0: [22:00:00 10/11/2012] id: Pain Location el: 0 cu: MICU-A cg: RN v1: Not Indicated st: NotStopd t0: [22:00:00 10/11/2012] id: Pain Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [22:00:00 10/11/2012] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 76 u1: mmHg st: NotStopd t0: [22:00:00 10/11/2012] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [22:00:00 10/11/2012] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 123 u1: kg st: NotStopd t0: [22:00:00 10/11/2012] id: Respiratory Pattern el: 0 cu: MICU-A cg: RN v1: Regular st: NotStopd t0: [22:00:00 10/11/2012] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 24 u1: BPM st: NotStopd t0: [22:00:00 10/11/2012] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [22:00:00 10/11/2012] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 94 u1: % st: NotStopd t0: [22:00:00 10/11/2012] id: Spontaneous Movement el: 0 cu: MICU-A cg: RN v1: Purposeful st: NotStopd t0: [22:00:00 10/11/2012] id: Urine Source el: 0 cu: MICU-A cg: RN v1: Indwelling Cath st: NotStopd t0: [22:00:00 10/11/2012] id: Verbal Response el: 0 cu: MICU-A cg: RN v1: 5 Oriented st: NotStopd t0: [22:00:00 10/11/2012] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [22:00:00 10/11/2012] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [22:00:00 10/11/2012] id: D5W 100.0ml + 600mcghr Sandostatin IV Infusions el: 1 cu: MICU-A cg: RN ai: 127 vo: 8.33333 vu: ml
t0: [22:00:00 10/11/2012] id: Sandostatin el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 50 du: mcghr sv: 100 su: ml rt: IV Drip
t0: [23:00:00 10/11/2012] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [23:00:00 10/11/2012] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [23:00:00 10/11/2012] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [23:00:00 10/11/2012] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [23:00:00 10/11/2012] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [23:00:00 10/11/2012] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 72 u1: BPM st: NotStopd t0: [23:00:00 10/11/2012] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [23:00:00 10/11/2012] id: O2 Delivery Device el: 0 cu: MICU-A cg: RN v1: Nasal Cannula st: NotStopd t0: [23:00:00 10/11/2012] id: O2 Flow (lpm) el: 0 cu: MICU-A cg: RN v1: 2 u1: lpm st: NotStopd t0: [23:00:00 10/11/2012] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 140 u1: mmHg v2: 66 u2: mmHg st: NotStopd t0: [23:00:00 10/11/2012] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 88 u1: mmHg st: NotStopd t0: [23:00:00 10/11/2012] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [23:00:00 10/11/2012] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 123 u1: kg st: NotStopd t0: [23:00:00 10/11/2012] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 16 u1: BPM st: NotStopd t0: [23:00:00 10/11/2012] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 100 u1: % st: NotStopd t0: [23:00:00 10/11/2012] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [23:00:00 10/11/2012] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [23:00:00 10/11/2012] id: D5W 100.0ml + 600mcghr Sandostatin IV Infusions el: 1 cu: MICU-A cg: RN ai: 127 vo: 8.33333 vu: ml
t0: [23:00:00 10/11/2012] id: Sandostatin el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 50 du: mcghr sv: 100 su: ml rt: IV Drip
t0: [23:00:00 10/11/2012] dt: 24 id: PO/Gastric In Total el: 2 cu: MICU-A cg: RN pv: 120 cv: 240 ap: none
t0: [23:00:00 10/11/2012] id: Temp. Site el: 0 cu: MICU-A cg: RN v1: Oral st: NotStopd t0: [23:00:00 10/11/2012] id: Temperature C (calc) el: 0 cu: MICU-A cg: RN v1: 37.2222 u1: Deg. C st: NotStopd t0: [23:00:00 10/11/2012] id: Temperature F el: 0 cu: MICU-A cg: RN v1: 99 u1: Deg. F st: NotStopd t0: [23:00:00 10/11/2012] id: Fingerstick Glucose Chemistry el: 0 cu: MICU-A cg: RN v1: 105 rs: Manual st: NotStopd
t0: [22:50:00 10/11/2012] id: Hematocrit Hematology el: 0 cu: MICU-A cg: 1663 v1: 32.1 u1: % rs: Final st: NotStopd
t0: [22:50:00 10/11/2012] id: PT el: 0 cu: MICU-A cg: 1663 v1: 14.7 rs: Final st: NotStopd t0: [22:50:00 10/11/2012] id: INR Coags el: 0 cu: MICU-A cg: 1663 v1: 1.4 rs: Final st: NotStopd t0: [22:50:00 10/11/2012] id: INR (2-4 ref. range) Coags el: 0 cu: MICU-A cg: 1663 v1: 1.4 rs: Final st: NotStopd t0: [22:50:00 10/11/2012] id: PT(11-13.5) Coags el: 0 cu: MICU-A cg: 1663 v1: 14.7 rs: Final st: NotStopd
t0: [00:00:00 11/11/2012] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [00:00:00 11/11/2012] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [00:00:00 11/11/2012] id: Riker-SAS Scale el: 0 cu: MICU-A cg: RN v1: Calm/Cooperative st: NotStopd t0: [00:00:00 11/11/2012] id: GI Prophylaxis el: 0 cu: MICU-A cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [00:00:00 11/11/2012] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [00:00:00 11/11/2012] id: Diet Type el: 0 cu: MICU-A cg: RN v1: Clear Liquid st: NotStopd t0: [00:00:00 11/11/2012] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [00:00:00 11/11/2012] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [00:00:00 11/11/2012] id: Eye Opening el: 0 cu: MICU-A cg: RN v1: 4 Spontaneously st: NotStopd t0: [00:00:00 11/11/2012] id: Follows Commands el: 0 cu: MICU-A cg: RN v1: Consistently st: NotStopd t0: [00:00:00 11/11/2012] id: GCS Total el: 0 cu: MICU-A cg: RN v1: 15 u1: points st: NotStopd t0: [00:00:00 11/11/2012] id: GI Intub #1/Site el: 0 cu: MICU-A cg: RN v1: Salem Sump v2: Left Nare st: NotStopd t0: [00:00:00 11/11/2012] id: HOB el: 0 cu: MICU-A cg: RN v1: 30 degrees st: NotStopd t0: [00:00:00 11/11/2012] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 73 u1: BPM st: NotStopd t0: [00:00:00 11/11/2012] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [00:00:00 11/11/2012] id: INV Line#1 Type/Site el: 0 cu: MICU-A cg: RN v1: PICC line v2: Left Antecub st: NotStopd t0: [00:00:00 11/11/2012] id: INV Line#1InsertDate el: 0 cu: MICU-A cg: RN v1: 10 v2: 8 st: NotStopd t0: [00:00:00 11/11/2012] id: INV Line#1SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [00:00:00 11/11/2012] id: INV Line#2 Type/Site el: 0 cu: MICU-A cg: RN v1: A-Line v2: Left Radial st: NotStopd t0: [00:00:00 11/11/2012] id: INV Line#2 Zero/Cal el: 0 cu: MICU-A cg: RN v1: No st: NotStopd t0: [00:00:00 11/11/2012] id: INV Line#2InsertDate el: 0 cu: MICU-A cg: RN v1: 10 v2: 16 st: NotStopd t0: [00:00:00 11/11/2012] id: INV Line#2SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [00:00:00 11/11/2012] id: INV#2 WaveformAppear el: 0 cu: MICU-A cg: RN v1: Sharp st: NotStopd t0: [00:00:00 11/11/2012] id: IV #1 Insert Date el: 0 cu: MICU-A cg: RN v1: 10 v2: 16 st: NotStopd t0: [00:00:00 11/11/2012] id: IV #1 Site/Size el: 0 cu: MICU-A cg: RN v1: Right Hand v2: 18 gauge st: NotStopd t0: [00:00:00 11/11/2012] id: Activity el: 0 cu: MICU-A cg: RN v1: Bedrest st: NotStopd t0: [00:00:00 11/11/2012] id: IV Site Appear #1 el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [00:00:00 11/11/2012] id: Activity Tolerance el: 0 cu: MICU-A cg: RN v1: Tolerated Well st: NotStopd t0: [00:00:00 11/11/2012] id: Level of Conscious el: 0 cu: MICU-A cg: RN v1: Alert st: NotStopd t0: [00:00:00 11/11/2012] id: Motor Response el: 0 cu: MICU-A cg: RN v1: 6 Obeys Commands st: NotStopd t0: [00:00:00 11/11/2012] id: Oral Cavity el: 0 cu: MICU-A cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [00:00:00 11/11/2012] id: Orientation el: 0 cu: MICU-A cg: RN v1: Oriented x 3 st: NotStopd t0: [00:00:00 11/11/2012] id: AntiEmbDevice/Status el: 0 cu: MICU-A cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [00:00:00 11/11/2012] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 102 u1: mmHg v2: 47 u2: mmHg st: NotStopd t0: [00:00:00 11/11/2012] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 66 u1: mmHg st: NotStopd t0: [00:00:00 11/11/2012] id: Position el: 0 cu: MICU-A cg: RN v1: Supine st: NotStopd t0: [00:00:00 11/11/2012] id: Assistance Device el: 0 cu: MICU-A cg: RN v1: 2 Person Assist st: NotStopd t0: [00:00:00 11/11/2012] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [00:00:00 11/11/2012] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 123 u1: kg st: NotStopd t0: [00:00:00 11/11/2012] id: Respiratory Pattern el: 0 cu: MICU-A cg: RN v1: Regular st: NotStopd t0: [00:00:00 11/11/2012] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 25 u1: BPM st: NotStopd t0: [00:00:00 11/11/2012] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [00:00:00 11/11/2012] id: Skin Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [00:00:00 11/11/2012] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 98 u1: % st: NotStopd t0: [00:00:00 11/11/2012] id: Spontaneous Movement el: 0 cu: MICU-A cg: RN v1: Purposeful st: NotStopd t0: [00:00:00 11/11/2012] id: Turn el: 0 cu: MICU-A cg: RN v1: Side to Side st: NotStopd t0: [00:00:00 11/11/2012] id: Urine Color/Appear el: 0 cu: MICU-A cg: RN v1: Amber v2: Cloudy st: NotStopd t0: [00:00:00 11/11/2012] id: Urine Source el: 0 cu: MICU-A cg: RN v1: Indwelling Cath st: NotStopd t0: [00:00:00 11/11/2012] id: Verbal Response el: 0 cu: MICU-A cg: RN v1: 5 Oriented st: NotStopd t0: [00:00:00 11/11/2012] id: Back Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [00:00:00 11/11/2012] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [00:00:00 11/11/2012] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [00:00:00 11/11/2012] id: D5W 100.0ml + 600mcghr Sandostatin IV Infusions el: 1 cu: MICU-A cg: RN ai: 127 vo: 8.33333 vu: ml
t0: [00:00:00 11/11/2012] id: Sandostatin el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 50 du: mcghr sv: 100 su: ml rt: IV Drip
t0: [01:00:00 11/11/2012] id: Pain Present el: 0 cu: MICU-A cg: RN v1: No st: NotStopd t0: [01:00:00 11/11/2012] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [01:00:00 11/11/2012] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [01:00:00 11/11/2012] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [01:00:00 11/11/2012] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [01:00:00 11/11/2012] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [01:00:00 11/11/2012] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 68 u1: BPM st: NotStopd t0: [01:00:00 11/11/2012] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [01:00:00 11/11/2012] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 120 u1: mmHg v2: 58 u2: mmHg st: NotStopd t0: [01:00:00 11/11/2012] id: Pain Location el: 0 cu: MICU-A cg: RN v1: Not Indicated st: NotStopd t0: [01:00:00 11/11/2012] id: Pain Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [01:00:00 11/11/2012] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 78 u1: mmHg st: NotStopd t0: [01:00:00 11/11/2012] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [01:00:00 11/11/2012] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 123 u1: kg st: NotStopd t0: [01:00:00 11/11/2012] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 35 u1: BPM st: NotStopd t0: [01:00:00 11/11/2012] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 97 u1: % st: NotStopd t0: [01:00:00 11/11/2012] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [01:00:00 11/11/2012] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [01:00:00 11/11/2012] id: D5W 100.0ml + 600mcghr Sandostatin IV Infusions el: 1 cu: MICU-A cg: RN ai: 127 vo: 8.33333 vu: ml
t0: [01:00:00 11/11/2012] id: Sandostatin el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 50 du: mcghr sv: 100 su: ml rt: IV Drip
t0: [23:00:00 11/11/2012] dt: 24 id: PO/Gastric In Total el: 2 cu: MICU-A cg: RN cv: 740 ap: none
t0: [01:00:00 11/11/2012] id: Impaired Skin Site#1 el: 0 cu: MICU-A cg: RN v1: Coccyx st: NotStopd t0: [01:00:00 11/11/2012] id: LLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Clear st: NotStopd t0: [01:00:00 11/11/2012] id: LUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Clear st: NotStopd t0: [01:00:00 11/11/2012] id: RLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Diminished st: NotStopd t0: [01:00:00 11/11/2012] id: RUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Clear st: NotStopd t0: [01:00:00 11/11/2012] id: Respiratory Pattern el: 0 cu: MICU-A cg: RN v1: Regular st: NotStopd t0: [01:00:00 11/11/2012] id: Support Systems el: 0 cu: MICU-A cg: RN v1: Spouse st: NotStopd
tf: [00:00:00 12/11/2012] pt: Unit Dose rt: PO fr: ONCE fs: 1 dn: 1 m1: Zolpidem Tartrate v1: 5 u1: mg
t0: [02:00:00 11/11/2012] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [02:00:00 11/11/2012] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [02:00:00 11/11/2012] id: Riker-SAS Scale el: 0 cu: MICU-A cg: RN v1: Calm/Cooperative st: NotStopd t0: [02:00:00 11/11/2012] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [02:00:00 11/11/2012] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [02:00:00 11/11/2012] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [02:00:00 11/11/2012] id: Eye Opening el: 0 cu: MICU-A cg: RN v1: 4 Spontaneously st: NotStopd t0: [02:00:00 11/11/2012] id: GCS Total el: 0 cu: MICU-A cg: RN v1: 15 u1: points st: NotStopd t0: [02:00:00 11/11/2012] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 82 u1: BPM st: NotStopd t0: [02:00:00 11/11/2012] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [02:00:00 11/11/2012] id: Level of Conscious el: 0 cu: MICU-A cg: RN v1: Alert st: NotStopd t0: [02:00:00 11/11/2012] id: Motor Response el: 0 cu: MICU-A cg: RN v1: 6 Obeys Commands st: NotStopd t0: [02:00:00 11/11/2012] id: Orientation el: 0 cu: MICU-A cg: RN v1: Oriented x 3 st: NotStopd t0: [02:00:00 11/11/2012] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 120 u1: mmHg v2: 61 u2: mmHg st: NotStopd t0: [02:00:00 11/11/2012] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 82 u1: mmHg st: NotStopd t0: [02:00:00 11/11/2012] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [02:00:00 11/11/2012] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 123 u1: kg st: NotStopd t0: [02:00:00 11/11/2012] id: Respiratory Pattern el: 0 cu: MICU-A cg: RN v1: Regular st: NotStopd t0: [02:00:00 11/11/2012] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 19 u1: BPM st: NotStopd t0: [02:00:00 11/11/2012] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 94 u1: % st: NotStopd t0: [02:00:00 11/11/2012] id: Verbal Response el: 0 cu: MICU-A cg: RN v1: 5 Oriented st: NotStopd t0: [02:00:00 11/11/2012] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [02:00:00 11/11/2012] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [02:00:00 11/11/2012] id: D5W 100.0ml + 600mcghr Sandostatin IV Infusions el: 1 cu: MICU-A cg: RN ai: 127 vo: 8.33333 vu: ml
t0: [02:00:00 11/11/2012] id: Sandostatin el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 50 du: mcghr sv: 100 su: ml rt: IV Drip
t0: [03:00:00 11/11/2012] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [03:00:00 11/11/2012] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [03:00:00 11/11/2012] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [03:00:00 11/11/2012] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [03:00:00 11/11/2012] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [03:00:00 11/11/2012] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 73 u1: BPM st: NotStopd t0: [03:00:00 11/11/2012] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [03:00:00 11/11/2012] id: O2 Delivery Device el: 0 cu: MICU-A cg: RN v1: Nasal Cannula st: NotStopd t0: [03:00:00 11/11/2012] id: O2 Flow (lpm) el: 0 cu: MICU-A cg: RN v1: 2 u1: lpm st: NotStopd t0: [03:00:00 11/11/2012] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 131 u1: mmHg v2: 66 u2: mmHg st: NotStopd t0: [03:00:00 11/11/2012] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 87 u1: mmHg st: NotStopd t0: [03:00:00 11/11/2012] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [03:00:00 11/11/2012] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 123 u1: kg st: NotStopd t0: [03:00:00 11/11/2012] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 17 u1: BPM st: NotStopd t0: [03:00:00 11/11/2012] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [03:00:00 11/11/2012] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 94 u1: % st: NotStopd t0: [03:00:00 11/11/2012] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [03:00:00 11/11/2012] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [03:00:00 11/11/2012] id: D5W 100.0ml + 600mcghr Sandostatin IV Infusions el: 1 cu: MICU-A cg: RN ai: 127 vo: 8.33333 vu: ml
t0: [03:00:00 11/11/2012] id: Sandostatin el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 50 du: mcghr sv: 100 su: ml rt: IV Drip
t0: [23:00:00 11/11/2012] dt: 24 id: IV Infusion In Total el: 2 cu: MICU-A cg: RN pv: 18.3333 cv: 640 ap: none t0: [23:00:00 11/11/2012] dt: 24 id: 24h Total In el: 2 cu: MICU-A cg: RN pv: 18.3333 cv: 1380 ap: none
t0: [03:00:00 11/11/2012] id: Temp. Site el: 0 cu: MICU-A cg: RN v1: Oral st: NotStopd t0: [03:00:00 11/11/2012] id: Temperature C (calc) el: 0 cu: MICU-A cg: RN v1: 37.1667 u1: Deg. C st: NotStopd t0: [03:00:00 11/11/2012] id: Temperature F el: 0 cu: MICU-A cg: RN v1: 98.9 u1: Deg. F st: NotStopd
t0: [23:00:00 11/11/2012] dt: 1 id: Total Hourly Output el: 2 cu: MICU-A cg: RN pv: 140 cv: 140 ap: none t0: [23:00:00 11/11/2012] dt: 1 id: Net Hourly Balance el: 2 cu: MICU-A cg: RN pv: -121.667 cv: -121.667 ap: none t0: [23:00:00 11/11/2012] dt: 24 id: Urine Out Total el: 2 cu: MICU-A cg: RN pv: 140 cv: 3290 ap: none t0: [23:00:00 11/11/2012] dt: 24 id: 24h Net Body Balance el: 2 cu: MICU-A cg: RN pv: -121.667 cv: -2560 ap: none t0: [23:00:00 11/11/2012] dt: 24 id: 24h Total Out el: 2 cu: MICU-A cg: RN pv: 140 cv: 3940 ap: none t0: [23:00:00 11/11/2012] dt: multiple days id: LOS Net Body Balance el: 2 cu: MICU-A cg: RN pv: -121.667 cv: 30465 ap: carryForward
t0: [04:00:00 11/11/2012] id: Pain Present el: 0 cu: MICU-A cg: RN v1: No st: NotStopd t0: [04:00:00 11/11/2012] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [04:00:00 11/11/2012] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [04:00:00 11/11/2012] id: Riker-SAS Scale el: 0 cu: MICU-A cg: RN v1: Calm/Cooperative st: NotStopd t0: [04:00:00 11/11/2012] id: GI Prophylaxis el: 0 cu: MICU-A cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [04:00:00 11/11/2012] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [04:00:00 11/11/2012] id: Diet Type el: 0 cu: MICU-A cg: RN v1: Clear Liquid st: NotStopd t0: [04:00:00 11/11/2012] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [04:00:00 11/11/2012] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [04:00:00 11/11/2012] id: Eye Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [04:00:00 11/11/2012] id: Eye Opening el: 0 cu: MICU-A cg: RN v1: 4 Spontaneously st: NotStopd t0: [04:00:00 11/11/2012] id: GCS Total el: 0 cu: MICU-A cg: RN v1: 15 u1: points st: NotStopd t0: [04:00:00 11/11/2012] id: GI Intub #1/Site el: 0 cu: MICU-A cg: RN v1: Salem Sump v2: Left Nare st: NotStopd t0: [04:00:00 11/11/2012] id: HOB el: 0 cu: MICU-A cg: RN v1: 30 degrees st: NotStopd t0: [04:00:00 11/11/2012] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 71 u1: BPM st: NotStopd t0: [04:00:00 11/11/2012] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [04:00:00 11/11/2012] id: INV Line#1 Type/Site el: 0 cu: MICU-A cg: RN v1: PICC line v2: Left Antecub st: NotStopd t0: [04:00:00 11/11/2012] id: INV Line#1InsertDate el: 0 cu: MICU-A cg: RN v1: 10 v2: 8 st: NotStopd t0: [04:00:00 11/11/2012] id: INV Line#1SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [04:00:00 11/11/2012] id: INV Line#2 Type/Site el: 0 cu: MICU-A cg: RN v1: A-Line v2: Left Radial st: NotStopd t0: [04:00:00 11/11/2012] id: INV Line#2 Zero/Cal el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [04:00:00 11/11/2012] id: INV Line#2InsertDate el: 0 cu: MICU-A cg: RN v1: 10 v2: 16 st: NotStopd t0: [04:00:00 11/11/2012] id: INV Line#2SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [04:00:00 11/11/2012] id: INV#2 WaveformAppear el: 0 cu: MICU-A cg: RN v1: Sharp st: NotStopd t0: [04:00:00 11/11/2012] id: IV #1 Insert Date el: 0 cu: MICU-A cg: RN v1: 10 v2: 16 st: NotStopd t0: [04:00:00 11/11/2012] id: IV #1 Site/Size el: 0 cu: MICU-A cg: RN v1: Right Hand v2: 18 gauge st: NotStopd t0: [04:00:00 11/11/2012] id: Activity el: 0 cu: MICU-A cg: RN v1: Bedrest st: NotStopd t0: [04:00:00 11/11/2012] id: IV Site Appear #1 el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [04:00:00 11/11/2012] id: Activity Tolerance el: 0 cu: MICU-A cg: RN v1: Tolerated Well st: NotStopd t0: [04:00:00 11/11/2012] id: Level of Conscious el: 0 cu: MICU-A cg: RN v1: Alert st: NotStopd t0: [04:00:00 11/11/2012] id: Motor Response el: 0 cu: MICU-A cg: RN v1: 6 Obeys Commands st: NotStopd t0: [04:00:00 11/11/2012] id: Oral Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [04:00:00 11/11/2012] id: Oral Cavity el: 0 cu: MICU-A cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [04:00:00 11/11/2012] id: Orientation el: 0 cu: MICU-A cg: RN v1: Oriented x 3 st: NotStopd t0: [04:00:00 11/11/2012] id: AntiEmbDevice/Status el: 0 cu: MICU-A cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [04:00:00 11/11/2012] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 128 u1: mmHg v2: 65 u2: mmHg st: NotStopd t0: [04:00:00 11/11/2012] id: Pain Location el: 0 cu: MICU-A cg: RN v1: Not Indicated st: NotStopd t0: [04:00:00 11/11/2012] id: Pain Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [04:00:00 11/11/2012] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 85 u1: mmHg st: NotStopd t0: [04:00:00 11/11/2012] id: Assistance Device el: 0 cu: MICU-A cg: RN v1: 2 Person Assist st: NotStopd t0: [04:00:00 11/11/2012] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [04:00:00 11/11/2012] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 123 u1: kg st: NotStopd t0: [04:00:00 11/11/2012] id: Respiratory Pattern el: 0 cu: MICU-A cg: RN v1: Regular st: NotStopd t0: [04:00:00 11/11/2012] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 18 u1: BPM st: NotStopd t0: [04:00:00 11/11/2012] id: Skin Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [04:00:00 11/11/2012] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 97 u1: % st: NotStopd t0: [04:00:00 11/11/2012] id: Turn el: 0 cu: MICU-A cg: RN v1: Side to Side st: NotStopd t0: [04:00:00 11/11/2012] id: Urine Color/Appear el: 0 cu: MICU-A cg: RN v1: Amber v2: Cloudy st: NotStopd t0: [04:00:00 11/11/2012] id: Urine Source el: 0 cu: MICU-A cg: RN v1: Indwelling Cath st: NotStopd t0: [04:00:00 11/11/2012] id: Verbal Response el: 0 cu: MICU-A cg: RN v1: 5 Oriented st: NotStopd t0: [04:00:00 11/11/2012] id: Back Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [04:00:00 11/11/2012] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [04:00:00 11/11/2012] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [04:00:00 11/11/2012] id: D5W 100.0ml + 600mcghr Sandostatin IV Infusions el: 1 cu: MICU-A cg: RN ai: 127 vo: 8.33333 vu: ml
t0: [04:00:00 11/11/2012] id: Sandostatin el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 50 du: mcghr sv: 100 su: ml rt: IV Drip
t0: [04:55:00 11/11/2012] id: Art.pH ABG el: 0 cu: MICU-A cg: 1663 v1: 7.38 rs: Final st: NotStopd t0: [04:55:00 11/11/2012] id: Arterial Base Excess ABG el: 0 cu: MICU-A cg: 1663 v1: -3 rs: Final st: NotStopd t0: [04:55:00 11/11/2012] id: Arterial CO2(Calc) ABG el: 0 cu: MICU-A cg: 1663 v1: 21 rs: Final st: NotStopd t0: [04:55:00 11/11/2012] id: Arterial PaCO2 ABG el: 0 cu: MICU-A cg: 1663 v1: 34 u1: mmHg rs: Final st: NotStopd t0: [04:55:00 11/11/2012] id: Arterial PaO2 ABG el: 0 cu: MICU-A cg: 1663 v1: 67 u1: mmHg rs: Final st: NotStopd t0: [04:55:00 11/11/2012] id: Arterial pH ABG el: 0 cu: MICU-A cg: 1663 v1: 7.38 rs: Final st: NotStopd t0: [04:55:00 11/11/2012] id: SaO2 ABG's el: 0 cu: MICU-A cg: 1663 v1: 94 u1: % rs: Final st: NotStopd
tf: [03:00:00 13/11/2012] pt: Unit Dose rt: PO fr: PRN fs: 4 m1: Cetylpyridinium Chl (Cepacol) v1: 1 u1: LOZ
t0: [04:40:00 11/11/2012] id: WBC (4-11,000) Hematology el: 0 cu: MICU-A cg: 1663 v1: 6.7 rs: Final st: NotStopd t0: [04:40:00 11/11/2012] id: WBC Hematology el: 0 cu: MICU-A cg: 1663 v1: 6.7 rs: Final st: NotStopd t0: [04:40:00 11/11/2012] id: Hematocrit Hematology el: 0 cu: MICU-A cg: 1663 v1: 31.9 u1: % rs: Final st: NotStopd t0: [04:40:00 11/11/2012] id: Hemoglobin Hematology el: 0 cu: MICU-A cg: 1663 v1: 10.7 u1: gm/dl rs: Final st: NotStopd t0: [04:40:00 11/11/2012] id: Platelets Hematology el: 0 cu: MICU-A cg: 1663 v1: 129 rs: Final st: NotStopd t0: [04:40:00 11/11/2012] id: RBC Hematology el: 0 cu: MICU-A cg: 1663 v1: 3.49 u1: /mic l rs: Final st: NotStopd t0: [04:40:00 11/11/2012] id: WBC (4-11,000) Hematology el: 0 cu: MICU-A cg: 1663 v1: 6.7 rs: Final st: NotStopd t0: [04:55:00 11/11/2012] id: CaO2 el: 0 cu: MICU-A cg: 1663 v1: 13.6854 u1: ml/dl st: NotStopd
t0: [04:40:00 11/11/2012] id: PT el: 0 cu: MICU-A cg: 1663 v1: 14.9 rs: Final st: NotStopd t0: [04:40:00 11/11/2012] id: INR Coags el: 0 cu: MICU-A cg: 1663 v1: 1.5 rs: Final st: NotStopd t0: [04:40:00 11/11/2012] id: PTT Coags el: 0 cu: MICU-A cg: 1663 v1: 35.4 rs: Final st: NotStopd t0: [04:40:00 11/11/2012] id: INR (2-4 ref. range) Coags el: 0 cu: MICU-A cg: 1663 v1: 1.5 rs: Final st: NotStopd t0: [04:40:00 11/11/2012] id: PT(11-13.5) Coags el: 0 cu: MICU-A cg: 1663 v1: 14.9 rs: Final st: NotStopd t0: [04:40:00 11/11/2012] id: PTT(22-35) Coags el: 0 cu: MICU-A cg: 1663 v1: 35.4 rs: Final st: NotStopd
t0: [04:00:00 11/11/2012] id: Position el: 0 cu: MICU-A cg: RN v1: Right Side st: NotStopd t0: [05:00:00 11/11/2012] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [05:00:00 11/11/2012] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [05:00:00 11/11/2012] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [05:00:00 11/11/2012] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [05:00:00 11/11/2012] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [05:00:00 11/11/2012] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 69 u1: BPM st: NotStopd t0: [05:00:00 11/11/2012] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [05:00:00 11/11/2012] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 122 u1: mmHg v2: 60 u2: mmHg st: NotStopd t0: [05:00:00 11/11/2012] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 73 u1: mmHg st: NotStopd t0: [05:00:00 11/11/2012] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [05:00:00 11/11/2012] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 123 u1: kg st: NotStopd t0: [05:00:00 11/11/2012] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 23 u1: BPM st: NotStopd t0: [05:00:00 11/11/2012] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 93 u1: % st: NotStopd t0: [05:00:00 11/11/2012] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [06:00:00 11/11/2012] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [06:00:00 11/11/2012] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [06:00:00 11/11/2012] id: Riker-SAS Scale el: 0 cu: MICU-A cg: RN v1: Calm/Cooperative st: NotStopd t0: [06:00:00 11/11/2012] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [06:00:00 11/11/2012] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [06:00:00 11/11/2012] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [06:00:00 11/11/2012] id: Eye Opening el: 0 cu: MICU-A cg: RN v1: 4 Spontaneously st: NotStopd t0: [06:00:00 11/11/2012] id: Follows Commands el: 0 cu: MICU-A cg: RN v1: Consistently st: NotStopd t0: [06:00:00 11/11/2012] id: GCS Total el: 0 cu: MICU-A cg: RN v1: 15 u1: points st: NotStopd t0: [06:00:00 11/11/2012] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 68 u1: BPM st: NotStopd t0: [06:00:00 11/11/2012] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [06:00:00 11/11/2012] id: Impaired Skin Site#1 el: 0 cu: MICU-A cg: RN v1: Coccyx st: NotStopd t0: [06:00:00 11/11/2012] id: Level of Conscious el: 0 cu: MICU-A cg: RN v1: Alert st: NotStopd t0: [06:00:00 11/11/2012] id: Motor Response el: 0 cu: MICU-A cg: RN v1: 6 Obeys Commands st: NotStopd t0: [06:00:00 11/11/2012] id: Orientation el: 0 cu: MICU-A cg: RN v1: Oriented x 3 st: NotStopd t0: [06:00:00 11/11/2012] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 124 u1: mmHg v2: 118 u2: mmHg st: NotStopd t0: [06:00:00 11/11/2012] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 117 u1: mmHg st: NotStopd t0: [06:00:00 11/11/2012] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [06:00:00 11/11/2012] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 123 u1: kg st: NotStopd t0: [06:00:00 11/11/2012] id: Respiratory Pattern el: 0 cu: MICU-A cg: RN v1: Regular st: NotStopd t0: [06:00:00 11/11/2012] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 14 u1: BPM st: NotStopd t0: [06:00:00 11/11/2012] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [06:00:00 11/11/2012] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 94 u1: % st: NotStopd t0: [06:00:00 11/11/2012] id: Spontaneous Movement el: 0 cu: MICU-A cg: RN v1: Purposeful st: NotStopd t0: [06:00:00 11/11/2012] id: Support Systems el: 0 cu: MICU-A cg: RN v1: Spouse st: NotStopd t0: [06:00:00 11/11/2012] id: Verbal Response el: 0 cu: MICU-A cg: RN v1: 5 Oriented st: NotStopd t0: [06:00:00 11/11/2012] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [06:00:00 11/11/2012] id: Braden Activity el: 0 cu: MICU-A cg: RN v1: Bedfast st: NotStopd t0: [06:00:00 11/11/2012] id: Braden Frict/Shear el: 0 cu: MICU-A cg: RN v1: Potential Prob st: NotStopd t0: [06:00:00 11/11/2012] id: Braden Mobility el: 0 cu: MICU-A cg: RN v1: Very Limited st: NotStopd t0: [06:00:00 11/11/2012] id: Braden Moisture el: 0 cu: MICU-A cg: RN v1: Occ. Moist st: NotStopd t0: [06:00:00 11/11/2012] id: Braden Nutrition el: 0 cu: MICU-A cg: RN v1: Very Poor st: NotStopd t0: [06:00:00 11/11/2012] id: Braden Score el: 0 cu: MICU-A cg: RN v1: 12 u1: number st: NotStopd t0: [06:00:00 11/11/2012] id: Braden SensoryPercep el: 0 cu: MICU-A cg: RN v1: Sl. Limited st: NotStopd
t0: [05:00:00 11/11/2012] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [05:00:00 11/11/2012] id: D5W 100.0ml + 600mcghr Sandostatin IV Infusions el: 1 cu: MICU-A cg: RN ai: 127 vo: 8.33333 vu: ml t0: [06:00:00 11/11/2012] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [06:00:00 11/11/2012] id: D5W 100.0ml + 600mcghr Sandostatin IV Infusions el: 1 cu: MICU-A cg: RN ai: 127 vo: 8.33333 vu: ml
t0: [05:00:00 11/11/2012] id: Sandostatin el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 50 du: mcghr sv: 100 su: ml rt: IV Drip t0: [06:00:00 11/11/2012] id: Sandostatin el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 50 du: mcghr sv: 100 su: ml rt: IV Drip
t0: [04:40:00 11/11/2012] id: BUN el: 0 cu: MICU-A cg: 1663 v1: 12 rs: Final st: NotStopd t0: [04:40:00 11/11/2012] id: Calcium Chemistry el: 0 cu: MICU-A cg: 1663 v1: 8.7 u1: mg/dl rs: Final st: NotStopd t0: [04:40:00 11/11/2012] id: Chloride Chemistry el: 0 cu: MICU-A cg: 1663 v1: 109 rs: Final st: NotStopd t0: [04:40:00 11/11/2012] id: Creatinine Chemistry el: 0 cu: MICU-A cg: 1663 v1: 1.4 rs: Final st: NotStopd t0: [04:40:00 11/11/2012] id: Glucose Chemistry el: 0 cu: MICU-A cg: 1663 v1: 112 rs: Final st: NotStopd t0: [04:40:00 11/11/2012] id: Magnesium Chemistry el: 0 cu: MICU-A cg: 1663 v1: 1.8 rs: Final st: NotStopd t0: [04:40:00 11/11/2012] id: Phosphorous Chemistry el: 0 cu: MICU-A cg: 1663 v1: 4 u1: mEq/L rs: Final st: NotStopd t0: [04:40:00 11/11/2012] id: Potassium Chemistry el: 0 cu: MICU-A cg: 1663 v1: 3.7 rs: Final st: NotStopd t0: [04:40:00 11/11/2012] id: Sodium Chemistry el: 0 cu: MICU-A cg: 1663 v1: 137 rs: Final st: NotStopd t0: [04:40:00 11/11/2012] id: BUN (6-20) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 12 rs: Final st: NotStopd t0: [04:40:00 11/11/2012] id: Calcium (8.4-10.2) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 8.7 u1: mg/dl rs: Final st: NotStopd t0: [04:40:00 11/11/2012] id: Carbon Dioxide Chemistry el: 0 cu: MICU-A cg: 1663 v1: 18 rs: Final st: NotStopd t0: [04:40:00 11/11/2012] id: Chloride (100-112) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 109 rs: Final st: NotStopd t0: [04:40:00 11/11/2012] id: Creatinine (0-1.3) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 1.4 rs: Final st: NotStopd t0: [04:40:00 11/11/2012] id: Glucose (70-105) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 112 rs: Final st: NotStopd t0: [04:40:00 11/11/2012] id: Magnesium (1.6-2.6) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 1.8 rs: Final st: NotStopd t0: [04:40:00 11/11/2012] id: Phosphorous(2.7-4.5) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 4 u1: mEq/L rs: Final st: NotStopd t0: [04:40:00 11/11/2012] id: Potassium (3.5-5.3) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 3.7 rs: Final st: NotStopd t0: [04:40:00 11/11/2012] id: Sodium (135-148) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 137 rs: Final st: NotStopd
t0: [05:00:00 11/11/2012] id: Fingerstick Glucose Chemistry el: 0 cu: MICU-A cg: RN v1: 107 rs: Manual st: NotStopd
t0: [06:00:00 11/11/2012] id: Temp. Site el: 0 cu: MICU-A cg: RN v1: Oral st: NotStopd t0: [06:00:00 11/11/2012] id: Temperature C (calc) el: 0 cu: MICU-A cg: RN v1: 37.3889 u1: Deg. C st: NotStopd t0: [06:00:00 11/11/2012] id: Temperature F el: 0 cu: MICU-A cg: RN v1: 99.3 u1: Deg. F st: NotStopd
t0: [06:00:00 11/11/2012] id: GI Prophylaxis el: 0 cu: MICU-A cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [06:00:00 11/11/2012] id: Diet Type el: 0 cu: MICU-A cg: RN v1: Clear Liquid st: NotStopd t0: [06:00:00 11/11/2012] id: GI Intub #1/Site el: 0 cu: MICU-A cg: RN v1: Salem Sump v2: Left Nare st: NotStopd t0: [06:00:00 11/11/2012] id: Abdominal Assessment el: 0 cu: MICU-A cg: RN v1: Ascites st: NotStopd t0: [06:00:00 11/11/2012] id: LLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Diminished st: NotStopd t0: [06:00:00 11/11/2012] id: LUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Clear st: NotStopd t0: [06:00:00 11/11/2012] id: Oral Cavity el: 0 cu: MICU-A cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [06:00:00 11/11/2012] id: RLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Diminished st: NotStopd t0: [06:00:00 11/11/2012] id: RUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Clear st: NotStopd t0: [06:00:00 11/11/2012] id: Bowel Sounds el: 0 cu: MICU-A cg: RN v1: Present st: NotStopd
t0: [23:00:00 11/11/2012] dt: 24 id: Stool Out Total el: 2 cu: MICU-A cg: RN cv: 650 ap: none
t0: [07:00:00 11/11/2012] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [07:00:00 11/11/2012] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [07:00:00 11/11/2012] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [07:00:00 11/11/2012] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [07:00:00 11/11/2012] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [07:00:00 11/11/2012] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 72 u1: BPM st: NotStopd t0: [07:00:00 11/11/2012] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [07:00:00 11/11/2012] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 136 u1: mmHg v2: 70 u2: mmHg st: NotStopd t0: [07:00:00 11/11/2012] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 94 u1: mmHg st: NotStopd t0: [07:00:00 11/11/2012] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [07:00:00 11/11/2012] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 123 u1: kg st: NotStopd t0: [07:00:00 11/11/2012] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 25 u1: BPM st: NotStopd t0: [07:00:00 11/11/2012] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 99 u1: % st: NotStopd t0: [07:00:00 11/11/2012] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [07:00:00 11/11/2012] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [07:00:00 11/11/2012] id: D5W 100.0ml + 600mcghr Sandostatin IV Infusions el: 1 cu: MICU-A cg: RN ai: 127 vo: 8.33333 vu: ml
t0: [07:00:00 11/11/2012] id: Sandostatin el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 50 du: mcghr sv: 100 su: ml rt: IV Drip
t0: [08:00:00 11/11/2012] id: Service Type el: 0 cu: MICU-A cg: CoWker v1: MICU st: NotStopd t0: [08:00:00 11/11/2012] id: Code Status el: 0 cu: MICU-A cg: CoWker v1: Full Code st: NotStopd t0: [08:00:00 11/11/2012] id: Risk for Falls el: 0 cu: MICU-A cg: CoWker v1: Yes st: NotStopd t0: [08:00:00 11/11/2012] id: Ectopy Frequency el: 0 cu: MICU-A cg: CoWker v1: None st: NotStopd t0: [08:00:00 11/11/2012] id: Ectopy Type el: 0 cu: MICU-A cg: CoWker v1: None st: NotStopd t0: [08:00:00 11/11/2012] id: Heart Rate el: 0 cu: MICU-A cg: CoWker v1: 69 u1: BPM st: NotStopd t0: [08:00:00 11/11/2012] id: Heart Rhythm el: 0 cu: MICU-A cg: CoWker v1: Normal Sinus st: NotStopd t0: [08:00:00 11/11/2012] id: Arterial BP el: 0 cu: MICU-A cg: CoWker v1: 133 u1: mmHg v2: 68 u2: mmHg st: NotStopd t0: [08:00:00 11/11/2012] id: Arterial BP Mean el: 0 cu: MICU-A cg: CoWker v1: 88 u1: mmHg st: NotStopd t0: [08:00:00 11/11/2012] id: Precautions el: 0 cu: MICU-A cg: CoWker v1: Universal st: NotStopd t0: [08:00:00 11/11/2012] id: Previous WeightF el: 0 cu: MICU-A cg: CoWker v1: 123 u1: kg st: NotStopd t0: [08:00:00 11/11/2012] id: Respiratory Rate el: 0 cu: MICU-A cg: CoWker v1: 18 u1: BPM st: NotStopd t0: [08:00:00 11/11/2012] id: SpO2 el: 0 cu: MICU-A cg: CoWker v1: 99 u1: % st: NotStopd t0: [08:00:00 11/11/2012] id: calprevflg el: 0 cu: MICU-A cg: CoWker v1: 1 u1: kg st: NotStopd
t0: [07:00:00 11/11/2012] id: Pain Present el: 0 cu: MICU-A cg: RN v1: No st: NotStopd t0: [07:00:00 11/11/2012] id: Pain Assess Method el: 0 cu: MICU-A cg: RN v1: Pt Verbalized st: NotStopd t0: [07:00:00 11/11/2012] id: PainLevel Acceptable el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [07:00:00 11/11/2012] id: Riker-SAS Scale el: 0 cu: MICU-A cg: RN v1: Calm/Cooperative st: NotStopd t0: [07:00:00 11/11/2012] id: Daily Wake Up el: 1 cu: MICU-A cg: RN v1: No/Not Sedated st: NotStopd t0: [07:00:00 11/11/2012] id: Pain Location el: 0 cu: MICU-A cg: RN v1: Not Indicated st: NotStopd t0: [07:00:00 11/11/2012] id: Pain Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [08:00:00 11/11/2012] id: Pain Present el: 0 cu: MICU-A cg: RN v1: No st: NotStopd t0: [08:00:00 11/11/2012] id: Riker-SAS Scale el: 0 cu: MICU-A cg: RN v1: Calm/Cooperative st: NotStopd t0: [08:00:00 11/11/2012] id: INV Line#1 Type/Site el: 0 cu: MICU-A cg: RN v1: PICC line v2: Left Antecub st: NotStopd t0: [08:00:00 11/11/2012] id: INV Line#1InsertDate el: 0 cu: MICU-A cg: RN v1: 10 v2: 8 st: NotStopd t0: [08:00:00 11/11/2012] id: INV Line#1SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [08:00:00 11/11/2012] id: INV Line#2 Type/Site el: 0 cu: MICU-A cg: RN v1: A-Line v2: Left Radial st: NotStopd t0: [08:00:00 11/11/2012] id: INV Line#2 Zero/Cal el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [08:00:00 11/11/2012] id: INV Line#2InsertDate el: 0 cu: MICU-A cg: RN v1: 10 v2: 16 st: NotStopd t0: [08:00:00 11/11/2012] id: INV Line#2SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [08:00:00 11/11/2012] id: INV#2 WaveformAppear el: 0 cu: MICU-A cg: RN v1: Sharp st: NotStopd t0: [08:00:00 11/11/2012] id: IV #1 Insert Date el: 0 cu: MICU-A cg: RN v1: 10 v2: 16 st: NotStopd t0: [08:00:00 11/11/2012] id: IV #1 Site/Size el: 0 cu: MICU-A cg: RN v1: Right Hand v2: 18 gauge st: NotStopd t0: [08:00:00 11/11/2012] id: IV Site Appear #1 el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [08:00:00 11/11/2012] id: Pain Location el: 0 cu: MICU-A cg: RN v1: Not Indicated st: NotStopd t0: [08:00:00 11/11/2012] id: Pain Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd
t0: [08:00:00 11/11/2012] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [08:00:00 11/11/2012] id: D5W 100.0ml + 600mcghr Sandostatin IV Infusions el: 1 cu: MICU-A cg: RN ai: 127 vo: 8.33333 vu: ml
t0: [09:00:00 11/11/2012] id: Service Type el: 0 cu: MICU-A cg: CoWker v1: MICU st: NotStopd t0: [09:00:00 11/11/2012] id: Code Status el: 0 cu: MICU-A cg: CoWker v1: Full Code st: NotStopd t0: [09:00:00 11/11/2012] id: Risk for Falls el: 0 cu: MICU-A cg: CoWker v1: Yes st: NotStopd t0: [09:00:00 11/11/2012] id: Ectopy Frequency el: 0 cu: MICU-A cg: CoWker v1: None st: NotStopd t0: [09:00:00 11/11/2012] id: Ectopy Type el: 0 cu: MICU-A cg: CoWker v1: None st: NotStopd t0: [09:00:00 11/11/2012] id: Heart Rate el: 0 cu: MICU-A cg: CoWker v1: 67 u1: BPM st: NotStopd t0: [09:00:00 11/11/2012] id: Heart Rhythm el: 0 cu: MICU-A cg: CoWker v1: Normal Sinus st: NotStopd t0: [09:00:00 11/11/2012] id: Arterial BP el: 0 cu: MICU-A cg: CoWker v1: 139 u1: mmHg v2: 72 u2: mmHg st: NotStopd t0: [09:00:00 11/11/2012] id: Arterial BP Mean el: 0 cu: MICU-A cg: CoWker v1: 101 u1: mmHg st: NotStopd t0: [09:00:00 11/11/2012] id: Precautions el: 0 cu: MICU-A cg: CoWker v1: Universal st: NotStopd t0: [09:00:00 11/11/2012] id: Previous WeightF el: 0 cu: MICU-A cg: CoWker v1: 123 u1: kg st: NotStopd t0: [09:00:00 11/11/2012] id: Respiratory Rate el: 0 cu: MICU-A cg: CoWker v1: 17 u1: BPM st: NotStopd t0: [09:00:00 11/11/2012] id: SpO2 el: 0 cu: MICU-A cg: CoWker v1: 100 u1: % st: NotStopd t0: [09:00:00 11/11/2012] id: calprevflg el: 0 cu: MICU-A cg: CoWker v1: 1 u1: kg st: NotStopd
t0: [04:40:00 11/11/2012] id: Vancomycin/Random Drug Level el: 0 cu: MICU-A cg: 1663 v1: 17 rs: Final st: NotStopd
t0: [10:00:00 11/11/2012] id: Pain Present el: 0 cu: MICU-A cg: CoWker v1: No st: NotStopd t0: [10:00:00 11/11/2012] id: Service Type el: 0 cu: MICU-A cg: CoWker v1: MICU st: NotStopd t0: [10:00:00 11/11/2012] id: Code Status el: 0 cu: MICU-A cg: CoWker v1: Full Code st: NotStopd t0: [10:00:00 11/11/2012] id: Riker-SAS Scale el: 0 cu: MICU-A cg: CoWker v1: Calm/Cooperative st: NotStopd t0: [10:00:00 11/11/2012] id: Daily Wake Up el: 1 cu: MICU-A cg: CoWker v1: No/Not Sedated st: NotStopd t0: [10:00:00 11/11/2012] id: Risk for Falls el: 0 cu: MICU-A cg: CoWker v1: Yes st: NotStopd t0: [10:00:00 11/11/2012] id: Ectopy Frequency el: 0 cu: MICU-A cg: CoWker v1: None st: NotStopd t0: [10:00:00 11/11/2012] id: Ectopy Type el: 0 cu: MICU-A cg: CoWker v1: None st: NotStopd t0: [10:00:00 11/11/2012] id: Heart Rate el: 0 cu: MICU-A cg: CoWker v1: 67 u1: BPM st: NotStopd t0: [10:00:00 11/11/2012] id: Heart Rhythm el: 0 cu: MICU-A cg: CoWker v1: Normal Sinus st: NotStopd t0: [10:00:00 11/11/2012] id: Arterial BP el: 0 cu: MICU-A cg: CoWker v1: 141 u1: mmHg v2: 73 u2: mmHg st: NotStopd t0: [10:00:00 11/11/2012] id: Pain Location el: 0 cu: MICU-A cg: CoWker v1: Not Indicated st: NotStopd t0: [10:00:00 11/11/2012] id: Pain Type el: 0 cu: MICU-A cg: CoWker v1: None st: NotStopd t0: [10:00:00 11/11/2012] id: Arterial BP Mean el: 0 cu: MICU-A cg: CoWker v1: 101 u1: mmHg st: NotStopd t0: [10:00:00 11/11/2012] id: Precautions el: 0 cu: MICU-A cg: CoWker v1: Universal st: NotStopd t0: [10:00:00 11/11/2012] id: Previous WeightF el: 0 cu: MICU-A cg: CoWker v1: 123 u1: kg st: NotStopd t0: [10:00:00 11/11/2012] id: Respiratory Rate el: 0 cu: MICU-A cg: CoWker v1: 18 u1: BPM st: NotStopd t0: [10:00:00 11/11/2012] id: SpO2 el: 0 cu: MICU-A cg: CoWker v1: 90 u1: % st: NotStopd t0: [10:00:00 11/11/2012] id: Temp. Site el: 0 cu: MICU-A cg: CoWker v1: Oral st: NotStopd t0: [10:00:00 11/11/2012] id: Temperature C (calc) el: 0 cu: MICU-A cg: CoWker v1: 37.5556 u1: Deg. C st: NotStopd t0: [10:00:00 11/11/2012] id: Temperature F el: 0 cu: MICU-A cg: CoWker v1: 99.6 u1: Deg. F st: NotStopd t0: [10:00:00 11/11/2012] id: calprevflg el: 0 cu: MICU-A cg: CoWker v1: 1 u1: kg st: NotStopd
t0: [11:00:00 11/11/2012] id: Service Type el: 0 cu: MICU-A cg: CoWker v1: MICU st: NotStopd t0: [11:00:00 11/11/2012] id: Code Status el: 0 cu: MICU-A cg: CoWker v1: Full Code st: NotStopd t0: [11:00:00 11/11/2012] id: Risk for Falls el: 0 cu: MICU-A cg: CoWker v1: Yes st: NotStopd t0: [11:00:00 11/11/2012] id: Ectopy Frequency el: 0 cu: MICU-A cg: CoWker v1: None st: NotStopd t0: [11:00:00 11/11/2012] id: Ectopy Type el: 0 cu: MICU-A cg: CoWker v1: None st: NotStopd t0: [11:00:00 11/11/2012] id: Heart Rate el: 0 cu: MICU-A cg: CoWker v1: 68 u1: BPM st: NotStopd t0: [11:00:00 11/11/2012] id: Heart Rhythm el: 0 cu: MICU-A cg: CoWker v1: Normal Sinus st: NotStopd t0: [11:00:00 11/11/2012] id: Arterial BP el: 0 cu: MICU-A cg: CoWker v1: 143 u1: mmHg v2: 75 u2: mmHg st: NotStopd t0: [11:00:00 11/11/2012] id: Arterial BP Mean el: 0 cu: MICU-A cg: CoWker v1: 95 u1: mmHg st: NotStopd t0: [11:00:00 11/11/2012] id: Precautions el: 0 cu: MICU-A cg: CoWker v1: Universal st: NotStopd t0: [11:00:00 11/11/2012] id: Previous WeightF el: 0 cu: MICU-A cg: CoWker v1: 123 u1: kg st: NotStopd t0: [11:00:00 11/11/2012] id: Respiratory Rate el: 0 cu: MICU-A cg: CoWker v1: 18 u1: BPM st: NotStopd t0: [11:00:00 11/11/2012] id: SpO2 el: 0 cu: MICU-A cg: CoWker v1: 97 u1: % st: NotStopd t0: [11:00:00 11/11/2012] id: calprevflg el: 0 cu: MICU-A cg: CoWker v1: 1 u1: kg st: NotStopd
tf: [11:00:00 12/11/2012] pt: Unit Dose rt: IV fr: ONCE fs: 12 dn: 1 m1: Furosemide v1: 20 u1: mg
t0: [08:00:00 11/11/2012] id: Cough/Deep Breathe el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [08:00:00 11/11/2012] id: GI Prophylaxis el: 0 cu: MICU-A cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [08:00:00 11/11/2012] id: Diet Type el: 0 cu: MICU-A cg: RN v1: Clear Liquid st: NotStopd t0: [08:00:00 11/11/2012] id: Eye Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [08:00:00 11/11/2012] id: Eye Opening el: 0 cu: MICU-A cg: RN v1: 4 Spontaneously st: NotStopd t0: [08:00:00 11/11/2012] id: Follows Commands el: 0 cu: MICU-A cg: RN v1: Consistently st: NotStopd t0: [08:00:00 11/11/2012] id: GCS Total el: 0 cu: MICU-A cg: RN v1: 15 u1: points st: NotStopd t0: [08:00:00 11/11/2012] id: GI Intub #1/Site el: 0 cu: MICU-A cg: RN v1: Salem Sump v2: Left Nare st: NotStopd t0: [08:00:00 11/11/2012] id: HOB el: 0 cu: MICU-A cg: RN v1: 30 degrees st: NotStopd t0: [08:00:00 11/11/2012] id: Abdominal Assessment el: 0 cu: MICU-A cg: RN v1: Ascites st: NotStopd t0: [08:00:00 11/11/2012] id: Activity el: 0 cu: MICU-A cg: RN v1: Bedrest st: NotStopd t0: [08:00:00 11/11/2012] id: Activity Tolerance el: 0 cu: MICU-A cg: RN v1: Tolerated Well st: NotStopd t0: [08:00:00 11/11/2012] id: Impaired Skin Site#1 el: 0 cu: MICU-A cg: RN v1: Coccyx st: NotStopd t0: [08:00:00 11/11/2012] id: LLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Diminished st: NotStopd t0: [08:00:00 11/11/2012] id: LUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Clear st: NotStopd t0: [08:00:00 11/11/2012] id: Level of Conscious el: 0 cu: MICU-A cg: RN v1: Alert st: NotStopd t0: [08:00:00 11/11/2012] id: Motor Response el: 0 cu: MICU-A cg: RN v1: 6 Obeys Commands st: NotStopd t0: [08:00:00 11/11/2012] id: Oral Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [08:00:00 11/11/2012] id: Oral Cavity el: 0 cu: MICU-A cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [08:00:00 11/11/2012] id: Orientation el: 0 cu: MICU-A cg: RN v1: Oriented x 3 st: NotStopd t0: [08:00:00 11/11/2012] id: AntiEmbDevice/Status el: 0 cu: MICU-A cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [08:00:00 11/11/2012] id: Position el: 0 cu: MICU-A cg: RN v1: Supine st: NotStopd t0: [08:00:00 11/11/2012] id: Assistance Device el: 0 cu: MICU-A cg: RN v1: 1 Person Assist st: NotStopd t0: [08:00:00 11/11/2012] id: RLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Diminished st: NotStopd t0: [08:00:00 11/11/2012] id: RUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Clear st: NotStopd t0: [08:00:00 11/11/2012] id: Respiratory Pattern el: 0 cu: MICU-A cg: RN v1: Regular st: NotStopd t0: [08:00:00 11/11/2012] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [08:00:00 11/11/2012] id: Skin Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [08:00:00 11/11/2012] id: Spontaneous Movement el: 0 cu: MICU-A cg: RN v1: Purposeful st: NotStopd t0: [08:00:00 11/11/2012] id: Support Systems el: 0 cu: MICU-A cg: RN v1: Spouse st: NotStopd t0: [08:00:00 11/11/2012] id: Turn el: 0 cu: MICU-A cg: RN v1: Side to Side st: NotStopd t0: [08:00:00 11/11/2012] id: Urine Color/Appear el: 0 cu: MICU-A cg: RN v1: Icteric v2: Clear st: NotStopd t0: [08:00:00 11/11/2012] id: Urine Source el: 0 cu: MICU-A cg: RN v1: Indwelling Cath st: NotStopd t0: [08:00:00 11/11/2012] id: Verbal Response el: 0 cu: MICU-A cg: RN v1: 5 Oriented st: NotStopd t0: [08:00:00 11/11/2012] id: Back Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [08:00:00 11/11/2012] id: Bowel Sounds el: 0 cu: MICU-A cg: RN v1: Present st: NotStopd t0: [08:00:00 11/11/2012] id: Braden Activity el: 0 cu: MICU-A cg: RN v1: Bedfast st: NotStopd t0: [08:00:00 11/11/2012] id: Braden Frict/Shear el: 0 cu: MICU-A cg: RN v1: Potential Prob st: NotStopd t0: [08:00:00 11/11/2012] id: Braden Mobility el: 0 cu: MICU-A cg: RN v1: Very Limited st: NotStopd t0: [08:00:00 11/11/2012] id: Braden Moisture el: 0 cu: MICU-A cg: RN v1: Rarely Moist st: NotStopd t0: [08:00:00 11/11/2012] id: Braden Nutrition el: 0 cu: MICU-A cg: RN v1: Very Poor st: NotStopd t0: [08:00:00 11/11/2012] id: Braden Score el: 0 cu: MICU-A cg: RN v1: 13 u1: number st: NotStopd t0: [08:00:00 11/11/2012] id: Braden SensoryPercep el: 0 cu: MICU-A cg: RN v1: Sl. Limited st: NotStopd t0: [12:00:00 11/11/2012] id: Pain Present el: 0 cu: MICU-A cg: RN v1: No st: NotStopd t0: [12:00:00 11/11/2012] id: Pain Assess Method el: 0 cu: MICU-A cg: RN v1: Pt Verbalized st: NotStopd t0: [12:00:00 11/11/2012] id: PainLevel Acceptable el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [12:00:00 11/11/2012] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [12:00:00 11/11/2012] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [12:00:00 11/11/2012] id: Riker-SAS Scale el: 0 cu: MICU-A cg: RN v1: Calm/Cooperative st: NotStopd t0: [12:00:00 11/11/2012] id: Daily Wake Up el: 1 cu: MICU-A cg: RN v1: No/Not Sedated st: NotStopd t0: [12:00:00 11/11/2012] id: GI Prophylaxis el: 0 cu: MICU-A cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [12:00:00 11/11/2012] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [12:00:00 11/11/2012] id: Diet Type el: 0 cu: MICU-A cg: RN v1: Clear Liquid st: NotStopd t0: [12:00:00 11/11/2012] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [12:00:00 11/11/2012] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [12:00:00 11/11/2012] id: Eye Opening el: 0 cu: MICU-A cg: RN v1: 4 Spontaneously st: NotStopd t0: [12:00:00 11/11/2012] id: Follows Commands el: 0 cu: MICU-A cg: RN v1: Consistently st: NotStopd t0: [12:00:00 11/11/2012] id: GCS Total el: 0 cu: MICU-A cg: RN v1: 15 u1: points st: NotStopd t0: [12:00:00 11/11/2012] id: GI Intub #1/Site el: 0 cu: MICU-A cg: RN v1: Salem Sump v2: Left Nare st: NotStopd t0: [12:00:00 11/11/2012] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 68 u1: BPM st: NotStopd t0: [12:00:00 11/11/2012] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [12:00:00 11/11/2012] id: Abdominal Assessment el: 0 cu: MICU-A cg: RN v1: Ascites st: NotStopd t0: [12:00:00 11/11/2012] id: Level of Conscious el: 0 cu: MICU-A cg: RN v1: Alert st: NotStopd t0: [12:00:00 11/11/2012] id: Motor Response el: 0 cu: MICU-A cg: RN v1: 6 Obeys Commands st: NotStopd t0: [12:00:00 11/11/2012] id: Oral Cavity el: 0 cu: MICU-A cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [12:00:00 11/11/2012] id: Orientation el: 0 cu: MICU-A cg: RN v1: Oriented x 3 st: NotStopd t0: [12:00:00 11/11/2012] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 154 u1: mmHg v2: 80 u2: mmHg st: NotStopd t0: [12:00:00 11/11/2012] id: Pain Location el: 0 cu: MICU-A cg: RN v1: Not Indicated st: NotStopd t0: [12:00:00 11/11/2012] id: Pain Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [12:00:00 11/11/2012] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 103 u1: mmHg st: NotStopd t0: [12:00:00 11/11/2012] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [12:00:00 11/11/2012] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 123 u1: kg st: NotStopd t0: [12:00:00 11/11/2012] id: Respiratory Pattern el: 0 cu: MICU-A cg: RN v1: Regular st: NotStopd t0: [12:00:00 11/11/2012] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 20 u1: BPM st: NotStopd t0: [12:00:00 11/11/2012] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 99 u1: % st: NotStopd t0: [12:00:00 11/11/2012] id: Spontaneous Movement el: 0 cu: MICU-A cg: RN v1: Purposeful st: NotStopd t0: [12:00:00 11/11/2012] id: Urine Color/Appear el: 0 cu: MICU-A cg: RN v1: Icteric v2: Clear st: NotStopd t0: [12:00:00 11/11/2012] id: Urine Source el: 0 cu: MICU-A cg: RN v1: Indwelling Cath st: NotStopd t0: [12:00:00 11/11/2012] id: Verbal Response el: 0 cu: MICU-A cg: RN v1: 5 Oriented st: NotStopd t0: [12:00:00 11/11/2012] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [12:00:00 11/11/2012] id: Bowel Sounds el: 0 cu: MICU-A cg: RN v1: Present st: NotStopd
t0: [09:00:00 11/11/2012] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [09:00:00 11/11/2012] id: D5W 100.0ml + 600mcghr Sandostatin IV Infusions el: 1 cu: MICU-A cg: RN ai: 127 vo: 8.33333 vu: ml t0: [10:00:00 11/11/2012] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [10:00:00 11/11/2012] id: D5W 100.0ml + 600mcghr Sandostatin IV Infusions el: 1 cu: MICU-A cg: RN ai: 127 vo: 8.33333 vu: ml t0: [11:00:00 11/11/2012] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [11:00:00 11/11/2012] id: D5W 100.0ml + 600mcghr Sandostatin IV Infusions el: 1 cu: MICU-A cg: RN ai: 127 vo: 8.33333 vu: ml t0: [12:00:00 11/11/2012] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [12:00:00 11/11/2012] id: D5W 100.0ml + 600mcghr Sandostatin IV Infusions el: 1 cu: MICU-A cg: RN ai: 127 vo: 8.33333 vu: ml
t0: [12:00:00 11/11/2012] id: Sandostatin el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 50 du: mcghr sv: 100 su: ml rt: IV Drip
t0: [12:00:00 11/11/2012] id: Fingerstick Glucose Chemistry el: 0 cu: MICU-A cg: CoWker v1: 119 rs: Manual st: NotStopd
t0: [14:00:00 11/11/2012] id: Pain Present el: 0 cu: MICU-A cg: CoWker v1: No st: NotStopd t0: [14:00:00 11/11/2012] id: Service Type el: 0 cu: MICU-A cg: CoWker v1: MICU st: NotStopd t0: [14:00:00 11/11/2012] id: Code Status el: 0 cu: MICU-A cg: CoWker v1: Full Code st: NotStopd t0: [14:00:00 11/11/2012] id: Riker-SAS Scale el: 0 cu: MICU-A cg: CoWker v1: Calm/Cooperative st: NotStopd t0: [14:00:00 11/11/2012] id: Daily Wake Up el: 1 cu: MICU-A cg: CoWker v1: No/Not Sedated st: NotStopd t0: [14:00:00 11/11/2012] id: Risk for Falls el: 0 cu: MICU-A cg: CoWker v1: Yes st: NotStopd t0: [14:00:00 11/11/2012] id: Ectopy Frequency el: 0 cu: MICU-A cg: CoWker v1: None st: NotStopd t0: [14:00:00 11/11/2012] id: Ectopy Type el: 0 cu: MICU-A cg: CoWker v1: None st: NotStopd t0: [14:00:00 11/11/2012] id: Heart Rate el: 0 cu: MICU-A cg: CoWker v1: 70 u1: BPM st: NotStopd t0: [14:00:00 11/11/2012] id: Heart Rhythm el: 0 cu: MICU-A cg: CoWker v1: Normal Sinus st: NotStopd t0: [14:00:00 11/11/2012] id: Arterial BP el: 0 cu: MICU-A cg: CoWker v1: 146 u1: mmHg v2: 96 u2: mmHg st: NotStopd t0: [14:00:00 11/11/2012] id: Pain Location el: 0 cu: MICU-A cg: CoWker v1: Not Indicated st: NotStopd t0: [14:00:00 11/11/2012] id: Pain Type el: 0 cu: MICU-A cg: CoWker v1: None st: NotStopd t0: [14:00:00 11/11/2012] id: Arterial BP Mean el: 0 cu: MICU-A cg: CoWker v1: 136 u1: mmHg st: NotStopd t0: [14:00:00 11/11/2012] id: Precautions el: 0 cu: MICU-A cg: CoWker v1: Universal st: NotStopd t0: [14:00:00 11/11/2012] id: Previous WeightF el: 0 cu: MICU-A cg: CoWker v1: 123 u1: kg st: NotStopd t0: [14:00:00 11/11/2012] id: Respiratory Rate el: 0 cu: MICU-A cg: CoWker v1: 17 u1: BPM st: NotStopd t0: [14:00:00 11/11/2012] id: SpO2 el: 0 cu: MICU-A cg: CoWker v1: 97 u1: % st: NotStopd t0: [14:00:00 11/11/2012] id: Temp. Site el: 0 cu: MICU-A cg: CoWker v1: Oral st: NotStopd t0: [14:00:00 11/11/2012] id: Temperature C (calc) el: 0 cu: MICU-A cg: CoWker v1: 37.3889 u1: Deg. C st: NotStopd t0: [14:00:00 11/11/2012] id: Temperature F el: 0 cu: MICU-A cg: CoWker v1: 99.3 u1: Deg. F st: NotStopd t0: [14:00:00 11/11/2012] id: calprevflg el: 0 cu: MICU-A cg: CoWker v1: 1 u1: kg st: NotStopd
t0: [11:00:00 11/11/2012] id: INV Line#1 Type/Site el: 0 cu: MICU-A cg: RN v1: PICC line v2: Left Antecub st: NotStopd t0: [11:00:00 11/11/2012] id: INV Line#1InsertDate el: 0 cu: MICU-A cg: RN v1: 10 v2: 8 st: NotStopd t0: [11:00:00 11/11/2012] id: INV Line#1SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [11:00:00 11/11/2012] id: INV Line#2 Type/Site el: 0 cu: MICU-A cg: RN v1: A-Line v2: Left Radial st: NotStopd t0: [11:00:00 11/11/2012] id: INV Line#2 Zero/Cal el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [11:00:00 11/11/2012] id: INV Line#2InsertDate el: 0 cu: MICU-A cg: RN v1: 10 v2: 16 st: NotStopd t0: [11:00:00 11/11/2012] id: INV Line#2SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [11:00:00 11/11/2012] id: INV#2 WaveformAppear el: 0 cu: MICU-A cg: RN v1: Sharp st: NotStopd t0: [11:00:00 11/11/2012] id: IV #1 Insert Date el: 0 cu: MICU-A cg: RN v1: 10 v2: 16 st: NotStopd t0: [11:00:00 11/11/2012] id: IV #1 Site/Size el: 0 cu: MICU-A cg: RN v1: Right Hand v2: 18 gauge st: NotStopd t0: [11:00:00 11/11/2012] id: IV Site Appear #1 el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [12:00:00 11/11/2012] id: Cough/Deep Breathe el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [12:00:00 11/11/2012] id: Eye Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [12:00:00 11/11/2012] id: HOB el: 0 cu: MICU-A cg: RN v1: 30 degrees st: NotStopd t0: [12:00:00 11/11/2012] id: Activity el: 0 cu: MICU-A cg: RN v1: Bedrest st: NotStopd t0: [12:00:00 11/11/2012] id: Activity Tolerance el: 0 cu: MICU-A cg: RN v1: Tolerated Well st: NotStopd t0: [12:00:00 11/11/2012] id: Impaired Skin Site#1 el: 0 cu: MICU-A cg: RN v1: Coccyx st: NotStopd t0: [12:00:00 11/11/2012] id: LLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Diminished st: NotStopd t0: [12:00:00 11/11/2012] id: LUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Clear st: NotStopd t0: [12:00:00 11/11/2012] id: Oral Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [12:00:00 11/11/2012] id: AntiEmbDevice/Status el: 0 cu: MICU-A cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [12:00:00 11/11/2012] id: Position el: 0 cu: MICU-A cg: RN v1: Supine st: NotStopd t0: [12:00:00 11/11/2012] id: Assistance Device el: 0 cu: MICU-A cg: RN v1: 1 Person Assist st: NotStopd t0: [12:00:00 11/11/2012] id: RLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Diminished st: NotStopd t0: [12:00:00 11/11/2012] id: RUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Clear st: NotStopd t0: [12:00:00 11/11/2012] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [12:00:00 11/11/2012] id: Skin Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [12:00:00 11/11/2012] id: Support Systems el: 0 cu: MICU-A cg: RN v1: Spouse st: NotStopd t0: [12:00:00 11/11/2012] id: Turn el: 0 cu: MICU-A cg: RN v1: Side to Side st: NotStopd t0: [12:00:00 11/11/2012] id: Back Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [12:00:00 11/11/2012] id: Braden Activity el: 0 cu: MICU-A cg: RN v1: Bedfast st: NotStopd t0: [12:00:00 11/11/2012] id: Braden Frict/Shear el: 0 cu: MICU-A cg: RN v1: Potential Prob st: NotStopd t0: [12:00:00 11/11/2012] id: Braden Mobility el: 0 cu: MICU-A cg: RN v1: Very Limited st: NotStopd t0: [12:00:00 11/11/2012] id: Braden Moisture el: 0 cu: MICU-A cg: RN v1: Rarely Moist st: NotStopd t0: [12:00:00 11/11/2012] id: Braden Nutrition el: 0 cu: MICU-A cg: RN v1: Very Poor st: NotStopd t0: [12:00:00 11/11/2012] id: Braden Score el: 0 cu: MICU-A cg: RN v1: 13 u1: number st: NotStopd t0: [12:00:00 11/11/2012] id: Braden SensoryPercep el: 0 cu: MICU-A cg: RN v1: Sl. Limited st: NotStopd t0: [13:00:00 11/11/2012] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [13:00:00 11/11/2012] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [13:00:00 11/11/2012] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [13:00:00 11/11/2012] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [13:00:00 11/11/2012] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [13:00:00 11/11/2012] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 68 u1: BPM st: NotStopd t0: [13:00:00 11/11/2012] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [13:00:00 11/11/2012] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 129 u1: mmHg v2: 66 u2: mmHg st: NotStopd t0: [13:00:00 11/11/2012] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 89 u1: mmHg st: NotStopd t0: [13:00:00 11/11/2012] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [13:00:00 11/11/2012] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 123 u1: kg st: NotStopd t0: [13:00:00 11/11/2012] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 20 u1: BPM st: NotStopd t0: [13:00:00 11/11/2012] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 92 u1: % st: NotStopd t0: [13:00:00 11/11/2012] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [14:00:00 11/11/2012] id: HOB el: 0 cu: MICU-A cg: RN v1: 90 degrees st: NotStopd t0: [14:00:00 11/11/2012] id: INV Line#1 Type/Site el: 0 cu: MICU-A cg: RN v1: PICC line v2: Left Antecub st: NotStopd t0: [14:00:00 11/11/2012] id: INV Line#1InsertDate el: 0 cu: MICU-A cg: RN v1: 10 v2: 8 st: NotStopd t0: [14:00:00 11/11/2012] id: INV Line#1SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [14:00:00 11/11/2012] id: INV Line#2 Type/Site el: 0 cu: MICU-A cg: RN v1: A-Line v2: Left Radial st: NotStopd t0: [14:00:00 11/11/2012] id: INV Line#2 Zero/Cal el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [14:00:00 11/11/2012] id: INV Line#2InsertDate el: 0 cu: MICU-A cg: RN v1: 10 v2: 16 st: NotStopd t0: [14:00:00 11/11/2012] id: INV Line#2SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [14:00:00 11/11/2012] id: INV#2 WaveformAppear el: 0 cu: MICU-A cg: RN v1: Sharp st: NotStopd t0: [14:00:00 11/11/2012] id: IV #1 Insert Date el: 0 cu: MICU-A cg: RN v1: 10 v2: 16 st: NotStopd t0: [14:00:00 11/11/2012] id: IV #1 Site/Size el: 0 cu: MICU-A cg: RN v1: Right Hand v2: 18 gauge st: NotStopd t0: [14:00:00 11/11/2012] id: Activity el: 0 cu: MICU-A cg: RN v1: Chair st: NotStopd t0: [14:00:00 11/11/2012] id: IV Site Appear #1 el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [14:00:00 11/11/2012] id: Activity Tolerance el: 0 cu: MICU-A cg: RN v1: Tolerated Well st: NotStopd t0: [14:00:00 11/11/2012] id: Impaired Skin Site#1 el: 0 cu: MICU-A cg: RN v1: Coccyx st: NotStopd t0: [14:00:00 11/11/2012] id: AntiEmbDevice/Status el: 0 cu: MICU-A cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [14:00:00 11/11/2012] id: Position el: 0 cu: MICU-A cg: RN v1: Supine st: NotStopd t0: [14:00:00 11/11/2012] id: Assistance Device el: 0 cu: MICU-A cg: RN v1: 2 Person Assist st: NotStopd t0: [14:00:00 11/11/2012] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [14:00:00 11/11/2012] id: Support Systems el: 0 cu: MICU-A cg: RN v1: Spouse st: NotStopd t0: [14:00:00 11/11/2012] id: Turn el: 0 cu: MICU-A cg: RN v1: Back st: NotStopd t0: [14:00:00 11/11/2012] id: Braden Activity el: 0 cu: MICU-A cg: RN v1: Bedfast st: NotStopd t0: [14:00:00 11/11/2012] id: Braden Frict/Shear el: 0 cu: MICU-A cg: RN v1: Potential Prob st: NotStopd t0: [14:00:00 11/11/2012] id: Braden Mobility el: 0 cu: MICU-A cg: RN v1: Very Limited st: NotStopd t0: [14:00:00 11/11/2012] id: Braden Moisture el: 0 cu: MICU-A cg: RN v1: Rarely Moist st: NotStopd t0: [14:00:00 11/11/2012] id: Braden Nutrition el: 0 cu: MICU-A cg: RN v1: Very Poor st: NotStopd t0: [14:00:00 11/11/2012] id: Braden Score el: 0 cu: MICU-A cg: RN v1: 13 u1: number st: NotStopd t0: [14:00:00 11/11/2012] id: Braden SensoryPercep el: 0 cu: MICU-A cg: RN v1: Sl. Limited st: NotStopd t0: [15:00:00 11/11/2012] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [15:00:00 11/11/2012] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [15:00:00 11/11/2012] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [15:00:00 11/11/2012] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [15:00:00 11/11/2012] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [15:00:00 11/11/2012] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 70 u1: BPM st: NotStopd t0: [15:00:00 11/11/2012] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [15:00:00 11/11/2012] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 145 u1: mmHg v2: 75 u2: mmHg st: NotStopd t0: [15:00:00 11/11/2012] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 97 u1: mmHg st: NotStopd t0: [15:00:00 11/11/2012] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [15:00:00 11/11/2012] id: Previous Weight el: 0 cu: MICU-A cg: RN v1: 123 u1: kg st: NotStopd t0: [15:00:00 11/11/2012] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 123 u1: kg st: NotStopd t0: [15:00:00 11/11/2012] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 23 u1: BPM st: NotStopd t0: [15:00:00 11/11/2012] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 96 u1: % st: NotStopd t0: [15:00:00 11/11/2012] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [15:00:00 11/11/2012] id: Hematocrit Hematology el: 0 cu: MICU-A cg: 1663 v1: 33.3 u1: % rs: Final st: NotStopd t0: [15:00:00 11/11/2012] id: Platelets Hematology el: 0 cu: MICU-A cg: 1663 v1: 129 rs: Final st: NotStopd
t0: [13:00:00 11/11/2012] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [13:00:00 11/11/2012] id: D5W 100.0ml + 600mcghr Sandostatin IV Infusions el: 1 cu: MICU-A cg: RN ai: 127 vo: 8.33333 vu: ml t0: [14:00:00 11/11/2012] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [14:00:00 11/11/2012] id: D5W 100.0ml + 600mcghr Sandostatin IV Infusions el: 1 cu: MICU-A cg: RN ai: 127 vo: 8.33333 vu: ml t0: [15:00:00 11/11/2012] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [15:00:00 11/11/2012] id: D5W 100.0ml + 600mcghr Sandostatin IV Infusions el: 1 cu: MICU-A cg: RN ai: 127 vo: 8.33333 vu: ml
t0: [08:00:00 11/11/2012] id: Sandostatin el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 50 du: mcghr sv: 100 su: ml rt: IV Drip t0: [09:00:00 11/11/2012] id: Sandostatin el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 50 du: mcghr sv: 100 su: ml rt: IV Drip t0: [10:00:00 11/11/2012] id: Sandostatin el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 50 du: mcghr sv: 100 su: ml rt: IV Drip t0: [11:00:00 11/11/2012] id: Sandostatin el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 50 du: mcghr sv: 100 su: ml rt: IV Drip t0: [13:00:00 11/11/2012] id: Sandostatin el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 50 du: mcghr sv: 100 su: ml rt: IV Drip t0: [14:00:00 11/11/2012] id: Sandostatin el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 50 du: mcghr sv: 100 su: ml rt: IV Drip t0: [15:00:00 11/11/2012] id: Sandostatin el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 50 du: mcghr sv: 100 su: ml rt: IV Drip
t0: [15:00:00 11/11/2012] id: PT el: 0 cu: MICU-A cg: 1663 v1: 15 rs: Final st: NotStopd t0: [15:00:00 11/11/2012] id: INR Coags el: 0 cu: MICU-A cg: 1663 v1: 1.5 rs: Final st: NotStopd t0: [15:00:00 11/11/2012] id: PTT Coags el: 0 cu: MICU-A cg: 1663 v1: 35.2 rs: Final st: NotStopd t0: [15:00:00 11/11/2012] id: INR (2-4 ref. range) Coags el: 0 cu: MICU-A cg: 1663 v1: 1.5 rs: Final st: NotStopd t0: [15:00:00 11/11/2012] id: PT(11-13.5) Coags el: 0 cu: MICU-A cg: 1663 v1: 15 rs: Final st: NotStopd t0: [15:00:00 11/11/2012] id: PTT(22-35) Coags el: 0 cu: MICU-A cg: 1663 v1: 35.2 rs: Final st: NotStopd
t0: [16:00:00 11/11/2012] id: Service Type el: 0 cu: MICU-A cg: CoWker v1: MICU st: NotStopd t0: [16:00:00 11/11/2012] id: Code Status el: 0 cu: MICU-A cg: CoWker v1: Full Code st: NotStopd t0: [16:00:00 11/11/2012] id: Risk for Falls el: 0 cu: MICU-A cg: CoWker v1: Yes st: NotStopd t0: [16:00:00 11/11/2012] id: Ectopy Frequency el: 0 cu: MICU-A cg: CoWker v1: None st: NotStopd t0: [16:00:00 11/11/2012] id: Ectopy Type el: 0 cu: MICU-A cg: CoWker v1: None st: NotStopd t0: [16:00:00 11/11/2012] id: Heart Rate el: 0 cu: MICU-A cg: CoWker v1: 61 u1: BPM st: NotStopd t0: [16:00:00 11/11/2012] id: Heart Rhythm el: 0 cu: MICU-A cg: CoWker v1: Normal Sinus st: NotStopd t0: [16:00:00 11/11/2012] id: Arterial BP el: 0 cu: MICU-A cg: CoWker v1: 156 u1: mmHg v2: 75 u2: mmHg st: NotStopd t0: [16:00:00 11/11/2012] id: Arterial BP Mean el: 0 cu: MICU-A cg: CoWker v1: 99 u1: mmHg st: NotStopd t0: [16:00:00 11/11/2012] id: Precautions el: 0 cu: MICU-A cg: CoWker v1: Universal st: NotStopd t0: [16:00:00 11/11/2012] id: Previous WeightF el: 0 cu: MICU-A cg: CoWker v1: 123 u1: kg st: NotStopd t0: [16:00:00 11/11/2012] id: Respiratory Rate el: 0 cu: MICU-A cg: CoWker v1: 17 u1: BPM st: NotStopd t0: [16:00:00 11/11/2012] id: SpO2 el: 0 cu: MICU-A cg: CoWker v1: 99 u1: % st: NotStopd t0: [16:00:00 11/11/2012] id: calprevflg el: 0 cu: MICU-A cg: CoWker v1: 1 u1: kg st: NotStopd
t0: [17:00:00 11/11/2012] id: Service Type el: 0 cu: MICU-A cg: CoWker v1: MICU st: NotStopd t0: [17:00:00 11/11/2012] id: Code Status el: 0 cu: MICU-A cg: CoWker v1: Full Code st: NotStopd t0: [17:00:00 11/11/2012] id: Risk for Falls el: 0 cu: MICU-A cg: CoWker v1: Yes st: NotStopd t0: [17:00:00 11/11/2012] id: Ectopy Frequency el: 0 cu: MICU-A cg: CoWker v1: None st: NotStopd t0: [17:00:00 11/11/2012] id: Ectopy Type el: 0 cu: MICU-A cg: CoWker v1: None st: NotStopd t0: [17:00:00 11/11/2012] id: Heart Rate el: 0 cu: MICU-A cg: CoWker v1: 63 u1: BPM st: NotStopd t0: [17:00:00 11/11/2012] id: Heart Rhythm el: 0 cu: MICU-A cg: CoWker v1: Normal Sinus st: NotStopd t0: [17:00:00 11/11/2012] id: Arterial BP el: 0 cu: MICU-A cg: CoWker v1: 143 u1: mmHg v2: 70 u2: mmHg st: NotStopd t0: [17:00:00 11/11/2012] id: Precautions el: 0 cu: MICU-A cg: CoWker v1: Universal st: NotStopd t0: [17:00:00 11/11/2012] id: Previous WeightF el: 0 cu: MICU-A cg: CoWker v1: 123 u1: kg st: NotStopd t0: [17:00:00 11/11/2012] id: Respiratory Rate el: 0 cu: MICU-A cg: CoWker v1: 27 u1: BPM st: NotStopd t0: [17:00:00 11/11/2012] id: SpO2 el: 0 cu: MICU-A cg: CoWker v1: 98 u1: % st: NotStopd t0: [17:00:00 11/11/2012] id: calprevflg el: 0 cu: MICU-A cg: CoWker v1: 1 u1: kg st: NotStopd
t0: [18:00:00 11/11/2012] id: Pain Present el: 0 cu: MICU-A cg: CoWker v1: No st: NotStopd t0: [18:00:00 11/11/2012] id: Service Type el: 0 cu: MICU-A cg: CoWker v1: MICU st: NotStopd t0: [18:00:00 11/11/2012] id: Code Status el: 0 cu: MICU-A cg: CoWker v1: Full Code st: NotStopd t0: [18:00:00 11/11/2012] id: Riker-SAS Scale el: 0 cu: MICU-A cg: CoWker v1: Calm/Cooperative st: NotStopd t0: [18:00:00 11/11/2012] id: Daily Wake Up el: 1 cu: MICU-A cg: CoWker v1: No/Not Sedated st: NotStopd t0: [18:00:00 11/11/2012] id: Risk for Falls el: 0 cu: MICU-A cg: CoWker v1: Yes st: NotStopd t0: [18:00:00 11/11/2012] id: Ectopy Frequency el: 0 cu: MICU-A cg: CoWker v1: None st: NotStopd t0: [18:00:00 11/11/2012] id: Ectopy Type el: 0 cu: MICU-A cg: CoWker v1: None st: NotStopd t0: [18:00:00 11/11/2012] id: Heart Rate el: 0 cu: MICU-A cg: CoWker v1: 57 u1: BPM st: NotStopd t0: [18:00:00 11/11/2012] id: Heart Rhythm el: 0 cu: MICU-A cg: CoWker v1: Normal Sinus st: NotStopd t0: [18:00:00 11/11/2012] id: Arterial BP el: 0 cu: MICU-A cg: CoWker v1: 135 u1: mmHg v2: 59 u2: mmHg st: NotStopd t0: [18:00:00 11/11/2012] id: Pain Location el: 0 cu: MICU-A cg: CoWker v1: Not Indicated st: NotStopd t0: [18:00:00 11/11/2012] id: Pain Type el: 0 cu: MICU-A cg: CoWker v1: None st: NotStopd t0: [18:00:00 11/11/2012] id: Arterial BP Mean el: 0 cu: MICU-A cg: CoWker v1: 82 u1: mmHg st: NotStopd t0: [18:00:00 11/11/2012] id: Precautions el: 0 cu: MICU-A cg: CoWker v1: Universal st: NotStopd t0: [18:00:00 11/11/2012] id: Previous WeightF el: 0 cu: MICU-A cg: CoWker v1: 123 u1: kg st: NotStopd t0: [18:00:00 11/11/2012] id: Respiratory Rate el: 0 cu: MICU-A cg: CoWker v1: 27 u1: BPM st: NotStopd t0: [18:00:00 11/11/2012] id: SpO2 el: 0 cu: MICU-A cg: CoWker v1: 97 u1: % st: NotStopd t0: [18:00:00 11/11/2012] id: Temp. Site el: 0 cu: MICU-A cg: CoWker v1: Oral st: NotStopd t0: [18:00:00 11/11/2012] id: Temperature C (calc) el: 0 cu: MICU-A cg: CoWker v1: 37.6667 u1: Deg. C st: NotStopd t0: [18:00:00 11/11/2012] id: Temperature F el: 0 cu: MICU-A cg: CoWker v1: 99.8 u1: Deg. F st: NotStopd t0: [18:00:00 11/11/2012] id: calprevflg el: 0 cu: MICU-A cg: CoWker v1: 1 u1: kg st: NotStopd t0: [18:00:00 11/11/2012] id: Fingerstick Glucose Chemistry el: 0 cu: MICU-A cg: CoWker v1: 133 rs: Manual st: NotStopd
t0: [19:00:00 11/11/2012] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [19:00:00 11/11/2012] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [19:00:00 11/11/2012] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [19:00:00 11/11/2012] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [19:00:00 11/11/2012] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [19:00:00 11/11/2012] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 65 u1: BPM st: NotStopd t0: [19:00:00 11/11/2012] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [19:00:00 11/11/2012] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 140 u1: mmHg v2: 70 u2: mmHg st: NotStopd t0: [19:00:00 11/11/2012] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 92 u1: mmHg st: NotStopd t0: [19:00:00 11/11/2012] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [19:00:00 11/11/2012] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 123 u1: kg st: NotStopd t0: [19:00:00 11/11/2012] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 21 u1: BPM st: NotStopd t0: [19:00:00 11/11/2012] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 98 u1: % st: NotStopd t0: [19:00:00 11/11/2012] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [14:00:00 11/11/2012] id: Pain Assess Method el: 0 cu: MICU-A cg: RN v1: Pt Verbalized st: NotStopd t0: [14:00:00 11/11/2012] id: PainLevel Acceptable el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [16:00:00 11/11/2012] id: Pain Present el: 0 cu: MICU-A cg: RN v1: No st: NotStopd t0: [16:00:00 11/11/2012] id: Pain Assess Method el: 0 cu: MICU-A cg: RN v1: Pt Verbalized st: NotStopd t0: [16:00:00 11/11/2012] id: PainLevel Acceptable el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [16:00:00 11/11/2012] id: Riker-SAS Scale el: 0 cu: MICU-A cg: RN v1: Calm/Cooperative st: NotStopd t0: [16:00:00 11/11/2012] id: Daily Wake Up el: 1 cu: MICU-A cg: RN v1: No/Not Sedated st: NotStopd t0: [16:00:00 11/11/2012] id: Pain Location el: 0 cu: MICU-A cg: RN v1: Not Indicated st: NotStopd t0: [16:00:00 11/11/2012] id: Pain Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [17:00:00 11/11/2012] id: GI Prophylaxis el: 0 cu: MICU-A cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [17:00:00 11/11/2012] id: Diet Type el: 0 cu: MICU-A cg: RN v1: Clear Liquid st: NotStopd t0: [17:00:00 11/11/2012] id: Eye Opening el: 0 cu: MICU-A cg: RN v1: 4 Spontaneously st: NotStopd t0: [17:00:00 11/11/2012] id: Follows Commands el: 0 cu: MICU-A cg: RN v1: Consistently st: NotStopd t0: [17:00:00 11/11/2012] id: GCS Total el: 0 cu: MICU-A cg: RN v1: 15 u1: points st: NotStopd t0: [17:00:00 11/11/2012] id: GI Intub #1/Site el: 0 cu: MICU-A cg: RN v1: Salem Sump v2: Left Nare st: NotStopd t0: [17:00:00 11/11/2012] id: INV Line#1 Type/Site el: 0 cu: MICU-A cg: RN v1: PICC line v2: Left Antecub st: NotStopd t0: [17:00:00 11/11/2012] id: INV Line#1InsertDate el: 0 cu: MICU-A cg: RN v1: 10 v2: 8 st: NotStopd t0: [17:00:00 11/11/2012] id: INV Line#1SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [17:00:00 11/11/2012] id: INV Line#2 Type/Site el: 0 cu: MICU-A cg: RN v1: A-Line v2: Left Radial st: NotStopd t0: [17:00:00 11/11/2012] id: INV Line#2InsertDate el: 0 cu: MICU-A cg: RN v1: 10 v2: 16 st: NotStopd t0: [17:00:00 11/11/2012] id: INV Line#2SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [17:00:00 11/11/2012] id: Abdominal Assessment el: 0 cu: MICU-A cg: RN v1: Other/Remarks st: NotStopd t0: [17:00:00 11/11/2012] id: INV#2 WaveformAppear el: 0 cu: MICU-A cg: RN v1: Sharp st: NotStopd t0: [17:00:00 11/11/2012] id: IV #1 Insert Date el: 0 cu: MICU-A cg: RN v1: 10 v2: 16 st: NotStopd t0: [17:00:00 11/11/2012] id: IV #1 Site/Size el: 0 cu: MICU-A cg: RN v1: Right Hand v2: 18 gauge st: NotStopd t0: [17:00:00 11/11/2012] id: IV Site Appear #1 el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [17:00:00 11/11/2012] id: Impaired Skin Site#1 el: 0 cu: MICU-A cg: RN v1: Coccyx st: NotStopd t0: [17:00:00 11/11/2012] id: LLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Diminished st: NotStopd t0: [17:00:00 11/11/2012] id: LUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Clear st: NotStopd t0: [17:00:00 11/11/2012] id: Level of Conscious el: 0 cu: MICU-A cg: RN v1: Alert st: NotStopd t0: [17:00:00 11/11/2012] id: Motor Response el: 0 cu: MICU-A cg: RN v1: 6 Obeys Commands st: NotStopd t0: [17:00:00 11/11/2012] id: Oral Cavity el: 0 cu: MICU-A cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [17:00:00 11/11/2012] id: Orientation el: 0 cu: MICU-A cg: RN v1: Oriented x 3 st: NotStopd t0: [17:00:00 11/11/2012] id: RLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Diminished st: NotStopd t0: [17:00:00 11/11/2012] id: RUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Clear st: NotStopd t0: [17:00:00 11/11/2012] id: Respiratory Pattern el: 0 cu: MICU-A cg: RN v1: Regular st: NotStopd t0: [17:00:00 11/11/2012] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [17:00:00 11/11/2012] id: Spontaneous Movement el: 0 cu: MICU-A cg: RN v1: Purposeful st: NotStopd t0: [17:00:00 11/11/2012] id: Support Systems el: 0 cu: MICU-A cg: RN v1: Spouse st: NotStopd t0: [17:00:00 11/11/2012] id: Urine Color/Appear el: 0 cu: MICU-A cg: RN v1: Light Yellow v2: Clear st: NotStopd t0: [17:00:00 11/11/2012] id: Urine Source el: 0 cu: MICU-A cg: RN v1: Indwelling Cath st: NotStopd t0: [17:00:00 11/11/2012] id: Verbal Response el: 0 cu: MICU-A cg: RN v1: 5 Oriented st: NotStopd t0: [17:00:00 11/11/2012] id: Bowel Sounds el: 0 cu: MICU-A cg: RN v1: Present st: NotStopd t0: [17:00:00 11/11/2012] id: Braden Activity el: 0 cu: MICU-A cg: RN v1: Walks Occasional st: NotStopd t0: [17:00:00 11/11/2012] id: Braden Frict/Shear el: 0 cu: MICU-A cg: RN v1: Potential Prob st: NotStopd t0: [17:00:00 11/11/2012] id: Braden Mobility el: 0 cu: MICU-A cg: RN v1: Sl. Limited st: NotStopd t0: [17:00:00 11/11/2012] id: Braden Moisture el: 0 cu: MICU-A cg: RN v1: Rarely Moist st: NotStopd t0: [17:00:00 11/11/2012] id: Braden Nutrition el: 0 cu: MICU-A cg: RN v1: Very Poor st: NotStopd t0: [17:00:00 11/11/2012] id: Braden Score el: 0 cu: MICU-A cg: RN v1: 16 u1: number st: NotStopd t0: [17:00:00 11/11/2012] id: Braden SensoryPercep el: 0 cu: MICU-A cg: RN v1: Sl. Limited st: NotStopd t0: [18:00:00 11/11/2012] id: Pain Assess Method el: 0 cu: MICU-A cg: RN v1: Pt Verbalized st: NotStopd t0: [18:00:00 11/11/2012] id: PainLevel Acceptable el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [18:00:00 11/11/2012] id: HOB el: 0 cu: MICU-A cg: RN v1: 30 degrees st: NotStopd t0: [18:00:00 11/11/2012] id: Activity el: 0 cu: MICU-A cg: RN v1: Bedrest st: NotStopd t0: [18:00:00 11/11/2012] id: Activity Tolerance el: 0 cu: MICU-A cg: RN v1: Tolerated Well st: NotStopd t0: [18:00:00 11/11/2012] id: AntiEmbDevice/Status el: 0 cu: MICU-A cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [18:00:00 11/11/2012] id: Position el: 0 cu: MICU-A cg: RN v1: Supine st: NotStopd t0: [18:00:00 11/11/2012] id: Assistance Device el: 0 cu: MICU-A cg: RN v1: 2 Person Assist st: NotStopd t0: [18:00:00 11/11/2012] id: Turn el: 0 cu: MICU-A cg: RN v1: Back st: NotStopd t0: [19:00:00 11/11/2012] id: INV Line#1 Type/Site el: 0 cu: MICU-A cg: RN v1: PICC line v2: Left Antecub st: NotStopd t0: [19:00:00 11/11/2012] id: INV Line#1InsertDate el: 0 cu: MICU-A cg: RN v1: 10 v2: 8 st: NotStopd t0: [19:00:00 11/11/2012] id: INV Line#1SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [19:00:00 11/11/2012] id: INV Line#2 Type/Site el: 0 cu: MICU-A cg: RN v1: A-Line v2: Left Radial st: NotStopd t0: [19:00:00 11/11/2012] id: INV Line#2InsertDate el: 0 cu: MICU-A cg: RN v1: 10 v2: 16 st: NotStopd t0: [19:00:00 11/11/2012] id: INV Line#2SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [19:00:00 11/11/2012] id: INV#2 WaveformAppear el: 0 cu: MICU-A cg: RN v1: Sharp st: NotStopd t0: [19:00:00 11/11/2012] id: IV #1 Insert Date el: 0 cu: MICU-A cg: RN v1: 10 v2: 16 st: NotStopd t0: [19:00:00 11/11/2012] id: IV #1 Site/Size el: 0 cu: MICU-A cg: RN v1: Right Hand v2: 18 gauge st: NotStopd t0: [19:00:00 11/11/2012] id: IV Site Appear #1 el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd
t0: [16:00:00 11/11/2012] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [16:00:00 11/11/2012] id: D5W 100.0ml + 600mcghr Sandostatin IV Infusions el: 1 cu: MICU-A cg: RN ai: 127 vo: 8.33333 vu: ml t0: [17:00:00 11/11/2012] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [17:00:00 11/11/2012] id: D5W 100.0ml + 600mcghr Sandostatin IV Infusions el: 1 cu: MICU-A cg: RN ai: 127 vo: 8.33333 vu: ml t0: [18:00:00 11/11/2012] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [18:00:00 11/11/2012] id: D5W 100.0ml + 600mcghr Sandostatin IV Infusions el: 1 cu: MICU-A cg: RN ai: 127 vo: 8.33333 vu: ml t0: [19:00:00 11/11/2012] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [19:00:00 11/11/2012] id: D5W 100.0ml + 600mcghr Sandostatin IV Infusions el: 1 cu: MICU-A cg: RN ai: 127 vo: 8.33333 vu: ml
t0: [16:00:00 11/11/2012] id: Sandostatin el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 50 du: mcghr sv: 100 su: ml rt: IV Drip t0: [17:00:00 11/11/2012] id: Sandostatin el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 50 du: mcghr sv: 100 su: ml rt: IV Drip t0: [18:00:00 11/11/2012] id: Sandostatin el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 50 du: mcghr sv: 100 su: ml rt: IV Drip t0: [19:00:00 11/11/2012] id: Sandostatin el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 50 du: mcghr sv: 100 su: ml rt: IV Drip
t0: [20:00:00 11/11/2012] id: GI Intub #1/Site el: 0 cu: MICU-A cg: -1 st: D/C'd t0: [20:00:00 11/11/2012] id: GI#1 Tube PlaceCheck el: 0 cu: MICU-A cg: -1 st: D/C'd t0: [20:00:00 11/11/2012] id: GI#1 Tube Stat/Drain el: 0 cu: MICU-A cg: -1 st: D/C'd
t0: [19:00:00 11/11/2012] id: O2 Delivery Device el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [20:00:00 11/11/2012] id: Pain Present el: 0 cu: MICU-A cg: RN v1: No st: NotStopd t0: [20:00:00 11/11/2012] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [20:00:00 11/11/2012] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [20:00:00 11/11/2012] id: Riker-SAS Scale el: 0 cu: MICU-A cg: RN v1: Calm/Cooperative st: NotStopd t0: [20:00:00 11/11/2012] id: GI Prophylaxis el: 0 cu: MICU-A cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [20:00:00 11/11/2012] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [20:00:00 11/11/2012] id: Diet Type el: 0 cu: MICU-A cg: RN v1: Clear Liquid st: NotStopd t0: [20:00:00 11/11/2012] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [20:00:00 11/11/2012] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [20:00:00 11/11/2012] id: Eye Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [20:00:00 11/11/2012] id: Eye Opening el: 0 cu: MICU-A cg: RN v1: 4 Spontaneously st: NotStopd t0: [20:00:00 11/11/2012] id: Follows Commands el: 0 cu: MICU-A cg: RN v1: Consistently st: NotStopd t0: [20:00:00 11/11/2012] id: GCS Total el: 0 cu: MICU-A cg: RN v1: 15 u1: points st: NotStopd t0: [20:00:00 11/11/2012] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 62 u1: BPM st: NotStopd t0: [20:00:00 11/11/2012] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [20:00:00 11/11/2012] id: Abdominal Assessment el: 0 cu: MICU-A cg: RN v1: Ascites st: NotStopd t0: [20:00:00 11/11/2012] id: Impaired Skin Site#1 el: 0 cu: MICU-A cg: RN v1: Coccyx st: NotStopd t0: [20:00:00 11/11/2012] id: Level of Conscious el: 0 cu: MICU-A cg: RN v1: Alert st: NotStopd t0: [20:00:00 11/11/2012] id: Motor Response el: 0 cu: MICU-A cg: RN v1: 6 Obeys Commands st: NotStopd t0: [20:00:00 11/11/2012] id: Oral Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [20:00:00 11/11/2012] id: Oral Cavity el: 0 cu: MICU-A cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [20:00:00 11/11/2012] id: Orientation el: 0 cu: MICU-A cg: RN v1: Oriented x 3 st: NotStopd t0: [20:00:00 11/11/2012] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 128 u1: mmHg v2: 59 u2: mmHg st: NotStopd t0: [20:00:00 11/11/2012] id: Pain Location el: 0 cu: MICU-A cg: RN v1: Not Indicated st: NotStopd t0: [20:00:00 11/11/2012] id: Pain Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [20:00:00 11/11/2012] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 82 u1: mmHg st: NotStopd t0: [20:00:00 11/11/2012] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [20:00:00 11/11/2012] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 123 u1: kg st: NotStopd t0: [20:00:00 11/11/2012] id: Respiratory Pattern el: 0 cu: MICU-A cg: RN v1: Regular st: NotStopd t0: [20:00:00 11/11/2012] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 27 u1: BPM st: NotStopd t0: [20:00:00 11/11/2012] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [20:00:00 11/11/2012] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 99 u1: % st: NotStopd t0: [20:00:00 11/11/2012] id: Spontaneous Movement el: 0 cu: MICU-A cg: RN v1: Purposeful st: NotStopd t0: [20:00:00 11/11/2012] id: Stool Color/Consist el: 0 cu: MICU-A cg: RN v1: Golden v2: Soft st: NotStopd t0: [20:00:00 11/11/2012] id: Stool Management el: 0 cu: MICU-A cg: RN v1: Fecal Incont Bag st: NotStopd t0: [20:00:00 11/11/2012] id: Support Systems el: 0 cu: MICU-A cg: RN v1: Spouse st: NotStopd t0: [20:00:00 11/11/2012] id: Temp. Site el: 0 cu: MICU-A cg: RN v1: Oral st: NotStopd t0: [20:00:00 11/11/2012] id: Temperature C (calc) el: 0 cu: MICU-A cg: RN v1: 37.5 u1: Deg. C st: NotStopd t0: [20:00:00 11/11/2012] id: Temperature F el: 0 cu: MICU-A cg: RN v1: 99.5 u1: Deg. F st: NotStopd t0: [20:00:00 11/11/2012] id: Urine Color/Appear el: 0 cu: MICU-A cg: RN v1: Amber v2: Cloudy st: NotStopd t0: [20:00:00 11/11/2012] id: Urine Source el: 0 cu: MICU-A cg: RN v1: Indwelling Cath st: NotStopd t0: [20:00:00 11/11/2012] id: Verbal Response el: 0 cu: MICU-A cg: RN v1: 5 Oriented st: NotStopd t0: [20:00:00 11/11/2012] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [20:00:00 11/11/2012] id: Bowel Sounds el: 0 cu: MICU-A cg: RN v1: Present st: NotStopd
t0: [20:00:00 11/11/2012] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [20:00:00 11/11/2012] id: D5W 100.0ml + 600mcghr Sandostatin IV Infusions el: 1 cu: MICU-A cg: RN ai: 127 vo: 8.33333 vu: ml
t0: [20:00:00 11/11/2012] id: Sandostatin el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 50 du: mcghr sv: 100 su: ml rt: IV Drip
t0: [21:00:00 11/11/2012] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [21:00:00 11/11/2012] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [21:00:00 11/11/2012] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [21:00:00 11/11/2012] id: Dorsal PedPulse R/L el: 0 cu: MICU-A cg: RN v1: Weak Palpable v2: Weak Palpable st: NotStopd t0: [21:00:00 11/11/2012] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [21:00:00 11/11/2012] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [21:00:00 11/11/2012] id: HOB el: 0 cu: MICU-A cg: RN v1: 15 degrees st: NotStopd t0: [21:00:00 11/11/2012] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 61 u1: BPM st: NotStopd t0: [21:00:00 11/11/2012] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [21:00:00 11/11/2012] id: Activity el: 0 cu: MICU-A cg: RN v1: Bedrest st: NotStopd t0: [21:00:00 11/11/2012] id: Activity Tolerance el: 0 cu: MICU-A cg: RN v1: Tolerated Well st: NotStopd t0: [21:00:00 11/11/2012] id: LLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Diminished st: NotStopd t0: [21:00:00 11/11/2012] id: LUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Clear st: NotStopd t0: [21:00:00 11/11/2012] id: AntiEmbDevice/Status el: 0 cu: MICU-A cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [21:00:00 11/11/2012] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 129 u1: mmHg v2: 58 u2: mmHg st: NotStopd t0: [21:00:00 11/11/2012] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 79 u1: mmHg st: NotStopd t0: [21:00:00 11/11/2012] id: Position el: 0 cu: MICU-A cg: RN v1: Supine st: NotStopd t0: [21:00:00 11/11/2012] id: Assistance Device el: 0 cu: MICU-A cg: RN v1: Independent st: NotStopd t0: [21:00:00 11/11/2012] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [21:00:00 11/11/2012] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 123 u1: kg st: NotStopd t0: [21:00:00 11/11/2012] id: RLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Diminished st: NotStopd t0: [21:00:00 11/11/2012] id: RUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Clear st: NotStopd t0: [21:00:00 11/11/2012] id: Respiratory Pattern el: 0 cu: MICU-A cg: RN v1: Regular st: NotStopd t0: [21:00:00 11/11/2012] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 25 u1: BPM st: NotStopd t0: [21:00:00 11/11/2012] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 97 u1: % st: NotStopd t0: [21:00:00 11/11/2012] id: Turn el: 0 cu: MICU-A cg: RN v1: Back st: NotStopd t0: [21:00:00 11/11/2012] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [21:00:00 11/11/2012] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [21:00:00 11/11/2012] id: D5W 100.0ml + 600mcghr Sandostatin IV Infusions el: 1 cu: MICU-A cg: RN ai: 127 vo: 8.33333 vu: ml
t0: [21:00:00 11/11/2012] id: Sandostatin el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 50 du: mcghr sv: 100 su: ml rt: IV Drip
tf: [20:00:00 13/11/2012] pt: Unit Dose rt: PO fr: HS:PRN m1: Zolpidem Tartrate v1: 5-10 u1: mg
t0: [22:00:00 11/11/2012] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [22:00:00 11/11/2012] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [22:00:00 11/11/2012] id: Riker-SAS Scale el: 0 cu: MICU-A cg: RN v1: Calm/Cooperative st: NotStopd t0: [22:00:00 11/11/2012] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [22:00:00 11/11/2012] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [22:00:00 11/11/2012] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [22:00:00 11/11/2012] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 60 u1: BPM st: NotStopd t0: [22:00:00 11/11/2012] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [22:00:00 11/11/2012] id: Level of Conscious el: 0 cu: MICU-A cg: RN v1: Sleeping st: NotStopd t0: [22:00:00 11/11/2012] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 114 u1: mmHg v2: 54 u2: mmHg st: NotStopd t0: [22:00:00 11/11/2012] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 73 u1: mmHg st: NotStopd t0: [22:00:00 11/11/2012] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [22:00:00 11/11/2012] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 123 u1: kg st: NotStopd t0: [22:00:00 11/11/2012] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 14 u1: BPM st: NotStopd t0: [22:00:00 11/11/2012] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 99 u1: % st: NotStopd t0: [22:00:00 11/11/2012] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [22:00:00 11/11/2012] id: Behavior el: 0 cu: MICU-A cg: RN v1: Sleeping st: NotStopd
t0: [22:00:00 11/11/2012] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [22:00:00 11/11/2012] id: D5W 100.0ml + 600mcghr Sandostatin IV Infusions el: 1 cu: MICU-A cg: RN ai: 127 vo: 8.33333 vu: ml
t0: [22:00:00 11/11/2012] id: Sandostatin el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 50 du: mcghr sv: 100 su: ml rt: IV Drip
t0: [23:00:00 11/11/2012] id: Pain Present el: 0 cu: MICU-A cg: RN v1: No st: NotStopd t0: [23:00:00 11/11/2012] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [23:00:00 11/11/2012] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [23:00:00 11/11/2012] id: GI Prophylaxis el: 0 cu: MICU-A cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [23:00:00 11/11/2012] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [23:00:00 11/11/2012] id: Diet Type el: 0 cu: MICU-A cg: RN v1: Clear Liquid st: NotStopd t0: [23:00:00 11/11/2012] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [23:00:00 11/11/2012] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [23:00:00 11/11/2012] id: Eye Opening el: 0 cu: MICU-A cg: RN v1: 4 Spontaneously st: NotStopd t0: [23:00:00 11/11/2012] id: GCS Total el: 0 cu: MICU-A cg: RN v1: 15 u1: points st: NotStopd t0: [23:00:00 11/11/2012] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 66 u1: BPM st: NotStopd t0: [23:00:00 11/11/2012] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [23:00:00 11/11/2012] id: INV Line#1 Type/Site el: 0 cu: MICU-A cg: RN v1: PICC line v2: Left Antecub st: NotStopd t0: [23:00:00 11/11/2012] id: INV Line#1InsertDate el: 0 cu: MICU-A cg: RN v1: 10 v2: 8 st: NotStopd t0: [23:00:00 11/11/2012] id: INV Line#1SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [23:00:00 11/11/2012] id: INV Line#2 Type/Site el: 0 cu: MICU-A cg: RN v1: A-Line v2: Left Radial st: NotStopd t0: [23:00:00 11/11/2012] id: INV Line#2 Zero/Cal el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [23:00:00 11/11/2012] id: INV Line#2InsertDate el: 0 cu: MICU-A cg: RN v1: 10 v2: 16 st: NotStopd t0: [23:00:00 11/11/2012] id: INV Line#2SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [23:00:00 11/11/2012] id: INV#2 WaveformAppear el: 0 cu: MICU-A cg: RN v1: Dampened st: NotStopd t0: [23:00:00 11/11/2012] id: IV #1 Insert Date el: 0 cu: MICU-A cg: RN v1: 10 v2: 16 st: NotStopd t0: [23:00:00 11/11/2012] id: IV #1 Site/Size el: 0 cu: MICU-A cg: RN v1: Right Hand v2: 18 gauge st: NotStopd t0: [23:00:00 11/11/2012] id: IV Site Appear #1 el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [23:00:00 11/11/2012] id: Level of Conscious el: 0 cu: MICU-A cg: RN v1: Alert st: NotStopd t0: [23:00:00 11/11/2012] id: Motor Response el: 0 cu: MICU-A cg: RN v1: 6 Obeys Commands st: NotStopd t0: [23:00:00 11/11/2012] id: O2 Delivery Device el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [23:00:00 11/11/2012] id: Oral Cavity el: 0 cu: MICU-A cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [23:00:00 11/11/2012] id: Orientation el: 0 cu: MICU-A cg: RN v1: Oriented x 3 st: NotStopd t0: [23:00:00 11/11/2012] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 112 u1: mmHg v2: 51 u2: mmHg st: NotStopd t0: [23:00:00 11/11/2012] id: Pain Location el: 0 cu: MICU-A cg: RN v1: Not Indicated st: NotStopd t0: [23:00:00 11/11/2012] id: Pain Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [23:00:00 11/11/2012] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 85 u1: mmHg st: NotStopd t0: [23:00:00 11/11/2012] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [23:00:00 11/11/2012] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 123 u1: kg st: NotStopd t0: [23:00:00 11/11/2012] id: Respiratory Pattern el: 0 cu: MICU-A cg: RN v1: Regular st: NotStopd t0: [23:00:00 11/11/2012] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 22 u1: BPM st: NotStopd t0: [23:00:00 11/11/2012] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [23:00:00 11/11/2012] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 94 u1: % st: NotStopd t0: [23:00:00 11/11/2012] id: Temp. Site el: 0 cu: MICU-A cg: RN v1: Oral st: NotStopd t0: [23:00:00 11/11/2012] id: Temperature C (calc) el: 0 cu: MICU-A cg: RN v1: 37.3889 u1: Deg. C st: NotStopd t0: [23:00:00 11/11/2012] id: Temperature F el: 0 cu: MICU-A cg: RN v1: 99.3 u1: Deg. F st: NotStopd t0: [23:00:00 11/11/2012] id: Urine Color/Appear el: 0 cu: MICU-A cg: RN v1: Amber v2: Cloudy st: NotStopd t0: [23:00:00 11/11/2012] id: Urine Source el: 0 cu: MICU-A cg: RN v1: Indwelling Cath st: NotStopd t0: [23:00:00 11/11/2012] id: Verbal Response el: 0 cu: MICU-A cg: RN v1: 5 Oriented st: NotStopd t0: [23:00:00 11/11/2012] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [23:00:00 11/11/2012] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [23:00:00 11/11/2012] id: D5W 100.0ml + 600mcghr Sandostatin IV Infusions el: 1 cu: MICU-A cg: RN ai: 127 vo: 8.33333 vu: ml
t0: [23:00:00 11/11/2012] id: Sandostatin el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 50 du: mcghr sv: 100 su: ml rt: IV Drip
t0: [00:00:00 12/11/2012] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [00:00:00 12/11/2012] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [00:00:00 12/11/2012] id: Riker-SAS Scale el: 0 cu: MICU-A cg: RN v1: Calm/Cooperative st: NotStopd t0: [00:00:00 12/11/2012] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [00:00:00 12/11/2012] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [00:00:00 12/11/2012] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [00:00:00 12/11/2012] id: HOB el: 0 cu: MICU-A cg: RN v1: 30 degrees st: NotStopd t0: [00:00:00 12/11/2012] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 60 u1: BPM st: NotStopd t0: [00:00:00 12/11/2012] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [00:00:00 12/11/2012] id: Activity el: 0 cu: MICU-A cg: RN v1: Bedrest st: NotStopd t0: [00:00:00 12/11/2012] id: Activity Tolerance el: 0 cu: MICU-A cg: RN v1: Tolerated Well st: NotStopd t0: [00:00:00 12/11/2012] id: ImpSkin Treatment #1 el: 0 cu: MICU-A cg: RN v1: Duoderm st: NotStopd t0: [00:00:00 12/11/2012] id: Impaired Skin Site#1 el: 0 cu: MICU-A cg: RN v1: Coccyx st: NotStopd t0: [00:00:00 12/11/2012] id: AntiEmbDevice/Status el: 0 cu: MICU-A cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [00:00:00 12/11/2012] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 110 u1: mmHg v2: 89 u2: mmHg st: NotStopd t0: [00:00:00 12/11/2012] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 113 u1: mmHg st: NotStopd t0: [00:00:00 12/11/2012] id: Position el: 0 cu: MICU-A cg: RN v1: Supine st: NotStopd t0: [00:00:00 12/11/2012] id: Assistance Device el: 0 cu: MICU-A cg: RN v1: Supervised st: NotStopd t0: [00:00:00 12/11/2012] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [00:00:00 12/11/2012] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 123 u1: kg st: NotStopd t0: [00:00:00 12/11/2012] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 17 u1: BPM st: NotStopd t0: [00:00:00 12/11/2012] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 99 u1: % st: NotStopd t0: [00:00:00 12/11/2012] id: Support Systems el: 0 cu: MICU-A cg: RN v1: Spouse st: NotStopd t0: [00:00:00 12/11/2012] id: Turn el: 0 cu: MICU-A cg: RN v1: Back st: NotStopd t0: [00:00:00 12/11/2012] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [00:00:00 12/11/2012] id: Behavior el: 0 cu: MICU-A cg: RN v1: Calm st: NotStopd
t0: [00:00:00 12/11/2012] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [00:00:00 12/11/2012] id: D5W 100.0ml + 600mcghr Sandostatin IV Infusions el: 1 cu: MICU-A cg: RN ai: 127 vo: 8.33333 vu: ml
t0: [00:00:00 12/11/2012] id: Sandostatin el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 50 du: mcghr sv: 100 su: ml rt: IV Drip
t0: [23:00:00 12/11/2012] dt: 24 id: PO/Gastric In Total el: 2 cu: MICU-A cg: RN cv: 240 ap: none
t0: [01:00:00 12/11/2012] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [01:00:00 12/11/2012] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [01:00:00 12/11/2012] id: GI Prophylaxis el: 0 cu: MICU-A cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [01:00:00 12/11/2012] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [01:00:00 12/11/2012] id: Diet Type el: 0 cu: MICU-A cg: RN v1: Clear Liquid st: NotStopd t0: [01:00:00 12/11/2012] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [01:00:00 12/11/2012] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [01:00:00 12/11/2012] id: Eye Opening el: 0 cu: MICU-A cg: RN v1: 4 Spontaneously st: NotStopd t0: [01:00:00 12/11/2012] id: GCS Total el: 0 cu: MICU-A cg: RN v1: 15 u1: points st: NotStopd t0: [01:00:00 12/11/2012] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 70 u1: BPM st: NotStopd t0: [01:00:00 12/11/2012] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [01:00:00 12/11/2012] id: Level of Conscious el: 0 cu: MICU-A cg: RN v1: Alert st: NotStopd t0: [01:00:00 12/11/2012] id: Motor Response el: 0 cu: MICU-A cg: RN v1: 6 Obeys Commands st: NotStopd t0: [01:00:00 12/11/2012] id: Oral Cavity el: 0 cu: MICU-A cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [01:00:00 12/11/2012] id: Orientation el: 0 cu: MICU-A cg: RN v1: Oriented x 3 st: NotStopd t0: [01:00:00 12/11/2012] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 120 u1: mmHg v2: 59 u2: mmHg st: NotStopd t0: [01:00:00 12/11/2012] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 80 u1: mmHg st: NotStopd t0: [01:00:00 12/11/2012] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [01:00:00 12/11/2012] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 123 u1: kg st: NotStopd t0: [01:00:00 12/11/2012] id: Respiratory Pattern el: 0 cu: MICU-A cg: RN v1: Regular st: NotStopd t0: [01:00:00 12/11/2012] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 34 u1: BPM st: NotStopd t0: [01:00:00 12/11/2012] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [01:00:00 12/11/2012] id: Skin Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [01:00:00 12/11/2012] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 96 u1: % st: NotStopd t0: [01:00:00 12/11/2012] id: Stool Color/Consist el: 0 cu: MICU-A cg: RN v1: Brown v2: Loose st: NotStopd t0: [01:00:00 12/11/2012] id: Stool Management el: 0 cu: MICU-A cg: RN v1: Fecal Incont Bag st: NotStopd t0: [01:00:00 12/11/2012] id: Verbal Response el: 0 cu: MICU-A cg: RN v1: 5 Oriented st: NotStopd t0: [01:00:00 12/11/2012] id: Back Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [01:00:00 12/11/2012] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [01:00:00 12/11/2012] id: Braden Activity el: 0 cu: MICU-A cg: RN v1: Chairfast st: NotStopd t0: [01:00:00 12/11/2012] id: Braden Frict/Shear el: 0 cu: MICU-A cg: RN v1: Potential Prob st: NotStopd t0: [01:00:00 12/11/2012] id: Braden Mobility el: 0 cu: MICU-A cg: RN v1: Very Limited st: NotStopd t0: [01:00:00 12/11/2012] id: Braden Moisture el: 0 cu: MICU-A cg: RN v1: Occ. Moist st: NotStopd t0: [01:00:00 12/11/2012] id: Braden Nutrition el: 0 cu: MICU-A cg: RN v1: Very Poor st: NotStopd t0: [01:00:00 12/11/2012] id: Braden Score el: 0 cu: MICU-A cg: RN v1: 13 u1: number st: NotStopd t0: [01:00:00 12/11/2012] id: Braden SensoryPercep el: 0 cu: MICU-A cg: RN v1: Sl. Limited st: NotStopd
t0: [01:00:00 12/11/2012] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [01:00:00 12/11/2012] id: D5W 100.0ml + 600mcghr Sandostatin IV Infusions el: 1 cu: MICU-A cg: RN ai: 127 vo: 8.33333 vu: ml
t0: [01:00:00 12/11/2012] id: Sandostatin el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 50 du: mcghr sv: 100 su: ml rt: IV Drip
t0: [23:00:00 12/11/2012] dt: 24 id: Stool Out Total el: 2 cu: MICU-A cg: RN cv: 300 ap: none
t0: [02:00:00 12/11/2012] id: Pain Present el: 0 cu: MICU-A cg: RN v1: No st: NotStopd t0: [02:00:00 12/11/2012] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [02:00:00 12/11/2012] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [02:00:00 12/11/2012] id: Riker-SAS Scale el: 0 cu: MICU-A cg: RN v1: Calm/Cooperative st: NotStopd t0: [02:00:00 12/11/2012] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [02:00:00 12/11/2012] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [02:00:00 12/11/2012] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [02:00:00 12/11/2012] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 65 u1: BPM st: NotStopd t0: [02:00:00 12/11/2012] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [02:00:00 12/11/2012] id: Pain Location el: 0 cu: MICU-A cg: RN v1: Not Indicated st: NotStopd t0: [02:00:00 12/11/2012] id: Pain Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [02:00:00 12/11/2012] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 65 u1: mmHg st: NotStopd t0: [02:00:00 12/11/2012] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [02:00:00 12/11/2012] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 123 u1: kg st: NotStopd t0: [02:00:00 12/11/2012] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 15 u1: BPM st: NotStopd t0: [02:00:00 12/11/2012] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 94 u1: % st: NotStopd t0: [02:00:00 12/11/2012] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [02:00:00 12/11/2012] id: Behavior el: 0 cu: MICU-A cg: RN v1: Sleeping st: NotStopd
t0: [02:00:00 12/11/2012] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [02:00:00 12/11/2012] id: D5W 100.0ml + 600mcghr Sandostatin IV Infusions el: 1 cu: MICU-A cg: RN ai: 127 vo: 8.33333 vu: ml
t0: [02:00:00 12/11/2012] id: Sandostatin el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 50 du: mcghr sv: 100 su: ml rt: IV Drip
t0: [03:00:00 12/11/2012] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [03:00:00 12/11/2012] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [03:00:00 12/11/2012] id: GI Prophylaxis el: 0 cu: MICU-A cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [03:00:00 12/11/2012] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [03:00:00 12/11/2012] id: Diet Type el: 0 cu: MICU-A cg: RN v1: Clear Liquid st: NotStopd t0: [03:00:00 12/11/2012] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [03:00:00 12/11/2012] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [03:00:00 12/11/2012] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 65 u1: BPM st: NotStopd t0: [03:00:00 12/11/2012] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [03:00:00 12/11/2012] id: INV Line#1 Type/Site el: 0 cu: MICU-A cg: RN v1: PICC line v2: Left Antecub st: NotStopd t0: [03:00:00 12/11/2012] id: INV Line#1InsertDate el: 0 cu: MICU-A cg: RN v1: 10 v2: 8 st: NotStopd t0: [03:00:00 12/11/2012] id: INV Line#1SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [03:00:00 12/11/2012] id: INV Line#2 Type/Site el: 0 cu: MICU-A cg: RN v1: A-Line v2: Left Radial st: NotStopd t0: [03:00:00 12/11/2012] id: INV Line#2 Zero/Cal el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [03:00:00 12/11/2012] id: INV Line#2InsertDate el: 0 cu: MICU-A cg: RN v1: 10 v2: 16 st: NotStopd t0: [03:00:00 12/11/2012] id: INV Line#2SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [03:00:00 12/11/2012] id: INV#2 WaveformAppear el: 0 cu: MICU-A cg: RN v1: Dampened st: NotStopd t0: [03:00:00 12/11/2012] id: IV #1 Insert Date el: 0 cu: MICU-A cg: RN v1: 10 v2: 16 st: NotStopd t0: [03:00:00 12/11/2012] id: IV #1 Site/Size el: 0 cu: MICU-A cg: RN v1: Right Hand v2: 18 gauge st: NotStopd t0: [03:00:00 12/11/2012] id: IV Site Appear #1 el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [03:00:00 12/11/2012] id: Level of Conscious el: 0 cu: MICU-A cg: RN v1: Sleeping st: NotStopd t0: [03:00:00 12/11/2012] id: O2 Delivery Device el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [03:00:00 12/11/2012] id: Oral Cavity el: 0 cu: MICU-A cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [03:00:00 12/11/2012] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [03:00:00 12/11/2012] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 123 u1: kg st: NotStopd t0: [03:00:00 12/11/2012] id: Respiratory Pattern el: 0 cu: MICU-A cg: RN v1: Regular st: NotStopd t0: [03:00:00 12/11/2012] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 13 u1: BPM st: NotStopd t0: [03:00:00 12/11/2012] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [03:00:00 12/11/2012] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 94 u1: % st: NotStopd t0: [03:00:00 12/11/2012] id: Urine Color/Appear el: 0 cu: MICU-A cg: RN v1: Amber v2: Cloudy st: NotStopd t0: [03:00:00 12/11/2012] id: Urine Source el: 0 cu: MICU-A cg: RN v1: Indwelling Cath st: NotStopd t0: [03:00:00 12/11/2012] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [03:00:00 12/11/2012] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [03:00:00 12/11/2012] id: D5W 100.0ml + 600mcghr Sandostatin IV Infusions el: 1 cu: MICU-A cg: RN ai: 127 vo: 8.33333 vu: ml
t0: [03:00:00 12/11/2012] id: Sandostatin el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 50 du: mcghr sv: 100 su: ml rt: IV Drip
t0: [03:00:00 12/11/2012] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 120 u1: mmHg v2: 70 u2: mmHg st: NotStopd t0: [03:00:00 12/11/2012] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 94 u1: mmHg st: NotStopd t0: [03:00:00 12/11/2012] id: Fingerstick Glucose Chemistry el: 0 cu: MICU-A cg: RN v1: 111 rs: Manual st: NotStopd
t0: [02:49:00 12/11/2012] id: Art.pH ABG el: 0 cu: MICU-A cg: 1663 v1: 7.39 rs: Final st: NotStopd t0: [02:49:00 12/11/2012] id: Arterial Base Excess ABG el: 0 cu: MICU-A cg: 1663 v1: -3 rs: Final st: NotStopd t0: [02:49:00 12/11/2012] id: Arterial CO2(Calc) ABG el: 0 cu: MICU-A cg: 1663 v1: 21 rs: Final st: NotStopd t0: [02:49:00 12/11/2012] id: Arterial PaCO2 ABG el: 0 cu: MICU-A cg: 1663 v1: 33 u1: mmHg rs: Final st: NotStopd t0: [02:49:00 12/11/2012] id: Arterial PaO2 ABG el: 0 cu: MICU-A cg: 1663 v1: 77 u1: mmHg rs: Final st: NotStopd t0: [02:49:00 12/11/2012] id: Arterial pH ABG el: 0 cu: MICU-A cg: 1663 v1: 7.39 rs: Final st: NotStopd
t0: [02:49:00 12/11/2012] id: CaO2 el: 0 cu: MICU-A cg: 1663 v1: 14.0032 u1: ml/dl st: NotStopd t0: [02:49:00 12/11/2012] id: SaO2 ABG's el: 0 cu: MICU-A cg: 1663 v1: 96 u1: % rs: Final st: NotStopd
t0: [02:55:00 12/11/2012] id: PT el: 0 cu: MICU-A cg: 1663 v1: 15.3 rs: Final st: NotStopd t0: [02:55:00 12/11/2012] id: INR Coags el: 0 cu: MICU-A cg: 1663 v1: 1.5 rs: Final st: NotStopd t0: [02:55:00 12/11/2012] id: PTT Coags el: 0 cu: MICU-A cg: 1663 v1: 35.6 rs: Final st: NotStopd t0: [02:55:00 12/11/2012] id: INR (2-4 ref. range) Coags el: 0 cu: MICU-A cg: 1663 v1: 1.5 rs: Final st: NotStopd t0: [02:55:00 12/11/2012] id: PT(11-13.5) Coags el: 0 cu: MICU-A cg: 1663 v1: 15.3 rs: Final st: NotStopd t0: [02:55:00 12/11/2012] id: PTT(22-35) Coags el: 0 cu: MICU-A cg: 1663 v1: 35.6 rs: Final st: NotStopd
t0: [02:55:00 12/11/2012] id: BUN el: 0 cu: MICU-A cg: 1663 v1: 13 rs: Final st: NotStopd t0: [02:55:00 12/11/2012] id: Calcium Chemistry el: 0 cu: MICU-A cg: 1663 v1: 8.5 u1: mg/dl rs: Final st: NotStopd t0: [02:55:00 12/11/2012] id: Chloride Chemistry el: 0 cu: MICU-A cg: 1663 v1: 109 rs: Final st: NotStopd t0: [02:55:00 12/11/2012] id: Creatinine Chemistry el: 0 cu: MICU-A cg: 1663 v1: 1.5 rs: Final st: NotStopd t0: [02:55:00 12/11/2012] id: Magnesium Chemistry el: 0 cu: MICU-A cg: 1663 v1: 1.5 rs: Final st: NotStopd t0: [02:55:00 12/11/2012] id: Phosphorous Chemistry el: 0 cu: MICU-A cg: 1663 v1: 4.2 u1: mEq/L rs: Final st: NotStopd t0: [02:55:00 12/11/2012] id: Potassium Chemistry el: 0 cu: MICU-A cg: 1663 v1: 3.3 rs: Final st: NotStopd t0: [02:55:00 12/11/2012] id: Sodium Chemistry el: 0 cu: MICU-A cg: 1663 v1: 139 rs: Final st: NotStopd t0: [02:55:00 12/11/2012] id: BUN (6-20) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 13 rs: Final st: NotStopd t0: [02:55:00 12/11/2012] id: Calcium (8.4-10.2) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 8.5 u1: mg/dl rs: Final st: NotStopd t0: [02:55:00 12/11/2012] id: Carbon Dioxide Chemistry el: 0 cu: MICU-A cg: 1663 v1: 19 rs: Final st: NotStopd t0: [02:55:00 12/11/2012] id: Chloride (100-112) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 109 rs: Final st: NotStopd t0: [02:55:00 12/11/2012] id: Creatinine (0-1.3) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 1.5 rs: Final st: NotStopd t0: [02:55:00 12/11/2012] id: Magnesium (1.6-2.6) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 1.5 rs: Final st: NotStopd t0: [02:55:00 12/11/2012] id: Phosphorous(2.7-4.5) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 4.2 u1: mEq/L rs: Final st: NotStopd t0: [02:55:00 12/11/2012] id: Potassium (3.5-5.3) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 3.3 rs: Final st: NotStopd t0: [02:55:00 12/11/2012] id: Sodium (135-148) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 139 rs: Final st: NotStopd
t0: [02:55:00 12/11/2012] id: Glucose Chemistry el: 0 cu: MICU-A cg: 1663 v1: 113 rs: Final st: NotStopd t0: [02:55:00 12/11/2012] id: Glucose (70-105) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 113 rs: Final st: NotStopd
t0: [02:55:00 12/11/2012] id: WBC (4-11,000) Hematology el: 0 cu: MICU-A cg: 1663 v1: 7.1 rs: Final st: NotStopd t0: [02:55:00 12/11/2012] id: WBC Hematology el: 0 cu: MICU-A cg: 1663 v1: 7.1 rs: Final st: NotStopd t0: [02:55:00 12/11/2012] id: Hematocrit Hematology el: 0 cu: MICU-A cg: 1663 v1: 30.9 u1: % rs: Final st: NotStopd t0: [02:55:00 12/11/2012] id: Hemoglobin Hematology el: 0 cu: MICU-A cg: 1663 v1: 10.6 u1: gm/dl rs: Final st: NotStopd t0: [02:55:00 12/11/2012] id: Platelets Hematology el: 0 cu: MICU-A cg: 1663 v1: 122 rs: Final st: NotStopd t0: [02:55:00 12/11/2012] id: RBC Hematology el: 0 cu: MICU-A cg: 1663 v1: 3.34 u1: /mic l rs: Final st: NotStopd t0: [02:55:00 12/11/2012] id: WBC (4-11,000) Hematology el: 0 cu: MICU-A cg: 1663 v1: 7.1 rs: Final st: NotStopd
t0: [04:00:00 12/11/2012] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [04:00:00 12/11/2012] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [04:00:00 12/11/2012] id: Riker-SAS Scale el: 0 cu: MICU-A cg: RN v1: Calm/Cooperative st: NotStopd t0: [04:00:00 12/11/2012] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [04:00:00 12/11/2012] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [04:00:00 12/11/2012] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [04:00:00 12/11/2012] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 71 u1: BPM st: NotStopd t0: [04:00:00 12/11/2012] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [04:00:00 12/11/2012] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 116 u1: mmHg v2: 59 u2: mmHg st: NotStopd t0: [04:00:00 12/11/2012] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 87 u1: mmHg st: NotStopd t0: [04:00:00 12/11/2012] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [04:00:00 12/11/2012] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 123 u1: kg st: NotStopd t0: [04:00:00 12/11/2012] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 19 u1: BPM st: NotStopd t0: [04:00:00 12/11/2012] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 96 u1: % st: NotStopd t0: [04:00:00 12/11/2012] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [04:00:00 12/11/2012] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [04:00:00 12/11/2012] id: D5W 100.0ml + 600mcghr Sandostatin IV Infusions el: 1 cu: MICU-A cg: RN ai: 127 vo: 8.33333 vu: ml
t0: [04:00:00 12/11/2012] id: Sandostatin el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 50 du: mcghr sv: 100 su: ml rt: IV Drip
t0: [04:00:00 12/11/2012] id: Pain Present el: 0 cu: MICU-A cg: RN v1: No st: NotStopd t0: [04:00:00 12/11/2012] id: Eye Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [04:00:00 12/11/2012] id: Eye Opening el: 0 cu: MICU-A cg: RN v1: 4 Spontaneously st: NotStopd t0: [04:00:00 12/11/2012] id: Follows Commands el: 0 cu: MICU-A cg: RN v1: Consistently st: NotStopd t0: [04:00:00 12/11/2012] id: GCS Total el: 0 cu: MICU-A cg: RN v1: 15 u1: points st: NotStopd t0: [04:00:00 12/11/2012] id: HOB el: 0 cu: MICU-A cg: RN v1: 45 degrees st: NotStopd t0: [04:00:00 12/11/2012] id: Activity el: 0 cu: MICU-A cg: RN v1: Bedrest st: NotStopd t0: [04:00:00 12/11/2012] id: Activity Tolerance el: 0 cu: MICU-A cg: RN v1: Tolerated Well st: NotStopd t0: [04:00:00 12/11/2012] id: Level of Conscious el: 0 cu: MICU-A cg: RN v1: Alert st: NotStopd t0: [04:00:00 12/11/2012] id: Motor Response el: 0 cu: MICU-A cg: RN v1: 6 Obeys Commands st: NotStopd t0: [04:00:00 12/11/2012] id: Oral Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [04:00:00 12/11/2012] id: Orientation el: 0 cu: MICU-A cg: RN v1: Oriented x 3 st: NotStopd t0: [04:00:00 12/11/2012] id: AntiEmbDevice/Status el: 0 cu: MICU-A cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [04:00:00 12/11/2012] id: Pain Location el: 0 cu: MICU-A cg: RN v1: Not Indicated st: NotStopd t0: [04:00:00 12/11/2012] id: Pain Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [04:00:00 12/11/2012] id: Position el: 0 cu: MICU-A cg: RN v1: Supine st: NotStopd t0: [04:00:00 12/11/2012] id: Assistance Device el: 0 cu: MICU-A cg: RN v1: 2 Person Assist st: NotStopd t0: [04:00:00 12/11/2012] id: Skin Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [04:00:00 12/11/2012] id: Spontaneous Movement el: 0 cu: MICU-A cg: RN v1: Purposeful st: NotStopd t0: [04:00:00 12/11/2012] id: Temp. Site el: 0 cu: MICU-A cg: RN v1: Oral st: NotStopd t0: [04:00:00 12/11/2012] id: Temperature C (calc) el: 0 cu: MICU-A cg: RN v1: 37.2778 u1: Deg. C st: NotStopd t0: [04:00:00 12/11/2012] id: Temperature F el: 0 cu: MICU-A cg: RN v1: 99.1 u1: Deg. F st: NotStopd t0: [04:00:00 12/11/2012] id: Turn el: 0 cu: MICU-A cg: RN v1: Side to Side st: NotStopd t0: [04:00:00 12/11/2012] id: Verbal Response el: 0 cu: MICU-A cg: RN v1: 5 Oriented st: NotStopd t0: [04:00:00 12/11/2012] id: Back Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [04:00:00 12/11/2012] id: Behavior el: 0 cu: MICU-A cg: RN v1: Calm st: NotStopd
t0: [01:00:00 12/11/2012] id: Stool Guaiac el: 0 cu: MICU-A cg: RN v1: Negative st: NotStopd t0: [04:00:00 12/11/2012] id: Abdominal Assessment el: 0 cu: MICU-A cg: RN v1: Ascites st: NotStopd t0: [04:00:00 12/11/2012] id: LLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Diminished st: NotStopd t0: [04:00:00 12/11/2012] id: LUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Clear st: NotStopd t0: [04:00:00 12/11/2012] id: RLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Diminished st: NotStopd t0: [04:00:00 12/11/2012] id: RUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Clear st: NotStopd t0: [04:00:00 12/11/2012] id: Respiratory Pattern el: 0 cu: MICU-A cg: RN v1: Regular st: NotStopd t0: [04:00:00 12/11/2012] id: Bowel Sounds el: 0 cu: MICU-A cg: RN v1: Present st: NotStopd t0: [05:00:00 12/11/2012] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [05:00:00 12/11/2012] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [05:00:00 12/11/2012] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [05:00:00 12/11/2012] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [05:00:00 12/11/2012] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [05:00:00 12/11/2012] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 71 u1: BPM st: NotStopd t0: [05:00:00 12/11/2012] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [05:00:00 12/11/2012] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 123 u1: mmHg v2: 62 u2: mmHg st: NotStopd t0: [05:00:00 12/11/2012] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 176 u1: mmHg st: NotStopd t0: [05:00:00 12/11/2012] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [05:00:00 12/11/2012] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 123 u1: kg st: NotStopd t0: [05:00:00 12/11/2012] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 27 u1: BPM st: NotStopd t0: [05:00:00 12/11/2012] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [05:00:00 12/11/2012] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 98 u1: % st: NotStopd t0: [05:00:00 12/11/2012] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [05:00:00 12/11/2012] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [05:00:00 12/11/2012] id: D5W 100.0ml + 600mcghr Sandostatin IV Infusions el: 1 cu: MICU-A cg: RN ai: 127 vo: 8.33333 vu: ml
t0: [05:00:00 12/11/2012] id: Sandostatin el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 50 du: mcghr sv: 100 su: ml rt: IV Drip
t0: [06:00:00 12/11/2012] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [06:00:00 12/11/2012] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [06:00:00 12/11/2012] id: Riker-SAS Scale el: 0 cu: MICU-A cg: RN v1: Calm/Cooperative st: NotStopd t0: [06:00:00 12/11/2012] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [06:00:00 12/11/2012] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [06:00:00 12/11/2012] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [06:00:00 12/11/2012] id: Eye Opening el: 0 cu: MICU-A cg: RN v1: 4 Spontaneously st: NotStopd t0: [06:00:00 12/11/2012] id: GCS Total el: 0 cu: MICU-A cg: RN v1: 15 u1: points st: NotStopd t0: [06:00:00 12/11/2012] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 69 u1: BPM st: NotStopd t0: [06:00:00 12/11/2012] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [06:00:00 12/11/2012] id: Level of Conscious el: 0 cu: MICU-A cg: RN v1: Alert st: NotStopd t0: [06:00:00 12/11/2012] id: Motor Response el: 0 cu: MICU-A cg: RN v1: 6 Obeys Commands st: NotStopd t0: [06:00:00 12/11/2012] id: Orientation el: 0 cu: MICU-A cg: RN v1: Oriented x 3 st: NotStopd t0: [06:00:00 12/11/2012] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 124 u1: mmHg v2: 55 u2: mmHg st: NotStopd t0: [06:00:00 12/11/2012] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 78 u1: mmHg st: NotStopd t0: [06:00:00 12/11/2012] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [06:00:00 12/11/2012] id: Respiratory Pattern el: 0 cu: MICU-A cg: RN v1: Regular st: NotStopd t0: [06:00:00 12/11/2012] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 28 u1: BPM st: NotStopd t0: [06:00:00 12/11/2012] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 97 u1: % st: NotStopd t0: [06:00:00 12/11/2012] id: Verbal Response el: 0 cu: MICU-A cg: RN v1: 5 Oriented st: NotStopd t0: [06:00:00 12/11/2012] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [06:00:00 12/11/2012] id: Behavior el: 0 cu: MICU-A cg: RN v1: Calm st: NotStopd
t0: [06:00:00 12/11/2012] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [06:00:00 12/11/2012] id: D5W 100.0ml + 600mcghr Sandostatin IV Infusions el: 1 cu: MICU-A cg: RN ai: 127 vo: 8.33333 vu: ml
t0: [06:00:00 12/11/2012] id: Sandostatin el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 50 du: mcghr sv: 100 su: ml rt: IV Drip
t0: [07:00:00 12/11/2012] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [07:00:00 12/11/2012] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [07:00:00 12/11/2012] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [07:00:00 12/11/2012] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [07:00:00 12/11/2012] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [07:00:00 12/11/2012] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 72 u1: BPM st: NotStopd t0: [07:00:00 12/11/2012] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [07:00:00 12/11/2012] id: INV Line#1 Type/Site el: 0 cu: MICU-A cg: RN v1: PICC line v2: Left Antecub st: NotStopd t0: [07:00:00 12/11/2012] id: INV Line#1InsertDate el: 0 cu: MICU-A cg: RN v1: 10 v2: 8 st: NotStopd t0: [07:00:00 12/11/2012] id: INV Line#1SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [07:00:00 12/11/2012] id: INV Line#2 Type/Site el: 0 cu: MICU-A cg: RN v1: A-Line v2: Left Radial st: NotStopd t0: [07:00:00 12/11/2012] id: INV Line#2 Zero/Cal el: 0 cu: MICU-A cg: RN v1: No st: NotStopd t0: [07:00:00 12/11/2012] id: INV Line#2InsertDate el: 0 cu: MICU-A cg: RN v1: 10 v2: 16 st: NotStopd t0: [07:00:00 12/11/2012] id: INV Line#2SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [07:00:00 12/11/2012] id: INV#2 WaveformAppear el: 0 cu: MICU-A cg: RN v1: Dampened st: NotStopd t0: [07:00:00 12/11/2012] id: IV #1 Insert Date el: 0 cu: MICU-A cg: RN v1: 10 v2: 16 st: NotStopd t0: [07:00:00 12/11/2012] id: IV #1 Site/Size el: 0 cu: MICU-A cg: RN v1: Right Hand v2: 18 gauge st: NotStopd t0: [07:00:00 12/11/2012] id: Activity el: 0 cu: MICU-A cg: RN v1: Chair st: NotStopd t0: [07:00:00 12/11/2012] id: IV Site Appear #1 el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [07:00:00 12/11/2012] id: Activity Tolerance el: 0 cu: MICU-A cg: RN v1: Good st: NotStopd t0: [07:00:00 12/11/2012] id: O2 Delivery Device el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [07:00:00 12/11/2012] id: AntiEmbDevice/Status el: 0 cu: MICU-A cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [07:00:00 12/11/2012] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 153 u1: mmHg v2: 82 u2: mmHg st: NotStopd t0: [07:00:00 12/11/2012] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 105 u1: mmHg st: NotStopd t0: [07:00:00 12/11/2012] id: Assistance Device el: 0 cu: MICU-A cg: RN v1: 2 Person Assist st: NotStopd t0: [07:00:00 12/11/2012] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [07:00:00 12/11/2012] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 21 u1: BPM st: NotStopd t0: [07:00:00 12/11/2012] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 98 u1: % st: NotStopd t0: [07:00:00 12/11/2012] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [07:00:00 12/11/2012] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [07:00:00 12/11/2012] id: D5W 100.0ml + 600mcghr Sandostatin IV Infusions el: 1 cu: MICU-A cg: RN ai: 127 vo: 8.33333 vu: ml
t0: [07:00:00 12/11/2012] id: Sandostatin el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 50 du: mcghr sv: 100 su: ml rt: IV Drip
tf: [06:00:00 13/11/2012] pt: Unit Dose rt: IV fr: ONCE fs: 7 dn: 1 m1: Magnesium Sulfate v1: 2 u1: gm
t0: [08:00:00 12/11/2012] id: Pain Present el: 0 cu: MICU-A cg: RN v1: No st: NotStopd t0: [08:00:00 12/11/2012] id: Pain Assess Method el: 0 cu: MICU-A cg: RN v1: Non-verbal cues st: NotStopd t0: [08:00:00 12/11/2012] id: PainLevel Acceptable el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [08:00:00 12/11/2012] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [08:00:00 12/11/2012] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [08:00:00 12/11/2012] id: Riker-SAS Scale el: 0 cu: MICU-A cg: RN v1: Calm/Cooperative st: NotStopd t0: [08:00:00 12/11/2012] id: GI Prophylaxis el: 0 cu: MICU-A cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [08:00:00 12/11/2012] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [08:00:00 12/11/2012] id: Diet Type el: 0 cu: MICU-A cg: RN v1: Clear Liquid st: NotStopd t0: [08:00:00 12/11/2012] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [08:00:00 12/11/2012] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [08:00:00 12/11/2012] id: Eye Opening el: 0 cu: MICU-A cg: RN v1: 4 Spontaneously st: NotStopd t0: [08:00:00 12/11/2012] id: Follows Commands el: 0 cu: MICU-A cg: RN v1: Consistently st: NotStopd t0: [08:00:00 12/11/2012] id: GCS Total el: 0 cu: MICU-A cg: RN v1: 15 u1: points st: NotStopd t0: [08:00:00 12/11/2012] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 67 u1: BPM st: NotStopd t0: [08:00:00 12/11/2012] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [08:00:00 12/11/2012] id: Abdominal Assessment el: 0 cu: MICU-A cg: RN v1: Ascites st: NotStopd t0: [08:00:00 12/11/2012] id: LUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Clear st: NotStopd t0: [08:00:00 12/11/2012] id: Level of Conscious el: 0 cu: MICU-A cg: RN v1: Alert st: NotStopd t0: [08:00:00 12/11/2012] id: Motor Response el: 0 cu: MICU-A cg: RN v1: 6 Obeys Commands st: NotStopd t0: [08:00:00 12/11/2012] id: Oral Cavity el: 0 cu: MICU-A cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [08:00:00 12/11/2012] id: Orientation el: 0 cu: MICU-A cg: RN v1: Oriented x 3 st: NotStopd t0: [08:00:00 12/11/2012] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 138 u1: mmHg v2: 70 u2: mmHg st: NotStopd t0: [08:00:00 12/11/2012] id: Pain Location el: 0 cu: MICU-A cg: RN v1: Not Indicated st: NotStopd t0: [08:00:00 12/11/2012] id: Pain Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [08:00:00 12/11/2012] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 206 u1: mmHg st: NotStopd t0: [08:00:00 12/11/2012] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [08:00:00 12/11/2012] id: RUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Clear st: NotStopd t0: [08:00:00 12/11/2012] id: Respiratory Pattern el: 0 cu: MICU-A cg: RN v1: Regular st: NotStopd t0: [08:00:00 12/11/2012] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 18 u1: BPM st: NotStopd t0: [08:00:00 12/11/2012] id: Spontaneous Movement el: 0 cu: MICU-A cg: RN v1: Purposeful st: NotStopd t0: [08:00:00 12/11/2012] id: Temp. Site el: 0 cu: MICU-A cg: RN v1: Oral st: NotStopd t0: [08:00:00 12/11/2012] id: Temperature C (calc) el: 0 cu: MICU-A cg: RN v1: 37.0556 u1: Deg. C st: NotStopd t0: [08:00:00 12/11/2012] id: Temperature F el: 0 cu: MICU-A cg: RN v1: 98.7 u1: Deg. F st: NotStopd t0: [08:00:00 12/11/2012] id: Urine Color/Appear el: 0 cu: MICU-A cg: RN v1: Amber v2: Cloudy st: NotStopd t0: [08:00:00 12/11/2012] id: Urine Source el: 0 cu: MICU-A cg: RN v1: Indwelling Cath st: NotStopd t0: [08:00:00 12/11/2012] id: Verbal Response el: 0 cu: MICU-A cg: RN v1: 5 Oriented st: NotStopd t0: [08:00:00 12/11/2012] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [08:00:00 12/11/2012] id: Bowel Sounds el: 0 cu: MICU-A cg: RN v1: Present st: NotStopd
t0: [08:00:00 12/11/2012] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [08:00:00 12/11/2012] id: D5W 100.0ml + 600mcghr Sandostatin IV Infusions el: 1 cu: MICU-A cg: RN ai: 127 vo: 8.33333 vu: ml
t0: [08:00:00 12/11/2012] id: Sandostatin el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 50 du: mcghr sv: 100 su: ml rt: IV Drip
t0: [08:00:00 12/11/2012] id: INV Line#1 Type/Site el: 0 cu: MICU-A cg: RN v1: PICC line v2: Left Antecub st: NotStopd t0: [08:00:00 12/11/2012] id: INV Line#1InsertDate el: 0 cu: MICU-A cg: RN v1: 10 v2: 8 st: NotStopd t0: [08:00:00 12/11/2012] id: INV Line#1SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [08:00:00 12/11/2012] id: INV Line#2 Type/Site el: 0 cu: MICU-A cg: RN v1: A-Line v2: Left Radial st: NotStopd t0: [08:00:00 12/11/2012] id: INV Line#2 Zero/Cal el: 0 cu: MICU-A cg: RN v1: No st: NotStopd t0: [08:00:00 12/11/2012] id: INV Line#2InsertDate el: 0 cu: MICU-A cg: RN v1: 10 v2: 16 st: NotStopd t0: [08:00:00 12/11/2012] id: INV Line#2SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [08:00:00 12/11/2012] id: INV#2 WaveformAppear el: 0 cu: MICU-A cg: RN v1: Sharp st: NotStopd t0: [08:00:00 12/11/2012] id: IV #1 Insert Date el: 0 cu: MICU-A cg: RN v1: 10 v2: 16 st: NotStopd t0: [08:00:00 12/11/2012] id: IV #1 Site/Size el: 0 cu: MICU-A cg: RN v1: Right Hand v2: 18 gauge st: NotStopd t0: [08:00:00 12/11/2012] id: Activity el: 0 cu: MICU-A cg: RN v1: Chair st: NotStopd t0: [08:00:00 12/11/2012] id: IV Site Appear #1 el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [08:00:00 12/11/2012] id: Activity Tolerance el: 0 cu: MICU-A cg: RN v1: Tolerated Well st: NotStopd t0: [08:00:00 12/11/2012] id: Impaired Skin Site#1 el: 0 cu: MICU-A cg: RN v1: Coccyx st: NotStopd t0: [08:00:00 12/11/2012] id: AntiEmbDevice/Status el: 0 cu: MICU-A cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [08:00:00 12/11/2012] id: Position el: 0 cu: MICU-A cg: RN v1: Supine st: NotStopd t0: [08:00:00 12/11/2012] id: Assistance Device el: 0 cu: MICU-A cg: RN v1: Independent st: NotStopd t0: [08:00:00 12/11/2012] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [08:00:00 12/11/2012] id: Stool Color/Consist el: 0 cu: MICU-A cg: RN v1: Maroon v2: Liquid st: NotStopd t0: [08:00:00 12/11/2012] id: Stool Management el: 0 cu: MICU-A cg: RN v1: Rectal Tube st: NotStopd t0: [08:00:00 12/11/2012] id: Support Systems el: 0 cu: MICU-A cg: RN v1: Spouse st: NotStopd t0: [08:00:00 12/11/2012] id: Braden Activity el: 0 cu: MICU-A cg: RN v1: Chairfast st: NotStopd t0: [08:00:00 12/11/2012] id: Braden Frict/Shear el: 0 cu: MICU-A cg: RN v1: Potential Prob st: NotStopd t0: [08:00:00 12/11/2012] id: Braden Mobility el: 0 cu: MICU-A cg: RN v1: Very Limited st: NotStopd t0: [08:00:00 12/11/2012] id: Braden Moisture el: 0 cu: MICU-A cg: RN v1: Rarely Moist st: NotStopd t0: [08:00:00 12/11/2012] id: Braden Nutrition el: 0 cu: MICU-A cg: RN v1: Very Poor st: NotStopd t0: [08:00:00 12/11/2012] id: Braden Score el: 0 cu: MICU-A cg: RN v1: 14 u1: number st: NotStopd t0: [08:00:00 12/11/2012] id: Braden SensoryPercep el: 0 cu: MICU-A cg: RN v1: Sl. Limited st: NotStopd t0: [09:00:00 12/11/2012] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [09:00:00 12/11/2012] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [09:00:00 12/11/2012] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [09:00:00 12/11/2012] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [09:00:00 12/11/2012] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [09:00:00 12/11/2012] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 63 u1: BPM st: NotStopd t0: [09:00:00 12/11/2012] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [09:00:00 12/11/2012] id: Activity el: 0 cu: MICU-A cg: RN v1: Bedrest st: NotStopd t0: [09:00:00 12/11/2012] id: Activity Tolerance el: 0 cu: MICU-A cg: RN v1: Tolerated Well st: NotStopd t0: [09:00:00 12/11/2012] id: AntiEmbDevice/Status el: 0 cu: MICU-A cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [09:00:00 12/11/2012] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 167 u1: mmHg v2: 101 u2: mmHg st: NotStopd t0: [09:00:00 12/11/2012] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 118 u1: mmHg st: NotStopd t0: [09:00:00 12/11/2012] id: Position el: 0 cu: MICU-A cg: RN v1: Supine st: NotStopd t0: [09:00:00 12/11/2012] id: Assistance Device el: 0 cu: MICU-A cg: RN v1: 2 Person Assist st: NotStopd t0: [09:00:00 12/11/2012] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [09:00:00 12/11/2012] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 19 u1: BPM st: NotStopd t0: [09:00:00 12/11/2012] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 96 u1: % st: NotStopd t0: [09:00:00 12/11/2012] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [09:00:00 12/11/2012] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [09:00:00 12/11/2012] id: D5W 100.0ml + 600mcghr Sandostatin IV Infusions el: 1 cu: MICU-A cg: RN ai: 127 vo: 8.33333 vu: ml
t0: [09:00:00 12/11/2012] id: Sandostatin el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 50 du: mcghr sv: 100 su: ml rt: IV Drip
t0: [10:00:00 12/11/2012] id: IV #1 D/C Date el: 0 cu: MICU-A cg: -1 st: D/C'd t0: [10:00:00 12/11/2012] id: IV #1 Insert Date el: 0 cu: MICU-A cg: -1 st: D/C'd t0: [10:00:00 12/11/2012] id: IV #1 Site/Size el: 0 cu: MICU-A cg: -1 st: D/C'd t0: [10:00:00 12/11/2012] id: IV Site Appear #1 el: 0 cu: MICU-A cg: -1 st: D/C'd
t0: [08:00:00 12/11/2012] id: IV #1 D/C Date el: 0 cu: MICU-A cg: RN v1: 10 v2: 20 st: NotStopd t0: [08:00:00 12/11/2012] id: LLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Diminished st: NotStopd t0: [08:00:00 12/11/2012] id: RLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Diminished st: NotStopd t0: [10:00:00 12/11/2012] id: Pain Present el: 0 cu: MICU-A cg: RN v1: No st: NotStopd t0: [10:00:00 12/11/2012] id: Pain Assess Method el: 0 cu: MICU-A cg: RN v1: Pt Verbalized st: NotStopd t0: [10:00:00 12/11/2012] id: PainLevel Acceptable el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [10:00:00 12/11/2012] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [10:00:00 12/11/2012] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [10:00:00 12/11/2012] id: Riker-SAS Scale el: 0 cu: MICU-A cg: RN v1: Agitated st: NotStopd t0: [10:00:00 12/11/2012] id: GI Prophylaxis el: 0 cu: MICU-A cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [10:00:00 12/11/2012] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [10:00:00 12/11/2012] id: Diet Type el: 0 cu: MICU-A cg: RN v1: Clear Liquid st: NotStopd t0: [10:00:00 12/11/2012] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [10:00:00 12/11/2012] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [10:00:00 12/11/2012] id: Eye Opening el: 0 cu: MICU-A cg: RN v1: 4 Spontaneously st: NotStopd t0: [10:00:00 12/11/2012] id: Follows Commands el: 0 cu: MICU-A cg: RN v1: Consistently st: NotStopd t0: [10:00:00 12/11/2012] id: GCS Total el: 0 cu: MICU-A cg: RN v1: 15 u1: points st: NotStopd t0: [10:00:00 12/11/2012] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 62 u1: BPM st: NotStopd t0: [10:00:00 12/11/2012] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [10:00:00 12/11/2012] id: INV Line#1 Type/Site el: 0 cu: MICU-A cg: RN v1: PICC line v2: Left Antecub st: NotStopd t0: [10:00:00 12/11/2012] id: INV Line#1InsertDate el: 0 cu: MICU-A cg: RN v1: 10 v2: 8 st: NotStopd t0: [10:00:00 12/11/2012] id: INV Line#1SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [10:00:00 12/11/2012] id: INV Line#2 Type/Site el: 0 cu: MICU-A cg: RN v1: A-Line v2: Left Radial st: NotStopd t0: [10:00:00 12/11/2012] id: INV Line#2InsertDate el: 0 cu: MICU-A cg: RN v1: 10 v2: 16 st: NotStopd t0: [10:00:00 12/11/2012] id: INV Line#2SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [10:00:00 12/11/2012] id: Abdominal Assessment el: 0 cu: MICU-A cg: RN v1: Ascites st: NotStopd t0: [10:00:00 12/11/2012] id: INV#2 WaveformAppear el: 0 cu: MICU-A cg: RN v1: Dampened st: NotStopd t0: [10:00:00 12/11/2012] id: IV #2 Insert Date el: 0 cu: MICU-A cg: RN v1: 10 v2: 20 st: NotStopd t0: [10:00:00 12/11/2012] id: IV #2 Site/Size el: 0 cu: MICU-A cg: RN v1: Right Wrist v2: 20 gauge st: NotStopd t0: [10:00:00 12/11/2012] id: Activity el: 0 cu: MICU-A cg: RN v1: Bedrest st: NotStopd t0: [10:00:00 12/11/2012] id: IV Site Appear #2 el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [10:00:00 12/11/2012] id: Activity Tolerance el: 0 cu: MICU-A cg: RN v1: Tolerated Well st: NotStopd t0: [10:00:00 12/11/2012] id: Impaired Skin Site#1 el: 0 cu: MICU-A cg: RN v1: Coccyx st: NotStopd t0: [10:00:00 12/11/2012] id: Level of Conscious el: 0 cu: MICU-A cg: RN v1: Alert st: NotStopd t0: [10:00:00 12/11/2012] id: Motor Response el: 0 cu: MICU-A cg: RN v1: 6 Obeys Commands st: NotStopd t0: [10:00:00 12/11/2012] id: Oral Cavity el: 0 cu: MICU-A cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [10:00:00 12/11/2012] id: Orientation el: 0 cu: MICU-A cg: RN v1: Oriented x 3 st: NotStopd t0: [10:00:00 12/11/2012] id: AntiEmbDevice/Status el: 0 cu: MICU-A cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [10:00:00 12/11/2012] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 130 u1: mmHg v2: 63 u2: mmHg st: NotStopd t0: [10:00:00 12/11/2012] id: Pain Location el: 0 cu: MICU-A cg: RN v1: Not Indicated st: NotStopd t0: [10:00:00 12/11/2012] id: Pain Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [10:00:00 12/11/2012] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 85 u1: mmHg st: NotStopd t0: [10:00:00 12/11/2012] id: Position el: 0 cu: MICU-A cg: RN v1: Supine st: NotStopd t0: [10:00:00 12/11/2012] id: Assistance Device el: 0 cu: MICU-A cg: RN v1: Independent st: NotStopd t0: [10:00:00 12/11/2012] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [10:00:00 12/11/2012] id: Respiratory Pattern el: 0 cu: MICU-A cg: RN v1: Regular st: NotStopd t0: [10:00:00 12/11/2012] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 17 u1: BPM st: NotStopd t0: [10:00:00 12/11/2012] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [10:00:00 12/11/2012] id: Significant Events el: 0 cu: MICU-A cg: RN st: NotStopd t0: [10:00:00 12/11/2012] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 95 u1: % st: NotStopd t0: [10:00:00 12/11/2012] id: Spontaneous Movement el: 0 cu: MICU-A cg: RN v1: Purposeful st: NotStopd t0: [10:00:00 12/11/2012] id: Stool Color/Consist el: 0 cu: MICU-A cg: RN v1: Maroon v2: Soft st: NotStopd t0: [10:00:00 12/11/2012] id: Stool Management el: 0 cu: MICU-A cg: RN v1: Rectal Tube st: NotStopd t0: [10:00:00 12/11/2012] id: Support Systems el: 0 cu: MICU-A cg: RN v1: Spouse st: NotStopd t0: [10:00:00 12/11/2012] id: Urine Color/Appear el: 0 cu: MICU-A cg: RN v1: Amber v2: Cloudy st: NotStopd t0: [10:00:00 12/11/2012] id: Urine Source el: 0 cu: MICU-A cg: RN v1: Indwelling Cath st: NotStopd t0: [10:00:00 12/11/2012] id: Verbal Response el: 0 cu: MICU-A cg: RN v1: 5 Oriented st: NotStopd t0: [10:00:00 12/11/2012] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [10:00:00 12/11/2012] id: Bowel Sounds el: 0 cu: MICU-A cg: RN v1: Present st: NotStopd t0: [10:00:00 12/11/2012] id: Braden Activity el: 0 cu: MICU-A cg: RN v1: Bedfast st: NotStopd t0: [10:00:00 12/11/2012] id: Braden Frict/Shear el: 0 cu: MICU-A cg: RN v1: Potential Prob st: NotStopd t0: [10:00:00 12/11/2012] id: Braden Mobility el: 0 cu: MICU-A cg: RN v1: Very Limited st: NotStopd t0: [10:00:00 12/11/2012] id: Braden Moisture el: 0 cu: MICU-A cg: RN v1: Rarely Moist st: NotStopd t0: [10:00:00 12/11/2012] id: Braden Nutrition el: 0 cu: MICU-A cg: RN v1: Very Poor st: NotStopd t0: [10:00:00 12/11/2012] id: Braden Score el: 0 cu: MICU-A cg: RN v1: 12 u1: number st: NotStopd t0: [10:00:00 12/11/2012] id: Braden SensoryPercep el: 0 cu: MICU-A cg: RN v1: Very Limited st: NotStopd t0: [11:00:00 12/11/2012] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [11:00:00 12/11/2012] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [11:00:00 12/11/2012] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [11:00:00 12/11/2012] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [11:00:00 12/11/2012] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [11:00:00 12/11/2012] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 58 u1: BPM st: NotStopd t0: [11:00:00 12/11/2012] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [11:00:00 12/11/2012] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 147 u1: mmHg v2: 74 u2: mmHg st: NotStopd t0: [11:00:00 12/11/2012] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 97 u1: mmHg st: NotStopd t0: [11:00:00 12/11/2012] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [11:00:00 12/11/2012] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 16 u1: BPM st: NotStopd t0: [11:00:00 12/11/2012] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 95 u1: % st: NotStopd t0: [11:00:00 12/11/2012] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [10:00:00 12/11/2012] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [10:00:00 12/11/2012] id: D5W 100.0ml + 600mcghr Sandostatin IV Infusions el: 1 cu: MICU-A cg: RN ai: 127 vo: 8.33333 vu: ml t0: [11:00:00 12/11/2012] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [11:00:00 12/11/2012] id: D5W 100.0ml + 600mcghr Sandostatin IV Infusions el: 1 cu: MICU-A cg: RN ai: 127 vo: 8.33333 vu: ml
t0: [10:00:00 12/11/2012] id: Sandostatin el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 50 du: mcghr sv: 100 su: ml rt: IV Drip t0: [11:00:00 12/11/2012] id: Sandostatin el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 50 du: mcghr sv: 100 su: ml rt: IV Drip
t0: [12:00:00 12/11/2012] id: INV#2Chg o/Wire Date el: 0 cu: MICU-A cg: -1 st: D/C'd t0: [12:00:00 12/11/2012] id: INV Line#2 Site Date el: 0 cu: MICU-A cg: -1 st: D/C'd
tf: [23:00:00 12/11/2012] pt: Unit Dose rt: IV fr: ONCE fs: 12 dn: 1 m1: Furosemide v1: 20 u1: mg
t0: [12:00:00 12/11/2012] id: Pain Present el: 0 cu: MICU-A cg: RN v1: No st: NotStopd t0: [12:00:00 12/11/2012] id: Pain Assess Method el: 0 cu: MICU-A cg: RN v1: Pt Verbalized st: NotStopd t0: [12:00:00 12/11/2012] id: PainLevel Acceptable el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [12:00:00 12/11/2012] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [12:00:00 12/11/2012] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [12:00:00 12/11/2012] id: Riker-SAS Scale el: 0 cu: MICU-A cg: RN v1: Calm/Cooperative st: NotStopd t0: [12:00:00 12/11/2012] id: GI Prophylaxis el: 0 cu: MICU-A cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [12:00:00 12/11/2012] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [12:00:00 12/11/2012] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [12:00:00 12/11/2012] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [12:00:00 12/11/2012] id: Eye Opening el: 0 cu: MICU-A cg: RN v1: 4 Spontaneously st: NotStopd t0: [12:00:00 12/11/2012] id: Follows Commands el: 0 cu: MICU-A cg: RN v1: Consistently st: NotStopd t0: [12:00:00 12/11/2012] id: GCS Total el: 0 cu: MICU-A cg: RN v1: 15 u1: points st: NotStopd t0: [12:00:00 12/11/2012] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 61 u1: BPM st: NotStopd t0: [12:00:00 12/11/2012] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [12:00:00 12/11/2012] id: INV Line#1 Type/Site el: 0 cu: MICU-A cg: RN v1: PICC line v2: Left Antecub st: NotStopd t0: [12:00:00 12/11/2012] id: INV Line#1InsertDate el: 0 cu: MICU-A cg: RN v1: 10 v2: 8 st: NotStopd t0: [12:00:00 12/11/2012] id: INV Line#1SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [12:00:00 12/11/2012] id: INV Line#2 D/C Date el: 0 cu: MICU-A cg: RN v1: 10 v2: 20 st: NotStopd t0: [12:00:00 12/11/2012] id: INV Line#2 Type/Site el: 0 cu: MICU-A cg: RN v1: A-Line v2: Left Radial st: NotStopd t0: [12:00:00 12/11/2012] id: INV Line#2 Zero/Cal el: 0 cu: MICU-A cg: RN v1: No st: NotStopd t0: [12:00:00 12/11/2012] id: INV Line#2InsertDate el: 0 cu: MICU-A cg: RN v1: 10 v2: 16 st: NotStopd t0: [12:00:00 12/11/2012] id: INV Line#2SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [12:00:00 12/11/2012] id: Abdominal Assessment el: 0 cu: MICU-A cg: RN v1: Ascites st: NotStopd t0: [12:00:00 12/11/2012] id: INV#2 WaveformAppear el: 0 cu: MICU-A cg: RN v1: Dampened st: NotStopd t0: [12:00:00 12/11/2012] id: IV #2 Insert Date el: 0 cu: MICU-A cg: RN v1: 10 v2: 20 st: NotStopd t0: [12:00:00 12/11/2012] id: IV #2 Site/Size el: 0 cu: MICU-A cg: RN v1: Right Wrist v2: 20 gauge st: NotStopd t0: [12:00:00 12/11/2012] id: Activity el: 0 cu: MICU-A cg: RN v1: Bedrest st: NotStopd t0: [12:00:00 12/11/2012] id: Activity Tolerance el: 0 cu: MICU-A cg: RN v1: Tolerated Well st: NotStopd t0: [12:00:00 12/11/2012] id: Impaired Skin Site#1 el: 0 cu: MICU-A cg: RN v1: Coccyx st: NotStopd t0: [12:00:00 12/11/2012] id: LLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Diminished st: NotStopd t0: [12:00:00 12/11/2012] id: LUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Clear st: NotStopd t0: [12:00:00 12/11/2012] id: Level of Conscious el: 0 cu: MICU-A cg: RN v1: Alert st: NotStopd t0: [12:00:00 12/11/2012] id: Motor Response el: 0 cu: MICU-A cg: RN v1: 6 Obeys Commands st: NotStopd t0: [12:00:00 12/11/2012] id: Oral Cavity el: 0 cu: MICU-A cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [12:00:00 12/11/2012] id: Orientation el: 0 cu: MICU-A cg: RN v1: Oriented x 3 st: NotStopd t0: [12:00:00 12/11/2012] id: AntiEmbDevice/Status el: 0 cu: MICU-A cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [12:00:00 12/11/2012] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 124 u1: mmHg v2: 58 u2: mmHg st: NotStopd t0: [12:00:00 12/11/2012] id: Pain Location el: 0 cu: MICU-A cg: RN v1: Not Indicated st: NotStopd t0: [12:00:00 12/11/2012] id: Pain Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [12:00:00 12/11/2012] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 80 u1: mmHg st: NotStopd t0: [12:00:00 12/11/2012] id: Position el: 0 cu: MICU-A cg: RN v1: Supine st: NotStopd t0: [12:00:00 12/11/2012] id: Assistance Device el: 0 cu: MICU-A cg: RN v1: Independent st: NotStopd t0: [12:00:00 12/11/2012] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [12:00:00 12/11/2012] id: RLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Diminished st: NotStopd t0: [12:00:00 12/11/2012] id: RUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Clear st: NotStopd t0: [12:00:00 12/11/2012] id: Respiratory Pattern el: 0 cu: MICU-A cg: RN v1: Regular st: NotStopd t0: [12:00:00 12/11/2012] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 20 u1: BPM st: NotStopd t0: [12:00:00 12/11/2012] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [12:00:00 12/11/2012] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 97 u1: % st: NotStopd t0: [12:00:00 12/11/2012] id: Spontaneous Movement el: 0 cu: MICU-A cg: RN v1: Purposeful st: NotStopd t0: [12:00:00 12/11/2012] id: Support Systems el: 0 cu: MICU-A cg: RN v1: Spouse st: NotStopd t0: [12:00:00 12/11/2012] id: Temp. Site el: 0 cu: MICU-A cg: RN v1: Oral st: NotStopd t0: [12:00:00 12/11/2012] id: Temperature C (calc) el: 0 cu: MICU-A cg: RN v1: 36.9444 u1: Deg. C st: NotStopd t0: [12:00:00 12/11/2012] id: Temperature F el: 0 cu: MICU-A cg: RN v1: 98.5 u1: Deg. F st: NotStopd t0: [12:00:00 12/11/2012] id: Urine Color/Appear el: 0 cu: MICU-A cg: RN v1: Icteric v2: Cloudy st: NotStopd t0: [12:00:00 12/11/2012] id: Urine Source el: 0 cu: MICU-A cg: RN v1: Indwelling Cath st: NotStopd t0: [12:00:00 12/11/2012] id: Verbal Response el: 0 cu: MICU-A cg: RN v1: 5 Oriented st: NotStopd t0: [12:00:00 12/11/2012] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [12:00:00 12/11/2012] id: Bowel Sounds el: 0 cu: MICU-A cg: RN v1: Present st: NotStopd
t0: [12:00:00 12/11/2012] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [12:00:00 12/11/2012] id: D5W 100.0ml + 600mcghr Sandostatin IV Infusions el: 1 cu: MICU-A cg: RN ai: 127 vo: 8.33333 vu: ml
t0: [12:00:00 12/11/2012] id: Sandostatin el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 50 du: mcghr sv: 100 su: ml rt: IV Drip
t0: [12:00:00 12/11/2012] id: Braden Activity el: 0 cu: MICU-A cg: RN v1: Bedfast st: NotStopd t0: [12:00:00 12/11/2012] id: Braden Frict/Shear el: 0 cu: MICU-A cg: RN v1: Potential Prob st: NotStopd t0: [12:00:00 12/11/2012] id: Braden Mobility el: 0 cu: MICU-A cg: RN v1: Sl. Limited st: NotStopd t0: [12:00:00 12/11/2012] id: Braden Moisture el: 0 cu: MICU-A cg: RN v1: Rarely Moist st: NotStopd t0: [12:00:00 12/11/2012] id: Braden Nutrition el: 0 cu: MICU-A cg: RN v1: Prob. Inadequate st: NotStopd t0: [12:00:00 12/11/2012] id: Braden Score el: 0 cu: MICU-A cg: RN v1: 15 u1: number st: NotStopd t0: [12:00:00 12/11/2012] id: Braden SensoryPercep el: 0 cu: MICU-A cg: RN v1: Sl. Limited st: NotStopd t0: [13:00:00 12/11/2012] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [13:00:00 12/11/2012] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [13:00:00 12/11/2012] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [13:00:00 12/11/2012] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [13:00:00 12/11/2012] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [13:00:00 12/11/2012] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 69 u1: BPM st: NotStopd t0: [13:00:00 12/11/2012] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [13:00:00 12/11/2012] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 137 u1: mmHg v2: 77 u2: mmHg st: NotStopd t0: [13:00:00 12/11/2012] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 98 u1: mmHg st: NotStopd t0: [13:00:00 12/11/2012] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [13:00:00 12/11/2012] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 19 u1: BPM st: NotStopd t0: [13:00:00 12/11/2012] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 98 u1: % st: NotStopd t0: [13:00:00 12/11/2012] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [13:00:00 12/11/2012] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [13:00:00 12/11/2012] id: D5W 100.0ml + 600mcghr Sandostatin IV Infusions el: 1 cu: MICU-A cg: RN ai: 127 vo: 8.33333 vu: ml
t0: [13:00:00 12/11/2012] id: Sandostatin el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 50 du: mcghr sv: 100 su: ml rt: IV Drip
t0: [12:00:00 12/11/2012] id: Diet Type el: 0 cu: MICU-A cg: RN v1: Soft Solid st: NotStopd t0: [14:00:00 12/11/2012] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [14:00:00 12/11/2012] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [14:00:00 12/11/2012] id: Riker-SAS Scale el: 0 cu: MICU-A cg: RN v1: Calm/Cooperative st: NotStopd t0: [14:00:00 12/11/2012] id: GI Prophylaxis el: 0 cu: MICU-A cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [14:00:00 12/11/2012] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [14:00:00 12/11/2012] id: Diet Type el: 0 cu: MICU-A cg: RN v1: Soft Solid st: NotStopd t0: [14:00:00 12/11/2012] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [14:00:00 12/11/2012] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [14:00:00 12/11/2012] id: Eye Opening el: 0 cu: MICU-A cg: RN v1: 4 Spontaneously st: NotStopd t0: [14:00:00 12/11/2012] id: Follows Commands el: 0 cu: MICU-A cg: RN v1: Consistently st: NotStopd t0: [14:00:00 12/11/2012] id: GCS Total el: 0 cu: MICU-A cg: RN v1: 15 u1: points st: NotStopd t0: [14:00:00 12/11/2012] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 64 u1: BPM st: NotStopd t0: [14:00:00 12/11/2012] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [14:00:00 12/11/2012] id: INV Line#1 Type/Site el: 0 cu: MICU-A cg: RN v1: PICC line v2: Left Antecub st: NotStopd t0: [14:00:00 12/11/2012] id: INV Line#1InsertDate el: 0 cu: MICU-A cg: RN v1: 10 v2: 8 st: NotStopd t0: [14:00:00 12/11/2012] id: INV Line#1SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [14:00:00 12/11/2012] id: Abdominal Assessment el: 0 cu: MICU-A cg: RN v1: Ascites st: NotStopd t0: [14:00:00 12/11/2012] id: IV #2 Insert Date el: 0 cu: MICU-A cg: RN v1: 10 v2: 20 st: NotStopd t0: [14:00:00 12/11/2012] id: IV #2 Site/Size el: 0 cu: MICU-A cg: RN v1: Right Wrist v2: 20 gauge st: NotStopd t0: [14:00:00 12/11/2012] id: Activity el: 0 cu: MICU-A cg: RN v1: Bedrest st: NotStopd t0: [14:00:00 12/11/2012] id: IV Site Appear #2 el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [14:00:00 12/11/2012] id: Activity Tolerance el: 0 cu: MICU-A cg: RN v1: Tolerated Well st: NotStopd t0: [14:00:00 12/11/2012] id: Impaired Skin Site#1 el: 0 cu: MICU-A cg: RN v1: Coccyx st: NotStopd t0: [14:00:00 12/11/2012] id: Level of Conscious el: 0 cu: MICU-A cg: RN v1: Alert st: NotStopd t0: [14:00:00 12/11/2012] id: Motor Response el: 0 cu: MICU-A cg: RN v1: 6 Obeys Commands st: NotStopd t0: [14:00:00 12/11/2012] id: NBP el: 0 cu: MICU-A cg: RN v1: 136 u1: mmHg v2: 76 u2: mmHg st: NotStopd t0: [14:00:00 12/11/2012] id: NBP Mean el: 0 cu: MICU-A cg: RN v1: 96 u1: mmHg st: NotStopd t0: [14:00:00 12/11/2012] id: Orientation el: 0 cu: MICU-A cg: RN v1: Oriented x 3 st: NotStopd t0: [14:00:00 12/11/2012] id: AntiEmbDevice/Status el: 0 cu: MICU-A cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [14:00:00 12/11/2012] id: Position el: 0 cu: MICU-A cg: RN v1: Supine st: NotStopd t0: [14:00:00 12/11/2012] id: Assistance Device el: 0 cu: MICU-A cg: RN v1: Independent st: NotStopd t0: [14:00:00 12/11/2012] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [14:00:00 12/11/2012] id: Respiratory Pattern el: 0 cu: MICU-A cg: RN v1: Regular st: NotStopd t0: [14:00:00 12/11/2012] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 24 u1: BPM st: NotStopd t0: [14:00:00 12/11/2012] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [14:00:00 12/11/2012] id: Spontaneous Movement el: 0 cu: MICU-A cg: RN v1: Purposeful st: NotStopd t0: [14:00:00 12/11/2012] id: Support Systems el: 0 cu: MICU-A cg: RN v1: Spouse st: NotStopd t0: [14:00:00 12/11/2012] id: Urine Color/Appear el: 0 cu: MICU-A cg: RN v1: Yellow v2: Clear st: NotStopd t0: [14:00:00 12/11/2012] id: Urine Source el: 0 cu: MICU-A cg: RN v1: Indwelling Cath st: NotStopd t0: [14:00:00 12/11/2012] id: Verbal Response el: 0 cu: MICU-A cg: RN v1: 5 Oriented st: NotStopd t0: [14:00:00 12/11/2012] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [14:00:00 12/11/2012] id: Bowel Sounds el: 0 cu: MICU-A cg: RN v1: Present st: NotStopd
t0: [14:00:00 12/11/2012] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [14:00:00 12/11/2012] id: D5W 100.0ml + 600mcghr Sandostatin IV Infusions el: 1 cu: MICU-A cg: RN ai: 127 vo: 8.33333 vu: ml
t0: [14:00:00 12/11/2012] id: Sandostatin el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 50 du: mcghr sv: 100 su: ml rt: IV Drip
t0: [15:00:00 12/11/2012] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [15:00:00 12/11/2012] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [15:00:00 12/11/2012] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [15:00:00 12/11/2012] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [15:00:00 12/11/2012] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [15:00:00 12/11/2012] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 59 u1: BPM st: NotStopd t0: [15:00:00 12/11/2012] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [15:00:00 12/11/2012] id: Level of Conscious el: 0 cu: MICU-A cg: RN v1: Sleeping st: NotStopd t0: [15:00:00 12/11/2012] id: NBP el: 0 cu: MICU-A cg: RN v1: 130 u1: mmHg v2: 64 u2: mmHg st: NotStopd t0: [15:00:00 12/11/2012] id: NBP Mean el: 0 cu: MICU-A cg: RN v1: 86 u1: mmHg st: NotStopd t0: [15:00:00 12/11/2012] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [15:00:00 12/11/2012] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 17 u1: BPM st: NotStopd t0: [15:00:00 12/11/2012] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 94 u1: % st: NotStopd t0: [15:00:00 12/11/2012] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [15:00:00 12/11/2012] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [15:00:00 12/11/2012] id: D5W 100.0ml + 600mcghr Sandostatin IV Infusions el: 1 cu: MICU-A cg: RN ai: 127 vo: 8.33333 vu: ml
t0: [15:00:00 12/11/2012] id: Sandostatin el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 50 du: mcghr sv: 100 su: ml rt: IV Drip
t0: [08:00:00 12/11/2012] id: Skin Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [08:00:00 12/11/2012] id: Back Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [12:00:00 12/11/2012] id: Skin Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [12:00:00 12/11/2012] id: Back Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [14:00:00 12/11/2012] id: Pain Present el: 0 cu: MICU-A cg: RN v1: No st: NotStopd t0: [14:00:00 12/11/2012] id: LLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Diminished st: NotStopd t0: [14:00:00 12/11/2012] id: LUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Clear st: NotStopd t0: [14:00:00 12/11/2012] id: Pain Location el: 0 cu: MICU-A cg: RN v1: Not Indicated st: NotStopd t0: [14:00:00 12/11/2012] id: Pain Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [14:00:00 12/11/2012] id: RLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Diminished st: NotStopd t0: [14:00:00 12/11/2012] id: RUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Clear st: NotStopd t0: [14:00:00 12/11/2012] id: Skin Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [14:00:00 12/11/2012] id: Back Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [16:00:00 12/11/2012] id: Pain Present el: 0 cu: MICU-A cg: RN v1: No st: NotStopd t0: [16:00:00 12/11/2012] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [16:00:00 12/11/2012] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [16:00:00 12/11/2012] id: Riker-SAS Scale el: 0 cu: MICU-A cg: RN v1: Calm/Cooperative st: NotStopd t0: [16:00:00 12/11/2012] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [16:00:00 12/11/2012] id: Readmit <48 hrs el: 0 cu: MICU-A cg: RN v1: No st: NotStopd t0: [16:00:00 12/11/2012] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [16:00:00 12/11/2012] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [16:00:00 12/11/2012] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 78 u1: BPM st: NotStopd t0: [16:00:00 12/11/2012] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [16:00:00 12/11/2012] id: NBP el: 0 cu: MICU-A cg: RN v1: 122 u1: mmHg v2: 58 u2: mmHg st: NotStopd t0: [16:00:00 12/11/2012] id: NBP Mean el: 0 cu: MICU-A cg: RN v1: 79.3333 u1: mmHg st: NotStopd t0: [16:00:00 12/11/2012] id: Pain Location el: 0 cu: MICU-A cg: RN v1: Not Indicated st: NotStopd t0: [16:00:00 12/11/2012] id: Pain Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [16:00:00 12/11/2012] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [16:00:00 12/11/2012] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 26 u1: BPM st: NotStopd t0: [16:00:00 12/11/2012] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 95 u1: % st: NotStopd t0: [16:00:00 12/11/2012] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [17:00:00 12/11/2012] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [17:00:00 12/11/2012] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [17:00:00 12/11/2012] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [17:00:00 12/11/2012] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [17:00:00 12/11/2012] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [17:00:00 12/11/2012] id: Family Communication el: 0 cu: MICU-A cg: RN v1: Family Visited st: NotStopd t0: [17:00:00 12/11/2012] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 61 u1: BPM st: NotStopd t0: [17:00:00 12/11/2012] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [17:00:00 12/11/2012] id: Impaired Skin Site#1 el: 0 cu: MICU-A cg: RN v1: Coccyx st: NotStopd t0: [17:00:00 12/11/2012] id: NBP el: 0 cu: MICU-A cg: RN v1: 134 u1: mmHg v2: 59 u2: mmHg st: NotStopd t0: [17:00:00 12/11/2012] id: NBP Mean el: 0 cu: MICU-A cg: RN v1: 84 u1: mmHg st: NotStopd t0: [17:00:00 12/11/2012] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [17:00:00 12/11/2012] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 18 u1: BPM st: NotStopd t0: [17:00:00 12/11/2012] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [17:00:00 12/11/2012] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 98 u1: % st: NotStopd t0: [17:00:00 12/11/2012] id: Support Systems el: 0 cu: MICU-A cg: RN v1: Spouse st: NotStopd t0: [17:00:00 12/11/2012] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [17:00:00 12/11/2012] id: Braden Activity el: 0 cu: MICU-A cg: RN v1: Bedfast st: NotStopd t0: [17:00:00 12/11/2012] id: Braden Frict/Shear el: 0 cu: MICU-A cg: RN v1: Potential Prob st: NotStopd t0: [17:00:00 12/11/2012] id: Braden Mobility el: 0 cu: MICU-A cg: RN v1: Sl. Limited st: NotStopd t0: [17:00:00 12/11/2012] id: Braden Moisture el: 0 cu: MICU-A cg: RN v1: Rarely Moist st: NotStopd t0: [17:00:00 12/11/2012] id: Braden Nutrition el: 0 cu: MICU-A cg: RN v1: Adequate st: NotStopd t0: [17:00:00 12/11/2012] id: Braden Score el: 0 cu: MICU-A cg: RN v1: 16 u1: number st: NotStopd t0: [17:00:00 12/11/2012] id: Braden SensoryPercep el: 0 cu: MICU-A cg: RN v1: Sl. Limited st: NotStopd t0: [18:00:00 12/11/2012] id: Pain Present el: 0 cu: MICU-A cg: RN v1: No st: NotStopd t0: [18:00:00 12/11/2012] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [18:00:00 12/11/2012] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [18:00:00 12/11/2012] id: Riker-SAS Scale el: 0 cu: MICU-A cg: RN v1: Calm/Cooperative st: NotStopd t0: [18:00:00 12/11/2012] id: GI Prophylaxis el: 0 cu: MICU-A cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [18:00:00 12/11/2012] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [18:00:00 12/11/2012] id: Diet Type el: 0 cu: MICU-A cg: RN v1: Soft Solid st: NotStopd t0: [18:00:00 12/11/2012] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [18:00:00 12/11/2012] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [18:00:00 12/11/2012] id: Eye Opening el: 0 cu: MICU-A cg: RN v1: 4 Spontaneously st: NotStopd t0: [18:00:00 12/11/2012] id: Follows Commands el: 0 cu: MICU-A cg: RN v1: Consistently st: NotStopd t0: [18:00:00 12/11/2012] id: GCS Total el: 0 cu: MICU-A cg: RN v1: 15 u1: points st: NotStopd t0: [18:00:00 12/11/2012] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 60 u1: BPM st: NotStopd t0: [18:00:00 12/11/2012] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [18:00:00 12/11/2012] id: INV Line#1 Type/Site el: 0 cu: MICU-A cg: RN v1: PICC line v2: Left Antecub st: NotStopd t0: [18:00:00 12/11/2012] id: INV Line#1InsertDate el: 0 cu: MICU-A cg: RN v1: 10 v2: 8 st: NotStopd t0: [18:00:00 12/11/2012] id: INV Line#1SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [18:00:00 12/11/2012] id: Abdominal Assessment el: 0 cu: MICU-A cg: RN v1: Ascites st: NotStopd t0: [18:00:00 12/11/2012] id: IV #2 Insert Date el: 0 cu: MICU-A cg: RN v1: 10 v2: 20 st: NotStopd t0: [18:00:00 12/11/2012] id: IV #2 Site/Size el: 0 cu: MICU-A cg: RN v1: Right Wrist v2: 20 gauge st: NotStopd t0: [18:00:00 12/11/2012] id: Activity el: 0 cu: MICU-A cg: RN v1: Bedrest st: NotStopd t0: [18:00:00 12/11/2012] id: IV Site Appear #2 el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [18:00:00 12/11/2012] id: Activity Tolerance el: 0 cu: MICU-A cg: RN v1: Tolerated Well st: NotStopd t0: [18:00:00 12/11/2012] id: LLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Diminished st: NotStopd t0: [18:00:00 12/11/2012] id: LUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Clear st: NotStopd t0: [18:00:00 12/11/2012] id: Level of Conscious el: 0 cu: MICU-A cg: RN v1: Alert st: NotStopd t0: [18:00:00 12/11/2012] id: Motor Response el: 0 cu: MICU-A cg: RN v1: 6 Obeys Commands st: NotStopd t0: [18:00:00 12/11/2012] id: NBP el: 0 cu: MICU-A cg: RN v1: 135 u1: mmHg v2: 62 u2: mmHg st: NotStopd t0: [18:00:00 12/11/2012] id: NBP Mean el: 0 cu: MICU-A cg: RN v1: 86.3333 u1: mmHg st: NotStopd t0: [18:00:00 12/11/2012] id: Orientation el: 0 cu: MICU-A cg: RN v1: Oriented x 3 st: NotStopd t0: [18:00:00 12/11/2012] id: AntiEmbDevice/Status el: 0 cu: MICU-A cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [18:00:00 12/11/2012] id: Pain Location el: 0 cu: MICU-A cg: RN v1: Not Indicated st: NotStopd t0: [18:00:00 12/11/2012] id: Pain Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [18:00:00 12/11/2012] id: Position el: 0 cu: MICU-A cg: RN v1: Supine st: NotStopd t0: [18:00:00 12/11/2012] id: Assistance Device el: 0 cu: MICU-A cg: RN v1: Independent st: NotStopd t0: [18:00:00 12/11/2012] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [18:00:00 12/11/2012] id: RLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Diminished st: NotStopd t0: [18:00:00 12/11/2012] id: RUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Clear st: NotStopd t0: [18:00:00 12/11/2012] id: Respiratory Pattern el: 0 cu: MICU-A cg: RN v1: Regular st: NotStopd t0: [18:00:00 12/11/2012] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 26 u1: BPM st: NotStopd t0: [18:00:00 12/11/2012] id: Skin Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [18:00:00 12/11/2012] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 100 u1: % st: NotStopd t0: [18:00:00 12/11/2012] id: Spontaneous Movement el: 0 cu: MICU-A cg: RN v1: Purposeful st: NotStopd t0: [18:00:00 12/11/2012] id: Urine Color/Appear el: 0 cu: MICU-A cg: RN v1: Yellow v2: Clear st: NotStopd t0: [18:00:00 12/11/2012] id: Urine Source el: 0 cu: MICU-A cg: RN v1: Indwelling Cath st: NotStopd t0: [18:00:00 12/11/2012] id: Verbal Response el: 0 cu: MICU-A cg: RN v1: 5 Oriented st: NotStopd t0: [18:00:00 12/11/2012] id: Back Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [18:00:00 12/11/2012] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [18:00:00 12/11/2012] id: Bowel Sounds el: 0 cu: MICU-A cg: RN v1: Present st: NotStopd
t0: [16:00:00 12/11/2012] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [16:00:00 12/11/2012] id: D5W 100.0ml + 600mcghr Sandostatin IV Infusions el: 1 cu: MICU-A cg: RN ai: 127 vo: 8.33333 vu: ml t0: [17:00:00 12/11/2012] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [17:00:00 12/11/2012] id: D5W 100.0ml + 600mcghr Sandostatin IV Infusions el: 1 cu: MICU-A cg: RN ai: 127 vo: 8.33333 vu: ml nb: 1 t0: [18:00:00 12/11/2012] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [18:00:00 12/11/2012] id: D5W 100.0ml + 600mcghr Sandostatin IV Infusions el: 1 cu: MICU-A cg: RN ai: 127 vo: 8.33333 vu: ml t0: [19:00:00 12/11/2012] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [19:00:00 12/11/2012] id: D5W 100.0ml + 600mcghr Sandostatin IV Infusions el: 1 cu: MICU-A cg: RN ai: 127 vo: 8.33333 vu: ml
t0: [16:00:00 12/11/2012] id: Sandostatin el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 50 du: mcghr sv: 100 su: ml rt: IV Drip t0: [17:00:00 12/11/2012] id: Sandostatin el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 50 du: mcghr sv: 100 su: ml rt: IV Drip t0: [18:00:00 12/11/2012] id: Sandostatin el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 50 du: mcghr sv: 100 su: ml rt: IV Drip
t0: [19:00:00 12/11/2012] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [19:00:00 12/11/2012] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [19:00:00 12/11/2012] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [19:00:00 12/11/2012] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [19:00:00 12/11/2012] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [19:00:00 12/11/2012] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 55 u1: BPM st: NotStopd t0: [19:00:00 12/11/2012] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [19:00:00 12/11/2012] id: NBP el: 0 cu: MICU-A cg: RN v1: 121 u1: mmHg v2: 60 u2: mmHg st: NotStopd t0: [19:00:00 12/11/2012] id: NBP Mean el: 0 cu: MICU-A cg: RN v1: 80.3333 u1: mmHg st: NotStopd t0: [19:00:00 12/11/2012] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [19:00:00 12/11/2012] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 19 u1: BPM st: NotStopd t0: [19:00:00 12/11/2012] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [20:00:00 12/11/2012] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [20:00:00 12/11/2012] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [20:00:00 12/11/2012] id: Riker-SAS Scale el: 0 cu: MICU-A cg: RN v1: Calm/Cooperative st: NotStopd t0: [20:00:00 12/11/2012] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [20:00:00 12/11/2012] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [20:00:00 12/11/2012] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [20:00:00 12/11/2012] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 54 u1: BPM st: NotStopd t0: [20:00:00 12/11/2012] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [20:00:00 12/11/2012] id: NBP el: 0 cu: MICU-A cg: RN v1: 120 u1: mmHg v2: 64 u2: mmHg st: NotStopd t0: [20:00:00 12/11/2012] id: NBP Mean el: 0 cu: MICU-A cg: RN v1: 82.6667 u1: mmHg st: NotStopd t0: [20:00:00 12/11/2012] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [20:00:00 12/11/2012] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 29 u1: BPM st: NotStopd t0: [20:00:00 12/11/2012] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 98 u1: % st: NotStopd t0: [20:00:00 12/11/2012] id: Temp. Site el: 0 cu: MICU-A cg: RN v1: Oral st: NotStopd t0: [20:00:00 12/11/2012] id: Temperature C (calc) el: 0 cu: MICU-A cg: RN v1: 37.2778 u1: Deg. C st: NotStopd t0: [20:00:00 12/11/2012] id: Temperature F el: 0 cu: MICU-A cg: RN v1: 99.1 u1: Deg. F st: NotStopd t0: [20:00:00 12/11/2012] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [20:00:00 12/11/2012] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [20:00:00 12/11/2012] id: D5W 100.0ml + 600mcghr Sandostatin IV Infusions el: 1 cu: MICU-A cg: RN ai: 127 vo: 8.33333 vu: ml
t0: [19:00:00 12/11/2012] id: Sandostatin el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 50 du: mcghr sv: 100 su: ml rt: IV Drip t0: [20:00:00 12/11/2012] id: Sandostatin el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 50 du: mcghr sv: 100 su: ml rt: IV Drip
t0: [23:00:00 12/11/2012] dt: 1 id: Total Hourly Output el: 2 cu: -1 cg: RN cv: 0 ap: none t0: [23:00:00 12/11/2012] dt: 1 id: Net Hourly Balance el: 2 cu: -1 cg: RN cv: 0 ap: none t0: [23:00:00 12/11/2012] dt: 24 id: Gastric Out Total el: 2 cu: -1 cg: RN cv: 350 ap: none t0: [23:00:00 12/11/2012] dt: 24 id: IV Infusion In Total el: 2 cu: -1 cg: RN cv: 685 ap: none t0: [23:00:00 12/11/2012] dt: 24 id: 24h Total In el: 2 cu: -1 cg: RN cv: 925 ap: none t0: [23:00:00 12/11/2012] dt: 24 id: Urine Out Total el: 2 cu: -1 cg: RN cv: 3175 ap: none t0: [23:00:00 12/11/2012] dt: 24 id: 24h Net Body Balance el: 2 cu: -1 cg: RN cv: -2900 ap: none t0: [23:00:00 12/11/2012] dt: 24 id: 24h Total Out el: 2 cu: -1 cg: RN cv: 3825 ap: none t0: [23:00:00 12/11/2012] dt: multiple days id: LOS Net Body Balance el: 2 cu: -1 cg: RN cv: 27565 ap: carryForward
tf: [13:00:00 15/11/2012] pt: Unit Dose rt: PO fr: Q6H:PRN m1: Guaifenesin v1: 5-10 u1: ml
tf: [13:00:00 15/11/2012] pt: Unit Dose rt: PO fr: PRN m1: Cetylpyridinium Chl (Cepacol) v1: 1 u1: LOZ
tf: [20:00:00 13/11/2012] pt: Unit Dose rt: PO fr: ONCE fs: 9 dn: 1 m1: Potassium Chloride v1: 60 u1: mEq
tf: [09:00:00 14/11/2012] pt: Unit Dose rt: IM fr: ONCE fs: 10 dn: 1 m1: Haemophilus B Conj. Vaccine v1: 0.5 u1: ml tf: [09:00:00 14/11/2012] pt: Unit Dose rt: IM fr: ONCE fs: 10 dn: 1 m1: Pneumococcal Vac Polyvalent v1: 0.5 u1: ml tf: [09:00:00 14/11/2012] pt: Unit Dose rt: SC fr: ONCE fs: 10 dn: 1 m1: Meningococcal Vaccine v1: 0.5 u1: ml tf: [12:00:00 16/11/2012] pt: Unit Dose rt: IV fr: QD fs: 10 dn: 1 m1: Furosemide v1: 20 u1: mg
tf: [20:00:00 13/11/2012] pt: IV Piggyback rt: IV fr: ONCE fs: 12 dn: 1 m1: Vancomycin HCl v1: 1000 u1: mg m2: Iso-Osmotic Dextrose v2: 200 u2: ml
tf: [13:00:00 15/11/2012] pt: Unit Dose rt: IV fr: HS:PRN m1: Diphenhydramine HCl v1: 25 u1: mg tf: [13:00:00 15/11/2012] pt: Unit Dose rt: PO fr: HS:PRN m1: Diphenhydramine HCl v1: 25 u1: mg
tf: [09:00:00 15/11/2012] pt: Unit Dose rt: IV fr: ONCE fs: 10 dn: 1 m1: Phytonadione v1: 1 u1: mg tf: [09:00:00 15/11/2012] pt: Unit Dose rt: PO fr: ONCE MR1 fs: 10 dn: 1 m1: Potassium Chloride v1: 40 u1: mEq
tf: [13:00:00 15/11/2012] pt: Unit Dose rt: PO fr: ONCE fs: 23 dn: 1 m1: Potassium Chloride v1: 40 u1: mEq
tf: [05:00:00 16/11/2012] pt: IV Piggyback rt: IV fr: ONCE fs: 6 dn: 1 m1: Unasyn v1: 3 u1: gm m2: NS v2: 100 u2: ml
tf: [13:00:00 15/11/2012] pt: IV Piggyback rt: IV fr: ONCE fs: 8 dn: 1 m1: Potassium Chloride v1: 40 u1: mEq m2: NS v2: 500 u2: ml
tf: [12:00:00 16/11/2012] pt: IV Piggyback rt: IV DRIP fr: INFUSION m1: Fentanyl Citrate v1: 2500 u1: mcg m2: D5W v2: 250 u2: ml tf: [12:00:00 16/11/2012] pt: Unit Dose rt: SC fr: Q6H:PRN m1: Hydromorphone v1: 0.5 u1: mg tf: [13:00:00 17/11/2012] pt: IV Piggyback rt: IV fr: Q6H fs: 14, 20, 2, 8 dn: 4 m1: Unasyn v1: 3 u1: gm m2: NS v2: 100 u2: ml tf: [10:00:00 21/11/2012] pt: Unit Dose rt: SC fr: Q12H fs: 10, 22 dn: 2 m1: Heparin v1: 5000 u1: UNIT
id: Fentanyl el: 100 cu: CSRU cg: RN io: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions am: 2500 du: mcghr rt: IV Drip id: Propofol el: 100 cu: CSRU cg: RN io: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions am: 500 du: mcgkgmin rt: IV Drip
id: OR Crystalloid el: 1 cu: CSRU cg: RN io: OR Crystalloid OR Intake du: ml rt: Intravenous Push id: OR FFP el: 1 cu: CSRU cg: RN io: OR FFP OR Intake du: ml rt: Intravenous Push id: OR Packed RBC's el: 1 cu: CSRU cg: RN io: OR Packed RBC's OR Intake du: ml rt: Intravenous Push id: OR Platelets el: 1 cu: CSRU cg: RN io: OR Platelets OR Intake du: ml rt: Intravenous Push id: PACU Crystalloids el: 1 cu: CSRU cg: RN io: PACU Crystalloids PACU Intake du: ml rt: Intravenous Push id: N/A el: 1 cu: CSRU cg: RN io: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions vo: 50 du: vl rt: Intravenous Push id: .9% Normal Saline el: 1 cu: CSRU cg: RN io: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions vo: 250 du: ml rt: Intravenous Push
tf: [20:03:00 18/11/2012] dt: 4533 cu: CSRU de: FA6A
t0: [13:22:00 15/11/2012] id: WBC (4-11,000) Hematology el: 0 cu: CSRU cg: 3161 v1: 18.3 rs: Final st: NotStopd t0: [13:22:00 15/11/2012] id: BUN el: 0 cu: CSRU cg: 3161 v1: 10 rs: Final st: NotStopd t0: [13:22:00 15/11/2012] id: PT el: 0 cu: CSRU cg: 3161 v1: 17.9 rs: Final st: NotStopd t0: [13:22:00 15/11/2012] id: Albumin Chemistry el: 0 cu: CSRU cg: 3161 v1: 3 rs: Final st: NotStopd t0: [13:22:00 15/11/2012] id: Calcium Chemistry el: 0 cu: CSRU cg: 3161 v1: 10.9 u1: mg/dl rs: Final st: NotStopd t0: [13:22:00 15/11/2012] id: Chloride Chemistry el: 0 cu: CSRU cg: 3161 v1: 103 rs: Final st: NotStopd t0: [13:22:00 15/11/2012] id: Creatinine Chemistry el: 0 cu: CSRU cg: 3161 v1: 1.3 rs: Final st: NotStopd t0: [13:22:00 15/11/2012] id: Fibrinogen Coags el: 0 cu: CSRU cg: 3161 v1: 140 rs: Final st: NotStopd t0: [13:22:00 15/11/2012] id: Glucose Chemistry el: 0 cu: CSRU cg: 3161 v1: 111 rs: Final st: NotStopd t0: [13:22:00 15/11/2012] id: INR Coags el: 0 cu: CSRU cg: 3161 v1: 2.1 rs: Final st: NotStopd t0: [13:22:00 15/11/2012] id: Magnesium Chemistry el: 0 cu: CSRU cg: 3161 v1: 1.3 rs: Final st: NotStopd t0: [13:22:00 15/11/2012] id: PTT Coags el: 0 cu: CSRU cg: 3161 v1: 150 rs: Final st: NotStopd t0: [13:22:00 15/11/2012] id: Phosphorous Chemistry el: 0 cu: CSRU cg: 3161 v1: 3.7 u1: mEq/L rs: Final st: NotStopd t0: [13:22:00 15/11/2012] id: Potassium Chemistry el: 0 cu: CSRU cg: 3161 v1: 3.3 rs: Final st: NotStopd t0: [13:22:00 15/11/2012] id: Sodium Chemistry el: 0 cu: CSRU cg: 3161 v1: 138 rs: Final st: NotStopd t0: [13:22:00 15/11/2012] id: Total Bili Chemistry el: 0 cu: CSRU cg: 3161 v1: 13.5 rs: Final st: NotStopd t0: [13:22:00 15/11/2012] id: WBC Hematology el: 0 cu: CSRU cg: 3161 v1: 18.3 rs: Final st: NotStopd t0: [13:22:00 15/11/2012] id: ALT Enzymes el: 0 cu: CSRU cg: 3161 v1: 41 rs: Final st: NotStopd t0: [13:22:00 15/11/2012] id: AST Enzymes el: 0 cu: CSRU cg: 3161 v1: 71 rs: Final st: NotStopd t0: [13:22:00 15/11/2012] id: Albumin (>3.2) Chemistry el: 0 cu: CSRU cg: 3161 v1: 3 rs: Final st: NotStopd t0: [13:22:00 15/11/2012] id: Alk. Phosphate Enzymes el: 0 cu: CSRU cg: 3161 v1: 93 rs: Final st: NotStopd t0: [13:22:00 15/11/2012] id: Amylase Enzymes el: 0 cu: CSRU cg: 3161 v1: 41 rs: Final st: NotStopd t0: [13:22:00 15/11/2012] id: BUN (6-20) Chemistry el: 0 cu: CSRU cg: 3161 v1: 10 rs: Final st: NotStopd t0: [13:22:00 15/11/2012] id: Calcium (8.4-10.2) Chemistry el: 0 cu: CSRU cg: 3161 v1: 10.9 u1: mg/dl rs: Final st: NotStopd t0: [13:22:00 15/11/2012] id: Carbon Dioxide Chemistry el: 0 cu: CSRU cg: 3161 v1: 20 rs: Final st: NotStopd t0: [13:22:00 15/11/2012] id: Chloride (100-112) Chemistry el: 0 cu: CSRU cg: 3161 v1: 103 rs: Final st: NotStopd t0: [13:22:00 15/11/2012] id: Creatinine (0-1.3) Chemistry el: 0 cu: CSRU cg: 3161 v1: 1.3 rs: Final st: NotStopd t0: [13:22:00 15/11/2012] id: Fibrinogen (150-400) Coags el: 0 cu: CSRU cg: 3161 v1: 140 rs: Final st: NotStopd t0: [13:22:00 15/11/2012] id: Glucose (70-105) Chemistry el: 0 cu: CSRU cg: 3161 v1: 111 rs: Final st: NotStopd t0: [13:22:00 15/11/2012] id: Hematocrit Hematology el: 0 cu: CSRU cg: 3161 v1: 35.5 u1: % rs: Final st: NotStopd t0: [13:22:00 15/11/2012] id: Hemoglobin Hematology el: 0 cu: CSRU cg: 3161 v1: 11.8 u1: gm/dl rs: Final st: NotStopd t0: [13:22:00 15/11/2012] id: INR (2-4 ref. range) Coags el: 0 cu: CSRU cg: 3161 v1: 2.1 rs: Final st: NotStopd t0: [13:22:00 15/11/2012] id: Magnesium (1.6-2.6) Chemistry el: 0 cu: CSRU cg: 3161 v1: 1.3 rs: Final st: NotStopd t0: [13:22:00 15/11/2012] id: PT(11-13.5) Coags el: 0 cu: CSRU cg: 3161 v1: 17.9 rs: Final st: NotStopd t0: [13:22:00 15/11/2012] id: PTT(22-35) Coags el: 0 cu: CSRU cg: 3161 v1: 150 rs: Final st: NotStopd t0: [13:22:00 15/11/2012] id: Phosphorous(2.7-4.5) Chemistry el: 0 cu: CSRU cg: 3161 v1: 3.7 u1: mEq/L rs: Final st: NotStopd t0: [13:22:00 15/11/2012] id: Platelets Hematology el: 0 cu: CSRU cg: 3161 v1: 169 rs: Final st: NotStopd t0: [13:22:00 15/11/2012] id: Potassium (3.5-5.3) Chemistry el: 0 cu: CSRU cg: 3161 v1: 3.3 rs: Final st: NotStopd t0: [13:22:00 15/11/2012] id: RBC Hematology el: 0 cu: CSRU cg: 3161 v1: 3.98 u1: /mic l rs: Final st: NotStopd t0: [13:22:00 15/11/2012] id: Sodium (135-148) Chemistry el: 0 cu: CSRU cg: 3161 v1: 138 rs: Final st: NotStopd t0: [13:22:00 15/11/2012] id: Total Bili (0-1.5) Chemistry el: 0 cu: CSRU cg: 3161 v1: 13.5 rs: Final st: NotStopd t0: [13:22:00 15/11/2012] id: WBC (4-11,000) Hematology el: 0 cu: CSRU cg: 3161 v1: 18.3 rs: Final st: NotStopd t0: [13:24:00 15/11/2012] id: Art.pH ABG el: 0 cu: CSRU cg: 3161 v1: 7.47 rs: Final st: NotStopd t0: [13:24:00 15/11/2012] id: Arterial Base Excess ABG el: 0 cu: CSRU cg: 3161 v1: 0 rs: Final st: NotStopd t0: [13:24:00 15/11/2012] id: Arterial CO2(Calc) ABG el: 0 cu: CSRU cg: 3161 v1: 22 rs: Final st: NotStopd t0: [13:24:00 15/11/2012] id: Arterial PaCO2 ABG el: 0 cu: CSRU cg: 3161 v1: 30 u1: mmHg rs: Final st: NotStopd t0: [13:24:00 15/11/2012] id: Arterial PaO2 ABG el: 0 cu: CSRU cg: 3161 v1: 122 u1: mmHg rs: Final st: NotStopd t0: [13:24:00 15/11/2012] id: Arterial pH ABG el: 0 cu: CSRU cg: 3161 v1: 7.47 rs: Final st: NotStopd
t0: [16:00:00 15/11/2012] id: INV Line#1 Type/Site el: 0 cu: CSRU cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [16:00:00 15/11/2012] id: INV Line#2 Type/Site el: 0 cu: CSRU cg: RN v1: PICC line v2: Left Brachial st: NotStopd t0: [16:00:00 15/11/2012] id: INV Line#3 Type/Site el: 0 cu: CSRU cg: RN v1: Trauma Line v2: Right IJ st: NotStopd t0: [16:00:00 15/11/2012] id: Urine Source el: 0 cu: CSRU cg: RN v1: Indwelling Cath st: NotStopd
t0: [16:00:00 15/11/2012] tf: [20:03:00 18/11/2012] dt: 4563 id: OR Crystalloid OR Intake el: 1 cu: CSRU cg: RN ai: 124 vo: 2000 vu: ml t0: [16:00:00 15/11/2012] tf: [20:03:00 18/11/2012] dt: 4563 id: OR FFP OR Intake el: 1 cu: CSRU cg: RN ai: 158 vo: 1600 vu: ml t0: [16:00:00 15/11/2012] tf: [20:03:00 18/11/2012] dt: 4563 id: OR Packed RBC's OR Intake el: 1 cu: CSRU cg: RN ai: 172 vo: 1875 vu: ml t0: [16:00:00 15/11/2012] tf: [20:03:00 18/11/2012] dt: 4563 id: OR Platelets OR Intake el: 1 cu: CSRU cg: RN ai: 224 vo: 600 vu: ml t0: [16:00:00 15/11/2012] tf: [20:03:00 18/11/2012] dt: 4563 id: OR Out OR Urine el: 1 cu: CSRU cg: RN vo: 1500 vu: ml t0: [16:00:00 15/11/2012] tf: [20:03:00 18/11/2012] dt: 4563 id: OR Out EBL el: 1 cu: CSRU cg: RN vo: 1200 vu: ml t0: [16:00:00 15/11/2012] tf: [20:03:00 18/11/2012] dt: 4563 id: Drain Out #1 Jackson Pratt el: 1 cu: CSRU cg: RN vo: 205 vu: ml
io: D5/.45NS IV Infusions el: 1 cu: CSRU cg: RN ra: 50 ru: ml/hr
tf: [12:00:00 16/11/2012] pt: Unit Dose rt: IV DRIP fr: TITRATE TO m1: Propofol (Generic) v1: 1000 u1: mg tf: [16:00:00 16/11/2012] pt: IV Piggyback rt: IV fr: ONCE fs: 17 dn: 1 m1: Potassium Chloride v1: 40 u1: mEq m2: SW v2: 100 u2: ml
id: Gastric Meds el: 1 cu: CSRU cg: RN io: Gastric Meds PO/Gastric du: ml rt: Gastric/Feeding Tube id: D5/.45NS el: 1 cu: CSRU cg: RN io: D5/.45NS IV Infusions du: ml rt: Intravenous Push id: Cryoprecipitate el: 1 cu: CSRU cg: RN io: Cryoprecipitate IV Drips du: ml rt: Intravenous Push
t0: [17:31:00 15/11/2012] id: PACU Crystalloids PACU Intake el: 1 cu: CSRU cg: -1 ai: 125 vo: 0 st: D/C'd t0: [17:31:00 15/11/2012] id: PACU Out PACU Urine el: 1 cu: CSRU cg: -1 vo: 0 st: D/C'd
t0: [17:35:00 15/11/2012] id: Compliance (40-60ml) el: 0 cu: CSRU cg: RRT v1: 29.0323 u1: ml/cmH st: NotStopd t0: [17:35:00 15/11/2012] id: ETT Mark/Location el: 0 cu: CSRU cg: RRT v1: 22cm v2: Lip st: NotStopd t0: [17:35:00 15/11/2012] id: FiO2 Set el: 0 cu: CSRU cg: RRT v1: 0.5 u1: torr st: NotStopd t0: [17:35:00 15/11/2012] id: High Insp. Pressure el: 0 cu: CSRU cg: RRT v1: 50 u1: cmH2O st: NotStopd t0: [17:35:00 15/11/2012] id: High Resp. Rate el: 0 cu: CSRU cg: RRT v1: 40 u1: BPM st: NotStopd t0: [17:35:00 15/11/2012] id: I:E Ratio el: 0 cu: CSRU cg: RRT v1: 1:6.5 st: NotStopd t0: [17:35:00 15/11/2012] id: Airway Size el: 0 cu: CSRU cg: RRT v1: 8.0 mm st: NotStopd t0: [17:35:00 15/11/2012] id: Airway Type el: 0 cu: CSRU cg: RRT v1: Endotracheal st: NotStopd t0: [17:35:00 15/11/2012] id: Inspired Gas Temp el: 0 cu: CSRU cg: RRT u1: Deg. C st: NotStopd t0: [17:35:00 15/11/2012] id: Intubation Date el: 0 cu: CSRU cg: RRT v1: 10 v2: 23 st: NotStopd t0: [17:35:00 15/11/2012] id: Low Exhaled Min Vol el: 0 cu: CSRU cg: RRT v1: 5 st: NotStopd t0: [17:35:00 15/11/2012] id: Mean Airway Pressure el: 0 cu: CSRU cg: RRT v1: 9 u1: cmH2O st: NotStopd t0: [17:35:00 15/11/2012] id: Minute Volume(Obser) el: 0 cu: CSRU cg: RRT v1: 7 u1: L/min st: NotStopd t0: [17:35:00 15/11/2012] id: PEEP Set el: 0 cu: CSRU cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [17:35:00 15/11/2012] id: Apnea Time Interval el: 0 cu: CSRU cg: RRT v1: 20 st: NotStopd t0: [17:35:00 15/11/2012] id: Peak Insp. Pressure el: 0 cu: CSRU cg: RRT v1: 36 u1: cmH2O st: NotStopd t0: [17:35:00 15/11/2012] id: Plateau Pressure el: 0 cu: CSRU cg: RRT v1: 24 u1: cmH2O st: NotStopd t0: [17:35:00 15/11/2012] id: Plateau-Off el: 0 cu: CSRU cg: RRT v1: Yes st: NotStopd t0: [17:35:00 15/11/2012] id: Pressure Support el: 0 cu: CSRU cg: RRT v1: 5 u1: . st: NotStopd t0: [17:35:00 15/11/2012] id: Resp Rate (Spont) el: 0 cu: CSRU cg: RRT v1: 0 u1: BPM st: NotStopd t0: [17:35:00 15/11/2012] id: Resp Rate (Total) el: 0 cu: CSRU cg: RRT v1: 8 u1: BPM st: NotStopd t0: [17:35:00 15/11/2012] id: Respiratory Rate Set el: 0 cu: CSRU cg: RRT v1: 8 u1: BPM st: NotStopd t0: [17:35:00 15/11/2012] id: Sensitivity-Vent el: 0 cu: CSRU cg: RRT v1: 2 u1: cmH2O st: NotStopd t0: [17:35:00 15/11/2012] id: Sputum Color/Consist el: 0 cu: CSRU cg: RRT v1: Rusty v2: Thick st: NotStopd t0: [17:35:00 15/11/2012] id: Sputum Source/Amt el: 0 cu: CSRU cg: RRT v1: Suctioned v2: Moderate st: NotStopd t0: [17:35:00 15/11/2012] id: Tidal Volume (Obser) el: 0 cu: CSRU cg: RRT v1: 875 u1: ml/B st: NotStopd t0: [17:35:00 15/11/2012] id: Tidal Volume (Set) el: 0 cu: CSRU cg: RRT v1: 900 u1: ml/B st: NotStopd t0: [17:35:00 15/11/2012] id: Ventilator Mode el: 0 cu: CSRU cg: RRT v1: SIMV+PS st: NotStopd t0: [17:35:00 15/11/2012] id: Ventilator Type el: 0 cu: CSRU cg: RRT v1: Drager st: NotStopd t0: [17:35:00 15/11/2012] id: Waveform-Vent el: 0 cu: CSRU cg: RRT v1: RAMP st: NotStopd
t0: [17:45:00 15/11/2012] id: Pain Present el: 0 cu: CSRU cg: RN v1: No st: NotStopd t0: [17:45:00 15/11/2012] id: Pain Assess Method el: 0 cu: CSRU cg: RN v1: Change in Vitals st: NotStopd t0: [17:45:00 15/11/2012] id: PainLevel Acceptable el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [17:45:00 15/11/2012] id: Service Type el: 0 cu: CSRU cg: RN v1: NSICU st: NotStopd t0: [17:45:00 15/11/2012] id: CVP el: 0 cu: CSRU cg: RN v1: 10 u1: mmHg st: NotStopd t0: [17:45:00 15/11/2012] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [17:45:00 15/11/2012] id: Riker-SAS Scale el: 0 cu: CSRU cg: RN v1: Very Sedated st: NotStopd t0: [17:45:00 15/11/2012] id: Readmit <48 hrs el: 0 cu: CSRU cg: RN v1: No st: NotStopd t0: [17:45:00 15/11/2012] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [17:45:00 15/11/2012] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 73 u1: BPM st: NotStopd t0: [17:45:00 15/11/2012] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [17:45:00 15/11/2012] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 133 u1: mmHg v2: 56 u2: mmHg st: NotStopd t0: [17:45:00 15/11/2012] id: Pain Location el: 0 cu: CSRU cg: RN v1: Not Indicated st: NotStopd t0: [17:45:00 15/11/2012] id: Pain Management el: 1 cu: CSRU cg: RN v1: IV Gtt st: NotStopd t0: [17:45:00 15/11/2012] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 79 u1: mmHg st: NotStopd t0: [17:45:00 15/11/2012] id: Precautions el: 0 cu: CSRU cg: RN v1: Contact st: NotStopd t0: [17:45:00 15/11/2012] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 8 u1: BPM st: NotStopd t0: [17:45:00 15/11/2012] id: SpO2 el: 0 cu: CSRU cg: RN v1: 99 u1: % st: NotStopd t0: [17:45:00 15/11/2012] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [17:45:00 15/11/2012] tf: [20:03:00 18/11/2012] dt: 4458 id: Cryoprecipitate IV Drips el: 1 cu: CSRU cg: RN ai: -1 vo: 150 vu: ml t0: [17:45:00 15/11/2012] id: Drain Out #1 Jackson Pratt el: 1 cu: CSRU cg: RN vo: 45 vu: ml
t0: [17:45:00 15/11/2012] tf: [20:00:00 16/11/2012] dt: 1575 id: Fentanyl el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 250 su: ml rt: IV Drip t0: [17:45:00 15/11/2012] tf: [11:00:00 16/11/2012] dt: 1035 id: Propofol el: 1 cu: CSRU cg: RN so: N/A vo: 0 v1: 50 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [18:00:00 15/11/2012] id: Service Type el: 0 cu: CSRU cg: RN v1: NSICU st: NotStopd t0: [18:00:00 15/11/2012] id: CVP el: 0 cu: CSRU cg: RN v1: 10 u1: mmHg st: NotStopd t0: [18:00:00 15/11/2012] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [18:00:00 15/11/2012] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [18:00:00 15/11/2012] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 70 u1: BPM st: NotStopd t0: [18:00:00 15/11/2012] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [18:00:00 15/11/2012] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 134 u1: mmHg v2: 57 u2: mmHg st: NotStopd t0: [18:00:00 15/11/2012] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 79 u1: mmHg st: NotStopd t0: [18:00:00 15/11/2012] id: Precautions el: 0 cu: CSRU cg: RN v1: Contact st: NotStopd t0: [18:00:00 15/11/2012] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 8 u1: BPM st: NotStopd t0: [18:00:00 15/11/2012] id: SpO2 el: 0 cu: CSRU cg: RN v1: 96 u1: % st: NotStopd t0: [18:00:00 15/11/2012] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [17:30:00 15/11/2012] tf: [17:31:00 15/11/2012] dt: 1 id: PACU Crystalloids PACU Intake el: 1 cu: CSRU cg: RN ai: 125 vo: 700 vu: ml t0: [17:30:00 15/11/2012] tf: [17:31:00 15/11/2012] dt: 1 id: PACU Out PACU Urine el: 1 cu: CSRU cg: RN vo: 430 vu: ml t0: [17:30:00 15/11/2012] id: Drain Out #1 Jackson Pratt el: 1 cu: CSRU cg: RN vo: 35 vu: ml t0: [17:45:00 15/11/2012] id: D5/.45NS IV Infusions el: 1 cu: CSRU cg: RN ai: 112 vo: 0 vu: ml t0: [17:45:00 15/11/2012] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: CSRU cg: RN ai: 126 vo: 0 vu: ml t0: [17:45:00 15/11/2012] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: CSRU cg: RN ai: 416 vo: 0 vu: ml
t0: [18:00:00 15/11/2012] id: Fentanyl el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 250 su: ml rt: IV Drip t0: [18:00:00 15/11/2012] id: Propofol el: 1 cu: CSRU cg: RN so: N/A vo: 0 v1: 50 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [18:00:00 15/11/2012] id: Imp Skin Cleanse #1 el: 0 cu: CSRU cg: -1 st: D/C'd t0: [18:00:00 15/11/2012] id: ImpSkin Character #1 el: 0 cu: CSRU cg: -1 st: D/C'd t0: [18:00:00 15/11/2012] id: ImpSkin Treatment #1 el: 0 cu: CSRU cg: -1 st: D/C'd t0: [18:00:00 15/11/2012] id: ImpSkin Wound Base#1 el: 0 cu: CSRU cg: -1 st: D/C'd t0: [18:00:00 15/11/2012] id: Impaired Skin Site#1 el: 0 cu: CSRU cg: -1 st: D/C'd
t0: [18:00:00 15/11/2012] tf: [20:03:00 18/11/2012] dt: 4443 id: D5/.45NS IV Infusions el: 1 cu: CSRU cg: RN ai: 112 vo: 12.5 vu: ml t0: [18:00:00 15/11/2012] tf: [11:00:00 16/11/2012] dt: 1020 id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: CSRU cg: RN ai: 126 vo: 6.315 vu: ml t0: [18:00:00 15/11/2012] tf: [20:00:00 16/11/2012] dt: 1560 id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: CSRU cg: RN ai: 416 vo: 1.25 vu: ml
t0: [18:06:00 15/11/2012] id: Fibrinogen Coags el: 0 cu: CSRU cg: 3161 v1: 247 rs: Final st: NotStopd t0: [18:06:00 15/11/2012] id: Fibrinogen (150-400) Coags el: 0 cu: CSRU cg: 3161 v1: 247 rs: Final st: NotStopd
t0: [18:06:00 15/11/2012] id: PT el: 0 cu: CSRU cg: 3161 v1: 15.2 rs: Final st: NotStopd t0: [18:06:00 15/11/2012] id: INR Coags el: 0 cu: CSRU cg: 3161 v1: 1.5 rs: Final st: NotStopd t0: [18:06:00 15/11/2012] id: PTT Coags el: 0 cu: CSRU cg: 3161 v1: 37.4 rs: Final st: NotStopd t0: [18:06:00 15/11/2012] id: INR (2-4 ref. range) Coags el: 0 cu: CSRU cg: 3161 v1: 1.5 rs: Final st: NotStopd t0: [18:06:00 15/11/2012] id: PT(11-13.5) Coags el: 0 cu: CSRU cg: 3161 v1: 15.2 rs: Final st: NotStopd t0: [18:06:00 15/11/2012] id: PTT(22-35) Coags el: 0 cu: CSRU cg: 3161 v1: 37.4 rs: Final st: NotStopd
t0: [16:00:00 15/11/2012] id: INV Line#1 Zero/Cal el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [16:00:00 15/11/2012] id: INV Line#1SiteAppear el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [16:00:00 15/11/2012] id: INV Line#2InsertDate el: 0 cu: CSRU cg: RN v1: 10 v2: 8 st: NotStopd t0: [16:00:00 15/11/2012] id: INV Line#2SiteAppear el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [16:00:00 15/11/2012] id: INV Line#3InsertDate el: 0 cu: CSRU cg: RN v1: 10 v2: 23 st: NotStopd t0: [16:00:00 15/11/2012] id: INV Line#3SiteAppear el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [16:00:00 15/11/2012] id: INV#1 WaveformAppear el: 0 cu: CSRU cg: RN v1: Sharp st: NotStopd t0: [16:00:00 15/11/2012] id: INV#3 WaveformAppear el: 0 cu: CSRU cg: RN v1: Sharp st: NotStopd t0: [16:00:00 15/11/2012] id: IV #1 Insert Date el: 0 cu: CSRU cg: RN v1: 10 v2: 21 st: NotStopd t0: [16:00:00 15/11/2012] id: IV #1 Site/Size el: 0 cu: CSRU cg: RN v1: RU Ant Forearm v2: 18 gauge st: NotStopd t0: [16:00:00 15/11/2012] id: IV #2 Insert Date el: 0 cu: CSRU cg: RN v1: 10 v2: 23 st: NotStopd t0: [16:00:00 15/11/2012] id: IV #2 Site/Size el: 0 cu: CSRU cg: RN v1: Left Hand v2: 16 gauge st: NotStopd t0: [16:00:00 15/11/2012] id: IV #3 Insert Date el: 0 cu: CSRU cg: RN v1: 10 v2: 23 st: NotStopd t0: [16:00:00 15/11/2012] id: IV #3 Site/Size el: 0 cu: CSRU cg: RN v1: Right Antecub v2: 14 gauge st: NotStopd t0: [16:00:00 15/11/2012] id: IV Site Appear #1 el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [16:00:00 15/11/2012] id: IV Site Appear #2 el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [16:00:00 15/11/2012] id: IV Site Appear #3 el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd
t0: [18:00:00 15/11/2012] id: Eye Opening el: 0 cu: CSRU cg: RN v1: 1 No Response st: NotStopd t0: [18:00:00 15/11/2012] id: GCS Total el: 0 cu: CSRU cg: RN v1: 3 u1: points st: NotStopd t0: [18:00:00 15/11/2012] id: Level of Conscious el: 0 cu: CSRU cg: RN v1: Sedated st: NotStopd t0: [18:00:00 15/11/2012] id: Motor Response el: 0 cu: CSRU cg: RN v1: 1 No Response st: NotStopd t0: [18:00:00 15/11/2012] id: Orientation el: 0 cu: CSRU cg: RN v1: Other/Remarks st: NotStopd t0: [18:00:00 15/11/2012] id: Verbal Response el: 0 cu: CSRU cg: RN v1: 1.0 ET/Trach st: NotStopd
t0: [17:00:00 15/11/2012] id: Daily Weight el: 0 cu: CSRU cg: RN v1: 101.2 u1: kg st: NotStopd t0: [17:45:00 15/11/2012] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 101.2 u1: kg st: NotStopd t0: [18:00:00 15/11/2012] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 101.2 u1: kg st: NotStopd
t0: [18:00:00 15/11/2012] id: GI Prophylaxis el: 0 cu: CSRU cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [18:00:00 15/11/2012] id: Diet Type el: 0 cu: CSRU cg: RN v1: NPO st: NotStopd t0: [18:00:00 15/11/2012] id: Dorsal PedPulse R/L el: 0 cu: CSRU cg: RN v1: Diff to Palpate v2: Diff to Palpate st: NotStopd t0: [18:00:00 15/11/2012] id: Follows Commands el: 0 cu: CSRU cg: RN v1: No st: NotStopd t0: [18:00:00 15/11/2012] id: HOB el: 0 cu: CSRU cg: RN v1: 30 degrees st: NotStopd t0: [18:00:00 15/11/2012] id: Abdominal Assessment el: 0 cu: CSRU cg: RN v1: Soft st: NotStopd t0: [18:00:00 15/11/2012] id: Activity el: 0 cu: CSRU cg: RN v1: Bedrest st: NotStopd t0: [18:00:00 15/11/2012] id: Activity Tolerance el: 0 cu: CSRU cg: RN v1: Tolerated Well st: NotStopd t0: [18:00:00 15/11/2012] id: Inc Closure/Appear#1 el: 0 cu: CSRU cg: RN v1: Other/Remarks v2: Pink st: NotStopd t0: [18:00:00 15/11/2012] id: Inc Drainage/Amt #1 el: 0 cu: CSRU cg: RN v1: Serosanguinous v2: Small st: NotStopd t0: [18:00:00 15/11/2012] id: Inc Dsg/Status #1 el: 0 cu: CSRU cg: RN v1: Dry Sterile Dsg v2: Intact st: NotStopd t0: [18:00:00 15/11/2012] id: Incision/Wound #1 el: 0 cu: CSRU cg: RN v1: Abdominal st: NotStopd t0: [18:00:00 15/11/2012] id: LLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [18:00:00 15/11/2012] id: LUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [18:00:00 15/11/2012] id: Oral Cavity el: 0 cu: CSRU cg: RN v1: Bleeding Gum st: NotStopd t0: [18:00:00 15/11/2012] id: AntiEmbDevice/Status el: 0 cu: CSRU cg: RN v1: Compress Sleeves v2: Off st: NotStopd t0: [18:00:00 15/11/2012] id: Position el: 0 cu: CSRU cg: RN v1: Supine st: NotStopd t0: [18:00:00 15/11/2012] id: PostTib. Pulses R/L el: 0 cu: CSRU cg: RN v1: Diff to Palpate v2: Diff to Palpate st: NotStopd t0: [18:00:00 15/11/2012] id: Assistance Device el: 0 cu: CSRU cg: RN v1: 2 Person Assist st: NotStopd t0: [18:00:00 15/11/2012] id: PressSoreTreatment#1 el: 0 cu: CSRU cg: RN v1: Transparent st: NotStopd t0: [18:00:00 15/11/2012] id: PressSoreWoundBase#1 el: 0 cu: CSRU cg: RN v1: Red st: NotStopd t0: [18:00:00 15/11/2012] id: Pressure Sore Site#1 el: 0 cu: CSRU cg: RN v1: Coccyx st: NotStopd t0: [18:00:00 15/11/2012] id: Pupil Response R/L el: 0 cu: CSRU cg: RN v1: Nonreactive v2: Nonreactive st: NotStopd t0: [18:00:00 15/11/2012] id: Pupil Size R/L el: 0 cu: CSRU cg: RN v1: 2 mm v2: 2 mm st: NotStopd t0: [18:00:00 15/11/2012] id: RLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [18:00:00 15/11/2012] id: RUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [18:00:00 15/11/2012] id: Respiratory Pattern el: 0 cu: CSRU cg: RN v1: Regular st: NotStopd t0: [18:00:00 15/11/2012] id: Side Rails el: 0 cu: CSRU cg: RN v1: Side Rails Up st: NotStopd t0: [18:00:00 15/11/2012] id: Skin Care el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [18:00:00 15/11/2012] id: Skin Color el: 0 cu: CSRU cg: RN v1: Normal for Race st: NotStopd t0: [18:00:00 15/11/2012] id: Skin Integrity el: 0 cu: CSRU cg: RN v1: Impaired st: NotStopd t0: [18:00:00 15/11/2012] id: Skin Temp/Condition el: 0 cu: CSRU cg: RN v1: Warm v2: Dry st: NotStopd t0: [18:00:00 15/11/2012] id: Spontaneous Movement el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [18:00:00 15/11/2012] id: Support Systems el: 0 cu: CSRU cg: RN v1: Spouse st: NotStopd t0: [18:00:00 15/11/2012] id: Turn el: 0 cu: CSRU cg: RN v1: Side to Side st: NotStopd t0: [18:00:00 15/11/2012] id: Urine Color/Appear el: 0 cu: CSRU cg: RN v1: Yellow v2: Cloudy st: NotStopd t0: [18:00:00 15/11/2012] id: Urine Source el: 0 cu: CSRU cg: RN v1: Indwelling Cath st: NotStopd t0: [18:00:00 15/11/2012] id: Back Care el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [18:00:00 15/11/2012] id: Bowel Sounds el: 0 cu: CSRU cg: RN v1: Absent st: NotStopd t0: [18:00:00 15/11/2012] id: Braden Activity el: 0 cu: CSRU cg: RN v1: Bedfast st: NotStopd t0: [18:00:00 15/11/2012] id: Braden Frict/Shear el: 0 cu: CSRU cg: RN v1: Potential Prob st: NotStopd t0: [18:00:00 15/11/2012] id: Braden Mobility el: 0 cu: CSRU cg: RN v1: Very Limited st: NotStopd t0: [18:00:00 15/11/2012] id: Braden Moisture el: 0 cu: CSRU cg: RN v1: Occ. Moist st: NotStopd t0: [18:00:00 15/11/2012] id: Braden Nutrition el: 0 cu: CSRU cg: RN v1: Prob. Inadequate st: NotStopd t0: [18:00:00 15/11/2012] id: Braden Score el: 0 cu: CSRU cg: RN v1: 12 u1: number st: NotStopd t0: [18:00:00 15/11/2012] id: Braden SensoryPercep el: 0 cu: CSRU cg: RN v1: Very Limited st: NotStopd
t0: [17:00:00 15/11/2012] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Oral st: NotStopd t0: [17:00:00 15/11/2012] id: Temperature C (calc) el: 0 cu: CSRU cg: RN v1: 37.0556 u1: Deg. C st: NotStopd t0: [17:00:00 15/11/2012] id: Temperature F el: 0 cu: CSRU cg: RN v1: 98.7 u1: Deg. F st: NotStopd
t0: [19:00:00 15/11/2012] id: D5/.45NS IV Infusions el: 1 cu: CSRU cg: RN ai: 112 vo: 50 vu: ml t0: [19:00:00 15/11/2012] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: CSRU cg: RN ai: 126 vo: 25.26 vu: ml t0: [19:00:00 15/11/2012] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: CSRU cg: RN ai: 416 vo: 5 vu: ml
t0: [20:00:00 15/11/2012] id: D5/.45NS IV Infusions el: 1 cu: CSRU cg: RN ai: 112 vo: 50 vu: ml t0: [20:00:00 15/11/2012] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: CSRU cg: RN ai: 126 vo: 25.26 vu: ml t0: [20:00:00 15/11/2012] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: CSRU cg: RN ai: 416 vo: 5 vu: ml t0: [20:00:00 15/11/2012] id: Drain Out #1 Jackson Pratt el: 1 cu: CSRU cg: RN vo: 40 vu: ml
t0: [19:00:00 15/11/2012] id: Service Type el: 0 cu: CSRU cg: RN v1: NSICU st: NotStopd t0: [19:00:00 15/11/2012] id: CVP el: 0 cu: CSRU cg: RN v1: 9 u1: mmHg st: NotStopd t0: [19:00:00 15/11/2012] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [19:00:00 15/11/2012] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [19:00:00 15/11/2012] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 67 u1: BPM st: NotStopd t0: [19:00:00 15/11/2012] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [19:00:00 15/11/2012] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 130 u1: mmHg v2: 56 u2: mmHg st: NotStopd t0: [19:00:00 15/11/2012] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 77 u1: mmHg st: NotStopd t0: [19:00:00 15/11/2012] id: Precautions el: 0 cu: CSRU cg: RN v1: Contact st: NotStopd t0: [19:00:00 15/11/2012] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 101.2 u1: kg st: NotStopd t0: [19:00:00 15/11/2012] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 8 u1: BPM st: NotStopd t0: [19:00:00 15/11/2012] id: SpO2 el: 0 cu: CSRU cg: RN v1: 99 u1: % st: NotStopd t0: [19:00:00 15/11/2012] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [20:00:00 15/11/2012] id: Service Type el: 0 cu: CSRU cg: RN v1: NSICU st: NotStopd t0: [20:00:00 15/11/2012] id: CVP el: 0 cu: CSRU cg: RN v1: 11 u1: mmHg st: NotStopd t0: [20:00:00 15/11/2012] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [20:00:00 15/11/2012] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [20:00:00 15/11/2012] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 65 u1: BPM st: NotStopd t0: [20:00:00 15/11/2012] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [20:00:00 15/11/2012] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 132 u1: mmHg v2: 56 u2: mmHg st: NotStopd t0: [20:00:00 15/11/2012] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 77 u1: mmHg st: NotStopd t0: [20:00:00 15/11/2012] id: Precautions el: 0 cu: CSRU cg: RN v1: Contact st: NotStopd t0: [20:00:00 15/11/2012] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 101.2 u1: kg st: NotStopd t0: [20:00:00 15/11/2012] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 8 u1: BPM st: NotStopd t0: [20:00:00 15/11/2012] id: SpO2 el: 0 cu: CSRU cg: RN v1: 97 u1: % st: NotStopd t0: [20:00:00 15/11/2012] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Oral st: NotStopd t0: [20:00:00 15/11/2012] id: Temperature C (calc) el: 0 cu: CSRU cg: RN v1: 36.7222 u1: Deg. C st: NotStopd t0: [20:00:00 15/11/2012] id: Temperature F el: 0 cu: CSRU cg: RN v1: 98.1 u1: Deg. F st: NotStopd t0: [20:00:00 15/11/2012] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [19:00:00 15/11/2012] id: Fentanyl el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 250 su: ml rt: IV Drip t0: [19:00:00 15/11/2012] id: Propofol el: 1 cu: CSRU cg: RN so: N/A vo: 0 v1: 40 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [20:00:00 15/11/2012] id: Fentanyl el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 250 su: ml rt: IV Drip t0: [20:00:00 15/11/2012] id: Propofol el: 1 cu: CSRU cg: RN so: N/A vo: 0 v1: 40 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [20:00:00 15/11/2012] id: Compliance (40-60ml) el: 0 cu: CSRU cg: RRT v1: 34.6154 u1: ml/cmH st: NotStopd t0: [20:00:00 15/11/2012] id: ETT Mark/Location el: 0 cu: CSRU cg: RRT v1: 22cm v2: Lip st: NotStopd t0: [20:00:00 15/11/2012] id: FiO2 Set el: 0 cu: CSRU cg: RRT v1: 0.5 u1: torr st: NotStopd t0: [20:00:00 15/11/2012] id: High Insp. Pressure el: 0 cu: CSRU cg: RRT v1: 50 u1: cmH2O st: NotStopd t0: [20:00:00 15/11/2012] id: High Resp. Rate el: 0 cu: CSRU cg: RRT v1: 40 u1: BPM st: NotStopd t0: [20:00:00 15/11/2012] id: Airway Size el: 0 cu: CSRU cg: RRT v1: 8.0 mm st: NotStopd t0: [20:00:00 15/11/2012] id: Airway Type el: 0 cu: CSRU cg: RRT v1: Endotracheal st: NotStopd t0: [20:00:00 15/11/2012] id: Intubation Date el: 0 cu: CSRU cg: RRT v1: 10 v2: 23 st: NotStopd t0: [20:00:00 15/11/2012] id: Low Exhaled Min Vol el: 0 cu: CSRU cg: RRT v1: 5 st: NotStopd t0: [20:00:00 15/11/2012] id: Mean Airway Pressure el: 0 cu: CSRU cg: RRT v1: 9 u1: cmH2O st: NotStopd t0: [20:00:00 15/11/2012] id: Minute Volume(Obser) el: 0 cu: CSRU cg: RRT v1: 7.3 u1: L/min st: NotStopd t0: [20:00:00 15/11/2012] id: PEEP Set el: 0 cu: CSRU cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [20:00:00 15/11/2012] id: Apnea Time Interval el: 0 cu: CSRU cg: RRT v1: 20 st: NotStopd t0: [20:00:00 15/11/2012] id: Peak Insp. Pressure el: 0 cu: CSRU cg: RRT v1: 31 u1: cmH2O st: NotStopd t0: [20:00:00 15/11/2012] id: Plateau Pressure el: 0 cu: CSRU cg: RRT v1: 21 u1: cmH2O st: NotStopd t0: [20:00:00 15/11/2012] id: Plateau-Off el: 0 cu: CSRU cg: RRT v1: Yes st: NotStopd t0: [20:00:00 15/11/2012] id: Pressure Support el: 0 cu: CSRU cg: RRT v1: 5 u1: . st: NotStopd t0: [20:00:00 15/11/2012] id: Resp Rate (Spont) el: 0 cu: CSRU cg: RRT v1: 0 u1: BPM st: NotStopd t0: [20:00:00 15/11/2012] id: Resp Rate (Total) el: 0 cu: CSRU cg: RRT v1: 8 u1: BPM st: NotStopd t0: [20:00:00 15/11/2012] id: Respiratory Rate Set el: 0 cu: CSRU cg: RRT v1: 8 u1: BPM st: NotStopd t0: [20:00:00 15/11/2012] id: Sensitivity-Vent el: 0 cu: CSRU cg: RRT v1: 2 u1: cmH2O st: NotStopd t0: [20:00:00 15/11/2012] id: Tidal Volume (Obser) el: 0 cu: CSRU cg: RRT v1: 898 u1: ml/B st: NotStopd t0: [20:00:00 15/11/2012] id: Tidal Volume (Set) el: 0 cu: CSRU cg: RRT v1: 900 u1: ml/B st: NotStopd t0: [20:00:00 15/11/2012] id: Ventilator Mode el: 0 cu: CSRU cg: RRT v1: SIMV+PS st: NotStopd t0: [20:00:00 15/11/2012] id: Ventilator Type el: 0 cu: CSRU cg: RRT v1: Drager st: NotStopd t0: [20:00:00 15/11/2012] id: Waveform-Vent el: 0 cu: CSRU cg: RRT v1: RAMP st: NotStopd
t0: [19:55:00 15/11/2012] id: Art.pH ABG el: 0 cu: CSRU cg: 3161 v1: 7.44 rs: Final st: NotStopd t0: [19:55:00 15/11/2012] id: Arterial Base Excess ABG el: 0 cu: CSRU cg: 3161 v1: 0 rs: Final st: NotStopd t0: [19:55:00 15/11/2012] id: Arterial CO2(Calc) ABG el: 0 cu: CSRU cg: 3161 v1: 25 rs: Final st: NotStopd t0: [19:55:00 15/11/2012] id: Arterial PaCO2 ABG el: 0 cu: CSRU cg: 3161 v1: 36 u1: mmHg rs: Final st: NotStopd t0: [19:55:00 15/11/2012] id: Arterial PaO2 ABG el: 0 cu: CSRU cg: 3161 v1: 97 u1: mmHg rs: Final st: NotStopd t0: [19:55:00 15/11/2012] id: Arterial pH ABG el: 0 cu: CSRU cg: 3161 v1: 7.44 rs: Final st: NotStopd
t0: [19:55:00 15/11/2012] id: CaO2 el: 0 cu: CSRU cg: 3161 v1: 15.7965 u1: ml/dl st: NotStopd t0: [19:55:00 15/11/2012] id: SaO2 ABG's el: 0 cu: CSRU cg: 3161 v1: 98 u1: % rs: Final st: NotStopd
t0: [19:56:00 15/11/2012] id: PT el: 0 cu: CSRU cg: 3161 v1: 14.8 rs: Final st: NotStopd t0: [19:56:00 15/11/2012] id: Fibrinogen Coags el: 0 cu: CSRU cg: 3161 v1: 249 rs: Final st: NotStopd t0: [19:56:00 15/11/2012] id: INR Coags el: 0 cu: CSRU cg: 3161 v1: 1.5 rs: Final st: NotStopd t0: [19:56:00 15/11/2012] id: PTT Coags el: 0 cu: CSRU cg: 3161 v1: 39.6 rs: Final st: NotStopd t0: [19:56:00 15/11/2012] id: Fibrinogen (150-400) Coags el: 0 cu: CSRU cg: 3161 v1: 249 rs: Final st: NotStopd t0: [19:56:00 15/11/2012] id: INR (2-4 ref. range) Coags el: 0 cu: CSRU cg: 3161 v1: 1.5 rs: Final st: NotStopd t0: [19:56:00 15/11/2012] id: PT(11-13.5) Coags el: 0 cu: CSRU cg: 3161 v1: 14.8 rs: Final st: NotStopd t0: [19:56:00 15/11/2012] id: PTT(22-35) Coags el: 0 cu: CSRU cg: 3161 v1: 39.6 rs: Final st: NotStopd
t0: [19:56:00 15/11/2012] id: WBC (4-11,000) Hematology el: 0 cu: CSRU cg: 3161 v1: 21.6 rs: Final st: NotStopd t0: [19:56:00 15/11/2012] id: WBC Hematology el: 0 cu: CSRU cg: 3161 v1: 21.6 rs: Final st: NotStopd t0: [19:56:00 15/11/2012] id: Hematocrit Hematology el: 0 cu: CSRU cg: 3161 v1: 36.1 u1: % rs: Final st: NotStopd t0: [19:56:00 15/11/2012] id: Hemoglobin Hematology el: 0 cu: CSRU cg: 3161 v1: 12.3 u1: gm/dl rs: Final st: NotStopd t0: [19:56:00 15/11/2012] id: Platelets Hematology el: 0 cu: CSRU cg: 3161 v1: 160 rs: Final st: NotStopd t0: [19:56:00 15/11/2012] id: RBC Hematology el: 0 cu: CSRU cg: 3161 v1: 4.08 u1: /mic l rs: Final st: NotStopd t0: [19:56:00 15/11/2012] id: WBC (4-11,000) Hematology el: 0 cu: CSRU cg: 3161 v1: 21.6 rs: Final st: NotStopd
t0: [19:56:00 15/11/2012] id: Magnesium Chemistry el: 0 cu: CSRU cg: 3161 v1: 1.7 rs: Final st: NotStopd t0: [19:56:00 15/11/2012] id: Potassium Chemistry el: 0 cu: CSRU cg: 3161 v1: 3.8 rs: Final st: NotStopd t0: [19:56:00 15/11/2012] id: Magnesium (1.6-2.6) Chemistry el: 0 cu: CSRU cg: 3161 v1: 1.7 rs: Final st: NotStopd t0: [19:56:00 15/11/2012] id: Potassium (3.5-5.3) Chemistry el: 0 cu: CSRU cg: 3161 v1: 3.8 rs: Final st: NotStopd
t0: [21:00:00 15/11/2012] id: Service Type el: 0 cu: CSRU cg: RN v1: NSICU st: NotStopd t0: [21:00:00 15/11/2012] id: CVP el: 0 cu: CSRU cg: RN v1: 10 u1: mmHg st: NotStopd t0: [21:00:00 15/11/2012] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [21:00:00 15/11/2012] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [21:00:00 15/11/2012] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 66 u1: BPM st: NotStopd t0: [21:00:00 15/11/2012] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [21:00:00 15/11/2012] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 126 u1: mmHg v2: 50 u2: mmHg st: NotStopd t0: [21:00:00 15/11/2012] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 71 u1: mmHg st: NotStopd t0: [21:00:00 15/11/2012] id: Precautions el: 0 cu: CSRU cg: RN v1: Contact st: NotStopd t0: [21:00:00 15/11/2012] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 101.2 u1: kg st: NotStopd t0: [21:00:00 15/11/2012] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 8 u1: BPM st: NotStopd t0: [21:00:00 15/11/2012] id: SpO2 el: 0 cu: CSRU cg: RN v1: 98 u1: % st: NotStopd t0: [21:00:00 15/11/2012] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [21:00:00 15/11/2012] id: Fentanyl el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 250 su: ml rt: IV Drip t0: [21:00:00 15/11/2012] id: Propofol el: 1 cu: CSRU cg: RN so: N/A vo: 0 v1: 40 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [21:00:00 15/11/2012] id: D5/.45NS IV Infusions el: 1 cu: CSRU cg: RN ai: 112 vo: 50 vu: ml t0: [21:00:00 15/11/2012] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: CSRU cg: RN ai: 126 vo: 20.208 vu: ml t0: [21:00:00 15/11/2012] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: CSRU cg: RN ai: 416 vo: 5 vu: ml
t0: [22:00:00 15/11/2012] id: Service Type el: 0 cu: CSRU cg: RN v1: NSICU st: NotStopd t0: [22:00:00 15/11/2012] id: CVP el: 0 cu: CSRU cg: RN v1: 12 u1: mmHg st: NotStopd t0: [22:00:00 15/11/2012] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [22:00:00 15/11/2012] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [22:00:00 15/11/2012] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 65 u1: BPM st: NotStopd t0: [22:00:00 15/11/2012] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [22:00:00 15/11/2012] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 129 u1: mmHg v2: 54 u2: mmHg st: NotStopd t0: [22:00:00 15/11/2012] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 75 u1: mmHg st: NotStopd t0: [22:00:00 15/11/2012] id: Precautions el: 0 cu: CSRU cg: RN v1: Contact st: NotStopd t0: [22:00:00 15/11/2012] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 101.2 u1: kg st: NotStopd t0: [22:00:00 15/11/2012] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 11 u1: BPM st: NotStopd t0: [22:00:00 15/11/2012] id: SpO2 el: 0 cu: CSRU cg: RN v1: 96 u1: % st: NotStopd t0: [22:00:00 15/11/2012] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [22:00:00 15/11/2012] id: D5/.45NS IV Infusions el: 1 cu: CSRU cg: RN ai: 112 vo: 50 vu: ml t0: [22:00:00 15/11/2012] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: CSRU cg: RN ai: 126 vo: 20.208 vu: ml t0: [22:00:00 15/11/2012] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: CSRU cg: RN ai: 416 vo: 5 vu: ml t0: [22:00:00 15/11/2012] id: Drain Out #1 Jackson Pratt el: 1 cu: CSRU cg: RN vo: 40 vu: ml
t0: [22:00:00 15/11/2012] id: Fentanyl el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 250 su: ml rt: IV Drip t0: [22:00:00 15/11/2012] id: Propofol el: 1 cu: CSRU cg: RN so: N/A vo: 0 v1: 40 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [23:00:00 15/11/2012] dt: 24 id: Blood Products Total el: 3 cu: CSRU cg: RN cv: 1677 ap: none t0: [23:00:00 15/11/2012] dt: 24 id: Drain #1 Total Out el: 3 cu: CSRU cg: RN cv: 365 ap: none
t0: [23:00:00 15/11/2012] id: Service Type el: 0 cu: CSRU cg: RN v1: NSICU st: NotStopd t0: [23:00:00 15/11/2012] id: CVP el: 0 cu: CSRU cg: RN v1: 12 u1: mmHg st: NotStopd t0: [23:00:00 15/11/2012] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [23:00:00 15/11/2012] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [23:00:00 15/11/2012] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 64 u1: BPM st: NotStopd t0: [23:00:00 15/11/2012] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [23:00:00 15/11/2012] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 128 u1: mmHg v2: 54 u2: mmHg st: NotStopd t0: [23:00:00 15/11/2012] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 74 u1: mmHg st: NotStopd t0: [23:00:00 15/11/2012] id: Precautions el: 0 cu: CSRU cg: RN v1: Contact st: NotStopd t0: [23:00:00 15/11/2012] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 101.2 u1: kg st: NotStopd t0: [23:00:00 15/11/2012] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 8 u1: BPM st: NotStopd t0: [23:00:00 15/11/2012] id: SpO2 el: 0 cu: CSRU cg: RN v1: 98 u1: % st: NotStopd t0: [23:00:00 15/11/2012] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [00:00:00 16/11/2012] id: Service Type el: 0 cu: CSRU cg: RN v1: NSICU st: NotStopd t0: [00:00:00 16/11/2012] id: CVP el: 0 cu: CSRU cg: RN v1: 9 u1: mmHg st: NotStopd t0: [00:00:00 16/11/2012] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [00:00:00 16/11/2012] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [00:00:00 16/11/2012] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 65 u1: BPM st: NotStopd t0: [00:00:00 16/11/2012] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [00:00:00 16/11/2012] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 120 u1: mmHg v2: 47 u2: mmHg st: NotStopd t0: [00:00:00 16/11/2012] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 66 u1: mmHg st: NotStopd t0: [00:00:00 16/11/2012] id: Precautions el: 0 cu: CSRU cg: RN v1: Contact st: NotStopd t0: [00:00:00 16/11/2012] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 101.2 u1: kg st: NotStopd t0: [00:00:00 16/11/2012] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 8 u1: BPM st: NotStopd t0: [00:00:00 16/11/2012] id: SpO2 el: 0 cu: CSRU cg: RN v1: 99 u1: % st: NotStopd t0: [00:00:00 16/11/2012] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Oral st: NotStopd t0: [00:00:00 16/11/2012] id: Temperature C (calc) el: 0 cu: CSRU cg: RN v1: 36.5556 u1: Deg. C st: NotStopd t0: [00:00:00 16/11/2012] id: Temperature F el: 0 cu: CSRU cg: RN v1: 97.8 u1: Deg. F st: NotStopd t0: [00:00:00 16/11/2012] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [23:00:00 15/11/2012] id: D5/.45NS IV Infusions el: 1 cu: CSRU cg: RN ai: 112 vo: 50 vu: ml t0: [23:00:00 15/11/2012] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: CSRU cg: RN ai: 126 vo: 20.208 vu: ml t0: [23:00:00 15/11/2012] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: CSRU cg: RN ai: 416 vo: 5 vu: ml
t0: [23:00:00 15/11/2012] id: Fentanyl el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 250 su: ml rt: IV Drip t0: [23:00:00 15/11/2012] id: Propofol el: 1 cu: CSRU cg: RN so: N/A vo: 0 v1: 50 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [00:00:00 16/11/2012] id: Fentanyl el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 250 su: ml rt: IV Drip t0: [00:00:00 16/11/2012] id: Propofol el: 1 cu: CSRU cg: RN so: N/A vo: 0 v1: 50 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [23:00:00 15/11/2012] dt: 1 id: Total Hourly Output el: 3 cu: CSRU cg: RN pv: 36 cv: 36 ap: none t0: [23:00:00 15/11/2012] dt: 1 id: Net Hourly Balance el: 3 cu: CSRU cg: RN pv: 39.208 cv: 39.208 ap: none t0: [23:00:00 15/11/2012] dt: 24 id: IV Infusion In Total el: 3 cu: CSRU cg: RN pv: 75.208 cv: 456.209 ap: none t0: [23:00:00 15/11/2012] dt: 24 id: 24h Total In el: 3 cu: CSRU cg: RN pv: 75.208 cv: 8908.21 ap: none t0: [23:00:00 15/11/2012] dt: 24 id: Urine Out Total el: 3 cu: CSRU cg: RN pv: 36 cv: 298 ap: none t0: [23:00:00 15/11/2012] dt: 24 id: 24h Net Body Balance el: 3 cu: CSRU cg: RN pv: 39.208 cv: 5115.21 ap: none t0: [23:00:00 15/11/2012] dt: 24 id: 24h Total Out el: 3 cu: CSRU cg: RN pv: 36 cv: 3793 ap: none t0: [23:00:00 15/11/2012] dt: multiple days id: LOS Net Body Balance el: 3 cu: CSRU cg: RN pv: 39.208 cv: 5115.21 ap: none
t0: [00:00:00 16/11/2012] id: D5/.45NS IV Infusions el: 1 cu: CSRU cg: RN ai: 112 vo: 50 vu: ml t0: [00:00:00 16/11/2012] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: CSRU cg: RN ai: 126 vo: 25.26 vu: ml t0: [00:00:00 16/11/2012] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: CSRU cg: RN ai: 416 vo: 5 vu: ml
t0: [00:00:00 16/11/2012] id: Compliance (40-60ml) el: 0 cu: CSRU cg: RRT v1: 33.3333 u1: ml/cmH st: NotStopd t0: [00:00:00 16/11/2012] id: ETT Mark/Location el: 0 cu: CSRU cg: RRT v1: 22cm v2: Lip st: NotStopd t0: [00:00:00 16/11/2012] id: FiO2 Set el: 0 cu: CSRU cg: RRT v1: 0.5 u1: torr st: NotStopd t0: [00:00:00 16/11/2012] id: High Insp. Pressure el: 0 cu: CSRU cg: RRT v1: 50 u1: cmH2O st: NotStopd t0: [00:00:00 16/11/2012] id: High Resp. Rate el: 0 cu: CSRU cg: RRT v1: 40 u1: BPM st: NotStopd t0: [00:00:00 16/11/2012] id: Airway Size el: 0 cu: CSRU cg: RRT v1: 8.0 mm st: NotStopd t0: [00:00:00 16/11/2012] id: Airway Type el: 0 cu: CSRU cg: RRT v1: Endotracheal st: NotStopd t0: [00:00:00 16/11/2012] id: Intubation Date el: 0 cu: CSRU cg: RRT v1: 10 v2: 23 st: NotStopd t0: [00:00:00 16/11/2012] id: Low Exhaled Min Vol el: 0 cu: CSRU cg: RRT v1: 5 st: NotStopd t0: [00:00:00 16/11/2012] id: Mean Airway Pressure el: 0 cu: CSRU cg: RRT v1: 8 u1: cmH2O st: NotStopd t0: [00:00:00 16/11/2012] id: Minute Volume(Obser) el: 0 cu: CSRU cg: RRT v1: 7.6 u1: L/min st: NotStopd t0: [00:00:00 16/11/2012] id: PEEP Set el: 0 cu: CSRU cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [00:00:00 16/11/2012] id: Apnea Time Interval el: 0 cu: CSRU cg: RRT v1: 20 st: NotStopd t0: [00:00:00 16/11/2012] id: Peak Insp. Pressure el: 0 cu: CSRU cg: RRT v1: 32 u1: cmH2O st: NotStopd t0: [00:00:00 16/11/2012] id: Plateau Pressure el: 0 cu: CSRU cg: RRT v1: 23 u1: cmH2O st: NotStopd t0: [00:00:00 16/11/2012] id: Pressure Support el: 0 cu: CSRU cg: RRT v1: 5 u1: . st: NotStopd t0: [00:00:00 16/11/2012] id: Resp Rate (Spont) el: 0 cu: CSRU cg: RRT v1: 0 u1: BPM st: NotStopd t0: [00:00:00 16/11/2012] id: Resp Rate (Total) el: 0 cu: CSRU cg: RRT v1: 8 u1: BPM st: NotStopd t0: [00:00:00 16/11/2012] id: Respiratory Rate Set el: 0 cu: CSRU cg: RRT v1: 8 u1: BPM st: NotStopd t0: [00:00:00 16/11/2012] id: Sensitivity-Vent el: 0 cu: CSRU cg: RRT v1: 2 u1: cmH2O st: NotStopd t0: [00:00:00 16/11/2012] id: Tidal Volume (Obser) el: 0 cu: CSRU cg: RRT v1: 883 u1: ml/B st: NotStopd t0: [00:00:00 16/11/2012] id: Tidal Volume (Set) el: 0 cu: CSRU cg: RRT v1: 900 u1: ml/B st: NotStopd t0: [00:00:00 16/11/2012] id: Ventilator Mode el: 0 cu: CSRU cg: RRT v1: SIMV+PS st: NotStopd t0: [00:00:00 16/11/2012] id: Ventilator Type el: 0 cu: CSRU cg: RRT v1: Drager st: NotStopd t0: [00:00:00 16/11/2012] id: Waveform-Vent el: 0 cu: CSRU cg: RRT v1: RAMP st: NotStopd
t0: [23:00:00 15/11/2012] id: Fibrinogen Coags el: 0 cu: CSRU cg: 3161 v1: 242 rs: Final st: NotStopd t0: [23:00:00 15/11/2012] id: Fibrinogen (150-400) Coags el: 0 cu: CSRU cg: 3161 v1: 242 rs: Final st: NotStopd
t0: [23:00:00 15/11/2012] id: PT el: 0 cu: CSRU cg: 3161 v1: 14.7 rs: Final st: NotStopd t0: [23:00:00 15/11/2012] id: INR Coags el: 0 cu: CSRU cg: 3161 v1: 1.4 rs: Final st: NotStopd t0: [23:00:00 15/11/2012] id: PTT Coags el: 0 cu: CSRU cg: 3161 v1: 35.6 rs: Final st: NotStopd t0: [23:00:00 15/11/2012] id: INR (2-4 ref. range) Coags el: 0 cu: CSRU cg: 3161 v1: 1.4 rs: Final st: NotStopd t0: [23:00:00 15/11/2012] id: PT(11-13.5) Coags el: 0 cu: CSRU cg: 3161 v1: 14.7 rs: Final st: NotStopd t0: [23:00:00 15/11/2012] id: PTT(22-35) Coags el: 0 cu: CSRU cg: 3161 v1: 35.6 rs: Final st: NotStopd
t0: [23:00:00 15/11/2012] id: WBC (4-11,000) Hematology el: 0 cu: CSRU cg: 3161 v1: 23 rs: Final st: NotStopd t0: [23:00:00 15/11/2012] id: WBC Hematology el: 0 cu: CSRU cg: 3161 v1: 23 rs: Final st: NotStopd t0: [23:00:00 15/11/2012] id: Hematocrit Hematology el: 0 cu: CSRU cg: 3161 v1: 34.4 u1: % rs: Final st: NotStopd t0: [23:00:00 15/11/2012] id: Hemoglobin Hematology el: 0 cu: CSRU cg: 3161 v1: 12 u1: gm/dl rs: Final st: NotStopd t0: [23:00:00 15/11/2012] id: Platelets Hematology el: 0 cu: CSRU cg: 3161 v1: 164 rs: Final st: NotStopd t0: [23:00:00 15/11/2012] id: RBC Hematology el: 0 cu: CSRU cg: 3161 v1: 3.88 u1: /mic l rs: Final st: NotStopd t0: [23:00:00 15/11/2012] id: WBC (4-11,000) Hematology el: 0 cu: CSRU cg: 3161 v1: 23 rs: Final st: NotStopd
t0: [20:00:00 15/11/2012] id: Diet Type el: 0 cu: CSRU cg: RN v1: NPO st: NotStopd t0: [20:00:00 15/11/2012] id: Eye Opening el: 0 cu: CSRU cg: RN v1: 2 To pain st: NotStopd t0: [20:00:00 15/11/2012] id: GCS Total el: 0 cu: CSRU cg: RN v1: 7 u1: points st: NotStopd t0: [20:00:00 15/11/2012] id: Incision/Wound #1 el: 0 cu: CSRU cg: RN v1: Abdominal st: NotStopd t0: [20:00:00 15/11/2012] id: Level of Conscious el: 0 cu: CSRU cg: RN v1: Sedated st: NotStopd t0: [20:00:00 15/11/2012] id: Motor Response el: 0 cu: CSRU cg: RN v1: 4 Flex-withdraws st: NotStopd t0: [20:00:00 15/11/2012] id: Orientation el: 0 cu: CSRU cg: RN v1: Other/Remarks st: NotStopd t0: [20:00:00 15/11/2012] id: Pressure Sore Site#1 el: 0 cu: CSRU cg: RN v1: Coccyx st: NotStopd t0: [20:00:00 15/11/2012] id: Respiratory Pattern el: 0 cu: CSRU cg: RN v1: Regular st: NotStopd t0: [20:00:00 15/11/2012] id: Side Rails el: 0 cu: CSRU cg: RN v1: Side Rails Up st: NotStopd t0: [20:00:00 15/11/2012] id: Support Systems el: 0 cu: CSRU cg: RN v1: Spouse st: NotStopd t0: [20:00:00 15/11/2012] id: Urine Color/Appear el: 0 cu: CSRU cg: RN v1: Icteric v2: Clear st: NotStopd t0: [20:00:00 15/11/2012] id: Urine Source el: 0 cu: CSRU cg: RN v1: Indwelling Cath st: NotStopd t0: [20:00:00 15/11/2012] id: Verbal Response el: 0 cu: CSRU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [22:00:00 15/11/2012] id: Diet Type el: 0 cu: CSRU cg: RN v1: NPO st: NotStopd t0: [22:00:00 15/11/2012] id: Eye Opening el: 0 cu: CSRU cg: RN v1: 2 To pain st: NotStopd t0: [22:00:00 15/11/2012] id: GCS Total el: 0 cu: CSRU cg: RN v1: 7 u1: points st: NotStopd t0: [22:00:00 15/11/2012] id: Incision/Wound #1 el: 0 cu: CSRU cg: RN v1: Abdominal st: NotStopd t0: [22:00:00 15/11/2012] id: Level of Conscious el: 0 cu: CSRU cg: RN v1: Sedated st: NotStopd t0: [22:00:00 15/11/2012] id: Motor Response el: 0 cu: CSRU cg: RN v1: 4 Flex-withdraws st: NotStopd t0: [22:00:00 15/11/2012] id: Orientation el: 0 cu: CSRU cg: RN v1: Other/Remarks st: NotStopd t0: [22:00:00 15/11/2012] id: Pressure Sore Site#1 el: 0 cu: CSRU cg: RN v1: Coccyx st: NotStopd t0: [22:00:00 15/11/2012] id: Respiratory Pattern el: 0 cu: CSRU cg: RN v1: Regular st: NotStopd t0: [22:00:00 15/11/2012] id: Side Rails el: 0 cu: CSRU cg: RN v1: Side Rails Up st: NotStopd t0: [22:00:00 15/11/2012] id: Support Systems el: 0 cu: CSRU cg: RN v1: Spouse st: NotStopd t0: [22:00:00 15/11/2012] id: Urine Color/Appear el: 0 cu: CSRU cg: RN v1: Icteric v2: Clear st: NotStopd t0: [22:00:00 15/11/2012] id: Urine Source el: 0 cu: CSRU cg: RN v1: Indwelling Cath st: NotStopd t0: [22:00:00 15/11/2012] id: Verbal Response el: 0 cu: CSRU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [00:00:00 16/11/2012] id: GI Prophylaxis el: 0 cu: CSRU cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [00:00:00 16/11/2012] id: Diet Type el: 0 cu: CSRU cg: RN v1: NPO st: NotStopd t0: [00:00:00 16/11/2012] id: Eye Opening el: 0 cu: CSRU cg: RN v1: 2 To pain st: NotStopd t0: [00:00:00 16/11/2012] id: GCS Total el: 0 cu: CSRU cg: RN v1: 7 u1: points st: NotStopd t0: [00:00:00 16/11/2012] id: INV Line#1 Type/Site el: 0 cu: CSRU cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [00:00:00 16/11/2012] id: INV Line#2 Type/Site el: 0 cu: CSRU cg: RN v1: PICC line v2: Left Brachial st: NotStopd t0: [00:00:00 16/11/2012] id: INV Line#2InsertDate el: 0 cu: CSRU cg: RN v1: 10 v2: 8 st: NotStopd t0: [00:00:00 16/11/2012] id: INV Line#3 Type/Site el: 0 cu: CSRU cg: RN v1: Trauma Line v2: Right IJ st: NotStopd t0: [00:00:00 16/11/2012] id: INV Line#3InsertDate el: 0 cu: CSRU cg: RN v1: 10 v2: 23 st: NotStopd t0: [00:00:00 16/11/2012] id: Abdominal Assessment el: 0 cu: CSRU cg: RN v1: Soft st: NotStopd t0: [00:00:00 16/11/2012] id: IV #1 Insert Date el: 0 cu: CSRU cg: RN v1: 10 v2: 21 st: NotStopd t0: [00:00:00 16/11/2012] id: IV #1 Site/Size el: 0 cu: CSRU cg: RN v1: RU Ant Forearm v2: 18 gauge st: NotStopd t0: [00:00:00 16/11/2012] id: IV #2 Insert Date el: 0 cu: CSRU cg: RN v1: 10 v2: 23 st: NotStopd t0: [00:00:00 16/11/2012] id: IV #2 Site/Size el: 0 cu: CSRU cg: RN v1: Left Hand v2: 16 gauge st: NotStopd t0: [00:00:00 16/11/2012] id: IV #3 Insert Date el: 0 cu: CSRU cg: RN v1: 10 v2: 23 st: NotStopd t0: [00:00:00 16/11/2012] id: IV #3 Site/Size el: 0 cu: CSRU cg: RN v1: Right Antecub v2: 14 gauge st: NotStopd t0: [00:00:00 16/11/2012] id: LLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Diminished st: NotStopd t0: [00:00:00 16/11/2012] id: LUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [00:00:00 16/11/2012] id: Level of Conscious el: 0 cu: CSRU cg: RN v1: Sedated st: NotStopd t0: [00:00:00 16/11/2012] id: Motor Response el: 0 cu: CSRU cg: RN v1: 4 Flex-withdraws st: NotStopd t0: [00:00:00 16/11/2012] id: Oral Cavity el: 0 cu: CSRU cg: RN v1: Bleeding Gum st: NotStopd t0: [00:00:00 16/11/2012] id: Orientation el: 0 cu: CSRU cg: RN v1: Other/Remarks st: NotStopd t0: [00:00:00 16/11/2012] id: RLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Diminished st: NotStopd t0: [00:00:00 16/11/2012] id: RUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [00:00:00 16/11/2012] id: Respiratory Pattern el: 0 cu: CSRU cg: RN v1: Regular st: NotStopd t0: [00:00:00 16/11/2012] id: Urine Color/Appear el: 0 cu: CSRU cg: RN v1: Icteric v2: Clear st: NotStopd t0: [00:00:00 16/11/2012] id: Urine Source el: 0 cu: CSRU cg: RN v1: Indwelling Cath st: NotStopd t0: [00:00:00 16/11/2012] id: Verbal Response el: 0 cu: CSRU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [00:00:00 16/11/2012] id: Bowel Sounds el: 0 cu: CSRU cg: RN v1: Absent st: NotStopd t0: [01:00:00 16/11/2012] id: Incision/Wound #1 el: 0 cu: CSRU cg: RN v1: Abdominal st: NotStopd t0: [01:00:00 16/11/2012] id: Pressure Sore Site#1 el: 0 cu: CSRU cg: RN v1: Coccyx st: NotStopd t0: [01:00:00 16/11/2012] id: Side Rails el: 0 cu: CSRU cg: RN v1: Side Rails Up st: NotStopd t0: [01:00:00 16/11/2012] id: Support Systems el: 0 cu: CSRU cg: RN v1: Spouse st: NotStopd
t0: [01:00:00 16/11/2012] id: D5/.45NS IV Infusions el: 1 cu: CSRU cg: RN ai: 112 vo: 50 vu: ml t0: [01:00:00 16/11/2012] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: CSRU cg: RN ai: 126 vo: 25.26 vu: ml t0: [01:00:00 16/11/2012] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: CSRU cg: RN ai: 416 vo: 5 vu: ml
t0: [01:00:00 16/11/2012] id: Service Type el: 0 cu: CSRU cg: RN v1: NSICU st: NotStopd t0: [01:00:00 16/11/2012] id: CVP el: 0 cu: CSRU cg: RN v1: 10 u1: mmHg st: NotStopd t0: [01:00:00 16/11/2012] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [01:00:00 16/11/2012] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [01:00:00 16/11/2012] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 64 u1: BPM st: NotStopd t0: [01:00:00 16/11/2012] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [01:00:00 16/11/2012] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 123 u1: mmHg v2: 52 u2: mmHg st: NotStopd t0: [01:00:00 16/11/2012] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 72 u1: mmHg st: NotStopd t0: [01:00:00 16/11/2012] id: Precautions el: 0 cu: CSRU cg: RN v1: Contact st: NotStopd t0: [01:00:00 16/11/2012] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 101.2 u1: kg st: NotStopd t0: [01:00:00 16/11/2012] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 8 u1: BPM st: NotStopd t0: [01:00:00 16/11/2012] id: SpO2 el: 0 cu: CSRU cg: RN v1: 99 u1: % st: NotStopd t0: [01:00:00 16/11/2012] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [01:00:00 16/11/2012] id: Fentanyl el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 250 su: ml rt: IV Drip t0: [01:00:00 16/11/2012] id: Propofol el: 1 cu: CSRU cg: RN so: N/A vo: 0 v1: 50 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [02:00:00 16/11/2012] id: Service Type el: 0 cu: CSRU cg: RN v1: NSICU st: NotStopd t0: [02:00:00 16/11/2012] id: CVP el: 0 cu: CSRU cg: RN v1: 14 u1: mmHg st: NotStopd t0: [02:00:00 16/11/2012] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [02:00:00 16/11/2012] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [02:00:00 16/11/2012] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 68 u1: BPM st: NotStopd t0: [02:00:00 16/11/2012] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [02:00:00 16/11/2012] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 124 u1: mmHg v2: 53 u2: mmHg st: NotStopd t0: [02:00:00 16/11/2012] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 73 u1: mmHg st: NotStopd t0: [02:00:00 16/11/2012] id: Precautions el: 0 cu: CSRU cg: RN v1: Contact st: NotStopd t0: [02:00:00 16/11/2012] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 101.2 u1: kg st: NotStopd t0: [02:00:00 16/11/2012] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 9 u1: BPM st: NotStopd t0: [02:00:00 16/11/2012] id: SpO2 el: 0 cu: CSRU cg: RN v1: 99 u1: % st: NotStopd t0: [02:00:00 16/11/2012] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [01:00:00 16/11/2012] id: Drain Out #1 Jackson Pratt el: 1 cu: CSRU cg: RN vo: 70 vu: ml t0: [02:00:00 16/11/2012] id: D5/.45NS IV Infusions el: 1 cu: CSRU cg: RN ai: 112 vo: 50 vu: ml t0: [02:00:00 16/11/2012] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: CSRU cg: RN ai: 126 vo: 25.26 vu: ml t0: [02:00:00 16/11/2012] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: CSRU cg: RN ai: 416 vo: 5 vu: ml
t0: [02:00:00 16/11/2012] id: Fentanyl el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 250 su: ml rt: IV Drip t0: [02:00:00 16/11/2012] id: Propofol el: 1 cu: CSRU cg: RN so: N/A vo: 0 v1: 50 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [23:00:00 16/11/2012] dt: 24 id: Urine Out Total el: 3 cu: CSRU cg: RN cv: 683 ap: none
t0: [03:00:00 16/11/2012] id: Service Type el: 0 cu: CSRU cg: RN v1: NSICU st: NotStopd t0: [03:00:00 16/11/2012] id: CVP el: 0 cu: CSRU cg: RN v1: 14 u1: mmHg st: NotStopd t0: [03:00:00 16/11/2012] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [03:00:00 16/11/2012] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [03:00:00 16/11/2012] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 65 u1: BPM st: NotStopd t0: [03:00:00 16/11/2012] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [03:00:00 16/11/2012] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 123 u1: mmHg v2: 53 u2: mmHg st: NotStopd t0: [03:00:00 16/11/2012] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 73 u1: mmHg st: NotStopd t0: [03:00:00 16/11/2012] id: Precautions el: 0 cu: CSRU cg: RN v1: Contact st: NotStopd t0: [03:00:00 16/11/2012] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 101.2 u1: kg st: NotStopd t0: [03:00:00 16/11/2012] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 8 u1: BPM st: NotStopd t0: [03:00:00 16/11/2012] id: SpO2 el: 0 cu: CSRU cg: RN v1: 97 u1: % st: NotStopd t0: [03:00:00 16/11/2012] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [03:00:00 16/11/2012] id: Fentanyl el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 250 su: ml rt: IV Drip t0: [03:00:00 16/11/2012] id: Propofol el: 1 cu: CSRU cg: RN so: N/A vo: 0 v1: 50 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [03:00:00 16/11/2012] id: D5/.45NS IV Infusions el: 1 cu: CSRU cg: RN ai: 112 vo: 50 vu: ml t0: [03:00:00 16/11/2012] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: CSRU cg: RN ai: 126 vo: 25.26 vu: ml t0: [03:00:00 16/11/2012] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: CSRU cg: RN ai: 416 vo: 5 vu: ml t0: [03:00:00 16/11/2012] id: Drain Out #1 Jackson Pratt el: 1 cu: CSRU cg: RN vo: 80 vu: ml
t0: [23:00:00 16/11/2012] dt: 1 id: Total Hourly Output el: 3 cu: CSRU cg: RN cv: 0 ap: none t0: [23:00:00 16/11/2012] dt: 1 id: Net Hourly Balance el: 3 cu: CSRU cg: RN cv: 0 ap: none t0: [23:00:00 16/11/2012] dt: 24 id: IV Infusion In Total el: 3 cu: CSRU cg: RN cv: 2083.12 ap: none t0: [23:00:00 16/11/2012] dt: 24 id: 24h Total In el: 3 cu: CSRU cg: RN cv: 2730.12 ap: none t0: [23:00:00 16/11/2012] dt: 24 id: 24h Net Body Balance el: 3 cu: CSRU cg: RN cv: 1402.12 ap: none t0: [23:00:00 16/11/2012] dt: 24 id: 24h Total Out el: 3 cu: CSRU cg: RN cv: 1328 ap: none t0: [23:00:00 16/11/2012] dt: 24 id: Blood Products Total el: 3 cu: CSRU cg: RN cv: 647 ap: none t0: [23:00:00 16/11/2012] dt: 24 id: Drain #1 Total Out el: 3 cu: CSRU cg: RN cv: 345 ap: none t0: [23:00:00 16/11/2012] dt: multiple days id: LOS Net Body Balance el: 3 cu: CSRU cg: RN cv: 6517.33 ap: none
t0: [20:00:00 15/11/2012] id: Riker-SAS Scale el: 0 cu: CSRU cg: RN v1: Sedated st: NotStopd t0: [00:00:00 16/11/2012] id: Riker-SAS Scale el: 0 cu: CSRU cg: RN v1: Sedated st: NotStopd
t0: [20:00:00 15/11/2012] id: Pain Present el: 0 cu: CSRU cg: RN v1: No st: NotStopd t0: [20:00:00 15/11/2012] id: Pain Location el: 0 cu: CSRU cg: RN v1: Not Indicated st: NotStopd t0: [20:00:00 15/11/2012] id: Pain Management el: 1 cu: CSRU cg: RN v1: IV Gtt st: NotStopd t0: [00:00:00 16/11/2012] id: Pain Present el: 0 cu: CSRU cg: RN v1: No st: NotStopd t0: [00:00:00 16/11/2012] id: Pain Location el: 0 cu: CSRU cg: RN v1: Not Indicated st: NotStopd t0: [00:00:00 16/11/2012] id: Pain Management el: 1 cu: CSRU cg: RN v1: IV Gtt st: NotStopd
t0: [20:00:00 15/11/2012] id: Pain Assess Method el: 0 cu: CSRU cg: RN v1: Change in Vitals st: NotStopd t0: [20:00:00 15/11/2012] id: PainLevel Acceptable el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [00:00:00 16/11/2012] id: Pain Assess Method el: 0 cu: CSRU cg: RN v1: Change in Vitals st: NotStopd t0: [00:00:00 16/11/2012] id: PainLevel Acceptable el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [00:00:00 16/11/2012] id: Sputum Color/Consist el: 0 cu: CSRU cg: RN v1: Blood Tinged v2: Thick st: NotStopd t0: [00:00:00 16/11/2012] id: Sputum Source/Amt el: 0 cu: CSRU cg: RN v1: Suctioned v2: Small st: NotStopd
t0: [04:00:00 16/11/2012] id: Service Type el: 0 cu: CSRU cg: RN v1: NSICU st: NotStopd t0: [04:00:00 16/11/2012] id: CVP el: 0 cu: CSRU cg: RN v1: 12 u1: mmHg st: NotStopd t0: [04:00:00 16/11/2012] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [04:00:00 16/11/2012] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [04:00:00 16/11/2012] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 62 u1: BPM st: NotStopd t0: [04:00:00 16/11/2012] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [04:00:00 16/11/2012] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 118 u1: mmHg v2: 49 u2: mmHg st: NotStopd t0: [04:00:00 16/11/2012] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 68 u1: mmHg st: NotStopd t0: [04:00:00 16/11/2012] id: Precautions el: 0 cu: CSRU cg: RN v1: Contact st: NotStopd t0: [04:00:00 16/11/2012] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 101.2 u1: kg st: NotStopd t0: [04:00:00 16/11/2012] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 11 u1: BPM st: NotStopd t0: [04:00:00 16/11/2012] id: SpO2 el: 0 cu: CSRU cg: RN v1: 98 u1: % st: NotStopd t0: [04:00:00 16/11/2012] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Oral st: NotStopd t0: [04:00:00 16/11/2012] id: Temperature C (calc) el: 0 cu: CSRU cg: RN v1: 36.3889 u1: Deg. C st: NotStopd t0: [04:00:00 16/11/2012] id: Temperature F el: 0 cu: CSRU cg: RN v1: 97.5 u1: Deg. F st: NotStopd t0: [04:00:00 16/11/2012] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [04:00:00 16/11/2012] id: Fentanyl el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 250 su: ml rt: IV Drip t0: [04:00:00 16/11/2012] id: Propofol el: 1 cu: CSRU cg: RN so: N/A vo: 0 v1: 50 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [04:00:00 16/11/2012] id: D5/.45NS IV Infusions el: 1 cu: CSRU cg: RN ai: 112 vo: 50 vu: ml t0: [04:00:00 16/11/2012] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: CSRU cg: RN ai: 126 vo: 25.26 vu: ml t0: [04:00:00 16/11/2012] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: CSRU cg: RN ai: 416 vo: 5 vu: ml
t0: [04:07:00 16/11/2012] id: Art.pH ABG el: 0 cu: CSRU cg: 3161 v1: 7.44 rs: Final st: NotStopd t0: [04:07:00 16/11/2012] id: Arterial Base Excess ABG el: 0 cu: CSRU cg: 3161 v1: 1 rs: Final st: NotStopd t0: [04:07:00 16/11/2012] id: Arterial CO2(Calc) ABG el: 0 cu: CSRU cg: 3161 v1: 27 rs: Final st: NotStopd t0: [04:07:00 16/11/2012] id: Arterial PaCO2 ABG el: 0 cu: CSRU cg: 3161 v1: 38 u1: mmHg rs: Final st: NotStopd t0: [04:07:00 16/11/2012] id: Arterial PaO2 ABG el: 0 cu: CSRU cg: 3161 v1: 96 u1: mmHg rs: Final st: NotStopd t0: [04:07:00 16/11/2012] id: Arterial pH ABG el: 0 cu: CSRU cg: 3161 v1: 7.44 rs: Final st: NotStopd t0: [04:07:00 16/11/2012] id: SaO2 ABG's el: 0 cu: CSRU cg: 3161 v1: 98 u1: % rs: Final st: NotStopd
t0: [04:15:00 16/11/2012] id: Compliance (40-60ml) el: 0 cu: CSRU cg: RRT v1: 30 u1: ml/cmH st: NotStopd t0: [04:15:00 16/11/2012] id: RSBI Not Completed el: 0 cu: CSRU cg: RRT v1: No Spon Resp st: NotStopd t0: [04:15:00 16/11/2012] id: ETT Mark/Location el: 0 cu: CSRU cg: RRT v1: 22cm v2: Lip st: NotStopd t0: [04:15:00 16/11/2012] id: FiO2 Set el: 0 cu: CSRU cg: RRT v1: 0.5 u1: torr st: NotStopd t0: [04:15:00 16/11/2012] id: High Insp. Pressure el: 0 cu: CSRU cg: RRT v1: 50 u1: cmH2O st: NotStopd t0: [04:15:00 16/11/2012] id: High Resp. Rate el: 0 cu: CSRU cg: RRT v1: 45 u1: BPM st: NotStopd t0: [04:15:00 16/11/2012] id: Airway Size el: 0 cu: CSRU cg: RRT v1: 8.0 mm st: NotStopd t0: [04:15:00 16/11/2012] id: Airway Type el: 0 cu: CSRU cg: RRT v1: Endotracheal st: NotStopd t0: [04:15:00 16/11/2012] id: Inspired Gas Temp el: 0 cu: CSRU cg: RRT u1: Deg. C st: NotStopd t0: [04:15:00 16/11/2012] id: Intubation Date el: 0 cu: CSRU cg: RRT v1: 10 v2: 23 st: NotStopd t0: [04:15:00 16/11/2012] id: Low Exhaled Min Vol el: 0 cu: CSRU cg: RRT v1: 3 st: NotStopd t0: [04:15:00 16/11/2012] id: Mean Airway Pressure el: 0 cu: CSRU cg: RRT v1: 11 u1: cmH2O st: NotStopd t0: [04:15:00 16/11/2012] id: Minute Volume(Obser) el: 0 cu: CSRU cg: RRT v1: 8.1 u1: L/min st: NotStopd t0: [04:15:00 16/11/2012] id: PEEP Set el: 0 cu: CSRU cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [04:15:00 16/11/2012] id: Apnea Time Interval el: 0 cu: CSRU cg: RRT v1: 20 st: NotStopd t0: [04:15:00 16/11/2012] id: Peak Insp. Pressure el: 0 cu: CSRU cg: RRT v1: 35 u1: cmH2O st: NotStopd t0: [04:15:00 16/11/2012] id: Plateau Pressure el: 0 cu: CSRU cg: RRT v1: 25 u1: cmH2O st: NotStopd t0: [04:15:00 16/11/2012] id: Pressure Support el: 0 cu: CSRU cg: RRT v1: 5 u1: . st: NotStopd t0: [04:15:00 16/11/2012] id: Resp Rate (Spont) el: 0 cu: CSRU cg: RRT v1: 0 u1: BPM st: NotStopd t0: [04:15:00 16/11/2012] id: Resp Rate (Total) el: 0 cu: CSRU cg: RRT v1: 8 u1: BPM st: NotStopd t0: [04:15:00 16/11/2012] id: Respiratory Rate Set el: 0 cu: CSRU cg: RRT v1: 8 u1: BPM st: NotStopd t0: [04:15:00 16/11/2012] id: Sensitivity-Vent el: 0 cu: CSRU cg: RRT v1: 2 u1: cmH2O st: NotStopd t0: [04:15:00 16/11/2012] id: SpO2 el: 0 cu: CSRU cg: RRT v1: 96 u1: % st: NotStopd t0: [04:15:00 16/11/2012] id: Tidal Volume (Obser) el: 0 cu: CSRU cg: RRT v1: 917 u1: ml/B st: NotStopd t0: [04:15:00 16/11/2012] id: Tidal Volume (Set) el: 0 cu: CSRU cg: RRT v1: 900 u1: ml/B st: NotStopd t0: [04:15:00 16/11/2012] id: Ventilator Mode el: 0 cu: CSRU cg: RRT v1: SIMV+PS st: NotStopd t0: [04:15:00 16/11/2012] id: Ventilator Type el: 0 cu: CSRU cg: RRT v1: Drager st: NotStopd t0: [04:15:00 16/11/2012] id: Waveform-Vent el: 0 cu: CSRU cg: RRT v1: RAMP st: NotStopd
t0: [04:00:00 16/11/2012] id: PT el: 0 cu: CSRU cg: 3161 v1: 14.3 rs: Final st: NotStopd t0: [04:00:00 16/11/2012] id: Fibrinogen Coags el: 0 cu: CSRU cg: 3161 v1: 254 rs: Final st: NotStopd t0: [04:00:00 16/11/2012] id: INR Coags el: 0 cu: CSRU cg: 3161 v1: 1.4 rs: Final st: NotStopd t0: [04:00:00 16/11/2012] id: PTT Coags el: 0 cu: CSRU cg: 3161 v1: 37.8 rs: Final st: NotStopd t0: [04:00:00 16/11/2012] id: Fibrinogen (150-400) Coags el: 0 cu: CSRU cg: 3161 v1: 254 rs: Final st: NotStopd t0: [04:00:00 16/11/2012] id: INR (2-4 ref. range) Coags el: 0 cu: CSRU cg: 3161 v1: 1.4 rs: Final st: NotStopd t0: [04:00:00 16/11/2012] id: PT(11-13.5) Coags el: 0 cu: CSRU cg: 3161 v1: 14.3 rs: Final st: NotStopd t0: [04:00:00 16/11/2012] id: PTT(22-35) Coags el: 0 cu: CSRU cg: 3161 v1: 37.8 rs: Final st: NotStopd
t0: [04:00:00 16/11/2012] id: Riker-SAS Scale el: 0 cu: CSRU cg: RN v1: Sedated st: NotStopd t0: [05:00:00 16/11/2012] id: Service Type el: 0 cu: CSRU cg: RN v1: NSICU st: NotStopd t0: [05:00:00 16/11/2012] id: CVP el: 0 cu: CSRU cg: RN v1: 11 u1: mmHg st: NotStopd t0: [05:00:00 16/11/2012] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [05:00:00 16/11/2012] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [05:00:00 16/11/2012] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 67 u1: BPM st: NotStopd t0: [05:00:00 16/11/2012] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [05:00:00 16/11/2012] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 121 u1: mmHg v2: 49 u2: mmHg st: NotStopd t0: [05:00:00 16/11/2012] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 70 u1: mmHg st: NotStopd t0: [05:00:00 16/11/2012] id: Precautions el: 0 cu: CSRU cg: RN v1: Contact st: NotStopd t0: [05:00:00 16/11/2012] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 101.2 u1: kg st: NotStopd t0: [05:00:00 16/11/2012] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 9 u1: BPM st: NotStopd t0: [05:00:00 16/11/2012] id: SpO2 el: 0 cu: CSRU cg: RN v1: 99 u1: % st: NotStopd t0: [05:00:00 16/11/2012] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [05:00:00 16/11/2012] id: D5/.45NS IV Infusions el: 1 cu: CSRU cg: RN ai: 112 vo: 50 vu: ml t0: [05:00:00 16/11/2012] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: CSRU cg: RN ai: 126 vo: 25.26 vu: ml t0: [05:00:00 16/11/2012] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: CSRU cg: RN ai: 416 vo: 5 vu: ml t0: [05:00:00 16/11/2012] id: Drain Out #1 Jackson Pratt el: 1 cu: CSRU cg: RN vo: 100 vu: ml
t0: [05:00:00 16/11/2012] id: Fentanyl el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 250 su: ml rt: IV Drip t0: [05:00:00 16/11/2012] id: Propofol el: 1 cu: CSRU cg: RN so: N/A vo: 0 v1: 50 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [04:00:00 16/11/2012] id: WBC (4-11,000) Hematology el: 0 cu: CSRU cg: 3161 v1: 23.5 rs: Final st: NotStopd t0: [04:00:00 16/11/2012] id: WBC Hematology el: 0 cu: CSRU cg: 3161 v1: 23.5 rs: Final st: NotStopd t0: [04:00:00 16/11/2012] id: Hematocrit Hematology el: 0 cu: CSRU cg: 3161 v1: 33.8 u1: % rs: Final st: NotStopd t0: [04:00:00 16/11/2012] id: Hemoglobin Hematology el: 0 cu: CSRU cg: 3161 v1: 11.6 u1: gm/dl rs: Final st: NotStopd t0: [04:00:00 16/11/2012] id: Platelets Hematology el: 0 cu: CSRU cg: 3161 v1: 154 rs: Final st: NotStopd t0: [04:00:00 16/11/2012] id: RBC Hematology el: 0 cu: CSRU cg: 3161 v1: 3.81 u1: /mic l rs: Final st: NotStopd t0: [04:00:00 16/11/2012] id: WBC (4-11,000) Hematology el: 0 cu: CSRU cg: 3161 v1: 23.5 rs: Final st: NotStopd t0: [04:07:00 16/11/2012] id: CaO2 el: 0 cu: CSRU cg: 3161 v1: 15.5307 u1: ml/dl st: NotStopd
t0: [04:00:00 16/11/2012] id: BUN el: 0 cu: CSRU cg: 3161 v1: 10 rs: Final st: NotStopd t0: [04:00:00 16/11/2012] id: Albumin Chemistry el: 0 cu: CSRU cg: 3161 v1: 2.8 rs: Final st: NotStopd t0: [04:00:00 16/11/2012] id: Calcium Chemistry el: 0 cu: CSRU cg: 3161 v1: 9.4 u1: mg/dl rs: Final st: NotStopd t0: [04:00:00 16/11/2012] id: Chloride Chemistry el: 0 cu: CSRU cg: 3161 v1: 104 rs: Final st: NotStopd t0: [04:00:00 16/11/2012] id: Creatinine Chemistry el: 0 cu: CSRU cg: 3161 v1: 1.3 rs: Final st: NotStopd t0: [04:00:00 16/11/2012] id: Glucose Chemistry el: 0 cu: CSRU cg: 3161 v1: 120 rs: Final st: NotStopd t0: [04:00:00 16/11/2012] id: Magnesium Chemistry el: 0 cu: CSRU cg: 3161 v1: 1.6 rs: Final st: NotStopd t0: [04:00:00 16/11/2012] id: Phosphorous Chemistry el: 0 cu: CSRU cg: 3161 v1: 4.1 u1: mEq/L rs: Final st: NotStopd t0: [04:00:00 16/11/2012] id: Potassium Chemistry el: 0 cu: CSRU cg: 3161 v1: 3.3 rs: Final st: NotStopd t0: [04:00:00 16/11/2012] id: Sodium Chemistry el: 0 cu: CSRU cg: 3161 v1: 140 rs: Final st: NotStopd t0: [04:00:00 16/11/2012] id: Total Bili Chemistry el: 0 cu: CSRU cg: 3161 v1: 10.5 rs: Final st: NotStopd t0: [04:00:00 16/11/2012] id: ALT Enzymes el: 0 cu: CSRU cg: 3161 v1: 40 rs: Final st: NotStopd t0: [04:00:00 16/11/2012] id: AST Enzymes el: 0 cu: CSRU cg: 3161 v1: 63 rs: Final st: NotStopd t0: [04:00:00 16/11/2012] id: Albumin (>3.2) Chemistry el: 0 cu: CSRU cg: 3161 v1: 2.8 rs: Final st: NotStopd t0: [04:00:00 16/11/2012] id: Alk. Phosphate Enzymes el: 0 cu: CSRU cg: 3161 v1: 87 rs: Final st: NotStopd t0: [04:00:00 16/11/2012] id: BUN (6-20) Chemistry el: 0 cu: CSRU cg: 3161 v1: 10 rs: Final st: NotStopd t0: [04:00:00 16/11/2012] id: Calcium (8.4-10.2) Chemistry el: 0 cu: CSRU cg: 3161 v1: 9.4 u1: mg/dl rs: Final st: NotStopd t0: [04:00:00 16/11/2012] id: Carbon Dioxide Chemistry el: 0 cu: CSRU cg: 3161 v1: 24 rs: Final st: NotStopd t0: [04:00:00 16/11/2012] id: Chloride (100-112) Chemistry el: 0 cu: CSRU cg: 3161 v1: 104 rs: Final st: NotStopd t0: [04:00:00 16/11/2012] id: Creatinine (0-1.3) Chemistry el: 0 cu: CSRU cg: 3161 v1: 1.3 rs: Final st: NotStopd t0: [04:00:00 16/11/2012] id: Glucose (70-105) Chemistry el: 0 cu: CSRU cg: 3161 v1: 120 rs: Final st: NotStopd t0: [04:00:00 16/11/2012] id: Magnesium (1.6-2.6) Chemistry el: 0 cu: CSRU cg: 3161 v1: 1.6 rs: Final st: NotStopd t0: [04:00:00 16/11/2012] id: Phosphorous(2.7-4.5) Chemistry el: 0 cu: CSRU cg: 3161 v1: 4.1 u1: mEq/L rs: Final st: NotStopd t0: [04:00:00 16/11/2012] id: Potassium (3.5-5.3) Chemistry el: 0 cu: CSRU cg: 3161 v1: 3.3 rs: Final st: NotStopd t0: [04:00:00 16/11/2012] id: Sodium (135-148) Chemistry el: 0 cu: CSRU cg: 3161 v1: 140 rs: Final st: NotStopd t0: [04:00:00 16/11/2012] id: Total Bili (0-1.5) Chemistry el: 0 cu: CSRU cg: 3161 v1: 10.5 rs: Final st: NotStopd
t0: [21:00:00 15/11/2012] id: HOB el: 0 cu: CSRU cg: RN v1: 30 degrees st: NotStopd t0: [21:00:00 15/11/2012] id: Activity el: 0 cu: CSRU cg: RN v1: Bedrest st: NotStopd t0: [21:00:00 15/11/2012] id: Activity Tolerance el: 0 cu: CSRU cg: RN v1: Tolerated Well st: NotStopd t0: [21:00:00 15/11/2012] id: AntiEmbDevice/Status el: 0 cu: CSRU cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [21:00:00 15/11/2012] id: Assistance Device el: 0 cu: CSRU cg: RN v1: 2 Person Assist st: NotStopd t0: [21:00:00 15/11/2012] id: Turn el: 0 cu: CSRU cg: RN v1: Right Side st: NotStopd t0: [00:00:00 16/11/2012] id: Eye Care el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [00:00:00 16/11/2012] id: HOB el: 0 cu: CSRU cg: RN v1: 30 degrees st: NotStopd t0: [00:00:00 16/11/2012] id: Activity el: 0 cu: CSRU cg: RN v1: Bedrest st: NotStopd t0: [00:00:00 16/11/2012] id: Activity Tolerance el: 0 cu: CSRU cg: RN v1: Tolerated Well st: NotStopd t0: [00:00:00 16/11/2012] id: Oral Care el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [00:00:00 16/11/2012] id: AntiEmbDevice/Status el: 0 cu: CSRU cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [00:00:00 16/11/2012] id: Assistance Device el: 0 cu: CSRU cg: RN v1: 2 Person Assist st: NotStopd t0: [00:00:00 16/11/2012] id: Skin Care el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [00:00:00 16/11/2012] id: Turn el: 0 cu: CSRU cg: RN v1: Left Side st: NotStopd t0: [00:00:00 16/11/2012] id: Back Care el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [01:00:00 16/11/2012] id: Inc Closure/Appear#1 el: 0 cu: CSRU cg: RN v2: Pink st: NotStopd t0: [01:00:00 16/11/2012] id: Inc Drainage/Amt #1 el: 0 cu: CSRU cg: RN v1: Serosanguinous v2: Small st: NotStopd t0: [01:00:00 16/11/2012] id: Inc Dsg/Status #1 el: 0 cu: CSRU cg: RN v1: Dry Sterile Dsg v2: Intact st: NotStopd t0: [01:00:00 16/11/2012] id: PressSoreCleansing#1 el: 0 cu: CSRU cg: RN v1: Soap & H20 st: NotStopd t0: [01:00:00 16/11/2012] id: PressSoreTreatment#1 el: 0 cu: CSRU cg: RN v1: Wound Gel st: NotStopd t0: [01:00:00 16/11/2012] id: PressSoreWoundBase#1 el: 0 cu: CSRU cg: RN v1: Red st: NotStopd t0: [02:00:00 16/11/2012] id: Diet Type el: 0 cu: CSRU cg: RN v1: NPO st: NotStopd t0: [02:00:00 16/11/2012] id: Eye Opening el: 0 cu: CSRU cg: RN v1: 3 To speech st: NotStopd t0: [02:00:00 16/11/2012] id: GCS Total el: 0 cu: CSRU cg: RN v1: 9 u1: points st: NotStopd t0: [02:00:00 16/11/2012] id: Level of Conscious el: 0 cu: CSRU cg: RN v1: Sedated st: NotStopd t0: [02:00:00 16/11/2012] id: Motor Response el: 0 cu: CSRU cg: RN v1: 5 Localizes Pain st: NotStopd t0: [02:00:00 16/11/2012] id: Orientation el: 0 cu: CSRU cg: RN v1: Other/Remarks st: NotStopd t0: [02:00:00 16/11/2012] id: Respiratory Pattern el: 0 cu: CSRU cg: RN v1: Regular st: NotStopd t0: [02:00:00 16/11/2012] id: Urine Color/Appear el: 0 cu: CSRU cg: RN v1: Icteric v2: Clear st: NotStopd t0: [02:00:00 16/11/2012] id: Urine Source el: 0 cu: CSRU cg: RN v1: Indwelling Cath st: NotStopd t0: [02:00:00 16/11/2012] id: Verbal Response el: 0 cu: CSRU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [04:00:00 16/11/2012] id: Diet Type el: 0 cu: CSRU cg: RN v1: NPO st: NotStopd t0: [04:00:00 16/11/2012] id: Eye Opening el: 0 cu: CSRU cg: RN v1: 3 To speech st: NotStopd t0: [04:00:00 16/11/2012] id: GCS Total el: 0 cu: CSRU cg: RN v1: 9 u1: points st: NotStopd t0: [04:00:00 16/11/2012] id: HOB el: 0 cu: CSRU cg: RN v1: 30 degrees st: NotStopd t0: [04:00:00 16/11/2012] id: Activity el: 0 cu: CSRU cg: RN v1: Bedrest st: NotStopd t0: [04:00:00 16/11/2012] id: Activity Tolerance el: 0 cu: CSRU cg: RN v1: Tolerated Well st: NotStopd t0: [04:00:00 16/11/2012] id: Level of Conscious el: 0 cu: CSRU cg: RN v1: Sedated st: NotStopd t0: [04:00:00 16/11/2012] id: Motor Response el: 0 cu: CSRU cg: RN v1: 5 Localizes Pain st: NotStopd t0: [04:00:00 16/11/2012] id: Orientation el: 0 cu: CSRU cg: RN v1: Other/Remarks st: NotStopd t0: [04:00:00 16/11/2012] id: AntiEmbDevice/Status el: 0 cu: CSRU cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [04:00:00 16/11/2012] id: Assistance Device el: 0 cu: CSRU cg: RN v1: 2 Person Assist st: NotStopd t0: [04:00:00 16/11/2012] id: Respiratory Pattern el: 0 cu: CSRU cg: RN v1: Regular st: NotStopd t0: [04:00:00 16/11/2012] id: Turn el: 0 cu: CSRU cg: RN v1: Right Side st: NotStopd t0: [04:00:00 16/11/2012] id: Urine Color/Appear el: 0 cu: CSRU cg: RN v1: Icteric v2: Clear st: NotStopd t0: [04:00:00 16/11/2012] id: Urine Source el: 0 cu: CSRU cg: RN v1: Indwelling Cath st: NotStopd t0: [04:00:00 16/11/2012] id: Verbal Response el: 0 cu: CSRU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [06:00:00 16/11/2012] id: Diet Type el: 0 cu: CSRU cg: RN v1: NPO st: NotStopd t0: [06:00:00 16/11/2012] id: Eye Opening el: 0 cu: CSRU cg: RN v1: 3 To speech st: NotStopd t0: [06:00:00 16/11/2012] id: GCS Total el: 0 cu: CSRU cg: RN v1: 9 u1: points st: NotStopd t0: [06:00:00 16/11/2012] id: Level of Conscious el: 0 cu: CSRU cg: RN v1: Sedated st: NotStopd t0: [06:00:00 16/11/2012] id: Motor Response el: 0 cu: CSRU cg: RN v1: 5 Localizes Pain st: NotStopd t0: [06:00:00 16/11/2012] id: Orientation el: 0 cu: CSRU cg: RN v1: Other/Remarks st: NotStopd t0: [06:00:00 16/11/2012] id: Respiratory Pattern el: 0 cu: CSRU cg: RN v1: Regular st: NotStopd t0: [06:00:00 16/11/2012] id: Urine Color/Appear el: 0 cu: CSRU cg: RN v1: Icteric v2: Clear st: NotStopd t0: [06:00:00 16/11/2012] id: Urine Source el: 0 cu: CSRU cg: RN v1: Indwelling Cath st: NotStopd t0: [06:00:00 16/11/2012] id: Verbal Response el: 0 cu: CSRU cg: RN v1: 1.0 ET/Trach st: NotStopd
t0: [06:00:00 16/11/2012] id: D5/.45NS IV Infusions el: 1 cu: CSRU cg: RN ai: 112 vo: 50 vu: ml t0: [06:00:00 16/11/2012] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: CSRU cg: RN ai: 126 vo: 25.26 vu: ml t0: [06:00:00 16/11/2012] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: CSRU cg: RN ai: 416 vo: 5 vu: ml
t0: [06:00:00 16/11/2012] id: Service Type el: 0 cu: CSRU cg: RN v1: NSICU st: NotStopd t0: [06:00:00 16/11/2012] id: CVP el: 0 cu: CSRU cg: RN v1: 10 u1: mmHg st: NotStopd t0: [06:00:00 16/11/2012] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [06:00:00 16/11/2012] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [06:00:00 16/11/2012] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 65 u1: BPM st: NotStopd t0: [06:00:00 16/11/2012] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [06:00:00 16/11/2012] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 117 u1: mmHg v2: 45 u2: mmHg st: NotStopd t0: [06:00:00 16/11/2012] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 66 u1: mmHg st: NotStopd t0: [06:00:00 16/11/2012] id: Precautions el: 0 cu: CSRU cg: RN v1: Contact st: NotStopd t0: [06:00:00 16/11/2012] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 101.2 u1: kg st: NotStopd t0: [06:00:00 16/11/2012] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 9 u1: BPM st: NotStopd t0: [06:00:00 16/11/2012] id: SpO2 el: 0 cu: CSRU cg: RN v1: 100 u1: % st: NotStopd t0: [06:00:00 16/11/2012] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [06:00:00 16/11/2012] id: Fentanyl el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 250 su: ml rt: IV Drip t0: [06:00:00 16/11/2012] id: Propofol el: 1 cu: CSRU cg: RN so: N/A vo: 0 v1: 50 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [04:00:00 16/11/2012] id: Incision/Wound #1 el: 0 cu: CSRU cg: RN v1: Abdominal st: NotStopd t0: [04:00:00 16/11/2012] id: Pressure Sore Site#1 el: 0 cu: CSRU cg: RN v1: Coccyx st: NotStopd t0: [04:00:00 16/11/2012] id: Side Rails el: 0 cu: CSRU cg: RN v1: Side Rails Up st: NotStopd t0: [04:00:00 16/11/2012] id: Support Systems el: 0 cu: CSRU cg: RN v1: Spouse st: NotStopd t0: [06:00:00 16/11/2012] id: Incision/Wound #1 el: 0 cu: CSRU cg: RN v1: Abdominal st: NotStopd t0: [06:00:00 16/11/2012] id: Pressure Sore Site#1 el: 0 cu: CSRU cg: RN v1: Coccyx st: NotStopd t0: [06:00:00 16/11/2012] id: Side Rails el: 0 cu: CSRU cg: RN v1: Side Rails Up st: NotStopd t0: [06:00:00 16/11/2012] id: Support Systems el: 0 cu: CSRU cg: RN v1: Spouse st: NotStopd t0: [07:00:00 16/11/2012] id: Service Type el: 0 cu: CSRU cg: RN v1: NSICU st: NotStopd t0: [07:00:00 16/11/2012] id: CVP el: 0 cu: CSRU cg: RN v1: 7 u1: mmHg st: NotStopd t0: [07:00:00 16/11/2012] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [07:00:00 16/11/2012] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [07:00:00 16/11/2012] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 66 u1: BPM st: NotStopd t0: [07:00:00 16/11/2012] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [07:00:00 16/11/2012] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 113 u1: mmHg v2: 41 u2: mmHg st: NotStopd t0: [07:00:00 16/11/2012] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 60 u1: mmHg st: NotStopd t0: [07:00:00 16/11/2012] id: Precautions el: 0 cu: CSRU cg: RN v1: Contact st: NotStopd t0: [07:00:00 16/11/2012] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 101.2 u1: kg st: NotStopd t0: [07:00:00 16/11/2012] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 10 u1: BPM st: NotStopd t0: [07:00:00 16/11/2012] id: SpO2 el: 0 cu: CSRU cg: RN v1: 99 u1: % st: NotStopd t0: [07:00:00 16/11/2012] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [07:00:00 16/11/2012] id: D5/.45NS IV Infusions el: 1 cu: CSRU cg: RN ai: 112 vo: 50 vu: ml t0: [07:00:00 16/11/2012] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: CSRU cg: RN ai: 126 vo: 25.26 vu: ml t0: [07:00:00 16/11/2012] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: CSRU cg: RN ai: 416 vo: 5 vu: ml
t0: [07:00:00 16/11/2012] id: Fentanyl el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 250 su: ml rt: IV Drip t0: [07:00:00 16/11/2012] id: Propofol el: 1 cu: CSRU cg: RN so: N/A vo: 0 v1: 50 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [07:30:00 16/11/2012] id: Compliance (40-60ml) el: 0 cu: CSRU cg: RRT v1: 36 u1: ml/cmH st: NotStopd t0: [07:30:00 16/11/2012] id: ETT Mark/Location el: 0 cu: CSRU cg: RRT v1: 22cm v2: Lip st: NotStopd t0: [07:30:00 16/11/2012] id: FiO2 Set el: 0 cu: CSRU cg: RRT v1: 0.5 u1: torr st: NotStopd t0: [07:30:00 16/11/2012] id: High Insp. Pressure el: 0 cu: CSRU cg: RRT v1: 50 u1: cmH2O st: NotStopd t0: [07:30:00 16/11/2012] id: High Resp. Rate el: 0 cu: CSRU cg: RRT v1: 40 u1: BPM st: NotStopd t0: [07:30:00 16/11/2012] id: Airway Size el: 0 cu: CSRU cg: RRT v1: 8.0 mm st: NotStopd t0: [07:30:00 16/11/2012] id: Airway Type el: 0 cu: CSRU cg: RRT v1: Endotracheal st: NotStopd t0: [07:30:00 16/11/2012] id: Inspired Gas Temp el: 0 cu: CSRU cg: RRT u1: Deg. C st: NotStopd t0: [07:30:00 16/11/2012] id: Intubation Date el: 0 cu: CSRU cg: RRT v1: 10 v2: 23 st: NotStopd t0: [07:30:00 16/11/2012] id: Low Exhaled Min Vol el: 0 cu: CSRU cg: RRT v1: 4 st: NotStopd t0: [07:30:00 16/11/2012] id: Mean Airway Pressure el: 0 cu: CSRU cg: RRT v1: 9 u1: cmH2O st: NotStopd t0: [07:30:00 16/11/2012] id: Minute Volume(Obser) el: 0 cu: CSRU cg: RRT v1: 7.2 u1: L/min st: NotStopd t0: [07:30:00 16/11/2012] id: PEEP Set el: 0 cu: CSRU cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [07:30:00 16/11/2012] id: Apnea Time Interval el: 0 cu: CSRU cg: RRT v1: 20 st: NotStopd t0: [07:30:00 16/11/2012] id: Peak Insp. Pressure el: 0 cu: CSRU cg: RRT v1: 30 u1: cmH2O st: NotStopd t0: [07:30:00 16/11/2012] id: Plateau Pressure el: 0 cu: CSRU cg: RRT v1: 23 u1: cmH2O st: NotStopd t0: [07:30:00 16/11/2012] id: Pressure Support el: 0 cu: CSRU cg: RRT v1: 5 u1: . st: NotStopd t0: [07:30:00 16/11/2012] id: Resp Rate (Spont) el: 0 cu: CSRU cg: RRT v1: 0 u1: BPM st: NotStopd t0: [07:30:00 16/11/2012] id: Resp Rate (Total) el: 0 cu: CSRU cg: RRT v1: 8 u1: BPM st: NotStopd t0: [07:30:00 16/11/2012] id: Respiratory Rate Set el: 0 cu: CSRU cg: RRT v1: 8 u1: BPM st: NotStopd t0: [07:30:00 16/11/2012] id: Sensitivity-Vent el: 0 cu: CSRU cg: RRT v1: 2 u1: cmH2O st: NotStopd t0: [07:30:00 16/11/2012] id: SpO2 el: 0 cu: CSRU cg: RRT v1: 98 u1: % st: NotStopd t0: [07:30:00 16/11/2012] id: Tidal Volume (Obser) el: 0 cu: CSRU cg: RRT v1: 900 u1: ml/B st: NotStopd t0: [07:30:00 16/11/2012] id: Tidal Volume (Set) el: 0 cu: CSRU cg: RRT v1: 900 u1: ml/B st: NotStopd t0: [07:30:00 16/11/2012] id: Ventilator Mode el: 0 cu: CSRU cg: RRT v1: SIMV+PS st: NotStopd t0: [07:30:00 16/11/2012] id: Ventilator Type el: 0 cu: CSRU cg: RRT v1: Drager st: NotStopd t0: [07:30:00 16/11/2012] id: Waveform-Vent el: 0 cu: CSRU cg: RRT v1: RAMP st: NotStopd
t0: [08:00:00 16/11/2012] id: Pain Present el: 0 cu: CSRU cg: RN v1: No st: NotStopd t0: [08:00:00 16/11/2012] id: Range of Motion el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [08:00:00 16/11/2012] id: Service Type el: 0 cu: CSRU cg: RN v1: NSICU st: NotStopd t0: [08:00:00 16/11/2012] id: CVP el: 0 cu: CSRU cg: RN v1: 9 u1: mmHg st: NotStopd t0: [08:00:00 16/11/2012] id: Circulation/SkinInt el: 0 cu: CSRU cg: RN v1: Circulation Adeq st: NotStopd t0: [08:00:00 16/11/2012] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [08:00:00 16/11/2012] id: Riker-SAS Scale el: 0 cu: CSRU cg: RN v1: Sedated st: NotStopd t0: [08:00:00 16/11/2012] id: GI Prophylaxis el: 0 cu: CSRU cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [08:00:00 16/11/2012] id: Diet Type el: 0 cu: CSRU cg: RN v1: NPO st: NotStopd t0: [08:00:00 16/11/2012] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [08:00:00 16/11/2012] id: Eye Opening el: 0 cu: CSRU cg: RN v1: 3 To speech st: NotStopd t0: [08:00:00 16/11/2012] id: Follows Commands el: 0 cu: CSRU cg: RN v1: Consistently st: NotStopd t0: [08:00:00 16/11/2012] id: GCS Total el: 0 cu: CSRU cg: RN v1: 10 u1: points st: NotStopd t0: [08:00:00 16/11/2012] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 64 u1: BPM st: NotStopd t0: [08:00:00 16/11/2012] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [08:00:00 16/11/2012] id: INV Line#1 Zero/Cal el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [08:00:00 16/11/2012] id: INV Line#1SiteAppear el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [08:00:00 16/11/2012] id: INV Line#2SiteAppear el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [08:00:00 16/11/2012] id: INV Line#3SiteAppear el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [08:00:00 16/11/2012] id: Abdominal Assessment el: 0 cu: CSRU cg: RN v1: Soft Distended st: NotStopd t0: [08:00:00 16/11/2012] id: INV#1 WaveformAppear el: 0 cu: CSRU cg: RN v1: Sharp st: NotStopd t0: [08:00:00 16/11/2012] id: INV#3 WaveformAppear el: 0 cu: CSRU cg: RN v1: Sharp st: NotStopd t0: [08:00:00 16/11/2012] id: IV Site Appear #1 el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [08:00:00 16/11/2012] id: IV Site Appear #2 el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [08:00:00 16/11/2012] id: IV Site Appear #3 el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [08:00:00 16/11/2012] id: Inc Dsg/Status #1 el: 0 cu: CSRU cg: RN v1: Dry Sterile Dsg v2: Intact st: NotStopd t0: [08:00:00 16/11/2012] id: Incision/Wound #1 el: 0 cu: CSRU cg: RN v1: Abdominal st: NotStopd t0: [08:00:00 16/11/2012] id: LLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [08:00:00 16/11/2012] id: LUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [08:00:00 16/11/2012] id: Level of Conscious el: 0 cu: CSRU cg: RN v1: Arouse to Voice st: NotStopd t0: [08:00:00 16/11/2012] id: Motor Response el: 0 cu: CSRU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [08:00:00 16/11/2012] id: Oral Cavity el: 0 cu: CSRU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [08:00:00 16/11/2012] id: Orientation el: 0 cu: CSRU cg: RN v1: Oriented x 1 st: NotStopd t0: [08:00:00 16/11/2012] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 105 u1: mmHg v2: 41 u2: mmHg st: NotStopd t0: [08:00:00 16/11/2012] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 60 u1: mmHg st: NotStopd t0: [08:00:00 16/11/2012] id: Position Change el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [08:00:00 16/11/2012] id: Precautions el: 0 cu: CSRU cg: RN v1: Contact st: NotStopd t0: [08:00:00 16/11/2012] id: Pressure Sore Site#1 el: 0 cu: CSRU cg: RN v1: Coccyx st: NotStopd t0: [08:00:00 16/11/2012] id: Previous Weight el: 0 cu: CSRU cg: RN v1: 101.6 u1: kg st: NotStopd t0: [08:00:00 16/11/2012] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 101.6 u1: kg st: NotStopd t0: [08:00:00 16/11/2012] id: Pupil Response R/L el: 0 cu: CSRU cg: RN v1: Brisk v2: Brisk st: NotStopd t0: [08:00:00 16/11/2012] id: Pupil Size R/L el: 0 cu: CSRU cg: RN v1: 3 mm v2: 3 mm st: NotStopd t0: [08:00:00 16/11/2012] id: RLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Coarse st: NotStopd t0: [08:00:00 16/11/2012] id: RUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [08:00:00 16/11/2012] id: Reason For Restraint el: 0 cu: CSRU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [08:00:00 16/11/2012] id: Removed x 5 Mins el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [08:00:00 16/11/2012] id: Respiratory Pattern el: 0 cu: CSRU cg: RN v1: Regular st: NotStopd t0: [08:00:00 16/11/2012] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 8 u1: BPM st: NotStopd t0: [08:00:00 16/11/2012] id: Restraint Location el: 0 cu: CSRU cg: RN v1: Both Arms st: NotStopd t0: [08:00:00 16/11/2012] id: Restraint Type el: 0 cu: CSRU cg: RN v1: Soft Limb st: NotStopd t0: [08:00:00 16/11/2012] id: Restraints Evaluated el: 0 cu: CSRU cg: RN v1: Behavior Conts st: NotStopd t0: [08:00:00 16/11/2012] id: Side Rails el: 0 cu: CSRU cg: RN v1: Side Rails Up st: NotStopd t0: [08:00:00 16/11/2012] id: SpO2 el: 0 cu: CSRU cg: RN v1: 99 u1: % st: NotStopd t0: [08:00:00 16/11/2012] id: Spontaneous Movement el: 0 cu: CSRU cg: RN v1: Purposeful st: NotStopd t0: [08:00:00 16/11/2012] id: Support Systems el: 0 cu: CSRU cg: RN v1: Spouse st: NotStopd t0: [08:00:00 16/11/2012] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Oral st: NotStopd t0: [08:00:00 16/11/2012] id: Temperature C (calc) el: 0 cu: CSRU cg: RN v1: 36.3333 u1: Deg. C st: NotStopd t0: [08:00:00 16/11/2012] id: Temperature F el: 0 cu: CSRU cg: RN v1: 97.4 u1: Deg. F st: NotStopd t0: [08:00:00 16/11/2012] id: Urine Color/Appear el: 0 cu: CSRU cg: RN v1: Amber v2: Clear st: NotStopd t0: [08:00:00 16/11/2012] id: Urine Source el: 0 cu: CSRU cg: RN v1: Indwelling Cath st: NotStopd t0: [08:00:00 16/11/2012] id: Verbal Response el: 0 cu: CSRU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [08:00:00 16/11/2012] id: Weight Change el: 0 cu: CSRU cg: RN v1: 0 u1: kg st: NotStopd t0: [08:00:00 16/11/2012] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [08:00:00 16/11/2012] id: Daily Weight el: 0 cu: CSRU cg: RN v1: 101.6 u1: kg st: NotStopd t0: [08:00:00 16/11/2012] id: Bowel Sounds el: 0 cu: CSRU cg: RN v1: Hypoactive st: NotStopd
t0: [08:00:00 16/11/2012] id: D5/.45NS IV Infusions el: 1 cu: CSRU cg: RN ai: 112 vo: 50 vu: ml t0: [08:00:00 16/11/2012] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: CSRU cg: RN ai: 126 vo: 25.26 vu: ml t0: [08:00:00 16/11/2012] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: CSRU cg: RN ai: 416 vo: 5 vu: ml
t0: [08:00:00 16/11/2012] id: Fentanyl el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 250 su: ml rt: IV Drip t0: [08:00:00 16/11/2012] id: Propofol el: 1 cu: CSRU cg: RN so: N/A vo: 0 v1: 50 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [08:00:00 16/11/2012] id: Drain Out #1 Jackson Pratt el: 1 cu: CSRU cg: RN vo: 50 vu: ml
t0: [09:00:00 16/11/2012] id: Service Type el: 0 cu: CSRU cg: RN v1: NSICU st: NotStopd t0: [09:00:00 16/11/2012] id: CVP el: 0 cu: CSRU cg: RN v1: 8 u1: mmHg st: NotStopd t0: [09:00:00 16/11/2012] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [09:00:00 16/11/2012] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [09:00:00 16/11/2012] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 65 u1: BPM st: NotStopd t0: [09:00:00 16/11/2012] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [09:00:00 16/11/2012] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 103 u1: mmHg v2: 40 u2: mmHg st: NotStopd t0: [09:00:00 16/11/2012] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 58 u1: mmHg st: NotStopd t0: [09:00:00 16/11/2012] id: Precautions el: 0 cu: CSRU cg: RN v1: Contact st: NotStopd t0: [09:00:00 16/11/2012] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 101.6 u1: kg st: NotStopd t0: [09:00:00 16/11/2012] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 8 u1: BPM st: NotStopd t0: [09:00:00 16/11/2012] id: SpO2 el: 0 cu: CSRU cg: RN v1: 99 u1: % st: NotStopd t0: [09:00:00 16/11/2012] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [09:00:00 16/11/2012] id: D5/.45NS IV Infusions el: 1 cu: CSRU cg: RN ai: 112 vo: 50 vu: ml t0: [09:00:00 16/11/2012] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: CSRU cg: RN ai: 126 vo: 25.26 vu: ml t0: [09:00:00 16/11/2012] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: CSRU cg: RN ai: 416 vo: 5 vu: ml
t0: [09:00:00 16/11/2012] id: Fentanyl el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 250 su: ml rt: IV Drip t0: [09:00:00 16/11/2012] id: Propofol el: 1 cu: CSRU cg: RN so: N/A vo: 0 v1: 50 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [10:50:00 16/11/2012] id: Compliance (40-60ml) el: 0 cu: CSRU cg: RRT v1: 34.6154 u1: ml/cmH st: NotStopd t0: [10:50:00 16/11/2012] id: ETT Mark/Location el: 0 cu: CSRU cg: RRT v1: 22cm v2: Lip st: NotStopd t0: [10:50:00 16/11/2012] id: FiO2 Set el: 0 cu: CSRU cg: RRT v1: 0.5 u1: torr st: NotStopd t0: [10:50:00 16/11/2012] id: High Insp. Pressure el: 0 cu: CSRU cg: RRT v1: 50 u1: cmH2O st: NotStopd t0: [10:50:00 16/11/2012] id: High Resp. Rate el: 0 cu: CSRU cg: RRT v1: 40 u1: BPM st: NotStopd t0: [10:50:00 16/11/2012] id: Airway Size el: 0 cu: CSRU cg: RRT v1: 8.0 mm st: NotStopd t0: [10:50:00 16/11/2012] id: Airway Type el: 0 cu: CSRU cg: RRT v1: Endotracheal st: NotStopd t0: [10:50:00 16/11/2012] id: Inspired Gas Temp el: 0 cu: CSRU cg: RRT u1: Deg. C st: NotStopd t0: [10:50:00 16/11/2012] id: Intubation Date el: 0 cu: CSRU cg: RRT v1: 10 v2: 23 st: NotStopd t0: [10:50:00 16/11/2012] id: Low Exhaled Min Vol el: 0 cu: CSRU cg: RRT v1: 4 st: NotStopd t0: [10:50:00 16/11/2012] id: Mean Airway Pressure el: 0 cu: CSRU cg: RRT v1: 9 u1: cmH2O st: NotStopd t0: [10:50:00 16/11/2012] id: Minute Volume(Obser) el: 0 cu: CSRU cg: RRT v1: 7.2 u1: L/min st: NotStopd t0: [10:50:00 16/11/2012] id: PEEP Set el: 0 cu: CSRU cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [10:50:00 16/11/2012] id: Apnea Time Interval el: 0 cu: CSRU cg: RRT v1: 20 st: NotStopd t0: [10:50:00 16/11/2012] id: Peak Insp. Pressure el: 0 cu: CSRU cg: RRT v1: 31 u1: cmH2O st: NotStopd t0: [10:50:00 16/11/2012] id: Plateau Pressure el: 0 cu: CSRU cg: RRT v1: 23 u1: cmH2O st: NotStopd t0: [10:50:00 16/11/2012] id: Pressure Support el: 0 cu: CSRU cg: RRT v1: 5 u1: . st: NotStopd t0: [10:50:00 16/11/2012] id: Resp Rate (Spont) el: 0 cu: CSRU cg: RRT v1: 0 u1: BPM st: NotStopd t0: [10:50:00 16/11/2012] id: Resp Rate (Total) el: 0 cu: CSRU cg: RRT v1: 8 u1: BPM st: NotStopd t0: [10:50:00 16/11/2012] id: Respiratory Rate Set el: 0 cu: CSRU cg: RRT v1: 8 u1: BPM st: NotStopd t0: [10:50:00 16/11/2012] id: Sensitivity-Vent el: 0 cu: CSRU cg: RRT v1: 2 u1: cmH2O st: NotStopd t0: [10:50:00 16/11/2012] id: SpO2 el: 0 cu: CSRU cg: RRT v1: 98 u1: % st: NotStopd t0: [10:50:00 16/11/2012] id: Sputum Color/Consist el: 0 cu: CSRU cg: RRT v1: Blood Tinged v2: Thick st: NotStopd t0: [10:50:00 16/11/2012] id: Sputum Source/Amt el: 0 cu: CSRU cg: RRT v1: Suctioned v2: Small st: NotStopd t0: [10:50:00 16/11/2012] id: Tidal Volume (Obser) el: 0 cu: CSRU cg: RRT v1: 900 u1: ml/B st: NotStopd t0: [10:50:00 16/11/2012] id: Tidal Volume (Set) el: 0 cu: CSRU cg: RRT v1: 900 u1: ml/B st: NotStopd t0: [10:50:00 16/11/2012] id: Ventilator Mode el: 0 cu: CSRU cg: RRT v1: SIMV+PS st: NotStopd t0: [10:50:00 16/11/2012] id: Ventilator Type el: 0 cu: CSRU cg: RRT v1: Drager st: NotStopd t0: [10:50:00 16/11/2012] id: Waveform-Vent el: 0 cu: CSRU cg: RRT v1: RAMP st: NotStopd
t0: [08:00:00 16/11/2012] id: INV Line#1 Type/Site el: 0 cu: CSRU cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [08:00:00 16/11/2012] id: INV Line#2 Type/Site el: 0 cu: CSRU cg: RN v1: PICC line v2: Left Brachial st: NotStopd t0: [08:00:00 16/11/2012] id: INV Line#2InsertDate el: 0 cu: CSRU cg: RN v1: 10 v2: 8 st: NotStopd t0: [08:00:00 16/11/2012] id: INV Line#3 Type/Site el: 0 cu: CSRU cg: RN v1: Trauma Line v2: Right IJ st: NotStopd t0: [08:00:00 16/11/2012] id: INV Line#3InsertDate el: 0 cu: CSRU cg: RN v1: 10 v2: 23 st: NotStopd t0: [08:00:00 16/11/2012] id: IV #1 Insert Date el: 0 cu: CSRU cg: RN v1: 10 v2: 21 st: NotStopd t0: [08:00:00 16/11/2012] id: IV #1 Site/Size el: 0 cu: CSRU cg: RN v1: RU Ant Forearm v2: 18 gauge st: NotStopd t0: [08:00:00 16/11/2012] id: IV #2 Insert Date el: 0 cu: CSRU cg: RN v1: 10 v2: 23 st: NotStopd t0: [08:00:00 16/11/2012] id: IV #2 Site/Size el: 0 cu: CSRU cg: RN v1: Left Hand v2: 16 gauge st: NotStopd t0: [08:00:00 16/11/2012] id: IV #3 Insert Date el: 0 cu: CSRU cg: RN v1: 10 v2: 23 st: NotStopd t0: [08:00:00 16/11/2012] id: IV #3 Site/Size el: 0 cu: CSRU cg: RN v1: Right Antecub v2: 14 gauge st: NotStopd t0: [10:00:00 16/11/2012] id: Service Type el: 0 cu: CSRU cg: RN v1: NSICU st: NotStopd t0: [10:00:00 16/11/2012] id: CVP el: 0 cu: CSRU cg: RN v1: 9 u1: mmHg st: NotStopd t0: [10:00:00 16/11/2012] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [10:00:00 16/11/2012] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [10:00:00 16/11/2012] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 66 u1: BPM st: NotStopd t0: [10:00:00 16/11/2012] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [10:00:00 16/11/2012] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 113 u1: mmHg v2: 48 u2: mmHg st: NotStopd t0: [10:00:00 16/11/2012] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 68 u1: mmHg st: NotStopd t0: [10:00:00 16/11/2012] id: Precautions el: 0 cu: CSRU cg: RN v1: Contact st: NotStopd t0: [10:00:00 16/11/2012] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 101.6 u1: kg st: NotStopd t0: [10:00:00 16/11/2012] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 8 u1: BPM st: NotStopd t0: [10:00:00 16/11/2012] id: SpO2 el: 0 cu: CSRU cg: RN v1: 99 u1: % st: NotStopd t0: [10:00:00 16/11/2012] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [11:00:00 16/11/2012] id: Pain Present el: 0 cu: CSRU cg: RN v1: No st: NotStopd t0: [11:00:00 16/11/2012] id: Range of Motion el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [11:00:00 16/11/2012] id: Service Type el: 0 cu: CSRU cg: RN v1: NSICU st: NotStopd t0: [11:00:00 16/11/2012] id: CVP el: 0 cu: CSRU cg: RN v1: 11 u1: mmHg st: NotStopd t0: [11:00:00 16/11/2012] id: Circulation/SkinInt el: 0 cu: CSRU cg: RN v1: Circulation Adeq st: NotStopd t0: [11:00:00 16/11/2012] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [11:00:00 16/11/2012] id: Riker-SAS Scale el: 0 cu: CSRU cg: RN v1: Calm/Cooperative st: NotStopd t0: [11:00:00 16/11/2012] id: Daily Wake Up el: 1 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [11:00:00 16/11/2012] id: GI Prophylaxis el: 0 cu: CSRU cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [11:00:00 16/11/2012] id: Diet Type el: 0 cu: CSRU cg: RN v1: NPO st: NotStopd t0: [11:00:00 16/11/2012] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [11:00:00 16/11/2012] id: Eye Opening el: 0 cu: CSRU cg: RN v1: 4 Spontaneously st: NotStopd t0: [11:00:00 16/11/2012] id: Follows Commands el: 0 cu: CSRU cg: RN v1: Consistently st: NotStopd t0: [11:00:00 16/11/2012] id: GCS Total el: 0 cu: CSRU cg: RN v1: 11 u1: points st: NotStopd t0: [11:00:00 16/11/2012] id: HOB el: 0 cu: CSRU cg: RN v1: 30 degrees st: NotStopd t0: [11:00:00 16/11/2012] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 66 u1: BPM st: NotStopd t0: [11:00:00 16/11/2012] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [11:00:00 16/11/2012] id: INV Line#1 Type/Site el: 0 cu: CSRU cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [11:00:00 16/11/2012] id: INV Line#1SiteAppear el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [11:00:00 16/11/2012] id: INV Line#2 Type/Site el: 0 cu: CSRU cg: RN v1: PICC line v2: Left Brachial st: NotStopd t0: [11:00:00 16/11/2012] id: INV Line#2InsertDate el: 0 cu: CSRU cg: RN v1: 10 v2: 8 st: NotStopd t0: [11:00:00 16/11/2012] id: INV Line#2SiteAppear el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [11:00:00 16/11/2012] id: INV Line#3 Type/Site el: 0 cu: CSRU cg: RN v1: Trauma Line v2: Right IJ st: NotStopd t0: [11:00:00 16/11/2012] id: INV Line#3InsertDate el: 0 cu: CSRU cg: RN v1: 10 v2: 23 st: NotStopd t0: [11:00:00 16/11/2012] id: INV Line#3SiteAppear el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [11:00:00 16/11/2012] id: Abdominal Assessment el: 0 cu: CSRU cg: RN v1: Soft Distended st: NotStopd t0: [11:00:00 16/11/2012] id: INV#1 WaveformAppear el: 0 cu: CSRU cg: RN v1: Sharp st: NotStopd t0: [11:00:00 16/11/2012] id: INV#3 WaveformAppear el: 0 cu: CSRU cg: RN v1: Sharp st: NotStopd t0: [11:00:00 16/11/2012] id: IV #1 Insert Date el: 0 cu: CSRU cg: RN v1: 10 v2: 21 st: NotStopd t0: [11:00:00 16/11/2012] id: IV #1 Site/Size el: 0 cu: CSRU cg: RN v1: RU Ant Forearm v2: 18 gauge st: NotStopd t0: [11:00:00 16/11/2012] id: IV #2 Insert Date el: 0 cu: CSRU cg: RN v1: 10 v2: 23 st: NotStopd t0: [11:00:00 16/11/2012] id: IV #2 Site/Size el: 0 cu: CSRU cg: RN v1: Left Hand v2: 16 gauge st: NotStopd t0: [11:00:00 16/11/2012] id: IV #3 Insert Date el: 0 cu: CSRU cg: RN v1: 10 v2: 23 st: NotStopd t0: [11:00:00 16/11/2012] id: IV #3 Site/Size el: 0 cu: CSRU cg: RN v1: Right Antecub v2: 14 gauge st: NotStopd t0: [11:00:00 16/11/2012] id: Activity el: 0 cu: CSRU cg: RN v1: Bedrest st: NotStopd t0: [11:00:00 16/11/2012] id: IV Site Appear #1 el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [11:00:00 16/11/2012] id: IV Site Appear #3 el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [11:00:00 16/11/2012] id: Activity Tolerance el: 0 cu: CSRU cg: RN v1: Tolerated Well st: NotStopd t0: [11:00:00 16/11/2012] id: Inc Dsg/Status #1 el: 0 cu: CSRU cg: RN v1: Dry Sterile Dsg v2: Intact st: NotStopd t0: [11:00:00 16/11/2012] id: Incision/Wound #1 el: 0 cu: CSRU cg: RN v1: Abdominal st: NotStopd t0: [11:00:00 16/11/2012] id: Level of Conscious el: 0 cu: CSRU cg: RN v1: Alert st: NotStopd t0: [11:00:00 16/11/2012] id: Motor Response el: 0 cu: CSRU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [11:00:00 16/11/2012] id: Oral Cavity el: 0 cu: CSRU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [11:00:00 16/11/2012] id: Orientation el: 0 cu: CSRU cg: RN v1: Oriented x 1 st: NotStopd t0: [11:00:00 16/11/2012] id: AntiEmbDevice/Status el: 0 cu: CSRU cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [11:00:00 16/11/2012] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 121 u1: mmHg v2: 53 u2: mmHg st: NotStopd t0: [11:00:00 16/11/2012] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 74 u1: mmHg st: NotStopd t0: [11:00:00 16/11/2012] id: Position el: 0 cu: CSRU cg: RN v1: Left Side st: NotStopd t0: [11:00:00 16/11/2012] id: Position Change el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [11:00:00 16/11/2012] id: Assistance Device el: 0 cu: CSRU cg: RN v1: 2 Person Assist st: NotStopd t0: [11:00:00 16/11/2012] id: Precautions el: 0 cu: CSRU cg: RN v1: Contact st: NotStopd t0: [11:00:00 16/11/2012] id: Pressure Sore Site#1 el: 0 cu: CSRU cg: RN v1: Coccyx st: NotStopd t0: [11:00:00 16/11/2012] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 101.6 u1: kg st: NotStopd t0: [11:00:00 16/11/2012] id: Pupil Response R/L el: 0 cu: CSRU cg: RN v1: Brisk v2: Brisk st: NotStopd t0: [11:00:00 16/11/2012] id: Pupil Size R/L el: 0 cu: CSRU cg: RN v1: 3 mm v2: 3 mm st: NotStopd t0: [11:00:00 16/11/2012] id: Reason For Restraint el: 0 cu: CSRU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [11:00:00 16/11/2012] id: Removed x 5 Mins el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [11:00:00 16/11/2012] id: Respiratory Pattern el: 0 cu: CSRU cg: RN v1: Regular st: NotStopd t0: [11:00:00 16/11/2012] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 8 u1: BPM st: NotStopd t0: [11:00:00 16/11/2012] id: Restraint Location el: 0 cu: CSRU cg: RN v1: Both Arms st: NotStopd t0: [11:00:00 16/11/2012] id: Restraint Type el: 0 cu: CSRU cg: RN v1: Soft Limb st: NotStopd t0: [11:00:00 16/11/2012] id: Restraints Evaluated el: 0 cu: CSRU cg: RN v1: Behavior Conts st: NotStopd t0: [11:00:00 16/11/2012] id: Side Rails el: 0 cu: CSRU cg: RN v1: Side Rails Up st: NotStopd t0: [11:00:00 16/11/2012] id: SpO2 el: 0 cu: CSRU cg: RN v1: 98 u1: % st: NotStopd t0: [11:00:00 16/11/2012] id: Spontaneous Movement el: 0 cu: CSRU cg: RN v1: Purposeful st: NotStopd t0: [11:00:00 16/11/2012] id: Support Systems el: 0 cu: CSRU cg: RN v1: Spouse st: NotStopd t0: [11:00:00 16/11/2012] id: Turn el: 0 cu: CSRU cg: RN v1: Logroll st: NotStopd t0: [11:00:00 16/11/2012] id: Urine Color/Appear el: 0 cu: CSRU cg: RN v1: Amber v2: Clear st: NotStopd t0: [11:00:00 16/11/2012] id: Urine Source el: 0 cu: CSRU cg: RN v1: Indwelling Cath st: NotStopd t0: [11:00:00 16/11/2012] id: Verbal Response el: 0 cu: CSRU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [11:00:00 16/11/2012] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [11:00:00 16/11/2012] id: Fingerstick Glucose Chemistry el: 0 cu: CSRU cg: RN v1: 91 rs: Manual st: NotStopd
t0: [11:00:00 16/11/2012] id: D5/.45NS IV Infusions el: 1 cu: CSRU cg: RN ai: 112 vo: 100 vu: ml t0: [11:00:00 16/11/2012] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: CSRU cg: RN ai: 126 vo: 50.52 vu: ml st: Stopped t0: [11:00:00 16/11/2012] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: CSRU cg: RN ai: 416 vo: 10 vu: ml t0: [11:00:00 16/11/2012] id: Drain Out #1 Jackson Pratt el: 1 cu: CSRU cg: RN vo: 20 vu: ml
t0: [10:00:00 16/11/2012] id: Fentanyl el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 250 su: ml rt: IV Drip t0: [10:00:00 16/11/2012] id: Propofol el: 1 cu: CSRU cg: RN so: N/A vo: 0 v1: 50 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [11:00:00 16/11/2012] id: Fentanyl el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 250 su: ml rt: IV Drip t0: [11:00:00 16/11/2012] id: Propofol el: 1 cu: CSRU cg: RN so: N/A vo: 0 v1: 0 du: mcgkgmin sv: 50 su: vl rt: IV Drip st: Stopped
t0: [11:00:00 16/11/2012] id: Family Communication el: 0 cu: CSRU cg: RN v1: Family Called st: NotStopd t0: [12:00:00 16/11/2012] id: Pain Present el: 0 cu: CSRU cg: RN v1: No st: NotStopd t0: [12:00:00 16/11/2012] id: Range of Motion el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [12:00:00 16/11/2012] id: Service Type el: 0 cu: CSRU cg: RN v1: NSICU st: NotStopd t0: [12:00:00 16/11/2012] id: CVP el: 0 cu: CSRU cg: RN v1: 16 u1: mmHg st: NotStopd t0: [12:00:00 16/11/2012] id: Circulation/SkinInt el: 0 cu: CSRU cg: RN v1: Circulation Adeq st: NotStopd t0: [12:00:00 16/11/2012] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [12:00:00 16/11/2012] id: Riker-SAS Scale el: 0 cu: CSRU cg: RN v1: Calm/Cooperative st: NotStopd t0: [12:00:00 16/11/2012] id: GI Prophylaxis el: 0 cu: CSRU cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [12:00:00 16/11/2012] id: Diet Type el: 0 cu: CSRU cg: RN v1: NPO st: NotStopd t0: [12:00:00 16/11/2012] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [12:00:00 16/11/2012] id: Eye Opening el: 0 cu: CSRU cg: RN v1: 4 Spontaneously st: NotStopd t0: [12:00:00 16/11/2012] id: GCS Total el: 0 cu: CSRU cg: RN v1: 11 u1: points st: NotStopd t0: [12:00:00 16/11/2012] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 71 u1: BPM st: NotStopd t0: [12:00:00 16/11/2012] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [12:00:00 16/11/2012] id: Abdominal Assessment el: 0 cu: CSRU cg: RN v1: Soft Distended st: NotStopd t0: [12:00:00 16/11/2012] id: Inc Dsg/Status #1 el: 0 cu: CSRU cg: RN v1: Dry Sterile Dsg v2: Intact st: NotStopd t0: [12:00:00 16/11/2012] id: Incision/Wound #1 el: 0 cu: CSRU cg: RN v1: Abdominal st: NotStopd t0: [12:00:00 16/11/2012] id: Level of Conscious el: 0 cu: CSRU cg: RN v1: Alert st: NotStopd t0: [12:00:00 16/11/2012] id: Motor Response el: 0 cu: CSRU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [12:00:00 16/11/2012] id: Oral Cavity el: 0 cu: CSRU cg: RN v1: Bleeding Gum st: NotStopd t0: [12:00:00 16/11/2012] id: Orientation el: 0 cu: CSRU cg: RN v1: Oriented x 1 st: NotStopd t0: [12:00:00 16/11/2012] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 134 u1: mmHg v2: 62 u2: mmHg st: NotStopd t0: [12:00:00 16/11/2012] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 85 u1: mmHg st: NotStopd t0: [12:00:00 16/11/2012] id: Position Change el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [12:00:00 16/11/2012] id: Precautions el: 0 cu: CSRU cg: RN v1: Contact st: NotStopd t0: [12:00:00 16/11/2012] id: Pressure Sore Site#1 el: 0 cu: CSRU cg: RN v1: Coccyx st: NotStopd t0: [12:00:00 16/11/2012] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 101.6 u1: kg st: NotStopd t0: [12:00:00 16/11/2012] id: Reason For Restraint el: 0 cu: CSRU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [12:00:00 16/11/2012] id: Removed x 5 Mins el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [12:00:00 16/11/2012] id: Respiratory Pattern el: 0 cu: CSRU cg: RN v1: Regular st: NotStopd t0: [12:00:00 16/11/2012] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 9 u1: BPM st: NotStopd t0: [12:00:00 16/11/2012] id: Restraint Location el: 0 cu: CSRU cg: RN v1: Both Arms st: NotStopd t0: [12:00:00 16/11/2012] id: Restraint Type el: 0 cu: CSRU cg: RN v1: Soft Limb st: NotStopd t0: [12:00:00 16/11/2012] id: Restraints Evaluated el: 0 cu: CSRU cg: RN v1: Behavior Conts st: NotStopd t0: [12:00:00 16/11/2012] id: Side Rails el: 0 cu: CSRU cg: RN v1: Side Rails Up st: NotStopd t0: [12:00:00 16/11/2012] id: SpO2 el: 0 cu: CSRU cg: RN v1: 98 u1: % st: NotStopd t0: [12:00:00 16/11/2012] id: Support Systems el: 0 cu: CSRU cg: RN v1: Spouse st: NotStopd t0: [12:00:00 16/11/2012] id: Urine Color/Appear el: 0 cu: CSRU cg: RN v1: Amber v2: Clear st: NotStopd t0: [12:00:00 16/11/2012] id: Urine Source el: 0 cu: CSRU cg: RN v1: Indwelling Cath st: NotStopd t0: [12:00:00 16/11/2012] id: Verbal Response el: 0 cu: CSRU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [12:00:00 16/11/2012] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [12:00:00 16/11/2012] id: D5/.45NS IV Infusions el: 1 cu: CSRU cg: RN ai: 112 vo: 50 vu: ml t0: [12:00:00 16/11/2012] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: CSRU cg: RN ai: 416 vo: 5 vu: ml
t0: [12:00:00 16/11/2012] id: Fentanyl el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 25 du: mcghr sv: 250 su: ml rt: IV Drip
tf: [12:00:00 17/11/2012] pt: Unit Dose rt: SC fr: ONCE fs: 13 dn: 1 m1: Phytonadione v1: 5 u1: mg tf: [20:00:00 18/11/2012] pt: IV Piggyback rt: IV DRIP fr: INFUSION m1: Fentanyl Citrate v1: 2500 u1: mcg m2: D5W v2: 250 u2: ml tf: [20:00:00 18/11/2012] pt: Unit Dose rt: IV DRIP fr: TITRATE TO m1: Propofol (Generic) v1: 1000 u1: mg tf: [19:00:00 22/11/2012] pt: Unit Dose rt: IV fr: Q4H:PRN m1: Hydromorphone v1: 0.5-1 u1: mg tf: [18:00:00 29/11/2012] pt: Unit Dose rt: SC fr: ASDIR m1: Insulin v1: 0 u1: UNIT
t0: [13:00:00 16/11/2012] id: Service Type el: 0 cu: CSRU cg: RN v1: NSICU st: NotStopd t0: [13:00:00 16/11/2012] id: CVP el: 0 cu: CSRU cg: RN v1: 11 u1: mmHg st: NotStopd t0: [13:00:00 16/11/2012] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [13:00:00 16/11/2012] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [13:00:00 16/11/2012] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 66 u1: BPM st: NotStopd t0: [13:00:00 16/11/2012] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [13:00:00 16/11/2012] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 117 u1: mmHg v2: 47 u2: mmHg st: NotStopd t0: [13:00:00 16/11/2012] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 67 u1: mmHg st: NotStopd t0: [13:00:00 16/11/2012] id: Precautions el: 0 cu: CSRU cg: RN v1: Contact st: NotStopd t0: [13:00:00 16/11/2012] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 101.6 u1: kg st: NotStopd t0: [13:00:00 16/11/2012] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 8 u1: BPM st: NotStopd t0: [13:00:00 16/11/2012] id: SpO2 el: 0 cu: CSRU cg: RN v1: 99 u1: % st: NotStopd t0: [13:00:00 16/11/2012] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [13:00:00 16/11/2012] id: Fentanyl el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 25 du: mcghr sv: 250 su: ml rt: IV Drip
t0: [13:00:00 16/11/2012] id: D5/.45NS IV Infusions el: 1 cu: CSRU cg: RN ai: 112 vo: 50 vu: ml t0: [13:00:00 16/11/2012] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: CSRU cg: RN ai: 416 vo: 2.5 vu: ml
t0: [14:00:00 16/11/2012] id: Service Type el: 0 cu: CSRU cg: RN v1: NSICU st: NotStopd t0: [14:00:00 16/11/2012] id: CVP el: 0 cu: CSRU cg: RN v1: 11 u1: mmHg st: NotStopd t0: [14:00:00 16/11/2012] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [14:00:00 16/11/2012] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [14:00:00 16/11/2012] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 69 u1: BPM st: NotStopd t0: [14:00:00 16/11/2012] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [14:00:00 16/11/2012] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 119 u1: mmHg v2: 48 u2: mmHg st: NotStopd t0: [14:00:00 16/11/2012] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 69 u1: mmHg st: NotStopd t0: [14:00:00 16/11/2012] id: Precautions el: 0 cu: CSRU cg: RN v1: Contact st: NotStopd t0: [14:00:00 16/11/2012] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 101.6 u1: kg st: NotStopd t0: [14:00:00 16/11/2012] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 8 u1: BPM st: NotStopd t0: [14:00:00 16/11/2012] id: SpO2 el: 0 cu: CSRU cg: RN v1: 100 u1: % st: NotStopd t0: [14:00:00 16/11/2012] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [14:00:00 16/11/2012] id: D5/.45NS IV Infusions el: 1 cu: CSRU cg: RN ai: 112 vo: 50 vu: ml t0: [14:00:00 16/11/2012] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: CSRU cg: RN ai: 416 vo: 2.5 vu: ml
t0: [14:00:00 16/11/2012] id: Fentanyl el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 25 du: mcghr sv: 250 su: ml rt: IV Drip
t0: [15:00:00 16/11/2012] id: ETT Mark/Location el: 0 cu: CSRU cg: RRT v1: 22cm v2: Lip st: NotStopd t0: [15:00:00 16/11/2012] id: FiO2 Set el: 0 cu: CSRU cg: RRT v1: 0.5 u1: torr st: NotStopd t0: [15:00:00 16/11/2012] id: High Insp. Pressure el: 0 cu: CSRU cg: RRT v1: 50 u1: cmH2O st: NotStopd t0: [15:00:00 16/11/2012] id: High Resp. Rate el: 0 cu: CSRU cg: RRT v1: 40 u1: BPM st: NotStopd t0: [15:00:00 16/11/2012] id: Airway Size el: 0 cu: CSRU cg: RRT v1: 8.0 mm st: NotStopd t0: [15:00:00 16/11/2012] id: Airway Type el: 0 cu: CSRU cg: RRT v1: Endotracheal st: NotStopd t0: [15:00:00 16/11/2012] id: Inspired Gas Temp el: 0 cu: CSRU cg: RRT u1: Deg. C st: NotStopd t0: [15:00:00 16/11/2012] id: Intubation Date el: 0 cu: CSRU cg: RRT v1: 10 v2: 23 st: NotStopd t0: [15:00:00 16/11/2012] id: Low Exhaled Min Vol el: 0 cu: CSRU cg: RRT v1: 4 st: NotStopd t0: [15:00:00 16/11/2012] id: Mean Airway Pressure el: 0 cu: CSRU cg: RRT v1: 7 u1: cmH2O st: NotStopd t0: [15:00:00 16/11/2012] id: Minute Volume(Obser) el: 0 cu: CSRU cg: RRT v1: 8.5 u1: L/min st: NotStopd t0: [15:00:00 16/11/2012] id: PEEP Set el: 0 cu: CSRU cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [15:00:00 16/11/2012] id: Apnea Time Interval el: 0 cu: CSRU cg: RRT v1: 20 st: NotStopd t0: [15:00:00 16/11/2012] id: Pressure Support el: 0 cu: CSRU cg: RRT v1: 10 u1: . st: NotStopd t0: [15:00:00 16/11/2012] id: Resp Rate (Total) el: 0 cu: CSRU cg: RRT v1: 12 u1: BPM st: NotStopd t0: [15:00:00 16/11/2012] id: Sensitivity-Vent el: 0 cu: CSRU cg: RRT v1: 2 u1: cmH2O st: NotStopd t0: [15:00:00 16/11/2012] id: SpO2 el: 0 cu: CSRU cg: RRT v1: 99 u1: % st: NotStopd t0: [15:00:00 16/11/2012] id: Tidal Volume (Spont) el: 0 cu: CSRU cg: RRT v1: 790 u1: ml/B st: NotStopd t0: [15:00:00 16/11/2012] id: Ventilator Mode el: 0 cu: CSRU cg: RRT v1: CPAP+PS st: NotStopd t0: [15:00:00 16/11/2012] id: Ventilator Type el: 0 cu: CSRU cg: RRT v1: Drager st: NotStopd
t0: [15:00:00 16/11/2012] id: Service Type el: 0 cu: CSRU cg: RN v1: NSICU st: NotStopd t0: [15:00:00 16/11/2012] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [15:00:00 16/11/2012] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [15:00:00 16/11/2012] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 70 u1: BPM st: NotStopd t0: [15:00:00 16/11/2012] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [15:00:00 16/11/2012] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 134 u1: mmHg v2: 57 u2: mmHg st: NotStopd t0: [15:00:00 16/11/2012] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 80 u1: mmHg st: NotStopd t0: [15:00:00 16/11/2012] id: Precautions el: 0 cu: CSRU cg: RN v1: Contact st: NotStopd t0: [15:00:00 16/11/2012] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 101.6 u1: kg st: NotStopd t0: [15:00:00 16/11/2012] id: Procedures el: 0 cu: CSRU cg: RN v1: Line Placement st: NotStopd t0: [15:00:00 16/11/2012] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 10 u1: BPM st: NotStopd t0: [15:00:00 16/11/2012] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [16:00:00 16/11/2012] id: Range of Motion el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [16:00:00 16/11/2012] id: INV#3Chg o/Wire Date el: 0 cu: CSRU cg: RN v1: 10 v2: 24 st: NotStopd t0: [16:00:00 16/11/2012] id: Service Type el: 0 cu: CSRU cg: RN v1: NSICU st: NotStopd t0: [16:00:00 16/11/2012] id: Circulation/SkinInt el: 0 cu: CSRU cg: RN v1: Circulation Adeq st: NotStopd t0: [16:00:00 16/11/2012] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [16:00:00 16/11/2012] id: GI Prophylaxis el: 0 cu: CSRU cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [16:00:00 16/11/2012] id: Diet Type el: 0 cu: CSRU cg: RN v1: NPO st: NotStopd t0: [16:00:00 16/11/2012] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [16:00:00 16/11/2012] id: Eye Opening el: 0 cu: CSRU cg: RN v1: 4 Spontaneously st: NotStopd t0: [16:00:00 16/11/2012] id: GCS Total el: 0 cu: CSRU cg: RN v1: 11 u1: points st: NotStopd t0: [16:00:00 16/11/2012] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 74 u1: BPM st: NotStopd t0: [16:00:00 16/11/2012] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [16:00:00 16/11/2012] id: INV Line#1 Type/Site el: 0 cu: CSRU cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [16:00:00 16/11/2012] id: INV Line#1SiteAppear el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [16:00:00 16/11/2012] id: INV Line#2 Type/Site el: 0 cu: CSRU cg: RN v1: PICC line v2: Left Brachial st: NotStopd t0: [16:00:00 16/11/2012] id: INV Line#2InsertDate el: 0 cu: CSRU cg: RN v1: 10 v2: 8 st: NotStopd t0: [16:00:00 16/11/2012] id: INV Line#2SiteAppear el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [16:00:00 16/11/2012] id: INV Line#3 Site Date el: 0 cu: CSRU cg: RN v1: 10 v2: 24 st: NotStopd t0: [16:00:00 16/11/2012] id: INV Line#3 Type/Site el: 0 cu: CSRU cg: RN v1: Multi-lumen v2: Right IJ st: NotStopd t0: [16:00:00 16/11/2012] id: INV Line#3InsertDate el: 0 cu: CSRU cg: RN v1: 10 v2: 23 st: NotStopd t0: [16:00:00 16/11/2012] id: INV Line#3SiteAppear el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [16:00:00 16/11/2012] id: Abdominal Assessment el: 0 cu: CSRU cg: RN v1: Soft Distended st: NotStopd t0: [16:00:00 16/11/2012] id: INV#1 WaveformAppear el: 0 cu: CSRU cg: RN v1: Sharp st: NotStopd t0: [16:00:00 16/11/2012] id: INV#3 WaveformAppear el: 0 cu: CSRU cg: RN v1: Sharp st: NotStopd t0: [16:00:00 16/11/2012] id: IV #1 Insert Date el: 0 cu: CSRU cg: RN v1: 10 v2: 21 st: NotStopd t0: [16:00:00 16/11/2012] id: IV #1 Site/Size el: 0 cu: CSRU cg: RN v1: RU Ant Forearm v2: 18 gauge st: NotStopd t0: [16:00:00 16/11/2012] id: IV #2 Insert Date el: 0 cu: CSRU cg: RN v1: 10 v2: 23 st: NotStopd t0: [16:00:00 16/11/2012] id: IV #2 Site/Size el: 0 cu: CSRU cg: RN v1: Left Hand v2: 16 gauge st: NotStopd t0: [16:00:00 16/11/2012] id: IV #3 Insert Date el: 0 cu: CSRU cg: RN v1: 10 v2: 23 st: NotStopd t0: [16:00:00 16/11/2012] id: IV #3 Site/Size el: 0 cu: CSRU cg: RN v1: Right Antecub v2: 14 gauge st: NotStopd t0: [16:00:00 16/11/2012] id: IV Site Appear #1 el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [16:00:00 16/11/2012] id: IV Site Appear #2 el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [16:00:00 16/11/2012] id: IV Site Appear #3 el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [16:00:00 16/11/2012] id: Inc Dsg/Status #1 el: 0 cu: CSRU cg: RN v1: Dry Sterile Dsg v2: Intact st: NotStopd t0: [16:00:00 16/11/2012] id: Incision/Wound #1 el: 0 cu: CSRU cg: RN v1: Abdominal st: NotStopd t0: [16:00:00 16/11/2012] id: LLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [16:00:00 16/11/2012] id: LUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [16:00:00 16/11/2012] id: Level of Conscious el: 0 cu: CSRU cg: RN v1: Alert st: NotStopd t0: [16:00:00 16/11/2012] id: Motor Response el: 0 cu: CSRU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [16:00:00 16/11/2012] id: Oral Cavity el: 0 cu: CSRU cg: RN v1: Bleeding Gum st: NotStopd t0: [16:00:00 16/11/2012] id: Orientation el: 0 cu: CSRU cg: RN v1: Oriented x 1 st: NotStopd t0: [16:00:00 16/11/2012] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 138 u1: mmHg v2: 56 u2: mmHg st: NotStopd t0: [16:00:00 16/11/2012] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 79 u1: mmHg st: NotStopd t0: [16:00:00 16/11/2012] id: Position Change el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [16:00:00 16/11/2012] id: Precautions el: 0 cu: CSRU cg: RN v1: Contact st: NotStopd t0: [16:00:00 16/11/2012] id: Pressure Sore Site#1 el: 0 cu: CSRU cg: RN v1: Coccyx st: NotStopd t0: [16:00:00 16/11/2012] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 101.6 u1: kg st: NotStopd t0: [16:00:00 16/11/2012] id: RLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [16:00:00 16/11/2012] id: RUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [16:00:00 16/11/2012] id: Reason For Restraint el: 0 cu: CSRU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [16:00:00 16/11/2012] id: Removed x 5 Mins el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [16:00:00 16/11/2012] id: Respiratory Pattern el: 0 cu: CSRU cg: RN v1: Regular st: NotStopd t0: [16:00:00 16/11/2012] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 11 u1: BPM st: NotStopd t0: [16:00:00 16/11/2012] id: Restraint Location el: 0 cu: CSRU cg: RN v1: Both Arms st: NotStopd t0: [16:00:00 16/11/2012] id: Restraint Type el: 0 cu: CSRU cg: RN v1: Soft Limb st: NotStopd t0: [16:00:00 16/11/2012] id: Restraints Evaluated el: 0 cu: CSRU cg: RN v1: Behavior Conts st: NotStopd t0: [16:00:00 16/11/2012] id: Side Rails el: 0 cu: CSRU cg: RN v1: Side Rails Up st: NotStopd t0: [16:00:00 16/11/2012] id: SpO2 el: 0 cu: CSRU cg: RN v1: 99 u1: % st: NotStopd t0: [16:00:00 16/11/2012] id: Support Systems el: 0 cu: CSRU cg: RN v1: Spouse st: NotStopd t0: [16:00:00 16/11/2012] id: Urine Color/Appear el: 0 cu: CSRU cg: RN v1: Amber v2: Clear st: NotStopd t0: [16:00:00 16/11/2012] id: Urine Source el: 0 cu: CSRU cg: RN v1: Indwelling Cath st: NotStopd t0: [16:00:00 16/11/2012] id: Verbal Response el: 0 cu: CSRU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [16:00:00 16/11/2012] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [15:00:00 16/11/2012] id: D5/.45NS IV Infusions el: 1 cu: CSRU cg: RN ai: 112 vo: 50 vu: ml t0: [15:00:00 16/11/2012] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: CSRU cg: RN ai: 416 vo: 2.5 vu: ml
t0: [15:00:00 16/11/2012] id: Fentanyl el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 25 du: mcghr sv: 250 su: ml rt: IV Drip t0: [16:00:00 16/11/2012] id: Fentanyl el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 25 du: mcghr sv: 250 su: ml rt: IV Drip
t0: [16:42:00 16/11/2012] id: Art.pH ABG el: 0 cu: CSRU cg: 3161 v1: 7.42 rs: Final st: NotStopd t0: [16:42:00 16/11/2012] id: Arterial Base Excess ABG el: 0 cu: CSRU cg: 3161 v1: 2 rs: Final st: NotStopd t0: [16:42:00 16/11/2012] id: Arterial CO2(Calc) ABG el: 0 cu: CSRU cg: 3161 v1: 29 rs: Final st: NotStopd t0: [16:42:00 16/11/2012] id: Arterial PaCO2 ABG el: 0 cu: CSRU cg: 3161 v1: 43 u1: mmHg rs: Final st: NotStopd t0: [16:42:00 16/11/2012] id: Arterial PaO2 ABG el: 0 cu: CSRU cg: 3161 v1: 96 u1: mmHg rs: Final st: NotStopd t0: [16:42:00 16/11/2012] id: Arterial pH ABG el: 0 cu: CSRU cg: 3161 v1: 7.42 rs: Final st: NotStopd
t0: [16:42:00 16/11/2012] id: Glucose Chemistry el: 0 cu: CSRU cg: 3161 v1: 99 rs: Final st: NotStopd t0: [16:42:00 16/11/2012] id: Potassium Chemistry el: 0 cu: CSRU cg: 3161 v1: 3.5 rs: Final st: NotStopd t0: [16:42:00 16/11/2012] id: Glucose (70-105) Chemistry el: 0 cu: CSRU cg: 3161 v1: 99 rs: Final st: NotStopd t0: [16:42:00 16/11/2012] id: Ionized Calcium Chemistry el: 0 cu: CSRU cg: 3161 v1: 1.2 rs: Final st: NotStopd t0: [16:42:00 16/11/2012] id: Potassium (3.5-5.3) Chemistry el: 0 cu: CSRU cg: 3161 v1: 3.5 rs: Final st: NotStopd t0: [16:42:00 16/11/2012] id: SaO2 ABG's el: 0 cu: CSRU cg: 3161 v1: 98 u1: % rs: Final st: NotStopd
t0: [16:00:00 16/11/2012] id: PT el: 0 cu: CSRU cg: 3161 v1: 14.9 rs: Final st: NotStopd t0: [16:00:00 16/11/2012] id: INR Coags el: 0 cu: CSRU cg: 3161 v1: 1.5 rs: Final st: NotStopd t0: [16:00:00 16/11/2012] id: PTT Coags el: 0 cu: CSRU cg: 3161 v1: 33.7 rs: Final st: NotStopd t0: [16:00:00 16/11/2012] id: INR (2-4 ref. range) Coags el: 0 cu: CSRU cg: 3161 v1: 1.5 rs: Final st: NotStopd t0: [16:00:00 16/11/2012] id: PT(11-13.5) Coags el: 0 cu: CSRU cg: 3161 v1: 14.9 rs: Final st: NotStopd t0: [16:00:00 16/11/2012] id: PTT(22-35) Coags el: 0 cu: CSRU cg: 3161 v1: 33.7 rs: Final st: NotStopd
t0: [17:00:00 16/11/2012] id: Service Type el: 0 cu: CSRU cg: RN v1: NSICU st: NotStopd t0: [17:00:00 16/11/2012] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [17:00:00 16/11/2012] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [17:00:00 16/11/2012] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 70 u1: BPM st: NotStopd t0: [17:00:00 16/11/2012] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [17:00:00 16/11/2012] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 124 u1: mmHg v2: 50 u2: mmHg st: NotStopd t0: [17:00:00 16/11/2012] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 70 u1: mmHg st: NotStopd t0: [17:00:00 16/11/2012] id: Precautions el: 0 cu: CSRU cg: RN v1: Contact st: NotStopd t0: [17:00:00 16/11/2012] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 101.6 u1: kg st: NotStopd t0: [17:00:00 16/11/2012] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 7 u1: BPM st: NotStopd t0: [17:00:00 16/11/2012] id: SpO2 el: 0 cu: CSRU cg: RN v1: 98 u1: % st: NotStopd t0: [17:00:00 16/11/2012] id: Temperature C (calc) el: 0 cu: CSRU cg: RN v1: 37.5556 u1: Deg. C st: NotStopd t0: [17:00:00 16/11/2012] id: Temperature F el: 0 cu: CSRU cg: RN v1: 99.6 u1: Deg. F st: NotStopd t0: [17:00:00 16/11/2012] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [17:00:00 16/11/2012] id: D5/.45NS IV Infusions el: 1 cu: CSRU cg: RN ai: 112 vo: 100 vu: ml t0: [17:00:00 16/11/2012] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: CSRU cg: RN ai: 416 vo: 5 vu: ml
t0: [17:00:00 16/11/2012] id: Fentanyl el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 25 du: mcghr sv: 250 su: ml rt: IV Drip
t0: [08:00:00 16/11/2012] id: Procedures el: 0 cu: CSRU cg: RN v1: Urine Culture st: NotStopd t0: [16:00:00 16/11/2012] id: BUN el: 0 cu: CSRU cg: 3161 v1: 10 rs: Final st: NotStopd t0: [16:00:00 16/11/2012] id: Chloride Chemistry el: 0 cu: CSRU cg: 3161 v1: 103 rs: Final st: NotStopd t0: [16:00:00 16/11/2012] id: Creatinine Chemistry el: 0 cu: CSRU cg: 3161 v1: 1.2 rs: Final st: NotStopd t0: [16:00:00 16/11/2012] id: Magnesium Chemistry el: 0 cu: CSRU cg: 3161 v1: 1.5 rs: Final st: NotStopd t0: [16:00:00 16/11/2012] id: Phosphorous Chemistry el: 0 cu: CSRU cg: 3161 v1: 4.2 u1: mEq/L rs: Final st: NotStopd t0: [16:00:00 16/11/2012] id: Potassium Chemistry el: 0 cu: CSRU cg: 3161 v1: 3.5 rs: Final st: NotStopd t0: [16:00:00 16/11/2012] id: Sodium Chemistry el: 0 cu: CSRU cg: 3161 v1: 138 rs: Final st: NotStopd t0: [16:00:00 16/11/2012] id: Total Bili Chemistry el: 0 cu: CSRU cg: 3161 v1: 11.4 rs: Final st: NotStopd t0: [16:00:00 16/11/2012] id: ALT Enzymes el: 0 cu: CSRU cg: 3161 v1: 41 rs: Final st: NotStopd t0: [16:00:00 16/11/2012] id: AST Enzymes el: 0 cu: CSRU cg: 3161 v1: 66 rs: Final st: NotStopd t0: [16:00:00 16/11/2012] id: Alk. Phosphate Enzymes el: 0 cu: CSRU cg: 3161 v1: 104 rs: Final st: NotStopd t0: [16:00:00 16/11/2012] id: BUN (6-20) Chemistry el: 0 cu: CSRU cg: 3161 v1: 10 rs: Final st: NotStopd t0: [16:00:00 16/11/2012] id: Carbon Dioxide Chemistry el: 0 cu: CSRU cg: 3161 v1: 26 rs: Final st: NotStopd t0: [16:00:00 16/11/2012] id: Chloride (100-112) Chemistry el: 0 cu: CSRU cg: 3161 v1: 103 rs: Final st: NotStopd t0: [16:00:00 16/11/2012] id: Creatinine (0-1.3) Chemistry el: 0 cu: CSRU cg: 3161 v1: 1.2 rs: Final st: NotStopd t0: [16:00:00 16/11/2012] id: Magnesium (1.6-2.6) Chemistry el: 0 cu: CSRU cg: 3161 v1: 1.5 rs: Final st: NotStopd t0: [16:00:00 16/11/2012] id: Phosphorous(2.7-4.5) Chemistry el: 0 cu: CSRU cg: 3161 v1: 4.2 u1: mEq/L rs: Final st: NotStopd t0: [16:00:00 16/11/2012] id: Potassium (3.5-5.3) Chemistry el: 0 cu: CSRU cg: 3161 v1: 3.5 rs: Final st: NotStopd t0: [16:00:00 16/11/2012] id: Sodium (135-148) Chemistry el: 0 cu: CSRU cg: 3161 v1: 138 rs: Final st: NotStopd t0: [16:00:00 16/11/2012] id: Total Bili (0-1.5) Chemistry el: 0 cu: CSRU cg: 3161 v1: 11.4 rs: Final st: NotStopd
t0: [16:00:00 16/11/2012] id: WBC (4-11,000) Hematology el: 0 cu: CSRU cg: 3161 v1: 29.7 rs: Final st: NotStopd t0: [16:00:00 16/11/2012] id: WBC Hematology el: 0 cu: CSRU cg: 3161 v1: 29.7 rs: Final st: NotStopd t0: [16:00:00 16/11/2012] id: Hematocrit Hematology el: 0 cu: CSRU cg: 3161 v1: 36.1 u1: % rs: Final st: NotStopd t0: [16:00:00 16/11/2012] id: Hemoglobin Hematology el: 0 cu: CSRU cg: 3161 v1: 12.2 u1: gm/dl rs: Final st: NotStopd t0: [16:00:00 16/11/2012] id: Platelets Hematology el: 0 cu: CSRU cg: 3161 v1: 162 rs: Final st: NotStopd t0: [16:00:00 16/11/2012] id: RBC Hematology el: 0 cu: CSRU cg: 3161 v1: 4.01 u1: /mic l rs: Final st: NotStopd t0: [16:00:00 16/11/2012] id: WBC (4-11,000) Hematology el: 0 cu: CSRU cg: 3161 v1: 29.7 rs: Final st: NotStopd t0: [16:42:00 16/11/2012] id: CaO2 el: 0 cu: CSRU cg: 3161 v1: 16.3186 u1: ml/dl st: NotStopd
t0: [18:00:00 16/11/2012] id: Pressure Support el: 0 cu: CSRU cg: RRT v1: 5 u1: . st: NotStopd
tf: [17:00:00 17/11/2012] pt: IV Piggyback rt: IV fr: ONCE fs: 18 dn: 1 m1: Potassium Chloride v1: 20 u1: mEq m2: SW v2: 50 u2: ml
t0: [18:00:00 16/11/2012] id: Pain Present el: 0 cu: CSRU cg: RN v1: No st: NotStopd t0: [18:00:00 16/11/2012] id: Range of Motion el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [18:00:00 16/11/2012] id: INV#3Chg o/Wire Date el: 0 cu: CSRU cg: RN v1: 10 v2: 24 st: NotStopd t0: [18:00:00 16/11/2012] id: Service Type el: 0 cu: CSRU cg: RN v1: NSICU st: NotStopd t0: [18:00:00 16/11/2012] id: Circulation/SkinInt el: 0 cu: CSRU cg: RN v1: Circulation Adeq st: NotStopd t0: [18:00:00 16/11/2012] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [18:00:00 16/11/2012] id: Riker-SAS Scale el: 0 cu: CSRU cg: RN v1: Calm/Cooperative st: NotStopd t0: [18:00:00 16/11/2012] id: GI Prophylaxis el: 0 cu: CSRU cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [18:00:00 16/11/2012] id: Diet Type el: 0 cu: CSRU cg: RN v1: NPO st: NotStopd t0: [18:00:00 16/11/2012] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [18:00:00 16/11/2012] id: Eye Opening el: 0 cu: CSRU cg: RN v1: 4 Spontaneously st: NotStopd t0: [18:00:00 16/11/2012] id: Follows Commands el: 0 cu: CSRU cg: RN v1: Consistently st: NotStopd t0: [18:00:00 16/11/2012] id: GCS Total el: 0 cu: CSRU cg: RN v1: 11 u1: points st: NotStopd t0: [18:00:00 16/11/2012] id: HOB el: 0 cu: CSRU cg: RN v1: 30 degrees st: NotStopd t0: [18:00:00 16/11/2012] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 71 u1: BPM st: NotStopd t0: [18:00:00 16/11/2012] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [18:00:00 16/11/2012] id: INV Line#1 Type/Site el: 0 cu: CSRU cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [18:00:00 16/11/2012] id: INV Line#1SiteAppear el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [18:00:00 16/11/2012] id: INV Line#2 Type/Site el: 0 cu: CSRU cg: RN v1: PICC line v2: Left Brachial st: NotStopd t0: [18:00:00 16/11/2012] id: INV Line#2InsertDate el: 0 cu: CSRU cg: RN v1: 10 v2: 8 st: NotStopd t0: [18:00:00 16/11/2012] id: INV Line#2SiteAppear el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [18:00:00 16/11/2012] id: INV Line#3 Site Date el: 0 cu: CSRU cg: RN v1: 10 v2: 24 st: NotStopd t0: [18:00:00 16/11/2012] id: INV Line#3 Type/Site el: 0 cu: CSRU cg: RN v1: Multi-lumen v2: Right IJ st: NotStopd t0: [18:00:00 16/11/2012] id: INV Line#3InsertDate el: 0 cu: CSRU cg: RN v1: 10 v2: 23 st: NotStopd t0: [18:00:00 16/11/2012] id: INV Line#3SiteAppear el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [18:00:00 16/11/2012] id: Abdominal Assessment el: 0 cu: CSRU cg: RN v1: Soft Distended st: NotStopd t0: [18:00:00 16/11/2012] id: INV#1 WaveformAppear el: 0 cu: CSRU cg: RN v1: Sharp st: NotStopd t0: [18:00:00 16/11/2012] id: INV#3 WaveformAppear el: 0 cu: CSRU cg: RN v1: Sharp st: NotStopd t0: [18:00:00 16/11/2012] id: IV #1 Insert Date el: 0 cu: CSRU cg: RN v1: 10 v2: 21 st: NotStopd t0: [18:00:00 16/11/2012] id: IV #1 Site/Size el: 0 cu: CSRU cg: RN v1: RU Ant Forearm v2: 18 gauge st: NotStopd t0: [18:00:00 16/11/2012] id: IV #2 Insert Date el: 0 cu: CSRU cg: RN v1: 10 v2: 23 st: NotStopd t0: [18:00:00 16/11/2012] id: IV #2 Site/Size el: 0 cu: CSRU cg: RN v1: Left Hand v2: 16 gauge st: NotStopd t0: [18:00:00 16/11/2012] id: IV #3 Insert Date el: 0 cu: CSRU cg: RN v1: 10 v2: 23 st: NotStopd t0: [18:00:00 16/11/2012] id: IV #3 Site/Size el: 0 cu: CSRU cg: RN v1: Right Antecub v2: 14 gauge st: NotStopd t0: [18:00:00 16/11/2012] id: Activity el: 0 cu: CSRU cg: RN v1: Bedrest st: NotStopd t0: [18:00:00 16/11/2012] id: IV Site Appear #1 el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [18:00:00 16/11/2012] id: IV Site Appear #2 el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [18:00:00 16/11/2012] id: IV Site Appear #3 el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [18:00:00 16/11/2012] id: Activity Tolerance el: 0 cu: CSRU cg: RN v1: Tolerated Well st: NotStopd t0: [18:00:00 16/11/2012] id: Inc Dsg/Status #1 el: 0 cu: CSRU cg: RN v1: Dry Sterile Dsg v2: Intact st: NotStopd t0: [18:00:00 16/11/2012] id: Incision/Wound #1 el: 0 cu: CSRU cg: RN v1: Abdominal st: NotStopd t0: [18:00:00 16/11/2012] id: Level of Conscious el: 0 cu: CSRU cg: RN v1: Alert st: NotStopd t0: [18:00:00 16/11/2012] id: Motor Response el: 0 cu: CSRU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [18:00:00 16/11/2012] id: Oral Cavity el: 0 cu: CSRU cg: RN v1: Bleeding Gum st: NotStopd t0: [18:00:00 16/11/2012] id: Orientation el: 0 cu: CSRU cg: RN v1: Oriented x 1 st: NotStopd t0: [18:00:00 16/11/2012] id: AntiEmbDevice/Status el: 0 cu: CSRU cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [18:00:00 16/11/2012] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 125 u1: mmHg v2: 51 u2: mmHg st: NotStopd t0: [18:00:00 16/11/2012] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 72 u1: mmHg st: NotStopd t0: [18:00:00 16/11/2012] id: Position el: 0 cu: CSRU cg: RN v1: Right Side st: NotStopd t0: [18:00:00 16/11/2012] id: Position Change el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [18:00:00 16/11/2012] id: Assistance Device el: 0 cu: CSRU cg: RN v1: 2 Person Assist st: NotStopd t0: [18:00:00 16/11/2012] id: Precautions el: 0 cu: CSRU cg: RN v1: Contact st: NotStopd t0: [18:00:00 16/11/2012] id: PressSoreCleansing#1 el: 0 cu: CSRU cg: RN v1: Soap & H20 st: NotStopd t0: [18:00:00 16/11/2012] id: PressSoreTreatment#1 el: 0 cu: CSRU cg: RN v1: Wound Gel st: NotStopd t0: [18:00:00 16/11/2012] id: PressSoreWoundBase#1 el: 0 cu: CSRU cg: RN v1: Red st: NotStopd t0: [18:00:00 16/11/2012] id: Pressure Sore Site#1 el: 0 cu: CSRU cg: RN v1: Coccyx st: NotStopd t0: [18:00:00 16/11/2012] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 101.6 u1: kg st: NotStopd t0: [18:00:00 16/11/2012] id: Reason For Restraint el: 0 cu: CSRU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [18:00:00 16/11/2012] id: Removed x 5 Mins el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [18:00:00 16/11/2012] id: Respiratory Pattern el: 0 cu: CSRU cg: RN v1: Regular st: NotStopd t0: [18:00:00 16/11/2012] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 9 u1: BPM st: NotStopd t0: [18:00:00 16/11/2012] id: Restraint Location el: 0 cu: CSRU cg: RN v1: Both Arms st: NotStopd t0: [18:00:00 16/11/2012] id: Restraint Type el: 0 cu: CSRU cg: RN v1: Soft Limb st: NotStopd t0: [18:00:00 16/11/2012] id: Restraints Evaluated el: 0 cu: CSRU cg: RN v1: Behavior Conts st: NotStopd t0: [18:00:00 16/11/2012] id: Side Rails el: 0 cu: CSRU cg: RN v1: Side Rails Up st: NotStopd t0: [18:00:00 16/11/2012] id: SpO2 el: 0 cu: CSRU cg: RN v1: 99 u1: % st: NotStopd t0: [18:00:00 16/11/2012] id: Spontaneous Movement el: 0 cu: CSRU cg: RN v1: Purposeful st: NotStopd t0: [18:00:00 16/11/2012] id: Support Systems el: 0 cu: CSRU cg: RN v1: Spouse st: NotStopd t0: [18:00:00 16/11/2012] id: Turn el: 0 cu: CSRU cg: RN v1: Logroll st: NotStopd t0: [18:00:00 16/11/2012] id: Urine Color/Appear el: 0 cu: CSRU cg: RN v1: Amber v2: Clear st: NotStopd t0: [18:00:00 16/11/2012] id: Urine Source el: 0 cu: CSRU cg: RN v1: Indwelling Cath st: NotStopd t0: [18:00:00 16/11/2012] id: Verbal Response el: 0 cu: CSRU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [18:00:00 16/11/2012] id: Back Care el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [18:00:00 16/11/2012] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [18:00:00 16/11/2012] id: D5/.45NS IV Infusions el: 1 cu: CSRU cg: RN ai: 112 vo: 50 vu: ml t0: [18:00:00 16/11/2012] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: CSRU cg: RN ai: 416 vo: 2.5 vu: ml t0: [18:00:00 16/11/2012] id: Drain Out #1 Jackson Pratt el: 1 cu: CSRU cg: RN vo: 25 vu: ml
t0: [18:00:00 16/11/2012] id: Fentanyl el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 25 du: mcghr sv: 250 su: ml rt: IV Drip
t0: [23:00:00 16/11/2012] dt: 24 id: Gastric Out Total el: 3 cu: CSRU cg: RN cv: 300 ap: none t0: [23:00:00 16/11/2012] dt: 24 id: Stool Out Total el: 3 cu: CSRU cg: RN cv: 0 ap: none
t0: [15:00:00 16/11/2012] id: Radiologic Study el: 0 cu: CSRU cg: RN v1: Chest Xray st: NotStopd
t0: [19:35:00 16/11/2012] id: ETT Mark/Location el: 0 cu: CSRU cg: RRT v1: 22cm v2: Lip st: NotStopd t0: [19:35:00 16/11/2012] id: FiO2 Set el: 0 cu: CSRU cg: RRT v1: 0.5 u1: torr st: NotStopd t0: [19:35:00 16/11/2012] id: High Insp. Pressure el: 0 cu: CSRU cg: RRT v1: 50 u1: cmH2O st: NotStopd t0: [19:35:00 16/11/2012] id: High Resp. Rate el: 0 cu: CSRU cg: RRT v1: 40 u1: BPM st: NotStopd t0: [19:35:00 16/11/2012] id: Airway Size el: 0 cu: CSRU cg: RRT v1: 8.0 mm st: NotStopd t0: [19:35:00 16/11/2012] id: Airway Type el: 0 cu: CSRU cg: RRT v1: Endotracheal st: NotStopd t0: [19:35:00 16/11/2012] id: Inspired Gas Temp el: 0 cu: CSRU cg: RRT u1: Deg. C st: NotStopd t0: [19:35:00 16/11/2012] id: Intubation Date el: 0 cu: CSRU cg: RRT v1: 10 v2: 23 st: NotStopd t0: [19:35:00 16/11/2012] id: Low Exhaled Min Vol el: 0 cu: CSRU cg: RRT v1: 4 st: NotStopd t0: [19:35:00 16/11/2012] id: Mean Airway Pressure el: 0 cu: CSRU cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [19:35:00 16/11/2012] id: Minute Volume(Obser) el: 0 cu: CSRU cg: RRT v1: 12.7 u1: L/min st: NotStopd t0: [19:35:00 16/11/2012] id: PEEP Set el: 0 cu: CSRU cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [19:35:00 16/11/2012] id: Apnea Time Interval el: 0 cu: CSRU cg: RRT v1: 20 st: NotStopd t0: [19:35:00 16/11/2012] id: Pressure Support el: 0 cu: CSRU cg: RRT v1: 5 u1: . st: NotStopd t0: [19:35:00 16/11/2012] id: Resp Rate (Total) el: 0 cu: CSRU cg: RRT v1: 17 u1: BPM st: NotStopd t0: [19:35:00 16/11/2012] id: Sensitivity-Vent el: 0 cu: CSRU cg: RRT v1: 2 u1: cmH2O st: NotStopd t0: [19:35:00 16/11/2012] id: SpO2 el: 0 cu: CSRU cg: RRT v1: 99 u1: % st: NotStopd t0: [19:35:00 16/11/2012] id: Sputum Color/Consist el: 0 cu: CSRU cg: RRT v1: Tan v2: Thick st: NotStopd t0: [19:35:00 16/11/2012] id: Sputum Source/Amt el: 0 cu: CSRU cg: RRT v1: Suctioned v2: Small st: NotStopd t0: [19:35:00 16/11/2012] id: Tidal Volume (Spont) el: 0 cu: CSRU cg: RRT v1: 433 u1: ml/B st: NotStopd t0: [19:35:00 16/11/2012] id: Ventilator Mode el: 0 cu: CSRU cg: RRT v1: CPAP+PS st: NotStopd t0: [19:35:00 16/11/2012] id: Ventilator Type el: 0 cu: CSRU cg: RRT v1: Drager st: NotStopd
t0: [20:00:00 16/11/2012] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: CSRU cg: -1 ai: 416 vo: 0 st: D/C'd
t0: [19:00:00 16/11/2012] id: Service Type el: 0 cu: CSRU cg: RN v1: NSICU st: NotStopd t0: [19:00:00 16/11/2012] id: CVP el: 0 cu: CSRU cg: RN v1: 10 u1: mmHg st: NotStopd t0: [19:00:00 16/11/2012] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [19:00:00 16/11/2012] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [19:00:00 16/11/2012] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 75 u1: BPM st: NotStopd t0: [19:00:00 16/11/2012] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [19:00:00 16/11/2012] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 127 u1: mmHg v2: 46 u2: mmHg st: NotStopd t0: [19:00:00 16/11/2012] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 67 u1: mmHg st: NotStopd t0: [19:00:00 16/11/2012] id: Precautions el: 0 cu: CSRU cg: RN v1: Contact st: NotStopd t0: [19:00:00 16/11/2012] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 101.6 u1: kg st: NotStopd t0: [19:00:00 16/11/2012] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 9 u1: BPM st: NotStopd t0: [19:00:00 16/11/2012] id: SpO2 el: 0 cu: CSRU cg: RN v1: 98 u1: % st: NotStopd t0: [19:00:00 16/11/2012] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [20:00:00 16/11/2012] id: Service Type el: 0 cu: CSRU cg: RN v1: NSICU st: NotStopd t0: [20:00:00 16/11/2012] id: CVP el: 0 cu: CSRU cg: RN v1: 13 u1: mmHg st: NotStopd t0: [20:00:00 16/11/2012] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [20:00:00 16/11/2012] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [20:00:00 16/11/2012] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 76 u1: BPM st: NotStopd t0: [20:00:00 16/11/2012] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [20:00:00 16/11/2012] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 129 u1: mmHg v2: 50 u2: mmHg st: NotStopd t0: [20:00:00 16/11/2012] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 71 u1: mmHg st: NotStopd t0: [20:00:00 16/11/2012] id: Precautions el: 0 cu: CSRU cg: RN v1: Contact st: NotStopd t0: [20:00:00 16/11/2012] id: Previous Weight el: 0 cu: CSRU cg: RN v1: 101.6 u1: kg st: NotStopd t0: [20:00:00 16/11/2012] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 101.6 u1: kg st: NotStopd t0: [20:00:00 16/11/2012] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 8 u1: BPM st: NotStopd t0: [20:00:00 16/11/2012] id: SpO2 el: 0 cu: CSRU cg: RN v1: 97 u1: % st: NotStopd t0: [20:00:00 16/11/2012] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Oral st: NotStopd t0: [20:00:00 16/11/2012] id: Temperature C (calc) el: 0 cu: CSRU cg: RN v1: 37.8333 u1: Deg. C st: NotStopd t0: [20:00:00 16/11/2012] id: Temperature F el: 0 cu: CSRU cg: RN v1: 100.1 u1: Deg. F st: NotStopd t0: [20:00:00 16/11/2012] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [20:00:00 16/11/2012] id: D5/.45NS IV Infusions el: 1 cu: CSRU cg: RN ai: 112 vo: 100 vu: ml
t0: [19:00:00 16/11/2012] id: Fentanyl el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 25 du: mcghr sv: 250 su: ml rt: IV Drip t0: [20:00:00 16/11/2012] id: Fentanyl el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 du: mcghr sv: 250 su: ml rt: IV Drip st: Stopped
t0: [20:34:00 16/11/2012] id: Art.pH ABG el: 0 cu: CSRU cg: 3161 v1: 7.4 rs: Final st: NotStopd t0: [20:34:00 16/11/2012] id: Lactic Acid Chemistry el: 0 cu: CSRU cg: 3161 v1: 1.5 rs: Final st: NotStopd t0: [20:34:00 16/11/2012] id: Arterial Base Excess ABG el: 0 cu: CSRU cg: 3161 v1: 0 rs: Final st: NotStopd t0: [20:34:00 16/11/2012] id: Arterial CO2(Calc) ABG el: 0 cu: CSRU cg: 3161 v1: 27 rs: Final st: NotStopd t0: [20:34:00 16/11/2012] id: Arterial PaCO2 ABG el: 0 cu: CSRU cg: 3161 v1: 42 u1: mmHg rs: Final st: NotStopd t0: [20:34:00 16/11/2012] id: Arterial PaO2 ABG el: 0 cu: CSRU cg: 3161 v1: 78 u1: mmHg rs: Final st: NotStopd t0: [20:34:00 16/11/2012] id: Arterial pH ABG el: 0 cu: CSRU cg: 3161 v1: 7.4 rs: Final st: NotStopd t0: [20:34:00 16/11/2012] id: Lactic Acid(0.5-2.0) Chemistry el: 0 cu: CSRU cg: 3161 v1: 1.5 rs: Final st: NotStopd
t0: [22:00:00 16/11/2012] id: ETT Mark/Location el: 0 cu: CSRU cg: RRT v1: 22cm v2: Lip st: NotStopd t0: [22:00:00 16/11/2012] id: FiO2 Set el: 0 cu: CSRU cg: RRT v1: 0.5 u1: torr st: NotStopd t0: [22:00:00 16/11/2012] id: Airway Size el: 0 cu: CSRU cg: RRT v1: 8.0 mm st: NotStopd t0: [22:00:00 16/11/2012] id: Airway Type el: 0 cu: CSRU cg: RRT v1: Endotracheal st: NotStopd t0: [22:00:00 16/11/2012] id: Intubation Date el: 0 cu: CSRU cg: RRT v1: 10 v2: 23 st: NotStopd t0: [22:00:00 16/11/2012] id: Minute Volume(Obser) el: 0 cu: CSRU cg: RRT v1: 10.4 u1: L/min st: NotStopd t0: [22:00:00 16/11/2012] id: Plateau Pressure el: 0 cu: CSRU cg: RRT v1: 8 u1: cmH2O st: NotStopd t0: [22:00:00 16/11/2012] id: Resp Rate (Total) el: 0 cu: CSRU cg: RRT v1: 11 u1: BPM st: NotStopd t0: [22:00:00 16/11/2012] id: SpO2 el: 0 cu: CSRU cg: RRT v1: 96 u1: % st: NotStopd t0: [22:00:00 16/11/2012] id: Ventilator Mode el: 0 cu: CSRU cg: RRT v1: CPAP+PS st: NotStopd t0: [22:00:00 16/11/2012] id: Ventilator Type el: 0 cu: CSRU cg: RRT v1: Drager st: NotStopd
t0: [21:00:00 16/11/2012] id: Service Type el: 0 cu: CSRU cg: RN v1: NSICU st: NotStopd t0: [21:00:00 16/11/2012] id: CVP el: 0 cu: CSRU cg: RN v1: 13 u1: mmHg st: NotStopd t0: [21:00:00 16/11/2012] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [21:00:00 16/11/2012] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [21:00:00 16/11/2012] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 79 u1: BPM st: NotStopd t0: [21:00:00 16/11/2012] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [21:00:00 16/11/2012] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 122 u1: mmHg v2: 47 u2: mmHg st: NotStopd t0: [21:00:00 16/11/2012] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 68 u1: mmHg st: NotStopd t0: [21:00:00 16/11/2012] id: Precautions el: 0 cu: CSRU cg: RN v1: Contact st: NotStopd t0: [21:00:00 16/11/2012] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 101.6 u1: kg st: NotStopd t0: [21:00:00 16/11/2012] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 10 u1: BPM st: NotStopd t0: [21:00:00 16/11/2012] id: SpO2 el: 0 cu: CSRU cg: RN v1: 97 u1: % st: NotStopd t0: [21:00:00 16/11/2012] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [22:00:00 16/11/2012] id: Service Type el: 0 cu: CSRU cg: RN v1: NSICU st: NotStopd t0: [22:00:00 16/11/2012] id: CVP el: 0 cu: CSRU cg: RN v1: 13 u1: mmHg st: NotStopd t0: [22:00:00 16/11/2012] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [22:00:00 16/11/2012] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [22:00:00 16/11/2012] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 77 u1: BPM st: NotStopd t0: [22:00:00 16/11/2012] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [22:00:00 16/11/2012] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 126 u1: mmHg v2: 48 u2: mmHg st: NotStopd t0: [22:00:00 16/11/2012] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 69 u1: mmHg st: NotStopd t0: [22:00:00 16/11/2012] id: Precautions el: 0 cu: CSRU cg: RN v1: Contact st: NotStopd t0: [22:00:00 16/11/2012] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 101.6 u1: kg st: NotStopd t0: [22:00:00 16/11/2012] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 7 u1: BPM st: NotStopd t0: [22:00:00 16/11/2012] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [23:00:00 16/11/2012] id: Service Type el: 0 cu: CSRU cg: RN v1: NSICU st: NotStopd t0: [23:00:00 16/11/2012] id: CVP el: 0 cu: CSRU cg: RN v1: 15 u1: mmHg st: NotStopd t0: [23:00:00 16/11/2012] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [23:00:00 16/11/2012] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [23:00:00 16/11/2012] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 74 u1: BPM st: NotStopd t0: [23:00:00 16/11/2012] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [23:00:00 16/11/2012] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 133 u1: mmHg v2: 52 u2: mmHg st: NotStopd t0: [23:00:00 16/11/2012] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 73 u1: mmHg st: NotStopd t0: [23:00:00 16/11/2012] id: Precautions el: 0 cu: CSRU cg: RN v1: Contact st: NotStopd t0: [23:00:00 16/11/2012] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 101.6 u1: kg st: NotStopd t0: [23:00:00 16/11/2012] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 6 u1: BPM st: NotStopd t0: [23:00:00 16/11/2012] id: SpO2 el: 0 cu: CSRU cg: RN v1: 96 u1: % st: NotStopd t0: [23:00:00 16/11/2012] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [22:00:00 16/11/2012] id: D5/.45NS IV Infusions el: 1 cu: CSRU cg: RN ai: 112 vo: 100 vu: ml
t0: [22:00:00 16/11/2012] id: Mean Airway Pressure el: 0 cu: CSRU cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [22:00:00 16/11/2012] id: PEEP Set el: 0 cu: CSRU cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [22:00:00 16/11/2012] id: Tidal Volume (Spont) el: 0 cu: CSRU cg: RRT v1: 386 u1: ml/B st: NotStopd t0: [00:00:00 17/11/2012] id: ETT Mark/Location el: 0 cu: CSRU cg: RRT v1: 22cm v2: Lip st: NotStopd t0: [00:00:00 17/11/2012] id: FiO2 Set el: 0 cu: CSRU cg: RRT v1: 0.5 u1: torr st: NotStopd t0: [00:00:00 17/11/2012] id: Airway Size el: 0 cu: CSRU cg: RRT v1: 8.0 mm st: NotStopd t0: [00:00:00 17/11/2012] id: Airway Type el: 0 cu: CSRU cg: RRT v1: Endotracheal st: NotStopd t0: [00:00:00 17/11/2012] id: Intubation Date el: 0 cu: CSRU cg: RRT v1: 10 v2: 23 st: NotStopd t0: [00:00:00 17/11/2012] id: SpO2 el: 0 cu: CSRU cg: RRT v1: 98 u1: % st: NotStopd t0: [00:00:00 17/11/2012] id: Ventilator Mode el: 0 cu: CSRU cg: RRT v1: CPAP+PS st: NotStopd t0: [00:00:00 17/11/2012] id: Ventilator Type el: 0 cu: CSRU cg: RRT v1: Drager st: NotStopd
t0: [00:10:00 17/11/2012] id: ETT Mark/Location el: 0 cu: CSRU cg: RRT v1: 22cm v2: Lip st: NotStopd t0: [00:10:00 17/11/2012] id: High Insp. Pressure el: 0 cu: CSRU cg: RRT v1: 50 u1: cmH2O st: NotStopd t0: [00:10:00 17/11/2012] id: High Resp. Rate el: 0 cu: CSRU cg: RRT v1: 40 u1: BPM st: NotStopd t0: [00:10:00 17/11/2012] id: Airway Size el: 0 cu: CSRU cg: RRT v1: 8.0 mm st: NotStopd t0: [00:10:00 17/11/2012] id: Airway Type el: 0 cu: CSRU cg: RRT v1: Endotracheal st: NotStopd t0: [00:10:00 17/11/2012] id: Inspired Gas Temp el: 0 cu: CSRU cg: RRT u1: Deg. C st: NotStopd t0: [00:10:00 17/11/2012] id: Intubation Date el: 0 cu: CSRU cg: RRT v1: 10 v2: 23 st: NotStopd t0: [00:10:00 17/11/2012] id: Low Exhaled Min Vol el: 0 cu: CSRU cg: RRT v1: 4 st: NotStopd t0: [00:10:00 17/11/2012] id: Mean Airway Pressure el: 0 cu: CSRU cg: RRT v1: 9 u1: cmH2O st: NotStopd t0: [00:10:00 17/11/2012] id: Minute Volume(Obser) el: 0 cu: CSRU cg: RRT v1: 11.2 u1: L/min st: NotStopd t0: [00:10:00 17/11/2012] id: PEEP Set el: 0 cu: CSRU cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [00:10:00 17/11/2012] id: Apnea Time Interval el: 0 cu: CSRU cg: RRT v1: 30 st: NotStopd t0: [00:10:00 17/11/2012] id: Resp Rate (Total) el: 0 cu: CSRU cg: RRT v1: 9 u1: BPM st: NotStopd t0: [00:10:00 17/11/2012] id: Sensitivity-Vent el: 0 cu: CSRU cg: RRT v1: 2 u1: cmH2O st: NotStopd t0: [00:10:00 17/11/2012] id: SpO2 el: 0 cu: CSRU cg: RRT v1: 97 u1: % st: NotStopd t0: [00:10:00 17/11/2012] id: Tidal Volume (Spont) el: 0 cu: CSRU cg: RRT v1: 940 u1: ml/B st: NotStopd t0: [00:10:00 17/11/2012] id: Ventilator Mode el: 0 cu: CSRU cg: RRT v1: CPAP+PS st: NotStopd t0: [00:10:00 17/11/2012] id: Ventilator Type el: 0 cu: CSRU cg: RRT v1: Drager st: NotStopd
t0: [22:00:00 16/11/2012] id: Pressure Support el: 0 cu: CSRU cg: RRT v1: 15 u1: . st: NotStopd t0: [00:10:00 17/11/2012] id: Pressure Support el: 0 cu: CSRU cg: RRT v1: 15 u1: . st: NotStopd
t0: [20:00:00 16/11/2012] id: Range of Motion el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [20:00:00 16/11/2012] id: Circulation/SkinInt el: 0 cu: CSRU cg: RN v1: Circulation Adeq st: NotStopd t0: [20:00:00 16/11/2012] id: Diet Type el: 0 cu: CSRU cg: RN v1: NPO st: NotStopd t0: [20:00:00 16/11/2012] id: Eye Opening el: 0 cu: CSRU cg: RN v1: 4 Spontaneously st: NotStopd t0: [20:00:00 16/11/2012] id: Follows Commands el: 0 cu: CSRU cg: RN v1: Consistently st: NotStopd t0: [20:00:00 16/11/2012] id: GCS Total el: 0 cu: CSRU cg: RN v1: 11 u1: points st: NotStopd t0: [20:00:00 16/11/2012] id: Incision/Wound #1 el: 0 cu: CSRU cg: RN v1: Abdominal st: NotStopd t0: [20:00:00 16/11/2012] id: Level of Conscious el: 0 cu: CSRU cg: RN v1: Alert st: NotStopd t0: [20:00:00 16/11/2012] id: Motor Response el: 0 cu: CSRU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [20:00:00 16/11/2012] id: Orientation el: 0 cu: CSRU cg: RN v1: Oriented x 1 st: NotStopd t0: [20:00:00 16/11/2012] id: Position Change el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [20:00:00 16/11/2012] id: Pressure Sore Site#1 el: 0 cu: CSRU cg: RN v1: Coccyx st: NotStopd t0: [20:00:00 16/11/2012] id: Reason For Restraint el: 0 cu: CSRU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [20:00:00 16/11/2012] id: Removed x 5 Mins el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [20:00:00 16/11/2012] id: Respiratory Pattern el: 0 cu: CSRU cg: RN v1: Regular st: NotStopd t0: [20:00:00 16/11/2012] id: Restraint Location el: 0 cu: CSRU cg: RN v1: Both Arms st: NotStopd t0: [20:00:00 16/11/2012] id: Restraint Type el: 0 cu: CSRU cg: RN v1: Soft Limb st: NotStopd t0: [20:00:00 16/11/2012] id: Restraints Evaluated el: 0 cu: CSRU cg: RN v1: Behavior Conts st: NotStopd t0: [20:00:00 16/11/2012] id: Side Rails el: 0 cu: CSRU cg: RN v1: Side Rails Up st: NotStopd t0: [20:00:00 16/11/2012] id: Spontaneous Movement el: 0 cu: CSRU cg: RN v1: Purposeful st: NotStopd t0: [20:00:00 16/11/2012] id: Support Systems el: 0 cu: CSRU cg: RN v1: Spouse st: NotStopd t0: [20:00:00 16/11/2012] id: Urine Color/Appear el: 0 cu: CSRU cg: RN v1: Amber v2: Clear st: NotStopd t0: [20:00:00 16/11/2012] id: Urine Source el: 0 cu: CSRU cg: RN v1: Indwelling Cath st: NotStopd t0: [20:00:00 16/11/2012] id: Verbal Response el: 0 cu: CSRU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [22:00:00 16/11/2012] id: Range of Motion el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [22:00:00 16/11/2012] id: Circulation/SkinInt el: 0 cu: CSRU cg: RN v1: Circulation Adeq st: NotStopd t0: [22:00:00 16/11/2012] id: Diet Type el: 0 cu: CSRU cg: RN v1: NPO st: NotStopd t0: [22:00:00 16/11/2012] id: Eye Opening el: 0 cu: CSRU cg: RN v1: 4 Spontaneously st: NotStopd t0: [22:00:00 16/11/2012] id: Follows Commands el: 0 cu: CSRU cg: RN v1: Consistently st: NotStopd t0: [22:00:00 16/11/2012] id: GCS Total el: 0 cu: CSRU cg: RN v1: 11 u1: points st: NotStopd t0: [22:00:00 16/11/2012] id: Incision/Wound #1 el: 0 cu: CSRU cg: RN v1: Abdominal st: NotStopd t0: [22:00:00 16/11/2012] id: Level of Conscious el: 0 cu: CSRU cg: RN v1: Alert st: NotStopd t0: [22:00:00 16/11/2012] id: Motor Response el: 0 cu: CSRU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [22:00:00 16/11/2012] id: Orientation el: 0 cu: CSRU cg: RN v1: Oriented x 1 st: NotStopd t0: [22:00:00 16/11/2012] id: Position Change el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [22:00:00 16/11/2012] id: Pressure Sore Site#1 el: 0 cu: CSRU cg: RN v1: Coccyx st: NotStopd t0: [22:00:00 16/11/2012] id: Reason For Restraint el: 0 cu: CSRU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [22:00:00 16/11/2012] id: Removed x 5 Mins el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [22:00:00 16/11/2012] id: Respiratory Pattern el: 0 cu: CSRU cg: RN v1: Regular st: NotStopd t0: [22:00:00 16/11/2012] id: Restraint Location el: 0 cu: CSRU cg: RN v1: Both Arms st: NotStopd t0: [22:00:00 16/11/2012] id: Restraint Type el: 0 cu: CSRU cg: RN v1: Soft Limb st: NotStopd t0: [22:00:00 16/11/2012] id: Restraints Evaluated el: 0 cu: CSRU cg: RN v1: Behavior Conts st: NotStopd t0: [22:00:00 16/11/2012] id: Side Rails el: 0 cu: CSRU cg: RN v1: Side Rails Up st: NotStopd t0: [22:00:00 16/11/2012] id: Spontaneous Movement el: 0 cu: CSRU cg: RN v1: Purposeful st: NotStopd t0: [22:00:00 16/11/2012] id: Support Systems el: 0 cu: CSRU cg: RN v1: Spouse st: NotStopd t0: [22:00:00 16/11/2012] id: Urine Color/Appear el: 0 cu: CSRU cg: RN v1: Amber v2: Clear st: NotStopd t0: [22:00:00 16/11/2012] id: Urine Source el: 0 cu: CSRU cg: RN v1: Indwelling Cath st: NotStopd t0: [22:00:00 16/11/2012] id: Verbal Response el: 0 cu: CSRU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [00:00:00 17/11/2012] id: Range of Motion el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [00:00:00 17/11/2012] id: Service Type el: 0 cu: CSRU cg: RN v1: NSICU st: NotStopd t0: [00:00:00 17/11/2012] id: CVP el: 0 cu: CSRU cg: RN v1: 14 u1: mmHg st: NotStopd t0: [00:00:00 17/11/2012] id: Circulation/SkinInt el: 0 cu: CSRU cg: RN v1: Circulation Adeq st: NotStopd t0: [00:00:00 17/11/2012] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [00:00:00 17/11/2012] id: Diet Type el: 0 cu: CSRU cg: RN v1: NPO st: NotStopd t0: [00:00:00 17/11/2012] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [00:00:00 17/11/2012] id: Eye Opening el: 0 cu: CSRU cg: RN v1: 4 Spontaneously st: NotStopd t0: [00:00:00 17/11/2012] id: Follows Commands el: 0 cu: CSRU cg: RN v1: Consistently st: NotStopd t0: [00:00:00 17/11/2012] id: GCS Total el: 0 cu: CSRU cg: RN v1: 11 u1: points st: NotStopd t0: [00:00:00 17/11/2012] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 77 u1: BPM st: NotStopd t0: [00:00:00 17/11/2012] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [00:00:00 17/11/2012] id: Incision/Wound #1 el: 0 cu: CSRU cg: RN v1: Abdominal st: NotStopd t0: [00:00:00 17/11/2012] id: LLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Diminished st: NotStopd t0: [00:00:00 17/11/2012] id: LUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Coarse st: NotStopd t0: [00:00:00 17/11/2012] id: Level of Conscious el: 0 cu: CSRU cg: RN v1: Alert st: NotStopd t0: [00:00:00 17/11/2012] id: Motor Response el: 0 cu: CSRU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [00:00:00 17/11/2012] id: Orientation el: 0 cu: CSRU cg: RN v1: Oriented x 1 st: NotStopd t0: [00:00:00 17/11/2012] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 125 u1: mmHg v2: 51 u2: mmHg st: NotStopd t0: [00:00:00 17/11/2012] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 72 u1: mmHg st: NotStopd t0: [00:00:00 17/11/2012] id: Position Change el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [00:00:00 17/11/2012] id: Precautions el: 0 cu: CSRU cg: RN v1: Contact st: NotStopd t0: [00:00:00 17/11/2012] id: Pressure Sore Site#1 el: 0 cu: CSRU cg: RN v1: Coccyx st: NotStopd t0: [00:00:00 17/11/2012] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 101.6 u1: kg st: NotStopd t0: [00:00:00 17/11/2012] id: RLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Diminished st: NotStopd t0: [00:00:00 17/11/2012] id: RUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Coarse st: NotStopd t0: [00:00:00 17/11/2012] id: Reason For Restraint el: 0 cu: CSRU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [00:00:00 17/11/2012] id: Removed x 5 Mins el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [00:00:00 17/11/2012] id: Respiratory Pattern el: 0 cu: CSRU cg: RN v1: Regular st: NotStopd t0: [00:00:00 17/11/2012] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 9 u1: BPM st: NotStopd t0: [00:00:00 17/11/2012] id: Restraint Location el: 0 cu: CSRU cg: RN v1: Both Arms st: NotStopd t0: [00:00:00 17/11/2012] id: Restraint Type el: 0 cu: CSRU cg: RN v1: Soft Limb st: NotStopd t0: [00:00:00 17/11/2012] id: Restraints Evaluated el: 0 cu: CSRU cg: RN v1: Behavior Conts st: NotStopd t0: [00:00:00 17/11/2012] id: Side Rails el: 0 cu: CSRU cg: RN v1: Side Rails Up st: NotStopd t0: [00:00:00 17/11/2012] id: Spontaneous Movement el: 0 cu: CSRU cg: RN v1: Purposeful st: NotStopd t0: [00:00:00 17/11/2012] id: Support Systems el: 0 cu: CSRU cg: RN v1: Spouse st: NotStopd t0: [00:00:00 17/11/2012] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Oral st: NotStopd t0: [00:00:00 17/11/2012] id: Temperature C (calc) el: 0 cu: CSRU cg: RN v1: 37.8333 u1: Deg. C st: NotStopd t0: [00:00:00 17/11/2012] id: Temperature F el: 0 cu: CSRU cg: RN v1: 100.1 u1: Deg. F st: NotStopd t0: [00:00:00 17/11/2012] id: Urine Color/Appear el: 0 cu: CSRU cg: RN v1: Amber v2: Clear st: NotStopd t0: [00:00:00 17/11/2012] id: Urine Source el: 0 cu: CSRU cg: RN v1: Indwelling Cath st: NotStopd t0: [00:00:00 17/11/2012] id: Verbal Response el: 0 cu: CSRU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [00:00:00 17/11/2012] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [00:00:00 17/11/2012] id: D5/.45NS IV Infusions el: 1 cu: CSRU cg: RN ai: 112 vo: 100 vu: ml
t0: [01:00:00 17/11/2012] id: Service Type el: 0 cu: CSRU cg: RN v1: NSICU st: NotStopd t0: [01:00:00 17/11/2012] id: CVP el: 0 cu: CSRU cg: RN v1: 11 u1: mmHg st: NotStopd t0: [01:00:00 17/11/2012] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [01:00:00 17/11/2012] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [01:00:00 17/11/2012] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 76 u1: BPM st: NotStopd t0: [01:00:00 17/11/2012] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [01:00:00 17/11/2012] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 120 u1: mmHg v2: 47 u2: mmHg st: NotStopd t0: [01:00:00 17/11/2012] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 68 u1: mmHg st: NotStopd t0: [01:00:00 17/11/2012] id: Precautions el: 0 cu: CSRU cg: RN v1: Contact st: NotStopd t0: [01:00:00 17/11/2012] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 101.6 u1: kg st: NotStopd t0: [01:00:00 17/11/2012] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 10 u1: BPM st: NotStopd t0: [01:00:00 17/11/2012] id: SpO2 el: 0 cu: CSRU cg: RN v1: 98 u1: % st: NotStopd t0: [01:00:00 17/11/2012] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [01:00:00 17/11/2012] id: Drain Out #1 Jackson Pratt el: 1 cu: CSRU cg: RN vo: 40 vu: ml
t0: [23:00:00 17/11/2012] dt: 24 id: Drain #1 Total Out el: 3 cu: CSRU cg: RN cv: 105 ap: none
t0: [02:00:00 17/11/2012] id: Service Type el: 0 cu: CSRU cg: RN v1: NSICU st: NotStopd t0: [02:00:00 17/11/2012] id: CVP el: 0 cu: CSRU cg: RN v1: 15 u1: mmHg st: NotStopd t0: [02:00:00 17/11/2012] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [02:00:00 17/11/2012] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [02:00:00 17/11/2012] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 80 u1: BPM st: NotStopd t0: [02:00:00 17/11/2012] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [02:00:00 17/11/2012] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 127 u1: mmHg v2: 53 u2: mmHg st: NotStopd t0: [02:00:00 17/11/2012] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 75 u1: mmHg st: NotStopd t0: [02:00:00 17/11/2012] id: Precautions el: 0 cu: CSRU cg: RN v1: Contact st: NotStopd t0: [02:00:00 17/11/2012] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 101.6 u1: kg st: NotStopd t0: [02:00:00 17/11/2012] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 25 u1: BPM st: NotStopd t0: [02:00:00 17/11/2012] id: SpO2 el: 0 cu: CSRU cg: RN v1: 98 u1: % st: NotStopd t0: [02:00:00 17/11/2012] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [02:00:00 17/11/2012] id: D5/.45NS IV Infusions el: 1 cu: CSRU cg: RN ai: 112 vo: 100 vu: ml
t0: [23:00:00 17/11/2012] dt: 1 id: Total Hourly Output el: 3 cu: CSRU cg: RN pv: 255 cv: 255 ap: none t0: [23:00:00 17/11/2012] dt: 1 id: Net Hourly Balance el: 3 cu: CSRU cg: RN pv: -200 cv: -200 ap: none t0: [23:00:00 17/11/2012] dt: 24 id: IV Infusion In Total el: 3 cu: CSRU cg: RN pv: 55 cv: 1120 ap: none t0: [23:00:00 17/11/2012] dt: 24 id: 24h Total In el: 3 cu: CSRU cg: RN pv: 55 cv: 1180 ap: none t0: [23:00:00 17/11/2012] dt: 24 id: Urine Out Total el: 3 cu: CSRU cg: RN pv: 255 cv: 1048 ap: none t0: [23:00:00 17/11/2012] dt: 24 id: 24h Net Body Balance el: 3 cu: CSRU cg: RN pv: -200 cv: -723 ap: none t0: [23:00:00 17/11/2012] dt: 24 id: 24h Total Out el: 3 cu: CSRU cg: RN pv: 255 cv: 1903 ap: none t0: [23:00:00 17/11/2012] dt: multiple days id: LOS Net Body Balance el: 3 cu: CSRU cg: RN pv: -200 cv: 5794.33 ap: none
t0: [04:00:00 17/11/2012] id: IV #2 Reason DC'D el: 0 cu: CSRU cg: -1 st: D/C'd t0: [04:00:00 17/11/2012] id: IV #2 D/C Date el: 0 cu: CSRU cg: -1 st: D/C'd t0: [04:00:00 17/11/2012] id: IV #2 Insert Date el: 0 cu: CSRU cg: -1 st: D/C'd t0: [04:00:00 17/11/2012] id: IV #2 Site/Size el: 0 cu: CSRU cg: -1 st: D/C'd t0: [04:00:00 17/11/2012] id: IV Site Appear #2 el: 0 cu: CSRU cg: -1 st: D/C'd
t0: [04:13:00 17/11/2012] id: Art.pH ABG el: 0 cu: CSRU cg: 3161 v1: 7.41 rs: Final st: NotStopd t0: [04:13:00 17/11/2012] id: Arterial Base Excess ABG el: 0 cu: CSRU cg: 3161 v1: 2 rs: Final st: NotStopd t0: [04:13:00 17/11/2012] id: Arterial CO2(Calc) ABG el: 0 cu: CSRU cg: 3161 v1: 30 rs: Final st: NotStopd t0: [04:13:00 17/11/2012] id: Arterial PaCO2 ABG el: 0 cu: CSRU cg: 3161 v1: 45 u1: mmHg rs: Final st: NotStopd t0: [04:13:00 17/11/2012] id: Arterial PaO2 ABG el: 0 cu: CSRU cg: 3161 v1: 94 u1: mmHg rs: Final st: NotStopd t0: [04:13:00 17/11/2012] id: Arterial pH ABG el: 0 cu: CSRU cg: 3161 v1: 7.41 rs: Final st: NotStopd t0: [04:13:00 17/11/2012] id: SaO2 ABG's el: 0 cu: CSRU cg: 3161 v1: 98 u1: % rs: Final st: NotStopd
t0: [03:00:00 17/11/2012] id: Service Type el: 0 cu: CSRU cg: RN v1: NSICU st: NotStopd t0: [03:00:00 17/11/2012] id: CVP el: 0 cu: CSRU cg: RN v1: 11 u1: mmHg st: NotStopd t0: [03:00:00 17/11/2012] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [03:00:00 17/11/2012] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [03:00:00 17/11/2012] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 77 u1: BPM st: NotStopd t0: [03:00:00 17/11/2012] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [03:00:00 17/11/2012] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 113 u1: mmHg v2: 45 u2: mmHg st: NotStopd t0: [03:00:00 17/11/2012] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 65 u1: mmHg st: NotStopd t0: [03:00:00 17/11/2012] id: Precautions el: 0 cu: CSRU cg: RN v1: Contact st: NotStopd t0: [03:00:00 17/11/2012] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 101.6 u1: kg st: NotStopd t0: [03:00:00 17/11/2012] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 8 u1: BPM st: NotStopd t0: [03:00:00 17/11/2012] id: SpO2 el: 0 cu: CSRU cg: RN v1: 93 u1: % st: NotStopd t0: [03:00:00 17/11/2012] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [04:00:00 17/11/2012] id: Service Type el: 0 cu: CSRU cg: RN v1: NSICU st: NotStopd t0: [04:00:00 17/11/2012] id: CVP el: 0 cu: CSRU cg: RN v1: 10 u1: mmHg st: NotStopd t0: [04:00:00 17/11/2012] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [04:00:00 17/11/2012] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [04:00:00 17/11/2012] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 74 u1: BPM st: NotStopd t0: [04:00:00 17/11/2012] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [04:00:00 17/11/2012] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 108 u1: mmHg v2: 41 u2: mmHg st: NotStopd t0: [04:00:00 17/11/2012] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 59 u1: mmHg st: NotStopd t0: [04:00:00 17/11/2012] id: Precautions el: 0 cu: CSRU cg: RN v1: Contact st: NotStopd t0: [04:00:00 17/11/2012] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 101.6 u1: kg st: NotStopd t0: [04:00:00 17/11/2012] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 5 u1: BPM st: NotStopd t0: [04:00:00 17/11/2012] id: SpO2 el: 0 cu: CSRU cg: RN v1: 99 u1: % st: NotStopd t0: [04:00:00 17/11/2012] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [04:00:00 17/11/2012] id: D5/.45NS IV Infusions el: 1 cu: CSRU cg: RN ai: 112 vo: 100 vu: ml
t0: [22:00:00 16/11/2012] id: HOB el: 0 cu: CSRU cg: RN v1: 30 degrees st: NotStopd t0: [22:00:00 16/11/2012] id: Activity el: 0 cu: CSRU cg: RN v1: Bedrest st: NotStopd t0: [22:00:00 16/11/2012] id: Activity Tolerance el: 0 cu: CSRU cg: RN v1: Tolerated Well st: NotStopd t0: [22:00:00 16/11/2012] id: AntiEmbDevice/Status el: 0 cu: CSRU cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [22:00:00 16/11/2012] id: Position el: 0 cu: CSRU cg: RN v1: Supine st: NotStopd t0: [22:00:00 16/11/2012] id: Assistance Device el: 0 cu: CSRU cg: RN v1: 2 Person Assist st: NotStopd t0: [22:00:00 16/11/2012] id: Turn el: 0 cu: CSRU cg: RN v1: Side to Side st: NotStopd t0: [00:00:00 17/11/2012] id: INV#3Chg o/Wire Date el: 0 cu: CSRU cg: RN v1: 10 v2: 24 st: NotStopd t0: [00:00:00 17/11/2012] id: INV Line#1 Type/Site el: 0 cu: CSRU cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [00:00:00 17/11/2012] id: INV Line#2 Type/Site el: 0 cu: CSRU cg: RN v1: PICC line v2: Left Brachial st: NotStopd t0: [00:00:00 17/11/2012] id: INV Line#2InsertDate el: 0 cu: CSRU cg: RN v1: 10 v2: 8 st: NotStopd t0: [00:00:00 17/11/2012] id: INV Line#3 Site Date el: 0 cu: CSRU cg: RN v1: 10 v2: 24 st: NotStopd t0: [00:00:00 17/11/2012] id: INV Line#3 Type/Site el: 0 cu: CSRU cg: RN v1: Multi-lumen v2: Right IJ st: NotStopd t0: [00:00:00 17/11/2012] id: INV Line#3InsertDate el: 0 cu: CSRU cg: RN v1: 10 v2: 23 st: NotStopd t0: [00:00:00 17/11/2012] id: IV #1 Insert Date el: 0 cu: CSRU cg: RN v1: 10 v2: 21 st: NotStopd t0: [00:00:00 17/11/2012] id: IV #1 Site/Size el: 0 cu: CSRU cg: RN v1: RU Ant Forearm v2: 18 gauge st: NotStopd t0: [00:00:00 17/11/2012] id: IV #2 D/C Date el: 0 cu: CSRU cg: RN v1: 10 v2: 24 st: NotStopd t0: [00:00:00 17/11/2012] id: IV #2 Insert Date el: 0 cu: CSRU cg: RN v1: 10 v2: 23 st: NotStopd t0: [00:00:00 17/11/2012] id: IV #2 Site/Size el: 0 cu: CSRU cg: RN v1: Left Hand v2: 16 gauge st: NotStopd t0: [00:00:00 17/11/2012] id: IV #3 Insert Date el: 0 cu: CSRU cg: RN v1: 10 v2: 23 st: NotStopd t0: [00:00:00 17/11/2012] id: IV #3 Site/Size el: 0 cu: CSRU cg: RN v1: Right Antecub v2: 14 gauge st: NotStopd t0: [02:00:00 17/11/2012] id: HOB el: 0 cu: CSRU cg: RN v1: 30 degrees st: NotStopd t0: [02:00:00 17/11/2012] id: Activity el: 0 cu: CSRU cg: RN v1: Bedrest st: NotStopd t0: [02:00:00 17/11/2012] id: Activity Tolerance el: 0 cu: CSRU cg: RN v1: Tolerated Well st: NotStopd t0: [02:00:00 17/11/2012] id: AntiEmbDevice/Status el: 0 cu: CSRU cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [02:00:00 17/11/2012] id: Position el: 0 cu: CSRU cg: RN v1: Supine st: NotStopd t0: [02:00:00 17/11/2012] id: Assistance Device el: 0 cu: CSRU cg: RN v1: 2 Person Assist st: NotStopd t0: [02:00:00 17/11/2012] id: Turn el: 0 cu: CSRU cg: RN v1: Side to Side st: NotStopd
t0: [00:10:00 17/11/2012] id: Plateau Pressure el: 0 cu: CSRU cg: RRT u1: cmH2O st: NotStopd t0: [04:00:00 17/11/2012] id: ETT Mark/Location el: 0 cu: CSRU cg: RRT v1: 22cm v2: Lip st: NotStopd t0: [04:00:00 17/11/2012] id: FiO2 Set el: 0 cu: CSRU cg: RRT v1: 0.5 u1: torr st: NotStopd t0: [04:00:00 17/11/2012] id: Airway Size el: 0 cu: CSRU cg: RRT v1: 8.0 mm st: NotStopd t0: [04:00:00 17/11/2012] id: Airway Type el: 0 cu: CSRU cg: RRT v1: Endotracheal st: NotStopd t0: [04:00:00 17/11/2012] id: Intubation Date el: 0 cu: CSRU cg: RRT v1: 10 v2: 23 st: NotStopd t0: [05:00:00 17/11/2012] id: RSBI (<100) el: 0 cu: CSRU cg: RRT v1: 47.619 u1: units st: NotStopd t0: [05:00:00 17/11/2012] id: ETT Mark/Location el: 0 cu: CSRU cg: RRT v1: 22cm v2: Lip st: NotStopd t0: [05:00:00 17/11/2012] id: FiO2 Set el: 0 cu: CSRU cg: RRT v1: 0.5 u1: torr st: NotStopd t0: [05:00:00 17/11/2012] id: High Insp. Pressure el: 0 cu: CSRU cg: RRT v1: 50 u1: cmH2O st: NotStopd t0: [05:00:00 17/11/2012] id: High Resp. Rate el: 0 cu: CSRU cg: RRT v1: 40 u1: BPM st: NotStopd t0: [05:00:00 17/11/2012] id: Airway Size el: 0 cu: CSRU cg: RRT v1: 8.0 mm st: NotStopd t0: [05:00:00 17/11/2012] id: Airway Type el: 0 cu: CSRU cg: RRT v1: Endotracheal st: NotStopd t0: [05:00:00 17/11/2012] id: Inspired Gas Temp el: 0 cu: CSRU cg: RRT u1: Deg. C st: NotStopd t0: [05:00:00 17/11/2012] id: Intubation Date el: 0 cu: CSRU cg: RRT v1: 10 v2: 23 st: NotStopd t0: [05:00:00 17/11/2012] id: Low Exhaled Min Vol el: 0 cu: CSRU cg: RRT v1: 4 st: NotStopd t0: [05:00:00 17/11/2012] id: Mean Airway Pressure el: 0 cu: CSRU cg: RRT v1: 8 u1: cmH2O st: NotStopd t0: [05:00:00 17/11/2012] id: Minute Volume(Obser) el: 0 cu: CSRU cg: RRT v1: 5.1 u1: L/min st: NotStopd t0: [05:00:00 17/11/2012] id: PEEP Set el: 0 cu: CSRU cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [05:00:00 17/11/2012] id: Apnea Time Interval el: 0 cu: CSRU cg: RRT v1: 40 st: NotStopd t0: [05:00:00 17/11/2012] id: RSBI (<200) el: 0 cu: CSRU cg: RRT v1: 47.619 u1: units st: NotStopd t0: [05:00:00 17/11/2012] id: Resp Rate (Total) el: 0 cu: CSRU cg: RRT v1: 6 u1: BPM st: NotStopd t0: [05:00:00 17/11/2012] id: Sensitivity-Vent el: 0 cu: CSRU cg: RRT v1: 2 u1: cmH2O st: NotStopd t0: [05:00:00 17/11/2012] id: SpO2 el: 0 cu: CSRU cg: RRT v1: 99 u1: % st: NotStopd t0: [05:00:00 17/11/2012] id: Spon RR (Mech.) el: 0 cu: CSRU cg: RRT v1: 17 u1: BPM st: NotStopd t0: [05:00:00 17/11/2012] id: Spon. Vt (L) (Mech.) el: 0 cu: CSRU cg: RRT v1: 0.357 u1: L st: NotStopd t0: [05:00:00 17/11/2012] id: Tidal Volume (Spont) el: 0 cu: CSRU cg: RRT v1: 874 u1: ml/B st: NotStopd t0: [05:00:00 17/11/2012] id: Ventilator Mode el: 0 cu: CSRU cg: RRT v1: CPAP+PS st: NotStopd t0: [05:00:00 17/11/2012] id: Ventilator Type el: 0 cu: CSRU cg: RRT v1: Drager st: NotStopd
t0: [04:00:00 17/11/2012] id: WBC (4-11,000) Hematology el: 0 cu: CSRU cg: 3161 v1: 28.1 rs: Final st: NotStopd t0: [04:00:00 17/11/2012] id: WBC Hematology el: 0 cu: CSRU cg: 3161 v1: 28.1 rs: Final st: NotStopd t0: [04:00:00 17/11/2012] id: Hematocrit Hematology el: 0 cu: CSRU cg: 3161 v1: 33.4 u1: % rs: Final st: NotStopd t0: [04:00:00 17/11/2012] id: Hemoglobin Hematology el: 0 cu: CSRU cg: 3161 v1: 11.1 u1: gm/dl rs: Final st: NotStopd t0: [04:00:00 17/11/2012] id: Platelets Hematology el: 0 cu: CSRU cg: 3161 v1: 163 rs: Final st: NotStopd t0: [04:00:00 17/11/2012] id: RBC Hematology el: 0 cu: CSRU cg: 3161 v1: 3.63 u1: /mic l rs: Final st: NotStopd t0: [04:00:00 17/11/2012] id: WBC (4-11,000) Hematology el: 0 cu: CSRU cg: 3161 v1: 28.1 rs: Final st: NotStopd t0: [04:13:00 17/11/2012] id: CaO2 el: 0 cu: CSRU cg: 3161 v1: 14.8679 u1: ml/dl st: NotStopd
t0: [04:00:00 17/11/2012] id: PT el: 0 cu: CSRU cg: 3161 v1: 15.7 rs: Final st: NotStopd t0: [04:00:00 17/11/2012] id: INR Coags el: 0 cu: CSRU cg: 3161 v1: 1.6 rs: Final st: NotStopd t0: [04:00:00 17/11/2012] id: PTT Coags el: 0 cu: CSRU cg: 3161 v1: 34.6 rs: Final st: NotStopd t0: [04:00:00 17/11/2012] id: INR (2-4 ref. range) Coags el: 0 cu: CSRU cg: 3161 v1: 1.6 rs: Final st: NotStopd t0: [04:00:00 17/11/2012] id: PT(11-13.5) Coags el: 0 cu: CSRU cg: 3161 v1: 15.7 rs: Final st: NotStopd t0: [04:00:00 17/11/2012] id: PTT(22-35) Coags el: 0 cu: CSRU cg: 3161 v1: 34.6 rs: Final st: NotStopd
t0: [04:00:00 17/11/2012] id: BUN el: 0 cu: CSRU cg: 3161 v1: 10 rs: Final st: NotStopd t0: [04:00:00 17/11/2012] id: Albumin Chemistry el: 0 cu: CSRU cg: 3161 v1: 2.5 rs: Final st: NotStopd t0: [04:00:00 17/11/2012] id: Calcium Chemistry el: 0 cu: CSRU cg: 3161 v1: 9.2 u1: mg/dl rs: Final st: NotStopd t0: [04:00:00 17/11/2012] id: Chloride Chemistry el: 0 cu: CSRU cg: 3161 v1: 105 rs: Final st: NotStopd t0: [04:00:00 17/11/2012] id: Creatinine Chemistry el: 0 cu: CSRU cg: 3161 v1: 1.3 rs: Final st: NotStopd t0: [04:00:00 17/11/2012] id: Glucose Chemistry el: 0 cu: CSRU cg: 3161 v1: 83 rs: Final st: NotStopd t0: [04:00:00 17/11/2012] id: Phosphorous Chemistry el: 0 cu: CSRU cg: 3161 v1: 4.3 u1: mEq/L rs: Final st: NotStopd t0: [04:00:00 17/11/2012] id: Sodium Chemistry el: 0 cu: CSRU cg: 3161 v1: 140 rs: Final st: NotStopd t0: [04:00:00 17/11/2012] id: Total Bili Chemistry el: 0 cu: CSRU cg: 3161 v1: 11.6 rs: Final st: NotStopd t0: [04:00:00 17/11/2012] id: ALT Enzymes el: 0 cu: CSRU cg: 3161 v1: 40 rs: Final st: NotStopd t0: [04:00:00 17/11/2012] id: AST Enzymes el: 0 cu: CSRU cg: 3161 v1: 56 rs: Final st: NotStopd t0: [04:00:00 17/11/2012] id: Albumin (>3.2) Chemistry el: 0 cu: CSRU cg: 3161 v1: 2.5 rs: Final st: NotStopd t0: [04:00:00 17/11/2012] id: Alk. Phosphate Enzymes el: 0 cu: CSRU cg: 3161 v1: 100 rs: Final st: NotStopd t0: [04:00:00 17/11/2012] id: Amylase Enzymes el: 0 cu: CSRU cg: 3161 v1: 22 rs: Final st: NotStopd t0: [04:00:00 17/11/2012] id: BUN (6-20) Chemistry el: 0 cu: CSRU cg: 3161 v1: 10 rs: Final st: NotStopd t0: [04:00:00 17/11/2012] id: Calcium (8.4-10.2) Chemistry el: 0 cu: CSRU cg: 3161 v1: 9.2 u1: mg/dl rs: Final st: NotStopd t0: [04:00:00 17/11/2012] id: Carbon Dioxide Chemistry el: 0 cu: CSRU cg: 3161 v1: 27 rs: Final st: NotStopd t0: [04:00:00 17/11/2012] id: Chloride (100-112) Chemistry el: 0 cu: CSRU cg: 3161 v1: 105 rs: Final st: NotStopd t0: [04:00:00 17/11/2012] id: Creatinine (0-1.3) Chemistry el: 0 cu: CSRU cg: 3161 v1: 1.3 rs: Final st: NotStopd t0: [04:00:00 17/11/2012] id: Glucose (70-105) Chemistry el: 0 cu: CSRU cg: 3161 v1: 83 rs: Final st: NotStopd t0: [04:00:00 17/11/2012] id: LDH Enzymes el: 0 cu: CSRU cg: 3161 v1: 161 rs: Final st: NotStopd t0: [04:00:00 17/11/2012] id: Phosphorous(2.7-4.5) Chemistry el: 0 cu: CSRU cg: 3161 v1: 4.3 u1: mEq/L rs: Final st: NotStopd t0: [04:00:00 17/11/2012] id: Sodium (135-148) Chemistry el: 0 cu: CSRU cg: 3161 v1: 140 rs: Final st: NotStopd t0: [04:00:00 17/11/2012] id: Total Bili (0-1.5) Chemistry el: 0 cu: CSRU cg: 3161 v1: 11.6 rs: Final st: NotStopd
t0: [05:00:00 17/11/2012] id: Service Type el: 0 cu: CSRU cg: RN v1: NSICU st: NotStopd t0: [05:00:00 17/11/2012] id: CVP el: 0 cu: CSRU cg: RN v1: 9 u1: mmHg st: NotStopd t0: [05:00:00 17/11/2012] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [05:00:00 17/11/2012] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [05:00:00 17/11/2012] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 73 u1: BPM st: NotStopd t0: [05:00:00 17/11/2012] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [05:00:00 17/11/2012] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 103 u1: mmHg v2: 38 u2: mmHg st: NotStopd t0: [05:00:00 17/11/2012] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 56 u1: mmHg st: NotStopd t0: [05:00:00 17/11/2012] id: Precautions el: 0 cu: CSRU cg: RN v1: Contact st: NotStopd t0: [05:00:00 17/11/2012] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 101.6 u1: kg st: NotStopd t0: [05:00:00 17/11/2012] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 2 u1: BPM st: NotStopd t0: [05:00:00 17/11/2012] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [06:00:00 17/11/2012] id: Service Type el: 0 cu: CSRU cg: RN v1: NSICU st: NotStopd t0: [06:00:00 17/11/2012] id: CVP el: 0 cu: CSRU cg: RN v1: 11 u1: mmHg st: NotStopd t0: [06:00:00 17/11/2012] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [06:00:00 17/11/2012] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [06:00:00 17/11/2012] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 81 u1: BPM st: NotStopd t0: [06:00:00 17/11/2012] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [06:00:00 17/11/2012] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 131 u1: mmHg v2: 47 u2: mmHg st: NotStopd t0: [06:00:00 17/11/2012] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 70 u1: mmHg st: NotStopd t0: [06:00:00 17/11/2012] id: Precautions el: 0 cu: CSRU cg: RN v1: Contact st: NotStopd t0: [06:00:00 17/11/2012] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 101.6 u1: kg st: NotStopd t0: [06:00:00 17/11/2012] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 10 u1: BPM st: NotStopd t0: [06:00:00 17/11/2012] id: SpO2 el: 0 cu: CSRU cg: RN v1: 97 u1: % st: NotStopd t0: [06:00:00 17/11/2012] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [05:00:00 17/11/2012] id: D5/.45NS IV Infusions el: 1 cu: CSRU cg: RN ai: 112 vo: 50 vu: ml
t0: [05:00:00 17/11/2012] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Oral st: NotStopd t0: [05:00:00 17/11/2012] id: Temperature C (calc) el: 0 cu: CSRU cg: RN v1: 37.9444 u1: Deg. C st: NotStopd t0: [05:00:00 17/11/2012] id: Temperature F el: 0 cu: CSRU cg: RN v1: 100.3 u1: Deg. F st: NotStopd
t0: [05:00:00 17/11/2012] id: Pressure Support el: 0 cu: CSRU cg: RRT v1: 5 u1: . st: NotStopd
t0: [02:00:00 17/11/2012] id: Diet Type el: 0 cu: CSRU cg: RN v1: NPO st: NotStopd t0: [02:00:00 17/11/2012] id: Eye Opening el: 0 cu: CSRU cg: RN v1: 4 Spontaneously st: NotStopd t0: [02:00:00 17/11/2012] id: Follows Commands el: 0 cu: CSRU cg: RN v1: Consistently st: NotStopd t0: [02:00:00 17/11/2012] id: GCS Total el: 0 cu: CSRU cg: RN v1: 11 u1: points st: NotStopd t0: [02:00:00 17/11/2012] id: Level of Conscious el: 0 cu: CSRU cg: RN v1: Alert st: NotStopd t0: [02:00:00 17/11/2012] id: Motor Response el: 0 cu: CSRU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [02:00:00 17/11/2012] id: Orientation el: 0 cu: CSRU cg: RN v1: Oriented x 2 st: NotStopd t0: [02:00:00 17/11/2012] id: Respiratory Pattern el: 0 cu: CSRU cg: RN v1: Regular st: NotStopd t0: [02:00:00 17/11/2012] id: Spontaneous Movement el: 0 cu: CSRU cg: RN v1: Purposeful st: NotStopd t0: [02:00:00 17/11/2012] id: Urine Color/Appear el: 0 cu: CSRU cg: RN v1: Amber v2: Clear st: NotStopd t0: [02:00:00 17/11/2012] id: Urine Source el: 0 cu: CSRU cg: RN v1: Indwelling Cath st: NotStopd t0: [02:00:00 17/11/2012] id: Verbal Response el: 0 cu: CSRU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [04:00:00 17/11/2012] id: GI Prophylaxis el: 0 cu: CSRU cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [04:00:00 17/11/2012] id: Diet Type el: 0 cu: CSRU cg: RN v1: NPO st: NotStopd t0: [04:00:00 17/11/2012] id: Eye Opening el: 0 cu: CSRU cg: RN v1: 4 Spontaneously st: NotStopd t0: [04:00:00 17/11/2012] id: Follows Commands el: 0 cu: CSRU cg: RN v1: Consistently st: NotStopd t0: [04:00:00 17/11/2012] id: GCS Total el: 0 cu: CSRU cg: RN v1: 11 u1: points st: NotStopd t0: [04:00:00 17/11/2012] id: Abdominal Assessment el: 0 cu: CSRU cg: RN v1: Soft st: NotStopd t0: [04:00:00 17/11/2012] id: Level of Conscious el: 0 cu: CSRU cg: RN v1: Alert st: NotStopd t0: [04:00:00 17/11/2012] id: Motor Response el: 0 cu: CSRU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [04:00:00 17/11/2012] id: Orientation el: 0 cu: CSRU cg: RN v1: Oriented x 2 st: NotStopd t0: [04:00:00 17/11/2012] id: Respiratory Pattern el: 0 cu: CSRU cg: RN v1: Regular st: NotStopd t0: [04:00:00 17/11/2012] id: Spontaneous Movement el: 0 cu: CSRU cg: RN v1: Purposeful st: NotStopd t0: [04:00:00 17/11/2012] id: Urine Color/Appear el: 0 cu: CSRU cg: RN v1: Amber v2: Clear st: NotStopd t0: [04:00:00 17/11/2012] id: Urine Source el: 0 cu: CSRU cg: RN v1: Indwelling Cath st: NotStopd t0: [04:00:00 17/11/2012] id: Verbal Response el: 0 cu: CSRU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [04:00:00 17/11/2012] id: Bowel Sounds el: 0 cu: CSRU cg: RN v1: Hypoactive st: NotStopd t0: [06:00:00 17/11/2012] id: Diet Type el: 0 cu: CSRU cg: RN v1: NPO st: NotStopd t0: [06:00:00 17/11/2012] id: Eye Opening el: 0 cu: CSRU cg: RN v1: 4 Spontaneously st: NotStopd t0: [06:00:00 17/11/2012] id: Follows Commands el: 0 cu: CSRU cg: RN v1: Consistently st: NotStopd t0: [06:00:00 17/11/2012] id: GCS Total el: 0 cu: CSRU cg: RN v1: 11 u1: points st: NotStopd t0: [06:00:00 17/11/2012] id: Level of Conscious el: 0 cu: CSRU cg: RN v1: Alert st: NotStopd t0: [06:00:00 17/11/2012] id: Motor Response el: 0 cu: CSRU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [06:00:00 17/11/2012] id: Orientation el: 0 cu: CSRU cg: RN v1: Oriented x 2 st: NotStopd t0: [06:00:00 17/11/2012] id: Respiratory Pattern el: 0 cu: CSRU cg: RN v1: Regular st: NotStopd t0: [06:00:00 17/11/2012] id: Spontaneous Movement el: 0 cu: CSRU cg: RN v1: Purposeful st: NotStopd t0: [06:00:00 17/11/2012] id: Urine Color/Appear el: 0 cu: CSRU cg: RN v1: Amber v2: Clear st: NotStopd t0: [06:00:00 17/11/2012] id: Urine Source el: 0 cu: CSRU cg: RN v1: Indwelling Cath st: NotStopd t0: [06:00:00 17/11/2012] id: Verbal Response el: 0 cu: CSRU cg: RN v1: 1.0 ET/Trach st: NotStopd
t0: [06:00:00 17/11/2012] id: D5/.45NS IV Infusions el: 1 cu: CSRU cg: RN ai: 112 vo: 50 vu: ml t0: [06:00:00 17/11/2012] id: Drain Out #1 Jackson Pratt el: 1 cu: CSRU cg: RN vo: 40 vu: ml
t0: [04:00:00 17/11/2012] id: Sputum Color/Consist el: 0 cu: CSRU cg: RN v1: White v2: Thick st: NotStopd t0: [04:00:00 17/11/2012] id: Sputum Source/Amt el: 0 cu: CSRU cg: RN v1: Suctioned v2: Moderate st: NotStopd
t0: [02:00:00 17/11/2012] id: Range of Motion el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [02:00:00 17/11/2012] id: Circulation/SkinInt el: 0 cu: CSRU cg: RN v1: Circulation Adeq st: NotStopd t0: [02:00:00 17/11/2012] id: Incision/Wound #1 el: 0 cu: CSRU cg: RN v1: Abdominal st: NotStopd t0: [02:00:00 17/11/2012] id: Position Change el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [02:00:00 17/11/2012] id: Pressure Sore Site#1 el: 0 cu: CSRU cg: RN v1: Coccyx st: NotStopd t0: [02:00:00 17/11/2012] id: Reason For Restraint el: 0 cu: CSRU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [02:00:00 17/11/2012] id: Removed x 5 Mins el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [02:00:00 17/11/2012] id: Restraint Location el: 0 cu: CSRU cg: RN v1: Both Arms st: NotStopd t0: [02:00:00 17/11/2012] id: Restraint Type el: 0 cu: CSRU cg: RN v1: Soft Limb st: NotStopd t0: [02:00:00 17/11/2012] id: Restraints Evaluated el: 0 cu: CSRU cg: RN v1: Behavior Conts st: NotStopd t0: [02:00:00 17/11/2012] id: Side Rails el: 0 cu: CSRU cg: RN v1: Side Rails Up st: NotStopd t0: [02:00:00 17/11/2012] id: Support Systems el: 0 cu: CSRU cg: RN v1: Spouse st: NotStopd t0: [04:00:00 17/11/2012] id: Range of Motion el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [04:00:00 17/11/2012] id: Circulation/SkinInt el: 0 cu: CSRU cg: RN v1: Circulation Adeq st: NotStopd t0: [04:00:00 17/11/2012] id: Incision/Wound #1 el: 0 cu: CSRU cg: RN v1: Abdominal st: NotStopd t0: [04:00:00 17/11/2012] id: Position Change el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [04:00:00 17/11/2012] id: Pressure Sore Site#1 el: 0 cu: CSRU cg: RN v1: Coccyx st: NotStopd t0: [04:00:00 17/11/2012] id: Reason For Restraint el: 0 cu: CSRU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [04:00:00 17/11/2012] id: Removed x 5 Mins el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [04:00:00 17/11/2012] id: Restraint Location el: 0 cu: CSRU cg: RN v1: Both Arms st: NotStopd t0: [04:00:00 17/11/2012] id: Restraint Type el: 0 cu: CSRU cg: RN v1: Soft Limb st: NotStopd t0: [04:00:00 17/11/2012] id: Restraints Evaluated el: 0 cu: CSRU cg: RN v1: Behavior Conts st: NotStopd t0: [04:00:00 17/11/2012] id: Side Rails el: 0 cu: CSRU cg: RN v1: Side Rails Up st: NotStopd t0: [04:00:00 17/11/2012] id: Support Systems el: 0 cu: CSRU cg: RN v1: Spouse st: NotStopd t0: [06:00:00 17/11/2012] id: Range of Motion el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [06:00:00 17/11/2012] id: Circulation/SkinInt el: 0 cu: CSRU cg: RN v1: Circulation Adeq st: NotStopd t0: [06:00:00 17/11/2012] id: Eye Care el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [06:00:00 17/11/2012] id: HOB el: 0 cu: CSRU cg: RN v1: 30 degrees st: NotStopd t0: [06:00:00 17/11/2012] id: Activity el: 0 cu: CSRU cg: RN v1: Bedrest st: NotStopd t0: [06:00:00 17/11/2012] id: Activity Tolerance el: 0 cu: CSRU cg: RN v1: Tolerated Well st: NotStopd t0: [06:00:00 17/11/2012] id: Incision/Wound #1 el: 0 cu: CSRU cg: RN v1: Abdominal st: NotStopd t0: [06:00:00 17/11/2012] id: Oral Care el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [06:00:00 17/11/2012] id: AntiEmbDevice/Status el: 0 cu: CSRU cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [06:00:00 17/11/2012] id: Position el: 0 cu: CSRU cg: RN v1: Supine st: NotStopd t0: [06:00:00 17/11/2012] id: Position Change el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [06:00:00 17/11/2012] id: Assistance Device el: 0 cu: CSRU cg: RN v1: 2 Person Assist st: NotStopd t0: [06:00:00 17/11/2012] id: Pressure Sore Site#1 el: 0 cu: CSRU cg: RN v1: Coccyx st: NotStopd t0: [06:00:00 17/11/2012] id: Reason For Restraint el: 0 cu: CSRU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [06:00:00 17/11/2012] id: Removed x 5 Mins el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [06:00:00 17/11/2012] id: Restraint Location el: 0 cu: CSRU cg: RN v1: Both Arms st: NotStopd t0: [06:00:00 17/11/2012] id: Restraint Type el: 0 cu: CSRU cg: RN v1: Soft Limb st: NotStopd t0: [06:00:00 17/11/2012] id: Restraints Evaluated el: 0 cu: CSRU cg: RN v1: Behavior Conts st: NotStopd t0: [06:00:00 17/11/2012] id: Side Rails el: 0 cu: CSRU cg: RN v1: Side Rails Up st: NotStopd t0: [06:00:00 17/11/2012] id: Skin Care el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [06:00:00 17/11/2012] id: Support Systems el: 0 cu: CSRU cg: RN v1: Spouse st: NotStopd t0: [06:00:00 17/11/2012] id: Turn el: 0 cu: CSRU cg: RN v1: Side to Side st: NotStopd t0: [06:00:00 17/11/2012] id: Back Care el: 0 cu: CSRU cg: RN v1: Done st: NotStopd
t0: [07:00:00 17/11/2012] id: ETT Mark/Location el: 0 cu: CSRU cg: RRT v1: 22cm v2: Lip st: NotStopd t0: [07:00:00 17/11/2012] id: FiO2 Set el: 0 cu: CSRU cg: RRT v1: 0.5 u1: torr st: NotStopd t0: [07:00:00 17/11/2012] id: High Insp. Pressure el: 0 cu: CSRU cg: RRT v1: 50 u1: cmH2O st: NotStopd t0: [07:00:00 17/11/2012] id: High Resp. Rate el: 0 cu: CSRU cg: RRT v1: 40 u1: BPM st: NotStopd t0: [07:00:00 17/11/2012] id: Airway Size el: 0 cu: CSRU cg: RRT v1: 8.0 mm st: NotStopd t0: [07:00:00 17/11/2012] id: Airway Type el: 0 cu: CSRU cg: RRT v1: Endotracheal st: NotStopd t0: [07:00:00 17/11/2012] id: Inspired Gas Temp el: 0 cu: CSRU cg: RRT u1: Deg. C st: NotStopd t0: [07:00:00 17/11/2012] id: Intubation Date el: 0 cu: CSRU cg: RRT v1: 10 v2: 23 st: NotStopd t0: [07:00:00 17/11/2012] id: Low Exhaled Min Vol el: 0 cu: CSRU cg: RRT v1: 4 st: NotStopd t0: [07:00:00 17/11/2012] id: Mean Airway Pressure el: 0 cu: CSRU cg: RRT v1: 8 u1: cmH2O st: NotStopd t0: [07:00:00 17/11/2012] id: Minute Volume(Obser) el: 0 cu: CSRU cg: RRT v1: 8.3 u1: L/min st: NotStopd t0: [07:00:00 17/11/2012] id: PEEP Set el: 0 cu: CSRU cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [07:00:00 17/11/2012] id: Apnea Time Interval el: 0 cu: CSRU cg: RRT v1: 30 st: NotStopd t0: [07:00:00 17/11/2012] id: Pressure Support el: 0 cu: CSRU cg: RRT v1: 5 u1: . st: NotStopd t0: [07:00:00 17/11/2012] id: Resp Rate (Total) el: 0 cu: CSRU cg: RRT v1: 12 u1: BPM st: NotStopd t0: [07:00:00 17/11/2012] id: Sensitivity-Vent el: 0 cu: CSRU cg: RRT v1: 2 u1: cmH2O st: NotStopd t0: [07:00:00 17/11/2012] id: SpO2 el: 0 cu: CSRU cg: RRT v1: 99 u1: % st: NotStopd t0: [07:00:00 17/11/2012] id: Tidal Volume (Spont) el: 0 cu: CSRU cg: RRT v1: 650 u1: ml/B st: NotStopd t0: [07:00:00 17/11/2012] id: Ventilator Mode el: 0 cu: CSRU cg: RRT v1: CPAP+PS st: NotStopd t0: [07:00:00 17/11/2012] id: Ventilator Type el: 0 cu: CSRU cg: RRT v1: Drager st: NotStopd
t0: [07:00:00 17/11/2012] id: Pain Present el: 0 cu: CSRU cg: RN v1: No st: NotStopd t0: [07:00:00 17/11/2012] id: Pain Assess Method el: 0 cu: CSRU cg: RN v1: Non-verbal cues st: NotStopd t0: [07:00:00 17/11/2012] id: PainLevel Acceptable el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [07:00:00 17/11/2012] id: Service Type el: 0 cu: CSRU cg: RN v1: NSICU st: NotStopd t0: [07:00:00 17/11/2012] id: CVP el: 0 cu: CSRU cg: RN v1: 16 u1: mmHg st: NotStopd t0: [07:00:00 17/11/2012] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [07:00:00 17/11/2012] id: Riker-SAS Scale el: 0 cu: CSRU cg: RN v1: Calm/Cooperative st: NotStopd t0: [07:00:00 17/11/2012] id: Daily Wake Up el: 1 cu: CSRU cg: RN v1: No/Not Sedated st: NotStopd t0: [07:00:00 17/11/2012] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [07:00:00 17/11/2012] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 78 u1: BPM st: NotStopd t0: [07:00:00 17/11/2012] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [07:00:00 17/11/2012] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 132 u1: mmHg v2: 52 u2: mmHg st: NotStopd t0: [07:00:00 17/11/2012] id: Pain Location el: 0 cu: CSRU cg: RN v1: Not Indicated st: NotStopd t0: [07:00:00 17/11/2012] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 74 u1: mmHg st: NotStopd t0: [07:00:00 17/11/2012] id: Precautions el: 0 cu: CSRU cg: RN v1: Contact st: NotStopd t0: [07:00:00 17/11/2012] id: Previous Weight el: 0 cu: CSRU cg: RN v1: 101.6 u1: kg st: NotStopd t0: [07:00:00 17/11/2012] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 8 u1: BPM st: NotStopd t0: [07:00:00 17/11/2012] id: Temperature C (calc) el: 0 cu: CSRU cg: RN v1: 37.7778 u1: Deg. C st: NotStopd t0: [07:00:00 17/11/2012] id: Temperature F el: 0 cu: CSRU cg: RN v1: 100 u1: Deg. F st: NotStopd t0: [07:00:00 17/11/2012] id: Weight Change el: 0 cu: CSRU cg: RN v1: 0.4 u1: kg st: NotStopd t0: [07:00:00 17/11/2012] id: Daily Weight el: 0 cu: CSRU cg: RN v1: 102 u1: kg st: NotStopd t0: [08:00:00 17/11/2012] id: Range of Motion el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [08:00:00 17/11/2012] id: INV#3Chg o/Wire Date el: 0 cu: CSRU cg: RN v1: 10 v2: 24 st: NotStopd t0: [08:00:00 17/11/2012] id: Circulation/SkinInt el: 0 cu: CSRU cg: RN v1: Circulation Adeq st: NotStopd t0: [08:00:00 17/11/2012] id: GI Prophylaxis el: 0 cu: CSRU cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [08:00:00 17/11/2012] id: Diet Type el: 0 cu: CSRU cg: RN v1: NPO st: NotStopd t0: [08:00:00 17/11/2012] id: Dorsal PedPulse R/L el: 0 cu: CSRU cg: RN v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [08:00:00 17/11/2012] id: Eye Opening el: 0 cu: CSRU cg: RN v1: 4 Spontaneously st: NotStopd t0: [08:00:00 17/11/2012] id: Follows Commands el: 0 cu: CSRU cg: RN v1: Consistently st: NotStopd t0: [08:00:00 17/11/2012] id: GCS Total el: 0 cu: CSRU cg: RN v1: 11 u1: points st: NotStopd t0: [08:00:00 17/11/2012] id: HOB el: 0 cu: CSRU cg: RN v1: 45 degrees st: NotStopd t0: [08:00:00 17/11/2012] id: INV Line#1 Type/Site el: 0 cu: CSRU cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [08:00:00 17/11/2012] id: INV Line#1 Zero/Cal el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [08:00:00 17/11/2012] id: INV Line#1SiteAppear el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [08:00:00 17/11/2012] id: INV Line#2 Type/Site el: 0 cu: CSRU cg: RN v1: PICC line v2: Left Brachial st: NotStopd t0: [08:00:00 17/11/2012] id: INV Line#2InsertDate el: 0 cu: CSRU cg: RN v1: 10 v2: 8 st: NotStopd t0: [08:00:00 17/11/2012] id: INV Line#3 Site Date el: 0 cu: CSRU cg: RN v1: 10 v2: 24 st: NotStopd t0: [08:00:00 17/11/2012] id: INV Line#3 Type/Site el: 0 cu: CSRU cg: RN v1: Multi-lumen v2: Right IJ st: NotStopd t0: [08:00:00 17/11/2012] id: INV Line#3InsertDate el: 0 cu: CSRU cg: RN v1: 10 v2: 23 st: NotStopd t0: [08:00:00 17/11/2012] id: INV Line#3SiteAppear el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [08:00:00 17/11/2012] id: Abdominal Assessment el: 0 cu: CSRU cg: RN v1: Soft st: NotStopd t0: [08:00:00 17/11/2012] id: INV#1 WaveformAppear el: 0 cu: CSRU cg: RN v1: Sharp st: NotStopd t0: [08:00:00 17/11/2012] id: INV#3 WaveformAppear el: 0 cu: CSRU cg: RN v1: Sharp st: NotStopd t0: [08:00:00 17/11/2012] id: IV #1 Insert Date el: 0 cu: CSRU cg: RN v1: 10 v2: 21 st: NotStopd t0: [08:00:00 17/11/2012] id: IV #1 Site/Size el: 0 cu: CSRU cg: RN v1: RU Ant Forearm v2: 18 gauge st: NotStopd t0: [08:00:00 17/11/2012] id: IV #3 Insert Date el: 0 cu: CSRU cg: RN v1: 10 v2: 23 st: NotStopd t0: [08:00:00 17/11/2012] id: IV #3 Site/Size el: 0 cu: CSRU cg: RN v1: Right Antecub v2: 14 gauge st: NotStopd t0: [08:00:00 17/11/2012] id: Activity el: 0 cu: CSRU cg: RN v1: Bedrest st: NotStopd t0: [08:00:00 17/11/2012] id: Activity Tolerance el: 0 cu: CSRU cg: RN v1: Tolerated Well st: NotStopd t0: [08:00:00 17/11/2012] id: Incision/Wound #1 el: 0 cu: CSRU cg: RN v1: Abdominal st: NotStopd t0: [08:00:00 17/11/2012] id: LUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [08:00:00 17/11/2012] id: Level of Conscious el: 0 cu: CSRU cg: RN v1: Alert st: NotStopd t0: [08:00:00 17/11/2012] id: Motor Response el: 0 cu: CSRU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [08:00:00 17/11/2012] id: Oral Cavity el: 0 cu: CSRU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [08:00:00 17/11/2012] id: Orientation el: 0 cu: CSRU cg: RN v1: Oriented x 2 st: NotStopd t0: [08:00:00 17/11/2012] id: AntiEmbDevice/Status el: 0 cu: CSRU cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [08:00:00 17/11/2012] id: Position el: 0 cu: CSRU cg: RN v1: Supine st: NotStopd t0: [08:00:00 17/11/2012] id: Position Change el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [08:00:00 17/11/2012] id: PostTib. Pulses R/L el: 0 cu: CSRU cg: RN v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [08:00:00 17/11/2012] id: Assistance Device el: 0 cu: CSRU cg: RN v1: 2 Person Assist st: NotStopd t0: [08:00:00 17/11/2012] id: Pressure Sore Site#1 el: 0 cu: CSRU cg: RN v1: Coccyx st: NotStopd t0: [08:00:00 17/11/2012] id: Pupil Response R/L el: 0 cu: CSRU cg: RN v1: Brisk v2: Brisk st: NotStopd t0: [08:00:00 17/11/2012] id: Pupil Size R/L el: 0 cu: CSRU cg: RN v1: 3 mm v2: 3 mm st: NotStopd t0: [08:00:00 17/11/2012] id: RUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [08:00:00 17/11/2012] id: Reason For Restraint el: 0 cu: CSRU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [08:00:00 17/11/2012] id: Removed x 5 Mins el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [08:00:00 17/11/2012] id: Respiratory Pattern el: 0 cu: CSRU cg: RN v1: Regular st: NotStopd t0: [08:00:00 17/11/2012] id: Restraint Location el: 0 cu: CSRU cg: RN v1: Both Arms st: NotStopd t0: [08:00:00 17/11/2012] id: Restraint Type el: 0 cu: CSRU cg: RN v1: Soft Limb st: NotStopd t0: [08:00:00 17/11/2012] id: Restraints Evaluated el: 0 cu: CSRU cg: RN v1: Behavior Conts st: NotStopd t0: [08:00:00 17/11/2012] id: Side Rails el: 0 cu: CSRU cg: RN v1: Side Rails Up st: NotStopd t0: [08:00:00 17/11/2012] id: Spontaneous Movement el: 0 cu: CSRU cg: RN v1: Purposeful st: NotStopd t0: [08:00:00 17/11/2012] id: Support Systems el: 0 cu: CSRU cg: RN v1: Spouse st: NotStopd t0: [08:00:00 17/11/2012] id: Turn el: 0 cu: CSRU cg: RN v1: Side to Side st: NotStopd t0: [08:00:00 17/11/2012] id: Urine Color/Appear el: 0 cu: CSRU cg: RN v1: Amber v2: Clear st: NotStopd t0: [08:00:00 17/11/2012] id: Urine Source el: 0 cu: CSRU cg: RN v1: Indwelling Cath st: NotStopd t0: [08:00:00 17/11/2012] id: Verbal Response el: 0 cu: CSRU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [08:00:00 17/11/2012] id: Bowel Sounds el: 0 cu: CSRU cg: RN v1: Hypoactive st: NotStopd
t0: [07:00:00 17/11/2012] id: D5/.45NS IV Infusions el: 1 cu: CSRU cg: RN ai: 112 vo: 50 vu: ml
t0: [07:40:00 17/11/2012] id: PEEP Set el: 0 cu: CSRU cg: RRT v1: 0 u1: cmH2O st: NotStopd
t0: [08:00:00 17/11/2012] id: Service Type el: 0 cu: CSRU cg: RN v1: NSICU st: NotStopd t0: [08:00:00 17/11/2012] id: CVP el: 0 cu: CSRU cg: RN v1: 13 u1: mmHg st: NotStopd t0: [08:00:00 17/11/2012] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [08:00:00 17/11/2012] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [08:00:00 17/11/2012] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 81 u1: BPM st: NotStopd t0: [08:00:00 17/11/2012] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [08:00:00 17/11/2012] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 125 u1: mmHg v2: 55 u2: mmHg st: NotStopd t0: [08:00:00 17/11/2012] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 77 u1: mmHg st: NotStopd t0: [08:00:00 17/11/2012] id: Precautions el: 0 cu: CSRU cg: RN v1: Contact st: NotStopd t0: [08:00:00 17/11/2012] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 102 u1: kg st: NotStopd t0: [08:00:00 17/11/2012] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 16 u1: BPM st: NotStopd t0: [08:00:00 17/11/2012] id: SpO2 el: 0 cu: CSRU cg: RN v1: 93 u1: % st: NotStopd t0: [08:00:00 17/11/2012] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [09:00:00 17/11/2012] id: Service Type el: 0 cu: CSRU cg: RN v1: NSICU st: NotStopd t0: [09:00:00 17/11/2012] id: CVP el: 0 cu: CSRU cg: RN v1: 13 u1: mmHg st: NotStopd t0: [09:00:00 17/11/2012] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [09:00:00 17/11/2012] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [09:00:00 17/11/2012] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [09:00:00 17/11/2012] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 77 u1: BPM st: NotStopd t0: [09:00:00 17/11/2012] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [09:00:00 17/11/2012] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 131 u1: mmHg v2: 55 u2: mmHg st: NotStopd t0: [09:00:00 17/11/2012] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 78 u1: mmHg st: NotStopd t0: [09:00:00 17/11/2012] id: Precautions el: 0 cu: CSRU cg: RN v1: Contact st: NotStopd t0: [09:00:00 17/11/2012] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 102 u1: kg st: NotStopd t0: [09:00:00 17/11/2012] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 15 u1: BPM st: NotStopd t0: [09:00:00 17/11/2012] id: SpO2 el: 0 cu: CSRU cg: RN v1: 95 u1: % st: NotStopd t0: [09:00:00 17/11/2012] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [09:00:00 17/11/2012] id: D5/.45NS IV Infusions el: 1 cu: CSRU cg: RN ai: 112 vo: 100 vu: ml
tf: [13:00:00 25/11/2012] pt: Unit Dose rt: IV fr: QD fs: 10 dn: 1 m1: Furosemide v1: 20 u1: mg
t0: [10:00:00 17/11/2012] id: Service Type el: 0 cu: CSRU cg: RN v1: NSICU st: NotStopd t0: [10:00:00 17/11/2012] id: CVP el: 0 cu: CSRU cg: RN v1: 13 u1: mmHg st: NotStopd t0: [10:00:00 17/11/2012] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [10:00:00 17/11/2012] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [10:00:00 17/11/2012] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [10:00:00 17/11/2012] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 80 u1: BPM st: NotStopd t0: [10:00:00 17/11/2012] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [10:00:00 17/11/2012] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 132 u1: mmHg v2: 53 u2: mmHg st: NotStopd t0: [10:00:00 17/11/2012] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 76 u1: mmHg st: NotStopd t0: [10:00:00 17/11/2012] id: Precautions el: 0 cu: CSRU cg: RN v1: Contact st: NotStopd t0: [10:00:00 17/11/2012] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 102 u1: kg st: NotStopd t0: [10:00:00 17/11/2012] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 13 u1: BPM st: NotStopd t0: [10:00:00 17/11/2012] id: SpO2 el: 0 cu: CSRU cg: RN v1: 96 u1: % st: NotStopd t0: [10:00:00 17/11/2012] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [10:00:00 17/11/2012] id: D5/.45NS IV Infusions el: 1 cu: CSRU cg: RN ai: 112 vo: 50 vu: ml
t0: [08:00:00 17/11/2012] id: LLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Diminished st: NotStopd t0: [08:00:00 17/11/2012] id: RLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Diminished st: NotStopd t0: [10:00:00 17/11/2012] id: Riker-SAS Scale el: 0 cu: CSRU cg: RN v1: Calm/Cooperative st: NotStopd t0: [10:00:00 17/11/2012] id: Cough Effort el: 0 cu: CSRU cg: RN v1: Weak st: NotStopd t0: [10:00:00 17/11/2012] id: Cough Type el: 0 cu: CSRU cg: RN v1: Productive st: NotStopd t0: [10:00:00 17/11/2012] id: Diet Type el: 0 cu: CSRU cg: RN v1: NPO st: NotStopd t0: [10:00:00 17/11/2012] id: Eye Opening el: 0 cu: CSRU cg: RN v1: 4 Spontaneously st: NotStopd t0: [10:00:00 17/11/2012] id: GCS Total el: 0 cu: CSRU cg: RN v1: 15 u1: points st: NotStopd t0: [10:00:00 17/11/2012] id: LLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Coarse st: NotStopd t0: [10:00:00 17/11/2012] id: LUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Coarse st: NotStopd t0: [10:00:00 17/11/2012] id: Level of Conscious el: 0 cu: CSRU cg: RN v1: Alert st: NotStopd t0: [10:00:00 17/11/2012] id: Motor Response el: 0 cu: CSRU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [10:00:00 17/11/2012] id: Orientation el: 0 cu: CSRU cg: RN v1: Oriented x 3 st: NotStopd t0: [10:00:00 17/11/2012] id: RLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Coarse st: NotStopd t0: [10:00:00 17/11/2012] id: RUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Coarse st: NotStopd t0: [10:00:00 17/11/2012] id: Respiratory Pattern el: 0 cu: CSRU cg: RN v1: Regular st: NotStopd t0: [10:00:00 17/11/2012] id: Urine Source el: 0 cu: CSRU cg: RN v1: Indwelling Cath st: NotStopd t0: [10:00:00 17/11/2012] id: Verbal Response el: 0 cu: CSRU cg: RN v1: 5 Oriented st: NotStopd t0: [11:00:00 17/11/2012] id: Service Type el: 0 cu: CSRU cg: RN v1: NSICU st: NotStopd t0: [11:00:00 17/11/2012] id: CVP el: 0 cu: CSRU cg: RN v1: 15 u1: mmHg st: NotStopd t0: [11:00:00 17/11/2012] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [11:00:00 17/11/2012] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [11:00:00 17/11/2012] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [11:00:00 17/11/2012] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 78 u1: BPM st: NotStopd t0: [11:00:00 17/11/2012] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [11:00:00 17/11/2012] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 132 u1: mmHg v2: 55 u2: mmHg st: NotStopd t0: [11:00:00 17/11/2012] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 78 u1: mmHg st: NotStopd t0: [11:00:00 17/11/2012] id: Precautions el: 0 cu: CSRU cg: RN v1: Contact st: NotStopd t0: [11:00:00 17/11/2012] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 102 u1: kg st: NotStopd t0: [11:00:00 17/11/2012] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 7 u1: BPM st: NotStopd t0: [11:00:00 17/11/2012] id: SpO2 el: 0 cu: CSRU cg: RN v1: 97 u1: % st: NotStopd t0: [11:00:00 17/11/2012] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [10:00:00 17/11/2012] tf: [20:03:00 18/11/2012] dt: 2043 id: Gastric Meds PO/Gastric el: 1 cu: CSRU cg: RN ai: 155 vo: 60 vu: ml t0: [11:00:00 17/11/2012] id: D5/.45NS IV Infusions el: 1 cu: CSRU cg: RN ai: 112 vo: 10 vu: ml
t0: [23:00:00 17/11/2012] dt: 24 id: PO/Gastric In Total el: 3 cu: CSRU cg: RN cv: 60 ap: none
t0: [09:00:00 17/11/2012] id: Significant Events el: 0 cu: CSRU cg: RN v1: Extubated st: NotStopd t0: [10:00:00 17/11/2012] id: Pain Present el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [10:00:00 17/11/2012] id: Pain Cause el: 0 cu: CSRU cg: RN v1: Cough/DeepBreath st: NotStopd t0: [10:00:00 17/11/2012] id: Pain Location el: 0 cu: CSRU cg: RN v1: Incisional st: NotStopd t0: [10:00:00 17/11/2012] id: Pain Management el: 1 cu: CSRU cg: RN v1: IV Push st: NotStopd t0: [10:00:00 17/11/2012] id: Pain Type el: 0 cu: CSRU cg: RN v1: Sharp st: NotStopd t0: [11:00:00 17/11/2012] id: PainLevel Acceptable el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [12:00:00 17/11/2012] id: Pain Present el: 0 cu: CSRU cg: RN v1: No st: NotStopd t0: [12:00:00 17/11/2012] id: Pain Assess Method el: 0 cu: CSRU cg: RN v1: Pt Verbalized st: NotStopd t0: [12:00:00 17/11/2012] id: PainLevel Acceptable el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [12:00:00 17/11/2012] id: Service Type el: 0 cu: CSRU cg: RN v1: NSICU st: NotStopd t0: [12:00:00 17/11/2012] id: CVP el: 0 cu: CSRU cg: RN v1: 11 u1: mmHg st: NotStopd t0: [12:00:00 17/11/2012] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [12:00:00 17/11/2012] id: Riker-SAS Scale el: 0 cu: CSRU cg: RN v1: Calm/Cooperative st: NotStopd t0: [12:00:00 17/11/2012] id: Cough Effort el: 0 cu: CSRU cg: RN v1: Weak st: NotStopd t0: [12:00:00 17/11/2012] id: Cough Type el: 0 cu: CSRU cg: RN v1: Productive st: NotStopd t0: [12:00:00 17/11/2012] id: GI Prophylaxis el: 0 cu: CSRU cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [12:00:00 17/11/2012] id: Diet Type el: 0 cu: CSRU cg: RN v1: NPO st: NotStopd t0: [12:00:00 17/11/2012] id: Dorsal PedPulse R/L el: 0 cu: CSRU cg: RN v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [12:00:00 17/11/2012] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [12:00:00 17/11/2012] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [12:00:00 17/11/2012] id: Eye Opening el: 0 cu: CSRU cg: RN v1: 4 Spontaneously st: NotStopd t0: [12:00:00 17/11/2012] id: Follows Commands el: 0 cu: CSRU cg: RN v1: Consistently st: NotStopd t0: [12:00:00 17/11/2012] id: GCS Total el: 0 cu: CSRU cg: RN v1: 15 u1: points st: NotStopd t0: [12:00:00 17/11/2012] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 79 u1: BPM st: NotStopd t0: [12:00:00 17/11/2012] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [12:00:00 17/11/2012] id: Abdominal Assessment el: 0 cu: CSRU cg: RN v1: Soft st: NotStopd t0: [12:00:00 17/11/2012] id: Inc Drainage/Amt #1 el: 0 cu: CSRU cg: RN v1: Serosanguinous v2: Small st: NotStopd t0: [12:00:00 17/11/2012] id: Inc Dsg/Status #1 el: 0 cu: CSRU cg: RN v1: Dry Sterile Dsg v2: Intact st: NotStopd t0: [12:00:00 17/11/2012] id: Incision/Wound #1 el: 0 cu: CSRU cg: RN v1: Abdominal st: NotStopd t0: [12:00:00 17/11/2012] id: LLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Diminished st: NotStopd t0: [12:00:00 17/11/2012] id: LUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Coarse st: NotStopd t0: [12:00:00 17/11/2012] id: Level of Conscious el: 0 cu: CSRU cg: RN v1: Alert st: NotStopd t0: [12:00:00 17/11/2012] id: Motor Response el: 0 cu: CSRU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [12:00:00 17/11/2012] id: Oral Cavity el: 0 cu: CSRU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [12:00:00 17/11/2012] id: Orientation el: 0 cu: CSRU cg: RN v1: Oriented x 3 st: NotStopd t0: [12:00:00 17/11/2012] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 127 u1: mmHg v2: 50 u2: mmHg st: NotStopd t0: [12:00:00 17/11/2012] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 73 u1: mmHg st: NotStopd t0: [12:00:00 17/11/2012] id: PostTib. Pulses R/L el: 0 cu: CSRU cg: RN v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [12:00:00 17/11/2012] id: Precautions el: 0 cu: CSRU cg: RN v1: Contact st: NotStopd t0: [12:00:00 17/11/2012] id: Pressure Sore Site#1 el: 0 cu: CSRU cg: RN v1: Coccyx st: NotStopd t0: [12:00:00 17/11/2012] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 102 u1: kg st: NotStopd t0: [12:00:00 17/11/2012] id: Pupil Response R/L el: 0 cu: CSRU cg: RN v1: Brisk v2: Brisk st: NotStopd t0: [12:00:00 17/11/2012] id: Pupil Size R/L el: 0 cu: CSRU cg: RN v1: 3 mm v2: 3 mm st: NotStopd t0: [12:00:00 17/11/2012] id: RLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Diminished st: NotStopd t0: [12:00:00 17/11/2012] id: RUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Coarse st: NotStopd t0: [12:00:00 17/11/2012] id: Respiratory Pattern el: 0 cu: CSRU cg: RN v1: Regular st: NotStopd t0: [12:00:00 17/11/2012] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 15 u1: BPM st: NotStopd t0: [12:00:00 17/11/2012] id: Side Rails el: 0 cu: CSRU cg: RN v1: Side Rails Up st: NotStopd t0: [12:00:00 17/11/2012] id: SpO2 el: 0 cu: CSRU cg: RN v1: 98 u1: % st: NotStopd t0: [12:00:00 17/11/2012] id: Spontaneous Movement el: 0 cu: CSRU cg: RN v1: Purposeful st: NotStopd t0: [12:00:00 17/11/2012] id: Support Systems el: 0 cu: CSRU cg: RN v1: Spouse st: NotStopd t0: [12:00:00 17/11/2012] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Oral st: NotStopd t0: [12:00:00 17/11/2012] id: Temperature C (calc) el: 0 cu: CSRU cg: RN v1: 37.4444 u1: Deg. C st: NotStopd t0: [12:00:00 17/11/2012] id: Temperature F el: 0 cu: CSRU cg: RN v1: 99.4 u1: Deg. F st: NotStopd t0: [12:00:00 17/11/2012] id: Urine Color/Appear el: 0 cu: CSRU cg: RN v1: Amber v2: Clear st: NotStopd t0: [12:00:00 17/11/2012] id: Urine Source el: 0 cu: CSRU cg: RN v1: Indwelling Cath st: NotStopd t0: [12:00:00 17/11/2012] id: Verbal Response el: 0 cu: CSRU cg: RN v1: 5 Oriented st: NotStopd t0: [12:00:00 17/11/2012] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [12:00:00 17/11/2012] id: Bowel Sounds el: 0 cu: CSRU cg: RN v1: Hypoactive st: NotStopd
t0: [12:00:00 17/11/2012] id: D5/.45NS IV Infusions el: 1 cu: CSRU cg: RN ai: 112 vo: 5 vu: ml
id: KCL el: 100 cu: CSRU cg: RN io: D5W 50.0ml IV Infusions am: 20 du: mEq rt: Intravenous Push
tf: [12:00:00 18/11/2012] pt: IV Piggyback rt: IV fr: ONCE fs: 13 dn: 1 m1: Potassium Chloride v1: 20 u1: mEq m2: SW v2: 50 u2: ml tf: [12:00:00 18/11/2012] pt: Unit Dose rt: IV fr: ONCE fs: 13 dn: 1 m1: Magnesium Sulfate v1: 2 u1: gm
id: D5W el: 1 cu: CSRU cg: RN io: D5W 50.0ml IV Infusions vo: 50 du: ml rt: Intravenous Push
t0: [13:00:00 17/11/2012] id: Service Type el: 0 cu: CSRU cg: RN v1: NSICU st: NotStopd t0: [13:00:00 17/11/2012] id: CVP el: 0 cu: CSRU cg: RN v1: 12 u1: mmHg st: NotStopd t0: [13:00:00 17/11/2012] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [13:00:00 17/11/2012] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [13:00:00 17/11/2012] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [13:00:00 17/11/2012] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 77 u1: BPM st: NotStopd t0: [13:00:00 17/11/2012] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [13:00:00 17/11/2012] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 129 u1: mmHg v2: 48 u2: mmHg st: NotStopd t0: [13:00:00 17/11/2012] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 71 u1: mmHg st: NotStopd t0: [13:00:00 17/11/2012] id: Precautions el: 0 cu: CSRU cg: RN v1: Contact st: NotStopd t0: [13:00:00 17/11/2012] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 102 u1: kg st: NotStopd t0: [13:00:00 17/11/2012] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 8 u1: BPM st: NotStopd t0: [13:00:00 17/11/2012] id: SpO2 el: 0 cu: CSRU cg: RN v1: 96 u1: % st: NotStopd t0: [13:00:00 17/11/2012] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [13:00:00 17/11/2012] id: D5/.45NS IV Infusions el: 1 cu: CSRU cg: RN ai: 112 vo: 5 vu: ml
t0: [04:00:00 17/11/2012] id: Magnesium Chemistry el: 0 cu: CSRU cg: RN v1: 1.4 rs: Final st: NotStopd t0: [04:00:00 17/11/2012] id: Potassium Chemistry el: 0 cu: CSRU cg: RN v1: 3.5 rs: Final st: NotStopd t0: [04:00:00 17/11/2012] id: Magnesium (1.6-2.6) Chemistry el: 0 cu: CSRU cg: RN v1: 1.4 rs: Final st: NotStopd t0: [04:00:00 17/11/2012] id: Potassium (3.5-5.3) Chemistry el: 0 cu: CSRU cg: RN v1: 3.5 rs: Final st: NotStopd t0: [14:00:00 17/11/2012] id: Service Type el: 0 cu: CSRU cg: RN v1: NSICU st: NotStopd t0: [14:00:00 17/11/2012] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [14:00:00 17/11/2012] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [14:00:00 17/11/2012] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [14:00:00 17/11/2012] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 75 u1: BPM st: NotStopd t0: [14:00:00 17/11/2012] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [14:00:00 17/11/2012] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 126 u1: mmHg v2: 53 u2: mmHg st: NotStopd t0: [14:00:00 17/11/2012] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 75 u1: mmHg st: NotStopd t0: [14:00:00 17/11/2012] id: Precautions el: 0 cu: CSRU cg: RN v1: Contact st: NotStopd t0: [14:00:00 17/11/2012] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 102 u1: kg st: NotStopd t0: [14:00:00 17/11/2012] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 16 u1: BPM st: NotStopd t0: [14:00:00 17/11/2012] id: SpO2 el: 0 cu: CSRU cg: RN v1: 95 u1: % st: NotStopd t0: [14:00:00 17/11/2012] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [14:00:00 17/11/2012] tf: [20:03:00 18/11/2012] dt: 1803 id: D5W 50.0ml IV Infusions el: 1 cu: CSRU cg: RN ai: 112 vo: 5 vu: ml t0: [14:00:00 17/11/2012] id: D5W 50.0ml IV Infusions el: 1 cu: CSRU cg: RN ai: 109 vo: 50 vu: ml
t0: [23:00:00 17/11/2012] dt: 24 id: Gastric Out Total el: 3 cu: CSRU cg: RN cv: 750 ap: none
t0: [15:00:00 17/11/2012] id: Service Type el: 0 cu: CSRU cg: RN v1: NSICU st: NotStopd t0: [15:00:00 17/11/2012] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [15:00:00 17/11/2012] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [15:00:00 17/11/2012] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [15:00:00 17/11/2012] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 77 u1: BPM st: NotStopd t0: [15:00:00 17/11/2012] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [15:00:00 17/11/2012] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 123 u1: mmHg v2: 49 u2: mmHg st: NotStopd t0: [15:00:00 17/11/2012] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 71 u1: mmHg st: NotStopd t0: [15:00:00 17/11/2012] id: Precautions el: 0 cu: CSRU cg: RN v1: Contact st: NotStopd t0: [15:00:00 17/11/2012] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 102 u1: kg st: NotStopd t0: [15:00:00 17/11/2012] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 13 u1: BPM st: NotStopd t0: [15:00:00 17/11/2012] id: SpO2 el: 0 cu: CSRU cg: RN v1: 96 u1: % st: NotStopd t0: [15:00:00 17/11/2012] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [15:00:00 17/11/2012] id: D5/.45NS IV Infusions el: 1 cu: CSRU cg: RN ai: 112 vo: 5 vu: ml
t0: [16:00:00 17/11/2012] id: INV#3Chg o/Wire Date el: 0 cu: CSRU cg: RN v1: 10 v2: 24 st: NotStopd t0: [16:00:00 17/11/2012] id: Service Type el: 0 cu: CSRU cg: RN v1: NSICU st: NotStopd t0: [16:00:00 17/11/2012] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [16:00:00 17/11/2012] id: Cough Effort el: 0 cu: CSRU cg: RN v1: Weak st: NotStopd t0: [16:00:00 17/11/2012] id: Cough Type el: 0 cu: CSRU cg: RN v1: Productive st: NotStopd t0: [16:00:00 17/11/2012] id: GI Prophylaxis el: 0 cu: CSRU cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [16:00:00 17/11/2012] id: Diet Type el: 0 cu: CSRU cg: RN v1: NPO st: NotStopd t0: [16:00:00 17/11/2012] id: Dorsal PedPulse R/L el: 0 cu: CSRU cg: RN v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [16:00:00 17/11/2012] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [16:00:00 17/11/2012] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [16:00:00 17/11/2012] id: Eye Opening el: 0 cu: CSRU cg: RN v1: 4 Spontaneously st: NotStopd t0: [16:00:00 17/11/2012] id: Follows Commands el: 0 cu: CSRU cg: RN v1: Consistently st: NotStopd t0: [16:00:00 17/11/2012] id: GCS Total el: 0 cu: CSRU cg: RN v1: 15 u1: points st: NotStopd t0: [16:00:00 17/11/2012] id: HOB el: 0 cu: CSRU cg: RN v1: 45 degrees st: NotStopd t0: [16:00:00 17/11/2012] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 70 u1: BPM st: NotStopd t0: [16:00:00 17/11/2012] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [16:00:00 17/11/2012] id: INV Line#1 Type/Site el: 0 cu: CSRU cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [16:00:00 17/11/2012] id: INV Line#1SiteAppear el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [16:00:00 17/11/2012] id: INV Line#2 Type/Site el: 0 cu: CSRU cg: RN v1: PICC line v2: Left Brachial st: NotStopd t0: [16:00:00 17/11/2012] id: INV Line#2InsertDate el: 0 cu: CSRU cg: RN v1: 10 v2: 8 st: NotStopd t0: [16:00:00 17/11/2012] id: INV Line#3 Site Date el: 0 cu: CSRU cg: RN v1: 10 v2: 24 st: NotStopd t0: [16:00:00 17/11/2012] id: INV Line#3 Type/Site el: 0 cu: CSRU cg: RN v1: Multi-lumen v2: Right IJ st: NotStopd t0: [16:00:00 17/11/2012] id: INV Line#3InsertDate el: 0 cu: CSRU cg: RN v1: 10 v2: 23 st: NotStopd t0: [16:00:00 17/11/2012] id: INV Line#3SiteAppear el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [16:00:00 17/11/2012] id: Abdominal Assessment el: 0 cu: CSRU cg: RN v1: Soft st: NotStopd t0: [16:00:00 17/11/2012] id: INV#1 WaveformAppear el: 0 cu: CSRU cg: RN v1: Sharp st: NotStopd t0: [16:00:00 17/11/2012] id: INV#3 WaveformAppear el: 0 cu: CSRU cg: RN v1: Sharp st: NotStopd t0: [16:00:00 17/11/2012] id: IV #1 Insert Date el: 0 cu: CSRU cg: RN v1: 10 v2: 21 st: NotStopd t0: [16:00:00 17/11/2012] id: IV #1 Site/Size el: 0 cu: CSRU cg: RN v1: RU Ant Forearm v2: 18 gauge st: NotStopd t0: [16:00:00 17/11/2012] id: IV #3 Insert Date el: 0 cu: CSRU cg: RN v1: 10 v2: 23 st: NotStopd t0: [16:00:00 17/11/2012] id: IV #3 Site/Size el: 0 cu: CSRU cg: RN v1: Right Antecub v2: 14 gauge st: NotStopd t0: [16:00:00 17/11/2012] id: Activity el: 0 cu: CSRU cg: RN v1: Bedrest st: NotStopd t0: [16:00:00 17/11/2012] id: Activity Tolerance el: 0 cu: CSRU cg: RN v1: Tolerated Well st: NotStopd t0: [16:00:00 17/11/2012] id: Incision/Wound #1 el: 0 cu: CSRU cg: RN v1: Abdominal st: NotStopd t0: [16:00:00 17/11/2012] id: LLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Diminished st: NotStopd t0: [16:00:00 17/11/2012] id: LUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [16:00:00 17/11/2012] id: Level of Conscious el: 0 cu: CSRU cg: RN v1: Alert st: NotStopd t0: [16:00:00 17/11/2012] id: Motor Response el: 0 cu: CSRU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [16:00:00 17/11/2012] id: Oral Cavity el: 0 cu: CSRU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [16:00:00 17/11/2012] id: Orientation el: 0 cu: CSRU cg: RN v1: Oriented x 3 st: NotStopd t0: [16:00:00 17/11/2012] id: AntiEmbDevice/Status el: 0 cu: CSRU cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [16:00:00 17/11/2012] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 120 u1: mmHg v2: 45 u2: mmHg st: NotStopd t0: [16:00:00 17/11/2012] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 66 u1: mmHg st: NotStopd t0: [16:00:00 17/11/2012] id: Position el: 0 cu: CSRU cg: RN v1: Supine st: NotStopd t0: [16:00:00 17/11/2012] id: PostTib. Pulses R/L el: 0 cu: CSRU cg: RN v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [16:00:00 17/11/2012] id: Assistance Device el: 0 cu: CSRU cg: RN v1: 1 Person Assist st: NotStopd t0: [16:00:00 17/11/2012] id: Precautions el: 0 cu: CSRU cg: RN v1: Contact st: NotStopd t0: [16:00:00 17/11/2012] id: Pressure Sore Site#1 el: 0 cu: CSRU cg: RN v1: Coccyx st: NotStopd t0: [16:00:00 17/11/2012] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 102 u1: kg st: NotStopd t0: [16:00:00 17/11/2012] id: Pupil Response R/L el: 0 cu: CSRU cg: RN v1: Brisk v2: Brisk st: NotStopd t0: [16:00:00 17/11/2012] id: Pupil Size R/L el: 0 cu: CSRU cg: RN v1: 2 mm v2: 2 mm st: NotStopd t0: [16:00:00 17/11/2012] id: RLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Diminished st: NotStopd t0: [16:00:00 17/11/2012] id: RUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [16:00:00 17/11/2012] id: Respiratory Pattern el: 0 cu: CSRU cg: RN v1: Regular st: NotStopd t0: [16:00:00 17/11/2012] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 9 u1: BPM st: NotStopd t0: [16:00:00 17/11/2012] id: Side Rails el: 0 cu: CSRU cg: RN v1: Side Rails Up st: NotStopd t0: [16:00:00 17/11/2012] id: SpO2 el: 0 cu: CSRU cg: RN v1: 97 u1: % st: NotStopd t0: [16:00:00 17/11/2012] id: Spontaneous Movement el: 0 cu: CSRU cg: RN v1: Purposeful st: NotStopd t0: [16:00:00 17/11/2012] id: Support Systems el: 0 cu: CSRU cg: RN v1: Spouse st: NotStopd t0: [16:00:00 17/11/2012] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Oral st: NotStopd t0: [16:00:00 17/11/2012] id: Temperature C (calc) el: 0 cu: CSRU cg: RN v1: 37.4444 u1: Deg. C st: NotStopd t0: [16:00:00 17/11/2012] id: Temperature F el: 0 cu: CSRU cg: RN v1: 99.4 u1: Deg. F st: NotStopd t0: [16:00:00 17/11/2012] id: Turn el: 0 cu: CSRU cg: RN v1: Turns by self st: NotStopd t0: [16:00:00 17/11/2012] id: Urine Color/Appear el: 0 cu: CSRU cg: RN v1: Amber v2: Clear st: NotStopd t0: [16:00:00 17/11/2012] id: Urine Source el: 0 cu: CSRU cg: RN v1: Indwelling Cath st: NotStopd t0: [16:00:00 17/11/2012] id: Verbal Response el: 0 cu: CSRU cg: RN v1: 5 Oriented st: NotStopd t0: [16:00:00 17/11/2012] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [16:00:00 17/11/2012] id: Bowel Sounds el: 0 cu: CSRU cg: RN v1: Hypoactive st: NotStopd
t0: [16:00:00 17/11/2012] id: D5/.45NS IV Infusions el: 1 cu: CSRU cg: RN ai: 112 vo: 5 vu: ml
t0: [17:00:00 17/11/2012] id: Service Type el: 0 cu: CSRU cg: RN v1: NSICU st: NotStopd t0: [17:00:00 17/11/2012] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [17:00:00 17/11/2012] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [17:00:00 17/11/2012] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [17:00:00 17/11/2012] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 78 u1: BPM st: NotStopd t0: [17:00:00 17/11/2012] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [17:00:00 17/11/2012] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 118 u1: mmHg v2: 49 u2: mmHg st: NotStopd t0: [17:00:00 17/11/2012] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 70 u1: mmHg st: NotStopd t0: [17:00:00 17/11/2012] id: Precautions el: 0 cu: CSRU cg: RN v1: Contact st: NotStopd t0: [17:00:00 17/11/2012] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 102 u1: kg st: NotStopd t0: [17:00:00 17/11/2012] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 16 u1: BPM st: NotStopd t0: [17:00:00 17/11/2012] id: SpO2 el: 0 cu: CSRU cg: RN v1: 97 u1: % st: NotStopd t0: [17:00:00 17/11/2012] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [16:00:00 17/11/2012] id: Riker-SAS Scale el: 0 cu: CSRU cg: RN v1: Calm/Cooperative st: NotStopd t0: [18:00:00 17/11/2012] id: Service Type el: 0 cu: CSRU cg: RN v1: NSICU st: NotStopd t0: [18:00:00 17/11/2012] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [18:00:00 17/11/2012] id: Riker-SAS Scale el: 0 cu: CSRU cg: RN v1: Calm/Cooperative st: NotStopd t0: [18:00:00 17/11/2012] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [18:00:00 17/11/2012] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [18:00:00 17/11/2012] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 72 u1: BPM st: NotStopd t0: [18:00:00 17/11/2012] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [18:00:00 17/11/2012] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 125 u1: mmHg v2: 50 u2: mmHg st: NotStopd t0: [18:00:00 17/11/2012] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 72 u1: mmHg st: NotStopd t0: [18:00:00 17/11/2012] id: Precautions el: 0 cu: CSRU cg: RN v1: Contact st: NotStopd t0: [18:00:00 17/11/2012] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 102 u1: kg st: NotStopd t0: [18:00:00 17/11/2012] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 11 u1: BPM st: NotStopd t0: [18:00:00 17/11/2012] id: SpO2 el: 0 cu: CSRU cg: RN v1: 97 u1: % st: NotStopd t0: [18:00:00 17/11/2012] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [17:00:00 17/11/2012] id: D5/.45NS IV Infusions el: 1 cu: CSRU cg: RN ai: 112 vo: 5 vu: ml t0: [18:00:00 17/11/2012] id: D5/.45NS IV Infusions el: 1 cu: CSRU cg: RN ai: 112 vo: 5 vu: ml t0: [18:00:00 17/11/2012] id: Drain Out #1 Jackson Pratt el: 1 cu: CSRU cg: RN vo: 25 vu: ml
t0: [17:32:00 17/11/2012] id: Magnesium Chemistry el: 0 cu: CSRU cg: 3161 v1: 1.7 rs: Final st: NotStopd t0: [17:32:00 17/11/2012] id: Potassium Chemistry el: 0 cu: CSRU cg: 3161 v1: 3.7 rs: Final st: NotStopd t0: [17:32:00 17/11/2012] id: Magnesium (1.6-2.6) Chemistry el: 0 cu: CSRU cg: 3161 v1: 1.7 rs: Final st: NotStopd t0: [17:32:00 17/11/2012] id: Potassium (3.5-5.3) Chemistry el: 0 cu: CSRU cg: 3161 v1: 3.7 rs: Final st: NotStopd
t0: [17:32:00 17/11/2012] id: Hematocrit Hematology el: 0 cu: CSRU cg: 3161 v1: 35 u1: % rs: Final st: NotStopd
t0: [12:00:00 17/11/2012] id: O2 Delivery Device el: 0 cu: CSRU cg: RN v1: Nasal Cannula st: NotStopd t0: [12:00:00 17/11/2012] id: O2 Flow (lpm) el: 0 cu: CSRU cg: RN v1: 4 u1: lpm st: NotStopd
t0: [19:00:00 17/11/2012] id: Service Type el: 0 cu: CSRU cg: RN v1: NSICU st: NotStopd t0: [19:00:00 17/11/2012] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [19:00:00 17/11/2012] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [19:00:00 17/11/2012] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [19:00:00 17/11/2012] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 67 u1: BPM st: NotStopd t0: [19:00:00 17/11/2012] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [19:00:00 17/11/2012] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 118 u1: mmHg v2: 46 u2: mmHg st: NotStopd t0: [19:00:00 17/11/2012] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 66 u1: mmHg st: NotStopd t0: [19:00:00 17/11/2012] id: Precautions el: 0 cu: CSRU cg: RN v1: Contact st: NotStopd t0: [19:00:00 17/11/2012] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 102 u1: kg st: NotStopd t0: [19:00:00 17/11/2012] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 11 u1: BPM st: NotStopd t0: [19:00:00 17/11/2012] id: SpO2 el: 0 cu: CSRU cg: RN v1: 96 u1: % st: NotStopd t0: [19:00:00 17/11/2012] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [20:00:00 17/11/2012] id: INV#3Chg o/Wire Date el: 0 cu: CSRU cg: RN v1: 10 v2: 24 st: NotStopd t0: [20:00:00 17/11/2012] id: Service Type el: 0 cu: CSRU cg: RN v1: NSICU st: NotStopd t0: [20:00:00 17/11/2012] id: Chest PT R/L el: 0 cu: CSRU cg: RN v1: Done v2: Done st: NotStopd t0: [20:00:00 17/11/2012] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [20:00:00 17/11/2012] id: Riker-SAS Scale el: 0 cu: CSRU cg: RN v1: Calm/Cooperative st: NotStopd t0: [20:00:00 17/11/2012] id: Cough Effort el: 0 cu: CSRU cg: RN v1: Strong st: NotStopd t0: [20:00:00 17/11/2012] id: Cough Type el: 0 cu: CSRU cg: RN v1: Productive st: NotStopd t0: [20:00:00 17/11/2012] id: Cough/Deep Breathe el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [20:00:00 17/11/2012] id: GI Prophylaxis el: 0 cu: CSRU cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [20:00:00 17/11/2012] id: Diet Type el: 0 cu: CSRU cg: RN v1: NPO st: NotStopd t0: [20:00:00 17/11/2012] id: Dorsal PedPulse R/L el: 0 cu: CSRU cg: RN v1: Weak Palpable v2: Weak Palpable st: NotStopd t0: [20:00:00 17/11/2012] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [20:00:00 17/11/2012] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [20:00:00 17/11/2012] id: Eye Opening el: 0 cu: CSRU cg: RN v1: 4 Spontaneously st: NotStopd t0: [20:00:00 17/11/2012] id: Follows Commands el: 0 cu: CSRU cg: RN v1: Consistently st: NotStopd t0: [20:00:00 17/11/2012] id: GCS Total el: 0 cu: CSRU cg: RN v1: 15 u1: points st: NotStopd t0: [20:00:00 17/11/2012] id: HOB el: 0 cu: CSRU cg: RN v1: 45 degrees st: NotStopd t0: [20:00:00 17/11/2012] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 67 u1: BPM st: NotStopd t0: [20:00:00 17/11/2012] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [20:00:00 17/11/2012] id: INV Line#1 Type/Site el: 0 cu: CSRU cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [20:00:00 17/11/2012] id: INV Line#1 Zero/Cal el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [20:00:00 17/11/2012] id: INV Line#1SiteAppear el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [20:00:00 17/11/2012] id: INV Line#2 Type/Site el: 0 cu: CSRU cg: RN v1: PICC line v2: Left Brachial st: NotStopd t0: [20:00:00 17/11/2012] id: INV Line#2InsertDate el: 0 cu: CSRU cg: RN v1: 10 v2: 8 st: NotStopd t0: [20:00:00 17/11/2012] id: INV Line#2SiteAppear el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [20:00:00 17/11/2012] id: INV Line#3 Site Date el: 0 cu: CSRU cg: RN v1: 10 v2: 24 st: NotStopd t0: [20:00:00 17/11/2012] id: INV Line#3 Type/Site el: 0 cu: CSRU cg: RN v1: Multi-lumen v2: Right IJ st: NotStopd t0: [20:00:00 17/11/2012] id: INV Line#3InsertDate el: 0 cu: CSRU cg: RN v1: 10 v2: 23 st: NotStopd t0: [20:00:00 17/11/2012] id: INV Line#3SiteAppear el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [20:00:00 17/11/2012] id: Abdominal Assessment el: 0 cu: CSRU cg: RN v1: Soft st: NotStopd t0: [20:00:00 17/11/2012] id: INV#1 WaveformAppear el: 0 cu: CSRU cg: RN v1: Sharp st: NotStopd t0: [20:00:00 17/11/2012] id: INV#3 WaveformAppear el: 0 cu: CSRU cg: RN v1: Sharp st: NotStopd t0: [20:00:00 17/11/2012] id: IV #1 Insert Date el: 0 cu: CSRU cg: RN v1: 10 v2: 21 st: NotStopd t0: [20:00:00 17/11/2012] id: IV #1 Site/Size el: 0 cu: CSRU cg: RN v1: RU Ant Forearm v2: 18 gauge st: NotStopd t0: [20:00:00 17/11/2012] id: IV #3 Insert Date el: 0 cu: CSRU cg: RN v1: 10 v2: 23 st: NotStopd t0: [20:00:00 17/11/2012] id: IV #3 Site/Size el: 0 cu: CSRU cg: RN v1: Right Antecub v2: 14 gauge st: NotStopd t0: [20:00:00 17/11/2012] id: Activity el: 0 cu: CSRU cg: RN v1: Bedrest st: NotStopd t0: [20:00:00 17/11/2012] id: IV Site Appear #1 el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [20:00:00 17/11/2012] id: IV Site Appear #3 el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [20:00:00 17/11/2012] id: Activity Tolerance el: 0 cu: CSRU cg: RN v1: Tolerated Well st: NotStopd t0: [20:00:00 17/11/2012] id: Incentive Spirometry el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [20:00:00 17/11/2012] id: Incision/Wound #1 el: 0 cu: CSRU cg: RN v1: Abdominal st: NotStopd t0: [20:00:00 17/11/2012] id: LLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Diminished st: NotStopd t0: [20:00:00 17/11/2012] id: LUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [20:00:00 17/11/2012] id: Level of Conscious el: 0 cu: CSRU cg: RN v1: Alert st: NotStopd t0: [20:00:00 17/11/2012] id: Motor Response el: 0 cu: CSRU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [20:00:00 17/11/2012] id: O2 Delivery Device el: 0 cu: CSRU cg: RN v1: Nasal Cannula st: NotStopd t0: [20:00:00 17/11/2012] id: O2 Flow (lpm) el: 0 cu: CSRU cg: RN v1: 4 u1: lpm st: NotStopd t0: [20:00:00 17/11/2012] id: Oral Cavity el: 0 cu: CSRU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [20:00:00 17/11/2012] id: Orientation el: 0 cu: CSRU cg: RN v1: Oriented x 3 st: NotStopd t0: [20:00:00 17/11/2012] id: AntiEmbDevice/Status el: 0 cu: CSRU cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [20:00:00 17/11/2012] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 108 u1: mmHg v2: 39 u2: mmHg st: NotStopd t0: [20:00:00 17/11/2012] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 58 u1: mmHg st: NotStopd t0: [20:00:00 17/11/2012] id: Position el: 0 cu: CSRU cg: RN v1: Supine st: NotStopd t0: [20:00:00 17/11/2012] id: PostTib. Pulses R/L el: 0 cu: CSRU cg: RN v1: Weak Palpable v2: Weak Palpable st: NotStopd t0: [20:00:00 17/11/2012] id: Assistance Device el: 0 cu: CSRU cg: RN v1: 1 Person Assist st: NotStopd t0: [20:00:00 17/11/2012] id: Precautions el: 0 cu: CSRU cg: RN v1: Contact st: NotStopd t0: [20:00:00 17/11/2012] id: Pressure Sore Site#1 el: 0 cu: CSRU cg: RN v1: Coccyx st: NotStopd t0: [20:00:00 17/11/2012] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 102 u1: kg st: NotStopd t0: [20:00:00 17/11/2012] id: Pupil Response R/L el: 0 cu: CSRU cg: RN v1: Brisk v2: Brisk st: NotStopd t0: [20:00:00 17/11/2012] id: Pupil Size R/L el: 0 cu: CSRU cg: RN v1: 2 mm v2: 2 mm st: NotStopd t0: [20:00:00 17/11/2012] id: RLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Diminished st: NotStopd t0: [20:00:00 17/11/2012] id: RUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [20:00:00 17/11/2012] id: Respiratory Pattern el: 0 cu: CSRU cg: RN v1: Regular st: NotStopd t0: [20:00:00 17/11/2012] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 8 u1: BPM st: NotStopd t0: [20:00:00 17/11/2012] id: Side Rails el: 0 cu: CSRU cg: RN v1: Side Rails Up st: NotStopd t0: [20:00:00 17/11/2012] id: SpO2 el: 0 cu: CSRU cg: RN v1: 97 u1: % st: NotStopd t0: [20:00:00 17/11/2012] id: Spontaneous Movement el: 0 cu: CSRU cg: RN v1: Purposeful st: NotStopd t0: [20:00:00 17/11/2012] id: Support Systems el: 0 cu: CSRU cg: RN v1: Spouse st: NotStopd t0: [20:00:00 17/11/2012] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Oral st: NotStopd t0: [20:00:00 17/11/2012] id: Temperature C (calc) el: 0 cu: CSRU cg: RN v1: 37.4444 u1: Deg. C st: NotStopd t0: [20:00:00 17/11/2012] id: Temperature F el: 0 cu: CSRU cg: RN v1: 99.4 u1: Deg. F st: NotStopd t0: [20:00:00 17/11/2012] id: Turn el: 0 cu: CSRU cg: RN v1: Turns by self st: NotStopd t0: [20:00:00 17/11/2012] id: Urine Color/Appear el: 0 cu: CSRU cg: RN v1: Amber v2: Clear st: NotStopd t0: [20:00:00 17/11/2012] id: Urine Source el: 0 cu: CSRU cg: RN v1: Indwelling Cath st: NotStopd t0: [20:00:00 17/11/2012] id: Verbal Response el: 0 cu: CSRU cg: RN v1: 5 Oriented st: NotStopd t0: [20:00:00 17/11/2012] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [20:00:00 17/11/2012] id: Bowel Sounds el: 0 cu: CSRU cg: RN v1: Hypoactive st: NotStopd t0: [21:00:00 17/11/2012] id: Pain Present el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [21:00:00 17/11/2012] id: Service Type el: 0 cu: CSRU cg: RN v1: NSICU st: NotStopd t0: [21:00:00 17/11/2012] id: CVP el: 0 cu: CSRU cg: RN v1: 10 u1: mmHg st: NotStopd t0: [21:00:00 17/11/2012] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [21:00:00 17/11/2012] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [21:00:00 17/11/2012] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [21:00:00 17/11/2012] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 69 u1: BPM st: NotStopd t0: [21:00:00 17/11/2012] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [21:00:00 17/11/2012] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 126 u1: mmHg v2: 49 u2: mmHg st: NotStopd t0: [21:00:00 17/11/2012] id: Pain Location el: 0 cu: CSRU cg: RN v1: Incisional st: NotStopd t0: [21:00:00 17/11/2012] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 70 u1: mmHg st: NotStopd t0: [21:00:00 17/11/2012] id: Precautions el: 0 cu: CSRU cg: RN v1: Contact st: NotStopd t0: [21:00:00 17/11/2012] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 102 u1: kg st: NotStopd t0: [21:00:00 17/11/2012] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 8 u1: BPM st: NotStopd t0: [21:00:00 17/11/2012] id: SpO2 el: 0 cu: CSRU cg: RN v1: 97 u1: % st: NotStopd t0: [21:00:00 17/11/2012] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [19:00:00 17/11/2012] id: D5/.45NS IV Infusions el: 1 cu: CSRU cg: RN ai: 112 vo: 5 vu: ml t0: [20:00:00 17/11/2012] id: D5/.45NS IV Infusions el: 1 cu: CSRU cg: RN ai: 112 vo: 5 vu: ml t0: [21:00:00 17/11/2012] id: D5/.45NS IV Infusions el: 1 cu: CSRU cg: RN ai: 112 vo: 5 vu: ml
t0: [22:00:00 17/11/2012] id: Service Type el: 0 cu: CSRU cg: RN v1: NSICU st: NotStopd t0: [22:00:00 17/11/2012] id: CVP el: 0 cu: CSRU cg: RN v1: 6 u1: mmHg st: NotStopd t0: [22:00:00 17/11/2012] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [22:00:00 17/11/2012] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [22:00:00 17/11/2012] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [22:00:00 17/11/2012] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 78 u1: BPM st: NotStopd t0: [22:00:00 17/11/2012] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [22:00:00 17/11/2012] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 103 u1: mmHg v2: 41 u2: mmHg st: NotStopd t0: [22:00:00 17/11/2012] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 59 u1: mmHg st: NotStopd t0: [22:00:00 17/11/2012] id: Precautions el: 0 cu: CSRU cg: RN v1: Contact st: NotStopd t0: [22:00:00 17/11/2012] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 102 u1: kg st: NotStopd t0: [22:00:00 17/11/2012] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 13 u1: BPM st: NotStopd t0: [22:00:00 17/11/2012] id: SpO2 el: 0 cu: CSRU cg: RN v1: 97 u1: % st: NotStopd t0: [22:00:00 17/11/2012] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [22:00:00 17/11/2012] id: D5/.45NS IV Infusions el: 1 cu: CSRU cg: RN ai: 112 vo: 5 vu: ml
t0: [21:00:00 17/11/2012] id: Pain Level el: 0 cu: CSRU cg: RN v1: 4-Mild to Mod st: NotStopd t0: [21:00:00 17/11/2012] id: Pain Assess Method el: 0 cu: CSRU cg: RN v1: Pt Verbalized st: NotStopd t0: [21:00:00 17/11/2012] id: Pain Cause el: 0 cu: CSRU cg: RN v1: Cough/DeepBreath st: NotStopd t0: [21:00:00 17/11/2012] id: Pain Level (Rest) el: 0 cu: CSRU cg: RN v1: 4-Mild to Mod st: NotStopd t0: [21:00:00 17/11/2012] id: Pain Management el: 1 cu: CSRU cg: RN v1: IV Push st: NotStopd t0: [21:00:00 17/11/2012] id: Pain Type el: 0 cu: CSRU cg: RN v1: Aching st: NotStopd t0: [22:00:00 17/11/2012] id: Pain Level/Response el: 0 cu: CSRU cg: RN v1: 2-Mild st: NotStopd t0: [22:00:00 17/11/2012] id: Pain Present el: 0 cu: CSRU cg: RN v1: No st: NotStopd t0: [22:00:00 17/11/2012] id: Pain Assess Method el: 0 cu: CSRU cg: RN v1: Pt Verbalized st: NotStopd t0: [22:00:00 17/11/2012] id: PainLevel Acceptable el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [22:00:00 17/11/2012] id: Riker-SAS Scale el: 0 cu: CSRU cg: RN v1: Calm/Cooperative st: NotStopd
t0: [22:00:00 17/11/2012] id: HOB el: 0 cu: CSRU cg: RN v1: 45 degrees st: NotStopd t0: [22:00:00 17/11/2012] id: Activity el: 0 cu: CSRU cg: RN v1: Bedrest st: NotStopd t0: [22:00:00 17/11/2012] id: Activity Tolerance el: 0 cu: CSRU cg: RN v1: Tolerated Well st: NotStopd t0: [22:00:00 17/11/2012] id: O2 Delivery Device el: 0 cu: CSRU cg: RN v1: Nasal Cannula st: NotStopd t0: [22:00:00 17/11/2012] id: O2 Flow (lpm) el: 0 cu: CSRU cg: RN v1: 4 u1: lpm st: NotStopd t0: [22:00:00 17/11/2012] id: AntiEmbDevice/Status el: 0 cu: CSRU cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [22:00:00 17/11/2012] id: Position el: 0 cu: CSRU cg: RN v1: Right Side st: NotStopd t0: [22:00:00 17/11/2012] id: Assistance Device el: 0 cu: CSRU cg: RN v1: 1 Person Assist st: NotStopd t0: [22:00:00 17/11/2012] id: Turn el: 0 cu: CSRU cg: RN v1: Turns by self st: NotStopd
t0: [22:00:00 17/11/2012] id: D5W 50.0ml IV Infusions el: 1 cu: CSRU cg: RN ai: 109 vo: 50 vu: ml
t0: [23:00:00 17/11/2012] id: Service Type el: 0 cu: CSRU cg: RN v1: NSICU st: NotStopd t0: [23:00:00 17/11/2012] id: CVP el: 0 cu: CSRU cg: RN v1: 12 u1: mmHg st: NotStopd t0: [23:00:00 17/11/2012] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [23:00:00 17/11/2012] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [23:00:00 17/11/2012] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [23:00:00 17/11/2012] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 73 u1: BPM st: NotStopd t0: [23:00:00 17/11/2012] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [23:00:00 17/11/2012] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 134 u1: mmHg v2: 57 u2: mmHg st: NotStopd t0: [23:00:00 17/11/2012] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 79 u1: mmHg st: NotStopd t0: [23:00:00 17/11/2012] id: Precautions el: 0 cu: CSRU cg: RN v1: Contact st: NotStopd t0: [23:00:00 17/11/2012] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 102 u1: kg st: NotStopd t0: [23:00:00 17/11/2012] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 17 u1: BPM st: NotStopd t0: [23:00:00 17/11/2012] id: SpO2 el: 0 cu: CSRU cg: RN v1: 97 u1: % st: NotStopd t0: [23:00:00 17/11/2012] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [23:00:00 17/11/2012] id: D5/.45NS IV Infusions el: 1 cu: CSRU cg: RN ai: 112 vo: 5 vu: ml t0: [23:00:00 17/11/2012] id: D5W 50.0ml IV Infusions el: 1 cu: CSRU cg: RN ai: 109 vo: 50 vu: ml
t0: [00:00:00 18/11/2012] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: CSRU cg: -1 ai: 126 vo: 0 st: D/C'd
t0: [00:00:00 18/11/2012] id: Pain Present el: 0 cu: CSRU cg: RN v1: No st: NotStopd t0: [00:00:00 18/11/2012] id: INV#3Chg o/Wire Date el: 0 cu: CSRU cg: RN v1: 10 v2: 24 st: NotStopd t0: [00:00:00 18/11/2012] id: Pain Assess Method el: 0 cu: CSRU cg: RN v1: Pt Verbalized st: NotStopd t0: [00:00:00 18/11/2012] id: Service Type el: 0 cu: CSRU cg: RN v1: NSICU st: NotStopd t0: [00:00:00 18/11/2012] id: CVP el: 0 cu: CSRU cg: RN v1: 9 u1: mmHg st: NotStopd t0: [00:00:00 18/11/2012] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [00:00:00 18/11/2012] id: Riker-SAS Scale el: 0 cu: CSRU cg: RN v1: Calm/Cooperative st: NotStopd t0: [00:00:00 18/11/2012] id: Cough Effort el: 0 cu: CSRU cg: RN v1: Strong st: NotStopd t0: [00:00:00 18/11/2012] id: Cough Type el: 0 cu: CSRU cg: RN v1: Productive st: NotStopd t0: [00:00:00 18/11/2012] id: GI Prophylaxis el: 0 cu: CSRU cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [00:00:00 18/11/2012] id: Diet Type el: 0 cu: CSRU cg: RN v1: NPO st: NotStopd t0: [00:00:00 18/11/2012] id: Dorsal PedPulse R/L el: 0 cu: CSRU cg: RN v1: Weak Palpable v2: Weak Palpable st: NotStopd t0: [00:00:00 18/11/2012] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [00:00:00 18/11/2012] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [00:00:00 18/11/2012] id: Eye Opening el: 0 cu: CSRU cg: RN v1: 4 Spontaneously st: NotStopd t0: [00:00:00 18/11/2012] id: Follows Commands el: 0 cu: CSRU cg: RN v1: Consistently st: NotStopd t0: [00:00:00 18/11/2012] id: GCS Total el: 0 cu: CSRU cg: RN v1: 15 u1: points st: NotStopd t0: [00:00:00 18/11/2012] id: HOB el: 0 cu: CSRU cg: RN v1: 45 degrees st: NotStopd t0: [00:00:00 18/11/2012] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 70 u1: BPM st: NotStopd t0: [00:00:00 18/11/2012] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [00:00:00 18/11/2012] id: INV Line#1 Type/Site el: 0 cu: CSRU cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [00:00:00 18/11/2012] id: INV Line#1SiteAppear el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [00:00:00 18/11/2012] id: INV Line#2 Type/Site el: 0 cu: CSRU cg: RN v1: PICC line v2: Left Brachial st: NotStopd t0: [00:00:00 18/11/2012] id: INV Line#2InsertDate el: 0 cu: CSRU cg: RN v1: 10 v2: 8 st: NotStopd t0: [00:00:00 18/11/2012] id: INV Line#2SiteAppear el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [00:00:00 18/11/2012] id: INV Line#3 Site Date el: 0 cu: CSRU cg: RN v1: 10 v2: 24 st: NotStopd t0: [00:00:00 18/11/2012] id: INV Line#3 Type/Site el: 0 cu: CSRU cg: RN v1: Multi-lumen v2: Right IJ st: NotStopd t0: [00:00:00 18/11/2012] id: INV Line#3InsertDate el: 0 cu: CSRU cg: RN v1: 10 v2: 23 st: NotStopd t0: [00:00:00 18/11/2012] id: INV Line#3SiteAppear el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [00:00:00 18/11/2012] id: Abdominal Assessment el: 0 cu: CSRU cg: RN v1: Soft st: NotStopd t0: [00:00:00 18/11/2012] id: INV#1 WaveformAppear el: 0 cu: CSRU cg: RN v1: Sharp st: NotStopd t0: [00:00:00 18/11/2012] id: INV#3 WaveformAppear el: 0 cu: CSRU cg: RN v1: Sharp st: NotStopd t0: [00:00:00 18/11/2012] id: IV #1 Insert Date el: 0 cu: CSRU cg: RN v1: 10 v2: 21 st: NotStopd t0: [00:00:00 18/11/2012] id: IV #1 Site/Size el: 0 cu: CSRU cg: RN v1: RU Ant Forearm v2: 18 gauge st: NotStopd t0: [00:00:00 18/11/2012] id: IV #3 Insert Date el: 0 cu: CSRU cg: RN v1: 10 v2: 23 st: NotStopd t0: [00:00:00 18/11/2012] id: IV #3 Site/Size el: 0 cu: CSRU cg: RN v1: Right Antecub v2: 14 gauge st: NotStopd t0: [00:00:00 18/11/2012] id: Activity el: 0 cu: CSRU cg: RN v1: Bedrest st: NotStopd t0: [00:00:00 18/11/2012] id: IV Site Appear #1 el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [00:00:00 18/11/2012] id: IV Site Appear #3 el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [00:00:00 18/11/2012] id: Activity Tolerance el: 0 cu: CSRU cg: RN v1: Tolerated Well st: NotStopd t0: [00:00:00 18/11/2012] id: Incision/Wound #1 el: 0 cu: CSRU cg: RN v1: Abdominal st: NotStopd t0: [00:00:00 18/11/2012] id: LLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Diminished st: NotStopd t0: [00:00:00 18/11/2012] id: LUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [00:00:00 18/11/2012] id: Level of Conscious el: 0 cu: CSRU cg: RN v1: Alert st: NotStopd t0: [00:00:00 18/11/2012] id: Motor Response el: 0 cu: CSRU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [00:00:00 18/11/2012] id: O2 Delivery Device el: 0 cu: CSRU cg: RN v1: Nasal Cannula st: NotStopd t0: [00:00:00 18/11/2012] id: O2 Flow (lpm) el: 0 cu: CSRU cg: RN v1: 4 u1: lpm st: NotStopd t0: [00:00:00 18/11/2012] id: Oral Cavity el: 0 cu: CSRU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [00:00:00 18/11/2012] id: Orientation el: 0 cu: CSRU cg: RN v1: Oriented x 3 st: NotStopd t0: [00:00:00 18/11/2012] id: AntiEmbDevice/Status el: 0 cu: CSRU cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [00:00:00 18/11/2012] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 123 u1: mmHg v2: 48 u2: mmHg st: NotStopd t0: [00:00:00 18/11/2012] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 69 u1: mmHg st: NotStopd t0: [00:00:00 18/11/2012] id: Position el: 0 cu: CSRU cg: RN v1: Left Side st: NotStopd t0: [00:00:00 18/11/2012] id: PostTib. Pulses R/L el: 0 cu: CSRU cg: RN v1: Weak Palpable v2: Weak Palpable st: NotStopd t0: [00:00:00 18/11/2012] id: Assistance Device el: 0 cu: CSRU cg: RN v1: 1 Person Assist st: NotStopd t0: [00:00:00 18/11/2012] id: Precautions el: 0 cu: CSRU cg: RN v1: Contact st: NotStopd t0: [00:00:00 18/11/2012] id: Pressure Sore Site#1 el: 0 cu: CSRU cg: RN v1: Coccyx st: NotStopd t0: [00:00:00 18/11/2012] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 102 u1: kg st: NotStopd t0: [00:00:00 18/11/2012] id: Pupil Response R/L el: 0 cu: CSRU cg: RN v1: Brisk v2: Brisk st: NotStopd t0: [00:00:00 18/11/2012] id: Pupil Size R/L el: 0 cu: CSRU cg: RN v1: 2 mm v2: 2 mm st: NotStopd t0: [00:00:00 18/11/2012] id: RLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Diminished st: NotStopd t0: [00:00:00 18/11/2012] id: RUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [00:00:00 18/11/2012] id: Respiratory Pattern el: 0 cu: CSRU cg: RN v1: Regular st: NotStopd t0: [00:00:00 18/11/2012] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 10 u1: BPM st: NotStopd t0: [00:00:00 18/11/2012] id: Side Rails el: 0 cu: CSRU cg: RN v1: Side Rails Up st: NotStopd t0: [00:00:00 18/11/2012] id: Skin Color el: 0 cu: CSRU cg: RN v1: Jaundiced st: NotStopd t0: [00:00:00 18/11/2012] id: Skin Integrity el: 0 cu: CSRU cg: RN v1: Impaired st: NotStopd t0: [00:00:00 18/11/2012] id: Skin Temp/Condition el: 0 cu: CSRU cg: RN v1: Warm v2: Dry st: NotStopd t0: [00:00:00 18/11/2012] id: SpO2 el: 0 cu: CSRU cg: RN v1: 98 u1: % st: NotStopd t0: [00:00:00 18/11/2012] id: Spontaneous Movement el: 0 cu: CSRU cg: RN v1: Purposeful st: NotStopd t0: [00:00:00 18/11/2012] id: Support Systems el: 0 cu: CSRU cg: RN v1: Spouse st: NotStopd t0: [00:00:00 18/11/2012] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Oral st: NotStopd t0: [00:00:00 18/11/2012] id: Temperature C (calc) el: 0 cu: CSRU cg: RN v1: 37.2222 u1: Deg. C st: NotStopd t0: [00:00:00 18/11/2012] id: Temperature F el: 0 cu: CSRU cg: RN v1: 99 u1: Deg. F st: NotStopd t0: [00:00:00 18/11/2012] id: Turn el: 0 cu: CSRU cg: RN v1: Turns by self st: NotStopd t0: [00:00:00 18/11/2012] id: Urine Color/Appear el: 0 cu: CSRU cg: RN v1: Amber v2: Clear st: NotStopd t0: [00:00:00 18/11/2012] id: Urine Source el: 0 cu: CSRU cg: RN v1: Indwelling Cath st: NotStopd t0: [00:00:00 18/11/2012] id: Verbal Response el: 0 cu: CSRU cg: RN v1: 5 Oriented st: NotStopd t0: [00:00:00 18/11/2012] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [00:00:00 18/11/2012] id: Bowel Sounds el: 0 cu: CSRU cg: RN v1: Hypoactive st: NotStopd
t0: [00:00:00 18/11/2012] id: D5/.45NS IV Infusions el: 1 cu: CSRU cg: RN ai: 112 vo: 5 vu: ml
t0: [01:00:00 18/11/2012] id: SpO2 el: 0 cu: CSRU cg: RN v1: 98 u1: % st: NotStopd
t0: [22:00:00 17/11/2012] id: Fingerstick Glucose Chemistry el: 0 cu: CSRU cg: RN v1: 90 rs: Manual st: NotStopd t0: [01:00:00 18/11/2012] id: Service Type el: 0 cu: CSRU cg: RN v1: NSICU st: NotStopd t0: [01:00:00 18/11/2012] id: CVP el: 0 cu: CSRU cg: RN v1: 6 u1: mmHg st: NotStopd t0: [01:00:00 18/11/2012] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [01:00:00 18/11/2012] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [01:00:00 18/11/2012] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [01:00:00 18/11/2012] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 70 u1: BPM st: NotStopd t0: [01:00:00 18/11/2012] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [01:00:00 18/11/2012] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 127 u1: mmHg v2: 49 u2: mmHg st: NotStopd t0: [01:00:00 18/11/2012] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 71 u1: mmHg st: NotStopd t0: [01:00:00 18/11/2012] id: Precautions el: 0 cu: CSRU cg: RN v1: Contact st: NotStopd t0: [01:00:00 18/11/2012] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 102 u1: kg st: NotStopd t0: [01:00:00 18/11/2012] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 15 u1: BPM st: NotStopd t0: [01:00:00 18/11/2012] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [01:00:00 18/11/2012] id: D5/.45NS IV Infusions el: 1 cu: CSRU cg: RN ai: 112 vo: 5 vu: ml
t0: [23:00:00 18/11/2012] dt: 1 id: Total Hourly Output el: 3 cu: -1 cg: RN cv: 0 ap: none t0: [23:00:00 18/11/2012] dt: 24 id: Urine Out Total el: 3 cu: -1 cg: RN cv: 1385 ap: none t0: [23:00:00 18/11/2012] dt: 24 id: 24h Total Out el: 3 cu: -1 cg: RN cv: 2005 ap: none
t0: [01:00:00 18/11/2012] id: Pain Level el: 0 cu: CSRU cg: RN v1: 4-Mild to Mod st: NotStopd t0: [01:00:00 18/11/2012] id: Pain Present el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [01:00:00 18/11/2012] id: Pain Assess Method el: 0 cu: CSRU cg: RN v1: Pt Verbalized st: NotStopd t0: [01:00:00 18/11/2012] id: Riker-SAS Scale el: 0 cu: CSRU cg: RN v1: Calm/Cooperative st: NotStopd t0: [01:00:00 18/11/2012] id: Pain Cause el: 0 cu: CSRU cg: RN v1: Cough/DeepBreath st: NotStopd t0: [01:00:00 18/11/2012] id: Pain Level (Rest) el: 0 cu: CSRU cg: RN v1: 4-Mild to Mod st: NotStopd t0: [01:00:00 18/11/2012] id: Pain Location el: 0 cu: CSRU cg: RN v1: Incisional st: NotStopd t0: [01:00:00 18/11/2012] id: Pain Management el: 1 cu: CSRU cg: RN v1: IV Push st: NotStopd t0: [01:00:00 18/11/2012] id: Pain Type el: 0 cu: CSRU cg: RN v1: Aching st: NotStopd t0: [02:00:00 18/11/2012] id: Pain Level/Response el: 0 cu: CSRU cg: RN v1: 2-Mild st: NotStopd t0: [02:00:00 18/11/2012] id: Pain Assess Method el: 0 cu: CSRU cg: RN v1: Pt Verbalized st: NotStopd t0: [02:00:00 18/11/2012] id: PainLevel Acceptable el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [02:00:00 18/11/2012] id: Service Type el: 0 cu: CSRU cg: RN v1: NSICU st: NotStopd t0: [02:00:00 18/11/2012] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [02:00:00 18/11/2012] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [02:00:00 18/11/2012] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [02:00:00 18/11/2012] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 75 u1: BPM st: NotStopd t0: [02:00:00 18/11/2012] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [02:00:00 18/11/2012] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 109 u1: mmHg v2: 44 u2: mmHg st: NotStopd t0: [02:00:00 18/11/2012] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 65 u1: mmHg st: NotStopd t0: [02:00:00 18/11/2012] id: Precautions el: 0 cu: CSRU cg: RN v1: Contact st: NotStopd t0: [02:00:00 18/11/2012] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 102 u1: kg st: NotStopd t0: [02:00:00 18/11/2012] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 14 u1: BPM st: NotStopd t0: [02:00:00 18/11/2012] id: SpO2 el: 0 cu: CSRU cg: RN v1: 99 u1: % st: NotStopd t0: [02:00:00 18/11/2012] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [02:00:00 18/11/2012] id: D5/.45NS IV Infusions el: 1 cu: CSRU cg: RN ai: 112 vo: 5 vu: ml
t0: [23:00:00 18/11/2012] dt: 1 id: Net Hourly Balance el: 3 cu: -1 cg: RN cv: 0 ap: none t0: [23:00:00 18/11/2012] dt: 24 id: IV Infusion In Total el: 3 cu: -1 cg: RN cv: 195 ap: none t0: [23:00:00 18/11/2012] dt: 24 id: 24h Total In el: 3 cu: -1 cg: RN cv: 275 ap: none t0: [23:00:00 18/11/2012] dt: 24 id: 24h Net Body Balance el: 3 cu: -1 cg: RN cv: -1730 ap: none t0: [23:00:00 18/11/2012] dt: multiple days id: LOS Net Body Balance el: 3 cu: -1 cg: RN cv: 4064.33 ap: none
t0: [03:00:00 18/11/2012] id: Service Type el: 0 cu: CSRU cg: RN v1: NSICU st: NotStopd t0: [03:00:00 18/11/2012] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [03:00:00 18/11/2012] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [03:00:00 18/11/2012] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [03:00:00 18/11/2012] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 71 u1: BPM st: NotStopd t0: [03:00:00 18/11/2012] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [03:00:00 18/11/2012] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 120 u1: mmHg v2: 43 u2: mmHg st: NotStopd t0: [03:00:00 18/11/2012] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 64 u1: mmHg st: NotStopd t0: [03:00:00 18/11/2012] id: Precautions el: 0 cu: CSRU cg: RN v1: Contact st: NotStopd t0: [03:00:00 18/11/2012] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 102 u1: kg st: NotStopd t0: [03:00:00 18/11/2012] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 11 u1: BPM st: NotStopd t0: [03:00:00 18/11/2012] id: SpO2 el: 0 cu: CSRU cg: RN v1: 98 u1: % st: NotStopd t0: [03:00:00 18/11/2012] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [03:00:00 18/11/2012] id: D5/.45NS IV Infusions el: 1 cu: CSRU cg: RN ai: 112 vo: 5 vu: ml
t0: [03:23:00 18/11/2012] id: WBC (4-11,000) Hematology el: 0 cu: CSRU cg: 3161 v1: 24.1 rs: Final st: NotStopd t0: [03:23:00 18/11/2012] id: WBC Hematology el: 0 cu: CSRU cg: 3161 v1: 24.1 rs: Final st: NotStopd t0: [03:23:00 18/11/2012] id: Hematocrit Hematology el: 0 cu: CSRU cg: 3161 v1: 33.6 u1: % rs: Final st: NotStopd t0: [03:23:00 18/11/2012] id: Hemoglobin Hematology el: 0 cu: CSRU cg: 3161 v1: 11.2 u1: gm/dl rs: Final st: NotStopd t0: [03:23:00 18/11/2012] id: Platelets Hematology el: 0 cu: CSRU cg: 3161 v1: 181 rs: Final st: NotStopd t0: [03:23:00 18/11/2012] id: RBC Hematology el: 0 cu: CSRU cg: 3161 v1: 3.63 u1: /mic l rs: Final st: NotStopd t0: [03:23:00 18/11/2012] id: WBC (4-11,000) Hematology el: 0 cu: CSRU cg: 3161 v1: 24.1 rs: Final st: NotStopd
t0: [03:23:00 18/11/2012] id: PT el: 0 cu: CSRU cg: 3161 v1: 15.2 rs: Final st: NotStopd t0: [03:23:00 18/11/2012] id: INR Coags el: 0 cu: CSRU cg: 3161 v1: 1.5 rs: Final st: NotStopd t0: [03:23:00 18/11/2012] id: PTT Coags el: 0 cu: CSRU cg: 3161 v1: 33.5 rs: Final st: NotStopd t0: [03:23:00 18/11/2012] id: INR (2-4 ref. range) Coags el: 0 cu: CSRU cg: 3161 v1: 1.5 rs: Final st: NotStopd t0: [03:23:00 18/11/2012] id: PT(11-13.5) Coags el: 0 cu: CSRU cg: 3161 v1: 15.2 rs: Final st: NotStopd t0: [03:23:00 18/11/2012] id: PTT(22-35) Coags el: 0 cu: CSRU cg: 3161 v1: 33.5 rs: Final st: NotStopd
t0: [03:23:00 18/11/2012] id: BUN el: 0 cu: CSRU cg: 3161 v1: 12 rs: Final st: NotStopd t0: [03:23:00 18/11/2012] id: Albumin Chemistry el: 0 cu: CSRU cg: 3161 v1: 2.6 rs: Final st: NotStopd t0: [03:23:00 18/11/2012] id: Calcium Chemistry el: 0 cu: CSRU cg: 3161 v1: 9 u1: mg/dl rs: Final st: NotStopd t0: [03:23:00 18/11/2012] id: Chloride Chemistry el: 0 cu: CSRU cg: 3161 v1: 107 rs: Final st: NotStopd t0: [03:23:00 18/11/2012] id: Creatinine Chemistry el: 0 cu: CSRU cg: 3161 v1: 1.4 rs: Final st: NotStopd t0: [03:23:00 18/11/2012] id: Glucose Chemistry el: 0 cu: CSRU cg: 3161 v1: 62 rs: Final st: NotStopd t0: [03:23:00 18/11/2012] id: Magnesium Chemistry el: 0 cu: CSRU cg: 3161 v1: 1.6 rs: Final st: NotStopd t0: [03:23:00 18/11/2012] id: Phosphorous Chemistry el: 0 cu: CSRU cg: 3161 v1: 4.2 u1: mEq/L rs: Final st: NotStopd t0: [03:23:00 18/11/2012] id: Potassium Chemistry el: 0 cu: CSRU cg: 3161 v1: 4.1 rs: Final st: NotStopd t0: [03:23:00 18/11/2012] id: Sodium Chemistry el: 0 cu: CSRU cg: 3161 v1: 141 rs: Final st: NotStopd t0: [03:23:00 18/11/2012] id: Total Bili Chemistry el: 0 cu: CSRU cg: 3161 v1: 12.8 rs: Final st: NotStopd t0: [03:23:00 18/11/2012] id: ALT Enzymes el: 0 cu: CSRU cg: 3161 v1: 38 rs: Final st: NotStopd t0: [03:23:00 18/11/2012] id: AST Enzymes el: 0 cu: CSRU cg: 3161 v1: 48 rs: Final st: NotStopd t0: [03:23:00 18/11/2012] id: Albumin (>3.2) Chemistry el: 0 cu: CSRU cg: 3161 v1: 2.6 rs: Final st: NotStopd t0: [03:23:00 18/11/2012] id: Alk. Phosphate Enzymes el: 0 cu: CSRU cg: 3161 v1: 112 rs: Final st: NotStopd t0: [03:23:00 18/11/2012] id: BUN (6-20) Chemistry el: 0 cu: CSRU cg: 3161 v1: 12 rs: Final st: NotStopd t0: [03:23:00 18/11/2012] id: Calcium (8.4-10.2) Chemistry el: 0 cu: CSRU cg: 3161 v1: 9 u1: mg/dl rs: Final st: NotStopd t0: [03:23:00 18/11/2012] id: Carbon Dioxide Chemistry el: 0 cu: CSRU cg: 3161 v1: 27 rs: Final st: NotStopd t0: [03:23:00 18/11/2012] id: Chloride (100-112) Chemistry el: 0 cu: CSRU cg: 3161 v1: 107 rs: Final st: NotStopd t0: [03:23:00 18/11/2012] id: Creatinine (0-1.3) Chemistry el: 0 cu: CSRU cg: 3161 v1: 1.4 rs: Final st: NotStopd t0: [03:23:00 18/11/2012] id: Glucose (70-105) Chemistry el: 0 cu: CSRU cg: 3161 v1: 62 rs: Final st: NotStopd t0: [03:23:00 18/11/2012] id: Magnesium (1.6-2.6) Chemistry el: 0 cu: CSRU cg: 3161 v1: 1.6 rs: Final st: NotStopd t0: [03:23:00 18/11/2012] id: Phosphorous(2.7-4.5) Chemistry el: 0 cu: CSRU cg: 3161 v1: 4.2 u1: mEq/L rs: Final st: NotStopd t0: [03:23:00 18/11/2012] id: Potassium (3.5-5.3) Chemistry el: 0 cu: CSRU cg: 3161 v1: 4.1 rs: Final st: NotStopd t0: [03:23:00 18/11/2012] id: Sodium (135-148) Chemistry el: 0 cu: CSRU cg: 3161 v1: 141 rs: Final st: NotStopd t0: [03:23:00 18/11/2012] id: Total Bili (0-1.5) Chemistry el: 0 cu: CSRU cg: 3161 v1: 12.8 rs: Final st: NotStopd
t0: [00:00:00 18/11/2012] id: Chest PT R/L el: 0 cu: CSRU cg: RN v1: Done v2: Done st: NotStopd t0: [00:00:00 18/11/2012] id: Cough/Deep Breathe el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [00:00:00 18/11/2012] id: Incentive Spirometry el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [02:00:00 18/11/2012] id: Chest PT R/L el: 0 cu: CSRU cg: RN v1: Done v2: Done st: NotStopd t0: [02:00:00 18/11/2012] id: Cough/Deep Breathe el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [02:00:00 18/11/2012] id: HOB el: 0 cu: CSRU cg: RN v1: 45 degrees st: NotStopd t0: [02:00:00 18/11/2012] id: Activity el: 0 cu: CSRU cg: RN v1: Bedrest st: NotStopd t0: [02:00:00 18/11/2012] id: Activity Tolerance el: 0 cu: CSRU cg: RN v1: Tolerated Well st: NotStopd t0: [02:00:00 18/11/2012] id: Incentive Spirometry el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [02:00:00 18/11/2012] id: AntiEmbDevice/Status el: 0 cu: CSRU cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [02:00:00 18/11/2012] id: Position el: 0 cu: CSRU cg: RN v1: Supine st: NotStopd t0: [02:00:00 18/11/2012] id: Assistance Device el: 0 cu: CSRU cg: RN v1: 1 Person Assist st: NotStopd t0: [02:00:00 18/11/2012] id: Turn el: 0 cu: CSRU cg: RN v1: Turns by self st: NotStopd t0: [04:00:00 18/11/2012] id: Pain Present el: 0 cu: CSRU cg: RN v1: No st: NotStopd t0: [04:00:00 18/11/2012] id: INV#3Chg o/Wire Date el: 0 cu: CSRU cg: RN v1: 10 v2: 24 st: NotStopd t0: [04:00:00 18/11/2012] id: PainLevel Acceptable el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [04:00:00 18/11/2012] id: Service Type el: 0 cu: CSRU cg: RN v1: NSICU st: NotStopd t0: [04:00:00 18/11/2012] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [04:00:00 18/11/2012] id: Riker-SAS Scale el: 0 cu: CSRU cg: RN v1: Calm/Cooperative st: NotStopd t0: [04:00:00 18/11/2012] id: Cough Effort el: 0 cu: CSRU cg: RN v1: Strong st: NotStopd t0: [04:00:00 18/11/2012] id: Cough Type el: 0 cu: CSRU cg: RN v1: Productive st: NotStopd t0: [04:00:00 18/11/2012] id: GI Prophylaxis el: 0 cu: CSRU cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [04:00:00 18/11/2012] id: Diet Type el: 0 cu: CSRU cg: RN v1: NPO st: NotStopd t0: [04:00:00 18/11/2012] id: Dorsal PedPulse R/L el: 0 cu: CSRU cg: RN v1: Weak Palpable v2: Weak Palpable st: NotStopd t0: [04:00:00 18/11/2012] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [04:00:00 18/11/2012] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [04:00:00 18/11/2012] id: Eye Opening el: 0 cu: CSRU cg: RN v1: 4 Spontaneously st: NotStopd t0: [04:00:00 18/11/2012] id: Follows Commands el: 0 cu: CSRU cg: RN v1: Consistently st: NotStopd t0: [04:00:00 18/11/2012] id: GCS Total el: 0 cu: CSRU cg: RN v1: 15 u1: points st: NotStopd t0: [04:00:00 18/11/2012] id: HOB el: 0 cu: CSRU cg: RN v1: 45 degrees st: NotStopd t0: [04:00:00 18/11/2012] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 72 u1: BPM st: NotStopd t0: [04:00:00 18/11/2012] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [04:00:00 18/11/2012] id: INV Line#1 Type/Site el: 0 cu: CSRU cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [04:00:00 18/11/2012] id: INV Line#1SiteAppear el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [04:00:00 18/11/2012] id: INV Line#2 Type/Site el: 0 cu: CSRU cg: RN v1: PICC line v2: Left Brachial st: NotStopd t0: [04:00:00 18/11/2012] id: INV Line#2InsertDate el: 0 cu: CSRU cg: RN v1: 10 v2: 8 st: NotStopd t0: [04:00:00 18/11/2012] id: INV Line#2SiteAppear el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [04:00:00 18/11/2012] id: INV Line#3 Site Date el: 0 cu: CSRU cg: RN v1: 10 v2: 24 st: NotStopd t0: [04:00:00 18/11/2012] id: INV Line#3 Type/Site el: 0 cu: CSRU cg: RN v1: Multi-lumen v2: Right IJ st: NotStopd t0: [04:00:00 18/11/2012] id: INV Line#3InsertDate el: 0 cu: CSRU cg: RN v1: 10 v2: 23 st: NotStopd t0: [04:00:00 18/11/2012] id: INV Line#3SiteAppear el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [04:00:00 18/11/2012] id: Abdominal Assessment el: 0 cu: CSRU cg: RN v1: Soft st: NotStopd t0: [04:00:00 18/11/2012] id: INV#1 WaveformAppear el: 0 cu: CSRU cg: RN v1: Sharp st: NotStopd t0: [04:00:00 18/11/2012] id: INV#3 WaveformAppear el: 0 cu: CSRU cg: RN v1: Sharp st: NotStopd t0: [04:00:00 18/11/2012] id: IV #1 Insert Date el: 0 cu: CSRU cg: RN v1: 10 v2: 21 st: NotStopd t0: [04:00:00 18/11/2012] id: IV #1 Site/Size el: 0 cu: CSRU cg: RN v1: RU Ant Forearm v2: 18 gauge st: NotStopd t0: [04:00:00 18/11/2012] id: IV #3 Insert Date el: 0 cu: CSRU cg: RN v1: 10 v2: 23 st: NotStopd t0: [04:00:00 18/11/2012] id: IV #3 Site/Size el: 0 cu: CSRU cg: RN v1: Right Antecub v2: 14 gauge st: NotStopd t0: [04:00:00 18/11/2012] id: Activity el: 0 cu: CSRU cg: RN v1: Bedrest st: NotStopd t0: [04:00:00 18/11/2012] id: IV Site Appear #1 el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [04:00:00 18/11/2012] id: IV Site Appear #3 el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [04:00:00 18/11/2012] id: Activity Tolerance el: 0 cu: CSRU cg: RN v1: Tolerated Well st: NotStopd t0: [04:00:00 18/11/2012] id: Inc Dsg/Status #1 el: 0 cu: CSRU cg: RN v1: Dry Sterile Dsg v2: Intact st: NotStopd t0: [04:00:00 18/11/2012] id: Incision/Wound #1 el: 0 cu: CSRU cg: RN v1: Abdominal st: NotStopd t0: [04:00:00 18/11/2012] id: LLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Diminished st: NotStopd t0: [04:00:00 18/11/2012] id: LUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [04:00:00 18/11/2012] id: Level of Conscious el: 0 cu: CSRU cg: RN v1: Alert st: NotStopd t0: [04:00:00 18/11/2012] id: Motor Response el: 0 cu: CSRU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [04:00:00 18/11/2012] id: O2 Delivery Device el: 0 cu: CSRU cg: RN v1: Nasal Cannula st: NotStopd t0: [04:00:00 18/11/2012] id: O2 Flow (lpm) el: 0 cu: CSRU cg: RN v1: 4 u1: lpm st: NotStopd t0: [04:00:00 18/11/2012] id: Oral Cavity el: 0 cu: CSRU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [04:00:00 18/11/2012] id: Orientation el: 0 cu: CSRU cg: RN v1: Oriented x 3 st: NotStopd t0: [04:00:00 18/11/2012] id: AntiEmbDevice/Status el: 0 cu: CSRU cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [04:00:00 18/11/2012] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 121 u1: mmHg v2: 46 u2: mmHg st: NotStopd t0: [04:00:00 18/11/2012] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 67 u1: mmHg st: NotStopd t0: [04:00:00 18/11/2012] id: Position el: 0 cu: CSRU cg: RN v1: Right Side st: NotStopd t0: [04:00:00 18/11/2012] id: PostTib. Pulses R/L el: 0 cu: CSRU cg: RN v1: Weak Palpable v2: Weak Palpable st: NotStopd t0: [04:00:00 18/11/2012] id: Assistance Device el: 0 cu: CSRU cg: RN v1: 1 Person Assist st: NotStopd t0: [04:00:00 18/11/2012] id: Precautions el: 0 cu: CSRU cg: RN v1: Contact st: NotStopd t0: [04:00:00 18/11/2012] id: Pressure Sore Site#1 el: 0 cu: CSRU cg: RN v1: Coccyx st: NotStopd t0: [04:00:00 18/11/2012] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 102 u1: kg st: NotStopd t0: [04:00:00 18/11/2012] id: Pupil Response R/L el: 0 cu: CSRU cg: RN v1: Brisk v2: Brisk st: NotStopd t0: [04:00:00 18/11/2012] id: Pupil Size R/L el: 0 cu: CSRU cg: RN v1: 2 mm v2: 2 mm st: NotStopd t0: [04:00:00 18/11/2012] id: RLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Diminished st: NotStopd t0: [04:00:00 18/11/2012] id: RUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [04:00:00 18/11/2012] id: Respiratory Pattern el: 0 cu: CSRU cg: RN v1: Regular st: NotStopd t0: [04:00:00 18/11/2012] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 18 u1: BPM st: NotStopd t0: [04:00:00 18/11/2012] id: Side Rails el: 0 cu: CSRU cg: RN v1: Side Rails Up st: NotStopd t0: [04:00:00 18/11/2012] id: SpO2 el: 0 cu: CSRU cg: RN v1: 98 u1: % st: NotStopd t0: [04:00:00 18/11/2012] id: Spontaneous Movement el: 0 cu: CSRU cg: RN v1: Purposeful st: NotStopd t0: [04:00:00 18/11/2012] id: Support Systems el: 0 cu: CSRU cg: RN v1: Spouse st: NotStopd t0: [04:00:00 18/11/2012] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Oral st: NotStopd t0: [04:00:00 18/11/2012] id: Temperature C (calc) el: 0 cu: CSRU cg: RN v1: 37.5 u1: Deg. C st: NotStopd t0: [04:00:00 18/11/2012] id: Temperature F el: 0 cu: CSRU cg: RN v1: 99.5 u1: Deg. F st: NotStopd t0: [04:00:00 18/11/2012] id: Turn el: 0 cu: CSRU cg: RN v1: Turns by self st: NotStopd t0: [04:00:00 18/11/2012] id: Urine Color/Appear el: 0 cu: CSRU cg: RN v1: Amber v2: Clear st: NotStopd t0: [04:00:00 18/11/2012] id: Urine Source el: 0 cu: CSRU cg: RN v1: Indwelling Cath st: NotStopd t0: [04:00:00 18/11/2012] id: Verbal Response el: 0 cu: CSRU cg: RN v1: 5 Oriented st: NotStopd t0: [04:00:00 18/11/2012] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [04:00:00 18/11/2012] id: Bowel Sounds el: 0 cu: CSRU cg: RN v1: Hypoactive st: NotStopd
t0: [04:00:00 18/11/2012] id: D5/.45NS IV Infusions el: 1 cu: CSRU cg: RN ai: 112 vo: 5 vu: ml
t0: [05:00:00 18/11/2012] id: Pain Level el: 0 cu: CSRU cg: RN v1: 4-Mild to Mod st: NotStopd t0: [05:00:00 18/11/2012] id: Pain Present el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [05:00:00 18/11/2012] id: Service Type el: 0 cu: CSRU cg: RN v1: NSICU st: NotStopd t0: [05:00:00 18/11/2012] id: CVP el: 0 cu: CSRU cg: RN v1: 4 u1: mmHg st: NotStopd t0: [05:00:00 18/11/2012] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [05:00:00 18/11/2012] id: Riker-SAS Scale el: 0 cu: CSRU cg: RN v1: Calm/Cooperative st: NotStopd t0: [05:00:00 18/11/2012] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [05:00:00 18/11/2012] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [05:00:00 18/11/2012] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 74 u1: BPM st: NotStopd t0: [05:00:00 18/11/2012] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [05:00:00 18/11/2012] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 109 u1: mmHg v2: 39 u2: mmHg st: NotStopd t0: [05:00:00 18/11/2012] id: Pain Cause el: 0 cu: CSRU cg: RN v1: Cough/DeepBreath st: NotStopd t0: [05:00:00 18/11/2012] id: Pain Level (Rest) el: 0 cu: CSRU cg: RN v1: 4-Mild to Mod st: NotStopd t0: [05:00:00 18/11/2012] id: Pain Location el: 0 cu: CSRU cg: RN v1: Incisional st: NotStopd t0: [05:00:00 18/11/2012] id: Pain Management el: 1 cu: CSRU cg: RN v1: IV Push st: NotStopd t0: [05:00:00 18/11/2012] id: Pain Type el: 0 cu: CSRU cg: RN v1: Aching st: NotStopd t0: [05:00:00 18/11/2012] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 59 u1: mmHg st: NotStopd t0: [05:00:00 18/11/2012] id: Precautions el: 0 cu: CSRU cg: RN v1: Contact st: NotStopd t0: [05:00:00 18/11/2012] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 102 u1: kg st: NotStopd t0: [05:00:00 18/11/2012] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 13 u1: BPM st: NotStopd t0: [05:00:00 18/11/2012] id: SpO2 el: 0 cu: CSRU cg: RN v1: 99 u1: % st: NotStopd t0: [05:00:00 18/11/2012] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [05:00:00 18/11/2012] id: D5/.45NS IV Infusions el: 1 cu: CSRU cg: RN ai: 112 vo: 5 vu: ml
t0: [06:00:00 18/11/2012] id: Service Type el: 0 cu: CSRU cg: RN v1: NSICU st: NotStopd t0: [06:00:00 18/11/2012] id: CVP el: 0 cu: CSRU cg: RN v1: 11 u1: mmHg st: NotStopd t0: [06:00:00 18/11/2012] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [06:00:00 18/11/2012] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [06:00:00 18/11/2012] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [06:00:00 18/11/2012] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 68 u1: BPM st: NotStopd t0: [06:00:00 18/11/2012] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [06:00:00 18/11/2012] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 127 u1: mmHg v2: 50 u2: mmHg st: NotStopd t0: [06:00:00 18/11/2012] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 71 u1: mmHg st: NotStopd t0: [06:00:00 18/11/2012] id: Precautions el: 0 cu: CSRU cg: RN v1: Contact st: NotStopd t0: [06:00:00 18/11/2012] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 102 u1: kg st: NotStopd t0: [06:00:00 18/11/2012] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 11 u1: BPM st: NotStopd t0: [06:00:00 18/11/2012] id: SpO2 el: 0 cu: CSRU cg: RN v1: 99 u1: % st: NotStopd t0: [06:00:00 18/11/2012] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [06:00:00 18/11/2012] id: D5/.45NS IV Infusions el: 1 cu: CSRU cg: RN ai: 112 vo: 5 vu: ml t0: [06:00:00 18/11/2012] id: Drain Out #1 Jackson Pratt el: 1 cu: CSRU cg: RN vo: 20 vu: ml
t0: [23:00:00 18/11/2012] dt: 24 id: Drain #1 Total Out el: 3 cu: -1 cg: RN cv: 20 ap: none
t0: [07:00:00 18/11/2012] id: Service Type el: 0 cu: CSRU cg: RN v1: NSICU st: NotStopd t0: [07:00:00 18/11/2012] id: CVP el: 0 cu: CSRU cg: RN v1: 9 u1: mmHg st: NotStopd t0: [07:00:00 18/11/2012] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [07:00:00 18/11/2012] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [07:00:00 18/11/2012] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [07:00:00 18/11/2012] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 68 u1: BPM st: NotStopd t0: [07:00:00 18/11/2012] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [07:00:00 18/11/2012] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 124 u1: mmHg v2: 48 u2: mmHg st: NotStopd t0: [07:00:00 18/11/2012] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 69 u1: mmHg st: NotStopd t0: [07:00:00 18/11/2012] id: Precautions el: 0 cu: CSRU cg: RN v1: Contact st: NotStopd t0: [07:00:00 18/11/2012] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 102 u1: kg st: NotStopd t0: [07:00:00 18/11/2012] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 9 u1: BPM st: NotStopd t0: [07:00:00 18/11/2012] id: SpO2 el: 0 cu: CSRU cg: RN v1: 99 u1: % st: NotStopd t0: [07:00:00 18/11/2012] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [07:00:00 18/11/2012] id: D5/.45NS IV Infusions el: 1 cu: CSRU cg: RN ai: 112 vo: 5 vu: ml
t0: [23:00:00 18/11/2012] dt: 24 id: Gastric Out Total el: 3 cu: -1 cg: RN cv: 600 ap: none
t0: [08:00:00 18/11/2012] id: Pain Present el: 0 cu: CSRU cg: RN v1: No st: NotStopd t0: [08:00:00 18/11/2012] id: INV#3Chg o/Wire Date el: 0 cu: CSRU cg: RN v1: 10 v2: 24 st: NotStopd t0: [08:00:00 18/11/2012] id: Pain Assess Method el: 0 cu: CSRU cg: RN v1: Pt Verbalized st: NotStopd t0: [08:00:00 18/11/2012] id: PainLevel Acceptable el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [08:00:00 18/11/2012] id: Service Type el: 0 cu: CSRU cg: RN v1: NSICU st: NotStopd t0: [08:00:00 18/11/2012] id: CVP el: 0 cu: CSRU cg: RN v1: 8 u1: mmHg st: NotStopd t0: [08:00:00 18/11/2012] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [08:00:00 18/11/2012] id: Riker-SAS Scale el: 0 cu: CSRU cg: RN v1: Calm/Cooperative st: NotStopd t0: [08:00:00 18/11/2012] id: Cough Effort el: 0 cu: CSRU cg: RN v1: Strong st: NotStopd t0: [08:00:00 18/11/2012] id: Cough Type el: 0 cu: CSRU cg: RN v1: Productive st: NotStopd t0: [08:00:00 18/11/2012] id: Daily Wake Up el: 1 cu: CSRU cg: RN v1: No/Not Sedated st: NotStopd t0: [08:00:00 18/11/2012] id: GI Prophylaxis el: 0 cu: CSRU cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [08:00:00 18/11/2012] id: Diet Type el: 0 cu: CSRU cg: RN v1: NPO st: NotStopd t0: [08:00:00 18/11/2012] id: Dorsal PedPulse R/L el: 0 cu: CSRU cg: RN v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [08:00:00 18/11/2012] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [08:00:00 18/11/2012] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [08:00:00 18/11/2012] id: Eye Opening el: 0 cu: CSRU cg: RN v1: 4 Spontaneously st: NotStopd t0: [08:00:00 18/11/2012] id: Follows Commands el: 0 cu: CSRU cg: RN v1: Consistently st: NotStopd t0: [08:00:00 18/11/2012] id: GCS Total el: 0 cu: CSRU cg: RN v1: 15 u1: points st: NotStopd t0: [08:00:00 18/11/2012] id: HOB el: 0 cu: CSRU cg: RN v1: 45 degrees st: NotStopd t0: [08:00:00 18/11/2012] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 72 u1: BPM st: NotStopd t0: [08:00:00 18/11/2012] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [08:00:00 18/11/2012] id: INV Line#1 Type/Site el: 0 cu: CSRU cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [08:00:00 18/11/2012] id: INV Line#1 Zero/Cal el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [08:00:00 18/11/2012] id: INV Line#1SiteAppear el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [08:00:00 18/11/2012] id: INV Line#2 Type/Site el: 0 cu: CSRU cg: RN v1: PICC line v2: Left Brachial st: NotStopd t0: [08:00:00 18/11/2012] id: INV Line#2InsertDate el: 0 cu: CSRU cg: RN v1: 10 v2: 8 st: NotStopd t0: [08:00:00 18/11/2012] id: INV Line#3 Site Date el: 0 cu: CSRU cg: RN v1: 10 v2: 24 st: NotStopd t0: [08:00:00 18/11/2012] id: INV Line#3 Type/Site el: 0 cu: CSRU cg: RN v1: Multi-lumen v2: Right IJ st: NotStopd t0: [08:00:00 18/11/2012] id: INV Line#3InsertDate el: 0 cu: CSRU cg: RN v1: 10 v2: 23 st: NotStopd t0: [08:00:00 18/11/2012] id: INV Line#3SiteAppear el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [08:00:00 18/11/2012] id: Abdominal Assessment el: 0 cu: CSRU cg: RN v1: Soft st: NotStopd t0: [08:00:00 18/11/2012] id: INV#1 WaveformAppear el: 0 cu: CSRU cg: RN v1: Sharp st: NotStopd t0: [08:00:00 18/11/2012] id: INV#3 WaveformAppear el: 0 cu: CSRU cg: RN v1: Sharp st: NotStopd t0: [08:00:00 18/11/2012] id: IV #1 Insert Date el: 0 cu: CSRU cg: RN v1: 10 v2: 21 st: NotStopd t0: [08:00:00 18/11/2012] id: IV #1 Site/Size el: 0 cu: CSRU cg: RN v1: RU Ant Forearm v2: 18 gauge st: NotStopd t0: [08:00:00 18/11/2012] id: IV #3 Insert Date el: 0 cu: CSRU cg: RN v1: 10 v2: 23 st: NotStopd t0: [08:00:00 18/11/2012] id: IV #3 Site/Size el: 0 cu: CSRU cg: RN v1: Right Antecub v2: 14 gauge st: NotStopd t0: [08:00:00 18/11/2012] id: Activity el: 0 cu: CSRU cg: RN v1: Bedrest st: NotStopd t0: [08:00:00 18/11/2012] id: Activity Tolerance el: 0 cu: CSRU cg: RN v1: Tolerated Well st: NotStopd t0: [08:00:00 18/11/2012] id: Inc Dsg/Status #1 el: 0 cu: CSRU cg: RN v1: Dry Sterile Dsg v2: Intact st: NotStopd t0: [08:00:00 18/11/2012] id: Incision/Wound #1 el: 0 cu: CSRU cg: RN v1: Abdominal st: NotStopd t0: [08:00:00 18/11/2012] id: LLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Diminished st: NotStopd t0: [08:00:00 18/11/2012] id: LUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [08:00:00 18/11/2012] id: Level of Conscious el: 0 cu: CSRU cg: RN v1: Alert st: NotStopd t0: [08:00:00 18/11/2012] id: Motor Response el: 0 cu: CSRU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [08:00:00 18/11/2012] id: O2 Delivery Device el: 0 cu: CSRU cg: RN v1: Nasal Cannula st: NotStopd t0: [08:00:00 18/11/2012] id: O2 Flow (lpm) el: 0 cu: CSRU cg: RN v1: 4 u1: lpm st: NotStopd t0: [08:00:00 18/11/2012] id: Oral Cavity el: 0 cu: CSRU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [08:00:00 18/11/2012] id: Orientation el: 0 cu: CSRU cg: RN v1: Oriented x 3 st: NotStopd t0: [08:00:00 18/11/2012] id: AntiEmbDevice/Status el: 0 cu: CSRU cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [08:00:00 18/11/2012] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 127 u1: mmHg v2: 49 u2: mmHg st: NotStopd t0: [08:00:00 18/11/2012] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 72 u1: mmHg st: NotStopd t0: [08:00:00 18/11/2012] id: Position el: 0 cu: CSRU cg: RN v1: Supine st: NotStopd t0: [08:00:00 18/11/2012] id: PostTib. Pulses R/L el: 0 cu: CSRU cg: RN v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [08:00:00 18/11/2012] id: Assistance Device el: 0 cu: CSRU cg: RN v1: 1 Person Assist st: NotStopd t0: [08:00:00 18/11/2012] id: Precautions el: 0 cu: CSRU cg: RN v1: Contact st: NotStopd t0: [08:00:00 18/11/2012] id: Pressure Sore Site#1 el: 0 cu: CSRU cg: RN v1: Coccyx st: NotStopd t0: [08:00:00 18/11/2012] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 102 u1: kg st: NotStopd t0: [08:00:00 18/11/2012] id: Pupil Response R/L el: 0 cu: CSRU cg: RN v1: Brisk v2: Brisk st: NotStopd t0: [08:00:00 18/11/2012] id: Pupil Size R/L el: 0 cu: CSRU cg: RN v1: 2 mm v2: 2 mm st: NotStopd t0: [08:00:00 18/11/2012] id: RLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Diminished st: NotStopd t0: [08:00:00 18/11/2012] id: RUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [08:00:00 18/11/2012] id: Respiratory Pattern el: 0 cu: CSRU cg: RN v1: Regular st: NotStopd t0: [08:00:00 18/11/2012] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 18 u1: BPM st: NotStopd t0: [08:00:00 18/11/2012] id: Side Rails el: 0 cu: CSRU cg: RN v1: Side Rails Up st: NotStopd t0: [08:00:00 18/11/2012] id: SpO2 el: 0 cu: CSRU cg: RN v1: 98 u1: % st: NotStopd t0: [08:00:00 18/11/2012] id: Spontaneous Movement el: 0 cu: CSRU cg: RN v1: Purposeful st: NotStopd t0: [08:00:00 18/11/2012] id: Support Systems el: 0 cu: CSRU cg: RN v1: Spouse st: NotStopd t0: [08:00:00 18/11/2012] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Oral st: NotStopd t0: [08:00:00 18/11/2012] id: Temperature C (calc) el: 0 cu: CSRU cg: RN v1: 37.5556 u1: Deg. C st: NotStopd t0: [08:00:00 18/11/2012] id: Temperature F el: 0 cu: CSRU cg: RN v1: 99.6 u1: Deg. F st: NotStopd t0: [08:00:00 18/11/2012] id: Turn el: 0 cu: CSRU cg: RN v1: Side to Side st: NotStopd t0: [08:00:00 18/11/2012] id: Urine Color/Appear el: 0 cu: CSRU cg: RN v1: Amber v2: Clear st: NotStopd t0: [08:00:00 18/11/2012] id: Urine Source el: 0 cu: CSRU cg: RN v1: Indwelling Cath st: NotStopd t0: [08:00:00 18/11/2012] id: Verbal Response el: 0 cu: CSRU cg: RN v1: 5 Oriented st: NotStopd t0: [08:00:00 18/11/2012] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [08:00:00 18/11/2012] id: Bowel Sounds el: 0 cu: CSRU cg: RN v1: Hypoactive st: NotStopd t0: [08:00:00 18/11/2012] id: Braden Activity el: 0 cu: CSRU cg: RN v1: Bedfast st: NotStopd t0: [08:00:00 18/11/2012] id: Braden Frict/Shear el: 0 cu: CSRU cg: RN v1: Problem st: NotStopd t0: [08:00:00 18/11/2012] id: Braden Mobility el: 0 cu: CSRU cg: RN v1: No Limitations st: NotStopd t0: [08:00:00 18/11/2012] id: Braden Moisture el: 0 cu: CSRU cg: RN v1: Rarely Moist st: NotStopd t0: [08:00:00 18/11/2012] id: Braden Nutrition el: 0 cu: CSRU cg: RN v1: Prob. Inadequate st: NotStopd t0: [08:00:00 18/11/2012] id: Braden Score el: 0 cu: CSRU cg: RN v1: 16 u1: number st: NotStopd t0: [08:00:00 18/11/2012] id: Braden SensoryPercep el: 0 cu: CSRU cg: RN v1: No Impairment st: NotStopd
t0: [08:00:00 18/11/2012] id: D5/.45NS IV Infusions el: 1 cu: CSRU cg: RN ai: 112 vo: 5 vu: ml
t0: [09:00:00 18/11/2012] id: Service Type el: 0 cu: CSRU cg: RN v1: NSICU st: NotStopd t0: [09:00:00 18/11/2012] id: CVP el: 0 cu: CSRU cg: RN v1: 5 u1: mmHg st: NotStopd t0: [09:00:00 18/11/2012] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [09:00:00 18/11/2012] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [09:00:00 18/11/2012] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [09:00:00 18/11/2012] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 73 u1: BPM st: NotStopd t0: [09:00:00 18/11/2012] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [09:00:00 18/11/2012] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 120 u1: mmHg v2: 43 u2: mmHg st: NotStopd t0: [09:00:00 18/11/2012] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 65 u1: mmHg st: NotStopd t0: [09:00:00 18/11/2012] id: Precautions el: 0 cu: CSRU cg: RN v1: Contact st: NotStopd t0: [09:00:00 18/11/2012] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 102 u1: kg st: NotStopd t0: [09:00:00 18/11/2012] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 16 u1: BPM st: NotStopd t0: [09:00:00 18/11/2012] id: SpO2 el: 0 cu: CSRU cg: RN v1: 100 u1: % st: NotStopd t0: [09:00:00 18/11/2012] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [10:00:00 18/11/2012] id: Service Type el: 0 cu: CSRU cg: RN v1: NSICU st: NotStopd t0: [10:00:00 18/11/2012] id: CVP el: 0 cu: CSRU cg: RN v1: 5 u1: mmHg st: NotStopd t0: [10:00:00 18/11/2012] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [10:00:00 18/11/2012] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [10:00:00 18/11/2012] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [10:00:00 18/11/2012] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 71 u1: BPM st: NotStopd t0: [10:00:00 18/11/2012] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [10:00:00 18/11/2012] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 115 u1: mmHg v2: 43 u2: mmHg st: NotStopd t0: [10:00:00 18/11/2012] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 64 u1: mmHg st: NotStopd t0: [10:00:00 18/11/2012] id: Precautions el: 0 cu: CSRU cg: RN v1: Contact st: NotStopd t0: [10:00:00 18/11/2012] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 102 u1: kg st: NotStopd t0: [10:00:00 18/11/2012] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 14 u1: BPM st: NotStopd t0: [10:00:00 18/11/2012] id: SpO2 el: 0 cu: CSRU cg: RN v1: 98 u1: % st: NotStopd t0: [10:00:00 18/11/2012] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [10:00:00 18/11/2012] id: D5/.45NS IV Infusions el: 1 cu: CSRU cg: RN ai: 112 vo: 10 vu: ml
t0: [11:00:00 18/11/2012] id: Service Type el: 0 cu: CSRU cg: RN v1: NSICU st: NotStopd t0: [11:00:00 18/11/2012] id: CVP el: 0 cu: CSRU cg: RN v1: 5 u1: mmHg st: NotStopd t0: [11:00:00 18/11/2012] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [11:00:00 18/11/2012] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [11:00:00 18/11/2012] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [11:00:00 18/11/2012] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 71 u1: BPM st: NotStopd t0: [11:00:00 18/11/2012] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [11:00:00 18/11/2012] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 128 u1: mmHg v2: 51 u2: mmHg st: NotStopd t0: [11:00:00 18/11/2012] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 73 u1: mmHg st: NotStopd t0: [11:00:00 18/11/2012] id: Precautions el: 0 cu: CSRU cg: RN v1: Contact st: NotStopd t0: [11:00:00 18/11/2012] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 102 u1: kg st: NotStopd t0: [11:00:00 18/11/2012] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 16 u1: BPM st: NotStopd t0: [11:00:00 18/11/2012] id: SpO2 el: 0 cu: CSRU cg: RN v1: 98 u1: % st: NotStopd t0: [11:00:00 18/11/2012] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [12:00:00 18/11/2012] id: Pain Present el: 0 cu: CSRU cg: RN v1: No st: NotStopd t0: [12:00:00 18/11/2012] id: INV#3Chg o/Wire Date el: 0 cu: CSRU cg: RN v1: 10 v2: 24 st: NotStopd t0: [12:00:00 18/11/2012] id: Pain Assess Method el: 0 cu: CSRU cg: RN v1: Pt Verbalized st: NotStopd t0: [12:00:00 18/11/2012] id: PainLevel Acceptable el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [12:00:00 18/11/2012] id: Service Type el: 0 cu: CSRU cg: RN v1: NSICU st: NotStopd t0: [12:00:00 18/11/2012] id: CVP el: 0 cu: CSRU cg: RN v1: 4 u1: mmHg st: NotStopd t0: [12:00:00 18/11/2012] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [12:00:00 18/11/2012] id: Riker-SAS Scale el: 0 cu: CSRU cg: RN v1: Calm/Cooperative st: NotStopd t0: [12:00:00 18/11/2012] id: Cough Effort el: 0 cu: CSRU cg: RN v1: Strong st: NotStopd t0: [12:00:00 18/11/2012] id: Cough Type el: 0 cu: CSRU cg: RN v1: Nonproductive st: NotStopd t0: [12:00:00 18/11/2012] id: GI Prophylaxis el: 0 cu: CSRU cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [12:00:00 18/11/2012] id: Diet Type el: 0 cu: CSRU cg: RN v1: NPO st: NotStopd t0: [12:00:00 18/11/2012] id: Dorsal PedPulse R/L el: 0 cu: CSRU cg: RN v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [12:00:00 18/11/2012] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [12:00:00 18/11/2012] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [12:00:00 18/11/2012] id: Eye Opening el: 0 cu: CSRU cg: RN v1: 4 Spontaneously st: NotStopd t0: [12:00:00 18/11/2012] id: Follows Commands el: 0 cu: CSRU cg: RN v1: Consistently st: NotStopd t0: [12:00:00 18/11/2012] id: GCS Total el: 0 cu: CSRU cg: RN v1: 15 u1: points st: NotStopd t0: [12:00:00 18/11/2012] id: HOB el: 0 cu: CSRU cg: RN v1: 30 degrees st: NotStopd t0: [12:00:00 18/11/2012] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 72 u1: BPM st: NotStopd t0: [12:00:00 18/11/2012] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [12:00:00 18/11/2012] id: INV Line#1 Type/Site el: 0 cu: CSRU cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [12:00:00 18/11/2012] id: INV Line#2 Type/Site el: 0 cu: CSRU cg: RN v1: PICC line v2: Left Brachial st: NotStopd t0: [12:00:00 18/11/2012] id: INV Line#2InsertDate el: 0 cu: CSRU cg: RN v1: 10 v2: 8 st: NotStopd t0: [12:00:00 18/11/2012] id: INV Line#3 Site Date el: 0 cu: CSRU cg: RN v1: 10 v2: 24 st: NotStopd t0: [12:00:00 18/11/2012] id: INV Line#3 Type/Site el: 0 cu: CSRU cg: RN v1: Multi-lumen v2: Right IJ st: NotStopd t0: [12:00:00 18/11/2012] id: INV Line#3InsertDate el: 0 cu: CSRU cg: RN v1: 10 v2: 23 st: NotStopd t0: [12:00:00 18/11/2012] id: Abdominal Assessment el: 0 cu: CSRU cg: RN v1: Soft st: NotStopd t0: [12:00:00 18/11/2012] id: IV #1 Insert Date el: 0 cu: CSRU cg: RN v1: 10 v2: 21 st: NotStopd t0: [12:00:00 18/11/2012] id: IV #1 Site/Size el: 0 cu: CSRU cg: RN v1: RU Ant Forearm v2: 18 gauge st: NotStopd t0: [12:00:00 18/11/2012] id: IV #3 Insert Date el: 0 cu: CSRU cg: RN v1: 10 v2: 23 st: NotStopd t0: [12:00:00 18/11/2012] id: IV #3 Site/Size el: 0 cu: CSRU cg: RN v1: Right Antecub v2: 14 gauge st: NotStopd t0: [12:00:00 18/11/2012] id: Activity el: 0 cu: CSRU cg: RN v1: Bedrest st: NotStopd t0: [12:00:00 18/11/2012] id: Activity Tolerance el: 0 cu: CSRU cg: RN v1: Tolerated Well st: NotStopd t0: [12:00:00 18/11/2012] id: Inc Dsg/Status #1 el: 0 cu: CSRU cg: RN v1: Dry Sterile Dsg v2: Intact st: NotStopd t0: [12:00:00 18/11/2012] id: Incision/Wound #1 el: 0 cu: CSRU cg: RN v1: Abdominal st: NotStopd t0: [12:00:00 18/11/2012] id: LLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Diminished st: NotStopd t0: [12:00:00 18/11/2012] id: LUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [12:00:00 18/11/2012] id: Level of Conscious el: 0 cu: CSRU cg: RN v1: Alert st: NotStopd t0: [12:00:00 18/11/2012] id: Motor Response el: 0 cu: CSRU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [12:00:00 18/11/2012] id: O2 Delivery Device el: 0 cu: CSRU cg: RN v1: Nasal Cannula st: NotStopd t0: [12:00:00 18/11/2012] id: O2 Flow (lpm) el: 0 cu: CSRU cg: RN v1: 4 u1: lpm st: NotStopd t0: [12:00:00 18/11/2012] id: Oral Cavity el: 0 cu: CSRU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [12:00:00 18/11/2012] id: Orientation el: 0 cu: CSRU cg: RN v1: Oriented x 3 st: NotStopd t0: [12:00:00 18/11/2012] id: AntiEmbDevice/Status el: 0 cu: CSRU cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [12:00:00 18/11/2012] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 119 u1: mmHg v2: 45 u2: mmHg st: NotStopd t0: [12:00:00 18/11/2012] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 66 u1: mmHg st: NotStopd t0: [12:00:00 18/11/2012] id: Position el: 0 cu: CSRU cg: RN v1: Supine st: NotStopd t0: [12:00:00 18/11/2012] id: PostTib. Pulses R/L el: 0 cu: CSRU cg: RN v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [12:00:00 18/11/2012] id: Assistance Device el: 0 cu: CSRU cg: RN v1: 1 Person Assist st: NotStopd t0: [12:00:00 18/11/2012] id: Precautions el: 0 cu: CSRU cg: RN v1: Contact st: NotStopd t0: [12:00:00 18/11/2012] id: Pressure Sore Site#1 el: 0 cu: CSRU cg: RN v1: Coccyx st: NotStopd t0: [12:00:00 18/11/2012] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 102 u1: kg st: NotStopd t0: [12:00:00 18/11/2012] id: Pupil Response R/L el: 0 cu: CSRU cg: RN v1: Brisk v2: Brisk st: NotStopd t0: [12:00:00 18/11/2012] id: Pupil Size R/L el: 0 cu: CSRU cg: RN v1: 2 mm v2: 2 mm st: NotStopd t0: [12:00:00 18/11/2012] id: RLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Diminished st: NotStopd t0: [12:00:00 18/11/2012] id: RUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [12:00:00 18/11/2012] id: Respiratory Pattern el: 0 cu: CSRU cg: RN v1: Regular st: NotStopd t0: [12:00:00 18/11/2012] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 11 u1: BPM st: NotStopd t0: [12:00:00 18/11/2012] id: Side Rails el: 0 cu: CSRU cg: RN v1: Side Rails Up st: NotStopd t0: [12:00:00 18/11/2012] id: SpO2 el: 0 cu: CSRU cg: RN v1: 94 u1: % st: NotStopd t0: [12:00:00 18/11/2012] id: Spontaneous Movement el: 0 cu: CSRU cg: RN v1: Purposeful st: NotStopd t0: [12:00:00 18/11/2012] id: Support Systems el: 0 cu: CSRU cg: RN v1: Spouse st: NotStopd t0: [12:00:00 18/11/2012] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Oral st: NotStopd t0: [12:00:00 18/11/2012] id: Temperature C (calc) el: 0 cu: CSRU cg: RN v1: 37.6667 u1: Deg. C st: NotStopd t0: [12:00:00 18/11/2012] id: Temperature F el: 0 cu: CSRU cg: RN v1: 99.8 u1: Deg. F st: NotStopd t0: [12:00:00 18/11/2012] id: Turn el: 0 cu: CSRU cg: RN v1: Side to Side st: NotStopd t0: [12:00:00 18/11/2012] id: Urine Color/Appear el: 0 cu: CSRU cg: RN v1: Yellow v2: Clear st: NotStopd t0: [12:00:00 18/11/2012] id: Urine Source el: 0 cu: CSRU cg: RN v1: Indwelling Cath st: NotStopd t0: [12:00:00 18/11/2012] id: Verbal Response el: 0 cu: CSRU cg: RN v1: 5 Oriented st: NotStopd t0: [12:00:00 18/11/2012] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [12:00:00 18/11/2012] id: Bowel Sounds el: 0 cu: CSRU cg: RN v1: Hypoactive st: NotStopd
t0: [12:00:00 18/11/2012] id: D5/.45NS IV Infusions el: 1 cu: CSRU cg: RN ai: 112 vo: 10 vu: ml
t0: [12:00:00 18/11/2012] id: Fingerstick Glucose Chemistry el: 0 cu: CSRU cg: RN v1: 60 rs: Manual st: NotStopd
t0: [11:00:00 18/11/2012] id: Gastric Meds PO/Gastric el: 1 cu: CSRU cg: RN ai: 155 vo: 80 vu: ml
t0: [23:00:00 18/11/2012] dt: 24 id: PO/Gastric In Total el: 3 cu: -1 cg: RN cv: 80 ap: none
t0: [13:00:00 18/11/2012] id: Service Type el: 0 cu: CSRU cg: RN v1: NSICU st: NotStopd t0: [13:00:00 18/11/2012] id: CVP el: 0 cu: CSRU cg: RN v1: 10 u1: mmHg st: NotStopd t0: [13:00:00 18/11/2012] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [13:00:00 18/11/2012] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [13:00:00 18/11/2012] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [13:00:00 18/11/2012] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 71 u1: BPM st: NotStopd t0: [13:00:00 18/11/2012] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [13:00:00 18/11/2012] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 139 u1: mmHg v2: 58 u2: mmHg st: NotStopd t0: [13:00:00 18/11/2012] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 80 u1: mmHg st: NotStopd t0: [13:00:00 18/11/2012] id: Precautions el: 0 cu: CSRU cg: RN v1: Contact st: NotStopd t0: [13:00:00 18/11/2012] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 102 u1: kg st: NotStopd t0: [13:00:00 18/11/2012] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 19 u1: BPM st: NotStopd t0: [13:00:00 18/11/2012] id: SpO2 el: 0 cu: CSRU cg: RN v1: 96 u1: % st: NotStopd t0: [13:00:00 18/11/2012] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [14:00:00 18/11/2012] id: Service Type el: 0 cu: CSRU cg: RN v1: NSICU st: NotStopd t0: [14:00:00 18/11/2012] id: CVP el: 0 cu: CSRU cg: RN v1: 7 u1: mmHg st: NotStopd t0: [14:00:00 18/11/2012] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [14:00:00 18/11/2012] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [14:00:00 18/11/2012] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [14:00:00 18/11/2012] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 75 u1: BPM st: NotStopd t0: [14:00:00 18/11/2012] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [14:00:00 18/11/2012] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 131 u1: mmHg v2: 51 u2: mmHg st: NotStopd t0: [14:00:00 18/11/2012] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 74 u1: mmHg st: NotStopd t0: [14:00:00 18/11/2012] id: Precautions el: 0 cu: CSRU cg: RN v1: Contact st: NotStopd t0: [14:00:00 18/11/2012] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 102 u1: kg st: NotStopd t0: [14:00:00 18/11/2012] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 16 u1: BPM st: NotStopd t0: [14:00:00 18/11/2012] id: SpO2 el: 0 cu: CSRU cg: RN v1: 96 u1: % st: NotStopd t0: [14:00:00 18/11/2012] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [15:00:00 18/11/2012] id: Service Type el: 0 cu: CSRU cg: RN v1: NSICU st: NotStopd t0: [15:00:00 18/11/2012] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [15:00:00 18/11/2012] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [15:00:00 18/11/2012] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 70 u1: BPM st: NotStopd t0: [15:00:00 18/11/2012] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [15:00:00 18/11/2012] id: NBP el: 0 cu: CSRU cg: RN v1: 123 u1: mmHg v2: 54 u2: mmHg st: NotStopd t0: [15:00:00 18/11/2012] id: NBP Mean el: 0 cu: CSRU cg: RN v1: 77 u1: mmHg st: NotStopd t0: [15:00:00 18/11/2012] id: Precautions el: 0 cu: CSRU cg: RN v1: Contact st: NotStopd t0: [15:00:00 18/11/2012] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 102 u1: kg st: NotStopd t0: [15:00:00 18/11/2012] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 7 u1: BPM st: NotStopd t0: [15:00:00 18/11/2012] id: SpO2 el: 0 cu: CSRU cg: RN v1: 98 u1: % st: NotStopd t0: [15:00:00 18/11/2012] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [14:00:00 18/11/2012] id: D5/.45NS IV Infusions el: 1 cu: CSRU cg: RN ai: 112 vo: 10 vu: ml t0: [15:00:00 18/11/2012] id: D5/.45NS IV Infusions el: 1 cu: CSRU cg: RN ai: 112 vo: 5 vu: ml
t0: [16:00:00 18/11/2012] id: Pain Present el: 0 cu: CSRU cg: RN v1: No st: NotStopd t0: [16:00:00 18/11/2012] id: INV#1Chg o/Wire Date el: 0 cu: CSRU cg: RN v1: 10 v2: 26 st: NotStopd t0: [16:00:00 18/11/2012] id: INV#3Chg o/Wire Date el: 0 cu: CSRU cg: RN v1: 10 v2: 24 st: NotStopd t0: [16:00:00 18/11/2012] id: Pain Assess Method el: 0 cu: CSRU cg: RN v1: Pt Verbalized st: NotStopd t0: [16:00:00 18/11/2012] id: PainLevel Acceptable el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [16:00:00 18/11/2012] id: Service Type el: 0 cu: CSRU cg: RN v1: NSICU st: NotStopd t0: [16:00:00 18/11/2012] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [16:00:00 18/11/2012] id: Riker-SAS Scale el: 0 cu: CSRU cg: RN v1: Calm/Cooperative st: NotStopd t0: [16:00:00 18/11/2012] id: Cough Effort el: 0 cu: CSRU cg: RN v1: Strong st: NotStopd t0: [16:00:00 18/11/2012] id: Cough Type el: 0 cu: CSRU cg: RN v1: Productive st: NotStopd t0: [16:00:00 18/11/2012] id: GI Prophylaxis el: 0 cu: CSRU cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [16:00:00 18/11/2012] id: Diet Type el: 0 cu: CSRU cg: RN v1: NPO st: NotStopd t0: [16:00:00 18/11/2012] id: Dorsal PedPulse R/L el: 0 cu: CSRU cg: RN v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [16:00:00 18/11/2012] id: Eye Opening el: 0 cu: CSRU cg: RN v1: 4 Spontaneously st: NotStopd t0: [16:00:00 18/11/2012] id: Follows Commands el: 0 cu: CSRU cg: RN v1: Consistently st: NotStopd t0: [16:00:00 18/11/2012] id: GCS Total el: 0 cu: CSRU cg: RN v1: 15 u1: points st: NotStopd t0: [16:00:00 18/11/2012] id: HOB el: 0 cu: CSRU cg: RN v1: 45 degrees st: NotStopd t0: [16:00:00 18/11/2012] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 70 u1: BPM st: NotStopd t0: [16:00:00 18/11/2012] id: INV Line#1 Site Date el: 0 cu: CSRU cg: RN v1: 10 v2: 26 st: NotStopd t0: [16:00:00 18/11/2012] id: INV Line#1 Type/Site el: 0 cu: CSRU cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [16:00:00 18/11/2012] id: INV Line#2 Type/Site el: 0 cu: CSRU cg: RN v1: PICC line v2: Left Brachial st: NotStopd t0: [16:00:00 18/11/2012] id: INV Line#2InsertDate el: 0 cu: CSRU cg: RN v1: 10 v2: 8 st: NotStopd t0: [16:00:00 18/11/2012] id: INV Line#3 Site Date el: 0 cu: CSRU cg: RN v1: 10 v2: 24 st: NotStopd t0: [16:00:00 18/11/2012] id: INV Line#3 Type/Site el: 0 cu: CSRU cg: RN v1: Multi-lumen v2: Right IJ st: NotStopd t0: [16:00:00 18/11/2012] id: INV Line#3InsertDate el: 0 cu: CSRU cg: RN v1: 10 v2: 23 st: NotStopd t0: [16:00:00 18/11/2012] id: Abdominal Assessment el: 0 cu: CSRU cg: RN v1: Soft st: NotStopd t0: [16:00:00 18/11/2012] id: IV #1 D/C Date el: 0 cu: CSRU cg: RN v1: 10 v2: 26 st: NotStopd t0: [16:00:00 18/11/2012] id: IV #1 Insert Date el: 0 cu: CSRU cg: RN v1: 10 v2: 21 st: NotStopd t0: [16:00:00 18/11/2012] id: IV #1 Site/Size el: 0 cu: CSRU cg: RN v1: RU Ant Forearm v2: 18 gauge st: NotStopd t0: [16:00:00 18/11/2012] id: IV #3 D/C Date el: 0 cu: CSRU cg: RN v1: 10 v2: 26 st: NotStopd t0: [16:00:00 18/11/2012] id: IV #3 Insert Date el: 0 cu: CSRU cg: RN v1: 10 v2: 23 st: NotStopd t0: [16:00:00 18/11/2012] id: IV #3 Site/Size el: 0 cu: CSRU cg: RN v1: Right Antecub v2: 14 gauge st: NotStopd t0: [16:00:00 18/11/2012] id: Activity el: 0 cu: CSRU cg: RN v1: Bedrest st: NotStopd t0: [16:00:00 18/11/2012] id: Activity Tolerance el: 0 cu: CSRU cg: RN v1: Tolerated Well st: NotStopd t0: [16:00:00 18/11/2012] id: Inc Closure/Appear#1 el: 0 cu: CSRU cg: RN v1: Suture/Staples st: NotStopd t0: [16:00:00 18/11/2012] id: Inc Drainage/Amt #1 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [16:00:00 18/11/2012] id: Inc Dsg/Status #1 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [16:00:00 18/11/2012] id: Incision/Wound #1 el: 0 cu: CSRU cg: RN v1: Abdominal st: NotStopd t0: [16:00:00 18/11/2012] id: LLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Diminished st: NotStopd t0: [16:00:00 18/11/2012] id: LUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [16:00:00 18/11/2012] id: Level of Conscious el: 0 cu: CSRU cg: RN v1: Alert st: NotStopd t0: [16:00:00 18/11/2012] id: Motor Response el: 0 cu: CSRU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [16:00:00 18/11/2012] id: O2 Delivery Device el: 0 cu: CSRU cg: RN v1: Nasal Cannula st: NotStopd t0: [16:00:00 18/11/2012] id: O2 Flow (lpm) el: 0 cu: CSRU cg: RN v1: 4 u1: lpm st: NotStopd t0: [16:00:00 18/11/2012] id: Oral Cavity el: 0 cu: CSRU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [16:00:00 18/11/2012] id: Orientation el: 0 cu: CSRU cg: RN v1: Oriented x 3 st: NotStopd t0: [16:00:00 18/11/2012] id: AntiEmbDevice/Status el: 0 cu: CSRU cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [16:00:00 18/11/2012] id: Position el: 0 cu: CSRU cg: RN v1: Supine st: NotStopd t0: [16:00:00 18/11/2012] id: PostTib. Pulses R/L el: 0 cu: CSRU cg: RN v1: Easily Palpable v2: Strong/Palpable st: NotStopd t0: [16:00:00 18/11/2012] id: Assistance Device el: 0 cu: CSRU cg: RN v1: 1 Person Assist st: NotStopd t0: [16:00:00 18/11/2012] id: Precautions el: 0 cu: CSRU cg: RN v1: Contact st: NotStopd t0: [16:00:00 18/11/2012] id: Pressure Sore Site#1 el: 0 cu: CSRU cg: RN v1: Coccyx st: NotStopd t0: [16:00:00 18/11/2012] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 102 u1: kg st: NotStopd t0: [16:00:00 18/11/2012] id: Pupil Response R/L el: 0 cu: CSRU cg: RN v1: Brisk v2: Brisk st: NotStopd t0: [16:00:00 18/11/2012] id: Pupil Size R/L el: 0 cu: CSRU cg: RN v1: 2 mm v2: 2 mm st: NotStopd t0: [16:00:00 18/11/2012] id: RLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Diminished st: NotStopd t0: [16:00:00 18/11/2012] id: RUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [16:00:00 18/11/2012] id: Respiratory Pattern el: 0 cu: CSRU cg: RN v1: Regular st: NotStopd t0: [16:00:00 18/11/2012] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 11 u1: BPM st: NotStopd t0: [16:00:00 18/11/2012] id: Side Rails el: 0 cu: CSRU cg: RN v1: Side Rails Up st: NotStopd t0: [16:00:00 18/11/2012] id: SpO2 el: 0 cu: CSRU cg: RN v1: 93 u1: % st: NotStopd t0: [16:00:00 18/11/2012] id: Spontaneous Movement el: 0 cu: CSRU cg: RN v1: Purposeful st: NotStopd t0: [16:00:00 18/11/2012] id: Support Systems el: 0 cu: CSRU cg: RN v1: Spouse st: NotStopd t0: [16:00:00 18/11/2012] id: Temperature C (calc) el: 0 cu: CSRU cg: RN v1: 37.4444 u1: Deg. C st: NotStopd t0: [16:00:00 18/11/2012] id: Temperature F el: 0 cu: CSRU cg: RN v1: 99.4 u1: Deg. F st: NotStopd t0: [16:00:00 18/11/2012] id: Turn el: 0 cu: CSRU cg: RN v1: Side to Side st: NotStopd t0: [16:00:00 18/11/2012] id: Urine Color/Appear el: 0 cu: CSRU cg: RN v1: Yellow v2: Clear st: NotStopd t0: [16:00:00 18/11/2012] id: Urine Source el: 0 cu: CSRU cg: RN v1: Indwelling Cath st: NotStopd t0: [16:00:00 18/11/2012] id: Verbal Response el: 0 cu: CSRU cg: RN v1: 5 Oriented st: NotStopd t0: [16:00:00 18/11/2012] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [16:00:00 18/11/2012] id: Bowel Sounds el: 0 cu: CSRU cg: RN v1: Present st: NotStopd t0: [17:00:00 18/11/2012] id: Service Type el: 0 cu: CSRU cg: RN v1: NSICU st: NotStopd t0: [17:00:00 18/11/2012] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [17:00:00 18/11/2012] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 66 u1: BPM st: NotStopd t0: [17:00:00 18/11/2012] id: Precautions el: 0 cu: CSRU cg: RN v1: Contact st: NotStopd t0: [17:00:00 18/11/2012] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 102 u1: kg st: NotStopd t0: [17:00:00 18/11/2012] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 13 u1: BPM st: NotStopd t0: [17:00:00 18/11/2012] id: SpO2 el: 0 cu: CSRU cg: RN v1: 99 u1: % st: NotStopd t0: [17:00:00 18/11/2012] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [17:00:00 18/11/2012] id: D5/.45NS IV Infusions el: 1 cu: CSRU cg: RN ai: 112 vo: 10 vu: ml
tf: [05:00:00 20/11/2012] pt: Unit Dose rt: PO fr: HS fs: 22 dn: 1 m1: Diphenhydramine HCl v1: 50 u1: mg
tf: [18:00:00 29/11/2012] pt: Unit Dose rt: PO fr: HS:PRN m1: Diphenhydramine HCl v1: 50 u1: mg
tf: [10:00:00 21/11/2012] pt: Unit Dose rt: PO fr: ONCE fs: 11 dn: 1 m1: Potassium Chloride v1: 60 u1: mEq tf: [10:00:00 21/11/2012] pt: Unit Dose rt: PO fr: ONCE fs: 11 dn: 1 m1: Potassium Chloride v1: 60 u1: mEq
tf: [10:00:00 22/11/2012] pt: IV Piggyback rt: IV fr: ONCE fs: 11 dn: 1 m1: Phytonadione v1: 1 u1: mg m2: D5W v2: 50 u2: ml tf: [10:00:00 22/11/2012] pt: Unit Dose rt: PO fr: ONCE fs: 11 dn: 1 m1: Potassium Chloride v1: 80 u1: mEq tf: [18:00:00 29/11/2012] pt: Unit Dose rt: TP fr: QID:PRN m1: Sarna Lotion v1: 1 u1: Appl
tf: [15:00:00 24/11/2012] pt: Unit Dose rt: PO fr: QD fs: 10 dn: 1 m1: Spironolactone v1: 25 u1: mg
tf: [15:00:00 23/11/2012] pt: Unit Dose rt: SC fr: ONCE fs: 16 dn: 1 m1: Phytonadione v1: 5 u1: mg
tf: [18:00:00 29/11/2012] pt: Unit Dose rt: PO fr: Q12H fs: 20, 8 dn: 2 m1: Pantoprazole v1: 40 u1: mg tf: [18:00:00 29/11/2012] pt: Unit Dose rt: PO fr: Q4-6H:PRN m1: Oxycodone-Acetaminophen v1: 1-2 u1: TAB
tf: [10:00:00 24/11/2012] pt: Unit Dose rt: PO fr: ONCE fs: 11 dn: 1 m1: Potassium Chloride v1: 40 u1: mEq
tf: [11:00:00 29/11/2012] pt: Unit Dose rt: PO fr: QD fs: 10 dn: 1 m1: Spironolactone v1: 50 u1: mg
tf: [11:00:00 28/11/2012] pt: Unit Dose rt: PO fr: QD fs: 10 dn: 1 m1: Furosemide v1: 20 u1: mg
tf: [18:00:00 29/11/2012] pt: Unit Dose rt: PO fr: BID fs: 10, 22 dn: 2 m1: Spironolactone v1: 100 u1: mg
dd: 5715 ds: 1 ld: CIRRHOSIS OF LIVER NOS dd: 5719 ds: 2 ld: CHRONIC LIVER DIS NOS
dd: 5712 ds: 1 ld: ALCOHOL CIRRHOSIS LIVER
dd: 5712 ds: 1 ld: ALCOHOL CIRRHOSIS LIVER
dd: 5712 ds: 1 ld: ALCOHOL CIRRHOSIS LIVER
dd: 5712 ds: 1 ld: ALCOHOL CIRRHOSIS LIVER dd: 7295 ds: 2 ld: PAIN IN LIMB dd: 72981 ds: 3 ld: SWELLING OF LIMB
dd: 7820 ds: 1 ld: SKIN SENSATION DISTURB
dd: 5712 ds: 1 ld: ALCOHOL CIRRHOSIS LIVER dd: 5759 ds: 2 ld: DIS OF GALLBLADDER NOS
dd: 53550 ds: 3 ld: UNSP GASTR/GASTRO W/O HE dd: 5715 ds: 2 ld: CIRRHOSIS OF LIVER NOS dd: V8289 ds: 1 ld: SPECIAL SCREENING, OTHER