This log is also available as text (s26097.txt) and as a (binary) annotation file (s26097.log).
Generated: Monday, 07-Jun-2010 13:20:48 EDT
(All dates below are surrogates.)
t0: [10:44:35 29/06/2012] tf: [14:26:41 07/07/2012] id: a40551 [view]
t0: [10:43:59 29/06/2012] tf: [14:38:59 07/07/2012] id: a40551n [view]
dd: 2724 ds: 3 ld: HYPERLIPIDEMIA NEC/NOS dd: 4011 ds: 1 ld: BENIGN HYPERTENSION dd: 78071 ds: 2 ld: CHRONIC FATIGUE SYNDRONE
dd: 27801 ds: 1 ld: MORBID OBESITY
dd: 27801 ds: 1 ld: MORBID OBESITY
dd: 2761 ds: 3 ld: HYPOSMOLALITY dd: 2762 ds: 6 ld: ACIDOSIS dd: 2763 ds: 4 ld: ALKALOSIS dd: 3209 ds: 2 ld: BACTERIAL MENINGITIS NOS dd: 4019 ds: 9 ld: HYPERTENSION NOS dd: 4239 ds: 8 ld: PERICARDIAL DISEASE NOS dd: 481 ds: 1 ld: PNEUMOCOCCAL PNEUM STREP dd: 486 ds: 1 ld: PNEUMONIA, ORGANISM NOS dd: 5845 ds: 7 ld: LOWER NEPHRON NEPHROSIS dd: 7990 ds: 2 ld: ASPHYXIA dd: 99592 ds: 5 ld: SYST INFLAM RESPN INFECT
tf: [13:18:00 10/04/2014] dt: 21109 cu: MICU-A de: FA7A
id: D5W el: 1 cu: MICU-A cg: -1 io: D5W 100.0ml IV Infusions vo: 100 du: ml rt: Intravenous Push id: Po Intake el: 1 cu: MICU-A cg: -1 io: Po Intake PO/Gastric du: ml rt: Oral
id: Levophed-k el: 100 cu: MICU-A cg: RN io: D5W 250.0ml + 4mcgkgmin Levophed-k IV Infusions am: 4 du: mcgkgmin rt: IV Drip
io: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ra: 500 ru: ml/hr io: D5W 250.0ml + 4mcgkgmin Levophed-k IV Infusions el: 1 cu: MICU-A cg: RN ra: 60 ru: ml/hr
id: D5W el: 1 cu: MICU-A cg: RN io: D5W 250.0ml + 4mcgkgmin Levophed-k IV Infusions vo: 250 du: ml rt: Intravenous Push id: .9% Normal Saline el: 1 cu: MICU-A cg: RN io: .9% Normal Saline 1000.0ml IV Infusions vo: 1000 du: ml rt: Intravenous Push id: Pre-Admission Intake el: 1 cu: MICU-A cg: RN io: Pre-Admission Intake Pre-Admission Intake du: cc rt: Intravenous Push
t0: [22:00:00 26/03/2014] id: Compliance (40-60ml) el: 0 cu: MICU-A cg: RRT v1: 26.6667 u1: ml/cmH st: NotStopd t0: [22:00:00 26/03/2014] id: ETT Mark/Location el: 0 cu: MICU-A cg: RRT v1: 23cm v2: Lip st: NotStopd t0: [22:00:00 26/03/2014] id: FiO2 Set el: 0 cu: MICU-A cg: RRT v1: 1 u1: torr st: NotStopd t0: [22:00:00 26/03/2014] id: High Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 50 u1: cmH2O st: NotStopd t0: [22:00:00 26/03/2014] id: High Resp. Rate el: 0 cu: MICU-A cg: RRT v1: 30 u1: BPM st: NotStopd t0: [22:00:00 26/03/2014] id: I:E Ratio el: 0 cu: MICU-A cg: RRT v1: 1:1.6 st: NotStopd t0: [22:00:00 26/03/2014] id: Airway Size el: 0 cu: MICU-A cg: RRT v1: 7.5 mm st: NotStopd t0: [22:00:00 26/03/2014] id: Airway Type el: 0 cu: MICU-A cg: RRT v1: Endotracheal st: NotStopd t0: [22:00:00 26/03/2014] id: Inspired Gas Temp el: 0 cu: MICU-A cg: RRT v1: 34 u1: Deg. C st: NotStopd t0: [22:00:00 26/03/2014] id: Low Exhaled Min Vol el: 0 cu: MICU-A cg: RRT v1: 5 st: NotStopd t0: [22:00:00 26/03/2014] id: Low Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 15 u1: cmH2O st: NotStopd t0: [22:00:00 26/03/2014] id: Mean Airway Pressure el: 0 cu: MICU-A cg: RRT v1: 20.8 u1: cmH2O st: NotStopd t0: [22:00:00 26/03/2014] id: Minute Volume(Obser) el: 0 cu: MICU-A cg: RRT v1: 15.8 u1: L/min st: NotStopd t0: [22:00:00 26/03/2014] id: PEEP Set el: 0 cu: MICU-A cg: RRT v1: 12.5 u1: cmH2O st: NotStopd t0: [22:00:00 26/03/2014] id: Apnea Time Interval el: 0 cu: MICU-A cg: RRT v1: 20 st: NotStopd t0: [22:00:00 26/03/2014] id: Peak Flow el: 0 cu: MICU-A cg: RRT v1: 70 u1: L/m st: NotStopd t0: [22:00:00 26/03/2014] id: Peak Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 35 u1: cmH2O st: NotStopd t0: [22:00:00 26/03/2014] id: Plateau-Off el: 0 cu: MICU-A cg: RRT v1: Yes st: NotStopd t0: [22:00:00 26/03/2014] id: Pressure Support el: 0 cu: MICU-A cg: RRT v1: 0 u1: . st: NotStopd t0: [22:00:00 26/03/2014] id: Resp Rate (Spont) el: 0 cu: MICU-A cg: RRT v1: 13 u1: BPM st: NotStopd t0: [22:00:00 26/03/2014] id: Resp Rate (Total) el: 0 cu: MICU-A cg: RRT v1: 25 u1: BPM st: NotStopd t0: [22:00:00 26/03/2014] id: Respiratory Rate Set el: 0 cu: MICU-A cg: RRT v1: 12 u1: BPM st: NotStopd t0: [22:00:00 26/03/2014] id: Sensitivity-Vent el: 0 cu: MICU-A cg: RRT v1: 2 u1: cmH2O st: NotStopd t0: [22:00:00 26/03/2014] id: Tidal Volume (Obser) el: 0 cu: MICU-A cg: RRT v1: 600 u1: ml/B st: NotStopd t0: [22:00:00 26/03/2014] id: Tidal Volume (Set) el: 0 cu: MICU-A cg: RRT v1: 600 u1: ml/B st: NotStopd t0: [22:00:00 26/03/2014] id: Tidal Volume (Spont) el: 0 cu: MICU-A cg: RRT v1: 0 u1: ml/B st: NotStopd t0: [22:00:00 26/03/2014] id: Ventilator Mode el: 0 cu: MICU-A cg: RRT v1: Assist Control st: NotStopd t0: [22:00:00 26/03/2014] id: Ventilator No. el: 0 cu: MICU-A cg: RRT v1: 6 u1: # st: NotStopd t0: [22:00:00 26/03/2014] id: Ventilator Type el: 0 cu: MICU-A cg: RRT v1: 7200A st: NotStopd t0: [22:00:00 26/03/2014] id: Waveform-Vent el: 0 cu: MICU-A cg: RRT v1: RAMP st: NotStopd
t0: [22:16:00 26/03/2014] id: BSA el: 1033 cu: MICU-A cg: -1 v1: 1.97121 u1: m2 t0: [22:16:00 26/03/2014] id: Admit Wt el: 1032 cu: MICU-A cg: -1 v1: 89.9 u1: kg t0: [22:16:00 26/03/2014] id: Allergy 1 el: 1020 cu: MICU-A cg: -1 v1: No Known Drug Allergies t0: [22:16:00 26/03/2014] id: Diagnosis/op el: 1023 cu: MICU-A cg: -1 v1: PNEUMONIA t0: [22:16:00 26/03/2014] id: Service el: 1026 cu: MICU-A cg: -1 v1: MED t0: [22:16:00 26/03/2014] id: Admit Ht el: 1034 cu: MICU-A cg: -1 v1: 54 u1: inches t0: [22:16:00 26/03/2014] id: Readmission el: 1014 cu: MICU-A cg: -1 t0: [22:16:00 26/03/2014] id: Marital Status el: 1006 cu: MICU-A cg: -1 v1: M t0: [22:16:00 26/03/2014] id: Religion el: 1000 cu: MICU-A cg: -1 v1: U t0: [22:16:00 26/03/2014] id: Allergy 2 el: 1021 cu: MICU-A cg: -1 t0: [22:16:00 26/03/2014] id: Ext el: 1010 cu: MICU-A cg: -1 t0: [22:16:00 26/03/2014] id: PIN el: 1012 cu: MICU-A cg: -1 t0: [22:16:00 26/03/2014] id: Allergy 3 el: 1022 cu: MICU-A cg: -1
t0: [22:00:00 26/03/2014] id: Plateau Pressure el: 0 cu: MICU-A cg: RRT v1: 26 u1: cmH2O st: NotStopd
t0: [22:00:00 26/03/2014] id: Range of Motion el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [22:00:00 26/03/2014] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [22:00:00 26/03/2014] id: Circulation/SkinInt el: 0 cu: MICU-A cg: RN v1: Circulation Adeq st: NotStopd t0: [22:00:00 26/03/2014] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [22:00:00 26/03/2014] id: Riker-SAS Scale el: 0 cu: MICU-A cg: RN v1: Sedated st: NotStopd t0: [22:00:00 26/03/2014] id: Diet Type el: 0 cu: MICU-A cg: RN v1: NPO st: NotStopd t0: [22:00:00 26/03/2014] id: Dorsal PedPulse R/L el: 0 cu: MICU-A cg: RN v1: Weak Palpable v2: Weak Palpable st: NotStopd t0: [22:00:00 26/03/2014] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [22:00:00 26/03/2014] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [22:00:00 26/03/2014] id: Eye Opening el: 0 cu: MICU-A cg: RN v1: 2 To pain st: NotStopd t0: [22:00:00 26/03/2014] id: Family Communication el: 0 cu: MICU-A cg: RN v1: Family Visited st: NotStopd t0: [22:00:00 26/03/2014] id: GCS Total el: 0 cu: MICU-A cg: RN v1: 8 u1: points st: NotStopd t0: [22:00:00 26/03/2014] id: HOB el: 0 cu: MICU-A cg: RN v1: Flat in Bed st: NotStopd t0: [22:00:00 26/03/2014] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 95 u1: BPM st: NotStopd t0: [22:00:00 26/03/2014] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [22:00:00 26/03/2014] id: INV Line#1 Type/Site el: 0 cu: MICU-A cg: RN v1: Multi-lumen v2: Right Femoral st: NotStopd t0: [22:00:00 26/03/2014] id: INV Line#1InsertDate el: 0 cu: MICU-A cg: RN v1: 3 v2: 12 st: NotStopd t0: [22:00:00 26/03/2014] id: INV Line#1SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [22:00:00 26/03/2014] id: Abdominal Assessment el: 0 cu: MICU-A cg: RN v1: Soft st: NotStopd t0: [22:00:00 26/03/2014] id: Activity el: 0 cu: MICU-A cg: RN v1: Bedrest st: NotStopd t0: [22:00:00 26/03/2014] id: Activity Tolerance el: 0 cu: MICU-A cg: RN v1: Tolerated Well st: NotStopd t0: [22:00:00 26/03/2014] id: LLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [22:00:00 26/03/2014] id: LUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [22:00:00 26/03/2014] id: Level of Conscious el: 0 cu: MICU-A cg: RN v1: Sedated st: NotStopd t0: [22:00:00 26/03/2014] id: Motor Response el: 0 cu: MICU-A cg: RN v1: 5 Localizes Pain st: NotStopd t0: [22:00:00 26/03/2014] id: NBP el: 0 cu: MICU-A cg: RN v1: 95 u1: mmHg v2: 38 u2: mmHg st: NotStopd t0: [22:00:00 26/03/2014] id: NBP Mean el: 0 cu: MICU-A cg: RN v1: 57 u1: mmHg st: NotStopd t0: [22:00:00 26/03/2014] id: Oral Cavity el: 0 cu: MICU-A cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [22:00:00 26/03/2014] id: Orientation el: 0 cu: MICU-A cg: RN v1: Other/Remarks st: NotStopd t0: [22:00:00 26/03/2014] id: Position el: 0 cu: MICU-A cg: RN v1: Supine st: NotStopd t0: [22:00:00 26/03/2014] id: Position Change el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [22:00:00 26/03/2014] id: PostTib. Pulses R/L el: 0 cu: MICU-A cg: RN v1: Weak Palpable v2: Weak Palpable st: NotStopd t0: [22:00:00 26/03/2014] id: Assistance Device el: 0 cu: MICU-A cg: RN v1: 2 Person Assist st: NotStopd t0: [22:00:00 26/03/2014] id: Precautions el: 0 cu: MICU-A cg: RN v1: Airborne/Resp st: NotStopd t0: [22:00:00 26/03/2014] id: RLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [22:00:00 26/03/2014] id: RUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [22:00:00 26/03/2014] id: Reason For Restraint el: 0 cu: MICU-A cg: RN v1: Ext/TXInterfere st: NotStopd t0: [22:00:00 26/03/2014] id: Removed x 5 Mins el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [22:00:00 26/03/2014] id: Respiratory Pattern el: 0 cu: MICU-A cg: RN v1: Regular st: NotStopd t0: [22:00:00 26/03/2014] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 24 u1: BPM st: NotStopd t0: [22:00:00 26/03/2014] id: Restraint Location el: 0 cu: MICU-A cg: RN v1: Both Arms st: NotStopd t0: [22:00:00 26/03/2014] id: Restraint Type el: 0 cu: MICU-A cg: RN v1: Soft Limb st: NotStopd t0: [22:00:00 26/03/2014] id: Restraints Evaluated el: 0 cu: MICU-A cg: RN v1: RestraintReapply st: NotStopd t0: [22:00:00 26/03/2014] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [22:00:00 26/03/2014] id: Skin Integrity el: 0 cu: MICU-A cg: RN v1: Intact st: NotStopd t0: [22:00:00 26/03/2014] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 94 u1: % st: NotStopd t0: [22:00:00 26/03/2014] id: Support Systems el: 0 cu: MICU-A cg: RN v1: Spouse st: NotStopd t0: [22:00:00 26/03/2014] id: Temp. Site el: 0 cu: MICU-A cg: RN v1: Oral st: NotStopd t0: [22:00:00 26/03/2014] id: Temperature C (calc) el: 0 cu: MICU-A cg: RN v1: 36.3333 u1: Deg. C st: NotStopd t0: [22:00:00 26/03/2014] id: Temperature F el: 0 cu: MICU-A cg: RN v1: 97.4 u1: Deg. F st: NotStopd t0: [22:00:00 26/03/2014] id: Turn el: 0 cu: MICU-A cg: RN v1: Side to Side st: NotStopd t0: [22:00:00 26/03/2014] id: Urine Color/Appear el: 0 cu: MICU-A cg: RN v1: Yellow v2: Clear st: NotStopd t0: [22:00:00 26/03/2014] id: Urine Source el: 0 cu: MICU-A cg: RN v1: Indwelling Cath st: NotStopd t0: [22:00:00 26/03/2014] id: Verbal Response el: 0 cu: MICU-A cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [22:00:00 26/03/2014] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [22:00:00 26/03/2014] id: Behavior el: 0 cu: MICU-A cg: RN v1: Sedated st: NotStopd t0: [22:00:00 26/03/2014] id: Bowel Sounds el: 0 cu: MICU-A cg: RN v1: Hypoactive st: NotStopd t0: [22:00:00 26/03/2014] id: Braden Activity el: 0 cu: MICU-A cg: RN v1: Bedfast st: NotStopd t0: [22:00:00 26/03/2014] id: Braden Frict/Shear el: 0 cu: MICU-A cg: RN v1: No Apparent Prob st: NotStopd t0: [22:00:00 26/03/2014] id: Braden Mobility el: 0 cu: MICU-A cg: RN v1: Comp. Immobile st: NotStopd t0: [22:00:00 26/03/2014] id: Braden Moisture el: 0 cu: MICU-A cg: RN v1: Occ. Moist st: NotStopd t0: [22:00:00 26/03/2014] id: Braden Nutrition el: 0 cu: MICU-A cg: RN v1: Prob. Inadequate st: NotStopd t0: [22:00:00 26/03/2014] id: Braden Score el: 0 cu: MICU-A cg: RN v1: 14 u1: number st: NotStopd t0: [22:00:00 26/03/2014] id: Braden SensoryPercep el: 0 cu: MICU-A cg: RN v1: No Impairment st: NotStopd
t0: [22:00:00 26/03/2014] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 0 vu: ml nb: 1 t0: [22:00:00 26/03/2014] tf: [19:00:00 27/03/2014] dt: 1260 id: Pre-Admission Intake Pre-Admission Intake el: 1 cu: MICU-A cg: RN ai: 189 vo: 5000 vu: ml t0: [22:00:00 26/03/2014] id: D5W 250.0ml + 4mcgkgmin Levophed-k IV Infusions el: 1 cu: MICU-A cg: RN ai: 189 vo: 0 vu: ml nb: 1 t0: [22:00:00 26/03/2014] tf: [13:18:00 10/04/2014] dt: 21078 id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 75 vu: ml
t0: [23:00:00 26/03/2014] dt: 1 id: Total Hourly Output el: 2 cu: MICU-A cg: RN cv: 0 ap: none t0: [23:00:00 26/03/2014] dt: 24 id: Urine Out Total el: 2 cu: MICU-A cg: RN cv: 75 ap: none t0: [23:00:00 26/03/2014] dt: 24 id: 24h Total Out el: 2 cu: MICU-A cg: RN cv: 75 ap: none
t0: [22:00:00 26/03/2014] id: Intubation Date el: 0 cu: MICU-A cg: RRT v1: 3 v2: 12 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
io: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: MICU-A cg: RN ra: 8.4 ru: ml/hr io: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: MICU-A cg: RN ra: 21.6 ru: ml/hr io: .9% Normal Saline 100.0ml IV Infusions el: 1 cu: MICU-A cg: RN ra: 8.4 ru: ml/hr
tf: [00:00:00 27/03/2014] pt: IV Piggyback rt: IV fr: Q12H fs: 23, 11 dn: 2 m1: Vancomycin HCl f1: INJ v1: 1000 u1: mg m2: Iso-Osmotic Dextrose f2: INJ v2: 200 u2: ml tf: [09:00:00 27/03/2014] pt: Unit Dose rt: IV fr: Q8H fs: 23, 7, 15 dn: 3 m1: Dexamethasone f1: INJ v1: 4 u1: mg tf: [12:00:00 27/03/2014] pt: Unit Dose rt: IV DRIP fr: TITRATE TO m1: Propofol (Generic) f1: INJ v1: 1000 u1: mg tf: [22:00:00 27/03/2014] pt: IV Piggyback rt: IV fr: ONCE fs: 23 dn: 1 m1: Azithromycin f1: INJ v1: 500 u1: mg m2: NS f2: INJ v2: 250 u2: ml tf: [22:00:00 27/03/2014] pt: IV Piggyback rt: IV fr: ONCE fs: 23 dn: 1 m1: Ceftriaxone f1: BAG v1: 2 u1: gm m2: Iso-Osmotic Dextrose f2: INJ v2: 50 u2: ml tf: [22:00:00 27/03/2014] pt: IV Piggyback rt: IV fr: ONCE fs: 23 dn: 1 m1: Potassium Chloride f1: INJ v1: 40 u1: mEq m2: NS f2: INJ v2: 500 u2: ml tf: [11:00:00 28/03/2014] pt: IV Piggyback rt: IV fr: Q12H fs: 2, 14 dn: 2 m1: Famotidine (IV) f1: BAG v1: 20 u1: mg m2: Iso-Osmotic Sodium Chloride f2: INJ v2: 50 u2: ml tf: [10:00:00 29/03/2014] pt: IV Piggyback rt: IV DRIP fr: TITRATE TO m1: Norepinephrine f1: INJ v1: 4 u1: mg m2: D5W f2: INJ v2: 250 u2: ml
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 id: .9% Normal Saline el: 1 cu: MICU-A cg: RN io: .9% Normal Saline 100.0ml IV Infusions vo: 1000 du: ml rt: Intravenous Push id: .9% Normal Saline el: 2 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 id: TF Residual el: 1 cu: MICU-A cg: RN io: TF Residual Gastric/TF Residual du: ml rt: Gastric/Feeding Tube
t0: [23:03:00 26/03/2014] id: Art.pH ABG el: 0 cu: MICU-A cg: 1663 v1: 7.31 rs: Final st: NotStopd t0: [23:03:00 26/03/2014] id: Arterial Base Excess ABG el: 0 cu: MICU-A cg: 1663 v1: -8 rs: Final st: NotStopd t0: [23:03:00 26/03/2014] id: Arterial CO2(Calc) ABG el: 0 cu: MICU-A cg: 1663 v1: 17 rs: Final st: NotStopd t0: [23:03:00 26/03/2014] id: Arterial PaCO2 ABG el: 0 cu: MICU-A cg: 1663 v1: 33 u1: mmHg rs: Final st: NotStopd t0: [23:03:00 26/03/2014] id: Arterial PaO2 ABG el: 0 cu: MICU-A cg: 1663 v1: 73 u1: mmHg rs: Final st: NotStopd t0: [23:03:00 26/03/2014] id: Arterial pH ABG el: 0 cu: MICU-A cg: 1663 v1: 7.31 rs: Final st: NotStopd
t0: [22:00:00 26/03/2014] id: GI Prophylaxis el: 0 cu: MICU-A cg: RN v1: H2 Blocker st: NotStopd t0: [22:00:00 26/03/2014] id: Skin Color el: 0 cu: MICU-A cg: RN v1: Mottled st: NotStopd t0: [22:55:00 26/03/2014] id: Procedures el: 0 cu: MICU-A cg: RN v1: Line Placement st: NotStopd t0: [23:00:00 26/03/2014] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [23:00:00 26/03/2014] id: CVP el: 0 cu: MICU-A cg: RN v1: 14 u1: mmHg st: NotStopd t0: [23:00:00 26/03/2014] id: Cardiac Index el: 0 cu: MICU-A cg: RN v1: 4.36548 u1: ... st: NotStopd t0: [23:00:00 26/03/2014] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [23:00:00 26/03/2014] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [23:00:00 26/03/2014] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [23:00:00 26/03/2014] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 97 u1: BPM st: NotStopd t0: [23:00:00 26/03/2014] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [23:00:00 26/03/2014] id: INV Line#2 Type/Site el: 0 cu: MICU-A cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [23:00:00 26/03/2014] id: INV Line#2 Zero/Cal el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [23:00:00 26/03/2014] id: INV Line#2InsertDate el: 0 cu: MICU-A cg: RN v1: 3 v2: 12 st: NotStopd t0: [23:00:00 26/03/2014] id: INV Line#3 Type/Site el: 0 cu: MICU-A cg: RN v1: PA line v2: Right IJ st: NotStopd t0: [23:00:00 26/03/2014] id: INV Line#3 Zero/Cal el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [23:00:00 26/03/2014] id: INV Line#3InsertDate el: 0 cu: MICU-A cg: RN v1: 3 v2: 12 st: NotStopd t0: [23:00:00 26/03/2014] id: INV Line#3SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [23:00:00 26/03/2014] id: INV#2 WaveformAppear el: 0 cu: MICU-A cg: RN v1: Sharp st: NotStopd t0: [23:00:00 26/03/2014] id: INV#3 WaveformAppear el: 0 cu: MICU-A cg: RN v1: Sharp st: NotStopd t0: [23:00:00 26/03/2014] id: LCW el: 0 cu: MICU-A cg: RN v1: 8.30416 u1: kg x m st: NotStopd t0: [23:00:00 26/03/2014] id: LCWI el: 0 cu: MICU-A cg: RN v1: 4.2132 u1: ... st: NotStopd t0: [23:00:00 26/03/2014] id: LVSW el: 0 cu: MICU-A cg: RN v1: 85.9384 u1: g * m st: NotStopd t0: [23:00:00 26/03/2014] id: LVSWI el: 0 cu: MICU-A cg: RN v1: 43.6548 u1: g*m/m2 st: NotStopd t0: [23:00:00 26/03/2014] id: NBP el: 0 cu: MICU-A cg: RN v1: 105 u1: mmHg v2: 51 u2: mmHg st: NotStopd t0: [23:00:00 26/03/2014] id: NBP Mean el: 0 cu: MICU-A cg: RN v1: 69 u1: mmHg st: NotStopd t0: [23:00:00 26/03/2014] id: PAP Mean el: 0 cu: MICU-A cg: RN v1: 26 u1: mmHg st: NotStopd t0: [23:00:00 26/03/2014] id: PAP S/D el: 0 cu: MICU-A cg: RN v1: 40 u1: mmHg v2: 11 u2: mmHg st: NotStopd t0: [23:00:00 26/03/2014] id: PCWP el: 0 cu: MICU-A cg: RN v1: 12 u1: mmHg st: NotStopd t0: [23:00:00 26/03/2014] id: PVR el: 0 cu: MICU-A cg: RN v1: 130.233 u1: ... st: NotStopd t0: [23:00:00 26/03/2014] id: PVRI el: 0 cu: MICU-A cg: RN v1: 256.293 u1: ... st: NotStopd t0: [23:00:00 26/03/2014] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 96 u1: mmHg v2: 56 u2: mmHg st: NotStopd t0: [23:00:00 26/03/2014] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 71 u1: mmHg st: NotStopd t0: [23:00:00 26/03/2014] id: Precautions el: 0 cu: MICU-A cg: RN v1: Airborne/Resp st: NotStopd t0: [23:00:00 26/03/2014] id: Procedures el: 0 cu: MICU-A cg: RN v1: Culture/remarks st: NotStopd t0: [23:00:00 26/03/2014] id: RCW el: 0 cu: MICU-A cg: RN v1: 3.04096 u1: kg * m st: NotStopd t0: [23:00:00 26/03/2014] id: RCWI el: 0 cu: MICU-A cg: RN v1: 1.54315 u1: ... st: NotStopd t0: [23:00:00 26/03/2014] id: RVSW el: 0 cu: MICU-A cg: RN v1: 31.4704 u1: g * m st: NotStopd t0: [23:00:00 26/03/2014] id: RVSWI el: 0 cu: MICU-A cg: RN v1: 15.9898 u1: g*m/m2 st: NotStopd t0: [23:00:00 26/03/2014] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 18 u1: BPM st: NotStopd t0: [23:00:00 26/03/2014] id: SVI el: 0 cu: MICU-A cg: RN v1: 45.1777 u1: ... st: NotStopd t0: [23:00:00 26/03/2014] id: SVR el: 0 cu: MICU-A cg: RN v1: 530.233 u1: ... st: NotStopd t0: [23:00:00 26/03/2014] id: SVRI el: 0 cu: MICU-A cg: RN v1: 1043.48 u1: ... st: NotStopd t0: [23:00:00 26/03/2014] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 100 u1: % st: NotStopd t0: [23:00:00 26/03/2014] id: Stroke Volume el: 0 cu: MICU-A cg: RN v1: 88.6598 u1: ml st: NotStopd t0: [23:00:00 26/03/2014] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [23:00:00 26/03/2014] id: INR (2-4 ref. range) Coags el: 0 cu: MICU-A cg: 1663 v1: 1.3 rs: Final st: NotStopd t0: [23:00:00 26/03/2014] id: PT(11-13.5) Coags el: 0 cu: MICU-A cg: 1663 v1: 13.8 rs: Final st: NotStopd t0: [23:00:00 26/03/2014] id: PTT(22-35) Coags el: 0 cu: MICU-A cg: 1663 v1: 38.1 rs: Final st: NotStopd t0: [23:00:00 26/03/2014] id: C.O.(thermodilution) el: 0 cu: MICU-A cg: RN v1: 8.6 u1: L/min st: NotStopd t0: [23:30:00 26/03/2014] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [23:30:00 26/03/2014] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [23:30:00 26/03/2014] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd
t0: [23:00:00 26/03/2014] tf: [13:18:00 10/04/2014] dt: 21018 id: D5W 100.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 105 vo: 50 vu: ml t0: [23:00:00 26/03/2014] tf: [23:00:00 28/03/2014] dt: 2880 id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 500 vu: ml t0: [23:00:00 26/03/2014] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 0 vu: ml nb: 1
t0: [22:00:00 26/03/2014] tf: [12:00:00 27/03/2014] dt: 840 id: Levophed-k el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 0.177976 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [23:00:00 26/03/2014] id: Levophed-k el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 0.199926 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [23:00:00 26/03/2014] tf: [13:18:00 10/04/2014] dt: 21018 id: Propofol el: 1 cu: MICU-A cg: RN so: N/A vo: 0 v1: 40.0445 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [23:00:00 26/03/2014] dt: 1 id: Net Hourly Balance el: 2 cu: MICU-A cg: RN pv: 550 cv: 550 ap: none t0: [23:00:00 26/03/2014] dt: 24 id: IV Infusion In Total el: 2 cu: MICU-A cg: RN pv: 550 cv: 550 ap: none t0: [23:00:00 26/03/2014] dt: 24 id: 24h Total In el: 2 cu: MICU-A cg: RN pv: 550 cv: 5550 ap: none t0: [23:00:00 26/03/2014] dt: 24 id: 24h Net Body Balance el: 2 cu: MICU-A cg: RN pv: 550 cv: 5475 ap: none t0: [23:00:00 26/03/2014] dt: multiple days id: LOS Net Body Balance el: 2 cu: MICU-A cg: RN pv: 550 cv: 5475 ap: none
t0: [23:00:00 26/03/2014] id: BUN (6-20) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 22 rs: Final st: NotStopd t0: [23:00:00 26/03/2014] 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: [23:00:00 26/03/2014] id: Carbon Dioxide Chemistry el: 0 cu: MICU-A cg: 1663 v1: 18 rs: Final st: NotStopd t0: [23:00:00 26/03/2014] id: Chloride (100-112) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 109 rs: Final st: NotStopd t0: [23:00:00 26/03/2014] id: Creatinine (0-1.3) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 1.3 rs: Final st: NotStopd t0: [23:00:00 26/03/2014] id: Glucose (70-105) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 138 rs: Final st: NotStopd t0: [23:00:00 26/03/2014] id: Magnesium (1.6-2.6) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 1 rs: Final st: NotStopd t0: [23:00:00 26/03/2014] id: Phosphorous(2.7-4.5) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 2.5 u1: mEq/L rs: Final st: NotStopd t0: [23:00:00 26/03/2014] id: Potassium (3.5-5.3) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 3.1 rs: Final st: NotStopd t0: [23:00:00 26/03/2014] id: Sodium (135-148) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 139 rs: Final st: NotStopd t0: [00:00:00 27/03/2014] id: Service Type el: 0 cu: MICU-A cg: -1 v1: MICU st: NotStopd t0: [00:00:00 27/03/2014] id: CVP el: 0 cu: MICU-A cg: -1 v1: 15 u1: mmHg st: NotStopd t0: [00:00:00 27/03/2014] id: Code Status el: 0 cu: MICU-A cg: -1 v1: Full Code st: NotStopd t0: [00:00:00 27/03/2014] id: Ectopy Type el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [00:00:00 27/03/2014] id: Heart Rate el: 0 cu: MICU-A cg: -1 v1: 99 u1: BPM st: NotStopd t0: [00:00:00 27/03/2014] id: Heart Rhythm el: 0 cu: MICU-A cg: -1 v1: Normal Sinus st: NotStopd t0: [00:00:00 27/03/2014] id: PAP Mean el: 0 cu: MICU-A cg: -1 v1: 25 u1: mmHg st: NotStopd t0: [00:00:00 27/03/2014] id: PAP S/D el: 0 cu: MICU-A cg: -1 v1: 40 u1: mmHg v2: 12 u2: mmHg st: NotStopd t0: [00:00:00 27/03/2014] id: Arterial BP el: 0 cu: MICU-A cg: -1 v1: 118 u1: mmHg v2: 83 u2: mmHg st: NotStopd t0: [00:00:00 27/03/2014] id: Arterial BP Mean el: 0 cu: MICU-A cg: -1 v1: 95 u1: mmHg st: NotStopd t0: [00:00:00 27/03/2014] id: Precautions el: 0 cu: MICU-A cg: -1 v1: Airborne/Resp st: NotStopd t0: [00:00:00 27/03/2014] id: Respiratory Rate el: 0 cu: MICU-A cg: -1 v1: 21 u1: BPM st: NotStopd t0: [00:00:00 27/03/2014] id: SpO2 el: 0 cu: MICU-A cg: -1 v1: 100 u1: % st: NotStopd t0: [00:00:00 27/03/2014] id: calprevflg el: 0 cu: MICU-A cg: -1 v1: 1 u1: kg st: NotStopd
t0: [00:00:00 27/03/2014] id: D5W 100.0ml IV Infusions el: 1 cu: MICU-A cg: -1 ai: 105 vo: 300 vu: ml t0: [00:00:00 27/03/2014] tf: [11:00:00 27/03/2014] dt: 660 id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 21.6 vu: ml t0: [00:00:00 27/03/2014] tf: [17:00:00 27/03/2014] dt: 1020 id: D5W 250.0ml + 4mcgkgmin Levophed-k IV Infusions el: 1 cu: MICU-A cg: -1 ai: 189 vo: 127.4 vu: ml t0: [00:00:00 27/03/2014] id: Urine Out Foley el: 1 cu: MICU-A cg: -1 vo: 45 vu: ml
t0: [00:00:00 27/03/2014] id: Levophed-k el: 1 cu: MICU-A so: D5W vo: 0 v1: 0.19 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [00:00:00 27/03/2014] id: Propofol el: 1 cu: MICU-A so: N/A vo: 0 v1: 40.0445 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [23:45:00 26/03/2014] id: Compliance (40-60ml) el: 0 cu: MICU-A cg: RRT v1: 28.5714 u1: ml/cmH st: NotStopd t0: [23:45:00 26/03/2014] id: ETT Mark/Location el: 0 cu: MICU-A cg: RRT v1: 23cm v2: Lip st: NotStopd t0: [23:45:00 26/03/2014] id: FiO2 Set el: 0 cu: MICU-A cg: RRT v1: 1 u1: torr st: NotStopd t0: [23:45:00 26/03/2014] id: High Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 50 u1: cmH2O st: NotStopd t0: [23:45:00 26/03/2014] id: High Resp. Rate el: 0 cu: MICU-A cg: RRT v1: 30 u1: BPM st: NotStopd t0: [23:45:00 26/03/2014] id: I:E Ratio el: 0 cu: MICU-A cg: RRT v1: 1:1.7 st: NotStopd t0: [23:45:00 26/03/2014] id: Airway Size el: 0 cu: MICU-A cg: RRT v1: 7.5 mm st: NotStopd t0: [23:45:00 26/03/2014] id: Airway Type el: 0 cu: MICU-A cg: RRT v1: Endotracheal st: NotStopd t0: [23:45:00 26/03/2014] id: Inspired Gas Temp el: 0 cu: MICU-A cg: RRT v1: 34 u1: Deg. C st: NotStopd t0: [23:45:00 26/03/2014] id: Intubation Date el: 0 cu: MICU-A cg: RRT v1: 3 v2: 12 st: NotStopd t0: [23:45:00 26/03/2014] id: Low Exhaled Min Vol el: 0 cu: MICU-A cg: RRT v1: 8 st: NotStopd t0: [23:45:00 26/03/2014] id: Low Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 15 u1: cmH2O st: NotStopd t0: [23:45:00 26/03/2014] id: Mean Airway Pressure el: 0 cu: MICU-A cg: RRT v1: 13.5 u1: cmH2O st: NotStopd t0: [23:45:00 26/03/2014] id: Minute Volume(Obser) el: 0 cu: MICU-A cg: RRT v1: 15.4 u1: L/min st: NotStopd t0: [23:45:00 26/03/2014] id: PEEP Set el: 0 cu: MICU-A cg: RRT v1: 15 u1: cmH2O st: NotStopd t0: [23:45:00 26/03/2014] id: Apnea Time Interval el: 0 cu: MICU-A cg: RRT v1: 20 st: NotStopd t0: [23:45:00 26/03/2014] id: Peak Flow el: 0 cu: MICU-A cg: RRT v1: 75 u1: L/m st: NotStopd t0: [23:45:00 26/03/2014] id: Peak Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 36 u1: cmH2O st: NotStopd t0: [23:45:00 26/03/2014] id: Plateau Pressure el: 0 cu: MICU-A cg: RRT v1: 30 u1: cmH2O st: NotStopd t0: [23:45:00 26/03/2014] id: Plateau-Off el: 0 cu: MICU-A cg: RRT v1: Yes st: NotStopd t0: [23:45:00 26/03/2014] id: Pressure Support el: 0 cu: MICU-A cg: RRT v1: 0 u1: . st: NotStopd t0: [23:45:00 26/03/2014] id: Rec. Breath Pressure el: 0 cu: MICU-A cg: RRT v1: 35 st: NotStopd t0: [23:45:00 26/03/2014] id: Rec.Breath Time(sec) el: 0 cu: MICU-A cg: RRT v1: 25 st: NotStopd t0: [23:45:00 26/03/2014] id: Recruit Breath el: 0 cu: MICU-A cg: RRT v1: CPAP st: NotStopd t0: [23:45:00 26/03/2014] id: Resp Rate (Spont) el: 0 cu: MICU-A cg: RRT v1: 4 u1: BPM st: NotStopd t0: [23:45:00 26/03/2014] id: Resp Rate (Total) el: 0 cu: MICU-A cg: RRT v1: 24 u1: BPM st: NotStopd t0: [23:45:00 26/03/2014] id: Sensitivity-Vent el: 0 cu: MICU-A cg: RRT v1: 2 u1: cmH2O st: NotStopd t0: [23:45:00 26/03/2014] id: SpO2 el: 0 cu: MICU-A cg: RRT v1: 100 u1: % st: NotStopd t0: [23:45:00 26/03/2014] id: Sputum Color/Consist el: 0 cu: MICU-A cg: RRT v1: Blood Tinged v2: Thin st: NotStopd t0: [23:45:00 26/03/2014] id: Sputum Source/Amt el: 0 cu: MICU-A cg: RRT v1: Suctioned v2: Small st: NotStopd t0: [23:45:00 26/03/2014] id: Tidal Volume (Obser) el: 0 cu: MICU-A cg: RRT v1: 600 u1: ml/B st: NotStopd t0: [23:45:00 26/03/2014] id: Tidal Volume (Set) el: 0 cu: MICU-A cg: RRT v1: 600 u1: ml/B st: NotStopd t0: [23:45:00 26/03/2014] id: Tidal Volume (Spont) el: 0 cu: MICU-A cg: RRT v1: 0 u1: ml/B st: NotStopd t0: [23:45:00 26/03/2014] id: Ventilator Mode el: 0 cu: MICU-A cg: RRT v1: Assist Control st: NotStopd t0: [23:45:00 26/03/2014] id: Ventilator No. el: 0 cu: MICU-A cg: RRT v1: 6 u1: # st: NotStopd t0: [23:45:00 26/03/2014] id: Ventilator Type el: 0 cu: MICU-A cg: RRT v1: 7200A st: NotStopd t0: [23:45:00 26/03/2014] id: Waveform-Vent el: 0 cu: MICU-A cg: RRT v1: RAMP st: NotStopd
t0: [23:00:00 27/03/2014] dt: 1 id: Total Hourly Output el: 2 cu: MICU-A cg: RN pv: 60 cv: 60 ap: none t0: [23:00:00 27/03/2014] dt: 24 id: Urine Out Total el: 2 cu: MICU-A cg: RN pv: 60 cv: 1370 ap: none t0: [23:00:00 27/03/2014] dt: 24 id: 24h Total Out el: 2 cu: MICU-A cg: RN pv: 60 cv: 1370 ap: carryForward
t0: [23:45:00 26/03/2014] id: Respiratory Rate Set el: 0 cu: MICU-A cg: RRT v1: 20 u1: BPM st: NotStopd
tf: [09:00:00 27/03/2014] pt: IV Piggyback rt: IV DRIP fr: INFUSION m1: Drotrecogin Alfa (Xigris) f1: INJ v1: 10 u1: mg m2: NS f2: INJ v2: 50 u2: ml tf: [11:00:00 30/03/2014] pt: IV Piggyback rt: IV DRIP fr: INFUSION m1: Drotrecogin Alfa (Xigris) f1: INJ v1: 20 u1: mg m2: NS f2: INJ v2: 100 u2: ml
t0: [23:00:00 26/03/2014] id: WBC (4-11,000) Hematology el: 0 cu: MICU-A cg: 1663 v1: 6.8 rs: Final st: NotStopd t0: [23:00:00 26/03/2014] id: Hematocrit Hematology el: 0 cu: MICU-A cg: 1663 v1: 36.1 u1: % rs: Final st: NotStopd t0: [23:00:00 26/03/2014] id: Hemoglobin Hematology el: 0 cu: MICU-A cg: 1663 v1: 12.5 u1: gm/dl rs: Final st: NotStopd t0: [23:00:00 26/03/2014] id: Platelets Hematology el: 0 cu: MICU-A cg: 1663 v1: 248 rs: Final st: NotStopd t0: [23:00:00 26/03/2014] id: RBC Hematology el: 0 cu: MICU-A cg: 1663 v1: 4.19 u1: /mic l rs: Final st: NotStopd t0: [23:00:00 26/03/2014] id: WBC (4-11,000) Hematology el: 0 cu: MICU-A cg: 1663 v1: 6.8 rs: Final st: NotStopd
tf: [00:00:00 28/03/2014] pt: IV Piggyback rt: IV fr: ONCE fs: 1 dn: 1 m1: Vancomycin HCl f1: INJ v1: 1000 u1: mg m2: Iso-Osmotic Dextrose f2: INJ v2: 200 u2: ml tf: [00:00:00 28/03/2014] pt: Unit Dose rt: IV fr: ONCE fs: 1 dn: 1 m1: Magnesium Sulfate f1: INJ v1: 3 u1: gm
t0: [00:45:00 27/03/2014] id: Service Type el: 0 cu: MICU-A cg: -1 v1: MICU st: NotStopd t0: [00:45:00 27/03/2014] id: Code Status el: 0 cu: MICU-A cg: -1 v1: Full Code st: NotStopd t0: [00:45:00 27/03/2014] id: Heart Rate el: 0 cu: MICU-A cg: -1 v1: 106 u1: BPM st: NotStopd t0: [00:45:00 27/03/2014] id: PAP Mean el: 0 cu: MICU-A cg: -1 v1: 25 u1: mmHg st: NotStopd t0: [00:45:00 27/03/2014] id: PAP S/D el: 0 cu: MICU-A cg: -1 v1: 40 u1: mmHg v2: 13 u2: mmHg st: NotStopd t0: [00:45:00 27/03/2014] id: Arterial BP el: 0 cu: MICU-A cg: -1 v1: 92 u1: mmHg v2: 62 u2: mmHg st: NotStopd t0: [00:45:00 27/03/2014] id: Arterial BP Mean el: 0 cu: MICU-A cg: -1 v1: 73 u1: mmHg st: NotStopd t0: [00:45:00 27/03/2014] id: Precautions el: 0 cu: MICU-A cg: -1 v1: Airborne/Resp st: NotStopd t0: [00:45:00 27/03/2014] id: Respiratory Rate el: 0 cu: MICU-A cg: -1 v1: 21 u1: BPM st: NotStopd t0: [00:45:00 27/03/2014] id: SpO2 el: 0 cu: MICU-A cg: -1 v1: 97 u1: % st: NotStopd t0: [00:45:00 27/03/2014] id: calprevflg el: 0 cu: MICU-A cg: -1 v1: 1 u1: kg st: NotStopd t0: [01:00:00 27/03/2014] id: Service Type el: 0 cu: MICU-A cg: -1 v1: MICU st: NotStopd t0: [01:00:00 27/03/2014] id: Code Status el: 0 cu: MICU-A cg: -1 v1: Full Code st: NotStopd t0: [01:00:00 27/03/2014] id: Heart Rate el: 0 cu: MICU-A cg: -1 v1: 101 u1: BPM st: NotStopd t0: [01:00:00 27/03/2014] id: PAP Mean el: 0 cu: MICU-A cg: -1 v1: 24 u1: mmHg st: NotStopd t0: [01:00:00 27/03/2014] id: PAP S/D el: 0 cu: MICU-A cg: -1 v1: 40 u1: mmHg v2: 11 u2: mmHg st: NotStopd t0: [01:00:00 27/03/2014] id: Arterial BP el: 0 cu: MICU-A cg: -1 v1: 94 u1: mmHg v2: 57 u2: mmHg st: NotStopd t0: [01:00:00 27/03/2014] id: Arterial BP Mean el: 0 cu: MICU-A cg: -1 v1: 70 u1: mmHg st: NotStopd t0: [01:00:00 27/03/2014] id: Precautions el: 0 cu: MICU-A cg: -1 v1: Airborne/Resp st: NotStopd t0: [01:00:00 27/03/2014] id: Respiratory Rate el: 0 cu: MICU-A cg: -1 v1: 23 u1: BPM st: NotStopd t0: [01:00:00 27/03/2014] id: SpO2 el: 0 cu: MICU-A cg: -1 v1: 97 u1: % st: NotStopd t0: [01:00:00 27/03/2014] id: calprevflg el: 0 cu: MICU-A cg: -1 v1: 1 u1: kg st: NotStopd t0: [01:15:00 27/03/2014] id: Service Type el: 0 cu: MICU-A cg: -1 v1: MICU st: NotStopd t0: [01:15:00 27/03/2014] id: Code Status el: 0 cu: MICU-A cg: -1 v1: Full Code st: NotStopd t0: [01:15:00 27/03/2014] id: Heart Rate el: 0 cu: MICU-A cg: -1 v1: 101 u1: BPM st: NotStopd t0: [01:15:00 27/03/2014] id: PAP Mean el: 0 cu: MICU-A cg: -1 v1: 23 u1: mmHg st: NotStopd t0: [01:15:00 27/03/2014] id: PAP S/D el: 0 cu: MICU-A cg: -1 v1: 39 u1: mmHg v2: 10 u2: mmHg st: NotStopd t0: [01:15:00 27/03/2014] id: Arterial BP el: 0 cu: MICU-A cg: -1 v1: 99 u1: mmHg v2: 58 u2: mmHg st: NotStopd t0: [01:15:00 27/03/2014] id: Arterial BP Mean el: 0 cu: MICU-A cg: -1 v1: 73 u1: mmHg st: NotStopd t0: [01:15:00 27/03/2014] id: Precautions el: 0 cu: MICU-A cg: -1 v1: Airborne/Resp st: NotStopd t0: [01:15:00 27/03/2014] id: Respiratory Rate el: 0 cu: MICU-A cg: -1 v1: 23 u1: BPM st: NotStopd t0: [01:15:00 27/03/2014] id: SpO2 el: 0 cu: MICU-A cg: -1 v1: 97 u1: % st: NotStopd t0: [01:15:00 27/03/2014] id: calprevflg el: 0 cu: MICU-A cg: -1 v1: 1 u1: kg st: NotStopd
t0: [00:00:00 27/03/2014] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 500 vu: ml t0: [01:00:00 27/03/2014] id: D5W 100.0ml IV Infusions el: 1 cu: MICU-A cg: -1 ai: 105 vo: 100 vu: ml t0: [01:00:00 27/03/2014] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 500 vu: ml t0: [01:00:00 27/03/2014] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 20.2455 vu: ml t0: [01:00:00 27/03/2014] id: D5W 250.0ml + 4mcgkgmin Levophed-k IV Infusions el: 1 cu: MICU-A cg: -1 ai: 189 vo: 68.2678 vu: ml
t0: [00:45:00 27/03/2014] id: Levophed-k el: 1 cu: MICU-A so: D5W vo: 0 v1: 0.24 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [00:45:00 27/03/2014] id: Propofol el: 1 cu: MICU-A so: N/A vo: 0 v1: 30 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [01:00:00 27/03/2014] id: Levophed-k el: 1 cu: MICU-A so: D5W vo: 0 v1: 0.24 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [01:00:00 27/03/2014] id: Propofol el: 1 cu: MICU-A so: N/A vo: 0 v1: 30 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [01:15:00 27/03/2014] id: Levophed-k el: 1 cu: MICU-A so: D5W vo: 0 v1: 0.24 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [01:15:00 27/03/2014] id: Propofol el: 1 cu: MICU-A so: N/A vo: 0 v1: 30 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [23:00:00 27/03/2014] dt: 1 id: Net Hourly Balance el: 2 cu: MICU-A cg: RN pv: 756.9 cv: 756.9 ap: none t0: [23:00:00 27/03/2014] dt: 24 id: IV Infusion In Total el: 2 cu: MICU-A cg: RN pv: 786.9 cv: 9951.32 ap: none t0: [23:00:00 27/03/2014] dt: 24 id: 24h Total In el: 2 cu: MICU-A cg: RN pv: 816.9 cv: 10141.3 ap: none t0: [23:00:00 27/03/2014] dt: 24 id: 24h Net Body Balance el: 2 cu: MICU-A cg: RN pv: 756.9 cv: 8771.32 ap: carryForward t0: [23:00:00 27/03/2014] dt: multiple days id: LOS Net Body Balance el: 2 cu: MICU-A cg: RN pv: 756.9 cv: 14246.3 ap: carryForward
t0: [02:00:00 27/03/2014] id: Service Type el: 0 cu: MICU-A cg: -1 v1: MICU st: NotStopd t0: [02:00:00 27/03/2014] id: Code Status el: 0 cu: MICU-A cg: -1 v1: Full Code st: NotStopd t0: [02:00:00 27/03/2014] id: Ectopy Type el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [02:00:00 27/03/2014] id: Heart Rate el: 0 cu: MICU-A cg: -1 v1: 100 u1: BPM st: NotStopd t0: [02:00:00 27/03/2014] id: Heart Rhythm el: 0 cu: MICU-A cg: -1 v1: Normal Sinus st: NotStopd t0: [02:00:00 27/03/2014] id: PAP Mean el: 0 cu: MICU-A cg: -1 v1: 25 u1: mmHg st: NotStopd t0: [02:00:00 27/03/2014] id: PAP S/D el: 0 cu: MICU-A cg: -1 v1: 43 u1: mmHg v2: 12 u2: mmHg st: NotStopd t0: [02:00:00 27/03/2014] id: Arterial BP el: 0 cu: MICU-A cg: -1 v1: 121 u1: mmHg v2: 69 u2: mmHg st: NotStopd t0: [02:00:00 27/03/2014] id: Arterial BP Mean el: 0 cu: MICU-A cg: -1 v1: 86 u1: mmHg st: NotStopd t0: [02:00:00 27/03/2014] id: Precautions el: 0 cu: MICU-A cg: -1 v1: Airborne/Resp st: NotStopd t0: [02:00:00 27/03/2014] id: Respiratory Rate el: 0 cu: MICU-A cg: -1 v1: 22 u1: BPM st: NotStopd t0: [02:00:00 27/03/2014] id: SpO2 el: 0 cu: MICU-A cg: -1 v1: 99 u1: % st: NotStopd t0: [02:00:00 27/03/2014] id: calprevflg el: 0 cu: MICU-A cg: -1 v1: 1 u1: kg st: NotStopd
t0: [02:00:00 27/03/2014] id: D5W 100.0ml IV Infusions el: 1 cu: MICU-A cg: -1 ai: 105 vo: 200 vu: ml t0: [02:00:00 27/03/2014] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 500 vu: ml t0: [02:00:00 27/03/2014] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 16.182 vu: ml t0: [02:00:00 27/03/2014] id: D5W 250.0ml + 4mcgkgmin Levophed-k IV Infusions el: 1 cu: MICU-A cg: -1 ai: 189 vo: 80.91 vu: ml t0: [02:00:00 27/03/2014] id: Urine Out Foley el: 1 cu: MICU-A cg: -1 vo: 40 vu: ml
t0: [02:00:00 27/03/2014] id: Levophed-k el: 1 cu: MICU-A so: D5W vo: 0 v1: 0.24 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [02:00:00 27/03/2014] id: Propofol el: 1 cu: MICU-A so: N/A vo: 0 v1: 30 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [02:20:00 27/03/2014] id: FiO2 Set el: 0 cu: MICU-A cg: RRT v1: 0.8 u1: torr st: NotStopd
t0: [02:20:00 27/03/2014] id: SpO2 el: 0 cu: MICU-A cg: RRT v1: 99 u1: % st: NotStopd
t0: [02:02:00 27/03/2014] id: Art.pH ABG el: 0 cu: MICU-A cg: 1663 v1: 7.31 rs: Final st: NotStopd t0: [02:02:00 27/03/2014] id: CaO2 el: 0 cu: MICU-A cg: 1663 v1: 16.7591 u1: ml/dl st: NotStopd t0: [02:02:00 27/03/2014] id: Arterial Base Excess ABG el: 0 cu: MICU-A cg: 1663 v1: -8 rs: Final st: NotStopd t0: [02:02:00 27/03/2014] id: Arterial CO2(Calc) ABG el: 0 cu: MICU-A cg: 1663 v1: 18 rs: Final st: NotStopd t0: [02:02:00 27/03/2014] id: Arterial PaCO2 ABG el: 0 cu: MICU-A cg: 1663 v1: 34 u1: mmHg rs: Final st: NotStopd t0: [02:02:00 27/03/2014] id: Arterial PaO2 ABG el: 0 cu: MICU-A cg: 1663 v1: 111 u1: mmHg rs: Final st: NotStopd t0: [02:02:00 27/03/2014] id: Arterial pH ABG el: 0 cu: MICU-A cg: 1663 v1: 7.31 rs: Final st: NotStopd t0: [02:02:00 27/03/2014] id: Glucose (70-105) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 151 rs: Final st: NotStopd t0: [02:02:00 27/03/2014] id: Lactic Acid(0.5-2.0) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 2.2 rs: Final st: NotStopd t0: [02:02:00 27/03/2014] id: Potassium (3.5-5.3) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 3.7 rs: Final st: NotStopd t0: [02:02:00 27/03/2014] id: SaO2 ABG's el: 0 cu: MICU-A cg: 1663 v1: 98 u1: % rs: Final st: NotStopd
t0: [03:00:00 27/03/2014] id: Service Type el: 0 cu: MICU-A cg: -1 v1: MICU st: NotStopd t0: [03:00:00 27/03/2014] id: Code Status el: 0 cu: MICU-A cg: -1 v1: Full Code st: NotStopd t0: [03:00:00 27/03/2014] id: Ectopy Type el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [03:00:00 27/03/2014] id: Heart Rate el: 0 cu: MICU-A cg: -1 v1: 95 u1: BPM st: NotStopd t0: [03:00:00 27/03/2014] id: Heart Rhythm el: 0 cu: MICU-A cg: -1 v1: Normal Sinus st: NotStopd t0: [03:00:00 27/03/2014] id: PAP Mean el: 0 cu: MICU-A cg: -1 v1: 20 u1: mmHg st: NotStopd t0: [03:00:00 27/03/2014] id: PAP S/D el: 0 cu: MICU-A cg: -1 v1: 24 u1: mmHg v2: 17 u2: mmHg st: NotStopd t0: [03:00:00 27/03/2014] id: Arterial BP el: 0 cu: MICU-A cg: -1 v1: 124 u1: mmHg v2: 69 u2: mmHg st: NotStopd t0: [03:00:00 27/03/2014] id: Arterial BP Mean el: 0 cu: MICU-A cg: -1 v1: 88 u1: mmHg st: NotStopd t0: [03:00:00 27/03/2014] id: Precautions el: 0 cu: MICU-A cg: -1 v1: Airborne/Resp st: NotStopd t0: [03:00:00 27/03/2014] id: Respiratory Rate el: 0 cu: MICU-A cg: -1 v1: 20 u1: BPM st: NotStopd t0: [03:00:00 27/03/2014] id: SpO2 el: 0 cu: MICU-A cg: -1 v1: 98 u1: % st: NotStopd t0: [03:00:00 27/03/2014] id: calprevflg el: 0 cu: MICU-A cg: -1 v1: 1 u1: kg st: NotStopd
t0: [03:00:00 27/03/2014] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 1000 vu: ml t0: [03:00:00 27/03/2014] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 16.182 vu: ml t0: [03:00:00 27/03/2014] id: D5W 250.0ml + 4mcgkgmin Levophed-k IV Infusions el: 1 cu: MICU-A cg: -1 ai: 189 vo: 80.91 vu: ml
t0: [03:00:00 27/03/2014] id: Levophed-k el: 1 cu: MICU-A so: D5W vo: 0 v1: 0.22 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [03:00:00 27/03/2014] id: Propofol el: 1 cu: MICU-A so: N/A vo: 0 v1: 30 du: mcgkgmin sv: 50 su: vl rt: IV Drip
id: Levophed-k el: 101 cu: MICU-A cg: -1 io: D5W 250.0ml + 8mcgkgmin Levophed-k IV Drips am: 8 du: mcgkgmin rt: IV Drip id: Levophed-k el: 102 cu: MICU-A cg: RN io: D5W 250.0ml + 8mcgkgmin Levophed-k IV Drips am: 4 du: mcgkgmin rt: IV Drip id: Levophed-k el: 201 cu: MICU-A cg: -1 io: D5W 250.0ml + 4mcgkgmin Levophed-k IV Infusions am: 8 du: mcgkgmin rt: IV Drip id: Levophed-k el: 202 cu: MICU-A cg: RN io: D5W 250.0ml + 4mcgkgmin Levophed-k IV Infusions am: 4 du: mcgkgmin rt: IV Drip
io: D5W 250.0ml + 4mcgkgmin Levophed-k IV Infusions el: 2 cu: MICU-A cg: -1 ra: 37.0837 ru: ml/hr io: D5W 250.0ml + 8mcgkgmin Levophed-k IV Drips el: 1 cu: MICU-A cg: -1 ra: 37.0837 ru: ml/hr
id: D5W el: 1 cu: MICU-A cg: RN io: D5W 250.0ml + 8mcgkgmin Levophed-k IV Drips vo: 250 du: ml rt: Intravenous Push id: D5W el: 2 cu: MICU-A cg: RN io: D5W 250.0ml + 4mcgkgmin Levophed-k IV Infusions vo: 250 du: ml rt: Intravenous Push
t0: [04:05:00 27/03/2014] id: Compliance (40-60ml) el: 0 cu: MICU-A cg: RRT v1: 28.8462 u1: ml/cmH st: NotStopd t0: [04:05:00 27/03/2014] id: ETT Mark/Location el: 0 cu: MICU-A cg: RRT v1: 23cm v2: Lip st: NotStopd t0: [04:05:00 27/03/2014] id: FiO2 Set el: 0 cu: MICU-A cg: RRT v1: 0.8 u1: torr st: NotStopd t0: [04:05:00 27/03/2014] id: High Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 50 u1: cmH2O st: NotStopd t0: [04:05:00 27/03/2014] id: High Resp. Rate el: 0 cu: MICU-A cg: RRT v1: 30 u1: BPM st: NotStopd t0: [04:05:00 27/03/2014] id: I:E Ratio el: 0 cu: MICU-A cg: RRT v1: 1.6 st: NotStopd t0: [04:05:00 27/03/2014] id: Airway Size el: 0 cu: MICU-A cg: RRT v1: 7.5 mm st: NotStopd t0: [04:05:00 27/03/2014] id: Airway Type el: 0 cu: MICU-A cg: RRT v1: Endotracheal st: NotStopd t0: [04:05:00 27/03/2014] id: Inspired Gas Temp el: 0 cu: MICU-A cg: RRT v1: 34 u1: Deg. C st: NotStopd t0: [04:05:00 27/03/2014] id: Intubation Date el: 0 cu: MICU-A cg: RRT v1: 3 v2: 12 st: NotStopd t0: [04:05:00 27/03/2014] id: Low Exhaled Min Vol el: 0 cu: MICU-A cg: RRT v1: 8 st: NotStopd t0: [04:05:00 27/03/2014] id: Low Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 15 u1: cmH2O st: NotStopd t0: [04:05:00 27/03/2014] id: Mean Airway Pressure el: 0 cu: MICU-A cg: RRT v1: 22.8 u1: cmH2O st: NotStopd t0: [04:05:00 27/03/2014] id: Minute Volume(Obser) el: 0 cu: MICU-A cg: RRT v1: 13.2 u1: L/min st: NotStopd t0: [04:05:00 27/03/2014] id: PEEP Set el: 0 cu: MICU-A cg: RRT v1: 15 u1: cmH2O st: NotStopd t0: [04:05:00 27/03/2014] id: Apnea Time Interval el: 0 cu: MICU-A cg: RRT v1: 20 st: NotStopd t0: [04:05:00 27/03/2014] id: Peak Flow el: 0 cu: MICU-A cg: RRT v1: 75 u1: L/m st: NotStopd t0: [04:05:00 27/03/2014] id: Peak Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 35.8 u1: cmH2O st: NotStopd t0: [04:05:00 27/03/2014] id: Plateau Pressure el: 0 cu: MICU-A cg: RRT v1: 32 u1: cmH2O st: NotStopd t0: [04:05:00 27/03/2014] id: Plateau-Off el: 0 cu: MICU-A cg: RRT v1: Yes st: NotStopd t0: [04:05:00 27/03/2014] id: Pressure Support el: 0 cu: MICU-A cg: RRT v1: 0 u1: . st: NotStopd t0: [04:05:00 27/03/2014] id: Resp Rate (Spont) el: 0 cu: MICU-A cg: RRT v1: 2 u1: BPM st: NotStopd t0: [04:05:00 27/03/2014] id: Resp Rate (Total) el: 0 cu: MICU-A cg: RRT v1: 22 u1: BPM st: NotStopd t0: [04:05:00 27/03/2014] id: Respiratory Rate Set el: 0 cu: MICU-A cg: RRT v1: 20 u1: BPM st: NotStopd t0: [04:05:00 27/03/2014] id: Sensitivity-Vent el: 0 cu: MICU-A cg: RRT v1: 2 u1: cmH2O st: NotStopd t0: [04:05:00 27/03/2014] id: SpO2 el: 0 cu: MICU-A cg: RRT v1: 97 u1: % st: NotStopd t0: [04:05:00 27/03/2014] id: Tidal Volume (Obser) el: 0 cu: MICU-A cg: RRT v1: 610 u1: ml/B st: NotStopd t0: [04:05:00 27/03/2014] id: Tidal Volume (Set) el: 0 cu: MICU-A cg: RRT v1: 600 u1: ml/B st: NotStopd t0: [04:05:00 27/03/2014] id: Ventilator Mode el: 0 cu: MICU-A cg: RRT v1: Assist Control st: NotStopd t0: [04:05:00 27/03/2014] id: Ventilator No. el: 0 cu: MICU-A cg: RRT v1: 6 u1: # st: NotStopd t0: [04:05:00 27/03/2014] id: Ventilator Type el: 0 cu: MICU-A cg: RRT v1: 7200A st: NotStopd t0: [04:05:00 27/03/2014] id: Waveform-Vent el: 0 cu: MICU-A cg: RRT v1: RAMP st: NotStopd
t0: [22:00:00 26/03/2014] id: Less Restrict Meas. el: 0 cu: MICU-A cg: -1 v1: Medicated st: NotStopd t0: [00:00:00 27/03/2014] id: Less Restrict Meas. el: 0 cu: MICU-A cg: -1 v1: Medicated st: NotStopd t0: [00:00:00 27/03/2014] id: Range of Motion el: 0 cu: MICU-A cg: -1 v1: Done st: NotStopd t0: [00:00:00 27/03/2014] id: Circulation/SkinInt el: 0 cu: MICU-A cg: -1 v1: Circulation Adeq st: NotStopd t0: [00:00:00 27/03/2014] id: Position Change el: 0 cu: MICU-A cg: -1 v1: Done st: NotStopd t0: [00:00:00 27/03/2014] id: Reason For Restraint el: 0 cu: MICU-A cg: -1 v1: Ext/TXInterfere st: NotStopd t0: [00:00:00 27/03/2014] id: Removed x 5 Mins el: 0 cu: MICU-A cg: -1 v1: Done st: NotStopd t0: [00:00:00 27/03/2014] id: Restraint Location el: 0 cu: MICU-A cg: -1 v1: Both Arms st: NotStopd t0: [00:00:00 27/03/2014] id: Restraint Type el: 0 cu: MICU-A cg: -1 v1: Soft Limb st: NotStopd t0: [00:00:00 27/03/2014] id: Restraints Evaluated el: 0 cu: MICU-A cg: -1 v1: Behavior Conts st: NotStopd t0: [00:00:00 27/03/2014] id: Side Rails el: 0 cu: MICU-A cg: -1 v1: Side Rails Up st: NotStopd t0: [00:00:00 27/03/2014] id: Support Systems el: 0 cu: MICU-A cg: -1 v1: Spouse st: NotStopd t0: [02:00:00 27/03/2014] id: Less Restrict Meas. el: 0 cu: MICU-A cg: -1 v1: Medicated st: NotStopd t0: [02:00:00 27/03/2014] id: Range of Motion el: 0 cu: MICU-A cg: -1 v1: Done st: NotStopd t0: [02:00:00 27/03/2014] id: Circulation/SkinInt el: 0 cu: MICU-A cg: -1 v1: Circulation Adeq st: NotStopd t0: [02:00:00 27/03/2014] id: HOB el: 0 cu: MICU-A cg: -1 v1: 15 degrees st: NotStopd t0: [02:00:00 27/03/2014] id: Activity el: 0 cu: MICU-A cg: -1 v1: Bedrest st: NotStopd t0: [02:00:00 27/03/2014] id: Position Change el: 0 cu: MICU-A cg: -1 v1: Done st: NotStopd t0: [02:00:00 27/03/2014] id: Reason For Restraint el: 0 cu: MICU-A cg: -1 v1: Ext/TXInterfere st: NotStopd t0: [02:00:00 27/03/2014] id: Removed x 5 Mins el: 0 cu: MICU-A cg: -1 v1: Done st: NotStopd t0: [02:00:00 27/03/2014] id: Restraint Location el: 0 cu: MICU-A cg: -1 v1: Both Arms st: NotStopd t0: [02:00:00 27/03/2014] id: Restraint Type el: 0 cu: MICU-A cg: -1 v1: Soft Limb st: NotStopd t0: [02:00:00 27/03/2014] id: Restraints Evaluated el: 0 cu: MICU-A cg: -1 v1: Behavior Conts st: NotStopd t0: [02:00:00 27/03/2014] id: Side Rails el: 0 cu: MICU-A cg: -1 v1: Side Rails Up st: NotStopd t0: [02:00:00 27/03/2014] id: Support Systems el: 0 cu: MICU-A cg: -1 v1: Spouse st: NotStopd t0: [02:00:00 27/03/2014] id: Turn el: 0 cu: MICU-A cg: -1 v1: Back st: NotStopd t0: [04:00:00 27/03/2014] id: Less Restrict Meas. el: 0 cu: MICU-A cg: -1 v1: Medicated st: NotStopd t0: [04:00:00 27/03/2014] id: Pain Present el: 0 cu: MICU-A cg: -1 v1: Yes st: NotStopd t0: [04:00:00 27/03/2014] id: Range of Motion el: 0 cu: MICU-A cg: -1 v1: Done st: NotStopd t0: [04:00:00 27/03/2014] id: Service Type el: 0 cu: MICU-A cg: -1 v1: MICU st: NotStopd t0: [04:00:00 27/03/2014] id: Circulation/SkinInt el: 0 cu: MICU-A cg: -1 v1: Circulation Adeq st: NotStopd t0: [04:00:00 27/03/2014] id: Code Status el: 0 cu: MICU-A cg: -1 v1: Full Code st: NotStopd t0: [04:00:00 27/03/2014] id: Riker-SAS Scale el: 0 cu: MICU-A cg: -1 v1: Sedated st: NotStopd t0: [04:00:00 27/03/2014] id: Daily Wake Up el: 0 cu: MICU-A cg: -1 v1: No st: NotStopd t0: [04:00:00 27/03/2014] id: GI Prophylaxis el: 0 cu: MICU-A cg: -1 v1: H2 Blocker st: NotStopd t0: [04:00:00 27/03/2014] id: Diet Type el: 0 cu: MICU-A cg: -1 v1: NPO st: NotStopd t0: [04:00:00 27/03/2014] id: Ectopy Type el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [04:00:00 27/03/2014] id: Eye Opening el: 0 cu: MICU-A cg: -1 v1: 2 To pain st: NotStopd t0: [04:00:00 27/03/2014] id: GCS Total el: 0 cu: MICU-A cg: -1 v1: 8 u1: points st: NotStopd t0: [04:00:00 27/03/2014] id: HOB el: 0 cu: MICU-A cg: -1 v1: 15 degrees st: NotStopd t0: [04:00:00 27/03/2014] id: Heart Rate el: 0 cu: MICU-A cg: -1 v1: 94 u1: BPM st: NotStopd t0: [04:00:00 27/03/2014] id: Heart Rhythm el: 0 cu: MICU-A cg: -1 v1: Normal Sinus st: NotStopd t0: [04:00:00 27/03/2014] id: Abdominal Assessment el: 0 cu: MICU-A cg: -1 v1: Soft st: NotStopd t0: [04:00:00 27/03/2014] id: Activity el: 0 cu: MICU-A cg: -1 v1: Bedrest st: NotStopd t0: [04:00:00 27/03/2014] id: Activity Tolerance el: 0 cu: MICU-A cg: -1 v1: Tolerated Well st: NotStopd t0: [04:00:00 27/03/2014] id: LLL Lung Sounds el: 0 cu: MICU-A cg: -1 v1: Coarse st: NotStopd t0: [04:00:00 27/03/2014] id: LUL Lung Sounds el: 0 cu: MICU-A cg: -1 v1: Coarse st: NotStopd t0: [04:00:00 27/03/2014] id: Level of Conscious el: 0 cu: MICU-A cg: -1 v1: Sedated st: NotStopd t0: [04:00:00 27/03/2014] id: Motor Response el: 0 cu: MICU-A cg: -1 v1: 5 Localizes Pain st: NotStopd t0: [04:00:00 27/03/2014] id: Oral Cavity el: 0 cu: MICU-A cg: -1 v1: Teeth/Tissue WNL st: NotStopd t0: [04:00:00 27/03/2014] id: Orientation el: 0 cu: MICU-A cg: -1 v1: Other/Remarks st: NotStopd t0: [04:00:00 27/03/2014] id: PAP Mean el: 0 cu: MICU-A cg: -1 v1: 19 u1: mmHg st: NotStopd t0: [04:00:00 27/03/2014] id: PAP S/D el: 0 cu: MICU-A cg: -1 v1: 21 u1: mmHg v2: 17 u2: mmHg st: NotStopd t0: [04:00:00 27/03/2014] id: Arterial BP el: 0 cu: MICU-A cg: -1 v1: 127 u1: mmHg v2: 71 u2: mmHg st: NotStopd t0: [04:00:00 27/03/2014] id: Arterial BP Mean el: 0 cu: MICU-A cg: -1 v1: 90 u1: mmHg st: NotStopd t0: [04:00:00 27/03/2014] id: Position Change el: 0 cu: MICU-A cg: -1 v1: Done st: NotStopd t0: [04:00:00 27/03/2014] id: Assistance Device el: 0 cu: MICU-A cg: -1 v1: 2 Person Assist st: NotStopd t0: [04:00:00 27/03/2014] id: Precautions el: 0 cu: MICU-A cg: -1 v1: Airborne/Resp st: NotStopd t0: [04:00:00 27/03/2014] id: RLL Lung Sounds el: 0 cu: MICU-A cg: -1 v1: Coarse st: NotStopd t0: [04:00:00 27/03/2014] id: RUL Lung Sounds el: 0 cu: MICU-A cg: -1 v1: Coarse st: NotStopd t0: [04:00:00 27/03/2014] id: Reason For Restraint el: 0 cu: MICU-A cg: -1 v1: Ext/TXInterfere st: NotStopd t0: [04:00:00 27/03/2014] id: Removed x 5 Mins el: 0 cu: MICU-A cg: -1 v1: Done st: NotStopd t0: [04:00:00 27/03/2014] id: Respiratory Pattern el: 0 cu: MICU-A cg: -1 v1: Regular st: NotStopd t0: [04:00:00 27/03/2014] id: Respiratory Rate el: 0 cu: MICU-A cg: -1 v1: 23 u1: BPM st: NotStopd t0: [04:00:00 27/03/2014] id: Restraint Location el: 0 cu: MICU-A cg: -1 v1: Both Arms st: NotStopd t0: [04:00:00 27/03/2014] id: Restraint Type el: 0 cu: MICU-A cg: -1 v1: Soft Limb st: NotStopd t0: [04:00:00 27/03/2014] id: Restraints Evaluated el: 0 cu: MICU-A cg: -1 v1: Behavior Conts st: NotStopd t0: [04:00:00 27/03/2014] id: Side Rails el: 0 cu: MICU-A cg: -1 v1: Side Rails Up st: NotStopd t0: [04:00:00 27/03/2014] id: SpO2 el: 0 cu: MICU-A cg: -1 v1: 97 u1: % st: NotStopd t0: [04:00:00 27/03/2014] id: Support Systems el: 0 cu: MICU-A cg: -1 v1: Spouse st: NotStopd t0: [04:00:00 27/03/2014] id: Turn el: 0 cu: MICU-A cg: -1 v1: Side to Side st: NotStopd t0: [04:00:00 27/03/2014] id: Urine Color/Appear el: 0 cu: MICU-A cg: -1 v1: Yellow v2: Clear st: NotStopd t0: [04:00:00 27/03/2014] id: Urine Source el: 0 cu: MICU-A cg: -1 v1: Indwelling Cath st: NotStopd t0: [04:00:00 27/03/2014] id: Verbal Response el: 0 cu: MICU-A cg: -1 v1: 1.0 ET/Trach st: NotStopd t0: [04:00:00 27/03/2014] id: calprevflg el: 0 cu: MICU-A cg: -1 v1: 1 u1: kg st: NotStopd t0: [04:00:00 27/03/2014] id: Bowel Sounds el: 0 cu: MICU-A cg: -1 v1: Hypoactive st: NotStopd t0: [04:15:00 27/03/2014] id: Service Type el: 0 cu: MICU-A cg: -1 v1: MICU st: NotStopd t0: [04:15:00 27/03/2014] id: Code Status el: 0 cu: MICU-A cg: -1 v1: Full Code st: NotStopd t0: [04:15:00 27/03/2014] id: Heart Rate el: 0 cu: MICU-A cg: -1 v1: 94 u1: BPM st: NotStopd t0: [04:15:00 27/03/2014] id: PAP Mean el: 0 cu: MICU-A cg: -1 v1: 19 u1: mmHg st: NotStopd t0: [04:15:00 27/03/2014] id: PAP S/D el: 0 cu: MICU-A cg: -1 v1: 23 u1: mmHg v2: 17 u2: mmHg st: NotStopd t0: [04:15:00 27/03/2014] id: Arterial BP el: 0 cu: MICU-A cg: -1 v1: 135 u1: mmHg v2: 74 u2: mmHg st: NotStopd t0: [04:15:00 27/03/2014] id: Arterial BP Mean el: 0 cu: MICU-A cg: -1 v1: 94 u1: mmHg st: NotStopd t0: [04:15:00 27/03/2014] id: Precautions el: 0 cu: MICU-A cg: -1 v1: Airborne/Resp st: NotStopd t0: [04:15:00 27/03/2014] id: Respiratory Rate el: 0 cu: MICU-A cg: -1 v1: 23 u1: BPM st: NotStopd t0: [04:15:00 27/03/2014] id: SpO2 el: 0 cu: MICU-A cg: -1 v1: 97 u1: % st: NotStopd t0: [04:15:00 27/03/2014] id: calprevflg el: 0 cu: MICU-A cg: -1 v1: 1 u1: kg st: NotStopd t0: [04:30:00 27/03/2014] id: Service Type el: 0 cu: MICU-A cg: -1 v1: MICU st: NotStopd t0: [04:30:00 27/03/2014] id: Code Status el: 0 cu: MICU-A cg: -1 v1: Full Code st: NotStopd t0: [04:30:00 27/03/2014] id: Heart Rate el: 0 cu: MICU-A cg: -1 v1: 94 u1: BPM st: NotStopd t0: [04:30:00 27/03/2014] id: PAP Mean el: 0 cu: MICU-A cg: -1 v1: 21 u1: mmHg st: NotStopd t0: [04:30:00 27/03/2014] id: PAP S/D el: 0 cu: MICU-A cg: -1 v1: 24 u1: mmHg v2: 19 u2: mmHg st: NotStopd t0: [04:30:00 27/03/2014] id: Arterial BP el: 0 cu: MICU-A cg: -1 v1: 123 u1: mmHg v2: 72 u2: mmHg st: NotStopd t0: [04:30:00 27/03/2014] id: Arterial BP Mean el: 0 cu: MICU-A cg: -1 v1: 89 u1: mmHg st: NotStopd t0: [04:30:00 27/03/2014] id: Precautions el: 0 cu: MICU-A cg: -1 v1: Airborne/Resp st: NotStopd t0: [04:30:00 27/03/2014] id: Respiratory Rate el: 0 cu: MICU-A cg: -1 v1: 24 u1: BPM st: NotStopd t0: [04:30:00 27/03/2014] id: SpO2 el: 0 cu: MICU-A cg: -1 v1: 97 u1: % st: NotStopd t0: [04:30:00 27/03/2014] id: calprevflg el: 0 cu: MICU-A cg: -1 v1: 1 u1: kg st: NotStopd
t0: [04:00:00 27/03/2014] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 500 vu: ml t0: [04:00:00 27/03/2014] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 16.182 vu: ml t0: [04:00:00 27/03/2014] id: D5W 250.0ml + 4mcgkgmin Levophed-k IV Infusions el: 1 cu: MICU-A cg: -1 ai: 189 vo: 74.1675 vu: ml t0: [04:00:00 27/03/2014] id: Urine Out Foley el: 1 cu: MICU-A cg: -1 vo: 90 vu: ml
t0: [04:00:00 27/03/2014] id: Levophed-k el: 1 cu: MICU-A so: D5W vo: 0 v1: 0.22 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [04:00:00 27/03/2014] id: Propofol el: 1 cu: MICU-A so: N/A vo: 0 v1: 30 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [04:15:00 27/03/2014] id: Levophed-k el: 1 cu: MICU-A so: D5W vo: 0 v1: 0.22 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [04:15:00 27/03/2014] id: Propofol el: 1 cu: MICU-A so: N/A vo: 0 v1: 30 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [04:30:00 27/03/2014] id: Levophed-k el: 1 cu: MICU-A so: D5W vo: 0 v1: 0.2 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [04:30:00 27/03/2014] id: Propofol el: 1 cu: MICU-A so: N/A vo: 0 v1: 30 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [04:45:00 27/03/2014] id: Art.pH ABG el: 0 cu: MICU-A cg: 1663 v1: 7.27 rs: Final st: NotStopd t0: [04:45:00 27/03/2014] id: Arterial Base Excess ABG el: 0 cu: MICU-A cg: 1663 v1: -10 rs: Final st: NotStopd t0: [04:45:00 27/03/2014] id: Arterial CO2(Calc) ABG el: 0 cu: MICU-A cg: 1663 v1: 15 rs: Final st: NotStopd t0: [04:45:00 27/03/2014] id: Arterial PaCO2 ABG el: 0 cu: MICU-A cg: 1663 v1: 32 u1: mmHg rs: Final st: NotStopd t0: [04:45:00 27/03/2014] id: Arterial PaO2 ABG el: 0 cu: MICU-A cg: 1663 v1: 104 u1: mmHg rs: Final st: NotStopd t0: [04:45:00 27/03/2014] id: Arterial pH ABG el: 0 cu: MICU-A cg: 1663 v1: 7.27 rs: Final st: NotStopd t0: [04:45:00 27/03/2014] id: SaO2 ABG's el: 0 cu: MICU-A cg: 1663 v1: 97 u1: % rs: Final st: NotStopd
t0: [04:30:00 27/03/2014] id: WBC (4-11,000) Hematology el: 0 cu: MICU-A cg: 1663 v1: 10.5 rs: Final st: NotStopd t0: [04:30:00 27/03/2014] id: Hematocrit Hematology el: 0 cu: MICU-A cg: 1663 v1: 36.3 u1: % rs: Final st: NotStopd t0: [04:30:00 27/03/2014] id: Hemoglobin Hematology el: 0 cu: MICU-A cg: 1663 v1: 12.2 u1: gm/dl rs: Final st: NotStopd t0: [04:30:00 27/03/2014] id: Platelets Hematology el: 0 cu: MICU-A cg: 1663 v1: 276 rs: Final st: NotStopd t0: [04:30:00 27/03/2014] id: RBC Hematology el: 0 cu: MICU-A cg: 1663 v1: 4.17 u1: /mic l rs: Final st: NotStopd t0: [04:30:00 27/03/2014] id: WBC (4-11,000) Hematology el: 0 cu: MICU-A cg: 1663 v1: 10.5 rs: Final st: NotStopd t0: [04:45:00 27/03/2014] id: CaO2 el: 0 cu: MICU-A cg: 1663 v1: 16.18 u1: ml/dl st: NotStopd
t0: [05:00:00 27/03/2014] id: Service Type el: 0 cu: MICU-A cg: -1 v1: MICU st: NotStopd t0: [05:00:00 27/03/2014] id: Code Status el: 0 cu: MICU-A cg: -1 v1: Full Code st: NotStopd t0: [05:00:00 27/03/2014] id: Ectopy Type el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [05:00:00 27/03/2014] id: Heart Rate el: 0 cu: MICU-A cg: -1 v1: 95 u1: BPM st: NotStopd t0: [05:00:00 27/03/2014] id: Heart Rhythm el: 0 cu: MICU-A cg: -1 v1: Normal Sinus st: NotStopd t0: [05:00:00 27/03/2014] id: PAP Mean el: 0 cu: MICU-A cg: -1 v1: 17 u1: mmHg st: NotStopd t0: [05:00:00 27/03/2014] id: PAP S/D el: 0 cu: MICU-A cg: -1 v1: 28 u1: mmHg v2: 13 u2: mmHg st: NotStopd t0: [05:00:00 27/03/2014] id: Arterial BP el: 0 cu: MICU-A cg: -1 v1: 101 u1: mmHg v2: 58 u2: mmHg st: NotStopd t0: [05:00:00 27/03/2014] id: Arterial BP Mean el: 0 cu: MICU-A cg: -1 v1: 73 u1: mmHg st: NotStopd t0: [05:00:00 27/03/2014] id: Precautions el: 0 cu: MICU-A cg: -1 v1: Airborne/Resp st: NotStopd t0: [05:00:00 27/03/2014] id: Respiratory Rate el: 0 cu: MICU-A cg: -1 v1: 25 u1: BPM st: NotStopd t0: [05:00:00 27/03/2014] id: SpO2 el: 0 cu: MICU-A cg: -1 v1: 99 u1: % st: NotStopd t0: [05:00:00 27/03/2014] id: calprevflg el: 0 cu: MICU-A cg: -1 v1: 1 u1: kg st: NotStopd
t0: [05:00:00 27/03/2014] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 500 vu: ml t0: [05:00:00 27/03/2014] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 16.182 vu: ml t0: [05:00:00 27/03/2014] id: D5W 250.0ml + 4mcgkgmin Levophed-k IV Infusions el: 1 cu: MICU-A cg: -1 ai: 189 vo: 61.5253 vu: ml t0: [05:00:00 27/03/2014] id: Stool Out (non-specific) el: 1 cu: MICU-A cg: -1 vu: ml es: Large
t0: [05:00:00 27/03/2014] id: Levophed-k el: 1 cu: MICU-A so: D5W vo: 0 v1: 0.2 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [05:00:00 27/03/2014] id: Propofol el: 1 cu: MICU-A so: N/A vo: 0 v1: 30 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [04:30:00 27/03/2014] id: INR (2-4 ref. range) Coags el: 0 cu: MICU-A cg: 1663 v1: 1.6 rs: Final st: NotStopd t0: [04:30:00 27/03/2014] id: PT(11-13.5) Coags el: 0 cu: MICU-A cg: 1663 v1: 15.6 rs: Final st: NotStopd t0: [04:30:00 27/03/2014] id: PTT(22-35) Coags el: 0 cu: MICU-A cg: 1663 v1: 64.8 rs: Final st: NotStopd
t0: [04:30:00 27/03/2014] id: BUN (6-20) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 24 rs: Final st: NotStopd t0: [04:30:00 27/03/2014] id: CPK Enzymes el: 0 cu: MICU-A cg: 1663 v1: 43 rs: Final st: NotStopd t0: [04:30:00 27/03/2014] id: Calcium (8.4-10.2) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 6 u1: mg/dl rs: Final st: NotStopd t0: [04:30:00 27/03/2014] id: Carbon Dioxide Chemistry el: 0 cu: MICU-A cg: 1663 v1: 15 rs: Final st: NotStopd t0: [04:30:00 27/03/2014] id: Chloride (100-112) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 114 rs: Final st: NotStopd t0: [04:30:00 27/03/2014] id: Creatinine (0-1.3) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 1.2 rs: Final st: NotStopd t0: [04:30:00 27/03/2014] id: Glucose (70-105) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 169 rs: Final st: NotStopd t0: [04:30:00 27/03/2014] id: Magnesium (1.6-2.6) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 1.9 rs: Final st: NotStopd t0: [04:30:00 27/03/2014] id: Phosphorous(2.7-4.5) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 2.4 u1: mEq/L rs: Final st: NotStopd t0: [04:30:00 27/03/2014] id: Potassium (3.5-5.3) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 4.5 rs: Final st: NotStopd t0: [04:30:00 27/03/2014] id: Sodium (135-148) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 139 rs: Final st: NotStopd
t0: [04:30:00 27/03/2014] id: Differential-Bands Hematology el: 0 cu: MICU-A cg: 1663 v1: 60 rs: Final st: NotStopd t0: [04:30:00 27/03/2014] id: Differential-Basos Hematology el: 0 cu: MICU-A cg: 1663 v1: 0 rs: Final st: NotStopd t0: [04:30:00 27/03/2014] id: Differential-Eos Hematology el: 0 cu: MICU-A cg: 1663 v1: 0 rs: Final st: NotStopd t0: [04:30:00 27/03/2014] id: Differential-Lymphs Hematology el: 0 cu: MICU-A cg: 1663 v1: 0 rs: Final st: NotStopd t0: [04:30:00 27/03/2014] id: Differential-Monos Hematology el: 0 cu: MICU-A cg: 1663 v1: 1 rs: Final st: NotStopd t0: [04:30:00 27/03/2014] id: Differential-Polys Hematology el: 0 cu: MICU-A cg: 1663 v1: 19 rs: Final st: NotStopd
t0: [06:00:00 27/03/2014] id: Service Type el: 0 cu: MICU-A cg: -1 v1: MICU st: NotStopd t0: [06:00:00 27/03/2014] id: Code Status el: 0 cu: MICU-A cg: -1 v1: Full Code st: NotStopd t0: [06:00:00 27/03/2014] id: Ectopy Type el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [06:00:00 27/03/2014] id: Heart Rate el: 0 cu: MICU-A cg: -1 v1: 96 u1: BPM st: NotStopd t0: [06:00:00 27/03/2014] id: Heart Rhythm el: 0 cu: MICU-A cg: -1 v1: Normal Sinus st: NotStopd t0: [06:00:00 27/03/2014] id: PAP Mean el: 0 cu: MICU-A cg: -1 v1: 19 u1: mmHg st: NotStopd t0: [06:00:00 27/03/2014] id: PAP S/D el: 0 cu: MICU-A cg: -1 v1: 22 u1: mmHg v2: 17 u2: mmHg st: NotStopd t0: [06:00:00 27/03/2014] id: Arterial BP el: 0 cu: MICU-A cg: -1 v1: 107 u1: mmHg v2: 65 u2: mmHg st: NotStopd t0: [06:00:00 27/03/2014] id: Arterial BP Mean el: 0 cu: MICU-A cg: -1 v1: 80 u1: mmHg st: NotStopd t0: [06:00:00 27/03/2014] id: Precautions el: 0 cu: MICU-A cg: -1 v1: Airborne/Resp st: NotStopd t0: [06:00:00 27/03/2014] id: Respiratory Rate el: 0 cu: MICU-A cg: -1 v1: 25 u1: BPM st: NotStopd t0: [06:00:00 27/03/2014] id: SpO2 el: 0 cu: MICU-A cg: -1 v1: 98 u1: % st: NotStopd t0: [06:00:00 27/03/2014] id: calprevflg el: 0 cu: MICU-A cg: -1 v1: 1 u1: kg st: NotStopd
t0: [06:00:00 27/03/2014] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 500 vu: ml t0: [06:00:00 27/03/2014] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 16.182 vu: ml t0: [06:00:00 27/03/2014] id: D5W 250.0ml + 4mcgkgmin Levophed-k IV Infusions el: 1 cu: MICU-A cg: -1 ai: 189 vo: 33.7125 vu: ml t0: [06:00:00 27/03/2014] id: Urine Out Foley el: 1 cu: MICU-A cg: -1 vo: 110 vu: ml
t0: [06:00:00 27/03/2014] id: Levophed-k el: 1 cu: MICU-A so: D5W vo: 0 v1: 0.2 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [06:00:00 27/03/2014] id: Propofol el: 1 cu: MICU-A so: N/A vo: 0 v1: 40 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [06:30:00 27/03/2014] id: FiO2 Set el: 0 cu: MICU-A cg: RRT v1: 0.7 u1: torr st: NotStopd t0: [06:30:00 27/03/2014] id: I:E Ratio el: 0 cu: MICU-A cg: RRT v1: 1:2 st: NotStopd t0: [06:30:00 27/03/2014] id: Minute Volume(Obser) el: 0 cu: MICU-A cg: RRT v1: 14.2 u1: L/min st: NotStopd t0: [06:30:00 27/03/2014] id: Peak Flow el: 0 cu: MICU-A cg: RRT v1: 75 u1: L/m st: NotStopd t0: [06:30:00 27/03/2014] id: Resp Rate (Spont) el: 0 cu: MICU-A cg: RRT v1: 0 u1: BPM st: NotStopd t0: [06:30:00 27/03/2014] id: Resp Rate (Total) el: 0 cu: MICU-A cg: RRT v1: 22 u1: BPM st: NotStopd t0: [06:30:00 27/03/2014] id: Respiratory Rate Set el: 0 cu: MICU-A cg: RRT v1: 22 u1: BPM st: NotStopd
t0: [07:00:00 27/03/2014] id: Service Type el: 0 cu: MICU-A cg: -1 v1: MICU st: NotStopd t0: [07:00:00 27/03/2014] id: Code Status el: 0 cu: MICU-A cg: -1 v1: Full Code st: NotStopd t0: [07:00:00 27/03/2014] id: Ectopy Type el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [07:00:00 27/03/2014] id: Eye Opening el: 0 cu: MICU-A cg: -1 v1: 1 No Response st: NotStopd t0: [07:00:00 27/03/2014] id: GCS Total el: 0 cu: MICU-A cg: -1 v1: 8 u1: points st: NotStopd t0: [07:00:00 27/03/2014] id: Heart Rate el: 0 cu: MICU-A cg: -1 v1: 94 u1: BPM st: NotStopd t0: [07:00:00 27/03/2014] id: Heart Rhythm el: 0 cu: MICU-A cg: -1 v1: Normal Sinus st: NotStopd t0: [07:00:00 27/03/2014] id: Level of Conscious el: 0 cu: MICU-A cg: -1 v1: Arouse to Voice st: NotStopd t0: [07:00:00 27/03/2014] id: Motor Response el: 0 cu: MICU-A cg: -1 v1: 6 Obeys Commands st: NotStopd t0: [07:00:00 27/03/2014] id: Orientation el: 0 cu: MICU-A cg: -1 v1: Other/Remarks st: NotStopd t0: [07:00:00 27/03/2014] id: PAP Mean el: 0 cu: MICU-A cg: -1 v1: 19 u1: mmHg st: NotStopd t0: [07:00:00 27/03/2014] id: PAP S/D el: 0 cu: MICU-A cg: -1 v1: 22 u1: mmHg v2: 16 u2: mmHg st: NotStopd t0: [07:00:00 27/03/2014] id: Arterial BP el: 0 cu: MICU-A cg: -1 v1: 121 u1: mmHg v2: 69 u2: mmHg st: NotStopd t0: [07:00:00 27/03/2014] id: Arterial BP Mean el: 0 cu: MICU-A cg: -1 v1: 88 u1: mmHg st: NotStopd t0: [07:00:00 27/03/2014] id: Precautions el: 0 cu: MICU-A cg: -1 v1: Airborne/Resp st: NotStopd t0: [07:00:00 27/03/2014] id: Respiratory Rate el: 0 cu: MICU-A cg: -1 v1: 22 u1: BPM st: NotStopd t0: [07:00:00 27/03/2014] id: SpO2 el: 0 cu: MICU-A cg: -1 v1: 100 u1: % st: NotStopd t0: [07:00:00 27/03/2014] id: Temp. Site el: 0 cu: MICU-A cg: -1 v1: Oral st: NotStopd t0: [07:00:00 27/03/2014] id: Temperature C (calc) el: 0 cu: MICU-A cg: -1 v1: 38.2222 u1: Deg. C st: NotStopd t0: [07:00:00 27/03/2014] id: Temperature F el: 0 cu: MICU-A cg: -1 v1: 100.8 u1: Deg. F st: NotStopd t0: [07:00:00 27/03/2014] id: Verbal Response el: 0 cu: MICU-A cg: -1 v1: 1.0 ET/Trach st: NotStopd t0: [07:00:00 27/03/2014] id: calprevflg el: 0 cu: MICU-A cg: -1 v1: 1 u1: kg st: NotStopd t0: [08:00:00 27/03/2014] id: Less Restrict Meas. el: 0 cu: MICU-A cg: -1 v1: Medicated st: NotStopd t0: [08:00:00 27/03/2014] id: Pain Level el: 0 cu: MICU-A cg: -1 v1: Unable to score st: NotStopd t0: [08:00:00 27/03/2014] id: Pain Level/Response el: 0 cu: MICU-A cg: -1 v1: Unable to score st: NotStopd t0: [08:00:00 27/03/2014] id: Pain Present el: 0 cu: MICU-A cg: -1 v1: Yes st: NotStopd t0: [08:00:00 27/03/2014] id: Range of Motion el: 0 cu: MICU-A cg: -1 v1: Done st: NotStopd t0: [08:00:00 27/03/2014] id: bath el: 0 cu: MICU-A cg: -1 v1: done t0: [08:00:00 27/03/2014] id: Pain Assess Method el: 0 cu: MICU-A cg: -1 v1: Non-verbal cues st: NotStopd t0: [08:00:00 27/03/2014] id: PainLevel Acceptable el: 0 cu: MICU-A cg: -1 v1: No st: NotStopd t0: [08:00:00 27/03/2014] id: Service Type el: 0 cu: MICU-A cg: -1 v1: MICU st: NotStopd t0: [08:00:00 27/03/2014] id: Circulation/SkinInt el: 0 cu: MICU-A cg: -1 v1: Circulation Adeq st: NotStopd t0: [08:00:00 27/03/2014] id: Code Status el: 0 cu: MICU-A cg: -1 v1: Full Code st: NotStopd t0: [08:00:00 27/03/2014] id: Riker-SAS Scale el: 0 cu: MICU-A cg: -1 v1: Sedated st: NotStopd t0: [08:00:00 27/03/2014] id: Daily Wake Up el: 0 cu: MICU-A cg: -1 v1: No st: NotStopd t0: [08:00:00 27/03/2014] id: GI Prophylaxis el: 0 cu: MICU-A cg: -1 v1: H2 Blocker st: NotStopd t0: [08:00:00 27/03/2014] id: Diet Type el: 0 cu: MICU-A cg: -1 v1: NPO st: NotStopd t0: [08:00:00 27/03/2014] id: Dorsal PedPulse R/L el: 0 cu: MICU-A cg: -1 v1: Diff to Palpate v2: Diff to Palpate st: NotStopd t0: [08:00:00 27/03/2014] id: Ectopy Type el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [08:00:00 27/03/2014] id: Eye Care el: 0 cu: MICU-A cg: -1 v1: Done st: NotStopd t0: [08:00:00 27/03/2014] id: Eye Opening el: 0 cu: MICU-A cg: -1 v1: 1 No Response st: NotStopd t0: [08:00:00 27/03/2014] id: GCS Total el: 0 cu: MICU-A cg: -1 v1: 6 u1: points st: NotStopd t0: [08:00:00 27/03/2014] id: HOB el: 0 cu: MICU-A cg: -1 v1: 30 degrees st: NotStopd t0: [08:00:00 27/03/2014] id: Heart Rate el: 0 cu: MICU-A cg: -1 v1: 92 u1: BPM st: NotStopd t0: [08:00:00 27/03/2014] id: Heart Rhythm el: 0 cu: MICU-A cg: -1 v1: Normal Sinus st: NotStopd t0: [08:00:00 27/03/2014] id: Activity el: 0 cu: MICU-A cg: -1 v1: Bedrest st: NotStopd t0: [08:00:00 27/03/2014] id: Activity Tolerance el: 0 cu: MICU-A cg: -1 v1: Good st: NotStopd t0: [08:00:00 27/03/2014] id: LLL Lung Sounds el: 0 cu: MICU-A cg: -1 v1: Coarse st: NotStopd t0: [08:00:00 27/03/2014] id: LUL Lung Sounds el: 0 cu: MICU-A cg: -1 v1: Coarse st: NotStopd t0: [08:00:00 27/03/2014] id: Level of Conscious el: 0 cu: MICU-A cg: -1 v1: Sedated st: NotStopd t0: [08:00:00 27/03/2014] id: Motor Response el: 0 cu: MICU-A cg: -1 v1: 4 Flex-withdraws st: NotStopd t0: [08:00:00 27/03/2014] id: Oral Care el: 0 cu: MICU-A cg: -1 v1: Done st: NotStopd t0: [08:00:00 27/03/2014] id: Oral Cavity el: 0 cu: MICU-A cg: -1 v1: Teeth/Tissue WNL st: NotStopd t0: [08:00:00 27/03/2014] id: Orientation el: 0 cu: MICU-A cg: -1 v1: Other/Remarks st: NotStopd t0: [08:00:00 27/03/2014] id: PAP Mean el: 0 cu: MICU-A cg: -1 v1: 18 u1: mmHg st: NotStopd t0: [08:00:00 27/03/2014] id: PAP S/D el: 0 cu: MICU-A cg: -1 v1: 20 u1: mmHg v2: 16 u2: mmHg st: NotStopd t0: [08:00:00 27/03/2014] id: AntiEmbDevice/Status el: 0 cu: MICU-A cg: -1 v1: Compress Sleeves v2: On st: NotStopd t0: [08:00:00 27/03/2014] id: Arterial BP el: 0 cu: MICU-A cg: -1 v1: 124 u1: mmHg v2: 70 u2: mmHg st: NotStopd t0: [08:00:00 27/03/2014] id: Pain Level (Rest) el: 0 cu: MICU-A cg: -1 v1: Unable to score st: NotStopd t0: [08:00:00 27/03/2014] id: Pain Location el: 0 cu: MICU-A cg: -1 v1: Abdominal st: NotStopd t0: [08:00:00 27/03/2014] id: Pain Type el: 0 cu: MICU-A cg: -1 v1: Other/Remarks st: NotStopd t0: [08:00:00 27/03/2014] id: Arterial BP Mean el: 0 cu: MICU-A cg: -1 v1: 89 u1: mmHg st: NotStopd t0: [08:00:00 27/03/2014] id: Position el: 0 cu: MICU-A cg: -1 v1: Supine st: NotStopd t0: [08:00:00 27/03/2014] id: Position Change el: 0 cu: MICU-A cg: -1 v1: Done st: NotStopd t0: [08:00:00 27/03/2014] id: PostTib. Pulses R/L el: 0 cu: MICU-A cg: -1 v1: Diff to Palpate v2: Diff to Palpate st: NotStopd t0: [08:00:00 27/03/2014] id: Assistance Device el: 0 cu: MICU-A cg: -1 v1: 2 Person Assist st: NotStopd t0: [08:00:00 27/03/2014] id: Precautions el: 0 cu: MICU-A cg: -1 v1: Airborne/Resp st: NotStopd t0: [08:00:00 27/03/2014] id: RLL Lung Sounds el: 0 cu: MICU-A cg: -1 v1: Clear st: NotStopd t0: [08:00:00 27/03/2014] id: RUL Lung Sounds el: 0 cu: MICU-A cg: -1 v1: Clear st: NotStopd t0: [08:00:00 27/03/2014] id: Reason For Restraint el: 0 cu: MICU-A cg: -1 v1: Ext/TXInterfere st: NotStopd t0: [08:00:00 27/03/2014] id: Removed x 5 Mins el: 0 cu: MICU-A cg: -1 v1: Done st: NotStopd t0: [08:00:00 27/03/2014] id: Respiratory Pattern el: 0 cu: MICU-A cg: -1 v1: Regular st: NotStopd t0: [08:00:00 27/03/2014] id: Respiratory Rate el: 0 cu: MICU-A cg: -1 v1: 20 u1: BPM st: NotStopd t0: [08:00:00 27/03/2014] id: Restraint Location el: 0 cu: MICU-A cg: -1 v1: Both Arms st: NotStopd t0: [08:00:00 27/03/2014] id: Restraint Type el: 0 cu: MICU-A cg: -1 v1: Soft Limb st: NotStopd t0: [08:00:00 27/03/2014] id: Restraints Evaluated el: 0 cu: MICU-A cg: -1 v1: RestraintReapply st: NotStopd t0: [08:00:00 27/03/2014] id: Side Rails el: 0 cu: MICU-A cg: -1 v1: Side Rails Up st: NotStopd t0: [08:00:00 27/03/2014] id: Skin Care el: 0 cu: MICU-A cg: -1 v1: Done st: NotStopd t0: [08:00:00 27/03/2014] id: Skin Color el: 0 cu: MICU-A cg: -1 v1: Normal for Race st: NotStopd t0: [08:00:00 27/03/2014] id: Skin Integrity el: 0 cu: MICU-A cg: -1 v1: Intact st: NotStopd t0: [08:00:00 27/03/2014] id: SpO2 el: 0 cu: MICU-A cg: -1 v1: 100 u1: % st: NotStopd t0: [08:00:00 27/03/2014] id: Support Systems el: 0 cu: MICU-A cg: -1 v1: Spouse st: NotStopd t0: [08:00:00 27/03/2014] id: Turn el: 0 cu: MICU-A cg: -1 v1: Side to Side st: NotStopd t0: [08:00:00 27/03/2014] id: Urine Color/Appear el: 0 cu: MICU-A cg: -1 v1: Yellow v2: Clear st: NotStopd t0: [08:00:00 27/03/2014] id: Urine Source el: 0 cu: MICU-A cg: -1 v1: Indwelling Cath st: NotStopd t0: [08:00:00 27/03/2014] id: Verbal Response el: 0 cu: MICU-A cg: -1 v1: 1.0 ET/Trach st: NotStopd t0: [08:00:00 27/03/2014] id: Back Care el: 0 cu: MICU-A cg: -1 v1: Done st: NotStopd t0: [08:00:00 27/03/2014] id: calprevflg el: 0 cu: MICU-A cg: -1 v1: 1 u1: kg st: NotStopd t0: [08:00:00 27/03/2014] id: Behavior el: 0 cu: MICU-A cg: -1 v1: Sedated st: NotStopd t0: [08:00:00 27/03/2014] id: Braden Activity el: 0 cu: MICU-A cg: -1 v1: Bedfast st: NotStopd t0: [08:00:00 27/03/2014] id: Braden Frict/Shear el: 0 cu: MICU-A cg: -1 v1: Potential Prob st: NotStopd t0: [08:00:00 27/03/2014] id: Braden Mobility el: 0 cu: MICU-A cg: -1 v1: Very Limited st: NotStopd t0: [08:00:00 27/03/2014] id: Braden Moisture el: 0 cu: MICU-A cg: -1 v1: Occ. Moist st: NotStopd t0: [08:00:00 27/03/2014] id: Braden Nutrition el: 0 cu: MICU-A cg: -1 v1: Very Poor st: NotStopd t0: [08:00:00 27/03/2014] id: Braden Score el: 0 cu: MICU-A cg: -1 v1: 11 u1: number st: NotStopd t0: [08:00:00 27/03/2014] id: Braden SensoryPercep el: 0 cu: MICU-A cg: -1 v1: Very Limited st: NotStopd
t0: [07:00:00 27/03/2014] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 500 vu: ml t0: [07:00:00 27/03/2014] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 21.576 vu: ml t0: [07:00:00 27/03/2014] id: D5W 250.0ml + 4mcgkgmin Levophed-k IV Infusions el: 1 cu: MICU-A cg: -1 ai: 189 vo: 33.7125 vu: ml t0: [07:00:00 27/03/2014] id: Urine Out Foley el: 1 cu: MICU-A cg: -1 vo: 90 vu: ml t0: [08:00:00 27/03/2014] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 200 vu: ml t0: [08:00:00 27/03/2014] id: D5W 250.0ml + 4mcgkgmin Levophed-k IV Infusions el: 1 cu: MICU-A cg: -1 ai: 189 vo: 33.7125 vu: ml
t0: [07:00:00 27/03/2014] id: Levophed-k el: 1 cu: MICU-A so: D5W vo: 0 v1: 0.2 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [07:00:00 27/03/2014] id: Propofol el: 1 cu: MICU-A so: N/A vo: 0 v1: 50 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [08:00:00 27/03/2014] id: Levophed-k el: 1 cu: MICU-A so: D5W vo: 0 v1: 0.2 du: mcgkgmin sv: 250 su: ml rt: IV Drip
t0: [08:22:00 27/03/2014] id: Art.pH ABG el: 0 cu: MICU-A cg: 1663 v1: 7.32 rs: Final st: NotStopd t0: [08:22:00 27/03/2014] id: Arterial Base Excess ABG el: 0 cu: MICU-A cg: 1663 v1: -10 rs: Final st: NotStopd t0: [08:22:00 27/03/2014] id: Arterial CO2(Calc) ABG el: 0 cu: MICU-A cg: 1663 v1: 14 rs: Final st: NotStopd t0: [08:22:00 27/03/2014] id: Arterial PaCO2 ABG el: 0 cu: MICU-A cg: 1663 v1: 26 u1: mmHg rs: Final st: NotStopd t0: [08:22:00 27/03/2014] id: Arterial PaO2 ABG el: 0 cu: MICU-A cg: 1663 v1: 193 u1: mmHg rs: Final st: NotStopd t0: [08:22:00 27/03/2014] id: Arterial pH ABG el: 0 cu: MICU-A cg: 1663 v1: 7.32 rs: Final st: NotStopd
t0: [07:00:00 27/03/2014] id: Cardiac Index el: 0 cu: MICU-A cg: -1 u1: ... st: NotStopd t0: [07:00:00 27/03/2014] id: LCW el: 0 cu: MICU-A cg: -1 u1: kg x m st: NotStopd t0: [07:00:00 27/03/2014] id: LCWI el: 0 cu: MICU-A cg: -1 u1: ... st: NotStopd t0: [07:00:00 27/03/2014] id: LVSW el: 0 cu: MICU-A cg: -1 u1: g * m st: NotStopd t0: [07:00:00 27/03/2014] id: LVSWI el: 0 cu: MICU-A cg: -1 u1: g*m/m2 st: NotStopd t0: [07:00:00 27/03/2014] id: RCW el: 0 cu: MICU-A cg: -1 u1: kg * m st: NotStopd t0: [07:00:00 27/03/2014] id: RCWI el: 0 cu: MICU-A cg: -1 u1: ... st: NotStopd t0: [07:00:00 27/03/2014] id: RVSW el: 0 cu: MICU-A cg: -1 u1: g * m st: NotStopd t0: [07:00:00 27/03/2014] id: RVSWI el: 0 cu: MICU-A cg: -1 u1: g*m/m2 st: NotStopd t0: [07:00:00 27/03/2014] id: SVI el: 0 cu: MICU-A cg: -1 u1: ... st: NotStopd t0: [07:00:00 27/03/2014] id: Stroke Volume el: 0 cu: MICU-A cg: -1 u1: ml st: NotStopd t0: [07:00:00 27/03/2014] id: C.O.(thermodilution) el: 0 cu: MICU-A cg: -1 u1: L/min st: NotStopd t0: [08:00:00 27/03/2014] id: PCWP el: 0 cu: MICU-A cg: -1 v1: 19 u1: mmHg st: NotStopd
t0: [08:00:00 27/03/2014] id: Urine Out Foley el: 1 cu: MICU-A cg: -1 vo: 60 vu: ml
t0: [09:20:00 27/03/2014] id: Compliance (40-60ml) el: 0 cu: MICU-A cg: -1 v1: 22.2222 u1: ml/cmH st: NotStopd t0: [09:20:00 27/03/2014] id: ETT Mark/Location el: 0 cu: MICU-A cg: -1 v1: 23cm v2: Lip st: NotStopd t0: [09:20:00 27/03/2014] id: FiO2 Set el: 0 cu: MICU-A cg: -1 v1: 0.7 u1: torr st: NotStopd t0: [09:20:00 27/03/2014] id: High Insp. Pressure el: 0 cu: MICU-A cg: -1 v1: 50 u1: cmH2O st: NotStopd t0: [09:20:00 27/03/2014] id: High Resp. Rate el: 0 cu: MICU-A cg: -1 v1: 30 u1: BPM st: NotStopd t0: [09:20:00 27/03/2014] id: I:E Ratio el: 0 cu: MICU-A cg: -1 v1: 1:3.1 st: NotStopd t0: [09:20:00 27/03/2014] id: Airway Size el: 0 cu: MICU-A cg: -1 v1: 7.5 mm st: NotStopd t0: [09:20:00 27/03/2014] id: Airway Type el: 0 cu: MICU-A cg: -1 v1: Endotracheal st: NotStopd t0: [09:20:00 27/03/2014] id: Inspired Gas Temp el: 0 cu: MICU-A cg: -1 v1: 34.5 u1: Deg. C st: NotStopd t0: [09:20:00 27/03/2014] id: Intubation Date el: 0 cu: MICU-A cg: -1 v1: 3 v2: 12 st: NotStopd t0: [09:20:00 27/03/2014] id: Low Exhaled Min Vol el: 0 cu: MICU-A cg: -1 v1: 8 st: NotStopd t0: [09:20:00 27/03/2014] id: Low Insp. Pressure el: 0 cu: MICU-A cg: -1 v1: 15 u1: cmH2O st: NotStopd t0: [09:20:00 27/03/2014] id: Mean Airway Pressure el: 0 cu: MICU-A cg: -1 v1: 21.2 u1: cmH2O st: NotStopd t0: [09:20:00 27/03/2014] id: Minute Volume(Obser) el: 0 cu: MICU-A cg: -1 v1: 13.7 u1: L/min st: NotStopd t0: [09:20:00 27/03/2014] id: PEEP Set el: 0 cu: MICU-A cg: -1 v1: 15 u1: cmH2O st: NotStopd t0: [09:20:00 27/03/2014] id: Apnea Time Interval el: 0 cu: MICU-A cg: -1 v1: 20 st: NotStopd t0: [09:20:00 27/03/2014] id: Peak Flow el: 0 cu: MICU-A cg: -1 v1: 55 u1: L/m st: NotStopd t0: [09:20:00 27/03/2014] id: Peak Insp. Pressure el: 0 cu: MICU-A cg: -1 v1: 42 u1: cmH2O st: NotStopd t0: [09:20:00 27/03/2014] id: Plateau Pressure el: 0 cu: MICU-A cg: -1 v1: 32 u1: cmH2O st: NotStopd t0: [09:20:00 27/03/2014] id: Plateau-Off el: 0 cu: MICU-A cg: -1 v1: Yes st: NotStopd t0: [09:20:00 27/03/2014] id: Pressure Support el: 0 cu: MICU-A cg: -1 v1: 0 u1: . st: NotStopd t0: [09:20:00 27/03/2014] id: Resp Rate (Spont) el: 0 cu: MICU-A cg: -1 v1: 0 u1: BPM st: NotStopd t0: [09:20:00 27/03/2014] id: Resp Rate (Total) el: 0 cu: MICU-A cg: -1 v1: 22 u1: BPM st: NotStopd t0: [09:20:00 27/03/2014] id: Respiratory Rate Set el: 0 cu: MICU-A cg: -1 v1: 22 u1: BPM st: NotStopd t0: [09:20:00 27/03/2014] id: Sensitivity-Vent el: 0 cu: MICU-A cg: -1 v1: 2 u1: cmH2O st: NotStopd t0: [09:20:00 27/03/2014] id: SpO2 el: 0 cu: MICU-A cg: -1 v1: 100 u1: % st: NotStopd t0: [09:20:00 27/03/2014] id: Tidal Volume (Obser) el: 0 cu: MICU-A cg: -1 v1: 620 u1: ml/B st: NotStopd t0: [09:20:00 27/03/2014] id: Tidal Volume (Set) el: 0 cu: MICU-A cg: -1 v1: 600 u1: ml/B st: NotStopd t0: [09:20:00 27/03/2014] id: Ventilator Mode el: 0 cu: MICU-A cg: -1 v1: Assist Control st: NotStopd t0: [09:20:00 27/03/2014] id: Ventilator No. el: 0 cu: MICU-A cg: -1 v1: 6 u1: # st: NotStopd t0: [09:20:00 27/03/2014] id: Ventilator Type el: 0 cu: MICU-A cg: -1 v1: 7200A st: NotStopd t0: [09:20:00 27/03/2014] id: Waveform-Vent el: 0 cu: MICU-A cg: -1 v1: SQUARE st: NotStopd
t0: [08:00:00 27/03/2014] id: INV Line#1 Type/Site el: 0 cu: MICU-A cg: -1 v1: Multi-lumen v2: Right Femoral st: NotStopd t0: [08:00:00 27/03/2014] id: INV Line#1InsertDate el: 0 cu: MICU-A cg: -1 v1: 3 v2: 12 st: NotStopd t0: [08:00:00 27/03/2014] id: INV Line#1SiteAppear el: 0 cu: MICU-A cg: -1 v1: WNL st: NotStopd t0: [08:00:00 27/03/2014] id: INV Line#2 Type/Site el: 0 cu: MICU-A cg: -1 v1: A-Line v2: Right Radial st: NotStopd t0: [08:00:00 27/03/2014] id: INV Line#2 Zero/Cal el: 0 cu: MICU-A cg: -1 v1: Yes st: NotStopd t0: [08:00:00 27/03/2014] id: INV Line#2InsertDate el: 0 cu: MICU-A cg: -1 v1: 3 v2: 12 st: NotStopd t0: [08:00:00 27/03/2014] id: INV Line#3 Type/Site el: 0 cu: MICU-A cg: -1 v1: PA line v2: Right IJ st: NotStopd t0: [08:00:00 27/03/2014] id: INV Line#3InsertDate el: 0 cu: MICU-A cg: -1 v1: 3 v2: 12 st: NotStopd t0: [08:00:00 27/03/2014] id: INV Line#3SiteAppear el: 0 cu: MICU-A cg: -1 v1: WNL st: NotStopd t0: [08:00:00 27/03/2014] id: INV#2 WaveformAppear el: 0 cu: MICU-A cg: -1 v1: Sharp st: NotStopd t0: [08:00:00 27/03/2014] id: INV#3 WaveformAppear el: 0 cu: MICU-A cg: -1 v1: Sharp st: NotStopd t0: [09:00:00 27/03/2014] id: Service Type el: 0 cu: MICU-A cg: -1 v1: MICU st: NotStopd t0: [09:00:00 27/03/2014] id: CVP el: 0 cu: MICU-A cg: -1 v1: 10 u1: mmHg st: NotStopd t0: [09:00:00 27/03/2014] id: Code Status el: 0 cu: MICU-A cg: -1 v1: Full Code st: NotStopd t0: [09:00:00 27/03/2014] id: Ectopy Type el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [09:00:00 27/03/2014] id: Heart Rate el: 0 cu: MICU-A cg: -1 v1: 91 u1: BPM st: NotStopd t0: [09:00:00 27/03/2014] id: Heart Rhythm el: 0 cu: MICU-A cg: -1 v1: Normal Sinus st: NotStopd t0: [09:00:00 27/03/2014] id: PAP Mean el: 0 cu: MICU-A cg: -1 v1: 40 u1: mmHg st: NotStopd t0: [09:00:00 27/03/2014] id: PAP S/D el: 0 cu: MICU-A cg: -1 v1: 57 u1: mmHg v2: 30 u2: mmHg st: NotStopd t0: [09:00:00 27/03/2014] id: Arterial BP el: 0 cu: MICU-A cg: -1 v1: 122 u1: mmHg v2: 66 u2: mmHg st: NotStopd t0: [09:00:00 27/03/2014] id: Arterial BP Mean el: 0 cu: MICU-A cg: -1 v1: 86 u1: mmHg st: NotStopd t0: [09:00:00 27/03/2014] id: Precautions el: 0 cu: MICU-A cg: -1 v1: Airborne/Resp st: NotStopd t0: [09:00:00 27/03/2014] id: Respiratory Rate el: 0 cu: MICU-A cg: -1 v1: 26 u1: BPM st: NotStopd t0: [09:00:00 27/03/2014] id: SpO2 el: 0 cu: MICU-A cg: -1 v1: 100 u1: % st: NotStopd t0: [09:00:00 27/03/2014] id: calprevflg el: 0 cu: MICU-A cg: -1 v1: 1 u1: kg st: NotStopd
t0: [08:00:00 27/03/2014] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 32.4 vu: ml t0: [09:00:00 27/03/2014] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 200 vu: ml t0: [09:00:00 27/03/2014] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 32.364 vu: ml t0: [09:00:00 27/03/2014] id: D5W 250.0ml + 4mcgkgmin Levophed-k IV Infusions el: 1 cu: MICU-A cg: -1 ai: 189 vo: 33.7125 vu: ml t0: [09:00:00 27/03/2014] id: Urine Out Foley el: 1 cu: MICU-A cg: -1 vo: 70 vu: ml
t0: [08:00:00 27/03/2014] id: Propofol el: 1 cu: MICU-A so: N/A vo: 0 v1: 60 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [09:00:00 27/03/2014] id: Levophed-k el: 1 cu: MICU-A so: D5W vo: 0 v1: 0.2 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [09:00:00 27/03/2014] id: Propofol el: 1 cu: MICU-A so: N/A vo: 0 v1: 60 du: mcgkgmin sv: 50 su: vl rt: IV Drip
tf: [11:00:00 27/03/2014] pt: IV Piggyback rt: IV fr: Q24H fs: 10 dn: 1 m1: Vancomycin HCl f1: INJ v1: 1000 u1: mg m2: Iso-Osmotic Dextrose f2: INJ v2: 200 u2: ml tf: [16:00:00 27/03/2014] pt: Unit Dose rt: IV fr: Q8H fs: 10, 18, 2 dn: 3 m1: Dexamethasone f1: INJ v1: 2 u1: mg tf: [10:00:00 29/03/2014] pt: Unit Dose rt: SC fr: ASDIR m1: Insulin f1: INJ v1: 0 u1: UNIT tf: [08:00:00 31/03/2014] pt: IV Piggyback rt: IV DRIP fr: TITRATE TO m1: Lorazepam f1: INJ v1: 60 u1: mg m2: D5W f2: INJ v2: 60 u2: ml tf: [11:00:00 03/04/2014] pt: IV Piggyback rt: IV DRIP fr: INFUSION m1: Fentanyl Citrate f1: INJ v1: 2500 u1: mcg m2: D5W f2: INJ v2: 250 u2: ml
t0: [10:00:00 27/03/2014] id: Service Type el: 0 cu: MICU-A cg: -1 v1: MICU st: NotStopd t0: [10:00:00 27/03/2014] id: CVP el: 0 cu: MICU-A cg: -1 v1: 11 u1: mmHg st: NotStopd t0: [10:00:00 27/03/2014] id: Code Status el: 0 cu: MICU-A cg: -1 v1: Full Code st: NotStopd t0: [10:00:00 27/03/2014] id: Ectopy Type el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [10:00:00 27/03/2014] id: Heart Rate el: 0 cu: MICU-A cg: -1 v1: 92 u1: BPM st: NotStopd t0: [10:00:00 27/03/2014] id: Heart Rhythm el: 0 cu: MICU-A cg: -1 v1: Normal Sinus st: NotStopd t0: [10:00:00 27/03/2014] id: PAP Mean el: 0 cu: MICU-A cg: -1 v1: 43 u1: mmHg st: NotStopd t0: [10:00:00 27/03/2014] id: PAP S/D el: 0 cu: MICU-A cg: -1 v1: 64 u1: mmHg v2: 33 u2: mmHg st: NotStopd t0: [10:00:00 27/03/2014] id: Arterial BP el: 0 cu: MICU-A cg: -1 v1: 127 u1: mmHg v2: 67 u2: mmHg st: NotStopd t0: [10:00:00 27/03/2014] id: Arterial BP Mean el: 0 cu: MICU-A cg: -1 v1: 88 u1: mmHg st: NotStopd t0: [10:00:00 27/03/2014] id: Precautions el: 0 cu: MICU-A cg: -1 v1: Airborne/Resp st: NotStopd t0: [10:00:00 27/03/2014] id: Respiratory Rate el: 0 cu: MICU-A cg: -1 v1: 22 u1: BPM st: NotStopd t0: [10:00:00 27/03/2014] id: SpO2 el: 0 cu: MICU-A cg: -1 v1: 100 u1: % st: NotStopd t0: [10:00:00 27/03/2014] id: calprevflg el: 0 cu: MICU-A cg: -1 v1: 1 u1: kg st: NotStopd
t0: [10:00:00 27/03/2014] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 200 vu: ml t0: [10:00:00 27/03/2014] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 32.364 vu: ml t0: [10:00:00 27/03/2014] id: D5W 250.0ml + 4mcgkgmin Levophed-k IV Infusions el: 1 cu: MICU-A cg: -1 ai: 189 vo: 33.7125 vu: ml t0: [10:00:00 27/03/2014] id: Urine Out Foley el: 1 cu: MICU-A cg: -1 vo: 60 vu: ml
t0: [10:00:00 27/03/2014] id: Propofol el: 1 cu: MICU-A so: N/A vo: 0 v1: 80 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [04:30:00 27/03/2014] id: LDH Enzymes el: 0 cu: MICU-A cg: 1663 v1: 284 rs: Final st: NotStopd
id: Fentanyl el: 100 cu: MICU-A cg: -1 io: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions am: 2500 du: mcghr rt: IV Drip id: Ativan el: 100 cu: MICU-A cg: -1 io: D5W 200.0ml + 20mghr Ativan IV Infusions am: 20 du: mghr rt: IV Drip
t0: [11:00:00 27/03/2014] id: PAP Mean el: 0 cu: MICU-A cg: -1 st: D/C'd t0: [11:00:00 27/03/2014] id: PAP S/D el: 0 cu: MICU-A cg: -1 st: D/C'd t0: [11:00:00 27/03/2014] id: PCWP el: 0 cu: MICU-A cg: -1 st: D/C'd t0: [11:00:00 27/03/2014] id: SVR el: 0 cu: MICU-A cg: -1 st: D/C'd t0: [11:00:00 27/03/2014] id: C.O.(thermodilution) el: 0 cu: MICU-A cg: -1 st: D/C'd
io: D5W 200.0ml + 20mghr Ativan IV Infusions el: 1 cu: MICU-A cg: -1 ra: 20 ru: ml/hr io: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU-A cg: -1 ra: 5 ru: ml/hr
t0: [11:00:00 27/03/2014] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 0 st: D/C'd
tf: [10:00:00 28/03/2014] pt: IV Piggyback rt: IV fr: ONCE fs: 11 dn: 1 m1: Calcium Gluconate f1: INJ v1: 3 u1: gm m2: NS f2: INJ v2: 250 u2: ml
id: D5W el: 1 cu: MICU-A cg: -1 io: D5W 200.0ml + 20mghr Ativan IV Infusions vo: 200 du: ml rt: Intravenous Push id: .9% Normal Saline el: 1 cu: MICU-A cg: -1 io: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions vo: 250 du: ml rt: Intravenous Push
t0: [04:30:00 27/03/2014] id: Fibrinogen (150-400) Coags el: 0 cu: MICU-A cg: 1663 v1: 666 rs: Final st: NotStopd
t0: [11:00:00 27/03/2014] id: Service Type el: 0 cu: MICU-A cg: -1 v1: MICU st: NotStopd t0: [11:00:00 27/03/2014] id: CVP el: 0 cu: MICU-A cg: -1 v1: 12 u1: mmHg st: NotStopd t0: [11:00:00 27/03/2014] id: Code Status el: 0 cu: MICU-A cg: -1 v1: Full Code st: NotStopd t0: [11:00:00 27/03/2014] id: Riker-SAS Scale el: 0 cu: MICU-A cg: -1 v1: Sedated st: NotStopd t0: [11:00:00 27/03/2014] id: Ectopy Type el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [11:00:00 27/03/2014] id: Heart Rate el: 0 cu: MICU-A cg: -1 v1: 93 u1: BPM st: NotStopd t0: [11:00:00 27/03/2014] id: Heart Rhythm el: 0 cu: MICU-A cg: -1 v1: Normal Sinus st: NotStopd t0: [11:00:00 27/03/2014] id: Arterial BP el: 0 cu: MICU-A cg: -1 v1: 102 u1: mmHg v2: 55 u2: mmHg st: NotStopd t0: [11:00:00 27/03/2014] id: Arterial BP Mean el: 0 cu: MICU-A cg: -1 v1: 72 u1: mmHg st: NotStopd t0: [11:00:00 27/03/2014] id: Precautions el: 0 cu: MICU-A cg: -1 v1: Airborne/Resp st: NotStopd t0: [11:00:00 27/03/2014] id: Procedures el: 0 cu: MICU-A cg: -1 v1: Sheath D/C st: NotStopd t0: [11:00:00 27/03/2014] id: Radiologic Study el: 0 cu: MICU-A cg: -1 v1: Chest Xray st: NotStopd t0: [11:00:00 27/03/2014] id: Respiratory Rate el: 0 cu: MICU-A cg: -1 v1: 21 u1: BPM st: NotStopd t0: [11:00:00 27/03/2014] id: SpO2 el: 0 cu: MICU-A cg: -1 v1: 100 u1: % st: NotStopd t0: [11:00:00 27/03/2014] id: Sputum Source/Amt el: 0 cu: MICU-A cg: -1 v1: Suctioned v2: None st: NotStopd t0: [11:00:00 27/03/2014] id: calprevflg el: 0 cu: MICU-A cg: -1 v1: 1 u1: kg st: NotStopd t0: [12:00:00 27/03/2014] id: Service Type el: 0 cu: MICU-A cg: -1 v1: MICU st: NotStopd t0: [12:00:00 27/03/2014] id: Code Status el: 0 cu: MICU-A cg: -1 v1: Full Code st: NotStopd t0: [12:00:00 27/03/2014] id: Ectopy Type el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [12:00:00 27/03/2014] id: Heart Rate el: 0 cu: MICU-A cg: -1 v1: 86 u1: BPM st: NotStopd t0: [12:00:00 27/03/2014] id: Heart Rhythm el: 0 cu: MICU-A cg: -1 v1: Normal Sinus st: NotStopd t0: [12:00:00 27/03/2014] id: Arterial BP el: 0 cu: MICU-A cg: -1 v1: 102 u1: mmHg v2: 54 u2: mmHg st: NotStopd t0: [12:00:00 27/03/2014] id: Arterial BP Mean el: 0 cu: MICU-A cg: -1 v1: 71 u1: mmHg st: NotStopd t0: [12:00:00 27/03/2014] id: Precautions el: 0 cu: MICU-A cg: -1 v1: Airborne/Resp st: NotStopd t0: [12:00:00 27/03/2014] id: Respiratory Rate el: 0 cu: MICU-A cg: -1 v1: 22 u1: BPM st: NotStopd t0: [12:00:00 27/03/2014] id: SpO2 el: 0 cu: MICU-A cg: -1 v1: 100 u1: % st: NotStopd t0: [12:00:00 27/03/2014] id: Temp. Site el: 0 cu: MICU-A cg: -1 v1: Oral st: NotStopd t0: [12:00:00 27/03/2014] id: Temperature C (calc) el: 0 cu: MICU-A cg: -1 v1: 38.8889 u1: Deg. C st: NotStopd t0: [12:00:00 27/03/2014] id: Temperature F el: 0 cu: MICU-A cg: -1 v1: 102 u1: Deg. F st: NotStopd t0: [12:00:00 27/03/2014] id: calprevflg el: 0 cu: MICU-A cg: -1 v1: 1 u1: kg st: NotStopd
t0: [11:00:00 27/03/2014] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 200 vu: ml t0: [11:00:00 27/03/2014] id: D5W 250.0ml + 4mcgkgmin Levophed-k IV Infusions el: 1 cu: MICU-A cg: -1 ai: 189 vo: 28.6556 vu: ml t0: [11:00:00 27/03/2014] id: Urine Out Foley el: 1 cu: MICU-A cg: -1 vo: 80 vu: ml t0: [12:00:00 27/03/2014] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 200 vu: ml t0: [12:00:00 27/03/2014] id: D5W 250.0ml + 4mcgkgmin Levophed-k IV Infusions el: 1 cu: MICU-A cg: -1 ai: 189 vo: 28.6556 vu: ml
t0: [10:00:00 27/03/2014] id: Levophed-k el: 1 cu: MICU-A so: D5W vo: 0 v1: 0.17 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [11:00:00 27/03/2014] id: Propofol el: 1 cu: MICU-A so: N/A vo: 0 v1: 80 du: mcgkgmin sv: 50 su: vl rt: IV Drip
tf: [10:00:00 01/04/2014] pt: IV Piggyback rt: IV fr: Q12H fs: 2, 14 dn: 2 m1: Vancomycin HCl f1: INJ v1: 1000 u1: mg m2: Iso-Osmotic Dextrose f2: INJ v2: 200 u2: ml
t0: [04:30:00 27/03/2014] id: D-Dimer (0-500) Coags el: 0 cu: MICU-A cg: 1663 v1: 500-100 rs: Final st: NotStopd
tf: [13:00:00 10/04/2014] pt: Unit Dose rt: NG fr: Q4-6H:PRN m1: Acetaminophen (Liquid) f1: ELIX v1: 650 u1: mg tf: [13:00:00 10/04/2014] pt: Unit Dose rt: PR fr: Q4-6H:PRN m1: Acetaminophen (Rectal) f1: SUPP v1: 650 u1: mg
t0: [13:00:00 27/03/2014] id: Compliance (40-60ml) el: 0 cu: MICU-A cg: -1 v1: 15.8228 u1: ml/cmH st: NotStopd t0: [13:00:00 27/03/2014] id: ETT Mark/Location el: 0 cu: MICU-A cg: -1 v1: 23cm v2: Lip st: NotStopd t0: [13:00:00 27/03/2014] id: FiO2 Set el: 0 cu: MICU-A cg: -1 v1: 0.6 u1: torr st: NotStopd t0: [13:00:00 27/03/2014] id: High Insp. Pressure el: 0 cu: MICU-A cg: -1 v1: 60 u1: cmH2O st: NotStopd t0: [13:00:00 27/03/2014] id: High Resp. Rate el: 0 cu: MICU-A cg: -1 v1: 30 u1: BPM st: NotStopd t0: [13:00:00 27/03/2014] id: I:E Ratio el: 0 cu: MICU-A cg: -1 v1: 1:3.9 st: NotStopd t0: [13:00:00 27/03/2014] id: Airway Size el: 0 cu: MICU-A cg: -1 v1: 7.5 mm st: NotStopd t0: [13:00:00 27/03/2014] id: Airway Type el: 0 cu: MICU-A cg: -1 v1: Endotracheal st: NotStopd t0: [13:00:00 27/03/2014] id: Inspired Gas Temp el: 0 cu: MICU-A cg: -1 v1: 34.5 u1: Deg. C st: NotStopd t0: [13:00:00 27/03/2014] id: Intubation Date el: 0 cu: MICU-A cg: -1 v1: 3 v2: 12 st: NotStopd t0: [13:00:00 27/03/2014] id: Low Exhaled Min Vol el: 0 cu: MICU-A cg: -1 v1: 8 st: NotStopd t0: [13:00:00 27/03/2014] id: Low Insp. Pressure el: 0 cu: MICU-A cg: -1 v1: 15 u1: cmH2O st: NotStopd t0: [13:00:00 27/03/2014] id: Mean Airway Pressure el: 0 cu: MICU-A cg: -1 v1: 22.8 u1: cmH2O st: NotStopd t0: [13:00:00 27/03/2014] id: Minute Volume(Obser) el: 0 cu: MICU-A cg: -1 v1: 12.8 u1: L/min st: NotStopd t0: [13:00:00 27/03/2014] id: PEEP Set el: 0 cu: MICU-A cg: -1 v1: 17.5 u1: cmH2O st: NotStopd t0: [13:00:00 27/03/2014] id: Apnea Time Interval el: 0 cu: MICU-A cg: -1 v1: 20 st: NotStopd t0: [13:00:00 27/03/2014] id: Peak Flow el: 0 cu: MICU-A cg: -1 v1: 55 u1: L/m st: NotStopd t0: [13:00:00 27/03/2014] id: Peak Insp. Pressure el: 0 cu: MICU-A cg: -1 v1: 49.1 u1: cmH2O st: NotStopd t0: [13:00:00 27/03/2014] id: Plateau Pressure el: 0 cu: MICU-A cg: -1 v1: 35 u1: cmH2O st: NotStopd t0: [13:00:00 27/03/2014] id: Plateau-Off el: 0 cu: MICU-A cg: -1 v1: Yes st: NotStopd t0: [13:00:00 27/03/2014] id: Pressure Support el: 0 cu: MICU-A cg: -1 v1: 0 u1: . st: NotStopd t0: [13:00:00 27/03/2014] id: Auto-PEEP Level el: 0 cu: MICU-A cg: -1 v1: 1 u1: cmH2O st: NotStopd t0: [13:00:00 27/03/2014] id: Resp Rate (Spont) el: 0 cu: MICU-A cg: -1 v1: 4 u1: BPM st: NotStopd t0: [13:00:00 27/03/2014] id: Resp Rate (Total) el: 0 cu: MICU-A cg: -1 v1: 26 u1: BPM st: NotStopd t0: [13:00:00 27/03/2014] id: Respiratory Rate Set el: 0 cu: MICU-A cg: -1 v1: 22 u1: BPM st: NotStopd t0: [13:00:00 27/03/2014] id: Sensitivity-Vent el: 0 cu: MICU-A cg: -1 v1: 2 u1: cmH2O st: NotStopd t0: [13:00:00 27/03/2014] id: SpO2 el: 0 cu: MICU-A cg: -1 v1: 100 u1: % st: NotStopd t0: [13:00:00 27/03/2014] id: Tidal Volume (Obser) el: 0 cu: MICU-A cg: -1 v1: 590 u1: ml/B st: NotStopd t0: [13:00:00 27/03/2014] id: Tidal Volume (Set) el: 0 cu: MICU-A cg: -1 v1: 500 u1: ml/B st: NotStopd t0: [13:00:00 27/03/2014] id: Ventilator Mode el: 0 cu: MICU-A cg: -1 v1: Assist Control st: NotStopd t0: [13:00:00 27/03/2014] id: Ventilator No. el: 0 cu: MICU-A cg: -1 v1: 6 u1: # st: NotStopd t0: [13:00:00 27/03/2014] id: Ventilator Type el: 0 cu: MICU-A cg: -1 v1: 7200A st: NotStopd t0: [13:00:00 27/03/2014] id: Waveform-Vent el: 0 cu: MICU-A cg: -1 v1: SQUARE st: NotStopd
t0: [13:08:00 27/03/2014] id: Art.pH ABG el: 0 cu: MICU-A cg: 1663 v1: 7.28 rs: Final st: NotStopd t0: [13:08:00 27/03/2014] id: Arterial Base Excess ABG el: 0 cu: MICU-A cg: 1663 v1: -9 rs: Final st: NotStopd t0: [13:08:00 27/03/2014] id: Arterial CO2(Calc) ABG el: 0 cu: MICU-A cg: 1663 v1: 16 rs: Final st: NotStopd t0: [13:08:00 27/03/2014] id: Arterial PaCO2 ABG el: 0 cu: MICU-A cg: 1663 v1: 33 u1: mmHg rs: Final st: NotStopd t0: [13:08:00 27/03/2014] id: Arterial PaO2 ABG el: 0 cu: MICU-A cg: 1663 v1: 201 u1: mmHg rs: Final st: NotStopd t0: [13:08:00 27/03/2014] id: Arterial pH ABG el: 0 cu: MICU-A cg: 1663 v1: 7.28 rs: Final st: NotStopd
t0: [08:00:00 27/03/2014] id: Abdominal Assessment el: 0 cu: MICU-A cg: -1 v1: Obese st: NotStopd t0: [08:00:00 27/03/2014] id: Bowel Sounds el: 0 cu: MICU-A cg: -1 v1: Present st: NotStopd t0: [10:00:00 27/03/2014] id: Less Restrict Meas. el: 0 cu: MICU-A cg: -1 v1: Medicated st: NotStopd t0: [10:00:00 27/03/2014] id: Range of Motion el: 0 cu: MICU-A cg: -1 v1: Done st: NotStopd t0: [10:00:00 27/03/2014] id: Circulation/SkinInt el: 0 cu: MICU-A cg: -1 v1: Circulation Adeq st: NotStopd t0: [10:00:00 27/03/2014] id: Family Communication el: 0 cu: MICU-A cg: -1 v1: Family Visited st: NotStopd t0: [10:00:00 27/03/2014] id: Position Change el: 0 cu: MICU-A cg: -1 v1: Done st: NotStopd t0: [10:00:00 27/03/2014] id: Reason For Restraint el: 0 cu: MICU-A cg: -1 v1: Ext/TXInterfere st: NotStopd t0: [10:00:00 27/03/2014] id: Removed x 5 Mins el: 0 cu: MICU-A cg: -1 v1: Done st: NotStopd t0: [10:00:00 27/03/2014] id: Restraint Location el: 0 cu: MICU-A cg: -1 v1: Both Arms st: NotStopd t0: [10:00:00 27/03/2014] id: Restraint Type el: 0 cu: MICU-A cg: -1 v1: Soft Limb st: NotStopd t0: [10:00:00 27/03/2014] id: Restraints Evaluated el: 0 cu: MICU-A cg: -1 v1: Behavior Conts st: NotStopd t0: [10:00:00 27/03/2014] id: Side Rails el: 0 cu: MICU-A cg: -1 v1: Side Rails Up st: NotStopd t0: [10:00:00 27/03/2014] id: Support Systems el: 0 cu: MICU-A cg: -1 v1: Spouse st: NotStopd t0: [12:00:00 27/03/2014] id: Less Restrict Meas. el: 0 cu: MICU-A cg: -1 v1: Medicated st: NotStopd t0: [12:00:00 27/03/2014] id: Range of Motion el: 0 cu: MICU-A cg: -1 v1: Done st: NotStopd t0: [12:00:00 27/03/2014] id: Circulation/SkinInt el: 0 cu: MICU-A cg: -1 v1: Circulation Adeq st: NotStopd t0: [12:00:00 27/03/2014] id: GI Prophylaxis el: 0 cu: MICU-A cg: -1 v1: H2 Blocker st: NotStopd t0: [12:00:00 27/03/2014] id: Diet Type el: 0 cu: MICU-A cg: -1 v1: NPO st: NotStopd t0: [12:00:00 27/03/2014] id: Dorsal PedPulse R/L el: 0 cu: MICU-A cg: -1 v1: Diff to Palpate v2: Diff to Palpate st: NotStopd t0: [12:00:00 27/03/2014] id: Eye Opening el: 0 cu: MICU-A cg: -1 v1: 1 No Response st: NotStopd t0: [12:00:00 27/03/2014] id: Family Communication el: 0 cu: MICU-A cg: -1 v1: Family Visited st: NotStopd t0: [12:00:00 27/03/2014] id: GCS Total el: 0 cu: MICU-A cg: -1 v1: 6 u1: points st: NotStopd t0: [12:00:00 27/03/2014] id: GI Intub #1/Site el: 0 cu: MICU-A cg: -1 v1: Salem Sump v2: Left Nare st: NotStopd t0: [12:00:00 27/03/2014] id: GI#1 Tube PlaceCheck el: 0 cu: MICU-A cg: -1 v1: Done st: NotStopd t0: [12:00:00 27/03/2014] id: GI#1 Tube Stat/Drain el: 0 cu: MICU-A cg: -1 v1: Clamped v2: Bilious st: NotStopd t0: [12:00:00 27/03/2014] id: HOB el: 0 cu: MICU-A cg: -1 v1: 30 degrees st: NotStopd t0: [12:00:00 27/03/2014] id: INV Line#1 Type/Site el: 0 cu: MICU-A cg: -1 v1: Multi-lumen v2: Right Femoral st: NotStopd t0: [12:00:00 27/03/2014] id: INV Line#1InsertDate el: 0 cu: MICU-A cg: -1 v1: 3 v2: 12 st: NotStopd t0: [12:00:00 27/03/2014] id: INV Line#1SiteAppear el: 0 cu: MICU-A cg: -1 v1: WNL st: NotStopd t0: [12:00:00 27/03/2014] id: INV Line#2 Type/Site el: 0 cu: MICU-A cg: -1 v1: A-Line v2: Right Radial st: NotStopd t0: [12:00:00 27/03/2014] id: INV Line#2 Zero/Cal el: 0 cu: MICU-A cg: -1 v1: Yes st: NotStopd t0: [12:00:00 27/03/2014] id: INV Line#2InsertDate el: 0 cu: MICU-A cg: -1 v1: 3 v2: 12 st: NotStopd t0: [12:00:00 27/03/2014] id: INV Line#3 Type/Site el: 0 cu: MICU-A cg: -1 v1: Introducer v2: Right IJ st: NotStopd t0: [12:00:00 27/03/2014] id: INV Line#3InsertDate el: 0 cu: MICU-A cg: -1 v1: 3 v2: 12 st: NotStopd t0: [12:00:00 27/03/2014] id: INV Line#3SiteAppear el: 0 cu: MICU-A cg: -1 v1: WNL st: NotStopd t0: [12:00:00 27/03/2014] id: Abdominal Assessment el: 0 cu: MICU-A cg: -1 v1: Obese st: NotStopd t0: [12:00:00 27/03/2014] id: INV#2 WaveformAppear el: 0 cu: MICU-A cg: -1 v1: Sharp st: NotStopd t0: [12:00:00 27/03/2014] id: Activity el: 0 cu: MICU-A cg: -1 v1: Bedrest st: NotStopd t0: [12:00:00 27/03/2014] id: Activity Tolerance el: 0 cu: MICU-A cg: -1 v1: Good st: NotStopd t0: [12:00:00 27/03/2014] id: ImpSkin Character #1 el: 0 cu: MICU-A cg: -1 v1: Hematoma st: NotStopd t0: [12:00:00 27/03/2014] id: ImpSkin Treatment #1 el: 0 cu: MICU-A cg: -1 v1: Open to Air st: NotStopd t0: [12:00:00 27/03/2014] id: LLL Lung Sounds el: 0 cu: MICU-A cg: -1 v1: Coarse st: NotStopd t0: [12:00:00 27/03/2014] id: LUL Lung Sounds el: 0 cu: MICU-A cg: -1 v1: Coarse st: NotStopd t0: [12:00:00 27/03/2014] id: Level of Conscious el: 0 cu: MICU-A cg: -1 v1: Sedated st: NotStopd t0: [12:00:00 27/03/2014] id: Motor Response el: 0 cu: MICU-A cg: -1 v1: 4 Flex-withdraws st: NotStopd t0: [12:00:00 27/03/2014] id: Oral Cavity el: 0 cu: MICU-A cg: -1 v1: Teeth/Tissue WNL st: NotStopd t0: [12:00:00 27/03/2014] id: Orientation el: 0 cu: MICU-A cg: -1 v1: Other/Remarks st: NotStopd t0: [12:00:00 27/03/2014] id: AntiEmbDevice/Status el: 0 cu: MICU-A cg: -1 v1: Compress Sleeves v2: On st: NotStopd t0: [12:00:00 27/03/2014] id: Position el: 0 cu: MICU-A cg: -1 v1: Left Side st: NotStopd t0: [12:00:00 27/03/2014] id: Position Change el: 0 cu: MICU-A cg: -1 v1: Done st: NotStopd t0: [12:00:00 27/03/2014] id: PostTib. Pulses R/L el: 0 cu: MICU-A cg: -1 v1: Diff to Palpate v2: Diff to Palpate st: NotStopd t0: [12:00:00 27/03/2014] id: Assistance Device el: 0 cu: MICU-A cg: -1 v1: 2 Person Assist st: NotStopd t0: [12:00:00 27/03/2014] id: Procedures el: 0 cu: MICU-A cg: -1 v1: Other/Remarks st: NotStopd t0: [12:00:00 27/03/2014] id: RLL Lung Sounds el: 0 cu: MICU-A cg: -1 v1: Coarse st: NotStopd t0: [12:00:00 27/03/2014] id: RUL Lung Sounds el: 0 cu: MICU-A cg: -1 v1: Coarse st: NotStopd t0: [12:00:00 27/03/2014] id: Reason For Restraint el: 0 cu: MICU-A cg: -1 v1: Ext/TXInterfere st: NotStopd t0: [12:00:00 27/03/2014] id: Removed x 5 Mins el: 0 cu: MICU-A cg: -1 v1: Done st: NotStopd t0: [12:00:00 27/03/2014] id: Respiratory Pattern el: 0 cu: MICU-A cg: -1 v1: Regular st: NotStopd t0: [12:00:00 27/03/2014] id: Restraint Location el: 0 cu: MICU-A cg: -1 v1: Both Arms st: NotStopd t0: [12:00:00 27/03/2014] id: Restraint Type el: 0 cu: MICU-A cg: -1 v1: Soft Limb st: NotStopd t0: [12:00:00 27/03/2014] id: Restraints Evaluated el: 0 cu: MICU-A cg: -1 v1: RestraintReapply st: NotStopd t0: [12:00:00 27/03/2014] id: Side Rails el: 0 cu: MICU-A cg: -1 v1: Side Rails Up st: NotStopd t0: [12:00:00 27/03/2014] id: Skin Color el: 0 cu: MICU-A cg: -1 v1: Normal for Race st: NotStopd t0: [12:00:00 27/03/2014] id: Skin Integrity el: 0 cu: MICU-A cg: -1 v1: Impaired st: NotStopd t0: [12:00:00 27/03/2014] id: Support Systems el: 0 cu: MICU-A cg: -1 v1: Spouse st: NotStopd t0: [12:00:00 27/03/2014] id: Turn el: 0 cu: MICU-A cg: -1 v1: Side to Side st: NotStopd t0: [12:00:00 27/03/2014] id: Urine Color/Appear el: 0 cu: MICU-A cg: -1 v1: Yellow v2: Clear st: NotStopd t0: [12:00:00 27/03/2014] id: Urine Source el: 0 cu: MICU-A cg: -1 v1: Indwelling Cath st: NotStopd t0: [12:00:00 27/03/2014] id: Verbal Response el: 0 cu: MICU-A cg: -1 v1: 1.0 ET/Trach st: NotStopd t0: [12:00:00 27/03/2014] id: Back Care el: 0 cu: MICU-A cg: -1 v1: Done st: NotStopd t0: [12:00:00 27/03/2014] id: Bowel Sounds el: 0 cu: MICU-A cg: -1 v1: Present st: NotStopd t0: [13:00:00 27/03/2014] id: Service Type el: 0 cu: MICU-A cg: -1 v1: MICU st: NotStopd t0: [13:00:00 27/03/2014] id: Code Status el: 0 cu: MICU-A cg: -1 v1: Full Code st: NotStopd t0: [13:00:00 27/03/2014] id: Ectopy Type el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [13:00:00 27/03/2014] id: Heart Rate el: 0 cu: MICU-A cg: -1 v1: 108 u1: BPM st: NotStopd t0: [13:00:00 27/03/2014] id: Heart Rhythm el: 0 cu: MICU-A cg: -1 v1: Sinus Tachy st: NotStopd t0: [13:00:00 27/03/2014] id: Arterial BP el: 0 cu: MICU-A cg: -1 v1: 102 u1: mmHg v2: 52 u2: mmHg st: NotStopd t0: [13:00:00 27/03/2014] id: Arterial BP Mean el: 0 cu: MICU-A cg: -1 v1: 68 u1: mmHg st: NotStopd t0: [13:00:00 27/03/2014] id: Precautions el: 0 cu: MICU-A cg: -1 v1: Airborne/Resp st: NotStopd t0: [13:00:00 27/03/2014] id: Procedures el: 0 cu: MICU-A cg: -1 v1: Sputum Cx st: NotStopd t0: [13:00:00 27/03/2014] id: Respiratory Rate el: 0 cu: MICU-A cg: -1 v1: 24 u1: BPM st: NotStopd t0: [13:00:00 27/03/2014] id: Sputum Color/Consist el: 0 cu: MICU-A cg: -1 v1: Blood Tinged st: NotStopd t0: [13:00:00 27/03/2014] id: Sputum Source/Amt el: 0 cu: MICU-A cg: -1 v1: Suctioned v2: Scant st: NotStopd t0: [13:00:00 27/03/2014] id: calprevflg el: 0 cu: MICU-A cg: -1 v1: 1 u1: kg st: NotStopd
t0: [11:00:00 27/03/2014] tf: [13:18:00 10/04/2014] dt: 20298 id: D5W 200.0ml + 20mghr Ativan IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 2 vu: ml t0: [11:00:00 27/03/2014] tf: [13:18:00 10/04/2014] dt: 20298 id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU-A cg: -1 ai: 416 vo: 5 vu: ml t0: [12:00:00 27/03/2014] tf: [13:18:00 10/04/2014] dt: 20238 id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 20 vu: ml t0: [12:00:00 27/03/2014] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU-A cg: -1 ai: 416 vo: 5 vu: ml t0: [13:00:00 27/03/2014] id: D5W 100.0ml IV Infusions el: 1 cu: MICU-A cg: -1 ai: 105 vo: 250 vu: ml t0: [13:00:00 27/03/2014] id: D5W 250.0ml + 4mcgkgmin Levophed-k IV Infusions el: 1 cu: MICU-A cg: -1 ai: 189 vo: 16.8563 vu: ml t0: [13:00:00 27/03/2014] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU-A cg: -1 ai: 416 vo: 5 vu: ml t0: [13:00:00 27/03/2014] id: Urine Out Foley el: 1 cu: MICU-A cg: -1 vo: 160 vu: ml
t0: [11:00:00 27/03/2014] tf: [12:00:00 03/04/2014] dt: 10140 id: Fentanyl el: 1 cu: MICU-A so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 250 su: ml rt: IV Drip t0: [11:00:00 27/03/2014] id: Levophed-k el: 1 cu: MICU-A so: D5W vo: 0 v1: 0.15 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [11:00:00 27/03/2014] tf: [12:00:00 03/04/2014] dt: 10140 id: Ativan el: 1 cu: MICU-A so: D5W vo: 0 v1: 2 du: mghr sv: 60 su: ml rt: IV Drip t0: [12:00:00 27/03/2014] id: Fentanyl el: 1 cu: MICU-A so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 250 su: ml rt: IV Drip t0: [12:00:00 27/03/2014] id: Levophed-k el: 1 cu: MICU-A so: D5W vo: 0 v1: 0.1 du: mcgkgmin sv: 250 su: ml rt: IV Drip st: Stopped t0: [12:00:00 27/03/2014] id: Ativan el: 1 cu: MICU-A so: D5W vo: 0 v1: 2 du: mghr sv: 60 su: ml rt: IV Drip t0: [13:00:00 27/03/2014] id: Fentanyl el: 1 cu: MICU-A so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 250 su: ml rt: IV Drip t0: [13:00:00 27/03/2014] id: Levophed-k el: 1 cu: MICU-A so: D5W vo: 0 du: mcgkgmin sv: 250 su: ml rt: IV Drip st: Stopped t0: [13:00:00 27/03/2014] id: Ativan el: 1 cu: MICU-A so: D5W vo: 0 v1: 2 du: mghr sv: 60 su: ml rt: IV Drip
t0: [14:00:00 27/03/2014] id: ETT Mark/Location el: 0 cu: MICU-A cg: -1 v1: 23cm v2: Lip st: NotStopd t0: [14:00:00 27/03/2014] id: FiO2 Set el: 0 cu: MICU-A cg: -1 v1: 0.5 u1: torr st: NotStopd t0: [14:00:00 27/03/2014] id: Airway Size el: 0 cu: MICU-A cg: -1 v1: 7.5 mm st: NotStopd t0: [14:00:00 27/03/2014] id: Airway Type el: 0 cu: MICU-A cg: -1 v1: Endotracheal st: NotStopd
t0: [04:30:00 27/03/2014] id: Albumin (>3.2) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 2.4 rs: Final st: NotStopd
tf: [11:00:00 28/03/2014] pt: IV Piggyback rt: IV fr: Q24H fs: 15 dn: 1 m1: Levofloxacin f1: BAG v1: 500 u1: mg m2: Dextrose 5% f2: INJ v2: 100 u2: ml tf: [10:00:00 09/04/2014] pt: IV Piggyback rt: IV fr: Q12H fs: 4, 16 dn: 2 m1: Ceftriaxone f1: BAG v1: 2 u1: gm m2: Iso-Osmotic Dextrose f2: INJ v2: 50 u2: ml
id: Promote w/fiber el: 1 cu: MICU-A cg: -1 io: Promote w/fiber Tube Feeding du: str rt: Gastric/Feeding Tube
t0: [12:00:00 27/03/2014] id: Pain Level/Response el: 0 cu: MICU-A cg: -1 v1: Unable to score st: NotStopd t0: [12:00:00 27/03/2014] id: Pain Present el: 0 cu: MICU-A cg: -1 v1: No st: NotStopd t0: [12:00:00 27/03/2014] id: Pain Assess Method el: 0 cu: MICU-A cg: -1 v1: Non-verbal cues st: NotStopd t0: [12:00:00 27/03/2014] id: PainLevel Acceptable el: 0 cu: MICU-A cg: -1 v1: No st: NotStopd t0: [12:00:00 27/03/2014] id: Riker-SAS Scale el: 0 cu: MICU-A cg: -1 v1: Sedated st: NotStopd t0: [12:00:00 27/03/2014] id: Daily Wake Up el: 0 cu: MICU-A cg: -1 v1: No st: NotStopd t0: [12:00:00 27/03/2014] id: Impaired Skin Site#1 el: 0 cu: MICU-A cg: -1 v1: Gluteal, Right st: NotStopd t0: [12:00:00 27/03/2014] id: Pain Location el: 0 cu: MICU-A cg: -1 v1: Not Indicated st: NotStopd t0: [14:00:00 27/03/2014] id: Less Restrict Meas. el: 0 cu: MICU-A cg: -1 v1: Medicated st: NotStopd t0: [14:00:00 27/03/2014] id: Range of Motion el: 0 cu: MICU-A cg: -1 v1: Done st: NotStopd t0: [14:00:00 27/03/2014] id: Service Type el: 0 cu: MICU-A cg: -1 v1: MICU st: NotStopd t0: [14:00:00 27/03/2014] id: Circulation/SkinInt el: 0 cu: MICU-A cg: -1 v1: Circulation Adeq st: NotStopd t0: [14:00:00 27/03/2014] id: Code Status el: 0 cu: MICU-A cg: -1 v1: Full Code st: NotStopd t0: [14:00:00 27/03/2014] id: Ectopy Type el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [14:00:00 27/03/2014] id: Family Communication el: 0 cu: MICU-A cg: -1 v1: Family Visited st: NotStopd t0: [14:00:00 27/03/2014] id: HOB el: 0 cu: MICU-A cg: -1 v1: 30 degrees st: NotStopd t0: [14:00:00 27/03/2014] id: Heart Rate el: 0 cu: MICU-A cg: -1 v1: 107 u1: BPM st: NotStopd t0: [14:00:00 27/03/2014] id: Heart Rhythm el: 0 cu: MICU-A cg: -1 v1: Sinus Tachy st: NotStopd t0: [14:00:00 27/03/2014] id: Activity el: 0 cu: MICU-A cg: -1 v1: Bedrest st: NotStopd t0: [14:00:00 27/03/2014] id: Activity Tolerance el: 0 cu: MICU-A cg: -1 v1: Tolerated Well st: NotStopd t0: [14:00:00 27/03/2014] id: Impaired Skin Site#1 el: 0 cu: MICU-A cg: -1 v1: Gluteal, Right st: NotStopd t0: [14:00:00 27/03/2014] id: Oral Care el: 0 cu: MICU-A cg: -1 v1: Done st: NotStopd t0: [14:00:00 27/03/2014] id: AntiEmbDevice/Status el: 0 cu: MICU-A cg: -1 v1: Compress Sleeves v2: On st: NotStopd t0: [14:00:00 27/03/2014] id: Arterial BP el: 0 cu: MICU-A cg: -1 v1: 100 u1: mmHg v2: 55 u2: mmHg st: NotStopd t0: [14:00:00 27/03/2014] id: Arterial BP Mean el: 0 cu: MICU-A cg: -1 v1: 72 u1: mmHg st: NotStopd t0: [14:00:00 27/03/2014] id: Position el: 0 cu: MICU-A cg: -1 v1: Right Side st: NotStopd t0: [14:00:00 27/03/2014] id: Position Change el: 0 cu: MICU-A cg: -1 v1: Done st: NotStopd t0: [14:00:00 27/03/2014] id: Assistance Device el: 0 cu: MICU-A cg: -1 v1: 2 Person Assist st: NotStopd t0: [14:00:00 27/03/2014] id: Precautions el: 0 cu: MICU-A cg: -1 v1: Airborne/Resp st: NotStopd t0: [14:00:00 27/03/2014] id: Reason For Restraint el: 0 cu: MICU-A cg: -1 v1: Ext/TXInterfere st: NotStopd t0: [14:00:00 27/03/2014] id: Removed x 5 Mins el: 0 cu: MICU-A cg: -1 v1: Done st: NotStopd t0: [14:00:00 27/03/2014] id: Respiratory Rate el: 0 cu: MICU-A cg: -1 v1: 30 u1: BPM st: NotStopd t0: [14:00:00 27/03/2014] id: Restraint Location el: 0 cu: MICU-A cg: -1 v1: Both Arms st: NotStopd t0: [14:00:00 27/03/2014] id: Restraint Type el: 0 cu: MICU-A cg: -1 v1: Soft Limb st: NotStopd t0: [14:00:00 27/03/2014] id: Restraints Evaluated el: 0 cu: MICU-A cg: -1 v1: RestraintReapply st: NotStopd t0: [14:00:00 27/03/2014] id: Side Rails el: 0 cu: MICU-A cg: -1 v1: Side Rails Up st: NotStopd t0: [14:00:00 27/03/2014] id: Skin Care el: 0 cu: MICU-A cg: -1 v1: Done st: NotStopd t0: [14:00:00 27/03/2014] id: SpO2 el: 0 cu: MICU-A cg: -1 v1: 100 u1: % st: NotStopd t0: [14:00:00 27/03/2014] id: Support Systems el: 0 cu: MICU-A cg: -1 v1: Spouse st: NotStopd t0: [14:00:00 27/03/2014] id: Turn el: 0 cu: MICU-A cg: -1 v1: Side to Side st: NotStopd t0: [14:00:00 27/03/2014] id: Back Care el: 0 cu: MICU-A cg: -1 v1: Done st: NotStopd t0: [14:00:00 27/03/2014] id: calprevflg el: 0 cu: MICU-A cg: -1 v1: 1 u1: kg st: NotStopd t0: [14:00:00 27/03/2014] id: Behavior el: 0 cu: MICU-A cg: -1 v1: Sedated st: NotStopd t0: [15:00:00 27/03/2014] id: Service Type el: 0 cu: MICU-A cg: -1 v1: MICU st: NotStopd t0: [15:00:00 27/03/2014] id: Code Status el: 0 cu: MICU-A cg: -1 v1: Full Code st: NotStopd t0: [15:00:00 27/03/2014] id: Ectopy Type el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [15:00:00 27/03/2014] id: GI#1 Tube PlaceCheck el: 0 cu: MICU-A cg: -1 v1: Done st: NotStopd t0: [15:00:00 27/03/2014] id: Heart Rate el: 0 cu: MICU-A cg: -1 v1: 97 u1: BPM st: NotStopd t0: [15:00:00 27/03/2014] id: Heart Rhythm el: 0 cu: MICU-A cg: -1 v1: Normal Sinus st: NotStopd t0: [15:00:00 27/03/2014] id: Arterial BP el: 0 cu: MICU-A cg: -1 v1: 90 u1: mmHg v2: 44 u2: mmHg st: NotStopd t0: [15:00:00 27/03/2014] id: Arterial BP Mean el: 0 cu: MICU-A cg: -1 v1: 59 u1: mmHg st: NotStopd t0: [15:00:00 27/03/2014] id: Precautions el: 0 cu: MICU-A cg: -1 v1: Airborne/Resp st: NotStopd t0: [15:00:00 27/03/2014] id: Respiratory Rate el: 0 cu: MICU-A cg: -1 v1: 22 u1: BPM st: NotStopd t0: [15:00:00 27/03/2014] id: SpO2 el: 0 cu: MICU-A cg: -1 v1: 100 u1: % st: NotStopd t0: [15:00:00 27/03/2014] id: Sputum Source/Amt el: 0 cu: MICU-A cg: -1 v1: Suctioned v2: None st: NotStopd t0: [15:00:00 27/03/2014] id: calprevflg el: 0 cu: MICU-A cg: -1 v1: 1 u1: kg st: NotStopd
t0: [14:00:00 27/03/2014] id: D5W 100.0ml IV Infusions el: 1 cu: MICU-A cg: -1 ai: 105 vo: 50 vu: ml t0: [14:00:00 27/03/2014] id: Stool Out (non-specific) el: 1 cu: MICU-A cg: -1 vu: ml es: Large t0: [14:00:00 27/03/2014] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU-A cg: -1 ai: 416 vo: 5 vu: ml t0: [14:00:00 27/03/2014] id: Urine Out Foley el: 1 cu: MICU-A cg: -1 vo: 120 vu: ml t0: [15:00:00 27/03/2014] id: D5W 100.0ml IV Infusions el: 1 cu: MICU-A cg: -1 ai: 105 vo: 200 vu: ml t0: [15:00:00 27/03/2014] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU-A cg: -1 ai: 416 vo: 5 vu: ml t0: [15:00:00 27/03/2014] id: Urine Out Foley el: 1 cu: MICU-A cg: -1 vo: 50 vu: ml
t0: [14:00:00 27/03/2014] id: Fentanyl el: 1 cu: MICU-A so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 250 su: ml rt: IV Drip t0: [14:00:00 27/03/2014] id: Ativan el: 1 cu: MICU-A so: D5W vo: 0 v1: 2 du: mghr sv: 60 su: ml rt: IV Drip t0: [15:00:00 27/03/2014] id: Fentanyl el: 1 cu: MICU-A so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 250 su: ml rt: IV Drip
t0: [23:00:00 27/03/2014] dt: 24 id: Stool Out Total el: 2 cu: MICU-A cg: -1 cv: 0 ap: carryForward
t0: [15:00:00 27/03/2014] tf: [12:00:00 30/03/2014] dt: 4140 id: Promote w/fiber Tube Feeding el: 1 cu: MICU-A cg: -1 ai: 107 vo: 20 vu: ml
t0: [15:00:00 27/03/2014] id: GI Guaiac/ph el: 0 cu: MICU-A cg: -1 v1: Positive v2: 7 st: NotStopd t0: [15:00:00 27/03/2014] id: Stool Color/Consist el: 0 cu: MICU-A cg: -1 v1: Brown v2: Liquid st: NotStopd t0: [16:00:00 27/03/2014] id: Less Restrict Meas. el: 0 cu: MICU-A cg: -1 v1: Medicated st: NotStopd t0: [16:00:00 27/03/2014] id: Range of Motion el: 0 cu: MICU-A cg: -1 v1: Done st: NotStopd t0: [16:00:00 27/03/2014] id: Circulation/SkinInt el: 0 cu: MICU-A cg: -1 v1: Circulation Adeq st: NotStopd t0: [16:00:00 27/03/2014] id: Family Communication el: 0 cu: MICU-A cg: -1 v1: Family Visited st: NotStopd t0: [16:00:00 27/03/2014] id: ImpSkin Character #1 el: 0 cu: MICU-A cg: -1 v1: Hematoma st: NotStopd t0: [16:00:00 27/03/2014] id: Impaired Skin Site#1 el: 0 cu: MICU-A cg: -1 v1: Gluteal, Right st: NotStopd t0: [16:00:00 27/03/2014] id: Position Change el: 0 cu: MICU-A cg: -1 v1: Done st: NotStopd t0: [16:00:00 27/03/2014] id: Reason For Restraint el: 0 cu: MICU-A cg: -1 v1: Ext/TXInterfere st: NotStopd t0: [16:00:00 27/03/2014] id: Removed x 5 Mins el: 0 cu: MICU-A cg: -1 v1: Done st: NotStopd t0: [16:00:00 27/03/2014] id: Restraint Location el: 0 cu: MICU-A cg: -1 v1: Both Arms st: NotStopd t0: [16:00:00 27/03/2014] id: Restraint Type el: 0 cu: MICU-A cg: -1 v1: Soft Limb st: NotStopd t0: [16:00:00 27/03/2014] id: Restraints Evaluated el: 0 cu: MICU-A cg: -1 v1: RestraintReapply st: NotStopd t0: [16:00:00 27/03/2014] id: Side Rails el: 0 cu: MICU-A cg: -1 v1: Side Rails Up st: NotStopd t0: [16:00:00 27/03/2014] id: Support Systems el: 0 cu: MICU-A cg: -1 v1: Spouse st: NotStopd t0: [16:00:00 27/03/2014] id: Behavior el: 0 cu: MICU-A cg: -1 v1: Sedated st: NotStopd t0: [16:00:00 27/03/2014] id: Braden Activity el: 0 cu: MICU-A cg: -1 v1: Bedfast st: NotStopd t0: [16:00:00 27/03/2014] id: Braden Frict/Shear el: 0 cu: MICU-A cg: -1 v1: Potential Prob st: NotStopd t0: [16:00:00 27/03/2014] id: Braden Mobility el: 0 cu: MICU-A cg: -1 v1: Very Limited st: NotStopd t0: [16:00:00 27/03/2014] id: Braden Moisture el: 0 cu: MICU-A cg: -1 v1: Occ. Moist st: NotStopd t0: [16:00:00 27/03/2014] id: Braden Nutrition el: 0 cu: MICU-A cg: -1 v1: Prob. Inadequate st: NotStopd t0: [16:00:00 27/03/2014] id: Braden Score el: 0 cu: MICU-A cg: -1 v1: 12 u1: number st: NotStopd t0: [16:00:00 27/03/2014] id: Braden SensoryPercep el: 0 cu: MICU-A cg: -1 v1: Very Limited st: NotStopd
id: Ativan el: 101 cu: MICU-A cg: -1 io: D5W 60.0ml + 60mghr Ativan IV Infusions am: 60 du: mghr rt: IV Drip
io: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU-A cg: -1 ra: 4 ru: ml/hr
id: D5W el: 1 cu: MICU-A cg: -1 io: D5W 60.0ml + 60mghr Ativan IV Infusions vo: 60 du: ml rt: Intravenous Push
t0: [16:00:00 27/03/2014] id: Compliance (40-60ml) el: 0 cu: MICU-A cg: -1 v1: 22.2222 u1: ml/cmH st: NotStopd t0: [16:00:00 27/03/2014] id: ETT Mark/Location el: 0 cu: MICU-A cg: -1 v1: 23cm v2: Lip st: NotStopd t0: [16:00:00 27/03/2014] id: FiO2 Set el: 0 cu: MICU-A cg: -1 v1: 0.4 u1: torr st: NotStopd t0: [16:00:00 27/03/2014] id: High Insp. Pressure el: 0 cu: MICU-A cg: -1 v1: 60 u1: cmH2O st: NotStopd t0: [16:00:00 27/03/2014] id: High Resp. Rate el: 0 cu: MICU-A cg: -1 v1: 35 u1: BPM st: NotStopd t0: [16:00:00 27/03/2014] id: I:E Ratio el: 0 cu: MICU-A cg: -1 v1: 1:2.7 st: NotStopd t0: [16:00:00 27/03/2014] id: Airway Size el: 0 cu: MICU-A cg: -1 v1: 7.5 mm st: NotStopd t0: [16:00:00 27/03/2014] id: Airway Type el: 0 cu: MICU-A cg: -1 v1: Endotracheal st: NotStopd t0: [16:00:00 27/03/2014] id: Inspired Gas Temp el: 0 cu: MICU-A cg: -1 v1: 34.5 u1: Deg. C st: NotStopd t0: [16:00:00 27/03/2014] id: Intubation Date el: 0 cu: MICU-A cg: -1 v1: 3 v2: 12 st: NotStopd t0: [16:00:00 27/03/2014] id: Low Exhaled Min Vol el: 0 cu: MICU-A cg: -1 v1: 8 st: NotStopd t0: [16:00:00 27/03/2014] id: Low Insp. Pressure el: 0 cu: MICU-A cg: -1 v1: 15 u1: cmH2O st: NotStopd t0: [16:00:00 27/03/2014] id: Mean Airway Pressure el: 0 cu: MICU-A cg: -1 v1: 22 u1: cmH2O st: NotStopd t0: [16:00:00 27/03/2014] id: Minute Volume(Obser) el: 0 cu: MICU-A cg: -1 v1: 14.3 u1: L/min st: NotStopd t0: [16:00:00 27/03/2014] id: PEEP Set el: 0 cu: MICU-A cg: -1 v1: 17.5 u1: cmH2O st: NotStopd t0: [16:00:00 27/03/2014] id: Apnea Time Interval el: 0 cu: MICU-A cg: -1 v1: 20 st: NotStopd t0: [16:00:00 27/03/2014] id: Peak Flow el: 0 cu: MICU-A cg: -1 v1: 55 u1: L/m st: NotStopd t0: [16:00:00 27/03/2014] id: Peak Insp. Pressure el: 0 cu: MICU-A cg: -1 v1: 40 u1: cmH2O st: NotStopd t0: [16:00:00 27/03/2014] id: Plateau Pressure el: 0 cu: MICU-A cg: -1 v1: 30 u1: cmH2O st: NotStopd t0: [16:00:00 27/03/2014] id: Plateau-Off el: 0 cu: MICU-A cg: -1 v1: Yes st: NotStopd t0: [16:00:00 27/03/2014] id: Pressure Support el: 0 cu: MICU-A cg: -1 v1: 0 u1: . st: NotStopd t0: [16:00:00 27/03/2014] id: Resp Rate (Spont) el: 0 cu: MICU-A cg: -1 v1: 7 u1: BPM st: NotStopd t0: [16:00:00 27/03/2014] id: Resp Rate (Total) el: 0 cu: MICU-A cg: -1 v1: 29 u1: BPM st: NotStopd t0: [16:00:00 27/03/2014] id: Respiratory Rate Set el: 0 cu: MICU-A cg: -1 v1: 22 u1: BPM st: NotStopd t0: [16:00:00 27/03/2014] id: Sensitivity-Vent el: 0 cu: MICU-A cg: -1 v1: 2 u1: cmH2O st: NotStopd t0: [16:00:00 27/03/2014] id: SpO2 el: 0 cu: MICU-A cg: -1 v1: 100 u1: % st: NotStopd t0: [16:00:00 27/03/2014] id: Tidal Volume (Obser) el: 0 cu: MICU-A cg: -1 v1: 500 u1: ml/B st: NotStopd t0: [16:00:00 27/03/2014] id: Tidal Volume (Set) el: 0 cu: MICU-A cg: -1 v1: 500 u1: ml/B st: NotStopd t0: [16:00:00 27/03/2014] id: Ventilator Mode el: 0 cu: MICU-A cg: -1 v1: CMV st: NotStopd t0: [16:00:00 27/03/2014] id: Ventilator No. el: 0 cu: MICU-A cg: -1 v1: 6 u1: # st: NotStopd t0: [16:00:00 27/03/2014] id: Ventilator Type el: 0 cu: MICU-A cg: -1 v1: 7200A st: NotStopd t0: [16:00:00 27/03/2014] id: Waveform-Vent el: 0 cu: MICU-A cg: -1 v1: SQUARE st: NotStopd
t0: [14:00:00 27/03/2014] id: Temp. Site el: 0 cu: MICU-A cg: -1 v1: Rectal st: NotStopd t0: [14:00:00 27/03/2014] id: Temperature C (calc) el: 0 cu: MICU-A cg: -1 v1: 38.5556 u1: Deg. C st: NotStopd t0: [14:00:00 27/03/2014] id: Temperature F el: 0 cu: MICU-A cg: -1 v1: 101.4 u1: Deg. F st: NotStopd t0: [15:00:00 27/03/2014] id: Riker-SAS Scale el: 0 cu: MICU-A cg: -1 v1: Sedated st: NotStopd t0: [15:00:00 27/03/2014] id: Level of Conscious el: 0 cu: MICU-A cg: -1 v1: Arouse to Voice st: NotStopd t0: [16:00:00 27/03/2014] id: Pain Present el: 0 cu: MICU-A cg: -1 v1: No st: NotStopd t0: [16:00:00 27/03/2014] id: Pain Assess Method el: 0 cu: MICU-A cg: -1 v1: Non-verbal cues st: NotStopd t0: [16:00:00 27/03/2014] id: Service Type el: 0 cu: MICU-A cg: -1 v1: MICU st: NotStopd t0: [16:00:00 27/03/2014] id: CVP el: 0 cu: MICU-A cg: -1 v1: 18 u1: mmHg st: NotStopd t0: [16:00:00 27/03/2014] id: Code Status el: 0 cu: MICU-A cg: -1 v1: Full Code st: NotStopd t0: [16:00:00 27/03/2014] id: Daily Wake Up el: 0 cu: MICU-A cg: -1 v1: No st: NotStopd t0: [16:00:00 27/03/2014] id: GI Prophylaxis el: 0 cu: MICU-A cg: -1 v1: H2 Blocker st: NotStopd t0: [16:00:00 27/03/2014] id: Diet Type el: 0 cu: MICU-A cg: -1 v1: Tube Feeding st: NotStopd t0: [16:00:00 27/03/2014] id: Dorsal PedPulse R/L el: 0 cu: MICU-A cg: -1 v1: Diff to Palpate v2: Diff to Palpate st: NotStopd t0: [16:00:00 27/03/2014] id: Ectopy Type el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [16:00:00 27/03/2014] id: Eye Opening el: 0 cu: MICU-A cg: -1 v1: 1 No Response st: NotStopd t0: [16:00:00 27/03/2014] id: GCS Total el: 0 cu: MICU-A cg: -1 v1: 6 u1: points st: NotStopd t0: [16:00:00 27/03/2014] id: GI Intub #1/Site el: 0 cu: MICU-A cg: -1 v1: Salem Sump v2: Left Nare st: NotStopd t0: [16:00:00 27/03/2014] id: GI#1 Tube Stat/Drain el: 0 cu: MICU-A cg: -1 v1: Feeding v2: Bilious st: NotStopd t0: [16:00:00 27/03/2014] id: Heart Rate el: 0 cu: MICU-A cg: -1 v1: 98 u1: BPM st: NotStopd t0: [16:00:00 27/03/2014] id: Heart Rhythm el: 0 cu: MICU-A cg: -1 v1: Normal Sinus st: NotStopd t0: [16:00:00 27/03/2014] id: INV Line#1 Type/Site el: 0 cu: MICU-A cg: -1 v1: Multi-lumen v2: Right Femoral st: NotStopd t0: [16:00:00 27/03/2014] id: INV Line#1InsertDate el: 0 cu: MICU-A cg: -1 v1: 3 v2: 12 st: NotStopd t0: [16:00:00 27/03/2014] id: INV Line#1SiteAppear el: 0 cu: MICU-A cg: -1 v1: WNL st: NotStopd t0: [16:00:00 27/03/2014] id: INV Line#2 Type/Site el: 0 cu: MICU-A cg: -1 v1: A-Line v2: Right Radial st: NotStopd t0: [16:00:00 27/03/2014] id: INV Line#2InsertDate el: 0 cu: MICU-A cg: -1 v1: 3 v2: 12 st: NotStopd t0: [16:00:00 27/03/2014] id: INV Line#3 Type/Site el: 0 cu: MICU-A cg: -1 v1: Introducer v2: Right IJ st: NotStopd t0: [16:00:00 27/03/2014] id: INV Line#3InsertDate el: 0 cu: MICU-A cg: -1 v1: 3 v2: 12 st: NotStopd t0: [16:00:00 27/03/2014] id: INV Line#3SiteAppear el: 0 cu: MICU-A cg: -1 v1: WNL st: NotStopd t0: [16:00:00 27/03/2014] id: Abdominal Assessment el: 0 cu: MICU-A cg: -1 v1: Obese st: NotStopd t0: [16:00:00 27/03/2014] id: INV#2 WaveformAppear el: 0 cu: MICU-A cg: -1 v1: Sharp st: NotStopd t0: [16:00:00 27/03/2014] id: INV#3 WaveformAppear el: 0 cu: MICU-A cg: -1 v1: Sharp st: NotStopd t0: [16:00:00 27/03/2014] id: LLL Lung Sounds el: 0 cu: MICU-A cg: -1 v1: Coarse st: NotStopd t0: [16:00:00 27/03/2014] id: LUL Lung Sounds el: 0 cu: MICU-A cg: -1 v1: Coarse st: NotStopd t0: [16:00:00 27/03/2014] id: Level of Conscious el: 0 cu: MICU-A cg: -1 v1: Sedated st: NotStopd t0: [16:00:00 27/03/2014] id: Motor Response el: 0 cu: MICU-A cg: -1 v1: 4 Flex-withdraws st: NotStopd t0: [16:00:00 27/03/2014] id: Oral Cavity el: 0 cu: MICU-A cg: -1 v1: Teeth/Tissue WNL st: NotStopd t0: [16:00:00 27/03/2014] id: Orientation el: 0 cu: MICU-A cg: -1 v1: Other/Remarks st: NotStopd t0: [16:00:00 27/03/2014] id: Arterial BP el: 0 cu: MICU-A cg: -1 v1: 101 u1: mmHg v2: 57 u2: mmHg st: NotStopd t0: [16:00:00 27/03/2014] id: Pain Location el: 0 cu: MICU-A cg: -1 v1: Not Indicated st: NotStopd t0: [16:00:00 27/03/2014] id: Arterial BP Mean el: 0 cu: MICU-A cg: -1 v1: 72 u1: mmHg st: NotStopd t0: [16:00:00 27/03/2014] id: PostTib. Pulses R/L el: 0 cu: MICU-A cg: -1 v1: Diff to Palpate v2: Diff to Palpate st: NotStopd t0: [16:00:00 27/03/2014] id: Precautions el: 0 cu: MICU-A cg: -1 v1: Airborne/Resp st: NotStopd t0: [16:00:00 27/03/2014] id: RLL Lung Sounds el: 0 cu: MICU-A cg: -1 v1: Coarse st: NotStopd t0: [16:00:00 27/03/2014] id: RUL Lung Sounds el: 0 cu: MICU-A cg: -1 v1: Coarse st: NotStopd t0: [16:00:00 27/03/2014] id: Respiratory Pattern el: 0 cu: MICU-A cg: -1 v1: Regular st: NotStopd t0: [16:00:00 27/03/2014] id: Respiratory Rate el: 0 cu: MICU-A cg: -1 v1: 25 u1: BPM st: NotStopd t0: [16:00:00 27/03/2014] id: Urine Color/Appear el: 0 cu: MICU-A cg: -1 v1: Yellow v2: Sediment st: NotStopd t0: [16:00:00 27/03/2014] id: Urine Source el: 0 cu: MICU-A cg: -1 v1: Indwelling Cath st: NotStopd t0: [16:00:00 27/03/2014] id: Verbal Response el: 0 cu: MICU-A cg: -1 v1: 1.0 ET/Trach st: NotStopd t0: [16:00:00 27/03/2014] id: calprevflg el: 0 cu: MICU-A cg: -1 v1: 1 u1: kg st: NotStopd t0: [16:00:00 27/03/2014] id: Bowel Sounds el: 0 cu: MICU-A cg: -1 v1: Present st: NotStopd t0: [17:00:00 27/03/2014] id: Eye Care el: 0 cu: MICU-A cg: -1 v1: Done st: NotStopd t0: [17:00:00 27/03/2014] id: HOB el: 0 cu: MICU-A cg: -1 v1: 30 degrees st: NotStopd t0: [17:00:00 27/03/2014] id: Activity el: 0 cu: MICU-A cg: -1 v1: Bedrest st: NotStopd t0: [17:00:00 27/03/2014] id: Activity Tolerance el: 0 cu: MICU-A cg: -1 v1: Tolerated Well st: NotStopd t0: [17:00:00 27/03/2014] id: AntiEmbDevice/Status el: 0 cu: MICU-A cg: -1 v1: Compress Sleeves v2: On st: NotStopd t0: [17:00:00 27/03/2014] id: Assistance Device el: 0 cu: MICU-A cg: -1 v1: 2 Person Assist st: NotStopd t0: [17:00:00 27/03/2014] id: Turn el: 0 cu: MICU-A cg: -1 v1: Back st: NotStopd
t0: [13:00:00 27/03/2014] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 2 vu: ml t0: [14:00:00 27/03/2014] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 2 vu: ml t0: [15:00:00 27/03/2014] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 3 vu: ml t0: [16:00:00 27/03/2014] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 4 vu: ml t0: [16:00:00 27/03/2014] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU-A cg: -1 ai: 416 vo: 5 vu: ml t0: [16:00:00 27/03/2014] id: Promote w/fiber Tube Feeding el: 1 cu: MICU-A cg: -1 ai: 107 vo: 20 vu: ml t0: [16:00:00 27/03/2014] id: Urine Out Foley el: 1 cu: MICU-A cg: -1 vo: 60 vu: ml
t0: [15:00:00 27/03/2014] id: Ativan el: 1 cu: MICU-A so: D5W vo: 0 v1: 3 du: mghr sv: 60 su: ml rt: IV Drip t0: [16:00:00 27/03/2014] id: Fentanyl el: 1 cu: MICU-A so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 250 su: ml rt: IV Drip t0: [16:00:00 27/03/2014] id: Ativan el: 1 cu: MICU-A so: D5W vo: 0 v1: 4 du: mghr sv: 60 su: ml rt: IV Drip
t0: [17:00:00 27/03/2014] id: Service Type el: 0 cu: MICU-A cg: -1 v1: MICU st: NotStopd t0: [17:00:00 27/03/2014] id: Code Status el: 0 cu: MICU-A cg: -1 v1: Full Code st: NotStopd t0: [17:00:00 27/03/2014] id: Ectopy Type el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [17:00:00 27/03/2014] id: Heart Rate el: 0 cu: MICU-A cg: -1 v1: 99 u1: BPM st: NotStopd t0: [17:00:00 27/03/2014] id: Heart Rhythm el: 0 cu: MICU-A cg: -1 v1: Normal Sinus st: NotStopd t0: [17:00:00 27/03/2014] id: Arterial BP el: 0 cu: MICU-A cg: -1 v1: 104 u1: mmHg v2: 57 u2: mmHg st: NotStopd t0: [17:00:00 27/03/2014] id: Arterial BP Mean el: 0 cu: MICU-A cg: -1 v1: 73 u1: mmHg st: NotStopd t0: [17:00:00 27/03/2014] id: Precautions el: 0 cu: MICU-A cg: -1 v1: Airborne/Resp st: NotStopd t0: [17:00:00 27/03/2014] id: Respiratory Rate el: 0 cu: MICU-A cg: -1 v1: 22 u1: BPM st: NotStopd t0: [17:00:00 27/03/2014] id: SpO2 el: 0 cu: MICU-A cg: -1 v1: 100 u1: % st: NotStopd t0: [17:00:00 27/03/2014] id: calprevflg el: 0 cu: MICU-A cg: -1 v1: 1 u1: kg st: NotStopd
t0: [16:00:00 27/03/2014] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 150 vu: ml
t0: [17:00:00 27/03/2014] id: Ativan el: 1 cu: MICU-A so: D5W vo: 0 v1: 4 du: mghr sv: 60 su: ml rt: IV Drip
t0: [13:00:00 27/03/2014] id: Fingerstick Glucose Chemistry el: 0 cu: MICU-A cg: -1 v1: 123 rs: Manual st: NotStopd t0: [17:00:00 27/03/2014] id: CVP el: 0 cu: MICU-A cg: -1 v1: 19 u1: mmHg st: NotStopd t0: [17:00:00 27/03/2014] id: Oral Care el: 0 cu: MICU-A cg: -1 v1: Done st: NotStopd t0: [17:00:00 27/03/2014] id: Position el: 0 cu: MICU-A cg: -1 v1: Left Side st: NotStopd t0: [17:00:00 27/03/2014] id: Sputum Color/Consist el: 0 cu: MICU-A cg: -1 v1: Blood Tinged st: NotStopd t0: [17:00:00 27/03/2014] id: Sputum Source/Amt el: 0 cu: MICU-A cg: -1 v1: Suctioned v2: Scant st: NotStopd t0: [17:00:00 27/03/2014] id: Temp. Site el: 0 cu: MICU-A cg: -1 v1: Oral st: NotStopd t0: [17:00:00 27/03/2014] id: Temperature C (calc) el: 0 cu: MICU-A cg: -1 v1: 38.3333 u1: Deg. C st: NotStopd t0: [17:00:00 27/03/2014] id: Temperature F el: 0 cu: MICU-A cg: -1 v1: 101 u1: Deg. F st: NotStopd t0: [17:30:00 27/03/2014] id: Service Type el: 0 cu: MICU-A cg: -1 v1: MICU st: NotStopd t0: [17:30:00 27/03/2014] id: CVP el: 0 cu: MICU-A cg: -1 v1: 12 u1: mmHg st: NotStopd t0: [17:30:00 27/03/2014] id: Code Status el: 0 cu: MICU-A cg: -1 v1: Full Code st: NotStopd t0: [17:30:00 27/03/2014] id: Heart Rate el: 0 cu: MICU-A cg: -1 v1: 97 u1: BPM st: NotStopd t0: [17:30:00 27/03/2014] id: Arterial BP el: 0 cu: MICU-A cg: -1 v1: 92 u1: mmHg v2: 43 u2: mmHg st: NotStopd t0: [17:30:00 27/03/2014] id: Arterial BP Mean el: 0 cu: MICU-A cg: -1 v1: 59 u1: mmHg st: NotStopd t0: [17:30:00 27/03/2014] id: Precautions el: 0 cu: MICU-A cg: -1 v1: Airborne/Resp st: NotStopd t0: [17:30:00 27/03/2014] id: Respiratory Rate el: 0 cu: MICU-A cg: -1 v1: 20 u1: BPM st: NotStopd t0: [17:30:00 27/03/2014] id: SpO2 el: 0 cu: MICU-A cg: -1 v1: 100 u1: % st: NotStopd t0: [17:30:00 27/03/2014] id: calprevflg el: 0 cu: MICU-A cg: -1 v1: 1 u1: kg st: NotStopd t0: [17:45:00 27/03/2014] id: Service Type el: 0 cu: MICU-A cg: -1 v1: MICU st: NotStopd t0: [17:45:00 27/03/2014] id: CVP el: 0 cu: MICU-A cg: -1 v1: 20 u1: mmHg st: NotStopd t0: [17:45:00 27/03/2014] id: Code Status el: 0 cu: MICU-A cg: -1 v1: Full Code st: NotStopd t0: [17:45:00 27/03/2014] id: Heart Rate el: 0 cu: MICU-A cg: -1 v1: 89 u1: BPM st: NotStopd t0: [17:45:00 27/03/2014] id: Arterial BP el: 0 cu: MICU-A cg: -1 v1: 84 u1: mmHg v2: 45 u2: mmHg st: NotStopd t0: [17:45:00 27/03/2014] id: Arterial BP Mean el: 0 cu: MICU-A cg: -1 v1: 57 u1: mmHg st: NotStopd t0: [17:45:00 27/03/2014] id: Precautions el: 0 cu: MICU-A cg: -1 v1: Airborne/Resp st: NotStopd t0: [17:45:00 27/03/2014] id: Respiratory Rate el: 0 cu: MICU-A cg: -1 v1: 21 u1: BPM st: NotStopd t0: [17:45:00 27/03/2014] id: SpO2 el: 0 cu: MICU-A cg: -1 v1: 100 u1: % st: NotStopd t0: [17:45:00 27/03/2014] id: calprevflg el: 0 cu: MICU-A cg: -1 v1: 1 u1: kg st: NotStopd t0: [17:50:00 27/03/2014] id: Service Type el: 0 cu: MICU-A cg: -1 v1: MICU st: NotStopd t0: [17:50:00 27/03/2014] id: CVP el: 0 cu: MICU-A cg: -1 v1: 19 u1: mmHg st: NotStopd t0: [17:50:00 27/03/2014] id: Code Status el: 0 cu: MICU-A cg: -1 v1: Full Code st: NotStopd t0: [17:50:00 27/03/2014] id: Heart Rate el: 0 cu: MICU-A cg: -1 v1: 91 u1: BPM st: NotStopd t0: [17:50:00 27/03/2014] id: NBP el: 0 cu: MICU-A cg: -1 v1: 88 u1: mmHg v2: 38 u2: mmHg st: NotStopd t0: [17:50:00 27/03/2014] id: NBP Mean el: 0 cu: MICU-A cg: -1 v1: 54.6667 u1: mmHg st: NotStopd t0: [17:50:00 27/03/2014] id: Arterial BP el: 0 cu: MICU-A cg: -1 v1: 81 u1: mmHg v2: 43 u2: mmHg st: NotStopd t0: [17:50:00 27/03/2014] id: Arterial BP Mean el: 0 cu: MICU-A cg: -1 v1: 55 u1: mmHg st: NotStopd t0: [17:50:00 27/03/2014] id: Precautions el: 0 cu: MICU-A cg: -1 v1: Airborne/Resp st: NotStopd t0: [17:50:00 27/03/2014] id: Respiratory Rate el: 0 cu: MICU-A cg: -1 v1: 21 u1: BPM st: NotStopd t0: [17:50:00 27/03/2014] id: SpO2 el: 0 cu: MICU-A cg: -1 v1: 100 u1: % st: NotStopd t0: [17:50:00 27/03/2014] id: calprevflg el: 0 cu: MICU-A cg: -1 v1: 1 u1: kg st: NotStopd t0: [17:55:00 27/03/2014] id: Service Type el: 0 cu: MICU-A cg: -1 v1: MICU st: NotStopd t0: [17:55:00 27/03/2014] id: Code Status el: 0 cu: MICU-A cg: -1 v1: Full Code st: NotStopd t0: [17:55:00 27/03/2014] id: Heart Rate el: 0 cu: MICU-A cg: -1 v1: 82 u1: BPM st: NotStopd t0: [17:55:00 27/03/2014] id: Arterial BP el: 0 cu: MICU-A cg: -1 v1: 127 u1: mmHg v2: 68 u2: mmHg st: NotStopd t0: [17:55:00 27/03/2014] id: Arterial BP Mean el: 0 cu: MICU-A cg: -1 v1: 89 u1: mmHg st: NotStopd t0: [17:55:00 27/03/2014] id: Precautions el: 0 cu: MICU-A cg: -1 v1: Airborne/Resp st: NotStopd t0: [17:55:00 27/03/2014] id: Respiratory Rate el: 0 cu: MICU-A cg: -1 v1: 21 u1: BPM st: NotStopd t0: [17:55:00 27/03/2014] id: SpO2 el: 0 cu: MICU-A cg: -1 v1: 100 u1: % st: NotStopd t0: [17:55:00 27/03/2014] id: calprevflg el: 0 cu: MICU-A cg: -1 v1: 1 u1: kg st: NotStopd t0: [18:00:00 27/03/2014] id: Less Restrict Meas. el: 0 cu: MICU-A cg: -1 v1: Medicated st: NotStopd t0: [18:00:00 27/03/2014] id: Range of Motion el: 0 cu: MICU-A cg: -1 v1: Done st: NotStopd t0: [18:00:00 27/03/2014] id: Service Type el: 0 cu: MICU-A cg: -1 v1: MICU st: NotStopd t0: [18:00:00 27/03/2014] id: Circulation/SkinInt el: 0 cu: MICU-A cg: -1 v1: Circulation Adeq st: NotStopd t0: [18:00:00 27/03/2014] id: Code Status el: 0 cu: MICU-A cg: -1 v1: Full Code st: NotStopd t0: [18:00:00 27/03/2014] id: Ectopy Type el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [18:00:00 27/03/2014] id: Heart Rate el: 0 cu: MICU-A cg: -1 v1: 82 u1: BPM st: NotStopd t0: [18:00:00 27/03/2014] id: Heart Rhythm el: 0 cu: MICU-A cg: -1 v1: Normal Sinus st: NotStopd t0: [18:00:00 27/03/2014] id: Impaired Skin Site#1 el: 0 cu: MICU-A cg: -1 v1: Gluteal, Right st: NotStopd t0: [18:00:00 27/03/2014] id: Arterial BP el: 0 cu: MICU-A cg: -1 v1: 124 u1: mmHg v2: 66 u2: mmHg st: NotStopd t0: [18:00:00 27/03/2014] id: Arterial BP Mean el: 0 cu: MICU-A cg: -1 v1: 86 u1: mmHg st: NotStopd t0: [18:00:00 27/03/2014] id: Position Change el: 0 cu: MICU-A cg: -1 v1: Done st: NotStopd t0: [18:00:00 27/03/2014] id: Precautions el: 0 cu: MICU-A cg: -1 v1: Airborne/Resp st: NotStopd t0: [18:00:00 27/03/2014] id: Reason For Restraint el: 0 cu: MICU-A cg: -1 v1: Ext/TXInterfere st: NotStopd t0: [18:00:00 27/03/2014] id: Removed x 5 Mins el: 0 cu: MICU-A cg: -1 v1: Done st: NotStopd t0: [18:00:00 27/03/2014] id: Respiratory Rate el: 0 cu: MICU-A cg: -1 v1: 20 u1: BPM st: NotStopd t0: [18:00:00 27/03/2014] id: Restraint Location el: 0 cu: MICU-A cg: -1 v1: Both Arms st: NotStopd t0: [18:00:00 27/03/2014] id: Restraint Type el: 0 cu: MICU-A cg: -1 v1: Soft Limb st: NotStopd t0: [18:00:00 27/03/2014] id: Restraints Evaluated el: 0 cu: MICU-A cg: -1 v1: RestraintReapply st: NotStopd t0: [18:00:00 27/03/2014] id: Side Rails el: 0 cu: MICU-A cg: -1 v1: Side Rails Up st: NotStopd t0: [18:00:00 27/03/2014] id: SpO2 el: 0 cu: MICU-A cg: -1 v1: 100 u1: % st: NotStopd t0: [18:00:00 27/03/2014] id: Support Systems el: 0 cu: MICU-A cg: -1 v1: Spouse st: NotStopd t0: [18:00:00 27/03/2014] id: calprevflg el: 0 cu: MICU-A cg: -1 v1: 1 u1: kg st: NotStopd t0: [18:00:00 27/03/2014] id: Fingerstick Glucose Chemistry el: 0 cu: MICU-A cg: -1 v1: 123 rs: Manual st: NotStopd
t0: [17:00:00 27/03/2014] id: D5W 100.0ml IV Infusions el: 1 cu: MICU-A cg: -1 ai: 105 vo: 100 vu: ml t0: [17:00:00 27/03/2014] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vu: ml t0: [17:00:00 27/03/2014] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 4 vu: ml t0: [17:00:00 27/03/2014] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU-A cg: -1 ai: 416 vo: 5 vu: ml t0: [17:00:00 27/03/2014] id: Urine Out Foley el: 1 cu: MICU-A cg: -1 vo: 40 vu: ml t0: [18:00:00 27/03/2014] id: D5W 100.0ml IV Infusions el: 1 cu: MICU-A cg: -1 ai: 105 vo: 50 vu: ml t0: [18:00:00 27/03/2014] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 150 vu: ml t0: [18:00:00 27/03/2014] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 4 vu: ml t0: [18:00:00 27/03/2014] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU-A cg: -1 ai: 416 vo: 6.25 vu: ml t0: [18:00:00 27/03/2014] id: Urine Out Foley el: 1 cu: MICU-A cg: -1 vo: 35 vu: ml
t0: [17:00:00 27/03/2014] id: Fentanyl el: 1 cu: MICU-A so: .9% Normal Saline vo: 0 v1: 75 du: mcghr sv: 250 su: ml rt: IV Drip t0: [17:30:00 27/03/2014] id: Fentanyl el: 1 cu: MICU-A so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 250 su: ml rt: IV Drip t0: [17:30:00 27/03/2014] id: Ativan el: 1 cu: MICU-A so: D5W vo: 0 v1: 4 du: mghr sv: 60 su: ml rt: IV Drip t0: [17:45:00 27/03/2014] id: Fentanyl el: 1 cu: MICU-A so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 250 su: ml rt: IV Drip t0: [17:45:00 27/03/2014] id: Ativan el: 1 cu: MICU-A so: D5W vo: 0 v1: 4 du: mghr sv: 60 su: ml rt: IV Drip t0: [17:50:00 27/03/2014] id: Fentanyl el: 1 cu: MICU-A so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 250 su: ml rt: IV Drip t0: [17:50:00 27/03/2014] tf: [09:00:00 28/03/2014] dt: 910 id: Levophed-k el: 1 cu: MICU-A so: D5W vo: 0 v1: 0.12 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [17:50:00 27/03/2014] id: Ativan el: 1 cu: MICU-A so: D5W vo: 0 v1: 4 du: mghr sv: 60 su: ml rt: IV Drip t0: [17:55:00 27/03/2014] id: Fentanyl el: 1 cu: MICU-A so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 250 su: ml rt: IV Drip t0: [17:55:00 27/03/2014] id: Ativan el: 1 cu: MICU-A so: D5W vo: 0 v1: 4 du: mghr sv: 60 su: ml rt: IV Drip t0: [18:00:00 27/03/2014] id: Levophed-k el: 1 cu: MICU-A so: D5W vo: 0 v1: 0.1 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [18:00:00 27/03/2014] id: Ativan el: 1 cu: MICU-A so: D5W vo: 0 v1: 4 du: mghr sv: 60 su: ml rt: IV Drip
t0: [18:00:00 27/03/2014] id: Imp Skin Cleanse #2 el: 0 cu: MICU-A cg: -1 v1: Soap & H20 st: NotStopd t0: [18:00:00 27/03/2014] id: ImpSkin Character #1 el: 0 cu: MICU-A cg: -1 v1: Hematoma st: NotStopd t0: [18:00:00 27/03/2014] id: ImpSkin Character #2 el: 0 cu: MICU-A cg: -1 v1: Rash st: NotStopd t0: [18:00:00 27/03/2014] id: ImpSkin Treatment #2 el: 0 cu: MICU-A cg: -1 v1: Open to Air st: NotStopd t0: [18:00:00 27/03/2014] id: Impaired Skin Site#2 el: 0 cu: MICU-A cg: -1 v1: Labia st: NotStopd
t0: [17:00:00 27/03/2014] id: Promote w/fiber Tube Feeding el: 1 cu: MICU-A cg: -1 ai: 107 vo: 20 vu: ml t0: [18:00:00 27/03/2014] id: Promote w/fiber Tube Feeding el: 1 cu: MICU-A cg: -1 ai: 107 vo: 20 vu: ml
t0: [18:00:00 27/03/2014] id: Fentanyl el: 1 cu: MICU-A so: .9% Normal Saline vo: 0 v1: 75 du: mcghr sv: 250 su: ml rt: IV Drip
t0: [18:26:00 27/03/2014] id: Art.pH ABG el: 0 cu: MICU-A cg: 1663 v1: 7.29 rs: Final st: NotStopd t0: [18:26:00 27/03/2014] id: Arterial Base Excess ABG el: 0 cu: MICU-A cg: 1663 v1: -9 rs: Final st: NotStopd t0: [18:26:00 27/03/2014] id: Arterial CO2(Calc) ABG el: 0 cu: MICU-A cg: 1663 v1: 17 rs: Final st: NotStopd t0: [18:26:00 27/03/2014] id: Arterial PaCO2 ABG el: 0 cu: MICU-A cg: 1663 v1: 33 u1: mmHg rs: Final st: NotStopd t0: [18:26:00 27/03/2014] id: Arterial PaO2 ABG el: 0 cu: MICU-A cg: 1663 v1: 170 u1: mmHg rs: Final st: NotStopd t0: [18:26:00 27/03/2014] id: Arterial pH ABG el: 0 cu: MICU-A cg: 1663 v1: 7.29 rs: Final st: NotStopd
t0: [19:00:00 27/03/2014] id: Pre-Admission Intake Pre-Admission Intake el: 1 cu: MICU-A cg: -1 ai: 189 vo: 0 st: D/C'd
t0: [19:00:00 27/03/2014] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [19:00:00 27/03/2014] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [19:00:00 27/03/2014] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [19:00:00 27/03/2014] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [19:00:00 27/03/2014] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 99 u1: BPM st: NotStopd t0: [19:00:00 27/03/2014] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [19:00:00 27/03/2014] id: NBP el: 0 cu: MICU-A cg: RN v1: 114 u1: mmHg v2: 55 u2: mmHg st: NotStopd t0: [19:00:00 27/03/2014] id: NBP Mean el: 0 cu: MICU-A cg: RN v1: 74.6667 u1: mmHg st: NotStopd t0: [19:00:00 27/03/2014] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 116 u1: mmHg v2: 50 u2: mmHg st: NotStopd t0: [19:00:00 27/03/2014] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 66 u1: mmHg st: NotStopd t0: [19:00:00 27/03/2014] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 28 u1: BPM st: NotStopd t0: [19:00:00 27/03/2014] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 100 u1: % st: NotStopd t0: [19:00:00 27/03/2014] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [20:00:00 27/03/2014] id: Pain Present el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [20:00:00 27/03/2014] id: Range of Motion el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [20:00:00 27/03/2014] id: Pain Assess Method el: 0 cu: MICU-A cg: RN v1: Non-verbal cues st: NotStopd t0: [20:00:00 27/03/2014] id: PainLevel Acceptable el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [20:00:00 27/03/2014] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [20:00:00 27/03/2014] id: Circulation/SkinInt el: 0 cu: MICU-A cg: RN v1: Circulation Adeq st: NotStopd t0: [20:00:00 27/03/2014] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [20:00:00 27/03/2014] id: Riker-SAS Scale el: 0 cu: MICU-A cg: RN v1: Sedated st: NotStopd t0: [20:00:00 27/03/2014] id: Daily Wake Up el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [20:00:00 27/03/2014] id: GI Prophylaxis el: 0 cu: MICU-A cg: RN v1: H2 Blocker st: NotStopd t0: [20:00:00 27/03/2014] id: Diet Type el: 0 cu: MICU-A cg: RN v1: Tube Feeding st: NotStopd t0: [20:00:00 27/03/2014] id: Dorsal PedPulse R/L el: 0 cu: MICU-A cg: RN v1: Diff to Palpate v2: Diff to Palpate st: NotStopd t0: [20:00:00 27/03/2014] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [20:00:00 27/03/2014] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [20:00:00 27/03/2014] id: Eye Opening el: 0 cu: MICU-A cg: RN v1: 3 To speech st: NotStopd t0: [20:00:00 27/03/2014] id: Family Communication el: 0 cu: MICU-A cg: RN v1: Family Visited st: NotStopd t0: [20:00:00 27/03/2014] id: GCS Total el: 0 cu: MICU-A cg: RN v1: 10 u1: points st: NotStopd t0: [20:00:00 27/03/2014] id: GI Guaiac/ph el: 0 cu: MICU-A cg: RN v1: Not Applicable st: NotStopd t0: [20:00:00 27/03/2014] id: GI Intub #1/Site el: 0 cu: MICU-A cg: RN v1: Salem Sump v2: Left Nare st: NotStopd t0: [20:00:00 27/03/2014] id: GI#1 Tube PlaceCheck el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [20:00:00 27/03/2014] id: GI#1 Tube Stat/Drain el: 0 cu: MICU-A cg: RN v1: Feeding v2: Undigested Food st: NotStopd t0: [20:00:00 27/03/2014] id: GU Catheter Size el: 0 cu: MICU-A cg: RN v1: 14 French st: NotStopd t0: [20:00:00 27/03/2014] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 86 u1: BPM st: NotStopd t0: [20:00:00 27/03/2014] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [20:00:00 27/03/2014] id: INV Line#1 Type/Site el: 0 cu: MICU-A cg: RN v1: Multi-lumen v2: Right Femoral st: NotStopd t0: [20:00:00 27/03/2014] id: INV Line#1InsertDate el: 0 cu: MICU-A cg: RN v1: 3 v2: 12 st: NotStopd t0: [20:00:00 27/03/2014] id: INV Line#1SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [20:00:00 27/03/2014] id: INV Line#2 Type/Site el: 0 cu: MICU-A cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [20:00:00 27/03/2014] id: INV Line#2 Zero/Cal el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [20:00:00 27/03/2014] id: INV Line#2InsertDate el: 0 cu: MICU-A cg: RN v1: 3 v2: 12 st: NotStopd t0: [20:00:00 27/03/2014] id: INV Line#3 Type/Site el: 0 cu: MICU-A cg: RN v1: Introducer v2: Right IJ st: NotStopd t0: [20:00:00 27/03/2014] id: INV Line#3InsertDate el: 0 cu: MICU-A cg: RN v1: 3 v2: 12 st: NotStopd t0: [20:00:00 27/03/2014] id: INV Line#3SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [20:00:00 27/03/2014] id: Abdominal Assessment el: 0 cu: MICU-A cg: RN v1: Obese st: NotStopd t0: [20:00:00 27/03/2014] id: INV#2 WaveformAppear el: 0 cu: MICU-A cg: RN v1: Sharp st: NotStopd t0: [20:00:00 27/03/2014] id: Imp Skin Cleanse #2 el: 0 cu: MICU-A cg: RN v1: Soap & H20 st: NotStopd t0: [20:00:00 27/03/2014] id: ImpSkin Character #1 el: 0 cu: MICU-A cg: RN v1: Hematoma st: NotStopd t0: [20:00:00 27/03/2014] id: ImpSkin Character #2 el: 0 cu: MICU-A cg: RN v1: Rash st: NotStopd t0: [20:00:00 27/03/2014] id: ImpSkin Treatment #1 el: 0 cu: MICU-A cg: RN v1: Open to Air st: NotStopd t0: [20:00:00 27/03/2014] id: ImpSkin Treatment #2 el: 0 cu: MICU-A cg: RN v1: Open to Air st: NotStopd t0: [20:00:00 27/03/2014] id: Impaired Skin Site#1 el: 0 cu: MICU-A cg: RN v1: Gluteal, Right st: NotStopd t0: [20:00:00 27/03/2014] id: Impaired Skin Site#2 el: 0 cu: MICU-A cg: RN v1: Labia st: NotStopd t0: [20:00:00 27/03/2014] id: LLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [20:00:00 27/03/2014] id: LUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [20:00:00 27/03/2014] id: Level of Conscious el: 0 cu: MICU-A cg: RN v1: Arouse to Voice st: NotStopd t0: [20:00:00 27/03/2014] id: Motor Response el: 0 cu: MICU-A cg: RN v1: 6 Obeys Commands st: NotStopd t0: [20:00:00 27/03/2014] id: Oral Cavity el: 0 cu: MICU-A cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [20:00:00 27/03/2014] id: Orientation el: 0 cu: MICU-A cg: RN v1: Other/Remarks st: NotStopd t0: [20:00:00 27/03/2014] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 94 u1: mmHg v2: 52 u2: mmHg st: NotStopd t0: [20:00:00 27/03/2014] id: Pain Location el: 0 cu: MICU-A cg: RN v1: Abdominal st: NotStopd t0: [20:00:00 27/03/2014] id: Pain Management el: 1 cu: MICU-A cg: RN v1: IV Gtt v2: IV Gtt st: NotStopd t0: [20:00:00 27/03/2014] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 69 u1: mmHg st: NotStopd t0: [20:00:00 27/03/2014] id: Position Change el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [20:00:00 27/03/2014] id: PostTib. Pulses R/L el: 0 cu: MICU-A cg: RN v1: Diff to Palpate v2: Diff to Palpate st: NotStopd t0: [20:00:00 27/03/2014] id: RLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [20:00:00 27/03/2014] id: RUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [20:00:00 27/03/2014] id: Reason For Restraint el: 0 cu: MICU-A cg: RN v1: Ext/TXInterfere st: NotStopd t0: [20:00:00 27/03/2014] id: Removed x 5 Mins el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [20:00:00 27/03/2014] id: Respiratory Pattern el: 0 cu: MICU-A cg: RN v1: Regular st: NotStopd t0: [20:00:00 27/03/2014] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 23 u1: BPM st: NotStopd t0: [20:00:00 27/03/2014] id: Restraint Location el: 0 cu: MICU-A cg: RN v1: Both Arms st: NotStopd t0: [20:00:00 27/03/2014] id: Restraint Type el: 0 cu: MICU-A cg: RN v1: Soft Limb st: NotStopd t0: [20:00:00 27/03/2014] id: Restraints Evaluated el: 0 cu: MICU-A cg: RN v1: RestraintReapply st: NotStopd t0: [20:00:00 27/03/2014] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [20:00:00 27/03/2014] id: Skin Color el: 0 cu: MICU-A cg: RN v1: Flushed st: NotStopd t0: [20:00:00 27/03/2014] id: Skin Integrity el: 0 cu: MICU-A cg: RN v1: Impaired st: NotStopd t0: [20:00:00 27/03/2014] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 99 u1: % st: NotStopd t0: [20:00:00 27/03/2014] id: Stool Color/Consist el: 0 cu: MICU-A cg: RN v1: Brown v2: Liquid st: NotStopd t0: [20:00:00 27/03/2014] id: Support Systems el: 0 cu: MICU-A cg: RN v1: Spouse st: NotStopd t0: [20:00:00 27/03/2014] id: Temp. Site el: 0 cu: MICU-A cg: RN v1: Oral st: NotStopd t0: [20:00:00 27/03/2014] id: Temperature C (calc) el: 0 cu: MICU-A cg: RN v1: 38.2222 u1: Deg. C st: NotStopd t0: [20:00:00 27/03/2014] id: Temperature F el: 0 cu: MICU-A cg: RN v1: 100.8 u1: Deg. F st: NotStopd t0: [20:00:00 27/03/2014] id: Urine Color/Appear el: 0 cu: MICU-A cg: RN v1: Yellow v2: Sediment st: NotStopd t0: [20:00:00 27/03/2014] id: Urine Source el: 0 cu: MICU-A cg: RN v1: Indwelling Cath st: NotStopd t0: [20:00:00 27/03/2014] id: Verbal Response el: 0 cu: MICU-A cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [20:00:00 27/03/2014] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [20:00:00 27/03/2014] id: Behavior el: 0 cu: MICU-A cg: RN v1: Sedated st: NotStopd t0: [20:00:00 27/03/2014] id: Bowel Sounds el: 0 cu: MICU-A cg: RN v1: Present st: NotStopd t0: [20:00:00 27/03/2014] id: Braden Activity el: 0 cu: MICU-A cg: RN v1: Bedfast st: NotStopd t0: [20:00:00 27/03/2014] id: Braden Frict/Shear el: 0 cu: MICU-A cg: RN v1: Potential Prob st: NotStopd t0: [20:00:00 27/03/2014] id: Braden Mobility el: 0 cu: MICU-A cg: RN v1: Very Limited st: NotStopd t0: [20:00:00 27/03/2014] id: Braden Moisture el: 0 cu: MICU-A cg: RN v1: Occ. Moist st: NotStopd t0: [20:00:00 27/03/2014] id: Braden Nutrition el: 0 cu: MICU-A cg: RN v1: Prob. Inadequate st: NotStopd t0: [20:00:00 27/03/2014] id: Braden Score el: 0 cu: MICU-A cg: RN v1: 13 u1: number st: NotStopd t0: [20:00:00 27/03/2014] id: Braden SensoryPercep el: 0 cu: MICU-A cg: RN v1: Sl. Limited st: NotStopd
t0: [20:00:00 27/03/2014] tf: [08:00:00 29/03/2014] dt: 2160 id: TF Residual Gastric/TF Residual el: 1 cu: MICU-A cg: RN ai: 107 vo: 5 vu: ml t0: [20:00:00 27/03/2014] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 300 vu: ml t0: [20:00:00 27/03/2014] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml nb: 1 t0: [20:00:00 27/03/2014] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU-A cg: RN ai: 416 vo: 15 vu: ml t0: [20:00:00 27/03/2014] id: Promote w/fiber Tube Feeding el: 1 cu: MICU-A cg: RN ai: 107 vo: 40 vu: ml t0: [20:00:00 27/03/2014] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 90 vu: ml
t0: [19:00:00 27/03/2014] id: Fentanyl el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 75 du: mcghr sv: 250 su: ml rt: IV Drip t0: [19:00:00 27/03/2014] id: Levophed-k el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 0.1 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [19:00:00 27/03/2014] id: Ativan el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 6 du: mghr sv: 60 su: ml rt: IV Drip t0: [20:00:00 27/03/2014] id: Fentanyl el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 75 du: mcghr sv: 250 su: ml rt: IV Drip t0: [20:00:00 27/03/2014] id: Levophed-k el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 0.0741565 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [20:00:00 27/03/2014] id: Ativan el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 6 du: mghr sv: 60 su: ml rt: IV Drip
t0: [20:50:00 27/03/2014] id: Compliance (40-60ml) el: 0 cu: MICU-A cg: RRT v1: 19.6078 u1: ml/cmH st: NotStopd t0: [20:50:00 27/03/2014] id: ETT Mark/Location el: 0 cu: MICU-A cg: RRT v1: 23cm v2: Lip st: NotStopd t0: [20:50:00 27/03/2014] id: FiO2 Set el: 0 cu: MICU-A cg: RRT v1: 0.4 u1: torr st: NotStopd t0: [20:50:00 27/03/2014] id: High Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 55 u1: cmH2O st: NotStopd t0: [20:50:00 27/03/2014] id: High Resp. Rate el: 0 cu: MICU-A cg: RRT v1: 35 u1: BPM st: NotStopd t0: [20:50:00 27/03/2014] id: I:E Ratio el: 0 cu: MICU-A cg: RRT v1: 1:4 st: NotStopd t0: [20:50:00 27/03/2014] id: Airway Size el: 0 cu: MICU-A cg: RRT v1: 7.5 mm st: NotStopd t0: [20:50:00 27/03/2014] id: Airway Type el: 0 cu: MICU-A cg: RRT v1: Endotracheal st: NotStopd t0: [20:50:00 27/03/2014] id: Inspired Gas Temp el: 0 cu: MICU-A cg: RRT v1: 34 u1: Deg. C st: NotStopd t0: [20:50:00 27/03/2014] id: Intubation Date el: 0 cu: MICU-A cg: RRT v1: 3 v2: 12 st: NotStopd t0: [20:50:00 27/03/2014] id: Low Exhaled Min Vol el: 0 cu: MICU-A cg: RRT v1: 8 st: NotStopd t0: [20:50:00 27/03/2014] id: Low Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 20 u1: cmH2O st: NotStopd t0: [20:50:00 27/03/2014] id: Mean Airway Pressure el: 0 cu: MICU-A cg: RRT v1: 22.2 u1: cmH2O st: NotStopd t0: [20:50:00 27/03/2014] id: Minute Volume(Obser) el: 0 cu: MICU-A cg: RRT v1: 11.1 u1: L/min st: NotStopd t0: [20:50:00 27/03/2014] id: PEEP Set el: 0 cu: MICU-A cg: RRT v1: 17.5 u1: cmH2O st: NotStopd t0: [20:50:00 27/03/2014] id: Apnea Time Interval el: 0 cu: MICU-A cg: RRT v1: 20 st: NotStopd t0: [20:50:00 27/03/2014] id: Peak Flow el: 0 cu: MICU-A cg: RRT v1: 55 u1: L/m st: NotStopd t0: [20:50:00 27/03/2014] id: Peak Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 43 u1: cmH2O st: NotStopd t0: [20:50:00 27/03/2014] id: Plateau Pressure el: 0 cu: MICU-A cg: RRT v1: 31 u1: cmH2O st: NotStopd t0: [20:50:00 27/03/2014] id: Plateau-Off el: 0 cu: MICU-A cg: RRT v1: Yes st: NotStopd t0: [20:50:00 27/03/2014] id: Pressure Support el: 0 cu: MICU-A cg: RRT v1: 0 u1: . st: NotStopd t0: [20:50:00 27/03/2014] id: Resp Rate (Spont) el: 0 cu: MICU-A cg: RRT v1: 0 u1: BPM st: NotStopd t0: [20:50:00 27/03/2014] id: Resp Rate (Total) el: 0 cu: MICU-A cg: RRT v1: 22 u1: BPM st: NotStopd t0: [20:50:00 27/03/2014] id: Respiratory Rate Set el: 0 cu: MICU-A cg: RRT v1: 22 u1: BPM st: NotStopd t0: [20:50:00 27/03/2014] id: Sensitivity-Vent el: 0 cu: MICU-A cg: RRT v1: 2 u1: cmH2O st: NotStopd t0: [20:50:00 27/03/2014] id: SpO2 el: 0 cu: MICU-A cg: RRT v1: 100 u1: % st: NotStopd t0: [20:50:00 27/03/2014] id: Tidal Volume (Obser) el: 0 cu: MICU-A cg: RRT v1: 500 u1: ml/B st: NotStopd t0: [20:50:00 27/03/2014] id: Tidal Volume (Set) el: 0 cu: MICU-A cg: RRT v1: 500 u1: ml/B st: NotStopd t0: [20:50:00 27/03/2014] id: Tidal Volume (Spont) el: 0 cu: MICU-A cg: RRT v1: 0 u1: ml/B st: NotStopd t0: [20:50:00 27/03/2014] id: Ventilator Mode el: 0 cu: MICU-A cg: RRT v1: Assist Control st: NotStopd t0: [20:50:00 27/03/2014] id: Ventilator No. el: 0 cu: MICU-A cg: RRT v1: 6 u1: # st: NotStopd t0: [20:50:00 27/03/2014] id: Ventilator Type el: 0 cu: MICU-A cg: RRT v1: 7200A st: NotStopd t0: [20:50:00 27/03/2014] id: Waveform-Vent el: 0 cu: MICU-A cg: RRT v1: SQUARE st: NotStopd
t0: [20:50:00 27/03/2014] id: Sputum Source/Amt el: 0 cu: MICU-A cg: RRT v1: Suctioned v2: None st: NotStopd
t0: [20:30:00 27/03/2014] id: bath el: 0 cu: MICU-A cg: RN v1: done t0: [20:30:00 27/03/2014] id: Eye Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [20:30:00 27/03/2014] id: HOB el: 0 cu: MICU-A cg: RN v1: 30 degrees st: NotStopd t0: [20:30:00 27/03/2014] id: Activity el: 0 cu: MICU-A cg: RN v1: Bedrest st: NotStopd t0: [20:30:00 27/03/2014] id: Activity Tolerance el: 0 cu: MICU-A cg: RN v1: Tolerated Well st: NotStopd t0: [20:30:00 27/03/2014] id: Oral Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [20:30:00 27/03/2014] id: AntiEmbDevice/Status el: 0 cu: MICU-A cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [20:30:00 27/03/2014] id: Position el: 0 cu: MICU-A cg: RN v1: Right Side st: NotStopd t0: [20:30:00 27/03/2014] id: Assistance Device el: 0 cu: MICU-A cg: RN v1: 2 Person Assist st: NotStopd t0: [20:30:00 27/03/2014] id: Skin Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [20:30:00 27/03/2014] id: Turn el: 0 cu: MICU-A cg: RN v1: Side to Side st: NotStopd t0: [20:30:00 27/03/2014] id: Back Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [21:00:00 27/03/2014] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [21:00:00 27/03/2014] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [21:00:00 27/03/2014] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [21:00:00 27/03/2014] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [21:00:00 27/03/2014] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 82 u1: BPM st: NotStopd t0: [21:00:00 27/03/2014] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [21:00:00 27/03/2014] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 111 u1: mmHg v2: 62 u2: mmHg st: NotStopd t0: [21:00:00 27/03/2014] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 81 u1: mmHg st: NotStopd t0: [21:00:00 27/03/2014] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 24 u1: BPM st: NotStopd t0: [21:00:00 27/03/2014] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 99 u1: % st: NotStopd t0: [21:00:00 27/03/2014] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [21:00:00 27/03/2014] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 150 vu: ml t0: [21:00:00 27/03/2014] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 6 vu: ml t0: [21:00:00 27/03/2014] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU-A cg: RN ai: 416 vo: 7.5 vu: ml t0: [21:00:00 27/03/2014] id: Promote w/fiber Tube Feeding el: 1 cu: MICU-A cg: RN ai: 107 vo: 20 vu: ml t0: [21:00:00 27/03/2014] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 60 vu: ml
t0: [21:00:00 27/03/2014] id: Fentanyl el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 75 du: mcghr sv: 250 su: ml rt: IV Drip t0: [21:00:00 27/03/2014] id: Levophed-k el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 0.0741565 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [21:00:00 27/03/2014] id: Ativan el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 6 du: mghr sv: 60 su: ml rt: IV Drip
t0: [21:30:00 27/03/2014] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [21:30:00 27/03/2014] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [21:30:00 27/03/2014] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [21:30:00 27/03/2014] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [21:30:00 27/03/2014] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 82 u1: BPM st: NotStopd t0: [21:30:00 27/03/2014] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [21:30:00 27/03/2014] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 109 u1: mmHg v2: 60 u2: mmHg st: NotStopd t0: [21:30:00 27/03/2014] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 80 u1: mmHg st: NotStopd t0: [21:30:00 27/03/2014] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 23 u1: BPM st: NotStopd t0: [21:30:00 27/03/2014] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 99 u1: % st: NotStopd t0: [21:30:00 27/03/2014] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [21:30:00 27/03/2014] id: Fentanyl el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 75 du: mcghr sv: 250 su: ml rt: IV Drip t0: [21:30:00 27/03/2014] id: Levophed-k el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 0.0593252 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [21:30:00 27/03/2014] id: Ativan el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 6 du: mghr sv: 60 su: ml rt: IV Drip
t0: [22:00:00 27/03/2014] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [22:00:00 27/03/2014] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [22:00:00 27/03/2014] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [22:00:00 27/03/2014] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [22:00:00 27/03/2014] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 86 u1: BPM st: NotStopd t0: [22:00:00 27/03/2014] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [22:00:00 27/03/2014] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 116 u1: mmHg v2: 65 u2: mmHg st: NotStopd t0: [22:00:00 27/03/2014] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 86 u1: mmHg st: NotStopd t0: [22:00:00 27/03/2014] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 23 u1: BPM st: NotStopd t0: [22:00:00 27/03/2014] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 99 u1: % st: NotStopd t0: [22:00:00 27/03/2014] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [22:00:00 27/03/2014] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 150 vu: ml t0: [22:00:00 27/03/2014] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 6 vu: ml t0: [22:00:00 27/03/2014] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU-A cg: RN ai: 416 vo: 7.5 vu: ml t0: [22:00:00 27/03/2014] id: Promote w/fiber Tube Feeding el: 1 cu: MICU-A cg: RN ai: 107 vo: 20 vu: ml t0: [22:00:00 27/03/2014] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 50 vu: ml
t0: [22:00:00 27/03/2014] id: Fentanyl el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 75 du: mcghr sv: 250 su: ml rt: IV Drip t0: [22:00:00 27/03/2014] id: Levophed-k el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 0.0504264 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [22:00:00 27/03/2014] id: Ativan el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 6 du: mghr sv: 60 su: ml rt: IV Drip
t0: [18:00:00 27/03/2014] tf: [09:00:00 28/03/2014] dt: 900 id: D5W 250.0ml + 4mcgkgmin Levophed-k IV Infusions el: 1 cu: MICU-A cg: RN ai: 189 vo: 0 vu: ml nb: 1 t0: [18:00:00 27/03/2014] id: D5W 250.0ml + 4mcgkgmin Levophed-k IV Infusions el: 1 cu: MICU-A cg: RN ai: 189 vo: 30 vu: ml t0: [23:00:00 27/03/2014] id: TF Residual Gastric/TF Residual el: 1 cu: MICU-A cg: RN ai: 107 vo: 20 vu: ml t0: [23:00:00 27/03/2014] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 150 vu: ml t0: [23:00:00 27/03/2014] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 6 vu: ml t0: [23:00:00 27/03/2014] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU-A cg: RN ai: 416 vo: 7.5 vu: ml t0: [23:00:00 27/03/2014] id: Promote w/fiber Tube Feeding el: 1 cu: MICU-A cg: RN ai: 107 vo: 30 vu: ml t0: [23:00:00 27/03/2014] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 60 vu: ml
t0: [23:00:00 27/03/2014] dt: 24 id: Tube Feeds In Total el: 2 cu: MICU-A cg: RN pv: 30 cv: 190 ap: none
t0: [22:00:00 27/03/2014] id: Range of Motion el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [22:00:00 27/03/2014] id: Circulation/SkinInt el: 0 cu: MICU-A cg: RN v1: Circulation Adeq st: NotStopd t0: [22:00:00 27/03/2014] id: Position Change el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [22:00:00 27/03/2014] id: Reason For Restraint el: 0 cu: MICU-A cg: RN v1: Ext/TXInterfere st: NotStopd t0: [22:00:00 27/03/2014] id: Removed x 5 Mins el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [22:00:00 27/03/2014] id: Restraint Location el: 0 cu: MICU-A cg: RN v1: Both Arms st: NotStopd t0: [22:00:00 27/03/2014] id: Restraint Type el: 0 cu: MICU-A cg: RN v1: Soft Limb st: NotStopd t0: [22:00:00 27/03/2014] id: Restraints Evaluated el: 0 cu: MICU-A cg: RN v1: RestraintReapply st: NotStopd t0: [22:00:00 27/03/2014] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [23:00:00 27/03/2014] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [23:00:00 27/03/2014] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [23:00:00 27/03/2014] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [23:00:00 27/03/2014] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [23:00:00 27/03/2014] id: HOB el: 0 cu: MICU-A cg: RN v1: 30 degrees st: NotStopd t0: [23:00:00 27/03/2014] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 84 u1: BPM st: NotStopd t0: [23:00:00 27/03/2014] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [23:00:00 27/03/2014] id: Activity el: 0 cu: MICU-A cg: RN v1: Bedrest st: NotStopd t0: [23:00:00 27/03/2014] id: Activity Tolerance el: 0 cu: MICU-A cg: RN v1: Tolerated Well st: NotStopd t0: [23:00:00 27/03/2014] id: AntiEmbDevice/Status el: 0 cu: MICU-A cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [23:00:00 27/03/2014] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 103 u1: mmHg v2: 54 u2: mmHg st: NotStopd t0: [23:00:00 27/03/2014] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 69 u1: mmHg st: NotStopd t0: [23:00:00 27/03/2014] id: Position el: 0 cu: MICU-A cg: RN v1: Left Side st: NotStopd t0: [23:00:00 27/03/2014] id: Assistance Device el: 0 cu: MICU-A cg: RN v1: 2 Person Assist st: NotStopd t0: [23:00:00 27/03/2014] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 22 u1: BPM st: NotStopd t0: [23:00:00 27/03/2014] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 99 u1: % st: NotStopd t0: [23:00:00 27/03/2014] id: Turn el: 0 cu: MICU-A cg: RN v1: Side to Side st: NotStopd t0: [23:00:00 27/03/2014] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [23:00:00 27/03/2014] id: Fingerstick Glucose Chemistry el: 0 cu: MICU-A cg: RN v1: 125 rs: Manual st: NotStopd
t0: [23:00:00 27/03/2014] id: D5W 250.0ml + 4mcgkgmin Levophed-k IV Infusions el: 1 cu: MICU-A cg: RN ai: 189 vo: 115 vu: ml
t0: [23:00:00 27/03/2014] id: Fentanyl el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 75 du: mcghr sv: 250 su: ml rt: IV Drip t0: [23:00:00 27/03/2014] id: Ativan el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 6 du: mghr sv: 60 su: ml rt: IV Drip
t0: [23:00:00 27/03/2014] id: Significant Events el: 0 cu: MICU-A cg: RN v1: Fluid Bolus st: NotStopd
t0: [23:00:00 27/03/2014] id: D5W 100.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 105 vo: 500 vu: ml
t0: [23:00:00 27/03/2014] id: Levophed-k el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 0.0444939 du: mcgkgmin sv: 250 su: ml rt: IV Drip
t0: [00:00:00 28/03/2014] id: Pain Present el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [00:00:00 28/03/2014] id: Range of Motion el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [00:00:00 28/03/2014] id: Pain Assess Method el: 0 cu: MICU-A cg: RN v1: Non-verbal cues st: NotStopd t0: [00:00:00 28/03/2014] id: PainLevel Acceptable el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [00:00:00 28/03/2014] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [00:00:00 28/03/2014] id: Circulation/SkinInt el: 0 cu: MICU-A cg: RN v1: Circulation Adeq st: NotStopd t0: [00:00:00 28/03/2014] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [00:00:00 28/03/2014] id: Riker-SAS Scale el: 0 cu: MICU-A cg: RN v1: Sedated st: NotStopd t0: [00:00:00 28/03/2014] id: Daily Wake Up el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [00:00:00 28/03/2014] id: GI Prophylaxis el: 0 cu: MICU-A cg: RN v1: H2 Blocker st: NotStopd t0: [00:00:00 28/03/2014] id: Diet Type el: 0 cu: MICU-A cg: RN v1: Tube Feeding st: NotStopd t0: [00:00:00 28/03/2014] id: Dorsal PedPulse R/L el: 0 cu: MICU-A cg: RN v1: Diff to Palpate v2: Diff to Palpate st: NotStopd t0: [00:00:00 28/03/2014] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [00:00:00 28/03/2014] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [00:00:00 28/03/2014] id: Eye Opening el: 0 cu: MICU-A cg: RN v1: 3 To speech st: NotStopd t0: [00:00:00 28/03/2014] id: Family Communication el: 0 cu: MICU-A cg: RN v1: Fam Talked to MD st: NotStopd t0: [00:00:00 28/03/2014] id: GCS Total el: 0 cu: MICU-A cg: RN v1: 10 u1: points st: NotStopd t0: [00:00:00 28/03/2014] id: GI Guaiac/ph el: 0 cu: MICU-A cg: RN v1: Not Applicable st: NotStopd t0: [00:00:00 28/03/2014] id: GI Intub #1/Site el: 0 cu: MICU-A cg: RN v1: Salem Sump v2: Left Nare st: NotStopd t0: [00:00:00 28/03/2014] id: GI#1 Tube PlaceCheck el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [00:00:00 28/03/2014] id: GI#1 Tube Stat/Drain el: 0 cu: MICU-A cg: RN v1: Feeding v2: Undigested Food st: NotStopd t0: [00:00:00 28/03/2014] id: GU Catheter Size el: 0 cu: MICU-A cg: RN v1: 14 French st: NotStopd t0: [00:00:00 28/03/2014] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 80 u1: BPM st: NotStopd t0: [00:00:00 28/03/2014] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [00:00:00 28/03/2014] id: INV Line#1 Type/Site el: 0 cu: MICU-A cg: RN v1: Multi-lumen v2: Right Femoral st: NotStopd t0: [00:00:00 28/03/2014] id: INV Line#1InsertDate el: 0 cu: MICU-A cg: RN v1: 3 v2: 12 st: NotStopd t0: [00:00:00 28/03/2014] id: INV Line#1SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [00:00:00 28/03/2014] id: INV Line#2 Type/Site el: 0 cu: MICU-A cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [00:00:00 28/03/2014] id: INV Line#2 Zero/Cal el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [00:00:00 28/03/2014] id: INV Line#2InsertDate el: 0 cu: MICU-A cg: RN v1: 3 v2: 12 st: NotStopd t0: [00:00:00 28/03/2014] id: INV Line#3 Type/Site el: 0 cu: MICU-A cg: RN v1: Introducer v2: Right IJ st: NotStopd t0: [00:00:00 28/03/2014] id: INV Line#3InsertDate el: 0 cu: MICU-A cg: RN v1: 3 v2: 12 st: NotStopd t0: [00:00:00 28/03/2014] id: INV Line#3SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [00:00:00 28/03/2014] id: Abdominal Assessment el: 0 cu: MICU-A cg: RN v1: Obese st: NotStopd t0: [00:00:00 28/03/2014] id: INV#2 WaveformAppear el: 0 cu: MICU-A cg: RN v1: Sharp st: NotStopd t0: [00:00:00 28/03/2014] id: Imp Skin Cleanse #2 el: 0 cu: MICU-A cg: RN v1: Soap & H20 st: NotStopd t0: [00:00:00 28/03/2014] id: ImpSkin Character #1 el: 0 cu: MICU-A cg: RN v1: Hematoma st: NotStopd t0: [00:00:00 28/03/2014] id: ImpSkin Character #2 el: 0 cu: MICU-A cg: RN v1: Rash st: NotStopd t0: [00:00:00 28/03/2014] id: ImpSkin Treatment #1 el: 0 cu: MICU-A cg: RN v1: Open to Air st: NotStopd t0: [00:00:00 28/03/2014] id: ImpSkin Treatment #2 el: 0 cu: MICU-A cg: RN v1: Open to Air st: NotStopd t0: [00:00:00 28/03/2014] id: Impaired Skin Site#1 el: 0 cu: MICU-A cg: RN v1: Gluteal, Right st: NotStopd t0: [00:00:00 28/03/2014] id: Impaired Skin Site#2 el: 0 cu: MICU-A cg: RN v1: Labia st: NotStopd t0: [00:00:00 28/03/2014] id: LLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [00:00:00 28/03/2014] id: LUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [00:00:00 28/03/2014] id: Level of Conscious el: 0 cu: MICU-A cg: RN v1: Arouse to Voice st: NotStopd t0: [00:00:00 28/03/2014] id: Motor Response el: 0 cu: MICU-A cg: RN v1: 6 Obeys Commands st: NotStopd t0: [00:00:00 28/03/2014] id: Oral Cavity el: 0 cu: MICU-A cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [00:00:00 28/03/2014] id: Orientation el: 0 cu: MICU-A cg: RN v1: Other/Remarks st: NotStopd t0: [00:00:00 28/03/2014] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 100 u1: mmHg v2: 54 u2: mmHg st: NotStopd t0: [00:00:00 28/03/2014] id: Pain Location el: 0 cu: MICU-A cg: RN v1: Abdominal st: NotStopd t0: [00:00:00 28/03/2014] id: Pain Management el: 1 cu: MICU-A cg: RN v1: IV Gtt v2: IV Gtt st: NotStopd t0: [00:00:00 28/03/2014] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 72 u1: mmHg st: NotStopd t0: [00:00:00 28/03/2014] id: Position Change el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [00:00:00 28/03/2014] id: PostTib. Pulses R/L el: 0 cu: MICU-A cg: RN v1: Diff to Palpate v2: Diff to Palpate st: NotStopd t0: [00:00:00 28/03/2014] id: RLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [00:00:00 28/03/2014] id: RUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [00:00:00 28/03/2014] id: Reason For Restraint el: 0 cu: MICU-A cg: RN v1: Ext/TXInterfere st: NotStopd t0: [00:00:00 28/03/2014] id: Removed x 5 Mins el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [00:00:00 28/03/2014] id: Respiratory Pattern el: 0 cu: MICU-A cg: RN v1: Regular st: NotStopd t0: [00:00:00 28/03/2014] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 22 u1: BPM st: NotStopd t0: [00:00:00 28/03/2014] id: Restraint Location el: 0 cu: MICU-A cg: RN v1: Both Arms st: NotStopd t0: [00:00:00 28/03/2014] id: Restraint Type el: 0 cu: MICU-A cg: RN v1: Soft Limb st: NotStopd t0: [00:00:00 28/03/2014] id: Restraints Evaluated el: 0 cu: MICU-A cg: RN v1: RestraintReapply st: NotStopd t0: [00:00:00 28/03/2014] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [00:00:00 28/03/2014] id: Skin Color el: 0 cu: MICU-A cg: RN v1: Flushed st: NotStopd t0: [00:00:00 28/03/2014] id: Skin Integrity el: 0 cu: MICU-A cg: RN v1: Impaired st: NotStopd t0: [00:00:00 28/03/2014] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 99 u1: % st: NotStopd t0: [00:00:00 28/03/2014] id: Stool Color/Consist el: 0 cu: MICU-A cg: RN v1: Brown v2: Liquid st: NotStopd t0: [00:00:00 28/03/2014] id: Support Systems el: 0 cu: MICU-A cg: RN v1: Spouse st: NotStopd t0: [00:00:00 28/03/2014] id: Temp. Site el: 0 cu: MICU-A cg: RN v1: Oral st: NotStopd t0: [00:00:00 28/03/2014] id: Temperature C (calc) el: 0 cu: MICU-A cg: RN v1: 37.8333 u1: Deg. C st: NotStopd t0: [00:00:00 28/03/2014] id: Temperature F el: 0 cu: MICU-A cg: RN v1: 100.1 u1: Deg. F st: NotStopd t0: [00:00:00 28/03/2014] id: Urine Color/Appear el: 0 cu: MICU-A cg: RN v1: Yellow v2: Sediment st: NotStopd t0: [00:00:00 28/03/2014] id: Urine Source el: 0 cu: MICU-A cg: RN v1: Indwelling Cath st: NotStopd t0: [00:00:00 28/03/2014] id: Verbal Response el: 0 cu: MICU-A cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [00:00:00 28/03/2014] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [00:00:00 28/03/2014] id: Behavior el: 0 cu: MICU-A cg: RN v1: Sedated st: NotStopd t0: [00:00:00 28/03/2014] id: Bowel Sounds el: 0 cu: MICU-A cg: RN v1: Present st: NotStopd t0: [00:00:00 28/03/2014] id: Braden Activity el: 0 cu: MICU-A cg: RN v1: Bedfast st: NotStopd t0: [00:00:00 28/03/2014] id: Braden Frict/Shear el: 0 cu: MICU-A cg: RN v1: Potential Prob st: NotStopd t0: [00:00:00 28/03/2014] id: Braden Mobility el: 0 cu: MICU-A cg: RN v1: Very Limited st: NotStopd t0: [00:00:00 28/03/2014] id: Braden Moisture el: 0 cu: MICU-A cg: RN v1: Occ. Moist st: NotStopd t0: [00:00:00 28/03/2014] id: Braden Nutrition el: 0 cu: MICU-A cg: RN v1: Prob. Inadequate st: NotStopd t0: [00:00:00 28/03/2014] id: Braden Score el: 0 cu: MICU-A cg: RN v1: 13 u1: number st: NotStopd t0: [00:00:00 28/03/2014] id: Braden SensoryPercep el: 0 cu: MICU-A cg: RN v1: Sl. Limited st: NotStopd
t0: [00:00:00 28/03/2014] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 6 vu: ml t0: [00:00:00 28/03/2014] id: D5W 250.0ml + 4mcgkgmin Levophed-k IV Infusions el: 1 cu: MICU-A cg: RN ai: 189 vo: 15 vu: ml t0: [00:00:00 28/03/2014] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU-A cg: RN ai: 416 vo: 7.5 vu: ml t0: [00:00:00 28/03/2014] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 50 vu: ml
t0: [00:00:00 28/03/2014] id: Fentanyl el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 75 du: mcghr sv: 250 su: ml rt: IV Drip t0: [00:00:00 28/03/2014] id: Levophed-k el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 0.0385614 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [00:00:00 28/03/2014] id: Ativan el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 6 du: mghr sv: 60 su: ml rt: IV Drip
t0: [01:00:00 28/03/2014] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [01:00:00 28/03/2014] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [01:00:00 28/03/2014] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [01:00:00 28/03/2014] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [01:00:00 28/03/2014] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 79 u1: BPM st: NotStopd t0: [01:00:00 28/03/2014] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [01:00:00 28/03/2014] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 100 u1: mmHg v2: 53 u2: mmHg st: NotStopd t0: [01:00:00 28/03/2014] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 71 u1: mmHg st: NotStopd t0: [01:00:00 28/03/2014] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 22 u1: BPM st: NotStopd t0: [01:00:00 28/03/2014] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 99 u1: % st: NotStopd t0: [01:00:00 28/03/2014] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [01:00:00 28/03/2014] id: D5W 100.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 105 vo: 50 vu: ml t0: [01:00:00 28/03/2014] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 150 vu: ml t0: [01:00:00 28/03/2014] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 6 vu: ml t0: [01:00:00 28/03/2014] id: D5W 250.0ml + 4mcgkgmin Levophed-k IV Infusions el: 1 cu: MICU-A cg: RN ai: 189 vo: 13 vu: ml t0: [01:00:00 28/03/2014] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU-A cg: RN ai: 416 vo: 7.5 vu: ml t0: [01:00:00 28/03/2014] id: Promote w/fiber Tube Feeding el: 1 cu: MICU-A cg: RN ai: 107 vo: 30 vu: ml t0: [01:00:00 28/03/2014] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 40 vu: ml
t0: [01:00:00 28/03/2014] id: Fentanyl el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 75 du: mcghr sv: 250 su: ml rt: IV Drip t0: [01:00:00 28/03/2014] id: Levophed-k el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 0.0326288 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [01:00:00 28/03/2014] id: Ativan el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 6 du: mghr sv: 60 su: ml rt: IV Drip
t0: [23:00:00 28/03/2014] dt: 1 id: Total Hourly Output el: 2 cu: MICU-A cg: RN cv: 0 ap: none t0: [23:00:00 28/03/2014] dt: 1 id: Net Hourly Balance el: 2 cu: MICU-A cg: RN pv: 97.4 cv: 97.4 ap: none t0: [23:00:00 28/03/2014] dt: 24 id: IV Infusion In Total el: 2 cu: MICU-A cg: RN pv: 24 cv: 6535.5 ap: none t0: [23:00:00 28/03/2014] dt: 24 id: 24h Total In el: 2 cu: MICU-A cg: RN pv: 97.4 cv: 7929.1 ap: none t0: [23:00:00 28/03/2014] dt: 24 id: Tube Feeds In Total el: 2 cu: MICU-A cg: RN pv: 65 cv: 1210 ap: none t0: [23:00:00 28/03/2014] dt: 24 id: Urine Out Total el: 2 cu: MICU-A cg: RN cv: 975 ap: none t0: [23:00:00 28/03/2014] dt: 24 id: 24h Net Body Balance el: 2 cu: MICU-A cg: RN pv: 97.4 cv: 6924.1 ap: none t0: [23:00:00 28/03/2014] dt: 24 id: 24h Total Out el: 2 cu: MICU-A cg: RN cv: 1005 ap: none t0: [23:00:00 28/03/2014] dt: multiple days id: LOS Net Body Balance el: 2 cu: MICU-A cg: RN pv: 97.4 cv: 21170.4 ap: carryForward
t0: [01:00:00 28/03/2014] id: Compliance (40-60ml) el: 0 cu: MICU-A cg: RRT v1: 20.4082 u1: ml/cmH st: NotStopd t0: [01:00:00 28/03/2014] id: ETT Mark/Location el: 0 cu: MICU-A cg: RRT v1: 23cm v2: Lip st: NotStopd t0: [01:00:00 28/03/2014] id: FiO2 Set el: 0 cu: MICU-A cg: RRT v1: 0.4 u1: torr st: NotStopd t0: [01:00:00 28/03/2014] id: High Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 55 u1: cmH2O st: NotStopd t0: [01:00:00 28/03/2014] id: High Resp. Rate el: 0 cu: MICU-A cg: RRT v1: 35 u1: BPM st: NotStopd t0: [01:00:00 28/03/2014] id: I:E Ratio el: 0 cu: MICU-A cg: RRT v1: 1:4 st: NotStopd t0: [01:00:00 28/03/2014] id: Airway Size el: 0 cu: MICU-A cg: RRT v1: 7.5 mm st: NotStopd t0: [01:00:00 28/03/2014] id: Airway Type el: 0 cu: MICU-A cg: RRT v1: Endotracheal st: NotStopd t0: [01:00:00 28/03/2014] id: Inspired Gas Temp el: 0 cu: MICU-A cg: RRT v1: 34 u1: Deg. C st: NotStopd t0: [01:00:00 28/03/2014] id: Intubation Date el: 0 cu: MICU-A cg: RRT v1: 3 v2: 12 st: NotStopd t0: [01:00:00 28/03/2014] id: Low Exhaled Min Vol el: 0 cu: MICU-A cg: RRT v1: 8 st: NotStopd t0: [01:00:00 28/03/2014] id: Low Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 20 u1: cmH2O st: NotStopd t0: [01:00:00 28/03/2014] id: Mean Airway Pressure el: 0 cu: MICU-A cg: RRT v1: 22.5 u1: cmH2O st: NotStopd t0: [01:00:00 28/03/2014] id: Minute Volume(Obser) el: 0 cu: MICU-A cg: RRT v1: 10.9 u1: L/min st: NotStopd t0: [01:00:00 28/03/2014] id: PEEP Set el: 0 cu: MICU-A cg: RRT v1: 17.5 u1: cmH2O st: NotStopd t0: [01:00:00 28/03/2014] id: Apnea Time Interval el: 0 cu: MICU-A cg: RRT v1: 20 st: NotStopd t0: [01:00:00 28/03/2014] id: Peak Flow el: 0 cu: MICU-A cg: RRT v1: 55 u1: L/m st: NotStopd t0: [01:00:00 28/03/2014] id: Peak Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 42 u1: cmH2O st: NotStopd t0: [01:00:00 28/03/2014] id: Plateau Pressure el: 0 cu: MICU-A cg: RRT v1: 31 u1: cmH2O st: NotStopd t0: [01:00:00 28/03/2014] id: Plateau-Off el: 0 cu: MICU-A cg: RRT v1: Yes st: NotStopd t0: [01:00:00 28/03/2014] id: Pressure Support el: 0 cu: MICU-A cg: RRT v1: 0 u1: . st: NotStopd t0: [01:00:00 28/03/2014] id: Auto-PEEP Level el: 0 cu: MICU-A cg: RRT v1: 1 u1: cmH2O st: NotStopd t0: [01:00:00 28/03/2014] id: Resp Rate (Spont) el: 0 cu: MICU-A cg: RRT v1: 0 u1: BPM st: NotStopd t0: [01:00:00 28/03/2014] id: Resp Rate (Total) el: 0 cu: MICU-A cg: RRT v1: 22 u1: BPM st: NotStopd t0: [01:00:00 28/03/2014] id: Respiratory Rate Set el: 0 cu: MICU-A cg: RRT v1: 22 u1: BPM st: NotStopd t0: [01:00:00 28/03/2014] id: Sensitivity-Vent el: 0 cu: MICU-A cg: RRT v1: 2 u1: cmH2O st: NotStopd t0: [01:00:00 28/03/2014] id: Tidal Volume (Obser) el: 0 cu: MICU-A cg: RRT v1: 490 u1: ml/B st: NotStopd t0: [01:00:00 28/03/2014] id: Tidal Volume (Set) el: 0 cu: MICU-A cg: RRT v1: 500 u1: ml/B st: NotStopd t0: [01:00:00 28/03/2014] id: Tidal Volume (Spont) el: 0 cu: MICU-A cg: RRT v1: 0 u1: ml/B st: NotStopd t0: [01:00:00 28/03/2014] id: Ventilator Mode el: 0 cu: MICU-A cg: RRT v1: Assist Control st: NotStopd t0: [01:00:00 28/03/2014] id: Ventilator No. el: 0 cu: MICU-A cg: RRT v1: 6 u1: # st: NotStopd t0: [01:00:00 28/03/2014] id: Ventilator Type el: 0 cu: MICU-A cg: RRT v1: 7200A st: NotStopd t0: [01:00:00 28/03/2014] id: Waveform-Vent el: 0 cu: MICU-A cg: RRT v1: SQUARE st: NotStopd
t0: [02:00:00 28/03/2014] id: Range of Motion el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [02:00:00 28/03/2014] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [02:00:00 28/03/2014] id: Circulation/SkinInt el: 0 cu: MICU-A cg: RN v1: Circulation Adeq st: NotStopd t0: [02:00:00 28/03/2014] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [02:00:00 28/03/2014] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [02:00:00 28/03/2014] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [02:00:00 28/03/2014] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 80 u1: BPM st: NotStopd t0: [02:00:00 28/03/2014] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [02:00:00 28/03/2014] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 98 u1: mmHg v2: 52 u2: mmHg st: NotStopd t0: [02:00:00 28/03/2014] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 69 u1: mmHg st: NotStopd t0: [02:00:00 28/03/2014] id: Position Change el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [02:00:00 28/03/2014] id: Reason For Restraint el: 0 cu: MICU-A cg: RN v1: Ext/TXInterfere st: NotStopd t0: [02:00:00 28/03/2014] id: Removed x 5 Mins el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [02:00:00 28/03/2014] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 22 u1: BPM st: NotStopd t0: [02:00:00 28/03/2014] id: Restraint Location el: 0 cu: MICU-A cg: RN v1: Both Arms st: NotStopd t0: [02:00:00 28/03/2014] id: Restraint Type el: 0 cu: MICU-A cg: RN v1: Soft Limb st: NotStopd t0: [02:00:00 28/03/2014] id: Restraints Evaluated el: 0 cu: MICU-A cg: RN v1: RestraintReapply st: NotStopd t0: [02:00:00 28/03/2014] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [02:00:00 28/03/2014] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 99 u1: % st: NotStopd t0: [02:00:00 28/03/2014] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [02:00:00 28/03/2014] id: D5W 100.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 105 vo: 200 vu: ml t0: [02:00:00 28/03/2014] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 150 vu: ml t0: [02:00:00 28/03/2014] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 6 vu: ml t0: [02:00:00 28/03/2014] id: D5W 250.0ml + 4mcgkgmin Levophed-k IV Infusions el: 1 cu: MICU-A cg: RN ai: 189 vo: 11 vu: ml t0: [02:00:00 28/03/2014] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU-A cg: RN ai: 416 vo: 7.5 vu: ml t0: [02:00:00 28/03/2014] id: Promote w/fiber Tube Feeding el: 1 cu: MICU-A cg: RN ai: 107 vo: 30 vu: ml t0: [02:00:00 28/03/2014] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 60 vu: ml
t0: [02:00:00 28/03/2014] id: Fentanyl el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 75 du: mcghr sv: 250 su: ml rt: IV Drip t0: [02:00:00 28/03/2014] id: Levophed-k el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 0.0326288 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [02:00:00 28/03/2014] id: Ativan el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 6 du: mghr sv: 60 su: ml rt: IV Drip
t0: [19:00:00 27/03/2014] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [20:00:00 27/03/2014] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [21:00:00 27/03/2014] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [21:30:00 27/03/2014] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [22:00:00 27/03/2014] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [23:00:00 27/03/2014] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [00:00:00 28/03/2014] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [01:00:00 28/03/2014] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [02:00:00 28/03/2014] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [03:00:00 28/03/2014] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [03:00:00 28/03/2014] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [03:00:00 28/03/2014] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [03:00:00 28/03/2014] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [03:00:00 28/03/2014] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 82 u1: BPM st: NotStopd t0: [03:00:00 28/03/2014] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [03:00:00 28/03/2014] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 103 u1: mmHg v2: 54 u2: mmHg st: NotStopd t0: [03:00:00 28/03/2014] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 73 u1: mmHg st: NotStopd t0: [03:00:00 28/03/2014] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [03:00:00 28/03/2014] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 22 u1: BPM st: NotStopd t0: [03:00:00 28/03/2014] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 99 u1: % st: NotStopd t0: [03:00:00 28/03/2014] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [00:00:00 28/03/2014] id: Promote w/fiber Tube Feeding el: 1 cu: MICU-A cg: RN ai: 107 vo: 30 vu: ml nb: 1 t0: [03:00:00 28/03/2014] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 6 vu: ml t0: [03:00:00 28/03/2014] id: D5W 250.0ml + 4mcgkgmin Levophed-k IV Infusions el: 1 cu: MICU-A cg: RN ai: 189 vo: 11 vu: ml nb: 1 t0: [03:00:00 28/03/2014] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU-A cg: RN ai: 416 vo: 7.5 vu: ml t0: [03:00:00 28/03/2014] id: Promote w/fiber Tube Feeding el: 1 cu: MICU-A cg: RN ai: 107 vo: 30 vu: ml t0: [03:00:00 28/03/2014] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 30 vu: ml
t0: [03:00:00 28/03/2014] id: Fentanyl el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 75 du: mcghr sv: 250 su: ml rt: IV Drip t0: [03:00:00 28/03/2014] id: Levophed-k el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 0.0326288 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [03:00:00 28/03/2014] id: Ativan el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 6 du: mghr sv: 60 su: ml rt: IV Drip
t0: [03:00:00 28/03/2014] id: HOB el: 0 cu: MICU-A cg: RN v1: 30 degrees st: NotStopd t0: [03:00:00 28/03/2014] id: Activity el: 0 cu: MICU-A cg: RN v1: Bedrest st: NotStopd t0: [03:00:00 28/03/2014] id: Activity Tolerance el: 0 cu: MICU-A cg: RN v1: Tolerated Well st: NotStopd t0: [03:00:00 28/03/2014] id: AntiEmbDevice/Status el: 0 cu: MICU-A cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [03:00:00 28/03/2014] id: Position el: 0 cu: MICU-A cg: RN v1: Right Side st: NotStopd t0: [03:00:00 28/03/2014] id: Assistance Device el: 0 cu: MICU-A cg: RN v1: 2 Person Assist st: NotStopd t0: [03:00:00 28/03/2014] id: Turn el: 0 cu: MICU-A cg: RN v1: Side to Side st: NotStopd
t0: [03:00:00 28/03/2014] id: Sputum Color/Consist el: 0 cu: MICU-A cg: RN v1: Blood Tinged v2: Thick st: NotStopd t0: [03:00:00 28/03/2014] id: Sputum Source/Amt el: 0 cu: MICU-A cg: RN v1: Suctioned v2: Small st: NotStopd t0: [04:00:00 28/03/2014] id: Pain Present el: 0 cu: MICU-A cg: RN v1: Other/Remarks st: NotStopd t0: [04:00:00 28/03/2014] id: Range of Motion el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [04:00:00 28/03/2014] id: Pain Assess Method el: 0 cu: MICU-A cg: RN v1: Non-verbal cues st: NotStopd t0: [04:00:00 28/03/2014] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [04:00:00 28/03/2014] id: Circulation/SkinInt el: 0 cu: MICU-A cg: RN v1: Circulation Adeq st: NotStopd t0: [04:00:00 28/03/2014] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [04:00:00 28/03/2014] id: Riker-SAS Scale el: 0 cu: MICU-A cg: RN v1: Sedated st: NotStopd t0: [04:00:00 28/03/2014] id: Daily Wake Up el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [04:00:00 28/03/2014] id: GI Prophylaxis el: 0 cu: MICU-A cg: RN v1: H2 Blocker st: NotStopd t0: [04:00:00 28/03/2014] id: Diet Type el: 0 cu: MICU-A cg: RN v1: Tube Feeding st: NotStopd t0: [04:00:00 28/03/2014] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [04:00:00 28/03/2014] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [04:00:00 28/03/2014] id: Eye Opening el: 0 cu: MICU-A cg: RN v1: 3 To speech st: NotStopd t0: [04:00:00 28/03/2014] id: GCS Total el: 0 cu: MICU-A cg: RN v1: 10 u1: points st: NotStopd t0: [04:00:00 28/03/2014] id: GI Guaiac/ph el: 0 cu: MICU-A cg: RN v1: Not Applicable st: NotStopd t0: [04:00:00 28/03/2014] id: GI Intub #1/Site el: 0 cu: MICU-A cg: RN v1: Salem Sump v2: Left Nare st: NotStopd t0: [04:00:00 28/03/2014] id: GI#1 Tube PlaceCheck el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [04:00:00 28/03/2014] id: GI#1 Tube Stat/Drain el: 0 cu: MICU-A cg: RN v1: Feeding v2: Undigested Food st: NotStopd t0: [04:00:00 28/03/2014] id: GU Catheter Size el: 0 cu: MICU-A cg: RN v1: 14 French st: NotStopd t0: [04:00:00 28/03/2014] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 82 u1: BPM st: NotStopd t0: [04:00:00 28/03/2014] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [04:00:00 28/03/2014] id: INV Line#1 Type/Site el: 0 cu: MICU-A cg: RN v1: Multi-lumen v2: Right Femoral st: NotStopd t0: [04:00:00 28/03/2014] id: INV Line#1InsertDate el: 0 cu: MICU-A cg: RN v1: 3 v2: 12 st: NotStopd t0: [04:00:00 28/03/2014] id: INV Line#1SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [04:00:00 28/03/2014] id: INV Line#2 Type/Site el: 0 cu: MICU-A cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [04:00:00 28/03/2014] id: INV Line#2 Zero/Cal el: 0 cu: MICU-A cg: RN v1: No st: NotStopd t0: [04:00:00 28/03/2014] id: INV Line#2InsertDate el: 0 cu: MICU-A cg: RN v1: 3 v2: 12 st: NotStopd t0: [04:00:00 28/03/2014] id: INV Line#3 Type/Site el: 0 cu: MICU-A cg: RN v1: Introducer v2: Right IJ st: NotStopd t0: [04:00:00 28/03/2014] id: INV Line#3InsertDate el: 0 cu: MICU-A cg: RN v1: 3 v2: 12 st: NotStopd t0: [04:00:00 28/03/2014] id: INV Line#3SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [04:00:00 28/03/2014] id: Abdominal Assessment el: 0 cu: MICU-A cg: RN v1: Obese st: NotStopd t0: [04:00:00 28/03/2014] id: INV#2 WaveformAppear el: 0 cu: MICU-A cg: RN v1: Sharp st: NotStopd t0: [04:00:00 28/03/2014] id: Imp Skin Cleanse #2 el: 0 cu: MICU-A cg: RN v1: Soap & H20 st: NotStopd t0: [04:00:00 28/03/2014] id: ImpSkin Character #1 el: 0 cu: MICU-A cg: RN v1: Hematoma st: NotStopd t0: [04:00:00 28/03/2014] id: ImpSkin Character #2 el: 0 cu: MICU-A cg: RN v1: Rash st: NotStopd t0: [04:00:00 28/03/2014] id: ImpSkin Treatment #1 el: 0 cu: MICU-A cg: RN v1: Open to Air st: NotStopd t0: [04:00:00 28/03/2014] id: ImpSkin Treatment #2 el: 0 cu: MICU-A cg: RN v1: Open to Air st: NotStopd t0: [04:00:00 28/03/2014] id: Impaired Skin Site#1 el: 0 cu: MICU-A cg: RN v1: Gluteal, Right st: NotStopd t0: [04:00:00 28/03/2014] id: Impaired Skin Site#2 el: 0 cu: MICU-A cg: RN v1: Labia st: NotStopd t0: [04:00:00 28/03/2014] id: LLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [04:00:00 28/03/2014] id: LUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [04:00:00 28/03/2014] id: Level of Conscious el: 0 cu: MICU-A cg: RN v1: Arouse to Voice st: NotStopd t0: [04:00:00 28/03/2014] id: Motor Response el: 0 cu: MICU-A cg: RN v1: 6 Obeys Commands st: NotStopd t0: [04:00:00 28/03/2014] id: Oral Cavity el: 0 cu: MICU-A cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [04:00:00 28/03/2014] id: Orientation el: 0 cu: MICU-A cg: RN v1: Other/Remarks st: NotStopd t0: [04:00:00 28/03/2014] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 103 u1: mmHg v2: 54 u2: mmHg st: NotStopd t0: [04:00:00 28/03/2014] id: Pain Location el: 0 cu: MICU-A cg: RN v1: Not Indicated st: NotStopd t0: [04:00:00 28/03/2014] id: Pain Management el: 1 cu: MICU-A cg: RN v1: IV Gtt v2: IV Gtt st: NotStopd t0: [04:00:00 28/03/2014] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 71 u1: mmHg st: NotStopd t0: [04:00:00 28/03/2014] id: Position Change el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [04:00:00 28/03/2014] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [04:00:00 28/03/2014] id: RLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [04:00:00 28/03/2014] id: RUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [04:00:00 28/03/2014] id: Reason For Restraint el: 0 cu: MICU-A cg: RN v1: Ext/TXInterfere st: NotStopd t0: [04:00:00 28/03/2014] id: Removed x 5 Mins el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [04:00:00 28/03/2014] id: Respiratory Pattern el: 0 cu: MICU-A cg: RN v1: Regular st: NotStopd t0: [04:00:00 28/03/2014] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 27 u1: BPM st: NotStopd t0: [04:00:00 28/03/2014] id: Restraint Location el: 0 cu: MICU-A cg: RN v1: Both Arms st: NotStopd t0: [04:00:00 28/03/2014] id: Restraint Type el: 0 cu: MICU-A cg: RN v1: Soft Limb st: NotStopd t0: [04:00:00 28/03/2014] id: Restraints Evaluated el: 0 cu: MICU-A cg: RN v1: RestraintReapply st: NotStopd t0: [04:00:00 28/03/2014] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [04:00:00 28/03/2014] id: Skin Color el: 0 cu: MICU-A cg: RN v1: Flushed st: NotStopd t0: [04:00:00 28/03/2014] id: Skin Integrity el: 0 cu: MICU-A cg: RN v1: Impaired st: NotStopd t0: [04:00:00 28/03/2014] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 99 u1: % st: NotStopd t0: [04:00:00 28/03/2014] id: Stool Color/Consist el: 0 cu: MICU-A cg: RN v1: Brown v2: Liquid st: NotStopd t0: [04:00:00 28/03/2014] id: Support Systems el: 0 cu: MICU-A cg: RN v1: Spouse st: NotStopd t0: [04:00:00 28/03/2014] id: Temp. Site el: 0 cu: MICU-A cg: RN v1: Oral st: NotStopd t0: [04:00:00 28/03/2014] id: Temperature C (calc) el: 0 cu: MICU-A cg: RN v1: 38.2222 u1: Deg. C st: NotStopd t0: [04:00:00 28/03/2014] id: Temperature F el: 0 cu: MICU-A cg: RN v1: 100.8 u1: Deg. F st: NotStopd t0: [04:00:00 28/03/2014] id: Urine Color/Appear el: 0 cu: MICU-A cg: RN v1: Yellow v2: Sediment st: NotStopd t0: [04:00:00 28/03/2014] id: Urine Source el: 0 cu: MICU-A cg: RN v1: Indwelling Cath st: NotStopd t0: [04:00:00 28/03/2014] id: Verbal Response el: 0 cu: MICU-A cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [04:00:00 28/03/2014] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [04:00:00 28/03/2014] id: Behavior el: 0 cu: MICU-A cg: RN v1: Sedated st: NotStopd t0: [04:00:00 28/03/2014] id: Bowel Sounds el: 0 cu: MICU-A cg: RN v1: Present st: NotStopd
t0: [04:00:00 28/03/2014] id: D5W 100.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 105 vo: 50 vu: ml t0: [04:00:00 28/03/2014] id: TF Residual Gastric/TF Residual el: 1 cu: MICU-A cg: RN ai: 107 vo: 5 vu: ml t0: [04:00:00 28/03/2014] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 75 vu: ml t0: [04:00:00 28/03/2014] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 6 vu: ml t0: [04:00:00 28/03/2014] id: D5W 250.0ml + 4mcgkgmin Levophed-k IV Infusions el: 1 cu: MICU-A cg: RN ai: 189 vo: 11 vu: ml t0: [04:00:00 28/03/2014] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU-A cg: RN ai: 416 vo: 7.5 vu: ml t0: [04:00:00 28/03/2014] id: Promote w/fiber Tube Feeding el: 1 cu: MICU-A cg: RN ai: 107 vo: 30 vu: ml
t0: [04:00:00 28/03/2014] id: Fentanyl el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 75 du: mcghr sv: 250 su: ml rt: IV Drip t0: [04:00:00 28/03/2014] id: Ativan el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 6 du: mghr sv: 60 su: ml rt: IV Drip
t0: [04:00:00 28/03/2014] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 60 vu: ml
t0: [04:00:00 28/03/2014] id: Levophed-k el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 0.0266963 du: mcgkgmin sv: 250 su: ml rt: IV Drip
t0: [04:40:00 28/03/2014] id: Compliance (40-60ml) el: 0 cu: MICU-A cg: RRT v1: 28.5714 u1: ml/cmH st: NotStopd t0: [04:40:00 28/03/2014] id: ETT Mark/Location el: 0 cu: MICU-A cg: RRT v1: 23cm v2: Lip st: NotStopd t0: [04:40:00 28/03/2014] id: FiO2 Set el: 0 cu: MICU-A cg: RRT v1: 0.4 u1: torr st: NotStopd t0: [04:40:00 28/03/2014] id: High Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 55 u1: cmH2O st: NotStopd t0: [04:40:00 28/03/2014] id: High Resp. Rate el: 0 cu: MICU-A cg: RRT v1: 35 u1: BPM st: NotStopd t0: [04:40:00 28/03/2014] id: I:E Ratio el: 0 cu: MICU-A cg: RRT v1: 1:3.8 st: NotStopd t0: [04:40:00 28/03/2014] id: Airway Size el: 0 cu: MICU-A cg: RRT v1: 7.5 mm st: NotStopd t0: [04:40:00 28/03/2014] id: Airway Type el: 0 cu: MICU-A cg: RRT v1: Endotracheal st: NotStopd t0: [04:40:00 28/03/2014] id: Inspired Gas Temp el: 0 cu: MICU-A cg: RRT v1: 34 u1: Deg. C st: NotStopd t0: [04:40:00 28/03/2014] id: Intubation Date el: 0 cu: MICU-A cg: RRT v1: 3 v2: 12 st: NotStopd t0: [04:40:00 28/03/2014] id: Low Exhaled Min Vol el: 0 cu: MICU-A cg: RRT v1: 8 st: NotStopd t0: [04:40:00 28/03/2014] id: Low Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 20 u1: cmH2O st: NotStopd t0: [04:40:00 28/03/2014] id: Mean Airway Pressure el: 0 cu: MICU-A cg: RRT v1: 22 u1: cmH2O st: NotStopd t0: [04:40:00 28/03/2014] id: Minute Volume(Obser) el: 0 cu: MICU-A cg: RRT v1: 12.6 u1: L/min st: NotStopd t0: [04:40:00 28/03/2014] id: PEEP Set el: 0 cu: MICU-A cg: RRT v1: 17.5 u1: cmH2O st: NotStopd t0: [04:40:00 28/03/2014] id: Apnea Time Interval el: 0 cu: MICU-A cg: RRT v1: 20 st: NotStopd t0: [04:40:00 28/03/2014] id: Peak Flow el: 0 cu: MICU-A cg: RRT v1: 55 u1: L/m st: NotStopd t0: [04:40:00 28/03/2014] id: Peak Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 35 u1: cmH2O st: NotStopd t0: [04:40:00 28/03/2014] id: Plateau Pressure el: 0 cu: MICU-A cg: RRT v1: 29 u1: cmH2O st: NotStopd t0: [04:40:00 28/03/2014] id: Plateau-Off el: 0 cu: MICU-A cg: RRT v1: Yes st: NotStopd t0: [04:40:00 28/03/2014] id: Pressure Support el: 0 cu: MICU-A cg: RRT v1: 0 u1: . st: NotStopd t0: [04:40:00 28/03/2014] id: Resp Rate (Spont) el: 0 cu: MICU-A cg: RRT v1: 3 u1: BPM st: NotStopd t0: [04:40:00 28/03/2014] id: Resp Rate (Total) el: 0 cu: MICU-A cg: RRT v1: 25 u1: BPM st: NotStopd t0: [04:40:00 28/03/2014] id: Respiratory Rate Set el: 0 cu: MICU-A cg: RRT v1: 22 u1: BPM st: NotStopd t0: [04:40:00 28/03/2014] id: Sensitivity-Vent el: 0 cu: MICU-A cg: RRT v1: 2 u1: cmH2O st: NotStopd t0: [04:40:00 28/03/2014] id: SpO2 el: 0 cu: MICU-A cg: RRT v1: 99 u1: % st: NotStopd t0: [04:40:00 28/03/2014] id: Sputum Source/Amt el: 0 cu: MICU-A cg: RRT v1: Suctioned v2: None st: NotStopd t0: [04:40:00 28/03/2014] id: Tidal Volume (Obser) el: 0 cu: MICU-A cg: RRT v1: 500 u1: ml/B st: NotStopd t0: [04:40:00 28/03/2014] id: Tidal Volume (Set) el: 0 cu: MICU-A cg: RRT v1: 500 u1: ml/B st: NotStopd t0: [04:40:00 28/03/2014] id: Tidal Volume (Spont) el: 0 cu: MICU-A cg: RRT v1: 0 u1: ml/B st: NotStopd t0: [04:40:00 28/03/2014] id: Ventilator Mode el: 0 cu: MICU-A cg: RRT v1: Assist Control st: NotStopd t0: [04:40:00 28/03/2014] id: Ventilator No. el: 0 cu: MICU-A cg: RRT v1: 6 u1: # st: NotStopd t0: [04:40:00 28/03/2014] id: Ventilator Type el: 0 cu: MICU-A cg: RRT v1: 7200A st: NotStopd t0: [04:40:00 28/03/2014] id: Waveform-Vent el: 0 cu: MICU-A cg: RRT v1: SQUARE st: NotStopd
t0: [05:00:00 28/03/2014] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [05:00:00 28/03/2014] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [05:00:00 28/03/2014] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [05:00:00 28/03/2014] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [05:00:00 28/03/2014] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 83 u1: BPM st: NotStopd t0: [05:00:00 28/03/2014] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [05:00:00 28/03/2014] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 95 u1: mmHg v2: 51 u2: mmHg st: NotStopd t0: [05:00:00 28/03/2014] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 45 u1: mmHg st: NotStopd t0: [05:00:00 28/03/2014] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [05:00:00 28/03/2014] id: Procedures el: 0 cu: MICU-A cg: RN v1: Other/Remarks st: NotStopd t0: [05:00:00 28/03/2014] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 23 u1: BPM st: NotStopd t0: [05:00:00 28/03/2014] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 99 u1: % st: NotStopd t0: [05:00:00 28/03/2014] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [05:00:00 28/03/2014] id: Fingerstick Glucose Chemistry el: 0 cu: MICU-A cg: RN v1: 131 rs: Manual st: NotStopd
t0: [05:00:00 28/03/2014] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 150 vu: ml nb: 1 t0: [05:00:00 28/03/2014] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 6 vu: ml t0: [05:00:00 28/03/2014] id: D5W 250.0ml + 4mcgkgmin Levophed-k IV Infusions el: 1 cu: MICU-A cg: RN ai: 189 vo: 9 vu: ml t0: [05:00:00 28/03/2014] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU-A cg: RN ai: 416 vo: 7.5 vu: ml t0: [05:00:00 28/03/2014] id: Promote w/fiber Tube Feeding el: 1 cu: MICU-A cg: RN ai: 107 vo: 40 vu: ml t0: [05:00:00 28/03/2014] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 30 vu: ml
t0: [05:00:00 28/03/2014] id: Fentanyl el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 75 du: mcghr sv: 250 su: ml rt: IV Drip t0: [05:00:00 28/03/2014] id: Levophed-k el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 0.0266963 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [05:00:00 28/03/2014] id: Ativan el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 6 du: mghr sv: 60 su: ml rt: IV Drip
t0: [05:09:00 28/03/2014] id: Art.pH ABG el: 0 cu: MICU-A cg: 1663 v1: 7.3 rs: Final st: NotStopd t0: [05:09:00 28/03/2014] id: Arterial Base Excess ABG el: 0 cu: MICU-A cg: 1663 v1: -8 rs: Final st: NotStopd t0: [05:09:00 28/03/2014] id: Arterial CO2(Calc) ABG el: 0 cu: MICU-A cg: 1663 v1: 17 rs: Final st: NotStopd t0: [05:09:00 28/03/2014] id: Arterial PaCO2 ABG el: 0 cu: MICU-A cg: 1663 v1: 34 u1: mmHg rs: Final st: NotStopd t0: [05:09:00 28/03/2014] id: Arterial PaO2 ABG el: 0 cu: MICU-A cg: 1663 v1: 153 u1: mmHg rs: Final st: NotStopd t0: [05:09:00 28/03/2014] id: Arterial pH ABG el: 0 cu: MICU-A cg: 1663 v1: 7.3 rs: Final st: NotStopd
t0: [05:00:00 28/03/2014] id: WBC (4-11,000) Hematology el: 0 cu: MICU-A cg: 1663 v1: 14.5 rs: Final st: NotStopd t0: [05:00:00 28/03/2014] id: Hematocrit Hematology el: 0 cu: MICU-A cg: 1663 v1: 28.3 u1: % rs: Final st: NotStopd t0: [05:00:00 28/03/2014] id: Hemoglobin Hematology el: 0 cu: MICU-A cg: 1663 v1: 9.6 u1: gm/dl rs: Final st: NotStopd t0: [05:00:00 28/03/2014] id: Platelets Hematology el: 0 cu: MICU-A cg: 1663 v1: 179 rs: Final st: NotStopd t0: [05:00:00 28/03/2014] id: RBC Hematology el: 0 cu: MICU-A cg: 1663 v1: 3.24 u1: /mic l rs: Final st: NotStopd t0: [05:00:00 28/03/2014] id: WBC (4-11,000) Hematology el: 0 cu: MICU-A cg: 1663 v1: 14.5 rs: Final st: NotStopd
t0: [06:00:00 28/03/2014] id: Range of Motion el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [06:00:00 28/03/2014] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [06:00:00 28/03/2014] id: Circulation/SkinInt el: 0 cu: MICU-A cg: RN v1: Circulation Adeq st: NotStopd t0: [06:00:00 28/03/2014] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [06:00:00 28/03/2014] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [06:00:00 28/03/2014] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [06:00:00 28/03/2014] id: HOB el: 0 cu: MICU-A cg: RN v1: 30 degrees st: NotStopd t0: [06:00:00 28/03/2014] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 79 u1: BPM st: NotStopd t0: [06:00:00 28/03/2014] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [06:00:00 28/03/2014] id: Activity el: 0 cu: MICU-A cg: RN v1: Bedrest st: NotStopd t0: [06:00:00 28/03/2014] id: Activity Tolerance el: 0 cu: MICU-A cg: RN v1: Tolerated Well st: NotStopd t0: [06:00:00 28/03/2014] id: AntiEmbDevice/Status el: 0 cu: MICU-A cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [06:00:00 28/03/2014] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 94 u1: mmHg v2: 52 u2: mmHg st: NotStopd t0: [06:00:00 28/03/2014] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 67 u1: mmHg st: NotStopd t0: [06:00:00 28/03/2014] id: Position el: 0 cu: MICU-A cg: RN v1: Supine st: NotStopd t0: [06:00:00 28/03/2014] id: Position Change el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [06:00:00 28/03/2014] id: Assistance Device el: 0 cu: MICU-A cg: RN v1: 2 Person Assist st: NotStopd t0: [06:00:00 28/03/2014] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [06:00:00 28/03/2014] id: Reason For Restraint el: 0 cu: MICU-A cg: RN v1: Ext/TXInterfere st: NotStopd t0: [06:00:00 28/03/2014] id: Removed x 5 Mins el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [06:00:00 28/03/2014] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 24 u1: BPM st: NotStopd t0: [06:00:00 28/03/2014] id: Restraint Location el: 0 cu: MICU-A cg: RN v1: Both Arms st: NotStopd t0: [06:00:00 28/03/2014] id: Restraint Type el: 0 cu: MICU-A cg: RN v1: Soft Limb st: NotStopd t0: [06:00:00 28/03/2014] id: Restraints Evaluated el: 0 cu: MICU-A cg: RN v1: RestraintReapply st: NotStopd t0: [06:00:00 28/03/2014] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [06:00:00 28/03/2014] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 100 u1: % st: NotStopd t0: [06:00:00 28/03/2014] id: Turn el: 0 cu: MICU-A cg: RN v1: Side to Side st: NotStopd t0: [06:00:00 28/03/2014] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [06:00:00 28/03/2014] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 150 vu: ml t0: [06:00:00 28/03/2014] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 6 vu: ml t0: [06:00:00 28/03/2014] id: D5W 250.0ml + 4mcgkgmin Levophed-k IV Infusions el: 1 cu: MICU-A cg: RN ai: 189 vo: 9 vu: ml t0: [06:00:00 28/03/2014] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU-A cg: RN ai: 416 vo: 7.5 vu: ml t0: [06:00:00 28/03/2014] id: Promote w/fiber Tube Feeding el: 1 cu: MICU-A cg: RN ai: 107 vo: 40 vu: ml t0: [06:00:00 28/03/2014] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 40 vu: ml
t0: [06:00:00 28/03/2014] id: Fentanyl el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 75 du: mcghr sv: 250 su: ml rt: IV Drip t0: [06:00:00 28/03/2014] id: Levophed-k el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 0.0266963 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [06:00:00 28/03/2014] id: Ativan el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 6 du: mghr sv: 60 su: ml rt: IV Drip
t0: [05:00:00 28/03/2014] 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 28/03/2014] id: PT(11-13.5) Coags el: 0 cu: MICU-A cg: 1663 v1: 14 rs: Final st: NotStopd t0: [05:00:00 28/03/2014] id: PTT(22-35) Coags el: 0 cu: MICU-A cg: 1663 v1: 62.6 rs: Final st: NotStopd
t0: [05:00:00 28/03/2014] id: BUN (6-20) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 26 rs: Final st: NotStopd t0: [05:00:00 28/03/2014] 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: [05:00:00 28/03/2014] id: Carbon Dioxide Chemistry el: 0 cu: MICU-A cg: 1663 v1: 16 rs: Final st: NotStopd t0: [05:00:00 28/03/2014] id: Chloride (100-112) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 113 rs: Final st: NotStopd t0: [05:00:00 28/03/2014] id: Creatinine (0-1.3) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 1.1 rs: Final st: NotStopd t0: [05:00:00 28/03/2014] id: Glucose (70-105) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 131 rs: Final st: NotStopd t0: [05:00:00 28/03/2014] id: Magnesium (1.6-2.6) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 1.8 rs: Final st: NotStopd t0: [05:00:00 28/03/2014] id: Phosphorous(2.7-4.5) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 2.3 u1: mEq/L rs: Final st: NotStopd t0: [05:00:00 28/03/2014] id: Potassium (3.5-5.3) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 4.1 rs: Final st: NotStopd t0: [05:00:00 28/03/2014] id: Sodium (135-148) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 140 rs: Final st: NotStopd
t0: [07:00:00 28/03/2014] id: Service Type el: 0 cu: MICU-A cg: -1 v1: MICU st: NotStopd t0: [07:00:00 28/03/2014] id: Code Status el: 0 cu: MICU-A cg: -1 v1: Full Code st: NotStopd t0: [07:00:00 28/03/2014] id: Ectopy Frequency el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [07:00:00 28/03/2014] id: Ectopy Type el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [07:00:00 28/03/2014] id: Heart Rate el: 0 cu: MICU-A cg: -1 v1: 78 u1: BPM st: NotStopd t0: [07:00:00 28/03/2014] id: Heart Rhythm el: 0 cu: MICU-A cg: -1 v1: Normal Sinus st: NotStopd t0: [07:00:00 28/03/2014] id: Arterial BP el: 0 cu: MICU-A cg: -1 v1: 97 u1: mmHg v2: 53 u2: mmHg st: NotStopd t0: [07:00:00 28/03/2014] id: Arterial BP Mean el: 0 cu: MICU-A cg: -1 v1: 69 u1: mmHg st: NotStopd t0: [07:00:00 28/03/2014] id: Precautions el: 0 cu: MICU-A cg: -1 v1: Universal st: NotStopd t0: [07:00:00 28/03/2014] id: Respiratory Rate el: 0 cu: MICU-A cg: -1 v1: 24 u1: BPM st: NotStopd t0: [07:00:00 28/03/2014] id: SpO2 el: 0 cu: MICU-A cg: -1 v1: 99 u1: % st: NotStopd t0: [07:00:00 28/03/2014] id: calprevflg el: 0 cu: MICU-A cg: -1 v1: 1 u1: kg st: NotStopd
t0: [07:00:00 28/03/2014] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 150 vu: ml t0: [07:00:00 28/03/2014] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 6 vu: ml t0: [07:00:00 28/03/2014] id: D5W 250.0ml + 4mcgkgmin Levophed-k IV Infusions el: 1 cu: MICU-A cg: -1 ai: 189 vo: 9 vu: ml t0: [07:00:00 28/03/2014] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU-A cg: -1 ai: 416 vo: 7.5 vu: ml t0: [07:00:00 28/03/2014] id: Promote w/fiber Tube Feeding el: 1 cu: MICU-A cg: -1 ai: 107 vo: 40 vu: ml
t0: [07:00:00 28/03/2014] id: Fentanyl el: 1 cu: MICU-A so: .9% Normal Saline vo: 0 v1: 75 du: mcghr sv: 250 su: ml rt: IV Drip t0: [07:00:00 28/03/2014] id: Levophed-k el: 1 cu: MICU-A so: D5W vo: 0 v1: 0.0266963 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [07:00:00 28/03/2014] id: Ativan el: 1 cu: MICU-A so: D5W vo: 0 v1: 6 du: mghr sv: 60 su: ml rt: IV Drip
t0: [08:00:00 28/03/2014] id: Less Restrict Meas. el: 0 cu: MICU-A cg: -1 v1: Orientation st: NotStopd t0: [08:00:00 28/03/2014] id: Pain Present el: 0 cu: MICU-A cg: -1 v1: Other/Remarks st: NotStopd t0: [08:00:00 28/03/2014] id: Range of Motion el: 0 cu: MICU-A cg: -1 v1: Done st: NotStopd t0: [08:00:00 28/03/2014] id: Pain Assess Method el: 0 cu: MICU-A cg: -1 v1: Non-verbal cues st: NotStopd t0: [08:00:00 28/03/2014] id: Service Type el: 0 cu: MICU-A cg: -1 v1: MICU st: NotStopd t0: [08:00:00 28/03/2014] id: Circulation/SkinInt el: 0 cu: MICU-A cg: -1 v1: Circulation Adeq st: NotStopd t0: [08:00:00 28/03/2014] id: Code Status el: 0 cu: MICU-A cg: -1 v1: Full Code st: NotStopd t0: [08:00:00 28/03/2014] id: Riker-SAS Scale el: 0 cu: MICU-A cg: -1 v1: Sedated st: NotStopd t0: [08:00:00 28/03/2014] id: Daily Wake Up el: 0 cu: MICU-A cg: -1 v1: Yes st: NotStopd t0: [08:00:00 28/03/2014] id: GI Prophylaxis el: 0 cu: MICU-A cg: -1 v1: H2 Blocker st: NotStopd t0: [08:00:00 28/03/2014] id: Diet Type el: 0 cu: MICU-A cg: -1 v1: Tube Feeding st: NotStopd t0: [08:00:00 28/03/2014] id: Dorsal PedPulse R/L el: 0 cu: MICU-A cg: -1 v1: Diff to Palpate v2: Diff to Palpate st: NotStopd t0: [08:00:00 28/03/2014] id: Ectopy Frequency el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [08:00:00 28/03/2014] id: Ectopy Type el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [08:00:00 28/03/2014] id: Eye Opening el: 0 cu: MICU-A cg: -1 v1: 3 To speech st: NotStopd t0: [08:00:00 28/03/2014] id: GCS Total el: 0 cu: MICU-A cg: -1 v1: 8 u1: points st: NotStopd t0: [08:00:00 28/03/2014] id: GI Guaiac/ph el: 0 cu: MICU-A cg: -1 v1: Not Applicable st: NotStopd t0: [08:00:00 28/03/2014] id: GI Intub #1/Site el: 0 cu: MICU-A cg: -1 v1: Salem Sump v2: Left Nare st: NotStopd t0: [08:00:00 28/03/2014] id: GI#1 Tube PlaceCheck el: 0 cu: MICU-A cg: -1 v1: Done st: NotStopd t0: [08:00:00 28/03/2014] id: GI#1 Tube Stat/Drain el: 0 cu: MICU-A cg: -1 v1: Feeding v2: Undigested Food st: NotStopd t0: [08:00:00 28/03/2014] id: GU Catheter Size el: 0 cu: MICU-A cg: -1 v1: 14 French st: NotStopd t0: [08:00:00 28/03/2014] id: Heart Rate el: 0 cu: MICU-A cg: -1 v1: 78 u1: BPM st: NotStopd t0: [08:00:00 28/03/2014] id: Heart Rhythm el: 0 cu: MICU-A cg: -1 v1: Normal Sinus st: NotStopd t0: [08:00:00 28/03/2014] id: INV Line#1 Type/Site el: 0 cu: MICU-A cg: -1 v1: Multi-lumen v2: Right Femoral st: NotStopd t0: [08:00:00 28/03/2014] id: INV Line#1InsertDate el: 0 cu: MICU-A cg: -1 v1: 3 v2: 12 st: NotStopd t0: [08:00:00 28/03/2014] id: INV Line#1SiteAppear el: 0 cu: MICU-A cg: -1 v1: WNL st: NotStopd t0: [08:00:00 28/03/2014] id: INV Line#2 Type/Site el: 0 cu: MICU-A cg: -1 v1: A-Line v2: Right Radial st: NotStopd t0: [08:00:00 28/03/2014] id: INV Line#2 Zero/Cal el: 0 cu: MICU-A cg: -1 v1: No st: NotStopd t0: [08:00:00 28/03/2014] id: INV Line#2InsertDate el: 0 cu: MICU-A cg: -1 v1: 3 v2: 12 st: NotStopd t0: [08:00:00 28/03/2014] id: INV Line#3 Type/Site el: 0 cu: MICU-A cg: -1 v1: Introducer v2: Right IJ st: NotStopd t0: [08:00:00 28/03/2014] id: INV Line#3InsertDate el: 0 cu: MICU-A cg: -1 v1: 3 v2: 12 st: NotStopd t0: [08:00:00 28/03/2014] id: INV Line#3SiteAppear el: 0 cu: MICU-A cg: -1 v1: WNL st: NotStopd t0: [08:00:00 28/03/2014] id: Abdominal Assessment el: 0 cu: MICU-A cg: -1 v1: Obese st: NotStopd t0: [08:00:00 28/03/2014] id: INV#2 WaveformAppear el: 0 cu: MICU-A cg: -1 v1: Sharp st: NotStopd t0: [08:00:00 28/03/2014] id: Imp Skin Cleanse #2 el: 0 cu: MICU-A cg: -1 v1: Wound Cleanser st: NotStopd t0: [08:00:00 28/03/2014] id: ImpSkin Character #1 el: 0 cu: MICU-A cg: -1 v1: Hematoma st: NotStopd t0: [08:00:00 28/03/2014] id: ImpSkin Character #2 el: 0 cu: MICU-A cg: -1 v1: Rash st: NotStopd t0: [08:00:00 28/03/2014] id: ImpSkin Treatment #1 el: 0 cu: MICU-A cg: -1 v1: Open to Air st: NotStopd t0: [08:00:00 28/03/2014] id: ImpSkin Treatment #2 el: 0 cu: MICU-A cg: -1 v1: Open to Air st: NotStopd t0: [08:00:00 28/03/2014] id: Impaired Skin Site#1 el: 0 cu: MICU-A cg: -1 v1: Gluteal, Right st: NotStopd t0: [08:00:00 28/03/2014] id: Impaired Skin Site#2 el: 0 cu: MICU-A cg: -1 v1: Labia st: NotStopd t0: [08:00:00 28/03/2014] id: LLL Lung Sounds el: 0 cu: MICU-A cg: -1 v1: Coarse st: NotStopd t0: [08:00:00 28/03/2014] id: LUL Lung Sounds el: 0 cu: MICU-A cg: -1 v1: Coarse st: NotStopd t0: [08:00:00 28/03/2014] id: Level of Conscious el: 0 cu: MICU-A cg: -1 v1: Arouse to Voice st: NotStopd t0: [08:00:00 28/03/2014] id: Motor Response el: 0 cu: MICU-A cg: -1 v1: 4 Flex-withdraws st: NotStopd t0: [08:00:00 28/03/2014] id: Oral Cavity el: 0 cu: MICU-A cg: -1 v1: Teeth/Tissue WNL st: NotStopd t0: [08:00:00 28/03/2014] id: Orientation el: 0 cu: MICU-A cg: -1 v1: Other/Remarks st: NotStopd t0: [08:00:00 28/03/2014] id: Arterial BP el: 0 cu: MICU-A cg: -1 v1: 98 u1: mmHg v2: 53 u2: mmHg st: NotStopd t0: [08:00:00 28/03/2014] id: Pain Location el: 0 cu: MICU-A cg: -1 v1: Not Indicated st: NotStopd t0: [08:00:00 28/03/2014] id: Pain Management el: 1 cu: MICU-A cg: -1 v1: IV Gtt v2: IV Gtt st: NotStopd t0: [08:00:00 28/03/2014] id: Arterial BP Mean el: 0 cu: MICU-A cg: -1 v1: 70 u1: mmHg st: NotStopd t0: [08:00:00 28/03/2014] id: Position Change el: 0 cu: MICU-A cg: -1 v1: Done st: NotStopd t0: [08:00:00 28/03/2014] id: PostTib. Pulses R/L el: 0 cu: MICU-A cg: -1 v1: Diff to Palpate v2: Diff to Palpate st: NotStopd t0: [08:00:00 28/03/2014] id: Precautions el: 0 cu: MICU-A cg: -1 v1: Universal st: NotStopd t0: [08:00:00 28/03/2014] id: RLL Lung Sounds el: 0 cu: MICU-A cg: -1 v1: Coarse st: NotStopd t0: [08:00:00 28/03/2014] id: RUL Lung Sounds el: 0 cu: MICU-A cg: -1 v1: Coarse st: NotStopd t0: [08:00:00 28/03/2014] id: Reason For Restraint el: 0 cu: MICU-A cg: -1 v1: Ext/TXInterfere st: NotStopd t0: [08:00:00 28/03/2014] id: Removed x 5 Mins el: 0 cu: MICU-A cg: -1 v1: Done st: NotStopd t0: [08:00:00 28/03/2014] id: Respiratory Pattern el: 0 cu: MICU-A cg: -1 v1: Regular st: NotStopd t0: [08:00:00 28/03/2014] id: Respiratory Rate el: 0 cu: MICU-A cg: -1 v1: 22 u1: BPM st: NotStopd t0: [08:00:00 28/03/2014] id: Restraint Location el: 0 cu: MICU-A cg: -1 v1: Both Arms st: NotStopd t0: [08:00:00 28/03/2014] id: Restraint Type el: 0 cu: MICU-A cg: -1 v1: Soft Limb st: NotStopd t0: [08:00:00 28/03/2014] id: Restraints Evaluated el: 0 cu: MICU-A cg: -1 v1: RestraintReapply st: NotStopd t0: [08:00:00 28/03/2014] id: Side Rails el: 0 cu: MICU-A cg: -1 v1: Side Rails Up st: NotStopd t0: [08:00:00 28/03/2014] id: Skin Color el: 0 cu: MICU-A cg: -1 v1: Flushed st: NotStopd t0: [08:00:00 28/03/2014] id: Skin Integrity el: 0 cu: MICU-A cg: -1 v1: Impaired st: NotStopd t0: [08:00:00 28/03/2014] id: SpO2 el: 0 cu: MICU-A cg: -1 v1: 99 u1: % st: NotStopd t0: [08:00:00 28/03/2014] id: Stool Color/Consist el: 0 cu: MICU-A cg: -1 v1: Brown v2: Liquid st: NotStopd t0: [08:00:00 28/03/2014] id: Support Systems el: 0 cu: MICU-A cg: -1 v1: Spouse st: NotStopd t0: [08:00:00 28/03/2014] id: Temp. Site el: 0 cu: MICU-A cg: -1 v1: Oral st: NotStopd t0: [08:00:00 28/03/2014] id: Temperature C (calc) el: 0 cu: MICU-A cg: -1 v1: 37.6667 u1: Deg. C st: NotStopd t0: [08:00:00 28/03/2014] id: Temperature F el: 0 cu: MICU-A cg: -1 v1: 99.8 u1: Deg. F st: NotStopd t0: [08:00:00 28/03/2014] id: Urine Color/Appear el: 0 cu: MICU-A cg: -1 v1: Yellow v2: Sediment st: NotStopd t0: [08:00:00 28/03/2014] id: Urine Source el: 0 cu: MICU-A cg: -1 v1: Indwelling Cath st: NotStopd t0: [08:00:00 28/03/2014] id: Verbal Response el: 0 cu: MICU-A cg: -1 v1: 1.0 ET/Trach st: NotStopd t0: [08:00:00 28/03/2014] id: calprevflg el: 0 cu: MICU-A cg: -1 v1: 1 u1: kg st: NotStopd t0: [08:00:00 28/03/2014] id: Behavior el: 0 cu: MICU-A cg: -1 v1: Sedated st: NotStopd t0: [08:00:00 28/03/2014] id: Bowel Sounds el: 0 cu: MICU-A cg: -1 v1: Hyperactive st: NotStopd
t0: [08:00:00 28/03/2014] id: TF Residual Gastric/TF Residual el: 1 cu: MICU-A cg: -1 ai: 107 vo: 2.5 vu: ml t0: [08:00:00 28/03/2014] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 6 vu: ml t0: [08:00:00 28/03/2014] id: D5W 250.0ml + 4mcgkgmin Levophed-k IV Infusions el: 1 cu: MICU-A cg: -1 ai: 189 vo: 9 vu: ml t0: [08:00:00 28/03/2014] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU-A cg: -1 ai: 416 vo: 7.5 vu: ml t0: [08:00:00 28/03/2014] id: Promote w/fiber Tube Feeding el: 1 cu: MICU-A cg: -1 ai: 107 vo: 40 vu: ml t0: [08:00:00 28/03/2014] id: Urine Out Foley el: 1 cu: MICU-A cg: -1 vo: 50 vu: ml
t0: [08:00:00 28/03/2014] id: Fentanyl el: 1 cu: MICU-A so: .9% Normal Saline vo: 0 v1: 75 du: mcghr sv: 250 su: ml rt: IV Drip t0: [08:00:00 28/03/2014] id: Ativan el: 1 cu: MICU-A so: D5W vo: 0 v1: 6 du: mghr sv: 60 su: ml rt: IV Drip
t0: [08:00:00 28/03/2014] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 200 vu: ml
t0: [08:00:00 28/03/2014] id: Levophed-k el: 1 cu: MICU-A so: D5W vo: 0 v1: 0.015 du: mcgkgmin sv: 250 su: ml rt: IV Drip
t0: [08:00:00 28/03/2014] id: Compliance (40-60ml) el: 0 cu: MICU-A cg: -1 v1: 19.2308 u1: ml/cmH st: NotStopd t0: [08:00:00 28/03/2014] id: ETT Mark/Location el: 0 cu: MICU-A cg: -1 v1: 23cm v2: Lip st: NotStopd t0: [08:00:00 28/03/2014] id: FiO2 Set el: 0 cu: MICU-A cg: -1 v1: 0.4 u1: torr st: NotStopd t0: [08:00:00 28/03/2014] id: High Insp. Pressure el: 0 cu: MICU-A cg: -1 v1: 55 u1: cmH2O st: NotStopd t0: [08:00:00 28/03/2014] id: High Resp. Rate el: 0 cu: MICU-A cg: -1 v1: 35 u1: BPM st: NotStopd t0: [08:00:00 28/03/2014] id: I:E Ratio el: 0 cu: MICU-A cg: -1 v1: 1:4.0 st: NotStopd t0: [08:00:00 28/03/2014] id: Airway Size el: 0 cu: MICU-A cg: -1 v1: 7.5 mm st: NotStopd t0: [08:00:00 28/03/2014] id: Airway Type el: 0 cu: MICU-A cg: -1 v1: Endotracheal st: NotStopd t0: [08:00:00 28/03/2014] id: Inspired Gas Temp el: 0 cu: MICU-A cg: -1 v1: 34.5 u1: Deg. C st: NotStopd t0: [08:00:00 28/03/2014] id: Intubation Date el: 0 cu: MICU-A cg: -1 v1: 3 v2: 12 st: NotStopd t0: [08:00:00 28/03/2014] id: Low Exhaled Min Vol el: 0 cu: MICU-A cg: -1 v1: 8 st: NotStopd t0: [08:00:00 28/03/2014] id: Low Insp. Pressure el: 0 cu: MICU-A cg: -1 v1: 20 u1: cmH2O st: NotStopd t0: [08:00:00 28/03/2014] id: Mean Airway Pressure el: 0 cu: MICU-A cg: -1 v1: 22.9 u1: cmH2O st: NotStopd t0: [08:00:00 28/03/2014] id: Minute Volume(Obser) el: 0 cu: MICU-A cg: -1 v1: 10.8 u1: L/min st: NotStopd t0: [08:00:00 28/03/2014] id: PEEP Set el: 0 cu: MICU-A cg: -1 v1: 17.5 u1: cmH2O st: NotStopd t0: [08:00:00 28/03/2014] id: Apnea Time Interval el: 0 cu: MICU-A cg: -1 v1: 20 st: NotStopd t0: [08:00:00 28/03/2014] id: Peak Flow el: 0 cu: MICU-A cg: -1 v1: 55 u1: L/m st: NotStopd t0: [08:00:00 28/03/2014] id: Peak Insp. Pressure el: 0 cu: MICU-A cg: -1 v1: 43.5 u1: cmH2O st: NotStopd t0: [08:00:00 28/03/2014] id: Plateau Pressure el: 0 cu: MICU-A cg: -1 v1: 32 u1: cmH2O st: NotStopd t0: [08:00:00 28/03/2014] id: Plateau-Off el: 0 cu: MICU-A cg: -1 v1: Yes st: NotStopd t0: [08:00:00 28/03/2014] id: Pressure Support el: 0 cu: MICU-A cg: -1 v1: 0 u1: . st: NotStopd t0: [08:00:00 28/03/2014] id: Resp Rate (Spont) el: 0 cu: MICU-A cg: -1 v1: 0 u1: BPM st: NotStopd t0: [08:00:00 28/03/2014] id: Resp Rate (Total) el: 0 cu: MICU-A cg: -1 v1: 22 u1: BPM st: NotStopd t0: [08:00:00 28/03/2014] id: Respiratory Rate Set el: 0 cu: MICU-A cg: -1 v1: 22 u1: BPM st: NotStopd t0: [08:00:00 28/03/2014] id: Sensitivity-Vent el: 0 cu: MICU-A cg: -1 v1: 2 u1: cmH2O st: NotStopd t0: [08:00:00 28/03/2014] id: Tidal Volume (Obser) el: 0 cu: MICU-A cg: -1 v1: 490 u1: ml/B st: NotStopd t0: [08:00:00 28/03/2014] id: Tidal Volume (Set) el: 0 cu: MICU-A cg: -1 v1: 500 u1: ml/B st: NotStopd t0: [08:00:00 28/03/2014] id: Ventilator Mode el: 0 cu: MICU-A cg: -1 v1: Assist Control st: NotStopd t0: [08:00:00 28/03/2014] id: Ventilator No. el: 0 cu: MICU-A cg: -1 v1: 6 u1: # st: NotStopd t0: [08:00:00 28/03/2014] id: Ventilator Type el: 0 cu: MICU-A cg: -1 v1: 7200A st: NotStopd t0: [08:00:00 28/03/2014] id: Waveform-Vent el: 0 cu: MICU-A cg: -1 v1: SQUARE st: NotStopd
t0: [09:15:00 28/03/2014] id: FiO2 Set el: 0 cu: MICU-A cg: -1 v1: 0.3 u1: torr st: NotStopd t0: [09:15:00 28/03/2014] id: Tidal Volume (Set) el: 0 cu: MICU-A cg: -1 v1: 450 u1: ml/B st: NotStopd
t0: [08:00:00 28/03/2014] tf: [13:18:00 10/04/2014] dt: 19038 id: Stool Out (non-specific) el: 1 cu: MICU-A cg: -1 vo: 30 vu: ml t0: [09:00:00 28/03/2014] id: D5W 100.0ml IV Infusions el: 1 cu: MICU-A cg: -1 ai: 105 vo: 1000 vu: ml t0: [09:00:00 28/03/2014] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 6 vu: ml t0: [09:00:00 28/03/2014] id: D5W 250.0ml + 4mcgkgmin Levophed-k IV Infusions el: 1 cu: MICU-A cg: -1 ai: 189 vu: ml st: Stopped t0: [09:00:00 28/03/2014] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU-A cg: -1 ai: 416 vo: 7.5 vu: ml t0: [09:00:00 28/03/2014] id: Promote w/fiber Tube Feeding el: 1 cu: MICU-A cg: -1 ai: 107 vo: 50 vu: ml t0: [09:00:00 28/03/2014] id: Urine Out Foley el: 1 cu: MICU-A cg: -1 vo: 60 vu: ml
t0: [23:00:00 28/03/2014] dt: 24 id: Stool Out Total el: 2 cu: MICU-A cg: -1 cv: 30 ap: none
tf: [09:00:00 29/03/2014] pt: Unit Dose rt: IV fr: ONCE fs: 10 dn: 1 m1: Magnesium Sulfate f1: INJ v1: 2 u1: gm tf: [10:00:00 09/04/2014] pt: Unit Dose rt: NG fr: QD fs: 10 dn: 1 m1: Lansoprazole Oral Solution f1: SOLN v1: 30 u1: mg
t0: [09:00:00 28/03/2014] id: Service Type el: 0 cu: MICU-A cg: -1 v1: MICU st: NotStopd t0: [09:00:00 28/03/2014] id: Code Status el: 0 cu: MICU-A cg: -1 v1: Full Code st: NotStopd t0: [09:00:00 28/03/2014] id: Ectopy Frequency el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [09:00:00 28/03/2014] id: Ectopy Type el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [09:00:00 28/03/2014] id: Eye Care el: 0 cu: MICU-A cg: -1 v1: Done st: NotStopd t0: [09:00:00 28/03/2014] id: HOB el: 0 cu: MICU-A cg: -1 v1: 30 degrees st: NotStopd t0: [09:00:00 28/03/2014] id: Heart Rate el: 0 cu: MICU-A cg: -1 v1: 83 u1: BPM st: NotStopd t0: [09:00:00 28/03/2014] id: Heart Rhythm el: 0 cu: MICU-A cg: -1 v1: Normal Sinus st: NotStopd t0: [09:00:00 28/03/2014] id: Activity el: 0 cu: MICU-A cg: -1 v1: Bedrest st: NotStopd t0: [09:00:00 28/03/2014] id: Activity Tolerance el: 0 cu: MICU-A cg: -1 v1: Good st: NotStopd t0: [09:00:00 28/03/2014] id: Oral Care el: 0 cu: MICU-A cg: -1 v1: Done st: NotStopd t0: [09:00:00 28/03/2014] id: AntiEmbDevice/Status el: 0 cu: MICU-A cg: -1 v1: Compress Sleeves v2: On st: NotStopd t0: [09:00:00 28/03/2014] id: Arterial BP el: 0 cu: MICU-A cg: -1 v1: 105 u1: mmHg v2: 58 u2: mmHg st: NotStopd t0: [09:00:00 28/03/2014] id: Arterial BP Mean el: 0 cu: MICU-A cg: -1 v1: 74 u1: mmHg st: NotStopd t0: [09:00:00 28/03/2014] id: Position el: 0 cu: MICU-A cg: -1 v1: Left Side st: NotStopd t0: [09:00:00 28/03/2014] id: Assistance Device el: 0 cu: MICU-A cg: -1 v1: 2 Person Assist st: NotStopd t0: [09:00:00 28/03/2014] id: Precautions el: 0 cu: MICU-A cg: -1 v1: Universal st: NotStopd t0: [09:00:00 28/03/2014] id: Respiratory Rate el: 0 cu: MICU-A cg: -1 v1: 24 u1: BPM st: NotStopd t0: [09:00:00 28/03/2014] id: SpO2 el: 0 cu: MICU-A cg: -1 v1: 97 u1: % st: NotStopd t0: [09:00:00 28/03/2014] id: Turn el: 0 cu: MICU-A cg: -1 v1: Side to Side st: NotStopd t0: [09:00:00 28/03/2014] id: Back Care el: 0 cu: MICU-A cg: -1 v1: Done st: NotStopd t0: [09:00:00 28/03/2014] id: calprevflg el: 0 cu: MICU-A cg: -1 v1: 1 u1: kg st: NotStopd t0: [10:00:00 28/03/2014] id: Service Type el: 0 cu: MICU-A cg: -1 v1: MICU st: NotStopd t0: [10:00:00 28/03/2014] id: Code Status el: 0 cu: MICU-A cg: -1 v1: Full Code st: NotStopd t0: [10:00:00 28/03/2014] id: Ectopy Frequency el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [10:00:00 28/03/2014] id: Ectopy Type el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [10:00:00 28/03/2014] id: Heart Rate el: 0 cu: MICU-A cg: -1 v1: 86 u1: BPM st: NotStopd t0: [10:00:00 28/03/2014] id: Heart Rhythm el: 0 cu: MICU-A cg: -1 v1: Normal Sinus st: NotStopd t0: [10:00:00 28/03/2014] id: Arterial BP el: 0 cu: MICU-A cg: -1 v1: 104 u1: mmHg v2: 57 u2: mmHg st: NotStopd t0: [10:00:00 28/03/2014] id: Arterial BP Mean el: 0 cu: MICU-A cg: -1 v1: 74 u1: mmHg st: NotStopd t0: [10:00:00 28/03/2014] id: Precautions el: 0 cu: MICU-A cg: -1 v1: Universal st: NotStopd t0: [10:00:00 28/03/2014] id: Respiratory Rate el: 0 cu: MICU-A cg: -1 v1: 24 u1: BPM st: NotStopd t0: [10:00:00 28/03/2014] id: SpO2 el: 0 cu: MICU-A cg: -1 v1: 96 u1: % st: NotStopd t0: [10:00:00 28/03/2014] id: calprevflg el: 0 cu: MICU-A cg: -1 v1: 1 u1: kg st: NotStopd
t0: [09:00:00 28/03/2014] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vu: ml t0: [10:00:00 28/03/2014] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 200 vu: ml t0: [10:00:00 28/03/2014] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 6 vu: ml t0: [10:00:00 28/03/2014] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU-A cg: -1 ai: 416 vo: 7.5 vu: ml t0: [10:00:00 28/03/2014] id: Promote w/fiber Tube Feeding el: 1 cu: MICU-A cg: -1 ai: 107 vo: 50 vu: ml t0: [10:00:00 28/03/2014] id: Urine Out Foley el: 1 cu: MICU-A cg: -1 vo: 25 vu: ml
t0: [09:00:00 28/03/2014] id: Fentanyl el: 1 cu: MICU-A so: .9% Normal Saline vo: 0 v1: 75 du: mcghr sv: 250 su: ml rt: IV Drip t0: [09:00:00 28/03/2014] id: Levophed-k el: 1 cu: MICU-A so: D5W vo: 0 du: mcgkgmin sv: 250 su: ml rt: IV Drip st: Stopped t0: [09:00:00 28/03/2014] id: Ativan el: 1 cu: MICU-A so: D5W vo: 0 v1: 6 du: mghr sv: 60 su: ml rt: IV Drip t0: [10:00:00 28/03/2014] id: Fentanyl el: 1 cu: MICU-A so: .9% Normal Saline vo: 0 v1: 75 du: mcghr sv: 250 su: ml rt: IV Drip t0: [10:00:00 28/03/2014] id: Ativan el: 1 cu: MICU-A so: D5W vo: 0 v1: 6 du: mghr sv: 60 su: ml rt: IV Drip
t0: [10:21:00 28/03/2014] id: Art.pH ABG el: 0 cu: MICU-A cg: 1663 v1: 7.3 rs: Final st: NotStopd t0: [10:21:00 28/03/2014] id: Arterial Base Excess ABG el: 0 cu: MICU-A cg: 1663 v1: -8 rs: Final st: NotStopd t0: [10:21:00 28/03/2014] id: Arterial CO2(Calc) ABG el: 0 cu: MICU-A cg: 1663 v1: 17 rs: Final st: NotStopd t0: [10:21:00 28/03/2014] id: Arterial PaCO2 ABG el: 0 cu: MICU-A cg: 1663 v1: 34 u1: mmHg rs: Final st: NotStopd t0: [10:21:00 28/03/2014] id: Arterial PaO2 ABG el: 0 cu: MICU-A cg: 1663 v1: 87 u1: mmHg rs: Final st: NotStopd t0: [10:21:00 28/03/2014] id: Arterial pH ABG el: 0 cu: MICU-A cg: 1663 v1: 7.3 rs: Final st: NotStopd
t0: [10:00:00 28/03/2014] id: Range of Motion el: 0 cu: MICU-A cg: -1 v1: Done st: NotStopd t0: [10:00:00 28/03/2014] id: Circulation/SkinInt el: 0 cu: MICU-A cg: -1 v1: Circulation Adeq st: NotStopd t0: [10:00:00 28/03/2014] id: Position Change el: 0 cu: MICU-A cg: -1 v1: Done st: NotStopd t0: [10:00:00 28/03/2014] id: Reason For Restraint el: 0 cu: MICU-A cg: -1 v1: Ext/TXInterfere st: NotStopd t0: [10:00:00 28/03/2014] id: Removed x 5 Mins el: 0 cu: MICU-A cg: -1 v1: Done st: NotStopd t0: [10:00:00 28/03/2014] id: Restraint Location el: 0 cu: MICU-A cg: -1 v1: Both Arms st: NotStopd t0: [10:00:00 28/03/2014] id: Restraint Type el: 0 cu: MICU-A cg: -1 v1: Soft Limb st: NotStopd t0: [10:00:00 28/03/2014] id: Restraints Evaluated el: 0 cu: MICU-A cg: -1 v1: RestraintReapply st: NotStopd t0: [10:00:00 28/03/2014] id: Side Rails el: 0 cu: MICU-A cg: -1 v1: Side Rails Up st: NotStopd t0: [10:00:00 28/03/2014] id: Support Systems el: 0 cu: MICU-A cg: -1 v1: Spouse st: NotStopd t0: [11:00:00 28/03/2014] id: Service Type el: 0 cu: MICU-A cg: -1 v1: MICU st: NotStopd t0: [11:00:00 28/03/2014] id: Code Status el: 0 cu: MICU-A cg: -1 v1: Full Code st: NotStopd t0: [11:00:00 28/03/2014] id: Ectopy Frequency el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [11:00:00 28/03/2014] id: Ectopy Type el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [11:00:00 28/03/2014] id: Heart Rate el: 0 cu: MICU-A cg: -1 v1: 81 u1: BPM st: NotStopd t0: [11:00:00 28/03/2014] id: Heart Rhythm el: 0 cu: MICU-A cg: -1 v1: Normal Sinus st: NotStopd t0: [11:00:00 28/03/2014] id: Arterial BP el: 0 cu: MICU-A cg: -1 v1: 97 u1: mmHg v2: 54 u2: mmHg st: NotStopd t0: [11:00:00 28/03/2014] id: Arterial BP Mean el: 0 cu: MICU-A cg: -1 v1: 69 u1: mmHg st: NotStopd t0: [11:00:00 28/03/2014] id: Precautions el: 0 cu: MICU-A cg: -1 v1: Universal st: NotStopd t0: [11:00:00 28/03/2014] id: Respiratory Rate el: 0 cu: MICU-A cg: -1 v1: 29 u1: BPM st: NotStopd t0: [11:00:00 28/03/2014] id: SpO2 el: 0 cu: MICU-A cg: -1 v1: 96 u1: % st: NotStopd t0: [11:00:00 28/03/2014] id: calprevflg el: 0 cu: MICU-A cg: -1 v1: 1 u1: kg st: NotStopd
t0: [10:00:00 28/03/2014] id: D5W 100.0ml IV Infusions el: 1 cu: MICU-A cg: -1 ai: 105 vo: 100 vu: ml t0: [11:00:00 28/03/2014] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 200 vu: ml t0: [11:00:00 28/03/2014] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 6 vu: ml t0: [11:00:00 28/03/2014] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU-A cg: -1 ai: 416 vo: 7.5 vu: ml t0: [11:00:00 28/03/2014] id: Promote w/fiber Tube Feeding el: 1 cu: MICU-A cg: -1 ai: 107 vo: 50 vu: ml t0: [11:00:00 28/03/2014] id: Urine Out Foley el: 1 cu: MICU-A cg: -1 vo: 50 vu: ml
t0: [11:00:00 28/03/2014] id: Fentanyl el: 1 cu: MICU-A so: .9% Normal Saline vo: 0 v1: 75 du: mcghr sv: 250 su: ml rt: IV Drip t0: [11:00:00 28/03/2014] id: Ativan el: 1 cu: MICU-A so: D5W vo: 0 v1: 6 du: mghr sv: 60 su: ml rt: IV Drip
tf: [16:00:00 30/03/2014] pt: Unit Dose rt: NG fr: Q24H fs: 12 dn: 1 m1: Fluconazole f1: TAB v1: 100 u1: mg tf: [10:00:00 09/04/2014] pt: Unit Dose rt: NG fr: Q24H fs: 12 dn: 1 m1: Levofloxacin f1: TAB v1: 500 u1: mg
t0: [12:00:00 28/03/2014] id: Pain Present el: 0 cu: MICU-A cg: -1 v1: Yes st: NotStopd t0: [12:00:00 28/03/2014] id: Range of Motion el: 0 cu: MICU-A cg: -1 v1: Done st: NotStopd t0: [12:00:00 28/03/2014] id: Pain Assess Method el: 0 cu: MICU-A cg: -1 v1: Non-verbal cues st: NotStopd t0: [12:00:00 28/03/2014] id: Service Type el: 0 cu: MICU-A cg: -1 v1: MICU st: NotStopd t0: [12:00:00 28/03/2014] id: Circulation/SkinInt el: 0 cu: MICU-A cg: -1 v1: Circulation Adeq st: NotStopd t0: [12:00:00 28/03/2014] id: Code Status el: 0 cu: MICU-A cg: -1 v1: Full Code st: NotStopd t0: [12:00:00 28/03/2014] id: Riker-SAS Scale el: 0 cu: MICU-A cg: -1 v1: Sedated st: NotStopd t0: [12:00:00 28/03/2014] id: Daily Wake Up el: 0 cu: MICU-A cg: -1 v1: No st: NotStopd t0: [12:00:00 28/03/2014] id: GI Prophylaxis el: 0 cu: MICU-A cg: -1 v1: H2 Blocker st: NotStopd t0: [12:00:00 28/03/2014] id: Diet Type el: 0 cu: MICU-A cg: -1 v1: Tube Feeding st: NotStopd t0: [12:00:00 28/03/2014] id: Dorsal PedPulse R/L el: 0 cu: MICU-A cg: -1 v1: Diff to Palpate v2: Diff to Palpate st: NotStopd t0: [12:00:00 28/03/2014] id: Ectopy Frequency el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [12:00:00 28/03/2014] id: Ectopy Type el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [12:00:00 28/03/2014] id: Eye Opening el: 0 cu: MICU-A cg: -1 v1: 3 To speech st: NotStopd t0: [12:00:00 28/03/2014] id: Family Communication el: 0 cu: MICU-A cg: -1 v1: Family Visited st: NotStopd t0: [12:00:00 28/03/2014] id: GCS Total el: 0 cu: MICU-A cg: -1 v1: 8 u1: points st: NotStopd t0: [12:00:00 28/03/2014] id: GI Intub #1/Site el: 0 cu: MICU-A cg: -1 v1: Salem Sump v2: Left Nare st: NotStopd t0: [12:00:00 28/03/2014] id: GI#1 Tube PlaceCheck el: 0 cu: MICU-A cg: -1 v1: Done st: NotStopd t0: [12:00:00 28/03/2014] id: GI#1 Tube Stat/Drain el: 0 cu: MICU-A cg: -1 v1: Feeding v2: Undigested Food st: NotStopd t0: [12:00:00 28/03/2014] id: GU Catheter Size el: 0 cu: MICU-A cg: -1 v1: 14 French st: NotStopd t0: [12:00:00 28/03/2014] id: HOB el: 0 cu: MICU-A cg: -1 v1: 30 degrees st: NotStopd t0: [12:00:00 28/03/2014] id: Heart Rate el: 0 cu: MICU-A cg: -1 v1: 80 u1: BPM st: NotStopd t0: [12:00:00 28/03/2014] id: Heart Rhythm el: 0 cu: MICU-A cg: -1 v1: Normal Sinus st: NotStopd t0: [12:00:00 28/03/2014] id: INV Line#1 Type/Site el: 0 cu: MICU-A cg: -1 v1: Multi-lumen v2: Right Femoral st: NotStopd t0: [12:00:00 28/03/2014] id: INV Line#1InsertDate el: 0 cu: MICU-A cg: -1 v1: 3 v2: 12 st: NotStopd t0: [12:00:00 28/03/2014] id: INV Line#1SiteAppear el: 0 cu: MICU-A cg: -1 v1: WNL st: NotStopd t0: [12:00:00 28/03/2014] id: INV Line#2 Type/Site el: 0 cu: MICU-A cg: -1 v1: A-Line v2: Right Radial st: NotStopd t0: [12:00:00 28/03/2014] id: INV Line#2 Zero/Cal el: 0 cu: MICU-A cg: -1 v1: Yes st: NotStopd t0: [12:00:00 28/03/2014] id: INV Line#2InsertDate el: 0 cu: MICU-A cg: -1 v1: 3 v2: 12 st: NotStopd t0: [12:00:00 28/03/2014] id: INV Line#3 Type/Site el: 0 cu: MICU-A cg: -1 v1: Introducer v2: Right IJ st: NotStopd t0: [12:00:00 28/03/2014] id: INV Line#3InsertDate el: 0 cu: MICU-A cg: -1 v1: 3 v2: 12 st: NotStopd t0: [12:00:00 28/03/2014] id: INV Line#3SiteAppear el: 0 cu: MICU-A cg: -1 v1: WNL st: NotStopd t0: [12:00:00 28/03/2014] id: Abdominal Assessment el: 0 cu: MICU-A cg: -1 v1: Obese st: NotStopd t0: [12:00:00 28/03/2014] id: INV#2 WaveformAppear el: 0 cu: MICU-A cg: -1 v1: Sharp st: NotStopd t0: [12:00:00 28/03/2014] id: Activity el: 0 cu: MICU-A cg: -1 v1: Bedrest st: NotStopd t0: [12:00:00 28/03/2014] id: Activity Tolerance el: 0 cu: MICU-A cg: -1 v1: Good st: NotStopd t0: [12:00:00 28/03/2014] id: Imp Skin Cleanse #2 el: 0 cu: MICU-A cg: -1 v1: Soap & H20 st: NotStopd t0: [12:00:00 28/03/2014] id: ImpSkin Character #1 el: 0 cu: MICU-A cg: -1 v1: Hematoma st: NotStopd t0: [12:00:00 28/03/2014] id: ImpSkin Character #2 el: 0 cu: MICU-A cg: -1 v1: Rash st: NotStopd t0: [12:00:00 28/03/2014] id: ImpSkin Treatment #1 el: 0 cu: MICU-A cg: -1 v1: Open to Air st: NotStopd t0: [12:00:00 28/03/2014] id: ImpSkin Treatment #2 el: 0 cu: MICU-A cg: -1 v1: Open to Air st: NotStopd t0: [12:00:00 28/03/2014] id: Impaired Skin Site#1 el: 0 cu: MICU-A cg: -1 v1: Gluteal, Right st: NotStopd t0: [12:00:00 28/03/2014] id: Impaired Skin Site#2 el: 0 cu: MICU-A cg: -1 v1: Labia st: NotStopd t0: [12:00:00 28/03/2014] id: LLL Lung Sounds el: 0 cu: MICU-A cg: -1 v1: Coarse st: NotStopd t0: [12:00:00 28/03/2014] id: LUL Lung Sounds el: 0 cu: MICU-A cg: -1 v1: Coarse st: NotStopd t0: [12:00:00 28/03/2014] id: Level of Conscious el: 0 cu: MICU-A cg: -1 v1: Arouse to Voice st: NotStopd t0: [12:00:00 28/03/2014] id: Motor Response el: 0 cu: MICU-A cg: -1 v1: 4 Flex-withdraws st: NotStopd t0: [12:00:00 28/03/2014] id: Oral Care el: 0 cu: MICU-A cg: -1 v1: Done st: NotStopd t0: [12:00:00 28/03/2014] id: Oral Cavity el: 0 cu: MICU-A cg: -1 v1: Teeth/Tissue WNL st: NotStopd t0: [12:00:00 28/03/2014] id: Orientation el: 0 cu: MICU-A cg: -1 v1: Other/Remarks st: NotStopd t0: [12:00:00 28/03/2014] id: AntiEmbDevice/Status el: 0 cu: MICU-A cg: -1 v1: Compress Sleeves v2: On st: NotStopd t0: [12:00:00 28/03/2014] id: Arterial BP el: 0 cu: MICU-A cg: -1 v1: 102 u1: mmHg v2: 55 u2: mmHg st: NotStopd t0: [12:00:00 28/03/2014] id: Pain Management el: 1 cu: MICU-A cg: -1 v1: IV Gtt v2: IV Gtt st: NotStopd t0: [12:00:00 28/03/2014] id: Arterial BP Mean el: 0 cu: MICU-A cg: -1 v1: 71 u1: mmHg st: NotStopd t0: [12:00:00 28/03/2014] id: Position el: 0 cu: MICU-A cg: -1 v1: Right Side st: NotStopd t0: [12:00:00 28/03/2014] id: Position Change el: 0 cu: MICU-A cg: -1 v1: Done st: NotStopd t0: [12:00:00 28/03/2014] id: PostTib. Pulses R/L el: 0 cu: MICU-A cg: -1 v1: Diff to Palpate v2: Diff to Palpate st: NotStopd t0: [12:00:00 28/03/2014] id: Assistance Device el: 0 cu: MICU-A cg: -1 v1: 2 Person Assist st: NotStopd t0: [12:00:00 28/03/2014] id: Precautions el: 0 cu: MICU-A cg: -1 v1: Universal st: NotStopd t0: [12:00:00 28/03/2014] id: RLL Lung Sounds el: 0 cu: MICU-A cg: -1 v1: Diminished st: NotStopd t0: [12:00:00 28/03/2014] id: RUL Lung Sounds el: 0 cu: MICU-A cg: -1 v1: Clear st: NotStopd t0: [12:00:00 28/03/2014] id: Reason For Restraint el: 0 cu: MICU-A cg: -1 v1: Ext/TXInterfere st: NotStopd t0: [12:00:00 28/03/2014] id: Removed x 5 Mins el: 0 cu: MICU-A cg: -1 v1: Done st: NotStopd t0: [12:00:00 28/03/2014] id: Respiratory Pattern el: 0 cu: MICU-A cg: -1 v1: Regular st: NotStopd t0: [12:00:00 28/03/2014] id: Respiratory Rate el: 0 cu: MICU-A cg: -1 v1: 22 u1: BPM st: NotStopd t0: [12:00:00 28/03/2014] id: Restraint Location el: 0 cu: MICU-A cg: -1 v1: Both Arms st: NotStopd t0: [12:00:00 28/03/2014] id: Restraint Type el: 0 cu: MICU-A cg: -1 v1: Soft Limb st: NotStopd t0: [12:00:00 28/03/2014] id: Restraints Evaluated el: 0 cu: MICU-A cg: -1 v1: RestraintReapply st: NotStopd t0: [12:00:00 28/03/2014] id: Side Rails el: 0 cu: MICU-A cg: -1 v1: Side Rails Up st: NotStopd t0: [12:00:00 28/03/2014] id: Skin Care el: 0 cu: MICU-A cg: -1 v1: Done st: NotStopd t0: [12:00:00 28/03/2014] id: Skin Color el: 0 cu: MICU-A cg: -1 v1: Flushed st: NotStopd t0: [12:00:00 28/03/2014] id: Skin Integrity el: 0 cu: MICU-A cg: -1 v1: Impaired st: NotStopd t0: [12:00:00 28/03/2014] id: SpO2 el: 0 cu: MICU-A cg: -1 v1: 98 u1: % st: NotStopd t0: [12:00:00 28/03/2014] id: Stool Color/Consist el: 0 cu: MICU-A cg: -1 v1: Brown v2: Liquid st: NotStopd t0: [12:00:00 28/03/2014] id: Support Systems el: 0 cu: MICU-A cg: -1 v1: Spouse st: NotStopd t0: [12:00:00 28/03/2014] id: Temp. Site el: 0 cu: MICU-A cg: -1 v1: Oral st: NotStopd t0: [12:00:00 28/03/2014] id: Temperature C (calc) el: 0 cu: MICU-A cg: -1 v1: 37.6667 u1: Deg. C st: NotStopd t0: [12:00:00 28/03/2014] id: Temperature F el: 0 cu: MICU-A cg: -1 v1: 99.8 u1: Deg. F st: NotStopd t0: [12:00:00 28/03/2014] id: Turn el: 0 cu: MICU-A cg: -1 v1: Side to Side st: NotStopd t0: [12:00:00 28/03/2014] id: Urine Color/Appear el: 0 cu: MICU-A cg: -1 v1: Yellow v2: Sediment st: NotStopd t0: [12:00:00 28/03/2014] id: Urine Source el: 0 cu: MICU-A cg: -1 v1: Indwelling Cath st: NotStopd t0: [12:00:00 28/03/2014] id: Verbal Response el: 0 cu: MICU-A cg: -1 v1: 1.0 ET/Trach st: NotStopd t0: [12:00:00 28/03/2014] id: calprevflg el: 0 cu: MICU-A cg: -1 v1: 1 u1: kg st: NotStopd t0: [12:00:00 28/03/2014] id: Fingerstick Glucose Chemistry el: 0 cu: MICU-A cg: -1 v1: 123 rs: Manual st: NotStopd t0: [12:00:00 28/03/2014] id: Bowel Sounds el: 0 cu: MICU-A cg: -1 v1: Hyperactive st: NotStopd
t0: [12:00:00 28/03/2014] id: TF Residual Gastric/TF Residual el: 1 cu: MICU-A cg: -1 ai: 107 vo: 15 vu: ml t0: [12:00:00 28/03/2014] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 200 vu: ml t0: [12:00:00 28/03/2014] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 6 vu: ml t0: [12:00:00 28/03/2014] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU-A cg: -1 ai: 416 vo: 7.5 vu: ml t0: [12:00:00 28/03/2014] id: Promote w/fiber Tube Feeding el: 1 cu: MICU-A cg: -1 ai: 107 vo: 50 vu: ml t0: [12:00:00 28/03/2014] id: Urine Out Foley el: 1 cu: MICU-A cg: -1 vo: 25 vu: ml t0: [13:00:00 28/03/2014] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 250 vu: ml t0: [13:00:00 28/03/2014] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 6 vu: ml t0: [13:00:00 28/03/2014] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU-A cg: -1 ai: 416 vo: 7.5 vu: ml t0: [13:00:00 28/03/2014] id: Promote w/fiber Tube Feeding el: 1 cu: MICU-A cg: -1 ai: 107 vo: 60 vu: ml
t0: [12:00:00 28/03/2014] id: Fentanyl el: 1 cu: MICU-A so: .9% Normal Saline vo: 0 v1: 75 du: mcghr sv: 250 su: ml rt: IV Drip t0: [12:00:00 28/03/2014] id: Ativan el: 1 cu: MICU-A so: D5W vo: 0 v1: 6 du: mghr sv: 60 su: ml rt: IV Drip
t0: [12:00:00 28/03/2014] id: Compliance (40-60ml) el: 0 cu: MICU-A cg: -1 v1: 23.5602 u1: ml/cmH st: NotStopd t0: [12:00:00 28/03/2014] id: ETT Mark/Location el: 0 cu: MICU-A cg: -1 v1: 23cm v2: Lip st: NotStopd t0: [12:00:00 28/03/2014] id: FiO2 Set el: 0 cu: MICU-A cg: -1 v1: 0.3 u1: torr st: NotStopd t0: [12:00:00 28/03/2014] id: High Insp. Pressure el: 0 cu: MICU-A cg: -1 v1: 55 u1: cmH2O st: NotStopd t0: [12:00:00 28/03/2014] id: High Resp. Rate el: 0 cu: MICU-A cg: -1 v1: 35 u1: BPM st: NotStopd t0: [12:00:00 28/03/2014] id: I:E Ratio el: 0 cu: MICU-A cg: -1 v1: 1:3.5 st: NotStopd t0: [12:00:00 28/03/2014] id: Airway Size el: 0 cu: MICU-A cg: -1 v1: 7.5 mm st: NotStopd t0: [12:00:00 28/03/2014] id: Airway Type el: 0 cu: MICU-A cg: -1 v1: Endotracheal st: NotStopd t0: [12:00:00 28/03/2014] id: Inspired Gas Temp el: 0 cu: MICU-A cg: -1 v1: 34.5 u1: Deg. C st: NotStopd t0: [12:00:00 28/03/2014] id: Intubation Date el: 0 cu: MICU-A cg: -1 v1: 3 v2: 12 st: NotStopd t0: [12:00:00 28/03/2014] id: Low Exhaled Min Vol el: 0 cu: MICU-A cg: -1 v1: 8 st: NotStopd t0: [12:00:00 28/03/2014] id: Low Insp. Pressure el: 0 cu: MICU-A cg: -1 v1: 20 u1: cmH2O st: NotStopd t0: [12:00:00 28/03/2014] id: Mean Airway Pressure el: 0 cu: MICU-A cg: -1 v1: 21.6 u1: cmH2O st: NotStopd t0: [12:00:00 28/03/2014] id: Minute Volume(Obser) el: 0 cu: MICU-A cg: -1 v1: 14.1 u1: L/min st: NotStopd t0: [12:00:00 28/03/2014] id: PEEP Set el: 0 cu: MICU-A cg: -1 v1: 17.5 u1: cmH2O st: NotStopd t0: [12:00:00 28/03/2014] id: Apnea Time Interval el: 0 cu: MICU-A cg: -1 v1: 20 st: NotStopd t0: [12:00:00 28/03/2014] id: Peak Flow el: 0 cu: MICU-A cg: -1 v1: 55 u1: L/m st: NotStopd t0: [12:00:00 28/03/2014] id: Peak Insp. Pressure el: 0 cu: MICU-A cg: -1 v1: 36.6 u1: cmH2O st: NotStopd t0: [12:00:00 28/03/2014] id: Plateau Pressure el: 0 cu: MICU-A cg: -1 v1: 31.9 u1: cmH2O st: NotStopd t0: [12:00:00 28/03/2014] id: Plateau-Off el: 0 cu: MICU-A cg: -1 v1: Yes st: NotStopd t0: [12:00:00 28/03/2014] id: Resp Rate (Spont) el: 0 cu: MICU-A cg: -1 v1: 9 u1: BPM st: NotStopd t0: [12:00:00 28/03/2014] id: Resp Rate (Total) el: 0 cu: MICU-A cg: -1 v1: 31 u1: BPM st: NotStopd t0: [12:00:00 28/03/2014] id: Respiratory Rate Set el: 0 cu: MICU-A cg: -1 v1: 22 u1: BPM st: NotStopd t0: [12:00:00 28/03/2014] id: Sensitivity-Vent el: 0 cu: MICU-A cg: -1 v1: 2 u1: cmH2O st: NotStopd t0: [12:00:00 28/03/2014] id: Tidal Volume (Obser) el: 0 cu: MICU-A cg: -1 v1: 450 u1: ml/B st: NotStopd t0: [12:00:00 28/03/2014] id: Tidal Volume (Set) el: 0 cu: MICU-A cg: -1 v1: 450 u1: ml/B st: NotStopd t0: [12:00:00 28/03/2014] id: Ventilator Mode el: 0 cu: MICU-A cg: -1 v1: Assist Control st: NotStopd t0: [12:00:00 28/03/2014] id: Ventilator No. el: 0 cu: MICU-A cg: -1 v1: 6 u1: # st: NotStopd t0: [12:00:00 28/03/2014] id: Ventilator Type el: 0 cu: MICU-A cg: -1 v1: 7200A st: NotStopd t0: [12:00:00 28/03/2014] id: Waveform-Vent el: 0 cu: MICU-A cg: -1 v1: SQUARE st: NotStopd
t0: [13:00:00 28/03/2014] id: Service Type el: 0 cu: MICU-A cg: -1 v1: MICU st: NotStopd t0: [13:00:00 28/03/2014] id: Code Status el: 0 cu: MICU-A cg: -1 v1: Full Code st: NotStopd t0: [13:00:00 28/03/2014] id: Ectopy Frequency el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [13:00:00 28/03/2014] id: Ectopy Type el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [13:00:00 28/03/2014] id: Heart Rate el: 0 cu: MICU-A cg: -1 v1: 82 u1: BPM st: NotStopd t0: [13:00:00 28/03/2014] id: Heart Rhythm el: 0 cu: MICU-A cg: -1 v1: Normal Sinus st: NotStopd t0: [13:00:00 28/03/2014] id: Arterial BP el: 0 cu: MICU-A cg: -1 v1: 107 u1: mmHg v2: 56 u2: mmHg st: NotStopd t0: [13:00:00 28/03/2014] id: Arterial BP Mean el: 0 cu: MICU-A cg: -1 v1: 73 u1: mmHg st: NotStopd t0: [13:00:00 28/03/2014] id: Precautions el: 0 cu: MICU-A cg: -1 v1: Universal st: NotStopd t0: [13:00:00 28/03/2014] id: Respiratory Rate el: 0 cu: MICU-A cg: -1 v1: 23 u1: BPM st: NotStopd t0: [13:00:00 28/03/2014] id: SpO2 el: 0 cu: MICU-A cg: -1 v1: 99 u1: % st: NotStopd t0: [13:00:00 28/03/2014] id: calprevflg el: 0 cu: MICU-A cg: -1 v1: 1 u1: kg st: NotStopd t0: [14:00:00 28/03/2014] id: Range of Motion el: 0 cu: MICU-A cg: -1 v1: Done st: NotStopd t0: [14:00:00 28/03/2014] id: Service Type el: 0 cu: MICU-A cg: -1 v1: MICU st: NotStopd t0: [14:00:00 28/03/2014] id: Circulation/SkinInt el: 0 cu: MICU-A cg: -1 v1: Circulation Adeq st: NotStopd t0: [14:00:00 28/03/2014] id: Code Status el: 0 cu: MICU-A cg: -1 v1: Full Code st: NotStopd t0: [14:00:00 28/03/2014] id: Ectopy Frequency el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [14:00:00 28/03/2014] id: Ectopy Type el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [14:00:00 28/03/2014] id: Heart Rate el: 0 cu: MICU-A cg: -1 v1: 85 u1: BPM st: NotStopd t0: [14:00:00 28/03/2014] id: Heart Rhythm el: 0 cu: MICU-A cg: -1 v1: Normal Sinus st: NotStopd t0: [14:00:00 28/03/2014] id: Arterial BP el: 0 cu: MICU-A cg: -1 v1: 110 u1: mmHg v2: 58 u2: mmHg st: NotStopd t0: [14:00:00 28/03/2014] id: Arterial BP Mean el: 0 cu: MICU-A cg: -1 v1: 75 u1: mmHg st: NotStopd t0: [14:00:00 28/03/2014] id: Position Change el: 0 cu: MICU-A cg: -1 v1: Done st: NotStopd t0: [14:00:00 28/03/2014] id: Precautions el: 0 cu: MICU-A cg: -1 v1: Universal st: NotStopd t0: [14:00:00 28/03/2014] id: Reason For Restraint el: 0 cu: MICU-A cg: -1 v1: Ext/TXInterfere st: NotStopd t0: [14:00:00 28/03/2014] id: Removed x 5 Mins el: 0 cu: MICU-A cg: -1 v1: Done st: NotStopd t0: [14:00:00 28/03/2014] id: Respiratory Rate el: 0 cu: MICU-A cg: -1 v1: 24 u1: BPM st: NotStopd t0: [14:00:00 28/03/2014] id: Restraint Location el: 0 cu: MICU-A cg: -1 v1: Both Arms st: NotStopd t0: [14:00:00 28/03/2014] id: Restraint Type el: 0 cu: MICU-A cg: -1 v1: Soft Limb st: NotStopd t0: [14:00:00 28/03/2014] id: Restraints Evaluated el: 0 cu: MICU-A cg: -1 v1: RestraintReapply st: NotStopd t0: [14:00:00 28/03/2014] id: Side Rails el: 0 cu: MICU-A cg: -1 v1: Side Rails Up st: NotStopd t0: [14:00:00 28/03/2014] id: SpO2 el: 0 cu: MICU-A cg: -1 v1: 98 u1: % st: NotStopd t0: [14:00:00 28/03/2014] id: Support Systems el: 0 cu: MICU-A cg: -1 v1: Spouse st: NotStopd t0: [14:00:00 28/03/2014] id: calprevflg el: 0 cu: MICU-A cg: -1 v1: 1 u1: kg st: NotStopd
t0: [13:00:00 28/03/2014] id: Urine Out Foley el: 1 cu: MICU-A cg: -1 vo: 30 vu: ml t0: [14:00:00 28/03/2014] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 250 vu: ml t0: [14:00:00 28/03/2014] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 6 vu: ml t0: [14:00:00 28/03/2014] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU-A cg: -1 ai: 416 vo: 7.5 vu: ml t0: [14:00:00 28/03/2014] id: Promote w/fiber Tube Feeding el: 1 cu: MICU-A cg: -1 ai: 107 vo: 60 vu: ml
t0: [13:00:00 28/03/2014] id: Fentanyl el: 1 cu: MICU-A so: .9% Normal Saline vo: 0 v1: 75 du: mcghr sv: 250 su: ml rt: IV Drip t0: [13:00:00 28/03/2014] id: Ativan el: 1 cu: MICU-A so: D5W vo: 0 v1: 6 du: mghr sv: 60 su: ml rt: IV Drip t0: [14:00:00 28/03/2014] id: Fentanyl el: 1 cu: MICU-A so: .9% Normal Saline vo: 0 v1: 75 du: mcghr sv: 250 su: ml rt: IV Drip t0: [14:00:00 28/03/2014] id: Ativan el: 1 cu: MICU-A so: D5W vo: 0 v1: 6 du: mghr sv: 60 su: ml rt: IV Drip
t0: [05:00:00 28/03/2014] id: Differential-Bands Hematology el: 0 cu: MICU-A cg: 1663 v1: 32 rs: Final st: NotStopd t0: [05:00:00 28/03/2014] id: Differential-Basos Hematology el: 0 cu: MICU-A cg: 1663 v1: 0 rs: Final st: NotStopd t0: [05:00:00 28/03/2014] id: Differential-Eos Hematology el: 0 cu: MICU-A cg: 1663 v1: 0 rs: Final st: NotStopd t0: [05:00:00 28/03/2014] id: Differential-Lymphs Hematology el: 0 cu: MICU-A cg: 1663 v1: 6 rs: Final st: NotStopd t0: [05:00:00 28/03/2014] id: Differential-Monos Hematology el: 0 cu: MICU-A cg: 1663 v1: 1 rs: Final st: NotStopd t0: [05:00:00 28/03/2014] id: Differential-Polys Hematology el: 0 cu: MICU-A cg: 1663 v1: 61 rs: Final st: NotStopd
t0: [15:00:00 28/03/2014] id: bath el: 0 cu: MICU-A cg: -1 v1: done t0: [15:00:00 28/03/2014] id: Service Type el: 0 cu: MICU-A cg: -1 v1: MICU st: NotStopd t0: [15:00:00 28/03/2014] id: Code Status el: 0 cu: MICU-A cg: -1 v1: Full Code st: NotStopd t0: [15:00:00 28/03/2014] id: Ectopy Frequency el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [15:00:00 28/03/2014] id: Ectopy Type el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [15:00:00 28/03/2014] id: Eye Care el: 0 cu: MICU-A cg: -1 v1: Done st: NotStopd t0: [15:00:00 28/03/2014] id: Family Communication el: 0 cu: MICU-A cg: -1 v1: Family Visited st: NotStopd t0: [15:00:00 28/03/2014] id: HOB el: 0 cu: MICU-A cg: -1 v1: 45 degrees st: NotStopd t0: [15:00:00 28/03/2014] id: Heart Rate el: 0 cu: MICU-A cg: -1 v1: 85 u1: BPM st: NotStopd t0: [15:00:00 28/03/2014] id: Heart Rhythm el: 0 cu: MICU-A cg: -1 v1: Normal Sinus st: NotStopd t0: [15:00:00 28/03/2014] id: Activity el: 0 cu: MICU-A cg: -1 v1: Bedrest st: NotStopd t0: [15:00:00 28/03/2014] id: Activity Tolerance el: 0 cu: MICU-A cg: -1 v1: Good st: NotStopd t0: [15:00:00 28/03/2014] id: Oral Care el: 0 cu: MICU-A cg: -1 v1: Done st: NotStopd t0: [15:00:00 28/03/2014] id: AntiEmbDevice/Status el: 0 cu: MICU-A cg: -1 v1: Compress Sleeves v2: On st: NotStopd t0: [15:00:00 28/03/2014] id: Arterial BP el: 0 cu: MICU-A cg: -1 v1: 116 u1: mmHg v2: 60 u2: mmHg st: NotStopd t0: [15:00:00 28/03/2014] id: Arterial BP Mean el: 0 cu: MICU-A cg: -1 v1: 78 u1: mmHg st: NotStopd t0: [15:00:00 28/03/2014] id: Position el: 0 cu: MICU-A cg: -1 v1: Supine st: NotStopd t0: [15:00:00 28/03/2014] id: Assistance Device el: 0 cu: MICU-A cg: -1 v1: 2 Person Assist st: NotStopd t0: [15:00:00 28/03/2014] id: Precautions el: 0 cu: MICU-A cg: -1 v1: Universal st: NotStopd t0: [15:00:00 28/03/2014] id: Respiratory Rate el: 0 cu: MICU-A cg: -1 v1: 28 u1: BPM st: NotStopd t0: [15:00:00 28/03/2014] id: Skin Care el: 0 cu: MICU-A cg: -1 v1: Done st: NotStopd t0: [15:00:00 28/03/2014] id: SpO2 el: 0 cu: MICU-A cg: -1 v1: 98 u1: % st: NotStopd t0: [15:00:00 28/03/2014] id: Sputum Source/Amt el: 0 cu: MICU-A cg: -1 v1: Suctioned v2: None st: NotStopd t0: [15:00:00 28/03/2014] id: Turn el: 0 cu: MICU-A cg: -1 v1: Side to Side st: NotStopd t0: [15:00:00 28/03/2014] id: Back Care el: 0 cu: MICU-A cg: -1 v1: Done st: NotStopd t0: [15:00:00 28/03/2014] id: calprevflg el: 0 cu: MICU-A cg: -1 v1: 1 u1: kg st: NotStopd t0: [16:00:00 28/03/2014] id: Range of Motion el: 0 cu: MICU-A cg: -1 v1: Done st: NotStopd t0: [16:00:00 28/03/2014] id: Pain Assess Method el: 0 cu: MICU-A cg: -1 v1: Non-verbal cues st: NotStopd t0: [16:00:00 28/03/2014] id: Service Type el: 0 cu: MICU-A cg: -1 v1: MICU st: NotStopd t0: [16:00:00 28/03/2014] id: Circulation/SkinInt el: 0 cu: MICU-A cg: -1 v1: Circulation Adeq st: NotStopd t0: [16:00:00 28/03/2014] id: Code Status el: 0 cu: MICU-A cg: -1 v1: Full Code st: NotStopd t0: [16:00:00 28/03/2014] id: Riker-SAS Scale el: 0 cu: MICU-A cg: -1 v1: Sedated st: NotStopd t0: [16:00:00 28/03/2014] id: Daily Wake Up el: 0 cu: MICU-A cg: -1 v1: No st: NotStopd t0: [16:00:00 28/03/2014] id: Diet Type el: 0 cu: MICU-A cg: -1 v1: Tube Feeding st: NotStopd t0: [16:00:00 28/03/2014] id: Dorsal PedPulse R/L el: 0 cu: MICU-A cg: -1 v1: Diff to Palpate v2: Diff to Palpate st: NotStopd t0: [16:00:00 28/03/2014] id: Ectopy Frequency el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [16:00:00 28/03/2014] id: Ectopy Type el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [16:00:00 28/03/2014] id: Eye Opening el: 0 cu: MICU-A cg: -1 v1: 3 To speech st: NotStopd t0: [16:00:00 28/03/2014] id: GCS Total el: 0 cu: MICU-A cg: -1 v1: 8 u1: points st: NotStopd t0: [16:00:00 28/03/2014] id: GI Intub #1/Site el: 0 cu: MICU-A cg: -1 v1: Salem Sump v2: Left Nare st: NotStopd t0: [16:00:00 28/03/2014] id: GI#1 Tube PlaceCheck el: 0 cu: MICU-A cg: -1 v1: Done st: NotStopd t0: [16:00:00 28/03/2014] id: GI#1 Tube Stat/Drain el: 0 cu: MICU-A cg: -1 v1: Feeding v2: Undigested Food st: NotStopd t0: [16:00:00 28/03/2014] id: GU Catheter Size el: 0 cu: MICU-A cg: -1 v1: 14 French st: NotStopd t0: [16:00:00 28/03/2014] id: Heart Rate el: 0 cu: MICU-A cg: -1 v1: 89 u1: BPM st: NotStopd t0: [16:00:00 28/03/2014] id: Heart Rhythm el: 0 cu: MICU-A cg: -1 v1: Normal Sinus st: NotStopd t0: [16:00:00 28/03/2014] id: INV Line#1 Type/Site el: 0 cu: MICU-A cg: -1 v1: Multi-lumen v2: Right Femoral st: NotStopd t0: [16:00:00 28/03/2014] id: INV Line#1InsertDate el: 0 cu: MICU-A cg: -1 v1: 3 v2: 12 st: NotStopd t0: [16:00:00 28/03/2014] id: INV Line#1SiteAppear el: 0 cu: MICU-A cg: -1 v1: WNL st: NotStopd t0: [16:00:00 28/03/2014] id: INV Line#2 Type/Site el: 0 cu: MICU-A cg: -1 v1: A-Line v2: Right Radial st: NotStopd t0: [16:00:00 28/03/2014] id: INV Line#2InsertDate el: 0 cu: MICU-A cg: -1 v1: 3 v2: 12 st: NotStopd t0: [16:00:00 28/03/2014] id: INV Line#3 Type/Site el: 0 cu: MICU-A cg: -1 v1: Introducer v2: Right IJ st: NotStopd t0: [16:00:00 28/03/2014] id: INV Line#3InsertDate el: 0 cu: MICU-A cg: -1 v1: 3 v2: 12 st: NotStopd t0: [16:00:00 28/03/2014] id: INV Line#3SiteAppear el: 0 cu: MICU-A cg: -1 v1: WNL st: NotStopd t0: [16:00:00 28/03/2014] id: Abdominal Assessment el: 0 cu: MICU-A cg: -1 v1: Obese st: NotStopd t0: [16:00:00 28/03/2014] id: INV#2 WaveformAppear el: 0 cu: MICU-A cg: -1 v1: Sharp st: NotStopd t0: [16:00:00 28/03/2014] id: Imp Skin Cleanse #2 el: 0 cu: MICU-A cg: -1 v1: Soap & H20 st: NotStopd t0: [16:00:00 28/03/2014] id: ImpSkin Character #1 el: 0 cu: MICU-A cg: -1 v1: Hematoma st: NotStopd t0: [16:00:00 28/03/2014] id: ImpSkin Character #2 el: 0 cu: MICU-A cg: -1 v1: Rash st: NotStopd t0: [16:00:00 28/03/2014] id: ImpSkin Treatment #1 el: 0 cu: MICU-A cg: -1 v1: Open to Air st: NotStopd t0: [16:00:00 28/03/2014] id: ImpSkin Treatment #2 el: 0 cu: MICU-A cg: -1 v1: Open to Air st: NotStopd t0: [16:00:00 28/03/2014] id: Impaired Skin Site#1 el: 0 cu: MICU-A cg: -1 v1: Gluteal, Right st: NotStopd t0: [16:00:00 28/03/2014] id: Impaired Skin Site#2 el: 0 cu: MICU-A cg: -1 v1: Labia st: NotStopd t0: [16:00:00 28/03/2014] id: LLL Lung Sounds el: 0 cu: MICU-A cg: -1 v1: Coarse st: NotStopd t0: [16:00:00 28/03/2014] id: LUL Lung Sounds el: 0 cu: MICU-A cg: -1 v1: Coarse st: NotStopd t0: [16:00:00 28/03/2014] id: Level of Conscious el: 0 cu: MICU-A cg: -1 v1: Arouse to Voice st: NotStopd t0: [16:00:00 28/03/2014] id: Motor Response el: 0 cu: MICU-A cg: -1 v1: 4 Flex-withdraws st: NotStopd t0: [16:00:00 28/03/2014] id: Oral Cavity el: 0 cu: MICU-A cg: -1 v1: Teeth/Tissue WNL st: NotStopd t0: [16:00:00 28/03/2014] id: Orientation el: 0 cu: MICU-A cg: -1 v1: Other/Remarks st: NotStopd t0: [16:00:00 28/03/2014] id: Arterial BP el: 0 cu: MICU-A cg: -1 v1: 112 u1: mmHg v2: 57 u2: mmHg st: NotStopd t0: [16:00:00 28/03/2014] id: Pain Management el: 1 cu: MICU-A cg: -1 v1: IV Gtt v2: IV Gtt st: NotStopd t0: [16:00:00 28/03/2014] id: Arterial BP Mean el: 0 cu: MICU-A cg: -1 v1: 74 u1: mmHg st: NotStopd t0: [16:00:00 28/03/2014] id: Position Change el: 0 cu: MICU-A cg: -1 v1: Done st: NotStopd t0: [16:00:00 28/03/2014] id: PostTib. Pulses R/L el: 0 cu: MICU-A cg: -1 v1: Diff to Palpate v2: Diff to Palpate st: NotStopd t0: [16:00:00 28/03/2014] id: Precautions el: 0 cu: MICU-A cg: -1 v1: Universal st: NotStopd t0: [16:00:00 28/03/2014] id: RLL Lung Sounds el: 0 cu: MICU-A cg: -1 v1: Diminished st: NotStopd t0: [16:00:00 28/03/2014] id: RUL Lung Sounds el: 0 cu: MICU-A cg: -1 v1: Clear st: NotStopd t0: [16:00:00 28/03/2014] id: Reason For Restraint el: 0 cu: MICU-A cg: -1 v1: Ext/TXInterfere st: NotStopd t0: [16:00:00 28/03/2014] id: Removed x 5 Mins el: 0 cu: MICU-A cg: -1 v1: Done st: NotStopd t0: [16:00:00 28/03/2014] id: Respiratory Pattern el: 0 cu: MICU-A cg: -1 v1: Regular st: NotStopd t0: [16:00:00 28/03/2014] id: Respiratory Rate el: 0 cu: MICU-A cg: -1 v1: 27 u1: BPM st: NotStopd t0: [16:00:00 28/03/2014] id: Restraint Location el: 0 cu: MICU-A cg: -1 v1: Both Arms st: NotStopd t0: [16:00:00 28/03/2014] id: Restraint Type el: 0 cu: MICU-A cg: -1 v1: Soft Limb st: NotStopd t0: [16:00:00 28/03/2014] id: Side Rails el: 0 cu: MICU-A cg: -1 v1: Side Rails Up st: NotStopd t0: [16:00:00 28/03/2014] id: Skin Color el: 0 cu: MICU-A cg: -1 v1: Flushed st: NotStopd t0: [16:00:00 28/03/2014] id: Skin Integrity el: 0 cu: MICU-A cg: -1 v1: Impaired st: NotStopd t0: [16:00:00 28/03/2014] id: SpO2 el: 0 cu: MICU-A cg: -1 v1: 93 u1: % st: NotStopd t0: [16:00:00 28/03/2014] id: Stool Color/Consist el: 0 cu: MICU-A cg: -1 v1: Brown v2: Liquid st: NotStopd t0: [16:00:00 28/03/2014] id: Support Systems el: 0 cu: MICU-A cg: -1 v1: Spouse st: NotStopd t0: [16:00:00 28/03/2014] id: Temp. Site el: 0 cu: MICU-A cg: -1 v1: Oral st: NotStopd t0: [16:00:00 28/03/2014] id: Temperature C (calc) el: 0 cu: MICU-A cg: -1 v1: 38.2222 u1: Deg. C st: NotStopd t0: [16:00:00 28/03/2014] id: Temperature F el: 0 cu: MICU-A cg: -1 v1: 100.8 u1: Deg. F st: NotStopd t0: [16:00:00 28/03/2014] id: Urine Color/Appear el: 0 cu: MICU-A cg: -1 v1: Yellow v2: Sediment st: NotStopd t0: [16:00:00 28/03/2014] id: Urine Source el: 0 cu: MICU-A cg: -1 v1: Indwelling Cath st: NotStopd t0: [16:00:00 28/03/2014] id: Verbal Response el: 0 cu: MICU-A cg: -1 v1: 1.0 ET/Trach st: NotStopd t0: [16:00:00 28/03/2014] id: calprevflg el: 0 cu: MICU-A cg: -1 v1: 1 u1: kg st: NotStopd t0: [16:00:00 28/03/2014] id: Behavior el: 0 cu: MICU-A cg: -1 v1: Sedated st: NotStopd t0: [16:00:00 28/03/2014] id: Bowel Sounds el: 0 cu: MICU-A cg: -1 v1: Hyperactive st: NotStopd
t0: [12:00:00 28/03/2014] tf: [13:18:00 10/04/2014] dt: 18798 id: Po Intake PO/Gastric el: 1 cu: MICU-A cg: -1 ai: 105 vo: 20 vu: ml t0: [12:00:00 28/03/2014] id: Po Intake PO/Gastric el: 1 cu: MICU-A cg: -1 ai: 103 vo: 30 vu: ml t0: [12:00:00 28/03/2014] id: D5W 100.0ml IV Infusions el: 1 cu: MICU-A cg: -1 ai: 105 vo: 20 vu: ml t0: [13:00:00 28/03/2014] id: D5W 100.0ml IV Infusions el: 1 cu: MICU-A cg: -1 ai: 105 vo: 20 vu: ml t0: [14:00:00 28/03/2014] id: Po Intake PO/Gastric el: 1 cu: MICU-A cg: -1 ai: 103 vo: 30 vu: ml t0: [14:00:00 28/03/2014] id: D5W 100.0ml IV Infusions el: 1 cu: MICU-A cg: -1 ai: 105 vo: 200 vu: ml t0: [14:00:00 28/03/2014] id: Urine Out Foley el: 1 cu: MICU-A cg: -1 vo: 30 vu: ml t0: [15:00:00 28/03/2014] id: D5W 100.0ml IV Infusions el: 1 cu: MICU-A cg: -1 ai: 105 vo: 20 vu: ml t0: [15:00:00 28/03/2014] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 250 vu: ml t0: [15:00:00 28/03/2014] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 6 vu: ml t0: [15:00:00 28/03/2014] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU-A cg: -1 ai: 416 vo: 7.5 vu: ml t0: [15:00:00 28/03/2014] id: Promote w/fiber Tube Feeding el: 1 cu: MICU-A cg: -1 ai: 107 vo: 60 vu: ml t0: [16:00:00 28/03/2014] id: D5W 100.0ml IV Infusions el: 1 cu: MICU-A cg: -1 ai: 105 vo: 50 vu: ml t0: [16:00:00 28/03/2014] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 250 vu: ml t0: [16:00:00 28/03/2014] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 6 vu: ml t0: [16:00:00 28/03/2014] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU-A cg: -1 ai: 416 vo: 7.5 vu: ml t0: [16:00:00 28/03/2014] id: Promote w/fiber Tube Feeding el: 1 cu: MICU-A cg: -1 ai: 107 vo: 65 vu: ml
t0: [15:00:00 28/03/2014] id: Fentanyl el: 1 cu: MICU-A so: .9% Normal Saline vo: 0 v1: 75 du: mcghr sv: 250 su: ml rt: IV Drip t0: [15:00:00 28/03/2014] id: Ativan el: 1 cu: MICU-A so: D5W vo: 0 v1: 6 du: mghr sv: 60 su: ml rt: IV Drip t0: [16:00:00 28/03/2014] id: Fentanyl el: 1 cu: MICU-A so: .9% Normal Saline vo: 0 v1: 75 du: mcghr sv: 250 su: ml rt: IV Drip t0: [16:00:00 28/03/2014] id: Ativan el: 1 cu: MICU-A so: D5W vo: 0 v1: 6 du: mghr sv: 60 su: ml rt: IV Drip
t0: [16:00:00 28/03/2014] id: TF Residual Gastric/TF Residual el: 1 cu: MICU-A cg: -1 ai: 107 vo: 15 vu: ml t0: [16:00:00 28/03/2014] id: Urine Out Foley el: 1 cu: MICU-A cg: -1 vo: 70 vu: ml
t0: [16:00:00 28/03/2014] id: ETT Mark/Location el: 0 cu: MICU-A cg: RN v1: 23cm v2: Lip st: NotStopd t0: [16:00:00 28/03/2014] id: Extubation Date el: 0 cu: MICU-A cg: RN v1: 3 v2: 14 st: NotStopd t0: [16:00:00 28/03/2014] id: Airway Size el: 0 cu: MICU-A cg: RN v1: 7.5 mm st: NotStopd t0: [16:00:00 28/03/2014] id: Airway Type el: 0 cu: MICU-A cg: RN v1: Endotracheal st: NotStopd t0: [16:00:00 28/03/2014] id: Intubation Date el: 0 cu: MICU-A cg: RN v1: 3 v2: 12 st: NotStopd t0: [16:00:00 28/03/2014] id: Ventilator No. el: 0 cu: MICU-A cg: RN v1: 6 u1: # st: NotStopd t0: [16:00:00 28/03/2014] id: Ventilator Type el: 0 cu: MICU-A cg: RN v1: 7200A st: NotStopd
t0: [16:00:00 28/03/2014] id: Compliance (40-60ml) el: 0 cu: MICU-A cg: -1 v1: 15.7895 u1: ml/cmH st: NotStopd t0: [16:00:00 28/03/2014] id: FiO2 Set el: 0 cu: MICU-A cg: -1 v1: 0.3 u1: torr st: NotStopd t0: [16:00:00 28/03/2014] id: High Insp. Pressure el: 0 cu: MICU-A cg: -1 v1: 55 u1: cmH2O st: NotStopd t0: [16:00:00 28/03/2014] id: High Resp. Rate el: 0 cu: MICU-A cg: -1 v1: 35 u1: BPM st: NotStopd t0: [16:00:00 28/03/2014] id: I:E Ratio el: 0 cu: MICU-A cg: -1 v1: 1:4.0 st: NotStopd t0: [16:00:00 28/03/2014] id: Inspired Gas Temp el: 0 cu: MICU-A cg: -1 v1: 34.4 u1: Deg. C st: NotStopd t0: [16:00:00 28/03/2014] id: Low Exhaled Min Vol el: 0 cu: MICU-A cg: -1 v1: 8 st: NotStopd t0: [16:00:00 28/03/2014] id: Low Insp. Pressure el: 0 cu: MICU-A cg: -1 v1: 20 u1: cmH2O st: NotStopd t0: [16:00:00 28/03/2014] id: Mean Airway Pressure el: 0 cu: MICU-A cg: -1 v1: 21.7 u1: cmH2O st: NotStopd t0: [16:00:00 28/03/2014] id: Minute Volume(Obser) el: 0 cu: MICU-A cg: -1 v1: 10.1 u1: L/min st: NotStopd t0: [16:00:00 28/03/2014] id: PEEP Set el: 0 cu: MICU-A cg: -1 v1: 17.5 u1: cmH2O st: NotStopd t0: [16:00:00 28/03/2014] id: Apnea Time Interval el: 0 cu: MICU-A cg: -1 v1: 20 st: NotStopd t0: [16:00:00 28/03/2014] id: Peak Flow el: 0 cu: MICU-A cg: -1 v1: 55 u1: L/m st: NotStopd t0: [16:00:00 28/03/2014] id: Peak Insp. Pressure el: 0 cu: MICU-A cg: -1 v1: 46 u1: cmH2O st: NotStopd t0: [16:00:00 28/03/2014] id: Plateau Pressure el: 0 cu: MICU-A cg: -1 v1: 31 u1: cmH2O st: NotStopd t0: [16:00:00 28/03/2014] id: Plateau-Off el: 0 cu: MICU-A cg: -1 v1: Yes st: NotStopd t0: [16:00:00 28/03/2014] id: Resp Rate (Spont) el: 0 cu: MICU-A cg: -1 v1: 0 u1: BPM st: NotStopd t0: [16:00:00 28/03/2014] id: Resp Rate (Total) el: 0 cu: MICU-A cg: -1 v1: 22 u1: BPM st: NotStopd t0: [16:00:00 28/03/2014] id: Respiratory Rate Set el: 0 cu: MICU-A cg: -1 v1: 22 u1: BPM st: NotStopd t0: [16:00:00 28/03/2014] id: Sensitivity-Vent el: 0 cu: MICU-A cg: -1 v1: 2 u1: cmH2O st: NotStopd t0: [16:00:00 28/03/2014] id: Tidal Volume (Obser) el: 0 cu: MICU-A cg: -1 v1: 440 u1: ml/B st: NotStopd t0: [16:00:00 28/03/2014] id: Tidal Volume (Set) el: 0 cu: MICU-A cg: -1 v1: 450 u1: ml/B st: NotStopd t0: [16:00:00 28/03/2014] id: Ventilator Mode el: 0 cu: MICU-A cg: -1 v1: Assist Control st: NotStopd t0: [16:00:00 28/03/2014] id: Waveform-Vent el: 0 cu: MICU-A cg: -1 v1: SQUARE st: NotStopd
t0: [17:00:00 28/03/2014] id: Service Type el: 0 cu: MICU-A cg: -1 v1: MICU st: NotStopd t0: [17:00:00 28/03/2014] id: Code Status el: 0 cu: MICU-A cg: -1 v1: Full Code st: NotStopd t0: [17:00:00 28/03/2014] id: Ectopy Frequency el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [17:00:00 28/03/2014] id: Ectopy Type el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [17:00:00 28/03/2014] id: Heart Rate el: 0 cu: MICU-A cg: -1 v1: 86 u1: BPM st: NotStopd t0: [17:00:00 28/03/2014] id: Heart Rhythm el: 0 cu: MICU-A cg: -1 v1: Normal Sinus st: NotStopd t0: [17:00:00 28/03/2014] id: Arterial BP el: 0 cu: MICU-A cg: -1 v1: 111 u1: mmHg v2: 61 u2: mmHg st: NotStopd t0: [17:00:00 28/03/2014] id: Arterial BP Mean el: 0 cu: MICU-A cg: -1 v1: 76 u1: mmHg st: NotStopd t0: [17:00:00 28/03/2014] id: Precautions el: 0 cu: MICU-A cg: -1 v1: Universal st: NotStopd t0: [17:00:00 28/03/2014] id: Respiratory Rate el: 0 cu: MICU-A cg: -1 v1: 24 u1: BPM st: NotStopd t0: [17:00:00 28/03/2014] id: SpO2 el: 0 cu: MICU-A cg: -1 v1: 97 u1: % st: NotStopd t0: [17:00:00 28/03/2014] id: calprevflg el: 0 cu: MICU-A cg: -1 v1: 1 u1: kg st: NotStopd
t0: [17:00:00 28/03/2014] id: Po Intake PO/Gastric el: 1 cu: MICU-A cg: -1 ai: 103 vo: 30 vu: ml t0: [17:00:00 28/03/2014] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 250 vu: ml t0: [17:00:00 28/03/2014] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 6 vu: ml t0: [17:00:00 28/03/2014] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU-A cg: -1 ai: 416 vo: 7.5 vu: ml t0: [17:00:00 28/03/2014] id: Promote w/fiber Tube Feeding el: 1 cu: MICU-A cg: -1 ai: 107 vo: 65 vu: ml t0: [17:00:00 28/03/2014] id: Urine Out Foley el: 1 cu: MICU-A cg: -1 vo: 25 vu: ml
t0: [17:00:00 28/03/2014] id: Fentanyl el: 1 cu: MICU-A so: .9% Normal Saline vo: 0 v1: 75 du: mcghr sv: 250 su: ml rt: IV Drip t0: [17:00:00 28/03/2014] id: Ativan el: 1 cu: MICU-A so: D5W vo: 0 v1: 6 du: mghr sv: 60 su: ml rt: IV Drip
t0: [18:00:00 28/03/2014] id: Fingerstick Glucose Chemistry el: 0 cu: MICU-A cg: -1 v1: 118 rs: Manual st: NotStopd
t0: [17:00:00 28/03/2014] id: D5W 100.0ml IV Infusions el: 1 cu: MICU-A cg: -1 ai: 105 vo: 20 vu: ml
t0: [18:00:00 28/03/2014] id: Service Type el: 0 cu: MICU-A cg: -1 v1: MICU st: NotStopd t0: [18:00:00 28/03/2014] id: Code Status el: 0 cu: MICU-A cg: -1 v1: Full Code st: NotStopd t0: [18:00:00 28/03/2014] id: Ectopy Frequency el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [18:00:00 28/03/2014] id: Ectopy Type el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [18:00:00 28/03/2014] id: HOB el: 0 cu: MICU-A cg: -1 v1: 45 degrees st: NotStopd t0: [18:00:00 28/03/2014] id: Heart Rate el: 0 cu: MICU-A cg: -1 v1: 89 u1: BPM st: NotStopd t0: [18:00:00 28/03/2014] id: Heart Rhythm el: 0 cu: MICU-A cg: -1 v1: Normal Sinus st: NotStopd t0: [18:00:00 28/03/2014] id: Activity el: 0 cu: MICU-A cg: -1 v1: Bedrest st: NotStopd t0: [18:00:00 28/03/2014] id: Activity Tolerance el: 0 cu: MICU-A cg: -1 v1: Good st: NotStopd t0: [18:00:00 28/03/2014] id: AntiEmbDevice/Status el: 0 cu: MICU-A cg: -1 v1: Compress Sleeves v2: On st: NotStopd t0: [18:00:00 28/03/2014] id: Arterial BP el: 0 cu: MICU-A cg: -1 v1: 112 u1: mmHg v2: 60 u2: mmHg st: NotStopd t0: [18:00:00 28/03/2014] id: Arterial BP Mean el: 0 cu: MICU-A cg: -1 v1: 77 u1: mmHg st: NotStopd t0: [18:00:00 28/03/2014] id: Position el: 0 cu: MICU-A cg: -1 v1: Left Side st: NotStopd t0: [18:00:00 28/03/2014] id: Assistance Device el: 0 cu: MICU-A cg: -1 v1: 2 Person Assist st: NotStopd t0: [18:00:00 28/03/2014] id: Precautions el: 0 cu: MICU-A cg: -1 v1: Universal st: NotStopd t0: [18:00:00 28/03/2014] id: Respiratory Rate el: 0 cu: MICU-A cg: -1 v1: 23 u1: BPM st: NotStopd t0: [18:00:00 28/03/2014] id: SpO2 el: 0 cu: MICU-A cg: -1 v1: 99 u1: % st: NotStopd t0: [18:00:00 28/03/2014] id: Turn el: 0 cu: MICU-A cg: -1 v1: Left Side st: NotStopd t0: [18:00:00 28/03/2014] id: calprevflg el: 0 cu: MICU-A cg: -1 v1: 1 u1: kg st: NotStopd
t0: [18:00:00 28/03/2014] id: D5W 100.0ml IV Infusions el: 1 cu: MICU-A cg: -1 ai: 105 vo: 20 vu: ml t0: [18:00:00 28/03/2014] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 250 vu: ml t0: [18:00:00 28/03/2014] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 6 vu: ml t0: [18:00:00 28/03/2014] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU-A cg: -1 ai: 416 vo: 7.5 vu: ml t0: [18:00:00 28/03/2014] id: Promote w/fiber Tube Feeding el: 1 cu: MICU-A cg: -1 ai: 107 vo: 65 vu: ml
t0: [18:00:00 28/03/2014] id: Fentanyl el: 1 cu: MICU-A so: .9% Normal Saline vo: 0 v1: 75 du: mcghr sv: 250 su: ml rt: IV Drip t0: [18:00:00 28/03/2014] id: Ativan el: 1 cu: MICU-A so: D5W vo: 0 v1: 6 du: mghr sv: 60 su: ml rt: IV Drip
t0: [19:00:00 28/03/2014] id: Service Type el: 0 cu: MICU-A cg: -1 v1: MICU st: NotStopd t0: [19:00:00 28/03/2014] id: Code Status el: 0 cu: MICU-A cg: -1 v1: Full Code st: NotStopd t0: [19:00:00 28/03/2014] id: Ectopy Frequency el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [19:00:00 28/03/2014] id: Ectopy Type el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [19:00:00 28/03/2014] id: Heart Rate el: 0 cu: MICU-A cg: -1 v1: 87 u1: BPM st: NotStopd t0: [19:00:00 28/03/2014] id: Heart Rhythm el: 0 cu: MICU-A cg: -1 v1: Normal Sinus st: NotStopd t0: [19:00:00 28/03/2014] id: Arterial BP el: 0 cu: MICU-A cg: -1 v1: 111 u1: mmHg v2: 57 u2: mmHg st: NotStopd t0: [19:00:00 28/03/2014] id: Arterial BP Mean el: 0 cu: MICU-A cg: -1 v1: 74 u1: mmHg st: NotStopd t0: [19:00:00 28/03/2014] id: Precautions el: 0 cu: MICU-A cg: -1 v1: Universal st: NotStopd t0: [19:00:00 28/03/2014] id: Respiratory Rate el: 0 cu: MICU-A cg: -1 v1: 25 u1: BPM st: NotStopd t0: [19:00:00 28/03/2014] id: SpO2 el: 0 cu: MICU-A cg: -1 v1: 96 u1: % st: NotStopd t0: [19:00:00 28/03/2014] id: calprevflg el: 0 cu: MICU-A cg: -1 v1: 1 u1: kg st: NotStopd
t0: [18:00:00 28/03/2014] id: Urine Out Foley el: 1 cu: MICU-A cg: -1 vo: 50 vu: ml t0: [19:00:00 28/03/2014] id: D5W 100.0ml IV Infusions el: 1 cu: MICU-A cg: -1 ai: 105 vo: 10 vu: ml t0: [19:00:00 28/03/2014] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 250 vu: ml t0: [19:00:00 28/03/2014] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 6 vu: ml t0: [19:00:00 28/03/2014] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU-A cg: -1 ai: 416 vo: 7.5 vu: ml t0: [19:00:00 28/03/2014] id: Promote w/fiber Tube Feeding el: 1 cu: MICU-A cg: -1 ai: 107 vo: 65 vu: ml t0: [19:00:00 28/03/2014] id: Urine Out Foley el: 1 cu: MICU-A cg: -1 vo: 18 vu: ml
t0: [19:00:00 28/03/2014] id: Fentanyl el: 1 cu: MICU-A so: .9% Normal Saline vo: 0 v1: 75 du: mcghr sv: 250 su: ml rt: IV Drip t0: [19:00:00 28/03/2014] id: Ativan el: 1 cu: MICU-A so: D5W vo: 0 v1: 6 du: mghr sv: 60 su: ml rt: IV Drip
id: Gastric Meds el: 1 cu: MICU-A cg: RN io: Gastric Meds PO/Gastric du: ml rt: Gastric/Feeding Tube
t0: [18:00:00 28/03/2014] id: Temp. Site el: 0 cu: MICU-A cg: RN v1: Oral st: NotStopd t0: [18:00:00 28/03/2014] id: Temperature C (calc) el: 0 cu: MICU-A cg: RN v1: 38.3333 u1: Deg. C st: NotStopd t0: [18:00:00 28/03/2014] id: Temperature F el: 0 cu: MICU-A cg: RN v1: 101 u1: Deg. F st: NotStopd t0: [20:00:00 28/03/2014] id: Range of Motion el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [20:00:00 28/03/2014] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [20:00:00 28/03/2014] id: Circulation/SkinInt el: 0 cu: MICU-A cg: RN v1: Circulation Adeq st: NotStopd t0: [20:00:00 28/03/2014] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [20:00:00 28/03/2014] id: Diet Type el: 0 cu: MICU-A cg: RN v1: Tube Feeding st: NotStopd t0: [20:00:00 28/03/2014] id: Dorsal PedPulse R/L el: 0 cu: MICU-A cg: RN v1: Diff to Palpate v2: Diff to Palpate st: NotStopd t0: [20:00:00 28/03/2014] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [20:00:00 28/03/2014] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [20:00:00 28/03/2014] id: Eye Opening el: 0 cu: MICU-A cg: RN v1: 3 To speech st: NotStopd t0: [20:00:00 28/03/2014] id: GCS Total el: 0 cu: MICU-A cg: RN v1: 8 u1: points st: NotStopd t0: [20:00:00 28/03/2014] id: GI Intub #1/Site el: 0 cu: MICU-A cg: RN v1: Salem Sump v2: Left Nare st: NotStopd t0: [20:00:00 28/03/2014] id: GI#1 Tube PlaceCheck el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [20:00:00 28/03/2014] id: GI#1 Tube Stat/Drain el: 0 cu: MICU-A cg: RN v1: Feeding v2: Undigested Food st: NotStopd t0: [20:00:00 28/03/2014] id: GU Catheter Size el: 0 cu: MICU-A cg: RN v1: 14 French st: NotStopd t0: [20:00:00 28/03/2014] id: HOB el: 0 cu: MICU-A cg: RN v1: 45 degrees st: NotStopd t0: [20:00:00 28/03/2014] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 78 u1: BPM st: NotStopd t0: [20:00:00 28/03/2014] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [20:00:00 28/03/2014] id: INV Line#1 Type/Site el: 0 cu: MICU-A cg: RN v1: Multi-lumen v2: Right Femoral st: NotStopd t0: [20:00:00 28/03/2014] id: INV Line#1InsertDate el: 0 cu: MICU-A cg: RN v1: 3 v2: 12 st: NotStopd t0: [20:00:00 28/03/2014] id: INV Line#1SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [20:00:00 28/03/2014] id: INV Line#2 Type/Site el: 0 cu: MICU-A cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [20:00:00 28/03/2014] id: INV Line#2 Zero/Cal el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [20:00:00 28/03/2014] id: INV Line#2InsertDate el: 0 cu: MICU-A cg: RN v1: 3 v2: 12 st: NotStopd t0: [20:00:00 28/03/2014] id: INV Line#3 Type/Site el: 0 cu: MICU-A cg: RN v1: Introducer v2: Right IJ st: NotStopd t0: [20:00:00 28/03/2014] id: INV Line#3InsertDate el: 0 cu: MICU-A cg: RN v1: 3 v2: 12 st: NotStopd t0: [20:00:00 28/03/2014] id: INV Line#3SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [20:00:00 28/03/2014] id: Abdominal Assessment el: 0 cu: MICU-A cg: RN v1: Obese st: NotStopd t0: [20:00:00 28/03/2014] id: INV#2 WaveformAppear el: 0 cu: MICU-A cg: RN v1: Sharp st: NotStopd t0: [20:00:00 28/03/2014] id: Activity el: 0 cu: MICU-A cg: RN v1: Bedrest st: NotStopd t0: [20:00:00 28/03/2014] id: Activity Tolerance el: 0 cu: MICU-A cg: RN v1: Good st: NotStopd t0: [20:00:00 28/03/2014] id: Imp Skin Cleanse #2 el: 0 cu: MICU-A cg: RN v1: Soap & H20 st: NotStopd t0: [20:00:00 28/03/2014] id: ImpSkin Character #1 el: 0 cu: MICU-A cg: RN v1: Hematoma st: NotStopd t0: [20:00:00 28/03/2014] id: ImpSkin Character #2 el: 0 cu: MICU-A cg: RN v1: Rash st: NotStopd t0: [20:00:00 28/03/2014] id: ImpSkin Treatment #1 el: 0 cu: MICU-A cg: RN v1: Open to Air st: NotStopd t0: [20:00:00 28/03/2014] id: ImpSkin Treatment #2 el: 0 cu: MICU-A cg: RN v1: Open to Air st: NotStopd t0: [20:00:00 28/03/2014] id: Impaired Skin Site#1 el: 0 cu: MICU-A cg: RN v1: Gluteal, Right st: NotStopd t0: [20:00:00 28/03/2014] id: Impaired Skin Site#2 el: 0 cu: MICU-A cg: RN v1: Labia st: NotStopd t0: [20:00:00 28/03/2014] id: LLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Diminished st: NotStopd t0: [20:00:00 28/03/2014] id: LUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Clear st: NotStopd t0: [20:00:00 28/03/2014] id: Level of Conscious el: 0 cu: MICU-A cg: RN v1: Arouse to Voice st: NotStopd t0: [20:00:00 28/03/2014] id: Motor Response el: 0 cu: MICU-A cg: RN v1: 4 Flex-withdraws st: NotStopd t0: [20:00:00 28/03/2014] id: Oral Cavity el: 0 cu: MICU-A cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [20:00:00 28/03/2014] id: Orientation el: 0 cu: MICU-A cg: RN v1: Other/Remarks st: NotStopd t0: [20:00:00 28/03/2014] id: AntiEmbDevice/Status el: 0 cu: MICU-A cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [20:00:00 28/03/2014] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 105 u1: mmHg v2: 57 u2: mmHg st: NotStopd t0: [20:00:00 28/03/2014] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 73 u1: mmHg st: NotStopd t0: [20:00:00 28/03/2014] id: Position el: 0 cu: MICU-A cg: RN v1: Right Side st: NotStopd t0: [20:00:00 28/03/2014] id: Position Change el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [20:00:00 28/03/2014] id: PostTib. Pulses R/L el: 0 cu: MICU-A cg: RN v1: Diff to Palpate v2: Diff to Palpate st: NotStopd t0: [20:00:00 28/03/2014] id: Assistance Device el: 0 cu: MICU-A cg: RN v1: 2 Person Assist st: NotStopd t0: [20:00:00 28/03/2014] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [20:00:00 28/03/2014] id: Procedures el: 0 cu: MICU-A cg: RN v1: Culture/remarks st: NotStopd t0: [20:00:00 28/03/2014] id: RLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Diminished st: NotStopd t0: [20:00:00 28/03/2014] id: RUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Clear st: NotStopd t0: [20:00:00 28/03/2014] id: Reason For Restraint el: 0 cu: MICU-A cg: RN v1: Ext/TXInterfere st: NotStopd t0: [20:00:00 28/03/2014] id: Removed x 5 Mins el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [20:00:00 28/03/2014] id: Respiratory Pattern el: 0 cu: MICU-A cg: RN v1: Regular st: NotStopd t0: [20:00:00 28/03/2014] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 22 u1: BPM st: NotStopd t0: [20:00:00 28/03/2014] id: Restraint Location el: 0 cu: MICU-A cg: RN v1: Both Arms st: NotStopd t0: [20:00:00 28/03/2014] id: Restraint Type el: 0 cu: MICU-A cg: RN v1: Soft Limb st: NotStopd t0: [20:00:00 28/03/2014] id: Restraints Evaluated el: 0 cu: MICU-A cg: RN v1: Behavior Conts st: NotStopd t0: [20:00:00 28/03/2014] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [20:00:00 28/03/2014] id: Significant Events el: 0 cu: MICU-A cg: RN st: NotStopd t0: [20:00:00 28/03/2014] id: Skin Color el: 0 cu: MICU-A cg: RN v1: Flushed st: NotStopd t0: [20:00:00 28/03/2014] id: Skin Integrity el: 0 cu: MICU-A cg: RN v1: Impaired st: NotStopd t0: [20:00:00 28/03/2014] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 100 u1: % st: NotStopd t0: [20:00:00 28/03/2014] id: Stool Color/Consist el: 0 cu: MICU-A cg: RN v1: Brown v2: Liquid st: NotStopd t0: [20:00:00 28/03/2014] id: Support Systems el: 0 cu: MICU-A cg: RN v1: Spouse st: NotStopd t0: [20:00:00 28/03/2014] id: Turn el: 0 cu: MICU-A cg: RN v1: Right Side st: NotStopd t0: [20:00:00 28/03/2014] id: Urine Color/Appear el: 0 cu: MICU-A cg: RN v1: Yellow v2: Sediment st: NotStopd t0: [20:00:00 28/03/2014] id: Urine Source el: 0 cu: MICU-A cg: RN v1: Indwelling Cath st: NotStopd t0: [20:00:00 28/03/2014] id: Verbal Response el: 0 cu: MICU-A cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [20:00:00 28/03/2014] id: Back Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [20:00:00 28/03/2014] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [20:00:00 28/03/2014] id: Behavior el: 0 cu: MICU-A cg: RN v1: Sedated st: NotStopd t0: [20:00:00 28/03/2014] id: Bowel Sounds el: 0 cu: MICU-A cg: RN v1: Present st: NotStopd
t0: [20:00:00 28/03/2014] id: D5W 100.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 105 vo: 10 vu: ml t0: [20:00:00 28/03/2014] id: TF Residual Gastric/TF Residual el: 1 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [20:00:00 28/03/2014] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 250 vu: ml t0: [20:00:00 28/03/2014] tf: [11:00:00 09/04/2014] dt: 16740 id: Gastric Meds PO/Gastric el: 1 cu: MICU-A cg: RN ai: 155 vo: 60 vu: ml t0: [20:00:00 28/03/2014] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 6 vu: ml t0: [20:00:00 28/03/2014] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU-A cg: RN ai: 416 vo: 7.5 vu: ml t0: [20:00:00 28/03/2014] id: Promote w/fiber Tube Feeding el: 1 cu: MICU-A cg: RN ai: 107 vo: 65 vu: ml t0: [20:00:00 28/03/2014] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 22 vu: ml t0: [20:00:00 28/03/2014] tf: [13:18:00 10/04/2014] dt: 18318 id: xigris Free Form Intake el: 1 cu: MICU-A cg: RN vo: 8.4 vu: ml
t0: [20:00:00 28/03/2014] id: Fentanyl el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 100 du: mcghr sv: 250 su: ml rt: IV Drip t0: [20:00:00 28/03/2014] id: Ativan el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 4 du: mghr sv: 60 su: ml rt: IV Drip
t0: [23:00:00 28/03/2014] dt: 24 id: PO/Gastric In Total el: 2 cu: MICU-A cg: RN cv: 150 ap: none
t0: [21:00:00 28/03/2014] id: Compliance (40-60ml) el: 0 cu: MICU-A cg: RRT v1: 19.1489 u1: ml/cmH st: NotStopd t0: [21:00:00 28/03/2014] id: ETT Mark/Location el: 0 cu: MICU-A cg: RRT v1: 23cm v2: Lip st: NotStopd t0: [21:00:00 28/03/2014] id: Extubation Date el: 0 cu: MICU-A cg: RRT v1: 3 v2: 14 st: NotStopd t0: [21:00:00 28/03/2014] id: FiO2 Set el: 0 cu: MICU-A cg: RRT v1: 0.3 u1: torr st: NotStopd t0: [21:00:00 28/03/2014] id: High Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 55 u1: cmH2O st: NotStopd t0: [21:00:00 28/03/2014] id: High Resp. Rate el: 0 cu: MICU-A cg: RRT v1: 35 u1: BPM st: NotStopd t0: [21:00:00 28/03/2014] id: I:E Ratio el: 0 cu: MICU-A cg: RRT v1: 3.8 st: NotStopd t0: [21:00:00 28/03/2014] id: Airway Size el: 0 cu: MICU-A cg: RRT v1: 7.5 mm st: NotStopd t0: [21:00:00 28/03/2014] id: Airway Type el: 0 cu: MICU-A cg: RRT v1: Endotracheal st: NotStopd t0: [21:00:00 28/03/2014] id: Inspired Gas Temp el: 0 cu: MICU-A cg: RRT v1: 34 u1: Deg. C st: NotStopd t0: [21:00:00 28/03/2014] id: Intubation Date el: 0 cu: MICU-A cg: RRT v1: 3 v2: 12 st: NotStopd t0: [21:00:00 28/03/2014] id: Low Exhaled Min Vol el: 0 cu: MICU-A cg: RRT v1: 8 st: NotStopd t0: [21:00:00 28/03/2014] id: Low Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 20 u1: cmH2O st: NotStopd t0: [21:00:00 28/03/2014] id: Mean Airway Pressure el: 0 cu: MICU-A cg: RRT v1: 21.2 u1: cmH2O st: NotStopd t0: [21:00:00 28/03/2014] id: Minute Volume(Obser) el: 0 cu: MICU-A cg: RRT v1: 11.4 u1: L/min st: NotStopd t0: [21:00:00 28/03/2014] id: PEEP Set el: 0 cu: MICU-A cg: RRT v1: 17.5 u1: cmH2O st: NotStopd t0: [21:00:00 28/03/2014] id: Apnea Time Interval el: 0 cu: MICU-A cg: RRT v1: 20 st: NotStopd t0: [21:00:00 28/03/2014] id: Peak Flow el: 0 cu: MICU-A cg: RRT v1: 55 u1: L/m st: NotStopd t0: [21:00:00 28/03/2014] id: Peak Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 41 u1: cmH2O st: NotStopd t0: [21:00:00 28/03/2014] id: Plateau Pressure el: 0 cu: MICU-A cg: RRT v1: 32 u1: cmH2O st: NotStopd t0: [21:00:00 28/03/2014] id: Plateau-Off el: 0 cu: MICU-A cg: RRT v1: Yes st: NotStopd t0: [21:00:00 28/03/2014] id: Pressure Support el: 0 cu: MICU-A cg: RRT v1: 0 u1: . st: NotStopd t0: [21:00:00 28/03/2014] id: Resp Rate (Spont) el: 0 cu: MICU-A cg: RRT v1: 3 u1: BPM st: NotStopd t0: [21:00:00 28/03/2014] id: Resp Rate (Total) el: 0 cu: MICU-A cg: RRT v1: 25 u1: BPM st: NotStopd t0: [21:00:00 28/03/2014] id: Respiratory Rate Set el: 0 cu: MICU-A cg: RRT v1: 22 u1: BPM st: NotStopd t0: [21:00:00 28/03/2014] id: Sensitivity-Vent el: 0 cu: MICU-A cg: RRT v1: 2 u1: cmH2O st: NotStopd t0: [21:00:00 28/03/2014] id: SpO2 el: 0 cu: MICU-A cg: RRT v1: 96 u1: % st: NotStopd t0: [21:00:00 28/03/2014] id: Tidal Volume (Obser) el: 0 cu: MICU-A cg: RRT v1: 460 u1: ml/B st: NotStopd t0: [21:00:00 28/03/2014] id: Tidal Volume (Set) el: 0 cu: MICU-A cg: RRT v1: 450 u1: ml/B st: NotStopd t0: [21:00:00 28/03/2014] id: Ventilator Mode el: 0 cu: MICU-A cg: RRT v1: Assist Control st: NotStopd t0: [21:00:00 28/03/2014] id: Ventilator No. el: 0 cu: MICU-A cg: RRT v1: 6 u1: # st: NotStopd t0: [21:00:00 28/03/2014] id: Ventilator Type el: 0 cu: MICU-A cg: RRT v1: 7200A st: NotStopd t0: [21:00:00 28/03/2014] id: Waveform-Vent el: 0 cu: MICU-A cg: RRT v1: SQUARE st: NotStopd
t0: [21:00:00 28/03/2014] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [21:00:00 28/03/2014] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [21:00:00 28/03/2014] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [21:00:00 28/03/2014] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [21:00:00 28/03/2014] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 83 u1: BPM st: NotStopd t0: [21:00:00 28/03/2014] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [21:00:00 28/03/2014] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 91 u1: mmHg v2: 51 u2: mmHg st: NotStopd t0: [21:00:00 28/03/2014] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 65 u1: mmHg st: NotStopd t0: [21:00:00 28/03/2014] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [21:00:00 28/03/2014] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 24 u1: BPM st: NotStopd t0: [21:00:00 28/03/2014] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [21:00:00 28/03/2014] id: D5W 100.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 105 vo: 10 vu: ml t0: [21:00:00 28/03/2014] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 250 vu: ml t0: [21:00:00 28/03/2014] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 4 vu: ml t0: [21:00:00 28/03/2014] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU-A cg: RN ai: 416 vo: 10 vu: ml t0: [21:00:00 28/03/2014] id: Promote w/fiber Tube Feeding el: 1 cu: MICU-A cg: RN ai: 107 vo: 65 vu: ml t0: [21:00:00 28/03/2014] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 100 vu: ml t0: [21:00:00 28/03/2014] id: xigris Free Form Intake el: 1 cu: MICU-A cg: RN vo: 8.4 vu: ml
t0: [21:00:00 28/03/2014] id: Fentanyl el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 100 du: mcghr sv: 250 su: ml rt: IV Drip t0: [21:00:00 28/03/2014] id: Ativan el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 4 du: mghr sv: 60 su: ml rt: IV Drip
tf: [21:00:00 29/03/2014] pt: Unit Dose rt: IV fr: ONCE fs: 22 dn: 1 m1: Furosemide f1: INJ v1: 20 u1: mg
t0: [22:34:00 28/03/2014] id: BSA el: 1033 cu: MICU-A cg: -1 v1: 1.97121 u1: m2 t0: [22:34:00 28/03/2014] id: Admit Wt el: 1032 cu: MICU-A cg: -1 v1: 89.9 u1: kg t0: [22:34:00 28/03/2014] id: Allergy 1 el: 1020 cu: MICU-A cg: -1 v1: No Known Drug Allergies t0: [22:34:00 28/03/2014] id: Diagnosis/op el: 1023 cu: MICU-A cg: -1 v1: PNEUMONIA t0: [22:34:00 28/03/2014] id: Service el: 1026 cu: MICU-A cg: -1 v1: MED t0: [22:34:00 28/03/2014] id: Admit Ht el: 1034 cu: MICU-A cg: -1 v1: 54 u1: inches t0: [22:34:00 28/03/2014] id: Readmission el: 1014 cu: MICU-A cg: -1 t0: [22:34:00 28/03/2014] id: Marital Status el: 1006 cu: MICU-A cg: -1 v1: M t0: [22:34:00 28/03/2014] id: Religion el: 1000 cu: MICU-A cg: -1 v1: U t0: [22:34:00 28/03/2014] id: Allergy 2 el: 1021 cu: MICU-A cg: -1 t0: [22:34:00 28/03/2014] id: Ext el: 1010 cu: MICU-A cg: -1 t0: [22:34:00 28/03/2014] id: PIN el: 1012 cu: MICU-A cg: -1 t0: [22:34:00 28/03/2014] id: Allergy 3 el: 1022 cu: MICU-A cg: -1
t0: [22:00:00 28/03/2014] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [22:00:00 28/03/2014] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [22:00:00 28/03/2014] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [22:00:00 28/03/2014] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [22:00:00 28/03/2014] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 81 u1: BPM st: NotStopd t0: [22:00:00 28/03/2014] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [22:00:00 28/03/2014] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 86 u1: mmHg v2: 49 u2: mmHg st: NotStopd t0: [22:00:00 28/03/2014] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 62 u1: mmHg st: NotStopd t0: [22:00:00 28/03/2014] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [22:00:00 28/03/2014] id: Procedures el: 0 cu: MICU-A cg: RN v1: Line Placement st: NotStopd t0: [22:00:00 28/03/2014] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 23 u1: BPM st: NotStopd t0: [22:00:00 28/03/2014] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 97 u1: % st: NotStopd t0: [22:00:00 28/03/2014] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [22:30:00 28/03/2014] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [22:30:00 28/03/2014] id: CVP el: 0 cu: MICU-A cg: RN v1: 21 u1: mmHg st: NotStopd t0: [22:30:00 28/03/2014] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [22:30:00 28/03/2014] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [22:30:00 28/03/2014] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [22:30:00 28/03/2014] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 82 u1: BPM st: NotStopd t0: [22:30:00 28/03/2014] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [22:30:00 28/03/2014] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 90 u1: mmHg v2: 51 u2: mmHg st: NotStopd t0: [22:30:00 28/03/2014] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 65 u1: mmHg st: NotStopd t0: [22:30:00 28/03/2014] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [22:30:00 28/03/2014] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 29 u1: BPM st: NotStopd t0: [22:30:00 28/03/2014] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 96 u1: % st: NotStopd t0: [22:30:00 28/03/2014] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [22:00:00 28/03/2014] id: D5W 100.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 105 vo: 10 vu: ml t0: [22:00:00 28/03/2014] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 250 vu: ml t0: [22:00:00 28/03/2014] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 4 vu: ml t0: [22:00:00 28/03/2014] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU-A cg: RN ai: 416 vo: 10 vu: ml t0: [22:00:00 28/03/2014] id: Promote w/fiber Tube Feeding el: 1 cu: MICU-A cg: RN ai: 107 vo: 65 vu: ml t0: [22:00:00 28/03/2014] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 110 vu: ml t0: [22:00:00 28/03/2014] id: xigris Free Form Intake el: 1 cu: MICU-A cg: RN vo: 8.4 vu: ml
t0: [22:00:00 28/03/2014] id: Fentanyl el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 100 du: mcghr sv: 250 su: ml rt: IV Drip t0: [22:00:00 28/03/2014] id: Ativan el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 4 du: mghr sv: 60 su: ml rt: IV Drip t0: [22:30:00 28/03/2014] id: Fentanyl el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 100 du: mcghr sv: 250 su: ml rt: IV Drip t0: [22:30:00 28/03/2014] id: Ativan el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 4 du: mghr sv: 60 su: ml rt: IV Drip
t0: [22:30:00 28/03/2014] id: Temp. Site el: 0 cu: MICU-A cg: RN v1: Oral st: NotStopd t0: [22:30:00 28/03/2014] id: Temperature C (calc) el: 0 cu: MICU-A cg: RN v1: 38.1667 u1: Deg. C st: NotStopd t0: [22:30:00 28/03/2014] id: Temperature F el: 0 cu: MICU-A cg: RN v1: 100.7 u1: Deg. F st: NotStopd
t0: [23:00:00 28/03/2014] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [23:00:00 28/03/2014] id: CVP el: 0 cu: MICU-A cg: RN v1: 19 u1: mmHg st: NotStopd t0: [23:00:00 28/03/2014] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [23:00:00 28/03/2014] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [23:00:00 28/03/2014] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [23:00:00 28/03/2014] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 76 u1: BPM st: NotStopd t0: [23:00:00 28/03/2014] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [23:00:00 28/03/2014] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 86 u1: mmHg v2: 48 u2: mmHg st: NotStopd t0: [23:00:00 28/03/2014] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 61 u1: mmHg st: NotStopd t0: [23:00:00 28/03/2014] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [23:00:00 28/03/2014] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 22 u1: BPM st: NotStopd t0: [23:00:00 28/03/2014] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 96 u1: % st: NotStopd t0: [23:00:00 28/03/2014] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [23:00:00 28/03/2014] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 0 vu: ml st: Stopped t0: [23:00:00 28/03/2014] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 4 vu: ml t0: [23:00:00 28/03/2014] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU-A cg: RN ai: 416 vo: 10 vu: ml t0: [23:00:00 28/03/2014] tf: [20:00:00 31/03/2014] dt: 4140 id: IV Piggyback 100.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 105 vo: 10 vu: ml t0: [23:00:00 28/03/2014] id: Promote w/fiber Tube Feeding el: 1 cu: MICU-A cg: RN ai: 107 vo: 65 vu: ml t0: [23:00:00 28/03/2014] id: xigris Free Form Intake el: 1 cu: MICU-A cg: RN vo: 8.4 vu: ml
t0: [23:00:00 28/03/2014] 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: [23:00:00 28/03/2014] id: Ativan el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 3 du: mghr sv: 60 su: ml rt: IV Drip
t0: [00:00:00 29/03/2014] id: Compliance (40-60ml) el: 0 cu: MICU-A cg: RRT v1: 18 u1: ml/cmH st: NotStopd t0: [00:00:00 29/03/2014] id: ETT Mark/Location el: 0 cu: MICU-A cg: RRT v1: 23cm v2: Lip st: NotStopd t0: [00:00:00 29/03/2014] id: Extubation Date el: 0 cu: MICU-A cg: RRT v1: 3 v2: 14 st: NotStopd t0: [00:00:00 29/03/2014] id: FiO2 Set el: 0 cu: MICU-A cg: RRT v1: 0.3 u1: torr st: NotStopd t0: [00:00:00 29/03/2014] id: High Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 55 u1: cmH2O st: NotStopd t0: [00:00:00 29/03/2014] id: High Resp. Rate el: 0 cu: MICU-A cg: RRT v1: 35 u1: BPM st: NotStopd t0: [00:00:00 29/03/2014] id: I:E Ratio el: 0 cu: MICU-A cg: RRT v1: 4.4 st: NotStopd t0: [00:00:00 29/03/2014] id: Airway Size el: 0 cu: MICU-A cg: RRT v1: 7.5 mm st: NotStopd t0: [00:00:00 29/03/2014] id: Airway Type el: 0 cu: MICU-A cg: RRT v1: Endotracheal st: NotStopd t0: [00:00:00 29/03/2014] id: Inspired Gas Temp el: 0 cu: MICU-A cg: RRT v1: 34 u1: Deg. C st: NotStopd t0: [00:00:00 29/03/2014] id: Intubation Date el: 0 cu: MICU-A cg: RRT v1: 3 v2: 12 st: NotStopd t0: [00:00:00 29/03/2014] id: Low Exhaled Min Vol el: 0 cu: MICU-A cg: RRT v1: 8 st: NotStopd t0: [00:00:00 29/03/2014] id: Low Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 20 u1: cmH2O st: NotStopd t0: [00:00:00 29/03/2014] id: Mean Airway Pressure el: 0 cu: MICU-A cg: RRT v1: 22.4 u1: cmH2O st: NotStopd t0: [00:00:00 29/03/2014] id: Minute Volume(Obser) el: 0 cu: MICU-A cg: RRT v1: 9.9 u1: L/min st: NotStopd t0: [00:00:00 29/03/2014] id: PEEP Set el: 0 cu: MICU-A cg: RRT v1: 17.6 u1: cmH2O st: NotStopd t0: [00:00:00 29/03/2014] id: Apnea Time Interval el: 0 cu: MICU-A cg: RRT v1: 20 st: NotStopd t0: [00:00:00 29/03/2014] id: Peak Flow el: 0 cu: MICU-A cg: RRT v1: 55 u1: L/m st: NotStopd t0: [00:00:00 29/03/2014] id: Peak Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 42.6 u1: cmH2O st: NotStopd t0: [00:00:00 29/03/2014] id: Plateau Pressure el: 0 cu: MICU-A cg: RRT v1: 30 u1: cmH2O st: NotStopd t0: [00:00:00 29/03/2014] id: Plateau-Off el: 0 cu: MICU-A cg: RRT v1: Yes st: NotStopd t0: [00:00:00 29/03/2014] id: Pressure Support el: 0 cu: MICU-A cg: RRT v1: 0 u1: . st: NotStopd t0: [00:00:00 29/03/2014] id: Resp Rate (Spont) el: 0 cu: MICU-A cg: RRT v1: 0 u1: BPM st: NotStopd t0: [00:00:00 29/03/2014] id: Resp Rate (Total) el: 0 cu: MICU-A cg: RRT v1: 22 u1: BPM st: NotStopd t0: [00:00:00 29/03/2014] id: Respiratory Rate Set el: 0 cu: MICU-A cg: RRT v1: 22 u1: BPM st: NotStopd t0: [00:00:00 29/03/2014] id: Sensitivity-Vent el: 0 cu: MICU-A cg: RRT v1: 2 u1: cmH2O st: NotStopd t0: [00:00:00 29/03/2014] id: SpO2 el: 0 cu: MICU-A cg: RRT v1: 96 u1: % st: NotStopd t0: [00:00:00 29/03/2014] id: Tidal Volume (Obser) el: 0 cu: MICU-A cg: RRT v1: 450 u1: ml/B st: NotStopd t0: [00:00:00 29/03/2014] id: Tidal Volume (Set) el: 0 cu: MICU-A cg: RRT v1: 450 u1: ml/B st: NotStopd t0: [00:00:00 29/03/2014] id: Ventilator Mode el: 0 cu: MICU-A cg: RRT v1: Assist Control st: NotStopd t0: [00:00:00 29/03/2014] id: Ventilator No. el: 0 cu: MICU-A cg: RRT v1: 6 u1: # st: NotStopd t0: [00:00:00 29/03/2014] id: Ventilator Type el: 0 cu: MICU-A cg: RRT v1: 7200A st: NotStopd t0: [00:00:00 29/03/2014] id: Waveform-Vent el: 0 cu: MICU-A cg: RRT v1: SQUARE st: NotStopd
t0: [00:05:00 29/03/2014] id: Resp Rate (Spont) el: 0 cu: MICU-A cg: RRT v1: 0 u1: BPM st: NotStopd t0: [00:05:00 29/03/2014] id: Resp Rate (Total) el: 0 cu: MICU-A cg: RRT v1: 20 u1: BPM st: NotStopd t0: [00:05:00 29/03/2014] id: Respiratory Rate Set el: 0 cu: MICU-A cg: RRT v1: 20 u1: BPM st: NotStopd
t0: [22:00:00 28/03/2014] id: Less Restrict Meas. el: 0 cu: MICU-A cg: RN v1: Medicated st: NotStopd t0: [22:00:00 28/03/2014] id: Range of Motion el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [22:00:00 28/03/2014] id: Circulation/SkinInt el: 0 cu: MICU-A cg: RN v1: Circulation Adeq st: NotStopd t0: [22:00:00 28/03/2014] id: Impaired Skin Site#1 el: 0 cu: MICU-A cg: RN v1: Gluteal, Right st: NotStopd t0: [22:00:00 28/03/2014] id: Impaired Skin Site#2 el: 0 cu: MICU-A cg: RN v1: Labia st: NotStopd t0: [22:00:00 28/03/2014] id: Position Change el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [22:00:00 28/03/2014] id: Reason For Restraint el: 0 cu: MICU-A cg: RN v1: Ext/TXInterfere st: NotStopd t0: [22:00:00 28/03/2014] id: Removed x 5 Mins el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [22:00:00 28/03/2014] id: Restraint Location el: 0 cu: MICU-A cg: RN v1: Both Arms st: NotStopd t0: [22:00:00 28/03/2014] id: Restraint Type el: 0 cu: MICU-A cg: RN v1: Soft Limb st: NotStopd t0: [22:00:00 28/03/2014] id: Restraints Evaluated el: 0 cu: MICU-A cg: RN v1: Behavior Conts st: NotStopd t0: [22:00:00 28/03/2014] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [22:00:00 28/03/2014] id: Support Systems el: 0 cu: MICU-A cg: RN v1: Spouse st: NotStopd t0: [00:00:00 29/03/2014] id: Less Restrict Meas. el: 0 cu: MICU-A cg: RN v1: Medicated st: NotStopd t0: [00:00:00 29/03/2014] id: Range of Motion el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [00:00:00 29/03/2014] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [00:00:00 29/03/2014] id: CVP el: 0 cu: MICU-A cg: RN v1: 18 u1: mmHg st: NotStopd t0: [00:00:00 29/03/2014] id: Circulation/SkinInt el: 0 cu: MICU-A cg: RN v1: Circulation Adeq st: NotStopd t0: [00:00:00 29/03/2014] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [00:00:00 29/03/2014] id: Diet Type el: 0 cu: MICU-A cg: RN v1: Tube Feeding st: NotStopd t0: [00:00:00 29/03/2014] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [00:00:00 29/03/2014] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [00:00:00 29/03/2014] id: Eye Opening el: 0 cu: MICU-A cg: RN v1: 3 To speech st: NotStopd t0: [00:00:00 29/03/2014] id: GCS Total el: 0 cu: MICU-A cg: RN v1: 9 u1: points st: NotStopd t0: [00:00:00 29/03/2014] id: GI Intub #1/Site el: 0 cu: MICU-A cg: RN v1: Salem Sump v2: Left Nare st: NotStopd t0: [00:00:00 29/03/2014] id: GI#1 Tube PlaceCheck el: 0 cu: MICU-A cg: RN v1: Not Done st: NotStopd t0: [00:00:00 29/03/2014] id: GI#1 Tube Stat/Drain el: 0 cu: MICU-A cg: RN v1: Feeding v2: Undigested Food st: NotStopd t0: [00:00:00 29/03/2014] id: GU Catheter Size el: 0 cu: MICU-A cg: RN v1: 14 French st: NotStopd t0: [00:00:00 29/03/2014] id: HOB el: 0 cu: MICU-A cg: RN v1: 30 degrees st: NotStopd t0: [00:00:00 29/03/2014] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 78 u1: BPM st: NotStopd t0: [00:00:00 29/03/2014] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [00:00:00 29/03/2014] id: INV Line#1 Type/Site el: 0 cu: MICU-A cg: RN v1: Multi-lumen v2: Right Femoral st: NotStopd t0: [00:00:00 29/03/2014] id: INV Line#1InsertDate el: 0 cu: MICU-A cg: RN v1: 3 v2: 12 st: NotStopd t0: [00:00:00 29/03/2014] id: INV Line#1SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [00:00:00 29/03/2014] id: INV Line#2 Type/Site el: 0 cu: MICU-A cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [00:00:00 29/03/2014] id: INV Line#2 Zero/Cal el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [00:00:00 29/03/2014] id: INV Line#2InsertDate el: 0 cu: MICU-A cg: RN v1: 3 v2: 12 st: NotStopd t0: [00:00:00 29/03/2014] id: INV Line#3 Type/Site el: 0 cu: MICU-A cg: RN v1: Multi-lumen v2: Right IJ st: NotStopd t0: [00:00:00 29/03/2014] id: INV Line#3 Zero/Cal el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [00:00:00 29/03/2014] id: INV Line#3InsertDate el: 0 cu: MICU-A cg: RN v1: 3 v2: 12 st: NotStopd t0: [00:00:00 29/03/2014] id: INV Line#3SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [00:00:00 29/03/2014] id: Abdominal Assessment el: 0 cu: MICU-A cg: RN v1: Obese st: NotStopd t0: [00:00:00 29/03/2014] id: INV#2 WaveformAppear el: 0 cu: MICU-A cg: RN v1: Sharp st: NotStopd t0: [00:00:00 29/03/2014] id: INV#3 WaveformAppear el: 0 cu: MICU-A cg: RN v1: Sharp st: NotStopd t0: [00:00:00 29/03/2014] id: Activity el: 0 cu: MICU-A cg: RN v1: Bedrest st: NotStopd t0: [00:00:00 29/03/2014] id: Activity Tolerance el: 0 cu: MICU-A cg: RN v1: Fair st: NotStopd t0: [00:00:00 29/03/2014] id: Imp Skin Cleanse #2 el: 0 cu: MICU-A cg: RN v1: Soap & H20 st: NotStopd t0: [00:00:00 29/03/2014] id: ImpSkin Character #1 el: 0 cu: MICU-A cg: RN v1: Hematoma st: NotStopd t0: [00:00:00 29/03/2014] id: ImpSkin Character #2 el: 0 cu: MICU-A cg: RN v1: Rash st: NotStopd t0: [00:00:00 29/03/2014] id: ImpSkin Treatment #1 el: 0 cu: MICU-A cg: RN v1: Open to Air st: NotStopd t0: [00:00:00 29/03/2014] id: ImpSkin Treatment #2 el: 0 cu: MICU-A cg: RN v1: Open to Air st: NotStopd t0: [00:00:00 29/03/2014] id: Impaired Skin Site#1 el: 0 cu: MICU-A cg: RN v1: Gluteal, Right st: NotStopd t0: [00:00:00 29/03/2014] id: Impaired Skin Site#2 el: 0 cu: MICU-A cg: RN v1: Labia st: NotStopd t0: [00:00:00 29/03/2014] id: LLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Diminished st: NotStopd t0: [00:00:00 29/03/2014] id: LUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Clear st: NotStopd t0: [00:00:00 29/03/2014] id: Level of Conscious el: 0 cu: MICU-A cg: RN v1: Arouse to Voice st: NotStopd t0: [00:00:00 29/03/2014] id: Motor Response el: 0 cu: MICU-A cg: RN v1: 5 Localizes Pain st: NotStopd t0: [00:00:00 29/03/2014] id: Oral Cavity el: 0 cu: MICU-A cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [00:00:00 29/03/2014] id: Orientation el: 0 cu: MICU-A cg: RN v1: Other/Remarks st: NotStopd t0: [00:00:00 29/03/2014] id: AntiEmbDevice/Status el: 0 cu: MICU-A cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [00:00:00 29/03/2014] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 86 u1: mmHg v2: 48 u2: mmHg st: NotStopd t0: [00:00:00 29/03/2014] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 61 u1: mmHg st: NotStopd t0: [00:00:00 29/03/2014] id: Position el: 0 cu: MICU-A cg: RN v1: Right Side st: NotStopd t0: [00:00:00 29/03/2014] id: Position Change el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [00:00:00 29/03/2014] id: Assistance Device el: 0 cu: MICU-A cg: RN v1: 2 Person Assist st: NotStopd t0: [00:00:00 29/03/2014] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [00:00:00 29/03/2014] id: RLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Diminished st: NotStopd t0: [00:00:00 29/03/2014] id: RUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Clear st: NotStopd t0: [00:00:00 29/03/2014] id: Reason For Restraint el: 0 cu: MICU-A cg: RN v1: Ext/TXInterfere st: NotStopd t0: [00:00:00 29/03/2014] id: Removed x 5 Mins el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [00:00:00 29/03/2014] id: Respiratory Pattern el: 0 cu: MICU-A cg: RN v1: Regular st: NotStopd t0: [00:00:00 29/03/2014] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 22 u1: BPM st: NotStopd t0: [00:00:00 29/03/2014] id: Restraint Location el: 0 cu: MICU-A cg: RN v1: Both Arms st: NotStopd t0: [00:00:00 29/03/2014] id: Restraint Type el: 0 cu: MICU-A cg: RN v1: Soft Limb st: NotStopd t0: [00:00:00 29/03/2014] id: Restraints Evaluated el: 0 cu: MICU-A cg: RN v1: Behavior Conts st: NotStopd t0: [00:00:00 29/03/2014] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [00:00:00 29/03/2014] id: Skin Color el: 0 cu: MICU-A cg: RN v1: Flushed st: NotStopd t0: [00:00:00 29/03/2014] id: Skin Integrity el: 0 cu: MICU-A cg: RN v1: Impaired st: NotStopd t0: [00:00:00 29/03/2014] id: Support Systems el: 0 cu: MICU-A cg: RN v1: Spouse st: NotStopd t0: [00:00:00 29/03/2014] id: Turn el: 0 cu: MICU-A cg: RN v1: Side to Side st: NotStopd t0: [00:00:00 29/03/2014] id: Urine Source el: 0 cu: MICU-A cg: RN v1: Indwelling Cath st: NotStopd t0: [00:00:00 29/03/2014] id: Verbal Response el: 0 cu: MICU-A cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [00:00:00 29/03/2014] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [00:00:00 29/03/2014] id: Fingerstick Glucose Chemistry el: 0 cu: MICU-A cg: RN v1: 107 rs: Manual st: NotStopd t0: [00:00:00 29/03/2014] id: Bowel Sounds el: 0 cu: MICU-A cg: RN v1: Present st: NotStopd t0: [00:30:00 29/03/2014] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [00:30:00 29/03/2014] id: CVP el: 0 cu: MICU-A cg: RN v1: 16 u1: mmHg st: NotStopd t0: [00:30:00 29/03/2014] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [00:30:00 29/03/2014] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [00:30:00 29/03/2014] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [00:30:00 29/03/2014] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 78 u1: BPM st: NotStopd t0: [00:30:00 29/03/2014] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [00:30:00 29/03/2014] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 83 u1: mmHg v2: 48 u2: mmHg st: NotStopd t0: [00:30:00 29/03/2014] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 61 u1: mmHg st: NotStopd t0: [00:30:00 29/03/2014] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [00:30:00 29/03/2014] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 22 u1: BPM st: NotStopd t0: [00:30:00 29/03/2014] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 96 u1: % st: NotStopd t0: [00:30:00 29/03/2014] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [00:00:00 29/03/2014] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 90 vu: ml t0: [00:30:00 29/03/2014] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 4.5 vu: ml t0: [00:30:00 29/03/2014] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU-A cg: RN ai: 416 vo: 7.5 vu: ml t0: [00:30:00 29/03/2014] id: Promote w/fiber Tube Feeding el: 1 cu: MICU-A cg: RN ai: 107 vo: 97.5 vu: ml t0: [00:30:00 29/03/2014] id: xigris Free Form Intake el: 1 cu: MICU-A cg: RN vo: 8.4 vu: ml
t0: [00:00:00 29/03/2014] 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: [00:00:00 29/03/2014] id: Ativan el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 3 du: mghr sv: 60 su: ml rt: IV Drip t0: [00:30:00 29/03/2014] 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: [00:30:00 29/03/2014] id: Ativan el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 3 du: mghr sv: 60 su: ml rt: IV Drip
t0: [01:00:00 29/03/2014] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [01:00:00 29/03/2014] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [01:00:00 29/03/2014] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [01:00:00 29/03/2014] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [01:00:00 29/03/2014] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 80 u1: BPM st: NotStopd t0: [01:00:00 29/03/2014] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [01:00:00 29/03/2014] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 91 u1: mmHg v2: 53 u2: mmHg st: NotStopd t0: [01:00:00 29/03/2014] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 67 u1: mmHg st: NotStopd t0: [01:00:00 29/03/2014] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [01:00:00 29/03/2014] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 21 u1: BPM st: NotStopd t0: [01:00:00 29/03/2014] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 94 u1: % st: NotStopd t0: [01:00:00 29/03/2014] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [02:00:00 29/03/2014] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [02:00:00 29/03/2014] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [02:00:00 29/03/2014] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [02:00:00 29/03/2014] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [02:00:00 29/03/2014] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 82 u1: BPM st: NotStopd t0: [02:00:00 29/03/2014] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [02:00:00 29/03/2014] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 99 u1: mmHg v2: 57 u2: mmHg st: NotStopd t0: [02:00:00 29/03/2014] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 73 u1: mmHg st: NotStopd t0: [02:00:00 29/03/2014] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [02:00:00 29/03/2014] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 23 u1: BPM st: NotStopd t0: [02:00:00 29/03/2014] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 96 u1: % st: NotStopd t0: [02:00:00 29/03/2014] id: Temp. Site el: 0 cu: MICU-A cg: RN v1: Oral st: NotStopd t0: [02:00:00 29/03/2014] id: Temperature C (calc) el: 0 cu: MICU-A cg: RN v1: 38 u1: Deg. C st: NotStopd t0: [02:00:00 29/03/2014] id: Temperature F el: 0 cu: MICU-A cg: RN v1: 100.4 u1: Deg. F st: NotStopd t0: [02:00:00 29/03/2014] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [02:00:00 29/03/2014] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 4.5 vu: ml t0: [02:00:00 29/03/2014] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU-A cg: RN ai: 416 vo: 7.5 vu: ml t0: [02:00:00 29/03/2014] id: Promote w/fiber Tube Feeding el: 1 cu: MICU-A cg: RN ai: 107 vo: 97.5 vu: ml t0: [02:00:00 29/03/2014] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 25 vu: ml t0: [02:00:00 29/03/2014] id: xigris Free Form Intake el: 1 cu: MICU-A cg: RN vo: 8.4 vu: ml
t0: [01:00:00 29/03/2014] 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: [01:00:00 29/03/2014] id: Ativan el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 3 du: mghr sv: 60 su: ml rt: IV Drip t0: [02:00:00 29/03/2014] 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: [02:00:00 29/03/2014] tf: [12:00:00 29/03/2014] dt: 600 id: Levophed-k el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 0.0151279 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [02:00:00 29/03/2014] id: Ativan el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 3 du: mghr sv: 60 su: ml rt: IV Drip
t0: [02:44:00 29/03/2014] id: Art.pH ABG el: 0 cu: MICU-A cg: 1663 v1: 7.32 rs: Final st: NotStopd t0: [02:44:00 29/03/2014] id: Arterial Base Excess ABG el: 0 cu: MICU-A cg: 1663 v1: -8 rs: Final st: NotStopd t0: [02:44:00 29/03/2014] id: Arterial CO2(Calc) ABG el: 0 cu: MICU-A cg: 1663 v1: 18 rs: Final st: NotStopd t0: [02:44:00 29/03/2014] id: Arterial PaCO2 ABG el: 0 cu: MICU-A cg: 1663 v1: 33 u1: mmHg rs: Final st: NotStopd t0: [02:44:00 29/03/2014] id: Arterial PaO2 ABG el: 0 cu: MICU-A cg: 1663 v1: 90 u1: mmHg rs: Final st: NotStopd t0: [02:44:00 29/03/2014] id: Arterial pH ABG el: 0 cu: MICU-A cg: 1663 v1: 7.32 rs: Final st: NotStopd
io: IV Piggyback 100.0ml IV Infusions el: 1 cu: MICU-A cg: RN ru: ml/hr
id: IV Piggyback el: 1 cu: MICU-A cg: RN io: IV Piggyback 100.0ml IV Infusions vo: 100 du: ml rt: IV Piggyback
t0: [03:00:00 29/03/2014] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [03:00:00 29/03/2014] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [03:00:00 29/03/2014] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [03:00:00 29/03/2014] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [03:00:00 29/03/2014] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 76 u1: BPM st: NotStopd t0: [03:00:00 29/03/2014] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [03:00:00 29/03/2014] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 109 u1: mmHg v2: 61 u2: mmHg st: NotStopd t0: [03:00:00 29/03/2014] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 78 u1: mmHg st: NotStopd t0: [03:00:00 29/03/2014] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [03:00:00 29/03/2014] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 24 u1: BPM st: NotStopd t0: [03:00:00 29/03/2014] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 97 u1: % st: NotStopd t0: [03:00:00 29/03/2014] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [03:30:00 29/03/2014] id: Range of Motion el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [03:30:00 29/03/2014] id: bath el: 0 cu: MICU-A cg: RN v1: done t0: [03:30:00 29/03/2014] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [03:30:00 29/03/2014] id: CVP el: 0 cu: MICU-A cg: RN v1: 22 u1: mmHg st: NotStopd t0: [03:30:00 29/03/2014] id: Circulation/SkinInt el: 0 cu: MICU-A cg: RN v1: Circulation Adeq st: NotStopd t0: [03:30:00 29/03/2014] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [03:30:00 29/03/2014] id: GI Prophylaxis el: 0 cu: MICU-A cg: RN v1: H2 Blocker st: NotStopd t0: [03:30:00 29/03/2014] id: Diet Type el: 0 cu: MICU-A cg: RN v1: Tube Feeding st: NotStopd t0: [03:30:00 29/03/2014] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [03:30:00 29/03/2014] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [03:30:00 29/03/2014] id: Eye Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [03:30:00 29/03/2014] id: Eye Opening el: 0 cu: MICU-A cg: RN v1: 3 To speech st: NotStopd t0: [03:30:00 29/03/2014] id: GCS Total el: 0 cu: MICU-A cg: RN v1: 9 u1: points st: NotStopd t0: [03:30:00 29/03/2014] id: GI Intub #1/Site el: 0 cu: MICU-A cg: RN v1: Salem Sump v2: Left Nare st: NotStopd t0: [03:30:00 29/03/2014] id: GI#1 Tube PlaceCheck el: 0 cu: MICU-A cg: RN v1: Not Done st: NotStopd t0: [03:30:00 29/03/2014] id: GI#1 Tube Stat/Drain el: 0 cu: MICU-A cg: RN v1: Feeding v2: Undigested Food st: NotStopd t0: [03:30:00 29/03/2014] id: GU Catheter Size el: 0 cu: MICU-A cg: RN v1: 14 French st: NotStopd t0: [03:30:00 29/03/2014] id: HOB el: 0 cu: MICU-A cg: RN v1: 30 degrees st: NotStopd t0: [03:30:00 29/03/2014] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 81 u1: BPM st: NotStopd t0: [03:30:00 29/03/2014] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [03:30:00 29/03/2014] id: INV Line#1 Type/Site el: 0 cu: MICU-A cg: RN v1: Multi-lumen v2: Right Femoral st: NotStopd t0: [03:30:00 29/03/2014] id: INV Line#1InsertDate el: 0 cu: MICU-A cg: RN v1: 3 v2: 12 st: NotStopd t0: [03:30:00 29/03/2014] id: INV Line#1SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [03:30:00 29/03/2014] id: INV Line#2 Type/Site el: 0 cu: MICU-A cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [03:30:00 29/03/2014] id: INV Line#2 Zero/Cal el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [03:30:00 29/03/2014] id: INV Line#2InsertDate el: 0 cu: MICU-A cg: RN v1: 3 v2: 12 st: NotStopd t0: [03:30:00 29/03/2014] id: INV Line#3 Type/Site el: 0 cu: MICU-A cg: RN v1: Multi-lumen v2: Right IJ st: NotStopd t0: [03:30:00 29/03/2014] id: INV Line#3 Zero/Cal el: 0 cu: MICU-A cg: RN v1: No st: NotStopd t0: [03:30:00 29/03/2014] id: INV Line#3InsertDate el: 0 cu: MICU-A cg: RN v1: 3 v2: 12 st: NotStopd t0: [03:30:00 29/03/2014] id: INV Line#3SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [03:30:00 29/03/2014] id: Abdominal Assessment el: 0 cu: MICU-A cg: RN v1: Obese st: NotStopd t0: [03:30:00 29/03/2014] id: INV#2 WaveformAppear el: 0 cu: MICU-A cg: RN v1: Sharp st: NotStopd t0: [03:30:00 29/03/2014] id: INV#3 WaveformAppear el: 0 cu: MICU-A cg: RN v1: Sharp st: NotStopd t0: [03:30:00 29/03/2014] id: Activity el: 0 cu: MICU-A cg: RN v1: Bedrest st: NotStopd t0: [03:30:00 29/03/2014] id: Activity Tolerance el: 0 cu: MICU-A cg: RN v1: Fair st: NotStopd t0: [03:30:00 29/03/2014] id: Imp Skin Cleanse #2 el: 0 cu: MICU-A cg: RN v1: Soap & H20 st: NotStopd t0: [03:30:00 29/03/2014] id: ImpSkin Character #1 el: 0 cu: MICU-A cg: RN v1: Hematoma st: NotStopd t0: [03:30:00 29/03/2014] id: ImpSkin Character #2 el: 0 cu: MICU-A cg: RN v1: Rash st: NotStopd t0: [03:30:00 29/03/2014] id: ImpSkin Treatment #1 el: 0 cu: MICU-A cg: RN v1: Open to Air st: NotStopd t0: [03:30:00 29/03/2014] id: ImpSkin Treatment #2 el: 0 cu: MICU-A cg: RN v1: Open to Air st: NotStopd t0: [03:30:00 29/03/2014] id: Impaired Skin Site#1 el: 0 cu: MICU-A cg: RN v1: Gluteal, Right st: NotStopd t0: [03:30:00 29/03/2014] id: Impaired Skin Site#2 el: 0 cu: MICU-A cg: RN v1: Labia st: NotStopd t0: [03:30:00 29/03/2014] id: LLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Diminished st: NotStopd t0: [03:30:00 29/03/2014] id: LUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [03:30:00 29/03/2014] id: Level of Conscious el: 0 cu: MICU-A cg: RN v1: Arouse to Voice st: NotStopd t0: [03:30:00 29/03/2014] id: Motor Response el: 0 cu: MICU-A cg: RN v1: 5 Localizes Pain st: NotStopd t0: [03:30:00 29/03/2014] id: Oral Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [03:30:00 29/03/2014] id: Oral Cavity el: 0 cu: MICU-A cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [03:30:00 29/03/2014] id: Orientation el: 0 cu: MICU-A cg: RN v1: Other/Remarks st: NotStopd t0: [03:30:00 29/03/2014] id: AntiEmbDevice/Status el: 0 cu: MICU-A cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [03:30:00 29/03/2014] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 119 u1: mmHg v2: 62 u2: mmHg st: NotStopd t0: [03:30:00 29/03/2014] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 81 u1: mmHg st: NotStopd t0: [03:30:00 29/03/2014] id: Position el: 0 cu: MICU-A cg: RN v1: Supine st: NotStopd t0: [03:30:00 29/03/2014] id: Position Change el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [03:30:00 29/03/2014] id: Assistance Device el: 0 cu: MICU-A cg: RN v1: 2 Person Assist st: NotStopd t0: [03:30:00 29/03/2014] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [03:30:00 29/03/2014] id: RLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Diminished st: NotStopd t0: [03:30:00 29/03/2014] id: RUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Clear st: NotStopd t0: [03:30:00 29/03/2014] id: Reason For Restraint el: 0 cu: MICU-A cg: RN v1: Ext/TXInterfere st: NotStopd t0: [03:30:00 29/03/2014] id: Removed x 5 Mins el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [03:30:00 29/03/2014] id: Respiratory Pattern el: 0 cu: MICU-A cg: RN v1: Regular st: NotStopd t0: [03:30:00 29/03/2014] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 22 u1: BPM st: NotStopd t0: [03:30:00 29/03/2014] id: Restraint Location el: 0 cu: MICU-A cg: RN v1: Both Arms st: NotStopd t0: [03:30:00 29/03/2014] id: Restraint Type el: 0 cu: MICU-A cg: RN v1: Soft Limb st: NotStopd t0: [03:30:00 29/03/2014] id: Restraints Evaluated el: 0 cu: MICU-A cg: RN v1: Behavior Conts st: NotStopd t0: [03:30:00 29/03/2014] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [03:30:00 29/03/2014] id: Skin Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [03:30:00 29/03/2014] id: Skin Color el: 0 cu: MICU-A cg: RN v1: Flushed st: NotStopd t0: [03:30:00 29/03/2014] id: Skin Integrity el: 0 cu: MICU-A cg: RN v1: Impaired st: NotStopd t0: [03:30:00 29/03/2014] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 100 u1: % st: NotStopd t0: [03:30:00 29/03/2014] id: Stool Color/Consist el: 0 cu: MICU-A cg: RN v1: Brown v2: Liquid st: NotStopd t0: [03:30:00 29/03/2014] id: Support Systems el: 0 cu: MICU-A cg: RN v1: Spouse st: NotStopd t0: [03:30:00 29/03/2014] id: Turn el: 0 cu: MICU-A cg: RN v1: Back st: NotStopd t0: [03:30:00 29/03/2014] id: Urine Color/Appear el: 0 cu: MICU-A cg: RN v1: Yellow v2: Sediment st: NotStopd t0: [03:30:00 29/03/2014] id: Urine Source el: 0 cu: MICU-A cg: RN v1: Indwelling Cath st: NotStopd t0: [03:30:00 29/03/2014] id: Verbal Response el: 0 cu: MICU-A cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [03:30:00 29/03/2014] id: Back Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [03:30:00 29/03/2014] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [03:30:00 29/03/2014] id: Bowel Sounds el: 0 cu: MICU-A cg: RN v1: Present st: NotStopd t0: [03:30:00 29/03/2014] id: Braden Activity el: 0 cu: MICU-A cg: RN v1: Bedfast st: NotStopd t0: [03:30:00 29/03/2014] id: Braden Frict/Shear el: 0 cu: MICU-A cg: RN v1: Potential Prob st: NotStopd t0: [03:30:00 29/03/2014] id: Braden Mobility el: 0 cu: MICU-A cg: RN v1: Very Limited st: NotStopd t0: [03:30:00 29/03/2014] id: Braden Moisture el: 0 cu: MICU-A cg: RN v1: Occ. Moist st: NotStopd t0: [03:30:00 29/03/2014] id: Braden Nutrition el: 0 cu: MICU-A cg: RN v1: Adequate st: NotStopd t0: [03:30:00 29/03/2014] id: Braden Score el: 0 cu: MICU-A cg: RN v1: 13 u1: number st: NotStopd t0: [03:30:00 29/03/2014] id: Braden SensoryPercep el: 0 cu: MICU-A cg: RN v1: Very Limited st: NotStopd t0: [04:00:00 29/03/2014] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [04:00:00 29/03/2014] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [04:00:00 29/03/2014] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [04:00:00 29/03/2014] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [04:00:00 29/03/2014] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 82 u1: BPM st: NotStopd t0: [04:00:00 29/03/2014] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [04:00:00 29/03/2014] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 111 u1: mmHg v2: 57 u2: mmHg st: NotStopd t0: [04:00:00 29/03/2014] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 76 u1: mmHg st: NotStopd t0: [04:00:00 29/03/2014] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [04:00:00 29/03/2014] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 31 u1: BPM st: NotStopd t0: [04:00:00 29/03/2014] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 95 u1: % st: NotStopd t0: [04:00:00 29/03/2014] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [00:30:00 29/03/2014] id: IV Piggyback 100.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 105 vu: ml t0: [03:30:00 29/03/2014] tf: [12:00:00 29/03/2014] dt: 510 id: D5W 250.0ml + 4mcgkgmin Levophed-k IV Infusions el: 1 cu: MICU-A cg: RN ai: 189 vo: 0 vu: ml nb: 1 t0: [02:00:00 29/03/2014] id: IV Piggyback 100.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 105 vo: 200 vu: ml t0: [03:30:00 29/03/2014] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 4.5 vu: ml t0: [03:30:00 29/03/2014] id: D5W 250.0ml + 4mcgkgmin Levophed-k IV Infusions el: 1 cu: MICU-A cg: RN ai: 189 vo: 7.65 vu: ml t0: [03:30:00 29/03/2014] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU-A cg: RN ai: 416 vo: 7.5 vu: ml t0: [03:30:00 29/03/2014] id: IV Piggyback 100.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 105 vo: 50 vu: ml t0: [03:30:00 29/03/2014] id: Promote w/fiber Tube Feeding el: 1 cu: MICU-A cg: RN ai: 107 vo: 97.5 vu: ml t0: [03:30:00 29/03/2014] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 110 vu: ml t0: [03:30:00 29/03/2014] id: xigris Free Form Intake el: 1 cu: MICU-A cg: RN vo: 8.4 vu: ml
t0: [03:00:00 29/03/2014] 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: [03:00:00 29/03/2014] id: Levophed-k el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 0.0151279 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [03:00:00 29/03/2014] id: Ativan el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 3 du: mghr sv: 60 su: ml rt: IV Drip t0: [03:30:00 29/03/2014] 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: [03:30:00 29/03/2014] id: Levophed-k el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 0.0151279 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [03:30:00 29/03/2014] id: Ativan el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 3 du: mghr sv: 60 su: ml rt: IV Drip t0: [04:00:00 29/03/2014] 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: [04:00:00 29/03/2014] id: Levophed-k el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 0.0151279 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [04:00:00 29/03/2014] id: Ativan el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 3 du: mghr sv: 60 su: ml rt: IV Drip
t0: [03:45:00 29/03/2014] id: BUN (6-20) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 35 rs: Final st: NotStopd t0: [03:45:00 29/03/2014] id: Calcium (8.4-10.2) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 7.1 u1: mg/dl rs: Final st: NotStopd t0: [03:45:00 29/03/2014] id: Carbon Dioxide Chemistry el: 0 cu: MICU-A cg: 1663 v1: 16 rs: Final st: NotStopd t0: [03:45:00 29/03/2014] id: Chloride (100-112) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 117 rs: Final st: NotStopd t0: [03:45:00 29/03/2014] id: Creatinine (0-1.3) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 1.5 rs: Final st: NotStopd t0: [03:45:00 29/03/2014] id: Glucose (70-105) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 118 rs: Final st: NotStopd t0: [03:45:00 29/03/2014] id: Magnesium (1.6-2.6) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 2.4 rs: Final st: NotStopd t0: [03:45:00 29/03/2014] id: Phosphorous(2.7-4.5) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 1.6 u1: mEq/L rs: Final st: NotStopd t0: [03:45:00 29/03/2014] id: Potassium (3.5-5.3) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 3.5 rs: Final st: NotStopd t0: [03:45:00 29/03/2014] id: Sodium (135-148) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 142 rs: Final st: NotStopd
t0: [03:45:00 29/03/2014] id: WBC (4-11,000) Hematology el: 0 cu: MICU-A cg: 1663 v1: 17.1 rs: Final st: NotStopd t0: [03:45:00 29/03/2014] id: Hematocrit Hematology el: 0 cu: MICU-A cg: 1663 v1: 25.7 u1: % rs: Final st: NotStopd t0: [03:45:00 29/03/2014] id: Hemoglobin Hematology el: 0 cu: MICU-A cg: 1663 v1: 8.9 u1: gm/dl rs: Final st: NotStopd t0: [03:45:00 29/03/2014] id: Platelets Hematology el: 0 cu: MICU-A cg: 1663 v1: 183 rs: Final st: NotStopd t0: [03:45:00 29/03/2014] id: RBC Hematology el: 0 cu: MICU-A cg: 1663 v1: 2.97 u1: /mic l rs: Final st: NotStopd t0: [03:45:00 29/03/2014] id: WBC (4-11,000) Hematology el: 0 cu: MICU-A cg: 1663 v1: 17.1 rs: Final st: NotStopd
t0: [03:45:00 29/03/2014] id: INR (2-4 ref. range) Coags el: 0 cu: MICU-A cg: 1663 v1: 1.2 rs: Final st: NotStopd t0: [03:45:00 29/03/2014] id: PT(11-13.5) Coags el: 0 cu: MICU-A cg: 1663 v1: 13.2 rs: Final st: NotStopd t0: [03:45:00 29/03/2014] id: PTT(22-35) Coags el: 0 cu: MICU-A cg: 1663 v1: 53.4 rs: Final st: NotStopd
t0: [05:00:00 29/03/2014] id: Compliance (40-60ml) el: 0 cu: MICU-A cg: RRT v1: 19.1489 u1: ml/cmH st: NotStopd t0: [05:00:00 29/03/2014] id: ETT Mark/Location el: 0 cu: MICU-A cg: RRT v1: 23cm v2: Lip st: NotStopd t0: [05:00:00 29/03/2014] id: Extubation Date el: 0 cu: MICU-A cg: RRT v1: 3 v2: 14 st: NotStopd t0: [05:00:00 29/03/2014] id: FiO2 Set el: 0 cu: MICU-A cg: RRT v1: 0.3 u1: torr st: NotStopd t0: [05:00:00 29/03/2014] id: High Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 55 u1: cmH2O st: NotStopd t0: [05:00:00 29/03/2014] id: High Resp. Rate el: 0 cu: MICU-A cg: RRT v1: 35 u1: BPM st: NotStopd t0: [05:00:00 29/03/2014] id: I:E Ratio el: 0 cu: MICU-A cg: RRT v1: 3.8 st: NotStopd t0: [05:00:00 29/03/2014] id: Airway Size el: 0 cu: MICU-A cg: RRT v1: 7.5 mm st: NotStopd t0: [05:00:00 29/03/2014] id: Airway Type el: 0 cu: MICU-A cg: RRT v1: Endotracheal st: NotStopd t0: [05:00:00 29/03/2014] id: Inspired Gas Temp el: 0 cu: MICU-A cg: RRT v1: 34 u1: Deg. C st: NotStopd t0: [05:00:00 29/03/2014] id: Intubation Date el: 0 cu: MICU-A cg: RRT v1: 3 v2: 12 st: NotStopd t0: [05:00:00 29/03/2014] id: Low Exhaled Min Vol el: 0 cu: MICU-A cg: RRT v1: 8 st: NotStopd t0: [05:00:00 29/03/2014] id: Low Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 20 u1: cmH2O st: NotStopd t0: [05:00:00 29/03/2014] id: Mean Airway Pressure el: 0 cu: MICU-A cg: RRT v1: 22.1 u1: cmH2O st: NotStopd t0: [05:00:00 29/03/2014] id: Minute Volume(Obser) el: 0 cu: MICU-A cg: RRT v1: 10.3 u1: L/min st: NotStopd t0: [05:00:00 29/03/2014] id: PEEP Set el: 0 cu: MICU-A cg: RRT v1: 17.5 u1: cmH2O st: NotStopd t0: [05:00:00 29/03/2014] id: Apnea Time Interval el: 0 cu: MICU-A cg: RRT v1: 20 st: NotStopd t0: [05:00:00 29/03/2014] id: Peak Flow el: 0 cu: MICU-A cg: RRT v1: 55 u1: L/m st: NotStopd t0: [05:00:00 29/03/2014] id: Peak Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 41 u1: cmH2O st: NotStopd t0: [05:00:00 29/03/2014] id: Plateau Pressure el: 0 cu: MICU-A cg: RRT v1: 31 u1: cmH2O st: NotStopd t0: [05:00:00 29/03/2014] id: Plateau-Off el: 0 cu: MICU-A cg: RRT v1: Yes st: NotStopd t0: [05:00:00 29/03/2014] id: Pressure Support el: 0 cu: MICU-A cg: RRT v1: 0 u1: . st: NotStopd t0: [05:00:00 29/03/2014] id: Resp Rate (Spont) el: 0 cu: MICU-A cg: RRT v1: 3 u1: BPM st: NotStopd t0: [05:00:00 29/03/2014] id: Resp Rate (Total) el: 0 cu: MICU-A cg: RRT v1: 23 u1: BPM st: NotStopd t0: [05:00:00 29/03/2014] id: Respiratory Rate Set el: 0 cu: MICU-A cg: RRT v1: 20 u1: BPM st: NotStopd t0: [05:00:00 29/03/2014] id: Sensitivity-Vent el: 0 cu: MICU-A cg: RRT v1: 2 u1: cmH2O st: NotStopd t0: [05:00:00 29/03/2014] id: SpO2 el: 0 cu: MICU-A cg: RRT v1: 97 u1: % st: NotStopd t0: [05:00:00 29/03/2014] id: Tidal Volume (Obser) el: 0 cu: MICU-A cg: RRT v1: 450 u1: ml/B st: NotStopd t0: [05:00:00 29/03/2014] id: Tidal Volume (Set) el: 0 cu: MICU-A cg: RRT v1: 450 u1: ml/B st: NotStopd t0: [05:00:00 29/03/2014] id: Ventilator Mode el: 0 cu: MICU-A cg: RRT v1: Assist Control st: NotStopd t0: [05:00:00 29/03/2014] id: Ventilator No. el: 0 cu: MICU-A cg: RRT v1: 6 u1: # st: NotStopd t0: [05:00:00 29/03/2014] id: Ventilator Type el: 0 cu: MICU-A cg: RRT v1: 7200A st: NotStopd t0: [05:00:00 29/03/2014] id: Waveform-Vent el: 0 cu: MICU-A cg: RRT v1: SQUARE st: NotStopd
t0: [01:00:00 29/03/2014] id: CVP el: 0 cu: MICU-A cg: RN u1: mmHg st: NotStopd t0: [02:00:00 29/03/2014] id: CVP el: 0 cu: MICU-A cg: RN u1: mmHg st: NotStopd t0: [03:00:00 29/03/2014] id: CVP el: 0 cu: MICU-A cg: RN v1: 18 u1: mmHg st: NotStopd t0: [04:00:00 29/03/2014] id: CVP el: 0 cu: MICU-A cg: RN u1: mmHg st: NotStopd t0: [05:00:00 29/03/2014] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [05:00:00 29/03/2014] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [05:00:00 29/03/2014] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [05:00:00 29/03/2014] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [05:00:00 29/03/2014] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 74 u1: BPM st: NotStopd t0: [05:00:00 29/03/2014] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [05:00:00 29/03/2014] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 106 u1: mmHg v2: 58 u2: mmHg st: NotStopd t0: [05:00:00 29/03/2014] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 76 u1: mmHg st: NotStopd t0: [05:00:00 29/03/2014] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [05:00:00 29/03/2014] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 24 u1: BPM st: NotStopd t0: [05:00:00 29/03/2014] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [06:00:00 29/03/2014] id: Less Restrict Meas. el: 0 cu: MICU-A cg: RN v1: Medicated st: NotStopd t0: [06:00:00 29/03/2014] id: Range of Motion el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [06:00:00 29/03/2014] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [06:00:00 29/03/2014] id: CVP el: 0 cu: MICU-A cg: RN v1: 16 u1: mmHg st: NotStopd t0: [06:00:00 29/03/2014] id: Circulation/SkinInt el: 0 cu: MICU-A cg: RN v1: Circulation Adeq st: NotStopd t0: [06:00:00 29/03/2014] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [06:00:00 29/03/2014] id: GI Prophylaxis el: 0 cu: MICU-A cg: RN v1: H2 Blocker st: NotStopd t0: [06:00:00 29/03/2014] id: Diet Type el: 0 cu: MICU-A cg: RN v1: Tube Feeding st: NotStopd t0: [06:00:00 29/03/2014] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [06:00:00 29/03/2014] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [06:00:00 29/03/2014] id: Eye Opening el: 0 cu: MICU-A cg: RN v1: 3 To speech st: NotStopd t0: [06:00:00 29/03/2014] id: GCS Total el: 0 cu: MICU-A cg: RN v1: 9 u1: points st: NotStopd t0: [06:00:00 29/03/2014] id: GI Intub #1/Site el: 0 cu: MICU-A cg: RN v1: Salem Sump v2: Left Nare st: NotStopd t0: [06:00:00 29/03/2014] id: GI#1 Tube PlaceCheck el: 0 cu: MICU-A cg: RN v1: Not Done st: NotStopd t0: [06:00:00 29/03/2014] id: GI#1 Tube Stat/Drain el: 0 cu: MICU-A cg: RN v1: Feeding v2: Undigested Food st: NotStopd t0: [06:00:00 29/03/2014] id: GU Catheter Size el: 0 cu: MICU-A cg: RN v1: 14 French st: NotStopd t0: [06:00:00 29/03/2014] id: HOB el: 0 cu: MICU-A cg: RN v1: 30 degrees st: NotStopd t0: [06:00:00 29/03/2014] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 75 u1: BPM st: NotStopd t0: [06:00:00 29/03/2014] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [06:00:00 29/03/2014] id: INV Line#1 Type/Site el: 0 cu: MICU-A cg: RN v1: Multi-lumen v2: Right Femoral st: NotStopd t0: [06:00:00 29/03/2014] id: INV Line#1InsertDate el: 0 cu: MICU-A cg: RN v1: 3 v2: 12 st: NotStopd t0: [06:00:00 29/03/2014] id: INV Line#2 Type/Site el: 0 cu: MICU-A cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [06:00:00 29/03/2014] id: INV Line#2InsertDate el: 0 cu: MICU-A cg: RN v1: 3 v2: 12 st: NotStopd t0: [06:00:00 29/03/2014] id: INV Line#3 Type/Site el: 0 cu: MICU-A cg: RN v1: Multi-lumen v2: Right IJ st: NotStopd t0: [06:00:00 29/03/2014] id: INV Line#3 Zero/Cal el: 0 cu: MICU-A cg: RN v1: No st: NotStopd t0: [06:00:00 29/03/2014] id: INV Line#3InsertDate el: 0 cu: MICU-A cg: RN v1: 3 v2: 12 st: NotStopd t0: [06:00:00 29/03/2014] id: INV Line#3SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [06:00:00 29/03/2014] id: Abdominal Assessment el: 0 cu: MICU-A cg: RN v1: Obese st: NotStopd t0: [06:00:00 29/03/2014] id: INV#3 WaveformAppear el: 0 cu: MICU-A cg: RN v1: Sharp st: NotStopd t0: [06:00:00 29/03/2014] id: Activity el: 0 cu: MICU-A cg: RN v1: Bedrest st: NotStopd t0: [06:00:00 29/03/2014] id: Activity Tolerance el: 0 cu: MICU-A cg: RN v1: Fair st: NotStopd t0: [06:00:00 29/03/2014] id: Imp Skin Cleanse #2 el: 0 cu: MICU-A cg: RN v1: Soap & H20 st: NotStopd t0: [06:00:00 29/03/2014] id: ImpSkin Character #1 el: 0 cu: MICU-A cg: RN v1: Hematoma st: NotStopd t0: [06:00:00 29/03/2014] id: ImpSkin Character #2 el: 0 cu: MICU-A cg: RN v1: Rash st: NotStopd t0: [06:00:00 29/03/2014] id: ImpSkin Treatment #1 el: 0 cu: MICU-A cg: RN v1: Open to Air st: NotStopd t0: [06:00:00 29/03/2014] id: ImpSkin Treatment #2 el: 0 cu: MICU-A cg: RN v1: Open to Air st: NotStopd t0: [06:00:00 29/03/2014] id: Impaired Skin Site#1 el: 0 cu: MICU-A cg: RN v1: Gluteal, Right st: NotStopd t0: [06:00:00 29/03/2014] id: Impaired Skin Site#2 el: 0 cu: MICU-A cg: RN v1: Labia st: NotStopd t0: [06:00:00 29/03/2014] id: LLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Diminished st: NotStopd t0: [06:00:00 29/03/2014] id: LUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Clear st: NotStopd t0: [06:00:00 29/03/2014] id: Level of Conscious el: 0 cu: MICU-A cg: RN v1: Arouse to Voice st: NotStopd t0: [06:00:00 29/03/2014] id: Motor Response el: 0 cu: MICU-A cg: RN v1: 5 Localizes Pain st: NotStopd t0: [06:00:00 29/03/2014] id: Oral Cavity el: 0 cu: MICU-A cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [06:00:00 29/03/2014] id: Orientation el: 0 cu: MICU-A cg: RN v1: Other/Remarks st: NotStopd t0: [06:00:00 29/03/2014] id: AntiEmbDevice/Status el: 0 cu: MICU-A cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [06:00:00 29/03/2014] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 105 u1: mmHg v2: 58 u2: mmHg st: NotStopd t0: [06:00:00 29/03/2014] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 76 u1: mmHg st: NotStopd t0: [06:00:00 29/03/2014] id: Position el: 0 cu: MICU-A cg: RN v1: Left Side st: NotStopd t0: [06:00:00 29/03/2014] id: Position Change el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [06:00:00 29/03/2014] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [06:00:00 29/03/2014] id: RLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Diminished st: NotStopd t0: [06:00:00 29/03/2014] id: RUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Clear st: NotStopd t0: [06:00:00 29/03/2014] id: Reason For Restraint el: 0 cu: MICU-A cg: RN v1: Ext/TXInterfere st: NotStopd t0: [06:00:00 29/03/2014] id: Removed x 5 Mins el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [06:00:00 29/03/2014] id: Respiratory Pattern el: 0 cu: MICU-A cg: RN v1: Regular st: NotStopd t0: [06:00:00 29/03/2014] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 24 u1: BPM st: NotStopd t0: [06:00:00 29/03/2014] id: Restraint Location el: 0 cu: MICU-A cg: RN v1: Both Arms st: NotStopd t0: [06:00:00 29/03/2014] id: Restraint Type el: 0 cu: MICU-A cg: RN v1: Soft Limb st: NotStopd t0: [06:00:00 29/03/2014] id: Restraints Evaluated el: 0 cu: MICU-A cg: RN v1: Behavior Conts st: NotStopd t0: [06:00:00 29/03/2014] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [06:00:00 29/03/2014] id: Skin Color el: 0 cu: MICU-A cg: RN v1: Flushed st: NotStopd t0: [06:00:00 29/03/2014] id: Skin Integrity el: 0 cu: MICU-A cg: RN v1: Impaired st: NotStopd t0: [06:00:00 29/03/2014] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 98 u1: % st: NotStopd t0: [06:00:00 29/03/2014] id: Stool Color/Consist el: 0 cu: MICU-A cg: RN v1: Brown v2: Liquid st: NotStopd t0: [06:00:00 29/03/2014] id: Support Systems el: 0 cu: MICU-A cg: RN v1: Spouse st: NotStopd t0: [06:00:00 29/03/2014] id: Temp. Site el: 0 cu: MICU-A cg: RN v1: Oral st: NotStopd t0: [06:00:00 29/03/2014] id: Temperature C (calc) el: 0 cu: MICU-A cg: RN v1: 38.1111 u1: Deg. C st: NotStopd t0: [06:00:00 29/03/2014] id: Temperature F el: 0 cu: MICU-A cg: RN v1: 100.6 u1: Deg. F st: NotStopd t0: [06:00:00 29/03/2014] id: Turn el: 0 cu: MICU-A cg: RN v1: Left Side st: NotStopd t0: [06:00:00 29/03/2014] id: Urine Color/Appear el: 0 cu: MICU-A cg: RN v1: Yellow v2: Sediment st: NotStopd t0: [06:00:00 29/03/2014] id: Urine Source el: 0 cu: MICU-A cg: RN v1: Indwelling Cath st: NotStopd t0: [06:00:00 29/03/2014] id: Verbal Response el: 0 cu: MICU-A cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [06:00:00 29/03/2014] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [06:00:00 29/03/2014] id: Bowel Sounds el: 0 cu: MICU-A cg: RN v1: Present st: NotStopd
t0: [05:00:00 29/03/2014] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 4.5 vu: ml t0: [05:00:00 29/03/2014] id: D5W 250.0ml + 4mcgkgmin Levophed-k IV Infusions el: 1 cu: MICU-A cg: RN ai: 189 vo: 7.65 vu: ml t0: [05:00:00 29/03/2014] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU-A cg: RN ai: 416 vo: 7.5 vu: ml t0: [05:00:00 29/03/2014] id: Promote w/fiber Tube Feeding el: 1 cu: MICU-A cg: RN ai: 107 vo: 97.5 vu: ml t0: [05:00:00 29/03/2014] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 60 vu: ml t0: [05:00:00 29/03/2014] id: xigris Free Form Intake el: 1 cu: MICU-A cg: RN vo: 8.4 vu: ml t0: [06:00:00 29/03/2014] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 3 vu: ml t0: [06:00:00 29/03/2014] id: D5W 250.0ml + 4mcgkgmin Levophed-k IV Infusions el: 1 cu: MICU-A cg: RN ai: 189 vo: 5.1 vu: ml t0: [06:00:00 29/03/2014] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU-A cg: RN ai: 416 vo: 5 vu: ml t0: [06:00:00 29/03/2014] id: IV Piggyback 100.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 105 vo: 50 vu: ml t0: [06:00:00 29/03/2014] id: Promote w/fiber Tube Feeding el: 1 cu: MICU-A cg: RN ai: 107 vo: 65 vu: ml t0: [06:00:00 29/03/2014] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 60 vu: ml t0: [06:00:00 29/03/2014] id: xigris Free Form Intake el: 1 cu: MICU-A cg: RN vo: 8.4 vu: ml
t0: [05:00:00 29/03/2014] 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: [05:00:00 29/03/2014] id: Levophed-k el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 0.0151279 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [05:00:00 29/03/2014] id: Ativan el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 3 du: mghr sv: 60 su: ml rt: IV Drip t0: [06:00:00 29/03/2014] 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: [06:00:00 29/03/2014] id: Levophed-k el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 0.0151279 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [06:00:00 29/03/2014] id: Ativan el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 3 du: mghr sv: 60 su: ml rt: IV Drip
tf: [06:00:00 30/03/2014] pt: IV Piggyback rt: IV fr: ONCE fs: 7 dn: 1 m1: Potassium Chloride f1: BAG v1: 40 u1: mEq m2: SW f2: INJ v2: 100 u2: ml
t0: [07:00:00 29/03/2014] id: Service Type el: 0 cu: MICU-A cg: -1 v1: MICU st: NotStopd t0: [07:00:00 29/03/2014] id: CVP el: 0 cu: MICU-A cg: -1 v1: 17 u1: mmHg st: NotStopd t0: [07:00:00 29/03/2014] id: Code Status el: 0 cu: MICU-A cg: -1 v1: Full Code st: NotStopd t0: [07:00:00 29/03/2014] id: Ectopy Frequency el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [07:00:00 29/03/2014] id: Ectopy Type el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [07:00:00 29/03/2014] id: Heart Rate el: 0 cu: MICU-A cg: -1 v1: 76 u1: BPM st: NotStopd t0: [07:00:00 29/03/2014] id: Heart Rhythm el: 0 cu: MICU-A cg: -1 v1: Normal Sinus st: NotStopd t0: [07:00:00 29/03/2014] id: Arterial BP el: 0 cu: MICU-A cg: -1 v1: 110 u1: mmHg v2: 58 u2: mmHg st: NotStopd t0: [07:00:00 29/03/2014] id: Arterial BP Mean el: 0 cu: MICU-A cg: -1 v1: 77 u1: mmHg st: NotStopd t0: [07:00:00 29/03/2014] id: Precautions el: 0 cu: MICU-A cg: -1 v1: Universal st: NotStopd t0: [07:00:00 29/03/2014] id: Respiratory Rate el: 0 cu: MICU-A cg: -1 v1: 23 u1: BPM st: NotStopd t0: [07:00:00 29/03/2014] id: SpO2 el: 0 cu: MICU-A cg: -1 v1: 97 u1: % st: NotStopd t0: [07:00:00 29/03/2014] id: calprevflg el: 0 cu: MICU-A cg: -1 v1: 1 u1: kg st: NotStopd t0: [08:00:00 29/03/2014] id: Less Restrict Meas. el: 0 cu: MICU-A cg: -1 v1: Medicated st: NotStopd t0: [08:00:00 29/03/2014] id: Pain Present el: 0 cu: MICU-A cg: -1 v1: Other/Remarks st: NotStopd t0: [08:00:00 29/03/2014] id: Range of Motion el: 0 cu: MICU-A cg: -1 v1: Done st: NotStopd t0: [08:00:00 29/03/2014] id: Service Type el: 0 cu: MICU-A cg: -1 v1: MICU st: NotStopd t0: [08:00:00 29/03/2014] id: CVP el: 0 cu: MICU-A cg: -1 v1: 18 u1: mmHg st: NotStopd t0: [08:00:00 29/03/2014] id: Circulation/SkinInt el: 0 cu: MICU-A cg: -1 v1: Circulation Adeq st: NotStopd t0: [08:00:00 29/03/2014] id: Code Status el: 0 cu: MICU-A cg: -1 v1: Full Code st: NotStopd t0: [08:00:00 29/03/2014] id: Riker-SAS Scale el: 0 cu: MICU-A cg: -1 v1: Sedated st: NotStopd t0: [08:00:00 29/03/2014] id: Daily Wake Up el: 0 cu: MICU-A cg: -1 v1: Yes st: NotStopd t0: [08:00:00 29/03/2014] id: GI Prophylaxis el: 0 cu: MICU-A cg: -1 v1: H2 Blocker st: NotStopd t0: [08:00:00 29/03/2014] id: Diet Type el: 0 cu: MICU-A cg: -1 v1: Tube Feeding st: NotStopd t0: [08:00:00 29/03/2014] id: Ectopy Frequency el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [08:00:00 29/03/2014] id: Ectopy Type el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [08:00:00 29/03/2014] id: Eye Opening el: 0 cu: MICU-A cg: -1 v1: 4 Spontaneously st: NotStopd t0: [08:00:00 29/03/2014] id: GCS Total el: 0 cu: MICU-A cg: -1 v1: 10 u1: points st: NotStopd t0: [08:00:00 29/03/2014] id: GI Intub #1/Site el: 0 cu: MICU-A cg: -1 v1: Salem Sump v2: Left Nare st: NotStopd t0: [08:00:00 29/03/2014] id: GI#1 Tube PlaceCheck el: 0 cu: MICU-A cg: -1 v1: Done st: NotStopd t0: [08:00:00 29/03/2014] id: GI#1 Tube Stat/Drain el: 0 cu: MICU-A cg: -1 v1: Feeding v2: Undigested Food st: NotStopd t0: [08:00:00 29/03/2014] id: GU Catheter Size el: 0 cu: MICU-A cg: -1 v1: 14 French st: NotStopd t0: [08:00:00 29/03/2014] id: HOB el: 0 cu: MICU-A cg: -1 v1: 30 degrees st: NotStopd t0: [08:00:00 29/03/2014] id: Heart Rate el: 0 cu: MICU-A cg: -1 v1: 75 u1: BPM st: NotStopd t0: [08:00:00 29/03/2014] id: Heart Rhythm el: 0 cu: MICU-A cg: -1 v1: Normal Sinus st: NotStopd t0: [08:00:00 29/03/2014] id: INV Line#1 Type/Site el: 0 cu: MICU-A cg: -1 v1: Multi-lumen v2: Right Femoral st: NotStopd t0: [08:00:00 29/03/2014] id: INV Line#1InsertDate el: 0 cu: MICU-A cg: -1 v1: 3 v2: 12 st: NotStopd t0: [08:00:00 29/03/2014] id: INV Line#1SiteAppear el: 0 cu: MICU-A cg: -1 v1: WNL st: NotStopd t0: [08:00:00 29/03/2014] id: INV Line#2 Type/Site el: 0 cu: MICU-A cg: -1 v1: A-Line v2: Right Radial st: NotStopd t0: [08:00:00 29/03/2014] id: INV Line#2 Zero/Cal el: 0 cu: MICU-A cg: -1 v1: Yes st: NotStopd t0: [08:00:00 29/03/2014] id: INV Line#2InsertDate el: 0 cu: MICU-A cg: -1 v1: 3 v2: 12 st: NotStopd t0: [08:00:00 29/03/2014] id: INV Line#3 Type/Site el: 0 cu: MICU-A cg: -1 v1: Multi-lumen v2: Right IJ st: NotStopd t0: [08:00:00 29/03/2014] id: INV Line#3 Zero/Cal el: 0 cu: MICU-A cg: -1 v1: Yes st: NotStopd t0: [08:00:00 29/03/2014] id: INV Line#3InsertDate el: 0 cu: MICU-A cg: -1 v1: 3 v2: 12 st: NotStopd t0: [08:00:00 29/03/2014] id: INV Line#3SiteAppear el: 0 cu: MICU-A cg: -1 v1: WNL st: NotStopd t0: [08:00:00 29/03/2014] id: Abdominal Assessment el: 0 cu: MICU-A cg: -1 v1: Obese st: NotStopd t0: [08:00:00 29/03/2014] id: INV#2 WaveformAppear el: 0 cu: MICU-A cg: -1 v1: Sharp st: NotStopd t0: [08:00:00 29/03/2014] id: INV#3 WaveformAppear el: 0 cu: MICU-A cg: -1 v1: Sharp st: NotStopd t0: [08:00:00 29/03/2014] id: Activity el: 0 cu: MICU-A cg: -1 v1: Bedrest st: NotStopd t0: [08:00:00 29/03/2014] id: Activity Tolerance el: 0 cu: MICU-A cg: -1 v1: Fair st: NotStopd t0: [08:00:00 29/03/2014] id: ImpSkin Character #1 el: 0 cu: MICU-A cg: -1 v1: Hematoma st: NotStopd t0: [08:00:00 29/03/2014] id: ImpSkin Character #2 el: 0 cu: MICU-A cg: -1 v1: Rash st: NotStopd t0: [08:00:00 29/03/2014] id: ImpSkin Treatment #1 el: 0 cu: MICU-A cg: -1 v1: Open to Air st: NotStopd t0: [08:00:00 29/03/2014] id: ImpSkin Treatment #2 el: 0 cu: MICU-A cg: -1 v1: Open to Air st: NotStopd t0: [08:00:00 29/03/2014] id: Impaired Skin Site#1 el: 0 cu: MICU-A cg: -1 v1: Gluteal, Right st: NotStopd t0: [08:00:00 29/03/2014] id: Impaired Skin Site#2 el: 0 cu: MICU-A cg: -1 v1: Labia st: NotStopd t0: [08:00:00 29/03/2014] id: LLL Lung Sounds el: 0 cu: MICU-A cg: -1 v1: Diminished st: NotStopd t0: [08:00:00 29/03/2014] id: LUL Lung Sounds el: 0 cu: MICU-A cg: -1 v1: Clear st: NotStopd t0: [08:00:00 29/03/2014] id: Level of Conscious el: 0 cu: MICU-A cg: -1 v1: Arouse to Voice st: NotStopd t0: [08:00:00 29/03/2014] id: Motor Response el: 0 cu: MICU-A cg: -1 v1: 5 Localizes Pain st: NotStopd t0: [08:00:00 29/03/2014] id: Oral Cavity el: 0 cu: MICU-A cg: -1 v1: Teeth/Tissue WNL st: NotStopd t0: [08:00:00 29/03/2014] id: Orientation el: 0 cu: MICU-A cg: -1 v1: Other/Remarks st: NotStopd t0: [08:00:00 29/03/2014] id: AntiEmbDevice/Status el: 0 cu: MICU-A cg: -1 v1: Compress Sleeves v2: On st: NotStopd t0: [08:00:00 29/03/2014] id: Arterial BP el: 0 cu: MICU-A cg: -1 v1: 114 u1: mmHg v2: 60 u2: mmHg st: NotStopd t0: [08:00:00 29/03/2014] id: Pain Location el: 0 cu: MICU-A cg: -1 v1: Not Indicated st: NotStopd t0: [08:00:00 29/03/2014] id: Arterial BP Mean el: 0 cu: MICU-A cg: -1 v1: 79 u1: mmHg st: NotStopd t0: [08:00:00 29/03/2014] id: Position el: 0 cu: MICU-A cg: -1 v1: Right Side st: NotStopd t0: [08:00:00 29/03/2014] id: Position Change el: 0 cu: MICU-A cg: -1 v1: Done st: NotStopd t0: [08:00:00 29/03/2014] id: Assistance Device el: 0 cu: MICU-A cg: -1 v1: 2 Person Assist st: NotStopd t0: [08:00:00 29/03/2014] id: Precautions el: 0 cu: MICU-A cg: -1 v1: Universal st: NotStopd t0: [08:00:00 29/03/2014] id: RLL Lung Sounds el: 0 cu: MICU-A cg: -1 v1: Diminished st: NotStopd t0: [08:00:00 29/03/2014] id: RUL Lung Sounds el: 0 cu: MICU-A cg: -1 v1: Clear st: NotStopd t0: [08:00:00 29/03/2014] id: Reason For Restraint el: 0 cu: MICU-A cg: -1 v1: Ext/TXInterfere st: NotStopd t0: [08:00:00 29/03/2014] id: Removed x 5 Mins el: 0 cu: MICU-A cg: -1 v1: Done st: NotStopd t0: [08:00:00 29/03/2014] id: Respiratory Pattern el: 0 cu: MICU-A cg: -1 v1: Regular st: NotStopd t0: [08:00:00 29/03/2014] id: Respiratory Rate el: 0 cu: MICU-A cg: -1 v1: 25 u1: BPM st: NotStopd t0: [08:00:00 29/03/2014] id: Restraint Location el: 0 cu: MICU-A cg: -1 v1: Both Arms st: NotStopd t0: [08:00:00 29/03/2014] id: Restraint Type el: 0 cu: MICU-A cg: -1 v1: Soft Limb st: NotStopd t0: [08:00:00 29/03/2014] id: Restraints Evaluated el: 0 cu: MICU-A cg: -1 v1: RestraintReapply st: NotStopd t0: [08:00:00 29/03/2014] id: Side Rails el: 0 cu: MICU-A cg: -1 v1: Side Rails Up st: NotStopd t0: [08:00:00 29/03/2014] id: Skin Color el: 0 cu: MICU-A cg: -1 v1: Flushed st: NotStopd t0: [08:00:00 29/03/2014] id: Skin Integrity el: 0 cu: MICU-A cg: -1 v1: Impaired st: NotStopd t0: [08:00:00 29/03/2014] id: SpO2 el: 0 cu: MICU-A cg: -1 v1: 98 u1: % st: NotStopd t0: [08:00:00 29/03/2014] id: Sputum Color/Consist el: 0 cu: MICU-A cg: -1 v1: Blood Tinged v2: Plug st: NotStopd t0: [08:00:00 29/03/2014] id: Sputum Source/Amt el: 0 cu: MICU-A cg: -1 v1: Suctioned v2: Small st: NotStopd t0: [08:00:00 29/03/2014] id: Stool Color/Consist el: 0 cu: MICU-A cg: -1 v1: Brown v2: Liquid st: NotStopd t0: [08:00:00 29/03/2014] id: Support Systems el: 0 cu: MICU-A cg: -1 v1: Spouse st: NotStopd t0: [08:00:00 29/03/2014] id: Temp. Site el: 0 cu: MICU-A cg: -1 v1: Axillary st: NotStopd t0: [08:00:00 29/03/2014] id: Temperature C (calc) el: 0 cu: MICU-A cg: -1 v1: 37.1111 u1: Deg. C st: NotStopd t0: [08:00:00 29/03/2014] id: Temperature F el: 0 cu: MICU-A cg: -1 v1: 98.8 u1: Deg. F st: NotStopd t0: [08:00:00 29/03/2014] id: Turn el: 0 cu: MICU-A cg: -1 v1: Right Side st: NotStopd t0: [08:00:00 29/03/2014] id: Urine Color/Appear el: 0 cu: MICU-A cg: -1 v1: Yellow v2: Sediment st: NotStopd t0: [08:00:00 29/03/2014] id: Urine Source el: 0 cu: MICU-A cg: -1 v1: Indwelling Cath st: NotStopd t0: [08:00:00 29/03/2014] id: Verbal Response el: 0 cu: MICU-A cg: -1 v1: 1.0 ET/Trach st: NotStopd t0: [08:00:00 29/03/2014] id: calprevflg el: 0 cu: MICU-A cg: -1 v1: 1 u1: kg st: NotStopd t0: [08:00:00 29/03/2014] id: Behavior el: 0 cu: MICU-A cg: -1 v1: Anxious st: NotStopd t0: [08:00:00 29/03/2014] id: Bowel Sounds el: 0 cu: MICU-A cg: -1 v1: Present st: NotStopd t0: [08:00:00 29/03/2014] id: Braden Activity el: 0 cu: MICU-A cg: -1 v1: Bedfast st: NotStopd t0: [08:00:00 29/03/2014] id: Braden Frict/Shear el: 0 cu: MICU-A cg: -1 v1: Potential Prob st: NotStopd t0: [08:00:00 29/03/2014] id: Braden Mobility el: 0 cu: MICU-A cg: -1 v1: Very Limited st: NotStopd t0: [08:00:00 29/03/2014] id: Braden Moisture el: 0 cu: MICU-A cg: -1 v1: Occ. Moist st: NotStopd t0: [08:00:00 29/03/2014] id: Braden Nutrition el: 0 cu: MICU-A cg: -1 v1: Prob. Inadequate st: NotStopd t0: [08:00:00 29/03/2014] id: Braden Score el: 0 cu: MICU-A cg: -1 v1: 12 u1: number st: NotStopd t0: [08:00:00 29/03/2014] id: Braden SensoryPercep el: 0 cu: MICU-A cg: -1 v1: Very Limited st: NotStopd
t0: [07:00:00 29/03/2014] id: xigris Free Form Intake el: 1 cu: MICU-A cg: -1 vo: 8.4 vu: ml t0: [08:00:00 29/03/2014] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 6 vu: ml t0: [08:00:00 29/03/2014] id: D5W 250.0ml + 4mcgkgmin Levophed-k IV Infusions el: 1 cu: MICU-A cg: -1 ai: 189 vo: 10.2 vu: ml t0: [08:00:00 29/03/2014] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU-A cg: -1 ai: 416 vo: 10 vu: ml t0: [08:00:00 29/03/2014] id: IV Piggyback 100.0ml IV Infusions el: 1 cu: MICU-A cg: -1 ai: 105 vo: 50 vu: ml t0: [08:00:00 29/03/2014] id: Promote w/fiber Tube Feeding el: 1 cu: MICU-A cg: -1 ai: 107 vo: 130 vu: ml t0: [08:00:00 29/03/2014] id: Urine Out Foley el: 1 cu: MICU-A cg: -1 vo: 40 vu: ml t0: [08:00:00 29/03/2014] id: xigris Free Form Intake el: 1 cu: MICU-A cg: -1 vo: 8.4 vu: ml
t0: [07:00:00 29/03/2014] id: Fentanyl el: 1 cu: MICU-A so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 250 su: ml rt: IV Drip t0: [07:00:00 29/03/2014] id: Levophed-k el: 1 cu: MICU-A so: D5W vo: 0 v1: 0.0151279 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [07:00:00 29/03/2014] id: Ativan el: 1 cu: MICU-A so: D5W vo: 0 v1: 3 du: mghr sv: 60 su: ml rt: IV Drip t0: [08:00:00 29/03/2014] id: Fentanyl el: 1 cu: MICU-A so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 250 su: ml rt: IV Drip t0: [08:00:00 29/03/2014] id: Levophed-k el: 1 cu: MICU-A so: D5W vo: 0 v1: 0.0151279 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [08:00:00 29/03/2014] id: Ativan el: 1 cu: MICU-A so: D5W vo: 0 v1: 3 du: mghr sv: 60 su: ml rt: IV Drip
t0: [08:00:00 29/03/2014] id: Compliance (40-60ml) el: 0 cu: MICU-A cg: -1 v1: 17.8571 u1: ml/cmH st: NotStopd t0: [08:00:00 29/03/2014] id: ETT Mark/Location el: 0 cu: MICU-A cg: -1 v1: 23cm v2: Lip st: NotStopd t0: [08:00:00 29/03/2014] id: FiO2 Set el: 0 cu: MICU-A cg: -1 v1: 0.3 u1: torr st: NotStopd t0: [08:00:00 29/03/2014] id: High Insp. Pressure el: 0 cu: MICU-A cg: -1 v1: 55 u1: cmH2O st: NotStopd t0: [08:00:00 29/03/2014] id: High Resp. Rate el: 0 cu: MICU-A cg: -1 v1: 35 u1: BPM st: NotStopd t0: [08:00:00 29/03/2014] id: I:E Ratio el: 0 cu: MICU-A cg: -1 v1: 1:3.1 st: NotStopd t0: [08:00:00 29/03/2014] id: Airway Size el: 0 cu: MICU-A cg: -1 v1: 7.5 mm st: NotStopd t0: [08:00:00 29/03/2014] id: Airway Type el: 0 cu: MICU-A cg: -1 v1: Endotracheal st: NotStopd t0: [08:00:00 29/03/2014] id: Inspired Gas Temp el: 0 cu: MICU-A cg: -1 v1: 34.5 u1: Deg. C st: NotStopd t0: [08:00:00 29/03/2014] id: Intubation Date el: 0 cu: MICU-A cg: -1 v1: 3 v2: 12 st: NotStopd t0: [08:00:00 29/03/2014] id: Low Exhaled Min Vol el: 0 cu: MICU-A cg: -1 v1: 8 st: NotStopd t0: [08:00:00 29/03/2014] id: Low Insp. Pressure el: 0 cu: MICU-A cg: -1 v1: 20 u1: cmH2O st: NotStopd t0: [08:00:00 29/03/2014] id: Mean Airway Pressure el: 0 cu: MICU-A cg: -1 v1: 26.3 u1: cmH2O st: NotStopd t0: [08:00:00 29/03/2014] id: Minute Volume(Obser) el: 0 cu: MICU-A cg: -1 v1: 12.8 u1: L/min st: NotStopd t0: [08:00:00 29/03/2014] id: PEEP Set el: 0 cu: MICU-A cg: -1 v1: 17.5 u1: cmH2O st: NotStopd t0: [08:00:00 29/03/2014] id: Apnea Time Interval el: 0 cu: MICU-A cg: -1 v1: 20 st: NotStopd t0: [08:00:00 29/03/2014] id: Peak Flow el: 0 cu: MICU-A cg: -1 v1: 55 u1: L/m st: NotStopd t0: [08:00:00 29/03/2014] id: Peak Insp. Pressure el: 0 cu: MICU-A cg: -1 v1: 42.7 u1: cmH2O st: NotStopd t0: [08:00:00 29/03/2014] id: Plateau Pressure el: 0 cu: MICU-A cg: -1 v1: 31 u1: cmH2O st: NotStopd t0: [08:00:00 29/03/2014] id: Plateau-Off el: 0 cu: MICU-A cg: -1 v1: Yes st: NotStopd t0: [08:00:00 29/03/2014] id: Pressure Support el: 0 cu: MICU-A cg: -1 v1: 0 u1: . st: NotStopd t0: [08:00:00 29/03/2014] id: Resp Rate (Spont) el: 0 cu: MICU-A cg: -1 v1: 7 u1: BPM st: NotStopd t0: [08:00:00 29/03/2014] id: Resp Rate (Total) el: 0 cu: MICU-A cg: -1 v1: 27 u1: BPM st: NotStopd t0: [08:00:00 29/03/2014] id: Respiratory Rate Set el: 0 cu: MICU-A cg: -1 v1: 20 u1: BPM st: NotStopd t0: [08:00:00 29/03/2014] id: Sensitivity-Vent el: 0 cu: MICU-A cg: -1 v1: 2 u1: cmH2O st: NotStopd t0: [08:00:00 29/03/2014] id: Tidal Volume (Obser) el: 0 cu: MICU-A cg: -1 v1: 460 u1: ml/B st: NotStopd t0: [08:00:00 29/03/2014] id: Tidal Volume (Set) el: 0 cu: MICU-A cg: -1 v1: 450 u1: ml/B st: NotStopd t0: [08:00:00 29/03/2014] id: Ventilator Mode el: 0 cu: MICU-A cg: -1 v1: Assist Control st: NotStopd t0: [08:00:00 29/03/2014] id: Ventilator No. el: 0 cu: MICU-A cg: -1 v1: 6 u1: # st: NotStopd t0: [08:00:00 29/03/2014] id: Ventilator Type el: 0 cu: MICU-A cg: -1 v1: 7200A st: NotStopd t0: [08:00:00 29/03/2014] id: Waveform-Vent el: 0 cu: MICU-A cg: -1 v1: SQUARE st: NotStopd
t0: [09:00:00 29/03/2014] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [09:00:00 29/03/2014] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [09:00:00 29/03/2014] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [09:00:00 29/03/2014] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [09:00:00 29/03/2014] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 76 u1: BPM st: NotStopd t0: [09:00:00 29/03/2014] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [09:00:00 29/03/2014] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 117 u1: mmHg v2: 62 u2: mmHg st: NotStopd t0: [09:00:00 29/03/2014] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 81 u1: mmHg st: NotStopd t0: [09:00:00 29/03/2014] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [09:00:00 29/03/2014] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 21 u1: BPM st: NotStopd t0: [09:00:00 29/03/2014] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 97 u1: % st: NotStopd t0: [09:00:00 29/03/2014] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [10:00:00 29/03/2014] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [10:00:00 29/03/2014] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [10:00:00 29/03/2014] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [10:00:00 29/03/2014] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [10:00:00 29/03/2014] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 74 u1: BPM st: NotStopd t0: [10:00:00 29/03/2014] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [10:00:00 29/03/2014] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 116 u1: mmHg v2: 63 u2: mmHg st: NotStopd t0: [10:00:00 29/03/2014] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 82 u1: mmHg st: NotStopd t0: [10:00:00 29/03/2014] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [10:00:00 29/03/2014] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 21 u1: BPM st: NotStopd t0: [10:00:00 29/03/2014] id: Significant Events el: 0 cu: MICU-A cg: RN st: NotStopd t0: [10:00:00 29/03/2014] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 97 u1: % st: NotStopd t0: [10:00:00 29/03/2014] id: Temp. Site el: 0 cu: MICU-A cg: RN v1: Oral st: NotStopd t0: [10:00:00 29/03/2014] id: Temperature C (calc) el: 0 cu: MICU-A cg: RN v1: 38.3333 u1: Deg. C st: NotStopd t0: [10:00:00 29/03/2014] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [08:00:00 29/03/2014] id: TF Residual Gastric/TF Residual el: 1 cu: MICU-A cg: RN ai: 107 vo: 0 vu: ml t0: [08:00:00 29/03/2014] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 0 vu: ml nb: 1 t0: [09:00:00 29/03/2014] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 3 vu: ml t0: [09:00:00 29/03/2014] id: D5W 250.0ml + 4mcgkgmin Levophed-k IV Infusions el: 1 cu: MICU-A cg: RN ai: 189 vo: 5.1 vu: ml t0: [09:00:00 29/03/2014] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU-A cg: RN ai: 416 vo: 5 vu: ml t0: [09:00:00 29/03/2014] id: Promote w/fiber Tube Feeding el: 1 cu: MICU-A cg: RN ai: 107 vo: 65 vu: ml t0: [09:00:00 29/03/2014] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 85 vu: ml t0: [09:00:00 29/03/2014] id: xigris Free Form Intake el: 1 cu: MICU-A cg: RN vo: 8.4 vu: ml t0: [10:00:00 29/03/2014] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 3 vu: ml t0: [10:00:00 29/03/2014] id: D5W 250.0ml + 4mcgkgmin Levophed-k IV Infusions el: 1 cu: MICU-A cg: RN ai: 189 vo: 5.1 vu: ml t0: [10:00:00 29/03/2014] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU-A cg: RN ai: 416 vo: 5 vu: ml t0: [10:00:00 29/03/2014] id: Promote w/fiber Tube Feeding el: 1 cu: MICU-A cg: RN ai: 107 vo: 65 vu: ml t0: [10:00:00 29/03/2014] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 40 vu: ml t0: [10:00:00 29/03/2014] id: xigris Free Form Intake el: 1 cu: MICU-A cg: RN vo: 8.4 vu: ml
t0: [09:00:00 29/03/2014] 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: [09:00:00 29/03/2014] id: Levophed-k el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 0.0151279 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [09:00:00 29/03/2014] id: Ativan el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 3 du: mghr sv: 60 su: ml rt: IV Drip t0: [10:00:00 29/03/2014] 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: [10:00:00 29/03/2014] id: Levophed-k el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 0.0151279 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [10:00:00 29/03/2014] id: Ativan el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 3 du: mghr sv: 60 su: ml rt: IV Drip
t0: [10:00:00 29/03/2014] id: ETT Position Change el: 0 cu: MICU-A cg: -1 v1: Done st: NotStopd t0: [10:00:00 29/03/2014] id: Temperature F el: 0 cu: MICU-A cg: -1 v1: 101 u1: Deg. F st: NotStopd
t0: [10:00:00 29/03/2014] id: Gastric Meds PO/Gastric el: 1 cu: MICU-A cg: -1 ai: 155 vo: 40 vu: ml
t0: [10:00:00 29/03/2014] id: Eye Care el: 0 cu: MICU-A cg: -1 v1: Done st: NotStopd t0: [10:00:00 29/03/2014] id: Oral Care el: 0 cu: MICU-A cg: -1 v1: Done st: NotStopd
t0: [10:30:00 29/03/2014] id: IV Piggyback 100.0ml IV Infusions el: 1 cu: MICU-A cg: -1 ai: 105 vo: 1000 vu: ml
t0: [11:00:00 29/03/2014] id: Service Type el: 0 cu: MICU-A cg: -1 v1: MICU st: NotStopd t0: [11:00:00 29/03/2014] id: Code Status el: 0 cu: MICU-A cg: -1 v1: Full Code st: NotStopd t0: [11:00:00 29/03/2014] id: Ectopy Frequency el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [11:00:00 29/03/2014] id: Ectopy Type el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [11:00:00 29/03/2014] id: Heart Rate el: 0 cu: MICU-A cg: -1 v1: 75 u1: BPM st: NotStopd t0: [11:00:00 29/03/2014] id: Heart Rhythm el: 0 cu: MICU-A cg: -1 v1: Normal Sinus st: NotStopd t0: [11:00:00 29/03/2014] id: Arterial BP el: 0 cu: MICU-A cg: -1 v1: 112 u1: mmHg v2: 60 u2: mmHg st: NotStopd t0: [11:00:00 29/03/2014] id: Arterial BP Mean el: 0 cu: MICU-A cg: -1 v1: 80 u1: mmHg st: NotStopd t0: [11:00:00 29/03/2014] id: Precautions el: 0 cu: MICU-A cg: -1 v1: Universal st: NotStopd t0: [11:00:00 29/03/2014] id: Respiratory Rate el: 0 cu: MICU-A cg: -1 v1: 26 u1: BPM st: NotStopd t0: [11:00:00 29/03/2014] id: SpO2 el: 0 cu: MICU-A cg: -1 v1: 98 u1: % st: NotStopd t0: [11:00:00 29/03/2014] id: calprevflg el: 0 cu: MICU-A cg: -1 v1: 1 u1: kg st: NotStopd
t0: [09:00:00 29/03/2014] tf: [13:18:00 10/04/2014] dt: 17538 id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 10 vu: ml t0: [10:00:00 29/03/2014] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 10 vu: ml t0: [11:00:00 29/03/2014] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 10 vu: ml t0: [11:00:00 29/03/2014] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 3 vu: ml t0: [11:00:00 29/03/2014] id: D5W 250.0ml + 4mcgkgmin Levophed-k IV Infusions el: 1 cu: MICU-A cg: -1 ai: 189 vo: 5.1 vu: ml t0: [11:00:00 29/03/2014] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU-A cg: -1 ai: 416 vo: 5 vu: ml t0: [11:00:00 29/03/2014] id: Promote w/fiber Tube Feeding el: 1 cu: MICU-A cg: -1 ai: 107 vo: 65 vu: ml t0: [11:00:00 29/03/2014] id: Urine Out Foley el: 1 cu: MICU-A cg: -1 vo: 70 vu: ml t0: [11:00:00 29/03/2014] id: xigris Free Form Intake el: 1 cu: MICU-A cg: -1 vo: 8.4 vu: ml
t0: [11:00:00 29/03/2014] id: Fentanyl el: 1 cu: MICU-A so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 250 su: ml rt: IV Drip t0: [11:00:00 29/03/2014] id: Levophed-k el: 1 cu: MICU-A so: D5W vo: 0 v1: 0.0151279 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [11:00:00 29/03/2014] id: Ativan el: 1 cu: MICU-A so: D5W vo: 0 v1: 3 du: mghr sv: 60 su: ml rt: IV Drip
id: Dopamine el: 100 cu: MICU-A cg: RN io: D5W 250.0ml + 400mcgkgmin Dopamine IV Infusions am: 400 du: mcgkgmin rt: IV Drip
tf: [09:00:00 04/04/2014] pt: IV Piggyback rt: IV DRIP fr: TITRATE TO m1: DopAmine f1: BAG v1: 400 u1: mg m2: D5W f2: INJ v2: 250 u2: ml
id: D5W el: 1 cu: MICU-A cg: RN io: D5W 250.0ml + 400mcgkgmin Dopamine IV Infusions vo: 250 du: ml rt: Intravenous Push
t0: [12:00:00 29/03/2014] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [12:00:00 29/03/2014] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [12:00:00 29/03/2014] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [12:00:00 29/03/2014] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [12:00:00 29/03/2014] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 75 u1: BPM st: NotStopd t0: [12:00:00 29/03/2014] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [12:00:00 29/03/2014] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 124 u1: mmHg v2: 62 u2: mmHg st: NotStopd t0: [12:00:00 29/03/2014] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 82 u1: mmHg st: NotStopd t0: [12:00:00 29/03/2014] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [12:00:00 29/03/2014] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 23 u1: BPM st: NotStopd t0: [12:00:00 29/03/2014] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 95 u1: % st: NotStopd t0: [12:00:00 29/03/2014] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [12:00:00 29/03/2014] 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 29/03/2014] id: D5W 250.0ml + 400mcgkgmin Dopamine IV Infusions el: 1 cu: MICU-A cg: RN ai: 115 vo: 0 vu: ml nb: 1 t0: [12:00:00 29/03/2014] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 3 vu: ml t0: [12:00:00 29/03/2014] id: D5W 250.0ml + 4mcgkgmin Levophed-k IV Infusions el: 1 cu: MICU-A cg: RN ai: 189 vo: 5.1 vu: ml st: Stopped t0: [12:00:00 29/03/2014] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU-A cg: RN ai: 416 vo: 5 vu: ml t0: [12:00:00 29/03/2014] id: Promote w/fiber Tube Feeding el: 1 cu: MICU-A cg: RN ai: 107 vo: 65 vu: ml t0: [12:00:00 29/03/2014] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 60 vu: ml t0: [12:00:00 29/03/2014] id: xigris Free Form Intake el: 1 cu: MICU-A cg: RN vo: 8.4 vu: ml
t0: [12:00:00 29/03/2014] 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: [12:00:00 29/03/2014] id: Ativan el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 3 du: mghr sv: 60 su: ml rt: IV Drip
t0: [12:00:00 29/03/2014] id: Less Restrict Meas. el: 0 cu: MICU-A cg: -1 v1: Medicated st: NotStopd t0: [12:00:00 29/03/2014] id: Pain Present el: 0 cu: MICU-A cg: -1 v1: Other/Remarks st: NotStopd t0: [12:00:00 29/03/2014] id: Circulation/SkinInt el: 0 cu: MICU-A cg: -1 v1: Circulation Adeq st: NotStopd t0: [12:00:00 29/03/2014] id: Riker-SAS Scale el: 0 cu: MICU-A cg: -1 v1: Sedated st: NotStopd t0: [12:00:00 29/03/2014] id: Daily Wake Up el: 0 cu: MICU-A cg: -1 v1: No st: NotStopd t0: [12:00:00 29/03/2014] id: GI Prophylaxis el: 0 cu: MICU-A cg: -1 v1: H2 Blocker st: NotStopd t0: [12:00:00 29/03/2014] id: Diet Type el: 0 cu: MICU-A cg: -1 v1: Tube Feeding st: NotStopd t0: [12:00:00 29/03/2014] id: Eye Care el: 0 cu: MICU-A cg: -1 v1: Done st: NotStopd t0: [12:00:00 29/03/2014] id: Eye Opening el: 0 cu: MICU-A cg: -1 v1: 3 To speech st: NotStopd t0: [12:00:00 29/03/2014] id: Family Communication el: 0 cu: MICU-A cg: -1 v1: Family Visited st: NotStopd t0: [12:00:00 29/03/2014] id: GCS Total el: 0 cu: MICU-A cg: -1 v1: 9 u1: points st: NotStopd t0: [12:00:00 29/03/2014] id: GI Guaiac/ph el: 0 cu: MICU-A cg: -1 v1: Negative st: NotStopd t0: [12:00:00 29/03/2014] id: GI Intub #1/Site el: 0 cu: MICU-A cg: -1 v1: Salem Sump v2: Left Nare st: NotStopd t0: [12:00:00 29/03/2014] id: GI#1 Tube Stat/Drain el: 0 cu: MICU-A cg: -1 v1: Feeding st: NotStopd t0: [12:00:00 29/03/2014] id: GU Catheter Size el: 0 cu: MICU-A cg: -1 v1: 14 French st: NotStopd t0: [12:00:00 29/03/2014] id: HOB el: 0 cu: MICU-A cg: -1 v1: 30 degrees st: NotStopd t0: [12:00:00 29/03/2014] id: INV Line#1 Type/Site el: 0 cu: MICU-A cg: -1 v1: Multi-lumen v2: Right Femoral st: NotStopd t0: [12:00:00 29/03/2014] id: INV Line#1InsertDate el: 0 cu: MICU-A cg: -1 v1: 3 v2: 12 st: NotStopd t0: [12:00:00 29/03/2014] id: INV Line#1SiteAppear el: 0 cu: MICU-A cg: -1 v1: WNL st: NotStopd t0: [12:00:00 29/03/2014] id: INV Line#2 Type/Site el: 0 cu: MICU-A cg: -1 v1: A-Line v2: Right Radial st: NotStopd t0: [12:00:00 29/03/2014] id: INV Line#2InsertDate el: 0 cu: MICU-A cg: -1 v1: 3 v2: 12 st: NotStopd t0: [12:00:00 29/03/2014] id: INV Line#3 Type/Site el: 0 cu: MICU-A cg: -1 v1: Multi-lumen v2: Right IJ st: NotStopd t0: [12:00:00 29/03/2014] id: INV Line#3InsertDate el: 0 cu: MICU-A cg: -1 v1: 3 v2: 12 st: NotStopd t0: [12:00:00 29/03/2014] id: INV Line#3SiteAppear el: 0 cu: MICU-A cg: -1 v1: WNL st: NotStopd t0: [12:00:00 29/03/2014] id: Abdominal Assessment el: 0 cu: MICU-A cg: -1 v1: Obese st: NotStopd t0: [12:00:00 29/03/2014] id: INV#2 WaveformAppear el: 0 cu: MICU-A cg: -1 v1: Sharp st: NotStopd t0: [12:00:00 29/03/2014] id: INV#3 WaveformAppear el: 0 cu: MICU-A cg: -1 v1: Sharp st: NotStopd t0: [12:00:00 29/03/2014] id: Activity el: 0 cu: MICU-A cg: -1 v1: Bedrest st: NotStopd t0: [12:00:00 29/03/2014] id: Activity Tolerance el: 0 cu: MICU-A cg: -1 v1: Fair st: NotStopd t0: [12:00:00 29/03/2014] id: Imp Skin Cleanse #2 el: 0 cu: MICU-A cg: -1 v1: Soap & H20 st: NotStopd t0: [12:00:00 29/03/2014] id: ImpSkin Character #1 el: 0 cu: MICU-A cg: -1 v1: Hematoma st: NotStopd t0: [12:00:00 29/03/2014] id: ImpSkin Character #2 el: 0 cu: MICU-A cg: -1 v1: Rash st: NotStopd t0: [12:00:00 29/03/2014] id: ImpSkin Treatment #1 el: 0 cu: MICU-A cg: -1 v1: Open to Air st: NotStopd t0: [12:00:00 29/03/2014] id: ImpSkin Treatment #2 el: 0 cu: MICU-A cg: -1 v1: Open to Air st: NotStopd t0: [12:00:00 29/03/2014] id: Impaired Skin Site#1 el: 0 cu: MICU-A cg: -1 v1: Gluteal, Right st: NotStopd t0: [12:00:00 29/03/2014] id: Impaired Skin Site#2 el: 0 cu: MICU-A cg: -1 v1: Labia st: NotStopd t0: [12:00:00 29/03/2014] id: LLL Lung Sounds el: 0 cu: MICU-A cg: -1 v1: Diminished st: NotStopd t0: [12:00:00 29/03/2014] id: LUL Lung Sounds el: 0 cu: MICU-A cg: -1 v1: Clear st: NotStopd t0: [12:00:00 29/03/2014] id: Level of Conscious el: 0 cu: MICU-A cg: -1 v1: Arouse to Voice st: NotStopd t0: [12:00:00 29/03/2014] id: Motor Response el: 0 cu: MICU-A cg: -1 v1: 5 Localizes Pain st: NotStopd t0: [12:00:00 29/03/2014] id: Oral Cavity el: 0 cu: MICU-A cg: -1 v1: Teeth/Tissue WNL st: NotStopd t0: [12:00:00 29/03/2014] id: Orientation el: 0 cu: MICU-A cg: -1 v1: Other/Remarks st: NotStopd t0: [12:00:00 29/03/2014] id: AntiEmbDevice/Status el: 0 cu: MICU-A cg: -1 v1: Compress Sleeves v2: On st: NotStopd t0: [12:00:00 29/03/2014] id: Pain Location el: 0 cu: MICU-A cg: -1 v1: Not Indicated st: NotStopd t0: [12:00:00 29/03/2014] id: Position el: 0 cu: MICU-A cg: -1 v1: Supine st: NotStopd t0: [12:00:00 29/03/2014] id: Position Change el: 0 cu: MICU-A cg: -1 v1: Done st: NotStopd t0: [12:00:00 29/03/2014] id: Assistance Device el: 0 cu: MICU-A cg: -1 v1: 2 Person Assist st: NotStopd t0: [12:00:00 29/03/2014] id: RLL Lung Sounds el: 0 cu: MICU-A cg: -1 v1: Diminished st: NotStopd t0: [12:00:00 29/03/2014] id: RUL Lung Sounds el: 0 cu: MICU-A cg: -1 v1: Clear st: NotStopd t0: [12:00:00 29/03/2014] id: Reason For Restraint el: 0 cu: MICU-A cg: -1 v1: Ext/TXInterfere st: NotStopd t0: [12:00:00 29/03/2014] id: Respiratory Pattern el: 0 cu: MICU-A cg: -1 v1: Regular st: NotStopd t0: [12:00:00 29/03/2014] id: Restraint Location el: 0 cu: MICU-A cg: -1 v1: Both Arms st: NotStopd t0: [12:00:00 29/03/2014] id: Restraint Type el: 0 cu: MICU-A cg: -1 v1: Soft Limb st: NotStopd t0: [12:00:00 29/03/2014] id: Restraints Evaluated el: 0 cu: MICU-A cg: -1 v1: RestraintReapply st: NotStopd t0: [12:00:00 29/03/2014] id: Side Rails el: 0 cu: MICU-A cg: -1 v1: Side Rails Up st: NotStopd t0: [12:00:00 29/03/2014] id: Skin Integrity el: 0 cu: MICU-A cg: -1 v1: Impaired st: NotStopd t0: [12:00:00 29/03/2014] id: Stool Color/Consist el: 0 cu: MICU-A cg: -1 v1: Brown v2: Liquid st: NotStopd t0: [12:00:00 29/03/2014] id: Support Systems el: 0 cu: MICU-A cg: -1 v1: Spouse st: NotStopd t0: [12:00:00 29/03/2014] id: Temp. Site el: 0 cu: MICU-A cg: -1 v1: Oral st: NotStopd t0: [12:00:00 29/03/2014] id: Temperature C (calc) el: 0 cu: MICU-A cg: -1 v1: 38.2222 u1: Deg. C st: NotStopd t0: [12:00:00 29/03/2014] id: Temperature F el: 0 cu: MICU-A cg: -1 v1: 100.8 u1: Deg. F st: NotStopd t0: [12:00:00 29/03/2014] id: Turn el: 0 cu: MICU-A cg: -1 v1: Back st: NotStopd t0: [12:00:00 29/03/2014] id: Urine Color/Appear el: 0 cu: MICU-A cg: -1 v1: Yellow v2: Sediment st: NotStopd t0: [12:00:00 29/03/2014] id: Urine Source el: 0 cu: MICU-A cg: -1 v1: Indwelling Cath st: NotStopd t0: [12:00:00 29/03/2014] id: Verbal Response el: 0 cu: MICU-A cg: -1 v1: 1.0 ET/Trach st: NotStopd t0: [12:00:00 29/03/2014] id: Bowel Sounds el: 0 cu: MICU-A cg: -1 v1: Present st: NotStopd t0: [12:00:00 29/03/2014] id: Braden Activity el: 0 cu: MICU-A cg: -1 v1: Bedfast st: NotStopd t0: [12:00:00 29/03/2014] id: Braden Frict/Shear el: 0 cu: MICU-A cg: -1 v1: Potential Prob st: NotStopd t0: [12:00:00 29/03/2014] id: Braden Mobility el: 0 cu: MICU-A cg: -1 v1: Very Limited st: NotStopd t0: [12:00:00 29/03/2014] id: Braden Moisture el: 0 cu: MICU-A cg: -1 v1: Occ. Moist st: NotStopd t0: [12:00:00 29/03/2014] id: Braden Nutrition el: 0 cu: MICU-A cg: -1 v1: Prob. Inadequate st: NotStopd t0: [12:00:00 29/03/2014] id: Braden Score el: 0 cu: MICU-A cg: -1 v1: 12 u1: number st: NotStopd t0: [12:00:00 29/03/2014] id: Braden SensoryPercep el: 0 cu: MICU-A cg: -1 v1: Very Limited st: NotStopd
t0: [12:00:00 29/03/2014] id: Compliance (40-60ml) el: 0 cu: MICU-A cg: -1 v1: 17.3745 u1: ml/cmH st: NotStopd t0: [12:00:00 29/03/2014] id: ETT Mark/Location el: 0 cu: MICU-A cg: -1 v1: 23cm v2: Lip st: NotStopd t0: [12:00:00 29/03/2014] id: FiO2 Set el: 0 cu: MICU-A cg: -1 v1: 0.3 u1: torr st: NotStopd t0: [12:00:00 29/03/2014] id: High Insp. Pressure el: 0 cu: MICU-A cg: -1 v1: 55 u1: cmH2O st: NotStopd t0: [12:00:00 29/03/2014] id: High Resp. Rate el: 0 cu: MICU-A cg: -1 v1: 35 u1: BPM st: NotStopd t0: [12:00:00 29/03/2014] id: I:E Ratio el: 0 cu: MICU-A cg: -1 v1: 1:3.8 st: NotStopd t0: [12:00:00 29/03/2014] id: Airway Size el: 0 cu: MICU-A cg: -1 v1: 7.5 mm st: NotStopd t0: [12:00:00 29/03/2014] id: Airway Type el: 0 cu: MICU-A cg: -1 v1: Endotracheal st: NotStopd t0: [12:00:00 29/03/2014] id: Inspired Gas Temp el: 0 cu: MICU-A cg: -1 v1: 34.4 u1: Deg. C st: NotStopd t0: [12:00:00 29/03/2014] id: Intubation Date el: 0 cu: MICU-A cg: -1 v1: 3 v2: 12 st: NotStopd t0: [12:00:00 29/03/2014] id: Low Exhaled Min Vol el: 0 cu: MICU-A cg: -1 v1: 8 st: NotStopd t0: [12:00:00 29/03/2014] id: Low Insp. Pressure el: 0 cu: MICU-A cg: -1 v1: 20 u1: cmH2O st: NotStopd t0: [12:00:00 29/03/2014] id: Mean Airway Pressure el: 0 cu: MICU-A cg: -1 v1: 21.5 u1: cmH2O st: NotStopd t0: [12:00:00 29/03/2014] id: Minute Volume(Obser) el: 0 cu: MICU-A cg: -1 v1: 11.4 u1: L/min st: NotStopd t0: [12:00:00 29/03/2014] id: PEEP Set el: 0 cu: MICU-A cg: -1 v1: 17.5 u1: cmH2O st: NotStopd t0: [12:00:00 29/03/2014] id: Apnea Time Interval el: 0 cu: MICU-A cg: -1 v1: 20 st: NotStopd t0: [12:00:00 29/03/2014] id: Peak Flow el: 0 cu: MICU-A cg: -1 v1: 55 u1: L/m st: NotStopd t0: [12:00:00 29/03/2014] id: Peak Insp. Pressure el: 0 cu: MICU-A cg: -1 v1: 43.4 u1: cmH2O st: NotStopd t0: [12:00:00 29/03/2014] id: Plateau Pressure el: 0 cu: MICU-A cg: -1 v1: 31 u1: cmH2O st: NotStopd t0: [12:00:00 29/03/2014] id: Plateau-Off el: 0 cu: MICU-A cg: -1 v1: Yes st: NotStopd t0: [12:00:00 29/03/2014] id: Pressure Support el: 0 cu: MICU-A cg: -1 v1: 0 u1: . st: NotStopd t0: [12:00:00 29/03/2014] id: Resp Rate (Spont) el: 0 cu: MICU-A cg: -1 v1: 4 u1: BPM st: NotStopd t0: [12:00:00 29/03/2014] id: Resp Rate (Total) el: 0 cu: MICU-A cg: -1 v1: 24 u1: BPM st: NotStopd t0: [12:00:00 29/03/2014] id: Respiratory Rate Set el: 0 cu: MICU-A cg: -1 v1: 20 u1: BPM st: NotStopd t0: [12:00:00 29/03/2014] id: Sensitivity-Vent el: 0 cu: MICU-A cg: -1 v1: 2 u1: cmH2O st: NotStopd t0: [12:00:00 29/03/2014] id: Tidal Volume (Obser) el: 0 cu: MICU-A cg: -1 v1: 460 u1: ml/B st: NotStopd t0: [12:00:00 29/03/2014] id: Tidal Volume (Set) el: 0 cu: MICU-A cg: -1 v1: 450 u1: ml/B st: NotStopd t0: [12:00:00 29/03/2014] id: Ventilator Mode el: 0 cu: MICU-A cg: -1 v1: Assist Control st: NotStopd t0: [12:00:00 29/03/2014] id: Ventilator No. el: 0 cu: MICU-A cg: -1 v1: 6 u1: # st: NotStopd t0: [12:00:00 29/03/2014] id: Ventilator Type el: 0 cu: MICU-A cg: -1 v1: 7200A st: NotStopd t0: [12:00:00 29/03/2014] id: Waveform-Vent el: 0 cu: MICU-A cg: -1 v1: SQUARE st: NotStopd
t0: [12:00:00 29/03/2014] id: Gastric Meds PO/Gastric el: 1 cu: MICU-A cg: -1 ai: 155 vo: 50 vu: ml
t0: [12:00:00 29/03/2014] tf: [10:00:00 31/03/2014] dt: 2760 id: Dopamine el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 2 du: mcgkgmin sv: 250 su: ml rt: IV Drip
t0: [03:45:00 29/03/2014] id: Total Bili (0-1.5) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 0.2 rs: Final st: NotStopd
tf: [12:00:00 30/03/2014] pt: IV Piggyback rt: IV fr: ONCE fs: 14 dn: 1 m1: Potassium Phosphate f1: INJ v1: 30 u1: mmol m2: NS f2: INJ v2: 250 u2: ml
t0: [11:00:00 29/03/2014] id: CVP el: 0 cu: MICU-A cg: RN u1: mmHg st: NotStopd t0: [12:00:00 29/03/2014] id: CVP el: 0 cu: MICU-A cg: RN u1: mmHg st: NotStopd t0: [13:00:00 29/03/2014] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [13:00:00 29/03/2014] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [13:00:00 29/03/2014] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [13:00:00 29/03/2014] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [13:00:00 29/03/2014] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 75 u1: BPM st: NotStopd t0: [13:00:00 29/03/2014] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [13:00:00 29/03/2014] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 127 u1: mmHg v2: 68 u2: mmHg st: NotStopd t0: [13:00:00 29/03/2014] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 89 u1: mmHg st: NotStopd t0: [13:00:00 29/03/2014] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [13:00:00 29/03/2014] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 24 u1: BPM st: NotStopd t0: [13:00:00 29/03/2014] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 98 u1: % st: NotStopd t0: [13:00:00 29/03/2014] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [14:00:00 29/03/2014] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [14:00:00 29/03/2014] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [14:00:00 29/03/2014] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [14:00:00 29/03/2014] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [14:00:00 29/03/2014] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 76 u1: BPM st: NotStopd t0: [14:00:00 29/03/2014] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [14:00:00 29/03/2014] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 133 u1: mmHg v2: 70 u2: mmHg st: NotStopd t0: [14:00:00 29/03/2014] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 92 u1: mmHg st: NotStopd t0: [14:00:00 29/03/2014] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [14:00:00 29/03/2014] id: Radiologic Study el: 0 cu: MICU-A cg: RN v1: Chest Xray st: NotStopd t0: [14:00:00 29/03/2014] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 25 u1: BPM st: NotStopd t0: [14:00:00 29/03/2014] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 98 u1: % st: NotStopd t0: [14:00:00 29/03/2014] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [14:00:00 29/03/2014] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 20 vu: ml t0: [14:00:00 29/03/2014] tf: [10:00:00 31/03/2014] dt: 2640 id: D5W 250.0ml + 400mcgkgmin Dopamine IV Infusions el: 1 cu: MICU-A cg: RN ai: 115 vo: 13.485 vu: ml t0: [14:00:00 29/03/2014] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 6 vu: ml t0: [14:00:00 29/03/2014] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU-A cg: RN ai: 416 vo: 10 vu: ml t0: [14:00:00 29/03/2014] id: Promote w/fiber Tube Feeding el: 1 cu: MICU-A cg: RN ai: 107 vo: 130 vu: ml t0: [14:00:00 29/03/2014] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 240 vu: ml t0: [14:00:00 29/03/2014] id: xigris Free Form Intake el: 1 cu: MICU-A cg: RN vo: 8.4 vu: ml
t0: [12:00:00 29/03/2014] id: Levophed-k el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 0.0151279 du: mcgkgmin sv: 250 su: ml rt: IV Drip st: Stopped t0: [13:00:00 29/03/2014] 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: [13:00:00 29/03/2014] id: Ativan el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 3 du: mghr sv: 60 su: ml rt: IV Drip t0: [13:00:00 29/03/2014] id: Dopamine el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 2 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [14:00:00 29/03/2014] 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: [14:00:00 29/03/2014] id: Ativan el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 3 du: mghr sv: 60 su: ml rt: IV Drip t0: [14:00:00 29/03/2014] id: Dopamine el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 2 du: mcgkgmin sv: 250 su: ml rt: IV Drip
t0: [14:00:00 29/03/2014] id: HOB el: 0 cu: MICU-A cg: -1 v1: 30 degrees st: NotStopd t0: [14:00:00 29/03/2014] id: Activity el: 0 cu: MICU-A cg: -1 v1: Bedrest st: NotStopd t0: [14:00:00 29/03/2014] id: Activity Tolerance el: 0 cu: MICU-A cg: -1 v1: Fair st: NotStopd t0: [14:00:00 29/03/2014] id: AntiEmbDevice/Status el: 0 cu: MICU-A cg: -1 v1: Compress Sleeves v2: On st: NotStopd t0: [14:00:00 29/03/2014] id: Position el: 0 cu: MICU-A cg: -1 v1: Left Side st: NotStopd t0: [14:00:00 29/03/2014] id: Assistance Device el: 0 cu: MICU-A cg: -1 v1: 2 Person Assist st: NotStopd t0: [14:00:00 29/03/2014] id: Skin Care el: 0 cu: MICU-A cg: -1 v1: Done st: NotStopd t0: [14:00:00 29/03/2014] id: Temperature C (calc) el: 0 cu: MICU-A cg: -1 v1: 38.4444 u1: Deg. C st: NotStopd t0: [14:00:00 29/03/2014] id: Temperature F el: 0 cu: MICU-A cg: -1 v1: 101.2 u1: Deg. F st: NotStopd t0: [14:00:00 29/03/2014] id: Turn el: 0 cu: MICU-A cg: -1 v1: Left Side st: NotStopd t0: [14:00:00 29/03/2014] id: Back Care el: 0 cu: MICU-A cg: -1 v1: Done st: NotStopd
t0: [14:00:00 29/03/2014] id: Gastric Meds PO/Gastric el: 1 cu: MICU-A cg: -1 ai: 155 vo: 90 vu: ml t0: [14:00:00 29/03/2014] id: IV Piggyback 100.0ml IV Infusions el: 1 cu: MICU-A cg: -1 ai: 105 vo: 200 vu: ml
id: Potassium Phosphate el: 300 cu: MICU-A cg: RN io: .9% Normal Saline 1000.0ml IV Infusions am: 30 du: mEq rt: Intravenous Push
io: .9% Normal Saline 1000.0ml IV Infusions el: 3 cu: MICU-A cg: RN ra: 40 ru: ml/hr
t0: [15:00:00 29/03/2014] id: D5W 250.0ml + 4mcgkgmin Levophed-k IV Infusions el: 1 cu: MICU-A cg: -1 ai: 189 vo: 0 st: D/C'd
id: .9% Normal Saline el: 3 cu: MICU-A cg: RN io: .9% Normal Saline 1000.0ml IV Infusions vo: 1000 du: ml rt: Intravenous Push
t0: [15:08:00 29/03/2014] id: Art.pH ABG el: 0 cu: MICU-A cg: 1663 v1: 7.3 rs: Final st: NotStopd t0: [15:08:00 29/03/2014] id: Arterial Base Excess ABG el: 0 cu: MICU-A cg: 1663 v1: -8 rs: Final st: NotStopd t0: [15:08:00 29/03/2014] id: Arterial CO2(Calc) ABG el: 0 cu: MICU-A cg: 1663 v1: 17 rs: Final st: NotStopd t0: [15:08:00 29/03/2014] id: Arterial PaCO2 ABG el: 0 cu: MICU-A cg: 1663 v1: 34 u1: mmHg rs: Final st: NotStopd t0: [15:08:00 29/03/2014] id: Arterial PaO2 ABG el: 0 cu: MICU-A cg: 1663 v1: 90 u1: mmHg rs: Final st: NotStopd t0: [15:08:00 29/03/2014] id: Arterial pH ABG el: 0 cu: MICU-A cg: 1663 v1: 7.3 rs: Final st: NotStopd t0: [15:08:00 29/03/2014] id: Glucose (70-105) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 118 rs: Final st: NotStopd t0: [15:08:00 29/03/2014] id: Potassium (3.5-5.3) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 3.6 rs: Final st: NotStopd
t0: [15:00:00 29/03/2014] id: Service Type el: 0 cu: MICU-A cg: -1 v1: MICU st: NotStopd t0: [15:00:00 29/03/2014] id: CVP el: 0 cu: MICU-A cg: -1 v1: 23 u1: mmHg st: NotStopd t0: [15:00:00 29/03/2014] id: Code Status el: 0 cu: MICU-A cg: -1 v1: Full Code st: NotStopd t0: [15:00:00 29/03/2014] id: Ectopy Frequency el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [15:00:00 29/03/2014] id: Ectopy Type el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [15:00:00 29/03/2014] id: Heart Rate el: 0 cu: MICU-A cg: -1 v1: 76 u1: BPM st: NotStopd t0: [15:00:00 29/03/2014] id: Heart Rhythm el: 0 cu: MICU-A cg: -1 v1: Normal Sinus st: NotStopd t0: [15:00:00 29/03/2014] id: Arterial BP el: 0 cu: MICU-A cg: -1 v1: 120 u1: mmHg v2: 63 u2: mmHg st: NotStopd t0: [15:00:00 29/03/2014] id: Arterial BP Mean el: 0 cu: MICU-A cg: -1 v1: 83 u1: mmHg st: NotStopd t0: [15:00:00 29/03/2014] id: Precautions el: 0 cu: MICU-A cg: -1 v1: Universal st: NotStopd t0: [15:00:00 29/03/2014] id: Respiratory Rate el: 0 cu: MICU-A cg: -1 v1: 26 u1: BPM st: NotStopd t0: [15:00:00 29/03/2014] id: SpO2 el: 0 cu: MICU-A cg: -1 v1: 96 u1: % st: NotStopd t0: [15:00:00 29/03/2014] id: calprevflg el: 0 cu: MICU-A cg: -1 v1: 1 u1: kg st: NotStopd
t0: [15:00:00 29/03/2014] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 10 vu: ml t0: [15:00:00 29/03/2014] id: D5W 250.0ml + 400mcgkgmin Dopamine IV Infusions el: 1 cu: MICU-A cg: -1 ai: 115 vo: 6.7425 vu: ml t0: [15:00:00 29/03/2014] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 3 vu: ml t0: [15:00:00 29/03/2014] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU-A cg: -1 ai: 416 vo: 5 vu: ml t0: [15:00:00 29/03/2014] id: Promote w/fiber Tube Feeding el: 1 cu: MICU-A cg: -1 ai: 107 vo: 65 vu: ml t0: [15:00:00 29/03/2014] id: Urine Out Foley el: 1 cu: MICU-A cg: -1 vo: 160 vu: ml t0: [15:00:00 29/03/2014] id: xigris Free Form Intake el: 1 cu: MICU-A cg: -1 vo: 8.4 vu: ml
t0: [15:00:00 29/03/2014] id: Fentanyl el: 1 cu: MICU-A so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 250 su: ml rt: IV Drip t0: [15:00:00 29/03/2014] id: Ativan el: 1 cu: MICU-A so: D5W vo: 0 v1: 3 du: mghr sv: 60 su: ml rt: IV Drip t0: [15:00:00 29/03/2014] id: Dopamine el: 1 cu: MICU-A so: D5W vo: 0 v1: 2 du: mcgkgmin sv: 250 su: ml rt: IV Drip
t0: [10:00:00 29/03/2014] id: Range of Motion el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [10:00:00 29/03/2014] id: Circulation/SkinInt el: 0 cu: MICU-A cg: RN v1: Circulation Adeq st: NotStopd t0: [10:00:00 29/03/2014] id: Impaired Skin Site#1 el: 0 cu: MICU-A cg: RN v1: Gluteal, Right st: NotStopd t0: [10:00:00 29/03/2014] id: Impaired Skin Site#2 el: 0 cu: MICU-A cg: RN v1: Labia st: NotStopd t0: [10:00:00 29/03/2014] id: Position Change el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [10:00:00 29/03/2014] id: Reason For Restraint el: 0 cu: MICU-A cg: RN v1: Ext/TXInterfere st: NotStopd t0: [10:00:00 29/03/2014] id: Removed x 5 Mins el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [10:00:00 29/03/2014] id: Restraint Location el: 0 cu: MICU-A cg: RN v1: Both Arms st: NotStopd t0: [10:00:00 29/03/2014] id: Restraint Type el: 0 cu: MICU-A cg: RN v1: Soft Limb st: NotStopd t0: [10:00:00 29/03/2014] id: Restraints Evaluated el: 0 cu: MICU-A cg: RN v1: Behavior Conts st: NotStopd t0: [10:00:00 29/03/2014] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [10:00:00 29/03/2014] id: Support Systems el: 0 cu: MICU-A cg: RN v1: Spouse st: NotStopd t0: [15:30:00 29/03/2014] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [15:30:00 29/03/2014] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [15:30:00 29/03/2014] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [15:30:00 29/03/2014] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [15:30:00 29/03/2014] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 76 u1: BPM st: NotStopd t0: [15:30:00 29/03/2014] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [15:30:00 29/03/2014] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 115 u1: mmHg v2: 61 u2: mmHg st: NotStopd t0: [15:30:00 29/03/2014] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 80 u1: mmHg st: NotStopd t0: [15:30:00 29/03/2014] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [15:30:00 29/03/2014] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 28 u1: BPM st: NotStopd t0: [15:30:00 29/03/2014] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 97 u1: % st: NotStopd t0: [15:30:00 29/03/2014] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [15:30:00 29/03/2014] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 5 vu: ml t0: [15:30:00 29/03/2014] id: .9% Normal Saline 1000.0ml IV Infusions el: 3 cu: MICU-A cg: RN ai: 107 vo: 0 vu: ml nb: 1 t0: [15:30:00 29/03/2014] id: D5W 250.0ml + 400mcgkgmin Dopamine IV Infusions el: 1 cu: MICU-A cg: RN ai: 115 vo: 3.37125 vu: ml t0: [15:30:00 29/03/2014] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 1.5 vu: ml t0: [15:30:00 29/03/2014] 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: [15:30:00 29/03/2014] id: Promote w/fiber Tube Feeding el: 1 cu: MICU-A cg: RN ai: 107 vo: 32.5 vu: ml t0: [15:30:00 29/03/2014] id: xigris Free Form Intake el: 1 cu: MICU-A cg: RN vo: 8.4 vu: ml
t0: [15:30:00 29/03/2014] 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: [15:30:00 29/03/2014] id: Ativan el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 3 du: mghr sv: 60 su: ml rt: IV Drip t0: [15:30:00 29/03/2014] id: Dopamine el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 2 du: mcgkgmin sv: 250 su: ml rt: IV Drip
t0: [12:00:00 29/03/2014] id: Skin Color el: 0 cu: MICU-A cg: -1 v1: Flushed st: NotStopd t0: [15:00:00 29/03/2014] id: Sputum Color/Consist el: 0 cu: MICU-A cg: -1 v1: Blood Tinged v2: Frothy st: NotStopd t0: [15:00:00 29/03/2014] id: Sputum Source/Amt el: 0 cu: MICU-A cg: -1 v1: Suctioned v2: Small st: NotStopd t0: [16:00:00 29/03/2014] id: Less Restrict Meas. el: 0 cu: MICU-A cg: -1 v1: Medicated st: NotStopd t0: [16:00:00 29/03/2014] id: Pain Present el: 0 cu: MICU-A cg: -1 v1: Other/Remarks st: NotStopd t0: [16:00:00 29/03/2014] id: Range of Motion el: 0 cu: MICU-A cg: -1 v1: Not Done st: NotStopd t0: [16:00:00 29/03/2014] id: Service Type el: 0 cu: MICU-A cg: -1 v1: MICU st: NotStopd t0: [16:00:00 29/03/2014] id: Circulation/SkinInt el: 0 cu: MICU-A cg: -1 v1: Circulation Adeq st: NotStopd t0: [16:00:00 29/03/2014] id: Code Status el: 0 cu: MICU-A cg: -1 v1: Full Code st: NotStopd t0: [16:00:00 29/03/2014] id: Riker-SAS Scale el: 0 cu: MICU-A cg: -1 v1: Sedated st: NotStopd t0: [16:00:00 29/03/2014] id: Daily Wake Up el: 0 cu: MICU-A cg: -1 v1: No st: NotStopd t0: [16:00:00 29/03/2014] id: GI Prophylaxis el: 0 cu: MICU-A cg: -1 v1: H2 Blocker st: NotStopd t0: [16:00:00 29/03/2014] id: Diet Type el: 0 cu: MICU-A cg: -1 v1: Tube Feeding st: NotStopd t0: [16:00:00 29/03/2014] id: Ectopy Frequency el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [16:00:00 29/03/2014] id: Ectopy Type el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [16:00:00 29/03/2014] id: Eye Opening el: 0 cu: MICU-A cg: -1 v1: 3 To speech st: NotStopd t0: [16:00:00 29/03/2014] id: Family Communication el: 0 cu: MICU-A cg: -1 v1: Family Visited st: NotStopd t0: [16:00:00 29/03/2014] id: GCS Total el: 0 cu: MICU-A cg: -1 v1: 9 u1: points st: NotStopd t0: [16:00:00 29/03/2014] id: GI Intub #1/Site el: 0 cu: MICU-A cg: -1 v1: Salem Sump v2: Left Nare st: NotStopd t0: [16:00:00 29/03/2014] id: GI#1 Tube Stat/Drain el: 0 cu: MICU-A cg: -1 v1: Feeding st: NotStopd t0: [16:00:00 29/03/2014] id: GU Catheter Size el: 0 cu: MICU-A cg: -1 v1: 14 French st: NotStopd t0: [16:00:00 29/03/2014] id: HOB el: 0 cu: MICU-A cg: -1 v1: 30 degrees st: NotStopd t0: [16:00:00 29/03/2014] id: Heart Rate el: 0 cu: MICU-A cg: -1 v1: 75 u1: BPM st: NotStopd t0: [16:00:00 29/03/2014] id: Heart Rhythm el: 0 cu: MICU-A cg: -1 v1: Normal Sinus st: NotStopd t0: [16:00:00 29/03/2014] id: INV Line#1 Type/Site el: 0 cu: MICU-A cg: -1 v1: Multi-lumen v2: Right Femoral st: NotStopd t0: [16:00:00 29/03/2014] id: INV Line#1InsertDate el: 0 cu: MICU-A cg: -1 v1: 3 v2: 12 st: NotStopd t0: [16:00:00 29/03/2014] id: INV Line#1SiteAppear el: 0 cu: MICU-A cg: -1 v1: WNL st: NotStopd t0: [16:00:00 29/03/2014] id: INV Line#2 Type/Site el: 0 cu: MICU-A cg: -1 v1: A-Line v2: Right Radial st: NotStopd t0: [16:00:00 29/03/2014] id: INV Line#2InsertDate el: 0 cu: MICU-A cg: -1 v1: 3 v2: 12 st: NotStopd t0: [16:00:00 29/03/2014] id: INV Line#3 Type/Site el: 0 cu: MICU-A cg: -1 v1: Multi-lumen v2: Right IJ st: NotStopd t0: [16:00:00 29/03/2014] id: INV Line#3InsertDate el: 0 cu: MICU-A cg: -1 v1: 3 v2: 12 st: NotStopd t0: [16:00:00 29/03/2014] id: INV Line#3SiteAppear el: 0 cu: MICU-A cg: -1 v1: WNL st: NotStopd t0: [16:00:00 29/03/2014] id: Abdominal Assessment el: 0 cu: MICU-A cg: -1 v1: Obese st: NotStopd t0: [16:00:00 29/03/2014] id: INV#2 WaveformAppear el: 0 cu: MICU-A cg: -1 v1: Sharp st: NotStopd t0: [16:00:00 29/03/2014] id: INV#3 WaveformAppear el: 0 cu: MICU-A cg: -1 v1: Sharp st: NotStopd t0: [16:00:00 29/03/2014] id: Activity el: 0 cu: MICU-A cg: -1 v1: Bedrest st: NotStopd t0: [16:00:00 29/03/2014] id: ImpSkin Character #1 el: 0 cu: MICU-A cg: -1 v1: Hematoma st: NotStopd t0: [16:00:00 29/03/2014] id: ImpSkin Character #2 el: 0 cu: MICU-A cg: -1 v1: Rash st: NotStopd t0: [16:00:00 29/03/2014] id: ImpSkin Treatment #1 el: 0 cu: MICU-A cg: -1 v1: Open to Air st: NotStopd t0: [16:00:00 29/03/2014] id: ImpSkin Treatment #2 el: 0 cu: MICU-A cg: -1 v1: Open to Air st: NotStopd t0: [16:00:00 29/03/2014] id: Impaired Skin Site#1 el: 0 cu: MICU-A cg: -1 v1: Gluteal, Right st: NotStopd t0: [16:00:00 29/03/2014] id: Impaired Skin Site#2 el: 0 cu: MICU-A cg: -1 v1: Labia st: NotStopd t0: [16:00:00 29/03/2014] id: LLL Lung Sounds el: 0 cu: MICU-A cg: -1 v1: Diminished st: NotStopd t0: [16:00:00 29/03/2014] id: LUL Lung Sounds el: 0 cu: MICU-A cg: -1 v1: Clear st: NotStopd t0: [16:00:00 29/03/2014] id: Level of Conscious el: 0 cu: MICU-A cg: -1 v1: Sedated st: NotStopd t0: [16:00:00 29/03/2014] id: Motor Response el: 0 cu: MICU-A cg: -1 v1: 5 Localizes Pain st: NotStopd t0: [16:00:00 29/03/2014] id: Oral Cavity el: 0 cu: MICU-A cg: -1 v1: Teeth/Tissue WNL st: NotStopd t0: [16:00:00 29/03/2014] id: Orientation el: 0 cu: MICU-A cg: -1 v1: Other/Remarks st: NotStopd t0: [16:00:00 29/03/2014] id: AntiEmbDevice/Status el: 0 cu: MICU-A cg: -1 v1: Compress Sleeves v2: On st: NotStopd t0: [16:00:00 29/03/2014] id: Arterial BP el: 0 cu: MICU-A cg: -1 v1: 118 u1: mmHg v2: 63 u2: mmHg st: NotStopd t0: [16:00:00 29/03/2014] id: Pain Location el: 0 cu: MICU-A cg: -1 v1: Not Indicated st: NotStopd t0: [16:00:00 29/03/2014] id: Arterial BP Mean el: 0 cu: MICU-A cg: -1 v1: 82 u1: mmHg st: NotStopd t0: [16:00:00 29/03/2014] id: Position el: 0 cu: MICU-A cg: -1 v1: Left Side st: NotStopd t0: [16:00:00 29/03/2014] id: Position Change el: 0 cu: MICU-A cg: -1 v1: Not Done st: NotStopd t0: [16:00:00 29/03/2014] id: Precautions el: 0 cu: MICU-A cg: -1 v1: Universal st: NotStopd t0: [16:00:00 29/03/2014] id: RLL Lung Sounds el: 0 cu: MICU-A cg: -1 v1: Diminished st: NotStopd t0: [16:00:00 29/03/2014] id: RUL Lung Sounds el: 0 cu: MICU-A cg: -1 v1: Clear st: NotStopd t0: [16:00:00 29/03/2014] id: Reason For Restraint el: 0 cu: MICU-A cg: -1 v1: Ext/TXInterfere st: NotStopd t0: [16:00:00 29/03/2014] id: Removed x 5 Mins el: 0 cu: MICU-A cg: -1 v1: Not Done st: NotStopd t0: [16:00:00 29/03/2014] id: Respiratory Pattern el: 0 cu: MICU-A cg: -1 v1: Regular st: NotStopd t0: [16:00:00 29/03/2014] id: Respiratory Rate el: 0 cu: MICU-A cg: -1 v1: 27 u1: BPM st: NotStopd t0: [16:00:00 29/03/2014] id: Restraint Location el: 0 cu: MICU-A cg: -1 v1: Both Arms st: NotStopd t0: [16:00:00 29/03/2014] id: Restraint Type el: 0 cu: MICU-A cg: -1 v1: Soft Limb st: NotStopd t0: [16:00:00 29/03/2014] id: Restraints Evaluated el: 0 cu: MICU-A cg: -1 v1: RestraintReapply st: NotStopd t0: [16:00:00 29/03/2014] id: Side Rails el: 0 cu: MICU-A cg: -1 v1: Side Rails Up st: NotStopd t0: [16:00:00 29/03/2014] id: Skin Color el: 0 cu: MICU-A cg: -1 v1: Flushed st: NotStopd t0: [16:00:00 29/03/2014] id: Skin Integrity el: 0 cu: MICU-A cg: -1 v1: Impaired st: NotStopd t0: [16:00:00 29/03/2014] id: SpO2 el: 0 cu: MICU-A cg: -1 v1: 97 u1: % st: NotStopd t0: [16:00:00 29/03/2014] id: Stool Color/Consist el: 0 cu: MICU-A cg: -1 v1: Green v2: Liquid st: NotStopd t0: [16:00:00 29/03/2014] id: Support Systems el: 0 cu: MICU-A cg: -1 v1: Spouse st: NotStopd t0: [16:00:00 29/03/2014] id: Urine Color/Appear el: 0 cu: MICU-A cg: -1 v1: Light Yellow v2: Sediment st: NotStopd t0: [16:00:00 29/03/2014] id: Urine Source el: 0 cu: MICU-A cg: -1 v1: Indwelling Cath st: NotStopd t0: [16:00:00 29/03/2014] id: Verbal Response el: 0 cu: MICU-A cg: -1 v1: 1.0 ET/Trach st: NotStopd t0: [16:00:00 29/03/2014] id: calprevflg el: 0 cu: MICU-A cg: -1 v1: 1 u1: kg st: NotStopd t0: [16:00:00 29/03/2014] id: Bowel Sounds el: 0 cu: MICU-A cg: -1 v1: Present st: NotStopd t0: [16:00:00 29/03/2014] id: Braden Activity el: 0 cu: MICU-A cg: -1 v1: Bedfast st: NotStopd t0: [16:00:00 29/03/2014] id: Braden Frict/Shear el: 0 cu: MICU-A cg: -1 v1: Potential Prob st: NotStopd t0: [16:00:00 29/03/2014] id: Braden Mobility el: 0 cu: MICU-A cg: -1 v1: Very Limited st: NotStopd t0: [16:00:00 29/03/2014] id: Braden Moisture el: 0 cu: MICU-A cg: -1 v1: Occ. Moist st: NotStopd t0: [16:00:00 29/03/2014] id: Braden Nutrition el: 0 cu: MICU-A cg: -1 v1: Prob. Inadequate st: NotStopd t0: [16:00:00 29/03/2014] id: Braden Score el: 0 cu: MICU-A cg: -1 v1: 12 u1: number st: NotStopd t0: [16:00:00 29/03/2014] id: Braden SensoryPercep el: 0 cu: MICU-A cg: -1 v1: Very Limited st: NotStopd
t0: [16:00:00 29/03/2014] tf: [21:00:00 29/03/2014] dt: 300 id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 5 vu: ml t0: [16:00:00 29/03/2014] id: .9% Normal Saline 1000.0ml IV Infusions el: 3 cu: MICU-A cg: -1 ai: 107 vo: 20 vu: ml t0: [16:00:00 29/03/2014] id: D5W 250.0ml + 400mcgkgmin Dopamine IV Infusions el: 1 cu: MICU-A cg: -1 ai: 115 vo: 3.37125 vu: ml t0: [16:00:00 29/03/2014] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 1.5 vu: ml t0: [16:00:00 29/03/2014] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU-A cg: -1 ai: 416 vo: 2.5 vu: ml t0: [16:00:00 29/03/2014] id: IV Piggyback 100.0ml IV Infusions el: 1 cu: MICU-A cg: -1 ai: 105 vo: 50 vu: ml t0: [16:00:00 29/03/2014] id: Promote w/fiber Tube Feeding el: 1 cu: MICU-A cg: -1 ai: 107 vo: 32.5 vu: ml t0: [16:00:00 29/03/2014] id: Urine Out Foley el: 1 cu: MICU-A cg: -1 vo: 140 vu: ml t0: [16:00:00 29/03/2014] id: xigris Free Form Intake el: 1 cu: MICU-A cg: -1 vo: 8.4 vu: ml
t0: [16:00:00 29/03/2014] id: Fentanyl el: 1 cu: MICU-A so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 250 su: ml rt: IV Drip t0: [16:00:00 29/03/2014] id: Ativan el: 1 cu: MICU-A so: D5W vo: 0 v1: 3 du: mghr sv: 60 su: ml rt: IV Drip t0: [16:00:00 29/03/2014] id: Dopamine el: 1 cu: MICU-A so: D5W vo: 0 v1: 2 du: mcgkgmin sv: 250 su: ml rt: IV Drip
t0: [16:00:00 29/03/2014] id: Compliance (40-60ml) el: 0 cu: MICU-A cg: -1 v1: 18.0723 u1: ml/cmH st: NotStopd t0: [16:00:00 29/03/2014] id: ETT Mark/Location el: 0 cu: MICU-A cg: -1 v1: 23cm v2: Lip st: NotStopd t0: [16:00:00 29/03/2014] id: FiO2 Set el: 0 cu: MICU-A cg: -1 v1: 0.3 u1: torr st: NotStopd t0: [16:00:00 29/03/2014] id: High Insp. Pressure el: 0 cu: MICU-A cg: -1 v1: 55 u1: cmH2O st: NotStopd t0: [16:00:00 29/03/2014] id: High Resp. Rate el: 0 cu: MICU-A cg: -1 v1: 35 u1: BPM st: NotStopd t0: [16:00:00 29/03/2014] id: I:E Ratio el: 0 cu: MICU-A cg: -1 v1: 1:3.6 st: NotStopd t0: [16:00:00 29/03/2014] id: Airway Size el: 0 cu: MICU-A cg: -1 v1: 7.5 mm st: NotStopd t0: [16:00:00 29/03/2014] id: Airway Type el: 0 cu: MICU-A cg: -1 v1: Endotracheal st: NotStopd t0: [16:00:00 29/03/2014] id: Inspired Gas Temp el: 0 cu: MICU-A cg: -1 v1: 34.5 u1: Deg. C st: NotStopd t0: [16:00:00 29/03/2014] id: Intubation Date el: 0 cu: MICU-A cg: -1 v1: 3 v2: 12 st: NotStopd t0: [16:00:00 29/03/2014] id: Low Exhaled Min Vol el: 0 cu: MICU-A cg: -1 v1: 8 st: NotStopd t0: [16:00:00 29/03/2014] id: Low Insp. Pressure el: 0 cu: MICU-A cg: -1 v1: 20 u1: cmH2O st: NotStopd t0: [16:00:00 29/03/2014] id: Mean Airway Pressure el: 0 cu: MICU-A cg: -1 v1: 21.8 u1: cmH2O st: NotStopd t0: [16:00:00 29/03/2014] id: Minute Volume(Obser) el: 0 cu: MICU-A cg: -1 v1: 12.9 u1: L/min st: NotStopd t0: [16:00:00 29/03/2014] id: PEEP Set el: 0 cu: MICU-A cg: -1 v1: 17.5 u1: cmH2O st: NotStopd t0: [16:00:00 29/03/2014] id: Apnea Time Interval el: 0 cu: MICU-A cg: -1 v1: 20 st: NotStopd t0: [16:00:00 29/03/2014] id: Peak Flow el: 0 cu: MICU-A cg: -1 v1: 55 u1: L/m st: NotStopd t0: [16:00:00 29/03/2014] id: Peak Insp. Pressure el: 0 cu: MICU-A cg: -1 v1: 42.4 u1: cmH2O st: NotStopd t0: [16:00:00 29/03/2014] id: Plateau Pressure el: 0 cu: MICU-A cg: -1 v1: 32 u1: cmH2O st: NotStopd t0: [16:00:00 29/03/2014] id: Plateau-Off el: 0 cu: MICU-A cg: -1 v1: Yes st: NotStopd t0: [16:00:00 29/03/2014] id: Resp Rate (Spont) el: 0 cu: MICU-A cg: -1 v1: 7 u1: BPM st: NotStopd t0: [16:00:00 29/03/2014] id: Resp Rate (Total) el: 0 cu: MICU-A cg: -1 v1: 27 u1: BPM st: NotStopd t0: [16:00:00 29/03/2014] id: Respiratory Rate Set el: 0 cu: MICU-A cg: -1 v1: 20 u1: BPM st: NotStopd t0: [16:00:00 29/03/2014] id: Sensitivity-Vent el: 0 cu: MICU-A cg: -1 v1: 2 u1: cmH2O st: NotStopd t0: [16:00:00 29/03/2014] id: Tidal Volume (Obser) el: 0 cu: MICU-A cg: -1 v1: 460 u1: ml/B st: NotStopd t0: [16:00:00 29/03/2014] id: Tidal Volume (Set) el: 0 cu: MICU-A cg: -1 v1: 450 u1: ml/B st: NotStopd t0: [16:00:00 29/03/2014] id: Ventilator Mode el: 0 cu: MICU-A cg: -1 v1: Assist Control st: NotStopd t0: [16:00:00 29/03/2014] id: Ventilator No. el: 0 cu: MICU-A cg: -1 v1: 6 u1: # st: NotStopd t0: [16:00:00 29/03/2014] id: Ventilator Type el: 0 cu: MICU-A cg: -1 v1: 7200A st: NotStopd t0: [16:00:00 29/03/2014] id: Waveform-Vent el: 0 cu: MICU-A cg: -1 v1: SQUARE st: NotStopd
t0: [16:30:00 29/03/2014] id: WBC (4-11,000) Hematology el: 0 cu: MICU-A cg: 1663 v1: 17 rs: Final st: NotStopd t0: [16:30:00 29/03/2014] id: Hematocrit Hematology el: 0 cu: MICU-A cg: 1663 v1: 26.3 u1: % rs: Final st: NotStopd t0: [16:30:00 29/03/2014] id: Hemoglobin Hematology el: 0 cu: MICU-A cg: 1663 v1: 8.7 u1: gm/dl rs: Final st: NotStopd t0: [16:30:00 29/03/2014] id: Platelets Hematology el: 0 cu: MICU-A cg: 1663 v1: 182 rs: Final st: NotStopd t0: [16:30:00 29/03/2014] id: RBC Hematology el: 0 cu: MICU-A cg: 1663 v1: 3.05 u1: /mic l rs: Final st: NotStopd t0: [16:30:00 29/03/2014] id: WBC (4-11,000) Hematology el: 0 cu: MICU-A cg: 1663 v1: 17 rs: Final st: NotStopd
t0: [17:00:00 29/03/2014] id: Service Type el: 0 cu: MICU-A cg: -1 v1: MICU st: NotStopd t0: [17:00:00 29/03/2014] id: CVP el: 0 cu: MICU-A cg: -1 v1: 25 u1: mmHg st: NotStopd t0: [17:00:00 29/03/2014] id: Code Status el: 0 cu: MICU-A cg: -1 v1: Full Code st: NotStopd t0: [17:00:00 29/03/2014] id: Ectopy Frequency el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [17:00:00 29/03/2014] id: Ectopy Type el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [17:00:00 29/03/2014] id: Heart Rate el: 0 cu: MICU-A cg: -1 v1: 74 u1: BPM st: NotStopd t0: [17:00:00 29/03/2014] id: Heart Rhythm el: 0 cu: MICU-A cg: -1 v1: Normal Sinus st: NotStopd t0: [17:00:00 29/03/2014] id: Arterial BP el: 0 cu: MICU-A cg: -1 v1: 115 u1: mmHg v2: 62 u2: mmHg st: NotStopd t0: [17:00:00 29/03/2014] id: Arterial BP Mean el: 0 cu: MICU-A cg: -1 v1: 81 u1: mmHg st: NotStopd t0: [17:00:00 29/03/2014] id: Precautions el: 0 cu: MICU-A cg: -1 v1: Universal st: NotStopd t0: [17:00:00 29/03/2014] id: Respiratory Rate el: 0 cu: MICU-A cg: -1 v1: 25 u1: BPM st: NotStopd t0: [17:00:00 29/03/2014] id: SpO2 el: 0 cu: MICU-A cg: -1 v1: 97 u1: % st: NotStopd t0: [17:00:00 29/03/2014] id: Temp. Site el: 0 cu: MICU-A cg: -1 v1: Oral st: NotStopd t0: [17:00:00 29/03/2014] id: Temperature C (calc) el: 0 cu: MICU-A cg: -1 v1: 38.2778 u1: Deg. C st: NotStopd t0: [17:00:00 29/03/2014] id: Temperature F el: 0 cu: MICU-A cg: -1 v1: 100.9 u1: Deg. F st: NotStopd t0: [17:00:00 29/03/2014] id: calprevflg el: 0 cu: MICU-A cg: -1 v1: 1 u1: kg st: NotStopd
t0: [17:00:00 29/03/2014] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 10 vu: ml t0: [17:00:00 29/03/2014] id: .9% Normal Saline 1000.0ml IV Infusions el: 3 cu: MICU-A cg: -1 ai: 107 vo: 40 vu: ml t0: [17:00:00 29/03/2014] id: D5W 250.0ml + 400mcgkgmin Dopamine IV Infusions el: 1 cu: MICU-A cg: -1 ai: 115 vo: 6.7425 vu: ml t0: [17:00:00 29/03/2014] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 3 vu: ml t0: [17:00:00 29/03/2014] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU-A cg: -1 ai: 416 vo: 5 vu: ml t0: [17:00:00 29/03/2014] id: Promote w/fiber Tube Feeding el: 1 cu: MICU-A cg: -1 ai: 107 vo: 65 vu: ml t0: [17:00:00 29/03/2014] id: Urine Out Foley el: 1 cu: MICU-A cg: -1 vo: 140 vu: ml t0: [17:00:00 29/03/2014] id: xigris Free Form Intake el: 1 cu: MICU-A cg: -1 vo: 8.4 vu: ml
t0: [17:00:00 29/03/2014] id: Fentanyl el: 1 cu: MICU-A so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 250 su: ml rt: IV Drip t0: [17:00:00 29/03/2014] id: Ativan el: 1 cu: MICU-A so: D5W vo: 0 v1: 3 du: mghr sv: 60 su: ml rt: IV Drip t0: [17:00:00 29/03/2014] id: Dopamine el: 1 cu: MICU-A so: D5W vo: 0 v1: 2 du: mcgkgmin sv: 250 su: ml rt: IV Drip
t0: [17:00:00 29/03/2014] id: HOB el: 0 cu: MICU-A cg: -1 v1: 30 degrees st: NotStopd t0: [17:00:00 29/03/2014] id: Activity el: 0 cu: MICU-A cg: -1 v1: Bedrest st: NotStopd t0: [17:00:00 29/03/2014] id: Activity Tolerance el: 0 cu: MICU-A cg: -1 v1: Good st: NotStopd t0: [17:00:00 29/03/2014] id: Oral Care el: 0 cu: MICU-A cg: -1 v1: Done st: NotStopd t0: [17:00:00 29/03/2014] id: AntiEmbDevice/Status el: 0 cu: MICU-A cg: -1 v1: Compress Sleeves v2: On st: NotStopd t0: [17:00:00 29/03/2014] id: Position el: 0 cu: MICU-A cg: -1 v1: Right Side st: NotStopd t0: [17:00:00 29/03/2014] id: Assistance Device el: 0 cu: MICU-A cg: -1 v1: 2 Person Assist st: NotStopd t0: [17:00:00 29/03/2014] id: Turn el: 0 cu: MICU-A cg: -1 v1: Right Side st: NotStopd
t0: [16:30:00 29/03/2014] id: Differential-Bands Hematology el: 0 cu: MICU-A cg: 1663 v1: 0 rs: Final st: NotStopd t0: [16:30:00 29/03/2014] id: Differential-Basos Hematology el: 0 cu: MICU-A cg: 1663 v1: 0.2 rs: Final st: NotStopd t0: [16:30:00 29/03/2014] id: Differential-Eos Hematology el: 0 cu: MICU-A cg: 1663 v1: 1.3 rs: Final st: NotStopd t0: [16:30:00 29/03/2014] id: Differential-Lymphs Hematology el: 0 cu: MICU-A cg: 1663 v1: 7.9 rs: Final st: NotStopd t0: [16:30:00 29/03/2014] id: Differential-Monos Hematology el: 0 cu: MICU-A cg: 1663 v1: 1.5 rs: Final st: NotStopd t0: [16:30:00 29/03/2014] id: Differential-Polys Hematology el: 0 cu: MICU-A cg: 1663 v1: 89.1 rs: Final st: NotStopd
t0: [14:00:00 29/03/2014] id: Less Restrict Meas. el: 0 cu: MICU-A cg: -1 v1: Medicated st: NotStopd t0: [14:00:00 29/03/2014] id: Circulation/SkinInt el: 0 cu: MICU-A cg: -1 v1: Circulation Adeq st: NotStopd t0: [14:00:00 29/03/2014] id: Position Change el: 0 cu: MICU-A cg: -1 v1: Not Done st: NotStopd t0: [14:00:00 29/03/2014] id: Reason For Restraint el: 0 cu: MICU-A cg: -1 v1: Ext/TXInterfere st: NotStopd t0: [14:00:00 29/03/2014] id: Restraint Location el: 0 cu: MICU-A cg: -1 v1: Both Arms st: NotStopd t0: [14:00:00 29/03/2014] id: Restraint Type el: 0 cu: MICU-A cg: -1 v1: Soft Limb st: NotStopd t0: [14:00:00 29/03/2014] id: Restraints Evaluated el: 0 cu: MICU-A cg: -1 v1: RestraintReapply st: NotStopd t0: [14:00:00 29/03/2014] id: Side Rails el: 0 cu: MICU-A cg: -1 v1: Side Rails Up st: NotStopd t0: [18:00:00 29/03/2014] id: Less Restrict Meas. el: 0 cu: MICU-A cg: -1 v1: Medicated st: NotStopd t0: [18:00:00 29/03/2014] id: Service Type el: 0 cu: MICU-A cg: -1 v1: MICU st: NotStopd t0: [18:00:00 29/03/2014] id: Circulation/SkinInt el: 0 cu: MICU-A cg: -1 v1: Circulation Adeq st: NotStopd t0: [18:00:00 29/03/2014] id: Code Status el: 0 cu: MICU-A cg: -1 v1: Full Code st: NotStopd t0: [18:00:00 29/03/2014] id: Ectopy Frequency el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [18:00:00 29/03/2014] id: Ectopy Type el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [18:00:00 29/03/2014] id: Heart Rate el: 0 cu: MICU-A cg: -1 v1: 75 u1: BPM st: NotStopd t0: [18:00:00 29/03/2014] id: Heart Rhythm el: 0 cu: MICU-A cg: -1 v1: Normal Sinus st: NotStopd t0: [18:00:00 29/03/2014] id: Arterial BP el: 0 cu: MICU-A cg: -1 v1: 113 u1: mmHg v2: 61 u2: mmHg st: NotStopd t0: [18:00:00 29/03/2014] id: Arterial BP Mean el: 0 cu: MICU-A cg: -1 v1: 80 u1: mmHg st: NotStopd t0: [18:00:00 29/03/2014] id: Position Change el: 0 cu: MICU-A cg: -1 v1: Not Done st: NotStopd t0: [18:00:00 29/03/2014] id: Precautions el: 0 cu: MICU-A cg: -1 v1: Universal st: NotStopd t0: [18:00:00 29/03/2014] id: Reason For Restraint el: 0 cu: MICU-A cg: -1 v1: Ext/TXInterfere st: NotStopd t0: [18:00:00 29/03/2014] id: Respiratory Rate el: 0 cu: MICU-A cg: -1 v1: 26 u1: BPM st: NotStopd t0: [18:00:00 29/03/2014] id: Restraint Location el: 0 cu: MICU-A cg: -1 v1: Both Arms st: NotStopd t0: [18:00:00 29/03/2014] id: Restraint Type el: 0 cu: MICU-A cg: -1 v1: Soft Limb st: NotStopd t0: [18:00:00 29/03/2014] id: Restraints Evaluated el: 0 cu: MICU-A cg: -1 v1: RestraintReapply st: NotStopd t0: [18:00:00 29/03/2014] id: Side Rails el: 0 cu: MICU-A cg: -1 v1: Side Rails Up st: NotStopd t0: [18:00:00 29/03/2014] id: SpO2 el: 0 cu: MICU-A cg: -1 v1: 98 u1: % st: NotStopd t0: [18:00:00 29/03/2014] id: calprevflg el: 0 cu: MICU-A cg: -1 v1: 1 u1: kg st: NotStopd
t0: [18:00:00 29/03/2014] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 10 vu: ml t0: [18:00:00 29/03/2014] id: .9% Normal Saline 1000.0ml IV Infusions el: 3 cu: MICU-A cg: -1 ai: 107 vo: 40 vu: ml t0: [18:00:00 29/03/2014] id: D5W 250.0ml + 400mcgkgmin Dopamine IV Infusions el: 1 cu: MICU-A cg: -1 ai: 115 vo: 6.7425 vu: ml t0: [18:00:00 29/03/2014] id: Gastric Meds PO/Gastric el: 1 cu: MICU-A cg: -1 ai: 155 vo: 45 vu: ml t0: [18:00:00 29/03/2014] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 3 vu: ml t0: [18:00:00 29/03/2014] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU-A cg: -1 ai: 416 vo: 5 vu: ml t0: [18:00:00 29/03/2014] id: Promote w/fiber Tube Feeding el: 1 cu: MICU-A cg: -1 ai: 107 vo: 65 vu: ml t0: [18:00:00 29/03/2014] id: Urine Out Foley el: 1 cu: MICU-A cg: -1 vo: 100 vu: ml t0: [18:00:00 29/03/2014] id: xigris Free Form Intake el: 1 cu: MICU-A cg: -1 vo: 8.4 vu: ml
t0: [18:00:00 29/03/2014] id: Fentanyl el: 1 cu: MICU-A so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 250 su: ml rt: IV Drip t0: [18:00:00 29/03/2014] id: Ativan el: 1 cu: MICU-A so: D5W vo: 0 v1: 3 du: mghr sv: 60 su: ml rt: IV Drip t0: [18:00:00 29/03/2014] id: Dopamine el: 1 cu: MICU-A so: D5W vo: 0 v1: 2 du: mcgkgmin sv: 250 su: ml rt: IV Drip
t0: [23:00:00 29/03/2014] dt: 24 id: PO/Gastric In Total el: 2 cu: MICU-A cg: -1 cv: 225 ap: none
t0: [08:00:00 29/03/2014] id: Dorsal PedPulse R/L el: 0 cu: MICU-A cg: RN v1: Weak Palpable v2: Weak Palpable st: NotStopd t0: [08:00:00 29/03/2014] id: PostTib. Pulses R/L el: 0 cu: MICU-A cg: RN v1: Diff to Palpate v2: Diff to Palpate st: NotStopd
t0: [19:00:00 29/03/2014] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [19:00:00 29/03/2014] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [19:00:00 29/03/2014] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [19:00:00 29/03/2014] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [19:00:00 29/03/2014] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 75 u1: BPM st: NotStopd t0: [19:00:00 29/03/2014] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [19:00:00 29/03/2014] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 115 u1: mmHg v2: 63 u2: mmHg st: NotStopd t0: [19:00:00 29/03/2014] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 82 u1: mmHg st: NotStopd t0: [19:00:00 29/03/2014] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [19:00:00 29/03/2014] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 27 u1: BPM st: NotStopd t0: [19:00:00 29/03/2014] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 98 u1: % st: NotStopd t0: [19:00:00 29/03/2014] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [20:00:00 29/03/2014] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [20:00:00 29/03/2014] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [20:00:00 29/03/2014] id: Riker-SAS Scale el: 0 cu: MICU-A cg: RN v1: Sedated st: NotStopd t0: [20:00:00 29/03/2014] id: GI Prophylaxis el: 0 cu: MICU-A cg: RN v1: H2 Blocker st: NotStopd t0: [20:00:00 29/03/2014] id: Diet Type el: 0 cu: MICU-A cg: RN v1: Tube Feeding st: NotStopd t0: [20:00:00 29/03/2014] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [20:00:00 29/03/2014] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [20:00:00 29/03/2014] id: Eye Opening el: 0 cu: MICU-A cg: RN v1: 3 To speech st: NotStopd t0: [20:00:00 29/03/2014] id: GCS Total el: 0 cu: MICU-A cg: RN v1: 9 u1: points st: NotStopd t0: [20:00:00 29/03/2014] id: GI Intub #1/Site el: 0 cu: MICU-A cg: RN v1: Salem Sump v2: Left Nare st: NotStopd t0: [20:00:00 29/03/2014] id: GI#1 Tube Stat/Drain el: 0 cu: MICU-A cg: RN v1: Feeding st: NotStopd t0: [20:00:00 29/03/2014] id: GU Catheter Size el: 0 cu: MICU-A cg: RN v1: 14 French st: NotStopd t0: [20:00:00 29/03/2014] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 77 u1: BPM st: NotStopd t0: [20:00:00 29/03/2014] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [20:00:00 29/03/2014] id: Abdominal Assessment el: 0 cu: MICU-A cg: RN v1: Obese st: NotStopd t0: [20:00:00 29/03/2014] id: LLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Diminished st: NotStopd t0: [20:00:00 29/03/2014] id: LUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Clear st: NotStopd t0: [20:00:00 29/03/2014] id: Level of Conscious el: 0 cu: MICU-A cg: RN v1: Sedated st: NotStopd t0: [20:00:00 29/03/2014] id: Motor Response el: 0 cu: MICU-A cg: RN v1: 5 Localizes Pain st: NotStopd t0: [20:00:00 29/03/2014] id: Oral Cavity el: 0 cu: MICU-A cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [20:00:00 29/03/2014] id: Orientation el: 0 cu: MICU-A cg: RN v1: Other/Remarks st: NotStopd t0: [20:00:00 29/03/2014] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 115 u1: mmHg v2: 64 u2: mmHg st: NotStopd t0: [20:00:00 29/03/2014] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 83 u1: mmHg st: NotStopd t0: [20:00:00 29/03/2014] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [20:00:00 29/03/2014] id: RLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Diminished st: NotStopd t0: [20:00:00 29/03/2014] id: RUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Clear st: NotStopd t0: [20:00:00 29/03/2014] id: Respiratory Pattern el: 0 cu: MICU-A cg: RN v1: Regular st: NotStopd t0: [20:00:00 29/03/2014] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 27 u1: BPM st: NotStopd t0: [20:00:00 29/03/2014] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 98 u1: % st: NotStopd t0: [20:00:00 29/03/2014] id: Stool Color/Consist el: 0 cu: MICU-A cg: RN v1: Green v2: Liquid st: NotStopd t0: [20:00:00 29/03/2014] id: Urine Color/Appear el: 0 cu: MICU-A cg: RN v1: Yellow v2: Sediment st: NotStopd t0: [20:00:00 29/03/2014] id: Urine Source el: 0 cu: MICU-A cg: RN v1: Indwelling Cath st: NotStopd t0: [20:00:00 29/03/2014] id: Verbal Response el: 0 cu: MICU-A cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [20:00:00 29/03/2014] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [20:00:00 29/03/2014] id: Bowel Sounds el: 0 cu: MICU-A cg: RN v1: Present st: NotStopd
t0: [19:00:00 29/03/2014] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 80 vu: ml t0: [19:00:00 29/03/2014] id: xigris Free Form Intake el: 1 cu: MICU-A cg: RN vo: 8.4 vu: ml t0: [20:00:00 29/03/2014] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 20 vu: ml t0: [20:00:00 29/03/2014] id: .9% Normal Saline 1000.0ml IV Infusions el: 3 cu: MICU-A cg: RN ai: 107 vo: 80 vu: ml t0: [20:00:00 29/03/2014] id: D5W 250.0ml + 400mcgkgmin Dopamine IV Infusions el: 1 cu: MICU-A cg: RN ai: 115 vo: 13.485 vu: ml t0: [20:00:00 29/03/2014] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 6 vu: ml t0: [20:00:00 29/03/2014] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU-A cg: RN ai: 416 vo: 10 vu: ml t0: [20:00:00 29/03/2014] id: Promote w/fiber Tube Feeding el: 1 cu: MICU-A cg: RN ai: 107 vo: 130 vu: ml t0: [20:00:00 29/03/2014] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 80 vu: ml t0: [20:00:00 29/03/2014] id: xigris Free Form Intake el: 1 cu: MICU-A cg: RN vo: 8.4 vu: ml
t0: [19:00:00 29/03/2014] 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 29/03/2014] id: Ativan el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 3 du: mghr sv: 60 su: ml rt: IV Drip t0: [19:00:00 29/03/2014] id: Dopamine el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 2 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [20:00:00 29/03/2014] 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 29/03/2014] id: Ativan el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 3 du: mghr sv: 60 su: ml rt: IV Drip t0: [20:00:00 29/03/2014] id: Dopamine el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 2 du: mcgkgmin sv: 250 su: ml rt: IV Drip
t0: [20:00:00 29/03/2014] id: Less Restrict Meas. el: 0 cu: MICU-A cg: RN v1: Medicated st: NotStopd t0: [20:00:00 29/03/2014] id: Range of Motion el: 0 cu: MICU-A cg: RN v1: Not Done st: NotStopd t0: [20:00:00 29/03/2014] id: CVP el: 0 cu: MICU-A cg: RN v1: 17 u1: mmHg st: NotStopd t0: [20:00:00 29/03/2014] id: Circulation/SkinInt el: 0 cu: MICU-A cg: RN v1: Circulation Adeq st: NotStopd t0: [20:00:00 29/03/2014] id: HOB el: 0 cu: MICU-A cg: RN v1: 30 degrees st: NotStopd t0: [20:00:00 29/03/2014] id: INV Line#1 Type/Site el: 0 cu: MICU-A cg: RN v1: Multi-lumen v2: Right Femoral st: NotStopd t0: [20:00:00 29/03/2014] id: INV Line#1InsertDate el: 0 cu: MICU-A cg: RN v1: 3 v2: 12 st: NotStopd t0: [20:00:00 29/03/2014] id: INV Line#1SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [20:00:00 29/03/2014] id: INV Line#2 Type/Site el: 0 cu: MICU-A cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [20:00:00 29/03/2014] id: INV Line#2InsertDate el: 0 cu: MICU-A cg: RN v1: 3 v2: 12 st: NotStopd t0: [20:00:00 29/03/2014] id: INV Line#3 Type/Site el: 0 cu: MICU-A cg: RN v1: Multi-lumen v2: Right IJ st: NotStopd t0: [20:00:00 29/03/2014] id: INV Line#3InsertDate el: 0 cu: MICU-A cg: RN v1: 3 v2: 12 st: NotStopd t0: [20:00:00 29/03/2014] id: INV Line#3SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [20:00:00 29/03/2014] id: INV#2 WaveformAppear el: 0 cu: MICU-A cg: RN v1: Sharp st: NotStopd t0: [20:00:00 29/03/2014] id: INV#3 WaveformAppear el: 0 cu: MICU-A cg: RN v1: Sharp st: NotStopd t0: [20:00:00 29/03/2014] id: Activity el: 0 cu: MICU-A cg: RN v1: Bedrest st: NotStopd t0: [20:00:00 29/03/2014] id: Activity Tolerance el: 0 cu: MICU-A cg: RN v1: Good st: NotStopd t0: [20:00:00 29/03/2014] id: Imp Skin Cleanse #2 el: 0 cu: MICU-A cg: RN v1: Soap & H20 st: NotStopd t0: [20:00:00 29/03/2014] id: ImpSkin Character #1 el: 0 cu: MICU-A cg: RN v1: Hematoma st: NotStopd t0: [20:00:00 29/03/2014] id: ImpSkin Character #2 el: 0 cu: MICU-A cg: RN v1: Rash st: NotStopd t0: [20:00:00 29/03/2014] id: ImpSkin Treatment #1 el: 0 cu: MICU-A cg: RN v1: Open to Air st: NotStopd t0: [20:00:00 29/03/2014] id: ImpSkin Treatment #2 el: 0 cu: MICU-A cg: RN v1: Open to Air st: NotStopd t0: [20:00:00 29/03/2014] id: Impaired Skin Site#1 el: 0 cu: MICU-A cg: RN v1: Gluteal, Right st: NotStopd t0: [20:00:00 29/03/2014] id: Impaired Skin Site#2 el: 0 cu: MICU-A cg: RN v1: Labia st: NotStopd t0: [20:00:00 29/03/2014] id: AntiEmbDevice/Status el: 0 cu: MICU-A cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [20:00:00 29/03/2014] id: Position el: 0 cu: MICU-A cg: RN v1: Supine st: NotStopd t0: [20:00:00 29/03/2014] id: Position Change el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [20:00:00 29/03/2014] id: Assistance Device el: 0 cu: MICU-A cg: RN v1: 2 Person Assist st: NotStopd t0: [20:00:00 29/03/2014] id: Reason For Restraint el: 0 cu: MICU-A cg: RN v1: Ext/TXInterfere st: NotStopd t0: [20:00:00 29/03/2014] id: Removed x 5 Mins el: 0 cu: MICU-A cg: RN v1: Not Done st: NotStopd t0: [20:00:00 29/03/2014] id: Restraint Location el: 0 cu: MICU-A cg: RN v1: Both Arms st: NotStopd t0: [20:00:00 29/03/2014] id: Restraint Type el: 0 cu: MICU-A cg: RN v1: Soft Limb st: NotStopd t0: [20:00:00 29/03/2014] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [20:00:00 29/03/2014] id: Skin Color el: 0 cu: MICU-A cg: RN v1: Flushed st: NotStopd t0: [20:00:00 29/03/2014] id: Skin Integrity el: 0 cu: MICU-A cg: RN v1: Impaired st: NotStopd t0: [20:00:00 29/03/2014] id: Support Systems el: 0 cu: MICU-A cg: RN v1: Spouse st: NotStopd t0: [20:00:00 29/03/2014] id: Turn el: 0 cu: MICU-A cg: RN v1: Right Side st: NotStopd t0: [20:00:00 29/03/2014] id: Back Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd
t0: [20:00:00 29/03/2014] id: Compliance (40-60ml) el: 0 cu: MICU-A cg: RRT v1: 20 u1: ml/cmH st: NotStopd t0: [20:00:00 29/03/2014] id: ETT Mark/Location el: 0 cu: MICU-A cg: RRT v1: 23cm v2: Lip st: NotStopd t0: [20:00:00 29/03/2014] id: FiO2 Set el: 0 cu: MICU-A cg: RRT v1: 0.3 u1: torr st: NotStopd t0: [20:00:00 29/03/2014] id: High Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 55 u1: cmH2O st: NotStopd t0: [20:00:00 29/03/2014] id: High Resp. Rate el: 0 cu: MICU-A cg: RRT v1: 35 u1: BPM st: NotStopd t0: [20:00:00 29/03/2014] id: Airway Size el: 0 cu: MICU-A cg: RRT v1: 7.5 mm st: NotStopd t0: [20:00:00 29/03/2014] id: Airway Type el: 0 cu: MICU-A cg: RRT v1: Endotracheal st: NotStopd t0: [20:00:00 29/03/2014] id: Inspired Gas Temp el: 0 cu: MICU-A cg: RRT v1: 34 u1: Deg. C st: NotStopd t0: [20:00:00 29/03/2014] id: Intubation Date el: 0 cu: MICU-A cg: RRT v1: 3 v2: 12 st: NotStopd t0: [20:00:00 29/03/2014] id: Low Exhaled Min Vol el: 0 cu: MICU-A cg: RRT v1: 8 st: NotStopd t0: [20:00:00 29/03/2014] id: Low Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 20 u1: cmH2O st: NotStopd t0: [20:00:00 29/03/2014] id: Mean Airway Pressure el: 0 cu: MICU-A cg: RRT v1: 21.5 u1: cmH2O st: NotStopd t0: [20:00:00 29/03/2014] id: Minute Volume(Obser) el: 0 cu: MICU-A cg: RRT v1: 11.3 u1: L/min st: NotStopd t0: [20:00:00 29/03/2014] id: PEEP Set el: 0 cu: MICU-A cg: RRT v1: 17.5 u1: cmH2O st: NotStopd t0: [20:00:00 29/03/2014] id: Apnea Time Interval el: 0 cu: MICU-A cg: RRT v1: 20 st: NotStopd t0: [20:00:00 29/03/2014] id: Peak Flow el: 0 cu: MICU-A cg: RRT v1: 55 u1: L/m st: NotStopd t0: [20:00:00 29/03/2014] id: Peak Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 40 u1: cmH2O st: NotStopd t0: [20:00:00 29/03/2014] id: Plateau Pressure el: 0 cu: MICU-A cg: RRT v1: 31 u1: cmH2O st: NotStopd t0: [20:00:00 29/03/2014] id: Plateau-Off el: 0 cu: MICU-A cg: RRT v1: Yes st: NotStopd t0: [20:00:00 29/03/2014] id: Resp Rate (Spont) el: 0 cu: MICU-A cg: RRT v1: 8 u1: BPM st: NotStopd t0: [20:00:00 29/03/2014] id: Resp Rate (Total) el: 0 cu: MICU-A cg: RRT v1: 28 u1: BPM st: NotStopd t0: [20:00:00 29/03/2014] id: Respiratory Rate Set el: 0 cu: MICU-A cg: RRT v1: 20 u1: BPM st: NotStopd t0: [20:00:00 29/03/2014] id: Sensitivity-Vent el: 0 cu: MICU-A cg: RRT v1: 2 u1: cmH2O st: NotStopd t0: [20:00:00 29/03/2014] id: Tidal Volume (Obser) el: 0 cu: MICU-A cg: RRT v1: 460 u1: ml/B st: NotStopd t0: [20:00:00 29/03/2014] id: Tidal Volume (Set) el: 0 cu: MICU-A cg: RRT v1: 450 u1: ml/B st: NotStopd t0: [20:00:00 29/03/2014] id: Ventilator Mode el: 0 cu: MICU-A cg: RRT v1: Assist Control st: NotStopd t0: [20:00:00 29/03/2014] id: Ventilator No. el: 0 cu: MICU-A cg: RRT v1: 6 u1: # st: NotStopd t0: [20:00:00 29/03/2014] id: Ventilator Type el: 0 cu: MICU-A cg: RRT v1: 7200A st: NotStopd t0: [20:00:00 29/03/2014] id: Waveform-Vent el: 0 cu: MICU-A cg: RRT v1: SQUARE st: NotStopd
t0: [21:00:00 29/03/2014] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [21:00:00 29/03/2014] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [21:00:00 29/03/2014] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [21:00:00 29/03/2014] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [21:00:00 29/03/2014] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 76 u1: BPM st: NotStopd t0: [21:00:00 29/03/2014] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [21:00:00 29/03/2014] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 111 u1: mmHg v2: 58 u2: mmHg st: NotStopd t0: [21:00:00 29/03/2014] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 77 u1: mmHg st: NotStopd t0: [21:00:00 29/03/2014] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [21:00:00 29/03/2014] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 7 u1: BPM st: NotStopd t0: [21:00:00 29/03/2014] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 97 u1: % st: NotStopd t0: [21:00:00 29/03/2014] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [22:00:00 29/03/2014] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [22:00:00 29/03/2014] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [22:00:00 29/03/2014] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [22:00:00 29/03/2014] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [22:00:00 29/03/2014] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 77 u1: BPM st: NotStopd t0: [22:00:00 29/03/2014] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [22:00:00 29/03/2014] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 108 u1: mmHg v2: 55 u2: mmHg st: NotStopd t0: [22:00:00 29/03/2014] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 74 u1: mmHg st: NotStopd t0: [22:00:00 29/03/2014] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [22:00:00 29/03/2014] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 18 u1: BPM st: NotStopd t0: [22:00:00 29/03/2014] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 97 u1: % st: NotStopd t0: [22:00:00 29/03/2014] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [22:00:00 29/03/2014] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 20 vu: ml t0: [22:00:00 29/03/2014] id: D5W 250.0ml + 400mcgkgmin Dopamine IV Infusions el: 1 cu: MICU-A cg: RN ai: 115 vo: 13.485 vu: ml t0: [22:00:00 29/03/2014] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 6 vu: ml t0: [22:00:00 29/03/2014] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU-A cg: RN ai: 416 vo: 10 vu: ml t0: [22:00:00 29/03/2014] id: Promote w/fiber Tube Feeding el: 1 cu: MICU-A cg: RN ai: 107 vo: 130 vu: ml t0: [22:00:00 29/03/2014] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 220 vu: ml
t0: [21:00:00 29/03/2014] 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: [21:00:00 29/03/2014] id: Ativan el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 3 du: mghr sv: 60 su: ml rt: IV Drip t0: [21:00:00 29/03/2014] id: Dopamine el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 2 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [22:00:00 29/03/2014] 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: [22:00:00 29/03/2014] id: Ativan el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 3 du: mghr sv: 60 su: ml rt: IV Drip t0: [22:00:00 29/03/2014] id: Dopamine el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 2 du: mcgkgmin sv: 250 su: ml rt: IV Drip
t0: [22:00:00 29/03/2014] id: Temp. Site el: 0 cu: MICU-A cg: RN v1: Oral st: NotStopd t0: [22:00:00 29/03/2014] id: Temperature C (calc) el: 0 cu: MICU-A cg: RN v1: 38.2778 u1: Deg. C st: NotStopd t0: [22:00:00 29/03/2014] id: Temperature F el: 0 cu: MICU-A cg: RN v1: 100.9 u1: Deg. F st: NotStopd
t0: [21:00:00 29/03/2014] id: xigris Free Form Intake el: 1 cu: MICU-A cg: RN vo: 8.4 vu: ml t0: [22:00:00 29/03/2014] id: xigris Free Form Intake el: 1 cu: MICU-A cg: RN vo: 8.4 vu: ml
t0: [23:00:00 29/03/2014] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [23:00:00 29/03/2014] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [23:00:00 29/03/2014] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [23:00:00 29/03/2014] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [23:00:00 29/03/2014] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 79 u1: BPM st: NotStopd t0: [23:00:00 29/03/2014] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [23:00:00 29/03/2014] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 108 u1: mmHg v2: 58 u2: mmHg st: NotStopd t0: [23:00:00 29/03/2014] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 75 u1: mmHg st: NotStopd t0: [23:00:00 29/03/2014] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [23:00:00 29/03/2014] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 27 u1: BPM st: NotStopd t0: [23:00:00 29/03/2014] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 98 u1: % st: NotStopd t0: [23:00:00 29/03/2014] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [23:00:00 29/03/2014] 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 29/03/2014] id: D5W 250.0ml + 400mcgkgmin Dopamine IV Infusions el: 1 cu: MICU-A cg: RN ai: 115 vo: 6.7425 vu: ml t0: [23:00:00 29/03/2014] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 3 vu: ml t0: [23:00:00 29/03/2014] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU-A cg: RN ai: 416 vo: 5 vu: ml t0: [23:00:00 29/03/2014] id: Promote w/fiber Tube Feeding el: 1 cu: MICU-A cg: RN ai: 107 vo: 65 vu: ml t0: [23:00:00 29/03/2014] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 160 vu: ml
t0: [23:00:00 29/03/2014] 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: [23:00:00 29/03/2014] id: Ativan el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 3 du: mghr sv: 60 su: ml rt: IV Drip t0: [23:00:00 29/03/2014] id: Dopamine el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 2 du: mcgkgmin sv: 250 su: ml rt: IV Drip
t0: [23:00:00 29/03/2014] dt: 1 id: Total Hourly Output el: 2 cu: MICU-A cg: RN pv: 160 cv: 160 ap: none t0: [23:00:00 29/03/2014] dt: 24 id: Tube Feeds In Total el: 2 cu: MICU-A cg: RN pv: 65 cv: 1560 ap: none t0: [23:00:00 29/03/2014] dt: 24 id: Urine Out Total el: 2 cu: MICU-A cg: RN pv: 160 cv: 1960 ap: none t0: [23:00:00 29/03/2014] dt: 24 id: 24h Total Out el: 2 cu: MICU-A cg: RN pv: 160 cv: 1960 ap: none
t0: [00:00:00 30/03/2014] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [00:00:00 30/03/2014] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [00:00:00 30/03/2014] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [00:00:00 30/03/2014] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [00:00:00 30/03/2014] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 77 u1: BPM st: NotStopd t0: [00:00:00 30/03/2014] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [00:00:00 30/03/2014] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 120 u1: mmHg v2: 64 u2: mmHg st: NotStopd t0: [00:00:00 30/03/2014] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 83 u1: mmHg st: NotStopd t0: [00:00:00 30/03/2014] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [00:00:00 30/03/2014] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 24 u1: BPM st: NotStopd t0: [00:00:00 30/03/2014] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 97 u1: % st: NotStopd t0: [00:00:00 30/03/2014] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [01:00:00 30/03/2014] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [01:00:00 30/03/2014] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [01:00:00 30/03/2014] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [01:00:00 30/03/2014] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [01:00:00 30/03/2014] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 80 u1: BPM st: NotStopd t0: [01:00:00 30/03/2014] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [01:00:00 30/03/2014] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 116 u1: mmHg v2: 61 u2: mmHg st: NotStopd t0: [01:00:00 30/03/2014] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 80 u1: mmHg st: NotStopd t0: [01:00:00 30/03/2014] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [01:00:00 30/03/2014] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 25 u1: BPM st: NotStopd t0: [01:00:00 30/03/2014] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 100 u1: % st: NotStopd t0: [01:00:00 30/03/2014] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [00:00:00 30/03/2014] 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 30/03/2014] id: D5W 250.0ml + 400mcgkgmin Dopamine IV Infusions el: 1 cu: MICU-A cg: RN ai: 115 vo: 6.7425 vu: ml t0: [00:00:00 30/03/2014] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 3 vu: ml t0: [00:00:00 30/03/2014] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU-A cg: RN ai: 416 vo: 5 vu: ml t0: [00:00:00 30/03/2014] id: Promote w/fiber Tube Feeding el: 1 cu: MICU-A cg: RN ai: 107 vo: 65 vu: ml t0: [01:00:00 30/03/2014] 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 30/03/2014] id: D5W 250.0ml + 400mcgkgmin Dopamine IV Infusions el: 1 cu: MICU-A cg: RN ai: 115 vo: 6.7425 vu: ml t0: [01:00:00 30/03/2014] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 3 vu: ml t0: [01:00:00 30/03/2014] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU-A cg: RN ai: 416 vo: 5 vu: ml t0: [01:00:00 30/03/2014] id: Promote w/fiber Tube Feeding el: 1 cu: MICU-A cg: RN ai: 107 vo: 65 vu: ml t0: [01:00:00 30/03/2014] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 360 vu: ml
t0: [00:00:00 30/03/2014] 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: [00:00:00 30/03/2014] id: Ativan el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 3 du: mghr sv: 60 su: ml rt: IV Drip t0: [00:00:00 30/03/2014] id: Dopamine el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 2 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [01:00:00 30/03/2014] 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: [01:00:00 30/03/2014] id: Ativan el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 3 du: mghr sv: 60 su: ml rt: IV Drip t0: [01:00:00 30/03/2014] id: Dopamine el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 2 du: mcgkgmin sv: 250 su: ml rt: IV Drip
t0: [01:00:00 30/03/2014] id: Compliance (40-60ml) el: 0 cu: MICU-A cg: RRT v1: 20.9302 u1: ml/cmH st: NotStopd t0: [01:00:00 30/03/2014] id: ETT Mark/Location el: 0 cu: MICU-A cg: RRT v1: 23cm v2: Lip st: NotStopd t0: [01:00:00 30/03/2014] id: FiO2 Set el: 0 cu: MICU-A cg: RRT v1: 0.3 u1: torr st: NotStopd t0: [01:00:00 30/03/2014] id: High Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 55 u1: cmH2O st: NotStopd t0: [01:00:00 30/03/2014] id: High Resp. Rate el: 0 cu: MICU-A cg: RRT v1: 35 u1: BPM st: NotStopd t0: [01:00:00 30/03/2014] id: I:E Ratio el: 0 cu: MICU-A cg: RRT v1: 3.5 st: NotStopd t0: [01:00:00 30/03/2014] id: Airway Size el: 0 cu: MICU-A cg: RRT v1: 7.5 mm st: NotStopd t0: [01:00:00 30/03/2014] id: Airway Type el: 0 cu: MICU-A cg: RRT v1: Endotracheal st: NotStopd t0: [01:00:00 30/03/2014] id: Inspired Gas Temp el: 0 cu: MICU-A cg: RRT v1: 34 u1: Deg. C st: NotStopd t0: [01:00:00 30/03/2014] id: Intubation Date el: 0 cu: MICU-A cg: RRT v1: 3 v2: 12 st: NotStopd t0: [01:00:00 30/03/2014] id: Low Exhaled Min Vol el: 0 cu: MICU-A cg: RRT v1: 8 st: NotStopd t0: [01:00:00 30/03/2014] id: Low Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 20 u1: cmH2O st: NotStopd t0: [01:00:00 30/03/2014] id: Mean Airway Pressure el: 0 cu: MICU-A cg: RRT v1: 24.7 u1: cmH2O st: NotStopd t0: [01:00:00 30/03/2014] id: Minute Volume(Obser) el: 0 cu: MICU-A cg: RRT v1: 11.4 u1: L/min st: NotStopd t0: [01:00:00 30/03/2014] id: PEEP Set el: 0 cu: MICU-A cg: RRT v1: 17.5 u1: cmH2O st: NotStopd t0: [01:00:00 30/03/2014] id: Apnea Time Interval el: 0 cu: MICU-A cg: RRT v1: 20 st: NotStopd t0: [01:00:00 30/03/2014] id: Peak Flow el: 0 cu: MICU-A cg: RRT v1: 55 u1: L/m st: NotStopd t0: [01:00:00 30/03/2014] id: Peak Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 39 u1: cmH2O st: NotStopd t0: [01:00:00 30/03/2014] id: Plateau-Off el: 0 cu: MICU-A cg: RRT v1: Yes st: NotStopd t0: [01:00:00 30/03/2014] id: Pressure Support el: 0 cu: MICU-A cg: RRT v1: 0 u1: . st: NotStopd t0: [01:00:00 30/03/2014] id: Resp Rate (Spont) el: 0 cu: MICU-A cg: RRT v1: 8 u1: BPM st: NotStopd t0: [01:00:00 30/03/2014] id: Resp Rate (Total) el: 0 cu: MICU-A cg: RRT v1: 28 u1: BPM st: NotStopd t0: [01:00:00 30/03/2014] id: Respiratory Rate Set el: 0 cu: MICU-A cg: RRT v1: 20 u1: BPM st: NotStopd t0: [01:00:00 30/03/2014] id: Sensitivity-Vent el: 0 cu: MICU-A cg: RRT v1: 2 u1: cmH2O st: NotStopd t0: [01:00:00 30/03/2014] id: Tidal Volume (Obser) el: 0 cu: MICU-A cg: RRT v1: 410 u1: ml/B st: NotStopd t0: [01:00:00 30/03/2014] id: Tidal Volume (Set) el: 0 cu: MICU-A cg: RRT v1: 450 u1: ml/B st: NotStopd t0: [01:00:00 30/03/2014] id: Ventilator Mode el: 0 cu: MICU-A cg: RRT v1: Assist Control st: NotStopd t0: [01:00:00 30/03/2014] id: Ventilator No. el: 0 cu: MICU-A cg: RRT v1: 6 u1: # st: NotStopd t0: [01:00:00 30/03/2014] id: Ventilator Type el: 0 cu: MICU-A cg: RRT v1: 7200A st: NotStopd t0: [01:00:00 30/03/2014] id: Waveform-Vent el: 0 cu: MICU-A cg: RRT v1: SQUARE st: NotStopd
tf: [01:00:00 31/03/2014] pt: Unit Dose rt: IV fr: ONCE fs: 2 dn: 1 m1: Furosemide f1: INJ v1: 20 u1: mg
t0: [01:00:00 30/03/2014] id: Procedures el: 0 cu: MICU-A cg: RN v1: Line Placement st: NotStopd t0: [02:00:00 30/03/2014] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [02:00:00 30/03/2014] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [02:00:00 30/03/2014] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [02:00:00 30/03/2014] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [02:00:00 30/03/2014] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 83 u1: BPM st: NotStopd t0: [02:00:00 30/03/2014] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [02:00:00 30/03/2014] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 156 u1: mmHg v2: 77 u2: mmHg st: NotStopd t0: [02:00:00 30/03/2014] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 106 u1: mmHg st: NotStopd t0: [02:00:00 30/03/2014] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [02:00:00 30/03/2014] id: Procedures el: 0 cu: MICU-A cg: RN st: NotStopd t0: [02:00:00 30/03/2014] id: Radiologic Study el: 0 cu: MICU-A cg: RN v1: Chest Xray st: NotStopd t0: [02:00:00 30/03/2014] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 21 u1: BPM st: NotStopd t0: [02:00:00 30/03/2014] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 96 u1: % st: NotStopd t0: [02:00:00 30/03/2014] id: Temp. Site el: 0 cu: MICU-A cg: RN v1: Oral st: NotStopd t0: [02:00:00 30/03/2014] id: Temperature C (calc) el: 0 cu: MICU-A cg: RN v1: 38.4444 u1: Deg. C st: NotStopd t0: [02:00:00 30/03/2014] id: Temperature F el: 0 cu: MICU-A cg: RN v1: 101.2 u1: Deg. F st: NotStopd t0: [02:00:00 30/03/2014] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [21:00:00 29/03/2014] id: .9% Normal Saline 1000.0ml IV Infusions el: 3 cu: MICU-A cg: RN ai: 107 vu: ml st: Stopped t0: [22:00:00 29/03/2014] id: .9% Normal Saline 1000.0ml IV Infusions el: 3 cu: MICU-A cg: RN ai: 107 vu: ml t0: [23:00:00 29/03/2014] id: .9% Normal Saline 1000.0ml IV Infusions el: 3 cu: MICU-A cg: RN ai: 107 vu: ml t0: [00:00:00 30/03/2014] id: .9% Normal Saline 1000.0ml IV Infusions el: 3 cu: MICU-A cg: RN ai: 107 vu: ml t0: [00:00:00 30/03/2014] id: xigris Free Form Intake el: 1 cu: MICU-A cg: RN vu: ml t0: [01:00:00 30/03/2014] id: .9% Normal Saline 1000.0ml IV Infusions el: 3 cu: MICU-A cg: RN ai: 107 vu: ml t0: [01:00:00 30/03/2014] id: xigris Free Form Intake el: 1 cu: MICU-A cg: RN vu: ml t0: [02:00:00 30/03/2014] 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 30/03/2014] id: D5W 250.0ml + 400mcgkgmin Dopamine IV Infusions el: 1 cu: MICU-A cg: RN ai: 115 vo: 6.7425 vu: ml t0: [02:00:00 30/03/2014] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 3 vu: ml t0: [02:00:00 30/03/2014] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU-A cg: RN ai: 416 vo: 5 vu: ml t0: [02:00:00 30/03/2014] id: IV Piggyback 100.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 105 vo: 200 vu: ml t0: [02:00:00 30/03/2014] id: Promote w/fiber Tube Feeding el: 1 cu: MICU-A cg: RN ai: 107 vo: 65 vu: ml t0: [02:00:00 30/03/2014] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 160 vu: ml
t0: [02:00:00 30/03/2014] 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: [02:00:00 30/03/2014] id: Ativan el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 3 du: mghr sv: 60 su: ml rt: IV Drip t0: [02:00:00 30/03/2014] id: Dopamine el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 2 du: mcgkgmin sv: 250 su: ml rt: IV Drip
t0: [23:00:00 29/03/2014] dt: 1 id: Net Hourly Balance el: 2 cu: MICU-A cg: RN pv: -60.2575 cv: -60.2575 ap: none t0: [23:00:00 29/03/2014] dt: 24 id: IV Infusion In Total el: 2 cu: MICU-A cg: RN pv: 34.7425 cv: 2457.17 ap: none t0: [23:00:00 29/03/2014] dt: 24 id: 24h Total In el: 2 cu: MICU-A cg: RN pv: 99.7425 cv: 4418.57 ap: none t0: [23:00:00 29/03/2014] dt: 24 id: 24h Net Body Balance el: 2 cu: MICU-A cg: RN pv: -60.2575 cv: 2458.57 ap: none t0: [23:00:00 29/03/2014] dt: multiple days id: LOS Net Body Balance el: 2 cu: MICU-A cg: RN pv: -60.2575 cv: 23629 ap: carryForward
t0: [02:55:00 30/03/2014] id: Art.pH ABG el: 0 cu: MICU-A cg: 1663 v1: 7.36 rs: Final st: NotStopd t0: [02:55:00 30/03/2014] id: Arterial Base Excess ABG el: 0 cu: MICU-A cg: 1663 v1: -5 rs: Final st: NotStopd t0: [02:55:00 30/03/2014] id: Arterial CO2(Calc) ABG el: 0 cu: MICU-A cg: 1663 v1: 20 rs: Final st: NotStopd t0: [02:55:00 30/03/2014] id: Arterial PaCO2 ABG el: 0 cu: MICU-A cg: 1663 v1: 34 u1: mmHg rs: Final st: NotStopd t0: [02:55:00 30/03/2014] id: Arterial PaO2 ABG el: 0 cu: MICU-A cg: 1663 v1: 93 u1: mmHg rs: Final st: NotStopd t0: [02:55:00 30/03/2014] id: Arterial pH ABG el: 0 cu: MICU-A cg: 1663 v1: 7.36 rs: Final st: NotStopd
t0: [02:54:00 30/03/2014] id: WBC (4-11,000) Hematology el: 0 cu: MICU-A cg: 1663 v1: 19.4 rs: Final st: NotStopd t0: [02:54:00 30/03/2014] id: Hematocrit Hematology el: 0 cu: MICU-A cg: 1663 v1: 26.2 u1: % rs: Final st: NotStopd t0: [02:54:00 30/03/2014] id: Hemoglobin Hematology el: 0 cu: MICU-A cg: 1663 v1: 9 u1: gm/dl rs: Final st: NotStopd t0: [02:54:00 30/03/2014] id: Platelets Hematology el: 0 cu: MICU-A cg: 1663 v1: 213 rs: Final st: NotStopd t0: [02:54:00 30/03/2014] id: RBC Hematology el: 0 cu: MICU-A cg: 1663 v1: 3.07 u1: /mic l rs: Final st: NotStopd t0: [02:54:00 30/03/2014] id: WBC (4-11,000) Hematology el: 0 cu: MICU-A cg: 1663 v1: 19.4 rs: Final st: NotStopd
t0: [02:54:00 30/03/2014] id: INR (2-4 ref. range) Coags el: 0 cu: MICU-A cg: 1663 v1: 1.1 rs: Final st: NotStopd t0: [02:54:00 30/03/2014] id: PT(11-13.5) Coags el: 0 cu: MICU-A cg: 1663 v1: 12.9 rs: Final st: NotStopd t0: [02:54:00 30/03/2014] id: PTT(22-35) Coags el: 0 cu: MICU-A cg: 1663 v1: 38.3 rs: Final st: NotStopd
t0: [02:54:00 30/03/2014] id: BUN (6-20) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 29 rs: Final st: NotStopd t0: [02:54:00 30/03/2014] 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: [02:54:00 30/03/2014] id: Carbon Dioxide Chemistry el: 0 cu: MICU-A cg: 1663 v1: 18 rs: Final st: NotStopd t0: [02:54:00 30/03/2014] id: Chloride (100-112) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 117 rs: Final st: NotStopd t0: [02:54:00 30/03/2014] id: Creatinine (0-1.3) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 1.5 rs: Final st: NotStopd t0: [02:54:00 30/03/2014] id: Glucose (70-105) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 123 rs: Final st: NotStopd t0: [02:54:00 30/03/2014] id: Magnesium (1.6-2.6) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 2.1 rs: Final st: NotStopd t0: [02:54:00 30/03/2014] id: Phosphorous(2.7-4.5) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 2.3 u1: mEq/L rs: Final st: NotStopd t0: [02:54:00 30/03/2014] id: Potassium (3.5-5.3) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 3.7 rs: Final st: NotStopd t0: [02:54:00 30/03/2014] id: Sodium (135-148) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 144 rs: Final st: NotStopd
t0: [02:54:00 30/03/2014] id: Differential-Bands Hematology el: 0 cu: MICU-A cg: 1663 v1: 4 rs: Final st: NotStopd t0: [02:54:00 30/03/2014] id: Differential-Basos Hematology el: 0 cu: MICU-A cg: 1663 v1: 0 rs: Final st: NotStopd t0: [02:54:00 30/03/2014] id: Differential-Eos Hematology el: 0 cu: MICU-A cg: 1663 v1: 5 rs: Final st: NotStopd t0: [02:54:00 30/03/2014] id: Differential-Lymphs Hematology el: 0 cu: MICU-A cg: 1663 v1: 9 rs: Final st: NotStopd t0: [02:54:00 30/03/2014] id: Differential-Monos Hematology el: 0 cu: MICU-A cg: 1663 v1: 5 rs: Final st: NotStopd t0: [02:54:00 30/03/2014] id: Differential-Polys Hematology el: 0 cu: MICU-A cg: 1663 v1: 71 rs: Final st: NotStopd
t0: [20:00:00 29/03/2014] id: Braden Activity el: 0 cu: MICU-A cg: RN v1: Bedfast st: NotStopd t0: [20:00:00 29/03/2014] id: Braden Frict/Shear el: 0 cu: MICU-A cg: RN v1: Potential Prob st: NotStopd t0: [20:00:00 29/03/2014] id: Braden Mobility el: 0 cu: MICU-A cg: RN v1: Very Limited st: NotStopd t0: [20:00:00 29/03/2014] id: Braden Moisture el: 0 cu: MICU-A cg: RN v1: Occ. Moist st: NotStopd t0: [20:00:00 29/03/2014] id: Braden Nutrition el: 0 cu: MICU-A cg: RN v1: Adequate st: NotStopd t0: [20:00:00 29/03/2014] id: Braden Score el: 0 cu: MICU-A cg: RN v1: 13 u1: number st: NotStopd t0: [20:00:00 29/03/2014] id: Braden SensoryPercep el: 0 cu: MICU-A cg: RN v1: Very Limited st: NotStopd t0: [00:00:00 30/03/2014] id: Range of Motion el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [00:00:00 30/03/2014] id: Circulation/SkinInt el: 0 cu: MICU-A cg: RN v1: Circulation Adeq st: NotStopd t0: [00:00:00 30/03/2014] id: GI Prophylaxis el: 0 cu: MICU-A cg: RN v1: H2 Blocker st: NotStopd t0: [00:00:00 30/03/2014] id: Diet Type el: 0 cu: MICU-A cg: RN v1: Tube Feeding st: NotStopd t0: [00:00:00 30/03/2014] id: Eye Opening el: 0 cu: MICU-A cg: RN v1: 3 To speech st: NotStopd t0: [00:00:00 30/03/2014] id: GCS Total el: 0 cu: MICU-A cg: RN v1: 9 u1: points st: NotStopd t0: [00:00:00 30/03/2014] id: GI Intub #1/Site el: 0 cu: MICU-A cg: RN v1: Salem Sump v2: Left Nare st: NotStopd t0: [00:00:00 30/03/2014] id: GI#1 Tube PlaceCheck el: 0 cu: MICU-A cg: RN v1: Not Done st: NotStopd t0: [00:00:00 30/03/2014] id: GI#1 Tube Stat/Drain el: 0 cu: MICU-A cg: RN v1: Feeding st: NotStopd t0: [00:00:00 30/03/2014] id: GU Catheter Size el: 0 cu: MICU-A cg: RN v1: 14 French st: NotStopd t0: [00:00:00 30/03/2014] id: HOB el: 0 cu: MICU-A cg: RN v1: 30 degrees st: NotStopd t0: [00:00:00 30/03/2014] id: Abdominal Assessment el: 0 cu: MICU-A cg: RN v1: Obese st: NotStopd t0: [00:00:00 30/03/2014] id: Activity el: 0 cu: MICU-A cg: RN v1: Bedrest st: NotStopd t0: [00:00:00 30/03/2014] id: Activity Tolerance el: 0 cu: MICU-A cg: RN v1: Fair st: NotStopd t0: [00:00:00 30/03/2014] id: Imp Skin Cleanse #2 el: 0 cu: MICU-A cg: RN v1: Soap & H20 st: NotStopd t0: [00:00:00 30/03/2014] id: ImpSkin Character #1 el: 0 cu: MICU-A cg: RN v1: Hematoma st: NotStopd t0: [00:00:00 30/03/2014] id: ImpSkin Character #2 el: 0 cu: MICU-A cg: RN v1: Rash st: NotStopd t0: [00:00:00 30/03/2014] id: ImpSkin Treatment #1 el: 0 cu: MICU-A cg: RN v1: Open to Air st: NotStopd t0: [00:00:00 30/03/2014] id: ImpSkin Treatment #2 el: 0 cu: MICU-A cg: RN v1: Open to Air st: NotStopd t0: [00:00:00 30/03/2014] id: Impaired Skin Site#1 el: 0 cu: MICU-A cg: RN v1: Gluteal, Right st: NotStopd t0: [00:00:00 30/03/2014] id: Impaired Skin Site#2 el: 0 cu: MICU-A cg: RN v1: Labia st: NotStopd t0: [00:00:00 30/03/2014] id: LLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Diminished st: NotStopd t0: [00:00:00 30/03/2014] id: LUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Clear st: NotStopd t0: [00:00:00 30/03/2014] id: Level of Conscious el: 0 cu: MICU-A cg: RN v1: Sedated st: NotStopd t0: [00:00:00 30/03/2014] id: Motor Response el: 0 cu: MICU-A cg: RN v1: 5 Localizes Pain st: NotStopd t0: [00:00:00 30/03/2014] id: Oral Cavity el: 0 cu: MICU-A cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [00:00:00 30/03/2014] id: Orientation el: 0 cu: MICU-A cg: RN v1: Other/Remarks st: NotStopd t0: [00:00:00 30/03/2014] id: AntiEmbDevice/Status el: 0 cu: MICU-A cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [00:00:00 30/03/2014] id: Position el: 0 cu: MICU-A cg: RN v1: Supine st: NotStopd t0: [00:00:00 30/03/2014] id: Position Change el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [00:00:00 30/03/2014] id: RLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Diminished st: NotStopd t0: [00:00:00 30/03/2014] id: RUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Clear st: NotStopd t0: [00:00:00 30/03/2014] id: Reason For Restraint el: 0 cu: MICU-A cg: RN v1: Ext/TXInterfere st: NotStopd t0: [00:00:00 30/03/2014] id: Removed x 5 Mins el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [00:00:00 30/03/2014] id: Respiratory Pattern el: 0 cu: MICU-A cg: RN v1: Regular st: NotStopd t0: [00:00:00 30/03/2014] id: Restraint Location el: 0 cu: MICU-A cg: RN v1: Both Arms st: NotStopd t0: [00:00:00 30/03/2014] id: Restraint Type el: 0 cu: MICU-A cg: RN v1: Soft Limb st: NotStopd t0: [00:00:00 30/03/2014] id: Restraints Evaluated el: 0 cu: MICU-A cg: RN v1: Behavior Conts st: NotStopd t0: [00:00:00 30/03/2014] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [00:00:00 30/03/2014] id: Skin Color el: 0 cu: MICU-A cg: RN v1: Flushed st: NotStopd t0: [00:00:00 30/03/2014] id: Skin Integrity el: 0 cu: MICU-A cg: RN v1: Impaired st: NotStopd t0: [00:00:00 30/03/2014] id: Stool Color/Consist el: 0 cu: MICU-A cg: RN v1: Brown v2: Liquid st: NotStopd t0: [00:00:00 30/03/2014] id: Support Systems el: 0 cu: MICU-A cg: RN v1: Spouse st: NotStopd t0: [00:00:00 30/03/2014] id: Turn el: 0 cu: MICU-A cg: RN v1: Left Side st: NotStopd t0: [00:00:00 30/03/2014] id: Urine Color/Appear el: 0 cu: MICU-A cg: RN v1: Yellow v2: Sediment st: NotStopd t0: [00:00:00 30/03/2014] id: Urine Source el: 0 cu: MICU-A cg: RN v1: Indwelling Cath st: NotStopd t0: [00:00:00 30/03/2014] id: Verbal Response el: 0 cu: MICU-A cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [00:00:00 30/03/2014] id: Bowel Sounds el: 0 cu: MICU-A cg: RN v1: Present st: NotStopd t0: [00:00:00 30/03/2014] id: Braden Activity el: 0 cu: MICU-A cg: RN v1: Bedfast st: NotStopd t0: [00:00:00 30/03/2014] id: Braden Frict/Shear el: 0 cu: MICU-A cg: RN v1: Potential Prob st: NotStopd t0: [00:00:00 30/03/2014] id: Braden Mobility el: 0 cu: MICU-A cg: RN v1: Comp. Immobile st: NotStopd t0: [00:00:00 30/03/2014] id: Braden Moisture el: 0 cu: MICU-A cg: RN v1: Occ. Moist st: NotStopd t0: [00:00:00 30/03/2014] id: Braden Nutrition el: 0 cu: MICU-A cg: RN v1: Adequate st: NotStopd t0: [00:00:00 30/03/2014] id: Braden Score el: 0 cu: MICU-A cg: RN v1: 12 u1: number st: NotStopd t0: [00:00:00 30/03/2014] id: Braden SensoryPercep el: 0 cu: MICU-A cg: RN v1: Very Limited st: NotStopd t0: [01:00:00 30/03/2014] id: INV#3Chg o/Wire Date el: 0 cu: MICU-A cg: RN v1: 3 v2: 16 st: NotStopd t0: [01:00:00 30/03/2014] id: INV Line#1 Type/Site el: 0 cu: MICU-A cg: RN v1: Multi-lumen v2: Right Femoral st: NotStopd t0: [01:00:00 30/03/2014] id: INV Line#1InsertDate el: 0 cu: MICU-A cg: RN v1: 3 v2: 12 st: NotStopd t0: [01:00:00 30/03/2014] id: INV Line#1SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [01:00:00 30/03/2014] id: INV Line#2 Type/Site el: 0 cu: MICU-A cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [01:00:00 30/03/2014] id: INV Line#2 Zero/Cal el: 0 cu: MICU-A cg: RN v1: No st: NotStopd t0: [01:00:00 30/03/2014] id: INV Line#2InsertDate el: 0 cu: MICU-A cg: RN v1: 3 v2: 12 st: NotStopd t0: [01:00:00 30/03/2014] id: INV Line#3 Site Date el: 0 cu: MICU-A cg: RN v1: 3 v2: 16 st: NotStopd t0: [01:00:00 30/03/2014] id: INV Line#3 Type/Site el: 0 cu: MICU-A cg: RN v1: Multi-lumen v2: Right IJ st: NotStopd t0: [01:00:00 30/03/2014] id: INV Line#3InsertDate el: 0 cu: MICU-A cg: RN v1: 3 v2: 12 st: NotStopd t0: [01:00:00 30/03/2014] id: INV Line#3SiteAppear el: 0 cu: MICU-A cg: RN v1: Bleeding st: NotStopd t0: [01:00:00 30/03/2014] id: INV#2 WaveformAppear el: 0 cu: MICU-A cg: RN v1: Sharp st: NotStopd t0: [02:00:00 30/03/2014] id: HOB el: 0 cu: MICU-A cg: RN v1: 30 degrees st: NotStopd t0: [02:00:00 30/03/2014] id: AntiEmbDevice/Status el: 0 cu: MICU-A cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [02:00:00 30/03/2014] id: Position el: 0 cu: MICU-A cg: RN v1: Supine st: NotStopd t0: [02:00:00 30/03/2014] id: Turn el: 0 cu: MICU-A cg: RN v1: Back st: NotStopd t0: [03:00:00 30/03/2014] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [03:00:00 30/03/2014] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [03:00:00 30/03/2014] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [03:00:00 30/03/2014] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [03:00:00 30/03/2014] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 78 u1: BPM st: NotStopd t0: [03:00:00 30/03/2014] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [03:00:00 30/03/2014] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 116 u1: mmHg v2: 61 u2: mmHg st: NotStopd t0: [03:00:00 30/03/2014] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 79 u1: mmHg st: NotStopd t0: [03:00:00 30/03/2014] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [03:00:00 30/03/2014] id: Procedures el: 0 cu: MICU-A cg: RN v1: Culture/remarks st: NotStopd t0: [03:00:00 30/03/2014] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 26 u1: BPM st: NotStopd t0: [03:00:00 30/03/2014] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 97 u1: % st: NotStopd t0: [03:00:00 30/03/2014] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [04:00:00 30/03/2014] id: Range of Motion el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [04:00:00 30/03/2014] id: bath el: 0 cu: MICU-A cg: RN v1: done t0: [04:00:00 30/03/2014] id: INV#3Chg o/Wire Date el: 0 cu: MICU-A cg: RN v1: 3 v2: 16 st: NotStopd t0: [04:00:00 30/03/2014] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [04:00:00 30/03/2014] id: Circulation/SkinInt el: 0 cu: MICU-A cg: RN v1: Circulation Adeq st: NotStopd t0: [04:00:00 30/03/2014] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [04:00:00 30/03/2014] id: GI Prophylaxis el: 0 cu: MICU-A cg: RN v1: H2 Blocker st: NotStopd t0: [04:00:00 30/03/2014] id: Diet Type el: 0 cu: MICU-A cg: RN v1: Tube Feeding st: NotStopd t0: [04:00:00 30/03/2014] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [04:00:00 30/03/2014] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [04:00:00 30/03/2014] id: Eye Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [04:00:00 30/03/2014] id: Eye Opening el: 0 cu: MICU-A cg: RN v1: 3 To speech st: NotStopd t0: [04:00:00 30/03/2014] id: GCS Total el: 0 cu: MICU-A cg: RN v1: 9 u1: points st: NotStopd t0: [04:00:00 30/03/2014] id: GI Intub #1/Site el: 0 cu: MICU-A cg: RN v1: Salem Sump v2: Left Nare st: NotStopd t0: [04:00:00 30/03/2014] id: GI#1 Tube PlaceCheck el: 0 cu: MICU-A cg: RN v1: Not Done st: NotStopd t0: [04:00:00 30/03/2014] id: GI#1 Tube Stat/Drain el: 0 cu: MICU-A cg: RN v1: Feeding st: NotStopd t0: [04:00:00 30/03/2014] id: GU Catheter Size el: 0 cu: MICU-A cg: RN v1: 14 French st: NotStopd t0: [04:00:00 30/03/2014] id: HOB el: 0 cu: MICU-A cg: RN v1: 30 degrees st: NotStopd t0: [04:00:00 30/03/2014] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 78 u1: BPM st: NotStopd t0: [04:00:00 30/03/2014] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [04:00:00 30/03/2014] id: INV Line#1 Type/Site el: 0 cu: MICU-A cg: RN v1: Multi-lumen v2: Right Femoral st: NotStopd t0: [04:00:00 30/03/2014] id: INV Line#1InsertDate el: 0 cu: MICU-A cg: RN v1: 3 v2: 12 st: NotStopd t0: [04:00:00 30/03/2014] id: INV Line#1SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [04:00:00 30/03/2014] id: INV Line#2 Type/Site el: 0 cu: MICU-A cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [04:00:00 30/03/2014] id: INV Line#2 Zero/Cal el: 0 cu: MICU-A cg: RN v1: No st: NotStopd t0: [04:00:00 30/03/2014] id: INV Line#2InsertDate el: 0 cu: MICU-A cg: RN v1: 3 v2: 12 st: NotStopd t0: [04:00:00 30/03/2014] id: INV Line#3 Site Date el: 0 cu: MICU-A cg: RN v1: 3 v2: 16 st: NotStopd t0: [04:00:00 30/03/2014] id: INV Line#3 Type/Site el: 0 cu: MICU-A cg: RN v1: Multi-lumen v2: Right IJ st: NotStopd t0: [04:00:00 30/03/2014] id: INV Line#3InsertDate el: 0 cu: MICU-A cg: RN v1: 3 v2: 12 st: NotStopd t0: [04:00:00 30/03/2014] id: INV Line#3SiteAppear el: 0 cu: MICU-A cg: RN v1: Bleeding st: NotStopd t0: [04:00:00 30/03/2014] id: Abdominal Assessment el: 0 cu: MICU-A cg: RN v1: Obese st: NotStopd t0: [04:00:00 30/03/2014] id: INV#2 WaveformAppear el: 0 cu: MICU-A cg: RN v1: Sharp st: NotStopd t0: [04:00:00 30/03/2014] id: Activity el: 0 cu: MICU-A cg: RN v1: Bedrest st: NotStopd t0: [04:00:00 30/03/2014] id: Activity Tolerance el: 0 cu: MICU-A cg: RN v1: Poor st: NotStopd t0: [04:00:00 30/03/2014] id: Imp Skin Cleanse #2 el: 0 cu: MICU-A cg: RN v1: Soap & H20 st: NotStopd t0: [04:00:00 30/03/2014] id: ImpSkin Character #1 el: 0 cu: MICU-A cg: RN v1: Hematoma st: NotStopd t0: [04:00:00 30/03/2014] id: ImpSkin Character #2 el: 0 cu: MICU-A cg: RN v1: Rash st: NotStopd t0: [04:00:00 30/03/2014] id: ImpSkin Treatment #1 el: 0 cu: MICU-A cg: RN v1: Open to Air st: NotStopd t0: [04:00:00 30/03/2014] id: ImpSkin Treatment #2 el: 0 cu: MICU-A cg: RN v1: Open to Air st: NotStopd t0: [04:00:00 30/03/2014] id: Impaired Skin Site#1 el: 0 cu: MICU-A cg: RN v1: Gluteal, Right st: NotStopd t0: [04:00:00 30/03/2014] id: Impaired Skin Site#2 el: 0 cu: MICU-A cg: RN v1: Labia st: NotStopd t0: [04:00:00 30/03/2014] id: LLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Diminished st: NotStopd t0: [04:00:00 30/03/2014] id: LUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Clear st: NotStopd t0: [04:00:00 30/03/2014] id: Level of Conscious el: 0 cu: MICU-A cg: RN v1: Sedated st: NotStopd t0: [04:00:00 30/03/2014] id: Motor Response el: 0 cu: MICU-A cg: RN v1: 5 Localizes Pain st: NotStopd t0: [04:00:00 30/03/2014] id: Oral Cavity el: 0 cu: MICU-A cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [04:00:00 30/03/2014] id: Orientation el: 0 cu: MICU-A cg: RN v1: Other/Remarks st: NotStopd t0: [04:00:00 30/03/2014] id: AntiEmbDevice/Status el: 0 cu: MICU-A cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [04:00:00 30/03/2014] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 122 u1: mmHg v2: 64 u2: mmHg st: NotStopd t0: [04:00:00 30/03/2014] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 83 u1: mmHg st: NotStopd t0: [04:00:00 30/03/2014] id: Position el: 0 cu: MICU-A cg: RN v1: Left Side st: NotStopd t0: [04:00:00 30/03/2014] id: Position Change el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [04:00:00 30/03/2014] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [04:00:00 30/03/2014] id: RLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Diminished st: NotStopd t0: [04:00:00 30/03/2014] id: RUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Clear st: NotStopd t0: [04:00:00 30/03/2014] id: Reason For Restraint el: 0 cu: MICU-A cg: RN v1: Ext/TXInterfere st: NotStopd t0: [04:00:00 30/03/2014] id: Removed x 5 Mins el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [04:00:00 30/03/2014] id: Respiratory Pattern el: 0 cu: MICU-A cg: RN v1: Regular st: NotStopd t0: [04:00:00 30/03/2014] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 25 u1: BPM st: NotStopd t0: [04:00:00 30/03/2014] id: Restraint Location el: 0 cu: MICU-A cg: RN v1: Both Arms st: NotStopd t0: [04:00:00 30/03/2014] id: Restraint Type el: 0 cu: MICU-A cg: RN v1: Soft Limb st: NotStopd t0: [04:00:00 30/03/2014] id: Restraints Evaluated el: 0 cu: MICU-A cg: RN v1: Behavior Conts st: NotStopd t0: [04:00:00 30/03/2014] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [04:00:00 30/03/2014] id: Skin Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [04:00:00 30/03/2014] id: Skin Color el: 0 cu: MICU-A cg: RN v1: Flushed st: NotStopd t0: [04:00:00 30/03/2014] id: Skin Integrity el: 0 cu: MICU-A cg: RN v1: Impaired st: NotStopd t0: [04:00:00 30/03/2014] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 97 u1: % st: NotStopd t0: [04:00:00 30/03/2014] id: Stool Color/Consist el: 0 cu: MICU-A cg: RN v1: Brown v2: Liquid st: NotStopd t0: [04:00:00 30/03/2014] id: Support Systems el: 0 cu: MICU-A cg: RN v1: Spouse st: NotStopd t0: [04:00:00 30/03/2014] id: Turn el: 0 cu: MICU-A cg: RN v1: Left Side st: NotStopd t0: [04:00:00 30/03/2014] id: Urine Color/Appear el: 0 cu: MICU-A cg: RN v1: Yellow v2: Sediment st: NotStopd t0: [04:00:00 30/03/2014] id: Urine Source el: 0 cu: MICU-A cg: RN v1: Indwelling Cath st: NotStopd t0: [04:00:00 30/03/2014] id: Verbal Response el: 0 cu: MICU-A cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [04:00:00 30/03/2014] id: Back Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [04:00:00 30/03/2014] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [04:00:00 30/03/2014] id: Bowel Sounds el: 0 cu: MICU-A cg: RN v1: Present st: NotStopd t0: [04:00:00 30/03/2014] id: Braden Activity el: 0 cu: MICU-A cg: RN v1: Bedfast st: NotStopd t0: [04:00:00 30/03/2014] id: Braden Frict/Shear el: 0 cu: MICU-A cg: RN v1: Potential Prob st: NotStopd t0: [04:00:00 30/03/2014] id: Braden Mobility el: 0 cu: MICU-A cg: RN v1: Comp. Immobile st: NotStopd t0: [04:00:00 30/03/2014] id: Braden Moisture el: 0 cu: MICU-A cg: RN v1: Occ. Moist st: NotStopd t0: [04:00:00 30/03/2014] id: Braden Nutrition el: 0 cu: MICU-A cg: RN v1: Prob. Inadequate st: NotStopd t0: [04:00:00 30/03/2014] id: Braden Score el: 0 cu: MICU-A cg: RN v1: 11 u1: number st: NotStopd t0: [04:00:00 30/03/2014] id: Braden SensoryPercep el: 0 cu: MICU-A cg: RN v1: Very Limited st: NotStopd
t0: [02:00:00 30/03/2014] id: xigris Free Form Intake el: 1 cu: MICU-A cg: RN vu: ml t0: [03:00:00 30/03/2014] 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 30/03/2014] id: D5W 250.0ml + 400mcgkgmin Dopamine IV Infusions el: 1 cu: MICU-A cg: RN ai: 115 vo: 6.7425 vu: ml t0: [03:00:00 30/03/2014] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 3 vu: ml t0: [03:00:00 30/03/2014] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU-A cg: RN ai: 416 vo: 5 vu: ml t0: [03:00:00 30/03/2014] id: Promote w/fiber Tube Feeding el: 1 cu: MICU-A cg: RN ai: 107 vo: 65 vu: ml t0: [04:00:00 30/03/2014] 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 30/03/2014] id: D5W 250.0ml + 400mcgkgmin Dopamine IV Infusions el: 1 cu: MICU-A cg: RN ai: 115 vo: 6.7425 vu: ml t0: [04:00:00 30/03/2014] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 3 vu: ml t0: [04:00:00 30/03/2014] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU-A cg: RN ai: 416 vo: 5 vu: ml t0: [04:00:00 30/03/2014] id: Promote w/fiber Tube Feeding el: 1 cu: MICU-A cg: RN ai: 107 vo: 65 vu: ml t0: [04:00:00 30/03/2014] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 1500 vu: ml
t0: [03:00:00 30/03/2014] 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: [03:00:00 30/03/2014] id: Ativan el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 3 du: mghr sv: 60 su: ml rt: IV Drip t0: [03:00:00 30/03/2014] id: Dopamine el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 2 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [04:00:00 30/03/2014] 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: [04:00:00 30/03/2014] id: Ativan el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 3 du: mghr sv: 60 su: ml rt: IV Drip t0: [04:00:00 30/03/2014] id: Dopamine el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 2 du: mcgkgmin sv: 250 su: ml rt: IV Drip
t0: [05:00:00 30/03/2014] id: CVP el: 0 cu: MICU-A cg: RN v1: 14 u1: mmHg st: NotStopd
t0: [05:00:00 30/03/2014] id: Compliance (40-60ml) el: 0 cu: MICU-A cg: RRT v1: 16.9811 u1: ml/cmH st: NotStopd t0: [05:00:00 30/03/2014] id: ETT Mark/Location el: 0 cu: MICU-A cg: RRT v1: 23cm v2: Lip st: NotStopd t0: [05:00:00 30/03/2014] id: FiO2 Set el: 0 cu: MICU-A cg: RRT v1: 0.3 u1: torr st: NotStopd t0: [05:00:00 30/03/2014] id: High Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 55 u1: cmH2O st: NotStopd t0: [05:00:00 30/03/2014] id: High Resp. Rate el: 0 cu: MICU-A cg: RRT v1: 35 u1: BPM st: NotStopd t0: [05:00:00 30/03/2014] id: I:E Ratio el: 0 cu: MICU-A cg: RRT v1: 4.9 st: NotStopd t0: [05:00:00 30/03/2014] id: Airway Size el: 0 cu: MICU-A cg: RRT v1: 7.5 mm st: NotStopd t0: [05:00:00 30/03/2014] id: Airway Type el: 0 cu: MICU-A cg: RRT v1: Endotracheal st: NotStopd t0: [05:00:00 30/03/2014] id: Inspired Gas Temp el: 0 cu: MICU-A cg: RRT v1: 34 u1: Deg. C st: NotStopd t0: [05:00:00 30/03/2014] id: Intubation Date el: 0 cu: MICU-A cg: RRT v1: 3 v2: 12 st: NotStopd t0: [05:00:00 30/03/2014] id: Low Exhaled Min Vol el: 0 cu: MICU-A cg: RRT v1: 8 st: NotStopd t0: [05:00:00 30/03/2014] id: Low Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 20 u1: cmH2O st: NotStopd t0: [05:00:00 30/03/2014] id: Mean Airway Pressure el: 0 cu: MICU-A cg: RRT v1: 21.9 u1: cmH2O st: NotStopd t0: [05:00:00 30/03/2014] id: Minute Volume(Obser) el: 0 cu: MICU-A cg: RRT v1: 12.3 u1: L/min st: NotStopd t0: [05:00:00 30/03/2014] id: PEEP Set el: 0 cu: MICU-A cg: RRT v1: 17.5 u1: cmH2O st: NotStopd t0: [05:00:00 30/03/2014] id: Apnea Time Interval el: 0 cu: MICU-A cg: RRT v1: 20 st: NotStopd t0: [05:00:00 30/03/2014] id: Peak Flow el: 0 cu: MICU-A cg: RRT v1: 55 u1: L/m st: NotStopd t0: [05:00:00 30/03/2014] id: Peak Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 44 u1: cmH2O st: NotStopd t0: [05:00:00 30/03/2014] id: Plateau Pressure el: 0 cu: MICU-A cg: RRT v1: 26 u1: cmH2O st: NotStopd t0: [05:00:00 30/03/2014] id: Plateau-Off el: 0 cu: MICU-A cg: RRT v1: Yes st: NotStopd t0: [05:00:00 30/03/2014] id: Pressure Support el: 0 cu: MICU-A cg: RRT v1: 0 u1: . st: NotStopd t0: [05:00:00 30/03/2014] id: Resp Rate (Spont) el: 0 cu: MICU-A cg: RRT v1: 6 u1: BPM st: NotStopd t0: [05:00:00 30/03/2014] id: Resp Rate (Total) el: 0 cu: MICU-A cg: RRT v1: 26 u1: BPM st: NotStopd t0: [05:00:00 30/03/2014] id: Respiratory Rate Set el: 0 cu: MICU-A cg: RRT v1: 20 u1: BPM st: NotStopd t0: [05:00:00 30/03/2014] id: Sensitivity-Vent el: 0 cu: MICU-A cg: RRT v1: 2 u1: cmH2O st: NotStopd t0: [05:00:00 30/03/2014] id: SpO2 el: 0 cu: MICU-A cg: RRT v1: 98 u1: % st: NotStopd t0: [05:00:00 30/03/2014] id: Tidal Volume (Obser) el: 0 cu: MICU-A cg: RRT v1: 540 u1: ml/B st: NotStopd t0: [05:00:00 30/03/2014] id: Tidal Volume (Set) el: 0 cu: MICU-A cg: RRT v1: 450 u1: ml/B st: NotStopd t0: [05:00:00 30/03/2014] id: Ventilator Mode el: 0 cu: MICU-A cg: RRT v1: Assist Control st: NotStopd t0: [05:00:00 30/03/2014] id: Ventilator No. el: 0 cu: MICU-A cg: RRT v1: 6 u1: # st: NotStopd t0: [05:00:00 30/03/2014] id: Ventilator Type el: 0 cu: MICU-A cg: RRT v1: 7200A st: NotStopd t0: [05:00:00 30/03/2014] id: Waveform-Vent el: 0 cu: MICU-A cg: RRT v1: SQUARE st: NotStopd
t0: [05:00:00 30/03/2014] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [05:00:00 30/03/2014] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [05:00:00 30/03/2014] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [05:00:00 30/03/2014] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [05:00:00 30/03/2014] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 75 u1: BPM st: NotStopd t0: [05:00:00 30/03/2014] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [05:00:00 30/03/2014] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 116 u1: mmHg v2: 58 u2: mmHg st: NotStopd t0: [05:00:00 30/03/2014] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 77 u1: mmHg st: NotStopd t0: [05:00:00 30/03/2014] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [05:00:00 30/03/2014] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 25 u1: BPM st: NotStopd t0: [05:00:00 30/03/2014] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [06:00:00 30/03/2014] id: INV#3Chg o/Wire Date el: 0 cu: MICU-A cg: RN v1: 3 v2: 16 st: NotStopd t0: [06:00:00 30/03/2014] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [06:00:00 30/03/2014] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [06:00:00 30/03/2014] id: Diet Type el: 0 cu: MICU-A cg: RN v1: Tube Feeding st: NotStopd t0: [06:00:00 30/03/2014] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [06:00:00 30/03/2014] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [06:00:00 30/03/2014] id: GI Intub #1/Site el: 0 cu: MICU-A cg: RN v1: Salem Sump v2: Left Nare st: NotStopd t0: [06:00:00 30/03/2014] id: GU Catheter Size el: 0 cu: MICU-A cg: RN v1: 14 French st: NotStopd t0: [06:00:00 30/03/2014] id: HOB el: 0 cu: MICU-A cg: RN v1: 30 degrees st: NotStopd t0: [06:00:00 30/03/2014] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 75 u1: BPM st: NotStopd t0: [06:00:00 30/03/2014] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [06:00:00 30/03/2014] id: INV Line#1 Type/Site el: 0 cu: MICU-A cg: RN v1: Multi-lumen v2: Right Femoral st: NotStopd t0: [06:00:00 30/03/2014] id: INV Line#1InsertDate el: 0 cu: MICU-A cg: RN v1: 3 v2: 12 st: NotStopd t0: [06:00:00 30/03/2014] id: INV Line#2 Type/Site el: 0 cu: MICU-A cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [06:00:00 30/03/2014] id: INV Line#2InsertDate el: 0 cu: MICU-A cg: RN v1: 3 v2: 12 st: NotStopd t0: [06:00:00 30/03/2014] id: INV Line#3 Site Date el: 0 cu: MICU-A cg: RN v1: 3 v2: 16 st: NotStopd t0: [06:00:00 30/03/2014] id: INV Line#3 Type/Site el: 0 cu: MICU-A cg: RN v1: Multi-lumen v2: Right IJ st: NotStopd t0: [06:00:00 30/03/2014] id: INV Line#3InsertDate el: 0 cu: MICU-A cg: RN v1: 3 v2: 12 st: NotStopd t0: [06:00:00 30/03/2014] id: Activity el: 0 cu: MICU-A cg: RN v1: Bedrest st: NotStopd t0: [06:00:00 30/03/2014] id: Impaired Skin Site#1 el: 0 cu: MICU-A cg: RN v1: Gluteal, Right st: NotStopd t0: [06:00:00 30/03/2014] id: Impaired Skin Site#2 el: 0 cu: MICU-A cg: RN v1: Labia st: NotStopd t0: [06:00:00 30/03/2014] id: AntiEmbDevice/Status el: 0 cu: MICU-A cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [06:00:00 30/03/2014] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 113 u1: mmHg v2: 58 u2: mmHg st: NotStopd t0: [06:00:00 30/03/2014] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 76 u1: mmHg st: NotStopd t0: [06:00:00 30/03/2014] id: Position el: 0 cu: MICU-A cg: RN v1: Supine st: NotStopd t0: [06:00:00 30/03/2014] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [06:00:00 30/03/2014] id: Reason For Restraint el: 0 cu: MICU-A cg: RN v1: Ext/TXInterfere st: NotStopd t0: [06:00:00 30/03/2014] id: Respiratory Pattern el: 0 cu: MICU-A cg: RN v1: Regular st: NotStopd t0: [06:00:00 30/03/2014] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 23 u1: BPM st: NotStopd t0: [06:00:00 30/03/2014] id: Restraint Location el: 0 cu: MICU-A cg: RN v1: Both Arms st: NotStopd t0: [06:00:00 30/03/2014] id: Restraint Type el: 0 cu: MICU-A cg: RN v1: Soft Limb st: NotStopd t0: [06:00:00 30/03/2014] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [06:00:00 30/03/2014] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 96 u1: % st: NotStopd t0: [06:00:00 30/03/2014] id: Support Systems el: 0 cu: MICU-A cg: RN v1: Spouse st: NotStopd t0: [06:00:00 30/03/2014] id: Temp. Site el: 0 cu: MICU-A cg: RN v1: Oral st: NotStopd t0: [06:00:00 30/03/2014] id: Temperature C (calc) el: 0 cu: MICU-A cg: RN v1: 38.3333 u1: Deg. C st: NotStopd t0: [06:00:00 30/03/2014] id: Temperature F el: 0 cu: MICU-A cg: RN v1: 101 u1: Deg. F st: NotStopd t0: [06:00:00 30/03/2014] id: Turn el: 0 cu: MICU-A cg: RN v1: Back st: NotStopd t0: [06:00:00 30/03/2014] id: Urine Source el: 0 cu: MICU-A cg: RN v1: Indwelling Cath st: NotStopd t0: [06:00:00 30/03/2014] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [05:00:00 30/03/2014] 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 30/03/2014] id: D5W 250.0ml + 400mcgkgmin Dopamine IV Infusions el: 1 cu: MICU-A cg: RN ai: 115 vo: 6.7425 vu: ml t0: [05:00:00 30/03/2014] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 3 vu: ml t0: [05:00:00 30/03/2014] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU-A cg: RN ai: 416 vo: 5 vu: ml t0: [05:00:00 30/03/2014] id: IV Piggyback 100.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 105 vo: 50 vu: ml t0: [05:00:00 30/03/2014] id: Promote w/fiber Tube Feeding el: 1 cu: MICU-A cg: RN ai: 107 vo: 65 vu: ml t0: [06:00:00 30/03/2014] 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 30/03/2014] id: D5W 250.0ml + 400mcgkgmin Dopamine IV Infusions el: 1 cu: MICU-A cg: RN ai: 115 vo: 6.7425 vu: ml t0: [06:00:00 30/03/2014] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 3 vu: ml t0: [06:00:00 30/03/2014] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU-A cg: RN ai: 416 vo: 5 vu: ml t0: [06:00:00 30/03/2014] id: Promote w/fiber Tube Feeding el: 1 cu: MICU-A cg: RN ai: 107 vo: 65 vu: ml t0: [06:00:00 30/03/2014] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 310 vu: ml
t0: [05:00:00 30/03/2014] 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: [05:00:00 30/03/2014] id: Ativan el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 3 du: mghr sv: 60 su: ml rt: IV Drip t0: [05:00:00 30/03/2014] id: Dopamine el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 2 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [06:00:00 30/03/2014] 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: [06:00:00 30/03/2014] id: Ativan el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 3 du: mghr sv: 60 su: ml rt: IV Drip t0: [06:00:00 30/03/2014] id: Dopamine el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 2 du: mcgkgmin sv: 250 su: ml rt: IV Drip
t0: [07:00:00 30/03/2014] id: Service Type el: 0 cu: MICU-A cg: -1 v1: MICU st: NotStopd t0: [07:00:00 30/03/2014] id: Code Status el: 0 cu: MICU-A cg: -1 v1: Full Code st: NotStopd t0: [07:00:00 30/03/2014] id: Ectopy Frequency el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [07:00:00 30/03/2014] id: Ectopy Type el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [07:00:00 30/03/2014] id: Heart Rate el: 0 cu: MICU-A cg: -1 v1: 74 u1: BPM st: NotStopd t0: [07:00:00 30/03/2014] id: Heart Rhythm el: 0 cu: MICU-A cg: -1 v1: Normal Sinus st: NotStopd t0: [07:00:00 30/03/2014] id: Arterial BP el: 0 cu: MICU-A cg: -1 v1: 116 u1: mmHg v2: 60 u2: mmHg st: NotStopd t0: [07:00:00 30/03/2014] id: Arterial BP Mean el: 0 cu: MICU-A cg: -1 v1: 67 u1: mmHg st: NotStopd t0: [07:00:00 30/03/2014] id: Precautions el: 0 cu: MICU-A cg: -1 v1: Universal st: NotStopd t0: [07:00:00 30/03/2014] id: Respiratory Rate el: 0 cu: MICU-A cg: -1 v1: 25 u1: BPM st: NotStopd t0: [07:00:00 30/03/2014] id: SpO2 el: 0 cu: MICU-A cg: -1 v1: 97 u1: % st: NotStopd t0: [07:00:00 30/03/2014] id: Sputum Color/Consist el: 0 cu: MICU-A cg: -1 v1: Blood Tinged v2: Frothy st: NotStopd t0: [07:00:00 30/03/2014] id: Sputum Source/Amt el: 0 cu: MICU-A cg: -1 v1: Suctioned v2: Small st: NotStopd t0: [07:00:00 30/03/2014] id: calprevflg el: 0 cu: MICU-A cg: -1 v1: 1 u1: kg st: NotStopd
t0: [07:00:00 30/03/2014] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 10 vu: ml t0: [07:00:00 30/03/2014] id: D5W 250.0ml + 400mcgkgmin Dopamine IV Infusions el: 1 cu: MICU-A cg: -1 ai: 115 vo: 6.7425 vu: ml t0: [07:00:00 30/03/2014] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 3 vu: ml t0: [07:00:00 30/03/2014] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU-A cg: -1 ai: 416 vo: 5 vu: ml t0: [07:00:00 30/03/2014] id: Promote w/fiber Tube Feeding el: 1 cu: MICU-A cg: -1 ai: 107 vo: 65 vu: ml t0: [07:00:00 30/03/2014] id: Urine Out Foley el: 1 cu: MICU-A cg: -1 vo: 120 vu: ml
t0: [07:00:00 30/03/2014] id: Fentanyl el: 1 cu: MICU-A so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 250 su: ml rt: IV Drip t0: [07:00:00 30/03/2014] id: Ativan el: 1 cu: MICU-A so: D5W vo: 0 v1: 3 du: mghr sv: 60 su: ml rt: IV Drip t0: [07:00:00 30/03/2014] id: Dopamine el: 1 cu: MICU-A so: D5W vo: 0 v1: 2 du: mcgkgmin sv: 250 su: ml rt: IV Drip
t0: [07:00:00 30/03/2014] id: INV#3Chg o/Wire Date el: 0 cu: MICU-A cg: -1 v1: 3 v2: 16 st: NotStopd t0: [07:00:00 30/03/2014] id: CVP el: 0 cu: MICU-A cg: -1 u1: mmHg st: NotStopd t0: [07:00:00 30/03/2014] id: INV Line#1 Type/Site el: 0 cu: MICU-A cg: -1 v1: Multi-lumen v2: Right Femoral st: NotStopd t0: [07:00:00 30/03/2014] id: INV Line#1InsertDate el: 0 cu: MICU-A cg: -1 v1: 3 v2: 12 st: NotStopd t0: [07:00:00 30/03/2014] id: INV Line#1SiteAppear el: 0 cu: MICU-A cg: -1 v1: WNL st: NotStopd t0: [07:00:00 30/03/2014] id: INV Line#2 Type/Site el: 0 cu: MICU-A cg: -1 v1: A-Line v2: Right Radial st: NotStopd t0: [07:00:00 30/03/2014] id: INV Line#2 Zero/Cal el: 0 cu: MICU-A cg: -1 v1: Yes st: NotStopd t0: [07:00:00 30/03/2014] id: INV Line#2InsertDate el: 0 cu: MICU-A cg: -1 v1: 3 v2: 12 st: NotStopd t0: [07:00:00 30/03/2014] id: INV Line#3 Site Date el: 0 cu: MICU-A cg: -1 v1: 3 v2: 16 st: NotStopd t0: [07:00:00 30/03/2014] id: INV Line#3 Type/Site el: 0 cu: MICU-A cg: -1 v1: Multi-lumen v2: Right IJ st: NotStopd t0: [07:00:00 30/03/2014] id: INV Line#3 Zero/Cal el: 0 cu: MICU-A cg: -1 v1: Yes st: NotStopd t0: [07:00:00 30/03/2014] id: INV Line#3InsertDate el: 0 cu: MICU-A cg: -1 v1: 3 v2: 12 st: NotStopd t0: [07:00:00 30/03/2014] id: INV Line#3SiteAppear el: 0 cu: MICU-A cg: -1 v1: Bleeding st: NotStopd t0: [07:00:00 30/03/2014] id: INV#2 WaveformAppear el: 0 cu: MICU-A cg: -1 v1: Sharp st: NotStopd t0: [08:00:00 30/03/2014] id: Less Restrict Meas. el: 0 cu: MICU-A cg: -1 v1: Medicated st: NotStopd t0: [08:00:00 30/03/2014] id: Pain Present el: 0 cu: MICU-A cg: -1 v1: Other/Remarks st: NotStopd t0: [08:00:00 30/03/2014] id: Range of Motion el: 0 cu: MICU-A cg: -1 v1: Done st: NotStopd t0: [08:00:00 30/03/2014] id: Service Type el: 0 cu: MICU-A cg: -1 v1: MICU st: NotStopd t0: [08:00:00 30/03/2014] id: CVP el: 0 cu: MICU-A cg: -1 v1: 20 u1: mmHg st: NotStopd t0: [08:00:00 30/03/2014] id: Circulation/SkinInt el: 0 cu: MICU-A cg: -1 v1: Circulation Adeq st: NotStopd t0: [08:00:00 30/03/2014] id: Code Status el: 0 cu: MICU-A cg: -1 v1: Full Code st: NotStopd t0: [08:00:00 30/03/2014] id: Riker-SAS Scale el: 0 cu: MICU-A cg: -1 v1: Sedated st: NotStopd t0: [08:00:00 30/03/2014] id: GI Prophylaxis el: 0 cu: MICU-A cg: -1 v1: H2 Blocker st: NotStopd t0: [08:00:00 30/03/2014] id: Diet Type el: 0 cu: MICU-A cg: -1 v1: Tube Feeding st: NotStopd t0: [08:00:00 30/03/2014] id: Dorsal PedPulse R/L el: 0 cu: MICU-A cg: -1 v1: Weak Palpable v2: Weak Palpable st: NotStopd t0: [08:00:00 30/03/2014] id: Ectopy Frequency el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [08:00:00 30/03/2014] id: Ectopy Type el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [08:00:00 30/03/2014] id: Eye Care el: 0 cu: MICU-A cg: -1 v1: Done st: NotStopd t0: [08:00:00 30/03/2014] id: Eye Opening el: 0 cu: MICU-A cg: -1 v1: 3 To speech st: NotStopd t0: [08:00:00 30/03/2014] id: Family Communication el: 0 cu: MICU-A cg: -1 v1: Family Visited st: NotStopd t0: [08:00:00 30/03/2014] id: GCS Total el: 0 cu: MICU-A cg: -1 v1: 9 u1: points st: NotStopd t0: [08:00:00 30/03/2014] id: GI Intub #1/Site el: 0 cu: MICU-A cg: -1 v1: Salem Sump v2: Left Nare st: NotStopd t0: [08:00:00 30/03/2014] id: GI#1 Tube PlaceCheck el: 0 cu: MICU-A cg: -1 v1: Done st: NotStopd t0: [08:00:00 30/03/2014] id: GI#1 Tube Stat/Drain el: 0 cu: MICU-A cg: -1 v1: Feeding st: NotStopd t0: [08:00:00 30/03/2014] id: GU Catheter Size el: 0 cu: MICU-A cg: -1 v1: 14 French st: NotStopd t0: [08:00:00 30/03/2014] id: HOB el: 0 cu: MICU-A cg: -1 v1: 30 degrees st: NotStopd t0: [08:00:00 30/03/2014] id: Heart Rate el: 0 cu: MICU-A cg: -1 v1: 74 u1: BPM st: NotStopd t0: [08:00:00 30/03/2014] id: Heart Rhythm el: 0 cu: MICU-A cg: -1 v1: Normal Sinus st: NotStopd t0: [08:00:00 30/03/2014] id: Abdominal Assessment el: 0 cu: MICU-A cg: -1 v1: Obese st: NotStopd t0: [08:00:00 30/03/2014] id: Activity el: 0 cu: MICU-A cg: -1 v1: Bedrest st: NotStopd t0: [08:00:00 30/03/2014] id: Activity Tolerance el: 0 cu: MICU-A cg: -1 v1: Fair st: NotStopd t0: [08:00:00 30/03/2014] id: ImpSkin Character #1 el: 0 cu: MICU-A cg: -1 v1: Hematoma st: NotStopd t0: [08:00:00 30/03/2014] id: ImpSkin Character #2 el: 0 cu: MICU-A cg: -1 v1: Rash st: NotStopd t0: [08:00:00 30/03/2014] id: ImpSkin Treatment #1 el: 0 cu: MICU-A cg: -1 v1: Open to Air st: NotStopd t0: [08:00:00 30/03/2014] id: ImpSkin Treatment #2 el: 0 cu: MICU-A cg: -1 v1: Open to Air st: NotStopd t0: [08:00:00 30/03/2014] id: Impaired Skin Site#1 el: 0 cu: MICU-A cg: -1 v1: Gluteal, Right st: NotStopd t0: [08:00:00 30/03/2014] id: Impaired Skin Site#2 el: 0 cu: MICU-A cg: -1 v1: Labia st: NotStopd t0: [08:00:00 30/03/2014] id: LLL Lung Sounds el: 0 cu: MICU-A cg: -1 v1: Diminished st: NotStopd t0: [08:00:00 30/03/2014] id: LUL Lung Sounds el: 0 cu: MICU-A cg: -1 v1: Coarse st: NotStopd t0: [08:00:00 30/03/2014] id: Level of Conscious el: 0 cu: MICU-A cg: -1 v1: Sedated st: NotStopd t0: [08:00:00 30/03/2014] id: Motor Response el: 0 cu: MICU-A cg: -1 v1: 5 Localizes Pain st: NotStopd t0: [08:00:00 30/03/2014] id: Oral Care el: 0 cu: MICU-A cg: -1 v1: Done st: NotStopd t0: [08:00:00 30/03/2014] id: Oral Cavity el: 0 cu: MICU-A cg: -1 v1: Teeth/Tissue WNL st: NotStopd t0: [08:00:00 30/03/2014] id: Orientation el: 0 cu: MICU-A cg: -1 v1: Other/Remarks st: NotStopd t0: [08:00:00 30/03/2014] id: AntiEmbDevice/Status el: 0 cu: MICU-A cg: -1 v1: Compress Sleeves v2: On st: NotStopd t0: [08:00:00 30/03/2014] id: Arterial BP el: 0 cu: MICU-A cg: -1 v1: 116 u1: mmHg v2: 57 u2: mmHg st: NotStopd t0: [08:00:00 30/03/2014] id: Pain Location el: 0 cu: MICU-A cg: -1 v1: Not Indicated st: NotStopd t0: [08:00:00 30/03/2014] id: Arterial BP Mean el: 0 cu: MICU-A cg: -1 v1: 76 u1: mmHg st: NotStopd t0: [08:00:00 30/03/2014] id: Position el: 0 cu: MICU-A cg: -1 v1: Right Side st: NotStopd t0: [08:00:00 30/03/2014] id: Position Change el: 0 cu: MICU-A cg: -1 v1: Done st: NotStopd t0: [08:00:00 30/03/2014] id: PostTib. Pulses R/L el: 0 cu: MICU-A cg: -1 v1: Diff to Palpate v2: Diff to Palpate st: NotStopd t0: [08:00:00 30/03/2014] id: Assistance Device el: 0 cu: MICU-A cg: -1 v1: 2 Person Assist st: NotStopd t0: [08:00:00 30/03/2014] id: Precautions el: 0 cu: MICU-A cg: -1 v1: Universal st: NotStopd t0: [08:00:00 30/03/2014] id: RLL Lung Sounds el: 0 cu: MICU-A cg: -1 v1: Diminished st: NotStopd t0: [08:00:00 30/03/2014] id: RUL Lung Sounds el: 0 cu: MICU-A cg: -1 v1: Coarse st: NotStopd t0: [08:00:00 30/03/2014] id: Reason For Restraint el: 0 cu: MICU-A cg: -1 v1: Ext/TXInterfere st: NotStopd t0: [08:00:00 30/03/2014] id: Removed x 5 Mins el: 0 cu: MICU-A cg: -1 v1: Done st: NotStopd t0: [08:00:00 30/03/2014] id: Respiratory Pattern el: 0 cu: MICU-A cg: -1 v1: Regular st: NotStopd t0: [08:00:00 30/03/2014] id: Respiratory Rate el: 0 cu: MICU-A cg: -1 v1: 27 u1: BPM st: NotStopd t0: [08:00:00 30/03/2014] id: Restraint Location el: 0 cu: MICU-A cg: -1 v1: Both Arms st: NotStopd t0: [08:00:00 30/03/2014] id: Restraint Type el: 0 cu: MICU-A cg: -1 v1: Soft Limb st: NotStopd t0: [08:00:00 30/03/2014] id: Restraints Evaluated el: 0 cu: MICU-A cg: -1 v1: RestraintReapply st: NotStopd t0: [08:00:00 30/03/2014] id: Side Rails el: 0 cu: MICU-A cg: -1 v1: Side Rails Up st: NotStopd t0: [08:00:00 30/03/2014] id: Skin Color el: 0 cu: MICU-A cg: -1 v1: Flushed st: NotStopd t0: [08:00:00 30/03/2014] id: Skin Integrity el: 0 cu: MICU-A cg: -1 v1: Impaired st: NotStopd t0: [08:00:00 30/03/2014] id: SpO2 el: 0 cu: MICU-A cg: -1 v1: 98 u1: % st: NotStopd t0: [08:00:00 30/03/2014] id: Stool Color/Consist el: 0 cu: MICU-A cg: -1 v1: Brown v2: Liquid st: NotStopd t0: [08:00:00 30/03/2014] id: Support Systems el: 0 cu: MICU-A cg: -1 v1: Spouse st: NotStopd t0: [08:00:00 30/03/2014] id: Temp. Site el: 0 cu: MICU-A cg: -1 v1: Oral st: NotStopd t0: [08:00:00 30/03/2014] id: Temperature C (calc) el: 0 cu: MICU-A cg: -1 v1: 38.6111 u1: Deg. C st: NotStopd t0: [08:00:00 30/03/2014] id: Temperature F el: 0 cu: MICU-A cg: -1 v1: 101.5 u1: Deg. F st: NotStopd t0: [08:00:00 30/03/2014] id: Turn el: 0 cu: MICU-A cg: -1 v1: Right Side st: NotStopd t0: [08:00:00 30/03/2014] id: Urine Color/Appear el: 0 cu: MICU-A cg: -1 v1: Yellow v2: Sediment st: NotStopd t0: [08:00:00 30/03/2014] id: Urine Source el: 0 cu: MICU-A cg: -1 v1: Indwelling Cath st: NotStopd t0: [08:00:00 30/03/2014] id: Verbal Response el: 0 cu: MICU-A cg: -1 v1: 1.0 ET/Trach st: NotStopd t0: [08:00:00 30/03/2014] id: Back Care el: 0 cu: MICU-A cg: -1 v1: Done st: NotStopd t0: [08:00:00 30/03/2014] id: calprevflg el: 0 cu: MICU-A cg: -1 v1: 1 u1: kg st: NotStopd t0: [08:00:00 30/03/2014] id: Bowel Sounds el: 0 cu: MICU-A cg: -1 v1: Present st: NotStopd t0: [08:00:00 30/03/2014] id: Braden Activity el: 0 cu: MICU-A cg: -1 v1: Bedfast st: NotStopd t0: [08:00:00 30/03/2014] id: Braden Frict/Shear el: 0 cu: MICU-A cg: -1 v1: Potential Prob st: NotStopd t0: [08:00:00 30/03/2014] id: Braden Mobility el: 0 cu: MICU-A cg: -1 v1: Very Limited st: NotStopd t0: [08:00:00 30/03/2014] id: Braden Moisture el: 0 cu: MICU-A cg: -1 v1: Occ. Moist st: NotStopd t0: [08:00:00 30/03/2014] id: Braden Nutrition el: 0 cu: MICU-A cg: -1 v1: Prob. Inadequate st: NotStopd t0: [08:00:00 30/03/2014] id: Braden Score el: 0 cu: MICU-A cg: -1 v1: 12 u1: number st: NotStopd t0: [08:00:00 30/03/2014] id: Braden SensoryPercep el: 0 cu: MICU-A cg: -1 v1: Very Limited st: NotStopd
t0: [07:00:00 30/03/2014] tf: [00:00:00 02/04/2014] dt: 3900 id: TF Residual Gastric/TF Residual el: 1 cu: MICU-A cg: -1 ai: 107 vo: 40 vu: ml t0: [07:00:00 30/03/2014] id: xigris Free Form Intake el: 1 cu: MICU-A cg: -1 vu: ml t0: [08:00:00 30/03/2014] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 10 vu: ml t0: [08:00:00 30/03/2014] id: D5W 250.0ml + 400mcgkgmin Dopamine IV Infusions el: 1 cu: MICU-A cg: -1 ai: 115 vo: 6.7425 vu: ml t0: [08:00:00 30/03/2014] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 3 vu: ml t0: [08:00:00 30/03/2014] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU-A cg: -1 ai: 416 vo: 5 vu: ml t0: [08:00:00 30/03/2014] id: Promote w/fiber Tube Feeding el: 1 cu: MICU-A cg: -1 ai: 107 vo: 65 vu: ml t0: [08:00:00 30/03/2014] id: Urine Out Foley el: 1 cu: MICU-A cg: -1 vo: 110 vu: ml
t0: [08:00:00 30/03/2014] id: Fentanyl el: 1 cu: MICU-A so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 250 su: ml rt: IV Drip t0: [08:00:00 30/03/2014] id: Ativan el: 1 cu: MICU-A so: D5W vo: 0 v1: 3 du: mghr sv: 60 su: ml rt: IV Drip t0: [08:00:00 30/03/2014] id: Dopamine el: 1 cu: MICU-A so: D5W vo: 0 v1: 2 du: mcgkgmin sv: 250 su: ml rt: IV Drip
t0: [08:00:00 30/03/2014] id: Procedures el: 0 cu: MICU-A cg: RN st: NotStopd
t0: [08:00:00 30/03/2014] id: Pupil Response R/L el: 0 cu: MICU-A cg: -1 v1: Brisk v2: Brisk st: NotStopd t0: [08:00:00 30/03/2014] id: Pupil Size R/L el: 0 cu: MICU-A cg: -1 v1: 2 mm v2: 2 mm st: NotStopd
t0: [08:00:00 30/03/2014] id: Gastric Meds PO/Gastric el: 1 cu: MICU-A cg: -1 ai: 155 vo: 40 vu: ml
t0: [08:21:00 30/03/2014] id: Compliance (40-60ml) el: 0 cu: MICU-A cg: -1 v1: 16.9811 u1: ml/cmH st: NotStopd t0: [08:21:00 30/03/2014] id: ETT Mark/Location el: 0 cu: MICU-A cg: -1 v1: 23cm v2: Lip st: NotStopd t0: [08:21:00 30/03/2014] id: FiO2 Set el: 0 cu: MICU-A cg: -1 v1: 0.3 u1: torr st: NotStopd t0: [08:21:00 30/03/2014] id: High Insp. Pressure el: 0 cu: MICU-A cg: -1 v1: 55 u1: cmH2O st: NotStopd t0: [08:21:00 30/03/2014] id: High Resp. Rate el: 0 cu: MICU-A cg: -1 v1: 35 u1: BPM st: NotStopd t0: [08:21:00 30/03/2014] id: I:E Ratio el: 0 cu: MICU-A cg: -1 v1: 1:5 st: NotStopd t0: [08:21:00 30/03/2014] id: Airway Size el: 0 cu: MICU-A cg: -1 v1: 7.5 mm st: NotStopd t0: [08:21:00 30/03/2014] id: Airway Type el: 0 cu: MICU-A cg: -1 v1: Endotracheal st: NotStopd t0: [08:21:00 30/03/2014] id: Inspired Gas Temp el: 0 cu: MICU-A cg: -1 v1: 34 u1: Deg. C st: NotStopd t0: [08:21:00 30/03/2014] id: Intubation Date el: 0 cu: MICU-A cg: -1 v1: 3 v2: 12 st: NotStopd t0: [08:21:00 30/03/2014] id: Low Exhaled Min Vol el: 0 cu: MICU-A cg: -1 v1: 8 st: NotStopd t0: [08:21:00 30/03/2014] id: Low Insp. Pressure el: 0 cu: MICU-A cg: -1 v1: 20 u1: cmH2O st: NotStopd t0: [08:21:00 30/03/2014] id: Mean Airway Pressure el: 0 cu: MICU-A cg: -1 v1: 21.9 u1: cmH2O st: NotStopd t0: [08:21:00 30/03/2014] id: Minute Volume(Obser) el: 0 cu: MICU-A cg: -1 v1: 9.3 u1: L/min st: NotStopd t0: [08:21:00 30/03/2014] id: PEEP Set el: 0 cu: MICU-A cg: -1 v1: 17.5 u1: cmH2O st: NotStopd t0: [08:21:00 30/03/2014] id: Apnea Time Interval el: 0 cu: MICU-A cg: -1 v1: 20 st: NotStopd t0: [08:21:00 30/03/2014] id: Peak Flow el: 0 cu: MICU-A cg: -1 v1: 55 u1: L/m st: NotStopd t0: [08:21:00 30/03/2014] id: Peak Insp. Pressure el: 0 cu: MICU-A cg: -1 v1: 44 u1: cmH2O st: NotStopd t0: [08:21:00 30/03/2014] id: Plateau Pressure el: 0 cu: MICU-A cg: -1 v1: 30 u1: cmH2O st: NotStopd t0: [08:21:00 30/03/2014] id: Plateau-Off el: 0 cu: MICU-A cg: -1 v1: Yes st: NotStopd t0: [08:21:00 30/03/2014] id: Pressure Support el: 0 cu: MICU-A cg: -1 v1: 0 u1: . st: NotStopd t0: [08:21:00 30/03/2014] id: Resp Rate (Spont) el: 0 cu: MICU-A cg: -1 v1: 0 u1: BPM st: NotStopd t0: [08:21:00 30/03/2014] id: Resp Rate (Total) el: 0 cu: MICU-A cg: -1 v1: 20 u1: BPM st: NotStopd t0: [08:21:00 30/03/2014] id: Respiratory Rate Set el: 0 cu: MICU-A cg: -1 v1: 20 u1: BPM st: NotStopd t0: [08:21:00 30/03/2014] id: Sensitivity-Vent el: 0 cu: MICU-A cg: -1 v1: 2 u1: cmH2O st: NotStopd t0: [08:21:00 30/03/2014] id: SpO2 el: 0 cu: MICU-A cg: -1 v1: 96 u1: % st: NotStopd t0: [08:21:00 30/03/2014] id: Tidal Volume (Obser) el: 0 cu: MICU-A cg: -1 v1: 520 u1: ml/B st: NotStopd t0: [08:21:00 30/03/2014] id: Tidal Volume (Set) el: 0 cu: MICU-A cg: -1 v1: 450 u1: ml/B st: NotStopd t0: [08:21:00 30/03/2014] id: Ventilator Mode el: 0 cu: MICU-A cg: -1 v1: CMV st: NotStopd t0: [08:21:00 30/03/2014] id: Ventilator No. el: 0 cu: MICU-A cg: -1 v1: 6 u1: # st: NotStopd t0: [08:21:00 30/03/2014] id: Ventilator Type el: 0 cu: MICU-A cg: -1 v1: 7200A st: NotStopd t0: [08:21:00 30/03/2014] id: Waveform-Vent el: 0 cu: MICU-A cg: -1 v1: SQUARE st: NotStopd
t0: [09:00:00 30/03/2014] id: Service Type el: 0 cu: MICU-A cg: -1 v1: MICU st: NotStopd t0: [09:00:00 30/03/2014] id: Code Status el: 0 cu: MICU-A cg: -1 v1: Full Code st: NotStopd t0: [09:00:00 30/03/2014] id: Ectopy Frequency el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [09:00:00 30/03/2014] id: Ectopy Type el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [09:00:00 30/03/2014] id: Heart Rate el: 0 cu: MICU-A cg: -1 v1: 73 u1: BPM st: NotStopd t0: [09:00:00 30/03/2014] id: Heart Rhythm el: 0 cu: MICU-A cg: -1 v1: Normal Sinus st: NotStopd t0: [09:00:00 30/03/2014] id: Arterial BP el: 0 cu: MICU-A cg: -1 v1: 114 u1: mmHg v2: 57 u2: mmHg st: NotStopd t0: [09:00:00 30/03/2014] id: Arterial BP Mean el: 0 cu: MICU-A cg: -1 v1: 75 u1: mmHg st: NotStopd t0: [09:00:00 30/03/2014] id: Precautions el: 0 cu: MICU-A cg: -1 v1: Universal st: NotStopd t0: [09:00:00 30/03/2014] id: Respiratory Rate el: 0 cu: MICU-A cg: -1 v1: 27 u1: BPM st: NotStopd t0: [09:00:00 30/03/2014] id: SpO2 el: 0 cu: MICU-A cg: -1 v1: 96 u1: % st: NotStopd t0: [09:00:00 30/03/2014] id: calprevflg el: 0 cu: MICU-A cg: -1 v1: 1 u1: kg st: NotStopd
t0: [09:00:00 30/03/2014] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 10 vu: ml t0: [09:00:00 30/03/2014] id: D5W 250.0ml + 400mcgkgmin Dopamine IV Infusions el: 1 cu: MICU-A cg: -1 ai: 115 vo: 6.7425 vu: ml t0: [09:00:00 30/03/2014] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 3 vu: ml t0: [09:00:00 30/03/2014] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU-A cg: -1 ai: 416 vo: 5 vu: ml t0: [09:00:00 30/03/2014] id: Promote w/fiber Tube Feeding el: 1 cu: MICU-A cg: -1 ai: 107 vo: 65 vu: ml t0: [09:00:00 30/03/2014] id: Urine Out Foley el: 1 cu: MICU-A cg: -1 vo: 70 vu: ml
t0: [09:00:00 30/03/2014] id: Fentanyl el: 1 cu: MICU-A so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 250 su: ml rt: IV Drip t0: [09:00:00 30/03/2014] id: Ativan el: 1 cu: MICU-A so: D5W vo: 0 v1: 3 du: mghr sv: 60 su: ml rt: IV Drip t0: [09:00:00 30/03/2014] id: Dopamine el: 1 cu: MICU-A so: D5W vo: 0 v1: 2 du: mcgkgmin sv: 250 su: ml rt: IV Drip
t0: [10:00:00 30/03/2014] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [10:00:00 30/03/2014] id: CVP el: 0 cu: MICU-A cg: RN v1: 20 u1: mmHg st: NotStopd t0: [10:00:00 30/03/2014] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [10:00:00 30/03/2014] id: ETT Position Change el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [10:00:00 30/03/2014] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [10:00:00 30/03/2014] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [10:00:00 30/03/2014] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 73 u1: BPM st: NotStopd t0: [10:00:00 30/03/2014] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [10:00:00 30/03/2014] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 116 u1: mmHg v2: 58 u2: mmHg st: NotStopd t0: [10:00:00 30/03/2014] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 76 u1: mmHg st: NotStopd t0: [10:00:00 30/03/2014] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [10:00:00 30/03/2014] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 25 u1: BPM st: NotStopd t0: [10:00:00 30/03/2014] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 97 u1: % st: NotStopd t0: [10:00:00 30/03/2014] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [10:00:00 30/03/2014] 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 30/03/2014] id: D5W 250.0ml + 400mcgkgmin Dopamine IV Infusions el: 1 cu: MICU-A cg: RN ai: 115 vo: 6.7425 vu: ml t0: [10:00:00 30/03/2014] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 3 vu: ml t0: [10:00:00 30/03/2014] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU-A cg: RN ai: 416 vo: 5 vu: ml t0: [10:00:00 30/03/2014] id: Promote w/fiber Tube Feeding el: 1 cu: MICU-A cg: RN ai: 107 vo: 65 vu: ml t0: [10:00:00 30/03/2014] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 120 vu: ml
t0: [10:00:00 30/03/2014] 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: [10:00:00 30/03/2014] id: Dopamine el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 2 du: mcgkgmin sv: 250 su: ml rt: IV Drip
t0: [10:00:00 30/03/2014] id: Sputum Color/Consist el: 0 cu: MICU-A cg: RN v1: Blood Tinged v2: Thick st: NotStopd t0: [10:00:00 30/03/2014] id: Sputum Source/Amt el: 0 cu: MICU-A cg: RN v1: Suctioned v2: Small st: NotStopd
t0: [10:00:00 30/03/2014] id: Ativan el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 5 du: mghr sv: 60 su: ml rt: IV Drip
t0: [10:00:00 30/03/2014] id: Significant Events el: 0 cu: MICU-A cg: RN st: NotStopd
t0: [08:00:00 30/03/2014] id: Daily Wake Up el: 0 cu: MICU-A cg: -1 st: NotStopd t0: [10:00:00 30/03/2014] id: Oral Care el: 0 cu: MICU-A cg: -1 v1: Done st: NotStopd
t0: [10:00:00 30/03/2014] id: Range of Motion el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [10:00:00 30/03/2014] id: Circulation/SkinInt el: 0 cu: MICU-A cg: RN v1: Circulation Adeq st: NotStopd t0: [10:00:00 30/03/2014] id: Impaired Skin Site#1 el: 0 cu: MICU-A cg: RN v1: Gluteal, Right st: NotStopd t0: [10:00:00 30/03/2014] id: Impaired Skin Site#2 el: 0 cu: MICU-A cg: RN v1: Labia st: NotStopd t0: [10:00:00 30/03/2014] id: Position Change el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [10:00:00 30/03/2014] id: Reason For Restraint el: 0 cu: MICU-A cg: RN v1: Ext/TXInterfere st: NotStopd t0: [10:00:00 30/03/2014] id: Removed x 5 Mins el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [10:00:00 30/03/2014] id: Restraint Location el: 0 cu: MICU-A cg: RN v1: Both Arms st: NotStopd t0: [10:00:00 30/03/2014] id: Restraint Type el: 0 cu: MICU-A cg: RN v1: Soft Limb st: NotStopd t0: [10:00:00 30/03/2014] id: Restraints Evaluated el: 0 cu: MICU-A cg: RN v1: Behavior Conts st: NotStopd t0: [10:00:00 30/03/2014] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [10:00:00 30/03/2014] id: Support Systems el: 0 cu: MICU-A cg: RN v1: Spouse st: NotStopd t0: [11:00:00 30/03/2014] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [11:00:00 30/03/2014] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [11:00:00 30/03/2014] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [11:00:00 30/03/2014] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [11:00:00 30/03/2014] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 74 u1: BPM st: NotStopd t0: [11:00:00 30/03/2014] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [11:00:00 30/03/2014] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 113 u1: mmHg v2: 60 u2: mmHg st: NotStopd t0: [11:00:00 30/03/2014] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 77 u1: mmHg st: NotStopd t0: [11:00:00 30/03/2014] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [11:00:00 30/03/2014] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 27 u1: BPM st: NotStopd t0: [11:00:00 30/03/2014] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 94 u1: % st: NotStopd t0: [11:00:00 30/03/2014] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [11:30:00 30/03/2014] id: Range of Motion el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [11:30:00 30/03/2014] id: INV#3Chg o/Wire Date el: 0 cu: MICU-A cg: RN v1: 3 v2: 16 st: NotStopd t0: [11:30:00 30/03/2014] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [11:30:00 30/03/2014] id: Circulation/SkinInt el: 0 cu: MICU-A cg: RN v1: Circulation Adeq st: NotStopd t0: [11:30:00 30/03/2014] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [11:30:00 30/03/2014] id: GI Prophylaxis el: 0 cu: MICU-A cg: RN v1: H2 Blocker st: NotStopd t0: [11:30:00 30/03/2014] id: Diet Type el: 0 cu: MICU-A cg: RN v1: Tube Feeding st: NotStopd t0: [11:30:00 30/03/2014] id: Dorsal PedPulse R/L el: 0 cu: MICU-A cg: RN v1: Weak Palpable v2: Weak Palpable st: NotStopd t0: [11:30:00 30/03/2014] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [11:30:00 30/03/2014] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [11:30:00 30/03/2014] id: Eye Opening el: 0 cu: MICU-A cg: RN v1: 3 To speech st: NotStopd t0: [11:30:00 30/03/2014] id: GCS Total el: 0 cu: MICU-A cg: RN v1: 9 u1: points st: NotStopd t0: [11:30:00 30/03/2014] id: GI Intub #1/Site el: 0 cu: MICU-A cg: RN v1: Salem Sump v2: Left Nare st: NotStopd t0: [11:30:00 30/03/2014] id: GI#1 Tube PlaceCheck el: 0 cu: MICU-A cg: RN v1: Not Done st: NotStopd t0: [11:30:00 30/03/2014] id: GI#1 Tube Stat/Drain el: 0 cu: MICU-A cg: RN v1: Feeding v2: Undigested Food st: NotStopd t0: [11:30:00 30/03/2014] id: GU Catheter Size el: 0 cu: MICU-A cg: RN v1: 14 French st: NotStopd t0: [11:30:00 30/03/2014] id: HOB el: 0 cu: MICU-A cg: RN v1: 30 degrees st: NotStopd t0: [11:30:00 30/03/2014] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 74 u1: BPM st: NotStopd t0: [11:30:00 30/03/2014] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [11:30:00 30/03/2014] id: INV Line#1 D/C Date el: 0 cu: MICU-A cg: RN v1: 3 v2: 16 st: NotStopd t0: [11:30:00 30/03/2014] id: INV Line#1 Type/Site el: 0 cu: MICU-A cg: RN v1: Multi-lumen v2: Right Femoral st: NotStopd t0: [11:30:00 30/03/2014] id: INV Line#1InsertDate el: 0 cu: MICU-A cg: RN v1: 3 v2: 12 st: NotStopd t0: [11:30:00 30/03/2014] id: INV Line#2 Type/Site el: 0 cu: MICU-A cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [11:30:00 30/03/2014] id: INV Line#2 Zero/Cal el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [11:30:00 30/03/2014] id: INV Line#2InsertDate el: 0 cu: MICU-A cg: RN v1: 3 v2: 12 st: NotStopd t0: [11:30:00 30/03/2014] id: INV Line#3 Site Date el: 0 cu: MICU-A cg: RN v1: 3 v2: 16 st: NotStopd t0: [11:30:00 30/03/2014] id: INV Line#3 Type/Site el: 0 cu: MICU-A cg: RN v1: Multi-lumen v2: Right IJ st: NotStopd t0: [11:30:00 30/03/2014] id: INV Line#3 Zero/Cal el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [11:30:00 30/03/2014] id: INV Line#3InsertDate el: 0 cu: MICU-A cg: RN v1: 3 v2: 12 st: NotStopd t0: [11:30:00 30/03/2014] id: INV Line#3SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [11:30:00 30/03/2014] id: Abdominal Assessment el: 0 cu: MICU-A cg: RN v1: Obese st: NotStopd t0: [11:30:00 30/03/2014] id: INV#2 WaveformAppear el: 0 cu: MICU-A cg: RN v1: Sharp st: NotStopd t0: [11:30:00 30/03/2014] id: INV#3 WaveformAppear el: 0 cu: MICU-A cg: RN v1: Sharp st: NotStopd t0: [11:30:00 30/03/2014] id: Activity el: 0 cu: MICU-A cg: RN v1: Bedrest st: NotStopd t0: [11:30:00 30/03/2014] id: Activity Tolerance el: 0 cu: MICU-A cg: RN v1: Fair st: NotStopd t0: [11:30:00 30/03/2014] id: Imp Skin Cleanse #2 el: 0 cu: MICU-A cg: RN v1: Wound Cleanser st: NotStopd t0: [11:30:00 30/03/2014] id: ImpSkin Character #1 el: 0 cu: MICU-A cg: RN v1: Hematoma st: NotStopd t0: [11:30:00 30/03/2014] id: ImpSkin Character #2 el: 0 cu: MICU-A cg: RN v1: Rash st: NotStopd t0: [11:30:00 30/03/2014] id: ImpSkin Treatment #1 el: 0 cu: MICU-A cg: RN v1: Open to Air st: NotStopd t0: [11:30:00 30/03/2014] id: ImpSkin Treatment #2 el: 0 cu: MICU-A cg: RN v1: Open to Air st: NotStopd t0: [11:30:00 30/03/2014] id: Impaired Skin Site#1 el: 0 cu: MICU-A cg: RN v1: Gluteal, Right st: NotStopd t0: [11:30:00 30/03/2014] id: Impaired Skin Site#2 el: 0 cu: MICU-A cg: RN v1: Labia st: NotStopd t0: [11:30:00 30/03/2014] id: LLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Diminished st: NotStopd t0: [11:30:00 30/03/2014] id: LUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Clear st: NotStopd t0: [11:30:00 30/03/2014] id: Level of Conscious el: 0 cu: MICU-A cg: RN v1: Sedated st: NotStopd t0: [11:30:00 30/03/2014] id: Motor Response el: 0 cu: MICU-A cg: RN v1: 5 Localizes Pain st: NotStopd t0: [11:30:00 30/03/2014] id: Oral Cavity el: 0 cu: MICU-A cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [11:30:00 30/03/2014] id: Orientation el: 0 cu: MICU-A cg: RN v1: Other/Remarks st: NotStopd t0: [11:30:00 30/03/2014] id: AntiEmbDevice/Status el: 0 cu: MICU-A cg: RN v1: Compress Sleeves v2: Off st: NotStopd t0: [11:30:00 30/03/2014] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 101 u1: mmHg v2: 53 u2: mmHg st: NotStopd t0: [11:30:00 30/03/2014] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 68 u1: mmHg st: NotStopd t0: [11:30:00 30/03/2014] id: Position el: 0 cu: MICU-A cg: RN v1: Left Side st: NotStopd t0: [11:30:00 30/03/2014] id: Position Change el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [11:30:00 30/03/2014] id: PostTib. Pulses R/L el: 0 cu: MICU-A cg: RN v1: Diff to Palpate v2: Diff to Palpate st: NotStopd t0: [11:30:00 30/03/2014] id: Assistance Device el: 0 cu: MICU-A cg: RN v1: 2 Person Assist st: NotStopd t0: [11:30:00 30/03/2014] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [11:30:00 30/03/2014] id: Pupil Response R/L el: 0 cu: MICU-A cg: RN v1: Brisk v2: Brisk st: NotStopd t0: [11:30:00 30/03/2014] id: Pupil Size R/L el: 0 cu: MICU-A cg: RN v1: 2 mm v2: 2 mm st: NotStopd t0: [11:30:00 30/03/2014] id: RLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Diminished st: NotStopd t0: [11:30:00 30/03/2014] id: RUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Clear st: NotStopd t0: [11:30:00 30/03/2014] id: Reason For Restraint el: 0 cu: MICU-A cg: RN v1: Ext/TXInterfere st: NotStopd t0: [11:30:00 30/03/2014] id: Removed x 5 Mins el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [11:30:00 30/03/2014] id: Respiratory Pattern el: 0 cu: MICU-A cg: RN v1: Regular st: NotStopd t0: [11:30:00 30/03/2014] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 26 u1: BPM st: NotStopd t0: [11:30:00 30/03/2014] id: Restraint Location el: 0 cu: MICU-A cg: RN v1: Both Arms st: NotStopd t0: [11:30:00 30/03/2014] id: Restraint Type el: 0 cu: MICU-A cg: RN v1: Soft Limb st: NotStopd t0: [11:30:00 30/03/2014] id: Restraints Evaluated el: 0 cu: MICU-A cg: RN v1: Behavior Conts st: NotStopd t0: [11:30:00 30/03/2014] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [11:30:00 30/03/2014] id: Skin Color el: 0 cu: MICU-A cg: RN v1: Flushed st: NotStopd t0: [11:30:00 30/03/2014] id: Skin Integrity el: 0 cu: MICU-A cg: RN v1: Impaired st: NotStopd t0: [11:30:00 30/03/2014] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 95 u1: % st: NotStopd t0: [11:30:00 30/03/2014] id: Support Systems el: 0 cu: MICU-A cg: RN v1: Spouse st: NotStopd t0: [11:30:00 30/03/2014] id: Temperature C (calc) el: 0 cu: MICU-A cg: RN v1: 38.9444 u1: Deg. C st: NotStopd t0: [11:30:00 30/03/2014] id: Temperature F el: 0 cu: MICU-A cg: RN v1: 102.1 u1: Deg. F st: NotStopd t0: [11:30:00 30/03/2014] id: Turn el: 0 cu: MICU-A cg: RN v1: Left Side st: NotStopd t0: [11:30:00 30/03/2014] id: Urine Color/Appear el: 0 cu: MICU-A cg: RN v1: Yellow v2: Sediment st: NotStopd t0: [11:30:00 30/03/2014] id: Urine Source el: 0 cu: MICU-A cg: RN v1: Indwelling Cath st: NotStopd t0: [11:30:00 30/03/2014] id: Verbal Response el: 0 cu: MICU-A cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [11:30:00 30/03/2014] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [11:30:00 30/03/2014] id: Bowel Sounds el: 0 cu: MICU-A cg: RN v1: Present st: NotStopd
t0: [11:30:00 30/03/2014] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 15 vu: ml t0: [11:30:00 30/03/2014] id: D5W 250.0ml + 400mcgkgmin Dopamine IV Infusions el: 1 cu: MICU-A cg: RN ai: 115 vo: 10.1137 vu: ml t0: [11:30:00 30/03/2014] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 7.5 vu: ml t0: [11:30:00 30/03/2014] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU-A cg: RN ai: 416 vo: 7.5 vu: ml t0: [11:30:00 30/03/2014] id: Promote w/fiber Tube Feeding el: 1 cu: MICU-A cg: RN ai: 107 vo: 97.5 vu: ml t0: [11:30:00 30/03/2014] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 100 vu: ml
t0: [11:00:00 30/03/2014] 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: [11:00:00 30/03/2014] id: Ativan el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 5 du: mghr sv: 60 su: ml rt: IV Drip t0: [11:00:00 30/03/2014] id: Dopamine el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 2 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [11:30:00 30/03/2014] 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: [11:30:00 30/03/2014] id: Ativan el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 5 du: mghr sv: 60 su: ml rt: IV Drip t0: [11:30:00 30/03/2014] id: Dopamine el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 2 du: mcgkgmin sv: 250 su: ml rt: IV Drip
tf: [13:00:00 30/03/2014] pt: Unit Dose rt: PO fr: ONCE fs: 12 dn: 1 m1: Potassium Chloride f1: CAP v1: 40 u1: mEq tf: [13:00:00 30/03/2014] pt: Unit Dose rt: PO fr: ONCE fs: 12 dn: 1 m1: Potassium Chloride f1: PWDR v1: 40 u1: mEq
t0: [12:00:00 30/03/2014] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 5 vu: ml t0: [12:00:00 30/03/2014] id: D5W 250.0ml + 400mcgkgmin Dopamine IV Infusions el: 1 cu: MICU-A cg: -1 ai: 115 vo: 3.37125 vu: ml t0: [12:00:00 30/03/2014] id: Gastric Meds PO/Gastric el: 1 cu: MICU-A cg: -1 ai: 155 vo: 40 vu: ml t0: [12:00:00 30/03/2014] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 2.5 vu: ml t0: [12:00:00 30/03/2014] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU-A cg: -1 ai: 416 vo: 2.5 vu: ml t0: [12:00:00 30/03/2014] id: Urine Out Foley el: 1 cu: MICU-A cg: -1 vo: 40 vu: ml
t0: [12:02:00 30/03/2014] id: Compliance (40-60ml) el: 0 cu: MICU-A cg: -1 v1: 16.9811 u1: ml/cmH st: NotStopd t0: [12:02:00 30/03/2014] id: ETT Mark/Location el: 0 cu: MICU-A cg: -1 v1: 23cm v2: Lip st: NotStopd t0: [12:02:00 30/03/2014] id: FiO2 Set el: 0 cu: MICU-A cg: -1 v1: 0.3 u1: torr st: NotStopd t0: [12:02:00 30/03/2014] id: High Insp. Pressure el: 0 cu: MICU-A cg: -1 v1: 55 u1: cmH2O st: NotStopd t0: [12:02:00 30/03/2014] id: High Resp. Rate el: 0 cu: MICU-A cg: -1 v1: 35 u1: BPM st: NotStopd t0: [12:02:00 30/03/2014] id: I:E Ratio el: 0 cu: MICU-A cg: -1 v1: 1:4 st: NotStopd t0: [12:02:00 30/03/2014] id: Airway Size el: 0 cu: MICU-A cg: -1 v1: 7.5 mm st: NotStopd t0: [12:02:00 30/03/2014] id: Airway Type el: 0 cu: MICU-A cg: -1 v1: Endotracheal st: NotStopd t0: [12:02:00 30/03/2014] id: Inspired Gas Temp el: 0 cu: MICU-A cg: -1 v1: 34 u1: Deg. C st: NotStopd t0: [12:02:00 30/03/2014] id: Intubation Date el: 0 cu: MICU-A cg: -1 v1: 3 v2: 12 st: NotStopd t0: [12:02:00 30/03/2014] id: Low Exhaled Min Vol el: 0 cu: MICU-A cg: -1 v1: 8 st: NotStopd t0: [12:02:00 30/03/2014] id: Low Insp. Pressure el: 0 cu: MICU-A cg: -1 v1: 20 u1: cmH2O st: NotStopd t0: [12:02:00 30/03/2014] id: Mean Airway Pressure el: 0 cu: MICU-A cg: -1 v1: 22 u1: cmH2O st: NotStopd t0: [12:02:00 30/03/2014] id: Minute Volume(Obser) el: 0 cu: MICU-A cg: -1 v1: 13.4 u1: L/min st: NotStopd t0: [12:02:00 30/03/2014] id: PEEP Set el: 0 cu: MICU-A cg: -1 v1: 17.5 u1: cmH2O st: NotStopd t0: [12:02:00 30/03/2014] id: Apnea Time Interval el: 0 cu: MICU-A cg: -1 v1: 20 st: NotStopd t0: [12:02:00 30/03/2014] id: Peak Flow el: 0 cu: MICU-A cg: -1 v1: 55 u1: L/m st: NotStopd t0: [12:02:00 30/03/2014] id: Peak Insp. Pressure el: 0 cu: MICU-A cg: -1 v1: 44 u1: cmH2O st: NotStopd t0: [12:02:00 30/03/2014] id: Pressure Support el: 0 cu: MICU-A cg: -1 v1: 0 u1: . st: NotStopd t0: [12:02:00 30/03/2014] id: Resp Rate (Spont) el: 0 cu: MICU-A cg: -1 v1: 5 u1: BPM st: NotStopd t0: [12:02:00 30/03/2014] id: Resp Rate (Total) el: 0 cu: MICU-A cg: -1 v1: 25 u1: BPM st: NotStopd t0: [12:02:00 30/03/2014] id: Respiratory Rate Set el: 0 cu: MICU-A cg: -1 v1: 20 u1: BPM st: NotStopd t0: [12:02:00 30/03/2014] id: Sensitivity-Vent el: 0 cu: MICU-A cg: -1 v1: 2 u1: cmH2O st: NotStopd t0: [12:02:00 30/03/2014] id: SpO2 el: 0 cu: MICU-A cg: -1 v1: 94 u1: % st: NotStopd t0: [12:02:00 30/03/2014] id: Tidal Volume (Obser) el: 0 cu: MICU-A cg: -1 v1: 490 u1: ml/B st: NotStopd t0: [12:02:00 30/03/2014] id: Tidal Volume (Set) el: 0 cu: MICU-A cg: -1 v1: 450 u1: ml/B st: NotStopd t0: [12:02:00 30/03/2014] id: Ventilator Mode el: 0 cu: MICU-A cg: -1 v1: CMV st: NotStopd t0: [12:02:00 30/03/2014] id: Ventilator No. el: 0 cu: MICU-A cg: -1 v1: 6 u1: # st: NotStopd t0: [12:02:00 30/03/2014] id: Ventilator Type el: 0 cu: MICU-A cg: -1 v1: 7200A st: NotStopd t0: [12:02:00 30/03/2014] id: Waveform-Vent el: 0 cu: MICU-A cg: -1 v1: SQUARE st: NotStopd
t0: [13:00:00 30/03/2014] id: INV Line#1SiteAppear el: 0 cu: MICU-A cg: -1 st: D/C'd
t0: [12:00:00 30/03/2014] id: Service Type el: 0 cu: MICU-A cg: -1 v1: MICU st: NotStopd t0: [12:00:00 30/03/2014] id: Code Status el: 0 cu: MICU-A cg: -1 v1: Full Code st: NotStopd t0: [12:00:00 30/03/2014] id: Heart Rate el: 0 cu: MICU-A cg: -1 v1: 70 u1: BPM st: NotStopd t0: [12:00:00 30/03/2014] id: Arterial BP el: 0 cu: MICU-A cg: -1 v1: 100 u1: mmHg v2: 66 u2: mmHg st: NotStopd t0: [12:00:00 30/03/2014] id: Arterial BP Mean el: 0 cu: MICU-A cg: -1 v1: 77 u1: mmHg st: NotStopd t0: [12:00:00 30/03/2014] id: Precautions el: 0 cu: MICU-A cg: -1 v1: Universal st: NotStopd t0: [12:00:00 30/03/2014] id: Respiratory Rate el: 0 cu: MICU-A cg: -1 v1: 22 u1: BPM st: NotStopd t0: [12:00:00 30/03/2014] id: SpO2 el: 0 cu: MICU-A cg: -1 v1: 96 u1: % st: NotStopd t0: [12:00:00 30/03/2014] id: calprevflg el: 0 cu: MICU-A cg: -1 v1: 1 u1: kg st: NotStopd t0: [13:00:00 30/03/2014] id: INV#3Chg o/Wire Date el: 0 cu: MICU-A cg: -1 v1: 3 v2: 16 st: NotStopd t0: [13:00:00 30/03/2014] id: Service Type el: 0 cu: MICU-A cg: -1 v1: MICU st: NotStopd t0: [13:00:00 30/03/2014] id: Code Status el: 0 cu: MICU-A cg: -1 v1: Full Code st: NotStopd t0: [13:00:00 30/03/2014] id: Ectopy Frequency el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [13:00:00 30/03/2014] id: Ectopy Type el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [13:00:00 30/03/2014] id: Heart Rate el: 0 cu: MICU-A cg: -1 v1: 81 u1: BPM st: NotStopd t0: [13:00:00 30/03/2014] id: Heart Rhythm el: 0 cu: MICU-A cg: -1 v1: Normal Sinus st: NotStopd t0: [13:00:00 30/03/2014] id: INV Line#1 D/C Date el: 0 cu: MICU-A cg: -1 v1: 3 v2: 16 st: NotStopd t0: [13:00:00 30/03/2014] id: INV Line#1 Type/Site el: 0 cu: MICU-A cg: -1 v1: Multi-lumen v2: Right Femoral st: NotStopd t0: [13:00:00 30/03/2014] id: INV Line#1InsertDate el: 0 cu: MICU-A cg: -1 v1: 3 v2: 12 st: NotStopd t0: [13:00:00 30/03/2014] id: INV Line#2 Type/Site el: 0 cu: MICU-A cg: -1 v1: A-Line v2: Right Radial st: NotStopd t0: [13:00:00 30/03/2014] id: INV Line#2InsertDate el: 0 cu: MICU-A cg: -1 v1: 3 v2: 12 st: NotStopd t0: [13:00:00 30/03/2014] id: INV Line#3 Site Date el: 0 cu: MICU-A cg: -1 v1: 3 v2: 16 st: NotStopd t0: [13:00:00 30/03/2014] id: INV Line#3 Type/Site el: 0 cu: MICU-A cg: -1 v1: Multi-lumen v2: Right IJ st: NotStopd t0: [13:00:00 30/03/2014] id: INV Line#3InsertDate el: 0 cu: MICU-A cg: -1 v1: 3 v2: 12 st: NotStopd t0: [13:00:00 30/03/2014] id: NBP el: 0 cu: MICU-A cg: -1 v1: 118 u1: mmHg v2: 56 u2: mmHg st: NotStopd t0: [13:00:00 30/03/2014] id: NBP Mean el: 0 cu: MICU-A cg: -1 v1: 76.6667 u1: mmHg st: NotStopd t0: [13:00:00 30/03/2014] id: Precautions el: 0 cu: MICU-A cg: -1 v1: Universal st: NotStopd t0: [13:00:00 30/03/2014] id: Radiologic Study el: 0 cu: MICU-A cg: -1 v1: CT scan st: NotStopd t0: [13:00:00 30/03/2014] id: Respiratory Rate el: 0 cu: MICU-A cg: -1 v1: 20 u1: BPM st: NotStopd t0: [13:00:00 30/03/2014] id: SpO2 el: 0 cu: MICU-A cg: -1 v1: 99 u1: % st: NotStopd t0: [13:00:00 30/03/2014] id: calprevflg el: 0 cu: MICU-A cg: -1 v1: 1 u1: kg st: NotStopd
t0: [12:00:00 30/03/2014] id: Promote w/fiber Tube Feeding el: 1 cu: MICU-A cg: -1 ai: 107 vo: 32.5 vu: ml st: Stopped t0: [13:00:00 30/03/2014] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 10 vu: ml t0: [13:00:00 30/03/2014] id: D5W 250.0ml + 400mcgkgmin Dopamine IV Infusions el: 1 cu: MICU-A cg: -1 ai: 115 vo: 6.7425 vu: ml t0: [13:00:00 30/03/2014] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 5 vu: ml t0: [13:00:00 30/03/2014] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU-A cg: -1 ai: 416 vo: 5 vu: ml t0: [13:00:00 30/03/2014] id: Urine Out Foley el: 1 cu: MICU-A cg: -1 vo: 120 vu: ml
t0: [12:00:00 30/03/2014] id: Fentanyl el: 1 cu: MICU-A so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 250 su: ml rt: IV Drip t0: [12:00:00 30/03/2014] id: Ativan el: 1 cu: MICU-A so: D5W vo: 0 v1: 5 du: mghr sv: 60 su: ml rt: IV Drip t0: [12:00:00 30/03/2014] id: Dopamine el: 1 cu: MICU-A so: D5W vo: 0 v1: 2 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [13:00:00 30/03/2014] id: Fentanyl el: 1 cu: MICU-A so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 250 su: ml rt: IV Drip t0: [13:00:00 30/03/2014] id: Ativan el: 1 cu: MICU-A so: D5W vo: 0 v1: 5 du: mghr sv: 60 su: ml rt: IV Drip t0: [13:00:00 30/03/2014] id: Dopamine el: 1 cu: MICU-A so: D5W vo: 0 v1: 2 du: mcgkgmin sv: 250 su: ml rt: IV Drip
t0: [13:00:00 30/03/2014] id: Airway Type el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [13:55:00 30/03/2014] id: PEEP Set el: 0 cu: MICU-A cg: -1 v1: 15 u1: cmH2O st: NotStopd
tf: [13:00:00 31/03/2014] pt: IV Piggyback rt: IV fr: ONCE fs: 14 dn: 1 m1: Potassium Chloride f1: BAG v1: 40 u1: mEq m2: SW f2: INJ v2: 100 u2: ml
t0: [11:00:00 30/03/2014] id: Temp. Site el: 0 cu: MICU-A cg: -1 v1: Oral st: NotStopd t0: [12:00:00 30/03/2014] id: HOB el: 0 cu: MICU-A cg: -1 v1: 30 degrees st: NotStopd t0: [12:00:00 30/03/2014] id: Activity el: 0 cu: MICU-A cg: -1 v1: Bedrest st: NotStopd t0: [12:00:00 30/03/2014] id: Activity Tolerance el: 0 cu: MICU-A cg: -1 v1: Fair st: NotStopd t0: [12:00:00 30/03/2014] id: AntiEmbDevice/Status el: 0 cu: MICU-A cg: -1 v1: Compress Sleeves v2: Off st: NotStopd t0: [12:00:00 30/03/2014] id: Position el: 0 cu: MICU-A cg: -1 v1: Supine st: NotStopd t0: [12:00:00 30/03/2014] id: Assistance Device el: 0 cu: MICU-A cg: -1 v1: 2 Person Assist st: NotStopd t0: [12:00:00 30/03/2014] id: Turn el: 0 cu: MICU-A cg: -1 v1: Back st: NotStopd t0: [13:00:00 30/03/2014] id: Family Communication el: 0 cu: MICU-A cg: -1 v1: Family Visited st: NotStopd t0: [13:00:00 30/03/2014] id: HOB el: 0 cu: MICU-A cg: -1 v1: 30 degrees st: NotStopd t0: [13:00:00 30/03/2014] id: Activity el: 0 cu: MICU-A cg: -1 v1: Bedrest st: NotStopd t0: [13:00:00 30/03/2014] id: Activity Tolerance el: 0 cu: MICU-A cg: -1 v1: Fair st: NotStopd t0: [13:00:00 30/03/2014] id: AntiEmbDevice/Status el: 0 cu: MICU-A cg: -1 v1: Compress Sleeves v2: On st: NotStopd t0: [13:00:00 30/03/2014] id: Position el: 0 cu: MICU-A cg: -1 v1: Left Side st: NotStopd t0: [13:00:00 30/03/2014] id: Assistance Device el: 0 cu: MICU-A cg: -1 v1: 2 Person Assist st: NotStopd t0: [13:00:00 30/03/2014] id: Turn el: 0 cu: MICU-A cg: -1 v1: Left Side st: NotStopd t0: [14:00:00 30/03/2014] id: Less Restrict Meas. el: 0 cu: MICU-A cg: -1 v1: Medicated st: NotStopd t0: [14:00:00 30/03/2014] id: Range of Motion el: 0 cu: MICU-A cg: -1 v1: Done st: NotStopd t0: [14:00:00 30/03/2014] id: Service Type el: 0 cu: MICU-A cg: -1 v1: MICU st: NotStopd t0: [14:00:00 30/03/2014] id: Circulation/SkinInt el: 0 cu: MICU-A cg: -1 v1: Circulation Adeq st: NotStopd t0: [14:00:00 30/03/2014] id: Code Status el: 0 cu: MICU-A cg: -1 v1: Full Code st: NotStopd t0: [14:00:00 30/03/2014] id: Ectopy Frequency el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [14:00:00 30/03/2014] id: Ectopy Type el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [14:00:00 30/03/2014] id: Heart Rate el: 0 cu: MICU-A cg: -1 v1: 76 u1: BPM st: NotStopd t0: [14:00:00 30/03/2014] id: Heart Rhythm el: 0 cu: MICU-A cg: -1 v1: Normal Sinus st: NotStopd t0: [14:00:00 30/03/2014] id: NBP el: 0 cu: MICU-A cg: -1 v1: 124 u1: mmHg v2: 55 u2: mmHg st: NotStopd t0: [14:00:00 30/03/2014] id: NBP Mean el: 0 cu: MICU-A cg: -1 v1: 78 u1: mmHg st: NotStopd t0: [14:00:00 30/03/2014] id: Arterial BP Mean el: 0 cu: MICU-A cg: -1 v1: 91 u1: mmHg st: NotStopd t0: [14:00:00 30/03/2014] id: Position Change el: 0 cu: MICU-A cg: -1 v1: Done st: NotStopd t0: [14:00:00 30/03/2014] id: Precautions el: 0 cu: MICU-A cg: -1 v1: Universal st: NotStopd t0: [14:00:00 30/03/2014] id: Reason For Restraint el: 0 cu: MICU-A cg: -1 v1: Ext/TXInterfere st: NotStopd t0: [14:00:00 30/03/2014] id: Removed x 5 Mins el: 0 cu: MICU-A cg: -1 v1: Done st: NotStopd t0: [14:00:00 30/03/2014] id: Respiratory Rate el: 0 cu: MICU-A cg: -1 v1: 23 u1: BPM st: NotStopd t0: [14:00:00 30/03/2014] id: Restraint Location el: 0 cu: MICU-A cg: -1 v1: Both Arms st: NotStopd t0: [14:00:00 30/03/2014] id: Restraint Type el: 0 cu: MICU-A cg: -1 v1: Soft Limb st: NotStopd t0: [14:00:00 30/03/2014] id: Restraints Evaluated el: 0 cu: MICU-A cg: -1 v1: RestraintReapply st: NotStopd t0: [14:00:00 30/03/2014] id: Side Rails el: 0 cu: MICU-A cg: -1 v1: Side Rails Up st: NotStopd t0: [14:00:00 30/03/2014] id: SpO2 el: 0 cu: MICU-A cg: -1 v1: 98 u1: % st: NotStopd t0: [14:00:00 30/03/2014] id: Temp. Site el: 0 cu: MICU-A cg: -1 v1: Oral st: NotStopd t0: [14:00:00 30/03/2014] id: Temperature C (calc) el: 0 cu: MICU-A cg: -1 v1: 38.4444 u1: Deg. C st: NotStopd t0: [14:00:00 30/03/2014] id: Temperature F el: 0 cu: MICU-A cg: -1 v1: 101.2 u1: Deg. F st: NotStopd t0: [14:00:00 30/03/2014] id: calprevflg el: 0 cu: MICU-A cg: -1 v1: 1 u1: kg st: NotStopd
t0: [14:00:00 30/03/2014] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 10 vu: ml t0: [14:00:00 30/03/2014] id: D5W 250.0ml + 400mcgkgmin Dopamine IV Infusions el: 1 cu: MICU-A cg: -1 ai: 115 vo: 6.7425 vu: ml t0: [14:00:00 30/03/2014] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 5 vu: ml t0: [14:00:00 30/03/2014] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU-A cg: -1 ai: 416 vo: 5 vu: ml t0: [14:00:00 30/03/2014] id: IV Piggyback 100.0ml IV Infusions el: 1 cu: MICU-A cg: -1 ai: 105 vo: 250 vu: ml t0: [14:00:00 30/03/2014] id: Urine Out Foley el: 1 cu: MICU-A cg: -1 vo: 60 vu: ml
t0: [14:00:00 30/03/2014] id: Fentanyl el: 1 cu: MICU-A so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 250 su: ml rt: IV Drip t0: [14:00:00 30/03/2014] id: Ativan el: 1 cu: MICU-A so: D5W vo: 0 v1: 5 du: mghr sv: 60 su: ml rt: IV Drip t0: [14:00:00 30/03/2014] id: Dopamine el: 1 cu: MICU-A so: D5W vo: 0 v1: 2 du: mcgkgmin sv: 250 su: ml rt: IV Drip
t0: [15:00:00 30/03/2014] id: Service Type el: 0 cu: MICU-A cg: -1 v1: MICU st: NotStopd t0: [15:00:00 30/03/2014] id: Code Status el: 0 cu: MICU-A cg: -1 v1: Full Code st: NotStopd t0: [15:00:00 30/03/2014] id: Ectopy Frequency el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [15:00:00 30/03/2014] id: Ectopy Type el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [15:00:00 30/03/2014] id: Heart Rate el: 0 cu: MICU-A cg: -1 v1: 73 u1: BPM st: NotStopd t0: [15:00:00 30/03/2014] id: Heart Rhythm el: 0 cu: MICU-A cg: -1 v1: Normal Sinus st: NotStopd t0: [15:00:00 30/03/2014] id: NBP el: 0 cu: MICU-A cg: -1 v1: 100 u1: mmHg v2: 49 u2: mmHg st: NotStopd t0: [15:00:00 30/03/2014] id: NBP Mean el: 0 cu: MICU-A cg: -1 v1: 66 u1: mmHg st: NotStopd t0: [15:00:00 30/03/2014] id: Arterial BP el: 0 cu: MICU-A cg: -1 v1: 96 u1: mmHg v2: 88 u2: mmHg st: NotStopd t0: [15:00:00 30/03/2014] id: Arterial BP Mean el: 0 cu: MICU-A cg: -1 v1: 90 u1: mmHg st: NotStopd t0: [15:00:00 30/03/2014] id: Precautions el: 0 cu: MICU-A cg: -1 v1: Universal st: NotStopd t0: [15:00:00 30/03/2014] id: Respiratory Rate el: 0 cu: MICU-A cg: -1 v1: 20 u1: BPM st: NotStopd t0: [15:00:00 30/03/2014] id: SpO2 el: 0 cu: MICU-A cg: -1 v1: 98 u1: % st: NotStopd t0: [15:00:00 30/03/2014] id: calprevflg el: 0 cu: MICU-A cg: -1 v1: 1 u1: kg st: NotStopd
t0: [15:00:00 30/03/2014] id: Urine Out Foley el: 1 cu: MICU-A cg: -1 vo: 70 vu: ml
t0: [15:00:00 30/03/2014] id: Fentanyl el: 1 cu: MICU-A so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 250 su: ml rt: IV Drip t0: [15:00:00 30/03/2014] id: Ativan el: 1 cu: MICU-A so: D5W vo: 0 v1: 5 du: mghr sv: 60 su: ml rt: IV Drip t0: [15:00:00 30/03/2014] id: Dopamine el: 1 cu: MICU-A so: D5W vo: 0 v1: 2 du: mcgkgmin sv: 250 su: ml rt: IV Drip
t0: [15:30:00 30/03/2014] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 15 vu: ml t0: [15:30:00 30/03/2014] id: D5W 250.0ml + 400mcgkgmin Dopamine IV Infusions el: 1 cu: MICU-A cg: RN ai: 115 vo: 10.1137 vu: ml t0: [15:30:00 30/03/2014] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 7.5 vu: ml t0: [15:30:00 30/03/2014] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU-A cg: RN ai: 416 vo: 7.5 vu: ml t0: [15:30:00 30/03/2014] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 125 vu: ml
t0: [16:04:00 30/03/2014] id: Compliance (40-60ml) el: 0 cu: MICU-A cg: -1 v1: 16.6667 u1: ml/cmH st: NotStopd t0: [16:04:00 30/03/2014] id: ETT Mark/Location el: 0 cu: MICU-A cg: -1 v1: 23cm v2: Lip st: NotStopd t0: [16:04:00 30/03/2014] id: FiO2 Set el: 0 cu: MICU-A cg: -1 v1: 0.3 u1: torr st: NotStopd t0: [16:04:00 30/03/2014] id: High Insp. Pressure el: 0 cu: MICU-A cg: -1 v1: 55 u1: cmH2O st: NotStopd t0: [16:04:00 30/03/2014] id: High Resp. Rate el: 0 cu: MICU-A cg: -1 v1: 35 u1: BPM st: NotStopd t0: [16:04:00 30/03/2014] id: I:E Ratio el: 0 cu: MICU-A cg: -1 v1: 1:5 st: NotStopd t0: [16:04:00 30/03/2014] id: Airway Size el: 0 cu: MICU-A cg: -1 v1: 7.5 mm st: NotStopd t0: [16:04:00 30/03/2014] id: Airway Type el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [16:04:00 30/03/2014] id: Inspired Gas Temp el: 0 cu: MICU-A cg: -1 v1: 34 u1: Deg. C st: NotStopd t0: [16:04:00 30/03/2014] id: Intubation Date el: 0 cu: MICU-A cg: -1 v1: 3 v2: 12 st: NotStopd t0: [16:04:00 30/03/2014] id: Low Exhaled Min Vol el: 0 cu: MICU-A cg: -1 v1: 8 st: NotStopd t0: [16:04:00 30/03/2014] id: Low Insp. Pressure el: 0 cu: MICU-A cg: -1 v1: 20 u1: cmH2O st: NotStopd t0: [16:04:00 30/03/2014] id: Mean Airway Pressure el: 0 cu: MICU-A cg: -1 v1: 12.5 u1: cmH2O st: NotStopd t0: [16:04:00 30/03/2014] id: Minute Volume(Obser) el: 0 cu: MICU-A cg: -1 v1: 8.8 u1: L/min st: NotStopd t0: [16:04:00 30/03/2014] id: PEEP Set el: 0 cu: MICU-A cg: -1 v1: 15 u1: cmH2O st: NotStopd t0: [16:04:00 30/03/2014] id: Peak Flow el: 0 cu: MICU-A cg: -1 v1: 55 u1: L/m st: NotStopd t0: [16:04:00 30/03/2014] id: Peak Insp. Pressure el: 0 cu: MICU-A cg: -1 v1: 42 u1: cmH2O st: NotStopd t0: [16:04:00 30/03/2014] id: Pressure Support el: 0 cu: MICU-A cg: -1 v1: 0 u1: . st: NotStopd t0: [16:04:00 30/03/2014] id: Resp Rate (Spont) el: 0 cu: MICU-A cg: -1 v1: 0 u1: BPM st: NotStopd t0: [16:04:00 30/03/2014] id: Resp Rate (Total) el: 0 cu: MICU-A cg: -1 v1: 20 u1: BPM st: NotStopd t0: [16:04:00 30/03/2014] id: Respiratory Rate Set el: 0 cu: MICU-A cg: -1 v1: 20 u1: BPM st: NotStopd t0: [16:04:00 30/03/2014] id: Sensitivity-Vent el: 0 cu: MICU-A cg: -1 v1: 2 u1: cmH2O st: NotStopd t0: [16:04:00 30/03/2014] id: SpO2 el: 0 cu: MICU-A cg: -1 v1: 98 u1: % st: NotStopd t0: [16:04:00 30/03/2014] id: Tidal Volume (Obser) el: 0 cu: MICU-A cg: -1 v1: 440 u1: ml/B st: NotStopd t0: [16:04:00 30/03/2014] id: Tidal Volume (Set) el: 0 cu: MICU-A cg: -1 v1: 450 u1: ml/B st: NotStopd t0: [16:04:00 30/03/2014] id: Ventilator Mode el: 0 cu: MICU-A cg: -1 v1: CMV st: NotStopd t0: [16:04:00 30/03/2014] id: Ventilator No. el: 0 cu: MICU-A cg: -1 v1: 6 u1: # st: NotStopd t0: [16:04:00 30/03/2014] id: Ventilator Type el: 0 cu: MICU-A cg: -1 v1: 7200A st: NotStopd t0: [16:04:00 30/03/2014] id: Waveform-Vent el: 0 cu: MICU-A cg: -1 v1: SQUARE st: NotStopd
t0: [08:00:00 30/03/2014] id: Pain Management el: 1 cu: MICU-A cg: -1 v1: IV Gtt st: NotStopd t0: [11:00:00 30/03/2014] id: Stool Color/Consist el: 0 cu: MICU-A cg: -1 v1: Brown v2: Liquid st: NotStopd t0: [12:00:00 30/03/2014] id: Pain Present el: 0 cu: MICU-A cg: -1 v1: No st: NotStopd t0: [12:00:00 30/03/2014] id: Riker-SAS Scale el: 0 cu: MICU-A cg: -1 v1: Sedated st: NotStopd t0: [12:00:00 30/03/2014] id: Pain Location el: 0 cu: MICU-A cg: -1 v1: Not Indicated st: NotStopd t0: [12:00:00 30/03/2014] id: Pain Management el: 1 cu: MICU-A cg: -1 v1: IV Gtt st: NotStopd t0: [14:00:00 30/03/2014] id: Sputum Color/Consist el: 0 cu: MICU-A cg: -1 v1: Blood Tinged v2: Thick st: NotStopd t0: [14:00:00 30/03/2014] id: Sputum Source/Amt el: 0 cu: MICU-A cg: -1 v1: Suctioned v2: Small st: NotStopd t0: [16:00:00 30/03/2014] id: Less Restrict Meas. el: 0 cu: MICU-A cg: -1 v1: Medicated st: NotStopd t0: [16:00:00 30/03/2014] id: Pain Present el: 0 cu: MICU-A cg: -1 v1: No st: NotStopd t0: [16:00:00 30/03/2014] id: Range of Motion el: 0 cu: MICU-A cg: -1 v1: Not Done st: NotStopd t0: [16:00:00 30/03/2014] id: INV#3Chg o/Wire Date el: 0 cu: MICU-A cg: -1 v1: 3 v2: 16 st: NotStopd t0: [16:00:00 30/03/2014] id: Service Type el: 0 cu: MICU-A cg: -1 v1: MICU st: NotStopd t0: [16:00:00 30/03/2014] id: Circulation/SkinInt el: 0 cu: MICU-A cg: -1 v1: Circulation Adeq st: NotStopd t0: [16:00:00 30/03/2014] id: Code Status el: 0 cu: MICU-A cg: -1 v1: Full Code st: NotStopd t0: [16:00:00 30/03/2014] id: Riker-SAS Scale el: 0 cu: MICU-A cg: -1 v1: Sedated st: NotStopd t0: [16:00:00 30/03/2014] id: GI Prophylaxis el: 0 cu: MICU-A cg: -1 v1: H2 Blocker st: NotStopd t0: [16:00:00 30/03/2014] id: Diet Type el: 0 cu: MICU-A cg: -1 v1: Tube Feeding st: NotStopd t0: [16:00:00 30/03/2014] id: Dorsal PedPulse R/L el: 0 cu: MICU-A cg: -1 v1: Weak Palpable v2: Weak Palpable st: NotStopd t0: [16:00:00 30/03/2014] id: Ectopy Frequency el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [16:00:00 30/03/2014] id: Ectopy Type el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [16:00:00 30/03/2014] id: Eye Opening el: 0 cu: MICU-A cg: -1 v1: 3 To speech st: NotStopd t0: [16:00:00 30/03/2014] id: Family Communication el: 0 cu: MICU-A cg: -1 v1: Family Visited st: NotStopd t0: [16:00:00 30/03/2014] id: GCS Total el: 0 cu: MICU-A cg: -1 v1: 9 u1: points st: NotStopd t0: [16:00:00 30/03/2014] id: GI#1 Tube PlaceCheck el: 0 cu: MICU-A cg: -1 v1: Done st: NotStopd t0: [16:00:00 30/03/2014] id: GI#1 Tube Stat/Drain el: 0 cu: MICU-A cg: -1 v1: Clamped st: NotStopd t0: [16:00:00 30/03/2014] id: GU Catheter Size el: 0 cu: MICU-A cg: -1 v1: 14 French st: NotStopd t0: [16:00:00 30/03/2014] id: HOB el: 0 cu: MICU-A cg: -1 v1: 30 degrees st: NotStopd t0: [16:00:00 30/03/2014] id: Heart Rate el: 0 cu: MICU-A cg: -1 v1: 76 u1: BPM st: NotStopd t0: [16:00:00 30/03/2014] id: Heart Rhythm el: 0 cu: MICU-A cg: -1 v1: Normal Sinus st: NotStopd t0: [16:00:00 30/03/2014] id: INV Line#2 Type/Site el: 0 cu: MICU-A cg: -1 v1: A-Line v2: Right Radial st: NotStopd t0: [16:00:00 30/03/2014] id: INV Line#2InsertDate el: 0 cu: MICU-A cg: -1 v1: 3 v2: 12 st: NotStopd t0: [16:00:00 30/03/2014] id: INV Line#3 Site Date el: 0 cu: MICU-A cg: -1 v1: 3 v2: 16 st: NotStopd t0: [16:00:00 30/03/2014] id: INV Line#3 Type/Site el: 0 cu: MICU-A cg: -1 v1: Multi-lumen v2: Right IJ st: NotStopd t0: [16:00:00 30/03/2014] id: INV Line#3InsertDate el: 0 cu: MICU-A cg: -1 v1: 3 v2: 12 st: NotStopd t0: [16:00:00 30/03/2014] id: INV Line#3SiteAppear el: 0 cu: MICU-A cg: -1 v1: WNL st: NotStopd t0: [16:00:00 30/03/2014] id: Abdominal Assessment el: 0 cu: MICU-A cg: -1 v1: Obese st: NotStopd t0: [16:00:00 30/03/2014] id: INV#2 WaveformAppear el: 0 cu: MICU-A cg: -1 v1: Dampened st: NotStopd t0: [16:00:00 30/03/2014] id: Activity el: 0 cu: MICU-A cg: -1 v1: Bedrest st: NotStopd t0: [16:00:00 30/03/2014] id: Activity Tolerance el: 0 cu: MICU-A cg: -1 v1: Good st: NotStopd t0: [16:00:00 30/03/2014] id: ImpSkin Character #1 el: 0 cu: MICU-A cg: -1 v1: Hematoma st: NotStopd t0: [16:00:00 30/03/2014] id: ImpSkin Character #2 el: 0 cu: MICU-A cg: -1 v1: Rash st: NotStopd t0: [16:00:00 30/03/2014] id: ImpSkin Treatment #1 el: 0 cu: MICU-A cg: -1 v1: Open to Air st: NotStopd t0: [16:00:00 30/03/2014] id: ImpSkin Treatment #2 el: 0 cu: MICU-A cg: -1 v1: Open to Air st: NotStopd t0: [16:00:00 30/03/2014] id: Impaired Skin Site#1 el: 0 cu: MICU-A cg: -1 v1: Gluteal, Right st: NotStopd t0: [16:00:00 30/03/2014] id: Impaired Skin Site#2 el: 0 cu: MICU-A cg: -1 v1: Labia st: NotStopd t0: [16:00:00 30/03/2014] id: LLL Lung Sounds el: 0 cu: MICU-A cg: -1 v1: Diminished st: NotStopd t0: [16:00:00 30/03/2014] id: LUL Lung Sounds el: 0 cu: MICU-A cg: -1 v1: Clear st: NotStopd t0: [16:00:00 30/03/2014] id: Level of Conscious el: 0 cu: MICU-A cg: -1 v1: Sedated st: NotStopd t0: [16:00:00 30/03/2014] id: Motor Response el: 0 cu: MICU-A cg: -1 v1: 5 Localizes Pain st: NotStopd t0: [16:00:00 30/03/2014] id: NBP el: 0 cu: MICU-A cg: -1 v1: 100 u1: mmHg v2: 54 u2: mmHg st: NotStopd t0: [16:00:00 30/03/2014] id: NBP Mean el: 0 cu: MICU-A cg: -1 v1: 69.3333 u1: mmHg st: NotStopd t0: [16:00:00 30/03/2014] id: Oral Cavity el: 0 cu: MICU-A cg: -1 v1: Oral Ulcers st: NotStopd t0: [16:00:00 30/03/2014] id: Orientation el: 0 cu: MICU-A cg: -1 v1: Other/Remarks st: NotStopd t0: [16:00:00 30/03/2014] id: AntiEmbDevice/Status el: 0 cu: MICU-A cg: -1 v1: Compress Sleeves v2: On st: NotStopd t0: [16:00:00 30/03/2014] id: Arterial BP el: 0 cu: MICU-A cg: -1 v1: 92 u1: mmHg v2: 79 u2: mmHg st: NotStopd t0: [16:00:00 30/03/2014] id: Pain Location el: 0 cu: MICU-A cg: -1 v1: Not Indicated st: NotStopd t0: [16:00:00 30/03/2014] id: Pain Management el: 1 cu: MICU-A cg: -1 v1: IV Gtt st: NotStopd t0: [16:00:00 30/03/2014] id: Arterial BP Mean el: 0 cu: MICU-A cg: -1 v1: 84 u1: mmHg st: NotStopd t0: [16:00:00 30/03/2014] id: Position Change el: 0 cu: MICU-A cg: -1 v1: Not Done st: NotStopd t0: [16:00:00 30/03/2014] id: PostTib. Pulses R/L el: 0 cu: MICU-A cg: -1 v1: Diff to Palpate v2: Diff to Palpate st: NotStopd t0: [16:00:00 30/03/2014] id: Precautions el: 0 cu: MICU-A cg: -1 v1: Universal st: NotStopd t0: [16:00:00 30/03/2014] id: Pupil Response R/L el: 0 cu: MICU-A cg: -1 v1: Brisk v2: Brisk st: NotStopd t0: [16:00:00 30/03/2014] id: Pupil Size R/L el: 0 cu: MICU-A cg: -1 v1: 2 mm v2: 2 mm st: NotStopd t0: [16:00:00 30/03/2014] id: RLL Lung Sounds el: 0 cu: MICU-A cg: -1 v1: Diminished st: NotStopd t0: [16:00:00 30/03/2014] id: RUL Lung Sounds el: 0 cu: MICU-A cg: -1 v1: Clear st: NotStopd t0: [16:00:00 30/03/2014] id: Reason For Restraint el: 0 cu: MICU-A cg: -1 v1: Ext/TXInterfere st: NotStopd t0: [16:00:00 30/03/2014] id: Removed x 5 Mins el: 0 cu: MICU-A cg: -1 v1: Not Done st: NotStopd t0: [16:00:00 30/03/2014] id: Respiratory Pattern el: 0 cu: MICU-A cg: -1 v1: Regular st: NotStopd t0: [16:00:00 30/03/2014] id: Respiratory Rate el: 0 cu: MICU-A cg: -1 v1: 20 u1: BPM st: NotStopd t0: [16:00:00 30/03/2014] id: Restraint Location el: 0 cu: MICU-A cg: -1 v1: Both Arms st: NotStopd t0: [16:00:00 30/03/2014] id: Restraint Type el: 0 cu: MICU-A cg: -1 v1: Soft Limb st: NotStopd t0: [16:00:00 30/03/2014] id: Restraints Evaluated el: 0 cu: MICU-A cg: -1 v1: RestraintReapply st: NotStopd t0: [16:00:00 30/03/2014] id: Side Rails el: 0 cu: MICU-A cg: -1 v1: Side Rails Up st: NotStopd t0: [16:00:00 30/03/2014] id: Skin Color el: 0 cu: MICU-A cg: -1 v1: Flushed st: NotStopd t0: [16:00:00 30/03/2014] id: Skin Integrity el: 0 cu: MICU-A cg: -1 v1: Impaired st: NotStopd t0: [16:00:00 30/03/2014] id: SpO2 el: 0 cu: MICU-A cg: -1 v1: 98 u1: % st: NotStopd t0: [16:00:00 30/03/2014] id: Stool Color/Consist el: 0 cu: MICU-A cg: -1 v1: Brown v2: Liquid st: NotStopd t0: [16:00:00 30/03/2014] id: Support Systems el: 0 cu: MICU-A cg: -1 v1: Spouse st: NotStopd t0: [16:00:00 30/03/2014] id: Turn el: 0 cu: MICU-A cg: -1 v1: Back st: NotStopd t0: [16:00:00 30/03/2014] id: Urine Color/Appear el: 0 cu: MICU-A cg: -1 v1: Yellow v2: Sediment st: NotStopd t0: [16:00:00 30/03/2014] id: Urine Source el: 0 cu: MICU-A cg: -1 v1: Indwelling Cath st: NotStopd t0: [16:00:00 30/03/2014] id: Verbal Response el: 0 cu: MICU-A cg: -1 v1: 1.0 ET/Trach st: NotStopd t0: [16:00:00 30/03/2014] id: calprevflg el: 0 cu: MICU-A cg: -1 v1: 1 u1: kg st: NotStopd t0: [16:00:00 30/03/2014] id: Bowel Sounds el: 0 cu: MICU-A cg: -1 v1: Present st: NotStopd
t0: [15:00:00 30/03/2014] id: IV Piggyback 100.0ml IV Infusions el: 1 cu: MICU-A cg: -1 ai: 105 vo: 50 vu: ml t0: [16:00:00 30/03/2014] id: IV Piggyback 100.0ml IV Infusions el: 1 cu: MICU-A cg: -1 ai: 105 vo: 50 vu: ml t0: [16:00:00 30/03/2014] id: Urine Out Foley el: 1 cu: MICU-A cg: -1 vo: 40 vu: ml
t0: [16:00:00 30/03/2014] id: Fentanyl el: 1 cu: MICU-A so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 250 su: ml rt: IV Drip t0: [16:00:00 30/03/2014] id: Ativan el: 1 cu: MICU-A so: D5W vo: 0 v1: 5 du: mghr sv: 60 su: ml rt: IV Drip
t0: [16:00:00 30/03/2014] id: PressureReduceDevice el: 0 cu: MICU-A cg: RN v1: Multipodus Boots st: NotStopd t0: [16:00:00 30/03/2014] id: Therapeutic Bed el: 0 cu: MICU-A cg: RN v1: AirMatt/1st Step st: NotStopd
t0: [16:00:00 30/03/2014] id: Temp. Site el: 0 cu: MICU-A cg: -1 v1: Oral st: NotStopd t0: [16:00:00 30/03/2014] id: Temperature C (calc) el: 0 cu: MICU-A cg: -1 v1: 38.3333 u1: Deg. C st: NotStopd t0: [16:00:00 30/03/2014] id: Temperature F el: 0 cu: MICU-A cg: -1 v1: 101 u1: Deg. F st: NotStopd
t0: [16:00:00 30/03/2014] id: Dopamine el: 1 cu: MICU-A so: D5W vo: 0 v1: 2.99592 du: mcgkgmin sv: 250 su: ml rt: IV Drip
tf: [10:00:00 09/04/2014] pt: Unit Dose rt: TP fr: QID:PRN m1: Miconazole Powder 2% f1: PWDR v1: 1 u1: Appl
t0: [17:00:00 30/03/2014] id: Service Type el: 0 cu: MICU-A cg: -1 v1: MICU st: NotStopd t0: [17:00:00 30/03/2014] id: Code Status el: 0 cu: MICU-A cg: -1 v1: Full Code st: NotStopd t0: [17:00:00 30/03/2014] id: Ectopy Frequency el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [17:00:00 30/03/2014] id: Ectopy Type el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [17:00:00 30/03/2014] id: Heart Rate el: 0 cu: MICU-A cg: -1 v1: 73 u1: BPM st: NotStopd t0: [17:00:00 30/03/2014] id: Heart Rhythm el: 0 cu: MICU-A cg: -1 v1: Normal Sinus st: NotStopd t0: [17:00:00 30/03/2014] id: NBP el: 0 cu: MICU-A cg: -1 v1: 117 u1: mmHg v2: 51 u2: mmHg st: NotStopd t0: [17:00:00 30/03/2014] id: NBP Mean el: 0 cu: MICU-A cg: -1 v1: 73 u1: mmHg st: NotStopd t0: [17:00:00 30/03/2014] id: Precautions el: 0 cu: MICU-A cg: -1 v1: Universal st: NotStopd t0: [17:00:00 30/03/2014] id: Respiratory Rate el: 0 cu: MICU-A cg: -1 v1: 20 u1: BPM st: NotStopd t0: [17:00:00 30/03/2014] id: SpO2 el: 0 cu: MICU-A cg: -1 v1: 97 u1: % st: NotStopd t0: [17:00:00 30/03/2014] id: calprevflg el: 0 cu: MICU-A cg: -1 v1: 1 u1: kg st: NotStopd t0: [18:00:00 30/03/2014] id: Service Type el: 0 cu: MICU-A cg: -1 v1: MICU st: NotStopd t0: [18:00:00 30/03/2014] id: Code Status el: 0 cu: MICU-A cg: -1 v1: Full Code st: NotStopd t0: [18:00:00 30/03/2014] id: Ectopy Frequency el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [18:00:00 30/03/2014] id: Ectopy Type el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [18:00:00 30/03/2014] id: Heart Rate el: 0 cu: MICU-A cg: -1 v1: 74 u1: BPM st: NotStopd t0: [18:00:00 30/03/2014] id: Heart Rhythm el: 0 cu: MICU-A cg: -1 v1: Normal Sinus st: NotStopd t0: [18:00:00 30/03/2014] id: NBP el: 0 cu: MICU-A cg: -1 v1: 120 u1: mmHg v2: 50 u2: mmHg st: NotStopd t0: [18:00:00 30/03/2014] id: NBP Mean el: 0 cu: MICU-A cg: -1 v1: 73.3333 u1: mmHg st: NotStopd t0: [18:00:00 30/03/2014] id: Precautions el: 0 cu: MICU-A cg: -1 v1: Universal st: NotStopd t0: [18:00:00 30/03/2014] id: Respiratory Rate el: 0 cu: MICU-A cg: -1 v1: 20 u1: BPM st: NotStopd t0: [18:00:00 30/03/2014] id: SpO2 el: 0 cu: MICU-A cg: -1 v1: 96 u1: % st: NotStopd t0: [18:00:00 30/03/2014] id: calprevflg el: 0 cu: MICU-A cg: -1 v1: 1 u1: kg st: NotStopd
t0: [18:00:00 30/03/2014] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 25 vu: ml t0: [18:00:00 30/03/2014] id: D5W 250.0ml + 400mcgkgmin Dopamine IV Infusions el: 1 cu: MICU-A cg: -1 ai: 115 vo: 23.5713 vu: ml t0: [18:00:00 30/03/2014] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 12.5 vu: ml t0: [18:00:00 30/03/2014] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU-A cg: -1 ai: 416 vo: 12.5 vu: ml t0: [18:00:00 30/03/2014] id: Urine Out Foley el: 1 cu: MICU-A cg: -1 vo: 260 vu: ml
t0: [17:00:00 30/03/2014] id: Fentanyl el: 1 cu: MICU-A so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 250 su: ml rt: IV Drip t0: [17:00:00 30/03/2014] id: Ativan el: 1 cu: MICU-A so: D5W vo: 0 v1: 5 du: mghr sv: 60 su: ml rt: IV Drip t0: [17:00:00 30/03/2014] id: Dopamine el: 1 cu: MICU-A so: D5W vo: 0 v1: 2.99592 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [18:00:00 30/03/2014] id: Fentanyl el: 1 cu: MICU-A so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 250 su: ml rt: IV Drip t0: [18:00:00 30/03/2014] id: Ativan el: 1 cu: MICU-A so: D5W vo: 0 v1: 5 du: mghr sv: 60 su: ml rt: IV Drip t0: [18:00:00 30/03/2014] id: Dopamine el: 1 cu: MICU-A so: D5W vo: 0 v1: 2.99592 du: mcgkgmin sv: 250 su: ml rt: IV Drip
t0: [12:00:00 30/03/2014] id: Oral Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [12:00:00 30/03/2014] id: Skin Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [12:00:00 30/03/2014] id: Back Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [16:00:00 30/03/2014] id: GI Intub #1/Site el: 0 cu: MICU-A cg: RN v1: Salem Sump v2: Oral st: NotStopd t0: [16:00:00 30/03/2014] id: INV Line#2 D/C Date el: 0 cu: MICU-A cg: RN v1: 3 v2: 15 st: NotStopd t0: [16:00:00 30/03/2014] id: Position el: 0 cu: MICU-A cg: RN v1: Left Side st: NotStopd t0: [16:00:00 30/03/2014] id: Assistance Device el: 0 cu: MICU-A cg: RN v1: Total Lift st: NotStopd t0: [17:00:00 30/03/2014] id: Arterial BP el: 0 cu: MICU-A cg: RN u1: mmHg u2: mmHg st: NotStopd t0: [17:00:00 30/03/2014] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN u1: mmHg st: NotStopd t0: [17:00:00 30/03/2014] id: Sputum Color/Consist el: 0 cu: MICU-A cg: RN v1: Blood Tinged v2: Thick st: NotStopd t0: [17:00:00 30/03/2014] id: Sputum Source/Amt el: 0 cu: MICU-A cg: RN v1: Suctioned v2: Scant st: NotStopd t0: [18:00:00 30/03/2014] id: Less Restrict Meas. el: 0 cu: MICU-A cg: RN v1: Medicated st: NotStopd t0: [18:00:00 30/03/2014] id: Range of Motion el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [18:00:00 30/03/2014] id: Circulation/SkinInt el: 0 cu: MICU-A cg: RN v1: Circulation Adeq st: NotStopd t0: [18:00:00 30/03/2014] id: Family Communication el: 0 cu: MICU-A cg: RN v1: Family Conferenc st: NotStopd t0: [18:00:00 30/03/2014] id: Activity el: 0 cu: MICU-A cg: RN v1: Bedrest st: NotStopd t0: [18:00:00 30/03/2014] id: Imp Skin Cleanse #2 el: 0 cu: MICU-A cg: RN v1: Wound Cleanser st: NotStopd t0: [18:00:00 30/03/2014] id: ImpSkin Character #2 el: 0 cu: MICU-A cg: RN v1: Rash st: NotStopd t0: [18:00:00 30/03/2014] id: ImpSkin Treatment #1 el: 0 cu: MICU-A cg: RN v1: Other/Remarks st: NotStopd t0: [18:00:00 30/03/2014] id: ImpSkin Treatment #2 el: 0 cu: MICU-A cg: RN v1: Open to Air st: NotStopd t0: [18:00:00 30/03/2014] id: Impaired Skin Site#1 el: 0 cu: MICU-A cg: RN v1: Gluteal, Right st: NotStopd t0: [18:00:00 30/03/2014] id: Impaired Skin Site#2 el: 0 cu: MICU-A cg: RN v1: Labia st: NotStopd t0: [18:00:00 30/03/2014] id: Position Change el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [18:00:00 30/03/2014] id: Reason For Restraint el: 0 cu: MICU-A cg: RN v1: Ext/TXInterfere st: NotStopd t0: [18:00:00 30/03/2014] id: Removed x 5 Mins el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [18:00:00 30/03/2014] id: Restraints Evaluated el: 0 cu: MICU-A cg: RN v1: Behavior Conts st: NotStopd t0: [18:00:00 30/03/2014] id: Significant Events el: 0 cu: MICU-A cg: RN st: NotStopd t0: [18:00:00 30/03/2014] id: Stool Color/Consist el: 0 cu: MICU-A cg: RN v1: Golden v2: Liquid st: NotStopd t0: [19:00:00 30/03/2014] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [19:00:00 30/03/2014] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [19:00:00 30/03/2014] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [19:00:00 30/03/2014] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [19:00:00 30/03/2014] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 74 u1: BPM st: NotStopd t0: [19:00:00 30/03/2014] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [19:00:00 30/03/2014] id: NBP el: 0 cu: MICU-A cg: RN v1: 113 u1: mmHg v2: 48 u2: mmHg st: NotStopd t0: [19:00:00 30/03/2014] id: NBP Mean el: 0 cu: MICU-A cg: RN v1: 69.6667 u1: mmHg st: NotStopd t0: [19:00:00 30/03/2014] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [19:00:00 30/03/2014] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 20 u1: BPM st: NotStopd t0: [19:00:00 30/03/2014] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 95 u1: % st: NotStopd t0: [19:00:00 30/03/2014] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [19:00:00 30/03/2014] 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 30/03/2014] id: D5W 250.0ml + 400mcgkgmin Dopamine IV Infusions el: 1 cu: MICU-A cg: RN ai: 115 vo: 10.1 vu: ml t0: [19:00:00 30/03/2014] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 5 vu: ml t0: [19:00:00 30/03/2014] id: Stool Out (non-specific) el: 1 cu: MICU-A cg: RN vu: ml es: Small t0: [19:00:00 30/03/2014] 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 30/03/2014] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 70 vu: ml
t0: [19:00:00 30/03/2014] 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 30/03/2014] id: Ativan el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 5 du: mghr sv: 60 su: ml rt: IV Drip t0: [19:00:00 30/03/2014] id: Dopamine el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 2.99592 du: mcgkgmin sv: 250 su: ml rt: IV Drip
t0: [18:00:00 30/03/2014] id: HOB el: 0 cu: MICU-A cg: RN v1: 30 degrees st: NotStopd t0: [18:00:00 30/03/2014] id: Activity Tolerance el: 0 cu: MICU-A cg: RN v1: Fair st: NotStopd t0: [18:00:00 30/03/2014] id: Imp Skin Cleanse #3 el: 0 cu: MICU-A cg: -1 v1: Soap & H20 st: NotStopd t0: [18:00:00 30/03/2014] id: ImpSkin Character #3 el: 0 cu: MICU-A cg: -1 v1: Abrasion st: NotStopd t0: [18:00:00 30/03/2014] id: ImpSkin Treatment #3 el: 0 cu: MICU-A cg: -1 v1: Open to Air st: NotStopd t0: [18:00:00 30/03/2014] id: AntiEmbDevice/Status el: 0 cu: MICU-A cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [18:00:00 30/03/2014] id: Position el: 0 cu: MICU-A cg: RN v1: Supine st: NotStopd t0: [18:00:00 30/03/2014] id: Assistance Device el: 0 cu: MICU-A cg: RN v1: 2 Person Assist st: NotStopd t0: [18:00:00 30/03/2014] id: PressureReduceDevice el: 0 cu: MICU-A cg: RN v1: Multipodus Boots st: NotStopd t0: [18:00:00 30/03/2014] id: Restraint Location el: 0 cu: MICU-A cg: RN v1: Both Arms st: NotStopd t0: [18:00:00 30/03/2014] id: Restraint Type el: 0 cu: MICU-A cg: RN v1: Soft Limb st: NotStopd t0: [18:00:00 30/03/2014] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [18:00:00 30/03/2014] id: Skin Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [18:00:00 30/03/2014] id: Support Systems el: 0 cu: MICU-A cg: RN v1: Spouse st: NotStopd t0: [18:00:00 30/03/2014] id: Therapeutic Bed el: 0 cu: MICU-A cg: RN v1: AirMatt/1st Step st: NotStopd t0: [18:00:00 30/03/2014] id: Turn el: 0 cu: MICU-A cg: RN v1: Side to Side st: NotStopd t0: [18:00:00 30/03/2014] id: Back Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd
t0: [02:54:00 30/03/2014] id: ALT Enzymes el: 0 cu: MICU-A cg: 1663 v1: 37 rs: Final st: NotStopd t0: [02:54:00 30/03/2014] id: AST Enzymes el: 0 cu: MICU-A cg: 1663 v1: 34 rs: Final st: NotStopd t0: [02:54:00 30/03/2014] id: Alk. Phosphate Enzymes el: 0 cu: MICU-A cg: 1663 v1: 82 rs: Final st: NotStopd t0: [02:54:00 30/03/2014] id: Total Bili (0-1.5) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 0.2 rs: Final st: NotStopd
t0: [23:00:00 30/03/2014] dt: 24 id: Stool Out Total el: 2 cu: MICU-A cg: 1663 cv: 0 ap: carryForward
t0: [20:00:00 30/03/2014] id: Pain Present el: 0 cu: MICU-A cg: RN v1: Other/Remarks st: NotStopd t0: [20:00:00 30/03/2014] id: Range of Motion el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [20:00:00 30/03/2014] id: INV#3Chg o/Wire Date el: 0 cu: MICU-A cg: RN v1: 3 v2: 16 st: NotStopd t0: [20:00:00 30/03/2014] id: Pain Assess Method el: 0 cu: MICU-A cg: RN v1: Change in Vitals st: NotStopd t0: [20:00:00 30/03/2014] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [20:00:00 30/03/2014] id: CVP el: 0 cu: MICU-A cg: RN v1: 10 u1: mmHg st: NotStopd t0: [20:00:00 30/03/2014] id: Circulation/SkinInt el: 0 cu: MICU-A cg: RN v1: Circulation Adeq st: NotStopd t0: [20:00:00 30/03/2014] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [20:00:00 30/03/2014] id: Riker-SAS Scale el: 0 cu: MICU-A cg: RN v1: Sedated st: NotStopd t0: [20:00:00 30/03/2014] id: Daily Wake Up el: 0 cu: MICU-A cg: RN v1: Not Applicable st: NotStopd t0: [20:00:00 30/03/2014] id: GI Prophylaxis el: 0 cu: MICU-A cg: RN v1: H2 Blocker st: NotStopd t0: [20:00:00 30/03/2014] id: Diet Type el: 0 cu: MICU-A cg: RN v1: Tube Feeding st: NotStopd t0: [20:00:00 30/03/2014] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [20:00:00 30/03/2014] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [20:00:00 30/03/2014] id: Eye Opening el: 0 cu: MICU-A cg: RN v1: 2 To pain st: NotStopd t0: [20:00:00 30/03/2014] id: GCS Total el: 0 cu: MICU-A cg: RN v1: 8 u1: points st: NotStopd t0: [20:00:00 30/03/2014] id: GI Intub #1/Site el: 0 cu: MICU-A cg: RN v1: Salem Sump v2: Oral st: NotStopd t0: [20:00:00 30/03/2014] id: GU Catheter Size el: 0 cu: MICU-A cg: RN v1: 14 French st: NotStopd t0: [20:00:00 30/03/2014] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 72 u1: BPM st: NotStopd t0: [20:00:00 30/03/2014] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [20:00:00 30/03/2014] id: INV Line#3 Site Date el: 0 cu: MICU-A cg: RN v1: 3 v2: 16 st: NotStopd t0: [20:00:00 30/03/2014] id: INV Line#3 Type/Site el: 0 cu: MICU-A cg: RN v1: Multi-lumen v2: Right IJ st: NotStopd t0: [20:00:00 30/03/2014] id: INV Line#3 Zero/Cal el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [20:00:00 30/03/2014] id: INV Line#3InsertDate el: 0 cu: MICU-A cg: RN v1: 3 v2: 12 st: NotStopd t0: [20:00:00 30/03/2014] id: INV Line#3SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [20:00:00 30/03/2014] id: Abdominal Assessment el: 0 cu: MICU-A cg: RN v1: Obese st: NotStopd t0: [20:00:00 30/03/2014] id: INV#3 WaveformAppear el: 0 cu: MICU-A cg: RN v1: Sharp st: NotStopd t0: [20:00:00 30/03/2014] id: Imp Skin Cleanse #2 el: 0 cu: MICU-A cg: RN v1: Wound Cleanser st: NotStopd t0: [20:00:00 30/03/2014] id: ImpSkin Character #1 el: 0 cu: MICU-A cg: RN v1: Hematoma st: NotStopd t0: [20:00:00 30/03/2014] id: ImpSkin Character #2 el: 0 cu: MICU-A cg: RN v1: Rash st: NotStopd t0: [20:00:00 30/03/2014] id: ImpSkin Treatment #1 el: 0 cu: MICU-A cg: RN v1: Other/Remarks st: NotStopd t0: [20:00:00 30/03/2014] id: ImpSkin Treatment #2 el: 0 cu: MICU-A cg: RN v1: Open to Air st: NotStopd t0: [20:00:00 30/03/2014] id: Impaired Skin Site#1 el: 0 cu: MICU-A cg: RN v1: Gluteal, Right st: NotStopd t0: [20:00:00 30/03/2014] id: Impaired Skin Site#2 el: 0 cu: MICU-A cg: RN v1: Labia st: NotStopd t0: [20:00:00 30/03/2014] id: Level of Conscious el: 0 cu: MICU-A cg: RN v1: Sedated st: NotStopd t0: [20:00:00 30/03/2014] id: Motor Response el: 0 cu: MICU-A cg: RN v1: 5 Localizes Pain st: NotStopd t0: [20:00:00 30/03/2014] id: NBP el: 0 cu: MICU-A cg: RN v1: 118 u1: mmHg v2: 51 u2: mmHg st: NotStopd t0: [20:00:00 30/03/2014] id: NBP Mean el: 0 cu: MICU-A cg: RN v1: 73.3333 u1: mmHg st: NotStopd t0: [20:00:00 30/03/2014] id: Oral Cavity el: 0 cu: MICU-A cg: RN v1: Oral Ulcers st: NotStopd t0: [20:00:00 30/03/2014] id: Orientation el: 0 cu: MICU-A cg: RN v1: Other/Remarks st: NotStopd t0: [20:00:00 30/03/2014] id: Pain Location el: 0 cu: MICU-A cg: RN v1: Not Indicated st: NotStopd t0: [20:00:00 30/03/2014] id: Pain Management el: 1 cu: MICU-A cg: RN v1: IV Gtt v2: IV Gtt st: NotStopd t0: [20:00:00 30/03/2014] id: Position Change el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [20:00:00 30/03/2014] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [20:00:00 30/03/2014] id: Reason For Restraint el: 0 cu: MICU-A cg: RN v1: Ext/TXInterfere st: NotStopd t0: [20:00:00 30/03/2014] id: Removed x 5 Mins el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [20:00:00 30/03/2014] id: Respiratory Pattern el: 0 cu: MICU-A cg: RN v1: Regular st: NotStopd t0: [20:00:00 30/03/2014] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 20 u1: BPM st: NotStopd t0: [20:00:00 30/03/2014] id: Restraint Location el: 0 cu: MICU-A cg: RN v1: Both Arms st: NotStopd t0: [20:00:00 30/03/2014] id: Restraint Type el: 0 cu: MICU-A cg: RN v1: Soft Limb st: NotStopd t0: [20:00:00 30/03/2014] id: Restraints Evaluated el: 0 cu: MICU-A cg: RN v1: BehaviorReturned st: NotStopd t0: [20:00:00 30/03/2014] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [20:00:00 30/03/2014] id: Skin Color el: 0 cu: MICU-A cg: RN v1: Flushed st: NotStopd t0: [20:00:00 30/03/2014] id: Skin Integrity el: 0 cu: MICU-A cg: RN v1: Impaired st: NotStopd t0: [20:00:00 30/03/2014] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 97 u1: % st: NotStopd t0: [20:00:00 30/03/2014] id: Support Systems el: 0 cu: MICU-A cg: RN v1: Spouse st: NotStopd t0: [20:00:00 30/03/2014] id: Temp. Site el: 0 cu: MICU-A cg: RN v1: Oral st: NotStopd t0: [20:00:00 30/03/2014] id: Temperature C (calc) el: 0 cu: MICU-A cg: RN v1: 38.3333 u1: Deg. C st: NotStopd t0: [20:00:00 30/03/2014] id: Temperature F el: 0 cu: MICU-A cg: RN v1: 101 u1: Deg. F st: NotStopd t0: [20:00:00 30/03/2014] id: Urine Color/Appear el: 0 cu: MICU-A cg: RN v1: Yellow v2: Sediment st: NotStopd t0: [20:00:00 30/03/2014] id: Urine Source el: 0 cu: MICU-A cg: RN v1: Indwelling Cath st: NotStopd t0: [20:00:00 30/03/2014] id: Verbal Response el: 0 cu: MICU-A cg: RN v1: 1 No Response st: NotStopd t0: [20:00:00 30/03/2014] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [20:00:00 30/03/2014] id: Behavior el: 0 cu: MICU-A cg: RN v1: Sedated st: NotStopd t0: [20:00:00 30/03/2014] id: Braden Activity el: 0 cu: MICU-A cg: RN v1: Bedfast st: NotStopd t0: [20:00:00 30/03/2014] id: Braden Frict/Shear el: 0 cu: MICU-A cg: RN v1: Potential Prob st: NotStopd t0: [20:00:00 30/03/2014] id: Braden Mobility el: 0 cu: MICU-A cg: RN v1: Very Limited st: NotStopd t0: [20:00:00 30/03/2014] id: Braden Moisture el: 0 cu: MICU-A cg: RN v1: Occ. Moist st: NotStopd t0: [20:00:00 30/03/2014] id: Braden Nutrition el: 0 cu: MICU-A cg: RN v1: Prob. Inadequate st: NotStopd t0: [20:00:00 30/03/2014] id: Braden Score el: 0 cu: MICU-A cg: RN v1: 12 u1: number st: NotStopd t0: [20:00:00 30/03/2014] id: Braden SensoryPercep el: 0 cu: MICU-A cg: RN v1: Very Limited st: NotStopd
t0: [20:00:00 30/03/2014] 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 30/03/2014] id: D5W 250.0ml + 400mcgkgmin Dopamine IV Infusions el: 1 cu: MICU-A cg: RN ai: 115 vo: 10.1 vu: ml nb: 1 t0: [20:00:00 30/03/2014] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 5 vu: ml t0: [20:00:00 30/03/2014] 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 30/03/2014] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 180 vu: ml
t0: [20:00:00 30/03/2014] 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 30/03/2014] id: Ativan el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 5 du: mghr sv: 60 su: ml rt: IV Drip t0: [20:00:00 30/03/2014] id: Dopamine el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 2.99592 du: mcgkgmin sv: 250 su: ml rt: IV Drip
t0: [20:28:00 30/03/2014] id: Art.pH ABG el: 0 cu: MICU-A cg: 1663 v1: 7.38 rs: Final st: NotStopd t0: [20:28:00 30/03/2014] id: Arterial Base Excess ABG el: 0 cu: MICU-A cg: 1663 v1: -3 rs: Final st: NotStopd t0: [20:28:00 30/03/2014] id: Arterial CO2(Calc) ABG el: 0 cu: MICU-A cg: 1663 v1: 22 rs: Final st: NotStopd t0: [20:28:00 30/03/2014] id: Arterial PaCO2 ABG el: 0 cu: MICU-A cg: 1663 v1: 35 u1: mmHg rs: Final st: NotStopd t0: [20:28:00 30/03/2014] id: Arterial PaO2 ABG el: 0 cu: MICU-A cg: 1663 v1: 76 u1: mmHg rs: Final st: NotStopd t0: [20:28:00 30/03/2014] id: Arterial pH ABG el: 0 cu: MICU-A cg: 1663 v1: 7.38 rs: Final st: NotStopd
t0: [20:00:00 30/03/2014] id: Compliance (40-60ml) el: 0 cu: MICU-A cg: RRT v1: 16.0714 u1: ml/cmH st: NotStopd t0: [20:00:00 30/03/2014] id: ETT Mark/Location el: 0 cu: MICU-A cg: RRT v1: 23cm v2: Lip st: NotStopd t0: [20:00:00 30/03/2014] id: FiO2 Set el: 0 cu: MICU-A cg: RRT v1: 0.3 u1: torr st: NotStopd t0: [20:00:00 30/03/2014] id: GI Guaiac/ph el: 0 cu: MICU-A cg: RN v1: Negative v2: 6 st: NotStopd t0: [20:00:00 30/03/2014] id: GI#1 Tube PlaceCheck el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [20:00:00 30/03/2014] id: GI#1 Tube Stat/Drain el: 0 cu: MICU-A cg: RN v1: Clamped v2: Bilious st: NotStopd t0: [20:00:00 30/03/2014] id: High Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 55 u1: cmH2O st: NotStopd t0: [20:00:00 30/03/2014] id: High Resp. Rate el: 0 cu: MICU-A cg: RRT v1: 35 u1: BPM st: NotStopd t0: [20:00:00 30/03/2014] id: I:E Ratio el: 0 cu: MICU-A cg: RRT v1: 5 st: NotStopd t0: [20:00:00 30/03/2014] id: Airway Size el: 0 cu: MICU-A cg: RRT v1: 7.5 mm st: NotStopd t0: [20:00:00 30/03/2014] id: Airway Type el: 0 cu: MICU-A cg: RRT v1: Endotracheal st: NotStopd t0: [20:00:00 30/03/2014] id: Inspired Gas Temp el: 0 cu: MICU-A cg: RRT v1: 34 u1: Deg. C st: NotStopd t0: [20:00:00 30/03/2014] id: Intubation Date el: 0 cu: MICU-A cg: RRT v1: 3 v2: 12 st: NotStopd t0: [20:00:00 30/03/2014] id: LLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Diminished st: NotStopd t0: [20:00:00 30/03/2014] id: LUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [20:00:00 30/03/2014] id: Low Exhaled Min Vol el: 0 cu: MICU-A cg: RRT v1: 8 st: NotStopd t0: [20:00:00 30/03/2014] id: Low Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 20 u1: cmH2O st: NotStopd t0: [20:00:00 30/03/2014] id: Mean Airway Pressure el: 0 cu: MICU-A cg: RRT v1: 19.8 u1: cmH2O st: NotStopd t0: [20:00:00 30/03/2014] id: Minute Volume(Obser) el: 0 cu: MICU-A cg: RRT v1: 8.8 u1: L/min st: NotStopd t0: [20:00:00 30/03/2014] id: PEEP Set el: 0 cu: MICU-A cg: RRT v1: 15 u1: cmH2O st: NotStopd t0: [20:00:00 30/03/2014] id: Apnea Time Interval el: 0 cu: MICU-A cg: RRT v1: 20 st: NotStopd t0: [20:00:00 30/03/2014] id: Peak Flow el: 0 cu: MICU-A cg: RRT v1: 55 u1: L/m st: NotStopd t0: [20:00:00 30/03/2014] id: Peak Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 43 u1: cmH2O st: NotStopd t0: [20:00:00 30/03/2014] id: Pressure Support el: 0 cu: MICU-A cg: RRT v1: 0 u1: . st: NotStopd t0: [20:00:00 30/03/2014] id: RLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Diminished st: NotStopd t0: [20:00:00 30/03/2014] id: RUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [20:00:00 30/03/2014] id: Resp Rate (Spont) el: 0 cu: MICU-A cg: RRT v1: 0 u1: BPM st: NotStopd t0: [20:00:00 30/03/2014] id: Resp Rate (Total) el: 0 cu: MICU-A cg: RRT v1: 20 u1: BPM st: NotStopd t0: [20:00:00 30/03/2014] id: Respiratory Rate Set el: 0 cu: MICU-A cg: RRT v1: 20 u1: BPM st: NotStopd t0: [20:00:00 30/03/2014] id: Sensitivity-Vent el: 0 cu: MICU-A cg: RRT v1: 2 u1: cmH2O st: NotStopd t0: [20:00:00 30/03/2014] id: Tidal Volume (Obser) el: 0 cu: MICU-A cg: RRT v1: 440 u1: ml/B st: NotStopd t0: [20:00:00 30/03/2014] id: Tidal Volume (Set) el: 0 cu: MICU-A cg: RRT v1: 450 u1: ml/B st: NotStopd t0: [20:00:00 30/03/2014] id: Ventilator Mode el: 0 cu: MICU-A cg: RRT v1: Assist Control st: NotStopd t0: [20:00:00 30/03/2014] id: Ventilator No. el: 0 cu: MICU-A cg: RRT v1: 6 u1: # st: NotStopd t0: [20:00:00 30/03/2014] id: Ventilator Type el: 0 cu: MICU-A cg: RRT v1: 7200A st: NotStopd t0: [20:00:00 30/03/2014] id: Waveform-Vent el: 0 cu: MICU-A cg: RRT v1: SQUARE st: NotStopd
t0: [21:00:00 30/03/2014] id: .9% Normal Saline 1000.0ml IV Infusions el: 3 cu: MICU-A cg: -1 ai: 107 vo: 0 st: D/C'd
t0: [21:00:00 30/03/2014] id: FiO2 Set el: 0 cu: MICU-A cg: RRT v1: 0.4 u1: torr st: NotStopd
t0: [20:00:00 30/03/2014] id: Bowel Sounds el: 0 cu: MICU-A cg: RN v1: Present st: NotStopd t0: [21:00:00 30/03/2014] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [21:00:00 30/03/2014] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [21:00:00 30/03/2014] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [21:00:00 30/03/2014] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [21:00:00 30/03/2014] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 76 u1: BPM st: NotStopd t0: [21:00:00 30/03/2014] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [21:00:00 30/03/2014] id: NBP el: 0 cu: MICU-A cg: RN v1: 126 u1: mmHg v2: 52 u2: mmHg st: NotStopd t0: [21:00:00 30/03/2014] id: NBP Mean el: 0 cu: MICU-A cg: RN v1: 76.6667 u1: mmHg st: NotStopd t0: [21:00:00 30/03/2014] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [21:00:00 30/03/2014] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 20 u1: BPM st: NotStopd t0: [21:00:00 30/03/2014] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 99 u1: % st: NotStopd t0: [21:00:00 30/03/2014] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [21:00:00 30/03/2014] id: TF Residual Gastric/TF Residual el: 1 cu: MICU-A cg: RN ai: 107 vo: 5 vu: ml t0: [21:00:00 30/03/2014] 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 30/03/2014] id: D5W 250.0ml + 400mcgkgmin Dopamine IV Infusions el: 1 cu: MICU-A cg: RN ai: 115 vo: 10.1 vu: ml t0: [21:00:00 30/03/2014] id: Gastric Meds PO/Gastric el: 1 cu: MICU-A cg: RN ai: 155 vo: 80 vu: ml t0: [21:00:00 30/03/2014] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 5 vu: ml t0: [21:00:00 30/03/2014] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU-A cg: RN ai: 416 vo: 5 vu: ml t0: [21:00:00 30/03/2014] id: Promote w/fiber Tube Feeding el: 1 cu: MICU-A cg: RN ai: 107 vo: 0 vu: ml nb: 1 t0: [21:00:00 30/03/2014] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 220 vu: ml
t0: [21:00:00 30/03/2014] 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: [21:00:00 30/03/2014] id: Ativan el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 5 du: mghr sv: 60 su: ml rt: IV Drip t0: [21:00:00 30/03/2014] id: Dopamine el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 2.99592 du: mcgkgmin sv: 250 su: ml rt: IV Drip
t0: [23:00:00 30/03/2014] dt: 24 id: PO/Gastric In Total el: 2 cu: MICU-A cg: RN cv: 160 ap: none
t0: [22:00:00 30/03/2014] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [22:00:00 30/03/2014] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [22:00:00 30/03/2014] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [22:00:00 30/03/2014] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [22:00:00 30/03/2014] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 72 u1: BPM st: NotStopd t0: [22:00:00 30/03/2014] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [22:00:00 30/03/2014] id: INV Line#2 Type/Site el: 0 cu: MICU-A cg: RN v1: A-Line v2: Left Radial st: NotStopd t0: [22:00:00 30/03/2014] id: INV Line#2 Zero/Cal el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [22:00:00 30/03/2014] id: INV Line#2InsertDate el: 0 cu: MICU-A cg: RN v1: 3 v2: 16 st: NotStopd t0: [22:00:00 30/03/2014] id: INV#2 WaveformAppear el: 0 cu: MICU-A cg: RN v1: Sharp st: NotStopd t0: [22:00:00 30/03/2014] id: NBP el: 0 cu: MICU-A cg: RN v1: 119 u1: mmHg v2: 50 u2: mmHg st: NotStopd t0: [22:00:00 30/03/2014] id: NBP Mean el: 0 cu: MICU-A cg: RN v1: 73 u1: mmHg st: NotStopd t0: [22:00:00 30/03/2014] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 144 u1: mmHg v2: 69 u2: mmHg st: NotStopd t0: [22:00:00 30/03/2014] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 98 u1: mmHg st: NotStopd t0: [22:00:00 30/03/2014] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [22:00:00 30/03/2014] id: Procedures el: 0 cu: MICU-A cg: RN v1: Line Placement st: NotStopd t0: [22:00:00 30/03/2014] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 20 u1: BPM st: NotStopd t0: [22:00:00 30/03/2014] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 100 u1: % st: NotStopd t0: [22:00:00 30/03/2014] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [22:00:00 30/03/2014] 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: [22:00:00 30/03/2014] id: Ativan el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 5 du: mghr sv: 60 su: ml rt: IV Drip t0: [22:00:00 30/03/2014] id: Dopamine el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 2.99592 du: mcgkgmin sv: 250 su: ml rt: IV Drip
tf: [13:00:00 10/04/2014] pt: Unit Dose rt: PO fr: BID fs: 10, 22 dn: 2 m1: Acetylcysteine 20% f1: INJ v1: 600 u1: mg
t0: [22:15:00 30/03/2014] id: Procedures el: 0 cu: MICU-A cg: RN v1: Sputum Cx st: NotStopd
t0: [22:00:00 30/03/2014] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml nb: 1 t0: [22:00:00 30/03/2014] id: D5W 250.0ml + 400mcgkgmin Dopamine IV Infusions el: 1 cu: MICU-A cg: RN ai: 115 vo: 10.1 vu: ml t0: [22:00:00 30/03/2014] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 5 vu: ml t0: [22:00:00 30/03/2014] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU-A cg: RN ai: 416 vo: 5 vu: ml t0: [22:00:00 30/03/2014] tf: [12:00:00 02/04/2014] dt: 3720 id: Promote w/fiber Tube Feeding el: 1 cu: MICU-A cg: RN ai: 107 vo: 30 vu: ml t0: [22:00:00 30/03/2014] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 120 vu: ml
t0: [23:00:00 30/03/2014] id: bath el: 0 cu: MICU-A cg: RN v1: done t0: [23:00:00 30/03/2014] id: Eye Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [23:00:00 30/03/2014] id: HOB el: 0 cu: MICU-A cg: RN v1: 30 degrees st: NotStopd t0: [23:00:00 30/03/2014] id: Activity el: 0 cu: MICU-A cg: RN v1: Bedrest st: NotStopd t0: [23:00:00 30/03/2014] id: Activity Tolerance el: 0 cu: MICU-A cg: RN v1: Tolerated Well st: NotStopd t0: [23:00:00 30/03/2014] id: Oral Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [23:00:00 30/03/2014] id: AntiEmbDevice/Status el: 0 cu: MICU-A cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [23:00:00 30/03/2014] id: Position el: 0 cu: MICU-A cg: RN v1: Right Side st: NotStopd t0: [23:00:00 30/03/2014] id: Assistance Device el: 0 cu: MICU-A cg: RN v1: 2 Person Assist st: NotStopd t0: [23:00:00 30/03/2014] id: PressureReduceDevice el: 0 cu: MICU-A cg: RN v1: Multipodus Boots st: NotStopd t0: [23:00:00 30/03/2014] id: Skin Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [23:00:00 30/03/2014] id: Therapeutic Bed el: 0 cu: MICU-A cg: RN v1: AirMatt/1st Step st: NotStopd t0: [23:00:00 30/03/2014] id: Turn el: 0 cu: MICU-A cg: RN v1: Side to Side st: NotStopd t0: [23:00:00 30/03/2014] id: Back Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd
t0: [23:00:00 30/03/2014] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [23:00:00 30/03/2014] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [23:00:00 30/03/2014] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [23:00:00 30/03/2014] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [23:00:00 30/03/2014] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 73 u1: BPM st: NotStopd t0: [23:00:00 30/03/2014] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [23:00:00 30/03/2014] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 146 u1: mmHg v2: 69 u2: mmHg st: NotStopd t0: [23:00:00 30/03/2014] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 91 u1: mmHg st: NotStopd t0: [23:00:00 30/03/2014] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [23:00:00 30/03/2014] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 22 u1: BPM st: NotStopd t0: [23:00:00 30/03/2014] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 99 u1: % st: NotStopd t0: [23:00:00 30/03/2014] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [23:00:00 30/03/2014] 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 30/03/2014] id: D5W 250.0ml + 400mcgkgmin Dopamine IV Infusions el: 1 cu: MICU-A cg: RN ai: 115 vo: 10.1 vu: ml t0: [23:00:00 30/03/2014] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 5 vu: ml t0: [23:00:00 30/03/2014] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU-A cg: RN ai: 416 vo: 5 vu: ml t0: [23:00:00 30/03/2014] id: Promote w/fiber Tube Feeding el: 1 cu: MICU-A cg: RN ai: 107 vo: 30 vu: ml t0: [23:00:00 30/03/2014] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 140 vu: ml
t0: [23:00:00 30/03/2014] 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: [23:00:00 30/03/2014] id: Ativan el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 5 du: mghr sv: 60 su: ml rt: IV Drip t0: [23:00:00 30/03/2014] id: Dopamine el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 2.99592 du: mcgkgmin sv: 250 su: ml rt: IV Drip
t0: [23:00:00 30/03/2014] dt: 1 id: Total Hourly Output el: 2 cu: MICU-A cg: RN pv: 140 cv: 140 ap: none t0: [23:00:00 30/03/2014] 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 30/03/2014] dt: 24 id: IV Infusion In Total el: 2 cu: MICU-A cg: RN pv: 30.1 cv: 1368.32 ap: none t0: [23:00:00 30/03/2014] dt: 24 id: 24h Total In el: 2 cu: MICU-A cg: RN pv: 60.1 cv: 2433.32 ap: none t0: [23:00:00 30/03/2014] dt: 24 id: Tube Feeds In Total el: 2 cu: MICU-A cg: RN pv: 30 cv: 905 ap: none t0: [23:00:00 30/03/2014] dt: 24 id: Urine Out Total el: 2 cu: MICU-A cg: RN pv: 140 cv: 4295 ap: none t0: [23:00:00 30/03/2014] dt: 24 id: 24h Net Body Balance el: 2 cu: MICU-A cg: RN pv: -79.9 cv: -1861.68 ap: carryForward t0: [23:00:00 30/03/2014] dt: 24 id: 24h Total Out el: 2 cu: MICU-A cg: RN pv: 140 cv: 4295 ap: carryForward t0: [23:00:00 30/03/2014] dt: multiple days id: LOS Net Body Balance el: 2 cu: MICU-A cg: RN pv: -79.9 cv: 21767.3 ap: carryForward
t0: [23:00:00 30/03/2014] id: IV #1 D/C Date el: 0 cu: MICU-A cg: -1 st: D/C'd t0: [23:00:00 30/03/2014] id: IV #1 Insert Date el: 0 cu: MICU-A cg: -1 st: D/C'd t0: [23:00:00 30/03/2014] id: IV #1 Site/Size el: 0 cu: MICU-A cg: -1 st: D/C'd t0: [23:00:00 30/03/2014] id: IV Site Appear #1 el: 0 cu: MICU-A cg: -1 st: D/C'd
t0: [22:00:00 30/03/2014] id: Range of Motion el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [22:00:00 30/03/2014] id: Circulation/SkinInt el: 0 cu: MICU-A cg: RN v1: Circulation Adeq st: NotStopd t0: [22:00:00 30/03/2014] id: Family Communication el: 0 cu: MICU-A cg: RN v1: Family Visited st: NotStopd t0: [22:00:00 30/03/2014] id: Position Change el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [22:00:00 30/03/2014] id: Reason For Restraint el: 0 cu: MICU-A cg: RN v1: Ext/TXInterfere st: NotStopd t0: [22:00:00 30/03/2014] id: Removed x 5 Mins el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [22:00:00 30/03/2014] id: Restraint Location el: 0 cu: MICU-A cg: RN v1: Both Arms st: NotStopd t0: [22:00:00 30/03/2014] id: Restraint Type el: 0 cu: MICU-A cg: RN v1: Soft Limb st: NotStopd t0: [22:00:00 30/03/2014] id: Restraints Evaluated el: 0 cu: MICU-A cg: RN v1: RestraintReapply st: NotStopd t0: [22:00:00 30/03/2014] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [22:00:00 30/03/2014] id: Sputum Color/Consist el: 0 cu: MICU-A cg: RN v1: Blood Tinged v2: Thick st: NotStopd t0: [22:00:00 30/03/2014] id: Sputum Source/Amt el: 0 cu: MICU-A cg: RN v1: Suctioned v2: Small st: NotStopd t0: [00:00:00 31/03/2014] id: Pain Present el: 0 cu: MICU-A cg: RN v1: Other/Remarks st: NotStopd t0: [00:00:00 31/03/2014] id: Range of Motion el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [00:00:00 31/03/2014] id: INV#3Chg o/Wire Date el: 0 cu: MICU-A cg: RN v1: 3 v2: 16 st: NotStopd t0: [00:00:00 31/03/2014] id: Pain Assess Method el: 0 cu: MICU-A cg: RN v1: Change in Vitals st: NotStopd t0: [00:00:00 31/03/2014] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [00:00:00 31/03/2014] id: Circulation/SkinInt el: 0 cu: MICU-A cg: RN v1: Circulation Adeq st: NotStopd t0: [00:00:00 31/03/2014] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [00:00:00 31/03/2014] id: Riker-SAS Scale el: 0 cu: MICU-A cg: RN v1: Sedated st: NotStopd t0: [00:00:00 31/03/2014] id: Daily Wake Up el: 0 cu: MICU-A cg: RN v1: Not Applicable st: NotStopd t0: [00:00:00 31/03/2014] id: GI Prophylaxis el: 0 cu: MICU-A cg: RN v1: H2 Blocker st: NotStopd t0: [00:00:00 31/03/2014] id: Diet Type el: 0 cu: MICU-A cg: RN v1: Tube Feeding st: NotStopd t0: [00:00:00 31/03/2014] id: Dorsal PedPulse R/L el: 0 cu: MICU-A cg: RN v1: Weak Palpable v2: Weak Palpable st: NotStopd t0: [00:00:00 31/03/2014] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [00:00:00 31/03/2014] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [00:00:00 31/03/2014] id: Eye Opening el: 0 cu: MICU-A cg: RN v1: 2 To pain st: NotStopd t0: [00:00:00 31/03/2014] id: GCS Total el: 0 cu: MICU-A cg: RN v1: 8 u1: points st: NotStopd t0: [00:00:00 31/03/2014] id: GI Guaiac/ph el: 0 cu: MICU-A cg: RN v1: Not Applicable st: NotStopd t0: [00:00:00 31/03/2014] id: GI Intub #1/Site el: 0 cu: MICU-A cg: RN v1: Salem Sump v2: Oral st: NotStopd t0: [00:00:00 31/03/2014] id: GI#1 Tube PlaceCheck el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [00:00:00 31/03/2014] id: GI#1 Tube Stat/Drain el: 0 cu: MICU-A cg: RN v1: Clamped v2: Undigested Food st: NotStopd t0: [00:00:00 31/03/2014] id: GU Catheter Size el: 0 cu: MICU-A cg: RN v1: 14 French st: NotStopd t0: [00:00:00 31/03/2014] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 70 u1: BPM st: NotStopd t0: [00:00:00 31/03/2014] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [00:00:00 31/03/2014] 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 31/03/2014] id: INV Line#2 Zero/Cal el: 0 cu: MICU-A cg: RN v1: No st: NotStopd t0: [00:00:00 31/03/2014] id: INV Line#2InsertDate el: 0 cu: MICU-A cg: RN v1: 3 v2: 16 st: NotStopd t0: [00:00:00 31/03/2014] id: INV Line#3 Site Date el: 0 cu: MICU-A cg: RN v1: 3 v2: 16 st: NotStopd t0: [00:00:00 31/03/2014] id: INV Line#3 Type/Site el: 0 cu: MICU-A cg: RN v1: Multi-lumen v2: Right IJ st: NotStopd t0: [00:00:00 31/03/2014] id: INV Line#3 Zero/Cal el: 0 cu: MICU-A cg: RN v1: No st: NotStopd t0: [00:00:00 31/03/2014] id: INV Line#3InsertDate el: 0 cu: MICU-A cg: RN v1: 3 v2: 12 st: NotStopd t0: [00:00:00 31/03/2014] id: INV Line#3SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [00:00:00 31/03/2014] id: Abdominal Assessment el: 0 cu: MICU-A cg: RN v1: Obese st: NotStopd t0: [00:00:00 31/03/2014] id: INV#2 WaveformAppear el: 0 cu: MICU-A cg: RN v1: Sharp st: NotStopd t0: [00:00:00 31/03/2014] id: INV#3 WaveformAppear el: 0 cu: MICU-A cg: RN v1: Sharp st: NotStopd t0: [00:00:00 31/03/2014] id: Imp Skin Cleanse #2 el: 0 cu: MICU-A cg: RN v1: Soap & H20 st: NotStopd t0: [00:00:00 31/03/2014] id: Imp Skin Cleanse #3 el: 0 cu: MICU-A cg: RN v1: Soap & H20 st: NotStopd t0: [00:00:00 31/03/2014] id: ImpSkin Character #1 el: 0 cu: MICU-A cg: RN v1: Hematoma st: NotStopd t0: [00:00:00 31/03/2014] id: ImpSkin Character #2 el: 0 cu: MICU-A cg: RN v1: Rash st: NotStopd t0: [00:00:00 31/03/2014] id: ImpSkin Character #3 el: 0 cu: MICU-A cg: RN v1: Abrasion st: NotStopd t0: [00:00:00 31/03/2014] id: ImpSkin Treatment #1 el: 0 cu: MICU-A cg: RN v1: Other/Remarks st: NotStopd t0: [00:00:00 31/03/2014] id: ImpSkin Treatment #2 el: 0 cu: MICU-A cg: RN v1: Open to Air st: NotStopd t0: [00:00:00 31/03/2014] id: ImpSkin Treatment #3 el: 0 cu: MICU-A cg: RN v1: Open to Air st: NotStopd t0: [00:00:00 31/03/2014] id: Impaired Skin Site#1 el: 0 cu: MICU-A cg: RN v1: Gluteal, Right st: NotStopd t0: [00:00:00 31/03/2014] id: Impaired Skin Site#2 el: 0 cu: MICU-A cg: RN v1: Labia st: NotStopd t0: [00:00:00 31/03/2014] id: LLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Diminished st: NotStopd t0: [00:00:00 31/03/2014] id: LUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [00:00:00 31/03/2014] id: Level of Conscious el: 0 cu: MICU-A cg: RN v1: Sedated st: NotStopd t0: [00:00:00 31/03/2014] id: Motor Response el: 0 cu: MICU-A cg: RN v1: 5 Localizes Pain st: NotStopd t0: [00:00:00 31/03/2014] id: Oral Cavity el: 0 cu: MICU-A cg: RN v1: Oral Ulcers st: NotStopd t0: [00:00:00 31/03/2014] id: Orientation el: 0 cu: MICU-A cg: RN v1: Other/Remarks st: NotStopd t0: [00:00:00 31/03/2014] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 144 u1: mmHg v2: 70 u2: mmHg st: NotStopd t0: [00:00:00 31/03/2014] id: Pain Location el: 0 cu: MICU-A cg: RN v1: Not Indicated st: NotStopd t0: [00:00:00 31/03/2014] id: Pain Management el: 1 cu: MICU-A cg: RN v1: IV Gtt v2: IV Gtt st: NotStopd t0: [00:00:00 31/03/2014] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 97 u1: mmHg st: NotStopd t0: [00:00:00 31/03/2014] id: Position Change el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [00:00:00 31/03/2014] id: PostTib. Pulses R/L el: 0 cu: MICU-A cg: RN v1: Diff to Palpate v2: Diff to Palpate st: NotStopd t0: [00:00:00 31/03/2014] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [00:00:00 31/03/2014] id: RLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Diminished st: NotStopd t0: [00:00:00 31/03/2014] id: RUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [00:00:00 31/03/2014] id: Reason For Restraint el: 0 cu: MICU-A cg: RN v1: Ext/TXInterfere st: NotStopd t0: [00:00:00 31/03/2014] id: Removed x 5 Mins el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [00:00:00 31/03/2014] id: Respiratory Pattern el: 0 cu: MICU-A cg: RN v1: Regular st: NotStopd t0: [00:00:00 31/03/2014] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 21 u1: BPM st: NotStopd t0: [00:00:00 31/03/2014] id: Restraint Location el: 0 cu: MICU-A cg: RN v1: Both Arms st: NotStopd t0: [00:00:00 31/03/2014] id: Restraint Type el: 0 cu: MICU-A cg: RN v1: Soft Limb st: NotStopd t0: [00:00:00 31/03/2014] id: Restraints Evaluated el: 0 cu: MICU-A cg: RN v1: RestraintReapply st: NotStopd t0: [00:00:00 31/03/2014] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [00:00:00 31/03/2014] id: Skin Color el: 0 cu: MICU-A cg: RN v1: Flushed st: NotStopd t0: [00:00:00 31/03/2014] id: Skin Integrity el: 0 cu: MICU-A cg: RN v1: Impaired st: NotStopd t0: [00:00:00 31/03/2014] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 98 u1: % st: NotStopd t0: [00:00:00 31/03/2014] id: Stool Color/Consist el: 0 cu: MICU-A cg: RN v1: Brown v2: Liquid st: NotStopd t0: [00:00:00 31/03/2014] id: Support Systems el: 0 cu: MICU-A cg: RN v1: Spouse st: NotStopd t0: [00:00:00 31/03/2014] id: Temp. Site el: 0 cu: MICU-A cg: RN v1: Oral st: NotStopd t0: [00:00:00 31/03/2014] id: Temperature C (calc) el: 0 cu: MICU-A cg: RN v1: 38.4444 u1: Deg. C st: NotStopd t0: [00:00:00 31/03/2014] id: Temperature F el: 0 cu: MICU-A cg: RN v1: 101.2 u1: Deg. F st: NotStopd t0: [00:00:00 31/03/2014] id: Urine Color/Appear el: 0 cu: MICU-A cg: RN v1: Yellow v2: Sediment st: NotStopd t0: [00:00:00 31/03/2014] id: Urine Source el: 0 cu: MICU-A cg: RN v1: Indwelling Cath st: NotStopd t0: [00:00:00 31/03/2014] id: Verbal Response el: 0 cu: MICU-A cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [00:00:00 31/03/2014] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [00:00:00 31/03/2014] id: Behavior el: 0 cu: MICU-A cg: RN v1: Sedated st: NotStopd t0: [00:00:00 31/03/2014] id: Bowel Sounds el: 0 cu: MICU-A cg: RN v1: Present st: NotStopd t0: [00:00:00 31/03/2014] id: Braden Activity el: 0 cu: MICU-A cg: RN v1: Bedfast st: NotStopd t0: [00:00:00 31/03/2014] id: Braden Frict/Shear el: 0 cu: MICU-A cg: RN v1: Potential Prob st: NotStopd t0: [00:00:00 31/03/2014] id: Braden Mobility el: 0 cu: MICU-A cg: RN v1: Very Limited st: NotStopd t0: [00:00:00 31/03/2014] id: Braden Moisture el: 0 cu: MICU-A cg: RN v1: Occ. Moist st: NotStopd t0: [00:00:00 31/03/2014] id: Braden Nutrition el: 0 cu: MICU-A cg: RN v1: Prob. Inadequate st: NotStopd t0: [00:00:00 31/03/2014] id: Braden Score el: 0 cu: MICU-A cg: RN v1: 12 u1: number st: NotStopd t0: [00:00:00 31/03/2014] id: Braden SensoryPercep el: 0 cu: MICU-A cg: RN v1: Very Limited st: NotStopd
t0: [00:00:00 31/03/2014] id: TF Residual Gastric/TF Residual el: 1 cu: MICU-A cg: RN ai: 107 vo: 60 vu: ml t0: [00:00:00 31/03/2014] 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 31/03/2014] id: D5W 250.0ml + 400mcgkgmin Dopamine IV Infusions el: 1 cu: MICU-A cg: RN ai: 115 vo: 10.1 vu: ml t0: [00:00:00 31/03/2014] id: Gastric Meds PO/Gastric el: 1 cu: MICU-A cg: RN ai: 155 vo: 30 vu: ml t0: [00:00:00 31/03/2014] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 5 vu: ml t0: [00:00:00 31/03/2014] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU-A cg: RN ai: 416 vo: 5 vu: ml t0: [00:00:00 31/03/2014] id: Promote w/fiber Tube Feeding el: 1 cu: MICU-A cg: RN ai: 107 vo: 30 vu: ml t0: [00:00:00 31/03/2014] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 160 vu: ml
t0: [00:00:00 31/03/2014] 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: [00:00:00 31/03/2014] id: Ativan el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 5 du: mghr sv: 60 su: ml rt: IV Drip t0: [00:00:00 31/03/2014] id: Dopamine el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 2.99592 du: mcgkgmin sv: 250 su: ml rt: IV Drip
t0: [23:00:00 31/03/2014] dt: 24 id: PO/Gastric In Total el: 2 cu: MICU-A cg: -1 cv: 370 ap: none
tf: [00:00:00 31/03/2014] pt: Unit Dose rt: PO fr: Q8H:PRN m1: Ibuprofen f1: TAB v1: 400 u1: mg tf: [00:00:00 02/04/2014] pt: Unit Dose rt: PO fr: Q8H:PRN m1: Ibuprofen Suspension f1: SUSP v1: 400 u1: mg
t0: [01:00:00 31/03/2014] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [01:00:00 31/03/2014] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [01:00:00 31/03/2014] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [01:00:00 31/03/2014] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [01:00:00 31/03/2014] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 69 u1: BPM st: NotStopd t0: [01:00:00 31/03/2014] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [01:00:00 31/03/2014] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 140 u1: mmHg v2: 68 u2: mmHg st: NotStopd t0: [01:00:00 31/03/2014] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 95 u1: mmHg st: NotStopd t0: [01:00:00 31/03/2014] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [01:00:00 31/03/2014] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 22 u1: BPM st: NotStopd t0: [01:00:00 31/03/2014] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 99 u1: % st: NotStopd t0: [01:00:00 31/03/2014] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [02:00:00 31/03/2014] id: Range of Motion el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [02:00:00 31/03/2014] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [02:00:00 31/03/2014] id: Circulation/SkinInt el: 0 cu: MICU-A cg: RN v1: Circulation Adeq st: NotStopd t0: [02:00:00 31/03/2014] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [02:00:00 31/03/2014] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [02:00:00 31/03/2014] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [02:00:00 31/03/2014] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 68 u1: BPM st: NotStopd t0: [02:00:00 31/03/2014] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [02:00:00 31/03/2014] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 139 u1: mmHg v2: 67 u2: mmHg st: NotStopd t0: [02:00:00 31/03/2014] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 93 u1: mmHg st: NotStopd t0: [02:00:00 31/03/2014] id: Position Change el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [02:00:00 31/03/2014] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [02:00:00 31/03/2014] id: Reason For Restraint el: 0 cu: MICU-A cg: RN v1: Ext/TXInterfere st: NotStopd t0: [02:00:00 31/03/2014] id: Removed x 5 Mins el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [02:00:00 31/03/2014] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 22 u1: BPM st: NotStopd t0: [02:00:00 31/03/2014] id: Restraint Location el: 0 cu: MICU-A cg: RN v1: Both Arms st: NotStopd t0: [02:00:00 31/03/2014] id: Restraint Type el: 0 cu: MICU-A cg: RN v1: Soft Limb st: NotStopd t0: [02:00:00 31/03/2014] id: Restraints Evaluated el: 0 cu: MICU-A cg: RN v1: RestraintReapply st: NotStopd t0: [02:00:00 31/03/2014] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [02:00:00 31/03/2014] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 99 u1: % st: NotStopd t0: [02:00:00 31/03/2014] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [02:00:00 31/03/2014] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 20 vu: ml t0: [02:00:00 31/03/2014] id: D5W 250.0ml + 400mcgkgmin Dopamine IV Infusions el: 1 cu: MICU-A cg: RN ai: 115 vo: 20.2 vu: ml t0: [02:00:00 31/03/2014] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [02:00:00 31/03/2014] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU-A cg: RN ai: 416 vo: 10 vu: ml t0: [02:00:00 31/03/2014] id: IV Piggyback 100.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 105 vo: 200 vu: ml t0: [02:00:00 31/03/2014] id: Promote w/fiber Tube Feeding el: 1 cu: MICU-A cg: RN ai: 107 vo: 60 vu: ml t0: [02:00:00 31/03/2014] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 200 vu: ml
t0: [01:00:00 31/03/2014] 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: [01:00:00 31/03/2014] id: Ativan el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 5 du: mghr sv: 60 su: ml rt: IV Drip t0: [01:00:00 31/03/2014] id: Dopamine el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 2.99592 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [02:00:00 31/03/2014] 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: [02:00:00 31/03/2014] id: Ativan el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 5 du: mghr sv: 60 su: ml rt: IV Drip t0: [02:00:00 31/03/2014] id: Dopamine el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 2.99592 du: mcgkgmin sv: 250 su: ml rt: IV Drip
t0: [01:00:00 31/03/2014] id: Compliance (40-60ml) el: 0 cu: MICU-A cg: RRT v1: 15.5172 u1: ml/cmH st: NotStopd t0: [01:00:00 31/03/2014] id: ETT Mark/Location el: 0 cu: MICU-A cg: RRT v1: 23cm v2: Lip st: NotStopd t0: [01:00:00 31/03/2014] id: FiO2 Set el: 0 cu: MICU-A cg: RRT v1: 0.4 u1: torr st: NotStopd t0: [01:00:00 31/03/2014] id: High Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 55 u1: cmH2O st: NotStopd t0: [01:00:00 31/03/2014] id: High Resp. Rate el: 0 cu: MICU-A cg: RRT v1: 35 u1: BPM st: NotStopd t0: [01:00:00 31/03/2014] id: Airway Size el: 0 cu: MICU-A cg: RRT v1: 7.5 mm st: NotStopd t0: [01:00:00 31/03/2014] id: Airway Type el: 0 cu: MICU-A cg: RRT v1: Endotracheal st: NotStopd t0: [01:00:00 31/03/2014] id: Inspired Gas Temp el: 0 cu: MICU-A cg: RRT v1: 34 u1: Deg. C st: NotStopd t0: [01:00:00 31/03/2014] id: Intubation Date el: 0 cu: MICU-A cg: RRT v1: 3 v2: 12 st: NotStopd t0: [01:00:00 31/03/2014] id: Low Exhaled Min Vol el: 0 cu: MICU-A cg: RRT v1: 8 st: NotStopd t0: [01:00:00 31/03/2014] id: Low Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 20 u1: cmH2O st: NotStopd t0: [01:00:00 31/03/2014] id: Mean Airway Pressure el: 0 cu: MICU-A cg: RRT v1: 20 u1: cmH2O st: NotStopd t0: [01:00:00 31/03/2014] id: Minute Volume(Obser) el: 0 cu: MICU-A cg: RRT v1: 8.7 u1: L/min st: NotStopd t0: [01:00:00 31/03/2014] id: PEEP Set el: 0 cu: MICU-A cg: RRT v1: 15 u1: cmH2O st: NotStopd t0: [01:00:00 31/03/2014] id: Apnea Time Interval el: 0 cu: MICU-A cg: RRT v1: 20 st: NotStopd t0: [01:00:00 31/03/2014] id: Peak Flow el: 0 cu: MICU-A cg: RRT v1: 55 u1: L/m st: NotStopd t0: [01:00:00 31/03/2014] id: Peak Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 44 u1: cmH2O st: NotStopd t0: [01:00:00 31/03/2014] id: Plateau Pressure el: 0 cu: MICU-A cg: RRT v1: 25 u1: cmH2O st: NotStopd t0: [01:00:00 31/03/2014] id: Pressure Support el: 0 cu: MICU-A cg: RRT v1: 0 u1: . st: NotStopd t0: [01:00:00 31/03/2014] id: Resp Rate (Spont) el: 0 cu: MICU-A cg: RRT v1: 2 u1: BPM st: NotStopd t0: [01:00:00 31/03/2014] id: Resp Rate (Total) el: 0 cu: MICU-A cg: RRT v1: 22 u1: BPM st: NotStopd t0: [01:00:00 31/03/2014] id: Respiratory Rate Set el: 0 cu: MICU-A cg: RRT v1: 20 u1: BPM st: NotStopd t0: [01:00:00 31/03/2014] id: Sensitivity-Vent el: 0 cu: MICU-A cg: RRT v1: 2 u1: cmH2O st: NotStopd t0: [01:00:00 31/03/2014] id: Tidal Volume (Obser) el: 0 cu: MICU-A cg: RRT v1: 450 u1: ml/B st: NotStopd t0: [01:00:00 31/03/2014] id: Tidal Volume (Set) el: 0 cu: MICU-A cg: RRT v1: 450 u1: ml/B st: NotStopd t0: [01:00:00 31/03/2014] id: Ventilator Mode el: 0 cu: MICU-A cg: RRT v1: Assist Control st: NotStopd t0: [01:00:00 31/03/2014] id: Ventilator No. el: 0 cu: MICU-A cg: RRT v1: 6 u1: # st: NotStopd t0: [01:00:00 31/03/2014] id: Ventilator Type el: 0 cu: MICU-A cg: RRT v1: 7200A st: NotStopd t0: [01:00:00 31/03/2014] id: Waveform-Vent el: 0 cu: MICU-A cg: RRT v1: SQUARE st: NotStopd
t0: [02:00:00 31/03/2014] id: HOB el: 0 cu: MICU-A cg: RN v1: 30 degrees st: NotStopd t0: [02:00:00 31/03/2014] id: Activity el: 0 cu: MICU-A cg: RN v1: Bedrest st: NotStopd t0: [02:00:00 31/03/2014] id: Activity Tolerance el: 0 cu: MICU-A cg: RN v1: Tolerated Well st: NotStopd t0: [02:00:00 31/03/2014] id: AntiEmbDevice/Status el: 0 cu: MICU-A cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [02:00:00 31/03/2014] id: Position el: 0 cu: MICU-A cg: RN v1: Left Side st: NotStopd t0: [02:00:00 31/03/2014] id: Assistance Device el: 0 cu: MICU-A cg: RN v1: 2 Person Assist st: NotStopd t0: [02:00:00 31/03/2014] id: PressureReduceDevice el: 0 cu: MICU-A cg: RN v1: Multipodus Boots st: NotStopd t0: [02:00:00 31/03/2014] id: Therapeutic Bed el: 0 cu: MICU-A cg: RN v1: AirMatt/1st Step st: NotStopd t0: [02:00:00 31/03/2014] id: Turn el: 0 cu: MICU-A cg: RN v1: Side to Side st: NotStopd
t0: [00:00:00 31/03/2014] id: Family Communication el: 0 cu: MICU-A cg: RN v1: Family Called st: NotStopd t0: [03:00:00 31/03/2014] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [03:00:00 31/03/2014] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [03:00:00 31/03/2014] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [03:00:00 31/03/2014] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [03:00:00 31/03/2014] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 65 u1: BPM st: NotStopd t0: [03:00:00 31/03/2014] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [03:00:00 31/03/2014] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 147 u1: mmHg v2: 73 u2: mmHg st: NotStopd t0: [03:00:00 31/03/2014] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 100 u1: mmHg st: NotStopd t0: [03:00:00 31/03/2014] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [03:00:00 31/03/2014] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 20 u1: BPM st: NotStopd t0: [03:00:00 31/03/2014] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 99 u1: % st: NotStopd t0: [03:00:00 31/03/2014] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [04:00:00 31/03/2014] id: Pain Present el: 0 cu: MICU-A cg: RN v1: Other/Remarks st: NotStopd t0: [04:00:00 31/03/2014] id: Range of Motion el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [04:00:00 31/03/2014] id: INV#3Chg o/Wire Date el: 0 cu: MICU-A cg: RN v1: 3 v2: 16 st: NotStopd t0: [04:00:00 31/03/2014] id: Pain Assess Method el: 0 cu: MICU-A cg: RN v1: Change in Vitals st: NotStopd t0: [04:00:00 31/03/2014] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [04:00:00 31/03/2014] id: Circulation/SkinInt el: 0 cu: MICU-A cg: RN v1: Circulation Adeq st: NotStopd t0: [04:00:00 31/03/2014] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [04:00:00 31/03/2014] id: Riker-SAS Scale el: 0 cu: MICU-A cg: RN v1: Sedated st: NotStopd t0: [04:00:00 31/03/2014] id: Daily Wake Up el: 0 cu: MICU-A cg: RN v1: Not Applicable st: NotStopd t0: [04:00:00 31/03/2014] id: GI Prophylaxis el: 0 cu: MICU-A cg: RN v1: H2 Blocker st: NotStopd t0: [04:00:00 31/03/2014] id: Diet Type el: 0 cu: MICU-A cg: RN v1: Tube Feeding st: NotStopd t0: [04:00:00 31/03/2014] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [04:00:00 31/03/2014] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [04:00:00 31/03/2014] id: Eye Opening el: 0 cu: MICU-A cg: RN v1: 2 To pain st: NotStopd t0: [04:00:00 31/03/2014] id: GCS Total el: 0 cu: MICU-A cg: RN v1: 8 u1: points st: NotStopd t0: [04:00:00 31/03/2014] id: GI Guaiac/ph el: 0 cu: MICU-A cg: RN v1: Not Applicable st: NotStopd t0: [04:00:00 31/03/2014] id: GI Intub #1/Site el: 0 cu: MICU-A cg: RN v1: Salem Sump v2: Oral st: NotStopd t0: [04:00:00 31/03/2014] id: GI#1 Tube PlaceCheck el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [04:00:00 31/03/2014] id: GI#1 Tube Stat/Drain el: 0 cu: MICU-A cg: RN v1: Clamped v2: Undigested Food st: NotStopd t0: [04:00:00 31/03/2014] id: GU Catheter Size el: 0 cu: MICU-A cg: RN v1: 14 French st: NotStopd t0: [04:00:00 31/03/2014] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 64 u1: BPM st: NotStopd t0: [04:00:00 31/03/2014] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [04:00:00 31/03/2014] 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 31/03/2014] id: INV Line#2 Zero/Cal el: 0 cu: MICU-A cg: RN v1: No st: NotStopd t0: [04:00:00 31/03/2014] id: INV Line#2InsertDate el: 0 cu: MICU-A cg: RN v1: 3 v2: 16 st: NotStopd t0: [04:00:00 31/03/2014] id: INV Line#3 Site Date el: 0 cu: MICU-A cg: RN v1: 3 v2: 16 st: NotStopd t0: [04:00:00 31/03/2014] id: INV Line#3 Type/Site el: 0 cu: MICU-A cg: RN v1: Multi-lumen v2: Right IJ st: NotStopd t0: [04:00:00 31/03/2014] id: INV Line#3 Zero/Cal el: 0 cu: MICU-A cg: RN v1: No st: NotStopd t0: [04:00:00 31/03/2014] id: INV Line#3InsertDate el: 0 cu: MICU-A cg: RN v1: 3 v2: 12 st: NotStopd t0: [04:00:00 31/03/2014] id: INV Line#3SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [04:00:00 31/03/2014] id: Abdominal Assessment el: 0 cu: MICU-A cg: RN v1: Obese st: NotStopd t0: [04:00:00 31/03/2014] id: INV#2 WaveformAppear el: 0 cu: MICU-A cg: RN v1: Sharp st: NotStopd t0: [04:00:00 31/03/2014] id: INV#3 WaveformAppear el: 0 cu: MICU-A cg: RN v1: Sharp st: NotStopd t0: [04:00:00 31/03/2014] id: Imp Skin Cleanse #2 el: 0 cu: MICU-A cg: RN v1: Soap & H20 st: NotStopd t0: [04:00:00 31/03/2014] id: Imp Skin Cleanse #3 el: 0 cu: MICU-A cg: RN v1: Soap & H20 st: NotStopd t0: [04:00:00 31/03/2014] id: ImpSkin Character #1 el: 0 cu: MICU-A cg: RN v1: Hematoma st: NotStopd t0: [04:00:00 31/03/2014] id: ImpSkin Character #2 el: 0 cu: MICU-A cg: RN v1: Rash st: NotStopd t0: [04:00:00 31/03/2014] id: ImpSkin Character #3 el: 0 cu: MICU-A cg: RN v1: Abrasion st: NotStopd t0: [04:00:00 31/03/2014] id: ImpSkin Treatment #1 el: 0 cu: MICU-A cg: RN v1: Other/Remarks st: NotStopd t0: [04:00:00 31/03/2014] id: ImpSkin Treatment #2 el: 0 cu: MICU-A cg: RN v1: Open to Air st: NotStopd t0: [04:00:00 31/03/2014] id: ImpSkin Treatment #3 el: 0 cu: MICU-A cg: RN v1: Open to Air st: NotStopd t0: [04:00:00 31/03/2014] id: Impaired Skin Site#1 el: 0 cu: MICU-A cg: RN v1: Gluteal, Right st: NotStopd t0: [04:00:00 31/03/2014] id: Impaired Skin Site#2 el: 0 cu: MICU-A cg: RN v1: Labia st: NotStopd t0: [04:00:00 31/03/2014] id: LLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Diminished st: NotStopd t0: [04:00:00 31/03/2014] id: LUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [04:00:00 31/03/2014] id: Level of Conscious el: 0 cu: MICU-A cg: RN v1: Sedated st: NotStopd t0: [04:00:00 31/03/2014] id: Motor Response el: 0 cu: MICU-A cg: RN v1: 5 Localizes Pain st: NotStopd t0: [04:00:00 31/03/2014] id: Oral Cavity el: 0 cu: MICU-A cg: RN v1: Oral Ulcers st: NotStopd t0: [04:00:00 31/03/2014] id: Orientation el: 0 cu: MICU-A cg: RN v1: Other/Remarks st: NotStopd t0: [04:00:00 31/03/2014] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 148 u1: mmHg v2: 73 u2: mmHg st: NotStopd t0: [04:00:00 31/03/2014] id: Pain Location el: 0 cu: MICU-A cg: RN v1: Not Indicated st: NotStopd t0: [04:00:00 31/03/2014] id: Pain Management el: 1 cu: MICU-A cg: RN v1: IV Gtt v2: IV Gtt st: NotStopd t0: [04:00:00 31/03/2014] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 100 u1: mmHg st: NotStopd t0: [04:00:00 31/03/2014] id: Position Change el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [04:00:00 31/03/2014] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [04:00:00 31/03/2014] id: Procedures el: 0 cu: MICU-A cg: RN v1: Other/Remarks st: NotStopd t0: [04:00:00 31/03/2014] id: Pupil Response R/L el: 0 cu: MICU-A cg: RN v1: Brisk v2: Brisk st: NotStopd t0: [04:00:00 31/03/2014] id: Pupil Size R/L el: 0 cu: MICU-A cg: RN v1: 2 mm v2: 2 mm st: NotStopd t0: [04:00:00 31/03/2014] id: RLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Diminished st: NotStopd t0: [04:00:00 31/03/2014] id: RUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [04:00:00 31/03/2014] id: Reason For Restraint el: 0 cu: MICU-A cg: RN v1: Ext/TXInterfere st: NotStopd t0: [04:00:00 31/03/2014] id: Removed x 5 Mins el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [04:00:00 31/03/2014] id: Respiratory Pattern el: 0 cu: MICU-A cg: RN v1: Regular st: NotStopd t0: [04:00:00 31/03/2014] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 19 u1: BPM st: NotStopd t0: [04:00:00 31/03/2014] id: Restraint Location el: 0 cu: MICU-A cg: RN v1: Both Arms st: NotStopd t0: [04:00:00 31/03/2014] id: Restraint Type el: 0 cu: MICU-A cg: RN v1: Soft Limb st: NotStopd t0: [04:00:00 31/03/2014] id: Restraints Evaluated el: 0 cu: MICU-A cg: RN v1: RestraintReapply st: NotStopd t0: [04:00:00 31/03/2014] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [04:00:00 31/03/2014] id: Skin Color el: 0 cu: MICU-A cg: RN v1: Flushed st: NotStopd t0: [04:00:00 31/03/2014] id: Skin Integrity el: 0 cu: MICU-A cg: RN v1: Impaired st: NotStopd t0: [04:00:00 31/03/2014] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 99 u1: % st: NotStopd t0: [04:00:00 31/03/2014] id: Stool Color/Consist el: 0 cu: MICU-A cg: RN v1: Brown v2: Liquid st: NotStopd t0: [04:00:00 31/03/2014] id: Support Systems el: 0 cu: MICU-A cg: RN v1: Spouse st: NotStopd t0: [04:00:00 31/03/2014] id: Temp. Site el: 0 cu: MICU-A cg: RN v1: Oral st: NotStopd t0: [04:00:00 31/03/2014] id: Temperature C (calc) el: 0 cu: MICU-A cg: RN v1: 37.3889 u1: Deg. C st: NotStopd t0: [04:00:00 31/03/2014] id: Temperature F el: 0 cu: MICU-A cg: RN v1: 99.3 u1: Deg. F st: NotStopd t0: [04:00:00 31/03/2014] id: Urine Color/Appear el: 0 cu: MICU-A cg: RN v1: Yellow v2: Sediment st: NotStopd t0: [04:00:00 31/03/2014] id: Urine Source el: 0 cu: MICU-A cg: RN v1: Indwelling Cath st: NotStopd t0: [04:00:00 31/03/2014] id: Verbal Response el: 0 cu: MICU-A cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [04:00:00 31/03/2014] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [04:00:00 31/03/2014] id: Behavior el: 0 cu: MICU-A cg: RN v1: Sedated st: NotStopd t0: [04:00:00 31/03/2014] id: Bowel Sounds el: 0 cu: MICU-A cg: RN v1: Present st: NotStopd
t0: [04:00:00 31/03/2014] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 20 vu: ml t0: [04:00:00 31/03/2014] id: D5W 250.0ml + 400mcgkgmin Dopamine IV Infusions el: 1 cu: MICU-A cg: RN ai: 115 vo: 20.2 vu: ml t0: [04:00:00 31/03/2014] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [04:00:00 31/03/2014] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU-A cg: RN ai: 416 vo: 10 vu: ml t0: [04:00:00 31/03/2014] id: IV Piggyback 100.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 105 vo: 50 vu: ml t0: [04:00:00 31/03/2014] id: Promote w/fiber Tube Feeding el: 1 cu: MICU-A cg: RN ai: 107 vo: 80 vu: ml t0: [04:00:00 31/03/2014] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 180 vu: ml
t0: [03:00:00 31/03/2014] 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: [03:00:00 31/03/2014] id: Ativan el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 5 du: mghr sv: 60 su: ml rt: IV Drip t0: [03:00:00 31/03/2014] id: Dopamine el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 2.99592 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [04:00:00 31/03/2014] 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: [04:00:00 31/03/2014] id: Ativan el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 5 du: mghr sv: 60 su: ml rt: IV Drip t0: [04:00:00 31/03/2014] id: Dopamine el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 2.99592 du: mcgkgmin sv: 250 su: ml rt: IV Drip
t0: [04:29:00 31/03/2014] id: Art.pH ABG el: 0 cu: MICU-A cg: 1663 v1: 7.4 rs: Final st: NotStopd t0: [04:29:00 31/03/2014] id: Arterial Base Excess ABG el: 0 cu: MICU-A cg: 1663 v1: -2 rs: Final st: NotStopd t0: [04:29:00 31/03/2014] id: Arterial CO2(Calc) ABG el: 0 cu: MICU-A cg: 1663 v1: 22 rs: Final st: NotStopd t0: [04:29:00 31/03/2014] id: Arterial PaCO2 ABG el: 0 cu: MICU-A cg: 1663 v1: 34 u1: mmHg rs: Final st: NotStopd t0: [04:29:00 31/03/2014] id: Arterial PaO2 ABG el: 0 cu: MICU-A cg: 1663 v1: 98 u1: mmHg rs: Final st: NotStopd t0: [04:29:00 31/03/2014] id: Arterial pH ABG el: 0 cu: MICU-A cg: 1663 v1: 7.4 rs: Final st: NotStopd
t0: [04:00:00 31/03/2014] id: WBC (4-11,000) Hematology el: 0 cu: MICU-A cg: 1663 v1: 18.8 rs: Final st: NotStopd t0: [04:00:00 31/03/2014] id: Hematocrit Hematology el: 0 cu: MICU-A cg: 1663 v1: 24 u1: % rs: Final st: NotStopd t0: [04:00:00 31/03/2014] id: Hemoglobin Hematology el: 0 cu: MICU-A cg: 1663 v1: 8.2 u1: gm/dl rs: Final st: NotStopd t0: [04:00:00 31/03/2014] id: Platelets Hematology el: 0 cu: MICU-A cg: 1663 v1: 226 rs: Final st: NotStopd t0: [04:00:00 31/03/2014] id: RBC Hematology el: 0 cu: MICU-A cg: 1663 v1: 2.81 u1: /mic l rs: Final st: NotStopd t0: [04:00:00 31/03/2014] id: WBC (4-11,000) Hematology el: 0 cu: MICU-A cg: 1663 v1: 18.8 rs: Final st: NotStopd
t0: [04:00:00 31/03/2014] id: INR (2-4 ref. range) Coags el: 0 cu: MICU-A cg: 1663 v1: 1 rs: Final st: NotStopd t0: [04:00:00 31/03/2014] id: PT(11-13.5) Coags el: 0 cu: MICU-A cg: 1663 v1: 12.5 rs: Final st: NotStopd t0: [04:00:00 31/03/2014] id: PTT(22-35) Coags el: 0 cu: MICU-A cg: 1663 v1: 34.5 rs: Final st: NotStopd
t0: [04:00:00 31/03/2014] id: BUN (6-20) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 27 rs: Final st: NotStopd t0: [04:00:00 31/03/2014] 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: [04:00:00 31/03/2014] id: Carbon Dioxide Chemistry el: 0 cu: MICU-A cg: 1663 v1: 19 rs: Final st: NotStopd t0: [04:00:00 31/03/2014] id: Chloride (100-112) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 115 rs: Final st: NotStopd t0: [04:00:00 31/03/2014] id: Creatinine (0-1.3) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 1.3 rs: Final st: NotStopd t0: [04:00:00 31/03/2014] id: Glucose (70-105) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 95 rs: Final st: NotStopd t0: [04:00:00 31/03/2014] id: Magnesium (1.6-2.6) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 1.8 rs: Final st: NotStopd t0: [04:00:00 31/03/2014] id: Phosphorous(2.7-4.5) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 3.4 u1: mEq/L rs: Final st: NotStopd t0: [04:00:00 31/03/2014] id: Potassium (3.5-5.3) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 4.3 rs: Final st: NotStopd t0: [04:00:00 31/03/2014] id: Sodium (135-148) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 142 rs: Final st: NotStopd
t0: [05:00:00 31/03/2014] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [05:00:00 31/03/2014] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [05:00:00 31/03/2014] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [05:00:00 31/03/2014] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [05:00:00 31/03/2014] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 65 u1: BPM st: NotStopd t0: [05:00:00 31/03/2014] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [05:00:00 31/03/2014] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 141 u1: mmHg v2: 72 u2: mmHg st: NotStopd t0: [05:00:00 31/03/2014] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 98 u1: mmHg st: NotStopd t0: [05:00:00 31/03/2014] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [05:00:00 31/03/2014] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 20 u1: BPM st: NotStopd t0: [05:00:00 31/03/2014] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 99 u1: % st: NotStopd t0: [05:00:00 31/03/2014] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [05:00:00 31/03/2014] 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: [05:00:00 31/03/2014] id: Ativan el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 5 du: mghr sv: 60 su: ml rt: IV Drip t0: [05:00:00 31/03/2014] id: Dopamine el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 2.99592 du: mcgkgmin sv: 250 su: ml rt: IV Drip
t0: [05:30:00 31/03/2014] id: Compliance (40-60ml) el: 0 cu: MICU-A cg: RRT v1: 17.3077 u1: ml/cmH st: NotStopd t0: [05:30:00 31/03/2014] id: ETT Mark/Location el: 0 cu: MICU-A cg: RRT v1: 23cm v2: Lip st: NotStopd t0: [05:30:00 31/03/2014] id: FiO2 Set el: 0 cu: MICU-A cg: RRT v1: 0.4 u1: torr st: NotStopd t0: [05:30:00 31/03/2014] id: High Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 55 u1: cmH2O st: NotStopd t0: [05:30:00 31/03/2014] id: High Resp. Rate el: 0 cu: MICU-A cg: RRT v1: 35 u1: BPM st: NotStopd t0: [05:30:00 31/03/2014] id: Airway Size el: 0 cu: MICU-A cg: RRT v1: 7.5 mm st: NotStopd t0: [05:30:00 31/03/2014] id: Airway Type el: 0 cu: MICU-A cg: RRT v1: Endotracheal st: NotStopd t0: [05:30:00 31/03/2014] id: Inspired Gas Temp el: 0 cu: MICU-A cg: RRT v1: 34 u1: Deg. C st: NotStopd t0: [05:30:00 31/03/2014] id: Intubation Date el: 0 cu: MICU-A cg: RRT v1: 3 v2: 12 st: NotStopd t0: [05:30:00 31/03/2014] id: Low Exhaled Min Vol el: 0 cu: MICU-A cg: RRT v1: 8 st: NotStopd t0: [05:30:00 31/03/2014] id: Low Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 20 u1: cmH2O st: NotStopd t0: [05:30:00 31/03/2014] id: Mean Airway Pressure el: 0 cu: MICU-A cg: RRT v1: 20.1 u1: cmH2O st: NotStopd t0: [05:30:00 31/03/2014] id: Minute Volume(Obser) el: 0 cu: MICU-A cg: RRT v1: 13.7 u1: L/min st: NotStopd t0: [05:30:00 31/03/2014] id: PEEP Set el: 0 cu: MICU-A cg: RRT v1: 15 u1: cmH2O st: NotStopd t0: [05:30:00 31/03/2014] id: Apnea Time Interval el: 0 cu: MICU-A cg: RRT v1: 20 st: NotStopd t0: [05:30:00 31/03/2014] id: Peak Flow el: 0 cu: MICU-A cg: RRT v1: 55 u1: L/m st: NotStopd t0: [05:30:00 31/03/2014] id: Peak Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 41 u1: cmH2O st: NotStopd t0: [05:30:00 31/03/2014] id: Plateau Pressure el: 0 cu: MICU-A cg: RRT v1: 27 u1: cmH2O st: NotStopd t0: [05:30:00 31/03/2014] id: Pressure Support el: 0 cu: MICU-A cg: RRT v1: 0 u1: . st: NotStopd t0: [05:30:00 31/03/2014] id: Resp Rate (Spont) el: 0 cu: MICU-A cg: RRT v1: 7 u1: BPM st: NotStopd t0: [05:30:00 31/03/2014] id: Resp Rate (Total) el: 0 cu: MICU-A cg: RRT v1: 27 u1: BPM st: NotStopd t0: [05:30:00 31/03/2014] id: Respiratory Rate Set el: 0 cu: MICU-A cg: RRT v1: 20 u1: BPM st: NotStopd t0: [05:30:00 31/03/2014] id: Sensitivity-Vent el: 0 cu: MICU-A cg: RRT v1: 2 u1: cmH2O st: NotStopd t0: [05:30:00 31/03/2014] id: SpO2 el: 0 cu: MICU-A cg: RRT v1: 92 u1: % st: NotStopd t0: [05:30:00 31/03/2014] id: Sputum Color/Consist el: 0 cu: MICU-A cg: RRT v1: Yellow v2: Thick st: NotStopd t0: [05:30:00 31/03/2014] id: Sputum Source/Amt el: 0 cu: MICU-A cg: RRT v1: Suctioned v2: Moderate st: NotStopd t0: [05:30:00 31/03/2014] id: Tidal Volume (Obser) el: 0 cu: MICU-A cg: RRT v1: 460 u1: ml/B st: NotStopd t0: [05:30:00 31/03/2014] id: Tidal Volume (Set) el: 0 cu: MICU-A cg: RRT v1: 450 u1: ml/B st: NotStopd t0: [05:30:00 31/03/2014] id: Ventilator Mode el: 0 cu: MICU-A cg: RRT v1: Assist Control st: NotStopd t0: [05:30:00 31/03/2014] id: Ventilator No. el: 0 cu: MICU-A cg: RRT v1: 6 u1: # st: NotStopd t0: [05:30:00 31/03/2014] id: Ventilator Type el: 0 cu: MICU-A cg: RRT v1: 7200A st: NotStopd t0: [05:30:00 31/03/2014] id: Waveform-Vent el: 0 cu: MICU-A cg: RRT v1: SQUARE st: NotStopd
t0: [06:00:00 31/03/2014] id: HOB el: 0 cu: MICU-A cg: RN v1: 30 degrees st: NotStopd t0: [06:00:00 31/03/2014] id: Activity el: 0 cu: MICU-A cg: RN v1: Bedrest st: NotStopd t0: [06:00:00 31/03/2014] id: Activity Tolerance el: 0 cu: MICU-A cg: RN v1: Tolerated Well st: NotStopd t0: [06:00:00 31/03/2014] id: AntiEmbDevice/Status el: 0 cu: MICU-A cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [06:00:00 31/03/2014] id: Position el: 0 cu: MICU-A cg: RN v1: Right Side st: NotStopd t0: [06:00:00 31/03/2014] id: Assistance Device el: 0 cu: MICU-A cg: RN v1: 2 Person Assist st: NotStopd t0: [06:00:00 31/03/2014] id: PressureReduceDevice el: 0 cu: MICU-A cg: RN v1: Multipodus Boots st: NotStopd t0: [06:00:00 31/03/2014] id: Therapeutic Bed el: 0 cu: MICU-A cg: RN v1: AirMatt/1st Step st: NotStopd t0: [06:00:00 31/03/2014] id: Turn el: 0 cu: MICU-A cg: RN v1: Side to Side st: NotStopd
t0: [06:00:00 31/03/2014] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 20 vu: ml t0: [06:00:00 31/03/2014] id: D5W 250.0ml + 400mcgkgmin Dopamine IV Infusions el: 1 cu: MICU-A cg: RN ai: 115 vo: 20.2 vu: ml t0: [06:00:00 31/03/2014] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [06:00:00 31/03/2014] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU-A cg: RN ai: 416 vo: 10 vu: ml t0: [06:00:00 31/03/2014] id: Promote w/fiber Tube Feeding el: 1 cu: MICU-A cg: RN ai: 107 vo: 100 vu: ml t0: [06:00:00 31/03/2014] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 100 vu: ml
t0: [06:00:00 31/03/2014] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [06:00:00 31/03/2014] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [06:00:00 31/03/2014] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [06:00:00 31/03/2014] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [06:00:00 31/03/2014] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 71 u1: BPM st: NotStopd t0: [06:00:00 31/03/2014] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [06:00:00 31/03/2014] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 107 u1: mmHg v2: 63 u2: mmHg st: NotStopd t0: [06:00:00 31/03/2014] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 80 u1: mmHg st: NotStopd t0: [06:00:00 31/03/2014] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [06:00:00 31/03/2014] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 21 u1: BPM st: NotStopd t0: [06:00:00 31/03/2014] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [06:00:00 31/03/2014] 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: [06:00:00 31/03/2014] id: Ativan el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 5 du: mghr sv: 60 su: ml rt: IV Drip t0: [06:00:00 31/03/2014] id: Dopamine el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 2.99592 du: mcgkgmin sv: 250 su: ml rt: IV Drip
t0: [06:00:00 31/03/2014] id: NBP el: 0 cu: MICU-A cg: RN v1: 119 u1: mmHg v2: 59 u2: mmHg st: NotStopd t0: [06:00:00 31/03/2014] id: NBP Mean el: 0 cu: MICU-A cg: RN v1: 79 u1: mmHg st: NotStopd
t0: [06:00:00 31/03/2014] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 95 u1: % st: NotStopd t0: [06:00:00 31/03/2014] id: Sputum Color/Consist el: 0 cu: MICU-A cg: RN v1: Yellow v2: Thick st: NotStopd t0: [06:00:00 31/03/2014] id: Sputum Source/Amt el: 0 cu: MICU-A cg: RN v1: Suctioned v2: Scant st: NotStopd
t0: [04:00:00 31/03/2014] id: Vancomycin/Random Drug Level el: 0 cu: MICU-A cg: 1663 v1: 33.5 rs: Final st: NotStopd
t0: [07:00:00 31/03/2014] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [07:00:00 31/03/2014] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [07:00:00 31/03/2014] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [07:00:00 31/03/2014] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [07:00:00 31/03/2014] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 64 u1: BPM st: NotStopd t0: [07:00:00 31/03/2014] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [07:00:00 31/03/2014] id: NBP el: 0 cu: MICU-A cg: RN v1: 118 u1: mmHg v2: 57 u2: mmHg st: NotStopd t0: [07:00:00 31/03/2014] id: NBP Mean el: 0 cu: MICU-A cg: RN v1: 77.3333 u1: mmHg st: NotStopd t0: [07:00:00 31/03/2014] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 88 u1: mmHg v2: 65 u2: mmHg st: NotStopd t0: [07:00:00 31/03/2014] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 78 u1: mmHg st: NotStopd t0: [07:00:00 31/03/2014] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [07:00:00 31/03/2014] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 20 u1: BPM st: NotStopd t0: [07:00:00 31/03/2014] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 98 u1: % st: NotStopd t0: [07:00:00 31/03/2014] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [07:00:00 31/03/2014] 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: [07:00:00 31/03/2014] id: Ativan el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 5 du: mghr sv: 60 su: ml rt: IV Drip t0: [07:00:00 31/03/2014] id: Dopamine el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 2.99592 du: mcgkgmin sv: 250 su: ml rt: IV Drip
t0: [04:29:00 31/03/2014] id: Ionized Calcium Chemistry el: 0 cu: MICU-A cg: 1663 v1: 1.16 rs: Final st: NotStopd t0: [04:29:00 31/03/2014] id: Potassium (3.5-5.3) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 3.7 rs: Final st: NotStopd
t0: [08:00:00 31/03/2014] id: Compliance (40-60ml) el: 0 cu: MICU-A cg: -1 v1: 17.7866 u1: ml/cmH st: NotStopd t0: [08:00:00 31/03/2014] id: ETT Mark/Location el: 0 cu: MICU-A cg: -1 v1: 23cm v2: Lip st: NotStopd t0: [08:00:00 31/03/2014] id: FiO2 Set el: 0 cu: MICU-A cg: -1 v1: 0.4 u1: torr st: NotStopd t0: [08:00:00 31/03/2014] id: High Insp. Pressure el: 0 cu: MICU-A cg: -1 v1: 55 u1: cmH2O st: NotStopd t0: [08:00:00 31/03/2014] id: High Resp. Rate el: 0 cu: MICU-A cg: -1 v1: 35 u1: BPM st: NotStopd t0: [08:00:00 31/03/2014] id: I:E Ratio el: 0 cu: MICU-A cg: -1 v1: 1:5.0 st: NotStopd t0: [08:00:00 31/03/2014] id: Airway Size el: 0 cu: MICU-A cg: -1 v1: 7.5 mm st: NotStopd t0: [08:00:00 31/03/2014] id: Airway Type el: 0 cu: MICU-A cg: -1 v1: Endotracheal st: NotStopd t0: [08:00:00 31/03/2014] id: Inspired Gas Temp el: 0 cu: MICU-A cg: -1 v1: 34 u1: Deg. C st: NotStopd t0: [08:00:00 31/03/2014] id: Intubation Date el: 0 cu: MICU-A cg: -1 v1: 3 v2: 12 st: NotStopd t0: [08:00:00 31/03/2014] id: Low Exhaled Min Vol el: 0 cu: MICU-A cg: -1 v1: 8 st: NotStopd t0: [08:00:00 31/03/2014] id: Low Insp. Pressure el: 0 cu: MICU-A cg: -1 v1: 20 u1: cmH2O st: NotStopd t0: [08:00:00 31/03/2014] id: Mean Airway Pressure el: 0 cu: MICU-A cg: -1 v1: 19.3 u1: cmH2O st: NotStopd t0: [08:00:00 31/03/2014] id: Minute Volume(Obser) el: 0 cu: MICU-A cg: -1 v1: 9 u1: L/min st: NotStopd t0: [08:00:00 31/03/2014] id: PEEP Set el: 0 cu: MICU-A cg: -1 v1: 15 u1: cmH2O st: NotStopd t0: [08:00:00 31/03/2014] id: Apnea Time Interval el: 0 cu: MICU-A cg: -1 v1: 20 st: NotStopd t0: [08:00:00 31/03/2014] id: Peak Flow el: 0 cu: MICU-A cg: -1 v1: 55 u1: L/m st: NotStopd t0: [08:00:00 31/03/2014] id: Peak Insp. Pressure el: 0 cu: MICU-A cg: -1 v1: 40.3 u1: cmH2O st: NotStopd t0: [08:00:00 31/03/2014] id: Plateau Pressure el: 0 cu: MICU-A cg: -1 v1: 28 u1: cmH2O st: NotStopd t0: [08:00:00 31/03/2014] id: Plateau-Off el: 0 cu: MICU-A cg: -1 v1: Yes st: NotStopd t0: [08:00:00 31/03/2014] id: Pressure Support el: 0 cu: MICU-A cg: -1 v1: 0 u1: . st: NotStopd t0: [08:00:00 31/03/2014] id: Resp Rate (Spont) el: 0 cu: MICU-A cg: -1 v1: 0 u1: BPM st: NotStopd t0: [08:00:00 31/03/2014] id: Resp Rate (Total) el: 0 cu: MICU-A cg: -1 v1: 20 u1: BPM st: NotStopd t0: [08:00:00 31/03/2014] id: Respiratory Rate Set el: 0 cu: MICU-A cg: -1 v1: 20 u1: BPM st: NotStopd t0: [08:00:00 31/03/2014] id: Sensitivity-Vent el: 0 cu: MICU-A cg: -1 v1: 2 u1: cmH2O st: NotStopd t0: [08:00:00 31/03/2014] id: SpO2 el: 0 cu: MICU-A cg: -1 v1: 99 u1: % st: NotStopd t0: [08:00:00 31/03/2014] id: Tidal Volume (Obser) el: 0 cu: MICU-A cg: -1 v1: 450 u1: ml/B st: NotStopd t0: [08:00:00 31/03/2014] id: Tidal Volume (Set) el: 0 cu: MICU-A cg: -1 v1: 450 u1: ml/B st: NotStopd t0: [08:00:00 31/03/2014] id: Ventilator Mode el: 0 cu: MICU-A cg: -1 v1: Assist Control st: NotStopd t0: [08:00:00 31/03/2014] id: Ventilator No. el: 0 cu: MICU-A cg: -1 v1: 6 u1: # st: NotStopd t0: [08:00:00 31/03/2014] id: Ventilator Type el: 0 cu: MICU-A cg: -1 v1: 7200A st: NotStopd t0: [08:00:00 31/03/2014] id: Waveform-Vent el: 0 cu: MICU-A cg: -1 v1: SQUARE st: NotStopd
t0: [08:00:00 31/03/2014] id: Less Restrict Meas. el: 0 cu: MICU-A cg: -1 v1: Medicated st: NotStopd t0: [08:00:00 31/03/2014] id: Pain Present el: 0 cu: MICU-A cg: -1 v1: No st: NotStopd t0: [08:00:00 31/03/2014] id: INV#3Chg o/Wire Date el: 0 cu: MICU-A cg: -1 v1: 3 v2: 16 st: NotStopd t0: [08:00:00 31/03/2014] id: Pain Assess Method el: 0 cu: MICU-A cg: -1 v1: Change in Vitals st: NotStopd t0: [08:00:00 31/03/2014] id: Service Type el: 0 cu: MICU-A cg: -1 v1: MICU st: NotStopd t0: [08:00:00 31/03/2014] id: CVP el: 0 cu: MICU-A cg: -1 v1: 9 u1: mmHg st: NotStopd t0: [08:00:00 31/03/2014] id: Circulation/SkinInt el: 0 cu: MICU-A cg: -1 v1: Circulation Adeq st: NotStopd t0: [08:00:00 31/03/2014] id: Code Status el: 0 cu: MICU-A cg: -1 v1: Full Code st: NotStopd t0: [08:00:00 31/03/2014] id: Riker-SAS Scale el: 0 cu: MICU-A cg: -1 v1: Sedated st: NotStopd t0: [08:00:00 31/03/2014] id: Daily Wake Up el: 0 cu: MICU-A cg: -1 v1: Not Applicable st: NotStopd t0: [08:00:00 31/03/2014] id: GI Prophylaxis el: 0 cu: MICU-A cg: -1 v1: H2 Blocker st: NotStopd t0: [08:00:00 31/03/2014] id: Diet Type el: 0 cu: MICU-A cg: -1 v1: Tube Feeding st: NotStopd t0: [08:00:00 31/03/2014] id: Dorsal PedPulse R/L el: 0 cu: MICU-A cg: -1 v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [08:00:00 31/03/2014] id: Ectopy Frequency el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [08:00:00 31/03/2014] id: Ectopy Type el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [08:00:00 31/03/2014] id: Eye Opening el: 0 cu: MICU-A cg: -1 v1: 3 To speech st: NotStopd t0: [08:00:00 31/03/2014] id: GCS Total el: 0 cu: MICU-A cg: -1 v1: 9 u1: points st: NotStopd t0: [08:00:00 31/03/2014] id: GI Intub #1/Site el: 0 cu: MICU-A cg: -1 v1: Salem Sump v2: Oral st: NotStopd t0: [08:00:00 31/03/2014] id: GI#1 Tube PlaceCheck el: 0 cu: MICU-A cg: -1 v1: Done st: NotStopd t0: [08:00:00 31/03/2014] id: GI#1 Tube Stat/Drain el: 0 cu: MICU-A cg: -1 v1: Clamped v2: Undigested Food st: NotStopd t0: [08:00:00 31/03/2014] id: GU Catheter Size el: 0 cu: MICU-A cg: -1 v1: 14 French st: NotStopd t0: [08:00:00 31/03/2014] id: Heart Rate el: 0 cu: MICU-A cg: -1 v1: 64 u1: BPM st: NotStopd t0: [08:00:00 31/03/2014] id: Heart Rhythm el: 0 cu: MICU-A cg: -1 v1: Normal Sinus st: NotStopd t0: [08:00:00 31/03/2014] id: INV Line#2 Type/Site el: 0 cu: MICU-A cg: -1 v1: A-Line v2: Left Radial st: NotStopd t0: [08:00:00 31/03/2014] id: INV Line#2 Zero/Cal el: 0 cu: MICU-A cg: -1 v1: Yes st: NotStopd t0: [08:00:00 31/03/2014] id: INV Line#2InsertDate el: 0 cu: MICU-A cg: -1 v1: 3 v2: 16 st: NotStopd t0: [08:00:00 31/03/2014] id: INV Line#3 Site Date el: 0 cu: MICU-A cg: -1 v1: 3 v2: 16 st: NotStopd t0: [08:00:00 31/03/2014] id: INV Line#3 Type/Site el: 0 cu: MICU-A cg: -1 v1: Multi-lumen v2: Right IJ st: NotStopd t0: [08:00:00 31/03/2014] id: INV Line#3 Zero/Cal el: 0 cu: MICU-A cg: -1 v1: Yes st: NotStopd t0: [08:00:00 31/03/2014] id: INV Line#3InsertDate el: 0 cu: MICU-A cg: -1 v1: 3 v2: 12 st: NotStopd t0: [08:00:00 31/03/2014] id: INV Line#3SiteAppear el: 0 cu: MICU-A cg: -1 v1: WNL st: NotStopd t0: [08:00:00 31/03/2014] id: Abdominal Assessment el: 0 cu: MICU-A cg: -1 v1: Obese st: NotStopd t0: [08:00:00 31/03/2014] id: INV#2 WaveformAppear el: 0 cu: MICU-A cg: -1 v1: Sharp st: NotStopd t0: [08:00:00 31/03/2014] id: INV#3 WaveformAppear el: 0 cu: MICU-A cg: -1 v1: Sharp st: NotStopd t0: [08:00:00 31/03/2014] id: Impaired Skin Site#1 el: 0 cu: MICU-A cg: -1 v1: Gluteal, Right st: NotStopd t0: [08:00:00 31/03/2014] id: Impaired Skin Site#2 el: 0 cu: MICU-A cg: -1 v1: Labia st: NotStopd t0: [08:00:00 31/03/2014] id: LLL Lung Sounds el: 0 cu: MICU-A cg: -1 v1: Diminished st: NotStopd t0: [08:00:00 31/03/2014] id: LUL Lung Sounds el: 0 cu: MICU-A cg: -1 v1: Coarse st: NotStopd t0: [08:00:00 31/03/2014] id: Level of Conscious el: 0 cu: MICU-A cg: -1 v1: Sedated st: NotStopd t0: [08:00:00 31/03/2014] id: Motor Response el: 0 cu: MICU-A cg: -1 v1: 5 Localizes Pain st: NotStopd t0: [08:00:00 31/03/2014] id: NBP el: 0 cu: MICU-A cg: -1 v1: 124 u1: mmHg v2: 61 u2: mmHg st: NotStopd t0: [08:00:00 31/03/2014] id: NBP Mean el: 0 cu: MICU-A cg: -1 v1: 82 u1: mmHg st: NotStopd t0: [08:00:00 31/03/2014] id: Oral Cavity el: 0 cu: MICU-A cg: -1 v1: Thrush st: NotStopd t0: [08:00:00 31/03/2014] id: Orientation el: 0 cu: MICU-A cg: -1 v1: Other/Remarks st: NotStopd t0: [08:00:00 31/03/2014] id: Arterial BP el: 0 cu: MICU-A cg: -1 v1: 88 u1: mmHg v2: 70 u2: mmHg st: NotStopd t0: [08:00:00 31/03/2014] id: Pain Location el: 0 cu: MICU-A cg: -1 v1: Not Indicated st: NotStopd t0: [08:00:00 31/03/2014] id: Pain Management el: 1 cu: MICU-A cg: -1 v1: IV Gtt v2: IV Gtt st: NotStopd t0: [08:00:00 31/03/2014] id: Arterial BP Mean el: 0 cu: MICU-A cg: -1 v1: 80 u1: mmHg st: NotStopd t0: [08:00:00 31/03/2014] id: PostTib. Pulses R/L el: 0 cu: MICU-A cg: -1 v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [08:00:00 31/03/2014] id: Precautions el: 0 cu: MICU-A cg: -1 v1: Universal st: NotStopd t0: [08:00:00 31/03/2014] id: Pupil Response R/L el: 0 cu: MICU-A cg: -1 v1: Brisk v2: Brisk st: NotStopd t0: [08:00:00 31/03/2014] id: Pupil Size R/L el: 0 cu: MICU-A cg: -1 v1: 2 mm v2: 2 mm st: NotStopd t0: [08:00:00 31/03/2014] id: RLL Lung Sounds el: 0 cu: MICU-A cg: -1 v1: Diminished st: NotStopd t0: [08:00:00 31/03/2014] id: RUL Lung Sounds el: 0 cu: MICU-A cg: -1 v1: Coarse st: NotStopd t0: [08:00:00 31/03/2014] id: Reason For Restraint el: 0 cu: MICU-A cg: -1 v1: Ext/TXInterfere st: NotStopd t0: [08:00:00 31/03/2014] id: Respiratory Pattern el: 0 cu: MICU-A cg: -1 v1: Regular st: NotStopd t0: [08:00:00 31/03/2014] id: Respiratory Rate el: 0 cu: MICU-A cg: -1 v1: 20 u1: BPM st: NotStopd t0: [08:00:00 31/03/2014] id: Restraint Location el: 0 cu: MICU-A cg: -1 v1: Both Arms st: NotStopd t0: [08:00:00 31/03/2014] id: Restraint Type el: 0 cu: MICU-A cg: -1 v1: Soft Limb st: NotStopd t0: [08:00:00 31/03/2014] id: Restraints Evaluated el: 0 cu: MICU-A cg: -1 v1: Behavior Conts st: NotStopd t0: [08:00:00 31/03/2014] id: Side Rails el: 0 cu: MICU-A cg: -1 v1: Side Rails Up st: NotStopd t0: [08:00:00 31/03/2014] id: Skin Color el: 0 cu: MICU-A cg: -1 v1: Flushed st: NotStopd t0: [08:00:00 31/03/2014] id: Skin Integrity el: 0 cu: MICU-A cg: -1 v1: Impaired st: NotStopd t0: [08:00:00 31/03/2014] id: Stool Color/Consist el: 0 cu: MICU-A cg: -1 v1: Brown v2: Liquid st: NotStopd t0: [08:00:00 31/03/2014] id: Support Systems el: 0 cu: MICU-A cg: -1 v1: Spouse st: NotStopd t0: [08:00:00 31/03/2014] id: Temp. Site el: 0 cu: MICU-A cg: -1 v1: Oral st: NotStopd t0: [08:00:00 31/03/2014] id: Temperature C (calc) el: 0 cu: MICU-A cg: -1 v1: 38.1111 u1: Deg. C st: NotStopd t0: [08:00:00 31/03/2014] id: Temperature F el: 0 cu: MICU-A cg: -1 v1: 100.6 u1: Deg. F st: NotStopd t0: [08:00:00 31/03/2014] id: Urine Color/Appear el: 0 cu: MICU-A cg: -1 v1: Yellow v2: Sediment st: NotStopd t0: [08:00:00 31/03/2014] id: Urine Source el: 0 cu: MICU-A cg: -1 v1: Indwelling Cath st: NotStopd t0: [08:00:00 31/03/2014] id: Verbal Response el: 0 cu: MICU-A cg: -1 v1: 1.0 ET/Trach st: NotStopd t0: [08:00:00 31/03/2014] id: calprevflg el: 0 cu: MICU-A cg: -1 v1: 1 u1: kg st: NotStopd t0: [08:00:00 31/03/2014] id: Behavior el: 0 cu: MICU-A cg: -1 v1: Sedated st: NotStopd t0: [08:00:00 31/03/2014] id: Bowel Sounds el: 0 cu: MICU-A cg: -1 v1: Present st: NotStopd t0: [08:00:00 31/03/2014] id: Braden Activity el: 0 cu: MICU-A cg: -1 v1: Bedfast st: NotStopd t0: [08:00:00 31/03/2014] id: Braden Frict/Shear el: 0 cu: MICU-A cg: -1 v1: Potential Prob st: NotStopd t0: [08:00:00 31/03/2014] id: Braden Mobility el: 0 cu: MICU-A cg: -1 v1: Very Limited st: NotStopd t0: [08:00:00 31/03/2014] id: Braden Moisture el: 0 cu: MICU-A cg: -1 v1: Moist st: NotStopd t0: [08:00:00 31/03/2014] id: Braden Nutrition el: 0 cu: MICU-A cg: -1 v1: Prob. Inadequate st: NotStopd t0: [08:00:00 31/03/2014] id: Braden Score el: 0 cu: MICU-A cg: -1 v1: 11 u1: number st: NotStopd t0: [08:00:00 31/03/2014] id: Braden SensoryPercep el: 0 cu: MICU-A cg: -1 v1: Very Limited st: NotStopd
t0: [08:00:00 31/03/2014] id: TF Residual Gastric/TF Residual el: 1 cu: MICU-A cg: -1 ai: 107 vo: 10 vu: ml t0: [08:00:00 31/03/2014] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 20 vu: ml t0: [08:00:00 31/03/2014] id: D5W 250.0ml + 400mcgkgmin Dopamine IV Infusions el: 1 cu: MICU-A cg: -1 ai: 115 vo: 20.2 vu: ml t0: [08:00:00 31/03/2014] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 10 vu: ml t0: [08:00:00 31/03/2014] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU-A cg: -1 ai: 416 vo: 10 vu: ml t0: [08:00:00 31/03/2014] id: Promote w/fiber Tube Feeding el: 1 cu: MICU-A cg: -1 ai: 107 vo: 100 vu: ml t0: [08:00:00 31/03/2014] id: Urine Out Foley el: 1 cu: MICU-A cg: -1 vo: 240 vu: ml
t0: [08:00:00 31/03/2014] id: Fentanyl el: 1 cu: MICU-A so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 250 su: ml rt: IV Drip t0: [08:00:00 31/03/2014] id: Ativan el: 1 cu: MICU-A so: D5W vo: 0 v1: 5 du: mghr sv: 60 su: ml rt: IV Drip t0: [08:00:00 31/03/2014] id: Dopamine el: 1 cu: MICU-A so: D5W vo: 0 v1: 2.99592 du: mcgkgmin sv: 250 su: ml rt: IV Drip
tf: [11:00:00 03/04/2014] pt: IV Piggyback rt: IV DRIP fr: TITRATE TO m1: Lorazepam f1: INJ v1: 60 u1: mg m2: D5W f2: INJ v2: 60 u2: ml tf: [10:00:00 09/04/2014] pt: Unit Dose rt: PO fr: QID:PRN m1: Nystatin Oral Susp. f1: SUSP v1: 5 u1: ml
t0: [09:00:00 31/03/2014] id: PEEP Set el: 0 cu: MICU-A cg: -1 v1: 12 u1: cmH2O st: NotStopd
tf: [10:00:00 02/04/2014] pt: Unit Dose rt: IV fr: QD fs: 10 dn: 1 m1: Furosemide f1: INJ v1: 20 u1: mg tf: [09:00:00 03/04/2014] pt: Unit Dose rt: NU fr: BID fs: 10, 22 dn: 2 m1: Oxymetazoline HCl f1: SPR v1: 2 u1: SPRY tf: [17:00:00 12/04/2014] pt: Unit Dose rt: SC fr: Q8H fs: 10, 18, 2 dn: 3 m1: Heparin f1: INJ v1: 5000 u1: UNIT
t0: [09:00:00 31/03/2014] id: Service Type el: 0 cu: MICU-A cg: -1 v1: MICU st: NotStopd t0: [09:00:00 31/03/2014] id: Code Status el: 0 cu: MICU-A cg: -1 v1: Full Code st: NotStopd t0: [09:00:00 31/03/2014] id: Ectopy Frequency el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [09:00:00 31/03/2014] id: Ectopy Type el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [09:00:00 31/03/2014] id: Heart Rate el: 0 cu: MICU-A cg: -1 v1: 64 u1: BPM st: NotStopd t0: [09:00:00 31/03/2014] id: Heart Rhythm el: 0 cu: MICU-A cg: -1 v1: Normal Sinus st: NotStopd t0: [09:00:00 31/03/2014] id: NBP el: 0 cu: MICU-A cg: -1 v1: 129 u1: mmHg v2: 61 u2: mmHg st: NotStopd t0: [09:00:00 31/03/2014] id: NBP Mean el: 0 cu: MICU-A cg: -1 v1: 83.6667 u1: mmHg st: NotStopd t0: [09:00:00 31/03/2014] id: Arterial BP el: 0 cu: MICU-A cg: -1 v1: 91 u1: mmHg v2: 77 u2: mmHg st: NotStopd t0: [09:00:00 31/03/2014] id: Arterial BP Mean el: 0 cu: MICU-A cg: -1 v1: 85 u1: mmHg st: NotStopd t0: [09:00:00 31/03/2014] id: Precautions el: 0 cu: MICU-A cg: -1 v1: Universal st: NotStopd t0: [09:00:00 31/03/2014] id: Respiratory Rate el: 0 cu: MICU-A cg: -1 v1: 20 u1: BPM st: NotStopd t0: [09:00:00 31/03/2014] id: SpO2 el: 0 cu: MICU-A cg: -1 v1: 99 u1: % st: NotStopd t0: [09:00:00 31/03/2014] id: calprevflg el: 0 cu: MICU-A cg: -1 v1: 1 u1: kg st: NotStopd t0: [10:00:00 31/03/2014] id: Service Type el: 0 cu: MICU-A cg: -1 v1: MICU st: NotStopd t0: [10:00:00 31/03/2014] id: Code Status el: 0 cu: MICU-A cg: -1 v1: Full Code st: NotStopd t0: [10:00:00 31/03/2014] id: Ectopy Frequency el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [10:00:00 31/03/2014] id: Ectopy Type el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [10:00:00 31/03/2014] id: HOB el: 0 cu: MICU-A cg: -1 v1: 15 degrees st: NotStopd t0: [10:00:00 31/03/2014] id: Heart Rate el: 0 cu: MICU-A cg: -1 v1: 76 u1: BPM st: NotStopd t0: [10:00:00 31/03/2014] id: Heart Rhythm el: 0 cu: MICU-A cg: -1 v1: Normal Sinus st: NotStopd t0: [10:00:00 31/03/2014] id: Activity el: 0 cu: MICU-A cg: -1 v1: Bedrest st: NotStopd t0: [10:00:00 31/03/2014] id: Activity Tolerance el: 0 cu: MICU-A cg: -1 v1: Tolerated Well st: NotStopd t0: [10:00:00 31/03/2014] id: NBP el: 0 cu: MICU-A cg: -1 v1: 135 u1: mmHg v2: 58 u2: mmHg st: NotStopd t0: [10:00:00 31/03/2014] id: NBP Mean el: 0 cu: MICU-A cg: -1 v1: 83.6667 u1: mmHg st: NotStopd t0: [10:00:00 31/03/2014] id: AntiEmbDevice/Status el: 0 cu: MICU-A cg: -1 v1: Compress Sleeves v2: On st: NotStopd t0: [10:00:00 31/03/2014] id: Arterial BP el: 0 cu: MICU-A cg: -1 v1: 95 u1: mmHg v2: 78 u2: mmHg st: NotStopd t0: [10:00:00 31/03/2014] id: Arterial BP Mean el: 0 cu: MICU-A cg: -1 v1: 88 u1: mmHg st: NotStopd t0: [10:00:00 31/03/2014] id: Position el: 0 cu: MICU-A cg: -1 v1: Supine st: NotStopd t0: [10:00:00 31/03/2014] id: Assistance Device el: 0 cu: MICU-A cg: -1 v1: 1 Person Assist st: NotStopd t0: [10:00:00 31/03/2014] id: Precautions el: 0 cu: MICU-A cg: -1 v1: Universal st: NotStopd t0: [10:00:00 31/03/2014] id: PressureReduceDevice el: 0 cu: MICU-A cg: -1 v1: Multipodus Boots st: NotStopd t0: [10:00:00 31/03/2014] id: Respiratory Rate el: 0 cu: MICU-A cg: -1 v1: 30 u1: BPM st: NotStopd t0: [10:00:00 31/03/2014] id: SpO2 el: 0 cu: MICU-A cg: -1 v1: 97 u1: % st: NotStopd t0: [10:00:00 31/03/2014] id: Therapeutic Bed el: 0 cu: MICU-A cg: -1 v1: AirMatt/1st Step st: NotStopd t0: [10:00:00 31/03/2014] id: Turn el: 0 cu: MICU-A cg: -1 v1: Back st: NotStopd t0: [10:00:00 31/03/2014] id: calprevflg el: 0 cu: MICU-A cg: -1 v1: 1 u1: kg st: NotStopd
t0: [10:00:00 31/03/2014] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 20 vu: ml t0: [10:00:00 31/03/2014] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 10 vu: ml t0: [10:00:00 31/03/2014] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU-A cg: -1 ai: 416 vo: 10 vu: ml t0: [10:00:00 31/03/2014] id: Promote w/fiber Tube Feeding el: 1 cu: MICU-A cg: -1 ai: 107 vo: 100 vu: ml t0: [10:00:00 31/03/2014] id: Urine Out Foley el: 1 cu: MICU-A cg: -1 vo: 180 vu: ml
t0: [09:00:00 31/03/2014] id: Fentanyl el: 1 cu: MICU-A so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 250 su: ml rt: IV Drip t0: [09:00:00 31/03/2014] id: Ativan el: 1 cu: MICU-A so: D5W vo: 0 v1: 5 du: mghr sv: 60 su: ml rt: IV Drip t0: [09:00:00 31/03/2014] id: Dopamine el: 1 cu: MICU-A so: D5W vo: 0 v1: 2.99592 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [10:00:00 31/03/2014] id: Fentanyl el: 1 cu: MICU-A so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 250 su: ml rt: IV Drip t0: [10:00:00 31/03/2014] id: Ativan el: 1 cu: MICU-A so: D5W vo: 0 v1: 5 du: mghr sv: 60 su: ml rt: IV Drip t0: [10:00:00 31/03/2014] id: Dopamine el: 1 cu: MICU-A so: D5W vo: 0 v1: 2.99592 du: mcgkgmin sv: 250 su: ml rt: IV Drip st: Stopped
t0: [11:00:00 31/03/2014] id: Service Type el: 0 cu: MICU-A cg: -1 v1: MICU st: NotStopd t0: [11:00:00 31/03/2014] id: CVP el: 0 cu: MICU-A cg: -1 v1: 10 u1: mmHg st: NotStopd t0: [11:00:00 31/03/2014] id: Code Status el: 0 cu: MICU-A cg: -1 v1: Full Code st: NotStopd t0: [11:00:00 31/03/2014] id: Ectopy Frequency el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [11:00:00 31/03/2014] id: Ectopy Type el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [11:00:00 31/03/2014] id: Heart Rate el: 0 cu: MICU-A cg: -1 v1: 66 u1: BPM st: NotStopd t0: [11:00:00 31/03/2014] id: Heart Rhythm el: 0 cu: MICU-A cg: -1 v1: Normal Sinus st: NotStopd t0: [11:00:00 31/03/2014] id: NBP el: 0 cu: MICU-A cg: -1 v1: 102 u1: mmHg v2: 50 u2: mmHg st: NotStopd t0: [11:00:00 31/03/2014] id: NBP Mean el: 0 cu: MICU-A cg: -1 v1: 67.3333 u1: mmHg st: NotStopd t0: [11:00:00 31/03/2014] id: Arterial BP el: 0 cu: MICU-A cg: -1 v1: 75 u1: mmHg v2: 65 u2: mmHg st: NotStopd t0: [11:00:00 31/03/2014] id: Arterial BP Mean el: 0 cu: MICU-A cg: -1 v1: 72 u1: mmHg st: NotStopd t0: [11:00:00 31/03/2014] id: Precautions el: 0 cu: MICU-A cg: -1 v1: Universal st: NotStopd t0: [11:00:00 31/03/2014] id: Respiratory Rate el: 0 cu: MICU-A cg: -1 v1: 21 u1: BPM st: NotStopd t0: [11:00:00 31/03/2014] id: SpO2 el: 0 cu: MICU-A cg: -1 v1: 99 u1: % st: NotStopd t0: [11:00:00 31/03/2014] id: calprevflg el: 0 cu: MICU-A cg: -1 v1: 1 u1: kg st: NotStopd
t0: [11:00:00 31/03/2014] id: Fentanyl el: 1 cu: MICU-A so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 250 su: ml rt: IV Drip t0: [11:00:00 31/03/2014] id: Ativan el: 1 cu: MICU-A so: D5W vo: 0 v1: 5 du: mghr sv: 60 su: ml rt: IV Drip
t0: [11:52:00 31/03/2014] id: Art.pH ABG el: 0 cu: MICU-A cg: 1663 v1: 7.33 rs: Final st: NotStopd t0: [11:52:00 31/03/2014] id: Arterial Base Excess ABG el: 0 cu: MICU-A cg: 1663 v1: -4 rs: Final st: NotStopd t0: [11:52:00 31/03/2014] id: Arterial CO2(Calc) ABG el: 0 cu: MICU-A cg: 1663 v1: 23 rs: Final st: NotStopd t0: [11:52:00 31/03/2014] id: Arterial PaCO2 ABG el: 0 cu: MICU-A cg: 1663 v1: 41 u1: mmHg rs: Final st: NotStopd t0: [11:52:00 31/03/2014] id: Arterial PaO2 ABG el: 0 cu: MICU-A cg: 1663 v1: 106 u1: mmHg rs: Final st: NotStopd t0: [11:52:00 31/03/2014] id: Arterial pH ABG el: 0 cu: MICU-A cg: 1663 v1: 7.33 rs: Final st: NotStopd
t0: [12:00:00 31/03/2014] id: ETT Mark/Location el: 0 cu: MICU-A cg: -1 v1: 23cm v2: Lip st: NotStopd t0: [12:00:00 31/03/2014] id: FiO2 Set el: 0 cu: MICU-A cg: -1 v1: 0.4 u1: torr st: NotStopd t0: [12:00:00 31/03/2014] id: Flow-By (lpm) el: 0 cu: MICU-A cg: -1 v1: 6 u1: lpm st: NotStopd t0: [12:00:00 31/03/2014] id: Flow-by Sensitivity el: 0 cu: MICU-A cg: -1 v1: 1 u1: cmH2O st: NotStopd t0: [12:00:00 31/03/2014] id: High Insp. Pressure el: 0 cu: MICU-A cg: -1 v1: 55 u1: cmH2O st: NotStopd t0: [12:00:00 31/03/2014] id: High Resp. Rate el: 0 cu: MICU-A cg: -1 v1: 35 u1: BPM st: NotStopd t0: [12:00:00 31/03/2014] id: Airway Size el: 0 cu: MICU-A cg: -1 v1: 7.5 mm st: NotStopd t0: [12:00:00 31/03/2014] id: Airway Type el: 0 cu: MICU-A cg: -1 v1: Endotracheal st: NotStopd t0: [12:00:00 31/03/2014] id: Inspired Gas Temp el: 0 cu: MICU-A cg: -1 v1: 34.3 u1: Deg. C st: NotStopd t0: [12:00:00 31/03/2014] id: Intubation Date el: 0 cu: MICU-A cg: -1 v1: 3 v2: 12 st: NotStopd t0: [12:00:00 31/03/2014] id: Low Exhaled Min Vol el: 0 cu: MICU-A cg: -1 v1: 5 st: NotStopd t0: [12:00:00 31/03/2014] id: Low Insp. Pressure el: 0 cu: MICU-A cg: -1 v1: 20 u1: cmH2O st: NotStopd t0: [12:00:00 31/03/2014] id: Mean Airway Pressure el: 0 cu: MICU-A cg: -1 v1: 16.1 u1: cmH2O st: NotStopd t0: [12:00:00 31/03/2014] id: Minute Volume(Obser) el: 0 cu: MICU-A cg: -1 v1: 8.97 u1: L/min st: NotStopd t0: [12:00:00 31/03/2014] id: PEEP Set el: 0 cu: MICU-A cg: -1 v1: 12 u1: cmH2O st: NotStopd t0: [12:00:00 31/03/2014] id: Apnea Time Interval el: 0 cu: MICU-A cg: -1 v1: 20 st: NotStopd t0: [12:00:00 31/03/2014] id: Pressure Support el: 0 cu: MICU-A cg: -1 v1: 15 u1: . st: NotStopd t0: [12:00:00 31/03/2014] id: Resp Rate (Total) el: 0 cu: MICU-A cg: -1 v1: 17 u1: BPM st: NotStopd t0: [12:00:00 31/03/2014] id: Sensitivity-Vent el: 0 cu: MICU-A cg: -1 v1: 2 u1: cmH2O st: NotStopd t0: [12:00:00 31/03/2014] id: SpO2 el: 0 cu: MICU-A cg: -1 v1: 100 u1: % st: NotStopd t0: [12:00:00 31/03/2014] id: Sputum Color/Consist el: 0 cu: MICU-A cg: -1 v1: Yellow v2: Thick st: NotStopd t0: [12:00:00 31/03/2014] id: Sputum Source/Amt el: 0 cu: MICU-A cg: -1 v1: Suctioned v2: Moderate st: NotStopd t0: [12:00:00 31/03/2014] id: Tidal Volume (Spont) el: 0 cu: MICU-A cg: -1 v1: 490 u1: ml/B st: NotStopd t0: [12:00:00 31/03/2014] id: Ventilator Mode el: 0 cu: MICU-A cg: -1 v1: CPAP+PS st: NotStopd t0: [12:00:00 31/03/2014] id: Ventilator No. el: 0 cu: MICU-A cg: -1 v1: 6 u1: # st: NotStopd t0: [12:00:00 31/03/2014] id: Ventilator Type el: 0 cu: MICU-A cg: -1 v1: 7200A st: NotStopd
t0: [08:00:00 31/03/2014] id: Family Communication el: 0 cu: MICU-A cg: -1 v1: Family Called st: NotStopd t0: [10:00:00 31/03/2014] id: Family Communication el: 0 cu: MICU-A cg: -1 v1: Family Called st: NotStopd t0: [10:00:00 31/03/2014] id: Impaired Skin Site#1 el: 0 cu: MICU-A cg: -1 v1: Gluteal, Right st: NotStopd t0: [10:00:00 31/03/2014] id: Impaired Skin Site#2 el: 0 cu: MICU-A cg: -1 v1: Labia st: NotStopd t0: [10:00:00 31/03/2014] id: Reason For Restraint el: 0 cu: MICU-A cg: -1 v1: Ext/TXInterfere st: NotStopd t0: [10:00:00 31/03/2014] id: Restraint Location el: 0 cu: MICU-A cg: -1 v1: Both Arms st: NotStopd t0: [10:00:00 31/03/2014] id: Restraint Type el: 0 cu: MICU-A cg: -1 v1: Soft Limb st: NotStopd t0: [10:00:00 31/03/2014] id: Side Rails el: 0 cu: MICU-A cg: -1 v1: Side Rails Up st: NotStopd t0: [10:00:00 31/03/2014] id: Support Systems el: 0 cu: MICU-A cg: -1 v1: Spouse st: NotStopd t0: [11:00:00 31/03/2014] id: Sputum Color/Consist el: 0 cu: MICU-A cg: -1 v1: White v2: Thick st: NotStopd t0: [11:00:00 31/03/2014] id: Sputum Source/Amt el: 0 cu: MICU-A cg: -1 v1: Suctioned v2: Moderate st: NotStopd t0: [12:00:00 31/03/2014] id: Less Restrict Meas. el: 0 cu: MICU-A cg: -1 v1: Medicated st: NotStopd t0: [12:00:00 31/03/2014] id: Pain Present el: 0 cu: MICU-A cg: -1 v1: No st: NotStopd t0: [12:00:00 31/03/2014] id: Range of Motion el: 0 cu: MICU-A cg: -1 v1: Done st: NotStopd t0: [12:00:00 31/03/2014] id: INV#3Chg o/Wire Date el: 0 cu: MICU-A cg: -1 v1: 3 v2: 16 st: NotStopd t0: [12:00:00 31/03/2014] id: Pain Assess Method el: 0 cu: MICU-A cg: -1 v1: Change in Vitals st: NotStopd t0: [12:00:00 31/03/2014] id: Service Type el: 0 cu: MICU-A cg: -1 v1: MICU st: NotStopd t0: [12:00:00 31/03/2014] id: CVP el: 0 cu: MICU-A cg: -1 v1: 12 u1: mmHg st: NotStopd t0: [12:00:00 31/03/2014] id: Circulation/SkinInt el: 0 cu: MICU-A cg: -1 v1: Circulation Adeq st: NotStopd t0: [12:00:00 31/03/2014] id: Code Status el: 0 cu: MICU-A cg: -1 v1: Full Code st: NotStopd t0: [12:00:00 31/03/2014] id: Riker-SAS Scale el: 0 cu: MICU-A cg: -1 v1: Sedated st: NotStopd t0: [12:00:00 31/03/2014] id: Daily Wake Up el: 0 cu: MICU-A cg: -1 v1: Not Applicable st: NotStopd t0: [12:00:00 31/03/2014] id: GI Prophylaxis el: 0 cu: MICU-A cg: -1 v1: H2 Blocker st: NotStopd t0: [12:00:00 31/03/2014] id: Diet Type el: 0 cu: MICU-A cg: -1 v1: Tube Feeding st: NotStopd t0: [12:00:00 31/03/2014] id: Dorsal PedPulse R/L el: 0 cu: MICU-A cg: -1 v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [12:00:00 31/03/2014] id: Ectopy Frequency el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [12:00:00 31/03/2014] id: Ectopy Type el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [12:00:00 31/03/2014] id: Eye Opening el: 0 cu: MICU-A cg: -1 v1: 3 To speech st: NotStopd t0: [12:00:00 31/03/2014] id: Family Communication el: 0 cu: MICU-A cg: -1 v1: Family Called st: NotStopd t0: [12:00:00 31/03/2014] id: GCS Total el: 0 cu: MICU-A cg: -1 v1: 9 u1: points st: NotStopd t0: [12:00:00 31/03/2014] id: GI Intub #1/Site el: 0 cu: MICU-A cg: -1 v1: Salem Sump v2: Oral st: NotStopd t0: [12:00:00 31/03/2014] id: GI#1 Tube PlaceCheck el: 0 cu: MICU-A cg: -1 v1: Done st: NotStopd t0: [12:00:00 31/03/2014] id: GI#1 Tube Stat/Drain el: 0 cu: MICU-A cg: -1 v1: Clamped v2: Undigested Food st: NotStopd t0: [12:00:00 31/03/2014] id: GU Catheter Size el: 0 cu: MICU-A cg: -1 v1: 14 French st: NotStopd t0: [12:00:00 31/03/2014] id: HOB el: 0 cu: MICU-A cg: -1 v1: 30 degrees st: NotStopd t0: [12:00:00 31/03/2014] id: Heart Rate el: 0 cu: MICU-A cg: -1 v1: 76 u1: BPM st: NotStopd t0: [12:00:00 31/03/2014] id: Heart Rhythm el: 0 cu: MICU-A cg: -1 v1: Normal Sinus st: NotStopd t0: [12:00:00 31/03/2014] id: INV Line#2 Type/Site el: 0 cu: MICU-A cg: -1 v1: A-Line v2: Left Radial st: NotStopd t0: [12:00:00 31/03/2014] id: INV Line#2 Zero/Cal el: 0 cu: MICU-A cg: -1 v1: No st: NotStopd t0: [12:00:00 31/03/2014] id: INV Line#2InsertDate el: 0 cu: MICU-A cg: -1 v1: 3 v2: 16 st: NotStopd t0: [12:00:00 31/03/2014] id: INV Line#3 Site Date el: 0 cu: MICU-A cg: -1 v1: 3 v2: 16 st: NotStopd t0: [12:00:00 31/03/2014] id: INV Line#3 Type/Site el: 0 cu: MICU-A cg: -1 v1: Multi-lumen v2: Right IJ st: NotStopd t0: [12:00:00 31/03/2014] id: INV Line#3 Zero/Cal el: 0 cu: MICU-A cg: -1 v1: No st: NotStopd t0: [12:00:00 31/03/2014] id: INV Line#3InsertDate el: 0 cu: MICU-A cg: -1 v1: 3 v2: 12 st: NotStopd t0: [12:00:00 31/03/2014] id: INV Line#3SiteAppear el: 0 cu: MICU-A cg: -1 v1: WNL st: NotStopd t0: [12:00:00 31/03/2014] id: Abdominal Assessment el: 0 cu: MICU-A cg: -1 v1: Obese st: NotStopd t0: [12:00:00 31/03/2014] id: INV#2 WaveformAppear el: 0 cu: MICU-A cg: -1 v1: Dampened st: NotStopd t0: [12:00:00 31/03/2014] id: INV#3 WaveformAppear el: 0 cu: MICU-A cg: -1 v1: Sharp st: NotStopd t0: [12:00:00 31/03/2014] id: Activity el: 0 cu: MICU-A cg: -1 v1: Bedrest st: NotStopd t0: [12:00:00 31/03/2014] id: Activity Tolerance el: 0 cu: MICU-A cg: -1 v1: Tolerated Well st: NotStopd t0: [12:00:00 31/03/2014] id: Impaired Skin Site#1 el: 0 cu: MICU-A cg: -1 v1: Gluteal, Right st: NotStopd t0: [12:00:00 31/03/2014] id: Impaired Skin Site#2 el: 0 cu: MICU-A cg: -1 v1: Labia st: NotStopd t0: [12:00:00 31/03/2014] id: LLL Lung Sounds el: 0 cu: MICU-A cg: -1 v1: Diminished st: NotStopd t0: [12:00:00 31/03/2014] id: LUL Lung Sounds el: 0 cu: MICU-A cg: -1 v1: Coarse st: NotStopd t0: [12:00:00 31/03/2014] id: Level of Conscious el: 0 cu: MICU-A cg: -1 v1: Sedated st: NotStopd t0: [12:00:00 31/03/2014] id: Motor Response el: 0 cu: MICU-A cg: -1 v1: 5 Localizes Pain st: NotStopd t0: [12:00:00 31/03/2014] id: NBP el: 0 cu: MICU-A cg: -1 v1: 102 u1: mmHg v2: 55 u2: mmHg st: NotStopd t0: [12:00:00 31/03/2014] id: NBP Mean el: 0 cu: MICU-A cg: -1 v1: 70.6667 u1: mmHg st: NotStopd t0: [12:00:00 31/03/2014] id: Oral Cavity el: 0 cu: MICU-A cg: -1 v1: Thrush st: NotStopd t0: [12:00:00 31/03/2014] id: Orientation el: 0 cu: MICU-A cg: -1 v1: Other/Remarks st: NotStopd t0: [12:00:00 31/03/2014] id: AntiEmbDevice/Status el: 0 cu: MICU-A cg: -1 v1: Compress Sleeves v2: On st: NotStopd t0: [12:00:00 31/03/2014] id: Arterial BP el: 0 cu: MICU-A cg: -1 v1: 135 u1: mmHg v2: 89 u2: mmHg st: NotStopd t0: [12:00:00 31/03/2014] id: Pain Location el: 0 cu: MICU-A cg: -1 v1: Not Indicated st: NotStopd t0: [12:00:00 31/03/2014] id: Pain Management el: 1 cu: MICU-A cg: -1 v1: IV Gtt v2: IV Gtt st: NotStopd t0: [12:00:00 31/03/2014] id: Arterial BP Mean el: 0 cu: MICU-A cg: -1 v1: 105 u1: mmHg st: NotStopd t0: [12:00:00 31/03/2014] id: Position el: 0 cu: MICU-A cg: -1 v1: Left Side st: NotStopd t0: [12:00:00 31/03/2014] id: Position Change el: 0 cu: MICU-A cg: -1 v1: Done st: NotStopd t0: [12:00:00 31/03/2014] id: PostTib. Pulses R/L el: 0 cu: MICU-A cg: -1 v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [12:00:00 31/03/2014] id: Assistance Device el: 0 cu: MICU-A cg: -1 v1: 2 Person Assist st: NotStopd t0: [12:00:00 31/03/2014] id: Precautions el: 0 cu: MICU-A cg: -1 v1: Universal st: NotStopd t0: [12:00:00 31/03/2014] id: PressureReduceDevice el: 0 cu: MICU-A cg: -1 v1: Multipodus Boots st: NotStopd t0: [12:00:00 31/03/2014] id: RLL Lung Sounds el: 0 cu: MICU-A cg: -1 v1: Diminished st: NotStopd t0: [12:00:00 31/03/2014] id: RUL Lung Sounds el: 0 cu: MICU-A cg: -1 v1: Coarse st: NotStopd t0: [12:00:00 31/03/2014] id: Reason For Restraint el: 0 cu: MICU-A cg: -1 v1: Ext/TXInterfere st: NotStopd t0: [12:00:00 31/03/2014] id: Removed x 5 Mins el: 0 cu: MICU-A cg: -1 v1: Done st: NotStopd t0: [12:00:00 31/03/2014] id: Respiratory Pattern el: 0 cu: MICU-A cg: -1 v1: Regular st: NotStopd t0: [12:00:00 31/03/2014] id: Respiratory Rate el: 0 cu: MICU-A cg: -1 v1: 24 u1: BPM st: NotStopd t0: [12:00:00 31/03/2014] id: Restraint Location el: 0 cu: MICU-A cg: -1 v1: Both Arms st: NotStopd t0: [12:00:00 31/03/2014] id: Restraint Type el: 0 cu: MICU-A cg: -1 v1: Soft Limb st: NotStopd t0: [12:00:00 31/03/2014] id: Restraints Evaluated el: 0 cu: MICU-A cg: -1 v1: Behavior Conts st: NotStopd t0: [12:00:00 31/03/2014] id: Side Rails el: 0 cu: MICU-A cg: -1 v1: Side Rails Up st: NotStopd t0: [12:00:00 31/03/2014] id: Stool Color/Consist el: 0 cu: MICU-A cg: -1 v1: Brown v2: Liquid st: NotStopd t0: [12:00:00 31/03/2014] id: Support Systems el: 0 cu: MICU-A cg: -1 v1: Spouse st: NotStopd t0: [12:00:00 31/03/2014] id: Temp. Site el: 0 cu: MICU-A cg: -1 v1: Oral st: NotStopd t0: [12:00:00 31/03/2014] id: Temperature C (calc) el: 0 cu: MICU-A cg: -1 v1: 38.0556 u1: Deg. C st: NotStopd t0: [12:00:00 31/03/2014] id: Temperature F el: 0 cu: MICU-A cg: -1 v1: 100.5 u1: Deg. F st: NotStopd t0: [12:00:00 31/03/2014] id: Therapeutic Bed el: 0 cu: MICU-A cg: -1 v1: AirMatt/1st Step st: NotStopd t0: [12:00:00 31/03/2014] id: Turn el: 0 cu: MICU-A cg: -1 v1: Side to Side st: NotStopd t0: [12:00:00 31/03/2014] id: Urine Color/Appear el: 0 cu: MICU-A cg: -1 v1: Yellow v2: Sediment st: NotStopd t0: [12:00:00 31/03/2014] id: Urine Source el: 0 cu: MICU-A cg: -1 v1: Indwelling Cath st: NotStopd t0: [12:00:00 31/03/2014] id: Verbal Response el: 0 cu: MICU-A cg: -1 v1: 1.0 ET/Trach st: NotStopd t0: [12:00:00 31/03/2014] id: calprevflg el: 0 cu: MICU-A cg: -1 v1: 1 u1: kg st: NotStopd t0: [12:00:00 31/03/2014] id: Behavior el: 0 cu: MICU-A cg: -1 v1: Sedated st: NotStopd t0: [12:00:00 31/03/2014] id: Bowel Sounds el: 0 cu: MICU-A cg: -1 v1: Present st: NotStopd t0: [12:15:00 31/03/2014] id: Family Communication el: 0 cu: MICU-A cg: -1 v1: Family Visited st: NotStopd
t0: [10:00:00 31/03/2014] id: D5W 250.0ml + 400mcgkgmin Dopamine IV Infusions el: 1 cu: MICU-A cg: -1 ai: 115 vo: 20.2 vu: ml st: Stopped t0: [12:00:00 31/03/2014] id: TF Residual Gastric/TF Residual el: 1 cu: MICU-A cg: -1 ai: 107 vo: 60 vu: ml t0: [12:00:00 31/03/2014] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 20 vu: ml t0: [12:00:00 31/03/2014] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 10 vu: ml t0: [12:00:00 31/03/2014] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU-A cg: -1 ai: 416 vo: 10 vu: ml t0: [12:00:00 31/03/2014] id: Promote w/fiber Tube Feeding el: 1 cu: MICU-A cg: -1 ai: 107 vo: 100 vu: ml
t0: [12:00:00 31/03/2014] id: Fentanyl el: 1 cu: MICU-A so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 250 su: ml rt: IV Drip t0: [12:00:00 31/03/2014] id: Ativan el: 1 cu: MICU-A so: D5W vo: 0 v1: 5 du: mghr sv: 60 su: ml rt: IV Drip
t0: [14:00:00 31/03/2014] id: INV Line#2 D/C Date el: 0 cu: MICU-A cg: -1 st: D/C'd t0: [14:00:00 31/03/2014] id: INV Line#2 Type/Site el: 0 cu: MICU-A cg: -1 st: D/C'd t0: [14:00:00 31/03/2014] id: INV Line#2 Zero/Cal el: 0 cu: MICU-A cg: -1 st: D/C'd t0: [14:00:00 31/03/2014] id: INV Line#2InsertDate el: 0 cu: MICU-A cg: -1 st: D/C'd t0: [14:00:00 31/03/2014] id: INV#2 WaveformAppear el: 0 cu: MICU-A cg: -1 st: D/C'd
t0: [13:00:00 31/03/2014] id: Service Type el: 0 cu: MICU-A cg: -1 v1: MICU st: NotStopd t0: [13:00:00 31/03/2014] id: CVP el: 0 cu: MICU-A cg: -1 v1: 13 u1: mmHg st: NotStopd t0: [13:00:00 31/03/2014] id: Code Status el: 0 cu: MICU-A cg: -1 v1: Full Code st: NotStopd t0: [13:00:00 31/03/2014] id: Ectopy Frequency el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [13:00:00 31/03/2014] id: Ectopy Type el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [13:00:00 31/03/2014] id: Heart Rate el: 0 cu: MICU-A cg: -1 v1: 69 u1: BPM st: NotStopd t0: [13:00:00 31/03/2014] id: Heart Rhythm el: 0 cu: MICU-A cg: -1 v1: Normal Sinus st: NotStopd t0: [13:00:00 31/03/2014] id: INV Line#2 D/C Date el: 0 cu: MICU-A cg: -1 v1: 3 v2: 17 st: NotStopd t0: [13:00:00 31/03/2014] id: NBP el: 0 cu: MICU-A cg: -1 v1: 118 u1: mmHg v2: 55 u2: mmHg st: NotStopd t0: [13:00:00 31/03/2014] id: NBP Mean el: 0 cu: MICU-A cg: -1 v1: 76 u1: mmHg st: NotStopd t0: [13:00:00 31/03/2014] id: Arterial BP el: 0 cu: MICU-A cg: -1 v1: 118 u1: mmHg v2: 88 u2: mmHg st: NotStopd t0: [13:00:00 31/03/2014] id: Arterial BP Mean el: 0 cu: MICU-A cg: -1 v1: 102 u1: mmHg st: NotStopd t0: [13:00:00 31/03/2014] id: Precautions el: 0 cu: MICU-A cg: -1 v1: Universal st: NotStopd t0: [13:00:00 31/03/2014] id: Respiratory Rate el: 0 cu: MICU-A cg: -1 v1: 19 u1: BPM st: NotStopd t0: [13:00:00 31/03/2014] id: SpO2 el: 0 cu: MICU-A cg: -1 v1: 97 u1: % st: NotStopd t0: [13:00:00 31/03/2014] id: calprevflg el: 0 cu: MICU-A cg: -1 v1: 1 u1: kg st: NotStopd t0: [14:00:00 31/03/2014] id: INV#3Chg o/Wire Date el: 0 cu: MICU-A cg: -1 v1: 3 v2: 16 st: NotStopd t0: [14:00:00 31/03/2014] id: INV Line#3 Site Date el: 0 cu: MICU-A cg: -1 v1: 3 v2: 16 st: NotStopd t0: [14:00:00 31/03/2014] id: INV Line#3 Type/Site el: 0 cu: MICU-A cg: -1 v1: Multi-lumen v2: Right IJ st: NotStopd t0: [14:00:00 31/03/2014] id: INV Line#3 Zero/Cal el: 0 cu: MICU-A cg: -1 v1: No st: NotStopd t0: [14:00:00 31/03/2014] id: INV Line#3InsertDate el: 0 cu: MICU-A cg: -1 v1: 3 v2: 12 st: NotStopd t0: [14:00:00 31/03/2014] id: INV Line#3SiteAppear el: 0 cu: MICU-A cg: -1 v1: WNL st: NotStopd t0: [14:00:00 31/03/2014] id: INV Line#4 Type/Site el: 0 cu: MICU-A cg: -1 v1: A-Line v2: Right Brachial st: NotStopd t0: [14:00:00 31/03/2014] id: INV Line#4 Zero/Cal el: 0 cu: MICU-A cg: -1 v1: Yes st: NotStopd t0: [14:00:00 31/03/2014] id: INV Line#4InsertDate el: 0 cu: MICU-A cg: -1 v1: 3 v2: 17 st: NotStopd t0: [14:00:00 31/03/2014] id: INV Line#4SiteAppear el: 0 cu: MICU-A cg: -1 v1: WNL st: NotStopd t0: [14:00:00 31/03/2014] id: INV#3 WaveformAppear el: 0 cu: MICU-A cg: -1 v1: Sharp st: NotStopd t0: [14:00:00 31/03/2014] id: INV#4 WaveformAppear el: 0 cu: MICU-A cg: -1 v1: Sharp st: NotStopd
t0: [12:00:00 31/03/2014] id: Urine Out Foley el: 1 cu: MICU-A cg: -1 vo: 100 vu: ml t0: [14:00:00 31/03/2014] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 20 vu: ml t0: [14:00:00 31/03/2014] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 10 vu: ml t0: [14:00:00 31/03/2014] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU-A cg: -1 ai: 416 vo: 10 vu: ml t0: [14:00:00 31/03/2014] id: Promote w/fiber Tube Feeding el: 1 cu: MICU-A cg: -1 ai: 107 vo: 120 vu: ml t0: [14:00:00 31/03/2014] id: Urine Out Foley el: 1 cu: MICU-A cg: -1 vo: 130 vu: ml
t0: [13:00:00 31/03/2014] id: Fentanyl el: 1 cu: MICU-A so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 250 su: ml rt: IV Drip t0: [13:00:00 31/03/2014] id: Ativan el: 1 cu: MICU-A so: D5W vo: 0 v1: 5 du: mghr sv: 60 su: ml rt: IV Drip
t0: [14:51:00 31/03/2014] id: Art.pH ABG el: 0 cu: MICU-A cg: 1663 v1: 7.36 rs: Final st: NotStopd t0: [14:51:00 31/03/2014] id: Arterial Base Excess ABG el: 0 cu: MICU-A cg: 1663 v1: -3 rs: Final st: NotStopd t0: [14:51:00 31/03/2014] id: Arterial CO2(Calc) ABG el: 0 cu: MICU-A cg: 1663 v1: 22 rs: Final st: NotStopd t0: [14:51:00 31/03/2014] id: Arterial PaCO2 ABG el: 0 cu: MICU-A cg: 1663 v1: 37 u1: mmHg rs: Final st: NotStopd t0: [14:51:00 31/03/2014] id: Arterial PaO2 ABG el: 0 cu: MICU-A cg: 1663 v1: 122 u1: mmHg rs: Final st: NotStopd t0: [14:51:00 31/03/2014] id: Arterial pH ABG el: 0 cu: MICU-A cg: 1663 v1: 7.36 rs: Final st: NotStopd
t0: [13:00:00 31/03/2014] id: HOB el: 0 cu: MICU-A cg: -1 v1: 30 degrees st: NotStopd t0: [13:00:00 31/03/2014] id: Activity el: 0 cu: MICU-A cg: -1 v1: Bedrest st: NotStopd t0: [13:00:00 31/03/2014] id: Activity Tolerance el: 0 cu: MICU-A cg: -1 v1: Tolerated Well st: NotStopd t0: [13:00:00 31/03/2014] id: AntiEmbDevice/Status el: 0 cu: MICU-A cg: -1 v1: Compress Sleeves v2: On st: NotStopd t0: [13:00:00 31/03/2014] id: Position el: 0 cu: MICU-A cg: -1 v1: Supine st: NotStopd t0: [13:00:00 31/03/2014] id: Assistance Device el: 0 cu: MICU-A cg: -1 v1: 1 Person Assist st: NotStopd t0: [13:00:00 31/03/2014] id: PressureReduceDevice el: 0 cu: MICU-A cg: -1 v1: Multipodus Boots st: NotStopd t0: [13:00:00 31/03/2014] id: Radiologic Study el: 0 cu: MICU-A cg: -1 v1: Chest Xray st: NotStopd t0: [13:00:00 31/03/2014] id: Therapeutic Bed el: 0 cu: MICU-A cg: -1 v1: AirMatt/1st Step st: NotStopd t0: [13:00:00 31/03/2014] id: Turn el: 0 cu: MICU-A cg: -1 v1: Back st: NotStopd t0: [14:00:00 31/03/2014] id: Service Type el: 0 cu: MICU-A cg: -1 v1: MICU st: NotStopd t0: [14:00:00 31/03/2014] id: Code Status el: 0 cu: MICU-A cg: -1 v1: Full Code st: NotStopd t0: [14:00:00 31/03/2014] id: Ectopy Frequency el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [14:00:00 31/03/2014] id: Ectopy Type el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [14:00:00 31/03/2014] id: Heart Rate el: 0 cu: MICU-A cg: -1 v1: 70 u1: BPM st: NotStopd t0: [14:00:00 31/03/2014] id: Heart Rhythm el: 0 cu: MICU-A cg: -1 v1: Normal Sinus st: NotStopd t0: [14:00:00 31/03/2014] id: NBP el: 0 cu: MICU-A cg: -1 v1: 137 u1: mmHg v2: 58 u2: mmHg st: NotStopd t0: [14:00:00 31/03/2014] id: NBP Mean el: 0 cu: MICU-A cg: -1 v1: 84.3333 u1: mmHg st: NotStopd t0: [14:00:00 31/03/2014] id: Precautions el: 0 cu: MICU-A cg: -1 v1: Universal st: NotStopd t0: [14:00:00 31/03/2014] id: Respiratory Rate el: 0 cu: MICU-A cg: -1 v1: 20 u1: BPM st: NotStopd t0: [14:00:00 31/03/2014] id: SpO2 el: 0 cu: MICU-A cg: -1 v1: 100 u1: % st: NotStopd t0: [14:00:00 31/03/2014] id: Sputum Color/Consist el: 0 cu: MICU-A cg: -1 v1: Yellow v2: Thick st: NotStopd t0: [14:00:00 31/03/2014] id: Sputum Source/Amt el: 0 cu: MICU-A cg: -1 v1: Suctioned v2: Moderate st: NotStopd t0: [14:00:00 31/03/2014] id: calprevflg el: 0 cu: MICU-A cg: -1 v1: 1 u1: kg st: NotStopd t0: [15:00:00 31/03/2014] id: Service Type el: 0 cu: MICU-A cg: -1 v1: MICU st: NotStopd t0: [15:00:00 31/03/2014] id: CVP el: 0 cu: MICU-A cg: -1 v1: 10 u1: mmHg st: NotStopd t0: [15:00:00 31/03/2014] id: Code Status el: 0 cu: MICU-A cg: -1 v1: Full Code st: NotStopd t0: [15:00:00 31/03/2014] id: Ectopy Frequency el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [15:00:00 31/03/2014] id: Ectopy Type el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [15:00:00 31/03/2014] id: Family Communication el: 0 cu: MICU-A cg: -1 v1: Family Visited st: NotStopd t0: [15:00:00 31/03/2014] id: Heart Rate el: 0 cu: MICU-A cg: -1 v1: 65 u1: BPM st: NotStopd t0: [15:00:00 31/03/2014] id: Heart Rhythm el: 0 cu: MICU-A cg: -1 v1: Normal Sinus st: NotStopd t0: [15:00:00 31/03/2014] id: Arterial BP el: 0 cu: MICU-A cg: -1 v1: 151 u1: mmHg v2: 70 u2: mmHg st: NotStopd t0: [15:00:00 31/03/2014] id: Arterial BP Mean el: 0 cu: MICU-A cg: -1 v1: 101 u1: mmHg st: NotStopd t0: [15:00:00 31/03/2014] id: Precautions el: 0 cu: MICU-A cg: -1 v1: Universal st: NotStopd t0: [15:00:00 31/03/2014] id: Procedures el: 0 cu: MICU-A cg: -1 v1: Line Placement st: NotStopd t0: [15:00:00 31/03/2014] id: Respiratory Rate el: 0 cu: MICU-A cg: -1 v1: 19 u1: BPM st: NotStopd t0: [15:00:00 31/03/2014] id: SpO2 el: 0 cu: MICU-A cg: -1 v1: 100 u1: % st: NotStopd t0: [15:00:00 31/03/2014] id: Sputum Color/Consist el: 0 cu: MICU-A cg: -1 v1: Yellow v2: Thick st: NotStopd t0: [15:00:00 31/03/2014] id: Sputum Source/Amt el: 0 cu: MICU-A cg: -1 v1: Suctioned v2: Moderate st: NotStopd t0: [15:00:00 31/03/2014] id: calprevflg el: 0 cu: MICU-A cg: -1 v1: 1 u1: kg st: NotStopd t0: [16:00:00 31/03/2014] id: Less Restrict Meas. el: 0 cu: MICU-A cg: -1 v1: Medicated st: NotStopd t0: [16:00:00 31/03/2014] id: Range of Motion el: 0 cu: MICU-A cg: -1 v1: Done st: NotStopd t0: [16:00:00 31/03/2014] id: INV#3Chg o/Wire Date el: 0 cu: MICU-A cg: -1 v1: 3 v2: 16 st: NotStopd t0: [16:00:00 31/03/2014] id: Service Type el: 0 cu: MICU-A cg: -1 v1: MICU st: NotStopd t0: [16:00:00 31/03/2014] id: CVP el: 0 cu: MICU-A cg: -1 v1: 12 u1: mmHg st: NotStopd t0: [16:00:00 31/03/2014] id: Circulation/SkinInt el: 0 cu: MICU-A cg: -1 v1: Circulation Adeq st: NotStopd t0: [16:00:00 31/03/2014] id: Code Status el: 0 cu: MICU-A cg: -1 v1: Full Code st: NotStopd t0: [16:00:00 31/03/2014] id: Riker-SAS Scale el: 0 cu: MICU-A cg: -1 v1: Sedated st: NotStopd t0: [16:00:00 31/03/2014] id: GI Prophylaxis el: 0 cu: MICU-A cg: -1 v1: H2 Blocker st: NotStopd t0: [16:00:00 31/03/2014] id: Diet Type el: 0 cu: MICU-A cg: -1 v1: Tube Feeding st: NotStopd t0: [16:00:00 31/03/2014] id: Dorsal PedPulse R/L el: 0 cu: MICU-A cg: -1 v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [16:00:00 31/03/2014] id: Ectopy Frequency el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [16:00:00 31/03/2014] id: Ectopy Type el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [16:00:00 31/03/2014] id: Eye Opening el: 0 cu: MICU-A cg: -1 v1: 2 To pain st: NotStopd t0: [16:00:00 31/03/2014] id: GCS Total el: 0 cu: MICU-A cg: -1 v1: 8 u1: points st: NotStopd t0: [16:00:00 31/03/2014] id: GI Intub #1/Site el: 0 cu: MICU-A cg: -1 v1: Salem Sump v2: Oral st: NotStopd t0: [16:00:00 31/03/2014] id: GI#1 Tube PlaceCheck el: 0 cu: MICU-A cg: -1 v1: Done st: NotStopd t0: [16:00:00 31/03/2014] id: GI#1 Tube Stat/Drain el: 0 cu: MICU-A cg: -1 v1: Clamped v2: Undigested Food st: NotStopd t0: [16:00:00 31/03/2014] id: GU Catheter Size el: 0 cu: MICU-A cg: -1 v1: 14 French st: NotStopd t0: [16:00:00 31/03/2014] id: HOB el: 0 cu: MICU-A cg: -1 v1: 30 degrees st: NotStopd t0: [16:00:00 31/03/2014] id: Heart Rate el: 0 cu: MICU-A cg: -1 v1: 69 u1: BPM st: NotStopd t0: [16:00:00 31/03/2014] id: Heart Rhythm el: 0 cu: MICU-A cg: -1 v1: Normal Sinus st: NotStopd t0: [16:00:00 31/03/2014] id: INV Line#3 Site Date el: 0 cu: MICU-A cg: -1 v1: 3 v2: 16 st: NotStopd t0: [16:00:00 31/03/2014] id: INV Line#3 Type/Site el: 0 cu: MICU-A cg: -1 v1: Multi-lumen v2: Right IJ st: NotStopd t0: [16:00:00 31/03/2014] id: INV Line#3 Zero/Cal el: 0 cu: MICU-A cg: -1 v1: No st: NotStopd t0: [16:00:00 31/03/2014] id: INV Line#3InsertDate el: 0 cu: MICU-A cg: -1 v1: 3 v2: 12 st: NotStopd t0: [16:00:00 31/03/2014] id: INV Line#3SiteAppear el: 0 cu: MICU-A cg: -1 v1: WNL st: NotStopd t0: [16:00:00 31/03/2014] id: INV Line#4 Type/Site el: 0 cu: MICU-A cg: -1 v1: A-Line v2: Right Brachial st: NotStopd t0: [16:00:00 31/03/2014] id: INV Line#4 Zero/Cal el: 0 cu: MICU-A cg: -1 v1: No st: NotStopd t0: [16:00:00 31/03/2014] id: INV Line#4InsertDate el: 0 cu: MICU-A cg: -1 v1: 3 v2: 17 st: NotStopd t0: [16:00:00 31/03/2014] id: INV Line#4SiteAppear el: 0 cu: MICU-A cg: -1 v1: WNL st: NotStopd t0: [16:00:00 31/03/2014] id: Abdominal Assessment el: 0 cu: MICU-A cg: -1 v1: Obese st: NotStopd t0: [16:00:00 31/03/2014] id: INV#3 WaveformAppear el: 0 cu: MICU-A cg: -1 v1: Sharp st: NotStopd t0: [16:00:00 31/03/2014] id: INV#4 WaveformAppear el: 0 cu: MICU-A cg: -1 v1: Sharp st: NotStopd t0: [16:00:00 31/03/2014] id: Activity el: 0 cu: MICU-A cg: -1 v1: Bedrest st: NotStopd t0: [16:00:00 31/03/2014] id: Activity Tolerance el: 0 cu: MICU-A cg: -1 v1: Tolerated Well st: NotStopd t0: [16:00:00 31/03/2014] id: Impaired Skin Site#1 el: 0 cu: MICU-A cg: -1 v1: Gluteal, Right st: NotStopd t0: [16:00:00 31/03/2014] id: Impaired Skin Site#2 el: 0 cu: MICU-A cg: -1 v1: Labia st: NotStopd t0: [16:00:00 31/03/2014] id: LLL Lung Sounds el: 0 cu: MICU-A cg: -1 v1: Diminished st: NotStopd t0: [16:00:00 31/03/2014] id: LUL Lung Sounds el: 0 cu: MICU-A cg: -1 v1: Coarse st: NotStopd t0: [16:00:00 31/03/2014] id: Level of Conscious el: 0 cu: MICU-A cg: -1 v1: Sedated st: NotStopd t0: [16:00:00 31/03/2014] id: Motor Response el: 0 cu: MICU-A cg: -1 v1: 5 Localizes Pain st: NotStopd t0: [16:00:00 31/03/2014] id: Oral Cavity el: 0 cu: MICU-A cg: -1 v1: Thrush st: NotStopd t0: [16:00:00 31/03/2014] id: Orientation el: 0 cu: MICU-A cg: -1 v1: Other/Remarks st: NotStopd t0: [16:00:00 31/03/2014] id: AntiEmbDevice/Status el: 0 cu: MICU-A cg: -1 v1: Compress Sleeves v2: On st: NotStopd t0: [16:00:00 31/03/2014] id: Arterial BP el: 0 cu: MICU-A cg: -1 v1: 141 u1: mmHg v2: 69 u2: mmHg st: NotStopd t0: [16:00:00 31/03/2014] id: Arterial BP Mean el: 0 cu: MICU-A cg: -1 v1: 98 u1: mmHg st: NotStopd t0: [16:00:00 31/03/2014] id: Position el: 0 cu: MICU-A cg: -1 v1: Right Side st: NotStopd t0: [16:00:00 31/03/2014] id: Position Change el: 0 cu: MICU-A cg: -1 v1: Done st: NotStopd t0: [16:00:00 31/03/2014] id: PostTib. Pulses R/L el: 0 cu: MICU-A cg: -1 v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [16:00:00 31/03/2014] id: Assistance Device el: 0 cu: MICU-A cg: -1 v1: 2 Person Assist st: NotStopd t0: [16:00:00 31/03/2014] id: Precautions el: 0 cu: MICU-A cg: -1 v1: Universal st: NotStopd t0: [16:00:00 31/03/2014] id: PressureReduceDevice el: 0 cu: MICU-A cg: -1 v1: Multipodus Boots st: NotStopd t0: [16:00:00 31/03/2014] id: RLL Lung Sounds el: 0 cu: MICU-A cg: -1 v1: Diminished st: NotStopd t0: [16:00:00 31/03/2014] id: RUL Lung Sounds el: 0 cu: MICU-A cg: -1 v1: Coarse st: NotStopd t0: [16:00:00 31/03/2014] id: Reason For Restraint el: 0 cu: MICU-A cg: -1 v1: Ext/TXInterfere st: NotStopd t0: [16:00:00 31/03/2014] id: Removed x 5 Mins el: 0 cu: MICU-A cg: -1 v1: Done st: NotStopd t0: [16:00:00 31/03/2014] id: Respiratory Pattern el: 0 cu: MICU-A cg: -1 v1: Regular st: NotStopd t0: [16:00:00 31/03/2014] id: Respiratory Rate el: 0 cu: MICU-A cg: -1 v1: 34 u1: BPM st: NotStopd t0: [16:00:00 31/03/2014] id: Restraint Location el: 0 cu: MICU-A cg: -1 v1: Both Arms st: NotStopd t0: [16:00:00 31/03/2014] id: Restraint Type el: 0 cu: MICU-A cg: -1 v1: Soft Limb st: NotStopd t0: [16:00:00 31/03/2014] id: Restraints Evaluated el: 0 cu: MICU-A cg: -1 v1: Behavior Conts st: NotStopd t0: [16:00:00 31/03/2014] id: Side Rails el: 0 cu: MICU-A cg: -1 v1: Side Rails Up st: NotStopd t0: [16:00:00 31/03/2014] id: SpO2 el: 0 cu: MICU-A cg: -1 v1: 100 u1: % st: NotStopd t0: [16:00:00 31/03/2014] id: Sputum Color/Consist el: 0 cu: MICU-A cg: -1 v1: Yellow v2: Thick st: NotStopd t0: [16:00:00 31/03/2014] id: Sputum Source/Amt el: 0 cu: MICU-A cg: -1 v1: Suctioned v2: Moderate st: NotStopd t0: [16:00:00 31/03/2014] id: Stool Color/Consist el: 0 cu: MICU-A cg: -1 v1: Green v2: Loose st: NotStopd t0: [16:00:00 31/03/2014] id: Stool Guaiac el: 0 cu: MICU-A cg: -1 v1: Negative st: NotStopd t0: [16:00:00 31/03/2014] id: Support Systems el: 0 cu: MICU-A cg: -1 v1: Spouse st: NotStopd t0: [16:00:00 31/03/2014] id: Temp. Site el: 0 cu: MICU-A cg: -1 v1: Oral st: NotStopd t0: [16:00:00 31/03/2014] id: Temperature C (calc) el: 0 cu: MICU-A cg: -1 v1: 38.8333 u1: Deg. C st: NotStopd t0: [16:00:00 31/03/2014] id: Temperature F el: 0 cu: MICU-A cg: -1 v1: 101.9 u1: Deg. F st: NotStopd t0: [16:00:00 31/03/2014] id: Therapeutic Bed el: 0 cu: MICU-A cg: -1 v1: AirMatt/1st Step st: NotStopd t0: [16:00:00 31/03/2014] id: Turn el: 0 cu: MICU-A cg: -1 v1: Side to Side st: NotStopd t0: [16:00:00 31/03/2014] id: Urine Color/Appear el: 0 cu: MICU-A cg: -1 v1: Yellow v2: Sediment st: NotStopd t0: [16:00:00 31/03/2014] id: Urine Source el: 0 cu: MICU-A cg: -1 v1: Indwelling Cath st: NotStopd t0: [16:00:00 31/03/2014] id: Verbal Response el: 0 cu: MICU-A cg: -1 v1: 1.0 ET/Trach st: NotStopd t0: [16:00:00 31/03/2014] id: calprevflg el: 0 cu: MICU-A cg: -1 v1: 1 u1: kg st: NotStopd t0: [16:00:00 31/03/2014] id: Behavior el: 0 cu: MICU-A cg: -1 v1: Sedated st: NotStopd t0: [16:00:00 31/03/2014] id: Bowel Sounds el: 0 cu: MICU-A cg: -1 v1: Present st: NotStopd
t0: [16:00:00 31/03/2014] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 20 vu: ml t0: [16:00:00 31/03/2014] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 10 vu: ml t0: [16:00:00 31/03/2014] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU-A cg: -1 ai: 416 vo: 10 vu: ml t0: [16:00:00 31/03/2014] id: Promote w/fiber Tube Feeding el: 1 cu: MICU-A cg: -1 ai: 107 vo: 120 vu: ml
t0: [14:00:00 31/03/2014] id: Fentanyl el: 1 cu: MICU-A so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 250 su: ml rt: IV Drip t0: [14:00:00 31/03/2014] id: Ativan el: 1 cu: MICU-A so: D5W vo: 0 v1: 5 du: mghr sv: 60 su: ml rt: IV Drip t0: [15:00:00 31/03/2014] id: Fentanyl el: 1 cu: MICU-A so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 250 su: ml rt: IV Drip t0: [15:00:00 31/03/2014] id: Ativan el: 1 cu: MICU-A so: D5W vo: 0 v1: 5 du: mghr sv: 60 su: ml rt: IV Drip t0: [16:00:00 31/03/2014] id: Fentanyl el: 1 cu: MICU-A so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 250 su: ml rt: IV Drip t0: [16:00:00 31/03/2014] id: Ativan el: 1 cu: MICU-A so: D5W vo: 0 v1: 5 du: mghr sv: 60 su: ml rt: IV Drip
t0: [16:00:00 31/03/2014] id: ETT Mark/Location el: 0 cu: MICU-A cg: -1 v1: 23cm v2: Lip st: NotStopd t0: [16:00:00 31/03/2014] id: FiO2 Set el: 0 cu: MICU-A cg: -1 v1: 0.4 u1: torr st: NotStopd t0: [16:00:00 31/03/2014] id: Flow-By (lpm) el: 0 cu: MICU-A cg: -1 v1: 6 u1: lpm st: NotStopd t0: [16:00:00 31/03/2014] id: Flow-by Sensitivity el: 0 cu: MICU-A cg: -1 v1: 1 u1: cmH2O st: NotStopd t0: [16:00:00 31/03/2014] id: High Insp. Pressure el: 0 cu: MICU-A cg: -1 v1: 55 u1: cmH2O st: NotStopd t0: [16:00:00 31/03/2014] id: High Resp. Rate el: 0 cu: MICU-A cg: -1 v1: 35 u1: BPM st: NotStopd t0: [16:00:00 31/03/2014] id: Airway Size el: 0 cu: MICU-A cg: -1 v1: 7.5 mm st: NotStopd t0: [16:00:00 31/03/2014] id: Airway Type el: 0 cu: MICU-A cg: -1 v1: Endotracheal st: NotStopd t0: [16:00:00 31/03/2014] id: Inspired Gas Temp el: 0 cu: MICU-A cg: -1 v1: 34.5 u1: Deg. C st: NotStopd t0: [16:00:00 31/03/2014] id: Intubation Date el: 0 cu: MICU-A cg: -1 v1: 3 v2: 12 st: NotStopd t0: [16:00:00 31/03/2014] id: Low Exhaled Min Vol el: 0 cu: MICU-A cg: -1 v1: 5 st: NotStopd t0: [16:00:00 31/03/2014] id: Low Insp. Pressure el: 0 cu: MICU-A cg: -1 v1: 20 u1: cmH2O st: NotStopd t0: [16:00:00 31/03/2014] id: Mean Airway Pressure el: 0 cu: MICU-A cg: -1 v1: 18.2 u1: cmH2O st: NotStopd t0: [16:00:00 31/03/2014] id: Minute Volume(Obser) el: 0 cu: MICU-A cg: -1 v1: 8.37 u1: L/min st: NotStopd t0: [16:00:00 31/03/2014] id: PEEP Set el: 0 cu: MICU-A cg: -1 v1: 12 u1: cmH2O st: NotStopd t0: [16:00:00 31/03/2014] id: Apnea Time Interval el: 0 cu: MICU-A cg: -1 v1: 20 st: NotStopd t0: [16:00:00 31/03/2014] id: Pressure Support el: 0 cu: MICU-A cg: -1 v1: 15 u1: . st: NotStopd t0: [16:00:00 31/03/2014] id: Resp Rate (Total) el: 0 cu: MICU-A cg: -1 v1: 19 u1: BPM st: NotStopd t0: [16:00:00 31/03/2014] id: Sensitivity-Vent el: 0 cu: MICU-A cg: -1 v1: 2 u1: cmH2O st: NotStopd t0: [16:00:00 31/03/2014] id: Tidal Volume (Obser) el: 0 cu: MICU-A cg: -1 v1: 370 u1: ml/B st: NotStopd t0: [16:00:00 31/03/2014] id: Tidal Volume (Set) el: 0 cu: MICU-A cg: -1 v1: 450 u1: ml/B st: NotStopd t0: [16:00:00 31/03/2014] id: Tidal Volume (Spont) el: 0 cu: MICU-A cg: -1 v1: 450 u1: ml/B st: NotStopd t0: [16:00:00 31/03/2014] id: Ventilator Mode el: 0 cu: MICU-A cg: -1 v1: CPAP+PS st: NotStopd t0: [16:00:00 31/03/2014] id: Ventilator No. el: 0 cu: MICU-A cg: -1 v1: 6 u1: # st: NotStopd t0: [16:00:00 31/03/2014] id: Ventilator Type el: 0 cu: MICU-A cg: -1 v1: 7200A st: NotStopd t0: [16:00:00 31/03/2014] id: Waveform-Vent el: 0 cu: MICU-A cg: -1 v1: SQUARE st: NotStopd
t0: [16:00:00 31/03/2014] id: Procedures el: 0 cu: MICU-A cg: -1 v1: Pan Cultured st: NotStopd
t0: [16:00:00 31/03/2014] id: Stool Out (non-specific) el: 1 cu: MICU-A cg: -1 vo: 20 vu: ml t0: [16:00:00 31/03/2014] id: Urine Out Foley el: 1 cu: MICU-A cg: -1 vo: 450 vu: ml
t0: [23:00:00 31/03/2014] dt: 24 id: Stool Out Total el: 2 cu: MICU-A cg: -1 cv: 20 ap: none
t0: [17:00:00 31/03/2014] id: Service Type el: 0 cu: MICU-A cg: -1 v1: MICU st: NotStopd t0: [17:00:00 31/03/2014] id: CVP el: 0 cu: MICU-A cg: -1 v1: 12 u1: mmHg st: NotStopd t0: [17:00:00 31/03/2014] id: Code Status el: 0 cu: MICU-A cg: -1 v1: Full Code st: NotStopd t0: [17:00:00 31/03/2014] id: Ectopy Frequency el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [17:00:00 31/03/2014] id: Ectopy Type el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [17:00:00 31/03/2014] id: Heart Rate el: 0 cu: MICU-A cg: -1 v1: 65 u1: BPM st: NotStopd t0: [17:00:00 31/03/2014] id: Heart Rhythm el: 0 cu: MICU-A cg: -1 v1: Normal Sinus st: NotStopd t0: [17:00:00 31/03/2014] id: Arterial BP el: 0 cu: MICU-A cg: -1 v1: 138 u1: mmHg v2: 67 u2: mmHg st: NotStopd t0: [17:00:00 31/03/2014] id: Arterial BP Mean el: 0 cu: MICU-A cg: -1 v1: 94 u1: mmHg st: NotStopd t0: [17:00:00 31/03/2014] id: Precautions el: 0 cu: MICU-A cg: -1 v1: Universal st: NotStopd t0: [17:00:00 31/03/2014] id: Respiratory Rate el: 0 cu: MICU-A cg: -1 v1: 19 u1: BPM st: NotStopd t0: [17:00:00 31/03/2014] id: SpO2 el: 0 cu: MICU-A cg: -1 v1: 99 u1: % st: NotStopd t0: [17:00:00 31/03/2014] id: calprevflg el: 0 cu: MICU-A cg: -1 v1: 1 u1: kg st: NotStopd
t0: [14:00:00 31/03/2014] id: IV Piggyback 100.0ml IV Infusions el: 1 cu: MICU-A cg: -1 ai: 105 vo: 200 vu: ml t0: [16:00:00 31/03/2014] id: TF Residual Gastric/TF Residual el: 1 cu: MICU-A cg: -1 ai: 107 vo: 5 vu: ml t0: [16:00:00 31/03/2014] id: IV Piggyback 100.0ml IV Infusions el: 1 cu: MICU-A cg: -1 ai: 105 vo: 50 vu: ml
t0: [17:00:00 31/03/2014] id: Fentanyl el: 1 cu: MICU-A so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 250 su: ml rt: IV Drip t0: [17:00:00 31/03/2014] id: Ativan el: 1 cu: MICU-A so: D5W vo: 0 v1: 5 du: mghr sv: 60 su: ml rt: IV Drip
tf: [01:00:00 01/04/2014] pt: Unit Dose rt: PO fr: ONCE fs: 18 dn: 1 m1: Potassium Chloride f1: CAP v1: 40 u1: mEq tf: [17:00:00 01/04/2014] pt: Unit Dose rt: IV fr: ONCE fs: 18 dn: 1 m1: Magnesium Sulfate f1: INJ v1: 2 u1: gm
t0: [16:00:00 31/03/2014] id: Pain Present el: 0 cu: MICU-A cg: -1 v1: No st: NotStopd t0: [16:00:00 31/03/2014] id: Pain Assess Method el: 0 cu: MICU-A cg: -1 v1: Change in Vitals st: NotStopd t0: [16:00:00 31/03/2014] id: Daily Wake Up el: 0 cu: MICU-A cg: -1 v1: Not Applicable st: NotStopd t0: [16:00:00 31/03/2014] id: Pain Location el: 0 cu: MICU-A cg: -1 v1: Not Indicated st: NotStopd t0: [16:00:00 31/03/2014] id: Pain Management el: 1 cu: MICU-A cg: -1 v1: IV Gtt v2: IV Gtt st: NotStopd t0: [18:00:00 31/03/2014] id: Service Type el: 0 cu: MICU-A cg: -1 v1: MICU st: NotStopd t0: [18:00:00 31/03/2014] id: CVP el: 0 cu: MICU-A cg: -1 v1: 15 u1: mmHg st: NotStopd t0: [18:00:00 31/03/2014] id: Code Status el: 0 cu: MICU-A cg: -1 v1: Full Code st: NotStopd t0: [18:00:00 31/03/2014] id: Ectopy Frequency el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [18:00:00 31/03/2014] id: Ectopy Type el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [18:00:00 31/03/2014] id: HOB el: 0 cu: MICU-A cg: -1 v1: 30 degrees st: NotStopd t0: [18:00:00 31/03/2014] id: Heart Rate el: 0 cu: MICU-A cg: -1 v1: 65 u1: BPM st: NotStopd t0: [18:00:00 31/03/2014] id: Heart Rhythm el: 0 cu: MICU-A cg: -1 v1: Normal Sinus st: NotStopd t0: [18:00:00 31/03/2014] id: Activity el: 0 cu: MICU-A cg: -1 v1: Bedrest st: NotStopd t0: [18:00:00 31/03/2014] id: Activity Tolerance el: 0 cu: MICU-A cg: -1 v1: Tolerated Well st: NotStopd t0: [18:00:00 31/03/2014] id: AntiEmbDevice/Status el: 0 cu: MICU-A cg: -1 v1: Compress Sleeves v2: On st: NotStopd t0: [18:00:00 31/03/2014] id: Arterial BP el: 0 cu: MICU-A cg: -1 v1: 123 u1: mmHg v2: 62 u2: mmHg st: NotStopd t0: [18:00:00 31/03/2014] id: Arterial BP Mean el: 0 cu: MICU-A cg: -1 v1: 86 u1: mmHg st: NotStopd t0: [18:00:00 31/03/2014] id: Position el: 0 cu: MICU-A cg: -1 v1: Supine st: NotStopd t0: [18:00:00 31/03/2014] id: Assistance Device el: 0 cu: MICU-A cg: -1 v1: 1 Person Assist st: NotStopd t0: [18:00:00 31/03/2014] id: Precautions el: 0 cu: MICU-A cg: -1 v1: Universal st: NotStopd t0: [18:00:00 31/03/2014] id: PressureReduceDevice el: 0 cu: MICU-A cg: -1 v1: Multipodus Boots st: NotStopd t0: [18:00:00 31/03/2014] id: Respiratory Rate el: 0 cu: MICU-A cg: -1 v1: 23 u1: BPM st: NotStopd t0: [18:00:00 31/03/2014] id: SpO2 el: 0 cu: MICU-A cg: -1 v1: 100 u1: % st: NotStopd t0: [18:00:00 31/03/2014] id: Sputum Color/Consist el: 0 cu: MICU-A cg: -1 v1: Blood Tinged v2: Thin st: NotStopd t0: [18:00:00 31/03/2014] id: Sputum Source/Amt el: 0 cu: MICU-A cg: -1 v1: Suctioned v2: Small st: NotStopd t0: [18:00:00 31/03/2014] id: Temp. Site el: 0 cu: MICU-A cg: -1 v1: Oral st: NotStopd t0: [18:00:00 31/03/2014] id: Temperature C (calc) el: 0 cu: MICU-A cg: -1 v1: 38.3333 u1: Deg. C st: NotStopd t0: [18:00:00 31/03/2014] id: Temperature F el: 0 cu: MICU-A cg: -1 v1: 101 u1: Deg. F st: NotStopd t0: [18:00:00 31/03/2014] id: Therapeutic Bed el: 0 cu: MICU-A cg: -1 v1: AirMatt/1st Step st: NotStopd t0: [18:00:00 31/03/2014] id: Turn el: 0 cu: MICU-A cg: -1 v1: Back st: NotStopd t0: [18:00:00 31/03/2014] id: calprevflg el: 0 cu: MICU-A cg: -1 v1: 1 u1: kg st: NotStopd
t0: [18:00:00 31/03/2014] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 20 vu: ml t0: [18:00:00 31/03/2014] id: Gastric Meds PO/Gastric el: 1 cu: MICU-A cg: -1 ai: 155 vo: 250 vu: ml t0: [18:00:00 31/03/2014] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 20 vu: ml t0: [18:00:00 31/03/2014] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU-A cg: -1 ai: 416 vo: 10 vu: ml t0: [18:00:00 31/03/2014] id: IV Piggyback 100.0ml IV Infusions el: 1 cu: MICU-A cg: -1 ai: 105 vo: 100 vu: ml t0: [18:00:00 31/03/2014] id: Promote w/fiber Tube Feeding el: 1 cu: MICU-A cg: -1 ai: 107 vo: 130 vu: ml t0: [18:00:00 31/03/2014] id: Urine Out Foley el: 1 cu: MICU-A cg: -1 vo: 600 vu: ml
t0: [18:00:00 31/03/2014] id: Fentanyl el: 1 cu: MICU-A so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 250 su: ml rt: IV Drip t0: [18:00:00 31/03/2014] id: Ativan el: 1 cu: MICU-A so: D5W vo: 0 v1: 5 du: mghr sv: 60 su: ml rt: IV Drip
t0: [18:42:00 31/03/2014] id: BSA el: 1033 cu: MICU-A cg: -1 v1: 1.97121 u1: m2 t0: [18:42:00 31/03/2014] id: Admit Wt el: 1032 cu: MICU-A cg: -1 v1: 89.9 u1: kg t0: [18:42:00 31/03/2014] id: Allergy 1 el: 1020 cu: MICU-A cg: -1 v1: No Known Drug Allergies t0: [18:42:00 31/03/2014] id: Diagnosis/op el: 1023 cu: MICU-A cg: -1 v1: PNEUMONIA t0: [18:42:00 31/03/2014] id: Service el: 1026 cu: MICU-A cg: -1 v1: MED t0: [18:42:00 31/03/2014] id: Admit Ht el: 1034 cu: MICU-A cg: -1 v1: 54 u1: inches t0: [18:42:00 31/03/2014] id: Readmission el: 1014 cu: MICU-A cg: -1 t0: [18:42:00 31/03/2014] id: Marital Status el: 1006 cu: MICU-A cg: -1 v1: M t0: [18:42:00 31/03/2014] id: Religion el: 1000 cu: MICU-A cg: -1 v1: U t0: [18:42:00 31/03/2014] id: Allergy 2 el: 1021 cu: MICU-A cg: -1 t0: [18:42:00 31/03/2014] id: Ext el: 1010 cu: MICU-A cg: -1 t0: [18:42:00 31/03/2014] id: PIN el: 1012 cu: MICU-A cg: -1 t0: [18:42:00 31/03/2014] id: Allergy 3 el: 1022 cu: MICU-A cg: -1
t0: [20:00:00 31/03/2014] id: Less Restrict Meas. el: 0 cu: MICU-A cg: -1 v1: Medicated st: NotStopd t0: [20:00:00 31/03/2014] id: Range of Motion el: 0 cu: MICU-A cg: -1 v1: Done st: NotStopd t0: [20:00:00 31/03/2014] id: INV#3Chg o/Wire Date el: 0 cu: MICU-A cg: -1 v1: 3 v2: 16 st: NotStopd t0: [20:00:00 31/03/2014] id: Service Type el: 0 cu: MICU-A cg: -1 v1: MICU st: NotStopd t0: [20:00:00 31/03/2014] id: Circulation/SkinInt el: 0 cu: MICU-A cg: -1 v1: Circulation Adeq st: NotStopd t0: [20:00:00 31/03/2014] id: Code Status el: 0 cu: MICU-A cg: -1 v1: Full Code st: NotStopd t0: [20:00:00 31/03/2014] id: Riker-SAS Scale el: 0 cu: MICU-A cg: -1 v1: Sedated st: NotStopd t0: [20:00:00 31/03/2014] id: GI Prophylaxis el: 0 cu: MICU-A cg: -1 v1: H2 Blocker st: NotStopd t0: [20:00:00 31/03/2014] id: Diet Type el: 0 cu: MICU-A cg: -1 v1: Tube Feeding st: NotStopd t0: [20:00:00 31/03/2014] id: Dorsal PedPulse R/L el: 0 cu: MICU-A cg: -1 v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [20:00:00 31/03/2014] id: Ectopy Frequency el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [20:00:00 31/03/2014] id: Ectopy Type el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [20:00:00 31/03/2014] id: Eye Opening el: 0 cu: MICU-A cg: -1 v1: 2 To pain st: NotStopd t0: [20:00:00 31/03/2014] id: GCS Total el: 0 cu: MICU-A cg: -1 v1: 8 u1: points st: NotStopd t0: [20:00:00 31/03/2014] id: GI Intub #1/Site el: 0 cu: MICU-A cg: -1 v1: Salem Sump v2: Oral st: NotStopd t0: [20:00:00 31/03/2014] id: GI#1 Tube PlaceCheck el: 0 cu: MICU-A cg: -1 v1: Done st: NotStopd t0: [20:00:00 31/03/2014] id: GI#1 Tube Stat/Drain el: 0 cu: MICU-A cg: -1 v1: Feeding v2: Undigested Food st: NotStopd t0: [20:00:00 31/03/2014] id: GU Catheter Size el: 0 cu: MICU-A cg: -1 v1: 14 French st: NotStopd t0: [20:00:00 31/03/2014] id: HOB el: 0 cu: MICU-A cg: -1 v1: 30 degrees st: NotStopd t0: [20:00:00 31/03/2014] id: Heart Rate el: 0 cu: MICU-A cg: -1 v1: 61 u1: BPM st: NotStopd t0: [20:00:00 31/03/2014] id: Heart Rhythm el: 0 cu: MICU-A cg: -1 v1: Normal Sinus st: NotStopd t0: [20:00:00 31/03/2014] id: INV Line#3 Site Date el: 0 cu: MICU-A cg: -1 v1: 3 v2: 16 st: NotStopd t0: [20:00:00 31/03/2014] id: INV Line#3 Type/Site el: 0 cu: MICU-A cg: -1 v1: Multi-lumen v2: Right IJ st: NotStopd t0: [20:00:00 31/03/2014] id: INV Line#3InsertDate el: 0 cu: MICU-A cg: -1 v1: 3 v2: 12 st: NotStopd t0: [20:00:00 31/03/2014] id: INV Line#3SiteAppear el: 0 cu: MICU-A cg: -1 v1: WNL st: NotStopd t0: [20:00:00 31/03/2014] id: INV Line#4 Type/Site el: 0 cu: MICU-A cg: -1 v1: A-Line v2: Right Brachial st: NotStopd t0: [20:00:00 31/03/2014] id: INV Line#4 Zero/Cal el: 0 cu: MICU-A cg: -1 v1: No st: NotStopd t0: [20:00:00 31/03/2014] id: INV Line#4InsertDate el: 0 cu: MICU-A cg: -1 v1: 3 v2: 17 st: NotStopd t0: [20:00:00 31/03/2014] id: INV Line#4SiteAppear el: 0 cu: MICU-A cg: -1 v1: WNL st: NotStopd t0: [20:00:00 31/03/2014] id: Abdominal Assessment el: 0 cu: MICU-A cg: -1 v1: Obese st: NotStopd t0: [20:00:00 31/03/2014] id: INV#4 WaveformAppear el: 0 cu: MICU-A cg: -1 v1: Sharp st: NotStopd t0: [20:00:00 31/03/2014] id: Activity el: 0 cu: MICU-A cg: -1 v1: Bedrest st: NotStopd t0: [20:00:00 31/03/2014] id: Activity Tolerance el: 0 cu: MICU-A cg: -1 v1: Tolerated Well st: NotStopd t0: [20:00:00 31/03/2014] id: Impaired Skin Site#1 el: 0 cu: MICU-A cg: -1 v1: Gluteal, Right st: NotStopd t0: [20:00:00 31/03/2014] id: Impaired Skin Site#2 el: 0 cu: MICU-A cg: -1 v1: Labia st: NotStopd t0: [20:00:00 31/03/2014] id: LLL Lung Sounds el: 0 cu: MICU-A cg: -1 v1: Diminished st: NotStopd t0: [20:00:00 31/03/2014] id: LUL Lung Sounds el: 0 cu: MICU-A cg: -1 v1: Coarse st: NotStopd t0: [20:00:00 31/03/2014] id: Level of Conscious el: 0 cu: MICU-A cg: -1 v1: Sedated st: NotStopd t0: [20:00:00 31/03/2014] id: Motor Response el: 0 cu: MICU-A cg: -1 v1: 5 Localizes Pain st: NotStopd t0: [20:00:00 31/03/2014] id: Oral Care el: 0 cu: MICU-A cg: -1 v1: Done st: NotStopd t0: [20:00:00 31/03/2014] id: Oral Cavity el: 0 cu: MICU-A cg: -1 v1: Thrush st: NotStopd t0: [20:00:00 31/03/2014] id: Orientation el: 0 cu: MICU-A cg: -1 v1: Other/Remarks st: NotStopd t0: [20:00:00 31/03/2014] id: AntiEmbDevice/Status el: 0 cu: MICU-A cg: -1 v1: Compress Sleeves v2: On st: NotStopd t0: [20:00:00 31/03/2014] id: Arterial BP el: 0 cu: MICU-A cg: -1 v1: 111 u1: mmHg v2: 58 u2: mmHg st: NotStopd t0: [20:00:00 31/03/2014] id: Arterial BP Mean el: 0 cu: MICU-A cg: -1 v1: 80 u1: mmHg st: NotStopd t0: [20:00:00 31/03/2014] id: Position el: 0 cu: MICU-A cg: -1 v1: Left Side st: NotStopd t0: [20:00:00 31/03/2014] id: Position Change el: 0 cu: MICU-A cg: -1 v1: Done st: NotStopd t0: [20:00:00 31/03/2014] id: Assistance Device el: 0 cu: MICU-A cg: -1 v1: 2 Person Assist st: NotStopd t0: [20:00:00 31/03/2014] id: Precautions el: 0 cu: MICU-A cg: -1 v1: Universal st: NotStopd t0: [20:00:00 31/03/2014] id: PressureReduceDevice el: 0 cu: MICU-A cg: -1 v1: Multipodus Boots st: NotStopd t0: [20:00:00 31/03/2014] id: RLL Lung Sounds el: 0 cu: MICU-A cg: -1 v1: Diminished st: NotStopd t0: [20:00:00 31/03/2014] id: RUL Lung Sounds el: 0 cu: MICU-A cg: -1 v1: Coarse st: NotStopd t0: [20:00:00 31/03/2014] id: Reason For Restraint el: 0 cu: MICU-A cg: -1 v1: Ext/TXInterfere st: NotStopd t0: [20:00:00 31/03/2014] id: Removed x 5 Mins el: 0 cu: MICU-A cg: -1 v1: Done st: NotStopd t0: [20:00:00 31/03/2014] id: Respiratory Pattern el: 0 cu: MICU-A cg: -1 v1: Regular st: NotStopd t0: [20:00:00 31/03/2014] id: Respiratory Rate el: 0 cu: MICU-A cg: -1 v1: 17 u1: BPM st: NotStopd t0: [20:00:00 31/03/2014] id: Restraint Location el: 0 cu: MICU-A cg: -1 v1: Both Arms st: NotStopd t0: [20:00:00 31/03/2014] id: Restraint Type el: 0 cu: MICU-A cg: -1 v1: Soft Limb st: NotStopd t0: [20:00:00 31/03/2014] id: Restraints Evaluated el: 0 cu: MICU-A cg: -1 v1: Behavior Conts st: NotStopd t0: [20:00:00 31/03/2014] id: Side Rails el: 0 cu: MICU-A cg: -1 v1: Side Rails Up st: NotStopd t0: [20:00:00 31/03/2014] id: Skin Care el: 0 cu: MICU-A cg: -1 v1: Done st: NotStopd t0: [20:00:00 31/03/2014] id: SpO2 el: 0 cu: MICU-A cg: -1 v1: 99 u1: % st: NotStopd t0: [20:00:00 31/03/2014] id: Stool Color/Consist el: 0 cu: MICU-A cg: -1 v1: Green v2: Loose st: NotStopd t0: [20:00:00 31/03/2014] id: Support Systems el: 0 cu: MICU-A cg: -1 v1: Spouse st: NotStopd t0: [20:00:00 31/03/2014] id: Temp. Site el: 0 cu: MICU-A cg: -1 v1: Oral st: NotStopd t0: [20:00:00 31/03/2014] id: Temperature C (calc) el: 0 cu: MICU-A cg: -1 v1: 37.5 u1: Deg. C st: NotStopd t0: [20:00:00 31/03/2014] id: Temperature F el: 0 cu: MICU-A cg: -1 v1: 99.5 u1: Deg. F st: NotStopd t0: [20:00:00 31/03/2014] id: Therapeutic Bed el: 0 cu: MICU-A cg: -1 v1: AirMatt/1st Step st: NotStopd t0: [20:00:00 31/03/2014] id: Turn el: 0 cu: MICU-A cg: -1 v1: Left Side st: NotStopd t0: [20:00:00 31/03/2014] id: Urine Color/Appear el: 0 cu: MICU-A cg: -1 v1: Yellow v2: Sediment st: NotStopd t0: [20:00:00 31/03/2014] id: Urine Source el: 0 cu: MICU-A cg: -1 v1: Indwelling Cath st: NotStopd t0: [20:00:00 31/03/2014] id: Verbal Response el: 0 cu: MICU-A cg: -1 v1: 1.0 ET/Trach st: NotStopd t0: [20:00:00 31/03/2014] id: Back Care el: 0 cu: MICU-A cg: -1 v1: Done st: NotStopd t0: [20:00:00 31/03/2014] id: calprevflg el: 0 cu: MICU-A cg: -1 v1: 1 u1: kg st: NotStopd t0: [20:00:00 31/03/2014] id: Behavior el: 0 cu: MICU-A cg: -1 v1: Sedated st: NotStopd t0: [20:00:00 31/03/2014] id: Bowel Sounds el: 0 cu: MICU-A cg: -1 v1: Present st: NotStopd
t0: [20:00:00 31/03/2014] id: TF Residual Gastric/TF Residual el: 1 cu: MICU-A cg: -1 ai: 107 vo: 40 vu: ml t0: [20:00:00 31/03/2014] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 20 vu: ml t0: [20:00:00 31/03/2014] id: Gastric Meds PO/Gastric el: 1 cu: MICU-A cg: -1 ai: 155 vo: 90 vu: ml t0: [20:00:00 31/03/2014] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 10 vu: ml t0: [20:00:00 31/03/2014] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU-A cg: -1 ai: 416 vo: 10 vu: ml t0: [20:00:00 31/03/2014] id: Promote w/fiber Tube Feeding el: 1 cu: MICU-A cg: -1 ai: 107 vo: 130 vu: ml t0: [20:00:00 31/03/2014] id: Urine Out Foley el: 1 cu: MICU-A cg: -1 vo: 80 vu: ml
t0: [20:00:00 31/03/2014] id: Fentanyl el: 1 cu: MICU-A so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 250 su: ml rt: IV Drip t0: [20:00:00 31/03/2014] id: Ativan el: 1 cu: MICU-A so: D5W vo: 0 v1: 5 du: mghr sv: 60 su: ml rt: IV Drip
t0: [20:00:00 31/03/2014] id: Sputum Color/Consist el: 0 cu: MICU-A cg: -1 v1: Yellow v2: Thick st: NotStopd t0: [20:00:00 31/03/2014] id: Sputum Source/Amt el: 0 cu: MICU-A cg: -1 v1: Suctioned v2: Scant st: NotStopd
t0: [21:00:00 31/03/2014] id: Service Type el: 0 cu: MICU-A cg: -1 v1: MICU st: NotStopd t0: [21:00:00 31/03/2014] id: CVP el: 0 cu: MICU-A cg: -1 v1: 14 u1: mmHg st: NotStopd t0: [21:00:00 31/03/2014] id: Code Status el: 0 cu: MICU-A cg: -1 v1: Full Code st: NotStopd t0: [21:00:00 31/03/2014] id: Ectopy Frequency el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [21:00:00 31/03/2014] id: Ectopy Type el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [21:00:00 31/03/2014] id: Heart Rate el: 0 cu: MICU-A cg: -1 v1: 65 u1: BPM st: NotStopd t0: [21:00:00 31/03/2014] id: Heart Rhythm el: 0 cu: MICU-A cg: -1 v1: Normal Sinus st: NotStopd t0: [21:00:00 31/03/2014] id: Arterial BP el: 0 cu: MICU-A cg: -1 v1: 111 u1: mmHg v2: 57 u2: mmHg st: NotStopd t0: [21:00:00 31/03/2014] id: Arterial BP Mean el: 0 cu: MICU-A cg: -1 v1: 77 u1: mmHg st: NotStopd t0: [21:00:00 31/03/2014] id: Precautions el: 0 cu: MICU-A cg: -1 v1: Universal st: NotStopd t0: [21:00:00 31/03/2014] id: Respiratory Rate el: 0 cu: MICU-A cg: -1 v1: 17 u1: BPM st: NotStopd t0: [21:00:00 31/03/2014] id: SpO2 el: 0 cu: MICU-A cg: -1 v1: 99 u1: % st: NotStopd t0: [21:00:00 31/03/2014] id: calprevflg el: 0 cu: MICU-A cg: -1 v1: 1 u1: kg st: NotStopd
t0: [20:00:00 31/03/2014] id: IV Piggyback 100.0ml IV Infusions el: 1 cu: MICU-A cg: -1 ai: 105 vo: 0 vu: ml t0: [21:00:00 31/03/2014] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 10 vu: ml t0: [21:00:00 31/03/2014] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 5 vu: ml t0: [21:00:00 31/03/2014] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU-A cg: -1 ai: 416 vo: 5 vu: ml t0: [21:00:00 31/03/2014] id: IV Piggyback 100.0ml IV Infusions el: 1 cu: MICU-A cg: -1 ai: 105 vo: 0 vu: ml t0: [21:00:00 31/03/2014] id: Promote w/fiber Tube Feeding el: 1 cu: MICU-A cg: -1 ai: 107 vo: 65 vu: ml t0: [21:00:00 31/03/2014] id: Urine Out Foley el: 1 cu: MICU-A cg: -1 vo: 15 vu: ml
t0: [21:00:00 31/03/2014] id: Fentanyl el: 1 cu: MICU-A so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 250 su: ml rt: IV Drip t0: [21:00:00 31/03/2014] id: Ativan el: 1 cu: MICU-A so: D5W vo: 0 v1: 5 du: mghr sv: 60 su: ml rt: IV Drip
t0: [20:50:00 31/03/2014] id: ETT Mark/Location el: 0 cu: MICU-A cg: RRT v1: 23cm v2: Lip st: NotStopd t0: [20:50:00 31/03/2014] id: FiO2 Set el: 0 cu: MICU-A cg: RRT v1: 0.4 u1: torr st: NotStopd t0: [20:50:00 31/03/2014] id: Flow-By (lpm) el: 0 cu: MICU-A cg: RRT v1: 6 u1: lpm st: NotStopd t0: [20:50:00 31/03/2014] id: Flow-by Sensitivity el: 0 cu: MICU-A cg: RRT v1: 1 u1: cmH2O st: NotStopd t0: [20:50:00 31/03/2014] id: High Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 55 u1: cmH2O st: NotStopd t0: [20:50:00 31/03/2014] id: High Resp. Rate el: 0 cu: MICU-A cg: RRT v1: 35 u1: BPM st: NotStopd t0: [20:50:00 31/03/2014] id: Airway Size el: 0 cu: MICU-A cg: RRT v1: 7.5 mm st: NotStopd t0: [20:50:00 31/03/2014] id: Airway Type el: 0 cu: MICU-A cg: RRT v1: Endotracheal st: NotStopd t0: [20:50:00 31/03/2014] id: Inspired Gas Temp el: 0 cu: MICU-A cg: RRT v1: 34.5 u1: Deg. C st: NotStopd t0: [20:50:00 31/03/2014] id: Intubation Date el: 0 cu: MICU-A cg: RRT v1: 3 v2: 12 st: NotStopd t0: [20:50:00 31/03/2014] id: Low Exhaled Min Vol el: 0 cu: MICU-A cg: RRT v1: 5 st: NotStopd t0: [20:50:00 31/03/2014] id: Low Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 20 u1: cmH2O st: NotStopd t0: [20:50:00 31/03/2014] id: Mean Airway Pressure el: 0 cu: MICU-A cg: RRT v1: 19.2 u1: cmH2O st: NotStopd t0: [20:50:00 31/03/2014] id: Minute Volume(Obser) el: 0 cu: MICU-A cg: RRT v1: 7.8 u1: L/min st: NotStopd t0: [20:50:00 31/03/2014] id: PEEP Set el: 0 cu: MICU-A cg: RRT v1: 12 u1: cmH2O st: NotStopd t0: [20:50:00 31/03/2014] id: Apnea Time Interval el: 0 cu: MICU-A cg: RRT v1: 20 st: NotStopd t0: [20:50:00 31/03/2014] id: Plateau-Off el: 0 cu: MICU-A cg: RRT v1: Not Applicable st: NotStopd t0: [20:50:00 31/03/2014] id: Pressure Support el: 0 cu: MICU-A cg: RRT v1: 15 u1: . st: NotStopd t0: [20:50:00 31/03/2014] id: Resp Rate (Total) el: 0 cu: MICU-A cg: RRT v1: 19 u1: BPM st: NotStopd t0: [20:50:00 31/03/2014] id: Sensitivity-Vent el: 0 cu: MICU-A cg: RRT v1: 2 u1: cmH2O st: NotStopd t0: [20:50:00 31/03/2014] id: SpO2 el: 0 cu: MICU-A cg: RRT v1: 98 u1: % st: NotStopd t0: [20:50:00 31/03/2014] id: Tidal Volume (Obser) el: 0 cu: MICU-A cg: RRT v1: 420 u1: ml/B st: NotStopd t0: [20:50:00 31/03/2014] id: Ventilator Mode el: 0 cu: MICU-A cg: RRT v1: CPAP+PS st: NotStopd t0: [20:50:00 31/03/2014] id: Ventilator No. el: 0 cu: MICU-A cg: RRT v1: 6 u1: # st: NotStopd t0: [20:50:00 31/03/2014] id: Ventilator Type el: 0 cu: MICU-A cg: RRT v1: 7200A st: NotStopd
tf: [21:00:00 01/04/2014] pt: Unit Dose rt: IV fr: ONCE fs: 22 dn: 1 m1: Furosemide f1: INJ v1: 20 u1: mg
t0: [22:00:00 31/03/2014] id: Service Type el: 0 cu: MICU-A cg: -1 v1: MICU st: NotStopd t0: [22:00:00 31/03/2014] id: CVP el: 0 cu: MICU-A cg: -1 v1: 14 u1: mmHg st: NotStopd t0: [22:00:00 31/03/2014] id: Code Status el: 0 cu: MICU-A cg: -1 v1: Full Code st: NotStopd t0: [22:00:00 31/03/2014] id: Ectopy Frequency el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [22:00:00 31/03/2014] id: Ectopy Type el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [22:00:00 31/03/2014] id: Heart Rate el: 0 cu: MICU-A cg: -1 v1: 65 u1: BPM st: NotStopd t0: [22:00:00 31/03/2014] id: Heart Rhythm el: 0 cu: MICU-A cg: -1 v1: Normal Sinus st: NotStopd t0: [22:00:00 31/03/2014] id: Arterial BP el: 0 cu: MICU-A cg: -1 v1: 113 u1: mmHg v2: 57 u2: mmHg st: NotStopd t0: [22:00:00 31/03/2014] id: Arterial BP Mean el: 0 cu: MICU-A cg: -1 v1: 77 u1: mmHg st: NotStopd t0: [22:00:00 31/03/2014] id: Precautions el: 0 cu: MICU-A cg: -1 v1: Universal st: NotStopd t0: [22:00:00 31/03/2014] id: Respiratory Rate el: 0 cu: MICU-A cg: -1 v1: 19 u1: BPM st: NotStopd t0: [22:00:00 31/03/2014] id: SpO2 el: 0 cu: MICU-A cg: -1 v1: 98 u1: % st: NotStopd t0: [22:00:00 31/03/2014] id: calprevflg el: 0 cu: MICU-A cg: -1 v1: 1 u1: kg st: NotStopd
t0: [22:00:00 31/03/2014] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 10 vu: ml t0: [22:00:00 31/03/2014] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 5 vu: ml t0: [22:00:00 31/03/2014] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU-A cg: -1 ai: 416 vo: 5 vu: ml t0: [22:00:00 31/03/2014] id: IV Piggyback 100.0ml IV Infusions el: 1 cu: MICU-A cg: -1 ai: 105 vo: 0 vu: ml t0: [22:00:00 31/03/2014] id: Promote w/fiber Tube Feeding el: 1 cu: MICU-A cg: -1 ai: 107 vo: 65 vu: ml
t0: [22:00:00 31/03/2014] id: Fentanyl el: 1 cu: MICU-A so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 250 su: ml rt: IV Drip t0: [22:00:00 31/03/2014] id: Ativan el: 1 cu: MICU-A so: D5W vo: 0 v1: 5 du: mghr sv: 60 su: ml rt: IV Drip
t0: [22:00:00 31/03/2014] id: Urine Out Foley el: 1 cu: MICU-A cg: -1 vo: 400 vu: ml
t0: [22:00:00 31/03/2014] id: Temp. Site el: 0 cu: MICU-A cg: -1 v1: Oral st: NotStopd t0: [22:00:00 31/03/2014] id: Temperature C (calc) el: 0 cu: MICU-A cg: -1 v1: 37.5 u1: Deg. C st: NotStopd t0: [22:00:00 31/03/2014] id: Temperature F el: 0 cu: MICU-A cg: -1 v1: 99.5 u1: Deg. F st: NotStopd
t0: [23:00:00 31/03/2014] id: Service Type el: 0 cu: MICU-A cg: -1 v1: MICU st: NotStopd t0: [23:00:00 31/03/2014] id: CVP el: 0 cu: MICU-A cg: -1 v1: 13 u1: mmHg st: NotStopd t0: [23:00:00 31/03/2014] id: Code Status el: 0 cu: MICU-A cg: -1 v1: Full Code st: NotStopd t0: [23:00:00 31/03/2014] id: Ectopy Frequency el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [23:00:00 31/03/2014] id: Ectopy Type el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [23:00:00 31/03/2014] id: Heart Rate el: 0 cu: MICU-A cg: -1 v1: 65 u1: BPM st: NotStopd t0: [23:00:00 31/03/2014] id: Heart Rhythm el: 0 cu: MICU-A cg: -1 v1: Normal Sinus st: NotStopd t0: [23:00:00 31/03/2014] id: Arterial BP el: 0 cu: MICU-A cg: -1 v1: 113 u1: mmHg v2: 58 u2: mmHg st: NotStopd t0: [23:00:00 31/03/2014] id: Arterial BP Mean el: 0 cu: MICU-A cg: -1 v1: 77 u1: mmHg st: NotStopd t0: [23:00:00 31/03/2014] id: Precautions el: 0 cu: MICU-A cg: -1 v1: Universal st: NotStopd t0: [23:00:00 31/03/2014] id: Respiratory Rate el: 0 cu: MICU-A cg: -1 v1: 17 u1: BPM st: NotStopd t0: [23:00:00 31/03/2014] id: SpO2 el: 0 cu: MICU-A cg: -1 v1: 98 u1: % st: NotStopd t0: [23:00:00 31/03/2014] id: calprevflg el: 0 cu: MICU-A cg: -1 v1: 1 u1: kg st: NotStopd
t0: [23:00:00 31/03/2014] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 10 vu: ml t0: [23:00:00 31/03/2014] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 5 vu: ml t0: [23:00:00 31/03/2014] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU-A cg: -1 ai: 416 vo: 5 vu: ml t0: [23:00:00 31/03/2014] id: IV Piggyback 100.0ml IV Infusions el: 1 cu: MICU-A cg: -1 ai: 105 vo: 0 vu: ml t0: [23:00:00 31/03/2014] id: Promote w/fiber Tube Feeding el: 1 cu: MICU-A cg: -1 ai: 107 vo: 65 vu: ml t0: [23:00:00 31/03/2014] id: Urine Out Foley el: 1 cu: MICU-A cg: -1 vo: 160 vu: ml
t0: [23:00:00 31/03/2014] id: Fentanyl el: 1 cu: MICU-A so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 250 su: ml rt: IV Drip t0: [23:00:00 31/03/2014] id: Ativan el: 1 cu: MICU-A so: D5W vo: 0 v1: 5 du: mghr sv: 60 su: ml rt: IV Drip
t0: [23:00:00 31/03/2014] dt: 1 id: Total Hourly Output el: 2 cu: MICU-A cg: -1 pv: 160 cv: 160 ap: none t0: [23:00:00 31/03/2014] dt: 1 id: Net Hourly Balance el: 2 cu: MICU-A cg: -1 pv: -75 cv: -75 ap: none t0: [23:00:00 31/03/2014] dt: 24 id: IV Infusion In Total el: 2 cu: MICU-A cg: -1 pv: 20 cv: 1201.1 ap: none t0: [23:00:00 31/03/2014] dt: 24 id: 24h Total In el: 2 cu: MICU-A cg: -1 pv: 85 cv: 2836.1 ap: none t0: [23:00:00 31/03/2014] dt: 24 id: Tube Feeds In Total el: 2 cu: MICU-A cg: -1 pv: 65 cv: 1265 ap: none t0: [23:00:00 31/03/2014] dt: 24 id: Urine Out Total el: 2 cu: MICU-A cg: -1 pv: 160 cv: 2995 ap: none t0: [23:00:00 31/03/2014] dt: 24 id: 24h Net Body Balance el: 2 cu: MICU-A cg: -1 pv: -75 cv: -178.9 ap: none t0: [23:00:00 31/03/2014] dt: 24 id: 24h Total Out el: 2 cu: MICU-A cg: -1 pv: 160 cv: 3015 ap: none t0: [23:00:00 31/03/2014] dt: multiple days id: LOS Net Body Balance el: 2 cu: MICU-A cg: -1 pv: -75 cv: 21588.4 ap: carryForward
t0: [20:00:00 31/03/2014] id: Family Communication el: 0 cu: MICU-A cg: -1 v1: Family Called st: NotStopd t0: [00:00:00 01/04/2014] id: Less Restrict Meas. el: 0 cu: MICU-A cg: -1 v1: Medicated st: NotStopd t0: [00:00:00 01/04/2014] id: Range of Motion el: 0 cu: MICU-A cg: -1 v1: Done st: NotStopd t0: [00:00:00 01/04/2014] id: INV#3Chg o/Wire Date el: 0 cu: MICU-A cg: -1 v1: 3 v2: 16 st: NotStopd t0: [00:00:00 01/04/2014] id: Service Type el: 0 cu: MICU-A cg: -1 v1: MICU st: NotStopd t0: [00:00:00 01/04/2014] id: Circulation/SkinInt el: 0 cu: MICU-A cg: -1 v1: Circulation Adeq st: NotStopd t0: [00:00:00 01/04/2014] id: Code Status el: 0 cu: MICU-A cg: -1 v1: Full Code st: NotStopd t0: [00:00:00 01/04/2014] id: Riker-SAS Scale el: 0 cu: MICU-A cg: -1 v1: Sedated st: NotStopd t0: [00:00:00 01/04/2014] id: GI Prophylaxis el: 0 cu: MICU-A cg: -1 v1: H2 Blocker st: NotStopd t0: [00:00:00 01/04/2014] id: Diet Type el: 0 cu: MICU-A cg: -1 v1: Tube Feeding st: NotStopd t0: [00:00:00 01/04/2014] id: Dorsal PedPulse R/L el: 0 cu: MICU-A cg: -1 v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [00:00:00 01/04/2014] id: Ectopy Frequency el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [00:00:00 01/04/2014] id: Ectopy Type el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [00:00:00 01/04/2014] id: Eye Care el: 0 cu: MICU-A cg: -1 v1: Done st: NotStopd t0: [00:00:00 01/04/2014] id: Eye Opening el: 0 cu: MICU-A cg: -1 v1: 2 To pain st: NotStopd t0: [00:00:00 01/04/2014] id: GCS Total el: 0 cu: MICU-A cg: -1 v1: 8 u1: points st: NotStopd t0: [00:00:00 01/04/2014] id: GI Intub #1/Site el: 0 cu: MICU-A cg: -1 v1: Salem Sump v2: Oral st: NotStopd t0: [00:00:00 01/04/2014] id: GI#1 Tube Stat/Drain el: 0 cu: MICU-A cg: -1 v1: Feeding v2: Undigested Food st: NotStopd t0: [00:00:00 01/04/2014] id: GU Catheter Size el: 0 cu: MICU-A cg: -1 v1: 14 French st: NotStopd t0: [00:00:00 01/04/2014] id: HOB el: 0 cu: MICU-A cg: -1 v1: 30 degrees st: NotStopd t0: [00:00:00 01/04/2014] id: Heart Rate el: 0 cu: MICU-A cg: -1 v1: 66 u1: BPM st: NotStopd t0: [00:00:00 01/04/2014] id: Heart Rhythm el: 0 cu: MICU-A cg: -1 v1: Normal Sinus st: NotStopd t0: [00:00:00 01/04/2014] id: INV Line#3 Site Date el: 0 cu: MICU-A cg: -1 v1: 3 v2: 16 st: NotStopd t0: [00:00:00 01/04/2014] id: INV Line#3 Type/Site el: 0 cu: MICU-A cg: -1 v1: Multi-lumen v2: Right IJ st: NotStopd t0: [00:00:00 01/04/2014] id: INV Line#3InsertDate el: 0 cu: MICU-A cg: -1 v1: 3 v2: 12 st: NotStopd t0: [00:00:00 01/04/2014] id: INV Line#3SiteAppear el: 0 cu: MICU-A cg: -1 v1: WNL st: NotStopd t0: [00:00:00 01/04/2014] id: INV Line#4 Type/Site el: 0 cu: MICU-A cg: -1 v1: A-Line v2: Right Brachial st: NotStopd t0: [00:00:00 01/04/2014] id: INV Line#4 Zero/Cal el: 0 cu: MICU-A cg: -1 v1: No st: NotStopd t0: [00:00:00 01/04/2014] id: INV Line#4InsertDate el: 0 cu: MICU-A cg: -1 v1: 3 v2: 17 st: NotStopd t0: [00:00:00 01/04/2014] id: INV Line#4SiteAppear el: 0 cu: MICU-A cg: -1 v1: WNL st: NotStopd t0: [00:00:00 01/04/2014] id: Abdominal Assessment el: 0 cu: MICU-A cg: -1 v1: Obese st: NotStopd t0: [00:00:00 01/04/2014] id: INV#4 WaveformAppear el: 0 cu: MICU-A cg: -1 v1: Sharp st: NotStopd t0: [00:00:00 01/04/2014] id: Activity el: 0 cu: MICU-A cg: -1 v1: Bedrest st: NotStopd t0: [00:00:00 01/04/2014] id: Activity Tolerance el: 0 cu: MICU-A cg: -1 v1: Tolerated Well st: NotStopd t0: [00:00:00 01/04/2014] id: Impaired Skin Site#1 el: 0 cu: MICU-A cg: -1 v1: Gluteal, Right st: NotStopd t0: [00:00:00 01/04/2014] id: Impaired Skin Site#2 el: 0 cu: MICU-A cg: -1 v1: Labia st: NotStopd t0: [00:00:00 01/04/2014] id: LLL Lung Sounds el: 0 cu: MICU-A cg: -1 v1: Diminished st: NotStopd t0: [00:00:00 01/04/2014] id: LUL Lung Sounds el: 0 cu: MICU-A cg: -1 v1: Coarse st: NotStopd t0: [00:00:00 01/04/2014] id: Level of Conscious el: 0 cu: MICU-A cg: -1 v1: Sedated st: NotStopd t0: [00:00:00 01/04/2014] id: Motor Response el: 0 cu: MICU-A cg: -1 v1: 5 Localizes Pain st: NotStopd t0: [00:00:00 01/04/2014] id: Oral Care el: 0 cu: MICU-A cg: -1 v1: Done st: NotStopd t0: [00:00:00 01/04/2014] id: Oral Cavity el: 0 cu: MICU-A cg: -1 v1: Thrush st: NotStopd t0: [00:00:00 01/04/2014] id: Orientation el: 0 cu: MICU-A cg: -1 v1: Other/Remarks st: NotStopd t0: [00:00:00 01/04/2014] id: AntiEmbDevice/Status el: 0 cu: MICU-A cg: -1 v1: Compress Sleeves v2: On st: NotStopd t0: [00:00:00 01/04/2014] id: Arterial BP el: 0 cu: MICU-A cg: -1 v1: 116 u1: mmHg v2: 58 u2: mmHg st: NotStopd t0: [00:00:00 01/04/2014] id: Arterial BP Mean el: 0 cu: MICU-A cg: -1 v1: 79 u1: mmHg st: NotStopd t0: [00:00:00 01/04/2014] id: Position el: 0 cu: MICU-A cg: -1 v1: Right Side st: NotStopd t0: [00:00:00 01/04/2014] id: Position Change el: 0 cu: MICU-A cg: -1 v1: Done st: NotStopd t0: [00:00:00 01/04/2014] id: Assistance Device el: 0 cu: MICU-A cg: -1 v1: 2 Person Assist st: NotStopd t0: [00:00:00 01/04/2014] id: Precautions el: 0 cu: MICU-A cg: -1 v1: Universal st: NotStopd t0: [00:00:00 01/04/2014] id: PressureReduceDevice el: 0 cu: MICU-A cg: -1 v1: Multipodus Boots st: NotStopd t0: [00:00:00 01/04/2014] id: RLL Lung Sounds el: 0 cu: MICU-A cg: -1 v1: Diminished st: NotStopd t0: [00:00:00 01/04/2014] id: RUL Lung Sounds el: 0 cu: MICU-A cg: -1 v1: Coarse st: NotStopd t0: [00:00:00 01/04/2014] id: Reason For Restraint el: 0 cu: MICU-A cg: -1 v1: Ext/TXInterfere st: NotStopd t0: [00:00:00 01/04/2014] id: Removed x 5 Mins el: 0 cu: MICU-A cg: -1 v1: Done st: NotStopd t0: [00:00:00 01/04/2014] id: Respiratory Pattern el: 0 cu: MICU-A cg: -1 v1: Regular st: NotStopd t0: [00:00:00 01/04/2014] id: Respiratory Rate el: 0 cu: MICU-A cg: -1 v1: 18 u1: BPM st: NotStopd t0: [00:00:00 01/04/2014] id: Restraint Location el: 0 cu: MICU-A cg: -1 v1: Both Arms st: NotStopd t0: [00:00:00 01/04/2014] id: Restraint Type el: 0 cu: MICU-A cg: -1 v1: Soft Limb st: NotStopd t0: [00:00:00 01/04/2014] id: Restraints Evaluated el: 0 cu: MICU-A cg: -1 v1: Behavior Conts st: NotStopd t0: [00:00:00 01/04/2014] id: Side Rails el: 0 cu: MICU-A cg: -1 v1: Side Rails Up st: NotStopd t0: [00:00:00 01/04/2014] id: Skin Care el: 0 cu: MICU-A cg: -1 v1: Done st: NotStopd t0: [00:00:00 01/04/2014] id: SpO2 el: 0 cu: MICU-A cg: -1 v1: 98 u1: % st: NotStopd t0: [00:00:00 01/04/2014] id: Stool Color/Consist el: 0 cu: MICU-A cg: -1 v1: Green v2: Loose st: NotStopd t0: [00:00:00 01/04/2014] id: Support Systems el: 0 cu: MICU-A cg: -1 v1: Spouse st: NotStopd t0: [00:00:00 01/04/2014] id: Temp. Site el: 0 cu: MICU-A cg: -1 v1: Oral st: NotStopd t0: [00:00:00 01/04/2014] id: Temperature C (calc) el: 0 cu: MICU-A cg: -1 v1: 37.8889 u1: Deg. C st: NotStopd t0: [00:00:00 01/04/2014] id: Temperature F el: 0 cu: MICU-A cg: -1 v1: 100.2 u1: Deg. F st: NotStopd t0: [00:00:00 01/04/2014] id: Therapeutic Bed el: 0 cu: MICU-A cg: -1 v1: AirMatt/1st Step st: NotStopd t0: [00:00:00 01/04/2014] id: Turn el: 0 cu: MICU-A cg: -1 v1: Right Side st: NotStopd t0: [00:00:00 01/04/2014] id: Urine Color/Appear el: 0 cu: MICU-A cg: -1 v1: Light Yellow v2: Clear st: NotStopd t0: [00:00:00 01/04/2014] id: Urine Source el: 0 cu: MICU-A cg: -1 v1: Indwelling Cath st: NotStopd t0: [00:00:00 01/04/2014] id: Verbal Response el: 0 cu: MICU-A cg: -1 v1: 1.0 ET/Trach st: NotStopd t0: [00:00:00 01/04/2014] id: Back Care el: 0 cu: MICU-A cg: -1 v1: Done st: NotStopd t0: [00:00:00 01/04/2014] id: calprevflg el: 0 cu: MICU-A cg: -1 v1: 1 u1: kg st: NotStopd t0: [00:00:00 01/04/2014] id: Behavior el: 0 cu: MICU-A cg: -1 v1: Sedated st: NotStopd t0: [00:00:00 01/04/2014] id: Bowel Sounds el: 0 cu: MICU-A cg: -1 v1: Present st: NotStopd
t0: [00:00:00 01/04/2014] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 10 vu: ml t0: [00:00:00 01/04/2014] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 5 vu: ml t0: [00:00:00 01/04/2014] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU-A cg: -1 ai: 416 vo: 5 vu: ml t0: [00:00:00 01/04/2014] id: IV Piggyback 100.0ml IV Infusions el: 1 cu: MICU-A cg: -1 ai: 105 vo: 0 vu: ml t0: [00:00:00 01/04/2014] id: Promote w/fiber Tube Feeding el: 1 cu: MICU-A cg: -1 ai: 107 vo: 65 vu: ml t0: [00:00:00 01/04/2014] id: Urine Out Foley el: 1 cu: MICU-A cg: -1 vo: 240 vu: ml
t0: [00:00:00 01/04/2014] id: Fentanyl el: 1 cu: MICU-A so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 250 su: ml rt: IV Drip t0: [00:00:00 01/04/2014] id: Ativan el: 1 cu: MICU-A so: D5W vo: 0 v1: 5 du: mghr sv: 60 su: ml rt: IV Drip
t0: [00:00:00 01/04/2014] id: Sputum Color/Consist el: 0 cu: MICU-A cg: -1 v1: Yellow v2: Thick st: NotStopd t0: [00:00:00 01/04/2014] id: Sputum Source/Amt el: 0 cu: MICU-A cg: -1 v1: Suctioned v2: Scant st: NotStopd
t0: [00:05:00 01/04/2014] id: BUN (6-20) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 31 rs: Final st: NotStopd t0: [00:05:00 01/04/2014] 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: [00:05:00 01/04/2014] id: Carbon Dioxide Chemistry el: 0 cu: MICU-A cg: 1663 v1: 22 rs: Final st: NotStopd t0: [00:05:00 01/04/2014] id: Chloride (100-112) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 113 rs: Final st: NotStopd t0: [00:05:00 01/04/2014] id: Creatinine (0-1.3) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 1.4 rs: Final st: NotStopd t0: [00:05:00 01/04/2014] id: Glucose (70-105) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 104 rs: Final st: NotStopd t0: [00:05:00 01/04/2014] id: Magnesium (1.6-2.6) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 2.2 rs: Final st: NotStopd t0: [00:05:00 01/04/2014] 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: [00:05:00 01/04/2014] id: Potassium (3.5-5.3) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 3.5 rs: Final st: NotStopd t0: [00:05:00 01/04/2014] id: Sodium (135-148) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 144 rs: Final st: NotStopd
t0: [01:00:00 01/04/2014] id: D5W 250.0ml + 400mcgkgmin Dopamine IV Infusions el: 1 cu: MICU-A cg: -1 ai: 115 vo: 0 st: D/C'd
t0: [01:00:00 01/04/2014] id: Service Type el: 0 cu: MICU-A cg: -1 v1: MICU st: NotStopd t0: [01:00:00 01/04/2014] id: Code Status el: 0 cu: MICU-A cg: -1 v1: Full Code st: NotStopd t0: [01:00:00 01/04/2014] id: Ectopy Frequency el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [01:00:00 01/04/2014] id: Ectopy Type el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [01:00:00 01/04/2014] id: Heart Rate el: 0 cu: MICU-A cg: -1 v1: 65 u1: BPM st: NotStopd t0: [01:00:00 01/04/2014] id: Heart Rhythm el: 0 cu: MICU-A cg: -1 v1: Normal Sinus st: NotStopd t0: [01:00:00 01/04/2014] id: Arterial BP el: 0 cu: MICU-A cg: -1 v1: 124 u1: mmHg v2: 65 u2: mmHg st: NotStopd t0: [01:00:00 01/04/2014] id: Arterial BP Mean el: 0 cu: MICU-A cg: -1 v1: 88 u1: mmHg st: NotStopd t0: [01:00:00 01/04/2014] id: Precautions el: 0 cu: MICU-A cg: -1 v1: Universal st: NotStopd t0: [01:00:00 01/04/2014] id: Respiratory Rate el: 0 cu: MICU-A cg: -1 v1: 12 u1: BPM st: NotStopd t0: [01:00:00 01/04/2014] id: SpO2 el: 0 cu: MICU-A cg: -1 v1: 98 u1: % st: NotStopd t0: [01:00:00 01/04/2014] id: calprevflg el: 0 cu: MICU-A cg: -1 v1: 1 u1: kg st: NotStopd
t0: [00:00:00 01/04/2014] id: TF Residual Gastric/TF Residual el: 1 cu: MICU-A cg: -1 ai: 107 vo: 10 vu: ml t0: [01:00:00 01/04/2014] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 10 vu: ml t0: [01:00:00 01/04/2014] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 5 vu: ml t0: [01:00:00 01/04/2014] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU-A cg: -1 ai: 416 vo: 5 vu: ml t0: [01:00:00 01/04/2014] id: IV Piggyback 100.0ml IV Infusions el: 1 cu: MICU-A cg: -1 ai: 105 vo: 0 vu: ml t0: [01:00:00 01/04/2014] id: Promote w/fiber Tube Feeding el: 1 cu: MICU-A cg: -1 ai: 107 vo: 65 vu: ml t0: [01:00:00 01/04/2014] id: Urine Out Foley el: 1 cu: MICU-A cg: -1 vo: 110 vu: ml
t0: [01:00:00 01/04/2014] id: Fentanyl el: 1 cu: MICU-A so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 250 su: ml rt: IV Drip t0: [01:00:00 01/04/2014] id: Ativan el: 1 cu: MICU-A so: D5W vo: 0 v1: 5 du: mghr sv: 60 su: ml rt: IV Drip
t0: [23:00:00 01/04/2014] dt: 1 id: Total Hourly Output el: 2 cu: MICU-A cg: RN pv: 50 cv: 50 ap: none t0: [23:00:00 01/04/2014] dt: 1 id: Net Hourly Balance el: 2 cu: MICU-A cg: RN pv: 35 cv: 35 ap: none t0: [23:00:00 01/04/2014] dt: 24 id: IV Infusion In Total el: 2 cu: MICU-A cg: RN pv: 20 cv: 730 ap: none t0: [23:00:00 01/04/2014] dt: 24 id: 24h Total In el: 2 cu: MICU-A cg: RN pv: 85 cv: 2510 ap: none t0: [23:00:00 01/04/2014] dt: 24 id: Tube Feeds In Total el: 2 cu: MICU-A cg: RN pv: 65 cv: 1560 ap: none t0: [23:00:00 01/04/2014] dt: 24 id: Urine Out Total el: 2 cu: MICU-A cg: RN pv: 50 cv: 3190 ap: none t0: [23:00:00 01/04/2014] dt: 24 id: 24h Net Body Balance el: 2 cu: MICU-A cg: RN pv: 35 cv: -730 ap: none t0: [23:00:00 01/04/2014] dt: 24 id: 24h Total Out el: 2 cu: MICU-A cg: RN pv: 50 cv: 3240 ap: none t0: [23:00:00 01/04/2014] dt: multiple days id: LOS Net Body Balance el: 2 cu: MICU-A cg: RN pv: 35 cv: 20858.4 ap: carryForward
t0: [00:00:00 01/04/2014] id: ETT Mark/Location el: 0 cu: MICU-A cg: RRT v1: 23cm v2: Lip st: NotStopd t0: [00:00:00 01/04/2014] id: FiO2 Set el: 0 cu: MICU-A cg: RRT v1: 0.4 u1: torr st: NotStopd t0: [00:00:00 01/04/2014] id: Flow-By (lpm) el: 0 cu: MICU-A cg: RRT v1: 6 u1: lpm st: NotStopd t0: [00:00:00 01/04/2014] id: Flow-by Sensitivity el: 0 cu: MICU-A cg: RRT v1: 1 u1: cmH2O st: NotStopd t0: [00:00:00 01/04/2014] id: High Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 55 u1: cmH2O st: NotStopd t0: [00:00:00 01/04/2014] id: High Resp. Rate el: 0 cu: MICU-A cg: RRT v1: 35 u1: BPM st: NotStopd t0: [00:00:00 01/04/2014] id: Airway Size el: 0 cu: MICU-A cg: RRT v1: 7.5 mm st: NotStopd t0: [00:00:00 01/04/2014] id: Airway Type el: 0 cu: MICU-A cg: RRT v1: Endotracheal st: NotStopd t0: [00:00:00 01/04/2014] id: Inspired Gas Temp el: 0 cu: MICU-A cg: RRT v1: 34 u1: Deg. C st: NotStopd t0: [00:00:00 01/04/2014] id: Intubation Date el: 0 cu: MICU-A cg: RRT v1: 3 v2: 12 st: NotStopd t0: [00:00:00 01/04/2014] id: Low Exhaled Min Vol el: 0 cu: MICU-A cg: RRT v1: 5 st: NotStopd t0: [00:00:00 01/04/2014] id: Low Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 20 u1: cmH2O st: NotStopd t0: [00:00:00 01/04/2014] id: Mean Airway Pressure el: 0 cu: MICU-A cg: RRT v1: 15.4 u1: cmH2O st: NotStopd t0: [00:00:00 01/04/2014] id: Minute Volume(Obser) el: 0 cu: MICU-A cg: RRT v1: 7.8 u1: L/min st: NotStopd t0: [00:00:00 01/04/2014] id: PEEP Set el: 0 cu: MICU-A cg: RRT v1: 12 u1: cmH2O st: NotStopd t0: [00:00:00 01/04/2014] id: Apnea Time Interval el: 0 cu: MICU-A cg: RRT v1: 20 st: NotStopd t0: [00:00:00 01/04/2014] id: Pressure Support el: 0 cu: MICU-A cg: RRT v1: 15 u1: . st: NotStopd t0: [00:00:00 01/04/2014] id: Resp Rate (Total) el: 0 cu: MICU-A cg: RRT v1: 17 u1: BPM st: NotStopd t0: [00:00:00 01/04/2014] id: Tidal Volume (Spont) el: 0 cu: MICU-A cg: RRT v1: 410 u1: ml/B st: NotStopd t0: [00:00:00 01/04/2014] id: Ventilator Mode el: 0 cu: MICU-A cg: RRT v1: CPAP+PS st: NotStopd t0: [00:00:00 01/04/2014] id: Ventilator No. el: 0 cu: MICU-A cg: RRT v1: 6 u1: # st: NotStopd t0: [00:00:00 01/04/2014] id: Ventilator Type el: 0 cu: MICU-A cg: RRT v1: 7200A st: NotStopd
t0: [00:05:00 01/04/2014] id: Vancomycin/Trough Drug Level el: 0 cu: MICU-A cg: 1663 v1: 21.1 rs: Final st: NotStopd
t0: [02:00:00 01/04/2014] id: Service Type el: 0 cu: MICU-A cg: -1 v1: MICU st: NotStopd t0: [02:00:00 01/04/2014] id: Code Status el: 0 cu: MICU-A cg: -1 v1: Full Code st: NotStopd t0: [02:00:00 01/04/2014] id: Ectopy Frequency el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [02:00:00 01/04/2014] id: Ectopy Type el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [02:00:00 01/04/2014] id: Heart Rate el: 0 cu: MICU-A cg: -1 v1: 66 u1: BPM st: NotStopd t0: [02:00:00 01/04/2014] id: Heart Rhythm el: 0 cu: MICU-A cg: -1 v1: Normal Sinus st: NotStopd t0: [02:00:00 01/04/2014] id: Arterial BP el: 0 cu: MICU-A cg: -1 v1: 124 u1: mmHg v2: 64 u2: mmHg st: NotStopd t0: [02:00:00 01/04/2014] id: Arterial BP Mean el: 0 cu: MICU-A cg: -1 v1: 87 u1: mmHg st: NotStopd t0: [02:00:00 01/04/2014] id: Precautions el: 0 cu: MICU-A cg: -1 v1: Universal st: NotStopd t0: [02:00:00 01/04/2014] id: Respiratory Rate el: 0 cu: MICU-A cg: -1 v1: 24 u1: BPM st: NotStopd t0: [02:00:00 01/04/2014] id: SpO2 el: 0 cu: MICU-A cg: -1 v1: 99 u1: % st: NotStopd t0: [02:00:00 01/04/2014] id: calprevflg el: 0 cu: MICU-A cg: -1 v1: 1 u1: kg st: NotStopd
t0: [02:00:00 01/04/2014] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 10 vu: ml t0: [02:00:00 01/04/2014] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 5 vu: ml t0: [02:00:00 01/04/2014] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU-A cg: -1 ai: 416 vo: 5 vu: ml t0: [02:00:00 01/04/2014] tf: [03:00:00 01/04/2014] dt: 60 id: IV Piggyback 100.0ml IV Infusions el: 1 cu: MICU-A cg: -1 ai: 105 vo: 200 vu: ml t0: [02:00:00 01/04/2014] id: Promote w/fiber Tube Feeding el: 1 cu: MICU-A cg: -1 ai: 107 vo: 65 vu: ml
t0: [02:00:00 01/04/2014] id: Fentanyl el: 1 cu: MICU-A so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 250 su: ml rt: IV Drip t0: [02:00:00 01/04/2014] id: Ativan el: 1 cu: MICU-A so: D5W vo: 0 v1: 5 du: mghr sv: 60 su: ml rt: IV Drip
t0: [02:00:00 01/04/2014] id: Gastric Meds PO/Gastric el: 1 cu: MICU-A cg: -1 ai: 155 vo: 120 vu: ml
tf: [01:00:00 02/04/2014] pt: Unit Dose rt: NG fr: ONCE fs: 2 dn: 1 m1: Potassium Chloride f1: PWDR v1: 40 u1: mEq
t0: [02:00:00 01/04/2014] id: Urine Out Foley el: 1 cu: MICU-A cg: -1 vo: 80 vu: ml
t0: [03:00:00 01/04/2014] id: ETT Mark/Location el: 0 cu: MICU-A cg: RRT v1: 23cm v2: Lip st: NotStopd t0: [03:00:00 01/04/2014] id: FiO2 Set el: 0 cu: MICU-A cg: RRT v1: 0.4 u1: torr st: NotStopd t0: [03:00:00 01/04/2014] id: Flow-By (lpm) el: 0 cu: MICU-A cg: RRT v1: 6 u1: lpm st: NotStopd t0: [03:00:00 01/04/2014] id: Flow-by Sensitivity el: 0 cu: MICU-A cg: RRT v1: 1 u1: cmH2O st: NotStopd t0: [03:00:00 01/04/2014] id: High Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 55 u1: cmH2O st: NotStopd t0: [03:00:00 01/04/2014] id: High Resp. Rate el: 0 cu: MICU-A cg: RRT v1: 35 u1: BPM st: NotStopd t0: [03:00:00 01/04/2014] id: Airway Size el: 0 cu: MICU-A cg: RRT v1: 7.5 mm st: NotStopd t0: [03:00:00 01/04/2014] id: Airway Type el: 0 cu: MICU-A cg: RRT v1: Endotracheal st: NotStopd t0: [03:00:00 01/04/2014] id: Inspired Gas Temp el: 0 cu: MICU-A cg: RRT v1: 34 u1: Deg. C st: NotStopd t0: [03:00:00 01/04/2014] id: Intubation Date el: 0 cu: MICU-A cg: RRT v1: 3 v2: 12 st: NotStopd t0: [03:00:00 01/04/2014] id: Low Exhaled Min Vol el: 0 cu: MICU-A cg: RRT v1: 5 st: NotStopd t0: [03:00:00 01/04/2014] id: Low Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 20 u1: cmH2O st: NotStopd t0: [03:00:00 01/04/2014] id: Mean Airway Pressure el: 0 cu: MICU-A cg: RRT v1: 18.2 u1: cmH2O st: NotStopd t0: [03:00:00 01/04/2014] id: PEEP Set el: 0 cu: MICU-A cg: RRT v1: 12 u1: cmH2O st: NotStopd t0: [03:00:00 01/04/2014] id: Apnea Time Interval el: 0 cu: MICU-A cg: RRT v1: 20 st: NotStopd t0: [03:00:00 01/04/2014] id: Resp Rate (Total) el: 0 cu: MICU-A cg: RRT v1: 23 u1: BPM st: NotStopd t0: [03:00:00 01/04/2014] id: SpO2 el: 0 cu: MICU-A cg: RRT v1: 98 u1: % st: NotStopd t0: [03:00:00 01/04/2014] id: Tidal Volume (Spont) el: 0 cu: MICU-A cg: RRT v1: 390 u1: ml/B st: NotStopd t0: [03:00:00 01/04/2014] id: Ventilator Mode el: 0 cu: MICU-A cg: RRT v1: CPAP+PS st: NotStopd t0: [03:00:00 01/04/2014] id: Ventilator No. el: 0 cu: MICU-A cg: RRT v1: 6 u1: # st: NotStopd t0: [03:00:00 01/04/2014] id: Ventilator Type el: 0 cu: MICU-A cg: RRT v1: 7200A st: NotStopd
t0: [03:00:00 01/04/2014] id: Service Type el: 0 cu: MICU-A cg: -1 v1: MICU st: NotStopd t0: [03:00:00 01/04/2014] id: CVP el: 0 cu: MICU-A cg: -1 v1: 0 u1: mmHg st: NotStopd t0: [03:00:00 01/04/2014] id: Code Status el: 0 cu: MICU-A cg: -1 v1: Full Code st: NotStopd t0: [03:00:00 01/04/2014] id: Ectopy Frequency el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [03:00:00 01/04/2014] id: Ectopy Type el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [03:00:00 01/04/2014] id: Heart Rate el: 0 cu: MICU-A cg: -1 v1: 70 u1: BPM st: NotStopd t0: [03:00:00 01/04/2014] id: Heart Rhythm el: 0 cu: MICU-A cg: -1 v1: Normal Sinus st: NotStopd t0: [03:00:00 01/04/2014] id: Arterial BP el: 0 cu: MICU-A cg: -1 v1: 121 u1: mmHg v2: 63 u2: mmHg st: NotStopd t0: [03:00:00 01/04/2014] id: Arterial BP Mean el: 0 cu: MICU-A cg: -1 v1: 85 u1: mmHg st: NotStopd t0: [03:00:00 01/04/2014] id: Precautions el: 0 cu: MICU-A cg: -1 v1: Universal st: NotStopd t0: [03:00:00 01/04/2014] id: Respiratory Rate el: 0 cu: MICU-A cg: -1 v1: 25 u1: BPM st: NotStopd t0: [03:00:00 01/04/2014] id: calprevflg el: 0 cu: MICU-A cg: -1 v1: 1 u1: kg st: NotStopd
t0: [03:00:00 01/04/2014] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 10 vu: ml t0: [03:00:00 01/04/2014] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 5 vu: ml t0: [03:00:00 01/04/2014] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU-A cg: -1 ai: 416 vo: 5 vu: ml t0: [03:00:00 01/04/2014] id: IV Piggyback 100.0ml IV Infusions el: 1 cu: MICU-A cg: -1 ai: 105 vo: 0 vu: ml t0: [03:00:00 01/04/2014] id: Promote w/fiber Tube Feeding el: 1 cu: MICU-A cg: -1 ai: 107 vo: 65 vu: ml t0: [03:00:00 01/04/2014] id: Urine Out Foley el: 1 cu: MICU-A cg: -1 vo: 380 vu: ml
t0: [03:00:00 01/04/2014] id: Fentanyl el: 1 cu: MICU-A so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 250 su: ml rt: IV Drip t0: [03:00:00 01/04/2014] id: Ativan el: 1 cu: MICU-A so: D5W vo: 0 v1: 5 du: mghr sv: 60 su: ml rt: IV Drip
t0: [03:00:00 01/04/2014] id: Sputum Color/Consist el: 0 cu: MICU-A cg: -1 v1: Yellow v2: Thick st: NotStopd t0: [03:00:00 01/04/2014] id: Sputum Source/Amt el: 0 cu: MICU-A cg: -1 v1: Suctioned v2: Moderate st: NotStopd
tf: [03:00:00 02/04/2014] pt: Unit Dose rt: IV fr: ONCE fs: 4 dn: 1 m1: Furosemide f1: INJ v1: 40 u1: mg
t0: [03:00:00 01/04/2014] id: Pressure Support el: 0 cu: MICU-A cg: RRT v1: 15 u1: . st: NotStopd
t0: [04:00:00 01/04/2014] id: Less Restrict Meas. el: 0 cu: MICU-A cg: -1 v1: Medicated st: NotStopd t0: [04:00:00 01/04/2014] id: Range of Motion el: 0 cu: MICU-A cg: -1 v1: Done st: NotStopd t0: [04:00:00 01/04/2014] id: INV#3Chg o/Wire Date el: 0 cu: MICU-A cg: -1 v1: 3 v2: 16 st: NotStopd t0: [04:00:00 01/04/2014] id: Service Type el: 0 cu: MICU-A cg: -1 v1: MICU st: NotStopd t0: [04:00:00 01/04/2014] id: Circulation/SkinInt el: 0 cu: MICU-A cg: -1 v1: Circulation Adeq st: NotStopd t0: [04:00:00 01/04/2014] id: Code Status el: 0 cu: MICU-A cg: -1 v1: Full Code st: NotStopd t0: [04:00:00 01/04/2014] id: Riker-SAS Scale el: 0 cu: MICU-A cg: -1 v1: Agitated st: NotStopd t0: [04:00:00 01/04/2014] id: GI Prophylaxis el: 0 cu: MICU-A cg: -1 v1: H2 Blocker st: NotStopd t0: [04:00:00 01/04/2014] id: Diet Type el: 0 cu: MICU-A cg: -1 v1: Tube Feeding st: NotStopd t0: [04:00:00 01/04/2014] id: Ectopy Frequency el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [04:00:00 01/04/2014] id: Ectopy Type el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [04:00:00 01/04/2014] id: Eye Opening el: 0 cu: MICU-A cg: -1 v1: 2 To pain st: NotStopd t0: [04:00:00 01/04/2014] id: GCS Total el: 0 cu: MICU-A cg: -1 v1: 8 u1: points st: NotStopd t0: [04:00:00 01/04/2014] id: GI Intub #1/Site el: 0 cu: MICU-A cg: -1 v1: Salem Sump v2: Oral st: NotStopd t0: [04:00:00 01/04/2014] id: GU Catheter Size el: 0 cu: MICU-A cg: -1 v1: 14 French st: NotStopd t0: [04:00:00 01/04/2014] id: HOB el: 0 cu: MICU-A cg: -1 v1: 30 degrees st: NotStopd t0: [04:00:00 01/04/2014] id: Heart Rate el: 0 cu: MICU-A cg: -1 v1: 79 u1: BPM st: NotStopd t0: [04:00:00 01/04/2014] id: Heart Rhythm el: 0 cu: MICU-A cg: -1 v1: Normal Sinus st: NotStopd t0: [04:00:00 01/04/2014] id: INV Line#3 Site Date el: 0 cu: MICU-A cg: -1 v1: 3 v2: 16 st: NotStopd t0: [04:00:00 01/04/2014] id: INV Line#3 Type/Site el: 0 cu: MICU-A cg: -1 v1: Multi-lumen v2: Right IJ st: NotStopd t0: [04:00:00 01/04/2014] id: INV Line#3InsertDate el: 0 cu: MICU-A cg: -1 v1: 3 v2: 12 st: NotStopd t0: [04:00:00 01/04/2014] id: INV Line#3SiteAppear el: 0 cu: MICU-A cg: -1 v1: WNL st: NotStopd t0: [04:00:00 01/04/2014] id: INV Line#4 Type/Site el: 0 cu: MICU-A cg: -1 v1: A-Line v2: Right Brachial st: NotStopd t0: [04:00:00 01/04/2014] id: INV Line#4 Zero/Cal el: 0 cu: MICU-A cg: -1 v1: No st: NotStopd t0: [04:00:00 01/04/2014] id: INV Line#4InsertDate el: 0 cu: MICU-A cg: -1 v1: 3 v2: 17 st: NotStopd t0: [04:00:00 01/04/2014] id: INV Line#4SiteAppear el: 0 cu: MICU-A cg: -1 v1: WNL st: NotStopd t0: [04:00:00 01/04/2014] id: Abdominal Assessment el: 0 cu: MICU-A cg: -1 v1: Obese st: NotStopd t0: [04:00:00 01/04/2014] id: INV#4 WaveformAppear el: 0 cu: MICU-A cg: -1 v1: Sharp st: NotStopd t0: [04:00:00 01/04/2014] id: Activity el: 0 cu: MICU-A cg: -1 v1: Bedrest st: NotStopd t0: [04:00:00 01/04/2014] id: Activity Tolerance el: 0 cu: MICU-A cg: -1 v1: Tolerated Well st: NotStopd t0: [04:00:00 01/04/2014] id: Impaired Skin Site#1 el: 0 cu: MICU-A cg: -1 v1: Gluteal, Right st: NotStopd t0: [04:00:00 01/04/2014] id: Impaired Skin Site#2 el: 0 cu: MICU-A cg: -1 v1: Labia st: NotStopd t0: [04:00:00 01/04/2014] id: LLL Lung Sounds el: 0 cu: MICU-A cg: -1 v1: Diminished st: NotStopd t0: [04:00:00 01/04/2014] id: LUL Lung Sounds el: 0 cu: MICU-A cg: -1 v1: Coarse st: NotStopd t0: [04:00:00 01/04/2014] id: Level of Conscious el: 0 cu: MICU-A cg: -1 v1: Other/Remarks st: NotStopd t0: [04:00:00 01/04/2014] id: Motor Response el: 0 cu: MICU-A cg: -1 v1: 5 Localizes Pain st: NotStopd t0: [04:00:00 01/04/2014] id: Oral Care el: 0 cu: MICU-A cg: -1 v1: Done st: NotStopd t0: [04:00:00 01/04/2014] id: Oral Cavity el: 0 cu: MICU-A cg: -1 v1: Thrush st: NotStopd t0: [04:00:00 01/04/2014] id: Orientation el: 0 cu: MICU-A cg: -1 v1: Other/Remarks st: NotStopd t0: [04:00:00 01/04/2014] id: AntiEmbDevice/Status el: 0 cu: MICU-A cg: -1 v1: Compress Sleeves v2: On st: NotStopd t0: [04:00:00 01/04/2014] id: Arterial BP el: 0 cu: MICU-A cg: -1 v1: 122 u1: mmHg v2: 59 u2: mmHg st: NotStopd t0: [04:00:00 01/04/2014] id: Arterial BP Mean el: 0 cu: MICU-A cg: -1 v1: 79 u1: mmHg st: NotStopd t0: [04:00:00 01/04/2014] id: Position el: 0 cu: MICU-A cg: -1 v1: Supine st: NotStopd t0: [04:00:00 01/04/2014] id: Position Change el: 0 cu: MICU-A cg: -1 v1: Done st: NotStopd t0: [04:00:00 01/04/2014] id: Assistance Device el: 0 cu: MICU-A cg: -1 v1: 2 Person Assist st: NotStopd t0: [04:00:00 01/04/2014] id: Precautions el: 0 cu: MICU-A cg: -1 v1: Universal st: NotStopd t0: [04:00:00 01/04/2014] id: PressureReduceDevice el: 0 cu: MICU-A cg: -1 v1: Multipodus Boots st: NotStopd t0: [04:00:00 01/04/2014] id: RLL Lung Sounds el: 0 cu: MICU-A cg: -1 v1: Diminished st: NotStopd t0: [04:00:00 01/04/2014] id: RUL Lung Sounds el: 0 cu: MICU-A cg: -1 v1: Coarse st: NotStopd t0: [04:00:00 01/04/2014] id: Reason For Restraint el: 0 cu: MICU-A cg: -1 v1: Ext/TXInterfere st: NotStopd t0: [04:00:00 01/04/2014] id: Removed x 5 Mins el: 0 cu: MICU-A cg: -1 v1: Done st: NotStopd t0: [04:00:00 01/04/2014] id: Respiratory Pattern el: 0 cu: MICU-A cg: -1 v1: Regular st: NotStopd t0: [04:00:00 01/04/2014] id: Respiratory Rate el: 0 cu: MICU-A cg: -1 v1: 29 u1: BPM st: NotStopd t0: [04:00:00 01/04/2014] id: Restraint Location el: 0 cu: MICU-A cg: -1 v1: Both Arms st: NotStopd t0: [04:00:00 01/04/2014] id: Restraint Type el: 0 cu: MICU-A cg: -1 v1: Soft Limb st: NotStopd t0: [04:00:00 01/04/2014] id: Restraints Evaluated el: 0 cu: MICU-A cg: -1 v1: Behavior Conts st: NotStopd t0: [04:00:00 01/04/2014] id: Side Rails el: 0 cu: MICU-A cg: -1 v1: Side Rails Up st: NotStopd t0: [04:00:00 01/04/2014] id: Skin Care el: 0 cu: MICU-A cg: -1 v1: Done st: NotStopd t0: [04:00:00 01/04/2014] id: SpO2 el: 0 cu: MICU-A cg: -1 v1: 99 u1: % st: NotStopd t0: [04:00:00 01/04/2014] id: Stool Color/Consist el: 0 cu: MICU-A cg: -1 v1: Green v2: Loose st: NotStopd t0: [04:00:00 01/04/2014] id: Support Systems el: 0 cu: MICU-A cg: -1 v1: Spouse st: NotStopd t0: [04:00:00 01/04/2014] id: Temp. Site el: 0 cu: MICU-A cg: -1 v1: Oral st: NotStopd t0: [04:00:00 01/04/2014] id: Temperature C (calc) el: 0 cu: MICU-A cg: -1 v1: 37.3333 u1: Deg. C st: NotStopd t0: [04:00:00 01/04/2014] id: Temperature F el: 0 cu: MICU-A cg: -1 v1: 99.2 u1: Deg. F st: NotStopd t0: [04:00:00 01/04/2014] id: Therapeutic Bed el: 0 cu: MICU-A cg: -1 v1: AirMatt/1st Step st: NotStopd t0: [04:00:00 01/04/2014] id: Turn el: 0 cu: MICU-A cg: -1 v1: Back st: NotStopd t0: [04:00:00 01/04/2014] id: Urine Color/Appear el: 0 cu: MICU-A cg: -1 v1: Light Yellow v2: Clear st: NotStopd t0: [04:00:00 01/04/2014] id: Urine Source el: 0 cu: MICU-A cg: -1 v1: Indwelling Cath st: NotStopd t0: [04:00:00 01/04/2014] id: Verbal Response el: 0 cu: MICU-A cg: -1 v1: 1.0 ET/Trach st: NotStopd t0: [04:00:00 01/04/2014] id: Back Care el: 0 cu: MICU-A cg: -1 v1: Done st: NotStopd t0: [04:00:00 01/04/2014] id: calprevflg el: 0 cu: MICU-A cg: -1 v1: 1 u1: kg st: NotStopd t0: [04:00:00 01/04/2014] id: Behavior el: 0 cu: MICU-A cg: -1 v1: Agitated st: NotStopd t0: [04:00:00 01/04/2014] id: Bowel Sounds el: 0 cu: MICU-A cg: -1 v1: Present st: NotStopd
t0: [04:00:00 01/04/2014] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 10 vu: ml t0: [04:00:00 01/04/2014] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 5 vu: ml t0: [04:00:00 01/04/2014] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU-A cg: -1 ai: 416 vo: 5 vu: ml t0: [04:00:00 01/04/2014] tf: [05:00:00 01/04/2014] dt: 60 id: IV Piggyback 100.0ml IV Infusions el: 1 cu: MICU-A cg: -1 ai: 105 vo: 50 vu: ml t0: [04:00:00 01/04/2014] id: Promote w/fiber Tube Feeding el: 1 cu: MICU-A cg: -1 ai: 107 vo: 65 vu: ml t0: [04:00:00 01/04/2014] id: Urine Out Foley el: 1 cu: MICU-A cg: -1 vo: 400 vu: ml
t0: [04:00:00 01/04/2014] id: Fentanyl el: 1 cu: MICU-A so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 250 su: ml rt: IV Drip t0: [04:00:00 01/04/2014] id: Ativan el: 1 cu: MICU-A so: D5W vo: 0 v1: 5 du: mghr sv: 60 su: ml rt: IV Drip
t0: [04:00:00 01/04/2014] id: GI#1 Tube PlaceCheck el: 0 cu: MICU-A cg: -1 v1: Done st: NotStopd t0: [04:00:00 01/04/2014] id: GI#1 Tube Stat/Drain el: 0 cu: MICU-A cg: -1 v1: Feeding v2: Undigested Food st: NotStopd
t0: [04:00:00 01/04/2014] id: ETT Mark/Location el: 0 cu: MICU-A cg: RRT v1: 24cm v2: Lip st: NotStopd t0: [04:00:00 01/04/2014] id: FiO2 Set el: 0 cu: MICU-A cg: RRT v1: 0.4 u1: torr st: NotStopd t0: [04:00:00 01/04/2014] id: Airway Size el: 0 cu: MICU-A cg: RRT v1: 7.5 mm st: NotStopd t0: [04:00:00 01/04/2014] id: Airway Type el: 0 cu: MICU-A cg: RRT v1: Endotracheal st: NotStopd t0: [04:00:00 01/04/2014] id: Intubation Date el: 0 cu: MICU-A cg: RRT v1: 3 v2: 12 st: NotStopd
t0: [04:30:00 01/04/2014] id: Compliance (40-60ml) el: 0 cu: MICU-A cg: RRT v1: 22.5 u1: ml/cmH st: NotStopd t0: [04:30:00 01/04/2014] id: ETT Mark/Location el: 0 cu: MICU-A cg: RRT v1: 24cm v2: Lip st: NotStopd t0: [04:30:00 01/04/2014] id: FiO2 Set el: 0 cu: MICU-A cg: RRT v1: 0.6 u1: torr st: NotStopd t0: [04:30:00 01/04/2014] id: Flow-By (lpm) el: 0 cu: MICU-A cg: RRT v1: 6 u1: lpm st: NotStopd t0: [04:30:00 01/04/2014] id: Flow-by Sensitivity el: 0 cu: MICU-A cg: RRT v1: 1 u1: cmH2O st: NotStopd t0: [04:30:00 01/04/2014] id: High Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 55 u1: cmH2O st: NotStopd t0: [04:30:00 01/04/2014] id: High Resp. Rate el: 0 cu: MICU-A cg: RRT v1: 35 u1: BPM st: NotStopd t0: [04:30:00 01/04/2014] id: I:E Ratio el: 0 cu: MICU-A cg: RRT v1: 2.3 st: NotStopd t0: [04:30:00 01/04/2014] id: Airway Size el: 0 cu: MICU-A cg: RRT v1: 7.5 mm st: NotStopd t0: [04:30:00 01/04/2014] id: Airway Type el: 0 cu: MICU-A cg: RRT v1: Endotracheal st: NotStopd t0: [04:30:00 01/04/2014] id: Inspired Gas Temp el: 0 cu: MICU-A cg: RRT v1: 34 u1: Deg. C st: NotStopd t0: [04:30:00 01/04/2014] id: Intubation Date el: 0 cu: MICU-A cg: RRT v1: 3 v2: 12 st: NotStopd t0: [04:30:00 01/04/2014] id: Low Exhaled Min Vol el: 0 cu: MICU-A cg: RRT v1: 5 st: NotStopd t0: [04:30:00 01/04/2014] id: Low Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 20 u1: cmH2O st: NotStopd t0: [04:30:00 01/04/2014] id: Mean Airway Pressure el: 0 cu: MICU-A cg: RRT v1: 18.1 u1: cmH2O st: NotStopd t0: [04:30:00 01/04/2014] id: Minute Volume(Obser) el: 0 cu: MICU-A cg: RRT v1: 9.6 u1: L/min st: NotStopd t0: [04:30:00 01/04/2014] id: PEEP Set el: 0 cu: MICU-A cg: RRT v1: 12 u1: cmH2O st: NotStopd t0: [04:30:00 01/04/2014] id: Apnea Time Interval el: 0 cu: MICU-A cg: RRT v1: 20 st: NotStopd t0: [04:30:00 01/04/2014] id: Peak Flow el: 0 cu: MICU-A cg: RRT v1: 55 u1: L/m st: NotStopd t0: [04:30:00 01/04/2014] id: Peak Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 32 u1: cmH2O st: NotStopd t0: [04:30:00 01/04/2014] id: Plateau Pressure el: 0 cu: MICU-A cg: RRT v1: 28 u1: cmH2O st: NotStopd t0: [04:30:00 01/04/2014] id: Pressure Support el: 0 cu: MICU-A cg: RRT v1: 0 u1: . st: NotStopd t0: [04:30:00 01/04/2014] id: Resp Rate (Spont) el: 0 cu: MICU-A cg: RRT v1: 1 u1: BPM st: NotStopd t0: [04:30:00 01/04/2014] id: Resp Rate (Total) el: 0 cu: MICU-A cg: RRT v1: 21 u1: BPM st: NotStopd t0: [04:30:00 01/04/2014] id: Respiratory Rate Set el: 0 cu: MICU-A cg: RRT v1: 20 u1: BPM st: NotStopd t0: [04:30:00 01/04/2014] id: SpO2 el: 0 cu: MICU-A cg: RRT v1: 93 u1: % st: NotStopd t0: [04:30:00 01/04/2014] id: Sputum Color/Consist el: 0 cu: MICU-A cg: RRT v1: Yellow v2: Thick st: NotStopd t0: [04:30:00 01/04/2014] id: Sputum Source/Amt el: 0 cu: MICU-A cg: RRT v1: Suctioned v2: Moderate st: NotStopd t0: [04:30:00 01/04/2014] id: Tidal Volume (Obser) el: 0 cu: MICU-A cg: RRT v1: 450 u1: ml/B st: NotStopd t0: [04:30:00 01/04/2014] id: Tidal Volume (Set) el: 0 cu: MICU-A cg: RRT v1: 450 u1: ml/B st: NotStopd t0: [04:30:00 01/04/2014] id: Ventilator Mode el: 0 cu: MICU-A cg: RRT v1: Assist Control st: NotStopd t0: [04:30:00 01/04/2014] id: Ventilator No. el: 0 cu: MICU-A cg: RRT v1: 6 u1: # st: NotStopd t0: [04:30:00 01/04/2014] id: Ventilator Type el: 0 cu: MICU-A cg: RRT v1: 7200A st: NotStopd t0: [04:30:00 01/04/2014] id: Waveform-Vent el: 0 cu: MICU-A cg: RRT v1: RAMP st: NotStopd
t0: [04:45:00 01/04/2014] id: Compliance (40-60ml) el: 0 cu: MICU-A cg: RRT v1: 18 u1: ml/cmH st: NotStopd t0: [04:45:00 01/04/2014] id: FiO2 Set el: 0 cu: MICU-A cg: RRT v1: 0.6 u1: torr st: NotStopd t0: [04:45:00 01/04/2014] id: Flow-By (lpm) el: 0 cu: MICU-A cg: RRT v1: 6 u1: lpm st: NotStopd t0: [04:45:00 01/04/2014] id: Flow-by Sensitivity el: 0 cu: MICU-A cg: RRT v1: 1 u1: cmH2O st: NotStopd t0: [04:45:00 01/04/2014] id: High Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 55 u1: cmH2O st: NotStopd t0: [04:45:00 01/04/2014] id: High Resp. Rate el: 0 cu: MICU-A cg: RRT v1: 35 u1: BPM st: NotStopd t0: [04:45:00 01/04/2014] id: I:E Ratio el: 0 cu: MICU-A cg: RRT v1: 3.4 st: NotStopd t0: [04:45:00 01/04/2014] id: Inspired Gas Temp el: 0 cu: MICU-A cg: RRT v1: 34 u1: Deg. C st: NotStopd t0: [04:45:00 01/04/2014] id: Low Exhaled Min Vol el: 0 cu: MICU-A cg: RRT v1: 5 st: NotStopd t0: [04:45:00 01/04/2014] id: Low Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 20 u1: cmH2O st: NotStopd t0: [04:45:00 01/04/2014] id: Mean Airway Pressure el: 0 cu: MICU-A cg: RRT v1: 20.2 u1: cmH2O st: NotStopd t0: [04:45:00 01/04/2014] id: Minute Volume(Obser) el: 0 cu: MICU-A cg: RRT v1: 8.2 u1: L/min st: NotStopd t0: [04:45:00 01/04/2014] id: PEEP Set el: 0 cu: MICU-A cg: RRT v1: 15 u1: cmH2O st: NotStopd t0: [04:45:00 01/04/2014] id: Apnea Time Interval el: 0 cu: MICU-A cg: RRT v1: 20 st: NotStopd t0: [04:45:00 01/04/2014] id: Peak Flow el: 0 cu: MICU-A cg: RRT v1: 50 u1: L/m st: NotStopd t0: [04:45:00 01/04/2014] id: Peak Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 40 u1: cmH2O st: NotStopd t0: [04:45:00 01/04/2014] id: Plateau Pressure el: 0 cu: MICU-A cg: RRT v1: 28 u1: cmH2O st: NotStopd t0: [04:45:00 01/04/2014] id: Pressure Support el: 0 cu: MICU-A cg: RRT v1: 0 u1: . st: NotStopd t0: [04:45:00 01/04/2014] id: Resp Rate (Spont) el: 0 cu: MICU-A cg: RRT v1: 0 u1: BPM st: NotStopd t0: [04:45:00 01/04/2014] id: Resp Rate (Total) el: 0 cu: MICU-A cg: RRT v1: 20 u1: BPM st: NotStopd t0: [04:45:00 01/04/2014] id: Respiratory Rate Set el: 0 cu: MICU-A cg: RRT v1: 20 u1: BPM st: NotStopd t0: [04:45:00 01/04/2014] id: SpO2 el: 0 cu: MICU-A cg: RRT v1: 96 u1: % st: NotStopd t0: [04:45:00 01/04/2014] id: Tidal Volume (Obser) el: 0 cu: MICU-A cg: RRT v1: 410 u1: ml/B st: NotStopd t0: [04:45:00 01/04/2014] id: Tidal Volume (Set) el: 0 cu: MICU-A cg: RRT v1: 450 u1: ml/B st: NotStopd t0: [04:45:00 01/04/2014] id: Ventilator Mode el: 0 cu: MICU-A cg: RRT v1: Assist Control st: NotStopd t0: [04:45:00 01/04/2014] id: Ventilator No. el: 0 cu: MICU-A cg: RRT v1: 6 u1: # st: NotStopd t0: [04:45:00 01/04/2014] id: Ventilator Type el: 0 cu: MICU-A cg: RRT v1: 7200A st: NotStopd t0: [04:45:00 01/04/2014] id: Waveform-Vent el: 0 cu: MICU-A cg: RRT v1: SQUARE st: NotStopd
t0: [01:00:00 01/04/2014] id: CVP el: 0 cu: MICU-A cg: -1 u1: mmHg st: NotStopd t0: [02:00:00 01/04/2014] id: CVP el: 0 cu: MICU-A cg: -1 u1: mmHg st: NotStopd t0: [05:00:00 01/04/2014] id: Service Type el: 0 cu: MICU-A cg: -1 v1: MICU st: NotStopd t0: [05:00:00 01/04/2014] id: Code Status el: 0 cu: MICU-A cg: -1 v1: Full Code st: NotStopd t0: [05:00:00 01/04/2014] id: Ectopy Frequency el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [05:00:00 01/04/2014] id: Ectopy Type el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [05:00:00 01/04/2014] id: Heart Rate el: 0 cu: MICU-A cg: -1 v1: 71 u1: BPM st: NotStopd t0: [05:00:00 01/04/2014] id: Heart Rhythm el: 0 cu: MICU-A cg: -1 v1: Normal Sinus st: NotStopd t0: [05:00:00 01/04/2014] id: Arterial BP el: 0 cu: MICU-A cg: -1 v1: 125 u1: mmHg v2: 62 u2: mmHg st: NotStopd t0: [05:00:00 01/04/2014] id: Arterial BP Mean el: 0 cu: MICU-A cg: -1 v1: 83 u1: mmHg st: NotStopd t0: [05:00:00 01/04/2014] id: Precautions el: 0 cu: MICU-A cg: -1 v1: Universal st: NotStopd t0: [05:00:00 01/04/2014] id: Respiratory Rate el: 0 cu: MICU-A cg: -1 v1: 20 u1: BPM st: NotStopd t0: [05:00:00 01/04/2014] id: SpO2 el: 0 cu: MICU-A cg: -1 v1: 94 u1: % st: NotStopd t0: [05:00:00 01/04/2014] id: calprevflg el: 0 cu: MICU-A cg: -1 v1: 1 u1: kg st: NotStopd
t0: [05:00:00 01/04/2014] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 10 vu: ml t0: [05:00:00 01/04/2014] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 5 vu: ml t0: [05:00:00 01/04/2014] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU-A cg: -1 ai: 416 vo: 5 vu: ml t0: [05:00:00 01/04/2014] id: IV Piggyback 100.0ml IV Infusions el: 1 cu: MICU-A cg: -1 ai: 105 vo: 0 vu: ml t0: [05:00:00 01/04/2014] id: Promote w/fiber Tube Feeding el: 1 cu: MICU-A cg: -1 ai: 107 vo: 65 vu: ml t0: [05:00:00 01/04/2014] id: Urine Out Foley el: 1 cu: MICU-A cg: -1 vo: 240 vu: ml
t0: [05:00:00 01/04/2014] id: Fentanyl el: 1 cu: MICU-A so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 250 su: ml rt: IV Drip t0: [05:00:00 01/04/2014] id: Ativan el: 1 cu: MICU-A so: D5W vo: 0 v1: 5 du: mghr sv: 60 su: ml rt: IV Drip
t0: [05:00:00 01/04/2014] id: Flow-by Sensitivity el: 0 cu: MICU-A cg: -1 st: D/C'd
t0: [05:31:00 01/04/2014] id: Flow-By (lpm) el: 0 cu: MICU-A cg: -1 st: D/C'd
t0: [05:00:00 01/04/2014] id: FiO2 Set el: 0 cu: MICU-A cg: RRT v1: 0.5 u1: torr st: NotStopd t0: [05:30:00 01/04/2014] id: Compliance (40-60ml) el: 0 cu: MICU-A cg: RRT v1: 18 u1: ml/cmH st: NotStopd t0: [05:30:00 01/04/2014] id: ETT Mark/Location el: 0 cu: MICU-A cg: RRT v1: 24cm v2: Lip st: NotStopd t0: [05:30:00 01/04/2014] id: FiO2 Set el: 0 cu: MICU-A cg: RRT v1: 0.4 u1: torr st: NotStopd t0: [05:30:00 01/04/2014] id: Flow-By (lpm) el: 0 cu: MICU-A cg: RRT v1: 6 u1: lpm st: NotStopd t0: [05:30:00 01/04/2014] id: High Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 55 u1: cmH2O st: NotStopd t0: [05:30:00 01/04/2014] id: High Resp. Rate el: 0 cu: MICU-A cg: RRT v1: 35 u1: BPM st: NotStopd t0: [05:30:00 01/04/2014] id: I:E Ratio el: 0 cu: MICU-A cg: RRT v1: 3.4 st: NotStopd t0: [05:30:00 01/04/2014] id: Airway Size el: 0 cu: MICU-A cg: RRT v1: 7.5 mm st: NotStopd t0: [05:30:00 01/04/2014] id: Airway Type el: 0 cu: MICU-A cg: RRT v1: Endotracheal st: NotStopd t0: [05:30:00 01/04/2014] id: Inspired Gas Temp el: 0 cu: MICU-A cg: RRT v1: 34 u1: Deg. C st: NotStopd t0: [05:30:00 01/04/2014] id: Intubation Date el: 0 cu: MICU-A cg: RRT v1: 3 v2: 12 st: NotStopd t0: [05:30:00 01/04/2014] id: Low Exhaled Min Vol el: 0 cu: MICU-A cg: RRT v1: 5 st: NotStopd t0: [05:30:00 01/04/2014] id: Low Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 20 u1: cmH2O st: NotStopd t0: [05:30:00 01/04/2014] id: Mean Airway Pressure el: 0 cu: MICU-A cg: RRT v1: 20.2 u1: cmH2O st: NotStopd t0: [05:30:00 01/04/2014] id: Minute Volume(Obser) el: 0 cu: MICU-A cg: RRT v1: 8.2 u1: L/min st: NotStopd t0: [05:30:00 01/04/2014] id: PEEP Set el: 0 cu: MICU-A cg: RRT v1: 15 u1: cmH2O st: NotStopd t0: [05:30:00 01/04/2014] id: Apnea Time Interval el: 0 cu: MICU-A cg: RRT v1: 20 st: NotStopd t0: [05:30:00 01/04/2014] id: Peak Flow el: 0 cu: MICU-A cg: RRT v1: 50 u1: L/m st: NotStopd t0: [05:30:00 01/04/2014] id: Peak Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 40 u1: cmH2O st: NotStopd t0: [05:30:00 01/04/2014] id: Plateau Pressure el: 0 cu: MICU-A cg: RRT v1: 32 u1: cmH2O st: NotStopd t0: [05:30:00 01/04/2014] id: Pressure Support el: 0 cu: MICU-A cg: RRT v1: 0 u1: . st: NotStopd t0: [05:30:00 01/04/2014] id: Resp Rate (Spont) el: 0 cu: MICU-A cg: RRT v1: 0 u1: BPM st: NotStopd t0: [05:30:00 01/04/2014] id: Resp Rate (Total) el: 0 cu: MICU-A cg: RRT v1: 20 u1: BPM st: NotStopd t0: [05:30:00 01/04/2014] id: Respiratory Rate Set el: 0 cu: MICU-A cg: RRT v1: 20 u1: BPM st: NotStopd t0: [05:30:00 01/04/2014] id: Sensitivity-Vent el: 0 cu: MICU-A cg: RRT v1: 2 u1: cmH2O st: NotStopd t0: [05:30:00 01/04/2014] id: SpO2 el: 0 cu: MICU-A cg: RRT v1: 97 u1: % st: NotStopd t0: [05:30:00 01/04/2014] id: Tidal Volume (Obser) el: 0 cu: MICU-A cg: RRT v1: 410 u1: ml/B st: NotStopd t0: [05:30:00 01/04/2014] id: Tidal Volume (Set) el: 0 cu: MICU-A cg: RRT v1: 450 u1: ml/B st: NotStopd t0: [05:30:00 01/04/2014] id: Ventilator Mode el: 0 cu: MICU-A cg: RRT v1: Assist Control st: NotStopd t0: [05:30:00 01/04/2014] id: Ventilator No. el: 0 cu: MICU-A cg: RRT v1: 6 u1: # st: NotStopd t0: [05:30:00 01/04/2014] id: Ventilator Type el: 0 cu: MICU-A cg: RRT v1: 7200A st: NotStopd t0: [05:30:00 01/04/2014] id: Waveform-Vent el: 0 cu: MICU-A cg: RRT v1: SQUARE st: NotStopd
t0: [05:00:00 01/04/2014] id: CVP el: 0 cu: MICU-A cg: -1 v1: 14 u1: mmHg st: NotStopd t0: [06:00:00 01/04/2014] id: Service Type el: 0 cu: MICU-A cg: -1 v1: MICU st: NotStopd t0: [06:00:00 01/04/2014] id: Code Status el: 0 cu: MICU-A cg: -1 v1: Full Code st: NotStopd t0: [06:00:00 01/04/2014] id: Riker-SAS Scale el: 0 cu: MICU-A cg: -1 v1: Sedated st: NotStopd t0: [06:00:00 01/04/2014] id: Ectopy Frequency el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [06:00:00 01/04/2014] id: Ectopy Type el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [06:00:00 01/04/2014] id: HOB el: 0 cu: MICU-A cg: -1 v1: 30 degrees st: NotStopd t0: [06:00:00 01/04/2014] id: Heart Rate el: 0 cu: MICU-A cg: -1 v1: 74 u1: BPM st: NotStopd t0: [06:00:00 01/04/2014] id: Heart Rhythm el: 0 cu: MICU-A cg: -1 v1: Normal Sinus st: NotStopd t0: [06:00:00 01/04/2014] id: Activity el: 0 cu: MICU-A cg: -1 v1: Bedrest st: NotStopd t0: [06:00:00 01/04/2014] id: Activity Tolerance el: 0 cu: MICU-A cg: -1 v1: Tolerated Well st: NotStopd t0: [06:00:00 01/04/2014] id: Oral Care el: 0 cu: MICU-A cg: -1 v1: Done st: NotStopd t0: [06:00:00 01/04/2014] id: AntiEmbDevice/Status el: 0 cu: MICU-A cg: -1 v1: Compress Sleeves v2: On st: NotStopd t0: [06:00:00 01/04/2014] id: Arterial BP el: 0 cu: MICU-A cg: -1 v1: 122 u1: mmHg v2: 62 u2: mmHg st: NotStopd t0: [06:00:00 01/04/2014] id: Arterial BP Mean el: 0 cu: MICU-A cg: -1 v1: 82 u1: mmHg st: NotStopd t0: [06:00:00 01/04/2014] id: Position el: 0 cu: MICU-A cg: -1 v1: Right Side st: NotStopd t0: [06:00:00 01/04/2014] id: Assistance Device el: 0 cu: MICU-A cg: -1 v1: 2 Person Assist st: NotStopd t0: [06:00:00 01/04/2014] id: Precautions el: 0 cu: MICU-A cg: -1 v1: Universal st: NotStopd t0: [06:00:00 01/04/2014] id: PressureReduceDevice el: 0 cu: MICU-A cg: -1 v1: Multipodus Boots st: NotStopd t0: [06:00:00 01/04/2014] id: Radiologic Study el: 0 cu: MICU-A cg: -1 v1: Chest Xray st: NotStopd t0: [06:00:00 01/04/2014] id: Respiratory Rate el: 0 cu: MICU-A cg: -1 v1: 20 u1: BPM st: NotStopd t0: [06:00:00 01/04/2014] id: SpO2 el: 0 cu: MICU-A cg: -1 v1: 97 u1: % st: NotStopd t0: [06:00:00 01/04/2014] id: Temp. Site el: 0 cu: MICU-A cg: -1 v1: Oral st: NotStopd t0: [06:00:00 01/04/2014] id: Temperature C (calc) el: 0 cu: MICU-A cg: -1 v1: 37.4444 u1: Deg. C st: NotStopd t0: [06:00:00 01/04/2014] id: Temperature F el: 0 cu: MICU-A cg: -1 v1: 99.4 u1: Deg. F st: NotStopd t0: [06:00:00 01/04/2014] id: Therapeutic Bed el: 0 cu: MICU-A cg: -1 v1: AirMatt/1st Step st: NotStopd t0: [06:00:00 01/04/2014] id: Turn el: 0 cu: MICU-A cg: -1 v1: Right Side st: NotStopd t0: [06:00:00 01/04/2014] id: calprevflg el: 0 cu: MICU-A cg: -1 v1: 1 u1: kg st: NotStopd
t0: [06:00:00 01/04/2014] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 10 vu: ml t0: [06:00:00 01/04/2014] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 5 vu: ml t0: [06:00:00 01/04/2014] id: Stool Out (non-specific) el: 1 cu: MICU-A cg: -1 vo: 50 vu: ml t0: [06:00:00 01/04/2014] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU-A cg: -1 ai: 416 vo: 5 vu: ml t0: [06:00:00 01/04/2014] id: IV Piggyback 100.0ml IV Infusions el: 1 cu: MICU-A cg: -1 ai: 105 vo: 0 vu: ml t0: [06:00:00 01/04/2014] id: Promote w/fiber Tube Feeding el: 1 cu: MICU-A cg: -1 ai: 107 vo: 65 vu: ml t0: [06:00:00 01/04/2014] id: Urine Out Foley el: 1 cu: MICU-A cg: -1 vo: 140 vu: ml
t0: [06:00:00 01/04/2014] id: Fentanyl el: 1 cu: MICU-A so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 250 su: ml rt: IV Drip t0: [06:00:00 01/04/2014] id: Ativan el: 1 cu: MICU-A so: D5W vo: 0 v1: 5 du: mghr sv: 60 su: ml rt: IV Drip
t0: [23:00:00 01/04/2014] dt: 24 id: Stool Out Total el: 2 cu: MICU-A cg: -1 cv: 50 ap: none
t0: [06:27:00 01/04/2014] id: Art.pH ABG el: 0 cu: MICU-A cg: 1663 v1: 7.4 rs: Final st: NotStopd t0: [06:27:00 01/04/2014] id: Arterial Base Excess ABG el: 0 cu: MICU-A cg: 1663 v1: 0 rs: Final st: NotStopd t0: [06:27:00 01/04/2014] id: Arterial CO2(Calc) ABG el: 0 cu: MICU-A cg: 1663 v1: 24 rs: Final st: NotStopd t0: [06:27:00 01/04/2014] id: Arterial PaCO2 ABG el: 0 cu: MICU-A cg: 1663 v1: 38 u1: mmHg rs: Final st: NotStopd t0: [06:27:00 01/04/2014] id: Arterial PaO2 ABG el: 0 cu: MICU-A cg: 1663 v1: 105 u1: mmHg rs: Final st: NotStopd t0: [06:27:00 01/04/2014] id: Arterial pH ABG el: 0 cu: MICU-A cg: 1663 v1: 7.4 rs: Final st: NotStopd
t0: [06:00:00 01/04/2014] id: WBC (4-11,000) Hematology el: 0 cu: MICU-A cg: 1663 v1: 22.3 rs: Final st: NotStopd t0: [06:00:00 01/04/2014] id: Hematocrit Hematology el: 0 cu: MICU-A cg: 1663 v1: 23 u1: % rs: Final st: NotStopd t0: [06:00:00 01/04/2014] id: Hemoglobin Hematology el: 0 cu: MICU-A cg: 1663 v1: 7.9 u1: gm/dl rs: Final st: NotStopd t0: [06:00:00 01/04/2014] id: Platelets Hematology el: 0 cu: MICU-A cg: 1663 v1: 265 rs: Final st: NotStopd t0: [06:00:00 01/04/2014] id: RBC Hematology el: 0 cu: MICU-A cg: 1663 v1: 2.7 u1: /mic l rs: Final st: NotStopd t0: [06:00:00 01/04/2014] id: WBC (4-11,000) Hematology el: 0 cu: MICU-A cg: 1663 v1: 22.3 rs: Final st: NotStopd
t0: [06:00:00 01/04/2014] 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: [06:00:00 01/04/2014] id: Carbon Dioxide Chemistry el: 0 cu: MICU-A cg: 1663 v1: 22 rs: Final st: NotStopd t0: [06:00:00 01/04/2014] id: Chloride (100-112) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 111 rs: Final st: NotStopd t0: [06:00:00 01/04/2014] id: Creatinine (0-1.3) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 1.5 rs: Final st: NotStopd t0: [06:00:00 01/04/2014] id: Glucose (70-105) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 121 rs: Final st: NotStopd t0: [06:00:00 01/04/2014] id: Magnesium (1.6-2.6) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 1.9 rs: Final st: NotStopd t0: [06:00:00 01/04/2014] 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: [06:00:00 01/04/2014] id: Potassium (3.5-5.3) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 3.4 rs: Final st: NotStopd t0: [06:00:00 01/04/2014] id: Sodium (135-148) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 144 rs: Final st: NotStopd
t0: [06:00:00 01/04/2014] id: BUN (6-20) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 31 rs: Final st: NotStopd
t0: [08:00:00 01/04/2014] id: Less Restrict Meas. el: 0 cu: MICU-A cg: RN v1: Medicated st: NotStopd t0: [08:00:00 01/04/2014] id: Range of Motion el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [08:00:00 01/04/2014] id: INV#3Chg o/Wire Date el: 0 cu: MICU-A cg: RN v1: 3 v2: 16 st: NotStopd t0: [08:00:00 01/04/2014] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [08:00:00 01/04/2014] id: CVP el: 0 cu: MICU-A cg: RN v1: 22 u1: mmHg st: NotStopd t0: [08:00:00 01/04/2014] id: Circulation/SkinInt el: 0 cu: MICU-A cg: RN v1: Circulation Adeq st: NotStopd t0: [08:00:00 01/04/2014] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [08:00:00 01/04/2014] id: Riker-SAS Scale el: 0 cu: MICU-A cg: RN v1: Sedated st: NotStopd t0: [08:00:00 01/04/2014] id: GI Prophylaxis el: 0 cu: MICU-A cg: RN v1: H2 Blocker st: NotStopd t0: [08:00:00 01/04/2014] id: Diet Type el: 0 cu: MICU-A cg: RN v1: Tube Feeding st: NotStopd t0: [08:00:00 01/04/2014] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [08:00:00 01/04/2014] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [08:00:00 01/04/2014] id: Eye Opening el: 0 cu: MICU-A cg: RN v1: 2 To pain st: NotStopd t0: [08:00:00 01/04/2014] id: GCS Total el: 0 cu: MICU-A cg: RN v1: 8 u1: points st: NotStopd t0: [08:00:00 01/04/2014] id: GI Intub #1/Site el: 0 cu: MICU-A cg: RN v1: Salem Sump v2: Oral st: NotStopd t0: [08:00:00 01/04/2014] id: GI#1 Tube PlaceCheck el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [08:00:00 01/04/2014] id: GI#1 Tube Stat/Drain el: 0 cu: MICU-A cg: RN v1: Feeding st: NotStopd t0: [08:00:00 01/04/2014] id: GU Catheter Size el: 0 cu: MICU-A cg: RN v1: 14 French st: NotStopd t0: [08:00:00 01/04/2014] id: HOB el: 0 cu: MICU-A cg: RN v1: 30 degrees st: NotStopd t0: [08:00:00 01/04/2014] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 70 u1: BPM st: NotStopd t0: [08:00:00 01/04/2014] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [08:00:00 01/04/2014] id: INV Line#3 Site Date el: 0 cu: MICU-A cg: RN v1: 3 v2: 16 st: NotStopd t0: [08:00:00 01/04/2014] id: INV Line#3 Type/Site el: 0 cu: MICU-A cg: RN v1: Multi-lumen v2: Right IJ st: NotStopd t0: [08:00:00 01/04/2014] id: INV Line#3 Zero/Cal el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [08:00:00 01/04/2014] id: INV Line#3InsertDate el: 0 cu: MICU-A cg: RN v1: 3 v2: 12 st: NotStopd t0: [08:00:00 01/04/2014] id: INV Line#3SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [08:00:00 01/04/2014] id: INV Line#4 Type/Site el: 0 cu: MICU-A cg: RN v1: A-Line v2: Right Brachial st: NotStopd t0: [08:00:00 01/04/2014] id: INV Line#4 Zero/Cal el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [08:00:00 01/04/2014] id: INV Line#4InsertDate el: 0 cu: MICU-A cg: RN v1: 3 v2: 17 st: NotStopd t0: [08:00:00 01/04/2014] id: INV Line#4SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [08:00:00 01/04/2014] id: Abdominal Assessment el: 0 cu: MICU-A cg: RN v1: Obese st: NotStopd t0: [08:00:00 01/04/2014] id: INV#3 WaveformAppear el: 0 cu: MICU-A cg: RN v1: Sharp st: NotStopd t0: [08:00:00 01/04/2014] id: INV#4 WaveformAppear el: 0 cu: MICU-A cg: RN v1: Sharp st: NotStopd t0: [08:00:00 01/04/2014] id: Activity el: 0 cu: MICU-A cg: RN v1: Bedrest st: NotStopd t0: [08:00:00 01/04/2014] id: Activity Tolerance el: 0 cu: MICU-A cg: RN v1: Tolerated Well st: NotStopd t0: [08:00:00 01/04/2014] id: Imp Skin Cleanse #2 el: 0 cu: MICU-A cg: RN v1: Soap & H20 st: NotStopd t0: [08:00:00 01/04/2014] id: ImpSkin Character #1 el: 0 cu: MICU-A cg: RN v1: Hematoma st: NotStopd t0: [08:00:00 01/04/2014] id: ImpSkin Character #2 el: 0 cu: MICU-A cg: RN v1: Rash st: NotStopd t0: [08:00:00 01/04/2014] id: ImpSkin Treatment #1 el: 0 cu: MICU-A cg: RN v1: Open to Air st: NotStopd t0: [08:00:00 01/04/2014] id: ImpSkin Treatment #2 el: 0 cu: MICU-A cg: RN v1: Open to Air st: NotStopd t0: [08:00:00 01/04/2014] id: Impaired Skin Site#1 el: 0 cu: MICU-A cg: RN v1: Gluteal, Right st: NotStopd t0: [08:00:00 01/04/2014] id: Impaired Skin Site#2 el: 0 cu: MICU-A cg: RN v1: Labia st: NotStopd t0: [08:00:00 01/04/2014] id: LLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Diminished st: NotStopd t0: [08:00:00 01/04/2014] id: LUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [08:00:00 01/04/2014] id: Level of Conscious el: 0 cu: MICU-A cg: RN v1: Arouse to Pain st: NotStopd t0: [08:00:00 01/04/2014] id: Motor Response el: 0 cu: MICU-A cg: RN v1: 5 Localizes Pain st: NotStopd t0: [08:00:00 01/04/2014] id: Oral Cavity el: 0 cu: MICU-A cg: RN v1: Thrush st: NotStopd t0: [08:00:00 01/04/2014] id: Orientation el: 0 cu: MICU-A cg: RN v1: Other/Remarks st: NotStopd t0: [08:00:00 01/04/2014] id: AntiEmbDevice/Status el: 0 cu: MICU-A cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [08:00:00 01/04/2014] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 124 u1: mmHg v2: 64 u2: mmHg st: NotStopd t0: [08:00:00 01/04/2014] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 86 u1: mmHg st: NotStopd t0: [08:00:00 01/04/2014] id: Position Change el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [08:00:00 01/04/2014] id: Assistance Device el: 0 cu: MICU-A cg: RN v1: 2 Person Assist st: NotStopd t0: [08:00:00 01/04/2014] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [08:00:00 01/04/2014] id: PressureReduceDevice el: 0 cu: MICU-A cg: RN v1: Multipodus Boots st: NotStopd t0: [08:00:00 01/04/2014] id: RLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Diminished st: NotStopd t0: [08:00:00 01/04/2014] id: RUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [08:00:00 01/04/2014] id: Reason For Restraint el: 0 cu: MICU-A cg: RN v1: Ext/TXInterfere st: NotStopd t0: [08:00:00 01/04/2014] id: Removed x 5 Mins el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [08:00:00 01/04/2014] id: Respiratory Pattern el: 0 cu: MICU-A cg: RN v1: Regular st: NotStopd t0: [08:00:00 01/04/2014] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 20 u1: BPM st: NotStopd t0: [08:00:00 01/04/2014] id: Restraint Location el: 0 cu: MICU-A cg: RN v1: Both Arms st: NotStopd t0: [08:00:00 01/04/2014] id: Restraint Type el: 0 cu: MICU-A cg: RN v1: Soft Limb st: NotStopd t0: [08:00:00 01/04/2014] id: Restraints Evaluated el: 0 cu: MICU-A cg: RN v1: RestraintReapply st: NotStopd t0: [08:00:00 01/04/2014] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [08:00:00 01/04/2014] id: Skin Color el: 0 cu: MICU-A cg: RN v1: Flushed st: NotStopd t0: [08:00:00 01/04/2014] id: Skin Integrity el: 0 cu: MICU-A cg: RN v1: Impaired st: NotStopd t0: [08:00:00 01/04/2014] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 98 u1: % st: NotStopd t0: [08:00:00 01/04/2014] id: Stool Color/Consist el: 0 cu: MICU-A cg: RN v1: Green v2: Loose st: NotStopd t0: [08:00:00 01/04/2014] id: Support Systems el: 0 cu: MICU-A cg: RN v1: Spouse st: NotStopd t0: [08:00:00 01/04/2014] id: Temp. Site el: 0 cu: MICU-A cg: RN v1: Oral st: NotStopd t0: [08:00:00 01/04/2014] id: Temperature C (calc) el: 0 cu: MICU-A cg: RN v1: 38.4444 u1: Deg. C st: NotStopd t0: [08:00:00 01/04/2014] id: Temperature F el: 0 cu: MICU-A cg: RN v1: 101.2 u1: Deg. F st: NotStopd t0: [08:00:00 01/04/2014] id: Therapeutic Bed el: 0 cu: MICU-A cg: RN v1: AirMatt/1st Step st: NotStopd t0: [08:00:00 01/04/2014] id: Urine Color/Appear el: 0 cu: MICU-A cg: RN v1: Light Yellow v2: Clear st: NotStopd t0: [08:00:00 01/04/2014] id: Urine Source el: 0 cu: MICU-A cg: RN v1: Indwelling Cath st: NotStopd t0: [08:00:00 01/04/2014] id: Verbal Response el: 0 cu: MICU-A cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [08:00:00 01/04/2014] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [08:00:00 01/04/2014] id: Behavior el: 0 cu: MICU-A cg: RN v1: Sedated st: NotStopd t0: [08:00:00 01/04/2014] id: Bowel Sounds el: 0 cu: MICU-A cg: RN v1: Present st: NotStopd t0: [08:00:00 01/04/2014] id: Braden Activity el: 0 cu: MICU-A cg: RN v1: Bedfast st: NotStopd t0: [08:00:00 01/04/2014] id: Braden Frict/Shear el: 0 cu: MICU-A cg: RN v1: Problem st: NotStopd t0: [08:00:00 01/04/2014] id: Braden Mobility el: 0 cu: MICU-A cg: RN v1: Comp. Immobile st: NotStopd t0: [08:00:00 01/04/2014] id: Braden Moisture el: 0 cu: MICU-A cg: RN v1: Occ. Moist st: NotStopd t0: [08:00:00 01/04/2014] id: Braden Nutrition el: 0 cu: MICU-A cg: RN v1: Adequate st: NotStopd t0: [08:00:00 01/04/2014] id: Braden Score el: 0 cu: MICU-A cg: RN v1: 12 u1: number st: NotStopd t0: [08:00:00 01/04/2014] id: Braden SensoryPercep el: 0 cu: MICU-A cg: RN v1: Sl. Limited st: NotStopd
t0: [08:00:00 01/04/2014] id: TF Residual Gastric/TF Residual el: 1 cu: MICU-A cg: RN ai: 107 vo: 35 vu: ml t0: [08:00:00 01/04/2014] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 20 vu: ml t0: [08:00:00 01/04/2014] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [08:00:00 01/04/2014] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU-A cg: RN ai: 416 vo: 10 vu: ml t0: [08:00:00 01/04/2014] id: IV Piggyback 100.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 105 vo: 0 vu: ml t0: [08:00:00 01/04/2014] id: Promote w/fiber Tube Feeding el: 1 cu: MICU-A cg: RN ai: 107 vo: 130 vu: ml t0: [08:00:00 01/04/2014] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 180 vu: ml
t0: [08:00:00 01/04/2014] 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: [08:00:00 01/04/2014] id: Ativan el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 5 du: mghr sv: 60 su: ml rt: IV Drip
t0: [08:00:00 01/04/2014] id: Compliance (40-60ml) el: 0 cu: MICU-A cg: RRT v1: 16.2455 u1: ml/cmH st: NotStopd t0: [08:00:00 01/04/2014] id: ETT Mark/Location el: 0 cu: MICU-A cg: RRT v1: 24cm v2: Lip st: NotStopd t0: [08:00:00 01/04/2014] id: FiO2 Set el: 0 cu: MICU-A cg: RRT v1: 0.4 u1: torr st: NotStopd t0: [08:00:00 01/04/2014] id: High Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 55 u1: cmH2O st: NotStopd t0: [08:00:00 01/04/2014] id: High Resp. Rate el: 0 cu: MICU-A cg: RRT v1: 35 u1: BPM st: NotStopd t0: [08:00:00 01/04/2014] id: I:E Ratio el: 0 cu: MICU-A cg: RRT v1: 4.6 st: NotStopd t0: [08:00:00 01/04/2014] id: Airway Size el: 0 cu: MICU-A cg: RRT v1: 7.5 mm st: NotStopd t0: [08:00:00 01/04/2014] id: Airway Type el: 0 cu: MICU-A cg: RRT v1: Endotracheal st: NotStopd t0: [08:00:00 01/04/2014] id: Inspired Gas Temp el: 0 cu: MICU-A cg: RRT v1: 34 u1: Deg. C st: NotStopd t0: [08:00:00 01/04/2014] id: Intubation Date el: 0 cu: MICU-A cg: RRT v1: 3 v2: 12 st: NotStopd t0: [08:00:00 01/04/2014] id: Low Exhaled Min Vol el: 0 cu: MICU-A cg: RRT v1: 5 st: NotStopd t0: [08:00:00 01/04/2014] id: Low Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 20 u1: cmH2O st: NotStopd t0: [08:00:00 01/04/2014] id: Mean Airway Pressure el: 0 cu: MICU-A cg: RRT v1: 19.6 u1: cmH2O st: NotStopd t0: [08:00:00 01/04/2014] id: Minute Volume(Obser) el: 0 cu: MICU-A cg: RRT v1: 8.7 u1: L/min st: NotStopd t0: [08:00:00 01/04/2014] id: PEEP Set el: 0 cu: MICU-A cg: RRT v1: 15 u1: cmH2O st: NotStopd t0: [08:00:00 01/04/2014] id: Apnea Time Interval el: 0 cu: MICU-A cg: RRT v1: 20 st: NotStopd t0: [08:00:00 01/04/2014] id: Peak Flow el: 0 cu: MICU-A cg: RRT v1: 50 u1: L/m st: NotStopd t0: [08:00:00 01/04/2014] id: Peak Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 42.7 u1: cmH2O st: NotStopd t0: [08:00:00 01/04/2014] id: Plateau Pressure el: 0 cu: MICU-A cg: RRT v1: 27 u1: cmH2O st: NotStopd t0: [08:00:00 01/04/2014] id: Pressure Support el: 0 cu: MICU-A cg: RRT v1: 0 u1: . st: NotStopd t0: [08:00:00 01/04/2014] id: Resp Rate (Spont) el: 0 cu: MICU-A cg: RRT v1: 0 u1: BPM st: NotStopd t0: [08:00:00 01/04/2014] id: Resp Rate (Total) el: 0 cu: MICU-A cg: RRT v1: 20 u1: BPM st: NotStopd t0: [08:00:00 01/04/2014] id: Respiratory Rate Set el: 0 cu: MICU-A cg: RRT v1: 20 u1: BPM st: NotStopd t0: [08:00:00 01/04/2014] id: Sensitivity-Vent el: 0 cu: MICU-A cg: RRT v1: 2 u1: cmH2O st: NotStopd t0: [08:00:00 01/04/2014] id: Tidal Volume (Obser) el: 0 cu: MICU-A cg: RRT v1: 430 u1: ml/B st: NotStopd t0: [08:00:00 01/04/2014] id: Tidal Volume (Set) el: 0 cu: MICU-A cg: RRT v1: 450 u1: ml/B st: NotStopd t0: [08:00:00 01/04/2014] id: Ventilator Mode el: 0 cu: MICU-A cg: RRT v1: Assist Control st: NotStopd t0: [08:00:00 01/04/2014] id: Ventilator No. el: 0 cu: MICU-A cg: RRT v1: 6 u1: # st: NotStopd t0: [08:00:00 01/04/2014] id: Ventilator Type el: 0 cu: MICU-A cg: RRT v1: 7200A st: NotStopd t0: [08:00:00 01/04/2014] id: Waveform-Vent el: 0 cu: MICU-A cg: RRT v1: SQUARE st: NotStopd
t0: [09:00:00 01/04/2014] id: Service Type el: 0 cu: MICU-A cg: -1 v1: MICU st: NotStopd t0: [09:00:00 01/04/2014] id: CVP el: 0 cu: MICU-A cg: -1 v1: 18 u1: mmHg st: NotStopd t0: [09:00:00 01/04/2014] id: Code Status el: 0 cu: MICU-A cg: -1 v1: Full Code st: NotStopd t0: [09:00:00 01/04/2014] id: Ectopy Frequency el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [09:00:00 01/04/2014] id: Ectopy Type el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [09:00:00 01/04/2014] id: Heart Rate el: 0 cu: MICU-A cg: -1 v1: 70 u1: BPM st: NotStopd t0: [09:00:00 01/04/2014] id: Heart Rhythm el: 0 cu: MICU-A cg: -1 v1: Normal Sinus st: NotStopd t0: [09:00:00 01/04/2014] id: Arterial BP el: 0 cu: MICU-A cg: -1 v1: 125 u1: mmHg v2: 64 u2: mmHg st: NotStopd t0: [09:00:00 01/04/2014] id: Arterial BP Mean el: 0 cu: MICU-A cg: -1 v1: 87 u1: mmHg st: NotStopd t0: [09:00:00 01/04/2014] id: Precautions el: 0 cu: MICU-A cg: -1 v1: Universal st: NotStopd t0: [09:00:00 01/04/2014] id: Respiratory Rate el: 0 cu: MICU-A cg: -1 v1: 20 u1: BPM st: NotStopd t0: [09:00:00 01/04/2014] id: SpO2 el: 0 cu: MICU-A cg: -1 v1: 97 u1: % st: NotStopd t0: [09:00:00 01/04/2014] id: calprevflg el: 0 cu: MICU-A cg: -1 v1: 1 u1: kg st: NotStopd
t0: [09:00:00 01/04/2014] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 10 vu: ml t0: [09:00:00 01/04/2014] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 5 vu: ml t0: [09:00:00 01/04/2014] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU-A cg: -1 ai: 416 vo: 5 vu: ml t0: [09:00:00 01/04/2014] id: IV Piggyback 100.0ml IV Infusions el: 1 cu: MICU-A cg: -1 ai: 105 vo: 0 vu: ml t0: [09:00:00 01/04/2014] id: Promote w/fiber Tube Feeding el: 1 cu: MICU-A cg: -1 ai: 107 vo: 65 vu: ml t0: [09:00:00 01/04/2014] id: Urine Out Foley el: 1 cu: MICU-A cg: -1 vo: 110 vu: ml
t0: [09:00:00 01/04/2014] id: Fentanyl el: 1 cu: MICU-A so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 250 su: ml rt: IV Drip t0: [09:00:00 01/04/2014] id: Ativan el: 1 cu: MICU-A so: D5W vo: 0 v1: 5 du: mghr sv: 60 su: ml rt: IV Drip
t0: [10:00:00 01/04/2014] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [10:00:00 01/04/2014] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [10:00:00 01/04/2014] id: Compliance (40-60ml) el: 0 cu: MICU-A cg: RN v1: 11.0837 u1: ml/cmH st: NotStopd t0: [10:00:00 01/04/2014] id: ETT Mark/Location el: 0 cu: MICU-A cg: RN v1: 24cm v2: Lip st: NotStopd t0: [10:00:00 01/04/2014] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [10:00:00 01/04/2014] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [10:00:00 01/04/2014] id: FiO2 Set el: 0 cu: MICU-A cg: RN v1: 0.4 u1: torr st: NotStopd t0: [10:00:00 01/04/2014] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 83 u1: BPM st: NotStopd t0: [10:00:00 01/04/2014] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [10:00:00 01/04/2014] id: High Insp. Pressure el: 0 cu: MICU-A cg: RN v1: 55 u1: cmH2O st: NotStopd t0: [10:00:00 01/04/2014] id: High Resp. Rate el: 0 cu: MICU-A cg: RN v1: 35 u1: BPM st: NotStopd t0: [10:00:00 01/04/2014] id: I:E Ratio el: 0 cu: MICU-A cg: RN v1: 6.1 st: NotStopd t0: [10:00:00 01/04/2014] id: Airway Size el: 0 cu: MICU-A cg: RN v1: 7.5 mm st: NotStopd t0: [10:00:00 01/04/2014] id: Airway Type el: 0 cu: MICU-A cg: RN v1: Endotracheal st: NotStopd t0: [10:00:00 01/04/2014] id: Intubation Date el: 0 cu: MICU-A cg: RN v1: 3 v2: 12 st: NotStopd t0: [10:00:00 01/04/2014] id: Low Exhaled Min Vol el: 0 cu: MICU-A cg: RN v1: 5 st: NotStopd t0: [10:00:00 01/04/2014] id: Low Insp. Pressure el: 0 cu: MICU-A cg: RN v1: 20 u1: cmH2O st: NotStopd t0: [10:00:00 01/04/2014] id: Mean Airway Pressure el: 0 cu: MICU-A cg: RN v1: 20.2 u1: cmH2O st: NotStopd t0: [10:00:00 01/04/2014] id: Minute Volume(Obser) el: 0 cu: MICU-A cg: RN v1: 5 u1: L/min st: NotStopd t0: [10:00:00 01/04/2014] id: PEEP Set el: 0 cu: MICU-A cg: RN v1: 15.1 u1: cmH2O st: NotStopd t0: [10:00:00 01/04/2014] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 105 u1: mmHg v2: 54 u2: mmHg st: NotStopd t0: [10:00:00 01/04/2014] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 104 u1: mmHg st: NotStopd t0: [10:00:00 01/04/2014] id: Peak Flow el: 0 cu: MICU-A cg: RN v1: 50 u1: L/m st: NotStopd t0: [10:00:00 01/04/2014] id: Peak Insp. Pressure el: 0 cu: MICU-A cg: RN v1: 55.7 u1: cmH2O st: NotStopd t0: [10:00:00 01/04/2014] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [10:00:00 01/04/2014] id: Pressure Support el: 0 cu: MICU-A cg: RN v1: 0 u1: . st: NotStopd t0: [10:00:00 01/04/2014] id: Resp Rate (Spont) el: 0 cu: MICU-A cg: RN v1: 2 u1: BPM st: NotStopd t0: [10:00:00 01/04/2014] id: Resp Rate (Total) el: 0 cu: MICU-A cg: RN v1: 22 u1: BPM st: NotStopd t0: [10:00:00 01/04/2014] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 27 u1: BPM st: NotStopd t0: [10:00:00 01/04/2014] id: Respiratory Rate Set el: 0 cu: MICU-A cg: RN v1: 20 u1: BPM st: NotStopd t0: [10:00:00 01/04/2014] id: Sensitivity-Vent el: 0 cu: MICU-A cg: RN v1: 2 u1: cmH2O st: NotStopd t0: [10:00:00 01/04/2014] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 96 u1: % st: NotStopd t0: [10:00:00 01/04/2014] id: Sputum Color/Consist el: 0 cu: MICU-A cg: RN v1: Yellow v2: Thick st: NotStopd t0: [10:00:00 01/04/2014] id: Sputum Source/Amt el: 0 cu: MICU-A cg: RN v1: Suctioned v2: Scant st: NotStopd t0: [10:00:00 01/04/2014] id: Tidal Volume (Obser) el: 0 cu: MICU-A cg: RN v1: 230 u1: ml/B st: NotStopd t0: [10:00:00 01/04/2014] id: Tidal Volume (Set) el: 0 cu: MICU-A cg: RN v1: 450 u1: ml/B st: NotStopd t0: [10:00:00 01/04/2014] id: Ventilator Mode el: 0 cu: MICU-A cg: RN v1: CMV st: NotStopd t0: [10:00:00 01/04/2014] id: Ventilator No. el: 0 cu: MICU-A cg: RN v1: 6 u1: # st: NotStopd t0: [10:00:00 01/04/2014] id: Ventilator Type el: 0 cu: MICU-A cg: RN v1: 7200A st: NotStopd t0: [10:00:00 01/04/2014] id: Waveform-Vent el: 0 cu: MICU-A cg: RN v1: SQUARE st: NotStopd t0: [10:00:00 01/04/2014] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [10:00:00 01/04/2014] 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 01/04/2014] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 5 vu: ml t0: [10:00:00 01/04/2014] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU-A cg: RN ai: 416 vo: 5 vu: ml t0: [10:00:00 01/04/2014] id: IV Piggyback 100.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 105 vo: 0 vu: ml t0: [10:00:00 01/04/2014] id: Promote w/fiber Tube Feeding el: 1 cu: MICU-A cg: RN ai: 107 vo: 65 vu: ml
t0: [10:00:00 01/04/2014] 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: [10:00:00 01/04/2014] id: Ativan el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 5 du: mghr sv: 60 su: ml rt: IV Drip
t0: [10:45:00 01/04/2014] id: High Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 40 u1: cmH2O st: NotStopd t0: [10:45:00 01/04/2014] id: High Resp. Rate el: 0 cu: MICU-A cg: RRT v1: 35 u1: BPM st: NotStopd t0: [10:45:00 01/04/2014] id: Low Exhaled Min Vol el: 0 cu: MICU-A cg: RRT v1: 5 st: NotStopd t0: [10:45:00 01/04/2014] id: Low Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 20 u1: cmH2O st: NotStopd t0: [10:45:00 01/04/2014] id: Mean Airway Pressure el: 0 cu: MICU-A cg: RRT v1: 18.4 u1: cmH2O st: NotStopd t0: [10:45:00 01/04/2014] id: Minute Volume(Obser) el: 0 cu: MICU-A cg: RRT v1: 7.3 u1: L/min st: NotStopd t0: [10:45:00 01/04/2014] id: PEEP Set el: 0 cu: MICU-A cg: RRT v1: 15 u1: cmH2O st: NotStopd t0: [10:45:00 01/04/2014] id: Apnea Time Interval el: 0 cu: MICU-A cg: RRT v1: 20 st: NotStopd t0: [10:45:00 01/04/2014] id: Pressure Support el: 0 cu: MICU-A cg: RRT v1: 12 u1: . st: NotStopd t0: [10:45:00 01/04/2014] id: Resp Rate (Total) el: 0 cu: MICU-A cg: RRT v1: 19 u1: BPM st: NotStopd t0: [10:45:00 01/04/2014] id: Sensitivity-Vent el: 0 cu: MICU-A cg: RRT v1: 2 u1: cmH2O st: NotStopd t0: [10:45:00 01/04/2014] id: Tidal Volume (Spont) el: 0 cu: MICU-A cg: RRT v1: 420 u1: ml/B st: NotStopd t0: [10:45:00 01/04/2014] id: Ventilator Mode el: 0 cu: MICU-A cg: RRT v1: CPAP+PS st: NotStopd
t0: [11:00:00 01/04/2014] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [11:00:00 01/04/2014] id: CVP el: 0 cu: MICU-A cg: RN v1: 20 u1: mmHg st: NotStopd t0: [11:00:00 01/04/2014] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [11:00:00 01/04/2014] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [11:00:00 01/04/2014] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [11:00:00 01/04/2014] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 68 u1: BPM st: NotStopd t0: [11:00:00 01/04/2014] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [11:00:00 01/04/2014] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 112 u1: mmHg v2: 57 u2: mmHg st: NotStopd t0: [11:00:00 01/04/2014] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 77 u1: mmHg st: NotStopd t0: [11:00:00 01/04/2014] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [11:00:00 01/04/2014] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 21 u1: BPM st: NotStopd t0: [11:00:00 01/04/2014] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 99 u1: % st: NotStopd t0: [11:00:00 01/04/2014] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [10:00:00 01/04/2014] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 60 vu: ml t0: [11:00:00 01/04/2014] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 80 vu: ml
t0: [11:00:00 01/04/2014] 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: [11:00:00 01/04/2014] id: Ativan el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 5 du: mghr sv: 60 su: ml rt: IV Drip
t0: [08:00:00 01/04/2014] id: Pain Present el: 0 cu: MICU-A cg: RN v1: No st: NotStopd t0: [08:00:00 01/04/2014] id: Daily Wake Up el: 0 cu: MICU-A cg: RN v1: No st: NotStopd t0: [08:00:00 01/04/2014] id: Pain Location el: 0 cu: MICU-A cg: RN v1: Not Indicated st: NotStopd t0: [08:00:00 01/04/2014] id: Turn el: 0 cu: MICU-A cg: RN v1: Back st: NotStopd t0: [10:00:00 01/04/2014] id: HOB el: 0 cu: MICU-A cg: RN v1: 30 degrees st: NotStopd t0: [10:00:00 01/04/2014] id: Activity el: 0 cu: MICU-A cg: RN v1: Bedrest st: NotStopd t0: [10:00:00 01/04/2014] id: Activity Tolerance el: 0 cu: MICU-A cg: RN v1: Tolerated Well st: NotStopd t0: [10:00:00 01/04/2014] id: AntiEmbDevice/Status el: 0 cu: MICU-A cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [10:00:00 01/04/2014] id: Assistance Device el: 0 cu: MICU-A cg: RN v1: 2 Person Assist st: NotStopd t0: [10:00:00 01/04/2014] id: PressureReduceDevice el: 0 cu: MICU-A cg: RN v1: Multipodus Boots st: NotStopd t0: [10:00:00 01/04/2014] id: Therapeutic Bed el: 0 cu: MICU-A cg: RN v1: AirMatt/1st Step st: NotStopd t0: [10:00:00 01/04/2014] id: Turn el: 0 cu: MICU-A cg: RN v1: Right Side st: NotStopd t0: [12:00:00 01/04/2014] id: Less Restrict Meas. el: 0 cu: MICU-A cg: RN v1: Medicated st: NotStopd t0: [12:00:00 01/04/2014] id: Pain Present el: 0 cu: MICU-A cg: RN v1: No st: NotStopd t0: [12:00:00 01/04/2014] id: Range of Motion el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [12:00:00 01/04/2014] id: INV#3Chg o/Wire Date el: 0 cu: MICU-A cg: RN v1: 3 v2: 16 st: NotStopd t0: [12:00:00 01/04/2014] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [12:00:00 01/04/2014] id: CVP el: 0 cu: MICU-A cg: RN v1: 18 u1: mmHg st: NotStopd t0: [12:00:00 01/04/2014] id: Circulation/SkinInt el: 0 cu: MICU-A cg: RN v1: Circulation Adeq st: NotStopd t0: [12:00:00 01/04/2014] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [12:00:00 01/04/2014] id: Riker-SAS Scale el: 0 cu: MICU-A cg: RN v1: Sedated st: NotStopd t0: [12:00:00 01/04/2014] id: Daily Wake Up el: 0 cu: MICU-A cg: RN v1: No st: NotStopd t0: [12:00:00 01/04/2014] id: GI Prophylaxis el: 0 cu: MICU-A cg: RN v1: H2 Blocker st: NotStopd t0: [12:00:00 01/04/2014] id: Diet Type el: 0 cu: MICU-A cg: RN v1: Tube Feeding st: NotStopd t0: [12:00:00 01/04/2014] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [12:00:00 01/04/2014] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [12:00:00 01/04/2014] id: Eye Opening el: 0 cu: MICU-A cg: RN v1: 2 To pain st: NotStopd t0: [12:00:00 01/04/2014] id: Family Communication el: 0 cu: MICU-A cg: RN v1: Family Visited st: NotStopd t0: [12:00:00 01/04/2014] id: GCS Total el: 0 cu: MICU-A cg: RN v1: 8 u1: points st: NotStopd t0: [12:00:00 01/04/2014] id: GI Intub #1/Site el: 0 cu: MICU-A cg: RN v1: Salem Sump v2: Oral st: NotStopd t0: [12:00:00 01/04/2014] id: GI#1 Tube PlaceCheck el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [12:00:00 01/04/2014] id: GI#1 Tube Stat/Drain el: 0 cu: MICU-A cg: RN v1: Feeding st: NotStopd t0: [12:00:00 01/04/2014] id: GU Catheter Size el: 0 cu: MICU-A cg: RN v1: 14 French st: NotStopd t0: [12:00:00 01/04/2014] id: HOB el: 0 cu: MICU-A cg: RN v1: 30 degrees st: NotStopd t0: [12:00:00 01/04/2014] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 69 u1: BPM st: NotStopd t0: [12:00:00 01/04/2014] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [12:00:00 01/04/2014] id: INV Line#3 Site Date el: 0 cu: MICU-A cg: RN v1: 3 v2: 16 st: NotStopd t0: [12:00:00 01/04/2014] id: INV Line#3 Type/Site el: 0 cu: MICU-A cg: RN v1: Multi-lumen v2: Right IJ st: NotStopd t0: [12:00:00 01/04/2014] id: INV Line#3 Zero/Cal el: 0 cu: MICU-A cg: RN v1: No st: NotStopd t0: [12:00:00 01/04/2014] id: INV Line#3InsertDate el: 0 cu: MICU-A cg: RN v1: 3 v2: 12 st: NotStopd t0: [12:00:00 01/04/2014] id: INV Line#3SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [12:00:00 01/04/2014] id: INV Line#4 Type/Site el: 0 cu: MICU-A cg: RN v1: A-Line v2: Right Brachial st: NotStopd t0: [12:00:00 01/04/2014] id: INV Line#4 Zero/Cal el: 0 cu: MICU-A cg: RN v1: No st: NotStopd t0: [12:00:00 01/04/2014] id: INV Line#4InsertDate el: 0 cu: MICU-A cg: RN v1: 3 v2: 17 st: NotStopd t0: [12:00:00 01/04/2014] id: INV Line#4SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [12:00:00 01/04/2014] id: Abdominal Assessment el: 0 cu: MICU-A cg: RN v1: Obese st: NotStopd t0: [12:00:00 01/04/2014] id: INV#3 WaveformAppear el: 0 cu: MICU-A cg: RN v1: Sharp st: NotStopd t0: [12:00:00 01/04/2014] id: INV#4 WaveformAppear el: 0 cu: MICU-A cg: RN v1: Sharp st: NotStopd t0: [12:00:00 01/04/2014] id: Activity el: 0 cu: MICU-A cg: RN v1: Bedrest st: NotStopd t0: [12:00:00 01/04/2014] id: Activity Tolerance el: 0 cu: MICU-A cg: RN v1: Tolerated Well st: NotStopd t0: [12:00:00 01/04/2014] id: Imp Skin Cleanse #2 el: 0 cu: MICU-A cg: RN v1: Soap & H20 st: NotStopd t0: [12:00:00 01/04/2014] id: ImpSkin Character #1 el: 0 cu: MICU-A cg: RN v1: Hematoma st: NotStopd t0: [12:00:00 01/04/2014] id: ImpSkin Character #2 el: 0 cu: MICU-A cg: RN v1: Rash st: NotStopd t0: [12:00:00 01/04/2014] id: ImpSkin Treatment #1 el: 0 cu: MICU-A cg: RN v1: Open to Air st: NotStopd t0: [12:00:00 01/04/2014] id: ImpSkin Treatment #2 el: 0 cu: MICU-A cg: RN v1: Open to Air st: NotStopd t0: [12:00:00 01/04/2014] id: LLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Diminished st: NotStopd t0: [12:00:00 01/04/2014] id: LUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [12:00:00 01/04/2014] id: Level of Conscious el: 0 cu: MICU-A cg: RN v1: Arouse to Pain st: NotStopd t0: [12:00:00 01/04/2014] id: Motor Response el: 0 cu: MICU-A cg: RN v1: 5 Localizes Pain st: NotStopd t0: [12:00:00 01/04/2014] id: Oral Cavity el: 0 cu: MICU-A cg: RN v1: Thrush st: NotStopd t0: [12:00:00 01/04/2014] id: Orientation el: 0 cu: MICU-A cg: RN v1: Other/Remarks st: NotStopd t0: [12:00:00 01/04/2014] id: AntiEmbDevice/Status el: 0 cu: MICU-A cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [12:00:00 01/04/2014] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 104 u1: mmHg v2: 49 u2: mmHg st: NotStopd t0: [12:00:00 01/04/2014] id: Pain Location el: 0 cu: MICU-A cg: RN v1: Not Indicated st: NotStopd t0: [12:00:00 01/04/2014] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 68 u1: mmHg st: NotStopd t0: [12:00:00 01/04/2014] id: Position Change el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [12:00:00 01/04/2014] id: Assistance Device el: 0 cu: MICU-A cg: RN v1: 2 Person Assist st: NotStopd t0: [12:00:00 01/04/2014] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [12:00:00 01/04/2014] id: PressureReduceDevice el: 0 cu: MICU-A cg: RN v1: Multipodus Boots st: NotStopd t0: [12:00:00 01/04/2014] id: RLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Diminished st: NotStopd t0: [12:00:00 01/04/2014] id: RUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [12:00:00 01/04/2014] id: Removed x 5 Mins el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [12:00:00 01/04/2014] id: Respiratory Pattern el: 0 cu: MICU-A cg: RN v1: Regular st: NotStopd t0: [12:00:00 01/04/2014] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 24 u1: BPM st: NotStopd t0: [12:00:00 01/04/2014] id: Restraints Evaluated el: 0 cu: MICU-A cg: RN v1: RestraintReapply st: NotStopd t0: [12:00:00 01/04/2014] id: Skin Color el: 0 cu: MICU-A cg: RN v1: Flushed st: NotStopd t0: [12:00:00 01/04/2014] id: Skin Integrity el: 0 cu: MICU-A cg: RN v1: Impaired st: NotStopd t0: [12:00:00 01/04/2014] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 98 u1: % st: NotStopd t0: [12:00:00 01/04/2014] id: Stool Color/Consist el: 0 cu: MICU-A cg: RN v1: Green v2: Loose st: NotStopd t0: [12:00:00 01/04/2014] id: Temp. Site el: 0 cu: MICU-A cg: RN v1: Oral st: NotStopd t0: [12:00:00 01/04/2014] id: Temperature C (calc) el: 0 cu: MICU-A cg: RN v1: 37.4444 u1: Deg. C st: NotStopd t0: [12:00:00 01/04/2014] id: Temperature F el: 0 cu: MICU-A cg: RN v1: 99.4 u1: Deg. F st: NotStopd t0: [12:00:00 01/04/2014] id: Therapeutic Bed el: 0 cu: MICU-A cg: RN v1: AirMatt/1st Step st: NotStopd t0: [12:00:00 01/04/2014] id: Turn el: 0 cu: MICU-A cg: RN v1: Left Side st: NotStopd t0: [12:00:00 01/04/2014] id: Urine Color/Appear el: 0 cu: MICU-A cg: RN v1: Light Yellow v2: Clear st: NotStopd t0: [12:00:00 01/04/2014] id: Urine Source el: 0 cu: MICU-A cg: RN v1: Indwelling Cath st: NotStopd t0: [12:00:00 01/04/2014] id: Verbal Response el: 0 cu: MICU-A cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [12:00:00 01/04/2014] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [12:00:00 01/04/2014] id: Behavior el: 0 cu: MICU-A cg: RN v1: Sedated st: NotStopd t0: [12:00:00 01/04/2014] id: Bowel Sounds el: 0 cu: MICU-A cg: RN v1: Present st: NotStopd
t0: [11:00:00 01/04/2014] 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 01/04/2014] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 5 vu: ml t0: [11:00:00 01/04/2014] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU-A cg: RN ai: 416 vo: 5 vu: ml t0: [11:00:00 01/04/2014] id: IV Piggyback 100.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 105 vo: 0 vu: ml t0: [11:00:00 01/04/2014] id: Promote w/fiber Tube Feeding el: 1 cu: MICU-A cg: RN ai: 107 vo: 65 vu: ml t0: [12:00:00 01/04/2014] id: TF Residual Gastric/TF Residual el: 1 cu: MICU-A cg: RN ai: 107 vo: 40 vu: ml t0: [12:00:00 01/04/2014] 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 01/04/2014] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 5 vu: ml t0: [12:00:00 01/04/2014] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU-A cg: RN ai: 416 vo: 5 vu: ml t0: [12:00:00 01/04/2014] id: IV Piggyback 100.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 105 vo: 0 vu: ml t0: [12:00:00 01/04/2014] id: Promote w/fiber Tube Feeding el: 1 cu: MICU-A cg: RN ai: 107 vo: 65 vu: ml t0: [12:00:00 01/04/2014] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 120 vu: ml
t0: [12:00:00 01/04/2014] 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: [12:00:00 01/04/2014] id: Ativan el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 5 du: mghr sv: 60 su: ml rt: IV Drip
t0: [06:00:00 01/04/2014] id: LDH Enzymes el: 0 cu: MICU-A cg: 1663 v1: 328 rs: Final st: NotStopd t0: [06:00:00 01/04/2014] id: Total Bili (0-1.5) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 0.2 rs: Final st: NotStopd
t0: [13:20:00 01/04/2014] id: ETT Mark/Location el: 0 cu: MICU-A cg: RRT v1: 24cm v2: Lip st: NotStopd t0: [13:20:00 01/04/2014] id: FiO2 Set el: 0 cu: MICU-A cg: RRT v1: 0.4 u1: torr st: NotStopd t0: [13:20:00 01/04/2014] id: High Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 40 u1: cmH2O st: NotStopd t0: [13:20:00 01/04/2014] id: High Resp. Rate el: 0 cu: MICU-A cg: RRT v1: 35 u1: BPM st: NotStopd t0: [13:20:00 01/04/2014] id: Airway Size el: 0 cu: MICU-A cg: RRT v1: 7.5 mm st: NotStopd t0: [13:20:00 01/04/2014] id: Airway Type el: 0 cu: MICU-A cg: RRT v1: Endotracheal st: NotStopd t0: [13:20:00 01/04/2014] id: Inspired Gas Temp el: 0 cu: MICU-A cg: RRT v1: 34 u1: Deg. C st: NotStopd t0: [13:20:00 01/04/2014] id: Intubation Date el: 0 cu: MICU-A cg: RRT v1: 3 v2: 12 st: NotStopd t0: [13:20:00 01/04/2014] id: Low Exhaled Min Vol el: 0 cu: MICU-A cg: RRT v1: 5 st: NotStopd t0: [13:20:00 01/04/2014] id: Low Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 20 u1: cmH2O st: NotStopd t0: [13:20:00 01/04/2014] id: Mean Airway Pressure el: 0 cu: MICU-A cg: RRT v1: 17.6 u1: cmH2O st: NotStopd t0: [13:20:00 01/04/2014] id: Minute Volume(Obser) el: 0 cu: MICU-A cg: RRT v1: 9 u1: L/min st: NotStopd t0: [13:20:00 01/04/2014] id: PEEP Set el: 0 cu: MICU-A cg: RRT v1: 15 u1: cmH2O st: NotStopd t0: [13:20:00 01/04/2014] id: Apnea Time Interval el: 0 cu: MICU-A cg: RRT v1: 20 st: NotStopd t0: [13:20:00 01/04/2014] id: Plateau-Off el: 0 cu: MICU-A cg: RRT v1: Yes st: NotStopd t0: [13:20:00 01/04/2014] id: Pressure Support el: 0 cu: MICU-A cg: RRT v1: 12 u1: . st: NotStopd t0: [13:20:00 01/04/2014] id: Resp Rate (Total) el: 0 cu: MICU-A cg: RRT v1: 22 u1: BPM st: NotStopd t0: [13:20:00 01/04/2014] id: Sensitivity-Vent el: 0 cu: MICU-A cg: RRT v1: 2 u1: cmH2O st: NotStopd t0: [13:20:00 01/04/2014] id: SpO2 el: 0 cu: MICU-A cg: RRT v1: 99 u1: % st: NotStopd t0: [13:20:00 01/04/2014] id: Sputum Color/Consist el: 0 cu: MICU-A cg: RRT v1: Blood Tinged v2: Thick st: NotStopd t0: [13:20:00 01/04/2014] id: Sputum Source/Amt el: 0 cu: MICU-A cg: RRT v1: Suctioned v2: Small st: NotStopd t0: [13:20:00 01/04/2014] id: Tidal Volume (Spont) el: 0 cu: MICU-A cg: RRT v1: 430 u1: ml/B st: NotStopd t0: [13:20:00 01/04/2014] id: Ventilator Mode el: 0 cu: MICU-A cg: RRT v1: CPAP+PS st: NotStopd t0: [13:20:00 01/04/2014] id: Ventilator No. el: 0 cu: MICU-A cg: RRT v1: 6 u1: # st: NotStopd t0: [13:20:00 01/04/2014] id: Ventilator Type el: 0 cu: MICU-A cg: RRT v1: 7200A st: NotStopd
t0: [13:00:00 01/04/2014] id: Service Type el: 0 cu: MICU-A cg: -1 v1: MICU st: NotStopd t0: [13:00:00 01/04/2014] id: CVP el: 0 cu: MICU-A cg: -1 v1: 18 u1: mmHg st: NotStopd t0: [13:00:00 01/04/2014] id: Code Status el: 0 cu: MICU-A cg: -1 v1: Full Code st: NotStopd t0: [13:00:00 01/04/2014] id: Ectopy Frequency el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [13:00:00 01/04/2014] id: Ectopy Type el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [13:00:00 01/04/2014] id: Heart Rate el: 0 cu: MICU-A cg: -1 v1: 65 u1: BPM st: NotStopd t0: [13:00:00 01/04/2014] id: Heart Rhythm el: 0 cu: MICU-A cg: -1 v1: Normal Sinus st: NotStopd t0: [13:00:00 01/04/2014] id: Arterial BP el: 0 cu: MICU-A cg: -1 v1: 117 u1: mmHg v2: 55 u2: mmHg st: NotStopd t0: [13:00:00 01/04/2014] id: Arterial BP Mean el: 0 cu: MICU-A cg: -1 v1: 78 u1: mmHg st: NotStopd t0: [13:00:00 01/04/2014] id: Precautions el: 0 cu: MICU-A cg: -1 v1: Universal st: NotStopd t0: [13:00:00 01/04/2014] id: Respiratory Rate el: 0 cu: MICU-A cg: -1 v1: 23 u1: BPM st: NotStopd t0: [13:00:00 01/04/2014] id: SpO2 el: 0 cu: MICU-A cg: -1 v1: 99 u1: % st: NotStopd t0: [13:00:00 01/04/2014] id: calprevflg el: 0 cu: MICU-A cg: -1 v1: 1 u1: kg st: NotStopd t0: [14:00:00 01/04/2014] id: Service Type el: 0 cu: MICU-A cg: -1 v1: MICU st: NotStopd t0: [14:00:00 01/04/2014] id: CVP el: 0 cu: MICU-A cg: -1 v1: 19 u1: mmHg st: NotStopd t0: [14:00:00 01/04/2014] id: Code Status el: 0 cu: MICU-A cg: -1 v1: Full Code st: NotStopd t0: [14:00:00 01/04/2014] id: Ectopy Frequency el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [14:00:00 01/04/2014] id: Ectopy Type el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [14:00:00 01/04/2014] id: Heart Rate el: 0 cu: MICU-A cg: -1 v1: 66 u1: BPM st: NotStopd t0: [14:00:00 01/04/2014] id: Heart Rhythm el: 0 cu: MICU-A cg: -1 v1: Normal Sinus st: NotStopd t0: [14:00:00 01/04/2014] id: Arterial BP el: 0 cu: MICU-A cg: -1 v1: 127 u1: mmHg v2: 60 u2: mmHg st: NotStopd t0: [14:00:00 01/04/2014] id: Arterial BP Mean el: 0 cu: MICU-A cg: -1 v1: 85 u1: mmHg st: NotStopd t0: [14:00:00 01/04/2014] id: Precautions el: 0 cu: MICU-A cg: -1 v1: Universal st: NotStopd t0: [14:00:00 01/04/2014] id: Respiratory Rate el: 0 cu: MICU-A cg: -1 v1: 25 u1: BPM st: NotStopd t0: [14:00:00 01/04/2014] id: SpO2 el: 0 cu: MICU-A cg: -1 v1: 98 u1: % st: NotStopd t0: [14:00:00 01/04/2014] id: calprevflg el: 0 cu: MICU-A cg: -1 v1: 1 u1: kg st: NotStopd
t0: [14:00:00 01/04/2014] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 20 vu: ml t0: [14:00:00 01/04/2014] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 10 vu: ml t0: [14:00:00 01/04/2014] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU-A cg: -1 ai: 416 vo: 10 vu: ml t0: [14:00:00 01/04/2014] id: IV Piggyback 100.0ml IV Infusions el: 1 cu: MICU-A cg: -1 ai: 105 vo: 0 vu: ml t0: [14:00:00 01/04/2014] id: Promote w/fiber Tube Feeding el: 1 cu: MICU-A cg: -1 ai: 107 vo: 130 vu: ml t0: [14:00:00 01/04/2014] id: Urine Out Foley el: 1 cu: MICU-A cg: -1 vo: 400 vu: ml
t0: [13:00:00 01/04/2014] id: Fentanyl el: 1 cu: MICU-A so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 250 su: ml rt: IV Drip t0: [13:00:00 01/04/2014] id: Ativan el: 1 cu: MICU-A so: D5W vo: 0 v1: 5 du: mghr sv: 60 su: ml rt: IV Drip t0: [14:00:00 01/04/2014] id: Fentanyl el: 1 cu: MICU-A so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 250 su: ml rt: IV Drip t0: [14:00:00 01/04/2014] id: Ativan el: 1 cu: MICU-A so: D5W vo: 0 v1: 5 du: mghr sv: 60 su: ml rt: IV Drip
tf: [15:00:00 02/04/2014] pt: IV Piggyback rt: IV fr: Q12H fs: 2, 14 dn: 2 m1: Vancomycin HCl f1: INJ v1: 1000 u1: mg m2: Iso-Osmotic Dextrose f2: INJ v2: 200 u2: ml
tf: [14:00:00 02/04/2014] pt: Unit Dose rt: PO fr: ONCE fs: 15 dn: 1 m1: Potassium Chloride f1: CAP v1: 40 u1: mEq
t0: [06:00:00 01/04/2014] id: Differential-Bands Hematology el: 0 cu: MICU-A cg: 1663 v1: 33 rs: Final st: NotStopd t0: [06:00:00 01/04/2014] id: Differential-Basos Hematology el: 0 cu: MICU-A cg: 1663 v1: 0 rs: Final st: NotStopd t0: [06:00:00 01/04/2014] id: Differential-Eos Hematology el: 0 cu: MICU-A cg: 1663 v1: 0 rs: Final st: NotStopd t0: [06:00:00 01/04/2014] id: Differential-Lymphs Hematology el: 0 cu: MICU-A cg: 1663 v1: 3 rs: Final st: NotStopd t0: [06:00:00 01/04/2014] id: Differential-Monos Hematology el: 0 cu: MICU-A cg: 1663 v1: 4 rs: Final st: NotStopd t0: [06:00:00 01/04/2014] id: Differential-Polys Hematology el: 0 cu: MICU-A cg: 1663 v1: 54 rs: Final st: NotStopd
t0: [15:00:00 01/04/2014] id: Service Type el: 0 cu: MICU-A cg: -1 v1: MICU st: NotStopd t0: [15:00:00 01/04/2014] id: CVP el: 0 cu: MICU-A cg: -1 v1: 19 u1: mmHg st: NotStopd t0: [15:00:00 01/04/2014] id: Code Status el: 0 cu: MICU-A cg: -1 v1: Full Code st: NotStopd t0: [15:00:00 01/04/2014] id: Heart Rate el: 0 cu: MICU-A cg: -1 v1: 68 u1: BPM st: NotStopd t0: [15:00:00 01/04/2014] id: Heart Rhythm el: 0 cu: MICU-A cg: -1 v1: Normal Sinus st: NotStopd t0: [15:00:00 01/04/2014] id: Arterial BP el: 0 cu: MICU-A cg: -1 v1: 118 u1: mmHg v2: 55 u2: mmHg st: NotStopd t0: [15:00:00 01/04/2014] id: Arterial BP Mean el: 0 cu: MICU-A cg: -1 v1: 78 u1: mmHg st: NotStopd t0: [15:00:00 01/04/2014] id: Precautions el: 0 cu: MICU-A cg: -1 v1: Universal st: NotStopd t0: [15:00:00 01/04/2014] id: Respiratory Rate el: 0 cu: MICU-A cg: -1 v1: 26 u1: BPM st: NotStopd t0: [15:00:00 01/04/2014] id: SpO2 el: 0 cu: MICU-A cg: -1 v1: 97 u1: % st: NotStopd t0: [15:00:00 01/04/2014] id: calprevflg el: 0 cu: MICU-A cg: -1 v1: 1 u1: kg st: NotStopd t0: [16:00:00 01/04/2014] id: Service Type el: 0 cu: MICU-A cg: -1 v1: MICU st: NotStopd t0: [16:00:00 01/04/2014] id: CVP el: 0 cu: MICU-A cg: -1 v1: 19 u1: mmHg st: NotStopd t0: [16:00:00 01/04/2014] id: Code Status el: 0 cu: MICU-A cg: -1 v1: Full Code st: NotStopd t0: [16:00:00 01/04/2014] id: Riker-SAS Scale el: 0 cu: MICU-A cg: -1 v1: Sedated st: NotStopd t0: [16:00:00 01/04/2014] id: Ectopy Type el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [16:00:00 01/04/2014] id: Heart Rate el: 0 cu: MICU-A cg: -1 v1: 71 u1: BPM st: NotStopd t0: [16:00:00 01/04/2014] id: Heart Rhythm el: 0 cu: MICU-A cg: -1 v1: Normal Sinus st: NotStopd t0: [16:00:00 01/04/2014] id: Arterial BP el: 0 cu: MICU-A cg: -1 v1: 128 u1: mmHg v2: 63 u2: mmHg st: NotStopd t0: [16:00:00 01/04/2014] id: Arterial BP Mean el: 0 cu: MICU-A cg: -1 v1: 89 u1: mmHg st: NotStopd t0: [16:00:00 01/04/2014] id: Precautions el: 0 cu: MICU-A cg: -1 v1: Universal st: NotStopd t0: [16:00:00 01/04/2014] id: Respiratory Rate el: 0 cu: MICU-A cg: -1 v1: 20 u1: BPM st: NotStopd t0: [16:00:00 01/04/2014] id: SpO2 el: 0 cu: MICU-A cg: -1 v1: 98 u1: % st: NotStopd t0: [16:00:00 01/04/2014] id: Temp. Site el: 0 cu: MICU-A cg: -1 v1: Oral st: NotStopd t0: [16:00:00 01/04/2014] id: Temperature C (calc) el: 0 cu: MICU-A cg: -1 v1: 37.8333 u1: Deg. C st: NotStopd t0: [16:00:00 01/04/2014] id: Temperature F el: 0 cu: MICU-A cg: -1 v1: 100.1 u1: Deg. F st: NotStopd t0: [16:00:00 01/04/2014] id: calprevflg el: 0 cu: MICU-A cg: -1 v1: 1 u1: kg st: NotStopd
t0: [16:00:00 01/04/2014] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 20 vu: ml t0: [16:00:00 01/04/2014] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 10 vu: ml t0: [16:00:00 01/04/2014] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU-A cg: -1 ai: 416 vo: 10 vu: ml t0: [16:00:00 01/04/2014] id: IV Piggyback 100.0ml IV Infusions el: 1 cu: MICU-A cg: -1 ai: 105 vo: 0 vu: ml t0: [16:00:00 01/04/2014] id: Promote w/fiber Tube Feeding el: 1 cu: MICU-A cg: -1 ai: 107 vo: 130 vu: ml t0: [16:00:00 01/04/2014] id: Urine Out Foley el: 1 cu: MICU-A cg: -1 vo: 210 vu: ml
t0: [15:00:00 01/04/2014] id: Fentanyl el: 1 cu: MICU-A so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 250 su: ml rt: IV Drip t0: [15:00:00 01/04/2014] id: Ativan el: 1 cu: MICU-A so: D5W vo: 0 v1: 5 du: mghr sv: 60 su: ml rt: IV Drip t0: [16:00:00 01/04/2014] id: Fentanyl el: 1 cu: MICU-A so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 250 su: ml rt: IV Drip t0: [16:00:00 01/04/2014] id: Ativan el: 1 cu: MICU-A so: D5W vo: 0 v1: 5 du: mghr sv: 60 su: ml rt: IV Drip
t0: [15:00:00 01/04/2014] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [15:00:00 01/04/2014] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [15:00:00 01/04/2014] id: HOB el: 0 cu: MICU-A cg: RN v1: 30 degrees st: NotStopd t0: [15:00:00 01/04/2014] id: Activity el: 0 cu: MICU-A cg: RN v1: Bedrest st: NotStopd t0: [15:00:00 01/04/2014] id: Activity Tolerance el: 0 cu: MICU-A cg: RN v1: Tolerated Well st: NotStopd t0: [15:00:00 01/04/2014] id: AntiEmbDevice/Status el: 0 cu: MICU-A cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [15:00:00 01/04/2014] id: Assistance Device el: 0 cu: MICU-A cg: RN v1: 2 Person Assist st: NotStopd t0: [15:00:00 01/04/2014] id: PressureReduceDevice el: 0 cu: MICU-A cg: RN v1: Multipodus Boots st: NotStopd t0: [15:00:00 01/04/2014] id: Therapeutic Bed el: 0 cu: MICU-A cg: RN v1: AirMatt/1st Step st: NotStopd t0: [15:00:00 01/04/2014] id: Turn el: 0 cu: MICU-A cg: RN v1: Right Side st: NotStopd t0: [15:00:00 01/04/2014] id: Back Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [16:00:00 01/04/2014] id: Less Restrict Meas. el: 0 cu: MICU-A cg: RN v1: Medicated st: NotStopd t0: [16:00:00 01/04/2014] id: Pain Present el: 0 cu: MICU-A cg: RN v1: No st: NotStopd t0: [16:00:00 01/04/2014] id: Range of Motion el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [16:00:00 01/04/2014] id: INV#3Chg o/Wire Date el: 0 cu: MICU-A cg: RN v1: 3 v2: 16 st: NotStopd t0: [16:00:00 01/04/2014] id: Circulation/SkinInt el: 0 cu: MICU-A cg: RN v1: Circulation Adeq st: NotStopd t0: [16:00:00 01/04/2014] id: Daily Wake Up el: 0 cu: MICU-A cg: RN v1: No st: NotStopd t0: [16:00:00 01/04/2014] id: GI Prophylaxis el: 0 cu: MICU-A cg: RN v1: H2 Blocker st: NotStopd t0: [16:00:00 01/04/2014] id: Diet Type el: 0 cu: MICU-A cg: RN v1: Tube Feeding st: NotStopd t0: [16:00:00 01/04/2014] id: Eye Opening el: 0 cu: MICU-A cg: RN v1: 2 To pain st: NotStopd t0: [16:00:00 01/04/2014] id: GCS Total el: 0 cu: MICU-A cg: RN v1: 8 u1: points st: NotStopd t0: [16:00:00 01/04/2014] id: GI Intub #1/Site el: 0 cu: MICU-A cg: RN v1: Salem Sump v2: Oral st: NotStopd t0: [16:00:00 01/04/2014] id: GI#1 Tube Stat/Drain el: 0 cu: MICU-A cg: RN v1: Feeding st: NotStopd t0: [16:00:00 01/04/2014] id: GU Catheter Size el: 0 cu: MICU-A cg: RN v1: 14 French st: NotStopd t0: [16:00:00 01/04/2014] id: INV Line#3 Site Date el: 0 cu: MICU-A cg: RN v1: 3 v2: 16 st: NotStopd t0: [16:00:00 01/04/2014] id: INV Line#3 Type/Site el: 0 cu: MICU-A cg: RN v1: Multi-lumen v2: Right IJ st: NotStopd t0: [16:00:00 01/04/2014] id: INV Line#3 Zero/Cal el: 0 cu: MICU-A cg: RN v1: No st: NotStopd t0: [16:00:00 01/04/2014] id: INV Line#3InsertDate el: 0 cu: MICU-A cg: RN v1: 3 v2: 12 st: NotStopd t0: [16:00:00 01/04/2014] id: INV Line#3SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [16:00:00 01/04/2014] id: INV Line#4 Type/Site el: 0 cu: MICU-A cg: RN v1: A-Line v2: Right Brachial st: NotStopd t0: [16:00:00 01/04/2014] id: INV Line#4 Zero/Cal el: 0 cu: MICU-A cg: RN v1: No st: NotStopd t0: [16:00:00 01/04/2014] id: INV Line#4InsertDate el: 0 cu: MICU-A cg: RN v1: 3 v2: 17 st: NotStopd t0: [16:00:00 01/04/2014] id: INV Line#4SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [16:00:00 01/04/2014] id: Abdominal Assessment el: 0 cu: MICU-A cg: RN v1: Obese st: NotStopd t0: [16:00:00 01/04/2014] id: INV#3 WaveformAppear el: 0 cu: MICU-A cg: RN v1: Sharp st: NotStopd t0: [16:00:00 01/04/2014] id: INV#4 WaveformAppear el: 0 cu: MICU-A cg: RN v1: Sharp st: NotStopd t0: [16:00:00 01/04/2014] id: Imp Skin Cleanse #2 el: 0 cu: MICU-A cg: RN v1: Soap & H20 st: NotStopd t0: [16:00:00 01/04/2014] id: ImpSkin Character #1 el: 0 cu: MICU-A cg: RN v1: Hematoma st: NotStopd t0: [16:00:00 01/04/2014] id: ImpSkin Character #2 el: 0 cu: MICU-A cg: RN v1: Rash st: NotStopd t0: [16:00:00 01/04/2014] id: ImpSkin Treatment #1 el: 0 cu: MICU-A cg: RN v1: Open to Air st: NotStopd t0: [16:00:00 01/04/2014] id: ImpSkin Treatment #2 el: 0 cu: MICU-A cg: RN v1: Open to Air st: NotStopd t0: [16:00:00 01/04/2014] id: Impaired Skin Site#1 el: 0 cu: MICU-A cg: RN v1: Gluteal, Right st: NotStopd t0: [16:00:00 01/04/2014] id: Impaired Skin Site#2 el: 0 cu: MICU-A cg: RN v1: Labia st: NotStopd t0: [16:00:00 01/04/2014] id: LLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Diminished st: NotStopd t0: [16:00:00 01/04/2014] id: LUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [16:00:00 01/04/2014] id: Level of Conscious el: 0 cu: MICU-A cg: RN v1: Arouse to Pain st: NotStopd t0: [16:00:00 01/04/2014] id: Motor Response el: 0 cu: MICU-A cg: RN v1: 5 Localizes Pain st: NotStopd t0: [16:00:00 01/04/2014] id: Oral Cavity el: 0 cu: MICU-A cg: RN v1: Thrush st: NotStopd t0: [16:00:00 01/04/2014] id: Orientation el: 0 cu: MICU-A cg: RN v1: Other/Remarks st: NotStopd t0: [16:00:00 01/04/2014] id: Pain Location el: 0 cu: MICU-A cg: RN v1: Not Indicated st: NotStopd t0: [16:00:00 01/04/2014] id: Position Change el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [16:00:00 01/04/2014] id: RLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Diminished st: NotStopd t0: [16:00:00 01/04/2014] id: RUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [16:00:00 01/04/2014] id: Reason For Restraint el: 0 cu: MICU-A cg: RN v1: Ext/TXInterfere st: NotStopd t0: [16:00:00 01/04/2014] id: Removed x 5 Mins el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [16:00:00 01/04/2014] id: Respiratory Pattern el: 0 cu: MICU-A cg: RN v1: Regular st: NotStopd t0: [16:00:00 01/04/2014] id: Restraint Location el: 0 cu: MICU-A cg: RN v1: Both Arms st: NotStopd t0: [16:00:00 01/04/2014] id: Restraint Type el: 0 cu: MICU-A cg: RN v1: Soft Limb st: NotStopd t0: [16:00:00 01/04/2014] id: Restraints Evaluated el: 0 cu: MICU-A cg: RN v1: RestraintReapply st: NotStopd t0: [16:00:00 01/04/2014] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [16:00:00 01/04/2014] id: Skin Color el: 0 cu: MICU-A cg: RN v1: Flushed st: NotStopd t0: [16:00:00 01/04/2014] id: Skin Integrity el: 0 cu: MICU-A cg: RN v1: Impaired st: NotStopd t0: [16:00:00 01/04/2014] id: Support Systems el: 0 cu: MICU-A cg: RN v1: Spouse st: NotStopd t0: [16:00:00 01/04/2014] id: Urine Color/Appear el: 0 cu: MICU-A cg: RN v1: Light Yellow v2: Clear st: NotStopd t0: [16:00:00 01/04/2014] id: Urine Source el: 0 cu: MICU-A cg: RN v1: Indwelling Cath st: NotStopd t0: [16:00:00 01/04/2014] id: Verbal Response el: 0 cu: MICU-A cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [16:00:00 01/04/2014] id: Behavior el: 0 cu: MICU-A cg: RN v1: Sedated st: NotStopd t0: [16:00:00 01/04/2014] id: Bowel Sounds el: 0 cu: MICU-A cg: RN v1: Present st: NotStopd
t0: [17:00:00 01/04/2014] id: ETT Mark/Location el: 0 cu: MICU-A cg: RRT v1: 24cm v2: Lip st: NotStopd t0: [17:00:00 01/04/2014] id: FiO2 Set el: 0 cu: MICU-A cg: RRT v1: 0.4 u1: torr st: NotStopd t0: [17:00:00 01/04/2014] id: High Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 40 u1: cmH2O st: NotStopd t0: [17:00:00 01/04/2014] id: High Resp. Rate el: 0 cu: MICU-A cg: RRT v1: 35 u1: BPM st: NotStopd t0: [17:00:00 01/04/2014] id: Airway Size el: 0 cu: MICU-A cg: RRT v1: 7.5 mm st: NotStopd t0: [17:00:00 01/04/2014] id: Airway Type el: 0 cu: MICU-A cg: RRT v1: Endotracheal st: NotStopd t0: [17:00:00 01/04/2014] id: Inspired Gas Temp el: 0 cu: MICU-A cg: RRT v1: 34 u1: Deg. C st: NotStopd t0: [17:00:00 01/04/2014] id: Intubation Date el: 0 cu: MICU-A cg: RRT v1: \3 v2: 12 st: NotStopd t0: [17:00:00 01/04/2014] id: Low Exhaled Min Vol el: 0 cu: MICU-A cg: RRT v1: 5 st: NotStopd t0: [17:00:00 01/04/2014] id: Low Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 20 u1: cmH2O st: NotStopd t0: [17:00:00 01/04/2014] id: Mean Airway Pressure el: 0 cu: MICU-A cg: RRT v1: 18.8 u1: cmH2O st: NotStopd t0: [17:00:00 01/04/2014] id: Minute Volume(Obser) el: 0 cu: MICU-A cg: RRT v1: 10.1 u1: L/min st: NotStopd t0: [17:00:00 01/04/2014] id: PEEP Set el: 0 cu: MICU-A cg: RRT v1: 15 u1: cmH2O st: NotStopd t0: [17:00:00 01/04/2014] id: Apnea Time Interval el: 0 cu: MICU-A cg: RRT v1: 20 st: NotStopd t0: [17:00:00 01/04/2014] id: Plateau-Off el: 0 cu: MICU-A cg: RRT v1: Yes st: NotStopd t0: [17:00:00 01/04/2014] id: Pressure Support el: 0 cu: MICU-A cg: RRT v1: 12 u1: . st: NotStopd t0: [17:00:00 01/04/2014] id: Resp Rate (Total) el: 0 cu: MICU-A cg: RRT v1: 26 u1: BPM st: NotStopd t0: [17:00:00 01/04/2014] id: Sensitivity-Vent el: 0 cu: MICU-A cg: RRT v1: 2 u1: cmH2O st: NotStopd t0: [17:00:00 01/04/2014] id: SpO2 el: 0 cu: MICU-A cg: RRT v1: 98 u1: % st: NotStopd t0: [17:00:00 01/04/2014] id: Sputum Source/Amt el: 0 cu: MICU-A cg: RRT v1: Suctioned v2: None st: NotStopd t0: [17:00:00 01/04/2014] id: Tidal Volume (Spont) el: 0 cu: MICU-A cg: RRT v1: 380 u1: ml/B st: NotStopd t0: [17:00:00 01/04/2014] id: Ventilator Mode el: 0 cu: MICU-A cg: RRT v1: CPAP+PS st: NotStopd t0: [17:00:00 01/04/2014] id: Ventilator No. el: 0 cu: MICU-A cg: RRT v1: 6 u1: # st: NotStopd t0: [17:00:00 01/04/2014] id: Ventilator Type el: 0 cu: MICU-A cg: RRT v1: 7200A st: NotStopd
t0: [17:00:00 01/04/2014] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [17:00:00 01/04/2014] id: CVP el: 0 cu: MICU-A cg: RN v1: 19 u1: mmHg st: NotStopd t0: [17:00:00 01/04/2014] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [17:00:00 01/04/2014] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [17:00:00 01/04/2014] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [17:00:00 01/04/2014] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 69 u1: BPM st: NotStopd t0: [17:00:00 01/04/2014] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [17:00:00 01/04/2014] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 130 u1: mmHg v2: 63 u2: mmHg st: NotStopd t0: [17:00:00 01/04/2014] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 89 u1: mmHg st: NotStopd t0: [17:00:00 01/04/2014] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [17:00:00 01/04/2014] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 29 u1: BPM st: NotStopd t0: [17:00:00 01/04/2014] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [18:00:00 01/04/2014] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [18:00:00 01/04/2014] id: CVP el: 0 cu: MICU-A cg: RN v1: 18 u1: mmHg st: NotStopd t0: [18:00:00 01/04/2014] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [18:00:00 01/04/2014] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [18:00:00 01/04/2014] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [18:00:00 01/04/2014] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 70 u1: BPM st: NotStopd t0: [18:00:00 01/04/2014] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [18:00:00 01/04/2014] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 132 u1: mmHg v2: 63 u2: mmHg st: NotStopd t0: [18:00:00 01/04/2014] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 90 u1: mmHg st: NotStopd t0: [18:00:00 01/04/2014] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [18:00:00 01/04/2014] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 27 u1: BPM st: NotStopd t0: [18:00:00 01/04/2014] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 97 u1: % st: NotStopd t0: [18:00:00 01/04/2014] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [17:00:00 01/04/2014] 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 01/04/2014] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 5 vu: ml t0: [17:00:00 01/04/2014] 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 01/04/2014] id: IV Piggyback 100.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 105 vo: 0 vu: ml t0: [17:00:00 01/04/2014] id: Promote w/fiber Tube Feeding el: 1 cu: MICU-A cg: RN ai: 107 vo: 65 vu: ml t0: [17:00:00 01/04/2014] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 100 vu: ml t0: [18:00:00 01/04/2014] 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 01/04/2014] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 5 vu: ml t0: [18:00:00 01/04/2014] 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 01/04/2014] id: IV Piggyback 100.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 105 vo: 0 vu: ml t0: [18:00:00 01/04/2014] id: Promote w/fiber Tube Feeding el: 1 cu: MICU-A cg: RN ai: 107 vo: 65 vu: ml t0: [18:00:00 01/04/2014] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 100 vu: ml
t0: [17:00:00 01/04/2014] 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 01/04/2014] id: Ativan el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 5 du: mghr sv: 60 su: ml rt: IV Drip t0: [18:00:00 01/04/2014] 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 01/04/2014] id: Ativan el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 5 du: mghr sv: 60 su: ml rt: IV Drip
t0: [19:00:00 01/04/2014] id: Imp Skin Cleanse #3 el: 0 cu: MICU-A cg: -1 st: D/C'd t0: [19:00:00 01/04/2014] id: ImpSkin Character #3 el: 0 cu: MICU-A cg: -1 st: D/C'd t0: [19:00:00 01/04/2014] id: ImpSkin Treatment #3 el: 0 cu: MICU-A cg: -1 st: D/C'd
t0: [19:00:00 01/04/2014] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [19:00:00 01/04/2014] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [19:00:00 01/04/2014] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [19:00:00 01/04/2014] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [19:00:00 01/04/2014] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 71 u1: BPM st: NotStopd t0: [19:00:00 01/04/2014] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [19:00:00 01/04/2014] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 137 u1: mmHg v2: 64 u2: mmHg st: NotStopd t0: [19:00:00 01/04/2014] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 91 u1: mmHg st: NotStopd t0: [19:00:00 01/04/2014] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [19:00:00 01/04/2014] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 25 u1: BPM st: NotStopd t0: [19:00:00 01/04/2014] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 99 u1: % st: NotStopd t0: [19:00:00 01/04/2014] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [20:00:00 01/04/2014] id: Pain Present el: 0 cu: MICU-A cg: RN v1: Other/Remarks st: NotStopd t0: [20:00:00 01/04/2014] id: Range of Motion el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [20:00:00 01/04/2014] id: INV#3Chg o/Wire Date el: 0 cu: MICU-A cg: RN v1: 3 v2: 16 st: NotStopd t0: [20:00:00 01/04/2014] id: Pain Assess Method el: 0 cu: MICU-A cg: RN v1: Change in Vitals st: NotStopd t0: [20:00:00 01/04/2014] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [20:00:00 01/04/2014] id: CVP el: 0 cu: MICU-A cg: RN v1: 12 u1: mmHg st: NotStopd t0: [20:00:00 01/04/2014] id: Circulation/SkinInt el: 0 cu: MICU-A cg: RN v1: Circulation Adeq st: NotStopd t0: [20:00:00 01/04/2014] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [20:00:00 01/04/2014] id: Riker-SAS Scale el: 0 cu: MICU-A cg: RN v1: Sedated st: NotStopd t0: [20:00:00 01/04/2014] id: GI Prophylaxis el: 0 cu: MICU-A cg: RN v1: H2 Blocker st: NotStopd t0: [20:00:00 01/04/2014] id: Diet Type el: 0 cu: MICU-A cg: RN v1: Tube Feeding st: NotStopd t0: [20:00:00 01/04/2014] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [20:00:00 01/04/2014] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [20:00:00 01/04/2014] id: Eye Opening el: 0 cu: MICU-A cg: RN v1: 3 To speech st: NotStopd t0: [20:00:00 01/04/2014] id: GCS Total el: 0 cu: MICU-A cg: RN v1: 9 u1: points st: NotStopd t0: [20:00:00 01/04/2014] id: GI Guaiac/ph el: 0 cu: MICU-A cg: RN v1: Not Applicable st: NotStopd t0: [20:00:00 01/04/2014] id: GI Intub #1/Site el: 0 cu: MICU-A cg: RN v1: Salem Sump v2: Oral st: NotStopd t0: [20:00:00 01/04/2014] id: GI#1 Tube PlaceCheck el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [20:00:00 01/04/2014] id: GI#1 Tube Stat/Drain el: 0 cu: MICU-A cg: RN v1: Feeding v2: Undigested Food st: NotStopd t0: [20:00:00 01/04/2014] id: GU Catheter Size el: 0 cu: MICU-A cg: RN v1: 14 French st: NotStopd t0: [20:00:00 01/04/2014] id: HOB el: 0 cu: MICU-A cg: RN v1: 30 degrees st: NotStopd t0: [20:00:00 01/04/2014] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 75 u1: BPM st: NotStopd t0: [20:00:00 01/04/2014] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [20:00:00 01/04/2014] id: INV Line#3 Site Date el: 0 cu: MICU-A cg: RN v1: 3 v2: 16 st: NotStopd t0: [20:00:00 01/04/2014] id: INV Line#3 Type/Site el: 0 cu: MICU-A cg: RN v1: Multi-lumen v2: Right IJ st: NotStopd t0: [20:00:00 01/04/2014] id: INV Line#3 Zero/Cal el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [20:00:00 01/04/2014] id: INV Line#3InsertDate el: 0 cu: MICU-A cg: RN v1: 3 v2: 12 st: NotStopd t0: [20:00:00 01/04/2014] id: INV Line#3SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [20:00:00 01/04/2014] id: INV Line#4 Type/Site el: 0 cu: MICU-A cg: RN v1: A-Line v2: Right Brachial st: NotStopd t0: [20:00:00 01/04/2014] id: INV Line#4 Zero/Cal el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [20:00:00 01/04/2014] id: INV Line#4InsertDate el: 0 cu: MICU-A cg: RN v1: 3 v2: 17 st: NotStopd t0: [20:00:00 01/04/2014] id: INV Line#4SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [20:00:00 01/04/2014] id: Abdominal Assessment el: 0 cu: MICU-A cg: RN v1: Obese st: NotStopd t0: [20:00:00 01/04/2014] id: INV#3 WaveformAppear el: 0 cu: MICU-A cg: RN v1: Sharp st: NotStopd t0: [20:00:00 01/04/2014] id: INV#4 WaveformAppear el: 0 cu: MICU-A cg: RN v1: Sharp st: NotStopd t0: [20:00:00 01/04/2014] id: Activity el: 0 cu: MICU-A cg: RN v1: Bedrest st: NotStopd t0: [20:00:00 01/04/2014] id: Activity Tolerance el: 0 cu: MICU-A cg: RN v1: Tolerated Well st: NotStopd t0: [20:00:00 01/04/2014] id: Imp Skin Cleanse #2 el: 0 cu: MICU-A cg: RN v1: Soap & H20 st: NotStopd t0: [20:00:00 01/04/2014] id: ImpSkin Character #1 el: 0 cu: MICU-A cg: RN v1: Hematoma st: NotStopd t0: [20:00:00 01/04/2014] id: ImpSkin Character #2 el: 0 cu: MICU-A cg: RN v1: Rash st: NotStopd t0: [20:00:00 01/04/2014] id: ImpSkin Treatment #1 el: 0 cu: MICU-A cg: RN v1: Open to Air st: NotStopd t0: [20:00:00 01/04/2014] id: ImpSkin Treatment #2 el: 0 cu: MICU-A cg: RN v1: Open to Air st: NotStopd t0: [20:00:00 01/04/2014] id: Impaired Skin Site#1 el: 0 cu: MICU-A cg: RN v1: Gluteal, Right st: NotStopd t0: [20:00:00 01/04/2014] id: Impaired Skin Site#2 el: 0 cu: MICU-A cg: RN v1: Labia st: NotStopd t0: [20:00:00 01/04/2014] id: LLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Diminished st: NotStopd t0: [20:00:00 01/04/2014] id: LUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [20:00:00 01/04/2014] id: Level of Conscious el: 0 cu: MICU-A cg: RN v1: Arouse to Stimul st: NotStopd t0: [20:00:00 01/04/2014] id: Motor Response el: 0 cu: MICU-A cg: RN v1: 5 Localizes Pain st: NotStopd t0: [20:00:00 01/04/2014] id: Oral Cavity el: 0 cu: MICU-A cg: RN v1: Thrush st: NotStopd t0: [20:00:00 01/04/2014] id: Orientation el: 0 cu: MICU-A cg: RN v1: Other/Remarks st: NotStopd t0: [20:00:00 01/04/2014] id: AntiEmbDevice/Status el: 0 cu: MICU-A cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [20:00:00 01/04/2014] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 134 u1: mmHg v2: 63 u2: mmHg st: NotStopd t0: [20:00:00 01/04/2014] id: Pain Location el: 0 cu: MICU-A cg: RN v1: Not Indicated st: NotStopd t0: [20:00:00 01/04/2014] id: Pain Management el: 1 cu: MICU-A cg: RN v1: IV Gtt v2: IV Gtt st: NotStopd t0: [20:00:00 01/04/2014] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 87 u1: mmHg st: NotStopd t0: [20:00:00 01/04/2014] id: Position el: 0 cu: MICU-A cg: RN v1: Left Side st: NotStopd t0: [20:00:00 01/04/2014] id: Position Change el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [20:00:00 01/04/2014] id: Assistance Device el: 0 cu: MICU-A cg: RN v1: 2 Person Assist st: NotStopd t0: [20:00:00 01/04/2014] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [20:00:00 01/04/2014] id: PressureReduceDevice el: 0 cu: MICU-A cg: RN v1: Multipodus Boots st: NotStopd t0: [20:00:00 01/04/2014] id: RLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Diminished st: NotStopd t0: [20:00:00 01/04/2014] id: RUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [20:00:00 01/04/2014] id: Reason For Restraint el: 0 cu: MICU-A cg: RN v1: Ext/TXInterfere st: NotStopd t0: [20:00:00 01/04/2014] id: Removed x 5 Mins el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [20:00:00 01/04/2014] id: Respiratory Pattern el: 0 cu: MICU-A cg: RN v1: Regular st: NotStopd t0: [20:00:00 01/04/2014] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 35 u1: BPM st: NotStopd t0: [20:00:00 01/04/2014] id: Restraint Location el: 0 cu: MICU-A cg: RN v1: Both Arms st: NotStopd t0: [20:00:00 01/04/2014] id: Restraint Type el: 0 cu: MICU-A cg: RN v1: Soft Limb st: NotStopd t0: [20:00:00 01/04/2014] id: Restraints Evaluated el: 0 cu: MICU-A cg: RN v1: RestraintReapply st: NotStopd t0: [20:00:00 01/04/2014] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [20:00:00 01/04/2014] id: Skin Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [20:00:00 01/04/2014] id: Skin Color el: 0 cu: MICU-A cg: RN v1: Flushed st: NotStopd t0: [20:00:00 01/04/2014] id: Skin Integrity el: 0 cu: MICU-A cg: RN v1: Impaired st: NotStopd t0: [20:00:00 01/04/2014] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 95 u1: % st: NotStopd t0: [20:00:00 01/04/2014] id: Sputum Color/Consist el: 0 cu: MICU-A cg: RN v1: Yellow v2: Thick st: NotStopd t0: [20:00:00 01/04/2014] id: Sputum Source/Amt el: 0 cu: MICU-A cg: RN v1: Suctioned v2: Moderate st: NotStopd t0: [20:00:00 01/04/2014] id: Stool Color/Consist el: 0 cu: MICU-A cg: RN v1: Brown v2: Liquid st: NotStopd t0: [20:00:00 01/04/2014] id: Support Systems el: 0 cu: MICU-A cg: RN v1: Spouse st: NotStopd t0: [20:00:00 01/04/2014] id: Temp. Site el: 0 cu: MICU-A cg: RN v1: Oral st: NotStopd t0: [20:00:00 01/04/2014] id: Temperature C (calc) el: 0 cu: MICU-A cg: RN v1: 38.8889 u1: Deg. C st: NotStopd t0: [20:00:00 01/04/2014] id: Temperature F el: 0 cu: MICU-A cg: RN v1: 102 u1: Deg. F st: NotStopd t0: [20:00:00 01/04/2014] id: Therapeutic Bed el: 0 cu: MICU-A cg: RN v1: AirMatt/1st Step st: NotStopd t0: [20:00:00 01/04/2014] id: Turn el: 0 cu: MICU-A cg: RN v1: Side to Side st: NotStopd t0: [20:00:00 01/04/2014] id: Urine Color/Appear el: 0 cu: MICU-A cg: RN v1: Yellow v2: Sediment st: NotStopd t0: [20:00:00 01/04/2014] id: Urine Source el: 0 cu: MICU-A cg: RN v1: Indwelling Cath st: NotStopd t0: [20:00:00 01/04/2014] id: Verbal Response el: 0 cu: MICU-A cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [20:00:00 01/04/2014] id: Back Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [20:00:00 01/04/2014] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [20:00:00 01/04/2014] id: Behavior el: 0 cu: MICU-A cg: RN v1: Sedated st: NotStopd t0: [20:00:00 01/04/2014] id: Bowel Sounds el: 0 cu: MICU-A cg: RN v1: Present st: NotStopd t0: [20:00:00 01/04/2014] id: Braden Activity el: 0 cu: MICU-A cg: RN v1: Bedfast st: NotStopd t0: [20:00:00 01/04/2014] id: Braden Frict/Shear el: 0 cu: MICU-A cg: RN v1: Potential Prob st: NotStopd t0: [20:00:00 01/04/2014] id: Braden Mobility el: 0 cu: MICU-A cg: RN v1: Very Limited st: NotStopd t0: [20:00:00 01/04/2014] id: Braden Moisture el: 0 cu: MICU-A cg: RN v1: Occ. Moist st: NotStopd t0: [20:00:00 01/04/2014] id: Braden Nutrition el: 0 cu: MICU-A cg: RN v1: Adequate st: NotStopd t0: [20:00:00 01/04/2014] id: Braden Score el: 0 cu: MICU-A cg: RN v1: 13 u1: number st: NotStopd t0: [20:00:00 01/04/2014] id: Braden SensoryPercep el: 0 cu: MICU-A cg: RN v1: Very Limited st: NotStopd
t0: [20:00:00 01/04/2014] id: TF Residual Gastric/TF Residual el: 1 cu: MICU-A cg: RN ai: 107 vo: 5 vu: ml t0: [20:00:00 01/04/2014] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 20 vu: ml t0: [20:00:00 01/04/2014] id: Gastric Meds PO/Gastric el: 1 cu: MICU-A cg: RN ai: 155 vo: 60 vu: ml t0: [20:00:00 01/04/2014] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [20:00:00 01/04/2014] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU-A cg: RN ai: 416 vo: 10 vu: ml t0: [20:00:00 01/04/2014] id: Promote w/fiber Tube Feeding el: 1 cu: MICU-A cg: RN ai: 107 vo: 130 vu: ml t0: [20:00:00 01/04/2014] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 80 vu: ml
t0: [19:00:00 01/04/2014] 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 01/04/2014] id: Ativan el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 5 du: mghr sv: 60 su: ml rt: IV Drip t0: [20:00:00 01/04/2014] 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 01/04/2014] id: Ativan el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 5 du: mghr sv: 60 su: ml rt: IV Drip
t0: [20:03:00 01/04/2014] id: ETT Mark/Location el: 0 cu: MICU-A cg: RRT v1: 24cm v2: Lip st: NotStopd t0: [20:03:00 01/04/2014] id: FiO2 Set el: 0 cu: MICU-A cg: RRT v1: 0.4 u1: torr st: NotStopd t0: [20:03:00 01/04/2014] id: High Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 40 u1: cmH2O st: NotStopd t0: [20:03:00 01/04/2014] id: High Resp. Rate el: 0 cu: MICU-A cg: RRT v1: 35 u1: BPM st: NotStopd t0: [20:03:00 01/04/2014] id: Airway Size el: 0 cu: MICU-A cg: RRT v1: 7.5 mm st: NotStopd t0: [20:03:00 01/04/2014] id: Airway Type el: 0 cu: MICU-A cg: RRT v1: Endotracheal st: NotStopd t0: [20:03:00 01/04/2014] id: Inspired Gas Temp el: 0 cu: MICU-A cg: RRT v1: 34 u1: Deg. C st: NotStopd t0: [20:03:00 01/04/2014] id: Intubation Date el: 0 cu: MICU-A cg: RRT v1: \3 v2: 12 st: NotStopd t0: [20:03:00 01/04/2014] id: Low Exhaled Min Vol el: 0 cu: MICU-A cg: RRT v1: 5 st: NotStopd t0: [20:03:00 01/04/2014] id: Low Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 20 u1: cmH2O st: NotStopd t0: [20:03:00 01/04/2014] id: Mean Airway Pressure el: 0 cu: MICU-A cg: RRT v1: 19.9 u1: cmH2O st: NotStopd t0: [20:03:00 01/04/2014] id: Minute Volume(Obser) el: 0 cu: MICU-A cg: RRT v1: 10 u1: L/min st: NotStopd t0: [20:03:00 01/04/2014] id: PEEP Set el: 0 cu: MICU-A cg: RRT v1: 15 u1: cmH2O st: NotStopd t0: [20:03:00 01/04/2014] id: Apnea Time Interval el: 0 cu: MICU-A cg: RRT v1: 20 st: NotStopd t0: [20:03:00 01/04/2014] id: Plateau-Off el: 0 cu: MICU-A cg: RRT v1: Yes st: NotStopd t0: [20:03:00 01/04/2014] id: Pressure Support el: 0 cu: MICU-A cg: RRT v1: 12 u1: . st: NotStopd t0: [20:03:00 01/04/2014] id: Resp Rate (Total) el: 0 cu: MICU-A cg: RRT v1: 25 u1: BPM st: NotStopd t0: [20:03:00 01/04/2014] id: Sensitivity-Vent el: 0 cu: MICU-A cg: RRT v1: 2 u1: cmH2O st: NotStopd t0: [20:03:00 01/04/2014] id: SpO2 el: 0 cu: MICU-A cg: RRT v1: 96 u1: % st: NotStopd t0: [20:03:00 01/04/2014] id: Tidal Volume (Spont) el: 0 cu: MICU-A cg: RRT v1: 360 u1: ml/B st: NotStopd t0: [20:03:00 01/04/2014] id: Ventilator Mode el: 0 cu: MICU-A cg: RRT v1: CPAP+PS st: NotStopd t0: [20:03:00 01/04/2014] id: Ventilator No. el: 0 cu: MICU-A cg: RRT v1: 6 u1: # st: NotStopd t0: [20:03:00 01/04/2014] id: Ventilator Type el: 0 cu: MICU-A cg: RRT v1: 7200A st: NotStopd
t0: [21:00:00 01/04/2014] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [21:00:00 01/04/2014] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [21:00:00 01/04/2014] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [21:00:00 01/04/2014] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [21:00:00 01/04/2014] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 76 u1: BPM st: NotStopd t0: [21:00:00 01/04/2014] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [21:00:00 01/04/2014] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 151 u1: mmHg v2: 70 u2: mmHg st: NotStopd t0: [21:00:00 01/04/2014] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 99 u1: mmHg st: NotStopd t0: [21:00:00 01/04/2014] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [21:00:00 01/04/2014] id: Procedures el: 0 cu: MICU-A cg: RN v1: Culture/remarks st: NotStopd t0: [21:00:00 01/04/2014] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 24 u1: BPM st: NotStopd t0: [21:00:00 01/04/2014] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 99 u1: % st: NotStopd t0: [21:00:00 01/04/2014] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [21:00:00 01/04/2014] 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: [21:00:00 01/04/2014] id: Ativan el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 5 du: mghr sv: 60 su: ml rt: IV Drip
t0: [21:00:00 01/04/2014] id: Sputum Color/Consist el: 0 cu: MICU-A cg: RN v1: Blood Tinged v2: Thick st: NotStopd t0: [21:00:00 01/04/2014] id: Sputum Source/Amt el: 0 cu: MICU-A cg: RN v1: Suctioned v2: Scant st: NotStopd
t0: [21:00:00 01/04/2014] id: Gastric Meds PO/Gastric el: 1 cu: MICU-A cg: RN ai: 155 vo: 40 vu: ml
t0: [23:00:00 01/04/2014] dt: 24 id: PO/Gastric In Total el: 2 cu: MICU-A cg: RN cv: 220 ap: none
t0: [22:00:00 01/04/2014] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 20 vu: ml t0: [22:00:00 01/04/2014] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [22:00:00 01/04/2014] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU-A cg: RN ai: 416 vo: 10 vu: ml t0: [22:00:00 01/04/2014] id: Promote w/fiber Tube Feeding el: 1 cu: MICU-A cg: RN ai: 107 vo: 130 vu: ml t0: [22:00:00 01/04/2014] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 110 vu: ml
t0: [22:00:00 01/04/2014] id: Range of Motion el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [22:00:00 01/04/2014] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [22:00:00 01/04/2014] id: Circulation/SkinInt el: 0 cu: MICU-A cg: RN v1: Circulation Adeq st: NotStopd t0: [22:00:00 01/04/2014] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [22:00:00 01/04/2014] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [22:00:00 01/04/2014] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [22:00:00 01/04/2014] id: Family Communication el: 0 cu: MICU-A cg: RN v1: Fam Talked to RN st: NotStopd t0: [22:00:00 01/04/2014] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 77 u1: BPM st: NotStopd t0: [22:00:00 01/04/2014] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [22:00:00 01/04/2014] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 142 u1: mmHg v2: 65 u2: mmHg st: NotStopd t0: [22:00:00 01/04/2014] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 93 u1: mmHg st: NotStopd t0: [22:00:00 01/04/2014] id: Position Change el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [22:00:00 01/04/2014] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [22:00:00 01/04/2014] id: Reason For Restraint el: 0 cu: MICU-A cg: RN v1: Ext/TXInterfere st: NotStopd t0: [22:00:00 01/04/2014] id: Removed x 5 Mins el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [22:00:00 01/04/2014] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 20 u1: BPM st: NotStopd t0: [22:00:00 01/04/2014] id: Restraint Location el: 0 cu: MICU-A cg: RN v1: Both Arms st: NotStopd t0: [22:00:00 01/04/2014] id: Restraint Type el: 0 cu: MICU-A cg: RN v1: Soft Limb st: NotStopd t0: [22:00:00 01/04/2014] id: Restraints Evaluated el: 0 cu: MICU-A cg: RN v1: RestraintReapply st: NotStopd t0: [22:00:00 01/04/2014] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [22:00:00 01/04/2014] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 99 u1: % st: NotStopd t0: [22:00:00 01/04/2014] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [22:00:00 01/04/2014] 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: [22:00:00 01/04/2014] id: Ativan el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 5 du: mghr sv: 60 su: ml rt: IV Drip
t0: [22:00:00 01/04/2014] id: ETT Mark/Location el: 0 cu: MICU-A cg: RN v1: 21cm v2: Lip st: NotStopd t0: [22:00:00 01/04/2014] id: ETT Position Change el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [22:00:00 01/04/2014] id: Airway Size el: 0 cu: MICU-A cg: RN v1: 7.5 mm st: NotStopd t0: [22:00:00 01/04/2014] id: Airway Type el: 0 cu: MICU-A cg: RN v1: Endotracheal st: NotStopd t0: [22:00:00 01/04/2014] id: Sputum Color/Consist el: 0 cu: MICU-A cg: RN v1: Yellow v2: Thick st: NotStopd t0: [22:00:00 01/04/2014] id: Sputum Source/Amt el: 0 cu: MICU-A cg: RN v1: Suctioned v2: Small st: NotStopd
t0: [23:00:00 01/04/2014] 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 01/04/2014] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 5 vu: ml t0: [23:00:00 01/04/2014] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU-A cg: RN ai: 416 vo: 5 vu: ml t0: [23:00:00 01/04/2014] id: Promote w/fiber Tube Feeding el: 1 cu: MICU-A cg: RN ai: 107 vo: 65 vu: ml t0: [23:00:00 01/04/2014] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 50 vu: ml
t0: [23:00:00 01/04/2014] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [23:00:00 01/04/2014] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [23:00:00 01/04/2014] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [23:00:00 01/04/2014] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [23:00:00 01/04/2014] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 77 u1: BPM st: NotStopd t0: [23:00:00 01/04/2014] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [23:00:00 01/04/2014] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 111 u1: mmHg v2: 50 u2: mmHg st: NotStopd t0: [23:00:00 01/04/2014] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 70 u1: mmHg st: NotStopd t0: [23:00:00 01/04/2014] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [23:00:00 01/04/2014] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 33 u1: BPM st: NotStopd t0: [23:00:00 01/04/2014] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 96 u1: % st: NotStopd t0: [23:00:00 01/04/2014] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [23:00:00 01/04/2014] 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: [23:00:00 01/04/2014] id: Ativan el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 6 du: mghr sv: 60 su: ml rt: IV Drip
t0: [00:00:00 02/04/2014] id: Pain Present el: 0 cu: MICU-A cg: RN v1: Other/Remarks st: NotStopd t0: [00:00:00 02/04/2014] id: Range of Motion el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [00:00:00 02/04/2014] id: INV#3Chg o/Wire Date el: 0 cu: MICU-A cg: RN v1: 3 v2: 16 st: NotStopd t0: [00:00:00 02/04/2014] id: Pain Assess Method el: 0 cu: MICU-A cg: RN v1: Change in Vitals st: NotStopd t0: [00:00:00 02/04/2014] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [00:00:00 02/04/2014] id: Circulation/SkinInt el: 0 cu: MICU-A cg: RN v1: Circulation Adeq st: NotStopd t0: [00:00:00 02/04/2014] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [00:00:00 02/04/2014] id: Riker-SAS Scale el: 0 cu: MICU-A cg: RN v1: Sedated st: NotStopd t0: [00:00:00 02/04/2014] id: GI Prophylaxis el: 0 cu: MICU-A cg: RN v1: H2 Blocker st: NotStopd t0: [00:00:00 02/04/2014] id: Diet Type el: 0 cu: MICU-A cg: RN v1: Tube Feeding st: NotStopd t0: [00:00:00 02/04/2014] id: Dorsal PedPulse R/L el: 0 cu: MICU-A cg: RN v1: Weak Palpable v2: Weak Palpable st: NotStopd t0: [00:00:00 02/04/2014] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [00:00:00 02/04/2014] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [00:00:00 02/04/2014] id: Eye Opening el: 0 cu: MICU-A cg: RN v1: 3 To speech st: NotStopd t0: [00:00:00 02/04/2014] id: GCS Total el: 0 cu: MICU-A cg: RN v1: 9 u1: points st: NotStopd t0: [00:00:00 02/04/2014] id: GI Guaiac/ph el: 0 cu: MICU-A cg: RN v1: Not Applicable st: NotStopd t0: [00:00:00 02/04/2014] id: GI Intub #1/Site el: 0 cu: MICU-A cg: RN v1: Salem Sump v2: Oral st: NotStopd t0: [00:00:00 02/04/2014] id: GI#1 Tube PlaceCheck el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [00:00:00 02/04/2014] id: GI#1 Tube Stat/Drain el: 0 cu: MICU-A cg: RN v1: Feeding v2: Undigested Food st: NotStopd t0: [00:00:00 02/04/2014] id: GU Catheter Size el: 0 cu: MICU-A cg: RN v1: 14 French st: NotStopd t0: [00:00:00 02/04/2014] id: HOB el: 0 cu: MICU-A cg: RN v1: 30 degrees st: NotStopd t0: [00:00:00 02/04/2014] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 74 u1: BPM st: NotStopd t0: [00:00:00 02/04/2014] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [00:00:00 02/04/2014] id: INV Line#3 Site Date el: 0 cu: MICU-A cg: RN v1: 3 v2: 16 st: NotStopd t0: [00:00:00 02/04/2014] id: INV Line#3 Type/Site el: 0 cu: MICU-A cg: RN v1: Multi-lumen v2: Right IJ st: NotStopd t0: [00:00:00 02/04/2014] id: INV Line#3 Zero/Cal el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [00:00:00 02/04/2014] id: INV Line#3InsertDate el: 0 cu: MICU-A cg: RN v1: 3 v2: 12 st: NotStopd t0: [00:00:00 02/04/2014] id: INV Line#4 Type/Site el: 0 cu: MICU-A cg: RN v1: A-Line v2: Right Brachial st: NotStopd t0: [00:00:00 02/04/2014] id: INV Line#4 Zero/Cal el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [00:00:00 02/04/2014] id: INV Line#4InsertDate el: 0 cu: MICU-A cg: RN v1: 3 v2: 17 st: NotStopd t0: [00:00:00 02/04/2014] id: INV Line#4SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [00:00:00 02/04/2014] id: Abdominal Assessment el: 0 cu: MICU-A cg: RN v1: Obese st: NotStopd t0: [00:00:00 02/04/2014] id: INV#3 WaveformAppear el: 0 cu: MICU-A cg: RN v1: Sharp st: NotStopd t0: [00:00:00 02/04/2014] id: INV#4 WaveformAppear el: 0 cu: MICU-A cg: RN v1: Sharp st: NotStopd t0: [00:00:00 02/04/2014] id: Activity el: 0 cu: MICU-A cg: RN v1: Bedrest st: NotStopd t0: [00:00:00 02/04/2014] id: Activity Tolerance el: 0 cu: MICU-A cg: RN v1: Tolerated Well st: NotStopd t0: [00:00:00 02/04/2014] id: Imp Skin Cleanse #2 el: 0 cu: MICU-A cg: RN v1: Soap & H20 st: NotStopd t0: [00:00:00 02/04/2014] id: ImpSkin Character #1 el: 0 cu: MICU-A cg: RN v1: Hematoma st: NotStopd t0: [00:00:00 02/04/2014] id: ImpSkin Character #2 el: 0 cu: MICU-A cg: RN v1: Rash st: NotStopd t0: [00:00:00 02/04/2014] id: ImpSkin Treatment #1 el: 0 cu: MICU-A cg: RN v1: Open to Air st: NotStopd t0: [00:00:00 02/04/2014] id: ImpSkin Treatment #2 el: 0 cu: MICU-A cg: RN v1: Open to Air st: NotStopd t0: [00:00:00 02/04/2014] id: Impaired Skin Site#1 el: 0 cu: MICU-A cg: RN v1: Gluteal, Right st: NotStopd t0: [00:00:00 02/04/2014] id: Impaired Skin Site#2 el: 0 cu: MICU-A cg: RN v1: Labia st: NotStopd t0: [00:00:00 02/04/2014] id: LLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Diminished st: NotStopd t0: [00:00:00 02/04/2014] id: LUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [00:00:00 02/04/2014] id: Level of Conscious el: 0 cu: MICU-A cg: RN v1: Arouse to Stimul st: NotStopd t0: [00:00:00 02/04/2014] id: Motor Response el: 0 cu: MICU-A cg: RN v1: 5 Localizes Pain st: NotStopd t0: [00:00:00 02/04/2014] id: Oral Cavity el: 0 cu: MICU-A cg: RN v1: Thrush st: NotStopd t0: [00:00:00 02/04/2014] id: Orientation el: 0 cu: MICU-A cg: RN v1: Other/Remarks st: NotStopd t0: [00:00:00 02/04/2014] id: AntiEmbDevice/Status el: 0 cu: MICU-A cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [00:00:00 02/04/2014] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 112 u1: mmHg v2: 51 u2: mmHg st: NotStopd t0: [00:00:00 02/04/2014] id: Pain Location el: 0 cu: MICU-A cg: RN v1: Not Indicated st: NotStopd t0: [00:00:00 02/04/2014] id: Pain Management el: 1 cu: MICU-A cg: RN v1: IV Gtt v2: IV Gtt st: NotStopd t0: [00:00:00 02/04/2014] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 71 u1: mmHg st: NotStopd t0: [00:00:00 02/04/2014] id: Position el: 0 cu: MICU-A cg: RN v1: Supine st: NotStopd t0: [00:00:00 02/04/2014] id: Position Change el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [00:00:00 02/04/2014] id: PostTib. Pulses R/L el: 0 cu: MICU-A cg: RN v1: Weak Palpable v2: Weak Palpable st: NotStopd t0: [00:00:00 02/04/2014] id: Assistance Device el: 0 cu: MICU-A cg: RN v1: 2 Person Assist st: NotStopd t0: [00:00:00 02/04/2014] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [00:00:00 02/04/2014] id: PressureReduceDevice el: 0 cu: MICU-A cg: RN v1: Multipodus Boots st: NotStopd t0: [00:00:00 02/04/2014] id: RLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Diminished st: NotStopd t0: [00:00:00 02/04/2014] id: RUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [00:00:00 02/04/2014] id: Reason For Restraint el: 0 cu: MICU-A cg: RN v1: Ext/TXInterfere st: NotStopd t0: [00:00:00 02/04/2014] id: Removed x 5 Mins el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [00:00:00 02/04/2014] id: Respiratory Pattern el: 0 cu: MICU-A cg: RN v1: Regular st: NotStopd t0: [00:00:00 02/04/2014] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 23 u1: BPM st: NotStopd t0: [00:00:00 02/04/2014] id: Restraint Location el: 0 cu: MICU-A cg: RN v1: Both Arms st: NotStopd t0: [00:00:00 02/04/2014] id: Restraint Type el: 0 cu: MICU-A cg: RN v1: Soft Limb st: NotStopd t0: [00:00:00 02/04/2014] id: Restraints Evaluated el: 0 cu: MICU-A cg: RN v1: RestraintReapply st: NotStopd t0: [00:00:00 02/04/2014] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [00:00:00 02/04/2014] id: Skin Color el: 0 cu: MICU-A cg: RN v1: Flushed st: NotStopd t0: [00:00:00 02/04/2014] id: Skin Integrity el: 0 cu: MICU-A cg: RN v1: Impaired st: NotStopd t0: [00:00:00 02/04/2014] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 97 u1: % st: NotStopd t0: [00:00:00 02/04/2014] id: Stool Color/Consist el: 0 cu: MICU-A cg: RN v1: Brown v2: Liquid st: NotStopd t0: [00:00:00 02/04/2014] id: Support Systems el: 0 cu: MICU-A cg: RN v1: Spouse st: NotStopd t0: [00:00:00 02/04/2014] id: Temp. Site el: 0 cu: MICU-A cg: RN v1: Oral st: NotStopd t0: [00:00:00 02/04/2014] id: Temperature C (calc) el: 0 cu: MICU-A cg: RN v1: 38.3333 u1: Deg. C st: NotStopd t0: [00:00:00 02/04/2014] id: Temperature F el: 0 cu: MICU-A cg: RN v1: 101 u1: Deg. F st: NotStopd t0: [00:00:00 02/04/2014] id: Therapeutic Bed el: 0 cu: MICU-A cg: RN v1: AirMatt/1st Step st: NotStopd t0: [00:00:00 02/04/2014] id: Turn el: 0 cu: MICU-A cg: RN v1: Back st: NotStopd t0: [00:00:00 02/04/2014] id: Urine Color/Appear el: 0 cu: MICU-A cg: RN v1: Yellow v2: Sediment st: NotStopd t0: [00:00:00 02/04/2014] id: Urine Source el: 0 cu: MICU-A cg: RN v1: Indwelling Cath st: NotStopd t0: [00:00:00 02/04/2014] id: Verbal Response el: 0 cu: MICU-A cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [00:00:00 02/04/2014] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [00:00:00 02/04/2014] id: Behavior el: 0 cu: MICU-A cg: RN v1: Sedated st: NotStopd t0: [00:00:00 02/04/2014] id: Bowel Sounds el: 0 cu: MICU-A cg: RN v1: Present st: NotStopd t0: [00:00:00 02/04/2014] id: Braden Activity el: 0 cu: MICU-A cg: RN v1: Bedfast st: NotStopd t0: [00:00:00 02/04/2014] id: Braden Frict/Shear el: 0 cu: MICU-A cg: RN v1: No Apparent Prob st: NotStopd t0: [00:00:00 02/04/2014] id: Braden Mobility el: 0 cu: MICU-A cg: RN v1: Comp. Immobile st: NotStopd t0: [00:00:00 02/04/2014] id: Braden Moisture el: 0 cu: MICU-A cg: RN v1: Occ. Moist st: NotStopd t0: [00:00:00 02/04/2014] id: Braden Nutrition el: 0 cu: MICU-A cg: RN v1: Adequate st: NotStopd t0: [00:00:00 02/04/2014] id: Braden Score el: 0 cu: MICU-A cg: RN v1: 13 u1: number st: NotStopd t0: [00:00:00 02/04/2014] id: Braden SensoryPercep el: 0 cu: MICU-A cg: RN v1: Very Limited st: NotStopd
t0: [00:00:00 02/04/2014] id: TF Residual Gastric/TF Residual el: 1 cu: MICU-A cg: RN ai: 107 vo: 0 vu: ml t0: [00:00:00 02/04/2014] 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 02/04/2014] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 6 vu: ml nb: 1 t0: [00:00:00 02/04/2014] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU-A cg: RN ai: 416 vo: 5 vu: ml t0: [00:00:00 02/04/2014] id: Promote w/fiber Tube Feeding el: 1 cu: MICU-A cg: RN ai: 107 vo: 65 vu: ml nb: 1 t0: [00:00:00 02/04/2014] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 25 vu: ml
t0: [00:00:00 02/04/2014] 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: [00:00:00 02/04/2014] id: Ativan el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 6 du: mghr sv: 60 su: ml rt: IV Drip
t0: [00:00:00 02/04/2014] id: ETT Mark/Location el: 0 cu: MICU-A cg: RRT v1: 21cm v2: Lip st: NotStopd t0: [00:00:00 02/04/2014] id: FiO2 Set el: 0 cu: MICU-A cg: RRT v1: 0.4 u1: torr st: NotStopd t0: [00:00:00 02/04/2014] id: High Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 40 u1: cmH2O st: NotStopd t0: [00:00:00 02/04/2014] id: High Resp. Rate el: 0 cu: MICU-A cg: RRT v1: 35 u1: BPM st: NotStopd t0: [00:00:00 02/04/2014] id: Airway Size el: 0 cu: MICU-A cg: RRT v1: 7.5 mm st: NotStopd t0: [00:00:00 02/04/2014] id: Airway Type el: 0 cu: MICU-A cg: RRT v1: Endotracheal st: NotStopd t0: [00:00:00 02/04/2014] id: Inspired Gas Temp el: 0 cu: MICU-A cg: RRT v1: 34 u1: Deg. C st: NotStopd t0: [00:00:00 02/04/2014] id: Intubation Date el: 0 cu: MICU-A cg: RRT v1: \3 v2: 12 st: NotStopd t0: [00:00:00 02/04/2014] id: Low Exhaled Min Vol el: 0 cu: MICU-A cg: RRT v1: 5 st: NotStopd t0: [00:00:00 02/04/2014] id: Low Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 20 u1: cmH2O st: NotStopd t0: [00:00:00 02/04/2014] id: Mean Airway Pressure el: 0 cu: MICU-A cg: RRT v1: 20.3 u1: cmH2O st: NotStopd t0: [00:00:00 02/04/2014] id: Minute Volume(Obser) el: 0 cu: MICU-A cg: RRT v1: 8.6 u1: L/min st: NotStopd t0: [00:00:00 02/04/2014] id: PEEP Set el: 0 cu: MICU-A cg: RRT v1: 15 u1: cmH2O st: NotStopd t0: [00:00:00 02/04/2014] id: Apnea Time Interval el: 0 cu: MICU-A cg: RRT v1: 20 st: NotStopd t0: [00:00:00 02/04/2014] id: Pressure Support el: 0 cu: MICU-A cg: RRT v1: 12 u1: . st: NotStopd t0: [00:00:00 02/04/2014] id: Resp Rate (Total) el: 0 cu: MICU-A cg: RRT v1: 23 u1: BPM st: NotStopd t0: [00:00:00 02/04/2014] id: Sensitivity-Vent el: 0 cu: MICU-A cg: RRT v1: 2 u1: cmH2O st: NotStopd t0: [00:00:00 02/04/2014] id: Tidal Volume (Spont) el: 0 cu: MICU-A cg: RRT v1: 420 u1: ml/B st: NotStopd t0: [00:00:00 02/04/2014] id: Ventilator Mode el: 0 cu: MICU-A cg: RRT v1: CPAP+PS st: NotStopd t0: [00:00:00 02/04/2014] id: Ventilator No. el: 0 cu: MICU-A cg: RRT v1: 6 u1: # st: NotStopd t0: [00:00:00 02/04/2014] id: Ventilator Type el: 0 cu: MICU-A cg: RRT v1: 7200A st: NotStopd
tf: [00:00:00 03/04/2014] pt: Unit Dose rt: IV fr: ONCE fs: 1 dn: 1 m1: Furosemide f1: INJ v1: 20 u1: mg tf: [17:00:00 12/04/2014] pt: Unit Dose rt: PO fr: Q4-6H:PRN m1: Acetaminophen f1: TAB v1: 325-650 u1: mg
t0: [01:00:00 02/04/2014] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [01:00:00 02/04/2014] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [01:00:00 02/04/2014] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [01:00:00 02/04/2014] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [01:00:00 02/04/2014] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 68 u1: BPM st: NotStopd t0: [01:00:00 02/04/2014] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [01:00:00 02/04/2014] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 117 u1: mmHg v2: 55 u2: mmHg st: NotStopd t0: [01:00:00 02/04/2014] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 76 u1: mmHg st: NotStopd t0: [01:00:00 02/04/2014] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [01:00:00 02/04/2014] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 22 u1: BPM st: NotStopd t0: [01:00:00 02/04/2014] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 97 u1: % st: NotStopd t0: [01:00:00 02/04/2014] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [02:00:00 02/04/2014] id: Range of Motion el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [02:00:00 02/04/2014] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [02:00:00 02/04/2014] id: CVP el: 0 cu: MICU-A cg: RN v1: 13 u1: mmHg st: NotStopd t0: [02:00:00 02/04/2014] id: Circulation/SkinInt el: 0 cu: MICU-A cg: RN v1: Circulation Adeq st: NotStopd t0: [02:00:00 02/04/2014] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [02:00:00 02/04/2014] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [02:00:00 02/04/2014] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [02:00:00 02/04/2014] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 71 u1: BPM st: NotStopd t0: [02:00:00 02/04/2014] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [02:00:00 02/04/2014] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 112 u1: mmHg v2: 51 u2: mmHg st: NotStopd t0: [02:00:00 02/04/2014] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 71 u1: mmHg st: NotStopd t0: [02:00:00 02/04/2014] id: Position Change el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [02:00:00 02/04/2014] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [02:00:00 02/04/2014] id: Reason For Restraint el: 0 cu: MICU-A cg: RN v1: Ext/TXInterfere st: NotStopd t0: [02:00:00 02/04/2014] id: Removed x 5 Mins el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [02:00:00 02/04/2014] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 19 u1: BPM st: NotStopd t0: [02:00:00 02/04/2014] id: Restraint Location el: 0 cu: MICU-A cg: RN v1: Both Arms st: NotStopd t0: [02:00:00 02/04/2014] id: Restraint Type el: 0 cu: MICU-A cg: RN v1: Soft Limb st: NotStopd t0: [02:00:00 02/04/2014] id: Restraints Evaluated el: 0 cu: MICU-A cg: RN v1: RestraintReapply st: NotStopd t0: [02:00:00 02/04/2014] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [02:00:00 02/04/2014] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 98 u1: % st: NotStopd t0: [02:00:00 02/04/2014] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [02:00:00 02/04/2014] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 20 vu: ml t0: [02:00:00 02/04/2014] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 12 vu: ml t0: [02:00:00 02/04/2014] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU-A cg: RN ai: 416 vo: 10 vu: ml t0: [02:00:00 02/04/2014] id: Promote w/fiber Tube Feeding el: 1 cu: MICU-A cg: RN ai: 107 vo: 130 vu: ml t0: [02:00:00 02/04/2014] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 430 vu: ml
t0: [01:00:00 02/04/2014] 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: [01:00:00 02/04/2014] id: Ativan el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 6 du: mghr sv: 60 su: ml rt: IV Drip t0: [02:00:00 02/04/2014] 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: [02:00:00 02/04/2014] id: Ativan el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 6 du: mghr sv: 60 su: ml rt: IV Drip
t0: [00:00:00 02/04/2014] id: INV Line#3SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [03:00:00 02/04/2014] id: bath el: 0 cu: MICU-A cg: RN v1: done t0: [03:00:00 02/04/2014] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [03:00:00 02/04/2014] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [03:00:00 02/04/2014] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [03:00:00 02/04/2014] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [03:00:00 02/04/2014] id: Eye Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [03:00:00 02/04/2014] id: HOB el: 0 cu: MICU-A cg: RN v1: 30 degrees st: NotStopd t0: [03:00:00 02/04/2014] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 69 u1: BPM st: NotStopd t0: [03:00:00 02/04/2014] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [03:00:00 02/04/2014] id: Activity el: 0 cu: MICU-A cg: RN v1: Bedrest st: NotStopd t0: [03:00:00 02/04/2014] id: Activity Tolerance el: 0 cu: MICU-A cg: RN v1: Tolerated Well st: NotStopd t0: [03:00:00 02/04/2014] id: Oral Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [03:00:00 02/04/2014] id: AntiEmbDevice/Status el: 0 cu: MICU-A cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [03:00:00 02/04/2014] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 107 u1: mmHg v2: 52 u2: mmHg st: NotStopd t0: [03:00:00 02/04/2014] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 70 u1: mmHg st: NotStopd t0: [03:00:00 02/04/2014] id: Position el: 0 cu: MICU-A cg: RN v1: Right Side st: NotStopd t0: [03:00:00 02/04/2014] id: Assistance Device el: 0 cu: MICU-A cg: RN v1: 2 Person Assist st: NotStopd t0: [03:00:00 02/04/2014] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [03:00:00 02/04/2014] id: PressureReduceDevice el: 0 cu: MICU-A cg: RN v1: Multipodus Boots st: NotStopd t0: [03:00:00 02/04/2014] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 23 u1: BPM st: NotStopd t0: [03:00:00 02/04/2014] id: Skin Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [03:00:00 02/04/2014] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 96 u1: % st: NotStopd t0: [03:00:00 02/04/2014] id: Therapeutic Bed el: 0 cu: MICU-A cg: RN v1: AirMatt/1st Step st: NotStopd t0: [03:00:00 02/04/2014] id: Turn el: 0 cu: MICU-A cg: RN v1: Side to Side st: NotStopd t0: [03:00:00 02/04/2014] id: Back Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [03:00:00 02/04/2014] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [03:00:00 02/04/2014] 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 02/04/2014] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 6 vu: ml t0: [03:00:00 02/04/2014] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU-A cg: RN ai: 416 vo: 5 vu: ml nb: 1 t0: [03:00:00 02/04/2014] id: Promote w/fiber Tube Feeding el: 1 cu: MICU-A cg: RN ai: 107 vo: 65 vu: ml t0: [03:00:00 02/04/2014] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 130 vu: ml
t0: [03:00:00 02/04/2014] 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: [03:00:00 02/04/2014] id: Ativan el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 6 du: mghr sv: 60 su: ml rt: IV Drip
t0: [03:00:00 02/04/2014] id: Procedures el: 0 cu: MICU-A cg: RN v1: Culture/remarks st: NotStopd
t0: [02:00:00 02/04/2014] id: IV Piggyback 100.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 105 vu: ml
t0: [03:28:00 02/04/2014] id: PEEP Set el: 0 cu: MICU-A cg: RRT v1: 12 u1: cmH2O st: NotStopd
t0: [04:00:00 02/04/2014] id: ETT Mark/Location el: 0 cu: MICU-A cg: RRT v1: 21cm v2: Lip st: NotStopd t0: [04:00:00 02/04/2014] id: FiO2 Set el: 0 cu: MICU-A cg: RRT v1: 0.4 u1: torr st: NotStopd t0: [04:00:00 02/04/2014] id: High Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 40 u1: cmH2O st: NotStopd t0: [04:00:00 02/04/2014] id: High Resp. Rate el: 0 cu: MICU-A cg: RRT v1: 35 u1: BPM st: NotStopd t0: [04:00:00 02/04/2014] id: Airway Size el: 0 cu: MICU-A cg: RRT v1: 7.5 mm st: NotStopd t0: [04:00:00 02/04/2014] id: Airway Type el: 0 cu: MICU-A cg: RRT v1: Endotracheal st: NotStopd t0: [04:00:00 02/04/2014] id: Inspired Gas Temp el: 0 cu: MICU-A cg: RRT v1: 34.3 u1: Deg. C st: NotStopd t0: [04:00:00 02/04/2014] id: Intubation Date el: 0 cu: MICU-A cg: RRT v1: \3 v2: 12 st: NotStopd t0: [04:00:00 02/04/2014] id: Low Exhaled Min Vol el: 0 cu: MICU-A cg: RRT v1: 5 st: NotStopd t0: [04:00:00 02/04/2014] id: Low Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 18 u1: cmH2O st: NotStopd t0: [04:00:00 02/04/2014] id: Mean Airway Pressure el: 0 cu: MICU-A cg: RRT v1: 17.8 u1: cmH2O st: NotStopd t0: [04:00:00 02/04/2014] id: Minute Volume(Obser) el: 0 cu: MICU-A cg: RRT v1: 8 u1: L/min st: NotStopd t0: [04:00:00 02/04/2014] id: PEEP Set el: 0 cu: MICU-A cg: RRT v1: 12 u1: cmH2O st: NotStopd t0: [04:00:00 02/04/2014] id: Apnea Time Interval el: 0 cu: MICU-A cg: RRT v1: 20 st: NotStopd t0: [04:00:00 02/04/2014] id: Pressure Support el: 0 cu: MICU-A cg: RRT v1: 12 u1: . st: NotStopd t0: [04:00:00 02/04/2014] id: Resp Rate (Total) el: 0 cu: MICU-A cg: RRT v1: 20 u1: BPM st: NotStopd t0: [04:00:00 02/04/2014] id: Sensitivity-Vent el: 0 cu: MICU-A cg: RRT v1: 2 u1: cmH2O st: NotStopd t0: [04:00:00 02/04/2014] id: SpO2 el: 0 cu: MICU-A cg: RRT v1: 99 u1: % st: NotStopd t0: [04:00:00 02/04/2014] id: Tidal Volume (Spont) el: 0 cu: MICU-A cg: RRT v1: 430 u1: ml/B st: NotStopd t0: [04:00:00 02/04/2014] id: Ventilator Mode el: 0 cu: MICU-A cg: RRT v1: CPAP+PS st: NotStopd t0: [04:00:00 02/04/2014] id: Ventilator No. el: 0 cu: MICU-A cg: RRT v1: 6 u1: # st: NotStopd t0: [04:00:00 02/04/2014] id: Ventilator Type el: 0 cu: MICU-A cg: RRT v1: 7200A st: NotStopd
t0: [00:00:00 02/04/2014] id: Family Communication el: 0 cu: MICU-A cg: RN v1: Family Visited st: NotStopd t0: [04:00:00 02/04/2014] id: Pain Present el: 0 cu: MICU-A cg: RN v1: Other/Remarks st: NotStopd t0: [04:00:00 02/04/2014] id: Range of Motion el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [04:00:00 02/04/2014] id: INV#3Chg o/Wire Date el: 0 cu: MICU-A cg: RN v1: 3 v2: 16 st: NotStopd t0: [04:00:00 02/04/2014] id: Pain Assess Method el: 0 cu: MICU-A cg: RN v1: Change in Vitals st: NotStopd t0: [04:00:00 02/04/2014] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [04:00:00 02/04/2014] id: CVP el: 0 cu: MICU-A cg: RN v1: 11 u1: mmHg st: NotStopd t0: [04:00:00 02/04/2014] id: Circulation/SkinInt el: 0 cu: MICU-A cg: RN v1: Circulation Adeq st: NotStopd t0: [04:00:00 02/04/2014] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [04:00:00 02/04/2014] id: Riker-SAS Scale el: 0 cu: MICU-A cg: RN v1: Sedated st: NotStopd t0: [04:00:00 02/04/2014] id: GI Prophylaxis el: 0 cu: MICU-A cg: RN v1: H2 Blocker st: NotStopd t0: [04:00:00 02/04/2014] id: Diet Type el: 0 cu: MICU-A cg: RN v1: Tube Feeding st: NotStopd t0: [04:00:00 02/04/2014] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [04:00:00 02/04/2014] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [04:00:00 02/04/2014] id: Eye Opening el: 0 cu: MICU-A cg: RN v1: 3 To speech st: NotStopd t0: [04:00:00 02/04/2014] id: GCS Total el: 0 cu: MICU-A cg: RN v1: 9 u1: points st: NotStopd t0: [04:00:00 02/04/2014] id: GI Guaiac/ph el: 0 cu: MICU-A cg: RN v1: Not Applicable st: NotStopd t0: [04:00:00 02/04/2014] id: GI Intub #1/Site el: 0 cu: MICU-A cg: RN v1: Salem Sump v2: Oral st: NotStopd t0: [04:00:00 02/04/2014] id: GI#1 Tube PlaceCheck el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [04:00:00 02/04/2014] id: GI#1 Tube Stat/Drain el: 0 cu: MICU-A cg: RN v1: Feeding v2: Undigested Food st: NotStopd t0: [04:00:00 02/04/2014] id: GU Catheter Size el: 0 cu: MICU-A cg: RN v1: 14 French st: NotStopd t0: [04:00:00 02/04/2014] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 66 u1: BPM st: NotStopd t0: [04:00:00 02/04/2014] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [04:00:00 02/04/2014] id: INV Line#3 Site Date el: 0 cu: MICU-A cg: RN v1: 3 v2: 16 st: NotStopd t0: [04:00:00 02/04/2014] id: INV Line#3 Type/Site el: 0 cu: MICU-A cg: RN v1: Multi-lumen v2: Right IJ st: NotStopd t0: [04:00:00 02/04/2014] id: INV Line#3 Zero/Cal el: 0 cu: MICU-A cg: RN v1: No st: NotStopd t0: [04:00:00 02/04/2014] id: INV Line#3InsertDate el: 0 cu: MICU-A cg: RN v1: 3 v2: 12 st: NotStopd t0: [04:00:00 02/04/2014] id: INV Line#3SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [04:00:00 02/04/2014] id: INV Line#4 Type/Site el: 0 cu: MICU-A cg: RN v1: A-Line v2: Right Brachial st: NotStopd t0: [04:00:00 02/04/2014] id: INV Line#4 Zero/Cal el: 0 cu: MICU-A cg: RN v1: No st: NotStopd t0: [04:00:00 02/04/2014] id: INV Line#4InsertDate el: 0 cu: MICU-A cg: RN v1: 3 v2: 17 st: NotStopd t0: [04:00:00 02/04/2014] id: INV Line#4SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [04:00:00 02/04/2014] id: Abdominal Assessment el: 0 cu: MICU-A cg: RN v1: Obese st: NotStopd t0: [04:00:00 02/04/2014] id: INV#3 WaveformAppear el: 0 cu: MICU-A cg: RN v1: Sharp st: NotStopd t0: [04:00:00 02/04/2014] id: INV#4 WaveformAppear el: 0 cu: MICU-A cg: RN v1: Sharp st: NotStopd t0: [04:00:00 02/04/2014] id: Imp Skin Cleanse #2 el: 0 cu: MICU-A cg: RN v1: Soap & H20 st: NotStopd t0: [04:00:00 02/04/2014] id: ImpSkin Character #1 el: 0 cu: MICU-A cg: RN v1: Hematoma st: NotStopd t0: [04:00:00 02/04/2014] id: ImpSkin Character #2 el: 0 cu: MICU-A cg: RN v1: Rash st: NotStopd t0: [04:00:00 02/04/2014] id: ImpSkin Treatment #1 el: 0 cu: MICU-A cg: RN v1: Open to Air st: NotStopd t0: [04:00:00 02/04/2014] id: ImpSkin Treatment #2 el: 0 cu: MICU-A cg: RN v1: Open to Air st: NotStopd t0: [04:00:00 02/04/2014] id: Impaired Skin Site#1 el: 0 cu: MICU-A cg: RN v1: Gluteal, Right st: NotStopd t0: [04:00:00 02/04/2014] id: Impaired Skin Site#2 el: 0 cu: MICU-A cg: RN v1: Labia st: NotStopd t0: [04:00:00 02/04/2014] id: LLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Diminished st: NotStopd t0: [04:00:00 02/04/2014] id: LUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [04:00:00 02/04/2014] id: Level of Conscious el: 0 cu: MICU-A cg: RN v1: Arouse to Stimul st: NotStopd t0: [04:00:00 02/04/2014] id: Motor Response el: 0 cu: MICU-A cg: RN v1: 5 Localizes Pain st: NotStopd t0: [04:00:00 02/04/2014] id: Oral Cavity el: 0 cu: MICU-A cg: RN v1: Thrush st: NotStopd t0: [04:00:00 02/04/2014] id: Orientation el: 0 cu: MICU-A cg: RN v1: Other/Remarks st: NotStopd t0: [04:00:00 02/04/2014] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 117 u1: mmHg v2: 58 u2: mmHg st: NotStopd t0: [04:00:00 02/04/2014] id: Pain Location el: 0 cu: MICU-A cg: RN v1: Not Indicated st: NotStopd t0: [04:00:00 02/04/2014] id: Pain Management el: 1 cu: MICU-A cg: RN v1: IV Gtt v2: IV Gtt st: NotStopd t0: [04:00:00 02/04/2014] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 80 u1: mmHg st: NotStopd t0: [04:00:00 02/04/2014] id: Position Change el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [04:00:00 02/04/2014] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [04:00:00 02/04/2014] id: Procedures el: 0 cu: MICU-A cg: RN v1: Other/Remarks st: NotStopd t0: [04:00:00 02/04/2014] id: RLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Diminished st: NotStopd t0: [04:00:00 02/04/2014] id: RUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [04:00:00 02/04/2014] id: Reason For Restraint el: 0 cu: MICU-A cg: RN v1: Ext/TXInterfere st: NotStopd t0: [04:00:00 02/04/2014] id: Removed x 5 Mins el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [04:00:00 02/04/2014] id: Respiratory Pattern el: 0 cu: MICU-A cg: RN v1: Regular st: NotStopd t0: [04:00:00 02/04/2014] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 18 u1: BPM st: NotStopd t0: [04:00:00 02/04/2014] id: Restraint Location el: 0 cu: MICU-A cg: RN v1: Both Arms st: NotStopd t0: [04:00:00 02/04/2014] id: Restraint Type el: 0 cu: MICU-A cg: RN v1: Soft Limb st: NotStopd t0: [04:00:00 02/04/2014] id: Restraints Evaluated el: 0 cu: MICU-A cg: RN v1: RestraintReapply st: NotStopd t0: [04:00:00 02/04/2014] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [04:00:00 02/04/2014] id: Skin Color el: 0 cu: MICU-A cg: RN v1: Flushed st: NotStopd t0: [04:00:00 02/04/2014] id: Skin Integrity el: 0 cu: MICU-A cg: RN v1: Impaired st: NotStopd t0: [04:00:00 02/04/2014] id: Stool Color/Consist el: 0 cu: MICU-A cg: RN v1: Brown v2: Liquid st: NotStopd t0: [04:00:00 02/04/2014] id: Stool Guaiac el: 0 cu: MICU-A cg: RN v1: Negative st: NotStopd t0: [04:00:00 02/04/2014] id: Support Systems el: 0 cu: MICU-A cg: RN v1: Spouse st: NotStopd t0: [04:00:00 02/04/2014] id: Temp. Site el: 0 cu: MICU-A cg: RN v1: Oral st: NotStopd t0: [04:00:00 02/04/2014] id: Temperature C (calc) el: 0 cu: MICU-A cg: RN v1: 37.3889 u1: Deg. C st: NotStopd t0: [04:00:00 02/04/2014] id: Temperature F el: 0 cu: MICU-A cg: RN v1: 99.3 u1: Deg. F st: NotStopd t0: [04:00:00 02/04/2014] id: Urine Color/Appear el: 0 cu: MICU-A cg: RN v1: Yellow v2: Sediment st: NotStopd t0: [04:00:00 02/04/2014] id: Urine Source el: 0 cu: MICU-A cg: RN v1: Indwelling Cath st: NotStopd t0: [04:00:00 02/04/2014] id: Verbal Response el: 0 cu: MICU-A cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [04:00:00 02/04/2014] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [04:00:00 02/04/2014] id: Behavior el: 0 cu: MICU-A cg: RN v1: Sedated st: NotStopd t0: [04:00:00 02/04/2014] id: Bowel Sounds el: 0 cu: MICU-A cg: RN v1: Present st: NotStopd
t0: [04:00:00 02/04/2014] 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 02/04/2014] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 6 vu: ml t0: [04:00:00 02/04/2014] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU-A cg: RN ai: 416 vo: 5 vu: ml t0: [04:00:00 02/04/2014] tf: [13:18:00 10/04/2014] dt: 12078 id: IV Piggyback 100.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 105 vo: 50 vu: ml t0: [04:00:00 02/04/2014] id: Promote w/fiber Tube Feeding el: 1 cu: MICU-A cg: RN ai: 107 vo: 65 vu: ml t0: [04:00:00 02/04/2014] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 90 vu: ml
t0: [04:00:00 02/04/2014] 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: [04:00:00 02/04/2014] id: Ativan el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 6 du: mghr sv: 60 su: ml rt: IV Drip
t0: [04:33:00 02/04/2014] id: Art.pH ABG el: 0 cu: MICU-A cg: 1663 v1: 7.41 rs: Final st: NotStopd t0: [04:33:00 02/04/2014] id: Arterial Base Excess ABG el: 0 cu: MICU-A cg: 1663 v1: 0 rs: Final st: NotStopd t0: [04:33:00 02/04/2014] id: Arterial CO2(Calc) ABG el: 0 cu: MICU-A cg: 1663 v1: 25 rs: Final st: NotStopd t0: [04:33:00 02/04/2014] id: Arterial PaCO2 ABG el: 0 cu: MICU-A cg: 1663 v1: 38 u1: mmHg rs: Final st: NotStopd t0: [04:33:00 02/04/2014] id: Arterial PaO2 ABG el: 0 cu: MICU-A cg: 1663 v1: 89 u1: mmHg rs: Final st: NotStopd t0: [04:33:00 02/04/2014] id: Arterial pH ABG el: 0 cu: MICU-A cg: 1663 v1: 7.41 rs: Final st: NotStopd
t0: [05:00:00 02/04/2014] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [05:00:00 02/04/2014] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [05:00:00 02/04/2014] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [05:00:00 02/04/2014] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [05:00:00 02/04/2014] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 67 u1: BPM st: NotStopd t0: [05:00:00 02/04/2014] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [05:00:00 02/04/2014] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 117 u1: mmHg v2: 58 u2: mmHg st: NotStopd t0: [05:00:00 02/04/2014] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 80 u1: mmHg st: NotStopd t0: [05:00:00 02/04/2014] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [05:00:00 02/04/2014] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 24 u1: BPM st: NotStopd t0: [05:00:00 02/04/2014] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 99 u1: % st: NotStopd t0: [05:00:00 02/04/2014] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [06:00:00 02/04/2014] id: Range of Motion el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [06:00:00 02/04/2014] id: Circulation/SkinInt el: 0 cu: MICU-A cg: RN v1: Circulation Adeq st: NotStopd t0: [06:00:00 02/04/2014] id: HOB el: 0 cu: MICU-A cg: RN v1: 30 degrees st: NotStopd t0: [06:00:00 02/04/2014] id: Activity el: 0 cu: MICU-A cg: RN v1: Bedrest st: NotStopd t0: [06:00:00 02/04/2014] id: Activity Tolerance el: 0 cu: MICU-A cg: RN v1: Tolerated Well st: NotStopd t0: [06:00:00 02/04/2014] id: Oral Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [06:00:00 02/04/2014] id: AntiEmbDevice/Status el: 0 cu: MICU-A cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [06:00:00 02/04/2014] id: Position el: 0 cu: MICU-A cg: RN v1: Supine st: NotStopd t0: [06:00:00 02/04/2014] id: Position Change el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [06:00:00 02/04/2014] id: Assistance Device el: 0 cu: MICU-A cg: RN v1: 1 Person Assist st: NotStopd t0: [06:00:00 02/04/2014] id: PressureReduceDevice el: 0 cu: MICU-A cg: RN v1: Multipodus Boots st: NotStopd t0: [06:00:00 02/04/2014] id: Reason For Restraint el: 0 cu: MICU-A cg: RN v1: Ext/TXInterfere st: NotStopd t0: [06:00:00 02/04/2014] id: Removed x 5 Mins el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [06:00:00 02/04/2014] id: Restraint Location el: 0 cu: MICU-A cg: RN v1: Both Arms st: NotStopd t0: [06:00:00 02/04/2014] id: Restraint Type el: 0 cu: MICU-A cg: RN v1: Soft Limb st: NotStopd t0: [06:00:00 02/04/2014] id: Restraints Evaluated el: 0 cu: MICU-A cg: RN v1: RestraintReapply st: NotStopd t0: [06:00:00 02/04/2014] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [06:00:00 02/04/2014] id: Therapeutic Bed el: 0 cu: MICU-A cg: RN v1: AirMatt/1st Step st: NotStopd t0: [06:00:00 02/04/2014] id: Turn el: 0 cu: MICU-A cg: RN v1: Back st: NotStopd
t0: [06:00:00 02/04/2014] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 20 vu: ml t0: [06:00:00 02/04/2014] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 12 vu: ml t0: [06:00:00 02/04/2014] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU-A cg: RN ai: 416 vo: 10 vu: ml t0: [06:00:00 02/04/2014] id: Promote w/fiber Tube Feeding el: 1 cu: MICU-A cg: RN ai: 107 vo: 130 vu: ml t0: [06:00:00 02/04/2014] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 70 vu: ml
t0: [05:00:00 02/04/2014] 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: [05:00:00 02/04/2014] id: Ativan el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 6 du: mghr sv: 60 su: ml rt: IV Drip
t0: [06:00:00 02/04/2014] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [06:00:00 02/04/2014] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [06:00:00 02/04/2014] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [06:00:00 02/04/2014] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [06:00:00 02/04/2014] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 69 u1: BPM st: NotStopd t0: [06:00:00 02/04/2014] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [06:00:00 02/04/2014] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 118 u1: mmHg v2: 58 u2: mmHg st: NotStopd t0: [06:00:00 02/04/2014] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 80 u1: mmHg st: NotStopd t0: [06:00:00 02/04/2014] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [06:00:00 02/04/2014] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 29 u1: BPM st: NotStopd t0: [06:00:00 02/04/2014] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 97 u1: % st: NotStopd t0: [06:00:00 02/04/2014] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [06:00:00 02/04/2014] 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: [06:00:00 02/04/2014] id: Ativan el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 6 du: mghr sv: 60 su: ml rt: IV Drip
t0: [04:00:00 02/04/2014] id: WBC (4-11,000) Hematology el: 0 cu: MICU-A cg: 1663 v1: 25.4 rs: Final st: NotStopd t0: [04:00:00 02/04/2014] id: Hematocrit Hematology el: 0 cu: MICU-A cg: 1663 v1: 22.4 u1: % rs: Final st: NotStopd t0: [04:00:00 02/04/2014] id: Hemoglobin Hematology el: 0 cu: MICU-A cg: 1663 v1: 7.7 u1: gm/dl rs: Final st: NotStopd t0: [04:00:00 02/04/2014] id: Platelets Hematology el: 0 cu: MICU-A cg: 1663 v1: 343 rs: Final st: NotStopd t0: [04:00:00 02/04/2014] id: RBC Hematology el: 0 cu: MICU-A cg: 1663 v1: 2.64 u1: /mic l rs: Final st: NotStopd t0: [04:00:00 02/04/2014] id: WBC (4-11,000) Hematology el: 0 cu: MICU-A cg: 1663 v1: 25.4 rs: Final st: NotStopd
t0: [06:00:00 02/04/2014] id: Sputum Color/Consist el: 0 cu: MICU-A cg: RN v1: Yellow v2: Thick st: NotStopd t0: [06:00:00 02/04/2014] id: Sputum Source/Amt el: 0 cu: MICU-A cg: RN v1: Suctioned v2: Moderate st: NotStopd
t0: [04:00:00 02/04/2014] id: BUN (6-20) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 34 rs: Final st: NotStopd t0: [04:00:00 02/04/2014] id: Calcium (8.4-10.2) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 7.9 u1: mg/dl rs: Final st: NotStopd t0: [04:00:00 02/04/2014] id: Carbon Dioxide Chemistry el: 0 cu: MICU-A cg: 1663 v1: 23 rs: Final st: NotStopd t0: [04:00:00 02/04/2014] id: Chloride (100-112) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 112 rs: Final st: NotStopd t0: [04:00:00 02/04/2014] id: Creatinine (0-1.3) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 1.5 rs: Final st: NotStopd t0: [04:00:00 02/04/2014] id: Glucose (70-105) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 98 rs: Final st: NotStopd t0: [04:00:00 02/04/2014] id: Magnesium (1.6-2.6) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 1.8 rs: Final st: NotStopd t0: [04:00:00 02/04/2014] 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 02/04/2014] id: Potassium (3.5-5.3) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 3.4 rs: Final st: NotStopd t0: [04:00:00 02/04/2014] id: Sodium (135-148) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 148 rs: Final st: NotStopd
t0: [19:00:00 01/04/2014] id: Radiologic Study el: 0 cu: MICU-A cg: RN v1: Chest Xray st: NotStopd t0: [06:00:00 02/04/2014] id: Radiologic Study el: 0 cu: MICU-A cg: RN v1: Chest Xray st: NotStopd
t0: [04:00:00 02/04/2014] id: Vancomycin/Random Drug Level el: 0 cu: MICU-A cg: 1663 v1: 11 rs: Final st: NotStopd
t0: [07:00:00 02/04/2014] id: Range of Motion el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [07:00:00 02/04/2014] id: INV#3Chg o/Wire Date el: 0 cu: MICU-A cg: RN v1: 3 v2: 16 st: NotStopd t0: [07:00:00 02/04/2014] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [07:00:00 02/04/2014] id: CVP el: 0 cu: MICU-A cg: RN v1: 11 u1: mmHg st: NotStopd t0: [07:00:00 02/04/2014] id: Circulation/SkinInt el: 0 cu: MICU-A cg: RN v1: Circulation Adeq st: NotStopd t0: [07:00:00 02/04/2014] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [07:00:00 02/04/2014] id: Riker-SAS Scale el: 0 cu: MICU-A cg: RN v1: Sedated st: NotStopd t0: [07:00:00 02/04/2014] id: GI Prophylaxis el: 0 cu: MICU-A cg: RN v1: H2 Blocker st: NotStopd t0: [07:00:00 02/04/2014] id: Diet Type el: 0 cu: MICU-A cg: RN v1: Tube Feeding st: NotStopd t0: [07:00:00 02/04/2014] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [07:00:00 02/04/2014] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [07:00:00 02/04/2014] id: Eye Opening el: 0 cu: MICU-A cg: RN v1: 3 To speech st: NotStopd t0: [07:00:00 02/04/2014] id: GCS Total el: 0 cu: MICU-A cg: RN v1: 9 u1: points st: NotStopd t0: [07:00:00 02/04/2014] id: GI Intub #1/Site el: 0 cu: MICU-A cg: RN v1: Salem Sump v2: Oral st: NotStopd t0: [07:00:00 02/04/2014] id: GI#1 Tube PlaceCheck el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [07:00:00 02/04/2014] id: GI#1 Tube Stat/Drain el: 0 cu: MICU-A cg: RN v1: Feeding v2: Undigested Food st: NotStopd t0: [07:00:00 02/04/2014] id: GU Catheter Size el: 0 cu: MICU-A cg: RN v1: 14 French st: NotStopd t0: [07:00:00 02/04/2014] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 67 u1: BPM st: NotStopd t0: [07:00:00 02/04/2014] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [07:00:00 02/04/2014] id: INV Line#3 Site Date el: 0 cu: MICU-A cg: RN v1: 3 v2: 16 st: NotStopd t0: [07:00:00 02/04/2014] id: INV Line#3 Type/Site el: 0 cu: MICU-A cg: RN v1: Multi-lumen v2: Right IJ st: NotStopd t0: [07:00:00 02/04/2014] id: INV Line#3 Zero/Cal el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [07:00:00 02/04/2014] id: INV Line#3InsertDate el: 0 cu: MICU-A cg: RN v1: 3 v2: 12 st: NotStopd t0: [07:00:00 02/04/2014] id: INV Line#3SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [07:00:00 02/04/2014] id: INV Line#4 Type/Site el: 0 cu: MICU-A cg: RN v1: A-Line v2: Right Brachial st: NotStopd t0: [07:00:00 02/04/2014] id: INV Line#4 Zero/Cal el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [07:00:00 02/04/2014] id: INV Line#4InsertDate el: 0 cu: MICU-A cg: RN v1: 3 v2: 17 st: NotStopd t0: [07:00:00 02/04/2014] id: INV Line#4SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [07:00:00 02/04/2014] id: Abdominal Assessment el: 0 cu: MICU-A cg: RN v1: Obese st: NotStopd t0: [07:00:00 02/04/2014] id: INV#3 WaveformAppear el: 0 cu: MICU-A cg: RN v1: Sharp st: NotStopd t0: [07:00:00 02/04/2014] id: INV#4 WaveformAppear el: 0 cu: MICU-A cg: RN v1: Sharp st: NotStopd t0: [07:00:00 02/04/2014] id: Imp Skin Cleanse #2 el: 0 cu: MICU-A cg: RN v1: Soap & H20 st: NotStopd t0: [07:00:00 02/04/2014] id: ImpSkin Character #1 el: 0 cu: MICU-A cg: RN v1: Hematoma st: NotStopd t0: [07:00:00 02/04/2014] id: ImpSkin Character #2 el: 0 cu: MICU-A cg: RN v1: Rash st: NotStopd t0: [07:00:00 02/04/2014] id: ImpSkin Treatment #1 el: 0 cu: MICU-A cg: RN v1: Open to Air st: NotStopd t0: [07:00:00 02/04/2014] id: ImpSkin Treatment #2 el: 0 cu: MICU-A cg: RN v1: Open to Air st: NotStopd t0: [07:00:00 02/04/2014] id: Impaired Skin Site#1 el: 0 cu: MICU-A cg: RN v1: Gluteal, Right st: NotStopd t0: [07:00:00 02/04/2014] id: Impaired Skin Site#2 el: 0 cu: MICU-A cg: RN v1: Labia st: NotStopd t0: [07:00:00 02/04/2014] id: LLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Diminished st: NotStopd t0: [07:00:00 02/04/2014] id: LUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [07:00:00 02/04/2014] id: Level of Conscious el: 0 cu: MICU-A cg: RN v1: Arouse to Stimul st: NotStopd t0: [07:00:00 02/04/2014] id: Motor Response el: 0 cu: MICU-A cg: RN v1: 5 Localizes Pain st: NotStopd t0: [07:00:00 02/04/2014] id: Oral Cavity el: 0 cu: MICU-A cg: RN v1: Thrush st: NotStopd t0: [07:00:00 02/04/2014] id: Orientation el: 0 cu: MICU-A cg: RN v1: Other/Remarks st: NotStopd t0: [07:00:00 02/04/2014] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 117 u1: mmHg v2: 57 u2: mmHg st: NotStopd t0: [07:00:00 02/04/2014] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 78 u1: mmHg st: NotStopd t0: [07:00:00 02/04/2014] id: Position Change el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [07:00:00 02/04/2014] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [07:00:00 02/04/2014] id: RLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Diminished st: NotStopd t0: [07:00:00 02/04/2014] id: RUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [07:00:00 02/04/2014] id: Reason For Restraint el: 0 cu: MICU-A cg: RN v1: Ext/TXInterfere st: NotStopd t0: [07:00:00 02/04/2014] id: Removed x 5 Mins el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [07:00:00 02/04/2014] id: Respiratory Pattern el: 0 cu: MICU-A cg: RN v1: Regular st: NotStopd t0: [07:00:00 02/04/2014] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 21 u1: BPM st: NotStopd t0: [07:00:00 02/04/2014] id: Restraint Location el: 0 cu: MICU-A cg: RN v1: Both Arms st: NotStopd t0: [07:00:00 02/04/2014] id: Restraint Type el: 0 cu: MICU-A cg: RN v1: Soft Limb st: NotStopd t0: [07:00:00 02/04/2014] id: Restraints Evaluated el: 0 cu: MICU-A cg: RN v1: Behavior Conts st: NotStopd t0: [07:00:00 02/04/2014] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [07:00:00 02/04/2014] id: Skin Color el: 0 cu: MICU-A cg: RN v1: Normal for Race st: NotStopd t0: [07:00:00 02/04/2014] id: Skin Integrity el: 0 cu: MICU-A cg: RN v1: Impaired st: NotStopd t0: [07:00:00 02/04/2014] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 96 u1: % st: NotStopd t0: [07:00:00 02/04/2014] id: Stool Color/Consist el: 0 cu: MICU-A cg: RN v1: Brown v2: Liquid st: NotStopd t0: [07:00:00 02/04/2014] id: Support Systems el: 0 cu: MICU-A cg: RN v1: Spouse st: NotStopd t0: [07:00:00 02/04/2014] id: Urine Color/Appear el: 0 cu: MICU-A cg: RN v1: Yellow v2: Sediment st: NotStopd t0: [07:00:00 02/04/2014] id: Urine Source el: 0 cu: MICU-A cg: RN v1: Indwelling Cath st: NotStopd t0: [07:00:00 02/04/2014] id: Verbal Response el: 0 cu: MICU-A cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [07:00:00 02/04/2014] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [07:00:00 02/04/2014] id: Behavior el: 0 cu: MICU-A cg: RN v1: Sedated st: NotStopd t0: [07:00:00 02/04/2014] id: Bowel Sounds el: 0 cu: MICU-A cg: RN v1: Present st: NotStopd t0: [08:00:00 02/04/2014] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [08:00:00 02/04/2014] id: CVP el: 0 cu: MICU-A cg: RN v1: 13 u1: mmHg st: NotStopd t0: [08:00:00 02/04/2014] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [08:00:00 02/04/2014] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [08:00:00 02/04/2014] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [08:00:00 02/04/2014] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 67 u1: BPM st: NotStopd t0: [08:00:00 02/04/2014] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [08:00:00 02/04/2014] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 124 u1: mmHg v2: 61 u2: mmHg st: NotStopd t0: [08:00:00 02/04/2014] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 84 u1: mmHg st: NotStopd t0: [08:00:00 02/04/2014] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [08:00:00 02/04/2014] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 25 u1: BPM st: NotStopd t0: [08:00:00 02/04/2014] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 98 u1: % st: NotStopd t0: [08:00:00 02/04/2014] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [07:00:00 02/04/2014] 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 02/04/2014] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 6 vu: ml t0: [07:00:00 02/04/2014] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU-A cg: RN ai: 416 vo: 5 vu: ml t0: [07:00:00 02/04/2014] id: Promote w/fiber Tube Feeding el: 1 cu: MICU-A cg: RN ai: 107 vo: 65 vu: ml t0: [08:00:00 02/04/2014] 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 02/04/2014] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 6 vu: ml t0: [08:00:00 02/04/2014] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU-A cg: RN ai: 416 vo: 5 vu: ml t0: [08:00:00 02/04/2014] id: Promote w/fiber Tube Feeding el: 1 cu: MICU-A cg: RN ai: 107 vo: 65 vu: ml t0: [08:00:00 02/04/2014] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 100 vu: ml
t0: [07:00:00 02/04/2014] 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: [07:00:00 02/04/2014] id: Ativan el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 6 du: mghr sv: 60 su: ml rt: IV Drip t0: [08:00:00 02/04/2014] 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: [08:00:00 02/04/2014] id: Ativan el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 6 du: mghr sv: 60 su: ml rt: IV Drip
t0: [08:00:00 02/04/2014] id: ETT Mark/Location el: 0 cu: MICU-A cg: RRT v1: 21cm v2: Lip st: NotStopd t0: [08:00:00 02/04/2014] id: FiO2 Set el: 0 cu: MICU-A cg: RRT v1: 0.4 u1: torr st: NotStopd t0: [08:00:00 02/04/2014] id: High Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 40 u1: cmH2O st: NotStopd t0: [08:00:00 02/04/2014] id: High Resp. Rate el: 0 cu: MICU-A cg: RRT v1: 35 u1: BPM st: NotStopd t0: [08:00:00 02/04/2014] id: Airway Size el: 0 cu: MICU-A cg: RRT v1: 7.5 mm st: NotStopd t0: [08:00:00 02/04/2014] id: Airway Type el: 0 cu: MICU-A cg: RRT v1: Endotracheal st: NotStopd t0: [08:00:00 02/04/2014] id: Inspired Gas Temp el: 0 cu: MICU-A cg: RRT v1: 34 u1: Deg. C st: NotStopd t0: [08:00:00 02/04/2014] id: Intubation Date el: 0 cu: MICU-A cg: RRT v1: \3 v2: 12 st: NotStopd t0: [08:00:00 02/04/2014] id: Low Exhaled Min Vol el: 0 cu: MICU-A cg: RRT v1: 5 st: NotStopd t0: [08:00:00 02/04/2014] id: Low Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 18 u1: cmH2O st: NotStopd t0: [08:00:00 02/04/2014] id: Mean Airway Pressure el: 0 cu: MICU-A cg: RRT v1: 18 u1: cmH2O st: NotStopd t0: [08:00:00 02/04/2014] id: Minute Volume(Obser) el: 0 cu: MICU-A cg: RRT v1: 9.1 u1: L/min st: NotStopd t0: [08:00:00 02/04/2014] id: PEEP Set el: 0 cu: MICU-A cg: RRT v1: 12 u1: cmH2O st: NotStopd t0: [08:00:00 02/04/2014] id: Apnea Time Interval el: 0 cu: MICU-A cg: RRT v1: 20 st: NotStopd t0: [08:00:00 02/04/2014] id: Pressure Support el: 0 cu: MICU-A cg: RRT v1: 12 u1: . st: NotStopd t0: [08:00:00 02/04/2014] id: Resp Rate (Total) el: 0 cu: MICU-A cg: RRT v1: 22 u1: BPM st: NotStopd t0: [08:00:00 02/04/2014] id: Sensitivity-Vent el: 0 cu: MICU-A cg: RRT v1: 2 u1: cmH2O st: NotStopd t0: [08:00:00 02/04/2014] id: Tidal Volume (Spont) el: 0 cu: MICU-A cg: RRT v1: 430 u1: ml/B st: NotStopd t0: [08:00:00 02/04/2014] id: Ventilator Mode el: 0 cu: MICU-A cg: RRT v1: CPAP+PS st: NotStopd t0: [08:00:00 02/04/2014] id: Ventilator No. el: 0 cu: MICU-A cg: RRT v1: 6 u1: # st: NotStopd t0: [08:00:00 02/04/2014] id: Ventilator Type el: 0 cu: MICU-A cg: RRT v1: 7200A st: NotStopd
t0: [07:00:00 02/04/2014] id: Temp. Site el: 0 cu: MICU-A cg: RN st: NotStopd t0: [09:00:00 02/04/2014] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [09:00:00 02/04/2014] id: CVP el: 0 cu: MICU-A cg: RN v1: 10 u1: mmHg st: NotStopd t0: [09:00:00 02/04/2014] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [09:00:00 02/04/2014] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [09:00:00 02/04/2014] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [09:00:00 02/04/2014] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 66 u1: BPM st: NotStopd t0: [09:00:00 02/04/2014] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [09:00:00 02/04/2014] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 123 u1: mmHg v2: 59 u2: mmHg st: NotStopd t0: [09:00:00 02/04/2014] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 82 u1: mmHg st: NotStopd t0: [09:00:00 02/04/2014] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [09:00:00 02/04/2014] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 25 u1: BPM st: NotStopd t0: [09:00:00 02/04/2014] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 97 u1: % st: NotStopd t0: [09:00:00 02/04/2014] id: Temp. Site el: 0 cu: MICU-A cg: RN v1: Oral st: NotStopd t0: [09:00:00 02/04/2014] id: Temperature C (calc) el: 0 cu: MICU-A cg: RN v1: 37.7778 u1: Deg. C st: NotStopd t0: [09:00:00 02/04/2014] id: Temperature F el: 0 cu: MICU-A cg: RN v1: 100 u1: Deg. F st: NotStopd t0: [09:00:00 02/04/2014] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [09:00:00 02/04/2014] 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: [09:00:00 02/04/2014] id: Ativan el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 6 du: mghr sv: 60 su: ml rt: IV Drip
tf: [11:00:00 03/04/2014] pt: Unit Dose rt: IV fr: QD fs: 10 dn: 1 m1: Furosemide f1: INJ v1: 40 u1: mg
t0: [10:20:00 02/04/2014] id: PEEP Set el: 0 cu: MICU-A cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [10:20:00 02/04/2014] id: Pressure Support el: 0 cu: MICU-A cg: RRT v1: 10 u1: . st: NotStopd
t0: [10:00:00 02/04/2014] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [10:00:00 02/04/2014] id: CVP el: 0 cu: MICU-A cg: RN v1: 11 u1: mmHg st: NotStopd t0: [10:00:00 02/04/2014] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [10:00:00 02/04/2014] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [10:00:00 02/04/2014] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [10:00:00 02/04/2014] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 69 u1: BPM st: NotStopd t0: [10:00:00 02/04/2014] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [10:00:00 02/04/2014] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 116 u1: mmHg v2: 55 u2: mmHg st: NotStopd t0: [10:00:00 02/04/2014] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 76 u1: mmHg st: NotStopd t0: [10:00:00 02/04/2014] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [10:00:00 02/04/2014] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 27 u1: BPM st: NotStopd t0: [10:00:00 02/04/2014] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 97 u1: % st: NotStopd t0: [10:00:00 02/04/2014] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [10:00:00 02/04/2014] id: Fentanyl el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 25 du: mcghr sv: 250 su: ml rt: IV Drip t0: [10:00:00 02/04/2014] id: Ativan el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 4 du: mghr sv: 60 su: ml rt: IV Drip
tf: [20:00:00 02/04/2014] pt: IV Piggyback rt: IV fr: Q8H fs: 4, 12, 20 dn: 3 m1: Metronidazole f1: INJ v1: 500 u1: mg m2: NS f2: INJ v2: 100 u2: ml
t0: [11:00:00 02/04/2014] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [11:00:00 02/04/2014] id: CVP el: 0 cu: MICU-A cg: RN v1: 21 u1: mmHg st: NotStopd t0: [11:00:00 02/04/2014] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [11:00:00 02/04/2014] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [11:00:00 02/04/2014] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [11:00:00 02/04/2014] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 68 u1: BPM st: NotStopd t0: [11:00:00 02/04/2014] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [11:00:00 02/04/2014] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 126 u1: mmHg v2: 61 u2: mmHg st: NotStopd t0: [11:00:00 02/04/2014] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 85 u1: mmHg st: NotStopd t0: [11:00:00 02/04/2014] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [11:00:00 02/04/2014] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 29 u1: BPM st: NotStopd t0: [11:00:00 02/04/2014] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 98 u1: % st: NotStopd t0: [11:00:00 02/04/2014] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [10:00:00 02/04/2014] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 20 vu: ml t0: [10:00:00 02/04/2014] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 12 vu: ml t0: [10:00:00 02/04/2014] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU-A cg: RN ai: 416 vo: 10 vu: ml t0: [10:00:00 02/04/2014] id: Promote w/fiber Tube Feeding el: 1 cu: MICU-A cg: RN ai: 107 vo: 130 vu: ml t0: [11:00:00 02/04/2014] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 220 vu: ml
t0: [11:00:00 02/04/2014] id: Fentanyl el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 25 du: mcghr sv: 250 su: ml rt: IV Drip t0: [11:00:00 02/04/2014] id: Ativan el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 4 du: mghr sv: 60 su: ml rt: IV Drip
tf: [11:00:00 08/04/2014] pt: IV Piggyback rt: IV fr: Q8H fs: 4, 12, 20 dn: 3 m1: Hydrocortisone Na Succ. f1: INJ v1: 50 u1: mg m2: Syringe f2: INJ v2: 1 u2: SYR
t0: [12:00:00 02/04/2014] id: Respiratory Rate Set el: 0 cu: MICU-A cg: RRT v1: 20 u1: BPM st: NotStopd t0: [12:00:00 02/04/2014] id: Tidal Volume (Set) el: 0 cu: MICU-A cg: RRT v1: 450 u1: ml/B st: NotStopd t0: [12:00:00 02/04/2014] id: Ventilator Mode el: 0 cu: MICU-A cg: RRT v1: Assist Control st: NotStopd
t0: [12:00:00 02/04/2014] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [12:00:00 02/04/2014] id: CVP el: 0 cu: MICU-A cg: RN v1: 15 u1: mmHg st: NotStopd t0: [12:00:00 02/04/2014] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [12:00:00 02/04/2014] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [12:00:00 02/04/2014] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [12:00:00 02/04/2014] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 82 u1: BPM st: NotStopd t0: [12:00:00 02/04/2014] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [12:00:00 02/04/2014] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 134 u1: mmHg v2: 64 u2: mmHg st: NotStopd t0: [12:00:00 02/04/2014] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 87 u1: mmHg st: NotStopd t0: [12:00:00 02/04/2014] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [12:00:00 02/04/2014] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 40 u1: BPM st: NotStopd t0: [12:00:00 02/04/2014] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 99 u1: % st: NotStopd t0: [12:00:00 02/04/2014] id: Temp. Site el: 0 cu: MICU-A cg: RN v1: Oral st: NotStopd t0: [12:00:00 02/04/2014] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [12:00:00 02/04/2014] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 20 vu: ml t0: [12:00:00 02/04/2014] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 8 vu: ml t0: [12:00:00 02/04/2014] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU-A cg: RN ai: 416 vo: 5 vu: ml t0: [12:00:00 02/04/2014] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 900 vu: ml
t0: [12:00:00 02/04/2014] id: Fentanyl el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 25 du: mcghr sv: 250 su: ml rt: IV Drip t0: [12:00:00 02/04/2014] id: Ativan el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 4 du: mghr sv: 60 su: ml rt: IV Drip
t0: [12:30:00 02/04/2014] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [12:30:00 02/04/2014] id: CVP el: 0 cu: MICU-A cg: RN v1: 23 u1: mmHg st: NotStopd t0: [12:30:00 02/04/2014] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [12:30:00 02/04/2014] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [12:30:00 02/04/2014] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [12:30:00 02/04/2014] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 83 u1: BPM st: NotStopd t0: [12:30:00 02/04/2014] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [12:30:00 02/04/2014] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 149 u1: mmHg v2: 74 u2: mmHg st: NotStopd t0: [12:30:00 02/04/2014] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 101 u1: mmHg st: NotStopd t0: [12:30:00 02/04/2014] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [12:30:00 02/04/2014] id: Procedures el: 0 cu: MICU-A cg: RN v1: Line Placement st: NotStopd t0: [12:30:00 02/04/2014] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 23 u1: BPM st: NotStopd t0: [12:30:00 02/04/2014] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 100 u1: % st: NotStopd t0: [12:30:00 02/04/2014] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [12:30:00 02/04/2014] id: Fentanyl el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 25 du: mcghr sv: 250 su: ml rt: IV Drip t0: [12:30:00 02/04/2014] id: Ativan el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 4 du: mghr sv: 60 su: ml rt: IV Drip
t0: [13:00:00 02/04/2014] id: Compliance (40-60ml) el: 0 cu: MICU-A cg: RRT v1: 11.7801 u1: ml/cmH st: NotStopd t0: [13:00:00 02/04/2014] id: ETT Mark/Location el: 0 cu: MICU-A cg: RRT v1: 21cm v2: Lip st: NotStopd t0: [13:00:00 02/04/2014] id: FiO2 Set el: 0 cu: MICU-A cg: RRT v1: 1 u1: torr st: NotStopd t0: [13:00:00 02/04/2014] id: High Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 50 u1: cmH2O st: NotStopd t0: [13:00:00 02/04/2014] id: High Resp. Rate el: 0 cu: MICU-A cg: RRT v1: 40 u1: BPM st: NotStopd t0: [13:00:00 02/04/2014] id: I:E Ratio el: 0 cu: MICU-A cg: RRT v1: 4.8 st: NotStopd t0: [13:00:00 02/04/2014] id: Airway Size el: 0 cu: MICU-A cg: RRT v1: 7.5 mm st: NotStopd t0: [13:00:00 02/04/2014] id: Airway Type el: 0 cu: MICU-A cg: RRT v1: Endotracheal st: NotStopd t0: [13:00:00 02/04/2014] id: Inspired Gas Temp el: 0 cu: MICU-A cg: RRT v1: 34 u1: Deg. C st: NotStopd t0: [13:00:00 02/04/2014] id: Intubation Date el: 0 cu: MICU-A cg: RRT v1: \3 v2: 12 st: NotStopd t0: [13:00:00 02/04/2014] id: Low Exhaled Min Vol el: 0 cu: MICU-A cg: RRT v1: 5 st: NotStopd t0: [13:00:00 02/04/2014] id: Low Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 18 u1: cmH2O st: NotStopd t0: [13:00:00 02/04/2014] id: Mean Airway Pressure el: 0 cu: MICU-A cg: RRT v1: 18 u1: cmH2O st: NotStopd t0: [13:00:00 02/04/2014] id: Minute Volume(Obser) el: 0 cu: MICU-A cg: RRT v1: 8.7 u1: L/min st: NotStopd t0: [13:00:00 02/04/2014] id: PEEP Set el: 0 cu: MICU-A cg: RRT v1: 12.3 u1: cmH2O st: NotStopd t0: [13:00:00 02/04/2014] id: Apnea Time Interval el: 0 cu: MICU-A cg: RRT v1: 20 st: NotStopd t0: [13:00:00 02/04/2014] id: Peak Flow el: 0 cu: MICU-A cg: RRT v1: 50 u1: L/m st: NotStopd t0: [13:00:00 02/04/2014] id: Peak Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 50.5 u1: cmH2O st: NotStopd t0: [13:00:00 02/04/2014] id: Resp Rate (Spont) el: 0 cu: MICU-A cg: RRT v1: 2 u1: BPM st: NotStopd t0: [13:00:00 02/04/2014] id: Resp Rate (Total) el: 0 cu: MICU-A cg: RRT v1: 22 u1: BPM st: NotStopd t0: [13:00:00 02/04/2014] id: Respiratory Rate Set el: 0 cu: MICU-A cg: RRT v1: 20 u1: BPM st: NotStopd t0: [13:00:00 02/04/2014] id: Sensitivity-Vent el: 0 cu: MICU-A cg: RRT v1: 2 u1: cmH2O st: NotStopd t0: [13:00:00 02/04/2014] id: SpO2 el: 0 cu: MICU-A cg: RRT v1: 100 u1: % st: NotStopd t0: [13:00:00 02/04/2014] id: Tidal Volume (Obser) el: 0 cu: MICU-A cg: RRT v1: 450 u1: ml/B st: NotStopd t0: [13:00:00 02/04/2014] id: Tidal Volume (Set) el: 0 cu: MICU-A cg: RRT v1: 450 u1: ml/B st: NotStopd t0: [13:00:00 02/04/2014] id: Ventilator Mode el: 0 cu: MICU-A cg: RRT v1: Assist Control st: NotStopd t0: [13:00:00 02/04/2014] id: Ventilator No. el: 0 cu: MICU-A cg: RRT v1: 6 u1: # st: NotStopd t0: [13:00:00 02/04/2014] id: Ventilator Type el: 0 cu: MICU-A cg: RRT v1: 7200A st: NotStopd t0: [13:00:00 02/04/2014] id: Waveform-Vent el: 0 cu: MICU-A cg: RRT v1: SQUARE st: NotStopd
t0: [14:00:00 02/04/2014] id: Education Barrier el: 0 cu: MICU-A cg: -1 st: D/C'd t0: [14:00:00 02/04/2014] id: Education Handout el: 0 cu: MICU-A cg: -1 st: D/C'd t0: [14:00:00 02/04/2014] id: Education Learner el: 0 cu: MICU-A cg: -1 st: D/C'd t0: [14:00:00 02/04/2014] id: Education Method el: 0 cu: MICU-A cg: -1 st: D/C'd t0: [14:00:00 02/04/2014] id: Education Readiness el: 0 cu: MICU-A cg: -1 st: D/C'd t0: [14:00:00 02/04/2014] id: Education Response el: 0 cu: MICU-A cg: -1 st: D/C'd t0: [14:00:00 02/04/2014] id: Education Topic #1 el: 0 cu: MICU-A cg: -1 st: D/C'd
t0: [10:00:00 02/04/2014] id: Range of Motion el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [10:00:00 02/04/2014] id: Circulation/SkinInt el: 0 cu: MICU-A cg: RN v1: Circulation Adeq st: NotStopd t0: [10:00:00 02/04/2014] id: Impaired Skin Site#1 el: 0 cu: MICU-A cg: RN v1: Gluteal, Right st: NotStopd t0: [10:00:00 02/04/2014] id: Impaired Skin Site#2 el: 0 cu: MICU-A cg: RN v1: Labia st: NotStopd t0: [10:00:00 02/04/2014] id: Position Change el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [10:00:00 02/04/2014] id: Reason For Restraint el: 0 cu: MICU-A cg: RN v1: Ext/TXInterfere st: NotStopd t0: [10:00:00 02/04/2014] id: Removed x 5 Mins el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [10:00:00 02/04/2014] id: Restraint Location el: 0 cu: MICU-A cg: RN v1: Both Arms st: NotStopd t0: [10:00:00 02/04/2014] id: Restraint Type el: 0 cu: MICU-A cg: RN v1: Soft Limb st: NotStopd t0: [10:00:00 02/04/2014] id: Restraints Evaluated el: 0 cu: MICU-A cg: RN v1: Behavior Conts st: NotStopd t0: [10:00:00 02/04/2014] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [10:00:00 02/04/2014] id: Support Systems el: 0 cu: MICU-A cg: RN v1: Spouse st: NotStopd t0: [12:00:00 02/04/2014] id: Range of Motion el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [12:00:00 02/04/2014] id: INV#3Chg o/Wire Date el: 0 cu: MICU-A cg: RN v1: 3 v2: 16 st: NotStopd t0: [12:00:00 02/04/2014] id: Circulation/SkinInt el: 0 cu: MICU-A cg: RN v1: Circulation Adeq st: NotStopd t0: [12:00:00 02/04/2014] id: Riker-SAS Scale el: 0 cu: MICU-A cg: RN v1: Sedated st: NotStopd t0: [12:00:00 02/04/2014] id: GI Prophylaxis el: 0 cu: MICU-A cg: RN v1: H2 Blocker st: NotStopd t0: [12:00:00 02/04/2014] id: Diet Type el: 0 cu: MICU-A cg: RN v1: Tube Feeding st: NotStopd t0: [12:00:00 02/04/2014] id: Eye Opening el: 0 cu: MICU-A cg: RN v1: 3 To speech st: NotStopd t0: [12:00:00 02/04/2014] id: GCS Total el: 0 cu: MICU-A cg: RN v1: 9 u1: points st: NotStopd t0: [12:00:00 02/04/2014] id: GI Intub #1/Site el: 0 cu: MICU-A cg: RN v1: Salem Sump v2: Oral st: NotStopd t0: [12:00:00 02/04/2014] id: GI#1 Tube PlaceCheck el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [12:00:00 02/04/2014] id: GI#1 Tube Stat/Drain el: 0 cu: MICU-A cg: RN v1: Clamped st: NotStopd t0: [12:00:00 02/04/2014] id: GU Catheter Size el: 0 cu: MICU-A cg: RN v1: 14 French st: NotStopd t0: [12:00:00 02/04/2014] id: HOB el: 0 cu: MICU-A cg: RN v1: 15 degrees st: NotStopd t0: [12:00:00 02/04/2014] id: INV Line#3 Site Date el: 0 cu: MICU-A cg: RN v1: 3 v2: 16 st: NotStopd t0: [12:00:00 02/04/2014] id: INV Line#3 Type/Site el: 0 cu: MICU-A cg: RN v1: Multi-lumen v2: Right IJ st: NotStopd t0: [12:00:00 02/04/2014] id: INV Line#3 Zero/Cal el: 0 cu: MICU-A cg: RN v1: No st: NotStopd t0: [12:00:00 02/04/2014] id: INV Line#3InsertDate el: 0 cu: MICU-A cg: RN v1: 3 v2: 12 st: NotStopd t0: [12:00:00 02/04/2014] id: INV Line#3SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [12:00:00 02/04/2014] id: INV Line#4 Type/Site el: 0 cu: MICU-A cg: RN v1: A-Line v2: Right Brachial st: NotStopd t0: [12:00:00 02/04/2014] id: INV Line#4 Zero/Cal el: 0 cu: MICU-A cg: RN v1: No st: NotStopd t0: [12:00:00 02/04/2014] id: INV Line#4InsertDate el: 0 cu: MICU-A cg: RN v1: 3 v2: 17 st: NotStopd t0: [12:00:00 02/04/2014] id: INV Line#4SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [12:00:00 02/04/2014] id: Abdominal Assessment el: 0 cu: MICU-A cg: RN v1: Obese st: NotStopd t0: [12:00:00 02/04/2014] id: INV#3 WaveformAppear el: 0 cu: MICU-A cg: RN v1: Sharp st: NotStopd t0: [12:00:00 02/04/2014] id: INV#4 WaveformAppear el: 0 cu: MICU-A cg: RN v1: Sharp st: NotStopd t0: [12:00:00 02/04/2014] id: Activity el: 0 cu: MICU-A cg: RN v1: Bedrest st: NotStopd t0: [12:00:00 02/04/2014] id: Activity Tolerance el: 0 cu: MICU-A cg: RN v1: Good st: NotStopd t0: [12:00:00 02/04/2014] id: Impaired Skin Site#1 el: 0 cu: MICU-A cg: RN v1: Gluteal, Right st: NotStopd t0: [12:00:00 02/04/2014] id: Impaired Skin Site#2 el: 0 cu: MICU-A cg: RN v1: Labia st: NotStopd t0: [12:00:00 02/04/2014] id: LLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Diminished st: NotStopd t0: [12:00:00 02/04/2014] id: LUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [12:00:00 02/04/2014] id: Level of Conscious el: 0 cu: MICU-A cg: RN v1: Arouse to Stimul st: NotStopd t0: [12:00:00 02/04/2014] id: Motor Response el: 0 cu: MICU-A cg: RN v1: 5 Localizes Pain st: NotStopd t0: [12:00:00 02/04/2014] id: Oral Cavity el: 0 cu: MICU-A cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [12:00:00 02/04/2014] id: Orientation el: 0 cu: MICU-A cg: RN v1: Other/Remarks st: NotStopd t0: [12:00:00 02/04/2014] id: Position Change el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [12:00:00 02/04/2014] id: Assistance Device el: 0 cu: MICU-A cg: RN v1: 2 Person Assist st: NotStopd t0: [12:00:00 02/04/2014] id: PressureReduceDevice el: 0 cu: MICU-A cg: RN v1: Multipodus Boots st: NotStopd t0: [12:00:00 02/04/2014] id: RLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Diminished st: NotStopd t0: [12:00:00 02/04/2014] id: RUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [12:00:00 02/04/2014] id: Reason For Restraint el: 0 cu: MICU-A cg: RN v1: Ext/TXInterfere st: NotStopd t0: [12:00:00 02/04/2014] id: Removed x 5 Mins el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [12:00:00 02/04/2014] id: Respiratory Pattern el: 0 cu: MICU-A cg: RN v1: Regular st: NotStopd t0: [12:00:00 02/04/2014] id: Restraint Location el: 0 cu: MICU-A cg: RN v1: Both Arms st: NotStopd t0: [12:00:00 02/04/2014] id: Restraint Type el: 0 cu: MICU-A cg: RN v1: Soft Limb st: NotStopd t0: [12:00:00 02/04/2014] id: Restraints Evaluated el: 0 cu: MICU-A cg: RN v1: Behavior Conts st: NotStopd t0: [12:00:00 02/04/2014] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [12:00:00 02/04/2014] id: Stool Color/Consist el: 0 cu: MICU-A cg: RN v1: Brown v2: Liquid st: NotStopd t0: [12:00:00 02/04/2014] id: Support Systems el: 0 cu: MICU-A cg: RN v1: Spouse st: NotStopd t0: [12:00:00 02/04/2014] id: Temperature C (calc) el: 0 cu: MICU-A cg: RN v1: 38.4444 u1: Deg. C st: NotStopd t0: [12:00:00 02/04/2014] id: Temperature F el: 0 cu: MICU-A cg: RN v1: 101.2 u1: Deg. F st: NotStopd t0: [12:00:00 02/04/2014] id: Therapeutic Bed el: 0 cu: MICU-A cg: RN v1: AirMatt/1st Step st: NotStopd t0: [12:00:00 02/04/2014] id: Turn el: 0 cu: MICU-A cg: RN v1: Right Side st: NotStopd t0: [12:00:00 02/04/2014] id: Urine Color/Appear el: 0 cu: MICU-A cg: RN v1: Light Yellow v2: Clear st: NotStopd t0: [12:00:00 02/04/2014] id: Urine Source el: 0 cu: MICU-A cg: RN v1: Indwelling Cath st: NotStopd t0: [12:00:00 02/04/2014] id: Verbal Response el: 0 cu: MICU-A cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [12:00:00 02/04/2014] id: Behavior el: 0 cu: MICU-A cg: RN v1: Sedated st: NotStopd t0: [12:00:00 02/04/2014] id: Bowel Sounds el: 0 cu: MICU-A cg: RN v1: Present st: NotStopd t0: [13:00:00 02/04/2014] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [13:00:00 02/04/2014] id: CVP el: 0 cu: MICU-A cg: RN v1: 22 u1: mmHg st: NotStopd t0: [13:00:00 02/04/2014] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [13:00:00 02/04/2014] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [13:00:00 02/04/2014] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [13:00:00 02/04/2014] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 74 u1: BPM st: NotStopd t0: [13:00:00 02/04/2014] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [13:00:00 02/04/2014] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 135 u1: mmHg v2: 64 u2: mmHg st: NotStopd t0: [13:00:00 02/04/2014] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 88 u1: mmHg st: NotStopd t0: [13:00:00 02/04/2014] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [13:00:00 02/04/2014] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 22 u1: BPM st: NotStopd t0: [13:00:00 02/04/2014] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [14:00:00 02/04/2014] id: Range of Motion el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [14:00:00 02/04/2014] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [14:00:00 02/04/2014] id: CVP el: 0 cu: MICU-A cg: RN v1: 8 u1: mmHg st: NotStopd t0: [14:00:00 02/04/2014] id: Circulation/SkinInt el: 0 cu: MICU-A cg: RN v1: Circulation Adeq st: NotStopd t0: [14:00:00 02/04/2014] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [14:00:00 02/04/2014] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [14:00:00 02/04/2014] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [14:00:00 02/04/2014] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 68 u1: BPM st: NotStopd t0: [14:00:00 02/04/2014] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [14:00:00 02/04/2014] id: Impaired Skin Site#1 el: 0 cu: MICU-A cg: RN v1: Gluteal, Right st: NotStopd t0: [14:00:00 02/04/2014] id: Impaired Skin Site#2 el: 0 cu: MICU-A cg: RN v1: Labia st: NotStopd t0: [14:00:00 02/04/2014] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 149 u1: mmHg v2: 70 u2: mmHg st: NotStopd t0: [14:00:00 02/04/2014] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 99 u1: mmHg st: NotStopd t0: [14:00:00 02/04/2014] id: Position Change el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [14:00:00 02/04/2014] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [14:00:00 02/04/2014] id: Reason For Restraint el: 0 cu: MICU-A cg: RN v1: Ext/TXInterfere st: NotStopd t0: [14:00:00 02/04/2014] id: Removed x 5 Mins el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [14:00:00 02/04/2014] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 20 u1: BPM st: NotStopd t0: [14:00:00 02/04/2014] id: Restraint Location el: 0 cu: MICU-A cg: RN v1: Both Arms st: NotStopd t0: [14:00:00 02/04/2014] id: Restraint Type el: 0 cu: MICU-A cg: RN v1: Soft Limb st: NotStopd t0: [14:00:00 02/04/2014] id: Restraints Evaluated el: 0 cu: MICU-A cg: RN v1: Behavior Conts st: NotStopd t0: [14:00:00 02/04/2014] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [14:00:00 02/04/2014] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 100 u1: % st: NotStopd t0: [14:00:00 02/04/2014] id: Support Systems el: 0 cu: MICU-A cg: RN v1: Spouse st: NotStopd t0: [14:00:00 02/04/2014] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [12:00:00 02/04/2014] id: Gastric Meds PO/Gastric el: 1 cu: MICU-A cg: RN ai: 155 vo: 250 vu: ml t0: [12:00:00 02/04/2014] id: IV Piggyback 100.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 105 vo: 200 vu: ml t0: [12:00:00 02/04/2014] id: Promote w/fiber Tube Feeding el: 1 cu: MICU-A cg: RN ai: 107 vo: 0 vu: ml t0: [14:00:00 02/04/2014] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 20 vu: ml t0: [14:00:00 02/04/2014] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 8 vu: ml t0: [14:00:00 02/04/2014] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU-A cg: RN ai: 416 vo: 5 vu: ml t0: [14:00:00 02/04/2014] id: IV Piggyback 100.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 105 vo: 100 vu: ml t0: [14:00:00 02/04/2014] id: Promote w/fiber Tube Feeding el: 1 cu: MICU-A cg: RN ai: 107 vo: 0 vu: ml t0: [14:00:00 02/04/2014] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 875 vu: ml
t0: [13:00:00 02/04/2014] id: Fentanyl el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 25 du: mcghr sv: 250 su: ml rt: IV Drip t0: [13:00:00 02/04/2014] id: Ativan el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 4 du: mghr sv: 60 su: ml rt: IV Drip t0: [14:00:00 02/04/2014] id: Fentanyl el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 25 du: mcghr sv: 250 su: ml rt: IV Drip t0: [14:00:00 02/04/2014] id: Ativan el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 4 du: mghr sv: 60 su: ml rt: IV Drip
t0: [04:00:00 02/04/2014] id: Differential-Bands Hematology el: 0 cu: MICU-A cg: 1663 v1: 5 rs: Final st: NotStopd t0: [04:00:00 02/04/2014] id: Differential-Basos Hematology el: 0 cu: MICU-A cg: 1663 v1: 0 rs: Final st: NotStopd t0: [04:00:00 02/04/2014] id: Differential-Eos Hematology el: 0 cu: MICU-A cg: 1663 v1: 1 rs: Final st: NotStopd t0: [04:00:00 02/04/2014] id: Differential-Lymphs Hematology el: 0 cu: MICU-A cg: 1663 v1: 4 rs: Final st: NotStopd t0: [04:00:00 02/04/2014] id: Differential-Monos Hematology el: 0 cu: MICU-A cg: 1663 v1: 4 rs: Final st: NotStopd t0: [04:00:00 02/04/2014] id: Differential-Polys Hematology el: 0 cu: MICU-A cg: 1663 v1: 83 rs: Final st: NotStopd
t0: [15:06:00 02/04/2014] id: Compliance (40-60ml) el: 0 cu: MICU-A cg: RRT v1: 16.8539 u1: ml/cmH st: NotStopd t0: [15:06:00 02/04/2014] id: ETT Mark/Location el: 0 cu: MICU-A cg: RRT v1: 21cm v2: Lip st: NotStopd t0: [15:06:00 02/04/2014] id: FiO2 Set el: 0 cu: MICU-A cg: RRT v1: 0.4 u1: torr st: NotStopd t0: [15:06:00 02/04/2014] id: High Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 50 u1: cmH2O st: NotStopd t0: [15:06:00 02/04/2014] id: High Resp. Rate el: 0 cu: MICU-A cg: RRT v1: 30 u1: BPM st: NotStopd t0: [15:06:00 02/04/2014] id: I:E Ratio el: 0 cu: MICU-A cg: RRT v1: 1:2 st: NotStopd t0: [15:06:00 02/04/2014] id: Airway Size el: 0 cu: MICU-A cg: RRT v1: 7.5 mm st: NotStopd t0: [15:06:00 02/04/2014] id: Airway Type el: 0 cu: MICU-A cg: RRT v1: Endotracheal st: NotStopd t0: [15:06:00 02/04/2014] id: Inspired Gas Temp el: 0 cu: MICU-A cg: RRT v1: 34 u1: Deg. C st: NotStopd t0: [15:06:00 02/04/2014] id: Intubation Date el: 0 cu: MICU-A cg: RRT v1: 3 v2: 12 st: NotStopd t0: [15:06:00 02/04/2014] id: Low Exhaled Min Vol el: 0 cu: MICU-A cg: RRT v1: 5 st: NotStopd t0: [15:06:00 02/04/2014] id: Low Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 18 u1: cmH2O st: NotStopd t0: [15:06:00 02/04/2014] id: Mean Airway Pressure el: 0 cu: MICU-A cg: RRT v1: 16.8 u1: cmH2O st: NotStopd t0: [15:06:00 02/04/2014] id: Minute Volume(Obser) el: 0 cu: MICU-A cg: RRT v1: 8.7 u1: L/min st: NotStopd t0: [15:06:00 02/04/2014] id: PEEP Set el: 0 cu: MICU-A cg: RRT v1: 12 u1: cmH2O st: NotStopd t0: [15:06:00 02/04/2014] id: Apnea Time Interval el: 0 cu: MICU-A cg: RRT v1: 20 st: NotStopd t0: [15:06:00 02/04/2014] id: Peak Flow el: 0 cu: MICU-A cg: RRT v1: 50 u1: L/m st: NotStopd t0: [15:06:00 02/04/2014] id: Peak Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 38.7 u1: cmH2O st: NotStopd t0: [15:06:00 02/04/2014] id: Plateau Pressure el: 0 cu: MICU-A cg: RRT v1: 24 u1: cmH2O st: NotStopd t0: [15:06:00 02/04/2014] id: Plateau-Off el: 0 cu: MICU-A cg: RRT v1: Yes st: NotStopd t0: [15:06:00 02/04/2014] id: Resp Rate (Spont) el: 0 cu: MICU-A cg: RRT v1: 0 u1: BPM st: NotStopd t0: [15:06:00 02/04/2014] id: Resp Rate (Total) el: 0 cu: MICU-A cg: RRT v1: 20 u1: BPM st: NotStopd t0: [15:06:00 02/04/2014] id: Respiratory Rate Set el: 0 cu: MICU-A cg: RRT v1: 20 u1: BPM st: NotStopd t0: [15:06:00 02/04/2014] id: Sensitivity-Vent el: 0 cu: MICU-A cg: RRT v1: 2 u1: cmH2O st: NotStopd t0: [15:06:00 02/04/2014] id: SpO2 el: 0 cu: MICU-A cg: RRT v1: 100 u1: % st: NotStopd t0: [15:06:00 02/04/2014] id: Tidal Volume (Obser) el: 0 cu: MICU-A cg: RRT v1: 430 u1: ml/B st: NotStopd t0: [15:06:00 02/04/2014] id: Tidal Volume (Set) el: 0 cu: MICU-A cg: RRT v1: 450 u1: ml/B st: NotStopd t0: [15:06:00 02/04/2014] id: Ventilator Mode el: 0 cu: MICU-A cg: RRT v1: Assist Control st: NotStopd t0: [15:06:00 02/04/2014] id: Ventilator No. el: 0 cu: MICU-A cg: RRT v1: 6 u1: # st: NotStopd t0: [15:06:00 02/04/2014] id: Ventilator Type el: 0 cu: MICU-A cg: RRT v1: 7200A st: NotStopd t0: [15:06:00 02/04/2014] id: Waveform-Vent el: 0 cu: MICU-A cg: RRT v1: RAMP st: NotStopd
t0: [15:00:00 02/04/2014] id: Sputum Color/Consist el: 0 cu: MICU-A cg: RRT v1: Yellow v2: Thin st: NotStopd t0: [15:00:00 02/04/2014] id: Sputum Source/Amt el: 0 cu: MICU-A cg: RRT v1: Suctioned v2: Moderate st: NotStopd
tf: [15:00:00 03/04/2014] pt: Unit Dose rt: IV fr: ONCE fs: 16 dn: 1 m1: Magnesium Sulfate f1: INJ v1: 2 u1: gm tf: [15:00:00 03/04/2014] pt: Unit Dose rt: PO fr: ONCE fs: 16 dn: 1 m1: Potassium Chloride f1: CAP v1: 40 u1: mEq tf: [10:00:00 09/04/2014] pt: Unit Dose rt: NG fr: TID fs: 08, 16, 22 dn: 3 m1: Haloperidol f1: TAB v1: 1-2 u1: mg
t0: [16:50:00 02/04/2014] id: Minute Volume(Obser) el: 0 cu: MICU-A cg: RRT v1: 8.6 u1: L/min st: NotStopd t0: [16:50:00 02/04/2014] id: PEEP Set el: 0 cu: MICU-A cg: RRT v1: 12 u1: cmH2O st: NotStopd t0: [16:50:00 02/04/2014] id: Pressure Support el: 0 cu: MICU-A cg: RRT v1: 12 u1: . st: NotStopd t0: [16:50:00 02/04/2014] id: Resp Rate (Total) el: 0 cu: MICU-A cg: RRT v1: 22 u1: BPM st: NotStopd t0: [16:50:00 02/04/2014] id: SpO2 el: 0 cu: MICU-A cg: RRT v1: 98 u1: % st: NotStopd t0: [16:50:00 02/04/2014] id: Tidal Volume (Spont) el: 0 cu: MICU-A cg: RRT v1: 370 u1: ml/B st: NotStopd t0: [16:50:00 02/04/2014] id: Ventilator Mode el: 0 cu: MICU-A cg: RRT v1: CPAP+PS st: NotStopd
t0: [17:00:00 02/04/2014] id: Flow-By (lpm) el: 0 cu: MICU-A cg: RRT v1: 6 u1: lpm st: NotStopd t0: [17:00:00 02/04/2014] id: Flow-by Sensitivity el: 0 cu: MICU-A cg: RRT v1: 3 u1: cmH2O st: NotStopd t0: [17:00:00 02/04/2014] id: Minute Volume(Obser) el: 0 cu: MICU-A cg: RRT v1: 7.2 u1: L/min st: NotStopd t0: [17:00:00 02/04/2014] id: PEEP Set el: 0 cu: MICU-A cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [17:00:00 02/04/2014] id: Pressure Support el: 0 cu: MICU-A cg: RRT v1: 10 u1: . st: NotStopd t0: [17:00:00 02/04/2014] id: Resp Rate (Total) el: 0 cu: MICU-A cg: RRT v1: 22 u1: BPM st: NotStopd t0: [17:00:00 02/04/2014] id: Tidal Volume (Spont) el: 0 cu: MICU-A cg: RRT v1: 330 u1: ml/B st: NotStopd
t0: [04:00:00 02/04/2014] id: ALT Enzymes el: 0 cu: MICU-A cg: 1663 v1: 31 rs: Final st: NotStopd t0: [04:00:00 02/04/2014] id: AST Enzymes el: 0 cu: MICU-A cg: 1663 v1: 30 rs: Final st: NotStopd t0: [04:00:00 02/04/2014] id: Albumin (>3.2) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 2.2 rs: Final st: NotStopd t0: [04:00:00 02/04/2014] id: Alk. Phosphate Enzymes el: 0 cu: MICU-A cg: 1663 v1: 81 rs: Final st: NotStopd
t0: [15:00:00 02/04/2014] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [15:00:00 02/04/2014] id: CVP el: 0 cu: MICU-A cg: RN v1: 9 u1: mmHg st: NotStopd t0: [15:00:00 02/04/2014] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [15:00:00 02/04/2014] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [15:00:00 02/04/2014] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [15:00:00 02/04/2014] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 69 u1: BPM st: NotStopd t0: [15:00:00 02/04/2014] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [15:00:00 02/04/2014] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 152 u1: mmHg v2: 73 u2: mmHg st: NotStopd t0: [15:00:00 02/04/2014] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 104 u1: mmHg st: NotStopd t0: [15:00:00 02/04/2014] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [15:00:00 02/04/2014] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 20 u1: BPM st: NotStopd t0: [15:00:00 02/04/2014] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 100 u1: % st: NotStopd t0: [15:00:00 02/04/2014] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [16:00:00 02/04/2014] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [16:00:00 02/04/2014] id: CVP el: 0 cu: MICU-A cg: RN v1: 10 u1: mmHg st: NotStopd t0: [16:00:00 02/04/2014] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [16:00:00 02/04/2014] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [16:00:00 02/04/2014] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [16:00:00 02/04/2014] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 69 u1: BPM st: NotStopd t0: [16:00:00 02/04/2014] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [16:00:00 02/04/2014] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 147 u1: mmHg v2: 71 u2: mmHg st: NotStopd t0: [16:00:00 02/04/2014] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 102 u1: mmHg st: NotStopd t0: [16:00:00 02/04/2014] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [16:00:00 02/04/2014] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 20 u1: BPM st: NotStopd t0: [16:00:00 02/04/2014] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 95 u1: % st: NotStopd t0: [16:00:00 02/04/2014] id: Temp. Site el: 0 cu: MICU-A cg: RN v1: Oral st: NotStopd t0: [16:00:00 02/04/2014] id: Temperature C (calc) el: 0 cu: MICU-A cg: RN v1: 38.6111 u1: Deg. C st: NotStopd t0: [16:00:00 02/04/2014] id: Temperature F el: 0 cu: MICU-A cg: RN v1: 101.5 u1: Deg. F st: NotStopd t0: [16:00:00 02/04/2014] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [17:00:00 02/04/2014] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [17:00:00 02/04/2014] id: CVP el: 0 cu: MICU-A cg: RN v1: 9 u1: mmHg st: NotStopd t0: [17:00:00 02/04/2014] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [17:00:00 02/04/2014] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [17:00:00 02/04/2014] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [17:00:00 02/04/2014] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 72 u1: BPM st: NotStopd t0: [17:00:00 02/04/2014] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [17:00:00 02/04/2014] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 147 u1: mmHg v2: 71 u2: mmHg st: NotStopd t0: [17:00:00 02/04/2014] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 100 u1: mmHg st: NotStopd t0: [17:00:00 02/04/2014] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [17:00:00 02/04/2014] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 22 u1: BPM st: NotStopd t0: [17:00:00 02/04/2014] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 97 u1: % st: NotStopd t0: [17:00:00 02/04/2014] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [16:00:00 02/04/2014] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 20 vu: ml t0: [16:00:00 02/04/2014] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 8 vu: ml t0: [16:00:00 02/04/2014] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU-A cg: RN ai: 416 vo: 5 vu: ml t0: [16:00:00 02/04/2014] tf: [13:00:00 04/04/2014] dt: 2700 id: Promote w/fiber Tube Feeding el: 1 cu: MICU-A cg: RN ai: 107 vo: 130 vu: ml t0: [17:00:00 02/04/2014] id: Gastric Meds PO/Gastric el: 1 cu: MICU-A cg: RN ai: 155 vo: 250 vu: ml t0: [17:00:00 02/04/2014] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 340 vu: ml
t0: [15:00:00 02/04/2014] id: Fentanyl el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 25 du: mcghr sv: 250 su: ml rt: IV Drip t0: [15:00:00 02/04/2014] id: Ativan el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 4 du: mghr sv: 60 su: ml rt: IV Drip t0: [16:00:00 02/04/2014] id: Fentanyl el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 25 du: mcghr sv: 250 su: ml rt: IV Drip t0: [16:00:00 02/04/2014] id: Ativan el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 4 du: mghr sv: 60 su: ml rt: IV Drip t0: [17:00:00 02/04/2014] id: Fentanyl el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 25 du: mcghr sv: 250 su: ml rt: IV Drip t0: [17:00:00 02/04/2014] id: Ativan el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 4 du: mghr sv: 60 su: ml rt: IV Drip
t0: [18:00:00 02/04/2014] id: INV#3Chg o/Wire Date el: 0 cu: MICU-A cg: -1 st: D/C'd t0: [18:00:00 02/04/2014] id: INV Line#3 D/C Date el: 0 cu: MICU-A cg: -1 st: D/C'd t0: [18:00:00 02/04/2014] id: INV Line#3 Site Date el: 0 cu: MICU-A cg: -1 st: D/C'd t0: [18:00:00 02/04/2014] id: INV Line#3 Type/Site el: 0 cu: MICU-A cg: -1 st: D/C'd t0: [18:00:00 02/04/2014] id: INV Line#3 Zero/Cal el: 0 cu: MICU-A cg: -1 st: D/C'd t0: [18:00:00 02/04/2014] id: INV Line#3InsertDate el: 0 cu: MICU-A cg: -1 st: D/C'd t0: [18:00:00 02/04/2014] id: INV Line#3SiteAppear el: 0 cu: MICU-A cg: -1 st: D/C'd t0: [18:00:00 02/04/2014] id: INV#3 WaveformAppear el: 0 cu: MICU-A cg: -1 st: D/C'd
t0: [12:00:00 02/04/2014] id: Back Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [16:00:00 02/04/2014] id: Range of Motion el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [16:00:00 02/04/2014] id: INV#3Chg o/Wire Date el: 0 cu: MICU-A cg: RN v1: 3 v2: 16 st: NotStopd t0: [16:00:00 02/04/2014] id: Circulation/SkinInt el: 0 cu: MICU-A cg: RN v1: Circulation Adeq st: NotStopd t0: [16:00:00 02/04/2014] id: GI Prophylaxis el: 0 cu: MICU-A cg: RN v1: H2 Blocker st: NotStopd t0: [16:00:00 02/04/2014] id: Diet Type el: 0 cu: MICU-A cg: RN v1: Tube Feeding st: NotStopd t0: [16:00:00 02/04/2014] id: Eye Opening el: 0 cu: MICU-A cg: RN v1: 3 To speech st: NotStopd t0: [16:00:00 02/04/2014] id: GCS Total el: 0 cu: MICU-A cg: RN v1: 9 u1: points st: NotStopd t0: [16:00:00 02/04/2014] id: GI Intub #1/Site el: 0 cu: MICU-A cg: RN v1: Salem Sump v2: Oral st: NotStopd t0: [16:00:00 02/04/2014] id: GI#1 Tube PlaceCheck el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [16:00:00 02/04/2014] id: GI#1 Tube Stat/Drain el: 0 cu: MICU-A cg: RN v1: Feeding v2: Undigested Food st: NotStopd t0: [16:00:00 02/04/2014] id: GU Catheter Size el: 0 cu: MICU-A cg: RN v1: 14 French st: NotStopd t0: [16:00:00 02/04/2014] id: HOB el: 0 cu: MICU-A cg: RN v1: 15 degrees st: NotStopd t0: [16:00:00 02/04/2014] id: INV Line#3 Site Date el: 0 cu: MICU-A cg: RN v1: 3 v2: 16 st: NotStopd t0: [16:00:00 02/04/2014] id: INV Line#3 Type/Site el: 0 cu: MICU-A cg: RN v1: Multi-lumen v2: Right IJ st: NotStopd t0: [16:00:00 02/04/2014] id: INV Line#3 Zero/Cal el: 0 cu: MICU-A cg: RN v1: No st: NotStopd t0: [16:00:00 02/04/2014] id: INV Line#3InsertDate el: 0 cu: MICU-A cg: RN v1: 3 v2: 12 st: NotStopd t0: [16:00:00 02/04/2014] id: INV Line#3SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [16:00:00 02/04/2014] id: INV Line#4 Type/Site el: 0 cu: MICU-A cg: RN v1: A-Line v2: Right Brachial st: NotStopd t0: [16:00:00 02/04/2014] id: INV Line#4 Zero/Cal el: 0 cu: MICU-A cg: RN v1: No st: NotStopd t0: [16:00:00 02/04/2014] id: INV Line#4InsertDate el: 0 cu: MICU-A cg: RN v1: 3 v2: 17 st: NotStopd t0: [16:00:00 02/04/2014] id: INV Line#4SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [16:00:00 02/04/2014] id: Abdominal Assessment el: 0 cu: MICU-A cg: RN v1: Obese st: NotStopd t0: [16:00:00 02/04/2014] id: INV#3 WaveformAppear el: 0 cu: MICU-A cg: RN v1: Sharp st: NotStopd t0: [16:00:00 02/04/2014] id: INV#4 WaveformAppear el: 0 cu: MICU-A cg: RN v1: Sharp st: NotStopd t0: [16:00:00 02/04/2014] id: Activity el: 0 cu: MICU-A cg: RN v1: Bedrest st: NotStopd t0: [16:00:00 02/04/2014] id: Activity Tolerance el: 0 cu: MICU-A cg: RN v1: Tolerated Well st: NotStopd t0: [16:00:00 02/04/2014] id: Imp Skin Cleanse #2 el: 0 cu: MICU-A cg: RN v1: Soap & H20 st: NotStopd t0: [16:00:00 02/04/2014] id: ImpSkin Character #1 el: 0 cu: MICU-A cg: RN v1: Hematoma st: NotStopd t0: [16:00:00 02/04/2014] id: ImpSkin Character #2 el: 0 cu: MICU-A cg: RN v1: Rash st: NotStopd t0: [16:00:00 02/04/2014] id: ImpSkin Treatment #1 el: 0 cu: MICU-A cg: RN v1: Open to Air st: NotStopd t0: [16:00:00 02/04/2014] id: ImpSkin Treatment #2 el: 0 cu: MICU-A cg: RN v1: Open to Air st: NotStopd t0: [16:00:00 02/04/2014] id: Impaired Skin Site#1 el: 0 cu: MICU-A cg: RN v1: Gluteal, Right st: NotStopd t0: [16:00:00 02/04/2014] id: Impaired Skin Site#2 el: 0 cu: MICU-A cg: RN v1: Labia st: NotStopd t0: [16:00:00 02/04/2014] id: LLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Diminished st: NotStopd t0: [16:00:00 02/04/2014] id: LUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [16:00:00 02/04/2014] id: Level of Conscious el: 0 cu: MICU-A cg: RN v1: Arouse to Stimul st: NotStopd t0: [16:00:00 02/04/2014] id: Motor Response el: 0 cu: MICU-A cg: RN v1: 5 Localizes Pain st: NotStopd t0: [16:00:00 02/04/2014] id: Oral Cavity el: 0 cu: MICU-A cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [16:00:00 02/04/2014] id: Orientation el: 0 cu: MICU-A cg: RN v1: Other/Remarks st: NotStopd t0: [16:00:00 02/04/2014] id: Position Change el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [16:00:00 02/04/2014] id: Assistance Device el: 0 cu: MICU-A cg: RN v1: 2 Person Assist st: NotStopd t0: [16:00:00 02/04/2014] id: PressureReduceDevice el: 0 cu: MICU-A cg: RN v1: Multipodus Boots st: NotStopd t0: [16:00:00 02/04/2014] id: RLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Diminished st: NotStopd t0: [16:00:00 02/04/2014] id: RUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [16:00:00 02/04/2014] id: Reason For Restraint el: 0 cu: MICU-A cg: RN v1: Ext/TXInterfere st: NotStopd t0: [16:00:00 02/04/2014] id: Removed x 5 Mins el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [16:00:00 02/04/2014] id: Respiratory Pattern el: 0 cu: MICU-A cg: RN v1: Regular st: NotStopd t0: [16:00:00 02/04/2014] id: Restraint Location el: 0 cu: MICU-A cg: RN v1: Both Arms st: NotStopd t0: [16:00:00 02/04/2014] id: Restraint Type el: 0 cu: MICU-A cg: RN v1: Soft Limb st: NotStopd t0: [16:00:00 02/04/2014] id: Restraints Evaluated el: 0 cu: MICU-A cg: RN v1: Behavior Conts st: NotStopd t0: [16:00:00 02/04/2014] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [16:00:00 02/04/2014] id: Skin Color el: 0 cu: MICU-A cg: RN v1: Normal for Race st: NotStopd t0: [16:00:00 02/04/2014] id: Skin Integrity el: 0 cu: MICU-A cg: RN v1: Impaired st: NotStopd t0: [16:00:00 02/04/2014] id: Stool Color/Consist el: 0 cu: MICU-A cg: RN v1: Brown v2: Liquid st: NotStopd t0: [16:00:00 02/04/2014] id: Support Systems el: 0 cu: MICU-A cg: RN v1: Spouse st: NotStopd t0: [16:00:00 02/04/2014] id: Therapeutic Bed el: 0 cu: MICU-A cg: RN v1: AirMatt/1st Step st: NotStopd t0: [16:00:00 02/04/2014] id: Turn el: 0 cu: MICU-A cg: RN v1: Left Side st: NotStopd t0: [16:00:00 02/04/2014] id: Urine Color/Appear el: 0 cu: MICU-A cg: RN v1: Yellow v2: Sediment st: NotStopd t0: [16:00:00 02/04/2014] id: Urine Source el: 0 cu: MICU-A cg: RN v1: Indwelling Cath st: NotStopd t0: [16:00:00 02/04/2014] id: Verbal Response el: 0 cu: MICU-A cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [16:00:00 02/04/2014] id: Back Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [16:00:00 02/04/2014] id: Behavior el: 0 cu: MICU-A cg: RN v1: Sedated st: NotStopd t0: [16:00:00 02/04/2014] id: Bowel Sounds el: 0 cu: MICU-A cg: RN v1: Present st: NotStopd t0: [16:00:00 02/04/2014] id: Braden Activity el: 0 cu: MICU-A cg: RN v1: Bedfast st: NotStopd t0: [16:00:00 02/04/2014] id: Braden Frict/Shear el: 0 cu: MICU-A cg: RN v1: Potential Prob st: NotStopd t0: [16:00:00 02/04/2014] id: Braden Mobility el: 0 cu: MICU-A cg: RN v1: Comp. Immobile st: NotStopd t0: [16:00:00 02/04/2014] id: Braden Moisture el: 0 cu: MICU-A cg: RN v1: Rarely Moist st: NotStopd t0: [16:00:00 02/04/2014] id: Braden Nutrition el: 0 cu: MICU-A cg: RN v1: Prob. Inadequate st: NotStopd t0: [16:00:00 02/04/2014] id: Braden Score el: 0 cu: MICU-A cg: RN v1: 12 u1: number st: NotStopd t0: [16:00:00 02/04/2014] id: Braden SensoryPercep el: 0 cu: MICU-A cg: RN v1: Very Limited st: NotStopd t0: [18:00:00 02/04/2014] id: Range of Motion el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [18:00:00 02/04/2014] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [18:00:00 02/04/2014] id: CVP el: 0 cu: MICU-A cg: RN v1: 18 u1: mmHg st: NotStopd t0: [18:00:00 02/04/2014] id: Circulation/SkinInt el: 0 cu: MICU-A cg: RN v1: Circulation Adeq st: NotStopd t0: [18:00:00 02/04/2014] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [18:00:00 02/04/2014] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [18:00:00 02/04/2014] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [18:00:00 02/04/2014] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 73 u1: BPM st: NotStopd t0: [18:00:00 02/04/2014] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [18:00:00 02/04/2014] id: Impaired Skin Site#1 el: 0 cu: MICU-A cg: RN v1: Gluteal, Right st: NotStopd t0: [18:00:00 02/04/2014] id: Impaired Skin Site#2 el: 0 cu: MICU-A cg: RN v1: Labia st: NotStopd t0: [18:00:00 02/04/2014] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 140 u1: mmHg v2: 69 u2: mmHg st: NotStopd t0: [18:00:00 02/04/2014] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 95 u1: mmHg st: NotStopd t0: [18:00:00 02/04/2014] id: Position Change el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [18:00:00 02/04/2014] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [18:00:00 02/04/2014] id: Reason For Restraint el: 0 cu: MICU-A cg: RN v1: Ext/TXInterfere st: NotStopd t0: [18:00:00 02/04/2014] id: Removed x 5 Mins el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [18:00:00 02/04/2014] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 34 u1: BPM st: NotStopd t0: [18:00:00 02/04/2014] id: Restraint Location el: 0 cu: MICU-A cg: RN v1: Both Arms st: NotStopd t0: [18:00:00 02/04/2014] id: Restraint Type el: 0 cu: MICU-A cg: RN v1: Soft Limb st: NotStopd t0: [18:00:00 02/04/2014] id: Restraints Evaluated el: 0 cu: MICU-A cg: RN v1: Behavior Conts st: NotStopd t0: [18:00:00 02/04/2014] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [18:00:00 02/04/2014] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 97 u1: % st: NotStopd t0: [18:00:00 02/04/2014] id: Support Systems el: 0 cu: MICU-A cg: RN v1: Spouse st: NotStopd t0: [18:00:00 02/04/2014] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [18:32:00 02/04/2014] id: Art.pH ABG el: 0 cu: MICU-A cg: 1663 v1: 7.42 rs: Final st: NotStopd t0: [18:32:00 02/04/2014] id: Arterial Base Excess ABG el: 0 cu: MICU-A cg: 1663 v1: 3 rs: Final st: NotStopd t0: [18:32:00 02/04/2014] id: Arterial CO2(Calc) ABG el: 0 cu: MICU-A cg: 1663 v1: 30 rs: Final st: NotStopd t0: [18:32:00 02/04/2014] id: Arterial PaCO2 ABG el: 0 cu: MICU-A cg: 1663 v1: 44 u1: mmHg rs: Final st: NotStopd t0: [18:32:00 02/04/2014] id: Arterial PaO2 ABG el: 0 cu: MICU-A cg: 1663 v1: 77 u1: mmHg rs: Final st: NotStopd t0: [18:32:00 02/04/2014] id: Arterial pH ABG el: 0 cu: MICU-A cg: 1663 v1: 7.42 rs: Final st: NotStopd
t0: [17:00:00 02/04/2014] id: IV Piggyback 100.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 105 vo: 50 vu: ml t0: [18:00:00 02/04/2014] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 20 vu: ml t0: [18:00:00 02/04/2014] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 8 vu: ml t0: [18:00:00 02/04/2014] 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 02/04/2014] id: IV Piggyback 100.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 105 vo: 50 vu: ml t0: [18:00:00 02/04/2014] id: Promote w/fiber Tube Feeding el: 1 cu: MICU-A cg: RN ai: 107 vo: 130 vu: ml t0: [18:00:00 02/04/2014] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 60 vu: ml
t0: [18:00:00 02/04/2014] id: Fentanyl el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 25 du: mcghr sv: 250 su: ml rt: IV Drip t0: [18:00:00 02/04/2014] id: Ativan el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 4 du: mghr sv: 60 su: ml rt: IV Drip
t0: [12:00:00 02/04/2014] id: INV Line#1 Type/Site el: 0 cu: MICU-A cg: RN v1: Multi-lumen v2: Left IJ st: NotStopd t0: [12:00:00 02/04/2014] id: INV Line#1 Zero/Cal el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [12:00:00 02/04/2014] id: INV Line#1InsertDate el: 0 cu: MICU-A cg: RN v1: 3 v2: 19 st: NotStopd t0: [12:00:00 02/04/2014] id: INV Line#1SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [12:00:00 02/04/2014] id: INV#1 WaveformAppear el: 0 cu: MICU-A cg: RN v1: Sharp st: NotStopd t0: [17:00:00 02/04/2014] id: INV#3Chg o/Wire Date el: 0 cu: MICU-A cg: RN v1: 3 v2: 16 st: NotStopd t0: [17:00:00 02/04/2014] id: INV Line#3 D/C Date el: 0 cu: MICU-A cg: RN v1: 3 v2: 19 st: NotStopd t0: [17:00:00 02/04/2014] id: INV Line#3 Site Date el: 0 cu: MICU-A cg: RN v1: 3 v2: 16 st: NotStopd t0: [17:00:00 02/04/2014] id: INV Line#3 Type/Site el: 0 cu: MICU-A cg: RN v1: Multi-lumen v2: Right IJ st: NotStopd t0: [17:00:00 02/04/2014] id: INV Line#3InsertDate el: 0 cu: MICU-A cg: RN v1: 3 v2: 12 st: NotStopd t0: [17:00:00 02/04/2014] id: INV Line#3SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd
t0: [18:00:00 02/04/2014] id: Flow-By (lpm) el: 0 cu: MICU-A cg: RRT v1: 0 u1: lpm st: NotStopd t0: [18:30:00 02/04/2014] id: PEEP Set el: 0 cu: MICU-A cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [18:30:00 02/04/2014] id: Pressure Support el: 0 cu: MICU-A cg: RRT v1: 14 u1: . st: NotStopd t0: [18:30:00 02/04/2014] id: Resp Rate (Total) el: 0 cu: MICU-A cg: RRT v1: 17 u1: BPM st: NotStopd t0: [18:30:00 02/04/2014] id: SpO2 el: 0 cu: MICU-A cg: RRT v1: 97 u1: % st: NotStopd t0: [18:30:00 02/04/2014] id: Sputum Color/Consist el: 0 cu: MICU-A cg: RRT v1: Yellow v2: Thin st: NotStopd t0: [18:30:00 02/04/2014] id: Sputum Source/Amt el: 0 cu: MICU-A cg: RRT v1: Suctioned v2: Small st: NotStopd t0: [18:30:00 02/04/2014] id: Tidal Volume (Spont) el: 0 cu: MICU-A cg: RRT v1: 500 u1: ml/B st: NotStopd t0: [18:30:00 02/04/2014] id: Ventilator Mode el: 0 cu: MICU-A cg: RRT v1: CPAP+PS st: NotStopd t0: [18:30:00 02/04/2014] id: Ventilator No. el: 0 cu: MICU-A cg: RRT v1: 6 u1: # st: NotStopd t0: [18:30:00 02/04/2014] id: Ventilator Type el: 0 cu: MICU-A cg: RRT v1: 7200A st: NotStopd
tf: [18:00:00 03/04/2014] pt: Unit Dose rt: IV fr: ONCE fs: 19 dn: 1 m1: Furosemide f1: INJ v1: 40 u1: mg
t0: [18:46:00 02/04/2014] id: WBC (4-11,000) Hematology el: 0 cu: MICU-A cg: 1663 v1: 27.8 rs: Final st: NotStopd t0: [18:46:00 02/04/2014] id: Hematocrit Hematology el: 0 cu: MICU-A cg: 1663 v1: 22.6 u1: % rs: Final st: NotStopd t0: [18:46:00 02/04/2014] id: Hemoglobin Hematology el: 0 cu: MICU-A cg: 1663 v1: 7.7 u1: gm/dl rs: Final st: NotStopd t0: [18:46:00 02/04/2014] id: Platelets Hematology el: 0 cu: MICU-A cg: 1663 v1: 341 rs: Final st: NotStopd t0: [18:46:00 02/04/2014] id: RBC Hematology el: 0 cu: MICU-A cg: 1663 v1: 2.67 u1: /mic l rs: Final st: NotStopd t0: [18:46:00 02/04/2014] id: WBC (4-11,000) Hematology el: 0 cu: MICU-A cg: 1663 v1: 27.8 rs: Final st: NotStopd
t0: [18:46:00 02/04/2014] id: BUN (6-20) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 31 rs: Final st: NotStopd t0: [18:46:00 02/04/2014] id: Calcium (8.4-10.2) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 8 u1: mg/dl rs: Final st: NotStopd t0: [18:46:00 02/04/2014] id: Carbon Dioxide Chemistry el: 0 cu: MICU-A cg: 1663 v1: 25 rs: Final st: NotStopd t0: [18:46:00 02/04/2014] id: Chloride (100-112) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 108 rs: Final st: NotStopd t0: [18:46:00 02/04/2014] id: Creatinine (0-1.3) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 1.4 rs: Final st: NotStopd t0: [18:46:00 02/04/2014] id: Glucose (70-105) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 121 rs: Final st: NotStopd t0: [18:46:00 02/04/2014] id: Magnesium (1.6-2.6) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 2.4 rs: Final st: NotStopd t0: [18:46:00 02/04/2014] 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: [18:46:00 02/04/2014] id: Potassium (3.5-5.3) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 3.7 rs: Final st: NotStopd t0: [18:46:00 02/04/2014] id: Sodium (135-148) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 146 rs: Final st: NotStopd
t0: [19:00:00 02/04/2014] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [19:00:00 02/04/2014] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [19:00:00 02/04/2014] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [19:00:00 02/04/2014] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [19:00:00 02/04/2014] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 71 u1: BPM st: NotStopd t0: [19:00:00 02/04/2014] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [19:00:00 02/04/2014] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 135 u1: mmHg v2: 66 u2: mmHg st: NotStopd t0: [19:00:00 02/04/2014] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 90 u1: mmHg st: NotStopd t0: [19:00:00 02/04/2014] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [19:00:00 02/04/2014] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 18 u1: BPM st: NotStopd t0: [19:00:00 02/04/2014] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 97 u1: % st: NotStopd t0: [19:00:00 02/04/2014] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [20:00:00 02/04/2014] id: Pain Present el: 0 cu: MICU-A cg: RN v1: Other/Remarks st: NotStopd t0: [20:00:00 02/04/2014] id: Range of Motion el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [20:00:00 02/04/2014] id: Pain Assess Method el: 0 cu: MICU-A cg: RN v1: Grimace Scale st: NotStopd t0: [20:00:00 02/04/2014] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [20:00:00 02/04/2014] id: CVP el: 0 cu: MICU-A cg: RN v1: 13 u1: mmHg st: NotStopd t0: [20:00:00 02/04/2014] id: Circulation/SkinInt el: 0 cu: MICU-A cg: RN v1: Circulation Adeq st: NotStopd t0: [20:00:00 02/04/2014] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [20:00:00 02/04/2014] id: Riker-SAS Scale el: 0 cu: MICU-A cg: RN v1: Sedated st: NotStopd t0: [20:00:00 02/04/2014] id: GI Prophylaxis el: 0 cu: MICU-A cg: RN v1: H2 Blocker st: NotStopd t0: [20:00:00 02/04/2014] id: Diet Type el: 0 cu: MICU-A cg: RN v1: Tube Feeding st: NotStopd t0: [20:00:00 02/04/2014] id: Dorsal PedPulse R/L el: 0 cu: MICU-A cg: RN v1: Weak Palpable v2: Weak Palpable st: NotStopd t0: [20:00:00 02/04/2014] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [20:00:00 02/04/2014] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [20:00:00 02/04/2014] id: Eye Opening el: 0 cu: MICU-A cg: RN v1: 3 To speech st: NotStopd t0: [20:00:00 02/04/2014] id: GCS Total el: 0 cu: MICU-A cg: RN v1: 9 u1: points st: NotStopd t0: [20:00:00 02/04/2014] id: GI Intub #1/Site el: 0 cu: MICU-A cg: RN v1: Salem Sump v2: Oral st: NotStopd t0: [20:00:00 02/04/2014] id: GI#1 Tube PlaceCheck el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [20:00:00 02/04/2014] id: GI#1 Tube Stat/Drain el: 0 cu: MICU-A cg: RN v1: Feeding v2: Undigested Food st: NotStopd t0: [20:00:00 02/04/2014] id: GU Catheter Size el: 0 cu: MICU-A cg: RN v1: 14 French st: NotStopd t0: [20:00:00 02/04/2014] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 72 u1: BPM st: NotStopd t0: [20:00:00 02/04/2014] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [20:00:00 02/04/2014] id: INV Line#1 Type/Site el: 0 cu: MICU-A cg: RN v1: Multi-lumen v2: Left IJ st: NotStopd t0: [20:00:00 02/04/2014] id: INV Line#1 Zero/Cal el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [20:00:00 02/04/2014] id: INV Line#1InsertDate el: 0 cu: MICU-A cg: RN v1: 3 v2: 19 st: NotStopd t0: [20:00:00 02/04/2014] id: INV Line#1SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [20:00:00 02/04/2014] id: INV Line#4 Type/Site el: 0 cu: MICU-A cg: RN v1: A-Line v2: Right Brachial st: NotStopd t0: [20:00:00 02/04/2014] id: INV Line#4 Zero/Cal el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [20:00:00 02/04/2014] id: INV Line#4InsertDate el: 0 cu: MICU-A cg: RN v1: 3 v2: 17 st: NotStopd t0: [20:00:00 02/04/2014] id: INV Line#4SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [20:00:00 02/04/2014] id: Abdominal Assessment el: 0 cu: MICU-A cg: RN v1: Obese st: NotStopd t0: [20:00:00 02/04/2014] id: INV#1 WaveformAppear el: 0 cu: MICU-A cg: RN v1: Sharp st: NotStopd t0: [20:00:00 02/04/2014] id: INV#4 WaveformAppear el: 0 cu: MICU-A cg: RN v1: Sharp st: NotStopd t0: [20:00:00 02/04/2014] id: Imp Skin Cleanse #2 el: 0 cu: MICU-A cg: RN v1: Soap & H20 st: NotStopd t0: [20:00:00 02/04/2014] id: ImpSkin Character #1 el: 0 cu: MICU-A cg: RN v1: Hematoma st: NotStopd t0: [20:00:00 02/04/2014] id: ImpSkin Character #2 el: 0 cu: MICU-A cg: RN v1: Rash st: NotStopd t0: [20:00:00 02/04/2014] id: ImpSkin Treatment #1 el: 0 cu: MICU-A cg: RN v1: Open to Air st: NotStopd t0: [20:00:00 02/04/2014] id: ImpSkin Treatment #2 el: 0 cu: MICU-A cg: RN v1: Open to Air st: NotStopd t0: [20:00:00 02/04/2014] id: Impaired Skin Site#1 el: 0 cu: MICU-A cg: RN v1: Gluteal, Right st: NotStopd t0: [20:00:00 02/04/2014] id: Impaired Skin Site#2 el: 0 cu: MICU-A cg: RN v1: Labia st: NotStopd t0: [20:00:00 02/04/2014] id: LLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Diminished st: NotStopd t0: [20:00:00 02/04/2014] id: LUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [20:00:00 02/04/2014] id: Level of Conscious el: 0 cu: MICU-A cg: RN v1: Arouse to Voice st: NotStopd t0: [20:00:00 02/04/2014] id: Motor Response el: 0 cu: MICU-A cg: RN v1: 5 Localizes Pain st: NotStopd t0: [20:00:00 02/04/2014] id: Oral Cavity el: 0 cu: MICU-A cg: RN v1: Thrush st: NotStopd t0: [20:00:00 02/04/2014] id: Orientation el: 0 cu: MICU-A cg: RN v1: Other/Remarks st: NotStopd t0: [20:00:00 02/04/2014] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 135 u1: mmHg v2: 67 u2: mmHg st: NotStopd t0: [20:00:00 02/04/2014] id: Pain Location el: 0 cu: MICU-A cg: RN v1: Not Indicated st: NotStopd t0: [20:00:00 02/04/2014] id: Pain Management el: 1 cu: MICU-A cg: RN v1: IV Gtt v2: IV Gtt st: NotStopd t0: [20:00:00 02/04/2014] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 82 u1: mmHg st: NotStopd t0: [20:00:00 02/04/2014] id: Position Change el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [20:00:00 02/04/2014] id: PostTib. Pulses R/L el: 0 cu: MICU-A cg: RN v1: Weak Palpable v2: Weak Palpable st: NotStopd t0: [20:00:00 02/04/2014] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [20:00:00 02/04/2014] id: RLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Diminished st: NotStopd t0: [20:00:00 02/04/2014] id: RUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [20:00:00 02/04/2014] id: Reason For Restraint el: 0 cu: MICU-A cg: RN v1: Ext/TXInterfere st: NotStopd t0: [20:00:00 02/04/2014] id: Removed x 5 Mins el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [20:00:00 02/04/2014] id: Respiratory Pattern el: 0 cu: MICU-A cg: RN v1: Regular st: NotStopd t0: [20:00:00 02/04/2014] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 22 u1: BPM st: NotStopd t0: [20:00:00 02/04/2014] id: Restraint Location el: 0 cu: MICU-A cg: RN v1: Both Arms st: NotStopd t0: [20:00:00 02/04/2014] id: Restraint Type el: 0 cu: MICU-A cg: RN v1: Soft Limb st: NotStopd t0: [20:00:00 02/04/2014] id: Restraints Evaluated el: 0 cu: MICU-A cg: RN v1: RestraintReapply st: NotStopd t0: [20:00:00 02/04/2014] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [20:00:00 02/04/2014] id: Skin Integrity el: 0 cu: MICU-A cg: RN v1: Impaired st: NotStopd t0: [20:00:00 02/04/2014] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 98 u1: % st: NotStopd t0: [20:00:00 02/04/2014] id: Stool Color/Consist el: 0 cu: MICU-A cg: RN v1: Brown v2: Liquid st: NotStopd t0: [20:00:00 02/04/2014] id: Support Systems el: 0 cu: MICU-A cg: RN v1: Spouse st: NotStopd t0: [20:00:00 02/04/2014] id: Temp. Site el: 0 cu: MICU-A cg: RN v1: Oral st: NotStopd t0: [20:00:00 02/04/2014] id: Temperature C (calc) el: 0 cu: MICU-A cg: RN v1: 38.5556 u1: Deg. C st: NotStopd t0: [20:00:00 02/04/2014] id: Temperature F el: 0 cu: MICU-A cg: RN v1: 101.4 u1: Deg. F st: NotStopd t0: [20:00:00 02/04/2014] id: Urine Color/Appear el: 0 cu: MICU-A cg: RN v1: Yellow v2: Sediment st: NotStopd t0: [20:00:00 02/04/2014] id: Urine Source el: 0 cu: MICU-A cg: RN v1: Indwelling Cath st: NotStopd t0: [20:00:00 02/04/2014] id: Verbal Response el: 0 cu: MICU-A cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [20:00:00 02/04/2014] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [20:00:00 02/04/2014] id: Behavior el: 0 cu: MICU-A cg: RN v1: Sedated st: NotStopd t0: [20:00:00 02/04/2014] id: Bowel Sounds el: 0 cu: MICU-A cg: RN v1: Present st: NotStopd t0: [20:00:00 02/04/2014] id: Braden Activity el: 0 cu: MICU-A cg: RN v1: Bedfast st: NotStopd t0: [20:00:00 02/04/2014] id: Braden Frict/Shear el: 0 cu: MICU-A cg: RN v1: Problem st: NotStopd t0: [20:00:00 02/04/2014] id: Braden Mobility el: 0 cu: MICU-A cg: RN v1: Very Limited st: NotStopd t0: [20:00:00 02/04/2014] id: Braden Moisture el: 0 cu: MICU-A cg: RN v1: Occ. Moist st: NotStopd t0: [20:00:00 02/04/2014] id: Braden Nutrition el: 0 cu: MICU-A cg: RN v1: Adequate st: NotStopd t0: [20:00:00 02/04/2014] id: Braden Score el: 0 cu: MICU-A cg: RN v1: 12 u1: number st: NotStopd t0: [20:00:00 02/04/2014] id: Braden SensoryPercep el: 0 cu: MICU-A cg: RN v1: Very Limited st: NotStopd
t0: [20:00:00 02/04/2014] tf: [04:00:00 06/04/2014] dt: 4800 id: TF Residual Gastric/TF Residual el: 1 cu: MICU-A cg: RN ai: 107 vo: 15 vu: ml t0: [20:00:00 02/04/2014] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 20 vu: ml nb: 1 t0: [20:00:00 02/04/2014] id: Gastric Meds PO/Gastric el: 1 cu: MICU-A cg: RN ai: 155 vo: 250 vu: ml t0: [20:00:00 02/04/2014] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 8 vu: ml nb: 1 t0: [20:00:00 02/04/2014] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU-A cg: RN ai: 416 vo: 5 vu: ml nb: 1 t0: [20:00:00 02/04/2014] id: Promote w/fiber Tube Feeding el: 1 cu: MICU-A cg: RN ai: 107 vo: 130 vu: ml t0: [20:00:00 02/04/2014] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 160 vu: ml
t0: [19:00:00 02/04/2014] id: Fentanyl el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 25 du: mcghr sv: 250 su: ml rt: IV Drip t0: [19:00:00 02/04/2014] id: Ativan el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 4 du: mghr sv: 60 su: ml rt: IV Drip t0: [20:00:00 02/04/2014] id: Fentanyl el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 25 du: mcghr sv: 250 su: ml rt: IV Drip t0: [20:00:00 02/04/2014] id: Ativan el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 4 du: mghr sv: 60 su: ml rt: IV Drip
t0: [20:30:00 02/04/2014] id: ETT Mark/Location el: 0 cu: MICU-A cg: RRT v1: 21cm v2: Lip st: NotStopd t0: [20:30:00 02/04/2014] id: FiO2 Set el: 0 cu: MICU-A cg: RRT v1: 0.4 u1: torr st: NotStopd t0: [20:30:00 02/04/2014] id: Flow-By (lpm) el: 0 cu: MICU-A cg: RRT v1: 0 u1: lpm st: NotStopd t0: [20:30:00 02/04/2014] id: Flow-by Sensitivity el: 0 cu: MICU-A cg: RRT v1: 3 u1: cmH2O st: NotStopd t0: [20:30:00 02/04/2014] id: High Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 45 u1: cmH2O st: NotStopd t0: [20:30:00 02/04/2014] id: High Resp. Rate el: 0 cu: MICU-A cg: RRT v1: 40 u1: BPM st: NotStopd t0: [20:30:00 02/04/2014] id: Airway Size el: 0 cu: MICU-A cg: RRT v1: 7.5 mm st: NotStopd t0: [20:30:00 02/04/2014] id: Airway Type el: 0 cu: MICU-A cg: RRT v1: Endotracheal st: NotStopd t0: [20:30:00 02/04/2014] id: Inspired Gas Temp el: 0 cu: MICU-A cg: RRT v1: 34 u1: Deg. C st: NotStopd t0: [20:30:00 02/04/2014] id: Intubation Date el: 0 cu: MICU-A cg: RRT v1: 3 v2: 12 st: NotStopd t0: [20:30:00 02/04/2014] id: Low Exhaled Min Vol el: 0 cu: MICU-A cg: RRT v1: 5 st: NotStopd t0: [20:30:00 02/04/2014] id: Low Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 18 u1: cmH2O st: NotStopd t0: [20:30:00 02/04/2014] id: Mean Airway Pressure el: 0 cu: MICU-A cg: RRT v1: 13.3 u1: cmH2O st: NotStopd t0: [20:30:00 02/04/2014] id: Minute Volume(Obser) el: 0 cu: MICU-A cg: RRT v1: 7.9 u1: L/min st: NotStopd t0: [20:30:00 02/04/2014] id: PEEP Set el: 0 cu: MICU-A cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [20:30:00 02/04/2014] id: Apnea Time Interval el: 0 cu: MICU-A cg: RRT v1: 20 st: NotStopd t0: [20:30:00 02/04/2014] id: Plateau-Off el: 0 cu: MICU-A cg: RRT v1: Not Applicable st: NotStopd t0: [20:30:00 02/04/2014] id: Pressure Support el: 0 cu: MICU-A cg: RRT v1: 14 u1: . st: NotStopd t0: [20:30:00 02/04/2014] id: Resp Rate (Total) el: 0 cu: MICU-A cg: RRT v1: 15 u1: BPM st: NotStopd t0: [20:30:00 02/04/2014] id: Sensitivity-Vent el: 0 cu: MICU-A cg: RRT v1: 2 u1: cmH2O st: NotStopd t0: [20:30:00 02/04/2014] id: SpO2 el: 0 cu: MICU-A cg: RRT v1: 99 u1: % st: NotStopd t0: [20:30:00 02/04/2014] id: Tidal Volume (Obser) el: 0 cu: MICU-A cg: RRT v1: 530 u1: ml/B st: NotStopd t0: [20:30:00 02/04/2014] id: Ventilator Mode el: 0 cu: MICU-A cg: RRT v1: CPAP+PS st: NotStopd t0: [20:30:00 02/04/2014] id: Ventilator No. el: 0 cu: MICU-A cg: RRT v1: 6 u1: # st: NotStopd t0: [20:30:00 02/04/2014] id: Ventilator Type el: 0 cu: MICU-A cg: RRT v1: 7200A st: NotStopd t0: [20:30:00 02/04/2014] id: Waveform-Vent el: 0 cu: MICU-A cg: RRT v1: RAMP st: NotStopd
t0: [21:00:00 02/04/2014] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [21:00:00 02/04/2014] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [21:00:00 02/04/2014] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [21:00:00 02/04/2014] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [21:00:00 02/04/2014] id: HOB el: 0 cu: MICU-A cg: RN v1: 30 degrees st: NotStopd t0: [21:00:00 02/04/2014] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 73 u1: BPM st: NotStopd t0: [21:00:00 02/04/2014] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [21:00:00 02/04/2014] id: Activity el: 0 cu: MICU-A cg: RN v1: Bedrest st: NotStopd t0: [21:00:00 02/04/2014] id: Activity Tolerance el: 0 cu: MICU-A cg: RN v1: Poor st: NotStopd t0: [21:00:00 02/04/2014] id: AntiEmbDevice/Status el: 0 cu: MICU-A cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [21:00:00 02/04/2014] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 118 u1: mmHg v2: 62 u2: mmHg st: NotStopd t0: [21:00:00 02/04/2014] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 83 u1: mmHg st: NotStopd t0: [21:00:00 02/04/2014] id: Position el: 0 cu: MICU-A cg: RN v1: Right Side st: NotStopd t0: [21:00:00 02/04/2014] id: Assistance Device el: 0 cu: MICU-A cg: RN v1: 2 Person Assist st: NotStopd t0: [21:00:00 02/04/2014] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [21:00:00 02/04/2014] id: PressureReduceDevice el: 0 cu: MICU-A cg: RN v1: Multipodus Boots st: NotStopd t0: [21:00:00 02/04/2014] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 46 u1: BPM st: NotStopd t0: [21:00:00 02/04/2014] id: Skin Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [21:00:00 02/04/2014] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 94 u1: % st: NotStopd t0: [21:00:00 02/04/2014] id: Sputum Color/Consist el: 0 cu: MICU-A cg: RN v1: Yellow v2: Thick st: NotStopd t0: [21:00:00 02/04/2014] id: Sputum Source/Amt el: 0 cu: MICU-A cg: RN v1: Suctioned v2: Small st: NotStopd t0: [21:00:00 02/04/2014] id: Therapeutic Bed el: 0 cu: MICU-A cg: RN v1: AirMatt/1st Step st: NotStopd t0: [21:00:00 02/04/2014] id: Turn el: 0 cu: MICU-A cg: RN v1: Side to Side st: NotStopd t0: [21:00:00 02/04/2014] id: Back Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [21:00:00 02/04/2014] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [20:00:00 02/04/2014] id: IV Piggyback 100.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 105 vo: 100 vu: ml
t0: [21:00:00 02/04/2014] 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: [21:00:00 02/04/2014] id: Ativan el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 5 du: mghr sv: 60 su: ml rt: IV Drip
tf: [20:00:00 03/04/2014] pt: Unit Dose rt: PO fr: ONCE fs: 21 dn: 1 m1: Potassium Chloride f1: CAP v1: 40 u1: mEq
t0: [21:07:00 02/04/2014] id: Sputum Color/Consist el: 0 cu: MICU-A cg: RRT v1: Yellow v2: Thick st: NotStopd t0: [21:07:00 02/04/2014] id: Sputum Source/Amt el: 0 cu: MICU-A cg: RRT v1: Suctioned v2: Small st: NotStopd
t0: [21:00:00 02/04/2014] id: Minute Volume(Obser) el: 0 cu: MICU-A cg: RRT v1: 8.5 u1: L/min st: NotStopd t0: [21:00:00 02/04/2014] id: PEEP Set el: 0 cu: MICU-A cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [21:00:00 02/04/2014] id: Pressure Support el: 0 cu: MICU-A cg: RRT v1: 14 u1: . st: NotStopd t0: [21:00:00 02/04/2014] id: Resp Rate (Total) el: 0 cu: MICU-A cg: RRT v1: 18 u1: BPM st: NotStopd t0: [21:00:00 02/04/2014] id: Sensitivity-Vent el: 0 cu: MICU-A cg: RRT v1: 1.5 u1: cmH2O st: NotStopd t0: [21:00:00 02/04/2014] id: Tidal Volume (Obser) el: 0 cu: MICU-A cg: RRT v1: 460 u1: ml/B st: NotStopd t0: [21:00:00 02/04/2014] id: Ventilator Mode el: 0 cu: MICU-A cg: RRT v1: CPAP+PS st: NotStopd
t0: [22:00:00 02/04/2014] id: Range of Motion el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [22:00:00 02/04/2014] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [22:00:00 02/04/2014] id: Circulation/SkinInt el: 0 cu: MICU-A cg: RN v1: Circulation Adeq st: NotStopd t0: [22:00:00 02/04/2014] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [22:00:00 02/04/2014] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [22:00:00 02/04/2014] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [22:00:00 02/04/2014] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 66 u1: BPM st: NotStopd t0: [22:00:00 02/04/2014] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [22:00:00 02/04/2014] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 136 u1: mmHg v2: 70 u2: mmHg st: NotStopd t0: [22:00:00 02/04/2014] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 96 u1: mmHg st: NotStopd t0: [22:00:00 02/04/2014] id: Position Change el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [22:00:00 02/04/2014] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [22:00:00 02/04/2014] id: Reason For Restraint el: 0 cu: MICU-A cg: RN v1: Ext/TXInterfere st: NotStopd t0: [22:00:00 02/04/2014] id: Removed x 5 Mins el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [22:00:00 02/04/2014] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 14 u1: BPM st: NotStopd t0: [22:00:00 02/04/2014] id: Restraint Location el: 0 cu: MICU-A cg: RN v1: Both Arms st: NotStopd t0: [22:00:00 02/04/2014] id: Restraint Type el: 0 cu: MICU-A cg: RN v1: Soft Limb st: NotStopd t0: [22:00:00 02/04/2014] id: Restraints Evaluated el: 0 cu: MICU-A cg: RN v1: RestraintReapply st: NotStopd t0: [22:00:00 02/04/2014] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [22:00:00 02/04/2014] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 97 u1: % st: NotStopd t0: [22:00:00 02/04/2014] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [21:30:00 02/04/2014] id: Gastric Meds PO/Gastric el: 1 cu: MICU-A cg: RN ai: 155 vo: 30 vu: ml t0: [22:00:00 02/04/2014] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 20 vu: ml t0: [22:00:00 02/04/2014] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 9 vu: ml t0: [22:00:00 02/04/2014] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU-A cg: RN ai: 416 vo: 7.5 vu: ml t0: [22:00:00 02/04/2014] id: Promote w/fiber Tube Feeding el: 1 cu: MICU-A cg: RN ai: 107 vo: 130 vu: ml
t0: [22:00:00 02/04/2014] 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: [22:00:00 02/04/2014] id: Ativan el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 5 du: mghr sv: 60 su: ml rt: IV Drip
tf: [17:00:00 12/04/2014] pt: Unit Dose rt: PO fr: TID fs: 08, 16, 22 dn: 3 m1: Metronidazole f1: TAB v1: 500 u1: mg
t0: [23:00:00 02/04/2014] dt: 24 id: PO/Gastric In Total el: 2 cu: MICU-A cg: RN cv: 1030 ap: none
t0: [22:00:00 02/04/2014] id: Gastric Meds PO/Gastric el: 1 cu: MICU-A cg: RN ai: 155 vo: 250 vu: ml t0: [22:00:00 02/04/2014] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 100 vu: ml
t0: [22:38:00 02/04/2014] id: BSA el: 1033 cu: MICU-A cg: -1 v1: 1.97121 u1: m2 t0: [22:38:00 02/04/2014] id: Admit Wt el: 1032 cu: MICU-A cg: -1 v1: 89.9 u1: kg t0: [22:38:00 02/04/2014] id: Allergy 1 el: 1020 cu: MICU-A cg: -1 v1: No Known Drug Allergies t0: [22:38:00 02/04/2014] id: Diagnosis/op el: 1023 cu: MICU-A cg: -1 v1: PNEUMONIA t0: [22:38:00 02/04/2014] id: Service el: 1026 cu: MICU-A cg: -1 v1: MED t0: [22:38:00 02/04/2014] id: Admit Ht el: 1034 cu: MICU-A cg: -1 v1: 54 u1: inches t0: [22:38:00 02/04/2014] id: Readmission el: 1014 cu: MICU-A cg: -1 t0: [22:38:00 02/04/2014] id: Marital Status el: 1006 cu: MICU-A cg: -1 v1: M t0: [22:38:00 02/04/2014] id: Religion el: 1000 cu: MICU-A cg: -1 v1: U t0: [22:38:00 02/04/2014] id: Allergy 2 el: 1021 cu: MICU-A cg: -1 t0: [22:38:00 02/04/2014] id: Ext el: 1010 cu: MICU-A cg: -1 t0: [22:38:00 02/04/2014] id: PIN el: 1012 cu: MICU-A cg: -1 t0: [22:38:00 02/04/2014] id: Allergy 3 el: 1022 cu: MICU-A cg: -1
t0: [23:00:00 02/04/2014] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [23:00:00 02/04/2014] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [23:00:00 02/04/2014] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [23:00:00 02/04/2014] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [23:00:00 02/04/2014] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 64 u1: BPM st: NotStopd t0: [23:00:00 02/04/2014] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [23:00:00 02/04/2014] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 135 u1: mmHg v2: 70 u2: mmHg st: NotStopd t0: [23:00:00 02/04/2014] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 95 u1: mmHg st: NotStopd t0: [23:00:00 02/04/2014] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [23:00:00 02/04/2014] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 20 u1: BPM st: NotStopd t0: [23:00:00 02/04/2014] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 97 u1: % st: NotStopd t0: [23:00:00 02/04/2014] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [23:00:00 02/04/2014] 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 02/04/2014] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 5 vu: ml t0: [23:00:00 02/04/2014] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU-A cg: RN ai: 416 vo: 5 vu: ml t0: [23:00:00 02/04/2014] id: Promote w/fiber Tube Feeding el: 1 cu: MICU-A cg: RN ai: 107 vo: 65 vu: ml t0: [23:00:00 02/04/2014] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 650 vu: ml
t0: [23:00:00 02/04/2014] 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: [23:00:00 02/04/2014] id: Ativan el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 5 du: mghr sv: 60 su: ml rt: IV Drip
t0: [23:00:00 02/04/2014] dt: 1 id: Total Hourly Output el: 2 cu: MICU-A cg: RN pv: 650 cv: 650 ap: none t0: [23:00:00 02/04/2014] dt: 1 id: Net Hourly Balance el: 2 cu: MICU-A cg: RN pv: -565 cv: -565 ap: none t0: [23:00:00 02/04/2014] dt: 24 id: IV Infusion In Total el: 2 cu: MICU-A cg: RN pv: 20 cv: 1002.5 ap: none t0: [23:00:00 02/04/2014] dt: 24 id: 24h Total In el: 2 cu: MICU-A cg: RN pv: 85 cv: 3332.5 ap: none t0: [23:00:00 02/04/2014] dt: 24 id: Tube Feeds In Total el: 2 cu: MICU-A cg: RN pv: 65 cv: 1300 ap: none t0: [23:00:00 02/04/2014] dt: 24 id: Urine Out Total el: 2 cu: MICU-A cg: RN pv: 650 cv: 4150 ap: none t0: [23:00:00 02/04/2014] dt: 24 id: 24h Net Body Balance el: 2 cu: MICU-A cg: RN pv: -565 cv: -817.5 ap: none t0: [23:00:00 02/04/2014] dt: 24 id: 24h Total Out el: 2 cu: MICU-A cg: RN pv: 650 cv: 4150 ap: none t0: [23:00:00 02/04/2014] dt: multiple days id: LOS Net Body Balance el: 2 cu: MICU-A cg: RN pv: -565 cv: 20040.9 ap: carryForward
t0: [20:00:00 02/04/2014] id: Skin Color el: 0 cu: MICU-A cg: RN v1: Flushed st: NotStopd t0: [00:00:00 03/04/2014] id: Pain Present el: 0 cu: MICU-A cg: RN v1: Other/Remarks st: NotStopd t0: [00:00:00 03/04/2014] id: Range of Motion el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [00:00:00 03/04/2014] id: Pain Assess Method el: 0 cu: MICU-A cg: RN v1: Grimace Scale st: NotStopd t0: [00:00:00 03/04/2014] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [00:00:00 03/04/2014] id: Circulation/SkinInt el: 0 cu: MICU-A cg: RN v1: Circulation Adeq st: NotStopd t0: [00:00:00 03/04/2014] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [00:00:00 03/04/2014] id: Riker-SAS Scale el: 0 cu: MICU-A cg: RN v1: Sedated st: NotStopd t0: [00:00:00 03/04/2014] id: GI Prophylaxis el: 0 cu: MICU-A cg: RN v1: H2 Blocker st: NotStopd t0: [00:00:00 03/04/2014] id: Diet Type el: 0 cu: MICU-A cg: RN v1: Tube Feeding st: NotStopd t0: [00:00:00 03/04/2014] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [00:00:00 03/04/2014] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [00:00:00 03/04/2014] id: Eye Opening el: 0 cu: MICU-A cg: RN v1: 3 To speech st: NotStopd t0: [00:00:00 03/04/2014] id: GCS Total el: 0 cu: MICU-A cg: RN v1: 9 u1: points st: NotStopd t0: [00:00:00 03/04/2014] id: GI Guaiac/ph el: 0 cu: MICU-A cg: RN v1: Not Applicable st: NotStopd t0: [00:00:00 03/04/2014] id: GI Intub #1/Site el: 0 cu: MICU-A cg: RN v1: Salem Sump v2: Oral st: NotStopd t0: [00:00:00 03/04/2014] id: GI#1 Tube PlaceCheck el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [00:00:00 03/04/2014] id: GI#1 Tube Stat/Drain el: 0 cu: MICU-A cg: RN v1: Feeding v2: Undigested Food st: NotStopd t0: [00:00:00 03/04/2014] id: GU Catheter Size el: 0 cu: MICU-A cg: RN v1: 14 French st: NotStopd t0: [00:00:00 03/04/2014] id: HOB el: 0 cu: MICU-A cg: RN v1: 30 degrees st: NotStopd t0: [00:00:00 03/04/2014] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 65 u1: BPM st: NotStopd t0: [00:00:00 03/04/2014] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [00:00:00 03/04/2014] id: INV Line#1 Type/Site el: 0 cu: MICU-A cg: RN v1: Multi-lumen v2: Left IJ st: NotStopd t0: [00:00:00 03/04/2014] id: INV Line#1InsertDate el: 0 cu: MICU-A cg: RN v1: 3 v2: 19 st: NotStopd t0: [00:00:00 03/04/2014] id: INV Line#1SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [00:00:00 03/04/2014] id: INV Line#4 Type/Site el: 0 cu: MICU-A cg: RN v1: A-Line v2: Right Brachial st: NotStopd t0: [00:00:00 03/04/2014] id: INV Line#4 Zero/Cal el: 0 cu: MICU-A cg: RN v1: No st: NotStopd t0: [00:00:00 03/04/2014] id: INV Line#4InsertDate el: 0 cu: MICU-A cg: RN v1: 3 v2: 17 st: NotStopd t0: [00:00:00 03/04/2014] id: INV Line#4SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [00:00:00 03/04/2014] id: Abdominal Assessment el: 0 cu: MICU-A cg: RN v1: Obese st: NotStopd t0: [00:00:00 03/04/2014] id: INV#4 WaveformAppear el: 0 cu: MICU-A cg: RN v1: Sharp st: NotStopd t0: [00:00:00 03/04/2014] id: Activity el: 0 cu: MICU-A cg: RN v1: Bedrest st: NotStopd t0: [00:00:00 03/04/2014] id: Activity Tolerance el: 0 cu: MICU-A cg: RN v1: Tolerated Well st: NotStopd t0: [00:00:00 03/04/2014] id: Imp Skin Cleanse #2 el: 0 cu: MICU-A cg: RN v1: Soap & H20 st: NotStopd t0: [00:00:00 03/04/2014] id: ImpSkin Character #1 el: 0 cu: MICU-A cg: RN v1: Hematoma st: NotStopd t0: [00:00:00 03/04/2014] id: ImpSkin Character #2 el: 0 cu: MICU-A cg: RN v1: Rash st: NotStopd t0: [00:00:00 03/04/2014] id: ImpSkin Treatment #1 el: 0 cu: MICU-A cg: RN v1: Open to Air st: NotStopd t0: [00:00:00 03/04/2014] id: ImpSkin Treatment #2 el: 0 cu: MICU-A cg: RN v1: Open to Air st: NotStopd t0: [00:00:00 03/04/2014] id: Impaired Skin Site#1 el: 0 cu: MICU-A cg: RN v1: Gluteal, Right st: NotStopd t0: [00:00:00 03/04/2014] id: Impaired Skin Site#2 el: 0 cu: MICU-A cg: RN v1: Labia st: NotStopd t0: [00:00:00 03/04/2014] id: LLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Diminished st: NotStopd t0: [00:00:00 03/04/2014] id: LUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [00:00:00 03/04/2014] id: Level of Conscious el: 0 cu: MICU-A cg: RN v1: Arouse to Voice st: NotStopd t0: [00:00:00 03/04/2014] id: Motor Response el: 0 cu: MICU-A cg: RN v1: 5 Localizes Pain st: NotStopd t0: [00:00:00 03/04/2014] id: Oral Cavity el: 0 cu: MICU-A cg: RN v1: Thrush st: NotStopd t0: [00:00:00 03/04/2014] id: Orientation el: 0 cu: MICU-A cg: RN v1: Other/Remarks st: NotStopd t0: [00:00:00 03/04/2014] id: AntiEmbDevice/Status el: 0 cu: MICU-A cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [00:00:00 03/04/2014] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 116 u1: mmHg v2: 58 u2: mmHg st: NotStopd t0: [00:00:00 03/04/2014] id: Pain Location el: 0 cu: MICU-A cg: RN v1: Not Indicated st: NotStopd t0: [00:00:00 03/04/2014] id: Pain Management el: 1 cu: MICU-A cg: RN v1: IV Gtt v2: IV Gtt st: NotStopd t0: [00:00:00 03/04/2014] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 79 u1: mmHg st: NotStopd t0: [00:00:00 03/04/2014] id: Position el: 0 cu: MICU-A cg: RN v1: Supine st: NotStopd t0: [00:00:00 03/04/2014] id: Position Change el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [00:00:00 03/04/2014] id: Assistance Device el: 0 cu: MICU-A cg: RN v1: 1 Person Assist st: NotStopd t0: [00:00:00 03/04/2014] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [00:00:00 03/04/2014] id: PressureReduceDevice el: 0 cu: MICU-A cg: RN v1: Multipodus Boots st: NotStopd t0: [00:00:00 03/04/2014] id: RLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Diminished st: NotStopd t0: [00:00:00 03/04/2014] id: RUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [00:00:00 03/04/2014] id: Reason For Restraint el: 0 cu: MICU-A cg: RN v1: Ext/TXInterfere st: NotStopd t0: [00:00:00 03/04/2014] id: Removed x 5 Mins el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [00:00:00 03/04/2014] id: Respiratory Pattern el: 0 cu: MICU-A cg: RN v1: Regular st: NotStopd t0: [00:00:00 03/04/2014] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 19 u1: BPM st: NotStopd t0: [00:00:00 03/04/2014] id: Restraint Location el: 0 cu: MICU-A cg: RN v1: Both Arms st: NotStopd t0: [00:00:00 03/04/2014] id: Restraint Type el: 0 cu: MICU-A cg: RN v1: Soft Limb st: NotStopd t0: [00:00:00 03/04/2014] id: Restraints Evaluated el: 0 cu: MICU-A cg: RN v1: RestraintReapply st: NotStopd t0: [00:00:00 03/04/2014] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [00:00:00 03/04/2014] id: Skin Color el: 0 cu: MICU-A cg: RN v1: Flushed st: NotStopd t0: [00:00:00 03/04/2014] id: Skin Integrity el: 0 cu: MICU-A cg: RN v1: Impaired st: NotStopd t0: [00:00:00 03/04/2014] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 96 u1: % st: NotStopd t0: [00:00:00 03/04/2014] id: Stool Color/Consist el: 0 cu: MICU-A cg: RN v1: Brown v2: Liquid st: NotStopd t0: [00:00:00 03/04/2014] id: Support Systems el: 0 cu: MICU-A cg: RN v1: Spouse st: NotStopd t0: [00:00:00 03/04/2014] id: Temp. Site el: 0 cu: MICU-A cg: RN v1: Oral st: NotStopd t0: [00:00:00 03/04/2014] id: Temperature C (calc) el: 0 cu: MICU-A cg: RN v1: 37.1667 u1: Deg. C st: NotStopd t0: [00:00:00 03/04/2014] id: Temperature F el: 0 cu: MICU-A cg: RN v1: 98.9 u1: Deg. F st: NotStopd t0: [00:00:00 03/04/2014] id: Therapeutic Bed el: 0 cu: MICU-A cg: RN v1: AirMatt/1st Step st: NotStopd t0: [00:00:00 03/04/2014] id: Turn el: 0 cu: MICU-A cg: RN v1: Back st: NotStopd t0: [00:00:00 03/04/2014] id: Urine Color/Appear el: 0 cu: MICU-A cg: RN v1: Yellow v2: Sediment st: NotStopd t0: [00:00:00 03/04/2014] id: Urine Source el: 0 cu: MICU-A cg: RN v1: Indwelling Cath st: NotStopd t0: [00:00:00 03/04/2014] id: Verbal Response el: 0 cu: MICU-A cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [00:00:00 03/04/2014] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [00:00:00 03/04/2014] id: Behavior el: 0 cu: MICU-A cg: RN v1: Sedated st: NotStopd t0: [00:00:00 03/04/2014] id: Bowel Sounds el: 0 cu: MICU-A cg: RN v1: Present st: NotStopd t0: [00:00:00 03/04/2014] id: Braden Activity el: 0 cu: MICU-A cg: RN v1: Bedfast st: NotStopd t0: [00:00:00 03/04/2014] id: Braden Frict/Shear el: 0 cu: MICU-A cg: RN v1: Problem st: NotStopd t0: [00:00:00 03/04/2014] id: Braden Mobility el: 0 cu: MICU-A cg: RN v1: Very Limited st: NotStopd t0: [00:00:00 03/04/2014] id: Braden Moisture el: 0 cu: MICU-A cg: RN v1: Occ. Moist st: NotStopd t0: [00:00:00 03/04/2014] id: Braden Nutrition el: 0 cu: MICU-A cg: RN v1: Adequate st: NotStopd t0: [00:00:00 03/04/2014] id: Braden Score el: 0 cu: MICU-A cg: RN v1: 12 u1: number st: NotStopd t0: [00:00:00 03/04/2014] id: Braden SensoryPercep el: 0 cu: MICU-A cg: RN v1: Very Limited st: NotStopd
t0: [00:00:00 03/04/2014] 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 03/04/2014] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 5 vu: ml t0: [00:00:00 03/04/2014] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU-A cg: RN ai: 416 vo: 5 vu: ml t0: [00:00:00 03/04/2014] id: Promote w/fiber Tube Feeding el: 1 cu: MICU-A cg: RN ai: 107 vo: 65 vu: ml t0: [00:00:00 03/04/2014] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 400 vu: ml
t0: [00:00:00 03/04/2014] 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: [00:00:00 03/04/2014] id: Ativan el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 5 du: mghr sv: 60 su: ml rt: IV Drip
t0: [23:00:00 03/04/2014] dt: 1 id: Total Hourly Output el: 2 cu: MICU-A cg: RN pv: 310 cv: 310 ap: none t0: [23:00:00 03/04/2014] dt: 1 id: Net Hourly Balance el: 2 cu: MICU-A cg: RN pv: -209.424 cv: -209.424 ap: none t0: [23:00:00 03/04/2014] dt: 24 id: IV Infusion In Total el: 2 cu: MICU-A cg: RN pv: 35.576 cv: 979.957 ap: none t0: [23:00:00 03/04/2014] dt: 24 id: 24h Total In el: 2 cu: MICU-A cg: RN pv: 100.576 cv: 3919.96 ap: none t0: [23:00:00 03/04/2014] dt: 24 id: Tube Feeds In Total el: 2 cu: MICU-A cg: RN pv: 65 cv: 1560 ap: none t0: [23:00:00 03/04/2014] dt: 24 id: Urine Out Total el: 2 cu: MICU-A cg: RN pv: 310 cv: 4300 ap: none t0: [23:00:00 03/04/2014] dt: 24 id: 24h Net Body Balance el: 2 cu: MICU-A cg: RN pv: -209.424 cv: -380.043 ap: none t0: [23:00:00 03/04/2014] dt: 24 id: 24h Total Out el: 2 cu: MICU-A cg: RN pv: 310 cv: 4300 ap: none t0: [23:00:00 03/04/2014] dt: multiple days id: LOS Net Body Balance el: 2 cu: MICU-A cg: RN pv: -209.424 cv: 19660.9 ap: carryForward
t0: [00:15:00 03/04/2014] id: ETT Mark/Location el: 0 cu: MICU-A cg: -1 v1: 21cm v2: Lip st: NotStopd t0: [00:15:00 03/04/2014] id: FiO2 Set el: 0 cu: MICU-A cg: -1 v1: 0.4 u1: torr st: NotStopd t0: [00:15:00 03/04/2014] id: Flow-By (lpm) el: 0 cu: MICU-A cg: -1 v1: 0 u1: lpm st: NotStopd t0: [00:15:00 03/04/2014] id: High Insp. Pressure el: 0 cu: MICU-A cg: -1 v1: 45 u1: cmH2O st: NotStopd t0: [00:15:00 03/04/2014] id: High Resp. Rate el: 0 cu: MICU-A cg: -1 v1: 40 u1: BPM st: NotStopd t0: [00:15:00 03/04/2014] id: I:E Ratio el: 0 cu: MICU-A cg: -1 v1: 1:3 st: NotStopd t0: [00:15:00 03/04/2014] id: Airway Size el: 0 cu: MICU-A cg: -1 v1: 7.5 mm st: NotStopd t0: [00:15:00 03/04/2014] id: Airway Type el: 0 cu: MICU-A cg: -1 v1: Endotracheal st: NotStopd t0: [00:15:00 03/04/2014] id: Inspired Gas Temp el: 0 cu: MICU-A cg: -1 v1: 34.5 u1: Deg. C st: NotStopd t0: [00:15:00 03/04/2014] id: Intubation Date el: 0 cu: MICU-A cg: -1 v1: 3 v2: 12 st: NotStopd t0: [00:15:00 03/04/2014] id: Low Exhaled Min Vol el: 0 cu: MICU-A cg: -1 v1: 5 st: NotStopd t0: [00:15:00 03/04/2014] id: Low Insp. Pressure el: 0 cu: MICU-A cg: -1 v1: 18 u1: cmH2O st: NotStopd t0: [00:15:00 03/04/2014] id: Mean Airway Pressure el: 0 cu: MICU-A cg: -1 v1: 14.5 u1: cmH2O st: NotStopd t0: [00:15:00 03/04/2014] id: Minute Volume(Obser) el: 0 cu: MICU-A cg: -1 v1: 9.5 u1: L/min st: NotStopd t0: [00:15:00 03/04/2014] id: PEEP Set el: 0 cu: MICU-A cg: -1 v1: 10 u1: cmH2O st: NotStopd t0: [00:15:00 03/04/2014] id: Apnea Time Interval el: 0 cu: MICU-A cg: -1 v1: 20 st: NotStopd t0: [00:15:00 03/04/2014] id: Peak Flow el: 0 cu: MICU-A cg: -1 v1: 50 u1: L/m st: NotStopd t0: [00:15:00 03/04/2014] id: Plateau-Off el: 0 cu: MICU-A cg: -1 v1: Not Applicable st: NotStopd t0: [00:15:00 03/04/2014] id: Pressure Support el: 0 cu: MICU-A cg: -1 v1: 14 u1: . st: NotStopd t0: [00:15:00 03/04/2014] id: Resp Rate (Spont) el: 0 cu: MICU-A cg: -1 v1: 19 u1: BPM st: NotStopd t0: [00:15:00 03/04/2014] id: Resp Rate (Total) el: 0 cu: MICU-A cg: -1 v1: 19 u1: BPM st: NotStopd t0: [00:15:00 03/04/2014] id: Respiratory Rate Set el: 0 cu: MICU-A cg: -1 v1: 0 u1: BPM st: NotStopd t0: [00:15:00 03/04/2014] id: Sensitivity-Vent el: 0 cu: MICU-A cg: -1 v1: 1.5 u1: cmH2O st: NotStopd t0: [00:15:00 03/04/2014] id: SpO2 el: 0 cu: MICU-A cg: -1 v1: 97 u1: % st: NotStopd t0: [00:15:00 03/04/2014] id: Tidal Volume (Obser) el: 0 cu: MICU-A cg: -1 v1: 490 u1: ml/B st: NotStopd t0: [00:15:00 03/04/2014] id: Ventilator Mode el: 0 cu: MICU-A cg: -1 v1: CPAP+PS st: NotStopd t0: [00:15:00 03/04/2014] id: Ventilator No. el: 0 cu: MICU-A cg: -1 v1: 6 u1: # st: NotStopd t0: [00:15:00 03/04/2014] id: Ventilator Type el: 0 cu: MICU-A cg: -1 v1: 7200A st: NotStopd t0: [00:15:00 03/04/2014] id: Waveform-Vent el: 0 cu: MICU-A cg: -1 v1: RAMP st: NotStopd
t0: [01:00:00 03/04/2014] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [01:00:00 03/04/2014] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [01:00:00 03/04/2014] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [01:00:00 03/04/2014] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [01:00:00 03/04/2014] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 59 u1: BPM st: NotStopd t0: [01:00:00 03/04/2014] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Sinus Brady st: NotStopd t0: [01:00:00 03/04/2014] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 134 u1: mmHg v2: 66 u2: mmHg st: NotStopd t0: [01:00:00 03/04/2014] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 92 u1: mmHg st: NotStopd t0: [01:00:00 03/04/2014] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [01:00:00 03/04/2014] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 21 u1: BPM st: NotStopd t0: [01:00:00 03/04/2014] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 96 u1: % st: NotStopd t0: [01:00:00 03/04/2014] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [02:00:00 03/04/2014] id: Range of Motion el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [02:00:00 03/04/2014] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [02:00:00 03/04/2014] id: Circulation/SkinInt el: 0 cu: MICU-A cg: RN v1: Circulation Adeq st: NotStopd t0: [02:00:00 03/04/2014] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [02:00:00 03/04/2014] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [02:00:00 03/04/2014] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [02:00:00 03/04/2014] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 59 u1: BPM st: NotStopd t0: [02:00:00 03/04/2014] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Sinus Brady st: NotStopd t0: [02:00:00 03/04/2014] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 134 u1: mmHg v2: 65 u2: mmHg st: NotStopd t0: [02:00:00 03/04/2014] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 91 u1: mmHg st: NotStopd t0: [02:00:00 03/04/2014] id: Position Change el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [02:00:00 03/04/2014] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [02:00:00 03/04/2014] id: Reason For Restraint el: 0 cu: MICU-A cg: RN v1: Ext/TXInterfere st: NotStopd t0: [02:00:00 03/04/2014] id: Removed x 5 Mins el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [02:00:00 03/04/2014] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 21 u1: BPM st: NotStopd t0: [02:00:00 03/04/2014] id: Restraint Location el: 0 cu: MICU-A cg: RN v1: Both Arms st: NotStopd t0: [02:00:00 03/04/2014] id: Restraint Type el: 0 cu: MICU-A cg: RN v1: Soft Limb st: NotStopd t0: [02:00:00 03/04/2014] id: Restraints Evaluated el: 0 cu: MICU-A cg: RN v1: RestraintReapply st: NotStopd t0: [02:00:00 03/04/2014] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [02:00:00 03/04/2014] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 96 u1: % st: NotStopd t0: [02:00:00 03/04/2014] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [02:00:00 03/04/2014] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 20 vu: ml t0: [02:00:00 03/04/2014] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [02:00:00 03/04/2014] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU-A cg: RN ai: 416 vo: 10 vu: ml t0: [02:00:00 03/04/2014] id: Promote w/fiber Tube Feeding el: 1 cu: MICU-A cg: RN ai: 107 vo: 130 vu: ml t0: [02:00:00 03/04/2014] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 160 vu: ml
t0: [01:00:00 03/04/2014] 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: [01:00:00 03/04/2014] id: Ativan el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 5 du: mghr sv: 60 su: ml rt: IV Drip t0: [02:00:00 03/04/2014] 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: [02:00:00 03/04/2014] id: Ativan el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 5 du: mghr sv: 60 su: ml rt: IV Drip
t0: [03:30:00 03/04/2014] id: Compliance (40-60ml) el: 0 cu: MICU-A cg: -1 v1: 26.4706 u1: ml/cmH st: NotStopd t0: [03:30:00 03/04/2014] id: ETT Mark/Location el: 0 cu: MICU-A cg: -1 v1: 21cm v2: Lip st: NotStopd t0: [03:30:00 03/04/2014] id: FiO2 Set el: 0 cu: MICU-A cg: -1 v1: 0.4 u1: torr st: NotStopd t0: [03:30:00 03/04/2014] id: High Insp. Pressure el: 0 cu: MICU-A cg: -1 v1: 45 u1: cmH2O st: NotStopd t0: [03:30:00 03/04/2014] id: High Resp. Rate el: 0 cu: MICU-A cg: -1 v1: 40 u1: BPM st: NotStopd t0: [03:30:00 03/04/2014] id: I:E Ratio el: 0 cu: MICU-A cg: -1 v1: 1:2.1 st: NotStopd t0: [03:30:00 03/04/2014] id: Airway Size el: 0 cu: MICU-A cg: -1 v1: 7.5 mm st: NotStopd t0: [03:30:00 03/04/2014] id: Airway Type el: 0 cu: MICU-A cg: -1 v1: Endotracheal st: NotStopd t0: [03:30:00 03/04/2014] id: Inspired Gas Temp el: 0 cu: MICU-A cg: -1 v1: 34.5 u1: Deg. C st: NotStopd t0: [03:30:00 03/04/2014] id: Intubation Date el: 0 cu: MICU-A cg: -1 v1: 3 v2: 12 st: NotStopd t0: [03:30:00 03/04/2014] id: Low Exhaled Min Vol el: 0 cu: MICU-A cg: -1 v1: 5 st: NotStopd t0: [03:30:00 03/04/2014] id: Low Insp. Pressure el: 0 cu: MICU-A cg: -1 v1: 18 u1: cmH2O st: NotStopd t0: [03:30:00 03/04/2014] id: Mean Airway Pressure el: 0 cu: MICU-A cg: -1 v1: 16.5 u1: cmH2O st: NotStopd t0: [03:30:00 03/04/2014] id: Minute Volume(Obser) el: 0 cu: MICU-A cg: -1 v1: 9.5 u1: L/min st: NotStopd t0: [03:30:00 03/04/2014] id: PEEP Set el: 0 cu: MICU-A cg: -1 v1: 10 u1: cmH2O st: NotStopd t0: [03:30:00 03/04/2014] id: Apnea Time Interval el: 0 cu: MICU-A cg: -1 v1: 20 st: NotStopd t0: [03:30:00 03/04/2014] id: Peak Flow el: 0 cu: MICU-A cg: -1 v1: 50 u1: L/m st: NotStopd t0: [03:30:00 03/04/2014] id: Peak Insp. Pressure el: 0 cu: MICU-A cg: -1 v1: 27 u1: cmH2O st: NotStopd t0: [03:30:00 03/04/2014] id: Plateau Pressure el: 0 cu: MICU-A cg: -1 v1: 25.7 u1: cmH2O st: NotStopd t0: [03:30:00 03/04/2014] id: Plateau-Off el: 0 cu: MICU-A cg: -1 v1: Yes st: NotStopd t0: [03:30:00 03/04/2014] id: Resp Rate (Spont) el: 0 cu: MICU-A cg: -1 v1: 0 u1: BPM st: NotStopd t0: [03:30:00 03/04/2014] id: Resp Rate (Total) el: 0 cu: MICU-A cg: -1 v1: 20 u1: BPM st: NotStopd t0: [03:30:00 03/04/2014] id: Respiratory Rate Set el: 0 cu: MICU-A cg: -1 v1: 20 u1: BPM st: NotStopd t0: [03:30:00 03/04/2014] id: Sensitivity-Vent el: 0 cu: MICU-A cg: -1 v1: 1.5 u1: cmH2O st: NotStopd t0: [03:30:00 03/04/2014] id: SpO2 el: 0 cu: MICU-A cg: -1 v1: 92 u1: % st: NotStopd t0: [03:30:00 03/04/2014] id: Sputum Color/Consist el: 0 cu: MICU-A cg: -1 v1: White v2: Tenacious st: NotStopd t0: [03:30:00 03/04/2014] id: Sputum Source/Amt el: 0 cu: MICU-A cg: -1 v1: Suctioned v2: Moderate st: NotStopd t0: [03:30:00 03/04/2014] id: Tidal Volume (Obser) el: 0 cu: MICU-A cg: -1 v1: 460 u1: ml/B st: NotStopd t0: [03:30:00 03/04/2014] id: Tidal Volume (Set) el: 0 cu: MICU-A cg: -1 v1: 450 u1: ml/B st: NotStopd t0: [03:30:00 03/04/2014] id: Ventilator Mode el: 0 cu: MICU-A cg: -1 v1: Assist Control st: NotStopd t0: [03:30:00 03/04/2014] id: Ventilator No. el: 0 cu: MICU-A cg: -1 v1: 6 u1: # st: NotStopd t0: [03:30:00 03/04/2014] id: Ventilator Type el: 0 cu: MICU-A cg: -1 v1: 7200A st: NotStopd t0: [03:30:00 03/04/2014] id: Waveform-Vent el: 0 cu: MICU-A cg: -1 v1: RAMP st: NotStopd
t0: [03:00:00 03/04/2014] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [03:00:00 03/04/2014] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [03:00:00 03/04/2014] id: Riker-SAS Scale el: 0 cu: MICU-A cg: RN v1: Agitated st: NotStopd t0: [03:00:00 03/04/2014] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [03:00:00 03/04/2014] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [03:00:00 03/04/2014] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 54 u1: BPM st: NotStopd t0: [03:00:00 03/04/2014] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Sinus Brady st: NotStopd t0: [03:00:00 03/04/2014] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 139 u1: mmHg v2: 67 u2: mmHg st: NotStopd t0: [03:00:00 03/04/2014] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 95 u1: mmHg st: NotStopd t0: [03:00:00 03/04/2014] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [03:00:00 03/04/2014] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 20 u1: BPM st: NotStopd t0: [03:00:00 03/04/2014] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 97 u1: % st: NotStopd t0: [03:00:00 03/04/2014] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [04:00:00 03/04/2014] id: Pain Present el: 0 cu: MICU-A cg: RN v1: Other/Remarks st: NotStopd t0: [04:00:00 03/04/2014] id: Range of Motion el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [04:00:00 03/04/2014] id: Pain Assess Method el: 0 cu: MICU-A cg: RN v1: Change in Vitals st: NotStopd t0: [04:00:00 03/04/2014] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [04:00:00 03/04/2014] id: Circulation/SkinInt el: 0 cu: MICU-A cg: RN v1: Circulation Adeq st: NotStopd t0: [04:00:00 03/04/2014] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [04:00:00 03/04/2014] id: Riker-SAS Scale el: 0 cu: MICU-A cg: RN v1: Sedated st: NotStopd t0: [04:00:00 03/04/2014] id: GI Prophylaxis el: 0 cu: MICU-A cg: RN v1: H2 Blocker st: NotStopd t0: [04:00:00 03/04/2014] id: Diet Type el: 0 cu: MICU-A cg: RN v1: Tube Feeding st: NotStopd t0: [04:00:00 03/04/2014] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [04:00:00 03/04/2014] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [04:00:00 03/04/2014] id: Eye Opening el: 0 cu: MICU-A cg: RN v1: 3 To speech st: NotStopd t0: [04:00:00 03/04/2014] id: GCS Total el: 0 cu: MICU-A cg: RN v1: 9 u1: points st: NotStopd t0: [04:00:00 03/04/2014] id: GI Guaiac/ph el: 0 cu: MICU-A cg: RN v1: Not Applicable st: NotStopd t0: [04:00:00 03/04/2014] id: GI Intub #1/Site el: 0 cu: MICU-A cg: RN v1: Salem Sump v2: Oral st: NotStopd t0: [04:00:00 03/04/2014] id: GI#1 Tube PlaceCheck el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [04:00:00 03/04/2014] id: GI#1 Tube Stat/Drain el: 0 cu: MICU-A cg: RN v1: Feeding v2: Undigested Food st: NotStopd t0: [04:00:00 03/04/2014] id: GU Catheter Size el: 0 cu: MICU-A cg: RN v1: 14 French st: NotStopd t0: [04:00:00 03/04/2014] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 61 u1: BPM st: NotStopd t0: [04:00:00 03/04/2014] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [04:00:00 03/04/2014] id: INV Line#1 Type/Site el: 0 cu: MICU-A cg: RN v1: Multi-lumen v2: Left IJ st: NotStopd t0: [04:00:00 03/04/2014] id: INV Line#1InsertDate el: 0 cu: MICU-A cg: RN v1: 3 v2: 19 st: NotStopd t0: [04:00:00 03/04/2014] id: INV Line#1SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [04:00:00 03/04/2014] id: INV Line#4 Type/Site el: 0 cu: MICU-A cg: RN v1: A-Line v2: Right Brachial st: NotStopd t0: [04:00:00 03/04/2014] id: INV Line#4 Zero/Cal el: 0 cu: MICU-A cg: RN v1: No st: NotStopd t0: [04:00:00 03/04/2014] id: INV Line#4InsertDate el: 0 cu: MICU-A cg: RN v1: 3 v2: 17 st: NotStopd t0: [04:00:00 03/04/2014] id: INV Line#4SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [04:00:00 03/04/2014] id: Abdominal Assessment el: 0 cu: MICU-A cg: RN v1: Obese st: NotStopd t0: [04:00:00 03/04/2014] id: INV#4 WaveformAppear el: 0 cu: MICU-A cg: RN v1: Sharp st: NotStopd t0: [04:00:00 03/04/2014] id: Imp Skin Cleanse #2 el: 0 cu: MICU-A cg: RN v1: Soap & H20 st: NotStopd t0: [04:00:00 03/04/2014] id: ImpSkin Character #1 el: 0 cu: MICU-A cg: RN v1: Hematoma st: NotStopd t0: [04:00:00 03/04/2014] id: ImpSkin Character #2 el: 0 cu: MICU-A cg: RN v1: Rash st: NotStopd t0: [04:00:00 03/04/2014] id: ImpSkin Treatment #1 el: 0 cu: MICU-A cg: RN v1: Open to Air st: NotStopd t0: [04:00:00 03/04/2014] id: ImpSkin Treatment #2 el: 0 cu: MICU-A cg: RN v1: Open to Air st: NotStopd t0: [04:00:00 03/04/2014] id: Impaired Skin Site#1 el: 0 cu: MICU-A cg: RN v1: Gluteal, Right st: NotStopd t0: [04:00:00 03/04/2014] id: Impaired Skin Site#2 el: 0 cu: MICU-A cg: RN v1: Labia st: NotStopd t0: [04:00:00 03/04/2014] id: LLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Diminished st: NotStopd t0: [04:00:00 03/04/2014] id: LUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [04:00:00 03/04/2014] id: Level of Conscious el: 0 cu: MICU-A cg: RN v1: Arouse to Voice st: NotStopd t0: [04:00:00 03/04/2014] id: Motor Response el: 0 cu: MICU-A cg: RN v1: 5 Localizes Pain st: NotStopd t0: [04:00:00 03/04/2014] id: Oral Cavity el: 0 cu: MICU-A cg: RN v1: Thrush st: NotStopd t0: [04:00:00 03/04/2014] id: Orientation el: 0 cu: MICU-A cg: RN v1: Other/Remarks st: NotStopd t0: [04:00:00 03/04/2014] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 144 u1: mmHg v2: 70 u2: mmHg st: NotStopd t0: [04:00:00 03/04/2014] id: Pain Location el: 0 cu: MICU-A cg: RN v1: Not Indicated st: NotStopd t0: [04:00:00 03/04/2014] id: Pain Management el: 1 cu: MICU-A cg: RN v1: IV Gtt v2: IV Gtt st: NotStopd t0: [04:00:00 03/04/2014] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 98 u1: mmHg st: NotStopd t0: [04:00:00 03/04/2014] id: Position Change el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [04:00:00 03/04/2014] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [04:00:00 03/04/2014] id: RLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Diminished st: NotStopd t0: [04:00:00 03/04/2014] id: RUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [04:00:00 03/04/2014] id: Reason For Restraint el: 0 cu: MICU-A cg: RN v1: Ext/TXInterfere st: NotStopd t0: [04:00:00 03/04/2014] id: Removed x 5 Mins el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [04:00:00 03/04/2014] id: Respiratory Pattern el: 0 cu: MICU-A cg: RN v1: Regular st: NotStopd t0: [04:00:00 03/04/2014] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 20 u1: BPM st: NotStopd t0: [04:00:00 03/04/2014] id: Restraint Location el: 0 cu: MICU-A cg: RN v1: Both Arms st: NotStopd t0: [04:00:00 03/04/2014] id: Restraint Type el: 0 cu: MICU-A cg: RN v1: Soft Limb st: NotStopd t0: [04:00:00 03/04/2014] id: Restraints Evaluated el: 0 cu: MICU-A cg: RN v1: RestraintReapply st: NotStopd t0: [04:00:00 03/04/2014] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [04:00:00 03/04/2014] id: Skin Color el: 0 cu: MICU-A cg: RN v1: Flushed st: NotStopd t0: [04:00:00 03/04/2014] id: Skin Integrity el: 0 cu: MICU-A cg: RN v1: Impaired st: NotStopd t0: [04:00:00 03/04/2014] id: Sputum Color/Consist el: 0 cu: MICU-A cg: RN v1: Yellow v2: Thick st: NotStopd t0: [04:00:00 03/04/2014] id: Sputum Source/Amt el: 0 cu: MICU-A cg: RN v1: Suctioned v2: Small st: NotStopd t0: [04:00:00 03/04/2014] id: Stool Color/Consist el: 0 cu: MICU-A cg: RN v1: Brown v2: Liquid st: NotStopd t0: [04:00:00 03/04/2014] id: Support Systems el: 0 cu: MICU-A cg: RN v1: Spouse st: NotStopd t0: [04:00:00 03/04/2014] id: Temp. Site el: 0 cu: MICU-A cg: RN v1: Oral st: NotStopd t0: [04:00:00 03/04/2014] id: Temperature C (calc) el: 0 cu: MICU-A cg: RN v1: 36.7778 u1: Deg. C st: NotStopd t0: [04:00:00 03/04/2014] id: Temperature F el: 0 cu: MICU-A cg: RN v1: 98.2 u1: Deg. F st: NotStopd t0: [04:00:00 03/04/2014] id: Urine Color/Appear el: 0 cu: MICU-A cg: RN v1: Yellow v2: Sediment st: NotStopd t0: [04:00:00 03/04/2014] id: Urine Source el: 0 cu: MICU-A cg: RN v1: Indwelling Cath st: NotStopd t0: [04:00:00 03/04/2014] id: Verbal Response el: 0 cu: MICU-A cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [04:00:00 03/04/2014] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [04:00:00 03/04/2014] id: Behavior el: 0 cu: MICU-A cg: RN v1: Sedated st: NotStopd t0: [04:00:00 03/04/2014] id: Bowel Sounds el: 0 cu: MICU-A cg: RN v1: Present st: NotStopd
t0: [00:00:00 03/04/2014] id: TF Residual Gastric/TF Residual el: 1 cu: MICU-A cg: RN ai: 107 vo: 5 vu: ml t0: [04:00:00 03/04/2014] id: TF Residual Gastric/TF Residual el: 1 cu: MICU-A cg: RN ai: 107 vo: 5 vu: ml t0: [04:00:00 03/04/2014] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 20 vu: ml t0: [04:00:00 03/04/2014] id: Gastric Meds PO/Gastric el: 1 cu: MICU-A cg: RN ai: 155 vo: 250 vu: ml t0: [04:00:00 03/04/2014] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [04:00:00 03/04/2014] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU-A cg: RN ai: 416 vo: 10 vu: ml t0: [04:00:00 03/04/2014] id: IV Piggyback 100.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 105 vo: 50 vu: ml t0: [04:00:00 03/04/2014] id: Promote w/fiber Tube Feeding el: 1 cu: MICU-A cg: RN ai: 107 vo: 130 vu: ml t0: [04:00:00 03/04/2014] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 90 vu: ml
t0: [03:00:00 03/04/2014] 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: [03:00:00 03/04/2014] id: Ativan el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 5 du: mghr sv: 60 su: ml rt: IV Drip t0: [04:00:00 03/04/2014] 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: [04:00:00 03/04/2014] id: Ativan el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 5 du: mghr sv: 60 su: ml rt: IV Drip
tf: [03:00:00 04/04/2014] pt: Unit Dose rt: IV fr: ONCE fs: 4 dn: 1 m1: Furosemide f1: INJ v1: 20 u1: mg
t0: [04:00:00 03/04/2014] id: PEEP Set el: 0 cu: MICU-A cg: RRT v1: 12.5 u1: cmH2O st: NotStopd t0: [04:00:00 03/04/2014] id: SpO2 el: 0 cu: MICU-A cg: RRT v1: 93 u1: % st: NotStopd
t0: [04:34:00 03/04/2014] id: Art.pH ABG el: 0 cu: MICU-A cg: 1663 v1: 7.48 rs: Final st: NotStopd t0: [04:34:00 03/04/2014] id: Arterial Base Excess ABG el: 0 cu: MICU-A cg: 1663 v1: 3 rs: Final st: NotStopd t0: [04:34:00 03/04/2014] id: Arterial CO2(Calc) ABG el: 0 cu: MICU-A cg: 1663 v1: 28 rs: Final st: NotStopd t0: [04:34:00 03/04/2014] id: Arterial PaCO2 ABG el: 0 cu: MICU-A cg: 1663 v1: 36 u1: mmHg rs: Final st: NotStopd t0: [04:34:00 03/04/2014] id: Arterial PaO2 ABG el: 0 cu: MICU-A cg: 1663 v1: 64 u1: mmHg rs: Final st: NotStopd t0: [04:34:00 03/04/2014] id: Arterial pH ABG el: 0 cu: MICU-A cg: 1663 v1: 7.48 rs: Final st: NotStopd
t0: [04:45:00 03/04/2014] id: PEEP Set el: 0 cu: MICU-A cg: -1 v1: 15 u1: cmH2O st: NotStopd
t0: [05:00:00 03/04/2014] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [05:00:00 03/04/2014] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [05:00:00 03/04/2014] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [05:00:00 03/04/2014] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [05:00:00 03/04/2014] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 50 u1: BPM st: NotStopd t0: [05:00:00 03/04/2014] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Sinus Brady st: NotStopd t0: [05:00:00 03/04/2014] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 153 u1: mmHg v2: 69 u2: mmHg st: NotStopd t0: [05:00:00 03/04/2014] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 99 u1: mmHg st: NotStopd t0: [05:00:00 03/04/2014] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [05:00:00 03/04/2014] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 20 u1: BPM st: NotStopd t0: [05:00:00 03/04/2014] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 96 u1: % st: NotStopd t0: [05:00:00 03/04/2014] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [05:00:00 03/04/2014] 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: [05:00:00 03/04/2014] id: Ativan el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 5 du: mghr sv: 60 su: ml rt: IV Drip
t0: [04:30:00 03/04/2014] id: BUN (6-20) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 35 rs: Final st: NotStopd t0: [04:30:00 03/04/2014] id: Calcium (8.4-10.2) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 8.3 u1: mg/dl rs: Final st: NotStopd t0: [04:30:00 03/04/2014] id: Carbon Dioxide Chemistry el: 0 cu: MICU-A cg: 1663 v1: 28 rs: Final st: NotStopd t0: [04:30:00 03/04/2014] id: Chloride (100-112) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 106 rs: Final st: NotStopd t0: [04:30:00 03/04/2014] id: Creatinine (0-1.3) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 1.4 rs: Final st: NotStopd t0: [04:30:00 03/04/2014] id: Glucose (70-105) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 129 rs: Final st: NotStopd t0: [04:30:00 03/04/2014] id: Magnesium (1.6-2.6) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 2.1 rs: Final st: NotStopd t0: [04:30:00 03/04/2014] 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: [04:30:00 03/04/2014] id: Sodium (135-148) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 145 rs: Final st: NotStopd
t0: [04:30:00 03/04/2014] id: WBC (4-11,000) Hematology el: 0 cu: MICU-A cg: 1663 v1: 27.2 rs: Final st: NotStopd t0: [04:30:00 03/04/2014] id: Hematocrit Hematology el: 0 cu: MICU-A cg: 1663 v1: 23.1 u1: % rs: Final st: NotStopd t0: [04:30:00 03/04/2014] id: Hemoglobin Hematology el: 0 cu: MICU-A cg: 1663 v1: 8 u1: gm/dl rs: Final st: NotStopd t0: [04:30:00 03/04/2014] id: Platelets Hematology el: 0 cu: MICU-A cg: 1663 v1: 396 rs: Final st: NotStopd t0: [04:30:00 03/04/2014] id: RBC Hematology el: 0 cu: MICU-A cg: 1663 v1: 2.74 u1: /mic l rs: Final st: NotStopd t0: [04:30:00 03/04/2014] id: WBC (4-11,000) Hematology el: 0 cu: MICU-A cg: 1663 v1: 27.2 rs: Final st: NotStopd
t0: [05:00:00 03/04/2014] id: Procedures el: 0 cu: MICU-A cg: RN v1: Other/Remarks st: NotStopd
t0: [05:00:00 03/04/2014] 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 03/04/2014] id: Gastric Meds PO/Gastric el: 1 cu: MICU-A cg: RN ai: 155 vo: 130 vu: ml t0: [05:00:00 03/04/2014] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 5 vu: ml t0: [05:00:00 03/04/2014] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU-A cg: RN ai: 416 vo: 5 vu: ml t0: [05:00:00 03/04/2014] id: IV Piggyback 100.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 105 vo: 50 vu: ml t0: [05:00:00 03/04/2014] id: Promote w/fiber Tube Feeding el: 1 cu: MICU-A cg: RN ai: 107 vo: 65 vu: ml t0: [05:00:00 03/04/2014] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 400 vu: ml
t0: [04:30:00 03/04/2014] id: Potassium (3.5-5.3) Chemistry el: 0 cu: MICU-A cg: RN v1: 3.1 rs: Final st: NotStopd
t0: [06:08:00 03/04/2014] id: Art.pH ABG el: 0 cu: MICU-A cg: 1663 v1: 7.48 rs: Final st: NotStopd t0: [06:08:00 03/04/2014] id: Arterial Base Excess ABG el: 0 cu: MICU-A cg: 1663 v1: 3 rs: Final st: NotStopd t0: [06:08:00 03/04/2014] id: Arterial CO2(Calc) ABG el: 0 cu: MICU-A cg: 1663 v1: 28 rs: Final st: NotStopd t0: [06:08:00 03/04/2014] id: Arterial PaCO2 ABG el: 0 cu: MICU-A cg: 1663 v1: 36 u1: mmHg rs: Final st: NotStopd t0: [06:08:00 03/04/2014] id: Arterial PaO2 ABG el: 0 cu: MICU-A cg: 1663 v1: 88 u1: mmHg rs: Final st: NotStopd t0: [06:08:00 03/04/2014] id: Arterial pH ABG el: 0 cu: MICU-A cg: 1663 v1: 7.48 rs: Final st: NotStopd
t0: [04:00:00 03/04/2014] id: HOB el: 0 cu: MICU-A cg: RN v1: 30 degrees st: NotStopd t0: [04:00:00 03/04/2014] id: Activity el: 0 cu: MICU-A cg: RN v1: Bedrest st: NotStopd t0: [04:00:00 03/04/2014] id: Activity Tolerance el: 0 cu: MICU-A cg: RN v1: Poor st: NotStopd t0: [04:00:00 03/04/2014] id: AntiEmbDevice/Status el: 0 cu: MICU-A cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [04:00:00 03/04/2014] id: Position el: 0 cu: MICU-A cg: RN v1: Supine st: NotStopd t0: [04:00:00 03/04/2014] id: Assistance Device el: 0 cu: MICU-A cg: RN v1: 2 Person Assist st: NotStopd t0: [04:00:00 03/04/2014] id: PressureReduceDevice el: 0 cu: MICU-A cg: RN v1: Multipodus Boots st: NotStopd t0: [04:00:00 03/04/2014] id: Therapeutic Bed el: 0 cu: MICU-A cg: RN v1: AirMatt/1st Step st: NotStopd t0: [04:00:00 03/04/2014] id: Turn el: 0 cu: MICU-A cg: RN v1: Side to Side st: NotStopd t0: [06:00:00 03/04/2014] id: Range of Motion el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [06:00:00 03/04/2014] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [06:00:00 03/04/2014] id: Circulation/SkinInt el: 0 cu: MICU-A cg: RN v1: Circulation Adeq st: NotStopd t0: [06:00:00 03/04/2014] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [06:00:00 03/04/2014] id: Dorsal PedPulse R/L el: 0 cu: MICU-A cg: RN v1: Weak Palpable v2: Weak Palpable st: NotStopd t0: [06:00:00 03/04/2014] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [06:00:00 03/04/2014] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [06:00:00 03/04/2014] id: HOB el: 0 cu: MICU-A cg: RN v1: 30 degrees st: NotStopd t0: [06:00:00 03/04/2014] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 49 u1: BPM st: NotStopd t0: [06:00:00 03/04/2014] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Sinus Brady st: NotStopd t0: [06:00:00 03/04/2014] id: Activity el: 0 cu: MICU-A cg: RN v1: Bedrest st: NotStopd t0: [06:00:00 03/04/2014] id: Activity Tolerance el: 0 cu: MICU-A cg: RN v1: Tolerated Well st: NotStopd t0: [06:00:00 03/04/2014] id: Oral Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [06:00:00 03/04/2014] id: AntiEmbDevice/Status el: 0 cu: MICU-A cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [06:00:00 03/04/2014] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 164 u1: mmHg v2: 74 u2: mmHg st: NotStopd t0: [06:00:00 03/04/2014] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 105 u1: mmHg st: NotStopd t0: [06:00:00 03/04/2014] id: Position el: 0 cu: MICU-A cg: RN v1: Left Side st: NotStopd t0: [06:00:00 03/04/2014] id: Position Change el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [06:00:00 03/04/2014] id: PostTib. Pulses R/L el: 0 cu: MICU-A cg: RN v1: Weak Palpable v2: Weak Palpable st: NotStopd t0: [06:00:00 03/04/2014] id: Assistance Device el: 0 cu: MICU-A cg: RN v1: 2 Person Assist st: NotStopd t0: [06:00:00 03/04/2014] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [06:00:00 03/04/2014] id: PressureReduceDevice el: 0 cu: MICU-A cg: RN v1: Multipodus Boots st: NotStopd t0: [06:00:00 03/04/2014] id: Procedures el: 0 cu: MICU-A cg: RN v1: Other/Remarks st: NotStopd t0: [06:00:00 03/04/2014] id: Reason For Restraint el: 0 cu: MICU-A cg: RN v1: Ext/TXInterfere st: NotStopd t0: [06:00:00 03/04/2014] id: Removed x 5 Mins el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [06:00:00 03/04/2014] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 20 u1: BPM st: NotStopd t0: [06:00:00 03/04/2014] id: Restraint Location el: 0 cu: MICU-A cg: RN v1: Both Arms st: NotStopd t0: [06:00:00 03/04/2014] id: Restraint Type el: 0 cu: MICU-A cg: RN v1: Soft Limb st: NotStopd t0: [06:00:00 03/04/2014] id: Restraints Evaluated el: 0 cu: MICU-A cg: RN v1: RestraintReapply st: NotStopd t0: [06:00:00 03/04/2014] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [06:00:00 03/04/2014] id: Skin Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [06:00:00 03/04/2014] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 98 u1: % st: NotStopd t0: [06:00:00 03/04/2014] id: Therapeutic Bed el: 0 cu: MICU-A cg: RN v1: AirMatt/1st Step st: NotStopd t0: [06:00:00 03/04/2014] id: Turn el: 0 cu: MICU-A cg: RN v1: Side to Side st: NotStopd t0: [06:00:00 03/04/2014] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [06:00:00 03/04/2014] 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 03/04/2014] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 5 vu: ml t0: [06:00:00 03/04/2014] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU-A cg: RN ai: 416 vo: 5 vu: ml t0: [06:00:00 03/04/2014] id: Promote w/fiber Tube Feeding el: 1 cu: MICU-A cg: RN ai: 107 vo: 65 vu: ml t0: [06:00:00 03/04/2014] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 160 vu: ml
t0: [06:00:00 03/04/2014] 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: [06:00:00 03/04/2014] id: Ativan el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 5 du: mghr sv: 60 su: ml rt: IV Drip
t0: [04:30:00 03/04/2014] id: Vancomycin/Random Drug Level el: 0 cu: MICU-A cg: 1663 v1: 10.2 rs: Final st: NotStopd
t0: [03:00:00 03/04/2014] id: Procedures el: 0 cu: MICU-A cg: RN v1: EKG st: NotStopd
t0: [07:00:00 03/04/2014] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [07:00:00 03/04/2014] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [07:00:00 03/04/2014] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [07:00:00 03/04/2014] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [07:00:00 03/04/2014] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 53 u1: BPM st: NotStopd t0: [07:00:00 03/04/2014] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Sinus Brady st: NotStopd t0: [07:00:00 03/04/2014] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 161 u1: mmHg v2: 71 u2: mmHg st: NotStopd t0: [07:00:00 03/04/2014] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 104 u1: mmHg st: NotStopd t0: [07:00:00 03/04/2014] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [07:00:00 03/04/2014] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 20 u1: BPM st: NotStopd t0: [07:00:00 03/04/2014] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 97 u1: % st: NotStopd t0: [07:00:00 03/04/2014] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [07:00:00 03/04/2014] 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: [07:00:00 03/04/2014] id: Ativan el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 5 du: mghr sv: 60 su: ml rt: IV Drip
tf: [06:00:00 04/04/2014] pt: IV Piggyback rt: IV fr: ONCE fs: 7 dn: 1 m1: Potassium Chloride f1: BAG v1: 20 u1: mEq m2: SW f2: INJ v2: 50 u2: ml tf: [06:00:00 04/04/2014] pt: Unit Dose rt: PO fr: ONCE fs: 7 dn: 1 m1: Potassium Chloride f1: CAP v1: 40 u1: mEq
t0: [08:00:00 03/04/2014] id: Compliance (40-60ml) el: 0 cu: MICU-A cg: RRT v1: 24.3243 u1: ml/cmH st: NotStopd t0: [08:00:00 03/04/2014] id: ETT Mark/Location el: 0 cu: MICU-A cg: RRT v1: 21cm v2: Lip st: NotStopd t0: [08:00:00 03/04/2014] id: FiO2 Set el: 0 cu: MICU-A cg: RRT v1: 0.4 u1: torr st: NotStopd t0: [08:00:00 03/04/2014] id: High Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 45 u1: cmH2O st: NotStopd t0: [08:00:00 03/04/2014] id: High Resp. Rate el: 0 cu: MICU-A cg: RRT v1: 40 u1: BPM st: NotStopd t0: [08:00:00 03/04/2014] id: I:E Ratio el: 0 cu: MICU-A cg: RRT v1: 1:2.3 st: NotStopd t0: [08:00:00 03/04/2014] id: Airway Size el: 0 cu: MICU-A cg: RRT v1: 7.5 mm st: NotStopd t0: [08:00:00 03/04/2014] id: Airway Type el: 0 cu: MICU-A cg: RRT v1: Endotracheal st: NotStopd t0: [08:00:00 03/04/2014] id: Inspired Gas Temp el: 0 cu: MICU-A cg: RRT v1: 34 u1: Deg. C st: NotStopd t0: [08:00:00 03/04/2014] id: Intubation Date el: 0 cu: MICU-A cg: RRT v1: 3 v2: 12 st: NotStopd t0: [08:00:00 03/04/2014] id: Low Exhaled Min Vol el: 0 cu: MICU-A cg: RRT v1: 5 st: NotStopd t0: [08:00:00 03/04/2014] id: Low Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 18 u1: cmH2O st: NotStopd t0: [08:00:00 03/04/2014] id: Mean Airway Pressure el: 0 cu: MICU-A cg: RRT v1: 20 u1: cmH2O st: NotStopd t0: [08:00:00 03/04/2014] id: Minute Volume(Obser) el: 0 cu: MICU-A cg: RRT v1: 9 u1: L/min st: NotStopd t0: [08:00:00 03/04/2014] id: PEEP Set el: 0 cu: MICU-A cg: RRT v1: 12.5 u1: cmH2O st: NotStopd t0: [08:00:00 03/04/2014] id: Apnea Time Interval el: 0 cu: MICU-A cg: RRT v1: 20 st: NotStopd t0: [08:00:00 03/04/2014] id: Peak Flow el: 0 cu: MICU-A cg: RRT v1: 50 u1: L/m st: NotStopd t0: [08:00:00 03/04/2014] id: Peak Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 31 u1: cmH2O st: NotStopd t0: [08:00:00 03/04/2014] id: Plateau Pressure el: 0 cu: MICU-A cg: RRT v1: 25 u1: cmH2O st: NotStopd t0: [08:00:00 03/04/2014] id: Plateau-Off el: 0 cu: MICU-A cg: RRT v1: Yes st: NotStopd t0: [08:00:00 03/04/2014] id: Resp Rate (Spont) el: 0 cu: MICU-A cg: RRT v1: 0 u1: BPM st: NotStopd t0: [08:00:00 03/04/2014] id: Resp Rate (Total) el: 0 cu: MICU-A cg: RRT v1: 20 u1: BPM st: NotStopd t0: [08:00:00 03/04/2014] id: Respiratory Rate Set el: 0 cu: MICU-A cg: RRT v1: 20 u1: BPM st: NotStopd t0: [08:00:00 03/04/2014] id: Sensitivity-Vent el: 0 cu: MICU-A cg: RRT v1: 1.5 u1: cmH2O st: NotStopd t0: [08:00:00 03/04/2014] id: SpO2 el: 0 cu: MICU-A cg: RRT v1: 95 u1: % st: NotStopd t0: [08:00:00 03/04/2014] id: Tidal Volume (Obser) el: 0 cu: MICU-A cg: RRT v1: 460 u1: ml/B st: NotStopd t0: [08:00:00 03/04/2014] id: Tidal Volume (Set) el: 0 cu: MICU-A cg: RRT v1: 450 u1: ml/B st: NotStopd t0: [08:00:00 03/04/2014] id: Ventilator Mode el: 0 cu: MICU-A cg: RRT v1: Assist Control st: NotStopd t0: [08:00:00 03/04/2014] id: Ventilator No. el: 0 cu: MICU-A cg: RRT v1: 6 u1: # st: NotStopd t0: [08:00:00 03/04/2014] id: Ventilator Type el: 0 cu: MICU-A cg: RRT v1: 7200A st: NotStopd t0: [08:00:00 03/04/2014] id: Waveform-Vent el: 0 cu: MICU-A cg: RRT v1: RAMP st: NotStopd
t0: [08:00:00 03/04/2014] id: Pain Present el: 0 cu: MICU-A cg: RN v1: No st: NotStopd t0: [08:00:00 03/04/2014] id: Range of Motion el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [08:00:00 03/04/2014] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [08:00:00 03/04/2014] id: Circulation/SkinInt el: 0 cu: MICU-A cg: RN v1: Circulation Adeq st: NotStopd t0: [08:00:00 03/04/2014] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [08:00:00 03/04/2014] id: Riker-SAS Scale el: 0 cu: MICU-A cg: RN v1: Sedated st: NotStopd t0: [08:00:00 03/04/2014] id: GI Prophylaxis el: 0 cu: MICU-A cg: RN v1: H2 Blocker st: NotStopd t0: [08:00:00 03/04/2014] id: Diet Type el: 0 cu: MICU-A cg: RN v1: Tube Feeding st: NotStopd t0: [08:00:00 03/04/2014] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [08:00:00 03/04/2014] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [08:00:00 03/04/2014] id: Eye Opening el: 0 cu: MICU-A cg: RN v1: 3 To speech st: NotStopd t0: [08:00:00 03/04/2014] id: GCS Total el: 0 cu: MICU-A cg: RN v1: 9 u1: points st: NotStopd t0: [08:00:00 03/04/2014] id: GI Intub #1/Site el: 0 cu: MICU-A cg: RN v1: Salem Sump v2: Oral st: NotStopd t0: [08:00:00 03/04/2014] id: GI#1 Tube PlaceCheck el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [08:00:00 03/04/2014] id: GI#1 Tube Stat/Drain el: 0 cu: MICU-A cg: RN v1: Feeding st: NotStopd t0: [08:00:00 03/04/2014] id: GU Catheter Size el: 0 cu: MICU-A cg: RN v1: 14 French st: NotStopd t0: [08:00:00 03/04/2014] id: HOB el: 0 cu: MICU-A cg: RN v1: 30 degrees st: NotStopd t0: [08:00:00 03/04/2014] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 57 u1: BPM st: NotStopd t0: [08:00:00 03/04/2014] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Sinus Brady st: NotStopd t0: [08:00:00 03/04/2014] id: Abdominal Assessment el: 0 cu: MICU-A cg: RN v1: Obese st: NotStopd t0: [08:00:00 03/04/2014] id: Activity el: 0 cu: MICU-A cg: RN v1: Bedrest st: NotStopd t0: [08:00:00 03/04/2014] id: Activity Tolerance el: 0 cu: MICU-A cg: RN v1: Tolerated Well st: NotStopd t0: [08:00:00 03/04/2014] id: Imp Skin Cleanse #2 el: 0 cu: MICU-A cg: RN v1: Soap & H20 st: NotStopd t0: [08:00:00 03/04/2014] id: ImpSkin Character #1 el: 0 cu: MICU-A cg: RN v1: Hematoma st: NotStopd t0: [08:00:00 03/04/2014] id: ImpSkin Character #2 el: 0 cu: MICU-A cg: RN v1: Rash st: NotStopd t0: [08:00:00 03/04/2014] id: ImpSkin Treatment #1 el: 0 cu: MICU-A cg: RN v1: Open to Air st: NotStopd t0: [08:00:00 03/04/2014] id: ImpSkin Treatment #2 el: 0 cu: MICU-A cg: RN v1: Open to Air st: NotStopd t0: [08:00:00 03/04/2014] id: Impaired Skin Site#1 el: 0 cu: MICU-A cg: RN v1: Gluteal, Right st: NotStopd t0: [08:00:00 03/04/2014] id: Impaired Skin Site#2 el: 0 cu: MICU-A cg: RN v1: Labia st: NotStopd t0: [08:00:00 03/04/2014] id: LLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Diminished st: NotStopd t0: [08:00:00 03/04/2014] id: LUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [08:00:00 03/04/2014] id: Level of Conscious el: 0 cu: MICU-A cg: RN v1: Arouse to Voice st: NotStopd t0: [08:00:00 03/04/2014] id: Motor Response el: 0 cu: MICU-A cg: RN v1: 5 Localizes Pain st: NotStopd t0: [08:00:00 03/04/2014] id: Oral Cavity el: 0 cu: MICU-A cg: RN v1: Thrush st: NotStopd t0: [08:00:00 03/04/2014] id: Orientation el: 0 cu: MICU-A cg: RN v1: Other/Remarks st: NotStopd t0: [08:00:00 03/04/2014] id: AntiEmbDevice/Status el: 0 cu: MICU-A cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [08:00:00 03/04/2014] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 155 u1: mmHg v2: 70 u2: mmHg st: NotStopd t0: [08:00:00 03/04/2014] id: Pain Location el: 0 cu: MICU-A cg: RN v1: Not Indicated st: NotStopd t0: [08:00:00 03/04/2014] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 101 u1: mmHg st: NotStopd t0: [08:00:00 03/04/2014] id: Position Change el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [08:00:00 03/04/2014] id: Assistance Device el: 0 cu: MICU-A cg: RN v1: 2 Person Assist st: NotStopd t0: [08:00:00 03/04/2014] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [08:00:00 03/04/2014] id: PressureReduceDevice el: 0 cu: MICU-A cg: RN v1: Multipodus Boots st: NotStopd t0: [08:00:00 03/04/2014] id: RLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Diminished st: NotStopd t0: [08:00:00 03/04/2014] id: RUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [08:00:00 03/04/2014] id: Reason For Restraint el: 0 cu: MICU-A cg: RN v1: Ext/TXInterfere st: NotStopd t0: [08:00:00 03/04/2014] id: Removed x 5 Mins el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [08:00:00 03/04/2014] id: Respiratory Pattern el: 0 cu: MICU-A cg: RN v1: Regular st: NotStopd t0: [08:00:00 03/04/2014] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 20 u1: BPM st: NotStopd t0: [08:00:00 03/04/2014] id: Restraint Location el: 0 cu: MICU-A cg: RN v1: Both Arms st: NotStopd t0: [08:00:00 03/04/2014] id: Restraint Type el: 0 cu: MICU-A cg: RN v1: Soft Limb st: NotStopd t0: [08:00:00 03/04/2014] id: Restraints Evaluated el: 0 cu: MICU-A cg: RN v1: RestraintReapply st: NotStopd t0: [08:00:00 03/04/2014] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [08:00:00 03/04/2014] id: Skin Color el: 0 cu: MICU-A cg: RN v1: Flushed st: NotStopd t0: [08:00:00 03/04/2014] id: Skin Integrity el: 0 cu: MICU-A cg: RN v1: Impaired st: NotStopd t0: [08:00:00 03/04/2014] id: Stool Color/Consist el: 0 cu: MICU-A cg: RN v1: Brown v2: Liquid st: NotStopd t0: [08:00:00 03/04/2014] id: Support Systems el: 0 cu: MICU-A cg: RN v1: Spouse st: NotStopd t0: [08:00:00 03/04/2014] id: Temp. Site el: 0 cu: MICU-A cg: RN v1: Oral st: NotStopd t0: [08:00:00 03/04/2014] id: Temperature C (calc) el: 0 cu: MICU-A cg: RN v1: 38 u1: Deg. C st: NotStopd t0: [08:00:00 03/04/2014] id: Temperature F el: 0 cu: MICU-A cg: RN v1: 100.4 u1: Deg. F st: NotStopd t0: [08:00:00 03/04/2014] id: Therapeutic Bed el: 0 cu: MICU-A cg: RN v1: AirMatt/1st Step st: NotStopd t0: [08:00:00 03/04/2014] id: Turn el: 0 cu: MICU-A cg: RN v1: Side to Side st: NotStopd t0: [08:00:00 03/04/2014] id: Urine Color/Appear el: 0 cu: MICU-A cg: RN v1: Yellow v2: Sediment st: NotStopd t0: [08:00:00 03/04/2014] id: Urine Source el: 0 cu: MICU-A cg: RN v1: Indwelling Cath st: NotStopd t0: [08:00:00 03/04/2014] id: Verbal Response el: 0 cu: MICU-A cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [08:00:00 03/04/2014] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [08:00:00 03/04/2014] id: Behavior el: 0 cu: MICU-A cg: RN v1: Sedated st: NotStopd t0: [08:00:00 03/04/2014] id: Bowel Sounds el: 0 cu: MICU-A cg: RN v1: Present st: NotStopd t0: [09:00:00 03/04/2014] id: INV Line#1 Type/Site el: 0 cu: MICU-A cg: RN v1: Multi-lumen v2: Left IJ st: NotStopd t0: [09:00:00 03/04/2014] id: INV Line#1InsertDate el: 0 cu: MICU-A cg: RN v1: 3 v2: 19 st: NotStopd t0: [09:00:00 03/04/2014] id: INV Line#1SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [09:00:00 03/04/2014] id: INV Line#4 Type/Site el: 0 cu: MICU-A cg: RN v1: A-Line v2: Right Brachial st: NotStopd t0: [09:00:00 03/04/2014] id: INV Line#4 Zero/Cal el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [09:00:00 03/04/2014] id: INV Line#4InsertDate el: 0 cu: MICU-A cg: RN v1: 3 v2: 17 st: NotStopd t0: [09:00:00 03/04/2014] id: INV Line#4SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [09:00:00 03/04/2014] id: INV#4 WaveformAppear el: 0 cu: MICU-A cg: RN v1: Sharp st: NotStopd
t0: [08:00:00 03/04/2014] id: TF Residual Gastric/TF Residual el: 1 cu: MICU-A cg: RN ai: 107 vo: 15 vu: ml t0: [08:00:00 03/04/2014] id: Gastric Meds PO/Gastric el: 1 cu: MICU-A cg: RN ai: 155 vo: 250 vu: ml t0: [08:00:00 03/04/2014] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 140 vu: ml
t0: [08:00:00 03/04/2014] 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: [08:00:00 03/04/2014] id: Ativan el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 5 du: mghr sv: 60 su: ml rt: IV Drip
t0: [08:00:00 03/04/2014] id: RSBI (<100) el: 0 cu: MICU-A cg: RRT u1: units st: NotStopd t0: [08:00:00 03/04/2014] id: RSBI (<200) el: 0 cu: MICU-A cg: RRT u1: units st: NotStopd
t0: [09:00:00 03/04/2014] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [09:00:00 03/04/2014] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [09:00:00 03/04/2014] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [09:00:00 03/04/2014] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [09:00:00 03/04/2014] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 60 u1: BPM st: NotStopd t0: [09:00:00 03/04/2014] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [09:00:00 03/04/2014] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 142 u1: mmHg v2: 70 u2: mmHg st: NotStopd t0: [09:00:00 03/04/2014] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 98 u1: mmHg st: NotStopd t0: [09:00:00 03/04/2014] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [09:00:00 03/04/2014] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 20 u1: BPM st: NotStopd t0: [09:00:00 03/04/2014] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 95 u1: % st: NotStopd t0: [09:00:00 03/04/2014] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [08:00:00 03/04/2014] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 20 vu: ml t0: [08:00:00 03/04/2014] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [08:00:00 03/04/2014] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU-A cg: RN ai: 416 vo: 10 vu: ml t0: [08:00:00 03/04/2014] id: Promote w/fiber Tube Feeding el: 1 cu: MICU-A cg: RN ai: 107 vo: 130 vu: ml t0: [09:00:00 03/04/2014] 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 03/04/2014] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 5 vu: ml t0: [09:00:00 03/04/2014] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU-A cg: RN ai: 416 vo: 5 vu: ml t0: [09:00:00 03/04/2014] id: Promote w/fiber Tube Feeding el: 1 cu: MICU-A cg: RN ai: 107 vo: 65 vu: ml
t0: [09:00:00 03/04/2014] 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: [09:00:00 03/04/2014] id: Ativan el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 5 du: mghr sv: 60 su: ml rt: IV Drip
tf: [18:00:00 03/04/2014] pt: Unit Dose rt: NG fr: QD fs: 10 dn: 1 m1: Potassium Chloride f1: PWDR v1: 40 u1: mEq tf: [18:00:00 03/04/2014] pt: Unit Dose rt: PO fr: QD fs: 10 dn: 1 m1: Potassium Chloride f1: CAP v1: 40 u1: mEq tf: [00:00:00 04/04/2014] pt: Unit Dose rt: PO fr: QD fs: 10 dn: 1 m1: Potassium Chloride f1: CAP v1: 40 u1: mEq
t0: [10:38:00 03/04/2014] id: PEEP Set el: 0 cu: MICU-A cg: RRT v1: 15 u1: cmH2O st: NotStopd t0: [10:38:00 03/04/2014] id: Pressure Support el: 0 cu: MICU-A cg: RRT v1: 5 u1: . st: NotStopd t0: [10:38:00 03/04/2014] id: Resp Rate (Total) el: 0 cu: MICU-A cg: RRT v1: 22 u1: BPM st: NotStopd t0: [10:38:00 03/04/2014] id: Tidal Volume (Spont) el: 0 cu: MICU-A cg: RRT v1: 320 u1: ml/B st: NotStopd t0: [10:38:00 03/04/2014] id: Ventilator Mode el: 0 cu: MICU-A cg: RRT v1: CPAP+PS st: NotStopd
id: Propofol el: 200 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: 2 cu: MICU-A cg: RN io: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions vo: 50 du: vl rt: Intravenous Push
t0: [08:00:00 03/04/2014] id: bath el: 0 cu: MICU-A cg: RN v1: done t0: [08:00:00 03/04/2014] id: Position el: 0 cu: MICU-A cg: RN v1: Right Side st: NotStopd t0: [10:00:00 03/04/2014] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [10:00:00 03/04/2014] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [10:00:00 03/04/2014] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [10:00:00 03/04/2014] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [10:00:00 03/04/2014] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 53 u1: BPM st: NotStopd t0: [10:00:00 03/04/2014] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Sinus Brady st: NotStopd t0: [10:00:00 03/04/2014] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 155 u1: mmHg v2: 72 u2: mmHg st: NotStopd t0: [10:00:00 03/04/2014] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 103 u1: mmHg st: NotStopd t0: [10:00:00 03/04/2014] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [10:00:00 03/04/2014] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 20 u1: BPM st: NotStopd t0: [10:00:00 03/04/2014] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 97 u1: % st: NotStopd t0: [10:00:00 03/04/2014] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [11:00:00 03/04/2014] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [11:00:00 03/04/2014] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [11:00:00 03/04/2014] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [11:00:00 03/04/2014] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [11:00:00 03/04/2014] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 60 u1: BPM st: NotStopd t0: [11:00:00 03/04/2014] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [11:00:00 03/04/2014] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 140 u1: mmHg v2: 70 u2: mmHg st: NotStopd t0: [11:00:00 03/04/2014] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 98 u1: mmHg st: NotStopd t0: [11:00:00 03/04/2014] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [11:00:00 03/04/2014] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 28 u1: BPM st: NotStopd t0: [11:00:00 03/04/2014] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 99 u1: % st: NotStopd t0: [11:00:00 03/04/2014] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [10:00:00 03/04/2014] 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 03/04/2014] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 5 vu: ml t0: [10:00:00 03/04/2014] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU-A cg: RN ai: 416 vo: 5 vu: ml t0: [10:00:00 03/04/2014] id: Promote w/fiber Tube Feeding el: 1 cu: MICU-A cg: RN ai: 107 vo: 65 vu: ml t0: [10:00:00 03/04/2014] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 120 vu: ml t0: [11:00:00 03/04/2014] 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 03/04/2014] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 5 vu: ml t0: [11:00:00 03/04/2014] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU-A cg: RN ai: 416 vo: 5 vu: ml t0: [11:00:00 03/04/2014] id: Promote w/fiber Tube Feeding el: 1 cu: MICU-A cg: RN ai: 107 vo: 65 vu: ml t0: [11:00:00 03/04/2014] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 80 vu: ml
t0: [10:00:00 03/04/2014] 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: [10:00:00 03/04/2014] id: Ativan el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 5 du: mghr sv: 60 su: ml rt: IV Drip t0: [11:00:00 03/04/2014] 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: [11:00:00 03/04/2014] id: Ativan el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 5 du: mghr sv: 60 su: ml rt: IV Drip
t0: [12:00:00 03/04/2014] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [12:00:00 03/04/2014] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [12:00:00 03/04/2014] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [12:00:00 03/04/2014] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [12:00:00 03/04/2014] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 63 u1: BPM st: NotStopd t0: [12:00:00 03/04/2014] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [12:00:00 03/04/2014] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 133 u1: mmHg v2: 67 u2: mmHg st: NotStopd t0: [12:00:00 03/04/2014] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 93 u1: mmHg st: NotStopd t0: [12:00:00 03/04/2014] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [12:00:00 03/04/2014] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 33 u1: BPM st: NotStopd t0: [12:00:00 03/04/2014] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 98 u1: % st: NotStopd t0: [12:00:00 03/04/2014] id: Temp. Site el: 0 cu: MICU-A cg: RN v1: Oral st: NotStopd t0: [12:00:00 03/04/2014] id: Temperature C (calc) el: 0 cu: MICU-A cg: RN v1: 37.1667 u1: Deg. C st: NotStopd t0: [12:00:00 03/04/2014] id: Temperature F el: 0 cu: MICU-A cg: RN v1: 98.9 u1: Deg. F st: NotStopd t0: [12:00:00 03/04/2014] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [12:00:00 03/04/2014] 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: [12:00:00 03/04/2014] id: Ativan el: 1 cu: MICU-A cg: RN so: D5W vo: 0 du: mghr sv: 60 su: ml rt: IV Drip st: Stopped
tf: [15:00:00 03/04/2014] pt: Unit Dose rt: IV DRIP fr: TITRATE TO m1: Propofol (Generic) f1: INJ v1: 5-20 u1: mg tf: [11:00:00 04/04/2014] pt: IV Piggyback rt: IV fr: ONCE fs: 12 dn: 1 m1: Vancomycin HCl f1: INJ v1: 1000 u1: mg m2: Iso-Osmotic Dextrose f2: INJ v2: 200 u2: ml tf: [10:00:00 09/04/2014] pt: Unit Dose rt: IV fr: PRN m1: Fentanyl Citrate f1: INJ v1: 25-100 u1: mcg
t0: [12:00:00 03/04/2014] id: Pain Present el: 0 cu: MICU-A cg: RN v1: No st: NotStopd t0: [12:00:00 03/04/2014] id: Range of Motion el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [12:00:00 03/04/2014] id: Circulation/SkinInt el: 0 cu: MICU-A cg: RN v1: Circulation Adeq st: NotStopd t0: [12:00:00 03/04/2014] id: Riker-SAS Scale el: 0 cu: MICU-A cg: RN v1: Sedated st: NotStopd t0: [12:00:00 03/04/2014] id: Daily Wake Up el: 0 cu: MICU-A cg: RN v1: No st: NotStopd t0: [12:00:00 03/04/2014] id: GI Prophylaxis el: 0 cu: MICU-A cg: RN v1: H2 Blocker st: NotStopd t0: [12:00:00 03/04/2014] id: Diet Type el: 0 cu: MICU-A cg: RN v1: Tube Feeding st: NotStopd t0: [12:00:00 03/04/2014] id: Eye Opening el: 0 cu: MICU-A cg: RN v1: 3 To speech st: NotStopd t0: [12:00:00 03/04/2014] id: Family Communication el: 0 cu: MICU-A cg: RN v1: Family Called st: NotStopd t0: [12:00:00 03/04/2014] id: GCS Total el: 0 cu: MICU-A cg: RN v1: 9 u1: points st: NotStopd t0: [12:00:00 03/04/2014] id: GI Intub #1/Site el: 0 cu: MICU-A cg: RN v1: Salem Sump v2: Oral st: NotStopd t0: [12:00:00 03/04/2014] id: GI#1 Tube Stat/Drain el: 0 cu: MICU-A cg: RN v1: Feeding st: NotStopd t0: [12:00:00 03/04/2014] id: GU Catheter Size el: 0 cu: MICU-A cg: RN v1: 14 French st: NotStopd t0: [12:00:00 03/04/2014] id: HOB el: 0 cu: MICU-A cg: RN v1: 30 degrees st: NotStopd t0: [12:00:00 03/04/2014] id: INV Line#1 Type/Site el: 0 cu: MICU-A cg: RN v1: Multi-lumen v2: Left IJ st: NotStopd t0: [12:00:00 03/04/2014] id: INV Line#1InsertDate el: 0 cu: MICU-A cg: RN v1: 3 v2: 19 st: NotStopd t0: [12:00:00 03/04/2014] id: INV Line#1SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [12:00:00 03/04/2014] id: INV Line#4 Type/Site el: 0 cu: MICU-A cg: RN v1: A-Line v2: Right Brachial st: NotStopd t0: [12:00:00 03/04/2014] id: INV Line#4 Zero/Cal el: 0 cu: MICU-A cg: RN v1: No st: NotStopd t0: [12:00:00 03/04/2014] id: INV Line#4InsertDate el: 0 cu: MICU-A cg: RN v1: 3 v2: 17 st: NotStopd t0: [12:00:00 03/04/2014] id: INV Line#4SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [12:00:00 03/04/2014] id: Abdominal Assessment el: 0 cu: MICU-A cg: RN v1: Obese st: NotStopd t0: [12:00:00 03/04/2014] id: INV#4 WaveformAppear el: 0 cu: MICU-A cg: RN v1: Sharp st: NotStopd t0: [12:00:00 03/04/2014] id: Activity el: 0 cu: MICU-A cg: RN v1: Bedrest st: NotStopd t0: [12:00:00 03/04/2014] id: Activity Tolerance el: 0 cu: MICU-A cg: RN v1: Tolerated Well st: NotStopd t0: [12:00:00 03/04/2014] id: Imp Skin Cleanse #2 el: 0 cu: MICU-A cg: RN v1: Soap & H20 st: NotStopd t0: [12:00:00 03/04/2014] id: ImpSkin Character #1 el: 0 cu: MICU-A cg: RN v1: Hematoma st: NotStopd t0: [12:00:00 03/04/2014] id: ImpSkin Character #2 el: 0 cu: MICU-A cg: RN v1: Rash st: NotStopd t0: [12:00:00 03/04/2014] id: ImpSkin Treatment #1 el: 0 cu: MICU-A cg: RN v1: Open to Air st: NotStopd t0: [12:00:00 03/04/2014] id: ImpSkin Treatment #2 el: 0 cu: MICU-A cg: RN v1: Open to Air st: NotStopd t0: [12:00:00 03/04/2014] id: Impaired Skin Site#1 el: 0 cu: MICU-A cg: RN v1: Gluteal, Right st: NotStopd t0: [12:00:00 03/04/2014] id: Impaired Skin Site#2 el: 0 cu: MICU-A cg: RN v1: Labia st: NotStopd t0: [12:00:00 03/04/2014] id: LLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Diminished st: NotStopd t0: [12:00:00 03/04/2014] id: LUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [12:00:00 03/04/2014] id: Level of Conscious el: 0 cu: MICU-A cg: RN v1: Arouse to Voice st: NotStopd t0: [12:00:00 03/04/2014] id: Motor Response el: 0 cu: MICU-A cg: RN v1: 5 Localizes Pain st: NotStopd t0: [12:00:00 03/04/2014] id: Oral Cavity el: 0 cu: MICU-A cg: RN v1: Thrush st: NotStopd t0: [12:00:00 03/04/2014] id: Orientation el: 0 cu: MICU-A cg: RN v1: Other/Remarks st: NotStopd t0: [12:00:00 03/04/2014] id: AntiEmbDevice/Status el: 0 cu: MICU-A cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [12:00:00 03/04/2014] id: Pain Location el: 0 cu: MICU-A cg: RN v1: Not Indicated st: NotStopd t0: [12:00:00 03/04/2014] id: Position el: 0 cu: MICU-A cg: RN v1: Left Side st: NotStopd t0: [12:00:00 03/04/2014] id: Position Change el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [12:00:00 03/04/2014] id: Assistance Device el: 0 cu: MICU-A cg: RN v1: 2 Person Assist st: NotStopd t0: [12:00:00 03/04/2014] id: RLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Diminished st: NotStopd t0: [12:00:00 03/04/2014] id: RUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [12:00:00 03/04/2014] id: Reason For Restraint el: 0 cu: MICU-A cg: RN v1: Ext/TXInterfere st: NotStopd t0: [12:00:00 03/04/2014] id: Removed x 5 Mins el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [12:00:00 03/04/2014] id: Respiratory Pattern el: 0 cu: MICU-A cg: RN v1: Regular st: NotStopd t0: [12:00:00 03/04/2014] id: Restraint Location el: 0 cu: MICU-A cg: RN v1: Both Arms st: NotStopd t0: [12:00:00 03/04/2014] id: Restraint Type el: 0 cu: MICU-A cg: RN v1: Soft Limb st: NotStopd t0: [12:00:00 03/04/2014] id: Restraints Evaluated el: 0 cu: MICU-A cg: RN v1: RestraintReapply st: NotStopd t0: [12:00:00 03/04/2014] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [12:00:00 03/04/2014] id: Skin Color el: 0 cu: MICU-A cg: RN v1: Flushed st: NotStopd t0: [12:00:00 03/04/2014] id: Skin Integrity el: 0 cu: MICU-A cg: RN v1: Impaired st: NotStopd t0: [12:00:00 03/04/2014] id: Stool Color/Consist el: 0 cu: MICU-A cg: RN v1: Brown v2: Liquid st: NotStopd t0: [12:00:00 03/04/2014] id: Support Systems el: 0 cu: MICU-A cg: RN v1: Spouse st: NotStopd t0: [12:00:00 03/04/2014] id: Turn el: 0 cu: MICU-A cg: RN v1: Side to Side st: NotStopd t0: [12:00:00 03/04/2014] id: Urine Color/Appear el: 0 cu: MICU-A cg: RN v1: Yellow v2: Sediment st: NotStopd t0: [12:00:00 03/04/2014] id: Urine Source el: 0 cu: MICU-A cg: RN v1: Indwelling Cath st: NotStopd t0: [12:00:00 03/04/2014] id: Verbal Response el: 0 cu: MICU-A cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [12:00:00 03/04/2014] id: Behavior el: 0 cu: MICU-A cg: RN v1: Sedated st: NotStopd t0: [12:00:00 03/04/2014] id: Bowel Sounds el: 0 cu: MICU-A cg: RN v1: Present st: NotStopd
t0: [12:00:00 03/04/2014] id: TF Residual Gastric/TF Residual el: 1 cu: MICU-A cg: RN ai: 107 vo: 20 vu: ml t0: [12:00:00 03/04/2014] 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 03/04/2014] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 2 cu: MICU-A cg: RN ai: 209 vo: 0 vu: ml nb: 1 t0: [12:00:00 03/04/2014] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 5 vu: ml t0: [12:00:00 03/04/2014] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU-A cg: RN ai: 416 vo: 5 vu: ml t0: [12:00:00 03/04/2014] id: Promote w/fiber Tube Feeding el: 1 cu: MICU-A cg: RN ai: 107 vo: 65 vu: ml t0: [12:00:00 03/04/2014] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 120 vu: ml
t0: [12:00:00 03/04/2014] tf: [13:00:00 07/04/2014] dt: 5820 id: Propofol el: 2 cu: MICU-A cg: RN so: N/A vo: 0 v1: 10.0111 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [12:39:00 03/04/2014] id: Pressure Support el: 0 cu: MICU-A cg: RRT v1: 10 u1: . st: NotStopd
t0: [12:46:00 03/04/2014] id: Art.pH ABG el: 0 cu: MICU-A cg: 1663 v1: 7.44 rs: Final st: NotStopd t0: [12:46:00 03/04/2014] id: Arterial Base Excess ABG el: 0 cu: MICU-A cg: 1663 v1: 3 rs: Final st: NotStopd t0: [12:46:00 03/04/2014] id: Arterial CO2(Calc) ABG el: 0 cu: MICU-A cg: 1663 v1: 29 rs: Final st: NotStopd t0: [12:46:00 03/04/2014] id: Arterial PaCO2 ABG el: 0 cu: MICU-A cg: 1663 v1: 41 u1: mmHg rs: Final st: NotStopd t0: [12:46:00 03/04/2014] id: Arterial PaO2 ABG el: 0 cu: MICU-A cg: 1663 v1: 76 u1: mmHg rs: Final st: NotStopd t0: [12:46:00 03/04/2014] id: Arterial pH ABG el: 0 cu: MICU-A cg: 1663 v1: 7.44 rs: Final st: NotStopd
t0: [13:00:00 03/04/2014] id: ETT Mark/Location el: 0 cu: MICU-A cg: RRT v1: 21cm v2: Lip st: NotStopd t0: [13:00:00 03/04/2014] id: FiO2 Set el: 0 cu: MICU-A cg: RRT v1: 0.4 u1: torr st: NotStopd t0: [13:00:00 03/04/2014] id: High Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 45 u1: cmH2O st: NotStopd t0: [13:00:00 03/04/2014] id: High Resp. Rate el: 0 cu: MICU-A cg: RRT v1: 40 u1: BPM st: NotStopd t0: [13:00:00 03/04/2014] id: Airway Size el: 0 cu: MICU-A cg: RRT v1: 7.5 mm st: NotStopd t0: [13:00:00 03/04/2014] id: Airway Type el: 0 cu: MICU-A cg: RRT v1: Endotracheal st: NotStopd t0: [13:00:00 03/04/2014] id: Inspired Gas Temp el: 0 cu: MICU-A cg: RRT v1: 34 u1: Deg. C st: NotStopd t0: [13:00:00 03/04/2014] id: Intubation Date el: 0 cu: MICU-A cg: RRT v1: 3 v2: 12 st: NotStopd t0: [13:00:00 03/04/2014] id: Low Exhaled Min Vol el: 0 cu: MICU-A cg: RRT v1: 5 st: NotStopd t0: [13:00:00 03/04/2014] id: Low Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 18 u1: cmH2O st: NotStopd t0: [13:00:00 03/04/2014] id: Minute Volume(Obser) el: 0 cu: MICU-A cg: RRT v1: 8.3 u1: L/min st: NotStopd t0: [13:00:00 03/04/2014] id: PEEP Set el: 0 cu: MICU-A cg: RRT v1: 15 u1: cmH2O st: NotStopd t0: [13:00:00 03/04/2014] id: Apnea Time Interval el: 0 cu: MICU-A cg: RRT v1: 20 st: NotStopd t0: [13:00:00 03/04/2014] id: Pressure Support el: 0 cu: MICU-A cg: RRT v1: 10 u1: . st: NotStopd t0: [13:00:00 03/04/2014] id: Resp Rate (Total) el: 0 cu: MICU-A cg: RRT v1: 28 u1: BPM st: NotStopd t0: [13:00:00 03/04/2014] id: Sensitivity-Vent el: 0 cu: MICU-A cg: RRT v1: 1.5 u1: cmH2O st: NotStopd t0: [13:00:00 03/04/2014] id: SpO2 el: 0 cu: MICU-A cg: RRT v1: 94 u1: % st: NotStopd t0: [13:00:00 03/04/2014] id: Tidal Volume (Spont) el: 0 cu: MICU-A cg: RRT v1: 310 u1: ml/B st: NotStopd t0: [13:00:00 03/04/2014] id: Ventilator Mode el: 0 cu: MICU-A cg: RRT v1: CPAP+PS st: NotStopd t0: [13:00:00 03/04/2014] id: Ventilator No. el: 0 cu: MICU-A cg: RRT v1: 6 u1: # st: NotStopd t0: [13:00:00 03/04/2014] id: Ventilator Type el: 0 cu: MICU-A cg: RRT v1: 7200A st: NotStopd
t0: [12:50:00 03/04/2014] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [12:50:00 03/04/2014] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [12:50:00 03/04/2014] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [12:50:00 03/04/2014] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [12:50:00 03/04/2014] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 59 u1: BPM st: NotStopd t0: [12:50:00 03/04/2014] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Sinus Brady st: NotStopd t0: [12:50:00 03/04/2014] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 120 u1: mmHg v2: 61 u2: mmHg st: NotStopd t0: [12:50:00 03/04/2014] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 84 u1: mmHg st: NotStopd t0: [12:50:00 03/04/2014] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [12:50:00 03/04/2014] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 48 u1: BPM st: NotStopd t0: [12:50:00 03/04/2014] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 94 u1: % st: NotStopd t0: [12:50:00 03/04/2014] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [12:55:00 03/04/2014] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [12:55:00 03/04/2014] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [12:55:00 03/04/2014] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 59 u1: BPM st: NotStopd t0: [12:55:00 03/04/2014] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 120 u1: mmHg v2: 61 u2: mmHg st: NotStopd t0: [12:55:00 03/04/2014] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 84 u1: mmHg st: NotStopd t0: [12:55:00 03/04/2014] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [12:55:00 03/04/2014] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 27 u1: BPM st: NotStopd t0: [12:55:00 03/04/2014] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 94 u1: % st: NotStopd t0: [12:55:00 03/04/2014] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [13:00:00 03/04/2014] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [13:00:00 03/04/2014] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [13:00:00 03/04/2014] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [13:00:00 03/04/2014] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [13:00:00 03/04/2014] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 59 u1: BPM st: NotStopd t0: [13:00:00 03/04/2014] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Sinus Brady st: NotStopd t0: [13:00:00 03/04/2014] id: NBP el: 0 cu: MICU-A cg: RN v1: 0 u1: mmHg u2: mmHg st: NotStopd t0: [13:00:00 03/04/2014] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 120 u1: mmHg v2: 61 u2: mmHg st: NotStopd t0: [13:00:00 03/04/2014] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 84 u1: mmHg st: NotStopd t0: [13:00:00 03/04/2014] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [13:00:00 03/04/2014] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 28 u1: BPM st: NotStopd t0: [13:00:00 03/04/2014] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [12:50:00 03/04/2014] id: Propofol el: 2 cu: MICU-A cg: RN so: N/A vo: 0 v1: 20 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [12:55:00 03/04/2014] id: Propofol el: 2 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 03/04/2014] id: Propofol el: 2 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 03/04/2014] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [14:00:00 03/04/2014] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [14:00:00 03/04/2014] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [14:00:00 03/04/2014] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [14:00:00 03/04/2014] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 59 u1: BPM st: NotStopd t0: [14:00:00 03/04/2014] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Sinus Brady st: NotStopd t0: [14:00:00 03/04/2014] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 124 u1: mmHg v2: 63 u2: mmHg st: NotStopd t0: [14:00:00 03/04/2014] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 87 u1: mmHg st: NotStopd t0: [14:00:00 03/04/2014] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [14:00:00 03/04/2014] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 26 u1: BPM st: NotStopd t0: [14:00:00 03/04/2014] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 96 u1: % st: NotStopd t0: [14:00:00 03/04/2014] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [12:00:00 03/04/2014] id: IV Piggyback 100.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 105 vo: 200 vu: ml t0: [13:00:00 03/04/2014] 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 03/04/2014] tf: [12:00:00 09/04/2014] dt: 8580 id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 2 cu: MICU-A cg: RN ai: 209 vo: 7.197 vu: ml t0: [13:00:00 03/04/2014] id: Promote w/fiber Tube Feeding el: 1 cu: MICU-A cg: RN ai: 107 vo: 65 vu: ml t0: [13:00:00 03/04/2014] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 400 vu: ml t0: [14:00:00 03/04/2014] 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 03/04/2014] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 2 cu: MICU-A cg: RN ai: 209 vo: 21.576 vu: ml t0: [14:00:00 03/04/2014] id: Promote w/fiber Tube Feeding el: 1 cu: MICU-A cg: RN ai: 107 vo: 65 vu: ml t0: [14:00:00 03/04/2014] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 80 vu: ml
t0: [14:00:00 03/04/2014] id: Propofol el: 2 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 03/04/2014] id: Sputum Color/Consist el: 0 cu: MICU-A cg: RN v1: Yellow v2: Thick st: NotStopd t0: [09:00:00 03/04/2014] id: Sputum Source/Amt el: 0 cu: MICU-A cg: RN v1: Suctioned v2: Scant st: NotStopd
id: Lasix el: 100 cu: MICU-A cg: RN io: D5W 50.0ml + 100mghr Lasix IV Infusions am: 100 du: mghr rt: IV Drip
id: D5W el: 1 cu: MICU-A cg: RN io: D5W 50.0ml + 100mghr Lasix IV Infusions vo: 50 du: ml rt: Intravenous Push
t0: [15:19:00 03/04/2014] id: Art.pH ABG el: 0 cu: MICU-A cg: 1663 v1: 7.45 rs: Final st: NotStopd t0: [15:19:00 03/04/2014] id: Arterial Base Excess ABG el: 0 cu: MICU-A cg: 1663 v1: 4 rs: Final st: NotStopd t0: [15:19:00 03/04/2014] id: Arterial CO2(Calc) ABG el: 0 cu: MICU-A cg: 1663 v1: 31 rs: Final st: NotStopd t0: [15:19:00 03/04/2014] id: Arterial PaCO2 ABG el: 0 cu: MICU-A cg: 1663 v1: 43 u1: mmHg rs: Final st: NotStopd t0: [15:19:00 03/04/2014] id: Arterial PaO2 ABG el: 0 cu: MICU-A cg: 1663 v1: 85 u1: mmHg rs: Final st: NotStopd t0: [15:19:00 03/04/2014] id: Arterial pH ABG el: 0 cu: MICU-A cg: 1663 v1: 7.45 rs: Final st: NotStopd
t0: [15:19:00 03/04/2014] id: Potassium (3.5-5.3) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 3.2 rs: Final st: NotStopd
t0: [15:00:00 03/04/2014] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [15:00:00 03/04/2014] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [15:00:00 03/04/2014] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [15:00:00 03/04/2014] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [15:00:00 03/04/2014] id: HOB el: 0 cu: MICU-A cg: RN v1: 30 degrees st: NotStopd t0: [15:00:00 03/04/2014] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 54 u1: BPM st: NotStopd t0: [15:00:00 03/04/2014] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Sinus Brady st: NotStopd t0: [15:00:00 03/04/2014] id: Activity el: 0 cu: MICU-A cg: RN v1: Bedrest st: NotStopd t0: [15:00:00 03/04/2014] id: Activity Tolerance el: 0 cu: MICU-A cg: RN v1: Tolerated Well st: NotStopd t0: [15:00:00 03/04/2014] id: NBP el: 0 cu: MICU-A cg: RN v1: 0 u1: mmHg u2: mmHg st: NotStopd t0: [15:00:00 03/04/2014] id: AntiEmbDevice/Status el: 0 cu: MICU-A cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [15:00:00 03/04/2014] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 142 u1: mmHg v2: 71 u2: mmHg st: NotStopd t0: [15:00:00 03/04/2014] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 98 u1: mmHg st: NotStopd t0: [15:00:00 03/04/2014] id: Position el: 0 cu: MICU-A cg: RN v1: Right Side st: NotStopd t0: [15:00:00 03/04/2014] id: Assistance Device el: 0 cu: MICU-A cg: RN v1: 2 Person Assist st: NotStopd t0: [15:00:00 03/04/2014] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [15:00:00 03/04/2014] id: PressureReduceDevice el: 0 cu: MICU-A cg: RN v1: Multipodus Boots st: NotStopd t0: [15:00:00 03/04/2014] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 23 u1: BPM st: NotStopd t0: [15:00:00 03/04/2014] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 97 u1: % st: NotStopd t0: [15:00:00 03/04/2014] id: Therapeutic Bed el: 0 cu: MICU-A cg: RN v1: AirMatt/1st Step st: NotStopd t0: [15:00:00 03/04/2014] id: Turn el: 0 cu: MICU-A cg: RN v1: Right Side st: NotStopd t0: [15:00:00 03/04/2014] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [16:00:00 03/04/2014] id: Pain Present el: 0 cu: MICU-A cg: RN v1: No st: NotStopd t0: [16:00:00 03/04/2014] id: Range of Motion el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [16:00:00 03/04/2014] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [16:00:00 03/04/2014] id: Circulation/SkinInt el: 0 cu: MICU-A cg: RN v1: Circulation Adeq st: NotStopd t0: [16:00:00 03/04/2014] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [16:00:00 03/04/2014] id: Riker-SAS Scale el: 0 cu: MICU-A cg: RN v1: Sedated st: NotStopd t0: [16:00:00 03/04/2014] id: Daily Wake Up el: 0 cu: MICU-A cg: RN v1: No st: NotStopd t0: [16:00:00 03/04/2014] id: GI Prophylaxis el: 0 cu: MICU-A cg: RN v1: H2 Blocker st: NotStopd t0: [16:00:00 03/04/2014] id: Diet Type el: 0 cu: MICU-A cg: RN v1: Tube Feeding st: NotStopd t0: [16:00:00 03/04/2014] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [16:00:00 03/04/2014] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [16:00:00 03/04/2014] id: Eye Opening el: 0 cu: MICU-A cg: RN v1: 3 To speech st: NotStopd t0: [16:00:00 03/04/2014] id: GCS Total el: 0 cu: MICU-A cg: RN v1: 9 u1: points st: NotStopd t0: [16:00:00 03/04/2014] id: GI Intub #1/Site el: 0 cu: MICU-A cg: RN v1: Salem Sump v2: Oral st: NotStopd t0: [16:00:00 03/04/2014] id: GI#1 Tube PlaceCheck el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [16:00:00 03/04/2014] id: GI#1 Tube Stat/Drain el: 0 cu: MICU-A cg: RN v1: Feeding st: NotStopd t0: [16:00:00 03/04/2014] id: GU Catheter Size el: 0 cu: MICU-A cg: RN v1: 14 French st: NotStopd t0: [16:00:00 03/04/2014] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 57 u1: BPM st: NotStopd t0: [16:00:00 03/04/2014] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Sinus Brady st: NotStopd t0: [16:00:00 03/04/2014] id: INV Line#1 Type/Site el: 0 cu: MICU-A cg: RN v1: Multi-lumen v2: Left IJ st: NotStopd t0: [16:00:00 03/04/2014] id: INV Line#1InsertDate el: 0 cu: MICU-A cg: RN v1: 3 v2: 19 st: NotStopd t0: [16:00:00 03/04/2014] id: INV Line#1SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [16:00:00 03/04/2014] id: INV Line#4 Type/Site el: 0 cu: MICU-A cg: RN v1: A-Line v2: Right Brachial st: NotStopd t0: [16:00:00 03/04/2014] id: INV Line#4 Zero/Cal el: 0 cu: MICU-A cg: RN v1: No st: NotStopd t0: [16:00:00 03/04/2014] id: INV Line#4InsertDate el: 0 cu: MICU-A cg: RN v1: 3 v2: 17 st: NotStopd t0: [16:00:00 03/04/2014] id: INV Line#4SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [16:00:00 03/04/2014] id: Abdominal Assessment el: 0 cu: MICU-A cg: RN v1: Obese st: NotStopd t0: [16:00:00 03/04/2014] id: INV#4 WaveformAppear el: 0 cu: MICU-A cg: RN v1: Sharp st: NotStopd t0: [16:00:00 03/04/2014] id: Imp Skin Cleanse #2 el: 0 cu: MICU-A cg: RN v1: Soap & H20 st: NotStopd t0: [16:00:00 03/04/2014] id: ImpSkin Character #1 el: 0 cu: MICU-A cg: RN v1: Hematoma st: NotStopd t0: [16:00:00 03/04/2014] id: ImpSkin Character #2 el: 0 cu: MICU-A cg: RN v1: Rash st: NotStopd t0: [16:00:00 03/04/2014] id: ImpSkin Treatment #1 el: 0 cu: MICU-A cg: RN v1: Open to Air st: NotStopd t0: [16:00:00 03/04/2014] id: ImpSkin Treatment #2 el: 0 cu: MICU-A cg: RN v1: Open to Air st: NotStopd t0: [16:00:00 03/04/2014] id: Impaired Skin Site#1 el: 0 cu: MICU-A cg: RN v1: Gluteal, Right st: NotStopd t0: [16:00:00 03/04/2014] id: Impaired Skin Site#2 el: 0 cu: MICU-A cg: RN v1: Labia st: NotStopd t0: [16:00:00 03/04/2014] id: LLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Diminished st: NotStopd t0: [16:00:00 03/04/2014] id: LUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [16:00:00 03/04/2014] id: Level of Conscious el: 0 cu: MICU-A cg: RN v1: Arouse to Voice st: NotStopd t0: [16:00:00 03/04/2014] id: Motor Response el: 0 cu: MICU-A cg: RN v1: 5 Localizes Pain st: NotStopd t0: [16:00:00 03/04/2014] id: Oral Cavity el: 0 cu: MICU-A cg: RN v1: Thrush st: NotStopd t0: [16:00:00 03/04/2014] id: Orientation el: 0 cu: MICU-A cg: RN v1: Other/Remarks st: NotStopd t0: [16:00:00 03/04/2014] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 142 u1: mmHg v2: 69 u2: mmHg st: NotStopd t0: [16:00:00 03/04/2014] id: Pain Location el: 0 cu: MICU-A cg: RN v1: Not Indicated st: NotStopd t0: [16:00:00 03/04/2014] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 98 u1: mmHg st: NotStopd t0: [16:00:00 03/04/2014] id: Position Change el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [16:00:00 03/04/2014] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [16:00:00 03/04/2014] id: RLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Diminished st: NotStopd t0: [16:00:00 03/04/2014] id: RUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [16:00:00 03/04/2014] id: Reason For Restraint el: 0 cu: MICU-A cg: RN v1: Ext/TXInterfere st: NotStopd t0: [16:00:00 03/04/2014] id: Removed x 5 Mins el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [16:00:00 03/04/2014] id: Respiratory Pattern el: 0 cu: MICU-A cg: RN v1: Regular st: NotStopd t0: [16:00:00 03/04/2014] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 22 u1: BPM st: NotStopd t0: [16:00:00 03/04/2014] id: Restraint Location el: 0 cu: MICU-A cg: RN v1: Both Arms st: NotStopd t0: [16:00:00 03/04/2014] id: Restraint Type el: 0 cu: MICU-A cg: RN v1: Soft Limb st: NotStopd t0: [16:00:00 03/04/2014] id: Restraints Evaluated el: 0 cu: MICU-A cg: RN v1: RestraintReapply st: NotStopd t0: [16:00:00 03/04/2014] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [16:00:00 03/04/2014] id: Skin Color el: 0 cu: MICU-A cg: RN v1: Flushed st: NotStopd t0: [16:00:00 03/04/2014] id: Skin Integrity el: 0 cu: MICU-A cg: RN v1: Impaired st: NotStopd t0: [16:00:00 03/04/2014] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 95 u1: % st: NotStopd t0: [16:00:00 03/04/2014] id: Stool Color/Consist el: 0 cu: MICU-A cg: RN v1: Brown v2: Liquid st: NotStopd t0: [16:00:00 03/04/2014] id: Support Systems el: 0 cu: MICU-A cg: RN v1: Spouse st: NotStopd t0: [16:00:00 03/04/2014] id: Temp. Site el: 0 cu: MICU-A cg: RN v1: Oral st: NotStopd t0: [16:00:00 03/04/2014] id: Temperature C (calc) el: 0 cu: MICU-A cg: RN v1: 37.1667 u1: Deg. C st: NotStopd t0: [16:00:00 03/04/2014] id: Temperature F el: 0 cu: MICU-A cg: RN v1: 98.9 u1: Deg. F st: NotStopd t0: [16:00:00 03/04/2014] id: Urine Color/Appear el: 0 cu: MICU-A cg: RN v1: Yellow v2: Sediment st: NotStopd t0: [16:00:00 03/04/2014] id: Urine Source el: 0 cu: MICU-A cg: RN v1: Indwelling Cath st: NotStopd t0: [16:00:00 03/04/2014] id: Verbal Response el: 0 cu: MICU-A cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [16:00:00 03/04/2014] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [16:00:00 03/04/2014] id: Behavior el: 0 cu: MICU-A cg: RN v1: Sedated st: NotStopd t0: [16:00:00 03/04/2014] id: Bowel Sounds el: 0 cu: MICU-A cg: RN v1: Present st: NotStopd
t0: [12:00:00 03/04/2014] id: Gastric Meds PO/Gastric el: 1 cu: MICU-A cg: RN ai: 155 vo: 250 vu: ml t0: [15:00:00 03/04/2014] 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 03/04/2014] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 2 cu: MICU-A cg: RN ai: 209 vo: 21.576 vu: ml t0: [15:00:00 03/04/2014] id: Promote w/fiber Tube Feeding el: 1 cu: MICU-A cg: RN ai: 107 vo: 65 vu: ml t0: [15:00:00 03/04/2014] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 100 vu: ml t0: [16:00:00 03/04/2014] id: TF Residual Gastric/TF Residual el: 1 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [16:00:00 03/04/2014] 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 03/04/2014] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 2 cu: MICU-A cg: RN ai: 209 vo: 21.576 vu: ml t0: [16:00:00 03/04/2014] id: Gastric Meds PO/Gastric el: 1 cu: MICU-A cg: RN ai: 155 vo: 250 vu: ml t0: [16:00:00 03/04/2014] id: IV Piggyback 100.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 105 vo: 50 vu: ml t0: [16:00:00 03/04/2014] id: Promote w/fiber Tube Feeding el: 1 cu: MICU-A cg: RN ai: 107 vo: 65 vu: ml t0: [16:00:00 03/04/2014] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 80 vu: ml
t0: [15:00:00 03/04/2014] id: Propofol el: 2 cu: MICU-A cg: RN so: N/A vo: 0 v1: 40 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [16:00:00 03/04/2014] id: Propofol el: 2 cu: MICU-A cg: RN so: N/A vo: 0 v1: 40 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [15:30:00 03/04/2014] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [15:30:00 03/04/2014] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [15:30:00 03/04/2014] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [15:30:00 03/04/2014] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [15:30:00 03/04/2014] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 55 u1: BPM st: NotStopd t0: [15:30:00 03/04/2014] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Sinus Brady st: NotStopd t0: [15:30:00 03/04/2014] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 143 u1: mmHg v2: 68 u2: mmHg st: NotStopd t0: [15:30:00 03/04/2014] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 97 u1: mmHg st: NotStopd t0: [15:30:00 03/04/2014] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [15:30:00 03/04/2014] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 27 u1: BPM st: NotStopd t0: [15:30:00 03/04/2014] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 96 u1: % st: NotStopd t0: [15:30:00 03/04/2014] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [15:30:00 03/04/2014] tf: [13:18:00 10/04/2014] dt: 9948 id: Lasix el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 3 du: mghr sv: 50 su: ml rt: IV Drip t0: [15:30:00 03/04/2014] id: Propofol el: 2 cu: MICU-A cg: RN so: N/A vo: 0 v1: 40 du: mcgkgmin sv: 50 su: vl rt: IV Drip
tf: [16:00:00 03/04/2014] pt: IV Piggyback rt: IV fr: Q12H fs: 16, 4 dn: 2 m1: Vancomycin HCl f1: INJ v1: 1000 u1: mg m2: Iso-Osmotic Dextrose f2: INJ v2: 200 u2: ml tf: [09:00:00 06/04/2014] pt: IV Piggyback rt: IV DRIP fr: INFUSION m1: Furosemide f1: VIAL v1: 100 u1: mg m2: D5W f2: INJ v2: 50 u2: ml tf: [10:00:00 09/04/2014] pt: Unit Dose rt: IV DRIP fr: TITRATE TO m1: Propofol (Generic) f1: INJ v1: 5-20 u1: mcg/kg/min
t0: [16:30:00 03/04/2014] id: ETT Mark/Location el: 0 cu: MICU-A cg: RRT v1: 21cm v2: Lip st: NotStopd t0: [16:30:00 03/04/2014] id: FiO2 Set el: 0 cu: MICU-A cg: RRT v1: 0.4 u1: torr st: NotStopd t0: [16:30:00 03/04/2014] id: Flow-By (lpm) el: 0 cu: MICU-A cg: RRT v1: 0 u1: lpm st: NotStopd t0: [16:30:00 03/04/2014] id: Flow-by Sensitivity el: 0 cu: MICU-A cg: RRT v1: 3 u1: cmH2O st: NotStopd t0: [16:30:00 03/04/2014] id: High Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 45 u1: cmH2O st: NotStopd t0: [16:30:00 03/04/2014] id: High Resp. Rate el: 0 cu: MICU-A cg: RRT v1: 40 u1: BPM st: NotStopd t0: [16:30:00 03/04/2014] id: Airway Size el: 0 cu: MICU-A cg: RRT v1: 7.5 mm st: NotStopd t0: [16:30:00 03/04/2014] id: Airway Type el: 0 cu: MICU-A cg: RRT v1: Endotracheal st: NotStopd t0: [16:30:00 03/04/2014] id: Inspired Gas Temp el: 0 cu: MICU-A cg: RRT v1: 34 u1: Deg. C st: NotStopd t0: [16:30:00 03/04/2014] id: Intubation Date el: 0 cu: MICU-A cg: RRT v1: 3 v2: 12 st: NotStopd t0: [16:30:00 03/04/2014] id: Low Exhaled Min Vol el: 0 cu: MICU-A cg: RRT v1: 5 st: NotStopd t0: [16:30:00 03/04/2014] id: Low Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 18 u1: cmH2O st: NotStopd t0: [16:30:00 03/04/2014] id: Mean Airway Pressure el: 0 cu: MICU-A cg: RRT v1: 18.3 u1: cmH2O st: NotStopd t0: [16:30:00 03/04/2014] id: Minute Volume(Obser) el: 0 cu: MICU-A cg: RRT v1: 8.4 u1: L/min st: NotStopd t0: [16:30:00 03/04/2014] id: PEEP Set el: 0 cu: MICU-A cg: RRT v1: 15 u1: cmH2O st: NotStopd t0: [16:30:00 03/04/2014] id: Apnea Time Interval el: 0 cu: MICU-A cg: RRT v1: 20 st: NotStopd t0: [16:30:00 03/04/2014] id: Pressure Support el: 0 cu: MICU-A cg: RRT v1: 10 u1: . st: NotStopd t0: [16:30:00 03/04/2014] id: Resp Rate (Total) el: 0 cu: MICU-A cg: RRT v1: 27 u1: BPM st: NotStopd t0: [16:30:00 03/04/2014] id: Sensitivity-Vent el: 0 cu: MICU-A cg: RRT v1: 1.5 u1: cmH2O st: NotStopd t0: [16:30:00 03/04/2014] id: SpO2 el: 0 cu: MICU-A cg: RRT v1: 96 u1: % st: NotStopd t0: [16:30:00 03/04/2014] id: Tidal Volume (Obser) el: 0 cu: MICU-A cg: RRT v1: 320 u1: ml/B st: NotStopd t0: [16:30:00 03/04/2014] id: Ventilator Mode el: 0 cu: MICU-A cg: RRT v1: CPAP+PS st: NotStopd t0: [16:30:00 03/04/2014] id: Ventilator No. el: 0 cu: MICU-A cg: RRT v1: 6 u1: # st: NotStopd t0: [16:30:00 03/04/2014] id: Ventilator Type el: 0 cu: MICU-A cg: RRT v1: 7200A st: NotStopd t0: [16:30:00 03/04/2014] id: Waveform-Vent el: 0 cu: MICU-A cg: RRT v1: RAMP st: NotStopd
t0: [17:00:00 03/04/2014] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [17:00:00 03/04/2014] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [17:00:00 03/04/2014] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [17:00:00 03/04/2014] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [17:00:00 03/04/2014] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 57 u1: BPM st: NotStopd t0: [17:00:00 03/04/2014] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Sinus Brady st: NotStopd t0: [17:00:00 03/04/2014] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 129 u1: mmHg v2: 64 u2: mmHg st: NotStopd t0: [17:00:00 03/04/2014] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 90 u1: mmHg st: NotStopd t0: [17:00:00 03/04/2014] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [17:00:00 03/04/2014] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 29 u1: BPM st: NotStopd t0: [17:00:00 03/04/2014] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 97 u1: % st: NotStopd t0: [17:00:00 03/04/2014] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [17:00:00 03/04/2014] 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 03/04/2014] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 2 cu: MICU-A cg: RN ai: 209 vo: 21.576 vu: ml t0: [17:00:00 03/04/2014] id: Promote w/fiber Tube Feeding el: 1 cu: MICU-A cg: RN ai: 107 vo: 65 vu: ml
t0: [16:00:00 03/04/2014] id: Lasix el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 3 du: mghr sv: 50 su: ml rt: IV Drip t0: [17:00:00 03/04/2014] id: Propofol el: 2 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 03/04/2014] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 100 vu: ml
t0: [17:00:00 03/04/2014] id: Lasix el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 6 du: mghr sv: 50 su: ml rt: IV Drip
tf: [17:00:00 03/04/2014] pt: IV Piggyback rt: IV fr: ASDIR dn: 0 m1: Vancomycin HCl f1: INJ v1: 1000 u1: mg m2: Iso-Osmotic Dextrose f2: INJ v2: 200 u2: ml
t0: [17:00:00 03/04/2014] id: Sputum Source/Amt el: 0 cu: MICU-A cg: RRT v1: Suctioned v2: None st: NotStopd
t0: [15:00:00 03/04/2014] id: Radiologic Study el: 0 cu: MICU-A cg: RN v1: Chest Xray st: NotStopd t0: [18:00:00 03/04/2014] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [18:00:00 03/04/2014] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [18:00:00 03/04/2014] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [18:00:00 03/04/2014] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [18:00:00 03/04/2014] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 60 u1: BPM st: NotStopd t0: [18:00:00 03/04/2014] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [18:00:00 03/04/2014] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 126 u1: mmHg v2: 64 u2: mmHg st: NotStopd t0: [18:00:00 03/04/2014] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 89 u1: mmHg st: NotStopd t0: [18:00:00 03/04/2014] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [18:00:00 03/04/2014] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 21 u1: BPM st: NotStopd t0: [18:00:00 03/04/2014] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 97 u1: % st: NotStopd t0: [18:00:00 03/04/2014] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [18:00:00 03/04/2014] 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 03/04/2014] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 2 cu: MICU-A cg: RN ai: 209 vo: 21.576 vu: ml t0: [18:00:00 03/04/2014] id: Promote w/fiber Tube Feeding el: 1 cu: MICU-A cg: RN ai: 107 vo: 65 vu: ml t0: [18:00:00 03/04/2014] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 120 vu: ml
t0: [18:00:00 03/04/2014] id: Propofol el: 2 cu: MICU-A cg: RN so: N/A vo: 0 v1: 40 du: mcgkgmin sv: 50 su: vl rt: IV Drip
tf: [19:00:00 04/04/2014] pt: Unit Dose rt: NG fr: ASDIR m1: Potassium Chloride f1: PWDR v1: 40 u1: mEq tf: [19:00:00 04/04/2014] pt: Unit Dose rt: PO fr: ASDIR m1: Potassium Chloride f1: CAP v1: 40 u1: mEq
t0: [19:00:00 03/04/2014] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [19:00:00 03/04/2014] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [19:00:00 03/04/2014] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [19:00:00 03/04/2014] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [19:00:00 03/04/2014] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 58 u1: BPM st: NotStopd t0: [19:00:00 03/04/2014] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Sinus Brady st: NotStopd t0: [19:00:00 03/04/2014] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 127 u1: mmHg v2: 64 u2: mmHg st: NotStopd t0: [19:00:00 03/04/2014] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 90 u1: mmHg st: NotStopd t0: [19:00:00 03/04/2014] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [19:00:00 03/04/2014] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 21 u1: BPM st: NotStopd t0: [19:00:00 03/04/2014] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 97 u1: % st: NotStopd t0: [19:00:00 03/04/2014] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [20:00:00 03/04/2014] id: Pain Present el: 0 cu: MICU-A cg: RN v1: Other/Remarks st: NotStopd t0: [20:00:00 03/04/2014] id: Range of Motion el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [20:00:00 03/04/2014] id: Pain Assess Method el: 0 cu: MICU-A cg: RN v1: Change in Vitals st: NotStopd t0: [20:00:00 03/04/2014] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [20:00:00 03/04/2014] id: Circulation/SkinInt el: 0 cu: MICU-A cg: RN v1: Circulation Adeq st: NotStopd t0: [20:00:00 03/04/2014] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [20:00:00 03/04/2014] id: Riker-SAS Scale el: 0 cu: MICU-A cg: RN v1: Sedated st: NotStopd t0: [20:00:00 03/04/2014] id: Daily Wake Up el: 0 cu: MICU-A cg: RN v1: No st: NotStopd t0: [20:00:00 03/04/2014] id: GI Prophylaxis el: 0 cu: MICU-A cg: RN v1: H2 Blocker st: NotStopd t0: [20:00:00 03/04/2014] id: Diet Type el: 0 cu: MICU-A cg: RN v1: Tube Feeding st: NotStopd t0: [20:00:00 03/04/2014] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [20:00:00 03/04/2014] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [20:00:00 03/04/2014] id: Eye Opening el: 0 cu: MICU-A cg: RN v1: 2 To pain st: NotStopd t0: [20:00:00 03/04/2014] id: GCS Total el: 0 cu: MICU-A cg: RN v1: 8 u1: points st: NotStopd t0: [20:00:00 03/04/2014] id: GI Intub #1/Site el: 0 cu: MICU-A cg: RN v1: Salem Sump v2: Oral st: NotStopd t0: [20:00:00 03/04/2014] id: GI#1 Tube PlaceCheck el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [20:00:00 03/04/2014] id: GI#1 Tube Stat/Drain el: 0 cu: MICU-A cg: RN v1: Feeding v2: Undigested Food st: NotStopd t0: [20:00:00 03/04/2014] id: GU Catheter Size el: 0 cu: MICU-A cg: RN v1: 14 French st: NotStopd t0: [20:00:00 03/04/2014] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 62 u1: BPM st: NotStopd t0: [20:00:00 03/04/2014] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [20:00:00 03/04/2014] id: INV Line#1 Type/Site el: 0 cu: MICU-A cg: RN v1: Multi-lumen v2: Left IJ st: NotStopd t0: [20:00:00 03/04/2014] id: INV Line#1InsertDate el: 0 cu: MICU-A cg: RN v1: 3 v2: 19 st: NotStopd t0: [20:00:00 03/04/2014] id: INV Line#1SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [20:00:00 03/04/2014] id: INV Line#4 Type/Site el: 0 cu: MICU-A cg: RN v1: A-Line v2: Right Brachial st: NotStopd t0: [20:00:00 03/04/2014] id: INV Line#4 Zero/Cal el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [20:00:00 03/04/2014] id: INV Line#4InsertDate el: 0 cu: MICU-A cg: RN v1: 3 v2: 17 st: NotStopd t0: [20:00:00 03/04/2014] id: INV Line#4SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [20:00:00 03/04/2014] id: Abdominal Assessment el: 0 cu: MICU-A cg: RN v1: Obese st: NotStopd t0: [20:00:00 03/04/2014] id: INV#4 WaveformAppear el: 0 cu: MICU-A cg: RN v1: Sharp st: NotStopd t0: [20:00:00 03/04/2014] id: Imp Skin Cleanse #2 el: 0 cu: MICU-A cg: RN v1: Soap & H20 st: NotStopd t0: [20:00:00 03/04/2014] id: ImpSkin Character #1 el: 0 cu: MICU-A cg: RN v1: Hematoma st: NotStopd t0: [20:00:00 03/04/2014] id: ImpSkin Character #2 el: 0 cu: MICU-A cg: RN v1: Rash st: NotStopd t0: [20:00:00 03/04/2014] id: ImpSkin Treatment #1 el: 0 cu: MICU-A cg: RN v1: Open to Air st: NotStopd t0: [20:00:00 03/04/2014] id: ImpSkin Treatment #2 el: 0 cu: MICU-A cg: RN v1: Open to Air st: NotStopd t0: [20:00:00 03/04/2014] id: Impaired Skin Site#1 el: 0 cu: MICU-A cg: RN v1: Gluteal, Right st: NotStopd t0: [20:00:00 03/04/2014] id: Impaired Skin Site#2 el: 0 cu: MICU-A cg: RN v1: Labia st: NotStopd t0: [20:00:00 03/04/2014] id: LLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Diminished st: NotStopd t0: [20:00:00 03/04/2014] id: LUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [20:00:00 03/04/2014] id: Level of Conscious el: 0 cu: MICU-A cg: RN v1: Arouse to Stimul st: NotStopd t0: [20:00:00 03/04/2014] id: Motor Response el: 0 cu: MICU-A cg: RN v1: 5 Localizes Pain st: NotStopd t0: [20:00:00 03/04/2014] id: Oral Cavity el: 0 cu: MICU-A cg: RN v1: Thrush st: NotStopd t0: [20:00:00 03/04/2014] id: Orientation el: 0 cu: MICU-A cg: RN v1: Other/Remarks st: NotStopd t0: [20:00:00 03/04/2014] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 130 u1: mmHg v2: 66 u2: mmHg st: NotStopd t0: [20:00:00 03/04/2014] id: Pain Location el: 0 cu: MICU-A cg: RN v1: Not Indicated st: NotStopd t0: [20:00:00 03/04/2014] id: Pain Management el: 1 cu: MICU-A cg: RN v1: IV Gtt v2: IV Gtt st: NotStopd t0: [20:00:00 03/04/2014] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 92 u1: mmHg st: NotStopd t0: [20:00:00 03/04/2014] id: Position Change el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [20:00:00 03/04/2014] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [20:00:00 03/04/2014] id: RLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Diminished st: NotStopd t0: [20:00:00 03/04/2014] id: RUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [20:00:00 03/04/2014] id: Reason For Restraint el: 0 cu: MICU-A cg: RN v1: Ext/TXInterfere st: NotStopd t0: [20:00:00 03/04/2014] id: Removed x 5 Mins el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [20:00:00 03/04/2014] id: Respiratory Pattern el: 0 cu: MICU-A cg: RN v1: Regular st: NotStopd t0: [20:00:00 03/04/2014] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 25 u1: BPM st: NotStopd t0: [20:00:00 03/04/2014] id: Restraint Location el: 0 cu: MICU-A cg: RN v1: Both Arms st: NotStopd t0: [20:00:00 03/04/2014] id: Restraint Type el: 0 cu: MICU-A cg: RN v1: Soft Limb st: NotStopd t0: [20:00:00 03/04/2014] id: Restraints Evaluated el: 0 cu: MICU-A cg: RN v1: RestraintReapply st: NotStopd t0: [20:00:00 03/04/2014] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [20:00:00 03/04/2014] id: Skin Color el: 0 cu: MICU-A cg: RN v1: Flushed st: NotStopd t0: [20:00:00 03/04/2014] id: Skin Integrity el: 0 cu: MICU-A cg: RN v1: Impaired st: NotStopd t0: [20:00:00 03/04/2014] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 96 u1: % st: NotStopd t0: [20:00:00 03/04/2014] id: Stool Color/Consist el: 0 cu: MICU-A cg: RN v1: Brown v2: Liquid st: NotStopd t0: [20:00:00 03/04/2014] id: Support Systems el: 0 cu: MICU-A cg: RN v1: Spouse st: NotStopd t0: [20:00:00 03/04/2014] id: Temp. Site el: 0 cu: MICU-A cg: RN v1: Oral st: NotStopd t0: [20:00:00 03/04/2014] id: Temperature C (calc) el: 0 cu: MICU-A cg: RN v1: 37.1667 u1: Deg. C st: NotStopd t0: [20:00:00 03/04/2014] id: Temperature F el: 0 cu: MICU-A cg: RN v1: 98.9 u1: Deg. F st: NotStopd t0: [20:00:00 03/04/2014] id: Urine Color/Appear el: 0 cu: MICU-A cg: RN v1: Yellow v2: Sediment st: NotStopd t0: [20:00:00 03/04/2014] id: Urine Source el: 0 cu: MICU-A cg: RN v1: Indwelling Cath st: NotStopd t0: [20:00:00 03/04/2014] id: Verbal Response el: 0 cu: MICU-A cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [20:00:00 03/04/2014] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [20:00:00 03/04/2014] id: Behavior el: 0 cu: MICU-A cg: RN v1: Sedated st: NotStopd t0: [20:00:00 03/04/2014] id: Bowel Sounds el: 0 cu: MICU-A cg: RN v1: Present st: NotStopd t0: [20:00:00 03/04/2014] id: Braden Activity el: 0 cu: MICU-A cg: RN v1: Bedfast st: NotStopd t0: [20:00:00 03/04/2014] id: Braden Frict/Shear el: 0 cu: MICU-A cg: RN v1: Problem st: NotStopd t0: [20:00:00 03/04/2014] id: Braden Mobility el: 0 cu: MICU-A cg: RN v1: Comp. Immobile st: NotStopd t0: [20:00:00 03/04/2014] id: Braden Moisture el: 0 cu: MICU-A cg: RN v1: Occ. Moist st: NotStopd t0: [20:00:00 03/04/2014] id: Braden Nutrition el: 0 cu: MICU-A cg: RN v1: Adequate st: NotStopd t0: [20:00:00 03/04/2014] id: Braden Score el: 0 cu: MICU-A cg: RN v1: 11 u1: number st: NotStopd t0: [20:00:00 03/04/2014] id: Braden SensoryPercep el: 0 cu: MICU-A cg: RN v1: Very Limited st: NotStopd
t0: [20:00:00 03/04/2014] id: TF Residual Gastric/TF Residual el: 1 cu: MICU-A cg: RN ai: 107 vo: 20 vu: ml t0: [20:00:00 03/04/2014] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 20 vu: ml t0: [20:00:00 03/04/2014] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 2 cu: MICU-A cg: RN ai: 209 vo: 43.152 vu: ml t0: [20:00:00 03/04/2014] id: Gastric Meds PO/Gastric el: 1 cu: MICU-A cg: RN ai: 155 vo: 250 vu: ml t0: [20:00:00 03/04/2014] tf: [13:18:00 10/04/2014] dt: 9678 id: D5W 50.0ml + 100mghr Lasix IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 25 vu: ml nb: 1 t0: [20:00:00 03/04/2014] id: Promote w/fiber Tube Feeding el: 1 cu: MICU-A cg: RN ai: 107 vo: 130 vu: ml t0: [20:00:00 03/04/2014] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 800 vu: ml
t0: [18:00:00 03/04/2014] id: Lasix el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 8 du: mghr sv: 50 su: ml rt: IV Drip t0: [19:00:00 03/04/2014] id: Lasix el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 8 du: mghr sv: 50 su: ml rt: IV Drip t0: [19:00:00 03/04/2014] id: Propofol el: 2 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 03/04/2014] id: Lasix el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 8 du: mghr sv: 50 su: ml rt: IV Drip t0: [20:00:00 03/04/2014] id: Propofol el: 2 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 03/04/2014] dt: 24 id: PO/Gastric In Total el: 2 cu: MICU-A cg: RN cv: 1380 ap: none
t0: [20:00:00 03/04/2014] id: Dorsal PedPulse R/L el: 0 cu: MICU-A cg: RN v1: Weak Palpable v2: Weak Palpable st: NotStopd t0: [20:00:00 03/04/2014] id: HOB el: 0 cu: MICU-A cg: RN v1: Reverse T-Berg st: NotStopd t0: [20:00:00 03/04/2014] id: Activity el: 0 cu: MICU-A cg: RN v1: Bedrest st: NotStopd t0: [20:00:00 03/04/2014] id: Activity Tolerance el: 0 cu: MICU-A cg: RN v1: Tolerated Well st: NotStopd t0: [20:00:00 03/04/2014] id: AntiEmbDevice/Status el: 0 cu: MICU-A cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [20:00:00 03/04/2014] id: Position el: 0 cu: MICU-A cg: RN v1: Supine st: NotStopd t0: [20:00:00 03/04/2014] id: PostTib. Pulses R/L el: 0 cu: MICU-A cg: RN v1: Weak Palpable v2: Weak Palpable st: NotStopd t0: [20:00:00 03/04/2014] id: Assistance Device el: 0 cu: MICU-A cg: RN v1: 1 Person Assist st: NotStopd t0: [20:00:00 03/04/2014] id: PressureReduceDevice el: 0 cu: MICU-A cg: RN v1: Multipodus Boots st: NotStopd t0: [20:00:00 03/04/2014] id: Therapeutic Bed el: 0 cu: MICU-A cg: RN v1: AirMatt/1st Step st: NotStopd t0: [20:00:00 03/04/2014] id: Turn el: 0 cu: MICU-A cg: RN v1: Back st: NotStopd
t0: [20:00:00 03/04/2014] id: Sputum Color/Consist el: 0 cu: MICU-A cg: RN v1: Yellow v2: Thin st: NotStopd t0: [20:00:00 03/04/2014] id: Sputum Source/Amt el: 0 cu: MICU-A cg: RN v1: Suctioned v2: Scant st: NotStopd
t0: [20:25:00 03/04/2014] id: Compliance (40-60ml) el: 0 cu: MICU-A cg: RRT v1: 28.3019 u1: ml/cmH st: NotStopd t0: [20:25:00 03/04/2014] id: ETT Mark/Location el: 0 cu: MICU-A cg: RRT v1: 21cm v2: Lip st: NotStopd t0: [20:25:00 03/04/2014] id: FiO2 Set el: 0 cu: MICU-A cg: RRT v1: 0.4 u1: torr st: NotStopd t0: [20:25:00 03/04/2014] id: Flow-By (lpm) el: 0 cu: MICU-A cg: RRT v1: 0 u1: lpm st: NotStopd t0: [20:25:00 03/04/2014] id: Flow-by Sensitivity el: 0 cu: MICU-A cg: RRT v1: 3 u1: cmH2O st: NotStopd t0: [20:25:00 03/04/2014] id: High Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 45 u1: cmH2O st: NotStopd t0: [20:25:00 03/04/2014] id: High Resp. Rate el: 0 cu: MICU-A cg: RRT v1: 40 u1: BPM st: NotStopd t0: [20:25:00 03/04/2014] id: I:E Ratio el: 0 cu: MICU-A cg: RRT v1: 2.1 st: NotStopd t0: [20:25:00 03/04/2014] id: Airway Size el: 0 cu: MICU-A cg: RRT v1: 7.5 mm st: NotStopd t0: [20:25:00 03/04/2014] id: Airway Type el: 0 cu: MICU-A cg: RRT v1: Endotracheal st: NotStopd t0: [20:25:00 03/04/2014] id: Inspired Gas Temp el: 0 cu: MICU-A cg: RRT v1: 34 u1: Deg. C st: NotStopd t0: [20:25:00 03/04/2014] id: Intubation Date el: 0 cu: MICU-A cg: RRT v1: 3 v2: 12 st: NotStopd t0: [20:25:00 03/04/2014] id: Low Exhaled Min Vol el: 0 cu: MICU-A cg: RRT v1: 5 st: NotStopd t0: [20:25:00 03/04/2014] id: Low Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 18 u1: cmH2O st: NotStopd t0: [20:25:00 03/04/2014] id: Mean Airway Pressure el: 0 cu: MICU-A cg: RRT v1: 20.7 u1: cmH2O st: NotStopd t0: [20:25:00 03/04/2014] id: Minute Volume(Obser) el: 0 cu: MICU-A cg: RRT v1: 9.3 u1: L/min st: NotStopd t0: [20:25:00 03/04/2014] id: PEEP Set el: 0 cu: MICU-A cg: RRT v1: 15 u1: cmH2O st: NotStopd t0: [20:25:00 03/04/2014] id: Apnea Time Interval el: 0 cu: MICU-A cg: RRT v1: 20 st: NotStopd t0: [20:25:00 03/04/2014] id: Peak Flow el: 0 cu: MICU-A cg: RRT v1: 50 u1: L/m st: NotStopd t0: [20:25:00 03/04/2014] id: Peak Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 30.9 u1: cmH2O st: NotStopd t0: [20:25:00 03/04/2014] id: Plateau-Off el: 0 cu: MICU-A cg: RRT v1: Yes st: NotStopd t0: [20:25:00 03/04/2014] id: Resp Rate (Spont) el: 0 cu: MICU-A cg: RRT v1: 0 u1: BPM st: NotStopd t0: [20:25:00 03/04/2014] id: Resp Rate (Total) el: 0 cu: MICU-A cg: RRT v1: 20 u1: BPM st: NotStopd t0: [20:25:00 03/04/2014] id: Respiratory Rate Set el: 0 cu: MICU-A cg: RRT v1: 20 u1: BPM st: NotStopd t0: [20:25:00 03/04/2014] id: Sensitivity-Vent el: 0 cu: MICU-A cg: RRT v1: 1.5 u1: cmH2O st: NotStopd t0: [20:25:00 03/04/2014] id: SpO2 el: 0 cu: MICU-A cg: RRT v1: 99 u1: % st: NotStopd t0: [20:25:00 03/04/2014] id: Sputum Source/Amt el: 0 cu: MICU-A cg: RRT v1: Suctioned v2: Scant st: NotStopd t0: [20:25:00 03/04/2014] id: Tidal Volume (Obser) el: 0 cu: MICU-A cg: RRT v1: 460 u1: ml/B st: NotStopd t0: [20:25:00 03/04/2014] id: Tidal Volume (Set) el: 0 cu: MICU-A cg: RRT v1: 450 u1: ml/B st: NotStopd t0: [20:25:00 03/04/2014] id: Ventilator No. el: 0 cu: MICU-A cg: RRT v1: 6 u1: # st: NotStopd t0: [20:25:00 03/04/2014] id: Ventilator Type el: 0 cu: MICU-A cg: RRT v1: 7200A st: NotStopd t0: [20:25:00 03/04/2014] id: Waveform-Vent el: 0 cu: MICU-A cg: RRT v1: RAMP st: NotStopd
t0: [20:25:00 03/04/2014] id: Ventilator Mode el: 0 cu: MICU-A cg: RRT v1: Assist Control st: NotStopd
t0: [20:47:00 03/04/2014] id: FiO2 Set el: 0 cu: MICU-A cg: RRT v1: 0.5 u1: torr st: NotStopd
t0: [21:28:00 03/04/2014] id: Art.pH ABG el: 0 cu: MICU-A cg: 1663 v1: 7.49 rs: Final st: NotStopd t0: [21:28:00 03/04/2014] id: Arterial Base Excess ABG el: 0 cu: MICU-A cg: 1663 v1: 5 rs: Final st: NotStopd t0: [21:28:00 03/04/2014] id: Arterial CO2(Calc) ABG el: 0 cu: MICU-A cg: 1663 v1: 31 rs: Final st: NotStopd t0: [21:28:00 03/04/2014] id: Arterial PaCO2 ABG el: 0 cu: MICU-A cg: 1663 v1: 39 u1: mmHg rs: Final st: NotStopd t0: [21:28:00 03/04/2014] id: Arterial PaO2 ABG el: 0 cu: MICU-A cg: 1663 v1: 74 u1: mmHg rs: Final st: NotStopd t0: [21:28:00 03/04/2014] id: Arterial pH ABG el: 0 cu: MICU-A cg: 1663 v1: 7.49 rs: Final st: NotStopd
t0: [21:00:00 03/04/2014] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [21:00:00 03/04/2014] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [21:00:00 03/04/2014] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [21:00:00 03/04/2014] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [21:00:00 03/04/2014] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 59 u1: BPM st: NotStopd t0: [21:00:00 03/04/2014] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Sinus Brady st: NotStopd t0: [21:00:00 03/04/2014] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 138 u1: mmHg v2: 72 u2: mmHg st: NotStopd t0: [21:00:00 03/04/2014] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 99 u1: mmHg st: NotStopd t0: [21:00:00 03/04/2014] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [21:00:00 03/04/2014] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 20 u1: BPM st: NotStopd t0: [21:00:00 03/04/2014] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 95 u1: % st: NotStopd t0: [21:00:00 03/04/2014] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [22:00:00 03/04/2014] id: CVP el: 0 cu: MICU-A cg: RN v1: 10 u1: mmHg st: NotStopd
t0: [21:00:00 03/04/2014] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 2 cu: MICU-A cg: RN ai: 209 vo: 21.576 vu: ml nb: 1
t0: [21:00:00 03/04/2014] id: Lasix el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 8 du: mghr sv: 50 su: ml rt: IV Drip t0: [21:00:00 03/04/2014] id: Propofol el: 2 cu: MICU-A cg: RN so: N/A vo: 0 v1: 40 du: mcgkgmin sv: 50 su: vl rt: IV Drip
tf: [15:00:00 03/04/2014] pt: Unit Dose rt: IV fr: BID fs: 10, 22 dn: 2 m1: Furosemide f1: INJ v1: 40 u1: mg
t0: [20:00:00 03/04/2014] id: INV Line#1 Zero/Cal el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [20:00:00 03/04/2014] id: INV#1 WaveformAppear el: 0 cu: MICU-A cg: RN v1: Sharp st: NotStopd t0: [21:00:00 03/04/2014] id: Procedures el: 0 cu: MICU-A cg: RN v1: Other/Remarks st: NotStopd t0: [22:00:00 03/04/2014] id: Range of Motion el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [22:00:00 03/04/2014] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [22:00:00 03/04/2014] id: Circulation/SkinInt el: 0 cu: MICU-A cg: RN v1: Circulation Adeq st: NotStopd t0: [22:00:00 03/04/2014] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [22:00:00 03/04/2014] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [22:00:00 03/04/2014] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [22:00:00 03/04/2014] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 57 u1: BPM st: NotStopd t0: [22:00:00 03/04/2014] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Sinus Brady st: NotStopd t0: [22:00:00 03/04/2014] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 152 u1: mmHg v2: 75 u2: mmHg st: NotStopd t0: [22:00:00 03/04/2014] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 106 u1: mmHg st: NotStopd t0: [22:00:00 03/04/2014] id: Position Change el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [22:00:00 03/04/2014] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [22:00:00 03/04/2014] id: Reason For Restraint el: 0 cu: MICU-A cg: RN v1: Ext/TXInterfere st: NotStopd t0: [22:00:00 03/04/2014] id: Removed x 5 Mins el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [22:00:00 03/04/2014] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 20 u1: BPM st: NotStopd t0: [22:00:00 03/04/2014] id: Restraint Location el: 0 cu: MICU-A cg: RN v1: Both Arms st: NotStopd t0: [22:00:00 03/04/2014] id: Restraint Type el: 0 cu: MICU-A cg: RN v1: Soft Limb st: NotStopd t0: [22:00:00 03/04/2014] id: Restraints Evaluated el: 0 cu: MICU-A cg: RN v1: RestraintReapply st: NotStopd t0: [22:00:00 03/04/2014] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [22:00:00 03/04/2014] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 97 u1: % st: NotStopd t0: [22:00:00 03/04/2014] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [22:00:00 03/04/2014] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 20 vu: ml t0: [22:00:00 03/04/2014] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 2 cu: MICU-A cg: RN ai: 209 vo: 21.576 vu: ml t0: [22:00:00 03/04/2014] id: D5W 50.0ml + 100mghr Lasix IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 8 vu: ml t0: [22:00:00 03/04/2014] id: Promote w/fiber Tube Feeding el: 1 cu: MICU-A cg: RN ai: 107 vo: 130 vu: ml t0: [22:00:00 03/04/2014] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 640 vu: ml
t0: [22:00:00 03/04/2014] id: Lasix el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 8 du: mghr sv: 50 su: ml rt: IV Drip t0: [22:00:00 03/04/2014] id: Propofol el: 2 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 03/04/2014] id: bath el: 0 cu: MICU-A cg: RN v1: done t0: [23:00:00 03/04/2014] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [23:00:00 03/04/2014] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [23:00:00 03/04/2014] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [23:00:00 03/04/2014] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [23:00:00 03/04/2014] id: Eye Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [23:00:00 03/04/2014] id: HOB el: 0 cu: MICU-A cg: RN v1: Reverse T-Berg st: NotStopd t0: [23:00:00 03/04/2014] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 58 u1: BPM st: NotStopd t0: [23:00:00 03/04/2014] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Sinus Brady st: NotStopd t0: [23:00:00 03/04/2014] id: Activity el: 0 cu: MICU-A cg: RN v1: Bedrest st: NotStopd t0: [23:00:00 03/04/2014] id: Activity Tolerance el: 0 cu: MICU-A cg: RN v1: Tolerated Well st: NotStopd t0: [23:00:00 03/04/2014] id: Oral Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [23:00:00 03/04/2014] id: AntiEmbDevice/Status el: 0 cu: MICU-A cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [23:00:00 03/04/2014] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 141 u1: mmHg v2: 72 u2: mmHg st: NotStopd t0: [23:00:00 03/04/2014] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 99 u1: mmHg st: NotStopd t0: [23:00:00 03/04/2014] id: Position el: 0 cu: MICU-A cg: RN v1: Right Side st: NotStopd t0: [23:00:00 03/04/2014] id: Assistance Device el: 0 cu: MICU-A cg: RN v1: 2 Person Assist st: NotStopd t0: [23:00:00 03/04/2014] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [23:00:00 03/04/2014] id: PressureReduceDevice el: 0 cu: MICU-A cg: RN v1: Multipodus Boots st: NotStopd t0: [23:00:00 03/04/2014] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 20 u1: BPM st: NotStopd t0: [23:00:00 03/04/2014] id: Skin Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [23:00:00 03/04/2014] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 97 u1: % st: NotStopd t0: [23:00:00 03/04/2014] id: Therapeutic Bed el: 0 cu: MICU-A cg: RN v1: AirMatt/1st Step st: NotStopd t0: [23:00:00 03/04/2014] id: Turn el: 0 cu: MICU-A cg: RN v1: Side to Side st: NotStopd t0: [23:00:00 03/04/2014] id: Back Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [23:00:00 03/04/2014] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [23:00:00 03/04/2014] 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 03/04/2014] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 2 cu: MICU-A cg: RN ai: 209 vo: 21.576 vu: ml t0: [23:00:00 03/04/2014] id: D5W 50.0ml + 100mghr Lasix IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 4 vu: ml t0: [23:00:00 03/04/2014] id: Promote w/fiber Tube Feeding el: 1 cu: MICU-A cg: RN ai: 107 vo: 65 vu: ml t0: [23:00:00 03/04/2014] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 310 vu: ml
t0: [23:00:00 03/04/2014] id: Lasix el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 8 du: mghr sv: 50 su: ml rt: IV Drip t0: [23:00:00 03/04/2014] id: Propofol el: 2 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 04/04/2014] id: Pain Present el: 0 cu: MICU-A cg: RN v1: Other/Remarks st: NotStopd t0: [00:00:00 04/04/2014] id: Range of Motion el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [00:00:00 04/04/2014] id: Pain Assess Method el: 0 cu: MICU-A cg: RN v1: Change in Vitals st: NotStopd t0: [00:00:00 04/04/2014] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [00:00:00 04/04/2014] id: CVP el: 0 cu: MICU-A cg: RN v1: 8 u1: mmHg st: NotStopd t0: [00:00:00 04/04/2014] id: Circulation/SkinInt el: 0 cu: MICU-A cg: RN v1: Circulation Adeq st: NotStopd t0: [00:00:00 04/04/2014] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [00:00:00 04/04/2014] id: Riker-SAS Scale el: 0 cu: MICU-A cg: RN v1: Sedated st: NotStopd t0: [00:00:00 04/04/2014] id: Daily Wake Up el: 0 cu: MICU-A cg: RN v1: No st: NotStopd t0: [00:00:00 04/04/2014] id: GI Prophylaxis el: 0 cu: MICU-A cg: RN v1: H2 Blocker st: NotStopd t0: [00:00:00 04/04/2014] id: Diet Type el: 0 cu: MICU-A cg: RN v1: Tube Feeding st: NotStopd t0: [00:00:00 04/04/2014] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [00:00:00 04/04/2014] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [00:00:00 04/04/2014] id: Eye Opening el: 0 cu: MICU-A cg: RN v1: 2 To pain st: NotStopd t0: [00:00:00 04/04/2014] id: GCS Total el: 0 cu: MICU-A cg: RN v1: 8 u1: points st: NotStopd t0: [00:00:00 04/04/2014] id: GI Intub #1/Site el: 0 cu: MICU-A cg: RN v1: Salem Sump v2: Oral st: NotStopd t0: [00:00:00 04/04/2014] id: GI#1 Tube PlaceCheck el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [00:00:00 04/04/2014] id: GI#1 Tube Stat/Drain el: 0 cu: MICU-A cg: RN v1: Feeding v2: Undigested Food st: NotStopd t0: [00:00:00 04/04/2014] id: GU Catheter Size el: 0 cu: MICU-A cg: RN v1: 14 French st: NotStopd t0: [00:00:00 04/04/2014] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 53 u1: BPM st: NotStopd t0: [00:00:00 04/04/2014] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Sinus Brady st: NotStopd t0: [00:00:00 04/04/2014] id: INV Line#1 Type/Site el: 0 cu: MICU-A cg: RN v1: Multi-lumen v2: Left IJ st: NotStopd t0: [00:00:00 04/04/2014] id: INV Line#1 Zero/Cal el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [00:00:00 04/04/2014] id: INV Line#1InsertDate el: 0 cu: MICU-A cg: RN v1: 3 v2: 19 st: NotStopd t0: [00:00:00 04/04/2014] id: INV Line#1SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [00:00:00 04/04/2014] id: INV Line#4 Type/Site el: 0 cu: MICU-A cg: RN v1: A-Line v2: Right Brachial st: NotStopd t0: [00:00:00 04/04/2014] id: INV Line#4 Zero/Cal el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [00:00:00 04/04/2014] id: INV Line#4InsertDate el: 0 cu: MICU-A cg: RN v1: 3 v2: 17 st: NotStopd t0: [00:00:00 04/04/2014] id: INV Line#4SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [00:00:00 04/04/2014] id: Abdominal Assessment el: 0 cu: MICU-A cg: RN v1: Obese st: NotStopd t0: [00:00:00 04/04/2014] id: INV#1 WaveformAppear el: 0 cu: MICU-A cg: RN v1: Sharp st: NotStopd t0: [00:00:00 04/04/2014] id: INV#4 WaveformAppear el: 0 cu: MICU-A cg: RN v1: Sharp st: NotStopd t0: [00:00:00 04/04/2014] id: Imp Skin Cleanse #2 el: 0 cu: MICU-A cg: RN v1: Soap & H20 st: NotStopd t0: [00:00:00 04/04/2014] id: ImpSkin Character #1 el: 0 cu: MICU-A cg: RN v1: Hematoma st: NotStopd t0: [00:00:00 04/04/2014] id: ImpSkin Character #2 el: 0 cu: MICU-A cg: RN v1: Rash st: NotStopd t0: [00:00:00 04/04/2014] id: ImpSkin Treatment #1 el: 0 cu: MICU-A cg: RN v1: Open to Air st: NotStopd t0: [00:00:00 04/04/2014] id: ImpSkin Treatment #2 el: 0 cu: MICU-A cg: RN v1: Open to Air st: NotStopd t0: [00:00:00 04/04/2014] id: Impaired Skin Site#1 el: 0 cu: MICU-A cg: RN v1: Gluteal, Right st: NotStopd t0: [00:00:00 04/04/2014] id: Impaired Skin Site#2 el: 0 cu: MICU-A cg: RN v1: Labia st: NotStopd t0: [00:00:00 04/04/2014] id: LLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Diminished st: NotStopd t0: [00:00:00 04/04/2014] id: LUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [00:00:00 04/04/2014] id: Level of Conscious el: 0 cu: MICU-A cg: RN v1: Arouse to Stimul st: NotStopd t0: [00:00:00 04/04/2014] id: Motor Response el: 0 cu: MICU-A cg: RN v1: 5 Localizes Pain st: NotStopd t0: [00:00:00 04/04/2014] id: Oral Cavity el: 0 cu: MICU-A cg: RN v1: Thrush st: NotStopd t0: [00:00:00 04/04/2014] id: Orientation el: 0 cu: MICU-A cg: RN v1: Other/Remarks st: NotStopd t0: [00:00:00 04/04/2014] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 150 u1: mmHg v2: 75 u2: mmHg st: NotStopd t0: [00:00:00 04/04/2014] id: Pain Location el: 0 cu: MICU-A cg: RN v1: Not Indicated st: NotStopd t0: [00:00:00 04/04/2014] id: Pain Management el: 1 cu: MICU-A cg: RN v1: IV Gtt v2: IV Gtt st: NotStopd t0: [00:00:00 04/04/2014] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 104 u1: mmHg st: NotStopd t0: [00:00:00 04/04/2014] id: Position Change el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [00:00:00 04/04/2014] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [00:00:00 04/04/2014] id: RLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Diminished st: NotStopd t0: [00:00:00 04/04/2014] id: RUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [00:00:00 04/04/2014] id: Reason For Restraint el: 0 cu: MICU-A cg: RN v1: Ext/TXInterfere st: NotStopd t0: [00:00:00 04/04/2014] id: Removed x 5 Mins el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [00:00:00 04/04/2014] id: Respiratory Pattern el: 0 cu: MICU-A cg: RN v1: Regular st: NotStopd t0: [00:00:00 04/04/2014] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 19 u1: BPM st: NotStopd t0: [00:00:00 04/04/2014] id: Restraint Location el: 0 cu: MICU-A cg: RN v1: Both Arms st: NotStopd t0: [00:00:00 04/04/2014] id: Restraint Type el: 0 cu: MICU-A cg: RN v1: Soft Limb st: NotStopd t0: [00:00:00 04/04/2014] id: Restraints Evaluated el: 0 cu: MICU-A cg: RN v1: RestraintReapply st: NotStopd t0: [00:00:00 04/04/2014] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [00:00:00 04/04/2014] id: Skin Color el: 0 cu: MICU-A cg: RN v1: Flushed st: NotStopd t0: [00:00:00 04/04/2014] id: Skin Integrity el: 0 cu: MICU-A cg: RN v1: Impaired st: NotStopd t0: [00:00:00 04/04/2014] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 97 u1: % st: NotStopd t0: [00:00:00 04/04/2014] id: Stool Color/Consist el: 0 cu: MICU-A cg: RN v1: Brown v2: Liquid st: NotStopd t0: [00:00:00 04/04/2014] id: Support Systems el: 0 cu: MICU-A cg: RN v1: Spouse st: NotStopd t0: [00:00:00 04/04/2014] id: Temp. Site el: 0 cu: MICU-A cg: RN v1: Oral st: NotStopd t0: [00:00:00 04/04/2014] id: Temperature C (calc) el: 0 cu: MICU-A cg: RN v1: 36.8333 u1: Deg. C st: NotStopd t0: [00:00:00 04/04/2014] id: Temperature F el: 0 cu: MICU-A cg: RN v1: 98.3 u1: Deg. F st: NotStopd t0: [00:00:00 04/04/2014] id: Urine Color/Appear el: 0 cu: MICU-A cg: RN v1: Yellow v2: Sediment st: NotStopd t0: [00:00:00 04/04/2014] id: Urine Source el: 0 cu: MICU-A cg: RN v1: Indwelling Cath st: NotStopd t0: [00:00:00 04/04/2014] id: Verbal Response el: 0 cu: MICU-A cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [00:00:00 04/04/2014] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [00:00:00 04/04/2014] id: Behavior el: 0 cu: MICU-A cg: RN v1: Sedated st: NotStopd t0: [00:00:00 04/04/2014] id: Bowel Sounds el: 0 cu: MICU-A cg: RN v1: Present st: NotStopd t0: [00:00:00 04/04/2014] id: Braden Activity el: 0 cu: MICU-A cg: RN v1: Bedfast st: NotStopd t0: [00:00:00 04/04/2014] id: Braden Frict/Shear el: 0 cu: MICU-A cg: RN v1: Problem st: NotStopd t0: [00:00:00 04/04/2014] id: Braden Mobility el: 0 cu: MICU-A cg: RN v1: Comp. Immobile st: NotStopd t0: [00:00:00 04/04/2014] id: Braden Moisture el: 0 cu: MICU-A cg: RN v1: Occ. Moist st: NotStopd t0: [00:00:00 04/04/2014] id: Braden Nutrition el: 0 cu: MICU-A cg: RN v1: Adequate st: NotStopd t0: [00:00:00 04/04/2014] id: Braden Score el: 0 cu: MICU-A cg: RN v1: 11 u1: number st: NotStopd t0: [00:00:00 04/04/2014] id: Braden SensoryPercep el: 0 cu: MICU-A cg: RN v1: Very Limited st: NotStopd
t0: [00:00:00 04/04/2014] 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 04/04/2014] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 440 vu: ml
t0: [00:00:00 04/04/2014] id: Lasix el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 8 du: mghr sv: 50 su: ml rt: IV Drip t0: [00:00:00 04/04/2014] id: Propofol el: 2 cu: MICU-A cg: RN so: N/A vo: 0 v1: 40 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [00:50:00 04/04/2014] id: Compliance (40-60ml) el: 0 cu: MICU-A cg: -1 v1: 31.0345 u1: ml/cmH st: NotStopd t0: [00:50:00 04/04/2014] id: ETT Mark/Location el: 0 cu: MICU-A cg: -1 v1: 21cm v2: Lip st: NotStopd t0: [00:50:00 04/04/2014] id: FiO2 Set el: 0 cu: MICU-A cg: -1 v1: 0.5 u1: torr st: NotStopd t0: [00:50:00 04/04/2014] id: High Insp. Pressure el: 0 cu: MICU-A cg: -1 v1: 45 u1: cmH2O st: NotStopd t0: [00:50:00 04/04/2014] id: High Resp. Rate el: 0 cu: MICU-A cg: -1 v1: 40 u1: BPM st: NotStopd t0: [00:50:00 04/04/2014] id: I:E Ratio el: 0 cu: MICU-A cg: -1 v1: 1:2.1 st: NotStopd t0: [00:50:00 04/04/2014] id: Airway Size el: 0 cu: MICU-A cg: -1 v1: 7.5 mm st: NotStopd t0: [00:50:00 04/04/2014] id: Airway Type el: 0 cu: MICU-A cg: -1 v1: Endotracheal st: NotStopd t0: [00:50:00 04/04/2014] id: Inspired Gas Temp el: 0 cu: MICU-A cg: -1 v1: 34.5 u1: Deg. C st: NotStopd t0: [00:50:00 04/04/2014] id: Intubation Date el: 0 cu: MICU-A cg: -1 v1: 3 v2: 12 st: NotStopd t0: [00:50:00 04/04/2014] id: Low Exhaled Min Vol el: 0 cu: MICU-A cg: -1 v1: 5 st: NotStopd t0: [00:50:00 04/04/2014] id: Low Insp. Pressure el: 0 cu: MICU-A cg: -1 v1: 18 u1: cmH2O st: NotStopd t0: [00:50:00 04/04/2014] id: Mean Airway Pressure el: 0 cu: MICU-A cg: -1 v1: 20.2 u1: cmH2O st: NotStopd t0: [00:50:00 04/04/2014] id: Minute Volume(Obser) el: 0 cu: MICU-A cg: -1 v1: 8.96 u1: L/min st: NotStopd t0: [00:50:00 04/04/2014] id: PEEP Set el: 0 cu: MICU-A cg: -1 v1: 15 u1: cmH2O st: NotStopd t0: [00:50:00 04/04/2014] id: Apnea Time Interval el: 0 cu: MICU-A cg: -1 v1: 20 st: NotStopd t0: [00:50:00 04/04/2014] id: Peak Flow el: 0 cu: MICU-A cg: -1 v1: 50 u1: L/m st: NotStopd t0: [00:50:00 04/04/2014] id: Peak Insp. Pressure el: 0 cu: MICU-A cg: -1 v1: 29.5 u1: cmH2O st: NotStopd t0: [00:50:00 04/04/2014] id: Plateau Pressure el: 0 cu: MICU-A cg: -1 v1: 26.9 u1: cmH2O st: NotStopd t0: [00:50:00 04/04/2014] id: Plateau-Off el: 0 cu: MICU-A cg: -1 v1: Yes st: NotStopd t0: [00:50:00 04/04/2014] id: Resp Rate (Spont) el: 0 cu: MICU-A cg: -1 v1: 0 u1: BPM st: NotStopd t0: [00:50:00 04/04/2014] id: Resp Rate (Total) el: 0 cu: MICU-A cg: -1 v1: 20 u1: BPM st: NotStopd t0: [00:50:00 04/04/2014] id: Respiratory Rate Set el: 0 cu: MICU-A cg: -1 v1: 20 u1: BPM st: NotStopd t0: [00:50:00 04/04/2014] id: Sensitivity-Vent el: 0 cu: MICU-A cg: -1 v1: 1.5 u1: cmH2O st: NotStopd t0: [00:50:00 04/04/2014] id: SpO2 el: 0 cu: MICU-A cg: -1 v1: 97 u1: % st: NotStopd t0: [00:50:00 04/04/2014] id: Tidal Volume (Obser) el: 0 cu: MICU-A cg: -1 v1: 450 u1: ml/B st: NotStopd t0: [00:50:00 04/04/2014] id: Tidal Volume (Set) el: 0 cu: MICU-A cg: -1 v1: 450 u1: ml/B st: NotStopd t0: [00:50:00 04/04/2014] id: Ventilator Mode el: 0 cu: MICU-A cg: -1 v1: Assist Control st: NotStopd t0: [00:50:00 04/04/2014] id: Ventilator No. el: 0 cu: MICU-A cg: -1 v1: 6 u1: # st: NotStopd t0: [00:50:00 04/04/2014] id: Ventilator Type el: 0 cu: MICU-A cg: -1 v1: 7200A st: NotStopd t0: [00:50:00 04/04/2014] id: Waveform-Vent el: 0 cu: MICU-A cg: -1 v1: RAMP st: NotStopd t0: [01:00:00 04/04/2014] id: Service Type el: 0 cu: MICU-A cg: -1 v1: MICU st: NotStopd t0: [01:00:00 04/04/2014] id: Code Status el: 0 cu: MICU-A cg: -1 v1: Full Code st: NotStopd t0: [01:00:00 04/04/2014] id: Ectopy Frequency el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [01:00:00 04/04/2014] id: Ectopy Type el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [01:00:00 04/04/2014] id: Heart Rate el: 0 cu: MICU-A cg: -1 v1: 52 u1: BPM st: NotStopd t0: [01:00:00 04/04/2014] id: Heart Rhythm el: 0 cu: MICU-A cg: -1 v1: Sinus Brady st: NotStopd t0: [01:00:00 04/04/2014] id: Arterial BP el: 0 cu: MICU-A cg: -1 v1: 153 u1: mmHg v2: 74 u2: mmHg st: NotStopd t0: [01:00:00 04/04/2014] id: Arterial BP Mean el: 0 cu: MICU-A cg: -1 v1: 105 u1: mmHg st: NotStopd t0: [01:00:00 04/04/2014] id: Precautions el: 0 cu: MICU-A cg: -1 v1: Universal st: NotStopd t0: [01:00:00 04/04/2014] id: Respiratory Rate el: 0 cu: MICU-A cg: -1 v1: 20 u1: BPM st: NotStopd t0: [01:00:00 04/04/2014] id: SpO2 el: 0 cu: MICU-A cg: -1 v1: 97 u1: % st: NotStopd t0: [01:00:00 04/04/2014] id: calprevflg el: 0 cu: MICU-A cg: -1 v1: 1 u1: kg st: NotStopd
t0: [01:00:00 04/04/2014] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 10 vu: ml t0: [01:00:00 04/04/2014] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 2 cu: MICU-A cg: -1 ai: 209 vo: 21.576 vu: ml t0: [01:00:00 04/04/2014] id: Gastric Meds PO/Gastric el: 1 cu: MICU-A cg: -1 ai: 155 vo: 170 vu: ml t0: [01:00:00 04/04/2014] id: D5W 50.0ml + 100mghr Lasix IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 4 vu: ml t0: [01:00:00 04/04/2014] id: IV Piggyback 100.0ml IV Infusions el: 1 cu: MICU-A cg: -1 ai: 105 vo: 50 vu: ml t0: [01:00:00 04/04/2014] id: Promote w/fiber Tube Feeding el: 1 cu: MICU-A cg: -1 ai: 107 vo: 65 vu: ml
t0: [01:00:00 04/04/2014] id: Propofol el: 2 cu: MICU-A so: N/A vo: 0 v1: 40 du: mcgkgmin sv: 50 su: vl rt: IV Drip
tf: [00:00:00 05/04/2014] pt: Unit Dose rt: PO fr: ONCE fs: 1 dn: 1 m1: Potassium Chloride f1: CAP v1: 40 u1: mEq tf: [00:00:00 05/04/2014] pt: Unit Dose rt: PO fr: ONCE fs: 1 dn: 1 m1: Potassium Chloride f1: PWDR v1: 60 u1: mEq tf: [00:00:00 05/04/2014] pt: Unit Dose rt: PO fr: ONCE fs: 1 dn: 1 m1: Potassium Chloride f1: PWDR v1: 80 u1: mEq
t0: [23:00:00 04/04/2014] dt: 24 id: PO/Gastric In Total el: 2 cu: MICU-A cg: -1 cv: 410 ap: none
t0: [23:00:00 03/04/2014] id: Potassium (3.5-5.3) Chemistry el: 0 cu: MICU-A cg: RN v1: 3.2 rs: Final st: NotStopd
t0: [00:00:00 04/04/2014] id: TF Residual Gastric/TF Residual el: 1 cu: MICU-A cg: RN ai: 107 vo: 5 vu: ml t0: [00:00:00 04/04/2014] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 2 cu: MICU-A cg: RN ai: 209 vo: 21.576 vu: ml nb: 1 t0: [00:00:00 04/04/2014] id: D5W 50.0ml + 100mghr Lasix IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 4 vu: ml nb: 1 t0: [00:00:00 04/04/2014] id: Promote w/fiber Tube Feeding el: 1 cu: MICU-A cg: RN ai: 107 vo: 65 vu: ml nb: 1 t0: [01:00:00 04/04/2014] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 300 vu: ml
t0: [01:00:00 04/04/2014] id: Lasix el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 6 du: mghr sv: 50 su: ml rt: IV Drip
t0: [23:00:00 04/04/2014] dt: 1 id: Total Hourly Output el: 2 cu: MICU-A cg: -1 pv: 200 cv: 200 ap: none t0: [23:00:00 04/04/2014] dt: 1 id: Net Hourly Balance el: 2 cu: MICU-A cg: -1 pv: -100.424 cv: -100.424 ap: none t0: [23:00:00 04/04/2014] dt: 24 id: IV Infusion In Total el: 2 cu: MICU-A cg: -1 pv: 34.576 cv: 1806.82 ap: none t0: [23:00:00 04/04/2014] dt: 24 id: 24h Total In el: 2 cu: MICU-A cg: -1 pv: 99.576 cv: 3641.82 ap: none t0: [23:00:00 04/04/2014] dt: 24 id: Tube Feeds In Total el: 2 cu: MICU-A cg: -1 pv: 65 cv: 1425 ap: none t0: [23:00:00 04/04/2014] dt: 24 id: Urine Out Total el: 2 cu: MICU-A cg: -1 pv: 200 cv: 6170 ap: none t0: [23:00:00 04/04/2014] dt: 24 id: 24h Net Body Balance el: 2 cu: MICU-A cg: -1 pv: -100.424 cv: -2528.18 ap: carryForward t0: [23:00:00 04/04/2014] dt: 24 id: 24h Total Out el: 2 cu: MICU-A cg: -1 pv: 200 cv: 6170 ap: carryForward t0: [23:00:00 04/04/2014] dt: multiple days id: LOS Net Body Balance el: 2 cu: MICU-A cg: -1 pv: -100.424 cv: 17132.7 ap: carryForward
t0: [00:00:00 04/04/2014] id: Dorsal PedPulse R/L el: 0 cu: MICU-A cg: RN v1: Weak Palpable v2: Weak Palpable st: NotStopd t0: [00:00:00 04/04/2014] id: PostTib. Pulses R/L el: 0 cu: MICU-A cg: RN v1: Weak Palpable v2: Weak Palpable st: NotStopd
t0: [02:00:00 04/04/2014] id: Range of Motion el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [02:00:00 04/04/2014] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [02:00:00 04/04/2014] id: Circulation/SkinInt el: 0 cu: MICU-A cg: RN v1: Circulation Adeq st: NotStopd t0: [02:00:00 04/04/2014] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [02:00:00 04/04/2014] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [02:00:00 04/04/2014] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [02:00:00 04/04/2014] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 54 u1: BPM st: NotStopd t0: [02:00:00 04/04/2014] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Sinus Brady st: NotStopd t0: [02:00:00 04/04/2014] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 145 u1: mmHg v2: 73 u2: mmHg st: NotStopd t0: [02:00:00 04/04/2014] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 102 u1: mmHg st: NotStopd t0: [02:00:00 04/04/2014] id: Position Change el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [02:00:00 04/04/2014] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [02:00:00 04/04/2014] id: Reason For Restraint el: 0 cu: MICU-A cg: RN v1: Ext/TXInterfere st: NotStopd t0: [02:00:00 04/04/2014] id: Removed x 5 Mins el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [02:00:00 04/04/2014] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 20 u1: BPM st: NotStopd t0: [02:00:00 04/04/2014] id: Restraint Location el: 0 cu: MICU-A cg: RN v1: Both Arms st: NotStopd t0: [02:00:00 04/04/2014] id: Restraint Type el: 0 cu: MICU-A cg: RN v1: Soft Limb st: NotStopd t0: [02:00:00 04/04/2014] id: Restraints Evaluated el: 0 cu: MICU-A cg: RN v1: RestraintReapply st: NotStopd t0: [02:00:00 04/04/2014] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [02:00:00 04/04/2014] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 98 u1: % st: NotStopd t0: [02:00:00 04/04/2014] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [02:00:00 04/04/2014] 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 04/04/2014] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 2 cu: MICU-A cg: RN ai: 209 vo: 21.576 vu: ml t0: [02:00:00 04/04/2014] id: D5W 50.0ml + 100mghr Lasix IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 3 vu: ml t0: [02:00:00 04/04/2014] id: Promote w/fiber Tube Feeding el: 1 cu: MICU-A cg: RN ai: 107 vo: 65 vu: ml t0: [02:00:00 04/04/2014] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 430 vu: ml
t0: [02:00:00 04/04/2014] id: Lasix el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 6 du: mghr sv: 50 su: ml rt: IV Drip t0: [02:00:00 04/04/2014] id: Propofol el: 2 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 04/04/2014] id: Temperature C (calc) el: 0 cu: MICU-A cg: RN v1: 37.1111 u1: Deg. C st: NotStopd t0: [03:00:00 04/04/2014] id: Temperature F el: 0 cu: MICU-A cg: RN v1: 98.8 u1: Deg. F st: NotStopd
t0: [03:00:00 04/04/2014] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [03:00:00 04/04/2014] id: CVP el: 0 cu: MICU-A cg: RN v1: 9 u1: mmHg st: NotStopd t0: [03:00:00 04/04/2014] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [03:00:00 04/04/2014] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [03:00:00 04/04/2014] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [03:00:00 04/04/2014] id: HOB el: 0 cu: MICU-A cg: RN v1: Reverse T-Berg st: NotStopd t0: [03:00:00 04/04/2014] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 63 u1: BPM st: NotStopd t0: [03:00:00 04/04/2014] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [03:00:00 04/04/2014] id: Activity el: 0 cu: MICU-A cg: RN v1: Bedrest st: NotStopd t0: [03:00:00 04/04/2014] id: Activity Tolerance el: 0 cu: MICU-A cg: RN v1: Tolerated Well st: NotStopd t0: [03:00:00 04/04/2014] id: AntiEmbDevice/Status el: 0 cu: MICU-A cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [03:00:00 04/04/2014] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 123 u1: mmHg v2: 60 u2: mmHg st: NotStopd t0: [03:00:00 04/04/2014] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 83 u1: mmHg st: NotStopd t0: [03:00:00 04/04/2014] id: Position el: 0 cu: MICU-A cg: RN v1: Left Side st: NotStopd t0: [03:00:00 04/04/2014] id: Assistance Device el: 0 cu: MICU-A cg: RN v1: 2 Person Assist st: NotStopd t0: [03:00:00 04/04/2014] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [03:00:00 04/04/2014] id: PressureReduceDevice el: 0 cu: MICU-A cg: RN v1: Multipodus Boots st: NotStopd t0: [03:00:00 04/04/2014] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 20 u1: BPM st: NotStopd t0: [03:00:00 04/04/2014] id: Skin Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [03:00:00 04/04/2014] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 96 u1: % st: NotStopd t0: [03:00:00 04/04/2014] id: Sputum Color/Consist el: 0 cu: MICU-A cg: RN v1: Yellow v2: Thin st: NotStopd t0: [03:00:00 04/04/2014] id: Sputum Source/Amt el: 0 cu: MICU-A cg: RN v1: Suctioned v2: Scant st: NotStopd t0: [03:00:00 04/04/2014] id: Temp. Site el: 0 cu: MICU-A cg: RN v1: Oral st: NotStopd t0: [03:00:00 04/04/2014] id: Therapeutic Bed el: 0 cu: MICU-A cg: RN v1: AirMatt/1st Step st: NotStopd t0: [03:00:00 04/04/2014] id: Turn el: 0 cu: MICU-A cg: RN v1: Side to Side st: NotStopd t0: [03:00:00 04/04/2014] id: Back Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [03:00:00 04/04/2014] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [03:00:00 04/04/2014] 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 04/04/2014] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 2 cu: MICU-A cg: RN ai: 209 vo: 21.576 vu: ml t0: [03:00:00 04/04/2014] id: D5W 50.0ml + 100mghr Lasix IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 3 vu: ml t0: [03:00:00 04/04/2014] id: Promote w/fiber Tube Feeding el: 1 cu: MICU-A cg: RN ai: 107 vo: 65 vu: ml t0: [03:00:00 04/04/2014] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 150 vu: ml
t0: [03:00:00 04/04/2014] id: Lasix el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 6 du: mghr sv: 50 su: ml rt: IV Drip t0: [03:00:00 04/04/2014] id: Propofol el: 2 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 04/04/2014] id: Pain Present el: 0 cu: MICU-A cg: RN v1: Other/Remarks st: NotStopd t0: [04:00:00 04/04/2014] id: Range of Motion el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [04:00:00 04/04/2014] id: Pain Assess Method el: 0 cu: MICU-A cg: RN v1: Change in Vitals st: NotStopd t0: [04:00:00 04/04/2014] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [04:00:00 04/04/2014] id: Circulation/SkinInt el: 0 cu: MICU-A cg: RN v1: Circulation Adeq st: NotStopd t0: [04:00:00 04/04/2014] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [04:00:00 04/04/2014] id: Riker-SAS Scale el: 0 cu: MICU-A cg: RN v1: Sedated st: NotStopd t0: [04:00:00 04/04/2014] id: Daily Wake Up el: 0 cu: MICU-A cg: RN v1: No st: NotStopd t0: [04:00:00 04/04/2014] id: GI Prophylaxis el: 0 cu: MICU-A cg: RN v1: H2 Blocker st: NotStopd t0: [04:00:00 04/04/2014] id: Diet Type el: 0 cu: MICU-A cg: RN v1: Tube Feeding st: NotStopd t0: [04:00:00 04/04/2014] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [04:00:00 04/04/2014] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [04:00:00 04/04/2014] id: Eye Opening el: 0 cu: MICU-A cg: RN v1: 1 No Response st: NotStopd t0: [04:00:00 04/04/2014] id: GCS Total el: 0 cu: MICU-A cg: RN v1: 3 u1: points st: NotStopd t0: [04:00:00 04/04/2014] id: GI Intub #1/Site el: 0 cu: MICU-A cg: RN v1: Salem Sump v2: Oral st: NotStopd t0: [04:00:00 04/04/2014] id: GI#1 Tube PlaceCheck el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [04:00:00 04/04/2014] id: GI#1 Tube Stat/Drain el: 0 cu: MICU-A cg: RN v1: Feeding v2: Undigested Food st: NotStopd t0: [04:00:00 04/04/2014] id: GU Catheter Size el: 0 cu: MICU-A cg: RN v1: 14 French st: NotStopd t0: [04:00:00 04/04/2014] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 59 u1: BPM st: NotStopd t0: [04:00:00 04/04/2014] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Sinus Brady st: NotStopd t0: [04:00:00 04/04/2014] id: INV Line#1 Type/Site el: 0 cu: MICU-A cg: RN v1: Multi-lumen v2: Left IJ st: NotStopd t0: [04:00:00 04/04/2014] id: INV Line#1 Zero/Cal el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [04:00:00 04/04/2014] id: INV Line#1InsertDate el: 0 cu: MICU-A cg: RN v1: 3 v2: 19 st: NotStopd t0: [04:00:00 04/04/2014] id: INV Line#1SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [04:00:00 04/04/2014] id: INV Line#4 Type/Site el: 0 cu: MICU-A cg: RN v1: A-Line v2: Right Brachial st: NotStopd t0: [04:00:00 04/04/2014] id: INV Line#4 Zero/Cal el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [04:00:00 04/04/2014] id: INV Line#4InsertDate el: 0 cu: MICU-A cg: RN v1: 3 v2: 17 st: NotStopd t0: [04:00:00 04/04/2014] id: INV Line#4SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [04:00:00 04/04/2014] id: Abdominal Assessment el: 0 cu: MICU-A cg: RN v1: Obese st: NotStopd t0: [04:00:00 04/04/2014] id: INV#1 WaveformAppear el: 0 cu: MICU-A cg: RN v1: Sharp st: NotStopd t0: [04:00:00 04/04/2014] id: INV#4 WaveformAppear el: 0 cu: MICU-A cg: RN v1: Sharp st: NotStopd t0: [04:00:00 04/04/2014] id: Imp Skin Cleanse #2 el: 0 cu: MICU-A cg: RN v1: Soap & H20 st: NotStopd t0: [04:00:00 04/04/2014] id: ImpSkin Character #1 el: 0 cu: MICU-A cg: RN v1: Hematoma st: NotStopd t0: [04:00:00 04/04/2014] id: ImpSkin Character #2 el: 0 cu: MICU-A cg: RN v1: Rash st: NotStopd t0: [04:00:00 04/04/2014] id: ImpSkin Treatment #1 el: 0 cu: MICU-A cg: RN v1: Open to Air st: NotStopd t0: [04:00:00 04/04/2014] id: ImpSkin Treatment #2 el: 0 cu: MICU-A cg: RN v1: Open to Air st: NotStopd t0: [04:00:00 04/04/2014] id: Impaired Skin Site#1 el: 0 cu: MICU-A cg: RN v1: Gluteal, Right st: NotStopd t0: [04:00:00 04/04/2014] id: Impaired Skin Site#2 el: 0 cu: MICU-A cg: RN v1: Labia st: NotStopd t0: [04:00:00 04/04/2014] id: LLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Diminished st: NotStopd t0: [04:00:00 04/04/2014] id: LUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [04:00:00 04/04/2014] id: Level of Conscious el: 0 cu: MICU-A cg: RN v1: Sedated st: NotStopd t0: [04:00:00 04/04/2014] id: Motor Response el: 0 cu: MICU-A cg: RN v1: 1 No Response st: NotStopd t0: [04:00:00 04/04/2014] id: Oral Cavity el: 0 cu: MICU-A cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [04:00:00 04/04/2014] id: Orientation el: 0 cu: MICU-A cg: RN v1: Other/Remarks st: NotStopd t0: [04:00:00 04/04/2014] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 129 u1: mmHg v2: 65 u2: mmHg st: NotStopd t0: [04:00:00 04/04/2014] id: Pain Location el: 0 cu: MICU-A cg: RN v1: Not Indicated st: NotStopd t0: [04:00:00 04/04/2014] id: Pain Management el: 1 cu: MICU-A cg: RN v1: IV Gtt v2: IV Gtt st: NotStopd t0: [04:00:00 04/04/2014] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 91 u1: mmHg st: NotStopd t0: [04:00:00 04/04/2014] id: Position Change el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [04:00:00 04/04/2014] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [04:00:00 04/04/2014] id: QTc el: 0 cu: MICU-A cg: RN v1: 0.4 u1: sec st: NotStopd t0: [04:00:00 04/04/2014] id: RLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Diminished st: NotStopd t0: [04:00:00 04/04/2014] id: RUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [04:00:00 04/04/2014] id: Reason For Restraint el: 0 cu: MICU-A cg: RN v1: Ext/TXInterfere st: NotStopd t0: [04:00:00 04/04/2014] id: Removed x 5 Mins el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [04:00:00 04/04/2014] id: Respiratory Pattern el: 0 cu: MICU-A cg: RN v1: Regular st: NotStopd t0: [04:00:00 04/04/2014] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 20 u1: BPM st: NotStopd t0: [04:00:00 04/04/2014] id: Restraint Location el: 0 cu: MICU-A cg: RN v1: Both Arms st: NotStopd t0: [04:00:00 04/04/2014] id: Restraint Type el: 0 cu: MICU-A cg: RN v1: Soft Limb st: NotStopd t0: [04:00:00 04/04/2014] id: Restraints Evaluated el: 0 cu: MICU-A cg: RN v1: RestraintReapply st: NotStopd t0: [04:00:00 04/04/2014] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [04:00:00 04/04/2014] id: Skin Color el: 0 cu: MICU-A cg: RN v1: Flushed st: NotStopd t0: [04:00:00 04/04/2014] id: Skin Integrity el: 0 cu: MICU-A cg: RN v1: Impaired st: NotStopd t0: [04:00:00 04/04/2014] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 97 u1: % st: NotStopd t0: [04:00:00 04/04/2014] id: Stool Color/Consist el: 0 cu: MICU-A cg: RN v1: Brown v2: Loose st: NotStopd t0: [04:00:00 04/04/2014] id: Support Systems el: 0 cu: MICU-A cg: RN v1: Spouse st: NotStopd t0: [04:00:00 04/04/2014] id: Urine Color/Appear el: 0 cu: MICU-A cg: RN v1: Yellow v2: Sediment st: NotStopd t0: [04:00:00 04/04/2014] id: Urine Source el: 0 cu: MICU-A cg: RN v1: Indwelling Cath st: NotStopd t0: [04:00:00 04/04/2014] id: Verbal Response el: 0 cu: MICU-A cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [04:00:00 04/04/2014] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [04:00:00 04/04/2014] id: Behavior el: 0 cu: MICU-A cg: RN v1: Sedated st: NotStopd t0: [04:00:00 04/04/2014] id: Bowel Sounds el: 0 cu: MICU-A cg: RN v1: Present st: NotStopd
t0: [03:00:00 04/04/2014] id: Stool Out (non-specific) el: 1 cu: MICU-A cg: RN vu: ml es: Small t0: [04:00:00 04/04/2014] id: TF Residual Gastric/TF Residual el: 1 cu: MICU-A cg: RN ai: 107 vo: 25 vu: ml t0: [04:00:00 04/04/2014] 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 04/04/2014] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 2 cu: MICU-A cg: RN ai: 209 vo: 21.576 vu: ml t0: [04:00:00 04/04/2014] id: Gastric Meds PO/Gastric el: 1 cu: MICU-A cg: RN ai: 155 vo: 30 vu: ml t0: [04:00:00 04/04/2014] id: D5W 50.0ml + 100mghr Lasix IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 3 vu: ml t0: [04:00:00 04/04/2014] id: IV Piggyback 100.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 105 vo: 50 vu: ml t0: [04:00:00 04/04/2014] id: Promote w/fiber Tube Feeding el: 1 cu: MICU-A cg: RN ai: 107 vo: 65 vu: ml t0: [04:00:00 04/04/2014] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 170 vu: ml
t0: [04:00:00 04/04/2014] id: Lasix el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 6 du: mghr sv: 50 su: ml rt: IV Drip t0: [04:00:00 04/04/2014] id: Propofol el: 2 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 04/04/2014] dt: 24 id: Stool Out Total el: 2 cu: MICU-A cg: RN cv: 0 ap: carryForward
t0: [23:00:00 03/04/2014] id: Vancomycin/Trough Drug Level el: 0 cu: MICU-A cg: 1663 v1: 14.6 rs: Final st: NotStopd
t0: [04:00:00 04/04/2014] id: Compliance (40-60ml) el: 0 cu: MICU-A cg: RRT v1: 25.2809 u1: ml/cmH st: NotStopd t0: [04:00:00 04/04/2014] id: ETT Mark/Location el: 0 cu: MICU-A cg: RRT v1: 21cm v2: Lip st: NotStopd t0: [04:00:00 04/04/2014] id: FiO2 Set el: 0 cu: MICU-A cg: RRT v1: 0.5 u1: torr st: NotStopd t0: [04:00:00 04/04/2014] id: Flow-By (lpm) el: 0 cu: MICU-A cg: RRT v1: 0 u1: lpm st: NotStopd t0: [04:00:00 04/04/2014] id: Flow-by Sensitivity el: 0 cu: MICU-A cg: RRT v1: 3 u1: cmH2O st: NotStopd t0: [04:00:00 04/04/2014] id: High Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 45 u1: cmH2O st: NotStopd t0: [04:00:00 04/04/2014] id: High Resp. Rate el: 0 cu: MICU-A cg: RRT v1: 30 u1: BPM st: NotStopd t0: [04:00:00 04/04/2014] id: I:E Ratio el: 0 cu: MICU-A cg: RRT v1: 1:2.3 st: NotStopd t0: [04:00:00 04/04/2014] id: Airway Size el: 0 cu: MICU-A cg: RRT v1: 7.5 mm st: NotStopd t0: [04:00:00 04/04/2014] id: Airway Type el: 0 cu: MICU-A cg: RRT v1: Endotracheal st: NotStopd t0: [04:00:00 04/04/2014] id: Inspired Gas Temp el: 0 cu: MICU-A cg: RRT v1: 34.5 u1: Deg. C st: NotStopd t0: [04:00:00 04/04/2014] id: Intubation Date el: 0 cu: MICU-A cg: RRT v1: 3 v2: 12 st: NotStopd t0: [04:00:00 04/04/2014] id: Low Exhaled Min Vol el: 0 cu: MICU-A cg: RRT v1: 6 st: NotStopd t0: [04:00:00 04/04/2014] id: Low Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 20 u1: cmH2O st: NotStopd t0: [04:00:00 04/04/2014] id: Mean Airway Pressure el: 0 cu: MICU-A cg: RRT v1: 21 u1: cmH2O st: NotStopd t0: [04:00:00 04/04/2014] id: Minute Volume(Obser) el: 0 cu: MICU-A cg: RRT v1: 9 u1: L/min st: NotStopd t0: [04:00:00 04/04/2014] id: PEEP Set el: 0 cu: MICU-A cg: RRT v1: 15 u1: cmH2O st: NotStopd t0: [04:00:00 04/04/2014] id: Apnea Time Interval el: 0 cu: MICU-A cg: RRT v1: 20 st: NotStopd t0: [04:00:00 04/04/2014] id: Peak Flow el: 0 cu: MICU-A cg: RRT v1: 55 u1: L/m st: NotStopd t0: [04:00:00 04/04/2014] id: Peak Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 32.8 u1: cmH2O st: NotStopd t0: [04:00:00 04/04/2014] id: Plateau Pressure el: 0 cu: MICU-A cg: RRT v1: 27.6 u1: cmH2O st: NotStopd t0: [04:00:00 04/04/2014] id: Plateau-Off el: 0 cu: MICU-A cg: RRT v1: Yes st: NotStopd t0: [04:00:00 04/04/2014] id: Auto-PEEP Level el: 0 cu: MICU-A cg: RRT v1: 1 u1: cmH2O st: NotStopd t0: [04:00:00 04/04/2014] id: Resp Rate (Spont) el: 0 cu: MICU-A cg: RRT v1: 0 u1: BPM st: NotStopd t0: [04:00:00 04/04/2014] id: Resp Rate (Total) el: 0 cu: MICU-A cg: RRT v1: 20 u1: BPM st: NotStopd t0: [04:00:00 04/04/2014] id: Respiratory Rate Set el: 0 cu: MICU-A cg: RRT v1: 20 u1: BPM st: NotStopd t0: [04:00:00 04/04/2014] id: Sensitivity-Vent el: 0 cu: MICU-A cg: RRT v1: 1.5 u1: cmH2O st: NotStopd t0: [04:00:00 04/04/2014] id: Tidal Volume (Obser) el: 0 cu: MICU-A cg: RRT v1: 450 u1: ml/B st: NotStopd t0: [04:00:00 04/04/2014] id: Tidal Volume (Set) el: 0 cu: MICU-A cg: RRT v1: 450 u1: ml/B st: NotStopd t0: [04:00:00 04/04/2014] id: Total PEEP Level el: 0 cu: MICU-A cg: RRT v1: 16 u1: cmH2O st: NotStopd t0: [04:00:00 04/04/2014] id: Ventilator Mode el: 0 cu: MICU-A cg: RRT v1: Assist Control st: NotStopd t0: [04:00:00 04/04/2014] id: Ventilator No. el: 0 cu: MICU-A cg: RRT v1: 6 u1: # st: NotStopd t0: [04:00:00 04/04/2014] id: Ventilator Type el: 0 cu: MICU-A cg: RRT v1: 7200A st: NotStopd t0: [04:00:00 04/04/2014] id: Waveform-Vent el: 0 cu: MICU-A cg: RRT v1: RAMP st: NotStopd
t0: [04:52:00 04/04/2014] id: Art.pH ABG el: 0 cu: MICU-A cg: 1663 v1: 7.49 rs: Final st: NotStopd t0: [04:52:00 04/04/2014] id: Arterial Base Excess ABG el: 0 cu: MICU-A cg: 1663 v1: 8 rs: Final st: NotStopd t0: [04:52:00 04/04/2014] id: Arterial CO2(Calc) ABG el: 0 cu: MICU-A cg: 1663 v1: 34 rs: Final st: NotStopd t0: [04:52:00 04/04/2014] id: Arterial PaCO2 ABG el: 0 cu: MICU-A cg: 1663 v1: 43 u1: mmHg rs: Final st: NotStopd t0: [04:52:00 04/04/2014] id: Arterial PaO2 ABG el: 0 cu: MICU-A cg: 1663 v1: 85 u1: mmHg rs: Final st: NotStopd t0: [04:52:00 04/04/2014] id: Arterial pH ABG el: 0 cu: MICU-A cg: 1663 v1: 7.49 rs: Final st: NotStopd
t0: [05:00:00 04/04/2014] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [05:00:00 04/04/2014] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [05:00:00 04/04/2014] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [05:00:00 04/04/2014] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [05:00:00 04/04/2014] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 61 u1: BPM st: NotStopd t0: [05:00:00 04/04/2014] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [05:00:00 04/04/2014] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 138 u1: mmHg v2: 68 u2: mmHg st: NotStopd t0: [05:00:00 04/04/2014] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 96 u1: mmHg st: NotStopd t0: [05:00:00 04/04/2014] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [05:00:00 04/04/2014] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 20 u1: BPM st: NotStopd t0: [05:00:00 04/04/2014] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 97 u1: % st: NotStopd t0: [05:00:00 04/04/2014] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [05:00:00 04/04/2014] 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 04/04/2014] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 2 cu: MICU-A cg: RN ai: 209 vo: 21.576 vu: ml t0: [05:00:00 04/04/2014] id: D5W 50.0ml + 100mghr Lasix IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 3 vu: ml t0: [05:00:00 04/04/2014] id: IV Piggyback 100.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 105 vo: 200 vu: ml t0: [05:00:00 04/04/2014] id: Promote w/fiber Tube Feeding el: 1 cu: MICU-A cg: RN ai: 107 vo: 65 vu: ml t0: [05:00:00 04/04/2014] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 220 vu: ml
t0: [05:00:00 04/04/2014] id: Lasix el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 6 du: mghr sv: 50 su: ml rt: IV Drip t0: [05:00:00 04/04/2014] id: Propofol el: 2 cu: MICU-A cg: RN so: N/A vo: 0 v1: 40 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [05:05:00 04/04/2014] id: Compliance (40-60ml) el: 0 cu: MICU-A cg: RRT v1: 26.7857 u1: ml/cmH st: NotStopd t0: [05:05:00 04/04/2014] id: ETT Mark/Location el: 0 cu: MICU-A cg: RRT v1: 21cm v2: Lip st: NotStopd t0: [05:05:00 04/04/2014] id: FiO2 Set el: 0 cu: MICU-A cg: RRT v1: 0.5 u1: torr st: NotStopd t0: [05:05:00 04/04/2014] id: Flow-By (lpm) el: 0 cu: MICU-A cg: RRT v1: 0 u1: lpm st: NotStopd t0: [05:05:00 04/04/2014] id: High Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 45 u1: cmH2O st: NotStopd t0: [05:05:00 04/04/2014] id: High Resp. Rate el: 0 cu: MICU-A cg: RRT v1: 30 u1: BPM st: NotStopd t0: [05:05:00 04/04/2014] id: I:E Ratio el: 0 cu: MICU-A cg: RRT v1: 1:2.3 st: NotStopd t0: [05:05:00 04/04/2014] id: Airway Size el: 0 cu: MICU-A cg: RRT v1: 7.5 mm st: NotStopd t0: [05:05:00 04/04/2014] id: Airway Type el: 0 cu: MICU-A cg: RRT v1: Endotracheal st: NotStopd t0: [05:05:00 04/04/2014] id: Inspired Gas Temp el: 0 cu: MICU-A cg: RRT v1: 34 u1: Deg. C st: NotStopd t0: [05:05:00 04/04/2014] id: Intubation Date el: 0 cu: MICU-A cg: RRT v1: 3 v2: 12 st: NotStopd t0: [05:05:00 04/04/2014] id: Low Exhaled Min Vol el: 0 cu: MICU-A cg: RRT v1: 6 st: NotStopd t0: [05:05:00 04/04/2014] id: Low Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 20 u1: cmH2O st: NotStopd t0: [05:05:00 04/04/2014] id: Mean Airway Pressure el: 0 cu: MICU-A cg: RRT v1: 20.6 u1: cmH2O st: NotStopd t0: [05:05:00 04/04/2014] id: Minute Volume(Obser) el: 0 cu: MICU-A cg: RRT v1: 9 u1: L/min st: NotStopd t0: [05:05:00 04/04/2014] id: PEEP Set el: 0 cu: MICU-A cg: RRT v1: 15.2 u1: cmH2O st: NotStopd t0: [05:05:00 04/04/2014] id: Apnea Time Interval el: 0 cu: MICU-A cg: RRT v1: 20 st: NotStopd t0: [05:05:00 04/04/2014] id: Peak Flow el: 0 cu: MICU-A cg: RRT v1: 55 u1: L/m st: NotStopd t0: [05:05:00 04/04/2014] id: Peak Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 32 u1: cmH2O st: NotStopd t0: [05:05:00 04/04/2014] id: Plateau Pressure el: 0 cu: MICU-A cg: RRT v1: 27 u1: cmH2O st: NotStopd t0: [05:05:00 04/04/2014] id: Plateau-Off el: 0 cu: MICU-A cg: RRT v1: Yes st: NotStopd t0: [05:05:00 04/04/2014] id: Pressure Support el: 0 cu: MICU-A cg: RRT v1: 0 u1: . st: NotStopd t0: [05:05:00 04/04/2014] id: Resp Rate (Spont) el: 0 cu: MICU-A cg: RRT v1: 0 u1: BPM st: NotStopd t0: [05:05:00 04/04/2014] id: Resp Rate (Total) el: 0 cu: MICU-A cg: RRT v1: 20 u1: BPM st: NotStopd t0: [05:05:00 04/04/2014] id: Respiratory Rate Set el: 0 cu: MICU-A cg: RRT v1: 20 u1: BPM st: NotStopd t0: [05:05:00 04/04/2014] id: Sensitivity-Vent el: 0 cu: MICU-A cg: RRT v1: 1.5 u1: cmH2O st: NotStopd t0: [05:05:00 04/04/2014] id: SpO2 el: 0 cu: MICU-A cg: RRT v1: 98 u1: % st: NotStopd t0: [05:05:00 04/04/2014] id: Tidal Volume (Obser) el: 0 cu: MICU-A cg: RRT v1: 450 u1: ml/B st: NotStopd t0: [05:05:00 04/04/2014] id: Tidal Volume (Set) el: 0 cu: MICU-A cg: RRT v1: 450 u1: ml/B st: NotStopd t0: [05:05:00 04/04/2014] id: Tidal Volume (Spont) el: 0 cu: MICU-A cg: RRT v1: 0 u1: ml/B st: NotStopd t0: [05:05:00 04/04/2014] id: Ventilator Mode el: 0 cu: MICU-A cg: RRT v1: Assist Control st: NotStopd t0: [05:05:00 04/04/2014] id: Ventilator No. el: 0 cu: MICU-A cg: RRT v1: 6 u1: # st: NotStopd t0: [05:05:00 04/04/2014] id: Ventilator Type el: 0 cu: MICU-A cg: RRT v1: 7200A st: NotStopd t0: [05:05:00 04/04/2014] id: Waveform-Vent el: 0 cu: MICU-A cg: RRT v1: RAMP st: NotStopd
t0: [04:45:00 04/04/2014] id: WBC (4-11,000) Hematology el: 0 cu: MICU-A cg: 1663 v1: 21.7 rs: Final st: NotStopd t0: [04:45:00 04/04/2014] id: Hematocrit Hematology el: 0 cu: MICU-A cg: 1663 v1: 25.3 u1: % rs: Final st: NotStopd t0: [04:45:00 04/04/2014] id: Hemoglobin Hematology el: 0 cu: MICU-A cg: 1663 v1: 8.6 u1: gm/dl rs: Final st: NotStopd t0: [04:45:00 04/04/2014] id: Platelets Hematology el: 0 cu: MICU-A cg: 1663 v1: 433 rs: Final st: NotStopd t0: [04:45:00 04/04/2014] id: RBC Hematology el: 0 cu: MICU-A cg: 1663 v1: 3.02 u1: /mic l rs: Final st: NotStopd t0: [04:45:00 04/04/2014] id: WBC (4-11,000) Hematology el: 0 cu: MICU-A cg: 1663 v1: 21.7 rs: Final st: NotStopd
t0: [04:45:00 04/04/2014] id: BUN (6-20) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 41 rs: Final st: NotStopd t0: [04:45:00 04/04/2014] id: Calcium (8.4-10.2) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 8.2 u1: mg/dl rs: Final st: NotStopd t0: [04:45:00 04/04/2014] id: Carbon Dioxide Chemistry el: 0 cu: MICU-A cg: 1663 v1: 30 rs: Final st: NotStopd t0: [04:45:00 04/04/2014] id: Chloride (100-112) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 105 rs: Final st: NotStopd t0: [04:45:00 04/04/2014] id: Creatinine (0-1.3) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 1.2 rs: Final st: NotStopd t0: [04:45:00 04/04/2014] id: Glucose (70-105) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 142 rs: Final st: NotStopd t0: [04:45:00 04/04/2014] id: Magnesium (1.6-2.6) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 1.9 rs: Final st: NotStopd t0: [04:45:00 04/04/2014] id: Phosphorous(2.7-4.5) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 4 u1: mEq/L rs: Final st: NotStopd t0: [04:45:00 04/04/2014] id: Sodium (135-148) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 147 rs: Final st: NotStopd
t0: [06:00:00 04/04/2014] 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 04/04/2014] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 2 cu: MICU-A cg: RN ai: 209 vo: 21.576 vu: ml t0: [06:00:00 04/04/2014] id: Gastric Meds PO/Gastric el: 1 cu: MICU-A cg: RN ai: 155 vo: 120 vu: ml t0: [06:00:00 04/04/2014] id: D5W 50.0ml + 100mghr Lasix IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 3 vu: ml t0: [06:00:00 04/04/2014] id: IV Piggyback 100.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 105 vo: 50 vu: ml t0: [06:00:00 04/04/2014] id: Promote w/fiber Tube Feeding el: 1 cu: MICU-A cg: RN ai: 107 vo: 65 vu: ml
t0: [04:45:00 04/04/2014] id: Differential-Bands Hematology el: 0 cu: MICU-A cg: 1663 v1: 4 rs: Final st: NotStopd t0: [04:45:00 04/04/2014] id: Differential-Basos Hematology el: 0 cu: MICU-A cg: 1663 v1: 0 rs: Final st: NotStopd t0: [04:45:00 04/04/2014] id: Differential-Eos Hematology el: 0 cu: MICU-A cg: 1663 v1: 0 rs: Final st: NotStopd t0: [04:45:00 04/04/2014] id: Differential-Lymphs Hematology el: 0 cu: MICU-A cg: 1663 v1: 4 rs: Final st: NotStopd t0: [04:45:00 04/04/2014] id: Differential-Monos Hematology el: 0 cu: MICU-A cg: 1663 v1: 2 rs: Final st: NotStopd t0: [04:45:00 04/04/2014] id: Differential-Polys Hematology el: 0 cu: MICU-A cg: 1663 v1: 87 rs: Final st: NotStopd
tf: [05:00:00 05/04/2014] pt: IV Piggyback rt: IV fr: ONCE fs: 6 dn: 1 m1: Vancomycin HCl f1: INJ v1: 1000 u1: mg m2: Iso-Osmotic Dextrose f2: INJ v2: 200 u2: ml
t0: [04:45:00 04/04/2014] id: Potassium (3.5-5.3) Chemistry el: 0 cu: MICU-A cg: RN v1: 3.2 rs: Final st: NotStopd t0: [06:00:00 04/04/2014] id: Range of Motion el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [06:00:00 04/04/2014] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [06:00:00 04/04/2014] id: CVP el: 0 cu: MICU-A cg: RN v1: 12 u1: mmHg st: NotStopd t0: [06:00:00 04/04/2014] id: Circulation/SkinInt el: 0 cu: MICU-A cg: RN v1: Circulation Adeq st: NotStopd t0: [06:00:00 04/04/2014] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [06:00:00 04/04/2014] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [06:00:00 04/04/2014] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [06:00:00 04/04/2014] id: HOB el: 0 cu: MICU-A cg: RN v1: Reverse T-Berg st: NotStopd t0: [06:00:00 04/04/2014] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 55 u1: BPM st: NotStopd t0: [06:00:00 04/04/2014] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [06:00:00 04/04/2014] id: Activity el: 0 cu: MICU-A cg: RN v1: Bedrest st: NotStopd t0: [06:00:00 04/04/2014] id: Activity Tolerance el: 0 cu: MICU-A cg: RN v1: Tolerated Well st: NotStopd t0: [06:00:00 04/04/2014] id: AntiEmbDevice/Status el: 0 cu: MICU-A cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [06:00:00 04/04/2014] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 155 u1: mmHg v2: 75 u2: mmHg st: NotStopd t0: [06:00:00 04/04/2014] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 109 u1: mmHg st: NotStopd t0: [06:00:00 04/04/2014] id: Position el: 0 cu: MICU-A cg: RN v1: Supine st: NotStopd t0: [06:00:00 04/04/2014] id: Position Change el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [06:00:00 04/04/2014] id: Assistance Device el: 0 cu: MICU-A cg: RN v1: 2 Person Assist st: NotStopd t0: [06:00:00 04/04/2014] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [06:00:00 04/04/2014] id: PressureReduceDevice el: 0 cu: MICU-A cg: RN v1: Multipodus Boots st: NotStopd t0: [06:00:00 04/04/2014] id: Radiologic Study el: 0 cu: MICU-A cg: RN v1: Chest Xray st: NotStopd t0: [06:00:00 04/04/2014] id: Reason For Restraint el: 0 cu: MICU-A cg: RN v1: Ext/TXInterfere st: NotStopd t0: [06:00:00 04/04/2014] id: Removed x 5 Mins el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [06:00:00 04/04/2014] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 20 u1: BPM st: NotStopd t0: [06:00:00 04/04/2014] id: Restraint Location el: 0 cu: MICU-A cg: RN v1: Both Arms st: NotStopd t0: [06:00:00 04/04/2014] id: Restraint Type el: 0 cu: MICU-A cg: RN v1: Soft Limb st: NotStopd t0: [06:00:00 04/04/2014] id: Restraints Evaluated el: 0 cu: MICU-A cg: RN v1: RestraintReapply st: NotStopd t0: [06:00:00 04/04/2014] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [06:00:00 04/04/2014] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 94 u1: % st: NotStopd t0: [06:00:00 04/04/2014] id: Sputum Color/Consist el: 0 cu: MICU-A cg: RN v1: Yellow v2: Thin st: NotStopd t0: [06:00:00 04/04/2014] id: Sputum Source/Amt el: 0 cu: MICU-A cg: RN v1: Suctioned v2: Scant st: NotStopd t0: [06:00:00 04/04/2014] id: Temp. Site el: 0 cu: MICU-A cg: RN v1: Oral st: NotStopd t0: [06:00:00 04/04/2014] id: Temperature C (calc) el: 0 cu: MICU-A cg: RN v1: 36.8333 u1: Deg. C st: NotStopd t0: [06:00:00 04/04/2014] id: Temperature F el: 0 cu: MICU-A cg: RN v1: 98.3 u1: Deg. F st: NotStopd t0: [06:00:00 04/04/2014] id: Therapeutic Bed el: 0 cu: MICU-A cg: RN v1: AirMatt/1st Step st: NotStopd t0: [06:00:00 04/04/2014] id: Turn el: 0 cu: MICU-A cg: RN v1: Side to Side st: NotStopd t0: [06:00:00 04/04/2014] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [06:00:00 04/04/2014] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 280 vu: ml
t0: [06:00:00 04/04/2014] id: Lasix el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 6 du: mghr sv: 50 su: ml rt: IV Drip t0: [06:00:00 04/04/2014] id: Propofol el: 2 cu: MICU-A cg: RN so: N/A vo: 0 v1: 40 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [07:00:00 04/04/2014] id: RSBI (<100) el: 0 cu: MICU-A cg: RRT v1: 183.333 u1: units st: NotStopd t0: [07:00:00 04/04/2014] id: RSBI (<200) el: 0 cu: MICU-A cg: RRT v1: 183.333 u1: units st: NotStopd t0: [07:00:00 04/04/2014] id: Spon RR (Mech.) el: 0 cu: MICU-A cg: RRT v1: 22 u1: BPM st: NotStopd t0: [07:00:00 04/04/2014] id: Spon. Vt (L) (Mech.) el: 0 cu: MICU-A cg: RRT v1: 0.12 u1: L st: NotStopd
t0: [08:00:00 04/04/2014] id: Compliance (40-60ml) el: 0 cu: MICU-A cg: RRT v1: 22.9592 u1: ml/cmH st: NotStopd t0: [08:00:00 04/04/2014] id: ETT Mark/Location el: 0 cu: MICU-A cg: RRT v1: 21cm v2: Lip st: NotStopd t0: [08:00:00 04/04/2014] id: FiO2 Set el: 0 cu: MICU-A cg: RRT v1: 0.5 u1: torr st: NotStopd t0: [08:00:00 04/04/2014] id: Flow-By (lpm) el: 0 cu: MICU-A cg: RRT v1: 0 u1: lpm st: NotStopd t0: [08:00:00 04/04/2014] id: Flow-by Sensitivity el: 0 cu: MICU-A cg: RRT v1: 3 u1: cmH2O st: NotStopd t0: [08:00:00 04/04/2014] id: High Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 45 u1: cmH2O st: NotStopd t0: [08:00:00 04/04/2014] id: High Resp. Rate el: 0 cu: MICU-A cg: RRT v1: 30 u1: BPM st: NotStopd t0: [08:00:00 04/04/2014] id: I:E Ratio el: 0 cu: MICU-A cg: RRT v1: 2.3 st: NotStopd t0: [08:00:00 04/04/2014] id: Airway Size el: 0 cu: MICU-A cg: RRT v1: 7.5 mm st: NotStopd t0: [08:00:00 04/04/2014] id: Airway Type el: 0 cu: MICU-A cg: RRT v1: Endotracheal st: NotStopd t0: [08:00:00 04/04/2014] id: Inspired Gas Temp el: 0 cu: MICU-A cg: RRT v1: 34 u1: Deg. C st: NotStopd t0: [08:00:00 04/04/2014] id: Intubation Date el: 0 cu: MICU-A cg: RRT v1: 3 v2: 12 st: NotStopd t0: [08:00:00 04/04/2014] id: Low Exhaled Min Vol el: 0 cu: MICU-A cg: RRT v1: 6 st: NotStopd t0: [08:00:00 04/04/2014] id: Low Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 20 u1: cmH2O st: NotStopd t0: [08:00:00 04/04/2014] id: Mean Airway Pressure el: 0 cu: MICU-A cg: RRT v1: 20.4 u1: cmH2O st: NotStopd t0: [08:00:00 04/04/2014] id: Minute Volume(Obser) el: 0 cu: MICU-A cg: RRT v1: 9 u1: L/min st: NotStopd t0: [08:00:00 04/04/2014] id: PEEP Set el: 0 cu: MICU-A cg: RRT v1: 15.2 u1: cmH2O st: NotStopd t0: [08:00:00 04/04/2014] id: Apnea Time Interval el: 0 cu: MICU-A cg: RRT v1: 20 st: NotStopd t0: [08:00:00 04/04/2014] id: Peak Flow el: 0 cu: MICU-A cg: RRT v1: 55 u1: L/m st: NotStopd t0: [08:00:00 04/04/2014] id: Peak Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 34.8 u1: cmH2O st: NotStopd t0: [08:00:00 04/04/2014] id: Plateau Pressure el: 0 cu: MICU-A cg: RRT v1: 27 u1: cmH2O st: NotStopd t0: [08:00:00 04/04/2014] id: Plateau-Off el: 0 cu: MICU-A cg: RRT v1: Yes st: NotStopd t0: [08:00:00 04/04/2014] id: Pressure Support el: 0 cu: MICU-A cg: RRT v1: 0 u1: . st: NotStopd t0: [08:00:00 04/04/2014] id: Resp Rate (Spont) el: 0 cu: MICU-A cg: RRT v1: 0 u1: BPM st: NotStopd t0: [08:00:00 04/04/2014] id: Resp Rate (Total) el: 0 cu: MICU-A cg: RRT v1: 20 u1: BPM st: NotStopd t0: [08:00:00 04/04/2014] id: Respiratory Rate Set el: 0 cu: MICU-A cg: RRT v1: 20 u1: BPM st: NotStopd t0: [08:00:00 04/04/2014] id: Sensitivity-Vent el: 0 cu: MICU-A cg: RRT v1: 1.5 u1: cmH2O st: NotStopd t0: [08:00:00 04/04/2014] id: SpO2 el: 0 cu: MICU-A cg: RRT v1: 97 u1: % st: NotStopd t0: [08:00:00 04/04/2014] id: Tidal Volume (Obser) el: 0 cu: MICU-A cg: RRT v1: 450 u1: ml/B st: NotStopd t0: [08:00:00 04/04/2014] id: Tidal Volume (Set) el: 0 cu: MICU-A cg: RRT v1: 450 u1: ml/B st: NotStopd t0: [08:00:00 04/04/2014] id: Total PEEP Level el: 0 cu: MICU-A cg: RRT v1: 15 u1: cmH2O st: NotStopd t0: [08:00:00 04/04/2014] id: Ventilator Mode el: 0 cu: MICU-A cg: RRT v1: Assist Control st: NotStopd t0: [08:00:00 04/04/2014] id: Ventilator No. el: 0 cu: MICU-A cg: RRT v1: 6 u1: # st: NotStopd t0: [08:00:00 04/04/2014] id: Ventilator Type el: 0 cu: MICU-A cg: RRT v1: 7200A st: NotStopd t0: [08:00:00 04/04/2014] id: Waveform-Vent el: 0 cu: MICU-A cg: RRT v1: RAMP st: NotStopd
t0: [08:00:00 04/04/2014] id: Range of Motion el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [08:00:00 04/04/2014] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [08:00:00 04/04/2014] id: CVP el: 0 cu: MICU-A cg: RN v1: 13 u1: mmHg st: NotStopd t0: [08:00:00 04/04/2014] id: Circulation/SkinInt el: 0 cu: MICU-A cg: RN v1: Circulation Adeq st: NotStopd t0: [08:00:00 04/04/2014] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [08:00:00 04/04/2014] id: Riker-SAS Scale el: 0 cu: MICU-A cg: RN v1: Sedated st: NotStopd t0: [08:00:00 04/04/2014] id: GI Prophylaxis el: 0 cu: MICU-A cg: RN v1: H2 Blocker st: NotStopd t0: [08:00:00 04/04/2014] id: Diet Type el: 0 cu: MICU-A cg: RN v1: Tube Feeding st: NotStopd t0: [08:00:00 04/04/2014] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [08:00:00 04/04/2014] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [08:00:00 04/04/2014] id: Eye Opening el: 0 cu: MICU-A cg: RN v1: 1 No Response st: NotStopd t0: [08:00:00 04/04/2014] id: GCS Total el: 0 cu: MICU-A cg: RN v1: 7 u1: points st: NotStopd t0: [08:00:00 04/04/2014] id: GI Intub #1/Site el: 0 cu: MICU-A cg: RN v1: Salem Sump v2: Oral st: NotStopd t0: [08:00:00 04/04/2014] id: GI#1 Tube PlaceCheck el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [08:00:00 04/04/2014] id: GI#1 Tube Stat/Drain el: 0 cu: MICU-A cg: RN v1: Feeding v2: Undigested Food st: NotStopd t0: [08:00:00 04/04/2014] id: GU Catheter Size el: 0 cu: MICU-A cg: RN v1: 14 French st: NotStopd t0: [08:00:00 04/04/2014] id: HOB el: 0 cu: MICU-A cg: RN v1: Reverse T-Berg st: NotStopd t0: [08:00:00 04/04/2014] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 58 u1: BPM st: NotStopd t0: [08:00:00 04/04/2014] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [08:00:00 04/04/2014] id: INV Line#1 Type/Site el: 0 cu: MICU-A cg: RN v1: Multi-lumen v2: Left IJ st: NotStopd t0: [08:00:00 04/04/2014] id: INV Line#1 Zero/Cal el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [08:00:00 04/04/2014] id: INV Line#1InsertDate el: 0 cu: MICU-A cg: RN v1: 3 v2: 19 st: NotStopd t0: [08:00:00 04/04/2014] id: INV Line#4 Type/Site el: 0 cu: MICU-A cg: RN v1: A-Line v2: Right Brachial st: NotStopd t0: [08:00:00 04/04/2014] id: INV Line#4 Zero/Cal el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [08:00:00 04/04/2014] id: INV Line#4InsertDate el: 0 cu: MICU-A cg: RN v1: 3 v2: 17 st: NotStopd t0: [08:00:00 04/04/2014] id: INV Line#4SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [08:00:00 04/04/2014] id: Abdominal Assessment el: 0 cu: MICU-A cg: RN v1: Obese st: NotStopd t0: [08:00:00 04/04/2014] id: INV#1 WaveformAppear el: 0 cu: MICU-A cg: RN v1: Sharp st: NotStopd t0: [08:00:00 04/04/2014] id: INV#4 WaveformAppear el: 0 cu: MICU-A cg: RN v1: Sharp st: NotStopd t0: [08:00:00 04/04/2014] id: Activity el: 0 cu: MICU-A cg: RN v1: Bedrest st: NotStopd t0: [08:00:00 04/04/2014] id: Activity Tolerance el: 0 cu: MICU-A cg: RN v1: Good st: NotStopd t0: [08:00:00 04/04/2014] id: Imp Skin Cleanse #2 el: 0 cu: MICU-A cg: RN v1: Soap & H20 st: NotStopd t0: [08:00:00 04/04/2014] id: ImpSkin Character #1 el: 0 cu: MICU-A cg: RN v1: Hematoma st: NotStopd t0: [08:00:00 04/04/2014] id: ImpSkin Character #2 el: 0 cu: MICU-A cg: RN v1: Rash st: NotStopd t0: [08:00:00 04/04/2014] id: ImpSkin Treatment #1 el: 0 cu: MICU-A cg: RN v1: Open to Air st: NotStopd t0: [08:00:00 04/04/2014] id: ImpSkin Treatment #2 el: 0 cu: MICU-A cg: RN v1: Open to Air st: NotStopd t0: [08:00:00 04/04/2014] id: Impaired Skin Site#1 el: 0 cu: MICU-A cg: RN v1: Gluteal, Right st: NotStopd t0: [08:00:00 04/04/2014] id: Impaired Skin Site#2 el: 0 cu: MICU-A cg: RN v1: Labia st: NotStopd t0: [08:00:00 04/04/2014] id: LLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Diminished st: NotStopd t0: [08:00:00 04/04/2014] id: LUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [08:00:00 04/04/2014] id: Level of Conscious el: 0 cu: MICU-A cg: RN v1: Sedated st: NotStopd t0: [08:00:00 04/04/2014] id: Motor Response el: 0 cu: MICU-A cg: RN v1: 5 Localizes Pain st: NotStopd t0: [08:00:00 04/04/2014] id: Oral Cavity el: 0 cu: MICU-A cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [08:00:00 04/04/2014] id: Orientation el: 0 cu: MICU-A cg: RN v1: Other/Remarks st: NotStopd t0: [08:00:00 04/04/2014] id: AntiEmbDevice/Status el: 0 cu: MICU-A cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [08:00:00 04/04/2014] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 147 u1: mmHg v2: 73 u2: mmHg st: NotStopd t0: [08:00:00 04/04/2014] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 103 u1: mmHg st: NotStopd t0: [08:00:00 04/04/2014] id: Position el: 0 cu: MICU-A cg: RN v1: Supine st: NotStopd t0: [08:00:00 04/04/2014] id: Position Change el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [08:00:00 04/04/2014] id: Assistance Device el: 0 cu: MICU-A cg: RN v1: 2 Person Assist st: NotStopd t0: [08:00:00 04/04/2014] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [08:00:00 04/04/2014] id: PressureReduceDevice el: 0 cu: MICU-A cg: RN v1: Multipodus Boots st: NotStopd t0: [08:00:00 04/04/2014] id: RLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Diminished st: NotStopd t0: [08:00:00 04/04/2014] id: RUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [08:00:00 04/04/2014] id: Reason For Restraint el: 0 cu: MICU-A cg: RN v1: Ext/TXInterfere st: NotStopd t0: [08:00:00 04/04/2014] id: Removed x 5 Mins el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [08:00:00 04/04/2014] id: Respiratory Pattern el: 0 cu: MICU-A cg: RN v1: Regular st: NotStopd t0: [08:00:00 04/04/2014] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 20 u1: BPM st: NotStopd t0: [08:00:00 04/04/2014] id: Restraint Location el: 0 cu: MICU-A cg: RN v1: Both Arms st: NotStopd t0: [08:00:00 04/04/2014] id: Restraint Type el: 0 cu: MICU-A cg: RN v1: Soft Limb st: NotStopd t0: [08:00:00 04/04/2014] id: Restraints Evaluated el: 0 cu: MICU-A cg: RN v1: Behavior Conts st: NotStopd t0: [08:00:00 04/04/2014] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [08:00:00 04/04/2014] id: Skin Color el: 0 cu: MICU-A cg: RN v1: Flushed st: NotStopd t0: [08:00:00 04/04/2014] id: Skin Integrity el: 0 cu: MICU-A cg: RN v1: Impaired st: NotStopd t0: [08:00:00 04/04/2014] id: Stool Color/Consist el: 0 cu: MICU-A cg: RN v1: Brown v2: Loose st: NotStopd t0: [08:00:00 04/04/2014] id: Support Systems el: 0 cu: MICU-A cg: RN v1: Spouse st: NotStopd t0: [08:00:00 04/04/2014] id: Therapeutic Bed el: 0 cu: MICU-A cg: RN v1: AirMatt/1st Step st: NotStopd t0: [08:00:00 04/04/2014] id: Turn el: 0 cu: MICU-A cg: RN v1: Side to Side st: NotStopd t0: [08:00:00 04/04/2014] id: Urine Color/Appear el: 0 cu: MICU-A cg: RN v1: Yellow v2: Sediment st: NotStopd t0: [08:00:00 04/04/2014] id: Urine Source el: 0 cu: MICU-A cg: RN v1: Indwelling Cath st: NotStopd t0: [08:00:00 04/04/2014] id: Verbal Response el: 0 cu: MICU-A cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [08:00:00 04/04/2014] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [08:00:00 04/04/2014] id: Behavior el: 0 cu: MICU-A cg: RN v1: Sedated st: NotStopd t0: [08:00:00 04/04/2014] id: Bowel Sounds el: 0 cu: MICU-A cg: RN v1: Present st: NotStopd t0: [08:00:00 04/04/2014] id: Braden Activity el: 0 cu: MICU-A cg: RN v1: Bedfast st: NotStopd t0: [08:00:00 04/04/2014] id: Braden Frict/Shear el: 0 cu: MICU-A cg: RN v1: Potential Prob st: NotStopd t0: [08:00:00 04/04/2014] id: Braden Mobility el: 0 cu: MICU-A cg: RN v1: Comp. Immobile st: NotStopd t0: [08:00:00 04/04/2014] id: Braden Moisture el: 0 cu: MICU-A cg: RN v1: Occ. Moist st: NotStopd t0: [08:00:00 04/04/2014] id: Braden Nutrition el: 0 cu: MICU-A cg: RN v1: Prob. Inadequate st: NotStopd t0: [08:00:00 04/04/2014] id: Braden Score el: 0 cu: MICU-A cg: RN v1: 10 u1: number st: NotStopd t0: [08:00:00 04/04/2014] id: Braden SensoryPercep el: 0 cu: MICU-A cg: RN v1: Comp. Limited st: NotStopd
t0: [08:00:00 04/04/2014] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 20 vu: ml t0: [08:00:00 04/04/2014] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 2 cu: MICU-A cg: RN ai: 209 vo: 43.152 vu: ml t0: [08:00:00 04/04/2014] id: D5W 50.0ml + 100mghr Lasix IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 6 vu: ml t0: [08:00:00 04/04/2014] id: Promote w/fiber Tube Feeding el: 1 cu: MICU-A cg: RN ai: 107 vo: 130 vu: ml t0: [08:00:00 04/04/2014] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 600 vu: ml
t0: [08:00:00 04/04/2014] id: Lasix el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 6 du: mghr sv: 50 su: ml rt: IV Drip t0: [08:00:00 04/04/2014] id: Propofol el: 2 cu: MICU-A cg: RN so: N/A vo: 0 v1: 40 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [08:35:00 04/04/2014] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [08:35:00 04/04/2014] id: CVP el: 0 cu: MICU-A cg: RN v1: 16 u1: mmHg st: NotStopd t0: [08:35:00 04/04/2014] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [08:35:00 04/04/2014] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [08:35:00 04/04/2014] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [08:35:00 04/04/2014] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 67 u1: BPM st: NotStopd t0: [08:35:00 04/04/2014] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [08:35:00 04/04/2014] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 132 u1: mmHg v2: 68 u2: mmHg st: NotStopd t0: [08:35:00 04/04/2014] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 92 u1: mmHg st: NotStopd t0: [08:35:00 04/04/2014] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [08:35:00 04/04/2014] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 19 u1: BPM st: NotStopd t0: [08:35:00 04/04/2014] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 88 u1: % st: NotStopd t0: [08:35:00 04/04/2014] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [08:35:00 04/04/2014] id: Lasix el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 6 du: mghr sv: 50 su: ml rt: IV Drip t0: [08:35:00 04/04/2014] id: Propofol el: 2 cu: MICU-A cg: RN so: N/A vo: 0 v1: 40 du: mcgkgmin sv: 50 su: vl rt: IV Drip
tf: [09:00:00 05/04/2014] pt: Unit Dose rt: IV fr: ONCE fs: 10 dn: 1 m1: Magnesium Sulfate f1: INJ v1: 2 u1: gm
t0: [09:00:00 04/04/2014] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [09:00:00 04/04/2014] id: CVP el: 0 cu: MICU-A cg: RN v1: 12 u1: mmHg st: NotStopd t0: [09:00:00 04/04/2014] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [09:00:00 04/04/2014] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [09:00:00 04/04/2014] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [09:00:00 04/04/2014] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 60 u1: BPM st: NotStopd t0: [09:00:00 04/04/2014] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [09:00:00 04/04/2014] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 131 u1: mmHg v2: 68 u2: mmHg st: NotStopd t0: [09:00:00 04/04/2014] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 93 u1: mmHg st: NotStopd t0: [09:00:00 04/04/2014] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [09:00:00 04/04/2014] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 20 u1: BPM st: NotStopd t0: [09:00:00 04/04/2014] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 90 u1: % st: NotStopd t0: [09:00:00 04/04/2014] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [10:00:00 04/04/2014] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [10:00:00 04/04/2014] id: CVP el: 0 cu: MICU-A cg: RN v1: 12 u1: mmHg st: NotStopd t0: [10:00:00 04/04/2014] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [10:00:00 04/04/2014] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [10:00:00 04/04/2014] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [10:00:00 04/04/2014] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 57 u1: BPM st: NotStopd t0: [10:00:00 04/04/2014] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [10:00:00 04/04/2014] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 137 u1: mmHg v2: 69 u2: mmHg st: NotStopd t0: [10:00:00 04/04/2014] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 96 u1: mmHg st: NotStopd t0: [10:00:00 04/04/2014] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [10:00:00 04/04/2014] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 20 u1: BPM st: NotStopd t0: [10:00:00 04/04/2014] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 97 u1: % st: NotStopd t0: [10:00:00 04/04/2014] id: Temp. Site el: 0 cu: MICU-A cg: RN v1: Oral st: NotStopd t0: [10:00:00 04/04/2014] id: Temperature C (calc) el: 0 cu: MICU-A cg: RN v1: 37.5 u1: Deg. C st: NotStopd t0: [10:00:00 04/04/2014] id: Temperature F el: 0 cu: MICU-A cg: RN v1: 99.5 u1: Deg. F st: NotStopd t0: [10:00:00 04/04/2014] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [10:00:00 04/04/2014] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 20 vu: ml t0: [10:00:00 04/04/2014] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 2 cu: MICU-A cg: RN ai: 209 vo: 43.152 vu: ml t0: [10:00:00 04/04/2014] id: D5W 50.0ml + 100mghr Lasix IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 6 vu: ml t0: [10:00:00 04/04/2014] id: Promote w/fiber Tube Feeding el: 1 cu: MICU-A cg: RN ai: 107 vo: 130 vu: ml t0: [10:00:00 04/04/2014] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 400 vu: ml
t0: [09:00:00 04/04/2014] id: Lasix el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 6 du: mghr sv: 50 su: ml rt: IV Drip t0: [09:00:00 04/04/2014] id: Propofol el: 2 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 04/04/2014] id: Lasix el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 6 du: mghr sv: 50 su: ml rt: IV Drip t0: [10:00:00 04/04/2014] id: Propofol el: 2 cu: MICU-A cg: RN so: N/A vo: 0 v1: 40 du: mcgkgmin sv: 50 su: vl rt: IV Drip
tf: [11:00:00 05/04/2014] pt: IV Piggyback rt: IV fr: Q6H fs: 11, 17, 23, 5 dn: 4 m1: Acetazolamide Sodium f1: INJ v1: 250 u1: mg m2: D5W f2: INJ v2: 25 u2: ml
t0: [11:00:00 04/04/2014] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [11:00:00 04/04/2014] id: CVP el: 0 cu: MICU-A cg: RN v1: 11 u1: mmHg st: NotStopd t0: [11:00:00 04/04/2014] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [11:00:00 04/04/2014] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [11:00:00 04/04/2014] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [11:00:00 04/04/2014] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 64 u1: BPM st: NotStopd t0: [11:00:00 04/04/2014] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [11:00:00 04/04/2014] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 123 u1: mmHg v2: 60 u2: mmHg st: NotStopd t0: [11:00:00 04/04/2014] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 82 u1: mmHg st: NotStopd t0: [11:00:00 04/04/2014] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [11:00:00 04/04/2014] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 20 u1: BPM st: NotStopd t0: [11:00:00 04/04/2014] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 98 u1: % st: NotStopd t0: [11:00:00 04/04/2014] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [11:00:00 04/04/2014] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 180 vu: ml
t0: [11:00:00 04/04/2014] id: Lasix el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 6 du: mghr sv: 50 su: ml rt: IV Drip t0: [11:00:00 04/04/2014] id: Propofol el: 2 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 04/04/2014] id: Compliance (40-60ml) el: 0 cu: MICU-A cg: RRT v1: 26.4706 u1: ml/cmH st: NotStopd t0: [13:00:00 04/04/2014] id: ETT Mark/Location el: 0 cu: MICU-A cg: RRT v1: 21cm v2: Lip st: NotStopd t0: [13:00:00 04/04/2014] id: FiO2 Set el: 0 cu: MICU-A cg: RRT v1: 0.5 u1: torr st: NotStopd t0: [13:00:00 04/04/2014] id: High Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 45 u1: cmH2O st: NotStopd t0: [13:00:00 04/04/2014] id: High Resp. Rate el: 0 cu: MICU-A cg: RRT v1: 30 u1: BPM st: NotStopd t0: [13:00:00 04/04/2014] id: I:E Ratio el: 0 cu: MICU-A cg: RRT v1: 1:2.3 st: NotStopd t0: [13:00:00 04/04/2014] id: Airway Size el: 0 cu: MICU-A cg: RRT v1: 7.5 mm st: NotStopd t0: [13:00:00 04/04/2014] id: Airway Type el: 0 cu: MICU-A cg: RRT v1: Endotracheal st: NotStopd t0: [13:00:00 04/04/2014] id: Inspired Gas Temp el: 0 cu: MICU-A cg: RRT v1: 34 u1: Deg. C st: NotStopd t0: [13:00:00 04/04/2014] id: Intubation Date el: 0 cu: MICU-A cg: RRT v1: 3 v2: 12 st: NotStopd t0: [13:00:00 04/04/2014] id: Low Exhaled Min Vol el: 0 cu: MICU-A cg: RRT v1: 6 st: NotStopd t0: [13:00:00 04/04/2014] id: Low Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 20 u1: cmH2O st: NotStopd t0: [13:00:00 04/04/2014] id: Mean Airway Pressure el: 0 cu: MICU-A cg: RRT v1: 20 u1: cmH2O st: NotStopd t0: [13:00:00 04/04/2014] id: Minute Volume(Obser) el: 0 cu: MICU-A cg: RRT v1: 9 u1: L/min st: NotStopd t0: [13:00:00 04/04/2014] id: PEEP Set el: 0 cu: MICU-A cg: RRT v1: 15 u1: cmH2O st: NotStopd t0: [13:00:00 04/04/2014] id: Apnea Time Interval el: 0 cu: MICU-A cg: RRT v1: 20 st: NotStopd t0: [13:00:00 04/04/2014] id: Peak Flow el: 0 cu: MICU-A cg: RRT v1: 55 u1: L/m st: NotStopd t0: [13:00:00 04/04/2014] id: Peak Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 32 u1: cmH2O st: NotStopd t0: [13:00:00 04/04/2014] id: Plateau Pressure el: 0 cu: MICU-A cg: RRT v1: 26 u1: cmH2O st: NotStopd t0: [13:00:00 04/04/2014] id: Plateau-Off el: 0 cu: MICU-A cg: RRT v1: Yes st: NotStopd t0: [13:00:00 04/04/2014] id: Resp Rate (Spont) el: 0 cu: MICU-A cg: RRT v1: 0 u1: BPM st: NotStopd t0: [13:00:00 04/04/2014] id: Resp Rate (Total) el: 0 cu: MICU-A cg: RRT v1: 20 u1: BPM st: NotStopd t0: [13:00:00 04/04/2014] id: Respiratory Rate Set el: 0 cu: MICU-A cg: RRT v1: 20 u1: BPM st: NotStopd t0: [13:00:00 04/04/2014] id: Sensitivity-Vent el: 0 cu: MICU-A cg: RRT v1: 1.5 u1: cmH2O st: NotStopd t0: [13:00:00 04/04/2014] id: SpO2 el: 0 cu: MICU-A cg: RRT v1: 96 u1: % st: NotStopd t0: [13:00:00 04/04/2014] id: Tidal Volume (Obser) el: 0 cu: MICU-A cg: RRT v1: 450 u1: ml/B st: NotStopd t0: [13:00:00 04/04/2014] id: Tidal Volume (Set) el: 0 cu: MICU-A cg: RRT v1: 450 u1: ml/B st: NotStopd t0: [13:00:00 04/04/2014] id: Ventilator Mode el: 0 cu: MICU-A cg: RRT v1: Assist Control st: NotStopd t0: [13:00:00 04/04/2014] id: Ventilator No. el: 0 cu: MICU-A cg: RRT v1: 6 u1: # st: NotStopd t0: [13:00:00 04/04/2014] id: Ventilator Type el: 0 cu: MICU-A cg: RRT v1: 7200A st: NotStopd t0: [13:00:00 04/04/2014] id: Waveform-Vent el: 0 cu: MICU-A cg: RRT v1: RAMP st: NotStopd
t0: [13:34:00 04/04/2014] id: Art.pH ABG el: 0 cu: MICU-A cg: 1663 v1: 7.52 rs: Final st: NotStopd t0: [13:34:00 04/04/2014] id: Arterial Base Excess ABG el: 0 cu: MICU-A cg: 1663 v1: 10 rs: Final st: NotStopd t0: [13:34:00 04/04/2014] id: Arterial CO2(Calc) ABG el: 0 cu: MICU-A cg: 1663 v1: 36 rs: Final st: NotStopd t0: [13:34:00 04/04/2014] id: Arterial PaCO2 ABG el: 0 cu: MICU-A cg: 1663 v1: 43 u1: mmHg rs: Final st: NotStopd t0: [13:34:00 04/04/2014] id: Arterial PaO2 ABG el: 0 cu: MICU-A cg: 1663 v1: 65 u1: mmHg rs: Final st: NotStopd t0: [13:34:00 04/04/2014] id: Arterial pH ABG el: 0 cu: MICU-A cg: 1663 v1: 7.52 rs: Final st: NotStopd
t0: [13:20:00 04/04/2014] id: Potassium (3.5-5.3) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 3.2 rs: Final st: NotStopd t0: [13:20:00 04/04/2014] id: Sodium (135-148) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 147 rs: Final st: NotStopd
t0: [12:00:00 04/04/2014] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [12:00:00 04/04/2014] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [12:00:00 04/04/2014] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [13:00:00 04/04/2014] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [13:00:00 04/04/2014] id: CVP el: 0 cu: MICU-A cg: RN v1: 14 u1: mmHg st: NotStopd t0: [13:00:00 04/04/2014] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [13:00:00 04/04/2014] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [13:00:00 04/04/2014] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [13:00:00 04/04/2014] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 61 u1: BPM st: NotStopd t0: [13:00:00 04/04/2014] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [13:00:00 04/04/2014] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 135 u1: mmHg v2: 71 u2: mmHg st: NotStopd t0: [13:00:00 04/04/2014] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 97 u1: mmHg st: NotStopd t0: [13:00:00 04/04/2014] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [13:00:00 04/04/2014] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 20 u1: BPM st: NotStopd t0: [13:00:00 04/04/2014] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [14:00:00 04/04/2014] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [14:00:00 04/04/2014] id: CVP el: 0 cu: MICU-A cg: RN v1: 16 u1: mmHg st: NotStopd t0: [14:00:00 04/04/2014] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [14:00:00 04/04/2014] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [14:00:00 04/04/2014] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [14:00:00 04/04/2014] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 50 u1: BPM st: NotStopd t0: [14:00:00 04/04/2014] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [14:00:00 04/04/2014] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 161 u1: mmHg v2: 76 u2: mmHg st: NotStopd t0: [14:00:00 04/04/2014] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 107 u1: mmHg st: NotStopd t0: [14:00:00 04/04/2014] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [14:00:00 04/04/2014] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 20 u1: BPM st: NotStopd t0: [14:00:00 04/04/2014] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 99 u1: % st: NotStopd t0: [14:00:00 04/04/2014] id: Temp. Site el: 0 cu: MICU-A cg: RN v1: Oral st: NotStopd t0: [14:00:00 04/04/2014] id: Temperature C (calc) el: 0 cu: MICU-A cg: RN v1: 36.8889 u1: Deg. C st: NotStopd t0: [14:00:00 04/04/2014] id: Temperature F el: 0 cu: MICU-A cg: RN v1: 98.4 u1: Deg. F st: NotStopd t0: [14:00:00 04/04/2014] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [12:00:00 04/04/2014] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 20 vu: ml t0: [12:00:00 04/04/2014] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 2 cu: MICU-A cg: RN ai: 209 vo: 43.152 vu: ml t0: [12:00:00 04/04/2014] id: D5W 50.0ml + 100mghr Lasix IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 6 vu: ml t0: [14:00:00 04/04/2014] tf: [11:00:00 08/04/2014] dt: 5580 id: Promote w/fiber Tube Feeding el: 1 cu: MICU-A cg: RN ai: 107 vo: 60 vu: ml t0: [13:00:00 04/04/2014] id: Promote w/fiber Tube Feeding el: 1 cu: MICU-A cg: RN ai: 107 vo: 0 vu: ml t0: [13:00:00 04/04/2014] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 400 vu: ml t0: [14:00:00 04/04/2014] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 20 vu: ml t0: [14:00:00 04/04/2014] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 2 cu: MICU-A cg: RN ai: 209 vo: 43.152 vu: ml t0: [14:00:00 04/04/2014] id: D5W 50.0ml + 100mghr Lasix IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 6 vu: ml t0: [14:00:00 04/04/2014] id: Promote w/fiber Tube Feeding el: 1 cu: MICU-A cg: RN ai: 107 vo: 65 vu: ml
t0: [12:00:00 04/04/2014] id: Lasix el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 6 du: mghr sv: 50 su: ml rt: IV Drip t0: [12:00:00 04/04/2014] id: Propofol el: 2 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 04/04/2014] id: Lasix el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 6 du: mghr sv: 50 su: ml rt: IV Drip t0: [13:00:00 04/04/2014] id: Propofol el: 2 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 04/04/2014] id: Lasix el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 6 du: mghr sv: 50 su: ml rt: IV Drip t0: [14:00:00 04/04/2014] id: Propofol el: 2 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 04/04/2014] id: Riker-SAS Scale el: 0 cu: MICU-A cg: RN v1: Sedated st: NotStopd t0: [13:00:00 04/04/2014] id: GI Prophylaxis el: 0 cu: MICU-A cg: RN v1: H2 Blocker st: NotStopd t0: [13:00:00 04/04/2014] id: Diet Type el: 0 cu: MICU-A cg: RN v1: Tube Feeding st: NotStopd t0: [13:00:00 04/04/2014] id: Eye Opening el: 0 cu: MICU-A cg: RN v1: 1 No Response st: NotStopd t0: [13:00:00 04/04/2014] id: GCS Total el: 0 cu: MICU-A cg: RN v1: 3 u1: points st: NotStopd t0: [13:00:00 04/04/2014] id: GI Intub #1/Site el: 0 cu: MICU-A cg: RN v1: Salem Sump v2: Oral st: NotStopd t0: [13:00:00 04/04/2014] id: GI#1 Tube PlaceCheck el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [13:00:00 04/04/2014] id: GI#1 Tube Stat/Drain el: 0 cu: MICU-A cg: RN v1: Feeding v2: Undigested Food st: NotStopd t0: [13:00:00 04/04/2014] id: GU Catheter Size el: 0 cu: MICU-A cg: RN v1: 14 French st: NotStopd t0: [13:00:00 04/04/2014] id: Abdominal Assessment el: 0 cu: MICU-A cg: RN v1: Obese st: NotStopd t0: [13:00:00 04/04/2014] id: LLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Diminished st: NotStopd t0: [13:00:00 04/04/2014] id: LUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [13:00:00 04/04/2014] id: Level of Conscious el: 0 cu: MICU-A cg: RN v1: Sedated st: NotStopd t0: [13:00:00 04/04/2014] id: Motor Response el: 0 cu: MICU-A cg: RN v1: 1 No Response st: NotStopd t0: [13:00:00 04/04/2014] id: Oral Cavity el: 0 cu: MICU-A cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [13:00:00 04/04/2014] id: Orientation el: 0 cu: MICU-A cg: RN v1: Other/Remarks st: NotStopd t0: [13:00:00 04/04/2014] id: RLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Diminished st: NotStopd t0: [13:00:00 04/04/2014] id: RUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [13:00:00 04/04/2014] id: Radiologic Study el: 0 cu: MICU-A cg: RN v1: CT scan st: NotStopd t0: [13:00:00 04/04/2014] id: Respiratory Pattern el: 0 cu: MICU-A cg: RN v1: Regular st: NotStopd t0: [13:00:00 04/04/2014] id: Stool Color/Consist el: 0 cu: MICU-A cg: RN v1: Brown v2: Loose st: NotStopd t0: [13:00:00 04/04/2014] id: Urine Color/Appear el: 0 cu: MICU-A cg: RN v1: Yellow v2: Sediment st: NotStopd t0: [13:00:00 04/04/2014] id: Urine Source el: 0 cu: MICU-A cg: RN v1: Indwelling Cath st: NotStopd t0: [13:00:00 04/04/2014] id: Verbal Response el: 0 cu: MICU-A cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [13:00:00 04/04/2014] id: Bowel Sounds el: 0 cu: MICU-A cg: RN v1: Present st: NotStopd
t0: [13:20:00 04/04/2014] id: Vancomycin/Random Drug Level el: 0 cu: MICU-A cg: 1663 v1: 17.8 rs: Final st: NotStopd t0: [15:05:00 04/04/2014] id: FiO2 Set el: 0 cu: MICU-A cg: RRT v1: 0.4 u1: torr st: NotStopd
t0: [17:00:00 04/04/2014] id: Compliance (40-60ml) el: 0 cu: MICU-A cg: RRT v1: 18 u1: ml/cmH st: NotStopd t0: [17:00:00 04/04/2014] id: ETT Mark/Location el: 0 cu: MICU-A cg: RRT v1: 21cm v2: Lip st: NotStopd t0: [17:00:00 04/04/2014] id: FiO2 Set el: 0 cu: MICU-A cg: RRT v1: 0.4 u1: torr st: NotStopd t0: [17:00:00 04/04/2014] id: High Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 45 u1: cmH2O st: NotStopd t0: [17:00:00 04/04/2014] id: High Resp. Rate el: 0 cu: MICU-A cg: RRT v1: 30 u1: BPM st: NotStopd t0: [17:00:00 04/04/2014] id: I:E Ratio el: 0 cu: MICU-A cg: RRT v1: 1:2.3 st: NotStopd t0: [17:00:00 04/04/2014] id: Airway Size el: 0 cu: MICU-A cg: RRT v1: 7.5 mm st: NotStopd t0: [17:00:00 04/04/2014] id: Airway Type el: 0 cu: MICU-A cg: RRT v1: Endotracheal st: NotStopd t0: [17:00:00 04/04/2014] id: Inspired Gas Temp el: 0 cu: MICU-A cg: RRT v1: 34 u1: Deg. C st: NotStopd t0: [17:00:00 04/04/2014] id: Intubation Date el: 0 cu: MICU-A cg: RRT v1: 3 v2: 12 st: NotStopd t0: [17:00:00 04/04/2014] id: Low Exhaled Min Vol el: 0 cu: MICU-A cg: RRT v1: 6 st: NotStopd t0: [17:00:00 04/04/2014] id: Low Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 20 u1: cmH2O st: NotStopd t0: [17:00:00 04/04/2014] id: Mean Airway Pressure el: 0 cu: MICU-A cg: RRT v1: 21 u1: cmH2O st: NotStopd t0: [17:00:00 04/04/2014] id: Minute Volume(Obser) el: 0 cu: MICU-A cg: RRT v1: 8 u1: L/min st: NotStopd t0: [17:00:00 04/04/2014] id: PEEP Set el: 0 cu: MICU-A cg: RRT v1: 15 u1: cmH2O st: NotStopd t0: [17:00:00 04/04/2014] id: Apnea Time Interval el: 0 cu: MICU-A cg: RRT v1: 20 st: NotStopd t0: [17:00:00 04/04/2014] id: Peak Flow el: 0 cu: MICU-A cg: RRT v1: 55 u1: L/m st: NotStopd t0: [17:00:00 04/04/2014] id: Peak Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 40 u1: cmH2O st: NotStopd t0: [17:00:00 04/04/2014] id: Plateau Pressure el: 0 cu: MICU-A cg: RRT v1: 26 u1: cmH2O st: NotStopd t0: [17:00:00 04/04/2014] id: Plateau-Off el: 0 cu: MICU-A cg: RRT v1: Yes st: NotStopd t0: [17:00:00 04/04/2014] id: Resp Rate (Spont) el: 0 cu: MICU-A cg: RRT v1: 0 u1: BPM st: NotStopd t0: [17:00:00 04/04/2014] id: Resp Rate (Total) el: 0 cu: MICU-A cg: RRT v1: 20 u1: BPM st: NotStopd t0: [17:00:00 04/04/2014] id: Respiratory Rate Set el: 0 cu: MICU-A cg: RRT v1: 20 u1: BPM st: NotStopd t0: [17:00:00 04/04/2014] id: Sensitivity-Vent el: 0 cu: MICU-A cg: RRT v1: 1.5 u1: cmH2O st: NotStopd t0: [17:00:00 04/04/2014] id: SpO2 el: 0 cu: MICU-A cg: RRT v1: 97 u1: % st: NotStopd t0: [17:00:00 04/04/2014] id: Tidal Volume (Obser) el: 0 cu: MICU-A cg: RRT v1: 450 u1: ml/B st: NotStopd t0: [17:00:00 04/04/2014] id: Tidal Volume (Set) el: 0 cu: MICU-A cg: RRT v1: 450 u1: ml/B st: NotStopd t0: [17:00:00 04/04/2014] id: Ventilator Mode el: 0 cu: MICU-A cg: RRT v1: Assist Control st: NotStopd t0: [17:00:00 04/04/2014] id: Ventilator No. el: 0 cu: MICU-A cg: RRT v1: 6 u1: # st: NotStopd t0: [17:00:00 04/04/2014] id: Ventilator Type el: 0 cu: MICU-A cg: RRT v1: 7200A st: NotStopd t0: [17:00:00 04/04/2014] id: Waveform-Vent el: 0 cu: MICU-A cg: RRT v1: RAMP st: NotStopd
t0: [10:00:00 04/04/2014] id: Range of Motion el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [10:00:00 04/04/2014] id: Circulation/SkinInt el: 0 cu: MICU-A cg: RN v1: Circulation Adeq st: NotStopd t0: [10:00:00 04/04/2014] id: Impaired Skin Site#1 el: 0 cu: MICU-A cg: RN v1: Gluteal, Right st: NotStopd t0: [10:00:00 04/04/2014] id: Impaired Skin Site#2 el: 0 cu: MICU-A cg: RN v1: Labia st: NotStopd t0: [10:00:00 04/04/2014] id: Position Change el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [10:00:00 04/04/2014] id: Reason For Restraint el: 0 cu: MICU-A cg: RN v1: Ext/TXInterfere st: NotStopd t0: [10:00:00 04/04/2014] id: Removed x 5 Mins el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [10:00:00 04/04/2014] id: Restraint Location el: 0 cu: MICU-A cg: RN v1: Both Arms st: NotStopd t0: [10:00:00 04/04/2014] id: Restraint Type el: 0 cu: MICU-A cg: RN v1: Soft Limb st: NotStopd t0: [10:00:00 04/04/2014] id: Restraints Evaluated el: 0 cu: MICU-A cg: RN v1: Behavior Conts st: NotStopd t0: [10:00:00 04/04/2014] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [10:00:00 04/04/2014] id: Support Systems el: 0 cu: MICU-A cg: RN v1: Spouse st: NotStopd t0: [12:00:00 04/04/2014] id: Range of Motion el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [12:00:00 04/04/2014] id: Circulation/SkinInt el: 0 cu: MICU-A cg: RN v1: Circulation Adeq st: NotStopd t0: [12:00:00 04/04/2014] id: Imp Skin Cleanse #2 el: 0 cu: MICU-A cg: RN v1: Soap & H20 st: NotStopd t0: [12:00:00 04/04/2014] id: ImpSkin Character #1 el: 0 cu: MICU-A cg: RN v1: Hematoma st: NotStopd t0: [12:00:00 04/04/2014] id: ImpSkin Character #2 el: 0 cu: MICU-A cg: RN v1: Rash st: NotStopd t0: [12:00:00 04/04/2014] id: ImpSkin Treatment #1 el: 0 cu: MICU-A cg: RN v1: Open to Air st: NotStopd t0: [12:00:00 04/04/2014] id: ImpSkin Treatment #2 el: 0 cu: MICU-A cg: RN v1: Open to Air st: NotStopd t0: [12:00:00 04/04/2014] id: Impaired Skin Site#1 el: 0 cu: MICU-A cg: RN v1: Gluteal, Right st: NotStopd t0: [12:00:00 04/04/2014] id: Impaired Skin Site#2 el: 0 cu: MICU-A cg: RN v1: Labia st: NotStopd t0: [12:00:00 04/04/2014] id: Position Change el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [12:00:00 04/04/2014] id: Reason For Restraint el: 0 cu: MICU-A cg: RN v1: Ext/TXInterfere st: NotStopd t0: [12:00:00 04/04/2014] id: Removed x 5 Mins el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [12:00:00 04/04/2014] id: Restraint Location el: 0 cu: MICU-A cg: RN v1: Both Arms st: NotStopd t0: [12:00:00 04/04/2014] id: Restraint Type el: 0 cu: MICU-A cg: RN v1: Soft Limb st: NotStopd t0: [12:00:00 04/04/2014] id: Restraints Evaluated el: 0 cu: MICU-A cg: RN v1: Behavior Conts st: NotStopd t0: [12:00:00 04/04/2014] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [12:00:00 04/04/2014] id: Skin Color el: 0 cu: MICU-A cg: RN v1: Normal for Race st: NotStopd t0: [12:00:00 04/04/2014] id: Skin Integrity el: 0 cu: MICU-A cg: RN v1: Impaired st: NotStopd t0: [12:00:00 04/04/2014] id: Support Systems el: 0 cu: MICU-A cg: RN v1: Spouse st: NotStopd t0: [14:00:00 04/04/2014] id: Range of Motion el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [14:00:00 04/04/2014] id: Circulation/SkinInt el: 0 cu: MICU-A cg: RN v1: Circulation Adeq st: NotStopd t0: [14:00:00 04/04/2014] id: Impaired Skin Site#1 el: 0 cu: MICU-A cg: RN v1: Gluteal, Right st: NotStopd t0: [14:00:00 04/04/2014] id: Impaired Skin Site#2 el: 0 cu: MICU-A cg: RN v1: Labia st: NotStopd t0: [14:00:00 04/04/2014] id: Position Change el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [14:00:00 04/04/2014] id: Reason For Restraint el: 0 cu: MICU-A cg: RN v1: Ext/TXInterfere st: NotStopd t0: [14:00:00 04/04/2014] id: Removed x 5 Mins el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [14:00:00 04/04/2014] id: Restraint Location el: 0 cu: MICU-A cg: RN v1: Both Arms st: NotStopd t0: [14:00:00 04/04/2014] id: Restraint Type el: 0 cu: MICU-A cg: RN v1: Soft Limb st: NotStopd t0: [14:00:00 04/04/2014] id: Restraints Evaluated el: 0 cu: MICU-A cg: RN v1: Behavior Conts st: NotStopd t0: [14:00:00 04/04/2014] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [14:00:00 04/04/2014] id: Support Systems el: 0 cu: MICU-A cg: RN v1: Spouse st: NotStopd t0: [15:00:00 04/04/2014] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [15:00:00 04/04/2014] id: CVP el: 0 cu: MICU-A cg: RN v1: 13 u1: mmHg st: NotStopd t0: [15:00:00 04/04/2014] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [15:00:00 04/04/2014] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [15:00:00 04/04/2014] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [15:00:00 04/04/2014] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 56 u1: BPM st: NotStopd t0: [15:00:00 04/04/2014] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [15:00:00 04/04/2014] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 134 u1: mmHg v2: 65 u2: mmHg st: NotStopd t0: [15:00:00 04/04/2014] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 91 u1: mmHg st: NotStopd t0: [15:00:00 04/04/2014] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [15:00:00 04/04/2014] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 20 u1: BPM st: NotStopd t0: [15:00:00 04/04/2014] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 100 u1: % st: NotStopd t0: [15:00:00 04/04/2014] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [16:00:00 04/04/2014] id: Range of Motion el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [16:00:00 04/04/2014] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [16:00:00 04/04/2014] id: CVP el: 0 cu: MICU-A cg: RN v1: 15 u1: mmHg st: NotStopd t0: [16:00:00 04/04/2014] id: Circulation/SkinInt el: 0 cu: MICU-A cg: RN v1: Circulation Adeq st: NotStopd t0: [16:00:00 04/04/2014] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [16:00:00 04/04/2014] id: GI Prophylaxis el: 0 cu: MICU-A cg: RN v1: H2 Blocker st: NotStopd t0: [16:00:00 04/04/2014] id: Diet Type el: 0 cu: MICU-A cg: RN v1: Tube Feeding st: NotStopd t0: [16:00:00 04/04/2014] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [16:00:00 04/04/2014] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [16:00:00 04/04/2014] id: Eye Opening el: 0 cu: MICU-A cg: RN v1: 1 No Response st: NotStopd t0: [16:00:00 04/04/2014] id: GCS Total el: 0 cu: MICU-A cg: RN v1: 3 u1: points st: NotStopd t0: [16:00:00 04/04/2014] id: GI Intub #1/Site el: 0 cu: MICU-A cg: RN v1: Salem Sump v2: Oral st: NotStopd t0: [16:00:00 04/04/2014] id: GI#1 Tube PlaceCheck el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [16:00:00 04/04/2014] id: GI#1 Tube Stat/Drain el: 0 cu: MICU-A cg: RN v1: Feeding v2: Undigested Food st: NotStopd t0: [16:00:00 04/04/2014] id: GU Catheter Size el: 0 cu: MICU-A cg: RN v1: 14 French st: NotStopd t0: [16:00:00 04/04/2014] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 67 u1: BPM st: NotStopd t0: [16:00:00 04/04/2014] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [16:00:00 04/04/2014] id: Abdominal Assessment el: 0 cu: MICU-A cg: RN v1: Obese st: NotStopd t0: [16:00:00 04/04/2014] id: Imp Skin Cleanse #2 el: 0 cu: MICU-A cg: RN v1: Soap & H20 st: NotStopd t0: [16:00:00 04/04/2014] id: ImpSkin Character #1 el: 0 cu: MICU-A cg: RN v1: Hematoma st: NotStopd t0: [16:00:00 04/04/2014] id: ImpSkin Character #2 el: 0 cu: MICU-A cg: RN v1: Rash st: NotStopd t0: [16:00:00 04/04/2014] id: ImpSkin Treatment #1 el: 0 cu: MICU-A cg: RN v1: Open to Air st: NotStopd t0: [16:00:00 04/04/2014] id: ImpSkin Treatment #2 el: 0 cu: MICU-A cg: RN v1: Open to Air st: NotStopd t0: [16:00:00 04/04/2014] id: Impaired Skin Site#1 el: 0 cu: MICU-A cg: RN v1: Gluteal, Right st: NotStopd t0: [16:00:00 04/04/2014] id: Impaired Skin Site#2 el: 0 cu: MICU-A cg: RN v1: Labia st: NotStopd t0: [16:00:00 04/04/2014] id: LLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Diminished st: NotStopd t0: [16:00:00 04/04/2014] id: LUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [16:00:00 04/04/2014] id: Level of Conscious el: 0 cu: MICU-A cg: RN v1: Sedated st: NotStopd t0: [16:00:00 04/04/2014] id: Motor Response el: 0 cu: MICU-A cg: RN v1: 1 No Response st: NotStopd t0: [16:00:00 04/04/2014] id: Oral Cavity el: 0 cu: MICU-A cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [16:00:00 04/04/2014] id: Orientation el: 0 cu: MICU-A cg: RN v1: Other/Remarks st: NotStopd t0: [16:00:00 04/04/2014] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 133 u1: mmHg v2: 69 u2: mmHg st: NotStopd t0: [16:00:00 04/04/2014] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 92 u1: mmHg st: NotStopd t0: [16:00:00 04/04/2014] id: Position Change el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [16:00:00 04/04/2014] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [16:00:00 04/04/2014] id: RLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Diminished st: NotStopd t0: [16:00:00 04/04/2014] id: RUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [16:00:00 04/04/2014] id: Reason For Restraint el: 0 cu: MICU-A cg: RN v1: Ext/TXInterfere st: NotStopd t0: [16:00:00 04/04/2014] id: Removed x 5 Mins el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [16:00:00 04/04/2014] id: Respiratory Pattern el: 0 cu: MICU-A cg: RN v1: Regular st: NotStopd t0: [16:00:00 04/04/2014] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 22 u1: BPM st: NotStopd t0: [16:00:00 04/04/2014] id: Restraint Location el: 0 cu: MICU-A cg: RN v1: Both Arms st: NotStopd t0: [16:00:00 04/04/2014] id: Restraint Type el: 0 cu: MICU-A cg: RN v1: Soft Limb st: NotStopd t0: [16:00:00 04/04/2014] id: Restraints Evaluated el: 0 cu: MICU-A cg: RN v1: Behavior Conts st: NotStopd t0: [16:00:00 04/04/2014] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [16:00:00 04/04/2014] id: Skin Color el: 0 cu: MICU-A cg: RN v1: Normal for Race st: NotStopd t0: [16:00:00 04/04/2014] id: Skin Integrity el: 0 cu: MICU-A cg: RN v1: Impaired st: NotStopd t0: [16:00:00 04/04/2014] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 90 u1: % st: NotStopd t0: [16:00:00 04/04/2014] id: Stool Color/Consist el: 0 cu: MICU-A cg: RN v1: Brown v2: Loose st: NotStopd t0: [16:00:00 04/04/2014] id: Support Systems el: 0 cu: MICU-A cg: RN v1: Spouse st: NotStopd t0: [16:00:00 04/04/2014] id: Urine Color/Appear el: 0 cu: MICU-A cg: RN v1: Yellow v2: Sediment st: NotStopd t0: [16:00:00 04/04/2014] id: Urine Source el: 0 cu: MICU-A cg: RN v1: Indwelling Cath st: NotStopd t0: [16:00:00 04/04/2014] id: Verbal Response el: 0 cu: MICU-A cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [16:00:00 04/04/2014] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [16:00:00 04/04/2014] id: Bowel Sounds el: 0 cu: MICU-A cg: RN v1: Present st: NotStopd t0: [17:00:00 04/04/2014] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [17:00:00 04/04/2014] id: CVP el: 0 cu: MICU-A cg: RN v1: 40 u1: mmHg st: NotStopd t0: [17:00:00 04/04/2014] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [17:00:00 04/04/2014] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [17:00:00 04/04/2014] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [17:00:00 04/04/2014] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 60 u1: BPM st: NotStopd t0: [17:00:00 04/04/2014] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [17:00:00 04/04/2014] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 118 u1: mmHg v2: 62 u2: mmHg st: NotStopd t0: [17:00:00 04/04/2014] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 81 u1: mmHg st: NotStopd t0: [17:00:00 04/04/2014] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [17:00:00 04/04/2014] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 20 u1: BPM st: NotStopd t0: [17:00:00 04/04/2014] id: Temp. Site el: 0 cu: MICU-A cg: RN v1: Oral st: NotStopd t0: [17:00:00 04/04/2014] id: Temperature C (calc) el: 0 cu: MICU-A cg: RN v1: 37.0556 u1: Deg. C st: NotStopd t0: [17:00:00 04/04/2014] id: Temperature F el: 0 cu: MICU-A cg: RN v1: 98.7 u1: Deg. F st: NotStopd t0: [17:00:00 04/04/2014] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [12:00:00 04/04/2014] id: IV Piggyback 100.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 105 vo: 250 vu: ml t0: [14:00:00 04/04/2014] id: IV Piggyback 100.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 105 vo: 50 vu: ml t0: [16:00:00 04/04/2014] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 20 vu: ml t0: [16:00:00 04/04/2014] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 2 cu: MICU-A cg: RN ai: 209 vo: 43.152 vu: ml t0: [16:00:00 04/04/2014] id: D5W 50.0ml + 100mghr Lasix IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 6 vu: ml t0: [16:00:00 04/04/2014] id: IV Piggyback 100.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 105 vo: 50 vu: ml t0: [16:00:00 04/04/2014] id: Promote w/fiber Tube Feeding el: 1 cu: MICU-A cg: RN ai: 107 vo: 130 vu: ml t0: [17:00:00 04/04/2014] 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 04/04/2014] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 2 cu: MICU-A cg: RN ai: 209 vo: 21.576 vu: ml t0: [17:00:00 04/04/2014] id: D5W 50.0ml + 100mghr Lasix IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 3 vu: ml t0: [17:00:00 04/04/2014] id: IV Piggyback 100.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 105 vo: 250 vu: ml t0: [17:00:00 04/04/2014] id: Promote w/fiber Tube Feeding el: 1 cu: MICU-A cg: RN ai: 107 vo: 65 vu: ml
t0: [15:00:00 04/04/2014] id: Lasix el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 6 du: mghr sv: 50 su: ml rt: IV Drip t0: [15:00:00 04/04/2014] id: Propofol el: 2 cu: MICU-A cg: RN so: N/A vo: 0 v1: 40 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [16:00:00 04/04/2014] id: Lasix el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 6 du: mghr sv: 50 su: ml rt: IV Drip t0: [16:00:00 04/04/2014] id: Propofol el: 2 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 04/04/2014] id: Lasix el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 6 du: mghr sv: 50 su: ml rt: IV Drip t0: [17:00:00 04/04/2014] id: Propofol el: 2 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 04/04/2014] id: HOB el: 0 cu: MICU-A cg: RN v1: 30 degrees st: NotStopd t0: [12:00:00 04/04/2014] id: INV Line#1 Type/Site el: 0 cu: MICU-A cg: RN v1: Multi-lumen v2: Left IJ st: NotStopd t0: [12:00:00 04/04/2014] id: INV Line#1 Zero/Cal el: 0 cu: MICU-A cg: RN v1: No st: NotStopd t0: [12:00:00 04/04/2014] id: INV Line#1InsertDate el: 0 cu: MICU-A cg: RN v1: 3 v2: 19 st: NotStopd t0: [12:00:00 04/04/2014] id: INV Line#4 Type/Site el: 0 cu: MICU-A cg: RN v1: A-Line v2: Right Brachial st: NotStopd t0: [12:00:00 04/04/2014] id: INV Line#4 Zero/Cal el: 0 cu: MICU-A cg: RN v1: No st: NotStopd t0: [12:00:00 04/04/2014] id: INV Line#4InsertDate el: 0 cu: MICU-A cg: RN v1: 3 v2: 17 st: NotStopd t0: [12:00:00 04/04/2014] id: INV Line#4SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [12:00:00 04/04/2014] id: INV#1 WaveformAppear el: 0 cu: MICU-A cg: RN v1: Sharp st: NotStopd t0: [12:00:00 04/04/2014] id: INV#4 WaveformAppear el: 0 cu: MICU-A cg: RN v1: Sharp st: NotStopd t0: [12:00:00 04/04/2014] id: Activity el: 0 cu: MICU-A cg: RN v1: Bedrest st: NotStopd t0: [12:00:00 04/04/2014] id: Activity Tolerance el: 0 cu: MICU-A cg: RN v1: Tolerated Well st: NotStopd t0: [12:00:00 04/04/2014] id: AntiEmbDevice/Status el: 0 cu: MICU-A cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [12:00:00 04/04/2014] id: Position el: 0 cu: MICU-A cg: RN v1: Supine st: NotStopd t0: [12:00:00 04/04/2014] id: Assistance Device el: 0 cu: MICU-A cg: RN v1: 2 Person Assist st: NotStopd t0: [12:00:00 04/04/2014] id: PressureReduceDevice el: 0 cu: MICU-A cg: RN v1: Multipodus Boots st: NotStopd t0: [12:00:00 04/04/2014] id: Therapeutic Bed el: 0 cu: MICU-A cg: RN v1: AirMatt/1st Step st: NotStopd t0: [12:00:00 04/04/2014] id: Turn el: 0 cu: MICU-A cg: RN v1: Left Side st: NotStopd t0: [12:00:00 04/04/2014] id: Back Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [15:00:00 04/04/2014] id: HOB el: 0 cu: MICU-A cg: RN v1: 30 degrees st: NotStopd t0: [15:00:00 04/04/2014] id: Activity el: 0 cu: MICU-A cg: RN v1: Bedrest st: NotStopd t0: [15:00:00 04/04/2014] id: Activity Tolerance el: 0 cu: MICU-A cg: RN v1: Tolerated Well st: NotStopd t0: [15:00:00 04/04/2014] id: AntiEmbDevice/Status el: 0 cu: MICU-A cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [15:00:00 04/04/2014] id: Position el: 0 cu: MICU-A cg: RN v1: Supine st: NotStopd t0: [15:00:00 04/04/2014] id: Assistance Device el: 0 cu: MICU-A cg: RN v1: 2 Person Assist st: NotStopd t0: [15:00:00 04/04/2014] id: PressureReduceDevice el: 0 cu: MICU-A cg: RN v1: Multipodus Boots st: NotStopd t0: [15:00:00 04/04/2014] id: Therapeutic Bed el: 0 cu: MICU-A cg: RN v1: AirMatt/1st Step st: NotStopd t0: [15:00:00 04/04/2014] id: Turn el: 0 cu: MICU-A cg: RN v1: Right Side st: NotStopd t0: [15:00:00 04/04/2014] id: Back Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [16:00:00 04/04/2014] id: INV Line#1 Type/Site el: 0 cu: MICU-A cg: RN v1: Multi-lumen v2: Left IJ st: NotStopd t0: [16:00:00 04/04/2014] id: INV Line#1 Zero/Cal el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [16:00:00 04/04/2014] id: INV Line#1InsertDate el: 0 cu: MICU-A cg: RN v1: 3 v2: 19 st: NotStopd t0: [16:00:00 04/04/2014] id: INV Line#4 Type/Site el: 0 cu: MICU-A cg: RN v1: A-Line v2: Right Brachial st: NotStopd t0: [16:00:00 04/04/2014] id: INV Line#4 Zero/Cal el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [16:00:00 04/04/2014] id: INV Line#4InsertDate el: 0 cu: MICU-A cg: RN v1: 3 v2: 17 st: NotStopd t0: [16:00:00 04/04/2014] id: INV Line#4SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [16:00:00 04/04/2014] id: INV#1 WaveformAppear el: 0 cu: MICU-A cg: RN v1: Sharp st: NotStopd t0: [16:00:00 04/04/2014] id: INV#4 WaveformAppear el: 0 cu: MICU-A cg: RN v1: Sharp st: NotStopd
tf: [17:00:00 05/04/2014] pt: Unit Dose rt: PO fr: ONCE fs: 18 dn: 1 m1: Potassium Chloride f1: PWDR v1: 80 u1: mEq
t0: [18:00:00 04/04/2014] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [18:00:00 04/04/2014] id: CVP el: 0 cu: MICU-A cg: RN v1: 11 u1: mmHg st: NotStopd t0: [18:00:00 04/04/2014] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [18:00:00 04/04/2014] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [18:00:00 04/04/2014] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [18:00:00 04/04/2014] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 63 u1: BPM st: NotStopd t0: [18:00:00 04/04/2014] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [18:00:00 04/04/2014] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 128 u1: mmHg v2: 72 u2: mmHg st: NotStopd t0: [18:00:00 04/04/2014] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 95 u1: mmHg st: NotStopd t0: [18:00:00 04/04/2014] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [18:00:00 04/04/2014] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 20 u1: BPM st: NotStopd t0: [18:00:00 04/04/2014] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 95 u1: % st: NotStopd t0: [18:00:00 04/04/2014] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [16:00:00 04/04/2014] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 500 vu: ml t0: [17:00:00 04/04/2014] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vu: ml t0: [18:00:00 04/04/2014] 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 04/04/2014] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 2 cu: MICU-A cg: RN ai: 209 vo: 21.576 vu: ml t0: [18:00:00 04/04/2014] id: D5W 50.0ml + 100mghr Lasix IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 3 vu: ml t0: [18:00:00 04/04/2014] id: Promote w/fiber Tube Feeding el: 1 cu: MICU-A cg: RN ai: 107 vo: 65 vu: ml t0: [18:00:00 04/04/2014] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 900 vu: ml
t0: [18:00:00 04/04/2014] id: Lasix el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 6 du: mghr sv: 50 su: ml rt: IV Drip t0: [18:00:00 04/04/2014] id: Propofol el: 2 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 04/04/2014] id: IV Piggyback 100.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 105 vo: 25 vu: ml
t0: [19:01:00 04/04/2014] id: Art.pH ABG el: 0 cu: MICU-A cg: 1663 v1: 7.48 rs: Final st: NotStopd t0: [19:01:00 04/04/2014] id: Arterial Base Excess ABG el: 0 cu: MICU-A cg: 1663 v1: 8 rs: Final st: NotStopd t0: [19:01:00 04/04/2014] id: Arterial CO2(Calc) ABG el: 0 cu: MICU-A cg: 1663 v1: 34 rs: Final st: NotStopd t0: [19:01:00 04/04/2014] id: Arterial PaCO2 ABG el: 0 cu: MICU-A cg: 1663 v1: 45 u1: mmHg rs: Final st: NotStopd t0: [19:01:00 04/04/2014] id: Arterial PaO2 ABG el: 0 cu: MICU-A cg: 1663 v1: 77 u1: mmHg rs: Final st: NotStopd t0: [19:01:00 04/04/2014] id: Arterial pH ABG el: 0 cu: MICU-A cg: 1663 v1: 7.48 rs: Final st: NotStopd
t0: [20:00:00 04/04/2014] id: Range of Motion el: 0 cu: MICU-A cg: -1 v1: Done st: NotStopd t0: [20:00:00 04/04/2014] id: Service Type el: 0 cu: MICU-A cg: -1 v1: MICU st: NotStopd t0: [20:00:00 04/04/2014] id: CVP el: 0 cu: MICU-A cg: -1 v1: 12 u1: mmHg st: NotStopd t0: [20:00:00 04/04/2014] id: Circulation/SkinInt el: 0 cu: MICU-A cg: -1 v1: Circulation Adeq st: NotStopd t0: [20:00:00 04/04/2014] id: Code Status el: 0 cu: MICU-A cg: -1 v1: Full Code st: NotStopd t0: [20:00:00 04/04/2014] id: Riker-SAS Scale el: 0 cu: MICU-A cg: -1 v1: Sedated st: NotStopd t0: [20:00:00 04/04/2014] id: GI Prophylaxis el: 0 cu: MICU-A cg: -1 v1: H2 Blocker st: NotStopd t0: [20:00:00 04/04/2014] id: Diet Type el: 0 cu: MICU-A cg: -1 v1: Tube Feeding st: NotStopd t0: [20:00:00 04/04/2014] id: Ectopy Frequency el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [20:00:00 04/04/2014] id: Ectopy Type el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [20:00:00 04/04/2014] id: Eye Opening el: 0 cu: MICU-A cg: -1 v1: 1 No Response st: NotStopd t0: [20:00:00 04/04/2014] id: GCS Total el: 0 cu: MICU-A cg: -1 v1: 3 u1: points st: NotStopd t0: [20:00:00 04/04/2014] id: GI Intub #1/Site el: 0 cu: MICU-A cg: -1 v1: Salem Sump v2: Oral st: NotStopd t0: [20:00:00 04/04/2014] id: GI#1 Tube PlaceCheck el: 0 cu: MICU-A cg: -1 v1: Done st: NotStopd t0: [20:00:00 04/04/2014] id: GI#1 Tube Stat/Drain el: 0 cu: MICU-A cg: -1 v1: Feeding v2: Undigested Food st: NotStopd t0: [20:00:00 04/04/2014] id: GU Catheter Size el: 0 cu: MICU-A cg: -1 v1: 14 French st: NotStopd t0: [20:00:00 04/04/2014] id: HOB el: 0 cu: MICU-A cg: -1 v1: 30 degrees st: NotStopd t0: [20:00:00 04/04/2014] id: Heart Rate el: 0 cu: MICU-A cg: -1 v1: 61 u1: BPM st: NotStopd t0: [20:00:00 04/04/2014] id: Heart Rhythm el: 0 cu: MICU-A cg: -1 v1: Normal Sinus st: NotStopd t0: [20:00:00 04/04/2014] id: INV Line#1 Type/Site el: 0 cu: MICU-A cg: -1 v1: Multi-lumen v2: Left IJ st: NotStopd t0: [20:00:00 04/04/2014] id: INV Line#1 Zero/Cal el: 0 cu: MICU-A cg: -1 v1: No st: NotStopd t0: [20:00:00 04/04/2014] id: INV Line#1InsertDate el: 0 cu: MICU-A cg: -1 v1: 3 v2: 19 st: NotStopd t0: [20:00:00 04/04/2014] id: INV Line#4 Type/Site el: 0 cu: MICU-A cg: -1 v1: A-Line v2: Right Brachial st: NotStopd t0: [20:00:00 04/04/2014] id: INV Line#4 Zero/Cal el: 0 cu: MICU-A cg: -1 v1: No st: NotStopd t0: [20:00:00 04/04/2014] id: INV Line#4InsertDate el: 0 cu: MICU-A cg: -1 v1: 3 v2: 17 st: NotStopd t0: [20:00:00 04/04/2014] id: INV Line#4SiteAppear el: 0 cu: MICU-A cg: -1 v1: WNL st: NotStopd t0: [20:00:00 04/04/2014] id: Abdominal Assessment el: 0 cu: MICU-A cg: -1 v1: Obese st: NotStopd t0: [20:00:00 04/04/2014] id: INV#1 WaveformAppear el: 0 cu: MICU-A cg: -1 v1: Sharp st: NotStopd t0: [20:00:00 04/04/2014] id: INV#4 WaveformAppear el: 0 cu: MICU-A cg: -1 v1: Sharp st: NotStopd t0: [20:00:00 04/04/2014] id: Activity el: 0 cu: MICU-A cg: -1 v1: Bedrest st: NotStopd t0: [20:00:00 04/04/2014] id: Activity Tolerance el: 0 cu: MICU-A cg: -1 v1: Tolerated Well st: NotStopd t0: [20:00:00 04/04/2014] id: Impaired Skin Site#1 el: 0 cu: MICU-A cg: -1 v1: Gluteal, Right st: NotStopd t0: [20:00:00 04/04/2014] id: Impaired Skin Site#2 el: 0 cu: MICU-A cg: -1 v1: Labia st: NotStopd t0: [20:00:00 04/04/2014] id: LLL Lung Sounds el: 0 cu: MICU-A cg: -1 v1: Diminished st: NotStopd t0: [20:00:00 04/04/2014] id: LUL Lung Sounds el: 0 cu: MICU-A cg: -1 v1: Coarse st: NotStopd t0: [20:00:00 04/04/2014] id: Level of Conscious el: 0 cu: MICU-A cg: -1 v1: Sedated st: NotStopd t0: [20:00:00 04/04/2014] id: Motor Response el: 0 cu: MICU-A cg: -1 v1: 1 No Response st: NotStopd t0: [20:00:00 04/04/2014] id: Oral Care el: 0 cu: MICU-A cg: -1 v1: Done st: NotStopd t0: [20:00:00 04/04/2014] id: Oral Cavity el: 0 cu: MICU-A cg: -1 v1: Teeth/Tissue WNL st: NotStopd t0: [20:00:00 04/04/2014] id: Orientation el: 0 cu: MICU-A cg: -1 v1: Other/Remarks st: NotStopd t0: [20:00:00 04/04/2014] id: AntiEmbDevice/Status el: 0 cu: MICU-A cg: -1 v1: Compress Sleeves v2: On st: NotStopd t0: [20:00:00 04/04/2014] id: Arterial BP el: 0 cu: MICU-A cg: -1 v1: 131 u1: mmHg v2: 69 u2: mmHg st: NotStopd t0: [20:00:00 04/04/2014] id: Arterial BP Mean el: 0 cu: MICU-A cg: -1 v1: 93 u1: mmHg st: NotStopd t0: [20:00:00 04/04/2014] id: Position el: 0 cu: MICU-A cg: -1 v1: Supine st: NotStopd t0: [20:00:00 04/04/2014] id: Position Change el: 0 cu: MICU-A cg: -1 v1: Done st: NotStopd t0: [20:00:00 04/04/2014] id: Assistance Device el: 0 cu: MICU-A cg: -1 v1: 1 Person Assist st: NotStopd t0: [20:00:00 04/04/2014] id: Precautions el: 0 cu: MICU-A cg: -1 v1: Universal st: NotStopd t0: [20:00:00 04/04/2014] id: PressureReduceDevice el: 0 cu: MICU-A cg: -1 v1: Multipodus Boots st: NotStopd t0: [20:00:00 04/04/2014] id: RLL Lung Sounds el: 0 cu: MICU-A cg: -1 v1: Diminished st: NotStopd t0: [20:00:00 04/04/2014] id: RUL Lung Sounds el: 0 cu: MICU-A cg: -1 v1: Coarse st: NotStopd t0: [20:00:00 04/04/2014] id: Reason For Restraint el: 0 cu: MICU-A cg: -1 v1: Ext/TXInterfere st: NotStopd t0: [20:00:00 04/04/2014] id: Removed x 5 Mins el: 0 cu: MICU-A cg: -1 v1: Done st: NotStopd t0: [20:00:00 04/04/2014] id: Respiratory Pattern el: 0 cu: MICU-A cg: -1 v1: Regular st: NotStopd t0: [20:00:00 04/04/2014] id: Respiratory Rate el: 0 cu: MICU-A cg: -1 v1: 20 u1: BPM st: NotStopd t0: [20:00:00 04/04/2014] id: Restraint Location el: 0 cu: MICU-A cg: -1 v1: Both Arms st: NotStopd t0: [20:00:00 04/04/2014] id: Restraint Type el: 0 cu: MICU-A cg: -1 v1: Soft Limb st: NotStopd t0: [20:00:00 04/04/2014] id: Restraints Evaluated el: 0 cu: MICU-A cg: -1 v1: Behavior Conts st: NotStopd t0: [20:00:00 04/04/2014] id: Side Rails el: 0 cu: MICU-A cg: -1 v1: Side Rails Up st: NotStopd t0: [20:00:00 04/04/2014] id: Skin Care el: 0 cu: MICU-A cg: -1 v1: Done st: NotStopd t0: [20:00:00 04/04/2014] id: Skin Color el: 0 cu: MICU-A cg: -1 v1: Flushed st: NotStopd t0: [20:00:00 04/04/2014] id: Skin Integrity el: 0 cu: MICU-A cg: -1 v1: Impaired st: NotStopd t0: [20:00:00 04/04/2014] id: SpO2 el: 0 cu: MICU-A cg: -1 v1: 100 u1: % st: NotStopd t0: [20:00:00 04/04/2014] id: Sputum Color/Consist el: 0 cu: MICU-A cg: -1 v1: Yellow v2: Thick st: NotStopd t0: [20:00:00 04/04/2014] id: Sputum Source/Amt el: 0 cu: MICU-A cg: -1 v1: Suctioned v2: Small st: NotStopd t0: [20:00:00 04/04/2014] id: Support Systems el: 0 cu: MICU-A cg: -1 v1: Spouse st: NotStopd t0: [20:00:00 04/04/2014] id: Temp. Site el: 0 cu: MICU-A cg: -1 v1: Oral st: NotStopd t0: [20:00:00 04/04/2014] id: Temperature C (calc) el: 0 cu: MICU-A cg: -1 v1: 36.8889 u1: Deg. C st: NotStopd t0: [20:00:00 04/04/2014] id: Temperature F el: 0 cu: MICU-A cg: -1 v1: 98.4 u1: Deg. F st: NotStopd t0: [20:00:00 04/04/2014] id: Therapeutic Bed el: 0 cu: MICU-A cg: -1 v1: AirMatt/1st Step st: NotStopd t0: [20:00:00 04/04/2014] id: Turn el: 0 cu: MICU-A cg: -1 v1: Back st: NotStopd t0: [20:00:00 04/04/2014] id: Urine Color/Appear el: 0 cu: MICU-A cg: -1 v1: Yellow v2: Clear st: NotStopd t0: [20:00:00 04/04/2014] id: Urine Source el: 0 cu: MICU-A cg: -1 v1: Indwelling Cath st: NotStopd t0: [20:00:00 04/04/2014] id: Verbal Response el: 0 cu: MICU-A cg: -1 v1: 1.0 ET/Trach st: NotStopd t0: [20:00:00 04/04/2014] id: calprevflg el: 0 cu: MICU-A cg: -1 v1: 1 u1: kg st: NotStopd t0: [20:00:00 04/04/2014] id: Behavior el: 0 cu: MICU-A cg: -1 v1: Calm st: NotStopd t0: [20:00:00 04/04/2014] id: Bowel Sounds el: 0 cu: MICU-A cg: -1 v1: Present st: NotStopd
t0: [20:00:00 04/04/2014] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 20 vu: ml t0: [20:00:00 04/04/2014] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 2 cu: MICU-A cg: -1 ai: 209 vo: 43.152 vu: ml t0: [20:00:00 04/04/2014] id: Gastric Meds PO/Gastric el: 1 cu: MICU-A cg: -1 ai: 155 vo: 90 vu: ml t0: [20:00:00 04/04/2014] id: D5W 50.0ml + 100mghr Lasix IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 6 vu: ml t0: [20:00:00 04/04/2014] id: Promote w/fiber Tube Feeding el: 1 cu: MICU-A cg: -1 ai: 107 vo: 130 vu: ml t0: [20:00:00 04/04/2014] id: Urine Out Foley el: 1 cu: MICU-A cg: -1 vo: 400 vu: ml
t0: [20:00:00 04/04/2014] id: Lasix el: 1 cu: MICU-A so: D5W vo: 0 v1: 6 du: mghr sv: 50 su: ml rt: IV Drip t0: [20:00:00 04/04/2014] id: Propofol el: 2 cu: MICU-A so: N/A vo: 0 v1: 40 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [18:30:00 04/04/2014] id: Potassium (3.5-5.3) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 4.3 rs: Final st: NotStopd t0: [18:30:00 04/04/2014] id: Sodium (135-148) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 148 rs: Final st: NotStopd
t0: [21:00:00 04/04/2014] id: Service Type el: 0 cu: MICU-A cg: RRT v1: MICU st: NotStopd t0: [21:00:00 04/04/2014] id: CVP el: 0 cu: MICU-A cg: RRT v1: 13 u1: mmHg st: NotStopd t0: [21:00:00 04/04/2014] id: Code Status el: 0 cu: MICU-A cg: RRT v1: Full Code st: NotStopd t0: [21:00:00 04/04/2014] id: Ectopy Frequency el: 0 cu: MICU-A cg: RRT v1: None st: NotStopd t0: [21:00:00 04/04/2014] id: Ectopy Type el: 0 cu: MICU-A cg: RRT v1: None st: NotStopd t0: [21:00:00 04/04/2014] id: Heart Rate el: 0 cu: MICU-A cg: RRT v1: 65 u1: BPM st: NotStopd t0: [21:00:00 04/04/2014] id: Heart Rhythm el: 0 cu: MICU-A cg: RRT v1: Normal Sinus st: NotStopd t0: [21:00:00 04/04/2014] id: Arterial BP el: 0 cu: MICU-A cg: RRT v1: 125 u1: mmHg v2: 63 u2: mmHg st: NotStopd t0: [21:00:00 04/04/2014] id: Arterial BP Mean el: 0 cu: MICU-A cg: RRT v1: 84 u1: mmHg st: NotStopd t0: [21:00:00 04/04/2014] id: Precautions el: 0 cu: MICU-A cg: RRT v1: Universal st: NotStopd t0: [21:00:00 04/04/2014] id: Respiratory Rate el: 0 cu: MICU-A cg: RRT v1: 20 u1: BPM st: NotStopd t0: [21:00:00 04/04/2014] id: SpO2 el: 0 cu: MICU-A cg: RRT v1: 100 u1: % st: NotStopd t0: [21:00:00 04/04/2014] id: calprevflg el: 0 cu: MICU-A cg: RRT v1: 1 u1: kg st: NotStopd
t0: [21:00:00 04/04/2014] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RRT ai: 107 vo: 10 vu: ml t0: [21:00:00 04/04/2014] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 2 cu: MICU-A cg: RRT ai: 209 vo: 21.576 vu: ml t0: [21:00:00 04/04/2014] id: D5W 50.0ml + 100mghr Lasix IV Infusions el: 1 cu: MICU-A cg: RRT ai: 107 vo: 3 vu: ml t0: [21:00:00 04/04/2014] id: Promote w/fiber Tube Feeding el: 1 cu: MICU-A cg: RRT ai: 107 vo: 65 vu: ml t0: [21:00:00 04/04/2014] id: Urine Out Foley el: 1 cu: MICU-A cg: RRT vo: 340 vu: ml
t0: [21:00:00 04/04/2014] id: Lasix el: 1 cu: MICU-A cg: RRT so: D5W vo: 0 v1: 6 du: mghr sv: 50 su: ml rt: IV Drip t0: [21:00:00 04/04/2014] id: Propofol el: 2 cu: MICU-A cg: RRT so: N/A vo: 0 v1: 40 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [21:00:00 04/04/2014] id: Compliance (40-60ml) el: 0 cu: MICU-A cg: RRT v1: 23.6842 u1: ml/cmH st: NotStopd t0: [21:00:00 04/04/2014] id: ETT Mark/Location el: 0 cu: MICU-A cg: RRT v1: 21cm v2: Lip st: NotStopd t0: [21:00:00 04/04/2014] id: FiO2 Set el: 0 cu: MICU-A cg: RRT v1: 0.4 u1: torr st: NotStopd t0: [21:00:00 04/04/2014] id: High Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 45 u1: cmH2O st: NotStopd t0: [21:00:00 04/04/2014] id: High Resp. Rate el: 0 cu: MICU-A cg: RRT v1: 30 u1: BPM st: NotStopd t0: [21:00:00 04/04/2014] id: I:E Ratio el: 0 cu: MICU-A cg: RRT v1: 1:2 st: NotStopd t0: [21:00:00 04/04/2014] id: Airway Size el: 0 cu: MICU-A cg: RRT v1: 7.5 mm st: NotStopd t0: [21:00:00 04/04/2014] id: Airway Type el: 0 cu: MICU-A cg: RRT v1: Endotracheal st: NotStopd t0: [21:00:00 04/04/2014] id: Inspired Gas Temp el: 0 cu: MICU-A cg: RRT v1: 34 u1: Deg. C st: NotStopd t0: [21:00:00 04/04/2014] id: Intubation Date el: 0 cu: MICU-A cg: RRT v1: 3 v2: 12 st: NotStopd t0: [21:00:00 04/04/2014] id: Low Exhaled Min Vol el: 0 cu: MICU-A cg: RRT v1: 6 st: NotStopd t0: [21:00:00 04/04/2014] id: Low Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 20 u1: cmH2O st: NotStopd t0: [21:00:00 04/04/2014] id: Mean Airway Pressure el: 0 cu: MICU-A cg: RRT v1: 21 u1: cmH2O st: NotStopd t0: [21:00:00 04/04/2014] id: Minute Volume(Obser) el: 0 cu: MICU-A cg: RRT v1: 8.2 u1: L/min st: NotStopd t0: [21:00:00 04/04/2014] id: PEEP Set el: 0 cu: MICU-A cg: RRT v1: 15 u1: cmH2O st: NotStopd t0: [21:00:00 04/04/2014] id: Apnea Time Interval el: 0 cu: MICU-A cg: RRT v1: 20 st: NotStopd t0: [21:00:00 04/04/2014] id: Peak Flow el: 0 cu: MICU-A cg: RRT v1: 55 u1: L/m st: NotStopd t0: [21:00:00 04/04/2014] id: Peak Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 34 u1: cmH2O st: NotStopd t0: [21:00:00 04/04/2014] id: Plateau Pressure el: 0 cu: MICU-A cg: RRT v1: 34 u1: cmH2O st: NotStopd t0: [21:00:00 04/04/2014] id: Plateau-Off el: 0 cu: MICU-A cg: RRT v1: Yes st: NotStopd t0: [21:00:00 04/04/2014] id: Resp Rate (Spont) el: 0 cu: MICU-A cg: RRT v1: 0 u1: BPM st: NotStopd t0: [21:00:00 04/04/2014] id: Resp Rate (Total) el: 0 cu: MICU-A cg: RRT v1: 20 u1: BPM st: NotStopd t0: [21:00:00 04/04/2014] id: Respiratory Rate Set el: 0 cu: MICU-A cg: RRT v1: 20 u1: BPM st: NotStopd t0: [21:00:00 04/04/2014] id: Sensitivity-Vent el: 0 cu: MICU-A cg: RRT v1: 2 u1: cmH2O st: NotStopd t0: [21:00:00 04/04/2014] id: Tidal Volume (Obser) el: 0 cu: MICU-A cg: RRT v1: 450 u1: ml/B st: NotStopd t0: [21:00:00 04/04/2014] id: Tidal Volume (Set) el: 0 cu: MICU-A cg: RRT v1: 450 u1: ml/B st: NotStopd t0: [21:00:00 04/04/2014] id: Ventilator Mode el: 0 cu: MICU-A cg: RRT v1: Assist Control st: NotStopd t0: [21:00:00 04/04/2014] id: Ventilator No. el: 0 cu: MICU-A cg: RRT v1: 6 u1: # st: NotStopd t0: [21:00:00 04/04/2014] id: Ventilator Type el: 0 cu: MICU-A cg: RRT v1: 7200A st: NotStopd t0: [21:00:00 04/04/2014] id: Waveform-Vent el: 0 cu: MICU-A cg: RRT v1: RAMP st: NotStopd
t0: [22:00:00 04/04/2014] id: Service Type el: 0 cu: MICU-A cg: -1 v1: MICU st: NotStopd t0: [22:00:00 04/04/2014] id: CVP el: 0 cu: MICU-A cg: -1 v1: 15 u1: mmHg st: NotStopd t0: [22:00:00 04/04/2014] id: Code Status el: 0 cu: MICU-A cg: -1 v1: Full Code st: NotStopd t0: [22:00:00 04/04/2014] id: Ectopy Type el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [22:00:00 04/04/2014] id: Heart Rate el: 0 cu: MICU-A cg: -1 v1: 63 u1: BPM st: NotStopd t0: [22:00:00 04/04/2014] id: Heart Rhythm el: 0 cu: MICU-A cg: -1 v1: Normal Sinus st: NotStopd t0: [22:00:00 04/04/2014] id: Arterial BP el: 0 cu: MICU-A cg: -1 v1: 134 u1: mmHg v2: 67 u2: mmHg st: NotStopd t0: [22:00:00 04/04/2014] id: Arterial BP Mean el: 0 cu: MICU-A cg: -1 v1: 92 u1: mmHg st: NotStopd t0: [22:00:00 04/04/2014] id: Precautions el: 0 cu: MICU-A cg: -1 v1: Universal st: NotStopd t0: [22:00:00 04/04/2014] id: Respiratory Rate el: 0 cu: MICU-A cg: -1 v1: 20 u1: BPM st: NotStopd t0: [22:00:00 04/04/2014] id: SpO2 el: 0 cu: MICU-A cg: -1 v1: 97 u1: % st: NotStopd t0: [22:00:00 04/04/2014] id: calprevflg el: 0 cu: MICU-A cg: -1 v1: 1 u1: kg st: NotStopd
t0: [22:00:00 04/04/2014] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 10 vu: ml t0: [22:00:00 04/04/2014] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 2 cu: MICU-A cg: -1 ai: 209 vo: 21.576 vu: ml t0: [22:00:00 04/04/2014] id: D5W 50.0ml + 100mghr Lasix IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 3 vu: ml t0: [22:00:00 04/04/2014] id: Promote w/fiber Tube Feeding el: 1 cu: MICU-A cg: -1 ai: 107 vo: 65 vu: ml t0: [22:00:00 04/04/2014] id: Urine Out Foley el: 1 cu: MICU-A cg: -1 vo: 260 vu: ml
t0: [22:00:00 04/04/2014] id: Lasix el: 1 cu: MICU-A so: D5W vo: 0 v1: 6 du: mghr sv: 50 su: ml rt: IV Drip t0: [22:00:00 04/04/2014] id: Propofol el: 2 cu: MICU-A so: N/A vo: 0 v1: 40 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [23:00:00 04/04/2014] id: Service Type el: 0 cu: MICU-A cg: -1 v1: MICU st: NotStopd t0: [23:00:00 04/04/2014] id: CVP el: 0 cu: MICU-A cg: -1 v1: 14 u1: mmHg st: NotStopd t0: [23:00:00 04/04/2014] id: Code Status el: 0 cu: MICU-A cg: -1 v1: Full Code st: NotStopd t0: [23:00:00 04/04/2014] id: Ectopy Frequency el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [23:00:00 04/04/2014] id: Ectopy Type el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [23:00:00 04/04/2014] id: Heart Rate el: 0 cu: MICU-A cg: -1 v1: 62 u1: BPM st: NotStopd t0: [23:00:00 04/04/2014] id: Heart Rhythm el: 0 cu: MICU-A cg: -1 v1: Normal Sinus st: NotStopd t0: [23:00:00 04/04/2014] id: Arterial BP el: 0 cu: MICU-A cg: -1 v1: 148 u1: mmHg v2: 74 u2: mmHg st: NotStopd t0: [23:00:00 04/04/2014] id: Arterial BP Mean el: 0 cu: MICU-A cg: -1 v1: 102 u1: mmHg st: NotStopd t0: [23:00:00 04/04/2014] id: Precautions el: 0 cu: MICU-A cg: -1 v1: Universal st: NotStopd t0: [23:00:00 04/04/2014] id: Respiratory Rate el: 0 cu: MICU-A cg: -1 v1: 20 u1: BPM st: NotStopd t0: [23:00:00 04/04/2014] id: SpO2 el: 0 cu: MICU-A cg: -1 v1: 98 u1: % st: NotStopd t0: [23:00:00 04/04/2014] id: calprevflg el: 0 cu: MICU-A cg: -1 v1: 1 u1: kg st: NotStopd
t0: [23:00:00 04/04/2014] id: TF Residual Gastric/TF Residual el: 1 cu: MICU-A cg: -1 ai: 107 vo: 10 vu: ml t0: [23:00:00 04/04/2014] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 10 vu: ml t0: [23:00:00 04/04/2014] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 2 cu: MICU-A cg: -1 ai: 209 vo: 21.576 vu: ml t0: [23:00:00 04/04/2014] id: D5W 50.0ml + 100mghr Lasix IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 3 vu: ml t0: [23:00:00 04/04/2014] id: Promote w/fiber Tube Feeding el: 1 cu: MICU-A cg: -1 ai: 107 vo: 65 vu: ml t0: [23:00:00 04/04/2014] id: Urine Out Foley el: 1 cu: MICU-A cg: -1 vo: 200 vu: ml
t0: [23:00:00 04/04/2014] id: Lasix el: 1 cu: MICU-A so: D5W vo: 0 v1: 6 du: mghr sv: 50 su: ml rt: IV Drip t0: [23:00:00 04/04/2014] id: Propofol el: 2 cu: MICU-A so: N/A vo: 0 v1: 40 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [20:00:00 04/04/2014] id: Less Restrict Meas. el: 0 cu: MICU-A cg: -1 v1: Medicated st: NotStopd t0: [00:00:00 05/04/2014] id: Less Restrict Meas. el: 0 cu: MICU-A cg: -1 v1: Medicated st: NotStopd t0: [00:00:00 05/04/2014] id: Range of Motion el: 0 cu: MICU-A cg: -1 v1: Done st: NotStopd t0: [00:00:00 05/04/2014] id: Service Type el: 0 cu: MICU-A cg: -1 v1: MICU st: NotStopd t0: [00:00:00 05/04/2014] id: Circulation/SkinInt el: 0 cu: MICU-A cg: -1 v1: Circulation Adeq st: NotStopd t0: [00:00:00 05/04/2014] id: Code Status el: 0 cu: MICU-A cg: -1 v1: Full Code st: NotStopd t0: [00:00:00 05/04/2014] id: Riker-SAS Scale el: 0 cu: MICU-A cg: -1 v1: Sedated st: NotStopd t0: [00:00:00 05/04/2014] id: GI Prophylaxis el: 0 cu: MICU-A cg: -1 v1: H2 Blocker st: NotStopd t0: [00:00:00 05/04/2014] id: Diet Type el: 0 cu: MICU-A cg: -1 v1: Tube Feeding st: NotStopd t0: [00:00:00 05/04/2014] id: Dorsal PedPulse R/L el: 0 cu: MICU-A cg: -1 v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [00:00:00 05/04/2014] id: Ectopy Frequency el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [00:00:00 05/04/2014] id: Ectopy Type el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [00:00:00 05/04/2014] id: Eye Care el: 0 cu: MICU-A cg: -1 v1: Done st: NotStopd t0: [00:00:00 05/04/2014] id: Eye Opening el: 0 cu: MICU-A cg: -1 v1: 1 No Response st: NotStopd t0: [00:00:00 05/04/2014] id: GCS Total el: 0 cu: MICU-A cg: -1 v1: 3 u1: points st: NotStopd t0: [00:00:00 05/04/2014] id: GI Intub #1/Site el: 0 cu: MICU-A cg: -1 v1: Salem Sump v2: Oral st: NotStopd t0: [00:00:00 05/04/2014] id: GI#1 Tube PlaceCheck el: 0 cu: MICU-A cg: -1 v1: Done st: NotStopd t0: [00:00:00 05/04/2014] id: GI#1 Tube Stat/Drain el: 0 cu: MICU-A cg: -1 v1: Feeding v2: Undigested Food st: NotStopd t0: [00:00:00 05/04/2014] id: GU Catheter Size el: 0 cu: MICU-A cg: -1 v1: 14 French st: NotStopd t0: [00:00:00 05/04/2014] id: HOB el: 0 cu: MICU-A cg: -1 v1: 45 degrees st: NotStopd t0: [00:00:00 05/04/2014] id: Heart Rate el: 0 cu: MICU-A cg: -1 v1: 63 u1: BPM st: NotStopd t0: [00:00:00 05/04/2014] id: Heart Rhythm el: 0 cu: MICU-A cg: -1 v1: Normal Sinus st: NotStopd t0: [00:00:00 05/04/2014] id: INV Line#1 Type/Site el: 0 cu: MICU-A cg: -1 v1: Multi-lumen v2: Left IJ st: NotStopd t0: [00:00:00 05/04/2014] id: INV Line#1InsertDate el: 0 cu: MICU-A cg: -1 v1: 3 v2: 19 st: NotStopd t0: [00:00:00 05/04/2014] id: INV Line#1SiteAppear el: 0 cu: MICU-A cg: -1 v1: WNL st: NotStopd t0: [00:00:00 05/04/2014] id: INV Line#4 Type/Site el: 0 cu: MICU-A cg: -1 v1: A-Line v2: Right Brachial st: NotStopd t0: [00:00:00 05/04/2014] id: INV Line#4 Zero/Cal el: 0 cu: MICU-A cg: -1 v1: No st: NotStopd t0: [00:00:00 05/04/2014] id: INV Line#4InsertDate el: 0 cu: MICU-A cg: -1 v1: 3 v2: 17 st: NotStopd t0: [00:00:00 05/04/2014] id: INV Line#4SiteAppear el: 0 cu: MICU-A cg: -1 v1: WNL st: NotStopd t0: [00:00:00 05/04/2014] id: Abdominal Assessment el: 0 cu: MICU-A cg: -1 v1: Obese st: NotStopd t0: [00:00:00 05/04/2014] id: INV#4 WaveformAppear el: 0 cu: MICU-A cg: -1 v1: Sharp st: NotStopd t0: [00:00:00 05/04/2014] id: Activity el: 0 cu: MICU-A cg: -1 v1: Bedrest st: NotStopd t0: [00:00:00 05/04/2014] id: Activity Tolerance el: 0 cu: MICU-A cg: -1 v1: Tolerated Well st: NotStopd t0: [00:00:00 05/04/2014] id: Imp Skin Cleanse #2 el: 0 cu: MICU-A cg: -1 v1: Soap & H20 st: NotStopd t0: [00:00:00 05/04/2014] id: ImpSkin Character #1 el: 0 cu: MICU-A cg: -1 v1: Hematoma st: NotStopd t0: [00:00:00 05/04/2014] id: ImpSkin Character #2 el: 0 cu: MICU-A cg: -1 v1: Rash st: NotStopd t0: [00:00:00 05/04/2014] id: ImpSkin Treatment #1 el: 0 cu: MICU-A cg: -1 v1: Open to Air st: NotStopd t0: [00:00:00 05/04/2014] id: ImpSkin Treatment #2 el: 0 cu: MICU-A cg: -1 v1: Open to Air st: NotStopd t0: [00:00:00 05/04/2014] id: Impaired Skin Site#1 el: 0 cu: MICU-A cg: -1 v1: Gluteal, Right st: NotStopd t0: [00:00:00 05/04/2014] id: Impaired Skin Site#2 el: 0 cu: MICU-A cg: -1 v1: Labia st: NotStopd t0: [00:00:00 05/04/2014] id: LLL Lung Sounds el: 0 cu: MICU-A cg: -1 v1: Diminished st: NotStopd t0: [00:00:00 05/04/2014] id: LUL Lung Sounds el: 0 cu: MICU-A cg: -1 v1: Coarse st: NotStopd t0: [00:00:00 05/04/2014] id: Level of Conscious el: 0 cu: MICU-A cg: -1 v1: Sedated st: NotStopd t0: [00:00:00 05/04/2014] id: Motor Response el: 0 cu: MICU-A cg: -1 v1: 1 No Response st: NotStopd t0: [00:00:00 05/04/2014] id: Oral Care el: 0 cu: MICU-A cg: -1 v1: Done st: NotStopd t0: [00:00:00 05/04/2014] id: Oral Cavity el: 0 cu: MICU-A cg: -1 v1: Teeth/Tissue WNL st: NotStopd t0: [00:00:00 05/04/2014] id: Orientation el: 0 cu: MICU-A cg: -1 v1: Other/Remarks st: NotStopd t0: [00:00:00 05/04/2014] id: AntiEmbDevice/Status el: 0 cu: MICU-A cg: -1 v1: Compress Sleeves v2: On st: NotStopd t0: [00:00:00 05/04/2014] id: Arterial BP el: 0 cu: MICU-A cg: -1 v1: 136 u1: mmHg v2: 71 u2: mmHg st: NotStopd t0: [00:00:00 05/04/2014] id: Arterial BP Mean el: 0 cu: MICU-A cg: -1 v1: 95 u1: mmHg st: NotStopd t0: [00:00:00 05/04/2014] id: Position el: 0 cu: MICU-A cg: -1 v1: Right Side st: NotStopd t0: [00:00:00 05/04/2014] id: Position Change el: 0 cu: MICU-A cg: -1 v1: Done st: NotStopd t0: [00:00:00 05/04/2014] id: PostTib. Pulses R/L el: 0 cu: MICU-A cg: -1 v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [00:00:00 05/04/2014] id: Assistance Device el: 0 cu: MICU-A cg: -1 v1: 2 Person Assist st: NotStopd t0: [00:00:00 05/04/2014] id: Precautions el: 0 cu: MICU-A cg: -1 v1: Universal st: NotStopd t0: [00:00:00 05/04/2014] id: PressureReduceDevice el: 0 cu: MICU-A cg: -1 v1: Multipodus Boots st: NotStopd t0: [00:00:00 05/04/2014] id: RLL Lung Sounds el: 0 cu: MICU-A cg: -1 v1: Diminished st: NotStopd t0: [00:00:00 05/04/2014] id: RUL Lung Sounds el: 0 cu: MICU-A cg: -1 v1: Coarse st: NotStopd t0: [00:00:00 05/04/2014] id: Reason For Restraint el: 0 cu: MICU-A cg: -1 v1: Ext/TXInterfere st: NotStopd t0: [00:00:00 05/04/2014] id: Removed x 5 Mins el: 0 cu: MICU-A cg: -1 v1: Done st: NotStopd t0: [00:00:00 05/04/2014] id: Respiratory Pattern el: 0 cu: MICU-A cg: -1 v1: Regular st: NotStopd t0: [00:00:00 05/04/2014] id: Respiratory Rate el: 0 cu: MICU-A cg: -1 v1: 20 u1: BPM st: NotStopd t0: [00:00:00 05/04/2014] id: Restraint Location el: 0 cu: MICU-A cg: -1 v1: Both Arms st: NotStopd t0: [00:00:00 05/04/2014] id: Restraint Type el: 0 cu: MICU-A cg: -1 v1: Soft Limb st: NotStopd t0: [00:00:00 05/04/2014] id: Restraints Evaluated el: 0 cu: MICU-A cg: -1 v1: Behavior Conts st: NotStopd t0: [00:00:00 05/04/2014] id: Side Rails el: 0 cu: MICU-A cg: -1 v1: Side Rails Up st: NotStopd t0: [00:00:00 05/04/2014] id: Skin Care el: 0 cu: MICU-A cg: -1 v1: Done st: NotStopd t0: [00:00:00 05/04/2014] id: Skin Color el: 0 cu: MICU-A cg: -1 v1: Flushed st: NotStopd t0: [00:00:00 05/04/2014] id: Skin Integrity el: 0 cu: MICU-A cg: -1 v1: Impaired st: NotStopd t0: [00:00:00 05/04/2014] id: SpO2 el: 0 cu: MICU-A cg: -1 v1: 99 u1: % st: NotStopd t0: [00:00:00 05/04/2014] id: Sputum Color/Consist el: 0 cu: MICU-A cg: -1 v1: Yellow v2: Thick st: NotStopd t0: [00:00:00 05/04/2014] id: Sputum Source/Amt el: 0 cu: MICU-A cg: -1 v1: Suctioned v2: Small st: NotStopd t0: [00:00:00 05/04/2014] id: Stool Color/Consist el: 0 cu: MICU-A cg: -1 v1: Brown v2: Soft st: NotStopd t0: [00:00:00 05/04/2014] id: Stool Guaiac el: 0 cu: MICU-A cg: -1 v1: Negative st: NotStopd t0: [00:00:00 05/04/2014] id: Support Systems el: 0 cu: MICU-A cg: -1 v1: Spouse st: NotStopd t0: [00:00:00 05/04/2014] id: Temp. Site el: 0 cu: MICU-A cg: -1 v1: Oral st: NotStopd t0: [00:00:00 05/04/2014] id: Temperature C (calc) el: 0 cu: MICU-A cg: -1 v1: 37.8889 u1: Deg. C st: NotStopd t0: [00:00:00 05/04/2014] id: Temperature F el: 0 cu: MICU-A cg: -1 v1: 100.2 u1: Deg. F st: NotStopd t0: [00:00:00 05/04/2014] id: Therapeutic Bed el: 0 cu: MICU-A cg: -1 v1: AirMatt/1st Step st: NotStopd t0: [00:00:00 05/04/2014] id: Turn el: 0 cu: MICU-A cg: -1 v1: Right Side st: NotStopd t0: [00:00:00 05/04/2014] id: Urine Color/Appear el: 0 cu: MICU-A cg: -1 v1: Light Yellow v2: Clear st: NotStopd t0: [00:00:00 05/04/2014] id: Urine Source el: 0 cu: MICU-A cg: -1 v1: Indwelling Cath st: NotStopd t0: [00:00:00 05/04/2014] id: Verbal Response el: 0 cu: MICU-A cg: -1 v1: 1.0 ET/Trach st: NotStopd t0: [00:00:00 05/04/2014] id: Back Care el: 0 cu: MICU-A cg: -1 v1: Done st: NotStopd t0: [00:00:00 05/04/2014] id: calprevflg el: 0 cu: MICU-A cg: -1 v1: 1 u1: kg st: NotStopd t0: [00:00:00 05/04/2014] id: Behavior el: 0 cu: MICU-A cg: -1 v1: Sedated st: NotStopd t0: [00:00:00 05/04/2014] id: Bowel Sounds el: 0 cu: MICU-A cg: -1 v1: Present st: NotStopd t0: [00:00:00 05/04/2014] id: Braden Activity el: 0 cu: MICU-A cg: -1 v1: Bedfast st: NotStopd t0: [00:00:00 05/04/2014] id: Braden Frict/Shear el: 0 cu: MICU-A cg: -1 v1: Potential Prob st: NotStopd t0: [00:00:00 05/04/2014] id: Braden Mobility el: 0 cu: MICU-A cg: -1 v1: Comp. Immobile st: NotStopd t0: [00:00:00 05/04/2014] id: Braden Moisture el: 0 cu: MICU-A cg: -1 v1: Occ. Moist st: NotStopd t0: [00:00:00 05/04/2014] id: Braden Nutrition el: 0 cu: MICU-A cg: -1 v1: Adequate st: NotStopd t0: [00:00:00 05/04/2014] id: Braden Score el: 0 cu: MICU-A cg: -1 v1: 11 u1: number st: NotStopd t0: [00:00:00 05/04/2014] id: Braden SensoryPercep el: 0 cu: MICU-A cg: -1 v1: Comp. Limited st: NotStopd
t0: [00:00:00 05/04/2014] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 10 vu: ml t0: [00:00:00 05/04/2014] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 2 cu: MICU-A cg: -1 ai: 209 vo: 21.576 vu: ml t0: [00:00:00 05/04/2014] id: Gastric Meds PO/Gastric el: 1 cu: MICU-A cg: -1 ai: 155 vo: 250 vu: ml t0: [00:00:00 05/04/2014] id: Stool Out (non-specific) el: 1 cu: MICU-A cg: -1 vu: ml es: Medium t0: [00:00:00 05/04/2014] id: D5W 50.0ml + 100mghr Lasix IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 3 vu: ml t0: [00:00:00 05/04/2014] id: IV Piggyback 100.0ml IV Infusions el: 1 cu: MICU-A cg: -1 ai: 105 vo: 25 vu: ml t0: [00:00:00 05/04/2014] id: Promote w/fiber Tube Feeding el: 1 cu: MICU-A cg: -1 ai: 107 vo: 65 vu: ml t0: [00:00:00 05/04/2014] id: Urine Out Foley el: 1 cu: MICU-A cg: -1 vo: 50 vu: ml
t0: [00:00:00 05/04/2014] id: Lasix el: 1 cu: MICU-A so: D5W vo: 0 v1: 6 du: mghr sv: 50 su: ml rt: IV Drip t0: [00:00:00 05/04/2014] id: Propofol el: 2 cu: MICU-A so: N/A vo: 0 v1: 40 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [23:00:00 05/04/2014] dt: 24 id: Stool Out Total el: 2 cu: MICU-A cg: -1 cv: 0 ap: carryForward
t0: [00:11:00 05/04/2014] id: Compliance (40-60ml) el: 0 cu: MICU-A cg: RRT v1: 21.4286 u1: ml/cmH st: NotStopd t0: [00:11:00 05/04/2014] id: ETT Mark/Location el: 0 cu: MICU-A cg: RRT v1: 21cm v2: Lip st: NotStopd t0: [00:11:00 05/04/2014] id: FiO2 Set el: 0 cu: MICU-A cg: RRT v1: 0.4 u1: torr st: NotStopd t0: [00:11:00 05/04/2014] id: High Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 45 u1: cmH2O st: NotStopd t0: [00:11:00 05/04/2014] id: High Resp. Rate el: 0 cu: MICU-A cg: RRT v1: 30 u1: BPM st: NotStopd t0: [00:11:00 05/04/2014] id: Airway Size el: 0 cu: MICU-A cg: RRT v1: 7.5 mm st: NotStopd t0: [00:11:00 05/04/2014] id: Airway Type el: 0 cu: MICU-A cg: RRT v1: Endotracheal st: NotStopd t0: [00:11:00 05/04/2014] id: Inspired Gas Temp el: 0 cu: MICU-A cg: RRT v1: 34 u1: Deg. C st: NotStopd t0: [00:11:00 05/04/2014] id: Intubation Date el: 0 cu: MICU-A cg: RRT v1: 3 v2: 12 st: NotStopd t0: [00:11:00 05/04/2014] id: Low Exhaled Min Vol el: 0 cu: MICU-A cg: RRT v1: 6 st: NotStopd t0: [00:11:00 05/04/2014] id: Low Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 20 u1: cmH2O st: NotStopd t0: [00:11:00 05/04/2014] id: Mean Airway Pressure el: 0 cu: MICU-A cg: RRT v1: 21 u1: cmH2O st: NotStopd t0: [00:11:00 05/04/2014] id: Minute Volume(Obser) el: 0 cu: MICU-A cg: RRT v1: 9 u1: L/min st: NotStopd t0: [00:11:00 05/04/2014] id: PEEP Set el: 0 cu: MICU-A cg: RRT v1: 15 u1: cmH2O st: NotStopd t0: [00:11:00 05/04/2014] id: Apnea Time Interval el: 0 cu: MICU-A cg: RRT v1: 20 st: NotStopd t0: [00:11:00 05/04/2014] id: Peak Flow el: 0 cu: MICU-A cg: RRT v1: 55 u1: L/m st: NotStopd t0: [00:11:00 05/04/2014] id: Peak Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 36 u1: cmH2O st: NotStopd t0: [00:11:00 05/04/2014] id: Plateau Pressure el: 0 cu: MICU-A cg: RRT v1: 28 u1: cmH2O st: NotStopd t0: [00:11:00 05/04/2014] id: Plateau-Off el: 0 cu: MICU-A cg: RRT v1: Yes st: NotStopd t0: [00:11:00 05/04/2014] id: Resp Rate (Spont) el: 0 cu: MICU-A cg: RRT v1: 0 u1: BPM st: NotStopd t0: [00:11:00 05/04/2014] id: Resp Rate (Total) el: 0 cu: MICU-A cg: RRT v1: 20 u1: BPM st: NotStopd t0: [00:11:00 05/04/2014] id: Respiratory Rate Set el: 0 cu: MICU-A cg: RRT v1: 20 u1: BPM st: NotStopd t0: [00:11:00 05/04/2014] id: Sensitivity-Vent el: 0 cu: MICU-A cg: RRT v1: 2 u1: cmH2O st: NotStopd t0: [00:11:00 05/04/2014] id: SpO2 el: 0 cu: MICU-A cg: RRT v1: 95 u1: % st: NotStopd t0: [00:11:00 05/04/2014] id: Tidal Volume (Obser) el: 0 cu: MICU-A cg: RRT v1: 450 u1: ml/B st: NotStopd t0: [00:11:00 05/04/2014] id: Tidal Volume (Set) el: 0 cu: MICU-A cg: RRT v1: 450 u1: ml/B st: NotStopd t0: [00:11:00 05/04/2014] id: Ventilator Mode el: 0 cu: MICU-A cg: RRT v1: Assist Control st: NotStopd t0: [00:11:00 05/04/2014] id: Ventilator No. el: 0 cu: MICU-A cg: RRT v1: 6 u1: # st: NotStopd t0: [00:11:00 05/04/2014] id: Ventilator Type el: 0 cu: MICU-A cg: RRT v1: 7200A st: NotStopd t0: [00:11:00 05/04/2014] id: Waveform-Vent el: 0 cu: MICU-A cg: RRT v1: RAMP st: NotStopd
t0: [23:30:00 04/04/2014] id: Carbon Dioxide Chemistry el: 0 cu: MICU-A cg: 1663 v1: 31 rs: Final st: NotStopd t0: [23:30:00 04/04/2014] id: Potassium (3.5-5.3) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 3.4 rs: Final st: NotStopd t0: [23:30:00 04/04/2014] id: Sodium (135-148) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 149 rs: Final st: NotStopd
t0: [01:00:00 05/04/2014] id: Service Type el: 0 cu: MICU-A cg: -1 v1: MICU st: NotStopd t0: [01:00:00 05/04/2014] id: CVP el: 0 cu: MICU-A cg: -1 v1: 11 u1: mmHg st: NotStopd t0: [01:00:00 05/04/2014] id: Code Status el: 0 cu: MICU-A cg: -1 v1: Full Code st: NotStopd t0: [01:00:00 05/04/2014] id: Heart Rate el: 0 cu: MICU-A cg: -1 v1: 63 u1: BPM st: NotStopd t0: [01:00:00 05/04/2014] id: Arterial BP el: 0 cu: MICU-A cg: -1 v1: 121 u1: mmHg v2: 65 u2: mmHg st: NotStopd t0: [01:00:00 05/04/2014] id: Arterial BP Mean el: 0 cu: MICU-A cg: -1 v1: 85 u1: mmHg st: NotStopd t0: [01:00:00 05/04/2014] id: Precautions el: 0 cu: MICU-A cg: -1 v1: Universal st: NotStopd t0: [01:00:00 05/04/2014] id: Respiratory Rate el: 0 cu: MICU-A cg: -1 v1: 20 u1: BPM st: NotStopd t0: [01:00:00 05/04/2014] id: SpO2 el: 0 cu: MICU-A cg: -1 v1: 96 u1: % st: NotStopd t0: [01:00:00 05/04/2014] id: calprevflg el: 0 cu: MICU-A cg: -1 v1: 1 u1: kg st: NotStopd
t0: [01:00:00 05/04/2014] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 10 vu: ml t0: [01:00:00 05/04/2014] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 2 cu: MICU-A cg: -1 ai: 209 vo: 21.576 vu: ml t0: [01:00:00 05/04/2014] id: Gastric Meds PO/Gastric el: 1 cu: MICU-A cg: -1 ai: 155 vo: 120 vu: ml t0: [01:00:00 05/04/2014] id: D5W 50.0ml + 100mghr Lasix IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 3 vu: ml t0: [01:00:00 05/04/2014] id: Promote w/fiber Tube Feeding el: 1 cu: MICU-A cg: -1 ai: 107 vo: 65 vu: ml t0: [01:00:00 05/04/2014] id: Urine Out Foley el: 1 cu: MICU-A cg: -1 vo: 200 vu: ml
t0: [01:00:00 05/04/2014] id: Lasix el: 1 cu: MICU-A so: D5W vo: 0 v1: 6 du: mghr sv: 50 su: ml rt: IV Drip t0: [01:00:00 05/04/2014] id: Propofol el: 2 cu: MICU-A so: N/A vo: 0 v1: 40 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [23:00:00 05/04/2014] dt: 24 id: PO/Gastric In Total el: 2 cu: MICU-A cg: -1 cv: 1730 ap: none
t0: [01:00:00 05/04/2014] id: Ectopy Frequency el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [01:00:00 05/04/2014] id: Ectopy Type el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [01:00:00 05/04/2014] id: Heart Rhythm el: 0 cu: MICU-A cg: -1 v1: Normal Sinus st: NotStopd t0: [02:00:00 05/04/2014] id: Service Type el: 0 cu: MICU-A cg: -1 v1: MICU st: NotStopd t0: [02:00:00 05/04/2014] id: CVP el: 0 cu: MICU-A cg: -1 v1: 11 u1: mmHg st: NotStopd t0: [02:00:00 05/04/2014] id: Code Status el: 0 cu: MICU-A cg: -1 v1: Full Code st: NotStopd t0: [02:00:00 05/04/2014] id: Ectopy Frequency el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [02:00:00 05/04/2014] id: Ectopy Type el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [02:00:00 05/04/2014] id: Heart Rate el: 0 cu: MICU-A cg: -1 v1: 67 u1: BPM st: NotStopd t0: [02:00:00 05/04/2014] id: Heart Rhythm el: 0 cu: MICU-A cg: -1 v1: Normal Sinus st: NotStopd t0: [02:00:00 05/04/2014] id: Arterial BP el: 0 cu: MICU-A cg: -1 v1: 125 u1: mmHg v2: 69 u2: mmHg st: NotStopd t0: [02:00:00 05/04/2014] id: Arterial BP Mean el: 0 cu: MICU-A cg: -1 v1: 90 u1: mmHg st: NotStopd t0: [02:00:00 05/04/2014] id: Precautions el: 0 cu: MICU-A cg: -1 v1: Universal st: NotStopd t0: [02:00:00 05/04/2014] id: Respiratory Rate el: 0 cu: MICU-A cg: -1 v1: 20 u1: BPM st: NotStopd t0: [02:00:00 05/04/2014] id: SpO2 el: 0 cu: MICU-A cg: -1 v1: 100 u1: % st: NotStopd t0: [02:00:00 05/04/2014] id: Sputum Color/Consist el: 0 cu: MICU-A cg: -1 v1: Yellow v2: Thick st: NotStopd t0: [02:00:00 05/04/2014] id: Sputum Source/Amt el: 0 cu: MICU-A cg: -1 v1: Suctioned v2: Moderate st: NotStopd t0: [02:00:00 05/04/2014] id: Temp. Site el: 0 cu: MICU-A cg: -1 v1: Oral st: NotStopd t0: [02:00:00 05/04/2014] id: Temperature C (calc) el: 0 cu: MICU-A cg: -1 v1: 37.5556 u1: Deg. C st: NotStopd t0: [02:00:00 05/04/2014] id: Temperature F el: 0 cu: MICU-A cg: -1 v1: 99.6 u1: Deg. F st: NotStopd t0: [02:00:00 05/04/2014] id: calprevflg el: 0 cu: MICU-A cg: -1 v1: 1 u1: kg st: NotStopd
t0: [02:00:00 05/04/2014] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 10 vu: ml t0: [02:00:00 05/04/2014] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 2 cu: MICU-A cg: -1 ai: 209 vo: 21.576 vu: ml t0: [02:00:00 05/04/2014] id: D5W 50.0ml + 100mghr Lasix IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 3 vu: ml t0: [02:00:00 05/04/2014] id: Promote w/fiber Tube Feeding el: 1 cu: MICU-A cg: -1 ai: 107 vo: 65 vu: ml t0: [02:00:00 05/04/2014] id: Urine Out Foley el: 1 cu: MICU-A cg: -1 vo: 160 vu: ml
t0: [02:00:00 05/04/2014] id: Lasix el: 1 cu: MICU-A so: D5W vo: 0 v1: 6 du: mghr sv: 50 su: ml rt: IV Drip t0: [02:00:00 05/04/2014] id: Propofol el: 2 cu: MICU-A so: N/A vo: 0 v1: 40 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [03:00:00 05/04/2014] id: Service Type el: 0 cu: MICU-A cg: -1 v1: MICU st: NotStopd t0: [03:00:00 05/04/2014] id: CVP el: 0 cu: MICU-A cg: -1 v1: 12 u1: mmHg st: NotStopd t0: [03:00:00 05/04/2014] id: Code Status el: 0 cu: MICU-A cg: -1 v1: Full Code st: NotStopd t0: [03:00:00 05/04/2014] id: Ectopy Frequency el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [03:00:00 05/04/2014] id: Ectopy Type el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [03:00:00 05/04/2014] id: Heart Rate el: 0 cu: MICU-A cg: -1 v1: 65 u1: BPM st: NotStopd t0: [03:00:00 05/04/2014] id: Heart Rhythm el: 0 cu: MICU-A cg: -1 v1: Normal Sinus st: NotStopd t0: [03:00:00 05/04/2014] id: Arterial BP el: 0 cu: MICU-A cg: -1 v1: 121 u1: mmHg v2: 65 u2: mmHg st: NotStopd t0: [03:00:00 05/04/2014] id: Arterial BP Mean el: 0 cu: MICU-A cg: -1 v1: 86 u1: mmHg st: NotStopd t0: [03:00:00 05/04/2014] id: Precautions el: 0 cu: MICU-A cg: -1 v1: Universal st: NotStopd t0: [03:00:00 05/04/2014] id: Respiratory Rate el: 0 cu: MICU-A cg: -1 v1: 20 u1: BPM st: NotStopd t0: [03:00:00 05/04/2014] id: SpO2 el: 0 cu: MICU-A cg: -1 v1: 98 u1: % st: NotStopd t0: [03:00:00 05/04/2014] id: calprevflg el: 0 cu: MICU-A cg: -1 v1: 1 u1: kg st: NotStopd
t0: [03:00:00 05/04/2014] id: Lasix el: 1 cu: MICU-A so: D5W vo: 0 v1: 6 du: mghr sv: 50 su: ml rt: IV Drip t0: [03:00:00 05/04/2014] id: Propofol el: 2 cu: MICU-A so: N/A vo: 0 v1: 40 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [04:00:00 05/04/2014] id: Less Restrict Meas. el: 0 cu: MICU-A cg: -1 v1: Medicated st: NotStopd t0: [04:00:00 05/04/2014] id: Range of Motion el: 0 cu: MICU-A cg: -1 v1: Done st: NotStopd t0: [04:00:00 05/04/2014] id: Service Type el: 0 cu: MICU-A cg: -1 v1: MICU st: NotStopd t0: [04:00:00 05/04/2014] id: Circulation/SkinInt el: 0 cu: MICU-A cg: -1 v1: Circulation Adeq st: NotStopd t0: [04:00:00 05/04/2014] id: Code Status el: 0 cu: MICU-A cg: -1 v1: Full Code st: NotStopd t0: [04:00:00 05/04/2014] id: GI Prophylaxis el: 0 cu: MICU-A cg: -1 v1: H2 Blocker st: NotStopd t0: [04:00:00 05/04/2014] id: Diet Type el: 0 cu: MICU-A cg: -1 v1: Tube Feeding st: NotStopd t0: [04:00:00 05/04/2014] id: Dorsal PedPulse R/L el: 0 cu: MICU-A cg: -1 v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [04:00:00 05/04/2014] id: Ectopy Frequency el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [04:00:00 05/04/2014] id: Ectopy Type el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [04:00:00 05/04/2014] id: Eye Opening el: 0 cu: MICU-A cg: -1 v1: 1 No Response st: NotStopd t0: [04:00:00 05/04/2014] id: GCS Total el: 0 cu: MICU-A cg: -1 v1: 3 u1: points st: NotStopd t0: [04:00:00 05/04/2014] id: GI Intub #1/Site el: 0 cu: MICU-A cg: -1 v1: Salem Sump v2: Oral st: NotStopd t0: [04:00:00 05/04/2014] id: GI#1 Tube Stat/Drain el: 0 cu: MICU-A cg: -1 v1: Feeding v2: Undigested Food st: NotStopd t0: [04:00:00 05/04/2014] id: GU Catheter Size el: 0 cu: MICU-A cg: -1 v1: 14 French st: NotStopd t0: [04:00:00 05/04/2014] id: HOB el: 0 cu: MICU-A cg: -1 v1: 45 degrees st: NotStopd t0: [04:00:00 05/04/2014] id: Heart Rate el: 0 cu: MICU-A cg: -1 v1: 65 u1: BPM st: NotStopd t0: [04:00:00 05/04/2014] id: Heart Rhythm el: 0 cu: MICU-A cg: -1 v1: Normal Sinus st: NotStopd t0: [04:00:00 05/04/2014] id: INV Line#1 Type/Site el: 0 cu: MICU-A cg: -1 v1: Multi-lumen v2: Left IJ st: NotStopd t0: [04:00:00 05/04/2014] id: INV Line#1InsertDate el: 0 cu: MICU-A cg: -1 v1: 3 v2: 19 st: NotStopd t0: [04:00:00 05/04/2014] id: INV Line#1SiteAppear el: 0 cu: MICU-A cg: -1 v1: WNL st: NotStopd t0: [04:00:00 05/04/2014] id: INV Line#4 Type/Site el: 0 cu: MICU-A cg: -1 v1: A-Line v2: Right Brachial st: NotStopd t0: [04:00:00 05/04/2014] id: INV Line#4 Zero/Cal el: 0 cu: MICU-A cg: -1 v1: No st: NotStopd t0: [04:00:00 05/04/2014] id: INV Line#4InsertDate el: 0 cu: MICU-A cg: -1 v1: 3 v2: 17 st: NotStopd t0: [04:00:00 05/04/2014] id: INV Line#4SiteAppear el: 0 cu: MICU-A cg: -1 v1: WNL st: NotStopd t0: [04:00:00 05/04/2014] id: Abdominal Assessment el: 0 cu: MICU-A cg: -1 v1: Soft st: NotStopd t0: [04:00:00 05/04/2014] id: INV#4 WaveformAppear el: 0 cu: MICU-A cg: -1 v1: Sharp st: NotStopd t0: [04:00:00 05/04/2014] id: Activity el: 0 cu: MICU-A cg: -1 v1: Bedrest st: NotStopd t0: [04:00:00 05/04/2014] id: Activity Tolerance el: 0 cu: MICU-A cg: -1 v1: Tolerated Well st: NotStopd t0: [04:00:00 05/04/2014] id: Impaired Skin Site#1 el: 0 cu: MICU-A cg: -1 v1: Gluteal, Right st: NotStopd t0: [04:00:00 05/04/2014] id: Impaired Skin Site#2 el: 0 cu: MICU-A cg: -1 v1: Labia st: NotStopd t0: [04:00:00 05/04/2014] id: LLL Lung Sounds el: 0 cu: MICU-A cg: -1 v1: Diminished st: NotStopd t0: [04:00:00 05/04/2014] id: LUL Lung Sounds el: 0 cu: MICU-A cg: -1 v1: Coarse st: NotStopd t0: [04:00:00 05/04/2014] id: Level of Conscious el: 0 cu: MICU-A cg: -1 v1: Sedated st: NotStopd t0: [04:00:00 05/04/2014] id: Motor Response el: 0 cu: MICU-A cg: -1 v1: 1 No Response st: NotStopd t0: [04:00:00 05/04/2014] id: Oral Care el: 0 cu: MICU-A cg: -1 v1: Done st: NotStopd t0: [04:00:00 05/04/2014] id: Oral Cavity el: 0 cu: MICU-A cg: -1 v1: Teeth/Tissue WNL st: NotStopd t0: [04:00:00 05/04/2014] id: Orientation el: 0 cu: MICU-A cg: -1 v1: Other/Remarks st: NotStopd t0: [04:00:00 05/04/2014] id: AntiEmbDevice/Status el: 0 cu: MICU-A cg: -1 v1: Compress Sleeves v2: On st: NotStopd t0: [04:00:00 05/04/2014] id: Arterial BP el: 0 cu: MICU-A cg: -1 v1: 123 u1: mmHg v2: 64 u2: mmHg st: NotStopd t0: [04:00:00 05/04/2014] id: Arterial BP Mean el: 0 cu: MICU-A cg: -1 v1: 85 u1: mmHg st: NotStopd t0: [04:00:00 05/04/2014] id: Position el: 0 cu: MICU-A cg: -1 v1: Left Side st: NotStopd t0: [04:00:00 05/04/2014] id: Position Change el: 0 cu: MICU-A cg: -1 v1: Done st: NotStopd t0: [04:00:00 05/04/2014] id: Assistance Device el: 0 cu: MICU-A cg: -1 v1: 2 Person Assist st: NotStopd t0: [04:00:00 05/04/2014] id: Precautions el: 0 cu: MICU-A cg: -1 v1: Universal st: NotStopd t0: [04:00:00 05/04/2014] id: PressureReduceDevice el: 0 cu: MICU-A cg: -1 v1: Multipodus Boots st: NotStopd t0: [04:00:00 05/04/2014] id: RLL Lung Sounds el: 0 cu: MICU-A cg: -1 v1: Diminished st: NotStopd t0: [04:00:00 05/04/2014] id: RUL Lung Sounds el: 0 cu: MICU-A cg: -1 v1: Coarse st: NotStopd t0: [04:00:00 05/04/2014] id: Reason For Restraint el: 0 cu: MICU-A cg: -1 v1: Ext/TXInterfere st: NotStopd t0: [04:00:00 05/04/2014] id: Removed x 5 Mins el: 0 cu: MICU-A cg: -1 v1: Done st: NotStopd t0: [04:00:00 05/04/2014] id: Respiratory Pattern el: 0 cu: MICU-A cg: -1 v1: Regular st: NotStopd t0: [04:00:00 05/04/2014] id: Respiratory Rate el: 0 cu: MICU-A cg: -1 v1: 20 u1: BPM st: NotStopd t0: [04:00:00 05/04/2014] id: Restraint Location el: 0 cu: MICU-A cg: -1 v1: Both Arms st: NotStopd t0: [04:00:00 05/04/2014] id: Restraint Type el: 0 cu: MICU-A cg: -1 v1: Soft Limb st: NotStopd t0: [04:00:00 05/04/2014] id: Restraints Evaluated el: 0 cu: MICU-A cg: -1 v1: Behavior Conts st: NotStopd t0: [04:00:00 05/04/2014] id: Side Rails el: 0 cu: MICU-A cg: -1 v1: Side Rails Up st: NotStopd t0: [04:00:00 05/04/2014] id: Skin Care el: 0 cu: MICU-A cg: -1 v1: Done st: NotStopd t0: [04:00:00 05/04/2014] id: Skin Color el: 0 cu: MICU-A cg: -1 v1: Flushed st: NotStopd t0: [04:00:00 05/04/2014] id: Skin Integrity el: 0 cu: MICU-A cg: -1 v1: Impaired st: NotStopd t0: [04:00:00 05/04/2014] id: SpO2 el: 0 cu: MICU-A cg: -1 v1: 99 u1: % st: NotStopd t0: [04:00:00 05/04/2014] id: Sputum Color/Consist el: 0 cu: MICU-A cg: -1 v1: Yellow v2: Thick st: NotStopd t0: [04:00:00 05/04/2014] id: Sputum Source/Amt el: 0 cu: MICU-A cg: -1 v1: Suctioned v2: Small st: NotStopd t0: [04:00:00 05/04/2014] id: Stool Color/Consist el: 0 cu: MICU-A cg: -1 v1: Brown v2: Soft st: NotStopd t0: [04:00:00 05/04/2014] id: Stool Guaiac el: 0 cu: MICU-A cg: -1 v1: Negative st: NotStopd t0: [04:00:00 05/04/2014] id: Support Systems el: 0 cu: MICU-A cg: -1 v1: Spouse st: NotStopd t0: [04:00:00 05/04/2014] id: Temperature C (calc) el: 0 cu: MICU-A cg: -1 v1: 37.4444 u1: Deg. C st: NotStopd t0: [04:00:00 05/04/2014] id: Temperature F el: 0 cu: MICU-A cg: -1 v1: 99.4 u1: Deg. F st: NotStopd t0: [04:00:00 05/04/2014] id: Therapeutic Bed el: 0 cu: MICU-A cg: -1 v1: AirMatt/1st Step st: NotStopd t0: [04:00:00 05/04/2014] id: Turn el: 0 cu: MICU-A cg: -1 v1: Left Side st: NotStopd t0: [04:00:00 05/04/2014] id: Urine Color/Appear el: 0 cu: MICU-A cg: -1 v1: Light Yellow v2: Clear st: NotStopd t0: [04:00:00 05/04/2014] id: Urine Source el: 0 cu: MICU-A cg: -1 v1: Indwelling Cath st: NotStopd t0: [04:00:00 05/04/2014] id: Verbal Response el: 0 cu: MICU-A cg: -1 v1: 1.0 ET/Trach st: NotStopd t0: [04:00:00 05/04/2014] id: Back Care el: 0 cu: MICU-A cg: -1 v1: Done st: NotStopd t0: [04:00:00 05/04/2014] id: calprevflg el: 0 cu: MICU-A cg: -1 v1: 1 u1: kg st: NotStopd t0: [04:00:00 05/04/2014] id: Behavior el: 0 cu: MICU-A cg: -1 v1: Sedated st: NotStopd t0: [04:00:00 05/04/2014] id: Bowel Sounds el: 0 cu: MICU-A cg: -1 v1: Present st: NotStopd
t0: [04:00:00 05/04/2014] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 20 vu: ml t0: [04:00:00 05/04/2014] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 2 cu: MICU-A cg: -1 ai: 209 vo: 43.152 vu: ml t0: [04:00:00 05/04/2014] id: Gastric Meds PO/Gastric el: 1 cu: MICU-A cg: -1 ai: 155 vo: 90 vu: ml t0: [04:00:00 05/04/2014] id: D5W 50.0ml + 100mghr Lasix IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 6 vu: ml t0: [04:00:00 05/04/2014] id: IV Piggyback 100.0ml IV Infusions el: 1 cu: MICU-A cg: -1 ai: 105 vo: 50 vu: ml t0: [04:00:00 05/04/2014] id: Promote w/fiber Tube Feeding el: 1 cu: MICU-A cg: -1 ai: 107 vo: 130 vu: ml t0: [04:00:00 05/04/2014] id: Urine Out Foley el: 1 cu: MICU-A cg: -1 vo: 400 vu: ml
t0: [04:00:00 05/04/2014] id: Lasix el: 1 cu: MICU-A so: D5W vo: 0 v1: 6 du: mghr sv: 50 su: ml rt: IV Drip t0: [04:00:00 05/04/2014] id: Propofol el: 2 cu: MICU-A so: N/A vo: 0 v1: 40 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [04:36:00 05/04/2014] id: Art.pH ABG el: 0 cu: MICU-A cg: 1663 v1: 7.48 rs: Final st: NotStopd t0: [04:36:00 05/04/2014] id: Arterial Base Excess ABG el: 0 cu: MICU-A cg: 1663 v1: 8 rs: Final st: NotStopd t0: [04:36:00 05/04/2014] id: Arterial CO2(Calc) ABG el: 0 cu: MICU-A cg: 1663 v1: 34 rs: Final st: NotStopd t0: [04:36:00 05/04/2014] id: Arterial PaCO2 ABG el: 0 cu: MICU-A cg: 1663 v1: 44 u1: mmHg rs: Final st: NotStopd t0: [04:36:00 05/04/2014] id: Arterial PaO2 ABG el: 0 cu: MICU-A cg: 1663 v1: 96 u1: mmHg rs: Final st: NotStopd t0: [04:36:00 05/04/2014] id: Arterial pH ABG el: 0 cu: MICU-A cg: 1663 v1: 7.48 rs: Final st: NotStopd t0: [05:00:00 05/04/2014] id: Compliance (40-60ml) el: 0 cu: MICU-A cg: RRT v1: 25 u1: ml/cmH st: NotStopd t0: [05:00:00 05/04/2014] id: ETT Mark/Location el: 0 cu: MICU-A cg: RRT v1: 21cm v2: Lip st: NotStopd t0: [05:00:00 05/04/2014] id: FiO2 Set el: 0 cu: MICU-A cg: RRT v1: 0.4 u1: torr st: NotStopd t0: [05:00:00 05/04/2014] id: High Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 45 u1: cmH2O st: NotStopd t0: [05:00:00 05/04/2014] id: High Resp. Rate el: 0 cu: MICU-A cg: RRT v1: 30 u1: BPM st: NotStopd t0: [05:00:00 05/04/2014] id: Airway Size el: 0 cu: MICU-A cg: RRT v1: 7.5 mm st: NotStopd t0: [05:00:00 05/04/2014] id: Airway Type el: 0 cu: MICU-A cg: RRT v1: Endotracheal st: NotStopd t0: [05:00:00 05/04/2014] id: Inspired Gas Temp el: 0 cu: MICU-A cg: RRT v1: 34 u1: Deg. C st: NotStopd t0: [05:00:00 05/04/2014] id: Intubation Date el: 0 cu: MICU-A cg: RRT v1: 3 v2: 12 st: NotStopd t0: [05:00:00 05/04/2014] id: Low Exhaled Min Vol el: 0 cu: MICU-A cg: RRT v1: 6 st: NotStopd t0: [05:00:00 05/04/2014] id: Low Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 20 u1: cmH2O st: NotStopd t0: [05:00:00 05/04/2014] id: Mean Airway Pressure el: 0 cu: MICU-A cg: RRT v1: 20 u1: cmH2O st: NotStopd t0: [05:00:00 05/04/2014] id: Minute Volume(Obser) el: 0 cu: MICU-A cg: RRT v1: 7.2 u1: L/min st: NotStopd t0: [05:00:00 05/04/2014] id: PEEP Set el: 0 cu: MICU-A cg: RRT v1: 15 u1: cmH2O st: NotStopd t0: [05:00:00 05/04/2014] id: Apnea Time Interval el: 0 cu: MICU-A cg: RRT v1: 20 st: NotStopd t0: [05:00:00 05/04/2014] id: Peak Flow el: 0 cu: MICU-A cg: RRT v1: 55 u1: L/m st: NotStopd t0: [05:00:00 05/04/2014] id: Peak Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 33 u1: cmH2O st: NotStopd t0: [05:00:00 05/04/2014] id: Plateau Pressure el: 0 cu: MICU-A cg: RRT v1: 30 u1: cmH2O st: NotStopd t0: [05:00:00 05/04/2014] id: Plateau-Off el: 0 cu: MICU-A cg: RRT v1: Yes st: NotStopd t0: [05:00:00 05/04/2014] id: Resp Rate (Spont) el: 0 cu: MICU-A cg: RRT v1: 0 u1: BPM st: NotStopd t0: [05:00:00 05/04/2014] id: Resp Rate (Total) el: 0 cu: MICU-A cg: RRT v1: 20 u1: BPM st: NotStopd t0: [05:00:00 05/04/2014] id: Respiratory Rate Set el: 0 cu: MICU-A cg: RRT v1: 20 u1: BPM st: NotStopd t0: [05:00:00 05/04/2014] id: Sensitivity-Vent el: 0 cu: MICU-A cg: RRT v1: 2 u1: cmH2O st: NotStopd t0: [05:00:00 05/04/2014] id: SpO2 el: 0 cu: MICU-A cg: RRT v1: 100 u1: % st: NotStopd t0: [05:00:00 05/04/2014] id: Sputum Color/Consist el: 0 cu: MICU-A cg: RRT v1: Yellow v2: Thick st: NotStopd t0: [05:00:00 05/04/2014] id: Sputum Source/Amt el: 0 cu: MICU-A cg: RRT v1: Suctioned v2: Moderate st: NotStopd t0: [05:00:00 05/04/2014] id: Tidal Volume (Obser) el: 0 cu: MICU-A cg: RRT v1: 450 u1: ml/B st: NotStopd t0: [05:00:00 05/04/2014] id: Tidal Volume (Set) el: 0 cu: MICU-A cg: RRT v1: 450 u1: ml/B st: NotStopd t0: [05:00:00 05/04/2014] id: Ventilator Mode el: 0 cu: MICU-A cg: RRT v1: Assist Control st: NotStopd t0: [05:00:00 05/04/2014] id: Ventilator No. el: 0 cu: MICU-A cg: RRT v1: 6 u1: # st: NotStopd t0: [05:00:00 05/04/2014] id: Ventilator Type el: 0 cu: MICU-A cg: RRT v1: 7200A st: NotStopd t0: [05:00:00 05/04/2014] id: Waveform-Vent el: 0 cu: MICU-A cg: RRT v1: RAMP st: NotStopd
t0: [05:00:00 05/04/2014] id: Spon RR (Mech.) el: 0 cu: MICU-A cg: RRT v1: 49 u1: BPM st: NotStopd t0: [05:00:00 05/04/2014] id: Spon. Vt (L) (Mech.) el: 0 cu: MICU-A cg: RRT v1: 0.15 u1: L st: NotStopd
t0: [05:00:00 05/04/2014] id: Service Type el: 0 cu: MICU-A cg: -1 v1: MICU st: NotStopd t0: [05:00:00 05/04/2014] id: CVP el: 0 cu: MICU-A cg: -1 v1: 11 u1: mmHg st: NotStopd t0: [05:00:00 05/04/2014] id: Code Status el: 0 cu: MICU-A cg: -1 v1: Full Code st: NotStopd t0: [05:00:00 05/04/2014] id: Ectopy Frequency el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [05:00:00 05/04/2014] id: Ectopy Type el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [05:00:00 05/04/2014] id: Heart Rate el: 0 cu: MICU-A cg: -1 v1: 65 u1: BPM st: NotStopd t0: [05:00:00 05/04/2014] id: Heart Rhythm el: 0 cu: MICU-A cg: -1 v1: Normal Sinus st: NotStopd t0: [05:00:00 05/04/2014] id: Arterial BP el: 0 cu: MICU-A cg: -1 v1: 130 u1: mmHg v2: 67 u2: mmHg st: NotStopd t0: [05:00:00 05/04/2014] id: Arterial BP Mean el: 0 cu: MICU-A cg: -1 v1: 90 u1: mmHg st: NotStopd t0: [05:00:00 05/04/2014] id: Precautions el: 0 cu: MICU-A cg: -1 v1: Universal st: NotStopd t0: [05:00:00 05/04/2014] id: Respiratory Rate el: 0 cu: MICU-A cg: -1 v1: 23 u1: BPM st: NotStopd t0: [05:00:00 05/04/2014] id: calprevflg el: 0 cu: MICU-A cg: -1 v1: 1 u1: kg st: NotStopd
t0: [05:00:00 05/04/2014] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 10 vu: ml t0: [05:00:00 05/04/2014] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 2 cu: MICU-A cg: -1 ai: 209 vo: 21.576 vu: ml t0: [05:00:00 05/04/2014] id: D5W 50.0ml + 100mghr Lasix IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 3 vu: ml t0: [05:00:00 05/04/2014] id: Promote w/fiber Tube Feeding el: 1 cu: MICU-A cg: -1 ai: 107 vo: 65 vu: ml t0: [05:00:00 05/04/2014] id: Urine Out Foley el: 1 cu: MICU-A cg: -1 vo: 200 vu: ml
t0: [05:00:00 05/04/2014] id: Lasix el: 1 cu: MICU-A so: D5W vo: 0 v1: 6 du: mghr sv: 50 su: ml rt: IV Drip t0: [05:00:00 05/04/2014] id: Propofol el: 2 cu: MICU-A so: N/A vo: 0 v1: 40 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [04:30:00 05/04/2014] id: WBC (4-11,000) Hematology el: 0 cu: MICU-A cg: 1663 v1: 19.2 rs: Final st: NotStopd t0: [04:30:00 05/04/2014] id: Hematocrit Hematology el: 0 cu: MICU-A cg: 1663 v1: 26.4 u1: % rs: Final st: NotStopd t0: [04:30:00 05/04/2014] id: Hemoglobin Hematology el: 0 cu: MICU-A cg: 1663 v1: 8.8 u1: gm/dl rs: Final st: NotStopd t0: [04:30:00 05/04/2014] id: Platelets Hematology el: 0 cu: MICU-A cg: 1663 v1: 472 rs: Final st: NotStopd t0: [04:30:00 05/04/2014] id: RBC Hematology el: 0 cu: MICU-A cg: 1663 v1: 3.08 u1: /mic l rs: Final st: NotStopd t0: [04:30:00 05/04/2014] id: WBC (4-11,000) Hematology el: 0 cu: MICU-A cg: 1663 v1: 19.2 rs: Final st: NotStopd
t0: [04:30:00 05/04/2014] id: BUN (6-20) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 45 rs: Final st: NotStopd t0: [04:30:00 05/04/2014] id: Calcium (8.4-10.2) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 8.2 u1: mg/dl rs: Final st: NotStopd t0: [04:30:00 05/04/2014] id: Carbon Dioxide Chemistry el: 0 cu: MICU-A cg: 1663 v1: 29 rs: Final st: NotStopd t0: [04:30:00 05/04/2014] id: Chloride (100-112) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 104 rs: Final st: NotStopd t0: [04:30:00 05/04/2014] id: Creatinine (0-1.3) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 1.3 rs: Final st: NotStopd t0: [04:30:00 05/04/2014] id: Glucose (70-105) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 119 rs: Final st: NotStopd t0: [04:30:00 05/04/2014] id: Magnesium (1.6-2.6) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 2.2 rs: Final st: NotStopd t0: [04:30:00 05/04/2014] 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: [04:30:00 05/04/2014] id: Potassium (3.5-5.3) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 3.4 rs: Final st: NotStopd t0: [04:30:00 05/04/2014] id: Sodium (135-148) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 148 rs: Final st: NotStopd
t0: [04:30:00 05/04/2014] id: INR (2-4 ref. range) Coags el: 0 cu: MICU-A cg: 1663 v1: 1.2 rs: Final st: NotStopd t0: [04:30:00 05/04/2014] id: PT(11-13.5) Coags el: 0 cu: MICU-A cg: 1663 v1: 13.3 rs: Final st: NotStopd t0: [04:30:00 05/04/2014] id: PTT(22-35) Coags el: 0 cu: MICU-A cg: 1663 v1: 33 rs: Final st: NotStopd
t0: [06:00:00 05/04/2014] id: Service Type el: 0 cu: MICU-A cg: -1 v1: MICU st: NotStopd t0: [06:00:00 05/04/2014] id: Code Status el: 0 cu: MICU-A cg: -1 v1: Full Code st: NotStopd t0: [06:00:00 05/04/2014] id: Ectopy Frequency el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [06:00:00 05/04/2014] id: Ectopy Type el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [06:00:00 05/04/2014] id: Heart Rate el: 0 cu: MICU-A cg: -1 v1: 58 u1: BPM st: NotStopd t0: [06:00:00 05/04/2014] id: Heart Rhythm el: 0 cu: MICU-A cg: -1 v1: Normal Sinus st: NotStopd t0: [06:00:00 05/04/2014] id: Oral Care el: 0 cu: MICU-A cg: -1 v1: Done st: NotStopd t0: [06:00:00 05/04/2014] id: Arterial BP el: 0 cu: MICU-A cg: -1 v1: 152 u1: mmHg v2: 76 u2: mmHg st: NotStopd t0: [06:00:00 05/04/2014] id: Arterial BP Mean el: 0 cu: MICU-A cg: -1 v1: 106 u1: mmHg st: NotStopd t0: [06:00:00 05/04/2014] id: Precautions el: 0 cu: MICU-A cg: -1 v1: Universal st: NotStopd t0: [06:00:00 05/04/2014] id: Radiologic Study el: 0 cu: MICU-A cg: -1 v1: Chest Xray st: NotStopd t0: [06:00:00 05/04/2014] id: Respiratory Rate el: 0 cu: MICU-A cg: -1 v1: 20 u1: BPM st: NotStopd t0: [06:00:00 05/04/2014] id: SpO2 el: 0 cu: MICU-A cg: -1 v1: 97 u1: % st: NotStopd t0: [06:00:00 05/04/2014] id: calprevflg el: 0 cu: MICU-A cg: -1 v1: 1 u1: kg st: NotStopd
t0: [06:00:00 05/04/2014] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 10 vu: ml t0: [06:00:00 05/04/2014] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 2 cu: MICU-A cg: -1 ai: 209 vo: 21.576 vu: ml t0: [06:00:00 05/04/2014] id: Gastric Meds PO/Gastric el: 1 cu: MICU-A cg: -1 ai: 155 vo: 370 vu: ml t0: [06:00:00 05/04/2014] id: D5W 50.0ml + 100mghr Lasix IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 3 vu: ml t0: [06:00:00 05/04/2014] id: Promote w/fiber Tube Feeding el: 1 cu: MICU-A cg: -1 ai: 107 vo: 65 vu: ml t0: [06:00:00 05/04/2014] id: Urine Out Foley el: 1 cu: MICU-A cg: -1 vo: 320 vu: ml
t0: [06:00:00 05/04/2014] id: Lasix el: 1 cu: MICU-A so: D5W vo: 0 v1: 6 du: mghr sv: 50 su: ml rt: IV Drip t0: [06:00:00 05/04/2014] id: Propofol el: 2 cu: MICU-A so: N/A vo: 0 v1: 40 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [06:00:00 05/04/2014] id: IV Piggyback 100.0ml IV Infusions el: 1 cu: MICU-A cg: -1 ai: 105 vo: 25 vu: ml
t0: [08:00:00 05/04/2014] id: Range of Motion el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [08:00:00 05/04/2014] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [08:00:00 05/04/2014] id: CVP el: 0 cu: MICU-A cg: RN v1: 16 u1: mmHg st: NotStopd t0: [08:00:00 05/04/2014] id: Circulation/SkinInt el: 0 cu: MICU-A cg: RN v1: Circulation Adeq st: NotStopd t0: [08:00:00 05/04/2014] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [08:00:00 05/04/2014] id: Riker-SAS Scale el: 0 cu: MICU-A cg: RN v1: Sedated st: NotStopd t0: [08:00:00 05/04/2014] id: GI Prophylaxis el: 0 cu: MICU-A cg: RN v1: H2 Blocker st: NotStopd t0: [08:00:00 05/04/2014] id: Diet Type el: 0 cu: MICU-A cg: RN v1: Tube Feeding st: NotStopd t0: [08:00:00 05/04/2014] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [08:00:00 05/04/2014] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [08:00:00 05/04/2014] id: Eye Opening el: 0 cu: MICU-A cg: RN v1: 1 No Response st: NotStopd t0: [08:00:00 05/04/2014] id: GCS Total el: 0 cu: MICU-A cg: RN v1: 7 u1: points st: NotStopd t0: [08:00:00 05/04/2014] id: GI Intub #1/Site el: 0 cu: MICU-A cg: RN v1: Salem Sump v2: Oral st: NotStopd t0: [08:00:00 05/04/2014] id: GI#1 Tube Stat/Drain el: 0 cu: MICU-A cg: RN v1: Feeding v2: Undigested Food st: NotStopd t0: [08:00:00 05/04/2014] id: GU Catheter Size el: 0 cu: MICU-A cg: RN v1: 14 French st: NotStopd t0: [08:00:00 05/04/2014] id: HOB el: 0 cu: MICU-A cg: RN v1: 30 degrees st: NotStopd t0: [08:00:00 05/04/2014] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 59 u1: BPM st: NotStopd t0: [08:00:00 05/04/2014] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [08:00:00 05/04/2014] id: INV Line#1 Type/Site el: 0 cu: MICU-A cg: RN v1: Multi-lumen v2: Left IJ st: NotStopd t0: [08:00:00 05/04/2014] id: INV Line#1 Zero/Cal el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [08:00:00 05/04/2014] id: INV Line#1InsertDate el: 0 cu: MICU-A cg: RN v1: 3 v2: 19 st: NotStopd t0: [08:00:00 05/04/2014] id: INV Line#1SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [08:00:00 05/04/2014] id: INV Line#4 Type/Site el: 0 cu: MICU-A cg: RN v1: A-Line v2: Right Brachial st: NotStopd t0: [08:00:00 05/04/2014] id: INV Line#4 Zero/Cal el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [08:00:00 05/04/2014] id: INV Line#4InsertDate el: 0 cu: MICU-A cg: RN v1: 3 v2: 17 st: NotStopd t0: [08:00:00 05/04/2014] id: INV Line#4SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [08:00:00 05/04/2014] id: Abdominal Assessment el: 0 cu: MICU-A cg: RN v1: Obese st: NotStopd t0: [08:00:00 05/04/2014] id: INV#1 WaveformAppear el: 0 cu: MICU-A cg: RN v1: Sharp st: NotStopd t0: [08:00:00 05/04/2014] id: INV#4 WaveformAppear el: 0 cu: MICU-A cg: RN v1: Sharp st: NotStopd t0: [08:00:00 05/04/2014] id: Activity el: 0 cu: MICU-A cg: RN v1: Bedrest st: NotStopd t0: [08:00:00 05/04/2014] id: Activity Tolerance el: 0 cu: MICU-A cg: RN v1: Tolerated Well st: NotStopd t0: [08:00:00 05/04/2014] id: Imp Skin Cleanse #2 el: 0 cu: MICU-A cg: RN v1: Soap & H20 st: NotStopd t0: [08:00:00 05/04/2014] id: ImpSkin Character #1 el: 0 cu: MICU-A cg: RN v1: Hematoma st: NotStopd t0: [08:00:00 05/04/2014] id: ImpSkin Character #2 el: 0 cu: MICU-A cg: RN v1: Rash st: NotStopd t0: [08:00:00 05/04/2014] id: ImpSkin Treatment #1 el: 0 cu: MICU-A cg: RN v1: Open to Air st: NotStopd t0: [08:00:00 05/04/2014] id: ImpSkin Treatment #2 el: 0 cu: MICU-A cg: RN v1: Open to Air st: NotStopd t0: [08:00:00 05/04/2014] id: Impaired Skin Site#1 el: 0 cu: MICU-A cg: RN v1: Gluteal, Right st: NotStopd t0: [08:00:00 05/04/2014] id: Impaired Skin Site#2 el: 0 cu: MICU-A cg: RN v1: Labia st: NotStopd t0: [08:00:00 05/04/2014] id: LLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Diminished st: NotStopd t0: [08:00:00 05/04/2014] id: LUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [08:00:00 05/04/2014] id: Level of Conscious el: 0 cu: MICU-A cg: RN v1: Sedated st: NotStopd t0: [08:00:00 05/04/2014] id: Motor Response el: 0 cu: MICU-A cg: RN v1: 5 Localizes Pain st: NotStopd t0: [08:00:00 05/04/2014] id: Oral Cavity el: 0 cu: MICU-A cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [08:00:00 05/04/2014] id: Orientation el: 0 cu: MICU-A cg: RN v1: Other/Remarks st: NotStopd t0: [08:00:00 05/04/2014] id: AntiEmbDevice/Status el: 0 cu: MICU-A cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [08:00:00 05/04/2014] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 144 u1: mmHg v2: 74 u2: mmHg st: NotStopd t0: [08:00:00 05/04/2014] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 102 u1: mmHg st: NotStopd t0: [08:00:00 05/04/2014] id: Position el: 0 cu: MICU-A cg: RN v1: Supine st: NotStopd t0: [08:00:00 05/04/2014] id: Position Change el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [08:00:00 05/04/2014] id: Assistance Device el: 0 cu: MICU-A cg: RN v1: 2 Person Assist st: NotStopd t0: [08:00:00 05/04/2014] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [08:00:00 05/04/2014] id: PressureReduceDevice el: 0 cu: MICU-A cg: RN v1: Multipodus Boots st: NotStopd t0: [08:00:00 05/04/2014] id: RLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Diminished st: NotStopd t0: [08:00:00 05/04/2014] id: RUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [08:00:00 05/04/2014] id: Reason For Restraint el: 0 cu: MICU-A cg: RN v1: Ext/TXInterfere st: NotStopd t0: [08:00:00 05/04/2014] id: Removed x 5 Mins el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [08:00:00 05/04/2014] id: Respiratory Pattern el: 0 cu: MICU-A cg: RN v1: Regular st: NotStopd t0: [08:00:00 05/04/2014] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 20 u1: BPM st: NotStopd t0: [08:00:00 05/04/2014] id: Restraint Location el: 0 cu: MICU-A cg: RN v1: Both Arms st: NotStopd t0: [08:00:00 05/04/2014] id: Restraint Type el: 0 cu: MICU-A cg: RN v1: Soft Limb st: NotStopd t0: [08:00:00 05/04/2014] id: Restraints Evaluated el: 0 cu: MICU-A cg: RN v1: Behavior Conts st: NotStopd t0: [08:00:00 05/04/2014] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [08:00:00 05/04/2014] id: Skin Color el: 0 cu: MICU-A cg: RN v1: Cyanotic st: NotStopd t0: [08:00:00 05/04/2014] id: Skin Integrity el: 0 cu: MICU-A cg: RN v1: Impaired st: NotStopd t0: [08:00:00 05/04/2014] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 97 u1: % st: NotStopd t0: [08:00:00 05/04/2014] id: Stool Color/Consist el: 0 cu: MICU-A cg: RN v1: Brown v2: Soft st: NotStopd t0: [08:00:00 05/04/2014] id: Support Systems el: 0 cu: MICU-A cg: RN v1: Spouse st: NotStopd t0: [08:00:00 05/04/2014] id: Temp. Site el: 0 cu: MICU-A cg: RN v1: Oral st: NotStopd t0: [08:00:00 05/04/2014] id: Temperature C (calc) el: 0 cu: MICU-A cg: RN v1: 37.6667 u1: Deg. C st: NotStopd t0: [08:00:00 05/04/2014] id: Temperature F el: 0 cu: MICU-A cg: RN v1: 99.8 u1: Deg. F st: NotStopd t0: [08:00:00 05/04/2014] id: Therapeutic Bed el: 0 cu: MICU-A cg: RN v1: AirMatt/1st Step st: NotStopd t0: [08:00:00 05/04/2014] id: Turn el: 0 cu: MICU-A cg: RN v1: Back st: NotStopd t0: [08:00:00 05/04/2014] id: Urine Color/Appear el: 0 cu: MICU-A cg: RN v1: Light Yellow v2: Clear st: NotStopd t0: [08:00:00 05/04/2014] id: Urine Source el: 0 cu: MICU-A cg: RN v1: Indwelling Cath st: NotStopd t0: [08:00:00 05/04/2014] id: Verbal Response el: 0 cu: MICU-A cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [08:00:00 05/04/2014] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [08:00:00 05/04/2014] id: Behavior el: 0 cu: MICU-A cg: RN v1: Sedated st: NotStopd t0: [08:00:00 05/04/2014] id: Bowel Sounds el: 0 cu: MICU-A cg: RN v1: Present st: NotStopd t0: [08:00:00 05/04/2014] id: Braden Activity el: 0 cu: MICU-A cg: RN v1: Bedfast st: NotStopd t0: [08:00:00 05/04/2014] id: Braden Frict/Shear el: 0 cu: MICU-A cg: RN v1: Potential Prob st: NotStopd t0: [08:00:00 05/04/2014] id: Braden Mobility el: 0 cu: MICU-A cg: RN v1: Comp. Immobile st: NotStopd t0: [08:00:00 05/04/2014] id: Braden Moisture el: 0 cu: MICU-A cg: RN v1: Occ. Moist st: NotStopd t0: [08:00:00 05/04/2014] id: Braden Nutrition el: 0 cu: MICU-A cg: RN v1: Adequate st: NotStopd t0: [08:00:00 05/04/2014] id: Braden Score el: 0 cu: MICU-A cg: RN v1: 11 u1: number st: NotStopd t0: [08:00:00 05/04/2014] id: Braden SensoryPercep el: 0 cu: MICU-A cg: RN v1: Comp. Limited st: NotStopd
t0: [08:00:00 05/04/2014] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 20 vu: ml t0: [08:00:00 05/04/2014] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 2 cu: MICU-A cg: RN ai: 209 vo: 43.152 vu: ml t0: [08:00:00 05/04/2014] id: D5W 50.0ml + 100mghr Lasix IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 6 vu: ml t0: [08:00:00 05/04/2014] id: Promote w/fiber Tube Feeding el: 1 cu: MICU-A cg: RN ai: 107 vo: 130 vu: ml t0: [08:00:00 05/04/2014] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 360 vu: ml
t0: [08:00:00 05/04/2014] id: Lasix el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 6 du: mghr sv: 50 su: ml rt: IV Drip t0: [08:00:00 05/04/2014] id: Propofol el: 2 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 05/04/2014] id: Compliance (40-60ml) el: 0 cu: MICU-A cg: RRT v1: 18.5185 u1: ml/cmH st: NotStopd t0: [09:00:00 05/04/2014] id: ETT Mark/Location el: 0 cu: MICU-A cg: RRT v1: 21cm v2: Lip st: NotStopd t0: [09:00:00 05/04/2014] id: FiO2 Set el: 0 cu: MICU-A cg: RRT v1: 0.4 u1: torr st: NotStopd t0: [09:00:00 05/04/2014] id: High Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 45 u1: cmH2O st: NotStopd t0: [09:00:00 05/04/2014] id: High Resp. Rate el: 0 cu: MICU-A cg: RRT v1: 30 u1: BPM st: NotStopd t0: [09:00:00 05/04/2014] id: Airway Size el: 0 cu: MICU-A cg: RRT v1: 7.5 mm st: NotStopd t0: [09:00:00 05/04/2014] id: Airway Type el: 0 cu: MICU-A cg: RRT v1: Endotracheal st: NotStopd t0: [09:00:00 05/04/2014] id: Inspired Gas Temp el: 0 cu: MICU-A cg: RRT v1: 33.5 u1: Deg. C st: NotStopd t0: [09:00:00 05/04/2014] id: Intubation Date el: 0 cu: MICU-A cg: RRT v1: 3 v2: 12 st: NotStopd t0: [09:00:00 05/04/2014] id: Low Exhaled Min Vol el: 0 cu: MICU-A cg: RRT v1: 6 st: NotStopd t0: [09:00:00 05/04/2014] id: Low Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 20 u1: cmH2O st: NotStopd t0: [09:00:00 05/04/2014] id: Mean Airway Pressure el: 0 cu: MICU-A cg: RRT v1: 26.4 u1: cmH2O st: NotStopd t0: [09:00:00 05/04/2014] id: Minute Volume(Obser) el: 0 cu: MICU-A cg: RRT v1: 8.9 u1: L/min st: NotStopd t0: [09:00:00 05/04/2014] id: PEEP Set el: 0 cu: MICU-A cg: RRT v1: 15 u1: cmH2O st: NotStopd t0: [09:00:00 05/04/2014] id: Apnea Time Interval el: 0 cu: MICU-A cg: RRT v1: 20 st: NotStopd t0: [09:00:00 05/04/2014] id: Peak Flow el: 0 cu: MICU-A cg: RRT v1: 55 u1: L/m st: NotStopd t0: [09:00:00 05/04/2014] id: Peak Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 39.3 u1: cmH2O st: NotStopd t0: [09:00:00 05/04/2014] id: Plateau Pressure el: 0 cu: MICU-A cg: RRT v1: 27.6 u1: cmH2O st: NotStopd t0: [09:00:00 05/04/2014] id: Plateau-Off el: 0 cu: MICU-A cg: RRT v1: Yes st: NotStopd t0: [09:00:00 05/04/2014] id: Resp Rate (Spont) el: 0 cu: MICU-A cg: RRT v1: 0 u1: BPM st: NotStopd t0: [09:00:00 05/04/2014] id: Resp Rate (Total) el: 0 cu: MICU-A cg: RRT v1: 20 u1: BPM st: NotStopd t0: [09:00:00 05/04/2014] id: Respiratory Rate Set el: 0 cu: MICU-A cg: RRT v1: 20 u1: BPM st: NotStopd t0: [09:00:00 05/04/2014] id: Sensitivity-Vent el: 0 cu: MICU-A cg: RRT v1: 2 u1: cmH2O st: NotStopd t0: [09:00:00 05/04/2014] id: SpO2 el: 0 cu: MICU-A cg: RRT v1: 97 u1: % st: NotStopd t0: [09:00:00 05/04/2014] id: Tidal Volume (Obser) el: 0 cu: MICU-A cg: RRT v1: 450 u1: ml/B st: NotStopd t0: [09:00:00 05/04/2014] id: Tidal Volume (Set) el: 0 cu: MICU-A cg: RRT v1: 450 u1: ml/B st: NotStopd t0: [09:00:00 05/04/2014] id: Ventilator Mode el: 0 cu: MICU-A cg: RRT v1: Assist Control st: NotStopd t0: [09:00:00 05/04/2014] id: Ventilator No. el: 0 cu: MICU-A cg: RRT v1: 6 u1: # st: NotStopd t0: [09:00:00 05/04/2014] id: Ventilator Type el: 0 cu: MICU-A cg: RRT v1: 7200A st: NotStopd t0: [09:00:00 05/04/2014] id: Waveform-Vent el: 0 cu: MICU-A cg: RRT v1: RAMP st: NotStopd
t0: [09:00:00 05/04/2014] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [09:00:00 05/04/2014] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [09:00:00 05/04/2014] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [09:00:00 05/04/2014] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [09:00:00 05/04/2014] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 60 u1: BPM st: NotStopd t0: [09:00:00 05/04/2014] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [09:00:00 05/04/2014] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 134 u1: mmHg v2: 70 u2: mmHg st: NotStopd t0: [09:00:00 05/04/2014] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 95 u1: mmHg st: NotStopd t0: [09:00:00 05/04/2014] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [09:00:00 05/04/2014] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 20 u1: BPM st: NotStopd t0: [09:00:00 05/04/2014] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [09:00:00 05/04/2014] id: Lasix el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 6 du: mghr sv: 50 su: ml rt: IV Drip t0: [09:00:00 05/04/2014] id: Propofol el: 2 cu: MICU-A cg: RN so: N/A vo: 0 v1: 40 du: mcgkgmin sv: 50 su: vl rt: IV Drip
tf: [09:00:00 06/04/2014] pt: IV Piggyback rt: IV fr: Q6H fs: 10, 16, 22, 4 dn: 4 m1: Acetazolamide Sodium f1: INJ v1: 250 u1: mg m2: D5W f2: INJ v2: 25 u2: ml
t0: [04:30:00 05/04/2014] id: Vancomycin/Random Drug Level el: 0 cu: MICU-A cg: 1663 v1: 9.5 rs: Final st: NotStopd
t0: [10:00:00 05/04/2014] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [10:00:00 05/04/2014] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [10:00:00 05/04/2014] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [10:00:00 05/04/2014] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [10:00:00 05/04/2014] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 61 u1: BPM st: NotStopd t0: [10:00:00 05/04/2014] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [10:00:00 05/04/2014] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 119 u1: mmHg v2: 61 u2: mmHg st: NotStopd t0: [10:00:00 05/04/2014] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 81 u1: mmHg st: NotStopd t0: [10:00:00 05/04/2014] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [10:00:00 05/04/2014] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 20 u1: BPM st: NotStopd t0: [10:00:00 05/04/2014] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 96 u1: % st: NotStopd t0: [10:00:00 05/04/2014] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [10:00:00 05/04/2014] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 20 vu: ml t0: [10:00:00 05/04/2014] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 2 cu: MICU-A cg: RN ai: 209 vo: 43.152 vu: ml t0: [10:00:00 05/04/2014] id: D5W 50.0ml + 100mghr Lasix IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 6 vu: ml t0: [10:00:00 05/04/2014] id: Promote w/fiber Tube Feeding el: 1 cu: MICU-A cg: RN ai: 107 vo: 130 vu: ml t0: [10:00:00 05/04/2014] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 400 vu: ml
t0: [10:00:00 05/04/2014] id: Lasix el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 6 du: mghr sv: 50 su: ml rt: IV Drip t0: [10:00:00 05/04/2014] id: Propofol el: 2 cu: MICU-A cg: RN so: N/A vo: 0 v1: 40 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [11:30:00 05/04/2014] id: Compliance (40-60ml) el: 0 cu: MICU-A cg: RRT v1: 23.6842 u1: ml/cmH st: NotStopd t0: [11:30:00 05/04/2014] id: ETT Mark/Location el: 0 cu: MICU-A cg: RRT v1: 21cm v2: Lip st: NotStopd t0: [11:30:00 05/04/2014] id: FiO2 Set el: 0 cu: MICU-A cg: RRT v1: 0.4 u1: torr st: NotStopd t0: [11:30:00 05/04/2014] id: High Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 45 u1: cmH2O st: NotStopd t0: [11:30:00 05/04/2014] id: High Resp. Rate el: 0 cu: MICU-A cg: RRT v1: 30 u1: BPM st: NotStopd t0: [11:30:00 05/04/2014] id: Airway Size el: 0 cu: MICU-A cg: RRT v1: 7.5 mm st: NotStopd t0: [11:30:00 05/04/2014] id: Airway Type el: 0 cu: MICU-A cg: RRT v1: Endotracheal st: NotStopd t0: [11:30:00 05/04/2014] id: Inspired Gas Temp el: 0 cu: MICU-A cg: RRT v1: 34.5 u1: Deg. C st: NotStopd t0: [11:30:00 05/04/2014] id: Intubation Date el: 0 cu: MICU-A cg: RRT v1: 3 v2: 12 st: NotStopd t0: [11:30:00 05/04/2014] id: Low Exhaled Min Vol el: 0 cu: MICU-A cg: RRT v1: 6 st: NotStopd t0: [11:30:00 05/04/2014] id: Low Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 20 u1: cmH2O st: NotStopd t0: [11:30:00 05/04/2014] id: Mean Airway Pressure el: 0 cu: MICU-A cg: RRT v1: 21 u1: cmH2O st: NotStopd t0: [11:30:00 05/04/2014] id: Minute Volume(Obser) el: 0 cu: MICU-A cg: RRT v1: 9.1 u1: L/min st: NotStopd t0: [11:30:00 05/04/2014] id: PEEP Set el: 0 cu: MICU-A cg: RRT v1: 15 u1: cmH2O st: NotStopd t0: [11:30:00 05/04/2014] id: Apnea Time Interval el: 0 cu: MICU-A cg: RRT v1: 20 st: NotStopd t0: [11:30:00 05/04/2014] id: Peak Flow el: 0 cu: MICU-A cg: RRT v1: 55 u1: L/m st: NotStopd t0: [11:30:00 05/04/2014] id: Peak Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 34 u1: cmH2O st: NotStopd t0: [11:30:00 05/04/2014] id: Plateau Pressure el: 0 cu: MICU-A cg: RRT v1: 26.6 u1: cmH2O st: NotStopd t0: [11:30:00 05/04/2014] id: Plateau-Off el: 0 cu: MICU-A cg: RRT v1: Yes st: NotStopd t0: [11:30:00 05/04/2014] id: Resp Rate (Spont) el: 0 cu: MICU-A cg: RRT v1: 0 u1: BPM st: NotStopd t0: [11:30:00 05/04/2014] id: Resp Rate (Total) el: 0 cu: MICU-A cg: RRT v1: 20 u1: BPM st: NotStopd t0: [11:30:00 05/04/2014] id: Respiratory Rate Set el: 0 cu: MICU-A cg: RRT v1: 20 u1: BPM st: NotStopd t0: [11:30:00 05/04/2014] id: Sensitivity-Vent el: 0 cu: MICU-A cg: RRT v1: 2 u1: cmH2O st: NotStopd t0: [11:30:00 05/04/2014] id: SpO2 el: 0 cu: MICU-A cg: RRT v1: 98 u1: % st: NotStopd t0: [11:30:00 05/04/2014] id: Tidal Volume (Obser) el: 0 cu: MICU-A cg: RRT v1: 450 u1: ml/B st: NotStopd t0: [11:30:00 05/04/2014] id: Tidal Volume (Set) el: 0 cu: MICU-A cg: RRT v1: 450 u1: ml/B st: NotStopd t0: [11:30:00 05/04/2014] id: Ventilator Mode el: 0 cu: MICU-A cg: RRT v1: Assist Control st: NotStopd t0: [11:30:00 05/04/2014] id: Ventilator No. el: 0 cu: MICU-A cg: RRT v1: 6 u1: # st: NotStopd t0: [11:30:00 05/04/2014] id: Ventilator Type el: 0 cu: MICU-A cg: RRT v1: 7200A st: NotStopd t0: [11:30:00 05/04/2014] id: Waveform-Vent el: 0 cu: MICU-A cg: RRT v1: RAMP st: NotStopd
t0: [10:00:00 05/04/2014] id: CVP el: 0 cu: MICU-A cg: RN u1: mmHg st: NotStopd t0: [11:00:00 05/04/2014] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [11:00:00 05/04/2014] id: CVP el: 0 cu: MICU-A cg: RN v1: 17 u1: mmHg st: NotStopd t0: [11:00:00 05/04/2014] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [11:00:00 05/04/2014] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [11:00:00 05/04/2014] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [11:00:00 05/04/2014] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 61 u1: BPM st: NotStopd t0: [11:00:00 05/04/2014] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [11:00:00 05/04/2014] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 121 u1: mmHg v2: 64 u2: mmHg st: NotStopd t0: [11:00:00 05/04/2014] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 86 u1: mmHg st: NotStopd t0: [11:00:00 05/04/2014] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [11:00:00 05/04/2014] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 20 u1: BPM st: NotStopd t0: [11:00:00 05/04/2014] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 97 u1: % st: NotStopd t0: [11:00:00 05/04/2014] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [12:00:00 05/04/2014] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [12:00:00 05/04/2014] id: CVP el: 0 cu: MICU-A cg: RN v1: 10 u1: mmHg st: NotStopd t0: [12:00:00 05/04/2014] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [12:00:00 05/04/2014] id: Riker-SAS Scale el: 0 cu: MICU-A cg: RN v1: Sedated st: NotStopd t0: [12:00:00 05/04/2014] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [12:00:00 05/04/2014] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [12:00:00 05/04/2014] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 66 u1: BPM st: NotStopd t0: [12:00:00 05/04/2014] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [12:00:00 05/04/2014] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 111 u1: mmHg v2: 57 u2: mmHg st: NotStopd t0: [12:00:00 05/04/2014] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 75 u1: mmHg st: NotStopd t0: [12:00:00 05/04/2014] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [12:00:00 05/04/2014] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 27 u1: BPM st: NotStopd t0: [12:00:00 05/04/2014] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 100 u1: % st: NotStopd t0: [12:00:00 05/04/2014] id: Temp. Site el: 0 cu: MICU-A cg: RN v1: Oral st: NotStopd t0: [12:00:00 05/04/2014] id: Temperature C (calc) el: 0 cu: MICU-A cg: RN v1: 37.1667 u1: Deg. C st: NotStopd t0: [12:00:00 05/04/2014] id: Temperature F el: 0 cu: MICU-A cg: RN v1: 98.9 u1: Deg. F st: NotStopd t0: [12:00:00 05/04/2014] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [12:00:00 05/04/2014] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 20 vu: ml t0: [12:00:00 05/04/2014] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 2 cu: MICU-A cg: RN ai: 209 vo: 43.152 vu: ml t0: [12:00:00 05/04/2014] id: Gastric Meds PO/Gastric el: 1 cu: MICU-A cg: RN ai: 155 vo: 250 vu: ml t0: [12:00:00 05/04/2014] id: D5W 50.0ml + 100mghr Lasix IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 6 vu: ml t0: [12:00:00 05/04/2014] id: Promote w/fiber Tube Feeding el: 1 cu: MICU-A cg: RN ai: 107 vo: 130 vu: ml t0: [12:00:00 05/04/2014] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 380 vu: ml
t0: [11:00:00 05/04/2014] id: Lasix el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 6 du: mghr sv: 50 su: ml rt: IV Drip t0: [11:00:00 05/04/2014] id: Propofol el: 2 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 05/04/2014] id: Lasix el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 6 du: mghr sv: 50 su: ml rt: IV Drip t0: [12:00:00 05/04/2014] id: Propofol el: 2 cu: MICU-A cg: RN so: N/A vo: 0 v1: 40 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [11:30:00 05/04/2014] id: Potassium (3.5-5.3) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 3.1 rs: Final st: NotStopd t0: [11:30:00 05/04/2014] id: Sodium (135-148) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 148 rs: Final st: NotStopd
t0: [12:00:00 05/04/2014] id: GI Prophylaxis el: 0 cu: MICU-A cg: RN v1: H2 Blocker st: NotStopd t0: [12:00:00 05/04/2014] id: Diet Type el: 0 cu: MICU-A cg: RN v1: Tube Feeding st: NotStopd t0: [12:00:00 05/04/2014] id: Eye Opening el: 0 cu: MICU-A cg: RN v1: 1 No Response st: NotStopd t0: [12:00:00 05/04/2014] id: GCS Total el: 0 cu: MICU-A cg: RN v1: 3 u1: points st: NotStopd t0: [12:00:00 05/04/2014] id: GI Intub #1/Site el: 0 cu: MICU-A cg: RN v1: Salem Sump v2: Oral st: NotStopd t0: [12:00:00 05/04/2014] id: GI#1 Tube Stat/Drain el: 0 cu: MICU-A cg: RN v1: Feeding v2: Undigested Food st: NotStopd t0: [12:00:00 05/04/2014] id: GU Catheter Size el: 0 cu: MICU-A cg: RN v1: 14 French st: NotStopd t0: [12:00:00 05/04/2014] id: Abdominal Assessment el: 0 cu: MICU-A cg: RN v1: Obese st: NotStopd t0: [12:00:00 05/04/2014] id: LLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Diminished st: NotStopd t0: [12:00:00 05/04/2014] id: LUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [12:00:00 05/04/2014] id: Level of Conscious el: 0 cu: MICU-A cg: RN v1: Sedated st: NotStopd t0: [12:00:00 05/04/2014] id: Motor Response el: 0 cu: MICU-A cg: RN v1: 1 No Response st: NotStopd t0: [12:00:00 05/04/2014] id: Oral Cavity el: 0 cu: MICU-A cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [12:00:00 05/04/2014] id: Orientation el: 0 cu: MICU-A cg: RN v1: Other/Remarks st: NotStopd t0: [12:00:00 05/04/2014] id: RLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Diminished st: NotStopd t0: [12:00:00 05/04/2014] id: RUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [12:00:00 05/04/2014] id: Respiratory Pattern el: 0 cu: MICU-A cg: RN v1: Regular st: NotStopd t0: [12:00:00 05/04/2014] id: Stool Color/Consist el: 0 cu: MICU-A cg: RN v1: Brown v2: Soft st: NotStopd t0: [12:00:00 05/04/2014] id: Stool Guaiac el: 0 cu: MICU-A cg: RN v1: Negative st: NotStopd t0: [12:00:00 05/04/2014] id: Urine Color/Appear el: 0 cu: MICU-A cg: RN v1: Yellow v2: Clear st: NotStopd t0: [12:00:00 05/04/2014] id: Urine Source el: 0 cu: MICU-A cg: RN v1: Indwelling Cath st: NotStopd t0: [12:00:00 05/04/2014] id: Verbal Response el: 0 cu: MICU-A cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [12:00:00 05/04/2014] id: Bowel Sounds el: 0 cu: MICU-A cg: RN v1: Present st: NotStopd
t0: [06:00:00 05/04/2014] id: Range of Motion el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [06:00:00 05/04/2014] id: Circulation/SkinInt el: 0 cu: MICU-A cg: RN v1: Circulation Adeq st: NotStopd t0: [06:00:00 05/04/2014] id: Impaired Skin Site#1 el: 0 cu: MICU-A cg: RN v1: Gluteal, Right st: NotStopd t0: [06:00:00 05/04/2014] id: Impaired Skin Site#2 el: 0 cu: MICU-A cg: RN v1: Labia st: NotStopd t0: [06:00:00 05/04/2014] id: Position Change el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [06:00:00 05/04/2014] id: Reason For Restraint el: 0 cu: MICU-A cg: RN v1: Ext/TXInterfere st: NotStopd t0: [06:00:00 05/04/2014] id: Removed x 5 Mins el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [06:00:00 05/04/2014] id: Restraint Location el: 0 cu: MICU-A cg: RN v1: Both Arms st: NotStopd t0: [06:00:00 05/04/2014] id: Restraint Type el: 0 cu: MICU-A cg: RN v1: Soft Limb st: NotStopd t0: [06:00:00 05/04/2014] id: Restraints Evaluated el: 0 cu: MICU-A cg: RN v1: Behavior Conts st: NotStopd t0: [06:00:00 05/04/2014] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [06:00:00 05/04/2014] id: Support Systems el: 0 cu: MICU-A cg: RN v1: Spouse st: NotStopd t0: [08:00:00 05/04/2014] id: Family Communication el: 0 cu: MICU-A cg: RN v1: Family Called st: NotStopd t0: [10:00:00 05/04/2014] id: Range of Motion el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [10:00:00 05/04/2014] id: Circulation/SkinInt el: 0 cu: MICU-A cg: RN v1: Circulation Adeq st: NotStopd t0: [10:00:00 05/04/2014] id: Impaired Skin Site#1 el: 0 cu: MICU-A cg: RN v1: Gluteal, Right st: NotStopd t0: [10:00:00 05/04/2014] id: Impaired Skin Site#2 el: 0 cu: MICU-A cg: RN v1: Labia st: NotStopd t0: [10:00:00 05/04/2014] id: Position Change el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [10:00:00 05/04/2014] id: Reason For Restraint el: 0 cu: MICU-A cg: RN v1: Ext/TXInterfere st: NotStopd t0: [10:00:00 05/04/2014] id: Removed x 5 Mins el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [10:00:00 05/04/2014] id: Restraint Location el: 0 cu: MICU-A cg: RN v1: Both Arms st: NotStopd t0: [10:00:00 05/04/2014] id: Restraint Type el: 0 cu: MICU-A cg: RN v1: Soft Limb st: NotStopd t0: [10:00:00 05/04/2014] id: Restraints Evaluated el: 0 cu: MICU-A cg: RN v1: Behavior Conts st: NotStopd t0: [10:00:00 05/04/2014] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [10:00:00 05/04/2014] id: Support Systems el: 0 cu: MICU-A cg: RN v1: Spouse st: NotStopd t0: [12:00:00 05/04/2014] id: Range of Motion el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [12:00:00 05/04/2014] id: Circulation/SkinInt el: 0 cu: MICU-A cg: RN v1: Circulation Adeq st: NotStopd t0: [12:00:00 05/04/2014] id: Family Communication el: 0 cu: MICU-A cg: RN v1: Family Called st: NotStopd t0: [12:00:00 05/04/2014] id: HOB el: 0 cu: MICU-A cg: RN v1: 30 degrees st: NotStopd t0: [12:00:00 05/04/2014] id: INV Line#1 Type/Site el: 0 cu: MICU-A cg: RN v1: Multi-lumen v2: Left IJ st: NotStopd t0: [12:00:00 05/04/2014] id: INV Line#1 Zero/Cal el: 0 cu: MICU-A cg: RN v1: No st: NotStopd t0: [12:00:00 05/04/2014] id: INV Line#1InsertDate el: 0 cu: MICU-A cg: RN v1: 3 v2: 19 st: NotStopd t0: [12:00:00 05/04/2014] id: INV Line#1SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [12:00:00 05/04/2014] id: INV Line#4 Type/Site el: 0 cu: MICU-A cg: RN v1: A-Line v2: Right Brachial st: NotStopd t0: [12:00:00 05/04/2014] id: INV Line#4 Zero/Cal el: 0 cu: MICU-A cg: RN v1: No st: NotStopd t0: [12:00:00 05/04/2014] id: INV Line#4InsertDate el: 0 cu: MICU-A cg: RN v1: 3 v2: 17 st: NotStopd t0: [12:00:00 05/04/2014] id: INV Line#4SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [12:00:00 05/04/2014] id: INV#1 WaveformAppear el: 0 cu: MICU-A cg: RN v1: Sharp st: NotStopd t0: [12:00:00 05/04/2014] id: INV#4 WaveformAppear el: 0 cu: MICU-A cg: RN v1: Sharp st: NotStopd t0: [12:00:00 05/04/2014] id: Activity el: 0 cu: MICU-A cg: RN v1: Bedrest st: NotStopd t0: [12:00:00 05/04/2014] id: Activity Tolerance el: 0 cu: MICU-A cg: RN v1: Tolerated Well st: NotStopd t0: [12:00:00 05/04/2014] id: Impaired Skin Site#1 el: 0 cu: MICU-A cg: RN v1: Gluteal, Right st: NotStopd t0: [12:00:00 05/04/2014] id: Impaired Skin Site#2 el: 0 cu: MICU-A cg: RN v1: Labia st: NotStopd t0: [12:00:00 05/04/2014] id: Oral Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [12:00:00 05/04/2014] id: AntiEmbDevice/Status el: 0 cu: MICU-A cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [12:00:00 05/04/2014] id: Position el: 0 cu: MICU-A cg: RN v1: Supine st: NotStopd t0: [12:00:00 05/04/2014] id: Position Change el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [12:00:00 05/04/2014] id: Assistance Device el: 0 cu: MICU-A cg: RN v1: 2 Person Assist st: NotStopd t0: [12:00:00 05/04/2014] id: PressureReduceDevice el: 0 cu: MICU-A cg: RN v1: Multipodus Boots st: NotStopd t0: [12:00:00 05/04/2014] id: Reason For Restraint el: 0 cu: MICU-A cg: RN v1: Ext/TXInterfere st: NotStopd t0: [12:00:00 05/04/2014] id: Removed x 5 Mins el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [12:00:00 05/04/2014] id: Restraint Location el: 0 cu: MICU-A cg: RN v1: Both Arms st: NotStopd t0: [12:00:00 05/04/2014] id: Restraint Type el: 0 cu: MICU-A cg: RN v1: Soft Limb st: NotStopd t0: [12:00:00 05/04/2014] id: Restraints Evaluated el: 0 cu: MICU-A cg: RN v1: Behavior Conts st: NotStopd t0: [12:00:00 05/04/2014] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [12:00:00 05/04/2014] id: Support Systems el: 0 cu: MICU-A cg: RN v1: Spouse st: NotStopd t0: [12:00:00 05/04/2014] id: Therapeutic Bed el: 0 cu: MICU-A cg: RN v1: AirMatt/1st Step st: NotStopd t0: [12:00:00 05/04/2014] id: Turn el: 0 cu: MICU-A cg: RN v1: Right Side st: NotStopd t0: [12:00:00 05/04/2014] id: Back Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [12:00:00 05/04/2014] id: Behavior el: 0 cu: MICU-A cg: RN v1: Sedated st: NotStopd
t0: [12:30:00 05/04/2014] id: Gastric Meds PO/Gastric el: 1 cu: MICU-A cg: RN ai: 155 vo: 60 vu: ml
tf: [09:00:00 06/04/2014] pt: Unit Dose rt: PO fr: ONCE fs: 14 dn: 1 m1: Potassium Chloride f1: PWDR v1: 120 u1: mEq tf: [09:00:00 06/04/2014] pt: Unit Dose rt: PO fr: ONCE fs: 14 dn: 1 m1: Potassium Chloride f1: PWDR v1: 60 u1: mEq tf: [09:00:00 06/04/2014] pt: Unit Dose rt: PO fr: ONCE fs: 14 dn: 1 m1: Potassium Chloride f1: PWDR v1: 80 u1: mEq tf: [13:00:00 06/04/2014] pt: Unit Dose rt: PO fr: PRN m1: Potassium Chloride f1: PWDR v1: 60 u1: mEq
t0: [13:00:00 05/04/2014] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [13:00:00 05/04/2014] id: CVP el: 0 cu: MICU-A cg: RN v1: 9 u1: mmHg st: NotStopd t0: [13:00:00 05/04/2014] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [13:00:00 05/04/2014] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [13:00:00 05/04/2014] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [13:00:00 05/04/2014] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 63 u1: BPM st: NotStopd t0: [13:00:00 05/04/2014] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [13:00:00 05/04/2014] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 131 u1: mmHg v2: 72 u2: mmHg st: NotStopd t0: [13:00:00 05/04/2014] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 95 u1: mmHg st: NotStopd t0: [13:00:00 05/04/2014] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [13:00:00 05/04/2014] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 21 u1: BPM st: NotStopd t0: [13:00:00 05/04/2014] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 94 u1: % st: NotStopd t0: [13:00:00 05/04/2014] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [14:00:00 05/04/2014] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [14:00:00 05/04/2014] id: CVP el: 0 cu: MICU-A cg: RN v1: 7 u1: mmHg st: NotStopd t0: [14:00:00 05/04/2014] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [14:00:00 05/04/2014] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [14:00:00 05/04/2014] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [14:00:00 05/04/2014] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 62 u1: BPM st: NotStopd t0: [14:00:00 05/04/2014] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [14:00:00 05/04/2014] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 119 u1: mmHg v2: 67 u2: mmHg st: NotStopd t0: [14:00:00 05/04/2014] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 88 u1: mmHg st: NotStopd t0: [14:00:00 05/04/2014] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [14:00:00 05/04/2014] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 20 u1: BPM st: NotStopd t0: [14:00:00 05/04/2014] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 96 u1: % st: NotStopd t0: [14:00:00 05/04/2014] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [14:00:00 05/04/2014] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 20 vu: ml t0: [14:00:00 05/04/2014] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 2 cu: MICU-A cg: RN ai: 209 vo: 43.152 vu: ml t0: [14:00:00 05/04/2014] id: D5W 50.0ml + 100mghr Lasix IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 6 vu: ml t0: [14:00:00 05/04/2014] id: Promote w/fiber Tube Feeding el: 1 cu: MICU-A cg: RN ai: 107 vo: 130 vu: ml t0: [14:00:00 05/04/2014] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 300 vu: ml
t0: [13:00:00 05/04/2014] id: Lasix el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 6 du: mghr sv: 50 su: ml rt: IV Drip t0: [13:00:00 05/04/2014] id: Propofol el: 2 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 05/04/2014] id: Lasix el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 8 du: mghr sv: 50 su: ml rt: IV Drip t0: [14:00:00 05/04/2014] id: Propofol el: 2 cu: MICU-A cg: RN so: N/A vo: 0 v1: 40 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [15:00:00 05/04/2014] id: Compliance (40-60ml) el: 0 cu: MICU-A cg: RRT v1: 31.9149 u1: ml/cmH st: NotStopd t0: [15:00:00 05/04/2014] id: ETT Mark/Location el: 0 cu: MICU-A cg: RRT v1: 21cm v2: Lip st: NotStopd t0: [15:00:00 05/04/2014] id: FiO2 Set el: 0 cu: MICU-A cg: RRT v1: 0.4 u1: torr st: NotStopd t0: [15:00:00 05/04/2014] id: High Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 45 u1: cmH2O st: NotStopd t0: [15:00:00 05/04/2014] id: High Resp. Rate el: 0 cu: MICU-A cg: RRT v1: 30 u1: BPM st: NotStopd t0: [15:00:00 05/04/2014] id: Airway Size el: 0 cu: MICU-A cg: RRT v1: 7.5 mm st: NotStopd t0: [15:00:00 05/04/2014] id: Airway Type el: 0 cu: MICU-A cg: RRT v1: Endotracheal st: NotStopd t0: [15:00:00 05/04/2014] id: Inspired Gas Temp el: 0 cu: MICU-A cg: RRT v1: 34.5 u1: Deg. C st: NotStopd t0: [15:00:00 05/04/2014] id: Intubation Date el: 0 cu: MICU-A cg: RRT v1: 3 v2: 12 st: NotStopd t0: [15:00:00 05/04/2014] id: Low Exhaled Min Vol el: 0 cu: MICU-A cg: RRT v1: 6 st: NotStopd t0: [15:00:00 05/04/2014] id: Low Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 20 u1: cmH2O st: NotStopd t0: [15:00:00 05/04/2014] id: Mean Airway Pressure el: 0 cu: MICU-A cg: RRT v1: 19.8 u1: cmH2O st: NotStopd t0: [15:00:00 05/04/2014] id: Minute Volume(Obser) el: 0 cu: MICU-A cg: RRT v1: 9 u1: L/min st: NotStopd t0: [15:00:00 05/04/2014] id: PEEP Set el: 0 cu: MICU-A cg: RRT v1: 15 u1: cmH2O st: NotStopd t0: [15:00:00 05/04/2014] id: Apnea Time Interval el: 0 cu: MICU-A cg: RRT v1: 20 st: NotStopd t0: [15:00:00 05/04/2014] id: Peak Flow el: 0 cu: MICU-A cg: RRT v1: 55 u1: L/m st: NotStopd t0: [15:00:00 05/04/2014] id: Peak Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 29.1 u1: cmH2O st: NotStopd t0: [15:00:00 05/04/2014] id: Plateau Pressure el: 0 cu: MICU-A cg: RRT v1: 27 u1: cmH2O st: NotStopd t0: [15:00:00 05/04/2014] id: Plateau-Off el: 0 cu: MICU-A cg: RRT v1: Yes st: NotStopd t0: [15:00:00 05/04/2014] id: Resp Rate (Spont) el: 0 cu: MICU-A cg: RRT v1: 0 u1: BPM st: NotStopd t0: [15:00:00 05/04/2014] id: Resp Rate (Total) el: 0 cu: MICU-A cg: RRT v1: 20 u1: BPM st: NotStopd t0: [15:00:00 05/04/2014] id: Respiratory Rate Set el: 0 cu: MICU-A cg: RRT v1: 20 u1: BPM st: NotStopd t0: [15:00:00 05/04/2014] id: Sensitivity-Vent el: 0 cu: MICU-A cg: RRT v1: 2 u1: cmH2O st: NotStopd t0: [15:00:00 05/04/2014] id: SpO2 el: 0 cu: MICU-A cg: RRT v1: 99 u1: % st: NotStopd t0: [15:00:00 05/04/2014] id: Tidal Volume (Obser) el: 0 cu: MICU-A cg: RRT v1: 450 u1: ml/B st: NotStopd t0: [15:00:00 05/04/2014] id: Tidal Volume (Set) el: 0 cu: MICU-A cg: RRT v1: 450 u1: ml/B st: NotStopd t0: [15:00:00 05/04/2014] id: Ventilator Mode el: 0 cu: MICU-A cg: RRT v1: Assist Control st: NotStopd t0: [15:00:00 05/04/2014] id: Ventilator No. el: 0 cu: MICU-A cg: RRT v1: 6 u1: # st: NotStopd t0: [15:00:00 05/04/2014] id: Ventilator Type el: 0 cu: MICU-A cg: RRT v1: 7200A st: NotStopd t0: [15:00:00 05/04/2014] id: Waveform-Vent el: 0 cu: MICU-A cg: RRT v1: RAMP st: NotStopd
t0: [15:00:00 05/04/2014] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [15:00:00 05/04/2014] id: CVP el: 0 cu: MICU-A cg: RN v1: 6 u1: mmHg st: NotStopd t0: [15:00:00 05/04/2014] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [15:00:00 05/04/2014] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [15:00:00 05/04/2014] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [15:00:00 05/04/2014] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 62 u1: BPM st: NotStopd t0: [15:00:00 05/04/2014] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [15:00:00 05/04/2014] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 116 u1: mmHg v2: 64 u2: mmHg st: NotStopd t0: [15:00:00 05/04/2014] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 84 u1: mmHg st: NotStopd t0: [15:00:00 05/04/2014] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [15:00:00 05/04/2014] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 20 u1: BPM st: NotStopd t0: [15:00:00 05/04/2014] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [15:00:00 05/04/2014] id: Gastric Meds PO/Gastric el: 1 cu: MICU-A cg: RN ai: 155 vo: 40 vu: ml
t0: [15:00:00 05/04/2014] id: Lasix el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 8 du: mghr sv: 50 su: ml rt: IV Drip t0: [15:00:00 05/04/2014] id: Propofol el: 2 cu: MICU-A cg: RN so: N/A vo: 0 v1: 40 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [16:00:00 05/04/2014] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [16:00:00 05/04/2014] id: CVP el: 0 cu: MICU-A cg: RN v1: 6 u1: mmHg st: NotStopd t0: [16:00:00 05/04/2014] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [16:00:00 05/04/2014] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [16:00:00 05/04/2014] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [16:00:00 05/04/2014] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 63 u1: BPM st: NotStopd t0: [16:00:00 05/04/2014] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [16:00:00 05/04/2014] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 111 u1: mmHg v2: 62 u2: mmHg st: NotStopd t0: [16:00:00 05/04/2014] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 80 u1: mmHg st: NotStopd t0: [16:00:00 05/04/2014] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [16:00:00 05/04/2014] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 20 u1: BPM st: NotStopd t0: [16:00:00 05/04/2014] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 98 u1: % st: NotStopd t0: [16:00:00 05/04/2014] id: Temp. Site el: 0 cu: MICU-A cg: RN v1: Oral st: NotStopd t0: [16:00:00 05/04/2014] id: Temperature C (calc) el: 0 cu: MICU-A cg: RN v1: 37.7778 u1: Deg. C st: NotStopd t0: [16:00:00 05/04/2014] id: Temperature F el: 0 cu: MICU-A cg: RN v1: 100 u1: Deg. F st: NotStopd t0: [16:00:00 05/04/2014] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [17:00:00 05/04/2014] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [17:00:00 05/04/2014] id: CVP el: 0 cu: MICU-A cg: RN v1: 6 u1: mmHg st: NotStopd t0: [17:00:00 05/04/2014] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [17:00:00 05/04/2014] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [17:00:00 05/04/2014] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [17:00:00 05/04/2014] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 64 u1: BPM st: NotStopd t0: [17:00:00 05/04/2014] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [17:00:00 05/04/2014] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 112 u1: mmHg v2: 63 u2: mmHg st: NotStopd t0: [17:00:00 05/04/2014] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 82 u1: mmHg st: NotStopd t0: [17:00:00 05/04/2014] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [17:00:00 05/04/2014] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 20 u1: BPM st: NotStopd t0: [17:00:00 05/04/2014] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 98 u1: % st: NotStopd t0: [17:00:00 05/04/2014] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [16:00:00 05/04/2014] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 20 vu: ml t0: [16:00:00 05/04/2014] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 2 cu: MICU-A cg: RN ai: 209 vo: 43.152 vu: ml t0: [16:00:00 05/04/2014] id: D5W 50.0ml + 100mghr Lasix IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 8 vu: ml t0: [16:00:00 05/04/2014] id: Promote w/fiber Tube Feeding el: 1 cu: MICU-A cg: RN ai: 107 vo: 130 vu: ml t0: [17:00:00 05/04/2014] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 570 vu: ml
t0: [16:00:00 05/04/2014] id: Lasix el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 8 du: mghr sv: 50 su: ml rt: IV Drip t0: [16:00:00 05/04/2014] id: Propofol el: 2 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 05/04/2014] id: Lasix el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 8 du: mghr sv: 50 su: ml rt: IV Drip t0: [17:00:00 05/04/2014] id: Propofol el: 2 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 05/04/2014] id: Range of Motion el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [14:00:00 05/04/2014] id: Circulation/SkinInt el: 0 cu: MICU-A cg: RN v1: Circulation Adeq st: NotStopd t0: [14:00:00 05/04/2014] id: Impaired Skin Site#1 el: 0 cu: MICU-A cg: RN v1: Gluteal, Right st: NotStopd t0: [14:00:00 05/04/2014] id: Impaired Skin Site#2 el: 0 cu: MICU-A cg: RN v1: Labia st: NotStopd t0: [14:00:00 05/04/2014] id: Position Change el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [14:00:00 05/04/2014] id: Reason For Restraint el: 0 cu: MICU-A cg: RN v1: Ext/TXInterfere st: NotStopd t0: [14:00:00 05/04/2014] id: Removed x 5 Mins el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [14:00:00 05/04/2014] id: Restraint Location el: 0 cu: MICU-A cg: RN v1: Both Arms st: NotStopd t0: [14:00:00 05/04/2014] id: Restraint Type el: 0 cu: MICU-A cg: RN v1: Soft Limb st: NotStopd t0: [14:00:00 05/04/2014] id: Restraints Evaluated el: 0 cu: MICU-A cg: RN v1: Behavior Conts st: NotStopd t0: [14:00:00 05/04/2014] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [14:00:00 05/04/2014] id: Support Systems el: 0 cu: MICU-A cg: RN v1: Spouse st: NotStopd t0: [16:00:00 05/04/2014] id: Range of Motion el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [16:00:00 05/04/2014] id: Circulation/SkinInt el: 0 cu: MICU-A cg: RN v1: Circulation Adeq st: NotStopd t0: [16:00:00 05/04/2014] id: GI Prophylaxis el: 0 cu: MICU-A cg: RN v1: H2 Blocker st: NotStopd t0: [16:00:00 05/04/2014] id: Diet Type el: 0 cu: MICU-A cg: RN v1: Tube Feeding st: NotStopd t0: [16:00:00 05/04/2014] id: Eye Opening el: 0 cu: MICU-A cg: RN v1: 1 No Response st: NotStopd t0: [16:00:00 05/04/2014] id: Family Communication el: 0 cu: MICU-A cg: RN v1: Family Called st: NotStopd t0: [16:00:00 05/04/2014] id: GCS Total el: 0 cu: MICU-A cg: RN v1: 3 u1: points st: NotStopd t0: [16:00:00 05/04/2014] id: GI Intub #1/Site el: 0 cu: MICU-A cg: RN v1: Salem Sump v2: Oral st: NotStopd t0: [16:00:00 05/04/2014] id: GI#1 Tube Stat/Drain el: 0 cu: MICU-A cg: RN v1: Feeding v2: Undigested Food st: NotStopd t0: [16:00:00 05/04/2014] id: GU Catheter Size el: 0 cu: MICU-A cg: RN v1: 14 French st: NotStopd t0: [16:00:00 05/04/2014] id: HOB el: 0 cu: MICU-A cg: RN v1: 30 degrees st: NotStopd t0: [16:00:00 05/04/2014] id: INV Line#1 Type/Site el: 0 cu: MICU-A cg: RN v1: Multi-lumen v2: Left IJ st: NotStopd t0: [16:00:00 05/04/2014] id: INV Line#1 Zero/Cal el: 0 cu: MICU-A cg: RN v1: No st: NotStopd t0: [16:00:00 05/04/2014] id: INV Line#1InsertDate el: 0 cu: MICU-A cg: RN v1: 3 v2: 19 st: NotStopd t0: [16:00:00 05/04/2014] id: INV Line#1SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [16:00:00 05/04/2014] id: INV Line#4 Type/Site el: 0 cu: MICU-A cg: RN v1: A-Line v2: Right Brachial st: NotStopd t0: [16:00:00 05/04/2014] id: INV Line#4 Zero/Cal el: 0 cu: MICU-A cg: RN v1: No st: NotStopd t0: [16:00:00 05/04/2014] id: INV Line#4InsertDate el: 0 cu: MICU-A cg: RN v1: 3 v2: 17 st: NotStopd t0: [16:00:00 05/04/2014] id: INV Line#4SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [16:00:00 05/04/2014] id: Abdominal Assessment el: 0 cu: MICU-A cg: RN v1: Obese st: NotStopd t0: [16:00:00 05/04/2014] id: INV#1 WaveformAppear el: 0 cu: MICU-A cg: RN v1: Sharp st: NotStopd t0: [16:00:00 05/04/2014] id: INV#4 WaveformAppear el: 0 cu: MICU-A cg: RN v1: Sharp st: NotStopd t0: [16:00:00 05/04/2014] id: Activity el: 0 cu: MICU-A cg: RN v1: Bedrest st: NotStopd t0: [16:00:00 05/04/2014] id: Activity Tolerance el: 0 cu: MICU-A cg: RN v1: Tolerated Well st: NotStopd t0: [16:00:00 05/04/2014] id: Imp Skin Cleanse #2 el: 0 cu: MICU-A cg: RN v1: Soap & H20 st: NotStopd t0: [16:00:00 05/04/2014] id: ImpSkin Character #1 el: 0 cu: MICU-A cg: RN v1: Hematoma st: NotStopd t0: [16:00:00 05/04/2014] id: ImpSkin Character #2 el: 0 cu: MICU-A cg: RN v1: Rash st: NotStopd t0: [16:00:00 05/04/2014] id: ImpSkin Treatment #1 el: 0 cu: MICU-A cg: RN v1: Open to Air st: NotStopd t0: [16:00:00 05/04/2014] id: ImpSkin Treatment #2 el: 0 cu: MICU-A cg: RN v1: Open to Air st: NotStopd t0: [16:00:00 05/04/2014] id: Impaired Skin Site#1 el: 0 cu: MICU-A cg: RN v1: Gluteal, Right st: NotStopd t0: [16:00:00 05/04/2014] id: Impaired Skin Site#2 el: 0 cu: MICU-A cg: RN v1: Labia st: NotStopd t0: [16:00:00 05/04/2014] id: LLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Diminished st: NotStopd t0: [16:00:00 05/04/2014] id: LUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [16:00:00 05/04/2014] id: Level of Conscious el: 0 cu: MICU-A cg: RN v1: Sedated st: NotStopd t0: [16:00:00 05/04/2014] id: Motor Response el: 0 cu: MICU-A cg: RN v1: 1 No Response st: NotStopd t0: [16:00:00 05/04/2014] id: Oral Cavity el: 0 cu: MICU-A cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [16:00:00 05/04/2014] id: Orientation el: 0 cu: MICU-A cg: RN v1: Other/Remarks st: NotStopd t0: [16:00:00 05/04/2014] id: AntiEmbDevice/Status el: 0 cu: MICU-A cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [16:00:00 05/04/2014] id: Position el: 0 cu: MICU-A cg: RN v1: Supine st: NotStopd t0: [16:00:00 05/04/2014] id: Position Change el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [16:00:00 05/04/2014] id: Assistance Device el: 0 cu: MICU-A cg: RN v1: 2 Person Assist st: NotStopd t0: [16:00:00 05/04/2014] id: PressureReduceDevice el: 0 cu: MICU-A cg: RN v1: Multipodus Boots st: NotStopd t0: [16:00:00 05/04/2014] id: RLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Diminished st: NotStopd t0: [16:00:00 05/04/2014] id: RUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [16:00:00 05/04/2014] id: Reason For Restraint el: 0 cu: MICU-A cg: RN v1: Ext/TXInterfere st: NotStopd t0: [16:00:00 05/04/2014] id: Removed x 5 Mins el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [16:00:00 05/04/2014] id: Respiratory Pattern el: 0 cu: MICU-A cg: RN v1: Regular st: NotStopd t0: [16:00:00 05/04/2014] id: Restraint Location el: 0 cu: MICU-A cg: RN v1: Both Arms st: NotStopd t0: [16:00:00 05/04/2014] id: Restraint Type el: 0 cu: MICU-A cg: RN v1: Soft Limb st: NotStopd t0: [16:00:00 05/04/2014] id: Restraints Evaluated el: 0 cu: MICU-A cg: RN v1: Behavior Conts st: NotStopd t0: [16:00:00 05/04/2014] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [16:00:00 05/04/2014] id: Skin Color el: 0 cu: MICU-A cg: RN v1: Normal for Race st: NotStopd t0: [16:00:00 05/04/2014] id: Skin Integrity el: 0 cu: MICU-A cg: RN v1: Impaired st: NotStopd t0: [16:00:00 05/04/2014] id: Stool Color/Consist el: 0 cu: MICU-A cg: RN v1: Brown v2: Soft st: NotStopd t0: [16:00:00 05/04/2014] id: Stool Guaiac el: 0 cu: MICU-A cg: RN v1: Negative st: NotStopd t0: [16:00:00 05/04/2014] id: Support Systems el: 0 cu: MICU-A cg: RN v1: Spouse st: NotStopd t0: [16:00:00 05/04/2014] id: Therapeutic Bed el: 0 cu: MICU-A cg: RN v1: AirMatt/1st Step st: NotStopd t0: [16:00:00 05/04/2014] id: Turn el: 0 cu: MICU-A cg: RN v1: Left Side st: NotStopd t0: [16:00:00 05/04/2014] id: Urine Color/Appear el: 0 cu: MICU-A cg: RN v1: Yellow v2: Clear st: NotStopd t0: [16:00:00 05/04/2014] id: Urine Source el: 0 cu: MICU-A cg: RN v1: Indwelling Cath st: NotStopd t0: [16:00:00 05/04/2014] id: Verbal Response el: 0 cu: MICU-A cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [16:00:00 05/04/2014] id: Back Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [16:00:00 05/04/2014] id: Behavior el: 0 cu: MICU-A cg: RN v1: Sedated st: NotStopd t0: [16:00:00 05/04/2014] id: Bowel Sounds el: 0 cu: MICU-A cg: RN v1: Present st: NotStopd t0: [18:00:00 05/04/2014] id: Range of Motion el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [18:00:00 05/04/2014] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [18:00:00 05/04/2014] id: CVP el: 0 cu: MICU-A cg: RN v1: 9 u1: mmHg st: NotStopd t0: [18:00:00 05/04/2014] id: Circulation/SkinInt el: 0 cu: MICU-A cg: RN v1: Circulation Adeq st: NotStopd t0: [18:00:00 05/04/2014] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [18:00:00 05/04/2014] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [18:00:00 05/04/2014] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [18:00:00 05/04/2014] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 65 u1: BPM st: NotStopd t0: [18:00:00 05/04/2014] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [18:00:00 05/04/2014] id: Impaired Skin Site#1 el: 0 cu: MICU-A cg: RN v1: Gluteal, Right st: NotStopd t0: [18:00:00 05/04/2014] id: Impaired Skin Site#2 el: 0 cu: MICU-A cg: RN v1: Labia st: NotStopd t0: [18:00:00 05/04/2014] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 112 u1: mmHg v2: 63 u2: mmHg st: NotStopd t0: [18:00:00 05/04/2014] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 81 u1: mmHg st: NotStopd t0: [18:00:00 05/04/2014] id: Position Change el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [18:00:00 05/04/2014] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [18:00:00 05/04/2014] id: Reason For Restraint el: 0 cu: MICU-A cg: RN v1: Ext/TXInterfere st: NotStopd t0: [18:00:00 05/04/2014] id: Removed x 5 Mins el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [18:00:00 05/04/2014] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 20 u1: BPM st: NotStopd t0: [18:00:00 05/04/2014] id: Restraint Location el: 0 cu: MICU-A cg: RN v1: Both Arms st: NotStopd t0: [18:00:00 05/04/2014] id: Restraint Type el: 0 cu: MICU-A cg: RN v1: Soft Limb st: NotStopd t0: [18:00:00 05/04/2014] id: Restraints Evaluated el: 0 cu: MICU-A cg: RN v1: Behavior Conts st: NotStopd t0: [18:00:00 05/04/2014] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [18:00:00 05/04/2014] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 97 u1: % st: NotStopd t0: [18:00:00 05/04/2014] id: Support Systems el: 0 cu: MICU-A cg: RN v1: Spouse st: NotStopd t0: [18:00:00 05/04/2014] id: Temp. Site el: 0 cu: MICU-A cg: RN v1: Oral st: NotStopd t0: [18:00:00 05/04/2014] id: Temperature C (calc) el: 0 cu: MICU-A cg: RN v1: 37.8889 u1: Deg. C st: NotStopd t0: [18:00:00 05/04/2014] id: Temperature F el: 0 cu: MICU-A cg: RN v1: 100.2 u1: Deg. F st: NotStopd t0: [18:00:00 05/04/2014] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [16:00:00 05/04/2014] id: TF Residual Gastric/TF Residual el: 1 cu: MICU-A cg: RN ai: 107 vo: 25 vu: ml t0: [16:00:00 05/04/2014] id: IV Piggyback 100.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 105 vo: 25 vu: ml t0: [18:00:00 05/04/2014] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 20 vu: ml t0: [18:00:00 05/04/2014] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 2 cu: MICU-A cg: RN ai: 209 vo: 43.152 vu: ml t0: [18:00:00 05/04/2014] id: Gastric Meds PO/Gastric el: 1 cu: MICU-A cg: RN ai: 155 vo: 250 vu: ml t0: [18:00:00 05/04/2014] id: D5W 50.0ml + 100mghr Lasix IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 8 vu: ml t0: [18:00:00 05/04/2014] id: Promote w/fiber Tube Feeding el: 1 cu: MICU-A cg: RN ai: 107 vo: 130 vu: ml t0: [18:00:00 05/04/2014] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 300 vu: ml
t0: [18:00:00 05/04/2014] id: Lasix el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 8 du: mghr sv: 50 su: ml rt: IV Drip t0: [18:00:00 05/04/2014] id: Propofol el: 2 cu: MICU-A cg: RN so: N/A vo: 0 v1: 40 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [18:18:00 05/04/2014] id: Art.pH ABG el: 0 cu: MICU-A cg: 1663 v1: 7.49 rs: Final st: NotStopd t0: [18:18:00 05/04/2014] id: Arterial Base Excess ABG el: 0 cu: MICU-A cg: 1663 v1: 7 rs: Final st: NotStopd t0: [18:18:00 05/04/2014] id: Arterial CO2(Calc) ABG el: 0 cu: MICU-A cg: 1663 v1: 33 rs: Final st: NotStopd t0: [18:18:00 05/04/2014] id: Arterial PaCO2 ABG el: 0 cu: MICU-A cg: 1663 v1: 42 u1: mmHg rs: Final st: NotStopd t0: [18:18:00 05/04/2014] id: Arterial PaO2 ABG el: 0 cu: MICU-A cg: 1663 v1: 83 u1: mmHg rs: Final st: NotStopd t0: [18:18:00 05/04/2014] id: Arterial pH ABG el: 0 cu: MICU-A cg: 1663 v1: 7.49 rs: Final st: NotStopd
t0: [18:00:00 05/04/2014] id: BUN (6-20) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 44 rs: Final st: NotStopd t0: [18:00:00 05/04/2014] id: Carbon Dioxide Chemistry el: 0 cu: MICU-A cg: 1663 v1: 27 rs: Final st: NotStopd t0: [18:00:00 05/04/2014] id: Chloride (100-112) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 110 rs: Final st: NotStopd t0: [18:00:00 05/04/2014] id: Creatinine (0-1.3) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 1.2 rs: Final st: NotStopd t0: [18:00:00 05/04/2014] id: Glucose (70-105) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 99 rs: Final st: NotStopd t0: [18:00:00 05/04/2014] id: Potassium (3.5-5.3) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 3.3 rs: Final st: NotStopd t0: [18:00:00 05/04/2014] id: Sodium (135-148) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 150 rs: Final st: NotStopd
t0: [19:00:00 05/04/2014] id: Service Type el: 0 cu: MICU-A cg: -1 v1: MICU st: NotStopd t0: [19:00:00 05/04/2014] id: Code Status el: 0 cu: MICU-A cg: -1 v1: Full Code st: NotStopd t0: [19:00:00 05/04/2014] id: Ectopy Frequency el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [19:00:00 05/04/2014] id: Ectopy Type el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [19:00:00 05/04/2014] id: Heart Rate el: 0 cu: MICU-A cg: -1 v1: 63 u1: BPM st: NotStopd t0: [19:00:00 05/04/2014] id: Heart Rhythm el: 0 cu: MICU-A cg: -1 v1: Normal Sinus st: NotStopd t0: [19:00:00 05/04/2014] id: Arterial BP el: 0 cu: MICU-A cg: -1 v1: 124 u1: mmHg v2: 64 u2: mmHg st: NotStopd t0: [19:00:00 05/04/2014] id: Arterial BP Mean el: 0 cu: MICU-A cg: -1 v1: 86 u1: mmHg st: NotStopd t0: [19:00:00 05/04/2014] id: Precautions el: 0 cu: MICU-A cg: -1 v1: Universal st: NotStopd t0: [19:00:00 05/04/2014] id: Respiratory Rate el: 0 cu: MICU-A cg: -1 v1: 20 u1: BPM st: NotStopd t0: [19:00:00 05/04/2014] id: SpO2 el: 0 cu: MICU-A cg: -1 v1: 99 u1: % st: NotStopd t0: [19:00:00 05/04/2014] id: calprevflg el: 0 cu: MICU-A cg: -1 v1: 1 u1: kg st: NotStopd t0: [20:00:00 05/04/2014] id: Range of Motion el: 0 cu: MICU-A cg: -1 v1: Done st: NotStopd t0: [20:00:00 05/04/2014] id: Service Type el: 0 cu: MICU-A cg: -1 v1: MICU st: NotStopd t0: [20:00:00 05/04/2014] id: Circulation/SkinInt el: 0 cu: MICU-A cg: -1 v1: Circulation Adeq st: NotStopd t0: [20:00:00 05/04/2014] id: Code Status el: 0 cu: MICU-A cg: -1 v1: Full Code st: NotStopd t0: [20:00:00 05/04/2014] id: Riker-SAS Scale el: 0 cu: MICU-A cg: -1 v1: Sedated st: NotStopd t0: [20:00:00 05/04/2014] id: GI Prophylaxis el: 0 cu: MICU-A cg: -1 v1: H2 Blocker st: NotStopd t0: [20:00:00 05/04/2014] id: Diet Type el: 0 cu: MICU-A cg: -1 v1: Tube Feeding st: NotStopd t0: [20:00:00 05/04/2014] id: Dorsal PedPulse R/L el: 0 cu: MICU-A cg: -1 v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [20:00:00 05/04/2014] id: Ectopy Frequency el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [20:00:00 05/04/2014] id: Ectopy Type el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [20:00:00 05/04/2014] id: Eye Opening el: 0 cu: MICU-A cg: -1 v1: 4 Spontaneously st: NotStopd t0: [20:00:00 05/04/2014] id: GCS Total el: 0 cu: MICU-A cg: -1 v1: 6 u1: points st: NotStopd t0: [20:00:00 05/04/2014] id: GI Intub #1/Site el: 0 cu: MICU-A cg: -1 v1: Salem Sump v2: Oral st: NotStopd t0: [20:00:00 05/04/2014] id: GI#1 Tube PlaceCheck el: 0 cu: MICU-A cg: -1 v1: Done st: NotStopd t0: [20:00:00 05/04/2014] id: GI#1 Tube Stat/Drain el: 0 cu: MICU-A cg: -1 v1: Feeding v2: Undigested Food st: NotStopd t0: [20:00:00 05/04/2014] id: GU Catheter Size el: 0 cu: MICU-A cg: -1 v1: 14 French st: NotStopd t0: [20:00:00 05/04/2014] id: HOB el: 0 cu: MICU-A cg: -1 v1: 30 degrees st: NotStopd t0: [20:00:00 05/04/2014] id: Heart Rate el: 0 cu: MICU-A cg: -1 v1: 64 u1: BPM st: NotStopd t0: [20:00:00 05/04/2014] id: Heart Rhythm el: 0 cu: MICU-A cg: -1 v1: Normal Sinus st: NotStopd t0: [20:00:00 05/04/2014] id: INV Line#1 Type/Site el: 0 cu: MICU-A cg: -1 v1: Multi-lumen v2: Left IJ st: NotStopd t0: [20:00:00 05/04/2014] id: INV Line#1 Zero/Cal el: 0 cu: MICU-A cg: -1 v1: No st: NotStopd t0: [20:00:00 05/04/2014] id: INV Line#1InsertDate el: 0 cu: MICU-A cg: -1 v1: 3 v2: 19 st: NotStopd t0: [20:00:00 05/04/2014] id: INV Line#1SiteAppear el: 0 cu: MICU-A cg: -1 v1: WNL st: NotStopd t0: [20:00:00 05/04/2014] id: INV Line#4 Type/Site el: 0 cu: MICU-A cg: -1 v1: A-Line v2: Right Brachial st: NotStopd t0: [20:00:00 05/04/2014] id: INV Line#4 Zero/Cal el: 0 cu: MICU-A cg: -1 v1: No st: NotStopd t0: [20:00:00 05/04/2014] id: INV Line#4InsertDate el: 0 cu: MICU-A cg: -1 v1: 3 v2: 17 st: NotStopd t0: [20:00:00 05/04/2014] id: INV Line#4SiteAppear el: 0 cu: MICU-A cg: -1 v1: WNL st: NotStopd t0: [20:00:00 05/04/2014] id: Abdominal Assessment el: 0 cu: MICU-A cg: -1 v1: Obese st: NotStopd t0: [20:00:00 05/04/2014] id: INV#1 WaveformAppear el: 0 cu: MICU-A cg: -1 v1: Sharp st: NotStopd t0: [20:00:00 05/04/2014] id: INV#4 WaveformAppear el: 0 cu: MICU-A cg: -1 v1: Sharp st: NotStopd t0: [20:00:00 05/04/2014] id: Activity el: 0 cu: MICU-A cg: -1 v1: Bedrest st: NotStopd t0: [20:00:00 05/04/2014] id: Activity Tolerance el: 0 cu: MICU-A cg: -1 v1: Tolerated Well st: NotStopd t0: [20:00:00 05/04/2014] id: ImpSkin Character #1 el: 0 cu: MICU-A cg: -1 v1: Hematoma st: NotStopd t0: [20:00:00 05/04/2014] id: ImpSkin Treatment #1 el: 0 cu: MICU-A cg: -1 v1: Open to Air st: NotStopd t0: [20:00:00 05/04/2014] id: Impaired Skin Site#1 el: 0 cu: MICU-A cg: -1 v1: Gluteal, Right st: NotStopd t0: [20:00:00 05/04/2014] id: Impaired Skin Site#2 el: 0 cu: MICU-A cg: -1 v1: Labia st: NotStopd t0: [20:00:00 05/04/2014] id: LLL Lung Sounds el: 0 cu: MICU-A cg: -1 v1: Diminished st: NotStopd t0: [20:00:00 05/04/2014] id: LUL Lung Sounds el: 0 cu: MICU-A cg: -1 v1: Coarse st: NotStopd t0: [20:00:00 05/04/2014] id: Level of Conscious el: 0 cu: MICU-A cg: -1 v1: Sedated st: NotStopd t0: [20:00:00 05/04/2014] id: Motor Response el: 0 cu: MICU-A cg: -1 v1: 1 No Response st: NotStopd t0: [20:00:00 05/04/2014] id: Oral Care el: 0 cu: MICU-A cg: -1 v1: Done st: NotStopd t0: [20:00:00 05/04/2014] id: Oral Cavity el: 0 cu: MICU-A cg: -1 v1: Teeth/Tissue WNL st: NotStopd t0: [20:00:00 05/04/2014] id: Orientation el: 0 cu: MICU-A cg: -1 v1: Other/Remarks st: NotStopd t0: [20:00:00 05/04/2014] id: AntiEmbDevice/Status el: 0 cu: MICU-A cg: -1 v1: Compress Sleeves v2: On st: NotStopd t0: [20:00:00 05/04/2014] id: Arterial BP el: 0 cu: MICU-A cg: -1 v1: 105 u1: mmHg v2: 60 u2: mmHg st: NotStopd t0: [20:00:00 05/04/2014] id: Arterial BP Mean el: 0 cu: MICU-A cg: -1 v1: 75 u1: mmHg st: NotStopd t0: [20:00:00 05/04/2014] id: Position el: 0 cu: MICU-A cg: -1 v1: Right Side st: NotStopd t0: [20:00:00 05/04/2014] id: Position Change el: 0 cu: MICU-A cg: -1 v1: Done st: NotStopd t0: [20:00:00 05/04/2014] id: PostTib. Pulses R/L el: 0 cu: MICU-A cg: -1 v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [20:00:00 05/04/2014] id: Assistance Device el: 0 cu: MICU-A cg: -1 v1: 2 Person Assist st: NotStopd t0: [20:00:00 05/04/2014] id: Precautions el: 0 cu: MICU-A cg: -1 v1: Universal st: NotStopd t0: [20:00:00 05/04/2014] id: PressureReduceDevice el: 0 cu: MICU-A cg: -1 v1: Multipodus Boots st: NotStopd t0: [20:00:00 05/04/2014] id: RLL Lung Sounds el: 0 cu: MICU-A cg: -1 v1: Diminished st: NotStopd t0: [20:00:00 05/04/2014] id: RUL Lung Sounds el: 0 cu: MICU-A cg: -1 v1: Coarse st: NotStopd t0: [20:00:00 05/04/2014] id: Reason For Restraint el: 0 cu: MICU-A cg: -1 v1: Ext/TXInterfere st: NotStopd t0: [20:00:00 05/04/2014] id: Removed x 5 Mins el: 0 cu: MICU-A cg: -1 v1: Done st: NotStopd t0: [20:00:00 05/04/2014] id: Respiratory Pattern el: 0 cu: MICU-A cg: -1 v1: Regular st: NotStopd t0: [20:00:00 05/04/2014] id: Respiratory Rate el: 0 cu: MICU-A cg: -1 v1: 20 u1: BPM st: NotStopd t0: [20:00:00 05/04/2014] id: Restraint Location el: 0 cu: MICU-A cg: -1 v1: Both Arms st: NotStopd t0: [20:00:00 05/04/2014] id: Restraint Type el: 0 cu: MICU-A cg: -1 v1: Soft Limb st: NotStopd t0: [20:00:00 05/04/2014] id: Restraints Evaluated el: 0 cu: MICU-A cg: -1 v1: Behavior Conts st: NotStopd t0: [20:00:00 05/04/2014] id: Side Rails el: 0 cu: MICU-A cg: -1 v1: Side Rails Up st: NotStopd t0: [20:00:00 05/04/2014] id: Skin Care el: 0 cu: MICU-A cg: -1 v1: Done st: NotStopd t0: [20:00:00 05/04/2014] id: Skin Color el: 0 cu: MICU-A cg: -1 v1: Flushed st: NotStopd t0: [20:00:00 05/04/2014] id: Skin Integrity el: 0 cu: MICU-A cg: -1 v1: Impaired st: NotStopd t0: [20:00:00 05/04/2014] id: SpO2 el: 0 cu: MICU-A cg: -1 v1: 98 u1: % st: NotStopd t0: [20:00:00 05/04/2014] id: Sputum Color/Consist el: 0 cu: MICU-A cg: -1 v1: Yellow v2: Thick st: NotStopd t0: [20:00:00 05/04/2014] id: Sputum Source/Amt el: 0 cu: MICU-A cg: -1 v1: Suctioned v2: Small st: NotStopd t0: [20:00:00 05/04/2014] id: Support Systems el: 0 cu: MICU-A cg: -1 v1: Spouse st: NotStopd t0: [20:00:00 05/04/2014] id: Temp. Site el: 0 cu: MICU-A cg: -1 v1: Oral st: NotStopd t0: [20:00:00 05/04/2014] id: Temperature C (calc) el: 0 cu: MICU-A cg: -1 v1: 36.8889 u1: Deg. C st: NotStopd t0: [20:00:00 05/04/2014] id: Temperature F el: 0 cu: MICU-A cg: -1 v1: 98.4 u1: Deg. F st: NotStopd t0: [20:00:00 05/04/2014] id: Therapeutic Bed el: 0 cu: MICU-A cg: -1 v1: AirMatt/1st Step st: NotStopd t0: [20:00:00 05/04/2014] id: Turn el: 0 cu: MICU-A cg: -1 v1: Right Side st: NotStopd t0: [20:00:00 05/04/2014] id: Urine Color/Appear el: 0 cu: MICU-A cg: -1 v1: Light Yellow v2: Clear st: NotStopd t0: [20:00:00 05/04/2014] id: Urine Source el: 0 cu: MICU-A cg: -1 v1: Indwelling Cath st: NotStopd t0: [20:00:00 05/04/2014] id: Verbal Response el: 0 cu: MICU-A cg: -1 v1: 1.0 ET/Trach st: NotStopd t0: [20:00:00 05/04/2014] id: Back Care el: 0 cu: MICU-A cg: -1 v1: Done st: NotStopd t0: [20:00:00 05/04/2014] id: calprevflg el: 0 cu: MICU-A cg: -1 v1: 1 u1: kg st: NotStopd t0: [20:00:00 05/04/2014] id: Behavior el: 0 cu: MICU-A cg: -1 v1: Sedated st: NotStopd t0: [20:00:00 05/04/2014] id: Bowel Sounds el: 0 cu: MICU-A cg: -1 v1: Present st: NotStopd t0: [20:00:00 05/04/2014] id: Braden Activity el: 0 cu: MICU-A cg: -1 v1: Bedfast st: NotStopd t0: [20:00:00 05/04/2014] id: Braden Frict/Shear el: 0 cu: MICU-A cg: -1 v1: Potential Prob st: NotStopd t0: [20:00:00 05/04/2014] id: Braden Mobility el: 0 cu: MICU-A cg: -1 v1: Comp. Immobile st: NotStopd t0: [20:00:00 05/04/2014] id: Braden Moisture el: 0 cu: MICU-A cg: -1 v1: Occ. Moist st: NotStopd t0: [20:00:00 05/04/2014] id: Braden Nutrition el: 0 cu: MICU-A cg: -1 v1: Adequate st: NotStopd t0: [20:00:00 05/04/2014] id: Braden Score el: 0 cu: MICU-A cg: -1 v1: 11 u1: number st: NotStopd t0: [20:00:00 05/04/2014] id: Braden SensoryPercep el: 0 cu: MICU-A cg: -1 v1: Comp. Limited st: NotStopd
t0: [20:00:00 05/04/2014] id: TF Residual Gastric/TF Residual el: 1 cu: MICU-A cg: -1 ai: 107 vo: 8 vu: ml t0: [20:00:00 05/04/2014] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 20 vu: ml t0: [20:00:00 05/04/2014] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 2 cu: MICU-A cg: -1 ai: 209 vo: 43.152 vu: ml t0: [20:00:00 05/04/2014] id: D5W 50.0ml + 100mghr Lasix IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 8 vu: ml t0: [20:00:00 05/04/2014] id: Promote w/fiber Tube Feeding el: 1 cu: MICU-A cg: -1 ai: 107 vo: 130 vu: ml t0: [20:00:00 05/04/2014] id: Urine Out Foley el: 1 cu: MICU-A cg: -1 vo: 450 vu: ml
t0: [19:00:00 05/04/2014] id: Lasix el: 1 cu: MICU-A so: D5W vo: 0 v1: 8 du: mghr sv: 50 su: ml rt: IV Drip t0: [19:00:00 05/04/2014] id: Propofol el: 2 cu: MICU-A so: N/A vo: 0 v1: 40 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [20:00:00 05/04/2014] id: Lasix el: 1 cu: MICU-A so: D5W vo: 0 v1: 8 du: mghr sv: 50 su: ml rt: IV Drip t0: [20:00:00 05/04/2014] id: Propofol el: 2 cu: MICU-A so: N/A vo: 0 v1: 40 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [20:00:00 05/04/2014] id: Compliance (40-60ml) el: 0 cu: MICU-A cg: RRT v1: 21.4286 u1: ml/cmH st: NotStopd t0: [20:00:00 05/04/2014] id: ETT Mark/Location el: 0 cu: MICU-A cg: RRT v1: 21cm v2: Lip st: NotStopd t0: [20:00:00 05/04/2014] id: FiO2 Set el: 0 cu: MICU-A cg: RRT v1: 0.4 u1: torr st: NotStopd t0: [20:00:00 05/04/2014] id: High Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 45 u1: cmH2O st: NotStopd t0: [20:00:00 05/04/2014] id: High Resp. Rate el: 0 cu: MICU-A cg: RRT v1: 30 u1: BPM st: NotStopd t0: [20:00:00 05/04/2014] id: Airway Size el: 0 cu: MICU-A cg: RRT v1: 7.5 mm st: NotStopd t0: [20:00:00 05/04/2014] id: Inspired Gas Temp el: 0 cu: MICU-A cg: RRT v1: 34 u1: Deg. C st: NotStopd t0: [20:00:00 05/04/2014] id: Intubation Date el: 0 cu: MICU-A cg: RRT v1: 3 v2: 12 st: NotStopd t0: [20:00:00 05/04/2014] id: Low Exhaled Min Vol el: 0 cu: MICU-A cg: RRT v1: 6 st: NotStopd t0: [20:00:00 05/04/2014] id: Low Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 20 u1: cmH2O st: NotStopd t0: [20:00:00 05/04/2014] id: Mean Airway Pressure el: 0 cu: MICU-A cg: RRT v1: 23 u1: cmH2O st: NotStopd t0: [20:00:00 05/04/2014] id: Minute Volume(Obser) el: 0 cu: MICU-A cg: RRT v1: 9 u1: L/min st: NotStopd t0: [20:00:00 05/04/2014] id: PEEP Set el: 0 cu: MICU-A cg: RRT v1: 15 u1: cmH2O st: NotStopd t0: [20:00:00 05/04/2014] id: Apnea Time Interval el: 0 cu: MICU-A cg: RRT v1: 20 st: NotStopd t0: [20:00:00 05/04/2014] id: Peak Flow el: 0 cu: MICU-A cg: RRT v1: 55 u1: L/m st: NotStopd t0: [20:00:00 05/04/2014] id: Peak Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 36 u1: cmH2O st: NotStopd t0: [20:00:00 05/04/2014] id: Plateau Pressure el: 0 cu: MICU-A cg: RRT v1: 28 u1: cmH2O st: NotStopd t0: [20:00:00 05/04/2014] id: Plateau-Off el: 0 cu: MICU-A cg: RRT v1: Yes st: NotStopd t0: [20:00:00 05/04/2014] id: Resp Rate (Spont) el: 0 cu: MICU-A cg: RRT v1: 0 u1: BPM st: NotStopd t0: [20:00:00 05/04/2014] id: Resp Rate (Total) el: 0 cu: MICU-A cg: RRT v1: 20 u1: BPM st: NotStopd t0: [20:00:00 05/04/2014] id: Respiratory Rate Set el: 0 cu: MICU-A cg: RRT v1: 20 u1: BPM st: NotStopd t0: [20:00:00 05/04/2014] id: Sensitivity-Vent el: 0 cu: MICU-A cg: RRT v1: 2 u1: cmH2O st: NotStopd t0: [20:00:00 05/04/2014] id: Tidal Volume (Obser) el: 0 cu: MICU-A cg: RRT v1: 450 u1: ml/B st: NotStopd t0: [20:00:00 05/04/2014] id: Tidal Volume (Set) el: 0 cu: MICU-A cg: RRT v1: 450 u1: ml/B st: NotStopd t0: [20:00:00 05/04/2014] id: Ventilator Mode el: 0 cu: MICU-A cg: RRT v1: Assist Control st: NotStopd t0: [20:00:00 05/04/2014] id: Ventilator No. el: 0 cu: MICU-A cg: RRT v1: 6 u1: # st: NotStopd t0: [20:00:00 05/04/2014] id: Ventilator Type el: 0 cu: MICU-A cg: RRT v1: 7200A st: NotStopd t0: [20:00:00 05/04/2014] id: Waveform-Vent el: 0 cu: MICU-A cg: RRT v1: RAMP st: NotStopd
t0: [20:00:00 05/04/2014] id: Gastric Meds PO/Gastric el: 1 cu: MICU-A cg: -1 ai: 155 vo: 300 vu: ml
t0: [20:00:00 05/04/2014] id: Airway Type el: 0 cu: MICU-A cg: RRT v1: Endotracheal st: NotStopd
t0: [21:00:00 05/04/2014] id: Service Type el: 0 cu: MICU-A cg: -1 v1: MICU st: NotStopd t0: [21:00:00 05/04/2014] id: Code Status el: 0 cu: MICU-A cg: -1 v1: Full Code st: NotStopd t0: [21:00:00 05/04/2014] id: Ectopy Frequency el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [21:00:00 05/04/2014] id: Ectopy Type el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [21:00:00 05/04/2014] id: Heart Rate el: 0 cu: MICU-A cg: -1 v1: 68 u1: BPM st: NotStopd t0: [21:00:00 05/04/2014] id: Heart Rhythm el: 0 cu: MICU-A cg: -1 v1: Normal Sinus st: NotStopd t0: [21:00:00 05/04/2014] id: Arterial BP el: 0 cu: MICU-A cg: -1 v1: 113 u1: mmHg v2: 68 u2: mmHg st: NotStopd t0: [21:00:00 05/04/2014] id: Arterial BP Mean el: 0 cu: MICU-A cg: -1 v1: 84 u1: mmHg st: NotStopd t0: [21:00:00 05/04/2014] id: Precautions el: 0 cu: MICU-A cg: -1 v1: Universal st: NotStopd t0: [21:00:00 05/04/2014] id: Respiratory Rate el: 0 cu: MICU-A cg: -1 v1: 20 u1: BPM st: NotStopd t0: [21:00:00 05/04/2014] id: SpO2 el: 0 cu: MICU-A cg: -1 v1: 97 u1: % st: NotStopd t0: [21:00:00 05/04/2014] id: calprevflg el: 0 cu: MICU-A cg: -1 v1: 1 u1: kg st: NotStopd
t0: [21:00:00 05/04/2014] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 10 vu: ml t0: [21:00:00 05/04/2014] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 2 cu: MICU-A cg: -1 ai: 209 vo: 21.576 vu: ml t0: [21:00:00 05/04/2014] id: D5W 50.0ml + 100mghr Lasix IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 4 vu: ml t0: [21:00:00 05/04/2014] id: Promote w/fiber Tube Feeding el: 1 cu: MICU-A cg: -1 ai: 107 vo: 65 vu: ml t0: [21:00:00 05/04/2014] id: Urine Out Foley el: 1 cu: MICU-A cg: -1 vo: 250 vu: ml
t0: [21:00:00 05/04/2014] id: Lasix el: 1 cu: MICU-A so: D5W vo: 0 v1: 8 du: mghr sv: 50 su: ml rt: IV Drip t0: [21:00:00 05/04/2014] id: Propofol el: 2 cu: MICU-A so: N/A vo: 0 v1: 40 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [20:00:00 05/04/2014] id: IV Piggyback 100.0ml IV Infusions el: 1 cu: MICU-A cg: -1 ai: 105 vo: 25 vu: ml
t0: [22:00:00 05/04/2014] id: Service Type el: 0 cu: MICU-A cg: -1 v1: MICU st: NotStopd t0: [22:00:00 05/04/2014] id: Code Status el: 0 cu: MICU-A cg: -1 v1: Full Code st: NotStopd t0: [22:00:00 05/04/2014] id: Ectopy Frequency el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [22:00:00 05/04/2014] id: Ectopy Type el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [22:00:00 05/04/2014] id: Heart Rate el: 0 cu: MICU-A cg: -1 v1: 67 u1: BPM st: NotStopd t0: [22:00:00 05/04/2014] id: Heart Rhythm el: 0 cu: MICU-A cg: -1 v1: Normal Sinus st: NotStopd t0: [22:00:00 05/04/2014] id: Arterial BP el: 0 cu: MICU-A cg: -1 v1: 119 u1: mmHg v2: 66 u2: mmHg st: NotStopd t0: [22:00:00 05/04/2014] id: Arterial BP Mean el: 0 cu: MICU-A cg: -1 v1: 85 u1: mmHg st: NotStopd t0: [22:00:00 05/04/2014] id: Precautions el: 0 cu: MICU-A cg: -1 v1: Universal st: NotStopd t0: [22:00:00 05/04/2014] id: Respiratory Rate el: 0 cu: MICU-A cg: -1 v1: 20 u1: BPM st: NotStopd t0: [22:00:00 05/04/2014] id: SpO2 el: 0 cu: MICU-A cg: -1 v1: 99 u1: % st: NotStopd t0: [22:00:00 05/04/2014] id: calprevflg el: 0 cu: MICU-A cg: -1 v1: 1 u1: kg st: NotStopd
t0: [22:00:00 05/04/2014] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 10 vu: ml t0: [22:00:00 05/04/2014] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 2 cu: MICU-A cg: -1 ai: 209 vo: 21.576 vu: ml t0: [22:00:00 05/04/2014] id: D5W 50.0ml + 100mghr Lasix IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 4 vu: ml t0: [22:00:00 05/04/2014] id: Promote w/fiber Tube Feeding el: 1 cu: MICU-A cg: -1 ai: 107 vo: 65 vu: ml t0: [22:00:00 05/04/2014] id: Urine Out Foley el: 1 cu: MICU-A cg: -1 vo: 300 vu: ml
t0: [22:00:00 05/04/2014] id: Lasix el: 1 cu: MICU-A so: D5W vo: 0 v1: 8 du: mghr sv: 50 su: ml rt: IV Drip t0: [22:00:00 05/04/2014] id: Propofol el: 2 cu: MICU-A so: N/A vo: 0 v1: 40 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [23:00:00 05/04/2014] id: Service Type el: 0 cu: MICU-A cg: -1 v1: MICU st: NotStopd t0: [23:00:00 05/04/2014] id: Code Status el: 0 cu: MICU-A cg: -1 v1: Full Code st: NotStopd t0: [23:00:00 05/04/2014] id: Ectopy Frequency el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [23:00:00 05/04/2014] id: Ectopy Type el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [23:00:00 05/04/2014] id: Heart Rate el: 0 cu: MICU-A cg: -1 v1: 66 u1: BPM st: NotStopd t0: [23:00:00 05/04/2014] id: Heart Rhythm el: 0 cu: MICU-A cg: -1 v1: Normal Sinus st: NotStopd t0: [23:00:00 05/04/2014] id: Arterial BP el: 0 cu: MICU-A cg: -1 v1: 120 u1: mmHg v2: 69 u2: mmHg st: NotStopd t0: [23:00:00 05/04/2014] id: Arterial BP Mean el: 0 cu: MICU-A cg: -1 v1: 88 u1: mmHg st: NotStopd t0: [23:00:00 05/04/2014] id: Precautions el: 0 cu: MICU-A cg: -1 v1: Universal st: NotStopd t0: [23:00:00 05/04/2014] id: Respiratory Rate el: 0 cu: MICU-A cg: -1 v1: 20 u1: BPM st: NotStopd t0: [23:00:00 05/04/2014] id: SpO2 el: 0 cu: MICU-A cg: -1 v1: 98 u1: % st: NotStopd t0: [23:00:00 05/04/2014] id: calprevflg el: 0 cu: MICU-A cg: -1 v1: 1 u1: kg st: NotStopd
t0: [23:00:00 05/04/2014] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 10 vu: ml t0: [23:00:00 05/04/2014] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 2 cu: MICU-A cg: -1 ai: 209 vo: 21.576 vu: ml t0: [23:00:00 05/04/2014] id: D5W 50.0ml + 100mghr Lasix IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 4 vu: ml t0: [23:00:00 05/04/2014] id: Promote w/fiber Tube Feeding el: 1 cu: MICU-A cg: -1 ai: 107 vo: 65 vu: ml t0: [23:00:00 05/04/2014] id: Urine Out Foley el: 1 cu: MICU-A cg: -1 vo: 240 vu: ml
t0: [23:00:00 05/04/2014] id: Lasix el: 1 cu: MICU-A so: D5W vo: 0 v1: 8 du: mghr sv: 50 su: ml rt: IV Drip t0: [23:00:00 05/04/2014] id: Propofol el: 2 cu: MICU-A so: N/A vo: 0 v1: 40 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [23:00:00 05/04/2014] dt: 1 id: Total Hourly Output el: 2 cu: MICU-A cg: -1 pv: 240 cv: 240 ap: none t0: [23:00:00 05/04/2014] dt: 1 id: Net Hourly Balance el: 2 cu: MICU-A cg: -1 pv: -139.424 cv: -139.424 ap: none t0: [23:00:00 05/04/2014] dt: 24 id: IV Infusion In Total el: 2 cu: MICU-A cg: -1 pv: 35.576 cv: 988.824 ap: none t0: [23:00:00 05/04/2014] dt: 24 id: 24h Total In el: 2 cu: MICU-A cg: -1 pv: 100.576 cv: 4278.82 ap: none t0: [23:00:00 05/04/2014] dt: 24 id: Tube Feeds In Total el: 2 cu: MICU-A cg: -1 pv: 65 cv: 1560 ap: none t0: [23:00:00 05/04/2014] dt: 24 id: Urine Out Total el: 2 cu: MICU-A cg: -1 pv: 240 cv: 4880 ap: none t0: [23:00:00 05/04/2014] dt: 24 id: 24h Net Body Balance el: 2 cu: MICU-A cg: -1 pv: -139.424 cv: -601.176 ap: carryForward t0: [23:00:00 05/04/2014] dt: 24 id: 24h Total Out el: 2 cu: MICU-A cg: -1 pv: 240 cv: 4880 ap: carryForward t0: [23:00:00 05/04/2014] dt: multiple days id: LOS Net Body Balance el: 2 cu: MICU-A cg: -1 pv: -139.424 cv: 16531.5 ap: carryForward
t0: [20:00:00 05/04/2014] id: ETT Position Change el: 0 cu: MICU-A cg: -1 v1: Done st: NotStopd t0: [23:00:00 05/04/2014] id: CVP el: 0 cu: MICU-A cg: -1 u1: mmHg st: NotStopd
t0: [00:00:00 06/04/2014] id: Compliance (40-60ml) el: 0 cu: MICU-A cg: RRT v1: 23.6842 u1: ml/cmH st: NotStopd t0: [00:00:00 06/04/2014] id: ETT Mark/Location el: 0 cu: MICU-A cg: RRT v1: 21cm v2: Lip st: NotStopd t0: [00:00:00 06/04/2014] id: FiO2 Set el: 0 cu: MICU-A cg: RRT v1: 0.4 u1: torr st: NotStopd t0: [00:00:00 06/04/2014] id: High Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 45 u1: cmH2O st: NotStopd t0: [00:00:00 06/04/2014] id: High Resp. Rate el: 0 cu: MICU-A cg: RRT v1: 30 u1: BPM st: NotStopd t0: [00:00:00 06/04/2014] id: Airway Size el: 0 cu: MICU-A cg: RRT v1: 7.5 mm st: NotStopd t0: [00:00:00 06/04/2014] id: Airway Type el: 0 cu: MICU-A cg: RRT v1: Endotracheal st: NotStopd t0: [00:00:00 06/04/2014] id: Inspired Gas Temp el: 0 cu: MICU-A cg: RRT v1: 34 u1: Deg. C st: NotStopd t0: [00:00:00 06/04/2014] id: Intubation Date el: 0 cu: MICU-A cg: RRT v1: 3 v2: 12 st: NotStopd t0: [00:00:00 06/04/2014] id: Low Exhaled Min Vol el: 0 cu: MICU-A cg: RRT v1: 6 st: NotStopd t0: [00:00:00 06/04/2014] id: Low Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 20 u1: cmH2O st: NotStopd t0: [00:00:00 06/04/2014] id: Mean Airway Pressure el: 0 cu: MICU-A cg: RRT v1: 20 u1: cmH2O st: NotStopd t0: [00:00:00 06/04/2014] id: Minute Volume(Obser) el: 0 cu: MICU-A cg: RRT v1: 12 u1: L/min st: NotStopd t0: [00:00:00 06/04/2014] id: PEEP Set el: 0 cu: MICU-A cg: RRT v1: 15 u1: cmH2O st: NotStopd t0: [00:00:00 06/04/2014] id: Apnea Time Interval el: 0 cu: MICU-A cg: RRT v1: 20 st: NotStopd t0: [00:00:00 06/04/2014] id: Peak Flow el: 0 cu: MICU-A cg: RRT v1: 55 u1: L/m st: NotStopd t0: [00:00:00 06/04/2014] id: Peak Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 34 u1: cmH2O st: NotStopd t0: [00:00:00 06/04/2014] id: Plateau Pressure el: 0 cu: MICU-A cg: RRT v1: 27 u1: cmH2O st: NotStopd t0: [00:00:00 06/04/2014] id: Plateau-Off el: 0 cu: MICU-A cg: RRT v1: Yes st: NotStopd t0: [00:00:00 06/04/2014] id: Resp Rate (Spont) el: 0 cu: MICU-A cg: RRT v1: 0 u1: BPM st: NotStopd t0: [00:00:00 06/04/2014] id: Resp Rate (Total) el: 0 cu: MICU-A cg: RRT v1: 20 u1: BPM st: NotStopd t0: [00:00:00 06/04/2014] id: Respiratory Rate Set el: 0 cu: MICU-A cg: RRT v1: 20 u1: BPM st: NotStopd t0: [00:00:00 06/04/2014] id: Sensitivity-Vent el: 0 cu: MICU-A cg: RRT v1: 2 u1: cmH2O st: NotStopd t0: [00:00:00 06/04/2014] id: SpO2 el: 0 cu: MICU-A cg: RRT v1: 100 u1: % st: NotStopd t0: [00:00:00 06/04/2014] id: Tidal Volume (Obser) el: 0 cu: MICU-A cg: RRT v1: 450 u1: ml/B st: NotStopd t0: [00:00:00 06/04/2014] id: Tidal Volume (Set) el: 0 cu: MICU-A cg: RRT v1: 450 u1: ml/B st: NotStopd t0: [00:00:00 06/04/2014] id: Ventilator Mode el: 0 cu: MICU-A cg: RRT v1: Assist Control st: NotStopd t0: [00:00:00 06/04/2014] id: Ventilator No. el: 0 cu: MICU-A cg: RRT v1: 6 u1: # st: NotStopd t0: [00:00:00 06/04/2014] id: Ventilator Type el: 0 cu: MICU-A cg: RRT v1: 7200A st: NotStopd t0: [00:00:00 06/04/2014] id: Waveform-Vent el: 0 cu: MICU-A cg: RRT v1: RAMP st: NotStopd
t0: [00:10:00 06/04/2014] id: Compliance (40-60ml) el: 0 cu: MICU-A cg: RRT v1: 31.5789 u1: ml/cmH st: NotStopd t0: [00:10:00 06/04/2014] id: Resp Rate (Spont) el: 0 cu: MICU-A cg: RRT v1: 0 u1: BPM st: NotStopd t0: [00:10:00 06/04/2014] id: Resp Rate (Total) el: 0 cu: MICU-A cg: RRT v1: 20 u1: BPM st: NotStopd t0: [00:10:00 06/04/2014] id: Respiratory Rate Set el: 0 cu: MICU-A cg: RRT v1: 20 u1: BPM st: NotStopd t0: [00:10:00 06/04/2014] id: SpO2 el: 0 cu: MICU-A cg: RRT v1: 100 u1: % st: NotStopd t0: [00:10:00 06/04/2014] id: Tidal Volume (Obser) el: 0 cu: MICU-A cg: RRT v1: 600 u1: ml/B st: NotStopd t0: [00:10:00 06/04/2014] id: Tidal Volume (Set) el: 0 cu: MICU-A cg: RRT v1: 600 u1: ml/B st: NotStopd t0: [00:10:00 06/04/2014] id: Ventilator No. el: 0 cu: MICU-A cg: RRT v1: 6 u1: # st: NotStopd t0: [00:10:00 06/04/2014] id: Ventilator Type el: 0 cu: MICU-A cg: RRT v1: 7200A st: NotStopd
t0: [20:00:00 05/04/2014] id: Less Restrict Meas. el: 0 cu: MICU-A cg: -1 v1: Medicated st: NotStopd t0: [00:00:00 06/04/2014] id: Less Restrict Meas. el: 0 cu: MICU-A cg: -1 v1: Medicated st: NotStopd t0: [00:00:00 06/04/2014] id: Range of Motion el: 0 cu: MICU-A cg: -1 v1: Done st: NotStopd t0: [00:00:00 06/04/2014] id: Service Type el: 0 cu: MICU-A cg: -1 v1: MICU st: NotStopd t0: [00:00:00 06/04/2014] id: Circulation/SkinInt el: 0 cu: MICU-A cg: -1 v1: Circulation Adeq st: NotStopd t0: [00:00:00 06/04/2014] id: Code Status el: 0 cu: MICU-A cg: -1 v1: Full Code st: NotStopd t0: [00:00:00 06/04/2014] id: GI Prophylaxis el: 0 cu: MICU-A cg: -1 v1: H2 Blocker st: NotStopd t0: [00:00:00 06/04/2014] id: Diet Type el: 0 cu: MICU-A cg: -1 v1: Tube Feeding st: NotStopd t0: [00:00:00 06/04/2014] id: Ectopy Frequency el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [00:00:00 06/04/2014] id: Ectopy Type el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [00:00:00 06/04/2014] id: Eye Opening el: 0 cu: MICU-A cg: -1 v1: 1 No Response st: NotStopd t0: [00:00:00 06/04/2014] id: GCS Total el: 0 cu: MICU-A cg: -1 v1: 3 u1: points st: NotStopd t0: [00:00:00 06/04/2014] id: GI Intub #1/Site el: 0 cu: MICU-A cg: -1 v1: Salem Sump v2: Oral st: NotStopd t0: [00:00:00 06/04/2014] id: GI#1 Tube Stat/Drain el: 0 cu: MICU-A cg: -1 v1: Feeding v2: Undigested Food st: NotStopd t0: [00:00:00 06/04/2014] id: GU Catheter Size el: 0 cu: MICU-A cg: -1 v1: 14 French st: NotStopd t0: [00:00:00 06/04/2014] id: HOB el: 0 cu: MICU-A cg: -1 v1: 30 degrees st: NotStopd t0: [00:00:00 06/04/2014] id: Heart Rate el: 0 cu: MICU-A cg: -1 v1: 68 u1: BPM st: NotStopd t0: [00:00:00 06/04/2014] id: Heart Rhythm el: 0 cu: MICU-A cg: -1 v1: Normal Sinus st: NotStopd t0: [00:00:00 06/04/2014] id: INV Line#1 Type/Site el: 0 cu: MICU-A cg: -1 v1: Multi-lumen v2: Left IJ st: NotStopd t0: [00:00:00 06/04/2014] id: INV Line#1 Zero/Cal el: 0 cu: MICU-A cg: -1 v1: No st: NotStopd t0: [00:00:00 06/04/2014] id: INV Line#1InsertDate el: 0 cu: MICU-A cg: -1 v1: 3 v2: 19 st: NotStopd t0: [00:00:00 06/04/2014] id: INV Line#1SiteAppear el: 0 cu: MICU-A cg: -1 v1: WNL st: NotStopd t0: [00:00:00 06/04/2014] id: INV Line#4 Type/Site el: 0 cu: MICU-A cg: -1 v1: A-Line v2: Right Brachial st: NotStopd t0: [00:00:00 06/04/2014] id: INV Line#4 Zero/Cal el: 0 cu: MICU-A cg: -1 v1: No st: NotStopd t0: [00:00:00 06/04/2014] id: INV Line#4InsertDate el: 0 cu: MICU-A cg: -1 v1: 3 v2: 17 st: NotStopd t0: [00:00:00 06/04/2014] id: INV Line#4SiteAppear el: 0 cu: MICU-A cg: -1 v1: WNL st: NotStopd t0: [00:00:00 06/04/2014] id: Abdominal Assessment el: 0 cu: MICU-A cg: -1 v1: Obese st: NotStopd t0: [00:00:00 06/04/2014] id: INV#1 WaveformAppear el: 0 cu: MICU-A cg: -1 v1: Sharp st: NotStopd t0: [00:00:00 06/04/2014] id: INV#4 WaveformAppear el: 0 cu: MICU-A cg: -1 v1: Sharp st: NotStopd t0: [00:00:00 06/04/2014] id: Activity el: 0 cu: MICU-A cg: -1 v1: Bedrest st: NotStopd t0: [00:00:00 06/04/2014] id: Activity Tolerance el: 0 cu: MICU-A cg: -1 v1: Tolerated Well st: NotStopd t0: [00:00:00 06/04/2014] id: Impaired Skin Site#1 el: 0 cu: MICU-A cg: -1 v1: Gluteal, Right st: NotStopd t0: [00:00:00 06/04/2014] id: Impaired Skin Site#2 el: 0 cu: MICU-A cg: -1 v1: Labia st: NotStopd t0: [00:00:00 06/04/2014] id: LLL Lung Sounds el: 0 cu: MICU-A cg: -1 v1: Diminished st: NotStopd t0: [00:00:00 06/04/2014] id: LUL Lung Sounds el: 0 cu: MICU-A cg: -1 v1: Coarse st: NotStopd t0: [00:00:00 06/04/2014] id: Level of Conscious el: 0 cu: MICU-A cg: -1 v1: Sedated st: NotStopd t0: [00:00:00 06/04/2014] id: Motor Response el: 0 cu: MICU-A cg: -1 v1: 1 No Response st: NotStopd t0: [00:00:00 06/04/2014] id: Oral Care el: 0 cu: MICU-A cg: -1 v1: Done st: NotStopd t0: [00:00:00 06/04/2014] id: Oral Cavity el: 0 cu: MICU-A cg: -1 v1: Thrush st: NotStopd t0: [00:00:00 06/04/2014] id: Orientation el: 0 cu: MICU-A cg: -1 v1: Other/Remarks st: NotStopd t0: [00:00:00 06/04/2014] id: AntiEmbDevice/Status el: 0 cu: MICU-A cg: -1 v1: Compress Sleeves v2: On st: NotStopd t0: [00:00:00 06/04/2014] id: Arterial BP el: 0 cu: MICU-A cg: -1 v1: 145 u1: mmHg v2: 79 u2: mmHg st: NotStopd t0: [00:00:00 06/04/2014] id: Arterial BP Mean el: 0 cu: MICU-A cg: -1 v1: 104 u1: mmHg st: NotStopd t0: [00:00:00 06/04/2014] id: Position el: 0 cu: MICU-A cg: -1 v1: Supine st: NotStopd t0: [00:00:00 06/04/2014] id: Position Change el: 0 cu: MICU-A cg: -1 v1: Done st: NotStopd t0: [00:00:00 06/04/2014] id: Assistance Device el: 0 cu: MICU-A cg: -1 v1: 2 Person Assist st: NotStopd t0: [00:00:00 06/04/2014] id: Precautions el: 0 cu: MICU-A cg: -1 v1: Universal st: NotStopd t0: [00:00:00 06/04/2014] id: PressureReduceDevice el: 0 cu: MICU-A cg: -1 v1: Multipodus Boots st: NotStopd t0: [00:00:00 06/04/2014] id: RLL Lung Sounds el: 0 cu: MICU-A cg: -1 v1: Diminished st: NotStopd t0: [00:00:00 06/04/2014] id: RUL Lung Sounds el: 0 cu: MICU-A cg: -1 v1: Coarse st: NotStopd t0: [00:00:00 06/04/2014] id: Reason For Restraint el: 0 cu: MICU-A cg: -1 v1: Ext/TXInterfere st: NotStopd t0: [00:00:00 06/04/2014] id: Removed x 5 Mins el: 0 cu: MICU-A cg: -1 v1: Done st: NotStopd t0: [00:00:00 06/04/2014] id: Respiratory Pattern el: 0 cu: MICU-A cg: -1 v1: Regular st: NotStopd t0: [00:00:00 06/04/2014] id: Restraint Location el: 0 cu: MICU-A cg: -1 v1: Both Arms st: NotStopd t0: [00:00:00 06/04/2014] id: Restraint Type el: 0 cu: MICU-A cg: -1 v1: Soft Limb st: NotStopd t0: [00:00:00 06/04/2014] id: Restraints Evaluated el: 0 cu: MICU-A cg: -1 v1: Behavior Conts st: NotStopd t0: [00:00:00 06/04/2014] id: Side Rails el: 0 cu: MICU-A cg: -1 v1: Side Rails Up st: NotStopd t0: [00:00:00 06/04/2014] id: Skin Care el: 0 cu: MICU-A cg: -1 v1: Done st: NotStopd t0: [00:00:00 06/04/2014] id: Stool Color/Consist el: 0 cu: MICU-A cg: -1 v1: Brown v2: Soft st: NotStopd t0: [00:00:00 06/04/2014] id: Stool Guaiac el: 0 cu: MICU-A cg: -1 v1: Negative st: NotStopd t0: [00:00:00 06/04/2014] id: Support Systems el: 0 cu: MICU-A cg: -1 v1: Spouse st: NotStopd t0: [00:00:00 06/04/2014] id: Temp. Site el: 0 cu: MICU-A cg: -1 v1: Oral st: NotStopd t0: [00:00:00 06/04/2014] id: Temperature C (calc) el: 0 cu: MICU-A cg: -1 v1: 37.7222 u1: Deg. C st: NotStopd t0: [00:00:00 06/04/2014] id: Temperature F el: 0 cu: MICU-A cg: -1 v1: 99.9 u1: Deg. F st: NotStopd t0: [00:00:00 06/04/2014] id: Therapeutic Bed el: 0 cu: MICU-A cg: -1 v1: AirMatt/1st Step st: NotStopd t0: [00:00:00 06/04/2014] id: Turn el: 0 cu: MICU-A cg: -1 v1: Back st: NotStopd t0: [00:00:00 06/04/2014] id: Urine Color/Appear el: 0 cu: MICU-A cg: -1 v1: Light Yellow v2: Clear st: NotStopd t0: [00:00:00 06/04/2014] id: Urine Source el: 0 cu: MICU-A cg: -1 v1: Indwelling Cath st: NotStopd t0: [00:00:00 06/04/2014] id: Verbal Response el: 0 cu: MICU-A cg: -1 v1: 1.0 ET/Trach st: NotStopd t0: [00:00:00 06/04/2014] id: Back Care el: 0 cu: MICU-A cg: -1 v1: Done st: NotStopd t0: [00:00:00 06/04/2014] id: calprevflg el: 0 cu: MICU-A cg: -1 v1: 1 u1: kg st: NotStopd t0: [00:00:00 06/04/2014] id: Behavior el: 0 cu: MICU-A cg: -1 v1: Sedated st: NotStopd t0: [00:00:00 06/04/2014] id: Bowel Sounds el: 0 cu: MICU-A cg: -1 v1: Present st: NotStopd
t0: [00:00:00 06/04/2014] id: TF Residual Gastric/TF Residual el: 1 cu: MICU-A cg: -1 ai: 107 vo: 5 vu: ml t0: [00:00:00 06/04/2014] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 10 vu: ml t0: [00:00:00 06/04/2014] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 2 cu: MICU-A cg: -1 ai: 209 vo: 21.576 vu: ml t0: [00:00:00 06/04/2014] id: Gastric Meds PO/Gastric el: 1 cu: MICU-A cg: -1 ai: 155 vo: 250 vu: ml t0: [00:00:00 06/04/2014] id: Stool Out (non-specific) el: 1 cu: MICU-A cg: -1 vu: ml es: Small t0: [00:00:00 06/04/2014] id: D5W 50.0ml + 100mghr Lasix IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 4 vu: ml t0: [00:00:00 06/04/2014] id: Promote w/fiber Tube Feeding el: 1 cu: MICU-A cg: -1 ai: 107 vo: 65 vu: ml t0: [00:00:00 06/04/2014] id: Urine Out Foley el: 1 cu: MICU-A cg: -1 vo: 320 vu: ml
t0: [00:00:00 06/04/2014] id: Lasix el: 1 cu: MICU-A so: D5W vo: 0 v1: 8 du: mghr sv: 50 su: ml rt: IV Drip t0: [00:00:00 06/04/2014] id: Propofol el: 2 cu: MICU-A so: N/A vo: 0 v1: 40 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [23:00:00 06/04/2014] dt: 24 id: Stool Out Total el: 2 cu: MICU-A cg: RN cv: 0 ap: carryForward
t0: [00:00:00 06/04/2014] id: Potassium (3.5-5.3) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 3.6 rs: Final st: NotStopd t0: [00:00:00 06/04/2014] id: Sodium (135-148) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 146 rs: Final st: NotStopd
t0: [00:49:00 06/04/2014] id: Art.pH ABG el: 0 cu: MICU-A cg: 1663 v1: 7.56 rs: Final st: NotStopd t0: [00:49:00 06/04/2014] id: Arterial Base Excess ABG el: 0 cu: MICU-A cg: 1663 v1: 8 rs: Final st: NotStopd t0: [00:49:00 06/04/2014] id: Arterial CO2(Calc) ABG el: 0 cu: MICU-A cg: 1663 v1: 30 rs: Final st: NotStopd t0: [00:49:00 06/04/2014] id: Arterial PaCO2 ABG el: 0 cu: MICU-A cg: 1663 v1: 33 u1: mmHg rs: Final st: NotStopd t0: [00:49:00 06/04/2014] id: Arterial PaO2 ABG el: 0 cu: MICU-A cg: 1663 v1: 121 u1: mmHg rs: Final st: NotStopd t0: [00:49:00 06/04/2014] id: Arterial pH ABG el: 0 cu: MICU-A cg: 1663 v1: 7.56 rs: Final st: NotStopd
t0: [00:00:00 06/04/2014] id: Respiratory Rate el: 0 cu: MICU-A cg: -1 v1: 40 u1: BPM st: NotStopd t0: [00:00:00 06/04/2014] id: Sputum Color/Consist el: 0 cu: MICU-A cg: -1 v1: Yellow v2: Thick st: NotStopd t0: [00:00:00 06/04/2014] id: Sputum Source/Amt el: 0 cu: MICU-A cg: -1 v1: Suctioned v2: Small st: NotStopd t0: [01:00:00 06/04/2014] id: Service Type el: 0 cu: MICU-A cg: -1 v1: MICU st: NotStopd t0: [01:00:00 06/04/2014] id: Code Status el: 0 cu: MICU-A cg: -1 v1: Full Code st: NotStopd t0: [01:00:00 06/04/2014] id: Riker-SAS Scale el: 0 cu: MICU-A cg: -1 v1: Sedated st: NotStopd t0: [01:00:00 06/04/2014] id: Ectopy Frequency el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [01:00:00 06/04/2014] id: Ectopy Type el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [01:00:00 06/04/2014] id: Heart Rate el: 0 cu: MICU-A cg: -1 v1: 68 u1: BPM st: NotStopd t0: [01:00:00 06/04/2014] id: Heart Rhythm el: 0 cu: MICU-A cg: -1 v1: Normal Sinus st: NotStopd t0: [01:00:00 06/04/2014] id: Arterial BP el: 0 cu: MICU-A cg: -1 v1: 122 u1: mmHg v2: 70 u2: mmHg st: NotStopd t0: [01:00:00 06/04/2014] id: Arterial BP Mean el: 0 cu: MICU-A cg: -1 v1: 89 u1: mmHg st: NotStopd t0: [01:00:00 06/04/2014] id: Precautions el: 0 cu: MICU-A cg: -1 v1: Universal st: NotStopd t0: [01:00:00 06/04/2014] id: Respiratory Rate el: 0 cu: MICU-A cg: -1 v1: 20 u1: BPM st: NotStopd t0: [01:00:00 06/04/2014] id: SpO2 el: 0 cu: MICU-A cg: -1 v1: 100 u1: % st: NotStopd t0: [01:00:00 06/04/2014] id: calprevflg el: 0 cu: MICU-A cg: -1 v1: 1 u1: kg st: NotStopd
t0: [01:00:00 06/04/2014] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 10 vu: ml t0: [01:00:00 06/04/2014] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 2 cu: MICU-A cg: -1 ai: 209 vo: 21.576 vu: ml t0: [01:00:00 06/04/2014] id: D5W 50.0ml + 100mghr Lasix IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 4 vu: ml t0: [01:00:00 06/04/2014] id: Promote w/fiber Tube Feeding el: 1 cu: MICU-A cg: -1 ai: 107 vo: 65 vu: ml t0: [01:00:00 06/04/2014] id: Urine Out Foley el: 1 cu: MICU-A cg: -1 vo: 200 vu: ml
t0: [01:00:00 06/04/2014] id: Lasix el: 1 cu: MICU-A so: D5W vo: 0 v1: 8 du: mghr sv: 50 su: ml rt: IV Drip t0: [01:00:00 06/04/2014] id: Propofol el: 2 cu: MICU-A so: N/A vo: 0 v1: 40 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [01:00:00 06/04/2014] id: ETT Mark/Location el: 0 cu: MICU-A cg: RRT v1: 21cm v2: Lip st: NotStopd t0: [01:00:00 06/04/2014] id: FiO2 Set el: 0 cu: MICU-A cg: RRT v1: 0.4 u1: torr st: NotStopd t0: [01:00:00 06/04/2014] id: Airway Size el: 0 cu: MICU-A cg: RRT v1: 7.5 mm st: NotStopd t0: [01:00:00 06/04/2014] id: Airway Type el: 0 cu: MICU-A cg: RRT v1: Endotracheal st: NotStopd t0: [01:00:00 06/04/2014] id: Intubation Date el: 0 cu: MICU-A cg: RRT v1: 3 v2: 12 st: NotStopd t0: [01:00:00 06/04/2014] id: Tidal Volume (Set) el: 0 cu: MICU-A cg: RRT v1: 500 u1: ml/B st: NotStopd t0: [01:00:00 06/04/2014] id: Ventilator No. el: 0 cu: MICU-A cg: RRT v1: 6 u1: # st: NotStopd t0: [01:00:00 06/04/2014] id: Ventilator Type el: 0 cu: MICU-A cg: RRT v1: 7200A st: NotStopd
t0: [01:00:00 06/04/2014] id: Gastric Meds PO/Gastric el: 1 cu: MICU-A cg: -1 ai: 155 vo: 180 vu: ml
t0: [23:00:00 06/04/2014] dt: 24 id: PO/Gastric In Total el: 2 cu: MICU-A cg: -1 cv: 1570 ap: none
t0: [02:00:00 06/04/2014] id: Service Type el: 0 cu: MICU-A cg: -1 v1: MICU st: NotStopd t0: [02:00:00 06/04/2014] id: CVP el: 0 cu: MICU-A cg: -1 v1: 9 u1: mmHg st: NotStopd t0: [02:00:00 06/04/2014] id: Code Status el: 0 cu: MICU-A cg: -1 v1: Full Code st: NotStopd t0: [02:00:00 06/04/2014] id: Ectopy Frequency el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [02:00:00 06/04/2014] id: Ectopy Type el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [02:00:00 06/04/2014] id: Heart Rate el: 0 cu: MICU-A cg: -1 v1: 67 u1: BPM st: NotStopd t0: [02:00:00 06/04/2014] id: Heart Rhythm el: 0 cu: MICU-A cg: -1 v1: Normal Sinus st: NotStopd t0: [02:00:00 06/04/2014] id: Arterial BP el: 0 cu: MICU-A cg: -1 v1: 125 u1: mmHg v2: 70 u2: mmHg st: NotStopd t0: [02:00:00 06/04/2014] id: Arterial BP Mean el: 0 cu: MICU-A cg: -1 v1: 92 u1: mmHg st: NotStopd t0: [02:00:00 06/04/2014] id: Precautions el: 0 cu: MICU-A cg: -1 v1: Universal st: NotStopd t0: [02:00:00 06/04/2014] id: Respiratory Rate el: 0 cu: MICU-A cg: -1 v1: 20 u1: BPM st: NotStopd t0: [02:00:00 06/04/2014] id: SpO2 el: 0 cu: MICU-A cg: -1 v1: 99 u1: % st: NotStopd t0: [02:00:00 06/04/2014] id: Temp. Site el: 0 cu: MICU-A cg: -1 v1: Oral st: NotStopd t0: [02:00:00 06/04/2014] id: Temperature C (calc) el: 0 cu: MICU-A cg: -1 v1: 37.6111 u1: Deg. C st: NotStopd t0: [02:00:00 06/04/2014] id: Temperature F el: 0 cu: MICU-A cg: -1 v1: 99.7 u1: Deg. F st: NotStopd t0: [02:00:00 06/04/2014] id: calprevflg el: 0 cu: MICU-A cg: -1 v1: 1 u1: kg st: NotStopd
t0: [02:00:00 06/04/2014] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 10 vu: ml t0: [02:00:00 06/04/2014] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 2 cu: MICU-A cg: -1 ai: 209 vo: 21.576 vu: ml t0: [02:00:00 06/04/2014] id: D5W 50.0ml + 100mghr Lasix IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 4 vu: ml t0: [02:00:00 06/04/2014] id: IV Piggyback 100.0ml IV Infusions el: 1 cu: MICU-A cg: -1 ai: 105 vo: 25 vu: ml t0: [02:00:00 06/04/2014] id: Promote w/fiber Tube Feeding el: 1 cu: MICU-A cg: -1 ai: 107 vo: 65 vu: ml t0: [02:00:00 06/04/2014] id: Urine Out Foley el: 1 cu: MICU-A cg: -1 vo: 240 vu: ml
t0: [02:00:00 06/04/2014] id: Lasix el: 1 cu: MICU-A so: D5W vo: 0 v1: 8 du: mghr sv: 50 su: ml rt: IV Drip t0: [02:00:00 06/04/2014] id: Propofol el: 2 cu: MICU-A so: N/A vo: 0 v1: 40 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [03:00:00 06/04/2014] id: Service Type el: 0 cu: MICU-A cg: -1 v1: MICU st: NotStopd t0: [03:00:00 06/04/2014] id: Code Status el: 0 cu: MICU-A cg: -1 v1: Full Code st: NotStopd t0: [03:00:00 06/04/2014] id: Ectopy Frequency el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [03:00:00 06/04/2014] id: Ectopy Type el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [03:00:00 06/04/2014] id: Heart Rate el: 0 cu: MICU-A cg: -1 v1: 65 u1: BPM st: NotStopd t0: [03:00:00 06/04/2014] id: Heart Rhythm el: 0 cu: MICU-A cg: -1 v1: Normal Sinus st: NotStopd t0: [03:00:00 06/04/2014] id: Arterial BP el: 0 cu: MICU-A cg: -1 v1: 121 u1: mmHg v2: 68 u2: mmHg st: NotStopd t0: [03:00:00 06/04/2014] id: Arterial BP Mean el: 0 cu: MICU-A cg: -1 v1: 89 u1: mmHg st: NotStopd t0: [03:00:00 06/04/2014] id: Precautions el: 0 cu: MICU-A cg: -1 v1: Universal st: NotStopd t0: [03:00:00 06/04/2014] id: Respiratory Rate el: 0 cu: MICU-A cg: -1 v1: 20 u1: BPM st: NotStopd t0: [03:00:00 06/04/2014] id: SpO2 el: 0 cu: MICU-A cg: -1 v1: 99 u1: % st: NotStopd t0: [03:00:00 06/04/2014] id: calprevflg el: 0 cu: MICU-A cg: -1 v1: 1 u1: kg st: NotStopd
t0: [03:00:00 06/04/2014] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 10 vu: ml t0: [03:00:00 06/04/2014] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 2 cu: MICU-A cg: -1 ai: 209 vo: 21.576 vu: ml t0: [03:00:00 06/04/2014] id: D5W 50.0ml + 100mghr Lasix IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 4 vu: ml t0: [03:00:00 06/04/2014] id: Promote w/fiber Tube Feeding el: 1 cu: MICU-A cg: -1 ai: 107 vo: 65 vu: ml t0: [03:00:00 06/04/2014] id: Urine Out Foley el: 1 cu: MICU-A cg: -1 vo: 400 vu: ml
t0: [03:00:00 06/04/2014] id: Lasix el: 1 cu: MICU-A so: D5W vo: 0 v1: 8 du: mghr sv: 50 su: ml rt: IV Drip t0: [03:00:00 06/04/2014] id: Propofol el: 2 cu: MICU-A so: N/A vo: 0 v1: 40 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [00:00:00 06/04/2014] id: Family Communication el: 0 cu: MICU-A cg: -1 v1: Family Visited st: NotStopd t0: [04:00:00 06/04/2014] id: Less Restrict Meas. el: 0 cu: MICU-A cg: -1 v1: Distraction st: NotStopd t0: [04:00:00 06/04/2014] id: Range of Motion el: 0 cu: MICU-A cg: -1 v1: Done st: NotStopd t0: [04:00:00 06/04/2014] id: bath el: 0 cu: MICU-A cg: -1 v1: done t0: [04:00:00 06/04/2014] id: Service Type el: 0 cu: MICU-A cg: -1 v1: MICU st: NotStopd t0: [04:00:00 06/04/2014] id: CVP el: 0 cu: MICU-A cg: -1 v1: 7 u1: mmHg st: NotStopd t0: [04:00:00 06/04/2014] id: Circulation/SkinInt el: 0 cu: MICU-A cg: -1 v1: Circulation Adeq st: NotStopd t0: [04:00:00 06/04/2014] id: Code Status el: 0 cu: MICU-A cg: -1 v1: Full Code st: NotStopd t0: [04:00:00 06/04/2014] id: Riker-SAS Scale el: 0 cu: MICU-A cg: -1 v1: Sedated st: NotStopd t0: [04:00:00 06/04/2014] id: GI Prophylaxis el: 0 cu: MICU-A cg: -1 v1: H2 Blocker st: NotStopd t0: [04:00:00 06/04/2014] id: Diet Type el: 0 cu: MICU-A cg: -1 v1: Tube Feeding st: NotStopd t0: [04:00:00 06/04/2014] id: Ectopy Frequency el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [04:00:00 06/04/2014] id: Ectopy Type el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [04:00:00 06/04/2014] id: Eye Opening el: 0 cu: MICU-A cg: -1 v1: 1 No Response st: NotStopd t0: [04:00:00 06/04/2014] id: GCS Total el: 0 cu: MICU-A cg: -1 v1: 3 u1: points st: NotStopd t0: [04:00:00 06/04/2014] id: GI Intub #1/Site el: 0 cu: MICU-A cg: -1 v1: Salem Sump v2: Oral st: NotStopd t0: [04:00:00 06/04/2014] id: GI#1 Tube Stat/Drain el: 0 cu: MICU-A cg: -1 v1: Feeding v2: Undigested Food st: NotStopd t0: [04:00:00 06/04/2014] id: GU Catheter Size el: 0 cu: MICU-A cg: -1 v1: 14 French st: NotStopd t0: [04:00:00 06/04/2014] id: HOB el: 0 cu: MICU-A cg: -1 v1: 30 degrees st: NotStopd t0: [04:00:00 06/04/2014] id: Heart Rate el: 0 cu: MICU-A cg: -1 v1: 61 u1: BPM st: NotStopd t0: [04:00:00 06/04/2014] id: Heart Rhythm el: 0 cu: MICU-A cg: -1 v1: Normal Sinus st: NotStopd t0: [04:00:00 06/04/2014] id: INV Line#1 Type/Site el: 0 cu: MICU-A cg: -1 v1: Multi-lumen v2: Left IJ st: NotStopd t0: [04:00:00 06/04/2014] id: INV Line#1 Zero/Cal el: 0 cu: MICU-A cg: -1 v1: No st: NotStopd t0: [04:00:00 06/04/2014] id: INV Line#1InsertDate el: 0 cu: MICU-A cg: -1 v1: 3 v2: 19 st: NotStopd t0: [04:00:00 06/04/2014] id: INV Line#1SiteAppear el: 0 cu: MICU-A cg: -1 v1: WNL st: NotStopd t0: [04:00:00 06/04/2014] id: INV Line#4 Type/Site el: 0 cu: MICU-A cg: -1 v1: A-Line v2: Right Brachial st: NotStopd t0: [04:00:00 06/04/2014] id: INV Line#4 Zero/Cal el: 0 cu: MICU-A cg: -1 v1: No st: NotStopd t0: [04:00:00 06/04/2014] id: INV Line#4InsertDate el: 0 cu: MICU-A cg: -1 v1: 3 v2: 17 st: NotStopd t0: [04:00:00 06/04/2014] id: INV Line#4SiteAppear el: 0 cu: MICU-A cg: -1 v1: WNL st: NotStopd t0: [04:00:00 06/04/2014] id: Abdominal Assessment el: 0 cu: MICU-A cg: -1 v1: Obese st: NotStopd t0: [04:00:00 06/04/2014] id: INV#1 WaveformAppear el: 0 cu: MICU-A cg: -1 v1: Sharp st: NotStopd t0: [04:00:00 06/04/2014] id: INV#4 WaveformAppear el: 0 cu: MICU-A cg: -1 v1: Sharp st: NotStopd t0: [04:00:00 06/04/2014] id: Activity el: 0 cu: MICU-A cg: -1 v1: Bedrest st: NotStopd t0: [04:00:00 06/04/2014] id: Activity Tolerance el: 0 cu: MICU-A cg: -1 v1: Tolerated Well st: NotStopd t0: [04:00:00 06/04/2014] id: Imp Skin Cleanse #2 el: 0 cu: MICU-A cg: -1 v1: Soap & H20 st: NotStopd t0: [04:00:00 06/04/2014] id: ImpSkin Character #1 el: 0 cu: MICU-A cg: -1 v1: Hematoma st: NotStopd t0: [04:00:00 06/04/2014] id: ImpSkin Character #2 el: 0 cu: MICU-A cg: -1 v1: Rash st: NotStopd t0: [04:00:00 06/04/2014] id: ImpSkin Treatment #1 el: 0 cu: MICU-A cg: -1 v1: Open to Air st: NotStopd t0: [04:00:00 06/04/2014] id: Impaired Skin Site#1 el: 0 cu: MICU-A cg: -1 v1: Gluteal, Right st: NotStopd t0: [04:00:00 06/04/2014] id: Impaired Skin Site#2 el: 0 cu: MICU-A cg: -1 v1: Labia st: NotStopd t0: [04:00:00 06/04/2014] id: LLL Lung Sounds el: 0 cu: MICU-A cg: -1 v1: Diminished st: NotStopd t0: [04:00:00 06/04/2014] id: LUL Lung Sounds el: 0 cu: MICU-A cg: -1 v1: Coarse st: NotStopd t0: [04:00:00 06/04/2014] id: Level of Conscious el: 0 cu: MICU-A cg: -1 v1: Sedated st: NotStopd t0: [04:00:00 06/04/2014] id: Motor Response el: 0 cu: MICU-A cg: -1 v1: 1 No Response st: NotStopd t0: [04:00:00 06/04/2014] id: Oral Care el: 0 cu: MICU-A cg: -1 v1: Done st: NotStopd t0: [04:00:00 06/04/2014] id: Oral Cavity el: 0 cu: MICU-A cg: -1 v1: Loose Teeth st: NotStopd t0: [04:00:00 06/04/2014] id: Orientation el: 0 cu: MICU-A cg: -1 v1: Other/Remarks st: NotStopd t0: [04:00:00 06/04/2014] id: AntiEmbDevice/Status el: 0 cu: MICU-A cg: -1 v1: Compress Sleeves v2: On st: NotStopd t0: [04:00:00 06/04/2014] id: Arterial BP el: 0 cu: MICU-A cg: -1 v1: 155 u1: mmHg v2: 80 u2: mmHg st: NotStopd t0: [04:00:00 06/04/2014] id: Arterial BP Mean el: 0 cu: MICU-A cg: -1 v1: 109 u1: mmHg st: NotStopd t0: [04:00:00 06/04/2014] id: Position el: 0 cu: MICU-A cg: -1 v1: Left Side st: NotStopd t0: [04:00:00 06/04/2014] id: Position Change el: 0 cu: MICU-A cg: -1 v1: Done st: NotStopd t0: [04:00:00 06/04/2014] id: Assistance Device el: 0 cu: MICU-A cg: -1 v1: 2 Person Assist st: NotStopd t0: [04:00:00 06/04/2014] id: Precautions el: 0 cu: MICU-A cg: -1 v1: Universal st: NotStopd t0: [04:00:00 06/04/2014] id: PressureReduceDevice el: 0 cu: MICU-A cg: -1 v1: Multipodus Boots st: NotStopd t0: [04:00:00 06/04/2014] id: RLL Lung Sounds el: 0 cu: MICU-A cg: -1 v1: Diminished st: NotStopd t0: [04:00:00 06/04/2014] id: RUL Lung Sounds el: 0 cu: MICU-A cg: -1 v1: Coarse st: NotStopd t0: [04:00:00 06/04/2014] id: Reason For Restraint el: 0 cu: MICU-A cg: -1 v1: Ext/TXInterfere st: NotStopd t0: [04:00:00 06/04/2014] id: Removed x 5 Mins el: 0 cu: MICU-A cg: -1 v1: Done st: NotStopd t0: [04:00:00 06/04/2014] id: Respiratory Pattern el: 0 cu: MICU-A cg: -1 v1: Regular st: NotStopd t0: [04:00:00 06/04/2014] id: Respiratory Rate el: 0 cu: MICU-A cg: -1 v1: 20 u1: BPM st: NotStopd t0: [04:00:00 06/04/2014] id: Restraint Location el: 0 cu: MICU-A cg: -1 v1: Both Arms st: NotStopd t0: [04:00:00 06/04/2014] id: Restraint Type el: 0 cu: MICU-A cg: -1 v1: Soft Limb st: NotStopd t0: [04:00:00 06/04/2014] id: Restraints Evaluated el: 0 cu: MICU-A cg: -1 v1: Behavior Conts st: NotStopd t0: [04:00:00 06/04/2014] id: Side Rails el: 0 cu: MICU-A cg: -1 v1: Side Rails Up st: NotStopd t0: [04:00:00 06/04/2014] id: Skin Care el: 0 cu: MICU-A cg: -1 v1: Done st: NotStopd t0: [04:00:00 06/04/2014] id: Skin Integrity el: 0 cu: MICU-A cg: -1 v1: Impaired st: NotStopd t0: [04:00:00 06/04/2014] id: SpO2 el: 0 cu: MICU-A cg: -1 v1: 100 u1: % st: NotStopd t0: [04:00:00 06/04/2014] id: Sputum Color/Consist el: 0 cu: MICU-A cg: -1 v1: White v2: Thick st: NotStopd t0: [04:00:00 06/04/2014] id: Sputum Source/Amt el: 0 cu: MICU-A cg: -1 v1: Suctioned v2: Small st: NotStopd t0: [04:00:00 06/04/2014] id: Support Systems el: 0 cu: MICU-A cg: -1 v1: Spouse st: NotStopd t0: [04:00:00 06/04/2014] id: Temp. Site el: 0 cu: MICU-A cg: -1 v1: Oral st: NotStopd t0: [04:00:00 06/04/2014] id: Temperature C (calc) el: 0 cu: MICU-A cg: -1 v1: 37 u1: Deg. C st: NotStopd t0: [04:00:00 06/04/2014] id: Temperature F el: 0 cu: MICU-A cg: -1 v1: 98.6 u1: Deg. F st: NotStopd t0: [04:00:00 06/04/2014] id: Therapeutic Bed el: 0 cu: MICU-A cg: -1 v1: AirMatt/1st Step st: NotStopd t0: [04:00:00 06/04/2014] id: Turn el: 0 cu: MICU-A cg: -1 v1: Left Side st: NotStopd t0: [04:00:00 06/04/2014] id: Urine Color/Appear el: 0 cu: MICU-A cg: -1 v1: Light Yellow v2: Clear st: NotStopd t0: [04:00:00 06/04/2014] id: Urine Source el: 0 cu: MICU-A cg: -1 v1: Indwelling Cath st: NotStopd t0: [04:00:00 06/04/2014] id: Verbal Response el: 0 cu: MICU-A cg: -1 v1: 1.0 ET/Trach st: NotStopd t0: [04:00:00 06/04/2014] id: Back Care el: 0 cu: MICU-A cg: -1 v1: Done st: NotStopd t0: [04:00:00 06/04/2014] id: calprevflg el: 0 cu: MICU-A cg: -1 v1: 1 u1: kg st: NotStopd t0: [04:00:00 06/04/2014] id: Behavior el: 0 cu: MICU-A cg: -1 v1: Sedated st: NotStopd t0: [04:00:00 06/04/2014] id: Bowel Sounds el: 0 cu: MICU-A cg: -1 v1: Present st: NotStopd
t0: [04:00:00 06/04/2014] id: TF Residual Gastric/TF Residual el: 1 cu: MICU-A cg: -1 ai: 107 vo: 0 vu: ml t0: [04:00:00 06/04/2014] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 10 vu: ml t0: [04:00:00 06/04/2014] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 2 cu: MICU-A cg: -1 ai: 209 vo: 21.576 vu: ml t0: [04:00:00 06/04/2014] id: Gastric Meds PO/Gastric el: 1 cu: MICU-A cg: -1 ai: 155 vo: 60 vu: ml t0: [04:00:00 06/04/2014] id: D5W 50.0ml + 100mghr Lasix IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 4 vu: ml t0: [04:00:00 06/04/2014] id: IV Piggyback 100.0ml IV Infusions el: 1 cu: MICU-A cg: -1 ai: 105 vo: 50 vu: ml t0: [04:00:00 06/04/2014] id: Promote w/fiber Tube Feeding el: 1 cu: MICU-A cg: -1 ai: 107 vo: 65 vu: ml t0: [04:00:00 06/04/2014] id: Urine Out Foley el: 1 cu: MICU-A cg: -1 vo: 320 vu: ml
t0: [04:00:00 06/04/2014] id: Lasix el: 1 cu: MICU-A so: D5W vo: 0 v1: 8 du: mghr sv: 50 su: ml rt: IV Drip t0: [04:00:00 06/04/2014] id: Propofol el: 2 cu: MICU-A so: N/A vo: 0 v1: 40 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [04:00:00 06/04/2014] id: Compliance (40-60ml) el: 0 cu: MICU-A cg: RRT v1: 26.3158 u1: ml/cmH st: NotStopd t0: [04:00:00 06/04/2014] id: ETT Mark/Location el: 0 cu: MICU-A cg: RRT v1: 21cm v2: Lip st: NotStopd t0: [04:00:00 06/04/2014] id: FiO2 Set el: 0 cu: MICU-A cg: RRT v1: 0.4 u1: torr st: NotStopd t0: [04:00:00 06/04/2014] id: High Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 45 u1: cmH2O st: NotStopd t0: [04:00:00 06/04/2014] id: High Resp. Rate el: 0 cu: MICU-A cg: RRT v1: 30 u1: BPM st: NotStopd t0: [04:00:00 06/04/2014] id: Airway Size el: 0 cu: MICU-A cg: RRT v1: 7.5 mm st: NotStopd t0: [04:00:00 06/04/2014] id: Airway Type el: 0 cu: MICU-A cg: RRT v1: Endotracheal st: NotStopd t0: [04:00:00 06/04/2014] id: Inspired Gas Temp el: 0 cu: MICU-A cg: RRT v1: 34 u1: Deg. C st: NotStopd t0: [04:00:00 06/04/2014] id: Intubation Date el: 0 cu: MICU-A cg: RRT v1: 3 v2: 12 st: NotStopd t0: [04:00:00 06/04/2014] id: Low Exhaled Min Vol el: 0 cu: MICU-A cg: RRT v1: 6 st: NotStopd t0: [04:00:00 06/04/2014] id: Low Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 20 u1: cmH2O st: NotStopd t0: [04:00:00 06/04/2014] id: Mean Airway Pressure el: 0 cu: MICU-A cg: RRT v1: 20 u1: cmH2O st: NotStopd t0: [04:00:00 06/04/2014] id: Minute Volume(Obser) el: 0 cu: MICU-A cg: RRT v1: 10.3 u1: L/min st: NotStopd t0: [04:00:00 06/04/2014] id: PEEP Set el: 0 cu: MICU-A cg: RRT v1: 15 u1: cmH2O st: NotStopd t0: [04:00:00 06/04/2014] id: Peak Flow el: 0 cu: MICU-A cg: RRT v1: 55 u1: L/m st: NotStopd t0: [04:00:00 06/04/2014] id: Peak Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 34 u1: cmH2O st: NotStopd t0: [04:00:00 06/04/2014] id: Plateau Pressure el: 0 cu: MICU-A cg: RRT v1: 25 u1: cmH2O st: NotStopd t0: [04:00:00 06/04/2014] id: Plateau-Off el: 0 cu: MICU-A cg: RRT v1: Yes st: NotStopd t0: [04:00:00 06/04/2014] id: Resp Rate (Spont) el: 0 cu: MICU-A cg: RRT v1: 0 u1: BPM st: NotStopd t0: [04:00:00 06/04/2014] id: Resp Rate (Total) el: 0 cu: MICU-A cg: RRT v1: 20 u1: BPM st: NotStopd t0: [04:00:00 06/04/2014] id: Respiratory Rate Set el: 0 cu: MICU-A cg: RRT v1: 20 u1: BPM st: NotStopd t0: [04:00:00 06/04/2014] id: Sensitivity-Vent el: 0 cu: MICU-A cg: RRT v1: 2 u1: cmH2O st: NotStopd t0: [04:00:00 06/04/2014] id: Tidal Volume (Obser) el: 0 cu: MICU-A cg: RRT v1: 500 u1: ml/B st: NotStopd t0: [04:00:00 06/04/2014] id: Tidal Volume (Set) el: 0 cu: MICU-A cg: RRT v1: 500 u1: ml/B st: NotStopd t0: [04:00:00 06/04/2014] id: Ventilator Mode el: 0 cu: MICU-A cg: RRT v1: Assist Control st: NotStopd t0: [04:00:00 06/04/2014] id: Ventilator No. el: 0 cu: MICU-A cg: RRT v1: 6 u1: # st: NotStopd t0: [04:00:00 06/04/2014] id: Ventilator Type el: 0 cu: MICU-A cg: RRT v1: 7200A st: NotStopd t0: [04:00:00 06/04/2014] id: Waveform-Vent el: 0 cu: MICU-A cg: RRT v1: RAMP st: NotStopd
t0: [05:00:00 06/04/2014] id: Service Type el: 0 cu: MICU-A cg: -1 v1: MICU st: NotStopd t0: [05:00:00 06/04/2014] id: Code Status el: 0 cu: MICU-A cg: -1 v1: Full Code st: NotStopd t0: [05:00:00 06/04/2014] id: Ectopy Frequency el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [05:00:00 06/04/2014] id: Ectopy Type el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [05:00:00 06/04/2014] id: Heart Rate el: 0 cu: MICU-A cg: -1 v1: 62 u1: BPM st: NotStopd t0: [05:00:00 06/04/2014] id: Heart Rhythm el: 0 cu: MICU-A cg: -1 v1: Normal Sinus st: NotStopd t0: [05:00:00 06/04/2014] id: Arterial BP el: 0 cu: MICU-A cg: -1 v1: 114 u1: mmHg v2: 62 u2: mmHg st: NotStopd t0: [05:00:00 06/04/2014] id: Arterial BP Mean el: 0 cu: MICU-A cg: -1 v1: 82 u1: mmHg st: NotStopd t0: [05:00:00 06/04/2014] id: Precautions el: 0 cu: MICU-A cg: -1 v1: Universal st: NotStopd t0: [05:00:00 06/04/2014] id: Respiratory Rate el: 0 cu: MICU-A cg: -1 v1: 20 u1: BPM st: NotStopd t0: [05:00:00 06/04/2014] id: SpO2 el: 0 cu: MICU-A cg: -1 v1: 98 u1: % st: NotStopd t0: [05:00:00 06/04/2014] id: calprevflg el: 0 cu: MICU-A cg: -1 v1: 1 u1: kg st: NotStopd
t0: [05:00:00 06/04/2014] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 10 vu: ml t0: [05:00:00 06/04/2014] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 2 cu: MICU-A cg: -1 ai: 209 vo: 21.576 vu: ml t0: [05:00:00 06/04/2014] id: D5W 50.0ml + 100mghr Lasix IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 4 vu: ml t0: [05:00:00 06/04/2014] id: Promote w/fiber Tube Feeding el: 1 cu: MICU-A cg: -1 ai: 107 vo: 65 vu: ml t0: [05:00:00 06/04/2014] id: Urine Out Foley el: 1 cu: MICU-A cg: -1 vo: 400 vu: ml
t0: [05:00:00 06/04/2014] id: Lasix el: 1 cu: MICU-A so: D5W vo: 0 v1: 8 du: mghr sv: 50 su: ml rt: IV Drip t0: [05:00:00 06/04/2014] id: Propofol el: 2 cu: MICU-A so: N/A vo: 0 v1: 40 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [06:00:00 06/04/2014] id: Service Type el: 0 cu: MICU-A cg: -1 v1: MICU st: NotStopd t0: [06:00:00 06/04/2014] id: Code Status el: 0 cu: MICU-A cg: -1 v1: Full Code st: NotStopd t0: [06:00:00 06/04/2014] id: Ectopy Frequency el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [06:00:00 06/04/2014] id: Ectopy Type el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [06:00:00 06/04/2014] id: Heart Rate el: 0 cu: MICU-A cg: -1 v1: 63 u1: BPM st: NotStopd t0: [06:00:00 06/04/2014] id: Heart Rhythm el: 0 cu: MICU-A cg: -1 v1: Normal Sinus st: NotStopd t0: [06:00:00 06/04/2014] id: Oral Care el: 0 cu: MICU-A cg: -1 v1: Done st: NotStopd t0: [06:00:00 06/04/2014] id: Arterial BP el: 0 cu: MICU-A cg: -1 v1: 154 u1: mmHg v2: 74 u2: mmHg st: NotStopd t0: [06:00:00 06/04/2014] id: Arterial BP Mean el: 0 cu: MICU-A cg: -1 v1: 104 u1: mmHg st: NotStopd t0: [06:00:00 06/04/2014] id: Precautions el: 0 cu: MICU-A cg: -1 v1: Universal st: NotStopd t0: [06:00:00 06/04/2014] id: Respiratory Rate el: 0 cu: MICU-A cg: -1 v1: 20 u1: BPM st: NotStopd t0: [06:00:00 06/04/2014] id: SpO2 el: 0 cu: MICU-A cg: -1 v1: 100 u1: % st: NotStopd t0: [06:00:00 06/04/2014] id: calprevflg el: 0 cu: MICU-A cg: -1 v1: 1 u1: kg st: NotStopd
t0: [06:00:00 06/04/2014] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 10 vu: ml t0: [06:00:00 06/04/2014] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 2 cu: MICU-A cg: -1 ai: 209 vo: 21.576 vu: ml t0: [06:00:00 06/04/2014] id: Gastric Meds PO/Gastric el: 1 cu: MICU-A cg: -1 ai: 155 vo: 250 vu: ml t0: [06:00:00 06/04/2014] id: D5W 50.0ml + 100mghr Lasix IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 4 vu: ml t0: [06:00:00 06/04/2014] id: Promote w/fiber Tube Feeding el: 1 cu: MICU-A cg: -1 ai: 107 vo: 65 vu: ml t0: [06:00:00 06/04/2014] id: Urine Out Foley el: 1 cu: MICU-A cg: -1 vo: 400 vu: ml
t0: [06:00:00 06/04/2014] id: Lasix el: 1 cu: MICU-A so: D5W vo: 0 v1: 8 du: mghr sv: 50 su: ml rt: IV Drip t0: [06:00:00 06/04/2014] id: Propofol el: 2 cu: MICU-A so: N/A vo: 0 v1: 40 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [06:10:00 06/04/2014] id: WBC (4-11,000) Hematology el: 0 cu: MICU-A cg: 1663 v1: 15.6 rs: Final st: NotStopd t0: [06:10:00 06/04/2014] id: Hematocrit Hematology el: 0 cu: MICU-A cg: 1663 v1: 26.8 u1: % rs: Final st: NotStopd t0: [06:10:00 06/04/2014] id: Hemoglobin Hematology el: 0 cu: MICU-A cg: 1663 v1: 9.1 u1: gm/dl rs: Final st: NotStopd t0: [06:10:00 06/04/2014] id: Platelets Hematology el: 0 cu: MICU-A cg: 1663 v1: 461 rs: Final st: NotStopd t0: [06:10:00 06/04/2014] id: RBC Hematology el: 0 cu: MICU-A cg: 1663 v1: 3.16 u1: /mic l rs: Final st: NotStopd t0: [06:10:00 06/04/2014] id: WBC (4-11,000) Hematology el: 0 cu: MICU-A cg: 1663 v1: 15.6 rs: Final st: NotStopd
t0: [06:10:00 06/04/2014] id: BUN (6-20) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 50 rs: Final st: NotStopd t0: [06:10:00 06/04/2014] id: Calcium (8.4-10.2) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 9 u1: mg/dl rs: Final st: NotStopd t0: [06:10:00 06/04/2014] id: Carbon Dioxide Chemistry el: 0 cu: MICU-A cg: 1663 v1: 27 rs: Final st: NotStopd t0: [06:10:00 06/04/2014] id: Chloride (100-112) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 104 rs: Final st: NotStopd t0: [06:10:00 06/04/2014] id: Creatinine (0-1.3) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 1.5 rs: Final st: NotStopd t0: [06:10:00 06/04/2014] id: Glucose (70-105) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 114 rs: Final st: NotStopd t0: [06:10:00 06/04/2014] id: Magnesium (1.6-2.6) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 2.3 rs: Final st: NotStopd t0: [06:10:00 06/04/2014] id: Phosphorous(2.7-4.5) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 4.3 u1: mEq/L rs: Final st: NotStopd t0: [06:10:00 06/04/2014] id: Potassium (3.5-5.3) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 3 rs: Final st: NotStopd t0: [06:10:00 06/04/2014] id: Sodium (135-148) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 144 rs: Final st: NotStopd
t0: [08:00:00 06/04/2014] id: Compliance (40-60ml) el: 0 cu: MICU-A cg: RRT v1: 25.7732 u1: ml/cmH st: NotStopd t0: [08:00:00 06/04/2014] id: ETT Mark/Location el: 0 cu: MICU-A cg: RRT v1: 21cm v2: Lip st: NotStopd t0: [08:00:00 06/04/2014] id: FiO2 Set el: 0 cu: MICU-A cg: RRT v1: 0.4 u1: torr st: NotStopd t0: [08:00:00 06/04/2014] id: High Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 45 u1: cmH2O st: NotStopd t0: [08:00:00 06/04/2014] id: High Resp. Rate el: 0 cu: MICU-A cg: RRT v1: 30 u1: BPM st: NotStopd t0: [08:00:00 06/04/2014] id: Airway Size el: 0 cu: MICU-A cg: RRT v1: 7.5 mm st: NotStopd t0: [08:00:00 06/04/2014] id: Airway Type el: 0 cu: MICU-A cg: RRT v1: Endotracheal st: NotStopd t0: [08:00:00 06/04/2014] id: Inspired Gas Temp el: 0 cu: MICU-A cg: RRT v1: 34.2 u1: Deg. C st: NotStopd t0: [08:00:00 06/04/2014] id: Intubation Date el: 0 cu: MICU-A cg: RRT v1: 3 v2: 12 st: NotStopd t0: [08:00:00 06/04/2014] id: Low Exhaled Min Vol el: 0 cu: MICU-A cg: RRT v1: 6 st: NotStopd t0: [08:00:00 06/04/2014] id: Low Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 20 u1: cmH2O st: NotStopd t0: [08:00:00 06/04/2014] id: Mean Airway Pressure el: 0 cu: MICU-A cg: RRT v1: 20.9 u1: cmH2O st: NotStopd t0: [08:00:00 06/04/2014] id: Minute Volume(Obser) el: 0 cu: MICU-A cg: RRT v1: 10 u1: L/min st: NotStopd t0: [08:00:00 06/04/2014] id: PEEP Set el: 0 cu: MICU-A cg: RRT v1: 15 u1: cmH2O st: NotStopd t0: [08:00:00 06/04/2014] id: Apnea Time Interval el: 0 cu: MICU-A cg: RRT v1: 20 st: NotStopd t0: [08:00:00 06/04/2014] id: Peak Flow el: 0 cu: MICU-A cg: RRT v1: 55 u1: L/m st: NotStopd t0: [08:00:00 06/04/2014] id: Peak Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 34.4 u1: cmH2O st: NotStopd t0: [08:00:00 06/04/2014] id: Plateau Pressure el: 0 cu: MICU-A cg: RRT v1: 26.1 u1: cmH2O st: NotStopd t0: [08:00:00 06/04/2014] id: Plateau-Off el: 0 cu: MICU-A cg: RRT v1: Yes st: NotStopd t0: [08:00:00 06/04/2014] id: Resp Rate (Spont) el: 0 cu: MICU-A cg: RRT v1: 0 u1: BPM st: NotStopd t0: [08:00:00 06/04/2014] id: Resp Rate (Total) el: 0 cu: MICU-A cg: RRT v1: 20 u1: BPM st: NotStopd t0: [08:00:00 06/04/2014] id: Respiratory Rate Set el: 0 cu: MICU-A cg: RRT v1: 20 u1: BPM st: NotStopd t0: [08:00:00 06/04/2014] id: Sensitivity-Vent el: 0 cu: MICU-A cg: RRT v1: 2 u1: cmH2O st: NotStopd t0: [08:00:00 06/04/2014] id: Tidal Volume (Obser) el: 0 cu: MICU-A cg: RRT v1: 500 u1: ml/B st: NotStopd t0: [08:00:00 06/04/2014] id: Tidal Volume (Set) el: 0 cu: MICU-A cg: RRT v1: 500 u1: ml/B st: NotStopd t0: [08:00:00 06/04/2014] id: Ventilator Mode el: 0 cu: MICU-A cg: RRT v1: Assist Control st: NotStopd t0: [08:00:00 06/04/2014] id: Ventilator No. el: 0 cu: MICU-A cg: RRT v1: 6 u1: # st: NotStopd t0: [08:00:00 06/04/2014] id: Ventilator Type el: 0 cu: MICU-A cg: RRT v1: 7200A st: NotStopd t0: [08:00:00 06/04/2014] id: Waveform-Vent el: 0 cu: MICU-A cg: RRT v1: RAMP st: NotStopd
t0: [08:00:00 06/04/2014] id: Range of Motion el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [08:00:00 06/04/2014] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [08:00:00 06/04/2014] id: CVP el: 0 cu: MICU-A cg: RN u1: mmHg st: NotStopd t0: [08:00:00 06/04/2014] id: Circulation/SkinInt el: 0 cu: MICU-A cg: RN v1: Circulation Adeq st: NotStopd t0: [08:00:00 06/04/2014] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [08:00:00 06/04/2014] id: GI Prophylaxis el: 0 cu: MICU-A cg: RN v1: H2 Blocker st: NotStopd t0: [08:00:00 06/04/2014] id: Diet Type el: 0 cu: MICU-A cg: RN v1: Tube Feeding st: NotStopd t0: [08:00:00 06/04/2014] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [08:00:00 06/04/2014] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [08:00:00 06/04/2014] id: Eye Opening el: 0 cu: MICU-A cg: RN v1: 1 No Response st: NotStopd t0: [08:00:00 06/04/2014] id: GCS Total el: 0 cu: MICU-A cg: RN v1: 3 u1: points st: NotStopd t0: [08:00:00 06/04/2014] id: GI Intub #1/Site el: 0 cu: MICU-A cg: RN v1: Salem Sump v2: Oral st: NotStopd t0: [08:00:00 06/04/2014] id: GI#1 Tube Stat/Drain el: 0 cu: MICU-A cg: RN v1: Feeding v2: Undigested Food st: NotStopd t0: [08:00:00 06/04/2014] id: GU Catheter Size el: 0 cu: MICU-A cg: RN v1: 14 French st: NotStopd t0: [08:00:00 06/04/2014] id: HOB el: 0 cu: MICU-A cg: RN v1: 30 degrees st: NotStopd t0: [08:00:00 06/04/2014] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 64 u1: BPM st: NotStopd t0: [08:00:00 06/04/2014] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [08:00:00 06/04/2014] id: INV Line#1 Type/Site el: 0 cu: MICU-A cg: RN v1: Multi-lumen v2: Left IJ st: NotStopd t0: [08:00:00 06/04/2014] id: INV Line#1 Zero/Cal el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [08:00:00 06/04/2014] id: INV Line#1InsertDate el: 0 cu: MICU-A cg: RN v1: 3 v2: 19 st: NotStopd t0: [08:00:00 06/04/2014] id: INV Line#1SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [08:00:00 06/04/2014] id: INV Line#4 Type/Site el: 0 cu: MICU-A cg: RN v1: A-Line v2: Right Brachial st: NotStopd t0: [08:00:00 06/04/2014] id: INV Line#4 Zero/Cal el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [08:00:00 06/04/2014] id: INV Line#4InsertDate el: 0 cu: MICU-A cg: RN v1: 3 v2: 17 st: NotStopd t0: [08:00:00 06/04/2014] id: INV Line#4SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [08:00:00 06/04/2014] id: Abdominal Assessment el: 0 cu: MICU-A cg: RN v1: Obese st: NotStopd t0: [08:00:00 06/04/2014] id: INV#1 WaveformAppear el: 0 cu: MICU-A cg: RN v1: Dampened st: NotStopd t0: [08:00:00 06/04/2014] id: INV#4 WaveformAppear el: 0 cu: MICU-A cg: RN v1: Sharp st: NotStopd t0: [08:00:00 06/04/2014] id: Activity el: 0 cu: MICU-A cg: RN v1: Bedrest st: NotStopd t0: [08:00:00 06/04/2014] id: Activity Tolerance el: 0 cu: MICU-A cg: RN v1: Tolerated Well st: NotStopd t0: [08:00:00 06/04/2014] id: Imp Skin Cleanse #2 el: 0 cu: MICU-A cg: RN v1: Soap & H20 st: NotStopd t0: [08:00:00 06/04/2014] id: ImpSkin Character #1 el: 0 cu: MICU-A cg: RN v1: Hematoma st: NotStopd t0: [08:00:00 06/04/2014] id: ImpSkin Character #2 el: 0 cu: MICU-A cg: RN v1: Rash st: NotStopd t0: [08:00:00 06/04/2014] id: ImpSkin Treatment #1 el: 0 cu: MICU-A cg: RN v1: Open to Air st: NotStopd t0: [08:00:00 06/04/2014] id: Impaired Skin Site#1 el: 0 cu: MICU-A cg: RN v1: Gluteal, Right st: NotStopd t0: [08:00:00 06/04/2014] id: Impaired Skin Site#2 el: 0 cu: MICU-A cg: RN v1: Labia st: NotStopd t0: [08:00:00 06/04/2014] id: LLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Diminished st: NotStopd t0: [08:00:00 06/04/2014] id: LUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [08:00:00 06/04/2014] id: Level of Conscious el: 0 cu: MICU-A cg: RN v1: Sedated st: NotStopd t0: [08:00:00 06/04/2014] id: Motor Response el: 0 cu: MICU-A cg: RN v1: 1 No Response st: NotStopd t0: [08:00:00 06/04/2014] id: Oral Cavity el: 0 cu: MICU-A cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [08:00:00 06/04/2014] id: Orientation el: 0 cu: MICU-A cg: RN v1: Other/Remarks st: NotStopd t0: [08:00:00 06/04/2014] id: AntiEmbDevice/Status el: 0 cu: MICU-A cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [08:00:00 06/04/2014] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 128 u1: mmHg v2: 67 u2: mmHg st: NotStopd t0: [08:00:00 06/04/2014] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 90 u1: mmHg st: NotStopd t0: [08:00:00 06/04/2014] id: Position el: 0 cu: MICU-A cg: RN v1: Supine st: NotStopd t0: [08:00:00 06/04/2014] id: Position Change el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [08:00:00 06/04/2014] id: Assistance Device el: 0 cu: MICU-A cg: RN v1: 2 Person Assist st: NotStopd t0: [08:00:00 06/04/2014] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [08:00:00 06/04/2014] id: PressureReduceDevice el: 0 cu: MICU-A cg: RN v1: Multipodus Boots st: NotStopd t0: [08:00:00 06/04/2014] id: RLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Diminished st: NotStopd t0: [08:00:00 06/04/2014] id: RUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [08:00:00 06/04/2014] id: Reason For Restraint el: 0 cu: MICU-A cg: RN v1: Ext/TXInterfere st: NotStopd t0: [08:00:00 06/04/2014] id: Removed x 5 Mins el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [08:00:00 06/04/2014] id: Respiratory Pattern el: 0 cu: MICU-A cg: RN v1: Regular st: NotStopd t0: [08:00:00 06/04/2014] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 20 u1: BPM st: NotStopd t0: [08:00:00 06/04/2014] id: Restraint Location el: 0 cu: MICU-A cg: RN v1: Both Arms st: NotStopd t0: [08:00:00 06/04/2014] id: Restraint Type el: 0 cu: MICU-A cg: RN v1: Soft Limb st: NotStopd t0: [08:00:00 06/04/2014] id: Restraints Evaluated el: 0 cu: MICU-A cg: RN v1: Behavior Conts st: NotStopd t0: [08:00:00 06/04/2014] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [08:00:00 06/04/2014] id: Skin Color el: 0 cu: MICU-A cg: RN v1: Normal for Race st: NotStopd t0: [08:00:00 06/04/2014] id: Skin Integrity el: 0 cu: MICU-A cg: RN v1: Impaired st: NotStopd t0: [08:00:00 06/04/2014] id: SpO2 el: 0 cu: MICU-A cg: RRT v1: 99 u1: % st: NotStopd t0: [08:00:00 06/04/2014] id: Support Systems el: 0 cu: MICU-A cg: RN v1: Spouse st: NotStopd t0: [08:00:00 06/04/2014] id: Temp. Site el: 0 cu: MICU-A cg: RN v1: Oral st: NotStopd t0: [08:00:00 06/04/2014] id: Temperature C (calc) el: 0 cu: MICU-A cg: RN v1: 38.0556 u1: Deg. C st: NotStopd t0: [08:00:00 06/04/2014] id: Temperature F el: 0 cu: MICU-A cg: RN v1: 100.5 u1: Deg. F st: NotStopd t0: [08:00:00 06/04/2014] id: Therapeutic Bed el: 0 cu: MICU-A cg: RN v1: AirMatt/1st Step st: NotStopd t0: [08:00:00 06/04/2014] id: Turn el: 0 cu: MICU-A cg: RN v1: Right Side st: NotStopd t0: [08:00:00 06/04/2014] id: Urine Color/Appear el: 0 cu: MICU-A cg: RN v1: Light Yellow v2: Clear st: NotStopd t0: [08:00:00 06/04/2014] id: Urine Source el: 0 cu: MICU-A cg: RN v1: Indwelling Cath st: NotStopd t0: [08:00:00 06/04/2014] id: Verbal Response el: 0 cu: MICU-A cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [08:00:00 06/04/2014] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [08:00:00 06/04/2014] id: Behavior el: 0 cu: MICU-A cg: RN v1: Sedated st: NotStopd t0: [08:00:00 06/04/2014] id: Bowel Sounds el: 0 cu: MICU-A cg: RN v1: Present st: NotStopd t0: [08:00:00 06/04/2014] id: Braden Activity el: 0 cu: MICU-A cg: RN v1: Bedfast st: NotStopd t0: [08:00:00 06/04/2014] id: Braden Frict/Shear el: 0 cu: MICU-A cg: RN v1: Potential Prob st: NotStopd t0: [08:00:00 06/04/2014] id: Braden Mobility el: 0 cu: MICU-A cg: RN v1: Comp. Immobile st: NotStopd t0: [08:00:00 06/04/2014] id: Braden Moisture el: 0 cu: MICU-A cg: RN v1: Occ. Moist st: NotStopd t0: [08:00:00 06/04/2014] id: Braden Nutrition el: 0 cu: MICU-A cg: RN v1: Prob. Inadequate st: NotStopd t0: [08:00:00 06/04/2014] id: Braden Score el: 0 cu: MICU-A cg: RN v1: 10 u1: number st: NotStopd t0: [08:00:00 06/04/2014] id: Braden SensoryPercep el: 0 cu: MICU-A cg: RN v1: Comp. Limited st: NotStopd
t0: [08:00:00 06/04/2014] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 20 vu: ml t0: [08:00:00 06/04/2014] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 2 cu: MICU-A cg: RN ai: 209 vo: 43.152 vu: ml t0: [08:00:00 06/04/2014] id: D5W 50.0ml + 100mghr Lasix IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 8 vu: ml t0: [08:00:00 06/04/2014] id: Promote w/fiber Tube Feeding el: 1 cu: MICU-A cg: RN ai: 107 vo: 130 vu: ml t0: [08:00:00 06/04/2014] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 550 vu: ml
t0: [08:00:00 06/04/2014] id: Lasix el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 8 du: mghr sv: 50 su: ml rt: IV Drip t0: [08:00:00 06/04/2014] id: Propofol el: 2 cu: MICU-A cg: RN so: N/A vo: 0 v1: 40 du: mcgkgmin sv: 50 su: vl rt: IV Drip
tf: [08:00:00 07/04/2014] pt: IV Piggyback rt: IV fr: ONCE fs: 9 dn: 1 m1: Vancomycin HCl f1: INJ v1: 1000 u1: mg m2: Iso-Osmotic Dextrose f2: INJ v2: 200 u2: ml
t0: [09:00:00 06/04/2014] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [09:00:00 06/04/2014] id: CVP el: 0 cu: MICU-A cg: RN v1: 21 u1: mmHg st: NotStopd t0: [09:00:00 06/04/2014] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [09:00:00 06/04/2014] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [09:00:00 06/04/2014] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [09:00:00 06/04/2014] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 65 u1: BPM st: NotStopd t0: [09:00:00 06/04/2014] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [09:00:00 06/04/2014] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 121 u1: mmHg v2: 65 u2: mmHg st: NotStopd t0: [09:00:00 06/04/2014] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 86 u1: mmHg st: NotStopd t0: [09:00:00 06/04/2014] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [09:00:00 06/04/2014] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 20 u1: BPM st: NotStopd t0: [09:00:00 06/04/2014] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 99 u1: % st: NotStopd t0: [09:00:00 06/04/2014] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [09:00:00 06/04/2014] id: Lasix el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 6 du: mghr sv: 50 su: ml rt: IV Drip t0: [09:00:00 06/04/2014] id: Propofol el: 2 cu: MICU-A cg: RN so: N/A vo: 0 v1: 40 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [09:40:00 06/04/2014] id: PEEP Set el: 0 cu: MICU-A cg: RRT v1: 12.5 u1: cmH2O st: NotStopd t0: [09:40:00 06/04/2014] id: Respiratory Rate Set el: 0 cu: MICU-A cg: RRT v1: 16 u1: BPM st: NotStopd t0: [09:40:00 06/04/2014] id: Ventilator Mode el: 0 cu: MICU-A cg: RRT v1: Assist Control st: NotStopd
tf: [10:00:00 07/04/2014] pt: Unit Dose rt: PO fr: QID fs: 10, 14, 18, 22 dn: 4 m1: Potassium Chloride f1: PWDR v1: 40 u1: mEq tf: [10:00:00 09/04/2014] pt: IV Piggyback rt: IV DRIP fr: INFUSION m1: Furosemide f1: VIAL v1: 100 u1: mg m2: D5W f2: INJ v2: 50 u2: ml
t0: [10:00:00 06/04/2014] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [10:00:00 06/04/2014] id: CVP el: 0 cu: MICU-A cg: RN v1: 17 u1: mmHg st: NotStopd t0: [10:00:00 06/04/2014] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [10:00:00 06/04/2014] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [10:00:00 06/04/2014] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [10:00:00 06/04/2014] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 64 u1: BPM st: NotStopd t0: [10:00:00 06/04/2014] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [10:00:00 06/04/2014] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 132 u1: mmHg v2: 71 u2: mmHg st: NotStopd t0: [10:00:00 06/04/2014] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 95 u1: mmHg st: NotStopd t0: [10:00:00 06/04/2014] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [10:00:00 06/04/2014] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 16 u1: BPM st: NotStopd t0: [10:00:00 06/04/2014] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 99 u1: % st: NotStopd t0: [10:00:00 06/04/2014] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [10:00:00 06/04/2014] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 20 vu: ml t0: [10:00:00 06/04/2014] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 2 cu: MICU-A cg: RN ai: 209 vo: 43.152 vu: ml t0: [10:00:00 06/04/2014] id: D5W 50.0ml + 100mghr Lasix IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 7 vu: ml t0: [10:00:00 06/04/2014] id: Promote w/fiber Tube Feeding el: 1 cu: MICU-A cg: RN ai: 107 vo: 130 vu: ml t0: [10:00:00 06/04/2014] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 550 vu: ml
t0: [10:00:00 06/04/2014] id: Lasix el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 6 du: mghr sv: 50 su: ml rt: IV Drip t0: [10:00:00 06/04/2014] id: Propofol el: 2 cu: MICU-A cg: RN so: N/A vo: 0 v1: 40 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [11:25:00 06/04/2014] id: Compliance (40-60ml) el: 0 cu: MICU-A cg: RRT v1: 35.461 u1: ml/cmH st: NotStopd t0: [11:25:00 06/04/2014] id: ETT Mark/Location el: 0 cu: MICU-A cg: RRT v1: 21cm v2: Lip st: NotStopd t0: [11:25:00 06/04/2014] id: FiO2 Set el: 0 cu: MICU-A cg: RRT v1: 0.4 u1: torr st: NotStopd t0: [11:25:00 06/04/2014] id: High Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 45 u1: cmH2O st: NotStopd t0: [11:25:00 06/04/2014] id: High Resp. Rate el: 0 cu: MICU-A cg: RRT v1: 30 u1: BPM st: NotStopd t0: [11:25:00 06/04/2014] id: Airway Size el: 0 cu: MICU-A cg: RRT v1: 7.5 mm st: NotStopd t0: [11:25:00 06/04/2014] id: Airway Type el: 0 cu: MICU-A cg: RRT v1: Endotracheal st: NotStopd t0: [11:25:00 06/04/2014] id: Inspired Gas Temp el: 0 cu: MICU-A cg: RRT v1: 34 u1: Deg. C st: NotStopd t0: [11:25:00 06/04/2014] id: Intubation Date el: 0 cu: MICU-A cg: RRT v1: 3 v2: 12 st: NotStopd t0: [11:25:00 06/04/2014] id: Low Exhaled Min Vol el: 0 cu: MICU-A cg: RRT v1: 6 st: NotStopd t0: [11:25:00 06/04/2014] id: Low Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 20 u1: cmH2O st: NotStopd t0: [11:25:00 06/04/2014] id: Mean Airway Pressure el: 0 cu: MICU-A cg: RRT v1: 16.2 u1: cmH2O st: NotStopd t0: [11:25:00 06/04/2014] id: Minute Volume(Obser) el: 0 cu: MICU-A cg: RRT v1: 7.9 u1: L/min st: NotStopd t0: [11:25:00 06/04/2014] id: PEEP Set el: 0 cu: MICU-A cg: RRT v1: 12.5 u1: cmH2O st: NotStopd t0: [11:25:00 06/04/2014] id: Apnea Time Interval el: 0 cu: MICU-A cg: RRT v1: 20 st: NotStopd t0: [11:25:00 06/04/2014] id: Peak Flow el: 0 cu: MICU-A cg: RRT v1: 55 u1: L/m st: NotStopd t0: [11:25:00 06/04/2014] id: Peak Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 26.6 u1: cmH2O st: NotStopd t0: [11:25:00 06/04/2014] id: Plateau Pressure el: 0 cu: MICU-A cg: RRT v1: 21.5 u1: cmH2O st: NotStopd t0: [11:25:00 06/04/2014] id: Plateau-Off el: 0 cu: MICU-A cg: RRT v1: Yes st: NotStopd t0: [11:25:00 06/04/2014] id: Resp Rate (Spont) el: 0 cu: MICU-A cg: RRT v1: 0 u1: BPM st: NotStopd t0: [11:25:00 06/04/2014] id: Resp Rate (Total) el: 0 cu: MICU-A cg: RRT v1: 16 u1: BPM st: NotStopd t0: [11:25:00 06/04/2014] id: Respiratory Rate Set el: 0 cu: MICU-A cg: RRT v1: 16 u1: BPM st: NotStopd t0: [11:25:00 06/04/2014] id: Sensitivity-Vent el: 0 cu: MICU-A cg: RRT v1: 2 u1: cmH2O st: NotStopd t0: [11:25:00 06/04/2014] id: SpO2 el: 0 cu: MICU-A cg: RRT v1: 99 u1: % st: NotStopd t0: [11:25:00 06/04/2014] id: Tidal Volume (Obser) el: 0 cu: MICU-A cg: RRT v1: 500 u1: ml/B st: NotStopd t0: [11:25:00 06/04/2014] id: Tidal Volume (Set) el: 0 cu: MICU-A cg: RRT v1: 500 u1: ml/B st: NotStopd t0: [11:25:00 06/04/2014] id: Ventilator Mode el: 0 cu: MICU-A cg: RRT v1: Assist Control st: NotStopd t0: [11:25:00 06/04/2014] id: Ventilator No. el: 0 cu: MICU-A cg: RRT v1: 6 u1: # st: NotStopd t0: [11:25:00 06/04/2014] id: Ventilator Type el: 0 cu: MICU-A cg: RRT v1: 7200A st: NotStopd t0: [11:25:00 06/04/2014] id: Waveform-Vent el: 0 cu: MICU-A cg: RRT v1: RAMP st: NotStopd
t0: [12:14:00 06/04/2014] id: Art.pH ABG el: 0 cu: MICU-A cg: 1663 v1: 7.49 rs: Final st: NotStopd t0: [12:14:00 06/04/2014] id: Arterial Base Excess ABG el: 0 cu: MICU-A cg: 1663 v1: 8 rs: Final st: NotStopd t0: [12:14:00 06/04/2014] id: Arterial CO2(Calc) ABG el: 0 cu: MICU-A cg: 1663 v1: 32 rs: Final st: NotStopd t0: [12:14:00 06/04/2014] id: Arterial PaCO2 ABG el: 0 cu: MICU-A cg: 1663 v1: 41 u1: mmHg rs: Final st: NotStopd t0: [12:14:00 06/04/2014] id: Arterial PaO2 ABG el: 0 cu: MICU-A cg: 1663 v1: 132 u1: mmHg rs: Final st: NotStopd t0: [12:14:00 06/04/2014] id: Arterial pH ABG el: 0 cu: MICU-A cg: 1663 v1: 7.49 rs: Final st: NotStopd
t0: [10:00:00 06/04/2014] id: Range of Motion el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [10:00:00 06/04/2014] id: Circulation/SkinInt el: 0 cu: MICU-A cg: RN v1: Circulation Adeq st: NotStopd t0: [10:00:00 06/04/2014] id: Impaired Skin Site#1 el: 0 cu: MICU-A cg: RN v1: Gluteal, Right st: NotStopd t0: [10:00:00 06/04/2014] id: Impaired Skin Site#2 el: 0 cu: MICU-A cg: RN v1: Labia st: NotStopd t0: [10:00:00 06/04/2014] id: Position Change el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [10:00:00 06/04/2014] id: Reason For Restraint el: 0 cu: MICU-A cg: RN v1: Ext/TXInterfere st: NotStopd t0: [10:00:00 06/04/2014] id: Removed x 5 Mins el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [10:00:00 06/04/2014] id: Restraint Location el: 0 cu: MICU-A cg: RN v1: Both Arms st: NotStopd t0: [10:00:00 06/04/2014] id: Restraint Type el: 0 cu: MICU-A cg: RN v1: Soft Limb st: NotStopd t0: [10:00:00 06/04/2014] id: Restraints Evaluated el: 0 cu: MICU-A cg: RN v1: Behavior Conts st: NotStopd t0: [10:00:00 06/04/2014] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [10:00:00 06/04/2014] id: Support Systems el: 0 cu: MICU-A cg: RN v1: Spouse st: NotStopd t0: [10:00:00 06/04/2014] id: Behavior el: 0 cu: MICU-A cg: RN v1: Sedated st: NotStopd t0: [11:00:00 06/04/2014] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [11:00:00 06/04/2014] id: CVP el: 0 cu: MICU-A cg: RN v1: 20 u1: mmHg st: NotStopd t0: [11:00:00 06/04/2014] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [11:00:00 06/04/2014] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [11:00:00 06/04/2014] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [11:00:00 06/04/2014] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 64 u1: BPM st: NotStopd t0: [11:00:00 06/04/2014] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [11:00:00 06/04/2014] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 112 u1: mmHg v2: 58 u2: mmHg st: NotStopd t0: [11:00:00 06/04/2014] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 78 u1: mmHg st: NotStopd t0: [11:00:00 06/04/2014] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [11:00:00 06/04/2014] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 16 u1: BPM st: NotStopd t0: [11:00:00 06/04/2014] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 99 u1: % st: NotStopd t0: [11:00:00 06/04/2014] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [12:00:00 06/04/2014] id: Range of Motion el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [12:00:00 06/04/2014] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [12:00:00 06/04/2014] id: CVP el: 0 cu: MICU-A cg: RN v1: 23 u1: mmHg st: NotStopd t0: [12:00:00 06/04/2014] id: Circulation/SkinInt el: 0 cu: MICU-A cg: RN v1: Circulation Adeq st: NotStopd t0: [12:00:00 06/04/2014] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [12:00:00 06/04/2014] id: GI Prophylaxis el: 0 cu: MICU-A cg: RN v1: H2 Blocker st: NotStopd t0: [12:00:00 06/04/2014] id: Diet Type el: 0 cu: MICU-A cg: RN v1: Tube Feeding st: NotStopd t0: [12:00:00 06/04/2014] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [12:00:00 06/04/2014] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [12:00:00 06/04/2014] id: Eye Opening el: 0 cu: MICU-A cg: RN v1: 1 No Response st: NotStopd t0: [12:00:00 06/04/2014] id: GCS Total el: 0 cu: MICU-A cg: RN v1: 3 u1: points st: NotStopd t0: [12:00:00 06/04/2014] id: GI Intub #1/Site el: 0 cu: MICU-A cg: RN v1: Salem Sump v2: Oral st: NotStopd t0: [12:00:00 06/04/2014] id: GI#1 Tube Stat/Drain el: 0 cu: MICU-A cg: RN v1: Feeding v2: Undigested Food st: NotStopd t0: [12:00:00 06/04/2014] id: GU Catheter Size el: 0 cu: MICU-A cg: RN v1: 14 French st: NotStopd t0: [12:00:00 06/04/2014] id: HOB el: 0 cu: MICU-A cg: RN v1: 30 degrees st: NotStopd t0: [12:00:00 06/04/2014] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 63 u1: BPM st: NotStopd t0: [12:00:00 06/04/2014] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [12:00:00 06/04/2014] id: INV Line#1 Type/Site el: 0 cu: MICU-A cg: RN v1: Multi-lumen v2: Left IJ st: NotStopd t0: [12:00:00 06/04/2014] id: INV Line#1 Zero/Cal el: 0 cu: MICU-A cg: RN v1: No st: NotStopd t0: [12:00:00 06/04/2014] id: INV Line#1InsertDate el: 0 cu: MICU-A cg: RN v1: 3 v2: 19 st: NotStopd t0: [12:00:00 06/04/2014] id: INV Line#1SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [12:00:00 06/04/2014] id: INV Line#4 Type/Site el: 0 cu: MICU-A cg: RN v1: A-Line v2: Right Brachial st: NotStopd t0: [12:00:00 06/04/2014] id: INV Line#4 Zero/Cal el: 0 cu: MICU-A cg: RN v1: No st: NotStopd t0: [12:00:00 06/04/2014] id: INV Line#4InsertDate el: 0 cu: MICU-A cg: RN v1: 3 v2: 17 st: NotStopd t0: [12:00:00 06/04/2014] id: INV Line#4SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [12:00:00 06/04/2014] id: Abdominal Assessment el: 0 cu: MICU-A cg: RN v1: Obese st: NotStopd t0: [12:00:00 06/04/2014] id: INV#1 WaveformAppear el: 0 cu: MICU-A cg: RN v1: Dampened st: NotStopd t0: [12:00:00 06/04/2014] id: INV#4 WaveformAppear el: 0 cu: MICU-A cg: RN v1: Sharp st: NotStopd t0: [12:00:00 06/04/2014] id: Activity el: 0 cu: MICU-A cg: RN v1: Bedrest st: NotStopd t0: [12:00:00 06/04/2014] id: Activity Tolerance el: 0 cu: MICU-A cg: RN v1: Tolerated Well st: NotStopd t0: [12:00:00 06/04/2014] id: Impaired Skin Site#1 el: 0 cu: MICU-A cg: RN v1: Gluteal, Right st: NotStopd t0: [12:00:00 06/04/2014] id: Impaired Skin Site#2 el: 0 cu: MICU-A cg: RN v1: Labia st: NotStopd t0: [12:00:00 06/04/2014] id: LLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Diminished st: NotStopd t0: [12:00:00 06/04/2014] id: LUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [12:00:00 06/04/2014] id: Level of Conscious el: 0 cu: MICU-A cg: RN v1: Sedated st: NotStopd t0: [12:00:00 06/04/2014] id: Motor Response el: 0 cu: MICU-A cg: RN v1: 1 No Response st: NotStopd t0: [12:00:00 06/04/2014] id: Oral Cavity el: 0 cu: MICU-A cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [12:00:00 06/04/2014] id: Orientation el: 0 cu: MICU-A cg: RN v1: Other/Remarks st: NotStopd t0: [12:00:00 06/04/2014] id: AntiEmbDevice/Status el: 0 cu: MICU-A cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [12:00:00 06/04/2014] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 113 u1: mmHg v2: 58 u2: mmHg st: NotStopd t0: [12:00:00 06/04/2014] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 79 u1: mmHg st: NotStopd t0: [12:00:00 06/04/2014] id: Position el: 0 cu: MICU-A cg: RN v1: Supine st: NotStopd t0: [12:00:00 06/04/2014] id: Position Change el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [12:00:00 06/04/2014] id: Assistance Device el: 0 cu: MICU-A cg: RN v1: 2 Person Assist st: NotStopd t0: [12:00:00 06/04/2014] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [12:00:00 06/04/2014] id: PressureReduceDevice el: 0 cu: MICU-A cg: RN v1: Multipodus Boots st: NotStopd t0: [12:00:00 06/04/2014] id: RLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Diminished st: NotStopd t0: [12:00:00 06/04/2014] id: RUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [12:00:00 06/04/2014] id: Reason For Restraint el: 0 cu: MICU-A cg: RN v1: Ext/TXInterfere st: NotStopd t0: [12:00:00 06/04/2014] id: Removed x 5 Mins el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [12:00:00 06/04/2014] id: Respiratory Pattern el: 0 cu: MICU-A cg: RN v1: Regular st: NotStopd t0: [12:00:00 06/04/2014] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 16 u1: BPM st: NotStopd t0: [12:00:00 06/04/2014] id: Restraint Location el: 0 cu: MICU-A cg: RN v1: Both Arms st: NotStopd t0: [12:00:00 06/04/2014] id: Restraint Type el: 0 cu: MICU-A cg: RN v1: Soft Limb st: NotStopd t0: [12:00:00 06/04/2014] id: Restraints Evaluated el: 0 cu: MICU-A cg: RN v1: Behavior Conts st: NotStopd t0: [12:00:00 06/04/2014] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [12:00:00 06/04/2014] id: Skin Integrity el: 0 cu: MICU-A cg: RN v1: Impaired st: NotStopd t0: [12:00:00 06/04/2014] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 100 u1: % st: NotStopd t0: [12:00:00 06/04/2014] id: Support Systems el: 0 cu: MICU-A cg: RN v1: Spouse st: NotStopd t0: [12:00:00 06/04/2014] id: Temp. Site el: 0 cu: MICU-A cg: RN v1: Oral st: NotStopd t0: [12:00:00 06/04/2014] id: Temperature C (calc) el: 0 cu: MICU-A cg: RN v1: 37.9444 u1: Deg. C st: NotStopd t0: [12:00:00 06/04/2014] id: Temperature F el: 0 cu: MICU-A cg: RN v1: 100.3 u1: Deg. F st: NotStopd t0: [12:00:00 06/04/2014] id: Therapeutic Bed el: 0 cu: MICU-A cg: RN v1: AirMatt/1st Step st: NotStopd t0: [12:00:00 06/04/2014] id: Turn el: 0 cu: MICU-A cg: RN v1: Left Side st: NotStopd t0: [12:00:00 06/04/2014] id: Urine Color/Appear el: 0 cu: MICU-A cg: RN v1: Yellow v2: Clear st: NotStopd t0: [12:00:00 06/04/2014] id: Urine Source el: 0 cu: MICU-A cg: RN v1: Indwelling Cath st: NotStopd t0: [12:00:00 06/04/2014] id: Verbal Response el: 0 cu: MICU-A cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [12:00:00 06/04/2014] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [12:00:00 06/04/2014] id: Behavior el: 0 cu: MICU-A cg: RN v1: Sedated st: NotStopd t0: [12:00:00 06/04/2014] id: Bowel Sounds el: 0 cu: MICU-A cg: RN v1: Present st: NotStopd
t0: [10:00:00 06/04/2014] id: IV Piggyback 100.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 105 vo: 200 vu: ml t0: [12:00:00 06/04/2014] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 20 vu: ml t0: [12:00:00 06/04/2014] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 2 cu: MICU-A cg: RN ai: 209 vo: 43.152 vu: ml t0: [12:00:00 06/04/2014] id: Gastric Meds PO/Gastric el: 1 cu: MICU-A cg: RN ai: 155 vo: 250 vu: ml t0: [12:00:00 06/04/2014] id: D5W 50.0ml + 100mghr Lasix IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 6 vu: ml t0: [12:00:00 06/04/2014] id: Promote w/fiber Tube Feeding el: 1 cu: MICU-A cg: RN ai: 107 vo: 130 vu: ml t0: [12:00:00 06/04/2014] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 380 vu: ml
t0: [11:00:00 06/04/2014] id: Lasix el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 6 du: mghr sv: 50 su: ml rt: IV Drip t0: [11:00:00 06/04/2014] id: Propofol el: 2 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 06/04/2014] id: Lasix el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 6 du: mghr sv: 50 su: ml rt: IV Drip t0: [12:00:00 06/04/2014] id: Propofol el: 2 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 06/04/2014] id: Potassium (3.5-5.3) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 3.4 rs: Final st: NotStopd t0: [12:00:00 06/04/2014] id: Sodium (135-148) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 145 rs: Final st: NotStopd
t0: [12:00:00 06/04/2014] id: Stool Color/Consist el: 0 cu: MICU-A cg: RN v1: Brown v2: Soft st: NotStopd t0: [12:00:00 06/04/2014] id: Stool Guaiac el: 0 cu: MICU-A cg: RN v1: Negative st: NotStopd t0: [13:00:00 06/04/2014] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [13:00:00 06/04/2014] id: CVP el: 0 cu: MICU-A cg: RN v1: 23 u1: mmHg st: NotStopd t0: [13:00:00 06/04/2014] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [13:00:00 06/04/2014] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [13:00:00 06/04/2014] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [13:00:00 06/04/2014] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 67 u1: BPM st: NotStopd t0: [13:00:00 06/04/2014] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [13:00:00 06/04/2014] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 126 u1: mmHg v2: 70 u2: mmHg st: NotStopd t0: [13:00:00 06/04/2014] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 92 u1: mmHg st: NotStopd t0: [13:00:00 06/04/2014] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [13:00:00 06/04/2014] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 25 u1: BPM st: NotStopd t0: [13:00:00 06/04/2014] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 100 u1: % st: NotStopd t0: [13:00:00 06/04/2014] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [12:00:00 06/04/2014] id: Stool Out (non-specific) el: 1 cu: MICU-A cg: RN vu: ml es: Medium
t0: [13:00:00 06/04/2014] id: Lasix el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 6 du: mghr sv: 50 su: ml rt: IV Drip t0: [13:00:00 06/04/2014] id: Propofol el: 2 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 06/04/2014] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [14:00:00 06/04/2014] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [14:00:00 06/04/2014] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [14:00:00 06/04/2014] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [14:00:00 06/04/2014] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 67 u1: BPM st: NotStopd t0: [14:00:00 06/04/2014] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [14:00:00 06/04/2014] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 118 u1: mmHg v2: 65 u2: mmHg st: NotStopd t0: [14:00:00 06/04/2014] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 85 u1: mmHg st: NotStopd t0: [14:00:00 06/04/2014] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [14:00:00 06/04/2014] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 32 u1: BPM st: NotStopd t0: [14:00:00 06/04/2014] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 99 u1: % st: NotStopd t0: [14:00:00 06/04/2014] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [14:00:00 06/04/2014] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 20 vu: ml t0: [14:00:00 06/04/2014] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 2 cu: MICU-A cg: RN ai: 209 vo: 43.152 vu: ml t0: [14:00:00 06/04/2014] id: Gastric Meds PO/Gastric el: 1 cu: MICU-A cg: RN ai: 155 vo: 240 vu: ml t0: [14:00:00 06/04/2014] id: D5W 50.0ml + 100mghr Lasix IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 6 vu: ml t0: [14:00:00 06/04/2014] id: Promote w/fiber Tube Feeding el: 1 cu: MICU-A cg: RN ai: 107 vo: 130 vu: ml t0: [14:00:00 06/04/2014] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 340 vu: ml
t0: [14:00:00 06/04/2014] id: Lasix el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 6 du: mghr sv: 50 su: ml rt: IV Drip t0: [14:00:00 06/04/2014] id: Propofol el: 2 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 06/04/2014] id: CVP el: 0 cu: MICU-A cg: RN v1: 5 u1: mmHg st: NotStopd
t0: [14:39:00 06/04/2014] id: PEEP Set el: 0 cu: MICU-A cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [14:39:00 06/04/2014] id: Respiratory Rate Set el: 0 cu: MICU-A cg: RRT v1: 14 u1: BPM st: NotStopd
t0: [15:00:00 06/04/2014] id: Compliance (40-60ml) el: 0 cu: MICU-A cg: RRT v1: 27.7778 u1: ml/cmH st: NotStopd t0: [15:00:00 06/04/2014] id: ETT Mark/Location el: 0 cu: MICU-A cg: RRT v1: 21cm v2: Lip st: NotStopd t0: [15:00:00 06/04/2014] id: FiO2 Set el: 0 cu: MICU-A cg: RRT v1: 0.4 u1: torr st: NotStopd t0: [15:00:00 06/04/2014] id: High Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 45 u1: cmH2O st: NotStopd t0: [15:00:00 06/04/2014] id: High Resp. Rate el: 0 cu: MICU-A cg: RRT v1: 30 u1: BPM st: NotStopd t0: [15:00:00 06/04/2014] id: Airway Size el: 0 cu: MICU-A cg: RRT v1: 7.5 mm st: NotStopd t0: [15:00:00 06/04/2014] id: Airway Type el: 0 cu: MICU-A cg: RRT v1: Endotracheal st: NotStopd t0: [15:00:00 06/04/2014] id: Inspired Gas Temp el: 0 cu: MICU-A cg: RRT v1: 34.3 u1: Deg. C st: NotStopd t0: [15:00:00 06/04/2014] id: Intubation Date el: 0 cu: MICU-A cg: RRT v1: 3 v2: 12 st: NotStopd t0: [15:00:00 06/04/2014] id: Low Exhaled Min Vol el: 0 cu: MICU-A cg: RRT v1: 6 st: NotStopd t0: [15:00:00 06/04/2014] id: Low Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 20 u1: cmH2O st: NotStopd t0: [15:00:00 06/04/2014] id: Mean Airway Pressure el: 0 cu: MICU-A cg: RRT v1: 15.9 u1: cmH2O st: NotStopd t0: [15:00:00 06/04/2014] id: Minute Volume(Obser) el: 0 cu: MICU-A cg: RRT v1: 9 u1: L/min st: NotStopd t0: [15:00:00 06/04/2014] id: PEEP Set el: 0 cu: MICU-A cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [15:00:00 06/04/2014] id: Apnea Time Interval el: 0 cu: MICU-A cg: RRT v1: 20 st: NotStopd t0: [15:00:00 06/04/2014] id: Peak Flow el: 0 cu: MICU-A cg: RRT v1: 55 u1: L/m st: NotStopd t0: [15:00:00 06/04/2014] id: Peak Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 28 u1: cmH2O st: NotStopd t0: [15:00:00 06/04/2014] id: Plateau Pressure el: 0 cu: MICU-A cg: RRT v1: 20.6 u1: cmH2O st: NotStopd t0: [15:00:00 06/04/2014] id: Plateau-Off el: 0 cu: MICU-A cg: RRT v1: Yes st: NotStopd t0: [15:00:00 06/04/2014] id: Resp Rate (Spont) el: 0 cu: MICU-A cg: RRT v1: 3 u1: BPM st: NotStopd t0: [15:00:00 06/04/2014] id: Resp Rate (Total) el: 0 cu: MICU-A cg: RRT v1: 17 u1: BPM st: NotStopd t0: [15:00:00 06/04/2014] id: Respiratory Rate Set el: 0 cu: MICU-A cg: RRT v1: 14 u1: BPM st: NotStopd t0: [15:00:00 06/04/2014] id: Sensitivity-Vent el: 0 cu: MICU-A cg: RRT v1: 2 u1: cmH2O st: NotStopd t0: [15:00:00 06/04/2014] id: SpO2 el: 0 cu: MICU-A cg: RRT v1: 99 u1: % st: NotStopd t0: [15:00:00 06/04/2014] id: Tidal Volume (Obser) el: 0 cu: MICU-A cg: RRT v1: 510 u1: ml/B st: NotStopd t0: [15:00:00 06/04/2014] id: Tidal Volume (Set) el: 0 cu: MICU-A cg: RRT v1: 500 u1: ml/B st: NotStopd t0: [15:00:00 06/04/2014] id: Ventilator Mode el: 0 cu: MICU-A cg: RRT v1: Assist Control st: NotStopd t0: [15:00:00 06/04/2014] id: Ventilator No. el: 0 cu: MICU-A cg: RRT v1: 6 u1: # st: NotStopd t0: [15:00:00 06/04/2014] id: Ventilator Type el: 0 cu: MICU-A cg: RRT v1: 7200A st: NotStopd t0: [15:00:00 06/04/2014] id: Waveform-Vent el: 0 cu: MICU-A cg: RRT v1: RAMP st: NotStopd
t0: [15:38:00 06/04/2014] id: Art.pH ABG el: 0 cu: MICU-A cg: 1663 v1: 7.44 rs: Final st: NotStopd t0: [15:38:00 06/04/2014] id: Arterial Base Excess ABG el: 0 cu: MICU-A cg: 1663 v1: 4 rs: Final st: NotStopd t0: [15:38:00 06/04/2014] id: Arterial CO2(Calc) ABG el: 0 cu: MICU-A cg: 1663 v1: 31 rs: Final st: NotStopd t0: [15:38:00 06/04/2014] id: Arterial PaCO2 ABG el: 0 cu: MICU-A cg: 1663 v1: 44 u1: mmHg rs: Final st: NotStopd t0: [15:38:00 06/04/2014] id: Arterial PaO2 ABG el: 0 cu: MICU-A cg: 1663 v1: 66 u1: mmHg rs: Final st: NotStopd t0: [15:38:00 06/04/2014] id: Arterial pH ABG el: 0 cu: MICU-A cg: 1663 v1: 7.44 rs: Final st: NotStopd
t0: [16:00:00 06/04/2014] id: PEEP Set el: 0 cu: MICU-A cg: RRT v1: 12 u1: cmH2O st: NotStopd
t0: [15:00:00 06/04/2014] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [15:00:00 06/04/2014] id: CVP el: 0 cu: MICU-A cg: RN v1: 8 u1: mmHg st: NotStopd t0: [15:00:00 06/04/2014] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [15:00:00 06/04/2014] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [15:00:00 06/04/2014] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [15:00:00 06/04/2014] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 67 u1: BPM st: NotStopd t0: [15:00:00 06/04/2014] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [15:00:00 06/04/2014] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 129 u1: mmHg v2: 71 u2: mmHg st: NotStopd t0: [15:00:00 06/04/2014] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 94 u1: mmHg st: NotStopd t0: [15:00:00 06/04/2014] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [15:00:00 06/04/2014] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 22 u1: BPM st: NotStopd t0: [15:00:00 06/04/2014] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [16:00:00 06/04/2014] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [16:00:00 06/04/2014] id: CVP el: 0 cu: MICU-A cg: RN v1: 7 u1: mmHg st: NotStopd t0: [16:00:00 06/04/2014] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [16:00:00 06/04/2014] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [16:00:00 06/04/2014] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [16:00:00 06/04/2014] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 70 u1: BPM st: NotStopd t0: [16:00:00 06/04/2014] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [16:00:00 06/04/2014] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 121 u1: mmHg v2: 70 u2: mmHg st: NotStopd t0: [16:00:00 06/04/2014] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 88 u1: mmHg st: NotStopd t0: [16:00:00 06/04/2014] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [16:00:00 06/04/2014] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 19 u1: BPM st: NotStopd t0: [16:00:00 06/04/2014] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 88 u1: % st: NotStopd t0: [16:00:00 06/04/2014] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [17:00:00 06/04/2014] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [17:00:00 06/04/2014] id: CVP el: 0 cu: MICU-A cg: RN v1: 3 u1: mmHg st: NotStopd t0: [17:00:00 06/04/2014] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [17:00:00 06/04/2014] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [17:00:00 06/04/2014] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [17:00:00 06/04/2014] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 64 u1: BPM st: NotStopd t0: [17:00:00 06/04/2014] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [17:00:00 06/04/2014] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 131 u1: mmHg v2: 74 u2: mmHg st: NotStopd t0: [17:00:00 06/04/2014] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 97 u1: mmHg st: NotStopd t0: [17:00:00 06/04/2014] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [17:00:00 06/04/2014] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 17 u1: BPM st: NotStopd t0: [17:00:00 06/04/2014] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 99 u1: % st: NotStopd t0: [17:00:00 06/04/2014] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [18:00:00 06/04/2014] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [18:00:00 06/04/2014] id: CVP el: 0 cu: MICU-A cg: RN v1: 5 u1: mmHg st: NotStopd t0: [18:00:00 06/04/2014] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [18:00:00 06/04/2014] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [18:00:00 06/04/2014] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [18:00:00 06/04/2014] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 66 u1: BPM st: NotStopd t0: [18:00:00 06/04/2014] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [18:00:00 06/04/2014] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 120 u1: mmHg v2: 66 u2: mmHg st: NotStopd t0: [18:00:00 06/04/2014] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 86 u1: mmHg st: NotStopd t0: [18:00:00 06/04/2014] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [18:00:00 06/04/2014] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 18 u1: BPM st: NotStopd t0: [18:00:00 06/04/2014] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 99 u1: % st: NotStopd t0: [18:00:00 06/04/2014] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [16:00:00 06/04/2014] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 20 vu: ml t0: [16:00:00 06/04/2014] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 2 cu: MICU-A cg: RN ai: 209 vo: 43.152 vu: ml t0: [16:00:00 06/04/2014] id: D5W 50.0ml + 100mghr Lasix IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 6 vu: ml t0: [16:00:00 06/04/2014] id: IV Piggyback 100.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 105 vo: 50 vu: ml t0: [16:00:00 06/04/2014] id: Promote w/fiber Tube Feeding el: 1 cu: MICU-A cg: RN ai: 107 vo: 130 vu: ml t0: [16:00:00 06/04/2014] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 400 vu: ml t0: [18:00:00 06/04/2014] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 20 vu: ml t0: [18:00:00 06/04/2014] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 2 cu: MICU-A cg: RN ai: 209 vo: 43.152 vu: ml t0: [18:00:00 06/04/2014] id: Gastric Meds PO/Gastric el: 1 cu: MICU-A cg: RN ai: 155 vo: 250 vu: ml t0: [18:00:00 06/04/2014] id: D5W 50.0ml + 100mghr Lasix IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 6 vu: ml t0: [18:00:00 06/04/2014] id: Promote w/fiber Tube Feeding el: 1 cu: MICU-A cg: RN ai: 107 vo: 130 vu: ml t0: [18:00:00 06/04/2014] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 500 vu: ml
t0: [15:00:00 06/04/2014] id: Lasix el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 6 du: mghr sv: 50 su: ml rt: IV Drip t0: [15:00:00 06/04/2014] id: Propofol el: 2 cu: MICU-A cg: RN so: N/A vo: 0 v1: 40 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [16:00:00 06/04/2014] id: Lasix el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 6 du: mghr sv: 50 su: ml rt: IV Drip t0: [16:00:00 06/04/2014] id: Propofol el: 2 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 06/04/2014] id: Lasix el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 6 du: mghr sv: 50 su: ml rt: IV Drip t0: [17:00:00 06/04/2014] id: Propofol el: 2 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 06/04/2014] id: Lasix el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 6 du: mghr sv: 50 su: ml rt: IV Drip t0: [18:00:00 06/04/2014] id: Propofol el: 2 cu: MICU-A cg: RN so: N/A vo: 0 v1: 40 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [17:45:00 06/04/2014] id: PEEP Set el: 0 cu: MICU-A cg: RRT v1: 10 u1: cmH2O st: NotStopd
t0: [17:53:00 06/04/2014] id: BUN (6-20) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 53 rs: Final st: NotStopd t0: [17:53:00 06/04/2014] id: Calcium (8.4-10.2) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 8.9 u1: mg/dl rs: Final st: NotStopd t0: [17:53:00 06/04/2014] id: Carbon Dioxide Chemistry el: 0 cu: MICU-A cg: 1663 v1: 28 rs: Final st: NotStopd t0: [17:53:00 06/04/2014] id: Chloride (100-112) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 105 rs: Final st: NotStopd t0: [17:53:00 06/04/2014] id: Creatinine (0-1.3) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 1.5 rs: Final st: NotStopd t0: [17:53:00 06/04/2014] id: Glucose (70-105) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 124 rs: Final st: NotStopd t0: [17:53:00 06/04/2014] id: Magnesium (1.6-2.6) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 2.3 rs: Final st: NotStopd t0: [17:53:00 06/04/2014] 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: [17:53:00 06/04/2014] id: Potassium (3.5-5.3) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 3.6 rs: Final st: NotStopd t0: [17:53:00 06/04/2014] id: Sodium (135-148) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 145 rs: Final st: NotStopd
t0: [19:00:00 06/04/2014] id: Service Type el: 0 cu: MICU-A cg: -1 v1: MICU st: NotStopd t0: [19:00:00 06/04/2014] id: Code Status el: 0 cu: MICU-A cg: -1 v1: Full Code st: NotStopd t0: [19:00:00 06/04/2014] id: Ectopy Frequency el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [19:00:00 06/04/2014] id: Ectopy Type el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [19:00:00 06/04/2014] id: Heart Rate el: 0 cu: MICU-A cg: -1 v1: 64 u1: BPM st: NotStopd t0: [19:00:00 06/04/2014] id: Heart Rhythm el: 0 cu: MICU-A cg: -1 v1: Normal Sinus st: NotStopd t0: [19:00:00 06/04/2014] id: Arterial BP el: 0 cu: MICU-A cg: -1 v1: 127 u1: mmHg v2: 67 u2: mmHg st: NotStopd t0: [19:00:00 06/04/2014] id: Arterial BP Mean el: 0 cu: MICU-A cg: -1 v1: 91 u1: mmHg st: NotStopd t0: [19:00:00 06/04/2014] id: Precautions el: 0 cu: MICU-A cg: -1 v1: Universal st: NotStopd t0: [19:00:00 06/04/2014] id: Respiratory Rate el: 0 cu: MICU-A cg: -1 v1: 15 u1: BPM st: NotStopd t0: [19:00:00 06/04/2014] id: SpO2 el: 0 cu: MICU-A cg: -1 v1: 98 u1: % st: NotStopd t0: [19:00:00 06/04/2014] id: calprevflg el: 0 cu: MICU-A cg: -1 v1: 1 u1: kg st: NotStopd t0: [20:00:00 06/04/2014] id: Range of Motion el: 0 cu: MICU-A cg: -1 v1: Done st: NotStopd t0: [20:00:00 06/04/2014] id: Service Type el: 0 cu: MICU-A cg: -1 v1: MICU st: NotStopd t0: [20:00:00 06/04/2014] id: Circulation/SkinInt el: 0 cu: MICU-A cg: -1 v1: Circulation Adeq st: NotStopd t0: [20:00:00 06/04/2014] id: Code Status el: 0 cu: MICU-A cg: -1 v1: Full Code st: NotStopd t0: [20:00:00 06/04/2014] id: Riker-SAS Scale el: 0 cu: MICU-A cg: -1 v1: Sedated st: NotStopd t0: [20:00:00 06/04/2014] id: GI Prophylaxis el: 0 cu: MICU-A cg: -1 v1: H2 Blocker st: NotStopd t0: [20:00:00 06/04/2014] id: Diet Type el: 0 cu: MICU-A cg: -1 v1: Tube Feeding st: NotStopd t0: [20:00:00 06/04/2014] id: Dorsal PedPulse R/L el: 0 cu: MICU-A cg: -1 v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [20:00:00 06/04/2014] id: Ectopy Frequency el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [20:00:00 06/04/2014] id: Ectopy Type el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [20:00:00 06/04/2014] id: Eye Opening el: 0 cu: MICU-A cg: -1 v1: 1 No Response st: NotStopd t0: [20:00:00 06/04/2014] id: GCS Total el: 0 cu: MICU-A cg: -1 v1: 3 u1: points st: NotStopd t0: [20:00:00 06/04/2014] id: GI Intub #1/Site el: 0 cu: MICU-A cg: -1 v1: Salem Sump v2: Oral st: NotStopd t0: [20:00:00 06/04/2014] id: GI#1 Tube PlaceCheck el: 0 cu: MICU-A cg: -1 v1: Done st: NotStopd t0: [20:00:00 06/04/2014] id: GI#1 Tube Stat/Drain el: 0 cu: MICU-A cg: -1 v1: Feeding v2: Undigested Food st: NotStopd t0: [20:00:00 06/04/2014] id: GU Catheter Size el: 0 cu: MICU-A cg: -1 v1: 14 French st: NotStopd t0: [20:00:00 06/04/2014] id: HOB el: 0 cu: MICU-A cg: -1 v1: 45 degrees st: NotStopd t0: [20:00:00 06/04/2014] id: Heart Rate el: 0 cu: MICU-A cg: -1 v1: 61 u1: BPM st: NotStopd t0: [20:00:00 06/04/2014] id: Heart Rhythm el: 0 cu: MICU-A cg: -1 v1: Normal Sinus st: NotStopd t0: [20:00:00 06/04/2014] id: INV Line#1 Type/Site el: 0 cu: MICU-A cg: -1 v1: Multi-lumen v2: Left IJ st: NotStopd t0: [20:00:00 06/04/2014] id: INV Line#1InsertDate el: 0 cu: MICU-A cg: -1 v1: 3 v2: 19 st: NotStopd t0: [20:00:00 06/04/2014] id: INV Line#1SiteAppear el: 0 cu: MICU-A cg: -1 v1: WNL st: NotStopd t0: [20:00:00 06/04/2014] id: INV Line#4 Type/Site el: 0 cu: MICU-A cg: -1 v1: A-Line v2: Right Brachial st: NotStopd t0: [20:00:00 06/04/2014] id: INV Line#4 Zero/Cal el: 0 cu: MICU-A cg: -1 v1: No st: NotStopd t0: [20:00:00 06/04/2014] id: INV Line#4InsertDate el: 0 cu: MICU-A cg: -1 v1: 3 v2: 17 st: NotStopd t0: [20:00:00 06/04/2014] id: INV Line#4SiteAppear el: 0 cu: MICU-A cg: -1 v1: WNL st: NotStopd t0: [20:00:00 06/04/2014] id: Abdominal Assessment el: 0 cu: MICU-A cg: -1 v1: Obese st: NotStopd t0: [20:00:00 06/04/2014] id: INV#4 WaveformAppear el: 0 cu: MICU-A cg: -1 v1: Sharp st: NotStopd t0: [20:00:00 06/04/2014] id: Activity el: 0 cu: MICU-A cg: -1 v1: Bedrest st: NotStopd t0: [20:00:00 06/04/2014] id: Activity Tolerance el: 0 cu: MICU-A cg: -1 v1: Tolerated Well st: NotStopd t0: [20:00:00 06/04/2014] id: Impaired Skin Site#1 el: 0 cu: MICU-A cg: -1 v1: Gluteal, Right st: NotStopd t0: [20:00:00 06/04/2014] id: Impaired Skin Site#2 el: 0 cu: MICU-A cg: -1 v1: Labia st: NotStopd t0: [20:00:00 06/04/2014] id: LLL Lung Sounds el: 0 cu: MICU-A cg: -1 v1: Diminished st: NotStopd t0: [20:00:00 06/04/2014] id: LUL Lung Sounds el: 0 cu: MICU-A cg: -1 v1: Coarse st: NotStopd t0: [20:00:00 06/04/2014] id: Level of Conscious el: 0 cu: MICU-A cg: -1 v1: Sedated st: NotStopd t0: [20:00:00 06/04/2014] id: Motor Response el: 0 cu: MICU-A cg: -1 v1: 1 No Response st: NotStopd t0: [20:00:00 06/04/2014] id: Oral Care el: 0 cu: MICU-A cg: -1 v1: Done st: NotStopd t0: [20:00:00 06/04/2014] id: Oral Cavity el: 0 cu: MICU-A cg: -1 v1: Teeth/Tissue WNL st: NotStopd t0: [20:00:00 06/04/2014] id: Orientation el: 0 cu: MICU-A cg: -1 v1: Other/Remarks st: NotStopd t0: [20:00:00 06/04/2014] id: AntiEmbDevice/Status el: 0 cu: MICU-A cg: -1 v1: Compress Sleeves v2: On st: NotStopd t0: [20:00:00 06/04/2014] id: Arterial BP el: 0 cu: MICU-A cg: -1 v1: 121 u1: mmHg v2: 64 u2: mmHg st: NotStopd t0: [20:00:00 06/04/2014] id: Arterial BP Mean el: 0 cu: MICU-A cg: -1 v1: 87 u1: mmHg st: NotStopd t0: [20:00:00 06/04/2014] id: Position el: 0 cu: MICU-A cg: -1 v1: Supine st: NotStopd t0: [20:00:00 06/04/2014] id: Position Change el: 0 cu: MICU-A cg: -1 v1: Done st: NotStopd t0: [20:00:00 06/04/2014] id: PostTib. Pulses R/L el: 0 cu: MICU-A cg: -1 v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [20:00:00 06/04/2014] id: Assistance Device el: 0 cu: MICU-A cg: -1 v1: 2 Person Assist st: NotStopd t0: [20:00:00 06/04/2014] id: Precautions el: 0 cu: MICU-A cg: -1 v1: Universal st: NotStopd t0: [20:00:00 06/04/2014] id: PressureReduceDevice el: 0 cu: MICU-A cg: -1 v1: Multipodus Boots st: NotStopd t0: [20:00:00 06/04/2014] id: RLL Lung Sounds el: 0 cu: MICU-A cg: -1 v1: Diminished st: NotStopd t0: [20:00:00 06/04/2014] id: RUL Lung Sounds el: 0 cu: MICU-A cg: -1 v1: Coarse st: NotStopd t0: [20:00:00 06/04/2014] id: Reason For Restraint el: 0 cu: MICU-A cg: -1 v1: Ext/TXInterfere st: NotStopd t0: [20:00:00 06/04/2014] id: Removed x 5 Mins el: 0 cu: MICU-A cg: -1 v1: Done st: NotStopd t0: [20:00:00 06/04/2014] id: Respiratory Pattern el: 0 cu: MICU-A cg: -1 v1: Regular st: NotStopd t0: [20:00:00 06/04/2014] id: Respiratory Rate el: 0 cu: MICU-A cg: -1 v1: 16 u1: BPM st: NotStopd t0: [20:00:00 06/04/2014] id: Restraint Location el: 0 cu: MICU-A cg: -1 v1: Both Arms st: NotStopd t0: [20:00:00 06/04/2014] id: Restraint Type el: 0 cu: MICU-A cg: -1 v1: Soft Limb st: NotStopd t0: [20:00:00 06/04/2014] id: Restraints Evaluated el: 0 cu: MICU-A cg: -1 v1: Behavior Conts st: NotStopd t0: [20:00:00 06/04/2014] id: Side Rails el: 0 cu: MICU-A cg: -1 v1: Side Rails Up st: NotStopd t0: [20:00:00 06/04/2014] id: Skin Care el: 0 cu: MICU-A cg: -1 v1: Done st: NotStopd t0: [20:00:00 06/04/2014] id: Skin Integrity el: 0 cu: MICU-A cg: -1 v1: Impaired st: NotStopd t0: [20:00:00 06/04/2014] id: SpO2 el: 0 cu: MICU-A cg: -1 v1: 98 u1: % st: NotStopd t0: [20:00:00 06/04/2014] id: Support Systems el: 0 cu: MICU-A cg: -1 v1: Spouse st: NotStopd t0: [20:00:00 06/04/2014] id: Temp. Site el: 0 cu: MICU-A cg: -1 v1: Oral st: NotStopd t0: [20:00:00 06/04/2014] id: Temperature C (calc) el: 0 cu: MICU-A cg: -1 v1: 37.5 u1: Deg. C st: NotStopd t0: [20:00:00 06/04/2014] id: Temperature F el: 0 cu: MICU-A cg: -1 v1: 99.5 u1: Deg. F st: NotStopd t0: [20:00:00 06/04/2014] id: Therapeutic Bed el: 0 cu: MICU-A cg: -1 v1: AirMatt/1st Step st: NotStopd t0: [20:00:00 06/04/2014] id: Turn el: 0 cu: MICU-A cg: -1 v1: Back st: NotStopd t0: [20:00:00 06/04/2014] id: Urine Color/Appear el: 0 cu: MICU-A cg: -1 v1: Light Yellow v2: Clear st: NotStopd t0: [20:00:00 06/04/2014] id: Urine Source el: 0 cu: MICU-A cg: -1 v1: Indwelling Cath st: NotStopd t0: [20:00:00 06/04/2014] id: Verbal Response el: 0 cu: MICU-A cg: -1 v1: 1.0 ET/Trach st: NotStopd t0: [20:00:00 06/04/2014] id: Back Care el: 0 cu: MICU-A cg: -1 v1: Done st: NotStopd t0: [20:00:00 06/04/2014] id: calprevflg el: 0 cu: MICU-A cg: -1 v1: 1 u1: kg st: NotStopd t0: [20:00:00 06/04/2014] id: Behavior el: 0 cu: MICU-A cg: -1 v1: Sedated st: NotStopd t0: [20:00:00 06/04/2014] id: Bowel Sounds el: 0 cu: MICU-A cg: -1 v1: Present st: NotStopd t0: [20:00:00 06/04/2014] id: Braden Activity el: 0 cu: MICU-A cg: -1 v1: Bedfast st: NotStopd t0: [20:00:00 06/04/2014] id: Braden Frict/Shear el: 0 cu: MICU-A cg: -1 v1: Potential Prob st: NotStopd t0: [20:00:00 06/04/2014] id: Braden Mobility el: 0 cu: MICU-A cg: -1 v1: Comp. Immobile st: NotStopd t0: [20:00:00 06/04/2014] id: Braden Moisture el: 0 cu: MICU-A cg: -1 v1: Occ. Moist st: NotStopd t0: [20:00:00 06/04/2014] id: Braden Nutrition el: 0 cu: MICU-A cg: -1 v1: Adequate st: NotStopd t0: [20:00:00 06/04/2014] id: Braden Score el: 0 cu: MICU-A cg: -1 v1: 11 u1: number st: NotStopd t0: [20:00:00 06/04/2014] id: Braden SensoryPercep el: 0 cu: MICU-A cg: -1 v1: Comp. Limited st: NotStopd
t0: [20:00:00 06/04/2014] id: TF Residual Gastric/TF Residual el: 1 cu: MICU-A cg: -1 ai: 107 vo: 0 vu: ml t0: [20:00:00 06/04/2014] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 20 vu: ml t0: [20:00:00 06/04/2014] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 2 cu: MICU-A cg: -1 ai: 209 vo: 43.152 vu: ml t0: [20:00:00 06/04/2014] id: Gastric Meds PO/Gastric el: 1 cu: MICU-A cg: -1 ai: 155 vo: 90 vu: ml t0: [20:00:00 06/04/2014] id: D5W 50.0ml + 100mghr Lasix IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 6 vu: ml t0: [20:00:00 06/04/2014] id: Promote w/fiber Tube Feeding el: 1 cu: MICU-A cg: -1 ai: 107 vo: 130 vu: ml t0: [20:00:00 06/04/2014] id: Urine Out Foley el: 1 cu: MICU-A cg: -1 vo: 480 vu: ml
t0: [19:00:00 06/04/2014] id: Lasix el: 1 cu: MICU-A so: D5W vo: 0 v1: 6 du: mghr sv: 50 su: ml rt: IV Drip t0: [19:00:00 06/04/2014] id: Propofol el: 2 cu: MICU-A so: N/A vo: 0 v1: 40 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [20:00:00 06/04/2014] id: Lasix el: 1 cu: MICU-A so: D5W vo: 0 v1: 4 du: mghr sv: 50 su: ml rt: IV Drip t0: [20:00:00 06/04/2014] id: Propofol el: 2 cu: MICU-A so: N/A vo: 0 v1: 40 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [19:57:00 06/04/2014] id: Art.pH ABG el: 0 cu: MICU-A cg: 1663 v1: 7.47 rs: Final st: NotStopd t0: [19:57:00 06/04/2014] id: Arterial Base Excess ABG el: 0 cu: MICU-A cg: 1663 v1: 7 rs: Final st: NotStopd t0: [19:57:00 06/04/2014] id: Arterial CO2(Calc) ABG el: 0 cu: MICU-A cg: 1663 v1: 31 rs: Final st: NotStopd t0: [19:57:00 06/04/2014] id: Arterial PaCO2 ABG el: 0 cu: MICU-A cg: 1663 v1: 42 u1: mmHg rs: Final st: NotStopd t0: [19:57:00 06/04/2014] id: Arterial PaO2 ABG el: 0 cu: MICU-A cg: 1663 v1: 120 u1: mmHg rs: Final st: NotStopd t0: [19:57:00 06/04/2014] id: Arterial pH ABG el: 0 cu: MICU-A cg: 1663 v1: 7.47 rs: Final st: NotStopd
t0: [20:00:00 06/04/2014] id: Compliance (40-60ml) el: 0 cu: MICU-A cg: RRT v1: 22.7273 u1: ml/cmH st: NotStopd t0: [20:00:00 06/04/2014] id: ETT Mark/Location el: 0 cu: MICU-A cg: RRT v1: 21cm v2: Lip st: NotStopd t0: [20:00:00 06/04/2014] id: FiO2 Set el: 0 cu: MICU-A cg: RRT v1: 0.4 u1: torr st: NotStopd t0: [20:00:00 06/04/2014] id: High Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 45 u1: cmH2O st: NotStopd t0: [20:00:00 06/04/2014] id: High Resp. Rate el: 0 cu: MICU-A cg: RRT v1: 30 u1: BPM st: NotStopd t0: [20:00:00 06/04/2014] id: I:E Ratio el: 0 cu: MICU-A cg: RRT v1: 1:3 st: NotStopd t0: [20:00:00 06/04/2014] id: Airway Size el: 0 cu: MICU-A cg: RRT v1: 7.5 mm st: NotStopd t0: [20:00:00 06/04/2014] id: Airway Type el: 0 cu: MICU-A cg: RRT v1: Endotracheal st: NotStopd t0: [20:00:00 06/04/2014] id: Inspired Gas Temp el: 0 cu: MICU-A cg: RRT v1: 34 u1: Deg. C st: NotStopd t0: [20:00:00 06/04/2014] id: Intubation Date el: 0 cu: MICU-A cg: RRT v1: 3 v2: 12 st: NotStopd t0: [20:00:00 06/04/2014] id: Low Exhaled Min Vol el: 0 cu: MICU-A cg: RRT v1: 6 st: NotStopd t0: [20:00:00 06/04/2014] id: Low Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 20 u1: cmH2O st: NotStopd t0: [20:00:00 06/04/2014] id: Mean Airway Pressure el: 0 cu: MICU-A cg: RRT v1: 15 u1: cmH2O st: NotStopd t0: [20:00:00 06/04/2014] id: Minute Volume(Obser) el: 0 cu: MICU-A cg: RRT v1: 7.2 u1: L/min st: NotStopd t0: [20:00:00 06/04/2014] id: PEEP Set el: 0 cu: MICU-A cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [20:00:00 06/04/2014] id: Apnea Time Interval el: 0 cu: MICU-A cg: RRT v1: 20 st: NotStopd t0: [20:00:00 06/04/2014] id: Peak Flow el: 0 cu: MICU-A cg: RRT v1: 60 u1: L/m st: NotStopd t0: [20:00:00 06/04/2014] id: Peak Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 32 u1: cmH2O st: NotStopd t0: [20:00:00 06/04/2014] id: Plateau Pressure el: 0 cu: MICU-A cg: RRT v1: 27 u1: cmH2O st: NotStopd t0: [20:00:00 06/04/2014] id: Plateau-Off el: 0 cu: MICU-A cg: RRT v1: Yes st: NotStopd t0: [20:00:00 06/04/2014] id: Resp Rate (Spont) el: 0 cu: MICU-A cg: RRT v1: 0 u1: BPM st: NotStopd t0: [20:00:00 06/04/2014] id: Resp Rate (Total) el: 0 cu: MICU-A cg: RRT v1: 14 u1: BPM st: NotStopd t0: [20:00:00 06/04/2014] id: Respiratory Rate Set el: 0 cu: MICU-A cg: RRT v1: 14 u1: BPM st: NotStopd t0: [20:00:00 06/04/2014] id: Sensitivity-Vent el: 0 cu: MICU-A cg: RRT v1: 2 u1: cmH2O st: NotStopd t0: [20:00:00 06/04/2014] id: Tidal Volume (Obser) el: 0 cu: MICU-A cg: RRT v1: 500 u1: ml/B st: NotStopd t0: [20:00:00 06/04/2014] id: Tidal Volume (Set) el: 0 cu: MICU-A cg: RRT v1: 500 u1: ml/B st: NotStopd t0: [20:00:00 06/04/2014] id: Ventilator Mode el: 0 cu: MICU-A cg: RRT v1: Assist Control st: NotStopd t0: [20:00:00 06/04/2014] id: Ventilator No. el: 0 cu: MICU-A cg: RRT v1: 6 u1: # st: NotStopd t0: [20:00:00 06/04/2014] id: Ventilator Type el: 0 cu: MICU-A cg: RRT v1: 7200A st: NotStopd t0: [20:00:00 06/04/2014] id: Waveform-Vent el: 0 cu: MICU-A cg: RRT v1: RAMP st: NotStopd
t0: [20:30:00 06/04/2014] id: Service Type el: 0 cu: MICU-A cg: -1 v1: MICU st: NotStopd t0: [20:30:00 06/04/2014] id: Code Status el: 0 cu: MICU-A cg: -1 v1: Full Code st: NotStopd t0: [20:30:00 06/04/2014] id: Ectopy Frequency el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [20:30:00 06/04/2014] id: Ectopy Type el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [20:30:00 06/04/2014] id: Heart Rate el: 0 cu: MICU-A cg: -1 v1: 66 u1: BPM st: NotStopd t0: [20:30:00 06/04/2014] id: Heart Rhythm el: 0 cu: MICU-A cg: -1 v1: Normal Sinus st: NotStopd t0: [20:30:00 06/04/2014] id: Arterial BP el: 0 cu: MICU-A cg: -1 v1: 101 u1: mmHg v2: 52 u2: mmHg st: NotStopd t0: [20:30:00 06/04/2014] id: Arterial BP Mean el: 0 cu: MICU-A cg: -1 v1: 69 u1: mmHg st: NotStopd t0: [20:30:00 06/04/2014] id: Precautions el: 0 cu: MICU-A cg: -1 v1: Universal st: NotStopd t0: [20:30:00 06/04/2014] id: Respiratory Rate el: 0 cu: MICU-A cg: -1 v1: 18 u1: BPM st: NotStopd t0: [20:30:00 06/04/2014] id: SpO2 el: 0 cu: MICU-A cg: -1 v1: 97 u1: % st: NotStopd t0: [20:30:00 06/04/2014] id: calprevflg el: 0 cu: MICU-A cg: -1 v1: 1 u1: kg st: NotStopd
t0: [20:30:00 06/04/2014] id: Lasix el: 1 cu: MICU-A so: D5W vo: 0 v1: 2 du: mghr sv: 50 su: ml rt: IV Drip t0: [20:30:00 06/04/2014] id: Propofol el: 2 cu: MICU-A so: N/A vo: 0 v1: 40 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [20:30:00 06/04/2014] id: CVP el: 0 cu: MICU-A cg: -1 u1: mmHg st: NotStopd t0: [21:00:00 06/04/2014] id: Service Type el: 0 cu: MICU-A cg: -1 v1: MICU st: NotStopd t0: [21:00:00 06/04/2014] id: Code Status el: 0 cu: MICU-A cg: -1 v1: Full Code st: NotStopd t0: [21:00:00 06/04/2014] id: Ectopy Frequency el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [21:00:00 06/04/2014] id: Ectopy Type el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [21:00:00 06/04/2014] id: Heart Rate el: 0 cu: MICU-A cg: -1 v1: 66 u1: BPM st: NotStopd t0: [21:00:00 06/04/2014] id: Heart Rhythm el: 0 cu: MICU-A cg: -1 v1: Normal Sinus st: NotStopd t0: [21:00:00 06/04/2014] id: Arterial BP el: 0 cu: MICU-A cg: -1 v1: 113 u1: mmHg v2: 58 u2: mmHg st: NotStopd t0: [21:00:00 06/04/2014] id: Arterial BP Mean el: 0 cu: MICU-A cg: -1 v1: 77 u1: mmHg st: NotStopd t0: [21:00:00 06/04/2014] id: Precautions el: 0 cu: MICU-A cg: -1 v1: Universal st: NotStopd t0: [21:00:00 06/04/2014] id: Respiratory Rate el: 0 cu: MICU-A cg: -1 v1: 17 u1: BPM st: NotStopd t0: [21:00:00 06/04/2014] id: SpO2 el: 0 cu: MICU-A cg: -1 v1: 98 u1: % st: NotStopd t0: [21:00:00 06/04/2014] id: calprevflg el: 0 cu: MICU-A cg: -1 v1: 1 u1: kg st: NotStopd
t0: [21:00:00 06/04/2014] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 10 vu: ml t0: [21:00:00 06/04/2014] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 2 cu: MICU-A cg: -1 ai: 209 vo: 21.576 vu: ml t0: [21:00:00 06/04/2014] id: D5W 50.0ml + 100mghr Lasix IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 1.5 vu: ml t0: [21:00:00 06/04/2014] id: Promote w/fiber Tube Feeding el: 1 cu: MICU-A cg: -1 ai: 107 vo: 65 vu: ml t0: [21:00:00 06/04/2014] id: Urine Out Foley el: 1 cu: MICU-A cg: -1 vo: 200 vu: ml
t0: [21:00:00 06/04/2014] id: Lasix el: 1 cu: MICU-A so: D5W vo: 0 v1: 2 du: mghr sv: 50 su: ml rt: IV Drip t0: [21:00:00 06/04/2014] id: Propofol el: 2 cu: MICU-A so: N/A vo: 0 v1: 40 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [22:00:00 06/04/2014] id: Service Type el: 0 cu: MICU-A cg: -1 v1: MICU st: NotStopd t0: [22:00:00 06/04/2014] id: Code Status el: 0 cu: MICU-A cg: -1 v1: Full Code st: NotStopd t0: [22:00:00 06/04/2014] id: Ectopy Frequency el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [22:00:00 06/04/2014] id: Ectopy Type el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [22:00:00 06/04/2014] id: Heart Rate el: 0 cu: MICU-A cg: -1 v1: 63 u1: BPM st: NotStopd t0: [22:00:00 06/04/2014] id: Heart Rhythm el: 0 cu: MICU-A cg: -1 v1: Normal Sinus st: NotStopd t0: [22:00:00 06/04/2014] id: Arterial BP el: 0 cu: MICU-A cg: -1 v1: 132 u1: mmHg v2: 69 u2: mmHg st: NotStopd t0: [22:00:00 06/04/2014] id: Arterial BP Mean el: 0 cu: MICU-A cg: -1 v1: 94 u1: mmHg st: NotStopd t0: [22:00:00 06/04/2014] id: Precautions el: 0 cu: MICU-A cg: -1 v1: Universal st: NotStopd t0: [22:00:00 06/04/2014] id: Respiratory Rate el: 0 cu: MICU-A cg: -1 v1: 14 u1: BPM st: NotStopd t0: [22:00:00 06/04/2014] id: SpO2 el: 0 cu: MICU-A cg: -1 v1: 97 u1: % st: NotStopd t0: [22:00:00 06/04/2014] id: calprevflg el: 0 cu: MICU-A cg: -1 v1: 1 u1: kg st: NotStopd
t0: [22:00:00 06/04/2014] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 10 vu: ml t0: [22:00:00 06/04/2014] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 2 cu: MICU-A cg: -1 ai: 209 vo: 21.576 vu: ml t0: [22:00:00 06/04/2014] id: D5W 50.0ml + 100mghr Lasix IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 1 vu: ml t0: [22:00:00 06/04/2014] id: Promote w/fiber Tube Feeding el: 1 cu: MICU-A cg: -1 ai: 107 vo: 65 vu: ml t0: [22:00:00 06/04/2014] id: Urine Out Foley el: 1 cu: MICU-A cg: -1 vo: 120 vu: ml
t0: [22:00:00 06/04/2014] id: Lasix el: 1 cu: MICU-A so: D5W vo: 0 v1: 2 du: mghr sv: 50 su: ml rt: IV Drip
t0: [21:55:00 06/04/2014] id: ETT Mark/Location el: 0 cu: MICU-A cg: -1 v1: 21cm v2: Lip st: NotStopd t0: [21:55:00 06/04/2014] id: FiO2 Set el: 0 cu: MICU-A cg: -1 v1: 0.4 u1: torr st: NotStopd t0: [21:55:00 06/04/2014] id: Airway Size el: 0 cu: MICU-A cg: -1 v1: 7.5 mm st: NotStopd t0: [21:55:00 06/04/2014] id: Airway Type el: 0 cu: MICU-A cg: -1 v1: Endotracheal st: NotStopd t0: [21:55:00 06/04/2014] id: Intubation Date el: 0 cu: MICU-A cg: -1 v1: 3 v2: 12 st: NotStopd t0: [21:55:00 06/04/2014] id: SpO2 el: 0 cu: MICU-A cg: -1 v1: 97 u1: % st: NotStopd t0: [21:55:00 06/04/2014] id: Ventilator Mode el: 0 cu: MICU-A cg: -1 v1: CPAP+PS st: NotStopd t0: [21:55:00 06/04/2014] id: Ventilator No. el: 0 cu: MICU-A cg: -1 v1: 6 u1: # st: NotStopd t0: [21:55:00 06/04/2014] id: Ventilator Type el: 0 cu: MICU-A cg: -1 v1: 7200A st: NotStopd
t0: [22:00:00 06/04/2014] id: Propofol el: 2 cu: MICU-A so: N/A vo: 0 v1: 30 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [21:55:00 06/04/2014] id: Inspired Gas Temp el: 0 cu: MICU-A cg: RRT v1: 34 u1: Deg. C st: NotStopd t0: [21:55:00 06/04/2014] id: Mean Airway Pressure el: 0 cu: MICU-A cg: RRT v1: 15 u1: cmH2O st: NotStopd t0: [21:55:00 06/04/2014] id: Minute Volume(Obser) el: 0 cu: MICU-A cg: RRT v1: 6.3 u1: L/min st: NotStopd t0: [21:55:00 06/04/2014] id: PEEP Set el: 0 cu: MICU-A cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [21:55:00 06/04/2014] id: Plateau-Off el: 0 cu: MICU-A cg: RRT v1: Yes st: NotStopd t0: [21:55:00 06/04/2014] id: Pressure Support el: 0 cu: MICU-A cg: RRT v1: 12 u1: . st: NotStopd t0: [21:55:00 06/04/2014] id: Resp Rate (Total) el: 0 cu: MICU-A cg: RRT v1: 10 u1: BPM st: NotStopd t0: [21:55:00 06/04/2014] id: Sensitivity-Vent el: 0 cu: MICU-A cg: RRT v1: 2 u1: cmH2O st: NotStopd t0: [21:55:00 06/04/2014] id: Tidal Volume (Spont) el: 0 cu: MICU-A cg: RRT v1: 630 u1: ml/B st: NotStopd
t0: [22:37:00 06/04/2014] id: Art.pH ABG el: 0 cu: MICU-A cg: 1663 v1: 7.5 rs: Final st: NotStopd t0: [22:37:00 06/04/2014] id: Arterial Base Excess ABG el: 0 cu: MICU-A cg: 1663 v1: 7 rs: Final st: NotStopd t0: [22:37:00 06/04/2014] id: Arterial CO2(Calc) ABG el: 0 cu: MICU-A cg: 1663 v1: 31 rs: Final st: NotStopd t0: [22:37:00 06/04/2014] id: Arterial PaCO2 ABG el: 0 cu: MICU-A cg: 1663 v1: 39 u1: mmHg rs: Final st: NotStopd t0: [22:37:00 06/04/2014] id: Arterial PaO2 ABG el: 0 cu: MICU-A cg: 1663 v1: 100 u1: mmHg rs: Final st: NotStopd t0: [22:37:00 06/04/2014] id: Arterial pH ABG el: 0 cu: MICU-A cg: 1663 v1: 7.5 rs: Final st: NotStopd
t0: [23:00:00 06/04/2014] id: Less Restrict Meas. el: 0 cu: MICU-A cg: -1 v1: Medicated st: NotStopd t0: [23:00:00 06/04/2014] id: Range of Motion el: 0 cu: MICU-A cg: -1 v1: Done st: NotStopd t0: [23:00:00 06/04/2014] id: Service Type el: 0 cu: MICU-A cg: -1 v1: MICU st: NotStopd t0: [23:00:00 06/04/2014] id: CVP el: 0 cu: MICU-A cg: -1 v1: 7 u1: mmHg st: NotStopd t0: [23:00:00 06/04/2014] id: Circulation/SkinInt el: 0 cu: MICU-A cg: -1 v1: Circulation Adeq st: NotStopd t0: [23:00:00 06/04/2014] id: Code Status el: 0 cu: MICU-A cg: -1 v1: Full Code st: NotStopd t0: [23:00:00 06/04/2014] id: Riker-SAS Scale el: 0 cu: MICU-A cg: -1 v1: Sedated st: NotStopd t0: [23:00:00 06/04/2014] id: GI Prophylaxis el: 0 cu: MICU-A cg: -1 v1: H2 Blocker st: NotStopd t0: [23:00:00 06/04/2014] id: Diet Type el: 0 cu: MICU-A cg: -1 v1: Tube Feeding st: NotStopd t0: [23:00:00 06/04/2014] id: Ectopy Frequency el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [23:00:00 06/04/2014] id: Ectopy Type el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [23:00:00 06/04/2014] id: Eye Care el: 0 cu: MICU-A cg: -1 v1: Done st: NotStopd t0: [23:00:00 06/04/2014] id: Eye Opening el: 0 cu: MICU-A cg: -1 v1: 4 Spontaneously st: NotStopd t0: [23:00:00 06/04/2014] id: GCS Total el: 0 cu: MICU-A cg: -1 v1: 6 u1: points st: NotStopd t0: [23:00:00 06/04/2014] id: GI Intub #1/Site el: 0 cu: MICU-A cg: -1 v1: Salem Sump v2: Oral st: NotStopd t0: [23:00:00 06/04/2014] id: GI#1 Tube Stat/Drain el: 0 cu: MICU-A cg: -1 v1: Feeding st: NotStopd t0: [23:00:00 06/04/2014] id: GU Catheter Size el: 0 cu: MICU-A cg: -1 v1: 14 French st: NotStopd t0: [23:00:00 06/04/2014] id: HOB el: 0 cu: MICU-A cg: -1 v1: 45 degrees st: NotStopd t0: [23:00:00 06/04/2014] id: Heart Rate el: 0 cu: MICU-A cg: -1 v1: 64 u1: BPM st: NotStopd t0: [23:00:00 06/04/2014] id: Heart Rhythm el: 0 cu: MICU-A cg: -1 v1: Normal Sinus st: NotStopd t0: [23:00:00 06/04/2014] id: INV Line#1 Type/Site el: 0 cu: MICU-A cg: -1 v1: Multi-lumen v2: Left IJ st: NotStopd t0: [23:00:00 06/04/2014] id: INV Line#1InsertDate el: 0 cu: MICU-A cg: -1 v1: 3 v2: 19 st: NotStopd t0: [23:00:00 06/04/2014] id: INV Line#1SiteAppear el: 0 cu: MICU-A cg: -1 v1: WNL st: NotStopd t0: [23:00:00 06/04/2014] id: INV Line#4 Type/Site el: 0 cu: MICU-A cg: -1 v1: A-Line v2: Right Brachial st: NotStopd t0: [23:00:00 06/04/2014] id: INV Line#4InsertDate el: 0 cu: MICU-A cg: -1 v1: 3 v2: 17 st: NotStopd t0: [23:00:00 06/04/2014] id: INV Line#4SiteAppear el: 0 cu: MICU-A cg: -1 v1: WNL st: NotStopd t0: [23:00:00 06/04/2014] id: Abdominal Assessment el: 0 cu: MICU-A cg: -1 v1: Obese st: NotStopd t0: [23:00:00 06/04/2014] id: INV#4 WaveformAppear el: 0 cu: MICU-A cg: -1 v1: Sharp st: NotStopd t0: [23:00:00 06/04/2014] id: Activity el: 0 cu: MICU-A cg: -1 v1: Bedrest st: NotStopd t0: [23:00:00 06/04/2014] id: Activity Tolerance el: 0 cu: MICU-A cg: -1 v1: Tolerated Well st: NotStopd t0: [23:00:00 06/04/2014] id: Impaired Skin Site#1 el: 0 cu: MICU-A cg: -1 v1: Gluteal, Right st: NotStopd t0: [23:00:00 06/04/2014] id: Impaired Skin Site#2 el: 0 cu: MICU-A cg: -1 v1: Labia st: NotStopd t0: [23:00:00 06/04/2014] id: LLL Lung Sounds el: 0 cu: MICU-A cg: -1 v1: Diminished st: NotStopd t0: [23:00:00 06/04/2014] id: LUL Lung Sounds el: 0 cu: MICU-A cg: -1 v1: Coarse st: NotStopd t0: [23:00:00 06/04/2014] id: Level of Conscious el: 0 cu: MICU-A cg: -1 v1: Sedated st: NotStopd t0: [23:00:00 06/04/2014] id: Motor Response el: 0 cu: MICU-A cg: -1 v1: 1 No Response st: NotStopd t0: [23:00:00 06/04/2014] id: Oral Care el: 0 cu: MICU-A cg: -1 v1: Done st: NotStopd t0: [23:00:00 06/04/2014] id: Oral Cavity el: 0 cu: MICU-A cg: -1 v1: Teeth/Tissue WNL st: NotStopd t0: [23:00:00 06/04/2014] id: Orientation el: 0 cu: MICU-A cg: -1 v1: Other/Remarks st: NotStopd t0: [23:00:00 06/04/2014] id: AntiEmbDevice/Status el: 0 cu: MICU-A cg: -1 v1: Compress Sleeves v2: On st: NotStopd t0: [23:00:00 06/04/2014] id: Arterial BP el: 0 cu: MICU-A cg: -1 v1: 131 u1: mmHg v2: 74 u2: mmHg st: NotStopd t0: [23:00:00 06/04/2014] id: Arterial BP Mean el: 0 cu: MICU-A cg: -1 v1: 96 u1: mmHg st: NotStopd t0: [23:00:00 06/04/2014] id: Position el: 0 cu: MICU-A cg: -1 v1: Right Side st: NotStopd t0: [23:00:00 06/04/2014] id: Position Change el: 0 cu: MICU-A cg: -1 v1: Done st: NotStopd t0: [23:00:00 06/04/2014] id: Assistance Device el: 0 cu: MICU-A cg: -1 v1: 2 Person Assist st: NotStopd t0: [23:00:00 06/04/2014] id: Precautions el: 0 cu: MICU-A cg: -1 v1: Universal st: NotStopd t0: [23:00:00 06/04/2014] id: PressureReduceDevice el: 0 cu: MICU-A cg: -1 v1: Multipodus Boots st: NotStopd t0: [23:00:00 06/04/2014] id: RLL Lung Sounds el: 0 cu: MICU-A cg: -1 v1: Diminished st: NotStopd t0: [23:00:00 06/04/2014] id: RUL Lung Sounds el: 0 cu: MICU-A cg: -1 v1: Coarse st: NotStopd t0: [23:00:00 06/04/2014] id: Reason For Restraint el: 0 cu: MICU-A cg: -1 v1: Ext/TXInterfere st: NotStopd t0: [23:00:00 06/04/2014] id: Removed x 5 Mins el: 0 cu: MICU-A cg: -1 v1: Done st: NotStopd t0: [23:00:00 06/04/2014] id: Respiratory Pattern el: 0 cu: MICU-A cg: -1 v1: Regular st: NotStopd t0: [23:00:00 06/04/2014] id: Respiratory Rate el: 0 cu: MICU-A cg: -1 v1: 15 u1: BPM st: NotStopd t0: [23:00:00 06/04/2014] id: Restraint Location el: 0 cu: MICU-A cg: -1 v1: Both Arms st: NotStopd t0: [23:00:00 06/04/2014] id: Restraint Type el: 0 cu: MICU-A cg: -1 v1: Soft Limb st: NotStopd t0: [23:00:00 06/04/2014] id: Restraints Evaluated el: 0 cu: MICU-A cg: -1 v1: Behavior Conts st: NotStopd t0: [23:00:00 06/04/2014] id: Side Rails el: 0 cu: MICU-A cg: -1 v1: Side Rails Up st: NotStopd t0: [23:00:00 06/04/2014] id: Skin Care el: 0 cu: MICU-A cg: -1 v1: Done st: NotStopd t0: [23:00:00 06/04/2014] id: Skin Integrity el: 0 cu: MICU-A cg: -1 v1: Impaired st: NotStopd t0: [23:00:00 06/04/2014] id: SpO2 el: 0 cu: MICU-A cg: -1 v1: 99 u1: % st: NotStopd t0: [23:00:00 06/04/2014] id: Stool Color/Consist el: 0 cu: MICU-A cg: -1 v1: Brown v2: Soft st: NotStopd t0: [23:00:00 06/04/2014] id: Stool Guaiac el: 0 cu: MICU-A cg: -1 v1: Negative st: NotStopd t0: [23:00:00 06/04/2014] id: Support Systems el: 0 cu: MICU-A cg: -1 v1: Spouse st: NotStopd t0: [23:00:00 06/04/2014] id: Temp. Site el: 0 cu: MICU-A cg: -1 v1: Oral st: NotStopd t0: [23:00:00 06/04/2014] id: Temperature C (calc) el: 0 cu: MICU-A cg: -1 v1: 37.6667 u1: Deg. C st: NotStopd t0: [23:00:00 06/04/2014] id: Temperature F el: 0 cu: MICU-A cg: -1 v1: 99.8 u1: Deg. F st: NotStopd t0: [23:00:00 06/04/2014] id: Therapeutic Bed el: 0 cu: MICU-A cg: -1 v1: AirMatt/1st Step st: NotStopd t0: [23:00:00 06/04/2014] id: Turn el: 0 cu: MICU-A cg: -1 v1: Right Side st: NotStopd t0: [23:00:00 06/04/2014] id: Urine Color/Appear el: 0 cu: MICU-A cg: -1 v1: Light Yellow v2: Clear st: NotStopd t0: [23:00:00 06/04/2014] id: Urine Source el: 0 cu: MICU-A cg: -1 v1: Indwelling Cath st: NotStopd t0: [23:00:00 06/04/2014] id: Verbal Response el: 0 cu: MICU-A cg: -1 v1: 1.0 ET/Trach st: NotStopd t0: [23:00:00 06/04/2014] id: Back Care el: 0 cu: MICU-A cg: -1 v1: Done st: NotStopd t0: [23:00:00 06/04/2014] id: calprevflg el: 0 cu: MICU-A cg: -1 v1: 1 u1: kg st: NotStopd t0: [23:00:00 06/04/2014] id: Bowel Sounds el: 0 cu: MICU-A cg: -1 v1: Present st: NotStopd
t0: [23:00:00 06/04/2014] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 10 vu: ml t0: [23:00:00 06/04/2014] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 2 cu: MICU-A cg: -1 ai: 209 vo: 16.182 vu: ml t0: [23:00:00 06/04/2014] id: D5W 50.0ml + 100mghr Lasix IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 1 vu: ml t0: [23:00:00 06/04/2014] id: Promote w/fiber Tube Feeding el: 1 cu: MICU-A cg: -1 ai: 107 vo: 65 vu: ml t0: [23:00:00 06/04/2014] id: Urine Out Foley el: 1 cu: MICU-A cg: -1 vo: 200 vu: ml
t0: [23:00:00 06/04/2014] id: Lasix el: 1 cu: MICU-A so: D5W vo: 0 v1: 2 du: mghr sv: 50 su: ml rt: IV Drip
t0: [23:00:00 06/04/2014] dt: 1 id: Total Hourly Output el: 2 cu: MICU-A cg: -1 pv: 200 cv: 200 ap: none t0: [23:00:00 06/04/2014] dt: 1 id: Net Hourly Balance el: 2 cu: MICU-A cg: -1 pv: -107.818 cv: -107.818 ap: none t0: [23:00:00 06/04/2014] dt: 24 id: IV Infusion In Total el: 2 cu: MICU-A cg: -1 pv: 27.182 cv: 1153.93 ap: none t0: [23:00:00 06/04/2014] dt: 24 id: 24h Total In el: 2 cu: MICU-A cg: -1 pv: 92.182 cv: 4283.93 ap: none t0: [23:00:00 06/04/2014] dt: 24 id: Tube Feeds In Total el: 2 cu: MICU-A cg: -1 pv: 65 cv: 1560 ap: none t0: [23:00:00 06/04/2014] dt: 24 id: Urine Out Total el: 2 cu: MICU-A cg: -1 pv: 200 cv: 6000 ap: none t0: [23:00:00 06/04/2014] dt: 24 id: 24h Net Body Balance el: 2 cu: MICU-A cg: -1 pv: -107.818 cv: -1716.07 ap: carryForward t0: [23:00:00 06/04/2014] dt: 24 id: 24h Total Out el: 2 cu: MICU-A cg: -1 pv: 200 cv: 6000 ap: carryForward t0: [23:00:00 06/04/2014] dt: multiple days id: LOS Net Body Balance el: 2 cu: MICU-A cg: -1 pv: -107.818 cv: 14815.5 ap: carryForward
t0: [00:00:00 07/04/2014] id: Service Type el: 0 cu: MICU-A cg: -1 v1: MICU st: NotStopd t0: [00:00:00 07/04/2014] id: CVP el: 0 cu: MICU-A cg: -1 v1: 8 u1: mmHg st: NotStopd t0: [00:00:00 07/04/2014] id: Code Status el: 0 cu: MICU-A cg: -1 v1: Full Code st: NotStopd t0: [00:00:00 07/04/2014] id: Ectopy Frequency el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [00:00:00 07/04/2014] id: Ectopy Type el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [00:00:00 07/04/2014] id: Heart Rate el: 0 cu: MICU-A cg: -1 v1: 63 u1: BPM st: NotStopd t0: [00:00:00 07/04/2014] id: Heart Rhythm el: 0 cu: MICU-A cg: -1 v1: Normal Sinus st: NotStopd t0: [00:00:00 07/04/2014] id: Arterial BP el: 0 cu: MICU-A cg: -1 v1: 131 u1: mmHg v2: 71 u2: mmHg st: NotStopd t0: [00:00:00 07/04/2014] id: Arterial BP Mean el: 0 cu: MICU-A cg: -1 v1: 94 u1: mmHg st: NotStopd t0: [00:00:00 07/04/2014] id: Precautions el: 0 cu: MICU-A cg: -1 v1: Universal st: NotStopd t0: [00:00:00 07/04/2014] id: Respiratory Rate el: 0 cu: MICU-A cg: -1 v1: 15 u1: BPM st: NotStopd t0: [00:00:00 07/04/2014] id: SpO2 el: 0 cu: MICU-A cg: -1 v1: 100 u1: % st: NotStopd t0: [00:00:00 07/04/2014] id: calprevflg el: 0 cu: MICU-A cg: -1 v1: 1 u1: kg st: NotStopd
t0: [00:00:00 07/04/2014] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 10 vu: ml t0: [00:00:00 07/04/2014] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 2 cu: MICU-A cg: -1 ai: 209 vo: 16.182 vu: ml t0: [00:00:00 07/04/2014] id: D5W 50.0ml + 100mghr Lasix IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 1 vu: ml t0: [00:00:00 07/04/2014] id: Promote w/fiber Tube Feeding el: 1 cu: MICU-A cg: -1 ai: 107 vo: 65 vu: ml t0: [00:00:00 07/04/2014] id: Urine Out Foley el: 1 cu: MICU-A cg: -1 vo: 100 vu: ml
t0: [00:00:00 07/04/2014] id: Lasix el: 1 cu: MICU-A so: D5W vo: 0 v1: 2 du: mghr sv: 50 su: ml rt: IV Drip
t0: [00:20:00 07/04/2014] id: ETT Mark/Location el: 0 cu: MICU-A cg: RRT v1: 21cm v2: Lip st: NotStopd t0: [00:20:00 07/04/2014] id: FiO2 Set el: 0 cu: MICU-A cg: RRT v1: 0.4 u1: torr st: NotStopd t0: [00:20:00 07/04/2014] id: High Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 45 u1: cmH2O st: NotStopd t0: [00:20:00 07/04/2014] id: High Resp. Rate el: 0 cu: MICU-A cg: RRT v1: 30 u1: BPM st: NotStopd t0: [00:20:00 07/04/2014] id: Airway Size el: 0 cu: MICU-A cg: RRT v1: 7.5 mm st: NotStopd t0: [00:20:00 07/04/2014] id: Airway Type el: 0 cu: MICU-A cg: RRT v1: Endotracheal st: NotStopd t0: [00:20:00 07/04/2014] id: Inspired Gas Temp el: 0 cu: MICU-A cg: RRT v1: 34 u1: Deg. C st: NotStopd t0: [00:20:00 07/04/2014] id: Intubation Date el: 0 cu: MICU-A cg: RRT v1: 3 v2: 12 st: NotStopd t0: [00:20:00 07/04/2014] id: Low Exhaled Min Vol el: 0 cu: MICU-A cg: RRT v1: 6 st: NotStopd t0: [00:20:00 07/04/2014] id: Low Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 20 u1: cmH2O st: NotStopd t0: [00:20:00 07/04/2014] id: Mean Airway Pressure el: 0 cu: MICU-A cg: RRT v1: 16 u1: cmH2O st: NotStopd t0: [00:20:00 07/04/2014] id: Minute Volume(Obser) el: 0 cu: MICU-A cg: RRT v1: 11.4 u1: L/min st: NotStopd t0: [00:20:00 07/04/2014] id: PEEP Set el: 0 cu: MICU-A cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [00:20:00 07/04/2014] id: Apnea Time Interval el: 0 cu: MICU-A cg: RRT v1: 20 st: NotStopd t0: [00:20:00 07/04/2014] id: Plateau-Off el: 0 cu: MICU-A cg: RRT v1: Yes st: NotStopd t0: [00:20:00 07/04/2014] id: Pressure Support el: 0 cu: MICU-A cg: RRT v1: 12 u1: . st: NotStopd t0: [00:20:00 07/04/2014] id: Resp Rate (Total) el: 0 cu: MICU-A cg: RRT v1: 18 u1: BPM st: NotStopd t0: [00:20:00 07/04/2014] id: Sensitivity-Vent el: 0 cu: MICU-A cg: RRT v1: 2 u1: cmH2O st: NotStopd t0: [00:20:00 07/04/2014] id: SpO2 el: 0 cu: MICU-A cg: RRT v1: 100 u1: % st: NotStopd t0: [00:20:00 07/04/2014] id: Tidal Volume (Spont) el: 0 cu: MICU-A cg: RRT v1: 530 u1: ml/B st: NotStopd t0: [00:20:00 07/04/2014] id: Ventilator Mode el: 0 cu: MICU-A cg: RRT v1: CPAP+PS st: NotStopd t0: [00:20:00 07/04/2014] id: Ventilator No. el: 0 cu: MICU-A cg: RRT v1: 6 u1: # st: NotStopd t0: [00:20:00 07/04/2014] id: Ventilator Type el: 0 cu: MICU-A cg: RRT v1: 7200A st: NotStopd
t0: [00:00:00 07/04/2014] id: Gastric Meds PO/Gastric el: 1 cu: MICU-A cg: -1 ai: 155 vo: 250 vu: ml
t0: [23:00:00 07/04/2014] dt: 24 id: PO/Gastric In Total el: 2 cu: MICU-A cg: -1 cv: 900 ap: none
t0: [00:01:00 07/04/2014] id: Potassium (3.5-5.3) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 2.9 rs: Final st: NotStopd t0: [00:01:00 07/04/2014] id: Sodium (135-148) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 142 rs: Final st: NotStopd
t0: [01:00:00 07/04/2014] id: Service Type el: 0 cu: MICU-A cg: -1 v1: MICU st: NotStopd t0: [01:00:00 07/04/2014] id: CVP el: 0 cu: MICU-A cg: -1 v1: 9 u1: mmHg st: NotStopd t0: [01:00:00 07/04/2014] id: Code Status el: 0 cu: MICU-A cg: -1 v1: Full Code st: NotStopd t0: [01:00:00 07/04/2014] id: Ectopy Frequency el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [01:00:00 07/04/2014] id: Ectopy Type el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [01:00:00 07/04/2014] id: Heart Rate el: 0 cu: MICU-A cg: -1 v1: 64 u1: BPM st: NotStopd t0: [01:00:00 07/04/2014] id: Heart Rhythm el: 0 cu: MICU-A cg: -1 v1: Normal Sinus st: NotStopd t0: [01:00:00 07/04/2014] id: Arterial BP el: 0 cu: MICU-A cg: -1 v1: 144 u1: mmHg v2: 79 u2: mmHg st: NotStopd t0: [01:00:00 07/04/2014] id: Arterial BP Mean el: 0 cu: MICU-A cg: -1 v1: 105 u1: mmHg st: NotStopd t0: [01:00:00 07/04/2014] id: Precautions el: 0 cu: MICU-A cg: -1 v1: Universal st: NotStopd t0: [01:00:00 07/04/2014] id: Respiratory Rate el: 0 cu: MICU-A cg: -1 v1: 15 u1: BPM st: NotStopd t0: [01:00:00 07/04/2014] id: SpO2 el: 0 cu: MICU-A cg: -1 v1: 99 u1: % st: NotStopd t0: [01:00:00 07/04/2014] id: calprevflg el: 0 cu: MICU-A cg: -1 v1: 1 u1: kg st: NotStopd
t0: [01:00:00 07/04/2014] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 10 vu: ml t0: [01:00:00 07/04/2014] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 2 cu: MICU-A cg: -1 ai: 209 vo: 16.182 vu: ml t0: [01:00:00 07/04/2014] id: D5W 50.0ml + 100mghr Lasix IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 1 vu: ml t0: [01:00:00 07/04/2014] id: IV Piggyback 100.0ml IV Infusions el: 1 cu: MICU-A cg: -1 ai: 105 vo: 50 vu: ml t0: [01:00:00 07/04/2014] id: Promote w/fiber Tube Feeding el: 1 cu: MICU-A cg: -1 ai: 107 vo: 65 vu: ml t0: [01:00:00 07/04/2014] id: Urine Out Foley el: 1 cu: MICU-A cg: -1 vo: 140 vu: ml
t0: [01:00:00 07/04/2014] id: Lasix el: 1 cu: MICU-A so: D5W vo: 0 v1: 2 du: mghr sv: 50 su: ml rt: IV Drip
t0: [23:00:00 07/04/2014] dt: 1 id: Total Hourly Output el: 2 cu: MICU-A cg: -1 pv: 180 cv: 180 ap: none t0: [23:00:00 07/04/2014] dt: 1 id: Net Hourly Balance el: 2 cu: MICU-A cg: -1 pv: -103 cv: -103 ap: none t0: [23:00:00 07/04/2014] dt: 24 id: IV Infusion In Total el: 2 cu: MICU-A cg: -1 pv: 12 cv: 733.662 ap: none t0: [23:00:00 07/04/2014] dt: 24 id: 24h Total In el: 2 cu: MICU-A cg: -1 pv: 77 cv: 3193.66 ap: none t0: [23:00:00 07/04/2014] dt: 24 id: Tube Feeds In Total el: 2 cu: MICU-A cg: -1 pv: 65 cv: 1560 ap: none t0: [23:00:00 07/04/2014] dt: 24 id: Urine Out Total el: 2 cu: MICU-A cg: -1 pv: 180 cv: 3460 ap: none t0: [23:00:00 07/04/2014] dt: 24 id: 24h Net Body Balance el: 2 cu: MICU-A cg: -1 pv: -103 cv: -266.338 ap: carryForward t0: [23:00:00 07/04/2014] dt: 24 id: 24h Total Out el: 2 cu: MICU-A cg: -1 pv: 180 cv: 3460 ap: carryForward t0: [23:00:00 07/04/2014] dt: multiple days id: LOS Net Body Balance el: 2 cu: MICU-A cg: -1 pv: -103 cv: 14549.1 ap: carryForward
t0: [02:00:00 07/04/2014] id: Service Type el: 0 cu: MICU-A cg: -1 v1: MICU st: NotStopd t0: [02:00:00 07/04/2014] id: Code Status el: 0 cu: MICU-A cg: -1 v1: Full Code st: NotStopd t0: [02:00:00 07/04/2014] id: Ectopy Frequency el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [02:00:00 07/04/2014] id: Ectopy Type el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [02:00:00 07/04/2014] id: Heart Rate el: 0 cu: MICU-A cg: -1 v1: 62 u1: BPM st: NotStopd t0: [02:00:00 07/04/2014] id: Heart Rhythm el: 0 cu: MICU-A cg: -1 v1: Normal Sinus st: NotStopd t0: [02:00:00 07/04/2014] id: Arterial BP el: 0 cu: MICU-A cg: -1 v1: 146 u1: mmHg v2: 79 u2: mmHg st: NotStopd t0: [02:00:00 07/04/2014] id: Arterial BP Mean el: 0 cu: MICU-A cg: -1 v1: 106 u1: mmHg st: NotStopd t0: [02:00:00 07/04/2014] id: Precautions el: 0 cu: MICU-A cg: -1 v1: Universal st: NotStopd t0: [02:00:00 07/04/2014] id: Respiratory Rate el: 0 cu: MICU-A cg: -1 v1: 12 u1: BPM st: NotStopd t0: [02:00:00 07/04/2014] id: SpO2 el: 0 cu: MICU-A cg: -1 v1: 100 u1: % st: NotStopd t0: [02:00:00 07/04/2014] id: calprevflg el: 0 cu: MICU-A cg: -1 v1: 1 u1: kg st: NotStopd
t0: [02:00:00 07/04/2014] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 10 vu: ml t0: [02:00:00 07/04/2014] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 2 cu: MICU-A cg: -1 ai: 209 vo: 21.576 vu: ml t0: [02:00:00 07/04/2014] id: D5W 50.0ml + 100mghr Lasix IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 1 vu: ml t0: [02:00:00 07/04/2014] id: Promote w/fiber Tube Feeding el: 1 cu: MICU-A cg: -1 ai: 107 vo: 65 vu: ml t0: [02:00:00 07/04/2014] id: Urine Out Foley el: 1 cu: MICU-A cg: -1 vo: 100 vu: ml
t0: [23:00:00 06/04/2014] id: Propofol el: 2 cu: MICU-A so: N/A vo: 0 v1: 40 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [00:00:00 07/04/2014] id: Propofol el: 2 cu: MICU-A so: N/A vo: 0 v1: 40 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [01:00:00 07/04/2014] id: Propofol el: 2 cu: MICU-A so: N/A vo: 0 v1: 40 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [02:00:00 07/04/2014] id: Lasix el: 1 cu: MICU-A so: D5W vo: 0 v1: 2 du: mghr sv: 50 su: ml rt: IV Drip t0: [02:00:00 07/04/2014] id: Propofol el: 2 cu: MICU-A so: N/A vo: 0 v1: 40 du: mcgkgmin sv: 50 su: vl rt: IV Drip
tf: [01:00:00 08/04/2014] pt: IV Piggyback rt: IV fr: ONCE fs: 2 dn: 1 m1: Potassium Chloride f1: BAG v1: 40 u1: mEq m2: SW f2: INJ v2: 100 u2: ml
t0: [02:00:00 07/04/2014] id: ETT Mark/Location el: 0 cu: MICU-A cg: RRT v1: 21cm v2: Lip st: NotStopd t0: [02:00:00 07/04/2014] id: FiO2 Set el: 0 cu: MICU-A cg: RRT v1: 0.4 u1: torr st: NotStopd t0: [02:00:00 07/04/2014] id: Airway Size el: 0 cu: MICU-A cg: RRT v1: 7.5 mm st: NotStopd t0: [02:00:00 07/04/2014] id: Airway Type el: 0 cu: MICU-A cg: RRT v1: Endotracheal st: NotStopd t0: [02:00:00 07/04/2014] id: Intubation Date el: 0 cu: MICU-A cg: RRT v1: 3 v2: 12 st: NotStopd t0: [02:00:00 07/04/2014] id: Mean Airway Pressure el: 0 cu: MICU-A cg: RRT v1: 13.8 u1: cmH2O st: NotStopd t0: [02:00:00 07/04/2014] id: Minute Volume(Obser) el: 0 cu: MICU-A cg: RRT v1: 6 u1: L/min st: NotStopd t0: [02:00:00 07/04/2014] id: PEEP Set el: 0 cu: MICU-A cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [02:00:00 07/04/2014] id: Pressure Support el: 0 cu: MICU-A cg: RRT v1: 10 u1: . st: NotStopd t0: [02:00:00 07/04/2014] id: Resp Rate (Total) el: 0 cu: MICU-A cg: RRT v1: 13 u1: BPM st: NotStopd t0: [02:00:00 07/04/2014] id: Tidal Volume (Spont) el: 0 cu: MICU-A cg: RRT v1: 560 u1: ml/B st: NotStopd t0: [02:00:00 07/04/2014] id: Ventilator Mode el: 0 cu: MICU-A cg: RRT v1: CPAP+PS st: NotStopd t0: [02:00:00 07/04/2014] id: Ventilator No. el: 0 cu: MICU-A cg: RRT v1: 6 u1: # st: NotStopd t0: [02:00:00 07/04/2014] id: Ventilator Type el: 0 cu: MICU-A cg: RRT v1: 7200A st: NotStopd
t0: [02:00:00 07/04/2014] id: IV Piggyback 100.0ml IV Infusions el: 1 cu: MICU-A cg: -1 ai: 105 vo: 50 vu: ml
t0: [02:00:00 07/04/2014] id: Sputum Color/Consist el: 0 cu: MICU-A cg: -1 v1: White v2: Thick st: NotStopd t0: [02:00:00 07/04/2014] id: Sputum Source/Amt el: 0 cu: MICU-A cg: -1 v1: Suctioned v2: Small st: NotStopd t0: [02:15:00 07/04/2014] id: Service Type el: 0 cu: MICU-A cg: -1 v1: MICU st: NotStopd t0: [02:15:00 07/04/2014] id: CVP el: 0 cu: MICU-A cg: -1 v1: 9 u1: mmHg st: NotStopd t0: [02:15:00 07/04/2014] id: Code Status el: 0 cu: MICU-A cg: -1 v1: Full Code st: NotStopd t0: [02:15:00 07/04/2014] id: Heart Rate el: 0 cu: MICU-A cg: -1 v1: 64 u1: BPM st: NotStopd t0: [02:15:00 07/04/2014] id: Arterial BP el: 0 cu: MICU-A cg: -1 v1: 145 u1: mmHg v2: 77 u2: mmHg st: NotStopd t0: [02:15:00 07/04/2014] id: Arterial BP Mean el: 0 cu: MICU-A cg: -1 v1: 105 u1: mmHg st: NotStopd t0: [02:15:00 07/04/2014] id: Precautions el: 0 cu: MICU-A cg: -1 v1: Universal st: NotStopd t0: [02:15:00 07/04/2014] id: Respiratory Rate el: 0 cu: MICU-A cg: -1 v1: 44 u1: BPM st: NotStopd t0: [02:15:00 07/04/2014] id: SpO2 el: 0 cu: MICU-A cg: -1 v1: 99 u1: % st: NotStopd t0: [02:15:00 07/04/2014] id: calprevflg el: 0 cu: MICU-A cg: -1 v1: 1 u1: kg st: NotStopd
t0: [02:15:00 07/04/2014] id: Lasix el: 1 cu: MICU-A so: D5W vo: 0 v1: 2 du: mghr sv: 50 su: ml rt: IV Drip t0: [02:15:00 07/04/2014] id: Propofol el: 2 cu: MICU-A so: N/A vo: 0 v1: 40 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [02:20:00 07/04/2014] id: ETT Mark/Location el: 0 cu: MICU-A cg: RRT v1: 21cm v2: Lip st: NotStopd t0: [02:20:00 07/04/2014] id: FiO2 Set el: 0 cu: MICU-A cg: RRT v1: 0.4 u1: torr st: NotStopd t0: [02:20:00 07/04/2014] id: Airway Size el: 0 cu: MICU-A cg: RRT v1: 7.5 mm st: NotStopd t0: [02:20:00 07/04/2014] id: Airway Type el: 0 cu: MICU-A cg: RRT v1: Endotracheal st: NotStopd t0: [02:20:00 07/04/2014] id: Intubation Date el: 0 cu: MICU-A cg: RRT v1: 3 v2: 12 st: NotStopd t0: [02:20:00 07/04/2014] id: Mean Airway Pressure el: 0 cu: MICU-A cg: RRT v1: 15 u1: cmH2O st: NotStopd t0: [02:20:00 07/04/2014] id: Minute Volume(Obser) el: 0 cu: MICU-A cg: RRT v1: 9.2 u1: L/min st: NotStopd t0: [02:20:00 07/04/2014] id: PEEP Set el: 0 cu: MICU-A cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [02:20:00 07/04/2014] id: Pressure Support el: 0 cu: MICU-A cg: RRT v1: 12 u1: . st: NotStopd t0: [02:20:00 07/04/2014] id: Resp Rate (Total) el: 0 cu: MICU-A cg: RRT v1: 21 u1: BPM st: NotStopd t0: [02:20:00 07/04/2014] id: SpO2 el: 0 cu: MICU-A cg: RRT v1: 100 u1: % st: NotStopd t0: [02:20:00 07/04/2014] id: Sputum Color/Consist el: 0 cu: MICU-A cg: RRT v1: White v2: Thick st: NotStopd t0: [02:20:00 07/04/2014] id: Sputum Source/Amt el: 0 cu: MICU-A cg: RRT v1: Suctioned v2: Moderate st: NotStopd t0: [02:20:00 07/04/2014] id: Tidal Volume (Spont) el: 0 cu: MICU-A cg: RRT v1: 430 u1: ml/B st: NotStopd t0: [02:20:00 07/04/2014] id: Ventilator Mode el: 0 cu: MICU-A cg: RRT v1: CPAP+PS st: NotStopd t0: [02:20:00 07/04/2014] id: Ventilator No. el: 0 cu: MICU-A cg: RRT v1: 6 u1: # st: NotStopd t0: [02:20:00 07/04/2014] id: Ventilator Type el: 0 cu: MICU-A cg: RRT v1: 7200A st: NotStopd
t0: [02:45:00 07/04/2014] id: Compliance (40-60ml) el: 0 cu: MICU-A cg: RRT v1: 27.7778 u1: ml/cmH st: NotStopd t0: [02:45:00 07/04/2014] id: ETT Mark/Location el: 0 cu: MICU-A cg: RRT v1: 21cm v2: Lip st: NotStopd t0: [02:45:00 07/04/2014] id: FiO2 Set el: 0 cu: MICU-A cg: RRT v1: 0.4 u1: torr st: NotStopd t0: [02:45:00 07/04/2014] id: High Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 45 u1: cmH2O st: NotStopd t0: [02:45:00 07/04/2014] id: High Resp. Rate el: 0 cu: MICU-A cg: RRT v1: 30 u1: BPM st: NotStopd t0: [02:45:00 07/04/2014] id: I:E Ratio el: 0 cu: MICU-A cg: RRT v1: 1:3 st: NotStopd t0: [02:45:00 07/04/2014] id: Airway Size el: 0 cu: MICU-A cg: RRT v1: 7.5 mm st: NotStopd t0: [02:45:00 07/04/2014] id: Airway Type el: 0 cu: MICU-A cg: RRT v1: Endotracheal st: NotStopd t0: [02:45:00 07/04/2014] id: Inspired Gas Temp el: 0 cu: MICU-A cg: RRT v1: 34 u1: Deg. C st: NotStopd t0: [02:45:00 07/04/2014] id: Intubation Date el: 0 cu: MICU-A cg: RRT v1: 3 v2: 12 st: NotStopd t0: [02:45:00 07/04/2014] id: Low Exhaled Min Vol el: 0 cu: MICU-A cg: RRT v1: 6 st: NotStopd t0: [02:45:00 07/04/2014] id: Low Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 20 u1: cmH2O st: NotStopd t0: [02:45:00 07/04/2014] id: Mean Airway Pressure el: 0 cu: MICU-A cg: RRT v1: 15.3 u1: cmH2O st: NotStopd t0: [02:45:00 07/04/2014] id: Minute Volume(Obser) el: 0 cu: MICU-A cg: RRT v1: 11.8 u1: L/min st: NotStopd t0: [02:45:00 07/04/2014] id: PEEP Set el: 0 cu: MICU-A cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [02:45:00 07/04/2014] id: Apnea Time Interval el: 0 cu: MICU-A cg: RRT v1: 20 st: NotStopd t0: [02:45:00 07/04/2014] id: Peak Flow el: 0 cu: MICU-A cg: RRT v1: 60 u1: L/m st: NotStopd t0: [02:45:00 07/04/2014] id: Peak Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 28 u1: cmH2O st: NotStopd t0: [02:45:00 07/04/2014] id: Plateau Pressure el: 0 cu: MICU-A cg: RRT v1: 21 u1: cmH2O st: NotStopd t0: [02:45:00 07/04/2014] id: Plateau-Off el: 0 cu: MICU-A cg: RRT v1: Yes st: NotStopd t0: [02:45:00 07/04/2014] id: Resp Rate (Spont) el: 0 cu: MICU-A cg: RRT v1: 4 u1: BPM st: NotStopd t0: [02:45:00 07/04/2014] id: Resp Rate (Total) el: 0 cu: MICU-A cg: RRT v1: 18 u1: BPM st: NotStopd t0: [02:45:00 07/04/2014] id: Respiratory Rate Set el: 0 cu: MICU-A cg: RRT v1: 14 u1: BPM st: NotStopd t0: [02:45:00 07/04/2014] id: Sensitivity-Vent el: 0 cu: MICU-A cg: RRT v1: 2 u1: cmH2O st: NotStopd t0: [02:45:00 07/04/2014] id: SpO2 el: 0 cu: MICU-A cg: RRT v1: 100 u1: % st: NotStopd t0: [02:45:00 07/04/2014] id: Sputum Color/Consist el: 0 cu: MICU-A cg: RRT v1: White v2: Thick st: NotStopd t0: [02:45:00 07/04/2014] id: Sputum Source/Amt el: 0 cu: MICU-A cg: RRT v1: Suctioned v2: Scant st: NotStopd t0: [02:45:00 07/04/2014] id: Tidal Volume (Obser) el: 0 cu: MICU-A cg: RRT v1: 500 u1: ml/B st: NotStopd t0: [02:45:00 07/04/2014] id: Tidal Volume (Set) el: 0 cu: MICU-A cg: RRT v1: 500 u1: ml/B st: NotStopd t0: [02:45:00 07/04/2014] id: Ventilator Mode el: 0 cu: MICU-A cg: RRT v1: Assist Control st: NotStopd t0: [02:45:00 07/04/2014] id: Ventilator No. el: 0 cu: MICU-A cg: RRT v1: 6 u1: # st: NotStopd t0: [02:45:00 07/04/2014] id: Ventilator Type el: 0 cu: MICU-A cg: RRT v1: 7200A st: NotStopd t0: [02:45:00 07/04/2014] id: Waveform-Vent el: 0 cu: MICU-A cg: RRT v1: RAMP st: NotStopd
t0: [03:00:00 07/04/2014] id: Service Type el: 0 cu: MICU-A cg: -1 v1: MICU st: NotStopd t0: [03:00:00 07/04/2014] id: CVP el: 0 cu: MICU-A cg: -1 v1: 5 u1: mmHg st: NotStopd t0: [03:00:00 07/04/2014] id: Code Status el: 0 cu: MICU-A cg: -1 v1: Full Code st: NotStopd t0: [03:00:00 07/04/2014] id: Ectopy Frequency el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [03:00:00 07/04/2014] id: Ectopy Type el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [03:00:00 07/04/2014] id: HOB el: 0 cu: MICU-A cg: -1 v1: 45 degrees st: NotStopd t0: [03:00:00 07/04/2014] id: Heart Rate el: 0 cu: MICU-A cg: -1 v1: 65 u1: BPM st: NotStopd t0: [03:00:00 07/04/2014] id: Heart Rhythm el: 0 cu: MICU-A cg: -1 v1: Normal Sinus st: NotStopd t0: [03:00:00 07/04/2014] id: Activity el: 0 cu: MICU-A cg: -1 v1: Bedrest st: NotStopd t0: [03:00:00 07/04/2014] id: Activity Tolerance el: 0 cu: MICU-A cg: -1 v1: Good st: NotStopd t0: [03:00:00 07/04/2014] id: AntiEmbDevice/Status el: 0 cu: MICU-A cg: -1 v1: Compress Sleeves v2: On st: NotStopd t0: [03:00:00 07/04/2014] id: Arterial BP el: 0 cu: MICU-A cg: -1 v1: 142 u1: mmHg v2: 77 u2: mmHg st: NotStopd t0: [03:00:00 07/04/2014] id: Arterial BP Mean el: 0 cu: MICU-A cg: -1 v1: 104 u1: mmHg st: NotStopd t0: [03:00:00 07/04/2014] id: Position el: 0 cu: MICU-A cg: -1 v1: Supine st: NotStopd t0: [03:00:00 07/04/2014] id: Assistance Device el: 0 cu: MICU-A cg: -1 v1: 1 Person Assist st: NotStopd t0: [03:00:00 07/04/2014] id: Precautions el: 0 cu: MICU-A cg: -1 v1: Universal st: NotStopd t0: [03:00:00 07/04/2014] id: PressureReduceDevice el: 0 cu: MICU-A cg: -1 v1: Multipodus Boots st: NotStopd t0: [03:00:00 07/04/2014] id: Respiratory Rate el: 0 cu: MICU-A cg: -1 v1: 17 u1: BPM st: NotStopd t0: [03:00:00 07/04/2014] id: SpO2 el: 0 cu: MICU-A cg: -1 v1: 98 u1: % st: NotStopd t0: [03:00:00 07/04/2014] id: Therapeutic Bed el: 0 cu: MICU-A cg: -1 v1: AirMatt/1st Step st: NotStopd t0: [03:00:00 07/04/2014] id: Turn el: 0 cu: MICU-A cg: -1 v1: Back st: NotStopd t0: [03:00:00 07/04/2014] id: calprevflg el: 0 cu: MICU-A cg: -1 v1: 1 u1: kg st: NotStopd
t0: [03:00:00 07/04/2014] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 10 vu: ml t0: [03:00:00 07/04/2014] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 2 cu: MICU-A cg: -1 ai: 209 vo: 21.576 vu: ml t0: [03:00:00 07/04/2014] id: D5W 50.0ml + 100mghr Lasix IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 1 vu: ml t0: [03:00:00 07/04/2014] id: Promote w/fiber Tube Feeding el: 1 cu: MICU-A cg: -1 ai: 107 vo: 65 vu: ml t0: [03:00:00 07/04/2014] id: Urine Out Foley el: 1 cu: MICU-A cg: -1 vo: 100 vu: ml
t0: [03:00:00 07/04/2014] id: Lasix el: 1 cu: MICU-A so: D5W vo: 0 v1: 2 du: mghr sv: 50 su: ml rt: IV Drip t0: [03:00:00 07/04/2014] id: Propofol el: 2 cu: MICU-A so: N/A vo: 0 v1: 40 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [04:00:00 07/04/2014] id: Less Restrict Meas. el: 0 cu: MICU-A cg: -1 v1: Medicated st: NotStopd t0: [04:00:00 07/04/2014] id: Range of Motion el: 0 cu: MICU-A cg: -1 v1: Done st: NotStopd t0: [04:00:00 07/04/2014] id: Service Type el: 0 cu: MICU-A cg: -1 v1: MICU st: NotStopd t0: [04:00:00 07/04/2014] id: CVP el: 0 cu: MICU-A cg: -1 v1: 8 u1: mmHg st: NotStopd t0: [04:00:00 07/04/2014] id: Circulation/SkinInt el: 0 cu: MICU-A cg: -1 v1: Circulation Adeq st: NotStopd t0: [04:00:00 07/04/2014] id: Code Status el: 0 cu: MICU-A cg: -1 v1: Full Code st: NotStopd t0: [04:00:00 07/04/2014] id: Riker-SAS Scale el: 0 cu: MICU-A cg: -1 v1: Sedated st: NotStopd t0: [04:00:00 07/04/2014] id: GI Prophylaxis el: 0 cu: MICU-A cg: -1 v1: H2 Blocker st: NotStopd t0: [04:00:00 07/04/2014] id: Diet Type el: 0 cu: MICU-A cg: -1 v1: Tube Feeding st: NotStopd t0: [04:00:00 07/04/2014] id: Ectopy Frequency el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [04:00:00 07/04/2014] id: Ectopy Type el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [04:00:00 07/04/2014] id: Eye Opening el: 0 cu: MICU-A cg: -1 v1: 4 Spontaneously st: NotStopd t0: [04:00:00 07/04/2014] id: GCS Total el: 0 cu: MICU-A cg: -1 v1: 6 u1: points st: NotStopd t0: [04:00:00 07/04/2014] id: GI Intub #1/Site el: 0 cu: MICU-A cg: -1 v1: Salem Sump v2: Oral st: NotStopd t0: [04:00:00 07/04/2014] id: GI#1 Tube Stat/Drain el: 0 cu: MICU-A cg: -1 v1: Feeding v2: Undigested Food st: NotStopd t0: [04:00:00 07/04/2014] id: GU Catheter Size el: 0 cu: MICU-A cg: -1 v1: 14 French st: NotStopd t0: [04:00:00 07/04/2014] id: Heart Rate el: 0 cu: MICU-A cg: -1 v1: 67 u1: BPM st: NotStopd t0: [04:00:00 07/04/2014] id: Heart Rhythm el: 0 cu: MICU-A cg: -1 v1: Normal Sinus st: NotStopd t0: [04:00:00 07/04/2014] id: INV Line#1 Type/Site el: 0 cu: MICU-A cg: -1 v1: Multi-lumen v2: Left IJ st: NotStopd t0: [04:00:00 07/04/2014] id: INV Line#1InsertDate el: 0 cu: MICU-A cg: -1 v1: 3 v2: 19 st: NotStopd t0: [04:00:00 07/04/2014] id: INV Line#1SiteAppear el: 0 cu: MICU-A cg: -1 v1: WNL st: NotStopd t0: [04:00:00 07/04/2014] id: INV Line#4 Type/Site el: 0 cu: MICU-A cg: -1 v1: A-Line v2: Right Brachial st: NotStopd t0: [04:00:00 07/04/2014] id: INV Line#4 Zero/Cal el: 0 cu: MICU-A cg: -1 v1: No st: NotStopd t0: [04:00:00 07/04/2014] id: INV Line#4InsertDate el: 0 cu: MICU-A cg: -1 v1: 3 v2: 17 st: NotStopd t0: [04:00:00 07/04/2014] id: INV Line#4SiteAppear el: 0 cu: MICU-A cg: -1 v1: WNL st: NotStopd t0: [04:00:00 07/04/2014] id: Abdominal Assessment el: 0 cu: MICU-A cg: -1 v1: Soft st: NotStopd t0: [04:00:00 07/04/2014] id: INV#4 WaveformAppear el: 0 cu: MICU-A cg: -1 v1: Sharp st: NotStopd t0: [04:00:00 07/04/2014] id: Impaired Skin Site#1 el: 0 cu: MICU-A cg: -1 v1: Gluteal, Right st: NotStopd t0: [04:00:00 07/04/2014] id: Impaired Skin Site#2 el: 0 cu: MICU-A cg: -1 v1: Labia st: NotStopd t0: [04:00:00 07/04/2014] id: LLL Lung Sounds el: 0 cu: MICU-A cg: -1 v1: Diminished st: NotStopd t0: [04:00:00 07/04/2014] id: LUL Lung Sounds el: 0 cu: MICU-A cg: -1 v1: Coarse st: NotStopd t0: [04:00:00 07/04/2014] id: Level of Conscious el: 0 cu: MICU-A cg: -1 v1: Sedated st: NotStopd t0: [04:00:00 07/04/2014] id: Motor Response el: 0 cu: MICU-A cg: -1 v1: 1 No Response st: NotStopd t0: [04:00:00 07/04/2014] id: Oral Cavity el: 0 cu: MICU-A cg: -1 v1: Teeth/Tissue WNL st: NotStopd t0: [04:00:00 07/04/2014] id: Orientation el: 0 cu: MICU-A cg: -1 v1: Other/Remarks st: NotStopd t0: [04:00:00 07/04/2014] id: Arterial BP el: 0 cu: MICU-A cg: -1 v1: 132 u1: mmHg v2: 71 u2: mmHg st: NotStopd t0: [04:00:00 07/04/2014] id: Arterial BP Mean el: 0 cu: MICU-A cg: -1 v1: 95 u1: mmHg st: NotStopd t0: [04:00:00 07/04/2014] id: Position Change el: 0 cu: MICU-A cg: -1 v1: Done st: NotStopd t0: [04:00:00 07/04/2014] id: Precautions el: 0 cu: MICU-A cg: -1 v1: Universal st: NotStopd t0: [04:00:00 07/04/2014] id: RLL Lung Sounds el: 0 cu: MICU-A cg: -1 v1: Diminished st: NotStopd t0: [04:00:00 07/04/2014] id: RUL Lung Sounds el: 0 cu: MICU-A cg: -1 v1: Coarse st: NotStopd t0: [04:00:00 07/04/2014] id: Reason For Restraint el: 0 cu: MICU-A cg: -1 v1: Ext/TXInterfere st: NotStopd t0: [04:00:00 07/04/2014] id: Removed x 5 Mins el: 0 cu: MICU-A cg: -1 v1: Done st: NotStopd t0: [04:00:00 07/04/2014] id: Respiratory Pattern el: 0 cu: MICU-A cg: -1 v1: Regular st: NotStopd t0: [04:00:00 07/04/2014] id: Respiratory Rate el: 0 cu: MICU-A cg: -1 v1: 17 u1: BPM st: NotStopd t0: [04:00:00 07/04/2014] id: Restraint Location el: 0 cu: MICU-A cg: -1 v1: Both Arms st: NotStopd t0: [04:00:00 07/04/2014] id: Restraint Type el: 0 cu: MICU-A cg: -1 v1: Soft Limb st: NotStopd t0: [04:00:00 07/04/2014] id: Restraints Evaluated el: 0 cu: MICU-A cg: -1 v1: Behavior Conts st: NotStopd t0: [04:00:00 07/04/2014] id: Side Rails el: 0 cu: MICU-A cg: -1 v1: Side Rails Up st: NotStopd t0: [04:00:00 07/04/2014] id: Skin Integrity el: 0 cu: MICU-A cg: -1 v1: Impaired st: NotStopd t0: [04:00:00 07/04/2014] id: SpO2 el: 0 cu: MICU-A cg: -1 v1: 99 u1: % st: NotStopd t0: [04:00:00 07/04/2014] id: Support Systems el: 0 cu: MICU-A cg: -1 v1: Spouse st: NotStopd t0: [04:00:00 07/04/2014] id: Temp. Site el: 0 cu: MICU-A cg: -1 v1: Oral st: NotStopd t0: [04:00:00 07/04/2014] id: Temperature C (calc) el: 0 cu: MICU-A cg: -1 v1: 37.9444 u1: Deg. C st: NotStopd t0: [04:00:00 07/04/2014] id: Temperature F el: 0 cu: MICU-A cg: -1 v1: 100.3 u1: Deg. F st: NotStopd t0: [04:00:00 07/04/2014] id: Urine Color/Appear el: 0 cu: MICU-A cg: -1 v1: Light Yellow v2: Clear st: NotStopd t0: [04:00:00 07/04/2014] id: Urine Source el: 0 cu: MICU-A cg: -1 v1: Indwelling Cath st: NotStopd t0: [04:00:00 07/04/2014] id: Verbal Response el: 0 cu: MICU-A cg: -1 v1: 1.0 ET/Trach st: NotStopd t0: [04:00:00 07/04/2014] id: calprevflg el: 0 cu: MICU-A cg: -1 v1: 1 u1: kg st: NotStopd t0: [04:00:00 07/04/2014] id: Behavior el: 0 cu: MICU-A cg: -1 v1: Sedated st: NotStopd t0: [04:00:00 07/04/2014] id: Bowel Sounds el: 0 cu: MICU-A cg: -1 v1: Present st: NotStopd
t0: [04:00:00 07/04/2014] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 10 vu: ml t0: [04:00:00 07/04/2014] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 2 cu: MICU-A cg: -1 ai: 209 vo: 21.576 vu: ml t0: [04:00:00 07/04/2014] id: Gastric Meds PO/Gastric el: 1 cu: MICU-A cg: -1 ai: 155 vo: 60 vu: ml t0: [04:00:00 07/04/2014] id: D5W 50.0ml + 100mghr Lasix IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 1 vu: ml t0: [04:00:00 07/04/2014] id: IV Piggyback 100.0ml IV Infusions el: 1 cu: MICU-A cg: -1 ai: 105 vo: 50 vu: ml t0: [04:00:00 07/04/2014] id: Promote w/fiber Tube Feeding el: 1 cu: MICU-A cg: -1 ai: 107 vo: 65 vu: ml t0: [04:00:00 07/04/2014] id: Urine Out Foley el: 1 cu: MICU-A cg: -1 vo: 180 vu: ml
t0: [04:00:00 07/04/2014] id: Lasix el: 1 cu: MICU-A so: D5W vo: 0 v1: 2 du: mghr sv: 50 su: ml rt: IV Drip t0: [04:00:00 07/04/2014] id: Propofol el: 2 cu: MICU-A so: N/A vo: 0 v1: 40 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [04:00:00 07/04/2014] id: Compliance (40-60ml) el: 0 cu: MICU-A cg: RRT v1: 27.7778 u1: ml/cmH st: NotStopd t0: [04:00:00 07/04/2014] id: ETT Mark/Location el: 0 cu: MICU-A cg: RRT v1: 21cm v2: Lip st: NotStopd t0: [04:00:00 07/04/2014] id: FiO2 Set el: 0 cu: MICU-A cg: RRT v1: 0.4 u1: torr st: NotStopd t0: [04:00:00 07/04/2014] id: High Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 45 u1: cmH2O st: NotStopd t0: [04:00:00 07/04/2014] id: High Resp. Rate el: 0 cu: MICU-A cg: RRT v1: 30 u1: BPM st: NotStopd t0: [04:00:00 07/04/2014] id: Airway Size el: 0 cu: MICU-A cg: RRT v1: 7.5 mm st: NotStopd t0: [04:00:00 07/04/2014] id: Airway Type el: 0 cu: MICU-A cg: RRT v1: Endotracheal st: NotStopd t0: [04:00:00 07/04/2014] id: Inspired Gas Temp el: 0 cu: MICU-A cg: RRT v1: 34 u1: Deg. C st: NotStopd t0: [04:00:00 07/04/2014] id: Intubation Date el: 0 cu: MICU-A cg: RRT v1: 3 v2: 12 st: NotStopd t0: [04:00:00 07/04/2014] id: Low Exhaled Min Vol el: 0 cu: MICU-A cg: RRT v1: 6 st: NotStopd t0: [04:00:00 07/04/2014] id: Low Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 20 u1: cmH2O st: NotStopd t0: [04:00:00 07/04/2014] id: Mean Airway Pressure el: 0 cu: MICU-A cg: RRT v1: 13.9 u1: cmH2O st: NotStopd t0: [04:00:00 07/04/2014] id: Minute Volume(Obser) el: 0 cu: MICU-A cg: RRT v1: 7.3 u1: L/min st: NotStopd t0: [04:00:00 07/04/2014] id: PEEP Set el: 0 cu: MICU-A cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [04:00:00 07/04/2014] id: Apnea Time Interval el: 0 cu: MICU-A cg: RRT v1: 20 st: NotStopd t0: [04:00:00 07/04/2014] id: Peak Flow el: 0 cu: MICU-A cg: RRT v1: 60 u1: L/m st: NotStopd t0: [04:00:00 07/04/2014] id: Peak Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 28 u1: cmH2O st: NotStopd t0: [04:00:00 07/04/2014] id: Plateau Pressure el: 0 cu: MICU-A cg: RRT v1: 22 u1: cmH2O st: NotStopd t0: [04:00:00 07/04/2014] id: Plateau-Off el: 0 cu: MICU-A cg: RRT v1: Yes st: NotStopd t0: [04:00:00 07/04/2014] id: Resp Rate (Spont) el: 0 cu: MICU-A cg: RRT v1: 4 u1: BPM st: NotStopd t0: [04:00:00 07/04/2014] id: Resp Rate (Total) el: 0 cu: MICU-A cg: RRT v1: 18 u1: BPM st: NotStopd t0: [04:00:00 07/04/2014] id: Respiratory Rate Set el: 0 cu: MICU-A cg: RRT v1: 14 u1: BPM st: NotStopd t0: [04:00:00 07/04/2014] id: Sensitivity-Vent el: 0 cu: MICU-A cg: RRT v1: 2 u1: cmH2O st: NotStopd t0: [04:00:00 07/04/2014] id: Sputum Color/Consist el: 0 cu: MICU-A cg: RRT v1: White v2: Thick st: NotStopd t0: [04:00:00 07/04/2014] id: Sputum Source/Amt el: 0 cu: MICU-A cg: RRT v1: Suctioned v2: Scant st: NotStopd t0: [04:00:00 07/04/2014] id: Tidal Volume (Obser) el: 0 cu: MICU-A cg: RRT v1: 500 u1: ml/B st: NotStopd t0: [04:00:00 07/04/2014] id: Tidal Volume (Set) el: 0 cu: MICU-A cg: RRT v1: 500 u1: ml/B st: NotStopd t0: [04:00:00 07/04/2014] id: Ventilator Mode el: 0 cu: MICU-A cg: RRT v1: Assist Control st: NotStopd t0: [04:00:00 07/04/2014] id: Ventilator No. el: 0 cu: MICU-A cg: RRT v1: 6 u1: # st: NotStopd t0: [04:00:00 07/04/2014] id: Ventilator Type el: 0 cu: MICU-A cg: RRT v1: 7200A st: NotStopd t0: [04:00:00 07/04/2014] id: Waveform-Vent el: 0 cu: MICU-A cg: RRT v1: RAMP st: NotStopd t0: [04:20:00 07/04/2014] id: Art.pH ABG el: 0 cu: MICU-A cg: 1663 v1: 7.46 rs: Final st: NotStopd t0: [04:20:00 07/04/2014] id: Arterial Base Excess ABG el: 0 cu: MICU-A cg: 1663 v1: 5 rs: Final st: NotStopd t0: [04:20:00 07/04/2014] id: Arterial CO2(Calc) ABG el: 0 cu: MICU-A cg: 1663 v1: 30 rs: Final st: NotStopd t0: [04:20:00 07/04/2014] id: Arterial PaCO2 ABG el: 0 cu: MICU-A cg: 1663 v1: 41 u1: mmHg rs: Final st: NotStopd t0: [04:20:00 07/04/2014] id: Arterial PaO2 ABG el: 0 cu: MICU-A cg: 1663 v1: 127 u1: mmHg rs: Final st: NotStopd t0: [04:20:00 07/04/2014] id: Arterial pH ABG el: 0 cu: MICU-A cg: 1663 v1: 7.46 rs: Final st: NotStopd
t0: [05:00:00 07/04/2014] id: Service Type el: 0 cu: MICU-A cg: -1 v1: MICU st: NotStopd t0: [05:00:00 07/04/2014] id: CVP el: 0 cu: MICU-A cg: -1 v1: 5 u1: mmHg st: NotStopd t0: [05:00:00 07/04/2014] id: Code Status el: 0 cu: MICU-A cg: -1 v1: Full Code st: NotStopd t0: [05:00:00 07/04/2014] id: Ectopy Frequency el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [05:00:00 07/04/2014] id: Ectopy Type el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [05:00:00 07/04/2014] id: HOB el: 0 cu: MICU-A cg: -1 v1: 45 degrees st: NotStopd t0: [05:00:00 07/04/2014] id: Heart Rate el: 0 cu: MICU-A cg: -1 v1: 64 u1: BPM st: NotStopd t0: [05:00:00 07/04/2014] id: Heart Rhythm el: 0 cu: MICU-A cg: -1 v1: Normal Sinus st: NotStopd t0: [05:00:00 07/04/2014] id: Activity el: 0 cu: MICU-A cg: -1 v1: Bedrest st: NotStopd t0: [05:00:00 07/04/2014] id: Activity Tolerance el: 0 cu: MICU-A cg: -1 v1: Tolerated Well st: NotStopd t0: [05:00:00 07/04/2014] id: Oral Care el: 0 cu: MICU-A cg: -1 v1: Done st: NotStopd t0: [05:00:00 07/04/2014] id: AntiEmbDevice/Status el: 0 cu: MICU-A cg: -1 v1: Compress Sleeves v2: On st: NotStopd t0: [05:00:00 07/04/2014] id: Arterial BP el: 0 cu: MICU-A cg: -1 v1: 130 u1: mmHg v2: 66 u2: mmHg st: NotStopd t0: [05:00:00 07/04/2014] id: Arterial BP Mean el: 0 cu: MICU-A cg: -1 v1: 90 u1: mmHg st: NotStopd t0: [05:00:00 07/04/2014] id: Position el: 0 cu: MICU-A cg: -1 v1: Left Side st: NotStopd t0: [05:00:00 07/04/2014] id: Assistance Device el: 0 cu: MICU-A cg: -1 v1: 2 Person Assist st: NotStopd t0: [05:00:00 07/04/2014] id: Precautions el: 0 cu: MICU-A cg: -1 v1: Universal st: NotStopd t0: [05:00:00 07/04/2014] id: PressureReduceDevice el: 0 cu: MICU-A cg: -1 v1: Multipodus Boots st: NotStopd t0: [05:00:00 07/04/2014] id: Respiratory Rate el: 0 cu: MICU-A cg: -1 v1: 16 u1: BPM st: NotStopd t0: [05:00:00 07/04/2014] id: Skin Care el: 0 cu: MICU-A cg: -1 v1: Done st: NotStopd t0: [05:00:00 07/04/2014] id: SpO2 el: 0 cu: MICU-A cg: -1 v1: 99 u1: % st: NotStopd t0: [05:00:00 07/04/2014] id: Therapeutic Bed el: 0 cu: MICU-A cg: -1 v1: AirMatt/1st Step st: NotStopd t0: [05:00:00 07/04/2014] id: Turn el: 0 cu: MICU-A cg: -1 v1: Left Side st: NotStopd t0: [05:00:00 07/04/2014] id: Back Care el: 0 cu: MICU-A cg: -1 v1: Done st: NotStopd t0: [05:00:00 07/04/2014] id: calprevflg el: 0 cu: MICU-A cg: -1 v1: 1 u1: kg st: NotStopd
t0: [05:00:00 07/04/2014] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 10 vu: ml t0: [05:00:00 07/04/2014] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 2 cu: MICU-A cg: -1 ai: 209 vo: 21.576 vu: ml t0: [05:00:00 07/04/2014] id: D5W 50.0ml + 100mghr Lasix IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 1 vu: ml t0: [05:00:00 07/04/2014] id: Promote w/fiber Tube Feeding el: 1 cu: MICU-A cg: -1 ai: 107 vo: 65 vu: ml t0: [05:00:00 07/04/2014] id: Urine Out Foley el: 1 cu: MICU-A cg: -1 vo: 100 vu: ml
t0: [05:00:00 07/04/2014] id: Lasix el: 1 cu: MICU-A so: D5W vo: 0 v1: 2 du: mghr sv: 50 su: ml rt: IV Drip t0: [05:00:00 07/04/2014] id: Propofol el: 2 cu: MICU-A so: N/A vo: 0 v1: 40 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [06:00:00 07/04/2014] id: Service Type el: 0 cu: MICU-A cg: -1 v1: MICU st: NotStopd t0: [06:00:00 07/04/2014] id: CVP el: 0 cu: MICU-A cg: -1 v1: 5 u1: mmHg st: NotStopd t0: [06:00:00 07/04/2014] id: Code Status el: 0 cu: MICU-A cg: -1 v1: Full Code st: NotStopd t0: [06:00:00 07/04/2014] id: Ectopy Frequency el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [06:00:00 07/04/2014] id: Ectopy Type el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [06:00:00 07/04/2014] id: Heart Rate el: 0 cu: MICU-A cg: -1 v1: 64 u1: BPM st: NotStopd t0: [06:00:00 07/04/2014] id: Heart Rhythm el: 0 cu: MICU-A cg: -1 v1: Normal Sinus st: NotStopd t0: [06:00:00 07/04/2014] id: Oral Care el: 0 cu: MICU-A cg: -1 v1: Done st: NotStopd t0: [06:00:00 07/04/2014] id: Arterial BP el: 0 cu: MICU-A cg: -1 v1: 135 u1: mmHg v2: 67 u2: mmHg st: NotStopd t0: [06:00:00 07/04/2014] id: Arterial BP Mean el: 0 cu: MICU-A cg: -1 v1: 93 u1: mmHg st: NotStopd t0: [06:00:00 07/04/2014] id: Precautions el: 0 cu: MICU-A cg: -1 v1: Universal st: NotStopd t0: [06:00:00 07/04/2014] id: Respiratory Rate el: 0 cu: MICU-A cg: -1 v1: 16 u1: BPM st: NotStopd t0: [06:00:00 07/04/2014] id: SpO2 el: 0 cu: MICU-A cg: -1 v1: 98 u1: % st: NotStopd t0: [06:00:00 07/04/2014] id: calprevflg el: 0 cu: MICU-A cg: -1 v1: 1 u1: kg st: NotStopd
t0: [06:00:00 07/04/2014] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 10 vu: ml t0: [06:00:00 07/04/2014] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 2 cu: MICU-A cg: -1 ai: 209 vo: 21.576 vu: ml t0: [06:00:00 07/04/2014] id: Gastric Meds PO/Gastric el: 1 cu: MICU-A cg: -1 ai: 155 vo: 250 vu: ml t0: [06:00:00 07/04/2014] id: D5W 50.0ml + 100mghr Lasix IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 1 vu: ml t0: [06:00:00 07/04/2014] id: Promote w/fiber Tube Feeding el: 1 cu: MICU-A cg: -1 ai: 107 vo: 65 vu: ml t0: [06:00:00 07/04/2014] id: Urine Out Foley el: 1 cu: MICU-A cg: -1 vo: 140 vu: ml
t0: [06:00:00 07/04/2014] id: Lasix el: 1 cu: MICU-A so: D5W vo: 0 v1: 2 du: mghr sv: 50 su: ml rt: IV Drip t0: [06:00:00 07/04/2014] id: Propofol el: 2 cu: MICU-A so: N/A vo: 0 v1: 40 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [07:00:00 07/04/2014] id: Compliance (40-60ml) el: 0 cu: MICU-A cg: RRT v1: 34.2466 u1: ml/cmH st: NotStopd t0: [07:00:00 07/04/2014] id: ETT Mark/Location el: 0 cu: MICU-A cg: RRT v1: 21cm v2: Lip st: NotStopd t0: [07:00:00 07/04/2014] id: FiO2 Set el: 0 cu: MICU-A cg: RRT v1: 0.4 u1: torr st: NotStopd t0: [07:00:00 07/04/2014] id: High Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 45 u1: cmH2O st: NotStopd t0: [07:00:00 07/04/2014] id: High Resp. Rate el: 0 cu: MICU-A cg: RRT v1: 30 u1: BPM st: NotStopd t0: [07:00:00 07/04/2014] id: Airway Size el: 0 cu: MICU-A cg: RRT v1: 7.5 mm st: NotStopd t0: [07:00:00 07/04/2014] id: Airway Type el: 0 cu: MICU-A cg: RRT v1: Endotracheal st: NotStopd t0: [07:00:00 07/04/2014] id: Inspired Gas Temp el: 0 cu: MICU-A cg: RRT v1: 34.5 u1: Deg. C st: NotStopd t0: [07:00:00 07/04/2014] id: Intubation Date el: 0 cu: MICU-A cg: RRT v1: 3 v2: 12 st: NotStopd t0: [07:00:00 07/04/2014] id: Low Exhaled Min Vol el: 0 cu: MICU-A cg: RRT v1: 3 st: NotStopd t0: [07:00:00 07/04/2014] id: Low Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [07:00:00 07/04/2014] id: Mean Airway Pressure el: 0 cu: MICU-A cg: RRT v1: 15.6 u1: cmH2O st: NotStopd t0: [07:00:00 07/04/2014] id: Minute Volume(Obser) el: 0 cu: MICU-A cg: RRT v1: 8.9 u1: L/min st: NotStopd t0: [07:00:00 07/04/2014] id: PEEP Set el: 0 cu: MICU-A cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [07:00:00 07/04/2014] id: Apnea Time Interval el: 0 cu: MICU-A cg: RRT v1: 20 st: NotStopd t0: [07:00:00 07/04/2014] id: Peak Flow el: 0 cu: MICU-A cg: RRT v1: 60 u1: L/m st: NotStopd t0: [07:00:00 07/04/2014] id: Peak Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 24.6 u1: cmH2O st: NotStopd t0: [07:00:00 07/04/2014] id: Plateau Pressure el: 0 cu: MICU-A cg: RRT v1: 21.7 u1: cmH2O st: NotStopd t0: [07:00:00 07/04/2014] id: Plateau-Off el: 0 cu: MICU-A cg: RRT v1: Yes st: NotStopd t0: [07:00:00 07/04/2014] id: Resp Rate (Spont) el: 0 cu: MICU-A cg: RRT v1: 4 u1: BPM st: NotStopd t0: [07:00:00 07/04/2014] id: Resp Rate (Total) el: 0 cu: MICU-A cg: RRT v1: 18 u1: BPM st: NotStopd t0: [07:00:00 07/04/2014] id: Respiratory Rate Set el: 0 cu: MICU-A cg: RRT v1: 14 u1: BPM st: NotStopd t0: [07:00:00 07/04/2014] id: Sensitivity-Vent el: 0 cu: MICU-A cg: RRT v1: 2 u1: cmH2O st: NotStopd t0: [07:00:00 07/04/2014] id: SpO2 el: 0 cu: MICU-A cg: RRT v1: 99 u1: % st: NotStopd t0: [07:00:00 07/04/2014] id: Tidal Volume (Obser) el: 0 cu: MICU-A cg: RRT v1: 490 u1: ml/B st: NotStopd t0: [07:00:00 07/04/2014] id: Tidal Volume (Set) el: 0 cu: MICU-A cg: RRT v1: 500 u1: ml/B st: NotStopd t0: [07:00:00 07/04/2014] id: Ventilator Mode el: 0 cu: MICU-A cg: RRT v1: Assist Control st: NotStopd t0: [07:00:00 07/04/2014] id: Ventilator No. el: 0 cu: MICU-A cg: RRT v1: 6 u1: # st: NotStopd t0: [07:00:00 07/04/2014] id: Ventilator Type el: 0 cu: MICU-A cg: RRT v1: 7200A st: NotStopd t0: [07:00:00 07/04/2014] id: Waveform-Vent el: 0 cu: MICU-A cg: RRT v1: RAMP st: NotStopd
t0: [06:00:00 07/04/2014] id: BUN (6-20) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 54 rs: Final st: NotStopd t0: [06:00:00 07/04/2014] id: Calcium (8.4-10.2) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 8.8 u1: mg/dl rs: Final st: NotStopd t0: [06:00:00 07/04/2014] id: Carbon Dioxide Chemistry el: 0 cu: MICU-A cg: 1663 v1: 26 rs: Final st: NotStopd t0: [06:00:00 07/04/2014] id: Chloride (100-112) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 103 rs: Final st: NotStopd t0: [06:00:00 07/04/2014] id: Creatinine (0-1.3) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 1.3 rs: Final st: NotStopd t0: [06:00:00 07/04/2014] id: Glucose (70-105) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 124 rs: Final st: NotStopd t0: [06:00:00 07/04/2014] id: Magnesium (1.6-2.6) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 2.3 rs: Final st: NotStopd t0: [06:00:00 07/04/2014] id: Phosphorous(2.7-4.5) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 4.6 u1: mEq/L rs: Final st: NotStopd t0: [06:00:00 07/04/2014] id: Potassium (3.5-5.3) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 4 rs: Final st: NotStopd t0: [06:00:00 07/04/2014] id: Sodium (135-148) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 141 rs: Final st: NotStopd
t0: [07:00:00 07/04/2014] id: Service Type el: 0 cu: MICU-A cg: -1 v1: MICU st: NotStopd t0: [07:00:00 07/04/2014] id: Code Status el: 0 cu: MICU-A cg: -1 v1: Full Code st: NotStopd t0: [07:00:00 07/04/2014] id: Ectopy Frequency el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [07:00:00 07/04/2014] id: Ectopy Type el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [07:00:00 07/04/2014] id: Heart Rate el: 0 cu: MICU-A cg: -1 v1: 67 u1: BPM st: NotStopd t0: [07:00:00 07/04/2014] id: Heart Rhythm el: 0 cu: MICU-A cg: -1 v1: Normal Sinus st: NotStopd t0: [07:00:00 07/04/2014] id: Arterial BP el: 0 cu: MICU-A cg: -1 v1: 150 u1: mmHg v2: 75 u2: mmHg st: NotStopd t0: [07:00:00 07/04/2014] id: Arterial BP Mean el: 0 cu: MICU-A cg: -1 v1: 104 u1: mmHg st: NotStopd t0: [07:00:00 07/04/2014] id: Precautions el: 0 cu: MICU-A cg: -1 v1: Universal st: NotStopd t0: [07:00:00 07/04/2014] id: Respiratory Rate el: 0 cu: MICU-A cg: -1 v1: 16 u1: BPM st: NotStopd t0: [07:00:00 07/04/2014] id: calprevflg el: 0 cu: MICU-A cg: -1 v1: 1 u1: kg st: NotStopd t0: [08:00:00 07/04/2014] id: Less Restrict Meas. el: 0 cu: MICU-A cg: -1 v1: Medicated st: NotStopd t0: [08:00:00 07/04/2014] id: Pain Present el: 0 cu: MICU-A cg: -1 v1: No st: NotStopd t0: [08:00:00 07/04/2014] id: Range of Motion el: 0 cu: MICU-A cg: -1 v1: Done st: NotStopd t0: [08:00:00 07/04/2014] id: Service Type el: 0 cu: MICU-A cg: -1 v1: MICU st: NotStopd t0: [08:00:00 07/04/2014] id: Circulation/SkinInt el: 0 cu: MICU-A cg: -1 v1: Circulation Adeq st: NotStopd t0: [08:00:00 07/04/2014] id: Code Status el: 0 cu: MICU-A cg: -1 v1: Full Code st: NotStopd t0: [08:00:00 07/04/2014] id: Riker-SAS Scale el: 0 cu: MICU-A cg: -1 v1: Calm/Cooperative st: NotStopd t0: [08:00:00 07/04/2014] id: GI Prophylaxis el: 0 cu: MICU-A cg: -1 v1: H2 Blocker st: NotStopd t0: [08:00:00 07/04/2014] id: Diet Type el: 0 cu: MICU-A cg: -1 v1: Tube Feeding st: NotStopd t0: [08:00:00 07/04/2014] id: Dorsal PedPulse R/L el: 0 cu: MICU-A cg: -1 v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [08:00:00 07/04/2014] id: Ectopy Frequency el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [08:00:00 07/04/2014] id: Ectopy Type el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [08:00:00 07/04/2014] id: Eye Opening el: 0 cu: MICU-A cg: -1 v1: 4 Spontaneously st: NotStopd t0: [08:00:00 07/04/2014] id: GCS Total el: 0 cu: MICU-A cg: -1 v1: 6 u1: points st: NotStopd t0: [08:00:00 07/04/2014] id: GI Intub #1/Site el: 0 cu: MICU-A cg: -1 v1: Salem Sump v2: Oral st: NotStopd t0: [08:00:00 07/04/2014] id: GI#1 Tube PlaceCheck el: 0 cu: MICU-A cg: -1 v1: Done st: NotStopd t0: [08:00:00 07/04/2014] id: GI#1 Tube Stat/Drain el: 0 cu: MICU-A cg: -1 v1: Feeding v2: Undigested Food st: NotStopd t0: [08:00:00 07/04/2014] id: GU Catheter Size el: 0 cu: MICU-A cg: -1 v1: 14 French st: NotStopd t0: [08:00:00 07/04/2014] id: HOB el: 0 cu: MICU-A cg: -1 v1: 45 degrees st: NotStopd t0: [08:00:00 07/04/2014] id: Heart Rate el: 0 cu: MICU-A cg: -1 v1: 64 u1: BPM st: NotStopd t0: [08:00:00 07/04/2014] id: Heart Rhythm el: 0 cu: MICU-A cg: -1 v1: Normal Sinus st: NotStopd t0: [08:00:00 07/04/2014] id: INV Line#1 Type/Site el: 0 cu: MICU-A cg: -1 v1: Multi-lumen v2: Left IJ st: NotStopd t0: [08:00:00 07/04/2014] id: INV Line#1InsertDate el: 0 cu: MICU-A cg: -1 v1: 3 v2: 19 st: NotStopd t0: [08:00:00 07/04/2014] id: INV Line#1SiteAppear el: 0 cu: MICU-A cg: -1 v1: WNL st: NotStopd t0: [08:00:00 07/04/2014] id: INV Line#4 Type/Site el: 0 cu: MICU-A cg: -1 v1: A-Line v2: Right Brachial st: NotStopd t0: [08:00:00 07/04/2014] id: INV Line#4 Zero/Cal el: 0 cu: MICU-A cg: -1 v1: No st: NotStopd t0: [08:00:00 07/04/2014] id: INV Line#4InsertDate el: 0 cu: MICU-A cg: -1 v1: 3 v2: 17 st: NotStopd t0: [08:00:00 07/04/2014] id: INV Line#4SiteAppear el: 0 cu: MICU-A cg: -1 v1: WNL st: NotStopd t0: [08:00:00 07/04/2014] id: Abdominal Assessment el: 0 cu: MICU-A cg: -1 v1: Soft st: NotStopd t0: [08:00:00 07/04/2014] id: INV#4 WaveformAppear el: 0 cu: MICU-A cg: -1 v1: Sharp st: NotStopd t0: [08:00:00 07/04/2014] id: Activity el: 0 cu: MICU-A cg: -1 v1: Bedrest st: NotStopd t0: [08:00:00 07/04/2014] id: Activity Tolerance el: 0 cu: MICU-A cg: -1 v1: Tolerated Well st: NotStopd t0: [08:00:00 07/04/2014] id: Imp Skin Cleanse #2 el: 0 cu: MICU-A cg: -1 v1: Soap & H20 st: NotStopd t0: [08:00:00 07/04/2014] id: ImpSkin Character #1 el: 0 cu: MICU-A cg: -1 v1: Hematoma st: NotStopd t0: [08:00:00 07/04/2014] id: ImpSkin Character #2 el: 0 cu: MICU-A cg: -1 v1: Rash st: NotStopd t0: [08:00:00 07/04/2014] id: ImpSkin Treatment #1 el: 0 cu: MICU-A cg: -1 v1: Open to Air st: NotStopd t0: [08:00:00 07/04/2014] id: Impaired Skin Site#1 el: 0 cu: MICU-A cg: -1 v1: Gluteal, Right st: NotStopd t0: [08:00:00 07/04/2014] id: Impaired Skin Site#2 el: 0 cu: MICU-A cg: -1 v1: Labia st: NotStopd t0: [08:00:00 07/04/2014] id: LLL Lung Sounds el: 0 cu: MICU-A cg: -1 v1: Diminished st: NotStopd t0: [08:00:00 07/04/2014] id: LUL Lung Sounds el: 0 cu: MICU-A cg: -1 v1: Coarse st: NotStopd t0: [08:00:00 07/04/2014] id: Level of Conscious el: 0 cu: MICU-A cg: -1 v1: Sedated st: NotStopd t0: [08:00:00 07/04/2014] id: Motor Response el: 0 cu: MICU-A cg: -1 v1: 1 No Response st: NotStopd t0: [08:00:00 07/04/2014] id: Oral Cavity el: 0 cu: MICU-A cg: -1 v1: Teeth/Tissue WNL st: NotStopd t0: [08:00:00 07/04/2014] id: Orientation el: 0 cu: MICU-A cg: -1 v1: Other/Remarks st: NotStopd t0: [08:00:00 07/04/2014] id: AntiEmbDevice/Status el: 0 cu: MICU-A cg: -1 v1: Compress Sleeves v2: On st: NotStopd t0: [08:00:00 07/04/2014] id: Arterial BP el: 0 cu: MICU-A cg: -1 v1: 146 u1: mmHg v2: 73 u2: mmHg st: NotStopd t0: [08:00:00 07/04/2014] id: Pain Location el: 0 cu: MICU-A cg: -1 v1: Not Indicated st: NotStopd t0: [08:00:00 07/04/2014] id: Arterial BP Mean el: 0 cu: MICU-A cg: -1 v1: 101 u1: mmHg st: NotStopd t0: [08:00:00 07/04/2014] id: Position el: 0 cu: MICU-A cg: -1 v1: Right Side st: NotStopd t0: [08:00:00 07/04/2014] id: Position Change el: 0 cu: MICU-A cg: -1 v1: Done st: NotStopd t0: [08:00:00 07/04/2014] id: PostTib. Pulses R/L el: 0 cu: MICU-A cg: -1 v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [08:00:00 07/04/2014] id: Assistance Device el: 0 cu: MICU-A cg: -1 v1: 2 Person Assist st: NotStopd t0: [08:00:00 07/04/2014] id: Precautions el: 0 cu: MICU-A cg: -1 v1: Universal st: NotStopd t0: [08:00:00 07/04/2014] id: PressureReduceDevice el: 0 cu: MICU-A cg: -1 v1: Multipodus Boots st: NotStopd t0: [08:00:00 07/04/2014] id: Pupil Response R/L el: 0 cu: MICU-A cg: -1 v1: Brisk v2: Brisk st: NotStopd t0: [08:00:00 07/04/2014] id: Pupil Size R/L el: 0 cu: MICU-A cg: -1 v1: 3 mm v2: 3 mm st: NotStopd t0: [08:00:00 07/04/2014] id: RLL Lung Sounds el: 0 cu: MICU-A cg: -1 v1: Diminished st: NotStopd t0: [08:00:00 07/04/2014] id: RUL Lung Sounds el: 0 cu: MICU-A cg: -1 v1: Coarse st: NotStopd t0: [08:00:00 07/04/2014] id: Reason For Restraint el: 0 cu: MICU-A cg: -1 v1: Ext/TXInterfere st: NotStopd t0: [08:00:00 07/04/2014] id: Removed x 5 Mins el: 0 cu: MICU-A cg: -1 v1: Done st: NotStopd t0: [08:00:00 07/04/2014] id: Respiratory Pattern el: 0 cu: MICU-A cg: -1 v1: Regular st: NotStopd t0: [08:00:00 07/04/2014] id: Respiratory Rate el: 0 cu: MICU-A cg: -1 v1: 16 u1: BPM st: NotStopd t0: [08:00:00 07/04/2014] id: Restraint Location el: 0 cu: MICU-A cg: -1 v1: Both Arms st: NotStopd t0: [08:00:00 07/04/2014] id: Restraint Type el: 0 cu: MICU-A cg: -1 v1: Soft Limb st: NotStopd t0: [08:00:00 07/04/2014] id: Restraints Evaluated el: 0 cu: MICU-A cg: -1 v1: Behavior Conts st: NotStopd t0: [08:00:00 07/04/2014] id: Side Rails el: 0 cu: MICU-A cg: -1 v1: Side Rails Up st: NotStopd t0: [08:00:00 07/04/2014] id: Skin Color el: 0 cu: MICU-A cg: -1 v1: Normal for Race st: NotStopd t0: [08:00:00 07/04/2014] id: Skin Integrity el: 0 cu: MICU-A cg: -1 v1: Impaired st: NotStopd t0: [08:00:00 07/04/2014] id: SpO2 el: 0 cu: MICU-A cg: -1 v1: 99 u1: % st: NotStopd t0: [08:00:00 07/04/2014] id: Support Systems el: 0 cu: MICU-A cg: -1 v1: Spouse st: NotStopd t0: [08:00:00 07/04/2014] id: Temp. Site el: 0 cu: MICU-A cg: -1 v1: Oral st: NotStopd t0: [08:00:00 07/04/2014] id: Temperature C (calc) el: 0 cu: MICU-A cg: -1 v1: 37.5 u1: Deg. C st: NotStopd t0: [08:00:00 07/04/2014] id: Temperature F el: 0 cu: MICU-A cg: -1 v1: 99.5 u1: Deg. F st: NotStopd t0: [08:00:00 07/04/2014] id: Therapeutic Bed el: 0 cu: MICU-A cg: -1 v1: AirMatt/1st Step st: NotStopd t0: [08:00:00 07/04/2014] id: Turn el: 0 cu: MICU-A cg: -1 v1: Right Side st: NotStopd t0: [08:00:00 07/04/2014] id: Urine Color/Appear el: 0 cu: MICU-A cg: -1 v1: Light Yellow v2: Clear st: NotStopd t0: [08:00:00 07/04/2014] id: Urine Source el: 0 cu: MICU-A cg: -1 v1: Indwelling Cath st: NotStopd t0: [08:00:00 07/04/2014] id: Verbal Response el: 0 cu: MICU-A cg: -1 v1: 1.0 ET/Trach st: NotStopd t0: [08:00:00 07/04/2014] id: calprevflg el: 0 cu: MICU-A cg: -1 v1: 1 u1: kg st: NotStopd t0: [08:00:00 07/04/2014] id: Behavior el: 0 cu: MICU-A cg: -1 v1: Sedated st: NotStopd t0: [08:00:00 07/04/2014] id: Bowel Sounds el: 0 cu: MICU-A cg: -1 v1: Present st: NotStopd t0: [08:00:00 07/04/2014] id: Braden Activity el: 0 cu: MICU-A cg: -1 v1: Bedfast st: NotStopd t0: [08:00:00 07/04/2014] id: Braden Frict/Shear el: 0 cu: MICU-A cg: -1 v1: Potential Prob st: NotStopd t0: [08:00:00 07/04/2014] id: Braden Mobility el: 0 cu: MICU-A cg: -1 v1: Very Limited st: NotStopd t0: [08:00:00 07/04/2014] id: Braden Moisture el: 0 cu: MICU-A cg: -1 v1: Occ. Moist st: NotStopd t0: [08:00:00 07/04/2014] id: Braden Nutrition el: 0 cu: MICU-A cg: -1 v1: Prob. Inadequate st: NotStopd t0: [08:00:00 07/04/2014] id: Braden Score el: 0 cu: MICU-A cg: -1 v1: 12 u1: number st: NotStopd t0: [08:00:00 07/04/2014] id: Braden SensoryPercep el: 0 cu: MICU-A cg: -1 v1: Very Limited st: NotStopd
t0: [07:00:00 07/04/2014] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 10 vu: ml t0: [07:00:00 07/04/2014] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 2 cu: MICU-A cg: -1 ai: 209 vo: 21.576 vu: ml t0: [07:00:00 07/04/2014] id: D5W 50.0ml + 100mghr Lasix IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 1 vu: ml t0: [07:00:00 07/04/2014] id: Promote w/fiber Tube Feeding el: 1 cu: MICU-A cg: -1 ai: 107 vo: 65 vu: ml t0: [08:00:00 07/04/2014] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 10 vu: ml t0: [08:00:00 07/04/2014] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 2 cu: MICU-A cg: -1 ai: 209 vo: 21.576 vu: ml t0: [08:00:00 07/04/2014] id: D5W 50.0ml + 100mghr Lasix IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 1 vu: ml t0: [08:00:00 07/04/2014] id: Promote w/fiber Tube Feeding el: 1 cu: MICU-A cg: -1 ai: 107 vo: 65 vu: ml t0: [08:00:00 07/04/2014] id: Urine Out Foley el: 1 cu: MICU-A cg: -1 vo: 200 vu: ml
t0: [07:00:00 07/04/2014] id: Lasix el: 1 cu: MICU-A so: D5W vo: 0 v1: 2 du: mghr sv: 50 su: ml rt: IV Drip t0: [07:00:00 07/04/2014] id: Propofol el: 2 cu: MICU-A so: N/A vo: 0 v1: 40 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [08:00:00 07/04/2014] id: Lasix el: 1 cu: MICU-A so: D5W vo: 0 v1: 2 du: mghr sv: 50 su: ml rt: IV Drip t0: [08:00:00 07/04/2014] id: Propofol el: 2 cu: MICU-A so: N/A vo: 0 v1: 40 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [06:00:00 07/04/2014] id: WBC (4-11,000) Hematology el: 0 cu: MICU-A cg: 1663 v1: 13 rs: Final st: NotStopd t0: [06:00:00 07/04/2014] id: Hematocrit Hematology el: 0 cu: MICU-A cg: 1663 v1: 27.3 u1: % rs: Final st: NotStopd t0: [06:00:00 07/04/2014] id: Hemoglobin Hematology el: 0 cu: MICU-A cg: 1663 v1: 9.2 u1: gm/dl rs: Final st: NotStopd t0: [06:00:00 07/04/2014] id: Platelets Hematology el: 0 cu: MICU-A cg: 1663 v1: 447 rs: Final st: NotStopd t0: [06:00:00 07/04/2014] id: RBC Hematology el: 0 cu: MICU-A cg: 1663 v1: 3.18 u1: /mic l rs: Final st: NotStopd t0: [06:00:00 07/04/2014] id: WBC (4-11,000) Hematology el: 0 cu: MICU-A cg: 1663 v1: 13 rs: Final st: NotStopd
t0: [09:00:00 07/04/2014] id: Service Type el: 0 cu: MICU-A cg: -1 v1: MICU st: NotStopd t0: [09:00:00 07/04/2014] id: CVP el: 0 cu: MICU-A cg: -1 v1: 9 u1: mmHg st: NotStopd t0: [09:00:00 07/04/2014] id: Code Status el: 0 cu: MICU-A cg: -1 v1: Full Code st: NotStopd t0: [09:00:00 07/04/2014] id: Ectopy Frequency el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [09:00:00 07/04/2014] id: Ectopy Type el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [09:00:00 07/04/2014] id: Heart Rate el: 0 cu: MICU-A cg: -1 v1: 67 u1: BPM st: NotStopd t0: [09:00:00 07/04/2014] id: Heart Rhythm el: 0 cu: MICU-A cg: -1 v1: Normal Sinus st: NotStopd t0: [09:00:00 07/04/2014] id: Arterial BP el: 0 cu: MICU-A cg: -1 v1: 127 u1: mmHg v2: 64 u2: mmHg st: NotStopd t0: [09:00:00 07/04/2014] id: Arterial BP Mean el: 0 cu: MICU-A cg: -1 v1: 87 u1: mmHg st: NotStopd t0: [09:00:00 07/04/2014] id: Precautions el: 0 cu: MICU-A cg: -1 v1: Universal st: NotStopd t0: [09:00:00 07/04/2014] id: Respiratory Rate el: 0 cu: MICU-A cg: -1 v1: 20 u1: BPM st: NotStopd t0: [09:00:00 07/04/2014] id: SpO2 el: 0 cu: MICU-A cg: -1 v1: 99 u1: % st: NotStopd t0: [09:00:00 07/04/2014] id: calprevflg el: 0 cu: MICU-A cg: -1 v1: 1 u1: kg st: NotStopd
t0: [09:00:00 07/04/2014] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 10 vu: ml t0: [09:00:00 07/04/2014] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 2 cu: MICU-A cg: -1 ai: 209 vo: 21.576 vu: ml t0: [09:00:00 07/04/2014] id: D5W 50.0ml + 100mghr Lasix IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 1 vu: ml t0: [09:00:00 07/04/2014] id: Promote w/fiber Tube Feeding el: 1 cu: MICU-A cg: -1 ai: 107 vo: 65 vu: ml
t0: [09:00:00 07/04/2014] id: Lasix el: 1 cu: MICU-A so: D5W vo: 0 v1: 2 du: mghr sv: 50 su: ml rt: IV Drip t0: [09:00:00 07/04/2014] id: Propofol el: 2 cu: MICU-A so: N/A vo: 0 v1: 40 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [09:00:00 07/04/2014] id: Urine Out Foley el: 1 cu: MICU-A cg: -1 vo: 180 vu: ml
tf: [17:00:00 12/04/2014] pt: Unit Dose rt: PO fr: QD fs: 10 dn: 1 m1: Sertraline HCl f1: TAB v1: 50 u1: mg
t0: [10:00:00 07/04/2014] id: Less Restrict Meas. el: 0 cu: MICU-A cg: -1 v1: Medicated st: NotStopd t0: [10:00:00 07/04/2014] id: Range of Motion el: 0 cu: MICU-A cg: -1 v1: Done st: NotStopd t0: [10:00:00 07/04/2014] id: Service Type el: 0 cu: MICU-A cg: -1 v1: MICU st: NotStopd t0: [10:00:00 07/04/2014] id: CVP el: 0 cu: MICU-A cg: -1 v1: 11 u1: mmHg st: NotStopd t0: [10:00:00 07/04/2014] id: Circulation/SkinInt el: 0 cu: MICU-A cg: -1 v1: Circulation Adeq st: NotStopd t0: [10:00:00 07/04/2014] id: Code Status el: 0 cu: MICU-A cg: -1 v1: Full Code st: NotStopd t0: [10:00:00 07/04/2014] id: Ectopy Frequency el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [10:00:00 07/04/2014] id: Ectopy Type el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [10:00:00 07/04/2014] id: HOB el: 0 cu: MICU-A cg: -1 v1: 45 degrees st: NotStopd t0: [10:00:00 07/04/2014] id: Heart Rate el: 0 cu: MICU-A cg: -1 v1: 64 u1: BPM st: NotStopd t0: [10:00:00 07/04/2014] id: Heart Rhythm el: 0 cu: MICU-A cg: -1 v1: Normal Sinus st: NotStopd t0: [10:00:00 07/04/2014] id: Activity el: 0 cu: MICU-A cg: -1 v1: Bedrest st: NotStopd t0: [10:00:00 07/04/2014] id: Activity Tolerance el: 0 cu: MICU-A cg: -1 v1: Tolerated Well st: NotStopd t0: [10:00:00 07/04/2014] id: Impaired Skin Site#1 el: 0 cu: MICU-A cg: -1 v1: Gluteal, Right st: NotStopd t0: [10:00:00 07/04/2014] id: Impaired Skin Site#2 el: 0 cu: MICU-A cg: -1 v1: Labia st: NotStopd t0: [10:00:00 07/04/2014] id: Oral Care el: 0 cu: MICU-A cg: -1 v1: Done st: NotStopd t0: [10:00:00 07/04/2014] id: AntiEmbDevice/Status el: 0 cu: MICU-A cg: -1 v1: Compress Sleeves v2: On st: NotStopd t0: [10:00:00 07/04/2014] id: Arterial BP el: 0 cu: MICU-A cg: -1 v1: 136 u1: mmHg v2: 70 u2: mmHg st: NotStopd t0: [10:00:00 07/04/2014] id: Arterial BP Mean el: 0 cu: MICU-A cg: -1 v1: 96 u1: mmHg st: NotStopd t0: [10:00:00 07/04/2014] id: Position el: 0 cu: MICU-A cg: -1 v1: Left Side st: NotStopd t0: [10:00:00 07/04/2014] id: Position Change el: 0 cu: MICU-A cg: -1 v1: Done st: NotStopd t0: [10:00:00 07/04/2014] id: Assistance Device el: 0 cu: MICU-A cg: -1 v1: 2 Person Assist st: NotStopd t0: [10:00:00 07/04/2014] id: Precautions el: 0 cu: MICU-A cg: -1 v1: Universal st: NotStopd t0: [10:00:00 07/04/2014] id: PressureReduceDevice el: 0 cu: MICU-A cg: -1 v1: Multipodus Boots st: NotStopd t0: [10:00:00 07/04/2014] id: Reason For Restraint el: 0 cu: MICU-A cg: -1 v1: Ext/TXInterfere st: NotStopd t0: [10:00:00 07/04/2014] id: Removed x 5 Mins el: 0 cu: MICU-A cg: -1 v1: Done st: NotStopd t0: [10:00:00 07/04/2014] id: Respiratory Rate el: 0 cu: MICU-A cg: -1 v1: 15 u1: BPM st: NotStopd t0: [10:00:00 07/04/2014] id: Restraint Location el: 0 cu: MICU-A cg: -1 v1: Both Arms st: NotStopd t0: [10:00:00 07/04/2014] id: Restraint Type el: 0 cu: MICU-A cg: -1 v1: Soft Limb st: NotStopd t0: [10:00:00 07/04/2014] id: Restraints Evaluated el: 0 cu: MICU-A cg: -1 v1: Behavior Conts st: NotStopd t0: [10:00:00 07/04/2014] id: Side Rails el: 0 cu: MICU-A cg: -1 v1: Side Rails Up st: NotStopd t0: [10:00:00 07/04/2014] id: SpO2 el: 0 cu: MICU-A cg: -1 v1: 99 u1: % st: NotStopd t0: [10:00:00 07/04/2014] id: Support Systems el: 0 cu: MICU-A cg: -1 v1: Spouse st: NotStopd t0: [10:00:00 07/04/2014] id: Therapeutic Bed el: 0 cu: MICU-A cg: -1 v1: AirMatt/1st Step st: NotStopd t0: [10:00:00 07/04/2014] id: Turn el: 0 cu: MICU-A cg: -1 v1: Side to Side st: NotStopd t0: [10:00:00 07/04/2014] id: calprevflg el: 0 cu: MICU-A cg: -1 v1: 1 u1: kg st: NotStopd t0: [10:00:00 07/04/2014] id: Behavior el: 0 cu: MICU-A cg: -1 v1: Sedated st: NotStopd
t0: [10:00:00 07/04/2014] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 10 vu: ml t0: [10:00:00 07/04/2014] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 2 cu: MICU-A cg: -1 ai: 209 vo: 21.576 vu: ml t0: [10:00:00 07/04/2014] id: D5W 50.0ml + 100mghr Lasix IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 1 vu: ml t0: [10:00:00 07/04/2014] id: Promote w/fiber Tube Feeding el: 1 cu: MICU-A cg: -1 ai: 107 vo: 65 vu: ml t0: [10:00:00 07/04/2014] id: Urine Out Foley el: 1 cu: MICU-A cg: -1 vo: 120 vu: ml
t0: [10:00:00 07/04/2014] id: Lasix el: 1 cu: MICU-A so: D5W vo: 0 v1: 3 du: mghr sv: 50 su: ml rt: IV Drip t0: [10:00:00 07/04/2014] id: Propofol el: 2 cu: MICU-A so: N/A vo: 0 v1: 20 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [11:00:00 07/04/2014] id: Service Type el: 0 cu: MICU-A cg: -1 v1: MICU st: NotStopd t0: [11:00:00 07/04/2014] id: Code Status el: 0 cu: MICU-A cg: -1 v1: Full Code st: NotStopd t0: [11:00:00 07/04/2014] id: Ectopy Frequency el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [11:00:00 07/04/2014] id: Ectopy Type el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [11:00:00 07/04/2014] id: Heart Rate el: 0 cu: MICU-A cg: -1 v1: 68 u1: BPM st: NotStopd t0: [11:00:00 07/04/2014] id: Heart Rhythm el: 0 cu: MICU-A cg: -1 v1: Normal Sinus st: NotStopd t0: [11:00:00 07/04/2014] id: Arterial BP el: 0 cu: MICU-A cg: -1 v1: 127 u1: mmHg v2: 69 u2: mmHg st: NotStopd t0: [11:00:00 07/04/2014] id: Arterial BP Mean el: 0 cu: MICU-A cg: -1 v1: 91 u1: mmHg st: NotStopd t0: [11:00:00 07/04/2014] id: Precautions el: 0 cu: MICU-A cg: -1 v1: Universal st: NotStopd t0: [11:00:00 07/04/2014] id: Respiratory Rate el: 0 cu: MICU-A cg: -1 v1: 18 u1: BPM st: NotStopd t0: [11:00:00 07/04/2014] id: SpO2 el: 0 cu: MICU-A cg: -1 v1: 99 u1: % st: NotStopd t0: [11:00:00 07/04/2014] id: calprevflg el: 0 cu: MICU-A cg: -1 v1: 1 u1: kg st: NotStopd
t0: [08:00:00 07/04/2014] id: Gastric Meds PO/Gastric el: 1 cu: MICU-A cg: -1 ai: 155 vo: 30 vu: ml t0: [11:00:00 07/04/2014] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 10 vu: ml t0: [11:00:00 07/04/2014] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 2 cu: MICU-A cg: -1 ai: 209 vo: 10.788 vu: ml t0: [11:00:00 07/04/2014] id: D5W 50.0ml + 100mghr Lasix IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 1.5 vu: ml t0: [11:00:00 07/04/2014] id: Promote w/fiber Tube Feeding el: 1 cu: MICU-A cg: -1 ai: 107 vo: 65 vu: ml t0: [11:00:00 07/04/2014] id: Urine Out Foley el: 1 cu: MICU-A cg: -1 vo: 100 vu: ml
t0: [11:00:00 07/04/2014] id: Lasix el: 1 cu: MICU-A so: D5W vo: 0 v1: 3 du: mghr sv: 50 su: ml rt: IV Drip t0: [11:00:00 07/04/2014] id: Propofol el: 2 cu: MICU-A so: N/A vo: 0 v1: 20 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [10:00:00 07/04/2014] id: ETT Mark/Location el: 0 cu: MICU-A cg: RRT v1: 21cm v2: Lip st: NotStopd t0: [10:00:00 07/04/2014] id: FiO2 Set el: 0 cu: MICU-A cg: RRT v1: 0.4 u1: torr st: NotStopd t0: [10:00:00 07/04/2014] id: High Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 45 u1: cmH2O st: NotStopd t0: [10:00:00 07/04/2014] id: High Resp. Rate el: 0 cu: MICU-A cg: RRT v1: 30 u1: BPM st: NotStopd t0: [10:00:00 07/04/2014] id: Airway Size el: 0 cu: MICU-A cg: RRT v1: 7.5 mm st: NotStopd t0: [10:00:00 07/04/2014] id: Airway Type el: 0 cu: MICU-A cg: RRT v1: Endotracheal st: NotStopd t0: [10:00:00 07/04/2014] id: Inspired Gas Temp el: 0 cu: MICU-A cg: RRT v1: 34.5 u1: Deg. C st: NotStopd t0: [10:00:00 07/04/2014] id: Intubation Date el: 0 cu: MICU-A cg: RRT v1: 3 v2: 12 st: NotStopd t0: [10:00:00 07/04/2014] id: Low Exhaled Min Vol el: 0 cu: MICU-A cg: RRT v1: 3 st: NotStopd t0: [10:00:00 07/04/2014] id: Low Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [10:00:00 07/04/2014] id: Mean Airway Pressure el: 0 cu: MICU-A cg: RRT v1: 15.1 u1: cmH2O st: NotStopd t0: [10:00:00 07/04/2014] id: Minute Volume(Obser) el: 0 cu: MICU-A cg: RRT v1: 8.7 u1: L/min st: NotStopd t0: [10:00:00 07/04/2014] id: PEEP Set el: 0 cu: MICU-A cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [10:00:00 07/04/2014] id: Apnea Time Interval el: 0 cu: MICU-A cg: RRT v1: 20 st: NotStopd t0: [10:00:00 07/04/2014] id: Plateau-Off el: 0 cu: MICU-A cg: RRT v1: Yes st: NotStopd t0: [10:00:00 07/04/2014] id: Pressure Support el: 0 cu: MICU-A cg: RRT v1: 12 u1: . st: NotStopd t0: [10:00:00 07/04/2014] id: Resp Rate (Total) el: 0 cu: MICU-A cg: RRT v1: 14 u1: BPM st: NotStopd t0: [10:00:00 07/04/2014] id: Sensitivity-Vent el: 0 cu: MICU-A cg: RRT v1: 2 u1: cmH2O st: NotStopd t0: [10:00:00 07/04/2014] id: Tidal Volume (Spont) el: 0 cu: MICU-A cg: RRT v1: 560 u1: ml/B st: NotStopd t0: [10:00:00 07/04/2014] id: Ventilator Mode el: 0 cu: MICU-A cg: RRT v1: CPAP+PS st: NotStopd t0: [10:00:00 07/04/2014] id: Ventilator No. el: 0 cu: MICU-A cg: RRT v1: 6 u1: # st: NotStopd t0: [10:00:00 07/04/2014] id: Ventilator Type el: 0 cu: MICU-A cg: RRT v1: 7200A st: NotStopd
id: Free Water Bolus el: 1 cu: MICU-A cg: -1 io: Free Water Bolus PO/Gastric du: ml rt: Nasogastric
t0: [12:00:00 07/04/2014] id: Less Restrict Meas. el: 0 cu: MICU-A cg: -1 v1: Medicated st: NotStopd t0: [12:00:00 07/04/2014] id: Range of Motion el: 0 cu: MICU-A cg: -1 v1: Done st: NotStopd t0: [12:00:00 07/04/2014] id: Service Type el: 0 cu: MICU-A cg: -1 v1: MICU st: NotStopd t0: [12:00:00 07/04/2014] id: Circulation/SkinInt el: 0 cu: MICU-A cg: -1 v1: Circulation Adeq st: NotStopd t0: [12:00:00 07/04/2014] id: Code Status el: 0 cu: MICU-A cg: -1 v1: Full Code st: NotStopd t0: [12:00:00 07/04/2014] id: Riker-SAS Scale el: 0 cu: MICU-A cg: -1 v1: Calm/Cooperative st: NotStopd t0: [12:00:00 07/04/2014] id: GI Prophylaxis el: 0 cu: MICU-A cg: -1 v1: H2 Blocker st: NotStopd t0: [12:00:00 07/04/2014] id: Diet Type el: 0 cu: MICU-A cg: -1 v1: Tube Feeding st: NotStopd t0: [12:00:00 07/04/2014] id: Dorsal PedPulse R/L el: 0 cu: MICU-A cg: -1 v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [12:00:00 07/04/2014] id: Ectopy Frequency el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [12:00:00 07/04/2014] id: Ectopy Type el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [12:00:00 07/04/2014] id: Eye Opening el: 0 cu: MICU-A cg: -1 v1: 4 Spontaneously st: NotStopd t0: [12:00:00 07/04/2014] id: Family Communication el: 0 cu: MICU-A cg: -1 v1: Family Visited st: NotStopd t0: [12:00:00 07/04/2014] id: GCS Total el: 0 cu: MICU-A cg: -1 v1: 6 u1: points st: NotStopd t0: [12:00:00 07/04/2014] id: GI Intub #1/Site el: 0 cu: MICU-A cg: -1 v1: Salem Sump v2: Oral st: NotStopd t0: [12:00:00 07/04/2014] id: GI#1 Tube Stat/Drain el: 0 cu: MICU-A cg: -1 v1: Feeding v2: Undigested Food st: NotStopd t0: [12:00:00 07/04/2014] id: GU Catheter Size el: 0 cu: MICU-A cg: -1 v1: 14 French st: NotStopd t0: [12:00:00 07/04/2014] id: HOB el: 0 cu: MICU-A cg: -1 v1: 45 degrees st: NotStopd t0: [12:00:00 07/04/2014] id: Heart Rate el: 0 cu: MICU-A cg: -1 v1: 69 u1: BPM st: NotStopd t0: [12:00:00 07/04/2014] id: Heart Rhythm el: 0 cu: MICU-A cg: -1 v1: Normal Sinus st: NotStopd t0: [12:00:00 07/04/2014] id: INV Line#1 Type/Site el: 0 cu: MICU-A cg: -1 v1: Multi-lumen v2: Left IJ st: NotStopd t0: [12:00:00 07/04/2014] id: INV Line#1InsertDate el: 0 cu: MICU-A cg: -1 v1: 3 v2: 19 st: NotStopd t0: [12:00:00 07/04/2014] id: INV Line#1SiteAppear el: 0 cu: MICU-A cg: -1 v1: WNL st: NotStopd t0: [12:00:00 07/04/2014] id: INV Line#4 Type/Site el: 0 cu: MICU-A cg: -1 v1: A-Line v2: Right Brachial st: NotStopd t0: [12:00:00 07/04/2014] id: INV Line#4 Zero/Cal el: 0 cu: MICU-A cg: -1 v1: Yes st: NotStopd t0: [12:00:00 07/04/2014] id: INV Line#4InsertDate el: 0 cu: MICU-A cg: -1 v1: 3 v2: 17 st: NotStopd t0: [12:00:00 07/04/2014] id: INV Line#4SiteAppear el: 0 cu: MICU-A cg: -1 v1: WNL st: NotStopd t0: [12:00:00 07/04/2014] id: Abdominal Assessment el: 0 cu: MICU-A cg: -1 v1: Soft st: NotStopd t0: [12:00:00 07/04/2014] id: INV#4 WaveformAppear el: 0 cu: MICU-A cg: -1 v1: Sharp st: NotStopd t0: [12:00:00 07/04/2014] id: Activity el: 0 cu: MICU-A cg: -1 v1: Bedrest st: NotStopd t0: [12:00:00 07/04/2014] id: Activity Tolerance el: 0 cu: MICU-A cg: -1 v1: Tolerated Well st: NotStopd t0: [12:00:00 07/04/2014] id: Imp Skin Cleanse #2 el: 0 cu: MICU-A cg: -1 v1: Soap & H20 st: NotStopd t0: [12:00:00 07/04/2014] id: ImpSkin Character #1 el: 0 cu: MICU-A cg: -1 v1: Hematoma st: NotStopd t0: [12:00:00 07/04/2014] id: ImpSkin Character #2 el: 0 cu: MICU-A cg: -1 v1: Rash st: NotStopd t0: [12:00:00 07/04/2014] id: ImpSkin Treatment #1 el: 0 cu: MICU-A cg: -1 v1: Open to Air st: NotStopd t0: [12:00:00 07/04/2014] id: Impaired Skin Site#1 el: 0 cu: MICU-A cg: -1 v1: Gluteal, Right st: NotStopd t0: [12:00:00 07/04/2014] id: Impaired Skin Site#2 el: 0 cu: MICU-A cg: -1 v1: Labia st: NotStopd t0: [12:00:00 07/04/2014] id: LLL Lung Sounds el: 0 cu: MICU-A cg: -1 v1: Diminished st: NotStopd t0: [12:00:00 07/04/2014] id: LUL Lung Sounds el: 0 cu: MICU-A cg: -1 v1: Coarse st: NotStopd t0: [12:00:00 07/04/2014] id: Level of Conscious el: 0 cu: MICU-A cg: -1 v1: Sedated st: NotStopd t0: [12:00:00 07/04/2014] id: Motor Response el: 0 cu: MICU-A cg: -1 v1: 1 No Response st: NotStopd t0: [12:00:00 07/04/2014] id: Oral Care el: 0 cu: MICU-A cg: -1 v1: Done st: NotStopd t0: [12:00:00 07/04/2014] id: Oral Cavity el: 0 cu: MICU-A cg: -1 v1: Teeth/Tissue WNL st: NotStopd t0: [12:00:00 07/04/2014] id: Orientation el: 0 cu: MICU-A cg: -1 v1: Other/Remarks st: NotStopd t0: [12:00:00 07/04/2014] id: AntiEmbDevice/Status el: 0 cu: MICU-A cg: -1 v1: Compress Sleeves v2: On st: NotStopd t0: [12:00:00 07/04/2014] id: Arterial BP el: 0 cu: MICU-A cg: -1 v1: 132 u1: mmHg v2: 68 u2: mmHg st: NotStopd t0: [12:00:00 07/04/2014] id: Arterial BP Mean el: 0 cu: MICU-A cg: -1 v1: 91 u1: mmHg st: NotStopd t0: [12:00:00 07/04/2014] id: Position el: 0 cu: MICU-A cg: -1 v1: Supine st: NotStopd t0: [12:00:00 07/04/2014] id: Position Change el: 0 cu: MICU-A cg: -1 v1: Done st: NotStopd t0: [12:00:00 07/04/2014] id: PostTib. Pulses R/L el: 0 cu: MICU-A cg: -1 v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [12:00:00 07/04/2014] id: Assistance Device el: 0 cu: MICU-A cg: -1 v1: 2 Person Assist st: NotStopd t0: [12:00:00 07/04/2014] id: Precautions el: 0 cu: MICU-A cg: -1 v1: Universal st: NotStopd t0: [12:00:00 07/04/2014] id: PressureReduceDevice el: 0 cu: MICU-A cg: -1 v1: Multipodus Boots st: NotStopd t0: [12:00:00 07/04/2014] id: Pupil Response R/L el: 0 cu: MICU-A cg: -1 v1: Brisk v2: Brisk st: NotStopd t0: [12:00:00 07/04/2014] id: Pupil Size R/L el: 0 cu: MICU-A cg: -1 v1: 3 mm v2: 3 mm st: NotStopd t0: [12:00:00 07/04/2014] id: RLL Lung Sounds el: 0 cu: MICU-A cg: -1 v1: Diminished st: NotStopd t0: [12:00:00 07/04/2014] id: RUL Lung Sounds el: 0 cu: MICU-A cg: -1 v1: Coarse st: NotStopd t0: [12:00:00 07/04/2014] id: Radiologic Study el: 0 cu: MICU-A cg: -1 v1: Chest Xray st: NotStopd t0: [12:00:00 07/04/2014] id: Reason For Restraint el: 0 cu: MICU-A cg: -1 v1: Ext/TXInterfere st: NotStopd t0: [12:00:00 07/04/2014] id: Removed x 5 Mins el: 0 cu: MICU-A cg: -1 v1: Done st: NotStopd t0: [12:00:00 07/04/2014] id: Respiratory Pattern el: 0 cu: MICU-A cg: -1 v1: Regular st: NotStopd t0: [12:00:00 07/04/2014] id: Respiratory Rate el: 0 cu: MICU-A cg: -1 v1: 20 u1: BPM st: NotStopd t0: [12:00:00 07/04/2014] id: Restraint Location el: 0 cu: MICU-A cg: -1 v1: Both Arms st: NotStopd t0: [12:00:00 07/04/2014] id: Restraint Type el: 0 cu: MICU-A cg: -1 v1: Soft Limb st: NotStopd t0: [12:00:00 07/04/2014] id: Restraints Evaluated el: 0 cu: MICU-A cg: -1 v1: Behavior Conts st: NotStopd t0: [12:00:00 07/04/2014] id: Side Rails el: 0 cu: MICU-A cg: -1 v1: Side Rails Up st: NotStopd t0: [12:00:00 07/04/2014] id: Skin Care el: 0 cu: MICU-A cg: -1 v1: Done st: NotStopd t0: [12:00:00 07/04/2014] id: Skin Color el: 0 cu: MICU-A cg: -1 v1: Normal for Race st: NotStopd t0: [12:00:00 07/04/2014] id: Skin Integrity el: 0 cu: MICU-A cg: -1 v1: Impaired st: NotStopd t0: [12:00:00 07/04/2014] id: SpO2 el: 0 cu: MICU-A cg: -1 v1: 98 u1: % st: NotStopd t0: [12:00:00 07/04/2014] id: Stool Color/Consist el: 0 cu: MICU-A cg: -1 v1: Brown v2: Soft st: NotStopd t0: [12:00:00 07/04/2014] id: Stool Guaiac el: 0 cu: MICU-A cg: -1 v1: Negative st: NotStopd t0: [12:00:00 07/04/2014] id: Support Systems el: 0 cu: MICU-A cg: -1 v1: Spouse st: NotStopd t0: [12:00:00 07/04/2014] id: Temperature C (calc) el: 0 cu: MICU-A cg: -1 v1: 38.3333 u1: Deg. C st: NotStopd t0: [12:00:00 07/04/2014] id: Temperature F el: 0 cu: MICU-A cg: -1 v1: 101 u1: Deg. F st: NotStopd t0: [12:00:00 07/04/2014] id: Therapeutic Bed el: 0 cu: MICU-A cg: -1 v1: AirMatt/1st Step st: NotStopd t0: [12:00:00 07/04/2014] id: Turn el: 0 cu: MICU-A cg: -1 v1: Side to Side st: NotStopd t0: [12:00:00 07/04/2014] id: Urine Color/Appear el: 0 cu: MICU-A cg: -1 v1: Yellow v2: Clear st: NotStopd t0: [12:00:00 07/04/2014] id: Urine Source el: 0 cu: MICU-A cg: -1 v1: Indwelling Cath st: NotStopd t0: [12:00:00 07/04/2014] id: Verbal Response el: 0 cu: MICU-A cg: -1 v1: 1.0 ET/Trach st: NotStopd t0: [12:00:00 07/04/2014] id: Back Care el: 0 cu: MICU-A cg: -1 v1: Done st: NotStopd t0: [12:00:00 07/04/2014] id: calprevflg el: 0 cu: MICU-A cg: -1 v1: 1 u1: kg st: NotStopd t0: [12:00:00 07/04/2014] id: Behavior el: 0 cu: MICU-A cg: -1 v1: Calm st: NotStopd t0: [12:00:00 07/04/2014] id: Bowel Sounds el: 0 cu: MICU-A cg: -1 v1: Present st: NotStopd t0: [12:00:00 07/04/2014] id: Braden SensoryPercep el: 0 cu: MICU-A cg: -1 v1: Very Limited st: NotStopd
t0: [12:00:00 07/04/2014] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 10 vu: ml t0: [12:00:00 07/04/2014] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 2 cu: MICU-A cg: -1 ai: 209 vo: 10.788 vu: ml t0: [12:00:00 07/04/2014] tf: [11:00:00 09/04/2014] dt: 2820 id: Free Water Bolus PO/Gastric el: 1 cu: MICU-A cg: -1 ai: 274 vo: 250 vu: ml t0: [12:00:00 07/04/2014] id: Stool Out (non-specific) el: 1 cu: MICU-A cg: -1 vu: ml es: Medium t0: [12:00:00 07/04/2014] id: D5W 50.0ml + 100mghr Lasix IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 1.5 vu: ml t0: [12:00:00 07/04/2014] id: IV Piggyback 100.0ml IV Infusions el: 1 cu: MICU-A cg: -1 ai: 105 vo: 50 vu: ml t0: [12:00:00 07/04/2014] id: Promote w/fiber Tube Feeding el: 1 cu: MICU-A cg: -1 ai: 107 vo: 65 vu: ml t0: [12:00:00 07/04/2014] id: Urine Out Foley el: 1 cu: MICU-A cg: -1 vo: 100 vu: ml
t0: [12:00:00 07/04/2014] id: Lasix el: 1 cu: MICU-A so: D5W vo: 0 v1: 3 du: mghr sv: 50 su: ml rt: IV Drip t0: [12:00:00 07/04/2014] id: Propofol el: 2 cu: MICU-A so: N/A vo: 0 v1: 20 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [12:50:00 07/04/2014] id: PEEP Set el: 0 cu: MICU-A cg: RRT v1: 7.5 u1: cmH2O st: NotStopd
t0: [13:00:00 07/04/2014] id: Service Type el: 0 cu: MICU-A cg: -1 v1: MICU st: NotStopd t0: [13:00:00 07/04/2014] id: CVP el: 0 cu: MICU-A cg: -1 v1: 8 u1: mmHg st: NotStopd t0: [13:00:00 07/04/2014] id: Code Status el: 0 cu: MICU-A cg: -1 v1: Full Code st: NotStopd t0: [13:00:00 07/04/2014] id: Ectopy Frequency el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [13:00:00 07/04/2014] id: Ectopy Type el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [13:00:00 07/04/2014] id: Heart Rate el: 0 cu: MICU-A cg: -1 v1: 65 u1: BPM st: NotStopd t0: [13:00:00 07/04/2014] id: Heart Rhythm el: 0 cu: MICU-A cg: -1 v1: Normal Sinus st: NotStopd t0: [13:00:00 07/04/2014] id: Arterial BP el: 0 cu: MICU-A cg: -1 v1: 157 u1: mmHg v2: 81 u2: mmHg st: NotStopd t0: [13:00:00 07/04/2014] id: Arterial BP Mean el: 0 cu: MICU-A cg: -1 v1: 112 u1: mmHg st: NotStopd t0: [13:00:00 07/04/2014] id: Precautions el: 0 cu: MICU-A cg: -1 v1: Universal st: NotStopd t0: [13:00:00 07/04/2014] id: Respiratory Rate el: 0 cu: MICU-A cg: -1 v1: 12 u1: BPM st: NotStopd t0: [13:00:00 07/04/2014] id: SpO2 el: 0 cu: MICU-A cg: -1 v1: 98 u1: % st: NotStopd t0: [13:00:00 07/04/2014] id: calprevflg el: 0 cu: MICU-A cg: -1 v1: 1 u1: kg st: NotStopd t0: [14:00:00 07/04/2014] id: Service Type el: 0 cu: MICU-A cg: -1 v1: MICU st: NotStopd t0: [14:00:00 07/04/2014] id: Code Status el: 0 cu: MICU-A cg: -1 v1: Full Code st: NotStopd t0: [14:00:00 07/04/2014] id: Ectopy Frequency el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [14:00:00 07/04/2014] id: Ectopy Type el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [14:00:00 07/04/2014] id: HOB el: 0 cu: MICU-A cg: -1 v1: 45 degrees st: NotStopd t0: [14:00:00 07/04/2014] id: Heart Rate el: 0 cu: MICU-A cg: -1 v1: 63 u1: BPM st: NotStopd t0: [14:00:00 07/04/2014] id: Heart Rhythm el: 0 cu: MICU-A cg: -1 v1: Normal Sinus st: NotStopd t0: [14:00:00 07/04/2014] id: Activity el: 0 cu: MICU-A cg: -1 v1: Bedrest st: NotStopd t0: [14:00:00 07/04/2014] id: Activity Tolerance el: 0 cu: MICU-A cg: -1 v1: Tolerated Well st: NotStopd t0: [14:00:00 07/04/2014] id: AntiEmbDevice/Status el: 0 cu: MICU-A cg: -1 v1: Compress Sleeves v2: On st: NotStopd t0: [14:00:00 07/04/2014] id: Arterial BP el: 0 cu: MICU-A cg: -1 v1: 163 u1: mmHg v2: 82 u2: mmHg st: NotStopd t0: [14:00:00 07/04/2014] id: Arterial BP Mean el: 0 cu: MICU-A cg: -1 v1: 114 u1: mmHg st: NotStopd t0: [14:00:00 07/04/2014] id: Position el: 0 cu: MICU-A cg: -1 v1: Left Side st: NotStopd t0: [14:00:00 07/04/2014] id: Assistance Device el: 0 cu: MICU-A cg: -1 v1: 2 Person Assist st: NotStopd t0: [14:00:00 07/04/2014] id: Precautions el: 0 cu: MICU-A cg: -1 v1: Universal st: NotStopd t0: [14:00:00 07/04/2014] id: PressureReduceDevice el: 0 cu: MICU-A cg: -1 v1: Multipodus Boots st: NotStopd t0: [14:00:00 07/04/2014] id: Respiratory Rate el: 0 cu: MICU-A cg: -1 v1: 20 u1: BPM st: NotStopd t0: [14:00:00 07/04/2014] id: SpO2 el: 0 cu: MICU-A cg: -1 v1: 99 u1: % st: NotStopd t0: [14:00:00 07/04/2014] id: Therapeutic Bed el: 0 cu: MICU-A cg: -1 v1: AirMatt/1st Step st: NotStopd t0: [14:00:00 07/04/2014] id: Turn el: 0 cu: MICU-A cg: -1 v1: Side to Side st: NotStopd t0: [14:00:00 07/04/2014] id: calprevflg el: 0 cu: MICU-A cg: -1 v1: 1 u1: kg st: NotStopd
t0: [13:00:00 07/04/2014] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 10 vu: ml t0: [13:00:00 07/04/2014] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 2 cu: MICU-A cg: -1 ai: 209 vo: 10.788 vu: ml t0: [13:00:00 07/04/2014] id: D5W 50.0ml + 100mghr Lasix IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 1.5 vu: ml t0: [13:00:00 07/04/2014] id: Promote w/fiber Tube Feeding el: 1 cu: MICU-A cg: -1 ai: 107 vo: 65 vu: ml t0: [13:00:00 07/04/2014] id: Urine Out Foley el: 1 cu: MICU-A cg: -1 vo: 100 vu: ml t0: [14:00:00 07/04/2014] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 10 vu: ml t0: [14:00:00 07/04/2014] id: D5W 50.0ml + 100mghr Lasix IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 1.5 vu: ml t0: [14:00:00 07/04/2014] id: Promote w/fiber Tube Feeding el: 1 cu: MICU-A cg: -1 ai: 107 vo: 65 vu: ml t0: [14:00:00 07/04/2014] id: Urine Out Foley el: 1 cu: MICU-A cg: -1 vo: 100 vu: ml
t0: [13:00:00 07/04/2014] id: Lasix el: 1 cu: MICU-A so: D5W vo: 0 v1: 3 du: mghr sv: 50 su: ml rt: IV Drip t0: [13:00:00 07/04/2014] id: Propofol el: 2 cu: MICU-A so: N/A vo: 0 du: mcgkgmin sv: 50 su: vl rt: IV Drip st: Stopped t0: [14:00:00 07/04/2014] id: Lasix el: 1 cu: MICU-A so: D5W vo: 0 v1: 3 du: mghr sv: 50 su: ml rt: IV Drip
t0: [14:00:00 07/04/2014] id: PEEP Set el: 0 cu: MICU-A cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [14:00:00 07/04/2014] id: Pressure Support el: 0 cu: MICU-A cg: RRT v1: 10 u1: . st: NotStopd t0: [14:00:00 07/04/2014] id: Resp Rate (Total) el: 0 cu: MICU-A cg: RRT v1: 17 u1: BPM st: NotStopd t0: [14:00:00 07/04/2014] id: Tidal Volume (Spont) el: 0 cu: MICU-A cg: RRT v1: 400 u1: ml/B st: NotStopd
t0: [14:00:00 07/04/2014] id: RSBI (<100) el: 0 cu: MICU-A cg: RRT u1: units st: NotStopd t0: [14:00:00 07/04/2014] id: RSBI (<200) el: 0 cu: MICU-A cg: RRT u1: units st: NotStopd t0: [14:00:00 07/04/2014] id: Spon RR (Mech.) el: 0 cu: MICU-A cg: RRT v1: 50 u1: BPM st: NotStopd t0: [14:00:00 07/04/2014] id: Spon. Vt (L) (Mech.) el: 0 cu: MICU-A cg: RRT v1: 0.2 u1: L st: NotStopd
t0: [14:00:00 07/04/2014] id: CVP el: 0 cu: MICU-A cg: -1 u1: mmHg st: NotStopd
t0: [14:30:00 07/04/2014] id: Lasix el: 1 cu: MICU-A so: D5W vo: 0 v1: 4 du: mghr sv: 50 su: ml rt: IV Drip
t0: [16:00:00 07/04/2014] id: ETT Mark/Location el: 0 cu: MICU-A cg: RRT v1: 21cm v2: Lip st: NotStopd t0: [16:00:00 07/04/2014] id: FiO2 Set el: 0 cu: MICU-A cg: RRT v1: 0.4 u1: torr st: NotStopd t0: [16:00:00 07/04/2014] id: High Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 45 u1: cmH2O st: NotStopd t0: [16:00:00 07/04/2014] id: High Resp. Rate el: 0 cu: MICU-A cg: RRT v1: 35 u1: BPM st: NotStopd t0: [16:00:00 07/04/2014] id: Airway Size el: 0 cu: MICU-A cg: RRT v1: 7.5 mm st: NotStopd t0: [16:00:00 07/04/2014] id: Airway Type el: 0 cu: MICU-A cg: RRT v1: Endotracheal st: NotStopd t0: [16:00:00 07/04/2014] id: Inspired Gas Temp el: 0 cu: MICU-A cg: RRT v1: 34.4 u1: Deg. C st: NotStopd t0: [16:00:00 07/04/2014] id: Intubation Date el: 0 cu: MICU-A cg: RRT v1: 3 v2: 12 st: NotStopd t0: [16:00:00 07/04/2014] id: Low Exhaled Min Vol el: 0 cu: MICU-A cg: RRT v1: 3 st: NotStopd t0: [16:00:00 07/04/2014] id: Low Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [16:00:00 07/04/2014] id: Mean Airway Pressure el: 0 cu: MICU-A cg: RRT v1: 10.6 u1: cmH2O st: NotStopd t0: [16:00:00 07/04/2014] id: Minute Volume(Obser) el: 0 cu: MICU-A cg: RRT v1: 9.6 u1: L/min st: NotStopd t0: [16:00:00 07/04/2014] id: PEEP Set el: 0 cu: MICU-A cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [16:00:00 07/04/2014] id: Apnea Time Interval el: 0 cu: MICU-A cg: RRT v1: 20 st: NotStopd t0: [16:00:00 07/04/2014] id: Plateau-Off el: 0 cu: MICU-A cg: RRT v1: Yes st: NotStopd t0: [16:00:00 07/04/2014] id: Pressure Support el: 0 cu: MICU-A cg: RRT v1: 10 u1: . st: NotStopd t0: [16:00:00 07/04/2014] id: Resp Rate (Total) el: 0 cu: MICU-A cg: RRT v1: 30 u1: BPM st: NotStopd t0: [16:00:00 07/04/2014] id: Sensitivity-Vent el: 0 cu: MICU-A cg: RRT v1: 2 u1: cmH2O st: NotStopd t0: [16:00:00 07/04/2014] id: SpO2 el: 0 cu: MICU-A cg: RRT v1: 99 u1: % st: NotStopd t0: [16:00:00 07/04/2014] id: Tidal Volume (Spont) el: 0 cu: MICU-A cg: RRT v1: 410 u1: ml/B st: NotStopd t0: [16:00:00 07/04/2014] id: Ventilator Mode el: 0 cu: MICU-A cg: RRT v1: CPAP+PS st: NotStopd t0: [16:00:00 07/04/2014] id: Ventilator No. el: 0 cu: MICU-A cg: RRT v1: 6 u1: # st: NotStopd t0: [16:00:00 07/04/2014] id: Ventilator Type el: 0 cu: MICU-A cg: RRT v1: 7200A st: NotStopd
t0: [16:03:00 07/04/2014] id: Art.pH ABG el: 0 cu: MICU-A cg: 1663 v1: 7.45 rs: Final st: NotStopd t0: [16:03:00 07/04/2014] id: Arterial Base Excess ABG el: 0 cu: MICU-A cg: 1663 v1: 4 rs: Final st: NotStopd t0: [16:03:00 07/04/2014] id: Arterial CO2(Calc) ABG el: 0 cu: MICU-A cg: 1663 v1: 29 rs: Final st: NotStopd t0: [16:03:00 07/04/2014] id: Arterial PaCO2 ABG el: 0 cu: MICU-A cg: 1663 v1: 41 u1: mmHg rs: Final st: NotStopd t0: [16:03:00 07/04/2014] id: Arterial PaO2 ABG el: 0 cu: MICU-A cg: 1663 v1: 136 u1: mmHg rs: Final st: NotStopd t0: [16:03:00 07/04/2014] id: Arterial pH ABG el: 0 cu: MICU-A cg: 1663 v1: 7.45 rs: Final st: NotStopd t0: [16:03:00 07/04/2014] id: Potassium (3.5-5.3) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 3.1 rs: Final st: NotStopd
t0: [14:00:00 07/04/2014] id: Less Restrict Meas. el: 0 cu: MICU-A cg: -1 v1: Medicated st: NotStopd t0: [14:00:00 07/04/2014] id: Range of Motion el: 0 cu: MICU-A cg: -1 v1: Done st: NotStopd t0: [14:00:00 07/04/2014] id: Circulation/SkinInt el: 0 cu: MICU-A cg: -1 v1: Circulation Adeq st: NotStopd t0: [14:00:00 07/04/2014] id: Impaired Skin Site#1 el: 0 cu: MICU-A cg: -1 v1: Gluteal, Right st: NotStopd t0: [14:00:00 07/04/2014] id: Impaired Skin Site#2 el: 0 cu: MICU-A cg: -1 v1: Labia st: NotStopd t0: [14:00:00 07/04/2014] id: Position Change el: 0 cu: MICU-A cg: -1 v1: Done st: NotStopd t0: [14:00:00 07/04/2014] id: Reason For Restraint el: 0 cu: MICU-A cg: -1 v1: Ext/TXInterfere st: NotStopd t0: [14:00:00 07/04/2014] id: Removed x 5 Mins el: 0 cu: MICU-A cg: -1 v1: Done st: NotStopd t0: [14:00:00 07/04/2014] id: Restraint Location el: 0 cu: MICU-A cg: -1 v1: Both Arms st: NotStopd t0: [14:00:00 07/04/2014] id: Restraint Type el: 0 cu: MICU-A cg: -1 v1: Soft Limb st: NotStopd t0: [14:00:00 07/04/2014] id: Restraints Evaluated el: 0 cu: MICU-A cg: -1 v1: Behavior Conts st: NotStopd t0: [14:00:00 07/04/2014] id: Side Rails el: 0 cu: MICU-A cg: -1 v1: Side Rails Up st: NotStopd t0: [14:00:00 07/04/2014] id: Support Systems el: 0 cu: MICU-A cg: -1 v1: Spouse st: NotStopd t0: [14:00:00 07/04/2014] id: Behavior el: 0 cu: MICU-A cg: -1 v1: Calm st: NotStopd t0: [15:00:00 07/04/2014] id: Service Type el: 0 cu: MICU-A cg: -1 v1: MICU st: NotStopd t0: [15:00:00 07/04/2014] id: Code Status el: 0 cu: MICU-A cg: -1 v1: Full Code st: NotStopd t0: [15:00:00 07/04/2014] id: Ectopy Frequency el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [15:00:00 07/04/2014] id: Ectopy Type el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [15:00:00 07/04/2014] id: Heart Rate el: 0 cu: MICU-A cg: -1 v1: 68 u1: BPM st: NotStopd t0: [15:00:00 07/04/2014] id: Heart Rhythm el: 0 cu: MICU-A cg: -1 v1: Normal Sinus st: NotStopd t0: [15:00:00 07/04/2014] id: Arterial BP el: 0 cu: MICU-A cg: -1 v1: 156 u1: mmHg v2: 77 u2: mmHg st: NotStopd t0: [15:00:00 07/04/2014] id: Arterial BP Mean el: 0 cu: MICU-A cg: -1 v1: 109 u1: mmHg st: NotStopd t0: [15:00:00 07/04/2014] id: Precautions el: 0 cu: MICU-A cg: -1 v1: Universal st: NotStopd t0: [15:00:00 07/04/2014] id: Respiratory Rate el: 0 cu: MICU-A cg: -1 v1: 37 u1: BPM st: NotStopd t0: [15:00:00 07/04/2014] id: SpO2 el: 0 cu: MICU-A cg: -1 v1: 99 u1: % st: NotStopd t0: [15:00:00 07/04/2014] id: calprevflg el: 0 cu: MICU-A cg: -1 v1: 1 u1: kg st: NotStopd t0: [16:00:00 07/04/2014] id: Less Restrict Meas. el: 0 cu: MICU-A cg: -1 v1: Medicated st: NotStopd t0: [16:00:00 07/04/2014] id: Range of Motion el: 0 cu: MICU-A cg: -1 v1: Done st: NotStopd t0: [16:00:00 07/04/2014] id: Service Type el: 0 cu: MICU-A cg: -1 v1: MICU st: NotStopd t0: [16:00:00 07/04/2014] id: Circulation/SkinInt el: 0 cu: MICU-A cg: -1 v1: Circulation Adeq st: NotStopd t0: [16:00:00 07/04/2014] id: Code Status el: 0 cu: MICU-A cg: -1 v1: Full Code st: NotStopd t0: [16:00:00 07/04/2014] id: Diet Type el: 0 cu: MICU-A cg: -1 v1: Tube Feeding st: NotStopd t0: [16:00:00 07/04/2014] id: Dorsal PedPulse R/L el: 0 cu: MICU-A cg: -1 v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [16:00:00 07/04/2014] id: Ectopy Frequency el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [16:00:00 07/04/2014] id: Ectopy Type el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [16:00:00 07/04/2014] id: Eye Opening el: 0 cu: MICU-A cg: -1 v1: 4 Spontaneously st: NotStopd t0: [16:00:00 07/04/2014] id: GCS Total el: 0 cu: MICU-A cg: -1 v1: 6 u1: points st: NotStopd t0: [16:00:00 07/04/2014] id: GI Intub #1/Site el: 0 cu: MICU-A cg: -1 v1: Salem Sump v2: Oral st: NotStopd t0: [16:00:00 07/04/2014] id: GI#1 Tube Stat/Drain el: 0 cu: MICU-A cg: -1 v1: Feeding v2: Undigested Food st: NotStopd t0: [16:00:00 07/04/2014] id: GU Catheter Size el: 0 cu: MICU-A cg: -1 v1: 14 French st: NotStopd t0: [16:00:00 07/04/2014] id: HOB el: 0 cu: MICU-A cg: -1 v1: 30 degrees st: NotStopd t0: [16:00:00 07/04/2014] id: Heart Rate el: 0 cu: MICU-A cg: -1 v1: 67 u1: BPM st: NotStopd t0: [16:00:00 07/04/2014] id: Heart Rhythm el: 0 cu: MICU-A cg: -1 v1: Normal Sinus st: NotStopd t0: [16:00:00 07/04/2014] id: INV Line#1 Type/Site el: 0 cu: MICU-A cg: -1 v1: Multi-lumen v2: Left IJ st: NotStopd t0: [16:00:00 07/04/2014] id: INV Line#1InsertDate el: 0 cu: MICU-A cg: -1 v1: 3 v2: 19 st: NotStopd t0: [16:00:00 07/04/2014] id: INV Line#1SiteAppear el: 0 cu: MICU-A cg: -1 v1: WNL st: NotStopd t0: [16:00:00 07/04/2014] id: INV Line#4 Type/Site el: 0 cu: MICU-A cg: -1 v1: A-Line v2: Right Brachial st: NotStopd t0: [16:00:00 07/04/2014] id: INV Line#4InsertDate el: 0 cu: MICU-A cg: -1 v1: 3 v2: 17 st: NotStopd t0: [16:00:00 07/04/2014] id: INV Line#4SiteAppear el: 0 cu: MICU-A cg: -1 v1: WNL st: NotStopd t0: [16:00:00 07/04/2014] id: Abdominal Assessment el: 0 cu: MICU-A cg: -1 v1: Soft st: NotStopd t0: [16:00:00 07/04/2014] id: Activity el: 0 cu: MICU-A cg: -1 v1: Bedrest st: NotStopd t0: [16:00:00 07/04/2014] id: Activity Tolerance el: 0 cu: MICU-A cg: -1 v1: Tolerated Well st: NotStopd t0: [16:00:00 07/04/2014] id: Imp Skin Cleanse #2 el: 0 cu: MICU-A cg: -1 v1: Soap & H20 st: NotStopd t0: [16:00:00 07/04/2014] id: ImpSkin Character #2 el: 0 cu: MICU-A cg: -1 v1: Rash st: NotStopd t0: [16:00:00 07/04/2014] id: Impaired Skin Site#1 el: 0 cu: MICU-A cg: -1 v1: Gluteal, Right st: NotStopd t0: [16:00:00 07/04/2014] id: Impaired Skin Site#2 el: 0 cu: MICU-A cg: -1 v1: Labia st: NotStopd t0: [16:00:00 07/04/2014] id: LLL Lung Sounds el: 0 cu: MICU-A cg: -1 v1: Diminished st: NotStopd t0: [16:00:00 07/04/2014] id: LUL Lung Sounds el: 0 cu: MICU-A cg: -1 v1: Coarse st: NotStopd t0: [16:00:00 07/04/2014] id: Level of Conscious el: 0 cu: MICU-A cg: -1 v1: Lethargic st: NotStopd t0: [16:00:00 07/04/2014] id: Motor Response el: 0 cu: MICU-A cg: -1 v1: 1 No Response st: NotStopd t0: [16:00:00 07/04/2014] id: Oral Cavity el: 0 cu: MICU-A cg: -1 v1: Teeth/Tissue WNL st: NotStopd t0: [16:00:00 07/04/2014] id: Orientation el: 0 cu: MICU-A cg: -1 v1: Other/Remarks st: NotStopd t0: [16:00:00 07/04/2014] id: AntiEmbDevice/Status el: 0 cu: MICU-A cg: -1 v1: Compress Sleeves v2: On st: NotStopd t0: [16:00:00 07/04/2014] id: Arterial BP el: 0 cu: MICU-A cg: -1 v1: 158 u1: mmHg v2: 78 u2: mmHg st: NotStopd t0: [16:00:00 07/04/2014] id: Arterial BP Mean el: 0 cu: MICU-A cg: -1 v1: 158 u1: mmHg st: NotStopd t0: [16:00:00 07/04/2014] id: Position el: 0 cu: MICU-A cg: -1 v1: Right Side st: NotStopd t0: [16:00:00 07/04/2014] id: Position Change el: 0 cu: MICU-A cg: -1 v1: Done st: NotStopd t0: [16:00:00 07/04/2014] id: PostTib. Pulses R/L el: 0 cu: MICU-A cg: -1 v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [16:00:00 07/04/2014] id: Assistance Device el: 0 cu: MICU-A cg: -1 v1: 2 Person Assist st: NotStopd t0: [16:00:00 07/04/2014] id: Precautions el: 0 cu: MICU-A cg: -1 v1: Universal st: NotStopd t0: [16:00:00 07/04/2014] id: PressureReduceDevice el: 0 cu: MICU-A cg: -1 v1: Multipodus Boots st: NotStopd t0: [16:00:00 07/04/2014] id: Pupil Response R/L el: 0 cu: MICU-A cg: -1 v1: Brisk v2: Brisk st: NotStopd t0: [16:00:00 07/04/2014] id: Pupil Size R/L el: 0 cu: MICU-A cg: -1 v1: 3 mm v2: 3 mm st: NotStopd t0: [16:00:00 07/04/2014] id: RLL Lung Sounds el: 0 cu: MICU-A cg: -1 v1: Diminished st: NotStopd t0: [16:00:00 07/04/2014] id: RUL Lung Sounds el: 0 cu: MICU-A cg: -1 v1: Coarse st: NotStopd t0: [16:00:00 07/04/2014] id: Reason For Restraint el: 0 cu: MICU-A cg: -1 v1: Ext/TXInterfere st: NotStopd t0: [16:00:00 07/04/2014] id: Removed x 5 Mins el: 0 cu: MICU-A cg: -1 v1: Done st: NotStopd t0: [16:00:00 07/04/2014] id: Respiratory Pattern el: 0 cu: MICU-A cg: -1 v1: Regular st: NotStopd t0: [16:00:00 07/04/2014] id: Respiratory Rate el: 0 cu: MICU-A cg: -1 v1: 27 u1: BPM st: NotStopd t0: [16:00:00 07/04/2014] id: Restraint Location el: 0 cu: MICU-A cg: -1 v1: Both Arms st: NotStopd t0: [16:00:00 07/04/2014] id: Restraint Type el: 0 cu: MICU-A cg: -1 v1: Soft Limb st: NotStopd t0: [16:00:00 07/04/2014] id: Restraints Evaluated el: 0 cu: MICU-A cg: -1 v1: Behavior Conts st: NotStopd t0: [16:00:00 07/04/2014] id: Side Rails el: 0 cu: MICU-A cg: -1 v1: Side Rails Up st: NotStopd t0: [16:00:00 07/04/2014] id: Skin Color el: 0 cu: MICU-A cg: -1 v1: Normal for Race st: NotStopd t0: [16:00:00 07/04/2014] id: Skin Integrity el: 0 cu: MICU-A cg: -1 v1: Impaired st: NotStopd t0: [16:00:00 07/04/2014] id: Support Systems el: 0 cu: MICU-A cg: -1 v1: Spouse st: NotStopd t0: [16:00:00 07/04/2014] id: Temp. Site el: 0 cu: MICU-A cg: -1 v1: Oral st: NotStopd t0: [16:00:00 07/04/2014] id: Temperature C (calc) el: 0 cu: MICU-A cg: -1 v1: 36.6667 u1: Deg. C st: NotStopd t0: [16:00:00 07/04/2014] id: Temperature F el: 0 cu: MICU-A cg: -1 v1: 98 u1: Deg. F st: NotStopd t0: [16:00:00 07/04/2014] id: Therapeutic Bed el: 0 cu: MICU-A cg: -1 v1: AirMatt/1st Step st: NotStopd t0: [16:00:00 07/04/2014] id: Turn el: 0 cu: MICU-A cg: -1 v1: Side to Side st: NotStopd t0: [16:00:00 07/04/2014] id: Urine Color/Appear el: 0 cu: MICU-A cg: -1 v1: Yellow v2: Clear st: NotStopd t0: [16:00:00 07/04/2014] id: Urine Source el: 0 cu: MICU-A cg: -1 v1: Indwelling Cath st: NotStopd t0: [16:00:00 07/04/2014] id: Verbal Response el: 0 cu: MICU-A cg: -1 v1: 1.0 ET/Trach st: NotStopd t0: [16:00:00 07/04/2014] id: calprevflg el: 0 cu: MICU-A cg: -1 v1: 1 u1: kg st: NotStopd t0: [16:00:00 07/04/2014] id: Behavior el: 0 cu: MICU-A cg: -1 v1: Calm st: NotStopd t0: [16:00:00 07/04/2014] id: Bowel Sounds el: 0 cu: MICU-A cg: -1 v1: Present st: NotStopd t0: [16:00:00 07/04/2014] id: Braden Activity el: 0 cu: MICU-A cg: -1 v1: Bedfast st: NotStopd t0: [16:00:00 07/04/2014] id: Braden Frict/Shear el: 0 cu: MICU-A cg: -1 v1: Potential Prob st: NotStopd t0: [16:00:00 07/04/2014] id: Braden Mobility el: 0 cu: MICU-A cg: -1 v1: Very Limited st: NotStopd t0: [16:00:00 07/04/2014] id: Braden Moisture el: 0 cu: MICU-A cg: -1 v1: Occ. Moist st: NotStopd t0: [16:00:00 07/04/2014] id: Braden Nutrition el: 0 cu: MICU-A cg: -1 v1: Prob. Inadequate st: NotStopd t0: [16:00:00 07/04/2014] id: Braden Score el: 0 cu: MICU-A cg: -1 v1: 12 u1: number st: NotStopd t0: [16:00:00 07/04/2014] id: Braden SensoryPercep el: 0 cu: MICU-A cg: -1 v1: Very Limited st: NotStopd
t0: [15:00:00 07/04/2014] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 10 vu: ml t0: [15:00:00 07/04/2014] id: D5W 50.0ml + 100mghr Lasix IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 1.75 vu: ml t0: [15:00:00 07/04/2014] id: Promote w/fiber Tube Feeding el: 1 cu: MICU-A cg: -1 ai: 107 vo: 65 vu: ml t0: [15:00:00 07/04/2014] id: Urine Out Foley el: 1 cu: MICU-A cg: -1 vo: 150 vu: ml t0: [16:00:00 07/04/2014] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 10 vu: ml t0: [16:00:00 07/04/2014] id: D5W 50.0ml + 100mghr Lasix IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 2 vu: ml t0: [16:00:00 07/04/2014] id: Promote w/fiber Tube Feeding el: 1 cu: MICU-A cg: -1 ai: 107 vo: 65 vu: ml t0: [16:00:00 07/04/2014] id: Urine Out Foley el: 1 cu: MICU-A cg: -1 vo: 150 vu: ml
t0: [15:00:00 07/04/2014] id: Lasix el: 1 cu: MICU-A so: D5W vo: 0 v1: 4 du: mghr sv: 50 su: ml rt: IV Drip t0: [16:00:00 07/04/2014] id: Lasix el: 1 cu: MICU-A so: D5W vo: 0 v1: 4 du: mghr sv: 50 su: ml rt: IV Drip
t0: [16:40:00 07/04/2014] id: Compliance (40-60ml) el: 0 cu: MICU-A cg: RRT v1: 25 u1: ml/cmH st: NotStopd t0: [16:40:00 07/04/2014] id: ETT Mark/Location el: 0 cu: MICU-A cg: RRT v1: 21cm v2: Lip st: NotStopd t0: [16:40:00 07/04/2014] id: FiO2 Set el: 0 cu: MICU-A cg: RRT v1: 0.4 u1: torr st: NotStopd t0: [16:40:00 07/04/2014] id: High Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 45 u1: cmH2O st: NotStopd t0: [16:40:00 07/04/2014] id: High Resp. Rate el: 0 cu: MICU-A cg: RRT v1: 35 u1: BPM st: NotStopd t0: [16:40:00 07/04/2014] id: Airway Size el: 0 cu: MICU-A cg: RRT v1: 7.5 mm st: NotStopd t0: [16:40:00 07/04/2014] id: Airway Type el: 0 cu: MICU-A cg: RRT v1: Endotracheal st: NotStopd t0: [16:40:00 07/04/2014] id: Inspired Gas Temp el: 0 cu: MICU-A cg: RRT v1: 34.4 u1: Deg. C st: NotStopd t0: [16:40:00 07/04/2014] id: Intubation Date el: 0 cu: MICU-A cg: RRT v1: 3 v2: 12 st: NotStopd t0: [16:40:00 07/04/2014] id: Low Exhaled Min Vol el: 0 cu: MICU-A cg: RRT v1: 3 st: NotStopd t0: [16:40:00 07/04/2014] id: Low Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [16:40:00 07/04/2014] id: Mean Airway Pressure el: 0 cu: MICU-A cg: RRT v1: 9 u1: cmH2O st: NotStopd t0: [16:40:00 07/04/2014] id: Minute Volume(Obser) el: 0 cu: MICU-A cg: RRT v1: 9.4 u1: L/min st: NotStopd t0: [16:40:00 07/04/2014] id: PEEP Set el: 0 cu: MICU-A cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [16:40:00 07/04/2014] id: Apnea Time Interval el: 0 cu: MICU-A cg: RRT v1: 20 st: NotStopd t0: [16:40:00 07/04/2014] id: Peak Flow el: 0 cu: MICU-A cg: RRT v1: 60 u1: L/m st: NotStopd t0: [16:40:00 07/04/2014] id: Peak Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 25 u1: cmH2O st: NotStopd t0: [16:40:00 07/04/2014] id: Plateau Pressure el: 0 cu: MICU-A cg: RRT v1: 16.5 u1: cmH2O st: NotStopd t0: [16:40:00 07/04/2014] id: Resp Rate (Spont) el: 0 cu: MICU-A cg: RRT v1: 5 u1: BPM st: NotStopd t0: [16:40:00 07/04/2014] id: Resp Rate (Total) el: 0 cu: MICU-A cg: RRT v1: 19 u1: BPM st: NotStopd t0: [16:40:00 07/04/2014] id: Respiratory Rate Set el: 0 cu: MICU-A cg: RRT v1: 14 u1: BPM st: NotStopd t0: [16:40:00 07/04/2014] id: Sensitivity-Vent el: 0 cu: MICU-A cg: RRT v1: 2 u1: cmH2O st: NotStopd t0: [16:40:00 07/04/2014] id: SpO2 el: 0 cu: MICU-A cg: RRT v1: 99 u1: % st: NotStopd t0: [16:40:00 07/04/2014] id: Tidal Volume (Obser) el: 0 cu: MICU-A cg: RRT v1: 520 u1: ml/B st: NotStopd t0: [16:40:00 07/04/2014] id: Tidal Volume (Set) el: 0 cu: MICU-A cg: RRT v1: 500 u1: ml/B st: NotStopd t0: [16:40:00 07/04/2014] id: Ventilator Mode el: 0 cu: MICU-A cg: RRT v1: Assist Control st: NotStopd t0: [16:40:00 07/04/2014] id: Ventilator No. el: 0 cu: MICU-A cg: RRT v1: 6 u1: # st: NotStopd t0: [16:40:00 07/04/2014] id: Ventilator Type el: 0 cu: MICU-A cg: RRT v1: 7200A st: NotStopd t0: [16:40:00 07/04/2014] id: Waveform-Vent el: 0 cu: MICU-A cg: RRT v1: RAMP st: NotStopd
tf: [16:00:00 08/04/2014] pt: Unit Dose rt: PO fr: ONCE fs: 17 dn: 1 m1: Potassium Chloride f1: CAP v1: 40 u1: mEq
t0: [17:00:00 07/04/2014] id: Service Type el: 0 cu: MICU-A cg: -1 v1: MICU st: NotStopd t0: [17:00:00 07/04/2014] id: Code Status el: 0 cu: MICU-A cg: -1 v1: Full Code st: NotStopd t0: [17:00:00 07/04/2014] id: Ectopy Frequency el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [17:00:00 07/04/2014] id: Ectopy Type el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [17:00:00 07/04/2014] id: Heart Rate el: 0 cu: MICU-A cg: -1 v1: 64 u1: BPM st: NotStopd t0: [17:00:00 07/04/2014] id: Heart Rhythm el: 0 cu: MICU-A cg: -1 v1: Normal Sinus st: NotStopd t0: [17:00:00 07/04/2014] id: Arterial BP el: 0 cu: MICU-A cg: -1 v1: 159 u1: mmHg v2: 80 u2: mmHg st: NotStopd t0: [17:00:00 07/04/2014] id: Arterial BP Mean el: 0 cu: MICU-A cg: -1 v1: 111 u1: mmHg st: NotStopd t0: [17:00:00 07/04/2014] id: Precautions el: 0 cu: MICU-A cg: -1 v1: Universal st: NotStopd t0: [17:00:00 07/04/2014] id: Respiratory Rate el: 0 cu: MICU-A cg: -1 v1: 17 u1: BPM st: NotStopd t0: [17:00:00 07/04/2014] id: SpO2 el: 0 cu: MICU-A cg: -1 v1: 98 u1: % st: NotStopd t0: [17:00:00 07/04/2014] id: calprevflg el: 0 cu: MICU-A cg: -1 v1: 1 u1: kg st: NotStopd t0: [18:00:00 07/04/2014] id: Service Type el: 0 cu: MICU-A cg: -1 v1: MICU st: NotStopd t0: [18:00:00 07/04/2014] id: Code Status el: 0 cu: MICU-A cg: -1 v1: Full Code st: NotStopd t0: [18:00:00 07/04/2014] id: Ectopy Frequency el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [18:00:00 07/04/2014] id: Ectopy Type el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [18:00:00 07/04/2014] id: HOB el: 0 cu: MICU-A cg: -1 v1: 30 degrees st: NotStopd t0: [18:00:00 07/04/2014] id: Heart Rate el: 0 cu: MICU-A cg: -1 v1: 59 u1: BPM st: NotStopd t0: [18:00:00 07/04/2014] id: Heart Rhythm el: 0 cu: MICU-A cg: -1 v1: Normal Sinus st: NotStopd t0: [18:00:00 07/04/2014] id: Activity el: 0 cu: MICU-A cg: -1 v1: Bedrest st: NotStopd t0: [18:00:00 07/04/2014] id: Activity Tolerance el: 0 cu: MICU-A cg: -1 v1: Tolerated Well st: NotStopd t0: [18:00:00 07/04/2014] id: AntiEmbDevice/Status el: 0 cu: MICU-A cg: -1 v1: Compress Sleeves v2: On st: NotStopd t0: [18:00:00 07/04/2014] id: Arterial BP el: 0 cu: MICU-A cg: -1 v1: 158 u1: mmHg v2: 76 u2: mmHg st: NotStopd t0: [18:00:00 07/04/2014] id: Arterial BP Mean el: 0 cu: MICU-A cg: -1 v1: 107 u1: mmHg st: NotStopd t0: [18:00:00 07/04/2014] id: Position el: 0 cu: MICU-A cg: -1 v1: Left Side st: NotStopd t0: [18:00:00 07/04/2014] id: Assistance Device el: 0 cu: MICU-A cg: -1 v1: 2 Person Assist st: NotStopd t0: [18:00:00 07/04/2014] id: Precautions el: 0 cu: MICU-A cg: -1 v1: Universal st: NotStopd t0: [18:00:00 07/04/2014] id: PressureReduceDevice el: 0 cu: MICU-A cg: -1 v1: Multipodus Boots st: NotStopd t0: [18:00:00 07/04/2014] id: Respiratory Rate el: 0 cu: MICU-A cg: -1 v1: 15 u1: BPM st: NotStopd t0: [18:00:00 07/04/2014] id: SpO2 el: 0 cu: MICU-A cg: -1 v1: 99 u1: % st: NotStopd t0: [18:00:00 07/04/2014] id: Therapeutic Bed el: 0 cu: MICU-A cg: -1 v1: AirMatt/1st Step st: NotStopd t0: [18:00:00 07/04/2014] id: Turn el: 0 cu: MICU-A cg: -1 v1: Side to Side st: NotStopd t0: [18:00:00 07/04/2014] id: calprevflg el: 0 cu: MICU-A cg: -1 v1: 1 u1: kg st: NotStopd
t0: [17:00:00 07/04/2014] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 10 vu: ml t0: [17:00:00 07/04/2014] id: D5W 50.0ml + 100mghr Lasix IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 2 vu: ml t0: [17:00:00 07/04/2014] id: Promote w/fiber Tube Feeding el: 1 cu: MICU-A cg: -1 ai: 107 vo: 65 vu: ml t0: [17:00:00 07/04/2014] id: Urine Out Foley el: 1 cu: MICU-A cg: -1 vo: 150 vu: ml t0: [18:00:00 07/04/2014] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 10 vu: ml t0: [18:00:00 07/04/2014] id: D5W 50.0ml + 100mghr Lasix IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 2 vu: ml t0: [18:00:00 07/04/2014] id: Promote w/fiber Tube Feeding el: 1 cu: MICU-A cg: -1 ai: 107 vo: 65 vu: ml t0: [18:00:00 07/04/2014] id: Urine Out Foley el: 1 cu: MICU-A cg: -1 vo: 150 vu: ml
t0: [17:00:00 07/04/2014] id: Lasix el: 1 cu: MICU-A so: D5W vo: 0 v1: 4 du: mghr sv: 50 su: ml rt: IV Drip t0: [18:00:00 07/04/2014] id: Lasix el: 1 cu: MICU-A so: D5W vo: 0 v1: 4 du: mghr sv: 50 su: ml rt: IV Drip
tf: [18:00:00 08/04/2014] pt: Unit Dose rt: PO fr: QID fs: 10, 14, 18, 22 dn: 4 m1: Potassium Chloride f1: CAP v1: 40 u1: mEq
t0: [18:00:00 07/04/2014] id: Stool Out (non-specific) el: 1 cu: MICU-A cg: -1 vu: ml es: Large
t0: [23:00:00 07/04/2014] dt: 24 id: Stool Out Total el: 2 cu: MICU-A cg: -1 cv: 0 ap: carryForward
t0: [17:59:00 07/04/2014] id: BUN (6-20) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 51 rs: Final st: NotStopd t0: [17:59:00 07/04/2014] 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: [17:59:00 07/04/2014] id: Carbon Dioxide Chemistry el: 0 cu: MICU-A cg: 1663 v1: 26 rs: Final st: NotStopd t0: [17:59:00 07/04/2014] id: Chloride (100-112) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 109 rs: Final st: NotStopd t0: [17:59:00 07/04/2014] id: Creatinine (0-1.3) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 1.3 rs: Final st: NotStopd t0: [17:59:00 07/04/2014] id: Glucose (70-105) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 135 rs: Final st: NotStopd t0: [17:59:00 07/04/2014] id: Magnesium (1.6-2.6) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 2.4 rs: Final st: NotStopd t0: [17:59:00 07/04/2014] 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: [17:59:00 07/04/2014] id: Potassium (3.5-5.3) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 3.7 rs: Final st: NotStopd t0: [17:59:00 07/04/2014] id: Sodium (135-148) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 146 rs: Final st: NotStopd
t0: [20:00:00 07/04/2014] id: Less Restrict Meas. el: 0 cu: MICU-A cg: -1 v1: Medicated st: NotStopd t0: [20:00:00 07/04/2014] id: Pain Present el: 0 cu: MICU-A cg: -1 v1: No st: NotStopd t0: [20:00:00 07/04/2014] id: Range of Motion el: 0 cu: MICU-A cg: -1 v1: Done st: NotStopd t0: [20:00:00 07/04/2014] id: Service Type el: 0 cu: MICU-A cg: -1 v1: MICU st: NotStopd t0: [20:00:00 07/04/2014] id: CVP el: 0 cu: MICU-A cg: -1 v1: 9 u1: mmHg st: NotStopd t0: [20:00:00 07/04/2014] id: Circulation/SkinInt el: 0 cu: MICU-A cg: -1 v1: Circulation Adeq st: NotStopd t0: [20:00:00 07/04/2014] id: Code Status el: 0 cu: MICU-A cg: -1 v1: Full Code st: NotStopd t0: [20:00:00 07/04/2014] id: Riker-SAS Scale el: 0 cu: MICU-A cg: -1 v1: Calm/Cooperative st: NotStopd t0: [20:00:00 07/04/2014] id: Diet Type el: 0 cu: MICU-A cg: -1 v1: Tube Feeding st: NotStopd t0: [20:00:00 07/04/2014] id: Dorsal PedPulse R/L el: 0 cu: MICU-A cg: -1 v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [20:00:00 07/04/2014] id: Ectopy Frequency el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [20:00:00 07/04/2014] id: Ectopy Type el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [20:00:00 07/04/2014] id: Eye Opening el: 0 cu: MICU-A cg: -1 v1: 4 Spontaneously st: NotStopd t0: [20:00:00 07/04/2014] id: GCS Total el: 0 cu: MICU-A cg: -1 v1: 10 u1: points st: NotStopd t0: [20:00:00 07/04/2014] id: GI Intub #1/Site el: 0 cu: MICU-A cg: -1 v1: Salem Sump v2: Oral st: NotStopd t0: [20:00:00 07/04/2014] id: GI#1 Tube Stat/Drain el: 0 cu: MICU-A cg: -1 v1: Feeding v2: Undigested Food st: NotStopd t0: [20:00:00 07/04/2014] id: GU Catheter Size el: 0 cu: MICU-A cg: -1 v1: 14 French st: NotStopd t0: [20:00:00 07/04/2014] id: Heart Rate el: 0 cu: MICU-A cg: -1 v1: 56 u1: BPM st: NotStopd t0: [20:00:00 07/04/2014] id: Heart Rhythm el: 0 cu: MICU-A cg: -1 v1: Sinus Brady st: NotStopd t0: [20:00:00 07/04/2014] id: INV Line#1 Type/Site el: 0 cu: MICU-A cg: -1 v1: Multi-lumen v2: Left IJ st: NotStopd t0: [20:00:00 07/04/2014] id: INV Line#1 Zero/Cal el: 0 cu: MICU-A cg: -1 v1: Yes st: NotStopd t0: [20:00:00 07/04/2014] id: INV Line#1InsertDate el: 0 cu: MICU-A cg: -1 v1: 3 v2: 19 st: NotStopd t0: [20:00:00 07/04/2014] id: INV Line#1SiteAppear el: 0 cu: MICU-A cg: -1 v1: WNL st: NotStopd t0: [20:00:00 07/04/2014] id: INV Line#4 Type/Site el: 0 cu: MICU-A cg: -1 v1: A-Line v2: Right Brachial st: NotStopd t0: [20:00:00 07/04/2014] id: INV Line#4 Zero/Cal el: 0 cu: MICU-A cg: -1 v1: Yes st: NotStopd t0: [20:00:00 07/04/2014] id: INV Line#4InsertDate el: 0 cu: MICU-A cg: -1 v1: 3 v2: 17 st: NotStopd t0: [20:00:00 07/04/2014] id: INV Line#4SiteAppear el: 0 cu: MICU-A cg: -1 v1: WNL st: NotStopd t0: [20:00:00 07/04/2014] id: Abdominal Assessment el: 0 cu: MICU-A cg: -1 v1: Soft st: NotStopd t0: [20:00:00 07/04/2014] id: INV#1 WaveformAppear el: 0 cu: MICU-A cg: -1 v1: Sharp st: NotStopd t0: [20:00:00 07/04/2014] id: INV#4 WaveformAppear el: 0 cu: MICU-A cg: -1 v1: Sharp st: NotStopd t0: [20:00:00 07/04/2014] id: Impaired Skin Site#1 el: 0 cu: MICU-A cg: -1 v1: Gluteal, Right st: NotStopd t0: [20:00:00 07/04/2014] id: Impaired Skin Site#2 el: 0 cu: MICU-A cg: -1 v1: Labia st: NotStopd t0: [20:00:00 07/04/2014] id: LLL Lung Sounds el: 0 cu: MICU-A cg: -1 v1: Diminished st: NotStopd t0: [20:00:00 07/04/2014] id: LUL Lung Sounds el: 0 cu: MICU-A cg: -1 v1: Coarse st: NotStopd t0: [20:00:00 07/04/2014] id: Level of Conscious el: 0 cu: MICU-A cg: -1 v1: Lethargic st: NotStopd t0: [20:00:00 07/04/2014] id: Motor Response el: 0 cu: MICU-A cg: -1 v1: 5 Localizes Pain st: NotStopd t0: [20:00:00 07/04/2014] id: Oral Cavity el: 0 cu: MICU-A cg: -1 v1: Teeth/Tissue WNL st: NotStopd t0: [20:00:00 07/04/2014] id: Orientation el: 0 cu: MICU-A cg: -1 v1: Other/Remarks st: NotStopd t0: [20:00:00 07/04/2014] id: AntiEmbDevice/Status el: 0 cu: MICU-A cg: -1 v1: Compress Sleeves v2: On st: NotStopd t0: [20:00:00 07/04/2014] id: Arterial BP el: 0 cu: MICU-A cg: -1 v1: 151 u1: mmHg v2: 70 u2: mmHg st: NotStopd t0: [20:00:00 07/04/2014] id: Pain Location el: 0 cu: MICU-A cg: -1 v1: Not Indicated st: NotStopd t0: [20:00:00 07/04/2014] id: Arterial BP Mean el: 0 cu: MICU-A cg: -1 v1: 100 u1: mmHg st: NotStopd t0: [20:00:00 07/04/2014] id: Position el: 0 cu: MICU-A cg: -1 v1: Left Side st: NotStopd t0: [20:00:00 07/04/2014] id: Position Change el: 0 cu: MICU-A cg: -1 v1: Done st: NotStopd t0: [20:00:00 07/04/2014] id: Precautions el: 0 cu: MICU-A cg: -1 v1: Universal st: NotStopd t0: [20:00:00 07/04/2014] id: PressureReduceDevice el: 0 cu: MICU-A cg: -1 v1: Multipodus Boots st: NotStopd t0: [20:00:00 07/04/2014] id: RLL Lung Sounds el: 0 cu: MICU-A cg: -1 v1: Diminished st: NotStopd t0: [20:00:00 07/04/2014] id: RUL Lung Sounds el: 0 cu: MICU-A cg: -1 v1: Coarse st: NotStopd t0: [20:00:00 07/04/2014] id: Reason For Restraint el: 0 cu: MICU-A cg: -1 v1: Ext/TXInterfere st: NotStopd t0: [20:00:00 07/04/2014] id: Removed x 5 Mins el: 0 cu: MICU-A cg: -1 v1: Done st: NotStopd t0: [20:00:00 07/04/2014] id: Respiratory Pattern el: 0 cu: MICU-A cg: -1 v1: Regular st: NotStopd t0: [20:00:00 07/04/2014] id: Respiratory Rate el: 0 cu: MICU-A cg: -1 v1: 14 u1: BPM st: NotStopd t0: [20:00:00 07/04/2014] id: Restraint Location el: 0 cu: MICU-A cg: -1 v1: Both Arms st: NotStopd t0: [20:00:00 07/04/2014] id: Restraint Type el: 0 cu: MICU-A cg: -1 v1: Soft Limb st: NotStopd t0: [20:00:00 07/04/2014] id: Restraints Evaluated el: 0 cu: MICU-A cg: -1 v1: RestraintReapply st: NotStopd t0: [20:00:00 07/04/2014] id: Side Rails el: 0 cu: MICU-A cg: -1 v1: Side Rails Up st: NotStopd t0: [20:00:00 07/04/2014] id: Skin Integrity el: 0 cu: MICU-A cg: -1 v1: Impaired st: NotStopd t0: [20:00:00 07/04/2014] id: SpO2 el: 0 cu: MICU-A cg: -1 v1: 99 u1: % st: NotStopd t0: [20:00:00 07/04/2014] id: Sputum Source/Amt el: 0 cu: MICU-A cg: -1 v1: Suctioned v2: None st: NotStopd t0: [20:00:00 07/04/2014] id: Support Systems el: 0 cu: MICU-A cg: -1 v1: Spouse st: NotStopd t0: [20:00:00 07/04/2014] id: Temp. Site el: 0 cu: MICU-A cg: -1 v1: Oral st: NotStopd t0: [20:00:00 07/04/2014] id: Temperature C (calc) el: 0 cu: MICU-A cg: -1 v1: 37.2222 u1: Deg. C st: NotStopd t0: [20:00:00 07/04/2014] id: Temperature F el: 0 cu: MICU-A cg: -1 v1: 99 u1: Deg. F st: NotStopd t0: [20:00:00 07/04/2014] id: Therapeutic Bed el: 0 cu: MICU-A cg: -1 v1: AirMatt/1st Step st: NotStopd t0: [20:00:00 07/04/2014] id: Urine Color/Appear el: 0 cu: MICU-A cg: -1 v1: Yellow v2: Clear st: NotStopd t0: [20:00:00 07/04/2014] id: Urine Source el: 0 cu: MICU-A cg: -1 v1: Indwelling Cath st: NotStopd t0: [20:00:00 07/04/2014] id: Verbal Response el: 0 cu: MICU-A cg: -1 v1: 1.0 ET/Trach st: NotStopd t0: [20:00:00 07/04/2014] id: calprevflg el: 0 cu: MICU-A cg: -1 v1: 1 u1: kg st: NotStopd t0: [20:00:00 07/04/2014] id: Behavior el: 0 cu: MICU-A cg: -1 v1: Calm st: NotStopd t0: [20:00:00 07/04/2014] id: Bowel Sounds el: 0 cu: MICU-A cg: -1 v1: Present st: NotStopd t0: [20:00:00 07/04/2014] id: Braden Activity el: 0 cu: MICU-A cg: -1 v1: Bedfast st: NotStopd t0: [20:00:00 07/04/2014] id: Braden Frict/Shear el: 0 cu: MICU-A cg: -1 v1: Potential Prob st: NotStopd t0: [20:00:00 07/04/2014] id: Braden Mobility el: 0 cu: MICU-A cg: -1 v1: Very Limited st: NotStopd t0: [20:00:00 07/04/2014] id: Braden Moisture el: 0 cu: MICU-A cg: -1 v1: Occ. Moist st: NotStopd t0: [20:00:00 07/04/2014] id: Braden Nutrition el: 0 cu: MICU-A cg: -1 v1: Prob. Inadequate st: NotStopd t0: [20:00:00 07/04/2014] id: Braden Score el: 0 cu: MICU-A cg: -1 v1: 12 u1: number st: NotStopd t0: [20:00:00 07/04/2014] id: Braden SensoryPercep el: 0 cu: MICU-A cg: -1 v1: Very Limited st: NotStopd
t0: [20:00:00 07/04/2014] id: TF Residual Gastric/TF Residual el: 1 cu: MICU-A cg: -1 ai: 107 vo: 0 vu: ml t0: [20:00:00 07/04/2014] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 20 vu: ml t0: [20:00:00 07/04/2014] id: Gastric Meds PO/Gastric el: 1 cu: MICU-A cg: -1 ai: 155 vo: 60 vu: ml t0: [20:00:00 07/04/2014] id: D5W 50.0ml + 100mghr Lasix IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 4 vu: ml t0: [20:00:00 07/04/2014] id: Promote w/fiber Tube Feeding el: 1 cu: MICU-A cg: -1 ai: 107 vo: 130 vu: ml t0: [20:00:00 07/04/2014] id: Urine Out Foley el: 1 cu: MICU-A cg: -1 vo: 700 vu: ml
t0: [20:00:00 07/04/2014] id: Lasix el: 1 cu: MICU-A so: D5W vo: 0 v1: 4 du: mghr sv: 50 su: ml rt: IV Drip
t0: [21:00:00 07/04/2014] id: Compliance (40-60ml) el: 0 cu: MICU-A cg: -1 v1: 26.3158 u1: ml/cmH st: NotStopd t0: [21:00:00 07/04/2014] id: ETT Mark/Location el: 0 cu: MICU-A cg: -1 v1: 21cm v2: Lip st: NotStopd t0: [21:00:00 07/04/2014] id: FiO2 Set el: 0 cu: MICU-A cg: -1 v1: 0.4 u1: torr st: NotStopd t0: [21:00:00 07/04/2014] id: Flow-By (lpm) el: 0 cu: MICU-A cg: -1 v1: 0 u1: lpm st: NotStopd t0: [21:00:00 07/04/2014] id: Flow-by Sensitivity el: 0 cu: MICU-A cg: -1 v1: 0 u1: cmH2O st: NotStopd t0: [21:00:00 07/04/2014] id: High Insp. Pressure el: 0 cu: MICU-A cg: -1 v1: 45 u1: cmH2O st: NotStopd t0: [21:00:00 07/04/2014] id: High Resp. Rate el: 0 cu: MICU-A cg: -1 v1: 35 u1: BPM st: NotStopd t0: [21:00:00 07/04/2014] id: I:E Ratio el: 0 cu: MICU-A cg: -1 v1: 1:2.3 st: NotStopd t0: [21:00:00 07/04/2014] id: Airway Size el: 0 cu: MICU-A cg: -1 v1: 7.5 mm st: NotStopd t0: [21:00:00 07/04/2014] id: Airway Type el: 0 cu: MICU-A cg: -1 v1: Endotracheal st: NotStopd t0: [21:00:00 07/04/2014] id: Inspired Gas Temp el: 0 cu: MICU-A cg: -1 v1: 34.4 u1: Deg. C st: NotStopd t0: [21:00:00 07/04/2014] id: Intubation Date el: 0 cu: MICU-A cg: -1 v1: 3 v2: 12 st: NotStopd t0: [21:00:00 07/04/2014] id: Low Exhaled Min Vol el: 0 cu: MICU-A cg: -1 v1: 3 st: NotStopd t0: [21:00:00 07/04/2014] id: Low Insp. Pressure el: 0 cu: MICU-A cg: -1 v1: 10 u1: cmH2O st: NotStopd t0: [21:00:00 07/04/2014] id: Mean Airway Pressure el: 0 cu: MICU-A cg: -1 v1: 9 u1: cmH2O st: NotStopd t0: [21:00:00 07/04/2014] id: Minute Volume(Obser) el: 0 cu: MICU-A cg: -1 v1: 8 u1: L/min st: NotStopd t0: [21:00:00 07/04/2014] id: PEEP Set el: 0 cu: MICU-A cg: -1 v1: 5 u1: cmH2O st: NotStopd t0: [21:00:00 07/04/2014] id: Apnea Time Interval el: 0 cu: MICU-A cg: -1 v1: 20 st: NotStopd t0: [21:00:00 07/04/2014] id: Peak Flow el: 0 cu: MICU-A cg: -1 v1: 55 u1: L/m st: NotStopd t0: [21:00:00 07/04/2014] id: Peak Insp. Pressure el: 0 cu: MICU-A cg: -1 v1: 24 u1: cmH2O st: NotStopd t0: [21:00:00 07/04/2014] id: Plateau Pressure el: 0 cu: MICU-A cg: -1 v1: 16.7 u1: cmH2O st: NotStopd t0: [21:00:00 07/04/2014] id: Plateau-Off el: 0 cu: MICU-A cg: -1 v1: Yes st: NotStopd t0: [21:00:00 07/04/2014] id: Resp Rate (Spont) el: 0 cu: MICU-A cg: -1 v1: 1 u1: BPM st: NotStopd t0: [21:00:00 07/04/2014] id: Resp Rate (Total) el: 0 cu: MICU-A cg: -1 v1: 15 u1: BPM st: NotStopd t0: [21:00:00 07/04/2014] id: Respiratory Rate Set el: 0 cu: MICU-A cg: -1 v1: 14 u1: BPM st: NotStopd t0: [21:00:00 07/04/2014] id: Sensitivity-Vent el: 0 cu: MICU-A cg: -1 v1: 2 u1: cmH2O st: NotStopd t0: [21:00:00 07/04/2014] id: Tidal Volume (Obser) el: 0 cu: MICU-A cg: -1 v1: 500 u1: ml/B st: NotStopd t0: [21:00:00 07/04/2014] id: Tidal Volume (Set) el: 0 cu: MICU-A cg: -1 v1: 500 u1: ml/B st: NotStopd t0: [21:00:00 07/04/2014] id: Ventilator Mode el: 0 cu: MICU-A cg: -1 v1: Assist Control st: NotStopd t0: [21:00:00 07/04/2014] id: Ventilator No. el: 0 cu: MICU-A cg: -1 v1: 6 u1: # st: NotStopd t0: [21:00:00 07/04/2014] id: Ventilator Type el: 0 cu: MICU-A cg: -1 v1: 7200A st: NotStopd t0: [21:00:00 07/04/2014] id: Waveform-Vent el: 0 cu: MICU-A cg: -1 v1: RAMP st: NotStopd
t0: [21:00:00 07/04/2014] id: Service Type el: 0 cu: MICU-A cg: -1 v1: MICU st: NotStopd t0: [21:00:00 07/04/2014] id: CVP el: 0 cu: MICU-A cg: -1 v1: 12 u1: mmHg st: NotStopd t0: [21:00:00 07/04/2014] id: Code Status el: 0 cu: MICU-A cg: -1 v1: Full Code st: NotStopd t0: [21:00:00 07/04/2014] id: Ectopy Frequency el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [21:00:00 07/04/2014] id: Ectopy Type el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [21:00:00 07/04/2014] id: Heart Rate el: 0 cu: MICU-A cg: -1 v1: 57 u1: BPM st: NotStopd t0: [21:00:00 07/04/2014] id: Heart Rhythm el: 0 cu: MICU-A cg: -1 v1: Sinus Brady st: NotStopd t0: [21:00:00 07/04/2014] id: Arterial BP el: 0 cu: MICU-A cg: -1 v1: 156 u1: mmHg v2: 71 u2: mmHg st: NotStopd t0: [21:00:00 07/04/2014] id: Arterial BP Mean el: 0 cu: MICU-A cg: -1 v1: 103 u1: mmHg st: NotStopd t0: [21:00:00 07/04/2014] id: Precautions el: 0 cu: MICU-A cg: -1 v1: Universal st: NotStopd t0: [21:00:00 07/04/2014] id: Respiratory Rate el: 0 cu: MICU-A cg: -1 v1: 16 u1: BPM st: NotStopd t0: [21:00:00 07/04/2014] id: SpO2 el: 0 cu: MICU-A cg: -1 v1: 99 u1: % st: NotStopd t0: [21:00:00 07/04/2014] id: calprevflg el: 0 cu: MICU-A cg: -1 v1: 1 u1: kg st: NotStopd
t0: [21:00:00 07/04/2014] id: Lasix el: 1 cu: MICU-A so: D5W vo: 0 v1: 4 du: mghr sv: 50 su: ml rt: IV Drip
t0: [21:00:00 07/04/2014] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 10 vu: ml t0: [21:00:00 07/04/2014] id: D5W 50.0ml + 100mghr Lasix IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 2 vu: ml t0: [21:00:00 07/04/2014] id: Promote w/fiber Tube Feeding el: 1 cu: MICU-A cg: -1 ai: 107 vo: 65 vu: ml t0: [21:00:00 07/04/2014] id: Urine Out Foley el: 1 cu: MICU-A cg: -1 vo: 220 vu: ml
t0: [21:00:00 07/04/2014] id: Oral Care el: 0 cu: MICU-A cg: -1 v1: Done st: NotStopd t0: [21:00:00 07/04/2014] id: AntiEmbDevice/Status el: 0 cu: MICU-A cg: -1 v1: Compress Sleeves v2: On st: NotStopd t0: [21:00:00 07/04/2014] id: PressureReduceDevice el: 0 cu: MICU-A cg: -1 v1: Multipodus Boots st: NotStopd t0: [21:00:00 07/04/2014] id: Therapeutic Bed el: 0 cu: MICU-A cg: -1 v1: AirMatt/1st Step st: NotStopd
t0: [21:30:00 07/04/2014] id: Oral Care el: 0 cu: MICU-A cg: -1 v1: Done st: NotStopd t0: [21:30:00 07/04/2014] id: Skin Care el: 0 cu: MICU-A cg: -1 v1: Done st: NotStopd t0: [21:30:00 07/04/2014] id: Back Care el: 0 cu: MICU-A cg: -1 v1: Done st: NotStopd
t0: [21:30:00 07/04/2014] id: HOB el: 0 cu: MICU-A cg: -1 v1: 30 degrees st: NotStopd t0: [21:30:00 07/04/2014] id: Activity el: 0 cu: MICU-A cg: -1 v1: Bedrest st: NotStopd t0: [21:30:00 07/04/2014] id: Activity Tolerance el: 0 cu: MICU-A cg: -1 v1: Fair st: NotStopd t0: [21:30:00 07/04/2014] id: AntiEmbDevice/Status el: 0 cu: MICU-A cg: -1 v1: Compress Sleeves v2: On st: NotStopd t0: [21:30:00 07/04/2014] id: Position el: 0 cu: MICU-A cg: -1 v1: Right Side st: NotStopd t0: [21:30:00 07/04/2014] id: Assistance Device el: 0 cu: MICU-A cg: -1 v1: 2 Person Assist st: NotStopd t0: [21:30:00 07/04/2014] id: PressureReduceDevice el: 0 cu: MICU-A cg: -1 v1: Multipodus Boots st: NotStopd t0: [21:30:00 07/04/2014] id: Sputum Color/Consist el: 0 cu: MICU-A cg: -1 v1: Yellow v2: Thick st: NotStopd t0: [21:30:00 07/04/2014] id: Sputum Source/Amt el: 0 cu: MICU-A cg: -1 v1: Suctioned v2: Small st: NotStopd t0: [21:30:00 07/04/2014] id: Therapeutic Bed el: 0 cu: MICU-A cg: -1 v1: AirMatt/1st Step st: NotStopd t0: [21:30:00 07/04/2014] id: Turn el: 0 cu: MICU-A cg: -1 v1: Right Side st: NotStopd
t0: [22:00:00 07/04/2014] id: Service Type el: 0 cu: MICU-A cg: -1 v1: MICU st: NotStopd t0: [22:00:00 07/04/2014] id: CVP el: 0 cu: MICU-A cg: -1 v1: 12 u1: mmHg st: NotStopd t0: [22:00:00 07/04/2014] id: Code Status el: 0 cu: MICU-A cg: -1 v1: Full Code st: NotStopd t0: [22:00:00 07/04/2014] id: Ectopy Frequency el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [22:00:00 07/04/2014] id: Ectopy Type el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [22:00:00 07/04/2014] id: Heart Rate el: 0 cu: MICU-A cg: -1 v1: 56 u1: BPM st: NotStopd t0: [22:00:00 07/04/2014] id: Heart Rhythm el: 0 cu: MICU-A cg: -1 v1: Sinus Brady st: NotStopd t0: [22:00:00 07/04/2014] id: Arterial BP el: 0 cu: MICU-A cg: -1 v1: 173 u1: mmHg v2: 78 u2: mmHg st: NotStopd t0: [22:00:00 07/04/2014] id: Arterial BP Mean el: 0 cu: MICU-A cg: -1 v1: 113 u1: mmHg st: NotStopd t0: [22:00:00 07/04/2014] id: Precautions el: 0 cu: MICU-A cg: -1 v1: Universal st: NotStopd t0: [22:00:00 07/04/2014] id: Respiratory Rate el: 0 cu: MICU-A cg: -1 v1: 14 u1: BPM st: NotStopd t0: [22:00:00 07/04/2014] id: SpO2 el: 0 cu: MICU-A cg: -1 v1: 96 u1: % st: NotStopd t0: [22:00:00 07/04/2014] id: calprevflg el: 0 cu: MICU-A cg: -1 v1: 1 u1: kg st: NotStopd
t0: [22:00:00 07/04/2014] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 10 vu: ml t0: [22:00:00 07/04/2014] id: D5W 50.0ml + 100mghr Lasix IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 2 vu: ml t0: [22:00:00 07/04/2014] id: Promote w/fiber Tube Feeding el: 1 cu: MICU-A cg: -1 ai: 107 vo: 65 vu: ml t0: [23:00:00 07/04/2014] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 10 vu: ml t0: [23:00:00 07/04/2014] id: D5W 50.0ml + 100mghr Lasix IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 2 vu: ml t0: [23:00:00 07/04/2014] id: Promote w/fiber Tube Feeding el: 1 cu: MICU-A cg: -1 ai: 107 vo: 65 vu: ml t0: [23:00:00 07/04/2014] id: Urine Out Foley el: 1 cu: MICU-A cg: -1 vo: 180 vu: ml
t0: [22:00:00 07/04/2014] id: Lasix el: 1 cu: MICU-A so: D5W vo: 0 v1: 4 du: mghr sv: 50 su: ml rt: IV Drip
t0: [23:00:00 07/04/2014] id: Service Type el: 0 cu: MICU-A cg: -1 v1: MICU st: NotStopd t0: [23:00:00 07/04/2014] id: CVP el: 0 cu: MICU-A cg: -1 v1: 18 u1: mmHg st: NotStopd t0: [23:00:00 07/04/2014] id: Code Status el: 0 cu: MICU-A cg: -1 v1: Full Code st: NotStopd t0: [23:00:00 07/04/2014] id: Ectopy Frequency el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [23:00:00 07/04/2014] id: Ectopy Type el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [23:00:00 07/04/2014] id: Heart Rate el: 0 cu: MICU-A cg: -1 v1: 56 u1: BPM st: NotStopd t0: [23:00:00 07/04/2014] id: Heart Rhythm el: 0 cu: MICU-A cg: -1 v1: Sinus Brady st: NotStopd t0: [23:00:00 07/04/2014] id: Arterial BP el: 0 cu: MICU-A cg: -1 v1: 153 u1: mmHg v2: 69 u2: mmHg st: NotStopd t0: [23:00:00 07/04/2014] id: Arterial BP Mean el: 0 cu: MICU-A cg: -1 v1: 100 u1: mmHg st: NotStopd t0: [23:00:00 07/04/2014] id: Precautions el: 0 cu: MICU-A cg: -1 v1: Universal st: NotStopd t0: [23:00:00 07/04/2014] id: Respiratory Rate el: 0 cu: MICU-A cg: -1 v1: 16 u1: BPM st: NotStopd t0: [23:00:00 07/04/2014] id: SpO2 el: 0 cu: MICU-A cg: -1 v1: 98 u1: % st: NotStopd t0: [23:00:00 07/04/2014] id: calprevflg el: 0 cu: MICU-A cg: -1 v1: 1 u1: kg st: NotStopd t0: [00:00:00 08/04/2014] id: Less Restrict Meas. el: 0 cu: MICU-A cg: -1 v1: Family at Bedsid st: NotStopd t0: [00:00:00 08/04/2014] id: Pain Present el: 0 cu: MICU-A cg: -1 v1: No st: NotStopd t0: [00:00:00 08/04/2014] id: Range of Motion el: 0 cu: MICU-A cg: -1 v1: Done st: NotStopd t0: [00:00:00 08/04/2014] id: Service Type el: 0 cu: MICU-A cg: -1 v1: MICU st: NotStopd t0: [00:00:00 08/04/2014] id: CVP el: 0 cu: MICU-A cg: -1 v1: 15 u1: mmHg st: NotStopd t0: [00:00:00 08/04/2014] id: Circulation/SkinInt el: 0 cu: MICU-A cg: -1 v1: Circulation Adeq st: NotStopd t0: [00:00:00 08/04/2014] id: Code Status el: 0 cu: MICU-A cg: -1 v1: Full Code st: NotStopd t0: [00:00:00 08/04/2014] id: Riker-SAS Scale el: 0 cu: MICU-A cg: -1 v1: Calm/Cooperative st: NotStopd t0: [00:00:00 08/04/2014] id: Diet Type el: 0 cu: MICU-A cg: -1 v1: Tube Feeding st: NotStopd t0: [00:00:00 08/04/2014] id: Ectopy Frequency el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [00:00:00 08/04/2014] id: Ectopy Type el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [00:00:00 08/04/2014] id: Eye Opening el: 0 cu: MICU-A cg: -1 v1: 4 Spontaneously st: NotStopd t0: [00:00:00 08/04/2014] id: GCS Total el: 0 cu: MICU-A cg: -1 v1: 11 u1: points st: NotStopd t0: [00:00:00 08/04/2014] id: GI Intub #1/Site el: 0 cu: MICU-A cg: -1 v1: Salem Sump v2: Oral st: NotStopd t0: [00:00:00 08/04/2014] id: GI#1 Tube PlaceCheck el: 0 cu: MICU-A cg: -1 v1: Done st: NotStopd t0: [00:00:00 08/04/2014] id: GI#1 Tube Stat/Drain el: 0 cu: MICU-A cg: -1 v1: Feeding v2: Undigested Food st: NotStopd t0: [00:00:00 08/04/2014] id: GU Catheter Size el: 0 cu: MICU-A cg: -1 v1: 14 French st: NotStopd t0: [00:00:00 08/04/2014] id: Heart Rate el: 0 cu: MICU-A cg: -1 v1: 56 u1: BPM st: NotStopd t0: [00:00:00 08/04/2014] id: Heart Rhythm el: 0 cu: MICU-A cg: -1 v1: Sinus Brady st: NotStopd t0: [00:00:00 08/04/2014] id: INV Line#1 Type/Site el: 0 cu: MICU-A cg: -1 v1: Multi-lumen v2: Left IJ st: NotStopd t0: [00:00:00 08/04/2014] id: INV Line#1InsertDate el: 0 cu: MICU-A cg: -1 v1: 3 v2: 19 st: NotStopd t0: [00:00:00 08/04/2014] id: INV Line#1SiteAppear el: 0 cu: MICU-A cg: -1 v1: WNL st: NotStopd t0: [00:00:00 08/04/2014] id: INV Line#4 Type/Site el: 0 cu: MICU-A cg: -1 v1: A-Line v2: Right Brachial st: NotStopd t0: [00:00:00 08/04/2014] id: INV Line#4InsertDate el: 0 cu: MICU-A cg: -1 v1: 3 v2: 17 st: NotStopd t0: [00:00:00 08/04/2014] id: INV Line#4SiteAppear el: 0 cu: MICU-A cg: -1 v1: WNL st: NotStopd t0: [00:00:00 08/04/2014] id: Abdominal Assessment el: 0 cu: MICU-A cg: -1 v1: Soft st: NotStopd t0: [00:00:00 08/04/2014] id: ImpSkin Character #1 el: 0 cu: MICU-A cg: -1 v1: Abrasion st: NotStopd t0: [00:00:00 08/04/2014] id: ImpSkin Treatment #1 el: 0 cu: MICU-A cg: -1 v1: Other/Remarks st: NotStopd t0: [00:00:00 08/04/2014] id: Impaired Skin Site#1 el: 0 cu: MICU-A cg: -1 v1: Gluteal, Right st: NotStopd t0: [00:00:00 08/04/2014] id: Impaired Skin Site#2 el: 0 cu: MICU-A cg: -1 v1: Labia st: NotStopd t0: [00:00:00 08/04/2014] id: LLL Lung Sounds el: 0 cu: MICU-A cg: -1 v1: Diminished st: NotStopd t0: [00:00:00 08/04/2014] id: LUL Lung Sounds el: 0 cu: MICU-A cg: -1 v1: Clear st: NotStopd t0: [00:00:00 08/04/2014] id: Level of Conscious el: 0 cu: MICU-A cg: -1 v1: Alert st: NotStopd t0: [00:00:00 08/04/2014] id: Motor Response el: 0 cu: MICU-A cg: -1 v1: 6 Obeys Commands st: NotStopd t0: [00:00:00 08/04/2014] id: Oral Cavity el: 0 cu: MICU-A cg: -1 v1: Teeth/Tissue WNL st: NotStopd t0: [00:00:00 08/04/2014] id: Orientation el: 0 cu: MICU-A cg: -1 v1: Other/Remarks st: NotStopd t0: [00:00:00 08/04/2014] id: Arterial BP el: 0 cu: MICU-A cg: -1 v1: 162 u1: mmHg v2: 73 u2: mmHg st: NotStopd t0: [00:00:00 08/04/2014] id: Pain Location el: 0 cu: MICU-A cg: -1 v1: Not Indicated st: NotStopd t0: [00:00:00 08/04/2014] id: Arterial BP Mean el: 0 cu: MICU-A cg: -1 v1: 106 u1: mmHg st: NotStopd t0: [00:00:00 08/04/2014] id: Position Change el: 0 cu: MICU-A cg: -1 v1: Done st: NotStopd t0: [00:00:00 08/04/2014] id: Precautions el: 0 cu: MICU-A cg: -1 v1: Universal st: NotStopd t0: [00:00:00 08/04/2014] id: RLL Lung Sounds el: 0 cu: MICU-A cg: -1 v1: Diminished st: NotStopd t0: [00:00:00 08/04/2014] id: RUL Lung Sounds el: 0 cu: MICU-A cg: -1 v1: Clear st: NotStopd t0: [00:00:00 08/04/2014] id: Reason For Restraint el: 0 cu: MICU-A cg: -1 v1: Ext/TXInterfere st: NotStopd t0: [00:00:00 08/04/2014] id: Removed x 5 Mins el: 0 cu: MICU-A cg: -1 v1: Done st: NotStopd t0: [00:00:00 08/04/2014] id: Respiratory Pattern el: 0 cu: MICU-A cg: -1 v1: Regular st: NotStopd t0: [00:00:00 08/04/2014] id: Respiratory Rate el: 0 cu: MICU-A cg: -1 v1: 17 u1: BPM st: NotStopd t0: [00:00:00 08/04/2014] id: Restraint Location el: 0 cu: MICU-A cg: -1 v1: Both Arms st: NotStopd t0: [00:00:00 08/04/2014] id: Restraint Type el: 0 cu: MICU-A cg: -1 v1: Soft Limb st: NotStopd t0: [00:00:00 08/04/2014] id: Restraints Evaluated el: 0 cu: MICU-A cg: -1 v1: RestraintReapply st: NotStopd t0: [00:00:00 08/04/2014] id: Side Rails el: 0 cu: MICU-A cg: -1 v1: Side Rails Up st: NotStopd t0: [00:00:00 08/04/2014] id: Skin Integrity el: 0 cu: MICU-A cg: -1 v1: Impaired st: NotStopd t0: [00:00:00 08/04/2014] id: SpO2 el: 0 cu: MICU-A cg: -1 v1: 97 u1: % st: NotStopd t0: [00:00:00 08/04/2014] id: Support Systems el: 0 cu: MICU-A cg: -1 v1: Spouse st: NotStopd t0: [00:00:00 08/04/2014] id: Temp. Site el: 0 cu: MICU-A cg: -1 v1: Oral st: NotStopd t0: [00:00:00 08/04/2014] id: Temperature C (calc) el: 0 cu: MICU-A cg: -1 v1: 38.1111 u1: Deg. C st: NotStopd t0: [00:00:00 08/04/2014] id: Temperature F el: 0 cu: MICU-A cg: -1 v1: 100.6 u1: Deg. F st: NotStopd t0: [00:00:00 08/04/2014] id: Urine Color/Appear el: 0 cu: MICU-A cg: -1 v1: Yellow v2: Clear st: NotStopd t0: [00:00:00 08/04/2014] id: Urine Source el: 0 cu: MICU-A cg: -1 v1: Indwelling Cath st: NotStopd t0: [00:00:00 08/04/2014] id: Verbal Response el: 0 cu: MICU-A cg: -1 v1: 1.0 ET/Trach st: NotStopd t0: [00:00:00 08/04/2014] id: calprevflg el: 0 cu: MICU-A cg: -1 v1: 1 u1: kg st: NotStopd t0: [00:00:00 08/04/2014] id: Behavior el: 0 cu: MICU-A cg: -1 v1: Calm st: NotStopd t0: [00:00:00 08/04/2014] id: Bowel Sounds el: 0 cu: MICU-A cg: -1 v1: Present st: NotStopd
t0: [00:00:00 08/04/2014] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 10 vu: ml t0: [00:00:00 08/04/2014] id: Gastric Meds PO/Gastric el: 1 cu: MICU-A cg: -1 ai: 155 vo: 60 vu: ml t0: [00:00:00 08/04/2014] id: Free Water Bolus PO/Gastric el: 1 cu: MICU-A cg: -1 ai: 274 vo: 250 vu: ml t0: [00:00:00 08/04/2014] id: D5W 50.0ml + 100mghr Lasix IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 2 vu: ml t0: [00:00:00 08/04/2014] id: Promote w/fiber Tube Feeding el: 1 cu: MICU-A cg: -1 ai: 107 vo: 65 vu: ml t0: [00:00:00 08/04/2014] id: Urine Out Foley el: 1 cu: MICU-A cg: -1 vo: 200 vu: ml
t0: [23:00:00 07/04/2014] id: Lasix el: 1 cu: MICU-A so: D5W vo: 0 v1: 4 du: mghr sv: 50 su: ml rt: IV Drip t0: [00:00:00 08/04/2014] id: Lasix el: 1 cu: MICU-A so: D5W vo: 0 v1: 6 du: mghr sv: 50 su: ml rt: IV Drip
t0: [23:00:00 08/04/2014] dt: 1 id: Total Hourly Output el: 2 cu: MICU-A cg: -1 cv: 0 ap: none t0: [23:00:00 08/04/2014] dt: 1 id: Net Hourly Balance el: 2 cu: MICU-A cg: -1 cv: 0 ap: none t0: [23:00:00 08/04/2014] dt: 24 id: IV Infusion In Total el: 2 cu: MICU-A cg: -1 cv: 394 ap: none t0: [23:00:00 08/04/2014] dt: 24 id: 24h Total In el: 2 cu: MICU-A cg: -1 cv: 2894 ap: none t0: [23:00:00 08/04/2014] dt: 24 id: PO/Gastric In Total el: 2 cu: MICU-A cg: -1 cv: 1460 ap: none t0: [23:00:00 08/04/2014] dt: 24 id: Tube Feeds In Total el: 2 cu: MICU-A cg: -1 cv: 1040 ap: none t0: [23:00:00 08/04/2014] dt: 24 id: Urine Out Total el: 2 cu: MICU-A cg: -1 cv: 4755 ap: none t0: [23:00:00 08/04/2014] dt: 24 id: 24h Net Body Balance el: 2 cu: MICU-A cg: -1 cv: -1861 ap: carryForward t0: [23:00:00 08/04/2014] dt: 24 id: 24h Total Out el: 2 cu: MICU-A cg: -1 cv: 4755 ap: carryForward t0: [23:00:00 08/04/2014] dt: multiple days id: LOS Net Body Balance el: 2 cu: MICU-A cg: -1 cv: 12688.1 ap: carryForward
t0: [00:00:00 08/04/2014] id: HOB el: 0 cu: MICU-A cg: -1 v1: 30 degrees st: NotStopd t0: [00:00:00 08/04/2014] id: Activity el: 0 cu: MICU-A cg: -1 v1: Bedrest st: NotStopd t0: [00:00:00 08/04/2014] id: Activity Tolerance el: 0 cu: MICU-A cg: -1 v1: Good st: NotStopd t0: [00:00:00 08/04/2014] id: Oral Care el: 0 cu: MICU-A cg: -1 v1: Done st: NotStopd t0: [00:00:00 08/04/2014] id: AntiEmbDevice/Status el: 0 cu: MICU-A cg: -1 v1: Compress Sleeves v2: On st: NotStopd t0: [00:00:00 08/04/2014] id: Position el: 0 cu: MICU-A cg: -1 v1: Left Side st: NotStopd t0: [00:00:00 08/04/2014] id: Assistance Device el: 0 cu: MICU-A cg: -1 v1: 2 Person Assist st: NotStopd t0: [00:00:00 08/04/2014] id: PressureReduceDevice el: 0 cu: MICU-A cg: -1 v1: Multipodus Boots st: NotStopd t0: [00:00:00 08/04/2014] id: Skin Care el: 0 cu: MICU-A cg: -1 v1: Done st: NotStopd t0: [00:00:00 08/04/2014] id: Therapeutic Bed el: 0 cu: MICU-A cg: -1 v1: AirMatt/1st Step st: NotStopd t0: [00:00:00 08/04/2014] id: Turn el: 0 cu: MICU-A cg: -1 v1: Left Side st: NotStopd t0: [00:00:00 08/04/2014] id: Back Care el: 0 cu: MICU-A cg: -1 v1: Done st: NotStopd
t0: [00:42:00 08/04/2014] id: Potassium (3.5-5.3) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 3.4 rs: Final st: NotStopd t0: [00:42:00 08/04/2014] id: Sodium (135-148) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 146 rs: Final st: NotStopd
tf: [01:00:00 09/04/2014] pt: Unit Dose rt: PO fr: ONCE fs: 2 dn: 1 m1: Potassium Chloride f1: CAP v1: 40 u1: mEq
t0: [01:00:00 08/04/2014] id: Service Type el: 0 cu: MICU-A cg: -1 v1: MICU st: NotStopd t0: [01:00:00 08/04/2014] id: CVP el: 0 cu: MICU-A cg: -1 v1: 13 u1: mmHg st: NotStopd t0: [01:00:00 08/04/2014] id: Code Status el: 0 cu: MICU-A cg: -1 v1: Full Code st: NotStopd t0: [01:00:00 08/04/2014] id: Ectopy Frequency el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [01:00:00 08/04/2014] id: Ectopy Type el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [01:00:00 08/04/2014] id: Heart Rate el: 0 cu: MICU-A cg: -1 v1: 57 u1: BPM st: NotStopd t0: [01:00:00 08/04/2014] id: Heart Rhythm el: 0 cu: MICU-A cg: -1 v1: Sinus Brady st: NotStopd t0: [01:00:00 08/04/2014] id: Arterial BP el: 0 cu: MICU-A cg: -1 v1: 165 u1: mmHg v2: 79 u2: mmHg st: NotStopd t0: [01:00:00 08/04/2014] id: Arterial BP Mean el: 0 cu: MICU-A cg: -1 v1: 111 u1: mmHg st: NotStopd t0: [01:00:00 08/04/2014] id: Precautions el: 0 cu: MICU-A cg: -1 v1: Universal st: NotStopd t0: [01:00:00 08/04/2014] id: Respiratory Rate el: 0 cu: MICU-A cg: -1 v1: 18 u1: BPM st: NotStopd t0: [01:00:00 08/04/2014] id: SpO2 el: 0 cu: MICU-A cg: -1 v1: 97 u1: % st: NotStopd t0: [01:00:00 08/04/2014] id: calprevflg el: 0 cu: MICU-A cg: -1 v1: 1 u1: kg st: NotStopd t0: [02:00:00 08/04/2014] id: Service Type el: 0 cu: MICU-A cg: -1 v1: MICU st: NotStopd t0: [02:00:00 08/04/2014] id: CVP el: 0 cu: MICU-A cg: -1 v1: 12 u1: mmHg st: NotStopd t0: [02:00:00 08/04/2014] id: Code Status el: 0 cu: MICU-A cg: -1 v1: Full Code st: NotStopd t0: [02:00:00 08/04/2014] id: Ectopy Frequency el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [02:00:00 08/04/2014] id: Ectopy Type el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [02:00:00 08/04/2014] id: Heart Rate el: 0 cu: MICU-A cg: -1 v1: 52 u1: BPM st: NotStopd t0: [02:00:00 08/04/2014] id: Heart Rhythm el: 0 cu: MICU-A cg: -1 v1: Sinus Brady st: NotStopd t0: [02:00:00 08/04/2014] id: Arterial BP el: 0 cu: MICU-A cg: -1 v1: 151 u1: mmHg v2: 73 u2: mmHg st: NotStopd t0: [02:00:00 08/04/2014] id: Arterial BP Mean el: 0 cu: MICU-A cg: -1 v1: 101 u1: mmHg st: NotStopd t0: [02:00:00 08/04/2014] id: Precautions el: 0 cu: MICU-A cg: -1 v1: Universal st: NotStopd t0: [02:00:00 08/04/2014] id: Respiratory Rate el: 0 cu: MICU-A cg: -1 v1: 14 u1: BPM st: NotStopd t0: [02:00:00 08/04/2014] id: SpO2 el: 0 cu: MICU-A cg: -1 v1: 98 u1: % st: NotStopd t0: [02:00:00 08/04/2014] id: calprevflg el: 0 cu: MICU-A cg: -1 v1: 1 u1: kg st: NotStopd
t0: [02:00:00 08/04/2014] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 20 vu: ml t0: [02:00:00 08/04/2014] id: D5W 50.0ml + 100mghr Lasix IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 6 vu: ml t0: [02:00:00 08/04/2014] id: Promote w/fiber Tube Feeding el: 1 cu: MICU-A cg: -1 ai: 107 vo: 130 vu: ml t0: [02:00:00 08/04/2014] id: Urine Out Foley el: 1 cu: MICU-A cg: -1 vo: 350 vu: ml
t0: [01:00:00 08/04/2014] id: Lasix el: 1 cu: MICU-A so: D5W vo: 0 v1: 6 du: mghr sv: 50 su: ml rt: IV Drip t0: [02:00:00 08/04/2014] id: Lasix el: 1 cu: MICU-A so: D5W vo: 0 v1: 6 du: mghr sv: 50 su: ml rt: IV Drip
t0: [01:00:00 08/04/2014] id: Compliance (40-60ml) el: 0 cu: MICU-A cg: -1 v1: 27.7778 u1: ml/cmH st: NotStopd t0: [01:00:00 08/04/2014] id: ETT Mark/Location el: 0 cu: MICU-A cg: -1 v1: 21cm v2: Lip st: NotStopd t0: [01:00:00 08/04/2014] id: FiO2 Set el: 0 cu: MICU-A cg: -1 v1: 0.4 u1: torr st: NotStopd t0: [01:00:00 08/04/2014] id: Flow-By (lpm) el: 0 cu: MICU-A cg: -1 v1: 0 u1: lpm st: NotStopd t0: [01:00:00 08/04/2014] id: Flow-by Sensitivity el: 0 cu: MICU-A cg: -1 v1: 0 u1: cmH2O st: NotStopd t0: [01:00:00 08/04/2014] id: High Insp. Pressure el: 0 cu: MICU-A cg: -1 v1: 45 u1: cmH2O st: NotStopd t0: [01:00:00 08/04/2014] id: High Resp. Rate el: 0 cu: MICU-A cg: -1 v1: 35 u1: BPM st: NotStopd t0: [01:00:00 08/04/2014] id: I:E Ratio el: 0 cu: MICU-A cg: -1 v1: 1:3.2 st: NotStopd t0: [01:00:00 08/04/2014] id: Airway Size el: 0 cu: MICU-A cg: -1 v1: 7.5 mm st: NotStopd t0: [01:00:00 08/04/2014] id: Airway Type el: 0 cu: MICU-A cg: -1 v1: Endotracheal st: NotStopd t0: [01:00:00 08/04/2014] id: Inspired Gas Temp el: 0 cu: MICU-A cg: -1 v1: 34.5 u1: Deg. C st: NotStopd t0: [01:00:00 08/04/2014] id: Intubation Date el: 0 cu: MICU-A cg: -1 v1: 3 v2: 12 st: NotStopd t0: [01:00:00 08/04/2014] id: Low Exhaled Min Vol el: 0 cu: MICU-A cg: -1 v1: 3 st: NotStopd t0: [01:00:00 08/04/2014] id: Low Insp. Pressure el: 0 cu: MICU-A cg: -1 v1: 10 u1: cmH2O st: NotStopd t0: [01:00:00 08/04/2014] id: Mean Airway Pressure el: 0 cu: MICU-A cg: -1 v1: 9 u1: cmH2O st: NotStopd t0: [01:00:00 08/04/2014] id: Minute Volume(Obser) el: 0 cu: MICU-A cg: -1 v1: 7 u1: L/min st: NotStopd t0: [01:00:00 08/04/2014] id: PEEP Set el: 0 cu: MICU-A cg: -1 v1: 5 u1: cmH2O st: NotStopd t0: [01:00:00 08/04/2014] id: Apnea Time Interval el: 0 cu: MICU-A cg: -1 v1: 20 st: NotStopd t0: [01:00:00 08/04/2014] id: Peak Flow el: 0 cu: MICU-A cg: -1 v1: 55 u1: L/m st: NotStopd t0: [01:00:00 08/04/2014] id: Peak Insp. Pressure el: 0 cu: MICU-A cg: -1 v1: 23 u1: cmH2O st: NotStopd t0: [01:00:00 08/04/2014] id: Plateau Pressure el: 0 cu: MICU-A cg: -1 v1: 17.9 u1: cmH2O st: NotStopd t0: [01:00:00 08/04/2014] id: Plateau-Off el: 0 cu: MICU-A cg: -1 v1: Yes st: NotStopd t0: [01:00:00 08/04/2014] id: Resp Rate (Spont) el: 0 cu: MICU-A cg: -1 v1: 0 u1: BPM st: NotStopd t0: [01:00:00 08/04/2014] id: Resp Rate (Total) el: 0 cu: MICU-A cg: -1 v1: 14 u1: BPM st: NotStopd t0: [01:00:00 08/04/2014] id: Respiratory Rate Set el: 0 cu: MICU-A cg: -1 v1: 14 u1: BPM st: NotStopd t0: [01:00:00 08/04/2014] id: Sensitivity-Vent el: 0 cu: MICU-A cg: -1 v1: 2 u1: cmH2O st: NotStopd t0: [01:00:00 08/04/2014] id: Tidal Volume (Obser) el: 0 cu: MICU-A cg: -1 v1: 500 u1: ml/B st: NotStopd t0: [01:00:00 08/04/2014] id: Tidal Volume (Set) el: 0 cu: MICU-A cg: -1 v1: 500 u1: ml/B st: NotStopd t0: [01:00:00 08/04/2014] id: Ventilator Mode el: 0 cu: MICU-A cg: -1 v1: Assist Control st: NotStopd t0: [01:00:00 08/04/2014] id: Ventilator No. el: 0 cu: MICU-A cg: -1 v1: 6 u1: # st: NotStopd t0: [01:00:00 08/04/2014] id: Ventilator Type el: 0 cu: MICU-A cg: -1 v1: 7200A st: NotStopd t0: [01:00:00 08/04/2014] id: Waveform-Vent el: 0 cu: MICU-A cg: -1 v1: RAMP st: NotStopd
t0: [03:00:00 08/04/2014] id: Service Type el: 0 cu: MICU-A cg: -1 v1: MICU st: NotStopd t0: [03:00:00 08/04/2014] id: CVP el: 0 cu: MICU-A cg: -1 v1: 15 u1: mmHg st: NotStopd t0: [03:00:00 08/04/2014] id: Code Status el: 0 cu: MICU-A cg: -1 v1: Full Code st: NotStopd t0: [03:00:00 08/04/2014] id: Ectopy Frequency el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [03:00:00 08/04/2014] id: Ectopy Type el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [03:00:00 08/04/2014] id: Heart Rate el: 0 cu: MICU-A cg: -1 v1: 50 u1: BPM st: NotStopd t0: [03:00:00 08/04/2014] id: Heart Rhythm el: 0 cu: MICU-A cg: -1 v1: Sinus Brady st: NotStopd t0: [03:00:00 08/04/2014] id: Arterial BP el: 0 cu: MICU-A cg: -1 v1: 152 u1: mmHg v2: 73 u2: mmHg st: NotStopd t0: [03:00:00 08/04/2014] id: Arterial BP Mean el: 0 cu: MICU-A cg: -1 v1: 101 u1: mmHg st: NotStopd t0: [03:00:00 08/04/2014] id: Precautions el: 0 cu: MICU-A cg: -1 v1: Universal st: NotStopd t0: [03:00:00 08/04/2014] id: Respiratory Rate el: 0 cu: MICU-A cg: -1 v1: 14 u1: BPM st: NotStopd t0: [03:00:00 08/04/2014] id: SpO2 el: 0 cu: MICU-A cg: -1 v1: 96 u1: % st: NotStopd t0: [03:00:00 08/04/2014] id: calprevflg el: 0 cu: MICU-A cg: -1 v1: 1 u1: kg st: NotStopd
t0: [03:00:00 08/04/2014] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 10 vu: ml t0: [03:00:00 08/04/2014] id: Gastric Meds PO/Gastric el: 1 cu: MICU-A cg: -1 ai: 155 vo: 60 vu: ml t0: [03:00:00 08/04/2014] id: D5W 50.0ml + 100mghr Lasix IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 3 vu: ml t0: [03:00:00 08/04/2014] id: Promote w/fiber Tube Feeding el: 1 cu: MICU-A cg: -1 ai: 107 vo: 65 vu: ml t0: [03:00:00 08/04/2014] id: Urine Out Foley el: 1 cu: MICU-A cg: -1 vo: 200 vu: ml
t0: [03:00:00 08/04/2014] id: Lasix el: 1 cu: MICU-A so: D5W vo: 0 v1: 6 du: mghr sv: 50 su: ml rt: IV Drip
t0: [00:00:00 08/04/2014] id: Family Communication el: 0 cu: MICU-A cg: -1 v1: Family Visited st: NotStopd t0: [04:00:00 08/04/2014] id: Pain Present el: 0 cu: MICU-A cg: -1 v1: No st: NotStopd t0: [04:00:00 08/04/2014] id: Service Type el: 0 cu: MICU-A cg: -1 v1: MICU st: NotStopd t0: [04:00:00 08/04/2014] id: CVP el: 0 cu: MICU-A cg: -1 v1: 15 u1: mmHg st: NotStopd t0: [04:00:00 08/04/2014] id: Code Status el: 0 cu: MICU-A cg: -1 v1: Full Code st: NotStopd t0: [04:00:00 08/04/2014] id: Riker-SAS Scale el: 0 cu: MICU-A cg: -1 v1: Calm/Cooperative st: NotStopd t0: [04:00:00 08/04/2014] id: Diet Type el: 0 cu: MICU-A cg: -1 v1: Tube Feeding st: NotStopd t0: [04:00:00 08/04/2014] id: Dorsal PedPulse R/L el: 0 cu: MICU-A cg: -1 v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [04:00:00 08/04/2014] id: Ectopy Frequency el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [04:00:00 08/04/2014] id: Ectopy Type el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [04:00:00 08/04/2014] id: Eye Opening el: 0 cu: MICU-A cg: -1 v1: 4 Spontaneously st: NotStopd t0: [04:00:00 08/04/2014] id: GCS Total el: 0 cu: MICU-A cg: -1 v1: 11 u1: points st: NotStopd t0: [04:00:00 08/04/2014] id: GI Intub #1/Site el: 0 cu: MICU-A cg: -1 v1: Salem Sump v2: Oral st: NotStopd t0: [04:00:00 08/04/2014] id: GI#1 Tube PlaceCheck el: 0 cu: MICU-A cg: -1 v1: Done st: NotStopd t0: [04:00:00 08/04/2014] id: GI#1 Tube Stat/Drain el: 0 cu: MICU-A cg: -1 v1: Feeding v2: Undigested Food st: NotStopd t0: [04:00:00 08/04/2014] id: GU Catheter Size el: 0 cu: MICU-A cg: -1 v1: 14 French st: NotStopd t0: [04:00:00 08/04/2014] id: HOB el: 0 cu: MICU-A cg: -1 v1: 30 degrees st: NotStopd t0: [04:00:00 08/04/2014] id: Heart Rate el: 0 cu: MICU-A cg: -1 v1: 48 u1: BPM st: NotStopd t0: [04:00:00 08/04/2014] id: Heart Rhythm el: 0 cu: MICU-A cg: -1 v1: Sinus Brady st: NotStopd t0: [04:00:00 08/04/2014] id: INV Line#1 Type/Site el: 0 cu: MICU-A cg: -1 v1: Multi-lumen v2: Left IJ st: NotStopd t0: [04:00:00 08/04/2014] id: INV Line#1InsertDate el: 0 cu: MICU-A cg: -1 v1: 3 v2: 19 st: NotStopd t0: [04:00:00 08/04/2014] id: INV Line#1SiteAppear el: 0 cu: MICU-A cg: -1 v1: WNL st: NotStopd t0: [04:00:00 08/04/2014] id: INV Line#4 Type/Site el: 0 cu: MICU-A cg: -1 v1: A-Line v2: Right Brachial st: NotStopd t0: [04:00:00 08/04/2014] id: INV Line#4InsertDate el: 0 cu: MICU-A cg: -1 v1: 3 v2: 17 st: NotStopd t0: [04:00:00 08/04/2014] id: INV Line#4SiteAppear el: 0 cu: MICU-A cg: -1 v1: WNL st: NotStopd t0: [04:00:00 08/04/2014] id: Abdominal Assessment el: 0 cu: MICU-A cg: -1 v1: Soft st: NotStopd t0: [04:00:00 08/04/2014] id: Activity el: 0 cu: MICU-A cg: -1 v1: Bedrest st: NotStopd t0: [04:00:00 08/04/2014] id: Activity Tolerance el: 0 cu: MICU-A cg: -1 v1: Good st: NotStopd t0: [04:00:00 08/04/2014] id: Impaired Skin Site#1 el: 0 cu: MICU-A cg: -1 v1: Gluteal, Right st: NotStopd t0: [04:00:00 08/04/2014] id: Impaired Skin Site#2 el: 0 cu: MICU-A cg: -1 v1: Labia st: NotStopd t0: [04:00:00 08/04/2014] id: LLL Lung Sounds el: 0 cu: MICU-A cg: -1 v1: Diminished st: NotStopd t0: [04:00:00 08/04/2014] id: LUL Lung Sounds el: 0 cu: MICU-A cg: -1 v1: Clear st: NotStopd t0: [04:00:00 08/04/2014] id: Level of Conscious el: 0 cu: MICU-A cg: -1 v1: Alert st: NotStopd t0: [04:00:00 08/04/2014] id: Motor Response el: 0 cu: MICU-A cg: -1 v1: 6 Obeys Commands st: NotStopd t0: [04:00:00 08/04/2014] id: Oral Cavity el: 0 cu: MICU-A cg: -1 v1: Teeth/Tissue WNL st: NotStopd t0: [04:00:00 08/04/2014] id: Orientation el: 0 cu: MICU-A cg: -1 v1: Other/Remarks st: NotStopd t0: [04:00:00 08/04/2014] id: AntiEmbDevice/Status el: 0 cu: MICU-A cg: -1 v1: Compress Sleeves v2: On st: NotStopd t0: [04:00:00 08/04/2014] id: Arterial BP el: 0 cu: MICU-A cg: -1 v1: 159 u1: mmHg v2: 74 u2: mmHg st: NotStopd t0: [04:00:00 08/04/2014] id: Pain Location el: 0 cu: MICU-A cg: -1 v1: Not Indicated st: NotStopd t0: [04:00:00 08/04/2014] id: Arterial BP Mean el: 0 cu: MICU-A cg: -1 v1: 104 u1: mmHg st: NotStopd t0: [04:00:00 08/04/2014] id: Position el: 0 cu: MICU-A cg: -1 v1: Supine st: NotStopd t0: [04:00:00 08/04/2014] id: Assistance Device el: 0 cu: MICU-A cg: -1 v1: 1 Person Assist st: NotStopd t0: [04:00:00 08/04/2014] id: Precautions el: 0 cu: MICU-A cg: -1 v1: Universal st: NotStopd t0: [04:00:00 08/04/2014] id: PressureReduceDevice el: 0 cu: MICU-A cg: -1 v1: Multipodus Boots st: NotStopd t0: [04:00:00 08/04/2014] id: RLL Lung Sounds el: 0 cu: MICU-A cg: -1 v1: Diminished st: NotStopd t0: [04:00:00 08/04/2014] id: RUL Lung Sounds el: 0 cu: MICU-A cg: -1 v1: Clear st: NotStopd t0: [04:00:00 08/04/2014] id: Reason For Restraint el: 0 cu: MICU-A cg: -1 v1: Ext/TXInterfere st: NotStopd t0: [04:00:00 08/04/2014] id: Respiratory Pattern el: 0 cu: MICU-A cg: -1 v1: Regular st: NotStopd t0: [04:00:00 08/04/2014] id: Respiratory Rate el: 0 cu: MICU-A cg: -1 v1: 14 u1: BPM st: NotStopd t0: [04:00:00 08/04/2014] id: Restraint Location el: 0 cu: MICU-A cg: -1 v1: Both Arms st: NotStopd t0: [04:00:00 08/04/2014] id: Restraint Type el: 0 cu: MICU-A cg: -1 v1: Soft Limb st: NotStopd t0: [04:00:00 08/04/2014] id: Side Rails el: 0 cu: MICU-A cg: -1 v1: Side Rails Up st: NotStopd t0: [04:00:00 08/04/2014] id: Skin Integrity el: 0 cu: MICU-A cg: -1 v1: Impaired st: NotStopd t0: [04:00:00 08/04/2014] id: SpO2 el: 0 cu: MICU-A cg: -1 v1: 97 u1: % st: NotStopd t0: [04:00:00 08/04/2014] id: Support Systems el: 0 cu: MICU-A cg: -1 v1: Spouse st: NotStopd t0: [04:00:00 08/04/2014] id: Temp. Site el: 0 cu: MICU-A cg: -1 v1: Oral st: NotStopd t0: [04:00:00 08/04/2014] id: Temperature C (calc) el: 0 cu: MICU-A cg: -1 v1: 37.1667 u1: Deg. C st: NotStopd t0: [04:00:00 08/04/2014] id: Temperature F el: 0 cu: MICU-A cg: -1 v1: 98.9 u1: Deg. F st: NotStopd t0: [04:00:00 08/04/2014] id: Therapeutic Bed el: 0 cu: MICU-A cg: -1 v1: AirMatt/1st Step st: NotStopd t0: [04:00:00 08/04/2014] id: Turn el: 0 cu: MICU-A cg: -1 v1: Side to Side st: NotStopd t0: [04:00:00 08/04/2014] id: Urine Color/Appear el: 0 cu: MICU-A cg: -1 v1: Yellow v2: Clear st: NotStopd t0: [04:00:00 08/04/2014] id: Urine Source el: 0 cu: MICU-A cg: -1 v1: Indwelling Cath st: NotStopd t0: [04:00:00 08/04/2014] id: Verbal Response el: 0 cu: MICU-A cg: -1 v1: 1.0 ET/Trach st: NotStopd t0: [04:00:00 08/04/2014] id: calprevflg el: 0 cu: MICU-A cg: -1 v1: 1 u1: kg st: NotStopd t0: [04:00:00 08/04/2014] id: Behavior el: 0 cu: MICU-A cg: -1 v1: Calm st: NotStopd t0: [04:00:00 08/04/2014] id: Bowel Sounds el: 0 cu: MICU-A cg: -1 v1: Present st: NotStopd
t0: [04:00:00 08/04/2014] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 10 vu: ml t0: [04:00:00 08/04/2014] id: Gastric Meds PO/Gastric el: 1 cu: MICU-A cg: -1 ai: 155 vo: 30 vu: ml t0: [04:00:00 08/04/2014] id: D5W 50.0ml + 100mghr Lasix IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 3 vu: ml t0: [04:00:00 08/04/2014] id: IV Piggyback 100.0ml IV Infusions el: 1 cu: MICU-A cg: -1 ai: 105 vo: 50 vu: ml t0: [04:00:00 08/04/2014] id: Promote w/fiber Tube Feeding el: 1 cu: MICU-A cg: -1 ai: 107 vo: 65 vu: ml t0: [04:00:00 08/04/2014] id: Urine Out Foley el: 1 cu: MICU-A cg: -1 vo: 280 vu: ml
t0: [04:00:00 08/04/2014] id: Lasix el: 1 cu: MICU-A so: D5W vo: 0 v1: 6 du: mghr sv: 50 su: ml rt: IV Drip
t0: [05:00:00 08/04/2014] id: Service Type el: 0 cu: MICU-A cg: -1 v1: MICU st: NotStopd t0: [05:00:00 08/04/2014] id: CVP el: 0 cu: MICU-A cg: -1 v1: 14 u1: mmHg st: NotStopd t0: [05:00:00 08/04/2014] id: Code Status el: 0 cu: MICU-A cg: -1 v1: Full Code st: NotStopd t0: [05:00:00 08/04/2014] id: Ectopy Frequency el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [05:00:00 08/04/2014] id: Ectopy Type el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [05:00:00 08/04/2014] id: Heart Rate el: 0 cu: MICU-A cg: -1 v1: 54 u1: BPM st: NotStopd t0: [05:00:00 08/04/2014] id: Heart Rhythm el: 0 cu: MICU-A cg: -1 v1: Sinus Brady st: NotStopd t0: [05:00:00 08/04/2014] id: Arterial BP el: 0 cu: MICU-A cg: -1 v1: 145 u1: mmHg v2: 70 u2: mmHg st: NotStopd t0: [05:00:00 08/04/2014] id: Arterial BP Mean el: 0 cu: MICU-A cg: -1 v1: 98 u1: mmHg st: NotStopd t0: [05:00:00 08/04/2014] id: Precautions el: 0 cu: MICU-A cg: -1 v1: Universal st: NotStopd t0: [05:00:00 08/04/2014] id: Respiratory Rate el: 0 cu: MICU-A cg: -1 v1: 15 u1: BPM st: NotStopd t0: [05:00:00 08/04/2014] id: SpO2 el: 0 cu: MICU-A cg: -1 v1: 99 u1: % st: NotStopd t0: [05:00:00 08/04/2014] id: calprevflg el: 0 cu: MICU-A cg: -1 v1: 1 u1: kg st: NotStopd
t0: [05:00:00 08/04/2014] id: Lasix el: 1 cu: MICU-A so: D5W vo: 0 v1: 6 du: mghr sv: 50 su: ml rt: IV Drip
t0: [05:00:00 08/04/2014] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 10 vu: ml t0: [05:00:00 08/04/2014] id: D5W 50.0ml + 100mghr Lasix IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 3 vu: ml t0: [05:00:00 08/04/2014] id: Promote w/fiber Tube Feeding el: 1 cu: MICU-A cg: -1 ai: 107 vo: 65 vu: ml t0: [05:00:00 08/04/2014] id: Urine Out Foley el: 1 cu: MICU-A cg: -1 vo: 220 vu: ml
t0: [05:00:00 08/04/2014] id: Compliance (40-60ml) el: 0 cu: MICU-A cg: -1 v1: 31.25 u1: ml/cmH st: NotStopd t0: [05:00:00 08/04/2014] id: ETT Mark/Location el: 0 cu: MICU-A cg: -1 v1: 21cm v2: Lip st: NotStopd t0: [05:00:00 08/04/2014] id: FiO2 Set el: 0 cu: MICU-A cg: -1 v1: 0.4 u1: torr st: NotStopd t0: [05:00:00 08/04/2014] id: Flow-By (lpm) el: 0 cu: MICU-A cg: -1 v1: 0 u1: lpm st: NotStopd t0: [05:00:00 08/04/2014] id: Flow-by Sensitivity el: 0 cu: MICU-A cg: -1 v1: 0 u1: cmH2O st: NotStopd t0: [05:00:00 08/04/2014] id: High Insp. Pressure el: 0 cu: MICU-A cg: -1 v1: 45 u1: cmH2O st: NotStopd t0: [05:00:00 08/04/2014] id: High Resp. Rate el: 0 cu: MICU-A cg: -1 v1: 35 u1: BPM st: NotStopd t0: [05:00:00 08/04/2014] id: I:E Ratio el: 0 cu: MICU-A cg: -1 v1: 1:3.2 st: NotStopd t0: [05:00:00 08/04/2014] id: Airway Size el: 0 cu: MICU-A cg: -1 v1: 7.5 mm st: NotStopd t0: [05:00:00 08/04/2014] id: Airway Type el: 0 cu: MICU-A cg: -1 v1: Endotracheal st: NotStopd t0: [05:00:00 08/04/2014] id: Inspired Gas Temp el: 0 cu: MICU-A cg: -1 v1: 34.5 u1: Deg. C st: NotStopd t0: [05:00:00 08/04/2014] id: Intubation Date el: 0 cu: MICU-A cg: -1 v1: 3 v2: 12 st: NotStopd t0: [05:00:00 08/04/2014] id: Low Exhaled Min Vol el: 0 cu: MICU-A cg: -1 v1: 3 st: NotStopd t0: [05:00:00 08/04/2014] id: Low Insp. Pressure el: 0 cu: MICU-A cg: -1 v1: 10 u1: cmH2O st: NotStopd t0: [05:00:00 08/04/2014] id: Mean Airway Pressure el: 0 cu: MICU-A cg: -1 v1: 8.9 u1: cmH2O st: NotStopd t0: [05:00:00 08/04/2014] id: Minute Volume(Obser) el: 0 cu: MICU-A cg: -1 v1: 7.5 u1: L/min st: NotStopd t0: [05:00:00 08/04/2014] id: PEEP Set el: 0 cu: MICU-A cg: -1 v1: 5 u1: cmH2O st: NotStopd t0: [05:00:00 08/04/2014] id: Apnea Time Interval el: 0 cu: MICU-A cg: -1 v1: 20 st: NotStopd t0: [05:00:00 08/04/2014] id: Peak Flow el: 0 cu: MICU-A cg: -1 v1: 55 u1: L/m st: NotStopd t0: [05:00:00 08/04/2014] id: Peak Insp. Pressure el: 0 cu: MICU-A cg: -1 v1: 21 u1: cmH2O st: NotStopd t0: [05:00:00 08/04/2014] id: Plateau Pressure el: 0 cu: MICU-A cg: -1 v1: 17 u1: cmH2O st: NotStopd t0: [05:00:00 08/04/2014] id: Plateau-Off el: 0 cu: MICU-A cg: -1 v1: Yes st: NotStopd t0: [05:00:00 08/04/2014] id: Resp Rate (Spont) el: 0 cu: MICU-A cg: -1 v1: 0 u1: BPM st: NotStopd t0: [05:00:00 08/04/2014] id: Resp Rate (Total) el: 0 cu: MICU-A cg: -1 v1: 14 u1: BPM st: NotStopd t0: [05:00:00 08/04/2014] id: Respiratory Rate Set el: 0 cu: MICU-A cg: -1 v1: 14 u1: BPM st: NotStopd t0: [05:00:00 08/04/2014] id: Sensitivity-Vent el: 0 cu: MICU-A cg: -1 v1: 2 u1: cmH2O st: NotStopd t0: [05:00:00 08/04/2014] id: Sputum Color/Consist el: 0 cu: MICU-A cg: -1 v1: Yellow v2: Thick st: NotStopd t0: [05:00:00 08/04/2014] id: Sputum Source/Amt el: 0 cu: MICU-A cg: -1 v1: Suctioned v2: Small st: NotStopd t0: [05:00:00 08/04/2014] id: Tidal Volume (Obser) el: 0 cu: MICU-A cg: -1 v1: 500 u1: ml/B st: NotStopd t0: [05:00:00 08/04/2014] id: Tidal Volume (Set) el: 0 cu: MICU-A cg: -1 v1: 500 u1: ml/B st: NotStopd t0: [05:00:00 08/04/2014] id: Ventilator Mode el: 0 cu: MICU-A cg: -1 v1: Assist Control st: NotStopd t0: [05:00:00 08/04/2014] id: Ventilator No. el: 0 cu: MICU-A cg: -1 v1: 6 u1: # st: NotStopd t0: [05:00:00 08/04/2014] id: Ventilator Type el: 0 cu: MICU-A cg: -1 v1: 7200A st: NotStopd t0: [05:00:00 08/04/2014] id: Waveform-Vent el: 0 cu: MICU-A cg: -1 v1: RAMP st: NotStopd
t0: [06:00:00 08/04/2014] id: Service Type el: 0 cu: MICU-A cg: -1 v1: MICU st: NotStopd t0: [06:00:00 08/04/2014] id: CVP el: 0 cu: MICU-A cg: -1 v1: 10 u1: mmHg st: NotStopd t0: [06:00:00 08/04/2014] id: Code Status el: 0 cu: MICU-A cg: -1 v1: Full Code st: NotStopd t0: [06:00:00 08/04/2014] id: Ectopy Frequency el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [06:00:00 08/04/2014] id: Ectopy Type el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [06:00:00 08/04/2014] id: Heart Rate el: 0 cu: MICU-A cg: -1 v1: 49 u1: BPM st: NotStopd t0: [06:00:00 08/04/2014] id: Heart Rhythm el: 0 cu: MICU-A cg: -1 v1: Sinus Brady st: NotStopd t0: [06:00:00 08/04/2014] id: Arterial BP el: 0 cu: MICU-A cg: -1 v1: 157 u1: mmHg v2: 73 u2: mmHg st: NotStopd t0: [06:00:00 08/04/2014] id: Arterial BP Mean el: 0 cu: MICU-A cg: -1 v1: 102 u1: mmHg st: NotStopd t0: [06:00:00 08/04/2014] id: Precautions el: 0 cu: MICU-A cg: -1 v1: Universal st: NotStopd t0: [06:00:00 08/04/2014] id: Respiratory Rate el: 0 cu: MICU-A cg: -1 v1: 15 u1: BPM st: NotStopd t0: [06:00:00 08/04/2014] id: SpO2 el: 0 cu: MICU-A cg: -1 v1: 97 u1: % st: NotStopd t0: [06:00:00 08/04/2014] id: calprevflg el: 0 cu: MICU-A cg: -1 v1: 1 u1: kg st: NotStopd
t0: [06:00:00 08/04/2014] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 10 vu: ml t0: [06:00:00 08/04/2014] id: Gastric Meds PO/Gastric el: 1 cu: MICU-A cg: -1 ai: 155 vo: 60 vu: ml t0: [06:00:00 08/04/2014] id: Free Water Bolus PO/Gastric el: 1 cu: MICU-A cg: -1 ai: 274 vo: 250 vu: ml t0: [06:00:00 08/04/2014] id: D5W 50.0ml + 100mghr Lasix IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 3 vu: ml t0: [06:00:00 08/04/2014] id: Promote w/fiber Tube Feeding el: 1 cu: MICU-A cg: -1 ai: 107 vo: 65 vu: ml
t0: [06:00:00 08/04/2014] id: Lasix el: 1 cu: MICU-A so: D5W vo: 0 v1: 6 du: mghr sv: 50 su: ml rt: IV Drip
t0: [06:00:00 08/04/2014] id: HOB el: 0 cu: MICU-A cg: -1 v1: 30 degrees st: NotStopd t0: [06:00:00 08/04/2014] id: Activity el: 0 cu: MICU-A cg: -1 v1: Bedrest st: NotStopd t0: [06:00:00 08/04/2014] id: Activity Tolerance el: 0 cu: MICU-A cg: -1 v1: Tolerated Well st: NotStopd t0: [06:00:00 08/04/2014] id: Oral Care el: 0 cu: MICU-A cg: -1 v1: Done st: NotStopd t0: [06:00:00 08/04/2014] id: AntiEmbDevice/Status el: 0 cu: MICU-A cg: -1 v1: Compress Sleeves v2: On st: NotStopd t0: [06:00:00 08/04/2014] id: Position el: 0 cu: MICU-A cg: -1 v1: Right Side st: NotStopd t0: [06:00:00 08/04/2014] id: Assistance Device el: 0 cu: MICU-A cg: -1 v1: 2 Person Assist st: NotStopd t0: [06:00:00 08/04/2014] id: PressureReduceDevice el: 0 cu: MICU-A cg: -1 v1: Multipodus Boots st: NotStopd t0: [06:00:00 08/04/2014] id: Skin Care el: 0 cu: MICU-A cg: -1 v1: Done st: NotStopd t0: [06:00:00 08/04/2014] id: Therapeutic Bed el: 0 cu: MICU-A cg: -1 v1: AirMatt/1st Step st: NotStopd t0: [06:00:00 08/04/2014] id: Turn el: 0 cu: MICU-A cg: -1 v1: Right Side st: NotStopd t0: [06:00:00 08/04/2014] id: Back Care el: 0 cu: MICU-A cg: -1 v1: Done st: NotStopd
t0: [06:00:00 08/04/2014] id: Urine Out Foley el: 1 cu: MICU-A cg: -1 vo: 340 vu: ml
t0: [06:35:00 08/04/2014] id: Art.pH ABG el: 0 cu: MICU-A cg: 1663 v1: 7.5 rs: Final st: NotStopd t0: [06:35:00 08/04/2014] id: Arterial Base Excess ABG el: 0 cu: MICU-A cg: 1663 v1: 6 rs: Final st: NotStopd t0: [06:35:00 08/04/2014] id: Arterial CO2(Calc) ABG el: 0 cu: MICU-A cg: 1663 v1: 31 rs: Final st: NotStopd t0: [06:35:00 08/04/2014] id: Arterial PaCO2 ABG el: 0 cu: MICU-A cg: 1663 v1: 39 u1: mmHg rs: Final st: NotStopd t0: [06:35:00 08/04/2014] id: Arterial PaO2 ABG el: 0 cu: MICU-A cg: 1663 v1: 70 u1: mmHg rs: Final st: NotStopd t0: [06:35:00 08/04/2014] id: Arterial pH ABG el: 0 cu: MICU-A cg: 1663 v1: 7.5 rs: Final st: NotStopd
t0: [06:00:00 08/04/2014] id: WBC (4-11,000) Hematology el: 0 cu: MICU-A cg: 1663 v1: 11.8 rs: Final st: NotStopd t0: [06:00:00 08/04/2014] id: Hematocrit Hematology el: 0 cu: MICU-A cg: 1663 v1: 25.9 u1: % rs: Final st: NotStopd t0: [06:00:00 08/04/2014] id: Hemoglobin Hematology el: 0 cu: MICU-A cg: 1663 v1: 8.9 u1: gm/dl rs: Final st: NotStopd t0: [06:00:00 08/04/2014] id: Platelets Hematology el: 0 cu: MICU-A cg: 1663 v1: 403 rs: Final st: NotStopd t0: [06:00:00 08/04/2014] id: RBC Hematology el: 0 cu: MICU-A cg: 1663 v1: 3.06 u1: /mic l rs: Final st: NotStopd t0: [06:00:00 08/04/2014] id: WBC (4-11,000) Hematology el: 0 cu: MICU-A cg: 1663 v1: 11.8 rs: Final st: NotStopd
t0: [07:00:00 08/04/2014] id: ETT Mark/Location el: 0 cu: MICU-A cg: -1 v1: 21cm v2: Lip st: NotStopd t0: [07:00:00 08/04/2014] id: Airway Size el: 0 cu: MICU-A cg: -1 v1: 7.5 mm st: NotStopd t0: [07:00:00 08/04/2014] id: Airway Type el: 0 cu: MICU-A cg: -1 v1: Endotracheal st: NotStopd t0: [07:00:00 08/04/2014] id: Intubation Date el: 0 cu: MICU-A cg: -1 v1: 3 v2: 12 st: NotStopd t0: [07:00:00 08/04/2014] id: Resp Rate (Spont) el: 0 cu: MICU-A cg: -1 v1: 4 u1: BPM st: NotStopd t0: [07:00:00 08/04/2014] id: Resp Rate (Total) el: 0 cu: MICU-A cg: -1 v1: 16 u1: BPM st: NotStopd t0: [07:00:00 08/04/2014] id: Respiratory Rate Set el: 0 cu: MICU-A cg: -1 v1: 12 u1: BPM st: NotStopd t0: [07:00:00 08/04/2014] id: SpO2 el: 0 cu: MICU-A cg: -1 v1: 97 u1: % st: NotStopd t0: [07:00:00 08/04/2014] id: Ventilator No. el: 0 cu: MICU-A cg: -1 v1: 6 u1: # st: NotStopd t0: [07:00:00 08/04/2014] id: Ventilator Type el: 0 cu: MICU-A cg: -1 v1: 7200A st: NotStopd
t0: [06:00:00 08/04/2014] id: BUN (6-20) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 47 rs: Final st: NotStopd t0: [06:00:00 08/04/2014] 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: [06:00:00 08/04/2014] id: Carbon Dioxide Chemistry el: 0 cu: MICU-A cg: 1663 v1: 28 rs: Final st: NotStopd t0: [06:00:00 08/04/2014] id: Chloride (100-112) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 108 rs: Final st: NotStopd t0: [06:00:00 08/04/2014] id: Creatinine (0-1.3) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 1.1 rs: Final st: NotStopd t0: [06:00:00 08/04/2014] id: Glucose (70-105) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 121 rs: Final st: NotStopd t0: [06:00:00 08/04/2014] id: Magnesium (1.6-2.6) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 2.3 rs: Final st: NotStopd t0: [06:00:00 08/04/2014] 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: [06:00:00 08/04/2014] id: Potassium (3.5-5.3) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 3.4 rs: Final st: NotStopd t0: [06:00:00 08/04/2014] id: Sodium (135-148) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 146 rs: Final st: NotStopd
t0: [08:00:00 08/04/2014] id: Range of Motion el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [08:00:00 08/04/2014] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [08:00:00 08/04/2014] id: CVP el: 0 cu: MICU-A cg: RN v1: 13 u1: mmHg st: NotStopd t0: [08:00:00 08/04/2014] id: Circulation/SkinInt el: 0 cu: MICU-A cg: RN v1: Circulation Adeq st: NotStopd t0: [08:00:00 08/04/2014] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [08:00:00 08/04/2014] id: GI Prophylaxis el: 0 cu: MICU-A cg: RN v1: H2 Blocker st: NotStopd t0: [08:00:00 08/04/2014] id: Diet Type el: 0 cu: MICU-A cg: RN v1: Tube Feeding st: NotStopd t0: [08:00:00 08/04/2014] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [08:00:00 08/04/2014] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [08:00:00 08/04/2014] id: Eye Opening el: 0 cu: MICU-A cg: RN v1: 4 Spontaneously st: NotStopd t0: [08:00:00 08/04/2014] id: GCS Total el: 0 cu: MICU-A cg: RN v1: 11 u1: points st: NotStopd t0: [08:00:00 08/04/2014] id: GI Intub #1/Site el: 0 cu: MICU-A cg: RN v1: Salem Sump v2: Oral st: NotStopd t0: [08:00:00 08/04/2014] id: GI#1 Tube PlaceCheck el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [08:00:00 08/04/2014] id: GI#1 Tube Stat/Drain el: 0 cu: MICU-A cg: RN v1: Feeding v2: Undigested Food st: NotStopd t0: [08:00:00 08/04/2014] id: GU Catheter Size el: 0 cu: MICU-A cg: RN v1: 14 French st: NotStopd t0: [08:00:00 08/04/2014] id: HOB el: 0 cu: MICU-A cg: RN v1: 30 degrees st: NotStopd t0: [08:00:00 08/04/2014] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 60 u1: BPM st: NotStopd t0: [08:00:00 08/04/2014] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Sinus Brady st: NotStopd t0: [08:00:00 08/04/2014] id: INV Line#1 Type/Site el: 0 cu: MICU-A cg: RN v1: Multi-lumen v2: Left IJ st: NotStopd t0: [08:00:00 08/04/2014] id: INV Line#1 Zero/Cal el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [08:00:00 08/04/2014] id: INV Line#1InsertDate el: 0 cu: MICU-A cg: RN v1: 3 v2: 19 st: NotStopd t0: [08:00:00 08/04/2014] id: INV Line#1SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [08:00:00 08/04/2014] id: INV Line#4 Type/Site el: 0 cu: MICU-A cg: RN v1: A-Line v2: Right Brachial st: NotStopd t0: [08:00:00 08/04/2014] id: INV Line#4 Zero/Cal el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [08:00:00 08/04/2014] id: INV Line#4InsertDate el: 0 cu: MICU-A cg: RN v1: 3 v2: 17 st: NotStopd t0: [08:00:00 08/04/2014] id: INV Line#4SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [08:00:00 08/04/2014] id: Abdominal Assessment el: 0 cu: MICU-A cg: RN v1: Soft st: NotStopd t0: [08:00:00 08/04/2014] id: INV#1 WaveformAppear el: 0 cu: MICU-A cg: RN v1: Sharp st: NotStopd t0: [08:00:00 08/04/2014] id: INV#4 WaveformAppear el: 0 cu: MICU-A cg: RN v1: Sharp st: NotStopd t0: [08:00:00 08/04/2014] id: Activity el: 0 cu: MICU-A cg: RN v1: Bedrest st: NotStopd t0: [08:00:00 08/04/2014] id: Activity Tolerance el: 0 cu: MICU-A cg: RN v1: Tolerated Well st: NotStopd t0: [08:00:00 08/04/2014] id: Imp Skin Cleanse #2 el: 0 cu: MICU-A cg: RN v1: Soap & H20 st: NotStopd t0: [08:00:00 08/04/2014] id: ImpSkin Character #1 el: 0 cu: MICU-A cg: RN v1: Hematoma st: NotStopd t0: [08:00:00 08/04/2014] id: ImpSkin Character #2 el: 0 cu: MICU-A cg: RN v1: Rash st: NotStopd t0: [08:00:00 08/04/2014] id: ImpSkin Treatment #1 el: 0 cu: MICU-A cg: RN v1: Open to Air st: NotStopd t0: [08:00:00 08/04/2014] id: ImpSkin Treatment #2 el: 0 cu: MICU-A cg: RN v1: Open to Air st: NotStopd t0: [08:00:00 08/04/2014] id: Impaired Skin Site#1 el: 0 cu: MICU-A cg: RN v1: Gluteal, Right st: NotStopd t0: [08:00:00 08/04/2014] id: Impaired Skin Site#2 el: 0 cu: MICU-A cg: RN v1: Labia st: NotStopd t0: [08:00:00 08/04/2014] id: LLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [08:00:00 08/04/2014] id: LUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [08:00:00 08/04/2014] id: Level of Conscious el: 0 cu: MICU-A cg: RN v1: Alert st: NotStopd t0: [08:00:00 08/04/2014] id: Motor Response el: 0 cu: MICU-A cg: RN v1: 6 Obeys Commands st: NotStopd t0: [08:00:00 08/04/2014] id: Oral Cavity el: 0 cu: MICU-A cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [08:00:00 08/04/2014] id: Orientation el: 0 cu: MICU-A cg: RN v1: Other/Remarks st: NotStopd t0: [08:00:00 08/04/2014] id: AntiEmbDevice/Status el: 0 cu: MICU-A cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [08:00:00 08/04/2014] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 165 u1: mmHg v2: 77 u2: mmHg st: NotStopd t0: [08:00:00 08/04/2014] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 110 u1: mmHg st: NotStopd t0: [08:00:00 08/04/2014] id: Position el: 0 cu: MICU-A cg: RN v1: Supine st: NotStopd t0: [08:00:00 08/04/2014] id: Position Change el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [08:00:00 08/04/2014] id: Assistance Device el: 0 cu: MICU-A cg: RN v1: 2 Person Assist st: NotStopd t0: [08:00:00 08/04/2014] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [08:00:00 08/04/2014] id: PressureReduceDevice el: 0 cu: MICU-A cg: RN v1: Multipodus Boots st: NotStopd t0: [08:00:00 08/04/2014] id: RLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [08:00:00 08/04/2014] id: RUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [08:00:00 08/04/2014] id: Reason For Restraint el: 0 cu: MICU-A cg: RN v1: Ext/TXInterfere st: NotStopd t0: [08:00:00 08/04/2014] id: Removed x 5 Mins el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [08:00:00 08/04/2014] id: Respiratory Pattern el: 0 cu: MICU-A cg: RN v1: Regular st: NotStopd t0: [08:00:00 08/04/2014] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 19 u1: BPM st: NotStopd t0: [08:00:00 08/04/2014] id: Restraint Location el: 0 cu: MICU-A cg: RN v1: Both Arms st: NotStopd t0: [08:00:00 08/04/2014] id: Restraint Type el: 0 cu: MICU-A cg: RN v1: Soft Limb st: NotStopd t0: [08:00:00 08/04/2014] id: Restraints Evaluated el: 0 cu: MICU-A cg: RN v1: Behavior Conts st: NotStopd t0: [08:00:00 08/04/2014] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [08:00:00 08/04/2014] id: Skin Color el: 0 cu: MICU-A cg: RN v1: Normal for Race st: NotStopd t0: [08:00:00 08/04/2014] id: Skin Integrity el: 0 cu: MICU-A cg: RN v1: Impaired st: NotStopd t0: [08:00:00 08/04/2014] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 98 u1: % st: NotStopd t0: [08:00:00 08/04/2014] id: Support Systems el: 0 cu: MICU-A cg: RN v1: Spouse st: NotStopd t0: [08:00:00 08/04/2014] id: Temp. Site el: 0 cu: MICU-A cg: RN v1: Oral st: NotStopd t0: [08:00:00 08/04/2014] id: Temperature C (calc) el: 0 cu: MICU-A cg: RN v1: 38.1667 u1: Deg. C st: NotStopd t0: [08:00:00 08/04/2014] id: Temperature F el: 0 cu: MICU-A cg: RN v1: 100.7 u1: Deg. F st: NotStopd t0: [08:00:00 08/04/2014] id: Therapeutic Bed el: 0 cu: MICU-A cg: RN v1: AirMatt/1st Step st: NotStopd t0: [08:00:00 08/04/2014] id: Turn el: 0 cu: MICU-A cg: RN v1: Back st: NotStopd t0: [08:00:00 08/04/2014] id: Urine Color/Appear el: 0 cu: MICU-A cg: RN v1: Yellow v2: Clear st: NotStopd t0: [08:00:00 08/04/2014] id: Urine Source el: 0 cu: MICU-A cg: RN v1: Indwelling Cath st: NotStopd t0: [08:00:00 08/04/2014] id: Verbal Response el: 0 cu: MICU-A cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [08:00:00 08/04/2014] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [08:00:00 08/04/2014] id: Behavior el: 0 cu: MICU-A cg: RN v1: Calm st: NotStopd t0: [08:00:00 08/04/2014] id: Bowel Sounds el: 0 cu: MICU-A cg: RN v1: Present st: NotStopd t0: [08:00:00 08/04/2014] id: Braden Activity el: 0 cu: MICU-A cg: RN v1: Bedfast st: NotStopd t0: [08:00:00 08/04/2014] id: Braden Frict/Shear el: 0 cu: MICU-A cg: RN v1: Potential Prob st: NotStopd t0: [08:00:00 08/04/2014] id: Braden Mobility el: 0 cu: MICU-A cg: RN v1: Comp. Immobile st: NotStopd t0: [08:00:00 08/04/2014] id: Braden Moisture el: 0 cu: MICU-A cg: RN v1: Occ. Moist st: NotStopd t0: [08:00:00 08/04/2014] id: Braden Nutrition el: 0 cu: MICU-A cg: RN v1: Adequate st: NotStopd t0: [08:00:00 08/04/2014] id: Braden Score el: 0 cu: MICU-A cg: RN v1: 11 u1: number st: NotStopd t0: [08:00:00 08/04/2014] id: Braden SensoryPercep el: 0 cu: MICU-A cg: RN v1: Comp. Limited st: NotStopd
t0: [08:00:00 08/04/2014] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 20 vu: ml t0: [08:00:00 08/04/2014] id: Gastric Meds PO/Gastric el: 1 cu: MICU-A cg: RN ai: 155 vo: 40 vu: ml t0: [08:00:00 08/04/2014] id: D5W 50.0ml + 100mghr Lasix IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 6 vu: ml t0: [08:00:00 08/04/2014] id: Promote w/fiber Tube Feeding el: 1 cu: MICU-A cg: RN ai: 107 vo: 130 vu: ml t0: [08:00:00 08/04/2014] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 330 vu: ml
t0: [08:00:00 08/04/2014] id: Lasix el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 6 du: mghr sv: 50 su: ml rt: IV Drip
t0: [08:07:00 08/04/2014] id: Compliance (40-60ml) el: 0 cu: MICU-A cg: RRT v1: 0 u1: ml/cmH st: NotStopd t0: [08:07:00 08/04/2014] id: RSBI (<100) el: 0 cu: MICU-A cg: RRT v1: 137.931 u1: units st: NotStopd t0: [08:07:00 08/04/2014] id: ETT Mark/Location el: 0 cu: MICU-A cg: RRT v1: 21cm v2: Lip st: NotStopd t0: [08:07:00 08/04/2014] id: FiO2 Set el: 0 cu: MICU-A cg: RRT v1: 0.4 u1: torr st: NotStopd t0: [08:07:00 08/04/2014] id: Flow-By (lpm) el: 0 cu: MICU-A cg: RRT v1: 6 u1: lpm st: NotStopd t0: [08:07:00 08/04/2014] id: Flow-by Sensitivity el: 0 cu: MICU-A cg: RRT v1: 1 u1: cmH2O st: NotStopd t0: [08:07:00 08/04/2014] id: High Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 45 u1: cmH2O st: NotStopd t0: [08:07:00 08/04/2014] id: High Resp. Rate el: 0 cu: MICU-A cg: RRT v1: 35 u1: BPM st: NotStopd t0: [08:07:00 08/04/2014] id: Airway Size el: 0 cu: MICU-A cg: RRT v1: 7.5 mm st: NotStopd t0: [08:07:00 08/04/2014] id: Airway Type el: 0 cu: MICU-A cg: RRT v1: Endotracheal st: NotStopd t0: [08:07:00 08/04/2014] id: Inspired Gas Temp el: 0 cu: MICU-A cg: RRT v1: 34.5 u1: Deg. C st: NotStopd t0: [08:07:00 08/04/2014] id: Intubation Date el: 0 cu: MICU-A cg: RRT v1: 3 v2: 12 st: NotStopd t0: [08:07:00 08/04/2014] id: Low Exhaled Min Vol el: 0 cu: MICU-A cg: RRT v1: 4 st: NotStopd t0: [08:07:00 08/04/2014] id: Low Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [08:07:00 08/04/2014] id: Mean Airway Pressure el: 0 cu: MICU-A cg: RRT v1: 11.5 u1: cmH2O st: NotStopd t0: [08:07:00 08/04/2014] id: Minute Volume(Obser) el: 0 cu: MICU-A cg: RRT v1: 7.2 u1: L/min st: NotStopd t0: [08:07:00 08/04/2014] id: PEEP Set el: 0 cu: MICU-A cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [08:07:00 08/04/2014] id: Apnea Time Interval el: 0 cu: MICU-A cg: RRT v1: 20 st: NotStopd t0: [08:07:00 08/04/2014] id: Peak Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 0 u1: cmH2O st: NotStopd t0: [08:07:00 08/04/2014] id: Plateau Pressure el: 0 cu: MICU-A cg: RRT v1: 0 u1: cmH2O st: NotStopd t0: [08:07:00 08/04/2014] id: Plateau-Off el: 0 cu: MICU-A cg: RRT v1: Yes st: NotStopd t0: [08:07:00 08/04/2014] id: Pressure Support el: 0 cu: MICU-A cg: RRT v1: 15 u1: . st: NotStopd t0: [08:07:00 08/04/2014] id: RSBI (<200) el: 0 cu: MICU-A cg: RRT v1: 137.931 u1: units st: NotStopd t0: [08:07:00 08/04/2014] id: Resp Rate (Spont) el: 0 cu: MICU-A cg: RRT v1: 10 u1: BPM st: NotStopd t0: [08:07:00 08/04/2014] id: Resp Rate (Total) el: 0 cu: MICU-A cg: RRT v1: 10 u1: BPM st: NotStopd t0: [08:07:00 08/04/2014] id: Respiratory Rate Set el: 0 cu: MICU-A cg: RRT v1: 0 u1: BPM st: NotStopd t0: [08:07:00 08/04/2014] id: Sensitivity-Vent el: 0 cu: MICU-A cg: RRT v1: 2 u1: cmH2O st: NotStopd t0: [08:07:00 08/04/2014] id: SpO2 el: 0 cu: MICU-A cg: RRT v1: 98 u1: % st: NotStopd t0: [08:07:00 08/04/2014] id: Spon RR (Mech.) el: 0 cu: MICU-A cg: RRT v1: 40 u1: BPM st: NotStopd t0: [08:07:00 08/04/2014] id: Spon. Vt (L) (Mech.) el: 0 cu: MICU-A cg: RRT v1: 0.29 u1: L st: NotStopd t0: [08:07:00 08/04/2014] id: Sputum Source/Amt el: 0 cu: MICU-A cg: RRT v1: Suctioned st: NotStopd t0: [08:07:00 08/04/2014] id: Tidal Volume (Obser) el: 0 cu: MICU-A cg: RRT v1: 630 u1: ml/B st: NotStopd t0: [08:07:00 08/04/2014] id: Tidal Volume (Set) el: 0 cu: MICU-A cg: RRT v1: 0 u1: ml/B st: NotStopd t0: [08:07:00 08/04/2014] id: Ventilator Mode el: 0 cu: MICU-A cg: RRT v1: CPAP+PS st: NotStopd t0: [08:07:00 08/04/2014] id: Ventilator No. el: 0 cu: MICU-A cg: RRT v1: 6 u1: # st: NotStopd t0: [08:07:00 08/04/2014] id: Ventilator Type el: 0 cu: MICU-A cg: RRT v1: 7200A st: NotStopd
t0: [08:07:00 08/04/2014] id: LLL Lung Sounds el: 0 cu: MICU-A cg: RRT v1: Coarse st: NotStopd t0: [08:07:00 08/04/2014] id: LUL Lung Sounds el: 0 cu: MICU-A cg: RRT v1: Coarse st: NotStopd t0: [08:07:00 08/04/2014] id: RLL Lung Sounds el: 0 cu: MICU-A cg: RRT v1: Coarse st: NotStopd t0: [08:07:00 08/04/2014] id: RUL Lung Sounds el: 0 cu: MICU-A cg: RRT v1: Coarse st: NotStopd t0: [08:07:00 08/04/2014] id: Respiratory Pattern el: 0 cu: MICU-A cg: RRT v1: Regular st: NotStopd
t0: [09:00:00 08/04/2014] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [09:00:00 08/04/2014] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [09:00:00 08/04/2014] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [09:00:00 08/04/2014] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [09:00:00 08/04/2014] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 53 u1: BPM st: NotStopd t0: [09:00:00 08/04/2014] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Sinus Brady st: NotStopd t0: [09:00:00 08/04/2014] id: Activity el: 0 cu: MICU-A cg: RN v1: Chair st: NotStopd t0: [09:00:00 08/04/2014] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 156 u1: mmHg v2: 70 u2: mmHg st: NotStopd t0: [09:00:00 08/04/2014] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 110 u1: mmHg st: NotStopd t0: [09:00:00 08/04/2014] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [09:00:00 08/04/2014] id: PressureReduceDevice el: 0 cu: MICU-A cg: RN v1: Multipodus Boots st: NotStopd t0: [09:00:00 08/04/2014] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 27 u1: BPM st: NotStopd t0: [09:00:00 08/04/2014] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 96 u1: % st: NotStopd t0: [09:00:00 08/04/2014] id: Therapeutic Bed el: 0 cu: MICU-A cg: RN v1: AirMatt/1st Step st: NotStopd t0: [09:00:00 08/04/2014] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [09:00:00 08/04/2014] 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 08/04/2014] id: D5W 50.0ml + 100mghr Lasix IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 3 vu: ml t0: [09:00:00 08/04/2014] id: Promote w/fiber Tube Feeding el: 1 cu: MICU-A cg: RN ai: 107 vo: 65 vu: ml t0: [09:00:00 08/04/2014] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 220 vu: ml
t0: [09:00:00 08/04/2014] id: Lasix el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 6 du: mghr sv: 50 su: ml rt: IV Drip
t0: [08:00:00 08/04/2014] id: Pressure Support el: 0 cu: MICU-A cg: RRT v1: 10 u1: . st: NotStopd t0: [08:10:00 08/04/2014] id: Pressure Support el: 0 cu: MICU-A cg: RRT v1: 10 u1: . st: NotStopd
tf: [10:00:00 09/04/2014] pt: Unit Dose rt: PO fr: QID fs: 10, 14, 18, 22 dn: 4 m1: Potassium Chloride f1: PWDR v1: 60 u1: mEq
t0: [10:15:00 08/04/2014] id: Pressure Support el: 0 cu: MICU-A cg: RRT v1: 5 u1: . st: NotStopd t0: [10:15:00 08/04/2014] id: SpO2 el: 0 cu: MICU-A cg: RRT v1: 98 u1: % st: NotStopd t0: [10:15:00 08/04/2014] id: Spon RR (Mech.) el: 0 cu: MICU-A cg: RRT v1: 27 u1: BPM st: NotStopd t0: [10:15:00 08/04/2014] id: Spon. Vt (L) (Mech.) el: 0 cu: MICU-A cg: RRT v1: 0.28 u1: L st: NotStopd t0: [10:15:00 08/04/2014] id: Vital Cap (>1.0)L el: 0 cu: MICU-A cg: RRT v1: 0.5 u1: liters st: NotStopd
t0: [10:15:00 08/04/2014] id: RSBI (<100) el: 0 cu: MICU-A cg: RRT v1: 96.4286 u1: units st: NotStopd t0: [10:15:00 08/04/2014] id: RSBI (<200) el: 0 cu: MICU-A cg: RRT v1: 96.4286 u1: units st: NotStopd
t0: [10:00:00 08/04/2014] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [10:00:00 08/04/2014] id: CVP el: 0 cu: MICU-A cg: RN v1: 6 u1: mmHg st: NotStopd t0: [10:00:00 08/04/2014] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [10:00:00 08/04/2014] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [10:00:00 08/04/2014] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [10:00:00 08/04/2014] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 50 u1: BPM st: NotStopd t0: [10:00:00 08/04/2014] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Sinus Brady st: NotStopd t0: [10:00:00 08/04/2014] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 149 u1: mmHg v2: 68 u2: mmHg st: NotStopd t0: [10:00:00 08/04/2014] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 97 u1: mmHg st: NotStopd t0: [10:00:00 08/04/2014] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [10:00:00 08/04/2014] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 15 u1: BPM st: NotStopd t0: [10:00:00 08/04/2014] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 97 u1: % st: NotStopd t0: [10:00:00 08/04/2014] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [10:00:00 08/04/2014] 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 08/04/2014] id: D5W 50.0ml + 100mghr Lasix IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 3 vu: ml t0: [10:00:00 08/04/2014] id: Promote w/fiber Tube Feeding el: 1 cu: MICU-A cg: RN ai: 107 vo: 65 vu: ml t0: [10:00:00 08/04/2014] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 260 vu: ml
t0: [10:00:00 08/04/2014] id: Lasix el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 6 du: mghr sv: 50 su: ml rt: IV Drip
t0: [11:00:00 08/04/2014] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [11:00:00 08/04/2014] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [11:00:00 08/04/2014] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [11:00:00 08/04/2014] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [11:00:00 08/04/2014] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 52 u1: BPM st: NotStopd t0: [11:00:00 08/04/2014] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Sinus Brady st: NotStopd t0: [11:00:00 08/04/2014] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 160 u1: mmHg v2: 73 u2: mmHg st: NotStopd t0: [11:00:00 08/04/2014] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 104 u1: mmHg st: NotStopd t0: [11:00:00 08/04/2014] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [11:00:00 08/04/2014] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 26 u1: BPM st: NotStopd t0: [11:00:00 08/04/2014] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 98 u1: % st: NotStopd t0: [11:00:00 08/04/2014] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [11:00:00 08/04/2014] 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 08/04/2014] id: D5W 50.0ml + 100mghr Lasix IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 3 vu: ml t0: [11:00:00 08/04/2014] id: Promote w/fiber Tube Feeding el: 1 cu: MICU-A cg: RN ai: 107 vo: 65 vu: ml st: Stopped t0: [11:00:00 08/04/2014] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 140 vu: ml
t0: [11:00:00 08/04/2014] id: Lasix el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 6 du: mghr sv: 50 su: ml rt: IV Drip
t0: [11:15:00 08/04/2014] id: Pressure Support el: 0 cu: MICU-A cg: RRT v1: 5 u1: . st: NotStopd t0: [11:15:00 08/04/2014] id: Resp Rate (Spont) el: 0 cu: MICU-A cg: RRT v1: 31 u1: BPM st: NotStopd t0: [11:15:00 08/04/2014] id: Resp Rate (Total) el: 0 cu: MICU-A cg: RRT v1: 31 u1: BPM st: NotStopd t0: [11:15:00 08/04/2014] id: Respiratory Rate Set el: 0 cu: MICU-A cg: RRT v1: 0 u1: BPM st: NotStopd t0: [11:15:00 08/04/2014] id: Tidal Volume (Obser) el: 0 cu: MICU-A cg: RRT v1: 270 u1: ml/B st: NotStopd t0: [11:16:00 08/04/2014] id: Pressure Support el: 0 cu: MICU-A cg: RRT v1: 10 u1: . st: NotStopd t0: [11:16:00 08/04/2014] id: Resp Rate (Spont) el: 0 cu: MICU-A cg: RRT v1: 19 u1: BPM st: NotStopd t0: [11:16:00 08/04/2014] id: Resp Rate (Total) el: 0 cu: MICU-A cg: RRT v1: 19 u1: BPM st: NotStopd t0: [11:16:00 08/04/2014] id: Respiratory Rate Set el: 0 cu: MICU-A cg: RRT v1: 0 u1: BPM st: NotStopd t0: [11:16:00 08/04/2014] id: Tidal Volume (Obser) el: 0 cu: MICU-A cg: RRT v1: 390 u1: ml/B st: NotStopd
t0: [10:00:00 08/04/2014] id: GI Prophylaxis el: 0 cu: MICU-A cg: RN v1: H2 Blocker st: NotStopd t0: [10:00:00 08/04/2014] id: Diet Type el: 0 cu: MICU-A cg: RN v1: Tube Feeding st: NotStopd t0: [10:00:00 08/04/2014] id: Dorsal PedPulse R/L el: 0 cu: MICU-A cg: RN v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [10:00:00 08/04/2014] id: Eye Opening el: 0 cu: MICU-A cg: RN v1: 4 Spontaneously st: NotStopd t0: [10:00:00 08/04/2014] id: GCS Total el: 0 cu: MICU-A cg: RN v1: 11 u1: points st: NotStopd t0: [10:00:00 08/04/2014] id: GI Intub #1/Site el: 0 cu: MICU-A cg: RN v1: Salem Sump v2: Oral st: NotStopd t0: [10:00:00 08/04/2014] id: GI#1 Tube PlaceCheck el: 0 cu: MICU-A cg: RN v1: Not Done st: NotStopd t0: [10:00:00 08/04/2014] id: GI#1 Tube Stat/Drain el: 0 cu: MICU-A cg: RN v1: Feeding v2: Undigested Food st: NotStopd t0: [10:00:00 08/04/2014] id: GU Catheter Size el: 0 cu: MICU-A cg: RN v1: 14 French st: NotStopd t0: [10:00:00 08/04/2014] id: Abdominal Assessment el: 0 cu: MICU-A cg: RN v1: Soft st: NotStopd t0: [10:00:00 08/04/2014] id: Impaired Skin Site#1 el: 0 cu: MICU-A cg: RN v1: Gluteal, Right st: NotStopd t0: [10:00:00 08/04/2014] id: Impaired Skin Site#2 el: 0 cu: MICU-A cg: RN v1: Labia st: NotStopd t0: [10:00:00 08/04/2014] id: LLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Diminished st: NotStopd t0: [10:00:00 08/04/2014] id: LUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Clear st: NotStopd t0: [10:00:00 08/04/2014] id: Level of Conscious el: 0 cu: MICU-A cg: RN v1: Alert st: NotStopd t0: [10:00:00 08/04/2014] id: Motor Response el: 0 cu: MICU-A cg: RN v1: 6 Obeys Commands st: NotStopd t0: [10:00:00 08/04/2014] id: Oral Cavity el: 0 cu: MICU-A cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [10:00:00 08/04/2014] id: Orientation el: 0 cu: MICU-A cg: RN v1: Other/Remarks st: NotStopd t0: [10:00:00 08/04/2014] id: PostTib. Pulses R/L el: 0 cu: MICU-A cg: RN v1: Weak Palpable v2: Weak Palpable st: NotStopd t0: [10:00:00 08/04/2014] id: RLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Diminished st: NotStopd t0: [10:00:00 08/04/2014] id: RUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Clear st: NotStopd t0: [10:00:00 08/04/2014] id: Reason For Restraint el: 0 cu: MICU-A cg: RN v1: Ext/TXInterfere st: NotStopd t0: [10:00:00 08/04/2014] id: Respiratory Pattern el: 0 cu: MICU-A cg: RN v1: Regular st: NotStopd t0: [10:00:00 08/04/2014] id: Restraint Location el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [10:00:00 08/04/2014] id: Restraint Type el: 0 cu: MICU-A cg: RN v1: Soft Limb st: NotStopd t0: [10:00:00 08/04/2014] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [10:00:00 08/04/2014] id: Support Systems el: 0 cu: MICU-A cg: RN v1: Spouse st: NotStopd t0: [10:00:00 08/04/2014] id: Urine Color/Appear el: 0 cu: MICU-A cg: RN v1: Yellow v2: Clear st: NotStopd t0: [10:00:00 08/04/2014] id: Urine Source el: 0 cu: MICU-A cg: RN v1: Indwelling Cath st: NotStopd t0: [10:00:00 08/04/2014] id: Verbal Response el: 0 cu: MICU-A cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [10:00:00 08/04/2014] id: Bowel Sounds el: 0 cu: MICU-A cg: RN v1: Present st: NotStopd t0: [12:00:00 08/04/2014] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [12:00:00 08/04/2014] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [12:00:00 08/04/2014] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [12:00:00 08/04/2014] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [12:00:00 08/04/2014] id: HOB el: 0 cu: MICU-A cg: RN v1: 30 degrees st: NotStopd t0: [12:00:00 08/04/2014] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 53 u1: BPM st: NotStopd t0: [12:00:00 08/04/2014] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Sinus Brady st: NotStopd t0: [12:00:00 08/04/2014] id: INV Line#1 Type/Site el: 0 cu: MICU-A cg: RN v1: Multi-lumen v2: Left IJ st: NotStopd t0: [12:00:00 08/04/2014] id: INV Line#1 Zero/Cal el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [12:00:00 08/04/2014] id: INV Line#1InsertDate el: 0 cu: MICU-A cg: RN v1: 3 v2: 19 st: NotStopd t0: [12:00:00 08/04/2014] id: INV Line#1SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [12:00:00 08/04/2014] id: INV Line#4 Type/Site el: 0 cu: MICU-A cg: RN v1: A-Line v2: Right Brachial st: NotStopd t0: [12:00:00 08/04/2014] id: INV Line#4 Zero/Cal el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [12:00:00 08/04/2014] id: INV Line#4InsertDate el: 0 cu: MICU-A cg: RN v1: 3 v2: 17 st: NotStopd t0: [12:00:00 08/04/2014] id: INV Line#4SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [12:00:00 08/04/2014] id: INV#1 WaveformAppear el: 0 cu: MICU-A cg: RN v1: Sharp st: NotStopd t0: [12:00:00 08/04/2014] id: INV#4 WaveformAppear el: 0 cu: MICU-A cg: RN v1: Sharp st: NotStopd t0: [12:00:00 08/04/2014] id: Activity el: 0 cu: MICU-A cg: RN v1: Bedrest st: NotStopd t0: [12:00:00 08/04/2014] id: Activity Tolerance el: 0 cu: MICU-A cg: RN v1: Good st: NotStopd t0: [12:00:00 08/04/2014] id: AntiEmbDevice/Status el: 0 cu: MICU-A cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [12:00:00 08/04/2014] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 141 u1: mmHg v2: 65 u2: mmHg st: NotStopd t0: [12:00:00 08/04/2014] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 92 u1: mmHg st: NotStopd t0: [12:00:00 08/04/2014] id: Position el: 0 cu: MICU-A cg: RN v1: Left Side st: NotStopd t0: [12:00:00 08/04/2014] id: Assistance Device el: 0 cu: MICU-A cg: RN v1: Total Lift st: NotStopd t0: [12:00:00 08/04/2014] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [12:00:00 08/04/2014] id: PressureReduceDevice el: 0 cu: MICU-A cg: RN v1: Multipodus Boots st: NotStopd t0: [12:00:00 08/04/2014] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 18 u1: BPM st: NotStopd t0: [12:00:00 08/04/2014] id: Skin Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [12:00:00 08/04/2014] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 96 u1: % st: NotStopd t0: [12:00:00 08/04/2014] id: Temp. Site el: 0 cu: MICU-A cg: RN v1: Oral st: NotStopd t0: [12:00:00 08/04/2014] id: Temperature C (calc) el: 0 cu: MICU-A cg: RN v1: 38 u1: Deg. C st: NotStopd t0: [12:00:00 08/04/2014] id: Temperature F el: 0 cu: MICU-A cg: RN v1: 100.4 u1: Deg. F st: NotStopd t0: [12:00:00 08/04/2014] id: Therapeutic Bed el: 0 cu: MICU-A cg: RN v1: AirMatt/1st Step st: NotStopd t0: [12:00:00 08/04/2014] id: Turn el: 0 cu: MICU-A cg: RN v1: Left Side st: NotStopd t0: [12:00:00 08/04/2014] id: Back Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [12:00:00 08/04/2014] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [12:00:00 08/04/2014] 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 08/04/2014] id: D5W 50.0ml + 100mghr Lasix IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 3 vu: ml t0: [12:00:00 08/04/2014] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 220 vu: ml
t0: [12:00:00 08/04/2014] id: Lasix el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 6 du: mghr sv: 50 su: ml rt: IV Drip
t0: [12:00:00 08/04/2014] id: Less Restrict Meas. el: 0 cu: MICU-A cg: -1 v1: Orientation st: NotStopd t0: [12:00:00 08/04/2014] id: Pain Present el: 0 cu: MICU-A cg: -1 v1: No st: NotStopd t0: [12:00:00 08/04/2014] id: Range of Motion el: 0 cu: MICU-A cg: -1 v1: Done st: NotStopd t0: [12:00:00 08/04/2014] id: Circulation/SkinInt el: 0 cu: MICU-A cg: -1 v1: Circulation Adeq st: NotStopd t0: [12:00:00 08/04/2014] id: Riker-SAS Scale el: 0 cu: MICU-A cg: -1 v1: Calm/Cooperative st: NotStopd t0: [12:00:00 08/04/2014] id: Daily Wake Up el: 0 cu: MICU-A cg: -1 v1: No st: NotStopd t0: [12:00:00 08/04/2014] id: Oral Care el: 0 cu: MICU-A cg: -1 v1: Done st: NotStopd t0: [12:00:00 08/04/2014] id: Pain Location el: 0 cu: MICU-A cg: -1 v1: Not Indicated st: NotStopd t0: [12:00:00 08/04/2014] id: Position Change el: 0 cu: MICU-A cg: -1 v1: Done st: NotStopd t0: [12:00:00 08/04/2014] id: Reason For Restraint el: 0 cu: MICU-A cg: -1 v1: Ext/TXInterfere st: NotStopd t0: [12:00:00 08/04/2014] id: Removed x 5 Mins el: 0 cu: MICU-A cg: -1 v1: Done st: NotStopd t0: [12:00:00 08/04/2014] id: Restraint Location el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [12:00:00 08/04/2014] id: Restraint Type el: 0 cu: MICU-A cg: -1 v1: Soft Limb st: NotStopd t0: [12:00:00 08/04/2014] id: Side Rails el: 0 cu: MICU-A cg: -1 v1: Side Rails Up st: NotStopd t0: [12:00:00 08/04/2014] id: Sputum Color/Consist el: 0 cu: MICU-A cg: -1 v1: White v2: Thick st: NotStopd t0: [12:00:00 08/04/2014] id: Sputum Source/Amt el: 0 cu: MICU-A cg: -1 v1: Suctioned v2: Small st: NotStopd t0: [12:00:00 08/04/2014] id: Stool Color/Consist el: 0 cu: MICU-A cg: -1 v1: Brown v2: Loose st: NotStopd t0: [12:00:00 08/04/2014] id: Stool Guaiac el: 0 cu: MICU-A cg: -1 v1: Negative st: NotStopd t0: [12:00:00 08/04/2014] id: Support Systems el: 0 cu: MICU-A cg: -1 v1: Spouse st: NotStopd
t0: [12:00:00 08/04/2014] id: Gastric Meds PO/Gastric el: 1 cu: MICU-A cg: -1 ai: 155 vo: 30 vu: ml t0: [12:00:00 08/04/2014] id: Free Water Bolus PO/Gastric el: 1 cu: MICU-A cg: -1 ai: 274 vo: 250 vu: ml t0: [12:00:00 08/04/2014] id: Stool Out (non-specific) el: 1 cu: MICU-A cg: -1 vu: ml es: Medium
t0: [12:53:00 08/04/2014] id: Compliance (40-60ml) el: 0 cu: MICU-A cg: RRT v1: 0 u1: ml/cmH st: NotStopd t0: [12:53:00 08/04/2014] id: ETT Mark/Location el: 0 cu: MICU-A cg: RRT v1: 21cm v2: Lip st: NotStopd t0: [12:53:00 08/04/2014] id: FiO2 Set el: 0 cu: MICU-A cg: RRT v1: 0.4 u1: torr st: NotStopd t0: [12:53:00 08/04/2014] id: Flow-By (lpm) el: 0 cu: MICU-A cg: RRT v1: 6 u1: lpm st: NotStopd t0: [12:53:00 08/04/2014] id: Flow-by Sensitivity el: 0 cu: MICU-A cg: RRT v1: 1 u1: cmH2O st: NotStopd t0: [12:53:00 08/04/2014] id: High Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 40 u1: cmH2O st: NotStopd t0: [12:53:00 08/04/2014] id: High Resp. Rate el: 0 cu: MICU-A cg: RRT v1: 35 u1: BPM st: NotStopd t0: [12:53:00 08/04/2014] id: Airway Size el: 0 cu: MICU-A cg: RRT v1: 7.5 mm st: NotStopd t0: [12:53:00 08/04/2014] id: Airway Type el: 0 cu: MICU-A cg: RRT v1: Endotracheal st: NotStopd t0: [12:53:00 08/04/2014] id: Inspired Gas Temp el: 0 cu: MICU-A cg: RRT v1: 34.5 u1: Deg. C st: NotStopd t0: [12:53:00 08/04/2014] id: Intubation Date el: 0 cu: MICU-A cg: RRT v1: 3 v2: 12 st: NotStopd t0: [12:53:00 08/04/2014] id: Low Exhaled Min Vol el: 0 cu: MICU-A cg: RRT v1: 4 st: NotStopd t0: [12:53:00 08/04/2014] id: Low Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [12:53:00 08/04/2014] id: Mean Airway Pressure el: 0 cu: MICU-A cg: RRT v1: 9 u1: cmH2O st: NotStopd t0: [12:53:00 08/04/2014] id: Minute Volume(Obser) el: 0 cu: MICU-A cg: RRT v1: 6.9 u1: L/min st: NotStopd t0: [12:53:00 08/04/2014] id: PEEP Set el: 0 cu: MICU-A cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [12:53:00 08/04/2014] id: Apnea Time Interval el: 0 cu: MICU-A cg: RRT v1: 20 st: NotStopd t0: [12:53:00 08/04/2014] id: Peak Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 0 u1: cmH2O st: NotStopd t0: [12:53:00 08/04/2014] id: Plateau Pressure el: 0 cu: MICU-A cg: RRT v1: 0 u1: cmH2O st: NotStopd t0: [12:53:00 08/04/2014] id: Plateau-Off el: 0 cu: MICU-A cg: RRT v1: Yes st: NotStopd t0: [12:53:00 08/04/2014] id: Pressure Support el: 0 cu: MICU-A cg: RRT v1: 10 u1: . st: NotStopd t0: [12:53:00 08/04/2014] id: Resp Rate (Spont) el: 0 cu: MICU-A cg: RRT v1: 19 u1: BPM st: NotStopd t0: [12:53:00 08/04/2014] id: Resp Rate (Total) el: 0 cu: MICU-A cg: RRT v1: 19 u1: BPM st: NotStopd t0: [12:53:00 08/04/2014] id: Respiratory Rate Set el: 0 cu: MICU-A cg: RRT v1: 0 u1: BPM st: NotStopd t0: [12:53:00 08/04/2014] id: Sensitivity-Vent el: 0 cu: MICU-A cg: RRT v1: 2 u1: cmH2O st: NotStopd t0: [12:53:00 08/04/2014] id: SpO2 el: 0 cu: MICU-A cg: RRT v1: 95 u1: % st: NotStopd t0: [12:53:00 08/04/2014] id: Tidal Volume (Obser) el: 0 cu: MICU-A cg: RRT v1: 380 u1: ml/B st: NotStopd t0: [12:53:00 08/04/2014] id: Tidal Volume (Set) el: 0 cu: MICU-A cg: RRT v1: 0 u1: ml/B st: NotStopd t0: [12:53:00 08/04/2014] id: Ventilator Mode el: 0 cu: MICU-A cg: RRT v1: CPAP+PS st: NotStopd t0: [12:53:00 08/04/2014] id: Ventilator No. el: 0 cu: MICU-A cg: RRT v1: 6 u1: # st: NotStopd t0: [12:53:00 08/04/2014] id: Ventilator Type el: 0 cu: MICU-A cg: RRT v1: 7200A st: NotStopd
t0: [13:00:00 08/04/2014] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [13:00:00 08/04/2014] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [13:00:00 08/04/2014] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [13:00:00 08/04/2014] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [13:00:00 08/04/2014] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 48 u1: BPM st: NotStopd t0: [13:00:00 08/04/2014] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Sinus Brady st: NotStopd t0: [13:00:00 08/04/2014] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 136 u1: mmHg v2: 62 u2: mmHg st: NotStopd t0: [13:00:00 08/04/2014] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 89 u1: mmHg st: NotStopd t0: [13:00:00 08/04/2014] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [13:00:00 08/04/2014] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 17 u1: BPM st: NotStopd t0: [13:00:00 08/04/2014] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 97 u1: % st: NotStopd t0: [13:00:00 08/04/2014] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [13:00:00 08/04/2014] 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 08/04/2014] id: D5W 50.0ml + 100mghr Lasix IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 3 vu: ml t0: [13:00:00 08/04/2014] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 350 vu: ml
t0: [13:00:00 08/04/2014] id: Lasix el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 6 du: mghr sv: 50 su: ml rt: IV Drip
t0: [14:00:00 08/04/2014] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [14:00:00 08/04/2014] id: CVP el: 0 cu: MICU-A cg: RN v1: 14 u1: mmHg st: NotStopd t0: [14:00:00 08/04/2014] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [14:00:00 08/04/2014] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [14:00:00 08/04/2014] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [14:00:00 08/04/2014] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 52 u1: BPM st: NotStopd t0: [14:00:00 08/04/2014] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Sinus Brady st: NotStopd t0: [14:00:00 08/04/2014] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 140 u1: mmHg v2: 66 u2: mmHg st: NotStopd t0: [14:00:00 08/04/2014] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 93 u1: mmHg st: NotStopd t0: [14:00:00 08/04/2014] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [14:00:00 08/04/2014] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 20 u1: BPM st: NotStopd t0: [14:00:00 08/04/2014] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 99 u1: % st: NotStopd t0: [14:00:00 08/04/2014] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [14:00:00 08/04/2014] 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 08/04/2014] id: D5W 50.0ml + 100mghr Lasix IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 3 vu: ml t0: [14:00:00 08/04/2014] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 260 vu: ml
t0: [14:00:00 08/04/2014] id: Lasix el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 6 du: mghr sv: 50 su: ml rt: IV Drip
tf: [04:00:00 09/04/2014] pt: Unit Dose rt: PO fr: Q6H fs: 16, 22, 4, 10 dn: 4 m1: Hydrocortisone f1: TAB v1: 10 u1: mg tf: [04:00:00 09/04/2014] pt: Unit Dose rt: PO fr: Q6H fs: 16, 22, 4, 10 dn: 4 m1: Hydrocortisone f1: TAB v1: 40 u1: mg tf: [17:00:00 12/04/2014] pt: Unit Dose rt: PO fr: TID fs: 08, 16, 22 dn: 3 m1: Captopril f1: TAB v1: 12.5 u1: mg
t0: [16:05:00 08/04/2014] id: Compliance (40-60ml) el: 0 cu: MICU-A cg: RRT v1: 0 u1: ml/cmH st: NotStopd t0: [16:05:00 08/04/2014] id: ETT Mark/Location el: 0 cu: MICU-A cg: RRT v1: 21cm v2: Lip st: NotStopd t0: [16:05:00 08/04/2014] id: FiO2 Set el: 0 cu: MICU-A cg: RRT v1: 0.4 u1: torr st: NotStopd t0: [16:05:00 08/04/2014] id: Flow-By (lpm) el: 0 cu: MICU-A cg: RRT v1: 6 u1: lpm st: NotStopd t0: [16:05:00 08/04/2014] id: Flow-by Sensitivity el: 0 cu: MICU-A cg: RRT v1: 1 u1: cmH2O st: NotStopd t0: [16:05:00 08/04/2014] id: High Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 40 u1: cmH2O st: NotStopd t0: [16:05:00 08/04/2014] id: High Resp. Rate el: 0 cu: MICU-A cg: RRT v1: 35 u1: BPM st: NotStopd t0: [16:05:00 08/04/2014] id: Airway Size el: 0 cu: MICU-A cg: RRT v1: 7.5 mm st: NotStopd t0: [16:05:00 08/04/2014] id: Airway Type el: 0 cu: MICU-A cg: RRT v1: Endotracheal st: NotStopd t0: [16:05:00 08/04/2014] id: Inspired Gas Temp el: 0 cu: MICU-A cg: RRT v1: 34.5 u1: Deg. C st: NotStopd t0: [16:05:00 08/04/2014] id: Intubation Date el: 0 cu: MICU-A cg: RRT v1: 3 v2: 12 st: NotStopd t0: [16:05:00 08/04/2014] id: Low Exhaled Min Vol el: 0 cu: MICU-A cg: RRT v1: 4 st: NotStopd t0: [16:05:00 08/04/2014] id: Low Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [16:05:00 08/04/2014] id: Mean Airway Pressure el: 0 cu: MICU-A cg: RRT v1: 9 u1: cmH2O st: NotStopd t0: [16:05:00 08/04/2014] id: Minute Volume(Obser) el: 0 cu: MICU-A cg: RRT v1: 6.8 u1: L/min st: NotStopd t0: [16:05:00 08/04/2014] id: PEEP Set el: 0 cu: MICU-A cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [16:05:00 08/04/2014] id: Apnea Time Interval el: 0 cu: MICU-A cg: RRT v1: 20 st: NotStopd t0: [16:05:00 08/04/2014] id: Peak Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 0 u1: cmH2O st: NotStopd t0: [16:05:00 08/04/2014] id: Plateau Pressure el: 0 cu: MICU-A cg: RRT v1: 0 u1: cmH2O st: NotStopd t0: [16:05:00 08/04/2014] id: Plateau-Off el: 0 cu: MICU-A cg: RRT v1: Yes st: NotStopd t0: [16:05:00 08/04/2014] id: Pressure Support el: 0 cu: MICU-A cg: RRT v1: 10 u1: . st: NotStopd t0: [16:05:00 08/04/2014] id: Resp Rate (Spont) el: 0 cu: MICU-A cg: RRT v1: 17 u1: BPM st: NotStopd t0: [16:05:00 08/04/2014] id: Resp Rate (Total) el: 0 cu: MICU-A cg: RRT v1: 17 u1: BPM st: NotStopd t0: [16:05:00 08/04/2014] id: Respiratory Rate Set el: 0 cu: MICU-A cg: RRT v1: 0 u1: BPM st: NotStopd t0: [16:05:00 08/04/2014] id: Sensitivity-Vent el: 0 cu: MICU-A cg: RRT v1: 2 u1: cmH2O st: NotStopd t0: [16:05:00 08/04/2014] id: SpO2 el: 0 cu: MICU-A cg: RRT v1: 97 u1: % st: NotStopd t0: [16:05:00 08/04/2014] id: Tidal Volume (Obser) el: 0 cu: MICU-A cg: RRT v1: 380 u1: ml/B st: NotStopd t0: [16:05:00 08/04/2014] id: Tidal Volume (Set) el: 0 cu: MICU-A cg: RRT v1: 0 u1: ml/B st: NotStopd t0: [16:05:00 08/04/2014] id: Ventilator Mode el: 0 cu: MICU-A cg: RRT v1: CPAP+PS st: NotStopd t0: [16:05:00 08/04/2014] id: Ventilator No. el: 0 cu: MICU-A cg: RRT v1: 6 u1: # st: NotStopd t0: [16:05:00 08/04/2014] id: Ventilator Type el: 0 cu: MICU-A cg: RRT v1: 7200A st: NotStopd
t0: [17:38:00 08/04/2014] id: Art.pH ABG el: 0 cu: MICU-A cg: 1663 v1: 7.48 rs: Final st: NotStopd t0: [17:38:00 08/04/2014] id: Arterial Base Excess ABG el: 0 cu: MICU-A cg: 1663 v1: 8 rs: Final st: NotStopd t0: [17:38:00 08/04/2014] id: Arterial CO2(Calc) ABG el: 0 cu: MICU-A cg: 1663 v1: 34 rs: Final st: NotStopd t0: [17:38:00 08/04/2014] id: Arterial PaCO2 ABG el: 0 cu: MICU-A cg: 1663 v1: 45 u1: mmHg rs: Final st: NotStopd t0: [17:38:00 08/04/2014] id: Arterial PaO2 ABG el: 0 cu: MICU-A cg: 1663 v1: 87 u1: mmHg rs: Final st: NotStopd t0: [17:38:00 08/04/2014] id: Arterial pH ABG el: 0 cu: MICU-A cg: 1663 v1: 7.48 rs: Final st: NotStopd
t0: [15:00:00 08/04/2014] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [15:00:00 08/04/2014] id: CVP el: 0 cu: MICU-A cg: RN v1: 16 u1: mmHg st: NotStopd t0: [15:00:00 08/04/2014] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [15:00:00 08/04/2014] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [15:00:00 08/04/2014] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [15:00:00 08/04/2014] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 47 u1: BPM st: NotStopd t0: [15:00:00 08/04/2014] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Sinus Brady st: NotStopd t0: [15:00:00 08/04/2014] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 137 u1: mmHg v2: 62 u2: mmHg st: NotStopd t0: [15:00:00 08/04/2014] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 89 u1: mmHg st: NotStopd t0: [15:00:00 08/04/2014] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [15:00:00 08/04/2014] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 22 u1: BPM st: NotStopd t0: [15:00:00 08/04/2014] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 98 u1: % st: NotStopd t0: [15:00:00 08/04/2014] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [16:00:00 08/04/2014] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [16:00:00 08/04/2014] id: CVP el: 0 cu: MICU-A cg: RN v1: 12 u1: mmHg st: NotStopd t0: [16:00:00 08/04/2014] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [16:00:00 08/04/2014] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [16:00:00 08/04/2014] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [16:00:00 08/04/2014] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 53 u1: BPM st: NotStopd t0: [16:00:00 08/04/2014] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Sinus Brady st: NotStopd t0: [16:00:00 08/04/2014] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 145 u1: mmHg v2: 66 u2: mmHg st: NotStopd t0: [16:00:00 08/04/2014] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 95 u1: mmHg st: NotStopd t0: [16:00:00 08/04/2014] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [16:00:00 08/04/2014] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 18 u1: BPM st: NotStopd t0: [16:00:00 08/04/2014] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 98 u1: % st: NotStopd t0: [16:00:00 08/04/2014] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [17:00:00 08/04/2014] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [17:00:00 08/04/2014] id: CVP el: 0 cu: MICU-A cg: RN v1: 8 u1: mmHg st: NotStopd t0: [17:00:00 08/04/2014] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [17:00:00 08/04/2014] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [17:00:00 08/04/2014] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [17:00:00 08/04/2014] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 45 u1: BPM st: NotStopd t0: [17:00:00 08/04/2014] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Sinus Brady st: NotStopd t0: [17:00:00 08/04/2014] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 154 u1: mmHg v2: 66 u2: mmHg st: NotStopd t0: [17:00:00 08/04/2014] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 96 u1: mmHg st: NotStopd t0: [17:00:00 08/04/2014] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [17:00:00 08/04/2014] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 15 u1: BPM st: NotStopd t0: [17:00:00 08/04/2014] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 97 u1: % st: NotStopd t0: [17:00:00 08/04/2014] id: Temp. Site el: 0 cu: MICU-A cg: RN v1: Oral st: NotStopd t0: [17:00:00 08/04/2014] id: Temperature C (calc) el: 0 cu: MICU-A cg: RN v1: 37.6111 u1: Deg. C st: NotStopd t0: [17:00:00 08/04/2014] id: Temperature F el: 0 cu: MICU-A cg: RN v1: 99.7 u1: Deg. F st: NotStopd t0: [17:00:00 08/04/2014] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [18:00:00 08/04/2014] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [18:00:00 08/04/2014] id: CVP el: 0 cu: MICU-A cg: RN v1: 10 u1: mmHg st: NotStopd t0: [18:00:00 08/04/2014] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [18:00:00 08/04/2014] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [18:00:00 08/04/2014] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [18:00:00 08/04/2014] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 51 u1: BPM st: NotStopd t0: [18:00:00 08/04/2014] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Sinus Brady st: NotStopd t0: [18:00:00 08/04/2014] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 135 u1: mmHg v2: 61 u2: mmHg st: NotStopd t0: [18:00:00 08/04/2014] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 89 u1: mmHg st: NotStopd t0: [18:00:00 08/04/2014] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [18:00:00 08/04/2014] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 20 u1: BPM st: NotStopd t0: [18:00:00 08/04/2014] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 98 u1: % st: NotStopd t0: [18:00:00 08/04/2014] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [15:00:00 08/04/2014] 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 08/04/2014] id: D5W 50.0ml + 100mghr Lasix IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 3 vu: ml t0: [15:00:00 08/04/2014] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 230 vu: ml t0: [16:00:00 08/04/2014] 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 08/04/2014] id: D5W 50.0ml + 100mghr Lasix IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 3 vu: ml t0: [16:00:00 08/04/2014] id: IV Piggyback 100.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 105 vo: 50 vu: ml t0: [17:00:00 08/04/2014] 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 08/04/2014] id: D5W 50.0ml + 100mghr Lasix IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 3 vu: ml t0: [17:00:00 08/04/2014] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 500 vu: ml t0: [18:00:00 08/04/2014] 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 08/04/2014] id: Free Water Bolus PO/Gastric el: 1 cu: MICU-A cg: RN ai: 274 vo: 250 vu: ml t0: [18:00:00 08/04/2014] id: D5W 50.0ml + 100mghr Lasix IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 3 vu: ml t0: [18:00:00 08/04/2014] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 235 vu: ml
t0: [15:00:00 08/04/2014] id: Lasix el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 6 du: mghr sv: 50 su: ml rt: IV Drip t0: [16:00:00 08/04/2014] id: Lasix el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 6 du: mghr sv: 50 su: ml rt: IV Drip t0: [17:00:00 08/04/2014] id: Lasix el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 4 du: mghr sv: 50 su: ml rt: IV Drip t0: [18:00:00 08/04/2014] id: Lasix el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 4 du: mghr sv: 50 su: ml rt: IV Drip
t0: [23:00:00 08/04/2014] dt: 24 id: Stool Out Total el: 2 cu: MICU-A cg: RN cv: 0 ap: carryForward
t0: [12:00:00 08/04/2014] id: GI Prophylaxis el: 0 cu: MICU-A cg: RN v1: H2 Blocker st: NotStopd t0: [12:00:00 08/04/2014] id: Diet Type el: 0 cu: MICU-A cg: RN v1: Tube Feeding st: NotStopd t0: [12:00:00 08/04/2014] id: Eye Opening el: 0 cu: MICU-A cg: RN v1: 4 Spontaneously st: NotStopd t0: [12:00:00 08/04/2014] id: GCS Total el: 0 cu: MICU-A cg: RN v1: 11 u1: points st: NotStopd t0: [12:00:00 08/04/2014] id: GI Intub #1/Site el: 0 cu: MICU-A cg: RN v1: Salem Sump v2: Oral st: NotStopd t0: [12:00:00 08/04/2014] id: GI#1 Tube PlaceCheck el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [12:00:00 08/04/2014] id: GI#1 Tube Stat/Drain el: 0 cu: MICU-A cg: RN v1: Feeding v2: Undigested Food st: NotStopd t0: [12:00:00 08/04/2014] id: GU Catheter Size el: 0 cu: MICU-A cg: RN v1: 14 French st: NotStopd t0: [12:00:00 08/04/2014] id: Abdominal Assessment el: 0 cu: MICU-A cg: RN v1: Soft st: NotStopd t0: [12:00:00 08/04/2014] id: LLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Diminished st: NotStopd t0: [12:00:00 08/04/2014] id: LUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [12:00:00 08/04/2014] id: Level of Conscious el: 0 cu: MICU-A cg: RN v1: Alert st: NotStopd t0: [12:00:00 08/04/2014] id: Motor Response el: 0 cu: MICU-A cg: RN v1: 6 Obeys Commands st: NotStopd t0: [12:00:00 08/04/2014] id: Oral Cavity el: 0 cu: MICU-A cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [12:00:00 08/04/2014] id: Orientation el: 0 cu: MICU-A cg: RN v1: Other/Remarks st: NotStopd t0: [12:00:00 08/04/2014] id: RLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Diminished st: NotStopd t0: [12:00:00 08/04/2014] id: RUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [12:00:00 08/04/2014] id: Respiratory Pattern el: 0 cu: MICU-A cg: RN v1: Regular st: NotStopd t0: [12:00:00 08/04/2014] id: Urine Color/Appear el: 0 cu: MICU-A cg: RN v1: Yellow v2: Clear st: NotStopd t0: [12:00:00 08/04/2014] id: Urine Source el: 0 cu: MICU-A cg: RN v1: Indwelling Cath st: NotStopd t0: [12:00:00 08/04/2014] id: Verbal Response el: 0 cu: MICU-A cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [12:00:00 08/04/2014] id: Bowel Sounds el: 0 cu: MICU-A cg: RN v1: Present st: NotStopd t0: [16:00:00 08/04/2014] id: Less Restrict Meas. el: 0 cu: MICU-A cg: RN v1: Orientation st: NotStopd t0: [16:00:00 08/04/2014] id: Riker-SAS Scale el: 0 cu: MICU-A cg: RN v1: Calm/Cooperative st: NotStopd t0: [16:00:00 08/04/2014] id: GI Prophylaxis el: 0 cu: MICU-A cg: RN v1: H2 Blocker st: NotStopd t0: [16:00:00 08/04/2014] id: Diet Type el: 0 cu: MICU-A cg: RN v1: Tube Feeding st: NotStopd t0: [16:00:00 08/04/2014] id: GI Intub #1/Site el: 0 cu: MICU-A cg: RN v1: Salem Sump v2: Oral st: NotStopd t0: [16:00:00 08/04/2014] id: GI#1 Tube PlaceCheck el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [16:00:00 08/04/2014] id: GI#1 Tube Stat/Drain el: 0 cu: MICU-A cg: RN v1: Feeding v2: Undigested Food st: NotStopd t0: [16:00:00 08/04/2014] id: GU Catheter Size el: 0 cu: MICU-A cg: RN v1: 14 French st: NotStopd t0: [16:00:00 08/04/2014] id: HOB el: 0 cu: MICU-A cg: RN v1: 30 degrees st: NotStopd t0: [16:00:00 08/04/2014] id: INV Line#1 Type/Site el: 0 cu: MICU-A cg: RN v1: Multi-lumen v2: Left IJ st: NotStopd t0: [16:00:00 08/04/2014] id: INV Line#1 Zero/Cal el: 0 cu: MICU-A cg: RN v1: No st: NotStopd t0: [16:00:00 08/04/2014] id: INV Line#1InsertDate el: 0 cu: MICU-A cg: RN v1: 3 v2: 19 st: NotStopd t0: [16:00:00 08/04/2014] id: INV Line#1SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [16:00:00 08/04/2014] id: INV Line#4 Type/Site el: 0 cu: MICU-A cg: RN v1: A-Line v2: Right Brachial st: NotStopd t0: [16:00:00 08/04/2014] id: INV Line#4 Zero/Cal el: 0 cu: MICU-A cg: RN v1: No st: NotStopd t0: [16:00:00 08/04/2014] id: INV Line#4InsertDate el: 0 cu: MICU-A cg: RN v1: 3 v2: 17 st: NotStopd t0: [16:00:00 08/04/2014] id: INV Line#4SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [16:00:00 08/04/2014] id: Abdominal Assessment el: 0 cu: MICU-A cg: RN v1: Soft st: NotStopd t0: [16:00:00 08/04/2014] id: INV#1 WaveformAppear el: 0 cu: MICU-A cg: RN v1: Sharp st: NotStopd t0: [16:00:00 08/04/2014] id: INV#4 WaveformAppear el: 0 cu: MICU-A cg: RN v1: Sharp st: NotStopd t0: [16:00:00 08/04/2014] id: Activity el: 0 cu: MICU-A cg: RN v1: Bedrest st: NotStopd t0: [16:00:00 08/04/2014] id: Activity Tolerance el: 0 cu: MICU-A cg: RN v1: Tolerated Well st: NotStopd t0: [16:00:00 08/04/2014] id: Imp Skin Cleanse #2 el: 0 cu: MICU-A cg: RN v1: Soap & H20 st: NotStopd t0: [16:00:00 08/04/2014] id: ImpSkin Character #1 el: 0 cu: MICU-A cg: RN v1: Hematoma st: NotStopd t0: [16:00:00 08/04/2014] id: ImpSkin Character #2 el: 0 cu: MICU-A cg: RN v1: Rash st: NotStopd t0: [16:00:00 08/04/2014] id: ImpSkin Treatment #1 el: 0 cu: MICU-A cg: RN v1: Open to Air st: NotStopd t0: [16:00:00 08/04/2014] id: ImpSkin Treatment #2 el: 0 cu: MICU-A cg: RN v1: Open to Air st: NotStopd t0: [16:00:00 08/04/2014] id: Impaired Skin Site#1 el: 0 cu: MICU-A cg: RN v1: Gluteal, Right st: NotStopd t0: [16:00:00 08/04/2014] id: Impaired Skin Site#2 el: 0 cu: MICU-A cg: RN v1: Labia st: NotStopd t0: [16:00:00 08/04/2014] id: LLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Diminished st: NotStopd t0: [16:00:00 08/04/2014] id: LUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [16:00:00 08/04/2014] id: Oral Cavity el: 0 cu: MICU-A cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [16:00:00 08/04/2014] id: AntiEmbDevice/Status el: 0 cu: MICU-A cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [16:00:00 08/04/2014] id: Position el: 0 cu: MICU-A cg: RN v1: Supine st: NotStopd t0: [16:00:00 08/04/2014] id: Assistance Device el: 0 cu: MICU-A cg: RN v1: 2 Person Assist st: NotStopd t0: [16:00:00 08/04/2014] id: PressureReduceDevice el: 0 cu: MICU-A cg: RN v1: Multipodus Boots st: NotStopd t0: [16:00:00 08/04/2014] id: RLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Diminished st: NotStopd t0: [16:00:00 08/04/2014] id: RUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [16:00:00 08/04/2014] id: Reason For Restraint el: 0 cu: MICU-A cg: RN v1: Ext/TXInterfere st: NotStopd t0: [16:00:00 08/04/2014] id: Respiratory Pattern el: 0 cu: MICU-A cg: RN v1: Regular st: NotStopd t0: [16:00:00 08/04/2014] id: Restraint Location el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [16:00:00 08/04/2014] id: Restraint Type el: 0 cu: MICU-A cg: RN v1: Soft Limb st: NotStopd t0: [16:00:00 08/04/2014] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [16:00:00 08/04/2014] id: Skin Color el: 0 cu: MICU-A cg: RN v1: Normal for Race st: NotStopd t0: [16:00:00 08/04/2014] id: Skin Integrity el: 0 cu: MICU-A cg: RN v1: Impaired st: NotStopd t0: [16:00:00 08/04/2014] id: Support Systems el: 0 cu: MICU-A cg: RN v1: Spouse st: NotStopd t0: [16:00:00 08/04/2014] id: Therapeutic Bed el: 0 cu: MICU-A cg: RN v1: AirMatt/1st Step st: NotStopd t0: [16:00:00 08/04/2014] id: Turn el: 0 cu: MICU-A cg: RN v1: Right Side st: NotStopd t0: [16:00:00 08/04/2014] id: Urine Color/Appear el: 0 cu: MICU-A cg: RN v1: Yellow v2: Clear st: NotStopd t0: [16:00:00 08/04/2014] id: Urine Source el: 0 cu: MICU-A cg: RN v1: Indwelling Cath st: NotStopd t0: [16:00:00 08/04/2014] id: Bowel Sounds el: 0 cu: MICU-A cg: RN v1: Present st: NotStopd t0: [16:00:00 08/04/2014] id: Braden Activity el: 0 cu: MICU-A cg: RN v1: Bedfast st: NotStopd t0: [16:00:00 08/04/2014] id: Braden Frict/Shear el: 0 cu: MICU-A cg: RN v1: Potential Prob st: NotStopd t0: [16:00:00 08/04/2014] id: Braden Mobility el: 0 cu: MICU-A cg: RN v1: Comp. Immobile st: NotStopd t0: [16:00:00 08/04/2014] id: Braden Moisture el: 0 cu: MICU-A cg: RN v1: Rarely Moist st: NotStopd t0: [16:00:00 08/04/2014] id: Braden Nutrition el: 0 cu: MICU-A cg: RN v1: Prob. Inadequate st: NotStopd t0: [16:00:00 08/04/2014] id: Braden Score el: 0 cu: MICU-A cg: RN v1: 12 u1: number st: NotStopd t0: [16:00:00 08/04/2014] id: Braden SensoryPercep el: 0 cu: MICU-A cg: RN v1: Very Limited st: NotStopd t0: [18:00:00 08/04/2014] id: Family Communication el: 0 cu: MICU-A cg: RN v1: Family Visited st: NotStopd t0: [18:00:00 08/04/2014] id: Support Systems el: 0 cu: MICU-A cg: RN v1: Relative st: NotStopd
t0: [17:30:00 08/04/2014] id: BUN (6-20) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 45 rs: Final st: NotStopd t0: [17:30:00 08/04/2014] id: Carbon Dioxide Chemistry el: 0 cu: MICU-A cg: 1663 v1: 30 rs: Final st: NotStopd t0: [17:30:00 08/04/2014] id: Chloride (100-112) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 105 rs: Final st: NotStopd t0: [17:30:00 08/04/2014] id: Creatinine (0-1.3) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 1.1 rs: Final st: NotStopd t0: [17:30:00 08/04/2014] id: Glucose (70-105) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 104 rs: Final st: NotStopd t0: [17:30:00 08/04/2014] id: Potassium (3.5-5.3) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 3.3 rs: Final st: NotStopd t0: [17:30:00 08/04/2014] id: Sodium (135-148) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 147 rs: Final st: NotStopd
t0: [20:00:00 08/04/2014] id: ETT Mark/Location el: 0 cu: MICU-A cg: -1 v1: 21cm v2: Lip st: NotStopd t0: [20:00:00 08/04/2014] id: FiO2 Set el: 0 cu: MICU-A cg: -1 v1: 0.4 u1: torr st: NotStopd t0: [20:00:00 08/04/2014] id: Flow-By (lpm) el: 0 cu: MICU-A cg: -1 v1: 6 u1: lpm st: NotStopd t0: [20:00:00 08/04/2014] id: Flow-by Sensitivity el: 0 cu: MICU-A cg: -1 v1: 1 u1: cmH2O st: NotStopd t0: [20:00:00 08/04/2014] id: High Insp. Pressure el: 0 cu: MICU-A cg: -1 v1: 40 u1: cmH2O st: NotStopd t0: [20:00:00 08/04/2014] id: High Resp. Rate el: 0 cu: MICU-A cg: -1 v1: 35 u1: BPM st: NotStopd t0: [20:00:00 08/04/2014] id: Airway Size el: 0 cu: MICU-A cg: -1 v1: 7.5 mm st: NotStopd t0: [20:00:00 08/04/2014] id: Airway Type el: 0 cu: MICU-A cg: -1 v1: Endotracheal st: NotStopd t0: [20:00:00 08/04/2014] id: Inspired Gas Temp el: 0 cu: MICU-A cg: -1 v1: 34.5 u1: Deg. C st: NotStopd t0: [20:00:00 08/04/2014] id: Intubation Date el: 0 cu: MICU-A cg: -1 v1: 3 v2: 12 st: NotStopd t0: [20:00:00 08/04/2014] id: Low Exhaled Min Vol el: 0 cu: MICU-A cg: -1 v1: 4 st: NotStopd t0: [20:00:00 08/04/2014] id: Low Insp. Pressure el: 0 cu: MICU-A cg: -1 v1: 10 u1: cmH2O st: NotStopd t0: [20:00:00 08/04/2014] id: Mean Airway Pressure el: 0 cu: MICU-A cg: -1 v1: 9.1 u1: cmH2O st: NotStopd t0: [20:00:00 08/04/2014] id: Minute Volume(Obser) el: 0 cu: MICU-A cg: -1 v1: 9.95 u1: L/min st: NotStopd t0: [20:00:00 08/04/2014] id: PEEP Set el: 0 cu: MICU-A cg: -1 v1: 5 u1: cmH2O st: NotStopd t0: [20:00:00 08/04/2014] id: Apnea Time Interval el: 0 cu: MICU-A cg: -1 v1: 20 st: NotStopd t0: [20:00:00 08/04/2014] id: Plateau-Off el: 0 cu: MICU-A cg: -1 v1: Not Applicable st: NotStopd t0: [20:00:00 08/04/2014] id: Pressure Support el: 0 cu: MICU-A cg: -1 v1: 10 u1: . st: NotStopd t0: [20:00:00 08/04/2014] id: Resp Rate (Spont) el: 0 cu: MICU-A cg: -1 v1: 29 u1: BPM st: NotStopd t0: [20:00:00 08/04/2014] id: Resp Rate (Total) el: 0 cu: MICU-A cg: -1 v1: 29 u1: BPM st: NotStopd t0: [20:00:00 08/04/2014] id: Respiratory Rate Set el: 0 cu: MICU-A cg: -1 v1: 0 u1: BPM st: NotStopd t0: [20:00:00 08/04/2014] id: Sensitivity-Vent el: 0 cu: MICU-A cg: -1 v1: 2 u1: cmH2O st: NotStopd t0: [20:00:00 08/04/2014] id: SpO2 el: 0 cu: MICU-A cg: -1 v1: 96 u1: % st: NotStopd t0: [20:00:00 08/04/2014] id: Tidal Volume (Obser) el: 0 cu: MICU-A cg: -1 v1: 350 u1: ml/B st: NotStopd t0: [20:00:00 08/04/2014] id: Tidal Volume (Set) el: 0 cu: MICU-A cg: -1 v1: 0 u1: ml/B st: NotStopd t0: [20:00:00 08/04/2014] id: Ventilator Mode el: 0 cu: MICU-A cg: -1 v1: CPAP+PS st: NotStopd t0: [20:00:00 08/04/2014] id: Ventilator No. el: 0 cu: MICU-A cg: -1 v1: 6 u1: # st: NotStopd t0: [20:00:00 08/04/2014] id: Ventilator Type el: 0 cu: MICU-A cg: -1 v1: 7200A st: NotStopd
t0: [20:00:00 08/04/2014] id: Less Restrict Meas. el: 0 cu: MICU-A cg: -1 v1: Orientation st: NotStopd t0: [20:00:00 08/04/2014] id: Pain Present el: 0 cu: MICU-A cg: -1 v1: No st: NotStopd t0: [20:00:00 08/04/2014] id: Pain Assess Method el: 0 cu: MICU-A cg: -1 v1: Pt Verbalized st: NotStopd t0: [20:00:00 08/04/2014] id: Service Type el: 0 cu: MICU-A cg: -1 v1: MICU st: NotStopd t0: [20:00:00 08/04/2014] id: CVP el: 0 cu: MICU-A cg: -1 v1: 9 u1: mmHg st: NotStopd t0: [20:00:00 08/04/2014] id: Code Status el: 0 cu: MICU-A cg: -1 v1: Full Code st: NotStopd t0: [20:00:00 08/04/2014] id: Riker-SAS Scale el: 0 cu: MICU-A cg: -1 v1: Calm/Cooperative st: NotStopd t0: [20:00:00 08/04/2014] id: GI Prophylaxis el: 0 cu: MICU-A cg: -1 v1: H2 Blocker st: NotStopd t0: [20:00:00 08/04/2014] id: Diet Type el: 0 cu: MICU-A cg: -1 v1: Tube Feeding st: NotStopd t0: [20:00:00 08/04/2014] id: Dorsal PedPulse R/L el: 0 cu: MICU-A cg: -1 v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [20:00:00 08/04/2014] id: Ectopy Frequency el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [20:00:00 08/04/2014] id: Ectopy Type el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [20:00:00 08/04/2014] id: Eye Opening el: 0 cu: MICU-A cg: -1 v1: 4 Spontaneously st: NotStopd t0: [20:00:00 08/04/2014] id: Family Communication el: 0 cu: MICU-A cg: -1 v1: Family Called st: NotStopd t0: [20:00:00 08/04/2014] id: GCS Total el: 0 cu: MICU-A cg: -1 v1: 15 u1: points st: NotStopd t0: [20:00:00 08/04/2014] id: GI Intub #1/Site el: 0 cu: MICU-A cg: -1 v1: Salem Sump v2: Oral st: NotStopd t0: [20:00:00 08/04/2014] id: GI#1 Tube PlaceCheck el: 0 cu: MICU-A cg: -1 v1: Done st: NotStopd t0: [20:00:00 08/04/2014] id: GI#1 Tube Stat/Drain el: 0 cu: MICU-A cg: -1 v1: Feeding v2: Undigested Food st: NotStopd t0: [20:00:00 08/04/2014] id: GU Catheter Size el: 0 cu: MICU-A cg: -1 v1: 14 French st: NotStopd t0: [20:00:00 08/04/2014] id: Heart Rate el: 0 cu: MICU-A cg: -1 v1: 55 u1: BPM st: NotStopd t0: [20:00:00 08/04/2014] id: Heart Rhythm el: 0 cu: MICU-A cg: -1 v1: Sinus Brady st: NotStopd t0: [20:00:00 08/04/2014] id: INV Line#1 Type/Site el: 0 cu: MICU-A cg: -1 v1: Multi-lumen v2: Left IJ st: NotStopd t0: [20:00:00 08/04/2014] id: INV Line#1 Zero/Cal el: 0 cu: MICU-A cg: -1 v1: Yes st: NotStopd t0: [20:00:00 08/04/2014] id: INV Line#1InsertDate el: 0 cu: MICU-A cg: -1 v1: 3 v2: 19 st: NotStopd t0: [20:00:00 08/04/2014] id: INV Line#1SiteAppear el: 0 cu: MICU-A cg: -1 v1: WNL st: NotStopd t0: [20:00:00 08/04/2014] id: INV Line#4 Type/Site el: 0 cu: MICU-A cg: -1 v1: A-Line v2: Right Brachial st: NotStopd t0: [20:00:00 08/04/2014] id: INV Line#4 Zero/Cal el: 0 cu: MICU-A cg: -1 v1: Yes st: NotStopd t0: [20:00:00 08/04/2014] id: INV Line#4InsertDate el: 0 cu: MICU-A cg: -1 v1: 3 v2: 17 st: NotStopd t0: [20:00:00 08/04/2014] id: INV Line#4SiteAppear el: 0 cu: MICU-A cg: -1 v1: WNL st: NotStopd t0: [20:00:00 08/04/2014] id: Abdominal Assessment el: 0 cu: MICU-A cg: -1 v1: Soft st: NotStopd t0: [20:00:00 08/04/2014] id: INV#1 WaveformAppear el: 0 cu: MICU-A cg: -1 v1: Sharp st: NotStopd t0: [20:00:00 08/04/2014] id: INV#4 WaveformAppear el: 0 cu: MICU-A cg: -1 v1: Sharp st: NotStopd t0: [20:00:00 08/04/2014] id: Impaired Skin Site#1 el: 0 cu: MICU-A cg: -1 v1: Gluteal, Right st: NotStopd t0: [20:00:00 08/04/2014] id: Impaired Skin Site#2 el: 0 cu: MICU-A cg: -1 v1: Labia st: NotStopd t0: [20:00:00 08/04/2014] id: LLL Lung Sounds el: 0 cu: MICU-A cg: -1 v1: Diminished st: NotStopd t0: [20:00:00 08/04/2014] id: LUL Lung Sounds el: 0 cu: MICU-A cg: -1 v1: Clear st: NotStopd t0: [20:00:00 08/04/2014] id: Level of Conscious el: 0 cu: MICU-A cg: -1 v1: Alert st: NotStopd t0: [20:00:00 08/04/2014] id: Motor Response el: 0 cu: MICU-A cg: -1 v1: 6 Obeys Commands st: NotStopd t0: [20:00:00 08/04/2014] id: Oral Cavity el: 0 cu: MICU-A cg: -1 v1: Teeth/Tissue WNL st: NotStopd t0: [20:00:00 08/04/2014] id: Orientation el: 0 cu: MICU-A cg: -1 v1: Oriented x 3 st: NotStopd t0: [20:00:00 08/04/2014] id: Arterial BP el: 0 cu: MICU-A cg: -1 v1: 149 u1: mmHg v2: 69 u2: mmHg st: NotStopd t0: [20:00:00 08/04/2014] id: Pain Location el: 0 cu: MICU-A cg: -1 v1: Not Indicated st: NotStopd t0: [20:00:00 08/04/2014] id: Arterial BP Mean el: 0 cu: MICU-A cg: -1 v1: 100 u1: mmHg st: NotStopd t0: [20:00:00 08/04/2014] id: Precautions el: 0 cu: MICU-A cg: -1 v1: Universal st: NotStopd t0: [20:00:00 08/04/2014] id: RLL Lung Sounds el: 0 cu: MICU-A cg: -1 v1: Diminished st: NotStopd t0: [20:00:00 08/04/2014] id: RUL Lung Sounds el: 0 cu: MICU-A cg: -1 v1: Clear st: NotStopd t0: [20:00:00 08/04/2014] id: Reason For Restraint el: 0 cu: MICU-A cg: -1 v1: Ext/TXInterfere st: NotStopd t0: [20:00:00 08/04/2014] id: Respiratory Pattern el: 0 cu: MICU-A cg: -1 v1: Regular st: NotStopd t0: [20:00:00 08/04/2014] id: Respiratory Rate el: 0 cu: MICU-A cg: -1 v1: 28 u1: BPM st: NotStopd t0: [20:00:00 08/04/2014] id: Restraint Location el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [20:00:00 08/04/2014] id: Restraint Type el: 0 cu: MICU-A cg: -1 v1: Soft Limb st: NotStopd t0: [20:00:00 08/04/2014] id: Side Rails el: 0 cu: MICU-A cg: -1 v1: Side Rails Up st: NotStopd t0: [20:00:00 08/04/2014] id: Skin Integrity el: 0 cu: MICU-A cg: -1 v1: Impaired st: NotStopd t0: [20:00:00 08/04/2014] id: Support Systems el: 0 cu: MICU-A cg: -1 v1: Relative st: NotStopd t0: [20:00:00 08/04/2014] id: Temp. Site el: 0 cu: MICU-A cg: -1 v1: Oral st: NotStopd t0: [20:00:00 08/04/2014] id: Temperature C (calc) el: 0 cu: MICU-A cg: -1 v1: 37.5556 u1: Deg. C st: NotStopd t0: [20:00:00 08/04/2014] id: Temperature F el: 0 cu: MICU-A cg: -1 v1: 99.6 u1: Deg. F st: NotStopd t0: [20:00:00 08/04/2014] id: Urine Color/Appear el: 0 cu: MICU-A cg: -1 v1: Yellow v2: Clear st: NotStopd t0: [20:00:00 08/04/2014] id: Urine Source el: 0 cu: MICU-A cg: -1 v1: Indwelling Cath st: NotStopd t0: [20:00:00 08/04/2014] id: Verbal Response el: 0 cu: MICU-A cg: -1 v1: 5 Oriented st: NotStopd t0: [20:00:00 08/04/2014] id: calprevflg el: 0 cu: MICU-A cg: -1 v1: 1 u1: kg st: NotStopd t0: [20:00:00 08/04/2014] id: Behavior el: 0 cu: MICU-A cg: -1 v1: Calm st: NotStopd t0: [20:00:00 08/04/2014] id: Bowel Sounds el: 0 cu: MICU-A cg: -1 v1: Present st: NotStopd
t0: [20:00:00 08/04/2014] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 20 vu: ml t0: [20:00:00 08/04/2014] id: Gastric Meds PO/Gastric el: 1 cu: MICU-A cg: -1 ai: 155 vo: 60 vu: ml t0: [20:00:00 08/04/2014] id: D5W 50.0ml + 100mghr Lasix IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 4 vu: ml t0: [20:00:00 08/04/2014] id: Urine Out Foley el: 1 cu: MICU-A cg: -1 vo: 220 vu: ml
t0: [20:00:00 08/04/2014] id: Lasix el: 1 cu: MICU-A so: D5W vo: 0 v1: 4 du: mghr sv: 50 su: ml rt: IV Drip
t0: [20:00:00 08/04/2014] id: HOB el: 0 cu: MICU-A cg: -1 v1: 30 degrees st: NotStopd t0: [20:00:00 08/04/2014] id: Activity el: 0 cu: MICU-A cg: -1 v1: Bedrest st: NotStopd t0: [20:00:00 08/04/2014] id: Activity Tolerance el: 0 cu: MICU-A cg: -1 v1: Tolerated Well st: NotStopd t0: [20:00:00 08/04/2014] id: Oral Care el: 0 cu: MICU-A cg: -1 v1: Done st: NotStopd t0: [20:00:00 08/04/2014] id: AntiEmbDevice/Status el: 0 cu: MICU-A cg: -1 v1: Compress Sleeves v2: On st: NotStopd t0: [20:00:00 08/04/2014] id: Position el: 0 cu: MICU-A cg: -1 v1: Supine st: NotStopd t0: [20:00:00 08/04/2014] id: Assistance Device el: 0 cu: MICU-A cg: -1 v1: 2 Person Assist st: NotStopd t0: [20:00:00 08/04/2014] id: PressureReduceDevice el: 0 cu: MICU-A cg: -1 v1: Multipodus Boots st: NotStopd t0: [20:00:00 08/04/2014] id: Skin Care el: 0 cu: MICU-A cg: -1 v1: Done st: NotStopd t0: [20:00:00 08/04/2014] id: Therapeutic Bed el: 0 cu: MICU-A cg: -1 v1: AirMatt/1st Step st: NotStopd t0: [20:00:00 08/04/2014] id: Turn el: 0 cu: MICU-A cg: -1 v1: Side to Side st: NotStopd t0: [20:00:00 08/04/2014] id: Back Care el: 0 cu: MICU-A cg: -1 v1: Done st: NotStopd
t0: [21:00:00 08/04/2014] id: Service Type el: 0 cu: MICU-A cg: -1 v1: MICU st: NotStopd t0: [21:00:00 08/04/2014] id: Code Status el: 0 cu: MICU-A cg: -1 v1: Full Code st: NotStopd t0: [21:00:00 08/04/2014] id: Ectopy Frequency el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [21:00:00 08/04/2014] id: Ectopy Type el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [21:00:00 08/04/2014] id: Heart Rate el: 0 cu: MICU-A cg: -1 v1: 52 u1: BPM st: NotStopd t0: [21:00:00 08/04/2014] id: Heart Rhythm el: 0 cu: MICU-A cg: -1 v1: Sinus Brady st: NotStopd t0: [21:00:00 08/04/2014] id: Arterial BP el: 0 cu: MICU-A cg: -1 v1: 160 u1: mmHg v2: 73 u2: mmHg st: NotStopd t0: [21:00:00 08/04/2014] id: Arterial BP Mean el: 0 cu: MICU-A cg: -1 v1: 105 u1: mmHg st: NotStopd t0: [21:00:00 08/04/2014] id: Precautions el: 0 cu: MICU-A cg: -1 v1: Universal st: NotStopd t0: [21:00:00 08/04/2014] id: Respiratory Rate el: 0 cu: MICU-A cg: -1 v1: 22 u1: BPM st: NotStopd t0: [21:00:00 08/04/2014] id: SpO2 el: 0 cu: MICU-A cg: -1 v1: 97 u1: % st: NotStopd t0: [21:00:00 08/04/2014] id: calprevflg el: 0 cu: MICU-A cg: -1 v1: 1 u1: kg st: NotStopd
t0: [21:00:00 08/04/2014] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 10 vu: ml t0: [21:00:00 08/04/2014] id: D5W 50.0ml + 100mghr Lasix IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 2 vu: ml t0: [21:30:00 08/04/2014] id: Urine Out Foley el: 1 cu: MICU-A cg: -1 vo: 200 vu: ml
t0: [22:00:00 08/04/2014] id: Code Status el: 0 cu: MICU-A cg: -1 v1: Full Code st: NotStopd t0: [22:00:00 08/04/2014] id: Ectopy Frequency el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [22:00:00 08/04/2014] id: Ectopy Type el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [22:00:00 08/04/2014] id: Heart Rate el: 0 cu: MICU-A cg: -1 v1: 62 u1: BPM st: NotStopd t0: [22:00:00 08/04/2014] id: Heart Rhythm el: 0 cu: MICU-A cg: -1 v1: Normal Sinus st: NotStopd t0: [22:00:00 08/04/2014] id: Arterial BP el: 0 cu: MICU-A cg: -1 v1: 138 u1: mmHg v2: 64 u2: mmHg st: NotStopd t0: [22:00:00 08/04/2014] id: Arterial BP Mean el: 0 cu: MICU-A cg: -1 v1: 93 u1: mmHg st: NotStopd t0: [22:00:00 08/04/2014] id: Precautions el: 0 cu: MICU-A cg: -1 v1: Universal st: NotStopd t0: [22:00:00 08/04/2014] id: Respiratory Rate el: 0 cu: MICU-A cg: -1 v1: 20 u1: BPM st: NotStopd t0: [22:00:00 08/04/2014] id: SpO2 el: 0 cu: MICU-A cg: -1 v1: 98 u1: % st: NotStopd t0: [22:00:00 08/04/2014] id: calprevflg el: 0 cu: MICU-A cg: -1 v1: 1 u1: kg st: NotStopd
t0: [22:00:00 08/04/2014] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 10 vu: ml t0: [22:00:00 08/04/2014] id: Gastric Meds PO/Gastric el: 1 cu: MICU-A cg: -1 ai: 155 vo: 120 vu: ml t0: [22:00:00 08/04/2014] id: D5W 50.0ml + 100mghr Lasix IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 2 vu: ml
t0: [22:00:00 08/04/2014] id: Lasix el: 1 cu: MICU-A so: D5W vo: 0 v1: 4 du: mghr sv: 50 su: ml rt: IV Drip
t0: [00:00:00 09/04/2014] id: ETT Mark/Location el: 0 cu: MICU-A cg: -1 v1: 21cm v2: Lip st: NotStopd t0: [00:00:00 09/04/2014] id: FiO2 Set el: 0 cu: MICU-A cg: -1 v1: 0.4 u1: torr st: NotStopd t0: [00:00:00 09/04/2014] id: Flow-By (lpm) el: 0 cu: MICU-A cg: -1 v1: 6 u1: lpm st: NotStopd t0: [00:00:00 09/04/2014] id: Flow-by Sensitivity el: 0 cu: MICU-A cg: -1 v1: 1 u1: cmH2O st: NotStopd t0: [00:00:00 09/04/2014] id: High Insp. Pressure el: 0 cu: MICU-A cg: -1 v1: 40 u1: cmH2O st: NotStopd t0: [00:00:00 09/04/2014] id: High Resp. Rate el: 0 cu: MICU-A cg: -1 v1: 35 u1: BPM st: NotStopd t0: [00:00:00 09/04/2014] id: Airway Size el: 0 cu: MICU-A cg: -1 v1: 7.5 mm st: NotStopd t0: [00:00:00 09/04/2014] id: Airway Type el: 0 cu: MICU-A cg: -1 v1: Endotracheal st: NotStopd t0: [00:00:00 09/04/2014] id: Inspired Gas Temp el: 0 cu: MICU-A cg: -1 v1: 34.2 u1: Deg. C st: NotStopd t0: [00:00:00 09/04/2014] id: Intubation Date el: 0 cu: MICU-A cg: -1 v1: 3 v2: 12 st: NotStopd t0: [00:00:00 09/04/2014] id: Low Exhaled Min Vol el: 0 cu: MICU-A cg: -1 v1: 4 st: NotStopd t0: [00:00:00 09/04/2014] id: Low Insp. Pressure el: 0 cu: MICU-A cg: -1 v1: 10 u1: cmH2O st: NotStopd t0: [00:00:00 09/04/2014] id: Mean Airway Pressure el: 0 cu: MICU-A cg: -1 v1: 9.2 u1: cmH2O st: NotStopd t0: [00:00:00 09/04/2014] id: Minute Volume(Obser) el: 0 cu: MICU-A cg: -1 v1: 10 u1: L/min st: NotStopd t0: [00:00:00 09/04/2014] id: PEEP Set el: 0 cu: MICU-A cg: -1 v1: 5 u1: cmH2O st: NotStopd t0: [00:00:00 09/04/2014] id: Apnea Time Interval el: 0 cu: MICU-A cg: -1 v1: 20 st: NotStopd t0: [00:00:00 09/04/2014] id: Plateau-Off el: 0 cu: MICU-A cg: -1 v1: Not Applicable st: NotStopd t0: [00:00:00 09/04/2014] id: Pressure Support el: 0 cu: MICU-A cg: -1 v1: 10 u1: . st: NotStopd t0: [00:00:00 09/04/2014] id: Resp Rate (Spont) el: 0 cu: MICU-A cg: -1 v1: 22 u1: BPM st: NotStopd t0: [00:00:00 09/04/2014] id: Resp Rate (Total) el: 0 cu: MICU-A cg: -1 v1: 22 u1: BPM st: NotStopd t0: [00:00:00 09/04/2014] id: Respiratory Rate Set el: 0 cu: MICU-A cg: -1 v1: 0 u1: BPM st: NotStopd t0: [00:00:00 09/04/2014] id: Sensitivity-Vent el: 0 cu: MICU-A cg: -1 v1: 2 u1: cmH2O st: NotStopd t0: [00:00:00 09/04/2014] id: SpO2 el: 0 cu: MICU-A cg: -1 v1: 97 u1: % st: NotStopd t0: [00:00:00 09/04/2014] id: Sputum Color/Consist el: 0 cu: MICU-A cg: -1 v1: Yellow v2: Thick st: NotStopd t0: [00:00:00 09/04/2014] id: Sputum Source/Amt el: 0 cu: MICU-A cg: -1 v1: Suctioned v2: Moderate st: NotStopd t0: [00:00:00 09/04/2014] id: Tidal Volume (Obser) el: 0 cu: MICU-A cg: -1 v1: 360 u1: ml/B st: NotStopd t0: [00:00:00 09/04/2014] id: Tidal Volume (Set) el: 0 cu: MICU-A cg: -1 v1: 0 u1: ml/B st: NotStopd t0: [00:00:00 09/04/2014] id: Ventilator Mode el: 0 cu: MICU-A cg: -1 v1: CPAP+PS st: NotStopd t0: [00:00:00 09/04/2014] id: Ventilator No. el: 0 cu: MICU-A cg: -1 v1: 6 u1: # st: NotStopd t0: [00:00:00 09/04/2014] id: Ventilator Type el: 0 cu: MICU-A cg: -1 v1: 7200A st: NotStopd
t0: [23:00:00 08/04/2014] id: Service Type el: 0 cu: MICU-A cg: -1 v1: MICU st: NotStopd t0: [23:00:00 08/04/2014] id: Code Status el: 0 cu: MICU-A cg: -1 v1: Full Code st: NotStopd t0: [23:00:00 08/04/2014] id: Ectopy Frequency el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [23:00:00 08/04/2014] id: Ectopy Type el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [23:00:00 08/04/2014] id: Heart Rate el: 0 cu: MICU-A cg: -1 v1: 52 u1: BPM st: NotStopd t0: [23:00:00 08/04/2014] id: Heart Rhythm el: 0 cu: MICU-A cg: -1 v1: Sinus Brady st: NotStopd t0: [23:00:00 08/04/2014] id: Arterial BP el: 0 cu: MICU-A cg: -1 v1: 161 u1: mmHg v2: 75 u2: mmHg st: NotStopd t0: [23:00:00 08/04/2014] id: Arterial BP Mean el: 0 cu: MICU-A cg: -1 v1: 107 u1: mmHg st: NotStopd t0: [23:00:00 08/04/2014] id: Precautions el: 0 cu: MICU-A cg: -1 v1: Universal st: NotStopd t0: [23:00:00 08/04/2014] id: Respiratory Rate el: 0 cu: MICU-A cg: -1 v1: 22 u1: BPM st: NotStopd t0: [23:00:00 08/04/2014] id: SpO2 el: 0 cu: MICU-A cg: -1 v1: 98 u1: % st: NotStopd t0: [23:00:00 08/04/2014] id: calprevflg el: 0 cu: MICU-A cg: -1 v1: 1 u1: kg st: NotStopd t0: [00:00:00 09/04/2014] id: Pain Present el: 0 cu: MICU-A cg: -1 v1: No st: NotStopd t0: [00:00:00 09/04/2014] id: bath el: 0 cu: MICU-A cg: -1 v1: done t0: [00:00:00 09/04/2014] id: Service Type el: 0 cu: MICU-A cg: -1 v1: MICU st: NotStopd t0: [00:00:00 09/04/2014] id: Code Status el: 0 cu: MICU-A cg: -1 v1: Full Code st: NotStopd t0: [00:00:00 09/04/2014] id: Riker-SAS Scale el: 0 cu: MICU-A cg: -1 v1: Calm/Cooperative st: NotStopd t0: [00:00:00 09/04/2014] id: GI Prophylaxis el: 0 cu: MICU-A cg: -1 v1: H2 Blocker st: NotStopd t0: [00:00:00 09/04/2014] id: Diet Type el: 0 cu: MICU-A cg: -1 v1: Tube Feeding st: NotStopd t0: [00:00:00 09/04/2014] id: Ectopy Frequency el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [00:00:00 09/04/2014] id: Ectopy Type el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [00:00:00 09/04/2014] id: Eye Care el: 0 cu: MICU-A cg: -1 v1: Done st: NotStopd t0: [00:00:00 09/04/2014] id: Eye Opening el: 0 cu: MICU-A cg: -1 v1: 4 Spontaneously st: NotStopd t0: [00:00:00 09/04/2014] id: Family Communication el: 0 cu: MICU-A cg: -1 v1: Family Visited st: NotStopd t0: [00:00:00 09/04/2014] id: GCS Total el: 0 cu: MICU-A cg: -1 v1: 15 u1: points st: NotStopd t0: [00:00:00 09/04/2014] id: GI Intub #1/Site el: 0 cu: MICU-A cg: -1 v1: Salem Sump v2: Oral st: NotStopd t0: [00:00:00 09/04/2014] id: GI#1 Tube PlaceCheck el: 0 cu: MICU-A cg: -1 v1: Done st: NotStopd t0: [00:00:00 09/04/2014] id: GI#1 Tube Stat/Drain el: 0 cu: MICU-A cg: -1 v1: Feeding v2: Undigested Food st: NotStopd t0: [00:00:00 09/04/2014] id: GU Catheter Size el: 0 cu: MICU-A cg: -1 v1: 14 French st: NotStopd t0: [00:00:00 09/04/2014] id: HOB el: 0 cu: MICU-A cg: -1 v1: 30 degrees st: NotStopd t0: [00:00:00 09/04/2014] id: Heart Rate el: 0 cu: MICU-A cg: -1 v1: 54 u1: BPM st: NotStopd t0: [00:00:00 09/04/2014] id: Heart Rhythm el: 0 cu: MICU-A cg: -1 v1: Sinus Brady st: NotStopd t0: [00:00:00 09/04/2014] id: INV Line#1 Type/Site el: 0 cu: MICU-A cg: -1 v1: Multi-lumen v2: Left IJ st: NotStopd t0: [00:00:00 09/04/2014] id: INV Line#1 Zero/Cal el: 0 cu: MICU-A cg: -1 v1: No st: NotStopd t0: [00:00:00 09/04/2014] id: INV Line#1InsertDate el: 0 cu: MICU-A cg: -1 v1: 3 v2: 19 st: NotStopd t0: [00:00:00 09/04/2014] id: INV Line#1SiteAppear el: 0 cu: MICU-A cg: -1 v1: WNL st: NotStopd t0: [00:00:00 09/04/2014] id: INV Line#4 Type/Site el: 0 cu: MICU-A cg: -1 v1: A-Line v2: Right Brachial st: NotStopd t0: [00:00:00 09/04/2014] id: INV Line#4 Zero/Cal el: 0 cu: MICU-A cg: -1 v1: No st: NotStopd t0: [00:00:00 09/04/2014] id: INV Line#4InsertDate el: 0 cu: MICU-A cg: -1 v1: 3 v2: 17 st: NotStopd t0: [00:00:00 09/04/2014] id: INV Line#4SiteAppear el: 0 cu: MICU-A cg: -1 v1: WNL st: NotStopd t0: [00:00:00 09/04/2014] id: Abdominal Assessment el: 0 cu: MICU-A cg: -1 v1: Soft st: NotStopd t0: [00:00:00 09/04/2014] id: INV#1 WaveformAppear el: 0 cu: MICU-A cg: -1 v1: Sharp st: NotStopd t0: [00:00:00 09/04/2014] id: INV#4 WaveformAppear el: 0 cu: MICU-A cg: -1 v1: Sharp st: NotStopd t0: [00:00:00 09/04/2014] id: Activity el: 0 cu: MICU-A cg: -1 v1: Bedrest st: NotStopd t0: [00:00:00 09/04/2014] id: Activity Tolerance el: 0 cu: MICU-A cg: -1 v1: Tolerated Well st: NotStopd t0: [00:00:00 09/04/2014] id: Imp Skin Cleanse #2 el: 0 cu: MICU-A cg: -1 v1: Soap & H20 st: NotStopd t0: [00:00:00 09/04/2014] id: ImpSkin Character #1 el: 0 cu: MICU-A cg: -1 v1: Abrasion st: NotStopd t0: [00:00:00 09/04/2014] id: ImpSkin Character #2 el: 0 cu: MICU-A cg: -1 v1: Rash st: NotStopd t0: [00:00:00 09/04/2014] id: ImpSkin Treatment #1 el: 0 cu: MICU-A cg: -1 v1: Open to Air st: NotStopd t0: [00:00:00 09/04/2014] id: ImpSkin Treatment #2 el: 0 cu: MICU-A cg: -1 v1: Other/Remarks st: NotStopd t0: [00:00:00 09/04/2014] id: Impaired Skin Site#1 el: 0 cu: MICU-A cg: -1 v1: Gluteal, Right st: NotStopd t0: [00:00:00 09/04/2014] id: Impaired Skin Site#2 el: 0 cu: MICU-A cg: -1 v1: Labia st: NotStopd t0: [00:00:00 09/04/2014] id: LLL Lung Sounds el: 0 cu: MICU-A cg: -1 v1: Diminished st: NotStopd t0: [00:00:00 09/04/2014] id: LUL Lung Sounds el: 0 cu: MICU-A cg: -1 v1: Coarse st: NotStopd t0: [00:00:00 09/04/2014] id: Level of Conscious el: 0 cu: MICU-A cg: -1 v1: Alert st: NotStopd t0: [00:00:00 09/04/2014] id: Motor Response el: 0 cu: MICU-A cg: -1 v1: 6 Obeys Commands st: NotStopd t0: [00:00:00 09/04/2014] id: Oral Care el: 0 cu: MICU-A cg: -1 v1: Done st: NotStopd t0: [00:00:00 09/04/2014] id: Oral Cavity el: 0 cu: MICU-A cg: -1 v1: Teeth/Tissue WNL st: NotStopd t0: [00:00:00 09/04/2014] id: Orientation el: 0 cu: MICU-A cg: -1 v1: Oriented x 3 st: NotStopd t0: [00:00:00 09/04/2014] id: AntiEmbDevice/Status el: 0 cu: MICU-A cg: -1 v1: Compress Sleeves v2: On st: NotStopd t0: [00:00:00 09/04/2014] id: Arterial BP el: 0 cu: MICU-A cg: -1 v1: 144 u1: mmHg v2: 68 u2: mmHg st: NotStopd t0: [00:00:00 09/04/2014] id: Pain Location el: 0 cu: MICU-A cg: -1 v1: Not Indicated st: NotStopd t0: [00:00:00 09/04/2014] id: Arterial BP Mean el: 0 cu: MICU-A cg: -1 v1: 97 u1: mmHg st: NotStopd t0: [00:00:00 09/04/2014] id: Position el: 0 cu: MICU-A cg: -1 v1: Supine st: NotStopd t0: [00:00:00 09/04/2014] id: Assistance Device el: 0 cu: MICU-A cg: -1 v1: 2 Person Assist st: NotStopd t0: [00:00:00 09/04/2014] id: Precautions el: 0 cu: MICU-A cg: -1 v1: Universal st: NotStopd t0: [00:00:00 09/04/2014] id: PressureReduceDevice el: 0 cu: MICU-A cg: -1 v1: Multipodus Boots st: NotStopd t0: [00:00:00 09/04/2014] id: RLL Lung Sounds el: 0 cu: MICU-A cg: -1 v1: Diminished st: NotStopd t0: [00:00:00 09/04/2014] id: RUL Lung Sounds el: 0 cu: MICU-A cg: -1 v1: Coarse st: NotStopd t0: [00:00:00 09/04/2014] id: Reason For Restraint el: 0 cu: MICU-A cg: -1 v1: Ext/TXInterfere st: NotStopd t0: [00:00:00 09/04/2014] id: Respiratory Pattern el: 0 cu: MICU-A cg: -1 v1: Regular st: NotStopd t0: [00:00:00 09/04/2014] id: Respiratory Rate el: 0 cu: MICU-A cg: -1 v1: 27 u1: BPM st: NotStopd t0: [00:00:00 09/04/2014] id: Restraint Location el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [00:00:00 09/04/2014] id: Restraint Type el: 0 cu: MICU-A cg: -1 v1: Soft Limb st: NotStopd t0: [00:00:00 09/04/2014] id: Side Rails el: 0 cu: MICU-A cg: -1 v1: Side Rails Up st: NotStopd t0: [00:00:00 09/04/2014] id: Skin Care el: 0 cu: MICU-A cg: -1 v1: Done st: NotStopd t0: [00:00:00 09/04/2014] id: Skin Color el: 0 cu: MICU-A cg: -1 v1: Normal for Race st: NotStopd t0: [00:00:00 09/04/2014] id: Skin Integrity el: 0 cu: MICU-A cg: -1 v1: Impaired st: NotStopd t0: [00:00:00 09/04/2014] id: Stool Color/Consist el: 0 cu: MICU-A cg: -1 v1: Brown v2: Formed st: NotStopd t0: [00:00:00 09/04/2014] id: Support Systems el: 0 cu: MICU-A cg: -1 v1: Relative st: NotStopd t0: [00:00:00 09/04/2014] id: Temp. Site el: 0 cu: MICU-A cg: -1 v1: Oral st: NotStopd t0: [00:00:00 09/04/2014] id: Temperature C (calc) el: 0 cu: MICU-A cg: -1 v1: 37.1667 u1: Deg. C st: NotStopd t0: [00:00:00 09/04/2014] id: Temperature F el: 0 cu: MICU-A cg: -1 v1: 98.9 u1: Deg. F st: NotStopd t0: [00:00:00 09/04/2014] id: Therapeutic Bed el: 0 cu: MICU-A cg: -1 v1: AirMatt/1st Step st: NotStopd t0: [00:00:00 09/04/2014] id: Turn el: 0 cu: MICU-A cg: -1 v1: Side to Side st: NotStopd t0: [00:00:00 09/04/2014] id: Urine Color/Appear el: 0 cu: MICU-A cg: -1 v1: Yellow v2: Clear st: NotStopd t0: [00:00:00 09/04/2014] id: Urine Source el: 0 cu: MICU-A cg: -1 v1: Indwelling Cath st: NotStopd t0: [00:00:00 09/04/2014] id: Verbal Response el: 0 cu: MICU-A cg: -1 v1: 5 Oriented st: NotStopd t0: [00:00:00 09/04/2014] id: Back Care el: 0 cu: MICU-A cg: -1 v1: Done st: NotStopd t0: [00:00:00 09/04/2014] id: calprevflg el: 0 cu: MICU-A cg: -1 v1: 1 u1: kg st: NotStopd t0: [00:00:00 09/04/2014] id: Behavior el: 0 cu: MICU-A cg: -1 v1: Calm st: NotStopd t0: [00:00:00 09/04/2014] id: Bowel Sounds el: 0 cu: MICU-A cg: -1 v1: Present st: NotStopd t0: [00:00:00 09/04/2014] id: Braden Activity el: 0 cu: MICU-A cg: -1 v1: Bedfast st: NotStopd t0: [00:00:00 09/04/2014] id: Braden Frict/Shear el: 0 cu: MICU-A cg: -1 v1: Potential Prob st: NotStopd t0: [00:00:00 09/04/2014] id: Braden Mobility el: 0 cu: MICU-A cg: -1 v1: Very Limited st: NotStopd t0: [00:00:00 09/04/2014] id: Braden Moisture el: 0 cu: MICU-A cg: -1 v1: Occ. Moist st: NotStopd t0: [00:00:00 09/04/2014] id: Braden Nutrition el: 0 cu: MICU-A cg: -1 v1: Prob. Inadequate st: NotStopd t0: [00:00:00 09/04/2014] id: Braden Score el: 0 cu: MICU-A cg: -1 v1: 13 u1: number st: NotStopd t0: [00:00:00 09/04/2014] id: Braden SensoryPercep el: 0 cu: MICU-A cg: -1 v1: Sl. Limited st: NotStopd
t0: [19:00:00 08/04/2014] tf: [00:00:00 09/04/2014] dt: 300 id: Promote w/fiber Tube Feeding el: 1 cu: MICU-A cg: -1 ai: 107 vo: 65 vu: ml t0: [20:00:00 08/04/2014] id: Promote w/fiber Tube Feeding el: 1 cu: MICU-A cg: -1 ai: 107 vo: 65 vu: ml t0: [22:00:00 08/04/2014] id: Promote w/fiber Tube Feeding el: 1 cu: MICU-A cg: -1 ai: 107 vo: 130 vu: ml t0: [00:00:00 09/04/2014] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 20 vu: ml t0: [00:00:00 09/04/2014] id: Free Water Bolus PO/Gastric el: 1 cu: MICU-A cg: -1 ai: 274 vo: 250 vu: ml t0: [00:00:00 09/04/2014] id: D5W 50.0ml + 100mghr Lasix IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 4 vu: ml t0: [00:00:00 09/04/2014] id: Promote w/fiber Tube Feeding el: 1 cu: MICU-A cg: -1 ai: 107 vo: 130 vu: ml st: Stopped t0: [00:00:00 09/04/2014] id: Urine Out Foley el: 1 cu: MICU-A cg: -1 vo: 440 vu: ml
t0: [23:00:00 08/04/2014] id: Lasix el: 1 cu: MICU-A so: D5W vo: 0 v1: 4 du: mghr sv: 50 su: ml rt: IV Drip t0: [00:00:00 09/04/2014] id: Lasix el: 1 cu: MICU-A so: D5W vo: 0 v1: 4 du: mghr sv: 50 su: ml rt: IV Drip
t0: [23:00:00 09/04/2014] dt: 1 id: Total Hourly Output el: 2 cu: MICU-A cg: -1 cv: 0 ap: none t0: [23:00:00 09/04/2014] dt: 1 id: Net Hourly Balance el: 2 cu: MICU-A cg: -1 pv: 250 cv: 250 ap: none t0: [23:00:00 09/04/2014] dt: 24 id: IV Infusion In Total el: 2 cu: MICU-A cg: -1 pv: 10 cv: 426 ap: none t0: [23:00:00 09/04/2014] dt: 24 id: 24h Total In el: 2 cu: MICU-A cg: -1 pv: 250 cv: 1916 ap: none t0: [23:00:00 09/04/2014] dt: 24 id: PO/Gastric In Total el: 2 cu: MICU-A cg: -1 pv: 240 cv: 1360 ap: none t0: [23:00:00 09/04/2014] dt: 24 id: Tube Feeds In Total el: 2 cu: MICU-A cg: -1 cv: 130 ap: none t0: [23:00:00 09/04/2014] dt: 24 id: Urine Out Total el: 2 cu: MICU-A cg: -1 cv: 2310 ap: none t0: [23:00:00 09/04/2014] dt: 24 id: 24h Net Body Balance el: 2 cu: MICU-A cg: -1 pv: 250 cv: -394 ap: carryForward t0: [23:00:00 09/04/2014] dt: 24 id: 24h Total Out el: 2 cu: MICU-A cg: -1 cv: 2310 ap: carryForward t0: [23:00:00 09/04/2014] dt: multiple days id: LOS Net Body Balance el: 2 cu: MICU-A cg: -1 pv: 250 cv: 12294.1 ap: carryForward
t0: [00:30:00 09/04/2014] id: Potassium (3.5-5.3) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 3.8 rs: Final st: NotStopd t0: [00:30:00 09/04/2014] id: Sodium (135-148) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 145 rs: Final st: NotStopd
t0: [01:00:00 09/04/2014] id: Service Type el: 0 cu: MICU-A cg: -1 v1: MICU st: NotStopd t0: [01:00:00 09/04/2014] id: Code Status el: 0 cu: MICU-A cg: -1 v1: Full Code st: NotStopd t0: [01:00:00 09/04/2014] id: Ectopy Frequency el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [01:00:00 09/04/2014] id: Ectopy Type el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [01:00:00 09/04/2014] id: Heart Rate el: 0 cu: MICU-A cg: -1 v1: 47 u1: BPM st: NotStopd t0: [01:00:00 09/04/2014] id: Heart Rhythm el: 0 cu: MICU-A cg: -1 v1: Sinus Brady st: NotStopd t0: [01:00:00 09/04/2014] id: Arterial BP el: 0 cu: MICU-A cg: -1 v1: 144 u1: mmHg v2: 69 u2: mmHg st: NotStopd t0: [01:00:00 09/04/2014] id: Arterial BP Mean el: 0 cu: MICU-A cg: -1 v1: 96 u1: mmHg st: NotStopd t0: [01:00:00 09/04/2014] id: Precautions el: 0 cu: MICU-A cg: -1 v1: Universal st: NotStopd t0: [01:00:00 09/04/2014] id: Respiratory Rate el: 0 cu: MICU-A cg: -1 v1: 17 u1: BPM st: NotStopd t0: [01:00:00 09/04/2014] id: SpO2 el: 0 cu: MICU-A cg: -1 v1: 96 u1: % st: NotStopd t0: [01:00:00 09/04/2014] id: calprevflg el: 0 cu: MICU-A cg: -1 v1: 1 u1: kg st: NotStopd t0: [02:00:00 09/04/2014] id: Service Type el: 0 cu: MICU-A cg: -1 v1: MICU st: NotStopd t0: [02:00:00 09/04/2014] id: Code Status el: 0 cu: MICU-A cg: -1 v1: Full Code st: NotStopd t0: [02:00:00 09/04/2014] id: Ectopy Frequency el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [02:00:00 09/04/2014] id: Ectopy Type el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [02:00:00 09/04/2014] id: Heart Rate el: 0 cu: MICU-A cg: -1 v1: 48 u1: BPM st: NotStopd t0: [02:00:00 09/04/2014] id: Heart Rhythm el: 0 cu: MICU-A cg: -1 v1: Sinus Brady st: NotStopd t0: [02:00:00 09/04/2014] id: Arterial BP el: 0 cu: MICU-A cg: -1 v1: 135 u1: mmHg v2: 67 u2: mmHg st: NotStopd t0: [02:00:00 09/04/2014] id: Arterial BP Mean el: 0 cu: MICU-A cg: -1 v1: 92 u1: mmHg st: NotStopd t0: [02:00:00 09/04/2014] id: Precautions el: 0 cu: MICU-A cg: -1 v1: Universal st: NotStopd t0: [02:00:00 09/04/2014] id: Respiratory Rate el: 0 cu: MICU-A cg: -1 v1: 18 u1: BPM st: NotStopd t0: [02:00:00 09/04/2014] id: SpO2 el: 0 cu: MICU-A cg: -1 v1: 98 u1: % st: NotStopd t0: [02:00:00 09/04/2014] id: calprevflg el: 0 cu: MICU-A cg: -1 v1: 1 u1: kg st: NotStopd
t0: [02:00:00 09/04/2014] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 20 vu: ml t0: [02:00:00 09/04/2014] id: D5W 50.0ml + 100mghr Lasix IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 4 vu: ml t0: [02:30:00 09/04/2014] id: Urine Out Foley el: 1 cu: MICU-A cg: -1 vo: 300 vu: ml
t0: [01:00:00 09/04/2014] id: Lasix el: 1 cu: MICU-A so: D5W vo: 0 v1: 4 du: mghr sv: 50 su: ml rt: IV Drip t0: [02:00:00 09/04/2014] id: Lasix el: 1 cu: MICU-A so: D5W vo: 0 v1: 4 du: mghr sv: 50 su: ml rt: IV Drip
t0: [04:00:00 09/04/2014] id: ETT Mark/Location el: 0 cu: MICU-A cg: -1 v1: 21cm v2: Lip st: NotStopd t0: [04:00:00 09/04/2014] id: FiO2 Set el: 0 cu: MICU-A cg: -1 v1: 0.4 u1: torr st: NotStopd t0: [04:00:00 09/04/2014] id: Flow-By (lpm) el: 0 cu: MICU-A cg: -1 v1: 6 u1: lpm st: NotStopd t0: [04:00:00 09/04/2014] id: Flow-by Sensitivity el: 0 cu: MICU-A cg: -1 v1: 1 u1: cmH2O st: NotStopd t0: [04:00:00 09/04/2014] id: High Insp. Pressure el: 0 cu: MICU-A cg: -1 v1: 40 u1: cmH2O st: NotStopd t0: [04:00:00 09/04/2014] id: High Resp. Rate el: 0 cu: MICU-A cg: -1 v1: 35 u1: BPM st: NotStopd t0: [04:00:00 09/04/2014] id: Airway Size el: 0 cu: MICU-A cg: -1 v1: 7.5 mm st: NotStopd t0: [04:00:00 09/04/2014] id: Airway Type el: 0 cu: MICU-A cg: -1 v1: Endotracheal st: NotStopd t0: [04:00:00 09/04/2014] id: Inspired Gas Temp el: 0 cu: MICU-A cg: -1 v1: 34.2 u1: Deg. C st: NotStopd t0: [04:00:00 09/04/2014] id: Intubation Date el: 0 cu: MICU-A cg: -1 v1: 3 v2: 12 st: NotStopd t0: [04:00:00 09/04/2014] id: Low Exhaled Min Vol el: 0 cu: MICU-A cg: -1 v1: 4 st: NotStopd t0: [04:00:00 09/04/2014] id: Low Insp. Pressure el: 0 cu: MICU-A cg: -1 v1: 10 u1: cmH2O st: NotStopd t0: [04:00:00 09/04/2014] id: Mean Airway Pressure el: 0 cu: MICU-A cg: -1 v1: 6.17 u1: cmH2O st: NotStopd t0: [04:00:00 09/04/2014] id: Minute Volume(Obser) el: 0 cu: MICU-A cg: -1 v1: 6.1 u1: L/min st: NotStopd t0: [04:00:00 09/04/2014] id: PEEP Set el: 0 cu: MICU-A cg: -1 v1: 5 u1: cmH2O st: NotStopd t0: [04:00:00 09/04/2014] id: Apnea Time Interval el: 0 cu: MICU-A cg: -1 v1: 20 st: NotStopd t0: [04:00:00 09/04/2014] id: Plateau-Off el: 0 cu: MICU-A cg: -1 v1: Not Applicable st: NotStopd t0: [04:00:00 09/04/2014] id: Pressure Support el: 0 cu: MICU-A cg: -1 v1: 10 u1: . st: NotStopd t0: [04:00:00 09/04/2014] id: Resp Rate (Total) el: 0 cu: MICU-A cg: -1 v1: 17 u1: BPM st: NotStopd t0: [04:00:00 09/04/2014] id: Sensitivity-Vent el: 0 cu: MICU-A cg: -1 v1: 2 u1: cmH2O st: NotStopd t0: [04:00:00 09/04/2014] id: SpO2 el: 0 cu: MICU-A cg: -1 v1: 97 u1: % st: NotStopd t0: [04:00:00 09/04/2014] id: Tidal Volume (Obser) el: 0 cu: MICU-A cg: -1 v1: 360 u1: ml/B st: NotStopd t0: [04:00:00 09/04/2014] id: Ventilator Mode el: 0 cu: MICU-A cg: -1 v1: CPAP+PS st: NotStopd t0: [04:00:00 09/04/2014] id: Ventilator No. el: 0 cu: MICU-A cg: -1 v1: 6 u1: # st: NotStopd t0: [04:00:00 09/04/2014] id: Ventilator Type el: 0 cu: MICU-A cg: -1 v1: 7200A st: NotStopd
t0: [21:00:00 08/04/2014] id: CVP el: 0 cu: MICU-A cg: -1 u1: mmHg st: NotStopd t0: [23:00:00 08/04/2014] id: CVP el: 0 cu: MICU-A cg: -1 u1: mmHg st: NotStopd t0: [01:00:00 09/04/2014] id: CVP el: 0 cu: MICU-A cg: -1 u1: mmHg st: NotStopd t0: [02:00:00 09/04/2014] id: CVP el: 0 cu: MICU-A cg: -1 u1: mmHg st: NotStopd t0: [03:00:00 09/04/2014] id: Service Type el: 0 cu: MICU-A cg: -1 v1: MICU st: NotStopd t0: [03:00:00 09/04/2014] id: CVP el: 0 cu: MICU-A cg: -1 v1: 13 u1: mmHg st: NotStopd t0: [03:00:00 09/04/2014] id: Code Status el: 0 cu: MICU-A cg: -1 v1: Full Code st: NotStopd t0: [03:00:00 09/04/2014] id: Ectopy Frequency el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [03:00:00 09/04/2014] id: Ectopy Type el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [03:00:00 09/04/2014] id: Heart Rate el: 0 cu: MICU-A cg: -1 v1: 46 u1: BPM st: NotStopd t0: [03:00:00 09/04/2014] id: Heart Rhythm el: 0 cu: MICU-A cg: -1 v1: Sinus Brady st: NotStopd t0: [03:00:00 09/04/2014] id: Arterial BP el: 0 cu: MICU-A cg: -1 v1: 148 u1: mmHg v2: 70 u2: mmHg st: NotStopd t0: [03:00:00 09/04/2014] id: Arterial BP Mean el: 0 cu: MICU-A cg: -1 v1: 99 u1: mmHg st: NotStopd t0: [03:00:00 09/04/2014] id: Precautions el: 0 cu: MICU-A cg: -1 v1: Universal st: NotStopd t0: [03:00:00 09/04/2014] id: Respiratory Rate el: 0 cu: MICU-A cg: -1 v1: 20 u1: BPM st: NotStopd t0: [03:00:00 09/04/2014] id: SpO2 el: 0 cu: MICU-A cg: -1 v1: 98 u1: % st: NotStopd t0: [03:00:00 09/04/2014] id: calprevflg el: 0 cu: MICU-A cg: -1 v1: 1 u1: kg st: NotStopd t0: [04:00:00 09/04/2014] id: Pain Present el: 0 cu: MICU-A cg: -1 v1: No st: NotStopd t0: [04:00:00 09/04/2014] id: Service Type el: 0 cu: MICU-A cg: -1 v1: MICU st: NotStopd t0: [04:00:00 09/04/2014] id: CVP el: 0 cu: MICU-A cg: -1 v1: 12 u1: mmHg st: NotStopd t0: [04:00:00 09/04/2014] id: Code Status el: 0 cu: MICU-A cg: -1 v1: Full Code st: NotStopd t0: [04:00:00 09/04/2014] id: Riker-SAS Scale el: 0 cu: MICU-A cg: -1 v1: Calm/Cooperative st: NotStopd t0: [04:00:00 09/04/2014] id: GI Prophylaxis el: 0 cu: MICU-A cg: -1 v1: H2 Blocker st: NotStopd t0: [04:00:00 09/04/2014] id: Diet Type el: 0 cu: MICU-A cg: -1 v1: Tube Feeding st: NotStopd t0: [04:00:00 09/04/2014] id: Ectopy Frequency el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [04:00:00 09/04/2014] id: Ectopy Type el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [04:00:00 09/04/2014] id: Eye Opening el: 0 cu: MICU-A cg: -1 v1: 4 Spontaneously st: NotStopd t0: [04:00:00 09/04/2014] id: GCS Total el: 0 cu: MICU-A cg: -1 v1: 15 u1: points st: NotStopd t0: [04:00:00 09/04/2014] id: GI Intub #1/Site el: 0 cu: MICU-A cg: -1 v1: Salem Sump v2: Oral st: NotStopd t0: [04:00:00 09/04/2014] id: GI#1 Tube Stat/Drain el: 0 cu: MICU-A cg: -1 v1: Clamped st: NotStopd t0: [04:00:00 09/04/2014] id: GU Catheter Size el: 0 cu: MICU-A cg: -1 v1: 14 French st: NotStopd t0: [04:00:00 09/04/2014] id: HOB el: 0 cu: MICU-A cg: -1 v1: 30 degrees st: NotStopd t0: [04:00:00 09/04/2014] id: Heart Rate el: 0 cu: MICU-A cg: -1 v1: 46 u1: BPM st: NotStopd t0: [04:00:00 09/04/2014] id: Heart Rhythm el: 0 cu: MICU-A cg: -1 v1: Sinus Brady st: NotStopd t0: [04:00:00 09/04/2014] id: INV Line#1 Type/Site el: 0 cu: MICU-A cg: -1 v1: Multi-lumen v2: Left IJ st: NotStopd t0: [04:00:00 09/04/2014] id: INV Line#1 Zero/Cal el: 0 cu: MICU-A cg: -1 v1: No st: NotStopd t0: [04:00:00 09/04/2014] id: INV Line#1InsertDate el: 0 cu: MICU-A cg: -1 v1: 3 v2: 19 st: NotStopd t0: [04:00:00 09/04/2014] id: INV Line#1SiteAppear el: 0 cu: MICU-A cg: -1 v1: WNL st: NotStopd t0: [04:00:00 09/04/2014] id: INV Line#4 Type/Site el: 0 cu: MICU-A cg: -1 v1: A-Line v2: Right Brachial st: NotStopd t0: [04:00:00 09/04/2014] id: INV Line#4 Zero/Cal el: 0 cu: MICU-A cg: -1 v1: No st: NotStopd t0: [04:00:00 09/04/2014] id: INV Line#4InsertDate el: 0 cu: MICU-A cg: -1 v1: 3 v2: 17 st: NotStopd t0: [04:00:00 09/04/2014] id: INV Line#4SiteAppear el: 0 cu: MICU-A cg: -1 v1: WNL st: NotStopd t0: [04:00:00 09/04/2014] id: Abdominal Assessment el: 0 cu: MICU-A cg: -1 v1: Soft st: NotStopd t0: [04:00:00 09/04/2014] id: INV#1 WaveformAppear el: 0 cu: MICU-A cg: -1 v1: Sharp st: NotStopd t0: [04:00:00 09/04/2014] id: INV#4 WaveformAppear el: 0 cu: MICU-A cg: -1 v1: Sharp st: NotStopd t0: [04:00:00 09/04/2014] id: Activity el: 0 cu: MICU-A cg: -1 v1: Bedrest st: NotStopd t0: [04:00:00 09/04/2014] id: Activity Tolerance el: 0 cu: MICU-A cg: -1 v1: Tolerated Well st: NotStopd t0: [04:00:00 09/04/2014] id: Impaired Skin Site#1 el: 0 cu: MICU-A cg: -1 v1: Gluteal, Right st: NotStopd t0: [04:00:00 09/04/2014] id: Impaired Skin Site#2 el: 0 cu: MICU-A cg: -1 v1: Labia st: NotStopd t0: [04:00:00 09/04/2014] id: LLL Lung Sounds el: 0 cu: MICU-A cg: -1 v1: Diminished st: NotStopd t0: [04:00:00 09/04/2014] id: LUL Lung Sounds el: 0 cu: MICU-A cg: -1 v1: Clear st: NotStopd t0: [04:00:00 09/04/2014] id: Level of Conscious el: 0 cu: MICU-A cg: -1 v1: Alert st: NotStopd t0: [04:00:00 09/04/2014] id: Motor Response el: 0 cu: MICU-A cg: -1 v1: 6 Obeys Commands st: NotStopd t0: [04:00:00 09/04/2014] id: Oral Care el: 0 cu: MICU-A cg: -1 v1: Done st: NotStopd t0: [04:00:00 09/04/2014] id: Oral Cavity el: 0 cu: MICU-A cg: -1 v1: Teeth/Tissue WNL st: NotStopd t0: [04:00:00 09/04/2014] id: Orientation el: 0 cu: MICU-A cg: -1 v1: Oriented x 3 st: NotStopd t0: [04:00:00 09/04/2014] id: AntiEmbDevice/Status el: 0 cu: MICU-A cg: -1 v1: Compress Sleeves v2: On st: NotStopd t0: [04:00:00 09/04/2014] id: Arterial BP el: 0 cu: MICU-A cg: -1 v1: 158 u1: mmHg v2: 73 u2: mmHg st: NotStopd t0: [04:00:00 09/04/2014] id: Pain Location el: 0 cu: MICU-A cg: -1 v1: Not Indicated st: NotStopd t0: [04:00:00 09/04/2014] id: Arterial BP Mean el: 0 cu: MICU-A cg: -1 v1: 103 u1: mmHg st: NotStopd t0: [04:00:00 09/04/2014] id: Position el: 0 cu: MICU-A cg: -1 v1: Right Side st: NotStopd t0: [04:00:00 09/04/2014] id: Assistance Device el: 0 cu: MICU-A cg: -1 v1: 2 Person Assist st: NotStopd t0: [04:00:00 09/04/2014] id: Precautions el: 0 cu: MICU-A cg: -1 v1: Universal st: NotStopd t0: [04:00:00 09/04/2014] id: RLL Lung Sounds el: 0 cu: MICU-A cg: -1 v1: Diminished st: NotStopd t0: [04:00:00 09/04/2014] id: RUL Lung Sounds el: 0 cu: MICU-A cg: -1 v1: Clear st: NotStopd t0: [04:00:00 09/04/2014] id: Reason For Restraint el: 0 cu: MICU-A cg: -1 v1: Ext/TXInterfere st: NotStopd t0: [04:00:00 09/04/2014] id: Respiratory Pattern el: 0 cu: MICU-A cg: -1 v1: Regular st: NotStopd t0: [04:00:00 09/04/2014] id: Respiratory Rate el: 0 cu: MICU-A cg: -1 v1: 19 u1: BPM st: NotStopd t0: [04:00:00 09/04/2014] id: Restraint Location el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [04:00:00 09/04/2014] id: Restraint Type el: 0 cu: MICU-A cg: -1 v1: Soft Limb st: NotStopd t0: [04:00:00 09/04/2014] id: Side Rails el: 0 cu: MICU-A cg: -1 v1: Side Rails Up st: NotStopd t0: [04:00:00 09/04/2014] id: Skin Care el: 0 cu: MICU-A cg: -1 v1: Done st: NotStopd t0: [04:00:00 09/04/2014] id: Skin Color el: 0 cu: MICU-A cg: -1 v1: Normal for Race st: NotStopd t0: [04:00:00 09/04/2014] id: Skin Integrity el: 0 cu: MICU-A cg: -1 v1: Impaired st: NotStopd t0: [04:00:00 09/04/2014] id: Support Systems el: 0 cu: MICU-A cg: -1 v1: Relative st: NotStopd t0: [04:00:00 09/04/2014] id: Temp. Site el: 0 cu: MICU-A cg: -1 v1: Oral st: NotStopd t0: [04:00:00 09/04/2014] id: Temperature C (calc) el: 0 cu: MICU-A cg: -1 v1: 37.4444 u1: Deg. C st: NotStopd t0: [04:00:00 09/04/2014] id: Temperature F el: 0 cu: MICU-A cg: -1 v1: 99.4 u1: Deg. F st: NotStopd t0: [04:00:00 09/04/2014] id: Therapeutic Bed el: 0 cu: MICU-A cg: -1 v1: AirMatt/1st Step st: NotStopd t0: [04:00:00 09/04/2014] id: Turn el: 0 cu: MICU-A cg: -1 v1: Side to Side st: NotStopd t0: [04:00:00 09/04/2014] id: Urine Color/Appear el: 0 cu: MICU-A cg: -1 v1: Yellow v2: Clear st: NotStopd t0: [04:00:00 09/04/2014] id: Urine Source el: 0 cu: MICU-A cg: -1 v1: Indwelling Cath st: NotStopd t0: [04:00:00 09/04/2014] id: Verbal Response el: 0 cu: MICU-A cg: -1 v1: 5 Oriented st: NotStopd t0: [04:00:00 09/04/2014] id: Back Care el: 0 cu: MICU-A cg: -1 v1: Done st: NotStopd t0: [04:00:00 09/04/2014] id: calprevflg el: 0 cu: MICU-A cg: -1 v1: 1 u1: kg st: NotStopd t0: [04:00:00 09/04/2014] id: Behavior el: 0 cu: MICU-A cg: -1 v1: Calm st: NotStopd t0: [04:00:00 09/04/2014] id: Bowel Sounds el: 0 cu: MICU-A cg: -1 v1: Present st: NotStopd
t0: [04:00:00 09/04/2014] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 20 vu: ml t0: [04:00:00 09/04/2014] id: Gastric Meds PO/Gastric el: 1 cu: MICU-A cg: -1 ai: 155 vo: 120 vu: ml t0: [04:00:00 09/04/2014] id: D5W 50.0ml + 100mghr Lasix IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 4 vu: ml t0: [04:00:00 09/04/2014] id: IV Piggyback 100.0ml IV Infusions el: 1 cu: MICU-A cg: -1 ai: 105 vo: 50 vu: ml t0: [04:00:00 09/04/2014] id: Urine Out Foley el: 1 cu: MICU-A cg: -1 vo: 180 vu: ml
t0: [21:00:00 08/04/2014] id: Lasix el: 1 cu: MICU-A so: D5W vo: 0 v1: 4 du: mghr sv: 50 su: ml rt: IV Drip t0: [03:00:00 09/04/2014] id: Lasix el: 1 cu: MICU-A so: D5W vo: 0 v1: 4 du: mghr sv: 50 su: ml rt: IV Drip t0: [04:00:00 09/04/2014] id: Lasix el: 1 cu: MICU-A so: D5W vo: 0 v1: 4 du: mghr sv: 50 su: ml rt: IV Drip
t0: [05:00:00 09/04/2014] id: RSBI (<100) el: 0 cu: MICU-A cg: -1 v1: 71.875 u1: units st: NotStopd t0: [05:00:00 09/04/2014] id: ETT Mark/Location el: 0 cu: MICU-A cg: -1 v1: 21cm v2: Lip st: NotStopd t0: [05:00:00 09/04/2014] id: Airway Size el: 0 cu: MICU-A cg: -1 v1: 7.5 mm st: NotStopd t0: [05:00:00 09/04/2014] id: Airway Type el: 0 cu: MICU-A cg: -1 v1: Endotracheal st: NotStopd t0: [05:00:00 09/04/2014] id: Intubation Date el: 0 cu: MICU-A cg: -1 v1: 3 v2: 12 st: NotStopd t0: [05:00:00 09/04/2014] id: RSBI (<200) el: 0 cu: MICU-A cg: -1 v1: 71.875 u1: units st: NotStopd t0: [05:00:00 09/04/2014] id: SpO2 el: 0 cu: MICU-A cg: -1 v1: 96 u1: % st: NotStopd t0: [05:00:00 09/04/2014] id: Spon RR (Mech.) el: 0 cu: MICU-A cg: -1 v1: 23 u1: BPM st: NotStopd t0: [05:00:00 09/04/2014] id: Spon. Vt (L) (Mech.) el: 0 cu: MICU-A cg: -1 v1: 0.32 u1: L st: NotStopd t0: [05:00:00 09/04/2014] id: Ventilator No. el: 0 cu: MICU-A cg: -1 v1: 6 u1: # st: NotStopd t0: [05:00:00 09/04/2014] id: Ventilator Type el: 0 cu: MICU-A cg: -1 v1: 7200A st: NotStopd
t0: [04:30:00 09/04/2014] id: WBC (4-11,000) Hematology el: 0 cu: MICU-A cg: 1663 v1: 10.8 rs: Final st: NotStopd t0: [04:30:00 09/04/2014] id: Hematocrit Hematology el: 0 cu: MICU-A cg: 1663 v1: 27.2 u1: % rs: Final st: NotStopd t0: [04:30:00 09/04/2014] id: Hemoglobin Hematology el: 0 cu: MICU-A cg: 1663 v1: 9 u1: gm/dl rs: Final st: NotStopd t0: [04:30:00 09/04/2014] id: Platelets Hematology el: 0 cu: MICU-A cg: 1663 v1: 394 rs: Final st: NotStopd t0: [04:30:00 09/04/2014] id: RBC Hematology el: 0 cu: MICU-A cg: 1663 v1: 3.16 u1: /mic l rs: Final st: NotStopd t0: [04:30:00 09/04/2014] id: WBC (4-11,000) Hematology el: 0 cu: MICU-A cg: 1663 v1: 10.8 rs: Final st: NotStopd
t0: [04:30:00 09/04/2014] id: BUN (6-20) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 44 rs: Final st: NotStopd t0: [04:30:00 09/04/2014] id: Calcium (8.4-10.2) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 9.1 u1: mg/dl rs: Final st: NotStopd t0: [04:30:00 09/04/2014] id: Carbon Dioxide Chemistry el: 0 cu: MICU-A cg: 1663 v1: 28 rs: Final st: NotStopd t0: [04:30:00 09/04/2014] id: Chloride (100-112) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 106 rs: Final st: NotStopd t0: [04:30:00 09/04/2014] id: Creatinine (0-1.3) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 1.1 rs: Final st: NotStopd t0: [04:30:00 09/04/2014] id: Glucose (70-105) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 116 rs: Final st: NotStopd t0: [04:30:00 09/04/2014] id: Magnesium (1.6-2.6) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 2.3 rs: Final st: NotStopd t0: [04:30:00 09/04/2014] id: Phosphorous(2.7-4.5) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 4.3 u1: mEq/L rs: Final st: NotStopd t0: [04:30:00 09/04/2014] id: Potassium (3.5-5.3) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 3.9 rs: Final st: NotStopd t0: [04:30:00 09/04/2014] id: Sodium (135-148) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 146 rs: Final st: NotStopd
t0: [05:00:00 09/04/2014] id: Service Type el: 0 cu: MICU-A cg: -1 v1: MICU st: NotStopd t0: [05:00:00 09/04/2014] id: CVP el: 0 cu: MICU-A cg: -1 v1: 7 u1: mmHg st: NotStopd t0: [05:00:00 09/04/2014] id: Code Status el: 0 cu: MICU-A cg: -1 v1: Full Code st: NotStopd t0: [05:00:00 09/04/2014] id: Ectopy Frequency el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [05:00:00 09/04/2014] id: Ectopy Type el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [05:00:00 09/04/2014] id: Heart Rate el: 0 cu: MICU-A cg: -1 v1: 52 u1: BPM st: NotStopd t0: [05:00:00 09/04/2014] id: Heart Rhythm el: 0 cu: MICU-A cg: -1 v1: Sinus Brady st: NotStopd t0: [05:00:00 09/04/2014] id: Arterial BP el: 0 cu: MICU-A cg: -1 v1: 149 u1: mmHg v2: 66 u2: mmHg st: NotStopd t0: [05:00:00 09/04/2014] id: Arterial BP Mean el: 0 cu: MICU-A cg: -1 v1: 97 u1: mmHg st: NotStopd t0: [05:00:00 09/04/2014] id: Precautions el: 0 cu: MICU-A cg: -1 v1: Universal st: NotStopd t0: [05:00:00 09/04/2014] id: Respiratory Rate el: 0 cu: MICU-A cg: -1 v1: 25 u1: BPM st: NotStopd t0: [05:00:00 09/04/2014] id: calprevflg el: 0 cu: MICU-A cg: -1 v1: 1 u1: kg st: NotStopd t0: [06:00:00 09/04/2014] id: Service Type el: 0 cu: MICU-A cg: -1 v1: MICU st: NotStopd t0: [06:00:00 09/04/2014] id: CVP el: 0 cu: MICU-A cg: -1 v1: 6 u1: mmHg st: NotStopd t0: [06:00:00 09/04/2014] id: Code Status el: 0 cu: MICU-A cg: -1 v1: Full Code st: NotStopd t0: [06:00:00 09/04/2014] id: Ectopy Frequency el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [06:00:00 09/04/2014] id: Ectopy Type el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [06:00:00 09/04/2014] id: Heart Rate el: 0 cu: MICU-A cg: -1 v1: 49 u1: BPM st: NotStopd t0: [06:00:00 09/04/2014] id: Heart Rhythm el: 0 cu: MICU-A cg: -1 v1: Sinus Brady st: NotStopd t0: [06:00:00 09/04/2014] id: Arterial BP el: 0 cu: MICU-A cg: -1 v1: 144 u1: mmHg v2: 64 u2: mmHg st: NotStopd t0: [06:00:00 09/04/2014] id: Arterial BP Mean el: 0 cu: MICU-A cg: -1 v1: 94 u1: mmHg st: NotStopd t0: [06:00:00 09/04/2014] id: Precautions el: 0 cu: MICU-A cg: -1 v1: Universal st: NotStopd t0: [06:00:00 09/04/2014] id: Respiratory Rate el: 0 cu: MICU-A cg: -1 v1: 25 u1: BPM st: NotStopd t0: [06:00:00 09/04/2014] id: SpO2 el: 0 cu: MICU-A cg: -1 v1: 99 u1: % st: NotStopd t0: [06:00:00 09/04/2014] id: calprevflg el: 0 cu: MICU-A cg: -1 v1: 1 u1: kg st: NotStopd
t0: [05:00:00 09/04/2014] id: Lasix el: 1 cu: MICU-A so: D5W vo: 0 v1: 4 du: mghr sv: 50 su: ml rt: IV Drip t0: [06:00:00 09/04/2014] id: Lasix el: 1 cu: MICU-A so: D5W vo: 0 v1: 4 du: mghr sv: 50 su: ml rt: IV Drip
t0: [06:24:00 09/04/2014] id: Art.pH ABG el: 0 cu: MICU-A cg: 1663 v1: 7.48 rs: Final st: NotStopd t0: [06:24:00 09/04/2014] id: CaO2 el: 0 cu: MICU-A cg: 1663 v1: 12.268 u1: ml/dl st: NotStopd t0: [06:24:00 09/04/2014] id: Arterial Base Excess ABG el: 0 cu: MICU-A cg: 1663 v1: 7 rs: Final st: NotStopd t0: [06:24:00 09/04/2014] id: Arterial CO2(Calc) ABG el: 0 cu: MICU-A cg: 1663 v1: 33 rs: Final st: NotStopd t0: [06:24:00 09/04/2014] id: Arterial PaCO2 ABG el: 0 cu: MICU-A cg: 1663 v1: 43 u1: mmHg rs: Final st: NotStopd t0: [06:24:00 09/04/2014] id: Arterial PaO2 ABG el: 0 cu: MICU-A cg: 1663 v1: 106 u1: mmHg rs: Final st: NotStopd t0: [06:24:00 09/04/2014] id: Arterial pH ABG el: 0 cu: MICU-A cg: 1663 v1: 7.48 rs: Final st: NotStopd t0: [06:24:00 09/04/2014] id: SaO2 ABG's el: 0 cu: MICU-A cg: 1663 v1: 99 u1: % rs: Final st: NotStopd
t0: [06:00:00 09/04/2014] id: HOB el: 0 cu: MICU-A cg: -1 v1: 30 degrees st: NotStopd t0: [06:00:00 09/04/2014] id: Activity el: 0 cu: MICU-A cg: -1 v1: Bedrest st: NotStopd t0: [06:00:00 09/04/2014] id: Activity Tolerance el: 0 cu: MICU-A cg: -1 v1: Tolerated Well st: NotStopd t0: [06:00:00 09/04/2014] id: AntiEmbDevice/Status el: 0 cu: MICU-A cg: -1 v1: Compress Sleeves v2: On st: NotStopd t0: [06:00:00 09/04/2014] id: Position el: 0 cu: MICU-A cg: -1 v1: Supine st: NotStopd t0: [06:00:00 09/04/2014] id: Assistance Device el: 0 cu: MICU-A cg: -1 v1: 2 Person Assist st: NotStopd t0: [06:00:00 09/04/2014] id: PressureReduceDevice el: 0 cu: MICU-A cg: -1 v1: Multipodus Boots st: NotStopd t0: [06:00:00 09/04/2014] id: Skin Care el: 0 cu: MICU-A cg: -1 v1: Done st: NotStopd t0: [06:00:00 09/04/2014] id: Therapeutic Bed el: 0 cu: MICU-A cg: -1 v1: AirMatt/1st Step st: NotStopd t0: [06:00:00 09/04/2014] id: Turn el: 0 cu: MICU-A cg: -1 v1: Side to Side st: NotStopd t0: [06:00:00 09/04/2014] id: Back Care el: 0 cu: MICU-A cg: -1 v1: Done st: NotStopd
t0: [06:00:00 09/04/2014] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 20 vu: ml t0: [06:00:00 09/04/2014] id: Gastric Meds PO/Gastric el: 1 cu: MICU-A cg: -1 ai: 155 vo: 120 vu: ml t0: [06:00:00 09/04/2014] id: D5W 50.0ml + 100mghr Lasix IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 4 vu: ml t0: [06:00:00 09/04/2014] id: Urine Out Foley el: 1 cu: MICU-A cg: -1 vo: 380 vu: ml
t0: [07:00:00 09/04/2014] id: PressureReduceDevice el: 0 cu: MICU-A cg: -1 v1: Multipodus Boots st: NotStopd t0: [07:00:00 09/04/2014] id: SpO2 el: 0 cu: MICU-A cg: -1 v1: 90 u1: % st: NotStopd t0: [07:00:00 09/04/2014] id: Sputum Color/Consist el: 0 cu: MICU-A cg: -1 v1: White v2: Thin st: NotStopd t0: [07:00:00 09/04/2014] id: Sputum Source/Amt el: 0 cu: MICU-A cg: -1 v1: Suctioned v2: Small st: NotStopd t0: [07:00:00 09/04/2014] id: Therapeutic Bed el: 0 cu: MICU-A cg: -1 v1: AirMatt/1st Step st: NotStopd t0: [07:00:00 09/04/2014] id: Ventilator No. el: 0 cu: MICU-A cg: -1 v1: 6 u1: # st: NotStopd t0: [07:00:00 09/04/2014] id: Ventilator Type el: 0 cu: MICU-A cg: -1 v1: 7200A st: NotStopd
t0: [07:00:00 09/04/2014] id: ETT Mark/Location el: 0 cu: MICU-A cg: RRT v1: 21cm v2: Lip st: NotStopd t0: [07:00:00 09/04/2014] id: FiO2 Set el: 0 cu: MICU-A cg: RRT v1: 0.4 u1: torr st: NotStopd t0: [07:00:00 09/04/2014] id: Airway Size el: 0 cu: MICU-A cg: RRT v1: 7.5 mm st: NotStopd t0: [07:00:00 09/04/2014] id: Airway Type el: 0 cu: MICU-A cg: RRT v1: Endotracheal st: NotStopd t0: [08:00:00 09/04/2014] id: ETT Mark/Location el: 0 cu: MICU-A cg: RRT v1: 21cm v2: Lip st: NotStopd t0: [08:00:00 09/04/2014] id: FiO2 Set el: 0 cu: MICU-A cg: RRT v1: 0.5 u1: torr st: NotStopd t0: [08:00:00 09/04/2014] id: Flow-By (lpm) el: 0 cu: MICU-A cg: RRT v1: 6 u1: lpm st: NotStopd t0: [08:00:00 09/04/2014] id: Flow-by Sensitivity el: 0 cu: MICU-A cg: RRT v1: 3 u1: cmH2O st: NotStopd t0: [08:00:00 09/04/2014] id: High Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 40 u1: cmH2O st: NotStopd t0: [08:00:00 09/04/2014] id: High Resp. Rate el: 0 cu: MICU-A cg: RRT v1: 35 u1: BPM st: NotStopd t0: [08:00:00 09/04/2014] id: Airway Size el: 0 cu: MICU-A cg: RRT v1: 7.5 mm st: NotStopd t0: [08:00:00 09/04/2014] id: Airway Type el: 0 cu: MICU-A cg: RRT v1: Endotracheal st: NotStopd t0: [08:00:00 09/04/2014] id: Inspired Gas Temp el: 0 cu: MICU-A cg: RRT v1: 34 u1: Deg. C st: NotStopd t0: [08:00:00 09/04/2014] id: Intubation Date el: 0 cu: MICU-A cg: RRT v1: 3 v2: 12 st: NotStopd t0: [08:00:00 09/04/2014] id: Low Exhaled Min Vol el: 0 cu: MICU-A cg: RRT v1: 4 st: NotStopd t0: [08:00:00 09/04/2014] id: Low Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [08:00:00 09/04/2014] id: Mean Airway Pressure el: 0 cu: MICU-A cg: RRT v1: 7.1 u1: cmH2O st: NotStopd t0: [08:00:00 09/04/2014] id: Minute Volume(Obser) el: 0 cu: MICU-A cg: RRT v1: 7.6 u1: L/min st: NotStopd t0: [08:00:00 09/04/2014] id: PEEP Set el: 0 cu: MICU-A cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [08:00:00 09/04/2014] id: Apnea Time Interval el: 0 cu: MICU-A cg: RRT v1: 20 st: NotStopd t0: [08:00:00 09/04/2014] id: Plateau-Off el: 0 cu: MICU-A cg: RRT v1: Not Applicable st: NotStopd t0: [08:00:00 09/04/2014] id: Pressure Support el: 0 cu: MICU-A cg: RRT v1: 5 u1: . st: NotStopd t0: [08:00:00 09/04/2014] id: Resp Rate (Total) el: 0 cu: MICU-A cg: RRT v1: 28 u1: BPM st: NotStopd t0: [08:00:00 09/04/2014] id: Sensitivity-Vent el: 0 cu: MICU-A cg: RRT v1: 2 u1: cmH2O st: NotStopd t0: [08:00:00 09/04/2014] id: SpO2 el: 0 cu: MICU-A cg: RRT v1: 98 u1: % st: NotStopd t0: [08:00:00 09/04/2014] id: Sputum Color/Consist el: 0 cu: MICU-A cg: RRT v1: White v2: Thick st: NotStopd t0: [08:00:00 09/04/2014] id: Sputum Source/Amt el: 0 cu: MICU-A cg: RRT v1: Suctioned v2: Small st: NotStopd t0: [08:00:00 09/04/2014] id: Tidal Volume (Obser) el: 0 cu: MICU-A cg: RRT v1: 280 u1: ml/B st: NotStopd t0: [08:00:00 09/04/2014] id: Ventilator Mode el: 0 cu: MICU-A cg: RRT v1: CPAP+PS st: NotStopd t0: [08:00:00 09/04/2014] id: Ventilator No. el: 0 cu: MICU-A cg: RRT v1: 6 u1: # st: NotStopd t0: [08:00:00 09/04/2014] id: Ventilator Type el: 0 cu: MICU-A cg: RRT v1: 7200A st: NotStopd
t0: [08:00:00 09/04/2014] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [08:00:00 09/04/2014] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [08:00:00 09/04/2014] id: Riker-SAS Scale el: 0 cu: MICU-A cg: RN v1: Calm/Cooperative st: NotStopd t0: [08:00:00 09/04/2014] id: GI Prophylaxis el: 0 cu: MICU-A cg: RN v1: H2 Blocker st: NotStopd t0: [08:00:00 09/04/2014] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [08:00:00 09/04/2014] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [08:00:00 09/04/2014] id: Eye Opening el: 0 cu: MICU-A cg: RN v1: 4 Spontaneously st: NotStopd t0: [08:00:00 09/04/2014] id: GCS Total el: 0 cu: MICU-A cg: RN v1: 11 u1: points st: NotStopd t0: [08:00:00 09/04/2014] id: GI Intub #1/Site el: 0 cu: MICU-A cg: RN v1: Salem Sump v2: Oral st: NotStopd t0: [08:00:00 09/04/2014] id: GI#1 Tube PlaceCheck el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [08:00:00 09/04/2014] id: GI#1 Tube Stat/Drain el: 0 cu: MICU-A cg: RN v1: Clamped st: NotStopd t0: [08:00:00 09/04/2014] id: GU Catheter Size el: 0 cu: MICU-A cg: RN v1: 14 French st: NotStopd t0: [08:00:00 09/04/2014] id: HOB el: 0 cu: MICU-A cg: RN v1: 30 degrees st: NotStopd t0: [08:00:00 09/04/2014] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 48 u1: BPM st: NotStopd t0: [08:00:00 09/04/2014] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Sinus Brady st: NotStopd t0: [08:00:00 09/04/2014] id: INV Line#1 Type/Site el: 0 cu: MICU-A cg: RN v1: Multi-lumen v2: Left IJ st: NotStopd t0: [08:00:00 09/04/2014] id: INV Line#1 Zero/Cal el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [08:00:00 09/04/2014] id: INV Line#1InsertDate el: 0 cu: MICU-A cg: RN v1: 3 v2: 19 st: NotStopd t0: [08:00:00 09/04/2014] id: INV Line#1SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [08:00:00 09/04/2014] id: INV Line#4 Type/Site el: 0 cu: MICU-A cg: RN v1: A-Line v2: Right Brachial st: NotStopd t0: [08:00:00 09/04/2014] id: INV Line#4 Zero/Cal el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [08:00:00 09/04/2014] id: INV Line#4InsertDate el: 0 cu: MICU-A cg: RN v1: 3 v2: 17 st: NotStopd t0: [08:00:00 09/04/2014] id: INV Line#4SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [08:00:00 09/04/2014] id: Abdominal Assessment el: 0 cu: MICU-A cg: RN v1: Soft st: NotStopd t0: [08:00:00 09/04/2014] id: INV#1 WaveformAppear el: 0 cu: MICU-A cg: RN v1: Sharp st: NotStopd t0: [08:00:00 09/04/2014] id: INV#4 WaveformAppear el: 0 cu: MICU-A cg: RN v1: Sharp st: NotStopd t0: [08:00:00 09/04/2014] id: Activity el: 0 cu: MICU-A cg: RN v1: Bedrest st: NotStopd t0: [08:00:00 09/04/2014] id: Activity Tolerance el: 0 cu: MICU-A cg: RN v1: Tolerated Well st: NotStopd t0: [08:00:00 09/04/2014] id: Impaired Skin Site#1 el: 0 cu: MICU-A cg: RN v1: Gluteal, Right st: NotStopd t0: [08:00:00 09/04/2014] id: Impaired Skin Site#2 el: 0 cu: MICU-A cg: RN v1: Labia st: NotStopd t0: [08:00:00 09/04/2014] id: LLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Diminished st: NotStopd t0: [08:00:00 09/04/2014] id: LUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Clear st: NotStopd t0: [08:00:00 09/04/2014] id: Level of Conscious el: 0 cu: MICU-A cg: RN v1: Alert st: NotStopd t0: [08:00:00 09/04/2014] id: Motor Response el: 0 cu: MICU-A cg: RN v1: 6 Obeys Commands st: NotStopd t0: [08:00:00 09/04/2014] id: Oral Cavity el: 0 cu: MICU-A cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [08:00:00 09/04/2014] id: Orientation el: 0 cu: MICU-A cg: RN v1: Other/Remarks st: NotStopd t0: [08:00:00 09/04/2014] id: AntiEmbDevice/Status el: 0 cu: MICU-A cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [08:00:00 09/04/2014] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 159 u1: mmHg v2: 74 u2: mmHg st: NotStopd t0: [08:00:00 09/04/2014] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 104 u1: mmHg st: NotStopd t0: [08:00:00 09/04/2014] id: Position el: 0 cu: MICU-A cg: RN v1: Supine st: NotStopd t0: [08:00:00 09/04/2014] id: Assistance Device el: 0 cu: MICU-A cg: RN v1: 2 Person Assist st: NotStopd t0: [08:00:00 09/04/2014] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [08:00:00 09/04/2014] id: PressureReduceDevice el: 0 cu: MICU-A cg: RN v1: Multipodus Boots st: NotStopd t0: [08:00:00 09/04/2014] id: RLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Diminished st: NotStopd t0: [08:00:00 09/04/2014] id: RUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Clear st: NotStopd t0: [08:00:00 09/04/2014] id: Reason For Restraint el: 0 cu: MICU-A cg: RN v1: Ext/TXInterfere st: NotStopd t0: [08:00:00 09/04/2014] id: Respiratory Pattern el: 0 cu: MICU-A cg: RN v1: Regular st: NotStopd t0: [08:00:00 09/04/2014] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 25 u1: BPM st: NotStopd t0: [08:00:00 09/04/2014] id: Restraint Location el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [08:00:00 09/04/2014] id: Restraint Type el: 0 cu: MICU-A cg: RN v1: Soft Limb st: NotStopd t0: [08:00:00 09/04/2014] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [08:00:00 09/04/2014] id: Skin Integrity el: 0 cu: MICU-A cg: RN v1: Impaired st: NotStopd t0: [08:00:00 09/04/2014] id: Support Systems el: 0 cu: MICU-A cg: RN v1: Relative st: NotStopd t0: [08:00:00 09/04/2014] id: Temp. Site el: 0 cu: MICU-A cg: RN v1: Oral st: NotStopd t0: [08:00:00 09/04/2014] id: Temperature C (calc) el: 0 cu: MICU-A cg: RN v1: 37.0556 u1: Deg. C st: NotStopd t0: [08:00:00 09/04/2014] id: Temperature F el: 0 cu: MICU-A cg: RN v1: 98.7 u1: Deg. F st: NotStopd t0: [08:00:00 09/04/2014] id: Therapeutic Bed el: 0 cu: MICU-A cg: RN v1: AirMatt/1st Step st: NotStopd t0: [08:00:00 09/04/2014] id: Turn el: 0 cu: MICU-A cg: RN v1: Back st: NotStopd t0: [08:00:00 09/04/2014] id: Urine Color/Appear el: 0 cu: MICU-A cg: RN v1: Yellow v2: Clear st: NotStopd t0: [08:00:00 09/04/2014] id: Urine Source el: 0 cu: MICU-A cg: RN v1: Indwelling Cath st: NotStopd t0: [08:00:00 09/04/2014] id: Verbal Response el: 0 cu: MICU-A cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [08:00:00 09/04/2014] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [08:00:00 09/04/2014] id: Bowel Sounds el: 0 cu: MICU-A cg: RN v1: Present st: NotStopd
t0: [08:00:00 09/04/2014] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 20 vu: ml t0: [08:00:00 09/04/2014] id: Gastric Meds PO/Gastric el: 1 cu: MICU-A cg: RN ai: 155 vo: 50 vu: ml t0: [08:00:00 09/04/2014] id: D5W 50.0ml + 100mghr Lasix IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 4 vu: ml t0: [08:00:00 09/04/2014] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 175 vu: ml
t0: [08:00:00 09/04/2014] id: Lasix el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 4 du: mghr sv: 50 su: ml rt: IV Drip
t0: [10:00:00 09/04/2014] id: Compliance (40-60ml) el: 0 cu: MICU-A cg: -1 st: D/C'd t0: [10:00:00 09/04/2014] id: RSBI (<100) el: 0 cu: MICU-A cg: -1 st: D/C'd t0: [10:00:00 09/04/2014] id: Cuff Pressure-Airway el: 0 cu: MICU-A cg: -1 st: D/C'd t0: [10:00:00 09/04/2014] id: ETT Mark/Location el: 0 cu: MICU-A cg: -1 st: D/C'd t0: [10:00:00 09/04/2014] id: ETT Position Change el: 0 cu: MICU-A cg: -1 st: D/C'd t0: [10:00:00 09/04/2014] id: Flow-By (lpm) el: 0 cu: MICU-A cg: -1 st: D/C'd t0: [10:00:00 09/04/2014] id: Flow-by Sensitivity el: 0 cu: MICU-A cg: -1 st: D/C'd t0: [10:00:00 09/04/2014] id: High Insp. Pressure el: 0 cu: MICU-A cg: -1 st: D/C'd t0: [10:00:00 09/04/2014] id: High Resp. Rate el: 0 cu: MICU-A cg: -1 st: D/C'd t0: [10:00:00 09/04/2014] id: I:E Ratio el: 0 cu: MICU-A cg: -1 st: D/C'd t0: [10:00:00 09/04/2014] id: Airway Size el: 0 cu: MICU-A cg: -1 st: D/C'd t0: [10:00:00 09/04/2014] id: Airway Type el: 0 cu: MICU-A cg: -1 st: D/C'd t0: [10:00:00 09/04/2014] id: Inspired Gas Temp el: 0 cu: MICU-A cg: -1 st: D/C'd t0: [10:00:00 09/04/2014] id: Low Exhaled Min Vol el: 0 cu: MICU-A cg: -1 st: D/C'd t0: [10:00:00 09/04/2014] id: Low Insp. Pressure el: 0 cu: MICU-A cg: -1 st: D/C'd t0: [10:00:00 09/04/2014] id: Mean Airway Pressure el: 0 cu: MICU-A cg: -1 st: D/C'd t0: [10:00:00 09/04/2014] id: Minute Volume(Obser) el: 0 cu: MICU-A cg: -1 st: D/C'd t0: [10:00:00 09/04/2014] id: Neg Insp Force(>-25) el: 0 cu: MICU-A cg: -1 st: D/C'd t0: [10:00:00 09/04/2014] id: PEEP Set el: 0 cu: MICU-A cg: -1 st: D/C'd t0: [10:00:00 09/04/2014] id: Apnea Time Interval el: 0 cu: MICU-A cg: -1 st: D/C'd t0: [10:00:00 09/04/2014] id: Peak Flow el: 0 cu: MICU-A cg: -1 st: D/C'd t0: [10:00:00 09/04/2014] id: Peak Insp. Pressure el: 0 cu: MICU-A cg: -1 st: D/C'd t0: [10:00:00 09/04/2014] id: Plateau Pressure el: 0 cu: MICU-A cg: -1 st: D/C'd t0: [10:00:00 09/04/2014] id: Plateau-Off el: 0 cu: MICU-A cg: -1 st: D/C'd t0: [10:00:00 09/04/2014] id: Pressure Support el: 0 cu: MICU-A cg: -1 st: D/C'd t0: [10:00:00 09/04/2014] id: RSBI (<200) el: 0 cu: MICU-A cg: -1 st: D/C'd t0: [10:00:00 09/04/2014] id: Rec. Breath Pressure el: 0 cu: MICU-A cg: -1 st: D/C'd t0: [10:00:00 09/04/2014] id: Rec.Breath Time(sec) el: 0 cu: MICU-A cg: -1 st: D/C'd t0: [10:00:00 09/04/2014] id: Recruit Breath el: 0 cu: MICU-A cg: -1 st: D/C'd t0: [10:00:00 09/04/2014] id: Auto-PEEP Level el: 0 cu: MICU-A cg: -1 st: D/C'd t0: [10:00:00 09/04/2014] id: Resp Rate (Spont) el: 0 cu: MICU-A cg: -1 st: D/C'd t0: [10:00:00 09/04/2014] id: Respiratory Rate Set el: 0 cu: MICU-A cg: -1 st: D/C'd t0: [10:00:00 09/04/2014] id: Sensitivity-Vent el: 0 cu: MICU-A cg: -1 st: D/C'd t0: [10:00:00 09/04/2014] id: Spon RR (Mech.) el: 0 cu: MICU-A cg: -1 st: D/C'd t0: [10:00:00 09/04/2014] id: Spon. Vt (L) (Mech.) el: 0 cu: MICU-A cg: -1 st: D/C'd t0: [10:00:00 09/04/2014] id: Tidal Volume (Obser) el: 0 cu: MICU-A cg: -1 st: D/C'd t0: [10:00:00 09/04/2014] id: Tidal Volume (Set) el: 0 cu: MICU-A cg: -1 st: D/C'd t0: [10:00:00 09/04/2014] id: Tidal Volume (Spont) el: 0 cu: MICU-A cg: -1 st: D/C'd t0: [10:00:00 09/04/2014] id: Total PEEP Level el: 0 cu: MICU-A cg: -1 st: D/C'd t0: [10:00:00 09/04/2014] id: Ventilator Mode el: 0 cu: MICU-A cg: -1 st: D/C'd t0: [10:00:00 09/04/2014] id: Ventilator No. el: 0 cu: MICU-A cg: -1 st: D/C'd t0: [10:00:00 09/04/2014] id: Ventilator Type el: 0 cu: MICU-A cg: -1 st: D/C'd t0: [10:00:00 09/04/2014] id: Vital Cap (>1.0)L el: 0 cu: MICU-A cg: -1 st: D/C'd t0: [10:00:00 09/04/2014] id: Waveform-Vent el: 0 cu: MICU-A cg: -1 st: D/C'd
t0: [09:00:00 09/04/2014] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [09:00:00 09/04/2014] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [09:00:00 09/04/2014] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [09:00:00 09/04/2014] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [09:00:00 09/04/2014] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 45 u1: BPM st: NotStopd t0: [09:00:00 09/04/2014] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Sinus Brady st: NotStopd t0: [09:00:00 09/04/2014] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 150 u1: mmHg v2: 70 u2: mmHg st: NotStopd t0: [09:00:00 09/04/2014] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 98 u1: mmHg st: NotStopd t0: [09:00:00 09/04/2014] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [09:00:00 09/04/2014] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 27 u1: BPM st: NotStopd t0: [09:00:00 09/04/2014] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 98 u1: % st: NotStopd t0: [09:00:00 09/04/2014] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [10:00:00 09/04/2014] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [10:00:00 09/04/2014] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [10:00:00 09/04/2014] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [10:00:00 09/04/2014] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [10:00:00 09/04/2014] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 49 u1: BPM st: NotStopd t0: [10:00:00 09/04/2014] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Sinus Brady st: NotStopd t0: [10:00:00 09/04/2014] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 158 u1: mmHg v2: 75 u2: mmHg st: NotStopd t0: [10:00:00 09/04/2014] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 105 u1: mmHg st: NotStopd t0: [10:00:00 09/04/2014] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [10:00:00 09/04/2014] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 24 u1: BPM st: NotStopd t0: [10:00:00 09/04/2014] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 99 u1: % st: NotStopd t0: [10:00:00 09/04/2014] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [10:00:00 09/04/2014] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 20 vu: ml t0: [10:00:00 09/04/2014] id: D5W 50.0ml + 100mghr Lasix IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 4 vu: ml t0: [10:00:00 09/04/2014] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 190 vu: ml
t0: [09:00:00 09/04/2014] id: Lasix el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 4 du: mghr sv: 50 su: ml rt: IV Drip t0: [10:00:00 09/04/2014] id: Lasix el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 2 du: mghr sv: 50 su: ml rt: IV Drip
t0: [10:55:00 09/04/2014] id: FiO2 Set el: 0 cu: MICU-A cg: RRT v1: 0.5 u1: torr st: NotStopd t0: [10:55:00 09/04/2014] id: O2 Delivery Device el: 0 cu: MICU-A cg: RRT v1: Aerosol-Cool st: NotStopd t0: [10:55:00 09/04/2014] id: O2 Flow (lpm) el: 0 cu: MICU-A cg: RRT v1: 10 u1: lpm st: NotStopd
t0: [10:55:00 09/04/2014] id: Extubation Date el: 0 cu: MICU-A cg: RRT v1: 3 v2: 26 st: NotStopd t0: [10:55:00 09/04/2014] id: Intubation Date el: 0 cu: MICU-A cg: RRT v1: 3 v2: 12 st: NotStopd t0: [10:55:00 09/04/2014] id: Resp Rate (Total) el: 0 cu: MICU-A cg: RRT v1: 20 u1: BPM st: NotStopd t0: [10:55:00 09/04/2014] id: SpO2 el: 0 cu: MICU-A cg: RRT v1: 93 u1: % st: NotStopd
t0: [11:00:00 09/04/2014] id: GI Prophylaxis el: 0 cu: MICU-A cg: -1 st: D/C'd t0: [11:00:00 09/04/2014] id: GI Guaiac/ph el: 0 cu: MICU-A cg: -1 st: D/C'd t0: [11:00:00 09/04/2014] id: GI Intub #1/Site el: 0 cu: MICU-A cg: -1 st: D/C'd t0: [11:00:00 09/04/2014] id: GI#1 Tube PlaceCheck el: 0 cu: MICU-A cg: -1 st: D/C'd t0: [11:00:00 09/04/2014] id: GI#1 Tube Stat/Drain el: 0 cu: MICU-A cg: -1 st: D/C'd
t0: [11:00:00 09/04/2014] id: TF Residual Gastric/TF Residual el: 1 cu: MICU-A cg: -1 ai: 107 vo: 0 st: D/C'd t0: [11:00:00 09/04/2014] id: Gastric Meds PO/Gastric el: 1 cu: MICU-A cg: -1 ai: 155 vo: 0 st: D/C'd t0: [11:00:00 09/04/2014] id: Free Water Bolus PO/Gastric el: 1 cu: MICU-A cg: -1 ai: 274 vo: 0 st: D/C'd t0: [11:00:00 09/04/2014] id: Promote w/fiber Tube Feeding el: 1 cu: MICU-A cg: -1 ai: 107 vo: 0 st: D/C'd
t0: [10:30:00 09/04/2014] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [10:30:00 09/04/2014] id: CVP el: 0 cu: MICU-A cg: RN v1: 25 u1: mmHg st: NotStopd t0: [10:30:00 09/04/2014] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [10:30:00 09/04/2014] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [10:30:00 09/04/2014] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [10:30:00 09/04/2014] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 50 u1: BPM st: NotStopd t0: [10:30:00 09/04/2014] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Sinus Brady st: NotStopd t0: [10:30:00 09/04/2014] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 165 u1: mmHg v2: 76 u2: mmHg st: NotStopd t0: [10:30:00 09/04/2014] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 108 u1: mmHg st: NotStopd t0: [10:30:00 09/04/2014] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [10:30:00 09/04/2014] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 25 u1: BPM st: NotStopd t0: [10:30:00 09/04/2014] id: Significant Events el: 0 cu: MICU-A cg: RN v1: Extubated st: NotStopd t0: [10:30:00 09/04/2014] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 92 u1: % st: NotStopd t0: [10:30:00 09/04/2014] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [11:00:00 09/04/2014] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [11:00:00 09/04/2014] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [11:00:00 09/04/2014] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [11:00:00 09/04/2014] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [11:00:00 09/04/2014] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 46 u1: BPM st: NotStopd t0: [11:00:00 09/04/2014] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Sinus Brady st: NotStopd t0: [11:00:00 09/04/2014] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 155 u1: mmHg v2: 70 u2: mmHg st: NotStopd t0: [11:00:00 09/04/2014] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 100 u1: mmHg st: NotStopd t0: [11:00:00 09/04/2014] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [11:00:00 09/04/2014] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 25 u1: BPM st: NotStopd t0: [11:00:00 09/04/2014] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 94 u1: % st: NotStopd t0: [11:00:00 09/04/2014] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [10:30:00 09/04/2014] id: Lasix el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 2 du: mghr sv: 50 su: ml rt: IV Drip t0: [11:00:00 09/04/2014] id: Lasix el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 2 du: mghr sv: 50 su: ml rt: IV Drip
t0: [08:00:00 09/04/2014] id: Diet Type el: 0 cu: MICU-A cg: RN v1: NPO st: NotStopd t0: [10:00:00 09/04/2014] id: Activity el: 0 cu: MICU-A cg: RN v1: Chair st: NotStopd t0: [10:00:00 09/04/2014] id: Activity Tolerance el: 0 cu: MICU-A cg: RN v1: Tolerated Well st: NotStopd t0: [10:00:00 09/04/2014] id: Assistance Device el: 0 cu: MICU-A cg: RN v1: 2 Person Assist st: NotStopd t0: [10:00:00 09/04/2014] id: PressureReduceDevice el: 0 cu: MICU-A cg: RN v1: Multipodus Boots st: NotStopd t0: [10:00:00 09/04/2014] id: Therapeutic Bed el: 0 cu: MICU-A cg: RN v1: AirMatt/1st Step st: NotStopd t0: [10:30:00 09/04/2014] id: GI Intub #1/Site el: 0 cu: MICU-A cg: RN v1: Salem Sump v2: Oral st: NotStopd t0: [12:00:00 09/04/2014] id: INV Line#1 Type/Site el: 0 cu: MICU-A cg: RN v1: Multi-lumen v2: Left IJ st: NotStopd t0: [12:00:00 09/04/2014] id: INV Line#1 Zero/Cal el: 0 cu: MICU-A cg: RN v1: No st: NotStopd t0: [12:00:00 09/04/2014] id: INV Line#1InsertDate el: 0 cu: MICU-A cg: RN v1: 3 v2: 19 st: NotStopd t0: [12:00:00 09/04/2014] id: INV Line#1SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [12:00:00 09/04/2014] id: INV Line#4 Type/Site el: 0 cu: MICU-A cg: RN v1: A-Line v2: Right Brachial st: NotStopd t0: [12:00:00 09/04/2014] id: INV Line#4 Zero/Cal el: 0 cu: MICU-A cg: RN v1: No st: NotStopd t0: [12:00:00 09/04/2014] id: INV Line#4InsertDate el: 0 cu: MICU-A cg: RN v1: 3 v2: 17 st: NotStopd t0: [12:00:00 09/04/2014] id: INV Line#4SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [12:00:00 09/04/2014] id: INV#1 WaveformAppear el: 0 cu: MICU-A cg: RN v1: Sharp st: NotStopd t0: [12:00:00 09/04/2014] id: INV#4 WaveformAppear el: 0 cu: MICU-A cg: RN v1: Sharp st: NotStopd t0: [12:00:00 09/04/2014] id: Impaired Skin Site#1 el: 0 cu: MICU-A cg: RN v1: Gluteal, Right st: NotStopd t0: [12:00:00 09/04/2014] id: Impaired Skin Site#2 el: 0 cu: MICU-A cg: RN v1: Labia st: NotStopd t0: [12:00:00 09/04/2014] id: Reason For Restraint el: 0 cu: MICU-A cg: RN v1: Ext/TXInterfere st: NotStopd t0: [12:00:00 09/04/2014] id: Restraint Location el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [12:00:00 09/04/2014] id: Restraint Type el: 0 cu: MICU-A cg: RN v1: Soft Limb st: NotStopd t0: [12:00:00 09/04/2014] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [12:00:00 09/04/2014] id: Skin Color el: 0 cu: MICU-A cg: RN v1: Normal for Race st: NotStopd t0: [12:00:00 09/04/2014] id: Skin Integrity el: 0 cu: MICU-A cg: RN v1: Impaired st: NotStopd t0: [12:00:00 09/04/2014] id: Support Systems el: 0 cu: MICU-A cg: RN v1: Relative st: NotStopd t0: [12:00:00 09/04/2014] id: Braden Activity el: 0 cu: MICU-A cg: RN v1: Chairfast st: NotStopd t0: [12:00:00 09/04/2014] id: Braden Frict/Shear el: 0 cu: MICU-A cg: RN v1: Potential Prob st: NotStopd t0: [12:00:00 09/04/2014] id: Braden Mobility el: 0 cu: MICU-A cg: RN v1: Very Limited st: NotStopd t0: [12:00:00 09/04/2014] id: Braden Moisture el: 0 cu: MICU-A cg: RN v1: Rarely Moist st: NotStopd t0: [12:00:00 09/04/2014] id: Braden Nutrition el: 0 cu: MICU-A cg: RN v1: Prob. Inadequate st: NotStopd t0: [12:00:00 09/04/2014] id: Braden Score el: 0 cu: MICU-A cg: RN v1: 14 u1: number st: NotStopd t0: [12:00:00 09/04/2014] id: Braden SensoryPercep el: 0 cu: MICU-A cg: RN v1: Very Limited st: NotStopd
t0: [12:00:00 09/04/2014] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 2 cu: MICU-A cg: -1 ai: 209 vo: 0 st: D/C'd
t0: [12:00:00 09/04/2014] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [12:00:00 09/04/2014] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [12:00:00 09/04/2014] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [12:00:00 09/04/2014] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [12:00:00 09/04/2014] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 45 u1: BPM st: NotStopd t0: [12:00:00 09/04/2014] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Sinus Brady st: NotStopd t0: [12:00:00 09/04/2014] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 158 u1: mmHg v2: 72 u2: mmHg st: NotStopd t0: [12:00:00 09/04/2014] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 102 u1: mmHg st: NotStopd t0: [12:00:00 09/04/2014] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [12:00:00 09/04/2014] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 19 u1: BPM st: NotStopd t0: [12:00:00 09/04/2014] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 97 u1: % st: NotStopd t0: [12:00:00 09/04/2014] id: Temp. Site el: 0 cu: MICU-A cg: RN v1: Oral st: NotStopd t0: [12:00:00 09/04/2014] id: Temperature C (calc) el: 0 cu: MICU-A cg: RN v1: 36.6667 u1: Deg. C st: NotStopd t0: [12:00:00 09/04/2014] id: Temperature F el: 0 cu: MICU-A cg: RN v1: 98 u1: Deg. F st: NotStopd t0: [12:00:00 09/04/2014] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [12:00:00 09/04/2014] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 20 vu: ml t0: [12:00:00 09/04/2014] id: D5W 50.0ml + 100mghr Lasix IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 2 vu: ml t0: [12:00:00 09/04/2014] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 110 vu: ml
t0: [12:00:00 09/04/2014] id: Lasix el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 0 du: mghr sv: 50 su: ml rt: IV Drip
t0: [13:00:00 09/04/2014] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [13:00:00 09/04/2014] id: CVP el: 0 cu: MICU-A cg: RN v1: 15 u1: mmHg st: NotStopd t0: [13:00:00 09/04/2014] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [13:00:00 09/04/2014] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [13:00:00 09/04/2014] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [13:00:00 09/04/2014] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 53 u1: BPM st: NotStopd t0: [13:00:00 09/04/2014] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Sinus Brady st: NotStopd t0: [13:00:00 09/04/2014] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 156 u1: mmHg v2: 74 u2: mmHg st: NotStopd t0: [13:00:00 09/04/2014] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 105 u1: mmHg st: NotStopd t0: [13:00:00 09/04/2014] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [13:00:00 09/04/2014] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 25 u1: BPM st: NotStopd t0: [13:00:00 09/04/2014] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 98 u1: % st: NotStopd t0: [13:00:00 09/04/2014] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [14:00:00 09/04/2014] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [14:00:00 09/04/2014] id: CVP el: 0 cu: MICU-A cg: RN v1: 11 u1: mmHg st: NotStopd t0: [14:00:00 09/04/2014] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [14:00:00 09/04/2014] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [14:00:00 09/04/2014] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [14:00:00 09/04/2014] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 54 u1: BPM st: NotStopd t0: [14:00:00 09/04/2014] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Sinus Brady st: NotStopd t0: [14:00:00 09/04/2014] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 143 u1: mmHg v2: 71 u2: mmHg st: NotStopd t0: [14:00:00 09/04/2014] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 99 u1: mmHg st: NotStopd t0: [14:00:00 09/04/2014] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [14:00:00 09/04/2014] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 24 u1: BPM st: NotStopd t0: [14:00:00 09/04/2014] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 99 u1: % st: NotStopd t0: [14:00:00 09/04/2014] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [15:00:00 09/04/2014] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [15:00:00 09/04/2014] id: CVP el: 0 cu: MICU-A cg: RN v1: 9 u1: mmHg st: NotStopd t0: [15:00:00 09/04/2014] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [15:00:00 09/04/2014] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [15:00:00 09/04/2014] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [15:00:00 09/04/2014] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 53 u1: BPM st: NotStopd t0: [15:00:00 09/04/2014] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Sinus Brady st: NotStopd t0: [15:00:00 09/04/2014] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 140 u1: mmHg v2: 70 u2: mmHg st: NotStopd t0: [15:00:00 09/04/2014] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 96 u1: mmHg st: NotStopd t0: [15:00:00 09/04/2014] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [15:00:00 09/04/2014] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 24 u1: BPM st: NotStopd t0: [15:00:00 09/04/2014] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 96 u1: % st: NotStopd t0: [15:00:00 09/04/2014] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [14:00:00 09/04/2014] id: Po Intake PO/Gastric el: 1 cu: MICU-A cg: RN ai: 103 vo: 240 vu: ml t0: [14:00:00 09/04/2014] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 20 vu: ml t0: [15:00:00 09/04/2014] id: Po Intake PO/Gastric el: 1 cu: MICU-A cg: RN ai: 103 vo: 120 vu: ml t0: [15:00:00 09/04/2014] 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 09/04/2014] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 210 vu: ml
t0: [12:00:00 09/04/2014] id: Diet Type el: 0 cu: MICU-A cg: RN v1: Clear Liquid st: NotStopd t0: [12:00:00 09/04/2014] id: Eye Opening el: 0 cu: MICU-A cg: RN v1: 4 Spontaneously st: NotStopd t0: [12:00:00 09/04/2014] id: GCS Total el: 0 cu: MICU-A cg: RN v1: 15 u1: points st: NotStopd t0: [12:00:00 09/04/2014] id: GU Catheter Size el: 0 cu: MICU-A cg: RN v1: 14 French st: NotStopd t0: [12:00:00 09/04/2014] id: Abdominal Assessment el: 0 cu: MICU-A cg: RN v1: Soft st: NotStopd t0: [12:00:00 09/04/2014] id: Activity el: 0 cu: MICU-A cg: RN v1: Chair st: NotStopd t0: [12:00:00 09/04/2014] id: Activity Tolerance el: 0 cu: MICU-A cg: RN v1: Tolerated Well st: NotStopd t0: [12:00:00 09/04/2014] id: LLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Diminished st: NotStopd t0: [12:00:00 09/04/2014] id: LUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Clear st: NotStopd t0: [12:00:00 09/04/2014] id: Level of Conscious el: 0 cu: MICU-A cg: RN v1: Alert st: NotStopd t0: [12:00:00 09/04/2014] id: Motor Response el: 0 cu: MICU-A cg: RN v1: 6 Obeys Commands st: NotStopd t0: [12:00:00 09/04/2014] id: Oral Cavity el: 0 cu: MICU-A cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [12:00:00 09/04/2014] id: Orientation el: 0 cu: MICU-A cg: RN v1: Oriented x 3 st: NotStopd t0: [12:00:00 09/04/2014] id: Assistance Device el: 0 cu: MICU-A cg: RN v1: 2 Person Assist st: NotStopd t0: [12:00:00 09/04/2014] id: PressureReduceDevice el: 0 cu: MICU-A cg: RN v1: Multipodus Boots st: NotStopd t0: [12:00:00 09/04/2014] id: RLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Diminished st: NotStopd t0: [12:00:00 09/04/2014] id: RUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Clear st: NotStopd t0: [12:00:00 09/04/2014] id: Respiratory Pattern el: 0 cu: MICU-A cg: RN v1: Regular st: NotStopd t0: [12:00:00 09/04/2014] id: Therapeutic Bed el: 0 cu: MICU-A cg: RN v1: AirMatt/1st Step st: NotStopd t0: [12:00:00 09/04/2014] id: Urine Color/Appear el: 0 cu: MICU-A cg: RN v1: Yellow v2: Clear st: NotStopd t0: [12:00:00 09/04/2014] id: Urine Source el: 0 cu: MICU-A cg: RN v1: Indwelling Cath st: NotStopd t0: [12:00:00 09/04/2014] id: Verbal Response el: 0 cu: MICU-A cg: RN v1: 5 Oriented st: NotStopd t0: [12:00:00 09/04/2014] id: Bowel Sounds el: 0 cu: MICU-A cg: RN v1: Present st: NotStopd
t0: [12:00:00 09/04/2014] id: Riker-SAS Scale el: 0 cu: MICU-A cg: RN v1: Calm/Cooperative st: NotStopd t0: [14:00:00 09/04/2014] id: Activity el: 0 cu: MICU-A cg: RN v1: Chair st: NotStopd t0: [14:00:00 09/04/2014] id: Activity Tolerance el: 0 cu: MICU-A cg: RN v1: Tolerated Well st: NotStopd t0: [16:00:00 09/04/2014] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [16:00:00 09/04/2014] id: CVP el: 0 cu: MICU-A cg: RN v1: 28 u1: mmHg st: NotStopd t0: [16:00:00 09/04/2014] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [16:00:00 09/04/2014] id: Riker-SAS Scale el: 0 cu: MICU-A cg: RN v1: Calm/Cooperative st: NotStopd t0: [16:00:00 09/04/2014] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [16:00:00 09/04/2014] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [16:00:00 09/04/2014] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 58 u1: BPM st: NotStopd t0: [16:00:00 09/04/2014] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Sinus Brady st: NotStopd t0: [16:00:00 09/04/2014] id: Activity el: 0 cu: MICU-A cg: RN v1: Chair st: NotStopd t0: [16:00:00 09/04/2014] id: Activity Tolerance el: 0 cu: MICU-A cg: RN v1: Tolerated Well st: NotStopd t0: [16:00:00 09/04/2014] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 146 u1: mmHg v2: 73 u2: mmHg st: NotStopd t0: [16:00:00 09/04/2014] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 101 u1: mmHg st: NotStopd t0: [16:00:00 09/04/2014] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [16:00:00 09/04/2014] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 20 u1: BPM st: NotStopd t0: [16:00:00 09/04/2014] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 98 u1: % st: NotStopd t0: [16:00:00 09/04/2014] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [17:00:00 09/04/2014] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [17:00:00 09/04/2014] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [17:00:00 09/04/2014] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [17:00:00 09/04/2014] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [17:00:00 09/04/2014] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 54 u1: BPM st: NotStopd t0: [17:00:00 09/04/2014] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Sinus Brady st: NotStopd t0: [17:00:00 09/04/2014] id: Activity el: 0 cu: MICU-A cg: RN v1: Bedrest st: NotStopd t0: [17:00:00 09/04/2014] id: Activity Tolerance el: 0 cu: MICU-A cg: RN v1: Tolerated Well st: NotStopd t0: [17:00:00 09/04/2014] id: AntiEmbDevice/Status el: 0 cu: MICU-A cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [17:00:00 09/04/2014] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 129 u1: mmHg v2: 69 u2: mmHg st: NotStopd t0: [17:00:00 09/04/2014] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 92 u1: mmHg st: NotStopd t0: [17:00:00 09/04/2014] id: Position el: 0 cu: MICU-A cg: RN v1: Supine st: NotStopd t0: [17:00:00 09/04/2014] id: Assistance Device el: 0 cu: MICU-A cg: RN v1: Total Lift st: NotStopd t0: [17:00:00 09/04/2014] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [17:00:00 09/04/2014] id: PressureReduceDevice el: 0 cu: MICU-A cg: RN v1: Multipodus Boots st: NotStopd t0: [17:00:00 09/04/2014] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 21 u1: BPM st: NotStopd t0: [17:00:00 09/04/2014] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 96 u1: % st: NotStopd t0: [17:00:00 09/04/2014] id: Temp. Site el: 0 cu: MICU-A cg: RN v1: Oral st: NotStopd t0: [17:00:00 09/04/2014] id: Temperature C (calc) el: 0 cu: MICU-A cg: RN v1: 36.2222 u1: Deg. C st: NotStopd t0: [17:00:00 09/04/2014] id: Temperature F el: 0 cu: MICU-A cg: RN v1: 97.2 u1: Deg. F st: NotStopd t0: [17:00:00 09/04/2014] id: Therapeutic Bed el: 0 cu: MICU-A cg: RN v1: AirMatt/1st Step st: NotStopd t0: [17:00:00 09/04/2014] id: Back Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [17:00:00 09/04/2014] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [16:00:00 09/04/2014] 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 09/04/2014] id: INV Line#1 Zero/Cal el: 0 cu: MICU-A cg: -1 st: D/C'd t0: [18:00:00 09/04/2014] id: INV#1 WaveformAppear el: 0 cu: MICU-A cg: -1 st: D/C'd
t0: [13:00:00 09/04/2014] id: O2 Delivery Device el: 0 cu: MICU-A cg: RN v1: Nasal Cannula st: NotStopd t0: [13:00:00 09/04/2014] id: O2 Flow (lpm) el: 0 cu: MICU-A cg: RN v1: 4 u1: lpm st: NotStopd t0: [16:00:00 09/04/2014] id: Diet Type el: 0 cu: MICU-A cg: RN v1: Full Liquid st: NotStopd t0: [16:00:00 09/04/2014] id: Eye Opening el: 0 cu: MICU-A cg: RN v1: 4 Spontaneously st: NotStopd t0: [16:00:00 09/04/2014] id: GCS Total el: 0 cu: MICU-A cg: RN v1: 15 u1: points st: NotStopd t0: [16:00:00 09/04/2014] id: GU Catheter Size el: 0 cu: MICU-A cg: RN v1: 14 French st: NotStopd t0: [16:00:00 09/04/2014] id: INV Line#1 Type/Site el: 0 cu: MICU-A cg: RN v1: Multi-lumen v2: Left IJ st: NotStopd t0: [16:00:00 09/04/2014] id: INV Line#1InsertDate el: 0 cu: MICU-A cg: RN v1: 3 v2: 19 st: NotStopd t0: [16:00:00 09/04/2014] id: INV Line#1SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [16:00:00 09/04/2014] id: INV Line#4 Type/Site el: 0 cu: MICU-A cg: RN v1: A-Line v2: Right Brachial st: NotStopd t0: [16:00:00 09/04/2014] id: INV Line#4 Zero/Cal el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [16:00:00 09/04/2014] id: INV Line#4InsertDate el: 0 cu: MICU-A cg: RN v1: 3 v2: 17 st: NotStopd t0: [16:00:00 09/04/2014] id: INV Line#4SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [16:00:00 09/04/2014] id: Abdominal Assessment el: 0 cu: MICU-A cg: RN v1: Soft st: NotStopd t0: [16:00:00 09/04/2014] id: INV#4 WaveformAppear el: 0 cu: MICU-A cg: RN v1: Sharp st: NotStopd t0: [16:00:00 09/04/2014] id: LLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Diminished st: NotStopd t0: [16:00:00 09/04/2014] id: LUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Clear st: NotStopd t0: [16:00:00 09/04/2014] id: Level of Conscious el: 0 cu: MICU-A cg: RN v1: Alert st: NotStopd t0: [16:00:00 09/04/2014] id: Motor Response el: 0 cu: MICU-A cg: RN v1: 6 Obeys Commands st: NotStopd t0: [16:00:00 09/04/2014] id: O2 Delivery Device el: 0 cu: MICU-A cg: RN v1: Nasal Cannula st: NotStopd t0: [16:00:00 09/04/2014] id: O2 Flow (lpm) el: 0 cu: MICU-A cg: RN v1: 4 u1: lpm st: NotStopd t0: [16:00:00 09/04/2014] id: Oral Cavity el: 0 cu: MICU-A cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [16:00:00 09/04/2014] id: Orientation el: 0 cu: MICU-A cg: RN v1: Oriented x 3 st: NotStopd t0: [16:00:00 09/04/2014] id: RLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Diminished st: NotStopd t0: [16:00:00 09/04/2014] id: RUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Clear st: NotStopd t0: [16:00:00 09/04/2014] id: Respiratory Pattern el: 0 cu: MICU-A cg: RN v1: Regular st: NotStopd t0: [16:00:00 09/04/2014] id: Stool Color/Consist el: 0 cu: MICU-A cg: RN v1: Brown v2: Soft st: NotStopd t0: [16:00:00 09/04/2014] id: Stool Guaiac el: 0 cu: MICU-A cg: RN v1: Negative st: NotStopd t0: [16:00:00 09/04/2014] id: Urine Color/Appear el: 0 cu: MICU-A cg: RN v1: Yellow v2: Clear st: NotStopd t0: [16:00:00 09/04/2014] id: Urine Source el: 0 cu: MICU-A cg: RN v1: Indwelling Cath st: NotStopd t0: [16:00:00 09/04/2014] id: Verbal Response el: 0 cu: MICU-A cg: RN v1: 5 Oriented st: NotStopd t0: [16:00:00 09/04/2014] id: Bowel Sounds el: 0 cu: MICU-A cg: RN v1: Present st: NotStopd t0: [18:00:00 09/04/2014] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [18:00:00 09/04/2014] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [18:00:00 09/04/2014] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [18:00:00 09/04/2014] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [18:00:00 09/04/2014] id: FiO2 Set el: 0 cu: MICU-A cg: RN v1: 0.5 u1: torr st: NotStopd t0: [18:00:00 09/04/2014] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 52 u1: BPM st: NotStopd t0: [18:00:00 09/04/2014] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Sinus Brady st: NotStopd t0: [18:00:00 09/04/2014] id: O2 Delivery Device el: 0 cu: MICU-A cg: RN v1: Aerosol-Cool st: NotStopd t0: [18:00:00 09/04/2014] id: O2 Flow (lpm) el: 0 cu: MICU-A cg: RN v1: 10 u1: lpm st: NotStopd t0: [18:00:00 09/04/2014] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 142 u1: mmHg v2: 71 u2: mmHg st: NotStopd t0: [18:00:00 09/04/2014] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 98 u1: mmHg st: NotStopd t0: [18:00:00 09/04/2014] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [18:00:00 09/04/2014] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 26 u1: BPM st: NotStopd t0: [18:00:00 09/04/2014] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 98 u1: % st: NotStopd t0: [18:00:00 09/04/2014] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [17:00:00 09/04/2014] id: Po Intake PO/Gastric el: 1 cu: MICU-A cg: RN ai: 103 vo: 100 vu: ml t0: [18:00:00 09/04/2014] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 20 vu: ml t0: [18:00:00 09/04/2014] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 140 vu: ml
t0: [18:27:00 09/04/2014] id: Art.pH ABG el: 0 cu: MICU-A cg: 1663 v1: 7.51 rs: Final st: NotStopd t0: [18:27:00 09/04/2014] id: Arterial Base Excess ABG el: 0 cu: MICU-A cg: 1663 v1: 9 rs: Final st: NotStopd t0: [18:27:00 09/04/2014] id: Arterial CO2(Calc) ABG el: 0 cu: MICU-A cg: 1663 v1: 35 rs: Final st: NotStopd t0: [18:27:00 09/04/2014] id: Arterial PaCO2 ABG el: 0 cu: MICU-A cg: 1663 v1: 42 u1: mmHg rs: Final st: NotStopd t0: [18:27:00 09/04/2014] id: Arterial PaO2 ABG el: 0 cu: MICU-A cg: 1663 v1: 100 u1: mmHg rs: Final st: NotStopd t0: [18:27:00 09/04/2014] id: Arterial pH ABG el: 0 cu: MICU-A cg: 1663 v1: 7.51 rs: Final st: NotStopd
t0: [18:00:00 09/04/2014] id: Potassium (3.5-5.3) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 3.2 rs: Final st: NotStopd
t0: [20:00:00 09/04/2014] id: Less Restrict Meas. el: 0 cu: MICU-A cg: -1 st: D/C'd t0: [20:00:00 09/04/2014] id: Range of Motion el: 0 cu: MICU-A cg: -1 st: D/C'd t0: [20:00:00 09/04/2014] id: Circulation/SkinInt el: 0 cu: MICU-A cg: -1 st: D/C'd t0: [20:00:00 09/04/2014] id: Position Change el: 0 cu: MICU-A cg: -1 st: D/C'd t0: [20:00:00 09/04/2014] id: Reason For Restraint el: 0 cu: MICU-A cg: -1 st: D/C'd t0: [20:00:00 09/04/2014] id: Removed x 5 Mins el: 0 cu: MICU-A cg: -1 st: D/C'd t0: [20:00:00 09/04/2014] id: Restraint Location el: 0 cu: MICU-A cg: -1 st: D/C'd t0: [20:00:00 09/04/2014] id: Restraint Type el: 0 cu: MICU-A cg: -1 st: D/C'd t0: [20:00:00 09/04/2014] id: Restraints Evaluated el: 0 cu: MICU-A cg: -1 st: D/C'd
t0: [20:00:00 09/04/2014] id: Service Type el: 0 cu: MICU-A cg: -1 v1: MICU st: NotStopd t0: [20:00:00 09/04/2014] id: Code Status el: 0 cu: MICU-A cg: -1 v1: Full Code st: NotStopd t0: [20:00:00 09/04/2014] id: Riker-SAS Scale el: 0 cu: MICU-A cg: -1 v1: Calm/Cooperative st: NotStopd t0: [20:00:00 09/04/2014] id: Diet Type el: 0 cu: MICU-A cg: -1 v1: Full Liquid st: NotStopd t0: [20:00:00 09/04/2014] id: Ectopy Frequency el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [20:00:00 09/04/2014] id: Ectopy Type el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [20:00:00 09/04/2014] id: Eye Opening el: 0 cu: MICU-A cg: -1 v1: 4 Spontaneously st: NotStopd t0: [20:00:00 09/04/2014] id: Family Communication el: 0 cu: MICU-A cg: -1 v1: Family Visited st: NotStopd t0: [20:00:00 09/04/2014] id: GCS Total el: 0 cu: MICU-A cg: -1 v1: 15 u1: points st: NotStopd t0: [20:00:00 09/04/2014] id: GU Catheter Size el: 0 cu: MICU-A cg: -1 v1: 14 French st: NotStopd t0: [20:00:00 09/04/2014] id: Heart Rate el: 0 cu: MICU-A cg: -1 v1: 59 u1: BPM st: NotStopd t0: [20:00:00 09/04/2014] id: Heart Rhythm el: 0 cu: MICU-A cg: -1 v1: Sinus Brady st: NotStopd t0: [20:00:00 09/04/2014] id: INV Line#1 Type/Site el: 0 cu: MICU-A cg: -1 v1: Multi-lumen v2: Left IJ st: NotStopd t0: [20:00:00 09/04/2014] id: INV Line#1InsertDate el: 0 cu: MICU-A cg: -1 v1: 3 v2: 19 st: NotStopd t0: [20:00:00 09/04/2014] id: INV Line#1SiteAppear el: 0 cu: MICU-A cg: -1 v1: WNL st: NotStopd t0: [20:00:00 09/04/2014] id: INV Line#4 Type/Site el: 0 cu: MICU-A cg: -1 v1: A-Line v2: Right Brachial st: NotStopd t0: [20:00:00 09/04/2014] id: INV Line#4 Zero/Cal el: 0 cu: MICU-A cg: -1 v1: No st: NotStopd t0: [20:00:00 09/04/2014] id: INV Line#4InsertDate el: 0 cu: MICU-A cg: -1 v1: 3 v2: 17 st: NotStopd t0: [20:00:00 09/04/2014] id: INV Line#4SiteAppear el: 0 cu: MICU-A cg: -1 v1: WNL st: NotStopd t0: [20:00:00 09/04/2014] id: Abdominal Assessment el: 0 cu: MICU-A cg: -1 v1: Soft st: NotStopd t0: [20:00:00 09/04/2014] id: INV#4 WaveformAppear el: 0 cu: MICU-A cg: -1 v1: Sharp st: NotStopd t0: [20:00:00 09/04/2014] id: Impaired Skin Site#1 el: 0 cu: MICU-A cg: -1 v1: Gluteal, Right st: NotStopd t0: [20:00:00 09/04/2014] id: Impaired Skin Site#2 el: 0 cu: MICU-A cg: -1 v1: Labia st: NotStopd t0: [20:00:00 09/04/2014] id: LLL Lung Sounds el: 0 cu: MICU-A cg: -1 v1: Diminished st: NotStopd t0: [20:00:00 09/04/2014] id: LUL Lung Sounds el: 0 cu: MICU-A cg: -1 v1: Clear st: NotStopd t0: [20:00:00 09/04/2014] id: Level of Conscious el: 0 cu: MICU-A cg: -1 v1: Alert st: NotStopd t0: [20:00:00 09/04/2014] id: Motor Response el: 0 cu: MICU-A cg: -1 v1: 6 Obeys Commands st: NotStopd t0: [20:00:00 09/04/2014] id: Oral Cavity el: 0 cu: MICU-A cg: -1 v1: Teeth/Tissue WNL st: NotStopd t0: [20:00:00 09/04/2014] id: Orientation el: 0 cu: MICU-A cg: -1 v1: Oriented x 3 st: NotStopd t0: [20:00:00 09/04/2014] id: Arterial BP el: 0 cu: MICU-A cg: -1 v1: 151 u1: mmHg v2: 77 u2: mmHg st: NotStopd t0: [20:00:00 09/04/2014] id: Arterial BP Mean el: 0 cu: MICU-A cg: -1 v1: 106 u1: mmHg st: NotStopd t0: [20:00:00 09/04/2014] id: Precautions el: 0 cu: MICU-A cg: -1 v1: Universal st: NotStopd t0: [20:00:00 09/04/2014] id: RLL Lung Sounds el: 0 cu: MICU-A cg: -1 v1: Diminished st: NotStopd t0: [20:00:00 09/04/2014] id: RUL Lung Sounds el: 0 cu: MICU-A cg: -1 v1: Clear st: NotStopd t0: [20:00:00 09/04/2014] id: Respiratory Pattern el: 0 cu: MICU-A cg: -1 v1: Regular st: NotStopd t0: [20:00:00 09/04/2014] id: Respiratory Rate el: 0 cu: MICU-A cg: -1 v1: 18 u1: BPM st: NotStopd t0: [20:00:00 09/04/2014] id: Side Rails el: 0 cu: MICU-A cg: -1 v1: Side Rails Up st: NotStopd t0: [20:00:00 09/04/2014] id: SpO2 el: 0 cu: MICU-A cg: -1 v1: 94 u1: % st: NotStopd t0: [20:00:00 09/04/2014] id: Support Systems el: 0 cu: MICU-A cg: -1 v1: Relative st: NotStopd t0: [20:00:00 09/04/2014] id: Temp. Site el: 0 cu: MICU-A cg: -1 v1: Oral st: NotStopd t0: [20:00:00 09/04/2014] id: Temperature C (calc) el: 0 cu: MICU-A cg: -1 v1: 36.2222 u1: Deg. C st: NotStopd t0: [20:00:00 09/04/2014] id: Temperature F el: 0 cu: MICU-A cg: -1 v1: 97.2 u1: Deg. F st: NotStopd t0: [20:00:00 09/04/2014] id: Urine Color/Appear el: 0 cu: MICU-A cg: -1 v1: Yellow v2: Clear st: NotStopd t0: [20:00:00 09/04/2014] id: Urine Source el: 0 cu: MICU-A cg: -1 v1: Indwelling Cath st: NotStopd t0: [20:00:00 09/04/2014] id: Verbal Response el: 0 cu: MICU-A cg: -1 v1: 5 Oriented st: NotStopd t0: [20:00:00 09/04/2014] id: calprevflg el: 0 cu: MICU-A cg: -1 v1: 1 u1: kg st: NotStopd t0: [20:00:00 09/04/2014] id: Behavior el: 0 cu: MICU-A cg: -1 v1: Calm st: NotStopd t0: [20:00:00 09/04/2014] id: Bowel Sounds el: 0 cu: MICU-A cg: -1 v1: Present st: NotStopd
t0: [20:00:00 09/04/2014] id: Po Intake PO/Gastric el: 1 cu: MICU-A cg: -1 ai: 103 vo: 120 vu: ml t0: [20:00:00 09/04/2014] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 20 vu: ml t0: [20:00:00 09/04/2014] id: IV Piggyback 100.0ml IV Infusions el: 1 cu: MICU-A cg: -1 ai: 105 vo: 50 vu: ml t0: [20:00:00 09/04/2014] id: Urine Out Foley el: 1 cu: MICU-A cg: -1 vo: 45 vu: ml
t0: [21:00:00 09/04/2014] id: Service Type el: 0 cu: MICU-A cg: -1 v1: MICU st: NotStopd t0: [21:00:00 09/04/2014] id: Code Status el: 0 cu: MICU-A cg: -1 v1: Full Code st: NotStopd t0: [21:00:00 09/04/2014] id: Ectopy Frequency el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [21:00:00 09/04/2014] id: Ectopy Type el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [21:00:00 09/04/2014] id: Extubation Date el: 0 cu: MICU-A cg: -1 v1: 3 v2: 26 st: NotStopd t0: [21:00:00 09/04/2014] id: Heart Rate el: 0 cu: MICU-A cg: -1 v1: 59 u1: BPM st: NotStopd t0: [21:00:00 09/04/2014] id: Heart Rhythm el: 0 cu: MICU-A cg: -1 v1: Sinus Brady st: NotStopd t0: [21:00:00 09/04/2014] id: Intubation Date el: 0 cu: MICU-A cg: -1 v1: 3 v2: 12 st: NotStopd t0: [21:00:00 09/04/2014] id: O2 Delivery Device el: 0 cu: MICU-A cg: -1 v1: Aerosol-Cool st: NotStopd t0: [21:00:00 09/04/2014] id: O2 Flow (lpm) el: 0 cu: MICU-A cg: -1 v1: 10 u1: lpm st: NotStopd t0: [21:00:00 09/04/2014] id: Arterial BP el: 0 cu: MICU-A cg: -1 v1: 147 u1: mmHg v2: 75 u2: mmHg st: NotStopd t0: [21:00:00 09/04/2014] id: Arterial BP Mean el: 0 cu: MICU-A cg: -1 v1: 104 u1: mmHg st: NotStopd t0: [21:00:00 09/04/2014] id: Precautions el: 0 cu: MICU-A cg: -1 v1: Universal st: NotStopd t0: [21:00:00 09/04/2014] id: Respiratory Rate el: 0 cu: MICU-A cg: -1 v1: 25 u1: BPM st: NotStopd t0: [21:00:00 09/04/2014] id: SpO2 el: 0 cu: MICU-A cg: -1 v1: 100 u1: % st: NotStopd t0: [21:00:00 09/04/2014] id: calprevflg el: 0 cu: MICU-A cg: -1 v1: 1 u1: kg st: NotStopd
t0: [21:00:00 09/04/2014] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 10 vu: ml
tf: [13:00:00 10/04/2014] pt: IV Piggyback rt: IV fr: ONCE fs: 21 dn: 1 m1: Potassium Chloride f1: BAG v1: 40 u1: mEq m2: SW f2: INJ v2: 100 u2: ml
t0: [21:00:00 09/04/2014] id: IV Piggyback 100.0ml IV Infusions el: 1 cu: MICU-A cg: -1 ai: 105 vo: 50 vu: ml
t0: [22:00:00 09/04/2014] id: Service Type el: 0 cu: MICU-A cg: -1 v1: MICU st: NotStopd t0: [22:00:00 09/04/2014] id: Code Status el: 0 cu: MICU-A cg: -1 v1: Full Code st: NotStopd t0: [22:00:00 09/04/2014] id: Ectopy Frequency el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [22:00:00 09/04/2014] id: Ectopy Type el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [22:00:00 09/04/2014] id: Heart Rate el: 0 cu: MICU-A cg: -1 v1: 54 u1: BPM st: NotStopd t0: [22:00:00 09/04/2014] id: Heart Rhythm el: 0 cu: MICU-A cg: -1 v1: Sinus Brady st: NotStopd t0: [22:00:00 09/04/2014] id: Arterial BP el: 0 cu: MICU-A cg: -1 v1: 157 u1: mmHg v2: 79 u2: mmHg st: NotStopd t0: [22:00:00 09/04/2014] id: Arterial BP Mean el: 0 cu: MICU-A cg: -1 v1: 109 u1: mmHg st: NotStopd t0: [22:00:00 09/04/2014] id: Precautions el: 0 cu: MICU-A cg: -1 v1: Universal st: NotStopd t0: [22:00:00 09/04/2014] id: Respiratory Rate el: 0 cu: MICU-A cg: -1 v1: 28 u1: BPM st: NotStopd t0: [22:00:00 09/04/2014] id: SpO2 el: 0 cu: MICU-A cg: -1 v1: 98 u1: % st: NotStopd t0: [22:00:00 09/04/2014] id: calprevflg el: 0 cu: MICU-A cg: -1 v1: 1 u1: kg st: NotStopd
t0: [22:00:00 09/04/2014] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 10 vu: ml t0: [22:00:00 09/04/2014] id: Stool Out (non-specific) el: 1 cu: MICU-A cg: -1 vu: ml es: Medium t0: [22:00:00 09/04/2014] id: Urine Out Foley el: 1 cu: MICU-A cg: -1 vo: 140 vu: ml
t0: [23:00:00 09/04/2014] dt: 24 id: Stool Out Total el: 2 cu: MICU-A cg: -1 cv: 0 ap: carryForward
t0: [22:00:00 09/04/2014] id: HOB el: 0 cu: MICU-A cg: -1 v1: 30 degrees st: NotStopd t0: [22:00:00 09/04/2014] id: Activity el: 0 cu: MICU-A cg: -1 v1: Bedrest st: NotStopd t0: [22:00:00 09/04/2014] id: Activity Tolerance el: 0 cu: MICU-A cg: -1 v1: Tolerated Well st: NotStopd t0: [22:00:00 09/04/2014] id: Oral Care el: 0 cu: MICU-A cg: -1 v1: Done st: NotStopd t0: [22:00:00 09/04/2014] id: AntiEmbDevice/Status el: 0 cu: MICU-A cg: -1 v1: Compress Sleeves v2: On st: NotStopd t0: [22:00:00 09/04/2014] id: Position el: 0 cu: MICU-A cg: -1 v1: Left Side st: NotStopd t0: [22:00:00 09/04/2014] id: Assistance Device el: 0 cu: MICU-A cg: -1 v1: 2 Person Assist st: NotStopd t0: [22:00:00 09/04/2014] id: PressureReduceDevice el: 0 cu: MICU-A cg: -1 v1: Multipodus Boots st: NotStopd t0: [22:00:00 09/04/2014] id: Skin Care el: 0 cu: MICU-A cg: -1 v1: Done st: NotStopd t0: [22:00:00 09/04/2014] id: Therapeutic Bed el: 0 cu: MICU-A cg: -1 v1: AirMatt/1st Step st: NotStopd t0: [22:00:00 09/04/2014] id: Turn el: 0 cu: MICU-A cg: -1 v1: Left Side st: NotStopd t0: [22:00:00 09/04/2014] id: Back Care el: 0 cu: MICU-A cg: -1 v1: Done st: NotStopd
t0: [23:00:00 09/04/2014] id: Service Type el: 0 cu: MICU-A cg: -1 v1: MICU st: NotStopd t0: [23:00:00 09/04/2014] id: Code Status el: 0 cu: MICU-A cg: -1 v1: Full Code st: NotStopd t0: [23:00:00 09/04/2014] id: Ectopy Frequency el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [23:00:00 09/04/2014] id: Ectopy Type el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [23:00:00 09/04/2014] id: Heart Rate el: 0 cu: MICU-A cg: -1 v1: 67 u1: BPM st: NotStopd t0: [23:00:00 09/04/2014] id: Heart Rhythm el: 0 cu: MICU-A cg: -1 v1: Normal Sinus st: NotStopd t0: [23:00:00 09/04/2014] id: Arterial BP el: 0 cu: MICU-A cg: -1 v1: 145 u1: mmHg v2: 76 u2: mmHg st: NotStopd t0: [23:00:00 09/04/2014] id: Arterial BP Mean el: 0 cu: MICU-A cg: -1 v1: 102 u1: mmHg st: NotStopd t0: [23:00:00 09/04/2014] id: Precautions el: 0 cu: MICU-A cg: -1 v1: Universal st: NotStopd t0: [23:00:00 09/04/2014] id: Respiratory Rate el: 0 cu: MICU-A cg: -1 v1: 22 u1: BPM st: NotStopd t0: [23:00:00 09/04/2014] id: SpO2 el: 0 cu: MICU-A cg: -1 v1: 98 u1: % st: NotStopd t0: [23:00:00 09/04/2014] id: calprevflg el: 0 cu: MICU-A cg: -1 v1: 1 u1: kg st: NotStopd
t0: [23:00:00 09/04/2014] id: Po Intake PO/Gastric el: 1 cu: MICU-A cg: -1 ai: 103 vo: 240 vu: ml t0: [23:00:00 09/04/2014] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 10 vu: ml
t0: [20:00:00 09/04/2014] id: Imp Skin Cleanse #2 el: 0 cu: MICU-A cg: -1 v1: Soap & H20 st: NotStopd t0: [20:00:00 09/04/2014] id: ImpSkin Character #1 el: 0 cu: MICU-A cg: -1 v1: Abrasion st: NotStopd t0: [20:00:00 09/04/2014] id: ImpSkin Character #2 el: 0 cu: MICU-A cg: -1 v1: Rash st: NotStopd t0: [20:00:00 09/04/2014] id: ImpSkin Treatment #1 el: 0 cu: MICU-A cg: -1 v1: Open to Air st: NotStopd t0: [20:00:00 09/04/2014] id: ImpSkin Treatment #2 el: 0 cu: MICU-A cg: -1 v1: Open to Air st: NotStopd t0: [00:00:00 10/04/2014] id: Pain Present el: 0 cu: MICU-A cg: -1 v1: No st: NotStopd t0: [00:00:00 10/04/2014] id: Service Type el: 0 cu: MICU-A cg: -1 v1: MICU st: NotStopd t0: [00:00:00 10/04/2014] id: Code Status el: 0 cu: MICU-A cg: -1 v1: Full Code st: NotStopd t0: [00:00:00 10/04/2014] id: Riker-SAS Scale el: 0 cu: MICU-A cg: -1 v1: Calm/Cooperative st: NotStopd t0: [00:00:00 10/04/2014] id: Diet Type el: 0 cu: MICU-A cg: -1 v1: Full Liquid st: NotStopd t0: [00:00:00 10/04/2014] id: Ectopy Frequency el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [00:00:00 10/04/2014] id: Ectopy Type el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [00:00:00 10/04/2014] id: Eye Opening el: 0 cu: MICU-A cg: -1 v1: 4 Spontaneously st: NotStopd t0: [00:00:00 10/04/2014] id: Family Communication el: 0 cu: MICU-A cg: -1 v1: Family Visited st: NotStopd t0: [00:00:00 10/04/2014] id: GCS Total el: 0 cu: MICU-A cg: -1 v1: 15 u1: points st: NotStopd t0: [00:00:00 10/04/2014] id: GU Catheter Size el: 0 cu: MICU-A cg: -1 v1: 14 French st: NotStopd t0: [00:00:00 10/04/2014] id: Heart Rate el: 0 cu: MICU-A cg: -1 v1: 55 u1: BPM st: NotStopd t0: [00:00:00 10/04/2014] id: Heart Rhythm el: 0 cu: MICU-A cg: -1 v1: Sinus Brady st: NotStopd t0: [00:00:00 10/04/2014] id: INV Line#1 Type/Site el: 0 cu: MICU-A cg: -1 v1: Multi-lumen v2: Left IJ st: NotStopd t0: [00:00:00 10/04/2014] id: INV Line#1InsertDate el: 0 cu: MICU-A cg: -1 v1: 3 v2: 19 st: NotStopd t0: [00:00:00 10/04/2014] id: INV Line#1SiteAppear el: 0 cu: MICU-A cg: -1 v1: WNL st: NotStopd t0: [00:00:00 10/04/2014] id: INV Line#4 Type/Site el: 0 cu: MICU-A cg: -1 v1: A-Line v2: Right Brachial st: NotStopd t0: [00:00:00 10/04/2014] id: INV Line#4 Zero/Cal el: 0 cu: MICU-A cg: -1 v1: No st: NotStopd t0: [00:00:00 10/04/2014] id: INV Line#4InsertDate el: 0 cu: MICU-A cg: -1 v1: 3 v2: 17 st: NotStopd t0: [00:00:00 10/04/2014] id: INV Line#4SiteAppear el: 0 cu: MICU-A cg: -1 v1: WNL st: NotStopd t0: [00:00:00 10/04/2014] id: Abdominal Assessment el: 0 cu: MICU-A cg: -1 v1: Soft st: NotStopd t0: [00:00:00 10/04/2014] id: INV#4 WaveformAppear el: 0 cu: MICU-A cg: -1 v1: Sharp st: NotStopd t0: [00:00:00 10/04/2014] id: Impaired Skin Site#1 el: 0 cu: MICU-A cg: -1 v1: Gluteal, Right st: NotStopd t0: [00:00:00 10/04/2014] id: Impaired Skin Site#2 el: 0 cu: MICU-A cg: -1 v1: Labia st: NotStopd t0: [00:00:00 10/04/2014] id: LLL Lung Sounds el: 0 cu: MICU-A cg: -1 v1: Diminished st: NotStopd t0: [00:00:00 10/04/2014] id: LUL Lung Sounds el: 0 cu: MICU-A cg: -1 v1: Clear st: NotStopd t0: [00:00:00 10/04/2014] id: Level of Conscious el: 0 cu: MICU-A cg: -1 v1: Alert st: NotStopd t0: [00:00:00 10/04/2014] id: Motor Response el: 0 cu: MICU-A cg: -1 v1: 6 Obeys Commands st: NotStopd t0: [00:00:00 10/04/2014] id: Oral Cavity el: 0 cu: MICU-A cg: -1 v1: Teeth/Tissue WNL st: NotStopd t0: [00:00:00 10/04/2014] id: Orientation el: 0 cu: MICU-A cg: -1 v1: Oriented x 3 st: NotStopd t0: [00:00:00 10/04/2014] id: Arterial BP el: 0 cu: MICU-A cg: -1 v1: 145 u1: mmHg v2: 77 u2: mmHg st: NotStopd t0: [00:00:00 10/04/2014] id: Pain Location el: 0 cu: MICU-A cg: -1 v1: Not Indicated st: NotStopd t0: [00:00:00 10/04/2014] id: Arterial BP Mean el: 0 cu: MICU-A cg: -1 v1: 103 u1: mmHg st: NotStopd t0: [00:00:00 10/04/2014] id: Precautions el: 0 cu: MICU-A cg: -1 v1: Universal st: NotStopd t0: [00:00:00 10/04/2014] id: RLL Lung Sounds el: 0 cu: MICU-A cg: -1 v1: Diminished st: NotStopd t0: [00:00:00 10/04/2014] id: RUL Lung Sounds el: 0 cu: MICU-A cg: -1 v1: Clear st: NotStopd t0: [00:00:00 10/04/2014] id: Respiratory Pattern el: 0 cu: MICU-A cg: -1 v1: Regular st: NotStopd t0: [00:00:00 10/04/2014] id: Respiratory Rate el: 0 cu: MICU-A cg: -1 v1: 26 u1: BPM st: NotStopd t0: [00:00:00 10/04/2014] id: Side Rails el: 0 cu: MICU-A cg: -1 v1: Side Rails Up st: NotStopd t0: [00:00:00 10/04/2014] id: SpO2 el: 0 cu: MICU-A cg: -1 v1: 100 u1: % st: NotStopd t0: [00:00:00 10/04/2014] id: Stool Color/Consist el: 0 cu: MICU-A cg: -1 v1: Brown v2: Soft st: NotStopd t0: [00:00:00 10/04/2014] id: Stool Guaiac el: 0 cu: MICU-A cg: -1 v1: Negative st: NotStopd t0: [00:00:00 10/04/2014] id: Support Systems el: 0 cu: MICU-A cg: -1 v1: Relative st: NotStopd t0: [00:00:00 10/04/2014] id: Temp. Site el: 0 cu: MICU-A cg: -1 v1: Oral st: NotStopd t0: [00:00:00 10/04/2014] id: Temperature C (calc) el: 0 cu: MICU-A cg: -1 v1: 36 u1: Deg. C st: NotStopd t0: [00:00:00 10/04/2014] id: Temperature F el: 0 cu: MICU-A cg: -1 v1: 96.8 u1: Deg. F st: NotStopd t0: [00:00:00 10/04/2014] id: Urine Color/Appear el: 0 cu: MICU-A cg: -1 v1: Yellow v2: Sediment st: NotStopd t0: [00:00:00 10/04/2014] id: Urine Source el: 0 cu: MICU-A cg: -1 v1: Indwelling Cath st: NotStopd t0: [00:00:00 10/04/2014] id: Verbal Response el: 0 cu: MICU-A cg: -1 v1: 5 Oriented st: NotStopd t0: [00:00:00 10/04/2014] id: calprevflg el: 0 cu: MICU-A cg: -1 v1: 1 u1: kg st: NotStopd t0: [00:00:00 10/04/2014] id: Behavior el: 0 cu: MICU-A cg: -1 v1: Calm st: NotStopd t0: [00:00:00 10/04/2014] id: Bowel Sounds el: 0 cu: MICU-A cg: -1 v1: Present st: NotStopd t0: [00:00:00 10/04/2014] id: Braden Activity el: 0 cu: MICU-A cg: -1 v1: Chairfast st: NotStopd t0: [00:00:00 10/04/2014] id: Braden Frict/Shear el: 0 cu: MICU-A cg: -1 v1: Problem st: NotStopd t0: [00:00:00 10/04/2014] id: Braden Mobility el: 0 cu: MICU-A cg: -1 v1: Sl. Limited st: NotStopd t0: [00:00:00 10/04/2014] id: Braden Moisture el: 0 cu: MICU-A cg: -1 v1: Occ. Moist st: NotStopd t0: [00:00:00 10/04/2014] id: Braden Nutrition el: 0 cu: MICU-A cg: -1 v1: Adequate st: NotStopd t0: [00:00:00 10/04/2014] id: Braden Score el: 0 cu: MICU-A cg: -1 v1: 16 u1: number st: NotStopd t0: [00:00:00 10/04/2014] id: Braden SensoryPercep el: 0 cu: MICU-A cg: -1 v1: No Impairment st: NotStopd
t0: [00:00:00 10/04/2014] id: Po Intake PO/Gastric el: 1 cu: MICU-A cg: -1 ai: 103 vo: 120 vu: ml t0: [00:00:00 10/04/2014] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 10 vu: ml t0: [00:00:00 10/04/2014] id: Urine Out Foley el: 1 cu: MICU-A cg: -1 vo: 140 vu: ml
t0: [23:00:00 10/04/2014] dt: 24 id: PO/Gastric In Total el: 2 cu: -1 cg: RN cv: 860 ap: none
t0: [01:00:00 10/04/2014] id: Service Type el: 0 cu: MICU-A cg: -1 v1: MICU st: NotStopd t0: [01:00:00 10/04/2014] id: Code Status el: 0 cu: MICU-A cg: -1 v1: Full Code st: NotStopd t0: [01:00:00 10/04/2014] id: Ectopy Frequency el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [01:00:00 10/04/2014] id: Ectopy Type el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [01:00:00 10/04/2014] id: Heart Rate el: 0 cu: MICU-A cg: -1 v1: 56 u1: BPM st: NotStopd t0: [01:00:00 10/04/2014] id: Heart Rhythm el: 0 cu: MICU-A cg: -1 v1: Sinus Brady st: NotStopd t0: [01:00:00 10/04/2014] id: Arterial BP el: 0 cu: MICU-A cg: -1 v1: 156 u1: mmHg v2: 77 u2: mmHg st: NotStopd t0: [01:00:00 10/04/2014] id: Arterial BP Mean el: 0 cu: MICU-A cg: -1 v1: 107 u1: mmHg st: NotStopd t0: [01:00:00 10/04/2014] id: Precautions el: 0 cu: MICU-A cg: -1 v1: Universal st: NotStopd t0: [01:00:00 10/04/2014] id: Respiratory Rate el: 0 cu: MICU-A cg: -1 v1: 20 u1: BPM st: NotStopd t0: [01:00:00 10/04/2014] id: SpO2 el: 0 cu: MICU-A cg: -1 v1: 100 u1: % st: NotStopd t0: [01:00:00 10/04/2014] id: calprevflg el: 0 cu: MICU-A cg: -1 v1: 1 u1: kg st: NotStopd
t0: [01:00:00 10/04/2014] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 10 vu: ml t0: [01:00:00 10/04/2014] id: Urine Out Foley el: 1 cu: MICU-A cg: -1 vo: 45 vu: ml
t0: [23:00:00 10/04/2014] dt: 1 id: Total Hourly Output el: 2 cu: -1 cg: -1 cv: 0 ap: none t0: [23:00:00 10/04/2014] dt: 1 id: Net Hourly Balance el: 2 cu: -1 cg: RN cv: 0 ap: none t0: [23:00:00 10/04/2014] dt: 24 id: IV Infusion In Total el: 2 cu: -1 cg: RN cv: 130 ap: none t0: [23:00:00 10/04/2014] dt: 24 id: 24h Total In el: 2 cu: -1 cg: RN cv: 990 ap: none t0: [23:00:00 10/04/2014] dt: 24 id: Urine Out Total el: 2 cu: -1 cg: -1 cv: 715 ap: none t0: [23:00:00 10/04/2014] dt: 24 id: 24h Net Body Balance el: 2 cu: -1 cg: RN cv: 275 ap: none t0: [23:00:00 10/04/2014] dt: 24 id: 24h Total Out el: 2 cu: -1 cg: -1 cv: 715 ap: none t0: [23:00:00 10/04/2014] dt: multiple days id: LOS Net Body Balance el: 2 cu: -1 cg: RN cv: 12569.1 ap: carryForward
t0: [02:00:00 10/04/2014] id: Service Type el: 0 cu: MICU-A cg: -1 v1: MICU st: NotStopd t0: [02:00:00 10/04/2014] id: Code Status el: 0 cu: MICU-A cg: -1 v1: Full Code st: NotStopd t0: [02:00:00 10/04/2014] id: Ectopy Frequency el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [02:00:00 10/04/2014] id: Ectopy Type el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [02:00:00 10/04/2014] id: Heart Rate el: 0 cu: MICU-A cg: -1 v1: 57 u1: BPM st: NotStopd t0: [02:00:00 10/04/2014] id: Heart Rhythm el: 0 cu: MICU-A cg: -1 v1: Sinus Brady st: NotStopd t0: [02:00:00 10/04/2014] id: Arterial BP el: 0 cu: MICU-A cg: -1 v1: 146 u1: mmHg v2: 74 u2: mmHg st: NotStopd t0: [02:00:00 10/04/2014] id: Arterial BP Mean el: 0 cu: MICU-A cg: -1 v1: 102 u1: mmHg st: NotStopd t0: [02:00:00 10/04/2014] id: Precautions el: 0 cu: MICU-A cg: -1 v1: Universal st: NotStopd t0: [02:00:00 10/04/2014] id: Respiratory Rate el: 0 cu: MICU-A cg: -1 v1: 29 u1: BPM st: NotStopd t0: [02:00:00 10/04/2014] id: SpO2 el: 0 cu: MICU-A cg: -1 v1: 99 u1: % st: NotStopd t0: [02:00:00 10/04/2014] id: calprevflg el: 0 cu: MICU-A cg: -1 v1: 1 u1: kg st: NotStopd
t0: [01:00:00 10/04/2014] id: Po Intake PO/Gastric el: 1 cu: MICU-A cg: -1 ai: 103 vo: 120 vu: ml t0: [02:00:00 10/04/2014] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 10 vu: ml t0: [02:00:00 10/04/2014] id: Urine Out Foley el: 1 cu: MICU-A cg: -1 vo: 100 vu: ml
t0: [03:00:00 10/04/2014] id: Service Type el: 0 cu: MICU-A cg: -1 v1: MICU st: NotStopd t0: [03:00:00 10/04/2014] id: Code Status el: 0 cu: MICU-A cg: -1 v1: Full Code st: NotStopd t0: [03:00:00 10/04/2014] id: Ectopy Frequency el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [03:00:00 10/04/2014] id: Ectopy Type el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [03:00:00 10/04/2014] id: Heart Rate el: 0 cu: MICU-A cg: -1 v1: 53 u1: BPM st: NotStopd t0: [03:00:00 10/04/2014] id: Heart Rhythm el: 0 cu: MICU-A cg: -1 v1: Sinus Brady st: NotStopd t0: [03:00:00 10/04/2014] id: O2 Delivery Device el: 0 cu: MICU-A cg: -1 v1: Nasal Cannula st: NotStopd t0: [03:00:00 10/04/2014] id: O2 Flow (lpm) el: 0 cu: MICU-A cg: -1 v1: 4 u1: lpm st: NotStopd t0: [03:00:00 10/04/2014] id: Arterial BP el: 0 cu: MICU-A cg: -1 v1: 150 u1: mmHg v2: 76 u2: mmHg st: NotStopd t0: [03:00:00 10/04/2014] id: Arterial BP Mean el: 0 cu: MICU-A cg: -1 v1: 104 u1: mmHg st: NotStopd t0: [03:00:00 10/04/2014] id: Precautions el: 0 cu: MICU-A cg: -1 v1: Universal st: NotStopd t0: [03:00:00 10/04/2014] id: Respiratory Rate el: 0 cu: MICU-A cg: -1 v1: 27 u1: BPM st: NotStopd t0: [03:00:00 10/04/2014] id: SpO2 el: 0 cu: MICU-A cg: -1 v1: 99 u1: % st: NotStopd t0: [03:00:00 10/04/2014] id: calprevflg el: 0 cu: MICU-A cg: -1 v1: 1 u1: kg st: NotStopd
t0: [03:00:00 10/04/2014] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 10 vu: ml
t0: [04:00:00 10/04/2014] id: Service Type el: 0 cu: MICU-A cg: -1 v1: MICU st: NotStopd t0: [04:00:00 10/04/2014] id: Code Status el: 0 cu: MICU-A cg: -1 v1: Full Code st: NotStopd t0: [04:00:00 10/04/2014] id: Riker-SAS Scale el: 0 cu: MICU-A cg: -1 v1: Calm/Cooperative st: NotStopd t0: [04:00:00 10/04/2014] id: Diet Type el: 0 cu: MICU-A cg: -1 v1: Full Liquid st: NotStopd t0: [04:00:00 10/04/2014] id: Ectopy Frequency el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [04:00:00 10/04/2014] id: Ectopy Type el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [04:00:00 10/04/2014] id: Eye Opening el: 0 cu: MICU-A cg: -1 v1: 4 Spontaneously st: NotStopd t0: [04:00:00 10/04/2014] id: GCS Total el: 0 cu: MICU-A cg: -1 v1: 15 u1: points st: NotStopd t0: [04:00:00 10/04/2014] id: GU Catheter Size el: 0 cu: MICU-A cg: -1 v1: 14 French st: NotStopd t0: [04:00:00 10/04/2014] id: HOB el: 0 cu: MICU-A cg: -1 v1: 15 degrees st: NotStopd t0: [04:00:00 10/04/2014] id: Heart Rate el: 0 cu: MICU-A cg: -1 v1: 61 u1: BPM st: NotStopd t0: [04:00:00 10/04/2014] id: Heart Rhythm el: 0 cu: MICU-A cg: -1 v1: Normal Sinus st: NotStopd t0: [04:00:00 10/04/2014] id: INV Line#1 Type/Site el: 0 cu: MICU-A cg: -1 v1: Multi-lumen v2: Left IJ st: NotStopd t0: [04:00:00 10/04/2014] id: INV Line#1InsertDate el: 0 cu: MICU-A cg: -1 v1: 3 v2: 19 st: NotStopd t0: [04:00:00 10/04/2014] id: INV Line#1SiteAppear el: 0 cu: MICU-A cg: -1 v1: WNL st: NotStopd t0: [04:00:00 10/04/2014] id: INV Line#4 Type/Site el: 0 cu: MICU-A cg: -1 v1: A-Line v2: Right Brachial st: NotStopd t0: [04:00:00 10/04/2014] id: INV Line#4 Zero/Cal el: 0 cu: MICU-A cg: -1 v1: No st: NotStopd t0: [04:00:00 10/04/2014] id: INV Line#4InsertDate el: 0 cu: MICU-A cg: -1 v1: 3 v2: 17 st: NotStopd t0: [04:00:00 10/04/2014] id: INV Line#4SiteAppear el: 0 cu: MICU-A cg: -1 v1: WNL st: NotStopd t0: [04:00:00 10/04/2014] id: Abdominal Assessment el: 0 cu: MICU-A cg: -1 v1: Soft st: NotStopd t0: [04:00:00 10/04/2014] id: INV#4 WaveformAppear el: 0 cu: MICU-A cg: -1 v1: Sharp st: NotStopd t0: [04:00:00 10/04/2014] id: Activity el: 0 cu: MICU-A cg: -1 v1: Bedrest st: NotStopd t0: [04:00:00 10/04/2014] id: Activity Tolerance el: 0 cu: MICU-A cg: -1 v1: Tolerated Well st: NotStopd t0: [04:00:00 10/04/2014] id: Impaired Skin Site#1 el: 0 cu: MICU-A cg: -1 v1: Gluteal, Right st: NotStopd t0: [04:00:00 10/04/2014] id: Impaired Skin Site#2 el: 0 cu: MICU-A cg: -1 v1: Labia st: NotStopd t0: [04:00:00 10/04/2014] id: LLL Lung Sounds el: 0 cu: MICU-A cg: -1 v1: Diminished st: NotStopd t0: [04:00:00 10/04/2014] id: LUL Lung Sounds el: 0 cu: MICU-A cg: -1 v1: Clear st: NotStopd t0: [04:00:00 10/04/2014] id: Level of Conscious el: 0 cu: MICU-A cg: -1 v1: Alert st: NotStopd t0: [04:00:00 10/04/2014] id: Motor Response el: 0 cu: MICU-A cg: -1 v1: 6 Obeys Commands st: NotStopd t0: [04:00:00 10/04/2014] id: Oral Care el: 0 cu: MICU-A cg: -1 v1: Done st: NotStopd t0: [04:00:00 10/04/2014] id: Oral Cavity el: 0 cu: MICU-A cg: -1 v1: Teeth/Tissue WNL st: NotStopd t0: [04:00:00 10/04/2014] id: Orientation el: 0 cu: MICU-A cg: -1 v1: Oriented x 3 st: NotStopd t0: [04:00:00 10/04/2014] id: Arterial BP el: 0 cu: MICU-A cg: -1 v1: 148 u1: mmHg v2: 78 u2: mmHg st: NotStopd t0: [04:00:00 10/04/2014] id: Arterial BP Mean el: 0 cu: MICU-A cg: -1 v1: 106 u1: mmHg st: NotStopd t0: [04:00:00 10/04/2014] id: Position el: 0 cu: MICU-A cg: -1 v1: Supine st: NotStopd t0: [04:00:00 10/04/2014] id: Assistance Device el: 0 cu: MICU-A cg: -1 v1: 1 Person Assist st: NotStopd t0: [04:00:00 10/04/2014] id: Precautions el: 0 cu: MICU-A cg: -1 v1: Universal st: NotStopd t0: [04:00:00 10/04/2014] id: PressureReduceDevice el: 0 cu: MICU-A cg: -1 v1: Multipodus Boots st: NotStopd t0: [04:00:00 10/04/2014] id: RLL Lung Sounds el: 0 cu: MICU-A cg: -1 v1: Diminished st: NotStopd t0: [04:00:00 10/04/2014] id: RUL Lung Sounds el: 0 cu: MICU-A cg: -1 v1: Clear st: NotStopd t0: [04:00:00 10/04/2014] id: Respiratory Pattern el: 0 cu: MICU-A cg: -1 v1: Regular st: NotStopd t0: [04:00:00 10/04/2014] id: Respiratory Rate el: 0 cu: MICU-A cg: -1 v1: 20 u1: BPM st: NotStopd t0: [04:00:00 10/04/2014] id: Side Rails el: 0 cu: MICU-A cg: -1 v1: Side Rails Up st: NotStopd t0: [04:00:00 10/04/2014] id: SpO2 el: 0 cu: MICU-A cg: -1 v1: 100 u1: % st: NotStopd t0: [04:00:00 10/04/2014] id: Support Systems el: 0 cu: MICU-A cg: -1 v1: Relative st: NotStopd t0: [04:00:00 10/04/2014] id: Temperature C (calc) el: 0 cu: MICU-A cg: -1 v1: 36.2778 u1: Deg. C st: NotStopd t0: [04:00:00 10/04/2014] id: Temperature F el: 0 cu: MICU-A cg: -1 v1: 97.3 u1: Deg. F st: NotStopd t0: [04:00:00 10/04/2014] id: Therapeutic Bed el: 0 cu: MICU-A cg: -1 v1: AirMatt/1st Step st: NotStopd t0: [04:00:00 10/04/2014] id: Turn el: 0 cu: MICU-A cg: -1 v1: Back st: NotStopd t0: [04:00:00 10/04/2014] id: Urine Color/Appear el: 0 cu: MICU-A cg: -1 v1: Yellow v2: Sediment st: NotStopd t0: [04:00:00 10/04/2014] id: Urine Source el: 0 cu: MICU-A cg: -1 v1: Indwelling Cath st: NotStopd t0: [04:00:00 10/04/2014] id: Verbal Response el: 0 cu: MICU-A cg: -1 v1: 5 Oriented st: NotStopd t0: [04:00:00 10/04/2014] id: calprevflg el: 0 cu: MICU-A cg: -1 v1: 1 u1: kg st: NotStopd t0: [04:00:00 10/04/2014] id: Behavior el: 0 cu: MICU-A cg: -1 v1: Calm st: NotStopd t0: [04:00:00 10/04/2014] id: Bowel Sounds el: 0 cu: MICU-A cg: -1 v1: Present st: NotStopd
t0: [04:00:00 10/04/2014] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 10 vu: ml t0: [04:00:00 10/04/2014] id: Urine Out Foley el: 1 cu: MICU-A cg: -1 vo: 80 vu: ml
t0: [04:21:00 10/04/2014] id: Art.pH ABG el: 0 cu: MICU-A cg: 1663 v1: 7.48 rs: Final st: NotStopd t0: [04:21:00 10/04/2014] id: Arterial Base Excess ABG el: 0 cu: MICU-A cg: 1663 v1: 7 rs: Final st: NotStopd t0: [04:21:00 10/04/2014] id: Arterial CO2(Calc) ABG el: 0 cu: MICU-A cg: 1663 v1: 33 rs: Final st: NotStopd t0: [04:21:00 10/04/2014] id: Arterial PaCO2 ABG el: 0 cu: MICU-A cg: 1663 v1: 43 u1: mmHg rs: Final st: NotStopd t0: [04:21:00 10/04/2014] id: Arterial PaO2 ABG el: 0 cu: MICU-A cg: 1663 v1: 97 u1: mmHg rs: Final st: NotStopd t0: [04:21:00 10/04/2014] id: Arterial pH ABG el: 0 cu: MICU-A cg: 1663 v1: 7.48 rs: Final st: NotStopd
t0: [05:00:00 10/04/2014] id: Service Type el: 0 cu: MICU-A cg: -1 v1: MICU st: NotStopd t0: [05:00:00 10/04/2014] id: Code Status el: 0 cu: MICU-A cg: -1 v1: Full Code st: NotStopd t0: [05:00:00 10/04/2014] id: Ectopy Frequency el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [05:00:00 10/04/2014] id: Ectopy Type el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [05:00:00 10/04/2014] id: Heart Rate el: 0 cu: MICU-A cg: -1 v1: 57 u1: BPM st: NotStopd t0: [05:00:00 10/04/2014] id: Heart Rhythm el: 0 cu: MICU-A cg: -1 v1: Sinus Brady st: NotStopd t0: [05:00:00 10/04/2014] id: Arterial BP el: 0 cu: MICU-A cg: -1 v1: 147 u1: mmHg v2: 76 u2: mmHg st: NotStopd t0: [05:00:00 10/04/2014] id: Arterial BP Mean el: 0 cu: MICU-A cg: -1 v1: 104 u1: mmHg st: NotStopd t0: [05:00:00 10/04/2014] id: Precautions el: 0 cu: MICU-A cg: -1 v1: Universal st: NotStopd t0: [05:00:00 10/04/2014] id: Respiratory Rate el: 0 cu: MICU-A cg: -1 v1: 26 u1: BPM st: NotStopd t0: [05:00:00 10/04/2014] id: SpO2 el: 0 cu: MICU-A cg: -1 v1: 99 u1: % st: NotStopd t0: [05:00:00 10/04/2014] id: calprevflg el: 0 cu: MICU-A cg: -1 v1: 1 u1: kg st: NotStopd
t0: [04:00:00 10/04/2014] id: Po Intake PO/Gastric el: 1 cu: MICU-A cg: -1 ai: 103 vo: 60 vu: ml t0: [05:00:00 10/04/2014] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 10 vu: ml t0: [05:00:00 10/04/2014] id: Urine Out Foley el: 1 cu: MICU-A cg: -1 vo: 60 vu: ml
t0: [03:30:00 10/04/2014] id: BUN (6-20) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 36 rs: Final st: NotStopd t0: [03:30:00 10/04/2014] id: Calcium (8.4-10.2) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 9 u1: mg/dl rs: Final st: NotStopd t0: [03:30:00 10/04/2014] id: Carbon Dioxide Chemistry el: 0 cu: MICU-A cg: 1663 v1: 27 rs: Final st: NotStopd t0: [03:30:00 10/04/2014] id: Chloride (100-112) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 106 rs: Final st: NotStopd t0: [03:30:00 10/04/2014] id: Creatinine (0-1.3) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 0.9 rs: Final st: NotStopd t0: [03:30:00 10/04/2014] id: Glucose (70-105) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 96 rs: Final st: NotStopd t0: [03:30:00 10/04/2014] id: Magnesium (1.6-2.6) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 2.3 rs: Final st: NotStopd t0: [03:30:00 10/04/2014] id: Phosphorous(2.7-4.5) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 3.3 u1: mEq/L rs: Final st: NotStopd t0: [03:30:00 10/04/2014] id: Potassium (3.5-5.3) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 3.5 rs: Final st: NotStopd t0: [03:30:00 10/04/2014] id: Sodium (135-148) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 143 rs: Final st: NotStopd
t0: [03:30:00 10/04/2014] id: WBC (4-11,000) Hematology el: 0 cu: MICU-A cg: 1663 v1: 10.1 rs: Final st: NotStopd t0: [03:30:00 10/04/2014] id: Hematocrit Hematology el: 0 cu: MICU-A cg: 1663 v1: 27.8 u1: % rs: Final st: NotStopd t0: [03:30:00 10/04/2014] id: Hemoglobin Hematology el: 0 cu: MICU-A cg: 1663 v1: 9.4 u1: gm/dl rs: Final st: NotStopd t0: [03:30:00 10/04/2014] id: Platelets Hematology el: 0 cu: MICU-A cg: 1663 v1: 396 rs: Final st: NotStopd t0: [03:30:00 10/04/2014] id: RBC Hematology el: 0 cu: MICU-A cg: 1663 v1: 3.3 u1: /mic l rs: Final st: NotStopd t0: [03:30:00 10/04/2014] id: WBC (4-11,000) Hematology el: 0 cu: MICU-A cg: 1663 v1: 10.1 rs: Final st: NotStopd
t0: [06:00:00 10/04/2014] id: Service Type el: 0 cu: MICU-A cg: -1 v1: MICU st: NotStopd t0: [06:00:00 10/04/2014] id: Code Status el: 0 cu: MICU-A cg: -1 v1: Full Code st: NotStopd t0: [06:00:00 10/04/2014] id: Ectopy Frequency el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [06:00:00 10/04/2014] id: Ectopy Type el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [06:00:00 10/04/2014] id: Heart Rate el: 0 cu: MICU-A cg: -1 v1: 50 u1: BPM st: NotStopd t0: [06:00:00 10/04/2014] id: Heart Rhythm el: 0 cu: MICU-A cg: -1 v1: Sinus Brady st: NotStopd t0: [06:00:00 10/04/2014] id: Arterial BP el: 0 cu: MICU-A cg: -1 v1: 134 u1: mmHg v2: 70 u2: mmHg st: NotStopd t0: [06:00:00 10/04/2014] id: Arterial BP Mean el: 0 cu: MICU-A cg: -1 v1: 95 u1: mmHg st: NotStopd t0: [06:00:00 10/04/2014] id: Precautions el: 0 cu: MICU-A cg: -1 v1: Universal st: NotStopd t0: [06:00:00 10/04/2014] id: Respiratory Rate el: 0 cu: MICU-A cg: -1 v1: 24 u1: BPM st: NotStopd t0: [06:00:00 10/04/2014] id: SpO2 el: 0 cu: MICU-A cg: -1 v1: 98 u1: % st: NotStopd t0: [06:00:00 10/04/2014] id: calprevflg el: 0 cu: MICU-A cg: -1 v1: 1 u1: kg st: NotStopd
t0: [06:00:00 10/04/2014] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 10 vu: ml t0: [06:00:00 10/04/2014] id: Urine Out Foley el: 1 cu: MICU-A cg: -1 vo: 50 vu: ml
t0: [04:00:00 10/04/2014] id: Skin Care el: 0 cu: MICU-A cg: -1 st: NotStopd t0: [04:00:00 10/04/2014] id: Back Care el: 0 cu: MICU-A cg: -1 st: NotStopd
t0: [04:00:00 10/04/2014] id: Imp Skin Cleanse #2 el: 0 cu: MICU-A cg: RN v1: Soap & H20 st: NotStopd t0: [04:00:00 10/04/2014] id: ImpSkin Character #1 el: 0 cu: MICU-A cg: RN v1: Abrasion st: NotStopd t0: [04:00:00 10/04/2014] id: ImpSkin Character #2 el: 0 cu: MICU-A cg: RN v1: Rash st: NotStopd t0: [04:00:00 10/04/2014] id: ImpSkin Treatment #1 el: 0 cu: MICU-A cg: RN v1: Open to Air st: NotStopd t0: [04:00:00 10/04/2014] id: ImpSkin Treatment #2 el: 0 cu: MICU-A cg: RN v1: Open to Air st: NotStopd t0: [04:00:00 10/04/2014] id: Skin Color el: 0 cu: MICU-A cg: RN v1: Flushed st: NotStopd t0: [04:00:00 10/04/2014] id: Skin Integrity el: 0 cu: MICU-A cg: RN v1: Impaired st: NotStopd t0: [04:00:00 10/04/2014] id: Braden Activity el: 0 cu: MICU-A cg: RN v1: Chairfast st: NotStopd t0: [04:00:00 10/04/2014] id: Braden Frict/Shear el: 0 cu: MICU-A cg: RN v1: Problem st: NotStopd t0: [04:00:00 10/04/2014] id: Braden Mobility el: 0 cu: MICU-A cg: RN v1: Sl. Limited st: NotStopd t0: [04:00:00 10/04/2014] id: Braden Moisture el: 0 cu: MICU-A cg: RN v1: Occ. Moist st: NotStopd t0: [04:00:00 10/04/2014] id: Braden Nutrition el: 0 cu: MICU-A cg: RN v1: Adequate st: NotStopd t0: [04:00:00 10/04/2014] id: Braden Score el: 0 cu: MICU-A cg: RN v1: 16 u1: number st: NotStopd t0: [04:00:00 10/04/2014] id: Braden SensoryPercep el: 0 cu: MICU-A cg: RN v1: No Impairment st: NotStopd t0: [08:00:00 10/04/2014] id: Pain Present el: 0 cu: MICU-A cg: RN v1: No st: NotStopd t0: [08:00:00 10/04/2014] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [08:00:00 10/04/2014] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [08:00:00 10/04/2014] id: Riker-SAS Scale el: 0 cu: MICU-A cg: RN v1: Calm/Cooperative st: NotStopd t0: [08:00:00 10/04/2014] id: Diet Type el: 0 cu: MICU-A cg: RN v1: Full Liquid st: NotStopd t0: [08:00:00 10/04/2014] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [08:00:00 10/04/2014] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [08:00:00 10/04/2014] id: Extubation Date el: 0 cu: MICU-A cg: RN v1: 3 v2: 26 st: NotStopd t0: [08:00:00 10/04/2014] id: Eye Opening el: 0 cu: MICU-A cg: RN v1: 4 Spontaneously st: NotStopd t0: [08:00:00 10/04/2014] id: GCS Total el: 0 cu: MICU-A cg: RN v1: 15 u1: points st: NotStopd t0: [08:00:00 10/04/2014] id: GU Catheter Size el: 0 cu: MICU-A cg: RN v1: 14 French st: NotStopd t0: [08:00:00 10/04/2014] id: HOB el: 0 cu: MICU-A cg: RN v1: 30 degrees st: NotStopd t0: [08:00:00 10/04/2014] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 52 u1: BPM st: NotStopd t0: [08:00:00 10/04/2014] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Sinus Brady st: NotStopd t0: [08:00:00 10/04/2014] id: INV Line#1 Type/Site el: 0 cu: MICU-A cg: RN v1: Multi-lumen v2: Left IJ st: NotStopd t0: [08:00:00 10/04/2014] id: INV Line#1InsertDate el: 0 cu: MICU-A cg: RN v1: 3 v2: 19 st: NotStopd t0: [08:00:00 10/04/2014] id: INV Line#1SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [08:00:00 10/04/2014] id: INV Line#4 Type/Site el: 0 cu: MICU-A cg: RN v1: A-Line v2: Right Brachial st: NotStopd t0: [08:00:00 10/04/2014] id: INV Line#4 Zero/Cal el: 0 cu: MICU-A cg: RN v1: No st: NotStopd t0: [08:00:00 10/04/2014] id: INV Line#4InsertDate el: 0 cu: MICU-A cg: RN v1: 3 v2: 17 st: NotStopd t0: [08:00:00 10/04/2014] id: INV Line#4SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [08:00:00 10/04/2014] id: Abdominal Assessment el: 0 cu: MICU-A cg: RN v1: Soft st: NotStopd t0: [08:00:00 10/04/2014] id: INV#4 WaveformAppear el: 0 cu: MICU-A cg: RN v1: Sharp st: NotStopd t0: [08:00:00 10/04/2014] id: Activity el: 0 cu: MICU-A cg: RN v1: Bedrest st: NotStopd t0: [08:00:00 10/04/2014] id: Activity Tolerance el: 0 cu: MICU-A cg: RN v1: Tolerated Well st: NotStopd t0: [08:00:00 10/04/2014] id: Intubation Date el: 0 cu: MICU-A cg: RN v1: 3 v2: 12 st: NotStopd t0: [08:00:00 10/04/2014] id: LLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Diminished st: NotStopd t0: [08:00:00 10/04/2014] id: LUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Clear st: NotStopd t0: [08:00:00 10/04/2014] id: Level of Conscious el: 0 cu: MICU-A cg: RN v1: Alert st: NotStopd t0: [08:00:00 10/04/2014] id: Motor Response el: 0 cu: MICU-A cg: RN v1: 6 Obeys Commands st: NotStopd t0: [08:00:00 10/04/2014] id: O2 Delivery Device el: 0 cu: MICU-A cg: RN v1: Nasal Cannula st: NotStopd t0: [08:00:00 10/04/2014] id: O2 Flow (lpm) el: 0 cu: MICU-A cg: RN v1: 4 u1: lpm st: NotStopd t0: [08:00:00 10/04/2014] id: Oral Cavity el: 0 cu: MICU-A cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [08:00:00 10/04/2014] id: Orientation el: 0 cu: MICU-A cg: RN v1: Oriented x 3 st: NotStopd t0: [08:00:00 10/04/2014] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 148 u1: mmHg v2: 76 u2: mmHg st: NotStopd t0: [08:00:00 10/04/2014] id: Pain Location el: 0 cu: MICU-A cg: RN v1: Not Indicated st: NotStopd t0: [08:00:00 10/04/2014] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 104 u1: mmHg st: NotStopd t0: [08:00:00 10/04/2014] id: Position el: 0 cu: MICU-A cg: RN v1: Right Side st: NotStopd t0: [08:00:00 10/04/2014] id: Assistance Device el: 0 cu: MICU-A cg: RN v1: 2 Person Assist st: NotStopd t0: [08:00:00 10/04/2014] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [08:00:00 10/04/2014] id: PressureReduceDevice el: 0 cu: MICU-A cg: RN v1: Multipodus Boots st: NotStopd t0: [08:00:00 10/04/2014] id: RLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Diminished st: NotStopd t0: [08:00:00 10/04/2014] id: RUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Clear st: NotStopd t0: [08:00:00 10/04/2014] id: Respiratory Pattern el: 0 cu: MICU-A cg: RN v1: Regular st: NotStopd t0: [08:00:00 10/04/2014] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 22 u1: BPM st: NotStopd t0: [08:00:00 10/04/2014] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 99 u1: % st: NotStopd t0: [08:00:00 10/04/2014] id: Therapeutic Bed el: 0 cu: MICU-A cg: RN v1: AirMatt/1st Step st: NotStopd t0: [08:00:00 10/04/2014] id: Turn el: 0 cu: MICU-A cg: RN v1: Right Side st: NotStopd t0: [08:00:00 10/04/2014] id: Urine Color/Appear el: 0 cu: MICU-A cg: RN v1: Yellow v2: Sediment st: NotStopd t0: [08:00:00 10/04/2014] id: Urine Source el: 0 cu: MICU-A cg: RN v1: Indwelling Cath st: NotStopd t0: [08:00:00 10/04/2014] id: Verbal Response el: 0 cu: MICU-A cg: RN v1: 5 Oriented st: NotStopd t0: [08:00:00 10/04/2014] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [08:00:00 10/04/2014] id: Bowel Sounds el: 0 cu: MICU-A cg: RN v1: Present st: NotStopd
t0: [08:00:00 10/04/2014] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 20 vu: ml t0: [08:00:00 10/04/2014] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 100 vu: ml
tf: [13:00:00 10/04/2014] pt: Unit Dose rt: PO fr: ONCE fs: 9 dn: 1 m1: Potassium Chloride f1: CAP v1: 40 u1: mEq
t0: [09:00:00 10/04/2014] id: Service Type el: 0 cu: MICU-A cg: -1 v1: MICU st: NotStopd t0: [09:00:00 10/04/2014] id: Code Status el: 0 cu: MICU-A cg: -1 v1: Full Code st: NotStopd t0: [09:00:00 10/04/2014] id: Ectopy Frequency el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [09:00:00 10/04/2014] id: Ectopy Type el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [09:00:00 10/04/2014] id: Heart Rate el: 0 cu: MICU-A cg: -1 v1: 54 u1: BPM st: NotStopd t0: [09:00:00 10/04/2014] id: Heart Rhythm el: 0 cu: MICU-A cg: -1 v1: Sinus Brady st: NotStopd t0: [09:00:00 10/04/2014] id: Precautions el: 0 cu: MICU-A cg: -1 v1: Universal st: NotStopd t0: [09:00:00 10/04/2014] id: Respiratory Rate el: 0 cu: MICU-A cg: -1 v1: 27 u1: BPM st: NotStopd t0: [09:00:00 10/04/2014] id: SpO2 el: 0 cu: MICU-A cg: -1 v1: 97 u1: % st: NotStopd t0: [09:00:00 10/04/2014] id: calprevflg el: 0 cu: MICU-A cg: -1 v1: 1 u1: kg st: NotStopd t0: [10:00:00 10/04/2014] id: Service Type el: 0 cu: MICU-A cg: -1 v1: MICU st: NotStopd t0: [10:00:00 10/04/2014] id: Code Status el: 0 cu: MICU-A cg: -1 v1: Full Code st: NotStopd t0: [10:00:00 10/04/2014] id: Ectopy Frequency el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [10:00:00 10/04/2014] id: Ectopy Type el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [10:00:00 10/04/2014] id: Heart Rate el: 0 cu: MICU-A cg: -1 v1: 55 u1: BPM st: NotStopd t0: [10:00:00 10/04/2014] id: Heart Rhythm el: 0 cu: MICU-A cg: -1 v1: Sinus Brady st: NotStopd t0: [10:00:00 10/04/2014] id: Precautions el: 0 cu: MICU-A cg: -1 v1: Universal st: NotStopd t0: [10:00:00 10/04/2014] id: Respiratory Rate el: 0 cu: MICU-A cg: -1 v1: 27 u1: BPM st: NotStopd t0: [10:00:00 10/04/2014] id: SpO2 el: 0 cu: MICU-A cg: -1 v1: 99 u1: % st: NotStopd t0: [10:00:00 10/04/2014] id: calprevflg el: 0 cu: MICU-A cg: -1 v1: 1 u1: kg st: NotStopd t0: [11:00:00 10/04/2014] id: Service Type el: 0 cu: MICU-A cg: -1 v1: MICU st: NotStopd t0: [11:00:00 10/04/2014] id: Code Status el: 0 cu: MICU-A cg: -1 v1: Full Code st: NotStopd t0: [11:00:00 10/04/2014] id: Ectopy Frequency el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [11:00:00 10/04/2014] id: Ectopy Type el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [11:00:00 10/04/2014] id: Heart Rate el: 0 cu: MICU-A cg: -1 v1: 59 u1: BPM st: NotStopd t0: [11:00:00 10/04/2014] id: Heart Rhythm el: 0 cu: MICU-A cg: -1 v1: Sinus Brady st: NotStopd t0: [11:00:00 10/04/2014] id: Precautions el: 0 cu: MICU-A cg: -1 v1: Universal st: NotStopd t0: [11:00:00 10/04/2014] id: Respiratory Rate el: 0 cu: MICU-A cg: -1 v1: 22 u1: BPM st: NotStopd t0: [11:00:00 10/04/2014] id: SpO2 el: 0 cu: MICU-A cg: -1 v1: 100 u1: % st: NotStopd t0: [11:00:00 10/04/2014] id: calprevflg el: 0 cu: MICU-A cg: -1 v1: 1 u1: kg st: NotStopd t0: [12:00:00 10/04/2014] id: Service Type el: 0 cu: MICU-A cg: -1 v1: MICU st: NotStopd t0: [12:00:00 10/04/2014] id: Code Status el: 0 cu: MICU-A cg: -1 v1: Full Code st: NotStopd t0: [12:00:00 10/04/2014] id: Ectopy Frequency el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [12:00:00 10/04/2014] id: Ectopy Type el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [12:00:00 10/04/2014] id: Heart Rate el: 0 cu: MICU-A cg: -1 v1: 59 u1: BPM st: NotStopd t0: [12:00:00 10/04/2014] id: Heart Rhythm el: 0 cu: MICU-A cg: -1 v1: Sinus Brady st: NotStopd t0: [12:00:00 10/04/2014] id: Arterial BP el: 0 cu: MICU-A cg: -1 v1: 136 u1: mmHg v2: 64 u2: mmHg st: NotStopd t0: [12:00:00 10/04/2014] id: Arterial BP Mean el: 0 cu: MICU-A cg: -1 v1: 100 u1: mmHg st: NotStopd t0: [12:00:00 10/04/2014] id: Precautions el: 0 cu: MICU-A cg: -1 v1: Universal st: NotStopd t0: [12:00:00 10/04/2014] id: Respiratory Rate el: 0 cu: MICU-A cg: -1 v1: 28 u1: BPM st: NotStopd t0: [12:00:00 10/04/2014] id: SpO2 el: 0 cu: MICU-A cg: -1 v1: 97 u1: % st: NotStopd t0: [12:00:00 10/04/2014] id: calprevflg el: 0 cu: MICU-A cg: -1 v1: 1 u1: kg st: NotStopd
t0: [12:00:00 10/04/2014] id: Urine Out Foley el: 1 cu: MICU-A cg: -1 vo: 140 vu: ml
t0: [08:00:00 10/04/2014] id: Family Communication el: 0 cu: MICU-A cg: RN v1: Family Called st: NotStopd t0: [08:00:00 10/04/2014] id: INV Line#4 D/C Date el: 0 cu: MICU-A cg: RN v1: 3 v2: 27 st: NotStopd t0: [08:00:00 10/04/2014] id: Imp Skin Cleanse #2 el: 0 cu: MICU-A cg: RN v1: Soap & H20 st: NotStopd t0: [08:00:00 10/04/2014] id: ImpSkin Character #1 el: 0 cu: MICU-A cg: RN v1: Abrasion st: NotStopd t0: [08:00:00 10/04/2014] id: ImpSkin Character #2 el: 0 cu: MICU-A cg: RN v1: Rash st: NotStopd t0: [08:00:00 10/04/2014] id: ImpSkin Treatment #1 el: 0 cu: MICU-A cg: RN v1: Open to Air st: NotStopd t0: [08:00:00 10/04/2014] id: ImpSkin Treatment #2 el: 0 cu: MICU-A cg: RN v1: Open to Air st: NotStopd t0: [08:00:00 10/04/2014] id: Impaired Skin Site#1 el: 0 cu: MICU-A cg: RN v1: Gluteal, Right st: NotStopd t0: [08:00:00 10/04/2014] id: Impaired Skin Site#2 el: 0 cu: MICU-A cg: RN v1: Labia st: NotStopd t0: [08:00:00 10/04/2014] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [08:00:00 10/04/2014] id: Skin Color el: 0 cu: MICU-A cg: RN v1: Flushed st: NotStopd t0: [08:00:00 10/04/2014] id: Skin Integrity el: 0 cu: MICU-A cg: RN v1: Intact st: NotStopd t0: [08:00:00 10/04/2014] id: Support Systems el: 0 cu: MICU-A cg: RN v1: Relative st: NotStopd t0: [08:00:00 10/04/2014] id: Behavior el: 0 cu: MICU-A cg: RN v1: Calm st: NotStopd t0: [08:00:00 10/04/2014] id: Braden Activity el: 0 cu: MICU-A cg: RN v1: Chairfast st: NotStopd t0: [08:00:00 10/04/2014] id: Braden Frict/Shear el: 0 cu: MICU-A cg: RN v1: No Apparent Prob st: NotStopd t0: [08:00:00 10/04/2014] id: Braden Mobility el: 0 cu: MICU-A cg: RN v1: Very Limited st: NotStopd t0: [08:00:00 10/04/2014] id: Braden Moisture el: 0 cu: MICU-A cg: RN v1: Occ. Moist st: NotStopd t0: [08:00:00 10/04/2014] id: Braden Nutrition el: 0 cu: MICU-A cg: RN v1: Prob. Inadequate st: NotStopd t0: [08:00:00 10/04/2014] id: Braden Score el: 0 cu: MICU-A cg: RN v1: 16 u1: number st: NotStopd t0: [08:00:00 10/04/2014] id: Braden SensoryPercep el: 0 cu: MICU-A cg: RN v1: No Impairment st: NotStopd
t0: [08:00:00 10/04/2014] id: Po Intake PO/Gastric el: 1 cu: MICU-A cg: RN ai: 103 vo: 200 vu: ml t0: [12:00:00 10/04/2014] id: Po Intake PO/Gastric el: 1 cu: MICU-A cg: RN ai: 103 vo: 360 vu: ml t0: [12:00:00 10/04/2014] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 40 vu: ml
tf: [17:00:00 12/04/2014] pt: IV Flush rt: IV fr: QD:PRN
tf: [17:00:00 12/04/2014] pt: Unit Dose rt: PO fr: QAM fs: 8 dn: 1 m1: Hydrochlorothiazide f1: TAB v1: 25 u1: mg
tf: [17:00:00 12/04/2014] pt: Unit Dose rt: PO fr: HS:PRN m1: Zolpidem Tartrate f1: TAB v1: 5 u1: mg
tf: [17:00:00 12/04/2014] pt: Unit Dose rt: PO fr: Q8H:PRN m1: Ibuprofen f1: TAB v1: 400 u1: mg
dd: 2724 ds: 2 ld: HYPERLIPIDEMIA NEC/NOS dd: 4011 ds: 1 ld: BENIGN HYPERTENSION dd: 78605 ds: 3 ld: SHORTNESS OF BREATH
dd: 78605 ds: 1 ld: SHORTNESS OF BREATH
dd: 2724 ds: 1 ld: HYPERLIPIDEMIA NEC/NOS dd: 4011 ds: 2 ld: BENIGN HYPERTENSION dd: 463 ds: 3 ld: ACUTE TONSILLITIS
dd: 462 ds: 1 ld: ACUTE PHARYNGITIS
dd: 2724 ds: 1 ld: HYPERLIPIDEMIA NEC/NOS
dd: 2724 ds: 2 ld: HYPERLIPIDEMIA NEC/NOS dd: 4011 ds: 1 ld: BENIGN HYPERTENSION
dd: 2724 ds: 1 ld: HYPERLIPIDEMIA NEC/NOS
dd: 2724 ds: 1 ld: HYPERLIPIDEMIA NEC/NOS
dd: 2724 ds: 2 ld: HYPERLIPIDEMIA NEC/NOS dd: 4011 ds: 1 ld: BENIGN HYPERTENSION
dd: V700 ds: 1 ld: ROUTINE MEDICAL EXAM