This log is also available as text (s02280.txt) and as a (binary) annotation file (s02280.log).
Generated: Monday, 07-Jun-2010 13:20:11 EDT
(All dates below are surrogates.)
t0: [09:49:32 24/01/2013] tf: [18:22:29 31/01/2013] id: a40937 [view]
t0: [08:35:59 24/01/2013] tf: [18:20:59 31/01/2013] id: a40937n [view]
t0: [12:33:59 24/01/2013] tf: [09:31:59 29/01/2013] id: a41645 [view]
t0: [12:32:59 24/01/2013] tf: [10:10:59 29/01/2013] id: a41645n [view]
t0: [18:34:12 24/01/2013] tf: [18:02:21 03/03/2013] id: a41664 [view]
t0: [17:00:59 24/01/2013] tf: [04:27:59 26/01/2013] id: a41664n [view]
dd: 1629 ds: 1 ld: MAL NEO BRONCH/LUNG NOS dd: 5110 ds: 2 ld: PLEURISY W/O EFFUS OR TB
dd: 1629 ds: 1 ld: MAL NEO BRONCH/LUNG NOS
dd: 1629 ds: 1 ld: MAL NEO BRONCH/LUNG NOS
dd: 1629 ds: 1 ld: MAL NEO BRONCH/LUNG NOS
dd: 1629 ds: 1 ld: MAL NEO BRONCH/LUNG NOS
dd: 1629 ds: 1 ld: MAL NEO BRONCH/LUNG NOS
dd: 486 ds: 1 ld: PNEUMONIA, ORGANISM NOS
dd: 1629 ds: 1 ld: MAL NEO BRONCH/LUNG NOS dd: 4160 ds: 2 ld: PRIM PULM HYPERTENSION
dd: 1629 ds: 1 ld: MAL NEO BRONCH/LUNG NOS
dd: 78321 ds: 3 ld: LOSS OF WEIGHT dd: 7856 ds: 1 ld: ENLARGEMENT LYMPH NODES dd: 7862 ds: 2 ld: COUGH dd: 7931 ds: 4 ld: ABN FINDINGS-LUNG FIELD dd: V1011 ds: 5 ld: HX-BRONCHOGENIC MALIGNAN
dd: 1629 ds: 1 ld: MAL NEO BRONCH/LUNG NOS
dd: 1629 ds: 2 ld: MAL NEO BRONCH/LUNG NOS dd: 2123 ds: 1 ld: BENIGN NEO BRONCHUS/LUNG dd: 4940 ds: 5 ld: BRONCHIECTASIS W/O ACTE dd: 51889 ds: 4 ld: OTHER LUNG DISEASE NEC dd: 7931 ds: 6 ld: ABN FINDINGS-LUNG FIELD dd: 7993 ds: 3 ld: DEBILITY NOS
dd: 1629 ds: 1 ld: MAL NEO BRONCH/LUNG NOS
dd: 1629 ds: 1 ld: MAL NEO BRONCH/LUNG NOS
dd: 1629 ds: 1 ld: MAL NEO BRONCH/LUNG NOS dd: 4940 ds: 2 ld: BRONCHIECTASIS W/O ACTE dd: V1011 ds: 3 ld: HX-BRONCHOGENIC MALIGNAN
dd: 1629 ds: 1 ld: MAL NEO BRONCH/LUNG NOS
dd: 4940 ds: 1 ld: BRONCHIECTASIS W/O ACTE dd: 7993 ds: 2 ld: DEBILITY NOS
dd: 1629 ds: 1 ld: MAL NEO BRONCH/LUNG NOS
dd: 1629 ds: 1 ld: MAL NEO BRONCH/LUNG NOS
dd: 2113 ds: 2 ld: BENIGN NEOPLASM LG BOWEL dd: V7651 ds: 1 ld: SPEC SCRN MALIG NEO COLO
dd: 1629 ds: 1 ld: MAL NEO BRONCH/LUNG NOS dd: 7931 ds: 2 ld: ABN FINDINGS-LUNG FIELD
dd: 1629 ds: 1 ld: MAL NEO BRONCH/LUNG NOS
dd: 2765 ds: 3 ld: HYPOVOLEMIA dd: 7850 ds: 2 ld: TACHYCARDIA NOS dd: 78605 ds: 1 ld: SHORTNESS OF BREATH
dd: 1629 ds: 1 ld: MAL NEO BRONCH/LUNG NOS dd: 7993 ds: 2 ld: DEBILITY NOS
dd: 7862 ds: 1 ld: COUGH dd: V1011 ds: 2 ld: HX-BRONCHOGENIC MALIGNAN
dd: 1629 ds: 1 ld: MAL NEO BRONCH/LUNG NOS
dd: 01100 ds: 3 ld: TB LUNG INFILTR-UNSPEC dd: 1629 ds: 1 ld: MAL NEO BRONCH/LUNG NOS dd: 1629 ds: 4 ld: MAL NEO BRONCH/LUNG NOS dd: 2312 ds: 2 ld: CA IN SITU BRONCHUS/LUNG dd: 486 ds: 1 ld: PNEUMONIA, ORGANISM NOS dd: 7862 ds: 5 ld: COUGH
dd: 486 ds: 2 ld: PNEUMONIA, ORGANISM NOS dd: 4940 ds: 1 ld: BRONCHIECTASIS W/O ACTE dd: 4941 ds: 3 ld: BRONCHIECTASIS W ACUTE E
dd: 486 ds: 2 ld: PNEUMONIA, ORGANISM NOS dd: 4941 ds: 1 ld: BRONCHIECTASIS W ACUTE E
dd: 4841 ds: 1 ld: PNEUM W CYTOMEG INCL DIS dd: 486 ds: 2 ld: PNEUMONIA, ORGANISM NOS dd: 4941 ds: 3 ld: BRONCHIECTASIS W ACUTE E
dd: 486 ds: 2 ld: PNEUMONIA, ORGANISM NOS dd: 4941 ds: 1 ld: BRONCHIECTASIS W ACUTE E
dd: 1629 ds: 3 ld: MAL NEO BRONCH/LUNG NOS dd: 486 ds: 2 ld: PNEUMONIA, ORGANISM NOS dd: 486 ds: 4 ld: PNEUMONIA, ORGANISM NOS dd: 4941 ds: 1 ld: BRONCHIECTASIS W ACUTE E dd: 4941 ds: 2 ld: BRONCHIECTASIS W ACUTE E dd: 7863 ds: 1 ld: HEMOPTYSIS
dd: 486 ds: 2 ld: PNEUMONIA, ORGANISM NOS dd: 4941 ds: 1 ld: BRONCHIECTASIS W ACUTE E
dd: 486 ds: 2 ld: PNEUMONIA, ORGANISM NOS dd: 4941 ds: 1 ld: BRONCHIECTASIS W ACUTE E
dd: 4941 ds: 1 ld: BRONCHIECTASIS W ACUTE E
dd: 5183 ds: 1 ld: PULMONARY EOSINOPHILIA
dd: 486 ds: 3 ld: PNEUMONIA, ORGANISM NOS dd: 4940 ds: 2 ld: BRONCHIECTASIS W/O ACTE dd: 7862 ds: 1 ld: COUGH dd: 7863 ds: 4 ld: HEMOPTYSIS
dd: 486 ds: 2 ld: PNEUMONIA, ORGANISM NOS dd: 4941 ds: 1 ld: BRONCHIECTASIS W ACUTE E
dd: 1629 ds: 1 ld: MAL NEO BRONCH/LUNG NOS dd: 6000 ds: 2 ld: HYPERTROPHY OF PROSTATE dd: 7862 ds: 3 ld: COUGH
dd: 460 ds: 1 ld: ACUTE NASOPHARYNGITIS dd: 4940 ds: 2 ld: BRONCHIECTASIS W/O ACTE
dd: 1629 ds: 1 ld: MAL NEO BRONCH/LUNG NOS
dd: 1629 ds: 1 ld: MAL NEO BRONCH/LUNG NOS dd: 7863 ds: 2 ld: HEMOPTYSIS
dd: 1629 ds: 3 ld: MAL NEO BRONCH/LUNG NOS dd: 4940 ds: 1 ld: BRONCHIECTASIS W/O ACTE dd: 7863 ds: 2 ld: HEMOPTYSIS
dd: 4941 ds: 1 ld: BRONCHIECTASIS W ACUTE E
dd: 1629 ds: 1 ld: MAL NEO BRONCH/LUNG NOS
dd: 486 ds: 2 ld: PNEUMONIA, ORGANISM NOS dd: 4941 ds: 1 ld: BRONCHIECTASIS W ACUTE E
dd: 4941 ds: 1 ld: BRONCHIECTASIS W ACUTE E
dd: 4940 ds: 2 ld: BRONCHIECTASIS W/O ACTE dd: 4941 ds: 1 ld: BRONCHIECTASIS W ACUTE E
dd: 1629 ds: 4 ld: MAL NEO BRONCH/LUNG NOS dd: 2761 ds: 9 ld: HYPOSMOLALITY dd: 2765 ds: 8 ld: HYPOVOLEMIA dd: 2859 ds: 2 ld: ANEMIA NOS dd: 4280 ds: 7 ld: CONGESTIVE HEART FAILURE dd: 4538 ds: 6 ld: VENOUS THROMBOSIS NEC dd: 486 ds: 5 ld: PNEUMONIA, ORGANISM NOS dd: 5119 ds: 1 ld: PLEURAL EFFUSION NOS dd: 5121 ds: 4 ld: IATROGENIC PNEUMOTHORAX dd: 51881 ds: 2 ld: RESPIRATORY FAILURE dd: 51889 ds: 1 ld: OTHER LUNG DISEASE NEC dd: 5849 ds: 3 ld: ACUTE RENAL FAILURE NOS
dd: 2767 ds: 2 ld: HYPERPOTASSEMIA dd: 4019 ds: 1 ld: HYPERTENSION NOS dd: 5849 ds: 3 ld: ACUTE RENAL FAILURE NOS dd: V1011 ds: 4 ld: HX-BRONCHOGENIC MALIGNAN
dd: 2767 ds: 1 ld: HYPERPOTASSEMIA dd: 2859 ds: 8 ld: ANEMIA NOS dd: 4019 ds: 6 ld: HYPERTENSION NOS dd: 4940 ds: 7 ld: BRONCHIECTASIS W/O ACTE dd: 5119 ds: 3 ld: PLEURAL EFFUSION NOS dd: 58389 ds: 9 ld: NEPHRITIS NEC dd: 5849 ds: 2 ld: ACUTE RENAL FAILURE NOS dd: E9426 ds: 4 ld: ADV EFF ANTIHYPERTEN AGT dd: V1011 ds: 5 ld: HX-BRONCHOGENIC MALIGNAN
dd: 5119 ds: 1 ld: PLEURAL EFFUSION NOS
dd: 1629 ds: 3 ld: MAL NEO BRONCH/LUNG NOS dd: 4940 ds: 1 ld: BRONCHIECTASIS W/O ACTE dd: 5119 ds: 2 ld: PLEURAL EFFUSION NOS
dd: 5819 ds: 1 ld: NEPHROTIC SYNDROME NOS dd: 585 ds: 4 ld: CHRONIC RENAL FAILURE dd: 5997 ds: 3 ld: HEMATURIA dd: 7823 ds: 2 ld: EDEMA
dd: 2767 ds: 4 ld: HYPERPOTASSEMIA dd: 2800 ds: 3 ld: CHR BLOOD LOSS ANEMIA dd: 4168 ds: 5 ld: CHR PULMON HEART DIS NEC dd: 4940 ds: 6 ld: BRONCHIECTASIS W/O ACTE dd: 5119 ds: 2 ld: PLEURAL EFFUSION NOS dd: 5849 ds: 1 ld: ACUTE RENAL FAILURE NOS dd: 5997 ds: 7 ld: HEMATURIA dd: V1011 ds: 8 ld: HX-BRONCHOGENIC MALIGNAN dd: V1251 ds: 9 ld: PERS HX VENOUS THROM/EMB
dd: 4538 ds: 1 ld: VENOUS THROMBOSIS NEC dd: 72981 ds: 2 ld: SWELLING OF LIMB
dd: 4538 ds: 1 ld: VENOUS THROMBOSIS NEC dd: 5119 ds: 3 ld: PLEURAL EFFUSION NOS dd: 53081 ds: 4 ld: ESOPHAGEAL REFLUX dd: 5819 ds: 2 ld: NEPHROTIC SYNDROME NOS dd: V1011 ds: 5 ld: HX-BRONCHOGENIC MALIGNAN dd: V1201 ds: 6 ld: PERS HIST TUBERCULOSIS dd: V1584 ds: 7 ld: PERS HX EXPO TO ASBESTOS
dd: 486 ds: 3 ld: PNEUMONIA, ORGANISM NOS dd: 78605 ds: 2 ld: SHORTNESS OF BREATH dd: 7863 ds: 1 ld: HEMOPTYSIS
dd: 4941 ds: 2 ld: BRONCHIECTASIS W ACUTE E dd: 5119 ds: 3 ld: PLEURAL EFFUSION NOS dd: 5191 ds: 4 ld: TRACHEA/BRONCHUS DIS NEC dd: 7863 ds: 1 ld: HEMOPTYSIS
dd: 2765 ds: 2 ld: HYPOVOLEMIA dd: 78909 ds: 1 ld: ABDOMIN PAIN OTHR SPEC S
dd: 2767 ds: 1 ld: HYPERPOTASSEMIA dd: 2859 ds: 4 ld: ANEMIA NOS dd: 42732 ds: 2 ld: ATRIAL FLUTTER dd: 585 ds: 3 ld: CHRONIC RENAL FAILURE dd: 5997 ds: 5 ld: HEMATURIA dd: V1011 ds: 6 ld: HX-BRONCHOGENIC MALIGNAN
dd: 4019 ds: 2 ld: HYPERTENSION NOS dd: 5820 ds: 3 ld: CHR PROLIFERAT NEPHRITIS dd: 5839 ds: 4 ld: NEPHRITIS NOS dd: 5939 ds: 1 ld: RENAL & URETERAL DIS NOS
dd: 4940 ds: 1 ld: BRONCHIECTASIS W/O ACTE dd: 5111 ds: 4 ld: BACT PLEUR/EFFUS NOT TB dd: 5119 ds: 2 ld: PLEURAL EFFUSION NOS dd: 5180 ds: 5 ld: PULMONARY COLLAPSE dd: 7863 ds: 3 ld: HEMOPTYSIS
dd: 5820 ds: 2 ld: CHR PROLIFERAT NEPHRITIS dd: 5939 ds: 1 ld: RENAL & URETERAL DIS NOS
dd: 2767 ds: 4 ld: HYPERPOTASSEMIA dd: 2859 ds: 2 ld: ANEMIA NOS dd: 4019 ds: 8 ld: HYPERTENSION NOS dd: 4239 ds: 5 ld: PERICARDIAL DISEASE NOS dd: 42731 ds: 1 ld: ATRIAL FIBRILLATION dd: 5119 ds: 3 ld: PLEURAL EFFUSION NOS dd: 5832 ds: 7 ld: MEMBRANOPROLIF NEPHR NOS dd: 5849 ds: 2 ld: ACUTE RENAL FAILURE NOS dd: V1011 ds: 6 ld: HX-BRONCHOGENIC MALIGNAN
dd: 4280 ds: 2 ld: CONGESTIVE HEART FAILURE dd: 4941 ds: 1 ld: BRONCHIECTASIS W ACUTE E dd: 78609 ds: 3 ld: RESPIRATORY ABNORM NEC
dd: 1173 ds: 2 ld: ASPERGILLOSIS dd: 42099 ds: 1 ld: ACUTE PERICARDITIS NEC dd: 4232 ds: 5 ld: CONSTRICTIV PERICARDITIS dd: 4275 ds: 3 ld: CARDIAC ARREST dd: 4280 ds: 1 ld: CONGESTIVE HEART FAILURE dd: 4280 ds: 4 ld: CONGESTIVE HEART FAILURE dd: 5109 ds: 6 ld: EMPYEMA W/O FISTULA dd: 51884 ds: 7 ld: ACUTE & CHR RESP FAILURE dd: 5845 ds: 8 ld: LOWER NEPHRON NEPHROSIS dd: 99811 ds: 9 ld: HEMORR COMPLIC PROCEDURE
tf: [11:00:00 15/12/2015] pt: Unit Dose rt: PO fr: QD fs: 10 dn: 1 m1: Digoxin v1: 0.125 u1: mg
tf: [15:00:00 11/12/2015] pt: Unit Dose rt: PO fr: TID fs: 08, 16, 22 dn: 3 m1: Metoprolol v1: 75 u1: mg
tf: [19:00:00 03/12/2015] pt: Unit Dose rt: SC fr: Q12H fs: 23, 11 dn: 2 m1: Heparin v1: 5000 u1: UNIT tf: [13:00:00 23/12/2015] pt: Unit Dose rt: PO fr: Q24H fs: 23 dn: 1 m1: Pantoprazole v1: 40 u1: mg
tf: [16:00:00 09/12/2015] pt: Unit Dose rt: PO fr: HS:PRN m1: Lorazepam v1: 0.5 u1: mg
tf: [02:00:00 23/12/2015] pt: Unit Dose rt: IH fr: Q6H:PRN m1: Albuterol Neb Soln v1: 1 u1: NEB tf: [02:00:00 23/12/2015] pt: Unit Dose rt: IH fr: Q6H:PRN m1: Ipratropium Bromide Neb v1: 1 u1: NEB
tf: [09:00:00 02/12/2015] pt: Unit Dose rt: PO fr: BID fs: 10, 22 dn: 2 m1: Furosemide v1: 20 u1: mg
id: D5W el: 1 cu: CCU cg: RN io: D5W 250.0ml IV Infusions vo: 250 du: ml rt: Intravenous Push id: D5/.45NS el: 1 cu: CCU cg: RN io: D5/.45NS 1000.0ml IV Infusions vo: 1000 du: ml rt: Intravenous Push
tf: [21:40:00 02/12/2015] dt: 1660 cu: CCU de: FA2
t0: [18:00:00 01/12/2015] id: BSA el: 1033 cu: CCU cg: 8 t0: [18:00:00 01/12/2015] id: Admit Wt el: 1032 cu: CCU cg: 8 t0: [18:00:00 01/12/2015] id: Allergy 1 el: 1020 cu: CCU cg: 8 t0: [18:00:00 01/12/2015] id: Diagnosis/op el: 1023 cu: CCU cg: 8 v1: CONGESTIVE HEART FAILURE;TELEMETRY t0: [18:00:00 01/12/2015] id: Service el: 1026 cu: CCU cg: 8 v1: CME t0: [18:00:00 01/12/2015] id: Admit Ht el: 1034 cu: CCU cg: 8 t0: [18:00:00 01/12/2015] id: Readmission el: 1014 cu: CCU cg: 8 t0: [18:00:00 01/12/2015] id: Marital Status el: 1006 cu: CCU cg: 8 v1: M t0: [18:00:00 01/12/2015] id: Religion el: 1000 cu: CCU cg: 8 v1: NSP t0: [18:00:00 01/12/2015] id: Allergy 2 el: 1021 cu: CCU cg: 8 t0: [18:00:00 01/12/2015] id: Ext el: 1010 cu: CCU cg: 8 t0: [18:00:00 01/12/2015] id: PIN el: 1012 cu: CCU cg: 8 t0: [18:00:00 01/12/2015] id: Allergy 3 el: 1022 cu: CCU cg: 8
io: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: CCU cg: RN ra: 10 ru: ml/hr
tf: [20:00:00 01/12/2015] pt: Unit Dose rt: PO fr: ONCE fs: 18 dn: 1 m1: Sodium Polystyrene Sulfonate v1: 60 u1: gm
id: D5W el: 1 cu: CCU cg: -1 io: D5W 100.0ml IV Infusions vo: 100 du: ml rt: Intravenous Push id: .9% Normal Saline el: 1 cu: CCU cg: RN io: .9% Normal Saline 1000.0ml IV Infusions vo: 1000 du: ml rt: Intravenous Push id: Cath Lab Intake el: 1 cu: CCU cg: RN io: Cath Lab Intake Cath Lab Intake du: ml rt: Intravenous Push id: Po Intake el: 1 cu: CCU cg: -1 io: Po Intake PO/Gastric du: ml rt: Oral
t0: [18:00:00 01/12/2015] id: Service Type el: 0 cu: CCU cg: RN v1: CCU st: NotStopd t0: [18:00:00 01/12/2015] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [18:00:00 01/12/2015] id: Riker-SAS Scale el: 0 cu: CCU cg: RN v1: Calm/Cooperative st: NotStopd t0: [18:00:00 01/12/2015] id: Readmit <48 hrs el: 0 cu: CCU cg: RN v1: No st: NotStopd t0: [18:00:00 01/12/2015] id: Ectopy Type el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [18:00:00 01/12/2015] id: Alarms el: 0 cu: CCU cg: RN v1: ON st: NotStopd t0: [18:00:00 01/12/2015] id: Parameters Checked el: 0 cu: CCU cg: RN v1: Yes st: NotStopd t0: [18:00:00 01/12/2015] id: Heart Rate el: 0 cu: CCU cg: RN v1: 67 u1: BPM st: NotStopd t0: [18:00:00 01/12/2015] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Normal Sinus st: NotStopd t0: [18:00:00 01/12/2015] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [18:00:00 01/12/2015] id: Temp. Site el: 0 cu: CCU cg: RN v1: Oral st: NotStopd t0: [18:00:00 01/12/2015] id: Temperature C (calc) el: 0 cu: CCU cg: RN v1: 36.1111 u1: Deg. C st: NotStopd t0: [18:00:00 01/12/2015] id: Temperature F el: 0 cu: CCU cg: RN v1: 97 u1: Deg. F st: NotStopd t0: [18:00:00 01/12/2015] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd
t0: [18:00:00 01/12/2015] id: Pain Present el: 0 cu: CCU cg: RN v1: No st: NotStopd t0: [18:00:00 01/12/2015] id: Daily Wake Up el: 1 cu: CCU cg: RN v1: No/Not Sedated st: NotStopd t0: [18:00:00 01/12/2015] id: Eye Opening el: 0 cu: CCU cg: RN v1: 4 Spontaneously st: NotStopd t0: [18:00:00 01/12/2015] id: GCS Total el: 0 cu: CCU cg: RN v1: 15 u1: points st: NotStopd t0: [18:00:00 01/12/2015] id: LLL Lung Sounds el: 0 cu: CCU cg: RN v1: Coarse st: NotStopd t0: [18:00:00 01/12/2015] id: LUL Lung Sounds el: 0 cu: CCU cg: RN v1: Clear st: NotStopd t0: [18:00:00 01/12/2015] id: Level of Conscious el: 0 cu: CCU cg: RN v1: Alert st: NotStopd t0: [18:00:00 01/12/2015] id: Angio Appearance #1 el: 0 cu: CCU cg: RN v1: Clean and Dry st: NotStopd t0: [18:00:00 01/12/2015] id: Motor Response el: 0 cu: CCU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [18:00:00 01/12/2015] id: NBP el: 0 cu: CCU cg: RN v1: 139 u1: mmHg v2: 77 u2: mmHg st: NotStopd t0: [18:00:00 01/12/2015] id: NBP Mean el: 0 cu: CCU cg: RN v1: 97.6667 u1: mmHg st: NotStopd t0: [18:00:00 01/12/2015] id: Angio Dressing #1 el: 0 cu: CCU cg: RN v1: Transparent st: NotStopd t0: [18:00:00 01/12/2015] id: O2 Delivery Device el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [18:00:00 01/12/2015] id: Oral Cavity el: 0 cu: CCU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [18:00:00 01/12/2015] id: Orientation el: 0 cu: CCU cg: RN v1: Oriented x 3 st: NotStopd t0: [18:00:00 01/12/2015] id: Angio Site #1 el: 0 cu: CCU cg: RN v1: R Femoral st: NotStopd t0: [18:00:00 01/12/2015] id: Pain Location el: 0 cu: CCU cg: RN v1: Not Indicated st: NotStopd t0: [18:00:00 01/12/2015] tf: [12:00:00 02/12/2015] dt: 1080 id: Pericard Drain Stat el: 0 cu: CCU cg: RN v1: Intact st: NotStopd t0: [18:00:00 01/12/2015] tf: [12:00:00 02/12/2015] dt: 1080 id: Pericardial Drainage el: 0 cu: CCU cg: RN v1: Gravity st: NotStopd t0: [18:00:00 01/12/2015] id: Pericardial Drainage el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [18:00:00 01/12/2015] id: RLL Lung Sounds el: 0 cu: CCU cg: RN v1: Diminished st: NotStopd t0: [18:00:00 01/12/2015] id: RUL Lung Sounds el: 0 cu: CCU cg: RN v1: Clear st: NotStopd t0: [18:00:00 01/12/2015] id: Respiratory Pattern el: 0 cu: CCU cg: RN v1: Regular st: NotStopd t0: [18:00:00 01/12/2015] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 22 u1: BPM st: NotStopd t0: [18:00:00 01/12/2015] id: SpO2 el: 0 cu: CCU cg: RN v1: 96 u1: % st: NotStopd t0: [18:00:00 01/12/2015] id: Verbal Response el: 0 cu: CCU cg: RN v1: 5 Oriented st: NotStopd
t0: [18:00:00 01/12/2015] id: Dorsal PedPulse R/L el: 0 cu: CCU cg: RN v1: Doppler v2: Doppler st: NotStopd t0: [18:00:00 01/12/2015] id: INV Line#1 Type/Site el: 0 cu: CCU cg: RN v1: Venous Access v2: Right Femoral st: NotStopd t0: [18:00:00 01/12/2015] id: INV Line#1 Zero/Cal el: 0 cu: CCU cg: RN v1: Yes st: NotStopd t0: [18:00:00 01/12/2015] id: INV Line#1InsertDate el: 0 cu: CCU cg: RN v1: 12 v2: 2 st: NotStopd t0: [18:00:00 01/12/2015] id: INV Line#1SiteAppear el: 0 cu: CCU cg: RN v1: WNL st: NotStopd t0: [18:00:00 01/12/2015] id: PostTib. Pulses R/L el: 0 cu: CCU cg: RN v1: Doppler v2: Doppler st: NotStopd t0: [18:00:00 01/12/2015] id: Restraint Location el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [18:00:00 01/12/2015] id: Side Rails el: 0 cu: CCU cg: RN v1: Side Rails Up st: NotStopd t0: [18:00:00 01/12/2015] id: Skin Integrity el: 0 cu: CCU cg: RN v1: Intact st: NotStopd t0: [18:00:00 01/12/2015] id: Braden Activity el: 0 cu: CCU cg: RN v1: Bedfast st: NotStopd t0: [18:00:00 01/12/2015] id: Braden Frict/Shear el: 0 cu: CCU cg: RN v1: Potential Prob st: NotStopd t0: [18:00:00 01/12/2015] id: Braden Mobility el: 0 cu: CCU cg: RN v1: Very Limited st: NotStopd t0: [18:00:00 01/12/2015] id: Braden Moisture el: 0 cu: CCU cg: RN v1: Rarely Moist st: NotStopd t0: [18:00:00 01/12/2015] id: Braden Nutrition el: 0 cu: CCU cg: RN v1: Prob. Inadequate st: NotStopd t0: [18:00:00 01/12/2015] id: Braden Score el: 0 cu: CCU cg: RN v1: 15 u1: number st: NotStopd t0: [18:00:00 01/12/2015] id: Braden SensoryPercep el: 0 cu: CCU cg: RN v1: No Impairment st: NotStopd
t0: [18:00:00 01/12/2015] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: CCU cg: RN ai: 107 vo: 0 vu: ml nb: 1
t0: [18:30:00 01/12/2015] id: Service Type el: 0 cu: CCU cg: RN v1: CCU st: NotStopd t0: [18:30:00 01/12/2015] id: CVP el: 0 cu: CCU cg: RN v1: 16 u1: mmHg st: NotStopd t0: [18:30:00 01/12/2015] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [18:30:00 01/12/2015] id: Ectopy Type el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [18:30:00 01/12/2015] id: Heart Rate el: 0 cu: CCU cg: RN v1: 68 u1: BPM st: NotStopd t0: [18:30:00 01/12/2015] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Normal Sinus st: NotStopd t0: [18:30:00 01/12/2015] id: NBP el: 0 cu: CCU cg: RN v1: 135 u1: mmHg v2: 66 u2: mmHg st: NotStopd t0: [18:30:00 01/12/2015] id: NBP Mean el: 0 cu: CCU cg: RN v1: 89 u1: mmHg st: NotStopd t0: [18:30:00 01/12/2015] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [18:30:00 01/12/2015] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 22 u1: BPM st: NotStopd t0: [18:30:00 01/12/2015] id: SpO2 el: 0 cu: CCU cg: RN v1: 96 u1: % st: NotStopd t0: [18:30:00 01/12/2015] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd t0: [18:45:00 01/12/2015] id: CVP el: 0 cu: CCU cg: RN v1: 16 u1: mmHg st: NotStopd t0: [18:45:00 01/12/2015] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [18:45:00 01/12/2015] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [18:45:00 01/12/2015] id: Ectopy Type el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [18:45:00 01/12/2015] id: Heart Rate el: 0 cu: CCU cg: RN v1: 68 u1: BPM st: NotStopd t0: [18:45:00 01/12/2015] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Normal Sinus st: NotStopd t0: [18:45:00 01/12/2015] id: NBP el: 0 cu: CCU cg: RN v1: 135 u1: mmHg v2: 86 u2: mmHg st: NotStopd t0: [18:45:00 01/12/2015] id: NBP Mean el: 0 cu: CCU cg: RN v1: 102.333 u1: mmHg st: NotStopd t0: [18:45:00 01/12/2015] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [18:45:00 01/12/2015] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 24 u1: BPM st: NotStopd t0: [18:45:00 01/12/2015] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd
t0: [19:00:00 01/12/2015] tf: [21:40:00 02/12/2015] dt: 1600 id: Po Intake PO/Gastric el: 1 cu: CCU cg: RN ai: 103 vo: 300 vu: ml t0: [19:00:00 01/12/2015] tf: [21:00:00 01/12/2015] dt: 120 id: Drain Out #1 Pericardial el: 1 cu: CCU cg: RN vo: 4 vu: ml
tf: [20:00:00 02/12/2015] pt: Unit Dose rt: IV fr: ONCE fs: 21 dn: 1 m1: Furosemide v1: 40 u1: mg
t0: [19:00:00 01/12/2015] id: Service Type el: 0 cu: CCU cg: RN v1: CCU st: NotStopd t0: [19:00:00 01/12/2015] id: CVP el: 0 cu: CCU cg: RN v1: 17 u1: mmHg st: NotStopd t0: [19:00:00 01/12/2015] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [19:00:00 01/12/2015] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [19:00:00 01/12/2015] id: Ectopy Type el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [19:00:00 01/12/2015] id: Heart Rate el: 0 cu: CCU cg: RN v1: 69 u1: BPM st: NotStopd t0: [19:00:00 01/12/2015] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Normal Sinus st: NotStopd t0: [19:00:00 01/12/2015] id: NBP el: 0 cu: CCU cg: RN v1: 131 u1: mmHg v2: 85 u2: mmHg st: NotStopd t0: [19:00:00 01/12/2015] id: NBP Mean el: 0 cu: CCU cg: RN v1: 100.333 u1: mmHg st: NotStopd t0: [19:00:00 01/12/2015] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [19:00:00 01/12/2015] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 17 u1: BPM st: NotStopd t0: [19:00:00 01/12/2015] id: SpO2 el: 0 cu: CCU cg: RN v1: 96 u1: % st: NotStopd t0: [19:00:00 01/12/2015] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd t0: [20:00:00 01/12/2015] id: Service Type el: 0 cu: CCU cg: RN v1: CCU st: NotStopd t0: [20:00:00 01/12/2015] id: CVP el: 0 cu: CCU cg: RN v1: 18 u1: mmHg st: NotStopd t0: [20:00:00 01/12/2015] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [20:00:00 01/12/2015] id: Heart Rate el: 0 cu: CCU cg: RN v1: 73 u1: BPM st: NotStopd t0: [20:00:00 01/12/2015] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Normal Sinus st: NotStopd t0: [20:00:00 01/12/2015] id: NBP el: 0 cu: CCU cg: RN v1: 138 u1: mmHg v2: 83 u2: mmHg st: NotStopd t0: [20:00:00 01/12/2015] id: NBP Mean el: 0 cu: CCU cg: RN v1: 101.333 u1: mmHg st: NotStopd t0: [20:00:00 01/12/2015] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [20:00:00 01/12/2015] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 15 u1: BPM st: NotStopd t0: [20:00:00 01/12/2015] id: SpO2 el: 0 cu: CCU cg: RN v1: 96 u1: % st: NotStopd t0: [20:00:00 01/12/2015] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd t0: [21:00:00 01/12/2015] id: Pain Present el: 0 cu: CCU cg: RN v1: No st: NotStopd t0: [21:00:00 01/12/2015] id: Service Type el: 0 cu: CCU cg: RN v1: CCU st: NotStopd t0: [21:00:00 01/12/2015] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [21:00:00 01/12/2015] id: Riker-SAS Scale el: 0 cu: CCU cg: RN v1: Calm/Cooperative st: NotStopd t0: [21:00:00 01/12/2015] id: Daily Wake Up el: 1 cu: CCU cg: RN v1: No/Not Sedated st: NotStopd t0: [21:00:00 01/12/2015] id: GI Prophylaxis el: 0 cu: CCU cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [21:00:00 01/12/2015] id: Diet Type el: 0 cu: CCU cg: RN v1: Clear Liquid st: NotStopd t0: [21:00:00 01/12/2015] id: Dorsal PedPulse R/L el: 0 cu: CCU cg: RN v1: Weak Palpable v2: Weak Palpable st: NotStopd t0: [21:00:00 01/12/2015] id: Edema Location/Amt#1 el: 0 cu: CCU cg: RN v1: Both Legs v2: 6 mm st: NotStopd t0: [21:00:00 01/12/2015] id: Eye Opening el: 0 cu: CCU cg: RN v1: 4 Spontaneously st: NotStopd t0: [21:00:00 01/12/2015] id: Family Communication el: 0 cu: CCU cg: RN v1: Family Visited st: NotStopd t0: [21:00:00 01/12/2015] id: GCS Total el: 0 cu: CCU cg: RN v1: 15 u1: points st: NotStopd t0: [21:00:00 01/12/2015] id: HOB el: 0 cu: CCU cg: RN v1: Reverse T-Berg st: NotStopd t0: [21:00:00 01/12/2015] id: Heart Rate el: 0 cu: CCU cg: RN v1: 70 u1: BPM st: NotStopd t0: [21:00:00 01/12/2015] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Normal Sinus st: NotStopd t0: [21:00:00 01/12/2015] id: INV Line#1 Type/Site el: 0 cu: CCU cg: RN v1: Venous Access v2: Right Femoral st: NotStopd t0: [21:00:00 01/12/2015] id: INV Line#1 Zero/Cal el: 0 cu: CCU cg: RN v1: Yes st: NotStopd t0: [21:00:00 01/12/2015] id: INV Line#1InsertDate el: 0 cu: CCU cg: RN v1: 12 v2: 2 st: NotStopd t0: [21:00:00 01/12/2015] id: INV Line#1SiteAppear el: 0 cu: CCU cg: RN v1: WNL st: NotStopd t0: [21:00:00 01/12/2015] id: Abdominal Assessment el: 0 cu: CCU cg: RN v1: Soft st: NotStopd t0: [21:00:00 01/12/2015] id: INV#1 WaveformAppear el: 0 cu: CCU cg: RN v1: Sharp st: NotStopd t0: [21:00:00 01/12/2015] id: Activity el: 0 cu: CCU cg: RN v1: Bedrest st: NotStopd t0: [21:00:00 01/12/2015] id: Activity Tolerance el: 0 cu: CCU cg: RN v1: Good st: NotStopd t0: [21:00:00 01/12/2015] id: LLE Temp/Color el: 0 cu: CCU cg: RN v1: Cool v2: Pale st: NotStopd t0: [21:00:00 01/12/2015] id: LLL Lung Sounds el: 0 cu: CCU cg: RN v1: Coarse st: NotStopd t0: [21:00:00 01/12/2015] id: LUL Lung Sounds el: 0 cu: CCU cg: RN v1: Coarse st: NotStopd t0: [21:00:00 01/12/2015] id: Level of Conscious el: 0 cu: CCU cg: RN v1: Alert st: NotStopd t0: [21:00:00 01/12/2015] id: Angio Appearance #1 el: 0 cu: CCU cg: RN v1: Clean and Dry v2: Clean and Dry st: NotStopd t0: [21:00:00 01/12/2015] id: Motor Response el: 0 cu: CCU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [21:00:00 01/12/2015] id: NBP el: 0 cu: CCU cg: RN v1: 132 u1: mmHg v2: 85 u2: mmHg st: NotStopd t0: [21:00:00 01/12/2015] id: NBP Mean el: 0 cu: CCU cg: RN v1: 100.667 u1: mmHg st: NotStopd t0: [21:00:00 01/12/2015] id: Angio Dressing #1 el: 0 cu: CCU cg: RN v1: Transparent st: NotStopd t0: [21:00:00 01/12/2015] id: O2 Delivery Device el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [21:00:00 01/12/2015] id: Oral Cavity el: 0 cu: CCU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [21:00:00 01/12/2015] id: Orientation el: 0 cu: CCU cg: RN v1: Oriented x 3 st: NotStopd t0: [21:00:00 01/12/2015] id: Angio Site #1 el: 0 cu: CCU cg: RN v1: R Femoral st: NotStopd t0: [21:00:00 01/12/2015] id: Pain Location el: 0 cu: CCU cg: RN v1: Not Indicated st: NotStopd t0: [21:00:00 01/12/2015] id: Pericard Drain Site el: 0 cu: CCU cg: RN v1: Intact st: NotStopd t0: [21:00:00 01/12/2015] id: Pericard Drain Stat el: 0 cu: CCU cg: RN v1: Gravity st: NotStopd t0: [21:00:00 01/12/2015] id: Pericardial Drainage el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [21:00:00 01/12/2015] id: Position el: 0 cu: CCU cg: RN v1: Supine st: NotStopd t0: [21:00:00 01/12/2015] id: PostTib. Pulses R/L el: 0 cu: CCU cg: RN v1: Weak Palpable v2: Weak Palpable st: NotStopd t0: [21:00:00 01/12/2015] id: Assistance Device el: 0 cu: CCU cg: RN v1: 2 Person Assist st: NotStopd t0: [21:00:00 01/12/2015] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [21:00:00 01/12/2015] id: RLE Temp/Color el: 0 cu: CCU cg: RN v1: Cool v2: Pale st: NotStopd t0: [21:00:00 01/12/2015] id: RLL Lung Sounds el: 0 cu: CCU cg: RN v1: Absent st: NotStopd t0: [21:00:00 01/12/2015] id: RUL Lung Sounds el: 0 cu: CCU cg: RN v1: Clear st: NotStopd t0: [21:00:00 01/12/2015] id: Respiratory Pattern el: 0 cu: CCU cg: RN v1: Regular st: NotStopd t0: [21:00:00 01/12/2015] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 23 u1: BPM st: NotStopd t0: [21:00:00 01/12/2015] id: Restraint Location el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [21:00:00 01/12/2015] id: Side Rails el: 0 cu: CCU cg: RN v1: Side Rails Up st: NotStopd t0: [21:00:00 01/12/2015] id: Skin Integrity el: 0 cu: CCU cg: RN v1: Intact st: NotStopd t0: [21:00:00 01/12/2015] id: SpO2 el: 0 cu: CCU cg: RN v1: 97 u1: % st: NotStopd t0: [21:00:00 01/12/2015] id: Support Systems el: 0 cu: CCU cg: RN v1: Spouse st: NotStopd t0: [21:00:00 01/12/2015] id: Temp. Site el: 0 cu: CCU cg: RN v1: Oral st: NotStopd t0: [21:00:00 01/12/2015] id: Temperature C (calc) el: 0 cu: CCU cg: RN v1: 36.2222 u1: Deg. C st: NotStopd t0: [21:00:00 01/12/2015] id: Temperature F el: 0 cu: CCU cg: RN v1: 97.2 u1: Deg. F st: NotStopd t0: [21:00:00 01/12/2015] id: Turn el: 0 cu: CCU cg: RN v1: Back st: NotStopd t0: [21:00:00 01/12/2015] id: Urine Color/Appear el: 0 cu: CCU cg: RN v1: Yellow v2: Clear st: NotStopd t0: [21:00:00 01/12/2015] id: Urine Source el: 0 cu: CCU cg: RN v1: Condom Catheter st: NotStopd t0: [21:00:00 01/12/2015] id: Verbal Response el: 0 cu: CCU cg: RN v1: 5 Oriented st: NotStopd t0: [21:00:00 01/12/2015] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd t0: [21:00:00 01/12/2015] id: Behavior el: 0 cu: CCU cg: RN v1: Anxious st: NotStopd t0: [21:00:00 01/12/2015] id: Bowel Sounds el: 0 cu: CCU cg: RN v1: Present st: NotStopd t0: [21:00:00 01/12/2015] id: Braden Activity el: 0 cu: CCU cg: RN v1: Bedfast st: NotStopd t0: [21:00:00 01/12/2015] id: Braden Frict/Shear el: 0 cu: CCU cg: RN v1: Potential Prob st: NotStopd t0: [21:00:00 01/12/2015] id: Braden Mobility el: 0 cu: CCU cg: RN v1: Very Limited st: NotStopd t0: [21:00:00 01/12/2015] id: Braden Moisture el: 0 cu: CCU cg: RN v1: Rarely Moist st: NotStopd t0: [21:00:00 01/12/2015] id: Braden Nutrition el: 0 cu: CCU cg: RN v1: Adequate st: NotStopd t0: [21:00:00 01/12/2015] id: Braden Score el: 0 cu: CCU cg: RN v1: 14 u1: number st: NotStopd t0: [21:00:00 01/12/2015] id: Braden SensoryPercep el: 0 cu: CCU cg: RN v1: Very Limited st: NotStopd
t0: [21:00:00 01/12/2015] id: Po Intake PO/Gastric el: 1 cu: CCU cg: RN ai: 103 vo: 50 vu: ml t0: [21:00:00 01/12/2015] tf: [16:00:00 02/12/2015] dt: 1140 id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: CCU cg: RN ai: 107 vo: 30 vu: ml t0: [21:00:00 01/12/2015] id: Drain Out #1 Pericardial el: 1 cu: CCU cg: RN vo: 0 vu: ml
t0: [23:00:00 01/12/2015] dt: 24 id: PO/Gastric In Total el: 1 cu: CCU cg: RN cv: 350 ap: none t0: [23:00:00 01/12/2015] dt: 24 id: Drain #1 Total Out el: 1 cu: CCU cg: RN cv: 4 ap: none
t0: [21:00:00 01/12/2015] id: CVP el: 0 cu: CCU cg: RN v1: 16 u1: mmHg st: NotStopd
t0: [21:00:00 01/12/2015] tf: [21:40:00 02/12/2015] dt: 1480 id: Urine Out Condom Cath el: 1 cu: CCU cg: RN vo: 200 vu: ml
t0: [23:00:00 01/12/2015] dt: 1 id: Total Hourly Output el: 1 cu: CCU cg: RN cv: 0 ap: none t0: [23:00:00 01/12/2015] dt: 24 id: Urine Out Total el: 1 cu: CCU cg: RN cv: 200 ap: none t0: [23:00:00 01/12/2015] dt: 24 id: 24h Total Out el: 1 cu: CCU cg: RN cv: 204 ap: none
t0: [20:00:00 01/12/2015] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: Occasional st: NotStopd t0: [20:00:00 01/12/2015] id: Ectopy Type el: 0 cu: CCU cg: RN v1: PVC's st: NotStopd t0: [21:00:00 01/12/2015] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: Occasional st: NotStopd t0: [21:00:00 01/12/2015] id: Ectopy Type el: 0 cu: CCU cg: RN v1: PVC's st: NotStopd
t0: [22:00:00 01/12/2015] id: Service Type el: 0 cu: CCU cg: RN v1: CCU st: NotStopd t0: [22:00:00 01/12/2015] id: CVP el: 0 cu: CCU cg: RN v1: 15 u1: mmHg st: NotStopd t0: [22:00:00 01/12/2015] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [22:00:00 01/12/2015] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: Rare st: NotStopd t0: [22:00:00 01/12/2015] id: Ectopy Type el: 0 cu: CCU cg: RN v1: PVC's st: NotStopd t0: [22:00:00 01/12/2015] id: Heart Rate el: 0 cu: CCU cg: RN v1: 69 u1: BPM st: NotStopd t0: [22:00:00 01/12/2015] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Normal Sinus st: NotStopd t0: [22:00:00 01/12/2015] id: NBP el: 0 cu: CCU cg: RN v1: 132 u1: mmHg v2: 76 u2: mmHg st: NotStopd t0: [22:00:00 01/12/2015] id: NBP Mean el: 0 cu: CCU cg: RN v1: 94.6667 u1: mmHg st: NotStopd t0: [22:00:00 01/12/2015] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [22:00:00 01/12/2015] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 23 u1: BPM st: NotStopd t0: [22:00:00 01/12/2015] id: SpO2 el: 0 cu: CCU cg: RN v1: 95 u1: % st: NotStopd t0: [22:00:00 01/12/2015] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd
t0: [22:00:00 01/12/2015] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: CCU cg: RN ai: 107 vo: 10 vu: ml
t0: [23:00:00 01/12/2015] dt: 1 id: Net Hourly Balance el: 1 cu: CCU cg: RN cv: 0 ap: none t0: [23:00:00 01/12/2015] dt: 24 id: IV Infusion In Total el: 1 cu: CCU cg: RN cv: 40 ap: none t0: [23:00:00 01/12/2015] dt: 24 id: 24h Total In el: 1 cu: CCU cg: RN cv: 390 ap: none t0: [23:00:00 01/12/2015] dt: 24 id: 24h Net Body Balance el: 1 cu: CCU cg: RN cv: 186 ap: none t0: [23:00:00 01/12/2015] dt: multiple days id: LOS Net Body Balance el: 1 cu: CCU cg: RN cv: 186 ap: none
t0: [23:00:00 01/12/2015] id: Service Type el: 0 cu: CCU cg: RN v1: CCU st: NotStopd t0: [23:00:00 01/12/2015] id: CVP el: 0 cu: CCU cg: RN v1: 16 u1: mmHg st: NotStopd t0: [23:00:00 01/12/2015] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [23:00:00 01/12/2015] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [23:00:00 01/12/2015] id: Ectopy Type el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [23:00:00 01/12/2015] id: Heart Rate el: 0 cu: CCU cg: RN v1: 70 u1: BPM st: NotStopd t0: [23:00:00 01/12/2015] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Normal Sinus st: NotStopd t0: [23:00:00 01/12/2015] id: NBP el: 0 cu: CCU cg: RN v1: 123 u1: mmHg v2: 79 u2: mmHg st: NotStopd t0: [23:00:00 01/12/2015] id: NBP Mean el: 0 cu: CCU cg: RN v1: 93.6667 u1: mmHg st: NotStopd t0: [23:00:00 01/12/2015] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [23:00:00 01/12/2015] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 33 u1: BPM st: NotStopd t0: [23:00:00 01/12/2015] id: SpO2 el: 0 cu: CCU cg: RN v1: 91 u1: % st: NotStopd t0: [23:00:00 01/12/2015] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd
t0: [23:09:00 01/12/2015] id: Potassium Chemistry el: 0 cu: CCU cg: 140 v1: 6.2 rs: Final st: NotStopd t0: [23:09:00 01/12/2015] id: Potassium (3.5-5.3) Chemistry el: 0 cu: CCU cg: 140 v1: 6.2 rs: Final st: NotStopd
tf: [23:00:00 02/12/2015] pt: Unit Dose rt: PO fr: ONCE fs: 0 dn: 1 m1: Sodium Polystyrene Sulfonate v1: 60 u1: gm
t0: [00:00:00 02/12/2015] id: Service Type el: 0 cu: CCU cg: RN v1: CCU st: NotStopd t0: [00:00:00 02/12/2015] id: CVP el: 0 cu: CCU cg: RN v1: 17 u1: mmHg st: NotStopd t0: [00:00:00 02/12/2015] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [00:00:00 02/12/2015] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: Rare st: NotStopd t0: [00:00:00 02/12/2015] id: Ectopy Type el: 0 cu: CCU cg: RN v1: PVC's st: NotStopd t0: [00:00:00 02/12/2015] id: Heart Rate el: 0 cu: CCU cg: RN v1: 62 u1: BPM st: NotStopd t0: [00:00:00 02/12/2015] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Normal Sinus st: NotStopd t0: [00:00:00 02/12/2015] id: NBP el: 0 cu: CCU cg: RN v1: 117 u1: mmHg v2: 67 u2: mmHg st: NotStopd t0: [00:00:00 02/12/2015] id: NBP Mean el: 0 cu: CCU cg: RN v1: 83.6667 u1: mmHg st: NotStopd t0: [00:00:00 02/12/2015] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [00:00:00 02/12/2015] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 19 u1: BPM st: NotStopd t0: [00:00:00 02/12/2015] id: SpO2 el: 0 cu: CCU cg: RN v1: 97 u1: % st: NotStopd t0: [00:00:00 02/12/2015] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd
t0: [00:00:00 02/12/2015] id: Po Intake PO/Gastric el: 1 cu: CCU cg: RN ai: 103 vo: 180 vu: ml t0: [00:00:00 02/12/2015] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: CCU cg: RN ai: 107 vo: 20 vu: ml
t0: [23:00:00 02/12/2015] dt: 1 id: Net Hourly Balance el: 1 cu: CCU cg: RN cv: 0 ap: none t0: [23:00:00 02/12/2015] dt: 24 id: IV Infusion In Total el: 1 cu: CCU cg: RN cv: 140 ap: none t0: [23:00:00 02/12/2015] dt: 24 id: 24h Total In el: 1 cu: CCU cg: RN cv: 1460 ap: none t0: [23:00:00 02/12/2015] dt: 24 id: PO/Gastric In Total el: 1 cu: CCU cg: RN cv: 1320 ap: none t0: [23:00:00 02/12/2015] dt: 24 id: 24h Net Body Balance el: 1 cu: CCU cg: RN cv: 624.5 ap: carryForward t0: [23:00:00 02/12/2015] dt: multiple days id: LOS Net Body Balance el: 1 cu: CCU cg: RN cv: 810.5 ap: carryForward
t0: [01:00:00 02/12/2015] id: Service Type el: 0 cu: CCU cg: RN v1: CCU st: NotStopd t0: [01:00:00 02/12/2015] id: CVP el: 0 cu: CCU cg: RN v1: 15 u1: mmHg st: NotStopd t0: [01:00:00 02/12/2015] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [01:00:00 02/12/2015] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [01:00:00 02/12/2015] id: Ectopy Type el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [01:00:00 02/12/2015] id: Heart Rate el: 0 cu: CCU cg: RN v1: 72 u1: BPM st: NotStopd t0: [01:00:00 02/12/2015] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Normal Sinus st: NotStopd t0: [01:00:00 02/12/2015] id: NBP el: 0 cu: CCU cg: RN v1: 117 u1: mmHg v2: 64 u2: mmHg st: NotStopd t0: [01:00:00 02/12/2015] id: NBP Mean el: 0 cu: CCU cg: RN v1: 81.6667 u1: mmHg st: NotStopd t0: [01:00:00 02/12/2015] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [01:00:00 02/12/2015] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 32 u1: BPM st: NotStopd t0: [01:00:00 02/12/2015] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd t0: [02:00:00 02/12/2015] id: Service Type el: 0 cu: CCU cg: RN v1: CCU st: NotStopd t0: [02:00:00 02/12/2015] id: CVP el: 0 cu: CCU cg: RN v1: 15 u1: mmHg st: NotStopd t0: [02:00:00 02/12/2015] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [02:00:00 02/12/2015] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [02:00:00 02/12/2015] id: Ectopy Type el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [02:00:00 02/12/2015] id: Heart Rate el: 0 cu: CCU cg: RN v1: 72 u1: BPM st: NotStopd t0: [02:00:00 02/12/2015] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Normal Sinus st: NotStopd t0: [02:00:00 02/12/2015] id: NBP el: 0 cu: CCU cg: RN v1: 119 u1: mmHg v2: 68 u2: mmHg st: NotStopd t0: [02:00:00 02/12/2015] id: NBP Mean el: 0 cu: CCU cg: RN v1: 85 u1: mmHg st: NotStopd t0: [02:00:00 02/12/2015] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [02:00:00 02/12/2015] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 15 u1: BPM st: NotStopd t0: [02:00:00 02/12/2015] id: SpO2 el: 0 cu: CCU cg: RN v1: 97 u1: % st: NotStopd t0: [02:00:00 02/12/2015] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd
t0: [21:00:00 01/12/2015] id: Procedures el: 0 cu: CCU cg: RN v1: EKG st: NotStopd t0: [03:00:00 02/12/2015] id: Service Type el: 0 cu: CCU cg: RN v1: CCU st: NotStopd t0: [03:00:00 02/12/2015] id: CVP el: 0 cu: CCU cg: RN v1: 19 u1: mmHg st: NotStopd t0: [03:00:00 02/12/2015] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [03:00:00 02/12/2015] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: Occasional st: NotStopd t0: [03:00:00 02/12/2015] id: Ectopy Type el: 0 cu: CCU cg: RN v1: PVC's st: NotStopd t0: [03:00:00 02/12/2015] id: Heart Rate el: 0 cu: CCU cg: RN v1: 72 u1: BPM st: NotStopd t0: [03:00:00 02/12/2015] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Normal Sinus st: NotStopd t0: [03:00:00 02/12/2015] id: NBP el: 0 cu: CCU cg: RN v1: 120 u1: mmHg v2: 77 u2: mmHg st: NotStopd t0: [03:00:00 02/12/2015] id: NBP Mean el: 0 cu: CCU cg: RN v1: 91.3333 u1: mmHg st: NotStopd t0: [03:00:00 02/12/2015] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [03:00:00 02/12/2015] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 31 u1: BPM st: NotStopd t0: [03:00:00 02/12/2015] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd
t0: [03:00:00 02/12/2015] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: CCU cg: RN ai: 107 vo: 30 vu: ml
t0: [04:00:00 02/12/2015] id: Service Type el: 0 cu: CCU cg: RN v1: CCU st: NotStopd t0: [04:00:00 02/12/2015] id: CVP el: 0 cu: CCU cg: RN v1: 15 u1: mmHg st: NotStopd t0: [04:00:00 02/12/2015] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [04:00:00 02/12/2015] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: Occasional st: NotStopd t0: [04:00:00 02/12/2015] id: Ectopy Type el: 0 cu: CCU cg: RN v1: PVC's st: NotStopd t0: [04:00:00 02/12/2015] id: Heart Rate el: 0 cu: CCU cg: RN v1: 72 u1: BPM st: NotStopd t0: [04:00:00 02/12/2015] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Normal Sinus st: NotStopd t0: [04:00:00 02/12/2015] id: NBP el: 0 cu: CCU cg: RN v1: 116 u1: mmHg v2: 66 u2: mmHg st: NotStopd t0: [04:00:00 02/12/2015] id: NBP Mean el: 0 cu: CCU cg: RN v1: 82.6667 u1: mmHg st: NotStopd t0: [04:00:00 02/12/2015] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [04:00:00 02/12/2015] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 24 u1: BPM st: NotStopd t0: [04:00:00 02/12/2015] id: SpO2 el: 0 cu: CCU cg: RN v1: 95 u1: % st: NotStopd t0: [04:00:00 02/12/2015] id: Temp. Site el: 0 cu: CCU cg: RN v1: Oral st: NotStopd t0: [04:00:00 02/12/2015] id: Temperature C (calc) el: 0 cu: CCU cg: RN v1: 36.4444 u1: Deg. C st: NotStopd t0: [04:00:00 02/12/2015] id: Temperature F el: 0 cu: CCU cg: RN v1: 97.6 u1: Deg. F st: NotStopd t0: [04:00:00 02/12/2015] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd t0: [05:00:00 02/12/2015] id: Service Type el: 0 cu: CCU cg: RN v1: CCU st: NotStopd t0: [05:00:00 02/12/2015] id: CVP el: 0 cu: CCU cg: RN v1: 15 u1: mmHg st: NotStopd t0: [05:00:00 02/12/2015] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [05:00:00 02/12/2015] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [05:00:00 02/12/2015] id: Ectopy Type el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [05:00:00 02/12/2015] id: Heart Rate el: 0 cu: CCU cg: RN v1: 60 u1: BPM st: NotStopd t0: [05:00:00 02/12/2015] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Normal Sinus st: NotStopd t0: [05:00:00 02/12/2015] id: NBP el: 0 cu: CCU cg: RN v1: 119 u1: mmHg v2: 67 u2: mmHg st: NotStopd t0: [05:00:00 02/12/2015] id: NBP Mean el: 0 cu: CCU cg: RN v1: 84.3333 u1: mmHg st: NotStopd t0: [05:00:00 02/12/2015] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [05:00:00 02/12/2015] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 17 u1: BPM st: NotStopd t0: [05:00:00 02/12/2015] id: SpO2 el: 0 cu: CCU cg: RN v1: 96 u1: % st: NotStopd t0: [05:00:00 02/12/2015] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd
t0: [04:00:00 02/12/2015] tf: [21:40:00 02/12/2015] dt: 1060 id: Drain Out #1 Pericardial el: 1 cu: CCU cg: RN vo: 0 vu: ml t0: [04:00:00 02/12/2015] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: CCU cg: RN ai: 107 vo: 10 vu: ml t0: [04:00:00 02/12/2015] id: Drain Out #1 Pericardial el: 1 cu: CCU cg: RN vo: 0.5 vu: ml t0: [05:00:00 02/12/2015] id: Stool Out Stool el: 1 cu: CCU cg: RN vu: ml es: Large
t0: [23:00:00 02/12/2015] dt: 24 id: Drain #1 Total Out el: 1 cu: CCU cg: RN cv: 0.5 ap: none
t0: [04:00:00 02/12/2015] id: Urine Out Condom Cath el: 1 cu: CCU cg: RN vo: 250 vu: ml t0: [05:00:00 02/12/2015] id: Po Intake PO/Gastric el: 1 cu: CCU cg: RN ai: 103 vo: 120 vu: ml t0: [05:00:00 02/12/2015] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: CCU cg: RN ai: 107 vo: 10 vu: ml t0: [05:00:00 02/12/2015] id: Urine Out Condom Cath el: 1 cu: CCU cg: RN vu: ml
t0: [04:58:00 02/12/2015] id: WBC (4-11,000) Hematology el: 0 cu: CCU cg: 140 v1: 17 rs: Final st: NotStopd t0: [04:58:00 02/12/2015] id: WBC Hematology el: 0 cu: CCU cg: 140 v1: 17 rs: Final st: NotStopd t0: [04:58:00 02/12/2015] id: Hematocrit Hematology el: 0 cu: CCU cg: 140 v1: 33.2 u1: % rs: Final st: NotStopd t0: [04:58:00 02/12/2015] id: Hemoglobin Hematology el: 0 cu: CCU cg: 140 v1: 10.1 u1: gm/dl rs: Final st: NotStopd t0: [04:58:00 02/12/2015] id: Platelets Hematology el: 0 cu: CCU cg: 140 v1: 633 rs: Final st: NotStopd t0: [04:58:00 02/12/2015] id: RBC Hematology el: 0 cu: CCU cg: 140 v1: 3.62 u1: /mic l rs: Final st: NotStopd t0: [04:58:00 02/12/2015] id: WBC (4-11,000) Hematology el: 0 cu: CCU cg: 140 v1: 17 rs: Final st: NotStopd
t0: [04:58:00 02/12/2015] id: BUN el: 0 cu: CCU cg: 140 v1: 94 rs: Final st: NotStopd t0: [04:58:00 02/12/2015] id: Chloride Chemistry el: 0 cu: CCU cg: 140 v1: 96 rs: Final st: NotStopd t0: [04:58:00 02/12/2015] id: Creatinine Chemistry el: 0 cu: CCU cg: 140 v1: 1.9 rs: Final st: NotStopd t0: [04:58:00 02/12/2015] id: Glucose Chemistry el: 0 cu: CCU cg: 140 v1: 139 rs: Final st: NotStopd t0: [04:58:00 02/12/2015] id: Potassium Chemistry el: 0 cu: CCU cg: 140 v1: 5.6 rs: Final st: NotStopd t0: [04:58:00 02/12/2015] id: Sodium Chemistry el: 0 cu: CCU cg: 140 v1: 132 rs: Final st: NotStopd t0: [04:58:00 02/12/2015] id: BUN (6-20) Chemistry el: 0 cu: CCU cg: 140 v1: 94 rs: Final st: NotStopd t0: [04:58:00 02/12/2015] id: Carbon Dioxide Chemistry el: 0 cu: CCU cg: 140 v1: 27 rs: Final st: NotStopd t0: [04:58:00 02/12/2015] id: Chloride (100-112) Chemistry el: 0 cu: CCU cg: 140 v1: 96 rs: Final st: NotStopd t0: [04:58:00 02/12/2015] id: Creatinine (0-1.3) Chemistry el: 0 cu: CCU cg: 140 v1: 1.9 rs: Final st: NotStopd t0: [04:58:00 02/12/2015] id: Glucose (70-105) Chemistry el: 0 cu: CCU cg: 140 v1: 139 rs: Final st: NotStopd t0: [04:58:00 02/12/2015] id: Potassium (3.5-5.3) Chemistry el: 0 cu: CCU cg: 140 v1: 5.6 rs: Final st: NotStopd t0: [04:58:00 02/12/2015] id: Sodium (135-148) Chemistry el: 0 cu: CCU cg: 140 v1: 132 rs: Final st: NotStopd
t0: [06:00:00 02/12/2015] id: Service Type el: 0 cu: CCU cg: RN v1: CCU st: NotStopd t0: [06:00:00 02/12/2015] id: CVP el: 0 cu: CCU cg: RN v1: 16 u1: mmHg st: NotStopd t0: [06:00:00 02/12/2015] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [06:00:00 02/12/2015] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [06:00:00 02/12/2015] id: Ectopy Type el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [06:00:00 02/12/2015] id: Heart Rate el: 0 cu: CCU cg: RN v1: 74 u1: BPM st: NotStopd t0: [06:00:00 02/12/2015] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Normal Sinus st: NotStopd t0: [06:00:00 02/12/2015] id: NBP el: 0 cu: CCU cg: RN v1: 129 u1: mmHg v2: 76 u2: mmHg st: NotStopd t0: [06:00:00 02/12/2015] id: NBP Mean el: 0 cu: CCU cg: RN v1: 93.6667 u1: mmHg st: NotStopd t0: [06:00:00 02/12/2015] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [06:00:00 02/12/2015] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 20 u1: BPM st: NotStopd t0: [06:00:00 02/12/2015] id: SpO2 el: 0 cu: CCU cg: RN v1: 96 u1: % st: NotStopd t0: [06:00:00 02/12/2015] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd
t0: [06:00:00 02/12/2015] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: CCU cg: RN ai: 107 vo: 10 vu: ml t0: [06:00:00 02/12/2015] id: Stool Out Stool el: 1 cu: CCU cg: RN vu: ml es: Large
t0: [21:00:00 01/12/2015] id: Alarms el: 0 cu: CCU cg: RN v1: ON st: NotStopd t0: [21:00:00 01/12/2015] id: Parameters Checked el: 0 cu: CCU cg: RN v1: Yes st: NotStopd t0: [00:00:00 02/12/2015] id: GI Prophylaxis el: 0 cu: CCU cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [00:00:00 02/12/2015] id: Diet Type el: 0 cu: CCU cg: RN v1: Clear Liquid st: NotStopd t0: [00:00:00 02/12/2015] id: Dorsal PedPulse R/L el: 0 cu: CCU cg: RN v1: Diff to Palpate v2: Diff to Palpate st: NotStopd t0: [00:00:00 02/12/2015] id: Alarms el: 0 cu: CCU cg: RN v1: ON st: NotStopd t0: [00:00:00 02/12/2015] id: Parameters Checked el: 0 cu: CCU cg: RN v1: Yes st: NotStopd t0: [00:00:00 02/12/2015] id: Edema Location/Amt#1 el: 0 cu: CCU cg: RN v1: Both Legs v2: 6 mm st: NotStopd t0: [00:00:00 02/12/2015] id: Eye Opening el: 0 cu: CCU cg: RN v1: 4 Spontaneously st: NotStopd t0: [00:00:00 02/12/2015] id: GCS Total el: 0 cu: CCU cg: RN v1: 15 u1: points st: NotStopd t0: [00:00:00 02/12/2015] id: HOB el: 0 cu: CCU cg: RN v1: Reverse T-Berg st: NotStopd t0: [00:00:00 02/12/2015] id: INV Line#1 Type/Site el: 0 cu: CCU cg: RN v1: Venous Access v2: Right Femoral st: NotStopd t0: [00:00:00 02/12/2015] id: INV Line#1 Zero/Cal el: 0 cu: CCU cg: RN v1: Yes st: NotStopd t0: [00:00:00 02/12/2015] id: INV Line#1InsertDate el: 0 cu: CCU cg: RN v1: 12 v2: 2 st: NotStopd t0: [00:00:00 02/12/2015] id: INV Line#1SiteAppear el: 0 cu: CCU cg: RN v1: WNL st: NotStopd t0: [00:00:00 02/12/2015] id: Abdominal Assessment el: 0 cu: CCU cg: RN v1: Soft st: NotStopd t0: [00:00:00 02/12/2015] id: INV#1 WaveformAppear el: 0 cu: CCU cg: RN v1: Sharp st: NotStopd t0: [00:00:00 02/12/2015] id: Activity el: 0 cu: CCU cg: RN v1: Bedrest st: NotStopd t0: [00:00:00 02/12/2015] id: Activity Tolerance el: 0 cu: CCU cg: RN v1: Tolerated Well st: NotStopd t0: [00:00:00 02/12/2015] id: LLE Temp/Color el: 0 cu: CCU cg: RN v1: Warm v2: Normal st: NotStopd t0: [00:00:00 02/12/2015] id: LLL Lung Sounds el: 0 cu: CCU cg: RN v1: Coarse st: NotStopd t0: [00:00:00 02/12/2015] id: LUL Lung Sounds el: 0 cu: CCU cg: RN v1: Coarse st: NotStopd t0: [00:00:00 02/12/2015] id: Level of Conscious el: 0 cu: CCU cg: RN v1: Dozing Intermit st: NotStopd t0: [00:00:00 02/12/2015] id: Angio Appearance #1 el: 0 cu: CCU cg: RN v1: Clean and Dry v2: Clean and Dry st: NotStopd t0: [00:00:00 02/12/2015] id: Motor Response el: 0 cu: CCU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [00:00:00 02/12/2015] id: Angio Dressing #1 el: 0 cu: CCU cg: RN v1: Transparent st: NotStopd t0: [00:00:00 02/12/2015] id: Oral Cavity el: 0 cu: CCU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [00:00:00 02/12/2015] id: Orientation el: 0 cu: CCU cg: RN v1: Oriented x 3 st: NotStopd t0: [00:00:00 02/12/2015] id: Angio Site #1 el: 0 cu: CCU cg: RN v1: R Femoral st: NotStopd t0: [00:00:00 02/12/2015] id: Pericard Drain Site el: 0 cu: CCU cg: RN v1: Intact st: NotStopd t0: [00:00:00 02/12/2015] id: Pericard Drain Stat el: 0 cu: CCU cg: RN v1: Gravity st: NotStopd t0: [00:00:00 02/12/2015] id: Pericardial Drainage el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [00:00:00 02/12/2015] id: Position el: 0 cu: CCU cg: RN v1: Supine st: NotStopd t0: [00:00:00 02/12/2015] id: PostTib. Pulses R/L el: 0 cu: CCU cg: RN v1: Diff to Palpate v2: Diff to Palpate st: NotStopd t0: [00:00:00 02/12/2015] id: Assistance Device el: 0 cu: CCU cg: RN v1: 2 Person Assist st: NotStopd t0: [00:00:00 02/12/2015] id: RLE Temp/Color el: 0 cu: CCU cg: RN v1: Warm v2: Normal st: NotStopd t0: [00:00:00 02/12/2015] id: RLL Lung Sounds el: 0 cu: CCU cg: RN v1: Absent st: NotStopd t0: [00:00:00 02/12/2015] id: RUL Lung Sounds el: 0 cu: CCU cg: RN v1: Clear st: NotStopd t0: [00:00:00 02/12/2015] id: Respiratory Pattern el: 0 cu: CCU cg: RN v1: Regular st: NotStopd t0: [00:00:00 02/12/2015] id: Restraint Location el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [00:00:00 02/12/2015] id: Side Rails el: 0 cu: CCU cg: RN v1: Side Rails Up st: NotStopd t0: [00:00:00 02/12/2015] id: Skin Integrity el: 0 cu: CCU cg: RN v1: Intact st: NotStopd t0: [00:00:00 02/12/2015] id: Support Systems el: 0 cu: CCU cg: RN v1: Spouse st: NotStopd t0: [00:00:00 02/12/2015] id: Turn el: 0 cu: CCU cg: RN v1: Left Side st: NotStopd t0: [00:00:00 02/12/2015] id: Urine Color/Appear el: 0 cu: CCU cg: RN v1: Yellow v2: Clear st: NotStopd t0: [00:00:00 02/12/2015] id: Urine Source el: 0 cu: CCU cg: RN v1: Condom Catheter st: NotStopd t0: [00:00:00 02/12/2015] id: Verbal Response el: 0 cu: CCU cg: RN v1: 5 Oriented st: NotStopd t0: [00:00:00 02/12/2015] id: Bowel Sounds el: 0 cu: CCU cg: RN v1: Present st: NotStopd t0: [01:00:00 02/12/2015] id: Pain Present el: 0 cu: CCU cg: RN v1: No st: NotStopd t0: [01:00:00 02/12/2015] id: Riker-SAS Scale el: 0 cu: CCU cg: RN v1: Calm/Cooperative st: NotStopd t0: [01:00:00 02/12/2015] id: Daily Wake Up el: 1 cu: CCU cg: RN v1: No/Not Sedated st: NotStopd t0: [01:00:00 02/12/2015] id: O2 Delivery Device el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [01:00:00 02/12/2015] id: Pain Location el: 0 cu: CCU cg: RN v1: Not Indicated st: NotStopd t0: [04:00:00 02/12/2015] id: GI Prophylaxis el: 0 cu: CCU cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [04:00:00 02/12/2015] id: Diet Type el: 0 cu: CCU cg: RN v1: Clear Liquid st: NotStopd t0: [04:00:00 02/12/2015] id: Dorsal PedPulse R/L el: 0 cu: CCU cg: RN v1: Diff to Palpate v2: Diff to Palpate st: NotStopd t0: [04:00:00 02/12/2015] id: Alarms el: 0 cu: CCU cg: RN v1: ON st: NotStopd t0: [04:00:00 02/12/2015] id: Parameters Checked el: 0 cu: CCU cg: RN v1: Yes st: NotStopd t0: [04:00:00 02/12/2015] id: Edema Location/Amt#1 el: 0 cu: CCU cg: RN v1: Both Legs v2: 6 mm st: NotStopd t0: [04:00:00 02/12/2015] id: Eye Opening el: 0 cu: CCU cg: RN v1: 4 Spontaneously st: NotStopd t0: [04:00:00 02/12/2015] id: GCS Total el: 0 cu: CCU cg: RN v1: 15 u1: points st: NotStopd t0: [04:00:00 02/12/2015] id: HOB el: 0 cu: CCU cg: RN v1: Reverse T-Berg st: NotStopd t0: [04:00:00 02/12/2015] id: Abdominal Assessment el: 0 cu: CCU cg: RN v1: Soft st: NotStopd t0: [04:00:00 02/12/2015] id: Activity el: 0 cu: CCU cg: RN v1: Bedrest st: NotStopd t0: [04:00:00 02/12/2015] id: Activity Tolerance el: 0 cu: CCU cg: RN v1: Tolerated Well st: NotStopd t0: [04:00:00 02/12/2015] id: LLE Temp/Color el: 0 cu: CCU cg: RN v1: Warm v2: Normal st: NotStopd t0: [04:00:00 02/12/2015] id: LLL Lung Sounds el: 0 cu: CCU cg: RN v1: Coarse st: NotStopd t0: [04:00:00 02/12/2015] id: LUL Lung Sounds el: 0 cu: CCU cg: RN v1: Coarse st: NotStopd t0: [04:00:00 02/12/2015] id: Level of Conscious el: 0 cu: CCU cg: RN v1: Alert st: NotStopd t0: [04:00:00 02/12/2015] id: Angio Appearance #1 el: 0 cu: CCU cg: RN v1: Clean and Dry v2: Clean and Dry st: NotStopd t0: [04:00:00 02/12/2015] id: Motor Response el: 0 cu: CCU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [04:00:00 02/12/2015] id: Angio Dressing #1 el: 0 cu: CCU cg: RN v1: Transparent st: NotStopd t0: [04:00:00 02/12/2015] id: Oral Cavity el: 0 cu: CCU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [04:00:00 02/12/2015] id: Orientation el: 0 cu: CCU cg: RN v1: Oriented x 3 st: NotStopd t0: [04:00:00 02/12/2015] id: Angio Site #1 el: 0 cu: CCU cg: RN v1: R Femoral st: NotStopd t0: [04:00:00 02/12/2015] id: Pericard Drain Site el: 0 cu: CCU cg: RN v1: Intact st: NotStopd t0: [04:00:00 02/12/2015] id: Pericard Drain Stat el: 0 cu: CCU cg: RN v1: Gravity st: NotStopd t0: [04:00:00 02/12/2015] id: Pericardial Drainage el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [04:00:00 02/12/2015] id: Position el: 0 cu: CCU cg: RN v1: Supine st: NotStopd t0: [04:00:00 02/12/2015] id: PostTib. Pulses R/L el: 0 cu: CCU cg: RN v1: Diff to Palpate v2: Diff to Palpate st: NotStopd t0: [04:00:00 02/12/2015] id: Assistance Device el: 0 cu: CCU cg: RN v1: 2 Person Assist st: NotStopd t0: [04:00:00 02/12/2015] id: RLE Temp/Color el: 0 cu: CCU cg: RN v1: Warm v2: Normal st: NotStopd t0: [04:00:00 02/12/2015] id: RLL Lung Sounds el: 0 cu: CCU cg: RN v1: Absent st: NotStopd t0: [04:00:00 02/12/2015] id: RUL Lung Sounds el: 0 cu: CCU cg: RN v1: Clear st: NotStopd t0: [04:00:00 02/12/2015] id: Respiratory Pattern el: 0 cu: CCU cg: RN v1: Regular st: NotStopd t0: [04:00:00 02/12/2015] id: Restraint Location el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [04:00:00 02/12/2015] id: Side Rails el: 0 cu: CCU cg: RN v1: Side Rails Up st: NotStopd t0: [04:00:00 02/12/2015] id: Support Systems el: 0 cu: CCU cg: RN v1: Spouse st: NotStopd t0: [04:00:00 02/12/2015] id: Turn el: 0 cu: CCU cg: RN v1: Right Side st: NotStopd t0: [04:00:00 02/12/2015] id: Urine Source el: 0 cu: CCU cg: RN v1: Condom Catheter st: NotStopd t0: [04:00:00 02/12/2015] id: Verbal Response el: 0 cu: CCU cg: RN v1: 5 Oriented st: NotStopd t0: [04:00:00 02/12/2015] id: Bowel Sounds el: 0 cu: CCU cg: RN v1: Present st: NotStopd t0: [05:00:00 02/12/2015] id: Pain Present el: 0 cu: CCU cg: RN v1: No st: NotStopd t0: [05:00:00 02/12/2015] id: Riker-SAS Scale el: 0 cu: CCU cg: RN v1: Calm/Cooperative st: NotStopd t0: [05:00:00 02/12/2015] id: Daily Wake Up el: 1 cu: CCU cg: RN v1: No/Not Sedated st: NotStopd t0: [05:00:00 02/12/2015] id: INV Line#1 Type/Site el: 0 cu: CCU cg: RN v1: Venous Access v2: Right Femoral st: NotStopd t0: [05:00:00 02/12/2015] id: INV Line#1 Zero/Cal el: 0 cu: CCU cg: RN v1: Yes st: NotStopd t0: [05:00:00 02/12/2015] id: INV Line#1InsertDate el: 0 cu: CCU cg: RN v1: 12 v2: 2 st: NotStopd t0: [05:00:00 02/12/2015] id: INV Line#1SiteAppear el: 0 cu: CCU cg: RN v1: WNL st: NotStopd t0: [05:00:00 02/12/2015] id: INV#1 WaveformAppear el: 0 cu: CCU cg: RN v1: Sharp st: NotStopd t0: [05:00:00 02/12/2015] id: O2 Delivery Device el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [05:00:00 02/12/2015] id: Pain Location el: 0 cu: CCU cg: RN v1: Not Indicated st: NotStopd t0: [05:00:00 02/12/2015] id: Pain Type el: 0 cu: CCU cg: RN v1: None st: NotStopd
t0: [08:00:00 02/12/2015] id: Pain Present el: 0 cu: CCU cg: RN v1: No st: NotStopd t0: [08:00:00 02/12/2015] id: Service Type el: 0 cu: CCU cg: RN v1: CCU st: NotStopd t0: [08:00:00 02/12/2015] id: CVP el: 0 cu: CCU cg: RN v1: 15 u1: mmHg st: NotStopd t0: [08:00:00 02/12/2015] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [08:00:00 02/12/2015] id: Riker-SAS Scale el: 0 cu: CCU cg: RN v1: Calm/Cooperative st: NotStopd t0: [08:00:00 02/12/2015] id: GI Prophylaxis el: 0 cu: CCU cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [08:00:00 02/12/2015] id: Diet Type el: 0 cu: CCU cg: RN v1: Clear Liquid st: NotStopd t0: [08:00:00 02/12/2015] id: Dorsal PedPulse R/L el: 0 cu: CCU cg: RN v1: Weak Palpable v2: Weak Palpable st: NotStopd t0: [08:00:00 02/12/2015] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [08:00:00 02/12/2015] id: Ectopy Type el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [08:00:00 02/12/2015] id: Alarms el: 0 cu: CCU cg: RN v1: ON st: NotStopd t0: [08:00:00 02/12/2015] id: Parameters Checked el: 0 cu: CCU cg: RN v1: Yes st: NotStopd t0: [08:00:00 02/12/2015] id: Edema Location/Amt#1 el: 0 cu: CCU cg: RN v1: Both Legs v2: 6 mm st: NotStopd t0: [08:00:00 02/12/2015] id: Eye Opening el: 0 cu: CCU cg: RN v1: 4 Spontaneously st: NotStopd t0: [08:00:00 02/12/2015] id: GCS Total el: 0 cu: CCU cg: RN v1: 15 u1: points st: NotStopd t0: [08:00:00 02/12/2015] id: HOB el: 0 cu: CCU cg: RN v1: Reverse T-Berg st: NotStopd t0: [08:00:00 02/12/2015] id: Heart Rate el: 0 cu: CCU cg: RN v1: 71 u1: BPM st: NotStopd t0: [08:00:00 02/12/2015] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Normal Sinus st: NotStopd t0: [08:00:00 02/12/2015] id: INV Line#1 Type/Site el: 0 cu: CCU cg: RN v1: Venous Access v2: Right Femoral st: NotStopd t0: [08:00:00 02/12/2015] id: INV Line#1 Zero/Cal el: 0 cu: CCU cg: RN v1: Yes st: NotStopd t0: [08:00:00 02/12/2015] id: INV Line#1InsertDate el: 0 cu: CCU cg: RN v1: 12 v2: 2 st: NotStopd t0: [08:00:00 02/12/2015] id: INV Line#1SiteAppear el: 0 cu: CCU cg: RN v1: WNL st: NotStopd t0: [08:00:00 02/12/2015] id: Abdominal Assessment el: 0 cu: CCU cg: RN v1: Soft st: NotStopd t0: [08:00:00 02/12/2015] id: INV#1 WaveformAppear el: 0 cu: CCU cg: RN v1: Sharp st: NotStopd t0: [08:00:00 02/12/2015] id: Activity el: 0 cu: CCU cg: RN v1: Bedrest st: NotStopd t0: [08:00:00 02/12/2015] id: LLE Temp/Color el: 0 cu: CCU cg: RN v1: Warm v2: Normal st: NotStopd t0: [08:00:00 02/12/2015] id: LUL Lung Sounds el: 0 cu: CCU cg: RN v1: Clear st: NotStopd t0: [08:00:00 02/12/2015] id: Level of Conscious el: 0 cu: CCU cg: RN v1: Alert st: NotStopd t0: [08:00:00 02/12/2015] id: Angio Appearance #1 el: 0 cu: CCU cg: RN v1: Clean and Dry v2: Clean and Dry st: NotStopd t0: [08:00:00 02/12/2015] id: Motor Response el: 0 cu: CCU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [08:00:00 02/12/2015] id: NBP el: 0 cu: CCU cg: RN v1: 113 u1: mmHg v2: 62 u2: mmHg st: NotStopd t0: [08:00:00 02/12/2015] id: NBP Mean el: 0 cu: CCU cg: RN v1: 79 u1: mmHg st: NotStopd t0: [08:00:00 02/12/2015] id: Angio Dressing #1 el: 0 cu: CCU cg: RN v1: Transparent st: NotStopd t0: [08:00:00 02/12/2015] id: Oral Cavity el: 0 cu: CCU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [08:00:00 02/12/2015] id: Orientation el: 0 cu: CCU cg: RN v1: Oriented x 3 st: NotStopd t0: [08:00:00 02/12/2015] id: Angio Site #1 el: 0 cu: CCU cg: RN v1: R Femoral st: NotStopd t0: [08:00:00 02/12/2015] id: Pain Location el: 0 cu: CCU cg: RN v1: Not Indicated st: NotStopd t0: [08:00:00 02/12/2015] id: Pericard Drain Site el: 0 cu: CCU cg: RN v1: Intact st: NotStopd t0: [08:00:00 02/12/2015] id: Pericard Drain Stat el: 0 cu: CCU cg: RN v1: Gravity st: NotStopd t0: [08:00:00 02/12/2015] id: Pericardial Drainage el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [08:00:00 02/12/2015] id: Position el: 0 cu: CCU cg: RN v1: Supine st: NotStopd t0: [08:00:00 02/12/2015] id: PostTib. Pulses R/L el: 0 cu: CCU cg: RN v1: Weak Palpable v2: Weak Palpable st: NotStopd t0: [08:00:00 02/12/2015] id: Assistance Device el: 0 cu: CCU cg: RN v1: 2 Person Assist st: NotStopd t0: [08:00:00 02/12/2015] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [08:00:00 02/12/2015] id: RLE Temp/Color el: 0 cu: CCU cg: RN v1: Warm v2: Normal st: NotStopd t0: [08:00:00 02/12/2015] id: RLL Lung Sounds el: 0 cu: CCU cg: RN v1: Other/Remarks st: NotStopd t0: [08:00:00 02/12/2015] id: RUL Lung Sounds el: 0 cu: CCU cg: RN v1: Clear st: NotStopd t0: [08:00:00 02/12/2015] id: Respiratory Pattern el: 0 cu: CCU cg: RN v1: Regular st: NotStopd t0: [08:00:00 02/12/2015] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 23 u1: BPM st: NotStopd t0: [08:00:00 02/12/2015] id: Restraint Location el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [08:00:00 02/12/2015] id: Side Rails el: 0 cu: CCU cg: RN v1: Side Rails Up st: NotStopd t0: [08:00:00 02/12/2015] id: Skin Integrity el: 0 cu: CCU cg: RN v1: Intact st: NotStopd t0: [08:00:00 02/12/2015] id: SpO2 el: 0 cu: CCU cg: RN v1: 95 u1: % st: NotStopd t0: [08:00:00 02/12/2015] id: Support Systems el: 0 cu: CCU cg: RN v1: Spouse st: NotStopd t0: [08:00:00 02/12/2015] id: Temp. Site el: 0 cu: CCU cg: RN v1: Oral st: NotStopd t0: [08:00:00 02/12/2015] id: Temperature C (calc) el: 0 cu: CCU cg: RN v1: 36.5556 u1: Deg. C st: NotStopd t0: [08:00:00 02/12/2015] id: Temperature F el: 0 cu: CCU cg: RN v1: 97.8 u1: Deg. F st: NotStopd t0: [08:00:00 02/12/2015] id: Turn el: 0 cu: CCU cg: RN v1: Right Side st: NotStopd t0: [08:00:00 02/12/2015] id: Urine Color/Appear el: 0 cu: CCU cg: RN v1: Yellow v2: Clear st: NotStopd t0: [08:00:00 02/12/2015] id: Urine Source el: 0 cu: CCU cg: RN v1: Condom Catheter st: NotStopd t0: [08:00:00 02/12/2015] id: Verbal Response el: 0 cu: CCU cg: RN v1: 5 Oriented st: NotStopd t0: [08:00:00 02/12/2015] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd t0: [08:00:00 02/12/2015] id: Bowel Sounds el: 0 cu: CCU cg: RN v1: Present st: NotStopd t0: [08:00:00 02/12/2015] id: Braden Activity el: 0 cu: CCU cg: RN v1: Bedfast st: NotStopd t0: [08:00:00 02/12/2015] id: Braden Frict/Shear el: 0 cu: CCU cg: RN v1: Potential Prob st: NotStopd t0: [08:00:00 02/12/2015] id: Braden Mobility el: 0 cu: CCU cg: RN v1: Very Limited st: NotStopd t0: [08:00:00 02/12/2015] id: Braden Moisture el: 0 cu: CCU cg: RN v1: Occ. Moist st: NotStopd t0: [08:00:00 02/12/2015] id: Braden Nutrition el: 0 cu: CCU cg: RN v1: Prob. Inadequate st: NotStopd t0: [08:00:00 02/12/2015] id: Braden Score el: 0 cu: CCU cg: RN v1: 14 u1: number st: NotStopd t0: [08:00:00 02/12/2015] id: Braden SensoryPercep el: 0 cu: CCU cg: RN v1: No Impairment st: NotStopd
t0: [08:00:00 02/12/2015] id: Po Intake PO/Gastric el: 1 cu: CCU cg: RN ai: 103 vo: 180 vu: ml t0: [08:00:00 02/12/2015] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: CCU cg: RN ai: 107 vo: 20 vu: ml
t0: [10:00:00 02/12/2015] id: INV Line#1 Type/Site el: 0 cu: CCU cg: -1 st: D/C'd t0: [10:00:00 02/12/2015] id: INV Line#1 Zero/Cal el: 0 cu: CCU cg: -1 st: D/C'd t0: [10:00:00 02/12/2015] id: INV Line#1InsertDate el: 0 cu: CCU cg: -1 st: D/C'd t0: [10:00:00 02/12/2015] id: INV Line#1SiteAppear el: 0 cu: CCU cg: -1 st: D/C'd t0: [10:00:00 02/12/2015] id: INV#1 WaveformAppear el: 0 cu: CCU cg: -1 st: D/C'd
t0: [09:00:00 02/12/2015] id: Service Type el: 0 cu: CCU cg: RN v1: CCU st: NotStopd t0: [09:00:00 02/12/2015] id: CVP el: 0 cu: CCU cg: RN v1: 17 u1: mmHg st: NotStopd t0: [09:00:00 02/12/2015] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [09:00:00 02/12/2015] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [09:00:00 02/12/2015] id: Ectopy Type el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [09:00:00 02/12/2015] id: Heart Rate el: 0 cu: CCU cg: RN v1: 63 u1: BPM st: NotStopd t0: [09:00:00 02/12/2015] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Normal Sinus st: NotStopd t0: [09:00:00 02/12/2015] id: IV #1 Insert Date el: 0 cu: CCU cg: RN v1: 12 v2: 3 st: NotStopd t0: [09:00:00 02/12/2015] id: IV #1 Site/Size el: 0 cu: CCU cg: RN v1: LL Post Forearm v2: 20 gauge st: NotStopd t0: [09:00:00 02/12/2015] id: IV Site Appear #1 el: 0 cu: CCU cg: RN v1: WNL st: NotStopd t0: [09:00:00 02/12/2015] id: NBP el: 0 cu: CCU cg: RN v1: 113 u1: mmHg v2: 64 u2: mmHg st: NotStopd t0: [09:00:00 02/12/2015] id: NBP Mean el: 0 cu: CCU cg: RN v1: 80.3333 u1: mmHg st: NotStopd t0: [09:00:00 02/12/2015] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [09:00:00 02/12/2015] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 28 u1: BPM st: NotStopd t0: [09:00:00 02/12/2015] id: SpO2 el: 0 cu: CCU cg: RN v1: 98 u1: % st: NotStopd t0: [09:00:00 02/12/2015] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd t0: [10:00:00 02/12/2015] id: Pain Present el: 0 cu: CCU cg: RN v1: No st: NotStopd t0: [10:00:00 02/12/2015] id: Service Type el: 0 cu: CCU cg: RN v1: CCU st: NotStopd t0: [10:00:00 02/12/2015] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [10:00:00 02/12/2015] id: Riker-SAS Scale el: 0 cu: CCU cg: RN v1: Calm/Cooperative st: NotStopd t0: [10:00:00 02/12/2015] id: Diet Type el: 0 cu: CCU cg: RN v1: Clear Liquid st: NotStopd t0: [10:00:00 02/12/2015] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [10:00:00 02/12/2015] id: Ectopy Type el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [10:00:00 02/12/2015] id: Eye Opening el: 0 cu: CCU cg: RN v1: 4 Spontaneously st: NotStopd t0: [10:00:00 02/12/2015] id: GCS Total el: 0 cu: CCU cg: RN v1: 15 u1: points st: NotStopd t0: [10:00:00 02/12/2015] id: Heart Rate el: 0 cu: CCU cg: RN v1: 66 u1: BPM st: NotStopd t0: [10:00:00 02/12/2015] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Normal Sinus st: NotStopd t0: [10:00:00 02/12/2015] id: INV Line#1 D/C Date el: 0 cu: CCU cg: RN v1: 12 v2: 3 st: NotStopd t0: [10:00:00 02/12/2015] id: Level of Conscious el: 0 cu: CCU cg: RN v1: Alert st: NotStopd t0: [10:00:00 02/12/2015] id: Motor Response el: 0 cu: CCU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [10:00:00 02/12/2015] id: NBP el: 0 cu: CCU cg: RN v1: 113 u1: mmHg v2: 69 u2: mmHg st: NotStopd t0: [10:00:00 02/12/2015] id: NBP Mean el: 0 cu: CCU cg: RN v1: 83.6667 u1: mmHg st: NotStopd t0: [10:00:00 02/12/2015] id: Orientation el: 0 cu: CCU cg: RN v1: Oriented x 3 st: NotStopd t0: [10:00:00 02/12/2015] id: Angio Site #1 el: 0 cu: CCU cg: RN v1: R Femoral st: NotStopd t0: [10:00:00 02/12/2015] id: Pain Location el: 0 cu: CCU cg: RN v1: Not Indicated st: NotStopd t0: [10:00:00 02/12/2015] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [10:00:00 02/12/2015] id: Respiratory Pattern el: 0 cu: CCU cg: RN v1: Regular st: NotStopd t0: [10:00:00 02/12/2015] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 17 u1: BPM st: NotStopd t0: [10:00:00 02/12/2015] id: SpO2 el: 0 cu: CCU cg: RN v1: 98 u1: % st: NotStopd t0: [10:00:00 02/12/2015] id: Urine Source el: 0 cu: CCU cg: RN v1: Condom Catheter st: NotStopd t0: [10:00:00 02/12/2015] id: Verbal Response el: 0 cu: CCU cg: RN v1: 5 Oriented st: NotStopd t0: [10:00:00 02/12/2015] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd
t0: [10:00:00 02/12/2015] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: CCU cg: RN ai: 107 vo: 20 vu: ml t0: [10:00:00 02/12/2015] id: Stool Out Stool el: 1 cu: CCU cg: RN vu: ml es: Small t0: [10:00:00 02/12/2015] id: Urine Out Condom Cath el: 1 cu: CCU cg: RN vo: 150 vu: ml
t0: [23:00:00 02/12/2015] dt: 24 id: Stool Out Total el: 1 cu: CCU cg: RN cv: 0 ap: carryForward
t0: [11:00:00 02/12/2015] id: Service Type el: 0 cu: CCU cg: RN v1: CCU st: NotStopd t0: [11:00:00 02/12/2015] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [11:00:00 02/12/2015] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [11:00:00 02/12/2015] id: Ectopy Type el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [11:00:00 02/12/2015] id: Heart Rate el: 0 cu: CCU cg: RN v1: 67 u1: BPM st: NotStopd t0: [11:00:00 02/12/2015] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Normal Sinus st: NotStopd t0: [11:00:00 02/12/2015] id: NBP el: 0 cu: CCU cg: RN v1: 126 u1: mmHg v2: 77 u2: mmHg st: NotStopd t0: [11:00:00 02/12/2015] id: NBP Mean el: 0 cu: CCU cg: RN v1: 93.3333 u1: mmHg st: NotStopd t0: [11:00:00 02/12/2015] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [11:00:00 02/12/2015] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 27 u1: BPM st: NotStopd t0: [11:00:00 02/12/2015] id: SpO2 el: 0 cu: CCU cg: RN v1: 98 u1: % st: NotStopd t0: [11:00:00 02/12/2015] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd
t0: [11:00:00 02/12/2015] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: CCU cg: RN ai: 107 vo: 10 vu: ml t0: [11:00:00 02/12/2015] tf: [21:40:00 02/12/2015] dt: 640 id: Chest Tubes Left Pleural 1 el: 1 cu: CCU cg: RN vo: 300 vu: ml
t0: [23:00:00 02/12/2015] dt: 24 id: Chest Tube Out Total el: 1 cu: CCU cg: RN cv: 300 ap: none
t0: [12:00:00 02/12/2015] id: Pericard Drain Stat el: 0 cu: CCU cg: -1 st: D/C'd t0: [12:00:00 02/12/2015] id: Pericardial Drainage el: 0 cu: CCU cg: -1 st: D/C'd
t0: [08:00:00 02/12/2015] id: LLL Lung Sounds el: 0 cu: CCU cg: RN v1: Coarse st: NotStopd t0: [12:00:00 02/12/2015] id: Pain Present el: 0 cu: CCU cg: RN v1: No st: NotStopd t0: [12:00:00 02/12/2015] id: Service Type el: 0 cu: CCU cg: RN v1: CCU st: NotStopd t0: [12:00:00 02/12/2015] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [12:00:00 02/12/2015] id: Riker-SAS Scale el: 0 cu: CCU cg: RN v1: Calm/Cooperative st: NotStopd t0: [12:00:00 02/12/2015] id: GI Prophylaxis el: 0 cu: CCU cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [12:00:00 02/12/2015] id: Diet Type el: 0 cu: CCU cg: RN v1: NAS/Low Cholest st: NotStopd t0: [12:00:00 02/12/2015] id: Dorsal PedPulse R/L el: 0 cu: CCU cg: RN v1: Weak Palpable v2: Weak Palpable st: NotStopd t0: [12:00:00 02/12/2015] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [12:00:00 02/12/2015] id: Ectopy Type el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [12:00:00 02/12/2015] id: Alarms el: 0 cu: CCU cg: RN v1: ON st: NotStopd t0: [12:00:00 02/12/2015] id: Parameters Checked el: 0 cu: CCU cg: RN v1: Yes st: NotStopd t0: [12:00:00 02/12/2015] id: Edema Location/Amt#1 el: 0 cu: CCU cg: RN v1: Both Legs v2: 6 mm st: NotStopd t0: [12:00:00 02/12/2015] id: Eye Opening el: 0 cu: CCU cg: RN v1: 4 Spontaneously st: NotStopd t0: [12:00:00 02/12/2015] id: Family Communication el: 0 cu: CCU cg: RN v1: Family Called st: NotStopd t0: [12:00:00 02/12/2015] id: GCS Total el: 0 cu: CCU cg: RN v1: 15 u1: points st: NotStopd t0: [12:00:00 02/12/2015] id: Heart Rate el: 0 cu: CCU cg: RN v1: 65 u1: BPM st: NotStopd t0: [12:00:00 02/12/2015] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Normal Sinus st: NotStopd t0: [12:00:00 02/12/2015] id: Abdominal Assessment el: 0 cu: CCU cg: RN v1: Soft st: NotStopd t0: [12:00:00 02/12/2015] id: IV #1 Insert Date el: 0 cu: CCU cg: RN v1: 12 v2: 3 st: NotStopd t0: [12:00:00 02/12/2015] id: IV #1 Site/Size el: 0 cu: CCU cg: RN v1: LL Post Forearm v2: 20 gauge st: NotStopd t0: [12:00:00 02/12/2015] id: LLE Temp/Color el: 0 cu: CCU cg: RN v1: Warm v2: Normal st: NotStopd t0: [12:00:00 02/12/2015] id: LLL Lung Sounds el: 0 cu: CCU cg: RN v1: Coarse st: NotStopd t0: [12:00:00 02/12/2015] id: LUL Lung Sounds el: 0 cu: CCU cg: RN v1: Clear st: NotStopd t0: [12:00:00 02/12/2015] id: Level of Conscious el: 0 cu: CCU cg: RN v1: Alert st: NotStopd t0: [12:00:00 02/12/2015] id: Angio Appearance #1 el: 0 cu: CCU cg: RN v1: Clean and Dry v2: Clean and Dry st: NotStopd t0: [12:00:00 02/12/2015] id: Motor Response el: 0 cu: CCU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [12:00:00 02/12/2015] id: NBP el: 0 cu: CCU cg: RN v1: 122 u1: mmHg v2: 80 u2: mmHg st: NotStopd t0: [12:00:00 02/12/2015] id: NBP Mean el: 0 cu: CCU cg: RN v1: 94 u1: mmHg st: NotStopd t0: [12:00:00 02/12/2015] id: Angio Dressing #1 el: 0 cu: CCU cg: RN v1: Transparent st: NotStopd t0: [12:00:00 02/12/2015] id: Oral Cavity el: 0 cu: CCU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [12:00:00 02/12/2015] id: Orientation el: 0 cu: CCU cg: RN v1: Oriented x 3 st: NotStopd t0: [12:00:00 02/12/2015] id: Angio Site #1 el: 0 cu: CCU cg: RN v1: R Femoral st: NotStopd t0: [12:00:00 02/12/2015] id: Pain Location el: 0 cu: CCU cg: RN v1: Not Indicated st: NotStopd t0: [12:00:00 02/12/2015] id: PostTib. Pulses R/L el: 0 cu: CCU cg: RN v1: Weak Palpable v2: Weak Palpable st: NotStopd t0: [12:00:00 02/12/2015] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [12:00:00 02/12/2015] id: RLE Temp/Color el: 0 cu: CCU cg: RN v1: Warm v2: Normal st: NotStopd t0: [12:00:00 02/12/2015] id: RLL Lung Sounds el: 0 cu: CCU cg: RN v1: Other/Remarks st: NotStopd t0: [12:00:00 02/12/2015] id: RUL Lung Sounds el: 0 cu: CCU cg: RN v1: Clear st: NotStopd t0: [12:00:00 02/12/2015] id: Respiratory Pattern el: 0 cu: CCU cg: RN v1: Regular st: NotStopd t0: [12:00:00 02/12/2015] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 32 u1: BPM st: NotStopd t0: [12:00:00 02/12/2015] id: Restraint Location el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [12:00:00 02/12/2015] id: Side Rails el: 0 cu: CCU cg: RN v1: Side Rails Up st: NotStopd t0: [12:00:00 02/12/2015] id: Skin Integrity el: 0 cu: CCU cg: RN v1: Intact st: NotStopd t0: [12:00:00 02/12/2015] id: SpO2 el: 0 cu: CCU cg: RN v1: 97 u1: % st: NotStopd t0: [12:00:00 02/12/2015] id: Support Systems el: 0 cu: CCU cg: RN v1: Spouse st: NotStopd t0: [12:00:00 02/12/2015] id: Temp. Site el: 0 cu: CCU cg: RN v1: Axillary st: NotStopd t0: [12:00:00 02/12/2015] id: Temperature C (calc) el: 0 cu: CCU cg: RN v1: 35.8333 u1: Deg. C st: NotStopd t0: [12:00:00 02/12/2015] id: Temperature F el: 0 cu: CCU cg: RN v1: 96.5 u1: Deg. F st: NotStopd t0: [12:00:00 02/12/2015] id: Urine Source el: 0 cu: CCU cg: RN v1: Condom Catheter st: NotStopd t0: [12:00:00 02/12/2015] id: Verbal Response el: 0 cu: CCU cg: RN v1: 5 Oriented st: NotStopd t0: [12:00:00 02/12/2015] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd t0: [12:00:00 02/12/2015] id: Bowel Sounds el: 0 cu: CCU cg: RN v1: Present st: NotStopd
t0: [10:00:00 02/12/2015] id: Po Intake PO/Gastric el: 1 cu: CCU cg: RN ai: 103 vo: 180 vu: ml t0: [12:00:00 02/12/2015] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: CCU cg: RN ai: 107 vo: 10 vu: ml
t0: [12:00:00 02/12/2015] id: Po Intake PO/Gastric el: 1 cu: CCU cg: RN ai: 103 vo: 180 vu: ml
t0: [04:58:00 02/12/2015] id: Serum Osmolality Chemistry el: 0 cu: CCU cg: 140 v1: 312 rs: Final st: NotStopd
t0: [16:00:00 02/12/2015] id: Service Type el: 0 cu: CCU cg: CoWker v1: CCU st: NotStopd t0: [16:00:00 02/12/2015] id: Code Status el: 0 cu: CCU cg: CoWker v1: Full Code st: NotStopd t0: [16:00:00 02/12/2015] id: Riker-SAS Scale el: 0 cu: CCU cg: CoWker v1: Calm/Cooperative st: NotStopd t0: [16:00:00 02/12/2015] id: Ectopy Frequency el: 0 cu: CCU cg: CoWker v1: None st: NotStopd t0: [16:00:00 02/12/2015] id: Ectopy Type el: 0 cu: CCU cg: CoWker v1: None st: NotStopd t0: [16:00:00 02/12/2015] id: Heart Rate el: 0 cu: CCU cg: CoWker v1: 70 u1: BPM st: NotStopd t0: [16:00:00 02/12/2015] id: Heart Rhythm el: 0 cu: CCU cg: CoWker v1: Normal Sinus st: NotStopd t0: [16:00:00 02/12/2015] id: NBP el: 0 cu: CCU cg: CoWker v1: 134 u1: mmHg v2: 84 u2: mmHg st: NotStopd t0: [16:00:00 02/12/2015] id: NBP Mean el: 0 cu: CCU cg: CoWker v1: 100.667 u1: mmHg st: NotStopd t0: [16:00:00 02/12/2015] id: Precautions el: 0 cu: CCU cg: CoWker v1: Universal st: NotStopd t0: [16:00:00 02/12/2015] id: Respiratory Rate el: 0 cu: CCU cg: CoWker v1: 31 u1: BPM st: NotStopd t0: [16:00:00 02/12/2015] id: SpO2 el: 0 cu: CCU cg: CoWker v1: 97 u1: % st: NotStopd t0: [16:00:00 02/12/2015] id: Temp. Site el: 0 cu: CCU cg: CoWker v1: Axillary st: NotStopd t0: [16:00:00 02/12/2015] id: Temperature C (calc) el: 0 cu: CCU cg: CoWker v1: 36.1111 u1: Deg. C st: NotStopd t0: [16:00:00 02/12/2015] id: Temperature F el: 0 cu: CCU cg: CoWker v1: 97 u1: Deg. F st: NotStopd t0: [16:00:00 02/12/2015] id: calprevflg el: 0 cu: CCU cg: CoWker v1: 1 u1: kg st: NotStopd
t0: [17:00:00 02/12/2015] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: CCU cg: -1 ai: 107 vo: 0 st: D/C'd
t0: [16:00:00 02/12/2015] id: Pain Present el: 0 cu: CCU cg: RN v1: No st: NotStopd t0: [16:00:00 02/12/2015] id: GI Prophylaxis el: 0 cu: CCU cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [16:00:00 02/12/2015] id: Diet Type el: 0 cu: CCU cg: RN v1: NAS/Low Cholest st: NotStopd t0: [16:00:00 02/12/2015] id: Dorsal PedPulse R/L el: 0 cu: CCU cg: RN v1: Weak Palpable v2: Weak Palpable st: NotStopd t0: [16:00:00 02/12/2015] id: Alarms el: 0 cu: CCU cg: RN v1: ON st: NotStopd t0: [16:00:00 02/12/2015] id: Parameters Checked el: 0 cu: CCU cg: RN v1: Yes st: NotStopd t0: [16:00:00 02/12/2015] id: Edema Location/Amt#1 el: 0 cu: CCU cg: RN v1: Both Legs v2: 6 mm st: NotStopd t0: [16:00:00 02/12/2015] id: Eye Opening el: 0 cu: CCU cg: RN v1: 4 Spontaneously st: NotStopd t0: [16:00:00 02/12/2015] id: GCS Total el: 0 cu: CCU cg: RN v1: 15 u1: points st: NotStopd t0: [16:00:00 02/12/2015] id: Abdominal Assessment el: 0 cu: CCU cg: RN v1: Soft st: NotStopd t0: [16:00:00 02/12/2015] id: IV #1 Insert Date el: 0 cu: CCU cg: RN v1: 12 v2: 3 st: NotStopd t0: [16:00:00 02/12/2015] id: IV #1 Site/Size el: 0 cu: CCU cg: RN v1: LL Post Forearm v2: 20 gauge st: NotStopd t0: [16:00:00 02/12/2015] id: LLE Temp/Color el: 0 cu: CCU cg: RN v1: Warm v2: Normal st: NotStopd t0: [16:00:00 02/12/2015] id: LLL Lung Sounds el: 0 cu: CCU cg: RN v1: Coarse st: NotStopd t0: [16:00:00 02/12/2015] id: LUL Lung Sounds el: 0 cu: CCU cg: RN v1: Clear st: NotStopd t0: [16:00:00 02/12/2015] id: Level of Conscious el: 0 cu: CCU cg: RN v1: Alert st: NotStopd t0: [16:00:00 02/12/2015] id: Angio Appearance #1 el: 0 cu: CCU cg: RN v1: Clean and Dry v2: Clean and Dry st: NotStopd t0: [16:00:00 02/12/2015] id: Motor Response el: 0 cu: CCU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [16:00:00 02/12/2015] id: Angio Dressing #1 el: 0 cu: CCU cg: RN v1: Transparent st: NotStopd t0: [16:00:00 02/12/2015] id: Oral Cavity el: 0 cu: CCU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [16:00:00 02/12/2015] id: Orientation el: 0 cu: CCU cg: RN v1: Oriented x 3 st: NotStopd t0: [16:00:00 02/12/2015] id: Angio Site #1 el: 0 cu: CCU cg: RN v1: R Femoral st: NotStopd t0: [16:00:00 02/12/2015] id: Pain Location el: 0 cu: CCU cg: RN v1: Not Indicated st: NotStopd t0: [16:00:00 02/12/2015] id: PostTib. Pulses R/L el: 0 cu: CCU cg: RN v1: Weak Palpable v2: Weak Palpable st: NotStopd t0: [16:00:00 02/12/2015] id: RLE Temp/Color el: 0 cu: CCU cg: RN v1: Warm v2: Normal st: NotStopd t0: [16:00:00 02/12/2015] id: RLL Lung Sounds el: 0 cu: CCU cg: RN v1: Other/Remarks st: NotStopd t0: [16:00:00 02/12/2015] id: RUL Lung Sounds el: 0 cu: CCU cg: RN v1: Clear st: NotStopd t0: [16:00:00 02/12/2015] id: Respiratory Pattern el: 0 cu: CCU cg: RN v1: Regular st: NotStopd t0: [16:00:00 02/12/2015] id: Restraint Location el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [16:00:00 02/12/2015] id: Side Rails el: 0 cu: CCU cg: RN v1: Side Rails Up st: NotStopd t0: [16:00:00 02/12/2015] id: Support Systems el: 0 cu: CCU cg: RN v1: Spouse st: NotStopd t0: [16:00:00 02/12/2015] id: Urine Color/Appear el: 0 cu: CCU cg: RN v1: Yellow v2: Clear st: NotStopd t0: [16:00:00 02/12/2015] id: Urine Source el: 0 cu: CCU cg: RN v1: Condom Catheter st: NotStopd t0: [16:00:00 02/12/2015] id: Verbal Response el: 0 cu: CCU cg: RN v1: 5 Oriented st: NotStopd t0: [16:00:00 02/12/2015] id: Bowel Sounds el: 0 cu: CCU cg: RN v1: Present st: NotStopd t0: [16:00:00 02/12/2015] id: Braden Activity el: 0 cu: CCU cg: RN v1: Bedfast st: NotStopd t0: [16:00:00 02/12/2015] id: Braden Frict/Shear el: 0 cu: CCU cg: RN v1: Potential Prob st: NotStopd t0: [16:00:00 02/12/2015] id: Braden Mobility el: 0 cu: CCU cg: RN v1: Sl. Limited st: NotStopd t0: [16:00:00 02/12/2015] id: Braden Moisture el: 0 cu: CCU cg: RN v1: Occ. Moist st: NotStopd t0: [16:00:00 02/12/2015] id: Braden Nutrition el: 0 cu: CCU cg: RN v1: Prob. Inadequate st: NotStopd t0: [16:00:00 02/12/2015] id: Braden Score el: 0 cu: CCU cg: RN v1: 15 u1: number st: NotStopd t0: [16:00:00 02/12/2015] id: Braden SensoryPercep el: 0 cu: CCU cg: RN v1: No Impairment st: NotStopd
t0: [14:00:00 02/12/2015] id: Urine Out Condom Cath el: 1 cu: CCU cg: RN vo: 10 vu: ml t0: [16:00:00 02/12/2015] id: Po Intake PO/Gastric el: 1 cu: CCU cg: RN ai: 103 vo: 180 vu: ml t0: [16:00:00 02/12/2015] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: CCU cg: RN ai: 107 vo: 0 vu: ml
t0: [17:00:00 02/12/2015] id: Service Type el: 0 cu: CCU cg: RN v1: CCU st: NotStopd t0: [17:00:00 02/12/2015] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [17:00:00 02/12/2015] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [17:00:00 02/12/2015] id: Ectopy Type el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [17:00:00 02/12/2015] id: Heart Rate el: 0 cu: CCU cg: RN v1: 67 u1: BPM st: NotStopd t0: [17:00:00 02/12/2015] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Normal Sinus st: NotStopd t0: [17:00:00 02/12/2015] id: NBP el: 0 cu: CCU cg: RN v1: 130 u1: mmHg v2: 80 u2: mmHg st: NotStopd t0: [17:00:00 02/12/2015] id: NBP Mean el: 0 cu: CCU cg: RN v1: 96.6667 u1: mmHg st: NotStopd t0: [17:00:00 02/12/2015] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [17:00:00 02/12/2015] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 34 u1: BPM st: NotStopd t0: [17:00:00 02/12/2015] id: SpO2 el: 0 cu: CCU cg: RN v1: 95 u1: % st: NotStopd t0: [17:00:00 02/12/2015] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd
t0: [17:00:00 02/12/2015] id: Po Intake PO/Gastric el: 1 cu: CCU cg: RN ai: 103 vo: 180 vu: ml t0: [17:00:00 02/12/2015] id: Urine Out Condom Cath el: 1 cu: CCU cg: RN vo: 125 vu: ml
t0: [23:00:00 02/12/2015] dt: 1 id: Total Hourly Output el: 1 cu: CCU cg: RN cv: 0 ap: none t0: [23:00:00 02/12/2015] dt: 24 id: Urine Out Total el: 1 cu: CCU cg: RN cv: 535 ap: none t0: [23:00:00 02/12/2015] dt: 24 id: 24h Total Out el: 1 cu: CCU cg: RN cv: 835.5 ap: carryForward
t0: [20:00:00 02/12/2015] id: CVP el: 0 cu: CCU cg: -1 st: D/C'd
t0: [19:00:00 02/12/2015] id: Service Type el: 0 cu: CCU cg: RN v1: CCU st: NotStopd t0: [19:00:00 02/12/2015] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [19:00:00 02/12/2015] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [19:00:00 02/12/2015] id: Ectopy Type el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [19:00:00 02/12/2015] id: Heart Rate el: 0 cu: CCU cg: RN v1: 71 u1: BPM st: NotStopd t0: [19:00:00 02/12/2015] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Normal Sinus st: NotStopd t0: [19:00:00 02/12/2015] id: NBP el: 0 cu: CCU cg: RN v1: 135 u1: mmHg v2: 74 u2: mmHg st: NotStopd t0: [19:00:00 02/12/2015] id: NBP Mean el: 0 cu: CCU cg: RN v1: 94.3333 u1: mmHg st: NotStopd t0: [19:00:00 02/12/2015] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [19:00:00 02/12/2015] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 24 u1: BPM st: NotStopd t0: [19:00:00 02/12/2015] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd t0: [20:00:00 02/12/2015] id: Service Type el: 0 cu: CCU cg: RN v1: CCU st: NotStopd t0: [20:00:00 02/12/2015] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [20:00:00 02/12/2015] id: Riker-SAS Scale el: 0 cu: CCU cg: RN v1: Calm/Cooperative st: NotStopd t0: [20:00:00 02/12/2015] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [20:00:00 02/12/2015] id: Ectopy Type el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [20:00:00 02/12/2015] id: Alarms el: 0 cu: CCU cg: RN v1: ON st: NotStopd t0: [20:00:00 02/12/2015] id: Parameters Checked el: 0 cu: CCU cg: RN v1: Yes st: NotStopd t0: [20:00:00 02/12/2015] id: Heart Rate el: 0 cu: CCU cg: RN v1: 72 u1: BPM st: NotStopd t0: [20:00:00 02/12/2015] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Normal Sinus st: NotStopd t0: [20:00:00 02/12/2015] id: IV #1 Insert Date el: 0 cu: CCU cg: RN v1: 12 v2: 3 st: NotStopd t0: [20:00:00 02/12/2015] id: IV #1 Site/Size el: 0 cu: CCU cg: RN v1: LL Post Forearm v2: 20 gauge st: NotStopd t0: [20:00:00 02/12/2015] id: IV Site Appear #1 el: 0 cu: CCU cg: RN v1: WNL st: NotStopd t0: [20:00:00 02/12/2015] id: NBP el: 0 cu: CCU cg: RN v1: 143 u1: mmHg v2: 86 u2: mmHg st: NotStopd t0: [20:00:00 02/12/2015] id: NBP Mean el: 0 cu: CCU cg: RN v1: 105 u1: mmHg st: NotStopd t0: [20:00:00 02/12/2015] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [20:00:00 02/12/2015] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 35 u1: BPM st: NotStopd t0: [20:00:00 02/12/2015] id: SpO2 el: 0 cu: CCU cg: RN v1: 98 u1: % st: NotStopd t0: [20:00:00 02/12/2015] id: Temp. Site el: 0 cu: CCU cg: RN v1: Oral st: NotStopd t0: [20:00:00 02/12/2015] id: Temperature C (calc) el: 0 cu: CCU cg: RN v1: 35.5556 u1: Deg. C st: NotStopd t0: [20:00:00 02/12/2015] id: Temperature F el: 0 cu: CCU cg: RN v1: 96 u1: Deg. F st: NotStopd t0: [20:00:00 02/12/2015] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd
t0: [20:00:00 02/12/2015] id: Po Intake PO/Gastric el: 1 cu: CCU cg: RN ai: 103 vo: 120 vu: ml
t0: [20:00:00 02/12/2015] id: GI Prophylaxis el: 0 cu: CCU cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [20:00:00 02/12/2015] id: Diet Type el: 0 cu: CCU cg: RN v1: NAS/Low Cholest st: NotStopd t0: [20:00:00 02/12/2015] id: Dorsal PedPulse R/L el: 0 cu: CCU cg: RN v1: Weak Palpable v2: Weak Palpable st: NotStopd t0: [20:00:00 02/12/2015] id: Edema Location/Amt#1 el: 0 cu: CCU cg: RN v1: Both Legs v2: 6 mm st: NotStopd t0: [20:00:00 02/12/2015] id: Eye Opening el: 0 cu: CCU cg: RN v1: 4 Spontaneously st: NotStopd t0: [20:00:00 02/12/2015] id: Family Communication el: 0 cu: CCU cg: RN v1: Family Visited st: NotStopd t0: [20:00:00 02/12/2015] id: GCS Total el: 0 cu: CCU cg: RN v1: 15 u1: points st: NotStopd t0: [20:00:00 02/12/2015] id: HOB el: 0 cu: CCU cg: RN v1: 30 degrees st: NotStopd t0: [20:00:00 02/12/2015] id: Abdominal Assessment el: 0 cu: CCU cg: RN v1: Soft st: NotStopd t0: [20:00:00 02/12/2015] id: Activity el: 0 cu: CCU cg: RN v1: Bedrest st: NotStopd t0: [20:00:00 02/12/2015] id: Activity Tolerance el: 0 cu: CCU cg: RN v1: Tolerated Well st: NotStopd t0: [20:00:00 02/12/2015] id: LLE Temp/Color el: 0 cu: CCU cg: RN v1: Warm v2: Normal st: NotStopd t0: [20:00:00 02/12/2015] id: LLL Lung Sounds el: 0 cu: CCU cg: RN v1: Coarse st: NotStopd t0: [20:00:00 02/12/2015] id: LUL Lung Sounds el: 0 cu: CCU cg: RN v1: Coarse st: NotStopd t0: [20:00:00 02/12/2015] id: Level of Conscious el: 0 cu: CCU cg: RN v1: Alert st: NotStopd t0: [20:00:00 02/12/2015] id: Angio Appearance #1 el: 0 cu: CCU cg: RN v1: Clean and Dry v2: Clean and Dry st: NotStopd t0: [20:00:00 02/12/2015] id: Motor Response el: 0 cu: CCU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [20:00:00 02/12/2015] id: Angio Dressing #1 el: 0 cu: CCU cg: RN v1: Transparent st: NotStopd t0: [20:00:00 02/12/2015] id: Oral Cavity el: 0 cu: CCU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [20:00:00 02/12/2015] id: Orientation el: 0 cu: CCU cg: RN v1: Oriented x 3 st: NotStopd t0: [20:00:00 02/12/2015] id: Angio Site #1 el: 0 cu: CCU cg: RN v1: R Femoral st: NotStopd t0: [20:00:00 02/12/2015] id: Pericard Drain Site el: 0 cu: CCU cg: RN v1: Intact st: NotStopd t0: [20:00:00 02/12/2015] id: Position el: 0 cu: CCU cg: RN v1: Supine st: NotStopd t0: [20:00:00 02/12/2015] id: PostTib. Pulses R/L el: 0 cu: CCU cg: RN v1: Weak Palpable v2: Weak Palpable st: NotStopd t0: [20:00:00 02/12/2015] id: Assistance Device el: 0 cu: CCU cg: RN v1: 1 Person Assist st: NotStopd t0: [20:00:00 02/12/2015] id: RLE Temp/Color el: 0 cu: CCU cg: RN v1: Warm v2: Normal st: NotStopd t0: [20:00:00 02/12/2015] id: RLL Lung Sounds el: 0 cu: CCU cg: RN v1: Absent st: NotStopd t0: [20:00:00 02/12/2015] id: RUL Lung Sounds el: 0 cu: CCU cg: RN v1: Clear st: NotStopd t0: [20:00:00 02/12/2015] id: Respiratory Pattern el: 0 cu: CCU cg: RN v1: Regular st: NotStopd t0: [20:00:00 02/12/2015] id: Restraint Location el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [20:00:00 02/12/2015] id: Side Rails el: 0 cu: CCU cg: RN v1: Side Rails Up st: NotStopd t0: [20:00:00 02/12/2015] id: Skin Integrity el: 0 cu: CCU cg: RN v1: Intact st: NotStopd t0: [20:00:00 02/12/2015] id: Support Systems el: 0 cu: CCU cg: RN v1: Spouse st: NotStopd t0: [20:00:00 02/12/2015] id: Turn el: 0 cu: CCU cg: RN v1: Left Side st: NotStopd t0: [20:00:00 02/12/2015] id: Urine Color/Appear el: 0 cu: CCU cg: RN v1: Yellow v2: Clear st: NotStopd t0: [20:00:00 02/12/2015] id: Urine Source el: 0 cu: CCU cg: RN v1: Condom Catheter st: NotStopd t0: [20:00:00 02/12/2015] id: Verbal Response el: 0 cu: CCU cg: RN v1: 5 Oriented st: NotStopd t0: [20:00:00 02/12/2015] id: Behavior el: 0 cu: CCU cg: RN v1: Calm st: NotStopd t0: [20:00:00 02/12/2015] id: Bowel Sounds el: 0 cu: CCU cg: RN v1: Present st: NotStopd t0: [20:00:00 02/12/2015] id: Braden Activity el: 0 cu: CCU cg: RN v1: Bedfast st: NotStopd t0: [20:00:00 02/12/2015] id: Braden Frict/Shear el: 0 cu: CCU cg: RN v1: Potential Prob st: NotStopd t0: [20:00:00 02/12/2015] id: Braden Mobility el: 0 cu: CCU cg: RN v1: Very Limited st: NotStopd t0: [20:00:00 02/12/2015] id: Braden Moisture el: 0 cu: CCU cg: RN v1: Rarely Moist st: NotStopd t0: [20:00:00 02/12/2015] id: Braden Nutrition el: 0 cu: CCU cg: RN v1: Adequate st: NotStopd t0: [20:00:00 02/12/2015] id: Braden Score el: 0 cu: CCU cg: RN v1: 15 u1: number st: NotStopd t0: [20:00:00 02/12/2015] id: Braden SensoryPercep el: 0 cu: CCU cg: RN v1: Sl. Limited st: NotStopd t0: [21:00:00 02/12/2015] id: Pain Present el: 0 cu: CCU cg: RN v1: No st: NotStopd t0: [21:00:00 02/12/2015] id: Service Type el: 0 cu: CCU cg: RN v1: CCU st: NotStopd t0: [21:00:00 02/12/2015] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [21:00:00 02/12/2015] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [21:00:00 02/12/2015] id: Ectopy Type el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [21:00:00 02/12/2015] id: Heart Rate el: 0 cu: CCU cg: RN v1: 75 u1: BPM st: NotStopd t0: [21:00:00 02/12/2015] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Normal Sinus st: NotStopd t0: [21:00:00 02/12/2015] id: NBP el: 0 cu: CCU cg: RN v1: 136 u1: mmHg v2: 74 u2: mmHg st: NotStopd t0: [21:00:00 02/12/2015] id: NBP Mean el: 0 cu: CCU cg: RN v1: 94.6667 u1: mmHg st: NotStopd t0: [21:00:00 02/12/2015] id: O2 Delivery Device el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [21:00:00 02/12/2015] id: Pain Location el: 0 cu: CCU cg: RN v1: Not Indicated st: NotStopd t0: [21:00:00 02/12/2015] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [21:00:00 02/12/2015] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 30 u1: BPM st: NotStopd t0: [21:00:00 02/12/2015] id: SpO2 el: 0 cu: CCU cg: RN v1: 96 u1: % st: NotStopd t0: [21:00:00 02/12/2015] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd
tf: [16:00:00 04/12/2015] pt: Unit Dose rt: SC fr: Q12H fs: 20, 8 dn: 2 m1: Enoxaparin Sodium v1: 50 u1: mg
tf: [18:00:00 05/12/2015] pt: Unit Dose rt: PO fr: Q8H fs: 16, 0, 8 dn: 3 m1: Amoxicillin-Clavulanic Acid v1: 500 u1: mg
tf: [17:00:00 05/12/2015] pt: Unit Dose rt: PO fr: Q12H fs: 18, 6 dn: 2 m1: Voriconazole v1: 400 u1: mg
tf: [16:00:00 04/12/2015] pt: Unit Dose rt: SC fr: Q12H fs: 20, 8 dn: 2 m1: Enoxaparin Sodium v1: 50 u1: mg tf: [07:00:00 08/12/2015] pt: Unit Dose rt: SC fr: Q12H fs: 20, 8 dn: 2 m1: Enoxaparin Sodium v1: 50 u1: mg
tf: [13:00:00 23/12/2015] pt: Unit Dose rt: PO fr: Q12H fs: 18, 6 dn: 2 m1: Voriconazole v1: 200 u1: mg
tf: [14:00:00 06/12/2015] pt: IV Piggyback rt: IV fr: Q8H fs: 21, 5, 13 dn: 3 m1: Piperacillin-Tazobactam Na v1: 4.5 u1: gm m2: Iso-Osmotic Dextrose v2: 100 u2: ml
tf: [16:00:00 06/12/2015] pt: IV Piggyback rt: IV fr: Q6H fs: 15, 21, 3, 9 dn: 4 m1: Piperacillin-Tazobactam Na v1: 2.25 u1: gm m2: Iso-Osmotic Dextrose v2: 50 u2: ml
tf: [10:00:00 09/12/2015] pt: IV Piggyback rt: IV fr: Q8H fs: 0, 8, 16 dn: 3 m1: Unasyn v1: 3 u1: gm m2: NS v2: 100 u2: ml
tf: [02:00:00 09/12/2015] pt: Unit Dose rt: SC fr: Q12H fs: 20, 8 dn: 2 m1: Enoxaparin Sodium v1: 50 u1: mg
tf: [16:00:00 09/12/2015] pt: Unit Dose rt: PO fr: QD fs: 10 dn: 1 m1: Thiamine HCl v1: 100 u1: mg tf: [19:00:00 17/12/2015] pt: Unit Dose rt: PO fr: QD fs: 10 dn: 1 m1: Lisinopril v1: 5 u1: mg tf: [22:00:00 25/12/2015] pt: Unit Dose rt: PO fr: QD fs: 10 dn: 1 m1: Multivitamins v1: 1 u1: CAP tf: [23:00:00 28/12/2015] pt: Unit Dose rt: IV fr: QD fs: 10 dn: 1 m1: Thiamine HCl v1: 100 u1: mg
tf: [13:00:00 23/12/2015] pt: Unit Dose rt: PO fr: TID fs: 08, 16, 22 dn: 3 m1: Amoxicillin-Clavulanic Acid v1: 500 u1: mg
tf: [16:00:00 16/12/2015] pt: Unit Dose rt: SC fr: Q12H fs: 20, 8 dn: 2 m1: Enoxaparin Sodium v1: 50 u1: mg
tf: [21:00:00 10/12/2015] pt: Unit Dose rt: PO fr: BID fs: 10, 22 dn: 2 m1: Magnesium Oxide v1: 400 u1: mg tf: [11:00:00 11/12/2015] pt: Unit Dose rt: PO fr: HS fs: 22 dn: 1 m1: Mirtazapine v1: 7.5 u1: mg
tf: [02:00:00 12/12/2015] pt: Unit Dose rt: PO fr: HS:PRN m1: Zolpidem Tartrate v1: 5-10 u1: mg
tf: [14:00:00 12/12/2015] pt: Unit Dose rt: IV fr: ONCE fs: 15 dn: 1 m1: Flumazenil v1: 0.25 u1: mg
tf: [12:00:00 14/12/2015] pt: Unit Dose rt: PO fr: TID fs: 08, 16, 22 dn: 3 m1: Metoprolol v1: 50 u1: mg
tf: [17:00:00 14/12/2015] pt: Unit Dose rt: PO fr: BID fs: 10, 22 dn: 2 m1: Furosemide v1: 20 u1: mg
tf: [14:00:00 16/01/2016] pt: Unit Dose rt: PO fr: HS:PRN m1: Diphenhydramine HCl v1: 12.5-25 u1: mg
tf: [09:00:00 14/12/2015] pt: IV Piggyback rt: IV fr: ONCE fs: 10 dn: 1 m1: Sodium Phosphate v1: 15 u1: mmol m2: NS v2: 250 u2: ml tf: [10:00:00 14/12/2015] pt: Unit Dose rt: PO fr: BID fs: 10, 22 dn: 2 m1: Magnesium Oxide v1: 400 u1: mg
tf: [17:00:00 18/12/2015] pt: Unit Dose rt: PO fr: TID W/MEALS fs: 08, 12, 17 dn: 3 m1: Calcium Carbonate v1: 500 u1: mg
tf: [11:00:00 15/12/2015] pt: Unit Dose rt: PO fr: TID fs: 08, 16, 22 dn: 3 m1: Metoprolol v1: 37.5 u1: mg
tf: [17:00:00 16/12/2015] pt: Unit Dose rt: PO fr: BID fs: 10, 22 dn: 2 m1: Furosemide v1: 40 u1: mg
tf: [11:00:00 16/12/2015] pt: Unit Dose rt: PO fr: ONCE fs: 12 dn: 1 m1: Sodium Polystyrene Sulfonate v1: 30 u1: gm tf: [13:00:00 23/12/2015] pt: Unit Dose rt: PO fr: HS:PRN m1: Lorazepam v1: 0.5 u1: mg
tf: [17:00:00 18/12/2015] pt: Unit Dose rt: PO fr: TID fs: 08, 16, 22 dn: 3 m1: Metoprolol v1: 25 u1: mg
tf: [01:00:00 05/01/2016] pt: Unit Dose rt: IV fr: ASDIR m1: Atropine Sulfate v1: 1 u1: AMP
tf: [14:00:00 21/12/2015] pt: Unit Dose rt: SC fr: Q12H fs: 16, 4 dn: 2 m1: Enoxaparin Sodium v1: 50 u1: mg
tf: [08:00:00 18/12/2015] pt: Unit Dose rt: IV fr: ONCE fs: 0 dn: 1 m1: Bumetanide v1: 1 u1: mg
tf: [14:00:00 19/12/2015] pt: Unit Dose rt: PO fr: BID fs: 10, 22 dn: 2 m1: Furosemide v1: 20 u1: mg tf: [14:00:00 21/12/2015] pt: Unit Dose rt: PO fr: TID fs: 08, 16, 22 dn: 3 m1: Metoprolol v1: 37.5 u1: mg
tf: [11:00:00 31/01/2016] pt: IV Piggyback rt: SC fr: 3X/WEEK fs: 10 m1: Epoetin Alfa v1: 2000 u1: UNIT m2: Vial v2: 1 u2: VIAL tf: [11:00:00 02/02/2016] pt: IV Piggyback rt: SC fr: 3X/WEEK fs: 10 m1: Epoetin Alfa v1: 3000 u1: UNIT m2: Vial v2: 1 u2: VIAL
tf: [09:00:00 21/12/2015] pt: Unit Dose rt: PO fr: TID fs: 08, 16, 22 dn: 3 m1: Captopril v1: 6.25 u1: mg
tf: [14:00:00 21/12/2015] pt: Unit Dose rt: IV fr: BID fs: 10, 22 dn: 2 m1: Furosemide v1: 20 u1: mg
tf: [23:00:00 20/12/2015] pt: Unit Dose rt: TP fr: ONCE fs: 0 dn: 1 m1: Benzocaine 20% Spray v1: 1 u1: SPRY
tf: [14:00:00 21/12/2015] pt: IV Piggyback rt: IV DRIP fr: INFUSION m1: DopAmine v1: 400 u1: mg m2: D5W v2: 250 u2: ml
tf: [14:00:00 21/12/2015] pt: Unit Dose rt: IV fr: ONCE fs: 0 dn: 1 m1: Furosemide v1: 20 u1: mg
tf: [14:00:00 21/12/2015] pt: Unit Dose rt: PO fr: ONCE fs: 10 dn: 1 m1: Sodium Polystyrene Sulfonate v1: 30 u1: gm
tf: [11:19:00 21/12/2015] dt: 32 cu: CCU de: FA2 di: Other
id: Dopamine el: 100 cu: CCU cg: RN io: D5W 250.0ml + 400mcgkgmin Dopamine IV Infusions am: 400 du: mcgkgmin rt: IV Drip
t0: [14:00:00 21/12/2015] id: IV #1 Reason DC'D el: 0 cu: CCU cg: -1 st: D/C'd t0: [14:00:00 21/12/2015] id: IV #2 Reason DC'D el: 0 cu: CCU cg: -1 st: D/C'd t0: [14:00:00 21/12/2015] id: IV #1 D/C Date el: 0 cu: CCU cg: -1 st: D/C'd t0: [14:00:00 21/12/2015] id: IV #1 Insert Date el: 0 cu: CCU cg: -1 st: D/C'd t0: [14:00:00 21/12/2015] id: IV #1 Site/Size el: 0 cu: CCU cg: -1 st: D/C'd t0: [14:00:00 21/12/2015] id: IV #2 D/C Date el: 0 cu: CCU cg: -1 st: D/C'd t0: [14:00:00 21/12/2015] id: IV #2 Insert Date el: 0 cu: CCU cg: -1 st: D/C'd t0: [14:00:00 21/12/2015] id: IV #2 Site/Size el: 0 cu: CCU cg: -1 st: D/C'd t0: [14:00:00 21/12/2015] id: IV Site Appear #1 el: 0 cu: CCU cg: -1 st: D/C'd
io: D5W 250.0ml + 400mcgkgmin Dopamine IV Infusions el: 1 cu: CCU cg: RN ra: 12.375 ru: ml/hr
t0: [14:00:00 21/12/2015] id: Drain Out #1 Pericardial el: 1 cu: CCU cg: -1 vo: 0 st: D/C'd t0: [14:00:00 21/12/2015] id: Urine Out Condom Cath el: 1 cu: CCU cg: -1 vo: 0 st: D/C'd
id: D5W el: 1 cu: CCU cg: RN io: D5W 250.0ml + 400mcgkgmin Dopamine IV Infusions vo: 250 du: ml rt: Intravenous Push id: .9% Normal Saline el: 2 cu: CCU cg: RN io: .9% Normal Saline 1000.0ml IV Infusions vo: 1000 du: ml rt: Intravenous Push id: Cath Lab Intake el: 2 cu: CCU cg: RN io: Cath Lab Intake Cath Lab Intake du: ml rt: Intravenous Push
tf: [10:28:00 23/12/2015] dt: 2653 cu: CCU de: CC1B
t0: [14:00:00 21/12/2015] id: Pain Present el: 0 cu: CCU cg: RN v1: No st: NotStopd t0: [14:00:00 21/12/2015] id: Service Type el: 0 cu: CCU cg: RN v1: CCU st: NotStopd t0: [14:00:00 21/12/2015] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [14:00:00 21/12/2015] id: Riker-SAS Scale el: 0 cu: CCU cg: RN v1: Calm/Cooperative st: NotStopd t0: [14:00:00 21/12/2015] id: Risk for Falls el: 0 cu: CCU cg: RN v1: Yes st: NotStopd t0: [14:00:00 21/12/2015] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [14:00:00 21/12/2015] id: Ectopy Type el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [14:00:00 21/12/2015] id: Alarms el: 0 cu: CCU cg: RN v1: ON st: NotStopd t0: [14:00:00 21/12/2015] id: Parameters Checked el: 0 cu: CCU cg: RN v1: Yes st: NotStopd t0: [14:00:00 21/12/2015] id: Heart Rate el: 0 cu: CCU cg: RN v1: 101 u1: BPM st: NotStopd t0: [14:00:00 21/12/2015] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Sinus Tachy st: NotStopd t0: [14:00:00 21/12/2015] id: O2 Delivery Device el: 0 cu: CCU cg: RN v1: Nasal Cannula st: NotStopd t0: [14:00:00 21/12/2015] id: O2 Flow (lpm) el: 0 cu: CCU cg: RN v1: 3 u1: lpm st: NotStopd t0: [14:00:00 21/12/2015] id: PAP Mean el: 0 cu: CCU cg: RN v1: 23 u1: mmHg st: NotStopd t0: [14:00:00 21/12/2015] id: PAP S/D el: 0 cu: CCU cg: RN v1: 31 u1: mmHg v2: 19 u2: mmHg st: NotStopd t0: [14:00:00 21/12/2015] id: Arterial BP el: 0 cu: CCU cg: RN v1: 71 u1: mmHg v2: 43 u2: mmHg st: NotStopd t0: [14:00:00 21/12/2015] id: Pain Location el: 0 cu: CCU cg: RN v1: Not Indicated st: NotStopd t0: [14:00:00 21/12/2015] id: Pain Type el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [14:00:00 21/12/2015] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 52 u1: mmHg st: NotStopd t0: [14:00:00 21/12/2015] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [14:00:00 21/12/2015] id: Previous Weight el: 0 cu: CCU cg: RN v1: 66 u1: kg st: NotStopd t0: [14:00:00 21/12/2015] id: Previous WeightF el: 0 cu: CCU cg: RN v1: 66 u1: kg st: NotStopd t0: [14:00:00 21/12/2015] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 11 u1: BPM st: NotStopd t0: [14:00:00 21/12/2015] id: SpO2 el: 0 cu: CCU cg: RN v1: 93 u1: % st: NotStopd t0: [14:00:00 21/12/2015] id: Temp. Site el: 0 cu: CCU cg: RN v1: Oral st: NotStopd t0: [14:00:00 21/12/2015] id: Temperature C (calc) el: 0 cu: CCU cg: RN v1: 35.4444 u1: Deg. C st: NotStopd t0: [14:00:00 21/12/2015] id: Temperature F el: 0 cu: CCU cg: RN v1: 95.8 u1: Deg. F st: NotStopd t0: [14:00:00 21/12/2015] id: Weight Change el: 0 cu: CCU cg: RN v1: 0 u1: kg st: NotStopd t0: [14:00:00 21/12/2015] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd t0: [14:00:00 21/12/2015] id: Daily Weight el: 0 cu: CCU cg: RN v1: 66 u1: kg st: NotStopd
t0: [14:20:00 21/12/2015] id: BSA el: 1033 cu: CCU cg: -1 v1: 1.71063 u1: m2 t0: [14:20:00 21/12/2015] id: Admit Wt el: 1032 cu: CCU cg: -1 v1: 66 u1: kg t0: [14:20:00 21/12/2015] id: Allergy 1 el: 1020 cu: CCU cg: -1 t0: [14:20:00 21/12/2015] id: Diagnosis/op el: 1023 cu: CCU cg: -1 v1: CONGESTIVE HEART FAILURE;TELEMETRY t0: [14:20:00 21/12/2015] id: Service el: 1026 cu: CCU cg: -1 v1: CME t0: [14:20:00 21/12/2015] id: Admit Ht el: 1034 cu: CCU cg: -1 v1: 59 u1: inches t0: [14:20:00 21/12/2015] id: Readmission el: 1014 cu: CCU cg: -1 t0: [14:20:00 21/12/2015] id: Marital Status el: 1006 cu: CCU cg: -1 v1: M t0: [14:20:00 21/12/2015] id: Religion el: 1000 cu: CCU cg: -1 v1: NSP t0: [14:20:00 21/12/2015] id: Allergy 2 el: 1021 cu: CCU cg: -1 t0: [14:20:00 21/12/2015] id: Ext el: 1010 cu: CCU cg: -1 t0: [14:20:00 21/12/2015] id: PIN el: 1012 cu: CCU cg: -1 t0: [14:20:00 21/12/2015] id: Allergy 3 el: 1022 cu: CCU cg: -1
t0: [14:00:00 21/12/2015] id: Chest Tube Site #1 el: 0 cu: CCU cg: RN v1: Left Anterior st: NotStopd t0: [14:00:00 21/12/2015] id: Cough Effort el: 0 cu: CCU cg: RN v1: Weak st: NotStopd t0: [14:00:00 21/12/2015] id: Cough Type el: 0 cu: CCU cg: RN v1: Nonproductive st: NotStopd t0: [14:00:00 21/12/2015] id: GI Prophylaxis el: 0 cu: CCU cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [14:00:00 21/12/2015] id: Diet Type el: 0 cu: CCU cg: RN v1: NPO st: NotStopd t0: [14:00:00 21/12/2015] id: Dorsal PedPulse R/L el: 0 cu: CCU cg: RN v1: Doppler v2: Doppler st: NotStopd t0: [14:00:00 21/12/2015] id: Edema Location/Amt#1 el: 0 cu: CCU cg: RN v1: Both Legs v2: 6 mm st: NotStopd t0: [14:00:00 21/12/2015] id: Eye Opening el: 0 cu: CCU cg: RN v1: 4 Spontaneously st: NotStopd t0: [14:00:00 21/12/2015] id: Family Communication el: 0 cu: CCU cg: RN v1: Family Visited st: NotStopd t0: [14:00:00 21/12/2015] id: GCS Total el: 0 cu: CCU cg: RN v1: 15 u1: points st: NotStopd t0: [14:00:00 21/12/2015] id: GI Intub #1/Site el: 0 cu: CCU cg: RN v1: Feeding/Peditube v2: Right Nare st: NotStopd t0: [14:00:00 21/12/2015] id: GI#1 Tube Stat/Drain el: 0 cu: CCU cg: RN v1: Clamped st: NotStopd t0: [14:00:00 21/12/2015] id: GU Catheter Size el: 0 cu: CCU cg: RN v1: 16 French st: NotStopd t0: [14:00:00 21/12/2015] id: HOB el: 0 cu: CCU cg: RN v1: Reverse T-Berg st: NotStopd t0: [14:00:00 21/12/2015] id: INV Line#1 Type/Site el: 0 cu: CCU cg: RN v1: Multi-lumen v2: Right IJ st: NotStopd t0: [14:00:00 21/12/2015] id: INV Line#1InsertDate el: 0 cu: CCU cg: RN v2: ? st: NotStopd t0: [14:00:00 21/12/2015] id: INV Line#1SiteAppear el: 0 cu: CCU cg: RN v1: WNL st: NotStopd t0: [14:00:00 21/12/2015] id: INV Line#2 Type/Site el: 0 cu: CCU cg: RN v1: PA line v2: Right Femoral st: NotStopd t0: [14:00:00 21/12/2015] id: INV Line#2 Zero/Cal el: 0 cu: CCU cg: RN v1: Yes st: NotStopd t0: [14:00:00 21/12/2015] id: INV Line#2InsertDate el: 0 cu: CCU cg: RN v1: 12 v2: 22 st: NotStopd t0: [14:00:00 21/12/2015] id: INV Line#2SiteAppear el: 0 cu: CCU cg: RN v1: WNL st: NotStopd t0: [14:00:00 21/12/2015] id: INV Line#3 Type/Site el: 0 cu: CCU cg: RN v1: A-Line v2: Right Femoral st: NotStopd t0: [14:00:00 21/12/2015] id: INV Line#3 Zero/Cal el: 0 cu: CCU cg: RN v1: Yes st: NotStopd t0: [14:00:00 21/12/2015] id: INV Line#3InsertDate el: 0 cu: CCU cg: RN v1: 12 v2: 22 st: NotStopd t0: [14:00:00 21/12/2015] id: INV Line#3SiteAppear el: 0 cu: CCU cg: RN v1: WNL st: NotStopd t0: [14:00:00 21/12/2015] id: Abdominal Assessment el: 0 cu: CCU cg: RN v1: Soft st: NotStopd t0: [14:00:00 21/12/2015] id: INV#2 WaveformAppear el: 0 cu: CCU cg: RN v1: Sharp st: NotStopd t0: [14:00:00 21/12/2015] id: INV#3 WaveformAppear el: 0 cu: CCU cg: RN v1: Sharp st: NotStopd t0: [14:00:00 21/12/2015] id: Activity el: 0 cu: CCU cg: RN v1: Bedrest st: NotStopd t0: [14:00:00 21/12/2015] id: Activity Tolerance el: 0 cu: CCU cg: RN v1: Tolerated Well st: NotStopd t0: [14:00:00 21/12/2015] id: LLE Temp/Color el: 0 cu: CCU cg: RN v1: Cool v2: Normal st: NotStopd t0: [14:00:00 21/12/2015] id: LLL Lung Sounds el: 0 cu: CCU cg: RN v1: Diminished st: NotStopd t0: [14:00:00 21/12/2015] id: LUL Lung Sounds el: 0 cu: CCU cg: RN v1: Clear st: NotStopd t0: [14:00:00 21/12/2015] id: Level of Conscious el: 0 cu: CCU cg: RN v1: Alert st: NotStopd t0: [14:00:00 21/12/2015] id: Angio Appearance #1 el: 0 cu: CCU cg: RN v1: Clean and Dry v2: Clean and Dry st: NotStopd t0: [14:00:00 21/12/2015] id: Motor Response el: 0 cu: CCU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [14:00:00 21/12/2015] id: Angio Dressing #1 el: 0 cu: CCU cg: RN v1: Transparent st: NotStopd t0: [14:00:00 21/12/2015] id: Oral Cavity el: 0 cu: CCU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [14:00:00 21/12/2015] id: Orientation el: 0 cu: CCU cg: RN v1: Oriented x 3 st: NotStopd t0: [14:00:00 21/12/2015] id: Angio Site #1 el: 0 cu: CCU cg: RN v1: R Femoral st: NotStopd t0: [14:00:00 21/12/2015] id: Pericard Drain Site el: 0 cu: CCU cg: RN v1: Intact st: NotStopd t0: [14:00:00 21/12/2015] id: Position el: 0 cu: CCU cg: RN v1: Supine st: NotStopd t0: [14:00:00 21/12/2015] id: PostTib. Pulses R/L el: 0 cu: CCU cg: RN v1: Doppler v2: Doppler st: NotStopd t0: [14:00:00 21/12/2015] id: Assistance Device el: 0 cu: CCU cg: RN v1: 2 Person Assist st: NotStopd t0: [14:00:00 21/12/2015] id: RLE Temp/Color el: 0 cu: CCU cg: RN v1: Cool v2: Pale st: NotStopd t0: [14:00:00 21/12/2015] id: RLL Lung Sounds el: 0 cu: CCU cg: RN v1: Absent st: NotStopd t0: [14:00:00 21/12/2015] id: RUL Lung Sounds el: 0 cu: CCU cg: RN v1: Clear st: NotStopd t0: [14:00:00 21/12/2015] id: Respiratory Effort el: 0 cu: CCU cg: RN v1: Normal st: NotStopd t0: [14:00:00 21/12/2015] id: Respiratory Pattern el: 0 cu: CCU cg: RN v1: Regular st: NotStopd t0: [14:00:00 21/12/2015] id: Restraint Location el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [14:00:00 21/12/2015] id: Side Rails el: 0 cu: CCU cg: RN v1: Side Rails Up st: NotStopd t0: [14:00:00 21/12/2015] id: Skin Integrity el: 0 cu: CCU cg: RN v1: Intact st: NotStopd t0: [14:00:00 21/12/2015] id: Support Systems el: 0 cu: CCU cg: RN v1: Significnt Other st: NotStopd t0: [14:00:00 21/12/2015] id: Turn el: 0 cu: CCU cg: RN v1: Logroll st: NotStopd t0: [14:00:00 21/12/2015] id: Urine Color/Appear el: 0 cu: CCU cg: RN v1: Yellow v2: Clear st: NotStopd t0: [14:00:00 21/12/2015] id: Urine Source el: 0 cu: CCU cg: RN v1: Indwelling Cath st: NotStopd t0: [14:00:00 21/12/2015] id: Verbal Response el: 0 cu: CCU cg: RN v1: 5 Oriented st: NotStopd t0: [14:00:00 21/12/2015] id: Behavior el: 0 cu: CCU cg: RN v1: Calm st: NotStopd t0: [14:00:00 21/12/2015] id: Bowel Sounds el: 0 cu: CCU cg: RN v1: Present st: NotStopd t0: [14:00:00 21/12/2015] id: Braden Activity el: 0 cu: CCU cg: RN v1: Bedfast st: NotStopd t0: [14:00:00 21/12/2015] id: Braden Frict/Shear el: 0 cu: CCU cg: RN v1: Potential Prob st: NotStopd t0: [14:00:00 21/12/2015] id: Braden Mobility el: 0 cu: CCU cg: RN v1: Very Limited st: NotStopd t0: [14:00:00 21/12/2015] id: Braden Moisture el: 0 cu: CCU cg: RN v1: Rarely Moist st: NotStopd t0: [14:00:00 21/12/2015] id: Braden Nutrition el: 0 cu: CCU cg: RN v1: Prob. Inadequate st: NotStopd t0: [14:00:00 21/12/2015] id: Braden Score el: 0 cu: CCU cg: RN v1: 12 u1: number st: NotStopd t0: [14:00:00 21/12/2015] id: Braden SensoryPercep el: 0 cu: CCU cg: RN v1: Comp. Limited st: NotStopd t0: [14:00:00 21/12/2015] id: CT #1 Crepitus el: 0 cu: CCU cg: RN v1: Negative st: NotStopd t0: [14:00:00 21/12/2015] id: CT #1 Drainage el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [14:00:00 21/12/2015] id: CT #1 Dressing el: 0 cu: CCU cg: RN v1: Dry and Intact st: NotStopd t0: [14:00:00 21/12/2015] id: CT #1 Fluctuate/Leak el: 0 cu: CCU cg: RN v1: Positive v2: Negative st: NotStopd t0: [14:00:00 21/12/2015] id: CT #1 Suction Amount el: 0 cu: CCU cg: RN v1: 20 cm st: NotStopd t0: [14:15:00 21/12/2015] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [14:15:00 21/12/2015] id: Risk for Falls el: 0 cu: CCU cg: RN v1: Yes st: NotStopd t0: [14:15:00 21/12/2015] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [14:15:00 21/12/2015] id: Ectopy Type el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [14:15:00 21/12/2015] id: Heart Rate el: 0 cu: CCU cg: RN v1: 110 u1: BPM st: NotStopd t0: [14:15:00 21/12/2015] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Sinus Tachy st: NotStopd t0: [14:15:00 21/12/2015] id: PAP Mean el: 0 cu: CCU cg: RN v1: 25 u1: mmHg st: NotStopd t0: [14:15:00 21/12/2015] id: PAP S/D el: 0 cu: CCU cg: RN v1: 40 u1: mmHg v2: 24 u2: mmHg st: NotStopd t0: [14:15:00 21/12/2015] id: Arterial BP el: 0 cu: CCU cg: RN v1: 90 u1: mmHg v2: 57 u2: mmHg st: NotStopd t0: [14:15:00 21/12/2015] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 66 u1: mmHg st: NotStopd t0: [14:15:00 21/12/2015] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [14:15:00 21/12/2015] id: Previous WeightF el: 0 cu: CCU cg: RN v1: 66 u1: kg st: NotStopd t0: [14:15:00 21/12/2015] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 13 u1: BPM st: NotStopd t0: [14:15:00 21/12/2015] id: SpO2 el: 0 cu: CCU cg: RN v1: 93 u1: % st: NotStopd t0: [14:15:00 21/12/2015] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd
t0: [14:15:00 21/12/2015] tf: [10:00:00 22/12/2015] dt: 1185 id: D5W 250.0ml + 400mcgkgmin Dopamine IV Infusions el: 1 cu: CCU cg: RN ai: 189 vo: 0 vu: ml nb: 1 t0: [14:00:00 21/12/2015] id: Cath Lab Intake Cath Lab Intake el: 2 cu: CCU cg: RN ai: 1159 vu: ml t0: [14:15:00 21/12/2015] id: D5W 250.0ml + 400mcgkgmin Dopamine IV Infusions el: 1 cu: CCU cg: RN ai: 189 vo: 3.09375 vu: ml
t0: [14:00:00 21/12/2015] tf: [10:00:00 22/12/2015] dt: 1200 id: Dopamine el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 5 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [14:15:00 21/12/2015] id: Dopamine el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 8 du: mcgkgmin sv: 250 su: ml rt: IV Drip
t0: [14:30:00 21/12/2015] id: Service Type el: 0 cu: CCU cg: RN v1: CCU st: NotStopd t0: [14:30:00 21/12/2015] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [14:30:00 21/12/2015] id: Risk for Falls el: 0 cu: CCU cg: RN v1: Yes st: NotStopd t0: [14:30:00 21/12/2015] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [14:30:00 21/12/2015] id: Ectopy Type el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [14:30:00 21/12/2015] id: Heart Rate el: 0 cu: CCU cg: RN v1: 113 u1: BPM st: NotStopd t0: [14:30:00 21/12/2015] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Sinus Tachy st: NotStopd t0: [14:30:00 21/12/2015] id: PAP Mean el: 0 cu: CCU cg: RN v1: 28 u1: mmHg st: NotStopd t0: [14:30:00 21/12/2015] id: PAP S/D el: 0 cu: CCU cg: RN v1: 41 u1: mmHg v2: 23 u2: mmHg st: NotStopd t0: [14:30:00 21/12/2015] id: Arterial BP el: 0 cu: CCU cg: RN v1: 89 u1: mmHg v2: 56 u2: mmHg st: NotStopd t0: [14:30:00 21/12/2015] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 68 u1: mmHg st: NotStopd t0: [14:30:00 21/12/2015] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [14:30:00 21/12/2015] id: Previous WeightF el: 0 cu: CCU cg: RN v1: 66 u1: kg st: NotStopd t0: [14:30:00 21/12/2015] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 17 u1: BPM st: NotStopd t0: [14:30:00 21/12/2015] id: SpO2 el: 0 cu: CCU cg: RN v1: 99 u1: % st: NotStopd t0: [14:30:00 21/12/2015] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd t0: [15:00:00 21/12/2015] id: Service Type el: 0 cu: CCU cg: RN v1: CCU st: NotStopd t0: [15:00:00 21/12/2015] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [15:00:00 21/12/2015] id: Risk for Falls el: 0 cu: CCU cg: RN v1: Yes st: NotStopd t0: [15:00:00 21/12/2015] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [15:00:00 21/12/2015] id: Ectopy Type el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [15:00:00 21/12/2015] id: Heart Rate el: 0 cu: CCU cg: RN v1: 122 u1: BPM st: NotStopd t0: [15:00:00 21/12/2015] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Sinus Tachy st: NotStopd t0: [15:00:00 21/12/2015] id: PAP Mean el: 0 cu: CCU cg: RN v1: 32 u1: mmHg st: NotStopd t0: [15:00:00 21/12/2015] id: PAP S/D el: 0 cu: CCU cg: RN v1: 46 u1: mmHg v2: 24 u2: mmHg st: NotStopd t0: [15:00:00 21/12/2015] id: Arterial BP el: 0 cu: CCU cg: RN v1: 110 u1: mmHg v2: 71 u2: mmHg st: NotStopd t0: [15:00:00 21/12/2015] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 85 u1: mmHg st: NotStopd t0: [15:00:00 21/12/2015] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [15:00:00 21/12/2015] id: Previous WeightF el: 0 cu: CCU cg: RN v1: 66 u1: kg st: NotStopd t0: [15:00:00 21/12/2015] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 20 u1: BPM st: NotStopd t0: [15:00:00 21/12/2015] id: SpO2 el: 0 cu: CCU cg: RN v1: 74 u1: % st: NotStopd t0: [15:00:00 21/12/2015] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd
t0: [15:00:00 21/12/2015] tf: [10:28:00 23/12/2015] dt: 2608 id: Po Intake PO/Gastric el: 1 cu: CCU cg: RN ai: 103 vo: 30 vu: ml t0: [15:00:00 21/12/2015] id: D5W 250.0ml + 400mcgkgmin Dopamine IV Infusions el: 1 cu: CCU cg: RN ai: 189 vo: 14.85 vu: ml t0: [15:00:00 21/12/2015] tf: [01:00:00 23/12/2015] dt: 2040 id: Urine Out Foley el: 1 cu: CCU cg: RN vo: 100 vu: ml
t0: [14:30:00 21/12/2015] id: Dopamine el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 8 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [15:00:00 21/12/2015] id: Dopamine el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 6 du: mcgkgmin sv: 250 su: ml rt: IV Drip
tf: [02:00:00 23/12/2015] pt: IV Piggyback rt: IV DRIP fr: TITRATE TO m1: DopAmine v1: 400 u1: mg m2: D5W v2: 250 u2: ml tf: [13:00:00 23/12/2015] pt: IV Piggyback rt: IV fr: ASDIR m1: Heparin Sodium v1: 25000 u1: UNIT m2: D5W v2: 250 u2: ml tf: [13:00:00 23/12/2015] pt: Unit Dose rt: IV fr: ONCE fs: 15 dn: 1 m1: Heparin v1: 4500 u1: UNIT
t0: [15:30:00 21/12/2015] id: Service Type el: 0 cu: CCU cg: RN v1: CCU st: NotStopd t0: [15:30:00 21/12/2015] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [15:30:00 21/12/2015] id: Risk for Falls el: 0 cu: CCU cg: RN v1: Yes st: NotStopd t0: [15:30:00 21/12/2015] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [15:30:00 21/12/2015] id: Ectopy Type el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [15:30:00 21/12/2015] id: Heart Rate el: 0 cu: CCU cg: RN v1: 120 u1: BPM st: NotStopd t0: [15:30:00 21/12/2015] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Sinus Tachy st: NotStopd t0: [15:30:00 21/12/2015] id: PAP Mean el: 0 cu: CCU cg: RN v1: 34 u1: mmHg st: NotStopd t0: [15:30:00 21/12/2015] id: PAP S/D el: 0 cu: CCU cg: RN v1: 47 u1: mmHg v2: 29 u2: mmHg st: NotStopd t0: [15:30:00 21/12/2015] id: Arterial BP el: 0 cu: CCU cg: RN v1: 96 u1: mmHg v2: 63 u2: mmHg st: NotStopd t0: [15:30:00 21/12/2015] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 74 u1: mmHg st: NotStopd t0: [15:30:00 21/12/2015] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [15:30:00 21/12/2015] id: Previous WeightF el: 0 cu: CCU cg: RN v1: 66 u1: kg st: NotStopd t0: [15:30:00 21/12/2015] id: Procedures el: 0 cu: CCU cg: RN v1: Cardiac Echo st: NotStopd t0: [15:30:00 21/12/2015] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 30 u1: BPM st: NotStopd t0: [15:30:00 21/12/2015] id: SpO2 el: 0 cu: CCU cg: RN v1: 85 u1: % st: NotStopd t0: [15:30:00 21/12/2015] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd
t0: [15:30:00 21/12/2015] id: Dopamine el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 5 du: mcgkgmin sv: 250 su: ml rt: IV Drip
io: Nepro Tube Feeding el: 1 cu: CCU cg: RN ra: 20 ru: ml/hr
id: Nepro el: 1 cu: CCU cg: RN io: Nepro Tube Feeding du: str rt: Gastric/Feeding Tube
t0: [16:30:00 21/12/2015] id: Pain Level el: 0 cu: CCU cg: RN v1: 0-None st: NotStopd t0: [16:30:00 21/12/2015] id: Pain Present el: 0 cu: CCU cg: RN v1: No st: NotStopd t0: [16:30:00 21/12/2015] id: Service Type el: 0 cu: CCU cg: RN v1: CCU st: NotStopd t0: [16:30:00 21/12/2015] id: Chest Tube Site #1 el: 0 cu: CCU cg: RN v1: Left Anterior st: NotStopd t0: [16:30:00 21/12/2015] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [16:30:00 21/12/2015] id: Riker-SAS Scale el: 0 cu: CCU cg: RN v1: Calm/Cooperative st: NotStopd t0: [16:30:00 21/12/2015] id: Cough Effort el: 0 cu: CCU cg: RN v1: Weak st: NotStopd t0: [16:30:00 21/12/2015] id: Cough Type el: 0 cu: CCU cg: RN v1: Nonproductive st: NotStopd t0: [16:30:00 21/12/2015] id: GI Prophylaxis el: 0 cu: CCU cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [16:30:00 21/12/2015] id: Risk for Falls el: 0 cu: CCU cg: RN v1: Yes st: NotStopd t0: [16:30:00 21/12/2015] id: Diet Type el: 0 cu: CCU cg: RN v1: Tube Feeding st: NotStopd t0: [16:30:00 21/12/2015] id: Dorsal PedPulse R/L el: 0 cu: CCU cg: RN v1: Doppler v2: Doppler st: NotStopd t0: [16:30:00 21/12/2015] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [16:30:00 21/12/2015] id: Ectopy Type el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [16:30:00 21/12/2015] id: Edema Location/Amt#1 el: 0 cu: CCU cg: RN v1: Both Legs v2: 6 mm st: NotStopd t0: [16:30:00 21/12/2015] id: Eye Opening el: 0 cu: CCU cg: RN v1: 4 Spontaneously st: NotStopd t0: [16:30:00 21/12/2015] id: Family Communication el: 0 cu: CCU cg: RN v1: Family Visited st: NotStopd t0: [16:30:00 21/12/2015] id: GCS Total el: 0 cu: CCU cg: RN v1: 15 u1: points st: NotStopd t0: [16:30:00 21/12/2015] id: GI Intub #1/Site el: 0 cu: CCU cg: RN v1: Feeding/Peditube v2: Right Nare st: NotStopd t0: [16:30:00 21/12/2015] id: GI#1 Tube Stat/Drain el: 0 cu: CCU cg: RN v1: Clamped st: NotStopd t0: [16:30:00 21/12/2015] id: GU Catheter Size el: 0 cu: CCU cg: RN v1: 16 French st: NotStopd t0: [16:30:00 21/12/2015] id: HOB el: 0 cu: CCU cg: RN v1: Reverse T-Berg st: NotStopd t0: [16:30:00 21/12/2015] id: Heart Rate el: 0 cu: CCU cg: RN v1: 122 u1: BPM st: NotStopd t0: [16:30:00 21/12/2015] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Sinus Tachy st: NotStopd t0: [16:30:00 21/12/2015] id: INV Line#1 Type/Site el: 0 cu: CCU cg: RN v1: Multi-lumen v2: Right IJ st: NotStopd t0: [16:30:00 21/12/2015] id: INV Line#1InsertDate el: 0 cu: CCU cg: RN v2: ? st: NotStopd t0: [16:30:00 21/12/2015] id: INV Line#1SiteAppear el: 0 cu: CCU cg: RN v1: WNL st: NotStopd t0: [16:30:00 21/12/2015] id: INV Line#2 Type/Site el: 0 cu: CCU cg: RN v1: PA line v2: Right Femoral st: NotStopd t0: [16:30:00 21/12/2015] id: INV Line#2 Zero/Cal el: 0 cu: CCU cg: RN v1: Yes st: NotStopd t0: [16:30:00 21/12/2015] id: INV Line#2InsertDate el: 0 cu: CCU cg: RN v1: 12 v2: 22 st: NotStopd t0: [16:30:00 21/12/2015] id: INV Line#2SiteAppear el: 0 cu: CCU cg: RN v1: WNL st: NotStopd t0: [16:30:00 21/12/2015] id: INV Line#3 Type/Site el: 0 cu: CCU cg: RN v1: A-Line v2: Right Femoral st: NotStopd t0: [16:30:00 21/12/2015] id: INV Line#3 Zero/Cal el: 0 cu: CCU cg: RN v1: Yes st: NotStopd t0: [16:30:00 21/12/2015] id: INV Line#3InsertDate el: 0 cu: CCU cg: RN v1: 12 v2: 22 st: NotStopd t0: [16:30:00 21/12/2015] id: INV Line#3SiteAppear el: 0 cu: CCU cg: RN v1: WNL st: NotStopd t0: [16:30:00 21/12/2015] id: Abdominal Assessment el: 0 cu: CCU cg: RN v1: Soft st: NotStopd t0: [16:30:00 21/12/2015] id: INV#2 WaveformAppear el: 0 cu: CCU cg: RN v1: Sharp st: NotStopd t0: [16:30:00 21/12/2015] id: INV#3 WaveformAppear el: 0 cu: CCU cg: RN v1: Sharp st: NotStopd t0: [16:30:00 21/12/2015] id: Activity el: 0 cu: CCU cg: RN v1: Bedrest st: NotStopd t0: [16:30:00 21/12/2015] id: Activity Tolerance el: 0 cu: CCU cg: RN v1: Tolerated Well st: NotStopd t0: [16:30:00 21/12/2015] id: KneeImmobilizer/Loc el: 0 cu: CCU cg: RN v1: Off v2: Right Knee st: NotStopd t0: [16:30:00 21/12/2015] id: LLE Temp/Color el: 0 cu: CCU cg: RN v1: Cold v2: Pale st: NotStopd t0: [16:30:00 21/12/2015] id: LLL Lung Sounds el: 0 cu: CCU cg: RN v1: Diminished st: NotStopd t0: [16:30:00 21/12/2015] id: LUL Lung Sounds el: 0 cu: CCU cg: RN v1: Clear st: NotStopd t0: [16:30:00 21/12/2015] id: Level of Conscious el: 0 cu: CCU cg: RN v1: Alert st: NotStopd t0: [16:30:00 21/12/2015] id: Angio Appearance #1 el: 0 cu: CCU cg: RN v1: Clean and Dry v2: Clean and Dry st: NotStopd t0: [16:30:00 21/12/2015] id: Motor Response el: 0 cu: CCU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [16:30:00 21/12/2015] id: Angio Dressing #1 el: 0 cu: CCU cg: RN v1: Transparent st: NotStopd t0: [16:30:00 21/12/2015] id: O2 Delivery Device el: 0 cu: CCU cg: RN v1: Nasal Cannula st: NotStopd t0: [16:30:00 21/12/2015] id: O2 Flow (lpm) el: 0 cu: CCU cg: RN v1: 3 u1: lpm st: NotStopd t0: [16:30:00 21/12/2015] id: Oral Cavity el: 0 cu: CCU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [16:30:00 21/12/2015] id: Orientation el: 0 cu: CCU cg: RN v1: Oriented x 3 st: NotStopd t0: [16:30:00 21/12/2015] id: Angio Site #1 el: 0 cu: CCU cg: RN v1: R Femoral st: NotStopd t0: [16:30:00 21/12/2015] id: PAP Mean el: 0 cu: CCU cg: RN v1: 34 u1: mmHg st: NotStopd t0: [16:30:00 21/12/2015] id: PAP S/D el: 0 cu: CCU cg: RN v1: 40 u1: mmHg v2: 29 u2: mmHg st: NotStopd t0: [16:30:00 21/12/2015] id: Arterial BP el: 0 cu: CCU cg: RN v1: 110 u1: mmHg v2: 72 u2: mmHg st: NotStopd t0: [16:30:00 21/12/2015] id: Pain Level (Rest) el: 0 cu: CCU cg: RN v1: 0-None st: NotStopd t0: [16:30:00 21/12/2015] id: Pain Location el: 0 cu: CCU cg: RN v1: Not Indicated st: NotStopd t0: [16:30:00 21/12/2015] id: Pain Type el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [16:30:00 21/12/2015] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 84 u1: mmHg st: NotStopd t0: [16:30:00 21/12/2015] id: Pericard Drain Site el: 0 cu: CCU cg: RN v1: Intact st: NotStopd t0: [16:30:00 21/12/2015] id: Position el: 0 cu: CCU cg: RN v1: Supine st: NotStopd t0: [16:30:00 21/12/2015] id: PostTib. Pulses R/L el: 0 cu: CCU cg: RN v1: Doppler v2: Doppler st: NotStopd t0: [16:30:00 21/12/2015] id: Assistance Device el: 0 cu: CCU cg: RN v1: 1 Person Assist st: NotStopd t0: [16:30:00 21/12/2015] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [16:30:00 21/12/2015] id: Previous WeightF el: 0 cu: CCU cg: RN v1: 66 u1: kg st: NotStopd t0: [16:30:00 21/12/2015] id: RLE Temp/Color el: 0 cu: CCU cg: RN v1: Cold v2: Pale st: NotStopd t0: [16:30:00 21/12/2015] id: RLL Lung Sounds el: 0 cu: CCU cg: RN v1: Absent st: NotStopd t0: [16:30:00 21/12/2015] id: RUL Lung Sounds el: 0 cu: CCU cg: RN v1: Clear st: NotStopd t0: [16:30:00 21/12/2015] id: Respiratory Effort el: 0 cu: CCU cg: RN v1: Normal st: NotStopd t0: [16:30:00 21/12/2015] id: Respiratory Pattern el: 0 cu: CCU cg: RN v1: Regular st: NotStopd t0: [16:30:00 21/12/2015] id: Restraint Location el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [16:30:00 21/12/2015] id: Side Rails el: 0 cu: CCU cg: RN v1: Side Rails Up st: NotStopd t0: [16:30:00 21/12/2015] id: Skin Integrity el: 0 cu: CCU cg: RN v1: Intact st: NotStopd t0: [16:30:00 21/12/2015] id: SpO2 el: 0 cu: CCU cg: RN v1: 92 u1: % st: NotStopd t0: [16:30:00 21/12/2015] id: Support Systems el: 0 cu: CCU cg: RN v1: Significnt Other st: NotStopd t0: [16:30:00 21/12/2015] id: Temp. Site el: 0 cu: CCU cg: RN v1: Oral st: NotStopd t0: [16:30:00 21/12/2015] id: Temperature C (calc) el: 0 cu: CCU cg: RN v1: 35.5556 u1: Deg. C st: NotStopd t0: [16:30:00 21/12/2015] id: Temperature F el: 0 cu: CCU cg: RN v1: 96 u1: Deg. F st: NotStopd t0: [16:30:00 21/12/2015] id: Turn el: 0 cu: CCU cg: RN v1: Logroll st: NotStopd t0: [16:30:00 21/12/2015] id: Urine Color/Appear el: 0 cu: CCU cg: RN v1: Yellow st: NotStopd t0: [16:30:00 21/12/2015] id: Urine Source el: 0 cu: CCU cg: RN v1: Indwelling Cath st: NotStopd t0: [16:30:00 21/12/2015] id: Verbal Response el: 0 cu: CCU cg: RN v1: 5 Oriented st: NotStopd t0: [16:30:00 21/12/2015] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd t0: [16:30:00 21/12/2015] id: Behavior el: 0 cu: CCU cg: RN v1: Calm st: NotStopd t0: [16:30:00 21/12/2015] id: Bowel Sounds el: 0 cu: CCU cg: RN v1: Present st: NotStopd t0: [16:30:00 21/12/2015] id: Braden Activity el: 0 cu: CCU cg: RN v1: Bedfast st: NotStopd t0: [16:30:00 21/12/2015] id: Braden Frict/Shear el: 0 cu: CCU cg: RN v1: Potential Prob st: NotStopd t0: [16:30:00 21/12/2015] id: Braden Mobility el: 0 cu: CCU cg: RN v1: Very Limited st: NotStopd t0: [16:30:00 21/12/2015] id: Braden Moisture el: 0 cu: CCU cg: RN v1: Occ. Moist st: NotStopd t0: [16:30:00 21/12/2015] id: Braden Nutrition el: 0 cu: CCU cg: RN v1: Prob. Inadequate st: NotStopd t0: [16:30:00 21/12/2015] id: Braden Score el: 0 cu: CCU cg: RN v1: 12 u1: number st: NotStopd t0: [16:30:00 21/12/2015] id: Braden SensoryPercep el: 0 cu: CCU cg: RN v1: Very Limited st: NotStopd t0: [16:30:00 21/12/2015] id: CT #1 Crepitus el: 0 cu: CCU cg: RN v1: Negative st: NotStopd t0: [16:30:00 21/12/2015] id: CT #1 Drainage el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [16:30:00 21/12/2015] id: CT #1 Dressing el: 0 cu: CCU cg: RN v1: Dry and Intact st: NotStopd t0: [16:30:00 21/12/2015] id: CT #1 Fluctuate/Leak el: 0 cu: CCU cg: RN v1: Positive v2: Negative st: NotStopd t0: [16:30:00 21/12/2015] id: CT #1 Suction Amount el: 0 cu: CCU cg: RN v1: 20 cm st: NotStopd
t0: [16:30:00 21/12/2015] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: CCU cg: RN ai: 189 vo: 0 vu: ml nb: 1 t0: [16:30:00 21/12/2015] id: D5W 250.0ml + 400mcgkgmin Dopamine IV Infusions el: 1 cu: CCU cg: RN ai: 189 vo: 19.8 vu: ml t0: [16:30:00 21/12/2015] id: Urine Out Foley el: 1 cu: CCU cg: RN vo: 50 vu: ml
t0: [16:30:00 21/12/2015] id: Dopamine el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 2.5 du: mcgkgmin sv: 250 su: ml rt: IV Drip
t0: [17:21:00 21/12/2015] id: Art.pH ABG el: 0 cu: CCU cg: 140 v1: 7.37 rs: Final st: NotStopd t0: [17:21:00 21/12/2015] id: Arterial Base Excess ABG el: 0 cu: CCU cg: 140 v1: 0 rs: Final st: NotStopd t0: [17:21:00 21/12/2015] id: Arterial CO2(Calc) ABG el: 0 cu: CCU cg: 140 v1: 28 rs: Final st: NotStopd t0: [17:21:00 21/12/2015] id: Arterial PaCO2 ABG el: 0 cu: CCU cg: 140 v1: 46 u1: mmHg rs: Final st: NotStopd t0: [17:21:00 21/12/2015] id: Arterial PaO2 ABG el: 0 cu: CCU cg: 140 v1: 72 u1: mmHg rs: Final st: NotStopd t0: [17:21:00 21/12/2015] id: Arterial pH ABG el: 0 cu: CCU cg: 140 v1: 7.37 rs: Final st: NotStopd t0: [17:21:00 21/12/2015] id: SaO2 ABG's el: 0 cu: CCU cg: 140 v1: 94 u1: % rs: Final st: NotStopd
t0: [17:26:00 21/12/2015] id: Mixed Venous O2% Sat Blood Gases el: 0 cu: CCU cg: 140 v1: 44 rs: Final st: NotStopd
t0: [17:00:00 21/12/2015] id: Service Type el: 0 cu: CCU cg: RN v1: CCU st: NotStopd t0: [17:00:00 21/12/2015] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [17:00:00 21/12/2015] id: Risk for Falls el: 0 cu: CCU cg: RN v1: Yes st: NotStopd t0: [17:00:00 21/12/2015] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [17:00:00 21/12/2015] id: Ectopy Type el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [17:00:00 21/12/2015] id: Heart Rate el: 0 cu: CCU cg: RN v1: 118 u1: BPM st: NotStopd t0: [17:00:00 21/12/2015] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Sinus Tachy st: NotStopd t0: [17:00:00 21/12/2015] id: PAP Mean el: 0 cu: CCU cg: RN v1: 33 u1: mmHg st: NotStopd t0: [17:00:00 21/12/2015] id: PAP S/D el: 0 cu: CCU cg: RN v1: 41 u1: mmHg v2: 26 u2: mmHg st: NotStopd t0: [17:00:00 21/12/2015] id: Arterial BP el: 0 cu: CCU cg: RN v1: 97 u1: mmHg v2: 62 u2: mmHg st: NotStopd t0: [17:00:00 21/12/2015] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 74 u1: mmHg st: NotStopd t0: [17:00:00 21/12/2015] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [17:00:00 21/12/2015] id: Previous WeightF el: 0 cu: CCU cg: RN v1: 66 u1: kg st: NotStopd t0: [17:00:00 21/12/2015] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 23 u1: BPM st: NotStopd t0: [17:00:00 21/12/2015] id: SpO2 el: 0 cu: CCU cg: RN v1: 100 u1: % st: NotStopd t0: [17:00:00 21/12/2015] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd t0: [17:00:00 21/12/2015] id: Mixed Venous O2% Sat Blood Gases el: 0 cu: CCU cg: RN v1: 44 rs: Manual st: NotStopd t0: [17:00:00 21/12/2015] id: SaO2 ABG's el: 0 cu: CCU cg: RN v1: 94 u1: % rs: Manual st: NotStopd t0: [17:30:00 21/12/2015] id: Service Type el: 0 cu: CCU cg: RN v1: CCU st: NotStopd t0: [17:30:00 21/12/2015] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [17:30:00 21/12/2015] id: Risk for Falls el: 0 cu: CCU cg: RN v1: Yes st: NotStopd t0: [17:30:00 21/12/2015] id: Heart Rate el: 0 cu: CCU cg: RN v1: 103 u1: BPM st: NotStopd t0: [17:30:00 21/12/2015] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Sinus Tachy st: NotStopd t0: [17:30:00 21/12/2015] id: PAP Mean el: 0 cu: CCU cg: RN v1: 25 u1: mmHg st: NotStopd t0: [17:30:00 21/12/2015] id: PAP S/D el: 0 cu: CCU cg: RN v1: 35 u1: mmHg v2: 20 u2: mmHg st: NotStopd t0: [17:30:00 21/12/2015] id: Arterial BP el: 0 cu: CCU cg: RN v1: 83 u1: mmHg v2: 52 u2: mmHg st: NotStopd t0: [17:30:00 21/12/2015] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 62 u1: mmHg st: NotStopd t0: [17:30:00 21/12/2015] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [17:30:00 21/12/2015] id: Previous WeightF el: 0 cu: CCU cg: RN v1: 66 u1: kg st: NotStopd t0: [17:30:00 21/12/2015] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 25 u1: BPM st: NotStopd t0: [17:30:00 21/12/2015] id: SpO2 el: 0 cu: CCU cg: RN v1: 93 u1: % st: NotStopd t0: [17:30:00 21/12/2015] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd t0: [18:00:00 21/12/2015] id: Service Type el: 0 cu: CCU cg: RN v1: CCU st: NotStopd t0: [18:00:00 21/12/2015] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [18:00:00 21/12/2015] id: Risk for Falls el: 0 cu: CCU cg: RN v1: Yes st: NotStopd t0: [18:00:00 21/12/2015] id: Heart Rate el: 0 cu: CCU cg: RN v1: 118 u1: BPM st: NotStopd t0: [18:00:00 21/12/2015] id: PAP Mean el: 0 cu: CCU cg: RN v1: 28 u1: mmHg st: NotStopd t0: [18:00:00 21/12/2015] id: PAP S/D el: 0 cu: CCU cg: RN v1: 42 u1: mmHg v2: 22 u2: mmHg st: NotStopd t0: [18:00:00 21/12/2015] id: Arterial BP el: 0 cu: CCU cg: RN v1: 91 u1: mmHg v2: 57 u2: mmHg st: NotStopd t0: [18:00:00 21/12/2015] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 69 u1: mmHg st: NotStopd t0: [18:00:00 21/12/2015] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [18:00:00 21/12/2015] id: Previous WeightF el: 0 cu: CCU cg: RN v1: 66 u1: kg st: NotStopd t0: [18:00:00 21/12/2015] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 13 u1: BPM st: NotStopd t0: [18:00:00 21/12/2015] id: SpO2 el: 0 cu: CCU cg: RN v1: 91 u1: % st: NotStopd t0: [18:00:00 21/12/2015] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd
t0: [16:30:00 21/12/2015] tf: [10:28:00 23/12/2015] dt: 2518 id: Chest Tubes Left Pleural 1 el: 1 cu: CCU cg: RN vo: 25 vu: ml t0: [18:00:00 21/12/2015] id: Po Intake PO/Gastric el: 1 cu: CCU cg: RN ai: 103 vo: 100 vu: ml t0: [18:00:00 21/12/2015] tf: [10:28:00 23/12/2015] dt: 2428 id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: CCU cg: RN ai: 189 vo: 10 vu: ml t0: [18:00:00 21/12/2015] id: D5W 250.0ml + 400mcgkgmin Dopamine IV Infusions el: 1 cu: CCU cg: RN ai: 189 vo: 11.1375 vu: ml t0: [18:00:00 21/12/2015] id: Nepro Tube Feeding el: 1 cu: CCU cg: RN ai: 155 vo: 0 vu: ml nb: 1 t0: [18:00:00 21/12/2015] id: Urine Out Foley el: 1 cu: CCU cg: RN vo: 20 vu: ml
t0: [17:00:00 21/12/2015] id: Dopamine el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 2.5 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [17:30:00 21/12/2015] id: Dopamine el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 4 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [18:00:00 21/12/2015] id: Dopamine el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 4 du: mcgkgmin sv: 250 su: ml rt: IV Drip
id: Heparin el: 100 cu: CCU cg: RN io: D5W 250.0ml + 25000Uhr Heparin IV Infusions am: 25000 du: Uhr rt: IV Drip
tf: [13:00:00 23/12/2015] pt: Unit Dose rt: PO fr: PRN m1: Cetylpyridinium Chl (Cepacol) v1: 1 u1: LOZ
id: D5W el: 1 cu: CCU cg: RN io: D5W 250.0ml + 25000Uhr Heparin IV Infusions vo: 250 du: ml rt: Intravenous Push
t0: [17:30:00 21/12/2015] id: Previous Weight el: 0 cu: CCU cg: 140 v1: 66 u1: kg st: NotStopd t0: [17:33:00 21/12/2015] id: WBC (4-11,000) Hematology el: 0 cu: CCU cg: 140 v1: 10.3 rs: Final st: NotStopd t0: [17:33:00 21/12/2015] id: WBC Hematology el: 0 cu: CCU cg: 140 v1: 10.3 rs: Final st: NotStopd t0: [17:33:00 21/12/2015] id: Hematocrit Hematology el: 0 cu: CCU cg: 140 v1: 28.4 u1: % rs: Final st: NotStopd t0: [17:33:00 21/12/2015] id: Hemoglobin Hematology el: 0 cu: CCU cg: 140 v1: 8.5 u1: gm/dl rs: Final st: NotStopd t0: [17:33:00 21/12/2015] id: Platelets Hematology el: 0 cu: CCU cg: 140 v1: 671 rs: Final st: NotStopd t0: [17:33:00 21/12/2015] id: RBC Hematology el: 0 cu: CCU cg: 140 v1: 3.07 u1: /mic l rs: Final st: NotStopd t0: [17:33:00 21/12/2015] id: WBC (4-11,000) Hematology el: 0 cu: CCU cg: 140 v1: 10.3 rs: Final st: NotStopd t0: [18:00:00 21/12/2015] id: Previous Weight el: 0 cu: CCU cg: 140 v1: 66 u1: kg st: NotStopd
t0: [23:00:00 21/12/2015] dt: 24 id: PO/Gastric In Total el: 1 cu: CCU cg: 140 cv: 130 ap: none
t0: [17:33:00 21/12/2015] id: BUN el: 0 cu: CCU cg: 140 v1: 65 rs: Final st: NotStopd t0: [17:33:00 21/12/2015] id: Chloride Chemistry el: 0 cu: CCU cg: 140 v1: 99 rs: Final st: NotStopd t0: [17:33:00 21/12/2015] id: Creatinine Chemistry el: 0 cu: CCU cg: 140 v1: 1.6 rs: Final st: NotStopd t0: [17:33:00 21/12/2015] id: Glucose Chemistry el: 0 cu: CCU cg: 140 v1: 128 rs: Final st: NotStopd t0: [17:33:00 21/12/2015] id: Potassium Chemistry el: 0 cu: CCU cg: 140 v1: 5.4 rs: Final st: NotStopd t0: [17:33:00 21/12/2015] id: Sodium Chemistry el: 0 cu: CCU cg: 140 v1: 132 rs: Final st: NotStopd t0: [17:33:00 21/12/2015] id: BUN (6-20) Chemistry el: 0 cu: CCU cg: 140 v1: 65 rs: Final st: NotStopd t0: [17:33:00 21/12/2015] id: Carbon Dioxide Chemistry el: 0 cu: CCU cg: 140 v1: 25 rs: Final st: NotStopd t0: [17:33:00 21/12/2015] id: Chloride (100-112) Chemistry el: 0 cu: CCU cg: 140 v1: 99 rs: Final st: NotStopd t0: [17:33:00 21/12/2015] id: Creatinine (0-1.3) Chemistry el: 0 cu: CCU cg: 140 v1: 1.6 rs: Final st: NotStopd t0: [17:33:00 21/12/2015] id: Glucose (70-105) Chemistry el: 0 cu: CCU cg: 140 v1: 128 rs: Final st: NotStopd t0: [17:33:00 21/12/2015] id: Potassium (3.5-5.3) Chemistry el: 0 cu: CCU cg: 140 v1: 5.4 rs: Final st: NotStopd t0: [17:33:00 21/12/2015] id: Sodium (135-148) Chemistry el: 0 cu: CCU cg: 140 v1: 132 rs: Final st: NotStopd
t0: [17:33:00 21/12/2015] id: PT el: 0 cu: CCU cg: 140 v1: 14.2 rs: Final st: NotStopd t0: [17:33:00 21/12/2015] id: INR Coags el: 0 cu: CCU cg: 140 v1: 1.3 rs: Final st: NotStopd t0: [17:33:00 21/12/2015] id: PTT Coags el: 0 cu: CCU cg: 140 v1: 35.4 rs: Final st: NotStopd t0: [17:33:00 21/12/2015] id: INR (2-4 ref. range) Coags el: 0 cu: CCU cg: 140 v1: 1.3 rs: Final st: NotStopd t0: [17:33:00 21/12/2015] id: PT(11-13.5) Coags el: 0 cu: CCU cg: 140 v1: 14.2 rs: Final st: NotStopd t0: [17:33:00 21/12/2015] id: PTT(22-35) Coags el: 0 cu: CCU cg: 140 v1: 35.4 rs: Final st: NotStopd
t0: [17:00:00 21/12/2015] id: Hemoglobin Hematology el: 0 cu: CCU cg: RN v1: 8.5 u1: gm/dl rs: Manual st: NotStopd t0: [17:00:00 21/12/2015] id: C.O. (fick) el: 0 cu: CCU cg: RN v1: 3.75329 u1: L/min st: NotStopd t0: [17:21:00 21/12/2015] id: CaO2 el: 0 cu: CCU cg: RN v1: 10.9298 u1: ml/dl st: NotStopd t0: [17:26:00 21/12/2015] id: C.O. (fick) el: 0 cu: CCU cg: RN v1: 3.75329 u1: L/min st: NotStopd t0: [17:30:00 21/12/2015] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [17:30:00 21/12/2015] id: Ectopy Type el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [18:00:00 21/12/2015] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [18:00:00 21/12/2015] id: Ectopy Type el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [18:00:00 21/12/2015] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Sinus Tachy st: NotStopd t0: [18:00:00 21/12/2015] id: Angio Appearance #1 el: 0 cu: CCU cg: RN v1: Clean and Dry v2: Clean and Dry st: NotStopd t0: [18:00:00 21/12/2015] id: Angio Site #1 el: 0 cu: CCU cg: RN v1: R Femoral st: NotStopd
t0: [19:00:00 21/12/2015] id: Service Type el: 0 cu: CCU cg: RN v1: CCU st: NotStopd t0: [19:00:00 21/12/2015] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [19:00:00 21/12/2015] id: Risk for Falls el: 0 cu: CCU cg: RN v1: Yes st: NotStopd t0: [19:00:00 21/12/2015] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [19:00:00 21/12/2015] id: Ectopy Type el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [19:00:00 21/12/2015] id: Heart Rate el: 0 cu: CCU cg: RN v1: 122 u1: BPM st: NotStopd t0: [19:00:00 21/12/2015] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Sinus Tachy st: NotStopd t0: [19:00:00 21/12/2015] id: PAP Mean el: 0 cu: CCU cg: RN v1: 32 u1: mmHg st: NotStopd t0: [19:00:00 21/12/2015] id: PAP S/D el: 0 cu: CCU cg: RN v1: 48 u1: mmHg v2: 24 u2: mmHg st: NotStopd t0: [19:00:00 21/12/2015] id: Arterial BP el: 0 cu: CCU cg: RN v1: 98 u1: mmHg v2: 60 u2: mmHg st: NotStopd t0: [19:00:00 21/12/2015] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 73 u1: mmHg st: NotStopd t0: [19:00:00 21/12/2015] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [19:00:00 21/12/2015] id: Previous WeightF el: 0 cu: CCU cg: RN v1: 66 u1: kg st: NotStopd t0: [19:00:00 21/12/2015] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 15 u1: BPM st: NotStopd t0: [19:00:00 21/12/2015] id: SpO2 el: 0 cu: CCU cg: RN v1: 96 u1: % st: NotStopd t0: [19:00:00 21/12/2015] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd
t0: [19:00:00 21/12/2015] tf: [10:28:00 23/12/2015] dt: 2368 id: Heparin el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 1000 du: Uhr sv: 250 su: ml rt: IV Drip t0: [19:00:00 21/12/2015] id: Dopamine el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 4 du: mcgkgmin sv: 250 su: ml rt: IV Drip
t0: [20:00:00 21/12/2015] id: Pain Present el: 0 cu: CCU cg: RN v1: No st: NotStopd t0: [20:00:00 21/12/2015] id: Service Type el: 0 cu: CCU cg: RN v1: CCU st: NotStopd t0: [20:00:00 21/12/2015] id: Chest Tube Site #1 el: 0 cu: CCU cg: RN v1: Left Anterior st: NotStopd t0: [20:00:00 21/12/2015] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [20:00:00 21/12/2015] id: Riker-SAS Scale el: 0 cu: CCU cg: RN v1: Calm/Cooperative st: NotStopd t0: [20:00:00 21/12/2015] id: Cough Effort el: 0 cu: CCU cg: RN v1: Weak st: NotStopd t0: [20:00:00 21/12/2015] id: Cough Type el: 0 cu: CCU cg: RN v1: Nonproductive st: NotStopd t0: [20:00:00 21/12/2015] id: Risk for Falls el: 0 cu: CCU cg: RN v1: Yes st: NotStopd t0: [20:00:00 21/12/2015] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [20:00:00 21/12/2015] id: Ectopy Type el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [20:00:00 21/12/2015] id: Eye Opening el: 0 cu: CCU cg: RN v1: 4 Spontaneously st: NotStopd t0: [20:00:00 21/12/2015] id: GCS Total el: 0 cu: CCU cg: RN v1: 15 u1: points st: NotStopd t0: [20:00:00 21/12/2015] id: Heart Rate el: 0 cu: CCU cg: RN v1: 120 u1: BPM st: NotStopd t0: [20:00:00 21/12/2015] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Sinus Tachy st: NotStopd t0: [20:00:00 21/12/2015] id: LLL Lung Sounds el: 0 cu: CCU cg: RN v1: Diminished st: NotStopd t0: [20:00:00 21/12/2015] id: LUL Lung Sounds el: 0 cu: CCU cg: RN v1: Clear st: NotStopd t0: [20:00:00 21/12/2015] id: Level of Conscious el: 0 cu: CCU cg: RN v1: Alert st: NotStopd t0: [20:00:00 21/12/2015] id: Angio Appearance #1 el: 0 cu: CCU cg: RN v1: Clean and Dry st: NotStopd t0: [20:00:00 21/12/2015] id: Motor Response el: 0 cu: CCU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [20:00:00 21/12/2015] id: O2 Delivery Device el: 0 cu: CCU cg: RN v1: Nasal Cannula st: NotStopd t0: [20:00:00 21/12/2015] id: O2 Flow (lpm) el: 0 cu: CCU cg: RN v1: 3 u1: lpm st: NotStopd t0: [20:00:00 21/12/2015] id: Orientation el: 0 cu: CCU cg: RN v1: Oriented x 3 st: NotStopd t0: [20:00:00 21/12/2015] id: Angio Site #1 el: 0 cu: CCU cg: RN v1: R Femoral st: NotStopd t0: [20:00:00 21/12/2015] id: PAP Mean el: 0 cu: CCU cg: RN v1: 28 u1: mmHg st: NotStopd t0: [20:00:00 21/12/2015] id: PAP S/D el: 0 cu: CCU cg: RN v1: 43 u1: mmHg v2: 21 u2: mmHg st: NotStopd t0: [20:00:00 21/12/2015] id: Arterial BP el: 0 cu: CCU cg: RN v1: 93 u1: mmHg v2: 58 u2: mmHg st: NotStopd t0: [20:00:00 21/12/2015] id: Pain Location el: 0 cu: CCU cg: RN v1: Not Indicated st: NotStopd t0: [20:00:00 21/12/2015] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 70 u1: mmHg st: NotStopd t0: [20:00:00 21/12/2015] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [20:00:00 21/12/2015] id: Previous WeightF el: 0 cu: CCU cg: RN v1: 66 u1: kg st: NotStopd t0: [20:00:00 21/12/2015] id: RLL Lung Sounds el: 0 cu: CCU cg: RN v1: Absent st: NotStopd t0: [20:00:00 21/12/2015] id: RUL Lung Sounds el: 0 cu: CCU cg: RN v1: Clear st: NotStopd t0: [20:00:00 21/12/2015] id: Respiratory Effort el: 0 cu: CCU cg: RN v1: Normal st: NotStopd t0: [20:00:00 21/12/2015] id: Respiratory Pattern el: 0 cu: CCU cg: RN v1: Regular st: NotStopd t0: [20:00:00 21/12/2015] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 0 u1: BPM st: NotStopd t0: [20:00:00 21/12/2015] id: SpO2 el: 0 cu: CCU cg: RN v1: 98 u1: % st: NotStopd t0: [20:00:00 21/12/2015] id: Verbal Response el: 0 cu: CCU cg: RN v1: 5 Oriented st: NotStopd t0: [20:00:00 21/12/2015] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd t0: [20:00:00 21/12/2015] id: CT #1 Suction Amount el: 0 cu: CCU cg: RN v1: 20 cm st: NotStopd
t0: [20:00:00 21/12/2015] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: CCU cg: RN ai: 189 vo: 10 vu: ml t0: [20:00:00 21/12/2015] id: D5W 250.0ml + 400mcgkgmin Dopamine IV Infusions el: 1 cu: CCU cg: RN ai: 189 vo: 19.8 vu: ml t0: [20:00:00 21/12/2015] tf: [10:28:00 23/12/2015] dt: 2308 id: Nepro Tube Feeding el: 1 cu: CCU cg: RN ai: 155 vo: 40 vu: ml t0: [20:00:00 21/12/2015] id: Urine Out Foley el: 1 cu: CCU cg: RN vo: 45 vu: ml
t0: [20:00:00 21/12/2015] id: Heparin el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 1000 du: Uhr sv: 250 su: ml rt: IV Drip t0: [20:00:00 21/12/2015] id: Dopamine el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 4 du: mcgkgmin sv: 250 su: ml rt: IV Drip
t0: [18:00:00 21/12/2015] id: Position el: 0 cu: CCU cg: RN v1: Left Side st: NotStopd t0: [20:00:00 21/12/2015] id: HOB el: 0 cu: CCU cg: RN v1: Reverse T-Berg st: NotStopd t0: [20:00:00 21/12/2015] id: Activity el: 0 cu: CCU cg: RN v1: Bedrest st: NotStopd t0: [20:00:00 21/12/2015] id: Activity Tolerance el: 0 cu: CCU cg: RN v1: Tolerated Well st: NotStopd t0: [20:00:00 21/12/2015] id: Position el: 0 cu: CCU cg: RN v1: Right Side st: NotStopd t0: [20:00:00 21/12/2015] id: Assistance Device el: 0 cu: CCU cg: RN v1: 2 Person Assist st: NotStopd t0: [20:00:00 21/12/2015] id: Temp. Site el: 0 cu: CCU cg: RN v1: Oral st: NotStopd t0: [20:00:00 21/12/2015] id: Temperature C (calc) el: 0 cu: CCU cg: RN v1: 36.1111 u1: Deg. C st: NotStopd t0: [20:00:00 21/12/2015] id: Temperature F el: 0 cu: CCU cg: RN v1: 97 u1: Deg. F st: NotStopd t0: [20:00:00 21/12/2015] id: Turn el: 0 cu: CCU cg: RN v1: Logroll st: NotStopd
t0: [22:00:00 21/12/2015] id: Service Type el: 0 cu: CCU cg: RN v1: CCU st: NotStopd t0: [22:00:00 21/12/2015] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [22:00:00 21/12/2015] id: Risk for Falls el: 0 cu: CCU cg: RN v1: Yes st: NotStopd t0: [22:00:00 21/12/2015] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [22:00:00 21/12/2015] id: Ectopy Type el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [22:00:00 21/12/2015] id: Heart Rate el: 0 cu: CCU cg: RN v1: 121 u1: BPM st: NotStopd t0: [22:00:00 21/12/2015] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Sinus Tachy st: NotStopd t0: [22:00:00 21/12/2015] id: PAP Mean el: 0 cu: CCU cg: RN v1: 30 u1: mmHg st: NotStopd t0: [22:00:00 21/12/2015] id: PAP S/D el: 0 cu: CCU cg: RN v1: 45 u1: mmHg v2: 23 u2: mmHg st: NotStopd t0: [22:00:00 21/12/2015] id: Arterial BP el: 0 cu: CCU cg: RN v1: 94 u1: mmHg v2: 59 u2: mmHg st: NotStopd t0: [22:00:00 21/12/2015] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 71 u1: mmHg st: NotStopd t0: [22:00:00 21/12/2015] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [22:00:00 21/12/2015] id: Previous WeightF el: 0 cu: CCU cg: RN v1: 66 u1: kg st: NotStopd t0: [22:00:00 21/12/2015] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 31 u1: BPM st: NotStopd t0: [22:00:00 21/12/2015] id: SpO2 el: 0 cu: CCU cg: RN v1: 97 u1: % st: NotStopd t0: [22:00:00 21/12/2015] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd
t0: [22:00:00 21/12/2015] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: CCU cg: RN ai: 189 vo: 10 vu: ml t0: [22:00:00 21/12/2015] id: D5W 250.0ml + 400mcgkgmin Dopamine IV Infusions el: 1 cu: CCU cg: RN ai: 189 vo: 19.8 vu: ml t0: [22:00:00 21/12/2015] id: Nepro Tube Feeding el: 1 cu: CCU cg: RN ai: 155 vo: 40 vu: ml t0: [22:00:00 21/12/2015] id: Chest Tubes Left Pleural 1 el: 1 cu: CCU cg: RN vo: 2 vu: ml t0: [22:00:00 21/12/2015] id: Urine Out Foley el: 1 cu: CCU cg: RN vo: 40 vu: ml
t0: [22:00:00 21/12/2015] id: Heparin el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 1000 du: Uhr sv: 250 su: ml rt: IV Drip t0: [22:00:00 21/12/2015] id: Dopamine el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 4 du: mcgkgmin sv: 250 su: ml rt: IV Drip
t0: [23:00:00 21/12/2015] dt: 1 id: Total Hourly Output el: 1 cu: CCU cg: RN cv: 0 ap: none t0: [23:00:00 21/12/2015] dt: 24 id: Tube Feeds In Total el: 1 cu: CCU cg: RN cv: 80 ap: none t0: [23:00:00 21/12/2015] dt: 24 id: Urine Out Total el: 1 cu: CCU cg: RN cv: 255 ap: none t0: [23:00:00 21/12/2015] dt: 24 id: 24h Total Out el: 1 cu: CCU cg: RN cv: 282 ap: none t0: [23:00:00 21/12/2015] dt: 24 id: Chest Tube Out Total el: 1 cu: CCU cg: RN cv: 27 ap: none
t0: [22:00:00 21/12/2015] tf: [04:00:00 23/12/2015] dt: 1800 id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CCU cg: RN ai: 190 vo: 0 vu: ml nb: 1 t0: [22:00:00 21/12/2015] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CCU cg: RN ai: 190 vo: 30 vu: ml
t0: [23:00:00 21/12/2015] dt: 1 id: Net Hourly Balance el: 1 cu: CCU cg: RN cv: 0 ap: none t0: [23:00:00 21/12/2015] dt: 24 id: IV Infusion In Total el: 1 cu: CCU cg: RN cv: 148.481 ap: none t0: [23:00:00 21/12/2015] dt: 24 id: 24h Total In el: 1 cu: CCU cg: RN cv: 358.481 ap: none t0: [23:00:00 21/12/2015] dt: 24 id: 24h Net Body Balance el: 1 cu: CCU cg: RN cv: 76.4812 ap: none t0: [23:00:00 21/12/2015] dt: multiple days id: LOS Net Body Balance el: 1 cu: CCU cg: RN cv: 76.4812 ap: none
t0: [00:00:00 22/12/2015] id: Service Type el: 0 cu: CCU cg: RN v1: CCU st: NotStopd t0: [00:00:00 22/12/2015] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [00:00:00 22/12/2015] id: Risk for Falls el: 0 cu: CCU cg: RN v1: Yes st: NotStopd t0: [00:00:00 22/12/2015] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [00:00:00 22/12/2015] id: Ectopy Type el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [00:00:00 22/12/2015] id: Heart Rate el: 0 cu: CCU cg: RN v1: 122 u1: BPM st: NotStopd t0: [00:00:00 22/12/2015] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Sinus Tachy st: NotStopd t0: [00:00:00 22/12/2015] id: PAP Mean el: 0 cu: CCU cg: RN v1: 32 u1: mmHg st: NotStopd t0: [00:00:00 22/12/2015] id: PAP S/D el: 0 cu: CCU cg: RN v1: 50 u1: mmHg v2: 25 u2: mmHg st: NotStopd t0: [00:00:00 22/12/2015] id: Arterial BP el: 0 cu: CCU cg: RN v1: 107 u1: mmHg v2: 66 u2: mmHg st: NotStopd t0: [00:00:00 22/12/2015] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 80 u1: mmHg st: NotStopd t0: [00:00:00 22/12/2015] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [00:00:00 22/12/2015] id: Previous WeightF el: 0 cu: CCU cg: RN v1: 66 u1: kg st: NotStopd t0: [00:00:00 22/12/2015] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 11 u1: BPM st: NotStopd t0: [00:00:00 22/12/2015] id: SpO2 el: 0 cu: CCU cg: RN v1: 97 u1: % st: NotStopd t0: [00:00:00 22/12/2015] id: Temp. Site el: 0 cu: CCU cg: RN v1: Oral st: NotStopd t0: [00:00:00 22/12/2015] id: Temperature C (calc) el: 0 cu: CCU cg: RN v1: 36.4444 u1: Deg. C st: NotStopd t0: [00:00:00 22/12/2015] id: Temperature F el: 0 cu: CCU cg: RN v1: 97.6 u1: Deg. F st: NotStopd t0: [00:00:00 22/12/2015] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd
t0: [00:00:00 22/12/2015] id: Heparin el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 1000 du: Uhr sv: 250 su: ml rt: IV Drip t0: [00:00:00 22/12/2015] id: Dopamine el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 4 du: mcgkgmin sv: 250 su: ml rt: IV Drip
t0: [01:00:00 22/12/2015] id: Service Type el: 0 cu: CCU cg: RN v1: CCU st: NotStopd t0: [01:00:00 22/12/2015] id: Chest Tube Site #1 el: 0 cu: CCU cg: RN v1: Left Anterior st: NotStopd t0: [01:00:00 22/12/2015] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [01:00:00 22/12/2015] id: Cough Effort el: 0 cu: CCU cg: RN v1: Weak st: NotStopd t0: [01:00:00 22/12/2015] id: Cough Type el: 0 cu: CCU cg: RN v1: Nonproductive st: NotStopd t0: [01:00:00 22/12/2015] id: Risk for Falls el: 0 cu: CCU cg: RN v1: Yes st: NotStopd t0: [01:00:00 22/12/2015] id: Diet Type el: 0 cu: CCU cg: RN v1: Tube Feeding st: NotStopd t0: [01:00:00 22/12/2015] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [01:00:00 22/12/2015] id: Ectopy Type el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [01:00:00 22/12/2015] id: Edema Location/Amt#1 el: 0 cu: CCU cg: RN v1: Both Legs v2: 6 mm st: NotStopd t0: [01:00:00 22/12/2015] id: Eye Opening el: 0 cu: CCU cg: RN v1: 4 Spontaneously st: NotStopd t0: [01:00:00 22/12/2015] id: GCS Total el: 0 cu: CCU cg: RN v1: 15 u1: points st: NotStopd t0: [01:00:00 22/12/2015] id: GI Intub #1/Site el: 0 cu: CCU cg: RN v1: Feeding/Peditube v2: Right Nare st: NotStopd t0: [01:00:00 22/12/2015] id: GU Catheter Size el: 0 cu: CCU cg: RN v1: 16 French st: NotStopd t0: [01:00:00 22/12/2015] id: HOB el: 0 cu: CCU cg: RN v1: Reverse T-Berg st: NotStopd t0: [01:00:00 22/12/2015] id: Heart Rate el: 0 cu: CCU cg: RN v1: 120 u1: BPM st: NotStopd t0: [01:00:00 22/12/2015] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Sinus Tachy st: NotStopd t0: [01:00:00 22/12/2015] id: Activity el: 0 cu: CCU cg: RN v1: Bedrest st: NotStopd t0: [01:00:00 22/12/2015] id: LLL Lung Sounds el: 0 cu: CCU cg: RN v1: Coarse st: NotStopd t0: [01:00:00 22/12/2015] id: LUL Lung Sounds el: 0 cu: CCU cg: RN v1: Clear st: NotStopd t0: [01:00:00 22/12/2015] id: Level of Conscious el: 0 cu: CCU cg: RN v1: Alert st: NotStopd t0: [01:00:00 22/12/2015] id: Angio Appearance #1 el: 0 cu: CCU cg: RN v1: Clean and Dry st: NotStopd t0: [01:00:00 22/12/2015] id: Motor Response el: 0 cu: CCU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [01:00:00 22/12/2015] id: Oral Cavity el: 0 cu: CCU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [01:00:00 22/12/2015] id: Orientation el: 0 cu: CCU cg: RN v1: Oriented x 3 st: NotStopd t0: [01:00:00 22/12/2015] id: Angio Site #1 el: 0 cu: CCU cg: RN v1: R Femoral st: NotStopd t0: [01:00:00 22/12/2015] id: PAP Mean el: 0 cu: CCU cg: RN v1: 34 u1: mmHg st: NotStopd t0: [01:00:00 22/12/2015] id: PAP S/D el: 0 cu: CCU cg: RN v1: 50 u1: mmHg v2: 27 u2: mmHg st: NotStopd t0: [01:00:00 22/12/2015] id: Arterial BP el: 0 cu: CCU cg: RN v1: 100 u1: mmHg v2: 64 u2: mmHg st: NotStopd t0: [01:00:00 22/12/2015] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 76 u1: mmHg st: NotStopd t0: [01:00:00 22/12/2015] id: Position el: 0 cu: CCU cg: RN v1: Left Side st: NotStopd t0: [01:00:00 22/12/2015] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [01:00:00 22/12/2015] id: Previous WeightF el: 0 cu: CCU cg: RN v1: 66 u1: kg st: NotStopd t0: [01:00:00 22/12/2015] id: RLL Lung Sounds el: 0 cu: CCU cg: RN v1: Diminished st: NotStopd t0: [01:00:00 22/12/2015] id: RUL Lung Sounds el: 0 cu: CCU cg: RN v1: Clear st: NotStopd t0: [01:00:00 22/12/2015] id: Respiratory Effort el: 0 cu: CCU cg: RN v1: Normal st: NotStopd t0: [01:00:00 22/12/2015] id: Respiratory Pattern el: 0 cu: CCU cg: RN v1: Regular st: NotStopd t0: [01:00:00 22/12/2015] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 9 u1: BPM st: NotStopd t0: [01:00:00 22/12/2015] id: Restraint Location el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [01:00:00 22/12/2015] id: Side Rails el: 0 cu: CCU cg: RN v1: Side Rails Up st: NotStopd t0: [01:00:00 22/12/2015] id: SpO2 el: 0 cu: CCU cg: RN v1: 95 u1: % st: NotStopd t0: [01:00:00 22/12/2015] id: Support Systems el: 0 cu: CCU cg: RN v1: Significnt Other st: NotStopd t0: [01:00:00 22/12/2015] id: Turn el: 0 cu: CCU cg: RN v1: Logroll st: NotStopd t0: [01:00:00 22/12/2015] id: Urine Color/Appear el: 0 cu: CCU cg: RN v1: Yellow v2: Clear st: NotStopd t0: [01:00:00 22/12/2015] id: Urine Source el: 0 cu: CCU cg: RN v1: Indwelling Cath st: NotStopd t0: [01:00:00 22/12/2015] id: Verbal Response el: 0 cu: CCU cg: RN v1: 5 Oriented st: NotStopd t0: [01:00:00 22/12/2015] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd t0: [01:00:00 22/12/2015] id: Braden Activity el: 0 cu: CCU cg: RN v1: Bedfast st: NotStopd t0: [01:00:00 22/12/2015] id: Braden Frict/Shear el: 0 cu: CCU cg: RN v1: Potential Prob st: NotStopd t0: [01:00:00 22/12/2015] id: Braden Mobility el: 0 cu: CCU cg: RN v1: Very Limited st: NotStopd t0: [01:00:00 22/12/2015] id: Braden Moisture el: 0 cu: CCU cg: RN v1: Occ. Moist st: NotStopd t0: [01:00:00 22/12/2015] id: Braden Nutrition el: 0 cu: CCU cg: RN v1: Prob. Inadequate st: NotStopd t0: [01:00:00 22/12/2015] id: Braden Score el: 0 cu: CCU cg: RN v1: 14 u1: number st: NotStopd t0: [01:00:00 22/12/2015] id: Braden SensoryPercep el: 0 cu: CCU cg: RN v1: No Impairment st: NotStopd t0: [01:00:00 22/12/2015] id: CT #1 Drainage el: 0 cu: CCU cg: RN v1: Serosanguinous st: NotStopd t0: [01:00:00 22/12/2015] id: CT #1 Fluctuate/Leak el: 0 cu: CCU cg: RN v1: Positive v2: Negative st: NotStopd t0: [01:00:00 22/12/2015] id: CT #1 Suction Amount el: 0 cu: CCU cg: RN v1: 20 cm st: NotStopd
t0: [01:00:00 22/12/2015] id: Po Intake PO/Gastric el: 1 cu: CCU cg: RN ai: 103 vo: 100 vu: ml t0: [01:00:00 22/12/2015] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: CCU cg: RN ai: 189 vo: 15 vu: ml t0: [01:00:00 22/12/2015] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CCU cg: RN ai: 190 vo: 30 vu: ml t0: [01:00:00 22/12/2015] id: D5W 250.0ml + 400mcgkgmin Dopamine IV Infusions el: 1 cu: CCU cg: RN ai: 189 vo: 29.7 vu: ml t0: [01:00:00 22/12/2015] id: Nepro Tube Feeding el: 1 cu: CCU cg: RN ai: 155 vo: 60 vu: ml t0: [01:00:00 22/12/2015] id: Urine Out Foley el: 1 cu: CCU cg: RN vo: 100 vu: ml
t0: [01:00:00 22/12/2015] id: Heparin el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 1000 du: Uhr sv: 250 su: ml rt: IV Drip t0: [01:00:00 22/12/2015] id: Dopamine el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 4 du: mcgkgmin sv: 250 su: ml rt: IV Drip
t0: [23:00:00 22/12/2015] dt: 24 id: PO/Gastric In Total el: 1 cu: CCU cg: RN cv: 590 ap: none
t0: [06:00:00 21/12/2015] id: Albumin Chemistry el: 0 cu: CCU cg: 140 v1: 2.2 rs: Final st: NotStopd t0: [06:00:00 21/12/2015] id: Total Bili Chemistry el: 0 cu: CCU cg: 140 v1: 0.3 rs: Final st: NotStopd t0: [06:00:00 21/12/2015] id: AST Enzymes el: 0 cu: CCU cg: 140 v1: 28 rs: Final st: NotStopd t0: [06:00:00 21/12/2015] id: Albumin (>3.2) Chemistry el: 0 cu: CCU cg: 140 v1: 2.2 rs: Final st: NotStopd t0: [06:00:00 21/12/2015] id: Alk. Phosphate Enzymes el: 0 cu: CCU cg: 140 v1: 234 rs: Final st: NotStopd t0: [06:00:00 21/12/2015] id: LDH Enzymes el: 0 cu: CCU cg: 140 v1: 212 rs: Final st: NotStopd t0: [06:00:00 21/12/2015] id: Total Bili (0-1.5) Chemistry el: 0 cu: CCU cg: 140 v1: 0.3 rs: Final st: NotStopd
t0: [01:09:00 22/12/2015] id: PTT Coags el: 0 cu: CCU cg: 140 v1: 50 rs: Final st: NotStopd t0: [01:09:00 22/12/2015] id: PTT(22-35) Coags el: 0 cu: CCU cg: 140 v1: 50 rs: Final st: NotStopd
t0: [02:00:00 22/12/2015] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [02:00:00 22/12/2015] id: Ectopy Type el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [02:00:00 22/12/2015] id: Heart Rate el: 0 cu: CCU cg: RN v1: 122 u1: BPM st: NotStopd t0: [02:00:00 22/12/2015] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Sinus Tachy st: NotStopd t0: [02:00:00 22/12/2015] id: PAP Mean el: 0 cu: CCU cg: RN v1: 33 u1: mmHg st: NotStopd t0: [02:00:00 22/12/2015] id: PAP S/D el: 0 cu: CCU cg: RN v1: 50 u1: mmHg v2: 25 u2: mmHg st: NotStopd t0: [02:00:00 22/12/2015] id: Arterial BP el: 0 cu: CCU cg: RN v1: 101 u1: mmHg v2: 64 u2: mmHg st: NotStopd t0: [02:00:00 22/12/2015] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 77 u1: mmHg st: NotStopd t0: [02:00:00 22/12/2015] id: Previous WeightF el: 0 cu: CCU cg: RN v1: 66 u1: kg st: NotStopd t0: [02:00:00 22/12/2015] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 22 u1: BPM st: NotStopd t0: [02:00:00 22/12/2015] id: SpO2 el: 0 cu: CCU cg: RN v1: 97 u1: % st: NotStopd t0: [02:00:00 22/12/2015] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd
t0: [02:00:00 22/12/2015] id: Heparin el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 1100 du: Uhr sv: 250 su: ml rt: IV Drip t0: [02:00:00 22/12/2015] id: Dopamine el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 4 du: mcgkgmin sv: 250 su: ml rt: IV Drip
t0: [00:00:00 22/12/2015] id: O2 Delivery Device el: 0 cu: CCU cg: RN v1: Nasal Cannula st: NotStopd t0: [00:00:00 22/12/2015] id: O2 Flow (lpm) el: 0 cu: CCU cg: RN v1: 3 u1: lpm st: NotStopd t0: [01:00:00 22/12/2015] id: Dorsal PedPulse R/L el: 0 cu: CCU cg: RN v1: Doppler v2: Doppler st: NotStopd t0: [01:00:00 22/12/2015] id: PostTib. Pulses R/L el: 0 cu: CCU cg: RN v1: Doppler v2: Doppler st: NotStopd t0: [02:00:00 22/12/2015] id: Level of Conscious el: 0 cu: CCU cg: RN v1: Sleeping st: NotStopd t0: [03:00:00 22/12/2015] id: Service Type el: 0 cu: CCU cg: RN v1: CCU st: NotStopd t0: [03:00:00 22/12/2015] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [03:00:00 22/12/2015] id: Risk for Falls el: 0 cu: CCU cg: RN v1: Yes st: NotStopd t0: [03:00:00 22/12/2015] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [03:00:00 22/12/2015] id: Ectopy Type el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [03:00:00 22/12/2015] id: Heart Rate el: 0 cu: CCU cg: RN v1: 123 u1: BPM st: NotStopd t0: [03:00:00 22/12/2015] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Sinus Tachy st: NotStopd t0: [03:00:00 22/12/2015] id: Level of Conscious el: 0 cu: CCU cg: RN v1: Sleeping st: NotStopd t0: [03:00:00 22/12/2015] id: PAP Mean el: 0 cu: CCU cg: RN v1: 33 u1: mmHg st: NotStopd t0: [03:00:00 22/12/2015] id: PAP S/D el: 0 cu: CCU cg: RN v1: 48 u1: mmHg v2: 25 u2: mmHg st: NotStopd t0: [03:00:00 22/12/2015] id: Arterial BP el: 0 cu: CCU cg: RN v1: 102 u1: mmHg v2: 65 u2: mmHg st: NotStopd t0: [03:00:00 22/12/2015] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 78 u1: mmHg st: NotStopd t0: [03:00:00 22/12/2015] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [03:00:00 22/12/2015] id: Previous WeightF el: 0 cu: CCU cg: RN v1: 66 u1: kg st: NotStopd t0: [03:00:00 22/12/2015] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 24 u1: BPM st: NotStopd t0: [03:00:00 22/12/2015] id: SpO2 el: 0 cu: CCU cg: RN v1: 97 u1: % st: NotStopd t0: [03:00:00 22/12/2015] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd
t0: [03:00:00 22/12/2015] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: CCU cg: RN ai: 189 vo: 10 vu: ml t0: [03:00:00 22/12/2015] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CCU cg: RN ai: 190 vo: 21 vu: ml t0: [03:00:00 22/12/2015] id: D5W 250.0ml + 400mcgkgmin Dopamine IV Infusions el: 1 cu: CCU cg: RN ai: 189 vo: 19.8 vu: ml t0: [03:00:00 22/12/2015] id: Nepro Tube Feeding el: 1 cu: CCU cg: RN ai: 155 vo: 40 vu: ml t0: [03:00:00 22/12/2015] id: Urine Out Foley el: 1 cu: CCU cg: RN vo: 80 vu: ml
t0: [03:00:00 22/12/2015] id: Heparin el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 1100 du: Uhr sv: 250 su: ml rt: IV Drip t0: [03:00:00 22/12/2015] id: Dopamine el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 4 du: mcgkgmin sv: 250 su: ml rt: IV Drip
t0: [23:00:00 22/12/2015] dt: 1 id: Total Hourly Output el: 1 cu: CCU cg: RN pv: 70 cv: 70 ap: none t0: [23:00:00 22/12/2015] dt: 1 id: Net Hourly Balance el: 1 cu: CCU cg: RN pv: -14 cv: -14 ap: none t0: [23:00:00 22/12/2015] dt: 24 id: IV Infusion In Total el: 1 cu: CCU cg: RN pv: 16 cv: 497.475 ap: none t0: [23:00:00 22/12/2015] dt: 24 id: 24h Total In el: 1 cu: CCU cg: RN pv: 56 cv: 1887.47 ap: none t0: [23:00:00 22/12/2015] dt: 24 id: Tube Feeds In Total el: 1 cu: CCU cg: RN pv: 40 cv: 800 ap: none t0: [23:00:00 22/12/2015] dt: 24 id: Urine Out Total el: 1 cu: CCU cg: RN pv: 70 cv: 1094 ap: none t0: [23:00:00 22/12/2015] dt: 24 id: 24h Net Body Balance el: 1 cu: CCU cg: RN pv: -14 cv: 793.475 ap: carryForward t0: [23:00:00 22/12/2015] dt: 24 id: 24h Total Out el: 1 cu: CCU cg: RN pv: 70 cv: 1094 ap: carryForward t0: [23:00:00 22/12/2015] dt: multiple days id: LOS Net Body Balance el: 1 cu: CCU cg: RN pv: -14 cv: 869.956 ap: carryForward
t0: [04:00:00 22/12/2015] id: Pain Present el: 0 cu: CCU cg: RN v1: No st: NotStopd t0: [04:00:00 22/12/2015] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [04:00:00 22/12/2015] id: Ectopy Type el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [04:00:00 22/12/2015] id: Eye Opening el: 0 cu: CCU cg: RN v1: 4 Spontaneously st: NotStopd t0: [04:00:00 22/12/2015] id: GCS Total el: 0 cu: CCU cg: RN v1: 15 u1: points st: NotStopd t0: [04:00:00 22/12/2015] id: Heart Rate el: 0 cu: CCU cg: RN v1: 124 u1: BPM st: NotStopd t0: [04:00:00 22/12/2015] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Sinus Tachy st: NotStopd t0: [04:00:00 22/12/2015] id: INV Line#1 Type/Site el: 0 cu: CCU cg: RN v1: Multi-lumen v2: Right IJ st: NotStopd t0: [04:00:00 22/12/2015] id: INV Line#1InsertDate el: 0 cu: CCU cg: RN v2: ? st: NotStopd t0: [04:00:00 22/12/2015] id: INV Line#2 Type/Site el: 0 cu: CCU cg: RN v1: PA line v2: Right Femoral st: NotStopd t0: [04:00:00 22/12/2015] id: INV Line#2 Zero/Cal el: 0 cu: CCU cg: RN v1: Yes st: NotStopd t0: [04:00:00 22/12/2015] id: INV Line#2InsertDate el: 0 cu: CCU cg: RN v1: 12 v2: 22 st: NotStopd t0: [04:00:00 22/12/2015] id: INV Line#2SiteAppear el: 0 cu: CCU cg: RN v1: WNL st: NotStopd t0: [04:00:00 22/12/2015] id: INV Line#3 Type/Site el: 0 cu: CCU cg: RN v1: A-Line v2: Right Femoral st: NotStopd t0: [04:00:00 22/12/2015] id: INV Line#3 Zero/Cal el: 0 cu: CCU cg: RN v1: Yes st: NotStopd t0: [04:00:00 22/12/2015] id: INV Line#3InsertDate el: 0 cu: CCU cg: RN v1: 12 v2: 22 st: NotStopd t0: [04:00:00 22/12/2015] id: INV Line#3SiteAppear el: 0 cu: CCU cg: RN v1: WNL st: NotStopd t0: [04:00:00 22/12/2015] id: INV#2 WaveformAppear el: 0 cu: CCU cg: RN v1: Sharp st: NotStopd t0: [04:00:00 22/12/2015] id: INV#3 WaveformAppear el: 0 cu: CCU cg: RN v1: Sharp st: NotStopd t0: [04:00:00 22/12/2015] id: KneeImmobilizer/Loc el: 0 cu: CCU cg: RN v1: Off st: NotStopd t0: [04:00:00 22/12/2015] id: LLL Lung Sounds el: 0 cu: CCU cg: RN v1: Coarse st: NotStopd t0: [04:00:00 22/12/2015] id: LUL Lung Sounds el: 0 cu: CCU cg: RN v1: Clear st: NotStopd t0: [04:00:00 22/12/2015] id: Level of Conscious el: 0 cu: CCU cg: RN v1: Alert st: NotStopd t0: [04:00:00 22/12/2015] id: Angio Appearance #1 el: 0 cu: CCU cg: RN v1: Clean and Dry v2: Clean and Dry st: NotStopd t0: [04:00:00 22/12/2015] id: Motor Response el: 0 cu: CCU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [04:00:00 22/12/2015] id: O2 Delivery Device el: 0 cu: CCU cg: RN v1: Nasal Cannula st: NotStopd t0: [04:00:00 22/12/2015] id: O2 Flow (lpm) el: 0 cu: CCU cg: RN v1: 3 u1: lpm st: NotStopd t0: [04:00:00 22/12/2015] id: Orientation el: 0 cu: CCU cg: RN v1: Oriented x 3 st: NotStopd t0: [04:00:00 22/12/2015] id: Angio Site #1 el: 0 cu: CCU cg: RN v1: R Femoral st: NotStopd t0: [04:00:00 22/12/2015] id: PAP Mean el: 0 cu: CCU cg: RN v1: 40 u1: mmHg st: NotStopd t0: [04:00:00 22/12/2015] id: PAP S/D el: 0 cu: CCU cg: RN v1: 55 u1: mmHg v2: 30 u2: mmHg st: NotStopd t0: [04:00:00 22/12/2015] id: Arterial BP el: 0 cu: CCU cg: RN v1: 108 u1: mmHg v2: 71 u2: mmHg st: NotStopd t0: [04:00:00 22/12/2015] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 84 u1: mmHg st: NotStopd t0: [04:00:00 22/12/2015] id: Position el: 0 cu: CCU cg: RN v1: Right Side st: NotStopd t0: [04:00:00 22/12/2015] id: Previous WeightF el: 0 cu: CCU cg: RN v1: 66 u1: kg st: NotStopd t0: [04:00:00 22/12/2015] id: RLL Lung Sounds el: 0 cu: CCU cg: RN v1: Diminished st: NotStopd t0: [04:00:00 22/12/2015] id: RUL Lung Sounds el: 0 cu: CCU cg: RN v1: Clear st: NotStopd t0: [04:00:00 22/12/2015] id: Respiratory Pattern el: 0 cu: CCU cg: RN v1: Regular st: NotStopd t0: [04:00:00 22/12/2015] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 27 u1: BPM st: NotStopd t0: [04:00:00 22/12/2015] id: SpO2 el: 0 cu: CCU cg: RN v1: 97 u1: % st: NotStopd t0: [04:00:00 22/12/2015] id: Verbal Response el: 0 cu: CCU cg: RN v1: 5 Oriented st: NotStopd t0: [04:00:00 22/12/2015] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd
t0: [04:00:00 22/12/2015] id: Stool Out Stool el: 1 cu: CCU cg: RN vu: ml es: Large
t0: [04:00:00 22/12/2015] id: Heparin el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 1100 du: Uhr sv: 250 su: ml rt: IV Drip t0: [04:00:00 22/12/2015] id: Dopamine el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 3 du: mcgkgmin sv: 250 su: ml rt: IV Drip
t0: [23:00:00 22/12/2015] dt: 24 id: Stool Out Total el: 1 cu: CCU cg: RN cv: 0 ap: carryForward
t0: [04:00:00 22/12/2015] id: Hemoglobin Hematology el: 0 cu: CCU cg: RN v1: 8.5 u1: gm/dl rs: Manual st: NotStopd t0: [04:00:00 22/12/2015] id: Mixed Venous O2% Sat Blood Gases el: 0 cu: CCU cg: RN v1: 64 rs: Manual st: NotStopd t0: [04:00:00 22/12/2015] id: C.O. (fick) el: 0 cu: CCU cg: RN v1: 5.68681 u1: L/min st: NotStopd
t0: [04:16:00 22/12/2015] id: BSA el: 1033 cu: CCU cg: -1 v1: 1.71063 u1: m2 t0: [04:16:00 22/12/2015] id: Admit Wt el: 1032 cu: CCU cg: -1 v1: 66 u1: kg t0: [04:16:00 22/12/2015] id: Allergy 1 el: 1020 cu: CCU cg: -1 t0: [04:16:00 22/12/2015] id: Diagnosis/op el: 1023 cu: CCU cg: -1 v1: CONGESTIVE HEART FAILURE;TELEMETRY t0: [04:16:00 22/12/2015] id: Service el: 1026 cu: CCU cg: -1 v1: CME t0: [04:16:00 22/12/2015] id: Admit Ht el: 1034 cu: CCU cg: -1 v1: 59 u1: inches t0: [04:16:00 22/12/2015] id: Readmission el: 1014 cu: CCU cg: -1 t0: [04:16:00 22/12/2015] id: Marital Status el: 1006 cu: CCU cg: -1 v1: M t0: [04:16:00 22/12/2015] id: Religion el: 1000 cu: CCU cg: -1 v1: NSP t0: [04:16:00 22/12/2015] id: Allergy 2 el: 1021 cu: CCU cg: -1 t0: [04:16:00 22/12/2015] id: Ext el: 1010 cu: CCU cg: -1 t0: [04:16:00 22/12/2015] id: PIN el: 1012 cu: CCU cg: -1 t0: [04:16:00 22/12/2015] id: Allergy 3 el: 1022 cu: CCU cg: -1
t0: [04:00:00 22/12/2015] id: Stool Color/Consist el: 0 cu: CCU cg: RN v1: Brown v2: Loose st: NotStopd t0: [04:00:00 22/12/2015] id: Stool Guaiac el: 0 cu: CCU cg: RN v1: Negative st: NotStopd t0: [04:00:00 22/12/2015] id: Urine Color/Appear el: 0 cu: CCU cg: RN v1: Yellow v2: Clear st: NotStopd t0: [04:00:00 22/12/2015] id: Urine Source el: 0 cu: CCU cg: RN v1: Indwelling Cath st: NotStopd t0: [05:00:00 22/12/2015] id: Service Type el: 0 cu: CCU cg: RN v1: CCU st: NotStopd t0: [05:00:00 22/12/2015] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [05:00:00 22/12/2015] id: Risk for Falls el: 0 cu: CCU cg: RN v1: Yes st: NotStopd t0: [05:00:00 22/12/2015] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [05:00:00 22/12/2015] id: Ectopy Type el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [05:00:00 22/12/2015] id: Heart Rate el: 0 cu: CCU cg: RN v1: 119 u1: BPM st: NotStopd t0: [05:00:00 22/12/2015] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Sinus Tachy st: NotStopd t0: [05:00:00 22/12/2015] id: PAP Mean el: 0 cu: CCU cg: RN v1: 35 u1: mmHg st: NotStopd t0: [05:00:00 22/12/2015] id: PAP S/D el: 0 cu: CCU cg: RN v1: 47 u1: mmHg v2: 30 u2: mmHg st: NotStopd t0: [05:00:00 22/12/2015] id: Arterial BP el: 0 cu: CCU cg: RN v1: 99 u1: mmHg v2: 65 u2: mmHg st: NotStopd t0: [05:00:00 22/12/2015] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 77 u1: mmHg st: NotStopd t0: [05:00:00 22/12/2015] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [05:00:00 22/12/2015] id: Previous WeightF el: 0 cu: CCU cg: RN v1: 66 u1: kg st: NotStopd t0: [05:00:00 22/12/2015] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 16 u1: BPM st: NotStopd t0: [05:00:00 22/12/2015] id: SpO2 el: 0 cu: CCU cg: RN v1: 98 u1: % st: NotStopd t0: [05:00:00 22/12/2015] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd
t0: [05:00:00 22/12/2015] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: CCU cg: RN ai: 189 vo: 10 vu: ml t0: [05:00:00 22/12/2015] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CCU cg: RN ai: 190 vo: 22 vu: ml t0: [05:00:00 22/12/2015] id: D5W 250.0ml + 400mcgkgmin Dopamine IV Infusions el: 1 cu: CCU cg: RN ai: 189 vo: 17.325 vu: ml t0: [05:00:00 22/12/2015] id: Nepro Tube Feeding el: 1 cu: CCU cg: RN ai: 155 vo: 40 vu: ml t0: [05:00:00 22/12/2015] id: Urine Out Foley el: 1 cu: CCU cg: RN vo: 70 vu: ml
t0: [05:00:00 22/12/2015] id: Heparin el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 1100 du: Uhr sv: 250 su: ml rt: IV Drip t0: [05:00:00 22/12/2015] id: Dopamine el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 3 du: mcgkgmin sv: 250 su: ml rt: IV Drip
t0: [05:11:00 22/12/2015] id: WBC (4-11,000) Hematology el: 0 cu: CCU cg: 140 v1: 8.9 rs: Final st: NotStopd t0: [05:11:00 22/12/2015] id: WBC Hematology el: 0 cu: CCU cg: 140 v1: 8.9 rs: Final st: NotStopd t0: [05:11:00 22/12/2015] id: Hematocrit Hematology el: 0 cu: CCU cg: 140 v1: 27 u1: % rs: Final st: NotStopd t0: [05:11:00 22/12/2015] id: Hemoglobin Hematology el: 0 cu: CCU cg: 140 v1: 7.7 u1: gm/dl rs: Final st: NotStopd t0: [05:11:00 22/12/2015] id: Platelets Hematology el: 0 cu: CCU cg: 140 v1: 618 rs: Final st: NotStopd t0: [05:11:00 22/12/2015] id: RBC Hematology el: 0 cu: CCU cg: 140 v1: 2.91 u1: /mic l rs: Final st: NotStopd t0: [05:11:00 22/12/2015] id: WBC (4-11,000) Hematology el: 0 cu: CCU cg: 140 v1: 8.9 rs: Final st: NotStopd
t0: [05:11:00 22/12/2015] id: BUN el: 0 cu: CCU cg: 140 v1: 66 rs: Final st: NotStopd t0: [05:11:00 22/12/2015] id: Albumin Chemistry el: 0 cu: CCU cg: 140 v1: 2.1 rs: Final st: NotStopd t0: [05:11:00 22/12/2015] id: Calcium Chemistry el: 0 cu: CCU cg: 140 v1: 8.1 u1: mg/dl rs: Final st: NotStopd t0: [05:11:00 22/12/2015] id: Chloride Chemistry el: 0 cu: CCU cg: 140 v1: 99 rs: Final st: NotStopd t0: [05:11:00 22/12/2015] id: Creatinine Chemistry el: 0 cu: CCU cg: 140 v1: 1.6 rs: Final st: NotStopd t0: [05:11:00 22/12/2015] id: Glucose Chemistry el: 0 cu: CCU cg: 140 v1: 134 rs: Final st: NotStopd t0: [05:11:00 22/12/2015] id: Magnesium Chemistry el: 0 cu: CCU cg: 140 v1: 2 rs: Final st: NotStopd t0: [05:11:00 22/12/2015] id: Phosphorous Chemistry el: 0 cu: CCU cg: 140 v1: 4.6 u1: mEq/L rs: Final st: NotStopd t0: [05:11:00 22/12/2015] id: Potassium Chemistry el: 0 cu: CCU cg: 140 v1: 5.1 rs: Final st: NotStopd t0: [05:11:00 22/12/2015] id: Sodium Chemistry el: 0 cu: CCU cg: 140 v1: 134 rs: Final st: NotStopd t0: [05:11:00 22/12/2015] id: Total Bili Chemistry el: 0 cu: CCU cg: 140 v1: 0.3 rs: Final st: NotStopd t0: [05:11:00 22/12/2015] id: ALT Enzymes el: 0 cu: CCU cg: 140 v1: 10 rs: Final st: NotStopd t0: [05:11:00 22/12/2015] id: AST Enzymes el: 0 cu: CCU cg: 140 v1: 21 rs: Final st: NotStopd t0: [05:11:00 22/12/2015] id: Albumin (>3.2) Chemistry el: 0 cu: CCU cg: 140 v1: 2.1 rs: Final st: NotStopd t0: [05:11:00 22/12/2015] id: Alk. Phosphate Enzymes el: 0 cu: CCU cg: 140 v1: 193 rs: Final st: NotStopd t0: [05:11:00 22/12/2015] id: BUN (6-20) Chemistry el: 0 cu: CCU cg: 140 v1: 66 rs: Final st: NotStopd t0: [05:11:00 22/12/2015] id: Calcium (8.4-10.2) Chemistry el: 0 cu: CCU cg: 140 v1: 8.1 u1: mg/dl rs: Final st: NotStopd t0: [05:11:00 22/12/2015] id: Carbon Dioxide Chemistry el: 0 cu: CCU cg: 140 v1: 28 rs: Final st: NotStopd t0: [05:11:00 22/12/2015] id: Chloride (100-112) Chemistry el: 0 cu: CCU cg: 140 v1: 99 rs: Final st: NotStopd t0: [05:11:00 22/12/2015] id: Creatinine (0-1.3) Chemistry el: 0 cu: CCU cg: 140 v1: 1.6 rs: Final st: NotStopd t0: [05:11:00 22/12/2015] id: Glucose (70-105) Chemistry el: 0 cu: CCU cg: 140 v1: 134 rs: Final st: NotStopd t0: [05:11:00 22/12/2015] id: LDH Enzymes el: 0 cu: CCU cg: 140 v1: 231 rs: Final st: NotStopd t0: [05:11:00 22/12/2015] id: Magnesium (1.6-2.6) Chemistry el: 0 cu: CCU cg: 140 v1: 2 rs: Final st: NotStopd t0: [05:11:00 22/12/2015] id: Phosphorous(2.7-4.5) Chemistry el: 0 cu: CCU cg: 140 v1: 4.6 u1: mEq/L rs: Final st: NotStopd t0: [05:11:00 22/12/2015] id: Potassium (3.5-5.3) Chemistry el: 0 cu: CCU cg: 140 v1: 5.1 rs: Final st: NotStopd t0: [05:11:00 22/12/2015] id: Sodium (135-148) Chemistry el: 0 cu: CCU cg: 140 v1: 134 rs: Final st: NotStopd t0: [05:11:00 22/12/2015] id: Total Bili (0-1.5) Chemistry el: 0 cu: CCU cg: 140 v1: 0.3 rs: Final st: NotStopd
id: GT Flush el: 1 cu: CCU cg: RN io: GT Flush PO/Gastric du: ml rt: Nasogastric
t0: [06:00:00 22/12/2015] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [06:00:00 22/12/2015] id: Ectopy Type el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [06:00:00 22/12/2015] id: Heart Rate el: 0 cu: CCU cg: RN v1: 121 u1: BPM st: NotStopd t0: [06:00:00 22/12/2015] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Sinus Tachy st: NotStopd t0: [06:00:00 22/12/2015] id: Level of Conscious el: 0 cu: CCU cg: RN v1: Sleeping st: NotStopd t0: [06:00:00 22/12/2015] id: PAP Mean el: 0 cu: CCU cg: RN v1: 34 u1: mmHg st: NotStopd t0: [06:00:00 22/12/2015] id: PAP S/D el: 0 cu: CCU cg: RN v1: 47 u1: mmHg v2: 28 u2: mmHg st: NotStopd t0: [06:00:00 22/12/2015] id: Arterial BP el: 0 cu: CCU cg: RN v1: 97 u1: mmHg v2: 63 u2: mmHg st: NotStopd t0: [06:00:00 22/12/2015] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 75 u1: mmHg st: NotStopd t0: [06:00:00 22/12/2015] id: Previous WeightF el: 0 cu: CCU cg: RN v1: 66 u1: kg st: NotStopd t0: [06:00:00 22/12/2015] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 15 u1: BPM st: NotStopd t0: [06:00:00 22/12/2015] id: SpO2 el: 0 cu: CCU cg: RN v1: 97 u1: % st: NotStopd t0: [06:00:00 22/12/2015] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd
t0: [06:00:00 22/12/2015] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: CCU cg: RN ai: 189 vo: 5 vu: ml t0: [06:00:00 22/12/2015] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CCU cg: RN ai: 190 vo: 11 vu: ml t0: [06:00:00 22/12/2015] id: D5W 250.0ml + 400mcgkgmin Dopamine IV Infusions el: 1 cu: CCU cg: RN ai: 189 vo: 7.425 vu: ml t0: [06:00:00 22/12/2015] id: Nepro Tube Feeding el: 1 cu: CCU cg: RN ai: 155 vo: 20 vu: ml t0: [06:00:00 22/12/2015] tf: [10:28:00 23/12/2015] dt: 1708 id: GT Flush PO/Gastric el: 1 cu: CCU cg: RN ai: 304 vo: 30 vu: ml t0: [06:00:00 22/12/2015] id: Urine Out Foley el: 1 cu: CCU cg: RN vo: 25 vu: ml
t0: [06:00:00 22/12/2015] id: Heparin el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 1100 du: Uhr sv: 250 su: ml rt: IV Drip t0: [06:00:00 22/12/2015] id: Dopamine el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 3 du: mcgkgmin sv: 250 su: ml rt: IV Drip
t0: [07:00:00 22/12/2015] id: C.O.(thermodilution) el: 0 cu: CCU cg: -1 st: D/C'd
t0: [04:00:00 22/12/2015] id: Cardiac Index el: 0 cu: CCU cg: RN v1: 3.33333 u1: ... st: NotStopd t0: [04:00:00 22/12/2015] tf: [10:28:00 23/12/2015] dt: 1828 id: LCW el: 0 cu: CCU cg: RN v1: 6.51168 u1: kg x m st: NotStopd t0: [04:00:00 22/12/2015] tf: [10:28:00 23/12/2015] dt: 1828 id: LCWI el: 0 cu: CCU cg: RN v1: 3.80117 u1: ... st: NotStopd t0: [04:00:00 22/12/2015] tf: [10:28:00 23/12/2015] dt: 1828 id: LVSW el: 0 cu: CCU cg: RN v1: 52.5504 u1: g * m st: NotStopd t0: [04:00:00 22/12/2015] tf: [10:28:00 23/12/2015] dt: 1828 id: LVSWI el: 0 cu: CCU cg: RN v1: 30.9942 u1: g*m/m2 st: NotStopd t0: [04:00:00 22/12/2015] tf: [10:28:00 23/12/2015] dt: 1828 id: RCW el: 0 cu: CCU cg: RN v1: 3.1008 u1: kg * m st: NotStopd t0: [04:00:00 22/12/2015] tf: [10:28:00 23/12/2015] dt: 1828 id: RCWI el: 0 cu: CCU cg: RN v1: 1.81287 u1: ... st: NotStopd t0: [04:00:00 22/12/2015] tf: [10:28:00 23/12/2015] dt: 1828 id: RVSW el: 0 cu: CCU cg: RN v1: 25.024 u1: g * m st: NotStopd t0: [04:00:00 22/12/2015] tf: [10:28:00 23/12/2015] dt: 1828 id: RVSWI el: 0 cu: CCU cg: RN v1: 14.6199 u1: g*m/m2 st: NotStopd t0: [04:00:00 22/12/2015] tf: [10:28:00 23/12/2015] dt: 1828 id: SVI el: 0 cu: CCU cg: RN v1: 26.9006 u1: ... st: NotStopd t0: [04:00:00 22/12/2015] tf: [10:28:00 23/12/2015] dt: 1828 id: Stroke Volume el: 0 cu: CCU cg: RN v1: 45.9677 u1: ml st: NotStopd t0: [04:00:00 22/12/2015] tf: [07:00:00 22/12/2015] dt: 180 id: C.O.(thermodilution) el: 0 cu: CCU cg: RN v1: 5.7 u1: L/min st: NotStopd
t0: [07:00:00 22/12/2015] id: Service Type el: 0 cu: CCU cg: RN v1: CCU st: NotStopd t0: [07:00:00 22/12/2015] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [07:00:00 22/12/2015] id: Risk for Falls el: 0 cu: CCU cg: RN v1: Yes st: NotStopd t0: [07:00:00 22/12/2015] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [07:00:00 22/12/2015] id: Ectopy Type el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [07:00:00 22/12/2015] id: Heart Rate el: 0 cu: CCU cg: RN v1: 122 u1: BPM st: NotStopd t0: [07:00:00 22/12/2015] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Sinus Tachy st: NotStopd t0: [07:00:00 22/12/2015] id: Level of Conscious el: 0 cu: CCU cg: RN v1: Sleeping st: NotStopd t0: [07:00:00 22/12/2015] id: PAP Mean el: 0 cu: CCU cg: RN v1: 33 u1: mmHg st: NotStopd t0: [07:00:00 22/12/2015] id: PAP S/D el: 0 cu: CCU cg: RN v1: 48 u1: mmHg v2: 27 u2: mmHg st: NotStopd t0: [07:00:00 22/12/2015] id: Arterial BP el: 0 cu: CCU cg: RN v1: 101 u1: mmHg v2: 64 u2: mmHg st: NotStopd t0: [07:00:00 22/12/2015] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 77 u1: mmHg st: NotStopd t0: [07:00:00 22/12/2015] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [07:00:00 22/12/2015] id: Previous WeightF el: 0 cu: CCU cg: RN v1: 66 u1: kg st: NotStopd t0: [07:00:00 22/12/2015] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 17 u1: BPM st: NotStopd t0: [07:00:00 22/12/2015] id: SpO2 el: 0 cu: CCU cg: RN v1: 97 u1: % st: NotStopd t0: [07:00:00 22/12/2015] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd t0: [08:00:00 22/12/2015] id: Pain Present el: 0 cu: CCU cg: RN v1: No st: NotStopd t0: [08:00:00 22/12/2015] id: Service Type el: 0 cu: CCU cg: RN v1: CCU st: NotStopd t0: [08:00:00 22/12/2015] id: Chest PT R/L el: 0 cu: CCU cg: RN v1: Done v2: Done st: NotStopd t0: [08:00:00 22/12/2015] id: Chest Tube Site #1 el: 0 cu: CCU cg: RN v1: Left Anterior st: NotStopd t0: [08:00:00 22/12/2015] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [08:00:00 22/12/2015] id: Riker-SAS Scale el: 0 cu: CCU cg: RN v1: Calm/Cooperative st: NotStopd t0: [08:00:00 22/12/2015] id: Cough Effort el: 0 cu: CCU cg: RN v1: Weak st: NotStopd t0: [08:00:00 22/12/2015] id: Cough Type el: 0 cu: CCU cg: RN v1: Nonproductive st: NotStopd t0: [08:00:00 22/12/2015] id: Cough/Deep Breathe el: 0 cu: CCU cg: RN v1: Done st: NotStopd t0: [08:00:00 22/12/2015] id: GI Prophylaxis el: 0 cu: CCU cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [08:00:00 22/12/2015] id: Risk for Falls el: 0 cu: CCU cg: RN v1: Yes st: NotStopd t0: [08:00:00 22/12/2015] id: Diet Type el: 0 cu: CCU cg: RN v1: Tube Feeding st: NotStopd t0: [08:00:00 22/12/2015] id: Dorsal PedPulse R/L el: 0 cu: CCU cg: RN v1: Doppler v2: Doppler st: NotStopd t0: [08:00:00 22/12/2015] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [08:00:00 22/12/2015] id: Ectopy Type el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [08:00:00 22/12/2015] id: Alarms el: 0 cu: CCU cg: RN v1: ON st: NotStopd t0: [08:00:00 22/12/2015] id: Parameters Checked el: 0 cu: CCU cg: RN v1: Yes st: NotStopd t0: [08:00:00 22/12/2015] id: Edema Location/Amt#1 el: 0 cu: CCU cg: RN v1: Both Legs v2: 6 mm st: NotStopd t0: [08:00:00 22/12/2015] id: Eye Opening el: 0 cu: CCU cg: RN v1: 4 Spontaneously st: NotStopd t0: [08:00:00 22/12/2015] id: GCS Total el: 0 cu: CCU cg: RN v1: 15 u1: points st: NotStopd t0: [08:00:00 22/12/2015] id: GI Intub #1/Site el: 0 cu: CCU cg: RN v1: Feeding/Peditube v2: Right Nare st: NotStopd t0: [08:00:00 22/12/2015] id: GI#1 Tube Stat/Drain el: 0 cu: CCU cg: RN v1: Feeding st: NotStopd t0: [08:00:00 22/12/2015] id: GU Catheter Size el: 0 cu: CCU cg: RN v1: 16 French st: NotStopd t0: [08:00:00 22/12/2015] id: HOB el: 0 cu: CCU cg: RN v1: Reverse T-Berg st: NotStopd t0: [08:00:00 22/12/2015] id: Heart Rate el: 0 cu: CCU cg: RN v1: 119 u1: BPM st: NotStopd t0: [08:00:00 22/12/2015] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Sinus Tachy st: NotStopd t0: [08:00:00 22/12/2015] id: Height of Bed el: 0 cu: CCU cg: RN v1: Reverse T-Berg st: NotStopd t0: [08:00:00 22/12/2015] id: INV Line#1 Type/Site el: 0 cu: CCU cg: RN v1: Multi-lumen v2: Right IJ st: NotStopd t0: [08:00:00 22/12/2015] id: INV Line#1InsertDate el: 0 cu: CCU cg: RN v2: ? st: NotStopd t0: [08:00:00 22/12/2015] id: INV Line#1SiteAppear el: 0 cu: CCU cg: RN v1: WNL st: NotStopd t0: [08:00:00 22/12/2015] id: INV Line#2 Type/Site el: 0 cu: CCU cg: RN v1: PA line v2: Right Femoral st: NotStopd t0: [08:00:00 22/12/2015] id: INV Line#2 Zero/Cal el: 0 cu: CCU cg: RN v1: Yes st: NotStopd t0: [08:00:00 22/12/2015] id: INV Line#2InsertDate el: 0 cu: CCU cg: RN v1: 12 v2: 22 st: NotStopd t0: [08:00:00 22/12/2015] id: INV Line#2SiteAppear el: 0 cu: CCU cg: RN v1: WNL st: NotStopd t0: [08:00:00 22/12/2015] id: INV Line#3 Type/Site el: 0 cu: CCU cg: RN v1: A-Line v2: Right Femoral st: NotStopd t0: [08:00:00 22/12/2015] id: INV Line#3 Zero/Cal el: 0 cu: CCU cg: RN v1: Yes st: NotStopd t0: [08:00:00 22/12/2015] id: INV Line#3InsertDate el: 0 cu: CCU cg: RN v1: 12 v2: 22 st: NotStopd t0: [08:00:00 22/12/2015] id: INV Line#3SiteAppear el: 0 cu: CCU cg: RN v1: WNL st: NotStopd t0: [08:00:00 22/12/2015] id: Abdominal Assessment el: 0 cu: CCU cg: RN v1: Soft st: NotStopd t0: [08:00:00 22/12/2015] id: INV#2 WaveformAppear el: 0 cu: CCU cg: RN v1: Sharp st: NotStopd t0: [08:00:00 22/12/2015] id: INV#3 WaveformAppear el: 0 cu: CCU cg: RN v1: Sharp st: NotStopd t0: [08:00:00 22/12/2015] id: Activity el: 0 cu: CCU cg: RN v1: Bedrest st: NotStopd t0: [08:00:00 22/12/2015] id: Activity Tolerance el: 0 cu: CCU cg: RN v1: Tolerated Well st: NotStopd t0: [08:00:00 22/12/2015] id: KneeImmobilizer/Loc el: 0 cu: CCU cg: RN v1: Off st: NotStopd t0: [08:00:00 22/12/2015] id: LLE Temp/Color el: 0 cu: CCU cg: RN v1: Warm v2: Normal st: NotStopd t0: [08:00:00 22/12/2015] id: LLL Lung Sounds el: 0 cu: CCU cg: RN v1: Coarse st: NotStopd t0: [08:00:00 22/12/2015] id: LUL Lung Sounds el: 0 cu: CCU cg: RN v1: Clear st: NotStopd t0: [08:00:00 22/12/2015] id: Level of Conscious el: 0 cu: CCU cg: RN v1: Dozing Intermit st: NotStopd t0: [08:00:00 22/12/2015] id: Angio Appearance #1 el: 0 cu: CCU cg: RN v1: Clean and Dry v2: Clean and Dry st: NotStopd t0: [08:00:00 22/12/2015] id: Motor Response el: 0 cu: CCU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [08:00:00 22/12/2015] id: Angio Dressing #1 el: 0 cu: CCU cg: RN v1: Transparent st: NotStopd t0: [08:00:00 22/12/2015] id: O2 Delivery Device el: 0 cu: CCU cg: RN v1: Nasal Cannula st: NotStopd t0: [08:00:00 22/12/2015] id: O2 Flow (lpm) el: 0 cu: CCU cg: RN v1: 3 u1: lpm st: NotStopd t0: [08:00:00 22/12/2015] id: Oral Cavity el: 0 cu: CCU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [08:00:00 22/12/2015] id: Orientation el: 0 cu: CCU cg: RN v1: Oriented x 3 st: NotStopd t0: [08:00:00 22/12/2015] id: Angio Site #1 el: 0 cu: CCU cg: RN v1: R Femoral st: NotStopd t0: [08:00:00 22/12/2015] id: PAP Mean el: 0 cu: CCU cg: RN v1: 31 u1: mmHg st: NotStopd t0: [08:00:00 22/12/2015] id: PAP S/D el: 0 cu: CCU cg: RN v1: 46 u1: mmHg v2: 24 u2: mmHg st: NotStopd t0: [08:00:00 22/12/2015] id: Arterial BP el: 0 cu: CCU cg: RN v1: 100 u1: mmHg v2: 62 u2: mmHg st: NotStopd t0: [08:00:00 22/12/2015] id: Pain Location el: 0 cu: CCU cg: RN v1: Not Indicated st: NotStopd t0: [08:00:00 22/12/2015] id: Pain Type el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [08:00:00 22/12/2015] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 75 u1: mmHg st: NotStopd t0: [08:00:00 22/12/2015] id: Pericard Drain Site el: 0 cu: CCU cg: RN v1: Intact st: NotStopd t0: [08:00:00 22/12/2015] id: Position el: 0 cu: CCU cg: RN v1: Right Side st: NotStopd t0: [08:00:00 22/12/2015] id: PostTib. Pulses R/L el: 0 cu: CCU cg: RN v1: Doppler v2: Doppler st: NotStopd t0: [08:00:00 22/12/2015] id: Assistance Device el: 0 cu: CCU cg: RN v1: 2 Person Assist st: NotStopd t0: [08:00:00 22/12/2015] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [08:00:00 22/12/2015] id: PressureReduceDevice el: 0 cu: CCU cg: RN v1: Waffles st: NotStopd t0: [08:00:00 22/12/2015] id: Previous Weight el: 0 cu: CCU cg: RN v1: 67.5 u1: kg st: NotStopd t0: [08:00:00 22/12/2015] id: Previous WeightF el: 0 cu: CCU cg: RN v1: 67.5 u1: kg st: NotStopd t0: [08:00:00 22/12/2015] id: RLE Temp/Color el: 0 cu: CCU cg: RN v1: Warm v2: Normal st: NotStopd t0: [08:00:00 22/12/2015] id: RLL Lung Sounds el: 0 cu: CCU cg: RN v1: Absent st: NotStopd t0: [08:00:00 22/12/2015] id: RUL Lung Sounds el: 0 cu: CCU cg: RN v1: Clear st: NotStopd t0: [08:00:00 22/12/2015] id: Respiratory Effort el: 0 cu: CCU cg: RN v1: Normal st: NotStopd t0: [08:00:00 22/12/2015] id: Respiratory Pattern el: 0 cu: CCU cg: RN v1: Regular st: NotStopd t0: [08:00:00 22/12/2015] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 28 u1: BPM st: NotStopd t0: [08:00:00 22/12/2015] id: Restraint Location el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [08:00:00 22/12/2015] id: Side Rails el: 0 cu: CCU cg: RN v1: Side Rails Up st: NotStopd t0: [08:00:00 22/12/2015] id: Skin Integrity el: 0 cu: CCU cg: RN v1: Intact st: NotStopd t0: [08:00:00 22/12/2015] id: SpO2 el: 0 cu: CCU cg: RN v1: 91 u1: % st: NotStopd t0: [08:00:00 22/12/2015] id: Support Systems el: 0 cu: CCU cg: RN v1: Significnt Other st: NotStopd t0: [08:00:00 22/12/2015] id: Turn el: 0 cu: CCU cg: RN v1: Right Side st: NotStopd t0: [08:00:00 22/12/2015] id: Urine Color/Appear el: 0 cu: CCU cg: RN v1: Yellow v2: Clear st: NotStopd t0: [08:00:00 22/12/2015] id: Urine Source el: 0 cu: CCU cg: RN v1: Indwelling Cath st: NotStopd t0: [08:00:00 22/12/2015] id: BSA - English el: 0 cu: CCU cg: RN v1: 1.11948 u1: m2 st: NotStopd t0: [08:00:00 22/12/2015] id: BSA - Metric el: 0 cu: CCU cg: RN v1: 1.30932 u1: m2 st: NotStopd t0: [08:00:00 22/12/2015] id: Verbal Response el: 0 cu: CCU cg: RN v1: 5 Oriented st: NotStopd t0: [08:00:00 22/12/2015] id: Weight Change el: 0 cu: CCU cg: RN v1: 0 u1: kg st: NotStopd t0: [08:00:00 22/12/2015] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd t0: [08:00:00 22/12/2015] id: Daily Weight el: 0 cu: CCU cg: RN v1: 67.5 u1: kg st: NotStopd t0: [08:00:00 22/12/2015] id: Behavior el: 0 cu: CCU cg: RN v1: Anxious st: NotStopd t0: [08:00:00 22/12/2015] id: Bowel Sounds el: 0 cu: CCU cg: RN v1: Present st: NotStopd t0: [08:00:00 22/12/2015] id: Braden Activity el: 0 cu: CCU cg: RN v1: Bedfast st: NotStopd t0: [08:00:00 22/12/2015] id: Braden Frict/Shear el: 0 cu: CCU cg: RN v1: Potential Prob st: NotStopd t0: [08:00:00 22/12/2015] id: Braden Mobility el: 0 cu: CCU cg: RN v1: Very Limited st: NotStopd t0: [08:00:00 22/12/2015] id: Braden Moisture el: 0 cu: CCU cg: RN v1: Rarely Moist st: NotStopd t0: [08:00:00 22/12/2015] id: Braden Nutrition el: 0 cu: CCU cg: RN v1: Very Poor st: NotStopd t0: [08:00:00 22/12/2015] id: Braden Score el: 0 cu: CCU cg: RN v1: 14 u1: number st: NotStopd t0: [08:00:00 22/12/2015] id: Braden SensoryPercep el: 0 cu: CCU cg: RN v1: No Impairment st: NotStopd t0: [08:00:00 22/12/2015] id: CT #1 Crepitus el: 0 cu: CCU cg: RN v1: Negative st: NotStopd t0: [08:00:00 22/12/2015] id: CT #1 Drainage el: 0 cu: CCU cg: RN v1: Serosanguinous st: NotStopd t0: [08:00:00 22/12/2015] id: CT #1 Dressing el: 0 cu: CCU cg: RN v1: Dry and Intact st: NotStopd t0: [08:00:00 22/12/2015] id: CT #1 Fluctuate/Leak el: 0 cu: CCU cg: RN v1: Positive v2: Negative st: NotStopd t0: [08:00:00 22/12/2015] id: CT #1 Suction Amount el: 0 cu: CCU cg: RN v1: 20 cm st: NotStopd
t0: [08:00:00 22/12/2015] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: CCU cg: RN ai: 189 vo: 10 vu: ml t0: [08:00:00 22/12/2015] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CCU cg: RN ai: 190 vo: 22 vu: ml t0: [08:00:00 22/12/2015] id: D5W 250.0ml + 400mcgkgmin Dopamine IV Infusions el: 1 cu: CCU cg: RN ai: 189 vo: 14.85 vu: ml t0: [08:00:00 22/12/2015] id: Nepro Tube Feeding el: 1 cu: CCU cg: RN ai: 155 vo: 60 vu: ml t0: [08:00:00 22/12/2015] id: Urine Out Foley el: 1 cu: CCU cg: RN vo: 100 vu: ml
t0: [07:00:00 22/12/2015] id: Heparin el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 1100 du: Uhr sv: 250 su: ml rt: IV Drip t0: [07:00:00 22/12/2015] id: Dopamine el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 3 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [08:00:00 22/12/2015] id: Heparin el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 1100 du: Uhr sv: 250 su: ml rt: IV Drip t0: [08:00:00 22/12/2015] id: Dopamine el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 3 du: mcgkgmin sv: 250 su: ml rt: IV Drip
t0: [08:35:00 22/12/2015] id: Art.pH ABG el: 0 cu: CCU cg: 140 v1: 7.38 rs: Final st: NotStopd t0: [08:35:00 22/12/2015] id: CaO2 el: 0 cu: CCU cg: 140 v1: 10.303 u1: ml/dl st: NotStopd t0: [08:35:00 22/12/2015] id: Arterial Base Excess ABG el: 0 cu: CCU cg: 140 v1: 3 rs: Final st: NotStopd t0: [08:35:00 22/12/2015] id: Arterial CO2(Calc) ABG el: 0 cu: CCU cg: 140 v1: 32 rs: Final st: NotStopd t0: [08:35:00 22/12/2015] id: Arterial PaCO2 ABG el: 0 cu: CCU cg: 140 v1: 52 u1: mmHg rs: Final st: NotStopd t0: [08:35:00 22/12/2015] id: Arterial PaO2 ABG el: 0 cu: CCU cg: 140 v1: 95 u1: mmHg rs: Final st: NotStopd t0: [08:35:00 22/12/2015] id: Arterial pH ABG el: 0 cu: CCU cg: 140 v1: 7.38 rs: Final st: NotStopd t0: [08:35:00 22/12/2015] id: SaO2 ABG's el: 0 cu: CCU cg: 140 v1: 97 u1: % rs: Final st: NotStopd
t0: [08:00:00 22/12/2015] id: Cardiac Index el: 0 cu: CCU cg: RN v1: 3.27485 u1: ... st: NotStopd t0: [08:00:00 22/12/2015] id: Mixed Venous O2% Sat Blood Gases el: 0 cu: CCU cg: RN v1: 60 rs: Manual st: NotStopd t0: [08:00:00 22/12/2015] id: SaO2 ABG's el: 0 cu: CCU cg: RN v1: 97 u1: % rs: Manual st: NotStopd t0: [08:00:00 22/12/2015] id: C.O. (fick) el: 0 cu: CCU cg: RN v1: 5.59898 u1: L/min st: NotStopd t0: [08:35:00 22/12/2015] id: DO2I el: 0 cu: CCU cg: RN v1: 327 u1: ml/m/m st: NotStopd t0: [09:00:00 22/12/2015] id: Service Type el: 0 cu: CCU cg: RN v1: CCU st: NotStopd t0: [09:00:00 22/12/2015] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [09:00:00 22/12/2015] id: Risk for Falls el: 0 cu: CCU cg: RN v1: Yes st: NotStopd t0: [09:00:00 22/12/2015] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [09:00:00 22/12/2015] id: Ectopy Type el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [09:00:00 22/12/2015] id: Heart Rate el: 0 cu: CCU cg: RN v1: 114 u1: BPM st: NotStopd t0: [09:00:00 22/12/2015] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Sinus Tachy st: NotStopd t0: [09:00:00 22/12/2015] id: PAP Mean el: 0 cu: CCU cg: RN v1: 29 u1: mmHg st: NotStopd t0: [09:00:00 22/12/2015] id: PAP S/D el: 0 cu: CCU cg: RN v1: 42 u1: mmHg v2: 22 u2: mmHg st: NotStopd t0: [09:00:00 22/12/2015] id: Arterial BP el: 0 cu: CCU cg: RN v1: 100 u1: mmHg v2: 62 u2: mmHg st: NotStopd t0: [09:00:00 22/12/2015] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 75 u1: mmHg st: NotStopd t0: [09:00:00 22/12/2015] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [09:00:00 22/12/2015] id: Previous WeightF el: 0 cu: CCU cg: RN v1: 67.5 u1: kg st: NotStopd t0: [09:00:00 22/12/2015] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 15 u1: BPM st: NotStopd t0: [09:00:00 22/12/2015] id: SpO2 el: 0 cu: CCU cg: RN v1: 99 u1: % st: NotStopd t0: [09:00:00 22/12/2015] id: Temp. Site el: 0 cu: CCU cg: RN v1: Oral st: NotStopd t0: [09:00:00 22/12/2015] id: Temperature C (calc) el: 0 cu: CCU cg: RN v1: 36.6667 u1: Deg. C st: NotStopd t0: [09:00:00 22/12/2015] id: Temperature F el: 0 cu: CCU cg: RN v1: 98 u1: Deg. F st: NotStopd t0: [09:00:00 22/12/2015] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd
t0: [09:00:00 22/12/2015] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: CCU cg: RN ai: 189 vo: 5 vu: ml t0: [09:00:00 22/12/2015] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CCU cg: RN ai: 190 vo: 11 vu: ml t0: [09:00:00 22/12/2015] id: D5W 250.0ml + 400mcgkgmin Dopamine IV Infusions el: 1 cu: CCU cg: RN ai: 189 vo: 7.425 vu: ml t0: [09:00:00 22/12/2015] id: Nepro Tube Feeding el: 1 cu: CCU cg: RN ai: 155 vo: 30 vu: ml t0: [09:00:00 22/12/2015] id: Urine Out Foley el: 1 cu: CCU cg: RN vo: 26 vu: ml
t0: [09:00:00 22/12/2015] id: Heparin el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 1100 du: Uhr sv: 250 su: ml rt: IV Drip t0: [09:00:00 22/12/2015] id: Dopamine el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 2 du: mcgkgmin sv: 250 su: ml rt: IV Drip
t0: [08:08:00 22/12/2015] id: PT el: 0 cu: CCU cg: 140 v1: 14.4 rs: Final st: NotStopd t0: [08:08:00 22/12/2015] id: INR Coags el: 0 cu: CCU cg: 140 v1: 1.4 rs: Final st: NotStopd t0: [08:08:00 22/12/2015] id: PTT Coags el: 0 cu: CCU cg: 140 v1: 62 rs: Final st: NotStopd t0: [08:08:00 22/12/2015] id: INR (2-4 ref. range) Coags el: 0 cu: CCU cg: 140 v1: 1.4 rs: Final st: NotStopd t0: [08:08:00 22/12/2015] id: PT(11-13.5) Coags el: 0 cu: CCU cg: 140 v1: 14.4 rs: Final st: NotStopd t0: [08:08:00 22/12/2015] id: PTT(22-35) Coags el: 0 cu: CCU cg: 140 v1: 62 rs: Final st: NotStopd
t0: [09:00:00 22/12/2015] id: Sputum Color/Consist el: 0 cu: CCU cg: RN v1: Blood Tinged v2: Thick st: NotStopd t0: [09:00:00 22/12/2015] id: Sputum Source/Amt el: 0 cu: CCU cg: RN v1: Expectorated v2: Moderate st: NotStopd
t0: [10:00:00 22/12/2015] id: Service Type el: 0 cu: CCU cg: RN v1: CCU st: NotStopd t0: [10:00:00 22/12/2015] id: Chest Tube Site #1 el: 0 cu: CCU cg: RN v1: Left Anterior st: NotStopd t0: [10:00:00 22/12/2015] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [10:00:00 22/12/2015] id: Cough Effort el: 0 cu: CCU cg: RN v1: Strong st: NotStopd t0: [10:00:00 22/12/2015] id: Cough Type el: 0 cu: CCU cg: RN v1: Productive st: NotStopd t0: [10:00:00 22/12/2015] id: Risk for Falls el: 0 cu: CCU cg: RN v1: Yes st: NotStopd t0: [10:00:00 22/12/2015] id: Diet Type el: 0 cu: CCU cg: RN v1: Tube Feeding st: NotStopd t0: [10:00:00 22/12/2015] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [10:00:00 22/12/2015] id: Ectopy Type el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [10:00:00 22/12/2015] id: Eye Opening el: 0 cu: CCU cg: RN v1: 4 Spontaneously st: NotStopd t0: [10:00:00 22/12/2015] id: GCS Total el: 0 cu: CCU cg: RN v1: 15 u1: points st: NotStopd t0: [10:00:00 22/12/2015] id: GI Intub #1/Site el: 0 cu: CCU cg: RN v1: Feeding/Peditube v2: Right Nare st: NotStopd t0: [10:00:00 22/12/2015] id: GU Catheter Size el: 0 cu: CCU cg: RN v1: 16 French st: NotStopd t0: [10:00:00 22/12/2015] id: Heart Rate el: 0 cu: CCU cg: RN v1: 115 u1: BPM st: NotStopd t0: [10:00:00 22/12/2015] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Sinus Tachy st: NotStopd t0: [10:00:00 22/12/2015] id: Height of Bed el: 0 cu: CCU cg: RN v1: Reverse T-Berg st: NotStopd t0: [10:00:00 22/12/2015] id: Level of Conscious el: 0 cu: CCU cg: RN v1: Alert st: NotStopd t0: [10:00:00 22/12/2015] id: Angio Appearance #1 el: 0 cu: CCU cg: RN v1: Clean and Dry v2: Clean and Dry st: NotStopd t0: [10:00:00 22/12/2015] id: Motor Response el: 0 cu: CCU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [10:00:00 22/12/2015] id: Angio Dressing #1 el: 0 cu: CCU cg: RN v1: Transparent st: NotStopd t0: [10:00:00 22/12/2015] id: O2 Delivery Device el: 0 cu: CCU cg: RN v1: Nasal Cannula st: NotStopd t0: [10:00:00 22/12/2015] id: O2 Flow (lpm) el: 0 cu: CCU cg: RN v1: 3 u1: lpm st: NotStopd t0: [10:00:00 22/12/2015] id: Orientation el: 0 cu: CCU cg: RN v1: Oriented x 3 st: NotStopd t0: [10:00:00 22/12/2015] id: Angio Site #1 el: 0 cu: CCU cg: RN v1: R Femoral st: NotStopd t0: [10:00:00 22/12/2015] id: PAP Mean el: 0 cu: CCU cg: RN v1: 30 u1: mmHg st: NotStopd t0: [10:00:00 22/12/2015] id: PAP S/D el: 0 cu: CCU cg: RN v1: 46 u1: mmHg v2: 22 u2: mmHg st: NotStopd t0: [10:00:00 22/12/2015] id: Arterial BP el: 0 cu: CCU cg: RN v1: 97 u1: mmHg v2: 56 u2: mmHg st: NotStopd t0: [10:00:00 22/12/2015] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 70 u1: mmHg st: NotStopd t0: [10:00:00 22/12/2015] id: Pericard Drain Site el: 0 cu: CCU cg: RN v1: Intact st: NotStopd t0: [10:00:00 22/12/2015] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [10:00:00 22/12/2015] id: Previous WeightF el: 0 cu: CCU cg: RN v1: 67.5 u1: kg st: NotStopd t0: [10:00:00 22/12/2015] id: Respiratory Effort el: 0 cu: CCU cg: RN v1: Normal st: NotStopd t0: [10:00:00 22/12/2015] id: Respiratory Pattern el: 0 cu: CCU cg: RN v1: Regular st: NotStopd t0: [10:00:00 22/12/2015] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 9 u1: BPM st: NotStopd t0: [10:00:00 22/12/2015] id: SpO2 el: 0 cu: CCU cg: RN v1: 92 u1: % st: NotStopd t0: [10:00:00 22/12/2015] id: Sputum Color/Consist el: 0 cu: CCU cg: RN v1: Tan v2: Thick st: NotStopd t0: [10:00:00 22/12/2015] id: Sputum Source/Amt el: 0 cu: CCU cg: RN v1: Expectorated v2: Moderate st: NotStopd t0: [10:00:00 22/12/2015] id: Urine Source el: 0 cu: CCU cg: RN v1: Indwelling Cath st: NotStopd t0: [10:00:00 22/12/2015] id: Verbal Response el: 0 cu: CCU cg: RN v1: 5 Oriented st: NotStopd t0: [10:00:00 22/12/2015] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd t0: [10:00:00 22/12/2015] id: CT #1 Suction Amount el: 0 cu: CCU cg: RN v1: 20 cm st: NotStopd
t0: [08:00:00 22/12/2015] id: GT Flush PO/Gastric el: 1 cu: CCU cg: RN ai: 304 vo: 150 vu: ml t0: [09:00:00 22/12/2015] id: GT Flush PO/Gastric el: 1 cu: CCU cg: RN ai: 304 vo: 100 vu: ml t0: [10:00:00 22/12/2015] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: CCU cg: RN ai: 189 vo: 5 vu: ml t0: [10:00:00 22/12/2015] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CCU cg: RN ai: 190 vo: 11 vu: ml t0: [10:00:00 22/12/2015] id: D5W 250.0ml + 400mcgkgmin Dopamine IV Infusions el: 1 cu: CCU cg: RN ai: 189 vo: 4.95 vu: ml st: Stopped t0: [10:00:00 22/12/2015] id: Nepro Tube Feeding el: 1 cu: CCU cg: RN ai: 155 vo: 30 vu: ml t0: [10:00:00 22/12/2015] id: Urine Out Foley el: 1 cu: CCU cg: RN vo: 65 vu: ml
t0: [10:00:00 22/12/2015] id: Heparin el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 1100 du: Uhr sv: 250 su: ml rt: IV Drip t0: [10:00:00 22/12/2015] id: Dopamine el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 0 du: mcgkgmin sv: 250 su: ml rt: IV Drip st: Stopped
tf: [10:00:00 23/12/2015] pt: Unit Dose rt: IV fr: ONCE fs: 11 dn: 1 m1: Furosemide v1: 20 u1: mg
t0: [11:00:00 22/12/2015] id: Service Type el: 0 cu: CCU cg: RN v1: CCU st: NotStopd t0: [11:00:00 22/12/2015] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [11:00:00 22/12/2015] id: Risk for Falls el: 0 cu: CCU cg: RN v1: Yes st: NotStopd t0: [11:00:00 22/12/2015] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [11:00:00 22/12/2015] id: Ectopy Type el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [11:00:00 22/12/2015] id: Heart Rate el: 0 cu: CCU cg: RN v1: 109 u1: BPM st: NotStopd t0: [11:00:00 22/12/2015] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Sinus Tachy st: NotStopd t0: [11:00:00 22/12/2015] id: PAP Mean el: 0 cu: CCU cg: RN v1: 29 u1: mmHg st: NotStopd t0: [11:00:00 22/12/2015] id: PAP S/D el: 0 cu: CCU cg: RN v1: 42 u1: mmHg v2: 22 u2: mmHg st: NotStopd t0: [11:00:00 22/12/2015] id: Arterial BP el: 0 cu: CCU cg: RN v1: 102 u1: mmHg v2: 60 u2: mmHg st: NotStopd t0: [11:00:00 22/12/2015] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 74 u1: mmHg st: NotStopd t0: [11:00:00 22/12/2015] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [11:00:00 22/12/2015] id: Previous WeightF el: 0 cu: CCU cg: RN v1: 67.5 u1: kg st: NotStopd t0: [11:00:00 22/12/2015] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 14 u1: BPM st: NotStopd t0: [11:00:00 22/12/2015] id: SpO2 el: 0 cu: CCU cg: RN v1: 95 u1: % st: NotStopd t0: [11:00:00 22/12/2015] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd
t0: [11:00:00 22/12/2015] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: CCU cg: RN ai: 189 vo: 5 vu: ml t0: [11:00:00 22/12/2015] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CCU cg: RN ai: 190 vo: 11 vu: ml t0: [11:00:00 22/12/2015] id: Nepro Tube Feeding el: 1 cu: CCU cg: RN ai: 155 vo: 40 vu: ml t0: [11:00:00 22/12/2015] id: Urine Out Foley el: 1 cu: CCU cg: RN vo: 38 vu: ml
t0: [11:00:00 22/12/2015] id: Heparin el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 1100 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [12:00:00 22/12/2015] id: Service Type el: 0 cu: CCU cg: RN v1: CCU st: NotStopd t0: [12:00:00 22/12/2015] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [12:00:00 22/12/2015] id: Risk for Falls el: 0 cu: CCU cg: RN v1: Yes st: NotStopd t0: [12:00:00 22/12/2015] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [12:00:00 22/12/2015] id: Ectopy Type el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [12:00:00 22/12/2015] id: Heart Rate el: 0 cu: CCU cg: RN v1: 112 u1: BPM st: NotStopd t0: [12:00:00 22/12/2015] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Sinus Tachy st: NotStopd t0: [12:00:00 22/12/2015] id: PAP Mean el: 0 cu: CCU cg: RN v1: 29 u1: mmHg st: NotStopd t0: [12:00:00 22/12/2015] id: PAP S/D el: 0 cu: CCU cg: RN v1: 42 u1: mmHg v2: 22 u2: mmHg st: NotStopd t0: [12:00:00 22/12/2015] id: Arterial BP el: 0 cu: CCU cg: RN v1: 108 u1: mmHg v2: 62 u2: mmHg st: NotStopd t0: [12:00:00 22/12/2015] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 77 u1: mmHg st: NotStopd t0: [12:00:00 22/12/2015] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [12:00:00 22/12/2015] id: Previous WeightF el: 0 cu: CCU cg: RN v1: 67.5 u1: kg st: NotStopd t0: [12:00:00 22/12/2015] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 18 u1: BPM st: NotStopd t0: [12:00:00 22/12/2015] id: SpO2 el: 0 cu: CCU cg: RN v1: 98 u1: % st: NotStopd t0: [12:00:00 22/12/2015] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd
t0: [12:00:00 22/12/2015] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: CCU cg: RN ai: 189 vo: 5 vu: ml t0: [12:00:00 22/12/2015] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CCU cg: RN ai: 190 vo: 11 vu: ml t0: [12:00:00 22/12/2015] id: Nepro Tube Feeding el: 1 cu: CCU cg: RN ai: 155 vo: 40 vu: ml
t0: [12:00:00 22/12/2015] id: Heparin el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 1100 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [11:00:00 22/12/2015] id: Family Communication el: 0 cu: CCU cg: RN v1: Family Called st: NotStopd t0: [11:00:00 22/12/2015] id: Support Systems el: 0 cu: CCU cg: RN v1: Spouse st: NotStopd t0: [11:00:00 22/12/2015] id: Behavior el: 0 cu: CCU cg: RN v1: Calm st: NotStopd t0: [13:00:00 22/12/2015] id: Service Type el: 0 cu: CCU cg: RN v1: CCU st: NotStopd t0: [13:00:00 22/12/2015] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [13:00:00 22/12/2015] id: Risk for Falls el: 0 cu: CCU cg: RN v1: Yes st: NotStopd t0: [13:00:00 22/12/2015] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [13:00:00 22/12/2015] id: Ectopy Type el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [13:00:00 22/12/2015] id: Family Communication el: 0 cu: CCU cg: RN v1: Family Called st: NotStopd t0: [13:00:00 22/12/2015] id: Heart Rate el: 0 cu: CCU cg: RN v1: 116 u1: BPM st: NotStopd t0: [13:00:00 22/12/2015] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Sinus Tachy st: NotStopd t0: [13:00:00 22/12/2015] id: PAP Mean el: 0 cu: CCU cg: RN v1: 30 u1: mmHg st: NotStopd t0: [13:00:00 22/12/2015] id: PAP S/D el: 0 cu: CCU cg: RN v1: 45 u1: mmHg v2: 21 u2: mmHg st: NotStopd t0: [13:00:00 22/12/2015] id: Arterial BP el: 0 cu: CCU cg: RN v1: 113 u1: mmHg v2: 68 u2: mmHg st: NotStopd t0: [13:00:00 22/12/2015] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 82 u1: mmHg st: NotStopd t0: [13:00:00 22/12/2015] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [13:00:00 22/12/2015] id: Previous WeightF el: 0 cu: CCU cg: RN v1: 67.5 u1: kg st: NotStopd t0: [13:00:00 22/12/2015] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 17 u1: BPM st: NotStopd t0: [13:00:00 22/12/2015] id: SpO2 el: 0 cu: CCU cg: RN v1: 99 u1: % st: NotStopd t0: [13:00:00 22/12/2015] id: Support Systems el: 0 cu: CCU cg: RN v1: Relative st: NotStopd t0: [13:00:00 22/12/2015] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd t0: [13:00:00 22/12/2015] id: Behavior el: 0 cu: CCU cg: RN v1: Calm st: NotStopd t0: [14:00:00 22/12/2015] id: Service Type el: 0 cu: CCU cg: RN v1: CCU st: NotStopd t0: [14:00:00 22/12/2015] id: Chest PT R/L el: 0 cu: CCU cg: RN v1: Done v2: Done st: NotStopd t0: [14:00:00 22/12/2015] id: Chest Tube Site #1 el: 0 cu: CCU cg: RN v1: Left Anterior st: NotStopd t0: [14:00:00 22/12/2015] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [14:00:00 22/12/2015] id: Cough Effort el: 0 cu: CCU cg: RN v1: Weak st: NotStopd t0: [14:00:00 22/12/2015] id: Cough Type el: 0 cu: CCU cg: RN v1: Productive st: NotStopd t0: [14:00:00 22/12/2015] id: Cough/Deep Breathe el: 0 cu: CCU cg: RN v1: Done st: NotStopd t0: [14:00:00 22/12/2015] id: Risk for Falls el: 0 cu: CCU cg: RN v1: Yes st: NotStopd t0: [14:00:00 22/12/2015] id: Diet Type el: 0 cu: CCU cg: RN v1: Renal st: NotStopd t0: [14:00:00 22/12/2015] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [14:00:00 22/12/2015] id: Ectopy Type el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [14:00:00 22/12/2015] id: Edema Location/Amt#1 el: 0 cu: CCU cg: RN v1: Both Legs v2: 6 mm st: NotStopd t0: [14:00:00 22/12/2015] id: Eye Opening el: 0 cu: CCU cg: RN v1: 4 Spontaneously st: NotStopd t0: [14:00:00 22/12/2015] id: GCS Total el: 0 cu: CCU cg: RN v1: 15 u1: points st: NotStopd t0: [14:00:00 22/12/2015] id: GI Intub #1/Site el: 0 cu: CCU cg: RN v1: Feeding/Peditube v2: Right Nare st: NotStopd t0: [14:00:00 22/12/2015] id: GI#1 Tube Stat/Drain el: 0 cu: CCU cg: RN v1: Feeding st: NotStopd t0: [14:00:00 22/12/2015] id: GU Catheter Size el: 0 cu: CCU cg: RN v1: 16 French st: NotStopd t0: [14:00:00 22/12/2015] id: HOB el: 0 cu: CCU cg: RN v1: Reverse T-Berg st: NotStopd t0: [14:00:00 22/12/2015] id: Heart Rate el: 0 cu: CCU cg: RN v1: 110 u1: BPM st: NotStopd t0: [14:00:00 22/12/2015] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Sinus Tachy st: NotStopd t0: [14:00:00 22/12/2015] id: Height of Bed el: 0 cu: CCU cg: RN v1: Reverse T-Berg st: NotStopd t0: [14:00:00 22/12/2015] id: INV Line#1 Type/Site el: 0 cu: CCU cg: RN v1: Multi-lumen v2: Right IJ st: NotStopd t0: [14:00:00 22/12/2015] id: INV Line#1InsertDate el: 0 cu: CCU cg: RN v2: ? st: NotStopd t0: [14:00:00 22/12/2015] id: INV Line#1SiteAppear el: 0 cu: CCU cg: RN v1: WNL st: NotStopd t0: [14:00:00 22/12/2015] id: INV Line#2 Type/Site el: 0 cu: CCU cg: RN v1: PA line v2: Right Femoral st: NotStopd t0: [14:00:00 22/12/2015] id: INV Line#2 Zero/Cal el: 0 cu: CCU cg: RN v1: Yes st: NotStopd t0: [14:00:00 22/12/2015] id: INV Line#2InsertDate el: 0 cu: CCU cg: RN v1: 12 v2: 22 st: NotStopd t0: [14:00:00 22/12/2015] id: INV Line#2SiteAppear el: 0 cu: CCU cg: RN v1: WNL st: NotStopd t0: [14:00:00 22/12/2015] id: INV Line#3 Type/Site el: 0 cu: CCU cg: RN v1: A-Line v2: Right Femoral st: NotStopd t0: [14:00:00 22/12/2015] id: INV Line#3 Zero/Cal el: 0 cu: CCU cg: RN v1: Yes st: NotStopd t0: [14:00:00 22/12/2015] id: INV Line#3InsertDate el: 0 cu: CCU cg: RN v1: 12 v2: 22 st: NotStopd t0: [14:00:00 22/12/2015] id: INV Line#3SiteAppear el: 0 cu: CCU cg: RN v1: WNL st: NotStopd t0: [14:00:00 22/12/2015] id: Abdominal Assessment el: 0 cu: CCU cg: RN v1: Soft st: NotStopd t0: [14:00:00 22/12/2015] id: INV#2 WaveformAppear el: 0 cu: CCU cg: RN v1: Sharp st: NotStopd t0: [14:00:00 22/12/2015] id: INV#3 WaveformAppear el: 0 cu: CCU cg: RN v1: Sharp st: NotStopd t0: [14:00:00 22/12/2015] id: Activity el: 0 cu: CCU cg: RN v1: Bedrest st: NotStopd t0: [14:00:00 22/12/2015] id: Activity Tolerance el: 0 cu: CCU cg: RN v1: Tolerated Well st: NotStopd t0: [14:00:00 22/12/2015] id: KneeImmobilizer/Loc el: 0 cu: CCU cg: RN v1: Off st: NotStopd t0: [14:00:00 22/12/2015] id: LLL Lung Sounds el: 0 cu: CCU cg: RN v1: Diminished st: NotStopd t0: [14:00:00 22/12/2015] id: LUL Lung Sounds el: 0 cu: CCU cg: RN v1: Clear st: NotStopd t0: [14:00:00 22/12/2015] id: Level of Conscious el: 0 cu: CCU cg: RN v1: Dozing Intermit st: NotStopd t0: [14:00:00 22/12/2015] id: Angio Appearance #1 el: 0 cu: CCU cg: RN v1: Clean and Dry v2: Clean and Dry st: NotStopd t0: [14:00:00 22/12/2015] id: Motor Response el: 0 cu: CCU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [14:00:00 22/12/2015] id: Angio Dressing #1 el: 0 cu: CCU cg: RN v1: Transparent st: NotStopd t0: [14:00:00 22/12/2015] id: Oral Cavity el: 0 cu: CCU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [14:00:00 22/12/2015] id: Orientation el: 0 cu: CCU cg: RN v1: Oriented x 3 st: NotStopd t0: [14:00:00 22/12/2015] id: Angio Site #1 el: 0 cu: CCU cg: RN v1: R Femoral st: NotStopd t0: [14:00:00 22/12/2015] id: PAP Mean el: 0 cu: CCU cg: RN v1: 31 u1: mmHg st: NotStopd t0: [14:00:00 22/12/2015] id: PAP S/D el: 0 cu: CCU cg: RN v1: 48 u1: mmHg v2: 22 u2: mmHg st: NotStopd t0: [14:00:00 22/12/2015] id: Arterial BP el: 0 cu: CCU cg: RN v1: 116 u1: mmHg v2: 68 u2: mmHg st: NotStopd t0: [14:00:00 22/12/2015] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 83 u1: mmHg st: NotStopd t0: [14:00:00 22/12/2015] id: Pericard Drain Site el: 0 cu: CCU cg: RN v1: Intact st: NotStopd t0: [14:00:00 22/12/2015] id: Position el: 0 cu: CCU cg: RN v1: Left Side st: NotStopd t0: [14:00:00 22/12/2015] id: Assistance Device el: 0 cu: CCU cg: RN v1: 2 Person Assist st: NotStopd t0: [14:00:00 22/12/2015] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [14:00:00 22/12/2015] id: PressureReduceDevice el: 0 cu: CCU cg: RN v1: Waffles st: NotStopd t0: [14:00:00 22/12/2015] id: Previous WeightF el: 0 cu: CCU cg: RN v1: 67.5 u1: kg st: NotStopd t0: [14:00:00 22/12/2015] id: RLL Lung Sounds el: 0 cu: CCU cg: RN v1: Absent st: NotStopd t0: [14:00:00 22/12/2015] id: RUL Lung Sounds el: 0 cu: CCU cg: RN v1: Clear st: NotStopd t0: [14:00:00 22/12/2015] id: Respiratory Effort el: 0 cu: CCU cg: RN v1: Normal st: NotStopd t0: [14:00:00 22/12/2015] id: Respiratory Pattern el: 0 cu: CCU cg: RN v1: Regular st: NotStopd t0: [14:00:00 22/12/2015] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 34 u1: BPM st: NotStopd t0: [14:00:00 22/12/2015] id: Restraint Location el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [14:00:00 22/12/2015] id: Side Rails el: 0 cu: CCU cg: RN v1: Side Rails Up st: NotStopd t0: [14:00:00 22/12/2015] id: Skin Integrity el: 0 cu: CCU cg: RN v1: Intact st: NotStopd t0: [14:00:00 22/12/2015] id: SpO2 el: 0 cu: CCU cg: RN v1: 96 u1: % st: NotStopd t0: [14:00:00 22/12/2015] id: Support Systems el: 0 cu: CCU cg: RN v1: Spouse st: NotStopd t0: [14:00:00 22/12/2015] id: Temp. Site el: 0 cu: CCU cg: RN v1: Oral st: NotStopd t0: [14:00:00 22/12/2015] id: Temperature C (calc) el: 0 cu: CCU cg: RN v1: 35.8889 u1: Deg. C st: NotStopd t0: [14:00:00 22/12/2015] id: Temperature F el: 0 cu: CCU cg: RN v1: 96.6 u1: Deg. F st: NotStopd t0: [14:00:00 22/12/2015] id: Turn el: 0 cu: CCU cg: RN v1: Left Side st: NotStopd t0: [14:00:00 22/12/2015] id: Urine Color/Appear el: 0 cu: CCU cg: RN v1: Yellow v2: Clear st: NotStopd t0: [14:00:00 22/12/2015] id: Urine Source el: 0 cu: CCU cg: RN v1: Indwelling Cath st: NotStopd t0: [14:00:00 22/12/2015] id: Verbal Response el: 0 cu: CCU cg: RN v1: 5 Oriented st: NotStopd t0: [14:00:00 22/12/2015] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd t0: [14:00:00 22/12/2015] id: Behavior el: 0 cu: CCU cg: RN v1: Calm st: NotStopd t0: [14:00:00 22/12/2015] id: Bowel Sounds el: 0 cu: CCU cg: RN v1: Present st: NotStopd t0: [14:00:00 22/12/2015] id: CT #1 Crepitus el: 0 cu: CCU cg: RN v1: Negative st: NotStopd t0: [14:00:00 22/12/2015] id: CT #1 Drainage el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [14:00:00 22/12/2015] id: CT #1 Dressing el: 0 cu: CCU cg: RN v1: Dry and Intact st: NotStopd t0: [14:00:00 22/12/2015] id: CT #1 Fluctuate/Leak el: 0 cu: CCU cg: RN v1: Positive v2: Negative st: NotStopd t0: [14:00:00 22/12/2015] id: CT #1 Suction Amount el: 0 cu: CCU cg: RN v1: 20 cm st: NotStopd
t0: [13:00:00 22/12/2015] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: CCU cg: RN ai: 189 vo: 5 vu: ml t0: [13:00:00 22/12/2015] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CCU cg: RN ai: 190 vo: 11 vu: ml t0: [13:00:00 22/12/2015] id: Nepro Tube Feeding el: 1 cu: CCU cg: RN ai: 155 vo: 40 vu: ml t0: [14:00:00 22/12/2015] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: CCU cg: RN ai: 189 vo: 5 vu: ml t0: [14:00:00 22/12/2015] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CCU cg: RN ai: 190 vo: 11 vu: ml t0: [14:00:00 22/12/2015] id: Nepro Tube Feeding el: 1 cu: CCU cg: RN ai: 155 vo: 40 vu: ml t0: [14:00:00 22/12/2015] id: Urine Out Foley el: 1 cu: CCU cg: RN vo: 230 vu: ml
t0: [13:00:00 22/12/2015] id: Heparin el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 1100 du: Uhr sv: 250 su: ml rt: IV Drip t0: [14:00:00 22/12/2015] id: Heparin el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 1100 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [15:00:00 22/12/2015] id: Service Type el: 0 cu: CCU cg: RN v1: CCU st: NotStopd t0: [15:00:00 22/12/2015] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [15:00:00 22/12/2015] id: Risk for Falls el: 0 cu: CCU cg: RN v1: Yes st: NotStopd t0: [15:00:00 22/12/2015] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [15:00:00 22/12/2015] id: Ectopy Type el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [15:00:00 22/12/2015] id: Heart Rate el: 0 cu: CCU cg: RN v1: 113 u1: BPM st: NotStopd t0: [15:00:00 22/12/2015] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Sinus Tachy st: NotStopd t0: [15:00:00 22/12/2015] id: PAP Mean el: 0 cu: CCU cg: RN v1: 31 u1: mmHg st: NotStopd t0: [15:00:00 22/12/2015] id: PAP S/D el: 0 cu: CCU cg: RN v1: 46 u1: mmHg v2: 22 u2: mmHg st: NotStopd t0: [15:00:00 22/12/2015] id: Arterial BP el: 0 cu: CCU cg: RN v1: 114 u1: mmHg v2: 66 u2: mmHg st: NotStopd t0: [15:00:00 22/12/2015] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 82 u1: mmHg st: NotStopd t0: [15:00:00 22/12/2015] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [15:00:00 22/12/2015] id: Previous WeightF el: 0 cu: CCU cg: RN v1: 67.5 u1: kg st: NotStopd t0: [15:00:00 22/12/2015] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 34 u1: BPM st: NotStopd t0: [15:00:00 22/12/2015] id: SpO2 el: 0 cu: CCU cg: RN v1: 97 u1: % st: NotStopd t0: [15:00:00 22/12/2015] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd
t0: [15:00:00 22/12/2015] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: CCU cg: RN ai: 189 vo: 5 vu: ml t0: [15:00:00 22/12/2015] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CCU cg: RN ai: 190 vo: 11 vu: ml t0: [15:00:00 22/12/2015] id: Nepro Tube Feeding el: 1 cu: CCU cg: RN ai: 155 vo: 40 vu: ml
t0: [15:00:00 22/12/2015] id: Heparin el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 1100 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [17:21:00 22/12/2015] id: Blood Products Hematology el: 0 cu: CCU cg: 140 v1: Y rs: Final st: NotStopd
t0: [12:00:00 22/12/2015] id: Riker-SAS Scale el: 0 cu: CCU cg: RN v1: Calm/Cooperative st: NotStopd t0: [12:00:00 22/12/2015] id: Alarms el: 0 cu: CCU cg: RN v1: ON st: NotStopd t0: [12:00:00 22/12/2015] id: Parameters Checked el: 0 cu: CCU cg: RN v1: Yes st: NotStopd t0: [16:00:00 22/12/2015] id: Service Type el: 0 cu: CCU cg: RN v1: CCU st: NotStopd t0: [16:00:00 22/12/2015] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [16:00:00 22/12/2015] id: Risk for Falls el: 0 cu: CCU cg: RN v1: Yes st: NotStopd t0: [16:00:00 22/12/2015] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [16:00:00 22/12/2015] id: Ectopy Type el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [16:00:00 22/12/2015] id: Alarms el: 0 cu: CCU cg: RN v1: ON st: NotStopd t0: [16:00:00 22/12/2015] id: Parameters Checked el: 0 cu: CCU cg: RN v1: Yes st: NotStopd t0: [16:00:00 22/12/2015] id: Heart Rate el: 0 cu: CCU cg: RN v1: 121 u1: BPM st: NotStopd t0: [16:00:00 22/12/2015] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Sinus Tachy st: NotStopd t0: [16:00:00 22/12/2015] id: PAP Mean el: 0 cu: CCU cg: RN v1: 35 u1: mmHg st: NotStopd t0: [16:00:00 22/12/2015] id: PAP S/D el: 0 cu: CCU cg: RN v1: 48 u1: mmHg v2: 27 u2: mmHg st: NotStopd t0: [16:00:00 22/12/2015] id: Arterial BP el: 0 cu: CCU cg: RN v1: 122 u1: mmHg v2: 74 u2: mmHg st: NotStopd t0: [16:00:00 22/12/2015] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 89 u1: mmHg st: NotStopd t0: [16:00:00 22/12/2015] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [16:00:00 22/12/2015] id: Previous WeightF el: 0 cu: CCU cg: RN v1: 67.5 u1: kg st: NotStopd t0: [16:00:00 22/12/2015] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 33 u1: BPM st: NotStopd t0: [16:00:00 22/12/2015] id: SpO2 el: 0 cu: CCU cg: RN v1: 100 u1: % st: NotStopd t0: [16:00:00 22/12/2015] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd t0: [17:00:00 22/12/2015] id: Service Type el: 0 cu: CCU cg: RN v1: CCU st: NotStopd t0: [17:00:00 22/12/2015] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [17:00:00 22/12/2015] id: Riker-SAS Scale el: 0 cu: CCU cg: RN v1: Calm/Cooperative st: NotStopd t0: [17:00:00 22/12/2015] id: Risk for Falls el: 0 cu: CCU cg: RN v1: Yes st: NotStopd t0: [17:00:00 22/12/2015] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [17:00:00 22/12/2015] id: Ectopy Type el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [17:00:00 22/12/2015] id: Heart Rate el: 0 cu: CCU cg: RN v1: 118 u1: BPM st: NotStopd t0: [17:00:00 22/12/2015] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Sinus Tachy st: NotStopd t0: [17:00:00 22/12/2015] id: PAP Mean el: 0 cu: CCU cg: RN v1: 34 u1: mmHg st: NotStopd t0: [17:00:00 22/12/2015] id: PAP S/D el: 0 cu: CCU cg: RN v1: 46 u1: mmHg v2: 26 u2: mmHg st: NotStopd t0: [17:00:00 22/12/2015] id: Arterial BP el: 0 cu: CCU cg: RN v1: 119 u1: mmHg v2: 73 u2: mmHg st: NotStopd t0: [17:00:00 22/12/2015] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 87 u1: mmHg st: NotStopd t0: [17:00:00 22/12/2015] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [17:00:00 22/12/2015] id: Previous WeightF el: 0 cu: CCU cg: RN v1: 67.5 u1: kg st: NotStopd t0: [17:00:00 22/12/2015] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 28 u1: BPM st: NotStopd t0: [17:00:00 22/12/2015] id: SpO2 el: 0 cu: CCU cg: RN v1: 53 u1: % st: NotStopd t0: [17:00:00 22/12/2015] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd
t0: [13:00:00 22/12/2015] id: Po Intake PO/Gastric el: 1 cu: CCU cg: RN ai: 103 vo: 60 vu: ml t0: [16:00:00 22/12/2015] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: CCU cg: RN ai: 189 vo: 5 vu: ml t0: [16:00:00 22/12/2015] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CCU cg: RN ai: 190 vo: 11 vu: ml t0: [16:00:00 22/12/2015] id: Nepro Tube Feeding el: 1 cu: CCU cg: RN ai: 155 vo: 40 vu: ml t0: [17:00:00 22/12/2015] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: CCU cg: RN ai: 189 vo: 5 vu: ml t0: [17:00:00 22/12/2015] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CCU cg: RN ai: 190 vo: 11 vu: ml t0: [17:00:00 22/12/2015] id: Nepro Tube Feeding el: 1 cu: CCU cg: RN ai: 155 vo: 40 vu: ml t0: [17:00:00 22/12/2015] id: Urine Out Foley el: 1 cu: CCU cg: RN vo: 140 vu: ml
t0: [16:00:00 22/12/2015] id: Heparin el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 1100 du: Uhr sv: 250 su: ml rt: IV Drip t0: [17:00:00 22/12/2015] id: Heparin el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 1100 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [18:00:00 22/12/2015] id: Service Type el: 0 cu: CCU cg: RN v1: CCU st: NotStopd t0: [18:00:00 22/12/2015] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [18:00:00 22/12/2015] id: Risk for Falls el: 0 cu: CCU cg: RN v1: Yes st: NotStopd t0: [18:00:00 22/12/2015] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [18:00:00 22/12/2015] id: Ectopy Type el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [18:00:00 22/12/2015] id: Heart Rate el: 0 cu: CCU cg: RN v1: 122 u1: BPM st: NotStopd t0: [18:00:00 22/12/2015] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Sinus Tachy st: NotStopd t0: [18:00:00 22/12/2015] id: PAP Mean el: 0 cu: CCU cg: RN v1: 32 u1: mmHg st: NotStopd t0: [18:00:00 22/12/2015] id: PAP S/D el: 0 cu: CCU cg: RN v1: 45 u1: mmHg v2: 25 u2: mmHg st: NotStopd t0: [18:00:00 22/12/2015] id: Arterial BP el: 0 cu: CCU cg: RN v1: 118 u1: mmHg v2: 71 u2: mmHg st: NotStopd t0: [18:00:00 22/12/2015] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 86 u1: mmHg st: NotStopd t0: [18:00:00 22/12/2015] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [18:00:00 22/12/2015] id: Previous WeightF el: 0 cu: CCU cg: RN v1: 67.5 u1: kg st: NotStopd t0: [18:00:00 22/12/2015] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 22 u1: BPM st: NotStopd t0: [18:00:00 22/12/2015] id: SpO2 el: 0 cu: CCU cg: RN v1: 95 u1: % st: NotStopd t0: [18:00:00 22/12/2015] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd
t0: [18:00:00 22/12/2015] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: CCU cg: RN ai: 189 vo: 5 vu: ml t0: [18:00:00 22/12/2015] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CCU cg: RN ai: 190 vo: 11 vu: ml t0: [18:00:00 22/12/2015] id: Nepro Tube Feeding el: 1 cu: CCU cg: RN ai: 155 vo: 40 vu: ml
t0: [18:00:00 22/12/2015] id: Heparin el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 1100 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [15:00:00 22/12/2015] id: Family Communication el: 0 cu: CCU cg: RN v1: Fam Talked to MD st: NotStopd t0: [17:00:00 22/12/2015] id: Family Communication el: 0 cu: CCU cg: RN v1: Fam Talked to MD st: NotStopd t0: [17:00:00 22/12/2015] id: Support Systems el: 0 cu: CCU cg: RN v1: Spouse st: NotStopd t0: [18:00:00 22/12/2015] id: Family Communication el: 0 cu: CCU cg: RN v1: Fam Talked to MD st: NotStopd
t0: [19:00:00 22/12/2015] id: Service Type el: 0 cu: CCU cg: RN v1: CCU st: NotStopd t0: [19:00:00 22/12/2015] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [19:00:00 22/12/2015] id: Risk for Falls el: 0 cu: CCU cg: RN v1: Yes st: NotStopd t0: [19:00:00 22/12/2015] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [19:00:00 22/12/2015] id: Ectopy Type el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [19:00:00 22/12/2015] id: Heart Rate el: 0 cu: CCU cg: RN v1: 121 u1: BPM st: NotStopd t0: [19:00:00 22/12/2015] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Sinus Tachy st: NotStopd t0: [19:00:00 22/12/2015] id: PAP Mean el: 0 cu: CCU cg: RN v1: 29 u1: mmHg st: NotStopd t0: [19:00:00 22/12/2015] id: PAP S/D el: 0 cu: CCU cg: RN v1: 42 u1: mmHg v2: 23 u2: mmHg st: NotStopd t0: [19:00:00 22/12/2015] id: Arterial BP el: 0 cu: CCU cg: RN v1: 117 u1: mmHg v2: 71 u2: mmHg st: NotStopd t0: [19:00:00 22/12/2015] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 85 u1: mmHg st: NotStopd t0: [19:00:00 22/12/2015] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [19:00:00 22/12/2015] id: Previous WeightF el: 0 cu: CCU cg: RN v1: 67.5 u1: kg st: NotStopd t0: [19:00:00 22/12/2015] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 28 u1: BPM st: NotStopd t0: [19:00:00 22/12/2015] id: SpO2 el: 0 cu: CCU cg: RN v1: 92 u1: % st: NotStopd t0: [19:00:00 22/12/2015] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd
t0: [19:00:00 22/12/2015] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: CCU cg: RN ai: 189 vo: 5 vu: ml t0: [19:00:00 22/12/2015] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CCU cg: RN ai: 190 vo: 11 vu: ml t0: [19:00:00 22/12/2015] id: Nepro Tube Feeding el: 1 cu: CCU cg: RN ai: 155 vo: 40 vu: ml t0: [19:00:00 22/12/2015] id: Urine Out Foley el: 1 cu: CCU cg: RN vo: 60 vu: ml
t0: [19:00:00 22/12/2015] id: Heparin el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 1100 du: Uhr sv: 250 su: ml rt: IV Drip
tf: [14:00:00 16/01/2016] pt: Unit Dose rt: IV fr: Q4H:PRN m1: Lorazepam v1: 1 u1: mg tf: [14:00:00 16/01/2016] pt: Unit Dose rt: PO fr: Q4H:PRN m1: Lorazepam v1: 1 u1: mg
t0: [20:00:00 22/12/2015] id: Service Type el: 0 cu: CCU cg: RN v1: CCU st: NotStopd t0: [20:00:00 22/12/2015] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [20:00:00 22/12/2015] id: Risk for Falls el: 0 cu: CCU cg: RN v1: Yes st: NotStopd t0: [20:00:00 22/12/2015] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [20:00:00 22/12/2015] id: Ectopy Type el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [20:00:00 22/12/2015] id: Alarms el: 0 cu: CCU cg: RN v1: ON st: NotStopd t0: [20:00:00 22/12/2015] id: Parameters Checked el: 0 cu: CCU cg: RN v1: Yes st: NotStopd t0: [20:00:00 22/12/2015] id: Heart Rate el: 0 cu: CCU cg: RN v1: 121 u1: BPM st: NotStopd t0: [20:00:00 22/12/2015] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Sinus Tachy st: NotStopd t0: [20:00:00 22/12/2015] id: O2 Delivery Device el: 0 cu: CCU cg: RN v1: Nasal Cannula st: NotStopd t0: [20:00:00 22/12/2015] id: O2 Flow (lpm) el: 0 cu: CCU cg: RN v1: 3 u1: lpm st: NotStopd t0: [20:00:00 22/12/2015] id: PAP Mean el: 0 cu: CCU cg: RN v1: 30 u1: mmHg st: NotStopd t0: [20:00:00 22/12/2015] id: PAP S/D el: 0 cu: CCU cg: RN v1: 46 u1: mmHg v2: 21 u2: mmHg st: NotStopd t0: [20:00:00 22/12/2015] id: Arterial BP el: 0 cu: CCU cg: RN v1: 116 u1: mmHg v2: 68 u2: mmHg st: NotStopd t0: [20:00:00 22/12/2015] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 84 u1: mmHg st: NotStopd t0: [20:00:00 22/12/2015] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [20:00:00 22/12/2015] id: Previous WeightF el: 0 cu: CCU cg: RN v1: 67.5 u1: kg st: NotStopd t0: [20:00:00 22/12/2015] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 29 u1: BPM st: NotStopd t0: [20:00:00 22/12/2015] id: SpO2 el: 0 cu: CCU cg: RN v1: 98 u1: % st: NotStopd t0: [20:00:00 22/12/2015] id: Temp. Site el: 0 cu: CCU cg: RN v1: Oral st: NotStopd t0: [20:00:00 22/12/2015] id: Temperature C (calc) el: 0 cu: CCU cg: RN v1: 36.1667 u1: Deg. C st: NotStopd t0: [20:00:00 22/12/2015] id: Temperature F el: 0 cu: CCU cg: RN v1: 97.1 u1: Deg. F st: NotStopd t0: [20:00:00 22/12/2015] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd
t0: [20:00:00 22/12/2015] id: Heparin el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 1100 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [20:00:00 22/12/2015] id: Pain Present el: 0 cu: CCU cg: RN v1: No st: NotStopd t0: [20:00:00 22/12/2015] id: Pain Location el: 0 cu: CCU cg: RN v1: Not Indicated st: NotStopd
t0: [20:00:00 22/12/2015] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: CCU cg: RN ai: 189 vo: 5 vu: ml t0: [20:00:00 22/12/2015] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CCU cg: RN ai: 190 vo: 11 vu: ml t0: [20:00:00 22/12/2015] id: Nepro Tube Feeding el: 1 cu: CCU cg: RN ai: 155 vo: 40 vu: ml
t0: [20:00:00 22/12/2015] id: Chest Tube Site #1 el: 0 cu: CCU cg: RN v1: Left Anterior st: NotStopd t0: [20:00:00 22/12/2015] id: Cough Effort el: 0 cu: CCU cg: RN v1: Weak st: NotStopd t0: [20:00:00 22/12/2015] id: Cough Type el: 0 cu: CCU cg: RN v1: Productive st: NotStopd t0: [20:00:00 22/12/2015] id: Diet Type el: 0 cu: CCU cg: RN v1: Renal st: NotStopd t0: [20:00:00 22/12/2015] id: Eye Opening el: 0 cu: CCU cg: RN v1: 4 Spontaneously st: NotStopd t0: [20:00:00 22/12/2015] id: GCS Total el: 0 cu: CCU cg: RN v1: 15 u1: points st: NotStopd t0: [20:00:00 22/12/2015] id: GI Intub #1/Site el: 0 cu: CCU cg: RN v1: Feeding/Peditube v2: Right Nare st: NotStopd t0: [20:00:00 22/12/2015] id: GI#1 Tube Stat/Drain el: 0 cu: CCU cg: RN v1: Feeding st: NotStopd t0: [20:00:00 22/12/2015] id: GU Catheter Size el: 0 cu: CCU cg: RN v1: 16 French st: NotStopd t0: [20:00:00 22/12/2015] id: Height of Bed el: 0 cu: CCU cg: RN v1: Reverse T-Berg st: NotStopd t0: [20:00:00 22/12/2015] id: Abdominal Assessment el: 0 cu: CCU cg: RN v1: Soft Distended st: NotStopd t0: [20:00:00 22/12/2015] id: LLL Lung Sounds el: 0 cu: CCU cg: RN v1: Diminished st: NotStopd t0: [20:00:00 22/12/2015] id: LUL Lung Sounds el: 0 cu: CCU cg: RN v1: Clear st: NotStopd t0: [20:00:00 22/12/2015] id: Level of Conscious el: 0 cu: CCU cg: RN v1: Alert st: NotStopd t0: [20:00:00 22/12/2015] id: Angio Appearance #1 el: 0 cu: CCU cg: RN v1: Clean and Dry v2: Clean and Dry st: NotStopd t0: [20:00:00 22/12/2015] id: Motor Response el: 0 cu: CCU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [20:00:00 22/12/2015] id: Angio Dressing #1 el: 0 cu: CCU cg: RN v1: Transparent st: NotStopd t0: [20:00:00 22/12/2015] id: Oral Cavity el: 0 cu: CCU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [20:00:00 22/12/2015] id: Orientation el: 0 cu: CCU cg: RN v1: Oriented x 3 st: NotStopd t0: [20:00:00 22/12/2015] id: Angio Site #1 el: 0 cu: CCU cg: RN v1: R Femoral st: NotStopd t0: [20:00:00 22/12/2015] id: Pericard Drain Site el: 0 cu: CCU cg: RN v1: Intact st: NotStopd t0: [20:00:00 22/12/2015] id: RLL Lung Sounds el: 0 cu: CCU cg: RN v1: Absent st: NotStopd t0: [20:00:00 22/12/2015] id: RUL Lung Sounds el: 0 cu: CCU cg: RN v1: Clear st: NotStopd t0: [20:00:00 22/12/2015] id: Respiratory Effort el: 0 cu: CCU cg: RN v1: Dyspneic st: NotStopd t0: [20:00:00 22/12/2015] id: Respiratory Pattern el: 0 cu: CCU cg: RN v1: Tachypneic st: NotStopd t0: [20:00:00 22/12/2015] id: Urine Color/Appear el: 0 cu: CCU cg: RN v1: Yellow v2: Clear st: NotStopd t0: [20:00:00 22/12/2015] id: Urine Source el: 0 cu: CCU cg: RN v1: Indwelling Cath st: NotStopd t0: [20:00:00 22/12/2015] id: Verbal Response el: 0 cu: CCU cg: RN v1: 5 Oriented st: NotStopd t0: [20:00:00 22/12/2015] id: Bowel Sounds el: 0 cu: CCU cg: RN v1: Present st: NotStopd t0: [20:00:00 22/12/2015] id: CT #1 Crepitus el: 0 cu: CCU cg: RN v1: Negative st: NotStopd t0: [20:00:00 22/12/2015] id: CT #1 Dressing el: 0 cu: CCU cg: RN v1: Dry and Intact st: NotStopd t0: [20:00:00 22/12/2015] id: CT #1 Fluctuate/Leak el: 0 cu: CCU cg: RN v1: Positive v2: Negative st: NotStopd t0: [20:00:00 22/12/2015] id: CT #1 Suction Amount el: 0 cu: CCU cg: RN v1: 20 cm st: NotStopd
t0: [20:00:00 22/12/2015] id: Edema Location/Amt#1 el: 0 cu: CCU cg: RN v1: Both Legs v2: 6 mm st: NotStopd t0: [20:00:00 22/12/2015] id: Family Communication el: 0 cu: CCU cg: RN v1: Family Visited st: NotStopd t0: [20:00:00 22/12/2015] id: Restraint Location el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [20:00:00 22/12/2015] id: Side Rails el: 0 cu: CCU cg: RN v1: Side Rails Up st: NotStopd t0: [20:00:00 22/12/2015] id: Skin Integrity el: 0 cu: CCU cg: RN v1: Intact st: NotStopd t0: [20:00:00 22/12/2015] id: Support Systems el: 0 cu: CCU cg: RN v1: Spouse st: NotStopd t0: [20:00:00 22/12/2015] id: Behavior el: 0 cu: CCU cg: RN v1: Anxious st: NotStopd t0: [20:00:00 22/12/2015] id: Braden Activity el: 0 cu: CCU cg: RN v1: Bedfast st: NotStopd t0: [20:00:00 22/12/2015] id: Braden Frict/Shear el: 0 cu: CCU cg: RN v1: Potential Prob st: NotStopd t0: [20:00:00 22/12/2015] id: Braden Mobility el: 0 cu: CCU cg: RN v1: Very Limited st: NotStopd t0: [20:00:00 22/12/2015] id: Braden Moisture el: 0 cu: CCU cg: RN v1: Occ. Moist st: NotStopd t0: [20:00:00 22/12/2015] id: Braden Nutrition el: 0 cu: CCU cg: RN v1: Prob. Inadequate st: NotStopd t0: [20:00:00 22/12/2015] id: Braden Score el: 0 cu: CCU cg: RN v1: 13 u1: number st: NotStopd t0: [20:00:00 22/12/2015] id: Braden SensoryPercep el: 0 cu: CCU cg: RN v1: Sl. Limited st: NotStopd
t0: [18:00:00 22/12/2015] id: Turn el: 0 cu: CCU cg: RN v1: Back st: NotStopd t0: [20:00:00 22/12/2015] id: Chest PT R/L el: 0 cu: CCU cg: RN v1: Done v2: Done st: NotStopd t0: [20:00:00 22/12/2015] id: HOB el: 0 cu: CCU cg: RN v1: Reverse T-Berg st: NotStopd t0: [20:00:00 22/12/2015] id: INV Line#1 Type/Site el: 0 cu: CCU cg: RN v1: Multi-lumen v2: Right IJ st: NotStopd t0: [20:00:00 22/12/2015] id: INV Line#1InsertDate el: 0 cu: CCU cg: RN v2: ? st: NotStopd t0: [20:00:00 22/12/2015] id: INV Line#1SiteAppear el: 0 cu: CCU cg: RN v1: WNL st: NotStopd t0: [20:00:00 22/12/2015] id: INV Line#2 Type/Site el: 0 cu: CCU cg: RN v1: PA line v2: Right Femoral st: NotStopd t0: [20:00:00 22/12/2015] id: INV Line#2 Zero/Cal el: 0 cu: CCU cg: RN v1: Yes st: NotStopd t0: [20:00:00 22/12/2015] id: INV Line#2InsertDate el: 0 cu: CCU cg: RN v1: 12 v2: 22 st: NotStopd t0: [20:00:00 22/12/2015] id: INV Line#2SiteAppear el: 0 cu: CCU cg: RN v1: WNL st: NotStopd t0: [20:00:00 22/12/2015] id: INV Line#3 Type/Site el: 0 cu: CCU cg: RN v1: A-Line v2: Right Femoral st: NotStopd t0: [20:00:00 22/12/2015] id: INV Line#3 Zero/Cal el: 0 cu: CCU cg: RN v1: Yes st: NotStopd t0: [20:00:00 22/12/2015] id: INV Line#3InsertDate el: 0 cu: CCU cg: RN v1: 12 v2: 22 st: NotStopd t0: [20:00:00 22/12/2015] id: INV Line#3SiteAppear el: 0 cu: CCU cg: RN v1: WNL st: NotStopd t0: [20:00:00 22/12/2015] id: INV#2 WaveformAppear el: 0 cu: CCU cg: RN v1: Sharp st: NotStopd t0: [20:00:00 22/12/2015] id: INV#3 WaveformAppear el: 0 cu: CCU cg: RN v1: Sharp st: NotStopd t0: [20:00:00 22/12/2015] id: Activity el: 0 cu: CCU cg: RN v1: Bedrest st: NotStopd t0: [20:00:00 22/12/2015] id: PressureReduceDevice el: 0 cu: CCU cg: RN v1: Waffles st: NotStopd t0: [20:00:00 22/12/2015] id: Turn el: 0 cu: CCU cg: RN v1: Left Side st: NotStopd
t0: [21:00:00 22/12/2015] id: Service Type el: 0 cu: CCU cg: RN v1: CCU st: NotStopd t0: [21:00:00 22/12/2015] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [21:00:00 22/12/2015] id: Risk for Falls el: 0 cu: CCU cg: RN v1: Yes st: NotStopd t0: [21:00:00 22/12/2015] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [21:00:00 22/12/2015] id: Ectopy Type el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [21:00:00 22/12/2015] id: Heart Rate el: 0 cu: CCU cg: RN v1: 122 u1: BPM st: NotStopd t0: [21:00:00 22/12/2015] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Sinus Tachy st: NotStopd t0: [21:00:00 22/12/2015] id: PAP Mean el: 0 cu: CCU cg: RN v1: 33 u1: mmHg st: NotStopd t0: [21:00:00 22/12/2015] id: PAP S/D el: 0 cu: CCU cg: RN v1: 50 u1: mmHg v2: 24 u2: mmHg st: NotStopd t0: [21:00:00 22/12/2015] id: Arterial BP el: 0 cu: CCU cg: RN v1: 122 u1: mmHg v2: 71 u2: mmHg st: NotStopd t0: [21:00:00 22/12/2015] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 88 u1: mmHg st: NotStopd t0: [21:00:00 22/12/2015] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [21:00:00 22/12/2015] id: Previous WeightF el: 0 cu: CCU cg: RN v1: 67.5 u1: kg st: NotStopd t0: [21:00:00 22/12/2015] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 34 u1: BPM st: NotStopd t0: [21:00:00 22/12/2015] id: SpO2 el: 0 cu: CCU cg: RN v1: 96 u1: % st: NotStopd t0: [21:00:00 22/12/2015] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd
t0: [21:00:00 22/12/2015] id: Heparin el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 1100 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [21:00:00 22/12/2015] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: CCU cg: RN ai: 189 vo: 5 vu: ml t0: [21:00:00 22/12/2015] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CCU cg: RN ai: 190 vo: 11 vu: ml t0: [21:00:00 22/12/2015] id: Nepro Tube Feeding el: 1 cu: CCU cg: RN ai: 155 vo: 40 vu: ml t0: [21:00:00 22/12/2015] id: Urine Out Foley el: 1 cu: CCU cg: RN vo: 90 vu: ml
t0: [22:00:00 22/12/2015] id: Service Type el: 0 cu: CCU cg: RN v1: CCU st: NotStopd t0: [22:00:00 22/12/2015] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [22:00:00 22/12/2015] id: Risk for Falls el: 0 cu: CCU cg: RN v1: Yes st: NotStopd t0: [22:00:00 22/12/2015] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [22:00:00 22/12/2015] id: Ectopy Type el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [22:00:00 22/12/2015] id: Heart Rate el: 0 cu: CCU cg: RN v1: 124 u1: BPM st: NotStopd t0: [22:00:00 22/12/2015] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Sinus Tachy st: NotStopd t0: [22:00:00 22/12/2015] id: PAP Mean el: 0 cu: CCU cg: RN v1: 34 u1: mmHg st: NotStopd t0: [22:00:00 22/12/2015] id: PAP S/D el: 0 cu: CCU cg: RN v1: 50 u1: mmHg v2: 24 u2: mmHg st: NotStopd t0: [22:00:00 22/12/2015] id: Arterial BP el: 0 cu: CCU cg: RN v1: 129 u1: mmHg v2: 73 u2: mmHg st: NotStopd t0: [22:00:00 22/12/2015] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 91 u1: mmHg st: NotStopd t0: [22:00:00 22/12/2015] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [22:00:00 22/12/2015] id: Previous WeightF el: 0 cu: CCU cg: RN v1: 67.5 u1: kg st: NotStopd t0: [22:00:00 22/12/2015] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 28 u1: BPM st: NotStopd t0: [22:00:00 22/12/2015] id: SpO2 el: 0 cu: CCU cg: RN v1: 95 u1: % st: NotStopd t0: [22:00:00 22/12/2015] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd
t0: [22:00:00 22/12/2015] id: Heparin el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 1100 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [22:00:00 22/12/2015] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: CCU cg: RN ai: 189 vo: 5 vu: ml t0: [22:00:00 22/12/2015] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CCU cg: RN ai: 190 vo: 11 vu: ml t0: [22:00:00 22/12/2015] id: Nepro Tube Feeding el: 1 cu: CCU cg: RN ai: 155 vo: 40 vu: ml
t0: [22:00:00 22/12/2015] id: Po Intake PO/Gastric el: 1 cu: CCU cg: RN ai: 103 vo: 150 vu: ml
t0: [22:45:00 22/12/2015] id: Heart Rate el: 0 cu: CCU cg: RN v1: 163 u1: BPM st: NotStopd t0: [22:45:00 22/12/2015] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Atrial Fib st: NotStopd t0: [22:45:00 22/12/2015] id: Arterial BP el: 0 cu: CCU cg: RN v1: 119 u1: mmHg v2: 69 u2: mmHg st: NotStopd t0: [22:45:00 22/12/2015] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 86 u1: mmHg st: NotStopd t0: [22:45:00 22/12/2015] id: Previous WeightF el: 0 cu: CCU cg: RN v1: 67.5 u1: kg st: NotStopd t0: [22:45:00 22/12/2015] id: Procedures el: 0 cu: CCU cg: RN v1: EKG st: NotStopd t0: [22:45:00 22/12/2015] id: SpO2 el: 0 cu: CCU cg: RN v1: 95 u1: % st: NotStopd t0: [22:45:00 22/12/2015] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd
tf: [13:00:00 23/12/2015] pt: Unit Dose rt: IV fr: ONCE fs: 23 dn: 1 m1: Furosemide v1: 40 u1: mg
t0: [22:55:00 22/12/2015] id: Service Type el: 0 cu: CCU cg: RN v1: CCU st: NotStopd t0: [22:55:00 22/12/2015] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [22:55:00 22/12/2015] id: Risk for Falls el: 0 cu: CCU cg: RN v1: Yes st: NotStopd t0: [22:55:00 22/12/2015] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [22:55:00 22/12/2015] id: Ectopy Type el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [22:55:00 22/12/2015] id: Heart Rate el: 0 cu: CCU cg: RN v1: 154 u1: BPM st: NotStopd t0: [22:55:00 22/12/2015] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Atrial Fib st: NotStopd t0: [22:55:00 22/12/2015] id: PAP Mean el: 0 cu: CCU cg: RN v1: 32 u1: mmHg st: NotStopd t0: [22:55:00 22/12/2015] id: PAP S/D el: 0 cu: CCU cg: RN v1: 46 u1: mmHg v2: 25 u2: mmHg st: NotStopd t0: [22:55:00 22/12/2015] id: Arterial BP el: 0 cu: CCU cg: RN v1: 121 u1: mmHg v2: 73 u2: mmHg st: NotStopd t0: [22:55:00 22/12/2015] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 87 u1: mmHg st: NotStopd t0: [22:55:00 22/12/2015] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [22:55:00 22/12/2015] id: Previous WeightF el: 0 cu: CCU cg: RN v1: 67.5 u1: kg st: NotStopd t0: [22:55:00 22/12/2015] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 2 u1: BPM st: NotStopd t0: [22:55:00 22/12/2015] id: SpO2 el: 0 cu: CCU cg: RN v1: 95 u1: % st: NotStopd t0: [22:55:00 22/12/2015] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd t0: [23:00:00 22/12/2015] id: Service Type el: 0 cu: CCU cg: RN v1: CCU st: NotStopd t0: [23:00:00 22/12/2015] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [23:00:00 22/12/2015] id: Risk for Falls el: 0 cu: CCU cg: RN v1: Yes st: NotStopd t0: [23:00:00 22/12/2015] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [23:00:00 22/12/2015] id: Ectopy Type el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [23:00:00 22/12/2015] id: Heart Rate el: 0 cu: CCU cg: RN v1: 118 u1: BPM st: NotStopd t0: [23:00:00 22/12/2015] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Atrial Fib st: NotStopd t0: [23:00:00 22/12/2015] id: PAP Mean el: 0 cu: CCU cg: RN v1: 30 u1: mmHg st: NotStopd t0: [23:00:00 22/12/2015] id: PAP S/D el: 0 cu: CCU cg: RN v1: 40 u1: mmHg v2: 24 u2: mmHg st: NotStopd t0: [23:00:00 22/12/2015] id: Arterial BP el: 0 cu: CCU cg: RN v1: 101 u1: mmHg v2: 57 u2: mmHg st: NotStopd t0: [23:00:00 22/12/2015] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 69 u1: mmHg st: NotStopd t0: [23:00:00 22/12/2015] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [23:00:00 22/12/2015] id: Previous Weight el: 0 cu: CCU cg: RN v1: 67.5 u1: kg st: NotStopd t0: [23:00:00 22/12/2015] id: Previous WeightF el: 0 cu: CCU cg: RN v1: 67.5 u1: kg st: NotStopd t0: [23:00:00 22/12/2015] id: SpO2 el: 0 cu: CCU cg: RN v1: 96 u1: % st: NotStopd t0: [23:00:00 22/12/2015] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd
t0: [22:55:00 22/12/2015] id: Heparin el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 1100 du: Uhr sv: 250 su: ml rt: IV Drip t0: [23:00:00 22/12/2015] id: Heparin el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 1100 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [23:00:00 22/12/2015] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: CCU cg: RN ai: 189 vo: 5 vu: ml t0: [23:00:00 22/12/2015] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CCU cg: RN ai: 190 vo: 11 vu: ml t0: [23:00:00 22/12/2015] id: Nepro Tube Feeding el: 1 cu: CCU cg: RN ai: 155 vo: 40 vu: ml t0: [23:00:00 22/12/2015] id: Urine Out Foley el: 1 cu: CCU cg: RN vo: 70 vu: ml
t0: [23:00:00 22/12/2015] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 36 u1: BPM st: NotStopd
id: Neosynephrine-k el: 100 cu: CCU cg: RN io: D5W 250.0ml + 60mcgkgmin Neosynephrine-k IV Infusions am: 60 du: mcgkgmin rt: IV Drip
id: D5W el: 1 cu: CCU cg: RN io: D5W 250.0ml + 60mcgkgmin Neosynephrine-k IV Infusions vo: 250 du: ml rt: Intravenous Push
t0: [00:00:00 23/12/2015] id: Pain Present el: 0 cu: CCU cg: RN v1: No st: NotStopd t0: [00:00:00 23/12/2015] id: Service Type el: 0 cu: CCU cg: RN v1: CCU st: NotStopd t0: [00:00:00 23/12/2015] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [00:00:00 23/12/2015] id: Risk for Falls el: 0 cu: CCU cg: RN v1: Yes st: NotStopd t0: [00:00:00 23/12/2015] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [00:00:00 23/12/2015] id: Ectopy Type el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [00:00:00 23/12/2015] id: Heart Rate el: 0 cu: CCU cg: RN v1: 140 u1: BPM st: NotStopd t0: [00:00:00 23/12/2015] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Atrial Fib st: NotStopd t0: [00:00:00 23/12/2015] id: PAP Mean el: 0 cu: CCU cg: RN v1: 29 u1: mmHg st: NotStopd t0: [00:00:00 23/12/2015] id: PAP S/D el: 0 cu: CCU cg: RN v1: 40 u1: mmHg v2: 23 u2: mmHg st: NotStopd t0: [00:00:00 23/12/2015] id: Arterial BP el: 0 cu: CCU cg: RN v1: 99 u1: mmHg v2: 57 u2: mmHg st: NotStopd t0: [00:00:00 23/12/2015] id: Pain Location el: 0 cu: CCU cg: RN v1: Not Indicated st: NotStopd t0: [00:00:00 23/12/2015] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 69 u1: mmHg st: NotStopd t0: [00:00:00 23/12/2015] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [00:00:00 23/12/2015] id: Previous WeightF el: 0 cu: CCU cg: RN v1: 67.5 u1: kg st: NotStopd t0: [00:00:00 23/12/2015] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 39 u1: BPM st: NotStopd t0: [00:00:00 23/12/2015] id: SpO2 el: 0 cu: CCU cg: RN v1: 97 u1: % st: NotStopd t0: [00:00:00 23/12/2015] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd
t0: [00:00:00 23/12/2015] id: Heparin el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 1100 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [23:00:00 22/12/2015] id: O2 Flow (lpm) el: 0 cu: CCU cg: RN v1: 4 u1: lpm st: NotStopd t0: [00:00:00 23/12/2015] id: O2 Delivery Device el: 0 cu: CCU cg: RN v1: Nasal Cannula st: NotStopd t0: [00:00:00 23/12/2015] id: O2 Flow (lpm) el: 0 cu: CCU cg: RN v1: 4 u1: lpm st: NotStopd
t0: [00:00:00 23/12/2015] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: CCU cg: RN ai: 189 vo: 250 vu: ml t0: [00:00:00 23/12/2015] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CCU cg: RN ai: 190 vo: 11 vu: ml t0: [00:00:00 23/12/2015] id: Nepro Tube Feeding el: 1 cu: CCU cg: RN ai: 155 vo: 40 vu: ml t0: [00:00:00 23/12/2015] id: Urine Out Foley el: 1 cu: CCU cg: RN vo: 30 vu: ml
t0: [23:00:00 23/12/2015] dt: 24 id: Tube Feeds In Total el: 1 cu: CCU cg: RN cv: 40 ap: none
t0: [00:00:00 23/12/2015] id: Chest Tube Site #1 el: 0 cu: CCU cg: RN v1: Left Anterior st: NotStopd t0: [00:00:00 23/12/2015] id: Cough Effort el: 0 cu: CCU cg: RN v1: Weak st: NotStopd t0: [00:00:00 23/12/2015] id: Cough Type el: 0 cu: CCU cg: RN v1: Productive st: NotStopd t0: [00:00:00 23/12/2015] id: Diet Type el: 0 cu: CCU cg: RN v1: NPO st: NotStopd t0: [00:00:00 23/12/2015] id: Edema Location/Amt#1 el: 0 cu: CCU cg: RN v1: Both Legs v2: 6 mm st: NotStopd t0: [00:00:00 23/12/2015] id: Eye Opening el: 0 cu: CCU cg: RN v1: 4 Spontaneously st: NotStopd t0: [00:00:00 23/12/2015] id: GCS Total el: 0 cu: CCU cg: RN v1: 15 u1: points st: NotStopd t0: [00:00:00 23/12/2015] id: GI Intub #1/Site el: 0 cu: CCU cg: RN v1: Feeding/Peditube v2: Right Nare st: NotStopd t0: [00:00:00 23/12/2015] id: GI#1 Tube Stat/Drain el: 0 cu: CCU cg: RN v1: Clamped st: NotStopd t0: [00:00:00 23/12/2015] id: GU Catheter Size el: 0 cu: CCU cg: RN v1: 16 French st: NotStopd t0: [00:00:00 23/12/2015] id: Height of Bed el: 0 cu: CCU cg: RN v1: Reverse T-Berg st: NotStopd t0: [00:00:00 23/12/2015] id: Abdominal Assessment el: 0 cu: CCU cg: RN v1: Soft Distended st: NotStopd t0: [00:00:00 23/12/2015] id: LLL Lung Sounds el: 0 cu: CCU cg: RN v1: Diminished st: NotStopd t0: [00:00:00 23/12/2015] id: LUL Lung Sounds el: 0 cu: CCU cg: RN v1: Clear st: NotStopd t0: [00:00:00 23/12/2015] id: Level of Conscious el: 0 cu: CCU cg: RN v1: Alert st: NotStopd t0: [00:00:00 23/12/2015] id: Angio Appearance #1 el: 0 cu: CCU cg: RN v1: Clean and Dry v2: Clean and Dry st: NotStopd t0: [00:00:00 23/12/2015] id: Motor Response el: 0 cu: CCU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [00:00:00 23/12/2015] id: Angio Dressing #1 el: 0 cu: CCU cg: RN v1: Transparent st: NotStopd t0: [00:00:00 23/12/2015] id: Oral Cavity el: 0 cu: CCU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [00:00:00 23/12/2015] id: Orientation el: 0 cu: CCU cg: RN v1: Oriented x 3 st: NotStopd t0: [00:00:00 23/12/2015] id: Angio Site #1 el: 0 cu: CCU cg: RN v1: R Femoral st: NotStopd t0: [00:00:00 23/12/2015] id: Pericard Drain Site el: 0 cu: CCU cg: RN v1: Intact st: NotStopd t0: [00:00:00 23/12/2015] id: RLL Lung Sounds el: 0 cu: CCU cg: RN v1: Absent st: NotStopd t0: [00:00:00 23/12/2015] id: RUL Lung Sounds el: 0 cu: CCU cg: RN v1: Clear st: NotStopd t0: [00:00:00 23/12/2015] id: Respiratory Effort el: 0 cu: CCU cg: RN v1: Dyspneic st: NotStopd t0: [00:00:00 23/12/2015] id: Respiratory Pattern el: 0 cu: CCU cg: RN v1: Tachypneic st: NotStopd t0: [00:00:00 23/12/2015] id: Restraint Location el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [00:00:00 23/12/2015] id: Side Rails el: 0 cu: CCU cg: RN v1: Side Rails Up st: NotStopd t0: [00:00:00 23/12/2015] id: Skin Integrity el: 0 cu: CCU cg: RN v1: Intact st: NotStopd t0: [00:00:00 23/12/2015] id: Support Systems el: 0 cu: CCU cg: RN v1: Spouse st: NotStopd t0: [00:00:00 23/12/2015] id: Urine Color/Appear el: 0 cu: CCU cg: RN v1: Yellow v2: Clear st: NotStopd t0: [00:00:00 23/12/2015] id: Urine Source el: 0 cu: CCU cg: RN v1: Indwelling Cath st: NotStopd t0: [00:00:00 23/12/2015] id: Verbal Response el: 0 cu: CCU cg: RN v1: 5 Oriented st: NotStopd t0: [00:00:00 23/12/2015] id: Behavior el: 0 cu: CCU cg: RN v1: Anxious st: NotStopd t0: [00:00:00 23/12/2015] id: Bowel Sounds el: 0 cu: CCU cg: RN v1: Present st: NotStopd t0: [00:00:00 23/12/2015] id: Braden Activity el: 0 cu: CCU cg: RN v1: Bedfast st: NotStopd t0: [00:00:00 23/12/2015] id: Braden Frict/Shear el: 0 cu: CCU cg: RN v1: Potential Prob st: NotStopd t0: [00:00:00 23/12/2015] id: Braden Mobility el: 0 cu: CCU cg: RN v1: Very Limited st: NotStopd t0: [00:00:00 23/12/2015] id: Braden Moisture el: 0 cu: CCU cg: RN v1: Occ. Moist st: NotStopd t0: [00:00:00 23/12/2015] id: Braden Nutrition el: 0 cu: CCU cg: RN v1: Prob. Inadequate st: NotStopd t0: [00:00:00 23/12/2015] id: Braden Score el: 0 cu: CCU cg: RN v1: 13 u1: number st: NotStopd t0: [00:00:00 23/12/2015] id: Braden SensoryPercep el: 0 cu: CCU cg: RN v1: Sl. Limited st: NotStopd t0: [00:00:00 23/12/2015] id: CT #1 Crepitus el: 0 cu: CCU cg: RN v1: Negative st: NotStopd t0: [00:00:00 23/12/2015] id: CT #1 Dressing el: 0 cu: CCU cg: RN v1: Dry and Intact st: NotStopd t0: [00:00:00 23/12/2015] id: CT #1 Fluctuate/Leak el: 0 cu: CCU cg: RN v1: Positive v2: Negative st: NotStopd t0: [00:00:00 23/12/2015] id: CT #1 Suction Amount el: 0 cu: CCU cg: RN v1: 20 cm st: NotStopd
t0: [22:00:00 22/12/2015] id: Turn el: 0 cu: CCU cg: RN v1: Back st: NotStopd t0: [00:00:00 23/12/2015] id: HOB el: 0 cu: CCU cg: RN v1: Reverse T-Berg st: NotStopd t0: [00:00:00 23/12/2015] id: INV Line#1 Type/Site el: 0 cu: CCU cg: RN v1: Multi-lumen v2: Right IJ st: NotStopd t0: [00:00:00 23/12/2015] id: INV Line#1InsertDate el: 0 cu: CCU cg: RN v2: ? st: NotStopd t0: [00:00:00 23/12/2015] id: INV Line#1SiteAppear el: 0 cu: CCU cg: RN v1: WNL st: NotStopd t0: [00:00:00 23/12/2015] id: INV Line#2 Type/Site el: 0 cu: CCU cg: RN v1: PA line v2: Right Femoral st: NotStopd t0: [00:00:00 23/12/2015] id: INV Line#2InsertDate el: 0 cu: CCU cg: RN v1: 12 v2: 22 st: NotStopd t0: [00:00:00 23/12/2015] id: INV Line#2SiteAppear el: 0 cu: CCU cg: RN v1: WNL st: NotStopd t0: [00:00:00 23/12/2015] id: INV Line#3 Type/Site el: 0 cu: CCU cg: RN v1: A-Line v2: Right Femoral st: NotStopd t0: [00:00:00 23/12/2015] id: INV Line#3InsertDate el: 0 cu: CCU cg: RN v1: 12 v2: 22 st: NotStopd t0: [00:00:00 23/12/2015] id: INV Line#3SiteAppear el: 0 cu: CCU cg: RN v1: WNL st: NotStopd t0: [00:00:00 23/12/2015] id: INV#2 WaveformAppear el: 0 cu: CCU cg: RN v1: Sharp st: NotStopd t0: [00:00:00 23/12/2015] id: INV#3 WaveformAppear el: 0 cu: CCU cg: RN v1: Sharp st: NotStopd t0: [00:00:00 23/12/2015] id: Activity el: 0 cu: CCU cg: RN v1: Bedrest st: NotStopd t0: [00:00:00 23/12/2015] id: PressureReduceDevice el: 0 cu: CCU cg: RN v1: Waffles st: NotStopd
t0: [00:05:00 23/12/2015] id: Heart Rate el: 0 cu: CCU cg: RN v1: 129 u1: BPM st: NotStopd t0: [00:05:00 23/12/2015] id: Arterial BP el: 0 cu: CCU cg: RN v1: 83 u1: mmHg v2: 48 u2: mmHg st: NotStopd t0: [00:05:00 23/12/2015] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 58 u1: mmHg st: NotStopd t0: [00:05:00 23/12/2015] id: Previous WeightF el: 0 cu: CCU cg: RN v1: 67.5 u1: kg st: NotStopd t0: [00:05:00 23/12/2015] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd t0: [00:10:00 23/12/2015] id: Heart Rate el: 0 cu: CCU cg: RN v1: 118 u1: BPM st: NotStopd t0: [00:10:00 23/12/2015] id: Arterial BP el: 0 cu: CCU cg: RN v1: 80 u1: mmHg v2: 47 u2: mmHg st: NotStopd t0: [00:10:00 23/12/2015] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 56 u1: mmHg st: NotStopd t0: [00:10:00 23/12/2015] id: Previous WeightF el: 0 cu: CCU cg: RN v1: 67.5 u1: kg st: NotStopd t0: [00:10:00 23/12/2015] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd t0: [00:15:00 23/12/2015] id: Heart Rate el: 0 cu: CCU cg: RN v1: 116 u1: BPM st: NotStopd t0: [00:15:00 23/12/2015] id: Arterial BP el: 0 cu: CCU cg: RN v1: 81 u1: mmHg v2: 47 u2: mmHg st: NotStopd t0: [00:15:00 23/12/2015] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 57 u1: mmHg st: NotStopd t0: [00:15:00 23/12/2015] id: Previous WeightF el: 0 cu: CCU cg: RN v1: 67.5 u1: kg st: NotStopd t0: [00:15:00 23/12/2015] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd
t0: [00:00:00 23/12/2015] id: Temp. Site el: 0 cu: CCU cg: RN v1: Oral st: NotStopd t0: [00:00:00 23/12/2015] id: Temperature C (calc) el: 0 cu: CCU cg: RN v1: 36.2222 u1: Deg. C st: NotStopd t0: [00:00:00 23/12/2015] id: Temperature F el: 0 cu: CCU cg: RN v1: 97.2 u1: Deg. F st: NotStopd
t0: [00:30:00 23/12/2015] id: Service Type el: 0 cu: CCU cg: RN v1: CCU st: NotStopd t0: [00:30:00 23/12/2015] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [00:30:00 23/12/2015] id: Risk for Falls el: 0 cu: CCU cg: RN v1: Yes st: NotStopd t0: [00:30:00 23/12/2015] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [00:30:00 23/12/2015] id: Ectopy Type el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [00:30:00 23/12/2015] id: Heart Rate el: 0 cu: CCU cg: RN v1: 136 u1: BPM st: NotStopd t0: [00:30:00 23/12/2015] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Atrial Fib st: NotStopd t0: [00:30:00 23/12/2015] id: PAP Mean el: 0 cu: CCU cg: RN v1: 28 u1: mmHg st: NotStopd t0: [00:30:00 23/12/2015] id: PAP S/D el: 0 cu: CCU cg: RN v1: 44 u1: mmHg v2: 19 u2: mmHg st: NotStopd t0: [00:30:00 23/12/2015] id: Arterial BP el: 0 cu: CCU cg: RN v1: 81 u1: mmHg v2: 50 u2: mmHg st: NotStopd t0: [00:30:00 23/12/2015] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 58 u1: mmHg st: NotStopd t0: [00:30:00 23/12/2015] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [00:30:00 23/12/2015] id: Previous WeightF el: 0 cu: CCU cg: RN v1: 67.5 u1: kg st: NotStopd t0: [00:30:00 23/12/2015] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 36 u1: BPM st: NotStopd t0: [00:30:00 23/12/2015] id: SpO2 el: 0 cu: CCU cg: RN v1: 97 u1: % st: NotStopd t0: [00:30:00 23/12/2015] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd
t0: [00:30:00 23/12/2015] id: Heparin el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 1100 du: Uhr sv: 250 su: ml rt: IV Drip t0: [00:30:00 23/12/2015] tf: [00:55:00 23/12/2015] dt: 25 id: Dopamine el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 5.0101 du: mcgkgmin sv: 250 su: ml rt: IV Drip
t0: [00:50:00 23/12/2015] id: Service Type el: 0 cu: CCU cg: RN v1: CCU st: NotStopd t0: [00:50:00 23/12/2015] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [00:50:00 23/12/2015] id: Risk for Falls el: 0 cu: CCU cg: RN v1: Yes st: NotStopd t0: [00:50:00 23/12/2015] id: Heart Rate el: 0 cu: CCU cg: RN v1: 133 u1: BPM st: NotStopd t0: [00:50:00 23/12/2015] id: PAP Mean el: 0 cu: CCU cg: RN v1: 27 u1: mmHg st: NotStopd t0: [00:50:00 23/12/2015] id: PAP S/D el: 0 cu: CCU cg: RN v1: 37 u1: mmHg v2: 22 u2: mmHg st: NotStopd t0: [00:50:00 23/12/2015] id: Arterial BP el: 0 cu: CCU cg: RN v1: 72 u1: mmHg v2: 43 u2: mmHg st: NotStopd t0: [00:50:00 23/12/2015] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 52 u1: mmHg st: NotStopd t0: [00:50:00 23/12/2015] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [00:50:00 23/12/2015] id: Previous WeightF el: 0 cu: CCU cg: RN v1: 67.5 u1: kg st: NotStopd t0: [00:50:00 23/12/2015] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 7 u1: BPM st: NotStopd t0: [00:50:00 23/12/2015] id: SpO2 el: 0 cu: CCU cg: RN v1: 96 u1: % st: NotStopd t0: [00:50:00 23/12/2015] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd t0: [00:55:00 23/12/2015] id: Service Type el: 0 cu: CCU cg: RN v1: CCU st: NotStopd t0: [00:55:00 23/12/2015] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [00:55:00 23/12/2015] id: Risk for Falls el: 0 cu: CCU cg: RN v1: Yes st: NotStopd t0: [00:55:00 23/12/2015] id: Heart Rate el: 0 cu: CCU cg: RN v1: 140 u1: BPM st: NotStopd t0: [00:55:00 23/12/2015] id: PAP Mean el: 0 cu: CCU cg: RN v1: 28 u1: mmHg st: NotStopd t0: [00:55:00 23/12/2015] id: PAP S/D el: 0 cu: CCU cg: RN v1: 39 u1: mmHg v2: 23 u2: mmHg st: NotStopd t0: [00:55:00 23/12/2015] id: Arterial BP el: 0 cu: CCU cg: RN v1: 78 u1: mmHg v2: 47 u2: mmHg st: NotStopd t0: [00:55:00 23/12/2015] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 56 u1: mmHg st: NotStopd t0: [00:55:00 23/12/2015] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [00:55:00 23/12/2015] id: Previous WeightF el: 0 cu: CCU cg: RN v1: 67.5 u1: kg st: NotStopd t0: [00:55:00 23/12/2015] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 0 u1: BPM st: NotStopd t0: [00:55:00 23/12/2015] id: SpO2 el: 0 cu: CCU cg: RN v1: 95 u1: % st: NotStopd t0: [00:55:00 23/12/2015] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd
t0: [00:55:00 23/12/2015] id: D5W 250.0ml + 60mcgkgmin Neosynephrine-k IV Infusions el: 1 cu: CCU cg: RN ai: 107 vo: 0 vu: ml nb: 1
t0: [00:50:00 23/12/2015] id: Heparin el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 1100 du: Uhr sv: 250 su: ml rt: IV Drip t0: [00:50:00 23/12/2015] id: Dopamine el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 7 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [00:55:00 23/12/2015] tf: [10:28:00 23/12/2015] dt: 573 id: Neosynephrine-k el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 1 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [00:55:00 23/12/2015] id: Heparin el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 1100 du: Uhr sv: 250 su: ml rt: IV Drip t0: [00:55:00 23/12/2015] id: Dopamine el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 7 du: mcgkgmin sv: 250 su: ml rt: IV Drip st: Stopped
id: Propofol el: 100 cu: CCU cg: RN io: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions am: 500 du: mcgkgmin rt: IV Drip
tf: [13:00:00 23/12/2015] pt: Unit Dose rt: IV fr: ONCE MR1 fs: 1 dn: 1 m1: Metoprolol v1: 5 u1: mg
id: N/A el: 1 cu: CCU cg: RN io: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions vo: 50 du: vl rt: Intravenous Push
t0: [01:00:00 23/12/2015] id: Service Type el: 0 cu: CCU cg: RN v1: CCU st: NotStopd t0: [01:00:00 23/12/2015] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [01:00:00 23/12/2015] id: Risk for Falls el: 0 cu: CCU cg: RN v1: Yes st: NotStopd t0: [01:00:00 23/12/2015] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [01:00:00 23/12/2015] id: Ectopy Type el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [01:00:00 23/12/2015] id: Heart Rate el: 0 cu: CCU cg: RN v1: 140 u1: BPM st: NotStopd t0: [01:00:00 23/12/2015] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Atrial Fib st: NotStopd t0: [01:00:00 23/12/2015] id: PAP Mean el: 0 cu: CCU cg: RN v1: 29 u1: mmHg st: NotStopd t0: [01:00:00 23/12/2015] id: PAP S/D el: 0 cu: CCU cg: RN v1: 38 u1: mmHg v2: 25 u2: mmHg st: NotStopd t0: [01:00:00 23/12/2015] id: Arterial BP el: 0 cu: CCU cg: RN v1: 80 u1: mmHg v2: 52 u2: mmHg st: NotStopd t0: [01:00:00 23/12/2015] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 60 u1: mmHg st: NotStopd t0: [01:00:00 23/12/2015] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [01:00:00 23/12/2015] id: Previous WeightF el: 0 cu: CCU cg: RN v1: 67.5 u1: kg st: NotStopd t0: [01:00:00 23/12/2015] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 28 u1: BPM st: NotStopd t0: [01:00:00 23/12/2015] id: SpO2 el: 0 cu: CCU cg: RN v1: 95 u1: % st: NotStopd t0: [01:00:00 23/12/2015] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd
t0: [01:00:00 23/12/2015] id: Neosynephrine-k el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 1 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [01:00:00 23/12/2015] id: Heparin el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 1100 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [01:05:00 23/12/2015] id: Arterial BP el: 0 cu: CCU cg: RN v1: 90 u1: mmHg v2: 62 u2: mmHg st: NotStopd t0: [01:05:00 23/12/2015] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 70 u1: mmHg st: NotStopd
t0: [00:30:00 23/12/2015] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: CCU cg: RN ai: 189 vo: 250 vu: ml
t0: [01:15:00 23/12/2015] id: Service Type el: 0 cu: CCU cg: RN v1: CCU st: NotStopd t0: [01:15:00 23/12/2015] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [01:15:00 23/12/2015] id: Risk for Falls el: 0 cu: CCU cg: RN v1: Yes st: NotStopd t0: [01:15:00 23/12/2015] id: Ectopy Type el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [01:15:00 23/12/2015] id: Heart Rate el: 0 cu: CCU cg: RN v1: 132 u1: BPM st: NotStopd t0: [01:15:00 23/12/2015] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Atrial Fib st: NotStopd t0: [01:15:00 23/12/2015] id: PAP Mean el: 0 cu: CCU cg: RN v1: 37 u1: mmHg st: NotStopd t0: [01:15:00 23/12/2015] id: PAP S/D el: 0 cu: CCU cg: RN v1: 51 u1: mmHg v2: 26 u2: mmHg st: NotStopd t0: [01:15:00 23/12/2015] id: Arterial BP el: 0 cu: CCU cg: RN v1: 116 u1: mmHg v2: 73 u2: mmHg st: NotStopd t0: [01:15:00 23/12/2015] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 86 u1: mmHg st: NotStopd t0: [01:15:00 23/12/2015] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [01:15:00 23/12/2015] id: Previous WeightF el: 0 cu: CCU cg: RN v1: 67.5 u1: kg st: NotStopd t0: [01:15:00 23/12/2015] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 38 u1: BPM st: NotStopd t0: [01:15:00 23/12/2015] id: SpO2 el: 0 cu: CCU cg: RN v1: 99 u1: % st: NotStopd t0: [01:15:00 23/12/2015] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd
t0: [01:15:00 23/12/2015] id: Neosynephrine-k el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 1 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [01:15:00 23/12/2015] id: Heparin el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 1100 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [01:15:00 23/12/2015] id: Significant Events el: 0 cu: CCU cg: RN v1: Intubated st: NotStopd t0: [01:20:00 23/12/2015] id: Service Type el: 0 cu: CCU cg: RN v1: CCU st: NotStopd t0: [01:20:00 23/12/2015] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [01:20:00 23/12/2015] id: Risk for Falls el: 0 cu: CCU cg: RN v1: Yes st: NotStopd t0: [01:20:00 23/12/2015] id: Ectopy Type el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [01:20:00 23/12/2015] id: FiO2 Set el: 0 cu: CCU cg: RN v1: 1 u1: torr st: NotStopd t0: [01:20:00 23/12/2015] id: Heart Rate el: 0 cu: CCU cg: RN v1: 130 u1: BPM st: NotStopd t0: [01:20:00 23/12/2015] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Atrial Fib st: NotStopd t0: [01:20:00 23/12/2015] id: Airway Size el: 0 cu: CCU cg: RN v1: 7.5 mm st: NotStopd t0: [01:20:00 23/12/2015] id: Airway Type el: 0 cu: CCU cg: RN v1: Endotracheal st: NotStopd t0: [01:20:00 23/12/2015] id: PAP Mean el: 0 cu: CCU cg: RN v1: 34 u1: mmHg st: NotStopd t0: [01:20:00 23/12/2015] id: PAP S/D el: 0 cu: CCU cg: RN v1: 48 u1: mmHg v2: 27 u2: mmHg st: NotStopd t0: [01:20:00 23/12/2015] id: PEEP Set el: 0 cu: CCU cg: RN v1: 5 u1: cmH2O st: NotStopd t0: [01:20:00 23/12/2015] id: Arterial BP el: 0 cu: CCU cg: RN v1: 103 u1: mmHg v2: 66 u2: mmHg st: NotStopd t0: [01:20:00 23/12/2015] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 77 u1: mmHg st: NotStopd t0: [01:20:00 23/12/2015] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [01:20:00 23/12/2015] id: Pressure Support el: 0 cu: CCU cg: RN v1: 5 u1: . st: NotStopd t0: [01:20:00 23/12/2015] id: Previous WeightF el: 0 cu: CCU cg: RN v1: 67.5 u1: kg st: NotStopd t0: [01:20:00 23/12/2015] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 15 u1: BPM st: NotStopd t0: [01:20:00 23/12/2015] id: Respiratory Rate Set el: 0 cu: CCU cg: RN v1: 18 u1: BPM st: NotStopd t0: [01:20:00 23/12/2015] id: SpO2 el: 0 cu: CCU cg: RN v1: 99 u1: % st: NotStopd t0: [01:20:00 23/12/2015] id: Sputum Color/Consist el: 0 cu: CCU cg: RN v1: Yellow v2: Thick st: NotStopd t0: [01:20:00 23/12/2015] id: Sputum Source/Amt el: 0 cu: CCU cg: RN v1: Suctioned v2: Moderate st: NotStopd t0: [01:20:00 23/12/2015] id: Tidal Volume (Set) el: 0 cu: CCU cg: RN v1: 500 u1: ml/B st: NotStopd t0: [01:20:00 23/12/2015] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd t0: [01:25:00 23/12/2015] id: Service Type el: 0 cu: CCU cg: RN v1: CCU st: NotStopd t0: [01:25:00 23/12/2015] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [01:25:00 23/12/2015] id: Risk for Falls el: 0 cu: CCU cg: RN v1: Yes st: NotStopd t0: [01:25:00 23/12/2015] id: Ectopy Type el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [01:25:00 23/12/2015] id: Heart Rate el: 0 cu: CCU cg: RN v1: 129 u1: BPM st: NotStopd t0: [01:25:00 23/12/2015] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Atrial Fib st: NotStopd t0: [01:25:00 23/12/2015] id: PAP Mean el: 0 cu: CCU cg: RN v1: 46 u1: mmHg st: NotStopd t0: [01:25:00 23/12/2015] id: PAP S/D el: 0 cu: CCU cg: RN v1: 60 u1: mmHg v2: 39 u2: mmHg st: NotStopd t0: [01:25:00 23/12/2015] id: Arterial BP el: 0 cu: CCU cg: RN v1: 113 u1: mmHg v2: 68 u2: mmHg st: NotStopd t0: [01:25:00 23/12/2015] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 81 u1: mmHg st: NotStopd t0: [01:25:00 23/12/2015] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [01:25:00 23/12/2015] id: Previous WeightF el: 0 cu: CCU cg: RN v1: 67.5 u1: kg st: NotStopd t0: [01:25:00 23/12/2015] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 15 u1: BPM st: NotStopd t0: [01:25:00 23/12/2015] id: Significant Events el: 0 cu: CCU cg: RN st: NotStopd t0: [01:25:00 23/12/2015] id: SpO2 el: 0 cu: CCU cg: RN v1: 98 u1: % st: NotStopd t0: [01:25:00 23/12/2015] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd t0: [01:30:00 23/12/2015] id: Service Type el: 0 cu: CCU cg: RN v1: CCU st: NotStopd t0: [01:30:00 23/12/2015] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [01:30:00 23/12/2015] id: Risk for Falls el: 0 cu: CCU cg: RN v1: Yes st: NotStopd t0: [01:30:00 23/12/2015] id: Ectopy Type el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [01:30:00 23/12/2015] id: Heart Rate el: 0 cu: CCU cg: RN v1: 113 u1: BPM st: NotStopd t0: [01:30:00 23/12/2015] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Sinus Tachy st: NotStopd t0: [01:30:00 23/12/2015] id: PAP Mean el: 0 cu: CCU cg: RN v1: 39 u1: mmHg st: NotStopd t0: [01:30:00 23/12/2015] id: PAP S/D el: 0 cu: CCU cg: RN v1: 51 u1: mmHg v2: 33 u2: mmHg st: NotStopd t0: [01:30:00 23/12/2015] id: Arterial BP el: 0 cu: CCU cg: RN v1: 110 u1: mmHg v2: 67 u2: mmHg st: NotStopd t0: [01:30:00 23/12/2015] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 79 u1: mmHg st: NotStopd t0: [01:30:00 23/12/2015] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [01:30:00 23/12/2015] id: Previous WeightF el: 0 cu: CCU cg: RN v1: 67.5 u1: kg st: NotStopd t0: [01:30:00 23/12/2015] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 9 u1: BPM st: NotStopd t0: [01:30:00 23/12/2015] id: Significant Events el: 0 cu: CCU cg: RN v1: Cardioversion st: NotStopd t0: [01:30:00 23/12/2015] id: SpO2 el: 0 cu: CCU cg: RN v1: 99 u1: % st: NotStopd t0: [01:30:00 23/12/2015] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd
t0: [01:20:00 23/12/2015] id: Neosynephrine-k el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 1 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [01:20:00 23/12/2015] id: Heparin el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 1100 du: Uhr sv: 250 su: ml rt: IV Drip t0: [01:25:00 23/12/2015] id: Neosynephrine-k el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 1 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [01:25:00 23/12/2015] id: Heparin el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 1100 du: Uhr sv: 250 su: ml rt: IV Drip t0: [01:30:00 23/12/2015] id: Neosynephrine-k el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 1 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [01:30:00 23/12/2015] id: Heparin el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 1100 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [01:20:00 23/12/2015] id: Compliance (40-60ml) el: 0 cu: CCU cg: RRT v1: 15.625 u1: ml/cmH st: NotStopd t0: [01:20:00 23/12/2015] id: High Insp. Pressure el: 0 cu: CCU cg: RRT v1: 40 u1: cmH2O st: NotStopd t0: [01:20:00 23/12/2015] id: High Resp. Rate el: 0 cu: CCU cg: RRT v1: 20 u1: BPM st: NotStopd t0: [01:20:00 23/12/2015] id: I:E Ratio el: 0 cu: CCU cg: RRT v1: 1:2.3 st: NotStopd t0: [01:20:00 23/12/2015] id: Inspired Gas Temp el: 0 cu: CCU cg: RRT u1: Deg. C st: NotStopd t0: [01:20:00 23/12/2015] id: Intubation Date el: 0 cu: CCU cg: RRT v1: 12 v2: 24 st: NotStopd t0: [01:20:00 23/12/2015] id: Low Exhaled Min Vol el: 0 cu: CCU cg: RRT v1: 4 st: NotStopd t0: [01:20:00 23/12/2015] id: Mean Airway Pressure el: 0 cu: CCU cg: RRT v1: 13 u1: cmH2O st: NotStopd t0: [01:20:00 23/12/2015] id: Minute Volume(Obser) el: 0 cu: CCU cg: RRT v1: 7.89 u1: L/min st: NotStopd t0: [01:20:00 23/12/2015] id: Peak Flow el: 0 cu: CCU cg: RRT u1: L/m st: NotStopd t0: [01:20:00 23/12/2015] id: Peak Insp. Pressure el: 0 cu: CCU cg: RRT v1: 37 u1: cmH2O st: NotStopd t0: [01:20:00 23/12/2015] id: Plateau Pressure el: 0 cu: CCU cg: RRT v1: 33 u1: cmH2O st: NotStopd t0: [01:20:00 23/12/2015] id: Plateau-Off el: 0 cu: CCU cg: RRT v1: Yes st: NotStopd t0: [01:20:00 23/12/2015] id: Resp Rate (Spont) el: 0 cu: CCU cg: RRT v1: 0 u1: BPM st: NotStopd t0: [01:20:00 23/12/2015] id: Resp Rate (Total) el: 0 cu: CCU cg: RRT v1: 18 u1: BPM st: NotStopd t0: [01:20:00 23/12/2015] id: Sensitivity-Vent el: 0 cu: CCU cg: RRT v1: 2 u1: cmH2O st: NotStopd t0: [01:20:00 23/12/2015] id: Tidal Volume (Obser) el: 0 cu: CCU cg: RRT v1: 512 u1: ml/B st: NotStopd t0: [01:20:00 23/12/2015] id: Ventilator Mode el: 0 cu: CCU cg: RRT v1: SIMV+PS st: NotStopd t0: [01:20:00 23/12/2015] id: Ventilator Type el: 0 cu: CCU cg: RRT v1: Drager st: NotStopd t0: [01:20:00 23/12/2015] id: Waveform-Vent el: 0 cu: CCU cg: RRT v1: RAMP st: NotStopd
t0: [01:35:00 23/12/2015] id: Service Type el: 0 cu: CCU cg: RN v1: CCU st: NotStopd t0: [01:35:00 23/12/2015] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [01:35:00 23/12/2015] id: Risk for Falls el: 0 cu: CCU cg: RN v1: Yes st: NotStopd t0: [01:35:00 23/12/2015] id: Heart Rate el: 0 cu: CCU cg: RN v1: 103 u1: BPM st: NotStopd t0: [01:35:00 23/12/2015] id: PAP Mean el: 0 cu: CCU cg: RN v1: 28 u1: mmHg st: NotStopd t0: [01:35:00 23/12/2015] id: PAP S/D el: 0 cu: CCU cg: RN v1: 36 u1: mmHg v2: 24 u2: mmHg st: NotStopd t0: [01:35:00 23/12/2015] id: Arterial BP el: 0 cu: CCU cg: RN v1: 80 u1: mmHg v2: 55 u2: mmHg st: NotStopd t0: [01:35:00 23/12/2015] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 64 u1: mmHg st: NotStopd t0: [01:35:00 23/12/2015] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [01:35:00 23/12/2015] id: Previous WeightF el: 0 cu: CCU cg: RN v1: 67.5 u1: kg st: NotStopd t0: [01:35:00 23/12/2015] id: Procedures el: 0 cu: CCU cg: RN v1: EKG st: NotStopd t0: [01:35:00 23/12/2015] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 16 u1: BPM st: NotStopd t0: [01:35:00 23/12/2015] id: SpO2 el: 0 cu: CCU cg: RN v1: 99 u1: % st: NotStopd t0: [01:35:00 23/12/2015] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd
t0: [01:35:00 23/12/2015] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: CCU cg: RN ai: 109 vo: 0 vu: ml nb: 1
t0: [01:35:00 23/12/2015] id: Neosynephrine-k el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 1 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [01:35:00 23/12/2015] tf: [10:28:00 23/12/2015] dt: 533 id: Propofol el: 1 cu: CCU cg: RN so: N/A vo: 0 v1: 5 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [01:35:00 23/12/2015] id: Heparin el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 1100 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [02:00:00 23/12/2015] id: FiO2 Set el: 0 cu: CCU cg: RRT v1: 0.5 u1: torr st: NotStopd
t0: [02:00:00 23/12/2015] id: Sputum Color/Consist el: 0 cu: CCU cg: RN v1: Yellow v2: Thick st: NotStopd t0: [02:00:00 23/12/2015] id: Sputum Source/Amt el: 0 cu: CCU cg: RN v1: Suctioned v2: Copious st: NotStopd
t0: [02:00:00 23/12/2015] id: Service Type el: 0 cu: CCU cg: RN v1: CCU st: NotStopd t0: [02:00:00 23/12/2015] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [02:00:00 23/12/2015] id: Risk for Falls el: 0 cu: CCU cg: RN v1: Yes st: NotStopd t0: [02:00:00 23/12/2015] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [02:00:00 23/12/2015] id: Ectopy Type el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [02:00:00 23/12/2015] id: Heart Rate el: 0 cu: CCU cg: RN v1: 102 u1: BPM st: NotStopd t0: [02:00:00 23/12/2015] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Sinus Tachy st: NotStopd t0: [02:00:00 23/12/2015] id: Arterial BP el: 0 cu: CCU cg: RN v1: 93 u1: mmHg v2: 61 u2: mmHg st: NotStopd t0: [02:00:00 23/12/2015] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 71 u1: mmHg st: NotStopd t0: [02:00:00 23/12/2015] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [02:00:00 23/12/2015] id: Previous WeightF el: 0 cu: CCU cg: RN v1: 67.5 u1: kg st: NotStopd t0: [02:00:00 23/12/2015] id: Procedures el: 0 cu: CCU cg: RN v1: Sputum Cx st: NotStopd t0: [02:00:00 23/12/2015] id: Radiologic Study el: 0 cu: CCU cg: RN v1: Chest Xray st: NotStopd t0: [02:00:00 23/12/2015] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 20 u1: BPM st: NotStopd t0: [02:00:00 23/12/2015] id: SpO2 el: 0 cu: CCU cg: RN v1: 100 u1: % st: NotStopd t0: [02:00:00 23/12/2015] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd
t0: [02:00:00 23/12/2015] id: Neosynephrine-k el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 1 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [02:00:00 23/12/2015] id: Heparin el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 1100 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [01:00:00 23/12/2015] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: CCU cg: RN ai: 189 vo: 2.5 vu: ml t0: [01:00:00 23/12/2015] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CCU cg: RN ai: 190 vo: 11 vu: ml t0: [01:00:00 23/12/2015] tf: [10:28:00 23/12/2015] dt: 568 id: D5W 250.0ml + 60mcgkgmin Neosynephrine-k IV Infusions el: 1 cu: CCU cg: RN ai: 107 vo: 1.375 vu: ml t0: [02:00:00 23/12/2015] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: CCU cg: RN ai: 189 vo: 5 vu: ml t0: [02:00:00 23/12/2015] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CCU cg: RN ai: 190 vo: 11 vu: ml t0: [02:00:00 23/12/2015] tf: [10:28:00 23/12/2015] dt: 508 id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: CCU cg: RN ai: 109 vo: 0.825 vu: ml t0: [02:00:00 23/12/2015] id: D5W 250.0ml + 60mcgkgmin Neosynephrine-k IV Infusions el: 1 cu: CCU cg: RN ai: 107 vo: 16.5 vu: ml
t0: [01:00:00 23/12/2015] tf: [10:28:00 23/12/2015] dt: 568 id: D5W 250.0ml + 400mcgkgmin Dopamine IV Infusions el: 1 cu: CCU cg: RN ai: 189 vo: 6 vu: ml
t0: [02:00:00 23/12/2015] tf: [10:28:00 23/12/2015] dt: 508 id: Urine Out Foley el: 1 cu: CCU cg: RN vo: 0 vu: ml t0: [02:00:00 23/12/2015] id: Urine Out Foley el: 1 cu: CCU cg: RN vo: 20 vu: ml
t0: [23:00:00 23/12/2015] dt: 1 id: Total Hourly Output el: 1 cu: CCU cg: RN cv: 0 ap: none t0: [23:00:00 23/12/2015] dt: 24 id: Urine Out Total el: 1 cu: CCU cg: RN cv: 105 ap: none t0: [23:00:00 23/12/2015] dt: 24 id: 24h Total Out el: 1 cu: CCU cg: RN cv: 105 ap: none
t0: [02:00:00 23/12/2015] id: PAP Mean el: 0 cu: CCU cg: RN v1: 26 u1: mmHg st: NotStopd t0: [02:00:00 23/12/2015] id: PAP S/D el: 0 cu: CCU cg: RN v1: 34 u1: mmHg v2: 22 u2: mmHg st: NotStopd
t0: [02:10:00 23/12/2015] id: Arterial BP el: 0 cu: CCU cg: RN v1: 83 u1: mmHg v2: 55 u2: mmHg st: NotStopd t0: [02:10:00 23/12/2015] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 64 u1: mmHg st: NotStopd
t0: [02:10:00 23/12/2015] id: Neosynephrine-k el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 1.50303 du: mcgkgmin sv: 250 su: ml rt: IV Drip
t0: [02:34:00 23/12/2015] id: Art.pH ABG el: 0 cu: CCU cg: 140 v1: 7.49 rs: Final st: NotStopd t0: [02:34:00 23/12/2015] id: Arterial Base Excess ABG el: 0 cu: CCU cg: 140 v1: 4 rs: Final st: NotStopd t0: [02:34:00 23/12/2015] id: Arterial CO2(Calc) ABG el: 0 cu: CCU cg: 140 v1: 27 rs: Final st: NotStopd t0: [02:34:00 23/12/2015] id: Arterial PaCO2 ABG el: 0 cu: CCU cg: 140 v1: 35 u1: mmHg rs: Final st: NotStopd t0: [02:34:00 23/12/2015] id: Arterial PaO2 ABG el: 0 cu: CCU cg: 140 v1: 160 u1: mmHg rs: Final st: NotStopd t0: [02:34:00 23/12/2015] id: Arterial pH ABG el: 0 cu: CCU cg: 140 v1: 7.49 rs: Final st: NotStopd
t0: [02:34:00 23/12/2015] id: SaO2 ABG's el: 0 cu: CCU cg: 140 v1: 99 u1: % rs: Final st: NotStopd
t0: [02:00:00 23/12/2015] id: Propofol el: 1 cu: CCU cg: RN so: N/A vo: 0 v1: 10.101 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [02:30:00 23/12/2015] id: Service Type el: 0 cu: CCU cg: RN v1: CCU st: NotStopd t0: [02:30:00 23/12/2015] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [02:30:00 23/12/2015] id: Risk for Falls el: 0 cu: CCU cg: RN v1: Yes st: NotStopd t0: [02:30:00 23/12/2015] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [02:30:00 23/12/2015] id: Ectopy Type el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [02:30:00 23/12/2015] id: Heart Rate el: 0 cu: CCU cg: RN v1: 96 u1: BPM st: NotStopd t0: [02:30:00 23/12/2015] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Normal Sinus st: NotStopd t0: [02:30:00 23/12/2015] id: PAP Mean el: 0 cu: CCU cg: RN v1: 26 u1: mmHg st: NotStopd t0: [02:30:00 23/12/2015] id: PAP S/D el: 0 cu: CCU cg: RN v1: 33 u1: mmHg v2: 22 u2: mmHg st: NotStopd t0: [02:30:00 23/12/2015] id: Arterial BP el: 0 cu: CCU cg: RN v1: 98 u1: mmHg v2: 64 u2: mmHg st: NotStopd t0: [02:30:00 23/12/2015] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 76 u1: mmHg st: NotStopd t0: [02:30:00 23/12/2015] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [02:30:00 23/12/2015] id: Previous WeightF el: 0 cu: CCU cg: RN v1: 67.5 u1: kg st: NotStopd t0: [02:30:00 23/12/2015] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 18 u1: BPM st: NotStopd t0: [02:30:00 23/12/2015] id: SpO2 el: 0 cu: CCU cg: RN v1: 99 u1: % st: NotStopd t0: [02:30:00 23/12/2015] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd
t0: [02:30:00 23/12/2015] id: Neosynephrine-k el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 1.50303 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [02:30:00 23/12/2015] id: Propofol el: 1 cu: CCU cg: RN so: N/A vo: 0 v1: 15.1515 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [02:30:00 23/12/2015] id: Heparin el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 1100 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [02:30:00 23/12/2015] id: WBC (4-11,000) Hematology el: 0 cu: CCU cg: 140 v1: 10.3 rs: Final st: NotStopd t0: [02:30:00 23/12/2015] id: WBC Hematology el: 0 cu: CCU cg: 140 v1: 10.3 rs: Final st: NotStopd t0: [02:30:00 23/12/2015] id: Hematocrit Hematology el: 0 cu: CCU cg: 140 v1: 24.1 u1: % rs: Final st: NotStopd t0: [02:30:00 23/12/2015] id: Hemoglobin Hematology el: 0 cu: CCU cg: 140 v1: 7.2 u1: gm/dl rs: Final st: NotStopd t0: [02:30:00 23/12/2015] id: Platelets Hematology el: 0 cu: CCU cg: 140 v1: 576 rs: Final st: NotStopd t0: [02:30:00 23/12/2015] id: RBC Hematology el: 0 cu: CCU cg: 140 v1: 2.65 u1: /mic l rs: Final st: NotStopd t0: [02:30:00 23/12/2015] id: WBC (4-11,000) Hematology el: 0 cu: CCU cg: 140 v1: 10.3 rs: Final st: NotStopd
t0: [03:00:00 23/12/2015] id: ETT Mark/Location el: 0 cu: CCU cg: RRT v1: 25cm v2: Lip st: NotStopd t0: [03:00:00 23/12/2015] id: Airway Size el: 0 cu: CCU cg: RRT v1: 7.5 mm st: NotStopd t0: [03:00:00 23/12/2015] id: Airway Type el: 0 cu: CCU cg: RRT v1: Endotracheal st: NotStopd t0: [03:00:00 23/12/2015] id: Intubation Date el: 0 cu: CCU cg: RRT v1: 12 v2: 24 st: NotStopd t0: [03:00:00 23/12/2015] id: Respiratory Rate Set el: 0 cu: CCU cg: RRT v1: 14 u1: BPM st: NotStopd t0: [03:00:00 23/12/2015] id: Ventilator Type el: 0 cu: CCU cg: RRT v1: Drager st: NotStopd
t0: [02:30:00 23/12/2015] id: PT el: 0 cu: CCU cg: 140 v1: 14.6 rs: Final st: NotStopd t0: [02:30:00 23/12/2015] id: INR Coags el: 0 cu: CCU cg: 140 v1: 1.4 rs: Final st: NotStopd t0: [02:30:00 23/12/2015] id: PTT Coags el: 0 cu: CCU cg: 140 v1: 65.5 rs: Final st: NotStopd t0: [02:30:00 23/12/2015] id: INR (2-4 ref. range) Coags el: 0 cu: CCU cg: 140 v1: 1.4 rs: Final st: NotStopd t0: [02:30:00 23/12/2015] id: PT(11-13.5) Coags el: 0 cu: CCU cg: 140 v1: 14.6 rs: Final st: NotStopd t0: [02:30:00 23/12/2015] id: PTT(22-35) Coags el: 0 cu: CCU cg: 140 v1: 65.5 rs: Final st: NotStopd
t0: [02:34:00 23/12/2015] id: CaO2 el: 0 cu: CCU cg: RN v1: 10.0475 u1: ml/dl st: NotStopd t0: [02:34:00 23/12/2015] id: Cardiac Index el: 0 cu: CCU cg: RN v1: 2.39766 u1: ... st: NotStopd t0: [02:34:00 23/12/2015] id: DO2I el: 0 cu: CCU cg: RN v1: 240 u1: ml/m/m st: NotStopd t0: [02:34:00 23/12/2015] id: Hemoglobin Hematology el: 0 cu: CCU cg: RN v1: 7.2 u1: gm/dl rs: Manual st: NotStopd t0: [02:34:00 23/12/2015] id: Mixed Venous O2% Sat Blood Gases el: 0 cu: CCU cg: RN v1: 45 rs: Manual st: NotStopd t0: [02:34:00 23/12/2015] id: C.O. (fick) el: 0 cu: CCU cg: RN v1: 4.10275 u1: L/min st: NotStopd
tf: [16:00:00 31/12/2015] pt: IV Piggyback rt: IV DRIP fr: TITRATE TO m1: Phenylephrine HCl v1: 60 u1: mg m2: D5W v2: 250 u2: ml tf: [16:00:00 31/12/2015] pt: Unit Dose rt: IV DRIP fr: TITRATE TO m1: Propofol (Generic) v1: 1000 u1: mg tf: [21:00:00 26/02/2016] pt: Unit Dose rt: IH fr: Q4-6H:PRN m1: Ipratropium Bromide MDI v1: 6 u1: PUFF tf: [21:00:00 26/02/2016] pt: Unit Dose rt: IH fr: Q6H:PRN m1: Albuterol Inhaler v1: 6 u1: PUFF
t0: [03:00:00 23/12/2015] id: Service Type el: 0 cu: CCU cg: RN v1: CCU st: NotStopd t0: [03:00:00 23/12/2015] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [03:00:00 23/12/2015] id: Risk for Falls el: 0 cu: CCU cg: RN v1: Yes st: NotStopd t0: [03:00:00 23/12/2015] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [03:00:00 23/12/2015] id: Ectopy Type el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [03:00:00 23/12/2015] id: Heart Rate el: 0 cu: CCU cg: RN v1: 91 u1: BPM st: NotStopd t0: [03:00:00 23/12/2015] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Normal Sinus st: NotStopd t0: [03:00:00 23/12/2015] id: PAP Mean el: 0 cu: CCU cg: RN v1: 26 u1: mmHg st: NotStopd t0: [03:00:00 23/12/2015] id: PAP S/D el: 0 cu: CCU cg: RN v1: 33 u1: mmHg v2: 21 u2: mmHg st: NotStopd t0: [03:00:00 23/12/2015] id: Arterial BP el: 0 cu: CCU cg: RN v1: 85 u1: mmHg v2: 55 u2: mmHg st: NotStopd t0: [03:00:00 23/12/2015] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 65 u1: mmHg st: NotStopd t0: [03:00:00 23/12/2015] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [03:00:00 23/12/2015] id: Previous WeightF el: 0 cu: CCU cg: RN v1: 67.5 u1: kg st: NotStopd t0: [03:00:00 23/12/2015] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 16 u1: BPM st: NotStopd t0: [03:00:00 23/12/2015] id: SpO2 el: 0 cu: CCU cg: RN v1: 100 u1: % st: NotStopd t0: [03:00:00 23/12/2015] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd
t0: [03:00:00 23/12/2015] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: CCU cg: RN ai: 189 vo: 500 vu: ml t0: [03:00:00 23/12/2015] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CCU cg: RN ai: 190 vo: 11 vu: ml t0: [03:00:00 23/12/2015] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: CCU cg: RN ai: 109 vo: 5 vu: ml t0: [03:00:00 23/12/2015] id: D5W 250.0ml + 60mcgkgmin Neosynephrine-k IV Infusions el: 1 cu: CCU cg: RN ai: 107 vo: 23.4167 vu: ml
t0: [03:00:00 23/12/2015] id: Neosynephrine-k el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 1.50303 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [03:00:00 23/12/2015] id: Propofol el: 1 cu: CCU cg: RN so: N/A vo: 0 v1: 15.1515 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [03:00:00 23/12/2015] id: Heparin el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 0 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [03:00:00 23/12/2015] id: Turn el: 0 cu: CCU cg: RN v1: Right Side st: NotStopd
t0: [03:00:00 23/12/2015] id: Sputum Color/Consist el: 0 cu: CCU cg: RN v1: Yellow v2: Thick st: NotStopd t0: [03:00:00 23/12/2015] id: Sputum Source/Amt el: 0 cu: CCU cg: RN v1: Suctioned v2: Moderate st: NotStopd
tf: [13:00:00 23/12/2015] pt: Unit Dose rt: PO fr: ONCE fs: 4 dn: 1 m1: Amiodarone HCl v1: 600 u1: mg tf: [13:00:00 23/12/2015] pt: Unit Dose rt: PO fr: ONCE fs: 4 dn: 1 m1: Amiodarone HCl v1: 600 u1: mg
t0: [02:30:00 23/12/2015] id: BUN el: 0 cu: CCU cg: 140 v1: 63 rs: Final st: NotStopd t0: [02:30:00 23/12/2015] id: Calcium Chemistry el: 0 cu: CCU cg: 140 v1: 7.6 u1: mg/dl rs: Final st: NotStopd t0: [02:30:00 23/12/2015] id: Chloride Chemistry el: 0 cu: CCU cg: 140 v1: 101 rs: Final st: NotStopd t0: [02:30:00 23/12/2015] id: Creatinine Chemistry el: 0 cu: CCU cg: 140 v1: 1.6 rs: Final st: NotStopd t0: [02:30:00 23/12/2015] id: Glucose Chemistry el: 0 cu: CCU cg: 140 v1: 109 rs: Final st: NotStopd t0: [02:30:00 23/12/2015] id: Magnesium Chemistry el: 0 cu: CCU cg: 140 v1: 1.9 rs: Final st: NotStopd t0: [02:30:00 23/12/2015] id: Phosphorous Chemistry el: 0 cu: CCU cg: 140 v1: 3.8 u1: mEq/L rs: Final st: NotStopd t0: [02:30:00 23/12/2015] id: Potassium Chemistry el: 0 cu: CCU cg: 140 v1: 5 rs: Final st: NotStopd t0: [02:30:00 23/12/2015] id: Sodium Chemistry el: 0 cu: CCU cg: 140 v1: 134 rs: Final st: NotStopd t0: [02:30:00 23/12/2015] id: BUN (6-20) Chemistry el: 0 cu: CCU cg: 140 v1: 63 rs: Final st: NotStopd t0: [02:30:00 23/12/2015] id: Calcium (8.4-10.2) Chemistry el: 0 cu: CCU cg: 140 v1: 7.6 u1: mg/dl rs: Final st: NotStopd t0: [02:30:00 23/12/2015] id: Carbon Dioxide Chemistry el: 0 cu: CCU cg: 140 v1: 25 rs: Final st: NotStopd t0: [02:30:00 23/12/2015] id: Chloride (100-112) Chemistry el: 0 cu: CCU cg: 140 v1: 101 rs: Final st: NotStopd t0: [02:30:00 23/12/2015] id: Creatinine (0-1.3) Chemistry el: 0 cu: CCU cg: 140 v1: 1.6 rs: Final st: NotStopd t0: [02:30:00 23/12/2015] id: Glucose (70-105) Chemistry el: 0 cu: CCU cg: 140 v1: 109 rs: Final st: NotStopd t0: [02:30:00 23/12/2015] id: Magnesium (1.6-2.6) Chemistry el: 0 cu: CCU cg: 140 v1: 1.9 rs: Final st: NotStopd t0: [02:30:00 23/12/2015] id: Phosphorous(2.7-4.5) Chemistry el: 0 cu: CCU cg: 140 v1: 3.8 u1: mEq/L rs: Final st: NotStopd t0: [02:30:00 23/12/2015] id: Potassium (3.5-5.3) Chemistry el: 0 cu: CCU cg: 140 v1: 5 rs: Final st: NotStopd t0: [02:30:00 23/12/2015] id: Sodium (135-148) Chemistry el: 0 cu: CCU cg: 140 v1: 134 rs: Final st: NotStopd
t0: [03:00:00 23/12/2015] id: Urine Out Foley el: 1 cu: CCU cg: RN vo: 10 vu: ml t0: [04:00:00 23/12/2015] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: CCU cg: RN ai: 189 vo: 500 vu: ml t0: [04:00:00 23/12/2015] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CCU cg: RN ai: 190 vo: 0 vu: ml t0: [04:00:00 23/12/2015] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: CCU cg: RN ai: 109 vo: 6 vu: ml t0: [04:00:00 23/12/2015] id: D5W 250.0ml + 60mcgkgmin Neosynephrine-k IV Infusions el: 1 cu: CCU cg: RN ai: 107 vo: 24.8 vu: ml t0: [04:00:00 23/12/2015] id: Urine Out Foley el: 1 cu: CCU cg: RN vo: 10 vu: ml
t0: [04:00:00 23/12/2015] id: Service Type el: 0 cu: CCU cg: RN v1: CCU st: NotStopd t0: [04:00:00 23/12/2015] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [04:00:00 23/12/2015] id: Risk for Falls el: 0 cu: CCU cg: RN v1: Yes st: NotStopd t0: [04:00:00 23/12/2015] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [04:00:00 23/12/2015] id: Ectopy Type el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [04:00:00 23/12/2015] id: Heart Rate el: 0 cu: CCU cg: RN v1: 88 u1: BPM st: NotStopd t0: [04:00:00 23/12/2015] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Normal Sinus st: NotStopd t0: [04:00:00 23/12/2015] id: PAP Mean el: 0 cu: CCU cg: RN v1: 27 u1: mmHg st: NotStopd t0: [04:00:00 23/12/2015] id: PAP S/D el: 0 cu: CCU cg: RN v1: 34 u1: mmHg v2: 22 u2: mmHg st: NotStopd t0: [04:00:00 23/12/2015] id: Arterial BP el: 0 cu: CCU cg: RN v1: 89 u1: mmHg v2: 58 u2: mmHg st: NotStopd t0: [04:00:00 23/12/2015] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 69 u1: mmHg st: NotStopd t0: [04:00:00 23/12/2015] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [04:00:00 23/12/2015] id: Previous WeightF el: 0 cu: CCU cg: RN v1: 67.5 u1: kg st: NotStopd t0: [04:00:00 23/12/2015] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 14 u1: BPM st: NotStopd t0: [04:00:00 23/12/2015] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd
t0: [04:00:00 23/12/2015] id: Neosynephrine-k el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 1.50303 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [04:00:00 23/12/2015] id: Propofol el: 1 cu: CCU cg: RN so: N/A vo: 0 v1: 15.1515 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [04:00:00 23/12/2015] id: Pain Present el: 0 cu: CCU cg: RN v1: No st: NotStopd t0: [04:00:00 23/12/2015] id: Riker-SAS Scale el: 0 cu: CCU cg: RN v1: Sedated st: NotStopd t0: [04:00:00 23/12/2015] id: Pain Location el: 0 cu: CCU cg: RN v1: Not Indicated st: NotStopd
t0: [04:00:00 23/12/2015] id: Chest Tube Site #1 el: 0 cu: CCU cg: RN v1: Left Anterior st: NotStopd t0: [04:00:00 23/12/2015] id: Cough Effort el: 0 cu: CCU cg: RN v1: Weak st: NotStopd t0: [04:00:00 23/12/2015] id: Cough Type el: 0 cu: CCU cg: RN v1: Productive st: NotStopd t0: [04:00:00 23/12/2015] id: Diet Type el: 0 cu: CCU cg: RN v1: NPO st: NotStopd t0: [04:00:00 23/12/2015] id: Eye Opening el: 0 cu: CCU cg: RN v1: 4 Spontaneously st: NotStopd t0: [04:00:00 23/12/2015] id: GCS Total el: 0 cu: CCU cg: RN v1: 15 u1: points st: NotStopd t0: [04:00:00 23/12/2015] id: GI Intub #1/Site el: 0 cu: CCU cg: RN v1: Feeding/Peditube v2: Right Nare st: NotStopd t0: [04:00:00 23/12/2015] id: GI#1 Tube Stat/Drain el: 0 cu: CCU cg: RN v1: Clamped st: NotStopd t0: [04:00:00 23/12/2015] id: GU Catheter Size el: 0 cu: CCU cg: RN v1: 16 French st: NotStopd t0: [04:00:00 23/12/2015] id: Height of Bed el: 0 cu: CCU cg: RN v1: 15 degrees st: NotStopd t0: [04:00:00 23/12/2015] id: Abdominal Assessment el: 0 cu: CCU cg: RN v1: Soft Distended st: NotStopd t0: [04:00:00 23/12/2015] id: LLL Lung Sounds el: 0 cu: CCU cg: RN v1: Diminished st: NotStopd t0: [04:00:00 23/12/2015] id: LUL Lung Sounds el: 0 cu: CCU cg: RN v1: Clear st: NotStopd t0: [04:00:00 23/12/2015] id: Level of Conscious el: 0 cu: CCU cg: RN v1: Sedated st: NotStopd t0: [04:00:00 23/12/2015] id: Angio Appearance #1 el: 0 cu: CCU cg: RN v1: Clean and Dry v2: Clean and Dry st: NotStopd t0: [04:00:00 23/12/2015] id: Motor Response el: 0 cu: CCU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [04:00:00 23/12/2015] id: Angio Dressing #1 el: 0 cu: CCU cg: RN v1: Transparent st: NotStopd t0: [04:00:00 23/12/2015] id: Oral Cavity el: 0 cu: CCU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [04:00:00 23/12/2015] id: Orientation el: 0 cu: CCU cg: RN v1: Other/Remarks st: NotStopd t0: [04:00:00 23/12/2015] id: Angio Site #1 el: 0 cu: CCU cg: RN v1: R Femoral st: NotStopd t0: [04:00:00 23/12/2015] id: Pericard Drain Site el: 0 cu: CCU cg: RN v1: Intact st: NotStopd t0: [04:00:00 23/12/2015] id: RLL Lung Sounds el: 0 cu: CCU cg: RN v1: Absent st: NotStopd t0: [04:00:00 23/12/2015] id: RUL Lung Sounds el: 0 cu: CCU cg: RN v1: Clear st: NotStopd t0: [04:00:00 23/12/2015] id: Respiratory Effort el: 0 cu: CCU cg: RN v1: Normal st: NotStopd t0: [04:00:00 23/12/2015] id: Respiratory Pattern el: 0 cu: CCU cg: RN v1: Regular st: NotStopd t0: [04:00:00 23/12/2015] id: Urine Color/Appear el: 0 cu: CCU cg: RN v1: Yellow v2: Clear st: NotStopd t0: [04:00:00 23/12/2015] id: Urine Source el: 0 cu: CCU cg: RN v1: Indwelling Cath st: NotStopd t0: [04:00:00 23/12/2015] id: Verbal Response el: 0 cu: CCU cg: RN v1: 5 Oriented st: NotStopd t0: [04:00:00 23/12/2015] id: Bowel Sounds el: 0 cu: CCU cg: RN v1: Present st: NotStopd t0: [04:00:00 23/12/2015] id: CT #1 Crepitus el: 0 cu: CCU cg: RN v1: Negative st: NotStopd t0: [04:00:00 23/12/2015] id: CT #1 Dressing el: 0 cu: CCU cg: RN v1: Dry and Intact st: NotStopd t0: [04:00:00 23/12/2015] id: CT #1 Fluctuate/Leak el: 0 cu: CCU cg: RN v1: Positive v2: Negative st: NotStopd t0: [04:00:00 23/12/2015] id: CT #1 Suction Amount el: 0 cu: CCU cg: RN v1: 20 cm st: NotStopd
t0: [04:00:00 23/12/2015] id: Edema Location/Amt#1 el: 0 cu: CCU cg: RN v1: Both Legs v2: 6 mm st: NotStopd t0: [04:00:00 23/12/2015] id: Restraint Location el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [04:00:00 23/12/2015] id: Side Rails el: 0 cu: CCU cg: RN v1: Side Rails Up st: NotStopd t0: [04:00:00 23/12/2015] id: Skin Integrity el: 0 cu: CCU cg: RN v1: Intact st: NotStopd t0: [04:00:00 23/12/2015] id: Support Systems el: 0 cu: CCU cg: RN v1: Spouse st: NotStopd t0: [04:00:00 23/12/2015] id: Behavior el: 0 cu: CCU cg: RN v1: Sedated st: NotStopd t0: [04:00:00 23/12/2015] id: Braden Activity el: 0 cu: CCU cg: RN v1: Bedfast st: NotStopd t0: [04:00:00 23/12/2015] id: Braden Frict/Shear el: 0 cu: CCU cg: RN v1: Potential Prob st: NotStopd t0: [04:00:00 23/12/2015] id: Braden Mobility el: 0 cu: CCU cg: RN v1: Very Limited st: NotStopd t0: [04:00:00 23/12/2015] id: Braden Moisture el: 0 cu: CCU cg: RN v1: Occ. Moist st: NotStopd t0: [04:00:00 23/12/2015] id: Braden Nutrition el: 0 cu: CCU cg: RN v1: Prob. Inadequate st: NotStopd t0: [04:00:00 23/12/2015] id: Braden Score el: 0 cu: CCU cg: RN v1: 12 u1: number st: NotStopd t0: [04:00:00 23/12/2015] id: Braden SensoryPercep el: 0 cu: CCU cg: RN v1: Very Limited st: NotStopd
t0: [04:00:00 23/12/2015] id: HOB el: 0 cu: CCU cg: RN v1: 15 degrees st: NotStopd t0: [04:00:00 23/12/2015] id: INV Line#1 Type/Site el: 0 cu: CCU cg: RN v1: Multi-lumen v2: Right IJ st: NotStopd t0: [04:00:00 23/12/2015] id: INV Line#1InsertDate el: 0 cu: CCU cg: RN v2: ? st: NotStopd t0: [04:00:00 23/12/2015] id: INV Line#1SiteAppear el: 0 cu: CCU cg: RN v1: WNL st: NotStopd t0: [04:00:00 23/12/2015] id: INV Line#2 Type/Site el: 0 cu: CCU cg: RN v1: PA line v2: Right Femoral st: NotStopd t0: [04:00:00 23/12/2015] id: INV Line#2InsertDate el: 0 cu: CCU cg: RN v1: 12 v2: 22 st: NotStopd t0: [04:00:00 23/12/2015] id: INV Line#2SiteAppear el: 0 cu: CCU cg: RN v1: WNL st: NotStopd t0: [04:00:00 23/12/2015] id: INV Line#3 Type/Site el: 0 cu: CCU cg: RN v1: A-Line v2: Right Femoral st: NotStopd t0: [04:00:00 23/12/2015] id: INV Line#3InsertDate el: 0 cu: CCU cg: RN v1: 12 v2: 22 st: NotStopd t0: [04:00:00 23/12/2015] id: INV Line#3SiteAppear el: 0 cu: CCU cg: RN v1: WNL st: NotStopd t0: [04:00:00 23/12/2015] id: INV#2 WaveformAppear el: 0 cu: CCU cg: RN v1: Sharp st: NotStopd t0: [04:00:00 23/12/2015] id: INV#3 WaveformAppear el: 0 cu: CCU cg: RN v1: Sharp st: NotStopd t0: [04:00:00 23/12/2015] id: Activity el: 0 cu: CCU cg: RN v1: Bedrest st: NotStopd t0: [04:00:00 23/12/2015] id: PressureReduceDevice el: 0 cu: CCU cg: RN v1: Waffles st: NotStopd
t0: [04:00:00 23/12/2015] id: Compliance (40-60ml) el: 0 cu: CCU cg: RRT v1: 16.129 u1: ml/cmH st: NotStopd t0: [04:00:00 23/12/2015] id: RSBI Not Completed el: 0 cu: CCU cg: RRT v1: Other/Remarks st: NotStopd t0: [04:00:00 23/12/2015] id: ETT Mark/Location el: 0 cu: CCU cg: RRT v1: 25cm v2: Lip st: NotStopd t0: [04:00:00 23/12/2015] id: FiO2 Set el: 0 cu: CCU cg: RRT v1: 0.5 u1: torr st: NotStopd t0: [04:00:00 23/12/2015] id: High Insp. Pressure el: 0 cu: CCU cg: RRT v1: 40 u1: cmH2O st: NotStopd t0: [04:00:00 23/12/2015] id: High Resp. Rate el: 0 cu: CCU cg: RRT v1: 20 u1: BPM st: NotStopd t0: [04:00:00 23/12/2015] id: I:E Ratio el: 0 cu: CCU cg: RRT v1: 1:3.3 st: NotStopd t0: [04:00:00 23/12/2015] id: Airway Size el: 0 cu: CCU cg: RRT v1: 7.5 mm st: NotStopd t0: [04:00:00 23/12/2015] id: Airway Type el: 0 cu: CCU cg: RRT v1: Endotracheal st: NotStopd t0: [04:00:00 23/12/2015] id: Inspired Gas Temp el: 0 cu: CCU cg: RRT u1: Deg. C st: NotStopd t0: [04:00:00 23/12/2015] id: Intubation Date el: 0 cu: CCU cg: RRT v1: 12 v2: 24 st: NotStopd t0: [04:00:00 23/12/2015] id: Low Exhaled Min Vol el: 0 cu: CCU cg: RRT v1: 4 st: NotStopd t0: [04:00:00 23/12/2015] id: Mean Airway Pressure el: 0 cu: CCU cg: RRT v1: 12 u1: cmH2O st: NotStopd t0: [04:00:00 23/12/2015] id: Minute Volume(Obser) el: 0 cu: CCU cg: RRT v1: 6.7 u1: L/min st: NotStopd t0: [04:00:00 23/12/2015] id: PEEP Set el: 0 cu: CCU cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [04:00:00 23/12/2015] id: Peak Flow el: 0 cu: CCU cg: RRT u1: L/m st: NotStopd t0: [04:00:00 23/12/2015] id: Peak Insp. Pressure el: 0 cu: CCU cg: RRT v1: 36 u1: cmH2O st: NotStopd t0: [04:00:00 23/12/2015] id: Plateau Pressure el: 0 cu: CCU cg: RRT v1: 34 u1: cmH2O st: NotStopd t0: [04:00:00 23/12/2015] id: Plateau-Off el: 0 cu: CCU cg: RRT v1: Yes st: NotStopd t0: [04:00:00 23/12/2015] id: Pressure Support el: 0 cu: CCU cg: RRT v1: 5 u1: . st: NotStopd t0: [04:00:00 23/12/2015] id: Resp Rate (Spont) el: 0 cu: CCU cg: RRT v1: 0 u1: BPM st: NotStopd t0: [04:00:00 23/12/2015] id: Resp Rate (Total) el: 0 cu: CCU cg: RRT v1: 14 u1: BPM st: NotStopd t0: [04:00:00 23/12/2015] id: Respiratory Rate Set el: 0 cu: CCU cg: RRT v1: 14 u1: BPM st: NotStopd t0: [04:00:00 23/12/2015] id: Sensitivity-Vent el: 0 cu: CCU cg: RRT v1: 2 u1: cmH2O st: NotStopd t0: [04:00:00 23/12/2015] id: Tidal Volume (Obser) el: 0 cu: CCU cg: RRT v1: 500 u1: ml/B st: NotStopd t0: [04:00:00 23/12/2015] id: Tidal Volume (Set) el: 0 cu: CCU cg: RRT v1: 500 u1: ml/B st: NotStopd t0: [04:00:00 23/12/2015] id: Ventilator Mode el: 0 cu: CCU cg: RRT v1: SIMV+PS st: NotStopd t0: [04:00:00 23/12/2015] id: Ventilator Type el: 0 cu: CCU cg: RRT v1: Drager st: NotStopd t0: [04:00:00 23/12/2015] id: Waveform-Vent el: 0 cu: CCU cg: RRT v1: RAMP st: NotStopd
t0: [03:00:00 23/12/2015] id: Procedures el: 0 cu: CCU cg: RN v1: Cardiac Echo st: NotStopd t0: [04:00:00 23/12/2015] id: SpO2 el: 0 cu: CCU cg: RN u1: % st: NotStopd t0: [05:00:00 23/12/2015] id: Service Type el: 0 cu: CCU cg: RN v1: CCU st: NotStopd t0: [05:00:00 23/12/2015] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [05:00:00 23/12/2015] id: Risk for Falls el: 0 cu: CCU cg: RN v1: Yes st: NotStopd t0: [05:00:00 23/12/2015] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [05:00:00 23/12/2015] id: Ectopy Type el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [05:00:00 23/12/2015] id: Heart Rate el: 0 cu: CCU cg: RN v1: 90 u1: BPM st: NotStopd t0: [05:00:00 23/12/2015] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Normal Sinus st: NotStopd t0: [05:00:00 23/12/2015] id: PAP Mean el: 0 cu: CCU cg: RN v1: 27 u1: mmHg st: NotStopd t0: [05:00:00 23/12/2015] id: PAP S/D el: 0 cu: CCU cg: RN v1: 35 u1: mmHg v2: 22 u2: mmHg st: NotStopd t0: [05:00:00 23/12/2015] id: Arterial BP el: 0 cu: CCU cg: RN v1: 92 u1: mmHg v2: 60 u2: mmHg st: NotStopd t0: [05:00:00 23/12/2015] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 71 u1: mmHg st: NotStopd t0: [05:00:00 23/12/2015] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [05:00:00 23/12/2015] id: Previous WeightF el: 0 cu: CCU cg: RN v1: 67.5 u1: kg st: NotStopd t0: [05:00:00 23/12/2015] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 14 u1: BPM st: NotStopd t0: [05:00:00 23/12/2015] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd
t0: [05:00:00 23/12/2015] id: Neosynephrine-k el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 1.4 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [05:00:00 23/12/2015] id: Propofol el: 1 cu: CCU cg: RN so: N/A vo: 0 v1: 15.1515 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [05:00:00 23/12/2015] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: CCU cg: RN ai: 189 vo: 5 vu: ml t0: [05:00:00 23/12/2015] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: CCU cg: RN ai: 109 vo: 6 vu: ml t0: [05:00:00 23/12/2015] id: D5W 250.0ml + 60mcgkgmin Neosynephrine-k IV Infusions el: 1 cu: CCU cg: RN ai: 107 vo: 24.8 vu: ml
t0: [04:00:00 23/12/2015] id: Temp. Site el: 0 cu: CCU cg: RN v1: Oral st: NotStopd t0: [04:00:00 23/12/2015] id: Temperature C (calc) el: 0 cu: CCU cg: RN v1: 36.2222 u1: Deg. C st: NotStopd t0: [04:00:00 23/12/2015] id: Temperature F el: 0 cu: CCU cg: RN v1: 97.2 u1: Deg. F st: NotStopd
t0: [06:00:00 23/12/2015] id: Service Type el: 0 cu: CCU cg: RN v1: CCU st: NotStopd t0: [06:00:00 23/12/2015] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [06:00:00 23/12/2015] id: Risk for Falls el: 0 cu: CCU cg: RN v1: Yes st: NotStopd t0: [06:00:00 23/12/2015] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [06:00:00 23/12/2015] id: Ectopy Type el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [06:00:00 23/12/2015] id: Heart Rate el: 0 cu: CCU cg: RN v1: 95 u1: BPM st: NotStopd t0: [06:00:00 23/12/2015] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Normal Sinus st: NotStopd t0: [06:00:00 23/12/2015] id: PAP Mean el: 0 cu: CCU cg: RN v1: 32 u1: mmHg st: NotStopd t0: [06:00:00 23/12/2015] id: PAP S/D el: 0 cu: CCU cg: RN v1: 41 u1: mmHg v2: 25 u2: mmHg st: NotStopd t0: [06:00:00 23/12/2015] id: Arterial BP el: 0 cu: CCU cg: RN v1: 96 u1: mmHg v2: 62 u2: mmHg st: NotStopd t0: [06:00:00 23/12/2015] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 74 u1: mmHg st: NotStopd t0: [06:00:00 23/12/2015] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [06:00:00 23/12/2015] id: Previous WeightF el: 0 cu: CCU cg: RN v1: 67.5 u1: kg st: NotStopd t0: [06:00:00 23/12/2015] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 15 u1: BPM st: NotStopd t0: [06:00:00 23/12/2015] id: SpO2 el: 0 cu: CCU cg: RN v1: 67 u1: % st: NotStopd t0: [06:00:00 23/12/2015] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd
t0: [05:00:00 23/12/2015] id: Urine Out Foley el: 1 cu: CCU cg: RN vo: 15 vu: ml t0: [06:00:00 23/12/2015] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: CCU cg: RN ai: 189 vo: 5 vu: ml t0: [06:00:00 23/12/2015] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: CCU cg: RN ai: 109 vo: 6 vu: ml t0: [06:00:00 23/12/2015] id: D5W 250.0ml + 60mcgkgmin Neosynephrine-k IV Infusions el: 1 cu: CCU cg: RN ai: 107 vo: 23.1 vu: ml t0: [06:00:00 23/12/2015] id: Urine Out Foley el: 1 cu: CCU cg: RN vo: 15 vu: ml
t0: [06:00:00 23/12/2015] id: Neosynephrine-k el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 1.4 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [06:00:00 23/12/2015] id: Propofol el: 1 cu: CCU cg: RN so: N/A vo: 0 v1: 20.202 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [06:00:00 23/12/2015] id: Sputum Color/Consist el: 0 cu: CCU cg: RN v1: Blood Tinged v2: Thick st: NotStopd t0: [06:00:00 23/12/2015] id: Sputum Source/Amt el: 0 cu: CCU cg: RN v1: Suctioned v2: Moderate st: NotStopd
t0: [06:00:00 23/12/2015] id: Turn el: 0 cu: CCU cg: RN v1: Back st: NotStopd
t0: [06:15:00 23/12/2015] id: Arterial BP el: 0 cu: CCU cg: RN v1: 76 u1: mmHg v2: 48 u2: mmHg st: NotStopd t0: [06:15:00 23/12/2015] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 58 u1: mmHg st: NotStopd
t0: [06:15:00 23/12/2015] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: CCU cg: RN ai: 189 vo: 500 vu: ml
t0: [06:28:00 23/12/2015] id: Art.pH ABG el: 0 cu: CCU cg: 140 v1: 7.48 rs: Final st: NotStopd t0: [06:28:00 23/12/2015] id: Arterial Base Excess ABG el: 0 cu: CCU cg: 140 v1: 4 rs: Final st: NotStopd t0: [06:28:00 23/12/2015] id: Arterial CO2(Calc) ABG el: 0 cu: CCU cg: 140 v1: 28 rs: Final st: NotStopd t0: [06:28:00 23/12/2015] id: Arterial PaCO2 ABG el: 0 cu: CCU cg: 140 v1: 36 u1: mmHg rs: Final st: NotStopd t0: [06:28:00 23/12/2015] id: Arterial PaO2 ABG el: 0 cu: CCU cg: 140 v1: 211 u1: mmHg rs: Final st: NotStopd t0: [06:28:00 23/12/2015] id: Arterial pH ABG el: 0 cu: CCU cg: 140 v1: 7.48 rs: Final st: NotStopd
t0: [06:00:00 23/12/2015] id: ETT Mark/Location el: 0 cu: CCU cg: RRT v1: 25cm v2: Lip st: NotStopd t0: [06:00:00 23/12/2015] id: FiO2 Set el: 0 cu: CCU cg: RRT v1: 0.4 u1: torr st: NotStopd t0: [06:00:00 23/12/2015] id: Airway Size el: 0 cu: CCU cg: RRT v1: 7.5 mm st: NotStopd t0: [06:00:00 23/12/2015] id: Airway Type el: 0 cu: CCU cg: RRT v1: Endotracheal st: NotStopd t0: [06:00:00 23/12/2015] id: Intubation Date el: 0 cu: CCU cg: RRT v1: 12 v2: 24 st: NotStopd t0: [06:00:00 23/12/2015] id: Respiratory Rate Set el: 0 cu: CCU cg: RRT v1: 12 u1: BPM st: NotStopd t0: [06:00:00 23/12/2015] id: Tidal Volume (Set) el: 0 cu: CCU cg: RRT v1: 450 u1: ml/B st: NotStopd t0: [06:00:00 23/12/2015] id: Ventilator Type el: 0 cu: CCU cg: RRT v1: Drager st: NotStopd
t0: [07:00:00 23/12/2015] id: Service Type el: 0 cu: CCU cg: RN v1: CCU st: NotStopd t0: [07:00:00 23/12/2015] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [07:00:00 23/12/2015] id: Risk for Falls el: 0 cu: CCU cg: RN v1: Yes st: NotStopd t0: [07:00:00 23/12/2015] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [07:00:00 23/12/2015] id: Ectopy Type el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [07:00:00 23/12/2015] id: Heart Rate el: 0 cu: CCU cg: RN v1: 89 u1: BPM st: NotStopd t0: [07:00:00 23/12/2015] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Normal Sinus st: NotStopd t0: [07:00:00 23/12/2015] id: PAP Mean el: 0 cu: CCU cg: RN v1: 29 u1: mmHg st: NotStopd t0: [07:00:00 23/12/2015] id: PAP S/D el: 0 cu: CCU cg: RN v1: 39 u1: mmHg v2: 23 u2: mmHg st: NotStopd t0: [07:00:00 23/12/2015] id: Arterial BP el: 0 cu: CCU cg: RN v1: 78 u1: mmHg v2: 50 u2: mmHg st: NotStopd t0: [07:00:00 23/12/2015] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 60 u1: mmHg st: NotStopd t0: [07:00:00 23/12/2015] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [07:00:00 23/12/2015] id: Previous WeightF el: 0 cu: CCU cg: RN v1: 67.5 u1: kg st: NotStopd t0: [07:00:00 23/12/2015] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 12 u1: BPM st: NotStopd t0: [07:00:00 23/12/2015] id: SpO2 el: 0 cu: CCU cg: RN v1: 100 u1: % st: NotStopd t0: [07:00:00 23/12/2015] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd
t0: [07:00:00 23/12/2015] id: Neosynephrine-k el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 1.4 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [07:00:00 23/12/2015] id: Propofol el: 1 cu: CCU cg: RN so: N/A vo: 0 v1: 20.202 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [07:00:00 23/12/2015] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: CCU cg: RN ai: 189 vo: 500 vu: ml t0: [07:00:00 23/12/2015] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: CCU cg: RN ai: 109 vo: 8 vu: ml t0: [07:00:00 23/12/2015] id: D5W 250.0ml + 60mcgkgmin Neosynephrine-k IV Infusions el: 1 cu: CCU cg: RN ai: 107 vo: 23.1 vu: ml
t0: [07:00:00 23/12/2015] id: Compliance (40-60ml) el: 0 cu: CCU cg: RRT v1: 17.3077 u1: ml/cmH st: NotStopd t0: [07:00:00 23/12/2015] id: ETT Mark/Location el: 0 cu: CCU cg: RRT v1: 25cm v2: Lip st: NotStopd t0: [07:00:00 23/12/2015] id: FiO2 Set el: 0 cu: CCU cg: RRT v1: 0.4 u1: torr st: NotStopd t0: [07:00:00 23/12/2015] id: High Insp. Pressure el: 0 cu: CCU cg: RRT v1: 40 u1: cmH2O st: NotStopd t0: [07:00:00 23/12/2015] id: High Resp. Rate el: 0 cu: CCU cg: RRT v1: 20 u1: BPM st: NotStopd t0: [07:00:00 23/12/2015] id: I:E Ratio el: 0 cu: CCU cg: RRT v1: 1:3.3 st: NotStopd t0: [07:00:00 23/12/2015] id: Airway Size el: 0 cu: CCU cg: RRT v1: 7.5 mm st: NotStopd t0: [07:00:00 23/12/2015] id: Airway Type el: 0 cu: CCU cg: RRT v1: Endotracheal st: NotStopd t0: [07:00:00 23/12/2015] id: Inspired Gas Temp el: 0 cu: CCU cg: RRT u1: Deg. C st: NotStopd t0: [07:00:00 23/12/2015] id: Intubation Date el: 0 cu: CCU cg: RRT v1: 12 v2: 24 st: NotStopd t0: [07:00:00 23/12/2015] id: Low Exhaled Min Vol el: 0 cu: CCU cg: RRT v1: 4 st: NotStopd t0: [07:00:00 23/12/2015] id: Mean Airway Pressure el: 0 cu: CCU cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [07:00:00 23/12/2015] id: Minute Volume(Obser) el: 0 cu: CCU cg: RRT v1: 5.1 u1: L/min st: NotStopd t0: [07:00:00 23/12/2015] id: PEEP Set el: 0 cu: CCU cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [07:00:00 23/12/2015] id: Peak Insp. Pressure el: 0 cu: CCU cg: RRT v1: 31 u1: cmH2O st: NotStopd t0: [07:00:00 23/12/2015] id: Plateau Pressure el: 0 cu: CCU cg: RRT v1: 29 u1: cmH2O st: NotStopd t0: [07:00:00 23/12/2015] id: Plateau-Off el: 0 cu: CCU cg: RRT v1: Yes st: NotStopd t0: [07:00:00 23/12/2015] id: Pressure Support el: 0 cu: CCU cg: RRT v1: 5 u1: . st: NotStopd t0: [07:00:00 23/12/2015] id: Resp Rate (Spont) el: 0 cu: CCU cg: RRT v1: 0 u1: BPM st: NotStopd t0: [07:00:00 23/12/2015] id: Resp Rate (Total) el: 0 cu: CCU cg: RRT v1: 12 u1: BPM st: NotStopd t0: [07:00:00 23/12/2015] id: Respiratory Rate Set el: 0 cu: CCU cg: RRT v1: 12 u1: BPM st: NotStopd t0: [07:00:00 23/12/2015] id: Sensitivity-Vent el: 0 cu: CCU cg: RRT v1: 2 u1: cmH2O st: NotStopd t0: [07:00:00 23/12/2015] id: Tidal Volume (Obser) el: 0 cu: CCU cg: RRT v1: 440 u1: ml/B st: NotStopd t0: [07:00:00 23/12/2015] id: Tidal Volume (Set) el: 0 cu: CCU cg: RRT v1: 450 u1: ml/B st: NotStopd t0: [07:00:00 23/12/2015] id: Ventilator Mode el: 0 cu: CCU cg: RRT v1: SIMV+PS st: NotStopd t0: [07:00:00 23/12/2015] id: Ventilator Type el: 0 cu: CCU cg: RRT v1: Drager st: NotStopd t0: [07:00:00 23/12/2015] id: Waveform-Vent el: 0 cu: CCU cg: RRT v1: RAMP st: NotStopd
t0: [07:45:00 23/12/2015] id: Service Type el: 0 cu: CCU cg: RN v1: CCU st: NotStopd t0: [07:45:00 23/12/2015] id: Chest Tube Site #1 el: 0 cu: CCU cg: RN v1: Left Anterior st: NotStopd t0: [07:45:00 23/12/2015] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [07:45:00 23/12/2015] id: Riker-SAS Scale el: 0 cu: CCU cg: RN v1: Sedated st: NotStopd t0: [07:45:00 23/12/2015] id: Cough Effort el: 0 cu: CCU cg: RN v1: Weak st: NotStopd t0: [07:45:00 23/12/2015] id: GI Prophylaxis el: 0 cu: CCU cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [07:45:00 23/12/2015] id: Risk for Falls el: 0 cu: CCU cg: RN v1: Yes st: NotStopd t0: [07:45:00 23/12/2015] id: Diet Type el: 0 cu: CCU cg: RN v1: NPO st: NotStopd t0: [07:45:00 23/12/2015] id: Dorsal PedPulse R/L el: 0 cu: CCU cg: RN v1: Doppler v2: Doppler st: NotStopd t0: [07:45:00 23/12/2015] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [07:45:00 23/12/2015] id: Ectopy Type el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [07:45:00 23/12/2015] id: Eye Opening el: 0 cu: CCU cg: RN v1: 2 To pain st: NotStopd t0: [07:45:00 23/12/2015] id: GCS Total el: 0 cu: CCU cg: RN v1: 7 u1: points st: NotStopd t0: [07:45:00 23/12/2015] id: GI Intub #1/Site el: 0 cu: CCU cg: RN v1: Feeding/Peditube v2: Right Nare st: NotStopd t0: [07:45:00 23/12/2015] id: GI#1 Tube Stat/Drain el: 0 cu: CCU cg: RN v1: Feeding st: NotStopd t0: [07:45:00 23/12/2015] id: GU Catheter Size el: 0 cu: CCU cg: RN v1: 16 French st: NotStopd t0: [07:45:00 23/12/2015] id: Heart Rate el: 0 cu: CCU cg: RN v1: 88 u1: BPM st: NotStopd t0: [07:45:00 23/12/2015] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Normal Sinus st: NotStopd t0: [07:45:00 23/12/2015] id: Height of Bed el: 0 cu: CCU cg: RN v1: 15 degrees st: NotStopd t0: [07:45:00 23/12/2015] id: Abdominal Assessment el: 0 cu: CCU cg: RN v1: Soft st: NotStopd t0: [07:45:00 23/12/2015] id: LLL Lung Sounds el: 0 cu: CCU cg: RN v1: Coarse st: NotStopd t0: [07:45:00 23/12/2015] id: LUL Lung Sounds el: 0 cu: CCU cg: RN v1: Clear st: NotStopd t0: [07:45:00 23/12/2015] id: Level of Conscious el: 0 cu: CCU cg: RN v1: Sedated st: NotStopd t0: [07:45:00 23/12/2015] id: Angio Appearance #1 el: 0 cu: CCU cg: RN v1: Clean and Dry v2: Clean and Dry st: NotStopd t0: [07:45:00 23/12/2015] id: Motor Response el: 0 cu: CCU cg: RN v1: 4 Flex-withdraws st: NotStopd t0: [07:45:00 23/12/2015] id: Angio Dressing #1 el: 0 cu: CCU cg: RN v1: Transparent st: NotStopd t0: [07:45:00 23/12/2015] id: Oral Cavity el: 0 cu: CCU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [07:45:00 23/12/2015] id: Orientation el: 0 cu: CCU cg: RN v1: Other/Remarks st: NotStopd t0: [07:45:00 23/12/2015] id: Angio Site #1 el: 0 cu: CCU cg: RN v1: R Femoral st: NotStopd t0: [07:45:00 23/12/2015] id: PAP Mean el: 0 cu: CCU cg: RN v1: 30 u1: mmHg st: NotStopd t0: [07:45:00 23/12/2015] id: PAP S/D el: 0 cu: CCU cg: RN v1: 40 u1: mmHg v2: 25 u2: mmHg st: NotStopd t0: [07:45:00 23/12/2015] id: Arterial BP el: 0 cu: CCU cg: RN v1: 84 u1: mmHg v2: 53 u2: mmHg st: NotStopd t0: [07:45:00 23/12/2015] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 64 u1: mmHg st: NotStopd t0: [07:45:00 23/12/2015] id: Pericard Drain Site el: 0 cu: CCU cg: RN v1: Intact st: NotStopd t0: [07:45:00 23/12/2015] id: PostTib. Pulses R/L el: 0 cu: CCU cg: RN v1: Doppler v2: Doppler st: NotStopd t0: [07:45:00 23/12/2015] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [07:45:00 23/12/2015] id: Previous WeightF el: 0 cu: CCU cg: RN v1: 67.5 u1: kg st: NotStopd t0: [07:45:00 23/12/2015] id: RLL Lung Sounds el: 0 cu: CCU cg: RN v1: Diminished st: NotStopd t0: [07:45:00 23/12/2015] id: RUL Lung Sounds el: 0 cu: CCU cg: RN v1: Clear st: NotStopd t0: [07:45:00 23/12/2015] id: Respiratory Effort el: 0 cu: CCU cg: RN v1: Normal st: NotStopd t0: [07:45:00 23/12/2015] id: Respiratory Pattern el: 0 cu: CCU cg: RN v1: Regular st: NotStopd t0: [07:45:00 23/12/2015] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 12 u1: BPM st: NotStopd t0: [07:45:00 23/12/2015] id: SpO2 el: 0 cu: CCU cg: RN v1: 100 u1: % st: NotStopd t0: [07:45:00 23/12/2015] id: Urine Color/Appear el: 0 cu: CCU cg: RN v1: Yellow v2: Clear st: NotStopd t0: [07:45:00 23/12/2015] id: Urine Source el: 0 cu: CCU cg: RN v1: Indwelling Cath st: NotStopd t0: [07:45:00 23/12/2015] id: Verbal Response el: 0 cu: CCU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [07:45:00 23/12/2015] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd t0: [07:45:00 23/12/2015] id: Bowel Sounds el: 0 cu: CCU cg: RN v1: Present st: NotStopd t0: [07:45:00 23/12/2015] id: CT #1 Crepitus el: 0 cu: CCU cg: RN v1: Negative st: NotStopd t0: [07:45:00 23/12/2015] id: CT #1 Drainage el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [07:45:00 23/12/2015] id: CT #1 Dressing el: 0 cu: CCU cg: RN v1: Dry and Intact st: NotStopd t0: [07:45:00 23/12/2015] id: CT #1 Fluctuate/Leak el: 0 cu: CCU cg: RN v1: Positive v2: Negative st: NotStopd t0: [07:45:00 23/12/2015] id: CT #1 Suction Amount el: 0 cu: CCU cg: RN v1: 20 cm st: NotStopd t0: [08:00:00 23/12/2015] id: Previous Weight el: 0 cu: CCU cg: RN v1: 67.5 u1: kg st: NotStopd
t0: [07:45:00 23/12/2015] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: CCU cg: RN ai: 189 vo: 3.75 vu: ml t0: [07:45:00 23/12/2015] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: CCU cg: RN ai: 109 vo: 6 vu: ml t0: [07:45:00 23/12/2015] id: D5W 250.0ml + 60mcgkgmin Neosynephrine-k IV Infusions el: 1 cu: CCU cg: RN ai: 107 vo: 17.325 vu: ml t0: [07:45:00 23/12/2015] id: Urine Out Foley el: 1 cu: CCU cg: RN vo: 5 vu: ml
t0: [07:45:00 23/12/2015] id: Neosynephrine-k el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 1.4 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [07:45:00 23/12/2015] id: Propofol el: 1 cu: CCU cg: RN so: N/A vo: 0 v1: 20.202 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [23:00:00 23/12/2015] dt: 1 id: Net Hourly Balance el: 1 cu: CCU cg: RN cv: 0 ap: none t0: [23:00:00 23/12/2015] dt: 24 id: IV Infusion In Total el: 1 cu: CCU cg: RN cv: 2763.49 ap: none t0: [23:00:00 23/12/2015] dt: 24 id: 24h Total In el: 1 cu: CCU cg: RN cv: 2803.49 ap: none t0: [23:00:00 23/12/2015] dt: 24 id: 24h Net Body Balance el: 1 cu: CCU cg: RN cv: 2698.49 ap: none t0: [23:00:00 23/12/2015] dt: multiple days id: LOS Net Body Balance el: 1 cu: CCU cg: RN cv: 3568.45 ap: carryForward
t0: [07:45:00 23/12/2015] id: Alarms el: 0 cu: CCU cg: RN v1: ON st: NotStopd t0: [07:45:00 23/12/2015] id: Parameters Checked el: 0 cu: CCU cg: RN v1: Yes st: NotStopd t0: [08:00:00 23/12/2015] id: Service Type el: 0 cu: CCU cg: RN v1: CCU st: NotStopd t0: [08:00:00 23/12/2015] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [08:00:00 23/12/2015] id: Risk for Falls el: 0 cu: CCU cg: RN v1: Yes st: NotStopd t0: [08:00:00 23/12/2015] id: Heart Rate el: 0 cu: CCU cg: RN v1: 88 u1: BPM st: NotStopd t0: [08:00:00 23/12/2015] id: PAP Mean el: 0 cu: CCU cg: RN v1: 30 u1: mmHg st: NotStopd t0: [08:00:00 23/12/2015] id: PAP S/D el: 0 cu: CCU cg: RN v1: 40 u1: mmHg v2: 24 u2: mmHg st: NotStopd t0: [08:00:00 23/12/2015] id: Arterial BP el: 0 cu: CCU cg: RN v1: 82 u1: mmHg v2: 52 u2: mmHg st: NotStopd t0: [08:00:00 23/12/2015] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 62 u1: mmHg st: NotStopd t0: [08:00:00 23/12/2015] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [08:00:00 23/12/2015] id: Previous WeightF el: 0 cu: CCU cg: RN v1: 67.5 u1: kg st: NotStopd t0: [08:00:00 23/12/2015] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 16 u1: BPM st: NotStopd t0: [08:00:00 23/12/2015] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd
t0: [08:00:00 23/12/2015] id: Neosynephrine-k el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 1.4 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [08:00:00 23/12/2015] id: Propofol el: 1 cu: CCU cg: RN so: N/A vo: 0 v1: 20.202 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [08:00:00 23/12/2015] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [08:00:00 23/12/2015] id: Ectopy Type el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [08:00:00 23/12/2015] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Normal Sinus st: NotStopd t0: [08:30:00 23/12/2015] id: Service Type el: 0 cu: CCU cg: RN v1: CCU st: NotStopd t0: [08:30:00 23/12/2015] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [08:30:00 23/12/2015] id: Risk for Falls el: 0 cu: CCU cg: RN v1: Yes st: NotStopd t0: [08:30:00 23/12/2015] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [08:30:00 23/12/2015] id: Ectopy Type el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [08:30:00 23/12/2015] id: Heart Rate el: 0 cu: CCU cg: RN v1: 87 u1: BPM st: NotStopd t0: [08:30:00 23/12/2015] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Normal Sinus st: NotStopd t0: [08:30:00 23/12/2015] id: PAP Mean el: 0 cu: CCU cg: RN v1: 29 u1: mmHg st: NotStopd t0: [08:30:00 23/12/2015] id: PAP S/D el: 0 cu: CCU cg: RN v1: 39 u1: mmHg v2: 23 u2: mmHg st: NotStopd t0: [08:30:00 23/12/2015] id: Arterial BP el: 0 cu: CCU cg: RN v1: 78 u1: mmHg v2: 49 u2: mmHg st: NotStopd t0: [08:30:00 23/12/2015] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 59 u1: mmHg st: NotStopd t0: [08:30:00 23/12/2015] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [08:30:00 23/12/2015] id: Previous WeightF el: 0 cu: CCU cg: RN v1: 67.5 u1: kg st: NotStopd t0: [08:30:00 23/12/2015] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 12 u1: BPM st: NotStopd t0: [08:30:00 23/12/2015] id: SpO2 el: 0 cu: CCU cg: RN v1: 100 u1: % st: NotStopd t0: [08:30:00 23/12/2015] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd
t0: [08:30:00 23/12/2015] id: Neosynephrine-k el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 1.4 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [08:30:00 23/12/2015] id: Propofol el: 1 cu: CCU cg: RN so: N/A vo: 0 v1: 20.202 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [07:45:00 23/12/2015] id: Significant Events el: 0 cu: CCU cg: RN st: NotStopd t0: [08:45:00 23/12/2015] id: Service Type el: 0 cu: CCU cg: RN v1: CCU st: NotStopd t0: [08:45:00 23/12/2015] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [08:45:00 23/12/2015] id: Risk for Falls el: 0 cu: CCU cg: RN v1: Yes st: NotStopd t0: [08:45:00 23/12/2015] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [08:45:00 23/12/2015] id: Ectopy Type el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [08:45:00 23/12/2015] id: Heart Rate el: 0 cu: CCU cg: RN v1: 87 u1: BPM st: NotStopd t0: [08:45:00 23/12/2015] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Normal Sinus st: NotStopd t0: [08:45:00 23/12/2015] id: PAP Mean el: 0 cu: CCU cg: RN v1: 31 u1: mmHg st: NotStopd t0: [08:45:00 23/12/2015] id: PAP S/D el: 0 cu: CCU cg: RN v1: 42 u1: mmHg v2: 25 u2: mmHg st: NotStopd t0: [08:45:00 23/12/2015] id: Arterial BP el: 0 cu: CCU cg: RN v1: 87 u1: mmHg v2: 54 u2: mmHg st: NotStopd t0: [08:45:00 23/12/2015] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 66 u1: mmHg st: NotStopd t0: [08:45:00 23/12/2015] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [08:45:00 23/12/2015] id: Previous WeightF el: 0 cu: CCU cg: RN v1: 67.5 u1: kg st: NotStopd t0: [08:45:00 23/12/2015] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 14 u1: BPM st: NotStopd t0: [08:45:00 23/12/2015] id: SpO2 el: 0 cu: CCU cg: RN v1: 97 u1: % st: NotStopd t0: [08:45:00 23/12/2015] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd
t0: [08:45:00 23/12/2015] id: Neosynephrine-k el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 1.4 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [08:45:00 23/12/2015] id: Propofol el: 1 cu: CCU cg: RN so: N/A vo: 0 v1: 20.202 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [09:00:00 23/12/2015] id: Service Type el: 0 cu: CCU cg: RN v1: CCU st: NotStopd t0: [09:00:00 23/12/2015] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [09:00:00 23/12/2015] id: Risk for Falls el: 0 cu: CCU cg: RN v1: Yes st: NotStopd t0: [09:00:00 23/12/2015] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [09:00:00 23/12/2015] id: Ectopy Type el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [09:00:00 23/12/2015] id: Heart Rate el: 0 cu: CCU cg: RN v1: 87 u1: BPM st: NotStopd t0: [09:00:00 23/12/2015] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Normal Sinus st: NotStopd t0: [09:00:00 23/12/2015] id: PAP Mean el: 0 cu: CCU cg: RN v1: 31 u1: mmHg st: NotStopd t0: [09:00:00 23/12/2015] id: PAP S/D el: 0 cu: CCU cg: RN v1: 42 u1: mmHg v2: 25 u2: mmHg st: NotStopd t0: [09:00:00 23/12/2015] id: Arterial BP el: 0 cu: CCU cg: RN v1: 90 u1: mmHg v2: 56 u2: mmHg st: NotStopd t0: [09:00:00 23/12/2015] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 68 u1: mmHg st: NotStopd t0: [09:00:00 23/12/2015] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [09:00:00 23/12/2015] id: Previous WeightF el: 0 cu: CCU cg: RN v1: 67.5 u1: kg st: NotStopd t0: [09:00:00 23/12/2015] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 12 u1: BPM st: NotStopd t0: [09:00:00 23/12/2015] id: SpO2 el: 0 cu: CCU cg: RN v1: 93 u1: % st: NotStopd t0: [09:00:00 23/12/2015] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd t0: [09:30:00 23/12/2015] id: Service Type el: 0 cu: CCU cg: RN v1: CCU st: NotStopd t0: [09:30:00 23/12/2015] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [09:30:00 23/12/2015] id: Risk for Falls el: 0 cu: CCU cg: RN v1: Yes st: NotStopd t0: [09:30:00 23/12/2015] id: Heart Rate el: 0 cu: CCU cg: RN v1: 86 u1: BPM st: NotStopd t0: [09:30:00 23/12/2015] id: PAP Mean el: 0 cu: CCU cg: RN v1: 31 u1: mmHg st: NotStopd t0: [09:30:00 23/12/2015] id: PAP S/D el: 0 cu: CCU cg: RN v1: 42 u1: mmHg v2: 24 u2: mmHg st: NotStopd t0: [09:30:00 23/12/2015] id: Arterial BP el: 0 cu: CCU cg: RN v1: 89 u1: mmHg v2: 55 u2: mmHg st: NotStopd t0: [09:30:00 23/12/2015] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 67 u1: mmHg st: NotStopd t0: [09:30:00 23/12/2015] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [09:30:00 23/12/2015] id: Previous WeightF el: 0 cu: CCU cg: RN v1: 67.5 u1: kg st: NotStopd t0: [09:30:00 23/12/2015] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 12 u1: BPM st: NotStopd t0: [09:30:00 23/12/2015] id: SpO2 el: 0 cu: CCU cg: RN v1: 97 u1: % st: NotStopd t0: [09:30:00 23/12/2015] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd t0: [09:45:00 23/12/2015] id: Service Type el: 0 cu: CCU cg: RN v1: CCU st: NotStopd t0: [09:45:00 23/12/2015] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [09:45:00 23/12/2015] id: Risk for Falls el: 0 cu: CCU cg: RN v1: Yes st: NotStopd t0: [09:45:00 23/12/2015] id: Heart Rate el: 0 cu: CCU cg: RN v1: 84 u1: BPM st: NotStopd t0: [09:45:00 23/12/2015] id: PAP Mean el: 0 cu: CCU cg: RN v1: 30 u1: mmHg st: NotStopd t0: [09:45:00 23/12/2015] id: PAP S/D el: 0 cu: CCU cg: RN v1: 41 u1: mmHg v2: 23 u2: mmHg st: NotStopd t0: [09:45:00 23/12/2015] id: Arterial BP el: 0 cu: CCU cg: RN v1: 90 u1: mmHg v2: 56 u2: mmHg st: NotStopd t0: [09:45:00 23/12/2015] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 68 u1: mmHg st: NotStopd t0: [09:45:00 23/12/2015] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [09:45:00 23/12/2015] id: Previous Weight el: 0 cu: CCU cg: RN v1: 67.5 u1: kg st: NotStopd t0: [09:45:00 23/12/2015] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 12 u1: BPM st: NotStopd t0: [09:45:00 23/12/2015] id: Significant Events el: 0 cu: CCU cg: RN v1: OR Sent st: NotStopd t0: [09:45:00 23/12/2015] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd t0: [10:00:00 23/12/2015] id: Previous Weight el: 0 cu: CCU cg: RN v1: 67.5 u1: kg st: NotStopd
t0: [09:00:00 23/12/2015] id: Neosynephrine-k el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 1.4 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [09:00:00 23/12/2015] id: Propofol el: 1 cu: CCU cg: RN so: N/A vo: 0 v1: 20.202 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [09:30:00 23/12/2015] id: Neosynephrine-k el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 1.4 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [09:30:00 23/12/2015] id: Propofol el: 1 cu: CCU cg: RN so: N/A vo: 0 v1: 20.202 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [09:45:00 23/12/2015] id: Neosynephrine-k el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 1.4 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [09:45:00 23/12/2015] id: Propofol el: 1 cu: CCU cg: RN so: N/A vo: 0 v1: 20.202 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [09:59:00 23/12/2015] id: BSA el: 1033 cu: CCU cg: -1 v1: 1.71063 u1: m2 t0: [09:59:00 23/12/2015] id: Admit Wt el: 1032 cu: CCU cg: -1 v1: 66 u1: kg t0: [09:59:00 23/12/2015] id: Allergy 1 el: 1020 cu: CCU cg: -1 t0: [09:59:00 23/12/2015] id: Diagnosis/op el: 1023 cu: CCU cg: -1 v1: CONGESTIVE HEART FAILURE;TELEMETRY t0: [09:59:00 23/12/2015] id: Service el: 1026 cu: CCU cg: -1 v1: CSU t0: [09:59:00 23/12/2015] id: Admit Ht el: 1034 cu: CCU cg: -1 v1: 59 u1: inches t0: [09:59:00 23/12/2015] id: Readmission el: 1014 cu: CCU cg: -1 t0: [09:59:00 23/12/2015] id: Marital Status el: 1006 cu: CCU cg: -1 v1: M t0: [09:59:00 23/12/2015] id: Religion el: 1000 cu: CCU cg: -1 v1: NSP t0: [09:59:00 23/12/2015] id: Allergy 2 el: 1021 cu: CCU cg: -1 t0: [09:59:00 23/12/2015] id: Ext el: 1010 cu: CCU cg: -1 t0: [09:59:00 23/12/2015] id: PIN el: 1012 cu: CCU cg: -1 t0: [09:59:00 23/12/2015] id: Allergy 3 el: 1022 cu: CCU cg: -1
tf: [10:00:00 24/12/2015] pt: IV Piggyback rt: IV fr: ONCE fs: 11 dn: 1 m1: Voriconazole v1: 200 u1: mg m2: NS v2: 100 u2: ml
tf: [09:53:00 12/01/2016] dt: 28643 cu: CSRU de: CCU
t0: [14:00:00 23/12/2015] id: Peak Flow el: 0 cu: CSRU cg: -1 st: D/C'd
io: Lactated Ringers IV Infusions el: 1 cu: CSRU cg: RN ra: 80 ru: ml/hr
tf: [10:00:00 24/12/2015] pt: Unit Dose rt: SC fr: Q12H fs: 14, 2 dn: 2 m1: Heparin v1: 5000 u1: UNIT tf: [14:00:00 16/01/2016] pt: Unit Dose rt: IV fr: Q1H:PRN m1: Morphine Sulfate v1: 1-5 u1: mg tf: [10:00:00 28/01/2016] pt: IV Piggyback rt: IV fr: Q24H fs: 20 dn: 1 m1: Pantoprazole Sodium v1: 40 u1: mg m2: NS v2: 100 u2: ml
id: OR Crystalloid el: 1 cu: CSRU cg: RN io: OR Crystalloid OR Intake du: ml rt: Intravenous Push id: OR Packed RBC's el: 1 cu: CSRU cg: RN io: OR Packed RBC's OR Intake du: ml rt: Intravenous Push id: Lactated Ringers el: 1 cu: CSRU cg: RN io: Lactated Ringers IV Infusions du: ml rt: Intravenous Push
t0: [13:30:00 23/12/2015] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [13:30:00 23/12/2015] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [13:30:00 23/12/2015] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [13:30:00 23/12/2015] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [13:30:00 23/12/2015] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [13:30:00 23/12/2015] id: Alarms el: 0 cu: CSRU cg: RN v1: ON st: NotStopd t0: [13:30:00 23/12/2015] id: Parameters Checked el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [13:30:00 23/12/2015] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 102 u1: BPM st: NotStopd t0: [13:30:00 23/12/2015] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Sinus Tachy st: NotStopd t0: [13:30:00 23/12/2015] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 92 u1: mmHg v2: 53 u2: mmHg st: NotStopd t0: [13:30:00 23/12/2015] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 65 u1: mmHg st: NotStopd t0: [13:30:00 23/12/2015] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [13:30:00 23/12/2015] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 67.5 u1: kg st: NotStopd t0: [13:30:00 23/12/2015] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 20 u1: BPM st: NotStopd t0: [13:30:00 23/12/2015] id: Significant Events el: 0 cu: CSRU cg: RN v1: OR Received st: NotStopd t0: [13:30:00 23/12/2015] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Oral st: NotStopd t0: [13:30:00 23/12/2015] id: Temperature C (calc) el: 0 cu: CSRU cg: RN v1: 35.6667 u1: Deg. C st: NotStopd t0: [13:30:00 23/12/2015] id: Temperature F el: 0 cu: CSRU cg: RN v1: 96.2 u1: Deg. F st: NotStopd t0: [13:30:00 23/12/2015] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [13:45:00 23/12/2015] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [13:45:00 23/12/2015] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [13:45:00 23/12/2015] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Sinus Tachy st: NotStopd t0: [13:45:00 23/12/2015] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 90 u1: mmHg v2: 51 u2: mmHg st: NotStopd t0: [13:45:00 23/12/2015] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 63 u1: mmHg st: NotStopd t0: [13:45:00 23/12/2015] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 20 u1: BPM st: NotStopd
t0: [13:30:00 23/12/2015] tf: [13:45:00 23/12/2015] dt: 15 id: Neosynephrine-k el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 1.4 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [13:30:00 23/12/2015] tf: [13:45:00 23/12/2015] dt: 15 id: Propofol el: 1 cu: CSRU cg: RN so: N/A vo: 0 v1: 20.202 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [13:30:00 23/12/2015] tf: [09:53:00 12/01/2016] dt: 28583 id: Dopamine el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 1 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [13:45:00 23/12/2015] id: Neosynephrine-k el: 1 cu: CSRU cg: RN so: D5W vo: 0 du: mcgkgmin sv: 250 su: ml rt: IV Drip st: Stopped t0: [13:45:00 23/12/2015] id: Propofol el: 1 cu: CSRU cg: RN so: N/A vo: 0 du: mcgkgmin sv: 50 su: vl rt: IV Drip st: Stopped
t0: [14:00:00 23/12/2015] id: ETT Mark/Location el: 0 cu: CSRU cg: RRT v1: 23cm v2: Lip st: NotStopd t0: [14:00:00 23/12/2015] id: FiO2 Set el: 0 cu: CSRU cg: RRT v1: 1 u1: torr st: NotStopd t0: [14:00:00 23/12/2015] id: High Insp. Pressure el: 0 cu: CSRU cg: RRT v1: 35 u1: cmH2O st: NotStopd t0: [14:00:00 23/12/2015] id: Airway Size el: 0 cu: CSRU cg: RRT v1: 7.5 mm st: NotStopd t0: [14:00:00 23/12/2015] id: Airway Type el: 0 cu: CSRU cg: RRT v1: Endotracheal st: NotStopd t0: [14:00:00 23/12/2015] id: Inspired Gas Temp el: 0 cu: CSRU cg: RRT u1: Deg. C st: NotStopd t0: [14:00:00 23/12/2015] id: Intubation Date el: 0 cu: CSRU cg: RRT v1: 12 v2: 23 st: NotStopd t0: [14:00:00 23/12/2015] id: Low Exhaled Min Vol el: 0 cu: CSRU cg: RRT v1: 4 st: NotStopd t0: [14:00:00 23/12/2015] id: Mean Airway Pressure el: 0 cu: CSRU cg: RRT v1: 12 u1: cmH2O st: NotStopd t0: [14:00:00 23/12/2015] id: Minute Volume(Obser) el: 0 cu: CSRU cg: RRT v1: 5.6 u1: L/min st: NotStopd t0: [14:00:00 23/12/2015] id: PEEP Set el: 0 cu: CSRU cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [14:00:00 23/12/2015] id: Peak Insp. Pressure el: 0 cu: CSRU cg: RRT v1: 25 u1: cmH2O st: NotStopd t0: [14:00:00 23/12/2015] id: Plateau-Off el: 0 cu: CSRU cg: RRT v1: Not Applicable st: NotStopd t0: [14:00:00 23/12/2015] id: Resp Rate (Spont) el: 0 cu: CSRU cg: RRT v1: 0 u1: BPM st: NotStopd t0: [14:00:00 23/12/2015] id: Resp Rate (Total) el: 0 cu: CSRU cg: RRT v1: 20 u1: BPM st: NotStopd t0: [14:00:00 23/12/2015] id: Respiratory Rate Set el: 0 cu: CSRU cg: RRT v1: 20 u1: BPM st: NotStopd t0: [14:00:00 23/12/2015] id: Sensitivity-Vent el: 0 cu: CSRU cg: RRT v1: 2 u1: cmH2O st: NotStopd t0: [14:00:00 23/12/2015] id: Tidal Volume (Obser) el: 0 cu: CSRU cg: RRT v1: 280 u1: ml/B st: NotStopd t0: [14:00:00 23/12/2015] id: Ventilator Mode el: 0 cu: CSRU cg: RRT v1: Pressure Control st: NotStopd t0: [14:00:00 23/12/2015] id: Ventilator Type el: 0 cu: CSRU cg: RRT v1: Drager st: NotStopd t0: [14:00:00 23/12/2015] id: Waveform-Vent el: 0 cu: CSRU cg: RRT v1: SQUARE st: NotStopd
t0: [14:18:00 23/12/2015] id: Art.pH ABG el: 0 cu: CSRU cg: 3161 v1: 7.2 rs: Final st: NotStopd t0: [14:18:00 23/12/2015] id: Arterial Base Excess ABG el: 0 cu: CSRU cg: 3161 v1: -2 rs: Final st: NotStopd t0: [14:18:00 23/12/2015] id: Arterial CO2(Calc) ABG el: 0 cu: CSRU cg: 3161 v1: 28 rs: Final st: NotStopd t0: [14:18:00 23/12/2015] id: Arterial PaCO2 ABG el: 0 cu: CSRU cg: 3161 v1: 69 u1: mmHg rs: Final st: NotStopd t0: [14:18:00 23/12/2015] id: Arterial PaO2 ABG el: 0 cu: CSRU cg: 3161 v1: 387 u1: mmHg rs: Final st: NotStopd t0: [14:18:00 23/12/2015] id: Arterial pH ABG el: 0 cu: CSRU cg: 3161 v1: 7.2 rs: Final st: NotStopd
t0: [14:00:00 23/12/2015] id: FIO2 Alarm-High el: 0 cu: CSRU cg: RRT v1: 100 u1: decFrc st: NotStopd t0: [14:00:00 23/12/2015] id: FIO2 Alarm-Low el: 0 cu: CSRU cg: RRT v1: 60 u1: decFrc st: NotStopd t0: [14:00:00 23/12/2015] id: % Inspir. Time el: 0 cu: CSRU cg: RRT v1: 33% st: NotStopd t0: [14:00:00 23/12/2015] id: I:E Ratio el: 0 cu: CSRU cg: RRT st: NotStopd t0: [14:00:00 23/12/2015] id: Drive Pres el: 0 cu: CSRU cg: RRT v1: 20 t0: [14:00:00 23/12/2015] id: PCV Exh Vt (Obser) el: 0 cu: CSRU cg: RRT v1: 280 u1: ml/B st: NotStopd t0: [14:00:00 23/12/2015] id: PCV Set Insp. Press el: 0 cu: CSRU cg: RRT v1: 20 u1: . st: NotStopd t0: [14:00:00 23/12/2015] id: Pause Time % el: 0 cu: CSRU cg: RRT v1: 0% st: NotStopd t0: [14:00:00 23/12/2015] id: Remote Alarm el: 0 cu: CSRU cg: RRT v1: No st: NotStopd t0: [14:00:00 23/12/2015] id: Working Pressure el: 0 cu: CSRU cg: RRT v1: 60 u1: cmH2O st: NotStopd t0: [14:18:00 23/12/2015] id: Glucose Chemistry el: 0 cu: CSRU cg: 3161 v1: 101 rs: Final st: NotStopd t0: [14:18:00 23/12/2015] id: Lactic Acid Chemistry el: 0 cu: CSRU cg: 3161 v1: 1.5 rs: Final st: NotStopd t0: [14:18:00 23/12/2015] id: Potassium Chemistry el: 0 cu: CSRU cg: 3161 v1: 4.4 rs: Final st: NotStopd t0: [14:18:00 23/12/2015] id: Glucose (70-105) Chemistry el: 0 cu: CSRU cg: 3161 v1: 101 rs: Final st: NotStopd t0: [14:18:00 23/12/2015] id: Ionized Calcium Chemistry el: 0 cu: CSRU cg: 3161 v1: 1.18 rs: Final st: NotStopd t0: [14:18:00 23/12/2015] id: Lactic Acid(0.5-2.0) Chemistry el: 0 cu: CSRU cg: 3161 v1: 1.5 rs: Final st: NotStopd t0: [14:18:00 23/12/2015] id: Potassium (3.5-5.3) Chemistry el: 0 cu: CSRU cg: 3161 v1: 4.4 rs: Final st: NotStopd t0: [14:18:00 23/12/2015] id: SaO2 ABG's el: 0 cu: CSRU cg: 3161 v1: 98 u1: % rs: Final st: NotStopd
t0: [13:10:00 23/12/2015] id: WBC (4-11,000) Hematology el: 0 cu: CSRU cg: 3161 v1: 11.2 rs: Final st: NotStopd t0: [13:10:00 23/12/2015] id: WBC Hematology el: 0 cu: CSRU cg: 3161 v1: 11.2 rs: Final st: NotStopd t0: [13:10:00 23/12/2015] id: Hematocrit Hematology el: 0 cu: CSRU cg: 3161 v1: 31.3 u1: % rs: Final st: NotStopd t0: [13:10:00 23/12/2015] id: Hemoglobin Hematology el: 0 cu: CSRU cg: 3161 v1: 9.9 u1: gm/dl rs: Final st: NotStopd t0: [13:10:00 23/12/2015] id: Platelets Hematology el: 0 cu: CSRU cg: 3161 v1: 402 rs: Final st: NotStopd t0: [13:10:00 23/12/2015] id: RBC Hematology el: 0 cu: CSRU cg: 3161 v1: 3.43 u1: /mic l rs: Final st: NotStopd t0: [13:10:00 23/12/2015] id: WBC (4-11,000) Hematology el: 0 cu: CSRU cg: 3161 v1: 11.2 rs: Final st: NotStopd t0: [14:18:00 23/12/2015] id: CaO2 el: 0 cu: CSRU cg: 3161 v1: 14.2004 u1: ml/dl st: NotStopd
t0: [14:30:00 23/12/2015] id: ETT Mark/Location el: 0 cu: CSRU cg: RRT v1: 23cm v2: Lip st: NotStopd t0: [14:30:00 23/12/2015] id: FiO2 Set el: 0 cu: CSRU cg: RRT v1: 0.6 u1: torr st: NotStopd t0: [14:30:00 23/12/2015] id: Drive Pres el: 0 cu: CSRU cg: RRT v1: 30 t0: [14:30:00 23/12/2015] id: Airway Size el: 0 cu: CSRU cg: RRT v1: 7.5 mm st: NotStopd t0: [14:30:00 23/12/2015] id: Airway Type el: 0 cu: CSRU cg: RRT v1: Endotracheal st: NotStopd t0: [14:30:00 23/12/2015] id: Intubation Date el: 0 cu: CSRU cg: RRT v1: 12 v2: 23 st: NotStopd t0: [14:30:00 23/12/2015] id: PCV Exh Vt (Obser) el: 0 cu: CSRU cg: RRT v1: 400 u1: ml/B st: NotStopd t0: [14:30:00 23/12/2015] id: Respiratory Rate Set el: 0 cu: CSRU cg: RRT v1: 25 u1: BPM st: NotStopd t0: [14:30:00 23/12/2015] id: Ventilator Mode el: 0 cu: CSRU cg: RRT v1: Pressure Control st: NotStopd t0: [14:30:00 23/12/2015] id: Ventilator Type el: 0 cu: CSRU cg: RRT v1: Drager st: NotStopd
t0: [13:30:00 23/12/2015] id: SpO2 el: 0 cu: CSRU cg: RN u1: % st: NotStopd t0: [14:00:00 23/12/2015] id: CT #2 Dressing el: 0 cu: CSRU cg: RN v1: Dry and Intact st: NotStopd t0: [14:00:00 23/12/2015] id: CT #2 Fluctuate/Leak el: 0 cu: CSRU cg: RN v1: Positive v2: Negative st: NotStopd t0: [14:00:00 23/12/2015] id: CT #2 Suction Amount el: 0 cu: CSRU cg: RN v1: 15 cm st: NotStopd t0: [14:00:00 23/12/2015] id: CT #3 Crepitus el: 0 cu: CSRU cg: RN v1: Negative st: NotStopd t0: [14:00:00 23/12/2015] id: Less Restrict Meas. el: 0 cu: CSRU cg: RN v1: Orientation st: NotStopd t0: [14:00:00 23/12/2015] id: Range of Motion el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [14:00:00 23/12/2015] id: CT #3 Drainage el: 0 cu: CSRU cg: RN v1: Serosanguinous st: NotStopd t0: [14:00:00 23/12/2015] id: CT #3 Dressing el: 0 cu: CSRU cg: RN v1: Dry and Intact st: NotStopd t0: [14:00:00 23/12/2015] id: CT #3 Fluctuate/Leak el: 0 cu: CSRU cg: RN v1: Positive v2: Negative st: NotStopd t0: [14:00:00 23/12/2015] id: CT #3 Suction Amount el: 0 cu: CSRU cg: RN v1: 15 cm st: NotStopd t0: [14:00:00 23/12/2015] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [14:00:00 23/12/2015] id: Chest Tube Site #1 el: 0 cu: CSRU cg: RN v1: Left Anterior st: NotStopd t0: [14:00:00 23/12/2015] id: Chest Tube Site #2 el: 0 cu: CSRU cg: RN v1: Mediastinal st: NotStopd t0: [14:00:00 23/12/2015] id: Chest Tube Site #3 el: 0 cu: CSRU cg: RN v1: Right Anterior st: NotStopd t0: [14:00:00 23/12/2015] id: Circulation/SkinInt el: 0 cu: CSRU cg: RN v1: Circulation Adeq st: NotStopd t0: [14:00:00 23/12/2015] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [14:00:00 23/12/2015] id: Riker-SAS Scale el: 0 cu: CSRU cg: RN v1: Unarousable st: NotStopd t0: [14:00:00 23/12/2015] id: GI Prophylaxis el: 0 cu: CSRU cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [14:00:00 23/12/2015] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [14:00:00 23/12/2015] id: Diet Type el: 0 cu: CSRU cg: RN v1: NPO st: NotStopd t0: [14:00:00 23/12/2015] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [14:00:00 23/12/2015] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [14:00:00 23/12/2015] id: Education Barrier el: 0 cu: CSRU cg: RN v1: Altered LOC st: NotStopd t0: [14:00:00 23/12/2015] id: Education Learner el: 0 cu: CSRU cg: RN v1: Patient st: NotStopd t0: [14:00:00 23/12/2015] id: Education Method el: 0 cu: CSRU cg: RN v1: Explanation st: NotStopd t0: [14:00:00 23/12/2015] id: Education Readiness el: 0 cu: CSRU cg: RN v1: No st: NotStopd t0: [14:00:00 23/12/2015] id: Education Response el: 0 cu: CSRU cg: RN v1: Reinforced st: NotStopd t0: [14:00:00 23/12/2015] id: Education Topic #1 el: 0 cu: CSRU cg: RN v1: ICU Environment st: NotStopd t0: [14:00:00 23/12/2015] id: GI Intub #1/Site el: 0 cu: CSRU cg: RN v1: Feeding/Peditube v2: Right Nare st: NotStopd t0: [14:00:00 23/12/2015] id: GI#1 Tube Stat/Drain el: 0 cu: CSRU cg: RN v1: Clamped st: NotStopd t0: [14:00:00 23/12/2015] id: GU Catheter Size el: 0 cu: CSRU cg: RN v1: 16 French st: NotStopd t0: [14:00:00 23/12/2015] id: HOB el: 0 cu: CSRU cg: RN v1: Flat in Bed st: NotStopd t0: [14:00:00 23/12/2015] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 106 u1: BPM st: NotStopd t0: [14:00:00 23/12/2015] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Sinus Tachy st: NotStopd t0: [14:00:00 23/12/2015] id: INV Line#1SiteAppear el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [14:00:00 23/12/2015] id: INV Line#2 Zero/Cal el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [14:00:00 23/12/2015] id: INV Line#2SiteAppear el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [14:00:00 23/12/2015] id: INV Line#3 Zero/Cal el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [14:00:00 23/12/2015] id: INV Line#3SiteAppear el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [14:00:00 23/12/2015] id: Abdominal Assessment el: 0 cu: CSRU cg: RN v1: Soft st: NotStopd t0: [14:00:00 23/12/2015] id: INV#2 WaveformAppear el: 0 cu: CSRU cg: RN v1: Sharp st: NotStopd t0: [14:00:00 23/12/2015] id: INV#3 WaveformAppear el: 0 cu: CSRU cg: RN v1: Sharp st: NotStopd t0: [14:00:00 23/12/2015] id: IV #1 Insert Date el: 0 cu: CSRU cg: RN v1: 12 v2: 24 st: NotStopd t0: [14:00:00 23/12/2015] id: IV #1 Site/Size el: 0 cu: CSRU cg: RN v1: Left Antecub v2: 14 gauge st: NotStopd t0: [14:00:00 23/12/2015] id: IV Site Appear #1 el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [14:00:00 23/12/2015] id: Inc Drainage/Amt #1 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [14:00:00 23/12/2015] id: Inc Drainage/Amt #2 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [14:00:00 23/12/2015] id: Inc Dsg/Status #1 el: 0 cu: CSRU cg: RN v1: Dry Sterile Dsg v2: Intact st: NotStopd t0: [14:00:00 23/12/2015] id: Inc Dsg/Status #2 el: 0 cu: CSRU cg: RN v1: Dry Sterile Dsg v2: Intact st: NotStopd t0: [14:00:00 23/12/2015] id: Incision/Wound #1 el: 0 cu: CSRU cg: RN v1: Sternum st: NotStopd t0: [14:00:00 23/12/2015] id: Incision/Wound #2 el: 0 cu: CSRU cg: RN v1: Mediastinal st: NotStopd t0: [14:00:00 23/12/2015] id: Level of Conscious el: 0 cu: CSRU cg: RN v1: Sedated st: NotStopd t0: [14:00:00 23/12/2015] id: Angio Appearance #1 el: 0 cu: CSRU cg: RN v1: Clean and Dry v2: Clean and Dry st: NotStopd t0: [14:00:00 23/12/2015] id: Motor Response el: 0 cu: CSRU cg: RN v1: 1 No Response st: NotStopd t0: [14:00:00 23/12/2015] id: Angio Dressing #1 el: 0 cu: CSRU cg: RN v1: Transparent st: NotStopd t0: [14:00:00 23/12/2015] id: Oral Cavity el: 0 cu: CSRU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [14:00:00 23/12/2015] id: Angio Site #1 el: 0 cu: CSRU cg: RN v1: R Femoral st: NotStopd t0: [14:00:00 23/12/2015] id: PAP Mean el: 0 cu: CSRU cg: RN v1: 35 u1: mmHg st: NotStopd t0: [14:00:00 23/12/2015] id: PAP S/D el: 0 cu: CSRU cg: RN v1: 55 u1: mmHg v2: 26 u2: mmHg st: NotStopd t0: [14:00:00 23/12/2015] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 92 u1: mmHg v2: 52 u2: mmHg st: NotStopd t0: [14:00:00 23/12/2015] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 65 u1: mmHg st: NotStopd t0: [14:00:00 23/12/2015] id: Position el: 0 cu: CSRU cg: RN v1: Supine st: NotStopd t0: [14:00:00 23/12/2015] id: Position Change el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [14:00:00 23/12/2015] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [14:00:00 23/12/2015] id: PressureReduceDevice el: 0 cu: CSRU cg: RN v1: Waffles st: NotStopd t0: [14:00:00 23/12/2015] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 67.5 u1: kg st: NotStopd t0: [14:00:00 23/12/2015] id: Reason For Restraint el: 0 cu: CSRU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [14:00:00 23/12/2015] id: Removed x 5 Mins el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [14:00:00 23/12/2015] id: Respiratory Pattern el: 0 cu: CSRU cg: RN v1: Regular st: NotStopd t0: [14:00:00 23/12/2015] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 20 u1: BPM st: NotStopd t0: [14:00:00 23/12/2015] id: Restraint Location el: 0 cu: CSRU cg: RN v1: Both Arms st: NotStopd t0: [14:00:00 23/12/2015] id: Restraint Type el: 0 cu: CSRU cg: RN v1: Soft Limb st: NotStopd t0: [14:00:00 23/12/2015] id: Restraints Evaluated el: 0 cu: CSRU cg: RN v1: RestraintReapply st: NotStopd t0: [14:00:00 23/12/2015] id: Side Rails el: 0 cu: CSRU cg: RN v1: Side Rails Up st: NotStopd t0: [14:00:00 23/12/2015] id: Skin Integrity el: 0 cu: CSRU cg: RN v1: Intact st: NotStopd t0: [14:00:00 23/12/2015] id: Urine Color/Appear el: 0 cu: CSRU cg: RN v1: Yellow v2: Clear st: NotStopd t0: [14:00:00 23/12/2015] id: Urine Source el: 0 cu: CSRU cg: RN v1: Indwelling Cath st: NotStopd t0: [14:00:00 23/12/2015] id: Verbal Response el: 0 cu: CSRU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [14:00:00 23/12/2015] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [14:00:00 23/12/2015] id: Behavior el: 0 cu: CSRU cg: RN v1: Anesthetized st: NotStopd t0: [14:00:00 23/12/2015] id: Bowel Sounds el: 0 cu: CSRU cg: RN v1: Absent st: NotStopd t0: [14:00:00 23/12/2015] id: Braden Activity el: 0 cu: CSRU cg: RN v1: Bedfast st: NotStopd t0: [14:00:00 23/12/2015] id: Braden Frict/Shear el: 0 cu: CSRU cg: RN v1: Potential Prob st: NotStopd t0: [14:00:00 23/12/2015] id: Braden Mobility el: 0 cu: CSRU cg: RN v1: Very Limited st: NotStopd t0: [14:00:00 23/12/2015] id: Braden Moisture el: 0 cu: CSRU cg: RN v1: Rarely Moist st: NotStopd t0: [14:00:00 23/12/2015] id: Braden Nutrition el: 0 cu: CSRU cg: RN v1: Very Poor st: NotStopd t0: [14:00:00 23/12/2015] id: Braden Score el: 0 cu: CSRU cg: RN v1: 11 u1: number st: NotStopd t0: [14:00:00 23/12/2015] id: Braden SensoryPercep el: 0 cu: CSRU cg: RN v1: Comp. Limited st: NotStopd t0: [14:00:00 23/12/2015] id: CT #1 Crepitus el: 0 cu: CSRU cg: RN v1: Negative st: NotStopd t0: [14:00:00 23/12/2015] id: CT #1 Drainage el: 0 cu: CSRU cg: RN v1: Serosanguinous st: NotStopd t0: [14:00:00 23/12/2015] id: CT #1 Dressing el: 0 cu: CSRU cg: RN v1: Dry and Intact st: NotStopd t0: [14:00:00 23/12/2015] id: CT #1 Fluctuate/Leak el: 0 cu: CSRU cg: RN v1: Positive v2: Negative st: NotStopd t0: [14:00:00 23/12/2015] id: CT #1 Suction Amount el: 0 cu: CSRU cg: RN v1: 15 cm st: NotStopd t0: [14:00:00 23/12/2015] id: CT #2 Crepitus el: 0 cu: CSRU cg: RN v1: Negative st: NotStopd t0: [14:00:00 23/12/2015] id: CT #2 Drainage el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [14:15:00 23/12/2015] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [14:15:00 23/12/2015] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [14:15:00 23/12/2015] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [14:15:00 23/12/2015] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [14:15:00 23/12/2015] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [14:15:00 23/12/2015] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 106 u1: BPM st: NotStopd t0: [14:15:00 23/12/2015] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Sinus Tachy st: NotStopd t0: [14:15:00 23/12/2015] id: PAP Mean el: 0 cu: CSRU cg: RN v1: 34 u1: mmHg st: NotStopd t0: [14:15:00 23/12/2015] id: PAP S/D el: 0 cu: CSRU cg: RN v1: 50 u1: mmHg v2: 24 u2: mmHg st: NotStopd t0: [14:15:00 23/12/2015] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 90 u1: mmHg v2: 51 u2: mmHg st: NotStopd t0: [14:15:00 23/12/2015] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 64 u1: mmHg st: NotStopd t0: [14:15:00 23/12/2015] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [14:15:00 23/12/2015] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 67.5 u1: kg st: NotStopd t0: [14:15:00 23/12/2015] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [14:30:00 23/12/2015] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [14:30:00 23/12/2015] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [14:30:00 23/12/2015] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [14:30:00 23/12/2015] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [14:30:00 23/12/2015] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [14:30:00 23/12/2015] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 106 u1: BPM st: NotStopd t0: [14:30:00 23/12/2015] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Sinus Tachy st: NotStopd t0: [14:30:00 23/12/2015] id: PAP Mean el: 0 cu: CSRU cg: RN v1: 34 u1: mmHg st: NotStopd t0: [14:30:00 23/12/2015] id: PAP S/D el: 0 cu: CSRU cg: RN v1: 52 u1: mmHg v2: 25 u2: mmHg st: NotStopd t0: [14:30:00 23/12/2015] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 98 u1: mmHg v2: 56 u2: mmHg st: NotStopd t0: [14:30:00 23/12/2015] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 70 u1: mmHg st: NotStopd t0: [14:30:00 23/12/2015] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [14:30:00 23/12/2015] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 67.5 u1: kg st: NotStopd t0: [14:30:00 23/12/2015] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [14:00:00 23/12/2015] id: Lactated Ringers IV Infusions el: 1 cu: CSRU cg: RN ai: 109 vo: 0 vu: ml t0: [14:00:00 23/12/2015] tf: [15:00:00 23/12/2015] dt: 60 id: OR Crystalloid OR Intake el: 1 cu: CSRU cg: RN ai: 107 vo: 1500 vu: ml t0: [14:00:00 23/12/2015] tf: [17:00:00 23/12/2015] dt: 180 id: D5W 250.0ml + 400mcgkgmin Dopamine IV Infusions el: 1 cu: CSRU cg: RN ai: 110 vo: 2.4 vu: ml t0: [14:00:00 23/12/2015] tf: [15:00:00 23/12/2015] dt: 60 id: OR Packed RBC's OR Intake el: 1 cu: CSRU cg: RN ai: 113 vo: 1100 vu: ml t0: [14:00:00 23/12/2015] tf: [18:00:00 23/12/2015] dt: 240 id: Chest Tubes Right Pleural 1 el: 1 cu: CSRU cg: RN vo: 50 vu: ml t0: [14:00:00 23/12/2015] id: Chest Tubes Mediastinal el: 1 cu: CSRU cg: RN vo: 0 vu: ml
t0: [14:00:00 23/12/2015] id: Dopamine el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 1 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [14:15:00 23/12/2015] id: Dopamine el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 1 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [14:30:00 23/12/2015] id: Dopamine el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 1 du: mcgkgmin sv: 250 su: ml rt: IV Drip
t0: [15:00:00 23/12/2015] id: OR Crystalloid OR Intake el: 1 cu: CSRU cg: -1 ai: 107 vo: 0 st: D/C'd t0: [15:00:00 23/12/2015] id: OR Packed RBC's OR Intake el: 1 cu: CSRU cg: -1 ai: 113 vo: 0 st: D/C'd
t0: [14:21:00 23/12/2015] id: BUN el: 0 cu: CSRU cg: 3161 v1: 56 rs: Final st: NotStopd t0: [14:21:00 23/12/2015] id: Calcium Chemistry el: 0 cu: CSRU cg: 3161 v1: 7.9 u1: mg/dl rs: Final st: NotStopd t0: [14:21:00 23/12/2015] id: Chloride Chemistry el: 0 cu: CSRU cg: 3161 v1: 107 rs: Final st: NotStopd t0: [14:21:00 23/12/2015] id: Creatinine Chemistry el: 0 cu: CSRU cg: 3161 v1: 1.4 rs: Final st: NotStopd t0: [14:21:00 23/12/2015] id: Magnesium Chemistry el: 0 cu: CSRU cg: 3161 v1: 1.6 rs: Final st: NotStopd t0: [14:21:00 23/12/2015] id: Phosphorous Chemistry el: 0 cu: CSRU cg: 3161 v1: 4.2 u1: mEq/L rs: Final st: NotStopd t0: [14:21:00 23/12/2015] id: Sodium Chemistry el: 0 cu: CSRU cg: 3161 v1: 138 rs: Final st: NotStopd t0: [14:21:00 23/12/2015] id: BUN (6-20) Chemistry el: 0 cu: CSRU cg: 3161 v1: 56 rs: Final st: NotStopd t0: [14:21:00 23/12/2015] id: Calcium (8.4-10.2) Chemistry el: 0 cu: CSRU cg: 3161 v1: 7.9 u1: mg/dl rs: Final st: NotStopd t0: [14:21:00 23/12/2015] id: Carbon Dioxide Chemistry el: 0 cu: CSRU cg: 3161 v1: 26 rs: Final st: NotStopd t0: [14:21:00 23/12/2015] id: Chloride (100-112) Chemistry el: 0 cu: CSRU cg: 3161 v1: 107 rs: Final st: NotStopd t0: [14:21:00 23/12/2015] id: Creatinine (0-1.3) Chemistry el: 0 cu: CSRU cg: 3161 v1: 1.4 rs: Final st: NotStopd t0: [14:21:00 23/12/2015] id: Magnesium (1.6-2.6) Chemistry el: 0 cu: CSRU cg: 3161 v1: 1.6 rs: Final st: NotStopd t0: [14:21:00 23/12/2015] id: Phosphorous(2.7-4.5) Chemistry el: 0 cu: CSRU cg: 3161 v1: 4.2 u1: mEq/L rs: Final st: NotStopd t0: [14:21:00 23/12/2015] id: Sodium (135-148) Chemistry el: 0 cu: CSRU cg: 3161 v1: 138 rs: Final st: NotStopd
t0: [14:00:00 23/12/2015] id: Pacemaker Type el: 0 cu: CSRU cg: RN v1: Epicardial Wires st: NotStopd t0: [14:15:00 23/12/2015] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 20 u1: BPM st: NotStopd t0: [14:30:00 23/12/2015] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 20 u1: BPM st: NotStopd t0: [14:45:00 23/12/2015] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [14:45:00 23/12/2015] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [14:45:00 23/12/2015] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [14:45:00 23/12/2015] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [14:45:00 23/12/2015] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [14:45:00 23/12/2015] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 101 u1: BPM st: NotStopd t0: [14:45:00 23/12/2015] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Sinus Tachy st: NotStopd t0: [14:45:00 23/12/2015] id: PAP Mean el: 0 cu: CSRU cg: RN v1: 32 u1: mmHg st: NotStopd t0: [14:45:00 23/12/2015] id: PAP S/D el: 0 cu: CSRU cg: RN v1: 47 u1: mmHg v2: 25 u2: mmHg st: NotStopd t0: [14:45:00 23/12/2015] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 106 u1: mmHg v2: 64 u2: mmHg st: NotStopd t0: [14:45:00 23/12/2015] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 78 u1: mmHg st: NotStopd t0: [14:45:00 23/12/2015] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [14:45:00 23/12/2015] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 67.5 u1: kg st: NotStopd t0: [14:45:00 23/12/2015] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 25 u1: BPM st: NotStopd t0: [14:45:00 23/12/2015] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [15:00:00 23/12/2015] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [15:00:00 23/12/2015] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [15:00:00 23/12/2015] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [15:00:00 23/12/2015] id: Dorsal PedPulse R/L el: 0 cu: CSRU cg: RN v1: Doppler v2: Doppler st: NotStopd t0: [15:00:00 23/12/2015] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [15:00:00 23/12/2015] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [15:00:00 23/12/2015] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 97 u1: BPM st: NotStopd t0: [15:00:00 23/12/2015] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [15:00:00 23/12/2015] id: PAP Mean el: 0 cu: CSRU cg: RN v1: 30 u1: mmHg st: NotStopd t0: [15:00:00 23/12/2015] id: PAP S/D el: 0 cu: CSRU cg: RN v1: 45 u1: mmHg v2: 24 u2: mmHg st: NotStopd t0: [15:00:00 23/12/2015] id: Pacemaker Mode el: 0 cu: CSRU cg: RN v1: Pacer Turned Off st: NotStopd t0: [15:00:00 23/12/2015] id: Pacemaker Type el: 0 cu: CSRU cg: RN v1: Epicardial Wires st: NotStopd t0: [15:00:00 23/12/2015] id: Pacer Wire Condition el: 0 cu: CSRU cg: RN v1: Attached-pacer st: NotStopd t0: [15:00:00 23/12/2015] id: Pacer Wires Atrial el: 0 cu: CSRU cg: RN v1: 0 st: NotStopd t0: [15:00:00 23/12/2015] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 101 u1: mmHg v2: 61 u2: mmHg st: NotStopd t0: [15:00:00 23/12/2015] id: Pacer Wires Vent el: 0 cu: CSRU cg: RN v1: 2 st: NotStopd t0: [15:00:00 23/12/2015] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 74 u1: mmHg st: NotStopd t0: [15:00:00 23/12/2015] id: PostTib. Pulses R/L el: 0 cu: CSRU cg: RN v1: Doppler v2: Doppler st: NotStopd t0: [15:00:00 23/12/2015] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [15:00:00 23/12/2015] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 67.5 u1: kg st: NotStopd t0: [15:00:00 23/12/2015] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 25 u1: BPM st: NotStopd t0: [15:00:00 23/12/2015] id: SpO2 el: 0 cu: CSRU cg: RN v1: 94 u1: % st: NotStopd t0: [15:00:00 23/12/2015] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Oral st: NotStopd t0: [15:00:00 23/12/2015] id: Temperature C (calc) el: 0 cu: CSRU cg: RN v1: 36.2778 u1: Deg. C st: NotStopd t0: [15:00:00 23/12/2015] id: Temperature F el: 0 cu: CSRU cg: RN v1: 97.3 u1: Deg. F st: NotStopd t0: [15:00:00 23/12/2015] id: Vent Sens/Capture el: 0 cu: CSRU cg: RN v1: No v2: Yes st: NotStopd t0: [15:00:00 23/12/2015] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [15:00:00 23/12/2015] tf: [01:00:00 27/12/2015] dt: 4920 id: Lactated Ringers IV Infusions el: 1 cu: CSRU cg: RN ai: 109 vo: 80 vu: ml t0: [15:00:00 23/12/2015] id: D5W 250.0ml + 400mcgkgmin Dopamine IV Infusions el: 1 cu: CSRU cg: RN ai: 110 vo: 2.475 vu: ml t0: [15:00:00 23/12/2015] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 0 vu: ml t0: [15:00:00 23/12/2015] id: Chest Tubes Right Pleural 1 el: 1 cu: CSRU cg: RN vo: 20 vu: ml t0: [15:00:00 23/12/2015] tf: [16:00:00 23/12/2015] dt: 60 id: Chest Tubes Mediastinal el: 1 cu: CSRU cg: RN vo: 20 vu: ml
t0: [14:45:00 23/12/2015] id: Dopamine el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 1 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [15:00:00 23/12/2015] tf: [09:53:00 12/01/2016] dt: 28493 id: Propofol el: 1 cu: CSRU cg: RN so: N/A vo: 0 v1: 15 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [15:00:00 23/12/2015] id: Dopamine el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 1 du: mcgkgmin sv: 250 su: ml rt: IV Drip
t0: [14:48:00 23/12/2015] id: PT el: 0 cu: CSRU cg: 3161 v1: 15.1 rs: Final st: NotStopd t0: [14:48:00 23/12/2015] id: INR Coags el: 0 cu: CSRU cg: 3161 v1: 1.5 rs: Final st: NotStopd t0: [14:48:00 23/12/2015] id: PTT Coags el: 0 cu: CSRU cg: 3161 v1: 37.6 rs: Final st: NotStopd t0: [14:48:00 23/12/2015] id: INR (2-4 ref. range) Coags el: 0 cu: CSRU cg: 3161 v1: 1.5 rs: Final st: NotStopd t0: [14:48:00 23/12/2015] id: PT(11-13.5) Coags el: 0 cu: CSRU cg: 3161 v1: 15.1 rs: Final st: NotStopd t0: [14:48:00 23/12/2015] id: PTT(22-35) Coags el: 0 cu: CSRU cg: 3161 v1: 37.6 rs: Final st: NotStopd
t0: [15:20:00 23/12/2015] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [15:20:00 23/12/2015] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [15:20:00 23/12/2015] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [15:20:00 23/12/2015] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [15:20:00 23/12/2015] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 95 u1: BPM st: NotStopd t0: [15:20:00 23/12/2015] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [15:20:00 23/12/2015] id: PAP Mean el: 0 cu: CSRU cg: RN v1: 26 u1: mmHg st: NotStopd t0: [15:20:00 23/12/2015] id: PAP S/D el: 0 cu: CSRU cg: RN v1: 39 u1: mmHg v2: 21 u2: mmHg st: NotStopd t0: [15:20:00 23/12/2015] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 59 u1: mmHg st: NotStopd t0: [15:20:00 23/12/2015] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [15:20:00 23/12/2015] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 67.5 u1: kg st: NotStopd t0: [15:20:00 23/12/2015] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 25 u1: BPM st: NotStopd t0: [15:20:00 23/12/2015] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [15:30:00 23/12/2015] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [15:30:00 23/12/2015] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [15:30:00 23/12/2015] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [15:30:00 23/12/2015] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [15:30:00 23/12/2015] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [15:30:00 23/12/2015] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 92 u1: BPM st: NotStopd t0: [15:30:00 23/12/2015] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [15:30:00 23/12/2015] id: PAP Mean el: 0 cu: CSRU cg: RN v1: 32 u1: mmHg st: NotStopd t0: [15:30:00 23/12/2015] id: PAP S/D el: 0 cu: CSRU cg: RN v1: 47 u1: mmHg v2: 27 u2: mmHg st: NotStopd t0: [15:30:00 23/12/2015] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 86 u1: mmHg v2: 55 u2: mmHg st: NotStopd t0: [15:30:00 23/12/2015] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 65 u1: mmHg st: NotStopd t0: [15:30:00 23/12/2015] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [15:30:00 23/12/2015] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 67.5 u1: kg st: NotStopd t0: [15:30:00 23/12/2015] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 25 u1: BPM st: NotStopd t0: [15:30:00 23/12/2015] id: SpO2 el: 0 cu: CSRU cg: RN v1: 98 u1: % st: NotStopd t0: [15:30:00 23/12/2015] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [15:20:00 23/12/2015] id: Propofol el: 1 cu: CSRU cg: RN so: N/A vo: 0 v1: 15 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [15:20:00 23/12/2015] id: Dopamine el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 3 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [15:30:00 23/12/2015] id: Propofol el: 1 cu: CSRU cg: RN so: N/A vo: 0 v1: 15 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [15:30:00 23/12/2015] id: Dopamine el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 3 du: mcgkgmin sv: 250 su: ml rt: IV Drip
t0: [15:48:00 23/12/2015] id: Art.pH ABG el: 0 cu: CSRU cg: 3161 v1: 7.37 rs: Final st: NotStopd t0: [15:48:00 23/12/2015] id: Arterial Base Excess ABG el: 0 cu: CSRU cg: 3161 v1: -1 rs: Final st: NotStopd t0: [15:48:00 23/12/2015] id: Arterial CO2(Calc) ABG el: 0 cu: CSRU cg: 3161 v1: 24 rs: Final st: NotStopd t0: [15:48:00 23/12/2015] id: Arterial PaCO2 ABG el: 0 cu: CSRU cg: 3161 v1: 40 u1: mmHg rs: Final st: NotStopd t0: [15:48:00 23/12/2015] id: Arterial PaO2 ABG el: 0 cu: CSRU cg: 3161 v1: 224 u1: mmHg rs: Final st: NotStopd t0: [15:48:00 23/12/2015] id: Arterial pH ABG el: 0 cu: CSRU cg: 3161 v1: 7.37 rs: Final st: NotStopd
t0: [16:00:00 23/12/2015] id: Cough Effort el: 0 cu: CSRU cg: -1 st: D/C'd t0: [16:00:00 23/12/2015] id: Cough Type el: 0 cu: CSRU cg: -1 st: D/C'd t0: [16:00:00 23/12/2015] id: Respiratory Effort el: 0 cu: CSRU cg: -1 st: D/C'd
tf: [13:00:00 23/12/2015] pt: Unit Dose rt: PO fr: TID fs: 08, 16, 22 dn: 3 m1: Amiodarone HCl v1: 400 u1: mg tf: [11:00:00 26/12/2015] pt: IV Piggyback rt: IV fr: Q6H fs: 16, 22, 4, 10 dn: 4 m1: Unasyn v1: 3 u1: gm m2: NS v2: 100 u2: ml
id: Lactated Ringers el: 2 cu: CSRU cg: RN io: Lactated Ringers IV Infusions du: ml rt: Intravenous Push
t0: [15:40:00 23/12/2015] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [15:40:00 23/12/2015] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [15:40:00 23/12/2015] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [15:40:00 23/12/2015] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [15:40:00 23/12/2015] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 91 u1: BPM st: NotStopd t0: [15:40:00 23/12/2015] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [15:40:00 23/12/2015] id: PAP Mean el: 0 cu: CSRU cg: RN v1: 30 u1: mmHg st: NotStopd t0: [15:40:00 23/12/2015] id: PAP S/D el: 0 cu: CSRU cg: RN v1: 43 u1: mmHg v2: 24 u2: mmHg st: NotStopd t0: [15:40:00 23/12/2015] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 84 u1: mmHg v2: 53 u2: mmHg st: NotStopd t0: [15:40:00 23/12/2015] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 63 u1: mmHg st: NotStopd t0: [15:40:00 23/12/2015] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [15:40:00 23/12/2015] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 67.5 u1: kg st: NotStopd t0: [15:40:00 23/12/2015] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 0 u1: BPM st: NotStopd t0: [15:40:00 23/12/2015] id: SpO2 el: 0 cu: CSRU cg: RN v1: 100 u1: % st: NotStopd t0: [15:40:00 23/12/2015] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [15:45:00 23/12/2015] id: Previous Weight el: 0 cu: CSRU cg: RN v1: 67.5 u1: kg st: NotStopd t0: [15:50:00 23/12/2015] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [15:50:00 23/12/2015] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [15:50:00 23/12/2015] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [15:50:00 23/12/2015] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [15:50:00 23/12/2015] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 112 u1: BPM st: NotStopd t0: [15:50:00 23/12/2015] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Sinus Tachy st: NotStopd t0: [15:50:00 23/12/2015] id: PAP Mean el: 0 cu: CSRU cg: RN v1: 37 u1: mmHg st: NotStopd t0: [15:50:00 23/12/2015] id: PAP S/D el: 0 cu: CSRU cg: RN v1: 53 u1: mmHg v2: 29 u2: mmHg st: NotStopd t0: [15:50:00 23/12/2015] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 107 u1: mmHg v2: 65 u2: mmHg st: NotStopd t0: [15:50:00 23/12/2015] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 79 u1: mmHg st: NotStopd t0: [15:50:00 23/12/2015] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [15:50:00 23/12/2015] id: Previous Weight el: 0 cu: CSRU cg: RN v1: 67.5 u1: kg st: NotStopd t0: [15:50:00 23/12/2015] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 67.5 u1: kg st: NotStopd t0: [15:50:00 23/12/2015] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 25 u1: BPM st: NotStopd t0: [15:50:00 23/12/2015] id: SpO2 el: 0 cu: CSRU cg: RN v1: 100 u1: % st: NotStopd t0: [15:50:00 23/12/2015] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [15:55:00 23/12/2015] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [15:55:00 23/12/2015] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [15:55:00 23/12/2015] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [15:55:00 23/12/2015] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 63 u1: BPM st: NotStopd t0: [15:55:00 23/12/2015] id: PAP Mean el: 0 cu: CSRU cg: RN v1: 37 u1: mmHg st: NotStopd t0: [15:55:00 23/12/2015] id: PAP S/D el: 0 cu: CSRU cg: RN v1: 54 u1: mmHg v2: 29 u2: mmHg st: NotStopd t0: [15:55:00 23/12/2015] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 145 u1: mmHg v2: 87 u2: mmHg st: NotStopd t0: [15:55:00 23/12/2015] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 107 u1: mmHg st: NotStopd t0: [15:55:00 23/12/2015] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [15:55:00 23/12/2015] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 67.5 u1: kg st: NotStopd t0: [15:55:00 23/12/2015] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 25 u1: BPM st: NotStopd t0: [15:55:00 23/12/2015] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [16:00:00 23/12/2015] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [16:00:00 23/12/2015] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [16:00:00 23/12/2015] id: Riker-SAS Scale el: 0 cu: CSRU cg: RN v1: Sedated st: NotStopd t0: [16:00:00 23/12/2015] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [16:00:00 23/12/2015] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [16:00:00 23/12/2015] id: Alarms el: 0 cu: CSRU cg: RN v1: ON st: NotStopd t0: [16:00:00 23/12/2015] id: Parameters Checked el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [16:00:00 23/12/2015] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 135 u1: BPM st: NotStopd t0: [16:00:00 23/12/2015] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Sinus Tachy st: NotStopd t0: [16:00:00 23/12/2015] id: PAP Mean el: 0 cu: CSRU cg: RN v1: 37 u1: mmHg st: NotStopd t0: [16:00:00 23/12/2015] id: PAP S/D el: 0 cu: CSRU cg: RN v1: 54 u1: mmHg v2: 29 u2: mmHg st: NotStopd t0: [16:00:00 23/12/2015] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 134 u1: mmHg v2: 83 u2: mmHg st: NotStopd t0: [16:00:00 23/12/2015] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 100 u1: mmHg st: NotStopd t0: [16:00:00 23/12/2015] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [16:00:00 23/12/2015] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 67.5 u1: kg st: NotStopd t0: [16:00:00 23/12/2015] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 25 u1: BPM st: NotStopd t0: [16:00:00 23/12/2015] id: SpO2 el: 0 cu: CSRU cg: RN v1: 99 u1: % st: NotStopd t0: [16:00:00 23/12/2015] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [16:10:00 23/12/2015] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 108 u1: BPM st: NotStopd t0: [16:10:00 23/12/2015] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Sinus Tachy st: NotStopd t0: [16:10:00 23/12/2015] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 67.5 u1: kg st: NotStopd t0: [16:10:00 23/12/2015] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 25 u1: BPM st: NotStopd t0: [16:10:00 23/12/2015] id: SpO2 el: 0 cu: CSRU cg: RN v1: 100 u1: % st: NotStopd t0: [16:10:00 23/12/2015] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [16:00:00 23/12/2015] id: Lactated Ringers IV Infusions el: 1 cu: CSRU cg: RN ai: 109 vo: 80 vu: ml t0: [16:00:00 23/12/2015] tf: [09:53:00 12/01/2016] dt: 28433 id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: CSRU cg: RN ai: 110 vo: 7.0125 vu: ml t0: [16:00:00 23/12/2015] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 5.94 vu: ml
t0: [15:40:00 23/12/2015] id: Propofol el: 1 cu: CSRU cg: RN so: N/A vo: 0 v1: 15 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [15:40:00 23/12/2015] id: Dopamine el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 5 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [15:50:00 23/12/2015] id: Propofol el: 1 cu: CSRU cg: RN so: N/A vo: 0 v1: 15 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [15:50:00 23/12/2015] id: Dopamine el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 5 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [15:55:00 23/12/2015] id: Propofol el: 1 cu: CSRU cg: RN so: N/A vo: 0 v1: 15 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [15:55:00 23/12/2015] id: Dopamine el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 5 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [16:00:00 23/12/2015] id: Propofol el: 1 cu: CSRU cg: RN so: N/A vo: 0 v1: 15 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [16:00:00 23/12/2015] id: Dopamine el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [16:10:00 23/12/2015] tf: [08:00:00 24/12/2015] dt: 950 id: Neosynephrine-k el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.5 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [16:10:00 23/12/2015] id: Dopamine el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0 du: mcgkgmin sv: 250 su: ml rt: IV Drip
t0: [14:00:00 23/12/2015] id: LLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [14:00:00 23/12/2015] id: LUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [14:00:00 23/12/2015] id: RLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [14:00:00 23/12/2015] id: RUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [15:20:00 23/12/2015] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 80 u1: mmHg v2: 49 u2: mmHg st: NotStopd t0: [16:00:00 23/12/2015] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [16:15:00 23/12/2015] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [16:15:00 23/12/2015] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [16:15:00 23/12/2015] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [16:15:00 23/12/2015] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [16:15:00 23/12/2015] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [16:15:00 23/12/2015] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 100 u1: BPM st: NotStopd t0: [16:15:00 23/12/2015] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [16:15:00 23/12/2015] id: PAP Mean el: 0 cu: CSRU cg: RN v1: 30 u1: mmHg st: NotStopd t0: [16:15:00 23/12/2015] id: PAP S/D el: 0 cu: CSRU cg: RN v1: 42 u1: mmHg v2: 24 u2: mmHg st: NotStopd t0: [16:15:00 23/12/2015] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 81 u1: mmHg v2: 54 u2: mmHg st: NotStopd t0: [16:15:00 23/12/2015] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 63 u1: mmHg st: NotStopd t0: [16:15:00 23/12/2015] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [16:15:00 23/12/2015] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 67.5 u1: kg st: NotStopd t0: [16:15:00 23/12/2015] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 25 u1: BPM st: NotStopd t0: [16:15:00 23/12/2015] id: SpO2 el: 0 cu: CSRU cg: RN v1: 100 u1: % st: NotStopd t0: [16:15:00 23/12/2015] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [16:30:00 23/12/2015] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [16:30:00 23/12/2015] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [16:30:00 23/12/2015] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [16:30:00 23/12/2015] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [16:30:00 23/12/2015] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [16:30:00 23/12/2015] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 92 u1: BPM st: NotStopd t0: [16:30:00 23/12/2015] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [16:30:00 23/12/2015] id: PAP Mean el: 0 cu: CSRU cg: RN v1: 38 u1: mmHg st: NotStopd t0: [16:30:00 23/12/2015] id: PAP S/D el: 0 cu: CSRU cg: RN v1: 58 u1: mmHg v2: 30 u2: mmHg st: NotStopd t0: [16:30:00 23/12/2015] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 126 u1: mmHg v2: 77 u2: mmHg st: NotStopd t0: [16:30:00 23/12/2015] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 93 u1: mmHg st: NotStopd t0: [16:30:00 23/12/2015] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [16:30:00 23/12/2015] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 67.5 u1: kg st: NotStopd t0: [16:30:00 23/12/2015] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 25 u1: BPM st: NotStopd t0: [16:30:00 23/12/2015] id: SpO2 el: 0 cu: CSRU cg: RN v1: 100 u1: % st: NotStopd t0: [16:30:00 23/12/2015] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [16:00:00 23/12/2015] tf: [09:00:00 24/12/2015] dt: 1020 id: Lactated Ringers IV Infusions el: 2 cu: CSRU cg: RN ai: 155 vo: 250 vu: ml t0: [16:00:00 23/12/2015] id: Chest Tubes Right Pleural 1 el: 1 cu: CSRU cg: RN vo: 5 vu: ml t0: [16:00:00 23/12/2015] id: Chest Tubes Mediastinal el: 1 cu: CSRU cg: RN vo: 0 vu: ml
t0: [16:15:00 23/12/2015] id: Neosynephrine-k el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 1 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [16:15:00 23/12/2015] id: Propofol el: 1 cu: CSRU cg: RN so: N/A vo: 0 v1: 15 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [16:15:00 23/12/2015] id: Dopamine el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [16:30:00 23/12/2015] id: Neosynephrine-k el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.5 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [16:30:00 23/12/2015] id: Propofol el: 1 cu: CSRU cg: RN so: N/A vo: 0 v1: 15 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [16:30:00 23/12/2015] id: Dopamine el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0 du: mcgkgmin sv: 250 su: ml rt: IV Drip
t0: [17:00:00 23/12/2015] id: Angio Appearance #1 el: 0 cu: CSRU cg: -1 st: D/C'd t0: [17:00:00 23/12/2015] id: Angio Dressing #1 el: 0 cu: CSRU cg: -1 st: D/C'd t0: [17:00:00 23/12/2015] id: Angio Site #1 el: 0 cu: CSRU cg: -1 st: D/C'd t0: [17:00:00 23/12/2015] id: Pericard Drain Site el: 0 cu: CSRU cg: -1 st: D/C'd
tf: [01:00:00 05/01/2016] pt: IV Piggyback rt: IV fr: PRN m1: Potassium Chloride v1: 40 u1: mEq m2: SW v2: 100 u2: ml tf: [01:00:00 05/01/2016] pt: Unit Dose rt: IV fr: PRN m1: Calcium Gluconate v1: 2 u1: gm tf: [01:00:00 05/01/2016] pt: Unit Dose rt: IV fr: PRN m1: Magnesium Sulfate v1: 2 u1: gm tf: [19:00:00 14/01/2016] pt: Unit Dose rt: PO fr: Q12H fs: 6, 18 dn: 2 m1: Voriconazole v1: 200 u1: mg tf: [20:00:00 23/01/2016] pt: Unit Dose rt: PO fr: Q12H fs: 6, 18 dn: 2 m1: Voriconazole v1: 200 u1: mg tf: [21:00:00 26/02/2016] pt: Unit Dose rt: PO fr: Q12H fs: 8, 20 dn: 2 m1: Voriconazole v1: 200 u1: mg
t0: [17:00:00 23/12/2015] id: ETT Mark/Location el: 0 cu: CSRU cg: RRT v1: 23cm v2: Lip st: NotStopd t0: [17:00:00 23/12/2015] id: FIO2 Alarm-High el: 0 cu: CSRU cg: RRT v1: 70 u1: decFrc st: NotStopd t0: [17:00:00 23/12/2015] id: FIO2 Alarm-Low el: 0 cu: CSRU cg: RRT v1: 50 u1: decFrc st: NotStopd t0: [17:00:00 23/12/2015] id: FiO2 Set el: 0 cu: CSRU cg: RRT v1: 0.6 u1: torr st: NotStopd t0: [17:00:00 23/12/2015] id: % Inspir. Time el: 0 cu: CSRU cg: RRT v1: 33% st: NotStopd t0: [17:00:00 23/12/2015] id: High Insp. Pressure el: 0 cu: CSRU cg: RRT v1: 40 u1: cmH2O st: NotStopd t0: [17:00:00 23/12/2015] id: Airway Size el: 0 cu: CSRU cg: RRT v1: 7.5 mm st: NotStopd t0: [17:00:00 23/12/2015] id: Airway Type el: 0 cu: CSRU cg: RRT v1: Endotracheal st: NotStopd t0: [17:00:00 23/12/2015] id: Inspired Gas Temp el: 0 cu: CSRU cg: RRT u1: Deg. C st: NotStopd t0: [17:00:00 23/12/2015] id: Intubation Date el: 0 cu: CSRU cg: RRT v1: 12 v2: 23 st: NotStopd t0: [17:00:00 23/12/2015] id: Low Exhaled Min Vol el: 0 cu: CSRU cg: RRT v1: 4 st: NotStopd t0: [17:00:00 23/12/2015] id: Mean Airway Pressure el: 0 cu: CSRU cg: RRT v1: 15 u1: cmH2O st: NotStopd t0: [17:00:00 23/12/2015] id: Minute Volume(Obser) el: 0 cu: CSRU cg: RRT v1: 9.7 u1: L/min st: NotStopd t0: [17:00:00 23/12/2015] id: PCV Exh Vt (Obser) el: 0 cu: CSRU cg: RRT v1: 370 u1: ml/B st: NotStopd t0: [17:00:00 23/12/2015] id: PCV Insp Vt (Obser) el: 0 cu: CSRU cg: RRT v1: 374 u1: ml/B st: NotStopd t0: [17:00:00 23/12/2015] id: PCV Set Insp. Press el: 0 cu: CSRU cg: RRT v1: 30 u1: . st: NotStopd t0: [17:00:00 23/12/2015] id: PEEP Set el: 0 cu: CSRU cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [17:00:00 23/12/2015] id: Pause Time % el: 0 cu: CSRU cg: RRT v1: 0% st: NotStopd t0: [17:00:00 23/12/2015] id: Peak Insp. Pressure el: 0 cu: CSRU cg: RRT v1: 35 u1: cmH2O st: NotStopd t0: [17:00:00 23/12/2015] id: Remote Alarm el: 0 cu: CSRU cg: RRT v1: No st: NotStopd t0: [17:00:00 23/12/2015] id: Resp Rate (Spont) el: 0 cu: CSRU cg: RRT v1: 0 u1: BPM st: NotStopd t0: [17:00:00 23/12/2015] id: Resp Rate (Total) el: 0 cu: CSRU cg: RRT v1: 25 u1: BPM st: NotStopd t0: [17:00:00 23/12/2015] id: Respiratory Rate Set el: 0 cu: CSRU cg: RRT v1: 25 u1: BPM st: NotStopd t0: [17:00:00 23/12/2015] id: Sensitivity-Vent el: 0 cu: CSRU cg: RRT v1: 2 u1: cmH2O st: NotStopd t0: [17:00:00 23/12/2015] id: Ventilator Mode el: 0 cu: CSRU cg: RRT v1: Pressure Control st: NotStopd t0: [17:00:00 23/12/2015] id: Ventilator Type el: 0 cu: CSRU cg: RRT v1: Drager st: NotStopd t0: [17:00:00 23/12/2015] id: Waveform-Vent el: 0 cu: CSRU cg: RRT v1: SQUARE st: NotStopd t0: [17:00:00 23/12/2015] id: Working Pressure el: 0 cu: CSRU cg: RRT v1: 70 u1: cmH2O st: NotStopd
t0: [14:00:00 23/12/2015] id: LLE Temp/Color el: 0 cu: CSRU cg: RN v1: Cool v2: Dusky st: NotStopd t0: [14:00:00 23/12/2015] id: RLE Temp/Color el: 0 cu: CSRU cg: RN v1: Cool v2: Dusky st: NotStopd t0: [15:00:00 23/12/2015] id: AntiEmbDevice/Status el: 0 cu: CSRU cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [16:00:00 23/12/2015] id: Less Restrict Meas. el: 0 cu: CSRU cg: RN v1: Medicated st: NotStopd t0: [16:00:00 23/12/2015] id: Range of Motion el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [16:00:00 23/12/2015] id: Circulation/SkinInt el: 0 cu: CSRU cg: RN v1: Circulation Adeq st: NotStopd t0: [16:00:00 23/12/2015] id: Daily Wake Up el: 1 cu: CSRU cg: RN v1: No/O2 Issues st: NotStopd t0: [16:00:00 23/12/2015] id: Eye Care el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [16:00:00 23/12/2015] id: HOB el: 0 cu: CSRU cg: RN v1: 15 degrees st: NotStopd t0: [16:00:00 23/12/2015] id: INV Line#1 Type/Site el: 0 cu: CSRU cg: RN v1: Multi-lumen v2: Right IJ st: NotStopd t0: [16:00:00 23/12/2015] id: INV Line#1InsertDate el: 0 cu: CSRU cg: RN v2: ? st: NotStopd t0: [16:00:00 23/12/2015] id: INV Line#1SiteAppear el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [16:00:00 23/12/2015] id: INV Line#2 Type/Site el: 0 cu: CSRU cg: RN v1: PA line v2: Right Femoral st: NotStopd t0: [16:00:00 23/12/2015] id: INV Line#2 Zero/Cal el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [16:00:00 23/12/2015] id: INV Line#2InsertDate el: 0 cu: CSRU cg: RN v1: 12 v2: 22 st: NotStopd t0: [16:00:00 23/12/2015] id: INV Line#3 Type/Site el: 0 cu: CSRU cg: RN v1: A-Line v2: Right Femoral st: NotStopd t0: [16:00:00 23/12/2015] id: INV Line#3 Zero/Cal el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [16:00:00 23/12/2015] id: INV Line#3InsertDate el: 0 cu: CSRU cg: RN v1: 12 v2: 22 st: NotStopd t0: [16:00:00 23/12/2015] id: INV Line#3SiteAppear el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [16:00:00 23/12/2015] id: INV#2 WaveformAppear el: 0 cu: CSRU cg: RN v1: Sharp st: NotStopd t0: [16:00:00 23/12/2015] id: INV#3 WaveformAppear el: 0 cu: CSRU cg: RN v1: Sharp st: NotStopd t0: [16:00:00 23/12/2015] id: IV #1 Insert Date el: 0 cu: CSRU cg: RN v1: 12 v2: 24 st: NotStopd t0: [16:00:00 23/12/2015] id: IV #1 Site/Size el: 0 cu: CSRU cg: RN v1: Left Antecub v2: 14 gauge st: NotStopd t0: [16:00:00 23/12/2015] id: Activity el: 0 cu: CSRU cg: RN v1: Bedrest st: NotStopd t0: [16:00:00 23/12/2015] id: IV Site Appear #1 el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [16:00:00 23/12/2015] id: Activity Tolerance el: 0 cu: CSRU cg: RN v1: Good st: NotStopd t0: [16:00:00 23/12/2015] id: Oral Care el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [16:00:00 23/12/2015] id: AntiEmbDevice/Status el: 0 cu: CSRU cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [16:00:00 23/12/2015] id: Position el: 0 cu: CSRU cg: RN v1: Supine st: NotStopd t0: [16:00:00 23/12/2015] id: Position Change el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [16:00:00 23/12/2015] id: Assistance Device el: 0 cu: CSRU cg: RN v1: 2 Person Assist st: NotStopd t0: [16:00:00 23/12/2015] id: Reason For Restraint el: 0 cu: CSRU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [16:00:00 23/12/2015] id: Removed x 5 Mins el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [16:00:00 23/12/2015] id: Restraint Location el: 0 cu: CSRU cg: RN v1: Both Arms st: NotStopd t0: [16:00:00 23/12/2015] id: Restraint Type el: 0 cu: CSRU cg: RN v1: Soft Limb st: NotStopd t0: [16:00:00 23/12/2015] id: Restraints Evaluated el: 0 cu: CSRU cg: RN v1: RestraintReapply st: NotStopd t0: [16:00:00 23/12/2015] id: Skin Care el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [16:00:00 23/12/2015] id: Turn el: 0 cu: CSRU cg: RN v1: Side to Side st: NotStopd t0: [16:00:00 23/12/2015] id: Back Care el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [16:00:00 23/12/2015] id: Behavior el: 0 cu: CSRU cg: RN v1: Sedated st: NotStopd t0: [16:45:00 23/12/2015] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [16:45:00 23/12/2015] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [16:45:00 23/12/2015] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [16:45:00 23/12/2015] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [16:45:00 23/12/2015] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [16:45:00 23/12/2015] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 91 u1: BPM st: NotStopd t0: [16:45:00 23/12/2015] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [16:45:00 23/12/2015] id: PAP Mean el: 0 cu: CSRU cg: RN v1: 35 u1: mmHg st: NotStopd t0: [16:45:00 23/12/2015] id: PAP S/D el: 0 cu: CSRU cg: RN v1: 50 u1: mmHg v2: 28 u2: mmHg st: NotStopd t0: [16:45:00 23/12/2015] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 108 u1: mmHg v2: 69 u2: mmHg st: NotStopd t0: [16:45:00 23/12/2015] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 82 u1: mmHg st: NotStopd t0: [16:45:00 23/12/2015] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [16:45:00 23/12/2015] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 67.5 u1: kg st: NotStopd t0: [16:45:00 23/12/2015] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 25 u1: BPM st: NotStopd t0: [16:45:00 23/12/2015] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [17:00:00 23/12/2015] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [17:00:00 23/12/2015] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [17:00:00 23/12/2015] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [17:00:00 23/12/2015] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [17:00:00 23/12/2015] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [17:00:00 23/12/2015] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 89 u1: BPM st: NotStopd t0: [17:00:00 23/12/2015] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [17:00:00 23/12/2015] id: PAP Mean el: 0 cu: CSRU cg: RN v1: 34 u1: mmHg st: NotStopd t0: [17:00:00 23/12/2015] id: PAP S/D el: 0 cu: CSRU cg: RN v1: 54 u1: mmHg v2: 25 u2: mmHg st: NotStopd t0: [17:00:00 23/12/2015] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 114 u1: mmHg v2: 69 u2: mmHg st: NotStopd t0: [17:00:00 23/12/2015] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 84 u1: mmHg st: NotStopd t0: [17:00:00 23/12/2015] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [17:00:00 23/12/2015] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 67.5 u1: kg st: NotStopd t0: [17:00:00 23/12/2015] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 25 u1: BPM st: NotStopd t0: [17:00:00 23/12/2015] id: SpO2 el: 0 cu: CSRU cg: RN u1: % st: NotStopd t0: [17:00:00 23/12/2015] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [17:00:00 23/12/2015] id: Lactated Ringers IV Infusions el: 1 cu: CSRU cg: RN ai: 109 vo: 80 vu: ml t0: [17:00:00 23/12/2015] id: D5W 250.0ml + 400mcgkgmin Dopamine IV Infusions el: 1 cu: CSRU cg: RN ai: 110 vo: 0 vu: ml t0: [17:00:00 23/12/2015] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 5.94 vu: ml t0: [17:00:00 23/12/2015] tf: [08:00:00 24/12/2015] dt: 900 id: D5W 250.0ml + 60mcgkgmin Neosynephrine-k IV Infusions el: 1 cu: CSRU cg: RN ai: 153 vo: 8 vu: ml t0: [17:00:00 23/12/2015] id: Chest Tubes Right Pleural 1 el: 1 cu: CSRU cg: RN vo: 10 vu: ml t0: [17:00:00 23/12/2015] tf: [18:00:00 23/12/2015] dt: 60 id: Chest Tubes Mediastinal el: 1 cu: CSRU cg: RN vo: 25 vu: ml
t0: [16:45:00 23/12/2015] id: Neosynephrine-k el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.5 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [16:45:00 23/12/2015] id: Propofol el: 1 cu: CSRU cg: RN so: N/A vo: 0 v1: 15 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [16:45:00 23/12/2015] id: Dopamine el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [17:00:00 23/12/2015] id: Neosynephrine-k el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.5 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [17:00:00 23/12/2015] id: Propofol el: 1 cu: CSRU cg: RN so: N/A vo: 0 v1: 15 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [17:00:00 23/12/2015] id: Dopamine el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0 du: mcgkgmin sv: 250 su: ml rt: IV Drip
t0: [17:58:00 23/12/2015] id: Art.pH ABG el: 0 cu: CSRU cg: 3161 v1: 7.27 rs: Final st: NotStopd t0: [17:58:00 23/12/2015] id: Lactic Acid Chemistry el: 0 cu: CSRU cg: 3161 v1: 2.9 rs: Final st: NotStopd t0: [17:58:00 23/12/2015] id: Arterial Base Excess ABG el: 0 cu: CSRU cg: 3161 v1: -3 rs: Final st: NotStopd t0: [17:58:00 23/12/2015] id: Arterial CO2(Calc) ABG el: 0 cu: CSRU cg: 3161 v1: 25 rs: Final st: NotStopd t0: [17:58:00 23/12/2015] id: Arterial PaCO2 ABG el: 0 cu: CSRU cg: 3161 v1: 52 u1: mmHg rs: Final st: NotStopd t0: [17:58:00 23/12/2015] id: Arterial PaO2 ABG el: 0 cu: CSRU cg: 3161 v1: 208 u1: mmHg rs: Final st: NotStopd t0: [17:58:00 23/12/2015] id: Arterial pH ABG el: 0 cu: CSRU cg: 3161 v1: 7.27 rs: Final st: NotStopd t0: [17:58:00 23/12/2015] id: Ionized Calcium Chemistry el: 0 cu: CSRU cg: 3161 v1: 1.15 rs: Final st: NotStopd t0: [17:58:00 23/12/2015] id: Lactic Acid(0.5-2.0) Chemistry el: 0 cu: CSRU cg: 3161 v1: 2.9 rs: Final st: NotStopd
t0: [17:00:00 23/12/2015] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Oral st: NotStopd t0: [17:00:00 23/12/2015] id: Temperature C (calc) el: 0 cu: CSRU cg: RN v1: 36.2222 u1: Deg. C st: NotStopd t0: [17:00:00 23/12/2015] id: Temperature F el: 0 cu: CSRU cg: RN v1: 97.2 u1: Deg. F st: NotStopd t0: [17:30:00 23/12/2015] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [17:30:00 23/12/2015] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [17:30:00 23/12/2015] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [17:30:00 23/12/2015] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [17:30:00 23/12/2015] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [17:30:00 23/12/2015] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 88 u1: BPM st: NotStopd t0: [17:30:00 23/12/2015] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [17:30:00 23/12/2015] id: PAP Mean el: 0 cu: CSRU cg: RN v1: 30 u1: mmHg st: NotStopd t0: [17:30:00 23/12/2015] id: PAP S/D el: 0 cu: CSRU cg: RN v1: 46 u1: mmHg v2: 21 u2: mmHg st: NotStopd t0: [17:30:00 23/12/2015] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 101 u1: mmHg v2: 58 u2: mmHg st: NotStopd t0: [17:30:00 23/12/2015] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 72 u1: mmHg st: NotStopd t0: [17:30:00 23/12/2015] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [17:30:00 23/12/2015] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 67.5 u1: kg st: NotStopd t0: [17:30:00 23/12/2015] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 25 u1: BPM st: NotStopd t0: [17:30:00 23/12/2015] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [18:00:00 23/12/2015] id: Less Restrict Meas. el: 0 cu: CSRU cg: RN v1: Medicated st: NotStopd t0: [18:00:00 23/12/2015] id: Range of Motion el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [18:00:00 23/12/2015] id: Circulation/SkinInt el: 0 cu: CSRU cg: RN v1: Circulation Adeq st: NotStopd t0: [18:00:00 23/12/2015] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [18:00:00 23/12/2015] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [18:00:00 23/12/2015] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [18:00:00 23/12/2015] id: Position Change el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [18:00:00 23/12/2015] id: Reason For Restraint el: 0 cu: CSRU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [18:00:00 23/12/2015] id: Removed x 5 Mins el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [18:00:00 23/12/2015] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 25 u1: BPM st: NotStopd t0: [18:00:00 23/12/2015] id: Restraint Location el: 0 cu: CSRU cg: RN v1: Both Arms st: NotStopd t0: [18:00:00 23/12/2015] id: Restraint Type el: 0 cu: CSRU cg: RN v1: Soft Limb st: NotStopd t0: [18:00:00 23/12/2015] id: Restraints Evaluated el: 0 cu: CSRU cg: RN v1: RestraintReapply st: NotStopd t0: [18:00:00 23/12/2015] id: Side Rails el: 0 cu: CSRU cg: RN v1: Side Rails Up st: NotStopd
t0: [18:00:00 23/12/2015] id: Lactated Ringers IV Infusions el: 1 cu: CSRU cg: RN ai: 109 vo: 80 vu: ml t0: [18:00:00 23/12/2015] id: D5W 250.0ml + 400mcgkgmin Dopamine IV Infusions el: 1 cu: CSRU cg: RN ai: 110 vo: 0 vu: ml t0: [18:00:00 23/12/2015] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 5.94 vu: ml t0: [18:00:00 23/12/2015] id: D5W 250.0ml + 60mcgkgmin Neosynephrine-k IV Infusions el: 1 cu: CSRU cg: RN ai: 153 vo: 8.25 vu: ml t0: [18:00:00 23/12/2015] id: Chest Tubes Right Pleural 1 el: 1 cu: CSRU cg: RN vo: 0 vu: ml t0: [18:00:00 23/12/2015] id: Chest Tubes Mediastinal el: 1 cu: CSRU cg: RN vo: 0 vu: ml
t0: [17:30:00 23/12/2015] id: Neosynephrine-k el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.5 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [17:30:00 23/12/2015] id: Propofol el: 1 cu: CSRU cg: RN so: N/A vo: 0 v1: 15 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [17:30:00 23/12/2015] id: Dopamine el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [18:00:00 23/12/2015] id: Neosynephrine-k el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.8 du: mcgkgmin sv: 250 su: ml rt: IV Drip
t0: [17:45:00 23/12/2015] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [17:45:00 23/12/2015] id: Cardiac Index el: 0 cu: CSRU cg: RN v1: 2.69006 u1: ... st: NotStopd t0: [17:45:00 23/12/2015] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [17:45:00 23/12/2015] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [17:45:00 23/12/2015] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [17:45:00 23/12/2015] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 88 u1: BPM st: NotStopd t0: [17:45:00 23/12/2015] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [17:45:00 23/12/2015] id: PAP Mean el: 0 cu: CSRU cg: RN v1: 30 u1: mmHg st: NotStopd t0: [17:45:00 23/12/2015] id: PAP S/D el: 0 cu: CSRU cg: RN v1: 46 u1: mmHg v2: 21 u2: mmHg st: NotStopd t0: [17:45:00 23/12/2015] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 100 u1: mmHg v2: 58 u2: mmHg st: NotStopd t0: [17:45:00 23/12/2015] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 72 u1: mmHg st: NotStopd t0: [17:45:00 23/12/2015] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [17:45:00 23/12/2015] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 67.5 u1: kg st: NotStopd t0: [17:45:00 23/12/2015] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 25 u1: BPM st: NotStopd t0: [17:45:00 23/12/2015] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [17:45:00 23/12/2015] id: Mixed Venous O2% Sat Blood Gases el: 0 cu: CSRU cg: RN v1: 65 rs: Manual st: NotStopd t0: [17:45:00 23/12/2015] id: SaO2 ABG's el: 0 cu: CSRU cg: RN v1: 100 u1: % rs: Manual st: NotStopd t0: [17:45:00 23/12/2015] id: C.O. (fick) el: 0 cu: CSRU cg: RN v1: 4.60361 u1: L/min st: NotStopd t0: [17:58:00 23/12/2015] id: CaO2 el: 0 cu: CSRU cg: RN v1: 13.9108 u1: ml/dl st: NotStopd t0: [17:58:00 23/12/2015] id: DO2I el: 0 cu: CSRU cg: RN v1: 376.6 u1: ml/m/m st: NotStopd t0: [18:00:00 23/12/2015] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [18:00:00 23/12/2015] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [18:00:00 23/12/2015] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [18:00:00 23/12/2015] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 87 u1: BPM st: NotStopd t0: [18:00:00 23/12/2015] id: PAP Mean el: 0 cu: CSRU cg: RN v1: 28 u1: mmHg st: NotStopd t0: [18:00:00 23/12/2015] id: PAP S/D el: 0 cu: CSRU cg: RN v1: 44 u1: mmHg v2: 20 u2: mmHg st: NotStopd t0: [18:00:00 23/12/2015] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 98 u1: mmHg v2: 58 u2: mmHg st: NotStopd t0: [18:00:00 23/12/2015] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 71 u1: mmHg st: NotStopd t0: [18:00:00 23/12/2015] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [18:00:00 23/12/2015] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 67.5 u1: kg st: NotStopd t0: [18:00:00 23/12/2015] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [18:00:00 23/12/2015] id: Lactated Ringers IV Infusions el: 2 cu: CSRU cg: RN ai: 155 vo: 250 vu: ml
t0: [17:45:00 23/12/2015] id: Neosynephrine-k el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.5 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [17:45:00 23/12/2015] id: Propofol el: 1 cu: CSRU cg: RN so: N/A vo: 0 v1: 15 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [17:45:00 23/12/2015] id: Dopamine el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [18:00:00 23/12/2015] id: Dopamine el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0 du: mcgkgmin sv: 250 su: ml rt: IV Drip
t0: [18:00:00 23/12/2015] id: Propofol el: 1 cu: CSRU cg: RN so: N/A vo: 0 v1: 20 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [18:30:00 23/12/2015] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [18:30:00 23/12/2015] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [18:30:00 23/12/2015] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [18:30:00 23/12/2015] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [18:30:00 23/12/2015] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 88 u1: BPM st: NotStopd t0: [18:30:00 23/12/2015] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [18:30:00 23/12/2015] id: PAP Mean el: 0 cu: CSRU cg: RN v1: 31 u1: mmHg st: NotStopd t0: [18:30:00 23/12/2015] id: PAP S/D el: 0 cu: CSRU cg: RN v1: 48 u1: mmHg v2: 23 u2: mmHg st: NotStopd t0: [18:30:00 23/12/2015] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 112 u1: mmHg v2: 67 u2: mmHg st: NotStopd t0: [18:30:00 23/12/2015] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 82 u1: mmHg st: NotStopd t0: [18:30:00 23/12/2015] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [18:30:00 23/12/2015] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 67.5 u1: kg st: NotStopd t0: [18:30:00 23/12/2015] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 25 u1: BPM st: NotStopd t0: [18:30:00 23/12/2015] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [18:30:00 23/12/2015] id: Neosynephrine-k el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.8 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [18:30:00 23/12/2015] id: Propofol el: 1 cu: CSRU cg: RN so: N/A vo: 0 v1: 20 du: mcgkgmin sv: 50 su: vl rt: IV Drip
tf: [11:00:00 14/02/2016] pt: Unit Dose rt: OU fr: PRN m1: Lacri-Lube Oint v1: 1 u1: Appl
t0: [19:00:00 23/12/2015] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [19:00:00 23/12/2015] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [19:00:00 23/12/2015] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [19:00:00 23/12/2015] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [19:00:00 23/12/2015] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [19:00:00 23/12/2015] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 88 u1: BPM st: NotStopd t0: [19:00:00 23/12/2015] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [19:00:00 23/12/2015] id: PAP Mean el: 0 cu: CSRU cg: RN v1: 24 u1: mmHg st: NotStopd t0: [19:00:00 23/12/2015] id: PAP S/D el: 0 cu: CSRU cg: RN v1: 41 u1: mmHg v2: 17 u2: mmHg st: NotStopd t0: [19:00:00 23/12/2015] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 101 u1: mmHg v2: 61 u2: mmHg st: NotStopd t0: [19:00:00 23/12/2015] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 75 u1: mmHg st: NotStopd t0: [19:00:00 23/12/2015] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [19:00:00 23/12/2015] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 67.5 u1: kg st: NotStopd t0: [19:00:00 23/12/2015] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 25 u1: BPM st: NotStopd t0: [19:00:00 23/12/2015] id: SpO2 el: 0 cu: CSRU cg: RN v1: 98 u1: % st: NotStopd t0: [19:00:00 23/12/2015] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [19:00:00 23/12/2015] id: Lactated Ringers IV Infusions el: 1 cu: CSRU cg: RN ai: 109 vo: 80 vu: ml t0: [19:00:00 23/12/2015] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 7.92 vu: ml t0: [19:00:00 23/12/2015] id: D5W 250.0ml + 60mcgkgmin Neosynephrine-k IV Infusions el: 1 cu: CSRU cg: RN ai: 153 vo: 13.2 vu: ml t0: [19:00:00 23/12/2015] id: Chest Tubes Right Pleural 1 el: 1 cu: CSRU cg: RN vo: 0 vu: ml t0: [19:00:00 23/12/2015] id: Chest Tubes Mediastinal el: 1 cu: CSRU cg: RN vo: 0 vu: ml
t0: [19:00:00 23/12/2015] id: Neosynephrine-k el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.8 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [19:00:00 23/12/2015] id: Propofol el: 1 cu: CSRU cg: RN so: N/A vo: 0 v1: 20 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [19:16:00 23/12/2015] id: Art.pH ABG el: 0 cu: CSRU cg: 3161 v1: 7.43 rs: Final st: NotStopd t0: [19:16:00 23/12/2015] id: Glucose Chemistry el: 0 cu: CSRU cg: 3161 v1: 83 rs: Final st: NotStopd t0: [19:16:00 23/12/2015] id: Potassium Chemistry el: 0 cu: CSRU cg: 3161 v1: 4.6 rs: Final st: NotStopd t0: [19:16:00 23/12/2015] id: Arterial Base Excess ABG el: 0 cu: CSRU cg: 3161 v1: 0 rs: Final st: NotStopd t0: [19:16:00 23/12/2015] id: Arterial CO2(Calc) ABG el: 0 cu: CSRU cg: 3161 v1: 24 rs: Final st: NotStopd t0: [19:16:00 23/12/2015] id: Arterial PaCO2 ABG el: 0 cu: CSRU cg: 3161 v1: 35 u1: mmHg rs: Final st: NotStopd t0: [19:16:00 23/12/2015] id: Arterial PaO2 ABG el: 0 cu: CSRU cg: 3161 v1: 258 u1: mmHg rs: Final st: NotStopd t0: [19:16:00 23/12/2015] id: Arterial pH ABG el: 0 cu: CSRU cg: 3161 v1: 7.43 rs: Final st: NotStopd t0: [19:16:00 23/12/2015] id: Glucose (70-105) Chemistry el: 0 cu: CSRU cg: 3161 v1: 83 rs: Final st: NotStopd t0: [19:16:00 23/12/2015] id: Potassium (3.5-5.3) Chemistry el: 0 cu: CSRU cg: 3161 v1: 4.6 rs: Final st: NotStopd
t0: [14:00:00 23/12/2015] id: Eye Opening el: 0 cu: CSRU cg: RN v1: 1 No Response st: NotStopd t0: [14:00:00 23/12/2015] id: GCS Total el: 0 cu: CSRU cg: RN v1: 3 u1: points st: NotStopd t0: [15:00:00 23/12/2015] id: Pain Management el: 1 cu: CSRU cg: RN v1: IV Push st: NotStopd t0: [18:00:00 23/12/2015] id: Pupil Response R/L el: 0 cu: CSRU cg: RN v1: Sluggish v2: Sluggish st: NotStopd t0: [18:00:00 23/12/2015] id: Pupil Size R/L el: 0 cu: CSRU cg: RN v1: 2 mm v2: 2 mm st: NotStopd t0: [18:00:00 23/12/2015] id: Sputum Color/Consist el: 0 cu: CSRU cg: RN v1: Tan v2: Thick st: NotStopd t0: [18:00:00 23/12/2015] id: Sputum Source/Amt el: 0 cu: CSRU cg: RN v1: Suctioned v2: Small st: NotStopd t0: [19:00:00 23/12/2015] id: Pain Management el: 1 cu: CSRU cg: RN v1: IV Push st: NotStopd
t0: [20:00:00 23/12/2015] id: High Resp. Rate el: 0 cu: CSRU cg: -1 st: D/C'd
tf: [07:00:00 25/12/2015] pt: IV Piggyback rt: IV DRIP fr: TITRATE TO m1: Fentanyl Citrate v1: 2500 u1: mcg m2: D5W v2: 250 u2: ml tf: [11:00:00 25/12/2015] pt: IV Piggyback rt: IV fr: Q12H fs: 11, 23 dn: 2 m1: Vancomycin HCl v1: 1000 u1: mg m2: Iso-Osmotic Dextrose v2: 200 u2: ml tf: [16:00:00 31/12/2015] pt: IV Piggyback rt: IV DRIP fr: TITRATE TO m1: Fentanyl Citrate v1: 2500 u1: mcg m2: Soln. v2: 50 u2: ml
t0: [20:00:00 23/12/2015] id: ETT Mark/Location el: 0 cu: CSRU cg: CRT v1: 23cm v2: Lip st: NotStopd t0: [20:00:00 23/12/2015] id: FIO2 Alarm-High el: 0 cu: CSRU cg: CRT v1: 70 u1: decFrc st: NotStopd t0: [20:00:00 23/12/2015] id: FIO2 Alarm-Low el: 0 cu: CSRU cg: CRT v1: 50 u1: decFrc st: NotStopd t0: [20:00:00 23/12/2015] id: FiO2 Set el: 0 cu: CSRU cg: CRT v1: 0.6 u1: torr st: NotStopd t0: [20:00:00 23/12/2015] id: % Inspir. Time el: 0 cu: CSRU cg: CRT v1: 33% st: NotStopd t0: [20:00:00 23/12/2015] id: High Insp. Pressure el: 0 cu: CSRU cg: CRT v1: 45 u1: cmH2O st: NotStopd t0: [20:00:00 23/12/2015] id: Airway Size el: 0 cu: CSRU cg: CRT v1: 7.5 mm st: NotStopd t0: [20:00:00 23/12/2015] id: Airway Type el: 0 cu: CSRU cg: CRT v1: Endotracheal st: NotStopd t0: [20:00:00 23/12/2015] id: Inspired Gas Temp el: 0 cu: CSRU cg: CRT u1: Deg. C st: NotStopd t0: [20:00:00 23/12/2015] id: Intubation Date el: 0 cu: CSRU cg: CRT v1: 12 v2: 23 st: NotStopd t0: [20:00:00 23/12/2015] id: Low Exhaled Min Vol el: 0 cu: CSRU cg: CRT v1: 7 st: NotStopd t0: [20:00:00 23/12/2015] id: Mean Airway Pressure el: 0 cu: CSRU cg: CRT v1: 15.1 u1: cmH2O st: NotStopd t0: [20:00:00 23/12/2015] id: Minute Volume(Obser) el: 0 cu: CSRU cg: CRT v1: 12.6 u1: L/min st: NotStopd t0: [20:00:00 23/12/2015] id: PCV Exh Vt (Obser) el: 0 cu: CSRU cg: CRT v1: 497 u1: ml/B st: NotStopd t0: [20:00:00 23/12/2015] id: PCV Insp Vt (Obser) el: 0 cu: CSRU cg: CRT v1: 511 u1: ml/B st: NotStopd t0: [20:00:00 23/12/2015] id: PCV Set Insp. Press el: 0 cu: CSRU cg: CRT v1: 30 u1: . st: NotStopd t0: [20:00:00 23/12/2015] id: PEEP Set el: 0 cu: CSRU cg: CRT v1: 5 u1: cmH2O st: NotStopd t0: [20:00:00 23/12/2015] id: Pause Time % el: 0 cu: CSRU cg: CRT v1: 0% st: NotStopd t0: [20:00:00 23/12/2015] id: Peak Insp. Pressure el: 0 cu: CSRU cg: CRT v1: 35 u1: cmH2O st: NotStopd t0: [20:00:00 23/12/2015] id: Plateau Pressure el: 0 cu: CSRU cg: CRT v1: 35 u1: cmH2O st: NotStopd t0: [20:00:00 23/12/2015] id: Plateau-Off el: 0 cu: CSRU cg: CRT v1: Yes st: NotStopd t0: [20:00:00 23/12/2015] id: Remote Alarm el: 0 cu: CSRU cg: CRT v1: No st: NotStopd t0: [20:00:00 23/12/2015] id: Resp Rate (Spont) el: 0 cu: CSRU cg: CRT v1: 1 u1: BPM st: NotStopd t0: [20:00:00 23/12/2015] id: Resp Rate (Total) el: 0 cu: CSRU cg: CRT v1: 26 u1: BPM st: NotStopd t0: [20:00:00 23/12/2015] id: Respiratory Rate Set el: 0 cu: CSRU cg: CRT v1: 25 u1: BPM st: NotStopd t0: [20:00:00 23/12/2015] id: Sensitivity-Vent el: 0 cu: CSRU cg: CRT v1: 2 u1: cmH2O st: NotStopd t0: [20:00:00 23/12/2015] id: SpO2 el: 0 cu: CSRU cg: CRT v1: 95 u1: % st: NotStopd t0: [20:00:00 23/12/2015] id: Tidal Volume (Obser) el: 0 cu: CSRU cg: CRT v1: 492 u1: ml/B st: NotStopd t0: [20:00:00 23/12/2015] id: Ventilator Mode el: 0 cu: CSRU cg: CRT v1: Pressure Control st: NotStopd t0: [20:00:00 23/12/2015] id: Waveform-Vent el: 0 cu: CSRU cg: CRT v1: SQUARE st: NotStopd t0: [20:00:00 23/12/2015] id: Working Pressure el: 0 cu: CSRU cg: CRT v1: 70 u1: cmH2O st: NotStopd
id: Fentanyl el: 100 cu: CSRU cg: RN io: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions am: 2500 du: mcghr rt: IV Drip
id: .9% Normal Saline el: 1 cu: CSRU cg: RN io: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions vo: 250 du: ml rt: Intravenous Push
t0: [21:54:00 23/12/2015] id: Glucose Chemistry el: 0 cu: CSRU cg: 3161 v1: 110 rs: Final st: NotStopd t0: [21:54:00 23/12/2015] id: Potassium Chemistry el: 0 cu: CSRU cg: 3161 v1: 4 rs: Final st: NotStopd t0: [21:54:00 23/12/2015] id: Arterial Base Excess ABG el: 0 cu: CSRU cg: 3161 v1: 0 rs: Final st: NotStopd t0: [21:54:00 23/12/2015] id: Arterial CO2(Calc) ABG el: 0 cu: CSRU cg: 3161 v1: 21 rs: Final st: NotStopd t0: [21:54:00 23/12/2015] id: Arterial PaCO2 ABG el: 0 cu: CSRU cg: 3161 v1: 28 u1: mmHg rs: Final st: NotStopd t0: [21:54:00 23/12/2015] id: Arterial PaO2 ABG el: 0 cu: CSRU cg: 3161 v1: 273 u1: mmHg rs: Final st: NotStopd t0: [21:54:00 23/12/2015] id: Glucose (70-105) Chemistry el: 0 cu: CSRU cg: 3161 v1: 110 rs: Final st: NotStopd t0: [21:54:00 23/12/2015] id: Potassium (3.5-5.3) Chemistry el: 0 cu: CSRU cg: 3161 v1: 4 rs: Final st: NotStopd
t0: [22:00:00 23/12/2015] id: PCV Exh Vt (Obser) el: 0 cu: CSRU cg: -1 st: D/C'd t0: [22:00:00 23/12/2015] id: PCV Insp Vt (Obser) el: 0 cu: CSRU cg: -1 st: D/C'd t0: [22:00:00 23/12/2015] id: PCV Set Insp. Press el: 0 cu: CSRU cg: -1 st: D/C'd t0: [22:00:00 23/12/2015] id: Remote Alarm el: 0 cu: CSRU cg: -1 st: D/C'd
t0: [19:30:00 23/12/2015] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [19:30:00 23/12/2015] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [19:30:00 23/12/2015] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [19:30:00 23/12/2015] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 88 u1: BPM st: NotStopd t0: [19:30:00 23/12/2015] id: PAP Mean el: 0 cu: CSRU cg: RN v1: 23 u1: mmHg st: NotStopd t0: [19:30:00 23/12/2015] id: PAP S/D el: 0 cu: CSRU cg: RN v1: 38 u1: mmHg v2: 16 u2: mmHg st: NotStopd t0: [19:30:00 23/12/2015] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 97 u1: mmHg v2: 58 u2: mmHg st: NotStopd t0: [19:30:00 23/12/2015] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 71 u1: mmHg st: NotStopd t0: [19:30:00 23/12/2015] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [19:30:00 23/12/2015] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 67.5 u1: kg st: NotStopd t0: [19:30:00 23/12/2015] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 26 u1: BPM st: NotStopd t0: [19:30:00 23/12/2015] id: SpO2 el: 0 cu: CSRU cg: RN v1: 92 u1: % st: NotStopd t0: [19:30:00 23/12/2015] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [20:00:00 23/12/2015] id: CT #2 Dressing el: 0 cu: CSRU cg: RN v1: Dry and Intact st: NotStopd t0: [20:00:00 23/12/2015] id: CT #2 Fluctuate/Leak el: 0 cu: CSRU cg: RN v1: Positive v2: Negative st: NotStopd t0: [20:00:00 23/12/2015] id: CT #2 Suction Amount el: 0 cu: CSRU cg: RN v1: 15 cm st: NotStopd t0: [20:00:00 23/12/2015] id: CT #3 Crepitus el: 0 cu: CSRU cg: RN v1: Negative st: NotStopd t0: [20:00:00 23/12/2015] id: Less Restrict Meas. el: 0 cu: CSRU cg: RN v1: Medicated st: NotStopd t0: [20:00:00 23/12/2015] id: Range of Motion el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [20:00:00 23/12/2015] id: CT #3 Drainage el: 0 cu: CSRU cg: RN v1: Serosanguinous st: NotStopd t0: [20:00:00 23/12/2015] id: CT #3 Dressing el: 0 cu: CSRU cg: RN v1: Dry and Intact st: NotStopd t0: [20:00:00 23/12/2015] id: CT #3 Fluctuate/Leak el: 0 cu: CSRU cg: RN v1: Positive v2: Negative st: NotStopd t0: [20:00:00 23/12/2015] id: CT #3 Suction Amount el: 0 cu: CSRU cg: RN v1: 15 cm st: NotStopd t0: [20:00:00 23/12/2015] id: Pain Assess Method el: 0 cu: CSRU cg: RN v1: Change in Vitals st: NotStopd t0: [20:00:00 23/12/2015] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [20:00:00 23/12/2015] id: Chest Tube Site #1 el: 0 cu: CSRU cg: RN v1: Left Anterior st: NotStopd t0: [20:00:00 23/12/2015] id: Chest Tube Site #2 el: 0 cu: CSRU cg: RN v1: Mediastinal st: NotStopd t0: [20:00:00 23/12/2015] id: Chest Tube Site #3 el: 0 cu: CSRU cg: RN v1: Right Anterior st: NotStopd t0: [20:00:00 23/12/2015] id: Circulation/SkinInt el: 0 cu: CSRU cg: RN v1: Circulation Adeq st: NotStopd t0: [20:00:00 23/12/2015] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [20:00:00 23/12/2015] id: Daily Wake Up el: 1 cu: CSRU cg: RN v1: No/O2 Issues st: NotStopd t0: [20:00:00 23/12/2015] id: GI Prophylaxis el: 0 cu: CSRU cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [20:00:00 23/12/2015] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [20:00:00 23/12/2015] id: Diet Type el: 0 cu: CSRU cg: RN v1: NPO st: NotStopd t0: [20:00:00 23/12/2015] id: Dorsal PedPulse R/L el: 0 cu: CSRU cg: RN v1: Doppler v2: Doppler st: NotStopd t0: [20:00:00 23/12/2015] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [20:00:00 23/12/2015] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [20:00:00 23/12/2015] id: Alarms el: 0 cu: CSRU cg: RN v1: ON st: NotStopd t0: [20:00:00 23/12/2015] id: Parameters Checked el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [20:00:00 23/12/2015] id: Edema Location/Amt#1 el: 0 cu: CSRU cg: RN v1: General v2: Anasarca st: NotStopd t0: [20:00:00 23/12/2015] id: Education Barrier el: 0 cu: CSRU cg: RN v1: Medicated st: NotStopd t0: [20:00:00 23/12/2015] id: Education Learner el: 0 cu: CSRU cg: RN v1: Patient/Sig Othr st: NotStopd t0: [20:00:00 23/12/2015] id: Education Method el: 0 cu: CSRU cg: RN v1: Explanation st: NotStopd t0: [20:00:00 23/12/2015] id: Education Readiness el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [20:00:00 23/12/2015] id: Education Response el: 0 cu: CSRU cg: RN v1: Reinforced st: NotStopd t0: [20:00:00 23/12/2015] id: Education Topic #1 el: 0 cu: CSRU cg: RN v1: ICU Environment st: NotStopd t0: [20:00:00 23/12/2015] id: Eye Opening el: 0 cu: CSRU cg: RN v1: 1 No Response st: NotStopd t0: [20:00:00 23/12/2015] id: Family Communication el: 0 cu: CSRU cg: RN v1: Fam Talked to RN st: NotStopd t0: [20:00:00 23/12/2015] id: GCS Total el: 0 cu: CSRU cg: RN v1: 3 u1: points st: NotStopd t0: [20:00:00 23/12/2015] id: GI Intub #1/Site el: 0 cu: CSRU cg: RN v1: Feeding/Peditube v2: Right Nare st: NotStopd t0: [20:00:00 23/12/2015] id: GI#1 Tube Stat/Drain el: 0 cu: CSRU cg: RN v1: Clamped st: NotStopd t0: [20:00:00 23/12/2015] id: GU Catheter Size el: 0 cu: CSRU cg: RN v1: 16 French st: NotStopd t0: [20:00:00 23/12/2015] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 89 u1: BPM st: NotStopd t0: [20:00:00 23/12/2015] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [20:00:00 23/12/2015] id: Height of Bed el: 0 cu: CSRU cg: RN v1: 15 degrees st: NotStopd t0: [20:00:00 23/12/2015] id: Abdominal Assessment el: 0 cu: CSRU cg: RN v1: Soft Distended st: NotStopd t0: [20:00:00 23/12/2015] id: Inc Drainage/Amt #1 el: 0 cu: CSRU cg: RN v1: Serous v2: Scant st: NotStopd t0: [20:00:00 23/12/2015] id: Inc Dsg/Status #1 el: 0 cu: CSRU cg: RN v1: Dry Sterile Dsg v2: Intact st: NotStopd t0: [20:00:00 23/12/2015] id: Inc Dsg/Status #2 el: 0 cu: CSRU cg: RN v1: Dry Sterile Dsg v2: Intact st: NotStopd t0: [20:00:00 23/12/2015] id: Incision/Wound #1 el: 0 cu: CSRU cg: RN v1: Sternum st: NotStopd t0: [20:00:00 23/12/2015] id: Incision/Wound #2 el: 0 cu: CSRU cg: RN v1: Mediastinal st: NotStopd t0: [20:00:00 23/12/2015] id: LLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Diminished st: NotStopd t0: [20:00:00 23/12/2015] id: Level of Conscious el: 0 cu: CSRU cg: RN v1: Sedated st: NotStopd t0: [20:00:00 23/12/2015] id: Motor Response el: 0 cu: CSRU cg: RN v1: 1 No Response st: NotStopd t0: [20:00:00 23/12/2015] id: Nursing Consultation el: 0 cu: CSRU cg: RN v1: C Surg RN st: NotStopd t0: [20:00:00 23/12/2015] id: Oral Cavity el: 0 cu: CSRU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [20:00:00 23/12/2015] id: Orientation el: 0 cu: CSRU cg: RN v1: Other/Remarks st: NotStopd t0: [20:00:00 23/12/2015] id: PAP Mean el: 0 cu: CSRU cg: RN v1: 30 u1: mmHg st: NotStopd t0: [20:00:00 23/12/2015] id: PAP S/D el: 0 cu: CSRU cg: RN v1: 47 u1: mmHg v2: 23 u2: mmHg st: NotStopd t0: [20:00:00 23/12/2015] id: Pacemaker Mode el: 0 cu: CSRU cg: RN v1: Pacer Turned Off st: NotStopd t0: [20:00:00 23/12/2015] id: Pacemaker Type el: 0 cu: CSRU cg: RN v1: Epicardial Wires st: NotStopd t0: [20:00:00 23/12/2015] id: Pacer Wire Condition el: 0 cu: CSRU cg: RN v1: Attached-pacer st: NotStopd t0: [20:00:00 23/12/2015] id: Pacer Wires Atrial el: 0 cu: CSRU cg: RN v1: 0 st: NotStopd t0: [20:00:00 23/12/2015] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 111 u1: mmHg v2: 67 u2: mmHg st: NotStopd t0: [20:00:00 23/12/2015] id: Pacer Wires Vent el: 0 cu: CSRU cg: RN v1: 2 st: NotStopd t0: [20:00:00 23/12/2015] id: Pain Management el: 1 cu: CSRU cg: RN v1: IV Gtt st: NotStopd t0: [20:00:00 23/12/2015] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 82 u1: mmHg st: NotStopd t0: [20:00:00 23/12/2015] id: Position Change el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [20:00:00 23/12/2015] id: PostTib. Pulses R/L el: 0 cu: CSRU cg: RN v1: Doppler v2: Doppler st: NotStopd t0: [20:00:00 23/12/2015] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [20:00:00 23/12/2015] id: Previous Weight el: 0 cu: CSRU cg: RN v1: 67.5 u1: kg st: NotStopd t0: [20:00:00 23/12/2015] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 67.5 u1: kg st: NotStopd t0: [20:00:00 23/12/2015] id: Pupil Response R/L el: 0 cu: CSRU cg: RN v1: Sluggish v2: Sluggish st: NotStopd t0: [20:00:00 23/12/2015] id: Pupil Size R/L el: 0 cu: CSRU cg: RN v1: 2 mm v2: 2 mm st: NotStopd t0: [20:00:00 23/12/2015] id: Reason For Restraint el: 0 cu: CSRU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [20:00:00 23/12/2015] id: Removed x 5 Mins el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [20:00:00 23/12/2015] id: Respiratory Pattern el: 0 cu: CSRU cg: RN v1: Regular st: NotStopd t0: [20:00:00 23/12/2015] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 28 u1: BPM st: NotStopd t0: [20:00:00 23/12/2015] id: Restraint Location el: 0 cu: CSRU cg: RN v1: Both Arms st: NotStopd t0: [20:00:00 23/12/2015] id: Restraint Type el: 0 cu: CSRU cg: RN v1: Soft Limb st: NotStopd t0: [20:00:00 23/12/2015] id: Restraints Evaluated el: 0 cu: CSRU cg: RN v1: Behavior Conts st: NotStopd t0: [20:00:00 23/12/2015] id: Side Rails el: 0 cu: CSRU cg: RN v1: Side Rails Up st: NotStopd t0: [20:00:00 23/12/2015] id: Skin Integrity el: 0 cu: CSRU cg: RN v1: Intact st: NotStopd t0: [20:00:00 23/12/2015] id: Sputum Color/Consist el: 0 cu: CSRU cg: RN v1: Tan v2: Thick st: NotStopd t0: [20:00:00 23/12/2015] id: Sputum Source/Amt el: 0 cu: CSRU cg: RN v1: Suctioned v2: Scant st: NotStopd t0: [20:00:00 23/12/2015] id: Support Systems el: 0 cu: CSRU cg: RN v1: Spouse st: NotStopd t0: [20:00:00 23/12/2015] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Axillary st: NotStopd t0: [20:00:00 23/12/2015] id: Temperature C (calc) el: 0 cu: CSRU cg: RN v1: 36 u1: Deg. C st: NotStopd t0: [20:00:00 23/12/2015] id: Temperature F el: 0 cu: CSRU cg: RN v1: 96.8 u1: Deg. F st: NotStopd t0: [20:00:00 23/12/2015] id: Urine Color/Appear el: 0 cu: CSRU cg: RN v1: Amber v2: Clear st: NotStopd t0: [20:00:00 23/12/2015] id: Urine Source el: 0 cu: CSRU cg: RN v1: Indwelling Cath st: NotStopd t0: [20:00:00 23/12/2015] id: Vent Sens/Capture el: 0 cu: CSRU cg: RN v1: Yes v2: Yes st: NotStopd t0: [20:00:00 23/12/2015] id: Verbal Response el: 0 cu: CSRU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [20:00:00 23/12/2015] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [20:00:00 23/12/2015] id: Behavior el: 0 cu: CSRU cg: RN v1: Sedated st: NotStopd t0: [20:00:00 23/12/2015] id: Bowel Sounds el: 0 cu: CSRU cg: RN v1: Absent st: NotStopd t0: [20:00:00 23/12/2015] id: Braden Activity el: 0 cu: CSRU cg: RN v1: Bedfast st: NotStopd t0: [20:00:00 23/12/2015] id: Braden Frict/Shear el: 0 cu: CSRU cg: RN v1: No Apparent Prob st: NotStopd t0: [20:00:00 23/12/2015] id: Braden Mobility el: 0 cu: CSRU cg: RN v1: Very Limited st: NotStopd t0: [20:00:00 23/12/2015] id: Braden Moisture el: 0 cu: CSRU cg: RN v1: Occ. Moist st: NotStopd t0: [20:00:00 23/12/2015] id: Braden Nutrition el: 0 cu: CSRU cg: RN v1: Prob. Inadequate st: NotStopd t0: [20:00:00 23/12/2015] id: Braden Score el: 0 cu: CSRU cg: RN v1: 13 u1: number st: NotStopd t0: [20:00:00 23/12/2015] id: Braden SensoryPercep el: 0 cu: CSRU cg: RN v1: Very Limited st: NotStopd t0: [20:00:00 23/12/2015] id: CT #1 Crepitus el: 0 cu: CSRU cg: RN v1: Negative st: NotStopd t0: [20:00:00 23/12/2015] id: CT #1 Drainage el: 0 cu: CSRU cg: RN v1: Serosanguinous st: NotStopd t0: [20:00:00 23/12/2015] id: CT #1 Dressing el: 0 cu: CSRU cg: RN v1: Dry and Intact st: NotStopd t0: [20:00:00 23/12/2015] id: CT #1 Fluctuate/Leak el: 0 cu: CSRU cg: RN v1: Positive v2: Negative st: NotStopd t0: [20:00:00 23/12/2015] id: CT #1 Suction Amount el: 0 cu: CSRU cg: RN v1: 15 cm st: NotStopd t0: [20:00:00 23/12/2015] id: CT #2 Crepitus el: 0 cu: CSRU cg: RN v1: Negative st: NotStopd t0: [20:00:00 23/12/2015] id: CT #2 Drainage el: 0 cu: CSRU cg: RN v1: Serosanguinous st: NotStopd t0: [20:30:00 23/12/2015] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [20:30:00 23/12/2015] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [20:30:00 23/12/2015] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [20:30:00 23/12/2015] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 89 u1: BPM st: NotStopd t0: [20:30:00 23/12/2015] id: PAP Mean el: 0 cu: CSRU cg: RN v1: 29 u1: mmHg st: NotStopd t0: [20:30:00 23/12/2015] id: PAP S/D el: 0 cu: CSRU cg: RN v1: 42 u1: mmHg v2: 22 u2: mmHg st: NotStopd t0: [20:30:00 23/12/2015] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 103 u1: mmHg v2: 60 u2: mmHg st: NotStopd t0: [20:30:00 23/12/2015] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 74 u1: mmHg st: NotStopd t0: [20:30:00 23/12/2015] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [20:30:00 23/12/2015] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 67.5 u1: kg st: NotStopd t0: [20:30:00 23/12/2015] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 26 u1: BPM st: NotStopd t0: [20:30:00 23/12/2015] id: SpO2 el: 0 cu: CSRU cg: RN v1: 100 u1: % st: NotStopd t0: [20:30:00 23/12/2015] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [21:00:00 23/12/2015] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [21:00:00 23/12/2015] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [21:00:00 23/12/2015] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [21:00:00 23/12/2015] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [21:00:00 23/12/2015] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [21:00:00 23/12/2015] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 91 u1: BPM st: NotStopd t0: [21:00:00 23/12/2015] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [21:00:00 23/12/2015] id: PAP Mean el: 0 cu: CSRU cg: RN v1: 28 u1: mmHg st: NotStopd t0: [21:00:00 23/12/2015] id: PAP S/D el: 0 cu: CSRU cg: RN v1: 42 u1: mmHg v2: 20 u2: mmHg st: NotStopd t0: [21:00:00 23/12/2015] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 97 u1: mmHg v2: 56 u2: mmHg st: NotStopd t0: [21:00:00 23/12/2015] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 69 u1: mmHg st: NotStopd t0: [21:00:00 23/12/2015] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [21:00:00 23/12/2015] id: Previous Weight el: 0 cu: CSRU cg: RN v1: 67.5 u1: kg st: NotStopd t0: [21:00:00 23/12/2015] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 67.5 u1: kg st: NotStopd t0: [21:00:00 23/12/2015] id: SpO2 el: 0 cu: CSRU cg: RN v1: 100 u1: % st: NotStopd t0: [21:00:00 23/12/2015] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [22:00:00 23/12/2015] id: Less Restrict Meas. el: 0 cu: CSRU cg: RN v1: Medicated st: NotStopd t0: [22:00:00 23/12/2015] id: Range of Motion el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [22:00:00 23/12/2015] id: Circulation/SkinInt el: 0 cu: CSRU cg: RN v1: Circulation Adeq st: NotStopd t0: [22:00:00 23/12/2015] id: Education Barrier el: 0 cu: CSRU cg: RN v1: Medicated st: NotStopd t0: [22:00:00 23/12/2015] id: Education Learner el: 0 cu: CSRU cg: RN v1: Patient st: NotStopd t0: [22:00:00 23/12/2015] id: Education Method el: 0 cu: CSRU cg: RN v1: Explanation st: NotStopd t0: [22:00:00 23/12/2015] id: Education Readiness el: 0 cu: CSRU cg: RN v1: No st: NotStopd t0: [22:00:00 23/12/2015] id: Education Response el: 0 cu: CSRU cg: RN v1: Reinforced st: NotStopd t0: [22:00:00 23/12/2015] id: Education Topic #1 el: 0 cu: CSRU cg: RN v1: Plan of Care st: NotStopd t0: [22:00:00 23/12/2015] id: Incision/Wound #1 el: 0 cu: CSRU cg: RN v1: Sternum st: NotStopd t0: [22:00:00 23/12/2015] id: Incision/Wound #2 el: 0 cu: CSRU cg: RN v1: Mediastinal st: NotStopd t0: [22:00:00 23/12/2015] id: Nursing Consultation el: 0 cu: CSRU cg: RN v1: C Surg RN st: NotStopd t0: [22:00:00 23/12/2015] id: Position Change el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [22:00:00 23/12/2015] id: Reason For Restraint el: 0 cu: CSRU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [22:00:00 23/12/2015] id: Removed x 5 Mins el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [22:00:00 23/12/2015] id: Restraint Location el: 0 cu: CSRU cg: RN v1: Both Arms st: NotStopd t0: [22:00:00 23/12/2015] id: Restraint Type el: 0 cu: CSRU cg: RN v1: Soft Limb st: NotStopd t0: [22:00:00 23/12/2015] id: Restraints Evaluated el: 0 cu: CSRU cg: RN v1: RestraintReapply st: NotStopd t0: [22:00:00 23/12/2015] id: Side Rails el: 0 cu: CSRU cg: RN v1: Side Rails Up st: NotStopd
t0: [20:00:00 23/12/2015] id: Lactated Ringers IV Infusions el: 1 cu: CSRU cg: RN ai: 109 vo: 80 vu: ml t0: [20:00:00 23/12/2015] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 9.9 vu: ml t0: [20:00:00 23/12/2015] id: D5W 250.0ml + 60mcgkgmin Neosynephrine-k IV Infusions el: 1 cu: CSRU cg: RN ai: 153 vo: 14.85 vu: ml t0: [20:00:00 23/12/2015] tf: [21:00:00 23/12/2015] dt: 60 id: Chest Tubes Right Pleural 1 el: 1 cu: CSRU cg: RN vo: 10 vu: ml t0: [20:00:00 23/12/2015] tf: [21:00:00 23/12/2015] dt: 60 id: Chest Tubes Mediastinal el: 1 cu: CSRU cg: RN vo: 30 vu: ml t0: [21:00:00 23/12/2015] id: Lactated Ringers IV Infusions el: 1 cu: CSRU cg: RN ai: 109 vo: 80 vu: ml t0: [21:00:00 23/12/2015] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 15.84 vu: ml t0: [21:00:00 23/12/2015] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 5 vu: ml t0: [21:00:00 23/12/2015] id: Chest Tubes Right Pleural 1 el: 1 cu: CSRU cg: RN vo: 0 vu: ml t0: [21:00:00 23/12/2015] id: Chest Tubes Mediastinal el: 1 cu: CSRU cg: RN vo: 0 vu: ml t0: [22:00:00 23/12/2015] id: Lactated Ringers IV Infusions el: 1 cu: CSRU cg: RN ai: 109 vo: 80 vu: ml t0: [22:00:00 23/12/2015] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 15.84 vu: ml t0: [22:00:00 23/12/2015] id: D5W 250.0ml + 60mcgkgmin Neosynephrine-k IV Infusions el: 1 cu: CSRU cg: RN ai: 153 vo: 24.75 vu: ml t0: [22:00:00 23/12/2015] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 5 vu: ml t0: [22:00:00 23/12/2015] id: Chest Tubes Right Pleural 1 el: 1 cu: CSRU cg: RN vo: 0 vu: ml t0: [22:00:00 23/12/2015] id: Chest Tubes Mediastinal el: 1 cu: CSRU cg: RN vo: 0 vu: ml
t0: [19:30:00 23/12/2015] id: Neosynephrine-k el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 1 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [19:30:00 23/12/2015] id: Propofol el: 1 cu: CSRU cg: RN so: N/A vo: 0 v1: 30 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [20:00:00 23/12/2015] tf: [09:53:00 12/01/2016] dt: 28193 id: Fentanyl el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 50 su: ml rt: IV Drip t0: [20:00:00 23/12/2015] id: Neosynephrine-k el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 1.3 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [20:00:00 23/12/2015] id: Propofol el: 1 cu: CSRU cg: RN so: N/A vo: 0 v1: 40 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [20:30:00 23/12/2015] id: Fentanyl el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 50 su: ml rt: IV Drip t0: [20:30:00 23/12/2015] id: Neosynephrine-k el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 1.3 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [20:30:00 23/12/2015] id: Propofol el: 1 cu: CSRU cg: RN so: N/A vo: 0 v1: 40 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [21:00:00 23/12/2015] id: Fentanyl el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 50 su: ml rt: IV Drip t0: [21:00:00 23/12/2015] id: Neosynephrine-k el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 1.5 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [21:00:00 23/12/2015] id: Propofol el: 1 cu: CSRU cg: RN so: N/A vo: 0 v1: 40 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [23:00:00 23/12/2015] dt: 24 id: PO/Gastric In Total el: 3 cu: CSRU cg: RN cv: 20 ap: none
t0: [20:00:00 23/12/2015] id: Ventilator Type el: 0 cu: CSRU cg: CRT v1: Servo 900c st: NotStopd t0: [22:00:00 23/12/2015] id: ETT Mark/Location el: 0 cu: CSRU cg: CRT v1: 23cm v2: Lip st: NotStopd t0: [22:00:00 23/12/2015] id: Airway Size el: 0 cu: CSRU cg: CRT v1: 7.5 mm st: NotStopd t0: [22:00:00 23/12/2015] id: Airway Type el: 0 cu: CSRU cg: CRT v1: Endotracheal st: NotStopd t0: [22:00:00 23/12/2015] id: Intubation Date el: 0 cu: CSRU cg: CRT v1: 12 v2: 23 st: NotStopd t0: [22:00:00 23/12/2015] id: SpO2 el: 0 cu: CSRU cg: CRT v1: 93 u1: % st: NotStopd
t0: [22:00:00 23/12/2015] id: Compliance (40-60ml) el: 0 cu: CSRU cg: CRT v1: 15.1515 u1: ml/cmH st: NotStopd t0: [22:00:00 23/12/2015] id: FiO2 Set el: 0 cu: CSRU cg: CRT v1: 0.5 u1: torr st: NotStopd t0: [22:00:00 23/12/2015] id: % Inspir. Time el: 0 cu: CSRU cg: CRT v1: 33% st: NotStopd t0: [22:00:00 23/12/2015] id: High Insp. Pressure el: 0 cu: CSRU cg: CRT v1: 50 u1: cmH2O st: NotStopd t0: [22:00:00 23/12/2015] id: Inspired Gas Temp el: 0 cu: CSRU cg: CRT u1: Deg. C st: NotStopd t0: [22:00:00 23/12/2015] id: Low Exhaled Min Vol el: 0 cu: CSRU cg: CRT v1: 5 st: NotStopd t0: [22:00:00 23/12/2015] id: Mean Airway Pressure el: 0 cu: CSRU cg: CRT v1: 10.6 u1: cmH2O st: NotStopd t0: [22:00:00 23/12/2015] id: Minute Volume (Set) el: 0 cu: CSRU cg: CRT v1: 10 u1: L/min st: NotStopd t0: [22:00:00 23/12/2015] id: Minute Volume(Obser) el: 0 cu: CSRU cg: CRT v1: 5.9 u1: L/min st: NotStopd t0: [22:00:00 23/12/2015] id: PEEP Set el: 0 cu: CSRU cg: CRT v1: 5 u1: cmH2O st: NotStopd t0: [22:00:00 23/12/2015] id: Pause Time % el: 0 cu: CSRU cg: CRT v1: 0% st: NotStopd t0: [22:00:00 23/12/2015] id: Peak Flow (Calc) el: 0 cu: CSRU cg: CRT v1: 30.303 u1: lpm st: NotStopd t0: [22:00:00 23/12/2015] id: Peak Insp. Pressure el: 0 cu: CSRU cg: CRT v1: 38 u1: cmH2O st: NotStopd t0: [22:00:00 23/12/2015] id: Plateau Pressure el: 0 cu: CSRU cg: CRT v1: 34 u1: cmH2O st: NotStopd t0: [22:00:00 23/12/2015] id: Plateau-Off el: 0 cu: CSRU cg: CRT v1: Yes st: NotStopd t0: [22:00:00 23/12/2015] id: Pressure Support el: 0 cu: CSRU cg: CRT v1: 5 u1: . st: NotStopd t0: [22:00:00 23/12/2015] id: Resp Rate (Spont) el: 0 cu: CSRU cg: CRT v1: 0 u1: BPM st: NotStopd t0: [22:00:00 23/12/2015] id: Resp Rate (Total) el: 0 cu: CSRU cg: CRT v1: 12 u1: BPM st: NotStopd t0: [22:00:00 23/12/2015] id: Respiratory Rate Set el: 0 cu: CSRU cg: CRT v1: 12 u1: BPM st: NotStopd t0: [22:00:00 23/12/2015] id: Sensitivity-Vent el: 0 cu: CSRU cg: CRT v1: 2 u1: cmH2O st: NotStopd t0: [22:00:00 23/12/2015] id: Tidal Volume (Obser) el: 0 cu: CSRU cg: CRT v1: 500 u1: ml/B st: NotStopd t0: [22:00:00 23/12/2015] id: Tidal Volume (Set) el: 0 cu: CSRU cg: CRT v1: 500 u1: ml/B st: NotStopd t0: [22:00:00 23/12/2015] id: Ventilator Mode el: 0 cu: CSRU cg: CRT v1: SIMV+PS st: NotStopd t0: [22:00:00 23/12/2015] id: Ventilator No. el: 0 cu: CSRU cg: CRT v1: 7 u1: # st: NotStopd t0: [22:00:00 23/12/2015] id: Ventilator Type el: 0 cu: CSRU cg: CRT v1: Servo 900c st: NotStopd t0: [22:00:00 23/12/2015] id: Waveform-Vent el: 0 cu: CSRU cg: CRT v1: SQUARE st: NotStopd t0: [22:00:00 23/12/2015] id: Working Pressure el: 0 cu: CSRU cg: CRT v1: 65 u1: cmH2O st: NotStopd
t0: [20:00:00 23/12/2015] id: LUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [20:00:00 23/12/2015] id: RLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Absent st: NotStopd t0: [20:00:00 23/12/2015] id: RUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Absent st: NotStopd t0: [22:00:00 23/12/2015] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [22:00:00 23/12/2015] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [22:00:00 23/12/2015] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [22:00:00 23/12/2015] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [22:00:00 23/12/2015] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [22:00:00 23/12/2015] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 91 u1: BPM st: NotStopd t0: [22:00:00 23/12/2015] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [22:00:00 23/12/2015] id: PAP Mean el: 0 cu: CSRU cg: RN v1: 26 u1: mmHg st: NotStopd t0: [22:00:00 23/12/2015] id: PAP S/D el: 0 cu: CSRU cg: RN v1: 42 u1: mmHg v2: 18 u2: mmHg st: NotStopd t0: [22:00:00 23/12/2015] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 101 u1: mmHg v2: 61 u2: mmHg st: NotStopd t0: [22:00:00 23/12/2015] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 75 u1: mmHg st: NotStopd t0: [22:00:00 23/12/2015] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [22:00:00 23/12/2015] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 67.5 u1: kg st: NotStopd t0: [22:00:00 23/12/2015] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [23:00:00 23/12/2015] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [23:00:00 23/12/2015] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [23:00:00 23/12/2015] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [23:00:00 23/12/2015] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [23:00:00 23/12/2015] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [23:00:00 23/12/2015] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 88 u1: BPM st: NotStopd t0: [23:00:00 23/12/2015] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [23:00:00 23/12/2015] id: PAP Mean el: 0 cu: CSRU cg: RN v1: 28 u1: mmHg st: NotStopd t0: [23:00:00 23/12/2015] id: PAP S/D el: 0 cu: CSRU cg: RN v1: 45 u1: mmHg v2: 19 u2: mmHg st: NotStopd t0: [23:00:00 23/12/2015] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 62 u1: mmHg st: NotStopd t0: [23:00:00 23/12/2015] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [23:00:00 23/12/2015] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 67.5 u1: kg st: NotStopd t0: [23:00:00 23/12/2015] id: SpO2 el: 0 cu: CSRU cg: RN v1: 99 u1: % st: NotStopd t0: [23:00:00 23/12/2015] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [22:00:00 23/12/2015] id: Fentanyl el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 50 su: ml rt: IV Drip t0: [22:00:00 23/12/2015] id: Neosynephrine-k el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 1.5 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [22:00:00 23/12/2015] id: Propofol el: 1 cu: CSRU cg: RN so: N/A vo: 0 v1: 40 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [23:00:00 23/12/2015] id: Fentanyl el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 50 su: ml rt: IV Drip t0: [23:00:00 23/12/2015] id: Propofol el: 1 cu: CSRU cg: RN so: N/A vo: 0 v1: 40 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [22:55:00 23/12/2015] id: Art.pH ABG el: 0 cu: CSRU cg: 3161 v1: 7.36 rs: Final st: NotStopd t0: [22:55:00 23/12/2015] id: Glucose Chemistry el: 0 cu: CSRU cg: 3161 v1: 95 rs: Final st: NotStopd t0: [22:55:00 23/12/2015] id: Potassium Chemistry el: 0 cu: CSRU cg: 3161 v1: 4.5 rs: Final st: NotStopd t0: [22:55:00 23/12/2015] id: Arterial Base Excess ABG el: 0 cu: CSRU cg: 3161 v1: -1 rs: Final st: NotStopd t0: [22:55:00 23/12/2015] id: Arterial CO2(Calc) ABG el: 0 cu: CSRU cg: 3161 v1: 25 rs: Final st: NotStopd t0: [22:55:00 23/12/2015] id: Arterial PaCO2 ABG el: 0 cu: CSRU cg: 3161 v1: 43 u1: mmHg rs: Final st: NotStopd t0: [22:55:00 23/12/2015] id: Arterial PaO2 ABG el: 0 cu: CSRU cg: 3161 v1: 198 u1: mmHg rs: Final st: NotStopd t0: [22:55:00 23/12/2015] id: Arterial pH ABG el: 0 cu: CSRU cg: 3161 v1: 7.36 rs: Final st: NotStopd t0: [22:55:00 23/12/2015] id: Glucose (70-105) Chemistry el: 0 cu: CSRU cg: 3161 v1: 95 rs: Final st: NotStopd t0: [22:55:00 23/12/2015] id: Potassium (3.5-5.3) Chemistry el: 0 cu: CSRU cg: 3161 v1: 4.5 rs: Final st: NotStopd
t0: [20:00:00 23/12/2015] id: Eye Care el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [20:00:00 23/12/2015] id: HOB el: 0 cu: CSRU cg: RN v1: 15 degrees st: NotStopd t0: [20:00:00 23/12/2015] id: INV Line#1 Type/Site el: 0 cu: CSRU cg: RN v1: Multi-lumen v2: Right IJ st: NotStopd t0: [20:00:00 23/12/2015] id: INV Line#1InsertDate el: 0 cu: CSRU cg: RN v2: ? st: NotStopd t0: [20:00:00 23/12/2015] id: INV Line#1SiteAppear el: 0 cu: CSRU cg: RN v1: Redness st: NotStopd t0: [20:00:00 23/12/2015] id: INV Line#2 Type/Site el: 0 cu: CSRU cg: RN v1: PA line v2: Right Femoral st: NotStopd t0: [20:00:00 23/12/2015] id: INV Line#2 Zero/Cal el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [20:00:00 23/12/2015] id: INV Line#2InsertDate el: 0 cu: CSRU cg: RN v1: 12 v2: 22 st: NotStopd t0: [20:00:00 23/12/2015] id: INV Line#2SiteAppear el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [20:00:00 23/12/2015] id: INV Line#3 Type/Site el: 0 cu: CSRU cg: RN v1: A-Line v2: Right Femoral st: NotStopd t0: [20:00:00 23/12/2015] id: INV Line#3 Zero/Cal el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [20:00:00 23/12/2015] id: INV Line#3InsertDate el: 0 cu: CSRU cg: RN v1: 12 v2: 22 st: NotStopd t0: [20:00:00 23/12/2015] id: INV Line#3SiteAppear el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [20:00:00 23/12/2015] id: INV#2 WaveformAppear el: 0 cu: CSRU cg: RN v1: Sharp st: NotStopd t0: [20:00:00 23/12/2015] id: INV#3 WaveformAppear el: 0 cu: CSRU cg: RN v1: Sharp st: NotStopd t0: [20:00:00 23/12/2015] id: IV #1 Insert Date el: 0 cu: CSRU cg: RN v1: 12 v2: 24 st: NotStopd t0: [20:00:00 23/12/2015] id: IV #1 Site/Size el: 0 cu: CSRU cg: RN v1: Left Antecub v2: 14 gauge st: NotStopd t0: [20:00:00 23/12/2015] id: Activity el: 0 cu: CSRU cg: RN v1: Bedrest st: NotStopd t0: [20:00:00 23/12/2015] id: IV Site Appear #1 el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [20:00:00 23/12/2015] id: Activity Tolerance el: 0 cu: CSRU cg: RN v1: Tolerated Well st: NotStopd t0: [20:00:00 23/12/2015] id: LLE Temp/Color el: 0 cu: CSRU cg: RN v1: Cool v2: Normal st: NotStopd t0: [20:00:00 23/12/2015] id: LUE Temp/Color el: 0 cu: CSRU cg: RN v1: Cool v2: Dusky st: NotStopd t0: [20:00:00 23/12/2015] id: Oral Care el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [20:00:00 23/12/2015] id: AntiEmbDevice/Status el: 0 cu: CSRU cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [20:00:00 23/12/2015] id: Position el: 0 cu: CSRU cg: RN v1: Supine st: NotStopd t0: [20:00:00 23/12/2015] id: Assistance Device el: 0 cu: CSRU cg: RN v1: 2 Person Assist st: NotStopd t0: [20:00:00 23/12/2015] id: PressureReduceDevice el: 0 cu: CSRU cg: RN v1: Waffles st: NotStopd t0: [20:00:00 23/12/2015] id: RLE Temp/Color el: 0 cu: CSRU cg: RN v1: Cool v2: Dusky st: NotStopd t0: [20:00:00 23/12/2015] id: RUE Temp/Color el: 0 cu: CSRU cg: RN v1: Cool v2: Dusky st: NotStopd t0: [20:00:00 23/12/2015] id: Turn el: 0 cu: CSRU cg: RN v1: Side to Side st: NotStopd t0: [21:00:00 23/12/2015] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 26 u1: BPM st: NotStopd t0: [21:54:00 23/12/2015] id: Art.pH ABG el: 0 cu: CSRU cg: RN v1: 7.48 rs: Final st: NotStopd t0: [21:54:00 23/12/2015] id: ETT Mark/Location el: 0 cu: CSRU cg: RN v1: 23cm v2: Lip st: NotStopd t0: [21:54:00 23/12/2015] id: Airway Size el: 0 cu: CSRU cg: RN v1: 7.5 mm st: NotStopd t0: [21:54:00 23/12/2015] id: Airway Type el: 0 cu: CSRU cg: RN v1: Endotracheal st: NotStopd t0: [21:54:00 23/12/2015] id: Intubation Date el: 0 cu: CSRU cg: RN v1: 12 v2: 23 st: NotStopd t0: [21:54:00 23/12/2015] id: SpO2 el: 0 cu: CSRU cg: RN v1: 92 u1: % st: NotStopd t0: [21:54:00 23/12/2015] id: Ventilator Type el: 0 cu: CSRU cg: RN v1: Servo 900c st: NotStopd t0: [21:54:00 23/12/2015] id: Arterial pH ABG el: 0 cu: CSRU cg: RN v1: 7.48 rs: Final st: NotStopd t0: [22:00:00 23/12/2015] id: ETT Position Change el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [22:00:00 23/12/2015] id: HOB el: 0 cu: CSRU cg: RN v1: 15 degrees st: NotStopd t0: [22:00:00 23/12/2015] id: Activity el: 0 cu: CSRU cg: RN v1: Bedrest st: NotStopd t0: [22:00:00 23/12/2015] id: Activity Tolerance el: 0 cu: CSRU cg: RN v1: Tolerated Well st: NotStopd t0: [22:00:00 23/12/2015] id: AntiEmbDevice/Status el: 0 cu: CSRU cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [22:00:00 23/12/2015] id: Assistance Device el: 0 cu: CSRU cg: RN v1: 2 Person Assist st: NotStopd t0: [22:00:00 23/12/2015] id: PressureReduceDevice el: 0 cu: CSRU cg: RN v1: Waffles st: NotStopd t0: [22:00:00 23/12/2015] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 12 u1: BPM st: NotStopd t0: [22:00:00 23/12/2015] id: Turn el: 0 cu: CSRU cg: RN v1: Side to Side st: NotStopd t0: [23:00:00 23/12/2015] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 88 u1: mmHg v2: 49 u2: mmHg st: NotStopd t0: [23:00:00 23/12/2015] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 12 u1: BPM st: NotStopd
t0: [23:00:00 23/12/2015] id: Lactated Ringers IV Infusions el: 1 cu: CSRU cg: RN ai: 109 vo: 80 vu: ml t0: [23:00:00 23/12/2015] id: D5W 250.0ml + 60mcgkgmin Neosynephrine-k IV Infusions el: 1 cu: CSRU cg: RN ai: 153 vo: 24.75 vu: ml t0: [23:00:00 23/12/2015] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 5 vu: ml t0: [23:00:00 23/12/2015] tf: [01:00:00 24/12/2015] dt: 120 id: Chest Tubes Right Pleural 1 el: 1 cu: CSRU cg: RN vo: 15 vu: ml t0: [23:00:00 23/12/2015] tf: [01:00:00 24/12/2015] dt: 120 id: Chest Tubes Mediastinal el: 1 cu: CSRU cg: RN vo: 5 vu: ml
t0: [23:00:00 23/12/2015] id: Neosynephrine-k el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 1.75 du: mcgkgmin sv: 250 su: ml rt: IV Drip
t0: [23:00:00 23/12/2015] dt: 1 id: Total Hourly Output el: 3 cu: CSRU cg: RN pv: 120 cv: 120 ap: none t0: [23:00:00 23/12/2015] dt: 24 id: Urine Out Total el: 3 cu: CSRU cg: RN pv: 50 cv: 381 ap: none t0: [23:00:00 23/12/2015] dt: 24 id: 24h Total Out el: 3 cu: CSRU cg: RN pv: 120 cv: 901 ap: none t0: [23:00:00 23/12/2015] dt: 24 id: Chest Tube Out Total el: 3 cu: CSRU cg: RN pv: 70 cv: 520 ap: none
t0: [20:00:00 23/12/2015] tf: [09:53:00 12/01/2016] dt: 28193 id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 5 vu: ml nb: 1 t0: [21:00:00 23/12/2015] id: D5W 250.0ml + 60mcgkgmin Neosynephrine-k IV Infusions el: 1 cu: CSRU cg: RN ai: 153 vo: 21.45 vu: ml nb: 1 t0: [23:00:00 23/12/2015] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 15.84 vu: ml nb: 1
t0: [23:00:00 23/12/2015] dt: 1 id: Net Hourly Balance el: 3 cu: CSRU cg: RN pv: 5.59 cv: 5.59 ap: none t0: [23:00:00 23/12/2015] dt: 24 id: IV Infusion In Total el: 3 cu: CSRU cg: RN pv: 125.59 cv: 4713.79 ap: none t0: [23:00:00 23/12/2015] dt: 24 id: 24h Total In el: 3 cu: CSRU cg: RN pv: 125.59 cv: 7373.79 ap: none t0: [23:00:00 23/12/2015] dt: 24 id: 24h Net Body Balance el: 3 cu: CSRU cg: RN pv: 5.59 cv: 6472.79 ap: none t0: [23:00:00 23/12/2015] dt: multiple days id: LOS Net Body Balance el: 3 cu: CSRU cg: RN pv: 5.59 cv: 7342.75 ap: carryForward
t0: [00:00:00 24/12/2015] id: Compliance (40-60ml) el: 0 cu: CSRU cg: CRT v1: 15.1515 u1: ml/cmH st: NotStopd t0: [00:00:00 24/12/2015] id: ETT Mark/Location el: 0 cu: CSRU cg: CRT v1: 23cm v2: Lip st: NotStopd t0: [00:00:00 24/12/2015] id: FiO2 Set el: 0 cu: CSRU cg: CRT v1: 0.5 u1: torr st: NotStopd t0: [00:00:00 24/12/2015] id: % Inspir. Time el: 0 cu: CSRU cg: CRT v1: 33% st: NotStopd t0: [00:00:00 24/12/2015] id: High Insp. Pressure el: 0 cu: CSRU cg: CRT v1: 50 u1: cmH2O st: NotStopd t0: [00:00:00 24/12/2015] id: Airway Size el: 0 cu: CSRU cg: CRT v1: 7.5 mm st: NotStopd t0: [00:00:00 24/12/2015] id: Airway Type el: 0 cu: CSRU cg: CRT v1: Endotracheal st: NotStopd t0: [00:00:00 24/12/2015] id: Inspired Gas Temp el: 0 cu: CSRU cg: CRT u1: Deg. C st: NotStopd t0: [00:00:00 24/12/2015] id: Intubation Date el: 0 cu: CSRU cg: CRT v1: 12 v2: 23 st: NotStopd t0: [00:00:00 24/12/2015] id: Low Exhaled Min Vol el: 0 cu: CSRU cg: CRT v1: 5 st: NotStopd t0: [00:00:00 24/12/2015] id: Mean Airway Pressure el: 0 cu: CSRU cg: CRT v1: 10.5 u1: cmH2O st: NotStopd t0: [00:00:00 24/12/2015] id: Minute Volume (Set) el: 0 cu: CSRU cg: CRT v1: 10 u1: L/min st: NotStopd t0: [00:00:00 24/12/2015] id: Minute Volume(Obser) el: 0 cu: CSRU cg: CRT v1: 5.9 u1: L/min st: NotStopd t0: [00:00:00 24/12/2015] id: PEEP Set el: 0 cu: CSRU cg: CRT v1: 5 u1: cmH2O st: NotStopd t0: [00:00:00 24/12/2015] id: Pause Time % el: 0 cu: CSRU cg: CRT v1: 0% st: NotStopd t0: [00:00:00 24/12/2015] id: Peak Flow (Calc) el: 0 cu: CSRU cg: CRT v1: 30.303 u1: lpm st: NotStopd t0: [00:00:00 24/12/2015] id: Peak Insp. Pressure el: 0 cu: CSRU cg: CRT v1: 38 u1: cmH2O st: NotStopd t0: [00:00:00 24/12/2015] id: Plateau Pressure el: 0 cu: CSRU cg: CRT v1: 32 u1: cmH2O st: NotStopd t0: [00:00:00 24/12/2015] id: Plateau-Off el: 0 cu: CSRU cg: CRT v1: Yes st: NotStopd t0: [00:00:00 24/12/2015] id: Pressure Support el: 0 cu: CSRU cg: CRT v1: 5 u1: . st: NotStopd t0: [00:00:00 24/12/2015] id: Resp Rate (Spont) el: 0 cu: CSRU cg: CRT v1: 0 u1: BPM st: NotStopd t0: [00:00:00 24/12/2015] id: Resp Rate (Total) el: 0 cu: CSRU cg: CRT v1: 12 u1: BPM st: NotStopd t0: [00:00:00 24/12/2015] id: Respiratory Rate Set el: 0 cu: CSRU cg: CRT v1: 12 u1: BPM st: NotStopd t0: [00:00:00 24/12/2015] id: Sensitivity-Vent el: 0 cu: CSRU cg: CRT v1: 2 u1: cmH2O st: NotStopd t0: [00:00:00 24/12/2015] id: SpO2 el: 0 cu: CSRU cg: CRT v1: 99 u1: % st: NotStopd t0: [00:00:00 24/12/2015] id: Tidal Volume (Obser) el: 0 cu: CSRU cg: CRT v1: 518 u1: ml/B st: NotStopd t0: [00:00:00 24/12/2015] id: Tidal Volume (Set) el: 0 cu: CSRU cg: CRT v1: 500 u1: ml/B st: NotStopd t0: [00:00:00 24/12/2015] id: Ventilator Mode el: 0 cu: CSRU cg: CRT v1: SIMV+PS st: NotStopd t0: [00:00:00 24/12/2015] id: Ventilator No. el: 0 cu: CSRU cg: CRT v1: 7 u1: # st: NotStopd t0: [00:00:00 24/12/2015] id: Ventilator Type el: 0 cu: CSRU cg: CRT v1: Servo 900c st: NotStopd t0: [00:00:00 24/12/2015] id: Waveform-Vent el: 0 cu: CSRU cg: CRT v1: SQUARE st: NotStopd t0: [00:00:00 24/12/2015] id: Working Pressure el: 0 cu: CSRU cg: CRT v1: 65 u1: cmH2O st: NotStopd
t0: [21:54:00 23/12/2015] id: Ionized Calcium Chemistry el: 0 cu: CSRU cg: RN v1: 1.05 rs: Final st: NotStopd t0: [00:00:00 24/12/2015] id: CT #2 Dressing el: 0 cu: CSRU cg: RN v1: Dry and Intact st: NotStopd t0: [00:00:00 24/12/2015] id: CT #2 Fluctuate/Leak el: 0 cu: CSRU cg: RN v1: Positive v2: Negative st: NotStopd t0: [00:00:00 24/12/2015] id: CT #2 Suction Amount el: 0 cu: CSRU cg: RN v1: 15 cm st: NotStopd t0: [00:00:00 24/12/2015] id: CT #3 Crepitus el: 0 cu: CSRU cg: RN v1: Negative st: NotStopd t0: [00:00:00 24/12/2015] id: Less Restrict Meas. el: 0 cu: CSRU cg: RN v1: Medicated st: NotStopd t0: [00:00:00 24/12/2015] id: Range of Motion el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [00:00:00 24/12/2015] id: CT #3 Drainage el: 0 cu: CSRU cg: RN v1: Serosanguinous st: NotStopd t0: [00:00:00 24/12/2015] id: CT #3 Dressing el: 0 cu: CSRU cg: RN v1: Dry and Intact st: NotStopd t0: [00:00:00 24/12/2015] id: CT #3 Fluctuate/Leak el: 0 cu: CSRU cg: RN v1: Positive v2: Negative st: NotStopd t0: [00:00:00 24/12/2015] id: CT #3 Suction Amount el: 0 cu: CSRU cg: RN v1: 15 cm st: NotStopd t0: [00:00:00 24/12/2015] id: Pain Assess Method el: 0 cu: CSRU cg: RN v1: Non-verbal cues st: NotStopd t0: [00:00:00 24/12/2015] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [00:00:00 24/12/2015] id: Chest Tube Site #1 el: 0 cu: CSRU cg: RN v1: Left Anterior st: NotStopd t0: [00:00:00 24/12/2015] id: Chest Tube Site #2 el: 0 cu: CSRU cg: RN v1: Mediastinal st: NotStopd t0: [00:00:00 24/12/2015] id: Chest Tube Site #3 el: 0 cu: CSRU cg: RN v1: Right Anterior st: NotStopd t0: [00:00:00 24/12/2015] id: Circulation/SkinInt el: 0 cu: CSRU cg: RN v1: Circulation Adeq st: NotStopd t0: [00:00:00 24/12/2015] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [00:00:00 24/12/2015] id: Corneal Reflex R/L el: 0 cu: CSRU cg: RN v1: Absent v2: Absent st: NotStopd t0: [00:00:00 24/12/2015] id: Daily Wake Up el: 1 cu: CSRU cg: RN v1: No/O2 Issues st: NotStopd t0: [00:00:00 24/12/2015] id: GI Prophylaxis el: 0 cu: CSRU cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [00:00:00 24/12/2015] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [00:00:00 24/12/2015] id: Diet Type el: 0 cu: CSRU cg: RN v1: NPO st: NotStopd t0: [00:00:00 24/12/2015] id: Dorsal PedPulse R/L el: 0 cu: CSRU cg: RN v1: Doppler v2: Doppler st: NotStopd t0: [00:00:00 24/12/2015] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [00:00:00 24/12/2015] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [00:00:00 24/12/2015] id: Edema Location/Amt#1 el: 0 cu: CSRU cg: RN v1: General v2: Anasarca st: NotStopd t0: [00:00:00 24/12/2015] id: Education Barrier el: 0 cu: CSRU cg: RN v1: Medicated st: NotStopd t0: [00:00:00 24/12/2015] id: Education Learner el: 0 cu: CSRU cg: RN v1: Patient st: NotStopd t0: [00:00:00 24/12/2015] id: Education Method el: 0 cu: CSRU cg: RN v1: Explanation st: NotStopd t0: [00:00:00 24/12/2015] id: Education Readiness el: 0 cu: CSRU cg: RN v1: No st: NotStopd t0: [00:00:00 24/12/2015] id: Education Response el: 0 cu: CSRU cg: RN v1: Reinforced st: NotStopd t0: [00:00:00 24/12/2015] id: Education Topic #1 el: 0 cu: CSRU cg: RN v1: Plan of Care st: NotStopd t0: [00:00:00 24/12/2015] id: Eye Care el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [00:00:00 24/12/2015] id: Eye Opening el: 0 cu: CSRU cg: RN v1: 1 No Response st: NotStopd t0: [00:00:00 24/12/2015] id: GCS Total el: 0 cu: CSRU cg: RN v1: 3 u1: points st: NotStopd t0: [00:00:00 24/12/2015] id: GI Intub #1/Site el: 0 cu: CSRU cg: RN v1: Feeding/Peditube v2: Right Nare st: NotStopd t0: [00:00:00 24/12/2015] id: GI#1 Tube Stat/Drain el: 0 cu: CSRU cg: RN v1: Clamped st: NotStopd t0: [00:00:00 24/12/2015] id: GU Catheter Size el: 0 cu: CSRU cg: RN v1: 16 French st: NotStopd t0: [00:00:00 24/12/2015] id: HOB el: 0 cu: CSRU cg: RN v1: 15 degrees st: NotStopd t0: [00:00:00 24/12/2015] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 89 u1: BPM st: NotStopd t0: [00:00:00 24/12/2015] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [00:00:00 24/12/2015] id: Height of Bed el: 0 cu: CSRU cg: RN v1: 15 degrees st: NotStopd t0: [00:00:00 24/12/2015] id: INV Line#1 Type/Site el: 0 cu: CSRU cg: RN v1: Multi-lumen v2: Right IJ st: NotStopd t0: [00:00:00 24/12/2015] id: INV Line#1InsertDate el: 0 cu: CSRU cg: RN v2: ? st: NotStopd t0: [00:00:00 24/12/2015] id: INV Line#1SiteAppear el: 0 cu: CSRU cg: RN v1: Redness st: NotStopd t0: [00:00:00 24/12/2015] id: INV Line#2 Type/Site el: 0 cu: CSRU cg: RN v1: PA line v2: Right Femoral st: NotStopd t0: [00:00:00 24/12/2015] id: INV Line#2InsertDate el: 0 cu: CSRU cg: RN v1: 12 v2: 22 st: NotStopd t0: [00:00:00 24/12/2015] id: INV Line#2SiteAppear el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [00:00:00 24/12/2015] id: INV Line#3 Type/Site el: 0 cu: CSRU cg: RN v1: A-Line v2: Right Femoral st: NotStopd t0: [00:00:00 24/12/2015] id: INV Line#3InsertDate el: 0 cu: CSRU cg: RN v1: 12 v2: 22 st: NotStopd t0: [00:00:00 24/12/2015] id: INV Line#3SiteAppear el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [00:00:00 24/12/2015] id: Abdominal Assessment el: 0 cu: CSRU cg: RN v1: Soft Distended st: NotStopd t0: [00:00:00 24/12/2015] id: INV#2 WaveformAppear el: 0 cu: CSRU cg: RN v1: Sharp st: NotStopd t0: [00:00:00 24/12/2015] id: INV#3 WaveformAppear el: 0 cu: CSRU cg: RN v1: Sharp st: NotStopd t0: [00:00:00 24/12/2015] id: IV #1 Insert Date el: 0 cu: CSRU cg: RN v1: 12 v2: 24 st: NotStopd t0: [00:00:00 24/12/2015] id: IV #1 Site/Size el: 0 cu: CSRU cg: RN v1: Left Antecub v2: 14 gauge st: NotStopd t0: [00:00:00 24/12/2015] id: Activity el: 0 cu: CSRU cg: RN v1: Bedrest st: NotStopd t0: [00:00:00 24/12/2015] id: IV Site Appear #1 el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [00:00:00 24/12/2015] id: Activity Tolerance el: 0 cu: CSRU cg: RN v1: Tolerated Well st: NotStopd t0: [00:00:00 24/12/2015] id: Inc Drainage/Amt #1 el: 0 cu: CSRU cg: RN v1: Serous v2: Scant st: NotStopd t0: [00:00:00 24/12/2015] id: Inc Dsg/Status #1 el: 0 cu: CSRU cg: RN v1: Dry Sterile Dsg v2: Intact st: NotStopd t0: [00:00:00 24/12/2015] id: Inc Dsg/Status #2 el: 0 cu: CSRU cg: RN v1: Dry Sterile Dsg v2: Intact st: NotStopd t0: [00:00:00 24/12/2015] id: Incision/Wound #1 el: 0 cu: CSRU cg: RN v1: Sternum st: NotStopd t0: [00:00:00 24/12/2015] id: Incision/Wound #2 el: 0 cu: CSRU cg: RN v1: Mediastinal st: NotStopd t0: [00:00:00 24/12/2015] id: LLE Temp/Color el: 0 cu: CSRU cg: RN v1: Cool v2: Dusky st: NotStopd t0: [00:00:00 24/12/2015] id: LLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Diminished st: NotStopd t0: [00:00:00 24/12/2015] id: LUE Temp/Color el: 0 cu: CSRU cg: RN v1: Cool v2: Dusky st: NotStopd t0: [00:00:00 24/12/2015] id: LUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [00:00:00 24/12/2015] id: Level of Conscious el: 0 cu: CSRU cg: RN v1: Sedated st: NotStopd t0: [00:00:00 24/12/2015] id: Motor Response el: 0 cu: CSRU cg: RN v1: 1 No Response st: NotStopd t0: [00:00:00 24/12/2015] id: Nursing Consultation el: 0 cu: CSRU cg: RN v1: C Surg RN st: NotStopd t0: [00:00:00 24/12/2015] id: Oral Care el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [00:00:00 24/12/2015] id: Oral Cavity el: 0 cu: CSRU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [00:00:00 24/12/2015] id: Orientation el: 0 cu: CSRU cg: RN v1: Other/Remarks st: NotStopd t0: [00:00:00 24/12/2015] id: PAP Mean el: 0 cu: CSRU cg: RN v1: 29 u1: mmHg st: NotStopd t0: [00:00:00 24/12/2015] id: PAP S/D el: 0 cu: CSRU cg: RN v1: 48 u1: mmHg v2: 19 u2: mmHg st: NotStopd t0: [00:00:00 24/12/2015] id: AntiEmbDevice/Status el: 0 cu: CSRU cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [00:00:00 24/12/2015] id: Pacemaker Mode el: 0 cu: CSRU cg: RN v1: Pacer Turned Off st: NotStopd t0: [00:00:00 24/12/2015] id: Pacemaker Type el: 0 cu: CSRU cg: RN v1: Epicardial Wires st: NotStopd t0: [00:00:00 24/12/2015] id: Pacer Wire Condition el: 0 cu: CSRU cg: RN v1: Attached-pacer st: NotStopd t0: [00:00:00 24/12/2015] id: Pacer Wires Atrial el: 0 cu: CSRU cg: RN v1: 0 st: NotStopd t0: [00:00:00 24/12/2015] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 99 u1: mmHg v2: 51 u2: mmHg st: NotStopd t0: [00:00:00 24/12/2015] id: Pacer Wires Vent el: 0 cu: CSRU cg: RN v1: 2 st: NotStopd t0: [00:00:00 24/12/2015] id: Pain Management el: 1 cu: CSRU cg: RN v1: IV Gtt st: NotStopd t0: [00:00:00 24/12/2015] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 66 u1: mmHg st: NotStopd t0: [00:00:00 24/12/2015] id: Position Change el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [00:00:00 24/12/2015] id: PostTib. Pulses R/L el: 0 cu: CSRU cg: RN v1: Doppler v2: Doppler st: NotStopd t0: [00:00:00 24/12/2015] id: Assistance Device el: 0 cu: CSRU cg: RN v1: 2 Person Assist st: NotStopd t0: [00:00:00 24/12/2015] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [00:00:00 24/12/2015] id: PressureReduceDevice el: 0 cu: CSRU cg: RN v1: Waffles st: NotStopd t0: [00:00:00 24/12/2015] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 67.5 u1: kg st: NotStopd t0: [00:00:00 24/12/2015] id: Pupil Response R/L el: 0 cu: CSRU cg: RN v1: Sluggish v2: Sluggish st: NotStopd t0: [00:00:00 24/12/2015] id: Pupil Size R/L el: 0 cu: CSRU cg: RN v1: 2 mm v2: 2 mm st: NotStopd t0: [00:00:00 24/12/2015] id: RLE Temp/Color el: 0 cu: CSRU cg: RN v1: Cool v2: Dusky st: NotStopd t0: [00:00:00 24/12/2015] id: RLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Absent st: NotStopd t0: [00:00:00 24/12/2015] id: RUE Temp/Color el: 0 cu: CSRU cg: RN v1: Cool v2: Dusky st: NotStopd t0: [00:00:00 24/12/2015] id: RUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Absent st: NotStopd t0: [00:00:00 24/12/2015] id: Reason For Restraint el: 0 cu: CSRU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [00:00:00 24/12/2015] id: Removed x 5 Mins el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [00:00:00 24/12/2015] id: Respiratory Pattern el: 0 cu: CSRU cg: RN v1: Regular st: NotStopd t0: [00:00:00 24/12/2015] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 12 u1: BPM st: NotStopd t0: [00:00:00 24/12/2015] id: Restraint Location el: 0 cu: CSRU cg: RN v1: Both Arms st: NotStopd t0: [00:00:00 24/12/2015] id: Restraint Type el: 0 cu: CSRU cg: RN v1: Soft Limb st: NotStopd t0: [00:00:00 24/12/2015] id: Restraints Evaluated el: 0 cu: CSRU cg: RN v1: RestraintReapply st: NotStopd t0: [00:00:00 24/12/2015] id: Side Rails el: 0 cu: CSRU cg: RN v1: Side Rails Up st: NotStopd t0: [00:00:00 24/12/2015] id: Skin Care el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [00:00:00 24/12/2015] id: Skin Integrity el: 0 cu: CSRU cg: RN v1: Intact st: NotStopd t0: [00:00:00 24/12/2015] id: Support Systems el: 0 cu: CSRU cg: RN v1: Spouse st: NotStopd t0: [00:00:00 24/12/2015] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Axillary st: NotStopd t0: [00:00:00 24/12/2015] id: Temperature C (calc) el: 0 cu: CSRU cg: RN v1: 35.7778 u1: Deg. C st: NotStopd t0: [00:00:00 24/12/2015] id: Temperature F el: 0 cu: CSRU cg: RN v1: 96.4 u1: Deg. F st: NotStopd t0: [00:00:00 24/12/2015] id: Turn el: 0 cu: CSRU cg: RN v1: Side to Side st: NotStopd t0: [00:00:00 24/12/2015] id: Urine Color/Appear el: 0 cu: CSRU cg: RN v1: Amber v2: Clear st: NotStopd t0: [00:00:00 24/12/2015] id: Urine Source el: 0 cu: CSRU cg: RN v1: Indwelling Cath st: NotStopd t0: [00:00:00 24/12/2015] id: Vent Sens/Capture el: 0 cu: CSRU cg: RN v1: Yes v2: Yes st: NotStopd t0: [00:00:00 24/12/2015] id: Verbal Response el: 0 cu: CSRU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [00:00:00 24/12/2015] id: Back Care el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [00:00:00 24/12/2015] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [00:00:00 24/12/2015] id: Behavior el: 0 cu: CSRU cg: RN v1: Sedated st: NotStopd t0: [00:00:00 24/12/2015] id: Bowel Sounds el: 0 cu: CSRU cg: RN v1: Absent st: NotStopd t0: [00:00:00 24/12/2015] id: CT #1 Crepitus el: 0 cu: CSRU cg: RN v1: Negative st: NotStopd t0: [00:00:00 24/12/2015] id: CT #1 Drainage el: 0 cu: CSRU cg: RN v1: Serosanguinous st: NotStopd t0: [00:00:00 24/12/2015] id: CT #1 Dressing el: 0 cu: CSRU cg: RN v1: Dry and Intact st: NotStopd t0: [00:00:00 24/12/2015] id: CT #1 Fluctuate/Leak el: 0 cu: CSRU cg: RN v1: Positive v2: Negative st: NotStopd t0: [00:00:00 24/12/2015] id: CT #1 Suction Amount el: 0 cu: CSRU cg: RN v1: 15 cm st: NotStopd t0: [00:00:00 24/12/2015] id: CT #2 Crepitus el: 0 cu: CSRU cg: RN v1: Negative st: NotStopd t0: [00:00:00 24/12/2015] id: CT #2 Drainage el: 0 cu: CSRU cg: RN v1: Serosanguinous st: NotStopd t0: [01:00:00 24/12/2015] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [01:00:00 24/12/2015] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [01:00:00 24/12/2015] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [01:00:00 24/12/2015] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [01:00:00 24/12/2015] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [01:00:00 24/12/2015] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 88 u1: BPM st: NotStopd t0: [01:00:00 24/12/2015] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [01:00:00 24/12/2015] id: PAP Mean el: 0 cu: CSRU cg: RN v1: 28 u1: mmHg st: NotStopd t0: [01:00:00 24/12/2015] id: PAP S/D el: 0 cu: CSRU cg: RN v1: 47 u1: mmHg v2: 18 u2: mmHg st: NotStopd t0: [01:00:00 24/12/2015] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 96 u1: mmHg v2: 51 u2: mmHg st: NotStopd t0: [01:00:00 24/12/2015] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 65 u1: mmHg st: NotStopd t0: [01:00:00 24/12/2015] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [01:00:00 24/12/2015] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 67.5 u1: kg st: NotStopd t0: [01:00:00 24/12/2015] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 12 u1: BPM st: NotStopd t0: [01:00:00 24/12/2015] id: SpO2 el: 0 cu: CSRU cg: RN v1: 100 u1: % st: NotStopd t0: [01:00:00 24/12/2015] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [00:00:00 24/12/2015] id: Lactated Ringers IV Infusions el: 1 cu: CSRU cg: RN ai: 109 vo: 80 vu: ml t0: [00:00:00 24/12/2015] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 15.84 vu: ml t0: [00:00:00 24/12/2015] id: D5W 250.0ml + 60mcgkgmin Neosynephrine-k IV Infusions el: 1 cu: CSRU cg: RN ai: 153 vo: 28.875 vu: ml t0: [00:00:00 24/12/2015] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 5 vu: ml t0: [01:00:00 24/12/2015] id: Lactated Ringers IV Infusions el: 1 cu: CSRU cg: RN ai: 109 vo: 80 vu: ml t0: [01:00:00 24/12/2015] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 15.84 vu: ml t0: [01:00:00 24/12/2015] id: D5W 250.0ml + 60mcgkgmin Neosynephrine-k IV Infusions el: 1 cu: CSRU cg: RN ai: 153 vo: 28.875 vu: ml t0: [01:00:00 24/12/2015] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 5 vu: ml t0: [01:00:00 24/12/2015] id: Chest Tubes Right Pleural 1 el: 1 cu: CSRU cg: RN vo: 0 vu: ml t0: [01:00:00 24/12/2015] id: Chest Tubes Mediastinal el: 1 cu: CSRU cg: RN vo: 0 vu: ml
t0: [00:00:00 24/12/2015] id: Fentanyl el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 50 su: ml rt: IV Drip t0: [00:00:00 24/12/2015] id: Neosynephrine-k el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 1.75 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [00:00:00 24/12/2015] id: Propofol el: 1 cu: CSRU cg: RN so: N/A vo: 0 v1: 40 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [01:00:00 24/12/2015] id: Fentanyl el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 50 su: ml rt: IV Drip t0: [01:00:00 24/12/2015] id: Neosynephrine-k el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 1.75 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [01:00:00 24/12/2015] id: Propofol el: 1 cu: CSRU cg: RN so: N/A vo: 0 v1: 40 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [22:00:00 23/12/2015] id: Position el: 0 cu: CSRU cg: RN v1: Right Side st: NotStopd t0: [00:00:00 24/12/2015] id: Position el: 0 cu: CSRU cg: RN v1: Left Side st: NotStopd t0: [02:00:00 24/12/2015] id: Service Type el