This log is also available as text (s08718.txt) and as a (binary) annotation file (s08718.log).
Generated: Monday, 07-Jun-2010 13:20:25 EDT
(All dates below are surrogates.)
t0: [14:15:02 27/03/2015] tf: [17:36:59 29/03/2015] id: a40717 [view]
t0: [14:13:59 27/03/2015] tf: [17:34:59 29/03/2015] id: a40717n [view]
t0: [17:38:29 27/03/2015] tf: [16:43:31 03/04/2015] id: a41200 [view]
t0: [17:36:59 27/03/2015] tf: [16:41:59 03/04/2015] id: a41200n [view]
dd: 0389 ds: 7 ld: SEPTICEMIA NOS dd: 2554 ds: 8 ld: CORTICOADRENAL INSUFFIC dd: 2859 ds: 9 ld: ANEMIA NOS dd: 42731 ds: 4 ld: ATRIAL FIBRILLATION dd: 486 ds: 3 ld: PNEUMONIA, ORGANISM NOS dd: 4928 ds: 5 ld: EMPHYSEMA NEC dd: 5121 ds: 6 ld: IATROGENIC PNEUMOTHORAX dd: 5185 ds: 2 ld: POST TRAUM PULM INSUFFIC dd: 51881 ds: 1 ld: RESPIRATORY FAILURE
id: D5W el: 1 cu: MICU-A cg: -1 io: D5W 100.0ml IV Infusions vo: 100 du: ml rt: Intravenous Push id: Po Intake el: 1 cu: MICU-A cg: -1 io: Po Intake PO/Gastric du: ml rt: Oral
tf: [14:38:00 16/04/2015] dt: 28802 cu: MICU-A di: No Disch Status
t0: [14:55:00 27/03/2015] id: BSA el: 1033 cu: MICU-A cg: -1 t0: [14:55:00 27/03/2015] id: Admit Wt el: 1032 cu: MICU-A cg: -1 v1: 72.6 u1: kg t0: [14:55:00 27/03/2015] id: Allergy 1 el: 1020 cu: MICU-A cg: -1 t0: [14:55:00 27/03/2015] id: Diagnosis/op el: 1023 cu: MICU-A cg: -1 v1: RESPIRATORY FAILURE t0: [14:55:00 27/03/2015] id: Service el: 1026 cu: MICU-A cg: -1 v1: MED t0: [14:55:00 27/03/2015] id: Admit Ht el: 1034 cu: MICU-A cg: -1 t0: [14:55:00 27/03/2015] id: Readmission el: 1014 cu: MICU-A cg: -1 t0: [14:55:00 27/03/2015] id: Marital Status el: 1006 cu: MICU-A cg: -1 v1: M t0: [14:55:00 27/03/2015] id: Religion el: 1000 cu: MICU-A cg: -1 v1: RCA t0: [14:55:00 27/03/2015] id: Allergy 2 el: 1021 cu: MICU-A cg: -1 t0: [14:55:00 27/03/2015] id: Ext el: 1010 cu: MICU-A cg: -1 t0: [14:55:00 27/03/2015] id: PIN el: 1012 cu: MICU-A cg: -1 t0: [14:55:00 27/03/2015] id: Allergy 3 el: 1022 cu: MICU-A cg: -1
io: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ra: 120 ru: ml/hr
id: .9% Normal Saline el: 1 cu: MICU-A cg: RN io: .9% Normal Saline 1000.0ml IV Infusions vo: 1000 du: ml rt: Intravenous Push
t0: [15:00:00 27/03/2015] id: Compliance (40-60ml) el: 0 cu: MICU-A cg: RT v1: 33.3333 u1: ml/cmH st: NotStopd t0: [15:00:00 27/03/2015] id: ETT Mark/Location el: 0 cu: MICU-A cg: RT v1: 24cm v2: Lip st: NotStopd t0: [15:00:00 27/03/2015] id: FiO2 Set el: 0 cu: MICU-A cg: RT v1: 1 u1: torr st: NotStopd t0: [15:00:00 27/03/2015] id: High Insp. Pressure el: 0 cu: MICU-A cg: RT v1: 50 u1: cmH2O st: NotStopd t0: [15:00:00 27/03/2015] id: High Resp. Rate el: 0 cu: MICU-A cg: RT v1: 35 u1: BPM st: NotStopd t0: [15:00:00 27/03/2015] id: I:E Ratio el: 0 cu: MICU-A cg: RT v1: 1:1.9 st: NotStopd t0: [15:00:00 27/03/2015] id: Airway Size el: 0 cu: MICU-A cg: RT v1: 9.0 mm st: NotStopd t0: [15:00:00 27/03/2015] id: Airway Type el: 0 cu: MICU-A cg: RT v1: Endotracheal st: NotStopd t0: [15:00:00 27/03/2015] id: Inspired Gas Temp el: 0 cu: MICU-A cg: RT u1: Deg. C st: NotStopd t0: [15:00:00 27/03/2015] id: Intubation Date el: 0 cu: MICU-A cg: RT v1: 2 v2: 22 st: NotStopd t0: [15:00:00 27/03/2015] id: Low Exhaled Min Vol el: 0 cu: MICU-A cg: RT v1: 5 st: NotStopd t0: [15:00:00 27/03/2015] id: Low Insp. Pressure el: 0 cu: MICU-A cg: RT v1: 10 u1: cmH2O st: NotStopd t0: [15:00:00 27/03/2015] id: Mean Airway Pressure el: 0 cu: MICU-A cg: RT v1: 15.3 u1: cmH2O st: NotStopd t0: [15:00:00 27/03/2015] id: Minute Volume(Obser) el: 0 cu: MICU-A cg: RT v1: 11.5 u1: L/min st: NotStopd t0: [15:00:00 27/03/2015] id: PEEP Set el: 0 cu: MICU-A cg: RT v1: 10 u1: cmH2O st: NotStopd t0: [15:00:00 27/03/2015] id: Peak Flow el: 0 cu: MICU-A cg: RT v1: 65 u1: L/m st: NotStopd t0: [15:00:00 27/03/2015] id: Peak Insp. Pressure el: 0 cu: MICU-A cg: RT v1: 28 u1: cmH2O st: NotStopd t0: [15:00:00 27/03/2015] id: Plateau Pressure el: 0 cu: MICU-A cg: RT v1: 26 u1: cmH2O st: NotStopd t0: [15:00:00 27/03/2015] id: Plateau-Off el: 0 cu: MICU-A cg: RT v1: Yes st: NotStopd t0: [15:00:00 27/03/2015] id: Resp Rate (Spont) el: 0 cu: MICU-A cg: RT v1: 0 u1: BPM st: NotStopd t0: [15:00:00 27/03/2015] id: Resp Rate (Total) el: 0 cu: MICU-A cg: RT v1: 20 u1: BPM st: NotStopd t0: [15:00:00 27/03/2015] id: Respiratory Rate Set el: 0 cu: MICU-A cg: RT v1: 20 u1: BPM st: NotStopd t0: [15:00:00 27/03/2015] id: Sensitivity-Vent el: 0 cu: MICU-A cg: RT v1: 1.5 u1: cmH2O st: NotStopd t0: [15:00:00 27/03/2015] id: Tidal Volume (Obser) el: 0 cu: MICU-A cg: RT v1: 580 u1: ml/B st: NotStopd t0: [15:00:00 27/03/2015] id: Tidal Volume (Set) el: 0 cu: MICU-A cg: RT v1: 600 u1: ml/B st: NotStopd t0: [15:00:00 27/03/2015] id: Ventilator Mode el: 0 cu: MICU-A cg: RT v1: Assist Control st: NotStopd t0: [15:00:00 27/03/2015] id: Ventilator Type el: 0 cu: MICU-A cg: RT v1: 7200A st: NotStopd t0: [15:00:00 27/03/2015] id: Waveform-Vent el: 0 cu: MICU-A cg: RT v1: RAMP st: NotStopd
t0: [15:00:00 27/03/2015] id: Range of Motion el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [15:00:00 27/03/2015] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [15:00:00 27/03/2015] id: Circulation/SkinInt el: 0 cu: MICU-A cg: RN v1: Circulation Adeq st: NotStopd t0: [15:00:00 27/03/2015] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [15:00:00 27/03/2015] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [15:00:00 27/03/2015] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [15:00:00 27/03/2015] id: Eye Opening el: 0 cu: MICU-A cg: RN v1: 1 No Response st: NotStopd t0: [15:00:00 27/03/2015] id: GCS Total el: 0 cu: MICU-A cg: RN v1: 7 u1: points st: NotStopd t0: [15:00:00 27/03/2015] id: HOB el: 0 cu: MICU-A cg: RN v1: Flat in Bed st: NotStopd t0: [15:00:00 27/03/2015] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 66 u1: BPM st: NotStopd t0: [15:00:00 27/03/2015] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [15:00:00 27/03/2015] id: INV Line#1 Type/Site el: 0 cu: MICU-A cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [15:00:00 27/03/2015] id: INV Line#1 Zero/Cal el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [15:00:00 27/03/2015] id: INV Line#1InsertDate el: 0 cu: MICU-A cg: RN v1: 2 v2: 22 st: NotStopd t0: [15:00:00 27/03/2015] id: INV Line#1SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [15:00:00 27/03/2015] id: Abdominal Assessment el: 0 cu: MICU-A cg: RN v1: Soft st: NotStopd t0: [15:00:00 27/03/2015] id: INV#1 WaveformAppear el: 0 cu: MICU-A cg: RN v1: Sharp st: NotStopd t0: [15:00:00 27/03/2015] id: IV #1 Insert Date el: 0 cu: MICU-A cg: RN v1: 2 v2: 22 st: NotStopd t0: [15:00:00 27/03/2015] id: IV #1 Site/Size el: 0 cu: MICU-A cg: RN v1: LL Ant Forearm v2: 20 gauge st: NotStopd t0: [15:00:00 27/03/2015] id: IV #2 Insert Date el: 0 cu: MICU-A cg: RN v1: 2 v2: 18 st: NotStopd t0: [15:00:00 27/03/2015] id: IV #2 Site/Size el: 0 cu: MICU-A cg: RN v1: RL Ant Forearm v2: 20 gauge st: NotStopd t0: [15:00:00 27/03/2015] id: Activity el: 0 cu: MICU-A cg: RN v1: Bedrest st: NotStopd t0: [15:00:00 27/03/2015] id: IV Site Appear #1 el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [15:00:00 27/03/2015] id: Activity Tolerance el: 0 cu: MICU-A cg: RN v1: Fair st: NotStopd t0: [15:00:00 27/03/2015] id: LLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Exp Wheeze st: NotStopd t0: [15:00:00 27/03/2015] id: LUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Exp Wheeze st: NotStopd t0: [15:00:00 27/03/2015] id: Level of Conscious el: 0 cu: MICU-A cg: RN v1: Arouse to Stimul st: NotStopd t0: [15:00:00 27/03/2015] id: Motor Response el: 0 cu: MICU-A cg: RN v1: 5 Localizes Pain st: NotStopd t0: [15:00:00 27/03/2015] id: NBP el: 0 cu: MICU-A cg: RN v1: 121 u1: mmHg v2: 41 u2: mmHg st: NotStopd t0: [15:00:00 27/03/2015] id: NBP Mean el: 0 cu: MICU-A cg: RN v1: 67.6667 u1: mmHg st: NotStopd t0: [15:00:00 27/03/2015] id: Oral Cavity el: 0 cu: MICU-A cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [15:00:00 27/03/2015] id: Orientation el: 0 cu: MICU-A cg: RN v1: Other/Remarks st: NotStopd t0: [15:00:00 27/03/2015] id: Position el: 0 cu: MICU-A cg: RN v1: Supine st: NotStopd t0: [15:00:00 27/03/2015] id: Position Change el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [15:00:00 27/03/2015] id: Assistance Device el: 0 cu: MICU-A cg: RN v1: 2 Person Assist st: NotStopd t0: [15:00:00 27/03/2015] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [15:00:00 27/03/2015] id: Previous Weight el: 0 cu: MICU-A cg: RN v1: 72.6 u1: kg st: NotStopd t0: [15:00:00 27/03/2015] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 72.6 u1: kg st: NotStopd t0: [15:00:00 27/03/2015] id: RLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Crackles st: NotStopd t0: [15:00:00 27/03/2015] id: RUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Crackles st: NotStopd t0: [15:00:00 27/03/2015] id: Reason For Restraint el: 0 cu: MICU-A cg: RN v1: Ext/TXInterfere st: NotStopd t0: [15:00:00 27/03/2015] id: Removed x 5 Mins el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [15:00:00 27/03/2015] id: Respiratory Pattern el: 0 cu: MICU-A cg: RN v1: Regular st: NotStopd t0: [15:00:00 27/03/2015] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 20 u1: BPM st: NotStopd t0: [15:00:00 27/03/2015] id: Restraint Location el: 0 cu: MICU-A cg: RN v1: Both Arms st: NotStopd t0: [15:00:00 27/03/2015] id: Restraint Type el: 0 cu: MICU-A cg: RN v1: Soft Limb st: NotStopd t0: [15:00:00 27/03/2015] id: Restraints Evaluated el: 0 cu: MICU-A cg: RN v1: Behavior Conts st: NotStopd t0: [15:00:00 27/03/2015] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [15:00:00 27/03/2015] id: Skin Integrity el: 0 cu: MICU-A cg: RN v1: Intact st: NotStopd t0: [15:00:00 27/03/2015] id: SpO2 el: 0 cu: MICU-A cg: RT v1: 96 u1: % st: NotStopd t0: [15:00:00 27/03/2015] id: Support Systems el: 0 cu: MICU-A cg: RN v1: Spouse st: NotStopd t0: [15:00:00 27/03/2015] id: Temp. Site el: 0 cu: MICU-A cg: RN v1: Rectal st: NotStopd t0: [15:00:00 27/03/2015] id: Temperature C (calc) el: 0 cu: MICU-A cg: RN v1: 37.8333 u1: Deg. C st: NotStopd t0: [15:00:00 27/03/2015] id: Temperature F el: 0 cu: MICU-A cg: RN v1: 100.1 u1: Deg. F st: NotStopd t0: [15:00:00 27/03/2015] id: Turn el: 0 cu: MICU-A cg: RN v1: Back st: NotStopd t0: [15:00:00 27/03/2015] id: Urine Color/Appear el: 0 cu: MICU-A cg: RN v1: Yellow v2: Clear st: NotStopd t0: [15:00:00 27/03/2015] id: Urine Source el: 0 cu: MICU-A cg: RN v1: Indwelling Cath st: NotStopd t0: [15:00:00 27/03/2015] id: Verbal Response el: 0 cu: MICU-A cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [15:00:00 27/03/2015] id: Weight Change el: 0 cu: MICU-A cg: RN v1: 0 u1: kg st: NotStopd t0: [15:00:00 27/03/2015] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [15:00:00 27/03/2015] id: Daily Weight el: 0 cu: MICU-A cg: RN v1: 72.6 u1: kg st: NotStopd t0: [15:00:00 27/03/2015] id: Behavior el: 0 cu: MICU-A cg: RN v1: Anxious st: NotStopd t0: [15:00:00 27/03/2015] id: Bowel Sounds el: 0 cu: MICU-A cg: RN v1: Present st: NotStopd t0: [15:00:00 27/03/2015] id: Braden Activity el: 0 cu: MICU-A cg: RN v1: Bedfast st: NotStopd t0: [15:00:00 27/03/2015] id: Braden Frict/Shear el: 0 cu: MICU-A cg: RN v1: Potential Prob st: NotStopd t0: [15:00:00 27/03/2015] id: Braden Mobility el: 0 cu: MICU-A cg: RN v1: Very Limited st: NotStopd t0: [15:00:00 27/03/2015] id: Braden Moisture el: 0 cu: MICU-A cg: RN v1: Occ. Moist st: NotStopd t0: [15:00:00 27/03/2015] id: Braden Nutrition el: 0 cu: MICU-A cg: RN v1: Very Poor st: NotStopd t0: [15:00:00 27/03/2015] id: Braden Score el: 0 cu: MICU-A cg: RN v1: 11 u1: number st: NotStopd t0: [15:00:00 27/03/2015] id: Braden SensoryPercep el: 0 cu: MICU-A cg: RN v1: Very Limited st: NotStopd
t0: [15:00:00 27/03/2015] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 0 vu: ml nb: 1 t0: [15:00:00 27/03/2015] tf: [14:38:00 16/04/2015] dt: 28778 id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 150 vu: ml
t0: [15:00:00 27/03/2015] id: Dorsal PedPulse R/L el: 0 cu: MICU-A cg: RN v1: Strong/Palpable v2: Strong/Palpable st: NotStopd t0: [15:00:00 27/03/2015] id: PostTib. Pulses R/L el: 0 cu: MICU-A cg: RN v1: Strong/Palpable v2: Strong/Palpable st: NotStopd
id: Gastric Meds el: 1 cu: MICU-A cg: RN io: Gastric Meds PO/Gastric du: ml rt: Gastric/Feeding Tube id: TF Residual el: 1 cu: MICU-A cg: RN io: TF Residual Gastric/TF Residual du: ml rt: Gastric/Feeding Tube
t0: [15:00:00 27/03/2015] id: Significant Events el: 0 cu: MICU-A cg: RN v1: Fluid Bolus st: NotStopd t0: [16:00:00 27/03/2015] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [16:00:00 27/03/2015] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [16:00:00 27/03/2015] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [16:00:00 27/03/2015] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [16:00:00 27/03/2015] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 61 u1: BPM st: NotStopd t0: [16:00:00 27/03/2015] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [16:00:00 27/03/2015] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 95 u1: mmHg v2: 40 u2: mmHg st: NotStopd t0: [16:00:00 27/03/2015] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 56 u1: mmHg st: NotStopd t0: [16:00:00 27/03/2015] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [16:00:00 27/03/2015] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 72.6 u1: kg st: NotStopd t0: [16:00:00 27/03/2015] id: Procedures el: 0 cu: MICU-A cg: RN v1: Blood Cultured st: NotStopd t0: [16:00:00 27/03/2015] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 22 u1: BPM st: NotStopd t0: [16:00:00 27/03/2015] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 100 u1: % st: NotStopd t0: [16:00:00 27/03/2015] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [15:00:00 27/03/2015] tf: [18:00:00 12/04/2015] dt: 23220 id: D5W 100.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 105 vo: 500 vu: ml t0: [16:00:00 27/03/2015] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 0 vu: ml
t0: [15:00:00 27/03/2015] id: Sputum Color/Consist el: 0 cu: MICU-A cg: RT v1: Bloody v2: Thin st: NotStopd t0: [15:00:00 27/03/2015] id: Sputum Source/Amt el: 0 cu: MICU-A cg: RT v1: Suctioned v2: Moderate st: NotStopd t0: [16:30:00 27/03/2015] id: Compliance (40-60ml) el: 0 cu: MICU-A cg: RT v1: 45.8333 u1: ml/cmH st: NotStopd t0: [16:30:00 27/03/2015] id: ETT Mark/Location el: 0 cu: MICU-A cg: RT v1: 24cm v2: Lip st: NotStopd t0: [16:30:00 27/03/2015] id: FiO2 Set el: 0 cu: MICU-A cg: RT v1: 0.7 u1: torr st: NotStopd t0: [16:30:00 27/03/2015] id: Flow-By (lpm) el: 0 cu: MICU-A cg: RT v1: 6 u1: lpm st: NotStopd t0: [16:30:00 27/03/2015] id: Flow-by Sensitivity el: 0 cu: MICU-A cg: RT v1: 3 u1: cmH2O st: NotStopd t0: [16:30:00 27/03/2015] id: High Insp. Pressure el: 0 cu: MICU-A cg: RT v1: 50 u1: cmH2O st: NotStopd t0: [16:30:00 27/03/2015] id: High Resp. Rate el: 0 cu: MICU-A cg: RT v1: 35 u1: BPM st: NotStopd t0: [16:30:00 27/03/2015] id: Airway Size el: 0 cu: MICU-A cg: RT v1: 9.0 mm st: NotStopd t0: [16:30:00 27/03/2015] id: Airway Type el: 0 cu: MICU-A cg: RT v1: Endotracheal st: NotStopd t0: [16:30:00 27/03/2015] id: Inspired Gas Temp el: 0 cu: MICU-A cg: RT u1: Deg. C st: NotStopd t0: [16:30:00 27/03/2015] id: Intubation Date el: 0 cu: MICU-A cg: RT v1: 2 v2: 22 st: NotStopd t0: [16:30:00 27/03/2015] id: Low Exhaled Min Vol el: 0 cu: MICU-A cg: RT v1: 5 st: NotStopd t0: [16:30:00 27/03/2015] id: Low Insp. Pressure el: 0 cu: MICU-A cg: RT v1: 10 u1: cmH2O st: NotStopd t0: [16:30:00 27/03/2015] id: Mean Airway Pressure el: 0 cu: MICU-A cg: RT v1: 13.4 u1: cmH2O st: NotStopd t0: [16:30:00 27/03/2015] id: Minute Volume(Obser) el: 0 cu: MICU-A cg: RT v1: 12.5 u1: L/min st: NotStopd t0: [16:30:00 27/03/2015] id: PEEP Set el: 0 cu: MICU-A cg: RT v1: 10 u1: cmH2O st: NotStopd t0: [16:30:00 27/03/2015] id: Peak Flow el: 0 cu: MICU-A cg: RT v1: 65 u1: L/m st: NotStopd t0: [16:30:00 27/03/2015] id: Peak Insp. Pressure el: 0 cu: MICU-A cg: RT v1: 22 u1: cmH2O st: NotStopd t0: [16:30:00 27/03/2015] id: Plateau Pressure el: 0 cu: MICU-A cg: RT v1: 20 u1: cmH2O st: NotStopd t0: [16:30:00 27/03/2015] id: Plateau-Off el: 0 cu: MICU-A cg: RT v1: Yes st: NotStopd t0: [16:30:00 27/03/2015] id: Resp Rate (Spont) el: 0 cu: MICU-A cg: RT v1: 0 u1: BPM st: NotStopd t0: [16:30:00 27/03/2015] id: Resp Rate (Total) el: 0 cu: MICU-A cg: RT v1: 22 u1: BPM st: NotStopd t0: [16:30:00 27/03/2015] id: Respiratory Rate Set el: 0 cu: MICU-A cg: RT v1: 22 u1: BPM st: NotStopd t0: [16:30:00 27/03/2015] id: SpO2 el: 0 cu: MICU-A cg: RT v1: 98 u1: % st: NotStopd t0: [16:30:00 27/03/2015] id: Tidal Volume (Obser) el: 0 cu: MICU-A cg: RT v1: 570 u1: ml/B st: NotStopd t0: [16:30:00 27/03/2015] id: Tidal Volume (Set) el: 0 cu: MICU-A cg: RT v1: 550 u1: ml/B st: NotStopd t0: [16:30:00 27/03/2015] id: Ventilator Mode el: 0 cu: MICU-A cg: RT v1: Assist Control st: NotStopd t0: [16:30:00 27/03/2015] id: Ventilator Type el: 0 cu: MICU-A cg: RT v1: 7200A st: NotStopd t0: [16:30:00 27/03/2015] id: Waveform-Vent el: 0 cu: MICU-A cg: RT v1: RAMP st: NotStopd
t0: [16:31:00 27/03/2015] id: IV #2 D/C Date el: 0 cu: MICU-A cg: -1 st: D/C'd t0: [16:31:00 27/03/2015] id: IV #2 Insert Date el: 0 cu: MICU-A cg: -1 st: D/C'd t0: [16:31:00 27/03/2015] id: IV #2 Site/Size el: 0 cu: MICU-A cg: -1 st: D/C'd
t0: [16:30:00 27/03/2015] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [16:30:00 27/03/2015] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [16:30:00 27/03/2015] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [16:30:00 27/03/2015] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [16:30:00 27/03/2015] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 61 u1: BPM st: NotStopd t0: [16:30:00 27/03/2015] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [16:30:00 27/03/2015] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 100 u1: mmHg v2: 41 u2: mmHg st: NotStopd t0: [16:30:00 27/03/2015] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 59 u1: mmHg st: NotStopd t0: [16:30:00 27/03/2015] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [16:30:00 27/03/2015] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 72.6 u1: kg st: NotStopd t0: [16:30:00 27/03/2015] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 23 u1: BPM st: NotStopd t0: [16:30:00 27/03/2015] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [16:30:00 27/03/2015] tf: [10:00:00 29/03/2015] dt: 2490 id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 60 vu: ml
t0: [16:30:00 27/03/2015] id: INV Line#1 Type/Site el: 0 cu: MICU-A cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [16:30:00 27/03/2015] id: INV Line#1InsertDate el: 0 cu: MICU-A cg: RN v1: 2 v2: 22 st: NotStopd t0: [16:30:00 27/03/2015] id: IV #1 Insert Date el: 0 cu: MICU-A cg: RN v1: 2 v2: 22 st: NotStopd t0: [16:30:00 27/03/2015] id: IV #1 Site/Size el: 0 cu: MICU-A cg: RN v1: LL Ant Forearm v2: 20 gauge st: NotStopd t0: [16:30:00 27/03/2015] id: IV #2 D/C Date el: 0 cu: MICU-A cg: RN v1: 2 v2: 22 st: NotStopd t0: [16:30:00 27/03/2015] id: IV #2 Insert Date el: 0 cu: MICU-A cg: RN v1: 2 v2: 18 st: NotStopd t0: [16:30:00 27/03/2015] id: IV #2 Site/Size el: 0 cu: MICU-A cg: RN v1: RL Ant Forearm v2: 20 gauge st: NotStopd t0: [16:30:00 27/03/2015] id: IV #3 Insert Date el: 0 cu: MICU-A cg: RN v1: 2 v2: 22 st: NotStopd t0: [16:30:00 27/03/2015] id: IV #3 Site/Size el: 0 cu: MICU-A cg: RN v1: RU Ant Forearm v2: 18 gauge st: NotStopd t0: [16:30:00 27/03/2015] id: IV Site Appear #3 el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd
t0: [16:21:00 27/03/2015] id: WBC (4-11,000) Hematology el: 0 cu: MICU-A cg: 1663 v1: 15.8 rs: Final st: NotStopd t0: [16:21:00 27/03/2015] id: Hematocrit Hematology el: 0 cu: MICU-A cg: 1663 v1: 44.6 u1: % rs: Final st: NotStopd t0: [16:21:00 27/03/2015] id: Hemoglobin Hematology el: 0 cu: MICU-A cg: 1663 v1: 14.9 u1: gm/dl rs: Final st: NotStopd t0: [16:21:00 27/03/2015] id: Platelets Hematology el: 0 cu: MICU-A cg: 1663 v1: 466 rs: Final st: NotStopd t0: [16:21:00 27/03/2015] id: RBC Hematology el: 0 cu: MICU-A cg: 1663 v1: 4.78 u1: /mic l rs: Final st: NotStopd t0: [16:21:00 27/03/2015] id: WBC (4-11,000) Hematology el: 0 cu: MICU-A cg: 1663 v1: 15.8 rs: Final st: NotStopd
id: Fentanyl el: 100 cu: MICU-A cg: RN io: .9% Normal Saline 100.0ml + 5000mcghr Fentanyl IV Infusions am: 5000 du: mcghr rt: IV Drip
id: .9% Normal Saline el: 1 cu: MICU-A cg: RN io: .9% Normal Saline 100.0ml + 5000mcghr Fentanyl IV Infusions vo: 100 du: ml rt: Intravenous Push
t0: [16:21:00 27/03/2015] id: BUN (6-20) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 35 rs: Final st: NotStopd t0: [16:21:00 27/03/2015] id: Calcium (8.4-10.2) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 7.8 u1: mg/dl rs: Final st: NotStopd t0: [16:21:00 27/03/2015] id: Carbon Dioxide Chemistry el: 0 cu: MICU-A cg: 1663 v1: 23 rs: Final st: NotStopd t0: [16:21:00 27/03/2015] id: Chloride (100-112) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 110 rs: Final st: NotStopd t0: [16:21:00 27/03/2015] id: Creatinine (0-1.3) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 0.8 rs: Final st: NotStopd t0: [16:21:00 27/03/2015] id: Glucose (70-105) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 126 rs: Final st: NotStopd t0: [16:21:00 27/03/2015] id: Magnesium (1.6-2.6) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 1.9 rs: Final st: NotStopd t0: [16:21:00 27/03/2015] id: Phosphorous(2.7-4.5) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 5 u1: mEq/L rs: Final st: NotStopd t0: [16:21:00 27/03/2015] id: Potassium (3.5-5.3) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 4.7 rs: Final st: NotStopd t0: [16:21:00 27/03/2015] id: Sodium (135-148) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 143 rs: Final st: NotStopd
t0: [17:30:00 27/03/2015] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [17:30:00 27/03/2015] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [17:30:00 27/03/2015] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [17:30:00 27/03/2015] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [17:30:00 27/03/2015] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 62 u1: BPM st: NotStopd t0: [17:30:00 27/03/2015] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [17:30:00 27/03/2015] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 108 u1: mmHg v2: 42 u2: mmHg st: NotStopd t0: [17:30:00 27/03/2015] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 64 u1: mmHg st: NotStopd t0: [17:30:00 27/03/2015] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [17:30:00 27/03/2015] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 72.6 u1: kg st: NotStopd t0: [17:30:00 27/03/2015] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 20 u1: BPM st: NotStopd t0: [17:30:00 27/03/2015] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 97 u1: % st: NotStopd t0: [17:30:00 27/03/2015] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [17:30:00 27/03/2015] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 120 vu: ml t0: [17:30:00 27/03/2015] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 95 vu: ml
t0: [17:30:00 27/03/2015] tf: [14:38:00 16/04/2015] dt: 28628 id: Fentanyl el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 50 su: ml rt: IV Drip
t0: [17:24:00 27/03/2015] id: Art.pH ABG el: 0 cu: MICU-A cg: 1663 v1: 7.31 rs: Final st: NotStopd t0: [17:24:00 27/03/2015] id: Arterial Base Excess ABG el: 0 cu: MICU-A cg: 1663 v1: -2 rs: Final st: NotStopd t0: [17:24:00 27/03/2015] id: Arterial CO2(Calc) ABG el: 0 cu: MICU-A cg: 1663 v1: 25 rs: Final st: NotStopd t0: [17:24:00 27/03/2015] id: Arterial PaCO2 ABG el: 0 cu: MICU-A cg: 1663 v1: 47 u1: mmHg rs: Final st: NotStopd t0: [17:24:00 27/03/2015] id: Arterial PaO2 ABG el: 0 cu: MICU-A cg: 1663 v1: 99 u1: mmHg rs: Final st: NotStopd t0: [17:24:00 27/03/2015] id: Arterial pH ABG el: 0 cu: MICU-A cg: 1663 v1: 7.31 rs: Final st: NotStopd
t0: [16:21:00 27/03/2015] id: INR (2-4 ref. range) Coags el: 0 cu: MICU-A cg: 1663 v1: 1.2 rs: Final st: NotStopd t0: [16:21:00 27/03/2015] id: PT(11-13.5) Coags el: 0 cu: MICU-A cg: 1663 v1: 13 rs: Final st: NotStopd t0: [16:21:00 27/03/2015] id: PTT(22-35) Coags el: 0 cu: MICU-A cg: 1663 v1: 27.6 rs: Final st: NotStopd
io: .9% Normal Saline 250.0ml IV Infusions el: 1 cu: MICU-A cg: -1 ra: 10 ru: ml/hr
id: D5W el: 1 cu: MICU-A cg: RN io: D5W 250.0ml IV Infusions vo: 250 du: ml rt: Intravenous Push id: D5W el: 2 cu: MICU-A cg: RN io: D5W 250.0ml IV Infusions vo: 250 du: ml rt: Intravenous Push id: .9% Normal Saline el: 1 cu: MICU-A cg: -1 io: .9% Normal Saline 250.0ml IV Infusions vo: 250 du: ml rt: Intravenous Push
t0: [15:00:00 27/03/2015] id: GI Intub #1/Site el: 0 cu: MICU-A cg: -1 v1: Salem Sump v2: Oral st: NotStopd t0: [15:00:00 27/03/2015] id: GI#1 Tube PlaceCheck el: 0 cu: MICU-A cg: -1 v1: Done st: NotStopd t0: [15:00:00 27/03/2015] id: GI#1 Tube Stat/Drain el: 0 cu: MICU-A cg: -1 v1: Clamped v2: Bilious st: NotStopd
t0: [15:00:00 27/03/2015] tf: [22:00:00 27/03/2015] dt: 420 id: TF Residual Gastric/TF Residual el: 1 cu: MICU-A cg: -1 ai: 189 vo: 3 vu: ml t0: [18:00:00 27/03/2015] id: D5W 100.0ml IV Infusions el: 1 cu: MICU-A cg: -1 ai: 105 vo: 100 vu: ml t0: [18:00:00 27/03/2015] id: .9% Normal Saline 250.0ml IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 0 vu: ml nb: 1
t0: [16:21:00 27/03/2015] id: Digoxin Drug Level el: 0 cu: MICU-A cg: 1663 v1: 1.1 u1: ng rs: Final st: NotStopd
t0: [18:38:00 27/03/2015] id: FiO2 Set el: 0 cu: MICU-A cg: RT v1: 0.6 u1: torr st: NotStopd
t0: [18:00:00 27/03/2015] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [18:00:00 27/03/2015] id: CVP el: 0 cu: MICU-A cg: RN v1: 5 u1: mmHg st: NotStopd t0: [18:00:00 27/03/2015] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [18:00:00 27/03/2015] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [18:00:00 27/03/2015] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [18:00:00 27/03/2015] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 63 u1: BPM st: NotStopd t0: [18:00:00 27/03/2015] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [18:00:00 27/03/2015] id: PAP S/D el: 0 cu: MICU-A cg: RN v1: 36 u1: mmHg v2: 15 u2: mmHg st: NotStopd t0: [18:00:00 27/03/2015] id: PCWP el: 0 cu: MICU-A cg: RN v1: 9 u1: mmHg st: NotStopd t0: [18:00:00 27/03/2015] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 98 u1: mmHg v2: 41 u2: mmHg st: NotStopd t0: [18:00:00 27/03/2015] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 60 u1: mmHg st: NotStopd t0: [18:00:00 27/03/2015] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [18:00:00 27/03/2015] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 72.6 u1: kg st: NotStopd t0: [18:00:00 27/03/2015] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 22 u1: BPM st: NotStopd t0: [18:00:00 27/03/2015] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 97 u1: % st: NotStopd t0: [18:00:00 27/03/2015] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [18:00:00 27/03/2015] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 60 vu: ml
t0: [18:00:00 27/03/2015] id: Fentanyl el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 50 su: ml rt: IV Drip
t0: [20:00:00 27/03/2015] id: Compliance (40-60ml) el: 0 cu: MICU-A cg: -1 v1: 36.4238 u1: ml/cmH st: NotStopd t0: [20:00:00 27/03/2015] id: ETT Mark/Location el: 0 cu: MICU-A cg: -1 v1: 24cm v2: Lip st: NotStopd t0: [20:00:00 27/03/2015] id: Flow-By (lpm) el: 0 cu: MICU-A cg: -1 v1: 6 u1: lpm st: NotStopd t0: [20:00:00 27/03/2015] id: Flow-by Sensitivity el: 0 cu: MICU-A cg: -1 v1: 3 u1: cmH2O st: NotStopd t0: [20:00:00 27/03/2015] id: High Insp. Pressure el: 0 cu: MICU-A cg: -1 v1: 50 u1: cmH2O st: NotStopd t0: [20:00:00 27/03/2015] id: High Resp. Rate el: 0 cu: MICU-A cg: -1 v1: 35 u1: BPM st: NotStopd t0: [20:00:00 27/03/2015] id: I:E Ratio el: 0 cu: MICU-A cg: -1 v1: 1:1.9 st: NotStopd t0: [20:00:00 27/03/2015] id: Airway Size el: 0 cu: MICU-A cg: -1 v1: 9.0 mm st: NotStopd t0: [20:00:00 27/03/2015] id: Airway Type el: 0 cu: MICU-A cg: -1 v1: Endotracheal st: NotStopd t0: [20:00:00 27/03/2015] id: Inspired Gas Temp el: 0 cu: MICU-A cg: -1 u1: Deg. C st: NotStopd t0: [20:00:00 27/03/2015] id: Intubation Date el: 0 cu: MICU-A cg: -1 v1: 2 v2: 22 st: NotStopd t0: [20:00:00 27/03/2015] id: Low Exhaled Min Vol el: 0 cu: MICU-A cg: -1 v1: 5 st: NotStopd t0: [20:00:00 27/03/2015] id: Low Insp. Pressure el: 0 cu: MICU-A cg: -1 v1: 10 u1: cmH2O st: NotStopd t0: [20:00:00 27/03/2015] id: Mean Airway Pressure el: 0 cu: MICU-A cg: -1 v1: 15 u1: cmH2O st: NotStopd t0: [20:00:00 27/03/2015] id: Minute Volume(Obser) el: 0 cu: MICU-A cg: -1 v1: 11.5 u1: L/min st: NotStopd t0: [20:00:00 27/03/2015] id: PEEP Set el: 0 cu: MICU-A cg: -1 v1: 10 u1: cmH2O st: NotStopd t0: [20:00:00 27/03/2015] id: Peak Flow el: 0 cu: MICU-A cg: -1 v1: 65 u1: L/m st: NotStopd t0: [20:00:00 27/03/2015] id: Peak Insp. Pressure el: 0 cu: MICU-A cg: -1 v1: 25.1 u1: cmH2O st: NotStopd t0: [20:00:00 27/03/2015] id: Plateau Pressure el: 0 cu: MICU-A cg: -1 v1: 16.1 u1: cmH2O st: NotStopd t0: [20:00:00 27/03/2015] id: Plateau-Off el: 0 cu: MICU-A cg: -1 v1: Yes st: NotStopd t0: [20:00:00 27/03/2015] id: Resp Rate (Spont) el: 0 cu: MICU-A cg: -1 v1: 0 u1: BPM st: NotStopd t0: [20:00:00 27/03/2015] id: Resp Rate (Total) el: 0 cu: MICU-A cg: -1 v1: 22 u1: BPM st: NotStopd t0: [20:00:00 27/03/2015] id: Respiratory Rate Set el: 0 cu: MICU-A cg: -1 v1: 22 u1: BPM st: NotStopd t0: [20:00:00 27/03/2015] id: Sensitivity-Vent el: 0 cu: MICU-A cg: -1 v1: 1.5 u1: cmH2O st: NotStopd t0: [20:00:00 27/03/2015] id: SpO2 el: 0 cu: MICU-A cg: -1 v1: 95 u1: % st: NotStopd t0: [20:00:00 27/03/2015] id: Tidal Volume (Obser) el: 0 cu: MICU-A cg: -1 v1: 530 u1: ml/B st: NotStopd t0: [20:00:00 27/03/2015] id: Tidal Volume (Set) el: 0 cu: MICU-A cg: -1 v1: 550 u1: ml/B st: NotStopd t0: [20:00:00 27/03/2015] id: Ventilator Mode el: 0 cu: MICU-A cg: -1 v1: CMV st: NotStopd t0: [20:00:00 27/03/2015] id: Ventilator No. el: 0 cu: MICU-A cg: -1 v1: 20 u1: # st: NotStopd t0: [20:00:00 27/03/2015] id: Ventilator Type el: 0 cu: MICU-A cg: -1 v1: 7200A st: NotStopd t0: [20:00:00 27/03/2015] id: Waveform-Vent el: 0 cu: MICU-A cg: -1 v1: RAMP st: NotStopd
t0: [20:00:00 27/03/2015] id: FiO2 Set el: 0 cu: MICU-A cg: RRT v1: 0.5 u1: torr st: NotStopd
t0: [20:00:00 27/03/2015] id: Less Restrict Meas. el: 0 cu: MICU-A cg: RN v1: Medicated st: NotStopd t0: [20:00:00 27/03/2015] id: Pain Present el: 0 cu: MICU-A cg: RN v1: No st: NotStopd t0: [20:00:00 27/03/2015] id: Range of Motion el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [20:00:00 27/03/2015] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [20:00:00 27/03/2015] id: CVP el: 0 cu: MICU-A cg: RN v1: 8 u1: mmHg st: NotStopd t0: [20:00:00 27/03/2015] id: Circulation/SkinInt el: 0 cu: MICU-A cg: RN v1: Circulation Adeq st: NotStopd t0: [20:00:00 27/03/2015] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [20:00:00 27/03/2015] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [20:00:00 27/03/2015] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [20:00:00 27/03/2015] id: Eye Opening el: 0 cu: MICU-A cg: RN v1: 1 No Response st: NotStopd t0: [20:00:00 27/03/2015] id: GCS Total el: 0 cu: MICU-A cg: RN v1: 7 u1: points st: NotStopd t0: [20:00:00 27/03/2015] id: GI Guaiac/ph el: 0 cu: MICU-A cg: RN v1: Negative v2: 6 st: NotStopd t0: [20:00:00 27/03/2015] id: GI Intub #1/Site el: 0 cu: MICU-A cg: RN v1: Salem Sump v2: Oral st: NotStopd t0: [20:00:00 27/03/2015] id: GI#1 Tube PlaceCheck el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [20:00:00 27/03/2015] id: GI#1 Tube Stat/Drain el: 0 cu: MICU-A cg: RN v1: Clamped v2: Bilious st: NotStopd t0: [20:00:00 27/03/2015] id: HOB el: 0 cu: MICU-A cg: RN v1: Flat in Bed st: NotStopd t0: [20:00:00 27/03/2015] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 62 u1: BPM st: NotStopd t0: [20:00:00 27/03/2015] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [20:00:00 27/03/2015] id: Abdominal Assessment el: 0 cu: MICU-A cg: RN v1: Soft st: NotStopd t0: [20:00:00 27/03/2015] id: Activity el: 0 cu: MICU-A cg: RN v1: Bedrest st: NotStopd t0: [20:00:00 27/03/2015] id: Activity Tolerance el: 0 cu: MICU-A cg: RN v1: Good st: NotStopd t0: [20:00:00 27/03/2015] id: LCW el: 0 cu: MICU-A cg: RN v1: 4.83208 u1: kg x m st: NotStopd t0: [20:00:00 27/03/2015] id: LLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [20:00:00 27/03/2015] id: LUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [20:00:00 27/03/2015] id: LVSW el: 0 cu: MICU-A cg: RN v1: 77.792 u1: g * m st: NotStopd t0: [20:00:00 27/03/2015] id: Level of Conscious el: 0 cu: MICU-A cg: RN v1: Arouse to Pain st: NotStopd t0: [20:00:00 27/03/2015] id: Motor Response el: 0 cu: MICU-A cg: RN v1: 5 Localizes Pain st: NotStopd t0: [20:00:00 27/03/2015] id: Oral Cavity el: 0 cu: MICU-A cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [20:00:00 27/03/2015] id: Orientation el: 0 cu: MICU-A cg: RN v1: Other/Remarks st: NotStopd t0: [20:00:00 27/03/2015] id: PAP Mean el: 0 cu: MICU-A cg: RN v1: 25 u1: mmHg st: NotStopd t0: [20:00:00 27/03/2015] id: PAP S/D el: 0 cu: MICU-A cg: RN v1: 38 u1: mmHg v2: 18 u2: mmHg st: NotStopd t0: [20:00:00 27/03/2015] id: PCWP el: 0 cu: MICU-A cg: RN v1: 13 u1: mmHg st: NotStopd t0: [20:00:00 27/03/2015] id: PVR el: 0 cu: MICU-A cg: RN v1: 148.607 u1: ... st: NotStopd t0: [20:00:00 27/03/2015] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 93 u1: mmHg v2: 38 u2: mmHg st: NotStopd t0: [20:00:00 27/03/2015] id: Pain Location el: 0 cu: MICU-A cg: RN v1: Not Indicated st: NotStopd t0: [20:00:00 27/03/2015] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 55 u1: mmHg st: NotStopd t0: [20:00:00 27/03/2015] id: Position el: 0 cu: MICU-A cg: RN v1: Supine st: NotStopd t0: [20:00:00 27/03/2015] id: Position Change el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [20:00:00 27/03/2015] id: Assistance Device el: 0 cu: MICU-A cg: RN v1: Total Lift st: NotStopd t0: [20:00:00 27/03/2015] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [20:00:00 27/03/2015] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 72.6 u1: kg st: NotStopd t0: [20:00:00 27/03/2015] id: RCW el: 0 cu: MICU-A cg: RN v1: 2.1964 u1: kg * m st: NotStopd t0: [20:00:00 27/03/2015] id: RLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [20:00:00 27/03/2015] id: RUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [20:00:00 27/03/2015] id: RVSW el: 0 cu: MICU-A cg: RN v1: 35.36 u1: g * m st: NotStopd t0: [20:00:00 27/03/2015] id: Reason For Restraint el: 0 cu: MICU-A cg: RN v1: Ext/TXInterfere st: NotStopd t0: [20:00:00 27/03/2015] id: Removed x 5 Mins el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [20:00:00 27/03/2015] id: Respiratory Pattern el: 0 cu: MICU-A cg: RN v1: Regular st: NotStopd t0: [20:00:00 27/03/2015] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 22 u1: BPM st: NotStopd t0: [20:00:00 27/03/2015] id: Restraint Location el: 0 cu: MICU-A cg: RN v1: Both Arms st: NotStopd t0: [20:00:00 27/03/2015] id: Restraint Type el: 0 cu: MICU-A cg: RN v1: Soft Limb st: NotStopd t0: [20:00:00 27/03/2015] id: Restraints Evaluated el: 0 cu: MICU-A cg: RN v1: RestraintReapply st: NotStopd t0: [20:00:00 27/03/2015] id: SVR el: 0 cu: MICU-A cg: RN v1: 582.043 u1: ... st: NotStopd t0: [20:00:00 27/03/2015] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [20:00:00 27/03/2015] id: Significant Events el: 0 cu: MICU-A cg: RN v1: Fluid Bolus st: NotStopd t0: [20:00:00 27/03/2015] id: Skin Integrity el: 0 cu: MICU-A cg: RN v1: Intact st: NotStopd t0: [20:00:00 27/03/2015] id: Sputum Color/Consist el: 0 cu: MICU-A cg: RN v1: Blood Tinged v2: Thin st: NotStopd t0: [20:00:00 27/03/2015] id: Sputum Source/Amt el: 0 cu: MICU-A cg: RN v1: Suctioned v2: Small st: NotStopd t0: [20:00:00 27/03/2015] id: Stroke Volume el: 0 cu: MICU-A cg: RN v1: 104.194 u1: ml st: NotStopd t0: [20:00:00 27/03/2015] id: Support Systems el: 0 cu: MICU-A cg: RN v1: Spouse st: NotStopd t0: [20:00:00 27/03/2015] id: Temp. Site el: 0 cu: MICU-A cg: RN v1: Blood st: NotStopd t0: [20:00:00 27/03/2015] id: Temperature C el: 0 cu: MICU-A cg: RN v1: 36.6 u1: Deg. C st: NotStopd t0: [20:00:00 27/03/2015] id: Temperature F (calc) el: 0 cu: MICU-A cg: RN v1: 97.88 u1: Deg. F st: NotStopd t0: [20:00:00 27/03/2015] id: Turn el: 0 cu: MICU-A cg: RN v1: Back st: NotStopd t0: [20:00:00 27/03/2015] id: Urine Color/Appear el: 0 cu: MICU-A cg: RN v1: Yellow v2: Clear st: NotStopd t0: [20:00:00 27/03/2015] id: Urine Source el: 0 cu: MICU-A cg: RN v1: Indwelling Cath st: NotStopd t0: [20:00:00 27/03/2015] id: Verbal Response el: 0 cu: MICU-A cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [20:00:00 27/03/2015] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [20:00:00 27/03/2015] id: Behavior el: 0 cu: MICU-A cg: RN v1: Calm st: NotStopd t0: [20:00:00 27/03/2015] id: Bowel Sounds el: 0 cu: MICU-A cg: RN v1: Present st: NotStopd t0: [20:00:00 27/03/2015] id: C.O.(thermodilution) el: 0 cu: MICU-A cg: RN v1: 6.46 u1: L/min st: NotStopd
t0: [20:00:00 27/03/2015] id: D5W 100.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 105 vo: 500 vu: ml t0: [20:00:00 27/03/2015] id: TF Residual Gastric/TF Residual el: 1 cu: MICU-A cg: RN ai: 189 vo: 5 vu: ml t0: [20:00:00 27/03/2015] tf: [17:00:00 28/03/2015] dt: 1260 id: D5W 250.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 240 vu: ml t0: [20:00:00 27/03/2015] id: D5W 250.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 30 vu: ml t0: [20:00:00 27/03/2015] tf: [02:00:00 07/04/2015] dt: 14760 id: .9% Normal Saline 250.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 20 vu: ml t0: [20:00:00 27/03/2015] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 50 vu: ml
t0: [20:00:00 27/03/2015] id: Fentanyl el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 50 su: ml rt: IV Drip
t0: [23:00:00 27/03/2015] dt: 1 id: Total Hourly Output el: 2 cu: MICU-A cg: RN pv: 65 cv: 65 ap: none t0: [23:00:00 27/03/2015] dt: 24 id: Urine Out Total el: 2 cu: MICU-A cg: RN pv: 65 cv: 460 ap: none t0: [23:00:00 27/03/2015] dt: 24 id: 24h Total Out el: 2 cu: MICU-A cg: RN pv: 65 cv: 460 ap: none
t0: [21:35:00 27/03/2015] id: Art.pH ABG el: 0 cu: MICU-A cg: 1663 v1: 7.36 rs: Final st: NotStopd t0: [21:35:00 27/03/2015] id: Arterial Base Excess ABG el: 0 cu: MICU-A cg: 1663 v1: -1 rs: Final st: NotStopd t0: [21:35:00 27/03/2015] id: Arterial CO2(Calc) ABG el: 0 cu: MICU-A cg: 1663 v1: 25 rs: Final st: NotStopd t0: [21:35:00 27/03/2015] id: Arterial PaCO2 ABG el: 0 cu: MICU-A cg: 1663 v1: 43 u1: mmHg rs: Final st: NotStopd t0: [21:35:00 27/03/2015] id: Arterial PaO2 ABG el: 0 cu: MICU-A cg: 1663 v1: 67 u1: mmHg rs: Final st: NotStopd t0: [21:35:00 27/03/2015] id: Arterial pH ABG el: 0 cu: MICU-A cg: 1663 v1: 7.36 rs: Final st: NotStopd
t0: [21:00:00 27/03/2015] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [21:00:00 27/03/2015] id: CVP el: 0 cu: MICU-A cg: RN v1: 9 u1: mmHg st: NotStopd t0: [21:00:00 27/03/2015] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [21:00:00 27/03/2015] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [21:00:00 27/03/2015] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [21:00:00 27/03/2015] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 63 u1: BPM st: NotStopd t0: [21:00:00 27/03/2015] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [21:00:00 27/03/2015] id: PAP Mean el: 0 cu: MICU-A cg: RN v1: 24 u1: mmHg st: NotStopd t0: [21:00:00 27/03/2015] id: PAP S/D el: 0 cu: MICU-A cg: RN v1: 38 u1: mmHg v2: 18 u2: mmHg st: NotStopd t0: [21:00:00 27/03/2015] id: PCWP el: 0 cu: MICU-A cg: RN v1: 12 u1: mmHg st: NotStopd t0: [21:00:00 27/03/2015] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 96 u1: mmHg v2: 39 u2: mmHg st: NotStopd t0: [21:00:00 27/03/2015] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 57 u1: mmHg st: NotStopd t0: [21:00:00 27/03/2015] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [21:00:00 27/03/2015] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 72.6 u1: kg st: NotStopd t0: [21:00:00 27/03/2015] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 22 u1: BPM st: NotStopd t0: [21:00:00 27/03/2015] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 93 u1: % st: NotStopd t0: [21:00:00 27/03/2015] id: Temperature C el: 0 cu: MICU-A cg: RN v1: 36.7 u1: Deg. C st: NotStopd t0: [21:00:00 27/03/2015] id: Temperature F (calc) el: 0 cu: MICU-A cg: RN v1: 98.06 u1: Deg. F st: NotStopd t0: [21:00:00 27/03/2015] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [21:00:00 27/03/2015] id: Fentanyl el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 50 su: ml rt: IV Drip
t0: [21:00:00 27/03/2015] id: Temp. Site el: 0 cu: MICU-A cg: RN v1: Blood st: NotStopd t0: [22:00:00 27/03/2015] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [22:00:00 27/03/2015] id: CVP el: 0 cu: MICU-A cg: RN v1: 9 u1: mmHg st: NotStopd t0: [22:00:00 27/03/2015] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [22:00:00 27/03/2015] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [22:00:00 27/03/2015] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [22:00:00 27/03/2015] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 64 u1: BPM st: NotStopd t0: [22:00:00 27/03/2015] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [22:00:00 27/03/2015] id: PAP Mean el: 0 cu: MICU-A cg: RN v1: 25 u1: mmHg st: NotStopd t0: [22:00:00 27/03/2015] id: PAP S/D el: 0 cu: MICU-A cg: RN v1: 40 u1: mmHg v2: 18 u2: mmHg st: NotStopd t0: [22:00:00 27/03/2015] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 97 u1: mmHg v2: 40 u2: mmHg st: NotStopd t0: [22:00:00 27/03/2015] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 58 u1: mmHg st: NotStopd t0: [22:00:00 27/03/2015] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [22:00:00 27/03/2015] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 72.6 u1: kg st: NotStopd t0: [22:00:00 27/03/2015] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 22 u1: BPM st: NotStopd t0: [22:00:00 27/03/2015] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 92 u1: % st: NotStopd t0: [22:00:00 27/03/2015] id: Temp. Site el: 0 cu: MICU-A cg: RN v1: Blood st: NotStopd t0: [22:00:00 27/03/2015] id: Temperature C el: 0 cu: MICU-A cg: RN v1: 36.6 u1: Deg. C st: NotStopd t0: [22:00:00 27/03/2015] id: Temperature F (calc) el: 0 cu: MICU-A cg: RN v1: 97.88 u1: Deg. F st: NotStopd t0: [22:00:00 27/03/2015] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [22:00:00 27/03/2015] id: D5W 100.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 105 vo: 500 vu: ml t0: [22:00:00 27/03/2015] id: TF Residual Gastric/TF Residual el: 1 cu: MICU-A cg: RN ai: 189 vo: 0 vu: ml t0: [22:00:00 27/03/2015] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 240 vu: ml t0: [22:00:00 27/03/2015] tf: [14:38:00 16/04/2015] dt: 28358 id: Gastric Meds PO/Gastric el: 1 cu: MICU-A cg: RN ai: 153 vo: 30 vu: ml t0: [22:00:00 27/03/2015] id: .9% Normal Saline 250.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 20 vu: ml t0: [22:00:00 27/03/2015] tf: [14:38:00 16/04/2015] dt: 28358 id: .9% Normal Saline 100.0ml + 5000mcghr Fentanyl IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 6 vu: ml nb: 1
t0: [22:00:00 27/03/2015] id: Fentanyl el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 50 su: ml rt: IV Drip
t0: [23:00:00 27/03/2015] dt: 1 id: Net Hourly Balance el: 2 cu: MICU-A cg: RN pv: 66 cv: 66 ap: none t0: [23:00:00 27/03/2015] dt: 24 id: IV Infusion In Total el: 2 cu: MICU-A cg: RN pv: 131 cv: 2527 ap: none t0: [23:00:00 27/03/2015] dt: 24 id: 24h Total In el: 2 cu: MICU-A cg: RN pv: 131 cv: 2557 ap: none t0: [23:00:00 27/03/2015] dt: 24 id: PO/Gastric In Total el: 2 cu: MICU-A cg: RN cv: 30 ap: none t0: [23:00:00 27/03/2015] dt: 24 id: 24h Net Body Balance el: 2 cu: MICU-A cg: RN pv: 66 cv: 2097 ap: none t0: [23:00:00 27/03/2015] dt: multiple days id: LOS Net Body Balance el: 2 cu: MICU-A cg: RN pv: 66 cv: 2097 ap: none
t0: [22:35:00 27/03/2015] id: FiO2 Set el: 0 cu: MICU-A cg: -1 v1: 0.6 u1: torr st: NotStopd t0: [22:35:00 27/03/2015] id: SpO2 el: 0 cu: MICU-A cg: -1 v1: 93 u1: % st: NotStopd
t0: [23:00:00 28/03/2015] dt: multiple days id: LOS Net Body Balance el: 2 cu: MICU-A cg: RN pv: 108 cv: 5917.75 ap: none
t0: [00:00:00 28/03/2015] id: Compliance (40-60ml) el: 0 cu: MICU-A cg: -1 v1: 50.9259 u1: ml/cmH st: NotStopd t0: [00:00:00 28/03/2015] id: ETT Mark/Location el: 0 cu: MICU-A cg: -1 v1: 24cm v2: Lip st: NotStopd t0: [00:00:00 28/03/2015] id: FiO2 Set el: 0 cu: MICU-A cg: -1 v1: 0.6 u1: torr st: NotStopd t0: [00:00:00 28/03/2015] id: Flow-By (lpm) el: 0 cu: MICU-A cg: -1 v1: 6 u1: lpm st: NotStopd t0: [00:00:00 28/03/2015] id: Flow-by Sensitivity el: 0 cu: MICU-A cg: -1 v1: 3 u1: cmH2O st: NotStopd t0: [00:00:00 28/03/2015] id: High Insp. Pressure el: 0 cu: MICU-A cg: -1 v1: 50 u1: cmH2O st: NotStopd t0: [00:00:00 28/03/2015] id: High Resp. Rate el: 0 cu: MICU-A cg: -1 v1: 35 u1: BPM st: NotStopd t0: [00:00:00 28/03/2015] id: I:E Ratio el: 0 cu: MICU-A cg: -1 v1: 1:1.6 st: NotStopd t0: [00:00:00 28/03/2015] id: Airway Size el: 0 cu: MICU-A cg: -1 v1: 9.0 mm st: NotStopd t0: [00:00:00 28/03/2015] id: Airway Type el: 0 cu: MICU-A cg: -1 v1: Endotracheal st: NotStopd t0: [00:00:00 28/03/2015] id: Inspired Gas Temp el: 0 cu: MICU-A cg: -1 u1: Deg. C st: NotStopd t0: [00:00:00 28/03/2015] id: Intubation Date el: 0 cu: MICU-A cg: -1 v1: 2 v2: 22 st: NotStopd t0: [00:00:00 28/03/2015] id: Low Exhaled Min Vol el: 0 cu: MICU-A cg: -1 v1: 5 st: NotStopd t0: [00:00:00 28/03/2015] id: Low Insp. Pressure el: 0 cu: MICU-A cg: -1 v1: 10 u1: cmH2O st: NotStopd t0: [00:00:00 28/03/2015] id: Mean Airway Pressure el: 0 cu: MICU-A cg: -1 v1: 16.2 u1: cmH2O st: NotStopd t0: [00:00:00 28/03/2015] id: Minute Volume(Obser) el: 0 cu: MICU-A cg: -1 v1: 11.9 u1: L/min st: NotStopd t0: [00:00:00 28/03/2015] id: PEEP Set el: 0 cu: MICU-A cg: -1 v1: 10 u1: cmH2O st: NotStopd t0: [00:00:00 28/03/2015] id: Peak Flow el: 0 cu: MICU-A cg: -1 v1: 65 u1: L/m st: NotStopd t0: [00:00:00 28/03/2015] id: Peak Insp. Pressure el: 0 cu: MICU-A cg: -1 v1: 20.8 u1: cmH2O st: NotStopd t0: [00:00:00 28/03/2015] id: Plateau Pressure el: 0 cu: MICU-A cg: -1 v1: 18.4 u1: cmH2O st: NotStopd t0: [00:00:00 28/03/2015] id: Plateau-Off el: 0 cu: MICU-A cg: -1 v1: Yes st: NotStopd t0: [00:00:00 28/03/2015] id: Resp Rate (Spont) el: 0 cu: MICU-A cg: -1 v1: 0 u1: BPM st: NotStopd t0: [00:00:00 28/03/2015] id: Resp Rate (Total) el: 0 cu: MICU-A cg: -1 v1: 22 u1: BPM st: NotStopd t0: [00:00:00 28/03/2015] id: Respiratory Rate Set el: 0 cu: MICU-A cg: -1 v1: 22 u1: BPM st: NotStopd t0: [00:00:00 28/03/2015] id: Sensitivity-Vent el: 0 cu: MICU-A cg: -1 v1: 1.5 u1: cmH2O st: NotStopd t0: [00:00:00 28/03/2015] id: SpO2 el: 0 cu: MICU-A cg: -1 v1: 95 u1: % st: NotStopd t0: [00:00:00 28/03/2015] id: Tidal Volume (Obser) el: 0 cu: MICU-A cg: -1 v1: 540 u1: ml/B st: NotStopd t0: [00:00:00 28/03/2015] id: Tidal Volume (Set) el: 0 cu: MICU-A cg: -1 v1: 550 u1: ml/B st: NotStopd t0: [00:00:00 28/03/2015] id: Ventilator Mode el: 0 cu: MICU-A cg: -1 v1: CMV st: NotStopd t0: [00:00:00 28/03/2015] id: Ventilator No. el: 0 cu: MICU-A cg: -1 v1: 20 u1: # st: NotStopd t0: [00:00:00 28/03/2015] id: Ventilator Type el: 0 cu: MICU-A cg: -1 v1: 7200A st: NotStopd t0: [00:00:00 28/03/2015] id: Waveform-Vent el: 0 cu: MICU-A cg: -1 v1: RAMP st: NotStopd
t0: [23:00:00 27/03/2015] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [23:00:00 27/03/2015] id: CVP el: 0 cu: MICU-A cg: RN v1: 8 u1: mmHg st: NotStopd t0: [23:00:00 27/03/2015] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [23:00:00 27/03/2015] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [23:00:00 27/03/2015] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [23:00:00 27/03/2015] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 64 u1: BPM st: NotStopd t0: [23:00:00 27/03/2015] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [23:00:00 27/03/2015] id: PAP Mean el: 0 cu: MICU-A cg: RN v1: 24 u1: mmHg st: NotStopd t0: [23:00:00 27/03/2015] id: PAP S/D el: 0 cu: MICU-A cg: RN v1: 38 u1: mmHg v2: 16 u2: mmHg st: NotStopd t0: [23:00:00 27/03/2015] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 97 u1: mmHg v2: 40 u2: mmHg st: NotStopd t0: [23:00:00 27/03/2015] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 58 u1: mmHg st: NotStopd t0: [23:00:00 27/03/2015] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [23:00:00 27/03/2015] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 72.6 u1: kg st: NotStopd t0: [23:00:00 27/03/2015] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 22 u1: BPM st: NotStopd t0: [23:00:00 27/03/2015] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 93 u1: % st: NotStopd t0: [23:00:00 27/03/2015] id: Temp. Site el: 0 cu: MICU-A cg: RN v1: Blood st: NotStopd t0: [23:00:00 27/03/2015] id: Temperature C el: 0 cu: MICU-A cg: RN v1: 36.7 u1: Deg. C st: NotStopd t0: [23:00:00 27/03/2015] id: Temperature F (calc) el: 0 cu: MICU-A cg: RN v1: 98.06 u1: Deg. F st: NotStopd t0: [23:00:00 27/03/2015] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [00:00:00 28/03/2015] id: Less Restrict Meas. el: 0 cu: MICU-A cg: RN v1: Medicated st: NotStopd t0: [00:00:00 28/03/2015] id: Range of Motion el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [00:00:00 28/03/2015] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [00:00:00 28/03/2015] id: CVP el: 0 cu: MICU-A cg: RN v1: 9 u1: mmHg st: NotStopd t0: [00:00:00 28/03/2015] id: Circulation/SkinInt el: 0 cu: MICU-A cg: RN v1: Circulation Adeq st: NotStopd t0: [00:00:00 28/03/2015] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [00:00:00 28/03/2015] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [00:00:00 28/03/2015] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [00:00:00 28/03/2015] id: Eye Opening el: 0 cu: MICU-A cg: RN v1: 3 To speech st: NotStopd t0: [00:00:00 28/03/2015] id: GCS Total el: 0 cu: MICU-A cg: RN v1: 10 u1: points st: NotStopd t0: [00:00:00 28/03/2015] id: GI Guaiac/ph el: 0 cu: MICU-A cg: RN v1: Negative v2: 6 st: NotStopd t0: [00:00:00 28/03/2015] id: GI Intub #1/Site el: 0 cu: MICU-A cg: RN v1: Salem Sump v2: Oral st: NotStopd t0: [00:00:00 28/03/2015] id: GI#1 Tube PlaceCheck el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [00:00:00 28/03/2015] id: GI#1 Tube Stat/Drain el: 0 cu: MICU-A cg: RN v1: Clamped v2: Bilious st: NotStopd t0: [00:00:00 28/03/2015] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 62 u1: BPM st: NotStopd t0: [00:00:00 28/03/2015] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [00:00:00 28/03/2015] id: INV Line#1 Type/Site el: 0 cu: MICU-A cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [00:00:00 28/03/2015] id: INV Line#1 Zero/Cal el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [00:00:00 28/03/2015] id: INV Line#1InsertDate el: 0 cu: MICU-A cg: RN v1: 2 v2: 22 st: NotStopd t0: [00:00:00 28/03/2015] id: INV Line#1SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [00:00:00 28/03/2015] id: INV Line#2 Type/Site el: 0 cu: MICU-A cg: RN v1: PA line v2: Right IJ st: NotStopd t0: [00:00:00 28/03/2015] id: INV Line#2InsertDate el: 0 cu: MICU-A cg: RN v1: 2 v2: 22 st: NotStopd t0: [00:00:00 28/03/2015] id: INV Line#2SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [00:00:00 28/03/2015] id: Abdominal Assessment el: 0 cu: MICU-A cg: RN v1: Soft st: NotStopd t0: [00:00:00 28/03/2015] id: INV#1 WaveformAppear el: 0 cu: MICU-A cg: RN v1: Sharp st: NotStopd t0: [00:00:00 28/03/2015] id: IV #1 Insert Date el: 0 cu: MICU-A cg: RN v1: 2 v2: 22 st: NotStopd t0: [00:00:00 28/03/2015] id: IV #1 Site/Size el: 0 cu: MICU-A cg: RN v1: LL Ant Forearm v2: 20 gauge st: NotStopd t0: [00:00:00 28/03/2015] id: IV #3 Insert Date el: 0 cu: MICU-A cg: RN v1: 2 v2: 22 st: NotStopd t0: [00:00:00 28/03/2015] id: IV #3 Site/Size el: 0 cu: MICU-A cg: RN v1: RU Ant Forearm v2: 18 gauge st: NotStopd t0: [00:00:00 28/03/2015] id: IV Site Appear #1 el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [00:00:00 28/03/2015] id: IV Site Appear #3 el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [00:00:00 28/03/2015] id: LCW el: 0 cu: MICU-A cg: RN v1: 5.21397 u1: kg x m st: NotStopd t0: [00:00:00 28/03/2015] id: LLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [00:00:00 28/03/2015] id: LUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [00:00:00 28/03/2015] id: LVSW el: 0 cu: MICU-A cg: RN v1: 84.4016 u1: g * m st: NotStopd t0: [00:00:00 28/03/2015] id: Level of Conscious el: 0 cu: MICU-A cg: RN v1: Arouse to Voice st: NotStopd t0: [00:00:00 28/03/2015] id: Motor Response el: 0 cu: MICU-A cg: RN v1: 6 Obeys Commands st: NotStopd t0: [00:00:00 28/03/2015] id: Oral Cavity el: 0 cu: MICU-A cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [00:00:00 28/03/2015] id: Orientation el: 0 cu: MICU-A cg: RN v1: Other/Remarks st: NotStopd t0: [00:00:00 28/03/2015] id: PAP Mean el: 0 cu: MICU-A cg: RN v1: 25 u1: mmHg st: NotStopd t0: [00:00:00 28/03/2015] id: PAP S/D el: 0 cu: MICU-A cg: RN v1: 40 u1: mmHg v2: 17 u2: mmHg st: NotStopd t0: [00:00:00 28/03/2015] id: PCWP el: 0 cu: MICU-A cg: RN v1: 14 u1: mmHg st: NotStopd t0: [00:00:00 28/03/2015] id: PVR el: 0 cu: MICU-A cg: RN v1: 133.132 u1: ... st: NotStopd t0: [00:00:00 28/03/2015] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 97 u1: mmHg v2: 40 u2: mmHg st: NotStopd t0: [00:00:00 28/03/2015] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 58 u1: mmHg st: NotStopd t0: [00:00:00 28/03/2015] id: Position Change el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [00:00:00 28/03/2015] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [00:00:00 28/03/2015] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 72.6 u1: kg st: NotStopd t0: [00:00:00 28/03/2015] id: RCW el: 0 cu: MICU-A cg: RN v1: 2.2474 u1: kg * m st: NotStopd t0: [00:00:00 28/03/2015] id: RLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [00:00:00 28/03/2015] id: RUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [00:00:00 28/03/2015] id: RVSW el: 0 cu: MICU-A cg: RN v1: 36.38 u1: g * m st: NotStopd t0: [00:00:00 28/03/2015] id: Reason For Restraint el: 0 cu: MICU-A cg: RN v1: Ext/TXInterfere st: NotStopd t0: [00:00:00 28/03/2015] id: Removed x 5 Mins el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [00:00:00 28/03/2015] id: Respiratory Pattern el: 0 cu: MICU-A cg: RN v1: Regular st: NotStopd t0: [00:00:00 28/03/2015] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 22 u1: BPM st: NotStopd t0: [00:00:00 28/03/2015] id: Restraint Location el: 0 cu: MICU-A cg: RN v1: Both Arms st: NotStopd t0: [00:00:00 28/03/2015] id: Restraint Type el: 0 cu: MICU-A cg: RN v1: Soft Limb st: NotStopd t0: [00:00:00 28/03/2015] id: Restraints Evaluated el: 0 cu: MICU-A cg: RN v1: RestraintReapply st: NotStopd t0: [00:00:00 28/03/2015] id: SVR el: 0 cu: MICU-A cg: RN v1: 593.041 u1: ... st: NotStopd t0: [00:00:00 28/03/2015] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [00:00:00 28/03/2015] id: Skin Integrity el: 0 cu: MICU-A cg: RN v1: Intact st: NotStopd t0: [00:00:00 28/03/2015] id: Stroke Volume el: 0 cu: MICU-A cg: RN v1: 106.613 u1: ml st: NotStopd t0: [00:00:00 28/03/2015] id: Support Systems el: 0 cu: MICU-A cg: RN v1: Spouse st: NotStopd t0: [00:00:00 28/03/2015] id: Temp. Site el: 0 cu: MICU-A cg: RN v1: Blood st: NotStopd t0: [00:00:00 28/03/2015] id: Temperature C el: 0 cu: MICU-A cg: RN v1: 36.6 u1: Deg. C st: NotStopd t0: [00:00:00 28/03/2015] id: Temperature F (calc) el: 0 cu: MICU-A cg: RN v1: 97.88 u1: Deg. F st: NotStopd t0: [00:00:00 28/03/2015] id: Urine Color/Appear el: 0 cu: MICU-A cg: RN v1: Yellow v2: Clear st: NotStopd t0: [00:00:00 28/03/2015] id: Urine Source el: 0 cu: MICU-A cg: RN v1: Indwelling Cath st: NotStopd t0: [00:00:00 28/03/2015] id: Verbal Response el: 0 cu: MICU-A cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [00:00:00 28/03/2015] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [00:00:00 28/03/2015] id: Behavior el: 0 cu: MICU-A cg: RN v1: Agitated st: NotStopd t0: [00:00:00 28/03/2015] id: Bowel Sounds el: 0 cu: MICU-A cg: RN v1: Present st: NotStopd t0: [00:00:00 28/03/2015] id: Braden Activity el: 0 cu: MICU-A cg: RN v1: Bedfast st: NotStopd t0: [00:00:00 28/03/2015] id: Braden Frict/Shear el: 0 cu: MICU-A cg: RN v1: Potential Prob st: NotStopd t0: [00:00:00 28/03/2015] id: Braden Mobility el: 0 cu: MICU-A cg: RN v1: Very Limited st: NotStopd t0: [00:00:00 28/03/2015] id: Braden Moisture el: 0 cu: MICU-A cg: RN v1: Occ. Moist st: NotStopd t0: [00:00:00 28/03/2015] id: Braden Nutrition el: 0 cu: MICU-A cg: RN v1: Adequate st: NotStopd t0: [00:00:00 28/03/2015] id: Braden Score el: 0 cu: MICU-A cg: RN v1: 14 u1: number st: NotStopd t0: [00:00:00 28/03/2015] id: Braden SensoryPercep el: 0 cu: MICU-A cg: RN v1: Sl. Limited st: NotStopd t0: [00:00:00 28/03/2015] id: C.O.(thermodilution) el: 0 cu: MICU-A cg: RN v1: 6.61 u1: L/min st: NotStopd t0: [00:30:00 28/03/2015] id: Pain Present el: 0 cu: MICU-A cg: RN v1: No st: NotStopd t0: [00:30:00 28/03/2015] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [00:30:00 28/03/2015] id: CVP el: 0 cu: MICU-A cg: RN v1: 9 u1: mmHg st: NotStopd t0: [00:30:00 28/03/2015] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [00:30:00 28/03/2015] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [00:30:00 28/03/2015] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [00:30:00 28/03/2015] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 63 u1: BPM st: NotStopd t0: [00:30:00 28/03/2015] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [00:30:00 28/03/2015] id: PAP Mean el: 0 cu: MICU-A cg: RN v1: 25 u1: mmHg st: NotStopd t0: [00:30:00 28/03/2015] id: PAP S/D el: 0 cu: MICU-A cg: RN v1: 41 u1: mmHg v2: 16 u2: mmHg st: NotStopd t0: [00:30:00 28/03/2015] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 100 u1: mmHg v2: 41 u2: mmHg st: NotStopd t0: [00:30:00 28/03/2015] id: Pain Location el: 0 cu: MICU-A cg: RN v1: Not Indicated st: NotStopd t0: [00:30:00 28/03/2015] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 60 u1: mmHg st: NotStopd t0: [00:30:00 28/03/2015] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [00:30:00 28/03/2015] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 72.6 u1: kg st: NotStopd t0: [00:30:00 28/03/2015] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 22 u1: BPM st: NotStopd t0: [00:30:00 28/03/2015] id: Significant Events el: 0 cu: MICU-A cg: RN v1: Fluid Bolus st: NotStopd t0: [00:30:00 28/03/2015] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 94 u1: % st: NotStopd t0: [00:30:00 28/03/2015] id: Sputum Color/Consist el: 0 cu: MICU-A cg: RN v1: Blood Tinged v2: Thin st: NotStopd t0: [00:30:00 28/03/2015] id: Sputum Source/Amt el: 0 cu: MICU-A cg: RN v1: Suctioned v2: Scant st: NotStopd t0: [00:30:00 28/03/2015] id: Temp. Site el: 0 cu: MICU-A cg: RN v1: Blood st: NotStopd t0: [00:30:00 28/03/2015] id: Temperature C el: 0 cu: MICU-A cg: RN v1: 36.6 u1: Deg. C st: NotStopd t0: [00:30:00 28/03/2015] id: Temperature F (calc) el: 0 cu: MICU-A cg: RN v1: 97.88 u1: Deg. F st: NotStopd t0: [00:30:00 28/03/2015] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [01:00:00 28/03/2015] id: HOB el: 0 cu: MICU-A cg: RN v1: 15 degrees st: NotStopd t0: [01:00:00 28/03/2015] id: Activity el: 0 cu: MICU-A cg: RN v1: Bedrest st: NotStopd t0: [01:00:00 28/03/2015] id: Activity Tolerance el: 0 cu: MICU-A cg: RN v1: Good st: NotStopd t0: [01:00:00 28/03/2015] id: Assistance Device el: 0 cu: MICU-A cg: RN v1: 2 Person Assist st: NotStopd t0: [01:00:00 28/03/2015] id: Procedures el: 0 cu: MICU-A cg: RN st: NotStopd
t0: [22:00:00 27/03/2015] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 100 vu: ml t0: [23:00:00 27/03/2015] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 120 vu: ml t0: [23:00:00 27/03/2015] id: .9% Normal Saline 250.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [23:00:00 27/03/2015] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 65 vu: ml t0: [23:00:00 27/03/2015] id: .9% Normal Saline 100.0ml + 5000mcghr Fentanyl IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 1 vu: ml t0: [00:00:00 28/03/2015] id: D5W 100.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 105 vo: 500 vu: ml t0: [00:00:00 28/03/2015] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 120 vu: ml t0: [00:00:00 28/03/2015] id: D5W 250.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 30 vu: ml t0: [00:00:00 28/03/2015] id: .9% Normal Saline 250.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [00:00:00 28/03/2015] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 65 vu: ml t0: [00:00:00 28/03/2015] id: .9% Normal Saline 100.0ml + 5000mcghr Fentanyl IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 1 vu: ml t0: [00:30:00 28/03/2015] id: TF Residual Gastric/TF Residual el: 1 cu: MICU-A cg: RN ai: 189 vo: 0 vu: ml
t0: [23:00:00 27/03/2015] id: Fentanyl el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 50 su: ml rt: IV Drip t0: [00:00:00 28/03/2015] id: Fentanyl el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 50 su: ml rt: IV Drip t0: [00:30:00 28/03/2015] id: Fentanyl el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 50 su: ml rt: IV Drip
t0: [01:00:00 28/03/2015] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [01:00:00 28/03/2015] id: CVP el: 0 cu: MICU-A cg: RN v1: 9 u1: mmHg st: NotStopd t0: [01:00:00 28/03/2015] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [01:00:00 28/03/2015] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [01:00:00 28/03/2015] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [01:00:00 28/03/2015] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 72 u1: BPM st: NotStopd t0: [01:00:00 28/03/2015] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [01:00:00 28/03/2015] id: LCW el: 0 cu: MICU-A cg: RN v1: 5.75334 u1: kg x m st: NotStopd t0: [01:00:00 28/03/2015] id: LVSW el: 0 cu: MICU-A cg: RN v1: 80.0768 u1: g * m st: NotStopd t0: [01:00:00 28/03/2015] id: PAP Mean el: 0 cu: MICU-A cg: RN v1: 28 u1: mmHg st: NotStopd t0: [01:00:00 28/03/2015] id: PAP S/D el: 0 cu: MICU-A cg: RN v1: 43 u1: mmHg v2: 19 u2: mmHg st: NotStopd t0: [01:00:00 28/03/2015] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 104 u1: mmHg v2: 42 u2: mmHg st: NotStopd t0: [01:00:00 28/03/2015] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 64 u1: mmHg st: NotStopd t0: [01:00:00 28/03/2015] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [01:00:00 28/03/2015] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 72.6 u1: kg st: NotStopd t0: [01:00:00 28/03/2015] id: RCW el: 0 cu: MICU-A cg: RN v1: 2.51709 u1: kg * m st: NotStopd t0: [01:00:00 28/03/2015] id: RVSW el: 0 cu: MICU-A cg: RN v1: 35.0336 u1: g * m st: NotStopd t0: [01:00:00 28/03/2015] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 22 u1: BPM st: NotStopd t0: [01:00:00 28/03/2015] id: SVR el: 0 cu: MICU-A cg: RN v1: 665.658 u1: ... st: NotStopd t0: [01:00:00 28/03/2015] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 93 u1: % st: NotStopd t0: [01:00:00 28/03/2015] id: Stroke Volume el: 0 cu: MICU-A cg: RN v1: 91.8056 u1: ml st: NotStopd t0: [01:00:00 28/03/2015] id: Temp. Site el: 0 cu: MICU-A cg: RN v1: Blood st: NotStopd t0: [01:00:00 28/03/2015] id: Temperature C el: 0 cu: MICU-A cg: RN v1: 36.4 u1: Deg. C st: NotStopd t0: [01:00:00 28/03/2015] id: Temperature F (calc) el: 0 cu: MICU-A cg: RN v1: 97.52 u1: Deg. F st: NotStopd t0: [01:00:00 28/03/2015] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [01:00:00 28/03/2015] id: C.O.(thermodilution) el: 0 cu: MICU-A cg: RN v1: 6.61 u1: L/min st: NotStopd
t0: [01:00:00 28/03/2015] id: Fentanyl el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 50 su: ml rt: IV Drip
t0: [02:00:00 28/03/2015] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [02:00:00 28/03/2015] id: CVP el: 0 cu: MICU-A cg: RN v1: 9 u1: mmHg st: NotStopd t0: [02:00:00 28/03/2015] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [02:00:00 28/03/2015] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [02:00:00 28/03/2015] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [02:00:00 28/03/2015] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 61 u1: BPM st: NotStopd t0: [02:00:00 28/03/2015] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [02:00:00 28/03/2015] id: PAP Mean el: 0 cu: MICU-A cg: RN v1: 25 u1: mmHg st: NotStopd t0: [02:00:00 28/03/2015] id: PAP S/D el: 0 cu: MICU-A cg: RN v1: 40 u1: mmHg v2: 17 u2: mmHg st: NotStopd t0: [02:00:00 28/03/2015] id: PCWP el: 0 cu: MICU-A cg: RN v1: 14 u1: mmHg st: NotStopd t0: [02:00:00 28/03/2015] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 97 u1: mmHg v2: 39 u2: mmHg st: NotStopd t0: [02:00:00 28/03/2015] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 57 u1: mmHg st: NotStopd t0: [02:00:00 28/03/2015] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [02:00:00 28/03/2015] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 72.6 u1: kg st: NotStopd t0: [02:00:00 28/03/2015] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 22 u1: BPM st: NotStopd t0: [02:00:00 28/03/2015] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 95 u1: % st: NotStopd t0: [02:00:00 28/03/2015] id: Temp. Site el: 0 cu: MICU-A cg: RN v1: Blood st: NotStopd t0: [02:00:00 28/03/2015] id: Temperature C el: 0 cu: MICU-A cg: RN v1: 36.4 u1: Deg. C st: NotStopd t0: [02:00:00 28/03/2015] id: Temperature F (calc) el: 0 cu: MICU-A cg: RN v1: 97.52 u1: Deg. F st: NotStopd t0: [02:00:00 28/03/2015] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [02:00:00 28/03/2015] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 240 vu: ml t0: [02:00:00 28/03/2015] id: .9% Normal Saline 250.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 20 vu: ml t0: [02:00:00 28/03/2015] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 120 vu: ml t0: [02:00:00 28/03/2015] id: .9% Normal Saline 100.0ml + 5000mcghr Fentanyl IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 2 vu: ml
t0: [02:00:00 28/03/2015] id: Fentanyl el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 50 su: ml rt: IV Drip
t0: [01:00:00 28/03/2015] id: Position el: 0 cu: MICU-A cg: RN v1: Supine st: NotStopd t0: [01:00:00 28/03/2015] id: Turn el: 0 cu: MICU-A cg: RN v1: Back st: NotStopd t0: [03:00:00 28/03/2015] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [03:00:00 28/03/2015] id: CVP el: 0 cu: MICU-A cg: RN v1: 9 u1: mmHg st: NotStopd t0: [03:00:00 28/03/2015] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [03:00:00 28/03/2015] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [03:00:00 28/03/2015] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [03:00:00 28/03/2015] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 60 u1: BPM st: NotStopd t0: [03:00:00 28/03/2015] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [03:00:00 28/03/2015] id: PAP Mean el: 0 cu: MICU-A cg: RN v1: 26 u1: mmHg st: NotStopd t0: [03:00:00 28/03/2015] id: PAP S/D el: 0 cu: MICU-A cg: RN v1: 40 u1: mmHg v2: 22 u2: mmHg st: NotStopd t0: [03:00:00 28/03/2015] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 108 u1: mmHg v2: 43 u2: mmHg st: NotStopd t0: [03:00:00 28/03/2015] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 63 u1: mmHg st: NotStopd t0: [03:00:00 28/03/2015] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [03:00:00 28/03/2015] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 72.6 u1: kg st: NotStopd t0: [03:00:00 28/03/2015] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 22 u1: BPM st: NotStopd t0: [03:00:00 28/03/2015] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 96 u1: % st: NotStopd t0: [03:00:00 28/03/2015] id: Sputum Color/Consist el: 0 cu: MICU-A cg: RN v1: Blood Tinged v2: Thin st: NotStopd t0: [03:00:00 28/03/2015] id: Sputum Source/Amt el: 0 cu: MICU-A cg: RN v1: Suctioned v2: Small st: NotStopd t0: [03:00:00 28/03/2015] id: Temp. Site el: 0 cu: MICU-A cg: RN v1: Blood st: NotStopd t0: [03:00:00 28/03/2015] id: Temperature C el: 0 cu: MICU-A cg: RN v1: 36.3 u1: Deg. C st: NotStopd t0: [03:00:00 28/03/2015] id: Temperature F (calc) el: 0 cu: MICU-A cg: RN v1: 97.34 u1: Deg. F st: NotStopd t0: [03:00:00 28/03/2015] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [04:00:00 28/03/2015] id: Less Restrict Meas. el: 0 cu: MICU-A cg: RN v1: Medicated st: NotStopd t0: [04:00:00 28/03/2015] id: Pain Present el: 0 cu: MICU-A cg: RN v1: No st: NotStopd t0: [04:00:00 28/03/2015] id: Range of Motion el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [04:00:00 28/03/2015] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [04:00:00 28/03/2015] id: CVP el: 0 cu: MICU-A cg: RN v1: 10 u1: mmHg st: NotStopd t0: [04:00:00 28/03/2015] id: Circulation/SkinInt el: 0 cu: MICU-A cg: RN v1: Circulation Adeq st: NotStopd t0: [04:00:00 28/03/2015] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [04:00:00 28/03/2015] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [04:00:00 28/03/2015] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [04:00:00 28/03/2015] id: Eye Opening el: 0 cu: MICU-A cg: RN v1: 3 To speech st: NotStopd t0: [04:00:00 28/03/2015] id: GCS Total el: 0 cu: MICU-A cg: RN v1: 10 u1: points st: NotStopd t0: [04:00:00 28/03/2015] id: GI Intub #1/Site el: 0 cu: MICU-A cg: RN v1: Salem Sump v2: Oral st: NotStopd t0: [04:00:00 28/03/2015] id: GI#1 Tube PlaceCheck el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [04:00:00 28/03/2015] id: GI#1 Tube Stat/Drain el: 0 cu: MICU-A cg: RN v1: Clamped v2: Bilious st: NotStopd t0: [04:00:00 28/03/2015] id: HOB el: 0 cu: MICU-A cg: RN v1: 15 degrees st: NotStopd t0: [04:00:00 28/03/2015] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 67 u1: BPM st: NotStopd t0: [04:00:00 28/03/2015] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [04:00:00 28/03/2015] id: Abdominal Assessment el: 0 cu: MICU-A cg: RN v1: Soft st: NotStopd t0: [04:00:00 28/03/2015] id: Activity el: 0 cu: MICU-A cg: RN v1: Bedrest st: NotStopd t0: [04:00:00 28/03/2015] id: Activity Tolerance el: 0 cu: MICU-A cg: RN v1: Tolerated Well st: NotStopd t0: [04:00:00 28/03/2015] id: LCW el: 0 cu: MICU-A cg: RN v1: 6.0996 u1: kg x m st: NotStopd t0: [04:00:00 28/03/2015] id: LLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [04:00:00 28/03/2015] id: LUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [04:00:00 28/03/2015] id: LVSW el: 0 cu: MICU-A cg: RN v1: 91.0248 u1: g * m st: NotStopd t0: [04:00:00 28/03/2015] id: Level of Conscious el: 0 cu: MICU-A cg: RN v1: Arouse to Voice st: NotStopd t0: [04:00:00 28/03/2015] id: Motor Response el: 0 cu: MICU-A cg: RN v1: 6 Obeys Commands st: NotStopd t0: [04:00:00 28/03/2015] id: Oral Cavity el: 0 cu: MICU-A cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [04:00:00 28/03/2015] id: Orientation el: 0 cu: MICU-A cg: RN v1: Other/Remarks st: NotStopd t0: [04:00:00 28/03/2015] id: PAP Mean el: 0 cu: MICU-A cg: RN v1: 28 u1: mmHg st: NotStopd t0: [04:00:00 28/03/2015] id: PAP S/D el: 0 cu: MICU-A cg: RN v1: 42 u1: mmHg v2: 21 u2: mmHg st: NotStopd t0: [04:00:00 28/03/2015] id: PCWP el: 0 cu: MICU-A cg: RN v1: 14 u1: mmHg st: NotStopd t0: [04:00:00 28/03/2015] id: PVR el: 0 cu: MICU-A cg: RN v1: 172.308 u1: ... st: NotStopd t0: [04:00:00 28/03/2015] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 107 u1: mmHg v2: 49 u2: mmHg st: NotStopd t0: [04:00:00 28/03/2015] id: Pain Location el: 0 cu: MICU-A cg: RN v1: Not Indicated st: NotStopd t0: [04:00:00 28/03/2015] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 69 u1: mmHg st: NotStopd t0: [04:00:00 28/03/2015] id: Position el: 0 cu: MICU-A cg: RN v1: Right Side st: NotStopd t0: [04:00:00 28/03/2015] id: Position Change el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [04:00:00 28/03/2015] id: Assistance Device el: 0 cu: MICU-A cg: RN v1: 2 Person Assist st: NotStopd t0: [04:00:00 28/03/2015] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [04:00:00 28/03/2015] id: Previous Weight el: 0 cu: MICU-A cg: RN v1: 74.7 u1: kg st: NotStopd t0: [04:00:00 28/03/2015] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 74.7 u1: kg st: NotStopd t0: [04:00:00 28/03/2015] id: Procedures el: 0 cu: MICU-A cg: RN st: NotStopd t0: [04:00:00 28/03/2015] id: RCW el: 0 cu: MICU-A cg: RN v1: 2.4752 u1: kg * m st: NotStopd t0: [04:00:00 28/03/2015] id: RLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [04:00:00 28/03/2015] id: RUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [04:00:00 28/03/2015] id: RVSW el: 0 cu: MICU-A cg: RN v1: 36.9376 u1: g * m st: NotStopd t0: [04:00:00 28/03/2015] id: Reason For Restraint el: 0 cu: MICU-A cg: RN v1: Ext/TXInterfere st: NotStopd t0: [04:00:00 28/03/2015] id: Removed x 5 Mins el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [04:00:00 28/03/2015] id: Respiratory Pattern el: 0 cu: MICU-A cg: RN v1: Regular st: NotStopd t0: [04:00:00 28/03/2015] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 22 u1: BPM st: NotStopd t0: [04:00:00 28/03/2015] id: Restraint Location el: 0 cu: MICU-A cg: RN v1: Both Arms st: NotStopd t0: [04:00:00 28/03/2015] id: Restraint Type el: 0 cu: MICU-A cg: RN v1: Soft Limb st: NotStopd t0: [04:00:00 28/03/2015] id: Restraints Evaluated el: 0 cu: MICU-A cg: RN v1: RestraintReapply st: NotStopd t0: [04:00:00 28/03/2015] id: SVR el: 0 cu: MICU-A cg: RN v1: 726.154 u1: ... st: NotStopd t0: [04:00:00 28/03/2015] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [04:00:00 28/03/2015] id: Skin Integrity el: 0 cu: MICU-A cg: RN v1: Intact st: NotStopd t0: [04:00:00 28/03/2015] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 93 u1: % st: NotStopd t0: [04:00:00 28/03/2015] id: Stroke Volume el: 0 cu: MICU-A cg: RN v1: 97.0149 u1: ml st: NotStopd t0: [04:00:00 28/03/2015] id: Support Systems el: 0 cu: MICU-A cg: RN v1: Spouse st: NotStopd t0: [04:00:00 28/03/2015] id: Temp. Site el: 0 cu: MICU-A cg: RN v1: Blood st: NotStopd t0: [04:00:00 28/03/2015] id: Temperature C el: 0 cu: MICU-A cg: RN v1: 36.4 u1: Deg. C st: NotStopd t0: [04:00:00 28/03/2015] id: Temperature F (calc) el: 0 cu: MICU-A cg: RN v1: 97.52 u1: Deg. F st: NotStopd t0: [04:00:00 28/03/2015] id: Turn el: 0 cu: MICU-A cg: RN v1: Right Side st: NotStopd t0: [04:00:00 28/03/2015] id: Urine Color/Appear el: 0 cu: MICU-A cg: RN v1: Yellow v2: Clear st: NotStopd t0: [04:00:00 28/03/2015] id: Urine Source el: 0 cu: MICU-A cg: RN v1: Indwelling Cath st: NotStopd t0: [04:00:00 28/03/2015] id: Verbal Response el: 0 cu: MICU-A cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [04:00:00 28/03/2015] id: Weight Change el: 0 cu: MICU-A cg: RN v1: 0 u1: kg st: NotStopd t0: [04:00:00 28/03/2015] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [04:00:00 28/03/2015] id: Daily Weight el: 0 cu: MICU-A cg: RN v1: 74.7 u1: kg st: NotStopd t0: [04:00:00 28/03/2015] id: Behavior el: 0 cu: MICU-A cg: RN v1: Calm st: NotStopd t0: [04:00:00 28/03/2015] id: Bowel Sounds el: 0 cu: MICU-A cg: RN v1: Present st: NotStopd t0: [04:00:00 28/03/2015] id: C.O.(thermodilution) el: 0 cu: MICU-A cg: RN v1: 6.5 u1: L/min st: NotStopd
t0: [02:00:00 28/03/2015] id: D5W 100.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 105 vo: 100 vu: ml t0: [04:00:00 28/03/2015] id: TF Residual Gastric/TF Residual el: 1 cu: MICU-A cg: RN ai: 189 vo: 0 vu: ml t0: [04:00:00 28/03/2015] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 240 vu: ml t0: [04:00:00 28/03/2015] id: D5W 250.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 30 vu: ml t0: [04:00:00 28/03/2015] id: .9% Normal Saline 250.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 20 vu: ml t0: [04:00:00 28/03/2015] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 100 vu: ml t0: [04:00:00 28/03/2015] id: .9% Normal Saline 100.0ml + 5000mcghr Fentanyl IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 2 vu: ml
t0: [03:00:00 28/03/2015] id: Fentanyl el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 50 su: ml rt: IV Drip t0: [04:00:00 28/03/2015] id: Fentanyl el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 50 su: ml rt: IV Drip
t0: [04:40:00 28/03/2015] id: Compliance (40-60ml) el: 0 cu: MICU-A cg: -1 v1: 33.3333 u1: ml/cmH st: NotStopd t0: [04:40:00 28/03/2015] id: ETT Mark/Location el: 0 cu: MICU-A cg: -1 v1: 24cm v2: Lip st: NotStopd t0: [04:40:00 28/03/2015] id: FiO2 Set el: 0 cu: MICU-A cg: -1 v1: 0.6 u1: torr st: NotStopd t0: [04:40:00 28/03/2015] id: Flow-By (lpm) el: 0 cu: MICU-A cg: -1 v1: 6 u1: lpm st: NotStopd t0: [04:40:00 28/03/2015] id: Flow-by Sensitivity el: 0 cu: MICU-A cg: -1 v1: 3 u1: cmH2O st: NotStopd t0: [04:40:00 28/03/2015] id: High Insp. Pressure el: 0 cu: MICU-A cg: -1 v1: 50 u1: cmH2O st: NotStopd t0: [04:40:00 28/03/2015] id: High Resp. Rate el: 0 cu: MICU-A cg: -1 v1: 35 u1: BPM st: NotStopd t0: [04:40:00 28/03/2015] id: I:E Ratio el: 0 cu: MICU-A cg: -1 v1: 1:1.9 st: NotStopd t0: [04:40:00 28/03/2015] id: Airway Size el: 0 cu: MICU-A cg: -1 v1: 9.0 mm st: NotStopd t0: [04:40:00 28/03/2015] id: Airway Type el: 0 cu: MICU-A cg: -1 v1: Endotracheal st: NotStopd t0: [04:40:00 28/03/2015] id: Inspired Gas Temp el: 0 cu: MICU-A cg: -1 u1: Deg. C st: NotStopd t0: [04:40:00 28/03/2015] id: Intubation Date el: 0 cu: MICU-A cg: -1 v1: 2 v2: 22 st: NotStopd t0: [04:40:00 28/03/2015] id: Low Exhaled Min Vol el: 0 cu: MICU-A cg: -1 v1: 5 st: NotStopd t0: [04:40:00 28/03/2015] id: Low Insp. Pressure el: 0 cu: MICU-A cg: -1 v1: 10 u1: cmH2O st: NotStopd t0: [04:40:00 28/03/2015] id: Mean Airway Pressure el: 0 cu: MICU-A cg: -1 v1: 15.4 u1: cmH2O st: NotStopd t0: [04:40:00 28/03/2015] id: Minute Volume(Obser) el: 0 cu: MICU-A cg: -1 v1: 10.3 u1: L/min st: NotStopd t0: [04:40:00 28/03/2015] id: PEEP Set el: 0 cu: MICU-A cg: -1 v1: 10 u1: cmH2O st: NotStopd t0: [04:40:00 28/03/2015] id: Peak Flow el: 0 cu: MICU-A cg: -1 v1: 65 u1: L/m st: NotStopd t0: [04:40:00 28/03/2015] id: Peak Insp. Pressure el: 0 cu: MICU-A cg: -1 v1: 26.5 u1: cmH2O st: NotStopd t0: [04:40:00 28/03/2015] id: Plateau Pressure el: 0 cu: MICU-A cg: -1 v1: 20.2 u1: cmH2O st: NotStopd t0: [04:40:00 28/03/2015] id: Plateau-Off el: 0 cu: MICU-A cg: -1 v1: Yes st: NotStopd t0: [04:40:00 28/03/2015] id: Resp Rate (Spont) el: 0 cu: MICU-A cg: -1 v1: 4 u1: BPM st: NotStopd t0: [04:40:00 28/03/2015] id: Resp Rate (Total) el: 0 cu: MICU-A cg: -1 v1: 26 u1: BPM st: NotStopd t0: [04:40:00 28/03/2015] id: Respiratory Rate Set el: 0 cu: MICU-A cg: -1 v1: 22 u1: BPM st: NotStopd t0: [04:40:00 28/03/2015] id: Sensitivity-Vent el: 0 cu: MICU-A cg: -1 v1: 1.5 u1: cmH2O st: NotStopd t0: [04:40:00 28/03/2015] id: SpO2 el: 0 cu: MICU-A cg: -1 v1: 96 u1: % st: NotStopd t0: [04:40:00 28/03/2015] id: Tidal Volume (Obser) el: 0 cu: MICU-A cg: -1 v1: 690 u1: ml/B st: NotStopd t0: [04:40:00 28/03/2015] id: Tidal Volume (Set) el: 0 cu: MICU-A cg: -1 v1: 550 u1: ml/B st: NotStopd t0: [04:40:00 28/03/2015] id: Tidal Volume (Spont) el: 0 cu: MICU-A cg: -1 v1: 400 u1: ml/B st: NotStopd t0: [04:40:00 28/03/2015] id: Ventilator Mode el: 0 cu: MICU-A cg: -1 v1: CMV st: NotStopd t0: [04:40:00 28/03/2015] id: Ventilator No. el: 0 cu: MICU-A cg: -1 v1: 20 u1: # st: NotStopd t0: [04:40:00 28/03/2015] id: Ventilator Type el: 0 cu: MICU-A cg: -1 v1: 7200A st: NotStopd t0: [04:40:00 28/03/2015] id: Waveform-Vent el: 0 cu: MICU-A cg: -1 v1: RAMP st: NotStopd
t0: [06:00:00 28/03/2015] id: MDI #1 (Puff/Drug) el: 0 cu: MICU-A cg: -1 v1: 6 v2: Albuterol st: NotStopd t0: [06:00:00 28/03/2015] id: MDI #2 (Puff/Drug) el: 0 cu: MICU-A cg: -1 v1: 6 v2: Atrovent st: NotStopd
id: Ativan el: 100 cu: MICU-A cg: RN io: D5W 400.0ml + 40mghr Ativan IV Infusions am: 40 du: mghr rt: IV Drip
io: D5W 400.0ml + 40mghr Ativan IV Infusions el: 1 cu: MICU-A cg: RN ra: 5 ru: ml/hr
id: D5W el: 1 cu: MICU-A cg: RN io: D5W 400.0ml + 40mghr Ativan IV Infusions vo: 400 du: ml rt: Intravenous Push
t0: [06:08:00 28/03/2015] id: Art.pH ABG el: 0 cu: MICU-A cg: 1663 v1: 7.38 rs: Final st: NotStopd t0: [06:08:00 28/03/2015] id: Arterial Base Excess ABG el: 0 cu: MICU-A cg: 1663 v1: 0 rs: Final st: NotStopd t0: [06:08:00 28/03/2015] id: Arterial CO2(Calc) ABG el: 0 cu: MICU-A cg: 1663 v1: 27 rs: Final st: NotStopd t0: [06:08:00 28/03/2015] id: Arterial PaCO2 ABG el: 0 cu: MICU-A cg: 1663 v1: 44 u1: mmHg rs: Final st: NotStopd t0: [06:08:00 28/03/2015] id: Arterial PaO2 ABG el: 0 cu: MICU-A cg: 1663 v1: 80 u1: mmHg rs: Final st: NotStopd t0: [06:08:00 28/03/2015] id: Arterial pH ABG el: 0 cu: MICU-A cg: 1663 v1: 7.38 rs: Final st: NotStopd
t0: [05:00:00 28/03/2015] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [05:00:00 28/03/2015] id: CVP el: 0 cu: MICU-A cg: RN v1: 12 u1: mmHg st: NotStopd t0: [05:00:00 28/03/2015] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [05:00:00 28/03/2015] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [05:00:00 28/03/2015] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [05:00:00 28/03/2015] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 67 u1: BPM st: NotStopd t0: [05:00:00 28/03/2015] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [05:00:00 28/03/2015] id: Oral Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [05:00:00 28/03/2015] id: PAP Mean el: 0 cu: MICU-A cg: RN v1: 30 u1: mmHg st: NotStopd t0: [05:00:00 28/03/2015] id: PAP S/D el: 0 cu: MICU-A cg: RN v1: 46 u1: mmHg v2: 22 u2: mmHg st: NotStopd t0: [05:00:00 28/03/2015] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 110 u1: mmHg v2: 49 u2: mmHg st: NotStopd t0: [05:00:00 28/03/2015] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 70 u1: mmHg st: NotStopd t0: [05:00:00 28/03/2015] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [05:00:00 28/03/2015] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 74.7 u1: kg st: NotStopd t0: [05:00:00 28/03/2015] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 22 u1: BPM st: NotStopd t0: [05:00:00 28/03/2015] id: Skin Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [05:00:00 28/03/2015] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 96 u1: % st: NotStopd t0: [05:00:00 28/03/2015] id: Temp. Site el: 0 cu: MICU-A cg: RN v1: Blood st: NotStopd t0: [05:00:00 28/03/2015] id: Temperature C el: 0 cu: MICU-A cg: RN v1: 36.4 u1: Deg. C st: NotStopd t0: [05:00:00 28/03/2015] id: Temperature F (calc) el: 0 cu: MICU-A cg: RN v1: 97.52 u1: Deg. F st: NotStopd t0: [05:00:00 28/03/2015] id: Back Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [05:00:00 28/03/2015] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [06:00:00 28/03/2015] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [06:00:00 28/03/2015] id: CVP el: 0 cu: MICU-A cg: RN v1: 12 u1: mmHg st: NotStopd t0: [06:00:00 28/03/2015] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [06:00:00 28/03/2015] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [06:00:00 28/03/2015] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [06:00:00 28/03/2015] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 64 u1: BPM st: NotStopd t0: [06:00:00 28/03/2015] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [06:00:00 28/03/2015] id: PAP Mean el: 0 cu: MICU-A cg: RN v1: 30 u1: mmHg st: NotStopd t0: [06:00:00 28/03/2015] id: PAP S/D el: 0 cu: MICU-A cg: RN v1: 45 u1: mmHg v2: 22 u2: mmHg st: NotStopd t0: [06:00:00 28/03/2015] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 121 u1: mmHg v2: 54 u2: mmHg st: NotStopd t0: [06:00:00 28/03/2015] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 198 u1: mmHg st: NotStopd t0: [06:00:00 28/03/2015] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [06:00:00 28/03/2015] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 74.7 u1: kg st: NotStopd t0: [06:00:00 28/03/2015] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 22 u1: BPM st: NotStopd t0: [06:00:00 28/03/2015] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 96 u1: % st: NotStopd t0: [06:00:00 28/03/2015] id: Temp. Site el: 0 cu: MICU-A cg: RN v1: Blood st: NotStopd t0: [06:00:00 28/03/2015] id: Temperature C el: 0 cu: MICU-A cg: RN v1: 36.5 u1: Deg. C st: NotStopd t0: [06:00:00 28/03/2015] id: Temperature F (calc) el: 0 cu: MICU-A cg: RN v1: 97.7 u1: Deg. F st: NotStopd t0: [06:00:00 28/03/2015] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [06:00:00 28/03/2015] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 240 vu: ml t0: [06:00:00 28/03/2015] id: D5W 400.0ml + 40mghr Ativan IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 0 vu: ml nb: 1 t0: [06:00:00 28/03/2015] id: .9% Normal Saline 250.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 20 vu: ml t0: [06:00:00 28/03/2015] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 110 vu: ml t0: [06:00:00 28/03/2015] id: .9% Normal Saline 100.0ml + 5000mcghr Fentanyl IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 3 vu: ml
t0: [05:00:00 28/03/2015] id: Fentanyl el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 100 du: mcghr sv: 50 su: ml rt: IV Drip t0: [06:00:00 28/03/2015] id: Fentanyl el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 100 du: mcghr sv: 50 su: ml rt: IV Drip t0: [06:00:00 28/03/2015] tf: [14:38:00 16/04/2015] dt: 27878 id: Ativan el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 0.5 du: mghr sv: 60 su: ml rt: IV Drip
t0: [06:00:00 28/03/2015] id: WBC (4-11,000) Hematology el: 0 cu: MICU-A cg: 1663 v1: 13.6 rs: Final st: NotStopd t0: [06:00:00 28/03/2015] id: Hematocrit Hematology el: 0 cu: MICU-A cg: 1663 v1: 40 u1: % rs: Final st: NotStopd t0: [06:00:00 28/03/2015] id: Hemoglobin Hematology el: 0 cu: MICU-A cg: 1663 v1: 13.1 u1: gm/dl rs: Final st: NotStopd t0: [06:00:00 28/03/2015] id: Platelets Hematology el: 0 cu: MICU-A cg: 1663 v1: 387 rs: Final st: NotStopd t0: [06:00:00 28/03/2015] id: RBC Hematology el: 0 cu: MICU-A cg: 1663 v1: 4.24 u1: /mic l rs: Final st: NotStopd t0: [06:00:00 28/03/2015] id: WBC (4-11,000) Hematology el: 0 cu: MICU-A cg: 1663 v1: 13.6 rs: Final st: NotStopd
t0: [06:00:00 28/03/2015] id: BUN (6-20) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 33 rs: Final st: NotStopd t0: [06:00:00 28/03/2015] id: Carbon Dioxide Chemistry el: 0 cu: MICU-A cg: 1663 v1: 24 rs: Final st: NotStopd t0: [06:00:00 28/03/2015] id: Chloride (100-112) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 112 rs: Final st: NotStopd t0: [06:00:00 28/03/2015] id: Creatinine (0-1.3) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 0.6 rs: Final st: NotStopd t0: [06:00:00 28/03/2015] id: Glucose (70-105) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 116 rs: Final st: NotStopd t0: [06:00:00 28/03/2015] id: Potassium (3.5-5.3) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 4.3 rs: Final st: NotStopd t0: [06:00:00 28/03/2015] id: Sodium (135-148) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 143 rs: Final st: NotStopd
t0: [07:00:00 28/03/2015] id: Service Type el: 0 cu: MICU-A cg: -1 v1: MICU st: NotStopd t0: [07:00:00 28/03/2015] id: CVP el: 0 cu: MICU-A cg: -1 v1: 13 u1: mmHg st: NotStopd t0: [07:00:00 28/03/2015] id: Code Status el: 0 cu: MICU-A cg: -1 v1: Full Code st: NotStopd t0: [07:00:00 28/03/2015] id: Ectopy Frequency el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [07:00:00 28/03/2015] id: Ectopy Type el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [07:00:00 28/03/2015] id: Heart Rate el: 0 cu: MICU-A cg: -1 v1: 63 u1: BPM st: NotStopd t0: [07:00:00 28/03/2015] id: Heart Rhythm el: 0 cu: MICU-A cg: -1 v1: Normal Sinus st: NotStopd t0: [07:00:00 28/03/2015] id: PAP Mean el: 0 cu: MICU-A cg: -1 v1: 29 u1: mmHg st: NotStopd t0: [07:00:00 28/03/2015] id: PAP S/D el: 0 cu: MICU-A cg: -1 v1: 45 u1: mmHg v2: 21 u2: mmHg st: NotStopd t0: [07:00:00 28/03/2015] id: Arterial BP el: 0 cu: MICU-A cg: -1 v1: 111 u1: mmHg v2: 51 u2: mmHg st: NotStopd t0: [07:00:00 28/03/2015] id: Arterial BP Mean el: 0 cu: MICU-A cg: -1 v1: 70 u1: mmHg st: NotStopd t0: [07:00:00 28/03/2015] id: Precautions el: 0 cu: MICU-A cg: -1 v1: Universal st: NotStopd t0: [07:00:00 28/03/2015] id: Previous WeightF el: 0 cu: MICU-A cg: -1 v1: 74.7 u1: kg st: NotStopd t0: [07:00:00 28/03/2015] id: Respiratory Rate el: 0 cu: MICU-A cg: -1 v1: 21 u1: BPM st: NotStopd t0: [07:00:00 28/03/2015] id: SpO2 el: 0 cu: MICU-A cg: -1 v1: 94 u1: % st: NotStopd t0: [07:00:00 28/03/2015] id: Temp. Site el: 0 cu: MICU-A cg: -1 v1: Blood st: NotStopd t0: [07:00:00 28/03/2015] id: Temperature C el: 0 cu: MICU-A cg: -1 v1: 36.1 u1: Deg. C st: NotStopd t0: [07:00:00 28/03/2015] id: Temperature F (calc) el: 0 cu: MICU-A cg: -1 v1: 96.98 u1: Deg. F st: NotStopd t0: [07:00:00 28/03/2015] id: calprevflg el: 0 cu: MICU-A cg: -1 v1: 1 u1: kg st: NotStopd
t0: [07:00:00 28/03/2015] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 120 vu: ml t0: [07:00:00 28/03/2015] tf: [14:38:00 16/04/2015] dt: 27818 id: D5W 400.0ml + 40mghr Ativan IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 5 vu: ml t0: [07:00:00 28/03/2015] id: .9% Normal Saline 250.0ml IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 10 vu: ml t0: [07:00:00 28/03/2015] id: Urine Out Foley el: 1 cu: MICU-A cg: -1 vo: 45 vu: ml t0: [07:00:00 28/03/2015] id: .9% Normal Saline 100.0ml + 5000mcghr Fentanyl IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 2 vu: ml
t0: [07:00:00 28/03/2015] id: Fentanyl el: 1 cu: MICU-A so: .9% Normal Saline vo: 0 v1: 100 du: mcghr sv: 50 su: ml rt: IV Drip t0: [07:00:00 28/03/2015] id: Ativan el: 1 cu: MICU-A so: D5W vo: 0 v1: 0.5 du: mghr sv: 60 su: ml rt: IV Drip
t0: [08:00:00 28/03/2015] id: Less Restrict Meas. el: 0 cu: MICU-A cg: -1 v1: Medicated st: NotStopd t0: [08:00:00 28/03/2015] id: Range of Motion el: 0 cu: MICU-A cg: -1 v1: Done st: NotStopd t0: [08:00:00 28/03/2015] id: Service Type el: 0 cu: MICU-A cg: -1 v1: MICU st: NotStopd t0: [08:00:00 28/03/2015] id: CVP el: 0 cu: MICU-A cg: -1 v1: 10 u1: mmHg st: NotStopd t0: [08:00:00 28/03/2015] id: Circulation/SkinInt el: 0 cu: MICU-A cg: -1 v1: Circulation Adeq st: NotStopd t0: [08:00:00 28/03/2015] id: Code Status el: 0 cu: MICU-A cg: -1 v1: Full Code st: NotStopd t0: [08:00:00 28/03/2015] id: Dorsal PedPulse R/L el: 0 cu: MICU-A cg: -1 v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [08:00:00 28/03/2015] id: Ectopy Frequency el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [08:00:00 28/03/2015] id: Ectopy Type el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [08:00:00 28/03/2015] id: Eye Opening el: 0 cu: MICU-A cg: -1 v1: 3 To speech st: NotStopd t0: [08:00:00 28/03/2015] id: GCS Total el: 0 cu: MICU-A cg: -1 v1: 10 u1: points st: NotStopd t0: [08:00:00 28/03/2015] id: GI Intub #1/Site el: 0 cu: MICU-A cg: -1 v1: Salem Sump v2: Oral st: NotStopd t0: [08:00:00 28/03/2015] id: GI#1 Tube PlaceCheck el: 0 cu: MICU-A cg: -1 v1: Done st: NotStopd t0: [08:00:00 28/03/2015] id: GI#1 Tube Stat/Drain el: 0 cu: MICU-A cg: -1 v1: Clamped v2: Bilious st: NotStopd t0: [08:00:00 28/03/2015] id: HOB el: 0 cu: MICU-A cg: -1 v1: 15 degrees st: NotStopd t0: [08:00:00 28/03/2015] id: Heart Rate el: 0 cu: MICU-A cg: -1 v1: 71 u1: BPM st: NotStopd t0: [08:00:00 28/03/2015] id: Heart Rhythm el: 0 cu: MICU-A cg: -1 v1: Normal Sinus st: NotStopd t0: [08:00:00 28/03/2015] id: INV Line#1 Type/Site el: 0 cu: MICU-A cg: -1 v1: A-Line v2: Right Radial st: NotStopd t0: [08:00:00 28/03/2015] id: INV Line#1InsertDate el: 0 cu: MICU-A cg: -1 v1: 2 v2: 22 st: NotStopd t0: [08:00:00 28/03/2015] id: INV Line#1SiteAppear el: 0 cu: MICU-A cg: -1 v1: WNL st: NotStopd t0: [08:00:00 28/03/2015] id: INV Line#2 Type/Site el: 0 cu: MICU-A cg: -1 v1: PA line v2: Right IJ st: NotStopd t0: [08:00:00 28/03/2015] id: INV Line#2InsertDate el: 0 cu: MICU-A cg: -1 v1: 2 v2: 22 st: NotStopd t0: [08:00:00 28/03/2015] id: INV Line#2SiteAppear el: 0 cu: MICU-A cg: -1 v1: WNL st: NotStopd t0: [08:00:00 28/03/2015] id: Abdominal Assessment el: 0 cu: MICU-A cg: -1 v1: Soft Distended st: NotStopd t0: [08:00:00 28/03/2015] id: INV#1 WaveformAppear el: 0 cu: MICU-A cg: -1 v1: Sharp st: NotStopd t0: [08:00:00 28/03/2015] id: IV #1 Insert Date el: 0 cu: MICU-A cg: -1 v1: 2 v2: 22 st: NotStopd t0: [08:00:00 28/03/2015] id: IV #1 Site/Size el: 0 cu: MICU-A cg: -1 v1: LL Ant Forearm v2: 20 gauge st: NotStopd t0: [08:00:00 28/03/2015] id: IV #3 Insert Date el: 0 cu: MICU-A cg: -1 v1: 2 v2: 22 st: NotStopd t0: [08:00:00 28/03/2015] id: IV #3 Site/Size el: 0 cu: MICU-A cg: -1 v1: RU Ant Forearm v2: 18 gauge st: NotStopd t0: [08:00:00 28/03/2015] id: Activity el: 0 cu: MICU-A cg: -1 v1: Bedrest st: NotStopd t0: [08:00:00 28/03/2015] id: IV Site Appear #1 el: 0 cu: MICU-A cg: -1 v1: WNL st: NotStopd t0: [08:00:00 28/03/2015] id: IV Site Appear #3 el: 0 cu: MICU-A cg: -1 v1: WNL st: NotStopd t0: [08:00:00 28/03/2015] id: Activity Tolerance el: 0 cu: MICU-A cg: -1 v1: Tolerated Well st: NotStopd t0: [08:00:00 28/03/2015] id: LLL Lung Sounds el: 0 cu: MICU-A cg: -1 v1: Coarse st: NotStopd t0: [08:00:00 28/03/2015] id: LUL Lung Sounds el: 0 cu: MICU-A cg: -1 v1: Coarse st: NotStopd t0: [08:00:00 28/03/2015] id: Level of Conscious el: 0 cu: MICU-A cg: -1 v1: Arouse to Voice st: NotStopd t0: [08:00:00 28/03/2015] id: Motor Response el: 0 cu: MICU-A cg: -1 v1: 6 Obeys Commands st: NotStopd t0: [08:00:00 28/03/2015] id: Oral Cavity el: 0 cu: MICU-A cg: -1 v1: Teeth/Tissue WNL st: NotStopd t0: [08:00:00 28/03/2015] id: Orientation el: 0 cu: MICU-A cg: -1 v1: Other/Remarks st: NotStopd t0: [08:00:00 28/03/2015] id: PAP Mean el: 0 cu: MICU-A cg: -1 v1: 29 u1: mmHg st: NotStopd t0: [08:00:00 28/03/2015] id: PAP S/D el: 0 cu: MICU-A cg: -1 v1: 46 u1: mmHg v2: 19 u2: mmHg st: NotStopd t0: [08:00:00 28/03/2015] id: Arterial BP el: 0 cu: MICU-A cg: -1 v1: 130 u1: mmHg v2: 59 u2: mmHg st: NotStopd t0: [08:00:00 28/03/2015] id: Arterial BP Mean el: 0 cu: MICU-A cg: -1 v1: 84 u1: mmHg st: NotStopd t0: [08:00:00 28/03/2015] id: Position el: 0 cu: MICU-A cg: -1 v1: Supine st: NotStopd t0: [08:00:00 28/03/2015] id: Position Change el: 0 cu: MICU-A cg: -1 v1: Done st: NotStopd t0: [08:00:00 28/03/2015] id: PostTib. Pulses R/L el: 0 cu: MICU-A cg: -1 v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [08:00:00 28/03/2015] id: Assistance Device el: 0 cu: MICU-A cg: -1 v1: 2 Person Assist st: NotStopd t0: [08:00:00 28/03/2015] id: Precautions el: 0 cu: MICU-A cg: -1 v1: Universal st: NotStopd t0: [08:00:00 28/03/2015] id: Previous WeightF el: 0 cu: MICU-A cg: -1 v1: 74.7 u1: kg st: NotStopd t0: [08:00:00 28/03/2015] id: RLL Lung Sounds el: 0 cu: MICU-A cg: -1 v1: Coarse st: NotStopd t0: [08:00:00 28/03/2015] id: RUL Lung Sounds el: 0 cu: MICU-A cg: -1 v1: Coarse st: NotStopd t0: [08:00:00 28/03/2015] id: Reason For Restraint el: 0 cu: MICU-A cg: -1 v1: Ext/TXInterfere st: NotStopd t0: [08:00:00 28/03/2015] id: Removed x 5 Mins el: 0 cu: MICU-A cg: -1 v1: Done st: NotStopd t0: [08:00:00 28/03/2015] id: Respiratory Pattern el: 0 cu: MICU-A cg: -1 v1: Regular st: NotStopd t0: [08:00:00 28/03/2015] id: Respiratory Rate el: 0 cu: MICU-A cg: -1 v1: 15 u1: BPM st: NotStopd t0: [08:00:00 28/03/2015] id: Restraint Location el: 0 cu: MICU-A cg: -1 v1: Both Arms st: NotStopd t0: [08:00:00 28/03/2015] id: Restraint Type el: 0 cu: MICU-A cg: -1 v1: Soft Limb st: NotStopd t0: [08:00:00 28/03/2015] id: Restraints Evaluated el: 0 cu: MICU-A cg: -1 v1: RestraintReapply st: NotStopd t0: [08:00:00 28/03/2015] id: Side Rails el: 0 cu: MICU-A cg: -1 v1: Side Rails Up st: NotStopd t0: [08:00:00 28/03/2015] id: Skin Integrity el: 0 cu: MICU-A cg: -1 v1: Intact st: NotStopd t0: [08:00:00 28/03/2015] id: SpO2 el: 0 cu: MICU-A cg: -1 v1: 94 u1: % st: NotStopd t0: [08:00:00 28/03/2015] id: Support Systems el: 0 cu: MICU-A cg: -1 v1: Spouse st: NotStopd t0: [08:00:00 28/03/2015] id: Temp. Site el: 0 cu: MICU-A cg: -1 v1: Blood st: NotStopd t0: [08:00:00 28/03/2015] id: Temperature C el: 0 cu: MICU-A cg: -1 v1: 36.5 u1: Deg. C st: NotStopd t0: [08:00:00 28/03/2015] id: Temperature F (calc) el: 0 cu: MICU-A cg: -1 v1: 97.7 u1: Deg. F st: NotStopd t0: [08:00:00 28/03/2015] id: Turn el: 0 cu: MICU-A cg: -1 v1: Back st: NotStopd t0: [08:00:00 28/03/2015] id: Urine Color/Appear el: 0 cu: MICU-A cg: -1 v1: Yellow v2: Clear st: NotStopd t0: [08:00:00 28/03/2015] id: Urine Source el: 0 cu: MICU-A cg: -1 v1: Indwelling Cath st: NotStopd t0: [08:00:00 28/03/2015] id: Verbal Response el: 0 cu: MICU-A cg: -1 v1: 1.0 ET/Trach st: NotStopd t0: [08:00:00 28/03/2015] id: calprevflg el: 0 cu: MICU-A cg: -1 v1: 1 u1: kg st: NotStopd t0: [08:00:00 28/03/2015] id: Behavior el: 0 cu: MICU-A cg: -1 v1: Calm st: NotStopd t0: [08:00:00 28/03/2015] id: Bowel Sounds el: 0 cu: MICU-A cg: -1 v1: Present st: NotStopd t0: [08:00:00 28/03/2015] id: Braden Activity el: 0 cu: MICU-A cg: -1 v1: Bedfast st: NotStopd t0: [08:00:00 28/03/2015] id: Braden Frict/Shear el: 0 cu: MICU-A cg: -1 v1: Potential Prob st: NotStopd t0: [08:00:00 28/03/2015] id: Braden Mobility el: 0 cu: MICU-A cg: -1 v1: Very Limited st: NotStopd t0: [08:00:00 28/03/2015] id: Braden Moisture el: 0 cu: MICU-A cg: -1 v1: Occ. Moist st: NotStopd t0: [08:00:00 28/03/2015] id: Braden Nutrition el: 0 cu: MICU-A cg: -1 v1: Prob. Inadequate st: NotStopd t0: [08:00:00 28/03/2015] id: Braden Score el: 0 cu: MICU-A cg: -1 v1: 13 u1: number st: NotStopd t0: [08:00:00 28/03/2015] id: Braden SensoryPercep el: 0 cu: MICU-A cg: -1 v1: Sl. Limited st: NotStopd
t0: [08:00:00 28/03/2015] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 125 vu: ml t0: [08:00:00 28/03/2015] id: Gastric Meds PO/Gastric el: 1 cu: MICU-A cg: -1 ai: 153 vo: 60 vu: ml t0: [08:00:00 28/03/2015] id: D5W 400.0ml + 40mghr Ativan IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 5 vu: ml t0: [08:00:00 28/03/2015] id: .9% Normal Saline 250.0ml IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 200 vu: ml t0: [08:00:00 28/03/2015] id: Urine Out Foley el: 1 cu: MICU-A cg: -1 vo: 60 vu: ml t0: [08:00:00 28/03/2015] id: .9% Normal Saline 100.0ml + 5000mcghr Fentanyl IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 2 vu: ml
t0: [08:00:00 28/03/2015] id: Fentanyl el: 1 cu: MICU-A so: .9% Normal Saline vo: 0 v1: 100 du: mcghr sv: 50 su: ml rt: IV Drip t0: [08:00:00 28/03/2015] id: Ativan el: 1 cu: MICU-A so: D5W vo: 0 v1: 0.5 du: mghr sv: 60 su: ml rt: IV Drip
t0: [08:10:00 28/03/2015] id: Compliance (40-60ml) el: 0 cu: MICU-A cg: RT v1: 34.375 u1: ml/cmH st: NotStopd t0: [08:10:00 28/03/2015] id: ETT Mark/Location el: 0 cu: MICU-A cg: RT v1: 24cm v2: Lip st: NotStopd t0: [08:10:00 28/03/2015] id: FiO2 Set el: 0 cu: MICU-A cg: RT v1: 0.6 u1: torr st: NotStopd t0: [08:10:00 28/03/2015] id: Flow-By (lpm) el: 0 cu: MICU-A cg: RT v1: 6 u1: lpm st: NotStopd t0: [08:10:00 28/03/2015] id: Flow-by Sensitivity el: 0 cu: MICU-A cg: RT v1: 3 u1: cmH2O st: NotStopd t0: [08:10:00 28/03/2015] id: High Insp. Pressure el: 0 cu: MICU-A cg: RT v1: 50 u1: cmH2O st: NotStopd t0: [08:10:00 28/03/2015] id: High Resp. Rate el: 0 cu: MICU-A cg: RT v1: 35 u1: BPM st: NotStopd t0: [08:10:00 28/03/2015] id: I:E Ratio el: 0 cu: MICU-A cg: RT v1: 1.9 st: NotStopd t0: [08:10:00 28/03/2015] id: Airway Size el: 0 cu: MICU-A cg: RT v1: 9.0 mm st: NotStopd t0: [08:10:00 28/03/2015] id: Airway Type el: 0 cu: MICU-A cg: RT v1: Endotracheal st: NotStopd t0: [08:10:00 28/03/2015] id: Inspired Gas Temp el: 0 cu: MICU-A cg: RT u1: Deg. C st: NotStopd t0: [08:10:00 28/03/2015] id: Intubation Date el: 0 cu: MICU-A cg: RT v1: 2 v2: 22 st: NotStopd t0: [08:10:00 28/03/2015] id: Low Exhaled Min Vol el: 0 cu: MICU-A cg: RT v1: 5 st: NotStopd t0: [08:10:00 28/03/2015] id: Low Insp. Pressure el: 0 cu: MICU-A cg: RT v1: 10 u1: cmH2O st: NotStopd t0: [08:10:00 28/03/2015] id: MDI #1 (Puff/Drug) el: 0 cu: MICU-A cg: RT v1: 6 v2: Albuterol st: NotStopd t0: [08:10:00 28/03/2015] id: MDI #2 (Puff/Drug) el: 0 cu: MICU-A cg: RT v1: 6 v2: Atrovent st: NotStopd t0: [08:10:00 28/03/2015] id: Mean Airway Pressure el: 0 cu: MICU-A cg: RT v1: 16.1 u1: cmH2O st: NotStopd t0: [08:10:00 28/03/2015] id: Minute Volume(Obser) el: 0 cu: MICU-A cg: RT v1: 13.2 u1: L/min st: NotStopd t0: [08:10:00 28/03/2015] id: PEEP Set el: 0 cu: MICU-A cg: RT v1: 10 u1: cmH2O st: NotStopd t0: [08:10:00 28/03/2015] id: Peak Flow el: 0 cu: MICU-A cg: RT v1: 65 u1: L/m st: NotStopd t0: [08:10:00 28/03/2015] id: Peak Insp. Pressure el: 0 cu: MICU-A cg: RT v1: 26 u1: cmH2O st: NotStopd t0: [08:10:00 28/03/2015] id: Plateau Pressure el: 0 cu: MICU-A cg: RT v1: 18 u1: cmH2O st: NotStopd t0: [08:10:00 28/03/2015] id: Plateau-Off el: 0 cu: MICU-A cg: RT v1: Yes st: NotStopd t0: [08:10:00 28/03/2015] id: Resp Rate (Spont) el: 0 cu: MICU-A cg: RT v1: 1 u1: BPM st: NotStopd t0: [08:10:00 28/03/2015] id: Resp Rate (Total) el: 0 cu: MICU-A cg: RT v1: 23 u1: BPM st: NotStopd t0: [08:10:00 28/03/2015] id: Respiratory Rate Set el: 0 cu: MICU-A cg: RT v1: 22 u1: BPM st: NotStopd t0: [08:10:00 28/03/2015] id: SpO2 el: 0 cu: MICU-A cg: RT v1: 93 u1: % st: NotStopd t0: [08:10:00 28/03/2015] id: Tidal Volume (Obser) el: 0 cu: MICU-A cg: RT v1: 550 u1: ml/B st: NotStopd t0: [08:10:00 28/03/2015] id: Tidal Volume (Set) el: 0 cu: MICU-A cg: RT v1: 550 u1: ml/B st: NotStopd t0: [08:10:00 28/03/2015] id: Ventilator Mode el: 0 cu: MICU-A cg: RT v1: Assist Control st: NotStopd t0: [08:10:00 28/03/2015] id: Ventilator No. el: 0 cu: MICU-A cg: RT v1: 20 u1: # st: NotStopd t0: [08:10:00 28/03/2015] id: Ventilator Type el: 0 cu: MICU-A cg: RT v1: 7200A st: NotStopd t0: [08:10:00 28/03/2015] id: Waveform-Vent el: 0 cu: MICU-A cg: RT v1: RAMP st: NotStopd
t0: [08:15:00 28/03/2015] id: Service Type el: 0 cu: MICU-A cg: -1 v1: MICU st: NotStopd t0: [08:15:00 28/03/2015] id: Code Status el: 0 cu: MICU-A cg: -1 v1: Full Code st: NotStopd t0: [08:15:00 28/03/2015] id: Ectopy Frequency el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [08:15:00 28/03/2015] id: Ectopy Type el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [08:15:00 28/03/2015] id: Heart Rate el: 0 cu: MICU-A cg: -1 v1: 69 u1: BPM st: NotStopd t0: [08:15:00 28/03/2015] id: Heart Rhythm el: 0 cu: MICU-A cg: -1 v1: Normal Sinus st: NotStopd t0: [08:15:00 28/03/2015] id: PAP Mean el: 0 cu: MICU-A cg: -1 v1: 25 u1: mmHg st: NotStopd t0: [08:15:00 28/03/2015] id: PAP S/D el: 0 cu: MICU-A cg: -1 v1: 41 u1: mmHg v2: 17 u2: mmHg st: NotStopd t0: [08:15:00 28/03/2015] id: Arterial BP el: 0 cu: MICU-A cg: -1 v1: 105 u1: mmHg v2: 45 u2: mmHg st: NotStopd t0: [08:15:00 28/03/2015] id: Arterial BP Mean el: 0 cu: MICU-A cg: -1 v1: 66 u1: mmHg st: NotStopd t0: [08:15:00 28/03/2015] id: Precautions el: 0 cu: MICU-A cg: -1 v1: Universal st: NotStopd t0: [08:15:00 28/03/2015] id: Previous WeightF el: 0 cu: MICU-A cg: -1 v1: 74.7 u1: kg st: NotStopd t0: [08:15:00 28/03/2015] id: Respiratory Rate el: 0 cu: MICU-A cg: -1 v1: 18 u1: BPM st: NotStopd t0: [08:15:00 28/03/2015] id: SpO2 el: 0 cu: MICU-A cg: -1 v1: 93 u1: % st: NotStopd t0: [08:15:00 28/03/2015] id: Temp. Site el: 0 cu: MICU-A cg: -1 v1: Blood st: NotStopd t0: [08:15:00 28/03/2015] id: Temperature C el: 0 cu: MICU-A cg: -1 v1: 36.4 u1: Deg. C st: NotStopd t0: [08:15:00 28/03/2015] id: Temperature F (calc) el: 0 cu: MICU-A cg: -1 v1: 97.52 u1: Deg. F st: NotStopd t0: [08:15:00 28/03/2015] id: calprevflg el: 0 cu: MICU-A cg: -1 v1: 1 u1: kg st: NotStopd t0: [08:30:00 28/03/2015] id: Service Type el: 0 cu: MICU-A cg: -1 v1: MICU st: NotStopd t0: [08:30:00 28/03/2015] id: CVP el: 0 cu: MICU-A cg: -1 v1: 7 u1: mmHg st: NotStopd t0: [08:30:00 28/03/2015] id: Code Status el: 0 cu: MICU-A cg: -1 v1: Full Code st: NotStopd t0: [08:30:00 28/03/2015] id: Ectopy Frequency el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [08:30:00 28/03/2015] id: Ectopy Type el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [08:30:00 28/03/2015] id: Heart Rate el: 0 cu: MICU-A cg: -1 v1: 70 u1: BPM st: NotStopd t0: [08:30:00 28/03/2015] id: Heart Rhythm el: 0 cu: MICU-A cg: -1 v1: Normal Sinus st: NotStopd t0: [08:30:00 28/03/2015] id: LCW el: 0 cu: MICU-A cg: -1 v1: 6.56064 u1: kg x m st: NotStopd t0: [08:30:00 28/03/2015] id: LVSW el: 0 cu: MICU-A cg: -1 v1: 93.8536 u1: g * m st: NotStopd t0: [08:30:00 28/03/2015] id: PAP Mean el: 0 cu: MICU-A cg: -1 v1: 24 u1: mmHg st: NotStopd t0: [08:30:00 28/03/2015] id: PAP S/D el: 0 cu: MICU-A cg: -1 v1: 39 u1: mmHg v2: 16 u2: mmHg st: NotStopd t0: [08:30:00 28/03/2015] id: PCWP el: 0 cu: MICU-A cg: -1 v1: 11 u1: mmHg st: NotStopd t0: [08:30:00 28/03/2015] id: PVR el: 0 cu: MICU-A cg: -1 v1: 144.444 u1: ... st: NotStopd t0: [08:30:00 28/03/2015] id: Arterial BP el: 0 cu: MICU-A cg: -1 v1: 109 u1: mmHg v2: 46 u2: mmHg st: NotStopd t0: [08:30:00 28/03/2015] id: Arterial BP Mean el: 0 cu: MICU-A cg: -1 v1: 67 u1: mmHg st: NotStopd t0: [08:30:00 28/03/2015] id: Precautions el: 0 cu: MICU-A cg: -1 v1: Universal st: NotStopd t0: [08:30:00 28/03/2015] id: Previous WeightF el: 0 cu: MICU-A cg: -1 v1: 74.7 u1: kg st: NotStopd t0: [08:30:00 28/03/2015] id: RCW el: 0 cu: MICU-A cg: -1 v1: 2.35008 u1: kg * m st: NotStopd t0: [08:30:00 28/03/2015] id: RVSW el: 0 cu: MICU-A cg: -1 v1: 33.6192 u1: g * m st: NotStopd t0: [08:30:00 28/03/2015] id: Respiratory Rate el: 0 cu: MICU-A cg: -1 v1: 12 u1: BPM st: NotStopd t0: [08:30:00 28/03/2015] id: SVR el: 0 cu: MICU-A cg: -1 v1: 666.667 u1: ... st: NotStopd t0: [08:30:00 28/03/2015] id: SpO2 el: 0 cu: MICU-A cg: -1 v1: 94 u1: % st: NotStopd t0: [08:30:00 28/03/2015] id: Stroke Volume el: 0 cu: MICU-A cg: -1 v1: 102.857 u1: ml st: NotStopd t0: [08:30:00 28/03/2015] id: Temp. Site el: 0 cu: MICU-A cg: -1 v1: Blood st: NotStopd t0: [08:30:00 28/03/2015] id: Temperature C el: 0 cu: MICU-A cg: -1 v1: 36.4 u1: Deg. C st: NotStopd t0: [08:30:00 28/03/2015] id: Temperature F (calc) el: 0 cu: MICU-A cg: -1 v1: 97.52 u1: Deg. F st: NotStopd t0: [08:30:00 28/03/2015] id: calprevflg el: 0 cu: MICU-A cg: -1 v1: 1 u1: kg st: NotStopd t0: [08:30:00 28/03/2015] id: C.O.(thermodilution) el: 0 cu: MICU-A cg: -1 v1: 7.2 u1: L/min st: NotStopd
t0: [08:15:00 28/03/2015] id: Fentanyl el: 1 cu: MICU-A so: .9% Normal Saline vo: 0 v1: 100 du: mcghr sv: 50 su: ml rt: IV Drip t0: [08:15:00 28/03/2015] id: Ativan el: 1 cu: MICU-A so: D5W vo: 0 v1: 0.5 du: mghr sv: 60 su: ml rt: IV Drip t0: [08:30:00 28/03/2015] id: Fentanyl el: 1 cu: MICU-A so: .9% Normal Saline vo: 0 v1: 100 du: mcghr sv: 50 su: ml rt: IV Drip t0: [08:30:00 28/03/2015] id: Ativan el: 1 cu: MICU-A so: D5W vo: 0 v1: 0.5 du: mghr sv: 60 su: ml rt: IV Drip
t0: [08:00:00 28/03/2015] id: INV Line#1 Zero/Cal el: 0 cu: MICU-A cg: -1 v1: Yes st: NotStopd t0: [09:00:00 28/03/2015] id: Service Type el: 0 cu: MICU-A cg: -1 v1: MICU st: NotStopd t0: [09:00:00 28/03/2015] id: CVP el: 0 cu: MICU-A cg: -1 v1: 14 u1: mmHg st: NotStopd t0: [09:00:00 28/03/2015] id: Code Status el: 0 cu: MICU-A cg: -1 v1: Full Code st: NotStopd t0: [09:00:00 28/03/2015] id: Ectopy Frequency el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [09:00:00 28/03/2015] id: Ectopy Type el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [09:00:00 28/03/2015] id: HOB el: 0 cu: MICU-A cg: -1 v1: 15 degrees st: NotStopd t0: [09:00:00 28/03/2015] id: Heart Rate el: 0 cu: MICU-A cg: -1 v1: 73 u1: BPM st: NotStopd t0: [09:00:00 28/03/2015] id: Heart Rhythm el: 0 cu: MICU-A cg: -1 v1: Normal Sinus st: NotStopd t0: [09:00:00 28/03/2015] id: Activity el: 0 cu: MICU-A cg: -1 v1: Bedrest st: NotStopd t0: [09:00:00 28/03/2015] id: Activity Tolerance el: 0 cu: MICU-A cg: -1 v1: Tolerated Well st: NotStopd t0: [09:00:00 28/03/2015] id: PAP Mean el: 0 cu: MICU-A cg: -1 v1: 35 u1: mmHg st: NotStopd t0: [09:00:00 28/03/2015] id: PAP S/D el: 0 cu: MICU-A cg: -1 v1: 52 u1: mmHg v2: 25 u2: mmHg st: NotStopd t0: [09:00:00 28/03/2015] id: Arterial BP el: 0 cu: MICU-A cg: -1 v1: 116 u1: mmHg v2: 46 u2: mmHg st: NotStopd t0: [09:00:00 28/03/2015] id: Arterial BP Mean el: 0 cu: MICU-A cg: -1 v1: 70 u1: mmHg st: NotStopd t0: [09:00:00 28/03/2015] id: Position el: 0 cu: MICU-A cg: -1 v1: Right Side st: NotStopd t0: [09:00:00 28/03/2015] id: Assistance Device el: 0 cu: MICU-A cg: -1 v1: 2 Person Assist st: NotStopd t0: [09:00:00 28/03/2015] id: Precautions el: 0 cu: MICU-A cg: -1 v1: Universal st: NotStopd t0: [09:00:00 28/03/2015] id: Previous WeightF el: 0 cu: MICU-A cg: -1 v1: 74.7 u1: kg st: NotStopd t0: [09:00:00 28/03/2015] id: Respiratory Rate el: 0 cu: MICU-A cg: -1 v1: 22 u1: BPM st: NotStopd t0: [09:00:00 28/03/2015] id: SpO2 el: 0 cu: MICU-A cg: -1 v1: 95 u1: % st: NotStopd t0: [09:00:00 28/03/2015] id: Temp. Site el: 0 cu: MICU-A cg: -1 v1: Blood st: NotStopd t0: [09:00:00 28/03/2015] id: Temperature C el: 0 cu: MICU-A cg: -1 v1: 36.4 u1: Deg. C st: NotStopd t0: [09:00:00 28/03/2015] id: Temperature F (calc) el: 0 cu: MICU-A cg: -1 v1: 97.52 u1: Deg. F st: NotStopd t0: [09:00:00 28/03/2015] id: Turn el: 0 cu: MICU-A cg: -1 v1: Left Side st: NotStopd t0: [09:00:00 28/03/2015] id: calprevflg el: 0 cu: MICU-A cg: -1 v1: 1 u1: kg st: NotStopd
t0: [09:00:00 28/03/2015] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 125 vu: ml t0: [09:00:00 28/03/2015] id: D5W 400.0ml + 40mghr Ativan IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 5 vu: ml t0: [09:00:00 28/03/2015] id: .9% Normal Saline 250.0ml IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 10 vu: ml t0: [09:00:00 28/03/2015] id: Urine Out Foley el: 1 cu: MICU-A cg: -1 vo: 60 vu: ml t0: [09:00:00 28/03/2015] id: .9% Normal Saline 100.0ml + 5000mcghr Fentanyl IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 2 vu: ml
t0: [09:00:00 28/03/2015] id: Fentanyl el: 1 cu: MICU-A so: .9% Normal Saline vo: 0 v1: 100 du: mcghr sv: 50 su: ml rt: IV Drip t0: [09:00:00 28/03/2015] id: Ativan el: 1 cu: MICU-A so: D5W vo: 0 v1: 0.5 du: mghr sv: 60 su: ml rt: IV Drip
t0: [09:00:00 28/03/2015] id: Sputum Color/Consist el: 0 cu: MICU-A cg: -1 v1: Clear v2: Thin st: NotStopd t0: [09:00:00 28/03/2015] id: Sputum Source/Amt el: 0 cu: MICU-A cg: -1 v1: Suctioned v2: Scant st: NotStopd
t0: [09:15:00 28/03/2015] id: Ativan el: 1 cu: MICU-A so: D5W vo: 0 v1: 1 du: mghr sv: 60 su: ml rt: IV Drip
t0: [10:00:00 28/03/2015] id: Service Type el: 0 cu: MICU-A cg: -1 v1: MICU st: NotStopd t0: [10:00:00 28/03/2015] id: CVP el: 0 cu: MICU-A cg: -1 v1: 12 u1: mmHg st: NotStopd t0: [10:00:00 28/03/2015] id: Code Status el: 0 cu: MICU-A cg: -1 v1: Full Code st: NotStopd t0: [10:00:00 28/03/2015] id: Ectopy Frequency el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [10:00:00 28/03/2015] id: Ectopy Type el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [10:00:00 28/03/2015] id: Heart Rate el: 0 cu: MICU-A cg: -1 v1: 71 u1: BPM st: NotStopd t0: [10:00:00 28/03/2015] id: Heart Rhythm el: 0 cu: MICU-A cg: -1 v1: Normal Sinus st: NotStopd t0: [10:00:00 28/03/2015] id: PAP Mean el: 0 cu: MICU-A cg: -1 v1: 30 u1: mmHg st: NotStopd t0: [10:00:00 28/03/2015] id: PAP S/D el: 0 cu: MICU-A cg: -1 v1: 42 u1: mmHg v2: 21 u2: mmHg st: NotStopd t0: [10:00:00 28/03/2015] id: Arterial BP el: 0 cu: MICU-A cg: -1 v1: 98 u1: mmHg v2: 42 u2: mmHg st: NotStopd t0: [10:00:00 28/03/2015] id: Arterial BP Mean el: 0 cu: MICU-A cg: -1 v1: 62 u1: mmHg st: NotStopd t0: [10:00:00 28/03/2015] id: Precautions el: 0 cu: MICU-A cg: -1 v1: Universal st: NotStopd t0: [10:00:00 28/03/2015] id: Previous WeightF el: 0 cu: MICU-A cg: -1 v1: 74.7 u1: kg st: NotStopd t0: [10:00:00 28/03/2015] id: Respiratory Rate el: 0 cu: MICU-A cg: -1 v1: 20 u1: BPM st: NotStopd t0: [10:00:00 28/03/2015] id: Significant Events el: 0 cu: MICU-A cg: -1 v1: Fluid Bolus st: NotStopd t0: [10:00:00 28/03/2015] id: SpO2 el: 0 cu: MICU-A cg: -1 v1: 96 u1: % st: NotStopd t0: [10:00:00 28/03/2015] id: Temp. Site el: 0 cu: MICU-A cg: -1 v1: Blood st: NotStopd t0: [10:00:00 28/03/2015] id: Temperature C el: 0 cu: MICU-A cg: -1 v1: 36.5 u1: Deg. C st: NotStopd t0: [10:00:00 28/03/2015] id: Temperature F (calc) el: 0 cu: MICU-A cg: -1 v1: 97.7 u1: Deg. F st: NotStopd t0: [10:00:00 28/03/2015] id: calprevflg el: 0 cu: MICU-A cg: -1 v1: 1 u1: kg st: NotStopd
t0: [10:00:00 28/03/2015] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 125 vu: ml t0: [10:00:00 28/03/2015] id: D5W 400.0ml + 40mghr Ativan IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 8.75 vu: ml t0: [10:00:00 28/03/2015] id: .9% Normal Saline 250.0ml IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 500 vu: ml t0: [10:00:00 28/03/2015] id: Urine Out Foley el: 1 cu: MICU-A cg: -1 vo: 60 vu: ml t0: [10:00:00 28/03/2015] id: .9% Normal Saline 100.0ml + 5000mcghr Fentanyl IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 2 vu: ml
t0: [10:00:00 28/03/2015] id: Fentanyl el: 1 cu: MICU-A so: .9% Normal Saline vo: 0 v1: 100 du: mcghr sv: 50 su: ml rt: IV Drip t0: [10:00:00 28/03/2015] id: Ativan el: 1 cu: MICU-A so: D5W vo: 0 v1: 1 du: mghr sv: 60 su: ml rt: IV Drip
t0: [11:00:00 28/03/2015] id: Service Type el: 0 cu: MICU-A cg: -1 v1: MICU st: NotStopd t0: [11:00:00 28/03/2015] id: CVP el: 0 cu: MICU-A cg: -1 v1: 13 u1: mmHg st: NotStopd t0: [11:00:00 28/03/2015] id: Code Status el: 0 cu: MICU-A cg: -1 v1: Full Code st: NotStopd t0: [11:00:00 28/03/2015] id: Ectopy Frequency el: 0 cu: MICU-A cg: -1 v1: Runs Vtach st: NotStopd t0: [11:00:00 28/03/2015] id: Ectopy Type el: 0 cu: MICU-A cg: -1 v1: PVC's st: NotStopd t0: [11:00:00 28/03/2015] id: Heart Rate el: 0 cu: MICU-A cg: -1 v1: 63 u1: BPM st: NotStopd t0: [11:00:00 28/03/2015] id: Heart Rhythm el: 0 cu: MICU-A cg: -1 v1: Normal Sinus st: NotStopd t0: [11:00:00 28/03/2015] id: PAP Mean el: 0 cu: MICU-A cg: -1 v1: 29 u1: mmHg st: NotStopd t0: [11:00:00 28/03/2015] id: PAP S/D el: 0 cu: MICU-A cg: -1 v1: 43 u1: mmHg v2: 21 u2: mmHg st: NotStopd t0: [11:00:00 28/03/2015] id: Arterial BP el: 0 cu: MICU-A cg: -1 v1: 101 u1: mmHg v2: 43 u2: mmHg st: NotStopd t0: [11:00:00 28/03/2015] id: Arterial BP Mean el: 0 cu: MICU-A cg: -1 v1: 61 u1: mmHg st: NotStopd t0: [11:00:00 28/03/2015] id: Precautions el: 0 cu: MICU-A cg: -1 v1: Universal st: NotStopd t0: [11:00:00 28/03/2015] id: Previous WeightF el: 0 cu: MICU-A cg: -1 v1: 74.7 u1: kg st: NotStopd t0: [11:00:00 28/03/2015] id: Procedures el: 0 cu: MICU-A cg: -1 v1: Line Placement st: NotStopd t0: [11:00:00 28/03/2015] id: Respiratory Rate el: 0 cu: MICU-A cg: -1 v1: 20 u1: BPM st: NotStopd t0: [11:00:00 28/03/2015] id: SpO2 el: 0 cu: MICU-A cg: -1 v1: 98 u1: % st: NotStopd t0: [11:00:00 28/03/2015] id: Temp. Site el: 0 cu: MICU-A cg: -1 v1: Blood st: NotStopd t0: [11:00:00 28/03/2015] id: Temperature C el: 0 cu: MICU-A cg: -1 v1: 36.5 u1: Deg. C st: NotStopd t0: [11:00:00 28/03/2015] id: Temperature F (calc) el: 0 cu: MICU-A cg: -1 v1: 97.7 u1: Deg. F st: NotStopd t0: [11:00:00 28/03/2015] id: calprevflg el: 0 cu: MICU-A cg: -1 v1: 1 u1: kg st: NotStopd
t0: [11:00:00 28/03/2015] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 125 vu: ml t0: [11:00:00 28/03/2015] id: D5W 400.0ml + 40mghr Ativan IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 10 vu: ml t0: [11:00:00 28/03/2015] id: .9% Normal Saline 250.0ml IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 10 vu: ml t0: [11:00:00 28/03/2015] id: Urine Out Foley el: 1 cu: MICU-A cg: -1 vo: 60 vu: ml t0: [11:00:00 28/03/2015] id: .9% Normal Saline 100.0ml + 5000mcghr Fentanyl IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 2 vu: ml
t0: [11:00:00 28/03/2015] id: Fentanyl el: 1 cu: MICU-A so: .9% Normal Saline vo: 0 v1: 100 du: mcghr sv: 50 su: ml rt: IV Drip t0: [11:00:00 28/03/2015] id: Ativan el: 1 cu: MICU-A so: D5W vo: 0 v1: 1 du: mghr sv: 60 su: ml rt: IV Drip
t0: [10:00:00 28/03/2015] id: INV Line#2 D/C Date el: 0 cu: MICU-A cg: -1 v1: 2 v2: 23 st: NotStopd t0: [10:00:00 28/03/2015] id: INV Line#2 Type/Site el: 0 cu: MICU-A cg: -1 v1: PA line v2: Right IJ st: NotStopd t0: [10:00:00 28/03/2015] id: INV Line#2InsertDate el: 0 cu: MICU-A cg: -1 v1: 2 v2: 22 st: NotStopd t0: [10:00:00 28/03/2015] id: INV Line#4 Type/Site el: 0 cu: MICU-A cg: -1 v1: Multi-lumen v2: Right IJ st: NotStopd t0: [10:00:00 28/03/2015] id: INV Line#4InsertDate el: 0 cu: MICU-A cg: -1 v1: 2 v2: 23 st: NotStopd t0: [10:00:00 28/03/2015] id: INV Line#4SiteAppear el: 0 cu: MICU-A cg: -1 v1: WNL st: NotStopd
t0: [12:00:00 28/03/2015] id: INV Line#2 D/C Date el: 0 cu: MICU-A cg: -1 st: D/C'd t0: [12:00:00 28/03/2015] id: INV Line#2 Type/Site el: 0 cu: MICU-A cg: -1 st: D/C'd t0: [12:00:00 28/03/2015] id: INV Line#2InsertDate el: 0 cu: MICU-A cg: -1 st: D/C'd t0: [12:00:00 28/03/2015] id: INV Line#2SiteAppear el: 0 cu: MICU-A cg: -1 st: D/C'd t0: [12:00:00 28/03/2015] id: Temperature C el: 0 cu: MICU-A cg: -1 st: D/C'd t0: [12:00:00 28/03/2015] id: Temperature F (calc) el: 0 cu: MICU-A cg: -1 st: D/C'd
t0: [12:00:00 28/03/2015] id: Service Type el: 0 cu: MICU-A cg: -1 v1: MICU st: NotStopd t0: [12:00:00 28/03/2015] id: CVP el: 0 cu: MICU-A cg: -1 v1: 14 u1: mmHg st: NotStopd t0: [12:00:00 28/03/2015] id: Code Status el: 0 cu: MICU-A cg: -1 v1: Full Code st: NotStopd t0: [12:00:00 28/03/2015] id: Ectopy Frequency el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [12:00:00 28/03/2015] id: Ectopy Type el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [12:00:00 28/03/2015] id: Heart Rate el: 0 cu: MICU-A cg: -1 v1: 68 u1: BPM st: NotStopd t0: [12:00:00 28/03/2015] id: Heart Rhythm el: 0 cu: MICU-A cg: -1 v1: Normal Sinus st: NotStopd t0: [12:00:00 28/03/2015] id: Arterial BP el: 0 cu: MICU-A cg: -1 v1: 105 u1: mmHg v2: 49 u2: mmHg st: NotStopd t0: [12:00:00 28/03/2015] id: Arterial BP Mean el: 0 cu: MICU-A cg: -1 v1: 67 u1: mmHg st: NotStopd t0: [12:00:00 28/03/2015] id: Precautions el: 0 cu: MICU-A cg: -1 v1: Universal st: NotStopd t0: [12:00:00 28/03/2015] id: Previous WeightF el: 0 cu: MICU-A cg: -1 v1: 74.7 u1: kg st: NotStopd t0: [12:00:00 28/03/2015] id: Respiratory Rate el: 0 cu: MICU-A cg: -1 v1: 20 u1: BPM st: NotStopd t0: [12:00:00 28/03/2015] id: SpO2 el: 0 cu: MICU-A cg: -1 v1: 97 u1: % st: NotStopd t0: [12:00:00 28/03/2015] id: calprevflg el: 0 cu: MICU-A cg: -1 v1: 1 u1: kg st: NotStopd
t0: [12:00:00 28/03/2015] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 125 vu: ml t0: [12:00:00 28/03/2015] id: D5W 400.0ml + 40mghr Ativan IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 10 vu: ml t0: [12:00:00 28/03/2015] id: .9% Normal Saline 250.0ml IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 10 vu: ml t0: [12:00:00 28/03/2015] id: Urine Out Foley el: 1 cu: MICU-A cg: -1 vo: 30 vu: ml t0: [12:00:00 28/03/2015] id: .9% Normal Saline 100.0ml + 5000mcghr Fentanyl IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 2 vu: ml
t0: [12:00:00 28/03/2015] id: Fentanyl el: 1 cu: MICU-A so: .9% Normal Saline vo: 0 v1: 100 du: mcghr sv: 50 su: ml rt: IV Drip t0: [12:00:00 28/03/2015] id: Ativan el: 1 cu: MICU-A so: D5W vo: 0 v1: 1 du: mghr sv: 60 su: ml rt: IV Drip
t0: [12:00:00 28/03/2015] id: Temp. Site el: 0 cu: MICU-A cg: -1 v1: Oral st: NotStopd t0: [12:00:00 28/03/2015] id: Temperature C (calc) el: 0 cu: MICU-A cg: -1 v1: 36.2778 u1: Deg. C st: NotStopd t0: [12:00:00 28/03/2015] id: Temperature F el: 0 cu: MICU-A cg: -1 v1: 97.3 u1: Deg. F st: NotStopd
t0: [12:00:00 28/03/2015] id: HOB el: 0 cu: MICU-A cg: -1 v1: 15 degrees st: NotStopd t0: [12:00:00 28/03/2015] id: INV Line#1 Type/Site el: 0 cu: MICU-A cg: -1 v1: A-Line v2: Right Radial st: NotStopd t0: [12:00:00 28/03/2015] id: INV Line#1 Zero/Cal el: 0 cu: MICU-A cg: -1 v1: No st: NotStopd t0: [12:00:00 28/03/2015] id: INV Line#1InsertDate el: 0 cu: MICU-A cg: -1 v1: 2 v2: 22 st: NotStopd t0: [12:00:00 28/03/2015] id: INV Line#1SiteAppear el: 0 cu: MICU-A cg: -1 v1: WNL st: NotStopd t0: [12:00:00 28/03/2015] id: INV Line#4 Type/Site el: 0 cu: MICU-A cg: -1 v1: Multi-lumen v2: Right IJ st: NotStopd t0: [12:00:00 28/03/2015] id: INV Line#4InsertDate el: 0 cu: MICU-A cg: -1 v1: 2 v2: 23 st: NotStopd t0: [12:00:00 28/03/2015] id: INV Line#4SiteAppear el: 0 cu: MICU-A cg: -1 v1: WNL st: NotStopd t0: [12:00:00 28/03/2015] id: INV#1 WaveformAppear el: 0 cu: MICU-A cg: -1 v1: Sharp st: NotStopd t0: [12:00:00 28/03/2015] id: IV #1 Insert Date el: 0 cu: MICU-A cg: -1 v1: 2 v2: 22 st: NotStopd t0: [12:00:00 28/03/2015] id: IV #1 Site/Size el: 0 cu: MICU-A cg: -1 v1: LL Ant Forearm v2: 20 gauge st: NotStopd t0: [12:00:00 28/03/2015] id: IV #3 Insert Date el: 0 cu: MICU-A cg: -1 v1: 2 v2: 22 st: NotStopd t0: [12:00:00 28/03/2015] id: IV #3 Site/Size el: 0 cu: MICU-A cg: -1 v1: RU Ant Forearm v2: 18 gauge st: NotStopd t0: [12:00:00 28/03/2015] id: Activity el: 0 cu: MICU-A cg: -1 v1: Bedrest st: NotStopd t0: [12:00:00 28/03/2015] id: IV Site Appear #1 el: 0 cu: MICU-A cg: -1 v1: WNL st: NotStopd t0: [12:00:00 28/03/2015] id: IV Site Appear #3 el: 0 cu: MICU-A cg: -1 v1: WNL st: NotStopd t0: [12:00:00 28/03/2015] id: Activity Tolerance el: 0 cu: MICU-A cg: -1 v1: Tolerated Well st: NotStopd t0: [12:00:00 28/03/2015] id: Oral Care el: 0 cu: MICU-A cg: -1 v1: Done st: NotStopd t0: [12:00:00 28/03/2015] id: Position el: 0 cu: MICU-A cg: -1 v1: Right Side st: NotStopd t0: [12:00:00 28/03/2015] id: Assistance Device el: 0 cu: MICU-A cg: -1 v1: 2 Person Assist st: NotStopd t0: [12:00:00 28/03/2015] id: Skin Care el: 0 cu: MICU-A cg: -1 v1: Done st: NotStopd t0: [12:00:00 28/03/2015] id: Turn el: 0 cu: MICU-A cg: -1 v1: Right Side st: NotStopd t0: [12:00:00 28/03/2015] id: Back Care el: 0 cu: MICU-A cg: -1 v1: Done st: NotStopd
t0: [12:00:00 28/03/2015] id: Less Restrict Meas. el: 0 cu: MICU-A cg: -1 v1: Medicated st: NotStopd t0: [12:00:00 28/03/2015] id: Range of Motion el: 0 cu: MICU-A cg: -1 v1: Done st: NotStopd t0: [12:00:00 28/03/2015] id: Circulation/SkinInt el: 0 cu: MICU-A cg: -1 v1: Circulation Adeq st: NotStopd t0: [12:00:00 28/03/2015] id: Dorsal PedPulse R/L el: 0 cu: MICU-A cg: -1 v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [12:00:00 28/03/2015] id: Eye Opening el: 0 cu: MICU-A cg: -1 v1: 3 To speech st: NotStopd t0: [12:00:00 28/03/2015] id: GCS Total el: 0 cu: MICU-A cg: -1 v1: 10 u1: points st: NotStopd t0: [12:00:00 28/03/2015] id: GI Intub #1/Site el: 0 cu: MICU-A cg: -1 v1: Salem Sump v2: Oral st: NotStopd t0: [12:00:00 28/03/2015] id: GI#1 Tube PlaceCheck el: 0 cu: MICU-A cg: -1 v1: Not Done st: NotStopd t0: [12:00:00 28/03/2015] id: GI#1 Tube Stat/Drain el: 0 cu: MICU-A cg: -1 v1: Clamped v2: Bilious st: NotStopd t0: [12:00:00 28/03/2015] id: Abdominal Assessment el: 0 cu: MICU-A cg: -1 v1: Soft st: NotStopd t0: [12:00:00 28/03/2015] id: LLL Lung Sounds el: 0 cu: MICU-A cg: -1 v1: Coarse st: NotStopd t0: [12:00:00 28/03/2015] id: LUL Lung Sounds el: 0 cu: MICU-A cg: -1 v1: Coarse st: NotStopd t0: [12:00:00 28/03/2015] id: Level of Conscious el: 0 cu: MICU-A cg: -1 v1: Arouse to Voice st: NotStopd t0: [12:00:00 28/03/2015] id: Motor Response el: 0 cu: MICU-A cg: -1 v1: 6 Obeys Commands st: NotStopd t0: [12:00:00 28/03/2015] id: Oral Cavity el: 0 cu: MICU-A cg: -1 v1: Teeth/Tissue WNL st: NotStopd t0: [12:00:00 28/03/2015] id: Orientation el: 0 cu: MICU-A cg: -1 v1: Other/Remarks st: NotStopd t0: [12:00:00 28/03/2015] id: Position Change el: 0 cu: MICU-A cg: -1 v1: Done st: NotStopd t0: [12:00:00 28/03/2015] id: PostTib. Pulses R/L el: 0 cu: MICU-A cg: -1 v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [12:00:00 28/03/2015] id: RLL Lung Sounds el: 0 cu: MICU-A cg: -1 v1: Coarse st: NotStopd t0: [12:00:00 28/03/2015] id: RUL Lung Sounds el: 0 cu: MICU-A cg: -1 v1: Coarse st: NotStopd t0: [12:00:00 28/03/2015] id: Reason For Restraint el: 0 cu: MICU-A cg: -1 v1: Ext/TXInterfere st: NotStopd t0: [12:00:00 28/03/2015] id: Removed x 5 Mins el: 0 cu: MICU-A cg: -1 v1: Done st: NotStopd t0: [12:00:00 28/03/2015] id: Respiratory Pattern el: 0 cu: MICU-A cg: -1 v1: Regular st: NotStopd t0: [12:00:00 28/03/2015] id: Restraint Location el: 0 cu: MICU-A cg: -1 v1: Both Arms st: NotStopd t0: [12:00:00 28/03/2015] id: Restraint Type el: 0 cu: MICU-A cg: -1 v1: Soft Limb st: NotStopd t0: [12:00:00 28/03/2015] id: Restraints Evaluated el: 0 cu: MICU-A cg: -1 v1: RestraintReapply st: NotStopd t0: [12:00:00 28/03/2015] id: Side Rails el: 0 cu: MICU-A cg: -1 v1: Side Rails Up st: NotStopd t0: [12:00:00 28/03/2015] id: Skin Integrity el: 0 cu: MICU-A cg: -1 v1: Intact st: NotStopd t0: [12:00:00 28/03/2015] id: Support Systems el: 0 cu: MICU-A cg: -1 v1: Spouse st: NotStopd t0: [12:00:00 28/03/2015] id: Urine Color/Appear el: 0 cu: MICU-A cg: -1 v1: Yellow v2: Clear st: NotStopd t0: [12:00:00 28/03/2015] id: Urine Source el: 0 cu: MICU-A cg: -1 v1: Indwelling Cath st: NotStopd t0: [12:00:00 28/03/2015] id: Verbal Response el: 0 cu: MICU-A cg: -1 v1: 1.0 ET/Trach st: NotStopd t0: [12:00:00 28/03/2015] id: Behavior el: 0 cu: MICU-A cg: -1 v1: Calm st: NotStopd t0: [12:00:00 28/03/2015] id: Bowel Sounds el: 0 cu: MICU-A cg: -1 v1: Present st: NotStopd
t0: [12:20:00 28/03/2015] id: Compliance (40-60ml) el: 0 cu: MICU-A cg: RT v1: 36.6667 u1: ml/cmH st: NotStopd t0: [12:20:00 28/03/2015] id: ETT Mark/Location el: 0 cu: MICU-A cg: RT v1: 24cm v2: Lip st: NotStopd t0: [12:20:00 28/03/2015] id: FiO2 Set el: 0 cu: MICU-A cg: RT v1: 0.5 u1: torr st: NotStopd t0: [12:20:00 28/03/2015] id: High Insp. Pressure el: 0 cu: MICU-A cg: RT v1: 50 u1: cmH2O st: NotStopd t0: [12:20:00 28/03/2015] id: High Resp. Rate el: 0 cu: MICU-A cg: RT v1: 35 u1: BPM st: NotStopd t0: [12:20:00 28/03/2015] id: Airway Size el: 0 cu: MICU-A cg: RT v1: 9.0 mm st: NotStopd t0: [12:20:00 28/03/2015] id: Airway Type el: 0 cu: MICU-A cg: RT v1: Endotracheal st: NotStopd t0: [12:20:00 28/03/2015] id: Inspired Gas Temp el: 0 cu: MICU-A cg: RT u1: Deg. C st: NotStopd t0: [12:20:00 28/03/2015] id: Intubation Date el: 0 cu: MICU-A cg: RT v1: 2 v2: 22 st: NotStopd t0: [12:20:00 28/03/2015] id: Low Exhaled Min Vol el: 0 cu: MICU-A cg: RT v1: 5 st: NotStopd t0: [12:20:00 28/03/2015] id: Low Insp. Pressure el: 0 cu: MICU-A cg: RT v1: 10 u1: cmH2O st: NotStopd t0: [12:20:00 28/03/2015] id: MDI #1 (Puff/Drug) el: 0 cu: MICU-A cg: RT v1: 6 v2: Albuterol st: NotStopd t0: [12:20:00 28/03/2015] id: MDI #2 (Puff/Drug) el: 0 cu: MICU-A cg: RT v1: 6 v2: Atrovent st: NotStopd t0: [12:20:00 28/03/2015] id: Mean Airway Pressure el: 0 cu: MICU-A cg: RT v1: 15.9 u1: cmH2O st: NotStopd t0: [12:20:00 28/03/2015] id: Minute Volume(Obser) el: 0 cu: MICU-A cg: RT v1: 12.2 u1: L/min st: NotStopd t0: [12:20:00 28/03/2015] id: PEEP Set el: 0 cu: MICU-A cg: RT v1: 10 u1: cmH2O st: NotStopd t0: [12:20:00 28/03/2015] id: Peak Flow el: 0 cu: MICU-A cg: RT v1: 65 u1: L/m st: NotStopd t0: [12:20:00 28/03/2015] id: Peak Insp. Pressure el: 0 cu: MICU-A cg: RT v1: 25 u1: cmH2O st: NotStopd t0: [12:20:00 28/03/2015] id: Plateau Pressure el: 0 cu: MICU-A cg: RT v1: 18 u1: cmH2O st: NotStopd t0: [12:20:00 28/03/2015] id: Plateau-Off el: 0 cu: MICU-A cg: RT v1: Yes st: NotStopd t0: [12:20:00 28/03/2015] id: Resp Rate (Spont) el: 0 cu: MICU-A cg: RT v1: 0 u1: BPM st: NotStopd t0: [12:20:00 28/03/2015] id: Resp Rate (Total) el: 0 cu: MICU-A cg: RT v1: 22 u1: BPM st: NotStopd t0: [12:20:00 28/03/2015] id: Respiratory Rate Set el: 0 cu: MICU-A cg: RT v1: 22 u1: BPM st: NotStopd t0: [12:20:00 28/03/2015] id: Sensitivity-Vent el: 0 cu: MICU-A cg: RT v1: 1.5 u1: cmH2O st: NotStopd t0: [12:20:00 28/03/2015] id: SpO2 el: 0 cu: MICU-A cg: RT v1: 98 u1: % st: NotStopd t0: [12:20:00 28/03/2015] id: Tidal Volume (Obser) el: 0 cu: MICU-A cg: RT v1: 550 u1: ml/B st: NotStopd t0: [12:20:00 28/03/2015] id: Tidal Volume (Set) el: 0 cu: MICU-A cg: RT v1: 550 u1: ml/B st: NotStopd t0: [12:20:00 28/03/2015] id: Ventilator Mode el: 0 cu: MICU-A cg: RT v1: Assist Control st: NotStopd t0: [12:20:00 28/03/2015] id: Ventilator No. el: 0 cu: MICU-A cg: RT v1: 20 u1: # st: NotStopd t0: [12:20:00 28/03/2015] id: Ventilator Type el: 0 cu: MICU-A cg: RT v1: 7200A st: NotStopd t0: [12:20:00 28/03/2015] id: Waveform-Vent el: 0 cu: MICU-A cg: RT v1: RAMP st: NotStopd
t0: [13:00:00 28/03/2015] id: Service Type el: 0 cu: MICU-A cg: -1 v1: MICU st: NotStopd t0: [13:00:00 28/03/2015] id: CVP el: 0 cu: MICU-A cg: -1 v1: 13 u1: mmHg st: NotStopd t0: [13:00:00 28/03/2015] id: Code Status el: 0 cu: MICU-A cg: -1 v1: Full Code st: NotStopd t0: [13:00:00 28/03/2015] id: Ectopy Frequency el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [13:00:00 28/03/2015] id: Ectopy Type el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [13:00:00 28/03/2015] id: Heart Rate el: 0 cu: MICU-A cg: -1 v1: 66 u1: BPM st: NotStopd t0: [13:00:00 28/03/2015] id: Heart Rhythm el: 0 cu: MICU-A cg: -1 v1: Normal Sinus st: NotStopd t0: [13:00:00 28/03/2015] id: Arterial BP el: 0 cu: MICU-A cg: -1 v1: 103 u1: mmHg v2: 46 u2: mmHg st: NotStopd t0: [13:00:00 28/03/2015] id: Arterial BP Mean el: 0 cu: MICU-A cg: -1 v1: 64 u1: mmHg st: NotStopd t0: [13:00:00 28/03/2015] id: Precautions el: 0 cu: MICU-A cg: -1 v1: Universal st: NotStopd t0: [13:00:00 28/03/2015] id: Previous WeightF el: 0 cu: MICU-A cg: -1 v1: 74.7 u1: kg st: NotStopd t0: [13:00:00 28/03/2015] id: Respiratory Rate el: 0 cu: MICU-A cg: -1 v1: 19 u1: BPM st: NotStopd t0: [13:00:00 28/03/2015] id: SpO2 el: 0 cu: MICU-A cg: -1 v1: 92 u1: % st: NotStopd t0: [13:00:00 28/03/2015] id: calprevflg el: 0 cu: MICU-A cg: -1 v1: 1 u1: kg st: NotStopd
t0: [13:00:00 28/03/2015] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 125 vu: ml t0: [13:00:00 28/03/2015] id: D5W 400.0ml + 40mghr Ativan IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 10 vu: ml t0: [13:00:00 28/03/2015] id: .9% Normal Saline 250.0ml IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 10 vu: ml t0: [13:00:00 28/03/2015] id: Urine Out Foley el: 1 cu: MICU-A cg: -1 vo: 45 vu: ml t0: [13:00:00 28/03/2015] id: .9% Normal Saline 100.0ml + 5000mcghr Fentanyl IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 2 vu: ml
t0: [13:00:00 28/03/2015] id: Fentanyl el: 1 cu: MICU-A so: .9% Normal Saline vo: 0 v1: 100 du: mcghr sv: 50 su: ml rt: IV Drip t0: [13:00:00 28/03/2015] id: Ativan el: 1 cu: MICU-A so: D5W vo: 0 v1: 1 du: mghr sv: 60 su: ml rt: IV Drip
t0: [13:35:00 28/03/2015] id: Art.pH ABG el: 0 cu: MICU-A cg: 1663 v1: 7.35 rs: Final st: NotStopd t0: [13:35:00 28/03/2015] id: Arterial Base Excess ABG el: 0 cu: MICU-A cg: 1663 v1: 0 rs: Final st: NotStopd t0: [13:35:00 28/03/2015] id: Arterial CO2(Calc) ABG el: 0 cu: MICU-A cg: 1663 v1: 26 rs: Final st: NotStopd t0: [13:35:00 28/03/2015] id: Arterial PaCO2 ABG el: 0 cu: MICU-A cg: 1663 v1: 46 u1: mmHg rs: Final st: NotStopd t0: [13:35:00 28/03/2015] id: Arterial PaO2 ABG el: 0 cu: MICU-A cg: 1663 v1: 74 u1: mmHg rs: Final st: NotStopd t0: [13:35:00 28/03/2015] id: Arterial pH ABG el: 0 cu: MICU-A cg: 1663 v1: 7.35 rs: Final st: NotStopd
t0: [13:30:00 28/03/2015] id: ETT Mark/Location el: 0 cu: MICU-A cg: -1 v1: 24cm v2: Lip st: NotStopd t0: [13:30:00 28/03/2015] id: ETT Position Change el: 0 cu: MICU-A cg: -1 v1: Done st: NotStopd t0: [13:30:00 28/03/2015] id: Airway Size el: 0 cu: MICU-A cg: -1 v1: 9.0 mm st: NotStopd t0: [13:30:00 28/03/2015] id: Airway Type el: 0 cu: MICU-A cg: -1 v1: Endotracheal st: NotStopd t0: [13:30:00 28/03/2015] id: Intubation Date el: 0 cu: MICU-A cg: -1 v1: 2 v2: 22 st: NotStopd t0: [13:30:00 28/03/2015] id: SpO2 el: 0 cu: MICU-A cg: -1 v1: 93 u1: % st: NotStopd t0: [13:30:00 28/03/2015] id: Sputum Color/Consist el: 0 cu: MICU-A cg: -1 v1: Clear v2: Thin st: NotStopd t0: [13:30:00 28/03/2015] id: Sputum Source/Amt el: 0 cu: MICU-A cg: -1 v1: Suctioned v2: Scant st: NotStopd t0: [13:30:00 28/03/2015] id: Ventilator No. el: 0 cu: MICU-A cg: -1 v1: 20 u1: # st: NotStopd t0: [13:30:00 28/03/2015] id: Ventilator Type el: 0 cu: MICU-A cg: -1 v1: 7200A st: NotStopd
t0: [14:00:00 28/03/2015] id: Service Type el: 0 cu: MICU-A cg: -1 v1: MICU st: NotStopd t0: [14:00:00 28/03/2015] id: CVP el: 0 cu: MICU-A cg: -1 v1: 13 u1: mmHg st: NotStopd t0: [14:00:00 28/03/2015] id: Code Status el: 0 cu: MICU-A cg: -1 v1: Full Code st: NotStopd t0: [14:00:00 28/03/2015] id: Ectopy Frequency el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [14:00:00 28/03/2015] id: Ectopy Type el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [14:00:00 28/03/2015] id: Heart Rate el: 0 cu: MICU-A cg: -1 v1: 71 u1: BPM st: NotStopd t0: [14:00:00 28/03/2015] id: Heart Rhythm el: 0 cu: MICU-A cg: -1 v1: Normal Sinus st: NotStopd t0: [14:00:00 28/03/2015] id: Arterial BP el: 0 cu: MICU-A cg: -1 v1: 111 u1: mmHg v2: 50 u2: mmHg st: NotStopd t0: [14:00:00 28/03/2015] id: Arterial BP Mean el: 0 cu: MICU-A cg: -1 v1: 70 u1: mmHg st: NotStopd t0: [14:00:00 28/03/2015] id: Precautions el: 0 cu: MICU-A cg: -1 v1: Universal st: NotStopd t0: [14:00:00 28/03/2015] id: Previous WeightF el: 0 cu: MICU-A cg: -1 v1: 74.7 u1: kg st: NotStopd t0: [14:00:00 28/03/2015] id: Respiratory Rate el: 0 cu: MICU-A cg: -1 v1: 21 u1: BPM st: NotStopd t0: [14:00:00 28/03/2015] id: SpO2 el: 0 cu: MICU-A cg: -1 v1: 92 u1: % st: NotStopd t0: [14:00:00 28/03/2015] id: calprevflg el: 0 cu: MICU-A cg: -1 v1: 1 u1: kg st: NotStopd
t0: [14:00:00 28/03/2015] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 125 vu: ml t0: [14:00:00 28/03/2015] tf: [14:38:00 16/04/2015] dt: 27398 id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 10 vu: ml t0: [14:00:00 28/03/2015] id: .9% Normal Saline 250.0ml IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 10 vu: ml t0: [14:00:00 28/03/2015] tf: [14:38:00 16/04/2015] dt: 27398 id: .9% Normal Saline 50.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 2 vu: ml t0: [14:00:00 28/03/2015] id: Urine Out Foley el: 1 cu: MICU-A cg: -1 vo: 40 vu: ml
t0: [14:00:00 28/03/2015] id: Fentanyl el: 1 cu: MICU-A so: .9% Normal Saline vo: 0 v1: 100 du: mcghr sv: 50 su: ml rt: IV Drip t0: [14:00:00 28/03/2015] id: Ativan el: 1 cu: MICU-A so: D5W vo: 0 v1: 1 du: mghr sv: 60 su: ml rt: IV Drip
t0: [14:00:00 28/03/2015] id: ETT Mark/Location el: 0 cu: MICU-A cg: -1 v1: 22cm v2: Lip st: NotStopd
t0: [14:00:00 28/03/2015] id: HOB el: 0 cu: MICU-A cg: -1 v1: 15 degrees st: NotStopd t0: [14:00:00 28/03/2015] id: Activity el: 0 cu: MICU-A cg: -1 v1: Bedrest st: NotStopd t0: [14:00:00 28/03/2015] id: Activity Tolerance el: 0 cu: MICU-A cg: -1 v1: Tolerated Well st: NotStopd t0: [14:00:00 28/03/2015] id: Position el: 0 cu: MICU-A cg: -1 v1: Supine st: NotStopd t0: [14:00:00 28/03/2015] id: Assistance Device el: 0 cu: MICU-A cg: -1 v1: 2 Person Assist st: NotStopd t0: [14:00:00 28/03/2015] id: Turn el: 0 cu: MICU-A cg: -1 v1: Back st: NotStopd t0: [15:00:00 28/03/2015] id: Service Type el: 0 cu: MICU-A cg: -1 v1: MICU st: NotStopd t0: [15:00:00 28/03/2015] id: CVP el: 0 cu: MICU-A cg: -1 v1: 13 u1: mmHg st: NotStopd t0: [15:00:00 28/03/2015] id: Code Status el: 0 cu: MICU-A cg: -1 v1: Full Code st: NotStopd t0: [15:00:00 28/03/2015] id: Ectopy Frequency el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [15:00:00 28/03/2015] id: Ectopy Type el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [15:00:00 28/03/2015] id: Heart Rate el: 0 cu: MICU-A cg: -1 v1: 66 u1: BPM st: NotStopd t0: [15:00:00 28/03/2015] id: Heart Rhythm el: 0 cu: MICU-A cg: -1 v1: Normal Sinus st: NotStopd t0: [15:00:00 28/03/2015] id: Arterial BP el: 0 cu: MICU-A cg: -1 v1: 99 u1: mmHg v2: 43 u2: mmHg st: NotStopd t0: [15:00:00 28/03/2015] id: Arterial BP Mean el: 0 cu: MICU-A cg: -1 v1: 61 u1: mmHg st: NotStopd t0: [15:00:00 28/03/2015] id: Precautions el: 0 cu: MICU-A cg: -1 v1: Universal st: NotStopd t0: [15:00:00 28/03/2015] id: Previous WeightF el: 0 cu: MICU-A cg: -1 v1: 74.7 u1: kg st: NotStopd t0: [15:00:00 28/03/2015] id: Respiratory Rate el: 0 cu: MICU-A cg: -1 v1: 16 u1: BPM st: NotStopd t0: [15:00:00 28/03/2015] id: SpO2 el: 0 cu: MICU-A cg: -1 v1: 93 u1: % st: NotStopd t0: [15:00:00 28/03/2015] id: calprevflg el: 0 cu: MICU-A cg: -1 v1: 1 u1: kg st: NotStopd
t0: [15:00:00 28/03/2015] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 125 vu: ml t0: [15:00:00 28/03/2015] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 10 vu: ml t0: [15:00:00 28/03/2015] id: .9% Normal Saline 250.0ml IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 10 vu: ml t0: [15:00:00 28/03/2015] id: .9% Normal Saline 50.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 2 vu: ml t0: [15:00:00 28/03/2015] id: Urine Out Foley el: 1 cu: MICU-A cg: -1 vo: 35 vu: ml
t0: [15:00:00 28/03/2015] id: Fentanyl el: 1 cu: MICU-A so: .9% Normal Saline vo: 0 v1: 100 du: mcghr sv: 50 su: ml rt: IV Drip t0: [15:00:00 28/03/2015] id: Ativan el: 1 cu: MICU-A so: D5W vo: 0 v1: 1 du: mghr sv: 60 su: ml rt: IV Drip
t0: [15:31:00 28/03/2015] id: BSA el: 1033 cu: MICU-A cg: -1 t0: [15:31:00 28/03/2015] id: Admit Wt el: 1032 cu: MICU-A cg: -1 v1: 72.6 u1: kg t0: [15:31:00 28/03/2015] id: Allergy 1 el: 1020 cu: MICU-A cg: -1 t0: [15:31:00 28/03/2015] id: Diagnosis/op el: 1023 cu: MICU-A cg: -1 v1: RESPIRATORY FAILURE t0: [15:31:00 28/03/2015] id: Service el: 1026 cu: MICU-A cg: -1 v1: MED t0: [15:31:00 28/03/2015] id: Admit Ht el: 1034 cu: MICU-A cg: -1 t0: [15:31:00 28/03/2015] id: Readmission el: 1014 cu: MICU-A cg: -1 t0: [15:31:00 28/03/2015] id: Marital Status el: 1006 cu: MICU-A cg: -1 v1: M t0: [15:31:00 28/03/2015] id: Religion el: 1000 cu: MICU-A cg: -1 v1: RCA t0: [15:31:00 28/03/2015] id: Allergy 2 el: 1021 cu: MICU-A cg: -1 t0: [15:31:00 28/03/2015] id: Ext el: 1010 cu: MICU-A cg: -1 t0: [15:31:00 28/03/2015] id: PIN el: 1012 cu: MICU-A cg: -1 t0: [15:31:00 28/03/2015] id: Allergy 3 el: 1022 cu: MICU-A cg: -1
t0: [12:00:00 28/03/2015] id: Family Communication el: 0 cu: MICU-A cg: -1 v1: Family Visited st: NotStopd t0: [16:00:00 28/03/2015] id: Less Restrict Meas. el: 0 cu: MICU-A cg: -1 v1: Medicated st: NotStopd t0: [16:00:00 28/03/2015] id: Pain Present el: 0 cu: MICU-A cg: -1 v1: No st: NotStopd t0: [16:00:00 28/03/2015] id: Range of Motion el: 0 cu: MICU-A cg: -1 v1: Done st: NotStopd t0: [16:00:00 28/03/2015] id: Service Type el: 0 cu: MICU-A cg: -1 v1: MICU st: NotStopd t0: [16:00:00 28/03/2015] id: CVP el: 0 cu: MICU-A cg: -1 v1: 14 u1: mmHg st: NotStopd t0: [16:00:00 28/03/2015] id: Circulation/SkinInt el: 0 cu: MICU-A cg: -1 v1: Circulation Adeq st: NotStopd t0: [16:00:00 28/03/2015] id: Code Status el: 0 cu: MICU-A cg: -1 v1: Full Code st: NotStopd t0: [16:00:00 28/03/2015] id: Dorsal PedPulse R/L el: 0 cu: MICU-A cg: -1 v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [16:00:00 28/03/2015] id: Ectopy Frequency el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [16:00:00 28/03/2015] id: Ectopy Type el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [16:00:00 28/03/2015] id: Eye Opening el: 0 cu: MICU-A cg: -1 v1: 3 To speech st: NotStopd t0: [16:00:00 28/03/2015] id: GCS Total el: 0 cu: MICU-A cg: -1 v1: 10 u1: points st: NotStopd t0: [16:00:00 28/03/2015] id: GI Intub #1/Site el: 0 cu: MICU-A cg: -1 v1: Salem Sump v2: Oral st: NotStopd t0: [16:00:00 28/03/2015] id: GI#1 Tube PlaceCheck el: 0 cu: MICU-A cg: -1 v1: Done st: NotStopd t0: [16:00:00 28/03/2015] id: GI#1 Tube Stat/Drain el: 0 cu: MICU-A cg: -1 v1: Feeding v2: Undigested Food st: NotStopd t0: [16:00:00 28/03/2015] id: HOB el: 0 cu: MICU-A cg: -1 v1: 30 degrees st: NotStopd t0: [16:00:00 28/03/2015] id: Heart Rate el: 0 cu: MICU-A cg: -1 v1: 67 u1: BPM st: NotStopd t0: [16:00:00 28/03/2015] id: Heart Rhythm el: 0 cu: MICU-A cg: -1 v1: Normal Sinus st: NotStopd t0: [16:00:00 28/03/2015] id: INV Line#1 Type/Site el: 0 cu: MICU-A cg: -1 v1: A-Line v2: Right Radial st: NotStopd t0: [16:00:00 28/03/2015] id: INV Line#1 Zero/Cal el: 0 cu: MICU-A cg: -1 v1: Yes st: NotStopd t0: [16:00:00 28/03/2015] id: INV Line#1InsertDate el: 0 cu: MICU-A cg: -1 v1: 2 v2: 22 st: NotStopd t0: [16:00:00 28/03/2015] id: INV Line#1SiteAppear el: 0 cu: MICU-A cg: -1 v1: WNL st: NotStopd t0: [16:00:00 28/03/2015] id: INV Line#4 Type/Site el: 0 cu: MICU-A cg: -1 v1: Multi-lumen v2: Right IJ st: NotStopd t0: [16:00:00 28/03/2015] id: INV Line#4InsertDate el: 0 cu: MICU-A cg: -1 v1: 2 v2: 23 st: NotStopd t0: [16:00:00 28/03/2015] id: INV Line#4SiteAppear el: 0 cu: MICU-A cg: -1 v1: WNL st: NotStopd t0: [16:00:00 28/03/2015] id: Abdominal Assessment el: 0 cu: MICU-A cg: -1 v1: Soft st: NotStopd t0: [16:00:00 28/03/2015] id: INV#1 WaveformAppear el: 0 cu: MICU-A cg: -1 v1: Sharp st: NotStopd t0: [16:00:00 28/03/2015] id: IV #1 Insert Date el: 0 cu: MICU-A cg: -1 v1: 2 v2: 22 st: NotStopd t0: [16:00:00 28/03/2015] id: IV #1 Site/Size el: 0 cu: MICU-A cg: -1 v1: LL Ant Forearm v2: 20 gauge st: NotStopd t0: [16:00:00 28/03/2015] id: IV #3 Insert Date el: 0 cu: MICU-A cg: -1 v1: 2 v2: 22 st: NotStopd t0: [16:00:00 28/03/2015] id: IV #3 Site/Size el: 0 cu: MICU-A cg: -1 v1: RU Ant Forearm v2: 18 gauge st: NotStopd t0: [16:00:00 28/03/2015] id: Activity el: 0 cu: MICU-A cg: -1 v1: Bedrest st: NotStopd t0: [16:00:00 28/03/2015] id: IV Site Appear #1 el: 0 cu: MICU-A cg: -1 v1: WNL st: NotStopd t0: [16:00:00 28/03/2015] id: IV Site Appear #3 el: 0 cu: MICU-A cg: -1 v1: WNL st: NotStopd t0: [16:00:00 28/03/2015] id: Activity Tolerance el: 0 cu: MICU-A cg: -1 v1: Tolerated Well st: NotStopd t0: [16:00:00 28/03/2015] id: LLL Lung Sounds el: 0 cu: MICU-A cg: -1 v1: Diminished st: NotStopd t0: [16:00:00 28/03/2015] id: LUL Lung Sounds el: 0 cu: MICU-A cg: -1 v1: Clear st: NotStopd t0: [16:00:00 28/03/2015] id: Level of Conscious el: 0 cu: MICU-A cg: -1 v1: Arouse to Voice st: NotStopd t0: [16:00:00 28/03/2015] id: Motor Response el: 0 cu: MICU-A cg: -1 v1: 6 Obeys Commands st: NotStopd t0: [16:00:00 28/03/2015] id: Oral Cavity el: 0 cu: MICU-A cg: -1 v1: Teeth/Tissue WNL st: NotStopd t0: [16:00:00 28/03/2015] id: Orientation el: 0 cu: MICU-A cg: -1 v1: Other/Remarks st: NotStopd t0: [16:00:00 28/03/2015] id: Arterial BP el: 0 cu: MICU-A cg: -1 v1: 101 u1: mmHg v2: 44 u2: mmHg st: NotStopd t0: [16:00:00 28/03/2015] id: Pain Location el: 0 cu: MICU-A cg: -1 v1: Not Indicated st: NotStopd t0: [16:00:00 28/03/2015] id: Arterial BP Mean el: 0 cu: MICU-A cg: -1 v1: 62 u1: mmHg st: NotStopd t0: [16:00:00 28/03/2015] id: Position el: 0 cu: MICU-A cg: -1 v1: Left Side st: NotStopd t0: [16:00:00 28/03/2015] id: Position Change el: 0 cu: MICU-A cg: -1 v1: Done st: NotStopd t0: [16:00:00 28/03/2015] id: PostTib. Pulses R/L el: 0 cu: MICU-A cg: -1 v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [16:00:00 28/03/2015] id: Assistance Device el: 0 cu: MICU-A cg: -1 v1: 2 Person Assist st: NotStopd t0: [16:00:00 28/03/2015] id: Precautions el: 0 cu: MICU-A cg: -1 v1: Universal st: NotStopd t0: [16:00:00 28/03/2015] id: Previous WeightF el: 0 cu: MICU-A cg: -1 v1: 74.7 u1: kg st: NotStopd t0: [16:00:00 28/03/2015] id: RLL Lung Sounds el: 0 cu: MICU-A cg: -1 v1: Diminished st: NotStopd t0: [16:00:00 28/03/2015] id: RUL Lung Sounds el: 0 cu: MICU-A cg: -1 v1: Clear st: NotStopd t0: [16:00:00 28/03/2015] id: Reason For Restraint el: 0 cu: MICU-A cg: -1 v1: Ext/TXInterfere st: NotStopd t0: [16:00:00 28/03/2015] id: Removed x 5 Mins el: 0 cu: MICU-A cg: -1 v1: Done st: NotStopd t0: [16:00:00 28/03/2015] id: Respiratory Pattern el: 0 cu: MICU-A cg: -1 v1: Regular st: NotStopd t0: [16:00:00 28/03/2015] id: Respiratory Rate el: 0 cu: MICU-A cg: -1 v1: 22 u1: BPM st: NotStopd t0: [16:00:00 28/03/2015] id: Restraint Location el: 0 cu: MICU-A cg: -1 v1: Both Arms st: NotStopd t0: [16:00:00 28/03/2015] id: Restraint Type el: 0 cu: MICU-A cg: -1 v1: Soft Limb st: NotStopd t0: [16:00:00 28/03/2015] id: Restraints Evaluated el: 0 cu: MICU-A cg: -1 v1: RestraintReapply st: NotStopd t0: [16:00:00 28/03/2015] id: Side Rails el: 0 cu: MICU-A cg: -1 v1: Side Rails Up st: NotStopd t0: [16:00:00 28/03/2015] id: Skin Care el: 0 cu: MICU-A cg: -1 v1: Done st: NotStopd t0: [16:00:00 28/03/2015] id: Skin Integrity el: 0 cu: MICU-A cg: -1 v1: Intact st: NotStopd t0: [16:00:00 28/03/2015] id: SpO2 el: 0 cu: MICU-A cg: -1 v1: 93 u1: % st: NotStopd t0: [16:00:00 28/03/2015] id: Support Systems el: 0 cu: MICU-A cg: -1 v1: Spouse st: NotStopd t0: [16:00:00 28/03/2015] id: Temp. Site el: 0 cu: MICU-A cg: -1 v1: Oral st: NotStopd t0: [16:00:00 28/03/2015] id: Temperature C (calc) el: 0 cu: MICU-A cg: -1 v1: 37 u1: Deg. C st: NotStopd t0: [16:00:00 28/03/2015] id: Temperature F el: 0 cu: MICU-A cg: -1 v1: 98.6 u1: Deg. F st: NotStopd t0: [16:00:00 28/03/2015] id: Turn el: 0 cu: MICU-A cg: -1 v1: Left Side st: NotStopd t0: [16:00:00 28/03/2015] id: Urine Color/Appear el: 0 cu: MICU-A cg: -1 v1: Yellow v2: Clear st: NotStopd t0: [16:00:00 28/03/2015] id: Urine Source el: 0 cu: MICU-A cg: -1 v1: Indwelling Cath st: NotStopd t0: [16:00:00 28/03/2015] id: Verbal Response el: 0 cu: MICU-A cg: -1 v1: 1.0 ET/Trach st: NotStopd t0: [16:00:00 28/03/2015] id: Back Care el: 0 cu: MICU-A cg: -1 v1: Done st: NotStopd t0: [16:00:00 28/03/2015] id: calprevflg el: 0 cu: MICU-A cg: -1 v1: 1 u1: kg st: NotStopd t0: [16:00:00 28/03/2015] id: Behavior el: 0 cu: MICU-A cg: -1 v1: Calm st: NotStopd t0: [16:00:00 28/03/2015] id: Bowel Sounds el: 0 cu: MICU-A cg: -1 v1: Present st: NotStopd t0: [16:00:00 28/03/2015] id: Braden Activity el: 0 cu: MICU-A cg: -1 v1: Bedfast st: NotStopd t0: [16:00:00 28/03/2015] id: Braden Frict/Shear el: 0 cu: MICU-A cg: -1 v1: Potential Prob st: NotStopd t0: [16:00:00 28/03/2015] id: Braden Mobility el: 0 cu: MICU-A cg: -1 v1: Very Limited st: NotStopd t0: [16:00:00 28/03/2015] id: Braden Moisture el: 0 cu: MICU-A cg: -1 v1: Occ. Moist st: NotStopd t0: [16:00:00 28/03/2015] id: Braden Nutrition el: 0 cu: MICU-A cg: -1 v1: Prob. Inadequate st: NotStopd t0: [16:00:00 28/03/2015] id: Braden Score el: 0 cu: MICU-A cg: -1 v1: 13 u1: number st: NotStopd t0: [16:00:00 28/03/2015] id: Braden SensoryPercep el: 0 cu: MICU-A cg: -1 v1: Sl. Limited st: NotStopd
t0: [16:00:00 28/03/2015] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 125 vu: ml t0: [16:00:00 28/03/2015] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 10 vu: ml t0: [16:00:00 28/03/2015] id: .9% Normal Saline 250.0ml IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 10 vu: ml t0: [16:00:00 28/03/2015] id: .9% Normal Saline 50.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 2 vu: ml t0: [16:00:00 28/03/2015] id: Urine Out Foley el: 1 cu: MICU-A cg: -1 vo: 60 vu: ml
t0: [16:00:00 28/03/2015] id: Fentanyl el: 1 cu: MICU-A so: .9% Normal Saline vo: 0 v1: 100 du: mcghr sv: 50 su: ml rt: IV Drip t0: [16:00:00 28/03/2015] id: Ativan el: 1 cu: MICU-A so: D5W vo: 0 v1: 1 du: mghr sv: 60 su: ml rt: IV Drip
t0: [16:00:00 28/03/2015] id: Sputum Color/Consist el: 0 cu: MICU-A cg: -1 v1: Blood Tinged v2: Thin st: NotStopd t0: [16:00:00 28/03/2015] id: Sputum Source/Amt el: 0 cu: MICU-A cg: -1 v1: Suctioned v2: Small st: NotStopd
t0: [17:00:00 28/03/2015] id: Cardiac Index el: 0 cu: MICU-A cg: -1 st: D/C'd t0: [17:00:00 28/03/2015] id: PAP Mean el: 0 cu: MICU-A cg: -1 st: D/C'd t0: [17:00:00 28/03/2015] id: PAP S/D el: 0 cu: MICU-A cg: -1 st: D/C'd t0: [17:00:00 28/03/2015] id: PCWP el: 0 cu: MICU-A cg: -1 st: D/C'd t0: [17:00:00 28/03/2015] id: SVR el: 0 cu: MICU-A cg: -1 st: D/C'd t0: [17:00:00 28/03/2015] id: C.O.(thermodilution) el: 0 cu: MICU-A cg: -1 st: D/C'd
io: Peptamen Tube Feeding el: 1 cu: MICU-A cg: -1 ra: 10 ru: ml/hr
t0: [17:00:00 28/03/2015] id: D5W 250.0ml IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 0 st: D/C'd
id: Peptamen el: 1 cu: MICU-A cg: -1 io: Peptamen Tube Feeding du: str rt: Gastric/Feeding Tube
t0: [17:00:00 28/03/2015] id: Service Type el: 0 cu: MICU-A cg: -1 v1: MICU st: NotStopd t0: [17:00:00 28/03/2015] id: CVP el: 0 cu: MICU-A cg: -1 v1: 7 u1: mmHg st: NotStopd t0: [17:00:00 28/03/2015] id: Code Status el: 0 cu: MICU-A cg: -1 v1: Full Code st: NotStopd t0: [17:00:00 28/03/2015] id: Ectopy Frequency el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [17:00:00 28/03/2015] id: Ectopy Type el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [17:00:00 28/03/2015] id: Heart Rate el: 0 cu: MICU-A cg: -1 v1: 68 u1: BPM st: NotStopd t0: [17:00:00 28/03/2015] id: Heart Rhythm el: 0 cu: MICU-A cg: -1 v1: Normal Sinus st: NotStopd t0: [17:00:00 28/03/2015] id: Arterial BP el: 0 cu: MICU-A cg: -1 v1: 91 u1: mmHg v2: 39 u2: mmHg st: NotStopd t0: [17:00:00 28/03/2015] id: Arterial BP Mean el: 0 cu: MICU-A cg: -1 v1: 55 u1: mmHg st: NotStopd t0: [17:00:00 28/03/2015] id: Precautions el: 0 cu: MICU-A cg: -1 v1: Universal st: NotStopd t0: [17:00:00 28/03/2015] id: Previous WeightF el: 0 cu: MICU-A cg: -1 v1: 74.7 u1: kg st: NotStopd t0: [17:00:00 28/03/2015] id: Respiratory Rate el: 0 cu: MICU-A cg: -1 v1: 22 u1: BPM st: NotStopd t0: [17:00:00 28/03/2015] id: SpO2 el: 0 cu: MICU-A cg: -1 v1: 91 u1: % st: NotStopd t0: [17:00:00 28/03/2015] id: calprevflg el: 0 cu: MICU-A cg: -1 v1: 1 u1: kg st: NotStopd
t0: [16:00:00 28/03/2015] tf: [11:00:00 29/03/2015] dt: 1140 id: Peptamen Tube Feeding el: 1 cu: MICU-A cg: -1 ai: 107 vu: ml nb: 1 t0: [16:00:00 28/03/2015] id: Peptamen Tube Feeding el: 1 cu: MICU-A cg: -1 ai: 107 vo: 10 vu: ml t0: [17:00:00 28/03/2015] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 125 vu: ml t0: [17:00:00 28/03/2015] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 10 vu: ml t0: [17:00:00 28/03/2015] id: Peptamen Tube Feeding el: 1 cu: MICU-A cg: -1 ai: 107 vo: 10 vu: ml t0: [17:00:00 28/03/2015] id: .9% Normal Saline 250.0ml IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 10 vu: ml t0: [17:00:00 28/03/2015] id: .9% Normal Saline 50.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 2 vu: ml t0: [17:00:00 28/03/2015] id: Urine Out Foley el: 1 cu: MICU-A cg: -1 vo: 30 vu: ml
t0: [17:00:00 28/03/2015] id: Fentanyl el: 1 cu: MICU-A so: .9% Normal Saline vo: 0 v1: 100 du: mcghr sv: 50 su: ml rt: IV Drip t0: [17:00:00 28/03/2015] id: Ativan el: 1 cu: MICU-A so: D5W vo: 0 v1: 1 du: mghr sv: 60 su: ml rt: IV Drip
t0: [17:15:00 28/03/2015] id: Compliance (40-60ml) el: 0 cu: MICU-A cg: RT v1: 34.375 u1: ml/cmH st: NotStopd t0: [17:15:00 28/03/2015] id: ETT Mark/Location el: 0 cu: MICU-A cg: RT v1: 22cm v2: Lip st: NotStopd t0: [17:15:00 28/03/2015] id: FiO2 Set el: 0 cu: MICU-A cg: RT v1: 0.5 u1: torr st: NotStopd t0: [17:15:00 28/03/2015] id: High Insp. Pressure el: 0 cu: MICU-A cg: RT v1: 50 u1: cmH2O st: NotStopd t0: [17:15:00 28/03/2015] id: High Resp. Rate el: 0 cu: MICU-A cg: RT v1: 35 u1: BPM st: NotStopd t0: [17:15:00 28/03/2015] id: Airway Size el: 0 cu: MICU-A cg: RT v1: 9.0 mm st: NotStopd t0: [17:15:00 28/03/2015] id: Airway Type el: 0 cu: MICU-A cg: RT v1: Endotracheal st: NotStopd t0: [17:15:00 28/03/2015] id: Inspired Gas Temp el: 0 cu: MICU-A cg: RT u1: Deg. C st: NotStopd t0: [17:15:00 28/03/2015] id: Intubation Date el: 0 cu: MICU-A cg: RT v1: 2 v2: 22 st: NotStopd t0: [17:15:00 28/03/2015] id: Low Exhaled Min Vol el: 0 cu: MICU-A cg: RT v1: 5 st: NotStopd t0: [17:15:00 28/03/2015] id: Low Insp. Pressure el: 0 cu: MICU-A cg: RT v1: 10 u1: cmH2O st: NotStopd t0: [17:15:00 28/03/2015] id: MDI #1 (Puff/Drug) el: 0 cu: MICU-A cg: RT v1: 6 v2: Albuterol st: NotStopd t0: [17:15:00 28/03/2015] id: MDI #2 (Puff/Drug) el: 0 cu: MICU-A cg: RT v1: 6 v2: Atrovent st: NotStopd t0: [17:15:00 28/03/2015] id: Mean Airway Pressure el: 0 cu: MICU-A cg: RT v1: 16.2 u1: cmH2O st: NotStopd t0: [17:15:00 28/03/2015] id: Minute Volume(Obser) el: 0 cu: MICU-A cg: RT v1: 11.6 u1: L/min st: NotStopd t0: [17:15:00 28/03/2015] id: PEEP Set el: 0 cu: MICU-A cg: RT v1: 10 u1: cmH2O st: NotStopd t0: [17:15:00 28/03/2015] id: Peak Flow el: 0 cu: MICU-A cg: RT v1: 65 u1: L/m st: NotStopd t0: [17:15:00 28/03/2015] id: Peak Insp. Pressure el: 0 cu: MICU-A cg: RT v1: 26 u1: cmH2O st: NotStopd t0: [17:15:00 28/03/2015] id: Plateau Pressure el: 0 cu: MICU-A cg: RT v1: 23 u1: cmH2O st: NotStopd t0: [17:15:00 28/03/2015] id: Plateau-Off el: 0 cu: MICU-A cg: RT v1: Yes st: NotStopd t0: [17:15:00 28/03/2015] id: Resp Rate (Spont) el: 0 cu: MICU-A cg: RT v1: 0 u1: BPM st: NotStopd t0: [17:15:00 28/03/2015] id: Resp Rate (Total) el: 0 cu: MICU-A cg: RT v1: 22 u1: BPM st: NotStopd t0: [17:15:00 28/03/2015] id: Respiratory Rate Set el: 0 cu: MICU-A cg: RT v1: 22 u1: BPM st: NotStopd t0: [17:15:00 28/03/2015] id: Sensitivity-Vent el: 0 cu: MICU-A cg: RT v1: 1.5 u1: cmH2O st: NotStopd t0: [17:15:00 28/03/2015] id: SpO2 el: 0 cu: MICU-A cg: RT v1: 92 u1: % st: NotStopd t0: [17:15:00 28/03/2015] id: Tidal Volume (Obser) el: 0 cu: MICU-A cg: RT v1: 530 u1: ml/B st: NotStopd t0: [17:15:00 28/03/2015] id: Tidal Volume (Set) el: 0 cu: MICU-A cg: RT v1: 550 u1: ml/B st: NotStopd t0: [17:15:00 28/03/2015] id: Ventilator Mode el: 0 cu: MICU-A cg: RT v1: Assist Control st: NotStopd t0: [17:15:00 28/03/2015] id: Ventilator No. el: 0 cu: MICU-A cg: RT v1: 20 u1: # st: NotStopd t0: [17:15:00 28/03/2015] id: Ventilator Type el: 0 cu: MICU-A cg: RT v1: 7200A st: NotStopd t0: [17:15:00 28/03/2015] id: Waveform-Vent el: 0 cu: MICU-A cg: RT v1: RAMP st: NotStopd
t0: [12:30:00 28/03/2015] id: Procedures el: 0 cu: MICU-A cg: -1 v1: Bronchoscopy st: NotStopd
id: Fentanyl el: 101 cu: MICU-A cg: -1 io: .9% Normal Saline 50.0ml + 2500mcghr Fentanyl IV Infusions am: 2500 du: mcghr rt: IV Drip id: Ativan el: 101 cu: MICU-A cg: -1 io: D5W 60.0ml + 60mghr Ativan IV Infusions am: 60 du: mghr rt: IV Drip
io: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU-A cg: -1 ra: 1 ru: ml/hr
id: D5W el: 1 cu: MICU-A cg: -1 io: D5W 60.0ml + 60mghr Ativan IV Infusions vo: 60 du: ml rt: Intravenous Push id: .9% Normal Saline el: 1 cu: MICU-A cg: -1 io: .9% Normal Saline 50.0ml + 2500mcghr Fentanyl IV Infusions vo: 50 du: ml rt: Intravenous Push
t0: [18:00:00 28/03/2015] id: Service Type el: 0 cu: MICU-A cg: -1 v1: MICU st: NotStopd t0: [18:00:00 28/03/2015] id: CVP el: 0 cu: MICU-A cg: -1 v1: 7 u1: mmHg st: NotStopd t0: [18:00:00 28/03/2015] id: Code Status el: 0 cu: MICU-A cg: -1 v1: Full Code st: NotStopd t0: [18:00:00 28/03/2015] id: Ectopy Frequency el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [18:00:00 28/03/2015] id: Ectopy Type el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [18:00:00 28/03/2015] id: Heart Rate el: 0 cu: MICU-A cg: -1 v1: 68 u1: BPM st: NotStopd t0: [18:00:00 28/03/2015] id: Heart Rhythm el: 0 cu: MICU-A cg: -1 v1: Normal Sinus st: NotStopd t0: [18:00:00 28/03/2015] id: Arterial BP el: 0 cu: MICU-A cg: -1 v1: 99 u1: mmHg v2: 43 u2: mmHg st: NotStopd t0: [18:00:00 28/03/2015] id: Arterial BP Mean el: 0 cu: MICU-A cg: -1 v1: 60 u1: mmHg st: NotStopd t0: [18:00:00 28/03/2015] id: Precautions el: 0 cu: MICU-A cg: -1 v1: Universal st: NotStopd t0: [18:00:00 28/03/2015] id: Previous WeightF el: 0 cu: MICU-A cg: -1 v1: 74.7 u1: kg st: NotStopd t0: [18:00:00 28/03/2015] id: Respiratory Rate el: 0 cu: MICU-A cg: -1 v1: 22 u1: BPM st: NotStopd t0: [18:00:00 28/03/2015] id: SpO2 el: 0 cu: MICU-A cg: -1 v1: 93 u1: % st: NotStopd t0: [18:00:00 28/03/2015] id: calprevflg el: 0 cu: MICU-A cg: -1 v1: 1 u1: kg st: NotStopd
t0: [18:00:00 28/03/2015] tf: [20:00:00 28/03/2015] dt: 120 id: TF Residual Gastric/TF Residual el: 1 cu: MICU-A cg: -1 ai: 189 vo: 10 vu: ml t0: [18:00:00 28/03/2015] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 125 vu: ml t0: [18:00:00 28/03/2015] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 10 vu: ml nb: 1 t0: [18:00:00 28/03/2015] id: Peptamen Tube Feeding el: 1 cu: MICU-A cg: -1 ai: 107 vo: 10 vu: ml t0: [18:00:00 28/03/2015] id: .9% Normal Saline 250.0ml IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 100 vu: ml t0: [18:00:00 28/03/2015] id: .9% Normal Saline 50.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 2 vu: ml nb: 1 t0: [18:00:00 28/03/2015] id: Urine Out Foley el: 1 cu: MICU-A cg: -1 vo: 40 vu: ml
t0: [18:00:00 28/03/2015] id: Fentanyl el: 1 cu: MICU-A so: .9% Normal Saline vo: 0 v1: 100 du: mcghr sv: 50 su: ml rt: IV Drip t0: [18:00:00 28/03/2015] id: Ativan el: 1 cu: MICU-A so: D5W vo: 0 v1: 1 du: mghr sv: 60 su: ml rt: IV Drip
t0: [19:00:00 28/03/2015] id: Service Type el: 0 cu: MICU-A cg: -1 v1: MICU st: NotStopd t0: [19:00:00 28/03/2015] id: CVP el: 0 cu: MICU-A cg: -1 v1: 14 u1: mmHg st: NotStopd t0: [19:00:00 28/03/2015] id: Code Status el: 0 cu: MICU-A cg: -1 v1: Full Code st: NotStopd t0: [19:00:00 28/03/2015] id: Ectopy Frequency el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [19:00:00 28/03/2015] id: Ectopy Type el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [19:00:00 28/03/2015] id: Heart Rate el: 0 cu: MICU-A cg: -1 v1: 73 u1: BPM st: NotStopd t0: [19:00:00 28/03/2015] id: Heart Rhythm el: 0 cu: MICU-A cg: -1 v1: Normal Sinus st: NotStopd t0: [19:00:00 28/03/2015] id: Arterial BP el: 0 cu: MICU-A cg: -1 v1: 129 u1: mmHg v2: 58 u2: mmHg st: NotStopd t0: [19:00:00 28/03/2015] id: Arterial BP Mean el: 0 cu: MICU-A cg: -1 v1: 81 u1: mmHg st: NotStopd t0: [19:00:00 28/03/2015] id: Precautions el: 0 cu: MICU-A cg: -1 v1: Universal st: NotStopd t0: [19:00:00 28/03/2015] id: Previous WeightF el: 0 cu: MICU-A cg: -1 v1: 74.7 u1: kg st: NotStopd t0: [19:00:00 28/03/2015] id: Respiratory Rate el: 0 cu: MICU-A cg: -1 v1: 21 u1: BPM st: NotStopd t0: [19:00:00 28/03/2015] id: SpO2 el: 0 cu: MICU-A cg: -1 v1: 92 u1: % st: NotStopd t0: [19:00:00 28/03/2015] id: calprevflg el: 0 cu: MICU-A cg: -1 v1: 1 u1: kg st: NotStopd
t0: [19:00:00 28/03/2015] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 125 vu: ml t0: [19:00:00 28/03/2015] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 1 vu: ml t0: [19:00:00 28/03/2015] id: Peptamen Tube Feeding el: 1 cu: MICU-A cg: -1 ai: 107 vo: 10 vu: ml t0: [19:00:00 28/03/2015] id: .9% Normal Saline 250.0ml IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 10 vu: ml t0: [19:00:00 28/03/2015] id: .9% Normal Saline 50.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 2 vu: ml t0: [19:00:00 28/03/2015] id: Urine Out Foley el: 1 cu: MICU-A cg: -1 vo: 30 vu: ml
t0: [19:00:00 28/03/2015] id: Fentanyl el: 1 cu: MICU-A so: .9% Normal Saline vo: 0 v1: 100 du: mcghr sv: 50 su: ml rt: IV Drip t0: [19:00:00 28/03/2015] id: Ativan el: 1 cu: MICU-A so: D5W vo: 0 v1: 1 du: mghr sv: 60 su: ml rt: IV Drip
t0: [19:00:00 28/03/2015] id: HOB el: 0 cu: MICU-A cg: -1 v1: 30 degrees st: NotStopd t0: [19:00:00 28/03/2015] id: Activity el: 0 cu: MICU-A cg: -1 v1: Bedrest st: NotStopd t0: [19:00:00 28/03/2015] id: Activity Tolerance el: 0 cu: MICU-A cg: -1 v1: Tolerated Well st: NotStopd t0: [19:00:00 28/03/2015] id: Position el: 0 cu: MICU-A cg: -1 v1: Right Side st: NotStopd t0: [19:00:00 28/03/2015] id: Assistance Device el: 0 cu: MICU-A cg: -1 v1: 2 Person Assist st: NotStopd t0: [19:00:00 28/03/2015] id: Turn el: 0 cu: MICU-A cg: -1 v1: Right Side st: NotStopd
t0: [20:00:00 28/03/2015] id: Less Restrict Meas. el: 0 cu: MICU-A cg: RN v1: Medicated st: NotStopd t0: [20:00:00 28/03/2015] id: Pain Present el: 0 cu: MICU-A cg: RN v1: No st: NotStopd t0: [20:00:00 28/03/2015] id: Range of Motion el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [20:00:00 28/03/2015] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [20:00:00 28/03/2015] id: CVP el: 0 cu: MICU-A cg: RN v1: 12 u1: mmHg st: NotStopd t0: [20:00:00 28/03/2015] id: Circulation/SkinInt el: 0 cu: MICU-A cg: RN v1: Circulation Adeq st: NotStopd t0: [20:00:00 28/03/2015] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [20:00:00 28/03/2015] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [20:00:00 28/03/2015] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [20:00:00 28/03/2015] id: Eye Opening el: 0 cu: MICU-A cg: RN v1: 3 To speech st: NotStopd t0: [20:00:00 28/03/2015] id: GCS Total el: 0 cu: MICU-A cg: RN v1: 10 u1: points st: NotStopd t0: [20:00:00 28/03/2015] id: GI Guaiac/ph el: 0 cu: MICU-A cg: RN v1: Negative v2: 7 st: NotStopd t0: [20:00:00 28/03/2015] id: GI Intub #1/Site el: 0 cu: MICU-A cg: RN v1: Salem Sump v2: Oral st: NotStopd t0: [20:00:00 28/03/2015] id: GI#1 Tube PlaceCheck el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [20:00:00 28/03/2015] id: GI#1 Tube Stat/Drain el: 0 cu: MICU-A cg: RN v1: Feeding v2: Undigested Food st: NotStopd t0: [20:00:00 28/03/2015] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 74 u1: BPM st: NotStopd t0: [20:00:00 28/03/2015] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [20:00:00 28/03/2015] id: Abdominal Assessment el: 0 cu: MICU-A cg: RN v1: Soft st: NotStopd t0: [20:00:00 28/03/2015] id: LLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [20:00:00 28/03/2015] id: LUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Clear st: NotStopd t0: [20:00:00 28/03/2015] id: Level of Conscious el: 0 cu: MICU-A cg: RN v1: Arouse to Voice st: NotStopd t0: [20:00:00 28/03/2015] id: Motor Response el: 0 cu: MICU-A cg: RN v1: 6 Obeys Commands st: NotStopd t0: [20:00:00 28/03/2015] id: Oral Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [20:00:00 28/03/2015] id: Oral Cavity el: 0 cu: MICU-A cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [20:00:00 28/03/2015] id: Orientation el: 0 cu: MICU-A cg: RN v1: Other/Remarks st: NotStopd t0: [20:00:00 28/03/2015] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 115 u1: mmHg v2: 43 u2: mmHg st: NotStopd t0: [20:00:00 28/03/2015] id: Pain Location el: 0 cu: MICU-A cg: RN v1: Not Indicated st: NotStopd t0: [20:00:00 28/03/2015] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 67 u1: mmHg st: NotStopd t0: [20:00:00 28/03/2015] id: Position Change el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [20:00:00 28/03/2015] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [20:00:00 28/03/2015] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 74.7 u1: kg st: NotStopd t0: [20:00:00 28/03/2015] id: RLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [20:00:00 28/03/2015] id: RUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Clear st: NotStopd t0: [20:00:00 28/03/2015] id: Reason For Restraint el: 0 cu: MICU-A cg: RN v1: Ext/TXInterfere st: NotStopd t0: [20:00:00 28/03/2015] id: Removed x 5 Mins el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [20:00:00 28/03/2015] id: Respiratory Pattern el: 0 cu: MICU-A cg: RN v1: Regular st: NotStopd t0: [20:00:00 28/03/2015] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 22 u1: BPM st: NotStopd t0: [20:00:00 28/03/2015] id: Restraint Location el: 0 cu: MICU-A cg: RN v1: Both Arms st: NotStopd t0: [20:00:00 28/03/2015] id: Restraint Type el: 0 cu: MICU-A cg: RN v1: Soft Limb st: NotStopd t0: [20:00:00 28/03/2015] id: Restraints Evaluated el: 0 cu: MICU-A cg: RN v1: RestraintReapply st: NotStopd t0: [20:00:00 28/03/2015] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [20:00:00 28/03/2015] id: Skin Integrity el: 0 cu: MICU-A cg: RN v1: Intact st: NotStopd t0: [20:00:00 28/03/2015] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 95 u1: % st: NotStopd t0: [20:00:00 28/03/2015] id: Sputum Color/Consist el: 0 cu: MICU-A cg: RN v1: Bloody v2: Thin st: NotStopd t0: [20:00:00 28/03/2015] id: Sputum Source/Amt el: 0 cu: MICU-A cg: RN v1: Suctioned v2: Small st: NotStopd t0: [20:00:00 28/03/2015] id: Support Systems el: 0 cu: MICU-A cg: RN v1: Spouse st: NotStopd t0: [20:00:00 28/03/2015] id: Temp. Site el: 0 cu: MICU-A cg: RN v1: Oral st: NotStopd t0: [20:00:00 28/03/2015] id: Temperature C (calc) el: 0 cu: MICU-A cg: RN v1: 37 u1: Deg. C st: NotStopd t0: [20:00:00 28/03/2015] id: Temperature F el: 0 cu: MICU-A cg: RN v1: 98.6 u1: Deg. F st: NotStopd t0: [20:00:00 28/03/2015] id: Urine Color/Appear el: 0 cu: MICU-A cg: RN v1: Yellow v2: Clear st: NotStopd t0: [20:00:00 28/03/2015] id: Urine Source el: 0 cu: MICU-A cg: RN v1: Indwelling Cath st: NotStopd t0: [20:00:00 28/03/2015] id: Verbal Response el: 0 cu: MICU-A cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [20:00:00 28/03/2015] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [20:00:00 28/03/2015] id: Behavior el: 0 cu: MICU-A cg: RN v1: Calm st: NotStopd t0: [20:00:00 28/03/2015] id: Bowel Sounds el: 0 cu: MICU-A cg: RN v1: Present st: NotStopd
t0: [20:00:00 28/03/2015] id: TF Residual Gastric/TF Residual el: 1 cu: MICU-A cg: RN ai: 189 vo: 0 vu: ml t0: [20:00:00 28/03/2015] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 125 vu: ml t0: [20:00:00 28/03/2015] id: Gastric Meds PO/Gastric el: 1 cu: MICU-A cg: RN ai: 153 vo: 30 vu: ml t0: [20:00:00 28/03/2015] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 1 vu: ml t0: [20:00:00 28/03/2015] id: Peptamen Tube Feeding el: 1 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [20:00:00 28/03/2015] id: .9% Normal Saline 250.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [20:00:00 28/03/2015] id: .9% Normal Saline 50.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 2 vu: ml t0: [20:00:00 28/03/2015] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 40 vu: ml
t0: [20:00:00 28/03/2015] id: Fentanyl el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 100 du: mcghr sv: 50 su: ml rt: IV Drip t0: [20:00:00 28/03/2015] id: Ativan el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1 du: mghr sv: 60 su: ml rt: IV Drip
t0: [23:00:00 28/03/2015] dt: 24 id: PO/Gastric In Total el: 2 cu: MICU-A cg: RN cv: 90 ap: none
t0: [20:50:00 28/03/2015] id: Compliance (40-60ml) el: 0 cu: MICU-A cg: RRT v1: 30.8989 u1: ml/cmH st: NotStopd t0: [20:50:00 28/03/2015] id: ETT Mark/Location el: 0 cu: MICU-A cg: RRT v1: 22cm v2: Lip st: NotStopd t0: [20:50:00 28/03/2015] id: FiO2 Set el: 0 cu: MICU-A cg: RRT v1: 0.5 u1: torr st: NotStopd t0: [20:50:00 28/03/2015] id: High Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 50 u1: cmH2O st: NotStopd t0: [20:50:00 28/03/2015] id: High Resp. Rate el: 0 cu: MICU-A cg: RRT v1: 35 u1: BPM st: NotStopd t0: [20:50:00 28/03/2015] id: I:E Ratio el: 0 cu: MICU-A cg: RRT v1: 1:2.3 st: NotStopd t0: [20:50:00 28/03/2015] id: Airway Size el: 0 cu: MICU-A cg: RRT v1: 9.0 mm st: NotStopd t0: [20:50:00 28/03/2015] id: Airway Type el: 0 cu: MICU-A cg: RRT v1: Endotracheal st: NotStopd t0: [20:50:00 28/03/2015] id: Inspired Gas Temp el: 0 cu: MICU-A cg: RRT u1: Deg. C st: NotStopd t0: [20:50:00 28/03/2015] id: Intubation Date el: 0 cu: MICU-A cg: RRT v1: 2 v2: 22 st: NotStopd t0: [20:50:00 28/03/2015] id: Low Exhaled Min Vol el: 0 cu: MICU-A cg: RRT v1: 5 st: NotStopd t0: [20:50:00 28/03/2015] id: Low Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [20:50:00 28/03/2015] id: MDI #1 (Puff/Drug) el: 0 cu: MICU-A cg: RRT v1: 6 v2: Albuterol st: NotStopd t0: [20:50:00 28/03/2015] id: MDI #2 (Puff/Drug) el: 0 cu: MICU-A cg: RRT v1: 6 v2: Atrovent st: NotStopd t0: [20:50:00 28/03/2015] id: Mean Airway Pressure el: 0 cu: MICU-A cg: RRT v1: 17.2 u1: cmH2O st: NotStopd t0: [20:50:00 28/03/2015] id: Minute Volume(Obser) el: 0 cu: MICU-A cg: RRT v1: 12.6 u1: L/min st: NotStopd t0: [20:50:00 28/03/2015] id: PEEP Set el: 0 cu: MICU-A cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [20:50:00 28/03/2015] id: Peak Flow el: 0 cu: MICU-A cg: RRT v1: 75 u1: L/m st: NotStopd t0: [20:50:00 28/03/2015] id: Peak Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 27.8 u1: cmH2O st: NotStopd t0: [20:50:00 28/03/2015] id: Plateau Pressure el: 0 cu: MICU-A cg: RRT v1: 18.5 u1: cmH2O st: NotStopd t0: [20:50:00 28/03/2015] id: Plateau-Off el: 0 cu: MICU-A cg: RRT v1: Yes st: NotStopd t0: [20:50:00 28/03/2015] id: Resp Rate (Spont) el: 0 cu: MICU-A cg: RRT v1: 0 u1: BPM st: NotStopd t0: [20:50:00 28/03/2015] id: Resp Rate (Total) el: 0 cu: MICU-A cg: RRT v1: 22 u1: BPM st: NotStopd t0: [20:50:00 28/03/2015] id: Respiratory Rate Set el: 0 cu: MICU-A cg: RRT v1: 22 u1: BPM st: NotStopd t0: [20:50:00 28/03/2015] id: Sensitivity-Vent el: 0 cu: MICU-A cg: RRT v1: 1 u1: cmH2O st: NotStopd t0: [20:50:00 28/03/2015] id: SpO2 el: 0 cu: MICU-A cg: RRT v1: 95 u1: % st: NotStopd t0: [20:50:00 28/03/2015] id: Tidal Volume (Obser) el: 0 cu: MICU-A cg: RRT v1: 570 u1: ml/B st: NotStopd t0: [20:50:00 28/03/2015] id: Tidal Volume (Set) el: 0 cu: MICU-A cg: RRT v1: 550 u1: ml/B st: NotStopd t0: [20:50:00 28/03/2015] id: Ventilator Mode el: 0 cu: MICU-A cg: RRT v1: Assist Control st: NotStopd t0: [20:50:00 28/03/2015] id: Ventilator No. el: 0 cu: MICU-A cg: RRT v1: 20 u1: # st: NotStopd t0: [20:50:00 28/03/2015] id: Ventilator Type el: 0 cu: MICU-A cg: RRT v1: 7200A st: NotStopd t0: [20:50:00 28/03/2015] id: Waveform-Vent el: 0 cu: MICU-A cg: RRT v1: RAMP st: NotStopd
t0: [21:00:00 28/03/2015] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [21:00:00 28/03/2015] id: CVP el: 0 cu: MICU-A cg: RN v1: 11 u1: mmHg st: NotStopd t0: [21:00:00 28/03/2015] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [21:00:00 28/03/2015] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [21:00:00 28/03/2015] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [21:00:00 28/03/2015] id: HOB el: 0 cu: MICU-A cg: RN v1: 30 degrees st: NotStopd t0: [21:00:00 28/03/2015] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 73 u1: BPM st: NotStopd t0: [21:00:00 28/03/2015] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [21:00:00 28/03/2015] id: Activity el: 0 cu: MICU-A cg: RN v1: Bedrest st: NotStopd t0: [21:00:00 28/03/2015] id: Activity Tolerance el: 0 cu: MICU-A cg: RN v1: Tolerated Well st: NotStopd t0: [21:00:00 28/03/2015] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 105 u1: mmHg v2: 94 u2: mmHg st: NotStopd t0: [21:00:00 28/03/2015] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 100 u1: mmHg st: NotStopd t0: [21:00:00 28/03/2015] id: Position el: 0 cu: MICU-A cg: RN v1: Left Side st: NotStopd t0: [21:00:00 28/03/2015] id: Assistance Device el: 0 cu: MICU-A cg: RN v1: 2 Person Assist st: NotStopd t0: [21:00:00 28/03/2015] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [21:00:00 28/03/2015] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 74.7 u1: kg st: NotStopd t0: [21:00:00 28/03/2015] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 22 u1: BPM st: NotStopd t0: [21:00:00 28/03/2015] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 93 u1: % st: NotStopd t0: [21:00:00 28/03/2015] id: Turn el: 0 cu: MICU-A cg: RN v1: Left Side st: NotStopd t0: [21:00:00 28/03/2015] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [22:00:00 28/03/2015] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [22:00:00 28/03/2015] id: CVP el: 0 cu: MICU-A cg: RN v1: 12 u1: mmHg st: NotStopd t0: [22:00:00 28/03/2015] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [22:00:00 28/03/2015] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [22:00:00 28/03/2015] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [22:00:00 28/03/2015] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 72 u1: BPM st: NotStopd t0: [22:00:00 28/03/2015] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [22:00:00 28/03/2015] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 114 u1: mmHg v2: 44 u2: mmHg st: NotStopd t0: [22:00:00 28/03/2015] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 65 u1: mmHg st: NotStopd t0: [22:00:00 28/03/2015] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [22:00:00 28/03/2015] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 74.7 u1: kg st: NotStopd t0: [22:00:00 28/03/2015] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 22 u1: BPM st: NotStopd t0: [22:00:00 28/03/2015] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 94 u1: % st: NotStopd t0: [22:00:00 28/03/2015] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [22:00:00 28/03/2015] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 250 vu: ml t0: [22:00:00 28/03/2015] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 2 vu: ml t0: [22:00:00 28/03/2015] id: Peptamen Tube Feeding el: 1 cu: MICU-A cg: RN ai: 107 vo: 40 vu: ml t0: [22:00:00 28/03/2015] id: .9% Normal Saline 250.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 20 vu: ml t0: [22:00:00 28/03/2015] id: .9% Normal Saline 50.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 4 vu: ml t0: [22:00:00 28/03/2015] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 80 vu: ml
t0: [21:00:00 28/03/2015] id: Fentanyl el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 100 du: mcghr sv: 50 su: ml rt: IV Drip t0: [21:00:00 28/03/2015] id: Ativan el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1 du: mghr sv: 60 su: ml rt: IV Drip t0: [22:00:00 28/03/2015] id: Fentanyl el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 100 du: mcghr sv: 50 su: ml rt: IV Drip t0: [22:00:00 28/03/2015] id: Ativan el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1 du: mghr sv: 60 su: ml rt: IV Drip
t0: [23:00:00 28/03/2015] dt: 1 id: Total Hourly Output el: 2 cu: MICU-A cg: RN pv: 50 cv: 50 ap: none t0: [23:00:00 28/03/2015] dt: 1 id: Net Hourly Balance el: 2 cu: MICU-A cg: RN pv: 108 cv: 108 ap: none t0: [23:00:00 28/03/2015] dt: 24 id: IV Infusion In Total el: 2 cu: MICU-A cg: RN pv: 138 cv: 4780.75 ap: none t0: [23:00:00 28/03/2015] dt: 24 id: 24h Total In el: 2 cu: MICU-A cg: RN pv: 158 cv: 4980.75 ap: none t0: [23:00:00 28/03/2015] dt: 24 id: Tube Feeds In Total el: 2 cu: MICU-A cg: RN pv: 20 cv: 110 ap: none t0: [23:00:00 28/03/2015] dt: 24 id: Urine Out Total el: 2 cu: MICU-A cg: RN pv: 50 cv: 1160 ap: none t0: [23:00:00 28/03/2015] dt: 24 id: 24h Net Body Balance el: 2 cu: MICU-A cg: RN pv: 108 cv: 3820.75 ap: none t0: [23:00:00 28/03/2015] dt: 24 id: 24h Total Out el: 2 cu: MICU-A cg: RN pv: 50 cv: 1160 ap: none
t0: [00:00:00 29/03/2015] id: Less Restrict Meas. el: 0 cu: MICU-A cg: RN v1: Medicated st: NotStopd t0: [00:00:00 29/03/2015] id: Pain Present el: 0 cu: MICU-A cg: RN v1: No st: NotStopd t0: [00:00:00 29/03/2015] id: Range of Motion el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [00:00:00 29/03/2015] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [00:00:00 29/03/2015] id: CVP el: 0 cu: MICU-A cg: RN v1: 11 u1: mmHg st: NotStopd t0: [00:00:00 29/03/2015] id: Circulation/SkinInt el: 0 cu: MICU-A cg: RN v1: Circulation Adeq st: NotStopd t0: [00:00:00 29/03/2015] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [00:00:00 29/03/2015] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [00:00:00 29/03/2015] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [00:00:00 29/03/2015] id: Eye Opening el: 0 cu: MICU-A cg: RN v1: 3 To speech st: NotStopd t0: [00:00:00 29/03/2015] id: GCS Total el: 0 cu: MICU-A cg: RN v1: 10 u1: points st: NotStopd t0: [00:00:00 29/03/2015] id: GI Intub #1/Site el: 0 cu: MICU-A cg: RN v1: Salem Sump v2: Oral st: NotStopd t0: [00:00:00 29/03/2015] id: GI#1 Tube PlaceCheck el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [00:00:00 29/03/2015] id: GI#1 Tube Stat/Drain el: 0 cu: MICU-A cg: RN v1: Feeding v2: Undigested Food st: NotStopd t0: [00:00:00 29/03/2015] id: HOB el: 0 cu: MICU-A cg: RN v1: 30 degrees st: NotStopd t0: [00:00:00 29/03/2015] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 77 u1: BPM st: NotStopd t0: [00:00:00 29/03/2015] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [00:00:00 29/03/2015] id: INV Line#1 Type/Site el: 0 cu: MICU-A cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [00:00:00 29/03/2015] id: INV Line#1 Zero/Cal el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [00:00:00 29/03/2015] id: INV Line#1InsertDate el: 0 cu: MICU-A cg: RN v1: 2 v2: 22 st: NotStopd t0: [00:00:00 29/03/2015] id: INV Line#1SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [00:00:00 29/03/2015] id: INV Line#4 Type/Site el: 0 cu: MICU-A cg: RN v1: Multi-lumen v2: Right IJ st: NotStopd t0: [00:00:00 29/03/2015] id: INV Line#4InsertDate el: 0 cu: MICU-A cg: RN v1: 2 v2: 23 st: NotStopd t0: [00:00:00 29/03/2015] id: INV Line#4SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [00:00:00 29/03/2015] id: Abdominal Assessment el: 0 cu: MICU-A cg: RN v1: Soft st: NotStopd t0: [00:00:00 29/03/2015] id: INV#1 WaveformAppear el: 0 cu: MICU-A cg: RN v1: Dampened st: NotStopd t0: [00:00:00 29/03/2015] id: IV #1 Insert Date el: 0 cu: MICU-A cg: RN v1: 2 v2: 22 st: NotStopd t0: [00:00:00 29/03/2015] id: IV #1 Site/Size el: 0 cu: MICU-A cg: RN v1: LL Ant Forearm v2: 20 gauge st: NotStopd t0: [00:00:00 29/03/2015] id: IV #3 Insert Date el: 0 cu: MICU-A cg: RN v1: 2 v2: 22 st: NotStopd t0: [00:00:00 29/03/2015] id: IV #3 Site/Size el: 0 cu: MICU-A cg: RN v1: RU Ant Forearm v2: 18 gauge st: NotStopd t0: [00:00:00 29/03/2015] id: Activity el: 0 cu: MICU-A cg: RN v1: Bedrest st: NotStopd t0: [00:00:00 29/03/2015] id: IV Site Appear #1 el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [00:00:00 29/03/2015] id: IV Site Appear #3 el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [00:00:00 29/03/2015] id: Activity Tolerance el: 0 cu: MICU-A cg: RN v1: Tolerated Well st: NotStopd t0: [00:00:00 29/03/2015] id: LLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [00:00:00 29/03/2015] id: LUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Clear st: NotStopd t0: [00:00:00 29/03/2015] id: Level of Conscious el: 0 cu: MICU-A cg: RN v1: Arouse to Voice st: NotStopd t0: [00:00:00 29/03/2015] id: Motor Response el: 0 cu: MICU-A cg: RN v1: 6 Obeys Commands st: NotStopd t0: [00:00:00 29/03/2015] id: Oral Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [00:00:00 29/03/2015] id: Oral Cavity el: 0 cu: MICU-A cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [00:00:00 29/03/2015] id: Orientation el: 0 cu: MICU-A cg: RN v1: Other/Remarks st: NotStopd t0: [00:00:00 29/03/2015] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 126 u1: mmHg v2: 51 u2: mmHg st: NotStopd t0: [00:00:00 29/03/2015] id: Pain Location el: 0 cu: MICU-A cg: RN v1: Not Indicated st: NotStopd t0: [00:00:00 29/03/2015] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 79 u1: mmHg st: NotStopd t0: [00:00:00 29/03/2015] id: Position el: 0 cu: MICU-A cg: RN v1: Right Side st: NotStopd t0: [00:00:00 29/03/2015] id: Position Change el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [00:00:00 29/03/2015] id: Assistance Device el: 0 cu: MICU-A cg: RN v1: 2 Person Assist st: NotStopd t0: [00:00:00 29/03/2015] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [00:00:00 29/03/2015] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 74.7 u1: kg st: NotStopd t0: [00:00:00 29/03/2015] id: RLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [00:00:00 29/03/2015] id: RUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Clear st: NotStopd t0: [00:00:00 29/03/2015] id: Reason For Restraint el: 0 cu: MICU-A cg: RN v1: Ext/TXInterfere st: NotStopd t0: [00:00:00 29/03/2015] id: Removed x 5 Mins el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [00:00:00 29/03/2015] id: Respiratory Pattern el: 0 cu: MICU-A cg: RN v1: Regular st: NotStopd t0: [00:00:00 29/03/2015] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 22 u1: BPM st: NotStopd t0: [00:00:00 29/03/2015] id: Restraint Location el: 0 cu: MICU-A cg: RN v1: Both Arms st: NotStopd t0: [00:00:00 29/03/2015] id: Restraint Type el: 0 cu: MICU-A cg: RN v1: Soft Limb st: NotStopd t0: [00:00:00 29/03/2015] id: Restraints Evaluated el: 0 cu: MICU-A cg: RN v1: RestraintReapply st: NotStopd t0: [00:00:00 29/03/2015] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [00:00:00 29/03/2015] id: Skin Integrity el: 0 cu: MICU-A cg: RN v1: Intact st: NotStopd t0: [00:00:00 29/03/2015] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 95 u1: % st: NotStopd t0: [00:00:00 29/03/2015] id: Sputum Color/Consist el: 0 cu: MICU-A cg: RN v1: Bloody v2: Thick st: NotStopd t0: [00:00:00 29/03/2015] id: Sputum Source/Amt el: 0 cu: MICU-A cg: RN v1: Suctioned v2: Moderate st: NotStopd t0: [00:00:00 29/03/2015] id: Support Systems el: 0 cu: MICU-A cg: RN v1: Spouse st: NotStopd t0: [00:00:00 29/03/2015] id: Temp. Site el: 0 cu: MICU-A cg: RN v1: Oral st: NotStopd t0: [00:00:00 29/03/2015] id: Temperature C (calc) el: 0 cu: MICU-A cg: RN v1: 36.6667 u1: Deg. C st: NotStopd t0: [00:00:00 29/03/2015] id: Temperature F el: 0 cu: MICU-A cg: RN v1: 98 u1: Deg. F st: NotStopd t0: [00:00:00 29/03/2015] id: Turn el: 0 cu: MICU-A cg: RN v1: Right Side st: NotStopd t0: [00:00:00 29/03/2015] id: Urine Color/Appear el: 0 cu: MICU-A cg: RN v1: Yellow v2: Clear st: NotStopd t0: [00:00:00 29/03/2015] id: Urine Source el: 0 cu: MICU-A cg: RN v1: Indwelling Cath st: NotStopd t0: [00:00:00 29/03/2015] id: Verbal Response el: 0 cu: MICU-A cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [00:00:00 29/03/2015] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [00:00:00 29/03/2015] id: Behavior el: 0 cu: MICU-A cg: RN v1: Calm st: NotStopd t0: [00:00:00 29/03/2015] id: Bowel Sounds el: 0 cu: MICU-A cg: RN v1: Present st: NotStopd t0: [00:00:00 29/03/2015] id: Braden Activity el: 0 cu: MICU-A cg: RN v1: Bedfast st: NotStopd t0: [00:00:00 29/03/2015] id: Braden Frict/Shear el: 0 cu: MICU-A cg: RN v1: Potential Prob st: NotStopd t0: [00:00:00 29/03/2015] id: Braden Mobility el: 0 cu: MICU-A cg: RN v1: Sl. Limited st: NotStopd t0: [00:00:00 29/03/2015] id: Braden Moisture el: 0 cu: MICU-A cg: RN v1: Rarely Moist st: NotStopd t0: [00:00:00 29/03/2015] id: Braden Nutrition el: 0 cu: MICU-A cg: RN v1: Adequate st: NotStopd t0: [00:00:00 29/03/2015] id: Braden Score el: 0 cu: MICU-A cg: RN v1: 16 u1: number st: NotStopd t0: [00:00:00 29/03/2015] id: Braden SensoryPercep el: 0 cu: MICU-A cg: RN v1: Sl. Limited st: NotStopd
t0: [23:00:00 28/03/2015] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 125 vu: ml t0: [23:00:00 28/03/2015] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 1 vu: ml t0: [23:00:00 28/03/2015] id: Peptamen Tube Feeding el: 1 cu: MICU-A cg: RN ai: 107 vo: 20 vu: ml t0: [23:00:00 28/03/2015] id: .9% Normal Saline 250.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [23:00:00 28/03/2015] id: .9% Normal Saline 50.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 2 vu: ml t0: [23:00:00 28/03/2015] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 50 vu: ml t0: [00:00:00 29/03/2015] id: TF Residual Gastric/TF Residual el: 1 cu: MICU-A cg: RN ai: 189 vo: 0 vu: ml t0: [00:00:00 29/03/2015] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 125 vu: ml t0: [00:00:00 29/03/2015] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 1 vu: ml t0: [00:00:00 29/03/2015] id: Peptamen Tube Feeding el: 1 cu: MICU-A cg: RN ai: 107 vo: 20 vu: ml t0: [00:00:00 29/03/2015] id: .9% Normal Saline 250.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [00:00:00 29/03/2015] id: .9% Normal Saline 50.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 2 vu: ml t0: [00:00:00 29/03/2015] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 50 vu: ml
t0: [00:00:00 29/03/2015] id: Fentanyl el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 100 du: mcghr sv: 50 su: ml rt: IV Drip t0: [00:00:00 29/03/2015] id: Ativan el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1 du: mghr sv: 60 su: ml rt: IV Drip
t0: [01:54:00 29/03/2015] id: Compliance (40-60ml) el: 0 cu: MICU-A cg: RRT v1: 44.7154 u1: ml/cmH st: NotStopd t0: [01:54:00 29/03/2015] id: ETT Mark/Location el: 0 cu: MICU-A cg: RRT v1: 22cm v2: Lip st: NotStopd t0: [01:54:00 29/03/2015] id: FiO2 Set el: 0 cu: MICU-A cg: RRT v1: 0.5 u1: torr st: NotStopd t0: [01:54:00 29/03/2015] id: High Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 50 u1: cmH2O st: NotStopd t0: [01:54:00 29/03/2015] id: High Resp. Rate el: 0 cu: MICU-A cg: RRT v1: 35 u1: BPM st: NotStopd t0: [01:54:00 29/03/2015] id: I:E Ratio el: 0 cu: MICU-A cg: RRT v1: 1:3.5 st: NotStopd t0: [01:54:00 29/03/2015] id: Airway Size el: 0 cu: MICU-A cg: RRT v1: 9.0 mm st: NotStopd t0: [01:54:00 29/03/2015] id: Airway Type el: 0 cu: MICU-A cg: RRT v1: Endotracheal st: NotStopd t0: [01:54:00 29/03/2015] id: Inspired Gas Temp el: 0 cu: MICU-A cg: RRT u1: Deg. C st: NotStopd t0: [01:54:00 29/03/2015] id: Intubation Date el: 0 cu: MICU-A cg: RRT v1: 2 v2: 22 st: NotStopd t0: [01:54:00 29/03/2015] id: Low Exhaled Min Vol el: 0 cu: MICU-A cg: RRT v1: 5 st: NotStopd t0: [01:54:00 29/03/2015] id: Low Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [01:54:00 29/03/2015] id: MDI #1 (Puff/Drug) el: 0 cu: MICU-A cg: RRT v1: 6 v2: Albuterol st: NotStopd t0: [01:54:00 29/03/2015] id: MDI #2 (Puff/Drug) el: 0 cu: MICU-A cg: RRT v1: 6 v2: Atrovent st: NotStopd t0: [01:54:00 29/03/2015] id: Mean Airway Pressure el: 0 cu: MICU-A cg: RRT v1: 12.9 u1: cmH2O st: NotStopd t0: [01:54:00 29/03/2015] id: Minute Volume(Obser) el: 0 cu: MICU-A cg: RRT v1: 13.4 u1: L/min st: NotStopd t0: [01:54:00 29/03/2015] id: PEEP Set el: 0 cu: MICU-A cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [01:54:00 29/03/2015] id: Peak Flow el: 0 cu: MICU-A cg: RRT v1: 55 u1: L/m st: NotStopd t0: [01:54:00 29/03/2015] id: Peak Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 22.3 u1: cmH2O st: NotStopd t0: [01:54:00 29/03/2015] id: Plateau Pressure el: 0 cu: MICU-A cg: RRT v1: 18.8 u1: cmH2O st: NotStopd t0: [01:54:00 29/03/2015] id: Plateau-Off el: 0 cu: MICU-A cg: RRT v1: Yes st: NotStopd t0: [01:54:00 29/03/2015] id: Resp Rate (Spont) el: 0 cu: MICU-A cg: RRT v1: 1 u1: BPM st: NotStopd t0: [01:54:00 29/03/2015] id: Resp Rate (Total) el: 0 cu: MICU-A cg: RRT v1: 23 u1: BPM st: NotStopd t0: [01:54:00 29/03/2015] id: Respiratory Rate Set el: 0 cu: MICU-A cg: RRT v1: 22 u1: BPM st: NotStopd t0: [01:54:00 29/03/2015] id: Sensitivity-Vent el: 0 cu: MICU-A cg: RRT v1: 1 u1: cmH2O st: NotStopd t0: [01:54:00 29/03/2015] id: SpO2 el: 0 cu: MICU-A cg: RRT v1: 94 u1: % st: NotStopd t0: [01:54:00 29/03/2015] id: Tidal Volume (Obser) el: 0 cu: MICU-A cg: RRT v1: 580 u1: ml/B st: NotStopd t0: [01:54:00 29/03/2015] id: Tidal Volume (Set) el: 0 cu: MICU-A cg: RRT v1: 550 u1: ml/B st: NotStopd t0: [01:54:00 29/03/2015] id: Ventilator Mode el: 0 cu: MICU-A cg: RRT v1: Assist Control st: NotStopd t0: [01:54:00 29/03/2015] id: Ventilator No. el: 0 cu: MICU-A cg: RRT v1: 20 u1: # st: NotStopd t0: [01:54:00 29/03/2015] id: Ventilator Type el: 0 cu: MICU-A cg: RRT v1: 7200A st: NotStopd t0: [01:54:00 29/03/2015] id: Waveform-Vent el: 0 cu: MICU-A cg: RRT v1: SQUARE st: NotStopd
t0: [01:00:00 29/03/2015] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [01:00:00 29/03/2015] id: CVP el: 0 cu: MICU-A cg: RN v1: 12 u1: mmHg st: NotStopd t0: [01:00:00 29/03/2015] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [01:00:00 29/03/2015] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: Occasional st: NotStopd t0: [01:00:00 29/03/2015] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: PAC's st: NotStopd t0: [01:00:00 29/03/2015] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 92 u1: BPM st: NotStopd t0: [01:00:00 29/03/2015] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [01:00:00 29/03/2015] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 120 u1: mmHg v2: 60 u2: mmHg st: NotStopd t0: [01:00:00 29/03/2015] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 85 u1: mmHg st: NotStopd t0: [01:00:00 29/03/2015] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [01:00:00 29/03/2015] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 74.7 u1: kg st: NotStopd t0: [01:00:00 29/03/2015] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 22 u1: BPM st: NotStopd t0: [01:00:00 29/03/2015] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 94 u1: % st: NotStopd t0: [01:00:00 29/03/2015] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [02:00:00 29/03/2015] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [02:00:00 29/03/2015] id: CVP el: 0 cu: MICU-A cg: RN v1: 11 u1: mmHg st: NotStopd t0: [02:00:00 29/03/2015] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [02:00:00 29/03/2015] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: Frequent st: NotStopd t0: [02:00:00 29/03/2015] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: PAC's st: NotStopd t0: [02:00:00 29/03/2015] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 96 u1: BPM st: NotStopd t0: [02:00:00 29/03/2015] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [02:00:00 29/03/2015] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 115 u1: mmHg v2: 50 u2: mmHg st: NotStopd t0: [02:00:00 29/03/2015] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 73 u1: mmHg st: NotStopd t0: [02:00:00 29/03/2015] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [02:00:00 29/03/2015] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 74.7 u1: kg st: NotStopd t0: [02:00:00 29/03/2015] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 22 u1: BPM st: NotStopd t0: [02:00:00 29/03/2015] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 94 u1: % st: NotStopd t0: [02:00:00 29/03/2015] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [02:00:00 29/03/2015] id: D5W 100.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 105 vo: 100 vu: ml t0: [02:00:00 29/03/2015] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 250 vu: ml t0: [02:00:00 29/03/2015] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 2 vu: ml t0: [02:00:00 29/03/2015] id: Peptamen Tube Feeding el: 1 cu: MICU-A cg: RN ai: 107 vo: 60 vu: ml t0: [02:00:00 29/03/2015] id: .9% Normal Saline 250.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 20 vu: ml t0: [02:00:00 29/03/2015] id: .9% Normal Saline 50.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 4 vu: ml t0: [02:00:00 29/03/2015] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 100 vu: ml
t0: [01:00:00 29/03/2015] id: Fentanyl el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 100 du: mcghr sv: 50 su: ml rt: IV Drip t0: [01:00:00 29/03/2015] id: Ativan el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1 du: mghr sv: 60 su: ml rt: IV Drip t0: [02:00:00 29/03/2015] id: Fentanyl el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 100 du: mcghr sv: 50 su: ml rt: IV Drip t0: [02:00:00 29/03/2015] id: Ativan el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1 du: mghr sv: 60 su: ml rt: IV Drip
t0: [04:00:00 29/03/2015] id: Less Restrict Meas. el: 0 cu: MICU-A cg: RN v1: Medicated st: NotStopd t0: [04:00:00 29/03/2015] id: Pain Present el: 0 cu: MICU-A cg: RN v1: No st: NotStopd t0: [04:00:00 29/03/2015] id: Range of Motion el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [04:00:00 29/03/2015] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [04:00:00 29/03/2015] id: CVP el: 0 cu: MICU-A cg: RN v1: 10 u1: mmHg st: NotStopd t0: [04:00:00 29/03/2015] id: Circulation/SkinInt el: 0 cu: MICU-A cg: RN v1: Circulation Adeq st: NotStopd t0: [04:00:00 29/03/2015] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [04:00:00 29/03/2015] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: Occasional st: NotStopd t0: [04:00:00 29/03/2015] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: PAC's st: NotStopd t0: [04:00:00 29/03/2015] id: Eye Opening el: 0 cu: MICU-A cg: RN v1: 3 To speech st: NotStopd t0: [04:00:00 29/03/2015] id: GCS Total el: 0 cu: MICU-A cg: RN v1: 10 u1: points st: NotStopd t0: [04:00:00 29/03/2015] id: GI Intub #1/Site el: 0 cu: MICU-A cg: RN v1: Salem Sump v2: Oral st: NotStopd t0: [04:00:00 29/03/2015] id: GI#1 Tube PlaceCheck el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [04:00:00 29/03/2015] id: GI#1 Tube Stat/Drain el: 0 cu: MICU-A cg: RN v1: Feeding v2: Undigested Food st: NotStopd t0: [04:00:00 29/03/2015] id: HOB el: 0 cu: MICU-A cg: RN v1: 30 degrees st: NotStopd t0: [04:00:00 29/03/2015] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 85 u1: BPM st: NotStopd t0: [04:00:00 29/03/2015] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [04:00:00 29/03/2015] id: Abdominal Assessment el: 0 cu: MICU-A cg: RN v1: Soft st: NotStopd t0: [04:00:00 29/03/2015] id: Activity el: 0 cu: MICU-A cg: RN v1: Bedrest st: NotStopd t0: [04:00:00 29/03/2015] id: Activity Tolerance el: 0 cu: MICU-A cg: RN v1: Tolerated Well st: NotStopd t0: [04:00:00 29/03/2015] id: LLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [04:00:00 29/03/2015] id: LUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [04:00:00 29/03/2015] id: Level of Conscious el: 0 cu: MICU-A cg: RN v1: Arouse to Voice st: NotStopd t0: [04:00:00 29/03/2015] id: Motor Response el: 0 cu: MICU-A cg: RN v1: 6 Obeys Commands st: NotStopd t0: [04:00:00 29/03/2015] id: Oral Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [04:00:00 29/03/2015] id: Oral Cavity el: 0 cu: MICU-A cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [04:00:00 29/03/2015] id: Orientation el: 0 cu: MICU-A cg: RN v1: Other/Remarks st: NotStopd t0: [04:00:00 29/03/2015] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 116 u1: mmHg v2: 48 u2: mmHg st: NotStopd t0: [04:00:00 29/03/2015] id: Pain Location el: 0 cu: MICU-A cg: RN v1: Not Indicated st: NotStopd t0: [04:00:00 29/03/2015] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 71 u1: mmHg st: NotStopd t0: [04:00:00 29/03/2015] id: Position el: 0 cu: MICU-A cg: RN v1: Left Side st: NotStopd t0: [04:00:00 29/03/2015] id: Position Change el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [04:00:00 29/03/2015] id: Assistance Device el: 0 cu: MICU-A cg: RN v1: 2 Person Assist st: NotStopd t0: [04:00:00 29/03/2015] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [04:00:00 29/03/2015] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 74.7 u1: kg st: NotStopd t0: [04:00:00 29/03/2015] id: RLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [04:00:00 29/03/2015] id: RUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [04:00:00 29/03/2015] id: Reason For Restraint el: 0 cu: MICU-A cg: RN v1: Ext/TXInterfere st: NotStopd t0: [04:00:00 29/03/2015] id: Removed x 5 Mins el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [04:00:00 29/03/2015] id: Respiratory Pattern el: 0 cu: MICU-A cg: RN v1: Regular st: NotStopd t0: [04:00:00 29/03/2015] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 22 u1: BPM st: NotStopd t0: [04:00:00 29/03/2015] id: Restraint Location el: 0 cu: MICU-A cg: RN v1: Both Arms st: NotStopd t0: [04:00:00 29/03/2015] id: Restraint Type el: 0 cu: MICU-A cg: RN v1: Soft Limb st: NotStopd t0: [04:00:00 29/03/2015] id: Restraints Evaluated el: 0 cu: MICU-A cg: RN v1: RestraintReapply st: NotStopd t0: [04:00:00 29/03/2015] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [04:00:00 29/03/2015] id: Skin Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [04:00:00 29/03/2015] id: Skin Integrity el: 0 cu: MICU-A cg: RN v1: Intact st: NotStopd t0: [04:00:00 29/03/2015] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 95 u1: % st: NotStopd t0: [04:00:00 29/03/2015] id: Sputum Color/Consist el: 0 cu: MICU-A cg: RN v1: Bloody v2: Thick st: NotStopd t0: [04:00:00 29/03/2015] id: Sputum Source/Amt el: 0 cu: MICU-A cg: RN v1: Suctioned v2: Small st: NotStopd t0: [04:00:00 29/03/2015] id: Support Systems el: 0 cu: MICU-A cg: RN v1: Spouse st: NotStopd t0: [04:00:00 29/03/2015] id: Temp. Site el: 0 cu: MICU-A cg: RN v1: Oral st: NotStopd t0: [04:00:00 29/03/2015] id: Temperature C (calc) el: 0 cu: MICU-A cg: RN v1: 37.2222 u1: Deg. C st: NotStopd t0: [04:00:00 29/03/2015] id: Temperature F el: 0 cu: MICU-A cg: RN v1: 99 u1: Deg. F st: NotStopd t0: [04:00:00 29/03/2015] id: Turn el: 0 cu: MICU-A cg: RN v1: Left Side st: NotStopd t0: [04:00:00 29/03/2015] id: Urine Color/Appear el: 0 cu: MICU-A cg: RN v1: Yellow v2: Clear st: NotStopd t0: [04:00:00 29/03/2015] id: Urine Source el: 0 cu: MICU-A cg: RN v1: Indwelling Cath st: NotStopd t0: [04:00:00 29/03/2015] id: Verbal Response el: 0 cu: MICU-A cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [04:00:00 29/03/2015] id: Back Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [04:00:00 29/03/2015] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [04:00:00 29/03/2015] id: Behavior el: 0 cu: MICU-A cg: RN v1: Calm st: NotStopd t0: [04:00:00 29/03/2015] id: Bowel Sounds el: 0 cu: MICU-A cg: RN v1: Present st: NotStopd
t0: [04:00:00 29/03/2015] id: TF Residual Gastric/TF Residual el: 1 cu: MICU-A cg: RN ai: 189 vo: 0 vu: ml t0: [04:00:00 29/03/2015] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 250 vu: ml t0: [04:00:00 29/03/2015] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 2 vu: ml t0: [04:00:00 29/03/2015] id: Peptamen Tube Feeding el: 1 cu: MICU-A cg: RN ai: 107 vo: 80 vu: ml t0: [04:00:00 29/03/2015] id: .9% Normal Saline 250.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 20 vu: ml t0: [04:00:00 29/03/2015] id: .9% Normal Saline 50.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 4 vu: ml t0: [04:00:00 29/03/2015] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 80 vu: ml
t0: [04:00:00 29/03/2015] id: Fentanyl el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 100 du: mcghr sv: 50 su: ml rt: IV Drip t0: [04:00:00 29/03/2015] id: Ativan el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1 du: mghr sv: 60 su: ml rt: IV Drip
t0: [05:55:00 29/03/2015] id: Art.pH ABG el: 0 cu: MICU-A cg: 1663 v1: 7.36 rs: Final st: NotStopd t0: [05:55:00 29/03/2015] id: Arterial Base Excess ABG el: 0 cu: MICU-A cg: 1663 v1: 0 rs: Final st: NotStopd t0: [05:55:00 29/03/2015] id: Arterial CO2(Calc) ABG el: 0 cu: MICU-A cg: 1663 v1: 26 rs: Final st: NotStopd t0: [05:55:00 29/03/2015] id: Arterial PaCO2 ABG el: 0 cu: MICU-A cg: 1663 v1: 44 u1: mmHg rs: Final st: NotStopd t0: [05:55:00 29/03/2015] id: Arterial PaO2 ABG el: 0 cu: MICU-A cg: 1663 v1: 79 u1: mmHg rs: Final st: NotStopd t0: [05:55:00 29/03/2015] id: Arterial pH ABG el: 0 cu: MICU-A cg: 1663 v1: 7.36 rs: Final st: NotStopd
t0: [06:17:00 29/03/2015] id: Compliance (40-60ml) el: 0 cu: MICU-A cg: RRT v1: 27.9188 u1: ml/cmH st: NotStopd t0: [06:17:00 29/03/2015] id: ETT Mark/Location el: 0 cu: MICU-A cg: RRT v1: 22cm v2: Lip st: NotStopd t0: [06:17:00 29/03/2015] id: FiO2 Set el: 0 cu: MICU-A cg: RRT v1: 0.5 u1: torr st: NotStopd t0: [06:17:00 29/03/2015] id: High Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 50 u1: cmH2O st: NotStopd t0: [06:17:00 29/03/2015] id: High Resp. Rate el: 0 cu: MICU-A cg: RRT v1: 35 u1: BPM st: NotStopd t0: [06:17:00 29/03/2015] id: I:E Ratio el: 0 cu: MICU-A cg: RRT v1: 1:3.5 st: NotStopd t0: [06:17:00 29/03/2015] id: Airway Size el: 0 cu: MICU-A cg: RRT v1: 9.0 mm st: NotStopd t0: [06:17:00 29/03/2015] id: Airway Type el: 0 cu: MICU-A cg: RRT v1: Endotracheal st: NotStopd t0: [06:17:00 29/03/2015] id: Inspired Gas Temp el: 0 cu: MICU-A cg: RRT u1: Deg. C st: NotStopd t0: [06:17:00 29/03/2015] id: Intubation Date el: 0 cu: MICU-A cg: RRT v1: 2 v2: 22 st: NotStopd t0: [06:17:00 29/03/2015] id: Low Exhaled Min Vol el: 0 cu: MICU-A cg: RRT v1: 5 st: NotStopd t0: [06:17:00 29/03/2015] id: Low Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [06:17:00 29/03/2015] id: MDI #1 (Puff/Drug) el: 0 cu: MICU-A cg: RRT v1: 6 v2: Albuterol st: NotStopd t0: [06:17:00 29/03/2015] id: MDI #2 (Puff/Drug) el: 0 cu: MICU-A cg: RRT v1: 6 v2: Atrovent st: NotStopd t0: [06:17:00 29/03/2015] id: Mean Airway Pressure el: 0 cu: MICU-A cg: RRT v1: 14.4 u1: cmH2O st: NotStopd t0: [06:17:00 29/03/2015] id: Minute Volume(Obser) el: 0 cu: MICU-A cg: RRT v1: 13.1 u1: L/min st: NotStopd t0: [06:17:00 29/03/2015] id: PEEP Set el: 0 cu: MICU-A cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [06:17:00 29/03/2015] id: Peak Flow el: 0 cu: MICU-A cg: RRT v1: 55 u1: L/m st: NotStopd t0: [06:17:00 29/03/2015] id: Peak Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 29.7 u1: cmH2O st: NotStopd t0: [06:17:00 29/03/2015] id: Plateau Pressure el: 0 cu: MICU-A cg: RRT v1: 22.8 u1: cmH2O st: NotStopd t0: [06:17:00 29/03/2015] id: Plateau-Off el: 0 cu: MICU-A cg: RRT v1: Yes st: NotStopd t0: [06:17:00 29/03/2015] id: Resp Rate (Spont) el: 0 cu: MICU-A cg: RRT v1: 2 u1: BPM st: NotStopd t0: [06:17:00 29/03/2015] id: Resp Rate (Total) el: 0 cu: MICU-A cg: RRT v1: 24 u1: BPM st: NotStopd t0: [06:17:00 29/03/2015] id: Respiratory Rate Set el: 0 cu: MICU-A cg: RRT v1: 22 u1: BPM st: NotStopd t0: [06:17:00 29/03/2015] id: Sensitivity-Vent el: 0 cu: MICU-A cg: RRT v1: 1 u1: cmH2O st: NotStopd t0: [06:17:00 29/03/2015] id: SpO2 el: 0 cu: MICU-A cg: RRT v1: 95 u1: % st: NotStopd t0: [06:17:00 29/03/2015] id: Tidal Volume (Obser) el: 0 cu: MICU-A cg: RRT v1: 560 u1: ml/B st: NotStopd t0: [06:17:00 29/03/2015] id: Tidal Volume (Set) el: 0 cu: MICU-A cg: RRT v1: 550 u1: ml/B st: NotStopd t0: [06:17:00 29/03/2015] id: Ventilator Mode el: 0 cu: MICU-A cg: RRT v1: Assist Control st: NotStopd t0: [06:17:00 29/03/2015] id: Ventilator No. el: 0 cu: MICU-A cg: RRT v1: 20 u1: # st: NotStopd t0: [06:17:00 29/03/2015] id: Ventilator Type el: 0 cu: MICU-A cg: RRT v1: 7200A st: NotStopd t0: [06:17:00 29/03/2015] id: Waveform-Vent el: 0 cu: MICU-A cg: RRT v1: SQUARE st: NotStopd
t0: [06:00:00 29/03/2015] id: WBC (4-11,000) Hematology el: 0 cu: MICU-A cg: 1663 v1: 10.2 rs: Final st: NotStopd t0: [06:00:00 29/03/2015] id: Hematocrit Hematology el: 0 cu: MICU-A cg: 1663 v1: 39.9 u1: % rs: Final st: NotStopd t0: [06:00:00 29/03/2015] id: Hemoglobin Hematology el: 0 cu: MICU-A cg: 1663 v1: 12.8 u1: gm/dl rs: Final st: NotStopd t0: [06:00:00 29/03/2015] id: Platelets Hematology el: 0 cu: MICU-A cg: 1663 v1: 375 rs: Final st: NotStopd t0: [06:00:00 29/03/2015] id: RBC Hematology el: 0 cu: MICU-A cg: 1663 v1: 4.2 u1: /mic l rs: Final st: NotStopd t0: [06:00:00 29/03/2015] id: WBC (4-11,000) Hematology el: 0 cu: MICU-A cg: 1663 v1: 10.2 rs: Final st: NotStopd
t0: [06:00:00 29/03/2015] id: BUN (6-20) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 31 rs: Final st: NotStopd t0: [06:00:00 29/03/2015] id: Carbon Dioxide Chemistry el: 0 cu: MICU-A cg: 1663 v1: 25 rs: Final st: NotStopd t0: [06:00:00 29/03/2015] id: Chloride (100-112) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 112 rs: Final st: NotStopd t0: [06:00:00 29/03/2015] id: Creatinine (0-1.3) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 0.6 rs: Final st: NotStopd t0: [06:00:00 29/03/2015] id: Glucose (70-105) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 108 rs: Final st: NotStopd t0: [06:00:00 29/03/2015] id: Potassium (3.5-5.3) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 3.8 rs: Final st: NotStopd t0: [06:00:00 29/03/2015] id: Sodium (135-148) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 144 rs: Final st: NotStopd
t0: [07:00:00 29/03/2015] id: Service Type el: 0 cu: MICU-A cg: -1 v1: MICU st: NotStopd t0: [07:00:00 29/03/2015] id: CVP el: 0 cu: MICU-A cg: -1 v1: 13 u1: mmHg st: NotStopd t0: [07:00:00 29/03/2015] id: Code Status el: 0 cu: MICU-A cg: -1 v1: Full Code st: NotStopd t0: [07:00:00 29/03/2015] id: Ectopy Frequency el: 0 cu: MICU-A cg: -1 v1: Occasional st: NotStopd t0: [07:00:00 29/03/2015] id: Ectopy Type el: 0 cu: MICU-A cg: -1 v1: PAC's st: NotStopd t0: [07:00:00 29/03/2015] id: Heart Rate el: 0 cu: MICU-A cg: -1 v1: 83 u1: BPM st: NotStopd t0: [07:00:00 29/03/2015] id: Heart Rhythm el: 0 cu: MICU-A cg: -1 v1: Normal Sinus st: NotStopd t0: [07:00:00 29/03/2015] id: Arterial BP el: 0 cu: MICU-A cg: -1 v1: 114 u1: mmHg v2: 44 u2: mmHg st: NotStopd t0: [07:00:00 29/03/2015] id: Arterial BP Mean el: 0 cu: MICU-A cg: -1 v1: 66 u1: mmHg st: NotStopd t0: [07:00:00 29/03/2015] id: Precautions el: 0 cu: MICU-A cg: -1 v1: Universal st: NotStopd t0: [07:00:00 29/03/2015] id: Previous WeightF el: 0 cu: MICU-A cg: -1 v1: 74.7 u1: kg st: NotStopd t0: [07:00:00 29/03/2015] id: Respiratory Rate el: 0 cu: MICU-A cg: -1 v1: 22 u1: BPM st: NotStopd t0: [07:00:00 29/03/2015] id: SpO2 el: 0 cu: MICU-A cg: -1 v1: 95 u1: % st: NotStopd t0: [07:00:00 29/03/2015] id: Temp. Site el: 0 cu: MICU-A cg: -1 v1: Oral st: NotStopd t0: [07:00:00 29/03/2015] id: Temperature C (calc) el: 0 cu: MICU-A cg: -1 v1: 37.4444 u1: Deg. C st: NotStopd t0: [07:00:00 29/03/2015] id: Temperature F el: 0 cu: MICU-A cg: -1 v1: 99.4 u1: Deg. F st: NotStopd t0: [07:00:00 29/03/2015] id: calprevflg el: 0 cu: MICU-A cg: -1 v1: 1 u1: kg st: NotStopd
t0: [07:00:00 29/03/2015] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 375 vu: ml t0: [07:00:00 29/03/2015] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 3 vu: ml t0: [07:00:00 29/03/2015] id: Peptamen Tube Feeding el: 1 cu: MICU-A cg: -1 ai: 107 vo: 180 vu: ml t0: [07:00:00 29/03/2015] id: .9% Normal Saline 250.0ml IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 30 vu: ml t0: [07:00:00 29/03/2015] id: .9% Normal Saline 50.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 6 vu: ml t0: [07:00:00 29/03/2015] id: Urine Out Foley el: 1 cu: MICU-A cg: -1 vo: 100 vu: ml
t0: [07:00:00 29/03/2015] id: Fentanyl el: 1 cu: MICU-A so: .9% Normal Saline vo: 0 v1: 100 du: mcghr sv: 50 su: ml rt: IV Drip t0: [07:00:00 29/03/2015] id: Ativan el: 1 cu: MICU-A so: D5W vo: 0 v1: 1 du: mghr sv: 60 su: ml rt: IV Drip
t0: [07:30:00 29/03/2015] id: Less Restrict Meas. el: 0 cu: MICU-A cg: -1 v1: Medicated st: NotStopd t0: [07:30:00 29/03/2015] id: Pain Present el: 0 cu: MICU-A cg: -1 v1: No st: NotStopd t0: [07:30:00 29/03/2015] id: Range of Motion el: 0 cu: MICU-A cg: -1 v1: Done st: NotStopd t0: [07:30:00 29/03/2015] id: Circulation/SkinInt el: 0 cu: MICU-A cg: -1 v1: Circulation Adeq st: NotStopd t0: [07:30:00 29/03/2015] id: Dorsal PedPulse R/L el: 0 cu: MICU-A cg: -1 v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [07:30:00 29/03/2015] id: Eye Opening el: 0 cu: MICU-A cg: -1 v1: 3 To speech st: NotStopd t0: [07:30:00 29/03/2015] id: GCS Total el: 0 cu: MICU-A cg: -1 v1: 10 u1: points st: NotStopd t0: [07:30:00 29/03/2015] id: GI Intub #1/Site el: 0 cu: MICU-A cg: -1 v1: Salem Sump v2: Oral st: NotStopd t0: [07:30:00 29/03/2015] id: GI#1 Tube PlaceCheck el: 0 cu: MICU-A cg: -1 v1: Not Done st: NotStopd t0: [07:30:00 29/03/2015] id: GI#1 Tube Stat/Drain el: 0 cu: MICU-A cg: -1 v1: Feeding v2: Undigested Food st: NotStopd t0: [07:30:00 29/03/2015] id: HOB el: 0 cu: MICU-A cg: -1 v1: 30 degrees st: NotStopd t0: [07:30:00 29/03/2015] id: INV Line#1 Type/Site el: 0 cu: MICU-A cg: -1 v1: A-Line v2: Right Radial st: NotStopd t0: [07:30:00 29/03/2015] id: INV Line#1 Zero/Cal el: 0 cu: MICU-A cg: -1 v1: Yes st: NotStopd t0: [07:30:00 29/03/2015] id: INV Line#1InsertDate el: 0 cu: MICU-A cg: -1 v1: 2 v2: 22 st: NotStopd t0: [07:30:00 29/03/2015] id: INV Line#1SiteAppear el: 0 cu: MICU-A cg: -1 v1: WNL st: NotStopd t0: [07:30:00 29/03/2015] id: INV Line#4 Type/Site el: 0 cu: MICU-A cg: -1 v1: Multi-lumen v2: Right IJ st: NotStopd t0: [07:30:00 29/03/2015] id: INV Line#4InsertDate el: 0 cu: MICU-A cg: -1 v1: 2 v2: 23 st: NotStopd t0: [07:30:00 29/03/2015] id: INV Line#4SiteAppear el: 0 cu: MICU-A cg: -1 v1: WNL st: NotStopd t0: [07:30:00 29/03/2015] id: Abdominal Assessment el: 0 cu: MICU-A cg: -1 v1: Soft st: NotStopd t0: [07:30:00 29/03/2015] id: INV#1 WaveformAppear el: 0 cu: MICU-A cg: -1 v1: Sharp st: NotStopd t0: [07:30:00 29/03/2015] id: IV #1 Insert Date el: 0 cu: MICU-A cg: -1 v1: 2 v2: 22 st: NotStopd t0: [07:30:00 29/03/2015] id: IV #1 Site/Size el: 0 cu: MICU-A cg: -1 v1: LL Ant Forearm v2: 20 gauge st: NotStopd t0: [07:30:00 29/03/2015] id: IV #3 Insert Date el: 0 cu: MICU-A cg: -1 v1: 2 v2: 22 st: NotStopd t0: [07:30:00 29/03/2015] id: IV #3 Site/Size el: 0 cu: MICU-A cg: -1 v1: RU Ant Forearm v2: 18 gauge st: NotStopd t0: [07:30:00 29/03/2015] id: Activity el: 0 cu: MICU-A cg: -1 v1: Bedrest st: NotStopd t0: [07:30:00 29/03/2015] id: IV Site Appear #1 el: 0 cu: MICU-A cg: -1 v1: WNL st: NotStopd t0: [07:30:00 29/03/2015] id: IV Site Appear #3 el: 0 cu: MICU-A cg: -1 v1: WNL st: NotStopd t0: [07:30:00 29/03/2015] id: Activity Tolerance el: 0 cu: MICU-A cg: -1 v1: Tolerated Well st: NotStopd t0: [07:30:00 29/03/2015] id: LLL Lung Sounds el: 0 cu: MICU-A cg: -1 v1: Diminished st: NotStopd t0: [07:30:00 29/03/2015] id: LUL Lung Sounds el: 0 cu: MICU-A cg: -1 v1: Clear st: NotStopd t0: [07:30:00 29/03/2015] id: Level of Conscious el: 0 cu: MICU-A cg: -1 v1: Arouse to Voice st: NotStopd t0: [07:30:00 29/03/2015] id: Motor Response el: 0 cu: MICU-A cg: -1 v1: 6 Obeys Commands st: NotStopd t0: [07:30:00 29/03/2015] id: Oral Cavity el: 0 cu: MICU-A cg: -1 v1: Teeth/Tissue WNL st: NotStopd t0: [07:30:00 29/03/2015] id: Orientation el: 0 cu: MICU-A cg: -1 v1: Other/Remarks st: NotStopd t0: [07:30:00 29/03/2015] id: Pain Location el: 0 cu: MICU-A cg: -1 v1: Not Indicated st: NotStopd t0: [07:30:00 29/03/2015] id: Position el: 0 cu: MICU-A cg: -1 v1: Right Side st: NotStopd t0: [07:30:00 29/03/2015] id: Position Change el: 0 cu: MICU-A cg: -1 v1: Done st: NotStopd t0: [07:30:00 29/03/2015] id: PostTib. Pulses R/L el: 0 cu: MICU-A cg: -1 v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [07:30:00 29/03/2015] id: Assistance Device el: 0 cu: MICU-A cg: -1 v1: 2 Person Assist st: NotStopd t0: [07:30:00 29/03/2015] id: RLL Lung Sounds el: 0 cu: MICU-A cg: -1 v1: Diminished st: NotStopd t0: [07:30:00 29/03/2015] id: RUL Lung Sounds el: 0 cu: MICU-A cg: -1 v1: Clear st: NotStopd t0: [07:30:00 29/03/2015] id: Reason For Restraint el: 0 cu: MICU-A cg: -1 v1: Ext/TXInterfere st: NotStopd t0: [07:30:00 29/03/2015] id: Removed x 5 Mins el: 0 cu: MICU-A cg: -1 v1: Done st: NotStopd t0: [07:30:00 29/03/2015] id: Respiratory Pattern el: 0 cu: MICU-A cg: -1 v1: Regular st: NotStopd t0: [07:30:00 29/03/2015] id: Restraint Location el: 0 cu: MICU-A cg: -1 v1: Both Arms st: NotStopd t0: [07:30:00 29/03/2015] id: Restraint Type el: 0 cu: MICU-A cg: -1 v1: Soft Limb st: NotStopd t0: [07:30:00 29/03/2015] id: Restraints Evaluated el: 0 cu: MICU-A cg: -1 v1: RestraintReapply st: NotStopd t0: [07:30:00 29/03/2015] id: Side Rails el: 0 cu: MICU-A cg: -1 v1: Side Rails Up st: NotStopd t0: [07:30:00 29/03/2015] id: Skin Integrity el: 0 cu: MICU-A cg: -1 v1: Intact st: NotStopd t0: [07:30:00 29/03/2015] id: Support Systems el: 0 cu: MICU-A cg: -1 v1: Spouse st: NotStopd t0: [07:30:00 29/03/2015] id: Turn el: 0 cu: MICU-A cg: -1 v1: Right Side st: NotStopd t0: [07:30:00 29/03/2015] id: Urine Color/Appear el: 0 cu: MICU-A cg: -1 v1: Yellow v2: Clear st: NotStopd t0: [07:30:00 29/03/2015] id: Urine Source el: 0 cu: MICU-A cg: -1 v1: Indwelling Cath st: NotStopd t0: [07:30:00 29/03/2015] id: Verbal Response el: 0 cu: MICU-A cg: -1 v1: 1.0 ET/Trach st: NotStopd t0: [07:30:00 29/03/2015] id: Behavior el: 0 cu: MICU-A cg: -1 v1: Calm st: NotStopd t0: [07:30:00 29/03/2015] id: Bowel Sounds el: 0 cu: MICU-A cg: -1 v1: Present st: NotStopd t0: [07:30:00 29/03/2015] id: Braden Activity el: 0 cu: MICU-A cg: -1 v1: Bedfast st: NotStopd t0: [07:30:00 29/03/2015] id: Braden Frict/Shear el: 0 cu: MICU-A cg: -1 v1: Potential Prob st: NotStopd t0: [07:30:00 29/03/2015] id: Braden Mobility el: 0 cu: MICU-A cg: -1 v1: Very Limited st: NotStopd t0: [07:30:00 29/03/2015] id: Braden Moisture el: 0 cu: MICU-A cg: -1 v1: Occ. Moist st: NotStopd t0: [07:30:00 29/03/2015] id: Braden Nutrition el: 0 cu: MICU-A cg: -1 v1: Prob. Inadequate st: NotStopd t0: [07:30:00 29/03/2015] id: Braden Score el: 0 cu: MICU-A cg: -1 v1: 13 u1: number st: NotStopd t0: [07:30:00 29/03/2015] id: Braden SensoryPercep el: 0 cu: MICU-A cg: -1 v1: Sl. Limited st: NotStopd
t0: [07:45:00 29/03/2015] id: Previous Weight el: 0 cu: MICU-A cg: -1 v1: 74.7 u1: kg st: NotStopd t0: [07:45:00 29/03/2015] id: Weight Change el: 0 cu: MICU-A cg: -1 v1: 4.8 u1: kg st: NotStopd t0: [07:45:00 29/03/2015] id: Daily Weight el: 0 cu: MICU-A cg: -1 v1: 79.5 u1: kg st: NotStopd
t0: [08:00:00 29/03/2015] id: Service Type el: 0 cu: MICU-A cg: -1 v1: MICU st: NotStopd t0: [08:00:00 29/03/2015] id: CVP el: 0 cu: MICU-A cg: -1 v1: 11 u1: mmHg st: NotStopd t0: [08:00:00 29/03/2015] id: Code Status el: 0 cu: MICU-A cg: -1 v1: Full Code st: NotStopd t0: [08:00:00 29/03/2015] id: Ectopy Frequency el: 0 cu: MICU-A cg: -1 v1: Rare st: NotStopd t0: [08:00:00 29/03/2015] id: Ectopy Type el: 0 cu: MICU-A cg: -1 v1: PAC's st: NotStopd t0: [08:00:00 29/03/2015] id: GI Intub #1/Site el: 0 cu: MICU-A cg: -1 v1: Salem Sump v2: Oral st: NotStopd t0: [08:00:00 29/03/2015] id: GI#1 Tube PlaceCheck el: 0 cu: MICU-A cg: -1 v1: Done st: NotStopd t0: [08:00:00 29/03/2015] id: GI#1 Tube Stat/Drain el: 0 cu: MICU-A cg: -1 v1: Feeding v2: Undigested Food st: NotStopd t0: [08:00:00 29/03/2015] id: Heart Rate el: 0 cu: MICU-A cg: -1 v1: 82 u1: BPM st: NotStopd t0: [08:00:00 29/03/2015] id: Heart Rhythm el: 0 cu: MICU-A cg: -1 v1: Normal Sinus st: NotStopd t0: [08:00:00 29/03/2015] id: Arterial BP el: 0 cu: MICU-A cg: -1 v1: 120 u1: mmHg v2: 51 u2: mmHg st: NotStopd t0: [08:00:00 29/03/2015] id: Arterial BP Mean el: 0 cu: MICU-A cg: -1 v1: 73 u1: mmHg st: NotStopd t0: [08:00:00 29/03/2015] id: Precautions el: 0 cu: MICU-A cg: -1 v1: Universal st: NotStopd t0: [08:00:00 29/03/2015] id: Previous WeightF el: 0 cu: MICU-A cg: -1 v1: 79.5 u1: kg st: NotStopd t0: [08:00:00 29/03/2015] id: Respiratory Rate el: 0 cu: MICU-A cg: -1 v1: 22 u1: BPM st: NotStopd t0: [08:00:00 29/03/2015] id: SpO2 el: 0 cu: MICU-A cg: -1 v1: 96 u1: % st: NotStopd t0: [08:00:00 29/03/2015] id: calprevflg el: 0 cu: MICU-A cg: -1 v1: 1 u1: kg st: NotStopd
t0: [08:00:00 29/03/2015] tf: [20:00:00 29/03/2015] dt: 720 id: TF Residual Gastric/TF Residual el: 1 cu: MICU-A cg: -1 ai: 189 vo: 8 vu: ml t0: [08:00:00 29/03/2015] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 125 vu: ml t0: [08:00:00 29/03/2015] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 1 vu: ml t0: [08:00:00 29/03/2015] id: Peptamen Tube Feeding el: 1 cu: MICU-A cg: -1 ai: 107 vo: 60 vu: ml t0: [08:00:00 29/03/2015] id: .9% Normal Saline 250.0ml IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 10 vu: ml t0: [08:00:00 29/03/2015] id: .9% Normal Saline 50.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 2 vu: ml t0: [08:00:00 29/03/2015] id: Urine Out Foley el: 1 cu: MICU-A cg: -1 vo: 45 vu: ml
t0: [08:00:00 29/03/2015] id: Fentanyl el: 1 cu: MICU-A so: .9% Normal Saline vo: 0 v1: 100 du: mcghr sv: 50 su: ml rt: IV Drip t0: [08:00:00 29/03/2015] id: Ativan el: 1 cu: MICU-A so: D5W vo: 0 v1: 1 du: mghr sv: 60 su: ml rt: IV Drip
t0: [08:00:00 29/03/2015] id: Sputum Color/Consist el: 0 cu: MICU-A cg: -1 v1: Bloody v2: Thick st: NotStopd t0: [08:00:00 29/03/2015] id: Sputum Source/Amt el: 0 cu: MICU-A cg: -1 v1: Suctioned v2: Small st: NotStopd
t0: [09:00:00 29/03/2015] id: Compliance (40-60ml) el: 0 cu: MICU-A cg: RT v1: 36.6667 u1: ml/cmH st: NotStopd t0: [09:00:00 29/03/2015] id: ETT Mark/Location el: 0 cu: MICU-A cg: RT v1: 22cm v2: Lip st: NotStopd t0: [09:00:00 29/03/2015] id: FiO2 Set el: 0 cu: MICU-A cg: RT v1: 0.5 u1: torr st: NotStopd t0: [09:00:00 29/03/2015] id: High Insp. Pressure el: 0 cu: MICU-A cg: RT v1: 50 u1: cmH2O st: NotStopd t0: [09:00:00 29/03/2015] id: High Resp. Rate el: 0 cu: MICU-A cg: RT v1: 35 u1: BPM st: NotStopd t0: [09:00:00 29/03/2015] id: Airway Size el: 0 cu: MICU-A cg: RT v1: 9.0 mm st: NotStopd t0: [09:00:00 29/03/2015] id: Airway Type el: 0 cu: MICU-A cg: RT v1: Endotracheal st: NotStopd t0: [09:00:00 29/03/2015] id: Inspired Gas Temp el: 0 cu: MICU-A cg: RT u1: Deg. C st: NotStopd t0: [09:00:00 29/03/2015] id: Intubation Date el: 0 cu: MICU-A cg: RT v1: 2 v2: 22 st: NotStopd t0: [09:00:00 29/03/2015] id: Low Exhaled Min Vol el: 0 cu: MICU-A cg: RT v1: 5 st: NotStopd t0: [09:00:00 29/03/2015] id: Low Insp. Pressure el: 0 cu: MICU-A cg: RT v1: 10 u1: cmH2O st: NotStopd t0: [09:00:00 29/03/2015] id: MDI #1 (Puff/Drug) el: 0 cu: MICU-A cg: RT v1: 6 v2: Albuterol st: NotStopd t0: [09:00:00 29/03/2015] id: MDI #2 (Puff/Drug) el: 0 cu: MICU-A cg: RT v1: 6 v2: Atrovent st: NotStopd t0: [09:00:00 29/03/2015] id: Mean Airway Pressure el: 0 cu: MICU-A cg: RT v1: 14.5 u1: cmH2O st: NotStopd t0: [09:00:00 29/03/2015] id: Minute Volume(Obser) el: 0 cu: MICU-A cg: RT v1: 12.8 u1: L/min st: NotStopd t0: [09:00:00 29/03/2015] id: PEEP Set el: 0 cu: MICU-A cg: RT v1: 10 u1: cmH2O st: NotStopd t0: [09:00:00 29/03/2015] id: Peak Flow el: 0 cu: MICU-A cg: RT v1: 65 u1: L/m st: NotStopd t0: [09:00:00 29/03/2015] id: Peak Insp. Pressure el: 0 cu: MICU-A cg: RT v1: 25 u1: cmH2O st: NotStopd t0: [09:00:00 29/03/2015] id: Plateau Pressure el: 0 cu: MICU-A cg: RT v1: 20 u1: cmH2O st: NotStopd t0: [09:00:00 29/03/2015] id: Plateau-Off el: 0 cu: MICU-A cg: RT v1: Yes st: NotStopd t0: [09:00:00 29/03/2015] id: Resp Rate (Spont) el: 0 cu: MICU-A cg: RT v1: 0 u1: BPM st: NotStopd t0: [09:00:00 29/03/2015] id: Resp Rate (Total) el: 0 cu: MICU-A cg: RT v1: 22 u1: BPM st: NotStopd t0: [09:00:00 29/03/2015] id: Respiratory Rate Set el: 0 cu: MICU-A cg: RT v1: 22 u1: BPM st: NotStopd t0: [09:00:00 29/03/2015] id: Sensitivity-Vent el: 0 cu: MICU-A cg: RT v1: 1 u1: cmH2O st: NotStopd t0: [09:00:00 29/03/2015] id: SpO2 el: 0 cu: MICU-A cg: RT v1: 96 u1: % st: NotStopd t0: [09:00:00 29/03/2015] id: Tidal Volume (Obser) el: 0 cu: MICU-A cg: RT v1: 570 u1: ml/B st: NotStopd t0: [09:00:00 29/03/2015] id: Tidal Volume (Set) el: 0 cu: MICU-A cg: RT v1: 550 u1: ml/B st: NotStopd t0: [09:00:00 29/03/2015] id: Ventilator Mode el: 0 cu: MICU-A cg: RT v1: Assist Control st: NotStopd t0: [09:00:00 29/03/2015] id: Ventilator No. el: 0 cu: MICU-A cg: RT v1: 20 u1: # st: NotStopd t0: [09:00:00 29/03/2015] id: Ventilator Type el: 0 cu: MICU-A cg: RT v1: 7200A st: NotStopd t0: [09:00:00 29/03/2015] id: Waveform-Vent el: 0 cu: MICU-A cg: RT v1: RAMP st: NotStopd
t0: [09:00:00 29/03/2015] id: Service Type el: 0 cu: MICU-A cg: -1 v1: MICU st: NotStopd t0: [09:00:00 29/03/2015] id: CVP el: 0 cu: MICU-A cg: -1 v1: 14 u1: mmHg st: NotStopd t0: [09:00:00 29/03/2015] id: Code Status el: 0 cu: MICU-A cg: -1 v1: Full Code st: NotStopd t0: [09:00:00 29/03/2015] id: Ectopy Frequency el: 0 cu: MICU-A cg: -1 v1: Rare st: NotStopd t0: [09:00:00 29/03/2015] id: Ectopy Type el: 0 cu: MICU-A cg: -1 v1: PAC's st: NotStopd t0: [09:00:00 29/03/2015] id: HOB el: 0 cu: MICU-A cg: -1 v1: 30 degrees st: NotStopd t0: [09:00:00 29/03/2015] id: Heart Rate el: 0 cu: MICU-A cg: -1 v1: 88 u1: BPM st: NotStopd t0: [09:00:00 29/03/2015] id: Heart Rhythm el: 0 cu: MICU-A cg: -1 v1: Normal Sinus st: NotStopd t0: [09:00:00 29/03/2015] id: Activity el: 0 cu: MICU-A cg: -1 v1: Bedrest st: NotStopd t0: [09:00:00 29/03/2015] id: Activity Tolerance el: 0 cu: MICU-A cg: -1 v1: Tolerated Well st: NotStopd t0: [09:00:00 29/03/2015] id: Arterial BP el: 0 cu: MICU-A cg: -1 v1: 130 u1: mmHg v2: 52 u2: mmHg st: NotStopd t0: [09:00:00 29/03/2015] id: Arterial BP Mean el: 0 cu: MICU-A cg: -1 v1: 77 u1: mmHg st: NotStopd t0: [09:00:00 29/03/2015] id: Position el: 0 cu: MICU-A cg: -1 v1: Left Side st: NotStopd t0: [09:00:00 29/03/2015] id: Assistance Device el: 0 cu: MICU-A cg: -1 v1: 2 Person Assist st: NotStopd t0: [09:00:00 29/03/2015] id: Precautions el: 0 cu: MICU-A cg: -1 v1: Universal st: NotStopd t0: [09:00:00 29/03/2015] id: Previous WeightF el: 0 cu: MICU-A cg: -1 v1: 79.5 u1: kg st: NotStopd t0: [09:00:00 29/03/2015] id: Respiratory Rate el: 0 cu: MICU-A cg: -1 v1: 22 u1: BPM st: NotStopd t0: [09:00:00 29/03/2015] id: Turn el: 0 cu: MICU-A cg: -1 v1: Left Side st: NotStopd t0: [09:00:00 29/03/2015] id: calprevflg el: 0 cu: MICU-A cg: -1 v1: 1 u1: kg st: NotStopd
t0: [09:00:00 29/03/2015] id: D5W 100.0ml IV Infusions el: 1 cu: MICU-A cg: -1 ai: 105 vo: 200 vu: ml t0: [09:00:00 29/03/2015] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 125 vu: ml t0: [09:00:00 29/03/2015] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 1 vu: ml t0: [09:00:00 29/03/2015] id: Peptamen Tube Feeding el: 1 cu: MICU-A cg: -1 ai: 107 vo: 75 vu: ml t0: [09:00:00 29/03/2015] id: .9% Normal Saline 250.0ml IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 10 vu: ml t0: [09:00:00 29/03/2015] id: .9% Normal Saline 50.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 2 vu: ml t0: [09:00:00 29/03/2015] id: Urine Out Foley el: 1 cu: MICU-A cg: -1 vo: 50 vu: ml
t0: [09:00:00 29/03/2015] id: Fentanyl el: 1 cu: MICU-A so: .9% Normal Saline vo: 0 v1: 100 du: mcghr sv: 50 su: ml rt: IV Drip t0: [09:00:00 29/03/2015] id: Ativan el: 1 cu: MICU-A so: D5W vo: 0 v1: 1 du: mghr sv: 60 su: ml rt: IV Drip
t0: [10:00:00 29/03/2015] id: Service Type el: 0 cu: MICU-A cg: -1 v1: MICU st: NotStopd t0: [10:00:00 29/03/2015] id: Code Status el: 0 cu: MICU-A cg: -1 v1: Full Code st: NotStopd t0: [10:00:00 29/03/2015] id: Ectopy Frequency el: 0 cu: MICU-A cg: -1 v1: Occasional st: NotStopd t0: [10:00:00 29/03/2015] id: Ectopy Type el: 0 cu: MICU-A cg: -1 v1: PAC's st: NotStopd t0: [10:00:00 29/03/2015] id: Heart Rate el: 0 cu: MICU-A cg: -1 v1: 92 u1: BPM st: NotStopd t0: [10:00:00 29/03/2015] id: Heart Rhythm el: 0 cu: MICU-A cg: -1 v1: Normal Sinus st: NotStopd t0: [10:00:00 29/03/2015] id: Arterial BP el: 0 cu: MICU-A cg: -1 v1: 153 u1: mmHg v2: 64 u2: mmHg st: NotStopd t0: [10:00:00 29/03/2015] id: Arterial BP Mean el: 0 cu: MICU-A cg: -1 v1: 97 u1: mmHg st: NotStopd t0: [10:00:00 29/03/2015] id: Precautions el: 0 cu: MICU-A cg: -1 v1: Universal st: NotStopd t0: [10:00:00 29/03/2015] id: Previous WeightF el: 0 cu: MICU-A cg: -1 v1: 79.5 u1: kg st: NotStopd t0: [10:00:00 29/03/2015] id: Respiratory Rate el: 0 cu: MICU-A cg: -1 v1: 22 u1: BPM st: NotStopd t0: [10:00:00 29/03/2015] id: SpO2 el: 0 cu: MICU-A cg: -1 v1: 97 u1: % st: NotStopd t0: [10:00:00 29/03/2015] id: calprevflg el: 0 cu: MICU-A cg: -1 v1: 1 u1: kg st: NotStopd
t0: [10:00:00 29/03/2015] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 1 vu: ml t0: [10:00:00 29/03/2015] id: Peptamen Tube Feeding el: 1 cu: MICU-A cg: -1 ai: 107 vo: 75 vu: ml t0: [10:00:00 29/03/2015] id: .9% Normal Saline 250.0ml IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 10 vu: ml t0: [10:00:00 29/03/2015] id: .9% Normal Saline 50.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 2 vu: ml t0: [10:00:00 29/03/2015] id: Urine Out Foley el: 1 cu: MICU-A cg: -1 vo: 75 vu: ml
t0: [10:00:00 29/03/2015] id: Fentanyl el: 1 cu: MICU-A so: .9% Normal Saline vo: 0 v1: 100 du: mcghr sv: 50 su: ml rt: IV Drip t0: [10:00:00 29/03/2015] id: Ativan el: 1 cu: MICU-A so: D5W vo: 0 v1: 1 du: mghr sv: 60 su: ml rt: IV Drip
t0: [10:00:00 29/03/2015] id: INV Line#4 D/C Date el: 0 cu: MICU-A cg: -1 v1: 2 v2: 24 st: NotStopd t0: [10:00:00 29/03/2015] id: INV Line#4 Type/Site el: 0 cu: MICU-A cg: -1 v1: Multi-lumen v2: Right IJ st: NotStopd t0: [10:00:00 29/03/2015] id: INV Line#4InsertDate el: 0 cu: MICU-A cg: -1 v1: 2 v2: 23 st: NotStopd t0: [10:00:00 29/03/2015] id: INV Line#4SiteAppear el: 0 cu: MICU-A cg: -1 v1: WNL st: NotStopd t0: [10:00:00 29/03/2015] id: Procedures el: 0 cu: MICU-A cg: -1 st: NotStopd
t0: [10:00:00 29/03/2015] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 125 vu: ml st: Stopped
t0: [10:30:00 29/03/2015] id: Service Type el: 0 cu: MICU-A cg: -1 v1: MICU st: NotStopd t0: [10:30:00 29/03/2015] id: Code Status el: 0 cu: MICU-A cg: -1 v1: Full Code st: NotStopd t0: [10:30:00 29/03/2015] id: Ectopy Frequency el: 0 cu: MICU-A cg: -1 v1: Occasional st: NotStopd t0: [10:30:00 29/03/2015] id: Ectopy Type el: 0 cu: MICU-A cg: -1 v1: PAC's st: NotStopd t0: [10:30:00 29/03/2015] id: Heart Rate el: 0 cu: MICU-A cg: -1 v1: 92 u1: BPM st: NotStopd t0: [10:30:00 29/03/2015] id: Heart Rhythm el: 0 cu: MICU-A cg: -1 v1: Normal Sinus st: NotStopd t0: [10:30:00 29/03/2015] id: Arterial BP el: 0 cu: MICU-A cg: -1 v1: 134 u1: mmHg v2: 53 u2: mmHg st: NotStopd t0: [10:30:00 29/03/2015] id: Arterial BP Mean el: 0 cu: MICU-A cg: -1 v1: 79 u1: mmHg st: NotStopd t0: [10:30:00 29/03/2015] id: Precautions el: 0 cu: MICU-A cg: -1 v1: Universal st: NotStopd t0: [10:30:00 29/03/2015] id: Previous WeightF el: 0 cu: MICU-A cg: -1 v1: 79.5 u1: kg st: NotStopd t0: [10:30:00 29/03/2015] id: Procedures el: 0 cu: MICU-A cg: -1 st: NotStopd t0: [10:30:00 29/03/2015] id: Respiratory Rate el: 0 cu: MICU-A cg: -1 v1: 19 u1: BPM st: NotStopd t0: [10:30:00 29/03/2015] id: SpO2 el: 0 cu: MICU-A cg: -1 v1: 95 u1: % st: NotStopd t0: [10:30:00 29/03/2015] id: calprevflg el: 0 cu: MICU-A cg: -1 v1: 1 u1: kg st: NotStopd
t0: [10:30:00 29/03/2015] id: Fentanyl el: 1 cu: MICU-A so: .9% Normal Saline vo: 0 v1: 100 du: mcghr sv: 50 su: ml rt: IV Drip t0: [10:30:00 29/03/2015] id: Ativan el: 1 cu: MICU-A so: D5W vo: 0 v1: 1 du: mghr sv: 60 su: ml rt: IV Drip
t0: [11:00:00 29/03/2015] id: TF Residual Gastric/TF Residual el: 1 cu: MICU-A cg: -1 ai: 189 vo: 110 vu: ml t0: [11:00:00 29/03/2015] id: Gastric Meds PO/Gastric el: 1 cu: MICU-A cg: -1 ai: 153 vo: 100 vu: ml t0: [11:00:00 29/03/2015] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 1 vu: ml t0: [11:00:00 29/03/2015] id: .9% Normal Saline 250.0ml IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 10 vu: ml t0: [11:00:00 29/03/2015] id: .9% Normal Saline 50.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 2 vu: ml t0: [11:00:00 29/03/2015] id: Urine Out Foley el: 1 cu: MICU-A cg: -1 vo: 475 vu: ml
t0: [11:30:00 29/03/2015] id: Urine Out Foley el: 1 cu: MICU-A cg: -1 vo: 300 vu: ml
t0: [12:00:00 29/03/2015] id: INV Line#4 D/C Date el: 0 cu: MICU-A cg: -1 st: D/C'd t0: [12:00:00 29/03/2015] id: INV Line#4 Type/Site el: 0 cu: MICU-A cg: -1 st: D/C'd t0: [12:00:00 29/03/2015] id: INV Line#4InsertDate el: 0 cu: MICU-A cg: -1 st: D/C'd t0: [12:00:00 29/03/2015] id: INV Line#4SiteAppear el: 0 cu: MICU-A cg: -1 st: D/C'd
t0: [12:00:00 29/03/2015] id: Less Restrict Meas. el: 0 cu: MICU-A cg: -1 v1: Medicated st: NotStopd t0: [12:00:00 29/03/2015] id: Range of Motion el: 0 cu: MICU-A cg: -1 v1: Done st: NotStopd t0: [12:00:00 29/03/2015] id: Service Type el: 0 cu: MICU-A cg: -1 v1: MICU st: NotStopd t0: [12:00:00 29/03/2015] id: Circulation/SkinInt el: 0 cu: MICU-A cg: -1 v1: Circulation Adeq st: NotStopd t0: [12:00:00 29/03/2015] id: Code Status el: 0 cu: MICU-A cg: -1 v1: Full Code st: NotStopd t0: [12:00:00 29/03/2015] id: Dorsal PedPulse R/L el: 0 cu: MICU-A cg: -1 v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [12:00:00 29/03/2015] id: Ectopy Frequency el: 0 cu: MICU-A cg: -1 v1: Occasional st: NotStopd t0: [12:00:00 29/03/2015] id: Ectopy Type el: 0 cu: MICU-A cg: -1 v1: PAC's st: NotStopd t0: [12:00:00 29/03/2015] id: Eye Opening el: 0 cu: MICU-A cg: -1 v1: 3 To speech st: NotStopd t0: [12:00:00 29/03/2015] id: Family Communication el: 0 cu: MICU-A cg: -1 v1: Family Visited st: NotStopd t0: [12:00:00 29/03/2015] id: GCS Total el: 0 cu: MICU-A cg: -1 v1: 10 u1: points st: NotStopd t0: [12:00:00 29/03/2015] id: GI Intub #1/Site el: 0 cu: MICU-A cg: -1 v1: Salem Sump v2: Oral st: NotStopd t0: [12:00:00 29/03/2015] id: GI#1 Tube Stat/Drain el: 0 cu: MICU-A cg: -1 v1: Clamped v2: Undigested Food st: NotStopd t0: [12:00:00 29/03/2015] id: HOB el: 0 cu: MICU-A cg: -1 v1: 30 degrees st: NotStopd t0: [12:00:00 29/03/2015] id: Heart Rate el: 0 cu: MICU-A cg: -1 v1: 91 u1: BPM st: NotStopd t0: [12:00:00 29/03/2015] id: Heart Rhythm el: 0 cu: MICU-A cg: -1 v1: Normal Sinus st: NotStopd t0: [12:00:00 29/03/2015] id: INV Line#1 Type/Site el: 0 cu: MICU-A cg: -1 v1: A-Line v2: Right Radial st: NotStopd t0: [12:00:00 29/03/2015] id: INV Line#1 Zero/Cal el: 0 cu: MICU-A cg: -1 v1: No st: NotStopd t0: [12:00:00 29/03/2015] id: INV Line#1InsertDate el: 0 cu: MICU-A cg: -1 v1: 2 v2: 22 st: NotStopd t0: [12:00:00 29/03/2015] id: INV Line#1SiteAppear el: 0 cu: MICU-A cg: -1 v1: WNL st: NotStopd t0: [12:00:00 29/03/2015] id: Abdominal Assessment el: 0 cu: MICU-A cg: -1 v1: Soft st: NotStopd t0: [12:00:00 29/03/2015] id: INV#1 WaveformAppear el: 0 cu: MICU-A cg: -1 v1: Sharp st: NotStopd t0: [12:00:00 29/03/2015] id: IV #1 Insert Date el: 0 cu: MICU-A cg: -1 v1: 2 v2: 22 st: NotStopd t0: [12:00:00 29/03/2015] id: IV #1 Site/Size el: 0 cu: MICU-A cg: -1 v1: LL Ant Forearm v2: 20 gauge st: NotStopd t0: [12:00:00 29/03/2015] id: IV #3 Insert Date el: 0 cu: MICU-A cg: -1 v1: 2 v2: 22 st: NotStopd t0: [12:00:00 29/03/2015] id: IV #3 Site/Size el: 0 cu: MICU-A cg: -1 v1: RU Ant Forearm v2: 18 gauge st: NotStopd t0: [12:00:00 29/03/2015] id: Activity el: 0 cu: MICU-A cg: -1 v1: Bedrest st: NotStopd t0: [12:00:00 29/03/2015] id: IV Site Appear #1 el: 0 cu: MICU-A cg: -1 v1: WNL st: NotStopd t0: [12:00:00 29/03/2015] id: IV Site Appear #3 el: 0 cu: MICU-A cg: -1 v1: WNL st: NotStopd t0: [12:00:00 29/03/2015] id: Activity Tolerance el: 0 cu: MICU-A cg: -1 v1: Good st: NotStopd t0: [12:00:00 29/03/2015] id: LLL Lung Sounds el: 0 cu: MICU-A cg: -1 v1: Diminished st: NotStopd t0: [12:00:00 29/03/2015] id: LUL Lung Sounds el: 0 cu: MICU-A cg: -1 v1: Clear st: NotStopd t0: [12:00:00 29/03/2015] id: Level of Conscious el: 0 cu: MICU-A cg: -1 v1: Arouse to Voice st: NotStopd t0: [12:00:00 29/03/2015] id: Motor Response el: 0 cu: MICU-A cg: -1 v1: 6 Obeys Commands st: NotStopd t0: [12:00:00 29/03/2015] id: Oral Care el: 0 cu: MICU-A cg: -1 v1: Done st: NotStopd t0: [12:00:00 29/03/2015] id: Oral Cavity el: 0 cu: MICU-A cg: -1 v1: Teeth/Tissue WNL st: NotStopd t0: [12:00:00 29/03/2015] id: Orientation el: 0 cu: MICU-A cg: -1 v1: Other/Remarks st: NotStopd t0: [12:00:00 29/03/2015] id: Arterial BP el: 0 cu: MICU-A cg: -1 v1: 125 u1: mmHg v2: 48 u2: mmHg st: NotStopd t0: [12:00:00 29/03/2015] id: Arterial BP Mean el: 0 cu: MICU-A cg: -1 v1: 70 u1: mmHg st: NotStopd t0: [12:00:00 29/03/2015] id: Position el: 0 cu: MICU-A cg: -1 v1: Right Side st: NotStopd t0: [12:00:00 29/03/2015] id: Position Change el: 0 cu: MICU-A cg: -1 v1: Done st: NotStopd t0: [12:00:00 29/03/2015] id: PostTib. Pulses R/L el: 0 cu: MICU-A cg: -1 v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [12:00:00 29/03/2015] id: Assistance Device el: 0 cu: MICU-A cg: -1 v1: 2 Person Assist st: NotStopd t0: [12:00:00 29/03/2015] id: Precautions el: 0 cu: MICU-A cg: -1 v1: Universal st: NotStopd t0: [12:00:00 29/03/2015] id: Previous WeightF el: 0 cu: MICU-A cg: -1 v1: 79.5 u1: kg st: NotStopd t0: [12:00:00 29/03/2015] id: RLL Lung Sounds el: 0 cu: MICU-A cg: -1 v1: Diminished st: NotStopd t0: [12:00:00 29/03/2015] id: RUL Lung Sounds el: 0 cu: MICU-A cg: -1 v1: Clear st: NotStopd t0: [12:00:00 29/03/2015] id: Reason For Restraint el: 0 cu: MICU-A cg: -1 v1: Ext/TXInterfere st: NotStopd t0: [12:00:00 29/03/2015] id: Removed x 5 Mins el: 0 cu: MICU-A cg: -1 v1: Done st: NotStopd t0: [12:00:00 29/03/2015] id: Respiratory Pattern el: 0 cu: MICU-A cg: -1 v1: Regular st: NotStopd t0: [12:00:00 29/03/2015] id: Respiratory Rate el: 0 cu: MICU-A cg: -1 v1: 25 u1: BPM st: NotStopd t0: [12:00:00 29/03/2015] id: Restraint Location el: 0 cu: MICU-A cg: -1 v1: Both Arms st: NotStopd t0: [12:00:00 29/03/2015] id: Restraint Type el: 0 cu: MICU-A cg: -1 v1: Soft Limb st: NotStopd t0: [12:00:00 29/03/2015] id: Restraints Evaluated el: 0 cu: MICU-A cg: -1 v1: Behavior Conts st: NotStopd t0: [12:00:00 29/03/2015] id: Side Rails el: 0 cu: MICU-A cg: -1 v1: Side Rails Up st: NotStopd t0: [12:00:00 29/03/2015] id: Skin Care el: 0 cu: MICU-A cg: -1 v1: Done st: NotStopd t0: [12:00:00 29/03/2015] id: Skin Integrity el: 0 cu: MICU-A cg: -1 v1: Intact st: NotStopd t0: [12:00:00 29/03/2015] id: SpO2 el: 0 cu: MICU-A cg: -1 v1: 95 u1: % st: NotStopd t0: [12:00:00 29/03/2015] id: Support Systems el: 0 cu: MICU-A cg: -1 v1: Spouse st: NotStopd t0: [12:00:00 29/03/2015] id: Temperature C (calc) el: 0 cu: MICU-A cg: -1 v1: 37.2778 u1: Deg. C st: NotStopd t0: [12:00:00 29/03/2015] id: Temperature F el: 0 cu: MICU-A cg: -1 v1: 99.1 u1: Deg. F st: NotStopd t0: [12:00:00 29/03/2015] id: Turn el: 0 cu: MICU-A cg: -1 v1: Right Side st: NotStopd t0: [12:00:00 29/03/2015] id: Urine Color/Appear el: 0 cu: MICU-A cg: -1 v1: Light Yellow v2: Clear st: NotStopd t0: [12:00:00 29/03/2015] id: Urine Source el: 0 cu: MICU-A cg: -1 v1: Indwelling Cath st: NotStopd t0: [12:00:00 29/03/2015] id: Verbal Response el: 0 cu: MICU-A cg: -1 v1: 1.0 ET/Trach st: NotStopd t0: [12:00:00 29/03/2015] id: Back Care el: 0 cu: MICU-A cg: -1 v1: Done st: NotStopd t0: [12:00:00 29/03/2015] id: calprevflg el: 0 cu: MICU-A cg: -1 v1: 1 u1: kg st: NotStopd t0: [12:00:00 29/03/2015] id: Behavior el: 0 cu: MICU-A cg: -1 v1: Sedated st: NotStopd t0: [12:00:00 29/03/2015] id: Bowel Sounds el: 0 cu: MICU-A cg: -1 v1: Present st: NotStopd t0: [12:00:00 29/03/2015] id: Braden Activity el: 0 cu: MICU-A cg: -1 v1: Bedfast st: NotStopd t0: [12:00:00 29/03/2015] id: Braden Frict/Shear el: 0 cu: MICU-A cg: -1 v1: Potential Prob st: NotStopd t0: [12:00:00 29/03/2015] id: Braden Mobility el: 0 cu: MICU-A cg: -1 v1: Very Limited st: NotStopd t0: [12:00:00 29/03/2015] id: Braden Moisture el: 0 cu: MICU-A cg: -1 v1: Occ. Moist st: NotStopd t0: [12:00:00 29/03/2015] id: Braden Nutrition el: 0 cu: MICU-A cg: -1 v1: Prob. Inadequate st: NotStopd t0: [12:00:00 29/03/2015] id: Braden Score el: 0 cu: MICU-A cg: -1 v1: 13 u1: number st: NotStopd t0: [12:00:00 29/03/2015] id: Braden SensoryPercep el: 0 cu: MICU-A cg: -1 v1: Sl. Limited st: NotStopd
t0: [12:00:00 29/03/2015] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 1 vu: ml t0: [12:00:00 29/03/2015] id: .9% Normal Saline 250.0ml IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 10 vu: ml t0: [12:00:00 29/03/2015] id: .9% Normal Saline 50.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 2 vu: ml t0: [12:00:00 29/03/2015] id: Urine Out Foley el: 1 cu: MICU-A cg: -1 vo: 555 vu: ml
t0: [12:00:00 29/03/2015] id: Fentanyl el: 1 cu: MICU-A so: .9% Normal Saline vo: 0 v1: 100 du: mcghr sv: 50 su: ml rt: IV Drip t0: [12:00:00 29/03/2015] id: Ativan el: 1 cu: MICU-A so: D5W vo: 0 v1: 2 du: mghr sv: 60 su: ml rt: IV Drip
t0: [13:00:00 29/03/2015] id: Service Type el: 0 cu: MICU-A cg: -1 v1: MICU st: NotStopd t0: [13:00:00 29/03/2015] id: Code Status el: 0 cu: MICU-A cg: -1 v1: Full Code st: NotStopd t0: [13:00:00 29/03/2015] id: Ectopy Frequency el: 0 cu: MICU-A cg: -1 v1: Occasional st: NotStopd t0: [13:00:00 29/03/2015] id: Ectopy Type el: 0 cu: MICU-A cg: -1 v1: PAC's st: NotStopd t0: [13:00:00 29/03/2015] id: Heart Rate el: 0 cu: MICU-A cg: -1 v1: 86 u1: BPM st: NotStopd t0: [13:00:00 29/03/2015] id: Heart Rhythm el: 0 cu: MICU-A cg: -1 v1: Normal Sinus st: NotStopd t0: [13:00:00 29/03/2015] id: Arterial BP el: 0 cu: MICU-A cg: -1 v1: 96 u1: mmHg v2: 46 u2: mmHg st: NotStopd t0: [13:00:00 29/03/2015] id: Arterial BP Mean el: 0 cu: MICU-A cg: -1 v1: 59 u1: mmHg st: NotStopd t0: [13:00:00 29/03/2015] id: Precautions el: 0 cu: MICU-A cg: -1 v1: Universal st: NotStopd t0: [13:00:00 29/03/2015] id: Previous WeightF el: 0 cu: MICU-A cg: -1 v1: 79.5 u1: kg st: NotStopd t0: [13:00:00 29/03/2015] id: Respiratory Rate el: 0 cu: MICU-A cg: -1 v1: 22 u1: BPM st: NotStopd t0: [13:00:00 29/03/2015] id: SpO2 el: 0 cu: MICU-A cg: -1 v1: 96 u1: % st: NotStopd t0: [13:00:00 29/03/2015] id: calprevflg el: 0 cu: MICU-A cg: -1 v1: 1 u1: kg st: NotStopd
t0: [13:00:00 29/03/2015] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 2 vu: ml t0: [13:00:00 29/03/2015] id: .9% Normal Saline 250.0ml IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 10 vu: ml t0: [13:00:00 29/03/2015] id: .9% Normal Saline 50.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 2 vu: ml t0: [13:00:00 29/03/2015] id: Urine Out Foley el: 1 cu: MICU-A cg: -1 vo: 250 vu: ml
t0: [13:00:00 29/03/2015] id: Fentanyl el: 1 cu: MICU-A so: .9% Normal Saline vo: 0 v1: 100 du: mcghr sv: 50 su: ml rt: IV Drip t0: [13:00:00 29/03/2015] id: Ativan el: 1 cu: MICU-A so: D5W vo: 0 v1: 2 du: mghr sv: 60 su: ml rt: IV Drip
t0: [13:30:00 29/03/2015] id: Significant Events el: 0 cu: MICU-A cg: -1 v1: Fluid Bolus st: NotStopd
t0: [13:30:00 29/03/2015] id: D5W 100.0ml IV Infusions el: 1 cu: MICU-A cg: -1 ai: 105 vo: 250 vu: ml
t0: [13:30:00 29/03/2015] id: Service Type el: 0 cu: MICU-A cg: -1 v1: MICU st: NotStopd t0: [13:30:00 29/03/2015] id: Code Status el: 0 cu: MICU-A cg: -1 v1: Full Code st: NotStopd t0: [13:30:00 29/03/2015] id: Ectopy Frequency el: 0 cu: MICU-A cg: -1 v1: Occasional st: NotStopd t0: [13:30:00 29/03/2015] id: Ectopy Type el: 0 cu: MICU-A cg: -1 v1: PAC's st: NotStopd t0: [13:30:00 29/03/2015] id: Heart Rate el: 0 cu: MICU-A cg: -1 v1: 82 u1: BPM st: NotStopd t0: [13:30:00 29/03/2015] id: Heart Rhythm el: 0 cu: MICU-A cg: -1 v1: Normal Sinus st: NotStopd t0: [13:30:00 29/03/2015] id: Arterial BP el: 0 cu: MICU-A cg: -1 v1: 88 u1: mmHg v2: 43 u2: mmHg st: NotStopd t0: [13:30:00 29/03/2015] id: Arterial BP Mean el: 0 cu: MICU-A cg: -1 v1: 56 u1: mmHg st: NotStopd t0: [13:30:00 29/03/2015] id: Precautions el: 0 cu: MICU-A cg: -1 v1: Universal st: NotStopd t0: [13:30:00 29/03/2015] id: Previous WeightF el: 0 cu: MICU-A cg: -1 v1: 79.5 u1: kg st: NotStopd t0: [13:30:00 29/03/2015] id: Respiratory Rate el: 0 cu: MICU-A cg: -1 v1: 22 u1: BPM st: NotStopd t0: [13:30:00 29/03/2015] id: SpO2 el: 0 cu: MICU-A cg: -1 v1: 96 u1: % st: NotStopd t0: [13:30:00 29/03/2015] id: calprevflg el: 0 cu: MICU-A cg: -1 v1: 1 u1: kg st: NotStopd
t0: [13:30:00 29/03/2015] id: Fentanyl el: 1 cu: MICU-A so: .9% Normal Saline vo: 0 v1: 100 du: mcghr sv: 50 su: ml rt: IV Drip t0: [13:30:00 29/03/2015] id: Ativan el: 1 cu: MICU-A so: D5W vo: 0 v1: 1 du: mghr sv: 60 su: ml rt: IV Drip
t0: [14:00:00 29/03/2015] id: Compliance (40-60ml) el: 0 cu: MICU-A cg: RT v1: 44 u1: ml/cmH st: NotStopd t0: [14:00:00 29/03/2015] id: ETT Mark/Location el: 0 cu: MICU-A cg: RT v1: 22cm v2: Lip st: NotStopd t0: [14:00:00 29/03/2015] id: FiO2 Set el: 0 cu: MICU-A cg: RT v1: 0.5 u1: torr st: NotStopd t0: [14:00:00 29/03/2015] id: High Insp. Pressure el: 0 cu: MICU-A cg: RT v1: 50 u1: cmH2O st: NotStopd t0: [14:00:00 29/03/2015] id: High Resp. Rate el: 0 cu: MICU-A cg: RT v1: 35 u1: BPM st: NotStopd t0: [14:00:00 29/03/2015] id: Airway Size el: 0 cu: MICU-A cg: RT v1: 9.0 mm st: NotStopd t0: [14:00:00 29/03/2015] id: Airway Type el: 0 cu: MICU-A cg: RT v1: Endotracheal st: NotStopd t0: [14:00:00 29/03/2015] id: Inspired Gas Temp el: 0 cu: MICU-A cg: RT v1: 33.6 u1: Deg. C st: NotStopd t0: [14:00:00 29/03/2015] id: Intubation Date el: 0 cu: MICU-A cg: RT v1: 2 v2: 22 st: NotStopd t0: [14:00:00 29/03/2015] id: Low Exhaled Min Vol el: 0 cu: MICU-A cg: RT v1: 5 st: NotStopd t0: [14:00:00 29/03/2015] id: Low Insp. Pressure el: 0 cu: MICU-A cg: RT v1: 10 u1: cmH2O st: NotStopd t0: [14:00:00 29/03/2015] id: MDI #1 (Puff/Drug) el: 0 cu: MICU-A cg: RT v1: 6 v2: Albuterol st: NotStopd t0: [14:00:00 29/03/2015] id: MDI #2 (Puff/Drug) el: 0 cu: MICU-A cg: RT v1: 6 v2: Atrovent st: NotStopd t0: [14:00:00 29/03/2015] id: Mean Airway Pressure el: 0 cu: MICU-A cg: RT v1: 12 u1: cmH2O st: NotStopd t0: [14:00:00 29/03/2015] id: Minute Volume(Obser) el: 0 cu: MICU-A cg: RT v1: 11.9 u1: L/min st: NotStopd t0: [14:00:00 29/03/2015] id: PEEP Set el: 0 cu: MICU-A cg: RT v1: 7.5 u1: cmH2O st: NotStopd t0: [14:00:00 29/03/2015] id: Peak Flow el: 0 cu: MICU-A cg: RT v1: 65 u1: L/m st: NotStopd t0: [14:00:00 29/03/2015] id: Peak Insp. Pressure el: 0 cu: MICU-A cg: RT v1: 20 u1: cmH2O st: NotStopd t0: [14:00:00 29/03/2015] id: Plateau Pressure el: 0 cu: MICU-A cg: RT v1: 18 u1: cmH2O st: NotStopd t0: [14:00:00 29/03/2015] id: Plateau-Off el: 0 cu: MICU-A cg: RT v1: Yes st: NotStopd t0: [14:00:00 29/03/2015] id: Resp Rate (Spont) el: 0 cu: MICU-A cg: RT v1: 0 u1: BPM st: NotStopd t0: [14:00:00 29/03/2015] id: Resp Rate (Total) el: 0 cu: MICU-A cg: RT v1: 22 u1: BPM st: NotStopd t0: [14:00:00 29/03/2015] id: Respiratory Rate Set el: 0 cu: MICU-A cg: RT v1: 22 u1: BPM st: NotStopd t0: [14:00:00 29/03/2015] id: Sensitivity-Vent el: 0 cu: MICU-A cg: RT v1: 1 u1: cmH2O st: NotStopd t0: [14:00:00 29/03/2015] id: SpO2 el: 0 cu: MICU-A cg: RT v1: 97 u1: % st: NotStopd t0: [14:00:00 29/03/2015] id: Tidal Volume (Obser) el: 0 cu: MICU-A cg: RT v1: 600 u1: ml/B st: NotStopd t0: [14:00:00 29/03/2015] id: Tidal Volume (Set) el: 0 cu: MICU-A cg: RT v1: 550 u1: ml/B st: NotStopd t0: [14:00:00 29/03/2015] id: Ventilator Mode el: 0 cu: MICU-A cg: RT v1: Assist Control st: NotStopd t0: [14:00:00 29/03/2015] id: Ventilator No. el: 0 cu: MICU-A cg: RT v1: 20 u1: # st: NotStopd t0: [14:00:00 29/03/2015] id: Ventilator Type el: 0 cu: MICU-A cg: RT v1: 7200A st: NotStopd t0: [14:00:00 29/03/2015] id: Waveform-Vent el: 0 cu: MICU-A cg: RT v1: RAMP st: NotStopd
t0: [14:00:00 29/03/2015] id: Service Type el: 0 cu: MICU-A cg: -1 v1: MICU st: NotStopd t0: [14:00:00 29/03/2015] id: Code Status el: 0 cu: MICU-A cg: -1 v1: Full Code st: NotStopd t0: [14:00:00 29/03/2015] id: Ectopy Frequency el: 0 cu: MICU-A cg: -1 v1: Occasional st: NotStopd t0: [14:00:00 29/03/2015] id: Ectopy Type el: 0 cu: MICU-A cg: -1 v1: PAC's st: NotStopd t0: [14:00:00 29/03/2015] id: Heart Rate el: 0 cu: MICU-A cg: -1 v1: 77 u1: BPM st: NotStopd t0: [14:00:00 29/03/2015] id: Heart Rhythm el: 0 cu: MICU-A cg: -1 v1: Normal Sinus st: NotStopd t0: [14:00:00 29/03/2015] id: Arterial BP el: 0 cu: MICU-A cg: -1 v1: 85 u1: mmHg v2: 41 u2: mmHg st: NotStopd t0: [14:00:00 29/03/2015] id: Arterial BP Mean el: 0 cu: MICU-A cg: -1 v1: 53 u1: mmHg st: NotStopd t0: [14:00:00 29/03/2015] id: Precautions el: 0 cu: MICU-A cg: -1 v1: Universal st: NotStopd t0: [14:00:00 29/03/2015] id: Previous WeightF el: 0 cu: MICU-A cg: -1 v1: 79.5 u1: kg st: NotStopd t0: [14:00:00 29/03/2015] id: Respiratory Rate el: 0 cu: MICU-A cg: -1 v1: 22 u1: BPM st: NotStopd t0: [14:00:00 29/03/2015] id: calprevflg el: 0 cu: MICU-A cg: -1 v1: 1 u1: kg st: NotStopd
t0: [14:00:00 29/03/2015] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 1.5 vu: ml t0: [14:00:00 29/03/2015] id: .9% Normal Saline 250.0ml IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 10 vu: ml t0: [14:00:00 29/03/2015] id: .9% Normal Saline 50.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 2 vu: ml t0: [14:00:00 29/03/2015] id: Urine Out Foley el: 1 cu: MICU-A cg: -1 vo: 100 vu: ml
t0: [14:00:00 29/03/2015] id: Fentanyl el: 1 cu: MICU-A so: .9% Normal Saline vo: 0 v1: 100 du: mcghr sv: 50 su: ml rt: IV Drip t0: [14:00:00 29/03/2015] id: Ativan el: 1 cu: MICU-A so: D5W vo: 0 v1: 1 du: mghr sv: 60 su: ml rt: IV Drip
t0: [14:00:00 29/03/2015] id: IV #3 D/C Date el: 0 cu: MICU-A cg: -1 v1: 2 v2: 24 st: NotStopd t0: [14:00:00 29/03/2015] id: IV #3 Insert Date el: 0 cu: MICU-A cg: -1 v1: 2 v2: 22 st: NotStopd t0: [14:00:00 29/03/2015] id: IV #3 Site/Size el: 0 cu: MICU-A cg: -1 v1: RU Ant Forearm v2: 18 gauge st: NotStopd t0: [14:00:00 29/03/2015] id: IV Site Appear #3 el: 0 cu: MICU-A cg: -1 v1: Infiltrated st: NotStopd
t0: [14:00:00 29/03/2015] id: IV #2 Insert Date el: 0 cu: MICU-A cg: -1 v1: 2 v2: 24 st: NotStopd t0: [14:00:00 29/03/2015] id: IV #2 Site/Size el: 0 cu: MICU-A cg: -1 v1: Left Antecub v2: 20 gauge st: NotStopd t0: [14:00:00 29/03/2015] id: IV Site Appear #2 el: 0 cu: MICU-A cg: -1 v1: WNL st: NotStopd
t0: [15:00:00 29/03/2015] id: IV #3 D/C Date el: 0 cu: MICU-A cg: -1 st: D/C'd t0: [15:00:00 29/03/2015] id: IV #3 Insert Date el: 0 cu: MICU-A cg: -1 st: D/C'd t0: [15:00:00 29/03/2015] id: IV #3 Site/Size el: 0 cu: MICU-A cg: -1 st: D/C'd t0: [15:00:00 29/03/2015] id: IV Site Appear #3 el: 0 cu: MICU-A cg: -1 st: D/C'd
t0: [14:58:00 29/03/2015] id: Art.pH ABG el: 0 cu: MICU-A cg: 1663 v1: 7.45 rs: Final st: NotStopd t0: [14:58:00 29/03/2015] id: Arterial Base Excess ABG el: 0 cu: MICU-A cg: 1663 v1: 2 rs: Final st: NotStopd t0: [14:58:00 29/03/2015] id: Arterial CO2(Calc) ABG el: 0 cu: MICU-A cg: 1663 v1: 27 rs: Final st: NotStopd t0: [14:58:00 29/03/2015] id: Arterial PaCO2 ABG el: 0 cu: MICU-A cg: 1663 v1: 38 u1: mmHg rs: Final st: NotStopd t0: [14:58:00 29/03/2015] id: Arterial PaO2 ABG el: 0 cu: MICU-A cg: 1663 v1: 71 u1: mmHg rs: Final st: NotStopd t0: [14:58:00 29/03/2015] id: Arterial pH ABG el: 0 cu: MICU-A cg: 1663 v1: 7.45 rs: Final st: NotStopd t0: [14:58:00 29/03/2015] id: Potassium (3.5-5.3) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 3.3 rs: Final st: NotStopd
t0: [16:00:00 29/03/2015] id: Less Restrict Meas. el: 0 cu: MICU-A cg: -1 v1: Medicated st: NotStopd t0: [16:00:00 29/03/2015] id: Range of Motion el: 0 cu: MICU-A cg: -1 v1: Done st: NotStopd t0: [16:00:00 29/03/2015] id: Service Type el: 0 cu: MICU-A cg: -1 v1: MICU st: NotStopd t0: [16:00:00 29/03/2015] id: Circulation/SkinInt el: 0 cu: MICU-A cg: -1 v1: Circulation Adeq st: NotStopd t0: [16:00:00 29/03/2015] id: Code Status el: 0 cu: MICU-A cg: -1 v1: Full Code st: NotStopd t0: [16:00:00 29/03/2015] id: Dorsal PedPulse R/L el: 0 cu: MICU-A cg: -1 v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [16:00:00 29/03/2015] id: Ectopy Frequency el: 0 cu: MICU-A cg: -1 v1: Occasional st: NotStopd t0: [16:00:00 29/03/2015] id: Ectopy Type el: 0 cu: MICU-A cg: -1 v1: PAC's st: NotStopd t0: [16:00:00 29/03/2015] id: Eye Opening el: 0 cu: MICU-A cg: -1 v1: 3 To speech st: NotStopd t0: [16:00:00 29/03/2015] id: GCS Total el: 0 cu: MICU-A cg: -1 v1: 10 u1: points st: NotStopd t0: [16:00:00 29/03/2015] id: GI Intub #1/Site el: 0 cu: MICU-A cg: -1 v1: Salem Sump v2: Oral st: NotStopd t0: [16:00:00 29/03/2015] id: GI#1 Tube PlaceCheck el: 0 cu: MICU-A cg: -1 v1: Done st: NotStopd t0: [16:00:00 29/03/2015] id: GI#1 Tube Stat/Drain el: 0 cu: MICU-A cg: -1 v1: Clamped v2: Undigested Food st: NotStopd t0: [16:00:00 29/03/2015] id: HOB el: 0 cu: MICU-A cg: -1 v1: 30 degrees st: NotStopd t0: [16:00:00 29/03/2015] id: Heart Rate el: 0 cu: MICU-A cg: -1 v1: 73 u1: BPM st: NotStopd t0: [16:00:00 29/03/2015] id: Heart Rhythm el: 0 cu: MICU-A cg: -1 v1: Normal Sinus st: NotStopd t0: [16:00:00 29/03/2015] id: INV Line#1 Type/Site el: 0 cu: MICU-A cg: -1 v1: A-Line v2: Right Radial st: NotStopd t0: [16:00:00 29/03/2015] id: INV Line#1 Zero/Cal el: 0 cu: MICU-A cg: -1 v1: Yes st: NotStopd t0: [16:00:00 29/03/2015] id: INV Line#1InsertDate el: 0 cu: MICU-A cg: -1 v1: 2 v2: 22 st: NotStopd t0: [16:00:00 29/03/2015] id: INV Line#1SiteAppear el: 0 cu: MICU-A cg: -1 v1: WNL st: NotStopd t0: [16:00:00 29/03/2015] id: Abdominal Assessment el: 0 cu: MICU-A cg: -1 v1: Soft st: NotStopd t0: [16:00:00 29/03/2015] id: INV#1 WaveformAppear el: 0 cu: MICU-A cg: -1 v1: Sharp st: NotStopd t0: [16:00:00 29/03/2015] id: IV #1 Insert Date el: 0 cu: MICU-A cg: -1 v1: 2 v2: 22 st: NotStopd t0: [16:00:00 29/03/2015] id: IV #1 Site/Size el: 0 cu: MICU-A cg: -1 v1: LL Ant Forearm v2: 20 gauge st: NotStopd t0: [16:00:00 29/03/2015] id: IV #2 Insert Date el: 0 cu: MICU-A cg: -1 v1: 2 v2: 24 st: NotStopd t0: [16:00:00 29/03/2015] id: IV #2 Site/Size el: 0 cu: MICU-A cg: -1 v1: Left Antecub v2: 20 gauge st: NotStopd t0: [16:00:00 29/03/2015] id: Activity el: 0 cu: MICU-A cg: -1 v1: Bedrest st: NotStopd t0: [16:00:00 29/03/2015] id: IV Site Appear #1 el: 0 cu: MICU-A cg: -1 v1: WNL st: NotStopd t0: [16:00:00 29/03/2015] id: IV Site Appear #2 el: 0 cu: MICU-A cg: -1 v1: WNL st: NotStopd t0: [16:00:00 29/03/2015] id: Activity Tolerance el: 0 cu: MICU-A cg: -1 v1: Tolerated Well st: NotStopd t0: [16:00:00 29/03/2015] id: LLL Lung Sounds el: 0 cu: MICU-A cg: -1 v1: Diminished st: NotStopd t0: [16:00:00 29/03/2015] id: LUL Lung Sounds el: 0 cu: MICU-A cg: -1 v1: Clear st: NotStopd t0: [16:00:00 29/03/2015] id: Level of Conscious el: 0 cu: MICU-A cg: -1 v1: Arouse to Voice st: NotStopd t0: [16:00:00 29/03/2015] id: Motor Response el: 0 cu: MICU-A cg: -1 v1: 6 Obeys Commands st: NotStopd t0: [16:00:00 29/03/2015] id: Oral Cavity el: 0 cu: MICU-A cg: -1 v1: Teeth/Tissue WNL st: NotStopd t0: [16:00:00 29/03/2015] id: Orientation el: 0 cu: MICU-A cg: -1 v1: Other/Remarks st: NotStopd t0: [16:00:00 29/03/2015] id: Arterial BP el: 0 cu: MICU-A cg: -1 v1: 113 u1: mmHg v2: 43 u2: mmHg st: NotStopd t0: [16:00:00 29/03/2015] id: Arterial BP Mean el: 0 cu: MICU-A cg: -1 v1: 64 u1: mmHg st: NotStopd t0: [16:00:00 29/03/2015] id: Position el: 0 cu: MICU-A cg: -1 v1: Left Side st: NotStopd t0: [16:00:00 29/03/2015] id: Position Change el: 0 cu: MICU-A cg: -1 v1: Done st: NotStopd t0: [16:00:00 29/03/2015] id: PostTib. Pulses R/L el: 0 cu: MICU-A cg: -1 v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [16:00:00 29/03/2015] id: Assistance Device el: 0 cu: MICU-A cg: -1 v1: 2 Person Assist st: NotStopd t0: [16:00:00 29/03/2015] id: Precautions el: 0 cu: MICU-A cg: -1 v1: Universal st: NotStopd t0: [16:00:00 29/03/2015] id: Previous WeightF el: 0 cu: MICU-A cg: -1 v1: 79.5 u1: kg st: NotStopd t0: [16:00:00 29/03/2015] id: RLL Lung Sounds el: 0 cu: MICU-A cg: -1 v1: Diminished st: NotStopd t0: [16:00:00 29/03/2015] id: RUL Lung Sounds el: 0 cu: MICU-A cg: -1 v1: Clear st: NotStopd t0: [16:00:00 29/03/2015] id: Reason For Restraint el: 0 cu: MICU-A cg: -1 v1: Ext/TXInterfere st: NotStopd t0: [16:00:00 29/03/2015] id: Removed x 5 Mins el: 0 cu: MICU-A cg: -1 v1: Done st: NotStopd t0: [16:00:00 29/03/2015] id: Respiratory Pattern el: 0 cu: MICU-A cg: -1 v1: Regular st: NotStopd t0: [16:00:00 29/03/2015] id: Respiratory Rate el: 0 cu: MICU-A cg: -1 v1: 22 u1: BPM st: NotStopd t0: [16:00:00 29/03/2015] id: Restraint Location el: 0 cu: MICU-A cg: -1 v1: Both Arms st: NotStopd t0: [16:00:00 29/03/2015] id: Restraint Type el: 0 cu: MICU-A cg: -1 v1: Soft Limb st: NotStopd t0: [16:00:00 29/03/2015] id: Restraints Evaluated el: 0 cu: MICU-A cg: -1 v1: RestraintReapply st: NotStopd t0: [16:00:00 29/03/2015] id: Side Rails el: 0 cu: MICU-A cg: -1 v1: Side Rails Up st: NotStopd t0: [16:00:00 29/03/2015] id: Skin Integrity el: 0 cu: MICU-A cg: -1 v1: Intact st: NotStopd t0: [16:00:00 29/03/2015] id: SpO2 el: 0 cu: MICU-A cg: -1 v1: 94 u1: % st: NotStopd t0: [16:00:00 29/03/2015] id: Support Systems el: 0 cu: MICU-A cg: -1 v1: Spouse st: NotStopd t0: [16:00:00 29/03/2015] id: Turn el: 0 cu: MICU-A cg: -1 v1: Left Side st: NotStopd t0: [16:00:00 29/03/2015] id: Urine Color/Appear el: 0 cu: MICU-A cg: -1 v1: Light Yellow v2: Clear st: NotStopd t0: [16:00:00 29/03/2015] id: Urine Source el: 0 cu: MICU-A cg: -1 v1: Indwelling Cath st: NotStopd t0: [16:00:00 29/03/2015] id: Verbal Response el: 0 cu: MICU-A cg: -1 v1: 1.0 ET/Trach st: NotStopd t0: [16:00:00 29/03/2015] id: calprevflg el: 0 cu: MICU-A cg: -1 v1: 1 u1: kg st: NotStopd t0: [16:00:00 29/03/2015] id: Behavior el: 0 cu: MICU-A cg: -1 v1: Sedated st: NotStopd t0: [16:00:00 29/03/2015] id: Bowel Sounds el: 0 cu: MICU-A cg: -1 v1: Present st: NotStopd t0: [16:00:00 29/03/2015] id: Braden Activity el: 0 cu: MICU-A cg: -1 v1: Bedfast st: NotStopd t0: [16:00:00 29/03/2015] id: Braden Frict/Shear el: 0 cu: MICU-A cg: -1 v1: Potential Prob st: NotStopd t0: [16:00:00 29/03/2015] id: Braden Mobility el: 0 cu: MICU-A cg: -1 v1: Very Limited st: NotStopd t0: [16:00:00 29/03/2015] id: Braden Moisture el: 0 cu: MICU-A cg: -1 v1: Occ. Moist st: NotStopd t0: [16:00:00 29/03/2015] id: Braden Nutrition el: 0 cu: MICU-A cg: -1 v1: Prob. Inadequate st: NotStopd t0: [16:00:00 29/03/2015] id: Braden Score el: 0 cu: MICU-A cg: -1 v1: 13 u1: number st: NotStopd t0: [16:00:00 29/03/2015] id: Braden SensoryPercep el: 0 cu: MICU-A cg: -1 v1: Sl. Limited st: NotStopd
t0: [16:00:00 29/03/2015] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 2 vu: ml t0: [16:00:00 29/03/2015] id: .9% Normal Saline 250.0ml IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 20 vu: ml t0: [16:00:00 29/03/2015] id: .9% Normal Saline 50.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 4 vu: ml t0: [16:00:00 29/03/2015] id: Urine Out Foley el: 1 cu: MICU-A cg: -1 vo: 150 vu: ml
t0: [16:00:00 29/03/2015] id: Fentanyl el: 1 cu: MICU-A so: .9% Normal Saline vo: 0 v1: 100 du: mcghr sv: 50 su: ml rt: IV Drip t0: [16:00:00 29/03/2015] id: Ativan el: 1 cu: MICU-A so: D5W vo: 0 v1: 1 du: mghr sv: 60 su: ml rt: IV Drip
t0: [16:00:00 29/03/2015] id: Pain Present el: 0 cu: MICU-A cg: -1 v1: No st: NotStopd t0: [16:00:00 29/03/2015] id: Pain Location el: 0 cu: MICU-A cg: -1 v1: Not Indicated st: NotStopd t0: [16:00:00 29/03/2015] id: Temp. Site el: 0 cu: MICU-A cg: -1 v1: Oral st: NotStopd t0: [16:00:00 29/03/2015] id: Temperature C (calc) el: 0 cu: MICU-A cg: -1 v1: 37.5 u1: Deg. C st: NotStopd t0: [16:00:00 29/03/2015] id: Temperature F el: 0 cu: MICU-A cg: -1 v1: 99.5 u1: Deg. F st: NotStopd
t0: [11:00:00 29/03/2015] id: Peptamen Tube Feeding el: 1 cu: MICU-A cg: -1 ai: 107 vo: 75 vu: ml st: Stopped t0: [16:00:00 29/03/2015] id: Peptamen Tube Feeding el: 1 cu: MICU-A cg: -1 ai: 107 vu: ml
t0: [17:00:00 29/03/2015] id: Service Type el: 0 cu: MICU-A cg: -1 v1: MICU st: NotStopd t0: [17:00:00 29/03/2015] id: Code Status el: 0 cu: MICU-A cg: -1 v1: Full Code st: NotStopd t0: [17:00:00 29/03/2015] id: Ectopy Frequency el: 0 cu: MICU-A cg: -1 v1: Occasional st: NotStopd t0: [17:00:00 29/03/2015] id: Ectopy Type el: 0 cu: MICU-A cg: -1 v1: PAC's st: NotStopd t0: [17:00:00 29/03/2015] id: Heart Rate el: 0 cu: MICU-A cg: -1 v1: 76 u1: BPM st: NotStopd t0: [17:00:00 29/03/2015] id: Heart Rhythm el: 0 cu: MICU-A cg: -1 v1: Normal Sinus st: NotStopd t0: [17:00:00 29/03/2015] id: Arterial BP el: 0 cu: MICU-A cg: -1 v1: 92 u1: mmHg v2: 37 u2: mmHg st: NotStopd t0: [17:00:00 29/03/2015] id: Arterial BP Mean el: 0 cu: MICU-A cg: -1 v1: 53 u1: mmHg st: NotStopd t0: [17:00:00 29/03/2015] id: Precautions el: 0 cu: MICU-A cg: -1 v1: Universal st: NotStopd t0: [17:00:00 29/03/2015] id: Previous WeightF el: 0 cu: MICU-A cg: -1 v1: 79.5 u1: kg st: NotStopd t0: [17:00:00 29/03/2015] id: Respiratory Rate el: 0 cu: MICU-A cg: -1 v1: 22 u1: BPM st: NotStopd t0: [17:00:00 29/03/2015] id: Significant Events el: 0 cu: MICU-A cg: -1 v1: Fluid Bolus st: NotStopd t0: [17:00:00 29/03/2015] id: SpO2 el: 0 cu: MICU-A cg: -1 v1: 93 u1: % st: NotStopd t0: [17:00:00 29/03/2015] id: calprevflg el: 0 cu: MICU-A cg: -1 v1: 1 u1: kg st: NotStopd
t0: [17:00:00 29/03/2015] id: D5W 100.0ml IV Infusions el: 1 cu: MICU-A cg: -1 ai: 105 vo: 250 vu: ml t0: [17:00:00 29/03/2015] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 1 vu: ml t0: [17:00:00 29/03/2015] id: .9% Normal Saline 250.0ml IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 10 vu: ml t0: [17:00:00 29/03/2015] id: .9% Normal Saline 50.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 2 vu: ml t0: [17:00:00 29/03/2015] id: Urine Out Foley el: 1 cu: MICU-A cg: -1 vo: 80 vu: ml
t0: [17:00:00 29/03/2015] id: Fentanyl el: 1 cu: MICU-A so: .9% Normal Saline vo: 0 v1: 100 du: mcghr sv: 50 su: ml rt: IV Drip t0: [17:00:00 29/03/2015] id: Ativan el: 1 cu: MICU-A so: D5W vo: 0 v1: 1 du: mghr sv: 60 su: ml rt: IV Drip
t0: [18:00:00 29/03/2015] id: Service Type el: 0 cu: MICU-A cg: -1 v1: MICU st: NotStopd t0: [18:00:00 29/03/2015] id: Code Status el: 0 cu: MICU-A cg: -1 v1: Full Code st: NotStopd t0: [18:00:00 29/03/2015] id: Ectopy Frequency el: 0 cu: MICU-A cg: -1 v1: Rare st: NotStopd t0: [18:00:00 29/03/2015] id: Ectopy Type el: 0 cu: MICU-A cg: -1 v1: PAC's st: NotStopd t0: [18:00:00 29/03/2015] id: Heart Rate el: 0 cu: MICU-A cg: -1 v1: 68 u1: BPM st: NotStopd t0: [18:00:00 29/03/2015] id: Heart Rhythm el: 0 cu: MICU-A cg: -1 v1: Normal Sinus st: NotStopd t0: [18:00:00 29/03/2015] id: Arterial BP el: 0 cu: MICU-A cg: -1 v1: 97 u1: mmHg v2: 38 u2: mmHg st: NotStopd t0: [18:00:00 29/03/2015] id: Arterial BP Mean el: 0 cu: MICU-A cg: -1 v1: 55 u1: mmHg st: NotStopd t0: [18:00:00 29/03/2015] id: Precautions el: 0 cu: MICU-A cg: -1 v1: Universal st: NotStopd t0: [18:00:00 29/03/2015] id: Previous WeightF el: 0 cu: MICU-A cg: -1 v1: 79.5 u1: kg st: NotStopd t0: [18:00:00 29/03/2015] id: Respiratory Rate el: 0 cu: MICU-A cg: -1 v1: 22 u1: BPM st: NotStopd t0: [18:00:00 29/03/2015] id: SpO2 el: 0 cu: MICU-A cg: -1 v1: 94 u1: % st: NotStopd t0: [18:00:00 29/03/2015] id: calprevflg el: 0 cu: MICU-A cg: -1 v1: 1 u1: kg st: NotStopd
t0: [18:00:00 29/03/2015] id: D5W 100.0ml IV Infusions el: 1 cu: MICU-A cg: -1 ai: 105 vo: 100 vu: ml t0: [18:00:00 29/03/2015] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 1 vu: ml t0: [18:00:00 29/03/2015] id: .9% Normal Saline 250.0ml IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 10 vu: ml t0: [18:00:00 29/03/2015] id: .9% Normal Saline 50.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 2 vu: ml t0: [18:00:00 29/03/2015] id: Urine Out Foley el: 1 cu: MICU-A cg: -1 vo: 60 vu: ml
t0: [18:00:00 29/03/2015] id: Fentanyl el: 1 cu: MICU-A so: .9% Normal Saline vo: 0 v1: 100 du: mcghr sv: 50 su: ml rt: IV Drip t0: [18:00:00 29/03/2015] id: Ativan el: 1 cu: MICU-A so: D5W vo: 0 v1: 1 du: mghr sv: 60 su: ml rt: IV Drip
t0: [18:00:00 29/03/2015] id: Peptamen Tube Feeding el: 1 cu: MICU-A cg: -1 ai: 107 vu: ml st: Restart
t0: [18:31:00 29/03/2015] id: Compliance (40-60ml) el: 0 cu: MICU-A cg: RT v1: 44 u1: ml/cmH st: NotStopd t0: [18:31:00 29/03/2015] id: ETT Mark/Location el: 0 cu: MICU-A cg: RT v1: 22cm v2: Lip st: NotStopd t0: [18:31:00 29/03/2015] id: FiO2 Set el: 0 cu: MICU-A cg: RT v1: 0.5 u1: torr st: NotStopd t0: [18:31:00 29/03/2015] id: High Insp. Pressure el: 0 cu: MICU-A cg: RT v1: 50 u1: cmH2O st: NotStopd t0: [18:31:00 29/03/2015] id: High Resp. Rate el: 0 cu: MICU-A cg: RT v1: 35 u1: BPM st: NotStopd t0: [18:31:00 29/03/2015] id: Airway Size el: 0 cu: MICU-A cg: RT v1: 9.0 mm st: NotStopd t0: [18:31:00 29/03/2015] id: Airway Type el: 0 cu: MICU-A cg: RT v1: Endotracheal st: NotStopd t0: [18:31:00 29/03/2015] id: Inspired Gas Temp el: 0 cu: MICU-A cg: RT v1: 33 u1: Deg. C st: NotStopd t0: [18:31:00 29/03/2015] id: Intubation Date el: 0 cu: MICU-A cg: RT v1: 2 v2: 22 st: NotStopd t0: [18:31:00 29/03/2015] id: Low Exhaled Min Vol el: 0 cu: MICU-A cg: RT v1: 5 st: NotStopd t0: [18:31:00 29/03/2015] id: Low Insp. Pressure el: 0 cu: MICU-A cg: RT v1: 10 u1: cmH2O st: NotStopd t0: [18:31:00 29/03/2015] id: MDI #1 (Puff/Drug) el: 0 cu: MICU-A cg: RT v1: 6 v2: Albuterol st: NotStopd t0: [18:31:00 29/03/2015] id: MDI #2 (Puff/Drug) el: 0 cu: MICU-A cg: RT v1: 6 v2: Atrovent st: NotStopd t0: [18:31:00 29/03/2015] id: Mean Airway Pressure el: 0 cu: MICU-A cg: RT v1: 12.3 u1: cmH2O st: NotStopd t0: [18:31:00 29/03/2015] id: Minute Volume(Obser) el: 0 cu: MICU-A cg: RT v1: 13 u1: L/min st: NotStopd t0: [18:31:00 29/03/2015] id: PEEP Set el: 0 cu: MICU-A cg: RT v1: 7.5 u1: cmH2O st: NotStopd t0: [18:31:00 29/03/2015] id: Peak Flow el: 0 cu: MICU-A cg: RT v1: 65 u1: L/m st: NotStopd t0: [18:31:00 29/03/2015] id: Peak Insp. Pressure el: 0 cu: MICU-A cg: RT v1: 20 u1: cmH2O st: NotStopd t0: [18:31:00 29/03/2015] id: Plateau Pressure el: 0 cu: MICU-A cg: RT v1: 19 u1: cmH2O st: NotStopd t0: [18:31:00 29/03/2015] id: Plateau-Off el: 0 cu: MICU-A cg: RT v1: Yes st: NotStopd t0: [18:31:00 29/03/2015] id: Resp Rate (Spont) el: 0 cu: MICU-A cg: RT v1: 0 u1: BPM st: NotStopd t0: [18:31:00 29/03/2015] id: Resp Rate (Total) el: 0 cu: MICU-A cg: RT v1: 22 u1: BPM st: NotStopd t0: [18:31:00 29/03/2015] id: Respiratory Rate Set el: 0 cu: MICU-A cg: RT v1: 22 u1: BPM st: NotStopd t0: [18:31:00 29/03/2015] id: Sensitivity-Vent el: 0 cu: MICU-A cg: RT v1: 1 u1: cmH2O st: NotStopd t0: [18:31:00 29/03/2015] id: SpO2 el: 0 cu: MICU-A cg: RT v1: 93 u1: % st: NotStopd t0: [18:31:00 29/03/2015] id: Tidal Volume (Obser) el: 0 cu: MICU-A cg: RT v1: 590 u1: ml/B st: NotStopd t0: [18:31:00 29/03/2015] id: Tidal Volume (Set) el: 0 cu: MICU-A cg: RT v1: 550 u1: ml/B st: NotStopd t0: [18:31:00 29/03/2015] id: Ventilator Mode el: 0 cu: MICU-A cg: RT v1: Assist Control st: NotStopd t0: [18:31:00 29/03/2015] id: Ventilator No. el: 0 cu: MICU-A cg: RT v1: 20 u1: # st: NotStopd t0: [18:31:00 29/03/2015] id: Ventilator Type el: 0 cu: MICU-A cg: RT v1: 7200A st: NotStopd t0: [18:31:00 29/03/2015] id: Waveform-Vent el: 0 cu: MICU-A cg: RT v1: RAMP st: NotStopd
t0: [19:00:00 29/03/2015] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 1 vu: ml t0: [19:00:00 29/03/2015] tf: [00:00:00 31/03/2015] dt: 1740 id: Peptamen Tube Feeding el: 1 cu: MICU-A cg: -1 ai: 107 vo: 10 vu: ml t0: [19:00:00 29/03/2015] id: .9% Normal Saline 250.0ml IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 10 vu: ml t0: [19:00:00 29/03/2015] id: .9% Normal Saline 50.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 2 vu: ml t0: [19:00:00 29/03/2015] id: Urine Out Foley el: 1 cu: MICU-A cg: -1 vo: 35 vu: ml
t0: [19:00:00 29/03/2015] id: Service Type el: 0 cu: MICU-A cg: -1 v1: MICU st: NotStopd t0: [19:00:00 29/03/2015] id: Code Status el: 0 cu: MICU-A cg: -1 v1: Full Code st: NotStopd t0: [19:00:00 29/03/2015] id: Ectopy Frequency el: 0 cu: MICU-A cg: -1 v1: Rare st: NotStopd t0: [19:00:00 29/03/2015] id: Ectopy Type el: 0 cu: MICU-A cg: -1 v1: PAC's st: NotStopd t0: [19:00:00 29/03/2015] id: Heart Rate el: 0 cu: MICU-A cg: -1 v1: 70 u1: BPM st: NotStopd t0: [19:00:00 29/03/2015] id: Heart Rhythm el: 0 cu: MICU-A cg: -1 v1: Normal Sinus st: NotStopd t0: [19:00:00 29/03/2015] id: Arterial BP el: 0 cu: MICU-A cg: -1 v1: 93 u1: mmHg v2: 38 u2: mmHg st: NotStopd t0: [19:00:00 29/03/2015] id: Arterial BP Mean el: 0 cu: MICU-A cg: -1 v1: 54 u1: mmHg st: NotStopd t0: [19:00:00 29/03/2015] id: Precautions el: 0 cu: MICU-A cg: -1 v1: Universal st: NotStopd t0: [19:00:00 29/03/2015] id: Previous WeightF el: 0 cu: MICU-A cg: -1 v1: 79.5 u1: kg st: NotStopd t0: [19:00:00 29/03/2015] id: Respiratory Rate el: 0 cu: MICU-A cg: -1 v1: 22 u1: BPM st: NotStopd t0: [19:00:00 29/03/2015] id: SpO2 el: 0 cu: MICU-A cg: -1 v1: 93 u1: % st: NotStopd t0: [19:00:00 29/03/2015] id: calprevflg el: 0 cu: MICU-A cg: -1 v1: 1 u1: kg st: NotStopd
t0: [19:00:00 29/03/2015] id: Fentanyl el: 1 cu: MICU-A so: .9% Normal Saline vo: 0 v1: 100 du: mcghr sv: 50 su: ml rt: IV Drip t0: [19:00:00 29/03/2015] id: Ativan el: 1 cu: MICU-A so: D5W vo: 0 v1: 1 du: mghr sv: 60 su: ml rt: IV Drip
t0: [20:25:00 29/03/2015] id: Compliance (40-60ml) el: 0 cu: MICU-A cg: RRT v1: 43.3071 u1: ml/cmH st: NotStopd t0: [20:25:00 29/03/2015] id: ETT Mark/Location el: 0 cu: MICU-A cg: RRT v1: 22cm v2: Lip st: NotStopd t0: [20:25:00 29/03/2015] id: FiO2 Set el: 0 cu: MICU-A cg: RRT v1: 0.5 u1: torr st: NotStopd t0: [20:25:00 29/03/2015] id: High Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 50 u1: cmH2O st: NotStopd t0: [20:25:00 29/03/2015] id: High Resp. Rate el: 0 cu: MICU-A cg: RRT v1: 35 u1: BPM st: NotStopd t0: [20:25:00 29/03/2015] id: I:E Ratio el: 0 cu: MICU-A cg: RRT v1: 1:1.9 st: NotStopd t0: [20:25:00 29/03/2015] id: Airway Size el: 0 cu: MICU-A cg: RRT v1: 9.0 mm st: NotStopd t0: [20:25:00 29/03/2015] id: Airway Type el: 0 cu: MICU-A cg: RRT v1: Endotracheal st: NotStopd t0: [20:25:00 29/03/2015] id: Inspired Gas Temp el: 0 cu: MICU-A cg: RRT v1: 33 u1: Deg. C st: NotStopd t0: [20:25:00 29/03/2015] id: Intubation Date el: 0 cu: MICU-A cg: RRT v1: 2 v2: 22 st: NotStopd t0: [20:25:00 29/03/2015] id: Low Exhaled Min Vol el: 0 cu: MICU-A cg: RRT v1: 10 st: NotStopd t0: [20:25:00 29/03/2015] id: Low Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [20:25:00 29/03/2015] id: MDI #1 (Puff/Drug) el: 0 cu: MICU-A cg: RRT v1: 6 v2: Albuterol st: NotStopd t0: [20:25:00 29/03/2015] id: MDI #2 (Puff/Drug) el: 0 cu: MICU-A cg: RRT v1: 6 v2: Atrovent st: NotStopd t0: [20:25:00 29/03/2015] id: Mean Airway Pressure el: 0 cu: MICU-A cg: RRT v1: 12.1 u1: cmH2O st: NotStopd t0: [20:25:00 29/03/2015] id: Minute Volume(Obser) el: 0 cu: MICU-A cg: RRT v1: 13 u1: L/min st: NotStopd t0: [20:25:00 29/03/2015] id: PEEP Set el: 0 cu: MICU-A cg: RRT v1: 7.5 u1: cmH2O st: NotStopd t0: [20:25:00 29/03/2015] id: Peak Flow el: 0 cu: MICU-A cg: RRT v1: 65 u1: L/m st: NotStopd t0: [20:25:00 29/03/2015] id: Peak Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 20.2 u1: cmH2O st: NotStopd t0: [20:25:00 29/03/2015] id: Plateau Pressure el: 0 cu: MICU-A cg: RRT v1: 19 u1: cmH2O st: NotStopd t0: [20:25:00 29/03/2015] id: Plateau-Off el: 0 cu: MICU-A cg: RRT v1: Yes st: NotStopd t0: [20:25:00 29/03/2015] id: Resp Rate (Spont) el: 0 cu: MICU-A cg: RRT v1: 0 u1: BPM st: NotStopd t0: [20:25:00 29/03/2015] id: Resp Rate (Total) el: 0 cu: MICU-A cg: RRT v1: 22 u1: BPM st: NotStopd t0: [20:25:00 29/03/2015] id: Respiratory Rate Set el: 0 cu: MICU-A cg: RRT v1: 22 u1: BPM st: NotStopd t0: [20:25:00 29/03/2015] id: Sensitivity-Vent el: 0 cu: MICU-A cg: RRT v1: 1 u1: cmH2O st: NotStopd t0: [20:25:00 29/03/2015] id: SpO2 el: 0 cu: MICU-A cg: RRT v1: 92 u1: % st: NotStopd t0: [20:25:00 29/03/2015] id: Tidal Volume (Obser) el: 0 cu: MICU-A cg: RRT v1: 590 u1: ml/B st: NotStopd t0: [20:25:00 29/03/2015] id: Tidal Volume (Set) el: 0 cu: MICU-A cg: RRT v1: 550 u1: ml/B st: NotStopd t0: [20:25:00 29/03/2015] id: Ventilator Mode el: 0 cu: MICU-A cg: RRT v1: Assist Control st: NotStopd t0: [20:25:00 29/03/2015] id: Ventilator No. el: 0 cu: MICU-A cg: RRT v1: 20 u1: # st: NotStopd t0: [20:25:00 29/03/2015] id: Ventilator Type el: 0 cu: MICU-A cg: RRT v1: 7200A st: NotStopd t0: [20:25:00 29/03/2015] id: Waveform-Vent el: 0 cu: MICU-A cg: RRT v1: RAMP st: NotStopd
t0: [20:00:00 29/03/2015] id: Less Restrict Meas. el: 0 cu: MICU-A cg: RN v1: Medicated st: NotStopd t0: [20:00:00 29/03/2015] id: Pain Present el: 0 cu: MICU-A cg: RN v1: No st: NotStopd t0: [20:00:00 29/03/2015] id: Range of Motion el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [20:00:00 29/03/2015] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [20:00:00 29/03/2015] id: Circulation/SkinInt el: 0 cu: MICU-A cg: RN v1: Circulation Adeq st: NotStopd t0: [20:00:00 29/03/2015] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [20:00:00 29/03/2015] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: Occasional st: NotStopd t0: [20:00:00 29/03/2015] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: PAC's st: NotStopd t0: [20:00:00 29/03/2015] id: Eye Opening el: 0 cu: MICU-A cg: RN v1: 3 To speech st: NotStopd t0: [20:00:00 29/03/2015] id: GCS Total el: 0 cu: MICU-A cg: RN v1: 10 u1: points st: NotStopd t0: [20:00:00 29/03/2015] id: GI Guaiac/ph el: 0 cu: MICU-A cg: RN v1: Negative v2: 6 st: NotStopd t0: [20:00:00 29/03/2015] id: GI Intub #1/Site el: 0 cu: MICU-A cg: RN v1: Salem Sump v2: Oral st: NotStopd t0: [20:00:00 29/03/2015] id: GI#1 Tube PlaceCheck el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [20:00:00 29/03/2015] id: GI#1 Tube Stat/Drain el: 0 cu: MICU-A cg: RN v1: Feeding v2: Undigested Food st: NotStopd t0: [20:00:00 29/03/2015] id: HOB el: 0 cu: MICU-A cg: RN v1: 30 degrees st: NotStopd t0: [20:00:00 29/03/2015] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 76 u1: BPM st: NotStopd t0: [20:00:00 29/03/2015] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [20:00:00 29/03/2015] id: Abdominal Assessment el: 0 cu: MICU-A cg: RN v1: Soft st: NotStopd t0: [20:00:00 29/03/2015] id: Activity el: 0 cu: MICU-A cg: RN v1: Bedrest st: NotStopd t0: [20:00:00 29/03/2015] id: Activity Tolerance el: 0 cu: MICU-A cg: RN v1: Tolerated Well st: NotStopd t0: [20:00:00 29/03/2015] id: LLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [20:00:00 29/03/2015] id: LUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Clear st: NotStopd t0: [20:00:00 29/03/2015] id: Level of Conscious el: 0 cu: MICU-A cg: RN v1: Arouse to Voice st: NotStopd t0: [20:00:00 29/03/2015] id: Motor Response el: 0 cu: MICU-A cg: RN v1: 6 Obeys Commands st: NotStopd t0: [20:00:00 29/03/2015] id: Oral Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [20:00:00 29/03/2015] id: Oral Cavity el: 0 cu: MICU-A cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [20:00:00 29/03/2015] id: Orientation el: 0 cu: MICU-A cg: RN v1: Other/Remarks st: NotStopd t0: [20:00:00 29/03/2015] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 114 u1: mmHg v2: 45 u2: mmHg st: NotStopd t0: [20:00:00 29/03/2015] id: Pain Location el: 0 cu: MICU-A cg: RN v1: Not Indicated st: NotStopd t0: [20:00:00 29/03/2015] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 67 u1: mmHg st: NotStopd t0: [20:00:00 29/03/2015] id: Position el: 0 cu: MICU-A cg: RN v1: Right Side st: NotStopd t0: [20:00:00 29/03/2015] id: Position Change el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [20:00:00 29/03/2015] id: Assistance Device el: 0 cu: MICU-A cg: RN v1: 2 Person Assist st: NotStopd t0: [20:00:00 29/03/2015] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [20:00:00 29/03/2015] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 79.5 u1: kg st: NotStopd t0: [20:00:00 29/03/2015] id: RLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [20:00:00 29/03/2015] id: RUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Clear st: NotStopd t0: [20:00:00 29/03/2015] id: Reason For Restraint el: 0 cu: MICU-A cg: RN v1: Ext/TXInterfere st: NotStopd t0: [20:00:00 29/03/2015] id: Removed x 5 Mins el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [20:00:00 29/03/2015] id: Respiratory Pattern el: 0 cu: MICU-A cg: RN v1: Regular st: NotStopd t0: [20:00:00 29/03/2015] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 22 u1: BPM st: NotStopd t0: [20:00:00 29/03/2015] id: Restraint Location el: 0 cu: MICU-A cg: RN v1: Both Arms st: NotStopd t0: [20:00:00 29/03/2015] id: Restraint Type el: 0 cu: MICU-A cg: RN v1: Soft Limb st: NotStopd t0: [20:00:00 29/03/2015] id: Restraints Evaluated el: 0 cu: MICU-A cg: RN v1: RestraintReapply st: NotStopd t0: [20:00:00 29/03/2015] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [20:00:00 29/03/2015] id: Skin Integrity el: 0 cu: MICU-A cg: RN v1: Intact st: NotStopd t0: [20:00:00 29/03/2015] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 93 u1: % st: NotStopd t0: [20:00:00 29/03/2015] id: Support Systems el: 0 cu: MICU-A cg: RN v1: Spouse st: NotStopd t0: [20:00:00 29/03/2015] id: Temp. Site el: 0 cu: MICU-A cg: RN v1: Oral st: NotStopd t0: [20:00:00 29/03/2015] id: Temperature C (calc) el: 0 cu: MICU-A cg: RN v1: 37.2778 u1: Deg. C st: NotStopd t0: [20:00:00 29/03/2015] id: Temperature F el: 0 cu: MICU-A cg: RN v1: 99.1 u1: Deg. F st: NotStopd t0: [20:00:00 29/03/2015] id: Turn el: 0 cu: MICU-A cg: RN v1: Right Side st: NotStopd t0: [20:00:00 29/03/2015] id: Urine Color/Appear el: 0 cu: MICU-A cg: RN v1: Yellow v2: Clear st: NotStopd t0: [20:00:00 29/03/2015] id: Urine Source el: 0 cu: MICU-A cg: RN v1: Indwelling Cath st: NotStopd t0: [20:00:00 29/03/2015] id: Verbal Response el: 0 cu: MICU-A cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [20:00:00 29/03/2015] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [20:00:00 29/03/2015] id: Behavior el: 0 cu: MICU-A cg: RN v1: Calm st: NotStopd t0: [20:00:00 29/03/2015] id: Bowel Sounds el: 0 cu: MICU-A cg: RN v1: Present st: NotStopd
t0: [20:00:00 29/03/2015] id: TF Residual Gastric/TF Residual el: 1 cu: MICU-A cg: RN ai: 189 vo: 0 vu: ml t0: [20:00:00 29/03/2015] id: Gastric Meds PO/Gastric el: 1 cu: MICU-A cg: RN ai: 153 vo: 30 vu: ml t0: [20:00:00 29/03/2015] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 1 vu: ml t0: [20:00:00 29/03/2015] id: Peptamen Tube Feeding el: 1 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [20:00:00 29/03/2015] id: .9% Normal Saline 250.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [20:00:00 29/03/2015] id: .9% Normal Saline 50.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 2 vu: ml
t0: [20:00:00 29/03/2015] id: Fentanyl el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 100 du: mcghr sv: 50 su: ml rt: IV Drip t0: [20:00:00 29/03/2015] id: Ativan el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1 du: mghr sv: 60 su: ml rt: IV Drip
t0: [23:00:00 29/03/2015] dt: 24 id: PO/Gastric In Total el: 2 cu: MICU-A cg: 1663 cv: 130 ap: none
t0: [21:00:00 29/03/2015] id: CVP el: 0 cu: MICU-A cg: -1 st: D/C'd
t0: [20:00:00 29/03/2015] id: Sputum Color/Consist el: 0 cu: MICU-A cg: RN v1: Bloody v2: Thin st: NotStopd t0: [20:00:00 29/03/2015] id: Sputum Source/Amt el: 0 cu: MICU-A cg: RN v1: Suctioned v2: Small st: NotStopd
t0: [20:00:00 29/03/2015] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 60 vu: ml
t0: [21:00:00 29/03/2015] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [21:00:00 29/03/2015] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [21:00:00 29/03/2015] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: Rare st: NotStopd t0: [21:00:00 29/03/2015] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: PAC's st: NotStopd t0: [21:00:00 29/03/2015] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 78 u1: BPM st: NotStopd t0: [21:00:00 29/03/2015] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [21:00:00 29/03/2015] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 95 u1: mmHg v2: 43 u2: mmHg st: NotStopd t0: [21:00:00 29/03/2015] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 59 u1: mmHg st: NotStopd t0: [21:00:00 29/03/2015] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [21:00:00 29/03/2015] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 79.5 u1: kg st: NotStopd t0: [21:00:00 29/03/2015] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 22 u1: BPM st: NotStopd t0: [21:00:00 29/03/2015] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 90 u1: % st: NotStopd t0: [21:00:00 29/03/2015] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [22:00:00 29/03/2015] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [22:00:00 29/03/2015] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [22:00:00 29/03/2015] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: Rare st: NotStopd t0: [22:00:00 29/03/2015] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: PAC's st: NotStopd t0: [22:00:00 29/03/2015] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 73 u1: BPM st: NotStopd t0: [22:00:00 29/03/2015] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [22:00:00 29/03/2015] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 88 u1: mmHg v2: 41 u2: mmHg st: NotStopd t0: [22:00:00 29/03/2015] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 55 u1: mmHg st: NotStopd t0: [22:00:00 29/03/2015] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [22:00:00 29/03/2015] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 79.5 u1: kg st: NotStopd t0: [22:00:00 29/03/2015] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 22 u1: BPM st: NotStopd t0: [22:00:00 29/03/2015] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 91 u1: % st: NotStopd t0: [22:00:00 29/03/2015] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [22:00:00 29/03/2015] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 2 vu: ml t0: [22:00:00 29/03/2015] id: Peptamen Tube Feeding el: 1 cu: MICU-A cg: RN ai: 107 vo: 50 vu: ml t0: [22:00:00 29/03/2015] id: .9% Normal Saline 250.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 20 vu: ml t0: [22:00:00 29/03/2015] id: .9% Normal Saline 50.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 4 vu: ml t0: [22:00:00 29/03/2015] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 100 vu: ml
t0: [21:00:00 29/03/2015] id: Fentanyl el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 100 du: mcghr sv: 50 su: ml rt: IV Drip t0: [21:00:00 29/03/2015] id: Ativan el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1 du: mghr sv: 60 su: ml rt: IV Drip t0: [22:00:00 29/03/2015] id: Fentanyl el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 100 du: mcghr sv: 50 su: ml rt: IV Drip t0: [22:00:00 29/03/2015] id: Ativan el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1 du: mghr sv: 60 su: ml rt: IV Drip
t0: [22:30:00 29/03/2015] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [22:30:00 29/03/2015] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [22:30:00 29/03/2015] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 72 u1: BPM st: NotStopd t0: [22:30:00 29/03/2015] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 87 u1: mmHg v2: 39 u2: mmHg st: NotStopd t0: [22:30:00 29/03/2015] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 54 u1: mmHg st: NotStopd t0: [22:30:00 29/03/2015] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [22:30:00 29/03/2015] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 79.5 u1: kg st: NotStopd t0: [22:30:00 29/03/2015] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 22 u1: BPM st: NotStopd t0: [22:30:00 29/03/2015] id: Significant Events el: 0 cu: MICU-A cg: RN v1: Fluid Bolus st: NotStopd t0: [22:30:00 29/03/2015] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 93 u1: % st: NotStopd t0: [22:30:00 29/03/2015] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [22:30:00 29/03/2015] id: D5W 100.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 105 vo: 500 vu: ml
t0: [22:30:00 29/03/2015] id: Fentanyl el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 100 du: mcghr sv: 50 su: ml rt: IV Drip t0: [22:30:00 29/03/2015] id: Ativan el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1 du: mghr sv: 60 su: ml rt: IV Drip
t0: [23:45:00 29/03/2015] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [23:45:00 29/03/2015] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [23:45:00 29/03/2015] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: Occasional st: NotStopd t0: [23:45:00 29/03/2015] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: PAC's st: NotStopd t0: [23:45:00 29/03/2015] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 69 u1: BPM st: NotStopd t0: [23:45:00 29/03/2015] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [23:45:00 29/03/2015] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 87 u1: mmHg v2: 37 u2: mmHg st: NotStopd t0: [23:45:00 29/03/2015] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 52 u1: mmHg st: NotStopd t0: [23:45:00 29/03/2015] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [23:45:00 29/03/2015] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 79.5 u1: kg st: NotStopd t0: [23:45:00 29/03/2015] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 22 u1: BPM st: NotStopd t0: [23:45:00 29/03/2015] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 93 u1: % st: NotStopd t0: [23:45:00 29/03/2015] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [00:00:00 30/03/2015] id: Pain Present el: 0 cu: MICU-A cg: RN v1: No st: NotStopd t0: [00:00:00 30/03/2015] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [00:00:00 30/03/2015] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [00:00:00 30/03/2015] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: Occasional st: NotStopd t0: [00:00:00 30/03/2015] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: PAC's st: NotStopd t0: [00:00:00 30/03/2015] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 66 u1: BPM st: NotStopd t0: [00:00:00 30/03/2015] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [00:00:00 30/03/2015] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 86 u1: mmHg v2: 36 u2: mmHg st: NotStopd t0: [00:00:00 30/03/2015] id: Pain Location el: 0 cu: MICU-A cg: RN v1: Not Indicated st: NotStopd t0: [00:00:00 30/03/2015] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 51 u1: mmHg st: NotStopd t0: [00:00:00 30/03/2015] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [00:00:00 30/03/2015] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 79.5 u1: kg st: NotStopd t0: [00:00:00 30/03/2015] id: Significant Events el: 0 cu: MICU-A cg: RN v1: Fluid Bolus st: NotStopd t0: [00:00:00 30/03/2015] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 92 u1: % st: NotStopd t0: [00:00:00 30/03/2015] id: Sputum Color/Consist el: 0 cu: MICU-A cg: RN v1: Bloody v2: Thin st: NotStopd t0: [00:00:00 30/03/2015] id: Sputum Source/Amt el: 0 cu: MICU-A cg: RN v1: Suctioned v2: Small st: NotStopd t0: [00:00:00 30/03/2015] id: Temperature C (calc) el: 0 cu: MICU-A cg: RN v1: 37.2778 u1: Deg. C st: NotStopd t0: [00:00:00 30/03/2015] id: Temperature F el: 0 cu: MICU-A cg: RN v1: 99.1 u1: Deg. F st: NotStopd t0: [00:00:00 30/03/2015] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [00:15:00 30/03/2015] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [00:15:00 30/03/2015] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [00:15:00 30/03/2015] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: Occasional st: NotStopd t0: [00:15:00 30/03/2015] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: PAC's st: NotStopd t0: [00:15:00 30/03/2015] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 75 u1: BPM st: NotStopd t0: [00:15:00 30/03/2015] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [00:15:00 30/03/2015] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 111 u1: mmHg v2: 44 u2: mmHg st: NotStopd t0: [00:15:00 30/03/2015] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 66 u1: mmHg st: NotStopd t0: [00:15:00 30/03/2015] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [00:15:00 30/03/2015] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 79.5 u1: kg st: NotStopd t0: [00:15:00 30/03/2015] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 22 u1: BPM st: NotStopd t0: [00:15:00 30/03/2015] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 92 u1: % st: NotStopd t0: [00:15:00 30/03/2015] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [00:20:00 30/03/2015] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [00:20:00 30/03/2015] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [00:20:00 30/03/2015] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [00:20:00 30/03/2015] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [00:20:00 30/03/2015] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 151 u1: BPM st: NotStopd t0: [00:20:00 30/03/2015] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Atrial Flutter st: NotStopd t0: [00:20:00 30/03/2015] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 96 u1: mmHg v2: 48 u2: mmHg st: NotStopd t0: [00:20:00 30/03/2015] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 63 u1: mmHg st: NotStopd t0: [00:20:00 30/03/2015] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [00:20:00 30/03/2015] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 79.5 u1: kg st: NotStopd t0: [00:20:00 30/03/2015] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 22 u1: BPM st: NotStopd t0: [00:20:00 30/03/2015] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 92 u1: % st: NotStopd t0: [00:20:00 30/03/2015] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [00:30:00 30/03/2015] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [00:30:00 30/03/2015] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [00:30:00 30/03/2015] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [00:30:00 30/03/2015] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [00:30:00 30/03/2015] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 131 u1: BPM st: NotStopd t0: [00:30:00 30/03/2015] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Atrial Flutter st: NotStopd t0: [00:30:00 30/03/2015] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 94 u1: mmHg v2: 45 u2: mmHg st: NotStopd t0: [00:30:00 30/03/2015] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 60 u1: mmHg st: NotStopd t0: [00:30:00 30/03/2015] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [00:30:00 30/03/2015] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 79.5 u1: kg st: NotStopd t0: [00:30:00 30/03/2015] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 22 u1: BPM st: NotStopd t0: [00:30:00 30/03/2015] id: Significant Events el: 0 cu: MICU-A cg: RN v1: Other/Remarks st: NotStopd t0: [00:30:00 30/03/2015] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 90 u1: % st: NotStopd t0: [00:30:00 30/03/2015] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [00:35:00 30/03/2015] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [00:35:00 30/03/2015] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [00:35:00 30/03/2015] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [00:35:00 30/03/2015] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [00:35:00 30/03/2015] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 102 u1: BPM st: NotStopd t0: [00:35:00 30/03/2015] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Atrial Flutter st: NotStopd t0: [00:35:00 30/03/2015] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 93 u1: mmHg v2: 42 u2: mmHg st: NotStopd t0: [00:35:00 30/03/2015] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 57 u1: mmHg st: NotStopd t0: [00:35:00 30/03/2015] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [00:35:00 30/03/2015] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 79.5 u1: kg st: NotStopd t0: [00:35:00 30/03/2015] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 22 u1: BPM st: NotStopd t0: [00:35:00 30/03/2015] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 89 u1: % st: NotStopd t0: [00:35:00 30/03/2015] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [23:00:00 29/03/2015] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 1 vu: ml t0: [23:00:00 29/03/2015] id: Peptamen Tube Feeding el: 1 cu: MICU-A cg: RN ai: 107 vo: 25 vu: ml t0: [23:00:00 29/03/2015] id: .9% Normal Saline 250.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [23:00:00 29/03/2015] id: .9% Normal Saline 50.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 2 vu: ml t0: [23:00:00 29/03/2015] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 40 vu: ml t0: [00:00:00 30/03/2015] id: D5W 100.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 105 vo: 500 vu: ml t0: [00:00:00 30/03/2015] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 1 vu: ml t0: [00:00:00 30/03/2015] id: Peptamen Tube Feeding el: 1 cu: MICU-A cg: RN ai: 107 vo: 25 vu: ml t0: [00:00:00 30/03/2015] id: .9% Normal Saline 250.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [00:00:00 30/03/2015] id: .9% Normal Saline 50.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 2 vu: ml t0: [00:00:00 30/03/2015] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 40 vu: ml
t0: [23:45:00 29/03/2015] id: Fentanyl el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 100 du: mcghr sv: 50 su: ml rt: IV Drip t0: [23:45:00 29/03/2015] id: Ativan el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1 du: mghr sv: 60 su: ml rt: IV Drip t0: [00:00:00 30/03/2015] id: Fentanyl el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 100 du: mcghr sv: 50 su: ml rt: IV Drip t0: [00:00:00 30/03/2015] id: Ativan el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1 du: mghr sv: 60 su: ml rt: IV Drip t0: [00:15:00 30/03/2015] id: Fentanyl el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 100 du: mcghr sv: 50 su: ml rt: IV Drip t0: [00:15:00 30/03/2015] id: Ativan el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1 du: mghr sv: 60 su: ml rt: IV Drip t0: [00:20:00 30/03/2015] id: Fentanyl el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 100 du: mcghr sv: 50 su: ml rt: IV Drip t0: [00:20:00 30/03/2015] id: Ativan el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1 du: mghr sv: 60 su: ml rt: IV Drip t0: [00:30:00 30/03/2015] id: Fentanyl el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 100 du: mcghr sv: 50 su: ml rt: IV Drip t0: [00:30:00 30/03/2015] id: Ativan el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1 du: mghr sv: 60 su: ml rt: IV Drip t0: [00:35:00 30/03/2015] id: Fentanyl el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 100 du: mcghr sv: 50 su: ml rt: IV Drip t0: [00:35:00 30/03/2015] id: Ativan el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1 du: mghr sv: 60 su: ml rt: IV Drip
t0: [00:40:00 30/03/2015] id: Compliance (40-60ml) el: 0 cu: MICU-A cg: RRT v1: 41.6667 u1: ml/cmH st: NotStopd t0: [00:40:00 30/03/2015] id: ETT Mark/Location el: 0 cu: MICU-A cg: RRT v1: 22cm v2: Lip st: NotStopd t0: [00:40:00 30/03/2015] id: FiO2 Set el: 0 cu: MICU-A cg: RRT v1: 0.6 u1: torr st: NotStopd t0: [00:40:00 30/03/2015] id: High Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 50 u1: cmH2O st: NotStopd t0: [00:40:00 30/03/2015] id: High Resp. Rate el: 0 cu: MICU-A cg: RRT v1: 35 u1: BPM st: NotStopd t0: [00:40:00 30/03/2015] id: I:E Ratio el: 0 cu: MICU-A cg: RRT v1: 1:1.9 st: NotStopd t0: [00:40:00 30/03/2015] id: Airway Size el: 0 cu: MICU-A cg: RRT v1: 9.0 mm st: NotStopd t0: [00:40:00 30/03/2015] id: Airway Type el: 0 cu: MICU-A cg: RRT v1: Endotracheal st: NotStopd t0: [00:40:00 30/03/2015] id: Inspired Gas Temp el: 0 cu: MICU-A cg: RRT v1: 33.1 u1: Deg. C st: NotStopd t0: [00:40:00 30/03/2015] id: Intubation Date el: 0 cu: MICU-A cg: RRT v1: 2 v2: 22 st: NotStopd t0: [00:40:00 30/03/2015] id: Low Exhaled Min Vol el: 0 cu: MICU-A cg: RRT v1: 10 st: NotStopd t0: [00:40:00 30/03/2015] id: Low Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [00:40:00 30/03/2015] id: MDI #1 (Puff/Drug) el: 0 cu: MICU-A cg: RRT v1: 6 v2: Albuterol st: NotStopd t0: [00:40:00 30/03/2015] id: MDI #2 (Puff/Drug) el: 0 cu: MICU-A cg: RRT v1: 6 v2: Atrovent st: NotStopd t0: [00:40:00 30/03/2015] id: Mean Airway Pressure el: 0 cu: MICU-A cg: RRT v1: 12.3 u1: cmH2O st: NotStopd t0: [00:40:00 30/03/2015] id: Minute Volume(Obser) el: 0 cu: MICU-A cg: RRT v1: 13 u1: L/min st: NotStopd t0: [00:40:00 30/03/2015] id: PEEP Set el: 0 cu: MICU-A cg: RRT v1: 7.5 u1: cmH2O st: NotStopd t0: [00:40:00 30/03/2015] id: Peak Flow el: 0 cu: MICU-A cg: RRT v1: 65 u1: L/m st: NotStopd t0: [00:40:00 30/03/2015] id: Peak Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 20.7 u1: cmH2O st: NotStopd t0: [00:40:00 30/03/2015] id: Plateau Pressure el: 0 cu: MICU-A cg: RRT v1: 19.1 u1: cmH2O st: NotStopd t0: [00:40:00 30/03/2015] id: Plateau-Off el: 0 cu: MICU-A cg: RRT v1: Yes st: NotStopd t0: [00:40:00 30/03/2015] id: Resp Rate (Spont) el: 0 cu: MICU-A cg: RRT v1: 0 u1: BPM st: NotStopd t0: [00:40:00 30/03/2015] id: Resp Rate (Total) el: 0 cu: MICU-A cg: RRT v1: 22 u1: BPM st: NotStopd t0: [00:40:00 30/03/2015] id: Respiratory Rate Set el: 0 cu: MICU-A cg: RRT v1: 22 u1: BPM st: NotStopd t0: [00:40:00 30/03/2015] id: Sensitivity-Vent el: 0 cu: MICU-A cg: RRT v1: 1 u1: cmH2O st: NotStopd t0: [00:40:00 30/03/2015] id: SpO2 el: 0 cu: MICU-A cg: RRT v1: 91 u1: % st: NotStopd t0: [00:40:00 30/03/2015] id: Tidal Volume (Obser) el: 0 cu: MICU-A cg: RRT v1: 590 u1: ml/B st: NotStopd t0: [00:40:00 30/03/2015] id: Tidal Volume (Set) el: 0 cu: MICU-A cg: RRT v1: 550 u1: ml/B st: NotStopd t0: [00:40:00 30/03/2015] id: Ventilator Mode el: 0 cu: MICU-A cg: RRT v1: Assist Control st: NotStopd t0: [00:40:00 30/03/2015] id: Ventilator No. el: 0 cu: MICU-A cg: RRT v1: 20 u1: # st: NotStopd t0: [00:40:00 30/03/2015] id: Ventilator Type el: 0 cu: MICU-A cg: RRT v1: 7200A st: NotStopd t0: [00:40:00 30/03/2015] id: Waveform-Vent el: 0 cu: MICU-A cg: RRT v1: RAMP st: NotStopd
t0: [01:00:00 30/03/2015] id: Service Type el: 0 cu: MICU-A cg: RRT v1: MICU st: NotStopd t0: [01:00:00 30/03/2015] id: Code Status el: 0 cu: MICU-A cg: RRT v1: Full Code st: NotStopd t0: [01:00:00 30/03/2015] id: Ectopy Frequency el: 0 cu: MICU-A cg: RRT v1: None st: NotStopd t0: [01:00:00 30/03/2015] id: Ectopy Type el: 0 cu: MICU-A cg: RRT v1: None st: NotStopd t0: [01:00:00 30/03/2015] id: Heart Rate el: 0 cu: MICU-A cg: RRT v1: 123 u1: BPM st: NotStopd t0: [01:00:00 30/03/2015] id: Heart Rhythm el: 0 cu: MICU-A cg: RRT v1: Atrial Flutter st: NotStopd t0: [01:00:00 30/03/2015] id: Arterial BP el: 0 cu: MICU-A cg: RRT v1: 92 u1: mmHg v2: 44 u2: mmHg st: NotStopd t0: [01:00:00 30/03/2015] id: Arterial BP Mean el: 0 cu: MICU-A cg: RRT v1: 59 u1: mmHg st: NotStopd t0: [01:00:00 30/03/2015] id: Precautions el: 0 cu: MICU-A cg: RRT v1: Universal st: NotStopd t0: [01:00:00 30/03/2015] id: Previous WeightF el: 0 cu: MICU-A cg: RRT v1: 79.5 u1: kg st: NotStopd t0: [01:00:00 30/03/2015] id: SpO2 el: 0 cu: MICU-A cg: RRT v1: 90 u1: % st: NotStopd t0: [01:00:00 30/03/2015] id: calprevflg el: 0 cu: MICU-A cg: RRT v1: 1 u1: kg st: NotStopd t0: [01:14:00 30/03/2015] id: FiO2 Set el: 0 cu: MICU-A cg: RRT v1: 0.7 u1: torr st: NotStopd t0: [01:14:00 30/03/2015] id: SpO2 el: 0 cu: MICU-A cg: RRT v1: 89 u1: % st: NotStopd
t0: [01:00:00 30/03/2015] id: Fentanyl el: 1 cu: MICU-A cg: RRT so: .9% Normal Saline vo: 0 v1: 100 du: mcghr sv: 50 su: ml rt: IV Drip t0: [01:00:00 30/03/2015] id: Ativan el: 1 cu: MICU-A cg: RRT so: D5W vo: 0 v1: 1 du: mghr sv: 60 su: ml rt: IV Drip
t0: [01:29:00 30/03/2015] id: PEEP Set el: 0 cu: MICU-A cg: RRT v1: 10 u1: cmH2O st: NotStopd
t0: [00:00:00 30/03/2015] id: Less Restrict Meas. el: 0 cu: MICU-A cg: RN v1: Medicated st: NotStopd t0: [00:00:00 30/03/2015] id: Range of Motion el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [00:00:00 30/03/2015] id: Circulation/SkinInt el: 0 cu: MICU-A cg: RN v1: Circulation Adeq st: NotStopd t0: [00:00:00 30/03/2015] id: Eye Opening el: 0 cu: MICU-A cg: RN v1: 3 To speech st: NotStopd t0: [00:00:00 30/03/2015] id: GCS Total el: 0 cu: MICU-A cg: RN v1: 10 u1: points st: NotStopd t0: [00:00:00 30/03/2015] id: GI Guaiac/ph el: 0 cu: MICU-A cg: RN v1: Negative v2: 7 st: NotStopd t0: [00:00:00 30/03/2015] id: GI Intub #1/Site el: 0 cu: MICU-A cg: RN v1: Salem Sump v2: Oral st: NotStopd t0: [00:00:00 30/03/2015] id: GI#1 Tube PlaceCheck el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [00:00:00 30/03/2015] id: GI#1 Tube Stat/Drain el: 0 cu: MICU-A cg: RN v1: Feeding v2: Undigested Food st: NotStopd t0: [00:00:00 30/03/2015] id: HOB el: 0 cu: MICU-A cg: RN v1: Flat in Bed st: NotStopd t0: [00:00:00 30/03/2015] id: INV Line#1 Type/Site el: 0 cu: MICU-A cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [00:00:00 30/03/2015] id: INV Line#1 Zero/Cal el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [00:00:00 30/03/2015] id: INV Line#1InsertDate el: 0 cu: MICU-A cg: RN v1: 2 v2: 22 st: NotStopd t0: [00:00:00 30/03/2015] id: INV Line#1SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [00:00:00 30/03/2015] id: Abdominal Assessment el: 0 cu: MICU-A cg: RN v1: Soft st: NotStopd t0: [00:00:00 30/03/2015] id: INV#1 WaveformAppear el: 0 cu: MICU-A cg: RN v1: Dampened st: NotStopd t0: [00:00:00 30/03/2015] id: IV #1 Insert Date el: 0 cu: MICU-A cg: RN v1: 2 v2: 22 st: NotStopd t0: [00:00:00 30/03/2015] id: IV #1 Site/Size el: 0 cu: MICU-A cg: RN v1: LL Ant Forearm v2: 20 gauge st: NotStopd t0: [00:00:00 30/03/2015] id: IV #2 Insert Date el: 0 cu: MICU-A cg: RN v1: 2 v2: 24 st: NotStopd t0: [00:00:00 30/03/2015] id: IV #2 Site/Size el: 0 cu: MICU-A cg: RN v1: Left Antecub v2: 20 gauge st: NotStopd t0: [00:00:00 30/03/2015] id: Activity el: 0 cu: MICU-A cg: RN v1: Bedrest st: NotStopd t0: [00:00:00 30/03/2015] id: IV Site Appear #1 el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [00:00:00 30/03/2015] id: IV Site Appear #2 el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [00:00:00 30/03/2015] id: Activity Tolerance el: 0 cu: MICU-A cg: RN v1: Tolerated Well st: NotStopd t0: [00:00:00 30/03/2015] id: LLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Diminished st: NotStopd t0: [00:00:00 30/03/2015] id: LUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Clear st: NotStopd t0: [00:00:00 30/03/2015] id: Level of Conscious el: 0 cu: MICU-A cg: RN v1: Arouse to Voice st: NotStopd t0: [00:00:00 30/03/2015] id: Motor Response el: 0 cu: MICU-A cg: RN v1: 6 Obeys Commands st: NotStopd t0: [00:00:00 30/03/2015] id: Oral Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [00:00:00 30/03/2015] id: Oral Cavity el: 0 cu: MICU-A cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [00:00:00 30/03/2015] id: Orientation el: 0 cu: MICU-A cg: RN v1: Other/Remarks st: NotStopd t0: [00:00:00 30/03/2015] id: Position el: 0 cu: MICU-A cg: RN v1: Supine st: NotStopd t0: [00:00:00 30/03/2015] id: Position Change el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [00:00:00 30/03/2015] id: Assistance Device el: 0 cu: MICU-A cg: RN v1: 2 Person Assist st: NotStopd t0: [00:00:00 30/03/2015] id: RLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Diminished st: NotStopd t0: [00:00:00 30/03/2015] id: RUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Clear st: NotStopd t0: [00:00:00 30/03/2015] id: Reason For Restraint el: 0 cu: MICU-A cg: RN v1: Ext/TXInterfere st: NotStopd t0: [00:00:00 30/03/2015] id: Removed x 5 Mins el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [00:00:00 30/03/2015] id: Respiratory Pattern el: 0 cu: MICU-A cg: RN v1: Regular st: NotStopd t0: [00:00:00 30/03/2015] id: Restraint Location el: 0 cu: MICU-A cg: RN v1: Both Arms st: NotStopd t0: [00:00:00 30/03/2015] id: Restraint Type el: 0 cu: MICU-A cg: RN v1: Soft Limb st: NotStopd t0: [00:00:00 30/03/2015] id: Restraints Evaluated el: 0 cu: MICU-A cg: RN v1: RestraintReapply st: NotStopd t0: [00:00:00 30/03/2015] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [00:00:00 30/03/2015] id: Skin Integrity el: 0 cu: MICU-A cg: RN v1: Intact st: NotStopd t0: [00:00:00 30/03/2015] id: Support Systems el: 0 cu: MICU-A cg: RN v1: Spouse st: NotStopd t0: [00:00:00 30/03/2015] id: Turn el: 0 cu: MICU-A cg: RN v1: Back st: NotStopd t0: [00:00:00 30/03/2015] id: Urine Color/Appear el: 0 cu: MICU-A cg: RN v1: Yellow v2: Clear st: NotStopd t0: [00:00:00 30/03/2015] id: Urine Source el: 0 cu: MICU-A cg: RN v1: Indwelling Cath st: NotStopd t0: [00:00:00 30/03/2015] id: Verbal Response el: 0 cu: MICU-A cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [00:00:00 30/03/2015] id: Behavior el: 0 cu: MICU-A cg: RN v1: Calm st: NotStopd t0: [00:00:00 30/03/2015] id: Bowel Sounds el: 0 cu: MICU-A cg: RN v1: Present st: NotStopd t0: [00:00:00 30/03/2015] id: Braden Activity el: 0 cu: MICU-A cg: RN v1: Bedfast st: NotStopd t0: [00:00:00 30/03/2015] id: Braden Frict/Shear el: 0 cu: MICU-A cg: RN v1: Potential Prob st: NotStopd t0: [00:00:00 30/03/2015] id: Braden Mobility el: 0 cu: MICU-A cg: RN v1: Sl. Limited st: NotStopd t0: [00:00:00 30/03/2015] id: Braden Moisture el: 0 cu: MICU-A cg: RN v1: Rarely Moist st: NotStopd t0: [00:00:00 30/03/2015] id: Braden Nutrition el: 0 cu: MICU-A cg: RN v1: Prob. Inadequate st: NotStopd t0: [00:00:00 30/03/2015] id: Braden Score el: 0 cu: MICU-A cg: RN v1: 15 u1: number st: NotStopd t0: [00:00:00 30/03/2015] id: Braden SensoryPercep el: 0 cu: MICU-A cg: RN v1: Sl. Limited st: NotStopd t0: [01:00:00 30/03/2015] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 22 u1: BPM st: NotStopd t0: [01:30:00 30/03/2015] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [01:30:00 30/03/2015] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [01:30:00 30/03/2015] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [01:30:00 30/03/2015] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [01:30:00 30/03/2015] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 128 u1: BPM st: NotStopd t0: [01:30:00 30/03/2015] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Atrial Flutter st: NotStopd t0: [01:30:00 30/03/2015] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 91 u1: mmHg v2: 47 u2: mmHg st: NotStopd t0: [01:30:00 30/03/2015] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 60 u1: mmHg st: NotStopd t0: [01:30:00 30/03/2015] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [01:30:00 30/03/2015] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 79.5 u1: kg st: NotStopd t0: [01:30:00 30/03/2015] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 22 u1: BPM st: NotStopd t0: [01:30:00 30/03/2015] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 91 u1: % st: NotStopd t0: [01:30:00 30/03/2015] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [01:30:00 30/03/2015] tf: [11:00:00 01/04/2015] dt: 3450 id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 0 vu: ml nb: 1 t0: [01:30:00 30/03/2015] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 62.5 vu: ml
t0: [01:30:00 30/03/2015] id: Fentanyl el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 100 du: mcghr sv: 50 su: ml rt: IV Drip t0: [01:30:00 30/03/2015] id: Ativan el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1 du: mghr sv: 60 su: ml rt: IV Drip
t0: [02:00:00 30/03/2015] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [02:00:00 30/03/2015] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [02:00:00 30/03/2015] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [02:00:00 30/03/2015] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [02:00:00 30/03/2015] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 147 u1: BPM st: NotStopd t0: [02:00:00 30/03/2015] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Atrial Flutter st: NotStopd t0: [02:00:00 30/03/2015] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 89 u1: mmHg v2: 50 u2: mmHg st: NotStopd t0: [02:00:00 30/03/2015] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 62 u1: mmHg st: NotStopd t0: [02:00:00 30/03/2015] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [02:00:00 30/03/2015] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 79.5 u1: kg st: NotStopd t0: [02:00:00 30/03/2015] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 22 u1: BPM st: NotStopd t0: [02:00:00 30/03/2015] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 94 u1: % st: NotStopd t0: [02:00:00 30/03/2015] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [02:00:00 30/03/2015] tf: [04:00:00 30/03/2015] dt: 120 id: TF Residual Gastric/TF Residual el: 1 cu: MICU-A cg: RN ai: 189 vo: 10 vu: ml t0: [02:00:00 30/03/2015] id: Gastric Meds PO/Gastric el: 1 cu: MICU-A cg: RN ai: 153 vo: 30 vu: ml t0: [02:00:00 30/03/2015] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 2 vu: ml t0: [02:00:00 30/03/2015] id: Peptamen Tube Feeding el: 1 cu: MICU-A cg: RN ai: 107 vo: 50 vu: ml t0: [02:00:00 30/03/2015] id: .9% Normal Saline 250.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 20 vu: ml t0: [02:00:00 30/03/2015] id: .9% Normal Saline 50.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 4 vu: ml t0: [02:00:00 30/03/2015] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 100 vu: ml
t0: [02:00:00 30/03/2015] id: Fentanyl el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 100 du: mcghr sv: 50 su: ml rt: IV Drip t0: [02:00:00 30/03/2015] id: Ativan el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1 du: mghr sv: 60 su: ml rt: IV Drip
t0: [03:00:00 30/03/2015] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [03:00:00 30/03/2015] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [03:00:00 30/03/2015] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [03:00:00 30/03/2015] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [03:00:00 30/03/2015] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Atrial Flutter st: NotStopd t0: [03:00:00 30/03/2015] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 80 u1: mmHg v2: 43 u2: mmHg st: NotStopd t0: [03:00:00 30/03/2015] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 54 u1: mmHg st: NotStopd t0: [03:00:00 30/03/2015] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [03:00:00 30/03/2015] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 79.5 u1: kg st: NotStopd t0: [03:00:00 30/03/2015] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 22 u1: BPM st: NotStopd t0: [03:00:00 30/03/2015] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 95 u1: % st: NotStopd t0: [03:00:00 30/03/2015] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [03:15:00 30/03/2015] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [03:15:00 30/03/2015] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [03:15:00 30/03/2015] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [03:15:00 30/03/2015] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [03:15:00 30/03/2015] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 130 u1: BPM st: NotStopd t0: [03:15:00 30/03/2015] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Atrial Flutter st: NotStopd t0: [03:15:00 30/03/2015] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 79 u1: mmHg v2: 44 u2: mmHg st: NotStopd t0: [03:15:00 30/03/2015] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 55 u1: mmHg st: NotStopd t0: [03:15:00 30/03/2015] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [03:15:00 30/03/2015] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 79.5 u1: kg st: NotStopd t0: [03:15:00 30/03/2015] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 22 u1: BPM st: NotStopd t0: [03:15:00 30/03/2015] id: Significant Events el: 0 cu: MICU-A cg: RN v1: Fluid Bolus st: NotStopd t0: [03:15:00 30/03/2015] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 95 u1: % st: NotStopd t0: [03:15:00 30/03/2015] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [03:15:00 30/03/2015] id: D5W 100.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 105 vo: 500 vu: ml
t0: [03:00:00 30/03/2015] id: Fentanyl el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 100 du: mcghr sv: 50 su: ml rt: IV Drip t0: [03:00:00 30/03/2015] id: Ativan el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1 du: mghr sv: 60 su: ml rt: IV Drip t0: [03:15:00 30/03/2015] id: Fentanyl el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 100 du: mcghr sv: 50 su: ml rt: IV Drip t0: [03:15:00 30/03/2015] id: Ativan el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1 du: mghr sv: 60 su: ml rt: IV Drip
t0: [03:00:00 30/03/2015] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 127 u1: BPM st: NotStopd t0: [04:00:00 30/03/2015] id: Less Restrict Meas. el: 0 cu: MICU-A cg: RN v1: Medicated st: NotStopd t0: [04:00:00 30/03/2015] id: Pain Present el: 0 cu: MICU-A cg: RN v1: No st: NotStopd t0: [04:00:00 30/03/2015] id: Range of Motion el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [04:00:00 30/03/2015] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [04:00:00 30/03/2015] id: Circulation/SkinInt el: 0 cu: MICU-A cg: RN v1: Circulation Adeq st: NotStopd t0: [04:00:00 30/03/2015] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [04:00:00 30/03/2015] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [04:00:00 30/03/2015] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [04:00:00 30/03/2015] id: Eye Opening el: 0 cu: MICU-A cg: RN v1: 3 To speech st: NotStopd t0: [04:00:00 30/03/2015] id: GCS Total el: 0 cu: MICU-A cg: RN v1: 10 u1: points st: NotStopd t0: [04:00:00 30/03/2015] id: GI Guaiac/ph el: 0 cu: MICU-A cg: RN v1: Negative v2: 7 st: NotStopd t0: [04:00:00 30/03/2015] id: GI Intub #1/Site el: 0 cu: MICU-A cg: RN v1: Salem Sump v2: Oral st: NotStopd t0: [04:00:00 30/03/2015] id: GI#1 Tube PlaceCheck el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [04:00:00 30/03/2015] id: GI#1 Tube Stat/Drain el: 0 cu: MICU-A cg: RN v1: Feeding v2: Undigested Food st: NotStopd t0: [04:00:00 30/03/2015] id: HOB el: 0 cu: MICU-A cg: RN v1: Flat in Bed st: NotStopd t0: [04:00:00 30/03/2015] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 124 u1: BPM st: NotStopd t0: [04:00:00 30/03/2015] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Atrial Flutter st: NotStopd t0: [04:00:00 30/03/2015] id: Abdominal Assessment el: 0 cu: MICU-A cg: RN v1: Soft st: NotStopd t0: [04:00:00 30/03/2015] id: Activity el: 0 cu: MICU-A cg: RN v1: Bedrest st: NotStopd t0: [04:00:00 30/03/2015] id: Activity Tolerance el: 0 cu: MICU-A cg: RN v1: Tolerated Well st: NotStopd t0: [04:00:00 30/03/2015] id: LLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Diminished st: NotStopd t0: [04:00:00 30/03/2015] id: LUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Clear st: NotStopd t0: [04:00:00 30/03/2015] id: Level of Conscious el: 0 cu: MICU-A cg: RN v1: Arouse to Voice st: NotStopd t0: [04:00:00 30/03/2015] id: Motor Response el: 0 cu: MICU-A cg: RN v1: 6 Obeys Commands st: NotStopd t0: [04:00:00 30/03/2015] id: Oral Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [04:00:00 30/03/2015] id: Oral Cavity el: 0 cu: MICU-A cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [04:00:00 30/03/2015] id: Orientation el: 0 cu: MICU-A cg: RN v1: Other/Remarks st: NotStopd t0: [04:00:00 30/03/2015] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 87 u1: mmHg v2: 44 u2: mmHg st: NotStopd t0: [04:00:00 30/03/2015] id: Pain Location el: 0 cu: MICU-A cg: RN v1: Not Indicated st: NotStopd t0: [04:00:00 30/03/2015] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 58 u1: mmHg st: NotStopd t0: [04:00:00 30/03/2015] id: Position el: 0 cu: MICU-A cg: RN v1: Supine st: NotStopd t0: [04:00:00 30/03/2015] id: Position Change el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [04:00:00 30/03/2015] id: Assistance Device el: 0 cu: MICU-A cg: RN v1: 2 Person Assist st: NotStopd t0: [04:00:00 30/03/2015] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [04:00:00 30/03/2015] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 79.5 u1: kg st: NotStopd t0: [04:00:00 30/03/2015] id: RLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Diminished st: NotStopd t0: [04:00:00 30/03/2015] id: RUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Clear st: NotStopd t0: [04:00:00 30/03/2015] id: Reason For Restraint el: 0 cu: MICU-A cg: RN v1: Ext/TXInterfere st: NotStopd t0: [04:00:00 30/03/2015] id: Removed x 5 Mins el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [04:00:00 30/03/2015] id: Respiratory Pattern el: 0 cu: MICU-A cg: RN v1: Regular st: NotStopd t0: [04:00:00 30/03/2015] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 22 u1: BPM st: NotStopd t0: [04:00:00 30/03/2015] id: Restraint Location el: 0 cu: MICU-A cg: RN v1: Both Arms st: NotStopd t0: [04:00:00 30/03/2015] id: Restraint Type el: 0 cu: MICU-A cg: RN v1: Soft Limb st: NotStopd t0: [04:00:00 30/03/2015] id: Restraints Evaluated el: 0 cu: MICU-A cg: RN v1: RestraintReapply st: NotStopd t0: [04:00:00 30/03/2015] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [04:00:00 30/03/2015] id: Skin Integrity el: 0 cu: MICU-A cg: RN v1: Intact st: NotStopd t0: [04:00:00 30/03/2015] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 94 u1: % st: NotStopd t0: [04:00:00 30/03/2015] id: Sputum Color/Consist el: 0 cu: MICU-A cg: RN v1: Blood Tinged v2: Thin st: NotStopd t0: [04:00:00 30/03/2015] id: Sputum Source/Amt el: 0 cu: MICU-A cg: RN v1: Suctioned v2: Small st: NotStopd t0: [04:00:00 30/03/2015] id: Support Systems el: 0 cu: MICU-A cg: RN v1: Spouse st: NotStopd t0: [04:00:00 30/03/2015] id: Temp. Site el: 0 cu: MICU-A cg: RN v1: Oral st: NotStopd t0: [04:00:00 30/03/2015] id: Temperature C (calc) el: 0 cu: MICU-A cg: RN v1: 37.5556 u1: Deg. C st: NotStopd t0: [04:00:00 30/03/2015] id: Temperature F el: 0 cu: MICU-A cg: RN v1: 99.6 u1: Deg. F st: NotStopd t0: [04:00:00 30/03/2015] id: Turn el: 0 cu: MICU-A cg: RN v1: Back st: NotStopd t0: [04:00:00 30/03/2015] id: Urine Color/Appear el: 0 cu: MICU-A cg: RN v1: Yellow v2: Clear st: NotStopd t0: [04:00:00 30/03/2015] id: Urine Source el: 0 cu: MICU-A cg: RN v1: Indwelling Cath st: NotStopd t0: [04:00:00 30/03/2015] id: Verbal Response el: 0 cu: MICU-A cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [04:00:00 30/03/2015] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [04:00:00 30/03/2015] id: Behavior el: 0 cu: MICU-A cg: RN v1: Calm st: NotStopd t0: [04:00:00 30/03/2015] id: Bowel Sounds el: 0 cu: MICU-A cg: RN v1: Present st: NotStopd
t0: [02:00:00 30/03/2015] id: D5W 100.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 105 vo: 50 vu: ml t0: [04:00:00 30/03/2015] id: TF Residual Gastric/TF Residual el: 1 cu: MICU-A cg: RN ai: 189 vo: 0 vu: ml t0: [04:00:00 30/03/2015] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 2 vu: ml t0: [04:00:00 30/03/2015] id: Peptamen Tube Feeding el: 1 cu: MICU-A cg: RN ai: 107 vo: 50 vu: ml t0: [04:00:00 30/03/2015] id: .9% Normal Saline 250.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 20 vu: ml t0: [04:00:00 30/03/2015] id: .9% Normal Saline 50.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 4 vu: ml t0: [04:00:00 30/03/2015] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 60 vu: ml
t0: [04:00:00 30/03/2015] id: Fentanyl el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 100 du: mcghr sv: 50 su: ml rt: IV Drip t0: [04:00:00 30/03/2015] id: Ativan el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1 du: mghr sv: 60 su: ml rt: IV Drip
t0: [04:00:00 30/03/2015] id: PEEP Set el: 0 cu: MICU-A cg: RRT v1: 7.5 u1: cmH2O st: NotStopd
t0: [04:30:00 30/03/2015] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [04:30:00 30/03/2015] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [04:30:00 30/03/2015] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [04:30:00 30/03/2015] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [04:30:00 30/03/2015] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 119 u1: BPM st: NotStopd t0: [04:30:00 30/03/2015] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Atrial Flutter st: NotStopd t0: [04:30:00 30/03/2015] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 80 u1: mmHg v2: 42 u2: mmHg st: NotStopd t0: [04:30:00 30/03/2015] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 54 u1: mmHg st: NotStopd t0: [04:30:00 30/03/2015] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [04:30:00 30/03/2015] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 79.5 u1: kg st: NotStopd t0: [04:30:00 30/03/2015] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 22 u1: BPM st: NotStopd t0: [04:30:00 30/03/2015] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 93 u1: % st: NotStopd t0: [04:30:00 30/03/2015] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [04:30:00 30/03/2015] id: Fentanyl el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 100 du: mcghr sv: 50 su: ml rt: IV Drip t0: [04:30:00 30/03/2015] id: Ativan el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1 du: mghr sv: 60 su: ml rt: IV Drip
t0: [04:55:00 30/03/2015] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [04:55:00 30/03/2015] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [04:55:00 30/03/2015] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [04:55:00 30/03/2015] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [04:55:00 30/03/2015] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 77 u1: BPM st: NotStopd t0: [04:55:00 30/03/2015] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [04:55:00 30/03/2015] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 96 u1: mmHg v2: 40 u2: mmHg st: NotStopd t0: [04:55:00 30/03/2015] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 58 u1: mmHg st: NotStopd t0: [04:55:00 30/03/2015] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [04:55:00 30/03/2015] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 79.5 u1: kg st: NotStopd t0: [04:55:00 30/03/2015] id: Procedures el: 0 cu: MICU-A cg: RN v1: EKG st: NotStopd t0: [04:55:00 30/03/2015] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 22 u1: BPM st: NotStopd t0: [04:55:00 30/03/2015] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 93 u1: % st: NotStopd t0: [04:55:00 30/03/2015] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [04:55:00 30/03/2015] id: Fentanyl el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 100 du: mcghr sv: 50 su: ml rt: IV Drip t0: [04:55:00 30/03/2015] id: Ativan el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1 du: mghr sv: 60 su: ml rt: IV Drip
t0: [05:00:00 30/03/2015] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [05:00:00 30/03/2015] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [05:00:00 30/03/2015] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [05:00:00 30/03/2015] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [05:00:00 30/03/2015] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 79 u1: BPM st: NotStopd t0: [05:00:00 30/03/2015] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [05:00:00 30/03/2015] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 103 u1: mmHg v2: 43 u2: mmHg st: NotStopd t0: [05:00:00 30/03/2015] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 62 u1: mmHg st: NotStopd t0: [05:00:00 30/03/2015] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [05:00:00 30/03/2015] id: Previous Weight el: 0 cu: MICU-A cg: RN v1: 79.4 u1: kg st: NotStopd t0: [05:00:00 30/03/2015] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 79.4 u1: kg st: NotStopd t0: [05:00:00 30/03/2015] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 22 u1: BPM st: NotStopd t0: [05:00:00 30/03/2015] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 93 u1: % st: NotStopd t0: [05:00:00 30/03/2015] id: Weight Change el: 0 cu: MICU-A cg: RN v1: 0 u1: kg st: NotStopd t0: [05:00:00 30/03/2015] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [05:00:00 30/03/2015] id: Daily Weight el: 0 cu: MICU-A cg: RN v1: 79.4 u1: kg st: NotStopd
t0: [05:00:00 30/03/2015] id: Fentanyl el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 100 du: mcghr sv: 50 su: ml rt: IV Drip t0: [05:00:00 30/03/2015] id: Ativan el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1 du: mghr sv: 60 su: ml rt: IV Drip
t0: [05:43:00 30/03/2015] id: Compliance (40-60ml) el: 0 cu: MICU-A cg: RRT v1: 44 u1: ml/cmH st: NotStopd t0: [05:43:00 30/03/2015] id: ETT Mark/Location el: 0 cu: MICU-A cg: RRT v1: 22cm v2: Lip st: NotStopd t0: [05:43:00 30/03/2015] id: FiO2 Set el: 0 cu: MICU-A cg: RRT v1: 0.7 u1: torr st: NotStopd t0: [05:43:00 30/03/2015] id: High Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 50 u1: cmH2O st: NotStopd t0: [05:43:00 30/03/2015] id: High Resp. Rate el: 0 cu: MICU-A cg: RRT v1: 35 u1: BPM st: NotStopd t0: [05:43:00 30/03/2015] id: I:E Ratio el: 0 cu: MICU-A cg: RRT v1: 1:1.9 st: NotStopd t0: [05:43:00 30/03/2015] id: Airway Size el: 0 cu: MICU-A cg: RRT v1: 9.0 mm st: NotStopd t0: [05:43:00 30/03/2015] id: Airway Type el: 0 cu: MICU-A cg: RRT v1: Endotracheal st: NotStopd t0: [05:43:00 30/03/2015] id: Inspired Gas Temp el: 0 cu: MICU-A cg: RRT v1: 33 u1: Deg. C st: NotStopd t0: [05:43:00 30/03/2015] id: Intubation Date el: 0 cu: MICU-A cg: RRT v1: 2 v2: 22 st: NotStopd t0: [05:43:00 30/03/2015] id: Low Exhaled Min Vol el: 0 cu: MICU-A cg: RRT v1: 10 st: NotStopd t0: [05:43:00 30/03/2015] id: Low Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [05:43:00 30/03/2015] id: MDI #1 (Puff/Drug) el: 0 cu: MICU-A cg: RRT v1: 6 v2: Albuterol st: NotStopd t0: [05:43:00 30/03/2015] id: MDI #2 (Puff/Drug) el: 0 cu: MICU-A cg: RRT v1: 6 v2: Atrovent st: NotStopd t0: [05:43:00 30/03/2015] id: Mean Airway Pressure el: 0 cu: MICU-A cg: RRT v1: 11.9 u1: cmH2O st: NotStopd t0: [05:43:00 30/03/2015] id: Minute Volume(Obser) el: 0 cu: MICU-A cg: RRT v1: 13.1 u1: L/min st: NotStopd t0: [05:43:00 30/03/2015] id: PEEP Set el: 0 cu: MICU-A cg: RRT v1: 7.5 u1: cmH2O st: NotStopd t0: [05:43:00 30/03/2015] id: Peak Flow el: 0 cu: MICU-A cg: RRT v1: 65 u1: L/m st: NotStopd t0: [05:43:00 30/03/2015] id: Peak Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 20 u1: cmH2O st: NotStopd t0: [05:43:00 30/03/2015] id: Plateau Pressure el: 0 cu: MICU-A cg: RRT v1: 18.2 u1: cmH2O st: NotStopd t0: [05:43:00 30/03/2015] id: Plateau-Off el: 0 cu: MICU-A cg: RRT v1: Yes st: NotStopd t0: [05:43:00 30/03/2015] id: Resp Rate (Spont) el: 0 cu: MICU-A cg: RRT v1: 0 u1: BPM st: NotStopd t0: [05:43:00 30/03/2015] id: Resp Rate (Total) el: 0 cu: MICU-A cg: RRT v1: 22 u1: BPM st: NotStopd t0: [05:43:00 30/03/2015] id: Respiratory Rate Set el: 0 cu: MICU-A cg: RRT v1: 22 u1: BPM st: NotStopd t0: [05:43:00 30/03/2015] id: Sensitivity-Vent el: 0 cu: MICU-A cg: RRT v1: 1 u1: cmH2O st: NotStopd t0: [05:43:00 30/03/2015] id: SpO2 el: 0 cu: MICU-A cg: RRT v1: 92 u1: % st: NotStopd t0: [05:43:00 30/03/2015] id: Tidal Volume (Obser) el: 0 cu: MICU-A cg: RRT v1: 590 u1: ml/B st: NotStopd t0: [05:43:00 30/03/2015] id: Tidal Volume (Set) el: 0 cu: MICU-A cg: RRT v1: 550 u1: ml/B st: NotStopd t0: [05:43:00 30/03/2015] id: Ventilator Mode el: 0 cu: MICU-A cg: RRT v1: Assist Control st: NotStopd t0: [05:43:00 30/03/2015] id: Ventilator No. el: 0 cu: MICU-A cg: RRT v1: 20 u1: # st: NotStopd t0: [05:43:00 30/03/2015] id: Ventilator Type el: 0 cu: MICU-A cg: RRT v1: 7200A st: NotStopd t0: [05:43:00 30/03/2015] id: Waveform-Vent el: 0 cu: MICU-A cg: RRT v1: RAMP st: NotStopd
t0: [01:00:00 29/03/2015] id: Previous Weight el: 0 cu: MICU-A cg: 1663 v1: 74.7 u1: kg st: NotStopd t0: [08:00:00 29/03/2015] id: Previous Weight el: 0 cu: MICU-A cg: 1663 v1: 79.5 u1: kg st: NotStopd t0: [09:00:00 29/03/2015] id: Previous Weight el: 0 cu: MICU-A cg: 1663 v1: 79.5 u1: kg st: NotStopd t0: [17:00:00 29/03/2015] id: Previous Weight el: 0 cu: MICU-A cg: 1663 v1: 79.5 u1: kg st: NotStopd t0: [18:00:00 29/03/2015] id: Previous Weight el: 0 cu: MICU-A cg: 1663 v1: 79.5 u1: kg st: NotStopd t0: [20:00:00 29/03/2015] id: Previous Weight el: 0 cu: MICU-A cg: 1663 v1: 79.5 u1: kg st: NotStopd t0: [21:00:00 29/03/2015] id: Previous Weight el: 0 cu: MICU-A cg: 1663 v1: 79.5 u1: kg st: NotStopd t0: [22:00:00 29/03/2015] id: Previous Weight el: 0 cu: MICU-A cg: 1663 v1: 79.5 u1: kg st: NotStopd t0: [22:30:00 29/03/2015] id: Previous Weight el: 0 cu: MICU-A cg: 1663 v1: 79.5 u1: kg st: NotStopd t0: [01:30:00 30/03/2015] id: Previous Weight el: 0 cu: MICU-A cg: 1663 v1: 79.5 u1: kg st: NotStopd t0: [02:00:00 30/03/2015] id: Previous Weight el: 0 cu: MICU-A cg: 1663 v1: 79.5 u1: kg st: NotStopd t0: [03:00:00 30/03/2015] id: Previous Weight el: 0 cu: MICU-A cg: 1663 v1: 79.5 u1: kg st: NotStopd t0: [03:15:00 30/03/2015] id: Previous Weight el: 0 cu: MICU-A cg: 1663 v1: 79.5 u1: kg st: NotStopd t0: [05:55:00 30/03/2015] id: Art.pH ABG el: 0 cu: MICU-A cg: 1663 v1: 7.44 rs: Final st: NotStopd t0: [05:55:00 30/03/2015] id: Arterial Base Excess ABG el: 0 cu: MICU-A cg: 1663 v1: 1 rs: Final st: NotStopd t0: [05:55:00 30/03/2015] id: Arterial CO2(Calc) ABG el: 0 cu: MICU-A cg: 1663 v1: 27 rs: Final st: NotStopd t0: [05:55:00 30/03/2015] id: Arterial PaCO2 ABG el: 0 cu: MICU-A cg: 1663 v1: 38 u1: mmHg rs: Final st: NotStopd t0: [05:55:00 30/03/2015] id: Arterial PaO2 ABG el: 0 cu: MICU-A cg: 1663 v1: 60 u1: mmHg rs: Final st: NotStopd t0: [05:55:00 30/03/2015] id: Arterial pH ABG el: 0 cu: MICU-A cg: 1663 v1: 7.44 rs: Final st: NotStopd
t0: [23:00:00 29/03/2015] dt: 1 id: Total Hourly Output el: 2 cu: MICU-A cg: 1663 pv: 40 cv: 40 ap: none t0: [23:00:00 29/03/2015] dt: 1 id: Net Hourly Balance el: 2 cu: MICU-A cg: 1663 pv: 498 cv: 498 ap: none t0: [23:00:00 29/03/2015] dt: 24 id: IV Infusion In Total el: 2 cu: MICU-A cg: 1663 pv: 513 cv: 3088.5 ap: none t0: [23:00:00 29/03/2015] dt: 24 id: 24h Total In el: 2 cu: MICU-A cg: 1663 pv: 538 cv: 3938.5 ap: none t0: [23:00:00 29/03/2015] dt: 24 id: Tube Feeds In Total el: 2 cu: MICU-A cg: 1663 pv: 25 cv: 720 ap: none t0: [23:00:00 29/03/2015] dt: 24 id: Urine Out Total el: 2 cu: MICU-A cg: 1663 pv: 40 cv: 2705 ap: none t0: [23:00:00 29/03/2015] dt: 24 id: 24h Net Body Balance el: 2 cu: MICU-A cg: 1663 pv: 498 cv: 1233.5 ap: none t0: [23:00:00 29/03/2015] dt: 24 id: 24h Total Out el: 2 cu: MICU-A cg: 1663 pv: 40 cv: 2705 ap: none t0: [23:00:00 29/03/2015] dt: multiple days id: LOS Net Body Balance el: 2 cu: MICU-A cg: 1663 pv: 498 cv: 7151.25 ap: none
t0: [05:57:00 30/03/2015] id: WBC (4-11,000) Hematology el: 0 cu: MICU-A cg: 1663 v1: 9.3 rs: Final st: NotStopd t0: [05:57:00 30/03/2015] id: Hematocrit Hematology el: 0 cu: MICU-A cg: 1663 v1: 36.1 u1: % rs: Final st: NotStopd t0: [05:57:00 30/03/2015] id: Hemoglobin Hematology el: 0 cu: MICU-A cg: 1663 v1: 12 u1: gm/dl rs: Final st: NotStopd t0: [05:57:00 30/03/2015] id: Platelets Hematology el: 0 cu: MICU-A cg: 1663 v1: 315 rs: Final st: NotStopd t0: [05:57:00 30/03/2015] id: RBC Hematology el: 0 cu: MICU-A cg: 1663 v1: 3.86 u1: /mic l rs: Final st: NotStopd t0: [05:57:00 30/03/2015] id: WBC (4-11,000) Hematology el: 0 cu: MICU-A cg: 1663 v1: 9.3 rs: Final st: NotStopd
t0: [06:00:00 30/03/2015] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [06:00:00 30/03/2015] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [06:00:00 30/03/2015] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [06:00:00 30/03/2015] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [06:00:00 30/03/2015] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 74 u1: BPM st: NotStopd t0: [06:00:00 30/03/2015] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [06:00:00 30/03/2015] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 92 u1: mmHg v2: 35 u2: mmHg st: NotStopd t0: [06:00:00 30/03/2015] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 54 u1: mmHg st: NotStopd t0: [06:00:00 30/03/2015] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [06:00:00 30/03/2015] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 79.4 u1: kg st: NotStopd t0: [06:00:00 30/03/2015] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 22 u1: BPM st: NotStopd t0: [06:00:00 30/03/2015] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 93 u1: % st: NotStopd t0: [06:00:00 30/03/2015] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [06:00:00 30/03/2015] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 2 vu: ml t0: [06:00:00 30/03/2015] id: Peptamen Tube Feeding el: 1 cu: MICU-A cg: RN ai: 107 vo: 50 vu: ml t0: [06:00:00 30/03/2015] id: .9% Normal Saline 250.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 20 vu: ml t0: [06:00:00 30/03/2015] id: .9% Normal Saline 50.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 4 vu: ml t0: [06:00:00 30/03/2015] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 60 vu: ml
t0: [06:00:00 30/03/2015] id: Fentanyl el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 100 du: mcghr sv: 50 su: ml rt: IV Drip t0: [06:00:00 30/03/2015] id: Ativan el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1 du: mghr sv: 60 su: ml rt: IV Drip
t0: [05:57:00 30/03/2015] id: BUN (6-20) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 27 rs: Final st: NotStopd t0: [05:57:00 30/03/2015] id: CPK Enzymes el: 0 cu: MICU-A cg: 1663 v1: 37 rs: Final st: NotStopd t0: [05:57:00 30/03/2015] id: Calcium (8.4-10.2) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 7.2 u1: mg/dl rs: Final st: NotStopd t0: [05:57:00 30/03/2015] id: Carbon Dioxide Chemistry el: 0 cu: MICU-A cg: 1663 v1: 27 rs: Final st: NotStopd t0: [05:57:00 30/03/2015] id: Chloride (100-112) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 112 rs: Final st: NotStopd t0: [05:57:00 30/03/2015] id: Creatinine (0-1.3) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 0.7 rs: Final st: NotStopd t0: [05:57:00 30/03/2015] id: Glucose (70-105) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 108 rs: Final st: NotStopd t0: [05:57:00 30/03/2015] id: Magnesium (1.6-2.6) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 1.7 rs: Final st: NotStopd t0: [05:57:00 30/03/2015] id: Phosphorous(2.7-4.5) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 2.7 u1: mEq/L rs: Final st: NotStopd t0: [05:57:00 30/03/2015] id: Potassium (3.5-5.3) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 3.9 rs: Final st: NotStopd t0: [05:57:00 30/03/2015] id: Sodium (135-148) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 144 rs: Final st: NotStopd
t0: [07:00:00 30/03/2015] id: Service Type el: 0 cu: MICU-A cg: -1 v1: MICU st: NotStopd t0: [07:00:00 30/03/2015] id: Code Status el: 0 cu: MICU-A cg: -1 v1: Full Code st: NotStopd t0: [07:00:00 30/03/2015] id: Ectopy Frequency el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [07:00:00 30/03/2015] id: Ectopy Type el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [07:00:00 30/03/2015] id: Heart Rate el: 0 cu: MICU-A cg: -1 v1: 75 u1: BPM st: NotStopd t0: [07:00:00 30/03/2015] id: Heart Rhythm el: 0 cu: MICU-A cg: -1 v1: Normal Sinus st: NotStopd t0: [07:00:00 30/03/2015] id: Arterial BP el: 0 cu: MICU-A cg: -1 v1: 96 u1: mmHg v2: 39 u2: mmHg st: NotStopd t0: [07:00:00 30/03/2015] id: Arterial BP Mean el: 0 cu: MICU-A cg: -1 v1: 57 u1: mmHg st: NotStopd t0: [07:00:00 30/03/2015] id: Precautions el: 0 cu: MICU-A cg: -1 v1: Universal st: NotStopd t0: [07:00:00 30/03/2015] id: Previous WeightF el: 0 cu: MICU-A cg: -1 v1: 79.4 u1: kg st: NotStopd t0: [07:00:00 30/03/2015] id: Respiratory Rate el: 0 cu: MICU-A cg: -1 v1: 22 u1: BPM st: NotStopd t0: [07:00:00 30/03/2015] id: SpO2 el: 0 cu: MICU-A cg: -1 v1: 93 u1: % st: NotStopd t0: [07:00:00 30/03/2015] id: calprevflg el: 0 cu: MICU-A cg: -1 v1: 1 u1: kg st: NotStopd
t0: [07:00:00 30/03/2015] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 1 vu: ml t0: [07:00:00 30/03/2015] id: Peptamen Tube Feeding el: 1 cu: MICU-A cg: -1 ai: 107 vo: 25 vu: ml t0: [07:00:00 30/03/2015] id: .9% Normal Saline 250.0ml IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 10 vu: ml t0: [07:00:00 30/03/2015] id: .9% Normal Saline 50.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 2 vu: ml t0: [07:00:00 30/03/2015] id: Urine Out Foley el: 1 cu: MICU-A cg: -1 vo: 75 vu: ml
t0: [07:00:00 30/03/2015] id: Fentanyl el: 1 cu: MICU-A so: .9% Normal Saline vo: 0 v1: 100 du: mcghr sv: 50 su: ml rt: IV Drip t0: [07:00:00 30/03/2015] id: Ativan el: 1 cu: MICU-A so: D5W vo: 0 v1: 1 du: mghr sv: 60 su: ml rt: IV Drip
t0: [07:30:00 30/03/2015] id: Less Restrict Meas. el: 0 cu: MICU-A cg: -1 v1: Medicated st: NotStopd t0: [07:30:00 30/03/2015] id: Pain Present el: 0 cu: MICU-A cg: -1 v1: No st: NotStopd t0: [07:30:00 30/03/2015] id: Range of Motion el: 0 cu: MICU-A cg: -1 v1: Not Done st: NotStopd t0: [07:30:00 30/03/2015] id: Service Type el: 0 cu: MICU-A cg: -1 v1: MICU st: NotStopd t0: [07:30:00 30/03/2015] id: Circulation/SkinInt el: 0 cu: MICU-A cg: -1 v1: Circulation Adeq st: NotStopd t0: [07:30:00 30/03/2015] id: Code Status el: 0 cu: MICU-A cg: -1 v1: Full Code st: NotStopd t0: [07:30:00 30/03/2015] id: Dorsal PedPulse R/L el: 0 cu: MICU-A cg: -1 v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [07:30:00 30/03/2015] id: Ectopy Frequency el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [07:30:00 30/03/2015] id: Ectopy Type el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [07:30:00 30/03/2015] id: Eye Opening el: 0 cu: MICU-A cg: -1 v1: 3 To speech st: NotStopd t0: [07:30:00 30/03/2015] id: GCS Total el: 0 cu: MICU-A cg: -1 v1: 10 u1: points st: NotStopd t0: [07:30:00 30/03/2015] id: GI Intub #1/Site el: 0 cu: MICU-A cg: -1 v1: Salem Sump v2: Oral st: NotStopd t0: [07:30:00 30/03/2015] id: GI#1 Tube PlaceCheck el: 0 cu: MICU-A cg: -1 v1: Not Done st: NotStopd t0: [07:30:00 30/03/2015] id: GI#1 Tube Stat/Drain el: 0 cu: MICU-A cg: -1 v1: Feeding v2: Undigested Food st: NotStopd t0: [07:30:00 30/03/2015] id: HOB el: 0 cu: MICU-A cg: -1 v1: 15 degrees st: NotStopd t0: [07:30:00 30/03/2015] id: Heart Rate el: 0 cu: MICU-A cg: -1 v1: 81 u1: BPM st: NotStopd t0: [07:30:00 30/03/2015] id: Heart Rhythm el: 0 cu: MICU-A cg: -1 v1: Normal Sinus st: NotStopd t0: [07:30:00 30/03/2015] id: INV Line#1 Type/Site el: 0 cu: MICU-A cg: -1 v1: A-Line v2: Right Radial st: NotStopd t0: [07:30:00 30/03/2015] id: INV Line#1 Zero/Cal el: 0 cu: MICU-A cg: -1 v1: Yes st: NotStopd t0: [07:30:00 30/03/2015] id: INV Line#1InsertDate el: 0 cu: MICU-A cg: -1 v1: 2 v2: 22 st: NotStopd t0: [07:30:00 30/03/2015] id: INV Line#1SiteAppear el: 0 cu: MICU-A cg: -1 v1: WNL st: NotStopd t0: [07:30:00 30/03/2015] id: Abdominal Assessment el: 0 cu: MICU-A cg: -1 v1: Soft st: NotStopd t0: [07:30:00 30/03/2015] id: INV#1 WaveformAppear el: 0 cu: MICU-A cg: -1 v1: Dampened st: NotStopd t0: [07:30:00 30/03/2015] id: IV #1 Insert Date el: 0 cu: MICU-A cg: -1 v1: 2 v2: 22 st: NotStopd t0: [07:30:00 30/03/2015] id: IV #1 Site/Size el: 0 cu: MICU-A cg: -1 v1: LL Ant Forearm v2: 20 gauge st: NotStopd t0: [07:30:00 30/03/2015] id: IV #2 Insert Date el: 0 cu: MICU-A cg: -1 v1: 2 v2: 24 st: NotStopd t0: [07:30:00 30/03/2015] id: IV #2 Site/Size el: 0 cu: MICU-A cg: -1 v1: Left Antecub v2: 20 gauge st: NotStopd t0: [07:30:00 30/03/2015] id: Activity el: 0 cu: MICU-A cg: -1 v1: Bedrest st: NotStopd t0: [07:30:00 30/03/2015] id: IV Site Appear #1 el: 0 cu: MICU-A cg: -1 v1: WNL st: NotStopd t0: [07:30:00 30/03/2015] id: IV Site Appear #2 el: 0 cu: MICU-A cg: -1 v1: WNL st: NotStopd t0: [07:30:00 30/03/2015] id: LLL Lung Sounds el: 0 cu: MICU-A cg: -1 v1: Diminished st: NotStopd t0: [07:30:00 30/03/2015] id: LUL Lung Sounds el: 0 cu: MICU-A cg: -1 v1: Clear st: NotStopd t0: [07:30:00 30/03/2015] id: Level of Conscious el: 0 cu: MICU-A cg: -1 v1: Arouse to Voice st: NotStopd t0: [07:30:00 30/03/2015] id: Motor Response el: 0 cu: MICU-A cg: -1 v1: 6 Obeys Commands st: NotStopd t0: [07:30:00 30/03/2015] id: Oral Cavity el: 0 cu: MICU-A cg: -1 v1: Teeth/Tissue WNL st: NotStopd t0: [07:30:00 30/03/2015] id: Orientation el: 0 cu: MICU-A cg: -1 v1: Other/Remarks st: NotStopd t0: [07:30:00 30/03/2015] id: Arterial BP el: 0 cu: MICU-A cg: -1 v1: 115 u1: mmHg v2: 45 u2: mmHg st: NotStopd t0: [07:30:00 30/03/2015] id: Pain Location el: 0 cu: MICU-A cg: -1 v1: Not Indicated st: NotStopd t0: [07:30:00 30/03/2015] id: Arterial BP Mean el: 0 cu: MICU-A cg: -1 v1: 68 u1: mmHg st: NotStopd t0: [07:30:00 30/03/2015] id: Position el: 0 cu: MICU-A cg: -1 v1: Supine st: NotStopd t0: [07:30:00 30/03/2015] id: Position Change el: 0 cu: MICU-A cg: -1 v1: Not Done st: NotStopd t0: [07:30:00 30/03/2015] id: PostTib. Pulses R/L el: 0 cu: MICU-A cg: -1 v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [07:30:00 30/03/2015] id: Precautions el: 0 cu: MICU-A cg: -1 v1: Universal st: NotStopd t0: [07:30:00 30/03/2015] id: Previous WeightF el: 0 cu: MICU-A cg: -1 v1: 79.4 u1: kg st: NotStopd t0: [07:30:00 30/03/2015] id: RLL Lung Sounds el: 0 cu: MICU-A cg: -1 v1: Diminished st: NotStopd t0: [07:30:00 30/03/2015] id: RUL Lung Sounds el: 0 cu: MICU-A cg: -1 v1: Clear st: NotStopd t0: [07:30:00 30/03/2015] id: Reason For Restraint el: 0 cu: MICU-A cg: -1 v1: Ext/TXInterfere st: NotStopd t0: [07:30:00 30/03/2015] id: Removed x 5 Mins el: 0 cu: MICU-A cg: -1 v1: Not Done st: NotStopd t0: [07:30:00 30/03/2015] id: Respiratory Pattern el: 0 cu: MICU-A cg: -1 v1: Regular st: NotStopd t0: [07:30:00 30/03/2015] id: Respiratory Rate el: 0 cu: MICU-A cg: -1 v1: 22 u1: BPM st: NotStopd t0: [07:30:00 30/03/2015] id: Restraint Location el: 0 cu: MICU-A cg: -1 v1: Both Arms st: NotStopd t0: [07:30:00 30/03/2015] id: Restraint Type el: 0 cu: MICU-A cg: -1 v1: Soft Limb st: NotStopd t0: [07:30:00 30/03/2015] id: Restraints Evaluated el: 0 cu: MICU-A cg: -1 v1: RestraintReapply st: NotStopd t0: [07:30:00 30/03/2015] id: Side Rails el: 0 cu: MICU-A cg: -1 v1: Side Rails Up st: NotStopd t0: [07:30:00 30/03/2015] id: Skin Integrity el: 0 cu: MICU-A cg: -1 v1: Intact st: NotStopd t0: [07:30:00 30/03/2015] id: SpO2 el: 0 cu: MICU-A cg: -1 v1: 94 u1: % st: NotStopd t0: [07:30:00 30/03/2015] id: Support Systems el: 0 cu: MICU-A cg: -1 v1: Relative st: NotStopd t0: [07:30:00 30/03/2015] id: Turn el: 0 cu: MICU-A cg: -1 v1: Back st: NotStopd t0: [07:30:00 30/03/2015] id: Urine Color/Appear el: 0 cu: MICU-A cg: -1 v1: Yellow v2: Clear st: NotStopd t0: [07:30:00 30/03/2015] id: Urine Source el: 0 cu: MICU-A cg: -1 v1: Indwelling Cath st: NotStopd t0: [07:30:00 30/03/2015] id: Verbal Response el: 0 cu: MICU-A cg: -1 v1: 1.0 ET/Trach st: NotStopd t0: [07:30:00 30/03/2015] id: calprevflg el: 0 cu: MICU-A cg: -1 v1: 1 u1: kg st: NotStopd t0: [07:30:00 30/03/2015] id: Behavior el: 0 cu: MICU-A cg: -1 v1: Calm st: NotStopd t0: [07:30:00 30/03/2015] id: Bowel Sounds el: 0 cu: MICU-A cg: -1 v1: Present st: NotStopd t0: [07:30:00 30/03/2015] id: Braden Activity el: 0 cu: MICU-A cg: -1 v1: Bedfast st: NotStopd t0: [07:30:00 30/03/2015] id: Braden Frict/Shear el: 0 cu: MICU-A cg: -1 v1: Potential Prob st: NotStopd t0: [07:30:00 30/03/2015] id: Braden Mobility el: 0 cu: MICU-A cg: -1 v1: Very Limited st: NotStopd t0: [07:30:00 30/03/2015] id: Braden Moisture el: 0 cu: MICU-A cg: -1 v1: Occ. Moist st: NotStopd t0: [07:30:00 30/03/2015] id: Braden Nutrition el: 0 cu: MICU-A cg: -1 v1: Prob. Inadequate st: NotStopd t0: [07:30:00 30/03/2015] id: Braden Score el: 0 cu: MICU-A cg: -1 v1: 13 u1: number st: NotStopd t0: [07:30:00 30/03/2015] id: Braden SensoryPercep el: 0 cu: MICU-A cg: -1 v1: Sl. Limited st: NotStopd
t0: [07:30:00 30/03/2015] id: Fentanyl el: 1 cu: MICU-A so: .9% Normal Saline vo: 0 v1: 100 du: mcghr sv: 50 su: ml rt: IV Drip t0: [07:30:00 30/03/2015] id: Ativan el: 1 cu: MICU-A so: D5W vo: 0 v1: 1 du: mghr sv: 60 su: ml rt: IV Drip
t0: [07:30:00 30/03/2015] id: NBP el: 0 cu: MICU-A cg: -1 v1: 105 u1: mmHg v2: 32 u2: mmHg st: NotStopd t0: [07:30:00 30/03/2015] id: NBP Mean el: 0 cu: MICU-A cg: -1 v1: 56.3333 u1: mmHg st: NotStopd t0: [08:00:00 30/03/2015] id: Service Type el: 0 cu: MICU-A cg: -1 v1: MICU st: NotStopd t0: [08:00:00 30/03/2015] id: Code Status el: 0 cu: MICU-A cg: -1 v1: Full Code st: NotStopd t0: [08:00:00 30/03/2015] id: Ectopy Frequency el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [08:00:00 30/03/2015] id: Ectopy Type el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [08:00:00 30/03/2015] id: Heart Rate el: 0 cu: MICU-A cg: -1 v1: 73 u1: BPM st: NotStopd t0: [08:00:00 30/03/2015] id: Heart Rhythm el: 0 cu: MICU-A cg: -1 v1: Normal Sinus st: NotStopd t0: [08:00:00 30/03/2015] id: Arterial BP el: 0 cu: MICU-A cg: -1 v1: 94 u1: mmHg v2: 40 u2: mmHg st: NotStopd t0: [08:00:00 30/03/2015] id: Arterial BP Mean el: 0 cu: MICU-A cg: -1 v1: 57 u1: mmHg st: NotStopd t0: [08:00:00 30/03/2015] id: Precautions el: 0 cu: MICU-A cg: -1 v1: Universal st: NotStopd t0: [08:00:00 30/03/2015] id: Previous WeightF el: 0 cu: MICU-A cg: -1 v1: 79.4 u1: kg st: NotStopd t0: [08:00:00 30/03/2015] id: Respiratory Rate el: 0 cu: MICU-A cg: -1 v1: 22 u1: BPM st: NotStopd t0: [08:00:00 30/03/2015] id: SpO2 el: 0 cu: MICU-A cg: -1 v1: 93 u1: % st: NotStopd t0: [08:00:00 30/03/2015] id: Temp. Site el: 0 cu: MICU-A cg: -1 v1: Oral st: NotStopd t0: [08:00:00 30/03/2015] id: Temperature C (calc) el: 0 cu: MICU-A cg: -1 v1: 37.5556 u1: Deg. C st: NotStopd t0: [08:00:00 30/03/2015] id: Temperature F el: 0 cu: MICU-A cg: -1 v1: 99.6 u1: Deg. F st: NotStopd t0: [08:00:00 30/03/2015] id: calprevflg el: 0 cu: MICU-A cg: -1 v1: 1 u1: kg st: NotStopd
t0: [08:00:00 30/03/2015] id: TF Residual Gastric/TF Residual el: 1 cu: MICU-A cg: -1 ai: 189 vo: 0 vu: ml t0: [08:00:00 30/03/2015] id: Gastric Meds PO/Gastric el: 1 cu: MICU-A cg: -1 ai: 153 vo: 100 vu: ml t0: [08:00:00 30/03/2015] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 1 vu: ml t0: [08:00:00 30/03/2015] id: Peptamen Tube Feeding el: 1 cu: MICU-A cg: -1 ai: 107 vo: 25 vu: ml t0: [08:00:00 30/03/2015] id: .9% Normal Saline 250.0ml IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 10 vu: ml t0: [08:00:00 30/03/2015] id: .9% Normal Saline 50.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 2 vu: ml t0: [08:00:00 30/03/2015] id: Urine Out Foley el: 1 cu: MICU-A cg: -1 vo: 45 vu: ml
t0: [08:00:00 30/03/2015] id: Fentanyl el: 1 cu: MICU-A so: .9% Normal Saline vo: 0 v1: 100 du: mcghr sv: 50 su: ml rt: IV Drip t0: [08:00:00 30/03/2015] id: Ativan el: 1 cu: MICU-A so: D5W vo: 0 v1: 1 du: mghr sv: 60 su: ml rt: IV Drip
t0: [08:00:00 30/03/2015] id: Sputum Color/Consist el: 0 cu: MICU-A cg: -1 v1: Bloody v2: Plug st: NotStopd t0: [08:00:00 30/03/2015] id: Sputum Source/Amt el: 0 cu: MICU-A cg: -1 v1: Suctioned v2: Moderate st: NotStopd
t0: [08:00:00 30/03/2015] id: Compliance (40-60ml) el: 0 cu: MICU-A cg: -1 v1: 41.3534 u1: ml/cmH st: NotStopd t0: [08:00:00 30/03/2015] id: ETT Mark/Location el: 0 cu: MICU-A cg: -1 v1: 22cm v2: Lip st: NotStopd t0: [08:00:00 30/03/2015] id: FiO2 Set el: 0 cu: MICU-A cg: -1 v1: 0.7 u1: torr st: NotStopd t0: [08:00:00 30/03/2015] id: High Insp. Pressure el: 0 cu: MICU-A cg: -1 v1: 50 u1: cmH2O st: NotStopd t0: [08:00:00 30/03/2015] id: High Resp. Rate el: 0 cu: MICU-A cg: -1 v1: 35 u1: BPM st: NotStopd t0: [08:00:00 30/03/2015] id: I:E Ratio el: 0 cu: MICU-A cg: -1 v1: 1.9 st: NotStopd t0: [08:00:00 30/03/2015] id: Airway Size el: 0 cu: MICU-A cg: -1 v1: 9.0 mm st: NotStopd t0: [08:00:00 30/03/2015] id: Airway Type el: 0 cu: MICU-A cg: -1 v1: Endotracheal st: NotStopd t0: [08:00:00 30/03/2015] id: Inspired Gas Temp el: 0 cu: MICU-A cg: -1 v1: 33 u1: Deg. C st: NotStopd t0: [08:00:00 30/03/2015] id: Intubation Date el: 0 cu: MICU-A cg: -1 v1: 2 v2: 22 st: NotStopd t0: [08:00:00 30/03/2015] id: Low Exhaled Min Vol el: 0 cu: MICU-A cg: -1 v1: 10 st: NotStopd t0: [08:00:00 30/03/2015] id: Low Insp. Pressure el: 0 cu: MICU-A cg: -1 v1: 10 u1: cmH2O st: NotStopd t0: [08:00:00 30/03/2015] id: MDI #1 (Puff/Drug) el: 0 cu: MICU-A cg: -1 v1: 6 v2: Albuterol st: NotStopd t0: [08:00:00 30/03/2015] id: MDI #2 (Puff/Drug) el: 0 cu: MICU-A cg: -1 v1: 4 v2: Atrovent st: NotStopd t0: [08:00:00 30/03/2015] id: Mean Airway Pressure el: 0 cu: MICU-A cg: -1 v1: 14 u1: cmH2O st: NotStopd t0: [08:00:00 30/03/2015] id: Minute Volume(Obser) el: 0 cu: MICU-A cg: -1 v1: 13 u1: L/min st: NotStopd t0: [08:00:00 30/03/2015] id: PEEP Set el: 0 cu: MICU-A cg: -1 v1: 7.5 u1: cmH2O st: NotStopd t0: [08:00:00 30/03/2015] id: Peak Flow el: 0 cu: MICU-A cg: -1 v1: 65 u1: L/m st: NotStopd t0: [08:00:00 30/03/2015] id: Peak Insp. Pressure el: 0 cu: MICU-A cg: -1 v1: 20.8 u1: cmH2O st: NotStopd t0: [08:00:00 30/03/2015] id: Plateau Pressure el: 0 cu: MICU-A cg: -1 v1: 18.8 u1: cmH2O st: NotStopd t0: [08:00:00 30/03/2015] id: Plateau-Off el: 0 cu: MICU-A cg: -1 v1: Yes st: NotStopd t0: [08:00:00 30/03/2015] id: Resp Rate (Spont) el: 0 cu: MICU-A cg: -1 v1: 0 u1: BPM st: NotStopd t0: [08:00:00 30/03/2015] id: Resp Rate (Total) el: 0 cu: MICU-A cg: -1 v1: 22 u1: BPM st: NotStopd t0: [08:00:00 30/03/2015] id: Respiratory Rate Set el: 0 cu: MICU-A cg: -1 v1: 22 u1: BPM st: NotStopd t0: [08:00:00 30/03/2015] id: Sensitivity-Vent el: 0 cu: MICU-A cg: -1 v1: 1 u1: cmH2O st: NotStopd t0: [08:00:00 30/03/2015] id: Tidal Volume (Obser) el: 0 cu: MICU-A cg: -1 v1: 590 u1: ml/B st: NotStopd t0: [08:00:00 30/03/2015] id: Tidal Volume (Set) el: 0 cu: MICU-A cg: -1 v1: 550 u1: ml/B st: NotStopd t0: [08:00:00 30/03/2015] id: Ventilator Mode el: 0 cu: MICU-A cg: -1 v1: Assist Control st: NotStopd t0: [08:00:00 30/03/2015] id: Ventilator No. el: 0 cu: MICU-A cg: -1 v1: 20 u1: # st: NotStopd t0: [08:00:00 30/03/2015] id: Ventilator Type el: 0 cu: MICU-A cg: -1 v1: 7200A st: NotStopd t0: [08:00:00 30/03/2015] id: Waveform-Vent el: 0 cu: MICU-A cg: -1 v1: RAMP st: NotStopd
t0: [09:00:00 30/03/2015] id: Service Type el: 0 cu: MICU-A cg: -1 v1: MICU st: NotStopd t0: [09:00:00 30/03/2015] id: Code Status el: 0 cu: MICU-A cg: -1 v1: Full Code st: NotStopd t0: [09:00:00 30/03/2015] id: Ectopy Frequency el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [09:00:00 30/03/2015] id: Ectopy Type el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [09:00:00 30/03/2015] id: Heart Rate el: 0 cu: MICU-A cg: -1 v1: 72 u1: BPM st: NotStopd t0: [09:00:00 30/03/2015] id: Heart Rhythm el: 0 cu: MICU-A cg: -1 v1: Normal Sinus st: NotStopd t0: [09:00:00 30/03/2015] id: Arterial BP el: 0 cu: MICU-A cg: -1 v1: 91 u1: mmHg v2: 39 u2: mmHg st: NotStopd t0: [09:00:00 30/03/2015] id: Arterial BP Mean el: 0 cu: MICU-A cg: -1 v1: 55 u1: mmHg st: NotStopd t0: [09:00:00 30/03/2015] id: Precautions el: 0 cu: MICU-A cg: -1 v1: Universal st: NotStopd t0: [09:00:00 30/03/2015] id: Previous WeightF el: 0 cu: MICU-A cg: -1 v1: 79.4 u1: kg st: NotStopd t0: [09:00:00 30/03/2015] id: Respiratory Rate el: 0 cu: MICU-A cg: -1 v1: 21 u1: BPM st: NotStopd t0: [09:00:00 30/03/2015] id: SpO2 el: 0 cu: MICU-A cg: -1 v1: 94 u1: % st: NotStopd t0: [09:00:00 30/03/2015] id: calprevflg el: 0 cu: MICU-A cg: -1 v1: 1 u1: kg st: NotStopd
t0: [09:00:00 30/03/2015] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 1 vu: ml t0: [09:00:00 30/03/2015] id: Peptamen Tube Feeding el: 1 cu: MICU-A cg: -1 ai: 107 vo: 25 vu: ml t0: [09:00:00 30/03/2015] id: .9% Normal Saline 250.0ml IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 10 vu: ml t0: [09:00:00 30/03/2015] id: .9% Normal Saline 50.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 2 vu: ml t0: [09:00:00 30/03/2015] id: Urine Out Foley el: 1 cu: MICU-A cg: -1 vo: 75 vu: ml
t0: [09:00:00 30/03/2015] id: Fentanyl el: 1 cu: MICU-A so: .9% Normal Saline vo: 0 v1: 100 du: mcghr sv: 50 su: ml rt: IV Drip t0: [09:00:00 30/03/2015] id: Ativan el: 1 cu: MICU-A so: D5W vo: 0 v1: 1 du: mghr sv: 60 su: ml rt: IV Drip
t0: [10:00:00 30/03/2015] id: PEEP Set el: 0 cu: MICU-A cg: -1 v1: 10 u1: cmH2O st: NotStopd
t0: [10:00:00 30/03/2015] id: Service Type el: 0 cu: MICU-A cg: -1 v1: MICU st: NotStopd t0: [10:00:00 30/03/2015] id: Code Status el: 0 cu: MICU-A cg: -1 v1: Full Code st: NotStopd t0: [10:00:00 30/03/2015] id: Ectopy Frequency el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [10:00:00 30/03/2015] id: Ectopy Type el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [10:00:00 30/03/2015] id: Heart Rate el: 0 cu: MICU-A cg: -1 v1: 68 u1: BPM st: NotStopd t0: [10:00:00 30/03/2015] id: Heart Rhythm el: 0 cu: MICU-A cg: -1 v1: Normal Sinus st: NotStopd t0: [10:00:00 30/03/2015] id: Arterial BP el: 0 cu: MICU-A cg: -1 v1: 93 u1: mmHg v2: 41 u2: mmHg st: NotStopd t0: [10:00:00 30/03/2015] id: Arterial BP Mean el: 0 cu: MICU-A cg: -1 v1: 57 u1: mmHg st: NotStopd t0: [10:00:00 30/03/2015] id: Precautions el: 0 cu: MICU-A cg: -1 v1: Universal st: NotStopd t0: [10:00:00 30/03/2015] id: Previous WeightF el: 0 cu: MICU-A cg: -1 v1: 79.4 u1: kg st: NotStopd t0: [10:00:00 30/03/2015] id: Respiratory Rate el: 0 cu: MICU-A cg: -1 v1: 22 u1: BPM st: NotStopd t0: [10:00:00 30/03/2015] id: SpO2 el: 0 cu: MICU-A cg: -1 v1: 95 u1: % st: NotStopd t0: [10:00:00 30/03/2015] id: calprevflg el: 0 cu: MICU-A cg: -1 v1: 1 u1: kg st: NotStopd
t0: [10:00:00 30/03/2015] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 1 vu: ml t0: [10:00:00 30/03/2015] id: Peptamen Tube Feeding el: 1 cu: MICU-A cg: -1 ai: 107 vo: 25 vu: ml t0: [10:00:00 30/03/2015] id: .9% Normal Saline 250.0ml IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 10 vu: ml t0: [10:00:00 30/03/2015] id: .9% Normal Saline 50.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 2 vu: ml
t0: [10:00:00 30/03/2015] id: Fentanyl el: 1 cu: MICU-A so: .9% Normal Saline vo: 0 v1: 100 du: mcghr sv: 50 su: ml rt: IV Drip t0: [10:00:00 30/03/2015] id: Ativan el: 1 cu: MICU-A so: D5W vo: 0 v1: 1 du: mghr sv: 60 su: ml rt: IV Drip
t0: [10:00:00 30/03/2015] id: HOB el: 0 cu: MICU-A cg: -1 v1: 15 degrees st: NotStopd t0: [10:00:00 30/03/2015] id: Activity el: 0 cu: MICU-A cg: -1 v1: Bedrest st: NotStopd t0: [10:00:00 30/03/2015] id: Activity Tolerance el: 0 cu: MICU-A cg: -1 v1: Good st: NotStopd t0: [10:00:00 30/03/2015] id: Oral Care el: 0 cu: MICU-A cg: -1 v1: Done st: NotStopd t0: [10:00:00 30/03/2015] id: Position el: 0 cu: MICU-A cg: -1 v1: Right Side st: NotStopd t0: [10:00:00 30/03/2015] id: Assistance Device el: 0 cu: MICU-A cg: -1 v1: 2 Person Assist st: NotStopd t0: [10:00:00 30/03/2015] id: Turn el: 0 cu: MICU-A cg: -1 v1: Right Side st: NotStopd t0: [11:00:00 30/03/2015] id: Service Type el: 0 cu: MICU-A cg: -1 v1: MICU st: NotStopd t0: [11:00:00 30/03/2015] id: Code Status el: 0 cu: MICU-A cg: -1 v1: Full Code st: NotStopd t0: [11:00:00 30/03/2015] id: Ectopy Frequency el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [11:00:00 30/03/2015] id: Ectopy Type el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [11:00:00 30/03/2015] id: Heart Rate el: 0 cu: MICU-A cg: -1 v1: 69 u1: BPM st: NotStopd t0: [11:00:00 30/03/2015] id: Heart Rhythm el: 0 cu: MICU-A cg: -1 v1: Normal Sinus st: NotStopd t0: [11:00:00 30/03/2015] id: Arterial BP el: 0 cu: MICU-A cg: -1 v1: 95 u1: mmHg v2: 41 u2: mmHg st: NotStopd t0: [11:00:00 30/03/2015] id: Arterial BP Mean el: 0 cu: MICU-A cg: -1 v1: 59 u1: mmHg st: NotStopd t0: [11:00:00 30/03/2015] id: Precautions el: 0 cu: MICU-A cg: -1 v1: Universal st: NotStopd t0: [11:00:00 30/03/2015] id: Previous WeightF el: 0 cu: MICU-A cg: -1 v1: 79.4 u1: kg st: NotStopd t0: [11:00:00 30/03/2015] id: Respiratory Rate el: 0 cu: MICU-A cg: -1 v1: 22 u1: BPM st: NotStopd t0: [11:00:00 30/03/2015] id: SpO2 el: 0 cu: MICU-A cg: -1 v1: 98 u1: % st: NotStopd t0: [11:00:00 30/03/2015] id: calprevflg el: 0 cu: MICU-A cg: -1 v1: 1 u1: kg st: NotStopd
t0: [10:00:00 30/03/2015] id: TF Residual Gastric/TF Residual el: 1 cu: MICU-A cg: -1 ai: 189 vo: 0 vu: ml t0: [10:00:00 30/03/2015] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vu: ml nb: 1 t0: [10:00:00 30/03/2015] id: Gastric Meds PO/Gastric el: 1 cu: MICU-A cg: -1 ai: 153 vo: 100 vu: ml t0: [10:00:00 30/03/2015] id: Urine Out Foley el: 1 cu: MICU-A cg: -1 vo: 26 vu: ml t0: [11:00:00 30/03/2015] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 125 vu: ml t0: [11:00:00 30/03/2015] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 1 vu: ml t0: [11:00:00 30/03/2015] id: Peptamen Tube Feeding el: 1 cu: MICU-A cg: -1 ai: 107 vo: 25 vu: ml t0: [11:00:00 30/03/2015] id: .9% Normal Saline 250.0ml IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 10 vu: ml t0: [11:00:00 30/03/2015] id: .9% Normal Saline 50.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 2 vu: ml t0: [11:00:00 30/03/2015] id: Urine Out Foley el: 1 cu: MICU-A cg: -1 vo: 45 vu: ml
t0: [11:00:00 30/03/2015] id: Fentanyl el: 1 cu: MICU-A so: .9% Normal Saline vo: 0 v1: 100 du: mcghr sv: 50 su: ml rt: IV Drip t0: [11:00:00 30/03/2015] id: Ativan el: 1 cu: MICU-A so: D5W vo: 0 v1: 1 du: mghr sv: 60 su: ml rt: IV Drip
t0: [11:00:00 30/03/2015] id: D5W 100.0ml IV Infusions el: 1 cu: MICU-A cg: -1 ai: 105 vo: 50 vu: ml t0: [11:30:00 30/03/2015] id: D5W 100.0ml IV Infusions el: 1 cu: MICU-A cg: -1 ai: 105 vo: 50 vu: ml
t0: [11:38:00 30/03/2015] id: Art.pH ABG el: 0 cu: MICU-A cg: 1663 v1: 7.42 rs: Final st: NotStopd t0: [11:38:00 30/03/2015] id: Arterial Base Excess ABG el: 0 cu: MICU-A cg: 1663 v1: 0 rs: Final st: NotStopd t0: [11:38:00 30/03/2015] id: Arterial CO2(Calc) ABG el: 0 cu: MICU-A cg: 1663 v1: 26 rs: Final st: NotStopd t0: [11:38:00 30/03/2015] id: Arterial PaCO2 ABG el: 0 cu: MICU-A cg: 1663 v1: 39 u1: mmHg rs: Final st: NotStopd t0: [11:38:00 30/03/2015] id: Arterial PaO2 ABG el: 0 cu: MICU-A cg: 1663 v1: 98 u1: mmHg rs: Final st: NotStopd t0: [11:38:00 30/03/2015] id: Arterial pH ABG el: 0 cu: MICU-A cg: 1663 v1: 7.42 rs: Final st: NotStopd
t0: [12:00:00 30/03/2015] id: Compliance (40-60ml) el: 0 cu: MICU-A cg: -1 v1: 1.66667 u1: ml/cmH st: NotStopd t0: [12:00:00 30/03/2015] id: ETT Mark/Location el: 0 cu: MICU-A cg: -1 v1: 22cm v2: Lip st: NotStopd t0: [12:00:00 30/03/2015] id: FiO2 Set el: 0 cu: MICU-A cg: -1 v1: 0.7 u1: torr st: NotStopd t0: [12:00:00 30/03/2015] id: High Insp. Pressure el: 0 cu: MICU-A cg: -1 v1: 50 u1: cmH2O st: NotStopd t0: [12:00:00 30/03/2015] id: High Resp. Rate el: 0 cu: MICU-A cg: -1 v1: 35 u1: BPM st: NotStopd t0: [12:00:00 30/03/2015] id: Airway Size el: 0 cu: MICU-A cg: -1 v1: 9.0 mm st: NotStopd t0: [12:00:00 30/03/2015] id: Airway Type el: 0 cu: MICU-A cg: -1 v1: Endotracheal st: NotStopd t0: [12:00:00 30/03/2015] id: Inspired Gas Temp el: 0 cu: MICU-A cg: -1 v1: 33 u1: Deg. C st: NotStopd t0: [12:00:00 30/03/2015] id: Intubation Date el: 0 cu: MICU-A cg: -1 v1: 2 v2: 22 st: NotStopd t0: [12:00:00 30/03/2015] id: Low Exhaled Min Vol el: 0 cu: MICU-A cg: -1 v1: 8 st: NotStopd t0: [12:00:00 30/03/2015] id: Low Insp. Pressure el: 0 cu: MICU-A cg: -1 v1: 10 u1: cmH2O st: NotStopd t0: [12:00:00 30/03/2015] id: Mean Airway Pressure el: 0 cu: MICU-A cg: -1 v1: 16.4 u1: cmH2O st: NotStopd t0: [12:00:00 30/03/2015] id: Minute Volume(Obser) el: 0 cu: MICU-A cg: -1 v1: 12.8 u1: L/min st: NotStopd t0: [12:00:00 30/03/2015] id: PEEP Set el: 0 cu: MICU-A cg: -1 v1: 10 u1: cmH2O st: NotStopd t0: [12:00:00 30/03/2015] id: Peak Flow el: 0 cu: MICU-A cg: -1 v1: 65 u1: L/m st: NotStopd t0: [12:00:00 30/03/2015] id: Peak Insp. Pressure el: 0 cu: MICU-A cg: -1 v1: 23.2 u1: cmH2O st: NotStopd t0: [12:00:00 30/03/2015] id: Plateau Pressure el: 0 cu: MICU-A cg: -1 v1: 21.6 u1: cmH2O st: NotStopd t0: [12:00:00 30/03/2015] id: Plateau-Off el: 0 cu: MICU-A cg: -1 v1: Yes st: NotStopd t0: [12:00:00 30/03/2015] id: Pressure Support el: 0 cu: MICU-A cg: -1 v1: 0 u1: . st: NotStopd t0: [12:00:00 30/03/2015] id: Resp Rate (Spont) el: 0 cu: MICU-A cg: -1 v1: 0 u1: BPM st: NotStopd t0: [12:00:00 30/03/2015] id: Resp Rate (Total) el: 0 cu: MICU-A cg: -1 v1: 22 u1: BPM st: NotStopd t0: [12:00:00 30/03/2015] id: Respiratory Rate Set el: 0 cu: MICU-A cg: -1 v1: 22 u1: BPM st: NotStopd t0: [12:00:00 30/03/2015] id: Sensitivity-Vent el: 0 cu: MICU-A cg: -1 v1: 1 u1: cmH2O st: NotStopd t0: [12:00:00 30/03/2015] id: SpO2 el: 0 cu: MICU-A cg: -1 v1: 97 u1: % st: NotStopd t0: [12:00:00 30/03/2015] id: Tidal Volume (Obser) el: 0 cu: MICU-A cg: -1 v1: 550 u1: ml/B st: NotStopd t0: [12:00:00 30/03/2015] id: Tidal Volume (Set) el: 0 cu: MICU-A cg: -1 v1: 22 u1: ml/B st: NotStopd t0: [12:00:00 30/03/2015] id: Tidal Volume (Spont) el: 0 cu: MICU-A cg: -1 v1: 580 u1: ml/B st: NotStopd t0: [12:00:00 30/03/2015] id: Ventilator Mode el: 0 cu: MICU-A cg: -1 v1: Assist Control st: NotStopd t0: [12:00:00 30/03/2015] id: Ventilator No. el: 0 cu: MICU-A cg: -1 v1: 20 u1: # st: NotStopd t0: [12:00:00 30/03/2015] id: Ventilator Type el: 0 cu: MICU-A cg: -1 v1: 7200A st: NotStopd t0: [12:00:00 30/03/2015] id: Waveform-Vent el: 0 cu: MICU-A cg: -1 v1: RAMP st: NotStopd
t0: [12:00:00 30/03/2015] id: Service Type el: 0 cu: MICU-A cg: -1 v1: MICU st: NotStopd t0: [12:00:00 30/03/2015] id: Code Status el: 0 cu: MICU-A cg: -1 v1: Full Code st: NotStopd t0: [12:00:00 30/03/2015] id: Ectopy Frequency el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [12:00:00 30/03/2015] id: Ectopy Type el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [12:00:00 30/03/2015] id: Heart Rate el: 0 cu: MICU-A cg: -1 v1: 64 u1: BPM st: NotStopd t0: [12:00:00 30/03/2015] id: Heart Rhythm el: 0 cu: MICU-A cg: -1 v1: Normal Sinus st: NotStopd t0: [12:00:00 30/03/2015] id: Arterial BP el: 0 cu: MICU-A cg: -1 v1: 90 u1: mmHg v2: 40 u2: mmHg st: NotStopd t0: [12:00:00 30/03/2015] id: Arterial BP Mean el: 0 cu: MICU-A cg: -1 v1: 56 u1: mmHg st: NotStopd t0: [12:00:00 30/03/2015] id: Precautions el: 0 cu: MICU-A cg: -1 v1: Universal st: NotStopd t0: [12:00:00 30/03/2015] id: Previous WeightF el: 0 cu: MICU-A cg: -1 v1: 79.4 u1: kg st: NotStopd t0: [12:00:00 30/03/2015] id: Respiratory Rate el: 0 cu: MICU-A cg: -1 v1: 22 u1: BPM st: NotStopd t0: [12:00:00 30/03/2015] id: calprevflg el: 0 cu: MICU-A cg: -1 v1: 1 u1: kg st: NotStopd
t0: [12:00:00 30/03/2015] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 125 vu: ml t0: [12:00:00 30/03/2015] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 1 vu: ml t0: [12:00:00 30/03/2015] id: Peptamen Tube Feeding el: 1 cu: MICU-A cg: -1 ai: 107 vo: 25 vu: ml t0: [12:00:00 30/03/2015] id: .9% Normal Saline 250.0ml IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 10 vu: ml t0: [12:00:00 30/03/2015] id: .9% Normal Saline 50.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 2 vu: ml t0: [12:00:00 30/03/2015] id: Urine Out Foley el: 1 cu: MICU-A cg: -1 vo: 30 vu: ml
t0: [12:00:00 30/03/2015] id: Fentanyl el: 1 cu: MICU-A so: .9% Normal Saline vo: 0 v1: 100 du: mcghr sv: 50 su: ml rt: IV Drip t0: [12:00:00 30/03/2015] id: Ativan el: 1 cu: MICU-A so: D5W vo: 0 v1: 1 du: mghr sv: 60 su: ml rt: IV Drip
t0: [12:00:00 30/03/2015] id: Temp. Site el: 0 cu: MICU-A cg: -1 v1: Oral st: NotStopd t0: [12:00:00 30/03/2015] id: Temperature C (calc) el: 0 cu: MICU-A cg: -1 v1: 37.1667 u1: Deg. C st: NotStopd t0: [12:00:00 30/03/2015] id: Temperature F el: 0 cu: MICU-A cg: -1 v1: 98.9 u1: Deg. F st: NotStopd
t0: [13:30:00 30/03/2015] id: Service Type el: 0 cu: MICU-A cg: -1 v1: MICU st: NotStopd t0: [13:30:00 30/03/2015] id: Code Status el: 0 cu: MICU-A cg: -1 v1: Full Code st: NotStopd t0: [13:30:00 30/03/2015] id: Ectopy Frequency el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [13:30:00 30/03/2015] id: Ectopy Type el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [13:30:00 30/03/2015] id: Heart Rate el: 0 cu: MICU-A cg: -1 v1: 69 u1: BPM st: NotStopd t0: [13:30:00 30/03/2015] id: Heart Rhythm el: 0 cu: MICU-A cg: -1 v1: Normal Sinus st: NotStopd t0: [13:30:00 30/03/2015] id: Arterial BP el: 0 cu: MICU-A cg: -1 v1: 112 u1: mmHg v2: 48 u2: mmHg st: NotStopd t0: [13:30:00 30/03/2015] id: Arterial BP Mean el: 0 cu: MICU-A cg: -1 v1: 69 u1: mmHg st: NotStopd t0: [13:30:00 30/03/2015] id: Precautions el: 0 cu: MICU-A cg: -1 v1: Universal st: NotStopd t0: [13:30:00 30/03/2015] id: Previous WeightF el: 0 cu: MICU-A cg: -1 v1: 79.4 u1: kg st: NotStopd t0: [13:30:00 30/03/2015] id: Respiratory Rate el: 0 cu: MICU-A cg: -1 v1: 21 u1: BPM st: NotStopd t0: [13:30:00 30/03/2015] id: SpO2 el: 0 cu: MICU-A cg: -1 v1: 99 u1: % st: NotStopd t0: [13:30:00 30/03/2015] id: calprevflg el: 0 cu: MICU-A cg: -1 v1: 1 u1: kg st: NotStopd
t0: [13:30:00 30/03/2015] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 187.5 vu: ml t0: [13:30:00 30/03/2015] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 1.5 vu: ml t0: [13:30:00 30/03/2015] id: Peptamen Tube Feeding el: 1 cu: MICU-A cg: -1 ai: 107 vo: 37.5 vu: ml t0: [13:30:00 30/03/2015] id: .9% Normal Saline 250.0ml IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 15 vu: ml t0: [13:30:00 30/03/2015] id: .9% Normal Saline 50.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 3 vu: ml t0: [13:30:00 30/03/2015] id: Urine Out Foley el: 1 cu: MICU-A cg: -1 vo: 60 vu: ml
t0: [13:30:00 30/03/2015] id: Fentanyl el: 1 cu: MICU-A so: .9% Normal Saline vo: 0 v1: 100 du: mcghr sv: 50 su: ml rt: IV Drip t0: [13:30:00 30/03/2015] id: Ativan el: 1 cu: MICU-A so: D5W vo: 0 v1: 1 du: mghr sv: 60 su: ml rt: IV Drip
t0: [14:00:00 30/03/2015] id: Service Type el: 0 cu: MICU-A cg: -1 v1: MICU st: NotStopd t0: [14:00:00 30/03/2015] id: CVP el: 0 cu: MICU-A cg: -1 v1: 8 u1: mmHg st: NotStopd t0: [14:00:00 30/03/2015] id: Code Status el: 0 cu: MICU-A cg: -1 v1: Full Code st: NotStopd t0: [14:00:00 30/03/2015] id: Ectopy Frequency el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [14:00:00 30/03/2015] id: Ectopy Type el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [14:00:00 30/03/2015] id: Heart Rate el: 0 cu: MICU-A cg: -1 v1: 68 u1: BPM st: NotStopd t0: [14:00:00 30/03/2015] id: Heart Rhythm el: 0 cu: MICU-A cg: -1 v1: Normal Sinus st: NotStopd t0: [14:00:00 30/03/2015] id: Arterial BP el: 0 cu: MICU-A cg: -1 v1: 102 u1: mmHg v2: 45 u2: mmHg st: NotStopd t0: [14:00:00 30/03/2015] id: Arterial BP Mean el: 0 cu: MICU-A cg: -1 v1: 63 u1: mmHg st: NotStopd t0: [14:00:00 30/03/2015] id: Precautions el: 0 cu: MICU-A cg: -1 v1: Universal st: NotStopd t0: [14:00:00 30/03/2015] id: Previous WeightF el: 0 cu: MICU-A cg: -1 v1: 79.4 u1: kg st: NotStopd t0: [14:00:00 30/03/2015] id: Respiratory Rate el: 0 cu: MICU-A cg: -1 v1: 22 u1: BPM st: NotStopd t0: [14:00:00 30/03/2015] id: SpO2 el: 0 cu: MICU-A cg: -1 v1: 98 u1: % st: NotStopd t0: [14:00:00 30/03/2015] id: calprevflg el: 0 cu: MICU-A cg: -1 v1: 1 u1: kg st: NotStopd
t0: [14:00:00 30/03/2015] id: Fentanyl el: 1 cu: MICU-A so: .9% Normal Saline vo: 0 v1: 100 du: mcghr sv: 50 su: ml rt: IV Drip t0: [14:00:00 30/03/2015] id: Ativan el: 1 cu: MICU-A so: D5W vo: 0 v1: 1 du: mghr sv: 60 su: ml rt: IV Drip
t0: [15:00:00 30/03/2015] id: Service Type el: 0 cu: MICU-A cg: -1 v1: MICU st: NotStopd t0: [15:00:00 30/03/2015] id: CVP el: 0 cu: MICU-A cg: -1 v1: 10 u1: mmHg st: NotStopd t0: [15:00:00 30/03/2015] id: Code Status el: 0 cu: MICU-A cg: -1 v1: Full Code st: NotStopd t0: [15:00:00 30/03/2015] id: Ectopy Frequency el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [15:00:00 30/03/2015] id: Ectopy Type el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [15:00:00 30/03/2015] id: Heart Rate el: 0 cu: MICU-A cg: -1 v1: 62 u1: BPM st: NotStopd t0: [15:00:00 30/03/2015] id: Heart Rhythm el: 0 cu: MICU-A cg: -1 v1: Normal Sinus st: NotStopd t0: [15:00:00 30/03/2015] id: Arterial BP el: 0 cu: MICU-A cg: -1 v1: 83 u1: mmHg v2: 44 u2: mmHg st: NotStopd t0: [15:00:00 30/03/2015] id: Arterial BP Mean el: 0 cu: MICU-A cg: -1 v1: 57 u1: mmHg st: NotStopd t0: [15:00:00 30/03/2015] id: Precautions el: 0 cu: MICU-A cg: -1 v1: Universal st: NotStopd t0: [15:00:00 30/03/2015] id: Previous WeightF el: 0 cu: MICU-A cg: -1 v1: 79.4 u1: kg st: NotStopd t0: [15:00:00 30/03/2015] id: Respiratory Rate el: 0 cu: MICU-A cg: -1 v1: 22 u1: BPM st: NotStopd t0: [15:00:00 30/03/2015] id: SpO2 el: 0 cu: MICU-A cg: -1 v1: 96 u1: % st: NotStopd t0: [15:00:00 30/03/2015] id: calprevflg el: 0 cu: MICU-A cg: -1 v1: 1 u1: kg st: NotStopd
t0: [15:00:00 30/03/2015] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 187.5 vu: ml t0: [15:00:00 30/03/2015] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 1.5 vu: ml t0: [15:00:00 30/03/2015] id: Peptamen Tube Feeding el: 1 cu: MICU-A cg: -1 ai: 107 vo: 37.5 vu: ml t0: [15:00:00 30/03/2015] id: .9% Normal Saline 250.0ml IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 15 vu: ml t0: [15:00:00 30/03/2015] id: .9% Normal Saline 50.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 3 vu: ml t0: [15:00:00 30/03/2015] id: Urine Out Foley el: 1 cu: MICU-A cg: -1 vo: 75 vu: ml
t0: [15:00:00 30/03/2015] id: Fentanyl el: 1 cu: MICU-A so: .9% Normal Saline vo: 0 v1: 100 du: mcghr sv: 50 su: ml rt: IV Drip t0: [15:00:00 30/03/2015] id: Ativan el: 1 cu: MICU-A so: D5W vo: 0 v1: 1 du: mghr sv: 60 su: ml rt: IV Drip
t0: [15:17:00 30/03/2015] id: BSA el: 1033 cu: MICU-A cg: -1 t0: [15:17:00 30/03/2015] id: Admit Wt el: 1032 cu: MICU-A cg: -1 v1: 72.6 u1: kg t0: [15:17:00 30/03/2015] id: Allergy 1 el: 1020 cu: MICU-A cg: -1 t0: [15:17:00 30/03/2015] id: Diagnosis/op el: 1023 cu: MICU-A cg: -1 v1: RESPIRATORY FAILURE t0: [15:17:00 30/03/2015] id: Service el: 1026 cu: MICU-A cg: -1 v1: MED t0: [15:17:00 30/03/2015] id: Admit Ht el: 1034 cu: MICU-A cg: -1 t0: [15:17:00 30/03/2015] id: Readmission el: 1014 cu: MICU-A cg: -1 t0: [15:17:00 30/03/2015] id: Marital Status el: 1006 cu: MICU-A cg: -1 v1: M t0: [15:17:00 30/03/2015] id: Religion el: 1000 cu: MICU-A cg: -1 v1: RCA t0: [15:17:00 30/03/2015] id: Allergy 2 el: 1021 cu: MICU-A cg: -1 t0: [15:17:00 30/03/2015] id: Ext el: 1010 cu: MICU-A cg: -1 t0: [15:17:00 30/03/2015] id: PIN el: 1012 cu: MICU-A cg: -1 t0: [15:17:00 30/03/2015] id: Allergy 3 el: 1022 cu: MICU-A cg: -1
t0: [16:00:00 30/03/2015] id: Service Type el: 0 cu: MICU-A cg: -1 v1: MICU st: NotStopd t0: [16:00:00 30/03/2015] id: CVP el: 0 cu: MICU-A cg: -1 v1: 10 u1: mmHg st: NotStopd t0: [16:00:00 30/03/2015] id: Code Status el: 0 cu: MICU-A cg: -1 v1: Full Code st: NotStopd t0: [16:00:00 30/03/2015] id: Ectopy Frequency el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [16:00:00 30/03/2015] id: Ectopy Type el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [16:00:00 30/03/2015] id: Heart Rate el: 0 cu: MICU-A cg: -1 v1: 64 u1: BPM st: NotStopd t0: [16:00:00 30/03/2015] id: Heart Rhythm el: 0 cu: MICU-A cg: -1 v1: Normal Sinus st: NotStopd t0: [16:00:00 30/03/2015] id: Arterial BP el: 0 cu: MICU-A cg: -1 v1: 95 u1: mmHg v2: 41 u2: mmHg st: NotStopd t0: [16:00:00 30/03/2015] id: Arterial BP Mean el: 0 cu: MICU-A cg: -1 v1: 58 u1: mmHg st: NotStopd t0: [16:00:00 30/03/2015] id: Precautions el: 0 cu: MICU-A cg: -1 v1: Universal st: NotStopd t0: [16:00:00 30/03/2015] id: Previous WeightF el: 0 cu: MICU-A cg: -1 v1: 79.4 u1: kg st: NotStopd t0: [16:00:00 30/03/2015] id: Respiratory Rate el: 0 cu: MICU-A cg: -1 v1: 21 u1: BPM st: NotStopd t0: [16:00:00 30/03/2015] id: SpO2 el: 0 cu: MICU-A cg: -1 v1: 98 u1: % st: NotStopd t0: [16:00:00 30/03/2015] id: calprevflg el: 0 cu: MICU-A cg: -1 v1: 1 u1: kg st: NotStopd
t0: [16:00:00 30/03/2015] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 125 vu: ml t0: [16:00:00 30/03/2015] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 1 vu: ml t0: [16:00:00 30/03/2015] id: Peptamen Tube Feeding el: 1 cu: MICU-A cg: -1 ai: 107 vo: 25 vu: ml t0: [16:00:00 30/03/2015] id: .9% Normal Saline 250.0ml IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 10 vu: ml t0: [16:00:00 30/03/2015] id: .9% Normal Saline 50.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 2 vu: ml t0: [16:00:00 30/03/2015] id: Urine Out Foley el: 1 cu: MICU-A cg: -1 vo: 50 vu: ml
t0: [16:00:00 30/03/2015] id: Fentanyl el: 1 cu: MICU-A so: .9% Normal Saline vo: 0 v1: 100 du: mcghr sv: 50 su: ml rt: IV Drip t0: [16:00:00 30/03/2015] id: Ativan el: 1 cu: MICU-A so: D5W vo: 0 v1: 1 du: mghr sv: 60 su: ml rt: IV Drip
t0: [13:00:00 30/03/2015] id: HOB el: 0 cu: MICU-A cg: -1 v1: 15 degrees st: NotStopd t0: [13:00:00 30/03/2015] id: Activity el: 0 cu: MICU-A cg: -1 v1: Bedrest st: NotStopd t0: [13:00:00 30/03/2015] id: Activity Tolerance el: 0 cu: MICU-A cg: -1 v1: Good st: NotStopd t0: [13:00:00 30/03/2015] id: Position el: 0 cu: MICU-A cg: -1 v1: Supine st: NotStopd t0: [13:00:00 30/03/2015] id: Assistance Device el: 0 cu: MICU-A cg: -1 v1: 2 Person Assist st: NotStopd t0: [13:00:00 30/03/2015] id: Turn el: 0 cu: MICU-A cg: -1 v1: Back st: NotStopd t0: [16:00:00 30/03/2015] id: Less Restrict Meas. el: 0 cu: MICU-A cg: -1 v1: Medicated st: NotStopd t0: [16:00:00 30/03/2015] id: Pain Present el: 0 cu: MICU-A cg: -1 v1: No st: NotStopd t0: [16:00:00 30/03/2015] id: Range of Motion el: 0 cu: MICU-A cg: -1 v1: Done st: NotStopd t0: [16:00:00 30/03/2015] id: Circulation/SkinInt el: 0 cu: MICU-A cg: -1 v1: Circulation Adeq st: NotStopd t0: [16:00:00 30/03/2015] id: Dorsal PedPulse R/L el: 0 cu: MICU-A cg: -1 v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [16:00:00 30/03/2015] id: Eye Opening el: 0 cu: MICU-A cg: -1 v1: 3 To speech st: NotStopd t0: [16:00:00 30/03/2015] id: Family Communication el: 0 cu: MICU-A cg: -1 v1: Family Visited st: NotStopd t0: [16:00:00 30/03/2015] id: GCS Total el: 0 cu: MICU-A cg: -1 v1: 10 u1: points st: NotStopd t0: [16:00:00 30/03/2015] id: GI Intub #1/Site el: 0 cu: MICU-A cg: -1 v1: Salem Sump v2: Oral st: NotStopd t0: [16:00:00 30/03/2015] id: GI#1 Tube PlaceCheck el: 0 cu: MICU-A cg: -1 v1: Done st: NotStopd t0: [16:00:00 30/03/2015] id: GI#1 Tube Stat/Drain el: 0 cu: MICU-A cg: -1 v1: Feeding v2: Undigested Food st: NotStopd t0: [16:00:00 30/03/2015] id: HOB el: 0 cu: MICU-A cg: -1 v1: 15 degrees st: NotStopd t0: [16:00:00 30/03/2015] id: Abdominal Assessment el: 0 cu: MICU-A cg: -1 v1: Soft st: NotStopd t0: [16:00:00 30/03/2015] id: Activity el: 0 cu: MICU-A cg: -1 v1: Bedrest st: NotStopd t0: [16:00:00 30/03/2015] id: Activity Tolerance el: 0 cu: MICU-A cg: -1 v1: Tolerated Well st: NotStopd t0: [16:00:00 30/03/2015] id: LLL Lung Sounds el: 0 cu: MICU-A cg: -1 v1: Diminished st: NotStopd t0: [16:00:00 30/03/2015] id: LUL Lung Sounds el: 0 cu: MICU-A cg: -1 v1: Clear st: NotStopd t0: [16:00:00 30/03/2015] id: Level of Conscious el: 0 cu: MICU-A cg: -1 v1: Arouse to Voice st: NotStopd t0: [16:00:00 30/03/2015] id: Motor Response el: 0 cu: MICU-A cg: -1 v1: 6 Obeys Commands st: NotStopd t0: [16:00:00 30/03/2015] id: Oral Care el: 0 cu: MICU-A cg: -1 v1: Done st: NotStopd t0: [16:00:00 30/03/2015] id: Oral Cavity el: 0 cu: MICU-A cg: -1 v1: Teeth/Tissue WNL st: NotStopd t0: [16:00:00 30/03/2015] id: Orientation el: 0 cu: MICU-A cg: -1 v1: Other/Remarks st: NotStopd t0: [16:00:00 30/03/2015] id: Pain Location el: 0 cu: MICU-A cg: -1 v1: Not Indicated st: NotStopd t0: [16:00:00 30/03/2015] id: Position el: 0 cu: MICU-A cg: -1 v1: Left Side st: NotStopd t0: [16:00:00 30/03/2015] id: Position Change el: 0 cu: MICU-A cg: -1 v1: Done st: NotStopd t0: [16:00:00 30/03/2015] id: PostTib. Pulses R/L el: 0 cu: MICU-A cg: -1 v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [16:00:00 30/03/2015] id: Assistance Device el: 0 cu: MICU-A cg: -1 v1: 2 Person Assist st: NotStopd t0: [16:00:00 30/03/2015] id: RLL Lung Sounds el: 0 cu: MICU-A cg: -1 v1: Diminished st: NotStopd t0: [16:00:00 30/03/2015] id: RUL Lung Sounds el: 0 cu: MICU-A cg: -1 v1: Clear st: NotStopd t0: [16:00:00 30/03/2015] id: Reason For Restraint el: 0 cu: MICU-A cg: -1 v1: Ext/TXInterfere st: NotStopd t0: [16:00:00 30/03/2015] id: Removed x 5 Mins el: 0 cu: MICU-A cg: -1 v1: Done st: NotStopd t0: [16:00:00 30/03/2015] id: Respiratory Pattern el: 0 cu: MICU-A cg: -1 v1: Regular st: NotStopd t0: [16:00:00 30/03/2015] id: Restraint Location el: 0 cu: MICU-A cg: -1 v1: Both Arms st: NotStopd t0: [16:00:00 30/03/2015] id: Restraint Type el: 0 cu: MICU-A cg: -1 v1: Soft Limb st: NotStopd t0: [16:00:00 30/03/2015] id: Restraints Evaluated el: 0 cu: MICU-A cg: -1 v1: RestraintReapply st: NotStopd t0: [16:00:00 30/03/2015] id: Side Rails el: 0 cu: MICU-A cg: -1 v1: Side Rails Up st: NotStopd t0: [16:00:00 30/03/2015] id: Skin Care el: 0 cu: MICU-A cg: -1 v1: Done st: NotStopd t0: [16:00:00 30/03/2015] id: Skin Integrity el: 0 cu: MICU-A cg: -1 v1: Intact st: NotStopd t0: [16:00:00 30/03/2015] id: Sputum Color/Consist el: 0 cu: MICU-A cg: -1 v1: Blood Tinged v2: Thin st: NotStopd t0: [16:00:00 30/03/2015] id: Sputum Source/Amt el: 0 cu: MICU-A cg: -1 v1: Suctioned v2: Small st: NotStopd t0: [16:00:00 30/03/2015] id: Support Systems el: 0 cu: MICU-A cg: -1 v1: Relative st: NotStopd t0: [16:00:00 30/03/2015] id: Turn el: 0 cu: MICU-A cg: -1 v1: Left Side st: NotStopd t0: [16:00:00 30/03/2015] id: Urine Color/Appear el: 0 cu: MICU-A cg: -1 v1: Yellow v2: Clear st: NotStopd t0: [16:00:00 30/03/2015] id: Urine Source el: 0 cu: MICU-A cg: -1 v1: Indwelling Cath st: NotStopd t0: [16:00:00 30/03/2015] id: Verbal Response el: 0 cu: MICU-A cg: -1 v1: 1.0 ET/Trach st: NotStopd t0: [16:00:00 30/03/2015] id: Back Care el: 0 cu: MICU-A cg: -1 v1: Done st: NotStopd t0: [16:00:00 30/03/2015] id: Behavior el: 0 cu: MICU-A cg: -1 v1: Sedated st: NotStopd t0: [16:00:00 30/03/2015] id: Bowel Sounds el: 0 cu: MICU-A cg: -1 v1: Present st: NotStopd t0: [16:00:00 30/03/2015] id: Braden Activity el: 0 cu: MICU-A cg: -1 v1: Bedfast st: NotStopd t0: [16:00:00 30/03/2015] id: Braden Frict/Shear el: 0 cu: MICU-A cg: -1 v1: Potential Prob st: NotStopd t0: [16:00:00 30/03/2015] id: Braden Mobility el: 0 cu: MICU-A cg: -1 v1: Very Limited st: NotStopd t0: [16:00:00 30/03/2015] id: Braden Moisture el: 0 cu: MICU-A cg: -1 v1: Occ. Moist st: NotStopd t0: [16:00:00 30/03/2015] id: Braden Nutrition el: 0 cu: MICU-A cg: -1 v1: Prob. Inadequate st: NotStopd t0: [16:00:00 30/03/2015] id: Braden Score el: 0 cu: MICU-A cg: -1 v1: 13 u1: number st: NotStopd t0: [16:00:00 30/03/2015] id: Braden SensoryPercep el: 0 cu: MICU-A cg: -1 v1: Sl. Limited st: NotStopd t0: [16:30:00 30/03/2015] id: INV Line#1 Type/Site el: 0 cu: MICU-A cg: -1 v1: A-Line v2: Right Radial st: NotStopd t0: [16:30:00 30/03/2015] id: INV Line#1 Zero/Cal el: 0 cu: MICU-A cg: -1 v1: Yes st: NotStopd t0: [16:30:00 30/03/2015] id: INV Line#1InsertDate el: 0 cu: MICU-A cg: -1 v1: 2 v2: 22 st: NotStopd t0: [16:30:00 30/03/2015] id: INV Line#1SiteAppear el: 0 cu: MICU-A cg: -1 v1: WNL st: NotStopd t0: [16:30:00 30/03/2015] id: INV#1 WaveformAppear el: 0 cu: MICU-A cg: -1 v1: Sharp st: NotStopd t0: [16:30:00 30/03/2015] id: IV #1 Insert Date el: 0 cu: MICU-A cg: -1 v1: 2 v2: 22 st: NotStopd t0: [16:30:00 30/03/2015] id: IV #1 Site/Size el: 0 cu: MICU-A cg: -1 v1: LL Ant Forearm v2: 20 gauge st: NotStopd t0: [16:30:00 30/03/2015] id: IV #2 Insert Date el: 0 cu: MICU-A cg: -1 v1: 2 v2: 24 st: NotStopd t0: [16:30:00 30/03/2015] id: IV #2 Site/Size el: 0 cu: MICU-A cg: -1 v1: Left Antecub v2: 20 gauge st: NotStopd t0: [16:30:00 30/03/2015] id: IV Site Appear #1 el: 0 cu: MICU-A cg: -1 v1: WNL st: NotStopd t0: [16:30:00 30/03/2015] id: IV Site Appear #2 el: 0 cu: MICU-A cg: -1 v1: WNL st: NotStopd
t0: [17:00:00 30/03/2015] id: Compliance (40-60ml) el: 0 cu: MICU-A cg: -1 v1: 1.69231 u1: ml/cmH st: NotStopd t0: [17:00:00 30/03/2015] id: ETT Mark/Location el: 0 cu: MICU-A cg: -1 v1: 22cm v2: Lip st: NotStopd t0: [17:00:00 30/03/2015] id: FiO2 Set el: 0 cu: MICU-A cg: -1 v1: 0.7 u1: torr st: NotStopd t0: [17:00:00 30/03/2015] id: High Insp. Pressure el: 0 cu: MICU-A cg: -1 v1: 50 u1: cmH2O st: NotStopd t0: [17:00:00 30/03/2015] id: High Resp. Rate el: 0 cu: MICU-A cg: -1 v1: 35 u1: BPM st: NotStopd t0: [17:00:00 30/03/2015] id: Airway Size el: 0 cu: MICU-A cg: -1 v1: 9.0 mm st: NotStopd t0: [17:00:00 30/03/2015] id: Airway Type el: 0 cu: MICU-A cg: -1 v1: Endotracheal st: NotStopd t0: [17:00:00 30/03/2015] id: Inspired Gas Temp el: 0 cu: MICU-A cg: -1 v1: 32.9 u1: Deg. C st: NotStopd t0: [17:00:00 30/03/2015] id: Intubation Date el: 0 cu: MICU-A cg: -1 v1: 2 v2: 22 st: NotStopd t0: [17:00:00 30/03/2015] id: Low Exhaled Min Vol el: 0 cu: MICU-A cg: -1 v1: 8 st: NotStopd t0: [17:00:00 30/03/2015] id: Low Insp. Pressure el: 0 cu: MICU-A cg: -1 v1: 10 u1: cmH2O st: NotStopd t0: [17:00:00 30/03/2015] id: Mean Airway Pressure el: 0 cu: MICU-A cg: -1 v1: 16.4 u1: cmH2O st: NotStopd t0: [17:00:00 30/03/2015] id: Minute Volume(Obser) el: 0 cu: MICU-A cg: -1 v1: 13.3 u1: L/min st: NotStopd t0: [17:00:00 30/03/2015] id: PEEP Set el: 0 cu: MICU-A cg: -1 v1: 10 u1: cmH2O st: NotStopd t0: [17:00:00 30/03/2015] id: Peak Flow el: 0 cu: MICU-A cg: -1 v1: 65 u1: L/m st: NotStopd t0: [17:00:00 30/03/2015] id: Peak Insp. Pressure el: 0 cu: MICU-A cg: -1 v1: 23 u1: cmH2O st: NotStopd t0: [17:00:00 30/03/2015] id: Plateau Pressure el: 0 cu: MICU-A cg: -1 v1: 21.3 u1: cmH2O st: NotStopd t0: [17:00:00 30/03/2015] id: Plateau-Off el: 0 cu: MICU-A cg: -1 v1: Yes st: NotStopd t0: [17:00:00 30/03/2015] id: Resp Rate (Spont) el: 0 cu: MICU-A cg: -1 v1: 0 u1: BPM st: NotStopd t0: [17:00:00 30/03/2015] id: Resp Rate (Total) el: 0 cu: MICU-A cg: -1 v1: 22 u1: BPM st: NotStopd t0: [17:00:00 30/03/2015] id: Respiratory Rate Set el: 0 cu: MICU-A cg: -1 v1: 22 u1: BPM st: NotStopd t0: [17:00:00 30/03/2015] id: Sensitivity-Vent el: 0 cu: MICU-A cg: -1 v1: 1 u1: cmH2O st: NotStopd t0: [17:00:00 30/03/2015] id: Tidal Volume (Obser) el: 0 cu: MICU-A cg: -1 v1: 550 u1: ml/B st: NotStopd t0: [17:00:00 30/03/2015] id: Tidal Volume (Set) el: 0 cu: MICU-A cg: -1 v1: 22 u1: ml/B st: NotStopd t0: [17:00:00 30/03/2015] id: Tidal Volume (Spont) el: 0 cu: MICU-A cg: -1 v1: 600 u1: ml/B st: NotStopd t0: [17:00:00 30/03/2015] id: Ventilator Mode el: 0 cu: MICU-A cg: -1 v1: Assist Control st: NotStopd t0: [17:00:00 30/03/2015] id: Ventilator No. el: 0 cu: MICU-A cg: -1 v1: 20 u1: # st: NotStopd t0: [17:00:00 30/03/2015] id: Ventilator Type el: 0 cu: MICU-A cg: -1 v1: 7200A st: NotStopd t0: [17:00:00 30/03/2015] id: Waveform-Vent el: 0 cu: MICU-A cg: -1 v1: RAMP st: NotStopd
t0: [17:00:00 30/03/2015] id: Service Type el: 0 cu: MICU-A cg: -1 v1: MICU st: NotStopd t0: [17:00:00 30/03/2015] id: CVP el: 0 cu: MICU-A cg: -1 v1: 11 u1: mmHg st: NotStopd t0: [17:00:00 30/03/2015] id: Ectopy Frequency el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [17:00:00 30/03/2015] id: Ectopy Type el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [17:00:00 30/03/2015] id: Heart Rate el: 0 cu: MICU-A cg: -1 v1: 60 u1: BPM st: NotStopd t0: [17:00:00 30/03/2015] id: Heart Rhythm el: 0 cu: MICU-A cg: -1 v1: Normal Sinus st: NotStopd t0: [17:00:00 30/03/2015] id: Arterial BP el: 0 cu: MICU-A cg: -1 v1: 96 u1: mmHg v2: 39 u2: mmHg st: NotStopd t0: [17:00:00 30/03/2015] id: Arterial BP Mean el: 0 cu: MICU-A cg: -1 v1: 58 u1: mmHg st: NotStopd t0: [17:00:00 30/03/2015] id: Previous WeightF el: 0 cu: MICU-A cg: -1 v1: 79.4 u1: kg st: NotStopd t0: [17:00:00 30/03/2015] id: Respiratory Rate el: 0 cu: MICU-A cg: -1 v1: 22 u1: BPM st: NotStopd t0: [17:00:00 30/03/2015] id: SpO2 el: 0 cu: MICU-A cg: -1 v1: 96 u1: % st: NotStopd t0: [17:00:00 30/03/2015] id: Temp. Site el: 0 cu: MICU-A cg: -1 v1: Oral st: NotStopd t0: [17:00:00 30/03/2015] id: Temperature C (calc) el: 0 cu: MICU-A cg: -1 v1: 37.5556 u1: Deg. C st: NotStopd t0: [17:00:00 30/03/2015] id: Temperature F el: 0 cu: MICU-A cg: -1 v1: 99.6 u1: Deg. F st: NotStopd t0: [17:00:00 30/03/2015] id: calprevflg el: 0 cu: MICU-A cg: -1 v1: 1 u1: kg st: NotStopd
t0: [17:00:00 30/03/2015] id: Urine Out Foley el: 1 cu: MICU-A cg: -1 vo: 41 vu: ml
t0: [18:00:00 30/03/2015] id: Service Type el: 0 cu: MICU-A cg: -1 v1: MICU st: NotStopd t0: [18:00:00 30/03/2015] id: Code Status el: 0 cu: MICU-A cg: -1 v1: Full Code st: NotStopd t0: [18:00:00 30/03/2015] id: Ectopy Frequency el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [18:00:00 30/03/2015] id: Ectopy Type el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [18:00:00 30/03/2015] id: Heart Rate el: 0 cu: MICU-A cg: -1 v1: 64 u1: BPM st: NotStopd t0: [18:00:00 30/03/2015] id: Heart Rhythm el: 0 cu: MICU-A cg: -1 v1: Normal Sinus st: NotStopd t0: [18:00:00 30/03/2015] id: Arterial BP el: 0 cu: MICU-A cg: -1 v1: 117 u1: mmHg v2: 46 u2: mmHg st: NotStopd t0: [18:00:00 30/03/2015] id: Arterial BP Mean el: 0 cu: MICU-A cg: -1 v1: 68 u1: mmHg st: NotStopd t0: [18:00:00 30/03/2015] id: Precautions el: 0 cu: MICU-A cg: -1 v1: Universal st: NotStopd t0: [18:00:00 30/03/2015] id: Previous WeightF el: 0 cu: MICU-A cg: -1 v1: 79.4 u1: kg st: NotStopd t0: [18:00:00 30/03/2015] id: Respiratory Rate el: 0 cu: MICU-A cg: -1 v1: 21 u1: BPM st: NotStopd t0: [18:00:00 30/03/2015] id: SpO2 el: 0 cu: MICU-A cg: -1 v1: 98 u1: % st: NotStopd t0: [18:00:00 30/03/2015] id: calprevflg el: 0 cu: MICU-A cg: -1 v1: 1 u1: kg st: NotStopd
t0: [17:00:00 30/03/2015] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 125 vu: ml t0: [17:00:00 30/03/2015] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 1 vu: ml t0: [17:00:00 30/03/2015] id: Peptamen Tube Feeding el: 1 cu: MICU-A cg: -1 ai: 107 vo: 25 vu: ml t0: [17:00:00 30/03/2015] id: .9% Normal Saline 250.0ml IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 10 vu: ml t0: [17:00:00 30/03/2015] id: .9% Normal Saline 50.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 2 vu: ml t0: [18:00:00 30/03/2015] id: TF Residual Gastric/TF Residual el: 1 cu: MICU-A cg: -1 ai: 189 vo: 0 vu: ml t0: [18:00:00 30/03/2015] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 125 vu: ml t0: [18:00:00 30/03/2015] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 1 vu: ml t0: [18:00:00 30/03/2015] id: Peptamen Tube Feeding el: 1 cu: MICU-A cg: -1 ai: 107 vo: 25 vu: ml t0: [18:00:00 30/03/2015] id: .9% Normal Saline 250.0ml IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 10 vu: ml t0: [18:00:00 30/03/2015] id: .9% Normal Saline 50.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 2 vu: ml t0: [18:00:00 30/03/2015] id: Urine Out Foley el: 1 cu: MICU-A cg: -1 vo: 30 vu: ml
t0: [18:00:00 30/03/2015] id: Fentanyl el: 1 cu: MICU-A so: .9% Normal Saline vo: 0 v1: 100 du: mcghr sv: 50 su: ml rt: IV Drip t0: [18:00:00 30/03/2015] id: Ativan el: 1 cu: MICU-A so: D5W vo: 0 v1: 1 du: mghr sv: 60 su: ml rt: IV Drip
t0: [12:00:00 30/03/2015] id: MDI #1 (Puff/Drug) el: 0 cu: MICU-A cg: -1 v1: 6 v2: Albuterol st: NotStopd t0: [12:00:00 30/03/2015] id: MDI #2 (Puff/Drug) el: 0 cu: MICU-A cg: -1 v1: 4 v2: Atrovent st: NotStopd t0: [17:00:00 30/03/2015] id: MDI #1 (Puff/Drug) el: 0 cu: MICU-A cg: -1 v1: 6 v2: Albuterol st: NotStopd t0: [17:00:00 30/03/2015] id: MDI #2 (Puff/Drug) el: 0 cu: MICU-A cg: -1 v1: 4 v2: Atrovent st: NotStopd
t0: [20:00:00 30/03/2015] id: Compliance (40-60ml) el: 0 cu: MICU-A cg: -1 v1: 1.46667 u1: ml/cmH st: NotStopd t0: [20:00:00 30/03/2015] id: ETT Mark/Location el: 0 cu: MICU-A cg: -1 v1: 22cm v2: Lip st: NotStopd t0: [20:00:00 30/03/2015] id: FiO2 Set el: 0 cu: MICU-A cg: -1 v1: 0.7 u1: torr st: NotStopd t0: [20:00:00 30/03/2015] id: High Insp. Pressure el: 0 cu: MICU-A cg: -1 v1: 50 u1: cmH2O st: NotStopd t0: [20:00:00 30/03/2015] id: High Resp. Rate el: 0 cu: MICU-A cg: -1 v1: 35 u1: BPM st: NotStopd t0: [20:00:00 30/03/2015] id: Airway Size el: 0 cu: MICU-A cg: -1 v1: 9.0 mm st: NotStopd t0: [20:00:00 30/03/2015] id: Airway Type el: 0 cu: MICU-A cg: -1 v1: Endotracheal st: NotStopd t0: [20:00:00 30/03/2015] id: Inspired Gas Temp el: 0 cu: MICU-A cg: -1 v1: 32.9 u1: Deg. C st: NotStopd t0: [20:00:00 30/03/2015] id: Intubation Date el: 0 cu: MICU-A cg: -1 v1: 2 v2: 22 st: NotStopd t0: [20:00:00 30/03/2015] id: Low Exhaled Min Vol el: 0 cu: MICU-A cg: -1 v1: 8 st: NotStopd t0: [20:00:00 30/03/2015] id: Low Insp. Pressure el: 0 cu: MICU-A cg: -1 v1: 10 u1: cmH2O st: NotStopd t0: [20:00:00 30/03/2015] id: MDI #1 (Puff/Drug) el: 0 cu: MICU-A cg: -1 v1: 6 v2: Albuterol st: NotStopd t0: [20:00:00 30/03/2015] id: MDI #2 (Puff/Drug) el: 0 cu: MICU-A cg: -1 v1: 4 v2: Atrovent st: NotStopd t0: [20:00:00 30/03/2015] id: Mean Airway Pressure el: 0 cu: MICU-A cg: -1 v1: 15.4 u1: cmH2O st: NotStopd t0: [20:00:00 30/03/2015] id: Minute Volume(Obser) el: 0 cu: MICU-A cg: -1 v1: 13.1 u1: L/min st: NotStopd t0: [20:00:00 30/03/2015] id: PEEP Set el: 0 cu: MICU-A cg: -1 v1: 10 u1: cmH2O st: NotStopd t0: [20:00:00 30/03/2015] id: Peak Flow el: 0 cu: MICU-A cg: -1 v1: 65 u1: L/m st: NotStopd t0: [20:00:00 30/03/2015] id: Peak Insp. Pressure el: 0 cu: MICU-A cg: -1 v1: 25 u1: cmH2O st: NotStopd t0: [20:00:00 30/03/2015] id: Plateau Pressure el: 0 cu: MICU-A cg: -1 v1: 23.4 u1: cmH2O st: NotStopd t0: [20:00:00 30/03/2015] id: Plateau-Off el: 0 cu: MICU-A cg: -1 v1: Yes st: NotStopd t0: [20:00:00 30/03/2015] id: Resp Rate (Spont) el: 0 cu: MICU-A cg: -1 v1: 0 u1: BPM st: NotStopd t0: [20:00:00 30/03/2015] id: Resp Rate (Total) el: 0 cu: MICU-A cg: -1 v1: 22 u1: BPM st: NotStopd t0: [20:00:00 30/03/2015] id: Respiratory Rate Set el: 0 cu: MICU-A cg: -1 v1: 22 u1: BPM st: NotStopd t0: [20:00:00 30/03/2015] id: Sensitivity-Vent el: 0 cu: MICU-A cg: -1 v1: 1 u1: cmH2O st: NotStopd t0: [20:00:00 30/03/2015] id: SpO2 el: 0 cu: MICU-A cg: -1 v1: 96 u1: % st: NotStopd t0: [20:00:00 30/03/2015] id: Tidal Volume (Obser) el: 0 cu: MICU-A cg: -1 v1: 550 u1: ml/B st: NotStopd t0: [20:00:00 30/03/2015] id: Tidal Volume (Set) el: 0 cu: MICU-A cg: -1 v1: 22 u1: ml/B st: NotStopd t0: [20:00:00 30/03/2015] id: Tidal Volume (Spont) el: 0 cu: MICU-A cg: -1 v1: 590 u1: ml/B st: NotStopd t0: [20:00:00 30/03/2015] id: Ventilator Mode el: 0 cu: MICU-A cg: -1 v1: Assist Control st: NotStopd t0: [20:00:00 30/03/2015] id: Ventilator No. el: 0 cu: MICU-A cg: -1 v1: 20 u1: # st: NotStopd t0: [20:00:00 30/03/2015] id: Ventilator Type el: 0 cu: MICU-A cg: -1 v1: 7200A st: NotStopd t0: [20:00:00 30/03/2015] id: Waveform-Vent el: 0 cu: MICU-A cg: -1 v1: RAMP st: NotStopd
t0: [20:00:00 30/03/2015] id: Less Restrict Meas. el: 0 cu: MICU-A cg: RN v1: Family at Bedsid st: NotStopd t0: [20:00:00 30/03/2015] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [20:00:00 30/03/2015] id: Circulation/SkinInt el: 0 cu: MICU-A cg: RN v1: Circulation Adeq st: NotStopd t0: [20:00:00 30/03/2015] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [20:00:00 30/03/2015] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [20:00:00 30/03/2015] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [20:00:00 30/03/2015] id: Eye Opening el: 0 cu: MICU-A cg: RN v1: 3 To speech st: NotStopd t0: [20:00:00 30/03/2015] id: Family Communication el: 0 cu: MICU-A cg: RN v1: Family Visited st: NotStopd t0: [20:00:00 30/03/2015] id: GI Intub #1/Site el: 0 cu: MICU-A cg: RN v1: Salem Sump v2: Oral st: NotStopd t0: [20:00:00 30/03/2015] id: GI#1 Tube Stat/Drain el: 0 cu: MICU-A cg: RN v1: Feeding st: NotStopd t0: [20:00:00 30/03/2015] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 64 u1: BPM st: NotStopd t0: [20:00:00 30/03/2015] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [20:00:00 30/03/2015] id: INV Line#1 Type/Site el: 0 cu: MICU-A cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [20:00:00 30/03/2015] id: INV Line#1InsertDate el: 0 cu: MICU-A cg: RN v1: 2 v2: 22 st: NotStopd t0: [20:00:00 30/03/2015] id: INV Line#1SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [20:00:00 30/03/2015] id: Abdominal Assessment el: 0 cu: MICU-A cg: RN v1: Soft st: NotStopd t0: [20:00:00 30/03/2015] id: INV#1 WaveformAppear el: 0 cu: MICU-A cg: RN v1: Sharp st: NotStopd t0: [20:00:00 30/03/2015] id: IV #1 Insert Date el: 0 cu: MICU-A cg: RN v1: 2 v2: 22 st: NotStopd t0: [20:00:00 30/03/2015] id: IV #1 Site/Size el: 0 cu: MICU-A cg: RN v1: LL Ant Forearm v2: 20 gauge st: NotStopd t0: [20:00:00 30/03/2015] id: IV #2 Insert Date el: 0 cu: MICU-A cg: RN v1: 2 v2: 24 st: NotStopd t0: [20:00:00 30/03/2015] id: IV #2 Site/Size el: 0 cu: MICU-A cg: RN v1: Left Antecub v2: 20 gauge st: NotStopd t0: [20:00:00 30/03/2015] id: IV Site Appear #1 el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [20:00:00 30/03/2015] id: IV Site Appear #2 el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [20:00:00 30/03/2015] id: Level of Conscious el: 0 cu: MICU-A cg: RN v1: Arouse to Voice st: NotStopd t0: [20:00:00 30/03/2015] id: Oral Cavity el: 0 cu: MICU-A cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [20:00:00 30/03/2015] id: Orientation el: 0 cu: MICU-A cg: RN v1: Other/Remarks st: NotStopd t0: [20:00:00 30/03/2015] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 95 u1: mmHg v2: 39 u2: mmHg st: NotStopd t0: [20:00:00 30/03/2015] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 56 u1: mmHg st: NotStopd t0: [20:00:00 30/03/2015] id: Position Change el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [20:00:00 30/03/2015] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [20:00:00 30/03/2015] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 79.4 u1: kg st: NotStopd t0: [20:00:00 30/03/2015] id: Reason For Restraint el: 0 cu: MICU-A cg: RN v1: Ext/TXInterfere st: NotStopd t0: [20:00:00 30/03/2015] id: Respiratory Pattern el: 0 cu: MICU-A cg: RN v1: Regular st: NotStopd t0: [20:00:00 30/03/2015] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 22 u1: BPM st: NotStopd t0: [20:00:00 30/03/2015] id: Restraint Location el: 0 cu: MICU-A cg: RN v1: Both Arms st: NotStopd t0: [20:00:00 30/03/2015] id: Restraint Type el: 0 cu: MICU-A cg: RN v1: Soft Limb st: NotStopd t0: [20:00:00 30/03/2015] id: Restraints Evaluated el: 0 cu: MICU-A cg: RN v1: Behavior Conts st: NotStopd t0: [20:00:00 30/03/2015] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [20:00:00 30/03/2015] id: Support Systems el: 0 cu: MICU-A cg: RN v1: Relative st: NotStopd t0: [20:00:00 30/03/2015] id: Temp. Site el: 0 cu: MICU-A cg: RN v1: Oral st: NotStopd t0: [20:00:00 30/03/2015] id: Temperature C (calc) el: 0 cu: MICU-A cg: RN v1: 37.1111 u1: Deg. C st: NotStopd t0: [20:00:00 30/03/2015] id: Temperature F el: 0 cu: MICU-A cg: RN v1: 98.8 u1: Deg. F st: NotStopd t0: [20:00:00 30/03/2015] id: Urine Color/Appear el: 0 cu: MICU-A cg: RN v1: Yellow v2: Clear st: NotStopd t0: [20:00:00 30/03/2015] id: Urine Source el: 0 cu: MICU-A cg: RN v1: Indwelling Cath st: NotStopd t0: [20:00:00 30/03/2015] id: Verbal Response el: 0 cu: MICU-A cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [20:00:00 30/03/2015] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [20:00:00 30/03/2015] id: Behavior el: 0 cu: MICU-A cg: RN v1: Sedated st: NotStopd
t0: [20:00:00 30/03/2015] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 250 vu: ml t0: [20:00:00 30/03/2015] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 2 vu: ml t0: [20:00:00 30/03/2015] id: Peptamen Tube Feeding el: 1 cu: MICU-A cg: RN ai: 107 vo: 70 vu: ml t0: [20:00:00 30/03/2015] id: .9% Normal Saline 250.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 20 vu: ml t0: [20:00:00 30/03/2015] id: .9% Normal Saline 50.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 4 vu: ml t0: [20:00:00 30/03/2015] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 105 vu: ml
t0: [20:00:00 30/03/2015] id: Fentanyl el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 100 du: mcghr sv: 50 su: ml rt: IV Drip t0: [20:00:00 30/03/2015] id: Ativan el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1 du: mghr sv: 60 su: ml rt: IV Drip
t0: [22:00:00 30/03/2015] id: Range of Motion el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [22:00:00 30/03/2015] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [22:00:00 30/03/2015] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [22:00:00 30/03/2015] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [22:00:00 30/03/2015] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [22:00:00 30/03/2015] id: GI Intub #1/Site el: 0 cu: MICU-A cg: RN v1: Salem Sump v2: Oral st: NotStopd t0: [22:00:00 30/03/2015] id: GI#1 Tube Stat/Drain el: 0 cu: MICU-A cg: RN v1: Feeding v2: Undigested Food st: NotStopd t0: [22:00:00 30/03/2015] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 63 u1: BPM st: NotStopd t0: [22:00:00 30/03/2015] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [22:00:00 30/03/2015] id: Abdominal Assessment el: 0 cu: MICU-A cg: RN v1: Soft st: NotStopd t0: [22:00:00 30/03/2015] id: LLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Diminished st: NotStopd t0: [22:00:00 30/03/2015] id: LUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Clear st: NotStopd t0: [22:00:00 30/03/2015] id: Oral Cavity el: 0 cu: MICU-A cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [22:00:00 30/03/2015] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 92 u1: mmHg v2: 39 u2: mmHg st: NotStopd t0: [22:00:00 30/03/2015] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 55 u1: mmHg st: NotStopd t0: [22:00:00 30/03/2015] id: Position Change el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [22:00:00 30/03/2015] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [22:00:00 30/03/2015] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 79.4 u1: kg st: NotStopd t0: [22:00:00 30/03/2015] id: RLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Diminished st: NotStopd t0: [22:00:00 30/03/2015] id: RUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Clear st: NotStopd t0: [22:00:00 30/03/2015] id: Reason For Restraint el: 0 cu: MICU-A cg: RN v1: Ext/TXInterfere st: NotStopd t0: [22:00:00 30/03/2015] id: Removed x 5 Mins el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [22:00:00 30/03/2015] id: Respiratory Pattern el: 0 cu: MICU-A cg: RN v1: Regular st: NotStopd t0: [22:00:00 30/03/2015] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 22 u1: BPM st: NotStopd t0: [22:00:00 30/03/2015] id: Restraint Location el: 0 cu: MICU-A cg: RN v1: Both Arms st: NotStopd t0: [22:00:00 30/03/2015] id: Restraint Type el: 0 cu: MICU-A cg: RN v1: Soft Limb st: NotStopd t0: [22:00:00 30/03/2015] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [22:00:00 30/03/2015] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 95 u1: % st: NotStopd t0: [22:00:00 30/03/2015] id: Support Systems el: 0 cu: MICU-A cg: RN v1: Relative st: NotStopd t0: [22:00:00 30/03/2015] id: Urine Color/Appear el: 0 cu: MICU-A cg: RN v1: Yellow v2: Clear st: NotStopd t0: [22:00:00 30/03/2015] id: Urine Source el: 0 cu: MICU-A cg: RN v1: Indwelling Cath st: NotStopd t0: [22:00:00 30/03/2015] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [22:00:00 30/03/2015] id: Bowel Sounds el: 0 cu: MICU-A cg: RN v1: Present st: NotStopd
t0: [22:00:00 30/03/2015] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 250 vu: ml t0: [22:00:00 30/03/2015] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 2 vu: ml t0: [22:00:00 30/03/2015] id: Peptamen Tube Feeding el: 1 cu: MICU-A cg: RN ai: 107 vo: 70 vu: ml t0: [22:00:00 30/03/2015] id: .9% Normal Saline 250.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 20 vu: ml t0: [22:00:00 30/03/2015] id: .9% Normal Saline 50.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 4 vu: ml t0: [22:00:00 30/03/2015] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 90 vu: ml
t0: [22:00:00 30/03/2015] id: Fentanyl el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 100 du: mcghr sv: 50 su: ml rt: IV Drip t0: [22:00:00 30/03/2015] id: Ativan el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1 du: mghr sv: 60 su: ml rt: IV Drip
t0: [23:00:00 30/03/2015] dt: 1 id: Total Hourly Output el: 2 cu: MICU-A cg: RN cv: 0 ap: none t0: [23:00:00 30/03/2015] dt: 24 id: IV Infusion In Total el: 2 cu: MICU-A cg: RN cv: 3011.5 ap: none t0: [23:00:00 30/03/2015] dt: 24 id: Tube Feeds In Total el: 2 cu: MICU-A cg: RN cv: 615 ap: none t0: [23:00:00 30/03/2015] dt: 24 id: Urine Out Total el: 2 cu: MICU-A cg: RN cv: 1007 ap: none t0: [23:00:00 30/03/2015] dt: 24 id: 24h Total Out el: 2 cu: MICU-A cg: RN cv: 1007 ap: none
id: Levophed el: 100 cu: MICU-A cg: RN io: D5W 250.0ml + 4mcgmin Levophed IV Infusions am: 4 du: mcgmin rt: IV Drip
io: D5W 250.0ml + 4mcgmin Levophed IV Infusions el: 1 cu: MICU-A cg: RN ra: 30 ru: ml/hr
id: D5W el: 1 cu: MICU-A cg: RN io: D5W 250.0ml + 4mcgmin Levophed IV Infusions vo: 250 du: ml rt: Intravenous Push
t0: [00:00:00 31/03/2015] id: Compliance (40-60ml) el: 0 cu: MICU-A cg: -1 v1: 1.52778 u1: ml/cmH st: NotStopd t0: [00:00:00 31/03/2015] id: ETT Mark/Location el: 0 cu: MICU-A cg: -1 v1: 22cm v2: Lip st: NotStopd t0: [00:00:00 31/03/2015] id: FiO2 Set el: 0 cu: MICU-A cg: -1 v1: 0.7 u1: torr st: NotStopd t0: [00:00:00 31/03/2015] id: High Insp. Pressure el: 0 cu: MICU-A cg: -1 v1: 50 u1: cmH2O st: NotStopd t0: [00:00:00 31/03/2015] id: High Resp. Rate el: 0 cu: MICU-A cg: -1 v1: 35 u1: BPM st: NotStopd t0: [00:00:00 31/03/2015] id: Airway Size el: 0 cu: MICU-A cg: -1 v1: 9.0 mm st: NotStopd t0: [00:00:00 31/03/2015] id: Airway Type el: 0 cu: MICU-A cg: -1 v1: Endotracheal st: NotStopd t0: [00:00:00 31/03/2015] id: Inspired Gas Temp el: 0 cu: MICU-A cg: -1 v1: 33 u1: Deg. C st: NotStopd t0: [00:00:00 31/03/2015] id: Intubation Date el: 0 cu: MICU-A cg: -1 v1: 2 v2: 22 st: NotStopd t0: [00:00:00 31/03/2015] id: Low Exhaled Min Vol el: 0 cu: MICU-A cg: -1 v1: 8 st: NotStopd t0: [00:00:00 31/03/2015] id: Low Insp. Pressure el: 0 cu: MICU-A cg: -1 v1: 10 u1: cmH2O st: NotStopd t0: [00:00:00 31/03/2015] id: MDI #1 (Puff/Drug) el: 0 cu: MICU-A cg: -1 v1: 6 v2: Albuterol st: NotStopd t0: [00:00:00 31/03/2015] id: MDI #2 (Puff/Drug) el: 0 cu: MICU-A cg: -1 v1: 4 v2: Atrovent st: NotStopd t0: [00:00:00 31/03/2015] id: Mean Airway Pressure el: 0 cu: MICU-A cg: -1 v1: 15 u1: cmH2O st: NotStopd t0: [00:00:00 31/03/2015] id: Minute Volume(Obser) el: 0 cu: MICU-A cg: -1 v1: 13.2 u1: L/min st: NotStopd t0: [00:00:00 31/03/2015] id: PEEP Set el: 0 cu: MICU-A cg: -1 v1: 10 u1: cmH2O st: NotStopd t0: [00:00:00 31/03/2015] id: Peak Flow el: 0 cu: MICU-A cg: -1 v1: 65 u1: L/m st: NotStopd t0: [00:00:00 31/03/2015] id: Peak Insp. Pressure el: 0 cu: MICU-A cg: -1 v1: 24.4 u1: cmH2O st: NotStopd t0: [00:00:00 31/03/2015] id: Plateau Pressure el: 0 cu: MICU-A cg: -1 v1: 23.2 u1: cmH2O st: NotStopd t0: [00:00:00 31/03/2015] id: Plateau-Off el: 0 cu: MICU-A cg: -1 v1: Yes st: NotStopd t0: [00:00:00 31/03/2015] id: Resp Rate (Spont) el: 0 cu: MICU-A cg: -1 v1: 0 u1: BPM st: NotStopd t0: [00:00:00 31/03/2015] id: Resp Rate (Total) el: 0 cu: MICU-A cg: -1 v1: 22 u1: BPM st: NotStopd t0: [00:00:00 31/03/2015] id: Respiratory Rate Set el: 0 cu: MICU-A cg: -1 v1: 22 u1: BPM st: NotStopd t0: [00:00:00 31/03/2015] id: Sensitivity-Vent el: 0 cu: MICU-A cg: -1 v1: 1 u1: cmH2O st: NotStopd t0: [00:00:00 31/03/2015] id: SpO2 el: 0 cu: MICU-A cg: -1 v1: 97 u1: % st: NotStopd t0: [00:00:00 31/03/2015] id: Tidal Volume (Obser) el: 0 cu: MICU-A cg: -1 v1: 550 u1: ml/B st: NotStopd t0: [00:00:00 31/03/2015] id: Tidal Volume (Set) el: 0 cu: MICU-A cg: -1 v1: 22 u1: ml/B st: NotStopd t0: [00:00:00 31/03/2015] id: Tidal Volume (Spont) el: 0 cu: MICU-A cg: -1 v1: 590 u1: ml/B st: NotStopd t0: [00:00:00 31/03/2015] id: Ventilator Mode el: 0 cu: MICU-A cg: -1 v1: Assist Control st: NotStopd t0: [00:00:00 31/03/2015] id: Ventilator No. el: 0 cu: MICU-A cg: -1 v1: 20 u1: # st: NotStopd t0: [00:00:00 31/03/2015] id: Ventilator Type el: 0 cu: MICU-A cg: -1 v1: 7200A st: NotStopd t0: [00:00:00 31/03/2015] id: Waveform-Vent el: 0 cu: MICU-A cg: -1 v1: RAMP st: NotStopd
t0: [20:00:00 30/03/2015] id: INV Line#2 Type/Site el: 0 cu: MICU-A cg: RN v1: Multi-lumen v2: Right IJ st: NotStopd t0: [20:00:00 30/03/2015] id: INV Line#2InsertDate el: 0 cu: MICU-A cg: RN v1: 2 v2: 25 st: NotStopd t0: [00:00:00 31/03/2015] id: Range of Motion el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [00:00:00 31/03/2015] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [00:00:00 31/03/2015] id: Circulation/SkinInt el: 0 cu: MICU-A cg: RN v1: Circulation Adeq st: NotStopd t0: [00:00:00 31/03/2015] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [00:00:00 31/03/2015] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [00:00:00 31/03/2015] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [00:00:00 31/03/2015] id: Eye Opening el: 0 cu: MICU-A cg: RN v1: 3 To speech st: NotStopd t0: [00:00:00 31/03/2015] id: GCS Total el: 0 cu: MICU-A cg: RN v1: 10 u1: points st: NotStopd t0: [00:00:00 31/03/2015] id: GI Intub #1/Site el: 0 cu: MICU-A cg: RN v1: Salem Sump v2: Oral st: NotStopd t0: [00:00:00 31/03/2015] id: GI#1 Tube PlaceCheck el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [00:00:00 31/03/2015] id: GI#1 Tube Stat/Drain el: 0 cu: MICU-A cg: RN v1: Clamped v2: Undigested Food st: NotStopd t0: [00:00:00 31/03/2015] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 68 u1: BPM st: NotStopd t0: [00:00:00 31/03/2015] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [00:00:00 31/03/2015] id: INV Line#1 Type/Site el: 0 cu: MICU-A cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [00:00:00 31/03/2015] id: INV Line#1InsertDate el: 0 cu: MICU-A cg: RN v1: 2 v2: 22 st: NotStopd t0: [00:00:00 31/03/2015] id: INV Line#1SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [00:00:00 31/03/2015] id: INV Line#2 Type/Site el: 0 cu: MICU-A cg: RN v1: Multi-lumen v2: Right IJ st: NotStopd t0: [00:00:00 31/03/2015] id: INV Line#2InsertDate el: 0 cu: MICU-A cg: RN v1: 2 v2: 25 st: NotStopd t0: [00:00:00 31/03/2015] id: Abdominal Assessment el: 0 cu: MICU-A cg: RN v1: Soft st: NotStopd t0: [00:00:00 31/03/2015] id: IV #1 Insert Date el: 0 cu: MICU-A cg: RN v1: 2 v2: 22 st: NotStopd t0: [00:00:00 31/03/2015] id: IV #1 Site/Size el: 0 cu: MICU-A cg: RN v1: LL Ant Forearm v2: 20 gauge st: NotStopd t0: [00:00:00 31/03/2015] id: IV #2 Insert Date el: 0 cu: MICU-A cg: RN v1: 2 v2: 24 st: NotStopd t0: [00:00:00 31/03/2015] id: IV #2 Site/Size el: 0 cu: MICU-A cg: RN v1: Left Antecub v2: 20 gauge st: NotStopd t0: [00:00:00 31/03/2015] id: IV Site Appear #1 el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [00:00:00 31/03/2015] id: IV Site Appear #2 el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [00:00:00 31/03/2015] id: LLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Diminished st: NotStopd t0: [00:00:00 31/03/2015] id: LUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Diminished st: NotStopd t0: [00:00:00 31/03/2015] id: Level of Conscious el: 0 cu: MICU-A cg: RN v1: Arouse to Stimul st: NotStopd t0: [00:00:00 31/03/2015] id: Motor Response el: 0 cu: MICU-A cg: RN v1: 6 Obeys Commands st: NotStopd t0: [00:00:00 31/03/2015] id: Oral Cavity el: 0 cu: MICU-A cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [00:00:00 31/03/2015] id: Orientation el: 0 cu: MICU-A cg: RN v1: Other/Remarks st: NotStopd t0: [00:00:00 31/03/2015] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 103 u1: mmHg v2: 57 u2: mmHg st: NotStopd t0: [00:00:00 31/03/2015] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 74 u1: mmHg st: NotStopd t0: [00:00:00 31/03/2015] id: Position Change el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [00:00:00 31/03/2015] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [00:00:00 31/03/2015] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 79.4 u1: kg st: NotStopd t0: [00:00:00 31/03/2015] id: RLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Diminished st: NotStopd t0: [00:00:00 31/03/2015] id: RUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Clear st: NotStopd t0: [00:00:00 31/03/2015] id: Reason For Restraint el: 0 cu: MICU-A cg: RN v1: Ext/TXInterfere st: NotStopd t0: [00:00:00 31/03/2015] id: Removed x 5 Mins el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [00:00:00 31/03/2015] id: Respiratory Pattern el: 0 cu: MICU-A cg: RN v1: Regular st: NotStopd t0: [00:00:00 31/03/2015] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 21 u1: BPM st: NotStopd t0: [00:00:00 31/03/2015] id: Restraint Location el: 0 cu: MICU-A cg: RN v1: Both Arms st: NotStopd t0: [00:00:00 31/03/2015] id: Restraint Type el: 0 cu: MICU-A cg: RN v1: Soft Limb st: NotStopd t0: [00:00:00 31/03/2015] id: Restraints Evaluated el: 0 cu: MICU-A cg: RN v1: RestraintReapply st: NotStopd t0: [00:00:00 31/03/2015] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [00:00:00 31/03/2015] id: Skin Integrity el: 0 cu: MICU-A cg: RN v1: Intact st: NotStopd t0: [00:00:00 31/03/2015] id: Support Systems el: 0 cu: MICU-A cg: RN v1: Relative st: NotStopd t0: [00:00:00 31/03/2015] id: Temp. Site el: 0 cu: MICU-A cg: RN v1: Oral st: NotStopd t0: [00:00:00 31/03/2015] id: Temperature C (calc) el: 0 cu: MICU-A cg: RN v1: 37.1111 u1: Deg. C st: NotStopd t0: [00:00:00 31/03/2015] id: Temperature F el: 0 cu: MICU-A cg: RN v1: 98.8 u1: Deg. F st: NotStopd t0: [00:00:00 31/03/2015] id: Urine Color/Appear el: 0 cu: MICU-A cg: RN v1: Yellow v2: Clear st: NotStopd t0: [00:00:00 31/03/2015] id: Urine Source el: 0 cu: MICU-A cg: RN v1: Indwelling Cath st: NotStopd t0: [00:00:00 31/03/2015] id: Verbal Response el: 0 cu: MICU-A cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [00:00:00 31/03/2015] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [00:00:00 31/03/2015] id: Behavior el: 0 cu: MICU-A cg: RN v1: Sedated st: NotStopd t0: [00:00:00 31/03/2015] id: Bowel Sounds el: 0 cu: MICU-A cg: RN v1: Present st: NotStopd t0: [00:00:00 31/03/2015] id: Braden Activity el: 0 cu: MICU-A cg: RN v1: Bedfast st: NotStopd t0: [00:00:00 31/03/2015] id: Braden Frict/Shear el: 0 cu: MICU-A cg: RN v1: Potential Prob st: NotStopd t0: [00:00:00 31/03/2015] id: Braden Mobility el: 0 cu: MICU-A cg: RN v1: Very Limited st: NotStopd t0: [00:00:00 31/03/2015] id: Braden Moisture el: 0 cu: MICU-A cg: RN v1: Occ. Moist st: NotStopd t0: [00:00:00 31/03/2015] id: Braden Nutrition el: 0 cu: MICU-A cg: RN v1: Prob. Inadequate st: NotStopd t0: [00:00:00 31/03/2015] id: Braden Score el: 0 cu: MICU-A cg: RN v1: 13 u1: number st: NotStopd t0: [00:00:00 31/03/2015] id: Braden SensoryPercep el: 0 cu: MICU-A cg: RN v1: Sl. Limited st: NotStopd
t0: [00:00:00 31/03/2015] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 250 vu: ml t0: [00:00:00 31/03/2015] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 2 vu: ml t0: [00:00:00 31/03/2015] id: D5W 250.0ml + 4mcgmin Levophed IV Infusions el: 1 cu: MICU-A cg: RN ai: 153 vo: 0 vu: ml nb: 1 t0: [00:00:00 31/03/2015] id: .9% Normal Saline 250.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 20 vu: ml t0: [00:00:00 31/03/2015] id: .9% Normal Saline 50.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 4 vu: ml t0: [00:00:00 31/03/2015] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 24 vu: ml
t0: [00:00:00 31/03/2015] id: Fentanyl el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 100 du: mcghr sv: 50 su: ml rt: IV Drip t0: [00:00:00 31/03/2015] id: Ativan el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1 du: mghr sv: 60 su: ml rt: IV Drip t0: [00:00:00 31/03/2015] tf: [12:00:00 31/03/2015] dt: 720 id: Levophed el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 8 du: mcgmin sv: 250 su: ml rt: IV Drip
t0: [23:00:00 31/03/2015] dt: 1 id: Total Hourly Output el: 2 cu: MICU-A cg: -1 cv: 0 ap: none t0: [23:00:00 31/03/2015] dt: 24 id: IV Infusion In Total el: 2 cu: MICU-A cg: -1 pv: 138 cv: 3300.34 ap: none t0: [23:00:00 31/03/2015] dt: 24 id: Urine Out Total el: 2 cu: MICU-A cg: -1 cv: 1094 ap: none t0: [23:00:00 31/03/2015] dt: 24 id: 24h Total Out el: 2 cu: MICU-A cg: -1 cv: 1094 ap: none
t0: [00:05:00 31/03/2015] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [00:05:00 31/03/2015] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [00:05:00 31/03/2015] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 65 u1: BPM st: NotStopd t0: [00:05:00 31/03/2015] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 98 u1: mmHg v2: 41 u2: mmHg st: NotStopd t0: [00:05:00 31/03/2015] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 59 u1: mmHg st: NotStopd t0: [00:05:00 31/03/2015] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [00:05:00 31/03/2015] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 79.4 u1: kg st: NotStopd t0: [00:05:00 31/03/2015] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 22 u1: BPM st: NotStopd t0: [00:05:00 31/03/2015] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 98 u1: % st: NotStopd t0: [00:05:00 31/03/2015] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [00:10:00 31/03/2015] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [00:10:00 31/03/2015] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [00:10:00 31/03/2015] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 63 u1: BPM st: NotStopd t0: [00:10:00 31/03/2015] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 154 u1: mmHg v2: 66 u2: mmHg st: NotStopd t0: [00:10:00 31/03/2015] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 97 u1: mmHg st: NotStopd t0: [00:10:00 31/03/2015] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [00:10:00 31/03/2015] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 79.4 u1: kg st: NotStopd t0: [00:10:00 31/03/2015] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 22 u1: BPM st: NotStopd t0: [00:10:00 31/03/2015] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 99 u1: % st: NotStopd t0: [00:10:00 31/03/2015] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [00:15:00 31/03/2015] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [00:15:00 31/03/2015] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [00:15:00 31/03/2015] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 71 u1: BPM st: NotStopd t0: [00:15:00 31/03/2015] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 186 u1: mmHg v2: 78 u2: mmHg st: NotStopd t0: [00:15:00 31/03/2015] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 119 u1: mmHg st: NotStopd t0: [00:15:00 31/03/2015] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [00:15:00 31/03/2015] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 79.4 u1: kg st: NotStopd t0: [00:15:00 31/03/2015] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 23 u1: BPM st: NotStopd t0: [00:15:00 31/03/2015] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 100 u1: % st: NotStopd t0: [00:15:00 31/03/2015] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [00:05:00 31/03/2015] id: Fentanyl el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 100 du: mcghr sv: 50 su: ml rt: IV Drip t0: [00:05:00 31/03/2015] id: Ativan el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1 du: mghr sv: 60 su: ml rt: IV Drip t0: [00:05:00 31/03/2015] id: Levophed el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 8 du: mcgmin sv: 250 su: ml rt: IV Drip t0: [00:10:00 31/03/2015] id: Fentanyl el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 100 du: mcghr sv: 50 su: ml rt: IV Drip t0: [00:10:00 31/03/2015] id: Ativan el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1 du: mghr sv: 60 su: ml rt: IV Drip t0: [00:10:00 31/03/2015] id: Levophed el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 5.4 du: mcgmin sv: 250 su: ml rt: IV Drip t0: [00:15:00 31/03/2015] id: Fentanyl el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 100 du: mcghr sv: 50 su: ml rt: IV Drip t0: [00:15:00 31/03/2015] id: Ativan el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1 du: mghr sv: 60 su: ml rt: IV Drip t0: [00:15:00 31/03/2015] id: Levophed el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1.3 du: mcgmin sv: 250 su: ml rt: IV Drip
t0: [21:00:00 30/03/2015] id: Gastric Meds PO/Gastric el: 1 cu: MICU-A cg: RN ai: 153 vo: 30 vu: ml t0: [00:00:00 31/03/2015] tf: [20:00:00 06/04/2015] dt: 9840 id: TF Residual Gastric/TF Residual el: 1 cu: MICU-A cg: RN ai: 189 vo: 3 vu: ml t0: [00:00:00 31/03/2015] id: Peptamen Tube Feeding el: 1 cu: MICU-A cg: RN ai: 107 vo: 70 vu: ml st: Stopped
t0: [23:00:00 30/03/2015] dt: 1 id: Net Hourly Balance el: 2 cu: MICU-A cg: RN cv: 0 ap: none t0: [23:00:00 30/03/2015] dt: 24 id: 24h Total In el: 2 cu: MICU-A cg: RN cv: 3886.5 ap: none t0: [23:00:00 30/03/2015] dt: 24 id: PO/Gastric In Total el: 2 cu: MICU-A cg: RN cv: 260 ap: none t0: [23:00:00 30/03/2015] dt: 24 id: 24h Net Body Balance el: 2 cu: MICU-A cg: RN cv: 2879.5 ap: none t0: [23:00:00 30/03/2015] dt: multiple days id: LOS Net Body Balance el: 2 cu: MICU-A cg: RN cv: 10030.8 ap: none t0: [23:00:00 31/03/2015] dt: 1 id: Net Hourly Balance el: 2 cu: MICU-A cg: -1 pv: 173 cv: 173 ap: none t0: [23:00:00 31/03/2015] dt: 24 id: 24h Total In el: 2 cu: MICU-A cg: -1 pv: 173 cv: 3630.34 ap: none t0: [23:00:00 31/03/2015] dt: 24 id: Tube Feeds In Total el: 2 cu: MICU-A cg: -1 pv: 35 cv: 300 ap: none t0: [23:00:00 31/03/2015] dt: 24 id: 24h Net Body Balance el: 2 cu: MICU-A cg: -1 pv: 173 cv: 2536.34 ap: none t0: [23:00:00 31/03/2015] dt: multiple days id: LOS Net Body Balance el: 2 cu: MICU-A cg: -1 pv: 173 cv: 12567.1 ap: none
t0: [01:00:00 31/03/2015] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [01:00:00 31/03/2015] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [01:00:00 31/03/2015] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [01:00:00 31/03/2015] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [01:00:00 31/03/2015] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 62 u1: BPM st: NotStopd t0: [01:00:00 31/03/2015] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [01:00:00 31/03/2015] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 106 u1: mmHg v2: 44 u2: mmHg st: NotStopd t0: [01:00:00 31/03/2015] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 63 u1: mmHg st: NotStopd t0: [01:00:00 31/03/2015] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [01:00:00 31/03/2015] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 79.4 u1: kg st: NotStopd t0: [01:00:00 31/03/2015] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 22 u1: BPM st: NotStopd t0: [01:00:00 31/03/2015] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 95 u1: % st: NotStopd t0: [01:00:00 31/03/2015] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [01:00:00 31/03/2015] id: Fentanyl el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 100 du: mcghr sv: 50 su: ml rt: IV Drip t0: [01:00:00 31/03/2015] id: Ativan el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1 du: mghr sv: 60 su: ml rt: IV Drip t0: [01:00:00 31/03/2015] id: Levophed el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 2 du: mcgmin sv: 250 su: ml rt: IV Drip
t0: [20:00:00 30/03/2015] id: Sputum Color/Consist el: 0 cu: MICU-A cg: RN v1: Blood Tinged v2: Thick st: NotStopd t0: [20:00:00 30/03/2015] id: Sputum Source/Amt el: 0 cu: MICU-A cg: RN v1: Suctioned v2: Small st: NotStopd t0: [01:00:00 31/03/2015] id: Sputum Color/Consist el: 0 cu: MICU-A cg: RN v1: Blood Tinged v2: Thick st: NotStopd t0: [01:00:00 31/03/2015] id: Sputum Source/Amt el: 0 cu: MICU-A cg: RN v1: Suctioned v2: Scant st: NotStopd t0: [03:00:00 31/03/2015] id: Sputum Color/Consist el: 0 cu: MICU-A cg: RN v1: Blood Tinged v2: Thick st: NotStopd t0: [03:00:00 31/03/2015] id: Sputum Source/Amt el: 0 cu: MICU-A cg: RN v1: Suctioned v2: Moderate st: NotStopd
t0: [02:00:00 31/03/2015] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [02:00:00 31/03/2015] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [02:00:00 31/03/2015] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [02:00:00 31/03/2015] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [02:00:00 31/03/2015] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 59 u1: BPM st: NotStopd t0: [02:00:00 31/03/2015] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [02:00:00 31/03/2015] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 112 u1: mmHg v2: 47 u2: mmHg st: NotStopd t0: [02:00:00 31/03/2015] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 67 u1: mmHg st: NotStopd t0: [02:00:00 31/03/2015] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [02:00:00 31/03/2015] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 79.4 u1: kg st: NotStopd t0: [02:00:00 31/03/2015] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 20 u1: BPM st: NotStopd t0: [02:00:00 31/03/2015] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 97 u1: % st: NotStopd t0: [02:00:00 31/03/2015] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [03:00:00 31/03/2015] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [03:00:00 31/03/2015] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [03:00:00 31/03/2015] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [03:00:00 31/03/2015] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [03:00:00 31/03/2015] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 76 u1: BPM st: NotStopd t0: [03:00:00 31/03/2015] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [03:00:00 31/03/2015] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 102 u1: mmHg v2: 50 u2: mmHg st: NotStopd t0: [03:00:00 31/03/2015] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 67 u1: mmHg st: NotStopd t0: [03:00:00 31/03/2015] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [03:00:00 31/03/2015] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 79.4 u1: kg st: NotStopd t0: [03:00:00 31/03/2015] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 0 u1: BPM st: NotStopd t0: [03:00:00 31/03/2015] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 99 u1: % st: NotStopd t0: [03:00:00 31/03/2015] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [04:00:00 31/03/2015] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [04:00:00 31/03/2015] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [04:00:00 31/03/2015] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [04:00:00 31/03/2015] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [04:00:00 31/03/2015] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 64 u1: BPM st: NotStopd t0: [04:00:00 31/03/2015] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [04:00:00 31/03/2015] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 99 u1: mmHg v2: 44 u2: mmHg st: NotStopd t0: [04:00:00 31/03/2015] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 61 u1: mmHg st: NotStopd t0: [04:00:00 31/03/2015] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [04:00:00 31/03/2015] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 79.4 u1: kg st: NotStopd t0: [04:00:00 31/03/2015] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 17 u1: BPM st: NotStopd t0: [04:00:00 31/03/2015] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 96 u1: % st: NotStopd t0: [04:00:00 31/03/2015] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [04:00:00 31/03/2015] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 500 vu: ml t0: [04:00:00 31/03/2015] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 4 vu: ml t0: [04:00:00 31/03/2015] tf: [12:00:00 31/03/2015] dt: 480 id: D5W 250.0ml + 4mcgmin Levophed IV Infusions el: 1 cu: MICU-A cg: RN ai: 153 vo: 32.8438 vu: ml t0: [04:00:00 31/03/2015] id: .9% Normal Saline 250.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 40 vu: ml t0: [04:00:00 31/03/2015] id: .9% Normal Saline 50.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 8 vu: ml t0: [04:00:00 31/03/2015] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 200 vu: ml
t0: [02:00:00 31/03/2015] id: Fentanyl el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 100 du: mcghr sv: 50 su: ml rt: IV Drip t0: [02:00:00 31/03/2015] id: Ativan el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1 du: mghr sv: 60 su: ml rt: IV Drip t0: [02:00:00 31/03/2015] id: Levophed el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 2 du: mcgmin sv: 250 su: ml rt: IV Drip t0: [03:00:00 31/03/2015] id: Fentanyl el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 100 du: mcghr sv: 50 su: ml rt: IV Drip t0: [03:00:00 31/03/2015] id: Ativan el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1 du: mghr sv: 60 su: ml rt: IV Drip t0: [03:00:00 31/03/2015] id: Levophed el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 2 du: mcgmin sv: 250 su: ml rt: IV Drip t0: [04:00:00 31/03/2015] id: Fentanyl el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 100 du: mcghr sv: 50 su: ml rt: IV Drip t0: [04:00:00 31/03/2015] id: Ativan el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1 du: mghr sv: 60 su: ml rt: IV Drip t0: [04:00:00 31/03/2015] id: Levophed el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 2 du: mcgmin sv: 250 su: ml rt: IV Drip
t0: [04:23:00 31/03/2015] id: Art.pH ABG el: 0 cu: MICU-A cg: 1663 v1: 7.42 rs: Final st: NotStopd t0: [04:23:00 31/03/2015] id: Arterial Base Excess ABG el: 0 cu: MICU-A cg: 1663 v1: 0 rs: Final st: NotStopd t0: [04:23:00 31/03/2015] id: Arterial CO2(Calc) ABG el: 0 cu: MICU-A cg: 1663 v1: 26 rs: Final st: NotStopd t0: [04:23:00 31/03/2015] id: Arterial PaCO2 ABG el: 0 cu: MICU-A cg: 1663 v1: 39 u1: mmHg rs: Final st: NotStopd t0: [04:23:00 31/03/2015] id: Arterial PaO2 ABG el: 0 cu: MICU-A cg: 1663 v1: 90 u1: mmHg rs: Final st: NotStopd t0: [04:23:00 31/03/2015] id: Arterial pH ABG el: 0 cu: MICU-A cg: 1663 v1: 7.42 rs: Final st: NotStopd
t0: [04:00:00 31/03/2015] id: Compliance (40-60ml) el: 0 cu: MICU-A cg: -1 v1: 1.52778 u1: ml/cmH st: NotStopd t0: [04:00:00 31/03/2015] id: ETT Mark/Location el: 0 cu: MICU-A cg: -1 v1: 22cm v2: Lip st: NotStopd t0: [04:00:00 31/03/2015] id: FiO2 Set el: 0 cu: MICU-A cg: -1 v1: 0.7 u1: torr st: NotStopd t0: [04:00:00 31/03/2015] id: High Insp. Pressure el: 0 cu: MICU-A cg: -1 v1: 50 u1: cmH2O st: NotStopd t0: [04:00:00 31/03/2015] id: High Resp. Rate el: 0 cu: MICU-A cg: -1 v1: 35 u1: BPM st: NotStopd t0: [04:00:00 31/03/2015] id: Airway Size el: 0 cu: MICU-A cg: -1 v1: 9.0 mm st: NotStopd t0: [04:00:00 31/03/2015] id: Airway Type el: 0 cu: MICU-A cg: -1 v1: Endotracheal st: NotStopd t0: [04:00:00 31/03/2015] id: Inspired Gas Temp el: 0 cu: MICU-A cg: -1 v1: 32.9 u1: Deg. C st: NotStopd t0: [04:00:00 31/03/2015] id: Intubation Date el: 0 cu: MICU-A cg: -1 v1: 2 v2: 22 st: NotStopd t0: [04:00:00 31/03/2015] id: Low Exhaled Min Vol el: 0 cu: MICU-A cg: -1 v1: 8 st: NotStopd t0: [04:00:00 31/03/2015] id: Low Insp. Pressure el: 0 cu: MICU-A cg: -1 v1: 10 u1: cmH2O st: NotStopd t0: [04:00:00 31/03/2015] id: MDI #1 (Puff/Drug) el: 0 cu: MICU-A cg: -1 v1: 6 v2: Albuterol st: NotStopd t0: [04:00:00 31/03/2015] id: MDI #2 (Puff/Drug) el: 0 cu: MICU-A cg: -1 v1: 4 v2: Atrovent st: NotStopd t0: [04:00:00 31/03/2015] id: Mean Airway Pressure el: 0 cu: MICU-A cg: -1 v1: 15.9 u1: cmH2O st: NotStopd t0: [04:00:00 31/03/2015] id: Minute Volume(Obser) el: 0 cu: MICU-A cg: -1 v1: 13.1 u1: L/min st: NotStopd t0: [04:00:00 31/03/2015] id: PEEP Set el: 0 cu: MICU-A cg: -1 v1: 10 u1: cmH2O st: NotStopd t0: [04:00:00 31/03/2015] id: Peak Flow el: 0 cu: MICU-A cg: -1 v1: 65 u1: L/m st: NotStopd t0: [04:00:00 31/03/2015] id: Peak Insp. Pressure el: 0 cu: MICU-A cg: -1 v1: 24.4 u1: cmH2O st: NotStopd t0: [04:00:00 31/03/2015] id: Plateau Pressure el: 0 cu: MICU-A cg: -1 v1: 22.6 u1: cmH2O st: NotStopd t0: [04:00:00 31/03/2015] id: Plateau-Off el: 0 cu: MICU-A cg: -1 v1: Yes st: NotStopd t0: [04:00:00 31/03/2015] id: Resp Rate (Spont) el: 0 cu: MICU-A cg: -1 v1: 0 u1: BPM st: NotStopd t0: [04:00:00 31/03/2015] id: Resp Rate (Total) el: 0 cu: MICU-A cg: -1 v1: 22 u1: BPM st: NotStopd t0: [04:00:00 31/03/2015] id: Respiratory Rate Set el: 0 cu: MICU-A cg: -1 v1: 22 u1: BPM st: NotStopd t0: [04:00:00 31/03/2015] id: Sensitivity-Vent el: 0 cu: MICU-A cg: -1 v1: 1 u1: cmH2O st: NotStopd t0: [04:00:00 31/03/2015] id: Tidal Volume (Obser) el: 0 cu: MICU-A cg: -1 v1: 550 u1: ml/B st: NotStopd t0: [04:00:00 31/03/2015] id: Tidal Volume (Set) el: 0 cu: MICU-A cg: -1 v1: 22 u1: ml/B st: NotStopd t0: [04:00:00 31/03/2015] id: Tidal Volume (Spont) el: 0 cu: MICU-A cg: -1 v1: 600 u1: ml/B st: NotStopd t0: [04:00:00 31/03/2015] id: Ventilator Mode el: 0 cu: MICU-A cg: -1 v1: Assist Control st: NotStopd t0: [04:00:00 31/03/2015] id: Ventilator No. el: 0 cu: MICU-A cg: -1 v1: 20 u1: # st: NotStopd t0: [04:00:00 31/03/2015] id: Ventilator Type el: 0 cu: MICU-A cg: -1 v1: 7200A st: NotStopd t0: [04:00:00 31/03/2015] id: Waveform-Vent el: 0 cu: MICU-A cg: -1 v1: RAMP st: NotStopd
t0: [04:00:00 31/03/2015] id: WBC (4-11,000) Hematology el: 0 cu: MICU-A cg: 1663 v1: 14.1 rs: Final st: NotStopd t0: [04:00:00 31/03/2015] id: Hematocrit Hematology el: 0 cu: MICU-A cg: 1663 v1: 36.3 u1: % rs: Final st: NotStopd t0: [04:00:00 31/03/2015] id: Hemoglobin Hematology el: 0 cu: MICU-A cg: 1663 v1: 12.1 u1: gm/dl rs: Final st: NotStopd t0: [04:00:00 31/03/2015] id: Platelets Hematology el: 0 cu: MICU-A cg: 1663 v1: 478 rs: Final st: NotStopd t0: [04:00:00 31/03/2015] id: RBC Hematology el: 0 cu: MICU-A cg: 1663 v1: 3.88 u1: /mic l rs: Final st: NotStopd t0: [04:00:00 31/03/2015] id: WBC (4-11,000) Hematology el: 0 cu: MICU-A cg: 1663 v1: 14.1 rs: Final st: NotStopd
t0: [05:00:00 31/03/2015] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [05:00:00 31/03/2015] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [05:00:00 31/03/2015] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [05:00:00 31/03/2015] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [05:00:00 31/03/2015] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 60 u1: BPM st: NotStopd t0: [05:00:00 31/03/2015] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [05:00:00 31/03/2015] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 116 u1: mmHg v2: 51 u2: mmHg st: NotStopd t0: [05:00:00 31/03/2015] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 70 u1: mmHg st: NotStopd t0: [05:00:00 31/03/2015] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [05:00:00 31/03/2015] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 79.4 u1: kg st: NotStopd t0: [05:00:00 31/03/2015] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 20 u1: BPM st: NotStopd t0: [05:00:00 31/03/2015] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 98 u1: % st: NotStopd t0: [05:00:00 31/03/2015] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [05:00:00 31/03/2015] id: Fentanyl el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 100 du: mcghr sv: 50 su: ml rt: IV Drip t0: [05:00:00 31/03/2015] id: Ativan el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1 du: mghr sv: 60 su: ml rt: IV Drip t0: [05:00:00 31/03/2015] id: Levophed el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 2 du: mcgmin sv: 250 su: ml rt: IV Drip
t0: [04:00:00 31/03/2015] id: BUN (6-20) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 27 rs: Final st: NotStopd t0: [04:00:00 31/03/2015] id: CPK Enzymes el: 0 cu: MICU-A cg: 1663 v1: 28 rs: Final st: NotStopd t0: [04:00:00 31/03/2015] id: Calcium (8.4-10.2) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 6.2 u1: mg/dl rs: Final st: NotStopd t0: [04:00:00 31/03/2015] id: Carbon Dioxide Chemistry el: 0 cu: MICU-A cg: 1663 v1: 21 rs: Final st: NotStopd t0: [04:00:00 31/03/2015] id: Chloride (100-112) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 113 rs: Final st: NotStopd t0: [04:00:00 31/03/2015] id: Creatinine (0-1.3) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 0.4 rs: Final st: NotStopd t0: [04:00:00 31/03/2015] id: Glucose (70-105) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 98 rs: Final st: NotStopd t0: [04:00:00 31/03/2015] id: Magnesium (1.6-2.6) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 1.6 rs: Final st: NotStopd t0: [04:00:00 31/03/2015] id: Phosphorous(2.7-4.5) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 8.5 u1: mEq/L rs: Final st: NotStopd t0: [04:00:00 31/03/2015] id: Potassium (3.5-5.3) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 3.8 rs: Final st: NotStopd t0: [04:00:00 31/03/2015] id: Sodium (135-148) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 146 rs: Final st: NotStopd
t0: [06:00:00 31/03/2015] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [06:00:00 31/03/2015] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [06:00:00 31/03/2015] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [06:00:00 31/03/2015] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [06:00:00 31/03/2015] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 60 u1: BPM st: NotStopd t0: [06:00:00 31/03/2015] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [06:00:00 31/03/2015] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 96 u1: mmHg v2: 81 u2: mmHg st: NotStopd t0: [06:00:00 31/03/2015] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 89 u1: mmHg st: NotStopd t0: [06:00:00 31/03/2015] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [06:00:00 31/03/2015] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 79.4 u1: kg st: NotStopd t0: [06:00:00 31/03/2015] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 22 u1: BPM st: NotStopd t0: [06:00:00 31/03/2015] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 98 u1: % st: NotStopd t0: [06:00:00 31/03/2015] id: Temp. Site el: 0 cu: MICU-A cg: RN v1: Oral st: NotStopd t0: [06:00:00 31/03/2015] id: Temperature C (calc) el: 0 cu: MICU-A cg: RN v1: 37.8333 u1: Deg. C st: NotStopd t0: [06:00:00 31/03/2015] id: Temperature F el: 0 cu: MICU-A cg: RN v1: 100.1 u1: Deg. F st: NotStopd t0: [06:00:00 31/03/2015] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [06:00:00 31/03/2015] id: Fentanyl el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 100 du: mcghr sv: 50 su: ml rt: IV Drip t0: [06:00:00 31/03/2015] id: Ativan el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1 du: mghr sv: 60 su: ml rt: IV Drip t0: [06:00:00 31/03/2015] id: Levophed el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 2 du: mcgmin sv: 250 su: ml rt: IV Drip
t0: [08:00:00 31/03/2015] id: Compliance (40-60ml) el: 0 cu: MICU-A cg: -1 v1: 1.5493 u1: ml/cmH st: NotStopd t0: [08:00:00 31/03/2015] id: ETT Mark/Location el: 0 cu: MICU-A cg: -1 v1: 22cm v2: Lip st: NotStopd t0: [08:00:00 31/03/2015] id: FiO2 Set el: 0 cu: MICU-A cg: -1 v1: 0.7 u1: torr st: NotStopd t0: [08:00:00 31/03/2015] id: High Insp. Pressure el: 0 cu: MICU-A cg: -1 v1: 50 u1: cmH2O st: NotStopd t0: [08:00:00 31/03/2015] id: High Resp. Rate el: 0 cu: MICU-A cg: -1 v1: 35 u1: BPM st: NotStopd t0: [08:00:00 31/03/2015] id: Airway Size el: 0 cu: MICU-A cg: -1 v1: 9.0 mm st: NotStopd t0: [08:00:00 31/03/2015] id: Airway Type el: 0 cu: MICU-A cg: -1 v1: Endotracheal st: NotStopd t0: [08:00:00 31/03/2015] id: Inspired Gas Temp el: 0 cu: MICU-A cg: -1 v1: 33 u1: Deg. C st: NotStopd t0: [08:00:00 31/03/2015] id: Intubation Date el: 0 cu: MICU-A cg: -1 v1: 2 v2: 22 st: NotStopd t0: [08:00:00 31/03/2015] id: Low Exhaled Min Vol el: 0 cu: MICU-A cg: -1 v1: 8 st: NotStopd t0: [08:00:00 31/03/2015] id: Low Insp. Pressure el: 0 cu: MICU-A cg: -1 v1: 10 u1: cmH2O st: NotStopd t0: [08:00:00 31/03/2015] id: Mean Airway Pressure el: 0 cu: MICU-A cg: -1 v1: 16 u1: cmH2O st: NotStopd t0: [08:00:00 31/03/2015] id: Minute Volume(Obser) el: 0 cu: MICU-A cg: -1 v1: 12.7 u1: L/min st: NotStopd t0: [08:00:00 31/03/2015] id: PEEP Set el: 0 cu: MICU-A cg: -1 v1: 10 u1: cmH2O st: NotStopd t0: [08:00:00 31/03/2015] id: Peak Flow el: 0 cu: MICU-A cg: -1 v1: 65 u1: L/m st: NotStopd t0: [08:00:00 31/03/2015] id: Peak Insp. Pressure el: 0 cu: MICU-A cg: -1 v1: 24.2 u1: cmH2O st: NotStopd t0: [08:00:00 31/03/2015] id: Plateau Pressure el: 0 cu: MICU-A cg: -1 v1: 22.1 u1: cmH2O st: NotStopd t0: [08:00:00 31/03/2015] id: Plateau-Off el: 0 cu: MICU-A cg: -1 v1: Yes st: NotStopd t0: [08:00:00 31/03/2015] id: Resp Rate (Spont) el: 0 cu: MICU-A cg: -1 v1: 0 u1: BPM st: NotStopd t0: [08:00:00 31/03/2015] id: Resp Rate (Total) el: 0 cu: MICU-A cg: -1 v1: 22 u1: BPM st: NotStopd t0: [08:00:00 31/03/2015] id: Respiratory Rate Set el: 0 cu: MICU-A cg: -1 v1: 22 u1: BPM st: NotStopd t0: [08:00:00 31/03/2015] id: Sensitivity-Vent el: 0 cu: MICU-A cg: -1 v1: 1 u1: cmH2O st: NotStopd t0: [08:00:00 31/03/2015] id: SpO2 el: 0 cu: MICU-A cg: -1 v1: 99 u1: % st: NotStopd t0: [08:00:00 31/03/2015] id: Tidal Volume (Obser) el: 0 cu: MICU-A cg: -1 v1: 550 u1: ml/B st: NotStopd t0: [08:00:00 31/03/2015] id: Tidal Volume (Set) el: 0 cu: MICU-A cg: -1 v1: 22 u1: ml/B st: NotStopd t0: [08:00:00 31/03/2015] id: Tidal Volume (Spont) el: 0 cu: MICU-A cg: -1 v1: 580 u1: ml/B st: NotStopd t0: [08:00:00 31/03/2015] id: Ventilator Mode el: 0 cu: MICU-A cg: -1 v1: Assist Control st: NotStopd t0: [08:00:00 31/03/2015] id: Ventilator No. el: 0 cu: MICU-A cg: -1 v1: 20 u1: # st: NotStopd t0: [08:00:00 31/03/2015] id: Ventilator Type el: 0 cu: MICU-A cg: -1 v1: 7200A st: NotStopd t0: [08:00:00 31/03/2015] id: Waveform-Vent el: 0 cu: MICU-A cg: -1 v1: RAMP st: NotStopd
t0: [07:00:00 31/03/2015] id: Service Type el: 0 cu: MICU-A cg: -1 v1: MICU st: NotStopd t0: [07:00:00 31/03/2015] id: Code Status el: 0 cu: MICU-A cg: -1 v1: Full Code st: NotStopd t0: [07:00:00 31/03/2015] id: Ectopy Frequency el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [07:00:00 31/03/2015] id: Ectopy Type el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [07:00:00 31/03/2015] id: Heart Rate el: 0 cu: MICU-A cg: -1 v1: 64 u1: BPM st: NotStopd t0: [07:00:00 31/03/2015] id: Heart Rhythm el: 0 cu: MICU-A cg: -1 v1: Normal Sinus st: NotStopd t0: [07:00:00 31/03/2015] id: Arterial BP el: 0 cu: MICU-A cg: -1 v1: 99 u1: mmHg v2: 56 u2: mmHg st: NotStopd t0: [07:00:00 31/03/2015] id: Arterial BP Mean el: 0 cu: MICU-A cg: -1 v1: 74 u1: mmHg st: NotStopd t0: [07:00:00 31/03/2015] id: Precautions el: 0 cu: MICU-A cg: -1 v1: Universal st: NotStopd t0: [07:00:00 31/03/2015] id: Previous WeightF el: 0 cu: MICU-A cg: -1 v1: 79.4 u1: kg st: NotStopd t0: [07:00:00 31/03/2015] id: Respiratory Rate el: 0 cu: MICU-A cg: -1 v1: 22 u1: BPM st: NotStopd t0: [07:00:00 31/03/2015] id: SpO2 el: 0 cu: MICU-A cg: -1 v1: 98 u1: % st: NotStopd t0: [07:00:00 31/03/2015] id: calprevflg el: 0 cu: MICU-A cg: -1 v1: 1 u1: kg st: NotStopd t0: [08:00:00 31/03/2015] id: Pain Present el: 0 cu: MICU-A cg: -1 v1: No st: NotStopd t0: [08:00:00 31/03/2015] id: Service Type el: 0 cu: MICU-A cg: -1 v1: MICU st: NotStopd t0: [08:00:00 31/03/2015] id: Code Status el: 0 cu: MICU-A cg: -1 v1: Full Code st: NotStopd t0: [08:00:00 31/03/2015] id: Ectopy Frequency el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [08:00:00 31/03/2015] id: Ectopy Type el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [08:00:00 31/03/2015] id: Heart Rate el: 0 cu: MICU-A cg: -1 v1: 65 u1: BPM st: NotStopd t0: [08:00:00 31/03/2015] id: Heart Rhythm el: 0 cu: MICU-A cg: -1 v1: Normal Sinus st: NotStopd t0: [08:00:00 31/03/2015] id: Arterial BP el: 0 cu: MICU-A cg: -1 v1: 101 u1: mmHg v2: 64 u2: mmHg st: NotStopd t0: [08:00:00 31/03/2015] id: Pain Location el: 0 cu: MICU-A cg: -1 v1: Not Indicated st: NotStopd t0: [08:00:00 31/03/2015] id: Arterial BP Mean el: 0 cu: MICU-A cg: -1 v1: 80 u1: mmHg st: NotStopd t0: [08:00:00 31/03/2015] id: Precautions el: 0 cu: MICU-A cg: -1 v1: Universal st: NotStopd t0: [08:00:00 31/03/2015] id: Previous WeightF el: 0 cu: MICU-A cg: -1 v1: 79.4 u1: kg st: NotStopd t0: [08:00:00 31/03/2015] id: Respiratory Rate el: 0 cu: MICU-A cg: -1 v1: 22 u1: BPM st: NotStopd t0: [08:00:00 31/03/2015] id: Sputum Color/Consist el: 0 cu: MICU-A cg: -1 v1: Tan v2: Thick st: NotStopd t0: [08:00:00 31/03/2015] id: Sputum Source/Amt el: 0 cu: MICU-A cg: -1 v1: Suctioned v2: Small st: NotStopd t0: [08:00:00 31/03/2015] id: Temp. Site el: 0 cu: MICU-A cg: -1 v1: Oral st: NotStopd t0: [08:00:00 31/03/2015] id: Temperature C (calc) el: 0 cu: MICU-A cg: -1 v1: 37.8333 u1: Deg. C st: NotStopd t0: [08:00:00 31/03/2015] id: Temperature F el: 0 cu: MICU-A cg: -1 v1: 100.1 u1: Deg. F st: NotStopd t0: [08:00:00 31/03/2015] id: calprevflg el: 0 cu: MICU-A cg: -1 v1: 1 u1: kg st: NotStopd
t0: [08:00:00 31/03/2015] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 500 vu: ml t0: [08:00:00 31/03/2015] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 4 vu: ml t0: [08:00:00 31/03/2015] id: D5W 250.0ml + 4mcgmin Levophed IV Infusions el: 1 cu: MICU-A cg: -1 ai: 153 vo: 30 vu: ml t0: [08:00:00 31/03/2015] id: .9% Normal Saline 250.0ml IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 40 vu: ml t0: [08:00:00 31/03/2015] id: .9% Normal Saline 50.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 8 vu: ml t0: [08:00:00 31/03/2015] id: Urine Out Foley el: 1 cu: MICU-A cg: -1 vo: 225 vu: ml
t0: [07:00:00 31/03/2015] id: Fentanyl el: 1 cu: MICU-A so: .9% Normal Saline vo: 0 v1: 100 du: mcghr sv: 50 su: ml rt: IV Drip t0: [07:00:00 31/03/2015] id: Ativan el: 1 cu: MICU-A so: D5W vo: 0 v1: 1 du: mghr sv: 60 su: ml rt: IV Drip t0: [07:00:00 31/03/2015] id: Levophed el: 1 cu: MICU-A so: D5W vo: 0 v1: 2 du: mcgmin sv: 250 su: ml rt: IV Drip t0: [08:00:00 31/03/2015] id: Fentanyl el: 1 cu: MICU-A so: .9% Normal Saline vo: 0 v1: 100 du: mcghr sv: 50 su: ml rt: IV Drip t0: [08:00:00 31/03/2015] id: Ativan el: 1 cu: MICU-A so: D5W vo: 0 v1: 1 du: mghr sv: 60 su: ml rt: IV Drip t0: [08:00:00 31/03/2015] id: Levophed el: 1 cu: MICU-A so: D5W vo: 0 v1: 2 du: mcgmin sv: 250 su: ml rt: IV Drip
t0: [08:00:00 31/03/2015] id: Less Restrict Meas. el: 0 cu: MICU-A cg: -1 v1: Medicated st: NotStopd t0: [08:00:00 31/03/2015] id: Range of Motion el: 0 cu: MICU-A cg: -1 v1: Done st: NotStopd t0: [08:00:00 31/03/2015] id: Circulation/SkinInt el: 0 cu: MICU-A cg: -1 v1: Circulation Adeq st: NotStopd t0: [08:00:00 31/03/2015] id: Dorsal PedPulse R/L el: 0 cu: MICU-A cg: -1 v1: Diff to Palpate v2: Diff to Palpate st: NotStopd t0: [08:00:00 31/03/2015] id: Eye Opening el: 0 cu: MICU-A cg: -1 v1: 1 No Response st: NotStopd t0: [08:00:00 31/03/2015] id: GCS Total el: 0 cu: MICU-A cg: -1 v1: 7 u1: points st: NotStopd t0: [08:00:00 31/03/2015] id: GI Intub #1/Site el: 0 cu: MICU-A cg: -1 v1: Salem Sump v2: Oral st: NotStopd t0: [08:00:00 31/03/2015] id: GI#1 Tube PlaceCheck el: 0 cu: MICU-A cg: -1 v1: Done st: NotStopd t0: [08:00:00 31/03/2015] id: GI#1 Tube Stat/Drain el: 0 cu: MICU-A cg: -1 v1: Clamped st: NotStopd t0: [08:00:00 31/03/2015] id: HOB el: 0 cu: MICU-A cg: -1 v1: 15 degrees st: NotStopd t0: [08:00:00 31/03/2015] id: Abdominal Assessment el: 0 cu: MICU-A cg: -1 v1: Soft st: NotStopd t0: [08:00:00 31/03/2015] id: Activity el: 0 cu: MICU-A cg: -1 v1: Bedrest st: NotStopd t0: [08:00:00 31/03/2015] id: Activity Tolerance el: 0 cu: MICU-A cg: -1 v1: Tolerated Well st: NotStopd t0: [08:00:00 31/03/2015] id: LLL Lung Sounds el: 0 cu: MICU-A cg: -1 v1: Coarse st: NotStopd t0: [08:00:00 31/03/2015] id: LUL Lung Sounds el: 0 cu: MICU-A cg: -1 v1: Coarse st: NotStopd t0: [08:00:00 31/03/2015] id: Level of Conscious el: 0 cu: MICU-A cg: -1 v1: Arouse to Stimul st: NotStopd t0: [08:00:00 31/03/2015] id: Motor Response el: 0 cu: MICU-A cg: -1 v1: 5 Localizes Pain st: NotStopd t0: [08:00:00 31/03/2015] id: Oral Care el: 0 cu: MICU-A cg: -1 v1: Done st: NotStopd t0: [08:00:00 31/03/2015] id: Oral Cavity el: 0 cu: MICU-A cg: -1 v1: Thrush st: NotStopd t0: [08:00:00 31/03/2015] id: Orientation el: 0 cu: MICU-A cg: -1 v1: Other/Remarks st: NotStopd t0: [08:00:00 31/03/2015] id: AntiEmbDevice/Status el: 0 cu: MICU-A cg: -1 v1: Compress Sleeves v2: Off st: NotStopd t0: [08:00:00 31/03/2015] id: Position el: 0 cu: MICU-A cg: -1 v1: Left Side st: NotStopd t0: [08:00:00 31/03/2015] id: Position Change el: 0 cu: MICU-A cg: -1 v1: Done st: NotStopd t0: [08:00:00 31/03/2015] id: PostTib. Pulses R/L el: 0 cu: MICU-A cg: -1 v1: Diff to Palpate v2: Diff to Palpate st: NotStopd t0: [08:00:00 31/03/2015] id: Assistance Device el: 0 cu: MICU-A cg: -1 v1: 2 Person Assist st: NotStopd t0: [08:00:00 31/03/2015] id: RLL Lung Sounds el: 0 cu: MICU-A cg: -1 v1: Coarse st: NotStopd t0: [08:00:00 31/03/2015] id: RUL Lung Sounds el: 0 cu: MICU-A cg: -1 v1: Coarse st: NotStopd t0: [08:00:00 31/03/2015] id: Reason For Restraint el: 0 cu: MICU-A cg: -1 v1: Ext/TXInterfere st: NotStopd t0: [08:00:00 31/03/2015] id: Removed x 5 Mins el: 0 cu: MICU-A cg: -1 v1: Done st: NotStopd t0: [08:00:00 31/03/2015] id: Respiratory Pattern el: 0 cu: MICU-A cg: -1 v1: Regular st: NotStopd t0: [08:00:00 31/03/2015] id: Restraint Location el: 0 cu: MICU-A cg: -1 v1: Both Arms st: NotStopd t0: [08:00:00 31/03/2015] id: Restraint Type el: 0 cu: MICU-A cg: -1 v1: Soft Limb st: NotStopd t0: [08:00:00 31/03/2015] id: Restraints Evaluated el: 0 cu: MICU-A cg: -1 v1: Behavior Conts st: NotStopd t0: [08:00:00 31/03/2015] id: Side Rails el: 0 cu: MICU-A cg: -1 v1: Side Rails Up st: NotStopd t0: [08:00:00 31/03/2015] id: Skin Integrity el: 0 cu: MICU-A cg: -1 v1: Intact st: NotStopd t0: [08:00:00 31/03/2015] id: Turn el: 0 cu: MICU-A cg: -1 v1: Left Side st: NotStopd t0: [08:00:00 31/03/2015] id: Urine Color/Appear el: 0 cu: MICU-A cg: -1 v1: Yellow v2: Clear st: NotStopd t0: [08:00:00 31/03/2015] id: Urine Source el: 0 cu: MICU-A cg: -1 v1: Indwelling Cath st: NotStopd t0: [08:00:00 31/03/2015] id: Verbal Response el: 0 cu: MICU-A cg: -1 v1: 1.0 ET/Trach st: NotStopd t0: [08:00:00 31/03/2015] id: Behavior el: 0 cu: MICU-A cg: -1 v1: Sedated st: NotStopd t0: [08:00:00 31/03/2015] id: Bowel Sounds el: 0 cu: MICU-A cg: -1 v1: Present st: NotStopd t0: [08:00:00 31/03/2015] id: Braden Activity el: 0 cu: MICU-A cg: -1 v1: Bedfast st: NotStopd t0: [08:00:00 31/03/2015] id: Braden Frict/Shear el: 0 cu: MICU-A cg: -1 v1: Potential Prob st: NotStopd t0: [08:00:00 31/03/2015] id: Braden Mobility el: 0 cu: MICU-A cg: -1 v1: Very Limited st: NotStopd t0: [08:00:00 31/03/2015] id: Braden Moisture el: 0 cu: MICU-A cg: -1 v1: Occ. Moist st: NotStopd t0: [08:00:00 31/03/2015] id: Braden Nutrition el: 0 cu: MICU-A cg: -1 v1: Prob. Inadequate st: NotStopd t0: [08:00:00 31/03/2015] id: Braden Score el: 0 cu: MICU-A cg: -1 v1: 13 u1: number st: NotStopd t0: [08:00:00 31/03/2015] id: Braden SensoryPercep el: 0 cu: MICU-A cg: -1 v1: Sl. Limited st: NotStopd
t0: [09:00:00 31/03/2015] id: IV #1 D/C Date el: 0 cu: MICU-A cg: -1 st: D/C'd t0: [09:00:00 31/03/2015] id: IV #1 Insert Date el: 0 cu: MICU-A cg: -1 st: D/C'd t0: [09:00:00 31/03/2015] id: IV #1 Site/Size el: 0 cu: MICU-A cg: -1 st: D/C'd t0: [09:00:00 31/03/2015] id: IV Site Appear #1 el: 0 cu: MICU-A cg: -1 st: D/C'd
t0: [08:00:00 31/03/2015] id: INV Line#1 Type/Site el: 0 cu: MICU-A cg: RRT v1: A-Line v2: Right Radial st: NotStopd t0: [08:00:00 31/03/2015] id: INV Line#1 Zero/Cal el: 0 cu: MICU-A cg: RRT v1: Yes st: NotStopd t0: [08:00:00 31/03/2015] id: INV Line#1InsertDate el: 0 cu: MICU-A cg: RRT v1: 2 v2: 22 st: NotStopd t0: [08:00:00 31/03/2015] id: INV Line#1SiteAppear el: 0 cu: MICU-A cg: RRT v1: WNL st: NotStopd t0: [08:00:00 31/03/2015] id: INV Line#2 Type/Site el: 0 cu: MICU-A cg: RRT v1: Multi-lumen v2: Right IJ st: NotStopd t0: [08:00:00 31/03/2015] id: INV Line#2InsertDate el: 0 cu: MICU-A cg: RRT v1: 2 v2: 25 st: NotStopd t0: [08:00:00 31/03/2015] id: INV#1 WaveformAppear el: 0 cu: MICU-A cg: RRT v1: Dampened st: NotStopd t0: [08:00:00 31/03/2015] id: IV #1 Insert Date el: 0 cu: MICU-A cg: RRT v1: 2 v2: 22 st: NotStopd t0: [08:00:00 31/03/2015] id: IV #1 Site/Size el: 0 cu: MICU-A cg: RRT v1: LL Ant Forearm v2: 20 gauge st: NotStopd t0: [08:00:00 31/03/2015] id: IV #2 Insert Date el: 0 cu: MICU-A cg: RRT v1: 2 v2: 24 st: NotStopd t0: [08:00:00 31/03/2015] id: IV #2 Site/Size el: 0 cu: MICU-A cg: RRT v1: Left Antecub v2: 20 gauge st: NotStopd t0: [08:00:00 31/03/2015] id: IV Site Appear #2 el: 0 cu: MICU-A cg: RRT v1: WNL st: NotStopd t0: [09:00:00 31/03/2015] id: FiO2 Set el: 0 cu: MICU-A cg: RRT v1: 0.6 u1: torr st: NotStopd t0: [09:00:00 31/03/2015] id: Minute Volume(Obser) el: 0 cu: MICU-A cg: RRT v1: 12 u1: L/min st: NotStopd t0: [09:00:00 31/03/2015] id: Peak Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 24 u1: cmH2O st: NotStopd t0: [09:00:00 31/03/2015] id: Tidal Volume (Obser) el: 0 cu: MICU-A cg: RRT v1: 500 u1: ml/B st: NotStopd
t0: [08:00:00 31/03/2015] id: MDI #1 (Puff/Drug) el: 0 cu: MICU-A cg: -1 v1: 6 v2: Albuterol st: NotStopd t0: [08:00:00 31/03/2015] id: MDI #2 (Puff/Drug) el: 0 cu: MICU-A cg: -1 v1: 4 v2: Atrovent st: NotStopd
t0: [09:33:00 31/03/2015] id: Blood Products Hematology el: 0 cu: MICU-A cg: 1663 v1: Y rs: Final st: NotStopd
t0: [08:00:00 31/03/2015] id: INV Line#2SiteAppear el: 0 cu: MICU-A cg: -1 v1: Other/Remarks st: NotStopd t0: [09:00:00 31/03/2015] id: Service Type el: 0 cu: MICU-A cg: -1 v1: MICU st: NotStopd t0: [09:00:00 31/03/2015] id: Code Status el: 0 cu: MICU-A cg: -1 v1: Full Code st: NotStopd t0: [09:00:00 31/03/2015] id: Ectopy Frequency el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [09:00:00 31/03/2015] id: Ectopy Type el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [09:00:00 31/03/2015] id: Heart Rate el: 0 cu: MICU-A cg: -1 v1: 84 u1: BPM st: NotStopd t0: [09:00:00 31/03/2015] id: Heart Rhythm el: 0 cu: MICU-A cg: -1 v1: Normal Sinus st: NotStopd t0: [09:00:00 31/03/2015] id: NBP el: 0 cu: MICU-A cg: -1 v1: 140 u1: mmHg v2: 45 u2: mmHg st: NotStopd t0: [09:00:00 31/03/2015] id: NBP Mean el: 0 cu: MICU-A cg: -1 v1: 76.6667 u1: mmHg st: NotStopd t0: [09:00:00 31/03/2015] id: Arterial BP el: 0 cu: MICU-A cg: -1 v1: 149 u1: mmHg v2: 62 u2: mmHg st: NotStopd t0: [09:00:00 31/03/2015] id: Arterial BP Mean el: 0 cu: MICU-A cg: -1 v1: 92 u1: mmHg st: NotStopd t0: [09:00:00 31/03/2015] id: Precautions el: 0 cu: MICU-A cg: -1 v1: Universal st: NotStopd t0: [09:00:00 31/03/2015] id: Previous WeightF el: 0 cu: MICU-A cg: -1 v1: 79.4 u1: kg st: NotStopd t0: [09:00:00 31/03/2015] id: Respiratory Rate el: 0 cu: MICU-A cg: -1 v1: 19 u1: BPM st: NotStopd t0: [09:00:00 31/03/2015] id: SpO2 el: 0 cu: MICU-A cg: -1 v1: 100 u1: % st: NotStopd t0: [09:00:00 31/03/2015] id: calprevflg el: 0 cu: MICU-A cg: -1 v1: 1 u1: kg st: NotStopd
t0: [09:00:00 31/03/2015] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 125 vu: ml t0: [09:00:00 31/03/2015] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 1 vu: ml t0: [09:00:00 31/03/2015] id: D5W 250.0ml + 4mcgmin Levophed IV Infusions el: 1 cu: MICU-A cg: -1 ai: 153 vo: 7.5 vu: ml t0: [09:00:00 31/03/2015] id: .9% Normal Saline 250.0ml IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 10 vu: ml t0: [09:00:00 31/03/2015] id: .9% Normal Saline 50.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 2 vu: ml t0: [09:00:00 31/03/2015] id: Urine Out Foley el: 1 cu: MICU-A cg: -1 vo: 70 vu: ml
t0: [09:00:00 31/03/2015] id: Fentanyl el: 1 cu: MICU-A so: .9% Normal Saline vo: 0 v1: 100 du: mcghr sv: 50 su: ml rt: IV Drip t0: [09:00:00 31/03/2015] id: Ativan el: 1 cu: MICU-A so: D5W vo: 0 v1: 1 du: mghr sv: 60 su: ml rt: IV Drip t0: [09:00:00 31/03/2015] id: Levophed el: 1 cu: MICU-A so: D5W vo: 0 v1: 2 du: mcgmin sv: 250 su: ml rt: IV Drip
t0: [10:05:00 31/03/2015] id: Art.pH ABG el: 0 cu: MICU-A cg: 1663 v1: 7.4 rs: Final st: NotStopd t0: [10:05:00 31/03/2015] id: Arterial Base Excess ABG el: 0 cu: MICU-A cg: 1663 v1: 0 rs: Final st: NotStopd t0: [10:05:00 31/03/2015] id: Arterial CO2(Calc) ABG el: 0 cu: MICU-A cg: 1663 v1: 26 rs: Final st: NotStopd t0: [10:05:00 31/03/2015] id: Arterial PaCO2 ABG el: 0 cu: MICU-A cg: 1663 v1: 41 u1: mmHg rs: Final st: NotStopd t0: [10:05:00 31/03/2015] id: Arterial PaO2 ABG el: 0 cu: MICU-A cg: 1663 v1: 82 u1: mmHg rs: Final st: NotStopd t0: [10:05:00 31/03/2015] id: Arterial pH ABG el: 0 cu: MICU-A cg: 1663 v1: 7.4 rs: Final st: NotStopd
t0: [09:00:00 31/03/2015] id: Fibrinogen (150-400) Coags el: 0 cu: MICU-A cg: 1663 v1: 413 rs: Final st: NotStopd t0: [09:00:00 31/03/2015] id: INR (2-4 ref. range) Coags el: 0 cu: MICU-A cg: 1663 v1: 1.1 rs: Final st: NotStopd t0: [09:00:00 31/03/2015] id: PT(11-13.5) Coags el: 0 cu: MICU-A cg: 1663 v1: 12.8 rs: Final st: NotStopd t0: [09:00:00 31/03/2015] id: PTT(22-35) Coags el: 0 cu: MICU-A cg: 1663 v1: 31.3 rs: Final st: NotStopd
t0: [09:00:00 31/03/2015] id: Calcium (8.4-10.2) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 7.1 u1: mg/dl rs: Final st: NotStopd t0: [09:00:00 31/03/2015] id: Carbon Dioxide Chemistry el: 0 cu: MICU-A cg: 1663 v1: 25 rs: Final st: NotStopd t0: [09:00:00 31/03/2015] id: Chloride (100-112) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 110 rs: Final st: NotStopd t0: [09:00:00 31/03/2015] id: Glucose (70-105) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 105 rs: Final st: NotStopd t0: [09:00:00 31/03/2015] id: Sodium (135-148) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 143 rs: Final st: NotStopd
t0: [10:00:00 31/03/2015] id: Less Restrict Meas. el: 0 cu: MICU-A cg: -1 v1: Medicated st: NotStopd t0: [10:00:00 31/03/2015] id: Range of Motion el: 0 cu: MICU-A cg: -1 v1: Done st: NotStopd t0: [10:00:00 31/03/2015] id: Service Type el: 0 cu: MICU-A cg: -1 v1: MICU st: NotStopd t0: [10:00:00 31/03/2015] id: Circulation/SkinInt el: 0 cu: MICU-A cg: -1 v1: Circulation Adeq st: NotStopd t0: [10:00:00 31/03/2015] id: Code Status el: 0 cu: MICU-A cg: -1 v1: Full Code st: NotStopd t0: [10:00:00 31/03/2015] id: Ectopy Frequency el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [10:00:00 31/03/2015] id: Ectopy Type el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [10:00:00 31/03/2015] id: Heart Rate el: 0 cu: MICU-A cg: -1 v1: 82 u1: BPM st: NotStopd t0: [10:00:00 31/03/2015] id: Heart Rhythm el: 0 cu: MICU-A cg: -1 v1: Normal Sinus st: NotStopd t0: [10:00:00 31/03/2015] id: NBP el: 0 cu: MICU-A cg: -1 v1: 138 u1: mmHg v2: 47 u2: mmHg st: NotStopd t0: [10:00:00 31/03/2015] id: NBP Mean el: 0 cu: MICU-A cg: -1 v1: 77.3333 u1: mmHg st: NotStopd t0: [10:00:00 31/03/2015] id: Arterial BP el: 0 cu: MICU-A cg: -1 v1: 124 u1: mmHg v2: 50 u2: mmHg st: NotStopd t0: [10:00:00 31/03/2015] id: Arterial BP Mean el: 0 cu: MICU-A cg: -1 v1: 74 u1: mmHg st: NotStopd t0: [10:00:00 31/03/2015] id: Position Change el: 0 cu: MICU-A cg: -1 v1: Done st: NotStopd t0: [10:00:00 31/03/2015] id: Precautions el: 0 cu: MICU-A cg: -1 v1: Universal st: NotStopd t0: [10:00:00 31/03/2015] id: Previous WeightF el: 0 cu: MICU-A cg: -1 v1: 79.4 u1: kg st: NotStopd t0: [10:00:00 31/03/2015] id: Reason For Restraint el: 0 cu: MICU-A cg: -1 v1: Ext/TXInterfere st: NotStopd t0: [10:00:00 31/03/2015] id: Removed x 5 Mins el: 0 cu: MICU-A cg: -1 v1: Done st: NotStopd t0: [10:00:00 31/03/2015] id: Respiratory Rate el: 0 cu: MICU-A cg: -1 v1: 23 u1: BPM st: NotStopd t0: [10:00:00 31/03/2015] id: Restraint Location el: 0 cu: MICU-A cg: -1 v1: Both Arms st: NotStopd t0: [10:00:00 31/03/2015] id: Restraint Type el: 0 cu: MICU-A cg: -1 v1: Soft Limb st: NotStopd t0: [10:00:00 31/03/2015] id: Restraints Evaluated el: 0 cu: MICU-A cg: -1 v1: Behavior Conts st: NotStopd t0: [10:00:00 31/03/2015] id: Side Rails el: 0 cu: MICU-A cg: -1 v1: Side Rails Up st: NotStopd t0: [10:00:00 31/03/2015] id: SpO2 el: 0 cu: MICU-A cg: -1 v1: 96 u1: % st: NotStopd t0: [10:00:00 31/03/2015] id: calprevflg el: 0 cu: MICU-A cg: -1 v1: 1 u1: kg st: NotStopd
t0: [10:00:00 31/03/2015] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 125 vu: ml t0: [10:00:00 31/03/2015] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 1 vu: ml t0: [10:00:00 31/03/2015] id: D5W 250.0ml + 4mcgmin Levophed IV Infusions el: 1 cu: MICU-A cg: -1 ai: 153 vo: 7.5 vu: ml t0: [10:00:00 31/03/2015] id: .9% Normal Saline 250.0ml IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 10 vu: ml t0: [10:00:00 31/03/2015] id: .9% Normal Saline 50.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 2 vu: ml t0: [10:00:00 31/03/2015] id: Urine Out Foley el: 1 cu: MICU-A cg: -1 vo: 60 vu: ml
t0: [10:00:00 31/03/2015] id: Fentanyl el: 1 cu: MICU-A so: .9% Normal Saline vo: 0 v1: 100 du: mcghr sv: 50 su: ml rt: IV Drip t0: [10:00:00 31/03/2015] id: Ativan el: 1 cu: MICU-A so: D5W vo: 0 v1: 1 du: mghr sv: 60 su: ml rt: IV Drip t0: [10:00:00 31/03/2015] id: Levophed el: 1 cu: MICU-A so: D5W vo: 0 v1: 2 du: mcgmin sv: 250 su: ml rt: IV Drip
t0: [09:00:00 31/03/2015] id: Potassium (3.5-5.3) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 4.2 rs: Final st: NotStopd
t0: [09:00:00 31/03/2015] id: Albumin (>3.2) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 1.9 rs: Final st: NotStopd t0: [09:00:00 31/03/2015] id: BUN (6-20) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 27 rs: Final st: NotStopd t0: [09:00:00 31/03/2015] id: Magnesium (1.6-2.6) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 1.8 rs: Final st: NotStopd t0: [09:00:00 31/03/2015] id: Phosphorous(2.7-4.5) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 2.8 u1: mEq/L rs: Final st: NotStopd
t0: [10:00:00 31/03/2015] id: HOB el: 0 cu: MICU-A cg: -1 v1: 15 degrees st: NotStopd t0: [10:00:00 31/03/2015] id: Activity el: 0 cu: MICU-A cg: -1 v1: Bedrest st: NotStopd t0: [10:00:00 31/03/2015] id: Activity Tolerance el: 0 cu: MICU-A cg: -1 v1: Tolerated Well st: NotStopd t0: [10:00:00 31/03/2015] id: AntiEmbDevice/Status el: 0 cu: MICU-A cg: -1 v1: Compress Sleeves v2: Off st: NotStopd t0: [10:00:00 31/03/2015] id: Position el: 0 cu: MICU-A cg: -1 v1: Supine st: NotStopd t0: [10:00:00 31/03/2015] id: Assistance Device el: 0 cu: MICU-A cg: -1 v1: 1 Person Assist st: NotStopd t0: [10:00:00 31/03/2015] id: Turn el: 0 cu: MICU-A cg: -1 v1: Back st: NotStopd t0: [11:00:00 31/03/2015] id: Service Type el: 0 cu: MICU-A cg: -1 v1: MICU st: NotStopd t0: [11:00:00 31/03/2015] id: Code Status el: 0 cu: MICU-A cg: -1 v1: Full Code st: NotStopd t0: [11:00:00 31/03/2015] id: Ectopy Frequency el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [11:00:00 31/03/2015] id: Ectopy Type el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [11:00:00 31/03/2015] id: Heart Rate el: 0 cu: MICU-A cg: -1 v1: 74 u1: BPM st: NotStopd t0: [11:00:00 31/03/2015] id: Heart Rhythm el: 0 cu: MICU-A cg: -1 v1: Normal Sinus st: NotStopd t0: [11:00:00 31/03/2015] id: NBP el: 0 cu: MICU-A cg: -1 v1: 110 u1: mmHg v2: 39 u2: mmHg st: NotStopd t0: [11:00:00 31/03/2015] id: NBP Mean el: 0 cu: MICU-A cg: -1 v1: 62.6667 u1: mmHg st: NotStopd t0: [11:00:00 31/03/2015] id: Arterial BP el: 0 cu: MICU-A cg: -1 v1: 103 u1: mmHg v2: 44 u2: mmHg st: NotStopd t0: [11:00:00 31/03/2015] id: Arterial BP Mean el: 0 cu: MICU-A cg: -1 v1: 63 u1: mmHg st: NotStopd t0: [11:00:00 31/03/2015] id: Precautions el: 0 cu: MICU-A cg: -1 v1: Universal st: NotStopd t0: [11:00:00 31/03/2015] id: Previous WeightF el: 0 cu: MICU-A cg: -1 v1: 79.4 u1: kg st: NotStopd t0: [11:00:00 31/03/2015] id: Respiratory Rate el: 0 cu: MICU-A cg: -1 v1: 24 u1: BPM st: NotStopd t0: [11:00:00 31/03/2015] id: SpO2 el: 0 cu: MICU-A cg: -1 v1: 94 u1: % st: NotStopd t0: [11:00:00 31/03/2015] id: calprevflg el: 0 cu: MICU-A cg: -1 v1: 1 u1: kg st: NotStopd t0: [12:00:00 31/03/2015] id: Less Restrict Meas. el: 0 cu: MICU-A cg: -1 v1: Medicated st: NotStopd t0: [12:00:00 31/03/2015] id: Pain Present el: 0 cu: MICU-A cg: -1 v1: No st: NotStopd t0: [12:00:00 31/03/2015] id: Range of Motion el: 0 cu: MICU-A cg: -1 v1: Done st: NotStopd t0: [12:00:00 31/03/2015] id: INV#2Chg o/Wire Date el: 0 cu: MICU-A cg: -1 v1: 2 v2: 26 st: NotStopd t0: [12:00:00 31/03/2015] id: Service Type el: 0 cu: MICU-A cg: -1 v1: MICU st: NotStopd t0: [12:00:00 31/03/2015] id: Circulation/SkinInt el: 0 cu: MICU-A cg: -1 v1: Circulation Adeq st: NotStopd t0: [12:00:00 31/03/2015] id: Code Status el: 0 cu: MICU-A cg: -1 v1: Full Code st: NotStopd t0: [12:00:00 31/03/2015] id: Dorsal PedPulse R/L el: 0 cu: MICU-A cg: -1 v1: Weak Palpable v2: Weak Palpable st: NotStopd t0: [12:00:00 31/03/2015] id: ETT Mark/Location el: 0 cu: MICU-A cg: -1 v1: 22cm v2: Lip st: NotStopd t0: [12:00:00 31/03/2015] id: Ectopy Frequency el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [12:00:00 31/03/2015] id: Ectopy Type el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [12:00:00 31/03/2015] id: Eye Opening el: 0 cu: MICU-A cg: -1 v1: 1 No Response st: NotStopd t0: [12:00:00 31/03/2015] id: GCS Total el: 0 cu: MICU-A cg: -1 v1: 7 u1: points st: NotStopd t0: [12:00:00 31/03/2015] id: GI Intub #1/Site el: 0 cu: MICU-A cg: -1 v1: Salem Sump v2: Oral st: NotStopd t0: [12:00:00 31/03/2015] id: GI#1 Tube Stat/Drain el: 0 cu: MICU-A cg: -1 v1: Clamped st: NotStopd t0: [12:00:00 31/03/2015] id: HOB el: 0 cu: MICU-A cg: -1 v1: 15 degrees st: NotStopd t0: [12:00:00 31/03/2015] id: Heart Rate el: 0 cu: MICU-A cg: -1 v1: 78 u1: BPM st: NotStopd t0: [12:00:00 31/03/2015] id: Heart Rhythm el: 0 cu: MICU-A cg: -1 v1: Normal Sinus st: NotStopd t0: [12:00:00 31/03/2015] id: INV Line#1 Type/Site el: 0 cu: MICU-A cg: -1 v1: A-Line v2: Right Radial st: NotStopd t0: [12:00:00 31/03/2015] id: INV Line#1 Zero/Cal el: 0 cu: MICU-A cg: -1 v1: No st: NotStopd t0: [12:00:00 31/03/2015] id: INV Line#1InsertDate el: 0 cu: MICU-A cg: -1 v1: 2 v2: 22 st: NotStopd t0: [12:00:00 31/03/2015] id: INV Line#1SiteAppear el: 0 cu: MICU-A cg: -1 v1: WNL st: NotStopd t0: [12:00:00 31/03/2015] id: INV Line#2 Site Date el: 0 cu: MICU-A cg: -1 v1: 2 v2: 26 st: NotStopd t0: [12:00:00 31/03/2015] id: INV Line#2 Type/Site el: 0 cu: MICU-A cg: -1 v1: Multi-lumen v2: Right IJ st: NotStopd t0: [12:00:00 31/03/2015] id: INV Line#2InsertDate el: 0 cu: MICU-A cg: -1 v1: 2 v2: 25 st: NotStopd t0: [12:00:00 31/03/2015] id: INV Line#2SiteAppear el: 0 cu: MICU-A cg: -1 v1: WNL st: NotStopd t0: [12:00:00 31/03/2015] id: Abdominal Assessment el: 0 cu: MICU-A cg: -1 v1: Soft st: NotStopd t0: [12:00:00 31/03/2015] id: INV#1 WaveformAppear el: 0 cu: MICU-A cg: -1 v1: Dampened st: NotStopd t0: [12:00:00 31/03/2015] id: IV #2 D/C Date el: 0 cu: MICU-A cg: -1 v1: 2 v2: 26 st: NotStopd t0: [12:00:00 31/03/2015] id: IV #2 Insert Date el: 0 cu: MICU-A cg: -1 v1: 2 v2: 24 st: NotStopd t0: [12:00:00 31/03/2015] id: IV #2 Site/Size el: 0 cu: MICU-A cg: -1 v1: Left Antecub v2: 20 gauge st: NotStopd t0: [12:00:00 31/03/2015] id: Activity el: 0 cu: MICU-A cg: -1 v1: Bedrest st: NotStopd t0: [12:00:00 31/03/2015] id: IV Site Appear #2 el: 0 cu: MICU-A cg: -1 v1: Redness st: NotStopd t0: [12:00:00 31/03/2015] id: Activity Tolerance el: 0 cu: MICU-A cg: -1 v1: Tolerated Well st: NotStopd t0: [12:00:00 31/03/2015] id: Airway Size el: 0 cu: MICU-A cg: -1 v1: 9.0 mm st: NotStopd t0: [12:00:00 31/03/2015] id: Airway Type el: 0 cu: MICU-A cg: -1 v1: Endotracheal st: NotStopd t0: [12:00:00 31/03/2015] id: Intubation Date el: 0 cu: MICU-A cg: -1 v1: 2 v2: 22 st: NotStopd t0: [12:00:00 31/03/2015] id: LLL Lung Sounds el: 0 cu: MICU-A cg: -1 v1: Diminished st: NotStopd t0: [12:00:00 31/03/2015] id: LUL Lung Sounds el: 0 cu: MICU-A cg: -1 v1: Coarse st: NotStopd t0: [12:00:00 31/03/2015] id: Level of Conscious el: 0 cu: MICU-A cg: -1 v1: Arouse to Stimul st: NotStopd t0: [12:00:00 31/03/2015] id: Motor Response el: 0 cu: MICU-A cg: -1 v1: 5 Localizes Pain st: NotStopd t0: [12:00:00 31/03/2015] id: NBP el: 0 cu: MICU-A cg: -1 v1: 125 u1: mmHg v2: 43 u2: mmHg st: NotStopd t0: [12:00:00 31/03/2015] id: NBP Mean el: 0 cu: MICU-A cg: -1 v1: 70.3333 u1: mmHg st: NotStopd t0: [12:00:00 31/03/2015] id: Oral Cavity el: 0 cu: MICU-A cg: -1 v1: Thrush st: NotStopd t0: [12:00:00 31/03/2015] id: Orientation el: 0 cu: MICU-A cg: -1 v1: Other/Remarks st: NotStopd t0: [12:00:00 31/03/2015] id: AntiEmbDevice/Status el: 0 cu: MICU-A cg: -1 v1: Compress Sleeves v2: Off st: NotStopd t0: [12:00:00 31/03/2015] id: Arterial BP el: 0 cu: MICU-A cg: -1 v1: 135 u1: mmHg v2: 53 u2: mmHg st: NotStopd t0: [12:00:00 31/03/2015] id: Pain Location el: 0 cu: MICU-A cg: -1 v1: Not Indicated st: NotStopd t0: [12:00:00 31/03/2015] id: Arterial BP Mean el: 0 cu: MICU-A cg: -1 v1: 78 u1: mmHg st: NotStopd t0: [12:00:00 31/03/2015] id: Position el: 0 cu: MICU-A cg: -1 v1: Right Side st: NotStopd t0: [12:00:00 31/03/2015] id: Position Change el: 0 cu: MICU-A cg: -1 v1: Done st: NotStopd t0: [12:00:00 31/03/2015] id: PostTib. Pulses R/L el: 0 cu: MICU-A cg: -1 v1: Diff to Palpate v2: Diff to Palpate st: NotStopd t0: [12:00:00 31/03/2015] id: Assistance Device el: 0 cu: MICU-A cg: -1 v1: 2 Person Assist st: NotStopd t0: [12:00:00 31/03/2015] id: Precautions el: 0 cu: MICU-A cg: -1 v1: Universal st: NotStopd t0: [12:00:00 31/03/2015] id: Previous WeightF el: 0 cu: MICU-A cg: -1 v1: 79.4 u1: kg st: NotStopd t0: [12:00:00 31/03/2015] id: RLL Lung Sounds el: 0 cu: MICU-A cg: -1 v1: Diminished st: NotStopd t0: [12:00:00 31/03/2015] id: RUL Lung Sounds el: 0 cu: MICU-A cg: -1 v1: Coarse st: NotStopd t0: [12:00:00 31/03/2015] id: Reason For Restraint el: 0 cu: MICU-A cg: -1 v1: Ext/TXInterfere st: NotStopd t0: [12:00:00 31/03/2015] id: Removed x 5 Mins el: 0 cu: MICU-A cg: -1 v1: Done st: NotStopd t0: [12:00:00 31/03/2015] id: Respiratory Pattern el: 0 cu: MICU-A cg: -1 v1: Regular st: NotStopd t0: [12:00:00 31/03/2015] id: Restraint Location el: 0 cu: MICU-A cg: -1 v1: Both Arms st: NotStopd t0: [12:00:00 31/03/2015] id: Restraint Type el: 0 cu: MICU-A cg: -1 v1: Soft Limb st: NotStopd t0: [12:00:00 31/03/2015] id: Restraints Evaluated el: 0 cu: MICU-A cg: -1 v1: Behavior Conts st: NotStopd t0: [12:00:00 31/03/2015] id: Side Rails el: 0 cu: MICU-A cg: -1 v1: Side Rails Up st: NotStopd t0: [12:00:00 31/03/2015] id: Skin Integrity el: 0 cu: MICU-A cg: -1 v1: Intact st: NotStopd t0: [12:00:00 31/03/2015] id: SpO2 el: 0 cu: MICU-A cg: -1 v1: 99 u1: % st: NotStopd t0: [12:00:00 31/03/2015] id: Support Systems el: 0 cu: MICU-A cg: -1 v1: Relative st: NotStopd t0: [12:00:00 31/03/2015] id: Temp. Site el: 0 cu: MICU-A cg: -1 v1: Oral st: NotStopd t0: [12:00:00 31/03/2015] id: Temperature C (calc) el: 0 cu: MICU-A cg: -1 v1: 38.0556 u1: Deg. C st: NotStopd t0: [12:00:00 31/03/2015] id: Temperature F el: 0 cu: MICU-A cg: -1 v1: 100.5 u1: Deg. F st: NotStopd t0: [12:00:00 31/03/2015] id: Turn el: 0 cu: MICU-A cg: -1 v1: Side to Side st: NotStopd t0: [12:00:00 31/03/2015] id: Urine Color/Appear el: 0 cu: MICU-A cg: -1 v1: Yellow v2: Clear st: NotStopd t0: [12:00:00 31/03/2015] id: Urine Source el: 0 cu: MICU-A cg: -1 v1: Indwelling Cath st: NotStopd t0: [12:00:00 31/03/2015] id: Ventilator No. el: 0 cu: MICU-A cg: -1 v1: 20 u1: # st: NotStopd t0: [12:00:00 31/03/2015] id: Ventilator Type el: 0 cu: MICU-A cg: -1 v1: 7200A st: NotStopd t0: [12:00:00 31/03/2015] id: Verbal Response el: 0 cu: MICU-A cg: -1 v1: 1.0 ET/Trach st: NotStopd t0: [12:00:00 31/03/2015] id: calprevflg el: 0 cu: MICU-A cg: -1 v1: 1 u1: kg st: NotStopd t0: [12:00:00 31/03/2015] id: Bowel Sounds el: 0 cu: MICU-A cg: -1 v1: Present st: NotStopd t0: [12:00:00 31/03/2015] id: Braden Activity el: 0 cu: MICU-A cg: -1 v1: Bedfast st: NotStopd t0: [12:00:00 31/03/2015] id: Braden Frict/Shear el: 0 cu: MICU-A cg: -1 v1: Potential Prob st: NotStopd t0: [12:00:00 31/03/2015] id: Braden Mobility el: 0 cu: MICU-A cg: -1 v1: Very Limited st: NotStopd t0: [12:00:00 31/03/2015] id: Braden Moisture el: 0 cu: MICU-A cg: -1 v1: Occ. Moist st: NotStopd t0: [12:00:00 31/03/2015] id: Braden Nutrition el: 0 cu: MICU-A cg: -1 v1: Prob. Inadequate st: NotStopd t0: [12:00:00 31/03/2015] id: Braden Score el: 0 cu: MICU-A cg: -1 v1: 13 u1: number st: NotStopd t0: [12:00:00 31/03/2015] id: Braden SensoryPercep el: 0 cu: MICU-A cg: -1 v1: Sl. Limited st: NotStopd
t0: [11:00:00 31/03/2015] id: D5W 250.0ml + 4mcgmin Levophed IV Infusions el: 1 cu: MICU-A cg: -1 ai: 153 vo: 7.5 vu: ml t0: [12:00:00 31/03/2015] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 2 vu: ml t0: [12:00:00 31/03/2015] id: D5W 250.0ml + 4mcgmin Levophed IV Infusions el: 1 cu: MICU-A cg: -1 ai: 153 vu: ml st: Stopped t0: [12:00:00 31/03/2015] id: .9% Normal Saline 250.0ml IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 20 vu: ml t0: [12:00:00 31/03/2015] id: .9% Normal Saline 50.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 4 vu: ml t0: [12:00:00 31/03/2015] id: Urine Out Foley el: 1 cu: MICU-A cg: -1 vo: 75 vu: ml
t0: [11:00:00 31/03/2015] id: Fentanyl el: 1 cu: MICU-A so: .9% Normal Saline vo: 0 v1: 100 du: mcghr sv: 50 su: ml rt: IV Drip t0: [11:00:00 31/03/2015] id: Ativan el: 1 cu: MICU-A so: D5W vo: 0 v1: 1 du: mghr sv: 60 su: ml rt: IV Drip t0: [11:00:00 31/03/2015] id: Levophed el: 1 cu: MICU-A so: D5W vo: 0 v1: 2 du: mcgmin sv: 250 su: ml rt: IV Drip t0: [12:00:00 31/03/2015] id: Fentanyl el: 1 cu: MICU-A so: .9% Normal Saline vo: 0 v1: 100 du: mcghr sv: 50 su: ml rt: IV Drip t0: [12:00:00 31/03/2015] id: Ativan el: 1 cu: MICU-A so: D5W vo: 0 v1: 1 du: mghr sv: 60 su: ml rt: IV Drip t0: [12:00:00 31/03/2015] id: Levophed el: 1 cu: MICU-A so: D5W vo: 0 du: mcgmin sv: 250 su: ml rt: IV Drip st: Stopped
t0: [13:00:00 31/03/2015] id: Service Type el: 0 cu: MICU-A cg: -1 v1: MICU st: NotStopd t0: [13:00:00 31/03/2015] id: Code Status el: 0 cu: MICU-A cg: -1 v1: Full Code st: NotStopd t0: [13:00:00 31/03/2015] id: Ectopy Frequency el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [13:00:00 31/03/2015] id: Ectopy Type el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [13:00:00 31/03/2015] id: Heart Rate el: 0 cu: MICU-A cg: -1 v1: 72 u1: BPM st: NotStopd t0: [13:00:00 31/03/2015] id: Heart Rhythm el: 0 cu: MICU-A cg: -1 v1: Normal Sinus st: NotStopd t0: [13:00:00 31/03/2015] id: NBP el: 0 cu: MICU-A cg: -1 v1: 107 u1: mmHg v2: 33 u2: mmHg st: NotStopd t0: [13:00:00 31/03/2015] id: NBP Mean el: 0 cu: MICU-A cg: -1 v1: 57.6667 u1: mmHg st: NotStopd t0: [13:00:00 31/03/2015] id: Arterial BP el: 0 cu: MICU-A cg: -1 v1: 105 u1: mmHg v2: 45 u2: mmHg st: NotStopd t0: [13:00:00 31/03/2015] id: Arterial BP Mean el: 0 cu: MICU-A cg: -1 v1: 63 u1: mmHg st: NotStopd t0: [13:00:00 31/03/2015] id: Precautions el: 0 cu: MICU-A cg: -1 v1: Universal st: NotStopd t0: [13:00:00 31/03/2015] id: Previous WeightF el: 0 cu: MICU-A cg: -1 v1: 79.4 u1: kg st: NotStopd t0: [13:00:00 31/03/2015] id: Respiratory Rate el: 0 cu: MICU-A cg: -1 v1: 22 u1: BPM st: NotStopd t0: [13:00:00 31/03/2015] id: SpO2 el: 0 cu: MICU-A cg: -1 v1: 97 u1: % st: NotStopd t0: [13:00:00 31/03/2015] id: calprevflg el: 0 cu: MICU-A cg: -1 v1: 1 u1: kg st: NotStopd
t0: [13:00:00 31/03/2015] id: Fentanyl el: 1 cu: MICU-A so: .9% Normal Saline vo: 0 v1: 100 du: mcghr sv: 50 su: ml rt: IV Drip t0: [13:00:00 31/03/2015] id: Ativan el: 1 cu: MICU-A so: D5W vo: 0 v1: 1 du: mghr sv: 60 su: ml rt: IV Drip
t0: [12:00:00 31/03/2015] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vu: ml
t0: [14:00:00 31/03/2015] id: IV #2 D/C Date el: 0 cu: MICU-A cg: -1 st: D/C'd t0: [14:00:00 31/03/2015] id: IV #2 Insert Date el: 0 cu: MICU-A cg: -1 st: D/C'd t0: [14:00:00 31/03/2015] id: IV #2 Site/Size el: 0 cu: MICU-A cg: -1 st: D/C'd t0: [14:00:00 31/03/2015] id: IV Site Appear #2 el: 0 cu: MICU-A cg: -1 st: D/C'd
t0: [12:00:00 31/03/2015] id: Family Communication el: 0 cu: MICU-A cg: -1 v1: Fam Talked to MD st: NotStopd t0: [12:00:00 31/03/2015] id: Respiratory Rate el: 0 cu: MICU-A cg: -1 v1: 22 u1: BPM st: NotStopd t0: [12:00:00 31/03/2015] id: Skin Care el: 0 cu: MICU-A cg: -1 v1: Done st: NotStopd t0: [12:00:00 31/03/2015] id: Back Care el: 0 cu: MICU-A cg: -1 v1: Done st: NotStopd t0: [14:00:00 31/03/2015] id: Less Restrict Meas. el: 0 cu: MICU-A cg: -1 v1: Medicated st: NotStopd t0: [14:00:00 31/03/2015] id: Range of Motion el: 0 cu: MICU-A cg: -1 v1: Done st: NotStopd t0: [14:00:00 31/03/2015] id: INV#2Chg o/Wire Date el: 0 cu: MICU-A cg: -1 v1: 2 v2: 26 st: NotStopd t0: [14:00:00 31/03/2015] id: Service Type el: 0 cu: MICU-A cg: -1 v1: MICU st: NotStopd t0: [14:00:00 31/03/2015] id: Circulation/SkinInt el: 0 cu: MICU-A cg: -1 v1: Circulation Adeq st: NotStopd t0: [14:00:00 31/03/2015] id: Code Status el: 0 cu: MICU-A cg: -1 v1: Full Code st: NotStopd t0: [14:00:00 31/03/2015] id: Ectopy Frequency el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [14:00:00 31/03/2015] id: Ectopy Type el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [14:00:00 31/03/2015] id: HOB el: 0 cu: MICU-A cg: -1 v1: 30 degrees st: NotStopd t0: [14:00:00 31/03/2015] id: Heart Rate el: 0 cu: MICU-A cg: -1 v1: 74 u1: BPM st: NotStopd t0: [14:00:00 31/03/2015] id: Heart Rhythm el: 0 cu: MICU-A cg: -1 v1: Normal Sinus st: NotStopd t0: [14:00:00 31/03/2015] id: INV Line#1 Type/Site el: 0 cu: MICU-A cg: -1 v1: A-Line v2: Right Radial st: NotStopd t0: [14:00:00 31/03/2015] id: INV Line#1 Zero/Cal el: 0 cu: MICU-A cg: -1 v1: No st: NotStopd t0: [14:00:00 31/03/2015] id: INV Line#1InsertDate el: 0 cu: MICU-A cg: -1 v1: 2 v2: 22 st: NotStopd t0: [14:00:00 31/03/2015] id: INV Line#1SiteAppear el: 0 cu: MICU-A cg: -1 v1: WNL st: NotStopd t0: [14:00:00 31/03/2015] id: INV Line#2 Site Date el: 0 cu: MICU-A cg: -1 v1: 2 v2: 26 st: NotStopd t0: [14:00:00 31/03/2015] id: INV Line#2 Type/Site el: 0 cu: MICU-A cg: -1 v1: Multi-lumen v2: Right IJ st: NotStopd t0: [14:00:00 31/03/2015] id: INV Line#2InsertDate el: 0 cu: MICU-A cg: -1 v1: 2 v2: 25 st: NotStopd t0: [14:00:00 31/03/2015] id: INV Line#2SiteAppear el: 0 cu: MICU-A cg: -1 v1: WNL st: NotStopd t0: [14:00:00 31/03/2015] id: INV#1 WaveformAppear el: 0 cu: MICU-A cg: -1 v1: Dampened st: NotStopd t0: [14:00:00 31/03/2015] id: Activity el: 0 cu: MICU-A cg: -1 v1: Bedrest st: NotStopd t0: [14:00:00 31/03/2015] id: Activity Tolerance el: 0 cu: MICU-A cg: -1 v1: Tolerated Well st: NotStopd t0: [14:00:00 31/03/2015] id: NBP el: 0 cu: MICU-A cg: -1 v1: 124 u1: mmHg v2: 39 u2: mmHg st: NotStopd t0: [14:00:00 31/03/2015] id: NBP Mean el: 0 cu: MICU-A cg: -1 v1: 67.3333 u1: mmHg st: NotStopd t0: [14:00:00 31/03/2015] id: Oral Care el: 0 cu: MICU-A cg: -1 v1: Done st: NotStopd t0: [14:00:00 31/03/2015] id: AntiEmbDevice/Status el: 0 cu: MICU-A cg: -1 v1: Compress Sleeves v2: On st: NotStopd t0: [14:00:00 31/03/2015] id: Arterial BP el: 0 cu: MICU-A cg: -1 v1: 134 u1: mmHg v2: 53 u2: mmHg st: NotStopd t0: [14:00:00 31/03/2015] id: Arterial BP Mean el: 0 cu: MICU-A cg: -1 v1: 77 u1: mmHg st: NotStopd t0: [14:00:00 31/03/2015] id: Position el: 0 cu: MICU-A cg: -1 v1: Supine st: NotStopd t0: [14:00:00 31/03/2015] id: Position Change el: 0 cu: MICU-A cg: -1 v1: Done st: NotStopd t0: [14:00:00 31/03/2015] id: Assistance Device el: 0 cu: MICU-A cg: -1 v1: 1 Person Assist st: NotStopd t0: [14:00:00 31/03/2015] id: Precautions el: 0 cu: MICU-A cg: -1 v1: Universal st: NotStopd t0: [14:00:00 31/03/2015] id: Previous WeightF el: 0 cu: MICU-A cg: -1 v1: 79.4 u1: kg st: NotStopd t0: [14:00:00 31/03/2015] id: Reason For Restraint el: 0 cu: MICU-A cg: -1 v1: Ext/TXInterfere st: NotStopd t0: [14:00:00 31/03/2015] id: Removed x 5 Mins el: 0 cu: MICU-A cg: -1 v1: Done st: NotStopd t0: [14:00:00 31/03/2015] id: Respiratory Rate el: 0 cu: MICU-A cg: -1 v1: 22 u1: BPM st: NotStopd t0: [14:00:00 31/03/2015] id: Restraint Location el: 0 cu: MICU-A cg: -1 v1: Both Arms st: NotStopd t0: [14:00:00 31/03/2015] id: Restraint Type el: 0 cu: MICU-A cg: -1 v1: Soft Limb st: NotStopd t0: [14:00:00 31/03/2015] id: Restraints Evaluated el: 0 cu: MICU-A cg: -1 v1: Behavior Conts st: NotStopd t0: [14:00:00 31/03/2015] id: Side Rails el: 0 cu: MICU-A cg: -1 v1: Side Rails Up st: NotStopd t0: [14:00:00 31/03/2015] id: SpO2 el: 0 cu: MICU-A cg: -1 v1: 99 u1: % st: NotStopd t0: [14:00:00 31/03/2015] id: Support Systems el: 0 cu: MICU-A cg: -1 v1: Relative st: NotStopd t0: [14:00:00 31/03/2015] id: Turn el: 0 cu: MICU-A cg: -1 v1: Back st: NotStopd t0: [14:00:00 31/03/2015] id: calprevflg el: 0 cu: MICU-A cg: -1 v1: 1 u1: kg st: NotStopd
t0: [13:00:00 31/03/2015] id: .9% Normal Saline 250.0ml IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 20 vu: ml t0: [14:00:00 31/03/2015] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 125 vu: ml st: Restart t0: [14:00:00 31/03/2015] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 2 vu: ml t0: [14:00:00 31/03/2015] id: .9% Normal Saline 250.0ml IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 20 vu: ml t0: [14:00:00 31/03/2015] id: .9% Normal Saline 50.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 4 vu: ml t0: [14:00:00 31/03/2015] id: Urine Out Foley el: 1 cu: MICU-A cg: -1 vo: 80 vu: ml
t0: [14:00:00 31/03/2015] id: Fentanyl el: 1 cu: MICU-A so: .9% Normal Saline vo: 0 v1: 100 du: mcghr sv: 50 su: ml rt: IV Drip t0: [14:00:00 31/03/2015] id: Ativan el: 1 cu: MICU-A so: D5W vo: 0 v1: 1 du: mghr sv: 60 su: ml rt: IV Drip
t0: [14:00:00 31/03/2015] id: D5W 100.0ml IV Infusions el: 1 cu: MICU-A cg: -1 ai: 105 vo: 50 vu: ml
t0: [10:00:00 31/03/2015] id: Sputum Color/Consist el: 0 cu: MICU-A cg: -1 v1: Tan v2: Thick st: NotStopd t0: [10:00:00 31/03/2015] id: Sputum Source/Amt el: 0 cu: MICU-A cg: -1 v1: Other/Remarks v2: Copious st: NotStopd t0: [12:00:00 31/03/2015] id: Sputum Color/Consist el: 0 cu: MICU-A cg: -1 v1: Tan v2: Thick st: NotStopd t0: [12:00:00 31/03/2015] id: Sputum Source/Amt el: 0 cu: MICU-A cg: -1 v1: Suctioned v2: Scant st: NotStopd t0: [14:00:00 31/03/2015] id: Sputum Color/Consist el: 0 cu: MICU-A cg: -1 v1: Tan v2: Thick st: NotStopd t0: [14:00:00 31/03/2015] id: Sputum Source/Amt el: 0 cu: MICU-A cg: -1 v1: Other/Remarks v2: Copious st: NotStopd t0: [15:00:00 31/03/2015] id: Service Type el: 0 cu: MICU-A cg: -1 v1: MICU st: NotStopd t0: [15:00:00 31/03/2015] id: Code Status el: 0 cu: MICU-A cg: -1 v1: Full Code st: NotStopd t0: [15:00:00 31/03/2015] id: Ectopy Frequency el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [15:00:00 31/03/2015] id: Ectopy Type el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [15:00:00 31/03/2015] id: Heart Rate el: 0 cu: MICU-A cg: -1 v1: 74 u1: BPM st: NotStopd t0: [15:00:00 31/03/2015] id: Heart Rhythm el: 0 cu: MICU-A cg: -1 v1: Normal Sinus st: NotStopd t0: [15:00:00 31/03/2015] id: NBP el: 0 cu: MICU-A cg: -1 v1: 120 u1: mmHg v2: 36 u2: mmHg st: NotStopd t0: [15:00:00 31/03/2015] id: NBP Mean el: 0 cu: MICU-A cg: -1 v1: 64 u1: mmHg st: NotStopd t0: [15:00:00 31/03/2015] id: Arterial BP el: 0 cu: MICU-A cg: -1 v1: 138 u1: mmHg v2: 66 u2: mmHg st: NotStopd t0: [15:00:00 31/03/2015] id: Arterial BP Mean el: 0 cu: MICU-A cg: -1 v1: 65 u1: mmHg st: NotStopd t0: [15:00:00 31/03/2015] id: Precautions el: 0 cu: MICU-A cg: -1 v1: Universal st: NotStopd t0: [15:00:00 31/03/2015] id: Previous WeightF el: 0 cu: MICU-A cg: -1 v1: 79.4 u1: kg st: NotStopd t0: [15:00:00 31/03/2015] id: Respiratory Rate el: 0 cu: MICU-A cg: -1 v1: 21 u1: BPM st: NotStopd t0: [15:00:00 31/03/2015] id: SpO2 el: 0 cu: MICU-A cg: -1 v1: 98 u1: % st: NotStopd t0: [15:00:00 31/03/2015] id: Sputum Color/Consist el: 0 cu: MICU-A cg: -1 v1: Tan v2: Thick st: NotStopd t0: [15:00:00 31/03/2015] id: Sputum Source/Amt el: 0 cu: MICU-A cg: -1 v1: Suctioned v2: Scant st: NotStopd t0: [15:00:00 31/03/2015] id: calprevflg el: 0 cu: MICU-A cg: -1 v1: 1 u1: kg st: NotStopd t0: [15:30:00 31/03/2015] id: HOB el: 0 cu: MICU-A cg: -1 v1: 30 degrees st: NotStopd t0: [15:30:00 31/03/2015] id: Activity el: 0 cu: MICU-A cg: -1 v1: Bedrest st: NotStopd t0: [15:30:00 31/03/2015] id: Activity Tolerance el: 0 cu: MICU-A cg: -1 v1: Tolerated Well st: NotStopd t0: [15:30:00 31/03/2015] id: AntiEmbDevice/Status el: 0 cu: MICU-A cg: -1 v1: Compress Sleeves v2: On st: NotStopd t0: [15:30:00 31/03/2015] id: Position el: 0 cu: MICU-A cg: -1 v1: Left Side st: NotStopd t0: [15:30:00 31/03/2015] id: Assistance Device el: 0 cu: MICU-A cg: -1 v1: 2 Person Assist st: NotStopd t0: [15:30:00 31/03/2015] id: Skin Care el: 0 cu: MICU-A cg: -1 v1: Done st: NotStopd t0: [15:30:00 31/03/2015] id: Turn el: 0 cu: MICU-A cg: -1 v1: Left Side st: NotStopd t0: [15:30:00 31/03/2015] id: Back Care el: 0 cu: MICU-A cg: -1 v1: Done st: NotStopd
t0: [15:00:00 31/03/2015] id: Fentanyl el: 1 cu: MICU-A so: .9% Normal Saline vo: 0 v1: 100 du: mcghr sv: 50 su: ml rt: IV Drip t0: [15:00:00 31/03/2015] id: Ativan el: 1 cu: MICU-A so: D5W vo: 0 v1: 1 du: mghr sv: 60 su: ml rt: IV Drip
t0: [16:13:00 31/03/2015] id: Art.pH ABG el: 0 cu: MICU-A cg: 1663 v1: 7.49 rs: Final st: NotStopd t0: [16:13:00 31/03/2015] id: Arterial Base Excess ABG el: 0 cu: MICU-A cg: 1663 v1: 2 rs: Final st: NotStopd t0: [16:13:00 31/03/2015] id: Arterial CO2(Calc) ABG el: 0 cu: MICU-A cg: 1663 v1: 26 rs: Final st: NotStopd t0: [16:13:00 31/03/2015] id: Arterial PaCO2 ABG el: 0 cu: MICU-A cg: 1663 v1: 33 u1: mmHg rs: Final st: NotStopd t0: [16:13:00 31/03/2015] id: Arterial PaO2 ABG el: 0 cu: MICU-A cg: 1663 v1: 76 u1: mmHg rs: Final st: NotStopd t0: [16:13:00 31/03/2015] id: Arterial pH ABG el: 0 cu: MICU-A cg: 1663 v1: 7.49 rs: Final st: NotStopd
t0: [16:21:00 31/03/2015] id: BSA el: 1033 cu: MICU-A cg: -1 t0: [16:21:00 31/03/2015] id: Admit Wt el: 1032 cu: MICU-A cg: -1 v1: 72.6 u1: kg t0: [16:21:00 31/03/2015] id: Allergy 1 el: 1020 cu: MICU-A cg: -1 t0: [16:21:00 31/03/2015] id: Diagnosis/op el: 1023 cu: MICU-A cg: -1 v1: RESPIRATORY FAILURE t0: [16:21:00 31/03/2015] id: Service el: 1026 cu: MICU-A cg: -1 v1: MED t0: [16:21:00 31/03/2015] id: Admit Ht el: 1034 cu: MICU-A cg: -1 t0: [16:21:00 31/03/2015] id: Readmission el: 1014 cu: MICU-A cg: -1 t0: [16:21:00 31/03/2015] id: Marital Status el: 1006 cu: MICU-A cg: -1 v1: M t0: [16:21:00 31/03/2015] id: Religion el: 1000 cu: MICU-A cg: -1 v1: RCA t0: [16:21:00 31/03/2015] id: Allergy 2 el: 1021 cu: MICU-A cg: -1 t0: [16:21:00 31/03/2015] id: Ext el: 1010 cu: MICU-A cg: -1 t0: [16:21:00 31/03/2015] id: PIN el: 1012 cu: MICU-A cg: -1 t0: [16:21:00 31/03/2015] id: Allergy 3 el: 1022 cu: MICU-A cg: -1
t0: [16:00:00 31/03/2015] id: Less Restrict Meas. el: 0 cu: MICU-A cg: -1 v1: Medicated st: NotStopd t0: [16:00:00 31/03/2015] id: Pain Present el: 0 cu: MICU-A cg: -1 v1: No st: NotStopd t0: [16:00:00 31/03/2015] id: Range of Motion el: 0 cu: MICU-A cg: -1 v1: Done st: NotStopd t0: [16:00:00 31/03/2015] id: INV#2Chg o/Wire Date el: 0 cu: MICU-A cg: -1 v1: 2 v2: 26 st: NotStopd t0: [16:00:00 31/03/2015] id: Service Type el: 0 cu: MICU-A cg: -1 v1: MICU st: NotStopd t0: [16:00:00 31/03/2015] id: Circulation/SkinInt el: 0 cu: MICU-A cg: -1 v1: Circulation Adeq st: NotStopd t0: [16:00:00 31/03/2015] id: Code Status el: 0 cu: MICU-A cg: -1 v1: Full Code st: NotStopd t0: [16:00:00 31/03/2015] id: Dorsal PedPulse R/L el: 0 cu: MICU-A cg: -1 v1: Weak Palpable v2: Weak Palpable st: NotStopd t0: [16:00:00 31/03/2015] id: Ectopy Frequency el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [16:00:00 31/03/2015] id: Ectopy Type el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [16:00:00 31/03/2015] id: Eye Opening el: 0 cu: MICU-A cg: -1 v1: 1 No Response st: NotStopd t0: [16:00:00 31/03/2015] id: GCS Total el: 0 cu: MICU-A cg: -1 v1: 7 u1: points st: NotStopd t0: [16:00:00 31/03/2015] id: GI Intub #1/Site el: 0 cu: MICU-A cg: -1 v1: Salem Sump v2: Oral st: NotStopd t0: [16:00:00 31/03/2015] id: GI#1 Tube Stat/Drain el: 0 cu: MICU-A cg: -1 v1: Clamped st: NotStopd t0: [16:00:00 31/03/2015] id: Heart Rate el: 0 cu: MICU-A cg: -1 v1: 75 u1: BPM st: NotStopd t0: [16:00:00 31/03/2015] id: Heart Rhythm el: 0 cu: MICU-A cg: -1 v1: Normal Sinus st: NotStopd t0: [16:00:00 31