This log is also available as text (s26105.txt) and as a (binary) annotation file (s26105.log).
Generated: Monday, 07-Jun-2010 13:20:48 EDT
(All dates below are surrogates.)
t0: [15:46:14 05/09/2016] tf: [15:28:48 23/10/2016] id: a40113 [view]
t0: [15:44:59 05/09/2016] tf: [15:27:59 23/10/2016] id: a40113n [view]
t0: [14:41:54 05/09/2016] tf: [21:04:14 09/09/2016] id: a40502 [view]
t0: [14:40:59 05/09/2016] tf: [07:57:59 13/09/2016] id: a40502n [view]
dd: 0388 ds: 3 ld: SEPTICEMIA NEC dd: 1120 ds: 9 ld: THRUSH dd: 39891 ds: 6 ld: RHEUMATIC HEART FAILURE dd: 4210 ds: 2 ld: AC/SUBAC BACT ENDOCARD dd: 4820 ds: 7 ld: K. PNEUMONIAE PNEUMONIA dd: 5119 ds: 8 ld: PLEURAL EFFUSION NOS dd: 5185 ds: 1 ld: POST TRAUM PULM INSUFFIC dd: 5715 ds: 5 ld: CIRRHOSIS OF LIVER NOS dd: 7070 ds: 4 ld: DECUBITUS ULCER
tf: [12:00:00 06/09/2016] pt: Unit Dose rt: IH fr: Q6H:PRN m1: Albuterol Neb Soln v1: 1 u1: NEB tf: [12:00:00 06/09/2016] pt: Unit Dose rt: IH fr: Q6H:PRN m1: Ipratropium Bromide Neb v1: 1 u1: NEB tf: [19:00:00 06/09/2016] pt: IV Piggyback rt: IV fr: Q24H fs: 2 dn: 1 m1: Ceftriaxone v1: 1 u1: gm m2: Iso-Osmotic Dextrose v2: 50 u2: ml tf: [19:00:00 06/09/2016] pt: IV Piggyback rt: IV fr: Q4H fs: 2, 6, 10, 14, 18, 22 dn: 6 m1: Ampicillin Sodium v1: 2 u1: gm m2: NS v2: 100 u2: ml tf: [19:00:00 06/09/2016] pt: Unit Dose rt: PO fr: Q12H fs: 2, 14 dn: 2 m1: Ciprofloxacin HCl v1: 500 u1: mg tf: [08:00:00 09/09/2016] pt: Unit Dose rt: PO fr: Q24H fs: 2 dn: 1 m1: Pantoprazole v1: 40 u1: mg tf: [10:00:00 11/09/2016] pt: Unit Dose rt: SC fr: ASDIR m1: Insulin v1: 0 u1: UNIT tf: [12:00:00 20/10/2016] pt: Unit Dose rt: PO fr: Q4-6H:PRN m1: Acetaminophen v1: 325-650 u1: mg tf: [12:00:00 20/10/2016] pt: Unit Dose rt: PR fr: Q4-6H:PRN m1: Acetaminophen (Rectal) v1: 325-650 u1: mg tf: [20:00:00 24/10/2016] pt: Unit Dose rt: IH fr: Q4H:PRN m1: Albuterol-Ipratropium v1: 2 u1: PUFF tf: [20:00:00 24/10/2016] pt: Unit Dose rt: PO fr: Q4-6H:PRN m1: Oxycodone-Acetaminophen v1: 1-2 u1: TAB
tf: [06:00:00 10/09/2016] pt: Unit Dose rt: SC fr: Q12H fs: 3, 15 dn: 2 m1: Enoxaparin Sodium v1: 40 u1: mg
tf: [11:00:00 16/09/2016] pt: Unit Dose rt: PO fr: TID fs: 08, 16, 22 dn: 3 m1: Clonazepam v1: 0.5 u1: mg tf: [15:00:00 30/09/2016] pt: Unit Dose rt: AD fr: TID fs: 08, 16, 22 dn: 3 m1: Neomycin-Polymyxin-HC (Otic) v1: 4 u1: DROP
tf: [09:00:00 07/09/2016] pt: Unit Dose rt: IV fr: BID fs: 10, 22 dn: 2 m1: Furosemide v1: 80 u1: mg tf: [09:00:00 11/09/2016] pt: Unit Dose rt: PO fr: QD fs: 10 dn: 1 m1: Ferrous Sulfate v1: 325 u1: mg tf: [10:00:00 13/10/2016] pt: Unit Dose rt: PO fr: QD fs: 10 dn: 1 m1: Sertraline HCl v1: 50 u1: mg tf: [20:00:00 24/10/2016] pt: Unit Dose rt: PO fr: BID fs: 10, 22 dn: 2 m1: Ascorbic Acid v1: 500 u1: mg tf: [20:00:00 24/10/2016] pt: Unit Dose rt: PO fr: QD fs: 10 dn: 1 m1: Zinc Sulfate v1: 220 u1: mg
tf: [15:00:00 06/09/2016] pt: Unit Dose rt: IH fr: Q6H fs: 13, 19, 1, 7 dn: 4 m1: Albuterol Neb Soln v1: 1 u1: NEB tf: [15:00:00 06/09/2016] pt: Unit Dose rt: IH fr: Q6H fs: 13, 19, 1, 7 dn: 4 m1: Ipratropium Bromide Neb v1: 1 u1: NEB tf: [15:00:00 06/09/2016] pt: Unit Dose rt: IV fr: ONCE fs: 13 dn: 1 m1: Furosemide v1: 80 u1: mg
tf: [15:58:00 24/10/2016] dt: 69177 cu: MICU di: No Disch Status
t0: [15:01:00 06/09/2016] id: BSA el: 1033 cu: MICU cg: 1531 t0: [15:01:00 06/09/2016] id: Admit Wt el: 1032 cu: MICU cg: 1531 t0: [15:01:00 06/09/2016] id: Allergy 1 el: 1020 cu: MICU cg: 1531 t0: [15:01:00 06/09/2016] id: Diagnosis/op el: 1023 cu: MICU cg: 1531 v1: CVA; CHF PNEUMONIA t0: [15:01:00 06/09/2016] id: Service el: 1026 cu: MICU cg: 1531 v1: MED t0: [15:01:00 06/09/2016] id: Admit Ht el: 1034 cu: MICU cg: 1531 t0: [15:01:00 06/09/2016] id: Readmission el: 1014 cu: MICU cg: 1531 t0: [15:01:00 06/09/2016] id: Marital Status el: 1006 cu: MICU cg: 1531 v1: M t0: [15:01:00 06/09/2016] id: Religion el: 1000 cu: MICU cg: 1531 v1: U t0: [15:01:00 06/09/2016] id: Allergy 2 el: 1021 cu: MICU cg: 1531 t0: [15:01:00 06/09/2016] id: Ext el: 1010 cu: MICU cg: 1531 t0: [15:01:00 06/09/2016] id: PIN el: 1012 cu: MICU cg: 1531 t0: [15:01:00 06/09/2016] id: Allergy 3 el: 1022 cu: MICU cg: 1531
id: D5W el: 1 cu: MICU cg: -1 io: D5W 100.0ml IV Infusions vo: 100 du: ml rt: Intravenous Push id: Po Intake el: 1 cu: MICU cg: -1 io: Po Intake PO/Gastric du: ml rt: Oral
t0: [15:00:00 06/09/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [15:00:00 06/09/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [15:00:00 06/09/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 98 u1: BPM st: NotStopd t0: [15:00:00 06/09/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [15:00:00 06/09/2016] id: NBP el: 0 cu: MICU cg: RN v1: 135 u1: mmHg v2: 53 u2: mmHg st: NotStopd t0: [15:00:00 06/09/2016] id: NBP Mean el: 0 cu: MICU cg: RN v1: 80.3333 u1: mmHg st: NotStopd t0: [15:00:00 06/09/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 97 u1: % st: NotStopd t0: [15:00:00 06/09/2016] id: Temp. Site el: 0 cu: MICU cg: RN v1: Oral st: NotStopd t0: [15:00:00 06/09/2016] id: Temperature C (calc) el: 0 cu: MICU cg: RN v1: 35.7222 u1: Deg. C st: NotStopd t0: [15:00:00 06/09/2016] id: Temperature F el: 0 cu: MICU cg: RN v1: 96.3 u1: Deg. F st: NotStopd t0: [15:00:00 06/09/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [16:00:00 06/09/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [16:00:00 06/09/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [16:00:00 06/09/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 99 u1: BPM st: NotStopd t0: [16:00:00 06/09/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [16:00:00 06/09/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 28 u1: BPM st: NotStopd t0: [16:00:00 06/09/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 97 u1: % st: NotStopd t0: [16:00:00 06/09/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
tf: [20:00:00 24/10/2016] pt: Unit Dose rt: IH fr: Q6H:PRN m1: Albuterol Neb Soln v1: 1 u1: NEB tf: [20:00:00 24/10/2016] pt: Unit Dose rt: IH fr: Q6H:PRN m1: Ipratropium Bromide Neb v1: 1 u1: NEB
t0: [15:00:00 06/09/2016] id: Diet Type el: 0 cu: MICU cg: RN v1: NPO st: NotStopd t0: [15:00:00 06/09/2016] id: Eye Opening el: 0 cu: MICU cg: RN v1: 4 Spontaneously st: NotStopd t0: [15:00:00 06/09/2016] id: Family Communication el: 0 cu: MICU cg: RN v1: Family Visited st: NotStopd t0: [15:00:00 06/09/2016] id: GCS Total el: 0 cu: MICU cg: RN v1: 15 u1: points st: NotStopd t0: [15:00:00 06/09/2016] id: HOB el: 0 cu: MICU cg: RN v1: 90 degrees st: NotStopd t0: [15:00:00 06/09/2016] id: INV Line#1 Type/Site el: 0 cu: MICU cg: RN v1: PICC line v2: Left Brachial st: NotStopd t0: [15:00:00 06/09/2016] id: INV Line#1SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [15:00:00 06/09/2016] id: Abdominal Assessment el: 0 cu: MICU cg: RN v1: Obese st: NotStopd t0: [15:00:00 06/09/2016] id: Activity el: 0 cu: MICU cg: RN v1: Bed as Chair st: NotStopd t0: [15:00:00 06/09/2016] id: Activity Tolerance el: 0 cu: MICU cg: RN v1: Tolerated Well st: NotStopd t0: [15:00:00 06/09/2016] id: LLL Lung Sounds el: 0 cu: MICU cg: RN v1: Crackles st: NotStopd t0: [15:00:00 06/09/2016] id: LUL Lung Sounds el: 0 cu: MICU cg: RN v1: Clear st: NotStopd t0: [15:00:00 06/09/2016] id: Level of Conscious el: 0 cu: MICU cg: RN v1: Alert st: NotStopd t0: [15:00:00 06/09/2016] id: Motor Response el: 0 cu: MICU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [15:00:00 06/09/2016] id: Oral Cavity el: 0 cu: MICU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [15:00:00 06/09/2016] id: Orientation el: 0 cu: MICU cg: RN v1: Oriented x 3 st: NotStopd t0: [15:00:00 06/09/2016] id: Position el: 0 cu: MICU cg: RN st: NotStopd t0: [15:00:00 06/09/2016] id: RLL Lung Sounds el: 0 cu: MICU cg: RN v1: Clear st: NotStopd t0: [15:00:00 06/09/2016] id: RUL Lung Sounds el: 0 cu: MICU cg: RN v1: Clear st: NotStopd t0: [15:00:00 06/09/2016] id: Respiratory Pattern el: 0 cu: MICU cg: RN v1: Tachypneic st: NotStopd t0: [15:00:00 06/09/2016] id: Side Rails el: 0 cu: MICU cg: RN v1: Side Rails Up st: NotStopd t0: [15:00:00 06/09/2016] id: Skin Integrity el: 0 cu: MICU cg: RN v1: Impaired st: NotStopd t0: [15:00:00 06/09/2016] id: Support Systems el: 0 cu: MICU cg: RN v1: Spouse st: NotStopd t0: [15:00:00 06/09/2016] id: Turn el: 0 cu: MICU cg: RN v1: Turns by self st: NotStopd t0: [15:00:00 06/09/2016] id: Urine Color/Appear el: 0 cu: MICU cg: RN v1: Yellow v2: Clear st: NotStopd t0: [15:00:00 06/09/2016] id: Urine Source el: 0 cu: MICU cg: RN v1: Indwelling Cath st: NotStopd t0: [15:00:00 06/09/2016] id: Verbal Response el: 0 cu: MICU cg: RN v1: 5 Oriented st: NotStopd t0: [15:00:00 06/09/2016] id: Behavior el: 0 cu: MICU cg: RN v1: Anxious st: NotStopd t0: [15:00:00 06/09/2016] id: Bowel Sounds el: 0 cu: MICU cg: RN v1: Present st: NotStopd t0: [15:00:00 06/09/2016] id: Braden Activity el: 0 cu: MICU cg: RN v1: Bedfast st: NotStopd t0: [15:00:00 06/09/2016] id: Braden Frict/Shear el: 0 cu: MICU cg: RN v1: Potential Prob st: NotStopd t0: [15:00:00 06/09/2016] id: Braden Mobility el: 0 cu: MICU cg: RN v1: Very Limited st: NotStopd t0: [15:00:00 06/09/2016] id: Braden Moisture el: 0 cu: MICU cg: RN v1: Occ. Moist st: NotStopd t0: [15:00:00 06/09/2016] id: Braden Nutrition el: 0 cu: MICU cg: RN v1: Prob. Inadequate st: NotStopd t0: [15:00:00 06/09/2016] id: Braden Score el: 0 cu: MICU cg: RN v1: 14 u1: number st: NotStopd t0: [15:00:00 06/09/2016] id: Braden SensoryPercep el: 0 cu: MICU cg: RN v1: No Impairment st: NotStopd t0: [16:00:00 06/09/2016] id: Riker-SAS Scale el: 0 cu: MICU cg: RN v1: Calm/Cooperative st: NotStopd t0: [16:00:00 06/09/2016] id: Daily Wake Up el: 1 cu: MICU cg: RN v1: No/Not Sedated st: NotStopd t0: [16:00:00 06/09/2016] id: NBP el: 0 cu: MICU cg: RN v1: 107 u1: mmHg v2: 64 u2: mmHg st: NotStopd t0: [16:00:00 06/09/2016] id: NBP Mean el: 0 cu: MICU cg: RN v1: 78.3333 u1: mmHg st: NotStopd
t0: [15:00:00 06/09/2016] id: INV Line#1InsertDate el: 0 cu: MICU cg: RN st: NotStopd
id: D5W el: 2 cu: MICU cg: RN io: D5W 100.0ml IV Infusions vo: 100 du: ml rt: Intravenous Push id: .9% Normal Saline el: 1 cu: MICU cg: RN io: .9% Normal Saline 1000.0ml IV Infusions vo: 1000 du: ml rt: Intravenous Push
t0: [16:00:00 06/09/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [16:00:00 06/09/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [17:00:00 06/09/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [17:00:00 06/09/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [17:00:00 06/09/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 103 u1: BPM st: NotStopd t0: [17:00:00 06/09/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Sinus Tachy st: NotStopd t0: [17:00:00 06/09/2016] id: NBP el: 0 cu: MICU cg: RN v1: 123 u1: mmHg v2: 36 u2: mmHg st: NotStopd t0: [17:00:00 06/09/2016] id: NBP Mean el: 0 cu: MICU cg: RN v1: 65 u1: mmHg st: NotStopd t0: [17:00:00 06/09/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 23 u1: BPM st: NotStopd t0: [17:00:00 06/09/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 99 u1: % st: NotStopd t0: [17:00:00 06/09/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [16:00:00 06/09/2016] tf: [10:00:00 18/09/2016] dt: 16920 id: D5W 100.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 105 vo: 100 vu: ml t0: [16:00:00 06/09/2016] tf: [00:00:00 08/09/2016] dt: 1920 id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 400 vu: ml t0: [17:00:00 06/09/2016] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 60 vu: ml
t0: [17:30:00 06/09/2016] id: WBC (4-11,000) Hematology el: 0 cu: MICU cg: 1663 v1: 8 rs: Final st: NotStopd t0: [17:30:00 06/09/2016] id: WBC Hematology el: 0 cu: MICU cg: 1663 v1: 8 rs: Final st: NotStopd t0: [17:30:00 06/09/2016] id: Hematocrit Hematology el: 0 cu: MICU cg: 1663 v1: 34.2 u1: % rs: Final st: NotStopd t0: [17:30:00 06/09/2016] id: Hemoglobin Hematology el: 0 cu: MICU cg: 1663 v1: 10.2 u1: gm/dl rs: Final st: NotStopd t0: [17:30:00 06/09/2016] id: Platelets Hematology el: 0 cu: MICU cg: 1663 v1: 221 rs: Final st: NotStopd t0: [17:30:00 06/09/2016] id: RBC Hematology el: 0 cu: MICU cg: 1663 v1: 4.37 u1: /mic l rs: Final st: NotStopd t0: [17:30:00 06/09/2016] id: WBC (4-11,000) Hematology el: 0 cu: MICU cg: 1663 v1: 8 rs: Final st: NotStopd
t0: [17:30:00 06/09/2016] id: BUN el: 0 cu: MICU cg: 1663 v1: 13 rs: Final st: NotStopd t0: [17:30:00 06/09/2016] id: Chloride Chemistry el: 0 cu: MICU cg: 1663 v1: 94 rs: Final st: NotStopd t0: [17:30:00 06/09/2016] id: Creatinine Chemistry el: 0 cu: MICU cg: 1663 v1: 1 rs: Final st: NotStopd t0: [17:30:00 06/09/2016] id: Glucose Chemistry el: 0 cu: MICU cg: 1663 v1: 104 rs: Final st: NotStopd t0: [17:30:00 06/09/2016] id: Potassium Chemistry el: 0 cu: MICU cg: 1663 v1: 3.1 rs: Final st: NotStopd t0: [17:30:00 06/09/2016] id: Sodium Chemistry el: 0 cu: MICU cg: 1663 v1: 140 rs: Final st: NotStopd t0: [17:30:00 06/09/2016] id: BUN (6-20) Chemistry el: 0 cu: MICU cg: 1663 v1: 13 rs: Final st: NotStopd t0: [17:30:00 06/09/2016] id: Carbon Dioxide Chemistry el: 0 cu: MICU cg: 1663 v1: 31 rs: Final st: NotStopd t0: [17:30:00 06/09/2016] id: Chloride (100-112) Chemistry el: 0 cu: MICU cg: 1663 v1: 94 rs: Final st: NotStopd t0: [17:30:00 06/09/2016] id: Creatinine (0-1.3) Chemistry el: 0 cu: MICU cg: 1663 v1: 1 rs: Final st: NotStopd t0: [17:30:00 06/09/2016] id: Glucose (70-105) Chemistry el: 0 cu: MICU cg: 1663 v1: 104 rs: Final st: NotStopd t0: [17:30:00 06/09/2016] id: Potassium (3.5-5.3) Chemistry el: 0 cu: MICU cg: 1663 v1: 3.1 rs: Final st: NotStopd t0: [17:30:00 06/09/2016] id: Sodium (135-148) Chemistry el: 0 cu: MICU cg: 1663 v1: 140 rs: Final st: NotStopd
t0: [18:00:00 06/09/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [18:00:00 06/09/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [18:00:00 06/09/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [18:00:00 06/09/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 100 u1: BPM st: NotStopd t0: [18:00:00 06/09/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Sinus Tachy st: NotStopd t0: [18:00:00 06/09/2016] id: NBP el: 0 cu: MICU cg: RN v1: 153 u1: mmHg v2: 48 u2: mmHg st: NotStopd t0: [18:00:00 06/09/2016] id: NBP Mean el: 0 cu: MICU cg: RN v1: 83 u1: mmHg st: NotStopd t0: [18:00:00 06/09/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [18:00:00 06/09/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 26 u1: BPM st: NotStopd t0: [18:00:00 06/09/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 99 u1: % st: NotStopd t0: [18:00:00 06/09/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [19:00:00 06/09/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [19:00:00 06/09/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [19:00:00 06/09/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [19:00:00 06/09/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 106 u1: BPM st: NotStopd t0: [19:00:00 06/09/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Sinus Tachy st: NotStopd t0: [19:00:00 06/09/2016] id: NBP el: 0 cu: MICU cg: RN v1: 137 u1: mmHg v2: 49 u2: mmHg st: NotStopd t0: [19:00:00 06/09/2016] id: NBP Mean el: 0 cu: MICU cg: RN v1: 78.3333 u1: mmHg st: NotStopd t0: [19:00:00 06/09/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [19:00:00 06/09/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 37 u1: BPM st: NotStopd t0: [19:00:00 06/09/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 98 u1: % st: NotStopd t0: [19:00:00 06/09/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [19:00:00 06/09/2016] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 300 vu: ml
t0: [19:30:00 06/09/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [19:30:00 06/09/2016] id: Riker-SAS Scale el: 0 cu: MICU cg: RN v1: Agitated st: NotStopd t0: [19:30:00 06/09/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [19:30:00 06/09/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [19:30:00 06/09/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 103 u1: BPM st: NotStopd t0: [19:30:00 06/09/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Sinus Tachy st: NotStopd t0: [19:30:00 06/09/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [19:30:00 06/09/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 27 u1: BPM st: NotStopd t0: [19:30:00 06/09/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 98 u1: % st: NotStopd t0: [19:30:00 06/09/2016] id: Temp. Site el: 0 cu: MICU cg: RN v1: Oral st: NotStopd t0: [19:30:00 06/09/2016] id: Temperature C (calc) el: 0 cu: MICU cg: RN v1: 36.7778 u1: Deg. C st: NotStopd t0: [19:30:00 06/09/2016] id: Temperature F el: 0 cu: MICU cg: RN v1: 98.2 u1: Deg. F st: NotStopd t0: [19:30:00 06/09/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [19:30:00 06/09/2016] tf: [08:00:00 18/09/2016] dt: 16590 id: Po Intake PO/Gastric el: 1 cu: MICU cg: RN ai: 103 vo: 50 vu: ml
t0: [23:00:00 06/09/2016] dt: 24 id: PO/Gastric In Total el: 2 cu: MICU cg: RN cv: 50 ap: none
tf: [14:00:00 07/09/2016] pt: IV Piggyback rt: IV fr: Q12H fs: 20, 8 dn: 2 m1: Vancomycin HCl v1: 750 u1: mg m2: D5W v2: 250 u2: ml tf: [18:00:00 07/09/2016] pt: IV Piggyback rt: IV fr: Q24H fs: 20 dn: 1 m1: Levofloxacin v1: 500 u1: mg m2: Dextrose 5% v2: 100 u2: ml tf: [19:00:00 07/09/2016] pt: Unit Dose rt: IV fr: ONCE fs: 20 dn: 1 m1: Furosemide v1: 40 u1: mg
t0: [20:00:00 06/09/2016] id: Art.pH ABG el: 0 cu: MICU cg: 1663 v1: 7.44 rs: Final st: NotStopd t0: [20:00:00 06/09/2016] id: Arterial Base Excess ABG el: 0 cu: MICU cg: 1663 v1: 7 rs: Final st: NotStopd t0: [20:00:00 06/09/2016] id: Arterial CO2(Calc) ABG el: 0 cu: MICU cg: 1663 v1: 35 rs: Final st: NotStopd t0: [20:00:00 06/09/2016] id: Arterial PaCO2 ABG el: 0 cu: MICU cg: 1663 v1: 50 u1: mmHg rs: Final st: NotStopd t0: [20:00:00 06/09/2016] id: Arterial PaO2 ABG el: 0 cu: MICU cg: 1663 v1: 106 u1: mmHg rs: Final st: NotStopd t0: [20:00:00 06/09/2016] id: Arterial pH ABG el: 0 cu: MICU cg: 1663 v1: 7.44 rs: Final st: NotStopd
t0: [20:00:00 06/09/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [20:00:00 06/09/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [20:00:00 06/09/2016] id: Riker-SAS Scale el: 0 cu: MICU cg: RN v1: Agitated st: NotStopd t0: [20:00:00 06/09/2016] id: Diet Type el: 0 cu: MICU cg: RN v1: NPO st: NotStopd t0: [20:00:00 06/09/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [20:00:00 06/09/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [20:00:00 06/09/2016] id: Eye Opening el: 0 cu: MICU cg: RN v1: 4 Spontaneously st: NotStopd t0: [20:00:00 06/09/2016] id: GCS Total el: 0 cu: MICU cg: RN v1: 15 u1: points st: NotStopd t0: [20:00:00 06/09/2016] id: HOB el: 0 cu: MICU cg: RN v1: 90 degrees st: NotStopd t0: [20:00:00 06/09/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 99 u1: BPM st: NotStopd t0: [20:00:00 06/09/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [20:00:00 06/09/2016] id: INV Line#1 Type/Site el: 0 cu: MICU cg: RN v1: PICC line v2: Left Brachial st: NotStopd t0: [20:00:00 06/09/2016] id: INV Line#1SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [20:00:00 06/09/2016] id: Abdominal Assessment el: 0 cu: MICU cg: RN v1: Obese st: NotStopd t0: [20:00:00 06/09/2016] id: Activity el: 0 cu: MICU cg: RN v1: Other/Remarks st: NotStopd t0: [20:00:00 06/09/2016] id: Activity Tolerance el: 0 cu: MICU cg: RN v1: Poor st: NotStopd t0: [20:00:00 06/09/2016] id: LLL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [20:00:00 06/09/2016] id: LUL Lung Sounds el: 0 cu: MICU cg: RN v1: Diminished st: NotStopd t0: [20:00:00 06/09/2016] id: Level of Conscious el: 0 cu: MICU cg: RN v1: Alert st: NotStopd t0: [20:00:00 06/09/2016] id: Motor Response el: 0 cu: MICU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [20:00:00 06/09/2016] id: NBP el: 0 cu: MICU cg: RN v1: 126 u1: mmHg v2: 46 u2: mmHg st: NotStopd t0: [20:00:00 06/09/2016] id: NBP Mean el: 0 cu: MICU cg: RN v1: 72.6667 u1: mmHg st: NotStopd t0: [20:00:00 06/09/2016] id: Oral Cavity el: 0 cu: MICU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [20:00:00 06/09/2016] id: Orientation el: 0 cu: MICU cg: RN v1: Oriented x 3 st: NotStopd t0: [20:00:00 06/09/2016] id: Position el: 0 cu: MICU cg: RN v1: Supine st: NotStopd t0: [20:00:00 06/09/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [20:00:00 06/09/2016] id: RLL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [20:00:00 06/09/2016] id: RUL Lung Sounds el: 0 cu: MICU cg: RN v1: Diminished st: NotStopd t0: [20:00:00 06/09/2016] id: Respiratory Pattern el: 0 cu: MICU cg: RN v1: Tachypneic st: NotStopd t0: [20:00:00 06/09/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 31 u1: BPM st: NotStopd t0: [20:00:00 06/09/2016] id: Side Rails el: 0 cu: MICU cg: RN v1: Side Rails Up st: NotStopd t0: [20:00:00 06/09/2016] id: Skin Integrity el: 0 cu: MICU cg: RN v1: Impaired st: NotStopd t0: [20:00:00 06/09/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 98 u1: % st: NotStopd t0: [20:00:00 06/09/2016] id: Support Systems el: 0 cu: MICU cg: RN v1: Spouse st: NotStopd t0: [20:00:00 06/09/2016] id: Urine Color/Appear el: 0 cu: MICU cg: RN v1: Yellow v2: Clear st: NotStopd t0: [20:00:00 06/09/2016] id: Urine Source el: 0 cu: MICU cg: RN v1: Indwelling Cath st: NotStopd t0: [20:00:00 06/09/2016] id: Verbal Response el: 0 cu: MICU cg: RN v1: 5 Oriented st: NotStopd t0: [20:00:00 06/09/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [20:00:00 06/09/2016] id: Behavior el: 0 cu: MICU cg: RN v1: Anxious st: NotStopd t0: [20:00:00 06/09/2016] id: Bowel Sounds el: 0 cu: MICU cg: RN v1: Present st: NotStopd
t0: [20:00:00 06/09/2016] tf: [10:00:00 18/09/2016] dt: 16680 id: D5W 100.0ml IV Infusions el: 2 cu: MICU cg: RN ai: 107 vo: 50 vu: ml t0: [20:00:00 06/09/2016] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 120 vu: ml
tf: [20:00:00 06/09/2016] pt: IV Piggyback rt: IV fr: ONCE fs: 21 dn: 1 m1: Potassium Chloride v1: 40 u1: mEq m2: NS v2: 500 u2: ml tf: [20:00:00 07/09/2016] pt: IV Piggyback rt: IV fr: ONCE fs: 21 dn: 1 m1: Potassium Chloride v1: 40 u1: mEq m2: SW v2: 100 u2: ml tf: [20:00:00 07/09/2016] pt: Unit Dose rt: IV fr: ONCE fs: 21 dn: 1 m1: Lorazepam v1: 0.5 u1: mg
t0: [21:00:00 06/09/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [21:00:00 06/09/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [21:00:00 06/09/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [21:00:00 06/09/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [21:00:00 06/09/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 101 u1: BPM st: NotStopd t0: [21:00:00 06/09/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [21:00:00 06/09/2016] id: NBP el: 0 cu: MICU cg: RN v1: 107 u1: mmHg v2: 48 u2: mmHg st: NotStopd t0: [21:00:00 06/09/2016] id: NBP Mean el: 0 cu: MICU cg: RN v1: 67.6667 u1: mmHg st: NotStopd t0: [21:00:00 06/09/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [21:00:00 06/09/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 29 u1: BPM st: NotStopd t0: [21:00:00 06/09/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 97 u1: % st: NotStopd t0: [21:00:00 06/09/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [22:00:00 06/09/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [22:00:00 06/09/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [22:00:00 06/09/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [22:00:00 06/09/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [22:00:00 06/09/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 104 u1: BPM st: NotStopd t0: [22:00:00 06/09/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [22:00:00 06/09/2016] id: NBP el: 0 cu: MICU cg: RN v1: 140 u1: mmHg v2: 40 u2: mmHg st: NotStopd t0: [22:00:00 06/09/2016] id: NBP Mean el: 0 cu: MICU cg: RN v1: 73.3333 u1: mmHg st: NotStopd t0: [22:00:00 06/09/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [22:00:00 06/09/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 25 u1: BPM st: NotStopd t0: [22:00:00 06/09/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 92 u1: % st: NotStopd t0: [22:00:00 06/09/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [21:00:00 06/09/2016] id: D5W 100.0ml IV Infusions el: 2 cu: MICU cg: RN ai: 107 vo: 50 vu: ml t0: [21:00:00 06/09/2016] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 120 vu: ml
t0: [22:00:00 06/09/2016] id: D5W 100.0ml IV Infusions el: 2 cu: MICU cg: RN ai: 107 vo: 50 vu: ml t0: [22:00:00 06/09/2016] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 50 vu: ml
tf: [23:00:00 06/09/2016] pt: Unit Dose rt: PO fr: TID fs: 08, 16, 22 dn: 3 m1: Captopril v1: 25 u1: mg tf: [10:00:00 13/10/2016] pt: Unit Dose rt: PO fr: HS fs: 22 dn: 1 m1: Olanzapine v1: 2.5 u1: mg
t0: [23:00:00 06/09/2016] dt: 24 id: IV Infusion In Total el: 2 cu: MICU cg: RN cv: 250 ap: none t0: [23:00:00 06/09/2016] dt: 24 id: 24h Total In el: 2 cu: MICU cg: RN cv: 300 ap: none
tf: [22:00:00 07/09/2016] pt: Unit Dose rt: IV fr: ONCE fs: 23 dn: 1 m1: Furosemide v1: 80 u1: mg tf: [11:00:00 16/09/2016] pt: Unit Dose rt: PO fr: HS:PRN m1: Diphenhydramine HCl v1: 25 u1: mg
t0: [23:00:00 06/09/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [23:00:00 06/09/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [23:00:00 06/09/2016] id: Riker-SAS Scale el: 0 cu: MICU cg: RN v1: Calm/Cooperative st: NotStopd t0: [23:00:00 06/09/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [23:00:00 06/09/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [23:00:00 06/09/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 101 u1: BPM st: NotStopd t0: [23:00:00 06/09/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [23:00:00 06/09/2016] id: NBP el: 0 cu: MICU cg: RN v1: 143 u1: mmHg v2: 27 u2: mmHg st: NotStopd t0: [23:00:00 06/09/2016] id: NBP Mean el: 0 cu: MICU cg: RN v1: 65.6667 u1: mmHg st: NotStopd t0: [23:00:00 06/09/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [23:00:00 06/09/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 29 u1: BPM st: NotStopd t0: [23:00:00 06/09/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 99 u1: % st: NotStopd t0: [23:00:00 06/09/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [23:00:00 06/09/2016] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 50 vu: ml
t0: [23:00:00 06/09/2016] dt: 1 id: Total Hourly Output el: 2 cu: MICU cg: RN pv: 50 cv: 50 ap: none t0: [23:00:00 06/09/2016] dt: 1 id: Net Hourly Balance el: 2 cu: MICU cg: RN pv: -50 cv: -50 ap: none t0: [23:00:00 06/09/2016] dt: 24 id: Urine Out Total el: 2 cu: MICU cg: RN pv: 50 cv: 1100 ap: none t0: [23:00:00 06/09/2016] dt: 24 id: 24h Net Body Balance el: 2 cu: MICU cg: RN pv: -50 cv: -800 ap: none t0: [23:00:00 06/09/2016] dt: 24 id: 24h Total Out el: 2 cu: MICU cg: RN pv: 50 cv: 1100 ap: none t0: [23:00:00 06/09/2016] dt: multiple days id: LOS Net Body Balance el: 2 cu: MICU cg: RN pv: -50 cv: -800 ap: none
tf: [23:00:00 07/09/2016] pt: Unit Dose rt: PO fr: ONCE fs: 0 dn: 1 m1: Potassium Chloride v1: 20 u1: mEq
t0: [20:00:00 06/09/2016] id: FiO2 Set el: 0 cu: MICU cg: RN v1: 0.7 u1: torr st: NotStopd t0: [20:00:00 06/09/2016] id: AaDO2 el: 0 cu: MICU cg: RN v1: 343.1 u1: mmHg st: NotStopd t0: [20:00:00 06/09/2016] id: O2 Delivery Device el: 0 cu: MICU cg: RN v1: Aerosol-Cool st: NotStopd t0: [20:00:00 06/09/2016] id: O2 Flow (lpm) el: 0 cu: MICU cg: RN v1: 12 u1: lpm st: NotStopd t0: [20:00:00 06/09/2016] id: PAO2 el: 0 cu: MICU cg: RN v1: 449.1 u1: mmHg st: NotStopd t0: [23:00:00 06/09/2016] id: Diet Type el: 0 cu: MICU cg: RN v1: NPO st: NotStopd t0: [23:00:00 06/09/2016] id: Eye Opening el: 0 cu: MICU cg: RN v1: 4 Spontaneously st: NotStopd t0: [23:00:00 06/09/2016] id: GCS Total el: 0 cu: MICU cg: RN v1: 15 u1: points st: NotStopd t0: [23:00:00 06/09/2016] id: Abdominal Assessment el: 0 cu: MICU cg: RN v1: Obese st: NotStopd t0: [23:00:00 06/09/2016] id: LLL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [23:00:00 06/09/2016] id: LUL Lung Sounds el: 0 cu: MICU cg: RN v1: Diminished st: NotStopd t0: [23:00:00 06/09/2016] id: Level of Conscious el: 0 cu: MICU cg: RN v1: Alert st: NotStopd t0: [23:00:00 06/09/2016] id: Motor Response el: 0 cu: MICU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [23:00:00 06/09/2016] id: Oral Cavity el: 0 cu: MICU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [23:00:00 06/09/2016] id: Orientation el: 0 cu: MICU cg: RN v1: Oriented x 3 st: NotStopd t0: [23:00:00 06/09/2016] id: RLL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [23:00:00 06/09/2016] id: RUL Lung Sounds el: 0 cu: MICU cg: RN v1: Diminished st: NotStopd t0: [23:00:00 06/09/2016] id: Respiratory Pattern el: 0 cu: MICU cg: RN v1: Tachypneic st: NotStopd t0: [23:00:00 06/09/2016] id: Urine Color/Appear el: 0 cu: MICU cg: RN v1: Yellow v2: Clear st: NotStopd t0: [23:00:00 06/09/2016] id: Urine Source el: 0 cu: MICU cg: RN v1: Indwelling Cath st: NotStopd t0: [23:00:00 06/09/2016] id: Verbal Response el: 0 cu: MICU cg: RN v1: 5 Oriented st: NotStopd t0: [23:00:00 06/09/2016] id: Bowel Sounds el: 0 cu: MICU cg: RN v1: Present st: NotStopd t0: [00:00:00 07/09/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [00:00:00 07/09/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [00:00:00 07/09/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [00:00:00 07/09/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [00:00:00 07/09/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 99 u1: BPM st: NotStopd t0: [00:00:00 07/09/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [00:00:00 07/09/2016] id: INV Line#1 Type/Site el: 0 cu: MICU cg: RN v1: PICC line v2: Left Brachial st: NotStopd t0: [00:00:00 07/09/2016] id: INV Line#1SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [00:00:00 07/09/2016] id: Level of Conscious el: 0 cu: MICU cg: RN v1: Sleeping st: NotStopd t0: [00:00:00 07/09/2016] id: NBP el: 0 cu: MICU cg: RN v1: 125 u1: mmHg v2: 35 u2: mmHg st: NotStopd t0: [00:00:00 07/09/2016] id: NBP Mean el: 0 cu: MICU cg: RN v1: 65 u1: mmHg st: NotStopd t0: [00:00:00 07/09/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [00:00:00 07/09/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 26 u1: BPM st: NotStopd t0: [00:00:00 07/09/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 98 u1: % st: NotStopd t0: [00:00:00 07/09/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [00:00:00 07/09/2016] id: D5W 100.0ml IV Infusions el: 2 cu: MICU cg: RN ai: 107 vo: 250 vu: ml
t0: [23:00:00 07/09/2016] dt: 1 id: Total Hourly Output el: 2 cu: MICU cg: RN pv: 45 cv: 45 ap: none t0: [23:00:00 07/09/2016] dt: 1 id: Net Hourly Balance el: 2 cu: MICU cg: RN pv: 155 cv: 155 ap: none t0: [23:00:00 07/09/2016] dt: 24 id: IV Infusion In Total el: 2 cu: MICU cg: RN pv: 200 cv: 1130 ap: none t0: [23:00:00 07/09/2016] dt: 24 id: 24h Total In el: 2 cu: MICU cg: RN pv: 200 cv: 1650 ap: none t0: [23:00:00 07/09/2016] dt: 24 id: Urine Out Total el: 2 cu: MICU cg: RN pv: 45 cv: 995 ap: none t0: [23:00:00 07/09/2016] dt: 24 id: 24h Net Body Balance el: 2 cu: MICU cg: RN pv: 155 cv: 655 ap: none t0: [23:00:00 07/09/2016] dt: 24 id: 24h Total Out el: 2 cu: MICU cg: RN pv: 45 cv: 995 ap: none t0: [23:00:00 07/09/2016] dt: multiple days id: LOS Net Body Balance el: 2 cu: MICU cg: RN pv: 155 cv: -145 ap: none
t0: [00:00:00 07/09/2016] id: FiO2 Set el: 0 cu: MICU cg: RN v1: 0.7 u1: torr st: NotStopd t0: [00:00:00 07/09/2016] id: O2 Delivery Device el: 0 cu: MICU cg: RN v1: Aerosol-Cool st: NotStopd t0: [00:00:00 07/09/2016] id: O2 Flow (lpm) el: 0 cu: MICU cg: RN v1: 12 u1: lpm st: NotStopd t0: [00:00:00 07/09/2016] id: Side Rails el: 0 cu: MICU cg: RN v1: Side Rails Up st: NotStopd t0: [00:00:00 07/09/2016] id: Support Systems el: 0 cu: MICU cg: RN v1: Spouse st: NotStopd t0: [00:00:00 07/09/2016] id: Behavior el: 0 cu: MICU cg: RN v1: Sleeping st: NotStopd t0: [01:00:00 07/09/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [01:00:00 07/09/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [01:00:00 07/09/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [01:00:00 07/09/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [01:00:00 07/09/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 109 u1: BPM st: NotStopd t0: [01:00:00 07/09/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [01:00:00 07/09/2016] id: NBP el: 0 cu: MICU cg: RN v1: 128 u1: mmHg v2: 51 u2: mmHg st: NotStopd t0: [01:00:00 07/09/2016] id: NBP Mean el: 0 cu: MICU cg: RN v1: 76.6667 u1: mmHg st: NotStopd t0: [01:00:00 07/09/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [01:00:00 07/09/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 30 u1: BPM st: NotStopd t0: [01:00:00 07/09/2016] id: Side Rails el: 0 cu: MICU cg: RN v1: Side Rails Up st: NotStopd t0: [01:00:00 07/09/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 97 u1: % st: NotStopd t0: [01:00:00 07/09/2016] id: Support Systems el: 0 cu: MICU cg: RN v1: Spouse st: NotStopd t0: [01:00:00 07/09/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [02:00:00 07/09/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [02:00:00 07/09/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [02:00:00 07/09/2016] id: Riker-SAS Scale el: 0 cu: MICU cg: RN v1: Calm/Cooperative st: NotStopd t0: [02:00:00 07/09/2016] id: Diet Type el: 0 cu: MICU cg: RN v1: NPO st: NotStopd t0: [02:00:00 07/09/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [02:00:00 07/09/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [02:00:00 07/09/2016] id: Eye Opening el: 0 cu: MICU cg: RN v1: 4 Spontaneously st: NotStopd t0: [02:00:00 07/09/2016] id: GCS Total el: 0 cu: MICU cg: RN v1: 15 u1: points st: NotStopd t0: [02:00:00 07/09/2016] id: HOB el: 0 cu: MICU cg: RN v1: 90 degrees st: NotStopd t0: [02:00:00 07/09/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 100 u1: BPM st: NotStopd t0: [02:00:00 07/09/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Sinus Tachy st: NotStopd t0: [02:00:00 07/09/2016] id: Abdominal Assessment el: 0 cu: MICU cg: RN v1: Obese st: NotStopd t0: [02:00:00 07/09/2016] id: Activity el: 0 cu: MICU cg: RN v1: Other/Remarks st: NotStopd t0: [02:00:00 07/09/2016] id: Activity Tolerance el: 0 cu: MICU cg: RN v1: Poor st: NotStopd t0: [02:00:00 07/09/2016] id: LLL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [02:00:00 07/09/2016] id: LUL Lung Sounds el: 0 cu: MICU cg: RN v1: Diminished st: NotStopd t0: [02:00:00 07/09/2016] id: Level of Conscious el: 0 cu: MICU cg: RN v1: Alert st: NotStopd t0: [02:00:00 07/09/2016] id: Motor Response el: 0 cu: MICU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [02:00:00 07/09/2016] id: NBP el: 0 cu: MICU cg: RN v1: 130 u1: mmHg v2: 42 u2: mmHg st: NotStopd t0: [02:00:00 07/09/2016] id: NBP Mean el: 0 cu: MICU cg: RN v1: 71.3333 u1: mmHg st: NotStopd t0: [02:00:00 07/09/2016] id: Oral Cavity el: 0 cu: MICU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [02:00:00 07/09/2016] id: Orientation el: 0 cu: MICU cg: RN v1: Oriented x 3 st: NotStopd t0: [02:00:00 07/09/2016] id: Position el: 0 cu: MICU cg: RN v1: Supine st: NotStopd t0: [02:00:00 07/09/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [02:00:00 07/09/2016] id: RLL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [02:00:00 07/09/2016] id: RUL Lung Sounds el: 0 cu: MICU cg: RN v1: Diminished st: NotStopd t0: [02:00:00 07/09/2016] id: Respiratory Pattern el: 0 cu: MICU cg: RN v1: Tachypneic st: NotStopd t0: [02:00:00 07/09/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 35 u1: BPM st: NotStopd t0: [02:00:00 07/09/2016] id: Side Rails el: 0 cu: MICU cg: RN v1: Side Rails Up st: NotStopd t0: [02:00:00 07/09/2016] id: Skin Integrity el: 0 cu: MICU cg: RN v1: Impaired st: NotStopd t0: [02:00:00 07/09/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 97 u1: % st: NotStopd t0: [02:00:00 07/09/2016] id: Support Systems el: 0 cu: MICU cg: RN v1: Spouse st: NotStopd t0: [02:00:00 07/09/2016] id: Temp. Site el: 0 cu: MICU cg: RN v1: Oral st: NotStopd t0: [02:00:00 07/09/2016] id: Temperature C (calc) el: 0 cu: MICU cg: RN v1: 36.7222 u1: Deg. C st: NotStopd t0: [02:00:00 07/09/2016] id: Temperature F el: 0 cu: MICU cg: RN v1: 98.1 u1: Deg. F st: NotStopd t0: [02:00:00 07/09/2016] id: Urine Color/Appear el: 0 cu: MICU cg: RN v1: Yellow v2: Clear st: NotStopd t0: [02:00:00 07/09/2016] id: Urine Source el: 0 cu: MICU cg: RN v1: Indwelling Cath st: NotStopd t0: [02:00:00 07/09/2016] id: Verbal Response el: 0 cu: MICU cg: RN v1: 5 Oriented st: NotStopd t0: [02:00:00 07/09/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [02:00:00 07/09/2016] id: Behavior el: 0 cu: MICU cg: RN v1: Calm st: NotStopd t0: [02:00:00 07/09/2016] id: Bowel Sounds el: 0 cu: MICU cg: RN v1: Present st: NotStopd
t0: [00:00:00 07/09/2016] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 120 vu: ml t0: [01:00:00 07/09/2016] id: D5W 100.0ml IV Infusions el: 2 cu: MICU cg: RN ai: 107 vo: 100 vu: ml t0: [01:00:00 07/09/2016] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 140 vu: ml t0: [02:00:00 07/09/2016] id: Po Intake PO/Gastric el: 1 cu: MICU cg: RN ai: 103 vo: 50 vu: ml t0: [02:00:00 07/09/2016] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 150 vu: ml
t0: [03:00:00 07/09/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [03:00:00 07/09/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [03:00:00 07/09/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [03:00:00 07/09/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [03:00:00 07/09/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 98 u1: BPM st: NotStopd t0: [03:00:00 07/09/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Sinus Tachy st: NotStopd t0: [03:00:00 07/09/2016] id: NBP el: 0 cu: MICU cg: RN v1: 102 u1: mmHg v2: 44 u2: mmHg st: NotStopd t0: [03:00:00 07/09/2016] id: NBP Mean el: 0 cu: MICU cg: RN v1: 63.3333 u1: mmHg st: NotStopd t0: [03:00:00 07/09/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [03:00:00 07/09/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 26 u1: BPM st: NotStopd t0: [03:00:00 07/09/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 94 u1: % st: NotStopd t0: [03:00:00 07/09/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [03:00:00 07/09/2016] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 50 vu: ml
tf: [03:00:00 08/09/2016] pt: IV Piggyback rt: IV fr: ONCE fs: 4 dn: 1 m1: Ceftazidime v1: 1 u1: gm m2: Iso-Osmotic Dextrose v2: 50 u2: ml
t0: [04:00:00 07/09/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [04:00:00 07/09/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [04:00:00 07/09/2016] id: Diet Type el: 0 cu: MICU cg: RN v1: NPO st: NotStopd t0: [04:00:00 07/09/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [04:00:00 07/09/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [04:00:00 07/09/2016] id: Eye Opening el: 0 cu: MICU cg: RN v1: 4 Spontaneously st: NotStopd t0: [04:00:00 07/09/2016] id: FiO2 Set el: 0 cu: MICU cg: RN v1: 0.7 u1: torr st: NotStopd t0: [04:00:00 07/09/2016] id: GCS Total el: 0 cu: MICU cg: RN v1: 15 u1: points st: NotStopd t0: [04:00:00 07/09/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 101 u1: BPM st: NotStopd t0: [04:00:00 07/09/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Sinus Tachy st: NotStopd t0: [04:00:00 07/09/2016] id: INV Line#1 Type/Site el: 0 cu: MICU cg: RN v1: PICC line v2: Left Brachial st: NotStopd t0: [04:00:00 07/09/2016] id: INV Line#1SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [04:00:00 07/09/2016] id: Abdominal Assessment el: 0 cu: MICU cg: RN v1: Obese st: NotStopd t0: [04:00:00 07/09/2016] id: LLL Lung Sounds el: 0 cu: MICU cg: RN v1: Diminished st: NotStopd t0: [04:00:00 07/09/2016] id: LUL Lung Sounds el: 0 cu: MICU cg: RN v1: Diminished st: NotStopd t0: [04:00:00 07/09/2016] id: Level of Conscious el: 0 cu: MICU cg: RN v1: Alert st: NotStopd t0: [04:00:00 07/09/2016] id: Motor Response el: 0 cu: MICU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [04:00:00 07/09/2016] id: NBP el: 0 cu: MICU cg: RN v1: 116 u1: mmHg v2: 49 u2: mmHg st: NotStopd t0: [04:00:00 07/09/2016] id: NBP Mean el: 0 cu: MICU cg: RN v1: 71.3333 u1: mmHg st: NotStopd t0: [04:00:00 07/09/2016] id: O2 Delivery Device el: 0 cu: MICU cg: RN v1: Aerosol-Cool st: NotStopd t0: [04:00:00 07/09/2016] id: O2 Flow (lpm) el: 0 cu: MICU cg: RN v1: 12 u1: lpm st: NotStopd t0: [04:00:00 07/09/2016] id: Oral Cavity el: 0 cu: MICU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [04:00:00 07/09/2016] id: Orientation el: 0 cu: MICU cg: RN v1: Oriented x 3 st: NotStopd t0: [04:00:00 07/09/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [04:00:00 07/09/2016] id: RLL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [04:00:00 07/09/2016] id: RUL Lung Sounds el: 0 cu: MICU cg: RN v1: Diminished st: NotStopd t0: [04:00:00 07/09/2016] id: Respiratory Pattern el: 0 cu: MICU cg: RN v1: Tachypneic st: NotStopd t0: [04:00:00 07/09/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 28 u1: BPM st: NotStopd t0: [04:00:00 07/09/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 96 u1: % st: NotStopd t0: [04:00:00 07/09/2016] id: Urine Color/Appear el: 0 cu: MICU cg: RN v1: Yellow v2: Clear st: NotStopd t0: [04:00:00 07/09/2016] id: Urine Source el: 0 cu: MICU cg: RN v1: Indwelling Cath st: NotStopd t0: [04:00:00 07/09/2016] id: Verbal Response el: 0 cu: MICU cg: RN v1: 5 Oriented st: NotStopd t0: [04:00:00 07/09/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [04:00:00 07/09/2016] id: Bowel Sounds el: 0 cu: MICU cg: RN v1: Present st: NotStopd
t0: [04:00:00 07/09/2016] id: Po Intake PO/Gastric el: 1 cu: MICU cg: RN ai: 103 vo: 20 vu: ml t0: [04:00:00 07/09/2016] id: D5W 100.0ml IV Infusions el: 2 cu: MICU cg: RN ai: 107 vo: 50 vu: ml t0: [04:00:00 07/09/2016] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 40 vu: ml
t0: [05:00:00 07/09/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [05:00:00 07/09/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [05:00:00 07/09/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [05:00:00 07/09/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [05:00:00 07/09/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 98 u1: BPM st: NotStopd t0: [05:00:00 07/09/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Sinus Tachy st: NotStopd t0: [05:00:00 07/09/2016] id: NBP el: 0 cu: MICU cg: RN v1: 152 u1: mmHg v2: 41 u2: mmHg st: NotStopd t0: [05:00:00 07/09/2016] id: NBP Mean el: 0 cu: MICU cg: RN v1: 78 u1: mmHg st: NotStopd t0: [05:00:00 07/09/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [05:00:00 07/09/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 33 u1: BPM st: NotStopd t0: [05:00:00 07/09/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 96 u1: % st: NotStopd t0: [05:00:00 07/09/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [05:00:00 07/09/2016] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 40 vu: ml
t0: [06:00:00 07/09/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [06:00:00 07/09/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [06:00:00 07/09/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [06:00:00 07/09/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [06:00:00 07/09/2016] id: FiO2 Set el: 0 cu: MICU cg: RN v1: 0.7 u1: torr st: NotStopd t0: [06:00:00 07/09/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 104 u1: BPM st: NotStopd t0: [06:00:00 07/09/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Sinus Tachy st: NotStopd t0: [06:00:00 07/09/2016] id: NBP el: 0 cu: MICU cg: RN v1: 146 u1: mmHg v2: 68 u2: mmHg st: NotStopd t0: [06:00:00 07/09/2016] id: NBP Mean el: 0 cu: MICU cg: RN v1: 94 u1: mmHg st: NotStopd t0: [06:00:00 07/09/2016] id: O2 Delivery Device el: 0 cu: MICU cg: RN v1: Hi Flow Neb st: NotStopd t0: [06:00:00 07/09/2016] id: O2 Flow (lpm) el: 0 cu: MICU cg: RN v1: 12 u1: lpm st: NotStopd t0: [06:00:00 07/09/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [06:00:00 07/09/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 89 u1: % st: NotStopd t0: [06:00:00 07/09/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [06:00:00 07/09/2016] id: Po Intake PO/Gastric el: 1 cu: MICU cg: RN ai: 103 vo: 50 vu: ml t0: [06:00:00 07/09/2016] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 30 vu: ml
t0: [06:00:00 07/09/2016] id: Pain Level el: 0 cu: MICU cg: RN v1: 7-Mod to Severe st: NotStopd t0: [06:00:00 07/09/2016] id: Pain Present el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [06:00:00 07/09/2016] id: Riker-SAS Scale el: 0 cu: MICU cg: RN v1: Calm/Cooperative st: NotStopd t0: [06:00:00 07/09/2016] id: Pain Cause el: 0 cu: MICU cg: RN v1: At Rest st: NotStopd t0: [06:00:00 07/09/2016] id: Pain Level (Rest) el: 0 cu: MICU cg: RN v1: 7-Mod to Severe st: NotStopd t0: [06:00:00 07/09/2016] id: Pain Location el: 0 cu: MICU cg: RN v1: Back st: NotStopd t0: [06:00:00 07/09/2016] id: Pain Management el: 1 cu: MICU cg: RN v1: PO Med st: NotStopd t0: [06:00:00 07/09/2016] id: Pain Type el: 0 cu: MICU cg: RN v1: Aching st: NotStopd
t0: [05:00:00 07/09/2016] id: WBC (4-11,000) Hematology el: 0 cu: MICU cg: 1663 v1: 7.6 rs: Final st: NotStopd t0: [05:00:00 07/09/2016] id: WBC Hematology el: 0 cu: MICU cg: 1663 v1: 7.6 rs: Final st: NotStopd t0: [05:00:00 07/09/2016] id: Hematocrit Hematology el: 0 cu: MICU cg: 1663 v1: 30.7 u1: % rs: Final st: NotStopd t0: [05:00:00 07/09/2016] id: Hemoglobin Hematology el: 0 cu: MICU cg: 1663 v1: 9.4 u1: gm/dl rs: Final st: NotStopd t0: [05:00:00 07/09/2016] id: Platelets Hematology el: 0 cu: MICU cg: 1663 v1: 206 rs: Final st: NotStopd t0: [05:00:00 07/09/2016] id: RBC Hematology el: 0 cu: MICU cg: 1663 v1: 3.82 u1: /mic l rs: Final st: NotStopd t0: [05:00:00 07/09/2016] id: WBC (4-11,000) Hematology el: 0 cu: MICU cg: 1663 v1: 7.6 rs: Final st: NotStopd
t0: [06:00:00 07/09/2016] id: Radiologic Study el: 0 cu: MICU cg: RN v1: Chest Xray st: NotStopd
t0: [05:00:00 07/09/2016] id: BUN el: 0 cu: MICU cg: 1663 v1: 13 rs: Final st: NotStopd t0: [05:00:00 07/09/2016] id: Calcium Chemistry el: 0 cu: MICU cg: 1663 v1: 9.3 u1: mg/dl rs: Final st: NotStopd t0: [05:00:00 07/09/2016] id: Chloride Chemistry el: 0 cu: MICU cg: 1663 v1: 95 rs: Final st: NotStopd t0: [05:00:00 07/09/2016] id: Creatinine Chemistry el: 0 cu: MICU cg: 1663 v1: 1 rs: Final st: NotStopd t0: [05:00:00 07/09/2016] id: Glucose Chemistry el: 0 cu: MICU cg: 1663 v1: 111 rs: Final st: NotStopd t0: [05:00:00 07/09/2016] id: Magnesium Chemistry el: 0 cu: MICU cg: 1663 v1: 1.7 rs: Final st: NotStopd t0: [05:00:00 07/09/2016] id: Phosphorous Chemistry el: 0 cu: MICU cg: 1663 v1: 3.3 u1: mEq/L rs: Final st: NotStopd t0: [05:00:00 07/09/2016] id: Potassium Chemistry el: 0 cu: MICU cg: 1663 v1: 3.3 rs: Final st: NotStopd t0: [05:00:00 07/09/2016] id: Sodium Chemistry el: 0 cu: MICU cg: 1663 v1: 139 rs: Final st: NotStopd t0: [05:00:00 07/09/2016] id: BUN (6-20) Chemistry el: 0 cu: MICU cg: 1663 v1: 13 rs: Final st: NotStopd t0: [05:00:00 07/09/2016] id: Calcium (8.4-10.2) Chemistry el: 0 cu: MICU cg: 1663 v1: 9.3 u1: mg/dl rs: Final st: NotStopd t0: [05:00:00 07/09/2016] id: Carbon Dioxide Chemistry el: 0 cu: MICU cg: 1663 v1: 33 rs: Final st: NotStopd t0: [05:00:00 07/09/2016] id: Chloride (100-112) Chemistry el: 0 cu: MICU cg: 1663 v1: 95 rs: Final st: NotStopd t0: [05:00:00 07/09/2016] id: Creatinine (0-1.3) Chemistry el: 0 cu: MICU cg: 1663 v1: 1 rs: Final st: NotStopd t0: [05:00:00 07/09/2016] id: Glucose (70-105) Chemistry el: 0 cu: MICU cg: 1663 v1: 111 rs: Final st: NotStopd t0: [05:00:00 07/09/2016] id: Magnesium (1.6-2.6) Chemistry el: 0 cu: MICU cg: 1663 v1: 1.7 rs: Final st: NotStopd t0: [05:00:00 07/09/2016] id: Phosphorous(2.7-4.5) Chemistry el: 0 cu: MICU cg: 1663 v1: 3.3 u1: mEq/L rs: Final st: NotStopd t0: [05:00:00 07/09/2016] id: Potassium (3.5-5.3) Chemistry el: 0 cu: MICU cg: 1663 v1: 3.3 rs: Final st: NotStopd t0: [05:00:00 07/09/2016] id: Sodium (135-148) Chemistry el: 0 cu: MICU cg: 1663 v1: 139 rs: Final st: NotStopd
tf: [09:00:00 07/09/2016] pt: Unit Dose rt: PO fr: TID fs: 08, 16, 22 dn: 3 m1: Captopril v1: 6.25 u1: mg tf: [07:00:00 08/09/2016] pt: IV Piggyback rt: IV fr: ONCE fs: 8 dn: 1 m1: Potassium Chloride v1: 40 u1: mEq m2: SW v2: 100 u2: ml tf: [07:00:00 08/09/2016] pt: Unit Dose rt: IV fr: ONCE fs: 8 dn: 1 m1: Magnesium Sulfate v1: 2 u1: gm
t0: [07:00:00 07/09/2016] id: Service Type el: 0 cu: MICU cg: -1 v1: MICU st: NotStopd t0: [07:00:00 07/09/2016] id: Code Status el: 0 cu: MICU cg: -1 v1: Full Code st: NotStopd t0: [07:00:00 07/09/2016] id: Ectopy Frequency el: 0 cu: MICU cg: -1 v1: Occasional st: NotStopd t0: [07:00:00 07/09/2016] id: Ectopy Type el: 0 cu: MICU cg: -1 v1: PVC's st: NotStopd t0: [07:00:00 07/09/2016] id: Heart Rate el: 0 cu: MICU cg: -1 v1: 99 u1: BPM st: NotStopd t0: [07:00:00 07/09/2016] id: Heart Rhythm el: 0 cu: MICU cg: -1 v1: Normal Sinus st: NotStopd t0: [07:00:00 07/09/2016] id: NBP el: 0 cu: MICU cg: -1 v1: 132 u1: mmHg v2: 50 u2: mmHg st: NotStopd t0: [07:00:00 07/09/2016] id: NBP Mean el: 0 cu: MICU cg: -1 v1: 77.3333 u1: mmHg st: NotStopd t0: [07:00:00 07/09/2016] id: Precautions el: 0 cu: MICU cg: -1 v1: Universal st: NotStopd t0: [07:00:00 07/09/2016] id: SpO2 el: 0 cu: MICU cg: -1 v1: 100 u1: % st: NotStopd t0: [07:00:00 07/09/2016] id: calprevflg el: 0 cu: MICU cg: -1 v1: 1 u1: kg st: NotStopd t0: [08:00:00 07/09/2016] id: Pain Present el: 0 cu: MICU cg: -1 v1: No st: NotStopd t0: [08:00:00 07/09/2016] id: Pain Assess Method el: 0 cu: MICU cg: -1 v1: Pt Verbalized st: NotStopd t0: [08:00:00 07/09/2016] id: Service Type el: 0 cu: MICU cg: -1 v1: MICU st: NotStopd t0: [08:00:00 07/09/2016] id: Code Status el: 0 cu: MICU cg: -1 v1: Full Code st: NotStopd t0: [08:00:00 07/09/2016] id: Riker-SAS Scale el: 0 cu: MICU cg: -1 v1: Calm/Cooperative st: NotStopd t0: [08:00:00 07/09/2016] id: Daily Wake Up el: 1 cu: MICU cg: -1 v1: No/Not Sedated st: NotStopd t0: [08:00:00 07/09/2016] id: Diet Type el: 0 cu: MICU cg: -1 v1: NPO st: NotStopd t0: [08:00:00 07/09/2016] id: Dorsal PedPulse R/L el: 0 cu: MICU cg: -1 v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [08:00:00 07/09/2016] id: Ectopy Frequency el: 0 cu: MICU cg: -1 v1: Frequent st: NotStopd t0: [08:00:00 07/09/2016] id: Ectopy Type el: 0 cu: MICU cg: -1 v1: PVC's st: NotStopd t0: [08:00:00 07/09/2016] id: Eye Opening el: 0 cu: MICU cg: -1 v1: 4 Spontaneously st: NotStopd t0: [08:00:00 07/09/2016] id: FiO2 Set el: 0 cu: MICU cg: -1 v1: 0.7 u1: torr st: NotStopd t0: [08:00:00 07/09/2016] id: GCS Total el: 0 cu: MICU cg: -1 v1: 15 u1: points st: NotStopd t0: [08:00:00 07/09/2016] id: HOB el: 0 cu: MICU cg: -1 v1: 90 degrees st: NotStopd t0: [08:00:00 07/09/2016] id: Heart Rate el: 0 cu: MICU cg: -1 v1: 100 u1: BPM st: NotStopd t0: [08:00:00 07/09/2016] id: Heart Rhythm el: 0 cu: MICU cg: -1 v1: Normal Sinus st: NotStopd t0: [08:00:00 07/09/2016] id: INV Line#1 Type/Site el: 0 cu: MICU cg: -1 v1: PICC line v2: Left Brachial st: NotStopd t0: [08:00:00 07/09/2016] id: INV Line#1SiteAppear el: 0 cu: MICU cg: -1 v1: WNL st: NotStopd t0: [08:00:00 07/09/2016] id: Abdominal Assessment el: 0 cu: MICU cg: -1 v1: Obese st: NotStopd t0: [08:00:00 07/09/2016] id: Activity el: 0 cu: MICU cg: -1 v1: Bedrest st: NotStopd t0: [08:00:00 07/09/2016] id: Activity Tolerance el: 0 cu: MICU cg: -1 v1: Tolerated Well st: NotStopd t0: [08:00:00 07/09/2016] id: LLL Lung Sounds el: 0 cu: MICU cg: -1 v1: Diminished st: NotStopd t0: [08:00:00 07/09/2016] id: LUL Lung Sounds el: 0 cu: MICU cg: -1 v1: Clear st: NotStopd t0: [08:00:00 07/09/2016] id: Level of Conscious el: 0 cu: MICU cg: -1 v1: Alert st: NotStopd t0: [08:00:00 07/09/2016] id: Motor Response el: 0 cu: MICU cg: -1 v1: 6 Obeys Commands st: NotStopd t0: [08:00:00 07/09/2016] id: NBP el: 0 cu: MICU cg: -1 v1: 135 u1: mmHg v2: 48 u2: mmHg st: NotStopd t0: [08:00:00 07/09/2016] id: NBP Mean el: 0 cu: MICU cg: -1 v1: 77 u1: mmHg st: NotStopd t0: [08:00:00 07/09/2016] id: O2 Delivery Device el: 0 cu: MICU cg: -1 v1: Hi Flow Neb st: NotStopd t0: [08:00:00 07/09/2016] id: O2 Flow (lpm) el: 0 cu: MICU cg: -1 v1: 12 u1: lpm st: NotStopd t0: [08:00:00 07/09/2016] id: Oral Cavity el: 0 cu: MICU cg: -1 v1: Teeth/Tissue WNL st: NotStopd t0: [08:00:00 07/09/2016] id: Orientation el: 0 cu: MICU cg: -1 v1: Oriented x 3 st: NotStopd t0: [08:00:00 07/09/2016] id: Pain Location el: 0 cu: MICU cg: -1 v1: Not Indicated st: NotStopd t0: [08:00:00 07/09/2016] id: Pain Type el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [08:00:00 07/09/2016] id: Position el: 0 cu: MICU cg: -1 v1: Left Side st: NotStopd t0: [08:00:00 07/09/2016] id: PostTib. Pulses R/L el: 0 cu: MICU cg: -1 v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [08:00:00 07/09/2016] id: Assistance Device el: 0 cu: MICU cg: -1 v1: Independent st: NotStopd t0: [08:00:00 07/09/2016] id: Precautions el: 0 cu: MICU cg: -1 v1: Universal st: NotStopd t0: [08:00:00 07/09/2016] id: RLL Lung Sounds el: 0 cu: MICU cg: -1 v1: Diminished st: NotStopd t0: [08:00:00 07/09/2016] id: RUL Lung Sounds el: 0 cu: MICU cg: -1 v1: Coarse st: NotStopd t0: [08:00:00 07/09/2016] id: Respiratory Pattern el: 0 cu: MICU cg: -1 v1: Tachypneic st: NotStopd t0: [08:00:00 07/09/2016] id: Restraint Location el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [08:00:00 07/09/2016] id: Side Rails el: 0 cu: MICU cg: -1 v1: Side Rails Up st: NotStopd t0: [08:00:00 07/09/2016] id: Skin Integrity el: 0 cu: MICU cg: -1 v1: Intact st: NotStopd t0: [08:00:00 07/09/2016] id: SpO2 el: 0 cu: MICU cg: -1 v1: 99 u1: % st: NotStopd t0: [08:00:00 07/09/2016] id: Stool Guaiac el: 0 cu: MICU cg: -1 v1: Not Applicable st: NotStopd t0: [08:00:00 07/09/2016] id: Support Systems el: 0 cu: MICU cg: -1 v1: Spouse st: NotStopd t0: [08:00:00 07/09/2016] id: Temp. Site el: 0 cu: MICU cg: -1 v1: Axillary st: NotStopd t0: [08:00:00 07/09/2016] id: Temperature C (calc) el: 0 cu: MICU cg: -1 v1: 36.7778 u1: Deg. C st: NotStopd t0: [08:00:00 07/09/2016] id: Temperature F el: 0 cu: MICU cg: -1 v1: 98.2 u1: Deg. F st: NotStopd t0: [08:00:00 07/09/2016] id: Turn el: 0 cu: MICU cg: -1 v1: Turns by self st: NotStopd t0: [08:00:00 07/09/2016] id: Urine Color/Appear el: 0 cu: MICU cg: -1 v1: Amber v2: Clear st: NotStopd t0: [08:00:00 07/09/2016] id: Urine Source el: 0 cu: MICU cg: -1 v1: Indwelling Cath st: NotStopd t0: [08:00:00 07/09/2016] id: Verbal Response el: 0 cu: MICU cg: -1 v1: 5 Oriented st: NotStopd t0: [08:00:00 07/09/2016] id: calprevflg el: 0 cu: MICU cg: -1 v1: 1 u1: kg st: NotStopd t0: [08:00:00 07/09/2016] id: Behavior el: 0 cu: MICU cg: -1 v1: Calm st: NotStopd t0: [08:00:00 07/09/2016] id: Bowel Sounds el: 0 cu: MICU cg: -1 v1: Present st: NotStopd t0: [08:00:00 07/09/2016] id: Braden Activity el: 0 cu: MICU cg: -1 v1: Bedfast st: NotStopd t0: [08:00:00 07/09/2016] id: Braden Frict/Shear el: 0 cu: MICU cg: -1 v1: Potential Prob st: NotStopd t0: [08:00:00 07/09/2016] id: Braden Mobility el: 0 cu: MICU cg: -1 v1: Sl. Limited st: NotStopd t0: [08:00:00 07/09/2016] id: Braden Moisture el: 0 cu: MICU cg: -1 v1: Occ. Moist st: NotStopd t0: [08:00:00 07/09/2016] id: Braden Nutrition el: 0 cu: MICU cg: -1 v1: Prob. Inadequate st: NotStopd t0: [08:00:00 07/09/2016] id: Braden Score el: 0 cu: MICU cg: -1 v1: 15 u1: number st: NotStopd t0: [08:00:00 07/09/2016] id: Braden SensoryPercep el: 0 cu: MICU cg: -1 v1: No Impairment st: NotStopd
t0: [08:00:00 07/09/2016] id: Po Intake PO/Gastric el: 1 cu: MICU cg: -1 ai: 103 vo: 60 vu: ml t0: [08:00:00 07/09/2016] id: D5W 100.0ml IV Infusions el: 2 cu: MICU cg: -1 ai: 107 vo: 50 vu: ml t0: [08:00:00 07/09/2016] id: Urine Out Foley el: 1 cu: MICU cg: -1 vo: 45 vu: ml
t0: [09:00:00 07/09/2016] id: Service Type el: 0 cu: MICU cg: -1 v1: MICU st: NotStopd t0: [09:00:00 07/09/2016] id: Code Status el: 0 cu: MICU cg: -1 v1: Full Code st: NotStopd t0: [09:00:00 07/09/2016] id: Riker-SAS Scale el: 0 cu: MICU cg: -1 v1: Calm/Cooperative st: NotStopd t0: [09:00:00 07/09/2016] id: Ectopy Frequency el: 0 cu: MICU cg: -1 v1: Frequent st: NotStopd t0: [09:00:00 07/09/2016] id: Ectopy Type el: 0 cu: MICU cg: -1 v1: PVC's st: NotStopd t0: [09:00:00 07/09/2016] id: Heart Rate el: 0 cu: MICU cg: -1 v1: 104 u1: BPM st: NotStopd t0: [09:00:00 07/09/2016] id: Heart Rhythm el: 0 cu: MICU cg: -1 v1: Sinus Tachy st: NotStopd t0: [09:00:00 07/09/2016] id: NBP el: 0 cu: MICU cg: -1 v1: 144 u1: mmHg v2: 66 u2: mmHg st: NotStopd t0: [09:00:00 07/09/2016] id: NBP Mean el: 0 cu: MICU cg: -1 v1: 92 u1: mmHg st: NotStopd t0: [09:00:00 07/09/2016] id: Precautions el: 0 cu: MICU cg: -1 v1: Universal st: NotStopd t0: [09:00:00 07/09/2016] id: Respiratory Rate el: 0 cu: MICU cg: -1 v1: 28 u1: BPM st: NotStopd t0: [09:00:00 07/09/2016] id: SpO2 el: 0 cu: MICU cg: -1 v1: 100 u1: % st: NotStopd t0: [09:00:00 07/09/2016] id: calprevflg el: 0 cu: MICU cg: -1 v1: 1 u1: kg st: NotStopd
t0: [09:00:00 07/09/2016] id: Po Intake PO/Gastric el: 1 cu: MICU cg: -1 ai: 103 vo: 30 vu: ml t0: [09:00:00 07/09/2016] id: D5W 100.0ml IV Infusions el: 2 cu: MICU cg: -1 ai: 107 vo: 50 vu: ml t0: [09:00:00 07/09/2016] id: Urine Out Foley el: 1 cu: MICU cg: -1 vo: 25 vu: ml
t0: [23:00:00 07/09/2016] dt: 24 id: PO/Gastric In Total el: 2 cu: MICU cg: RN cv: 520 ap: none
t0: [09:12:00 07/09/2016] id: Compliance (40-60ml) el: 0 cu: MICU cg: RRT v1: 0 u1: ml/cmH st: NotStopd t0: [09:12:00 07/09/2016] id: FiO2 Set el: 0 cu: MICU cg: RRT v1: 0.5 u1: torr st: NotStopd t0: [09:12:00 07/09/2016] id: High Insp. Pressure el: 0 cu: MICU cg: RRT v1: 40 u1: cmH2O st: NotStopd t0: [09:12:00 07/09/2016] id: High Resp. Rate el: 0 cu: MICU cg: RRT v1: 35 u1: BPM st: NotStopd t0: [09:12:00 07/09/2016] id: Airway Type el: 0 cu: MICU cg: RRT v1: None st: NotStopd t0: [09:12:00 07/09/2016] id: Low Exhaled Min Vol el: 0 cu: MICU cg: RRT v1: 3 st: NotStopd t0: [09:12:00 07/09/2016] id: Mean Airway Pressure el: 0 cu: MICU cg: RRT v1: 8 u1: cmH2O st: NotStopd t0: [09:12:00 07/09/2016] id: Minute Volume(Obser) el: 0 cu: MICU cg: RRT v1: 7.7 u1: L/min st: NotStopd t0: [09:12:00 07/09/2016] id: O2 Delivery Device el: 0 cu: MICU cg: RRT v1: Bipap Mask st: NotStopd t0: [09:12:00 07/09/2016] id: PEEP Set el: 0 cu: MICU cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [09:12:00 07/09/2016] id: Peak Flow el: 0 cu: MICU cg: RRT u1: L/m st: NotStopd t0: [09:12:00 07/09/2016] id: Peak Insp. Pressure el: 0 cu: MICU cg: RRT v1: 0 u1: cmH2O st: NotStopd t0: [09:12:00 07/09/2016] id: Plateau Pressure el: 0 cu: MICU cg: RRT v1: 0 u1: cmH2O st: NotStopd t0: [09:12:00 07/09/2016] id: Plateau-Off el: 0 cu: MICU cg: RRT v1: Yes st: NotStopd t0: [09:12:00 07/09/2016] id: Pressure Support el: 0 cu: MICU cg: RRT v1: 12 u1: . st: NotStopd t0: [09:12:00 07/09/2016] id: Resp Rate (Spont) el: 0 cu: MICU cg: RRT v1: 23 u1: BPM st: NotStopd t0: [09:12:00 07/09/2016] id: Resp Rate (Total) el: 0 cu: MICU cg: RRT v1: 23 u1: BPM st: NotStopd t0: [09:12:00 07/09/2016] id: Respiratory Rate Set el: 0 cu: MICU cg: RRT v1: 0 u1: BPM st: NotStopd t0: [09:12:00 07/09/2016] id: Sensitivity-Vent el: 0 cu: MICU cg: RRT v1: 2 u1: cmH2O st: NotStopd t0: [09:12:00 07/09/2016] id: SpO2 el: 0 cu: MICU cg: RRT v1: 98 u1: % st: NotStopd t0: [09:12:00 07/09/2016] id: BIPAP - EPAP el: 0 cu: MICU cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [09:12:00 07/09/2016] id: BIPAP - IPAP el: 0 cu: MICU cg: RRT v1: 12 u1: cmH2O st: NotStopd t0: [09:12:00 07/09/2016] id: Tidal Volume (Obser) el: 0 cu: MICU cg: RRT v1: 340 u1: ml/B st: NotStopd t0: [09:12:00 07/09/2016] id: Tidal Volume (Set) el: 0 cu: MICU cg: RRT v1: 0 u1: ml/B st: NotStopd t0: [09:12:00 07/09/2016] id: Ventilator Mode el: 0 cu: MICU cg: RRT v1: CPAP+PS st: NotStopd t0: [09:12:00 07/09/2016] id: Ventilator Type el: 0 cu: MICU cg: RRT v1: Drager st: NotStopd
t0: [09:00:00 07/09/2016] id: Procedures el: 0 cu: MICU cg: -1 v1: Cardiac Echo st: NotStopd t0: [09:00:00 07/09/2016] id: Significant Events el: 0 cu: MICU cg: -1 st: NotStopd
t0: [10:00:00 07/09/2016] id: Service Type el: 0 cu: MICU cg: -1 v1: MICU st: NotStopd t0: [10:00:00 07/09/2016] id: Code Status el: 0 cu: MICU cg: -1 v1: Full Code st: NotStopd t0: [10:00:00 07/09/2016] id: Riker-SAS Scale el: 0 cu: MICU cg: -1 v1: Calm/Cooperative st: NotStopd t0: [10:00:00 07/09/2016] id: Ectopy Frequency el: 0 cu: MICU cg: -1 v1: Frequent st: NotStopd t0: [10:00:00 07/09/2016] id: Ectopy Type el: 0 cu: MICU cg: -1 v1: PVC's st: NotStopd t0: [10:00:00 07/09/2016] id: Heart Rate el: 0 cu: MICU cg: -1 v1: 98 u1: BPM st: NotStopd t0: [10:00:00 07/09/2016] id: Heart Rhythm el: 0 cu: MICU cg: -1 v1: Normal Sinus st: NotStopd t0: [10:00:00 07/09/2016] id: NBP el: 0 cu: MICU cg: -1 v1: 136 u1: mmHg v2: 64 u2: mmHg st: NotStopd t0: [10:00:00 07/09/2016] id: NBP Mean el: 0 cu: MICU cg: -1 v1: 88 u1: mmHg st: NotStopd t0: [10:00:00 07/09/2016] id: Precautions el: 0 cu: MICU cg: -1 v1: Universal st: NotStopd t0: [10:00:00 07/09/2016] id: Respiratory Rate el: 0 cu: MICU cg: -1 v1: 22 u1: BPM st: NotStopd t0: [10:00:00 07/09/2016] id: SpO2 el: 0 cu: MICU cg: -1 v1: 99 u1: % st: NotStopd t0: [10:00:00 07/09/2016] id: calprevflg el: 0 cu: MICU cg: -1 v1: 1 u1: kg st: NotStopd
t0: [10:00:00 07/09/2016] id: Urine Out Foley el: 1 cu: MICU cg: -1 vo: 20 vu: ml
tf: [18:00:00 07/09/2016] pt: Unit Dose rt: IV fr: Q4H:PRN m1: Lorazepam v1: 0.5-1 u1: mg tf: [09:00:00 08/09/2016] pt: Unit Dose rt: PO fr: ONCE fs: 10 dn: 1 m1: Lorazepam v1: 1 u1: mg
t0: [10:00:00 07/09/2016] id: D5W 100.0ml IV Infusions el: 2 cu: MICU cg: -1 ai: 107 vo: 100 vu: ml
t0: [11:00:00 07/09/2016] id: Service Type el: 0 cu: MICU cg: -1 v1: MICU st: NotStopd t0: [11:00:00 07/09/2016] id: Code Status el: 0 cu: MICU cg: -1 v1: Full Code st: NotStopd t0: [11:00:00 07/09/2016] id: Riker-SAS Scale el: 0 cu: MICU cg: -1 v1: Calm/Cooperative st: NotStopd t0: [11:00:00 07/09/2016] id: Ectopy Frequency el: 0 cu: MICU cg: -1 v1: Frequent st: NotStopd t0: [11:00:00 07/09/2016] id: Ectopy Type el: 0 cu: MICU cg: -1 v1: PVC's st: NotStopd t0: [11:00:00 07/09/2016] id: Heart Rate el: 0 cu: MICU cg: -1 v1: 96 u1: BPM st: NotStopd t0: [11:00:00 07/09/2016] id: Heart Rhythm el: 0 cu: MICU cg: -1 v1: Normal Sinus st: NotStopd t0: [11:00:00 07/09/2016] id: NBP el: 0 cu: MICU cg: -1 v1: 120 u1: mmHg v2: 47 u2: mmHg st: NotStopd t0: [11:00:00 07/09/2016] id: NBP Mean el: 0 cu: MICU cg: -1 v1: 71.3333 u1: mmHg st: NotStopd t0: [11:00:00 07/09/2016] id: Precautions el: 0 cu: MICU cg: -1 v1: Universal st: NotStopd t0: [11:00:00 07/09/2016] id: Respiratory Rate el: 0 cu: MICU cg: -1 v1: 22 u1: BPM st: NotStopd t0: [11:00:00 07/09/2016] id: SpO2 el: 0 cu: MICU cg: -1 v1: 98 u1: % st: NotStopd t0: [11:00:00 07/09/2016] id: calprevflg el: 0 cu: MICU cg: -1 v1: 1 u1: kg st: NotStopd
t0: [11:00:00 07/09/2016] id: Urine Out Foley el: 1 cu: MICU cg: -1 vo: 30 vu: ml
t0: [12:00:00 07/09/2016] id: Pain Present el: 0 cu: MICU cg: -1 v1: No st: NotStopd t0: [12:00:00 07/09/2016] id: Pain Assess Method el: 0 cu: MICU cg: -1 v1: Pt Verbalized st: NotStopd t0: [12:00:00 07/09/2016] id: Service Type el: 0 cu: MICU cg: -1 v1: MICU st: NotStopd t0: [12:00:00 07/09/2016] id: Code Status el: 0 cu: MICU cg: -1 v1: Full Code st: NotStopd t0: [12:00:00 07/09/2016] id: Riker-SAS Scale el: 0 cu: MICU cg: -1 v1: Calm/Cooperative st: NotStopd t0: [12:00:00 07/09/2016] id: Diet Type el: 0 cu: MICU cg: -1 v1: NPO st: NotStopd t0: [12:00:00 07/09/2016] id: Dorsal PedPulse R/L el: 0 cu: MICU cg: -1 v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [12:00:00 07/09/2016] id: Ectopy Frequency el: 0 cu: MICU cg: -1 v1: Frequent st: NotStopd t0: [12:00:00 07/09/2016] id: Ectopy Type el: 0 cu: MICU cg: -1 v1: PVC's st: NotStopd t0: [12:00:00 07/09/2016] id: Eye Opening el: 0 cu: MICU cg: -1 v1: 4 Spontaneously st: NotStopd t0: [12:00:00 07/09/2016] id: Family Communication el: 0 cu: MICU cg: -1 v1: Fam Talked to MD st: NotStopd t0: [12:00:00 07/09/2016] id: GCS Total el: 0 cu: MICU cg: -1 v1: 15 u1: points st: NotStopd t0: [12:00:00 07/09/2016] id: HOB el: 0 cu: MICU cg: -1 v1: 90 degrees st: NotStopd t0: [12:00:00 07/09/2016] id: Heart Rate el: 0 cu: MICU cg: -1 v1: 91 u1: BPM st: NotStopd t0: [12:00:00 07/09/2016] id: Heart Rhythm el: 0 cu: MICU cg: -1 v1: Normal Sinus st: NotStopd t0: [12:00:00 07/09/2016] id: INV Line#1 Type/Site el: 0 cu: MICU cg: -1 v1: PICC line v2: Left Brachial st: NotStopd t0: [12:00:00 07/09/2016] id: INV Line#1SiteAppear el: 0 cu: MICU cg: -1 v1: WNL st: NotStopd t0: [12:00:00 07/09/2016] id: Abdominal Assessment el: 0 cu: MICU cg: -1 v1: Obese st: NotStopd t0: [12:00:00 07/09/2016] id: Activity el: 0 cu: MICU cg: -1 v1: Bedrest st: NotStopd t0: [12:00:00 07/09/2016] id: Activity Tolerance el: 0 cu: MICU cg: -1 v1: Tolerated Well st: NotStopd t0: [12:00:00 07/09/2016] id: LLL Lung Sounds el: 0 cu: MICU cg: -1 v1: Diminished st: NotStopd t0: [12:00:00 07/09/2016] id: LUL Lung Sounds el: 0 cu: MICU cg: -1 v1: Coarse st: NotStopd t0: [12:00:00 07/09/2016] id: Level of Conscious el: 0 cu: MICU cg: -1 v1: Alert st: NotStopd t0: [12:00:00 07/09/2016] id: Motor Response el: 0 cu: MICU cg: -1 v1: 6 Obeys Commands st: NotStopd t0: [12:00:00 07/09/2016] id: NBP el: 0 cu: MICU cg: -1 v1: 132 u1: mmHg v2: 52 u2: mmHg st: NotStopd t0: [12:00:00 07/09/2016] id: NBP Mean el: 0 cu: MICU cg: -1 v1: 78.6667 u1: mmHg st: NotStopd t0: [12:00:00 07/09/2016] id: Oral Cavity el: 0 cu: MICU cg: -1 v1: Teeth/Tissue WNL st: NotStopd t0: [12:00:00 07/09/2016] id: Orientation el: 0 cu: MICU cg: -1 v1: Oriented x 3 st: NotStopd t0: [12:00:00 07/09/2016] id: Pain Location el: 0 cu: MICU cg: -1 v1: Not Indicated st: NotStopd t0: [12:00:00 07/09/2016] id: Pain Type el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [12:00:00 07/09/2016] id: Position el: 0 cu: MICU cg: -1 v1: Supine st: NotStopd t0: [12:00:00 07/09/2016] id: PostTib. Pulses R/L el: 0 cu: MICU cg: -1 v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [12:00:00 07/09/2016] id: Assistance Device el: 0 cu: MICU cg: -1 v1: Independent st: NotStopd t0: [12:00:00 07/09/2016] id: Precautions el: 0 cu: MICU cg: -1 v1: Universal st: NotStopd t0: [12:00:00 07/09/2016] id: RLL Lung Sounds el: 0 cu: MICU cg: -1 v1: Diminished st: NotStopd t0: [12:00:00 07/09/2016] id: RUL Lung Sounds el: 0 cu: MICU cg: -1 v1: Coarse st: NotStopd t0: [12:00:00 07/09/2016] id: Respiratory Pattern el: 0 cu: MICU cg: -1 v1: Regular st: NotStopd t0: [12:00:00 07/09/2016] id: Respiratory Rate el: 0 cu: MICU cg: -1 v1: 22 u1: BPM st: NotStopd t0: [12:00:00 07/09/2016] id: Restraint Location el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [12:00:00 07/09/2016] id: Side Rails el: 0 cu: MICU cg: -1 v1: Side Rails Up st: NotStopd t0: [12:00:00 07/09/2016] id: SpO2 el: 0 cu: MICU cg: -1 v1: 98 u1: % st: NotStopd t0: [12:00:00 07/09/2016] id: Support Systems el: 0 cu: MICU cg: -1 v1: Spouse st: NotStopd t0: [12:00:00 07/09/2016] id: Temp. Site el: 0 cu: MICU cg: -1 v1: Axillary st: NotStopd t0: [12:00:00 07/09/2016] id: Temperature C (calc) el: 0 cu: MICU cg: -1 v1: 36.7222 u1: Deg. C st: NotStopd t0: [12:00:00 07/09/2016] id: Temperature F el: 0 cu: MICU cg: -1 v1: 98.1 u1: Deg. F st: NotStopd t0: [12:00:00 07/09/2016] id: Turn el: 0 cu: MICU cg: -1 v1: Turns by self st: NotStopd t0: [12:00:00 07/09/2016] id: Urine Color/Appear el: 0 cu: MICU cg: -1 v1: Amber v2: Clear st: NotStopd t0: [12:00:00 07/09/2016] id: Urine Source el: 0 cu: MICU cg: -1 v1: Indwelling Cath st: NotStopd t0: [12:00:00 07/09/2016] id: Verbal Response el: 0 cu: MICU cg: -1 v1: 5 Oriented st: NotStopd t0: [12:00:00 07/09/2016] id: calprevflg el: 0 cu: MICU cg: -1 v1: 1 u1: kg st: NotStopd t0: [12:00:00 07/09/2016] id: Behavior el: 0 cu: MICU cg: -1 v1: Calm st: NotStopd t0: [12:00:00 07/09/2016] id: Fingerstick Glucose Chemistry el: 0 cu: MICU cg: -1 v1: 113 rs: Manual st: NotStopd t0: [12:00:00 07/09/2016] id: Bowel Sounds el: 0 cu: MICU cg: -1 v1: Present st: NotStopd
t0: [12:00:00 07/09/2016] id: D5W 100.0ml IV Infusions el: 2 cu: MICU cg: -1 ai: 107 vo: 250 vu: ml t0: [12:00:00 07/09/2016] id: Urine Out Foley el: 1 cu: MICU cg: -1 vo: 30 vu: ml
t0: [12:13:00 07/09/2016] id: Compliance (40-60ml) el: 0 cu: MICU cg: RRT v1: 0 u1: ml/cmH st: NotStopd t0: [12:13:00 07/09/2016] id: FiO2 Set el: 0 cu: MICU cg: RRT v1: 0.5 u1: torr st: NotStopd t0: [12:13:00 07/09/2016] id: High Insp. Pressure el: 0 cu: MICU cg: RRT v1: 40 u1: cmH2O st: NotStopd t0: [12:13:00 07/09/2016] id: High Resp. Rate el: 0 cu: MICU cg: RRT v1: 35 u1: BPM st: NotStopd t0: [12:13:00 07/09/2016] id: Airway Type el: 0 cu: MICU cg: RRT v1: None st: NotStopd t0: [12:13:00 07/09/2016] id: Inspired Gas Temp el: 0 cu: MICU cg: RRT u1: Deg. C st: NotStopd t0: [12:13:00 07/09/2016] id: Low Exhaled Min Vol el: 0 cu: MICU cg: RRT v1: 2 st: NotStopd t0: [12:13:00 07/09/2016] id: Mean Airway Pressure el: 0 cu: MICU cg: RRT v1: 8 u1: cmH2O st: NotStopd t0: [12:13:00 07/09/2016] id: Minute Volume(Obser) el: 0 cu: MICU cg: RRT v1: 4.8 u1: L/min st: NotStopd t0: [12:13:00 07/09/2016] id: O2 Delivery Device el: 0 cu: MICU cg: RRT v1: Bipap Mask st: NotStopd t0: [12:13:00 07/09/2016] id: PEEP Set el: 0 cu: MICU cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [12:13:00 07/09/2016] id: Peak Insp. Pressure el: 0 cu: MICU cg: RRT v1: 0 u1: cmH2O st: NotStopd t0: [12:13:00 07/09/2016] id: Plateau Pressure el: 0 cu: MICU cg: RRT v1: 0 u1: cmH2O st: NotStopd t0: [12:13:00 07/09/2016] id: Plateau-Off el: 0 cu: MICU cg: RRT v1: Yes st: NotStopd t0: [12:13:00 07/09/2016] id: Pressure Support el: 0 cu: MICU cg: RRT v1: 12 u1: . st: NotStopd t0: [12:13:00 07/09/2016] id: Resp Rate (Spont) el: 0 cu: MICU cg: RRT v1: 21 u1: BPM st: NotStopd t0: [12:13:00 07/09/2016] id: Resp Rate (Total) el: 0 cu: MICU cg: RRT v1: 21 u1: BPM st: NotStopd t0: [12:13:00 07/09/2016] id: Respiratory Rate Set el: 0 cu: MICU cg: RRT v1: 0 u1: BPM st: NotStopd t0: [12:13:00 07/09/2016] id: Sensitivity-Vent el: 0 cu: MICU cg: RRT v1: 3 u1: cmH2O st: NotStopd t0: [12:13:00 07/09/2016] id: SpO2 el: 0 cu: MICU cg: RRT v1: 98 u1: % st: NotStopd t0: [12:13:00 07/09/2016] id: Tidal Volume (Obser) el: 0 cu: MICU cg: RRT v1: 300 u1: ml/B st: NotStopd t0: [12:13:00 07/09/2016] id: Tidal Volume (Set) el: 0 cu: MICU cg: RRT v1: 0 u1: ml/B st: NotStopd t0: [12:13:00 07/09/2016] id: Ventilator Mode el: 0 cu: MICU cg: RRT v1: CPAP+PS st: NotStopd t0: [12:13:00 07/09/2016] id: Ventilator Type el: 0 cu: MICU cg: RRT v1: Drager st: NotStopd
t0: [13:00:00 07/09/2016] id: Service Type el: 0 cu: MICU cg: -1 v1: MICU st: NotStopd t0: [13:00:00 07/09/2016] id: Code Status el: 0 cu: MICU cg: -1 v1: Full Code st: NotStopd t0: [13:00:00 07/09/2016] id: Riker-SAS Scale el: 0 cu: MICU cg: -1 v1: Calm/Cooperative st: NotStopd t0: [13:00:00 07/09/2016] id: Ectopy Frequency el: 0 cu: MICU cg: -1 v1: Frequent st: NotStopd t0: [13:00:00 07/09/2016] id: Ectopy Type el: 0 cu: MICU cg: -1 v1: PVC's st: NotStopd t0: [13:00:00 07/09/2016] id: Heart Rate el: 0 cu: MICU cg: -1 v1: 99 u1: BPM st: NotStopd t0: [13:00:00 07/09/2016] id: Heart Rhythm el: 0 cu: MICU cg: -1 v1: Normal Sinus st: NotStopd t0: [13:00:00 07/09/2016] id: Precautions el: 0 cu: MICU cg: -1 v1: Universal st: NotStopd t0: [13:00:00 07/09/2016] id: Respiratory Rate el: 0 cu: MICU cg: -1 v1: 23 u1: BPM st: NotStopd t0: [13:00:00 07/09/2016] id: SpO2 el: 0 cu: MICU cg: -1 v1: 99 u1: % st: NotStopd t0: [13:00:00 07/09/2016] id: calprevflg el: 0 cu: MICU cg: -1 v1: 1 u1: kg st: NotStopd
t0: [13:00:00 07/09/2016] id: FiO2 Set el: 0 cu: MICU cg: RRT v1: 0.6 u1: torr st: NotStopd t0: [13:00:00 07/09/2016] id: O2 Delivery Device el: 0 cu: MICU cg: RRT v1: Hi Flow Neb st: NotStopd t0: [13:00:00 07/09/2016] id: O2 Flow (lpm) el: 0 cu: MICU cg: RRT v1: 15 u1: lpm st: NotStopd
tf: [17:00:00 09/09/2016] pt: Unit Dose rt: PO fr: ASDIR m1: Acetylcysteine 20% v1: 600 u1: mg
t0: [13:00:00 07/09/2016] id: NBP el: 0 cu: MICU cg: -1 v1: 111 u1: mmHg v2: 64 u2: mmHg st: NotStopd t0: [13:00:00 07/09/2016] id: NBP Mean el: 0 cu: MICU cg: -1 v1: 79.6667 u1: mmHg st: NotStopd
t0: [13:00:00 07/09/2016] id: Urine Out Foley el: 1 cu: MICU cg: -1 vo: 20 vu: ml
t0: [13:10:00 07/09/2016] id: Arterial Base Excess ABG el: 0 cu: MICU cg: 1663 v1: 6 rs: Final st: NotStopd t0: [13:10:00 07/09/2016] id: Arterial CO2(Calc) ABG el: 0 cu: MICU cg: 1663 v1: 34 rs: Final st: NotStopd t0: [13:10:00 07/09/2016] id: Arterial PaCO2 ABG el: 0 cu: MICU cg: 1663 v1: 53 u1: mmHg rs: Final st: NotStopd t0: [13:10:00 07/09/2016] id: Arterial PaO2 ABG el: 0 cu: MICU cg: 1663 v1: 109 u1: mmHg rs: Final st: NotStopd
t0: [13:10:00 07/09/2016] id: Art.pH ABG el: 0 cu: MICU cg: RRT v1: 7.4 rs: Final st: NotStopd t0: [13:10:00 07/09/2016] id: Arterial pH ABG el: 0 cu: MICU cg: RRT v1: 7.4 rs: Final st: NotStopd
t0: [14:00:00 07/09/2016] id: Service Type el: 0 cu: MICU cg: -1 v1: MICU st: NotStopd t0: [14:00:00 07/09/2016] id: Code Status el: 0 cu: MICU cg: -1 v1: Full Code st: NotStopd t0: [14:00:00 07/09/2016] id: Riker-SAS Scale el: 0 cu: MICU cg: -1 v1: Calm/Cooperative st: NotStopd t0: [14:00:00 07/09/2016] id: Ectopy Frequency el: 0 cu: MICU cg: -1 v1: Occasional st: NotStopd t0: [14:00:00 07/09/2016] id: Ectopy Type el: 0 cu: MICU cg: -1 v1: PVC's st: NotStopd t0: [14:00:00 07/09/2016] id: Eye Care el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [14:00:00 07/09/2016] id: HOB el: 0 cu: MICU cg: -1 v1: 90 degrees st: NotStopd t0: [14:00:00 07/09/2016] id: Heart Rate el: 0 cu: MICU cg: -1 v1: 102 u1: BPM st: NotStopd t0: [14:00:00 07/09/2016] id: Heart Rhythm el: 0 cu: MICU cg: -1 v1: Sinus Tachy st: NotStopd t0: [14:00:00 07/09/2016] id: Activity el: 0 cu: MICU cg: -1 v1: Bedrest st: NotStopd t0: [14:00:00 07/09/2016] id: Activity Tolerance el: 0 cu: MICU cg: -1 v1: Tolerated Well st: NotStopd t0: [14:00:00 07/09/2016] id: NBP el: 0 cu: MICU cg: -1 v1: 127 u1: mmHg v2: 44 u2: mmHg st: NotStopd t0: [14:00:00 07/09/2016] id: NBP Mean el: 0 cu: MICU cg: -1 v1: 71.6667 u1: mmHg st: NotStopd t0: [14:00:00 07/09/2016] id: Oral Care el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [14:00:00 07/09/2016] id: Position el: 0 cu: MICU cg: -1 v1: Left Side st: NotStopd t0: [14:00:00 07/09/2016] id: Assistance Device el: 0 cu: MICU cg: -1 v1: 2 Person Assist st: NotStopd t0: [14:00:00 07/09/2016] id: Precautions el: 0 cu: MICU cg: -1 v1: Universal st: NotStopd t0: [14:00:00 07/09/2016] id: Respiratory Rate el: 0 cu: MICU cg: -1 v1: 24 u1: BPM st: NotStopd t0: [14:00:00 07/09/2016] id: Skin Care el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [14:00:00 07/09/2016] id: SpO2 el: 0 cu: MICU cg: -1 v1: 99 u1: % st: NotStopd t0: [14:00:00 07/09/2016] id: Turn el: 0 cu: MICU cg: -1 v1: Side to Side st: NotStopd t0: [14:00:00 07/09/2016] id: Back Care el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [14:00:00 07/09/2016] id: calprevflg el: 0 cu: MICU cg: -1 v1: 1 u1: kg st: NotStopd t0: [14:00:00 07/09/2016] id: Bath el: 1 cu: MICU cg: -1 v1: Done
t0: [14:00:00 07/09/2016] id: Po Intake PO/Gastric el: 1 cu: MICU cg: -1 ai: 103 vo: 50 vu: ml t0: [14:00:00 07/09/2016] id: Urine Out Foley el: 1 cu: MICU cg: -1 vo: 25 vu: ml
t0: [15:10:00 07/09/2016] id: Compliance (40-60ml) el: 0 cu: MICU cg: RRT v1: 0 u1: ml/cmH st: NotStopd t0: [15:10:00 07/09/2016] id: FiO2 Set el: 0 cu: MICU cg: RRT v1: 0.5 u1: torr st: NotStopd t0: [15:10:00 07/09/2016] id: High Insp. Pressure el: 0 cu: MICU cg: RRT v1: 40 u1: cmH2O st: NotStopd t0: [15:10:00 07/09/2016] id: High Resp. Rate el: 0 cu: MICU cg: RRT v1: 35 u1: BPM st: NotStopd t0: [15:10:00 07/09/2016] id: Airway Type el: 0 cu: MICU cg: RRT v1: None st: NotStopd t0: [15:10:00 07/09/2016] id: Low Exhaled Min Vol el: 0 cu: MICU cg: RRT v1: 2 st: NotStopd t0: [15:10:00 07/09/2016] id: Mean Airway Pressure el: 0 cu: MICU cg: RRT v1: 9 u1: cmH2O st: NotStopd t0: [15:10:00 07/09/2016] id: Minute Volume(Obser) el: 0 cu: MICU cg: RRT v1: 2.2 u1: L/min st: NotStopd t0: [15:10:00 07/09/2016] id: O2 Delivery Device el: 0 cu: MICU cg: RRT v1: Bipap Mask st: NotStopd t0: [15:10:00 07/09/2016] id: PEEP Set el: 0 cu: MICU cg: RRT v1: 7 u1: cmH2O st: NotStopd t0: [15:10:00 07/09/2016] id: Peak Insp. Pressure el: 0 cu: MICU cg: RRT v1: 0 u1: cmH2O st: NotStopd t0: [15:10:00 07/09/2016] id: Plateau Pressure el: 0 cu: MICU cg: RRT v1: 0 u1: cmH2O st: NotStopd t0: [15:10:00 07/09/2016] id: Plateau-Off el: 0 cu: MICU cg: RRT v1: Yes st: NotStopd t0: [15:10:00 07/09/2016] id: Pressure Support el: 0 cu: MICU cg: RRT v1: 12 u1: . st: NotStopd t0: [15:10:00 07/09/2016] id: Resp Rate (Spont) el: 0 cu: MICU cg: RRT v1: 29 u1: BPM st: NotStopd t0: [15:10:00 07/09/2016] id: Resp Rate (Total) el: 0 cu: MICU cg: RRT v1: 29 u1: BPM st: NotStopd t0: [15:10:00 07/09/2016] id: Respiratory Rate Set el: 0 cu: MICU cg: RRT v1: 0 u1: BPM st: NotStopd t0: [15:10:00 07/09/2016] id: Sensitivity-Vent el: 0 cu: MICU cg: RRT v1: 3 u1: cmH2O st: NotStopd t0: [15:10:00 07/09/2016] id: SpO2 el: 0 cu: MICU cg: RRT v1: 98 u1: % st: NotStopd t0: [15:10:00 07/09/2016] id: Tidal Volume (Obser) el: 0 cu: MICU cg: RRT v1: 200 u1: ml/B st: NotStopd t0: [15:10:00 07/09/2016] id: Tidal Volume (Set) el: 0 cu: MICU cg: RRT v1: 0 u1: ml/B st: NotStopd t0: [15:10:00 07/09/2016] id: Ventilator Mode el: 0 cu: MICU cg: RRT v1: CPAP+PS st: NotStopd t0: [15:10:00 07/09/2016] id: Ventilator Type el: 0 cu: MICU cg: RRT v1: Drager st: NotStopd
t0: [15:18:00 07/09/2016] id: PEEP Set el: 0 cu: MICU cg: RRT v1: 12 u1: cmH2O st: NotStopd t0: [15:18:00 07/09/2016] id: Ventilator Mode el: 0 cu: MICU cg: RRT v1: CPAP st: NotStopd
t0: [14:00:00 07/09/2016] id: IV #1 Insert Date el: 0 cu: MICU cg: -1 v1: 7 v2: 23 st: NotStopd t0: [14:00:00 07/09/2016] id: IV #1 Site/Size el: 0 cu: MICU cg: -1 v1: RU Post Forearm v2: 20 gauge st: NotStopd t0: [14:00:00 07/09/2016] id: IV Site Appear #1 el: 0 cu: MICU cg: -1 v1: WNL st: NotStopd t0: [15:00:00 07/09/2016] id: Service Type el: 0 cu: MICU cg: -1 v1: MICU st: NotStopd t0: [15:00:00 07/09/2016] id: Code Status el: 0 cu: MICU cg: -1 v1: Full Code st: NotStopd t0: [15:00:00 07/09/2016] id: Riker-SAS Scale el: 0 cu: MICU cg: -1 v1: Calm/Cooperative st: NotStopd t0: [15:00:00 07/09/2016] id: Ectopy Frequency el: 0 cu: MICU cg: -1 v1: Occasional st: NotStopd t0: [15:00:00 07/09/2016] id: Ectopy Type el: 0 cu: MICU cg: -1 v1: PVC's st: NotStopd t0: [15:00:00 07/09/2016] id: Heart Rate el: 0 cu: MICU cg: -1 v1: 101 u1: BPM st: NotStopd t0: [15:00:00 07/09/2016] id: Heart Rhythm el: 0 cu: MICU cg: -1 v1: Sinus Tachy st: NotStopd t0: [15:00:00 07/09/2016] id: NBP el: 0 cu: MICU cg: -1 v1: 132 u1: mmHg v2: 60 u2: mmHg st: NotStopd t0: [15:00:00 07/09/2016] id: NBP Mean el: 0 cu: MICU cg: -1 v1: 84 u1: mmHg st: NotStopd t0: [15:00:00 07/09/2016] id: Precautions el: 0 cu: MICU cg: -1 v1: Universal st: NotStopd t0: [15:00:00 07/09/2016] id: Respiratory Rate el: 0 cu: MICU cg: -1 v1: 28 u1: BPM st: NotStopd t0: [15:00:00 07/09/2016] id: SpO2 el: 0 cu: MICU cg: -1 v1: 98 u1: % st: NotStopd t0: [15:00:00 07/09/2016] id: calprevflg el: 0 cu: MICU cg: -1 v1: 1 u1: kg st: NotStopd
t0: [15:00:00 07/09/2016] id: Urine Out Foley el: 1 cu: MICU cg: -1 vo: 15 vu: ml
t0: [15:27:00 07/09/2016] id: Tidal Volume (Obser) el: 0 cu: MICU cg: RRT v1: 100 u1: ml/B st: NotStopd
t0: [15:37:00 07/09/2016] id: FiO2 Set el: 0 cu: MICU cg: RRT v1: 0.6 u1: torr st: NotStopd t0: [15:37:00 07/09/2016] id: Airway Type el: 0 cu: MICU cg: RRT v1: None st: NotStopd t0: [15:37:00 07/09/2016] id: O2 Delivery Device el: 0 cu: MICU cg: RRT v1: Hi Flow Neb st: NotStopd t0: [15:37:00 07/09/2016] id: SpO2 el: 0 cu: MICU cg: RRT v1: 99 u1: % st: NotStopd
tf: [12:00:00 07/09/2016] pt: Unit Dose rt: PO fr: TID fs: 08, 16, 22 dn: 3 m1: Captopril v1: 12.5 u1: mg
t0: [16:00:00 07/09/2016] id: Pain Present el: 0 cu: MICU cg: -1 v1: No st: NotStopd t0: [16:00:00 07/09/2016] id: Pain Assess Method el: 0 cu: MICU cg: -1 v1: Pt Verbalized st: NotStopd t0: [16:00:00 07/09/2016] id: Service Type el: 0 cu: MICU cg: -1 v1: MICU st: NotStopd t0: [16:00:00 07/09/2016] id: Code Status el: 0 cu: MICU cg: -1 v1: Full Code st: NotStopd t0: [16:00:00 07/09/2016] id: Riker-SAS Scale el: 0 cu: MICU cg: -1 v1: Calm/Cooperative st: NotStopd t0: [16:00:00 07/09/2016] id: Diet Type el: 0 cu: MICU cg: -1 v1: NPO st: NotStopd t0: [16:00:00 07/09/2016] id: Dorsal PedPulse R/L el: 0 cu: MICU cg: -1 v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [16:00:00 07/09/2016] id: Ectopy Frequency el: 0 cu: MICU cg: -1 v1: Occasional st: NotStopd t0: [16:00:00 07/09/2016] id: Ectopy Type el: 0 cu: MICU cg: -1 v1: PVC's st: NotStopd t0: [16:00:00 07/09/2016] id: Eye Opening el: 0 cu: MICU cg: -1 v1: 4 Spontaneously st: NotStopd t0: [16:00:00 07/09/2016] id: Family Communication el: 0 cu: MICU cg: -1 v1: Family Visited st: NotStopd t0: [16:00:00 07/09/2016] id: GCS Total el: 0 cu: MICU cg: -1 v1: 15 u1: points st: NotStopd t0: [16:00:00 07/09/2016] id: Heart Rate el: 0 cu: MICU cg: -1 v1: 102 u1: BPM st: NotStopd t0: [16:00:00 07/09/2016] id: Heart Rhythm el: 0 cu: MICU cg: -1 v1: Sinus Tachy st: NotStopd t0: [16:00:00 07/09/2016] id: INV Line#1 Type/Site el: 0 cu: MICU cg: -1 v1: PICC line v2: Left Brachial st: NotStopd t0: [16:00:00 07/09/2016] id: INV Line#1SiteAppear el: 0 cu: MICU cg: -1 v1: WNL st: NotStopd t0: [16:00:00 07/09/2016] id: Abdominal Assessment el: 0 cu: MICU cg: -1 v1: Obese st: NotStopd t0: [16:00:00 07/09/2016] id: IV #1 Insert Date el: 0 cu: MICU cg: -1 v1: 7 v2: 23 st: NotStopd t0: [16:00:00 07/09/2016] id: IV #1 Site/Size el: 0 cu: MICU cg: -1 v1: RU Post Forearm v2: 20 gauge st: NotStopd t0: [16:00:00 07/09/2016] id: IV Site Appear #1 el: 0 cu: MICU cg: -1 v1: WNL st: NotStopd t0: [16:00:00 07/09/2016] id: LLL Lung Sounds el: 0 cu: MICU cg: -1 v1: Diminished st: NotStopd t0: [16:00:00 07/09/2016] id: LUL Lung Sounds el: 0 cu: MICU cg: -1 v1: Coarse st: NotStopd t0: [16:00:00 07/09/2016] id: Level of Conscious el: 0 cu: MICU cg: -1 v1: Alert st: NotStopd t0: [16:00:00 07/09/2016] id: Motor Response el: 0 cu: MICU cg: -1 v1: 6 Obeys Commands st: NotStopd t0: [16:00:00 07/09/2016] id: NBP el: 0 cu: MICU cg: -1 v1: 114 u1: mmHg v2: 42 u2: mmHg st: NotStopd t0: [16:00:00 07/09/2016] id: NBP Mean el: 0 cu: MICU cg: -1 v1: 66 u1: mmHg st: NotStopd t0: [16:00:00 07/09/2016] id: Oral Cavity el: 0 cu: MICU cg: -1 v1: Teeth/Tissue WNL st: NotStopd t0: [16:00:00 07/09/2016] id: Orientation el: 0 cu: MICU cg: -1 v1: Oriented x 3 st: NotStopd t0: [16:00:00 07/09/2016] id: Pain Location el: 0 cu: MICU cg: -1 v1: Not Indicated st: NotStopd t0: [16:00:00 07/09/2016] id: Pain Type el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [16:00:00 07/09/2016] id: PostTib. Pulses R/L el: 0 cu: MICU cg: -1 v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [16:00:00 07/09/2016] id: Precautions el: 0 cu: MICU cg: -1 v1: Universal st: NotStopd t0: [16:00:00 07/09/2016] id: RLL Lung Sounds el: 0 cu: MICU cg: -1 v1: Diminished st: NotStopd t0: [16:00:00 07/09/2016] id: RUL Lung Sounds el: 0 cu: MICU cg: -1 v1: Coarse st: NotStopd t0: [16:00:00 07/09/2016] id: Respiratory Pattern el: 0 cu: MICU cg: -1 v1: Regular st: NotStopd t0: [16:00:00 07/09/2016] id: Respiratory Rate el: 0 cu: MICU cg: -1 v1: 26 u1: BPM st: NotStopd t0: [16:00:00 07/09/2016] id: Restraint Location el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [16:00:00 07/09/2016] id: Side Rails el: 0 cu: MICU cg: -1 v1: Side Rails Up st: NotStopd t0: [16:00:00 07/09/2016] id: SpO2 el: 0 cu: MICU cg: -1 v1: 100 u1: % st: NotStopd t0: [16:00:00 07/09/2016] id: Stool Guaiac el: 0 cu: MICU cg: -1 v1: Not Applicable st: NotStopd t0: [16:00:00 07/09/2016] id: Support Systems el: 0 cu: MICU cg: -1 v1: Spouse st: NotStopd t0: [16:00:00 07/09/2016] id: Temp. Site el: 0 cu: MICU cg: -1 v1: Axillary st: NotStopd t0: [16:00:00 07/09/2016] id: Temperature C (calc) el: 0 cu: MICU cg: -1 v1: 36.7778 u1: Deg. C st: NotStopd t0: [16:00:00 07/09/2016] id: Temperature F el: 0 cu: MICU cg: -1 v1: 98.2 u1: Deg. F st: NotStopd t0: [16:00:00 07/09/2016] id: Urine Color/Appear el: 0 cu: MICU cg: -1 v1: Amber v2: Clear st: NotStopd t0: [16:00:00 07/09/2016] id: Urine Source el: 0 cu: MICU cg: -1 v1: Indwelling Cath st: NotStopd t0: [16:00:00 07/09/2016] id: Verbal Response el: 0 cu: MICU cg: -1 v1: 5 Oriented st: NotStopd t0: [16:00:00 07/09/2016] id: calprevflg el: 0 cu: MICU cg: -1 v1: 1 u1: kg st: NotStopd t0: [16:00:00 07/09/2016] id: Behavior el: 0 cu: MICU cg: -1 v1: Anxious st: NotStopd t0: [16:00:00 07/09/2016] id: Fingerstick Glucose Chemistry el: 0 cu: MICU cg: -1 v1: 124 rs: Manual st: NotStopd t0: [16:00:00 07/09/2016] id: Bowel Sounds el: 0 cu: MICU cg: -1 v1: Present st: NotStopd
t0: [13:00:00 07/09/2016] tf: [19:00:00 13/09/2016] dt: 9000 id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: -1 ai: 107 vo: 10 vu: ml t0: [14:00:00 07/09/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: -1 ai: 107 vo: 10 vu: ml t0: [15:00:00 07/09/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: -1 ai: 107 vo: 10 vu: ml t0: [16:00:00 07/09/2016] id: Po Intake PO/Gastric el: 1 cu: MICU cg: -1 ai: 103 vo: 60 vu: ml t0: [16:00:00 07/09/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: -1 ai: 107 vo: 10 vu: ml t0: [16:00:00 07/09/2016] id: Urine Out Foley el: 1 cu: MICU cg: -1 vo: 40 vu: ml
t0: [16:18:00 07/09/2016] id: FiO2 Set el: 0 cu: MICU cg: RRT v1: 0.6 u1: torr st: NotStopd t0: [16:18:00 07/09/2016] id: Airway Type el: 0 cu: MICU cg: RRT v1: None st: NotStopd t0: [16:18:00 07/09/2016] id: O2 Delivery Device el: 0 cu: MICU cg: RRT v1: Hi Flow Neb st: NotStopd t0: [16:18:00 07/09/2016] id: O2 Flow (lpm) el: 0 cu: MICU cg: RRT v1: 15 u1: lpm st: NotStopd
t0: [16:00:00 07/09/2016] id: HOB el: 0 cu: MICU cg: -1 v1: 90 degrees st: NotStopd t0: [16:00:00 07/09/2016] id: Activity el: 0 cu: MICU cg: -1 v1: Bedrest st: NotStopd t0: [16:00:00 07/09/2016] id: Activity Tolerance el: 0 cu: MICU cg: -1 v1: Fair st: NotStopd t0: [16:00:00 07/09/2016] id: Position el: 0 cu: MICU cg: -1 v1: Supine st: NotStopd t0: [16:00:00 07/09/2016] id: Assistance Device el: 0 cu: MICU cg: -1 v1: 2 Person Assist st: NotStopd t0: [16:00:00 07/09/2016] id: Turn el: 0 cu: MICU cg: -1 v1: Side to Side st: NotStopd t0: [17:00:00 07/09/2016] id: Service Type el: 0 cu: MICU cg: -1 v1: MICU st: NotStopd t0: [17:00:00 07/09/2016] id: Code Status el: 0 cu: MICU cg: -1 v1: Full Code st: NotStopd t0: [17:00:00 07/09/2016] id: Riker-SAS Scale el: 0 cu: MICU cg: -1 v1: Calm/Cooperative st: NotStopd t0: [17:00:00 07/09/2016] id: Ectopy Frequency el: 0 cu: MICU cg: -1 v1: Occasional st: NotStopd t0: [17:00:00 07/09/2016] id: Ectopy Type el: 0 cu: MICU cg: -1 v1: PVC's st: NotStopd t0: [17:00:00 07/09/2016] id: Heart Rate el: 0 cu: MICU cg: -1 v1: 105 u1: BPM st: NotStopd t0: [17:00:00 07/09/2016] id: Heart Rhythm el: 0 cu: MICU cg: -1 v1: Sinus Tachy st: NotStopd t0: [17:00:00 07/09/2016] id: NBP el: 0 cu: MICU cg: -1 v1: 139 u1: mmHg v2: 78 u2: mmHg st: NotStopd t0: [17:00:00 07/09/2016] id: NBP Mean el: 0 cu: MICU cg: -1 v1: 98.3333 u1: mmHg st: NotStopd t0: [17:00:00 07/09/2016] id: Precautions el: 0 cu: MICU cg: -1 v1: Universal st: NotStopd t0: [17:00:00 07/09/2016] id: Respiratory Rate el: 0 cu: MICU cg: -1 v1: 34 u1: BPM st: NotStopd t0: [17:00:00 07/09/2016] id: SpO2 el: 0 cu: MICU cg: -1 v1: 98 u1: % st: NotStopd t0: [17:00:00 07/09/2016] id: calprevflg el: 0 cu: MICU cg: -1 v1: 1 u1: kg st: NotStopd
t0: [17:00:00 07/09/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: -1 ai: 107 vo: 10 vu: ml t0: [17:00:00 07/09/2016] id: Urine Out Foley el: 1 cu: MICU cg: -1 vo: 15 vu: ml
t0: [18:00:00 07/09/2016] id: Service Type el: 0 cu: MICU cg: -1 v1: MICU st: NotStopd t0: [18:00:00 07/09/2016] id: Code Status el: 0 cu: MICU cg: -1 v1: Full Code st: NotStopd t0: [18:00:00 07/09/2016] id: Riker-SAS Scale el: 0 cu: MICU cg: -1 v1: Calm/Cooperative st: NotStopd t0: [18:00:00 07/09/2016] id: Ectopy Frequency el: 0 cu: MICU cg: -1 v1: Occasional st: NotStopd t0: [18:00:00 07/09/2016] id: Ectopy Type el: 0 cu: MICU cg: -1 v1: PVC's st: NotStopd t0: [18:00:00 07/09/2016] id: HOB el: 0 cu: MICU cg: -1 v1: 90 degrees st: NotStopd t0: [18:00:00 07/09/2016] id: Heart Rate el: 0 cu: MICU cg: -1 v1: 112 u1: BPM st: NotStopd t0: [18:00:00 07/09/2016] id: Heart Rhythm el: 0 cu: MICU cg: -1 v1: Sinus Tachy st: NotStopd t0: [18:00:00 07/09/2016] id: Activity el: 0 cu: MICU cg: -1 v1: Bedrest st: NotStopd t0: [18:00:00 07/09/2016] id: Activity Tolerance el: 0 cu: MICU cg: -1 v1: Fair st: NotStopd t0: [18:00:00 07/09/2016] id: Position el: 0 cu: MICU cg: -1 v1: Left Side st: NotStopd t0: [18:00:00 07/09/2016] id: Assistance Device el: 0 cu: MICU cg: -1 v1: 2 Person Assist st: NotStopd t0: [18:00:00 07/09/2016] id: Precautions el: 0 cu: MICU cg: -1 v1: Universal st: NotStopd t0: [18:00:00 07/09/2016] id: Respiratory Rate el: 0 cu: MICU cg: -1 v1: 28 u1: BPM st: NotStopd t0: [18:00:00 07/09/2016] id: SpO2 el: 0 cu: MICU cg: -1 v1: 98 u1: % st: NotStopd t0: [18:00:00 07/09/2016] id: Turn el: 0 cu: MICU cg: -1 v1: Side to Side st: NotStopd t0: [18:00:00 07/09/2016] id: calprevflg el: 0 cu: MICU cg: -1 v1: 1 u1: kg st: NotStopd
t0: [18:00:00 07/09/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: -1 ai: 107 vo: 10 vu: ml t0: [18:00:00 07/09/2016] id: Urine Out Foley el: 1 cu: MICU cg: -1 vo: 35 vu: ml
t0: [18:00:00 07/09/2016] id: NBP el: 0 cu: MICU cg: -1 v1: 129 u1: mmHg v2: 43 u2: mmHg st: NotStopd t0: [18:00:00 07/09/2016] id: NBP Mean el: 0 cu: MICU cg: -1 v1: 71.6667 u1: mmHg st: NotStopd
tf: [18:00:00 08/09/2016] pt: Unit Dose rt: IV fr: ONCE fs: 19 dn: 1 m1: Lorazepam v1: 1.5 u1: mg tf: [18:00:00 09/09/2016] pt: Unit Dose rt: IV fr: Q6H fs: 19, 1, 7, 13 dn: 4 m1: Hydralazine HCl v1: 10 u1: mg tf: [17:00:00 21/09/2016] pt: Unit Dose rt: IV fr: Q4H:PRN m1: Lorazepam v1: 1-2 u1: mg
tf: [18:00:00 07/09/2016] pt: IV Piggyback rt: IV fr: Q12H fs: 20, 8 dn: 2 m1: Vancomycin HCl v1: 1000 u1: mg m2: Iso-Osmotic Dextrose v2: 200 u2: ml
t0: [19:00:00 07/09/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [19:00:00 07/09/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [19:00:00 07/09/2016] id: Dorsal PedPulse R/L el: 0 cu: MICU cg: RN v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [19:00:00 07/09/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: Occasional st: NotStopd t0: [19:00:00 07/09/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: PVC's st: NotStopd t0: [19:00:00 07/09/2016] id: Eye Opening el: 0 cu: MICU cg: RN v1: 4 Spontaneously st: NotStopd t0: [19:00:00 07/09/2016] id: GCS Total el: 0 cu: MICU cg: RN v1: 15 u1: points st: NotStopd t0: [19:00:00 07/09/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 105 u1: BPM st: NotStopd t0: [19:00:00 07/09/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Sinus Tachy st: NotStopd t0: [19:00:00 07/09/2016] id: Abdominal Assessment el: 0 cu: MICU cg: RN v1: Obese st: NotStopd t0: [19:00:00 07/09/2016] id: Activity el: 0 cu: MICU cg: RN v1: Commode st: NotStopd t0: [19:00:00 07/09/2016] id: Activity Tolerance el: 0 cu: MICU cg: RN v1: Fair st: NotStopd t0: [19:00:00 07/09/2016] id: Airway Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [19:00:00 07/09/2016] id: LLL Lung Sounds el: 0 cu: MICU cg: RN v1: Crackles st: NotStopd t0: [19:00:00 07/09/2016] id: LUL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [19:00:00 07/09/2016] id: Level of Conscious el: 0 cu: MICU cg: RN v1: Alert st: NotStopd t0: [19:00:00 07/09/2016] id: Motor Response el: 0 cu: MICU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [19:00:00 07/09/2016] id: NBP el: 0 cu: MICU cg: RN v1: 121 u1: mmHg v2: 57 u2: mmHg st: NotStopd t0: [19:00:00 07/09/2016] id: NBP Mean el: 0 cu: MICU cg: RN v1: 78.3333 u1: mmHg st: NotStopd t0: [19:00:00 07/09/2016] id: O2 Delivery Device el: 0 cu: MICU cg: RN v1: Hi Flow Neb st: NotStopd t0: [19:00:00 07/09/2016] id: O2 Flow (lpm) el: 0 cu: MICU cg: RN v1: 15 u1: lpm st: NotStopd t0: [19:00:00 07/09/2016] id: Oral Cavity el: 0 cu: MICU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [19:00:00 07/09/2016] id: Orientation el: 0 cu: MICU cg: RN v1: Oriented x 3 st: NotStopd t0: [19:00:00 07/09/2016] id: Assistance Device el: 0 cu: MICU cg: RN v1: Supervised st: NotStopd t0: [19:00:00 07/09/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [19:00:00 07/09/2016] id: RLL Lung Sounds el: 0 cu: MICU cg: RN v1: Crackles st: NotStopd t0: [19:00:00 07/09/2016] id: RUL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [19:00:00 07/09/2016] id: Respiratory Pattern el: 0 cu: MICU cg: RN v1: Regular st: NotStopd t0: [19:00:00 07/09/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 36 u1: BPM st: NotStopd t0: [19:00:00 07/09/2016] id: Restraint Location el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [19:00:00 07/09/2016] id: Side Rails el: 0 cu: MICU cg: RN v1: Side Rails Up st: NotStopd t0: [19:00:00 07/09/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 99 u1: % st: NotStopd t0: [19:00:00 07/09/2016] id: Support Systems el: 0 cu: MICU cg: RN v1: Spouse st: NotStopd t0: [19:00:00 07/09/2016] id: Urine Color/Appear el: 0 cu: MICU cg: RN v1: Amber v2: Clear st: NotStopd t0: [19:00:00 07/09/2016] id: Urine Source el: 0 cu: MICU cg: RN v1: Indwelling Cath st: NotStopd t0: [19:00:00 07/09/2016] id: Verbal Response el: 0 cu: MICU cg: RN v1: 5 Oriented st: NotStopd t0: [19:00:00 07/09/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [19:00:00 07/09/2016] id: Behavior el: 0 cu: MICU cg: RN v1: Anxious st: NotStopd t0: [19:00:00 07/09/2016] id: Bowel Sounds el: 0 cu: MICU cg: RN v1: Present st: NotStopd t0: [20:00:00 07/09/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [20:00:00 07/09/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [20:00:00 07/09/2016] id: HOB el: 0 cu: MICU cg: RN v1: 90 degrees st: NotStopd t0: [20:00:00 07/09/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 106 u1: BPM st: NotStopd t0: [20:00:00 07/09/2016] id: INV Line#1 Type/Site el: 0 cu: MICU cg: RN v1: PICC line v2: Left Brachial st: NotStopd t0: [20:00:00 07/09/2016] id: INV Line#1SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [20:00:00 07/09/2016] id: IV #1 Insert Date el: 0 cu: MICU cg: RN v1: 7 v2: 23 st: NotStopd t0: [20:00:00 07/09/2016] id: IV #1 Site/Size el: 0 cu: MICU cg: RN v1: RU Post Forearm v2: 20 gauge st: NotStopd t0: [20:00:00 07/09/2016] id: Activity el: 0 cu: MICU cg: RN v1: Bedrest st: NotStopd t0: [20:00:00 07/09/2016] id: IV Site Appear #1 el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [20:00:00 07/09/2016] id: Activity Tolerance el: 0 cu: MICU cg: RN v1: Tolerated Well st: NotStopd t0: [20:00:00 07/09/2016] id: Airway Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [20:00:00 07/09/2016] id: O2 Delivery Device el: 0 cu: MICU cg: RN v1: Hi Flow Neb st: NotStopd t0: [20:00:00 07/09/2016] id: O2 Flow (lpm) el: 0 cu: MICU cg: RN v1: 15 u1: lpm st: NotStopd t0: [20:00:00 07/09/2016] id: Position el: 0 cu: MICU cg: RN v1: Supine st: NotStopd t0: [20:00:00 07/09/2016] id: Assistance Device el: 0 cu: MICU cg: RN v1: Supervised st: NotStopd t0: [20:00:00 07/09/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [20:00:00 07/09/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 35 u1: BPM st: NotStopd t0: [20:00:00 07/09/2016] id: Restraint Location el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [20:00:00 07/09/2016] id: Side Rails el: 0 cu: MICU cg: RN v1: Side Rails Up st: NotStopd t0: [20:00:00 07/09/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 97 u1: % st: NotStopd t0: [20:00:00 07/09/2016] id: Support Systems el: 0 cu: MICU cg: RN v1: Spouse st: NotStopd t0: [20:00:00 07/09/2016] id: Turn el: 0 cu: MICU cg: RN v1: Back st: NotStopd t0: [20:00:00 07/09/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [20:00:00 07/09/2016] id: Behavior el: 0 cu: MICU cg: RN v1: Calm st: NotStopd
t0: [20:00:00 07/09/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 10 vu: ml t0: [20:00:00 07/09/2016] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 45 vu: ml
t0: [20:00:00 07/09/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Sinus Tachy st: NotStopd t0: [20:00:00 07/09/2016] id: NBP el: 0 cu: MICU cg: RN v1: 151 u1: mmHg v2: 64 u2: mmHg st: NotStopd t0: [20:00:00 07/09/2016] id: NBP Mean el: 0 cu: MICU cg: RN v1: 93 u1: mmHg st: NotStopd
t0: [21:00:00 07/09/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [21:00:00 07/09/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [21:00:00 07/09/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: Occasional st: NotStopd t0: [21:00:00 07/09/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: PVC's st: NotStopd t0: [21:00:00 07/09/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 110 u1: BPM st: NotStopd t0: [21:00:00 07/09/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Sinus Tachy st: NotStopd t0: [21:00:00 07/09/2016] id: NBP el: 0 cu: MICU cg: RN v1: 132 u1: mmHg v2: 55 u2: mmHg st: NotStopd t0: [21:00:00 07/09/2016] id: NBP Mean el: 0 cu: MICU cg: RN v1: 80.6667 u1: mmHg st: NotStopd t0: [21:00:00 07/09/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [21:00:00 07/09/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 37 u1: BPM st: NotStopd t0: [21:00:00 07/09/2016] id: Temp. Site el: 0 cu: MICU cg: RN v1: Axillary st: NotStopd t0: [21:00:00 07/09/2016] id: Temperature C (calc) el: 0 cu: MICU cg: RN v1: 37.2222 u1: Deg. C st: NotStopd t0: [21:00:00 07/09/2016] id: Temperature F el: 0 cu: MICU cg: RN v1: 99 u1: Deg. F st: NotStopd t0: [21:00:00 07/09/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [20:00:00 07/09/2016] id: Po Intake PO/Gastric el: 1 cu: MICU cg: RN ai: 103 vo: 200 vu: ml t0: [21:00:00 07/09/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 10 vu: ml
t0: [19:00:00 07/09/2016] id: Diet Type el: 0 cu: MICU cg: RN v1: Clear Liquid st: NotStopd t0: [21:00:00 07/09/2016] id: Diet Type el: 0 cu: MICU cg: RN v1: Clear Liquid st: NotStopd t0: [21:00:00 07/09/2016] id: Eye Opening el: 0 cu: MICU cg: RN v1: 4 Spontaneously st: NotStopd t0: [21:00:00 07/09/2016] id: GCS Total el: 0 cu: MICU cg: RN v1: 15 u1: points st: NotStopd t0: [21:00:00 07/09/2016] id: Level of Conscious el: 0 cu: MICU cg: RN v1: Alert st: NotStopd t0: [21:00:00 07/09/2016] id: Motor Response el: 0 cu: MICU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [21:00:00 07/09/2016] id: Orientation el: 0 cu: MICU cg: RN v1: Oriented x 3 st: NotStopd t0: [21:00:00 07/09/2016] id: Respiratory Pattern el: 0 cu: MICU cg: RN v1: Regular st: NotStopd t0: [21:00:00 07/09/2016] id: Restraint Location el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [21:00:00 07/09/2016] id: Side Rails el: 0 cu: MICU cg: RN v1: Side Rails Up st: NotStopd t0: [21:00:00 07/09/2016] id: Support Systems el: 0 cu: MICU cg: RN v1: Spouse st: NotStopd t0: [21:00:00 07/09/2016] id: Urine Color/Appear el: 0 cu: MICU cg: RN v1: Amber v2: Clear st: NotStopd t0: [21:00:00 07/09/2016] id: Urine Source el: 0 cu: MICU cg: RN v1: Indwelling Cath st: NotStopd t0: [21:00:00 07/09/2016] id: Verbal Response el: 0 cu: MICU cg: RN v1: 5 Oriented st: NotStopd t0: [21:00:00 07/09/2016] id: Behavior el: 0 cu: MICU cg: RN v1: Anxious st: NotStopd
t0: [21:00:00 07/09/2016] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 35 vu: ml
t0: [22:00:00 07/09/2016] id: FiO2 Set el: 0 cu: MICU cg: -1 v1: 0.7 u1: torr st: NotStopd t0: [22:00:00 07/09/2016] id: Airway Type el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [22:00:00 07/09/2016] id: SpO2 el: 0 cu: MICU cg: -1 v1: 99 u1: % st: NotStopd
id: Propofol el: 100 cu: MICU cg: RN io: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions am: 500 du: mcgkgmin rt: IV Drip
id: N/A el: 1 cu: MICU cg: RN io: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions vo: 50 du: vl rt: Intravenous Push
t0: [23:00:00 07/09/2016] id: Compliance (40-60ml) el: 0 cu: MICU cg: -1 v1: 28 u1: ml/cmH st: NotStopd t0: [23:00:00 07/09/2016] id: ETT Mark/Location el: 0 cu: MICU cg: -1 v1: 23cm v2: Lip st: NotStopd t0: [23:00:00 07/09/2016] id: FiO2 Set el: 0 cu: MICU cg: -1 v1: 1 u1: torr st: NotStopd t0: [23:00:00 07/09/2016] id: High Insp. Pressure el: 0 cu: MICU cg: -1 v1: 45 u1: cmH2O st: NotStopd t0: [23:00:00 07/09/2016] id: High Resp. Rate el: 0 cu: MICU cg: -1 v1: 20 u1: BPM st: NotStopd t0: [23:00:00 07/09/2016] id: I:E Ratio el: 0 cu: MICU cg: -1 v1: 1:3 st: NotStopd t0: [23:00:00 07/09/2016] id: Airway Size el: 0 cu: MICU cg: -1 v1: 8.5 mm st: NotStopd t0: [23:00:00 07/09/2016] id: Airway Type el: 0 cu: MICU cg: -1 v1: Endotracheal st: NotStopd t0: [23:00:00 07/09/2016] id: Inspired Gas Temp el: 0 cu: MICU cg: -1 u1: Deg. C st: NotStopd t0: [23:00:00 07/09/2016] id: Intubation Date el: 0 cu: MICU cg: -1 v1: 7 v2: 23 st: NotStopd t0: [23:00:00 07/09/2016] id: Low Exhaled Min Vol el: 0 cu: MICU cg: -1 v1: 2 st: NotStopd t0: [23:00:00 07/09/2016] id: Mean Airway Pressure el: 0 cu: MICU cg: -1 v1: 16 u1: cmH2O st: NotStopd t0: [23:00:00 07/09/2016] id: Minute Volume(Obser) el: 0 cu: MICU cg: -1 v1: 10.4 u1: L/min st: NotStopd t0: [23:00:00 07/09/2016] id: PEEP Set el: 0 cu: MICU cg: -1 v1: 10 u1: cmH2O st: NotStopd t0: [23:00:00 07/09/2016] id: Peak Insp. Pressure el: 0 cu: MICU cg: -1 v1: 35 u1: cmH2O st: NotStopd t0: [23:00:00 07/09/2016] id: Plateau Pressure el: 0 cu: MICU cg: -1 v1: 31 u1: cmH2O st: NotStopd t0: [23:00:00 07/09/2016] id: Pressure Support el: 0 cu: MICU cg: -1 v1: 0 u1: . st: NotStopd t0: [23:00:00 07/09/2016] id: Resp Rate (Spont) el: 0 cu: MICU cg: -1 v1: 0 u1: BPM st: NotStopd t0: [23:00:00 07/09/2016] id: Resp Rate (Total) el: 0 cu: MICU cg: -1 v1: 16 u1: BPM st: NotStopd t0: [23:00:00 07/09/2016] id: Respiratory Rate Set el: 0 cu: MICU cg: -1 v1: 16 u1: BPM st: NotStopd t0: [23:00:00 07/09/2016] id: Sensitivity-Vent el: 0 cu: MICU cg: -1 v1: 3 u1: cmH2O st: NotStopd t0: [23:00:00 07/09/2016] id: SpO2 el: 0 cu: MICU cg: -1 v1: 99 u1: % st: NotStopd t0: [23:00:00 07/09/2016] id: Tidal Volume (Obser) el: 0 cu: MICU cg: -1 v1: 665 u1: ml/B st: NotStopd t0: [23:00:00 07/09/2016] id: Tidal Volume (Set) el: 0 cu: MICU cg: -1 v1: 700 u1: ml/B st: NotStopd t0: [23:00:00 07/09/2016] id: Ventilator Mode el: 0 cu: MICU cg: -1 v1: Assist Control st: NotStopd t0: [23:00:00 07/09/2016] id: Ventilator Type el: 0 cu: MICU cg: -1 v1: Drager st: NotStopd t0: [23:00:00 07/09/2016] id: Waveform-Vent el: 0 cu: MICU cg: -1 v1: RAMP st: NotStopd
t0: [22:00:00 07/09/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [22:00:00 07/09/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [22:00:00 07/09/2016] id: Riker-SAS Scale el: 0 cu: MICU cg: RN v1: Agitated st: NotStopd t0: [22:00:00 07/09/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 102 u1: BPM st: NotStopd t0: [22:00:00 07/09/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [22:00:00 07/09/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 22 u1: BPM st: NotStopd t0: [22:00:00 07/09/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [22:15:00 07/09/2016] id: FiO2 Set el: 0 cu: MICU cg: RN v1: 0.7 u1: torr st: NotStopd t0: [22:15:00 07/09/2016] id: Airway Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [22:15:00 07/09/2016] id: O2 Delivery Device el: 0 cu: MICU cg: RN v1: Hi Flow Neb st: NotStopd t0: [22:15:00 07/09/2016] id: O2 Flow (lpm) el: 0 cu: MICU cg: RN v1: 15 u1: lpm st: NotStopd t0: [22:15:00 07/09/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 100 u1: % st: NotStopd t0: [22:15:00 07/09/2016] id: Ventilator Type el: 0 cu: MICU cg: RN v1: Drager st: NotStopd t0: [22:30:00 07/09/2016] id: FiO2 Set el: 0 cu: MICU cg: RN v1: 0.7 u1: torr st: NotStopd t0: [22:30:00 07/09/2016] id: Airway Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [22:30:00 07/09/2016] id: O2 Delivery Device el: 0 cu: MICU cg: RN v1: Hi Flow Neb st: NotStopd t0: [22:30:00 07/09/2016] id: O2 Flow (lpm) el: 0 cu: MICU cg: RN v1: 15 u1: lpm st: NotStopd t0: [22:30:00 07/09/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 97 u1: % st: NotStopd t0: [22:30:00 07/09/2016] id: Ventilator Type el: 0 cu: MICU cg: RN v1: Drager st: NotStopd t0: [23:00:00 07/09/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [23:00:00 07/09/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [23:00:00 07/09/2016] id: Riker-SAS Scale el: 0 cu: MICU cg: RN v1: Very Sedated st: NotStopd t0: [23:00:00 07/09/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 87 u1: BPM st: NotStopd t0: [23:00:00 07/09/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [23:00:00 07/09/2016] id: NBP el: 0 cu: MICU cg: RN v1: 104 u1: mmHg v2: 46 u2: mmHg st: NotStopd t0: [23:00:00 07/09/2016] id: NBP Mean el: 0 cu: MICU cg: RN v1: 65.3333 u1: mmHg st: NotStopd t0: [23:00:00 07/09/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [23:00:00 07/09/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 16 u1: BPM st: NotStopd t0: [23:00:00 07/09/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [23:15:00 07/09/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [23:15:00 07/09/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [23:15:00 07/09/2016] id: Riker-SAS Scale el: 0 cu: MICU cg: RN v1: Very Sedated st: NotStopd t0: [23:15:00 07/09/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 95 u1: BPM st: NotStopd t0: [23:15:00 07/09/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [23:15:00 07/09/2016] id: NBP el: 0 cu: MICU cg: RN v1: 111 u1: mmHg v2: 47 u2: mmHg st: NotStopd t0: [23:15:00 07/09/2016] id: NBP Mean el: 0 cu: MICU cg: RN v1: 68.3333 u1: mmHg st: NotStopd t0: [23:15:00 07/09/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [23:15:00 07/09/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 16 u1: BPM st: NotStopd t0: [23:15:00 07/09/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 99 u1: % st: NotStopd t0: [23:15:00 07/09/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [23:00:00 07/09/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 200 vu: ml
t0: [23:35:00 07/09/2016] id: BSA el: 1033 cu: MICU cg: -1 t0: [23:35:00 07/09/2016] id: Admit Wt el: 1032 cu: MICU cg: -1 v1: 173 u1: kg t0: [23:35:00 07/09/2016] id: Allergy 1 el: 1020 cu: MICU cg: -1 t0: [23:35:00 07/09/2016] id: Diagnosis/op el: 1023 cu: MICU cg: -1 v1: CVA; CHF PNEUMONIA t0: [23:35:00 07/09/2016] id: Service el: 1026 cu: MICU cg: -1 v1: MED t0: [23:35:00 07/09/2016] id: Admit Ht el: 1034 cu: MICU cg: -1 t0: [23:35:00 07/09/2016] id: Readmission el: 1014 cu: MICU cg: -1 t0: [23:35:00 07/09/2016] id: Marital Status el: 1006 cu: MICU cg: -1 v1: M t0: [23:35:00 07/09/2016] id: Religion el: 1000 cu: MICU cg: -1 v1: U t0: [23:35:00 07/09/2016] id: Allergy 2 el: 1021 cu: MICU cg: -1 t0: [23:35:00 07/09/2016] id: Ext el: 1010 cu: MICU cg: -1 t0: [23:35:00 07/09/2016] id: PIN el: 1012 cu: MICU cg: -1 t0: [23:35:00 07/09/2016] id: Allergy 3 el: 1022 cu: MICU cg: -1
t0: [22:00:00 07/09/2016] id: Diet Type el: 0 cu: MICU cg: RN v1: NPO st: NotStopd t0: [22:00:00 07/09/2016] id: Eye Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [22:00:00 07/09/2016] id: Eye Opening el: 0 cu: MICU cg: RN v1: 4 Spontaneously st: NotStopd t0: [22:00:00 07/09/2016] id: GCS Total el: 0 cu: MICU cg: RN v1: 15 u1: points st: NotStopd t0: [22:00:00 07/09/2016] id: HOB el: 0 cu: MICU cg: RN v1: 90 degrees st: NotStopd t0: [22:00:00 07/09/2016] id: Abdominal Assessment el: 0 cu: MICU cg: RN v1: Obese st: NotStopd t0: [22:00:00 07/09/2016] id: Activity el: 0 cu: MICU cg: RN v1: Bedrest st: NotStopd t0: [22:00:00 07/09/2016] id: Activity Tolerance el: 0 cu: MICU cg: RN v1: Poor st: NotStopd t0: [22:00:00 07/09/2016] id: LLL Lung Sounds el: 0 cu: MICU cg: RN v1: Crackles st: NotStopd t0: [22:00:00 07/09/2016] id: LUL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [22:00:00 07/09/2016] id: Level of Conscious el: 0 cu: MICU cg: RN v1: Alert st: NotStopd t0: [22:00:00 07/09/2016] id: Motor Response el: 0 cu: MICU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [22:00:00 07/09/2016] id: Oral Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [22:00:00 07/09/2016] id: Orientation el: 0 cu: MICU cg: RN v1: Oriented x 3 st: NotStopd t0: [22:00:00 07/09/2016] id: Position el: 0 cu: MICU cg: RN v1: Supine st: NotStopd t0: [22:00:00 07/09/2016] id: Assistance Device el: 0 cu: MICU cg: RN v1: Independent st: NotStopd t0: [22:00:00 07/09/2016] id: RLL Lung Sounds el: 0 cu: MICU cg: RN v1: Crackles st: NotStopd t0: [22:00:00 07/09/2016] id: RUL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [22:00:00 07/09/2016] id: Respiratory Pattern el: 0 cu: MICU cg: RN v1: Regular st: NotStopd t0: [22:00:00 07/09/2016] id: Restraint Location el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [22:00:00 07/09/2016] id: Side Rails el: 0 cu: MICU cg: RN v1: Side Rails Up st: NotStopd t0: [22:00:00 07/09/2016] id: Skin Integrity el: 0 cu: MICU cg: RN v1: Intact st: NotStopd t0: [22:00:00 07/09/2016] id: Support Systems el: 0 cu: MICU cg: RN v1: Spouse st: NotStopd t0: [22:00:00 07/09/2016] id: Turn el: 0 cu: MICU cg: RN v1: Back st: NotStopd t0: [22:00:00 07/09/2016] id: Urine Color/Appear el: 0 cu: MICU cg: RN v1: Amber v2: Clear st: NotStopd t0: [22:00:00 07/09/2016] id: Urine Source el: 0 cu: MICU cg: RN v1: Indwelling Cath st: NotStopd t0: [22:00:00 07/09/2016] id: Verbal Response el: 0 cu: MICU cg: RN v1: 5 Oriented st: NotStopd t0: [22:00:00 07/09/2016] id: Behavior el: 0 cu: MICU cg: RN v1: Anxious st: NotStopd t0: [22:00:00 07/09/2016] id: Bowel Sounds el: 0 cu: MICU cg: RN v1: Present st: NotStopd t0: [22:00:00 07/09/2016] id: Braden Activity el: 0 cu: MICU cg: RN v1: Bedfast st: NotStopd t0: [22:00:00 07/09/2016] id: Braden Frict/Shear el: 0 cu: MICU cg: RN v1: Potential Prob st: NotStopd t0: [22:00:00 07/09/2016] id: Braden Mobility el: 0 cu: MICU cg: RN v1: Very Limited st: NotStopd t0: [22:00:00 07/09/2016] id: Braden Moisture el: 0 cu: MICU cg: RN v1: Consist. Moist st: NotStopd t0: [22:00:00 07/09/2016] id: Braden Nutrition el: 0 cu: MICU cg: RN v1: Very Poor st: NotStopd t0: [22:00:00 07/09/2016] id: Braden Score el: 0 cu: MICU cg: RN v1: 11 u1: number st: NotStopd t0: [22:00:00 07/09/2016] id: Braden SensoryPercep el: 0 cu: MICU cg: RN v1: No Impairment st: NotStopd t0: [23:00:00 07/09/2016] id: Range of Motion el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [23:00:00 07/09/2016] id: Circulation/SkinInt el: 0 cu: MICU cg: RN v1: Circulation Adeq st: NotStopd t0: [23:00:00 07/09/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [23:00:00 07/09/2016] id: HOB el: 0 cu: MICU cg: RN v1: 30 degrees st: NotStopd t0: [23:00:00 07/09/2016] id: INV Line#1 Type/Site el: 0 cu: MICU cg: RN v1: PICC line v2: Left Brachial st: NotStopd t0: [23:00:00 07/09/2016] id: INV Line#1SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [23:00:00 07/09/2016] id: IV #1 Insert Date el: 0 cu: MICU cg: RN v1: 7 v2: 23 st: NotStopd t0: [23:00:00 07/09/2016] id: IV #1 Site/Size el: 0 cu: MICU cg: RN v1: RU Post Forearm v2: 20 gauge st: NotStopd t0: [23:00:00 07/09/2016] id: Activity el: 0 cu: MICU cg: RN v1: Bedrest st: NotStopd t0: [23:00:00 07/09/2016] id: IV Site Appear #1 el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [23:00:00 07/09/2016] id: Activity Tolerance el: 0 cu: MICU cg: RN v1: Tolerated Well st: NotStopd t0: [23:00:00 07/09/2016] id: Oral Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [23:00:00 07/09/2016] id: Position el: 0 cu: MICU cg: RN v1: Supine st: NotStopd t0: [23:00:00 07/09/2016] id: Position Change el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [23:00:00 07/09/2016] id: Assistance Device el: 0 cu: MICU cg: RN v1: 2 Person Assist st: NotStopd t0: [23:00:00 07/09/2016] id: Reason For Restraint el: 0 cu: MICU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [23:00:00 07/09/2016] id: Removed x 5 Mins el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [23:00:00 07/09/2016] id: Restraint Location el: 0 cu: MICU cg: RN v1: Both Arms st: NotStopd t0: [23:00:00 07/09/2016] id: Restraint Type el: 0 cu: MICU cg: RN v1: Soft Limb st: NotStopd t0: [23:00:00 07/09/2016] id: Restraints Evaluated el: 0 cu: MICU cg: RN v1: Behavior Conts st: NotStopd t0: [23:00:00 07/09/2016] id: Side Rails el: 0 cu: MICU cg: RN v1: Side Rails Up st: NotStopd t0: [23:00:00 07/09/2016] id: Significant Events el: 0 cu: MICU cg: RN v1: Intubated st: NotStopd t0: [23:00:00 07/09/2016] id: Support Systems el: 0 cu: MICU cg: RN v1: Spouse st: NotStopd t0: [23:00:00 07/09/2016] id: Turn el: 0 cu: MICU cg: RN v1: Back st: NotStopd t0: [23:15:00 07/09/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd
t0: [23:00:00 07/09/2016] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 45 vu: ml
t0: [23:15:00 07/09/2016] tf: [15:58:00 24/10/2016] dt: 67243 id: Propofol el: 1 cu: MICU cg: RN so: N/A vo: 0 v1: 50 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [23:00:00 07/09/2016] id: Diet Type el: 0 cu: MICU cg: RN v1: NPO st: NotStopd t0: [23:00:00 07/09/2016] id: Level of Conscious el: 0 cu: MICU cg: RN v1: Sedated st: NotStopd t0: [23:00:00 07/09/2016] id: Respiratory Pattern el: 0 cu: MICU cg: RN v1: Regular st: NotStopd t0: [23:00:00 07/09/2016] id: Urine Source el: 0 cu: MICU cg: RN v1: Indwelling Cath st: NotStopd t0: [23:30:00 07/09/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [23:30:00 07/09/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [23:30:00 07/09/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [23:30:00 07/09/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 74 u1: BPM st: NotStopd t0: [23:30:00 07/09/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [23:30:00 07/09/2016] id: NBP el: 0 cu: MICU cg: RN v1: 111 u1: mmHg v2: 47 u2: mmHg st: NotStopd t0: [23:30:00 07/09/2016] id: NBP Mean el: 0 cu: MICU cg: RN v1: 68.3333 u1: mmHg st: NotStopd t0: [23:30:00 07/09/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [23:30:00 07/09/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 16 u1: BPM st: NotStopd t0: [23:30:00 07/09/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 100 u1: % st: NotStopd t0: [23:30:00 07/09/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [00:00:00 08/09/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [00:00:00 08/09/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [00:00:00 08/09/2016] id: Riker-SAS Scale el: 0 cu: MICU cg: RN v1: Very Sedated st: NotStopd t0: [00:00:00 08/09/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [00:00:00 08/09/2016] id: Diet Type el: 0 cu: MICU cg: RN v1: NPO st: NotStopd t0: [00:00:00 08/09/2016] id: Dorsal PedPulse R/L el: 0 cu: MICU cg: RN v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [00:00:00 08/09/2016] id: Eye Opening el: 0 cu: MICU cg: RN v1: 2 To pain st: NotStopd t0: [00:00:00 08/09/2016] id: GCS Total el: 0 cu: MICU cg: RN v1: 4 u1: points st: NotStopd t0: [00:00:00 08/09/2016] id: HOB el: 0 cu: MICU cg: RN v1: 30 degrees st: NotStopd t0: [00:00:00 08/09/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 65 u1: BPM st: NotStopd t0: [00:00:00 08/09/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [00:00:00 08/09/2016] id: Abdominal Assessment el: 0 cu: MICU cg: RN v1: Obese st: NotStopd t0: [00:00:00 08/09/2016] id: Activity el: 0 cu: MICU cg: RN v1: Bedrest st: NotStopd t0: [00:00:00 08/09/2016] id: LLL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [00:00:00 08/09/2016] id: LUL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [00:00:00 08/09/2016] id: Level of Conscious el: 0 cu: MICU cg: RN v1: Sedated st: NotStopd t0: [00:00:00 08/09/2016] id: Motor Response el: 0 cu: MICU cg: RN v1: 1 No Response st: NotStopd t0: [00:00:00 08/09/2016] id: NBP el: 0 cu: MICU cg: RN v1: 92 u1: mmHg v2: 36 u2: mmHg st: NotStopd t0: [00:00:00 08/09/2016] id: NBP Mean el: 0 cu: MICU cg: RN v1: 54.6667 u1: mmHg st: NotStopd t0: [00:00:00 08/09/2016] id: Oral Cavity el: 0 cu: MICU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [00:00:00 08/09/2016] id: PostTib. Pulses R/L el: 0 cu: MICU cg: RN v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [00:00:00 08/09/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [00:00:00 08/09/2016] id: RLL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [00:00:00 08/09/2016] id: RUL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [00:00:00 08/09/2016] id: Reason For Restraint el: 0 cu: MICU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [00:00:00 08/09/2016] id: Respiratory Pattern el: 0 cu: MICU cg: RN v1: Regular st: NotStopd t0: [00:00:00 08/09/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 16 u1: BPM st: NotStopd t0: [00:00:00 08/09/2016] id: Restraint Location el: 0 cu: MICU cg: RN v1: Both Arms st: NotStopd t0: [00:00:00 08/09/2016] id: Restraint Type el: 0 cu: MICU cg: RN v1: Soft Limb st: NotStopd t0: [00:00:00 08/09/2016] id: Side Rails el: 0 cu: MICU cg: RN v1: Side Rails Up st: NotStopd t0: [00:00:00 08/09/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 100 u1: % st: NotStopd t0: [00:00:00 08/09/2016] id: Support Systems el: 0 cu: MICU cg: RN v1: Spouse st: NotStopd t0: [00:00:00 08/09/2016] id: Temp. Site el: 0 cu: MICU cg: RN v1: Axillary st: NotStopd t0: [00:00:00 08/09/2016] id: Temperature C (calc) el: 0 cu: MICU cg: RN v1: 36.5556 u1: Deg. C st: NotStopd t0: [00:00:00 08/09/2016] id: Temperature F el: 0 cu: MICU cg: RN v1: 97.8 u1: Deg. F st: NotStopd t0: [00:00:00 08/09/2016] id: Turn el: 0 cu: MICU cg: RN v1: Back st: NotStopd t0: [00:00:00 08/09/2016] id: Urine Source el: 0 cu: MICU cg: RN v1: Indwelling Cath st: NotStopd t0: [00:00:00 08/09/2016] id: Verbal Response el: 0 cu: MICU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [00:00:00 08/09/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [00:00:00 08/09/2016] id: Bowel Sounds el: 0 cu: MICU cg: RN v1: Present st: NotStopd
t0: [00:00:00 08/09/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 20 vu: ml t0: [00:00:00 08/09/2016] tf: [00:00:00 14/09/2016] dt: 8640 id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 50 vu: ml t0: [00:00:00 08/09/2016] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 0 vu: ml
t0: [23:30:00 07/09/2016] id: Propofol el: 1 cu: MICU cg: RN so: N/A vo: 0 v1: 50 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [00:00:00 08/09/2016] id: Propofol el: 1 cu: MICU cg: RN so: N/A vo: 0 v1: 50 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [00:00:00 08/09/2016] id: FiO2 Set el: 0 cu: MICU cg: -1 v1: 0.8 u1: torr st: NotStopd
t0: [00:00:00 08/09/2016] id: INV Line#1 Type/Site el: 0 cu: MICU cg: RN v1: PICC line v2: Left Brachial st: NotStopd t0: [00:00:00 08/09/2016] id: INV Line#2 Type/Site el: 0 cu: MICU cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [00:00:00 08/09/2016] id: INV Line#2InsertDate el: 0 cu: MICU cg: RN v1: 7 v2: 24 st: NotStopd t0: [00:00:00 08/09/2016] id: IV #1 Insert Date el: 0 cu: MICU cg: RN v1: 7 v2: 23 st: NotStopd t0: [00:00:00 08/09/2016] id: IV #1 Site/Size el: 0 cu: MICU cg: RN v1: RU Post Forearm v2: 20 gauge st: NotStopd t0: [00:00:00 08/09/2016] id: Skin Integrity el: 0 cu: MICU cg: RN v1: Intact st: NotStopd t0: [00:00:00 08/09/2016] id: Behavior el: 0 cu: MICU cg: RN v1: Sedated st: NotStopd t0: [00:00:00 08/09/2016] id: Braden Activity el: 0 cu: MICU cg: RN v1: Bedfast st: NotStopd t0: [00:00:00 08/09/2016] id: Braden Frict/Shear el: 0 cu: MICU cg: RN v1: Potential Prob st: NotStopd t0: [00:00:00 08/09/2016] id: Braden Mobility el: 0 cu: MICU cg: RN v1: Very Limited st: NotStopd t0: [00:00:00 08/09/2016] id: Braden Moisture el: 0 cu: MICU cg: RN v1: Consist. Moist st: NotStopd t0: [00:00:00 08/09/2016] id: Braden Nutrition el: 0 cu: MICU cg: RN v1: Very Poor st: NotStopd t0: [00:00:00 08/09/2016] id: Braden Score el: 0 cu: MICU cg: RN v1: 9 u1: number st: NotStopd t0: [00:00:00 08/09/2016] id: Braden SensoryPercep el: 0 cu: MICU cg: RN v1: Very Limited st: NotStopd
t0: [00:49:00 08/09/2016] id: Art.pH ABG el: 0 cu: MICU cg: 1663 v1: 7.5 rs: Final st: NotStopd t0: [00:49:00 08/09/2016] id: CaO2 el: 0 cu: MICU cg: 1663 v1: 13.0788 u1: ml/dl st: NotStopd t0: [00:49:00 08/09/2016] id: Glucose Chemistry el: 0 cu: MICU cg: 1663 v1: 112 rs: Final st: NotStopd t0: [00:49:00 08/09/2016] id: Arterial Base Excess ABG el: 0 cu: MICU cg: 1663 v1: 7 rs: Final st: NotStopd t0: [00:49:00 08/09/2016] id: Arterial CO2(Calc) ABG el: 0 cu: MICU cg: 1663 v1: 32 rs: Final st: NotStopd t0: [00:49:00 08/09/2016] id: Arterial PaCO2 ABG el: 0 cu: MICU cg: 1663 v1: 40 u1: mmHg rs: Final st: NotStopd t0: [00:49:00 08/09/2016] id: Arterial PaO2 ABG el: 0 cu: MICU cg: 1663 v1: 237 u1: mmHg rs: Final st: NotStopd t0: [00:49:00 08/09/2016] id: Arterial pH ABG el: 0 cu: MICU cg: 1663 v1: 7.5 rs: Final st: NotStopd t0: [00:49:00 08/09/2016] id: Glucose (70-105) Chemistry el: 0 cu: MICU cg: 1663 v1: 112 rs: Final st: NotStopd t0: [00:49:00 08/09/2016] id: Ionized Calcium Chemistry el: 0 cu: MICU cg: 1663 v1: 1.15 rs: Final st: NotStopd t0: [00:49:00 08/09/2016] id: SaO2 ABG's el: 0 cu: MICU cg: 1663 v1: 98 u1: % rs: Final st: NotStopd
t0: [00:00:00 08/09/2016] id: INV Line#2 Zero/Cal el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [00:00:00 08/09/2016] id: INV Line#2SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [00:00:00 08/09/2016] id: INV#2 WaveformAppear el: 0 cu: MICU cg: RN v1: Sharp st: NotStopd t0: [00:00:00 08/09/2016] id: Radiologic Study el: 0 cu: MICU cg: RN v1: Chest Xray st: NotStopd t0: [00:30:00 08/09/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [00:30:00 08/09/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [00:30:00 08/09/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [00:30:00 08/09/2016] id: Diet Type el: 0 cu: MICU cg: RN v1: NPO st: NotStopd t0: [00:30:00 08/09/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [00:30:00 08/09/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 76 u1: BPM st: NotStopd t0: [00:30:00 08/09/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [00:30:00 08/09/2016] id: Arterial BP el: 0 cu: MICU cg: RN v1: 100 u1: mmHg v2: 45 u2: mmHg st: NotStopd t0: [00:30:00 08/09/2016] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 64 u1: mmHg st: NotStopd t0: [00:30:00 08/09/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [00:30:00 08/09/2016] id: Respiratory Pattern el: 0 cu: MICU cg: RN v1: Regular st: NotStopd t0: [00:30:00 08/09/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 16 u1: BPM st: NotStopd t0: [00:30:00 08/09/2016] id: Significant Events el: 0 cu: MICU cg: RN v1: Other/Remarks st: NotStopd t0: [00:30:00 08/09/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 100 u1: % st: NotStopd t0: [00:30:00 08/09/2016] id: Urine Source el: 0 cu: MICU cg: RN v1: Indwelling Cath st: NotStopd t0: [00:30:00 08/09/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [01:00:00 08/09/2016] id: Range of Motion el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [01:00:00 08/09/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [01:00:00 08/09/2016] id: Circulation/SkinInt el: 0 cu: MICU cg: RN v1: Circulation Adeq st: NotStopd t0: [01:00:00 08/09/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [01:00:00 08/09/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [01:00:00 08/09/2016] id: Diet Type el: 0 cu: MICU cg: RN v1: NPO st: NotStopd t0: [01:00:00 08/09/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [01:00:00 08/09/2016] id: HOB el: 0 cu: MICU cg: RN v1: 45 degrees st: NotStopd t0: [01:00:00 08/09/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 77 u1: BPM st: NotStopd t0: [01:00:00 08/09/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [01:00:00 08/09/2016] id: Activity el: 0 cu: MICU cg: RN v1: Bedrest st: NotStopd t0: [01:00:00 08/09/2016] id: Level of Conscious el: 0 cu: MICU cg: RN v1: Sedated st: NotStopd t0: [01:00:00 08/09/2016] id: Motor Response el: 0 cu: MICU cg: RN v1: 5 Localizes Pain st: NotStopd t0: [01:00:00 08/09/2016] id: Orientation el: 0 cu: MICU cg: RN v1: Other/Remarks st: NotStopd t0: [01:00:00 08/09/2016] id: Arterial BP el: 0 cu: MICU cg: RN v1: 110 u1: mmHg v2: 49 u2: mmHg st: NotStopd t0: [01:00:00 08/09/2016] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 69 u1: mmHg st: NotStopd t0: [01:00:00 08/09/2016] id: Position Change el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [01:00:00 08/09/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [01:00:00 08/09/2016] id: Reason For Restraint el: 0 cu: MICU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [01:00:00 08/09/2016] id: Removed x 5 Mins el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [01:00:00 08/09/2016] id: Respiratory Pattern el: 0 cu: MICU cg: RN v1: Regular st: NotStopd t0: [01:00:00 08/09/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 16 u1: BPM st: NotStopd t0: [01:00:00 08/09/2016] id: Restraint Location el: 0 cu: MICU cg: RN v1: Both Arms st: NotStopd t0: [01:00:00 08/09/2016] id: Restraint Type el: 0 cu: MICU cg: RN v1: Soft Limb st: NotStopd t0: [01:00:00 08/09/2016] id: Restraints Evaluated el: 0 cu: MICU cg: RN v1: Behavior Conts st: NotStopd t0: [01:00:00 08/09/2016] id: Side Rails el: 0 cu: MICU cg: RN v1: Side Rails Up st: NotStopd t0: [01:00:00 08/09/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 100 u1: % st: NotStopd t0: [01:00:00 08/09/2016] id: Support Systems el: 0 cu: MICU cg: RN v1: Spouse st: NotStopd t0: [01:00:00 08/09/2016] id: Turn el: 0 cu: MICU cg: RN v1: Back st: NotStopd t0: [01:00:00 08/09/2016] id: Urine Source el: 0 cu: MICU cg: RN v1: Indwelling Cath st: NotStopd t0: [01:00:00 08/09/2016] id: Verbal Response el: 0 cu: MICU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [01:00:00 08/09/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [01:00:00 08/09/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 20 vu: ml t0: [01:00:00 08/09/2016] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 51.9 vu: ml t0: [01:00:00 08/09/2016] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 0 vu: ml
t0: [00:30:00 08/09/2016] id: Propofol el: 1 cu: MICU cg: RN so: N/A vo: 0 v1: 50 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [01:00:00 08/09/2016] id: Propofol el: 1 cu: MICU cg: RN so: N/A vo: 0 v1: 30 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [23:00:00 08/09/2016] dt: 1 id: Total Hourly Output el: 2 cu: MICU cg: RN cv: 0 ap: none t0: [23:00:00 08/09/2016] dt: 1 id: Net Hourly Balance el: 2 cu: MICU cg: RN pv: 61.52 cv: 61.52 ap: none t0: [23:00:00 08/09/2016] dt: 24 id: IV Infusion In Total el: 2 cu: MICU cg: RN pv: 61.52 cv: 3106.6 ap: none t0: [23:00:00 08/09/2016] dt: 24 id: 24h Total In el: 2 cu: MICU cg: RN pv: 61.52 cv: 3226.6 ap: none t0: [23:00:00 08/09/2016] dt: 24 id: Urine Out Total el: 2 cu: MICU cg: RN cv: 1060 ap: none t0: [23:00:00 08/09/2016] dt: 24 id: 24h Net Body Balance el: 2 cu: MICU cg: RN pv: 61.52 cv: 2166.6 ap: none t0: [23:00:00 08/09/2016] dt: 24 id: 24h Total Out el: 2 cu: MICU cg: RN cv: 1060 ap: none t0: [23:00:00 08/09/2016] dt: multiple days id: LOS Net Body Balance el: 2 cu: MICU cg: RN pv: 61.52 cv: 2021.6 ap: none
t0: [01:00:00 08/09/2016] id: ETT Mark/Location el: 0 cu: MICU cg: -1 v1: 23cm v2: Lip st: NotStopd t0: [01:00:00 08/09/2016] id: High Insp. Pressure el: 0 cu: MICU cg: -1 v1: 45 u1: cmH2O st: NotStopd t0: [01:00:00 08/09/2016] id: High Resp. Rate el: 0 cu: MICU cg: -1 v1: 20 u1: BPM st: NotStopd t0: [01:00:00 08/09/2016] id: I:E Ratio el: 0 cu: MICU cg: -1 v1: 1:4 st: NotStopd t0: [01:00:00 08/09/2016] id: Airway Size el: 0 cu: MICU cg: -1 v1: 8.5 mm st: NotStopd t0: [01:00:00 08/09/2016] id: Airway Type el: 0 cu: MICU cg: -1 v1: Endotracheal st: NotStopd t0: [01:00:00 08/09/2016] id: Intubation Date el: 0 cu: MICU cg: -1 v1: 7 v2: 23 st: NotStopd t0: [01:00:00 08/09/2016] id: Low Exhaled Min Vol el: 0 cu: MICU cg: -1 v1: 2 st: NotStopd t0: [01:00:00 08/09/2016] id: PEEP Set el: 0 cu: MICU cg: -1 v1: 10 u1: cmH2O st: NotStopd t0: [01:00:00 08/09/2016] id: Sensitivity-Vent el: 0 cu: MICU cg: -1 v1: 3 u1: cmH2O st: NotStopd t0: [01:00:00 08/09/2016] id: Ventilator Mode el: 0 cu: MICU cg: -1 v1: Assist Control st: NotStopd t0: [01:00:00 08/09/2016] id: Ventilator Type el: 0 cu: MICU cg: -1 v1: Drager st: NotStopd t0: [01:00:00 08/09/2016] id: Waveform-Vent el: 0 cu: MICU cg: -1 v1: RAMP st: NotStopd
t0: [01:00:00 08/09/2016] id: Compliance (40-60ml) el: 0 cu: MICU cg: -1 v1: 31.25 u1: ml/cmH st: NotStopd t0: [01:00:00 08/09/2016] id: FiO2 Set el: 0 cu: MICU cg: -1 v1: 0.5 u1: torr st: NotStopd t0: [01:00:00 08/09/2016] id: Mean Airway Pressure el: 0 cu: MICU cg: -1 v1: 14 u1: cmH2O st: NotStopd t0: [01:00:00 08/09/2016] id: Minute Volume(Obser) el: 0 cu: MICU cg: -1 v1: 6.04 u1: L/min st: NotStopd t0: [01:00:00 08/09/2016] id: Peak Insp. Pressure el: 0 cu: MICU cg: -1 v1: 26 u1: cmH2O st: NotStopd t0: [01:00:00 08/09/2016] id: Plateau Pressure el: 0 cu: MICU cg: -1 v1: 23 u1: cmH2O st: NotStopd t0: [01:00:00 08/09/2016] id: Resp Rate (Spont) el: 0 cu: MICU cg: -1 v1: 0 u1: BPM st: NotStopd t0: [01:00:00 08/09/2016] id: Resp Rate (Total) el: 0 cu: MICU cg: -1 v1: 14 u1: BPM st: NotStopd t0: [01:00:00 08/09/2016] id: Respiratory Rate Set el: 0 cu: MICU cg: -1 v1: 14 u1: BPM st: NotStopd t0: [01:00:00 08/09/2016] id: Tidal Volume (Obser) el: 0 cu: MICU cg: -1 v1: 436 u1: ml/B st: NotStopd t0: [01:00:00 08/09/2016] id: Tidal Volume (Set) el: 0 cu: MICU cg: -1 v1: 500 u1: ml/B st: NotStopd
t0: [01:30:00 08/09/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [01:30:00 08/09/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [01:30:00 08/09/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [01:30:00 08/09/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 84 u1: BPM st: NotStopd t0: [01:30:00 08/09/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [01:30:00 08/09/2016] id: Arterial BP el: 0 cu: MICU cg: RN v1: 110 u1: mmHg v2: 50 u2: mmHg st: NotStopd t0: [01:30:00 08/09/2016] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 70 u1: mmHg st: NotStopd t0: [01:30:00 08/09/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [01:30:00 08/09/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 14 u1: BPM st: NotStopd t0: [01:30:00 08/09/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 99 u1: % st: NotStopd t0: [01:30:00 08/09/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [02:00:00 08/09/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [02:00:00 08/09/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [02:00:00 08/09/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [02:00:00 08/09/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 90 u1: BPM st: NotStopd t0: [02:00:00 08/09/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [02:00:00 08/09/2016] id: Arterial BP el: 0 cu: MICU cg: RN v1: 116 u1: mmHg v2: 52 u2: mmHg st: NotStopd t0: [02:00:00 08/09/2016] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 71 u1: mmHg st: NotStopd t0: [02:00:00 08/09/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [02:00:00 08/09/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 16 u1: BPM st: NotStopd t0: [02:00:00 08/09/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 98 u1: % st: NotStopd t0: [02:00:00 08/09/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [02:00:00 08/09/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 10 vu: ml t0: [02:00:00 08/09/2016] tf: [03:00:00 14/09/2016] dt: 8700 id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 15 vu: ml
t0: [01:30:00 08/09/2016] id: Propofol el: 1 cu: MICU cg: RN so: N/A vo: 0 v1: 30 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [02:00:00 08/09/2016] id: Propofol el: 1 cu: MICU cg: RN so: N/A vo: 0 v1: 30 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [02:00:00 08/09/2016] id: Diet Type el: 0 cu: MICU cg: RN v1: NPO st: NotStopd t0: [02:00:00 08/09/2016] id: Abdominal Assessment el: 0 cu: MICU cg: RN v1: Obese st: NotStopd t0: [02:00:00 08/09/2016] id: LLL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [02:00:00 08/09/2016] id: LUL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [02:00:00 08/09/2016] id: Oral Cavity el: 0 cu: MICU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [02:00:00 08/09/2016] id: RLL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [02:00:00 08/09/2016] id: RUL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [02:00:00 08/09/2016] id: Reason For Restraint el: 0 cu: MICU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [02:00:00 08/09/2016] id: Respiratory Pattern el: 0 cu: MICU cg: RN v1: Regular st: NotStopd t0: [02:00:00 08/09/2016] id: Restraint Location el: 0 cu: MICU cg: RN v1: Both Arms st: NotStopd t0: [02:00:00 08/09/2016] id: Restraint Type el: 0 cu: MICU cg: RN v1: Soft Limb st: NotStopd t0: [02:00:00 08/09/2016] id: Side Rails el: 0 cu: MICU cg: RN v1: Side Rails Up st: NotStopd t0: [02:00:00 08/09/2016] id: Support Systems el: 0 cu: MICU cg: RN v1: Spouse st: NotStopd t0: [02:00:00 08/09/2016] id: Urine Color/Appear el: 0 cu: MICU cg: RN v1: Amber v2: Clear st: NotStopd t0: [02:00:00 08/09/2016] id: Urine Source el: 0 cu: MICU cg: RN v1: Indwelling Cath st: NotStopd t0: [02:00:00 08/09/2016] id: Bowel Sounds el: 0 cu: MICU cg: RN v1: Present st: NotStopd
tf: [17:00:00 21/09/2016] pt: Unit Dose rt: IV DRIP fr: TITRATE TO m1: Propofol (Generic) v1: 1000 u1: mg tf: [20:00:00 24/10/2016] pt: Unit Dose rt: IV fr: Q4H:PRN m1: Morphine Sulfate v1: 1-2 u1: mg
t0: [02:00:00 08/09/2016] id: Level of Conscious el: 0 cu: MICU cg: RN v1: Sedated st: NotStopd t0: [02:00:00 08/09/2016] id: Motor Response el: 0 cu: MICU cg: RN v1: 5 Localizes Pain st: NotStopd t0: [02:00:00 08/09/2016] id: Orientation el: 0 cu: MICU cg: RN v1: Other/Remarks st: NotStopd t0: [02:00:00 08/09/2016] id: Verbal Response el: 0 cu: MICU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [02:30:00 08/09/2016] id: Reason For Restraint el: 0 cu: MICU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [02:30:00 08/09/2016] id: Restraint Location el: 0 cu: MICU cg: RN v1: Both Arms st: NotStopd t0: [02:30:00 08/09/2016] id: Restraint Type el: 0 cu: MICU cg: RN v1: Soft Limb st: NotStopd t0: [02:30:00 08/09/2016] id: Side Rails el: 0 cu: MICU cg: RN v1: Side Rails Up st: NotStopd t0: [02:30:00 08/09/2016] id: Support Systems el: 0 cu: MICU cg: RN v1: Spouse st: NotStopd
t0: [02:35:00 08/09/2016] id: Art.pH ABG el: 0 cu: MICU cg: 1663 v1: 7.38 rs: Final st: NotStopd t0: [02:35:00 08/09/2016] id: CaO2 el: 0 cu: MICU cg: 1663 v1: 12.4847 u1: ml/dl st: NotStopd t0: [02:35:00 08/09/2016] id: Potassium Chemistry el: 0 cu: MICU cg: 1663 v1: 3.6 rs: Final st: NotStopd t0: [02:35:00 08/09/2016] id: Sodium Chemistry el: 0 cu: MICU cg: 1663 v1: 138 rs: Final st: NotStopd t0: [02:35:00 08/09/2016] id: Arterial Base Excess ABG el: 0 cu: MICU cg: 1663 v1: 6 rs: Final st: NotStopd t0: [02:35:00 08/09/2016] id: Arterial CO2(Calc) ABG el: 0 cu: MICU cg: 1663 v1: 35 rs: Final st: NotStopd t0: [02:35:00 08/09/2016] id: Arterial PaCO2 ABG el: 0 cu: MICU cg: 1663 v1: 57 u1: mmHg rs: Final st: NotStopd t0: [02:35:00 08/09/2016] id: Arterial PaO2 ABG el: 0 cu: MICU cg: 1663 v1: 86 u1: mmHg rs: Final st: NotStopd t0: [02:35:00 08/09/2016] id: Arterial pH ABG el: 0 cu: MICU cg: 1663 v1: 7.38 rs: Final st: NotStopd t0: [02:35:00 08/09/2016] id: Potassium (3.5-5.3) Chemistry el: 0 cu: MICU cg: 1663 v1: 3.6 rs: Final st: NotStopd t0: [02:35:00 08/09/2016] id: SaO2 ABG's el: 0 cu: MICU cg: 1663 v1: 97 u1: % rs: Final st: NotStopd t0: [02:35:00 08/09/2016] id: Sodium (135-148) Chemistry el: 0 cu: MICU cg: 1663 v1: 138 rs: Final st: NotStopd
t0: [02:48:00 08/09/2016] id: ETT Mark/Location el: 0 cu: MICU cg: -1 v1: 23cm v2: Lip st: NotStopd t0: [02:48:00 08/09/2016] id: Airway Size el: 0 cu: MICU cg: -1 v1: 8.5 mm st: NotStopd t0: [02:48:00 08/09/2016] id: Airway Type el: 0 cu: MICU cg: -1 v1: Endotracheal st: NotStopd t0: [02:48:00 08/09/2016] id: Intubation Date el: 0 cu: MICU cg: -1 v1: 7 v2: 23 st: NotStopd t0: [02:48:00 08/09/2016] id: SpO2 el: 0 cu: MICU cg: -1 v1: 96 u1: % st: NotStopd t0: [02:48:00 08/09/2016] id: Tidal Volume (Set) el: 0 cu: MICU cg: -1 v1: 600 u1: ml/B st: NotStopd t0: [02:48:00 08/09/2016] id: Ventilator Type el: 0 cu: MICU cg: -1 v1: Drager st: NotStopd
t0: [03:00:00 08/09/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [03:00:00 08/09/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [03:00:00 08/09/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [03:00:00 08/09/2016] id: Diet Type el: 0 cu: MICU cg: RN v1: NPO st: NotStopd t0: [03:00:00 08/09/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 86 u1: BPM st: NotStopd t0: [03:00:00 08/09/2016] id: Level of Conscious el: 0 cu: MICU cg: RN v1: Sedated st: NotStopd t0: [03:00:00 08/09/2016] id: Orientation el: 0 cu: MICU cg: RN v1: Other/Remarks st: NotStopd t0: [03:00:00 08/09/2016] id: Arterial BP el: 0 cu: MICU cg: RN v1: 118 u1: mmHg v2: 51 u2: mmHg st: NotStopd t0: [03:00:00 08/09/2016] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 71 u1: mmHg st: NotStopd t0: [03:00:00 08/09/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [03:00:00 08/09/2016] id: Respiratory Pattern el: 0 cu: MICU cg: RN v1: Regular st: NotStopd t0: [03:00:00 08/09/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 14 u1: BPM st: NotStopd t0: [03:00:00 08/09/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 97 u1: % st: NotStopd t0: [03:00:00 08/09/2016] id: Urine Source el: 0 cu: MICU cg: RN v1: Indwelling Cath st: NotStopd t0: [03:00:00 08/09/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [03:30:00 08/09/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [03:30:00 08/09/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [03:30:00 08/09/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [03:30:00 08/09/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 87 u1: BPM st: NotStopd t0: [03:30:00 08/09/2016] id: Arterial BP el: 0 cu: MICU cg: RN v1: 120 u1: mmHg v2: 52 u2: mmHg st: NotStopd t0: [03:30:00 08/09/2016] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 73 u1: mmHg st: NotStopd t0: [03:30:00 08/09/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [03:30:00 08/09/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 15 u1: BPM st: NotStopd t0: [03:30:00 08/09/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 98 u1: % st: NotStopd t0: [03:30:00 08/09/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [03:00:00 08/09/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 250 vu: ml t0: [03:00:00 08/09/2016] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 62.28 vu: ml t0: [03:00:00 08/09/2016] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 10 vu: ml
t0: [03:00:00 08/09/2016] id: Propofol el: 1 cu: MICU cg: RN so: N/A vo: 0 v1: 30 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [03:30:00 08/09/2016] id: Propofol el: 1 cu: MICU cg: RN so: N/A vo: 0 v1: 30 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [03:00:00 08/09/2016] id: Motor Response el: 0 cu: MICU cg: RN v1: 5 Localizes Pain st: NotStopd t0: [03:00:00 08/09/2016] id: Reason For Restraint el: 0 cu: MICU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [03:00:00 08/09/2016] id: Restraint Location el: 0 cu: MICU cg: RN v1: Both Arms st: NotStopd t0: [03:00:00 08/09/2016] id: Restraint Type el: 0 cu: MICU cg: RN v1: Soft Limb st: NotStopd t0: [03:00:00 08/09/2016] id: Side Rails el: 0 cu: MICU cg: RN v1: Side Rails Up st: NotStopd t0: [03:00:00 08/09/2016] id: Support Systems el: 0 cu: MICU cg: RN v1: Spouse st: NotStopd t0: [03:00:00 08/09/2016] id: Verbal Response el: 0 cu: MICU cg: RN v1: 1.0 ET/Trach st: NotStopd
t0: [03:58:00 08/09/2016] id: Art.pH ABG el: 0 cu: MICU cg: 1663 v1: 7.39 rs: Final st: NotStopd t0: [03:58:00 08/09/2016] id: Arterial Base Excess ABG el: 0 cu: MICU cg: 1663 v1: 5 rs: Final st: NotStopd t0: [03:58:00 08/09/2016] id: Arterial CO2(Calc) ABG el: 0 cu: MICU cg: 1663 v1: 33 rs: Final st: NotStopd t0: [03:58:00 08/09/2016] id: Arterial PaCO2 ABG el: 0 cu: MICU cg: 1663 v1: 52 u1: mmHg rs: Final st: NotStopd t0: [03:58:00 08/09/2016] id: Arterial PaO2 ABG el: 0 cu: MICU cg: 1663 v1: 125 u1: mmHg rs: Final st: NotStopd t0: [03:58:00 08/09/2016] id: Arterial pH ABG el: 0 cu: MICU cg: 1663 v1: 7.39 rs: Final st: NotStopd t0: [03:58:00 08/09/2016] id: SaO2 ABG's el: 0 cu: MICU cg: 1663 v1: 98 u1: % rs: Final st: NotStopd
t0: [03:00:00 08/09/2016] id: Range of Motion el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [03:00:00 08/09/2016] id: Circulation/SkinInt el: 0 cu: MICU cg: RN v1: Circulation Adeq st: NotStopd t0: [03:00:00 08/09/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [03:00:00 08/09/2016] id: Position Change el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [03:00:00 08/09/2016] id: Removed x 5 Mins el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [03:00:00 08/09/2016] id: Restraints Evaluated el: 0 cu: MICU cg: RN v1: Behavior Conts st: NotStopd t0: [04:00:00 08/09/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [04:00:00 08/09/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [04:00:00 08/09/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [04:00:00 08/09/2016] id: Diet Type el: 0 cu: MICU cg: RN v1: NPO st: NotStopd t0: [04:00:00 08/09/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 86 u1: BPM st: NotStopd t0: [04:00:00 08/09/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [04:00:00 08/09/2016] id: INV Line#1 Type/Site el: 0 cu: MICU cg: RN v1: PICC line v2: Left Brachial st: NotStopd t0: [04:00:00 08/09/2016] id: INV Line#1SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [04:00:00 08/09/2016] id: INV Line#2 Type/Site el: 0 cu: MICU cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [04:00:00 08/09/2016] id: INV Line#2InsertDate el: 0 cu: MICU cg: RN v1: 7 v2: 24 st: NotStopd t0: [04:00:00 08/09/2016] id: INV Line#2SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [04:00:00 08/09/2016] id: INV#2 WaveformAppear el: 0 cu: MICU cg: RN v1: Sharp st: NotStopd t0: [04:00:00 08/09/2016] id: IV #1 Insert Date el: 0 cu: MICU cg: RN v1: 7 v2: 23 st: NotStopd t0: [04:00:00 08/09/2016] id: IV #1 Site/Size el: 0 cu: MICU cg: RN v1: RU Post Forearm v2: 20 gauge st: NotStopd t0: [04:00:00 08/09/2016] id: IV Site Appear #1 el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [04:00:00 08/09/2016] id: Level of Conscious el: 0 cu: MICU cg: RN v1: Sedated st: NotStopd t0: [04:00:00 08/09/2016] id: Arterial BP el: 0 cu: MICU cg: RN v1: 123 u1: mmHg v2: 54 u2: mmHg st: NotStopd t0: [04:00:00 08/09/2016] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 75 u1: mmHg st: NotStopd t0: [04:00:00 08/09/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [04:00:00 08/09/2016] id: Reason For Restraint el: 0 cu: MICU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [04:00:00 08/09/2016] id: Respiratory Pattern el: 0 cu: MICU cg: RN v1: Regular st: NotStopd t0: [04:00:00 08/09/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 16 u1: BPM st: NotStopd t0: [04:00:00 08/09/2016] id: Restraint Location el: 0 cu: MICU cg: RN v1: Both Arms st: NotStopd t0: [04:00:00 08/09/2016] id: Restraint Type el: 0 cu: MICU cg: RN v1: Soft Limb st: NotStopd t0: [04:00:00 08/09/2016] id: Side Rails el: 0 cu: MICU cg: RN v1: Side Rails Up st: NotStopd t0: [04:00:00 08/09/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 98 u1: % st: NotStopd t0: [04:00:00 08/09/2016] id: Support Systems el: 0 cu: MICU cg: RN v1: Spouse st: NotStopd t0: [04:00:00 08/09/2016] id: Urine Source el: 0 cu: MICU cg: RN v1: Indwelling Cath st: NotStopd t0: [04:00:00 08/09/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [04:00:00 08/09/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 250 vu: ml t0: [04:00:00 08/09/2016] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 15 vu: ml
t0: [04:00:00 08/09/2016] id: Propofol el: 1 cu: MICU cg: RN so: N/A vo: 0 v1: 25 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [03:30:00 08/09/2016] id: WBC (4-11,000) Hematology el: 0 cu: MICU cg: 1663 v1: 7.6 rs: Final st: NotStopd t0: [03:30:00 08/09/2016] id: WBC Hematology el: 0 cu: MICU cg: 1663 v1: 7.6 rs: Final st: NotStopd t0: [03:30:00 08/09/2016] id: Hematocrit Hematology el: 0 cu: MICU cg: 1663 v1: 30.5 u1: % rs: Final st: NotStopd t0: [03:30:00 08/09/2016] id: Hemoglobin Hematology el: 0 cu: MICU cg: 1663 v1: 9.2 u1: gm/dl rs: Final st: NotStopd t0: [03:30:00 08/09/2016] id: Platelets Hematology el: 0 cu: MICU cg: 1663 v1: 204 rs: Final st: NotStopd t0: [03:30:00 08/09/2016] id: RBC Hematology el: 0 cu: MICU cg: 1663 v1: 3.87 u1: /mic l rs: Final st: NotStopd t0: [03:30:00 08/09/2016] id: WBC (4-11,000) Hematology el: 0 cu: MICU cg: 1663 v1: 7.6 rs: Final st: NotStopd t0: [03:58:00 08/09/2016] id: CaO2 el: 0 cu: MICU cg: 1663 v1: 12.4689 u1: ml/dl st: NotStopd
t0: [03:30:00 08/09/2016] id: BUN el: 0 cu: MICU cg: 1663 v1: 16 rs: Final st: NotStopd t0: [03:30:00 08/09/2016] id: Calcium Chemistry el: 0 cu: MICU cg: 1663 v1: 9.2 u1: mg/dl rs: Final st: NotStopd t0: [03:30:00 08/09/2016] id: Chloride Chemistry el: 0 cu: MICU cg: 1663 v1: 96 rs: Final st: NotStopd t0: [03:30:00 08/09/2016] id: Creatinine Chemistry el: 0 cu: MICU cg: 1663 v1: 1 rs: Final st: NotStopd t0: [03:30:00 08/09/2016] id: Glucose Chemistry el: 0 cu: MICU cg: 1663 v1: 122 rs: Final st: NotStopd t0: [03:30:00 08/09/2016] id: Magnesium Chemistry el: 0 cu: MICU cg: 1663 v1: 2.1 rs: Final st: NotStopd t0: [03:30:00 08/09/2016] id: Phosphorous Chemistry el: 0 cu: MICU cg: 1663 v1: 3.6 u1: mEq/L rs: Final st: NotStopd t0: [03:30:00 08/09/2016] id: Potassium Chemistry el: 0 cu: MICU cg: 1663 v1: 3.2 rs: Final st: NotStopd t0: [03:30:00 08/09/2016] id: Sodium Chemistry el: 0 cu: MICU cg: 1663 v1: 138 rs: Final st: NotStopd t0: [03:30:00 08/09/2016] id: BUN (6-20) Chemistry el: 0 cu: MICU cg: 1663 v1: 16 rs: Final st: NotStopd t0: [03:30:00 08/09/2016] id: Calcium (8.4-10.2) Chemistry el: 0 cu: MICU cg: 1663 v1: 9.2 u1: mg/dl rs: Final st: NotStopd t0: [03:30:00 08/09/2016] id: Carbon Dioxide Chemistry el: 0 cu: MICU cg: 1663 v1: 29 rs: Final st: NotStopd t0: [03:30:00 08/09/2016] id: Chloride (100-112) Chemistry el: 0 cu: MICU cg: 1663 v1: 96 rs: Final st: NotStopd t0: [03:30:00 08/09/2016] id: Creatinine (0-1.3) Chemistry el: 0 cu: MICU cg: 1663 v1: 1 rs: Final st: NotStopd t0: [03:30:00 08/09/2016] id: Glucose (70-105) Chemistry el: 0 cu: MICU cg: 1663 v1: 122 rs: Final st: NotStopd t0: [03:30:00 08/09/2016] id: Magnesium (1.6-2.6) Chemistry el: 0 cu: MICU cg: 1663 v1: 2.1 rs: Final st: NotStopd t0: [03:30:00 08/09/2016] id: Phosphorous(2.7-4.5) Chemistry el: 0 cu: MICU cg: 1663 v1: 3.6 u1: mEq/L rs: Final st: NotStopd t0: [03:30:00 08/09/2016] id: Potassium (3.5-5.3) Chemistry el: 0 cu: MICU cg: 1663 v1: 3.2 rs: Final st: NotStopd t0: [03:30:00 08/09/2016] id: Sodium (135-148) Chemistry el: 0 cu: MICU cg: 1663 v1: 138 rs: Final st: NotStopd
t0: [05:00:00 08/09/2016] id: Peak Flow el: 0 cu: MICU cg: -1 st: D/C'd
t0: [05:00:00 08/09/2016] id: Compliance (40-60ml) el: 0 cu: MICU cg: -1 v1: 28.5714 u1: ml/cmH st: NotStopd t0: [05:00:00 08/09/2016] id: ETT Mark/Location el: 0 cu: MICU cg: -1 v1: 23cm v2: Lip st: NotStopd t0: [05:00:00 08/09/2016] id: FiO2 Set el: 0 cu: MICU cg: -1 v1: 0.5 u1: torr st: NotStopd t0: [05:00:00 08/09/2016] id: High Insp. Pressure el: 0 cu: MICU cg: -1 v1: 45 u1: cmH2O st: NotStopd t0: [05:00:00 08/09/2016] id: High Resp. Rate el: 0 cu: MICU cg: -1 v1: 20 u1: BPM st: NotStopd t0: [05:00:00 08/09/2016] id: I:E Ratio el: 0 cu: MICU cg: -1 v1: 1:3.8 st: NotStopd t0: [05:00:00 08/09/2016] id: Airway Size el: 0 cu: MICU cg: -1 v1: 8.5 mm st: NotStopd t0: [05:00:00 08/09/2016] id: Airway Type el: 0 cu: MICU cg: -1 v1: Endotracheal st: NotStopd t0: [05:00:00 08/09/2016] id: Intubation Date el: 0 cu: MICU cg: -1 v1: 7 v2: 23 st: NotStopd t0: [05:00:00 08/09/2016] id: Low Exhaled Min Vol el: 0 cu: MICU cg: -1 v1: 2 st: NotStopd t0: [05:00:00 08/09/2016] id: Mean Airway Pressure el: 0 cu: MICU cg: -1 v1: 15 u1: cmH2O st: NotStopd t0: [05:00:00 08/09/2016] id: Minute Volume(Obser) el: 0 cu: MICU cg: -1 v1: 8.6 u1: L/min st: NotStopd t0: [05:00:00 08/09/2016] id: PEEP Set el: 0 cu: MICU cg: -1 v1: 10 u1: cmH2O st: NotStopd t0: [05:00:00 08/09/2016] id: Peak Insp. Pressure el: 0 cu: MICU cg: -1 v1: 31 u1: cmH2O st: NotStopd t0: [05:00:00 08/09/2016] id: Plateau Pressure el: 0 cu: MICU cg: -1 v1: 26 u1: cmH2O st: NotStopd t0: [05:00:00 08/09/2016] id: Resp Rate (Spont) el: 0 cu: MICU cg: -1 v1: 2 u1: BPM st: NotStopd t0: [05:00:00 08/09/2016] id: Resp Rate (Total) el: 0 cu: MICU cg: -1 v1: 16 u1: BPM st: NotStopd t0: [05:00:00 08/09/2016] id: Respiratory Rate Set el: 0 cu: MICU cg: -1 v1: 14 u1: BPM st: NotStopd t0: [05:00:00 08/09/2016] id: Sensitivity-Vent el: 0 cu: MICU cg: -1 v1: 3 u1: cmH2O st: NotStopd t0: [05:00:00 08/09/2016] id: SpO2 el: 0 cu: MICU cg: -1 v1: 99 u1: % st: NotStopd t0: [05:00:00 08/09/2016] id: Tidal Volume (Obser) el: 0 cu: MICU cg: -1 v1: 540 u1: ml/B st: NotStopd t0: [05:00:00 08/09/2016] id: Tidal Volume (Set) el: 0 cu: MICU cg: -1 v1: 600 u1: ml/B st: NotStopd t0: [05:00:00 08/09/2016] id: Ventilator Mode el: 0 cu: MICU cg: -1 v1: Assist Control st: NotStopd t0: [05:00:00 08/09/2016] id: Ventilator Type el: 0 cu: MICU cg: -1 v1: Drager st: NotStopd t0: [05:00:00 08/09/2016] id: Waveform-Vent el: 0 cu: MICU cg: -1 v1: RAMP st: NotStopd
t0: [05:11:00 08/09/2016] id: Tidal Volume (Set) el: 0 cu: MICU cg: -1 v1: 650 u1: ml/B st: NotStopd
t0: [05:00:00 08/09/2016] id: RSBI Not Completed el: 0 cu: MICU cg: -1 v1: PEEP >10 st: NotStopd
t0: [05:00:00 08/09/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [05:00:00 08/09/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [05:00:00 08/09/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [05:00:00 08/09/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 85 u1: BPM st: NotStopd t0: [05:00:00 08/09/2016] id: Level of Conscious el: 0 cu: MICU cg: RN v1: Sedated st: NotStopd t0: [05:00:00 08/09/2016] id: Arterial BP el: 0 cu: MICU cg: RN v1: 123 u1: mmHg v2: 54 u2: mmHg st: NotStopd t0: [05:00:00 08/09/2016] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 75 u1: mmHg st: NotStopd t0: [05:00:00 08/09/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [05:00:00 08/09/2016] id: Reason For Restraint el: 0 cu: MICU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [05:00:00 08/09/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 14 u1: BPM st: NotStopd t0: [05:00:00 08/09/2016] id: Restraint Location el: 0 cu: MICU cg: RN v1: Both Arms st: NotStopd t0: [05:00:00 08/09/2016] id: Restraint Type el: 0 cu: MICU cg: RN v1: Soft Limb st: NotStopd t0: [05:00:00 08/09/2016] id: Side Rails el: 0 cu: MICU cg: RN v1: Side Rails Up st: NotStopd t0: [05:00:00 08/09/2016] id: Support Systems el: 0 cu: MICU cg: RN v1: Spouse st: NotStopd t0: [05:00:00 08/09/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [05:00:00 08/09/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 250 vu: ml t0: [05:00:00 08/09/2016] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 57.09 vu: ml t0: [05:00:00 08/09/2016] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 25 vu: ml
t0: [05:00:00 08/09/2016] id: Propofol el: 1 cu: MICU cg: RN so: N/A vo: 0 v1: 25 du: mcgkgmin sv: 50 su: vl rt: IV Drip
tf: [05:00:00 09/09/2016] pt: Unit Dose rt: NG fr: ONCE MR1 fs: 6 dn: 1 m1: Potassium Chloride v1: 40 u1: mEq tf: [05:00:00 09/09/2016] pt: Unit Dose rt: PO fr: ONCE MR1 fs: 6 dn: 1 m1: Potassium Chloride v1: 40 u1: mEq
t0: [01:00:00 08/09/2016] id: Eye Opening el: 0 cu: MICU cg: RN v1: 1 No Response st: NotStopd t0: [01:00:00 08/09/2016] id: GCS Total el: 0 cu: MICU cg: RN v1: 7 u1: points st: NotStopd t0: [01:00:00 08/09/2016] id: Sputum Color/Consist el: 0 cu: MICU cg: RN v1: Clear v2: Thick st: NotStopd t0: [01:00:00 08/09/2016] id: Sputum Source/Amt el: 0 cu: MICU cg: RN v1: Suctioned v2: Scant st: NotStopd t0: [02:00:00 08/09/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: Rare st: NotStopd t0: [02:00:00 08/09/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: PVC's st: NotStopd t0: [02:00:00 08/09/2016] id: Eye Opening el: 0 cu: MICU cg: RN v1: 1 No Response st: NotStopd t0: [02:00:00 08/09/2016] id: GCS Total el: 0 cu: MICU cg: RN v1: 7 u1: points st: NotStopd t0: [03:00:00 08/09/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [03:00:00 08/09/2016] id: Eye Opening el: 0 cu: MICU cg: RN v1: 1 No Response st: NotStopd t0: [03:00:00 08/09/2016] id: GCS Total el: 0 cu: MICU cg: RN v1: 7 u1: points st: NotStopd t0: [04:00:00 08/09/2016] id: Eye Opening el: 0 cu: MICU cg: RN v1: 1 No Response st: NotStopd t0: [05:00:00 08/09/2016] id: Diet Type el: 0 cu: MICU cg: RN v1: NPO st: NotStopd t0: [05:00:00 08/09/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: Rare st: NotStopd t0: [05:00:00 08/09/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: PVC's st: NotStopd t0: [05:00:00 08/09/2016] id: Eye Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [05:00:00 08/09/2016] id: Eye Opening el: 0 cu: MICU cg: RN v1: 1 No Response st: NotStopd t0: [05:00:00 08/09/2016] id: HOB el: 0 cu: MICU cg: RN v1: 30 degrees st: NotStopd t0: [05:00:00 08/09/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [05:00:00 08/09/2016] id: Activity el: 0 cu: MICU cg: RN v1: Bedrest st: NotStopd t0: [05:00:00 08/09/2016] id: Oral Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [05:00:00 08/09/2016] id: Orientation el: 0 cu: MICU cg: RN v1: Other/Remarks st: NotStopd t0: [05:00:00 08/09/2016] id: Position el: 0 cu: MICU cg: RN v1: Prone st: NotStopd t0: [05:00:00 08/09/2016] id: Respiratory Pattern el: 0 cu: MICU cg: RN v1: Regular st: NotStopd t0: [05:00:00 08/09/2016] id: Skin Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [05:00:00 08/09/2016] id: Sputum Color/Consist el: 0 cu: MICU cg: RN v1: Clear v2: Thick st: NotStopd t0: [05:00:00 08/09/2016] id: Sputum Source/Amt el: 0 cu: MICU cg: RN v1: Suctioned v2: Scant st: NotStopd t0: [05:00:00 08/09/2016] id: Turn el: 0 cu: MICU cg: RN v1: Back st: NotStopd t0: [05:00:00 08/09/2016] id: Urine Source el: 0 cu: MICU cg: RN v1: Indwelling Cath st: NotStopd t0: [06:00:00 08/09/2016] id: Range of Motion el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [06:00:00 08/09/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [06:00:00 08/09/2016] id: Circulation/SkinInt el: 0 cu: MICU cg: RN v1: Circulation Adeq st: NotStopd t0: [06:00:00 08/09/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [06:00:00 08/09/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [06:00:00 08/09/2016] id: Diet Type el: 0 cu: MICU cg: RN v1: NPO st: NotStopd t0: [06:00:00 08/09/2016] id: Dorsal PedPulse R/L el: 0 cu: MICU cg: RN v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [06:00:00 08/09/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: Rare st: NotStopd t0: [06:00:00 08/09/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: PVC's st: NotStopd t0: [06:00:00 08/09/2016] id: Eye Opening el: 0 cu: MICU cg: RN v1: 1 No Response st: NotStopd t0: [06:00:00 08/09/2016] id: GCS Total el: 0 cu: MICU cg: RN v1: 7 u1: points st: NotStopd t0: [06:00:00 08/09/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 85 u1: BPM st: NotStopd t0: [06:00:00 08/09/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [06:00:00 08/09/2016] id: Abdominal Assessment el: 0 cu: MICU cg: RN v1: Obese st: NotStopd t0: [06:00:00 08/09/2016] id: LLL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [06:00:00 08/09/2016] id: LUL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [06:00:00 08/09/2016] id: Level of Conscious el: 0 cu: MICU cg: RN v1: Sedated st: NotStopd t0: [06:00:00 08/09/2016] id: Motor Response el: 0 cu: MICU cg: RN v1: 5 Localizes Pain st: NotStopd t0: [06:00:00 08/09/2016] id: Oral Cavity el: 0 cu: MICU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [06:00:00 08/09/2016] id: Orientation el: 0 cu: MICU cg: RN v1: Other/Remarks st: NotStopd t0: [06:00:00 08/09/2016] id: Arterial BP el: 0 cu: MICU cg: RN v1: 118 u1: mmHg v2: 53 u2: mmHg st: NotStopd t0: [06:00:00 08/09/2016] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 74 u1: mmHg st: NotStopd t0: [06:00:00 08/09/2016] id: Position Change el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [06:00:00 08/09/2016] id: PostTib. Pulses R/L el: 0 cu: MICU cg: RN v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [06:00:00 08/09/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [06:00:00 08/09/2016] id: RLL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [06:00:00 08/09/2016] id: RUL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [06:00:00 08/09/2016] id: Reason For Restraint el: 0 cu: MICU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [06:00:00 08/09/2016] id: Removed x 5 Mins el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [06:00:00 08/09/2016] id: Respiratory Pattern el: 0 cu: MICU cg: RN v1: Regular st: NotStopd t0: [06:00:00 08/09/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 14 u1: BPM st: NotStopd t0: [06:00:00 08/09/2016] id: Restraint Location el: 0 cu: MICU cg: RN v1: Both Arms st: NotStopd t0: [06:00:00 08/09/2016] id: Restraint Type el: 0 cu: MICU cg: RN v1: Soft Limb st: NotStopd t0: [06:00:00 08/09/2016] id: Restraints Evaluated el: 0 cu: MICU cg: RN v1: Behavior Conts st: NotStopd t0: [06:00:00 08/09/2016] id: Side Rails el: 0 cu: MICU cg: RN v1: Side Rails Up st: NotStopd t0: [06:00:00 08/09/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 99 u1: % st: NotStopd t0: [06:00:00 08/09/2016] id: Support Systems el: 0 cu: MICU cg: RN v1: Spouse st: NotStopd t0: [06:00:00 08/09/2016] id: Urine Color/Appear el: 0 cu: MICU cg: RN v1: Amber v2: Clear st: NotStopd t0: [06:00:00 08/09/2016] id: Urine Source el: 0 cu: MICU cg: RN v1: Indwelling Cath st: NotStopd t0: [06:00:00 08/09/2016] id: Verbal Response el: 0 cu: MICU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [06:00:00 08/09/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [06:00:00 08/09/2016] id: Bowel Sounds el: 0 cu: MICU cg: RN v1: Present st: NotStopd
t0: [06:00:00 08/09/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 20 vu: ml t0: [06:00:00 08/09/2016] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 25.95 vu: ml
t0: [06:00:00 08/09/2016] id: Propofol el: 1 cu: MICU cg: RN so: N/A vo: 0 v1: 20 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [06:42:00 08/09/2016] id: Art.pH ABG el: 0 cu: MICU cg: 1663 v1: 7.43 rs: Final st: NotStopd t0: [06:42:00 08/09/2016] id: CaO2 el: 0 cu: MICU cg: 1663 v1: 12.503 u1: ml/dl st: NotStopd t0: [06:42:00 08/09/2016] id: Potassium Chemistry el: 0 cu: MICU cg: 1663 v1: 4 rs: Final st: NotStopd t0: [06:42:00 08/09/2016] id: Arterial Base Excess ABG el: 0 cu: MICU cg: 1663 v1: 7 rs: Final st: NotStopd t0: [06:42:00 08/09/2016] id: Arterial CO2(Calc) ABG el: 0 cu: MICU cg: 1663 v1: 34 rs: Final st: NotStopd t0: [06:42:00 08/09/2016] id: Arterial PaCO2 ABG el: 0 cu: MICU cg: 1663 v1: 49 u1: mmHg rs: Final st: NotStopd t0: [06:42:00 08/09/2016] id: Arterial PaO2 ABG el: 0 cu: MICU cg: 1663 v1: 136 u1: mmHg rs: Final st: NotStopd t0: [06:42:00 08/09/2016] id: Arterial pH ABG el: 0 cu: MICU cg: 1663 v1: 7.43 rs: Final st: NotStopd t0: [06:42:00 08/09/2016] id: Potassium (3.5-5.3) Chemistry el: 0 cu: MICU cg: 1663 v1: 4 rs: Final st: NotStopd t0: [06:42:00 08/09/2016] id: SaO2 ABG's el: 0 cu: MICU cg: 1663 v1: 98 u1: % rs: Final st: NotStopd
t0: [07:00:00 08/09/2016] id: Service Type el: 0 cu: MICU cg: -1 v1: MICU st: NotStopd t0: [07:00:00 08/09/2016] id: Code Status el: 0 cu: MICU cg: -1 v1: Full Code st: NotStopd t0: [07:00:00 08/09/2016] id: Risk for Falls el: 0 cu: MICU cg: -1 v1: Yes st: NotStopd t0: [07:00:00 08/09/2016] id: Ectopy Frequency el: 0 cu: MICU cg: -1 v1: Rare st: NotStopd t0: [07:00:00 08/09/2016] id: Ectopy Type el: 0 cu: MICU cg: -1 v1: PVC's st: NotStopd t0: [07:00:00 08/09/2016] id: Heart Rate el: 0 cu: MICU cg: -1 v1: 83 u1: BPM st: NotStopd t0: [07:00:00 08/09/2016] id: Heart Rhythm el: 0 cu: MICU cg: -1 v1: Normal Sinus st: NotStopd t0: [07:00:00 08/09/2016] id: Arterial BP el: 0 cu: MICU cg: -1 v1: 118 u1: mmHg v2: 55 u2: mmHg st: NotStopd t0: [07:00:00 08/09/2016] id: Arterial BP Mean el: 0 cu: MICU cg: -1 v1: 76 u1: mmHg st: NotStopd t0: [07:00:00 08/09/2016] id: Precautions el: 0 cu: MICU cg: -1 v1: Universal st: NotStopd t0: [07:00:00 08/09/2016] id: Respiratory Rate el: 0 cu: MICU cg: -1 v1: 14 u1: BPM st: NotStopd t0: [07:00:00 08/09/2016] id: SpO2 el: 0 cu: MICU cg: -1 v1: 98 u1: % st: NotStopd t0: [07:00:00 08/09/2016] id: calprevflg el: 0 cu: MICU cg: -1 v1: 1 u1: kg st: NotStopd
t0: [07:00:00 08/09/2016] id: D5W 100.0ml IV Infusions el: 2 cu: MICU cg: -1 ai: 107 vo: 250 vu: ml t0: [07:00:00 08/09/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: -1 ai: 107 vo: 10 vu: ml t0: [07:00:00 08/09/2016] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: MICU cg: -1 ai: 107 vo: 20.76 vu: ml
t0: [07:00:00 08/09/2016] id: Propofol el: 1 cu: MICU so: N/A vo: 0 v1: 20 du: mcgkgmin sv: 50 su: vl rt: IV Drip
tf: [07:00:00 09/09/2016] pt: IV Piggyback rt: IV fr: ONCE fs: 8 dn: 1 m1: Potassium Chloride v1: 40 u1: mEq m2: SW v2: 100 u2: ml
id: Gastric Meds el: 1 cu: MICU cg: RN io: Gastric Meds PO/Gastric du: ml rt: Gastric/Feeding Tube
t0: [08:00:00 08/09/2016] id: Less Restrict Meas. el: 0 cu: MICU cg: -1 v1: Medicated st: NotStopd t0: [08:00:00 08/09/2016] id: Pain Present el: 0 cu: MICU cg: -1 v1: No st: NotStopd t0: [08:00:00 08/09/2016] id: Range of Motion el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [08:00:00 08/09/2016] id: Pain Assess Method el: 0 cu: MICU cg: -1 v1: Change in Vitals st: NotStopd t0: [08:00:00 08/09/2016] id: Service Type el: 0 cu: MICU cg: -1 v1: MICU st: NotStopd t0: [08:00:00 08/09/2016] id: Circulation/SkinInt el: 0 cu: MICU cg: -1 v1: Circulation Adeq st: NotStopd t0: [08:00:00 08/09/2016] id: Code Status el: 0 cu: MICU cg: -1 v1: Full Code st: NotStopd t0: [08:00:00 08/09/2016] id: Riker-SAS Scale el: 0 cu: MICU cg: -1 v1: Sedated st: NotStopd t0: [08:00:00 08/09/2016] id: Risk for Falls el: 0 cu: MICU cg: -1 v1: Yes st: NotStopd t0: [08:00:00 08/09/2016] id: Diet Type el: 0 cu: MICU cg: -1 v1: NPO st: NotStopd t0: [08:00:00 08/09/2016] id: Dorsal PedPulse R/L el: 0 cu: MICU cg: -1 v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [08:00:00 08/09/2016] id: Ectopy Frequency el: 0 cu: MICU cg: -1 v1: Occasional st: NotStopd t0: [08:00:00 08/09/2016] id: Ectopy Type el: 0 cu: MICU cg: -1 v1: PVC's st: NotStopd t0: [08:00:00 08/09/2016] id: Family Communication el: 0 cu: MICU cg: -1 v1: Family Visited st: NotStopd t0: [08:00:00 08/09/2016] id: Heart Rate el: 0 cu: MICU cg: -1 v1: 86 u1: BPM st: NotStopd t0: [08:00:00 08/09/2016] id: Heart Rhythm el: 0 cu: MICU cg: -1 v1: Normal Sinus st: NotStopd t0: [08:00:00 08/09/2016] id: INV Line#1 Type/Site el: 0 cu: MICU cg: -1 v1: PICC line v2: Left Brachial st: NotStopd t0: [08:00:00 08/09/2016] id: INV Line#1SiteAppear el: 0 cu: MICU cg: -1 v1: WNL st: NotStopd t0: [08:00:00 08/09/2016] id: INV Line#2 Type/Site el: 0 cu: MICU cg: -1 v1: A-Line v2: Right Radial st: NotStopd t0: [08:00:00 08/09/2016] id: INV Line#2 Zero/Cal el: 0 cu: MICU cg: -1 v1: Yes st: NotStopd t0: [08:00:00 08/09/2016] id: INV Line#2InsertDate el: 0 cu: MICU cg: -1 v1: 7 v2: 24 st: NotStopd t0: [08:00:00 08/09/2016] id: INV Line#2SiteAppear el: 0 cu: MICU cg: -1 v1: WNL st: NotStopd t0: [08:00:00 08/09/2016] id: Abdominal Assessment el: 0 cu: MICU cg: -1 v1: Obese st: NotStopd t0: [08:00:00 08/09/2016] id: INV#2 WaveformAppear el: 0 cu: MICU cg: -1 v1: Sharp st: NotStopd t0: [08:00:00 08/09/2016] id: IV #1 Insert Date el: 0 cu: MICU cg: -1 v1: 7 v2: 23 st: NotStopd t0: [08:00:00 08/09/2016] id: IV #1 Site/Size el: 0 cu: MICU cg: -1 v1: RU Post Forearm v2: 20 gauge st: NotStopd t0: [08:00:00 08/09/2016] id: IV Site Appear #1 el: 0 cu: MICU cg: -1 v1: WNL st: NotStopd t0: [08:00:00 08/09/2016] id: LLL Lung Sounds el: 0 cu: MICU cg: -1 v1: Coarse st: NotStopd t0: [08:00:00 08/09/2016] id: LUL Lung Sounds el: 0 cu: MICU cg: -1 v1: Coarse st: NotStopd t0: [08:00:00 08/09/2016] id: Level of Conscious el: 0 cu: MICU cg: -1 v1: Sedated st: NotStopd t0: [08:00:00 08/09/2016] id: Oral Cavity el: 0 cu: MICU cg: -1 v1: Teeth/Tissue WNL st: NotStopd t0: [08:00:00 08/09/2016] id: Orientation el: 0 cu: MICU cg: -1 v1: Other/Remarks st: NotStopd t0: [08:00:00 08/09/2016] id: Arterial BP el: 0 cu: MICU cg: -1 v1: 121 u1: mmHg v2: 56 u2: mmHg st: NotStopd t0: [08:00:00 08/09/2016] id: Pain Location el: 0 cu: MICU cg: -1 v1: Not Indicated st: NotStopd t0: [08:00:00 08/09/2016] id: Pain Type el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [08:00:00 08/09/2016] id: Arterial BP Mean el: 0 cu: MICU cg: -1 v1: 77 u1: mmHg st: NotStopd t0: [08:00:00 08/09/2016] id: Position Change el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [08:00:00 08/09/2016] id: PostTib. Pulses R/L el: 0 cu: MICU cg: -1 v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [08:00:00 08/09/2016] id: Precautions el: 0 cu: MICU cg: -1 v1: Universal st: NotStopd t0: [08:00:00 08/09/2016] id: RLL Lung Sounds el: 0 cu: MICU cg: -1 v1: Diminished st: NotStopd t0: [08:00:00 08/09/2016] id: RUL Lung Sounds el: 0 cu: MICU cg: -1 v1: Coarse st: NotStopd t0: [08:00:00 08/09/2016] id: Reason For Restraint el: 0 cu: MICU cg: -1 v1: Ext/TXInterfere st: NotStopd t0: [08:00:00 08/09/2016] id: Removed x 5 Mins el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [08:00:00 08/09/2016] id: Respiratory Pattern el: 0 cu: MICU cg: -1 v1: Regular st: NotStopd t0: [08:00:00 08/09/2016] id: Respiratory Rate el: 0 cu: MICU cg: -1 v1: 14 u1: BPM st: NotStopd t0: [08:00:00 08/09/2016] id: Restraint Location el: 0 cu: MICU cg: -1 v1: Both Arms st: NotStopd t0: [08:00:00 08/09/2016] id: Restraint Type el: 0 cu: MICU cg: -1 v1: Soft Limb st: NotStopd t0: [08:00:00 08/09/2016] id: Restraints Evaluated el: 0 cu: MICU cg: -1 v1: RestraintReapply st: NotStopd t0: [08:00:00 08/09/2016] id: Side Rails el: 0 cu: MICU cg: -1 v1: Side Rails Up st: NotStopd t0: [08:00:00 08/09/2016] id: Skin Integrity el: 0 cu: MICU cg: -1 v1: Intact st: NotStopd t0: [08:00:00 08/09/2016] id: SpO2 el: 0 cu: MICU cg: -1 v1: 98 u1: % st: NotStopd t0: [08:00:00 08/09/2016] id: Stool Guaiac el: 0 cu: MICU cg: -1 v1: Not Applicable st: NotStopd t0: [08:00:00 08/09/2016] id: Support Systems el: 0 cu: MICU cg: -1 v1: Spouse st: NotStopd t0: [08:00:00 08/09/2016] id: Temp. Site el: 0 cu: MICU cg: -1 v1: Oral st: NotStopd t0: [08:00:00 08/09/2016] id: Temperature C (calc) el: 0 cu: MICU cg: -1 v1: 37 u1: Deg. C st: NotStopd t0: [08:00:00 08/09/2016] id: Temperature F el: 0 cu: MICU cg: -1 v1: 98.6 u1: Deg. F st: NotStopd t0: [08:00:00 08/09/2016] id: Urine Color/Appear el: 0 cu: MICU cg: -1 v1: Amber v2: Sediment st: NotStopd t0: [08:00:00 08/09/2016] id: Urine Source el: 0 cu: MICU cg: -1 v1: Indwelling Cath st: NotStopd t0: [08:00:00 08/09/2016] id: calprevflg el: 0 cu: MICU cg: -1 v1: 1 u1: kg st: NotStopd t0: [08:00:00 08/09/2016] id: Behavior el: 0 cu: MICU cg: -1 v1: Sedated st: NotStopd t0: [08:00:00 08/09/2016] id: Bowel Sounds el: 0 cu: MICU cg: -1 v1: Present st: NotStopd t0: [08:00:00 08/09/2016] id: Braden Activity el: 0 cu: MICU cg: -1 v1: Bedfast st: NotStopd t0: [08:00:00 08/09/2016] id: Braden Frict/Shear el: 0 cu: MICU cg: -1 v1: Potential Prob st: NotStopd t0: [08:00:00 08/09/2016] id: Braden Mobility el: 0 cu: MICU cg: -1 v1: Sl. Limited st: NotStopd t0: [08:00:00 08/09/2016] id: Braden Moisture el: 0 cu: MICU cg: -1 v1: Occ. Moist st: NotStopd t0: [08:00:00 08/09/2016] id: Braden Nutrition el: 0 cu: MICU cg: -1 v1: Very Poor st: NotStopd t0: [08:00:00 08/09/2016] id: Braden Score el: 0 cu: MICU cg: -1 v1: 13 u1: number st: NotStopd t0: [08:00:00 08/09/2016] id: Braden SensoryPercep el: 0 cu: MICU cg: -1 v1: Sl. Limited st: NotStopd
t0: [07:00:00 08/09/2016] id: Urine Out Foley el: 1 cu: MICU cg: -1 vo: 15 vu: ml t0: [08:00:00 08/09/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: -1 ai: 107 vo: 10 vu: ml t0: [08:00:00 08/09/2016] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: MICU cg: -1 ai: 107 vo: 20.76 vu: ml
t0: [08:00:00 08/09/2016] id: Propofol el: 1 cu: MICU so: N/A vo: 0 v1: 20 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [08:00:00 08/09/2016] id: Eye Opening el: 0 cu: MICU cg: -1 v1: 1 No Response st: NotStopd t0: [08:00:00 08/09/2016] id: GCS Total el: 0 cu: MICU cg: -1 v1: 7 u1: points st: NotStopd t0: [08:00:00 08/09/2016] id: Motor Response el: 0 cu: MICU cg: -1 v1: 5 Localizes Pain st: NotStopd t0: [08:00:00 08/09/2016] id: Verbal Response el: 0 cu: MICU cg: -1 v1: 1.0 ET/Trach st: NotStopd
t0: [08:00:00 08/09/2016] id: Urine Out Foley el: 1 cu: MICU cg: -1 vo: 10 vu: ml
t0: [08:00:00 08/09/2016] id: Sputum Color/Consist el: 0 cu: MICU cg: -1 v1: Clear v2: Thin st: NotStopd t0: [08:00:00 08/09/2016] id: Sputum Source/Amt el: 0 cu: MICU cg: -1 v1: Suctioned v2: Scant st: NotStopd t0: [09:00:00 08/09/2016] id: Service Type el: 0 cu: MICU cg: -1 v1: MICU st: NotStopd t0: [09:00:00 08/09/2016] id: Code Status el: 0 cu: MICU cg: -1 v1: Full Code st: NotStopd t0: [09:00:00 08/09/2016] id: Riker-SAS Scale el: 0 cu: MICU cg: -1 v1: Sedated st: NotStopd t0: [09:00:00 08/09/2016] id: Risk for Falls el: 0 cu: MICU cg: -1 v1: Yes st: NotStopd t0: [09:00:00 08/09/2016] id: Ectopy Frequency el: 0 cu: MICU cg: -1 v1: Rare st: NotStopd t0: [09:00:00 08/09/2016] id: Ectopy Type el: 0 cu: MICU cg: -1 v1: PVC's st: NotStopd t0: [09:00:00 08/09/2016] id: Heart Rate el: 0 cu: MICU cg: -1 v1: 86 u1: BPM st: NotStopd t0: [09:00:00 08/09/2016] id: Heart Rhythm el: 0 cu: MICU cg: -1 v1: Normal Sinus st: NotStopd t0: [09:00:00 08/09/2016] id: Arterial BP el: 0 cu: MICU cg: -1 v1: 123 u1: mmHg v2: 56 u2: mmHg st: NotStopd t0: [09:00:00 08/09/2016] id: Arterial BP Mean el: 0 cu: MICU cg: -1 v1: 77 u1: mmHg st: NotStopd t0: [09:00:00 08/09/2016] id: Precautions el: 0 cu: MICU cg: -1 v1: Universal st: NotStopd t0: [09:00:00 08/09/2016] id: Respiratory Rate el: 0 cu: MICU cg: -1 v1: 14 u1: BPM st: NotStopd t0: [09:00:00 08/09/2016] id: SpO2 el: 0 cu: MICU cg: -1 v1: 97 u1: % st: NotStopd t0: [09:00:00 08/09/2016] id: calprevflg el: 0 cu: MICU cg: -1 v1: 1 u1: kg st: NotStopd
t0: [09:00:00 08/09/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: -1 ai: 107 vo: 10 vu: ml t0: [09:00:00 08/09/2016] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: MICU cg: -1 ai: 107 vo: 20.76 vu: ml t0: [09:00:00 08/09/2016] id: Urine Out Foley el: 1 cu: MICU cg: -1 vo: 20 vu: ml
t0: [09:00:00 08/09/2016] tf: [10:00:00 18/09/2016] dt: 14460 id: Gastric Meds PO/Gastric el: 1 cu: MICU cg: -1 ai: 107 vo: 60 vu: ml
t0: [09:11:00 08/09/2016] id: Compliance (40-60ml) el: 0 cu: MICU cg: RRT v1: 28.2609 u1: ml/cmH st: NotStopd t0: [09:11:00 08/09/2016] id: ETT Mark/Location el: 0 cu: MICU cg: RRT v1: 23cm v2: Lip st: NotStopd t0: [09:11:00 08/09/2016] id: FiO2 Set el: 0 cu: MICU cg: RRT v1: 0.4 u1: torr st: NotStopd t0: [09:11:00 08/09/2016] id: High Insp. Pressure el: 0 cu: MICU cg: RRT v1: 45 u1: cmH2O st: NotStopd t0: [09:11:00 08/09/2016] id: High Resp. Rate el: 0 cu: MICU cg: RRT v1: 10 u1: BPM st: NotStopd t0: [09:11:00 08/09/2016] id: I:E Ratio el: 0 cu: MICU cg: RRT v1: 1:3.8 st: NotStopd t0: [09:11:00 08/09/2016] id: Airway Size el: 0 cu: MICU cg: RRT v1: 8.5 mm st: NotStopd t0: [09:11:00 08/09/2016] id: Airway Type el: 0 cu: MICU cg: RRT v1: Endotracheal st: NotStopd t0: [09:11:00 08/09/2016] id: Inspired Gas Temp el: 0 cu: MICU cg: RRT u1: Deg. C st: NotStopd t0: [09:11:00 08/09/2016] id: Intubation Date el: 0 cu: MICU cg: RRT v1: 7 v2: 23 st: NotStopd t0: [09:11:00 08/09/2016] id: Low Exhaled Min Vol el: 0 cu: MICU cg: RRT v1: 6 st: NotStopd t0: [09:11:00 08/09/2016] id: Mean Airway Pressure el: 0 cu: MICU cg: RRT v1: 15 u1: cmH2O st: NotStopd t0: [09:11:00 08/09/2016] id: Minute Volume(Obser) el: 0 cu: MICU cg: RRT v1: 8.1 u1: L/min st: NotStopd t0: [09:11:00 08/09/2016] id: PEEP Set el: 0 cu: MICU cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [09:11:00 08/09/2016] id: Apnea Time Interval el: 0 cu: MICU cg: RRT v1: 20 st: NotStopd t0: [09:11:00 08/09/2016] id: Peak Insp. Pressure el: 0 cu: MICU cg: RRT v1: 33 u1: cmH2O st: NotStopd t0: [09:11:00 08/09/2016] id: Plateau Pressure el: 0 cu: MICU cg: RRT v1: 27 u1: cmH2O st: NotStopd t0: [09:11:00 08/09/2016] id: Plateau-Off el: 0 cu: MICU cg: RRT v1: Yes st: NotStopd t0: [09:11:00 08/09/2016] id: Resp Rate (Spont) el: 0 cu: MICU cg: RRT v1: 0 u1: BPM st: NotStopd t0: [09:11:00 08/09/2016] id: Resp Rate (Total) el: 0 cu: MICU cg: RRT v1: 14 u1: BPM st: NotStopd t0: [09:11:00 08/09/2016] id: Respiratory Rate Set el: 0 cu: MICU cg: RRT v1: 14 u1: BPM st: NotStopd t0: [09:11:00 08/09/2016] id: Sensitivity-Vent el: 0 cu: MICU cg: RRT v1: 3 u1: cmH2O st: NotStopd t0: [09:11:00 08/09/2016] id: SpO2 el: 0 cu: MICU cg: RRT v1: 97 u1: % st: NotStopd t0: [09:11:00 08/09/2016] id: Sputum Color/Consist el: 0 cu: MICU cg: RRT v1: Tan v2: Tenacious st: NotStopd t0: [09:11:00 08/09/2016] id: Sputum Source/Amt el: 0 cu: MICU cg: RRT v1: Suctioned v2: Small st: NotStopd t0: [09:11:00 08/09/2016] id: Tidal Volume (Obser) el: 0 cu: MICU cg: RRT v1: 580 u1: ml/B st: NotStopd t0: [09:11:00 08/09/2016] id: Tidal Volume (Set) el: 0 cu: MICU cg: RRT v1: 650 u1: ml/B st: NotStopd t0: [09:11:00 08/09/2016] id: Ventilator Mode el: 0 cu: MICU cg: RRT v1: Assist Control st: NotStopd
t0: [09:11:00 08/09/2016] id: LLL Lung Sounds el: 0 cu: MICU cg: RRT v1: Diminished st: NotStopd t0: [09:11:00 08/09/2016] id: LUL Lung Sounds el: 0 cu: MICU cg: RRT v1: Clear st: NotStopd t0: [09:11:00 08/09/2016] id: RLL Lung Sounds el: 0 cu: MICU cg: RRT v1: Clear st: NotStopd t0: [09:11:00 08/09/2016] id: RUL Lung Sounds el: 0 cu: MICU cg: RRT v1: Clear st: NotStopd t0: [09:11:00 08/09/2016] id: Respiratory Pattern el: 0 cu: MICU cg: RRT v1: Regular st: NotStopd
t0: [09:11:00 08/09/2016] id: MDI #1 (Puff/Drug) el: 0 cu: MICU cg: RRT v1: 6 v2: Combivent st: NotStopd
t0: [09:19:00 08/09/2016] id: FiO2 Set el: 0 cu: MICU cg: RRT v1: 0.5 u1: torr st: NotStopd t0: [09:19:00 08/09/2016] id: SpO2 el: 0 cu: MICU cg: RRT v1: 90 u1: % st: NotStopd t0: [09:19:00 08/09/2016] id: Sputum Color/Consist el: 0 cu: MICU cg: RRT v1: Tan v2: Thick st: NotStopd t0: [09:19:00 08/09/2016] id: Sputum Source/Amt el: 0 cu: MICU cg: RRT v1: Suctioned v2: Moderate st: NotStopd t0: [09:19:00 08/09/2016] id: Ventilator Type el: 0 cu: MICU cg: RRT v1: Drager st: NotStopd
t0: [09:32:00 08/09/2016] id: SpO2 el: 0 cu: MICU cg: RRT v1: 95 u1: % st: NotStopd t0: [09:32:00 08/09/2016] id: Ventilator Type el: 0 cu: MICU cg: RRT v1: Drager st: NotStopd
tf: [14:00:00 11/10/2016] pt: Unit Dose rt: IH fr: Q6H:PRN m1: Albuterol Neb Soln v1: 1 u1: NEB tf: [20:00:00 24/10/2016] pt: Unit Dose rt: IH fr: Q6H fs: 10, 16, 22, 4 dn: 4 m1: Ipratropium Bromide Neb v1: 1 u1: NEB
t0: [09:00:00 08/09/2016] id: HOB el: 0 cu: MICU cg: -1 v1: 45 degrees st: NotStopd t0: [09:00:00 08/09/2016] id: Activity el: 0 cu: MICU cg: -1 v1: Bedrest st: NotStopd t0: [09:00:00 08/09/2016] id: Activity Tolerance el: 0 cu: MICU cg: -1 v1: Good st: NotStopd t0: [09:00:00 08/09/2016] id: Position el: 0 cu: MICU cg: -1 v1: Supine st: NotStopd t0: [09:00:00 08/09/2016] id: Assistance Device el: 0 cu: MICU cg: -1 v1: Total Lift st: NotStopd t0: [09:00:00 08/09/2016] id: Radiologic Study el: 0 cu: MICU cg: -1 v1: Chest Xray st: NotStopd t0: [09:00:00 08/09/2016] id: Significant Events el: 0 cu: MICU cg: -1 v1: Other/Remarks st: NotStopd t0: [09:00:00 08/09/2016] id: Skin Care el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [09:00:00 08/09/2016] id: Turn el: 0 cu: MICU cg: -1 v1: Side to Side st: NotStopd t0: [09:00:00 08/09/2016] id: Back Care el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [10:00:00 08/09/2016] id: Less Restrict Meas. el: 0 cu: MICU cg: -1 v1: Medicated st: NotStopd t0: [10:00:00 08/09/2016] id: Range of Motion el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [10:00:00 08/09/2016] id: Service Type el: 0 cu: MICU cg: -1 v1: MICU st: NotStopd t0: [10:00:00 08/09/2016] id: Circulation/SkinInt el: 0 cu: MICU cg: -1 v1: Circulation Adeq st: NotStopd t0: [10:00:00 08/09/2016] id: Code Status el: 0 cu: MICU cg: -1 v1: Full Code st: NotStopd t0: [10:00:00 08/09/2016] id: Riker-SAS Scale el: 0 cu: MICU cg: -1 v1: Sedated st: NotStopd t0: [10:00:00 08/09/2016] id: Risk for Falls el: 0 cu: MICU cg: -1 v1: Yes st: NotStopd t0: [10:00:00 08/09/2016] id: Ectopy Frequency el: 0 cu: MICU cg: -1 v1: Occasional st: NotStopd t0: [10:00:00 08/09/2016] id: Ectopy Type el: 0 cu: MICU cg: -1 v1: PVC's st: NotStopd t0: [10:00:00 08/09/2016] id: Heart Rate el: 0 cu: MICU cg: -1 v1: 83 u1: BPM st: NotStopd t0: [10:00:00 08/09/2016] id: Heart Rhythm el: 0 cu: MICU cg: -1 v1: Normal Sinus st: NotStopd t0: [10:00:00 08/09/2016] id: Arterial BP el: 0 cu: MICU cg: -1 v1: 127 u1: mmHg v2: 59 u2: mmHg st: NotStopd t0: [10:00:00 08/09/2016] id: Arterial BP Mean el: 0 cu: MICU cg: -1 v1: 80 u1: mmHg st: NotStopd t0: [10:00:00 08/09/2016] id: Position Change el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [10:00:00 08/09/2016] id: Precautions el: 0 cu: MICU cg: -1 v1: Universal st: NotStopd t0: [10:00:00 08/09/2016] id: Reason For Restraint el: 0 cu: MICU cg: -1 v1: Ext/TXInterfere st: NotStopd t0: [10:00:00 08/09/2016] id: Removed x 5 Mins el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [10:00:00 08/09/2016] id: Respiratory Rate el: 0 cu: MICU cg: -1 v1: 15 u1: BPM st: NotStopd t0: [10:00:00 08/09/2016] id: Restraint Location el: 0 cu: MICU cg: -1 v1: Both Arms st: NotStopd t0: [10:00:00 08/09/2016] id: Restraint Type el: 0 cu: MICU cg: -1 v1: Soft Limb st: NotStopd t0: [10:00:00 08/09/2016] id: Restraints Evaluated el: 0 cu: MICU cg: -1 v1: RestraintReapply st: NotStopd t0: [10:00:00 08/09/2016] id: Side Rails el: 0 cu: MICU cg: -1 v1: Side Rails Up st: NotStopd t0: [10:00:00 08/09/2016] id: Significant Events el: 0 cu: MICU cg: -1 v1: Other/Remarks st: NotStopd t0: [10:00:00 08/09/2016] id: SpO2 el: 0 cu: MICU cg: -1 v1: 97 u1: % st: NotStopd t0: [10:00:00 08/09/2016] id: Support Systems el: 0 cu: MICU cg: -1 v1: Spouse st: NotStopd t0: [10:00:00 08/09/2016] id: calprevflg el: 0 cu: MICU cg: -1 v1: 1 u1: kg st: NotStopd
t0: [10:00:00 08/09/2016] id: D5W 100.0ml IV Infusions el: 2 cu: MICU cg: -1 ai: 107 vo: 1000 vu: ml t0: [10:00:00 08/09/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: -1 ai: 107 vo: 10 vu: ml t0: [10:00:00 08/09/2016] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: MICU cg: -1 ai: 107 vo: 20.76 vu: ml t0: [10:00:00 08/09/2016] id: Urine Out Foley el: 1 cu: MICU cg: -1 vo: 20 vu: ml
t0: [10:00:00 08/09/2016] id: HOB el: 0 cu: MICU cg: -1 v1: 15 degrees st: NotStopd t0: [10:00:00 08/09/2016] id: Activity el: 0 cu: MICU cg: -1 v1: Bedrest st: NotStopd t0: [10:00:00 08/09/2016] id: Activity Tolerance el: 0 cu: MICU cg: -1 v1: Good st: NotStopd t0: [10:00:00 08/09/2016] id: Position el: 0 cu: MICU cg: -1 v1: Left Side st: NotStopd t0: [10:00:00 08/09/2016] id: Assistance Device el: 0 cu: MICU cg: -1 v1: Total Lift st: NotStopd t0: [10:00:00 08/09/2016] id: Skin Care el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [10:00:00 08/09/2016] id: Turn el: 0 cu: MICU cg: -1 v1: Left Side st: NotStopd t0: [10:00:00 08/09/2016] id: Back Care el: 0 cu: MICU cg: -1 v1: Done st: NotStopd
t0: [11:00:00 08/09/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: -1 ai: 107 vo: 10 vu: ml t0: [11:00:00 08/09/2016] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: MICU cg: -1 ai: 107 vo: 20.76 vu: ml
t0: [09:00:00 08/09/2016] id: Propofol el: 1 cu: MICU so: N/A vo: 0 v1: 20 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [10:00:00 08/09/2016] id: Propofol el: 1 cu: MICU so: N/A vo: 0 v1: 20 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [11:00:00 08/09/2016] id: Service Type el: 0 cu: MICU cg: -1 v1: MICU st: NotStopd t0: [11:00:00 08/09/2016] id: Code Status el: 0 cu: MICU cg: -1 v1: Full Code st: NotStopd t0: [11:00:00 08/09/2016] id: Riker-SAS Scale el: 0 cu: MICU cg: -1 v1: Sedated st: NotStopd t0: [11:00:00 08/09/2016] id: Risk for Falls el: 0 cu: MICU cg: -1 v1: Yes st: NotStopd t0: [11:00:00 08/09/2016] id: Ectopy Frequency el: 0 cu: MICU cg: -1 v1: Occasional st: NotStopd t0: [11:00:00 08/09/2016] id: Ectopy Type el: 0 cu: MICU cg: -1 v1: PVC's st: NotStopd t0: [11:00:00 08/09/2016] id: Heart Rate el: 0 cu: MICU cg: -1 v1: 82 u1: BPM st: NotStopd t0: [11:00:00 08/09/2016] id: Heart Rhythm el: 0 cu: MICU cg: -1 v1: Normal Sinus st: NotStopd t0: [11:00:00 08/09/2016] id: Arterial BP el: 0 cu: MICU cg: -1 v1: 113 u1: mmHg v2: 51 u2: mmHg st: NotStopd t0: [11:00:00 08/09/2016] id: Arterial BP Mean el: 0 cu: MICU cg: -1 v1: 71 u1: mmHg st: NotStopd t0: [11:00:00 08/09/2016] id: Precautions el: 0 cu: MICU cg: -1 v1: Universal st: NotStopd t0: [11:00:00 08/09/2016] id: Respiratory Rate el: 0 cu: MICU cg: -1 v1: 14 u1: BPM st: NotStopd t0: [11:00:00 08/09/2016] id: SpO2 el: 0 cu: MICU cg: -1 v1: 100 u1: % st: NotStopd t0: [11:00:00 08/09/2016] id: calprevflg el: 0 cu: MICU cg: -1 v1: 1 u1: kg st: NotStopd t0: [11:00:00 08/09/2016] id: Fingerstick Glucose Chemistry el: 0 cu: MICU cg: -1 v1: 104 rs: Manual st: NotStopd
t0: [11:00:00 08/09/2016] id: Urine Out Foley el: 1 cu: MICU cg: -1 vo: 10 vu: ml
t0: [11:00:00 08/09/2016] id: Propofol el: 1 cu: MICU so: N/A vo: 0 v1: 20 du: mcgkgmin sv: 50 su: vl rt: IV Drip
id: D5W el: 1 cu: MICU cg: -1 io: D5W 250.0ml IV Infusions vo: 250 du: ml rt: Intravenous Push
t0: [12:00:00 08/09/2016] id: Less Restrict Meas. el: 0 cu: MICU cg: -1 v1: Medicated st: NotStopd t0: [12:00:00 08/09/2016] id: Pain Present el: 0 cu: MICU cg: -1 v1: No st: NotStopd t0: [12:00:00 08/09/2016] id: Range of Motion el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [12:00:00 08/09/2016] id: Pain Assess Method el: 0 cu: MICU cg: -1 v1: Change in Vitals st: NotStopd t0: [12:00:00 08/09/2016] id: Service Type el: 0 cu: MICU cg: -1 v1: MICU st: NotStopd t0: [12:00:00 08/09/2016] id: Circulation/SkinInt el: 0 cu: MICU cg: -1 v1: Circulation Adeq st: NotStopd t0: [12:00:00 08/09/2016] id: Code Status el: 0 cu: MICU cg: -1 v1: Full Code st: NotStopd t0: [12:00:00 08/09/2016] id: Riker-SAS Scale el: 0 cu: MICU cg: -1 v1: Sedated st: NotStopd t0: [12:00:00 08/09/2016] id: Risk for Falls el: 0 cu: MICU cg: -1 v1: Yes st: NotStopd t0: [12:00:00 08/09/2016] id: Diet Type el: 0 cu: MICU cg: -1 v1: NPO st: NotStopd t0: [12:00:00 08/09/2016] id: Dorsal PedPulse R/L el: 0 cu: MICU cg: -1 v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [12:00:00 08/09/2016] id: Ectopy Frequency el: 0 cu: MICU cg: -1 v1: Occasional st: NotStopd t0: [12:00:00 08/09/2016] id: Ectopy Type el: 0 cu: MICU cg: -1 v1: PVC's st: NotStopd t0: [12:00:00 08/09/2016] id: Eye Opening el: 0 cu: MICU cg: -1 v1: 2 To pain st: NotStopd t0: [12:00:00 08/09/2016] id: Family Communication el: 0 cu: MICU cg: -1 v1: Family Visited st: NotStopd t0: [12:00:00 08/09/2016] id: GCS Total el: 0 cu: MICU cg: -1 v1: 8 u1: points st: NotStopd t0: [12:00:00 08/09/2016] id: HOB el: 0 cu: MICU cg: -1 v1: 45 degrees st: NotStopd t0: [12:00:00 08/09/2016] id: Heart Rate el: 0 cu: MICU cg: -1 v1: 89 u1: BPM st: NotStopd t0: [12:00:00 08/09/2016] id: Heart Rhythm el: 0 cu: MICU cg: -1 v1: Normal Sinus st: NotStopd t0: [12:00:00 08/09/2016] id: INV Line#1 Type/Site el: 0 cu: MICU cg: -1 v1: PICC line v2: Left Brachial st: NotStopd t0: [12:00:00 08/09/2016] id: INV Line#1SiteAppear el: 0 cu: MICU cg: -1 v1: WNL st: NotStopd t0: [12:00:00 08/09/2016] id: INV Line#2 Type/Site el: 0 cu: MICU cg: -1 v1: A-Line v2: Right Radial st: NotStopd t0: [12:00:00 08/09/2016] id: INV Line#2InsertDate el: 0 cu: MICU cg: -1 v1: 7 v2: 24 st: NotStopd t0: [12:00:00 08/09/2016] id: INV Line#2SiteAppear el: 0 cu: MICU cg: -1 v1: WNL st: NotStopd t0: [12:00:00 08/09/2016] id: Abdominal Assessment el: 0 cu: MICU cg: -1 v1: Obese st: NotStopd t0: [12:00:00 08/09/2016] id: INV#2 WaveformAppear el: 0 cu: MICU cg: -1 v1: Sharp st: NotStopd t0: [12:00:00 08/09/2016] id: IV #1 Insert Date el: 0 cu: MICU cg: -1 v1: 7 v2: 23 st: NotStopd t0: [12:00:00 08/09/2016] id: IV #1 Site/Size el: 0 cu: MICU cg: -1 v1: RU Post Forearm v2: 20 gauge st: NotStopd t0: [12:00:00 08/09/2016] id: Activity el: 0 cu: MICU cg: -1 v1: Bedrest st: NotStopd t0: [12:00:00 08/09/2016] id: IV Site Appear #1 el: 0 cu: MICU cg: -1 v1: WNL st: NotStopd t0: [12:00:00 08/09/2016] id: Activity Tolerance el: 0 cu: MICU cg: -1 v1: Good st: NotStopd t0: [12:00:00 08/09/2016] id: LLL Lung Sounds el: 0 cu: MICU cg: -1 v1: Diminished st: NotStopd t0: [12:00:00 08/09/2016] id: LUL Lung Sounds el: 0 cu: MICU cg: -1 v1: Exp Wheeze st: NotStopd t0: [12:00:00 08/09/2016] id: Level of Conscious el: 0 cu: MICU cg: -1 v1: Sedated st: NotStopd t0: [12:00:00 08/09/2016] id: Motor Response el: 0 cu: MICU cg: -1 v1: 5 Localizes Pain st: NotStopd t0: [12:00:00 08/09/2016] id: Oral Cavity el: 0 cu: MICU cg: -1 v1: Teeth/Tissue WNL st: NotStopd t0: [12:00:00 08/09/2016] id: Orientation el: 0 cu: MICU cg: -1 v1: Other/Remarks st: NotStopd t0: [12:00:00 08/09/2016] id: Arterial BP el: 0 cu: MICU cg: -1 v1: 126 u1: mmHg v2: 54 u2: mmHg st: NotStopd t0: [12:00:00 08/09/2016] id: Pain Location el: 0 cu: MICU cg: -1 v1: Not Indicated st: NotStopd t0: [12:00:00 08/09/2016] id: Pain Type el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [12:00:00 08/09/2016] id: Arterial BP Mean el: 0 cu: MICU cg: -1 v1: 77 u1: mmHg st: NotStopd t0: [12:00:00 08/09/2016] id: Position el: 0 cu: MICU cg: -1 v1: Supine st: NotStopd t0: [12:00:00 08/09/2016] id: Position Change el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [12:00:00 08/09/2016] id: PostTib. Pulses R/L el: 0 cu: MICU cg: -1 v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [12:00:00 08/09/2016] id: Assistance Device el: 0 cu: MICU cg: -1 v1: Total Lift st: NotStopd t0: [12:00:00 08/09/2016] id: Precautions el: 0 cu: MICU cg: -1 v1: Universal st: NotStopd t0: [12:00:00 08/09/2016] id: RLL Lung Sounds el: 0 cu: MICU cg: -1 v1: Bronchial st: NotStopd t0: [12:00:00 08/09/2016] id: RUL Lung Sounds el: 0 cu: MICU cg: -1 v1: Exp Wheeze st: NotStopd t0: [12:00:00 08/09/2016] id: Reason For Restraint el: 0 cu: MICU cg: -1 v1: Ext/TXInterfere st: NotStopd t0: [12:00:00 08/09/2016] id: Removed x 5 Mins el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [12:00:00 08/09/2016] id: Respiratory Pattern el: 0 cu: MICU cg: -1 v1: Regular st: NotStopd t0: [12:00:00 08/09/2016] id: Respiratory Rate el: 0 cu: MICU cg: -1 v1: 13 u1: BPM st: NotStopd t0: [12:00:00 08/09/2016] id: Restraint Location el: 0 cu: MICU cg: -1 v1: Both Arms st: NotStopd t0: [12:00:00 08/09/2016] id: Restraint Type el: 0 cu: MICU cg: -1 v1: Soft Limb st: NotStopd t0: [12:00:00 08/09/2016] id: Restraints Evaluated el: 0 cu: MICU cg: -1 v1: RestraintReapply st: NotStopd t0: [12:00:00 08/09/2016] id: Side Rails el: 0 cu: MICU cg: -1 v1: Side Rails Up st: NotStopd t0: [12:00:00 08/09/2016] id: SpO2 el: 0 cu: MICU cg: -1 v1: 99 u1: % st: NotStopd t0: [12:00:00 08/09/2016] id: Sputum Color/Consist el: 0 cu: MICU cg: -1 v1: Tan v2: Thick st: NotStopd t0: [12:00:00 08/09/2016] id: Sputum Source/Amt el: 0 cu: MICU cg: -1 v1: Suctioned v2: Small st: NotStopd t0: [12:00:00 08/09/2016] id: Stool Guaiac el: 0 cu: MICU cg: -1 v1: Not Applicable st: NotStopd t0: [12:00:00 08/09/2016] id: Support Systems el: 0 cu: MICU cg: -1 v1: Spouse st: NotStopd t0: [12:00:00 08/09/2016] id: Temp. Site el: 0 cu: MICU cg: -1 v1: Oral st: NotStopd t0: [12:00:00 08/09/2016] id: Temperature C (calc) el: 0 cu: MICU cg: -1 v1: 37.0556 u1: Deg. C st: NotStopd t0: [12:00:00 08/09/2016] id: Temperature F el: 0 cu: MICU cg: -1 v1: 98.7 u1: Deg. F st: NotStopd t0: [12:00:00 08/09/2016] id: Turn el: 0 cu: MICU cg: -1 v1: Back st: NotStopd t0: [12:00:00 08/09/2016] id: Urine Color/Appear el: 0 cu: MICU cg: -1 v1: Amber v2: Sediment st: NotStopd t0: [12:00:00 08/09/2016] id: Urine Source el: 0 cu: MICU cg: -1 v1: Indwelling Cath st: NotStopd t0: [12:00:00 08/09/2016] id: Verbal Response el: 0 cu: MICU cg: -1 v1: 1.0 ET/Trach st: NotStopd t0: [12:00:00 08/09/2016] id: calprevflg el: 0 cu: MICU cg: -1 v1: 1 u1: kg st: NotStopd t0: [12:00:00 08/09/2016] id: Behavior el: 0 cu: MICU cg: -1 v1: Sedated st: NotStopd t0: [12:00:00 08/09/2016] id: Bowel Sounds el: 0 cu: MICU cg: -1 v1: Present st: NotStopd
t0: [12:00:00 08/09/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: -1 ai: 107 vo: 10 vu: ml t0: [12:00:00 08/09/2016] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: MICU cg: -1 ai: 107 vo: 20.76 vu: ml t0: [12:00:00 08/09/2016] id: Urine Out Foley el: 1 cu: MICU cg: -1 vo: 40 vu: ml
t0: [12:00:00 08/09/2016] id: Propofol el: 1 cu: MICU so: N/A vo: 0 v1: 20 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [13:00:00 08/09/2016] id: Service Type el: 0 cu: MICU cg: -1 v1: MICU st: NotStopd t0: [13:00:00 08/09/2016] id: Code Status el: 0 cu: MICU cg: -1 v1: Full Code st: NotStopd t0: [13:00:00 08/09/2016] id: Riker-SAS Scale el: 0 cu: MICU cg: -1 v1: Sedated st: NotStopd t0: [13:00:00 08/09/2016] id: Risk for Falls el: 0 cu: MICU cg: -1 v1: Yes st: NotStopd t0: [13:00:00 08/09/2016] id: Ectopy Frequency el: 0 cu: MICU cg: -1 v1: Occasional st: NotStopd t0: [13:00:00 08/09/2016] id: Ectopy Type el: 0 cu: MICU cg: -1 v1: PVC's st: NotStopd t0: [13:00:00 08/09/2016] id: Heart Rate el: 0 cu: MICU cg: -1 v1: 88 u1: BPM st: NotStopd t0: [13:00:00 08/09/2016] id: Heart Rhythm el: 0 cu: MICU cg: -1 v1: Normal Sinus st: NotStopd t0: [13:00:00 08/09/2016] id: Arterial BP el: 0 cu: MICU cg: -1 v1: 123 u1: mmHg v2: 52 u2: mmHg st: NotStopd t0: [13:00:00 08/09/2016] id: Arterial BP Mean el: 0 cu: MICU cg: -1 v1: 73 u1: mmHg st: NotStopd t0: [13:00:00 08/09/2016] id: Precautions el: 0 cu: MICU cg: -1 v1: Universal st: NotStopd t0: [13:00:00 08/09/2016] id: Respiratory Rate el: 0 cu: MICU cg: -1 v1: 17 u1: BPM st: NotStopd t0: [13:00:00 08/09/2016] id: SpO2 el: 0 cu: MICU cg: -1 v1: 98 u1: % st: NotStopd t0: [13:00:00 08/09/2016] id: calprevflg el: 0 cu: MICU cg: -1 v1: 1 u1: kg st: NotStopd
t0: [13:00:00 08/09/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: -1 ai: 107 vo: 10 vu: ml t0: [13:00:00 08/09/2016] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: MICU cg: -1 ai: 107 vo: 20.76 vu: ml t0: [13:00:00 08/09/2016] id: Urine Out Foley el: 1 cu: MICU cg: -1 vo: 10 vu: ml
t0: [13:00:00 08/09/2016] id: Propofol el: 1 cu: MICU so: N/A vo: 0 v1: 20 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [13:38:00 08/09/2016] id: Art.pH ABG el: 0 cu: MICU cg: 1663 v1: 7.45 rs: Final st: NotStopd t0: [13:38:00 08/09/2016] id: Arterial Base Excess ABG el: 0 cu: MICU cg: 1663 v1: 5 rs: Final st: NotStopd t0: [13:38:00 08/09/2016] id: Arterial CO2(Calc) ABG el: 0 cu: MICU cg: 1663 v1: 30 rs: Final st: NotStopd t0: [13:38:00 08/09/2016] id: Arterial PaCO2 ABG el: 0 cu: MICU cg: 1663 v1: 42 u1: mmHg rs: Final st: NotStopd t0: [13:38:00 08/09/2016] id: Arterial PaO2 ABG el: 0 cu: MICU cg: 1663 v1: 163 u1: mmHg rs: Final st: NotStopd t0: [13:38:00 08/09/2016] id: Arterial pH ABG el: 0 cu: MICU cg: 1663 v1: 7.45 rs: Final st: NotStopd
t0: [13:38:00 08/09/2016] id: Code Status el: 0 cu: MICU cg: -1 v1: Full Code st: NotStopd t0: [13:38:00 08/09/2016] id: Risk for Falls el: 0 cu: MICU cg: -1 v1: Yes st: NotStopd t0: [13:38:00 08/09/2016] id: Precautions el: 0 cu: MICU cg: -1 v1: Universal st: NotStopd t0: [14:00:00 08/09/2016] id: Code Status el: 0 cu: MICU cg: -1 v1: Full Code st: NotStopd t0: [14:00:00 08/09/2016] id: Risk for Falls el: 0 cu: MICU cg: -1 v1: Yes st: NotStopd t0: [14:00:00 08/09/2016] id: Precautions el: 0 cu: MICU cg: -1 v1: Universal st: NotStopd
t0: [13:38:00 08/09/2016] id: Propofol el: 1 cu: MICU so: N/A vo: 0 v1: 20 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [09:45:00 08/09/2016] id: FiO2 Set el: 0 cu: MICU cg: RRT v1: 0.6 u1: torr st: NotStopd
t0: [09:11:00 08/09/2016] id: Ventilator Type el: 0 cu: MICU cg: RRT v1: Drager st: NotStopd
id: .9% Normal Saline el: 2 cu: MICU cg: -1 io: .9% Normal Saline 1000.0ml IV Infusions vo: 1000 du: ml rt: Intravenous Push
t0: [15:00:00 08/09/2016] id: Compliance (40-60ml) el: 0 cu: MICU cg: RRT v1: 21.6667 u1: ml/cmH st: NotStopd t0: [15:00:00 08/09/2016] id: ETT Mark/Location el: 0 cu: MICU cg: RRT v1: 23cm v2: Lip st: NotStopd t0: [15:00:00 08/09/2016] id: FiO2 Set el: 0 cu: MICU cg: RRT v1: 0.6 u1: torr st: NotStopd t0: [15:00:00 08/09/2016] id: High Insp. Pressure el: 0 cu: MICU cg: RRT v1: 55 u1: cmH2O st: NotStopd t0: [15:00:00 08/09/2016] id: High Resp. Rate el: 0 cu: MICU cg: RRT v1: 10 u1: BPM st: NotStopd t0: [15:00:00 08/09/2016] id: I:E Ratio el: 0 cu: MICU cg: RRT v1: 1:3.8 st: NotStopd t0: [15:00:00 08/09/2016] id: Airway Size el: 0 cu: MICU cg: RRT v1: 8.5 mm st: NotStopd t0: [15:00:00 08/09/2016] id: Airway Type el: 0 cu: MICU cg: RRT v1: Endotracheal st: NotStopd t0: [15:00:00 08/09/2016] id: Inspired Gas Temp el: 0 cu: MICU cg: RRT u1: Deg. C st: NotStopd t0: [15:00:00 08/09/2016] id: Intubation Date el: 0 cu: MICU cg: RRT v1: 7 v2: 23 st: NotStopd t0: [15:00:00 08/09/2016] id: Low Exhaled Min Vol el: 0 cu: MICU cg: RRT v1: 6 st: NotStopd t0: [15:00:00 08/09/2016] id: Mean Airway Pressure el: 0 cu: MICU cg: RRT v1: 19 u1: cmH2O st: NotStopd t0: [15:00:00 08/09/2016] id: Minute Volume(Obser) el: 0 cu: MICU cg: RRT v1: 13.1 u1: L/min st: NotStopd t0: [15:00:00 08/09/2016] id: PEEP Set el: 0 cu: MICU cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [15:00:00 08/09/2016] id: Apnea Time Interval el: 0 cu: MICU cg: RRT v1: 20 st: NotStopd t0: [15:00:00 08/09/2016] id: Peak Insp. Pressure el: 0 cu: MICU cg: RRT v1: 40 u1: cmH2O st: NotStopd t0: [15:00:00 08/09/2016] id: Plateau Pressure el: 0 cu: MICU cg: RRT v1: 30 u1: cmH2O st: NotStopd t0: [15:00:00 08/09/2016] id: Plateau-Off el: 0 cu: MICU cg: RRT v1: Yes st: NotStopd t0: [15:00:00 08/09/2016] id: Resp Rate (Spont) el: 0 cu: MICU cg: RRT v1: 8 u1: BPM st: NotStopd t0: [15:00:00 08/09/2016] id: Resp Rate (Total) el: 0 cu: MICU cg: RRT v1: 22 u1: BPM st: NotStopd t0: [15:00:00 08/09/2016] id: Respiratory Rate Set el: 0 cu: MICU cg: RRT v1: 14 u1: BPM st: NotStopd t0: [15:00:00 08/09/2016] id: Sensitivity-Vent el: 0 cu: MICU cg: RRT v1: 3 u1: cmH2O st: NotStopd t0: [15:00:00 08/09/2016] id: SpO2 el: 0 cu: MICU cg: RRT v1: 97 u1: % st: NotStopd t0: [15:00:00 08/09/2016] id: Tidal Volume (Obser) el: 0 cu: MICU cg: RRT v1: 650 u1: ml/B st: NotStopd t0: [15:00:00 08/09/2016] id: Tidal Volume (Set) el: 0 cu: MICU cg: RRT v1: 650 u1: ml/B st: NotStopd t0: [15:00:00 08/09/2016] id: Ventilator Mode el: 0 cu: MICU cg: RRT v1: Assist Control st: NotStopd t0: [15:00:00 08/09/2016] id: Ventilator Type el: 0 cu: MICU cg: RRT v1: Drager st: NotStopd
t0: [14:00:00 08/09/2016] id: Less Restrict Meas. el: 0 cu: MICU cg: -1 v1: Medicated st: NotStopd t0: [14:00:00 08/09/2016] id: Range of Motion el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [14:00:00 08/09/2016] id: Circulation/SkinInt el: 0 cu: MICU cg: -1 v1: Circulation Adeq st: NotStopd t0: [14:00:00 08/09/2016] id: HOB el: 0 cu: MICU cg: -1 v1: Flat in Bed st: NotStopd t0: [14:00:00 08/09/2016] id: INV Line#1 Type/Site el: 0 cu: MICU cg: -1 v1: PICC line v2: Left Brachial st: NotStopd t0: [14:00:00 08/09/2016] id: INV Line#1SiteAppear el: 0 cu: MICU cg: -1 v1: WNL st: NotStopd t0: [14:00:00 08/09/2016] id: INV Line#2 Type/Site el: 0 cu: MICU cg: -1 v1: A-Line v2: Right Radial st: NotStopd t0: [14:00:00 08/09/2016] id: INV Line#2InsertDate el: 0 cu: MICU cg: -1 v1: 7 v2: 24 st: NotStopd t0: [14:00:00 08/09/2016] id: INV Line#2SiteAppear el: 0 cu: MICU cg: -1 v1: Other/Remarks st: NotStopd t0: [14:00:00 08/09/2016] id: INV Line#3 Type/Site el: 0 cu: MICU cg: -1 v1: PA line v2: Left Subclavian st: NotStopd t0: [14:00:00 08/09/2016] id: INV Line#3 Zero/Cal el: 0 cu: MICU cg: -1 v1: Yes st: NotStopd t0: [14:00:00 08/09/2016] id: INV Line#3InsertDate el: 0 cu: MICU cg: -1 v1: 7 v2: 24 st: NotStopd t0: [14:00:00 08/09/2016] id: INV Line#3SiteAppear el: 0 cu: MICU cg: -1 v1: WNL st: NotStopd t0: [14:00:00 08/09/2016] id: INV#2 WaveformAppear el: 0 cu: MICU cg: -1 v1: Other/Remarks st: NotStopd t0: [14:00:00 08/09/2016] id: INV#3 WaveformAppear el: 0 cu: MICU cg: -1 v1: Sharp st: NotStopd t0: [14:00:00 08/09/2016] id: IV #1 Insert Date el: 0 cu: MICU cg: -1 v1: 7 v2: 23 st: NotStopd t0: [14:00:00 08/09/2016] id: IV #1 Site/Size el: 0 cu: MICU cg: -1 v1: RU Post Forearm v2: 20 gauge st: NotStopd t0: [14:00:00 08/09/2016] id: Activity el: 0 cu: MICU cg: -1 v1: Bedrest st: NotStopd t0: [14:00:00 08/09/2016] id: IV Site Appear #1 el: 0 cu: MICU cg: -1 v1: WNL st: NotStopd t0: [14:00:00 08/09/2016] id: Activity Tolerance el: 0 cu: MICU cg: -1 v1: Good st: NotStopd t0: [14:00:00 08/09/2016] id: Position el: 0 cu: MICU cg: -1 v1: Supine st: NotStopd t0: [14:00:00 08/09/2016] id: Position Change el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [14:00:00 08/09/2016] id: Assistance Device el: 0 cu: MICU cg: -1 v1: 2 Person Assist st: NotStopd t0: [14:00:00 08/09/2016] id: Procedures el: 0 cu: MICU cg: -1 v1: Line Placement st: NotStopd t0: [14:00:00 08/09/2016] id: Reason For Restraint el: 0 cu: MICU cg: -1 v1: Ext/TXInterfere st: NotStopd t0: [14:00:00 08/09/2016] id: Removed x 5 Mins el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [14:00:00 08/09/2016] id: Restraint Location el: 0 cu: MICU cg: -1 v1: Both Arms st: NotStopd t0: [14:00:00 08/09/2016] id: Restraint Type el: 0 cu: MICU cg: -1 v1: Soft Limb st: NotStopd t0: [14:00:00 08/09/2016] id: Restraints Evaluated el: 0 cu: MICU cg: -1 v1: RestraintReapply st: NotStopd t0: [14:00:00 08/09/2016] id: Side Rails el: 0 cu: MICU cg: -1 v1: Side Rails Up st: NotStopd t0: [14:00:00 08/09/2016] id: Skin Care el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [14:00:00 08/09/2016] id: Support Systems el: 0 cu: MICU cg: -1 v1: Spouse st: NotStopd t0: [14:00:00 08/09/2016] id: Turn el: 0 cu: MICU cg: -1 v1: Back st: NotStopd t0: [14:00:00 08/09/2016] id: Back Care el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [15:00:00 08/09/2016] id: Service Type el: 0 cu: MICU cg: -1 v1: MICU st: NotStopd t0: [15:00:00 08/09/2016] id: CVP el: 0 cu: MICU cg: -1 v1: 29 u1: mmHg st: NotStopd t0: [15:00:00 08/09/2016] id: Code Status el: 0 cu: MICU cg: -1 v1: Full Code st: NotStopd t0: [15:00:00 08/09/2016] id: Risk for Falls el: 0 cu: MICU cg: -1 v1: Yes st: NotStopd t0: [15:00:00 08/09/2016] id: Ectopy Frequency el: 0 cu: MICU cg: -1 v1: Rare st: NotStopd t0: [15:00:00 08/09/2016] id: Ectopy Type el: 0 cu: MICU cg: -1 v1: PVC's st: NotStopd t0: [15:00:00 08/09/2016] id: HOB el: 0 cu: MICU cg: -1 v1: 45 degrees st: NotStopd t0: [15:00:00 08/09/2016] id: Heart Rate el: 0 cu: MICU cg: -1 v1: 94 u1: BPM st: NotStopd t0: [15:00:00 08/09/2016] id: Heart Rhythm el: 0 cu: MICU cg: -1 v1: Normal Sinus st: NotStopd t0: [15:00:00 08/09/2016] id: Activity el: 0 cu: MICU cg: -1 v1: Bedrest st: NotStopd t0: [15:00:00 08/09/2016] id: Activity Tolerance el: 0 cu: MICU cg: -1 v1: Good st: NotStopd t0: [15:00:00 08/09/2016] id: NBP el: 0 cu: MICU cg: -1 v1: 129 u1: mmHg v2: 48 u2: mmHg st: NotStopd t0: [15:00:00 08/09/2016] id: NBP Mean el: 0 cu: MICU cg: -1 v1: 75 u1: mmHg st: NotStopd t0: [15:00:00 08/09/2016] id: PAP Mean el: 0 cu: MICU cg: -1 v1: 58 u1: mmHg st: NotStopd t0: [15:00:00 08/09/2016] id: PAP S/D el: 0 cu: MICU cg: -1 v1: 82 u1: mmHg v2: 42 u2: mmHg st: NotStopd t0: [15:00:00 08/09/2016] id: PCWP el: 0 cu: MICU cg: -1 v1: 36 u1: mmHg st: NotStopd t0: [15:00:00 08/09/2016] id: Position el: 0 cu: MICU cg: -1 v1: Left Side st: NotStopd t0: [15:00:00 08/09/2016] id: Assistance Device el: 0 cu: MICU cg: -1 v1: Total Lift st: NotStopd t0: [15:00:00 08/09/2016] id: Precautions el: 0 cu: MICU cg: -1 v1: Universal st: NotStopd t0: [15:00:00 08/09/2016] id: Radiologic Study el: 0 cu: MICU cg: -1 v1: Chest Xray st: NotStopd t0: [15:00:00 08/09/2016] id: Respiratory Rate el: 0 cu: MICU cg: -1 v1: 21 u1: BPM st: NotStopd t0: [15:00:00 08/09/2016] id: Turn el: 0 cu: MICU cg: -1 v1: Side to Side st: NotStopd t0: [15:00:00 08/09/2016] id: calprevflg el: 0 cu: MICU cg: -1 v1: 1 u1: kg st: NotStopd
t0: [15:00:00 08/09/2016] tf: [11:00:00 11/09/2016] dt: 4080 id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: -1 ai: 107 vo: 10 vu: ml t0: [14:00:00 08/09/2016] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: MICU cg: -1 ai: 107 vo: 20.76 vu: ml t0: [14:00:00 08/09/2016] id: Urine Out Foley el: 1 cu: MICU cg: -1 vo: 80 vu: ml t0: [15:00:00 08/09/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: -1 ai: 107 vo: 10 vu: ml t0: [15:00:00 08/09/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: MICU cg: -1 ai: 189 vo: 10 vu: ml t0: [15:00:00 08/09/2016] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: MICU cg: -1 ai: 107 vo: 31.14 vu: ml t0: [15:00:00 08/09/2016] id: Urine Out Foley el: 1 cu: MICU cg: -1 vo: 80 vu: ml
t0: [14:00:00 08/09/2016] id: Propofol el: 1 cu: MICU so: N/A vo: 0 v1: 30 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [15:00:00 08/09/2016] id: Propofol el: 1 cu: MICU so: N/A vo: 0 v1: 40 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [03:30:00 08/09/2016] id: Albumin Chemistry el: 0 cu: MICU cg: 1663 v1: 3.6 rs: Final st: NotStopd t0: [03:30:00 08/09/2016] id: Total Bili Chemistry el: 0 cu: MICU cg: 1663 v1: 0.6 rs: Final st: NotStopd t0: [03:30:00 08/09/2016] id: Total Protein Chemistry el: 0 cu: MICU cg: 1663 v1: 7.2 rs: Final st: NotStopd t0: [03:30:00 08/09/2016] id: ALT Enzymes el: 0 cu: MICU cg: 1663 v1: 15 rs: Final st: NotStopd t0: [03:30:00 08/09/2016] id: AST Enzymes el: 0 cu: MICU cg: 1663 v1: 23 rs: Final st: NotStopd t0: [03:30:00 08/09/2016] id: Albumin (>3.2) Chemistry el: 0 cu: MICU cg: 1663 v1: 3.6 rs: Final st: NotStopd t0: [03:30:00 08/09/2016] id: Alk. Phosphate Enzymes el: 0 cu: MICU cg: 1663 v1: 75 rs: Final st: NotStopd t0: [03:30:00 08/09/2016] id: Amylase Enzymes el: 0 cu: MICU cg: 1663 v1: 31 rs: Final st: NotStopd t0: [03:30:00 08/09/2016] id: Total Bili (0-1.5) Chemistry el: 0 cu: MICU cg: 1663 v1: 0.6 rs: Final st: NotStopd t0: [03:30:00 08/09/2016] id: Total Protein(6.5-8) Chemistry el: 0 cu: MICU cg: 1663 v1: 7.2 rs: Final st: NotStopd
t0: [17:09:00 08/09/2016] id: Hematocrit Hematology el: 0 cu: MICU cg: 1663 v1: 32 u1: % rs: Final st: NotStopd t0: [17:09:00 08/09/2016] id: Mixed Venous O2% Sat Blood Gases el: 0 cu: MICU cg: 1663 v1: 63 rs: Final st: NotStopd
t0: [16:00:00 08/09/2016] id: Less Restrict Meas. el: 0 cu: MICU cg: -1 v1: Medicated st: NotStopd t0: [16:00:00 08/09/2016] id: Range of Motion el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [16:00:00 08/09/2016] id: Circulation/SkinInt el: 0 cu: MICU cg: -1 v1: Circulation Adeq st: NotStopd t0: [16:00:00 08/09/2016] id: Family Communication el: 0 cu: MICU cg: -1 v1: Family Visited st: NotStopd t0: [16:00:00 08/09/2016] id: Position Change el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [16:00:00 08/09/2016] id: Reason For Restraint el: 0 cu: MICU cg: -1 v1: Ext/TXInterfere st: NotStopd t0: [16:00:00 08/09/2016] id: Removed x 5 Mins el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [16:00:00 08/09/2016] id: Restraint Location el: 0 cu: MICU cg: -1 v1: Both Arms st: NotStopd t0: [16:00:00 08/09/2016] id: Restraint Type el: 0 cu: MICU cg: -1 v1: Soft Limb st: NotStopd t0: [16:00:00 08/09/2016] id: Restraints Evaluated el: 0 cu: MICU cg: -1 v1: RestraintReapply st: NotStopd t0: [16:00:00 08/09/2016] id: Side Rails el: 0 cu: MICU cg: -1 v1: Side Rails Up st: NotStopd t0: [16:00:00 08/09/2016] id: Support Systems el: 0 cu: MICU cg: -1 v1: Spouse st: NotStopd t0: [16:00:00 08/09/2016] id: Behavior el: 0 cu: MICU cg: -1 v1: Sedated st: NotStopd t0: [17:00:00 08/09/2016] id: Pain Present el: 0 cu: MICU cg: -1 v1: No st: NotStopd t0: [17:00:00 08/09/2016] id: Pain Assess Method el: 0 cu: MICU cg: -1 v1: Change in Vitals st: NotStopd t0: [17:00:00 08/09/2016] id: Service Type el: 0 cu: MICU cg: -1 v1: MICU st: NotStopd t0: [17:00:00 08/09/2016] id: CVP el: 0 cu: MICU cg: -1 v1: 29 u1: mmHg st: NotStopd t0: [17:00:00 08/09/2016] id: Code Status el: 0 cu: MICU cg: -1 v1: Full Code st: NotStopd t0: [17:00:00 08/09/2016] id: Riker-SAS Scale el: 0 cu: MICU cg: -1 v1: Sedated st: NotStopd t0: [17:00:00 08/09/2016] id: Risk for Falls el: 0 cu: MICU cg: -1 v1: Yes st: NotStopd t0: [17:00:00 08/09/2016] id: Diet Type el: 0 cu: MICU cg: -1 v1: NPO st: NotStopd t0: [17:00:00 08/09/2016] id: Dorsal PedPulse R/L el: 0 cu: MICU cg: -1 v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [17:00:00 08/09/2016] id: Eye Opening el: 0 cu: MICU cg: -1 v1: 2 To pain st: NotStopd t0: [17:00:00 08/09/2016] id: GCS Total el: 0 cu: MICU cg: -1 v1: 8 u1: points st: NotStopd t0: [17:00:00 08/09/2016] id: Heart Rate el: 0 cu: MICU cg: -1 v1: 90 u1: BPM st: NotStopd t0: [17:00:00 08/09/2016] id: INV Line#1 Type/Site el: 0 cu: MICU cg: -1 v1: PICC line v2: Left Brachial st: NotStopd t0: [17:00:00 08/09/2016] id: INV Line#1SiteAppear el: 0 cu: MICU cg: -1 v1: WNL st: NotStopd t0: [17:00:00 08/09/2016] id: INV Line#2 Type/Site el: 0 cu: MICU cg: -1 v1: A-Line v2: Right Radial st: NotStopd t0: [17:00:00 08/09/2016] id: INV Line#2InsertDate el: 0 cu: MICU cg: -1 v1: 7 v2: 24 st: NotStopd t0: [17:00:00 08/09/2016] id: INV Line#3 Type/Site el: 0 cu: MICU cg: -1 v1: PA line v2: Left Subclavian st: NotStopd t0: [17:00:00 08/09/2016] id: INV Line#3InsertDate el: 0 cu: MICU cg: -1 v1: 7 v2: 24 st: NotStopd t0: [17:00:00 08/09/2016] id: INV Line#3SiteAppear el: 0 cu: MICU cg: -1 v1: WNL st: NotStopd t0: [17:00:00 08/09/2016] id: Abdominal Assessment el: 0 cu: MICU cg: -1 v1: Obese st: NotStopd t0: [17:00:00 08/09/2016] id: INV#3 WaveformAppear el: 0 cu: MICU cg: -1 v1: Sharp st: NotStopd t0: [17:00:00 08/09/2016] id: IV #1 Insert Date el: 0 cu: MICU cg: -1 v1: 7 v2: 23 st: NotStopd t0: [17:00:00 08/09/2016] id: IV #1 Site/Size el: 0 cu: MICU cg: -1 v1: RU Post Forearm v2: 20 gauge st: NotStopd t0: [17:00:00 08/09/2016] id: IV Site Appear #1 el: 0 cu: MICU cg: -1 v1: WNL st: NotStopd t0: [17:00:00 08/09/2016] id: LLL Lung Sounds el: 0 cu: MICU cg: -1 v1: Coarse st: NotStopd t0: [17:00:00 08/09/2016] id: LUL Lung Sounds el: 0 cu: MICU cg: -1 v1: Coarse st: NotStopd t0: [17:00:00 08/09/2016] id: Level of Conscious el: 0 cu: MICU cg: -1 v1: Sedated st: NotStopd t0: [17:00:00 08/09/2016] id: Motor Response el: 0 cu: MICU cg: -1 v1: 5 Localizes Pain st: NotStopd t0: [17:00:00 08/09/2016] id: NBP el: 0 cu: MICU cg: -1 v1: 125 u1: mmHg v2: 46 u2: mmHg st: NotStopd t0: [17:00:00 08/09/2016] id: NBP Mean el: 0 cu: MICU cg: -1 v1: 72.3333 u1: mmHg st: NotStopd t0: [17:00:00 08/09/2016] id: Oral Cavity el: 0 cu: MICU cg: -1 v1: Teeth/Tissue WNL st: NotStopd t0: [17:00:00 08/09/2016] id: Orientation el: 0 cu: MICU cg: -1 v1: Other/Remarks st: NotStopd t0: [17:00:00 08/09/2016] id: PAP Mean el: 0 cu: MICU cg: -1 v1: 51 u1: mmHg st: NotStopd t0: [17:00:00 08/09/2016] id: PAP S/D el: 0 cu: MICU cg: -1 v1: 75 u1: mmHg v2: 37 u2: mmHg st: NotStopd t0: [17:00:00 08/09/2016] id: Pain Location el: 0 cu: MICU cg: -1 v1: Not Indicated st: NotStopd t0: [17:00:00 08/09/2016] id: Pain Type el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [17:00:00 08/09/2016] id: PostTib. Pulses R/L el: 0 cu: MICU cg: -1 v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [17:00:00 08/09/2016] id: Precautions el: 0 cu: MICU cg: -1 v1: Universal st: NotStopd t0: [17:00:00 08/09/2016] id: RCW el: 0 cu: MICU cg: -1 v1: 4.47372 u1: kg * m st: NotStopd t0: [17:00:00 08/09/2016] id: RLL Lung Sounds el: 0 cu: MICU cg: -1 v1: Diminished st: NotStopd t0: [17:00:00 08/09/2016] id: RUL Lung Sounds el: 0 cu: MICU cg: -1 v1: Coarse st: NotStopd t0: [17:00:00 08/09/2016] id: RVSW el: 0 cu: MICU cg: -1 v1: 49.9392 u1: g * m st: NotStopd t0: [17:00:00 08/09/2016] id: Radiologic Study el: 0 cu: MICU cg: -1 v1: CT scan st: NotStopd t0: [17:00:00 08/09/2016] id: Respiratory Pattern el: 0 cu: MICU cg: -1 v1: Regular st: NotStopd t0: [17:00:00 08/09/2016] id: Respiratory Rate el: 0 cu: MICU cg: -1 v1: 19 u1: BPM st: NotStopd t0: [17:00:00 08/09/2016] id: SVR el: 0 cu: MICU cg: -1 v1: 533.333 u1: ... st: NotStopd t0: [17:00:00 08/09/2016] id: Stool Guaiac el: 0 cu: MICU cg: -1 v1: Not Applicable st: NotStopd t0: [17:00:00 08/09/2016] id: Stroke Volume el: 0 cu: MICU cg: -1 v1: 71.6667 u1: ml st: NotStopd t0: [17:00:00 08/09/2016] id: Temp. Site el: 0 cu: MICU cg: -1 v1: Blood st: NotStopd t0: [17:00:00 08/09/2016] id: Temperature C el: 0 cu: MICU cg: -1 v1: 37.1 u1: Deg. C st: NotStopd t0: [17:00:00 08/09/2016] id: Temperature C (calc) el: 0 cu: MICU cg: -1 v1: 37.2222 u1: Deg. C st: NotStopd t0: [17:00:00 08/09/2016] id: Temperature F el: 0 cu: MICU cg: -1 v1: 99 u1: Deg. F st: NotStopd t0: [17:00:00 08/09/2016] id: Temperature F (calc) el: 0 cu: MICU cg: -1 v1: 98.78 u1: Deg. F st: NotStopd t0: [17:00:00 08/09/2016] id: Urine Color/Appear el: 0 cu: MICU cg: -1 v1: Amber v2: Sediment st: NotStopd t0: [17:00:00 08/09/2016] id: Urine Source el: 0 cu: MICU cg: -1 v1: Indwelling Cath st: NotStopd t0: [17:00:00 08/09/2016] id: Verbal Response el: 0 cu: MICU cg: -1 v1: 1.0 ET/Trach st: NotStopd t0: [17:00:00 08/09/2016] id: calprevflg el: 0 cu: MICU cg: -1 v1: 1 u1: kg st: NotStopd t0: [17:00:00 08/09/2016] id: Bowel Sounds el: 0 cu: MICU cg: -1 v1: Hypoactive st: NotStopd t0: [17:00:00 08/09/2016] id: C.O.(thermodilution) el: 0 cu: MICU cg: -1 v1: 6.45 u1: L/min st: NotStopd
t0: [16:00:00 08/09/2016] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: MICU cg: -1 ai: 107 vo: 41.52 vu: ml t0: [17:00:00 08/09/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: -1 ai: 107 vo: 20 vu: ml t0: [17:00:00 08/09/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: MICU cg: -1 ai: 189 vo: 20 vu: ml t0: [17:00:00 08/09/2016] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: MICU cg: -1 ai: 107 vo: 41.52 vu: ml t0: [17:00:00 08/09/2016] id: Urine Out Foley el: 1 cu: MICU cg: -1 vo: 40 vu: ml
t0: [17:00:00 08/09/2016] id: Propofol el: 1 cu: MICU so: N/A vo: 0 v1: 40 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [17:00:00 08/09/2016] id: PCWP el: 0 cu: MICU cg: RNC v1: 36 u1: mmHg st: NotStopd t0: [17:00:00 08/09/2016] id: PVR el: 0 cu: MICU cg: RNC v1: 186.047 u1: ... st: NotStopd t0: [17:00:00 08/09/2016] id: Hematocrit Hematology el: 0 cu: MICU cg: RNC v1: 32 u1: % rs: Manual st: NotStopd t0: [17:00:00 08/09/2016] id: Hemoglobin Hematology el: 0 cu: MICU cg: RNC v1: 9.2 u1: gm/dl rs: Manual st: NotStopd
t0: [17:28:00 08/09/2016] id: BSA el: 1033 cu: MICU cg: -1 v1: 3.04107 u1: m2 t0: [17:28:00 08/09/2016] id: Admit Wt el: 1032 cu: MICU cg: -1 v1: 173 u1: kg t0: [17:28:00 08/09/2016] id: Allergy 1 el: 1020 cu: MICU cg: -1 t0: [17:28:00 08/09/2016] id: Diagnosis/op el: 1023 cu: MICU cg: -1 v1: CVA; CHF PNEUMONIA t0: [17:28:00 08/09/2016] id: Service el: 1026 cu: MICU cg: -1 v1: MED t0: [17:28:00 08/09/2016] id: Admit Ht el: 1034 cu: MICU cg: -1 v1: 71 u1: inches t0: [17:28:00 08/09/2016] id: Readmission el: 1014 cu: MICU cg: -1 t0: [17:28:00 08/09/2016] id: Marital Status el: 1006 cu: MICU cg: -1 v1: M t0: [17:28:00 08/09/2016] id: Religion el: 1000 cu: MICU cg: -1 v1: U t0: [17:28:00 08/09/2016] id: Allergy 2 el: 1021 cu: MICU cg: -1 t0: [17:28:00 08/09/2016] id: Ext el: 1010 cu: MICU cg: -1 t0: [17:28:00 08/09/2016] id: PIN el: 1012 cu: MICU cg: -1 t0: [17:28:00 08/09/2016] id: Allergy 3 el: 1022 cu: MICU cg: -1
t0: [17:00:00 08/09/2016] id: Cardiac Index el: 0 cu: MICU cg: RNC v1: 2.12171 u1: ... st: NotStopd t0: [17:00:00 08/09/2016] id: PVRI el: 0 cu: MICU cg: RNC v1: 566.038 u1: ... st: NotStopd t0: [17:00:00 08/09/2016] id: SVRI el: 0 cu: MICU cg: RNC v1: 1622.64 u1: ... st: NotStopd t0: [17:00:00 08/09/2016] id: SpO2 el: 0 cu: MICU cg: RNC v1: 98 u1: % st: NotStopd t0: [17:09:00 08/09/2016] id: Cardiac Index el: 0 cu: MICU cg: RNC v1: 2.89474 u1: ... st: NotStopd t0: [17:09:00 08/09/2016] id: PVRI el: 0 cu: MICU cg: RNC v1: 415.225 u1: ... st: NotStopd t0: [17:09:00 08/09/2016] id: SVRI el: 0 cu: MICU cg: RNC v1: 1190.31 u1: ... st: NotStopd t0: [17:09:00 08/09/2016] id: C.O. (fick) el: 0 cu: MICU cg: RNC v1: 8.8069 u1: L/min st: NotStopd
t0: [18:40:00 08/09/2016] id: Compliance (40-60ml) el: 0 cu: MICU cg: RRT v1: 24.0741 u1: ml/cmH st: NotStopd t0: [18:40:00 08/09/2016] id: ETT Mark/Location el: 0 cu: MICU cg: RRT v1: 23cm v2: Lip st: NotStopd t0: [18:40:00 08/09/2016] id: FiO2 Set el: 0 cu: MICU cg: RRT v1: 0.5 u1: torr st: NotStopd t0: [18:40:00 08/09/2016] id: High Insp. Pressure el: 0 cu: MICU cg: RRT v1: 55 u1: cmH2O st: NotStopd t0: [18:40:00 08/09/2016] id: High Resp. Rate el: 0 cu: MICU cg: RRT v1: 10 u1: BPM st: NotStopd t0: [18:40:00 08/09/2016] id: I:E Ratio el: 0 cu: MICU cg: RRT v1: 1:3.8 st: NotStopd t0: [18:40:00 08/09/2016] id: Airway Size el: 0 cu: MICU cg: RRT v1: 8.5 mm st: NotStopd t0: [18:40:00 08/09/2016] id: Airway Type el: 0 cu: MICU cg: RRT v1: Endotracheal st: NotStopd t0: [18:40:00 08/09/2016] id: Inspired Gas Temp el: 0 cu: MICU cg: RRT u1: Deg. C st: NotStopd t0: [18:40:00 08/09/2016] id: Intubation Date el: 0 cu: MICU cg: RRT v1: 7 v2: 23 st: NotStopd t0: [18:40:00 08/09/2016] id: Low Exhaled Min Vol el: 0 cu: MICU cg: RRT v1: 6 st: NotStopd t0: [18:40:00 08/09/2016] id: MDI #1 (Puff/Drug) el: 0 cu: MICU cg: RRT v1: 8 v2: Combivent st: NotStopd t0: [18:40:00 08/09/2016] id: Mean Airway Pressure el: 0 cu: MICU cg: RRT v1: 16 u1: cmH2O st: NotStopd t0: [18:40:00 08/09/2016] id: Minute Volume(Obser) el: 0 cu: MICU cg: RRT v1: 10 u1: L/min st: NotStopd t0: [18:40:00 08/09/2016] id: PEEP Set el: 0 cu: MICU cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [18:40:00 08/09/2016] id: Apnea Time Interval el: 0 cu: MICU cg: RRT v1: 20 st: NotStopd t0: [18:40:00 08/09/2016] id: Peak Insp. Pressure el: 0 cu: MICU cg: RRT v1: 37 u1: cmH2O st: NotStopd t0: [18:40:00 08/09/2016] id: Plateau Pressure el: 0 cu: MICU cg: RRT v1: 33 u1: cmH2O st: NotStopd t0: [18:40:00 08/09/2016] id: Plateau-Off el: 0 cu: MICU cg: RRT v1: Yes st: NotStopd t0: [18:40:00 08/09/2016] id: Resp Rate (Spont) el: 0 cu: MICU cg: RRT v1: 1 u1: BPM st: NotStopd t0: [18:40:00 08/09/2016] id: Resp Rate (Total) el: 0 cu: MICU cg: RRT v1: 15 u1: BPM st: NotStopd t0: [18:40:00 08/09/2016] id: Respiratory Rate Set el: 0 cu: MICU cg: RRT v1: 14 u1: BPM st: NotStopd t0: [18:40:00 08/09/2016] id: Sensitivity-Vent el: 0 cu: MICU cg: RRT v1: 2 u1: cmH2O st: NotStopd t0: [18:40:00 08/09/2016] id: SpO2 el: 0 cu: MICU cg: RRT v1: 98 u1: % st: NotStopd t0: [18:40:00 08/09/2016] id: Sputum Color/Consist el: 0 cu: MICU cg: RRT v1: Tan v2: Tenacious st: NotStopd t0: [18:40:00 08/09/2016] id: Sputum Source/Amt el: 0 cu: MICU cg: RRT v1: Suctioned v2: Small st: NotStopd t0: [18:40:00 08/09/2016] id: Tidal Volume (Obser) el: 0 cu: MICU cg: RRT v1: 640 u1: ml/B st: NotStopd t0: [18:40:00 08/09/2016] id: Tidal Volume (Set) el: 0 cu: MICU cg: RRT v1: 650 u1: ml/B st: NotStopd t0: [18:40:00 08/09/2016] id: Ventilator Mode el: 0 cu: MICU cg: RRT v1: Assist Control st: NotStopd t0: [18:40:00 08/09/2016] id: Ventilator Type el: 0 cu: MICU cg: RRT v1: Drager st: NotStopd
t0: [18:00:00 08/09/2016] id: Less Restrict Meas. el: 0 cu: MICU cg: -1 v1: Medicated st: NotStopd t0: [18:00:00 08/09/2016] id: Range of Motion el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [18:00:00 08/09/2016] id: Circulation/SkinInt el: 0 cu: MICU cg: -1 v1: Circulation Adeq st: NotStopd t0: [18:00:00 08/09/2016] id: HOB el: 0 cu: MICU cg: -1 v1: 30 degrees st: NotStopd t0: [18:00:00 08/09/2016] id: Activity el: 0 cu: MICU cg: -1 v1: Bedrest st: NotStopd t0: [18:00:00 08/09/2016] id: Activity Tolerance el: 0 cu: MICU cg: -1 v1: Good st: NotStopd t0: [18:00:00 08/09/2016] id: Position el: 0 cu: MICU cg: -1 v1: Supine st: NotStopd t0: [18:00:00 08/09/2016] id: Position Change el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [18:00:00 08/09/2016] id: Assistance Device el: 0 cu: MICU cg: -1 v1: Total Lift st: NotStopd t0: [18:00:00 08/09/2016] id: Reason For Restraint el: 0 cu: MICU cg: -1 v1: Ext/TXInterfere st: NotStopd t0: [18:00:00 08/09/2016] id: Removed x 5 Mins el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [18:00:00 08/09/2016] id: Restraint Location el: 0 cu: MICU cg: -1 v1: Both Arms st: NotStopd t0: [18:00:00 08/09/2016] id: Restraint Type el: 0 cu: MICU cg: -1 v1: Soft Limb st: NotStopd t0: [18:00:00 08/09/2016] id: Restraints Evaluated el: 0 cu: MICU cg: -1 v1: RestraintReapply st: NotStopd t0: [18:00:00 08/09/2016] id: Side Rails el: 0 cu: MICU cg: -1 v1: Side Rails Up st: NotStopd t0: [18:00:00 08/09/2016] id: Support Systems el: 0 cu: MICU cg: -1 v1: Spouse st: NotStopd t0: [18:00:00 08/09/2016] id: Turn el: 0 cu: MICU cg: -1 v1: Side to Side st: NotStopd t0: [19:00:00 08/09/2016] id: IV #1 Reason DC'D el: 0 cu: MICU cg: -1 v1: Other/Remarks st: NotStopd t0: [19:00:00 08/09/2016] id: Ectopy Frequency el: 0 cu: MICU cg: -1 v1: Occasional st: NotStopd t0: [19:00:00 08/09/2016] id: Ectopy Type el: 0 cu: MICU cg: -1 v1: PVC's st: NotStopd t0: [19:00:00 08/09/2016] id: Heart Rhythm el: 0 cu: MICU cg: -1 v1: Normal Sinus st: NotStopd t0: [19:00:00 08/09/2016] id: INV Line#1 Type/Site el: 0 cu: MICU cg: -1 v1: PICC line v2: Left Brachial st: NotStopd t0: [19:00:00 08/09/2016] id: INV Line#1SiteAppear el: 0 cu: MICU cg: -1 v1: WNL st: NotStopd t0: [19:00:00 08/09/2016] id: INV Line#2 Type/Site el: 0 cu: MICU cg: -1 v1: A-Line v2: Right Radial st: NotStopd t0: [19:00:00 08/09/2016] id: INV Line#2InsertDate el: 0 cu: MICU cg: -1 v1: 7 v2: 24 st: NotStopd t0: [19:00:00 08/09/2016] id: INV Line#3 Type/Site el: 0 cu: MICU cg: -1 v1: PA line v2: Left Subclavian st: NotStopd t0: [19:00:00 08/09/2016] id: INV Line#3 Zero/Cal el: 0 cu: MICU cg: -1 v1: Yes st: NotStopd t0: [19:00:00 08/09/2016] id: INV Line#3InsertDate el: 0 cu: MICU cg: -1 v1: 7 v2: 24 st: NotStopd t0: [19:00:00 08/09/2016] id: INV Line#3SiteAppear el: 0 cu: MICU cg: -1 v1: WNL st: NotStopd t0: [19:00:00 08/09/2016] id: INV#3 WaveformAppear el: 0 cu: MICU cg: -1 v1: Sharp st: NotStopd t0: [19:00:00 08/09/2016] id: IV #1 D/C Date el: 0 cu: MICU cg: -1 v1: 7 v2: 24 st: NotStopd t0: [19:00:00 08/09/2016] id: IV #1 Insert Date el: 0 cu: MICU cg: -1 v1: 7 v2: 23 st: NotStopd t0: [19:00:00 08/09/2016] id: IV #1 Site/Size el: 0 cu: MICU cg: -1 v1: RU Post Forearm v2: 20 gauge st: NotStopd t0: [19:00:00 08/09/2016] id: IV Site Appear #1 el: 0 cu: MICU cg: -1 v1: Other/Remarks st: NotStopd t0: [19:00:00 08/09/2016] id: NBP el: 0 cu: MICU cg: -1 v1: 116 u1: mmHg v2: 36 u2: mmHg st: NotStopd t0: [19:00:00 08/09/2016] id: NBP Mean el: 0 cu: MICU cg: -1 v1: 62.6667 u1: mmHg st: NotStopd
t0: [19:00:00 08/09/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: -1 ai: 107 vo: 20 vu: ml t0: [19:00:00 08/09/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: MICU cg: -1 ai: 189 vo: 20 vu: ml t0: [19:00:00 08/09/2016] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: MICU cg: -1 ai: 107 vo: 83.04 vu: ml t0: [19:00:00 08/09/2016] id: Gastric Meds PO/Gastric el: 1 cu: MICU cg: -1 ai: 107 vo: 60 vu: ml t0: [19:00:00 08/09/2016] id: Urine Out Foley el: 1 cu: MICU cg: -1 vo: 170 vu: ml
t0: [19:00:00 08/09/2016] id: Service Type el: 0 cu: MICU cg: -1 v1: MICU st: NotStopd t0: [19:00:00 08/09/2016] id: CVP el: 0 cu: MICU cg: -1 v1: 28 u1: mmHg st: NotStopd t0: [19:00:00 08/09/2016] id: Code Status el: 0 cu: MICU cg: -1 v1: Full Code st: NotStopd t0: [19:00:00 08/09/2016] id: Riker-SAS Scale el: 0 cu: MICU cg: -1 v1: Sedated st: NotStopd t0: [19:00:00 08/09/2016] id: Risk for Falls el: 0 cu: MICU cg: -1 v1: Yes st: NotStopd t0: [19:00:00 08/09/2016] id: Heart Rate el: 0 cu: MICU cg: -1 v1: 84 u1: BPM st: NotStopd t0: [19:00:00 08/09/2016] id: PAP Mean el: 0 cu: MICU cg: -1 v1: 55 u1: mmHg st: NotStopd t0: [19:00:00 08/09/2016] id: PAP S/D el: 0 cu: MICU cg: -1 v1: 75 u1: mmHg v2: 41 u2: mmHg st: NotStopd t0: [19:00:00 08/09/2016] id: Precautions el: 0 cu: MICU cg: -1 v1: Universal st: NotStopd t0: [19:00:00 08/09/2016] id: Respiratory Rate el: 0 cu: MICU cg: -1 v1: 16 u1: BPM st: NotStopd t0: [19:00:00 08/09/2016] id: SpO2 el: 0 cu: MICU cg: -1 v1: 97 u1: % st: NotStopd t0: [19:00:00 08/09/2016] id: Temp. Site el: 0 cu: MICU cg: -1 v1: Blood st: NotStopd t0: [19:00:00 08/09/2016] id: Temperature C el: 0 cu: MICU cg: -1 v1: 37 u1: Deg. C st: NotStopd t0: [19:00:00 08/09/2016] id: Temperature F (calc) el: 0 cu: MICU cg: -1 v1: 98.6 u1: Deg. F st: NotStopd t0: [19:00:00 08/09/2016] id: calprevflg el: 0 cu: MICU cg: -1 v1: 1 u1: kg st: NotStopd
t0: [19:00:00 08/09/2016] id: Propofol el: 1 cu: MICU so: N/A vo: 0 v1: 40 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [23:00:00 08/09/2016] dt: 24 id: PO/Gastric In Total el: 2 cu: MICU cg: RN cv: 120 ap: none
t0: [20:00:00 08/09/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [20:00:00 08/09/2016] id: CVP el: 0 cu: MICU cg: RN v1: 21 u1: mmHg st: NotStopd t0: [20:00:00 08/09/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [20:00:00 08/09/2016] id: Riker-SAS Scale el: 0 cu: MICU cg: RN v1: Sedated st: NotStopd t0: [20:00:00 08/09/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [20:00:00 08/09/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [20:00:00 08/09/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [20:00:00 08/09/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 83 u1: BPM st: NotStopd t0: [20:00:00 08/09/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [20:00:00 08/09/2016] id: NBP el: 0 cu: MICU cg: RN v1: 120 u1: mmHg v2: 50 u2: mmHg st: NotStopd t0: [20:00:00 08/09/2016] id: NBP Mean el: 0 cu: MICU cg: RN v1: 73.3333 u1: mmHg st: NotStopd t0: [20:00:00 08/09/2016] id: PAP Mean el: 0 cu: MICU cg: RN v1: 50 u1: mmHg st: NotStopd t0: [20:00:00 08/09/2016] id: PAP S/D el: 0 cu: MICU cg: RN v1: 72 u1: mmHg v2: 35 u2: mmHg st: NotStopd t0: [20:00:00 08/09/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [20:00:00 08/09/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 14 u1: BPM st: NotStopd t0: [20:00:00 08/09/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 96 u1: % st: NotStopd t0: [20:00:00 08/09/2016] id: Temperature C el: 0 cu: MICU cg: RN v1: 36.9 u1: Deg. C st: NotStopd t0: [20:00:00 08/09/2016] id: Temperature F (calc) el: 0 cu: MICU cg: RN v1: 98.42 u1: Deg. F st: NotStopd t0: [20:00:00 08/09/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [20:00:00 08/09/2016] id: Propofol el: 1 cu: MICU cg: RN so: N/A vo: 0 v1: 40 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [20:00:00 08/09/2016] id: Less Restrict Meas. el: 0 cu: MICU cg: RN v1: Medicated st: NotStopd t0: [20:00:00 08/09/2016] id: Range of Motion el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [20:00:00 08/09/2016] id: Circulation/SkinInt el: 0 cu: MICU cg: RN v1: Circulation Adeq st: NotStopd t0: [20:00:00 08/09/2016] id: Diet Type el: 0 cu: MICU cg: RN v1: NPO st: NotStopd t0: [20:00:00 08/09/2016] id: Dorsal PedPulse R/L el: 0 cu: MICU cg: RN v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [20:00:00 08/09/2016] id: Eye Opening el: 0 cu: MICU cg: RN v1: 2 To pain st: NotStopd t0: [20:00:00 08/09/2016] id: Family Communication el: 0 cu: MICU cg: RN v1: Family Visited st: NotStopd t0: [20:00:00 08/09/2016] id: GCS Total el: 0 cu: MICU cg: RN v1: 8 u1: points st: NotStopd t0: [20:00:00 08/09/2016] id: HOB el: 0 cu: MICU cg: RN v1: 30 degrees st: NotStopd t0: [20:00:00 08/09/2016] id: INV Line#1 Type/Site el: 0 cu: MICU cg: RN v1: PICC line v2: Left Brachial st: NotStopd t0: [20:00:00 08/09/2016] id: INV Line#1SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [20:00:00 08/09/2016] id: INV Line#3 Type/Site el: 0 cu: MICU cg: RN v1: PA line v2: Left Subclavian st: NotStopd t0: [20:00:00 08/09/2016] id: INV Line#3 Zero/Cal el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [20:00:00 08/09/2016] id: INV Line#3InsertDate el: 0 cu: MICU cg: RN v1: 7 v2: 24 st: NotStopd t0: [20:00:00 08/09/2016] id: INV Line#3SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [20:00:00 08/09/2016] id: Abdominal Assessment el: 0 cu: MICU cg: RN v1: Obese st: NotStopd t0: [20:00:00 08/09/2016] id: INV#3 WaveformAppear el: 0 cu: MICU cg: RN v1: Sharp st: NotStopd t0: [20:00:00 08/09/2016] id: Activity el: 0 cu: MICU cg: RN v1: Bedrest st: NotStopd t0: [20:00:00 08/09/2016] id: Activity Tolerance el: 0 cu: MICU cg: RN v1: Good st: NotStopd t0: [20:00:00 08/09/2016] id: LLL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [20:00:00 08/09/2016] id: LUL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [20:00:00 08/09/2016] id: Level of Conscious el: 0 cu: MICU cg: RN v1: Sedated st: NotStopd t0: [20:00:00 08/09/2016] id: Motor Response el: 0 cu: MICU cg: RN v1: 5 Localizes Pain st: NotStopd t0: [20:00:00 08/09/2016] id: Oral Cavity el: 0 cu: MICU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [20:00:00 08/09/2016] id: Orientation el: 0 cu: MICU cg: RN v1: Other/Remarks st: NotStopd t0: [20:00:00 08/09/2016] id: Position el: 0 cu: MICU cg: RN v1: Supine st: NotStopd t0: [20:00:00 08/09/2016] id: Position Change el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [20:00:00 08/09/2016] id: PostTib. Pulses R/L el: 0 cu: MICU cg: RN v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [20:00:00 08/09/2016] id: Assistance Device el: 0 cu: MICU cg: RN v1: Total Lift st: NotStopd t0: [20:00:00 08/09/2016] id: RLL Lung Sounds el: 0 cu: MICU cg: RN v1: Diminished st: NotStopd t0: [20:00:00 08/09/2016] id: RUL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [20:00:00 08/09/2016] id: Reason For Restraint el: 0 cu: MICU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [20:00:00 08/09/2016] id: Removed x 5 Mins el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [20:00:00 08/09/2016] id: Respiratory Pattern el: 0 cu: MICU cg: RN v1: Regular st: NotStopd t0: [20:00:00 08/09/2016] id: Restraint Location el: 0 cu: MICU cg: RN v1: Both Arms st: NotStopd t0: [20:00:00 08/09/2016] id: Restraint Type el: 0 cu: MICU cg: RN v1: Soft Limb st: NotStopd t0: [20:00:00 08/09/2016] id: Restraints Evaluated el: 0 cu: MICU cg: RN v1: RestraintReapply st: NotStopd t0: [20:00:00 08/09/2016] id: Side Rails el: 0 cu: MICU cg: RN v1: Side Rails Up st: NotStopd t0: [20:00:00 08/09/2016] id: Sputum Color/Consist el: 0 cu: MICU cg: RN v1: Tan v2: Tenacious st: NotStopd t0: [20:00:00 08/09/2016] id: Sputum Source/Amt el: 0 cu: MICU cg: RN v1: Suctioned v2: Small st: NotStopd t0: [20:00:00 08/09/2016] id: Stool Guaiac el: 0 cu: MICU cg: RN v1: Not Applicable st: NotStopd t0: [20:00:00 08/09/2016] id: Support Systems el: 0 cu: MICU cg: RN v1: Spouse st: NotStopd t0: [20:00:00 08/09/2016] id: Turn el: 0 cu: MICU cg: RN v1: Side to Side st: NotStopd t0: [20:00:00 08/09/2016] id: Urine Color/Appear el: 0 cu: MICU cg: RN v1: Amber v2: Sediment st: NotStopd t0: [20:00:00 08/09/2016] id: Urine Source el: 0 cu: MICU cg: RN v1: Indwelling Cath st: NotStopd t0: [20:00:00 08/09/2016] id: Verbal Response el: 0 cu: MICU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [20:00:00 08/09/2016] id: Behavior el: 0 cu: MICU cg: RN v1: Sedated st: NotStopd t0: [20:00:00 08/09/2016] id: Bowel Sounds el: 0 cu: MICU cg: RN v1: Hypoactive st: NotStopd
t0: [20:00:00 08/09/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: MICU cg: RN ai: 189 vo: 10 vu: ml t0: [20:00:00 08/09/2016] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 41.52 vu: ml
t0: [19:00:00 08/09/2016] id: Compliance (40-60ml) el: 0 cu: MICU cg: -1 v1: 28.2609 u1: ml/cmH st: NotStopd t0: [19:00:00 08/09/2016] id: ETT Mark/Location el: 0 cu: MICU cg: -1 v1: 23cm v2: Lip st: NotStopd t0: [19:00:00 08/09/2016] id: FiO2 Set el: 0 cu: MICU cg: -1 v1: 0.5 u1: torr st: NotStopd t0: [19:00:00 08/09/2016] id: High Insp. Pressure el: 0 cu: MICU cg: -1 v1: 55 u1: cmH2O st: NotStopd t0: [19:00:00 08/09/2016] id: High Resp. Rate el: 0 cu: MICU cg: -1 v1: 10 u1: BPM st: NotStopd t0: [19:00:00 08/09/2016] id: I:E Ratio el: 0 cu: MICU cg: -1 v1: 1:3 st: NotStopd t0: [19:00:00 08/09/2016] id: Airway Size el: 0 cu: MICU cg: -1 v1: 8.5 mm st: NotStopd t0: [19:00:00 08/09/2016] id: Airway Type el: 0 cu: MICU cg: -1 v1: Endotracheal st: NotStopd t0: [19:00:00 08/09/2016] id: Intubation Date el: 0 cu: MICU cg: -1 v1: 7 v2: 23 st: NotStopd t0: [19:00:00 08/09/2016] id: Low Exhaled Min Vol el: 0 cu: MICU cg: -1 v1: 6 st: NotStopd t0: [19:00:00 08/09/2016] id: Mean Airway Pressure el: 0 cu: MICU cg: -1 v1: 15 u1: cmH2O st: NotStopd t0: [19:00:00 08/09/2016] id: Minute Volume(Obser) el: 0 cu: MICU cg: -1 v1: 8.85 u1: L/min st: NotStopd t0: [19:00:00 08/09/2016] id: PEEP Set el: 0 cu: MICU cg: -1 v1: 10 u1: cmH2O st: NotStopd t0: [19:00:00 08/09/2016] id: Apnea Time Interval el: 0 cu: MICU cg: -1 v1: 20 st: NotStopd t0: [19:00:00 08/09/2016] id: Peak Insp. Pressure el: 0 cu: MICU cg: -1 v1: 33 u1: cmH2O st: NotStopd t0: [19:00:00 08/09/2016] id: Plateau Pressure el: 0 cu: MICU cg: -1 v1: 30 u1: cmH2O st: NotStopd t0: [19:00:00 08/09/2016] id: Plateau-Off el: 0 cu: MICU cg: -1 v1: Yes st: NotStopd t0: [19:00:00 08/09/2016] id: Resp Rate (Spont) el: 0 cu: MICU cg: -1 v1: 0 u1: BPM st: NotStopd t0: [19:00:00 08/09/2016] id: Resp Rate (Total) el: 0 cu: MICU cg: -1 v1: 14 u1: BPM st: NotStopd t0: [19:00:00 08/09/2016] id: Respiratory Rate Set el: 0 cu: MICU cg: -1 v1: 14 u1: BPM st: NotStopd t0: [19:00:00 08/09/2016] id: Sensitivity-Vent el: 0 cu: MICU cg: -1 v1: 2 u1: cmH2O st: NotStopd t0: [19:00:00 08/09/2016] id: Tidal Volume (Obser) el: 0 cu: MICU cg: -1 v1: 633 u1: ml/B st: NotStopd t0: [19:00:00 08/09/2016] id: Tidal Volume (Set) el: 0 cu: MICU cg: -1 v1: 650 u1: ml/B st: NotStopd t0: [19:00:00 08/09/2016] id: Ventilator Mode el: 0 cu: MICU cg: -1 v1: Assist Control st: NotStopd t0: [19:00:00 08/09/2016] id: Ventilator Type el: 0 cu: MICU cg: -1 v1: Drager st: NotStopd t0: [19:00:00 08/09/2016] id: Waveform-Vent el: 0 cu: MICU cg: -1 v1: RAMP st: NotStopd
tf: [19:00:00 09/09/2016] pt: Unit Dose rt: IV fr: ONCE fs: 20 dn: 1 m1: Furosemide v1: 80 u1: mg
t0: [20:00:00 08/09/2016] id: Pain Present el: 0 cu: MICU cg: RN v1: No st: NotStopd t0: [20:00:00 08/09/2016] id: Pain Assess Method el: 0 cu: MICU cg: RN v1: Change in Vitals st: NotStopd t0: [20:00:00 08/09/2016] id: Pain Location el: 0 cu: MICU cg: RN v1: Not Indicated st: NotStopd t0: [20:00:00 08/09/2016] id: Pain Type el: 0 cu: MICU cg: RN v1: None st: NotStopd
t0: [21:00:00 08/09/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [21:00:00 08/09/2016] id: CVP el: 0 cu: MICU cg: RN v1: 20 u1: mmHg st: NotStopd t0: [21:00:00 08/09/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [21:00:00 08/09/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [21:00:00 08/09/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [21:00:00 08/09/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [21:00:00 08/09/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 88 u1: BPM st: NotStopd t0: [21:00:00 08/09/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [21:00:00 08/09/2016] id: NBP el: 0 cu: MICU cg: RN v1: 124 u1: mmHg v2: 39 u2: mmHg st: NotStopd t0: [21:00:00 08/09/2016] id: NBP Mean el: 0 cu: MICU cg: RN v1: 67.3333 u1: mmHg st: NotStopd t0: [21:00:00 08/09/2016] id: PAP Mean el: 0 cu: MICU cg: RN v1: 50 u1: mmHg st: NotStopd t0: [21:00:00 08/09/2016] id: PAP S/D el: 0 cu: MICU cg: RN v1: 72 u1: mmHg v2: 34 u2: mmHg st: NotStopd t0: [21:00:00 08/09/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [21:00:00 08/09/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 17 u1: BPM st: NotStopd t0: [21:00:00 08/09/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 96 u1: % st: NotStopd t0: [21:00:00 08/09/2016] id: Temperature C el: 0 cu: MICU cg: RN v1: 36.7 u1: Deg. C st: NotStopd t0: [21:00:00 08/09/2016] id: Temperature F (calc) el: 0 cu: MICU cg: RN v1: 98.06 u1: Deg. F st: NotStopd t0: [21:00:00 08/09/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [20:00:00 08/09/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 10 vu: ml t0: [21:00:00 08/09/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 10 vu: ml t0: [21:00:00 08/09/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: MICU cg: RN ai: 189 vo: 10 vu: ml t0: [21:00:00 08/09/2016] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 41.52 vu: ml t0: [21:00:00 08/09/2016] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 200 vu: ml
t0: [21:00:00 08/09/2016] id: Propofol el: 1 cu: MICU cg: RN so: N/A vo: 0 v1: 40 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [22:00:00 08/09/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [22:00:00 08/09/2016] id: CVP el: 0 cu: MICU cg: RN v1: 20 u1: mmHg st: NotStopd t0: [22:00:00 08/09/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [22:00:00 08/09/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [22:00:00 08/09/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [22:00:00 08/09/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [22:00:00 08/09/2016] id: Eye Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [22:00:00 08/09/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 94 u1: BPM st: NotStopd t0: [22:00:00 08/09/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [22:00:00 08/09/2016] id: NBP el: 0 cu: MICU cg: RN v1: 139 u1: mmHg v2: 53 u2: mmHg st: NotStopd t0: [22:00:00 08/09/2016] id: NBP Mean el: 0 cu: MICU cg: RN v1: 81.6667 u1: mmHg st: NotStopd t0: [22:00:00 08/09/2016] id: Oral Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [22:00:00 08/09/2016] id: PAP Mean el: 0 cu: MICU cg: RN v1: 52 u1: mmHg st: NotStopd t0: [22:00:00 08/09/2016] id: PAP S/D el: 0 cu: MICU cg: RN v1: 79 u1: mmHg v2: 36 u2: mmHg st: NotStopd t0: [22:00:00 08/09/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [22:00:00 08/09/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 19 u1: BPM st: NotStopd t0: [22:00:00 08/09/2016] id: Skin Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [22:00:00 08/09/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 97 u1: % st: NotStopd t0: [22:00:00 08/09/2016] id: Temperature C el: 0 cu: MICU cg: RN v1: 36.9 u1: Deg. C st: NotStopd t0: [22:00:00 08/09/2016] id: Temperature F (calc) el: 0 cu: MICU cg: RN v1: 98.42 u1: Deg. F st: NotStopd t0: [22:00:00 08/09/2016] id: Back Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [22:00:00 08/09/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [22:00:00 08/09/2016] id: Bath el: 1 cu: MICU cg: RN v1: Done
t0: [22:00:00 08/09/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 10 vu: ml t0: [22:00:00 08/09/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: MICU cg: RN ai: 189 vo: 10 vu: ml t0: [22:00:00 08/09/2016] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 41.52 vu: ml t0: [22:00:00 08/09/2016] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 300 vu: ml
t0: [22:00:00 08/09/2016] id: Propofol el: 1 cu: MICU cg: RN so: N/A vo: 0 v1: 40 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [23:00:00 08/09/2016] id: INV Line#2 Type/Site el: 0 cu: MICU cg: -1 st: D/C'd t0: [23:00:00 08/09/2016] id: INV Line#2InsertDate el: 0 cu: MICU cg: -1 st: D/C'd
t0: [23:00:00 08/09/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [23:00:00 08/09/2016] id: CVP el: 0 cu: MICU cg: RN v1: 20 u1: mmHg st: NotStopd t0: [23:00:00 08/09/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [23:00:00 08/09/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [23:00:00 08/09/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [23:00:00 08/09/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [23:00:00 08/09/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 87 u1: BPM st: NotStopd t0: [23:00:00 08/09/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [23:00:00 08/09/2016] id: NBP el: 0 cu: MICU cg: RN v1: 126 u1: mmHg v2: 39 u2: mmHg st: NotStopd t0: [23:00:00 08/09/2016] id: NBP Mean el: 0 cu: MICU cg: RN v1: 68 u1: mmHg st: NotStopd t0: [23:00:00 08/09/2016] id: PAP Mean el: 0 cu: MICU cg: RN v1: 50 u1: mmHg st: NotStopd t0: [23:00:00 08/09/2016] id: PAP S/D el: 0 cu: MICU cg: RN v1: 75 u1: mmHg v2: 36 u2: mmHg st: NotStopd t0: [23:00:00 08/09/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [23:00:00 08/09/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 16 u1: BPM st: NotStopd t0: [23:00:00 08/09/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 97 u1: % st: NotStopd t0: [23:00:00 08/09/2016] id: Temperature C el: 0 cu: MICU cg: RN v1: 36.8 u1: Deg. C st: NotStopd t0: [23:00:00 08/09/2016] id: Temperature F (calc) el: 0 cu: MICU cg: RN v1: 98.24 u1: Deg. F st: NotStopd t0: [23:00:00 08/09/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [23:00:00 08/09/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 10 vu: ml t0: [23:00:00 08/09/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: MICU cg: RN ai: 189 vo: 10 vu: ml t0: [23:00:00 08/09/2016] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 41.52 vu: ml
t0: [23:00:00 08/09/2016] id: Propofol el: 1 cu: MICU cg: RN so: N/A vo: 0 v1: 40 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [22:00:00 08/09/2016] id: Less Restrict Meas. el: 0 cu: MICU cg: RN v1: Medicated st: NotStopd t0: [22:00:00 08/09/2016] id: Range of Motion el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [22:00:00 08/09/2016] id: Circulation/SkinInt el: 0 cu: MICU cg: RN v1: Circulation Adeq st: NotStopd t0: [22:00:00 08/09/2016] id: Position Change el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [22:00:00 08/09/2016] id: Reason For Restraint el: 0 cu: MICU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [22:00:00 08/09/2016] id: Removed x 5 Mins el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [22:00:00 08/09/2016] id: Restraint Location el: 0 cu: MICU cg: RN v1: Both Arms st: NotStopd t0: [22:00:00 08/09/2016] id: Restraint Type el: 0 cu: MICU cg: RN v1: Soft Limb st: NotStopd t0: [22:00:00 08/09/2016] id: Restraints Evaluated el: 0 cu: MICU cg: RN v1: RestraintReapply st: NotStopd t0: [22:00:00 08/09/2016] id: Side Rails el: 0 cu: MICU cg: RN v1: Side Rails Up st: NotStopd t0: [22:00:00 08/09/2016] id: Support Systems el: 0 cu: MICU cg: RN v1: Spouse st: NotStopd t0: [00:00:00 09/09/2016] id: Less Restrict Meas. el: 0 cu: MICU cg: RN v1: Medicated st: NotStopd t0: [00:00:00 09/09/2016] id: Pain Present el: 0 cu: MICU cg: RN v1: No st: NotStopd t0: [00:00:00 09/09/2016] id: Range of Motion el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [00:00:00 09/09/2016] id: Pain Assess Method el: 0 cu: MICU cg: RN v1: Change in Vitals st: NotStopd t0: [00:00:00 09/09/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [00:00:00 09/09/2016] id: CVP el: 0 cu: MICU cg: RN v1: 22 u1: mmHg st: NotStopd t0: [00:00:00 09/09/2016] id: Circulation/SkinInt el: 0 cu: MICU cg: RN v1: Circulation Adeq st: NotStopd t0: [00:00:00 09/09/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [00:00:00 09/09/2016] id: Riker-SAS Scale el: 0 cu: MICU cg: RN v1: Sedated st: NotStopd t0: [00:00:00 09/09/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [00:00:00 09/09/2016] id: Diet Type el: 0 cu: MICU cg: RN v1: NPO st: NotStopd t0: [00:00:00 09/09/2016] id: Dorsal PedPulse R/L el: 0 cu: MICU cg: RN v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [00:00:00 09/09/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [00:00:00 09/09/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [00:00:00 09/09/2016] id: Eye Opening el: 0 cu: MICU cg: RN v1: 2 To pain st: NotStopd t0: [00:00:00 09/09/2016] id: GCS Total el: 0 cu: MICU cg: RN v1: 8 u1: points st: NotStopd t0: [00:00:00 09/09/2016] id: HOB el: 0 cu: MICU cg: RN v1: 30 degrees st: NotStopd t0: [00:00:00 09/09/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 87 u1: BPM st: NotStopd t0: [00:00:00 09/09/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [00:00:00 09/09/2016] id: INV Line#1 Type/Site el: 0 cu: MICU cg: RN v1: PICC line v2: Left Brachial st: NotStopd t0: [00:00:00 09/09/2016] id: INV Line#1SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [00:00:00 09/09/2016] id: INV Line#3 Type/Site el: 0 cu: MICU cg: RN v1: PA line v2: Left Subclavian st: NotStopd t0: [00:00:00 09/09/2016] id: INV Line#3 Zero/Cal el: 0 cu: MICU cg: RN v1: No st: NotStopd t0: [00:00:00 09/09/2016] id: INV Line#3InsertDate el: 0 cu: MICU cg: RN v1: 7 v2: 24 st: NotStopd t0: [00:00:00 09/09/2016] id: INV Line#3SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [00:00:00 09/09/2016] id: Abdominal Assessment el: 0 cu: MICU cg: RN v1: Obese st: NotStopd t0: [00:00:00 09/09/2016] id: INV#3 WaveformAppear el: 0 cu: MICU cg: RN v1: Sharp st: NotStopd t0: [00:00:00 09/09/2016] id: Activity el: 0 cu: MICU cg: RN v1: Bedrest st: NotStopd t0: [00:00:00 09/09/2016] id: Activity Tolerance el: 0 cu: MICU cg: RN v1: Good st: NotStopd t0: [00:00:00 09/09/2016] id: LLL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [00:00:00 09/09/2016] id: LUL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [00:00:00 09/09/2016] id: Level of Conscious el: 0 cu: MICU cg: RN v1: Sedated st: NotStopd t0: [00:00:00 09/09/2016] id: Motor Response el: 0 cu: MICU cg: RN v1: 5 Localizes Pain st: NotStopd t0: [00:00:00 09/09/2016] id: NBP el: 0 cu: MICU cg: RN v1: 121 u1: mmHg v2: 38 u2: mmHg st: NotStopd t0: [00:00:00 09/09/2016] id: NBP Mean el: 0 cu: MICU cg: RN v1: 65.6667 u1: mmHg st: NotStopd t0: [00:00:00 09/09/2016] id: Oral Cavity el: 0 cu: MICU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [00:00:00 09/09/2016] id: Orientation el: 0 cu: MICU cg: RN v1: Other/Remarks st: NotStopd t0: [00:00:00 09/09/2016] id: PAP Mean el: 0 cu: MICU cg: RN v1: 50 u1: mmHg st: NotStopd t0: [00:00:00 09/09/2016] id: PAP S/D el: 0 cu: MICU cg: RN v1: 76 u1: mmHg v2: 37 u2: mmHg st: NotStopd t0: [00:00:00 09/09/2016] id: Pain Location el: 0 cu: MICU cg: RN v1: Not Indicated st: NotStopd t0: [00:00:00 09/09/2016] id: Pain Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [00:00:00 09/09/2016] id: Position el: 0 cu: MICU cg: RN v1: Right Side st: NotStopd t0: [00:00:00 09/09/2016] id: Position Change el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [00:00:00 09/09/2016] id: PostTib. Pulses R/L el: 0 cu: MICU cg: RN v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [00:00:00 09/09/2016] id: Assistance Device el: 0 cu: MICU cg: RN v1: Total Lift st: NotStopd t0: [00:00:00 09/09/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [00:00:00 09/09/2016] id: RLL Lung Sounds el: 0 cu: MICU cg: RN v1: Diminished st: NotStopd t0: [00:00:00 09/09/2016] id: RUL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [00:00:00 09/09/2016] id: Reason For Restraint el: 0 cu: MICU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [00:00:00 09/09/2016] id: Removed x 5 Mins el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [00:00:00 09/09/2016] id: Respiratory Pattern el: 0 cu: MICU cg: RN v1: Regular st: NotStopd t0: [00:00:00 09/09/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 16 u1: BPM st: NotStopd t0: [00:00:00 09/09/2016] id: Restraint Location el: 0 cu: MICU cg: RN v1: Both Arms st: NotStopd t0: [00:00:00 09/09/2016] id: Restraint Type el: 0 cu: MICU cg: RN v1: Soft Limb st: NotStopd t0: [00:00:00 09/09/2016] id: Restraints Evaluated el: 0 cu: MICU cg: RN v1: RestraintReapply st: NotStopd t0: [00:00:00 09/09/2016] id: Side Rails el: 0 cu: MICU cg: RN v1: Side Rails Up st: NotStopd t0: [00:00:00 09/09/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 96 u1: % st: NotStopd t0: [00:00:00 09/09/2016] id: Sputum Color/Consist el: 0 cu: MICU cg: RN v1: Tan v2: Tenacious st: NotStopd t0: [00:00:00 09/09/2016] id: Sputum Source/Amt el: 0 cu: MICU cg: RN v1: Suctioned v2: Small st: NotStopd t0: [00:00:00 09/09/2016] id: Stool Guaiac el: 0 cu: MICU cg: RN v1: Not Applicable st: NotStopd t0: [00:00:00 09/09/2016] id: Support Systems el: 0 cu: MICU cg: RN v1: Spouse st: NotStopd t0: [00:00:00 09/09/2016] id: Temperature C el: 0 cu: MICU cg: RN v1: 36.8 u1: Deg. C st: NotStopd t0: [00:00:00 09/09/2016] id: Temperature F (calc) el: 0 cu: MICU cg: RN v1: 98.24 u1: Deg. F st: NotStopd t0: [00:00:00 09/09/2016] id: Turn el: 0 cu: MICU cg: RN v1: Side to Side st: NotStopd t0: [00:00:00 09/09/2016] id: Urine Color/Appear el: 0 cu: MICU cg: RN v1: Yellow v2: Clear st: NotStopd t0: [00:00:00 09/09/2016] id: Urine Source el: 0 cu: MICU cg: RN v1: Indwelling Cath st: NotStopd t0: [00:00:00 09/09/2016] id: Verbal Response el: 0 cu: MICU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [00:00:00 09/09/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [00:00:00 09/09/2016] id: Behavior el: 0 cu: MICU cg: RN v1: Sedated st: NotStopd t0: [00:00:00 09/09/2016] id: Bowel Sounds el: 0 cu: MICU cg: RN v1: Hypoactive st: NotStopd
t0: [00:00:00 09/09/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 10 vu: ml t0: [00:00:00 09/09/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: MICU cg: RN ai: 189 vo: 10 vu: ml t0: [00:00:00 09/09/2016] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 41.52 vu: ml t0: [00:00:00 09/09/2016] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 200 vu: ml
t0: [00:00:00 09/09/2016] id: Propofol el: 1 cu: MICU cg: RN so: N/A vo: 0 v1: 40 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [23:30:00 08/09/2016] id: Compliance (40-60ml) el: 0 cu: MICU cg: -1 v1: 32.5 u1: ml/cmH st: NotStopd t0: [23:30:00 08/09/2016] id: ETT Mark/Location el: 0 cu: MICU cg: -1 v1: 23cm v2: Lip st: NotStopd t0: [23:30:00 08/09/2016] id: FiO2 Set el: 0 cu: MICU cg: -1 v1: 0.4 u1: torr st: NotStopd t0: [23:30:00 08/09/2016] id: High Insp. Pressure el: 0 cu: MICU cg: -1 v1: 55 u1: cmH2O st: NotStopd t0: [23:30:00 08/09/2016] id: High Resp. Rate el: 0 cu: MICU cg: -1 v1: 10 u1: BPM st: NotStopd t0: [23:30:00 08/09/2016] id: I:E Ratio el: 0 cu: MICU cg: -1 v1: 1:3 st: NotStopd t0: [23:30:00 08/09/2016] id: Airway Size el: 0 cu: MICU cg: -1 v1: 8.5 mm st: NotStopd t0: [23:30:00 08/09/2016] id: Airway Type el: 0 cu: MICU cg: -1 v1: Endotracheal st: NotStopd t0: [23:30:00 08/09/2016] id: Intubation Date el: 0 cu: MICU cg: -1 v1: 7 v2: 23 st: NotStopd t0: [23:30:00 08/09/2016] id: Low Exhaled Min Vol el: 0 cu: MICU cg: -1 v1: 6 st: NotStopd t0: [23:30:00 08/09/2016] id: Mean Airway Pressure el: 0 cu: MICU cg: -1 v1: 15 u1: cmH2O st: NotStopd t0: [23:30:00 08/09/2016] id: Minute Volume(Obser) el: 0 cu: MICU cg: -1 v1: 11.1 u1: L/min st: NotStopd t0: [23:30:00 08/09/2016] id: PEEP Set el: 0 cu: MICU cg: -1 v1: 10 u1: cmH2O st: NotStopd t0: [23:30:00 08/09/2016] id: Apnea Time Interval el: 0 cu: MICU cg: -1 v1: 20 st: NotStopd t0: [23:30:00 08/09/2016] id: Peak Insp. Pressure el: 0 cu: MICU cg: -1 v1: 30 u1: cmH2O st: NotStopd t0: [23:30:00 08/09/2016] id: Plateau Pressure el: 0 cu: MICU cg: -1 v1: 27 u1: cmH2O st: NotStopd t0: [23:30:00 08/09/2016] id: Plateau-Off el: 0 cu: MICU cg: -1 v1: Yes st: NotStopd t0: [23:30:00 08/09/2016] id: Resp Rate (Spont) el: 0 cu: MICU cg: -1 v1: 0 u1: BPM st: NotStopd t0: [23:30:00 08/09/2016] id: Resp Rate (Total) el: 0 cu: MICU cg: -1 v1: 14 u1: BPM st: NotStopd t0: [23:30:00 08/09/2016] id: Respiratory Rate Set el: 0 cu: MICU cg: -1 v1: 14 u1: BPM st: NotStopd t0: [23:30:00 08/09/2016] id: Sensitivity-Vent el: 0 cu: MICU cg: -1 v1: 2 u1: cmH2O st: NotStopd t0: [23:30:00 08/09/2016] id: SpO2 el: 0 cu: MICU cg: -1 v1: 97 u1: % st: NotStopd t0: [23:30:00 08/09/2016] id: Tidal Volume (Obser) el: 0 cu: MICU cg: -1 v1: 640 u1: ml/B st: NotStopd t0: [23:30:00 08/09/2016] id: Tidal Volume (Set) el: 0 cu: MICU cg: -1 v1: 650 u1: ml/B st: NotStopd t0: [23:30:00 08/09/2016] id: Ventilator Mode el: 0 cu: MICU cg: -1 v1: Assist Control st: NotStopd t0: [23:30:00 08/09/2016] id: Ventilator Type el: 0 cu: MICU cg: -1 v1: Drager st: NotStopd t0: [23:30:00 08/09/2016] id: Waveform-Vent el: 0 cu: MICU cg: -1 v1: RAMP st: NotStopd
t0: [00:00:00 09/09/2016] id: FiO2 Set el: 0 cu: MICU cg: -1 v1: 0.5 u1: torr st: NotStopd
t0: [01:00:00 09/09/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [01:00:00 09/09/2016] id: CVP el: 0 cu: MICU cg: RN v1: 21 u1: mmHg st: NotStopd t0: [01:00:00 09/09/2016] id: Cardiac Index el: 0 cu: MICU cg: RN v1: 3.19079 u1: ... st: NotStopd t0: [01:00:00 09/09/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [01:00:00 09/09/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [01:00:00 09/09/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [01:00:00 09/09/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [01:00:00 09/09/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 86 u1: BPM st: NotStopd t0: [01:00:00 09/09/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [01:00:00 09/09/2016] id: NBP el: 0 cu: MICU cg: RN v1: 113 u1: mmHg v2: 39 u2: mmHg st: NotStopd t0: [01:00:00 09/09/2016] id: NBP Mean el: 0 cu: MICU cg: RN v1: 63.6667 u1: mmHg st: NotStopd t0: [01:00:00 09/09/2016] id: PAP Mean el: 0 cu: MICU cg: RN v1: 49 u1: mmHg st: NotStopd t0: [01:00:00 09/09/2016] id: PAP S/D el: 0 cu: MICU cg: RN v1: 72 u1: mmHg v2: 35 u2: mmHg st: NotStopd t0: [01:00:00 09/09/2016] id: PCWP el: 0 cu: MICU cg: RN v1: 23 u1: mmHg st: NotStopd t0: [01:00:00 09/09/2016] id: PVR el: 0 cu: MICU cg: RN v1: 214.433 u1: ... st: NotStopd t0: [01:00:00 09/09/2016] id: PVRI el: 0 cu: MICU cg: RN v1: 652.038 u1: ... st: NotStopd t0: [01:00:00 09/09/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [01:00:00 09/09/2016] id: RCW el: 0 cu: MICU cg: RN v1: 6.46408 u1: kg * m st: NotStopd t0: [01:00:00 09/09/2016] id: RCWI el: 0 cu: MICU cg: RN v1: 2.125 u1: ... st: NotStopd t0: [01:00:00 09/09/2016] id: RVSW el: 0 cu: MICU cg: RN v1: 75.3032 u1: g * m st: NotStopd t0: [01:00:00 09/09/2016] id: RVSWI el: 0 cu: MICU cg: RN v1: 24.7697 u1: g*m/m2 st: NotStopd t0: [01:00:00 09/09/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 16 u1: BPM st: NotStopd t0: [01:00:00 09/09/2016] id: SVI el: 0 cu: MICU cg: RN v1: 37.1711 u1: ... st: NotStopd t0: [01:00:00 09/09/2016] id: SVR el: 0 cu: MICU cg: RN v1: 354.639 u1: ... st: NotStopd t0: [01:00:00 09/09/2016] id: SVRI el: 0 cu: MICU cg: RN v1: 1078.37 u1: ... st: NotStopd t0: [01:00:00 09/09/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 97 u1: % st: NotStopd t0: [01:00:00 09/09/2016] id: Stroke Volume el: 0 cu: MICU cg: RN v1: 112.791 u1: ml st: NotStopd t0: [01:00:00 09/09/2016] id: Temperature C el: 0 cu: MICU cg: RN v1: 36.7 u1: Deg. C st: NotStopd t0: [01:00:00 09/09/2016] id: Temperature C (calc) el: 0 cu: MICU cg: RN v1: 36.6667 u1: Deg. C st: NotStopd t0: [01:00:00 09/09/2016] id: Temperature F el: 0 cu: MICU cg: RN v1: 98 u1: Deg. F st: NotStopd t0: [01:00:00 09/09/2016] id: Temperature F (calc) el: 0 cu: MICU cg: RN v1: 98.06 u1: Deg. F st: NotStopd t0: [01:00:00 09/09/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [01:00:00 09/09/2016] id: C.O.(thermodilution) el: 0 cu: MICU cg: RN v1: 9.7 u1: L/min st: NotStopd
t0: [01:00:00 09/09/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 10 vu: ml t0: [01:00:00 09/09/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: MICU cg: RN ai: 189 vo: 10 vu: ml t0: [01:00:00 09/09/2016] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 41.52 vu: ml
t0: [01:00:00 09/09/2016] id: Propofol el: 1 cu: MICU cg: RN so: N/A vo: 0 v1: 40 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [02:00:00 09/09/2016] id: Less Restrict Meas. el: 0 cu: MICU cg: RN v1: Medicated st: NotStopd t0: [02:00:00 09/09/2016] id: Range of Motion el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [02:00:00 09/09/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [02:00:00 09/09/2016] id: CVP el: 0 cu: MICU cg: RN v1: 21 u1: mmHg st: NotStopd t0: [02:00:00 09/09/2016] id: Circulation/SkinInt el: 0 cu: MICU cg: RN v1: Circulation Adeq st: NotStopd t0: [02:00:00 09/09/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [02:00:00 09/09/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [02:00:00 09/09/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [02:00:00 09/09/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [02:00:00 09/09/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 88 u1: BPM st: NotStopd t0: [02:00:00 09/09/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [02:00:00 09/09/2016] id: NBP el: 0 cu: MICU cg: RN v1: 122 u1: mmHg v2: 35 u2: mmHg st: NotStopd t0: [02:00:00 09/09/2016] id: NBP Mean el: 0 cu: MICU cg: RN v1: 64 u1: mmHg st: NotStopd t0: [02:00:00 09/09/2016] id: PAP Mean el: 0 cu: MICU cg: RN v1: 50 u1: mmHg st: NotStopd t0: [02:00:00 09/09/2016] id: PAP S/D el: 0 cu: MICU cg: RN v1: 74 u1: mmHg v2: 35 u2: mmHg st: NotStopd t0: [02:00:00 09/09/2016] id: Position Change el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [02:00:00 09/09/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [02:00:00 09/09/2016] id: Reason For Restraint el: 0 cu: MICU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [02:00:00 09/09/2016] id: Removed x 5 Mins el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [02:00:00 09/09/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 17 u1: BPM st: NotStopd t0: [02:00:00 09/09/2016] id: Restraint Location el: 0 cu: MICU cg: RN v1: Both Arms st: NotStopd t0: [02:00:00 09/09/2016] id: Restraint Type el: 0 cu: MICU cg: RN v1: Soft Limb st: NotStopd t0: [02:00:00 09/09/2016] id: Restraints Evaluated el: 0 cu: MICU cg: RN v1: RestraintReapply st: NotStopd t0: [02:00:00 09/09/2016] id: Side Rails el: 0 cu: MICU cg: RN v1: Side Rails Up st: NotStopd t0: [02:00:00 09/09/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 97 u1: % st: NotStopd t0: [02:00:00 09/09/2016] id: Support Systems el: 0 cu: MICU cg: RN v1: Spouse st: NotStopd t0: [02:00:00 09/09/2016] id: Temperature C el: 0 cu: MICU cg: RN v1: 36.6 u1: Deg. C st: NotStopd t0: [02:00:00 09/09/2016] id: Temperature F (calc) el: 0 cu: MICU cg: RN v1: 97.88 u1: Deg. F st: NotStopd t0: [02:00:00 09/09/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [02:00:00 09/09/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 10 vu: ml t0: [02:00:00 09/09/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: MICU cg: RN ai: 189 vo: 10 vu: ml t0: [02:00:00 09/09/2016] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 41.52 vu: ml t0: [02:00:00 09/09/2016] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 100 vu: ml
t0: [02:00:00 09/09/2016] id: Propofol el: 1 cu: MICU cg: RN so: N/A vo: 0 v1: 40 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [02:15:00 09/09/2016] id: FiO2 Set el: 0 cu: MICU cg: -1 v1: 0.4 u1: torr st: NotStopd
t0: [03:00:00 09/09/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [03:00:00 09/09/2016] id: CVP el: 0 cu: MICU cg: RN v1: 24 u1: mmHg st: NotStopd t0: [03:00:00 09/09/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [03:00:00 09/09/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [03:00:00 09/09/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [03:00:00 09/09/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [03:00:00 09/09/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 93 u1: BPM st: NotStopd t0: [03:00:00 09/09/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [03:00:00 09/09/2016] id: NBP el: 0 cu: MICU cg: RN v1: 129 u1: mmHg v2: 39 u2: mmHg st: NotStopd t0: [03:00:00 09/09/2016] id: NBP Mean el: 0 cu: MICU cg: RN v1: 69 u1: mmHg st: NotStopd t0: [03:00:00 09/09/2016] id: PAP Mean el: 0 cu: MICU cg: RN v1: 53 u1: mmHg st: NotStopd t0: [03:00:00 09/09/2016] id: PAP S/D el: 0 cu: MICU cg: RN v1: 78 u1: mmHg v2: 37 u2: mmHg st: NotStopd t0: [03:00:00 09/09/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [03:00:00 09/09/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 20 u1: BPM st: NotStopd t0: [03:00:00 09/09/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 97 u1: % st: NotStopd t0: [03:00:00 09/09/2016] id: Temperature C el: 0 cu: MICU cg: RN v1: 36.8 u1: Deg. C st: NotStopd t0: [03:00:00 09/09/2016] id: Temperature F (calc) el: 0 cu: MICU cg: RN v1: 98.24 u1: Deg. F st: NotStopd t0: [03:00:00 09/09/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [03:00:00 09/09/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 10 vu: ml t0: [03:00:00 09/09/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: MICU cg: RN ai: 189 vo: 10 vu: ml t0: [03:00:00 09/09/2016] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 41.52 vu: ml
t0: [03:00:00 09/09/2016] id: Propofol el: 1 cu: MICU cg: RN so: N/A vo: 0 v1: 40 du: mcgkgmin sv: 50 su: vl rt: IV Drip
tf: [02:00:00 10/09/2016] pt: Unit Dose rt: IV fr: ONCE fs: 3 dn: 1 m1: Furosemide v1: 160 u1: mg
t0: [04:00:00 09/09/2016] id: Less Restrict Meas. el: 0 cu: MICU cg: RN v1: Medicated st: NotStopd t0: [04:00:00 09/09/2016] id: Pain Present el: 0 cu: MICU cg: RN v1: No st: NotStopd t0: [04:00:00 09/09/2016] id: Range of Motion el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [04:00:00 09/09/2016] id: Pain Assess Method el: 0 cu: MICU cg: RN v1: Change in Vitals st: NotStopd t0: [04:00:00 09/09/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [04:00:00 09/09/2016] id: CVP el: 0 cu: MICU cg: RN v1: 23 u1: mmHg st: NotStopd t0: [04:00:00 09/09/2016] id: Circulation/SkinInt el: 0 cu: MICU cg: RN v1: Circulation Adeq st: NotStopd t0: [04:00:00 09/09/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [04:00:00 09/09/2016] id: Riker-SAS Scale el: 0 cu: MICU cg: RN v1: Sedated st: NotStopd t0: [04:00:00 09/09/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [04:00:00 09/09/2016] id: Diet Type el: 0 cu: MICU cg: RN v1: NPO st: NotStopd t0: [04:00:00 09/09/2016] id: Dorsal PedPulse R/L el: 0 cu: MICU cg: RN v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [04:00:00 09/09/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [04:00:00 09/09/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [04:00:00 09/09/2016] id: Eye Opening el: 0 cu: MICU cg: RN v1: 2 To pain st: NotStopd t0: [04:00:00 09/09/2016] id: GCS Total el: 0 cu: MICU cg: RN v1: 8 u1: points st: NotStopd t0: [04:00:00 09/09/2016] id: HOB el: 0 cu: MICU cg: RN v1: 30 degrees st: NotStopd t0: [04:00:00 09/09/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 91 u1: BPM st: NotStopd t0: [04:00:00 09/09/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [04:00:00 09/09/2016] id: INV Line#1 Type/Site el: 0 cu: MICU cg: RN v1: PICC line v2: Left Brachial st: NotStopd t0: [04:00:00 09/09/2016] id: INV Line#1SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [04:00:00 09/09/2016] id: INV Line#3 Type/Site el: 0 cu: MICU cg: RN v1: PA line v2: Left Subclavian st: NotStopd t0: [04:00:00 09/09/2016] id: INV Line#3 Zero/Cal el: 0 cu: MICU cg: RN v1: No st: NotStopd t0: [04:00:00 09/09/2016] id: INV Line#3InsertDate el: 0 cu: MICU cg: RN v1: 7 v2: 24 st: NotStopd t0: [04:00:00 09/09/2016] id: INV Line#3SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [04:00:00 09/09/2016] id: Abdominal Assessment el: 0 cu: MICU cg: RN v1: Obese st: NotStopd t0: [04:00:00 09/09/2016] id: INV#3 WaveformAppear el: 0 cu: MICU cg: RN v1: Sharp st: NotStopd t0: [04:00:00 09/09/2016] id: Activity el: 0 cu: MICU cg: RN v1: Bedrest st: NotStopd t0: [04:00:00 09/09/2016] id: Activity Tolerance el: 0 cu: MICU cg: RN v1: Good st: NotStopd t0: [04:00:00 09/09/2016] id: LLL Lung Sounds el: 0 cu: MICU cg: RN v1: Diminished st: NotStopd t0: [04:00:00 09/09/2016] id: LUL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [04:00:00 09/09/2016] id: Level of Conscious el: 0 cu: MICU cg: RN v1: Sedated st: NotStopd t0: [04:00:00 09/09/2016] id: Motor Response el: 0 cu: MICU cg: RN v1: 5 Localizes Pain st: NotStopd t0: [04:00:00 09/09/2016] id: NBP el: 0 cu: MICU cg: RN v1: 129 u1: mmHg v2: 42 u2: mmHg st: NotStopd t0: [04:00:00 09/09/2016] id: NBP Mean el: 0 cu: MICU cg: RN v1: 71 u1: mmHg st: NotStopd t0: [04:00:00 09/09/2016] id: Oral Cavity el: 0 cu: MICU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [04:00:00 09/09/2016] id: Orientation el: 0 cu: MICU cg: RN v1: Other/Remarks st: NotStopd t0: [04:00:00 09/09/2016] id: PAP Mean el: 0 cu: MICU cg: RN v1: 52 u1: mmHg st: NotStopd t0: [04:00:00 09/09/2016] id: PAP S/D el: 0 cu: MICU cg: RN v1: 79 u1: mmHg v2: 37 u2: mmHg st: NotStopd t0: [04:00:00 09/09/2016] id: Pain Location el: 0 cu: MICU cg: RN v1: Not Indicated st: NotStopd t0: [04:00:00 09/09/2016] id: Pain Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [04:00:00 09/09/2016] id: Position el: 0 cu: MICU cg: RN v1: Left Side st: NotStopd t0: [04:00:00 09/09/2016] id: Position Change el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [04:00:00 09/09/2016] id: PostTib. Pulses R/L el: 0 cu: MICU cg: RN v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [04:00:00 09/09/2016] id: Assistance Device el: 0 cu: MICU cg: RN v1: Total Lift st: NotStopd t0: [04:00:00 09/09/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [04:00:00 09/09/2016] id: RLL Lung Sounds el: 0 cu: MICU cg: RN v1: Diminished st: NotStopd t0: [04:00:00 09/09/2016] id: RUL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [04:00:00 09/09/2016] id: Reason For Restraint el: 0 cu: MICU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [04:00:00 09/09/2016] id: Removed x 5 Mins el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [04:00:00 09/09/2016] id: Respiratory Pattern el: 0 cu: MICU cg: RN v1: Regular st: NotStopd t0: [04:00:00 09/09/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 19 u1: BPM st: NotStopd t0: [04:00:00 09/09/2016] id: Restraint Location el: 0 cu: MICU cg: RN v1: Both Arms st: NotStopd t0: [04:00:00 09/09/2016] id: Restraint Type el: 0 cu: MICU cg: RN v1: Soft Limb st: NotStopd t0: [04:00:00 09/09/2016] id: Restraints Evaluated el: 0 cu: MICU cg: RN v1: RestraintReapply st: NotStopd t0: [04:00:00 09/09/2016] id: Side Rails el: 0 cu: MICU cg: RN v1: Side Rails Up st: NotStopd t0: [04:00:00 09/09/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 97 u1: % st: NotStopd t0: [04:00:00 09/09/2016] id: Sputum Color/Consist el: 0 cu: MICU cg: RN v1: Tan v2: Tenacious st: NotStopd t0: [04:00:00 09/09/2016] id: Sputum Source/Amt el: 0 cu: MICU cg: RN v1: Suctioned v2: Small st: NotStopd t0: [04:00:00 09/09/2016] id: Stool Guaiac el: 0 cu: MICU cg: RN v1: Not Applicable st: NotStopd t0: [04:00:00 09/09/2016] id: Support Systems el: 0 cu: MICU cg: RN v1: Spouse st: NotStopd t0: [04:00:00 09/09/2016] id: Temperature C el: 0 cu: MICU cg: RN v1: 37.2 u1: Deg. C st: NotStopd t0: [04:00:00 09/09/2016] id: Temperature C (calc) el: 0 cu: MICU cg: RN v1: 37.2222 u1: Deg. C st: NotStopd t0: [04:00:00 09/09/2016] id: Temperature F el: 0 cu: MICU cg: RN v1: 99 u1: Deg. F st: NotStopd t0: [04:00:00 09/09/2016] id: Temperature F (calc) el: 0 cu: MICU cg: RN v1: 98.96 u1: Deg. F st: NotStopd t0: [04:00:00 09/09/2016] id: Turn el: 0 cu: MICU cg: RN v1: Side to Side st: NotStopd t0: [04:00:00 09/09/2016] id: Urine Color/Appear el: 0 cu: MICU cg: RN v1: Yellow v2: Clear st: NotStopd t0: [04:00:00 09/09/2016] id: Urine Source el: 0 cu: MICU cg: RN v1: Indwelling Cath st: NotStopd t0: [04:00:00 09/09/2016] id: Verbal Response el: 0 cu: MICU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [04:00:00 09/09/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [04:00:00 09/09/2016] id: Behavior el: 0 cu: MICU cg: RN v1: Sedated st: NotStopd t0: [04:00:00 09/09/2016] id: Bowel Sounds el: 0 cu: MICU cg: RN v1: Hypoactive st: NotStopd
t0: [04:00:00 09/09/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 10 vu: ml t0: [04:00:00 09/09/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: MICU cg: RN ai: 189 vo: 10 vu: ml t0: [04:00:00 09/09/2016] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 41.52 vu: ml t0: [04:00:00 09/09/2016] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 300 vu: ml
t0: [04:00:00 09/09/2016] id: Propofol el: 1 cu: MICU cg: RN so: N/A vo: 0 v1: 40 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [03:49:00 09/09/2016] id: WBC (4-11,000) Hematology el: 0 cu: MICU cg: 1663 v1: 9.4 rs: Final st: NotStopd t0: [03:49:00 09/09/2016] id: WBC Hematology el: 0 cu: MICU cg: 1663 v1: 9.4 rs: Final st: NotStopd t0: [03:49:00 09/09/2016] id: Hematocrit Hematology el: 0 cu: MICU cg: 1663 v1: 32.1 u1: % rs: Final st: NotStopd t0: [03:49:00 09/09/2016] id: Hemoglobin Hematology el: 0 cu: MICU cg: 1663 v1: 9.8 u1: gm/dl rs: Final st: NotStopd t0: [03:49:00 09/09/2016] id: Platelets Hematology el: 0 cu: MICU cg: 1663 v1: 230 rs: Final st: NotStopd t0: [03:49:00 09/09/2016] id: RBC Hematology el: 0 cu: MICU cg: 1663 v1: 4 u1: /mic l rs: Final st: NotStopd t0: [03:49:00 09/09/2016] id: WBC (4-11,000) Hematology el: 0 cu: MICU cg: 1663 v1: 9.4 rs: Final st: NotStopd
t0: [05:00:00 09/09/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [05:00:00 09/09/2016] id: CVP el: 0 cu: MICU cg: RN v1: 22 u1: mmHg st: NotStopd t0: [05:00:00 09/09/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [05:00:00 09/09/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [05:00:00 09/09/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [05:00:00 09/09/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [05:00:00 09/09/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 90 u1: BPM st: NotStopd t0: [05:00:00 09/09/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [05:00:00 09/09/2016] id: NBP el: 0 cu: MICU cg: RN v1: 125 u1: mmHg v2: 46 u2: mmHg st: NotStopd t0: [05:00:00 09/09/2016] id: NBP Mean el: 0 cu: MICU cg: RN v1: 72.3333 u1: mmHg st: NotStopd t0: [05:00:00 09/09/2016] id: PAP Mean el: 0 cu: MICU cg: RN v1: 50 u1: mmHg st: NotStopd t0: [05:00:00 09/09/2016] id: PAP S/D el: 0 cu: MICU cg: RN v1: 76 u1: mmHg v2: 36 u2: mmHg st: NotStopd t0: [05:00:00 09/09/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [05:00:00 09/09/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 18 u1: BPM st: NotStopd t0: [05:00:00 09/09/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 97 u1: % st: NotStopd t0: [05:00:00 09/09/2016] id: Temperature C el: 0 cu: MICU cg: RN v1: 37.3 u1: Deg. C st: NotStopd t0: [05:00:00 09/09/2016] id: Temperature F (calc) el: 0 cu: MICU cg: RN v1: 99.14 u1: Deg. F st: NotStopd t0: [05:00:00 09/09/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [05:00:00 09/09/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 10 vu: ml t0: [05:00:00 09/09/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: MICU cg: RN ai: 189 vo: 10 vu: ml t0: [05:00:00 09/09/2016] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 41.52 vu: ml
t0: [05:00:00 09/09/2016] id: Propofol el: 1 cu: MICU cg: RN so: N/A vo: 0 v1: 40 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [03:49:00 09/09/2016] id: BUN el: 0 cu: MICU cg: 1663 v1: 19 rs: Final st: NotStopd t0: [03:49:00 09/09/2016] id: Calcium Chemistry el: 0 cu: MICU cg: 1663 v1: 9.4 u1: mg/dl rs: Final st: NotStopd t0: [03:49:00 09/09/2016] id: Chloride Chemistry el: 0 cu: MICU cg: 1663 v1: 95 rs: Final st: NotStopd t0: [03:49:00 09/09/2016] id: Creatinine Chemistry el: 0 cu: MICU cg: 1663 v1: 1 rs: Final st: NotStopd t0: [03:49:00 09/09/2016] id: Glucose Chemistry el: 0 cu: MICU cg: 1663 v1: 109 rs: Final st: NotStopd t0: [03:49:00 09/09/2016] id: Magnesium Chemistry el: 0 cu: MICU cg: 1663 v1: 2 rs: Final st: NotStopd t0: [03:49:00 09/09/2016] id: Phosphorous Chemistry el: 0 cu: MICU cg: 1663 v1: 3.9 u1: mEq/L rs: Final st: NotStopd t0: [03:49:00 09/09/2016] id: Sodium Chemistry el: 0 cu: MICU cg: 1663 v1: 138 rs: Final st: NotStopd t0: [03:49:00 09/09/2016] id: BUN (6-20) Chemistry el: 0 cu: MICU cg: 1663 v1: 19 rs: Final st: NotStopd t0: [03:49:00 09/09/2016] id: Calcium (8.4-10.2) Chemistry el: 0 cu: MICU cg: 1663 v1: 9.4 u1: mg/dl rs: Final st: NotStopd t0: [03:49:00 09/09/2016] id: Carbon Dioxide Chemistry el: 0 cu: MICU cg: 1663 v1: 27 rs: Final st: NotStopd t0: [03:49:00 09/09/2016] id: Chloride (100-112) Chemistry el: 0 cu: MICU cg: 1663 v1: 95 rs: Final st: NotStopd t0: [03:49:00 09/09/2016] id: Creatinine (0-1.3) Chemistry el: 0 cu: MICU cg: 1663 v1: 1 rs: Final st: NotStopd t0: [03:49:00 09/09/2016] id: Glucose (70-105) Chemistry el: 0 cu: MICU cg: 1663 v1: 109 rs: Final st: NotStopd t0: [03:49:00 09/09/2016] id: Magnesium (1.6-2.6) Chemistry el: 0 cu: MICU cg: 1663 v1: 2 rs: Final st: NotStopd t0: [03:49:00 09/09/2016] id: Phosphorous(2.7-4.5) Chemistry el: 0 cu: MICU cg: 1663 v1: 3.9 u1: mEq/L rs: Final st: NotStopd t0: [03:49:00 09/09/2016] id: Sodium (135-148) Chemistry el: 0 cu: MICU cg: 1663 v1: 138 rs: Final st: NotStopd
t0: [03:49:00 09/09/2016] id: Potassium Chemistry el: 0 cu: MICU cg: 1663 v1: 2.5 rs: Final st: NotStopd t0: [03:49:00 09/09/2016] id: Potassium (3.5-5.3) Chemistry el: 0 cu: MICU cg: 1663 v1: 2.5 rs: Final st: NotStopd
t0: [05:00:00 09/09/2016] id: D5W 100.0ml IV Infusions el: 2 cu: MICU cg: RN ai: 107 vo: 150 vu: ml
t0: [06:00:00 09/09/2016] id: Less Restrict Meas. el: 0 cu: MICU cg: RN v1: Medicated st: NotStopd t0: [06:00:00 09/09/2016] id: Range of Motion el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [06:00:00 09/09/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [06:00:00 09/09/2016] id: CVP el: 0 cu: MICU cg: RN v1: 22 u1: mmHg st: NotStopd t0: [06:00:00 09/09/2016] id: Circulation/SkinInt el: 0 cu: MICU cg: RN v1: Circulation Adeq st: NotStopd t0: [06:00:00 09/09/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [06:00:00 09/09/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [06:00:00 09/09/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [06:00:00 09/09/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [06:00:00 09/09/2016] id: HOB el: 0 cu: MICU cg: RN v1: 30 degrees st: NotStopd t0: [06:00:00 09/09/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 96 u1: BPM st: NotStopd t0: [06:00:00 09/09/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [06:00:00 09/09/2016] id: Activity el: 0 cu: MICU cg: RN v1: Bedrest st: NotStopd t0: [06:00:00 09/09/2016] id: Activity Tolerance el: 0 cu: MICU cg: RN v1: Good st: NotStopd t0: [06:00:00 09/09/2016] id: NBP el: 0 cu: MICU cg: RN v1: 130 u1: mmHg v2: 47 u2: mmHg st: NotStopd t0: [06:00:00 09/09/2016] id: NBP Mean el: 0 cu: MICU cg: RN v1: 74.6667 u1: mmHg st: NotStopd t0: [06:00:00 09/09/2016] id: PAP Mean el: 0 cu: MICU cg: RN v1: 52 u1: mmHg st: NotStopd t0: [06:00:00 09/09/2016] id: PAP S/D el: 0 cu: MICU cg: RN v1: 78 u1: mmHg v2: 36 u2: mmHg st: NotStopd t0: [06:00:00 09/09/2016] id: Position el: 0 cu: MICU cg: RN v1: Supine st: NotStopd t0: [06:00:00 09/09/2016] id: Position Change el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [06:00:00 09/09/2016] id: Assistance Device el: 0 cu: MICU cg: RN v1: Total Lift st: NotStopd t0: [06:00:00 09/09/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [06:00:00 09/09/2016] id: Reason For Restraint el: 0 cu: MICU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [06:00:00 09/09/2016] id: Removed x 5 Mins el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [06:00:00 09/09/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 22 u1: BPM st: NotStopd t0: [06:00:00 09/09/2016] id: Restraint Location el: 0 cu: MICU cg: RN v1: Both Arms st: NotStopd t0: [06:00:00 09/09/2016] id: Restraint Type el: 0 cu: MICU cg: RN v1: Soft Limb st: NotStopd t0: [06:00:00 09/09/2016] id: Restraints Evaluated el: 0 cu: MICU cg: RN v1: RestraintReapply st: NotStopd t0: [06:00:00 09/09/2016] id: Side Rails el: 0 cu: MICU cg: RN v1: Side Rails Up st: NotStopd t0: [06:00:00 09/09/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 95 u1: % st: NotStopd t0: [06:00:00 09/09/2016] id: Support Systems el: 0 cu: MICU cg: RN v1: Spouse st: NotStopd t0: [06:00:00 09/09/2016] id: Temperature C el: 0 cu: MICU cg: RN v1: 37 u1: Deg. C st: NotStopd t0: [06:00:00 09/09/2016] id: Temperature F (calc) el: 0 cu: MICU cg: RN v1: 98.6 u1: Deg. F st: NotStopd t0: [06:00:00 09/09/2016] id: Turn el: 0 cu: MICU cg: RN v1: Side to Side st: NotStopd t0: [06:00:00 09/09/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [06:00:00 09/09/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 10 vu: ml t0: [06:00:00 09/09/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: MICU cg: RN ai: 189 vo: 10 vu: ml t0: [06:00:00 09/09/2016] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 41.52 vu: ml t0: [06:00:00 09/09/2016] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 250 vu: ml
t0: [06:00:00 09/09/2016] id: Propofol el: 1 cu: MICU cg: RN so: N/A vo: 0 v1: 40 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [05:00:00 09/09/2016] id: Compliance (40-60ml) el: 0 cu: MICU cg: -1 v1: 28.2609 u1: ml/cmH st: NotStopd t0: [05:00:00 09/09/2016] id: RSBI Not Completed el: 0 cu: MICU cg: -1 v1: PEEP >10 st: NotStopd t0: [05:00:00 09/09/2016] id: ETT Mark/Location el: 0 cu: MICU cg: -1 v1: 23cm v2: Lip st: NotStopd t0: [05:00:00 09/09/2016] id: FiO2 Set el: 0 cu: MICU cg: -1 v1: 0.4 u1: torr st: NotStopd t0: [05:00:00 09/09/2016] id: High Insp. Pressure el: 0 cu: MICU cg: -1 v1: 50 u1: cmH2O st: NotStopd t0: [05:00:00 09/09/2016] id: High Resp. Rate el: 0 cu: MICU cg: -1 v1: 10 u1: BPM st: NotStopd t0: [05:00:00 09/09/2016] id: I:E Ratio el: 0 cu: MICU cg: -1 v1: 1:3.8 st: NotStopd t0: [05:00:00 09/09/2016] id: Airway Size el: 0 cu: MICU cg: -1 v1: 8.5 mm st: NotStopd t0: [05:00:00 09/09/2016] id: Airway Type el: 0 cu: MICU cg: -1 v1: Endotracheal st: NotStopd t0: [05:00:00 09/09/2016] id: Intubation Date el: 0 cu: MICU cg: -1 v1: 7 v2: 23 st: NotStopd t0: [05:00:00 09/09/2016] id: Low Exhaled Min Vol el: 0 cu: MICU cg: -1 v1: 6 st: NotStopd t0: [05:00:00 09/09/2016] id: MDI #1 (Puff/Drug) el: 0 cu: MICU cg: -1 v1: 6 v2: Combivent st: NotStopd t0: [05:00:00 09/09/2016] id: Mean Airway Pressure el: 0 cu: MICU cg: -1 v1: 15 u1: cmH2O st: NotStopd t0: [05:00:00 09/09/2016] id: Minute Volume(Obser) el: 0 cu: MICU cg: -1 v1: 12.5 u1: L/min st: NotStopd t0: [05:00:00 09/09/2016] id: PEEP Set el: 0 cu: MICU cg: -1 v1: 10 u1: cmH2O st: NotStopd t0: [05:00:00 09/09/2016] id: Apnea Time Interval el: 0 cu: MICU cg: -1 v1: 20 st: NotStopd t0: [05:00:00 09/09/2016] id: Peak Insp. Pressure el: 0 cu: MICU cg: -1 v1: 33 u1: cmH2O st: NotStopd t0: [05:00:00 09/09/2016] id: Plateau Pressure el: 0 cu: MICU cg: -1 v1: 31 u1: cmH2O st: NotStopd t0: [05:00:00 09/09/2016] id: Plateau-Off el: 0 cu: MICU cg: -1 v1: Yes st: NotStopd t0: [05:00:00 09/09/2016] id: Resp Rate (Spont) el: 0 cu: MICU cg: -1 v1: 5 u1: BPM st: NotStopd t0: [05:00:00 09/09/2016] id: Resp Rate (Total) el: 0 cu: MICU cg: -1 v1: 19 u1: BPM st: NotStopd t0: [05:00:00 09/09/2016] id: Respiratory Rate Set el: 0 cu: MICU cg: -1 v1: 14 u1: BPM st: NotStopd t0: [05:00:00 09/09/2016] id: Sensitivity-Vent el: 0 cu: MICU cg: -1 v1: 2 u1: cmH2O st: NotStopd t0: [05:00:00 09/09/2016] id: Tidal Volume (Obser) el: 0 cu: MICU cg: -1 v1: 652 u1: ml/B st: NotStopd t0: [05:00:00 09/09/2016] id: Tidal Volume (Set) el: 0 cu: MICU cg: -1 v1: 650 u1: ml/B st: NotStopd t0: [05:00:00 09/09/2016] id: Ventilator Mode el: 0 cu: MICU cg: -1 v1: Assist Control st: NotStopd t0: [05:00:00 09/09/2016] id: Ventilator Type el: 0 cu: MICU cg: -1 v1: Drager st: NotStopd t0: [05:00:00 09/09/2016] id: Waveform-Vent el: 0 cu: MICU cg: -1 v1: RAMP st: NotStopd
tf: [05:00:00 10/09/2016] pt: IV Piggyback rt: IV fr: ONCE MR1 fs: 6 dn: 1 m1: Potassium Chloride v1: 60 u1: mEq m2: SW v2: 150 u2: ml tf: [05:00:00 10/09/2016] pt: Unit Dose rt: IV fr: ONCE fs: 6 dn: 1 m1: Furosemide v1: 80 u1: mg
t0: [06:03:00 09/09/2016] id: Art.pH ABG el: 0 cu: MICU cg: 1663 v1: 7.49 rs: Final st: NotStopd t0: [06:03:00 09/09/2016] id: Arterial Base Excess ABG el: 0 cu: MICU cg: 1663 v1: 5 rs: Final st: NotStopd t0: [06:03:00 09/09/2016] id: Arterial CO2(Calc) ABG el: 0 cu: MICU cg: 1663 v1: 30 rs: Final st: NotStopd t0: [06:03:00 09/09/2016] id: Arterial PaCO2 ABG el: 0 cu: MICU cg: 1663 v1: 38 u1: mmHg rs: Final st: NotStopd t0: [06:03:00 09/09/2016] id: Arterial PaO2 ABG el: 0 cu: MICU cg: 1663 v1: 82 u1: mmHg rs: Final st: NotStopd t0: [06:03:00 09/09/2016] id: Arterial pH ABG el: 0 cu: MICU cg: 1663 v1: 7.49 rs: Final st: NotStopd t0: [06:03:00 09/09/2016] id: Ionized Calcium Chemistry el: 0 cu: MICU cg: 1663 v1: 1.13 rs: Final st: NotStopd
t0: [07:00:00 09/09/2016] id: Service Type el: 0 cu: MICU cg: -1 v1: MICU st: NotStopd t0: [07:00:00 09/09/2016] id: CVP el: 0 cu: MICU cg: -1 v1: 25 u1: mmHg st: NotStopd t0: [07:00:00 09/09/2016] id: Code Status el: 0 cu: MICU cg: -1 v1: Full Code st: NotStopd t0: [07:00:00 09/09/2016] id: Riker-SAS Scale el: 0 cu: MICU cg: -1 v1: Sedated st: NotStopd t0: [07:00:00 09/09/2016] id: Risk for Falls el: 0 cu: MICU cg: -1 v1: Yes st: NotStopd t0: [07:00:00 09/09/2016] id: Ectopy Frequency el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [07:00:00 09/09/2016] id: Ectopy Type el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [07:00:00 09/09/2016] id: Heart Rate el: 0 cu: MICU cg: -1 v1: 95 u1: BPM st: NotStopd t0: [07:00:00 09/09/2016] id: Heart Rhythm el: 0 cu: MICU cg: -1 v1: Normal Sinus st: NotStopd t0: [07:00:00 09/09/2016] id: NBP el: 0 cu: MICU cg: -1 v1: 125 u1: mmHg v2: 43 u2: mmHg st: NotStopd t0: [07:00:00 09/09/2016] id: NBP Mean el: 0 cu: MICU cg: -1 v1: 70.3333 u1: mmHg st: NotStopd t0: [07:00:00 09/09/2016] id: PAP Mean el: 0 cu: MICU cg: -1 v1: 58 u1: mmHg st: NotStopd t0: [07:00:00 09/09/2016] id: PAP S/D el: 0 cu: MICU cg: -1 v1: 84 u1: mmHg v2: 41 u2: mmHg st: NotStopd t0: [07:00:00 09/09/2016] id: Precautions el: 0 cu: MICU cg: -1 v1: Universal st: NotStopd t0: [07:00:00 09/09/2016] id: Respiratory Rate el: 0 cu: MICU cg: -1 v1: 23 u1: BPM st: NotStopd t0: [07:00:00 09/09/2016] id: SpO2 el: 0 cu: MICU cg: -1 v1: 95 u1: % st: NotStopd t0: [07:00:00 09/09/2016] id: Sputum Color/Consist el: 0 cu: MICU cg: -1 v1: Tan v2: Tenacious st: NotStopd t0: [07:00:00 09/09/2016] id: Sputum Source/Amt el: 0 cu: MICU cg: -1 v1: Suctioned v2: Small st: NotStopd t0: [07:00:00 09/09/2016] id: Temperature C el: 0 cu: MICU cg: -1 v1: 36.9 u1: Deg. C st: NotStopd t0: [07:00:00 09/09/2016] id: Temperature F (calc) el: 0 cu: MICU cg: -1 v1: 98.42 u1: Deg. F st: NotStopd t0: [07:00:00 09/09/2016] id: calprevflg el: 0 cu: MICU cg: -1 v1: 1 u1: kg st: NotStopd
t0: [07:00:00 09/09/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: -1 ai: 107 vo: 10 vu: ml t0: [07:00:00 09/09/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: MICU cg: -1 ai: 189 vo: 10 vu: ml t0: [07:00:00 09/09/2016] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: MICU cg: -1 ai: 107 vo: 41.52 vu: ml t0: [07:00:00 09/09/2016] id: Urine Out Foley el: 1 cu: MICU cg: -1 vo: 180 vu: ml
t0: [07:00:00 09/09/2016] id: Propofol el: 1 cu: MICU so: N/A vo: 0 v1: 40 du: mcgkgmin sv: 50 su: vl rt: IV Drip
tf: [09:00:00 09/09/2016] pt: Unit Dose rt: PO fr: TID fs: 08, 16, 22 dn: 3 m1: Captopril v1: 12.5 u1: mg
t0: [08:00:00 09/09/2016] id: Compliance (40-60ml) el: 0 cu: MICU cg: -1 v1: 25 u1: ml/cmH st: NotStopd t0: [08:00:00 09/09/2016] id: ETT Mark/Location el: 0 cu: MICU cg: -1 v1: 23cm v2: Lip st: NotStopd t0: [08:00:00 09/09/2016] id: FiO2 Set el: 0 cu: MICU cg: -1 v1: 0.4 u1: torr st: NotStopd t0: [08:00:00 09/09/2016] id: High Insp. Pressure el: 0 cu: MICU cg: -1 v1: 50 u1: cmH2O st: NotStopd t0: [08:00:00 09/09/2016] id: High Resp. Rate el: 0 cu: MICU cg: -1 v1: 10 u1: BPM st: NotStopd t0: [08:00:00 09/09/2016] id: I:E Ratio el: 0 cu: MICU cg: -1 v1: 1:3.8 st: NotStopd t0: [08:00:00 09/09/2016] id: Airway Size el: 0 cu: MICU cg: -1 v1: 8.5 mm st: NotStopd t0: [08:00:00 09/09/2016] id: Airway Type el: 0 cu: MICU cg: -1 v1: Endotracheal st: NotStopd t0: [08:00:00 09/09/2016] id: Inspired Gas Temp el: 0 cu: MICU cg: -1 u1: Deg. C st: NotStopd t0: [08:00:00 09/09/2016] id: Intubation Date el: 0 cu: MICU cg: -1 v1: 7 v2: 23 st: NotStopd t0: [08:00:00 09/09/2016] id: Low Exhaled Min Vol el: 0 cu: MICU cg: -1 v1: 6 st: NotStopd t0: [08:00:00 09/09/2016] id: MDI #1 (Puff/Drug) el: 0 cu: MICU cg: -1 v1: 6 v2: Combivent st: NotStopd t0: [08:00:00 09/09/2016] id: Mean Airway Pressure el: 0 cu: MICU cg: -1 v1: 17 u1: cmH2O st: NotStopd t0: [08:00:00 09/09/2016] id: Minute Volume(Obser) el: 0 cu: MICU cg: -1 v1: 13.1 u1: L/min st: NotStopd t0: [08:00:00 09/09/2016] id: PEEP Set el: 0 cu: MICU cg: -1 v1: 10 u1: cmH2O st: NotStopd t0: [08:00:00 09/09/2016] id: Apnea Time Interval el: 0 cu: MICU cg: -1 v1: 20 st: NotStopd t0: [08:00:00 09/09/2016] id: Peak Flow el: 0 cu: MICU cg: -1 u1: L/m st: NotStopd t0: [08:00:00 09/09/2016] id: Peak Insp. Pressure el: 0 cu: MICU cg: -1 v1: 36 u1: cmH2O st: NotStopd t0: [08:00:00 09/09/2016] id: Plateau Pressure el: 0 cu: MICU cg: -1 v1: 31 u1: cmH2O st: NotStopd t0: [08:00:00 09/09/2016] id: Plateau-Off el: 0 cu: MICU cg: -1 v1: Yes st: NotStopd t0: [08:00:00 09/09/2016] id: Resp Rate (Spont) el: 0 cu: MICU cg: -1 v1: 7 u1: BPM st: NotStopd t0: [08:00:00 09/09/2016] id: Resp Rate (Total) el: 0 cu: MICU cg: -1 v1: 21 u1: BPM st: NotStopd t0: [08:00:00 09/09/2016] id: Respiratory Rate Set el: 0 cu: MICU cg: -1 v1: 14 u1: BPM st: NotStopd t0: [08:00:00 09/09/2016] id: Sensitivity-Vent el: 0 cu: MICU cg: -1 v1: 2 u1: cmH2O st: NotStopd t0: [08:00:00 09/09/2016] id: SpO2 el: 0 cu: MICU cg: -1 v1: 97 u1: % st: NotStopd t0: [08:00:00 09/09/2016] id: Tidal Volume (Obser) el: 0 cu: MICU cg: -1 v1: 653 u1: ml/B st: NotStopd t0: [08:00:00 09/09/2016] id: Tidal Volume (Set) el: 0 cu: MICU cg: -1 v1: 650 u1: ml/B st: NotStopd t0: [08:00:00 09/09/2016] id: Ventilator Mode el: 0 cu: MICU cg: -1 v1: Assist Control st: NotStopd t0: [08:00:00 09/09/2016] id: Ventilator Type el: 0 cu: MICU cg: -1 v1: Drager st: NotStopd t0: [08:00:00 09/09/2016] id: Waveform-Vent el: 0 cu: MICU cg: -1 v1: RAMP st: NotStopd
t0: [06:00:00 09/09/2016] id: Urine Color/Appear el: 0 cu: MICU cg: -1 v1: Yellow v2: Sediment st: NotStopd t0: [07:00:00 09/09/2016] id: Diet Type el: 0 cu: MICU cg: -1 v1: NPO st: NotStopd t0: [07:00:00 09/09/2016] id: Abdominal Assessment el: 0 cu: MICU cg: -1 v1: Obese st: NotStopd t0: [07:00:00 09/09/2016] id: Respiratory Pattern el: 0 cu: MICU cg: -1 v1: Regular st: NotStopd t0: [07:00:00 09/09/2016] id: Stool Guaiac el: 0 cu: MICU cg: -1 v1: Not Applicable st: NotStopd t0: [07:00:00 09/09/2016] id: Urine Source el: 0 cu: MICU cg: -1 v1: Indwelling Cath st: NotStopd t0: [07:00:00 09/09/2016] id: Bowel Sounds el: 0 cu: MICU cg: -1 v1: Hypoactive st: NotStopd t0: [08:00:00 09/09/2016] id: Less Restrict Meas. el: 0 cu: MICU cg: -1 v1: Medicated st: NotStopd t0: [08:00:00 09/09/2016] id: Pain Present el: 0 cu: MICU cg: -1 v1: No st: NotStopd t0: [08:00:00 09/09/2016] id: Range of Motion el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [08:00:00 09/09/2016] id: Pain Assess Method el: 0 cu: MICU cg: -1 v1: Change in Vitals st: NotStopd t0: [08:00:00 09/09/2016] id: Service Type el: 0 cu: MICU cg: -1 v1: MICU st: NotStopd t0: [08:00:00 09/09/2016] id: CVP el: 0 cu: MICU cg: -1 v1: 22 u1: mmHg st: NotStopd t0: [08:00:00 09/09/2016] id: Cardiac Index el: 0 cu: MICU cg: -1 v1: 1.98355 u1: ... st: NotStopd t0: [08:00:00 09/09/2016] id: Circulation/SkinInt el: 0 cu: MICU cg: -1 v1: Circulation Adeq st: NotStopd t0: [08:00:00 09/09/2016] id: Code Status el: 0 cu: MICU cg: -1 v1: Full Code st: NotStopd t0: [08:00:00 09/09/2016] id: Riker-SAS Scale el: 0 cu: MICU cg: -1 v1: Sedated st: NotStopd t0: [08:00:00 09/09/2016] id: Risk for Falls el: 0 cu: MICU cg: -1 v1: Yes st: NotStopd t0: [08:00:00 09/09/2016] id: Diet Type el: 0 cu: MICU cg: -1 v1: NPO st: NotStopd t0: [08:00:00 09/09/2016] id: Dorsal PedPulse R/L el: 0 cu: MICU cg: -1 v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [08:00:00 09/09/2016] id: Ectopy Frequency el: 0 cu: MICU cg: -1 v1: Frequent st: NotStopd t0: [08:00:00 09/09/2016] id: Ectopy Type el: 0 cu: MICU cg: -1 v1: PVC's st: NotStopd t0: [08:00:00 09/09/2016] id: Eye Opening el: 0 cu: MICU cg: -1 v1: 2 To pain st: NotStopd t0: [08:00:00 09/09/2016] id: GCS Total el: 0 cu: MICU cg: -1 v1: 8 u1: points st: NotStopd t0: [08:00:00 09/09/2016] id: Heart Rate el: 0 cu: MICU cg: -1 v1: 92 u1: BPM st: NotStopd t0: [08:00:00 09/09/2016] id: Heart Rhythm el: 0 cu: MICU cg: -1 v1: Normal Sinus st: NotStopd t0: [08:00:00 09/09/2016] id: INV Line#1 Type/Site el: 0 cu: MICU cg: -1 v1: PICC line v2: Left Brachial st: NotStopd t0: [08:00:00 09/09/2016] id: INV Line#1SiteAppear el: 0 cu: MICU cg: -1 v1: WNL st: NotStopd t0: [08:00:00 09/09/2016] id: INV Line#3 Type/Site el: 0 cu: MICU cg: -1 v1: PA line v2: Left Subclavian st: NotStopd t0: [08:00:00 09/09/2016] id: INV Line#3 Zero/Cal el: 0 cu: MICU cg: -1 v1: Yes st: NotStopd t0: [08:00:00 09/09/2016] id: INV Line#3InsertDate el: 0 cu: MICU cg: -1 v1: 7 v2: 24 st: NotStopd t0: [08:00:00 09/09/2016] id: INV Line#3SiteAppear el: 0 cu: MICU cg: -1 v1: WNL st: NotStopd t0: [08:00:00 09/09/2016] id: INV#3 WaveformAppear el: 0 cu: MICU cg: -1 v1: Sharp st: NotStopd t0: [08:00:00 09/09/2016] id: LLL Lung Sounds el: 0 cu: MICU cg: -1 v1: Diminished st: NotStopd t0: [08:00:00 09/09/2016] id: LUL Lung Sounds el: 0 cu: MICU cg: -1 v1: Coarse st: NotStopd t0: [08:00:00 09/09/2016] id: Level of Conscious el: 0 cu: MICU cg: -1 v1: Sedated st: NotStopd t0: [08:00:00 09/09/2016] id: Motor Response el: 0 cu: MICU cg: -1 v1: 5 Localizes Pain st: NotStopd t0: [08:00:00 09/09/2016] id: NBP el: 0 cu: MICU cg: -1 v1: 138 u1: mmHg v2: 49 u2: mmHg st: NotStopd t0: [08:00:00 09/09/2016] id: NBP Mean el: 0 cu: MICU cg: -1 v1: 78.6667 u1: mmHg st: NotStopd t0: [08:00:00 09/09/2016] id: Oral Cavity el: 0 cu: MICU cg: -1 v1: Teeth/Tissue WNL st: NotStopd t0: [08:00:00 09/09/2016] id: Orientation el: 0 cu: MICU cg: -1 v1: Other/Remarks st: NotStopd t0: [08:00:00 09/09/2016] id: PAP Mean el: 0 cu: MICU cg: -1 v1: 57 u1: mmHg st: NotStopd t0: [08:00:00 09/09/2016] id: PAP S/D el: 0 cu: MICU cg: -1 v1: 81 u1: mmHg v2: 33 u2: mmHg st: NotStopd t0: [08:00:00 09/09/2016] id: Pain Location el: 0 cu: MICU cg: -1 v1: Not Indicated st: NotStopd t0: [08:00:00 09/09/2016] id: Pain Type el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [08:00:00 09/09/2016] id: Position Change el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [08:00:00 09/09/2016] id: PostTib. Pulses R/L el: 0 cu: MICU cg: -1 v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [08:00:00 09/09/2016] id: Precautions el: 0 cu: MICU cg: -1 v1: Universal st: NotStopd t0: [08:00:00 09/09/2016] id: RCW el: 0 cu: MICU cg: -1 v1: 4.67446 u1: kg * m st: NotStopd t0: [08:00:00 09/09/2016] id: RCWI el: 0 cu: MICU cg: -1 v1: 1.53618 u1: ... st: NotStopd t0: [08:00:00 09/09/2016] id: RLL Lung Sounds el: 0 cu: MICU cg: -1 v1: Diminished st: NotStopd t0: [08:00:00 09/09/2016] id: RUL Lung Sounds el: 0 cu: MICU cg: -1 v1: Coarse st: NotStopd t0: [08:00:00 09/09/2016] id: RVSW el: 0 cu: MICU cg: -1 v1: 51.1632 u1: g * m st: NotStopd t0: [08:00:00 09/09/2016] id: RVSWI el: 0 cu: MICU cg: -1 v1: 16.8421 u1: g*m/m2 st: NotStopd t0: [08:00:00 09/09/2016] id: Reason For Restraint el: 0 cu: MICU cg: -1 v1: Ext/TXInterfere st: NotStopd t0: [08:00:00 09/09/2016] id: Removed x 5 Mins el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [08:00:00 09/09/2016] id: Respiratory Pattern el: 0 cu: MICU cg: -1 v1: Regular st: NotStopd t0: [08:00:00 09/09/2016] id: Respiratory Rate el: 0 cu: MICU cg: -1 v1: 17 u1: BPM st: NotStopd t0: [08:00:00 09/09/2016] id: Restraint Location el: 0 cu: MICU cg: -1 v1: Both Arms st: NotStopd t0: [08:00:00 09/09/2016] id: Restraint Type el: 0 cu: MICU cg: -1 v1: Soft Limb st: NotStopd t0: [08:00:00 09/09/2016] id: Restraints Evaluated el: 0 cu: MICU cg: -1 v1: RestraintReapply st: NotStopd t0: [08:00:00 09/09/2016] id: SVI el: 0 cu: MICU cg: -1 v1: 21.7105 u1: ... st: NotStopd t0: [08:00:00 09/09/2016] id: SVR el: 0 cu: MICU cg: -1 v1: 756.219 u1: ... st: NotStopd t0: [08:00:00 09/09/2016] id: SVRI el: 0 cu: MICU cg: -1 v1: 2303.03 u1: ... st: NotStopd t0: [08:00:00 09/09/2016] id: Side Rails el: 0 cu: MICU cg: -1 v1: Side Rails Up st: NotStopd t0: [08:00:00 09/09/2016] id: Skin Integrity el: 0 cu: MICU cg: -1 v1: Intact st: NotStopd t0: [08:00:00 09/09/2016] id: Stroke Volume el: 0 cu: MICU cg: -1 v1: 65.5435 u1: ml st: NotStopd t0: [08:00:00 09/09/2016] id: Support Systems el: 0 cu: MICU cg: -1 v1: Spouse st: NotStopd t0: [08:00:00 09/09/2016] id: Temp. Site el: 0 cu: MICU cg: -1 v1: Blood st: NotStopd t0: [08:00:00 09/09/2016] id: Temperature C el: 0 cu: MICU cg: -1 v1: 37.1 u1: Deg. C st: NotStopd t0: [08:00:00 09/09/2016] id: Temperature F (calc) el: 0 cu: MICU cg: -1 v1: 98.78 u1: Deg. F st: NotStopd t0: [08:00:00 09/09/2016] id: Urine Source el: 0 cu: MICU cg: -1 v1: Indwelling Cath st: NotStopd t0: [08:00:00 09/09/2016] id: Verbal Response el: 0 cu: MICU cg: -1 v1: 1.0 ET/Trach st: NotStopd t0: [08:00:00 09/09/2016] id: calprevflg el: 0 cu: MICU cg: -1 v1: 1 u1: kg st: NotStopd t0: [08:00:00 09/09/2016] id: Behavior el: 0 cu: MICU cg: -1 v1: Sedated st: NotStopd t0: [08:00:00 09/09/2016] id: Braden Activity el: 0 cu: MICU cg: -1 v1: Bedfast st: NotStopd t0: [08:00:00 09/09/2016] id: Braden Frict/Shear el: 0 cu: MICU cg: -1 v1: Problem st: NotStopd t0: [08:00:00 09/09/2016] id: Braden Mobility el: 0 cu: MICU cg: -1 v1: Very Limited st: NotStopd t0: [08:00:00 09/09/2016] id: Braden Moisture el: 0 cu: MICU cg: -1 v1: Occ. Moist st: NotStopd t0: [08:00:00 09/09/2016] id: Braden Nutrition el: 0 cu: MICU cg: -1 v1: Very Poor st: NotStopd t0: [08:00:00 09/09/2016] id: Braden Score el: 0 cu: MICU cg: -1 v1: 10 u1: number st: NotStopd t0: [08:00:00 09/09/2016] id: Braden SensoryPercep el: 0 cu: MICU cg: -1 v1: Very Limited st: NotStopd t0: [08:00:00 09/09/2016] id: C.O.(thermodilution) el: 0 cu: MICU cg: -1 v1: 6.03 u1: L/min st: NotStopd
t0: [08:00:00 09/09/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: -1 ai: 107 vo: 10 vu: ml t0: [08:00:00 09/09/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: MICU cg: -1 ai: 189 vo: 10 vu: ml t0: [08:00:00 09/09/2016] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: MICU cg: -1 ai: 107 vo: 41.52 vu: ml t0: [08:00:00 09/09/2016] id: Urine Out Foley el: 1 cu: MICU cg: -1 vo: 50 vu: ml
t0: [08:00:00 09/09/2016] id: Propofol el: 1 cu: MICU so: N/A vo: 0 v1: 40 du: mcgkgmin sv: 50 su: vl rt: IV Drip
tf: [18:00:00 14/10/2016] pt: IV Piggyback rt: IV fr: Q12H fs: 6, 18 dn: 2 m1: Famotidine v1: 20 u1: mg m2: Iso-Osmotic Sodium Chloride v2: 50 u2: ml
t0: [09:00:00 09/09/2016] id: Service Type el: 0 cu: MICU cg: -1 v1: MICU st: NotStopd t0: [09:00:00 09/09/2016] id: CVP el: 0 cu: MICU cg: -1 v1: 21 u1: mmHg st: NotStopd t0: [09:00:00 09/09/2016] id: Code Status el: 0 cu: MICU cg: -1 v1: Full Code st: NotStopd t0: [09:00:00 09/09/2016] id: Riker-SAS Scale el: 0 cu: MICU cg: -1 v1: Sedated st: NotStopd t0: [09:00:00 09/09/2016] id: Risk for Falls el: 0 cu: MICU cg: -1 v1: Yes st: NotStopd t0: [09:00:00 09/09/2016] id: Ectopy Frequency el: 0 cu: MICU cg: -1 v1: Occasional st: NotStopd t0: [09:00:00 09/09/2016] id: Ectopy Type el: 0 cu: MICU cg: -1 v1: PVC's st: NotStopd t0: [09:00:00 09/09/2016] id: Heart Rate el: 0 cu: MICU cg: -1 v1: 80 u1: BPM st: NotStopd t0: [09:00:00 09/09/2016] id: Heart Rhythm el: 0 cu: MICU cg: -1 v1: Normal Sinus st: NotStopd t0: [09:00:00 09/09/2016] id: NBP el: 0 cu: MICU cg: -1 v1: 117 u1: mmHg v2: 32 u2: mmHg st: NotStopd t0: [09:00:00 09/09/2016] id: NBP Mean el: 0 cu: MICU cg: -1 v1: 60.3333 u1: mmHg st: NotStopd t0: [09:00:00 09/09/2016] id: PAP Mean el: 0 cu: MICU cg: -1 v1: 47 u1: mmHg st: NotStopd t0: [09:00:00 09/09/2016] id: PAP S/D el: 0 cu: MICU cg: -1 v1: 69 u1: mmHg v2: 35 u2: mmHg st: NotStopd t0: [09:00:00 09/09/2016] id: Precautions el: 0 cu: MICU cg: -1 v1: Universal st: NotStopd t0: [09:00:00 09/09/2016] id: Respiratory Rate el: 0 cu: MICU cg: -1 v1: 17 u1: BPM st: NotStopd t0: [09:00:00 09/09/2016] id: SpO2 el: 0 cu: MICU cg: -1 v1: 97 u1: % st: NotStopd t0: [09:00:00 09/09/2016] id: Temp. Site el: 0 cu: MICU cg: -1 v1: Blood st: NotStopd t0: [09:00:00 09/09/2016] id: Temperature C el: 0 cu: MICU cg: -1 v1: 37.1 u1: Deg. C st: NotStopd t0: [09:00:00 09/09/2016] id: Temperature F (calc) el: 0 cu: MICU cg: -1 v1: 98.78 u1: Deg. F st: NotStopd t0: [09:00:00 09/09/2016] id: calprevflg el: 0 cu: MICU cg: -1 v1: 1 u1: kg st: NotStopd t0: [10:00:00 09/09/2016] id: Less Restrict Meas. el: 0 cu: MICU cg: -1 v1: Medicated st: NotStopd t0: [10:00:00 09/09/2016] id: Range of Motion el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [10:00:00 09/09/2016] id: Circulation/SkinInt el: 0 cu: MICU cg: -1 v1: Circulation Adeq st: NotStopd t0: [10:00:00 09/09/2016] id: Position Change el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [10:00:00 09/09/2016] id: Reason For Restraint el: 0 cu: MICU cg: -1 v1: Ext/TXInterfere st: NotStopd t0: [10:00:00 09/09/2016] id: Removed x 5 Mins el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [10:00:00 09/09/2016] id: Restraint Location el: 0 cu: MICU cg: -1 v1: Both Arms st: NotStopd t0: [10:00:00 09/09/2016] id: Restraint Type el: 0 cu: MICU cg: -1 v1: Soft Limb st: NotStopd t0: [10:00:00 09/09/2016] id: Restraints Evaluated el: 0 cu: MICU cg: -1 v1: RestraintReapply st: NotStopd t0: [10:00:00 09/09/2016] id: Side Rails el: 0 cu: MICU cg: -1 v1: Side Rails Up st: NotStopd t0: [10:00:00 09/09/2016] id: Support Systems el: 0 cu: MICU cg: -1 v1: Spouse st: NotStopd
t0: [08:00:00 09/09/2016] id: Gastric Meds PO/Gastric el: 1 cu: MICU cg: -1 ai: 107 vo: 60 vu: ml t0: [09:00:00 09/09/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: -1 ai: 107 vo: 10 vu: ml t0: [09:00:00 09/09/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: MICU cg: -1 ai: 189 vo: 10 vu: ml t0: [09:00:00 09/09/2016] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: MICU cg: -1 ai: 107 vo: 41.52 vu: ml t0: [09:00:00 09/09/2016] id: Urine Out Foley el: 1 cu: MICU cg: -1 vo: 35 vu: ml t0: [10:00:00 09/09/2016] id: D5W 100.0ml IV Infusions el: 2 cu: MICU cg: -1 ai: 107 vo: 50 vu: ml t0: [10:00:00 09/09/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: -1 ai: 107 vo: 10 vu: ml t0: [10:00:00 09/09/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: MICU cg: -1 ai: 189 vo: 10 vu: ml t0: [10:00:00 09/09/2016] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: MICU cg: -1 ai: 107 vo: 41.52 vu: ml t0: [10:00:00 09/09/2016] id: Urine Out Foley el: 1 cu: MICU cg: -1 vo: 20 vu: ml
t0: [09:00:00 09/09/2016] id: Propofol el: 1 cu: MICU so: N/A vo: 0 v1: 40 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [23:00:00 09/09/2016] dt: 24 id: PO/Gastric In Total el: 2 cu: MICU cg: RN cv: 180 ap: none
tf: [09:00:00 10/09/2016] pt: Unit Dose rt: IV fr: ONCE fs: 10 dn: 1 m1: Furosemide v1: 100 u1: mg
t0: [08:00:00 09/09/2016] id: HOB el: 0 cu: MICU cg: -1 v1: Flat in Bed st: NotStopd t0: [08:00:00 09/09/2016] id: Activity el: 0 cu: MICU cg: -1 v1: Bedrest st: NotStopd t0: [08:00:00 09/09/2016] id: Activity Tolerance el: 0 cu: MICU cg: -1 v1: Tolerated Well st: NotStopd t0: [08:00:00 09/09/2016] id: Position el: 0 cu: MICU cg: -1 v1: Supine st: NotStopd t0: [08:00:00 09/09/2016] id: Assistance Device el: 0 cu: MICU cg: -1 v1: 1 Person Assist st: NotStopd t0: [08:00:00 09/09/2016] id: Turn el: 0 cu: MICU cg: -1 v1: Back st: NotStopd t0: [09:00:00 09/09/2016] id: HOB el: 0 cu: MICU cg: -1 v1: 30 degrees st: NotStopd t0: [09:00:00 09/09/2016] id: Activity el: 0 cu: MICU cg: -1 v1: Bedrest st: NotStopd t0: [09:00:00 09/09/2016] id: Activity Tolerance el: 0 cu: MICU cg: -1 v1: Tolerated Well st: NotStopd t0: [09:00:00 09/09/2016] id: Position el: 0 cu: MICU cg: -1 v1: Supine st: NotStopd t0: [09:00:00 09/09/2016] id: Assistance Device el: 0 cu: MICU cg: -1 v1: 1 Person Assist st: NotStopd t0: [09:00:00 09/09/2016] id: Turn el: 0 cu: MICU cg: -1 v1: Back st: NotStopd t0: [10:00:00 09/09/2016] id: Service Type el: 0 cu: MICU cg: -1 v1: MICU st: NotStopd t0: [10:00:00 09/09/2016] id: Code Status el: 0 cu: MICU cg: -1 v1: Full Code st: NotStopd t0: [10:00:00 09/09/2016] id: Riker-SAS Scale el: 0 cu: MICU cg: -1 v1: Sedated st: NotStopd t0: [10:00:00 09/09/2016] id: Risk for Falls el: 0 cu: MICU cg: -1 v1: Yes st: NotStopd t0: [10:00:00 09/09/2016] id: Ectopy Frequency el: 0 cu: MICU cg: -1 v1: Occasional st: NotStopd t0: [10:00:00 09/09/2016] id: Ectopy Type el: 0 cu: MICU cg: -1 v1: PVC's st: NotStopd t0: [10:00:00 09/09/2016] id: Heart Rate el: 0 cu: MICU cg: -1 v1: 93 u1: BPM st: NotStopd t0: [10:00:00 09/09/2016] id: Heart Rhythm el: 0 cu: MICU cg: -1 v1: Normal Sinus st: NotStopd t0: [10:00:00 09/09/2016] id: NBP el: 0 cu: MICU cg: -1 v1: 113 u1: mmHg v2: 40 u2: mmHg st: NotStopd t0: [10:00:00 09/09/2016] id: NBP Mean el: 0 cu: MICU cg: -1 v1: 64.3333 u1: mmHg st: NotStopd t0: [10:00:00 09/09/2016] id: PAP Mean el: 0 cu: MICU cg: -1 v1: 49 u1: mmHg st: NotStopd t0: [10:00:00 09/09/2016] id: PAP S/D el: 0 cu: MICU cg: -1 v1: 71 u1: mmHg v2: 35 u2: mmHg st: NotStopd t0: [10:00:00 09/09/2016] id: Precautions el: 0 cu: MICU cg: -1 v1: Universal st: NotStopd t0: [10:00:00 09/09/2016] id: Respiratory Rate el: 0 cu: MICU cg: -1 v1: 18 u1: BPM st: NotStopd t0: [10:00:00 09/09/2016] id: SpO2 el: 0 cu: MICU cg: -1 v1: 97 u1: % st: NotStopd t0: [10:00:00 09/09/2016] id: Temp. Site el: 0 cu: MICU cg: -1 v1: Blood st: NotStopd t0: [10:00:00 09/09/2016] id: Temperature C el: 0 cu: MICU cg: -1 v1: 37.1 u1: Deg. C st: NotStopd t0: [10:00:00 09/09/2016] id: Temperature F (calc) el: 0 cu: MICU cg: -1 v1: 98.78 u1: Deg. F st: NotStopd t0: [10:00:00 09/09/2016] id: calprevflg el: 0 cu: MICU cg: -1 v1: 1 u1: kg st: NotStopd
t0: [10:00:00 09/09/2016] id: Propofol el: 1 cu: MICU so: N/A vo: 0 v1: 40 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [10:23:00 09/09/2016] id: Glucose Chemistry el: 0 cu: MICU cg: 1663 v1: 151 rs: Final st: NotStopd t0: [10:23:00 09/09/2016] id: Potassium Chemistry el: 0 cu: MICU cg: 1663 v1: 3.5 rs: Final st: NotStopd t0: [10:23:00 09/09/2016] id: Glucose (70-105) Chemistry el: 0 cu: MICU cg: 1663 v1: 151 rs: Final st: NotStopd t0: [10:23:00 09/09/2016] id: Mixed Venous O2% Sat Blood Gases el: 0 cu: MICU cg: 1663 v1: 66 rs: Final st: NotStopd t0: [10:23:00 09/09/2016] id: Potassium (3.5-5.3) Chemistry el: 0 cu: MICU cg: 1663 v1: 3.5 rs: Final st: NotStopd
t0: [10:00:00 09/09/2016] id: CVP el: 0 cu: MICU cg: -1 v1: 22 u1: mmHg st: NotStopd t0: [10:00:00 09/09/2016] id: Hemoglobin Hematology el: 0 cu: MICU cg: -1 v1: 9.8 u1: gm/dl rs: Manual st: NotStopd
t0: [10:00:00 09/09/2016] id: FiO2 Set el: 0 cu: MICU cg: -1 v1: 0.4 u1: torr st: NotStopd
t0: [10:00:00 09/09/2016] id: Arterial PaO2 ABG el: 0 cu: MICU cg: -1 v1: 82 u1: mmHg rs: Manual st: NotStopd
t0: [09:00:00 09/09/2016] id: Arterial PaO2 ABG el: 0 cu: MICU cg: -1 v1: 82 u1: mmHg rs: Manual st: NotStopd t0: [10:00:00 09/09/2016] id: CaO2 el: 0 cu: MICU cg: -1 v1: 13.1236 u1: ml/dl st: NotStopd t0: [10:00:00 09/09/2016] id: Cardiac Index el: 0 cu: MICU cg: -1 v1: 2.96053 u1: ... st: NotStopd t0: [10:00:00 09/09/2016] id: DO2I el: 0 cu: MICU cg: -1 v1: 384.8 u1: ml/m/m st: NotStopd t0: [10:00:00 09/09/2016] id: SVR el: 0 cu: MICU cg: -1 v1: 373.333 u1: ... st: NotStopd t0: [10:00:00 09/09/2016] id: SVRI el: 0 cu: MICU cg: -1 v1: 1135.14 u1: ... st: NotStopd t0: [10:00:00 09/09/2016] id: Mixed Venous O2% Sat Blood Gases el: 0 cu: MICU cg: -1 v1: 66 rs: Manual st: NotStopd t0: [10:00:00 09/09/2016] id: SaO2 ABG's el: 0 cu: MICU cg: -1 v1: 98 u1: % rs: Manual st: NotStopd t0: [10:00:00 09/09/2016] id: C.O. (fick) el: 0 cu: MICU cg: -1 v1: 9.0428 u1: L/min st: NotStopd t0: [11:00:00 09/09/2016] id: Service Type el: 0 cu: MICU cg: -1 v1: MICU st: NotStopd t0: [11:00:00 09/09/2016] id: CVP el: 0 cu: MICU cg: -1 v1: 23 u1: mmHg st: NotStopd t0: [11:00:00 09/09/2016] id: Code Status el: 0 cu: MICU cg: -1 v1: Full Code st: NotStopd t0: [11:00:00 09/09/2016] id: Riker-SAS Scale el: 0 cu: MICU cg: -1 v1: Sedated st: NotStopd t0: [11:00:00 09/09/2016] id: Risk for Falls el: 0 cu: MICU cg: -1 v1: Yes st: NotStopd t0: [11:00:00 09/09/2016] id: Ectopy Frequency el: 0 cu: MICU cg: -1 v1: Rare st: NotStopd t0: [11:00:00 09/09/2016] id: Ectopy Type el: 0 cu: MICU cg: -1 v1: PVC's st: NotStopd t0: [11:00:00 09/09/2016] id: Heart Rate el: 0 cu: MICU cg: -1 v1: 94 u1: BPM st: NotStopd t0: [11:00:00 09/09/2016] id: Heart Rhythm el: 0 cu: MICU cg: -1 v1: Normal Sinus st: NotStopd t0: [11:00:00 09/09/2016] id: NBP el: 0 cu: MICU cg: -1 v1: 122 u1: mmHg v2: 42 u2: mmHg st: NotStopd t0: [11:00:00 09/09/2016] id: NBP Mean el: 0 cu: MICU cg: -1 v1: 68.6667 u1: mmHg st: NotStopd t0: [11:00:00 09/09/2016] id: PAP Mean el: 0 cu: MICU cg: -1 v1: 53 u1: mmHg st: NotStopd t0: [11:00:00 09/09/2016] id: PAP S/D el: 0 cu: MICU cg: -1 v1: 83 u1: mmHg v2: 38 u2: mmHg st: NotStopd t0: [11:00:00 09/09/2016] id: Precautions el: 0 cu: MICU cg: -1 v1: Universal st: NotStopd t0: [11:00:00 09/09/2016] id: Respiratory Rate el: 0 cu: MICU cg: -1 v1: 20 u1: BPM st: NotStopd t0: [11:00:00 09/09/2016] id: SpO2 el: 0 cu: MICU cg: -1 v1: 97 u1: % st: NotStopd t0: [11:00:00 09/09/2016] id: Temp. Site el: 0 cu: MICU cg: -1 v1: Blood st: NotStopd t0: [11:00:00 09/09/2016] id: Temperature C el: 0 cu: MICU cg: -1 v1: 37.1 u1: Deg. C st: NotStopd t0: [11:00:00 09/09/2016] id: Temperature F (calc) el: 0 cu: MICU cg: -1 v1: 98.78 u1: Deg. F st: NotStopd t0: [11:00:00 09/09/2016] id: calprevflg el: 0 cu: MICU cg: -1 v1: 1 u1: kg st: NotStopd
t0: [11:00:00 09/09/2016] id: D5W 100.0ml IV Infusions el: 2 cu: MICU cg: -1 ai: 107 vo: 100 vu: ml t0: [11:00:00 09/09/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: -1 ai: 107 vo: 10 vu: ml t0: [11:00:00 09/09/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: MICU cg: -1 ai: 189 vo: 10 vu: ml t0: [11:00:00 09/09/2016] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: MICU cg: -1 ai: 107 vo: 41.52 vu: ml t0: [11:00:00 09/09/2016] id: Urine Out Foley el: 1 cu: MICU cg: -1 vo: 45 vu: ml
t0: [23:00:00 09/09/2016] dt: 1 id: Total Hourly Output el: 2 cu: MICU cg: RN cv: 0 ap: none t0: [23:00:00 09/09/2016] dt: 1 id: Net Hourly Balance el: 2 cu: MICU cg: RN pv: 161.52 cv: 161.52 ap: none t0: [23:00:00 09/09/2016] dt: 24 id: IV Infusion In Total el: 2 cu: MICU cg: RN pv: 161.52 cv: 2126.48 ap: none t0: [23:00:00 09/09/2016] dt: 24 id: 24h Total In el: 2 cu: MICU cg: RN pv: 161.52 cv: 2306.48 ap: none t0: [23:00:00 09/09/2016] dt: 24 id: Urine Out Total el: 2 cu: MICU cg: RN cv: 1605 ap: none t0: [23:00:00 09/09/2016] dt: 24 id: 24h Net Body Balance el: 2 cu: MICU cg: RN pv: 161.52 cv: -798.52 ap: none t0: [23:00:00 09/09/2016] dt: 24 id: 24h Total Out el: 2 cu: MICU cg: RN cv: 3105 ap: none t0: [23:00:00 09/09/2016] dt: multiple days id: LOS Net Body Balance el: 2 cu: MICU cg: RN pv: 161.52 cv: 1223.08 ap: none
t0: [12:00:00 09/09/2016] id: Compliance (40-60ml) el: 0 cu: MICU cg: -1 v1: 27.0833 u1: ml/cmH st: NotStopd t0: [12:00:00 09/09/2016] id: ETT Mark/Location el: 0 cu: MICU cg: -1 v1: 23cm v2: Lip st: NotStopd t0: [12:00:00 09/09/2016] id: FiO2 Set el: 0 cu: MICU cg: -1 v1: 0.5 u1: torr st: NotStopd t0: [12:00:00 09/09/2016] id: High Insp. Pressure el: 0 cu: MICU cg: -1 v1: 50 u1: cmH2O st: NotStopd t0: [12:00:00 09/09/2016] id: High Resp. Rate el: 0 cu: MICU cg: -1 v1: 10 u1: BPM st: NotStopd t0: [12:00:00 09/09/2016] id: I:E Ratio el: 0 cu: MICU cg: -1 v1: 1:3.8 st: NotStopd t0: [12:00:00 09/09/2016] id: Airway Size el: 0 cu: MICU cg: -1 v1: 8.5 mm st: NotStopd t0: [12:00:00 09/09/2016] id: Airway Type el: 0 cu: MICU cg: -1 v1: Endotracheal st: NotStopd t0: [12:00:00 09/09/2016] id: Inspired Gas Temp el: 0 cu: MICU cg: -1 v1: 35 u1: Deg. C st: NotStopd t0: [12:00:00 09/09/2016] id: Intubation Date el: 0 cu: MICU cg: -1 v1: 7 v2: 23 st: NotStopd t0: [12:00:00 09/09/2016] id: Low Exhaled Min Vol el: 0 cu: MICU cg: -1 v1: 6 st: NotStopd t0: [12:00:00 09/09/2016] id: MDI #1 (Puff/Drug) el: 0 cu: MICU cg: -1 v1: 6 v2: Combivent st: NotStopd t0: [12:00:00 09/09/2016] id: Mean Airway Pressure el: 0 cu: MICU cg: -1 v1: 16 u1: cmH2O st: NotStopd t0: [12:00:00 09/09/2016] id: Minute Volume(Obser) el: 0 cu: MICU cg: -1 v1: 13.3 u1: L/min st: NotStopd t0: [12:00:00 09/09/2016] id: PEEP Set el: 0 cu: MICU cg: -1 v1: 10 u1: cmH2O st: NotStopd t0: [12:00:00 09/09/2016] id: Apnea Time Interval el: 0 cu: MICU cg: -1 v1: 20 st: NotStopd t0: [12:00:00 09/09/2016] id: Peak Flow el: 0 cu: MICU cg: -1 u1: L/m st: NotStopd t0: [12:00:00 09/09/2016] id: Peak Insp. Pressure el: 0 cu: MICU cg: -1 v1: 34 u1: cmH2O st: NotStopd t0: [12:00:00 09/09/2016] id: Plateau Pressure el: 0 cu: MICU cg: -1 v1: 28 u1: cmH2O st: NotStopd t0: [12:00:00 09/09/2016] id: Plateau-Off el: 0 cu: MICU cg: -1 v1: Yes st: NotStopd t0: [12:00:00 09/09/2016] id: Resp Rate (Spont) el: 0 cu: MICU cg: -1 v1: 7 u1: BPM st: NotStopd t0: [12:00:00 09/09/2016] id: Resp Rate (Total) el: 0 cu: MICU cg: -1 v1: 21 u1: BPM st: NotStopd t0: [12:00:00 09/09/2016] id: Respiratory Rate Set el: 0 cu: MICU cg: -1 v1: 14 u1: BPM st: NotStopd t0: [12:00:00 09/09/2016] id: Sensitivity-Vent el: 0 cu: MICU cg: -1 v1: 2 u1: cmH2O st: NotStopd t0: [12:00:00 09/09/2016] id: SpO2 el: 0 cu: MICU cg: -1 v1: 93 u1: % st: NotStopd t0: [12:00:00 09/09/2016] id: Tidal Volume (Obser) el: 0 cu: MICU cg: -1 v1: 650 u1: ml/B st: NotStopd t0: [12:00:00 09/09/2016] id: Tidal Volume (Set) el: 0 cu: MICU cg: -1 v1: 650 u1: ml/B st: NotStopd t0: [12:00:00 09/09/2016] id: Ventilator Mode el: 0 cu: MICU cg: -1 v1: Assist Control st: NotStopd t0: [12:00:00 09/09/2016] id: Ventilator Type el: 0 cu: MICU cg: -1 v1: Drager st: NotStopd t0: [12:00:00 09/09/2016] id: Waveform-Vent el: 0 cu: MICU cg: -1 v1: RAMP st: NotStopd
t0: [12:00:00 09/09/2016] id: Less Restrict Meas. el: 0 cu: MICU cg: -1 v1: Medicated st: NotStopd t0: [12:00:00 09/09/2016] id: Pain Present el: 0 cu: MICU cg: -1 v1: No st: NotStopd t0: [12:00:00 09/09/2016] id: Range of Motion el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [12:00:00 09/09/2016] id: Pain Assess Method el: 0 cu: MICU cg: -1 v1: Change in Vitals st: NotStopd t0: [12:00:00 09/09/2016] id: Service Type el: 0 cu: MICU cg: -1 v1: MICU st: NotStopd t0: [12:00:00 09/09/2016] id: CVP el: 0 cu: MICU cg: -1 v1: 23 u1: mmHg st: NotStopd t0: [12:00:00 09/09/2016] id: Circulation/SkinInt el: 0 cu: MICU cg: -1 v1: Circulation Adeq st: NotStopd t0: [12:00:00 09/09/2016] id: Code Status el: 0 cu: MICU cg: -1 v1: Full Code st: NotStopd t0: [12:00:00 09/09/2016] id: Riker-SAS Scale el: 0 cu: MICU cg: -1 v1: Calm/Cooperative st: NotStopd t0: [12:00:00 09/09/2016] id: Risk for Falls el: 0 cu: MICU cg: -1 v1: Yes st: NotStopd t0: [12:00:00 09/09/2016] id: Diet Type el: 0 cu: MICU cg: -1 v1: NPO st: NotStopd t0: [12:00:00 09/09/2016] id: Dorsal PedPulse R/L el: 0 cu: MICU cg: -1 v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [12:00:00 09/09/2016] id: Ectopy Frequency el: 0 cu: MICU cg: -1 v1: Occasional st: NotStopd t0: [12:00:00 09/09/2016] id: Ectopy Type el: 0 cu: MICU cg: -1 v1: PVC's st: NotStopd t0: [12:00:00 09/09/2016] id: Eye Care el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [12:00:00 09/09/2016] id: Eye Opening el: 0 cu: MICU cg: -1 v1: 2 To pain st: NotStopd t0: [12:00:00 09/09/2016] id: Family Communication el: 0 cu: MICU cg: -1 v1: Family Visited st: NotStopd t0: [12:00:00 09/09/2016] id: GCS Total el: 0 cu: MICU cg: -1 v1: 8 u1: points st: NotStopd t0: [12:00:00 09/09/2016] id: GI Intub #1/Site el: 0 cu: MICU cg: -1 v1: Salem Sump v2: Oral st: NotStopd t0: [12:00:00 09/09/2016] id: GI#1 Tube PlaceCheck el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [12:00:00 09/09/2016] id: GI#1 Tube Stat/Drain el: 0 cu: MICU cg: -1 v1: Clamped v2: Bilious st: NotStopd t0: [12:00:00 09/09/2016] id: HOB el: 0 cu: MICU cg: -1 v1: 45 degrees st: NotStopd t0: [12:00:00 09/09/2016] id: Heart Rate el: 0 cu: MICU cg: -1 v1: 80 u1: BPM st: NotStopd t0: [12:00:00 09/09/2016] id: Heart Rhythm el: 0 cu: MICU cg: -1 v1: Normal Sinus st: NotStopd t0: [12:00:00 09/09/2016] id: INV Line#1 Type/Site el: 0 cu: MICU cg: -1 v1: PICC line v2: Left Brachial st: NotStopd t0: [12:00:00 09/09/2016] id: INV Line#1SiteAppear el: 0 cu: MICU cg: -1 v1: WNL st: NotStopd t0: [12:00:00 09/09/2016] id: INV Line#3 Type/Site el: 0 cu: MICU cg: -1 v1: PA line v2: Left Subclavian st: NotStopd t0: [12:00:00 09/09/2016] id: INV Line#3 Zero/Cal el: 0 cu: MICU cg: -1 v1: Yes st: NotStopd t0: [12:00:00 09/09/2016] id: INV Line#3InsertDate el: 0 cu: MICU cg: -1 v1: 7 v2: 24 st: NotStopd t0: [12:00:00 09/09/2016] id: INV Line#3SiteAppear el: 0 cu: MICU cg: -1 v1: WNL st: NotStopd t0: [12:00:00 09/09/2016] id: Abdominal Assessment el: 0 cu: MICU cg: -1 v1: Obese st: NotStopd t0: [12:00:00 09/09/2016] id: INV#3 WaveformAppear el: 0 cu: MICU cg: -1 v1: Sharp st: NotStopd t0: [12:00:00 09/09/2016] id: Activity el: 0 cu: MICU cg: -1 v1: Bedrest st: NotStopd t0: [12:00:00 09/09/2016] id: Activity Tolerance el: 0 cu: MICU cg: -1 v1: Poor st: NotStopd t0: [12:00:00 09/09/2016] id: LLL Lung Sounds el: 0 cu: MICU cg: -1 v1: Diminished st: NotStopd t0: [12:00:00 09/09/2016] id: LUL Lung Sounds el: 0 cu: MICU cg: -1 v1: Coarse st: NotStopd t0: [12:00:00 09/09/2016] id: Level of Conscious el: 0 cu: MICU cg: -1 v1: Sedated st: NotStopd t0: [12:00:00 09/09/2016] id: Motor Response el: 0 cu: MICU cg: -1 v1: 5 Localizes Pain st: NotStopd t0: [12:00:00 09/09/2016] id: NBP el: 0 cu: MICU cg: -1 v1: 98 u1: mmHg v2: 31 u2: mmHg st: NotStopd t0: [12:00:00 09/09/2016] id: NBP Mean el: 0 cu: MICU cg: -1 v1: 53.3333 u1: mmHg st: NotStopd t0: [12:00:00 09/09/2016] id: Oral Care el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [12:00:00 09/09/2016] id: Oral Cavity el: 0 cu: MICU cg: -1 v1: Teeth/Tissue WNL st: NotStopd t0: [12:00:00 09/09/2016] id: Orientation el: 0 cu: MICU cg: -1 v1: Disoriented st: NotStopd t0: [12:00:00 09/09/2016] id: PAP Mean el: 0 cu: MICU cg: -1 v1: 49 u1: mmHg st: NotStopd t0: [12:00:00 09/09/2016] id: PAP S/D el: 0 cu: MICU cg: -1 v1: 71 u1: mmHg v2: 36 u2: mmHg st: NotStopd t0: [12:00:00 09/09/2016] id: Pain Location el: 0 cu: MICU cg: -1 v1: Not Indicated st: NotStopd t0: [12:00:00 09/09/2016] id: Pain Type el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [12:00:00 09/09/2016] id: Position el: 0 cu: MICU cg: -1 v1: Right Side st: NotStopd t0: [12:00:00 09/09/2016] id: Position Change el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [12:00:00 09/09/2016] id: PostTib. Pulses R/L el: 0 cu: MICU cg: -1 v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [12:00:00 09/09/2016] id: Assistance Device el: 0 cu: MICU cg: -1 v1: Total Lift st: NotStopd t0: [12:00:00 09/09/2016] id: Precautions el: 0 cu: MICU cg: -1 v1: Universal st: NotStopd t0: [12:00:00 09/09/2016] id: Pupil Response R/L el: 0 cu: MICU cg: -1 v1: Brisk v2: Brisk st: NotStopd t0: [12:00:00 09/09/2016] id: Pupil Size R/L el: 0 cu: MICU cg: -1 v1: 3 mm v2: 3 mm st: NotStopd t0: [12:00:00 09/09/2016] id: RLL Lung Sounds el: 0 cu: MICU cg: -1 v1: Diminished st: NotStopd t0: [12:00:00 09/09/2016] id: RUL Lung Sounds el: 0 cu: MICU cg: -1 v1: Coarse st: NotStopd t0: [12:00:00 09/09/2016] id: Reason For Restraint el: 0 cu: MICU cg: -1 v1: Ext/TXInterfere st: NotStopd t0: [12:00:00 09/09/2016] id: Removed x 5 Mins el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [12:00:00 09/09/2016] id: Respiratory Pattern el: 0 cu: MICU cg: -1 v1: Regular st: NotStopd t0: [12:00:00 09/09/2016] id: Respiratory Rate el: 0 cu: MICU cg: -1 v1: 18 u1: BPM st: NotStopd t0: [12:00:00 09/09/2016] id: Restraint Location el: 0 cu: MICU cg: -1 v1: Both Arms st: NotStopd t0: [12:00:00 09/09/2016] id: Restraint Type el: 0 cu: MICU cg: -1 v1: Soft Limb st: NotStopd t0: [12:00:00 09/09/2016] id: Restraints Evaluated el: 0 cu: MICU cg: -1 v1: RestraintReapply st: NotStopd t0: [12:00:00 09/09/2016] id: Side Rails el: 0 cu: MICU cg: -1 v1: Side Rails Up st: NotStopd t0: [12:00:00 09/09/2016] id: Skin Care el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [12:00:00 09/09/2016] id: Stool Guaiac el: 0 cu: MICU cg: -1 v1: Not Applicable st: NotStopd t0: [12:00:00 09/09/2016] id: Support Systems el: 0 cu: MICU cg: -1 v1: Spouse st: NotStopd t0: [12:00:00 09/09/2016] id: Temp. Site el: 0 cu: MICU cg: -1 v1: Blood st: NotStopd t0: [12:00:00 09/09/2016] id: Temperature C el: 0 cu: MICU cg: -1 v1: 36.8 u1: Deg. C st: NotStopd t0: [12:00:00 09/09/2016] id: Temperature F (calc) el: 0 cu: MICU cg: -1 v1: 98.24 u1: Deg. F st: NotStopd t0: [12:00:00 09/09/2016] id: Turn el: 0 cu: MICU cg: -1 v1: Side to Side st: NotStopd t0: [12:00:00 09/09/2016] id: Urine Color/Appear el: 0 cu: MICU cg: -1 v1: Yellow v2: Sediment st: NotStopd t0: [12:00:00 09/09/2016] id: Urine Source el: 0 cu: MICU cg: -1 v1: Indwelling Cath st: NotStopd t0: [12:00:00 09/09/2016] id: Verbal Response el: 0 cu: MICU cg: -1 v1: 1.0 ET/Trach st: NotStopd t0: [12:00:00 09/09/2016] id: Back Care el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [12:00:00 09/09/2016] id: calprevflg el: 0 cu: MICU cg: -1 v1: 1 u1: kg st: NotStopd t0: [12:00:00 09/09/2016] id: Bath el: 1 cu: MICU cg: -1 v1: Done t0: [12:00:00 09/09/2016] id: Behavior el: 0 cu: MICU cg: -1 v1: Sedated st: NotStopd t0: [12:00:00 09/09/2016] id: Bowel Sounds el: 0 cu: MICU cg: -1 v1: Hypoactive st: NotStopd
t0: [12:00:00 09/09/2016] id: D5W 100.0ml IV Infusions el: 2 cu: MICU cg: -1 ai: 107 vo: 50 vu: ml t0: [12:00:00 09/09/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: -1 ai: 107 vo: 10 vu: ml t0: [12:00:00 09/09/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: MICU cg: -1 ai: 189 vo: 10 vu: ml t0: [12:00:00 09/09/2016] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: MICU cg: -1 ai: 107 vo: 41.52 vu: ml t0: [12:00:00 09/09/2016] id: Urine Out Foley el: 1 cu: MICU cg: -1 vo: 15 vu: ml
t0: [11:00:00 09/09/2016] id: Propofol el: 1 cu: MICU so: N/A vo: 0 v1: 40 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [12:00:00 09/09/2016] id: Propofol el: 1 cu: MICU so: N/A vo: 0 v1: 40 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [13:00:00 09/09/2016] id: Service Type el: 0 cu: MICU cg: -1 v1: MICU st: NotStopd t0: [13:00:00 09/09/2016] id: CVP el: 0 cu: MICU cg: -1 v1: 24 u1: mmHg st: NotStopd t0: [13:00:00 09/09/2016] id: Code Status el: 0 cu: MICU cg: -1 v1: Full Code st: NotStopd t0: [13:00:00 09/09/2016] id: Riker-SAS Scale el: 0 cu: MICU cg: -1 v1: Sedated st: NotStopd t0: [13:00:00 09/09/2016] id: Risk for Falls el: 0 cu: MICU cg: -1 v1: Yes st: NotStopd t0: [13:00:00 09/09/2016] id: Ectopy Frequency el: 0 cu: MICU cg: -1 v1: Occasional st: NotStopd t0: [13:00:00 09/09/2016] id: Ectopy Type el: 0 cu: MICU cg: -1 v1: PVC's st: NotStopd t0: [13:00:00 09/09/2016] id: Heart Rate el: 0 cu: MICU cg: -1 v1: 91 u1: BPM st: NotStopd t0: [13:00:00 09/09/2016] id: Heart Rhythm el: 0 cu: MICU cg: -1 v1: Normal Sinus st: NotStopd t0: [13:00:00 09/09/2016] id: NBP el: 0 cu: MICU cg: -1 v1: 110 u1: mmHg v2: 44 u2: mmHg st: NotStopd t0: [13:00:00 09/09/2016] id: NBP Mean el: 0 cu: MICU cg: -1 v1: 66 u1: mmHg st: NotStopd t0: [13:00:00 09/09/2016] id: PAP Mean el: 0 cu: MICU cg: -1 v1: 55 u1: mmHg st: NotStopd t0: [13:00:00 09/09/2016] id: PAP S/D el: 0 cu: MICU cg: -1 v1: 81 u1: mmHg v2: 40 u2: mmHg st: NotStopd t0: [13:00:00 09/09/2016] id: Precautions el: 0 cu: MICU cg: -1 v1: Universal st: NotStopd t0: [13:00:00 09/09/2016] id: Respiratory Rate el: 0 cu: MICU cg: -1 v1: 20 u1: BPM st: NotStopd t0: [13:00:00 09/09/2016] id: SpO2 el: 0 cu: MICU cg: -1 v1: 97 u1: % st: NotStopd t0: [13:00:00 09/09/2016] id: Temp. Site el: 0 cu: MICU cg: -1 v1: Blood st: NotStopd t0: [13:00:00 09/09/2016] id: Temperature C el: 0 cu: MICU cg: -1 v1: 36.9 u1: Deg. C st: NotStopd t0: [13:00:00 09/09/2016] id: Temperature F (calc) el: 0 cu: MICU cg: -1 v1: 98.42 u1: Deg. F st: NotStopd t0: [13:00:00 09/09/2016] id: calprevflg el: 0 cu: MICU cg: -1 v1: 1 u1: kg st: NotStopd
t0: [13:00:00 09/09/2016] id: D5W 100.0ml IV Infusions el: 2 cu: MICU cg: -1 ai: 107 vo: 50 vu: ml t0: [13:00:00 09/09/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: -1 ai: 107 vo: 10 vu: ml t0: [13:00:00 09/09/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: MICU cg: -1 ai: 189 vo: 10 vu: ml t0: [13:00:00 09/09/2016] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: MICU cg: -1 ai: 107 vo: 41.52 vu: ml t0: [13:00:00 09/09/2016] id: Urine Out Foley el: 1 cu: MICU cg: -1 vo: 20 vu: ml
t0: [13:00:00 09/09/2016] id: Propofol el: 1 cu: MICU so: N/A vo: 0 v1: 40 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [13:00:00 09/09/2016] id: ETT Position Change el: 0 cu: MICU cg: -1 v1: Done st: NotStopd
t0: [14:00:00 09/09/2016] id: Less Restrict Meas. el: 0 cu: MICU cg: -1 v1: Medicated st: NotStopd t0: [14:00:00 09/09/2016] id: Range of Motion el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [14:00:00 09/09/2016] id: Service Type el: 0 cu: MICU cg: -1 v1: MICU st: NotStopd t0: [14:00:00 09/09/2016] id: CVP el: 0 cu: MICU cg: -1 v1: 22 u1: mmHg st: NotStopd t0: [14:00:00 09/09/2016] id: Circulation/SkinInt el: 0 cu: MICU cg: -1 v1: Circulation Adeq st: NotStopd t0: [14:00:00 09/09/2016] id: Code Status el: 0 cu: MICU cg: -1 v1: Full Code st: NotStopd t0: [14:00:00 09/09/2016] id: Riker-SAS Scale el: 0 cu: MICU cg: -1 v1: Sedated st: NotStopd t0: [14:00:00 09/09/2016] id: Risk for Falls el: 0 cu: MICU cg: -1 v1: Yes st: NotStopd t0: [14:00:00 09/09/2016] id: Ectopy Frequency el: 0 cu: MICU cg: -1 v1: Occasional st: NotStopd t0: [14:00:00 09/09/2016] id: Ectopy Type el: 0 cu: MICU cg: -1 v1: PVC's st: NotStopd t0: [14:00:00 09/09/2016] id: Heart Rate el: 0 cu: MICU cg: -1 v1: 96 u1: BPM st: NotStopd t0: [14:00:00 09/09/2016] id: Heart Rhythm el: 0 cu: MICU cg: -1 v1: Normal Sinus st: NotStopd t0: [14:00:00 09/09/2016] id: NBP el: 0 cu: MICU cg: -1 v1: 127 u1: mmHg v2: 44 u2: mmHg st: NotStopd t0: [14:00:00 09/09/2016] id: NBP Mean el: 0 cu: MICU cg: -1 v1: 71.6667 u1: mmHg st: NotStopd t0: [14:00:00 09/09/2016] id: PAP Mean el: 0 cu: MICU cg: -1 v1: 54 u1: mmHg st: NotStopd t0: [14:00:00 09/09/2016] id: PAP S/D el: 0 cu: MICU cg: -1 v1: 80 u1: mmHg v2: 38 u2: mmHg st: NotStopd t0: [14:00:00 09/09/2016] id: Position Change el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [14:00:00 09/09/2016] id: Precautions el: 0 cu: MICU cg: -1 v1: Universal st: NotStopd t0: [14:00:00 09/09/2016] id: Reason For Restraint el: 0 cu: MICU cg: -1 v1: Ext/TXInterfere st: NotStopd t0: [14:00:00 09/09/2016] id: Removed x 5 Mins el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [14:00:00 09/09/2016] id: Respiratory Rate el: 0 cu: MICU cg: -1 v1: 18 u1: BPM st: NotStopd t0: [14:00:00 09/09/2016] id: Restraint Location el: 0 cu: MICU cg: -1 v1: Both Arms st: NotStopd t0: [14:00:00 09/09/2016] id: Restraint Type el: 0 cu: MICU cg: -1 v1: Soft Limb st: NotStopd t0: [14:00:00 09/09/2016] id: Restraints Evaluated el: 0 cu: MICU cg: -1 v1: RestraintReapply st: NotStopd t0: [14:00:00 09/09/2016] id: Side Rails el: 0 cu: MICU cg: -1 v1: Side Rails Up st: NotStopd t0: [14:00:00 09/09/2016] id: SpO2 el: 0 cu: MICU cg: -1 v1: 97 u1: % st: NotStopd t0: [14:00:00 09/09/2016] id: Support Systems el: 0 cu: MICU cg: -1 v1: Spouse st: NotStopd t0: [14:00:00 09/09/2016] id: Temp. Site el: 0 cu: MICU cg: -1 v1: Blood st: NotStopd t0: [14:00:00 09/09/2016] id: Temperature C el: 0 cu: MICU cg: -1 v1: 37.1 u1: Deg. C st: NotStopd t0: [14:00:00 09/09/2016] id: Temperature F (calc) el: 0 cu: MICU cg: -1 v1: 98.78 u1: Deg. F st: NotStopd t0: [14:00:00 09/09/2016] id: calprevflg el: 0 cu: MICU cg: -1 v1: 1 u1: kg st: NotStopd
t0: [14:00:00 09/09/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: -1 ai: 107 vo: 10 vu: ml t0: [14:00:00 09/09/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: MICU cg: -1 ai: 189 vo: 10 vu: ml t0: [14:00:00 09/09/2016] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: MICU cg: -1 ai: 107 vo: 41.52 vu: ml t0: [14:00:00 09/09/2016] id: Urine Out Foley el: 1 cu: MICU cg: -1 vo: 100 vu: ml
t0: [14:00:00 09/09/2016] id: Propofol el: 1 cu: MICU so: N/A vo: 0 v1: 40 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [15:00:00 09/09/2016] id: Service Type el: 0 cu: MICU cg: -1 v1: MICU st: NotStopd t0: [15:00:00 09/09/2016] id: CVP el: 0 cu: MICU cg: -1 v1: 25 u1: mmHg st: NotStopd t0: [15:00:00 09/09/2016] id: Code Status el: 0 cu: MICU cg: -1 v1: Full Code st: NotStopd t0: [15:00:00 09/09/2016] id: Riker-SAS Scale el: 0 cu: MICU cg: -1 v1: Sedated st: NotStopd t0: [15:00:00 09/09/2016] id: Risk for Falls el: 0 cu: MICU cg: -1 v1: Yes st: NotStopd t0: [15:00:00 09/09/2016] id: Ectopy Frequency el: 0 cu: MICU cg: -1 v1: Occasional st: NotStopd t0: [15:00:00 09/09/2016] id: Ectopy Type el: 0 cu: MICU cg: -1 v1: PVC's st: NotStopd t0: [15:00:00 09/09/2016] id: Heart Rate el: 0 cu: MICU cg: -1 v1: 91 u1: BPM st: NotStopd t0: [15:00:00 09/09/2016] id: Heart Rhythm el: 0 cu: MICU cg: -1 v1: Normal Sinus st: NotStopd t0: [15:00:00 09/09/2016] id: NBP el: 0 cu: MICU cg: -1 v1: 124 u1: mmHg v2: 45 u2: mmHg st: NotStopd t0: [15:00:00 09/09/2016] id: NBP Mean el: 0 cu: MICU cg: -1 v1: 71.3333 u1: mmHg st: NotStopd t0: [15:00:00 09/09/2016] id: PAP Mean el: 0 cu: MICU cg: -1 v1: 56 u1: mmHg st: NotStopd t0: [15:00:00 09/09/2016] id: PAP S/D el: 0 cu: MICU cg: -1 v1: 84 u1: mmHg v2: 41 u2: mmHg st: NotStopd t0: [15:00:00 09/09/2016] id: Precautions el: 0 cu: MICU cg: -1 v1: Universal st: NotStopd t0: [15:00:00 09/09/2016] id: Respiratory Rate el: 0 cu: MICU cg: -1 v1: 27 u1: BPM st: NotStopd t0: [15:00:00 09/09/2016] id: SpO2 el: 0 cu: MICU cg: -1 v1: 96 u1: % st: NotStopd t0: [15:00:00 09/09/2016] id: Temp. Site el: 0 cu: MICU cg: -1 v1: Blood st: NotStopd t0: [15:00:00 09/09/2016] id: Temperature C el: 0 cu: MICU cg: -1 v1: 37.3 u1: Deg. C st: NotStopd t0: [15:00:00 09/09/2016] id: Temperature F (calc) el: 0 cu: MICU cg: -1 v1: 99.14 u1: Deg. F st: NotStopd t0: [15:00:00 09/09/2016] id: calprevflg el: 0 cu: MICU cg: -1 v1: 1 u1: kg st: NotStopd
t0: [15:00:00 09/09/2016] id: D5W 100.0ml IV Infusions el: 2 cu: MICU cg: -1 ai: 107 vo: 100 vu: ml t0: [15:00:00 09/09/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: -1 ai: 107 vo: 10 vu: ml t0: [15:00:00 09/09/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: MICU cg: -1 ai: 189 vo: 10 vu: ml t0: [15:00:00 09/09/2016] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: MICU cg: -1 ai: 107 vo: 41.52 vu: ml t0: [15:00:00 09/09/2016] id: Urine Out Foley el: 1 cu: MICU cg: -1 vo: 25 vu: ml
t0: [15:00:00 09/09/2016] id: Propofol el: 1 cu: MICU so: N/A vo: 0 v1: 40 du: mcgkgmin sv: 50 su: vl rt: IV Drip
tf: [14:00:00 10/09/2016] pt: Unit Dose rt: IV fr: ONCE fs: 15 dn: 1 m1: Furosemide v1: 160 u1: mg
t0: [15:00:00 09/09/2016] id: HOB el: 0 cu: MICU cg: -1 v1: Flat in Bed st: NotStopd t0: [15:00:00 09/09/2016] id: Activity el: 0 cu: MICU cg: -1 v1: Bedrest st: NotStopd t0: [15:00:00 09/09/2016] id: Activity Tolerance el: 0 cu: MICU cg: -1 v1: Fair st: NotStopd t0: [15:00:00 09/09/2016] id: Position el: 0 cu: MICU cg: -1 v1: Supine st: NotStopd t0: [15:00:00 09/09/2016] id: Assistance Device el: 0 cu: MICU cg: -1 v1: 1 Person Assist st: NotStopd t0: [15:00:00 09/09/2016] id: Procedures el: 0 cu: MICU cg: -1 v1: TEE st: NotStopd t0: [15:00:00 09/09/2016] id: Turn el: 0 cu: MICU cg: -1 v1: Back st: NotStopd t0: [16:00:00 09/09/2016] id: Less Restrict Meas. el: 0 cu: MICU cg: -1 v1: Medicated st: NotStopd t0: [16:00:00 09/09/2016] id: Pain Present el: 0 cu: MICU cg: -1 v1: No st: NotStopd t0: [16:00:00 09/09/2016] id: Range of Motion el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [16:00:00 09/09/2016] id: Pain Assess Method el: 0 cu: MICU cg: -1 v1: Change in Vitals st: NotStopd t0: [16:00:00 09/09/2016] id: Service Type el: 0 cu: MICU cg: -1 v1: MICU st: NotStopd t0: [16:00:00 09/09/2016] id: CVP el: 0 cu: MICU cg: -1 v1: 28 u1: mmHg st: NotStopd t0: [16:00:00 09/09/2016] id: Circulation/SkinInt el: 0 cu: MICU cg: -1 v1: Circulation Adeq st: NotStopd t0: [16:00:00 09/09/2016] id: Code Status el: 0 cu: MICU cg: -1 v1: Full Code st: NotStopd t0: [16:00:00 09/09/2016] id: Riker-SAS Scale el: 0 cu: MICU cg: -1 v1: Sedated st: NotStopd t0: [16:00:00 09/09/2016] id: Risk for Falls el: 0 cu: MICU cg: -1 v1: Yes st: NotStopd t0: [16:00:00 09/09/2016] id: Diet Type el: 0 cu: MICU cg: -1 v1: NPO st: NotStopd t0: [16:00:00 09/09/2016] id: Dorsal PedPulse R/L el: 0 cu: MICU cg: -1 v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [16:00:00 09/09/2016] id: Ectopy Frequency el: 0 cu: MICU cg: -1 v1: Occasional st: NotStopd t0: [16:00:00 09/09/2016] id: Ectopy Type el: 0 cu: MICU cg: -1 v1: PVC's st: NotStopd t0: [16:00:00 09/09/2016] id: Eye Opening el: 0 cu: MICU cg: -1 v1: 2 To pain st: NotStopd t0: [16:00:00 09/09/2016] id: Family Communication el: 0 cu: MICU cg: -1 v1: Family Visited st: NotStopd t0: [16:00:00 09/09/2016] id: GCS Total el: 0 cu: MICU cg: -1 v1: 8 u1: points st: NotStopd t0: [16:00:00 09/09/2016] id: GI Intub #1/Site el: 0 cu: MICU cg: -1 v1: Salem Sump v2: Oral st: NotStopd t0: [16:00:00 09/09/2016] id: GI#1 Tube PlaceCheck el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [16:00:00 09/09/2016] id: GI#1 Tube Stat/Drain el: 0 cu: MICU cg: -1 v1: Clamped v2: Bilious st: NotStopd t0: [16:00:00 09/09/2016] id: Heart Rate el: 0 cu: MICU cg: -1 v1: 89 u1: BPM st: NotStopd t0: [16:00:00 09/09/2016] id: Heart Rhythm el: 0 cu: MICU cg: -1 v1: Normal Sinus st: NotStopd t0: [16:00:00 09/09/2016] id: INV Line#1 Type/Site el: 0 cu: MICU cg: -1 v1: PICC line v2: Left Brachial st: NotStopd t0: [16:00:00 09/09/2016] id: INV Line#1SiteAppear el: 0 cu: MICU cg: -1 v1: WNL st: NotStopd t0: [16:00:00 09/09/2016] id: INV Line#3 Type/Site el: 0 cu: MICU cg: -1 v1: PA line v2: Left Subclavian st: NotStopd t0: [16:00:00 09/09/2016] id: INV Line#3InsertDate el: 0 cu: MICU cg: -1 v1: 7 v2: 24 st: NotStopd t0: [16:00:00 09/09/2016] id: INV Line#3SiteAppear el: 0 cu: MICU cg: -1 v1: WNL st: NotStopd t0: [16:00:00 09/09/2016] id: Abdominal Assessment el: 0 cu: MICU cg: -1 v1: Obese st: NotStopd t0: [16:00:00 09/09/2016] id: INV#3 WaveformAppear el: 0 cu: MICU cg: -1 v1: Sharp st: NotStopd t0: [16:00:00 09/09/2016] id: LLL Lung Sounds el: 0 cu: MICU cg: -1 v1: Diminished st: NotStopd t0: [16:00:00 09/09/2016] id: LUL Lung Sounds el: 0 cu: MICU cg: -1 v1: Coarse st: NotStopd t0: [16:00:00 09/09/2016] id: Level of Conscious el: 0 cu: MICU cg: -1 v1: Sedated st: NotStopd t0: [16:00:00 09/09/2016] id: Motor Response el: 0 cu: MICU cg: -1 v1: 5 Localizes Pain st: NotStopd t0: [16:00:00 09/09/2016] id: NBP el: 0 cu: MICU cg: -1 v1: 106 u1: mmHg v2: 39 u2: mmHg st: NotStopd t0: [16:00:00 09/09/2016] id: NBP Mean el: 0 cu: MICU cg: -1 v1: 61.3333 u1: mmHg st: NotStopd t0: [16:00:00 09/09/2016] id: Oral Cavity el: 0 cu: MICU cg: -1 v1: Teeth/Tissue WNL st: NotStopd t0: [16:00:00 09/09/2016] id: Orientation el: 0 cu: MICU cg: -1 v1: Other/Remarks st: NotStopd t0: [16:00:00 09/09/2016] id: PAP Mean el: 0 cu: MICU cg: -1 v1: 56 u1: mmHg st: NotStopd t0: [16:00:00 09/09/2016] id: PAP S/D el: 0 cu: MICU cg: -1 v1: 81 u1: mmHg v2: 42 u2: mmHg st: NotStopd t0: [16:00:00 09/09/2016] id: Pain Location el: 0 cu: MICU cg: -1 v1: Not Indicated st: NotStopd t0: [16:00:00 09/09/2016] id: Pain Type el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [16:00:00 09/09/2016] id: Position Change el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [16:00:00 09/09/2016] id: PostTib. Pulses R/L el: 0 cu: MICU cg: -1 v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [16:00:00 09/09/2016] id: Precautions el: 0 cu: MICU cg: -1 v1: Universal st: NotStopd t0: [16:00:00 09/09/2016] id: Procedures el: 0 cu: MICU cg: -1 v1: Thoracentesis st: NotStopd t0: [16:00:00 09/09/2016] id: Pupil Response R/L el: 0 cu: MICU cg: -1 v1: Brisk v2: Brisk st: NotStopd t0: [16:00:00 09/09/2016] id: Pupil Size R/L el: 0 cu: MICU cg: -1 v1: 3 mm v2: 3 mm st: NotStopd t0: [16:00:00 09/09/2016] id: RLL Lung Sounds el: 0 cu: MICU cg: -1 v1: Diminished st: NotStopd t0: [16:00:00 09/09/2016] id: RUL Lung Sounds el: 0 cu: MICU cg: -1 v1: Coarse st: NotStopd t0: [16:00:00 09/09/2016] id: Reason For Restraint el: 0 cu: MICU cg: -1 v1: Ext/TXInterfere st: NotStopd t0: [16:00:00 09/09/2016] id: Removed x 5 Mins el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [16:00:00 09/09/2016] id: Respiratory Pattern el: 0 cu: MICU cg: -1 v1: Regular st: NotStopd t0: [16:00:00 09/09/2016] id: Respiratory Rate el: 0 cu: MICU cg: -1 v1: 18 u1: BPM st: NotStopd t0: [16:00:00 09/09/2016] id: Restraint Location el: 0 cu: MICU cg: -1 v1: Both Arms st: NotStopd t0: [16:00:00 09/09/2016] id: Restraint Type el: 0 cu: MICU cg: -1 v1: Soft Limb st: NotStopd t0: [16:00:00 09/09/2016] id: Restraints Evaluated el: 0 cu: MICU cg: -1 v1: RestraintReapply st: NotStopd t0: [16:00:00 09/09/2016] id: Side Rails el: 0 cu: MICU cg: -1 v1: Side Rails Up st: NotStopd t0: [16:00:00 09/09/2016] id: SpO2 el: 0 cu: MICU cg: -1 v1: 97 u1: % st: NotStopd t0: [16:00:00 09/09/2016] id: Stool Guaiac el: 0 cu: MICU cg: -1 v1: Not Applicable st: NotStopd t0: [16:00:00 09/09/2016] id: Support Systems el: 0 cu: MICU cg: -1 v1: Spouse st: NotStopd t0: [16:00:00 09/09/2016] id: Temp. Site el: 0 cu: MICU cg: -1 v1: Blood st: NotStopd t0: [16:00:00 09/09/2016] id: Temperature C el: 0 cu: MICU cg: -1 v1: 37.2 u1: Deg. C st: NotStopd t0: [16:00:00 09/09/2016] id: Temperature F (calc) el: 0 cu: MICU cg: -1 v1: 98.96 u1: Deg. F st: NotStopd t0: [16:00:00 09/09/2016] id: Urine Color/Appear el: 0 cu: MICU cg: -1 v1: Yellow v2: Sediment st: NotStopd t0: [16:00:00 09/09/2016] id: Urine Source el: 0 cu: MICU cg: -1 v1: Indwelling Cath st: NotStopd t0: [16:00:00 09/09/2016] id: Verbal Response el: 0 cu: MICU cg: -1 v1: 1.0 ET/Trach st: NotStopd t0: [16:00:00 09/09/2016] id: calprevflg el: 0 cu: MICU cg: -1 v1: 1 u1: kg st: NotStopd t0: [16:00:00 09/09/2016] id: Behavior el: 0 cu: MICU cg: -1 v1: Sedated st: NotStopd t0: [16:00:00 09/09/2016] id: Bowel Sounds el: 0 cu: MICU cg: -1 v1: Hypoactive st: NotStopd
t0: [16:00:00 09/09/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: -1 ai: 107 vo: 10 vu: ml t0: [16:00:00 09/09/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: MICU cg: -1 ai: 189 vo: 10 vu: ml t0: [16:00:00 09/09/2016] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: MICU cg: -1 ai: 107 vo: 41.52 vu: ml t0: [16:00:00 09/09/2016] id: Urine Out Foley el: 1 cu: MICU cg: -1 vo: 15 vu: ml
t0: [16:00:00 09/09/2016] id: Propofol el: 1 cu: MICU so: N/A vo: 0 v1: 40 du: mcgkgmin sv: 50 su: vl rt: IV Drip
tf: [18:00:00 09/09/2016] pt: Unit Dose rt: PO fr: TID fs: 08, 16, 22 dn: 3 m1: Captopril v1: 37.5 u1: mg
t0: [14:40:00 09/09/2016] id: Potassium Chemistry el: 0 cu: MICU cg: 1663 v1: 4 rs: Final st: NotStopd t0: [14:40:00 09/09/2016] id: Potassium (3.5-5.3) Chemistry el: 0 cu: MICU cg: 1663 v1: 4 rs: Final st: NotStopd
t0: [16:00:00 09/09/2016] id: Gastric Meds PO/Gastric el: 1 cu: MICU cg: -1 ai: 107 vo: 60 vu: ml
t0: [17:00:00 09/09/2016] id: Service Type el: 0 cu: MICU cg: -1 v1: MICU st: NotStopd t0: [17:00:00 09/09/2016] id: Code Status el: 0 cu: MICU cg: -1 v1: Full Code st: NotStopd t0: [17:00:00 09/09/2016] id: Riker-SAS Scale el: 0 cu: MICU cg: -1 v1: Sedated st: NotStopd t0: [17:00:00 09/09/2016] id: Risk for Falls el: 0 cu: MICU cg: -1 v1: Yes st: NotStopd t0: [17:00:00 09/09/2016] id: Ectopy Frequency el: 0 cu: MICU cg: -1 v1: Occasional st: NotStopd t0: [17:00:00 09/09/2016] id: Ectopy Type el: 0 cu: MICU cg: -1 v1: PVC's st: NotStopd t0: [17:00:00 09/09/2016] id: Heart Rate el: 0 cu: MICU cg: -1 v1: 91 u1: BPM st: NotStopd t0: [17:00:00 09/09/2016] id: Heart Rhythm el: 0 cu: MICU cg: -1 v1: Normal Sinus st: NotStopd t0: [17:00:00 09/09/2016] id: NBP el: 0 cu: MICU cg: -1 v1: 100 u1: mmHg v2: 44 u2: mmHg st: NotStopd t0: [17:00:00 09/09/2016] id: NBP Mean el: 0 cu: MICU cg: -1 v1: 62.6667 u1: mmHg st: NotStopd t0: [17:00:00 09/09/2016] id: PAP Mean el: 0 cu: MICU cg: -1 v1: 45 u1: mmHg st: NotStopd t0: [17:00:00 09/09/2016] id: PAP S/D el: 0 cu: MICU cg: -1 v1: 67 u1: mmHg v2: 32 u2: mmHg st: NotStopd t0: [17:00:00 09/09/2016] id: Precautions el: 0 cu: MICU cg: -1 v1: Universal st: NotStopd t0: [17:00:00 09/09/2016] id: Respiratory Rate el: 0 cu: MICU cg: -1 v1: 23 u1: BPM st: NotStopd t0: [17:00:00 09/09/2016] id: SpO2 el: 0 cu: MICU cg: -1 v1: 95 u1: % st: NotStopd t0: [17:00:00 09/09/2016] id: Temp. Site el: 0 cu: MICU cg: -1 v1: Blood st: NotStopd t0: [17:00:00 09/09/2016] id: Temperature C el: 0 cu: MICU cg: -1 v1: 37.1 u1: Deg. C st: NotStopd t0: [17:00:00 09/09/2016] id: Temperature F (calc) el: 0 cu: MICU cg: -1 v1: 98.78 u1: Deg. F st: NotStopd t0: [17:00:00 09/09/2016] id: calprevflg el: 0 cu: MICU cg: -1 v1: 1 u1: kg st: NotStopd
t0: [17:00:00 09/09/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: -1 ai: 107 vo: 10 vu: ml t0: [17:00:00 09/09/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: MICU cg: -1 ai: 189 vo: 10 vu: ml t0: [17:00:00 09/09/2016] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: MICU cg: -1 ai: 107 vo: 41.52 vu: ml t0: [17:00:00 09/09/2016] id: Urine Out Foley el: 1 cu: MICU cg: -1 vo: 30 vu: ml
t0: [17:00:00 09/09/2016] id: Propofol el: 1 cu: MICU so: N/A vo: 0 v1: 40 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [16:00:00 09/09/2016] id: HOB el: 0 cu: MICU cg: -1 v1: Flat in Bed st: NotStopd t0: [16:00:00 09/09/2016] id: Activity el: 0 cu: MICU cg: -1 v1: Bedrest st: NotStopd t0: [16:00:00 09/09/2016] id: Activity Tolerance el: 0 cu: MICU cg: -1 v1: Good st: NotStopd t0: [16:00:00 09/09/2016] id: Position el: 0 cu: MICU cg: -1 v1: Left Side st: NotStopd t0: [16:00:00 09/09/2016] id: Assistance Device el: 0 cu: MICU cg: -1 v1: 2 Person Assist st: NotStopd t0: [16:00:00 09/09/2016] id: Turn el: 0 cu: MICU cg: -1 v1: Left Side st: NotStopd t0: [17:00:00 09/09/2016] id: CVP el: 0 cu: MICU cg: -1 v1: 21 u1: mmHg st: NotStopd t0: [17:00:00 09/09/2016] id: HOB el: 0 cu: MICU cg: -1 v1: 30 degrees st: NotStopd t0: [17:00:00 09/09/2016] id: Activity el: 0 cu: MICU cg: -1 v1: Bedrest st: NotStopd t0: [17:00:00 09/09/2016] id: Activity Tolerance el: 0 cu: MICU cg: -1 v1: Good st: NotStopd t0: [17:00:00 09/09/2016] id: PCWP el: 0 cu: MICU cg: -1 v1: 24 u1: mmHg st: NotStopd t0: [17:00:00 09/09/2016] id: Position el: 0 cu: MICU cg: -1 v1: Supine st: NotStopd t0: [17:00:00 09/09/2016] id: Assistance Device el: 0 cu: MICU cg: -1 v1: 1 Person Assist st: NotStopd t0: [17:00:00 09/09/2016] id: Turn el: 0 cu: MICU cg: -1 v1: Back st: NotStopd
t0: [17:00:00 09/09/2016] tf: [08:00:00 18/09/2016] dt: 12420 id: Pleural fluid. el: 1 cu: MICU cg: -1 vo: 1500 vu: ml
t0: [17:00:00 09/09/2016] id: Compliance (40-60ml) el: 0 cu: MICU cg: -1 v1: 26 u1: ml/cmH st: NotStopd t0: [17:00:00 09/09/2016] id: ETT Mark/Location el: 0 cu: MICU cg: -1 v1: 23cm v2: Lip st: NotStopd t0: [17:00:00 09/09/2016] id: FiO2 Set el: 0 cu: MICU cg: -1 v1: 0.5 u1: torr st: NotStopd t0: [17:00:00 09/09/2016] id: High Insp. Pressure el: 0 cu: MICU cg: -1 v1: 50 u1: cmH2O st: NotStopd t0: [17:00:00 09/09/2016] id: High Resp. Rate el: 0 cu: MICU cg: -1 v1: 10 u1: BPM st: NotStopd t0: [17:00:00 09/09/2016] id: I:E Ratio el: 0 cu: MICU cg: -1 v1: 1:3.8 st: NotStopd t0: [17:00:00 09/09/2016] id: Airway Size el: 0 cu: MICU cg: -1 v1: 8.5 mm st: NotStopd t0: [17:00:00 09/09/2016] id: Airway Type el: 0 cu: MICU cg: -1 v1: Endotracheal st: NotStopd t0: [17:00:00 09/09/2016] id: Inspired Gas Temp el: 0 cu: MICU cg: -1 v1: 34 u1: Deg. C st: NotStopd t0: [17:00:00 09/09/2016] id: Intubation Date el: 0 cu: MICU cg: -1 v1: 7 v2: 23 st: NotStopd t0: [17:00:00 09/09/2016] id: Low Exhaled Min Vol el: 0 cu: MICU cg: -1 v1: 6 st: NotStopd t0: [17:00:00 09/09/2016] id: MDI #1 (Puff/Drug) el: 0 cu: MICU cg: -1 v1: 6 v2: Combivent st: NotStopd t0: [17:00:00 09/09/2016] id: Mean Airway Pressure el: 0 cu: MICU cg: -1 v1: 15 u1: cmH2O st: NotStopd t0: [17:00:00 09/09/2016] id: Minute Volume(Obser) el: 0 cu: MICU cg: -1 v1: 10.9 u1: L/min st: NotStopd t0: [17:00:00 09/09/2016] id: PEEP Set el: 0 cu: MICU cg: -1 v1: 10 u1: cmH2O st: NotStopd t0: [17:00:00 09/09/2016] id: Apnea Time Interval el: 0 cu: MICU cg: -1 v1: 20 st: NotStopd t0: [17:00:00 09/09/2016] id: Peak Flow el: 0 cu: MICU cg: -1 u1: L/m st: NotStopd t0: [17:00:00 09/09/2016] id: Peak Insp. Pressure el: 0 cu: MICU cg: -1 v1: 35 u1: cmH2O st: NotStopd t0: [17:00:00 09/09/2016] id: Plateau Pressure el: 0 cu: MICU cg: -1 v1: 31 u1: cmH2O st: NotStopd t0: [17:00:00 09/09/2016] id: Plateau-Off el: 0 cu: MICU cg: -1 v1: Yes st: NotStopd t0: [17:00:00 09/09/2016] id: Resp Rate (Spont) el: 0 cu: MICU cg: -1 v1: 4 u1: BPM st: NotStopd t0: [17:00:00 09/09/2016] id: Resp Rate (Total) el: 0 cu: MICU cg: -1 v1: 18 u1: BPM st: NotStopd t0: [17:00:00 09/09/2016] id: Respiratory Rate Set el: 0 cu: MICU cg: -1 v1: 14 u1: BPM st: NotStopd t0: [17:00:00 09/09/2016] id: Sensitivity-Vent el: 0 cu: MICU cg: -1 v1: 2 u1: cmH2O st: NotStopd t0: [17:00:00 09/09/2016] id: Sputum Color/Consist el: 0 cu: MICU cg: -1 v1: Tan v2: Thick st: NotStopd t0: [17:00:00 09/09/2016] id: Sputum Source/Amt el: 0 cu: MICU cg: -1 v1: Suctioned v2: Small st: NotStopd t0: [17:00:00 09/09/2016] id: Tidal Volume (Obser) el: 0 cu: MICU cg: -1 v1: 652 u1: ml/B st: NotStopd t0: [17:00:00 09/09/2016] id: Tidal Volume (Set) el: 0 cu: MICU cg: -1 v1: 650 u1: ml/B st: NotStopd t0: [17:00:00 09/09/2016] id: Ventilator Mode el: 0 cu: MICU cg: -1 v1: Assist Control st: NotStopd t0: [17:00:00 09/09/2016] id: Ventilator Type el: 0 cu: MICU cg: -1 v1: Drager st: NotStopd t0: [17:00:00 09/09/2016] id: Waveform-Vent el: 0 cu: MICU cg: -1 v1: RAMP st: NotStopd
t0: [18:00:00 09/09/2016] id: Less Restrict Meas. el: 0 cu: MICU cg: -1 v1: Medicated st: NotStopd t0: [18:00:00 09/09/2016] id: Range of Motion el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [18:00:00 09/09/2016] id: Service Type el: 0 cu: MICU cg: -1 v1: MICU st: NotStopd t0: [18:00:00 09/09/2016] id: CVP el: 0 cu: MICU cg: -1 v1: 26 u1: mmHg st: NotStopd t0: [18:00:00 09/09/2016] id: Circulation/SkinInt el: 0 cu: MICU cg: -1 v1: Circulation Adeq st: NotStopd t0: [18:00:00 09/09/2016] id: Code Status el: 0 cu: MICU cg: -1 v1: Full Code st: NotStopd t0: [18:00:00 09/09/2016] id: Riker-SAS Scale el: 0 cu: MICU cg: -1 v1: Sedated st: NotStopd t0: [18:00:00 09/09/2016] id: Risk for Falls el: 0 cu: MICU cg: -1 v1: Yes st: NotStopd t0: [18:00:00 09/09/2016] id: Ectopy Frequency el: 0 cu: MICU cg: -1 v1: Occasional st: NotStopd t0: [18:00:00 09/09/2016] id: Ectopy Type el: 0 cu: MICU cg: -1 v1: PVC's st: NotStopd t0: [18:00:00 09/09/2016] id: Family Communication el: 0 cu: MICU cg: -1 v1: Fam Talked to MD st: NotStopd t0: [18:00:00 09/09/2016] id: HOB el: 0 cu: MICU cg: -1 v1: 90 degrees st: NotStopd t0: [18:00:00 09/09/2016] id: Heart Rate el: 0 cu: MICU cg: -1 v1: 86 u1: BPM st: NotStopd t0: [18:00:00 09/09/2016] id: Heart Rhythm el: 0 cu: MICU cg: -1 v1: Normal Sinus st: NotStopd t0: [18:00:00 09/09/2016] id: Activity el: 0 cu: MICU cg: -1 v1: Bedrest st: NotStopd t0: [18:00:00 09/09/2016] id: Activity Tolerance el: 0 cu: MICU cg: -1 v1: Good st: NotStopd t0: [18:00:00 09/09/2016] id: NBP el: 0 cu: MICU cg: -1 v1: 107 u1: mmHg v2: 31 u2: mmHg st: NotStopd t0: [18:00:00 09/09/2016] id: NBP Mean el: 0 cu: MICU cg: -1 v1: 56.3333 u1: mmHg st: NotStopd t0: [18:00:00 09/09/2016] id: PAP Mean el: 0 cu: MICU cg: -1 v1: 50 u1: mmHg st: NotStopd t0: [18:00:00 09/09/2016] id: PAP S/D el: 0 cu: MICU cg: -1 v1: 72 u1: mmHg v2: 39 u2: mmHg st: NotStopd t0: [18:00:00 09/09/2016] id: Position el: 0 cu: MICU cg: -1 v1: Supine st: NotStopd t0: [18:00:00 09/09/2016] id: Position Change el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [18:00:00 09/09/2016] id: Assistance Device el: 0 cu: MICU cg: -1 v1: 2 Person Assist st: NotStopd t0: [18:00:00 09/09/2016] id: Precautions el: 0 cu: MICU cg: -1 v1: Universal st: NotStopd t0: [18:00:00 09/09/2016] id: Radiologic Study el: 0 cu: MICU cg: -1 v1: Chest Xray st: NotStopd t0: [18:00:00 09/09/2016] id: Reason For Restraint el: 0 cu: MICU cg: -1 v1: Ext/TXInterfere st: NotStopd t0: [18:00:00 09/09/2016] id: Removed x 5 Mins el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [18:00:00 09/09/2016] id: Respiratory Rate el: 0 cu: MICU cg: -1 v1: 13 u1: BPM st: NotStopd t0: [18:00:00 09/09/2016] id: Restraint Location el: 0 cu: MICU cg: -1 v1: Both Arms st: NotStopd t0: [18:00:00 09/09/2016] id: Restraint Type el: 0 cu: MICU cg: -1 v1: Soft Limb st: NotStopd t0: [18:00:00 09/09/2016] id: Restraints Evaluated el: 0 cu: MICU cg: -1 v1: RestraintReapply st: NotStopd t0: [18:00:00 09/09/2016] id: Side Rails el: 0 cu: MICU cg: -1 v1: Side Rails Up st: NotStopd t0: [18:00:00 09/09/2016] id: SpO2 el: 0 cu: MICU cg: -1 v1: 99 u1: % st: NotStopd t0: [18:00:00 09/09/2016] id: Support Systems el: 0 cu: MICU cg: -1 v1: Spouse st: NotStopd t0: [18:00:00 09/09/2016] id: Temp. Site el: 0 cu: MICU cg: -1 v1: Blood st: NotStopd t0: [18:00:00 09/09/2016] id: Temperature C el: 0 cu: MICU cg: -1 v1: 37.2 u1: Deg. C st: NotStopd t0: [18:00:00 09/09/2016] id: Temperature F (calc) el: 0 cu: MICU cg: -1 v1: 98.96 u1: Deg. F st: NotStopd t0: [18:00:00 09/09/2016] id: Turn el: 0 cu: MICU cg: -1 v1: Back st: NotStopd t0: [18:00:00 09/09/2016] id: calprevflg el: 0 cu: MICU cg: -1 v1: 1 u1: kg st: NotStopd t0: [18:00:00 09/09/2016] id: Behavior el: 0 cu: MICU cg: -1 v1: Sedated st: NotStopd
t0: [18:00:00 09/09/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: -1 ai: 107 vo: 10 vu: ml t0: [18:00:00 09/09/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: MICU cg: -1 ai: 189 vo: 10 vu: ml t0: [18:00:00 09/09/2016] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: MICU cg: -1 ai: 107 vo: 41.52 vu: ml t0: [18:00:00 09/09/2016] id: Urine Out Foley el: 1 cu: MICU cg: -1 vo: 40 vu: ml
t0: [18:00:00 09/09/2016] id: Propofol el: 1 cu: MICU so: N/A vo: 0 v1: 40 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [18:02:00 09/09/2016] id: Glucose Chemistry el: 0 cu: MICU cg: 1663 v1: 131 rs: Final st: NotStopd t0: [18:02:00 09/09/2016] id: Glucose (70-105) Chemistry el: 0 cu: MICU cg: 1663 v1: 131 rs: Final st: NotStopd t0: [18:02:00 09/09/2016] id: Hematocrit Hematology el: 0 cu: MICU cg: 1663 v1: 30 u1: % rs: Final st: NotStopd
t0: [18:00:00 09/09/2016] id: Hemoglobin Hematology el: 0 cu: MICU cg: -1 v1: 9.8 u1: gm/dl rs: Manual st: NotStopd t0: [18:00:00 09/09/2016] id: SaO2 ABG's el: 0 cu: MICU cg: -1 v1: 99 u1: % rs: Manual st: NotStopd
t0: [18:00:00 09/09/2016] id: Cardiac Index el: 0 cu: MICU cg: -1 v1: 3.28947 u1: ... st: NotStopd t0: [18:00:00 09/09/2016] id: SVR el: 0 cu: MICU cg: -1 v1: 240 u1: ... st: NotStopd t0: [18:00:00 09/09/2016] id: SVRI el: 0 cu: MICU cg: -1 v1: 729.483 u1: ... st: NotStopd t0: [18:00:00 09/09/2016] id: Mixed Venous O2% Sat Blood Gases el: 0 cu: MICU cg: -1 v1: 70 rs: Manual st: NotStopd t0: [18:00:00 09/09/2016] id: C.O. (fick) el: 0 cu: MICU cg: -1 v1: 9.97826 u1: L/min st: NotStopd
t0: [19:00:00 09/09/2016] id: Service Type el: 0 cu: MICU cg: -1 v1: MICU st: NotStopd t0: [19:00:00 09/09/2016] id: CVP el: 0 cu: MICU cg: -1 v1: 21 u1: mmHg st: NotStopd t0: [19:00:00 09/09/2016] id: Code Status el: 0 cu: MICU cg: -1 v1: Full Code st: NotStopd t0: [19:00:00 09/09/2016] id: Riker-SAS Scale el: 0 cu: MICU cg: -1 v1: Sedated st: NotStopd t0: [19:00:00 09/09/2016] id: Risk for Falls el: 0 cu: MICU cg: -1 v1: Yes st: NotStopd t0: [19:00:00 09/09/2016] id: Ectopy Frequency el: 0 cu: MICU cg: -1 v1: Occasional st: NotStopd t0: [19:00:00 09/09/2016] id: Ectopy Type el: 0 cu: MICU cg: -1 v1: PVC's st: NotStopd t0: [19:00:00 09/09/2016] id: Heart Rate el: 0 cu: MICU cg: -1 v1: 92 u1: BPM st: NotStopd t0: [19:00:00 09/09/2016] id: Heart Rhythm el: 0 cu: MICU cg: -1 v1: Normal Sinus st: NotStopd t0: [19:00:00 09/09/2016] id: NBP el: 0 cu: MICU cg: -1 v1: 108 u1: mmHg v2: 38 u2: mmHg st: NotStopd t0: [19:00:00 09/09/2016] id: NBP Mean el: 0 cu: MICU cg: -1 v1: 61.3333 u1: mmHg st: NotStopd t0: [19:00:00 09/09/2016] id: PAP Mean el: 0 cu: MICU cg: -1 v1: 47 u1: mmHg st: NotStopd t0: [19:00:00 09/09/2016] id: PAP S/D el: 0 cu: MICU cg: -1 v1: 66 u1: mmHg v2: 34 u2: mmHg st: NotStopd t0: [19:00:00 09/09/2016] id: Precautions el: 0 cu: MICU cg: -1 v1: Universal st: NotStopd t0: [19:00:00 09/09/2016] id: Respiratory Rate el: 0 cu: MICU cg: -1 v1: 18 u1: BPM st: NotStopd t0: [19:00:00 09/09/2016] id: SpO2 el: 0 cu: MICU cg: -1 v1: 97 u1: % st: NotStopd t0: [19:00:00 09/09/2016] id: Temp. Site el: 0 cu: MICU cg: -1 v1: Blood st: NotStopd t0: [19:00:00 09/09/2016] id: Temperature C el: 0 cu: MICU cg: -1 v1: 37.2 u1: Deg. C st: NotStopd t0: [19:00:00 09/09/2016] id: Temperature F (calc) el: 0 cu: MICU cg: -1 v1: 98.96 u1: Deg. F st: NotStopd t0: [19:00:00 09/09/2016] id: calprevflg el: 0 cu: MICU cg: -1 v1: 1 u1: kg st: NotStopd
t0: [19:00:00 09/09/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: -1 ai: 107 vo: 10 vu: ml t0: [19:00:00 09/09/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: MICU cg: -1 ai: 189 vo: 10 vu: ml t0: [19:00:00 09/09/2016] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: MICU cg: -1 ai: 107 vo: 41.52 vu: ml t0: [19:00:00 09/09/2016] id: Urine Out Foley el: 1 cu: MICU cg: -1 vo: 60 vu: ml
t0: [19:00:00 09/09/2016] id: Propofol el: 1 cu: MICU so: N/A vo: 0 v1: 40 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [14:40:00 09/09/2016] id: Glucose Chemistry el: 0 cu: MICU cg: 1663 v1: 126 rs: Final st: NotStopd t0: [14:40:00 09/09/2016] id: Total Protein Chemistry el: 0 cu: MICU cg: 1663 v1: 7.3 rs: Final st: NotStopd t0: [14:40:00 09/09/2016] id: Glucose (70-105) Chemistry el: 0 cu: MICU cg: 1663 v1: 126 rs: Final st: NotStopd t0: [14:40:00 09/09/2016] id: LDH Enzymes el: 0 cu: MICU cg: 1663 v1: 259 rs: Final st: NotStopd t0: [14:40:00 09/09/2016] id: Total Protein(6.5-8) Chemistry el: 0 cu: MICU cg: 1663 v1: 7.3 rs: Final st: NotStopd
t0: [18:35:00 09/09/2016] id: BUN el: 0 cu: MICU cg: 1663 v1: 21 rs: Final st: NotStopd t0: [18:35:00 09/09/2016] id: Chloride Chemistry el: 0 cu: MICU cg: 1663 v1: 98 rs: Final st: NotStopd t0: [18:35:00 09/09/2016] id: Creatinine Chemistry el: 0 cu: MICU cg: 1663 v1: 1.2 rs: Final st: NotStopd t0: [18:35:00 09/09/2016] id: Glucose Chemistry el: 0 cu: MICU cg: 1663 v1: 110 rs: Final st: NotStopd t0: [18:35:00 09/09/2016] id: Magnesium Chemistry el: 0 cu: MICU cg: 1663 v1: 2 rs: Final st: NotStopd t0: [18:35:00 09/09/2016] id: Potassium Chemistry el: 0 cu: MICU cg: 1663 v1: 3.8 rs: Final st: NotStopd t0: [18:35:00 09/09/2016] id: Sodium Chemistry el: 0 cu: MICU cg: 1663 v1: 140 rs: Final st: NotStopd t0: [18:35:00 09/09/2016] id: BUN (6-20) Chemistry el: 0 cu: MICU cg: 1663 v1: 21 rs: Final st: NotStopd t0: [18:35:00 09/09/2016] id: Carbon Dioxide Chemistry el: 0 cu: MICU cg: 1663 v1: 27 rs: Final st: NotStopd t0: [18:35:00 09/09/2016] id: Chloride (100-112) Chemistry el: 0 cu: MICU cg: 1663 v1: 98 rs: Final st: NotStopd t0: [18:35:00 09/09/2016] id: Creatinine (0-1.3) Chemistry el: 0 cu: MICU cg: 1663 v1: 1.2 rs: Final st: NotStopd t0: [18:35:00 09/09/2016] id: Glucose (70-105) Chemistry el: 0 cu: MICU cg: 1663 v1: 110 rs: Final st: NotStopd t0: [18:35:00 09/09/2016] id: Magnesium (1.6-2.6) Chemistry el: 0 cu: MICU cg: 1663 v1: 2 rs: Final st: NotStopd t0: [18:35:00 09/09/2016] id: Potassium (3.5-5.3) Chemistry el: 0 cu: MICU cg: 1663 v1: 3.8 rs: Final st: NotStopd t0: [18:35:00 09/09/2016] id: Sodium (135-148) Chemistry el: 0 cu: MICU cg: 1663 v1: 140 rs: Final st: NotStopd
t0: [20:00:00 09/09/2016] id: Less Restrict Meas. el: 0 cu: MICU cg: RN v1: Medicated st: NotStopd t0: [20:00:00 09/09/2016] id: Pain Present el: 0 cu: MICU cg: RN v1: No st: NotStopd t0: [20:00:00 09/09/2016] id: Range of Motion el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [20:00:00 09/09/2016] id: Pain Assess Method el: 0 cu: MICU cg: RN v1: Change in Vitals st: NotStopd t0: [20:00:00 09/09/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [20:00:00 09/09/2016] id: CVP el: 0 cu: MICU cg: RN v1: 24 u1: mmHg st: NotStopd t0: [20:00:00 09/09/2016] id: Circulation/SkinInt el: 0 cu: MICU cg: RN v1: Circulation Adeq st: NotStopd t0: [20:00:00 09/09/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [20:00:00 09/09/2016] id: Riker-SAS Scale el: 0 cu: MICU cg: RN v1: Sedated st: NotStopd t0: [20:00:00 09/09/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [20:00:00 09/09/2016] id: Diet Type el: 0 cu: MICU cg: RN v1: NPO st: NotStopd t0: [20:00:00 09/09/2016] id: Dorsal PedPulse R/L el: 0 cu: MICU cg: RN v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [20:00:00 09/09/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: Occasional st: NotStopd t0: [20:00:00 09/09/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: PVC's st: NotStopd t0: [20:00:00 09/09/2016] id: Eye Opening el: 0 cu: MICU cg: RN v1: 2 To pain st: NotStopd t0: [20:00:00 09/09/2016] id: Family Communication el: 0 cu: MICU cg: RN v1: Fam Talked to MD st: NotStopd t0: [20:00:00 09/09/2016] id: GCS Total el: 0 cu: MICU cg: RN v1: 8 u1: points st: NotStopd t0: [20:00:00 09/09/2016] id: GI Intub #1/Site el: 0 cu: MICU cg: RN v1: Salem Sump v2: Oral st: NotStopd t0: [20:00:00 09/09/2016] id: GI#1 Tube PlaceCheck el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [20:00:00 09/09/2016] id: GI#1 Tube Stat/Drain el: 0 cu: MICU cg: RN v1: Clamped v2: Bilious st: NotStopd t0: [20:00:00 09/09/2016] id: HOB el: 0 cu: MICU cg: RN v1: 45 degrees st: NotStopd t0: [20:00:00 09/09/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 91 u1: BPM st: NotStopd t0: [20:00:00 09/09/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [20:00:00 09/09/2016] id: INV Line#1 Type/Site el: 0 cu: MICU cg: RN v1: PICC line v2: Left Brachial st: NotStopd t0: [20:00:00 09/09/2016] id: INV Line#1SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [20:00:00 09/09/2016] id: INV Line#3 Type/Site el: 0 cu: MICU cg: RN v1: PA line v2: Left Subclavian st: NotStopd t0: [20:00:00 09/09/2016] id: INV Line#3InsertDate el: 0 cu: MICU cg: RN v1: 7 v2: 24 st: NotStopd t0: [20:00:00 09/09/2016] id: INV Line#3SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [20:00:00 09/09/2016] id: Abdominal Assessment el: 0 cu: MICU cg: RN v1: Obese st: NotStopd t0: [20:00:00 09/09/2016] id: INV#3 WaveformAppear el: 0 cu: MICU cg: RN v1: Sharp st: NotStopd t0: [20:00:00 09/09/2016] id: Activity el: 0 cu: MICU cg: RN v1: Bedrest st: NotStopd t0: [20:00:00 09/09/2016] id: Activity Tolerance el: 0 cu: MICU cg: RN v1: Tolerated Well st: NotStopd t0: [20:00:00 09/09/2016] id: LLL Lung Sounds el: 0 cu: MICU cg: RN v1: Diminished st: NotStopd t0: [20:00:00 09/09/2016] id: LUL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [20:00:00 09/09/2016] id: Level of Conscious el: 0 cu: MICU cg: RN v1: Sedated st: NotStopd t0: [20:00:00 09/09/2016] id: Motor Response el: 0 cu: MICU cg: RN v1: 5 Localizes Pain st: NotStopd t0: [20:00:00 09/09/2016] id: NBP el: 0 cu: MICU cg: RN v1: 110 u1: mmHg v2: 42 u2: mmHg st: NotStopd t0: [20:00:00 09/09/2016] id: NBP Mean el: 0 cu: MICU cg: RN v1: 64.6667 u1: mmHg st: NotStopd t0: [20:00:00 09/09/2016] id: Oral Cavity el: 0 cu: MICU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [20:00:00 09/09/2016] id: Orientation el: 0 cu: MICU cg: RN v1: Other/Remarks st: NotStopd t0: [20:00:00 09/09/2016] id: PAP Mean el: 0 cu: MICU cg: RN v1: 51 u1: mmHg st: NotStopd t0: [20:00:00 09/09/2016] id: PAP S/D el: 0 cu: MICU cg: RN v1: 74 u1: mmHg v2: 37 u2: mmHg st: NotStopd t0: [20:00:00 09/09/2016] id: Pain Location el: 0 cu: MICU cg: RN v1: Not Indicated st: NotStopd t0: [20:00:00 09/09/2016] id: Pain Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [20:00:00 09/09/2016] id: Position el: 0 cu: MICU cg: RN v1: Supine st: NotStopd t0: [20:00:00 09/09/2016] id: Position Change el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [20:00:00 09/09/2016] id: PostTib. Pulses R/L el: 0 cu: MICU cg: RN v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [20:00:00 09/09/2016] id: Assistance Device el: 0 cu: MICU cg: RN v1: 2 Person Assist st: NotStopd t0: [20:00:00 09/09/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [20:00:00 09/09/2016] id: Pupil Response R/L el: 0 cu: MICU cg: RN v1: Brisk v2: Brisk st: NotStopd t0: [20:00:00 09/09/2016] id: Pupil Size R/L el: 0 cu: MICU cg: RN v1: 3 mm v2: 3 mm st: NotStopd t0: [20:00:00 09/09/2016] id: RLL Lung Sounds el: 0 cu: MICU cg: RN v1: Diminished st: NotStopd t0: [20:00:00 09/09/2016] id: RUL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [20:00:00 09/09/2016] id: Reason For Restraint el: 0 cu: MICU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [20:00:00 09/09/2016] id: Removed x 5 Mins el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [20:00:00 09/09/2016] id: Respiratory Pattern el: 0 cu: MICU cg: RN v1: Regular st: NotStopd t0: [20:00:00 09/09/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 18 u1: BPM st: NotStopd t0: [20:00:00 09/09/2016] id: Restraint Location el: 0 cu: MICU cg: RN v1: Both Arms st: NotStopd t0: [20:00:00 09/09/2016] id: Restraint Type el: 0 cu: MICU cg: RN v1: Soft Limb st: NotStopd t0: [20:00:00 09/09/2016] id: Restraints Evaluated el: 0 cu: MICU cg: RN v1: RestraintReapply st: NotStopd t0: [20:00:00 09/09/2016] id: Side Rails el: 0 cu: MICU cg: RN v1: Side Rails Up st: NotStopd t0: [20:00:00 09/09/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 100 u1: % st: NotStopd t0: [20:00:00 09/09/2016] id: Sputum Color/Consist el: 0 cu: MICU cg: RN v1: Tan v2: Thick st: NotStopd t0: [20:00:00 09/09/2016] id: Sputum Source/Amt el: 0 cu: MICU cg: RN v1: Suctioned v2: Small st: NotStopd t0: [20:00:00 09/09/2016] id: Stool Guaiac el: 0 cu: MICU cg: RN v1: Not Applicable st: NotStopd t0: [20:00:00 09/09/2016] id: Support Systems el: 0 cu: MICU cg: RN v1: Spouse st: NotStopd t0: [20:00:00 09/09/2016] id: Temp. Site el: 0 cu: MICU cg: RN v1: Blood st: NotStopd t0: [20:00:00 09/09/2016] id: Temperature C el: 0 cu: MICU cg: RN v1: 37.4 u1: Deg. C st: NotStopd t0: [20:00:00 09/09/2016] id: Temperature F (calc) el: 0 cu: MICU cg: RN v1: 99.32 u1: Deg. F st: NotStopd t0: [20:00:00 09/09/2016] id: Turn el: 0 cu: MICU cg: RN v1: Back st: NotStopd t0: [20:00:00 09/09/2016] id: Urine Color/Appear el: 0 cu: MICU cg: RN v1: Yellow v2: Sediment st: NotStopd t0: [20:00:00 09/09/2016] id: Urine Source el: 0 cu: MICU cg: RN v1: Indwelling Cath st: NotStopd t0: [20:00:00 09/09/2016] id: Verbal Response el: 0 cu: MICU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [20:00:00 09/09/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [20:00:00 09/09/2016] id: Behavior el: 0 cu: MICU cg: RN v1: Sedated st: NotStopd t0: [20:00:00 09/09/2016] id: Bowel Sounds el: 0 cu: MICU cg: RN v1: Hypoactive st: NotStopd
t0: [20:00:00 09/09/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 10 vu: ml t0: [20:00:00 09/09/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: MICU cg: RN ai: 189 vo: 10 vu: ml t0: [20:00:00 09/09/2016] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 41.52 vu: ml
t0: [20:00:00 09/09/2016] id: Propofol el: 1 cu: MICU cg: RN so: N/A vo: 0 v1: 40 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [20:00:00 09/09/2016] id: Gastric Meds PO/Gastric el: 1 cu: MICU cg: RN ai: 107 vo: 60 vu: ml
t0: [21:00:00 09/09/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [21:00:00 09/09/2016] id: CVP el: 0 cu: MICU cg: RN v1: 17 u1: mmHg st: NotStopd t0: [21:00:00 09/09/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [21:00:00 09/09/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [21:00:00 09/09/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: Occasional st: NotStopd t0: [21:00:00 09/09/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: PVC's st: NotStopd t0: [21:00:00 09/09/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 92 u1: BPM st: NotStopd t0: [21:00:00 09/09/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [21:00:00 09/09/2016] id: NBP el: 0 cu: MICU cg: RN v1: 112 u1: mmHg v2: 50 u2: mmHg st: NotStopd t0: [21:00:00 09/09/2016] id: NBP Mean el: 0 cu: MICU cg: RN v1: 70.6667 u1: mmHg st: NotStopd t0: [21:00:00 09/09/2016] id: PAP Mean el: 0 cu: MICU cg: RN v1: 44 u1: mmHg st: NotStopd t0: [21:00:00 09/09/2016] id: PAP S/D el: 0 cu: MICU cg: RN v1: 65 u1: mmHg v2: 30 u2: mmHg st: NotStopd t0: [21:00:00 09/09/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [21:00:00 09/09/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 18 u1: BPM st: NotStopd t0: [21:00:00 09/09/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 86 u1: % st: NotStopd t0: [21:00:00 09/09/2016] id: Temp. Site el: 0 cu: MICU cg: RN v1: Blood st: NotStopd t0: [21:00:00 09/09/2016] id: Temperature C el: 0 cu: MICU cg: RN v1: 37.6 u1: Deg. C st: NotStopd t0: [21:00:00 09/09/2016] id: Temperature F (calc) el: 0 cu: MICU cg: RN v1: 99.68 u1: Deg. F st: NotStopd t0: [21:00:00 09/09/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [21:00:00 09/09/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 10 vu: ml t0: [21:00:00 09/09/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: MICU cg: RN ai: 189 vo: 10 vu: ml t0: [21:00:00 09/09/2016] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 41.52 vu: ml
t0: [21:00:00 09/09/2016] id: Propofol el: 1 cu: MICU cg: RN so: N/A vo: 0 v1: 40 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [21:00:00 09/09/2016] id: Compliance (40-60ml) el: 0 cu: MICU cg: RRT v1: 30.9524 u1: ml/cmH st: NotStopd t0: [21:00:00 09/09/2016] id: ETT Mark/Location el: 0 cu: MICU cg: RRT v1: 23cm v2: Lip st: NotStopd t0: [21:00:00 09/09/2016] id: FiO2 Set el: 0 cu: MICU cg: RRT v1: 0.5 u1: torr st: NotStopd t0: [21:00:00 09/09/2016] id: High Insp. Pressure el: 0 cu: MICU cg: RRT v1: 50 u1: cmH2O st: NotStopd t0: [21:00:00 09/09/2016] id: High Resp. Rate el: 0 cu: MICU cg: RRT v1: 10 u1: BPM st: NotStopd t0: [21:00:00 09/09/2016] id: I:E Ratio el: 0 cu: MICU cg: RRT v1: 1:3.8 st: NotStopd t0: [21:00:00 09/09/2016] id: Airway Size el: 0 cu: MICU cg: RRT v1: 8.5 mm st: NotStopd t0: [21:00:00 09/09/2016] id: Airway Type el: 0 cu: MICU cg: RRT v1: Endotracheal st: NotStopd t0: [21:00:00 09/09/2016] id: Inspired Gas Temp el: 0 cu: MICU cg: RRT v1: 34 u1: Deg. C st: NotStopd t0: [21:00:00 09/09/2016] id: Intubation Date el: 0 cu: MICU cg: RRT v1: 7 v2: 23 st: NotStopd t0: [21:00:00 09/09/2016] id: Low Exhaled Min Vol el: 0 cu: MICU cg: RRT v1: 6 st: NotStopd t0: [21:00:00 09/09/2016] id: MDI #1 (Puff/Drug) el: 0 cu: MICU cg: RRT v1: 6 v2: Combivent st: NotStopd t0: [21:00:00 09/09/2016] id: Mean Airway Pressure el: 0 cu: MICU cg: RRT v1: 15 u1: cmH2O st: NotStopd t0: [21:00:00 09/09/2016] id: Minute Volume(Obser) el: 0 cu: MICU cg: RRT v1: 8.99 u1: L/min st: NotStopd t0: [21:00:00 09/09/2016] id: PEEP Set el: 0 cu: MICU cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [21:00:00 09/09/2016] id: Apnea Time Interval el: 0 cu: MICU cg: RRT v1: 20 st: NotStopd t0: [21:00:00 09/09/2016] id: Peak Insp. Pressure el: 0 cu: MICU cg: RRT v1: 31 u1: cmH2O st: NotStopd t0: [21:00:00 09/09/2016] id: Plateau Pressure el: 0 cu: MICU cg: RRT v1: 29 u1: cmH2O st: NotStopd t0: [21:00:00 09/09/2016] id: Plateau-Off el: 0 cu: MICU cg: RRT v1: Yes st: NotStopd t0: [21:00:00 09/09/2016] id: Resp Rate (Spont) el: 0 cu: MICU cg: RRT v1: 2 u1: BPM st: NotStopd t0: [21:00:00 09/09/2016] id: Resp Rate (Total) el: 0 cu: MICU cg: RRT v1: 16 u1: BPM st: NotStopd t0: [21:00:00 09/09/2016] id: Respiratory Rate Set el: 0 cu: MICU cg: RRT v1: 14 u1: BPM st: NotStopd t0: [21:00:00 09/09/2016] id: Sensitivity-Vent el: 0 cu: MICU cg: RRT v1: 2 u1: cmH2O st: NotStopd t0: [21:00:00 09/09/2016] id: Tidal Volume (Obser) el: 0 cu: MICU cg: RRT v1: 549 u1: ml/B st: NotStopd t0: [21:00:00 09/09/2016] id: Tidal Volume (Set) el: 0 cu: MICU cg: RRT v1: 650 u1: ml/B st: NotStopd t0: [21:00:00 09/09/2016] id: Ventilator Mode el: 0 cu: MICU cg: RRT v1: Assist Control st: NotStopd t0: [21:00:00 09/09/2016] id: Ventilator Type el: 0 cu: MICU cg: RRT v1: Drager st: NotStopd t0: [21:00:00 09/09/2016] id: Waveform-Vent el: 0 cu: MICU cg: RRT v1: RAMP st: NotStopd
t0: [22:00:00 09/09/2016] id: Less Restrict Meas. el: 0 cu: MICU cg: RN v1: Medicated st: NotStopd t0: [22:00:00 09/09/2016] id: Range of Motion el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [22:00:00 09/09/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [22:00:00 09/09/2016] id: CVP el: 0 cu: MICU cg: RN v1: 14 u1: mmHg st: NotStopd t0: [22:00:00 09/09/2016] id: Circulation/SkinInt el: 0 cu: MICU cg: RN v1: Circulation Adeq st: NotStopd t0: [22:00:00 09/09/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [22:00:00 09/09/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [22:00:00 09/09/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: Occasional st: NotStopd t0: [22:00:00 09/09/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: PVC's st: NotStopd t0: [22:00:00 09/09/2016] id: HOB el: 0 cu: MICU cg: RN v1: 45 degrees st: NotStopd t0: [22:00:00 09/09/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 89 u1: BPM st: NotStopd t0: [22:00:00 09/09/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [22:00:00 09/09/2016] id: Activity el: 0 cu: MICU cg: RN v1: Bedrest st: NotStopd t0: [22:00:00 09/09/2016] id: Activity Tolerance el: 0 cu: MICU cg: RN v1: Tolerated Well st: NotStopd t0: [22:00:00 09/09/2016] id: NBP el: 0 cu: MICU cg: RN v1: 105 u1: mmHg v2: 30 u2: mmHg st: NotStopd t0: [22:00:00 09/09/2016] id: NBP Mean el: 0 cu: MICU cg: RN v1: 55 u1: mmHg st: NotStopd t0: [22:00:00 09/09/2016] id: PAP Mean el: 0 cu: MICU cg: RN v1: 39 u1: mmHg st: NotStopd t0: [22:00:00 09/09/2016] id: PAP S/D el: 0 cu: MICU cg: RN v1: 58 u1: mmHg v2: 26 u2: mmHg st: NotStopd t0: [22:00:00 09/09/2016] id: Position el: 0 cu: MICU cg: RN v1: Right Side st: NotStopd t0: [22:00:00 09/09/2016] id: Position Change el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [22:00:00 09/09/2016] id: Assistance Device el: 0 cu: MICU cg: RN v1: 2 Person Assist st: NotStopd t0: [22:00:00 09/09/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [22:00:00 09/09/2016] id: Reason For Restraint el: 0 cu: MICU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [22:00:00 09/09/2016] id: Removed x 5 Mins el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [22:00:00 09/09/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 17 u1: BPM st: NotStopd t0: [22:00:00 09/09/2016] id: Restraint Location el: 0 cu: MICU cg: RN v1: Both Arms st: NotStopd t0: [22:00:00 09/09/2016] id: Restraint Type el: 0 cu: MICU cg: RN v1: Soft Limb st: NotStopd t0: [22:00:00 09/09/2016] id: Restraints Evaluated el: 0 cu: MICU cg: RN v1: RestraintReapply st: NotStopd t0: [22:00:00 09/09/2016] id: Side Rails el: 0 cu: MICU cg: RN v1: Side Rails Up st: NotStopd t0: [22:00:00 09/09/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 97 u1: % st: NotStopd t0: [22:00:00 09/09/2016] id: Support Systems el: 0 cu: MICU cg: RN v1: Spouse st: NotStopd t0: [22:00:00 09/09/2016] id: Temp. Site el: 0 cu: MICU cg: RN v1: Blood st: NotStopd t0: [22:00:00 09/09/2016] id: Temperature C el: 0 cu: MICU cg: RN v1: 37.2 u1: Deg. C st: NotStopd t0: [22:00:00 09/09/2016] id: Temperature F (calc) el: 0 cu: MICU cg: RN v1: 98.96 u1: Deg. F st: NotStopd t0: [22:00:00 09/09/2016] id: Turn el: 0 cu: MICU cg: RN v1: Right Side st: NotStopd t0: [22:00:00 09/09/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [20:00:00 09/09/2016] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 60 vu: ml t0: [21:00:00 09/09/2016] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 60 vu: ml t0: [22:00:00 09/09/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 10 vu: ml t0: [22:00:00 09/09/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: MICU cg: RN ai: 189 vo: 10 vu: ml t0: [22:00:00 09/09/2016] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 41.52 vu: ml
t0: [22:00:00 09/09/2016] id: Propofol el: 1 cu: MICU cg: RN so: N/A vo: 0 v1: 40 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [22:00:00 09/09/2016] id: D5W 100.0ml IV Infusions el: 2 cu: MICU cg: RN ai: 107 vo: 50 vu: ml
tf: [21:00:00 09/09/2016] pt: Unit Dose rt: PO fr: TID fs: 08, 16, 22 dn: 3 m1: Captopril v1: 50 u1: mg tf: [06:00:00 10/09/2016] pt: Unit Dose rt: PO fr: TID fs: 08, 16, 22 dn: 3 m1: Captopril v1: 62.5 u1: mg tf: [21:00:00 10/09/2016] pt: IV Piggyback rt: IV fr: ONCE fs: 22 dn: 1 m1: Chlorothiazide Sodium v1: 250 u1: mg m2: D5W v2: 50 u2: ml tf: [21:00:00 10/09/2016] pt: IV Piggyback rt: IV fr: ONCE fs: 22 dn: 1 m1: Furosemide v1: 120 u1: mg m2: D5W v2: 50 u2: ml tf: [21:00:00 10/09/2016] pt: IV Piggyback rt: IV fr: ONCE fs: 22 dn: 1 m1: Potassium Chloride v1: 40 u1: mEq m2: SW v2: 100 u2: ml tf: [21:00:00 10/09/2016] pt: Unit Dose rt: PO fr: ONCE fs: 22 dn: 1 m1: Captopril v1: 12.5 u1: mg
t0: [23:00:00 09/09/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [23:00:00 09/09/2016] id: CVP el: 0 cu: MICU cg: RN v1: 17 u1: mmHg st: NotStopd t0: [23:00:00 09/09/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [23:00:00 09/09/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [23:00:00 09/09/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: Occasional st: NotStopd t0: [23:00:00 09/09/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: PVC's st: NotStopd t0: [23:00:00 09/09/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 93 u1: BPM st: NotStopd t0: [23:00:00 09/09/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [23:00:00 09/09/2016] id: NBP el: 0 cu: MICU cg: RN v1: 106 u1: mmHg v2: 30 u2: mmHg st: NotStopd t0: [23:00:00 09/09/2016] id: NBP Mean el: 0 cu: MICU cg: RN v1: 55.3333 u1: mmHg st: NotStopd t0: [23:00:00 09/09/2016] id: PAP Mean el: 0 cu: MICU cg: RN v1: 42 u1: mmHg st: NotStopd t0: [23:00:00 09/09/2016] id: PAP S/D el: 0 cu: MICU cg: RN v1: 63 u1: mmHg v2: 28 u2: mmHg st: NotStopd t0: [23:00:00 09/09/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [23:00:00 09/09/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 17 u1: BPM st: NotStopd t0: [23:00:00 09/09/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 99 u1: % st: NotStopd t0: [23:00:00 09/09/2016] id: Temp. Site el: 0 cu: MICU cg: RN v1: Blood st: NotStopd t0: [23:00:00 09/09/2016] id: Temperature C el: 0 cu: MICU cg: RN v1: 37.3 u1: Deg. C st: NotStopd t0: [23:00:00 09/09/2016] id: Temperature F (calc) el: 0 cu: MICU cg: RN v1: 99.14 u1: Deg. F st: NotStopd t0: [23:00:00 09/09/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [23:00:00 09/09/2016] id: D5W 100.0ml IV Infusions el: 2 cu: MICU cg: RN ai: 107 vo: 100 vu: ml t0: [23:00:00 09/09/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 10 vu: ml t0: [23:00:00 09/09/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: MICU cg: RN ai: 189 vo: 10 vu: ml t0: [23:00:00 09/09/2016] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 41.52 vu: ml
t0: [23:00:00 09/09/2016] id: Propofol el: 1 cu: MICU cg: RN so: N/A vo: 0 v1: 40 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [00:00:00 10/09/2016] id: Less Restrict Meas. el: 0 cu: MICU cg: RN v1: Medicated st: NotStopd t0: [00:00:00 10/09/2016] id: Pain Present el: 0 cu: MICU cg: RN v1: No st: NotStopd t0: [00:00:00 10/09/2016] id: Range of Motion el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [00:00:00 10/09/2016] id: Pain Assess Method el: 0 cu: MICU cg: RN v1: Change in Vitals st: NotStopd t0: [00:00:00 10/09/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [00:00:00 10/09/2016] id: CVP el: 0 cu: MICU cg: RN v1: 16 u1: mmHg st: NotStopd t0: [00:00:00 10/09/2016] id: Circulation/SkinInt el: 0 cu: MICU cg: RN v1: Circulation Adeq st: NotStopd t0: [00:00:00 10/09/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [00:00:00 10/09/2016] id: Riker-SAS Scale el: 0 cu: MICU cg: RN v1: Sedated st: NotStopd t0: [00:00:00 10/09/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [00:00:00 10/09/2016] id: Diet Type el: 0 cu: MICU cg: RN v1: NPO st: NotStopd t0: [00:00:00 10/09/2016] id: Dorsal PedPulse R/L el: 0 cu: MICU cg: RN v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [00:00:00 10/09/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: Occasional st: NotStopd t0: [00:00:00 10/09/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: PVC's st: NotStopd t0: [00:00:00 10/09/2016] id: Eye Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [00:00:00 10/09/2016] id: Eye Opening el: 0 cu: MICU cg: RN v1: 2 To pain st: NotStopd t0: [00:00:00 10/09/2016] id: GCS Total el: 0 cu: MICU cg: RN v1: 8 u1: points st: NotStopd t0: [00:00:00 10/09/2016] id: GI Intub #1/Site el: 0 cu: MICU cg: RN v1: Salem Sump v2: Oral st: NotStopd t0: [00:00:00 10/09/2016] id: GI#1 Tube PlaceCheck el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [00:00:00 10/09/2016] id: GI#1 Tube Stat/Drain el: 0 cu: MICU cg: RN v1: Clamped v2: Bilious st: NotStopd t0: [00:00:00 10/09/2016] id: HOB el: 0 cu: MICU cg: RN v1: 45 degrees st: NotStopd t0: [00:00:00 10/09/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 95 u1: BPM st: NotStopd t0: [00:00:00 10/09/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [00:00:00 10/09/2016] id: INV Line#1 Type/Site el: 0 cu: MICU cg: RN v1: PICC line v2: Left Brachial st: NotStopd t0: [00:00:00 10/09/2016] id: INV Line#1SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [00:00:00 10/09/2016] id: INV Line#3 Type/Site el: 0 cu: MICU cg: RN v1: PA line v2: Left Subclavian st: NotStopd t0: [00:00:00 10/09/2016] id: INV Line#3 Zero/Cal el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [00:00:00 10/09/2016] id: INV Line#3InsertDate el: 0 cu: MICU cg: RN v1: 7 v2: 24 st: NotStopd t0: [00:00:00 10/09/2016] id: INV Line#3SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [00:00:00 10/09/2016] id: Abdominal Assessment el: 0 cu: MICU cg: RN v1: Obese st: NotStopd t0: [00:00:00 10/09/2016] id: INV#3 WaveformAppear el: 0 cu: MICU cg: RN v1: Sharp st: NotStopd t0: [00:00:00 10/09/2016] id: Activity el: 0 cu: MICU cg: RN v1: Bedrest st: NotStopd t0: [00:00:00 10/09/2016] id: Activity Tolerance el: 0 cu: MICU cg: RN v1: Tolerated Well st: NotStopd t0: [00:00:00 10/09/2016] id: LLL Lung Sounds el: 0 cu: MICU cg: RN v1: Diminished st: NotStopd t0: [00:00:00 10/09/2016] id: LUL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [00:00:00 10/09/2016] id: Level of Conscious el: 0 cu: MICU cg: RN v1: Sedated st: NotStopd t0: [00:00:00 10/09/2016] id: Motor Response el: 0 cu: MICU cg: RN v1: 5 Localizes Pain st: NotStopd t0: [00:00:00 10/09/2016] id: NBP el: 0 cu: MICU cg: RN v1: 125 u1: mmHg v2: 41 u2: mmHg st: NotStopd t0: [00:00:00 10/09/2016] id: NBP Mean el: 0 cu: MICU cg: RN v1: 69 u1: mmHg st: NotStopd t0: [00:00:00 10/09/2016] id: Oral Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [00:00:00 10/09/2016] id: Oral Cavity el: 0 cu: MICU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [00:00:00 10/09/2016] id: Orientation el: 0 cu: MICU cg: RN v1: Other/Remarks st: NotStopd t0: [00:00:00 10/09/2016] id: PAP Mean el: 0 cu: MICU cg: RN v1: 46 u1: mmHg st: NotStopd t0: [00:00:00 10/09/2016] id: PAP S/D el: 0 cu: MICU cg: RN v1: 70 u1: mmHg v2: 31 u2: mmHg st: NotStopd t0: [00:00:00 10/09/2016] id: Pain Location el: 0 cu: MICU cg: RN v1: Not Indicated st: NotStopd t0: [00:00:00 10/09/2016] id: Pain Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [00:00:00 10/09/2016] id: Position el: 0 cu: MICU cg: RN v1: Left Side st: NotStopd t0: [00:00:00 10/09/2016] id: Position Change el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [00:00:00 10/09/2016] id: PostTib. Pulses R/L el: 0 cu: MICU cg: RN v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [00:00:00 10/09/2016] id: Assistance Device el: 0 cu: MICU cg: RN v1: 2 Person Assist st: NotStopd t0: [00:00:00 10/09/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [00:00:00 10/09/2016] id: Pupil Response R/L el: 0 cu: MICU cg: RN v1: Brisk v2: Brisk st: NotStopd t0: [00:00:00 10/09/2016] id: Pupil Size R/L el: 0 cu: MICU cg: RN v1: 3 mm v2: 3 mm st: NotStopd t0: [00:00:00 10/09/2016] id: RLL Lung Sounds el: 0 cu: MICU cg: RN v1: Diminished st: NotStopd t0: [00:00:00 10/09/2016] id: RUL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [00:00:00 10/09/2016] id: Reason For Restraint el: 0 cu: MICU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [00:00:00 10/09/2016] id: Removed x 5 Mins el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [00:00:00 10/09/2016] id: Respiratory Pattern el: 0 cu: MICU cg: RN v1: Regular st: NotStopd t0: [00:00:00 10/09/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 17 u1: BPM st: NotStopd t0: [00:00:00 10/09/2016] id: Restraint Location el: 0 cu: MICU cg: RN v1: Both Arms st: NotStopd t0: [00:00:00 10/09/2016] id: Restraint Type el: 0 cu: MICU cg: RN v1: Soft Limb st: NotStopd t0: [00:00:00 10/09/2016] id: Restraints Evaluated el: 0 cu: MICU cg: RN v1: RestraintReapply st: NotStopd t0: [00:00:00 10/09/2016] id: Side Rails el: 0 cu: MICU cg: RN v1: Side Rails Up st: NotStopd t0: [00:00:00 10/09/2016] id: Skin Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [00:00:00 10/09/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 97 u1: % st: NotStopd t0: [00:00:00 10/09/2016] id: Stool Guaiac el: 0 cu: MICU cg: RN v1: Negative st: NotStopd t0: [00:00:00 10/09/2016] id: Support Systems el: 0 cu: MICU cg: RN v1: Spouse st: NotStopd t0: [00:00:00 10/09/2016] id: Temp. Site el: 0 cu: MICU cg: RN v1: Blood st: NotStopd t0: [00:00:00 10/09/2016] id: Temperature C el: 0 cu: MICU cg: RN v1: 37.4 u1: Deg. C st: NotStopd t0: [00:00:00 10/09/2016] id: Temperature F (calc) el: 0 cu: MICU cg: RN v1: 99.32 u1: Deg. F st: NotStopd t0: [00:00:00 10/09/2016] id: Turn el: 0 cu: MICU cg: RN v1: Left Side st: NotStopd t0: [00:00:00 10/09/2016] id: Urine Color/Appear el: 0 cu: MICU cg: RN v1: Yellow v2: Sediment st: NotStopd t0: [00:00:00 10/09/2016] id: Urine Source el: 0 cu: MICU cg: RN v1: Indwelling Cath st: NotStopd t0: [00:00:00 10/09/2016] id: Verbal Response el: 0 cu: MICU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [00:00:00 10/09/2016] id: Back Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [00:00:00 10/09/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [00:00:00 10/09/2016] id: Bath el: 1 cu: MICU cg: RN v1: Done t0: [00:00:00 10/09/2016] id: Behavior el: 0 cu: MICU cg: RN v1: Sedated st: NotStopd t0: [00:00:00 10/09/2016] id: Bowel Sounds el: 0 cu: MICU cg: RN v1: Hypoactive st: NotStopd
t0: [00:00:00 10/09/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 10 vu: ml t0: [00:00:00 10/09/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: MICU cg: RN ai: 189 vo: 10 vu: ml t0: [00:00:00 10/09/2016] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 41.52 vu: ml t0: [00:00:00 10/09/2016] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 360 vu: ml
t0: [00:00:00 10/09/2016] id: Propofol el: 1 cu: MICU cg: RN so: N/A vo: 0 v1: 40 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [01:00:00 10/09/2016] id: Compliance (40-60ml) el: 0 cu: MICU cg: RRT v1: 30.9524 u1: ml/cmH st: NotStopd t0: [01:00:00 10/09/2016] id: ETT Mark/Location el: 0 cu: MICU cg: RRT v1: 23cm v2: Lip st: NotStopd t0: [01:00:00 10/09/2016] id: FiO2 Set el: 0 cu: MICU cg: RRT v1: 0.5 u1: torr st: NotStopd t0: [01:00:00 10/09/2016] id: High Insp. Pressure el: 0 cu: MICU cg: RRT v1: 50 u1: cmH2O st: NotStopd t0: [01:00:00 10/09/2016] id: High Resp. Rate el: 0 cu: MICU cg: RRT v1: 10 u1: BPM st: NotStopd t0: [01:00:00 10/09/2016] id: I:E Ratio el: 0 cu: MICU cg: RRT v1: 1:3.8 st: NotStopd t0: [01:00:00 10/09/2016] id: Airway Size el: 0 cu: MICU cg: RRT v1: 8.5 mm st: NotStopd t0: [01:00:00 10/09/2016] id: Airway Type el: 0 cu: MICU cg: RRT v1: Endotracheal st: NotStopd t0: [01:00:00 10/09/2016] id: Inspired Gas Temp el: 0 cu: MICU cg: RRT v1: 34 u1: Deg. C st: NotStopd t0: [01:00:00 10/09/2016] id: Intubation Date el: 0 cu: MICU cg: RRT v1: 7 v2: 23 st: NotStopd t0: [01:00:00 10/09/2016] id: Low Exhaled Min Vol el: 0 cu: MICU cg: RRT v1: 6 st: NotStopd t0: [01:00:00 10/09/2016] id: MDI #1 (Puff/Drug) el: 0 cu: MICU cg: RRT v1: 6 v2: Combivent st: NotStopd t0: [01:00:00 10/09/2016] id: Mean Airway Pressure el: 0 cu: MICU cg: RRT v1: 15 u1: cmH2O st: NotStopd t0: [01:00:00 10/09/2016] id: Minute Volume(Obser) el: 0 cu: MICU cg: RRT v1: 9.47 u1: L/min st: NotStopd t0: [01:00:00 10/09/2016] id: PEEP Set el: 0 cu: MICU cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [01:00:00 10/09/2016] id: Apnea Time Interval el: 0 cu: MICU cg: RRT v1: 20 st: NotStopd t0: [01:00:00 10/09/2016] id: Peak Insp. Pressure el: 0 cu: MICU cg: RRT v1: 31 u1: cmH2O st: NotStopd t0: [01:00:00 10/09/2016] id: Plateau Pressure el: 0 cu: MICU cg: RRT v1: 29 u1: cmH2O st: NotStopd t0: [01:00:00 10/09/2016] id: Plateau-Off el: 0 cu: MICU cg: RRT v1: Yes st: NotStopd t0: [01:00:00 10/09/2016] id: Resp Rate (Spont) el: 0 cu: MICU cg: RRT v1: 3 u1: BPM st: NotStopd t0: [01:00:00 10/09/2016] id: Resp Rate (Total) el: 0 cu: MICU cg: RRT v1: 17 u1: BPM st: NotStopd t0: [01:00:00 10/09/2016] id: Respiratory Rate Set el: 0 cu: MICU cg: RRT v1: 14 u1: BPM st: NotStopd t0: [01:00:00 10/09/2016] id: Sensitivity-Vent el: 0 cu: MICU cg: RRT v1: 2 u1: cmH2O st: NotStopd t0: [01:00:00 10/09/2016] id: SpO2 el: 0 cu: MICU cg: RRT v1: 97 u1: % st: NotStopd t0: [01:00:00 10/09/2016] id: Sputum Color/Consist el: 0 cu: MICU cg: RRT v1: White v2: Thick st: NotStopd t0: [01:00:00 10/09/2016] id: Sputum Source/Amt el: 0 cu: MICU cg: RRT v1: Suctioned v2: Copious st: NotStopd t0: [01:00:00 10/09/2016] id: Tidal Volume (Obser) el: 0 cu: MICU cg: RRT v1: 562 u1: ml/B st: NotStopd t0: [01:00:00 10/09/2016] id: Tidal Volume (Set) el: 0 cu: MICU cg: RRT v1: 650 u1: ml/B st: NotStopd t0: [01:00:00 10/09/2016] id: Ventilator Mode el: 0 cu: MICU cg: RRT v1: Assist Control st: NotStopd t0: [01:00:00 10/09/2016] id: Ventilator Type el: 0 cu: MICU cg: RRT v1: Drager st: NotStopd t0: [01:00:00 10/09/2016] id: Waveform-Vent el: 0 cu: MICU cg: RRT v1: RAMP st: NotStopd
t0: [01:00:00 10/09/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [01:00:00 10/09/2016] id: CVP el: 0 cu: MICU cg: RN v1: 15 u1: mmHg st: NotStopd t0: [01:00:00 10/09/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [01:00:00 10/09/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [01:00:00 10/09/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: Occasional st: NotStopd t0: [01:00:00 10/09/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: PVC's st: NotStopd t0: [01:00:00 10/09/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 99 u1: BPM st: NotStopd t0: [01:00:00 10/09/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [01:00:00 10/09/2016] id: NBP el: 0 cu: MICU cg: RN v1: 130 u1: mmHg v2: 43 u2: mmHg st: NotStopd t0: [01:00:00 10/09/2016] id: NBP Mean el: 0 cu: MICU cg: RN v1: 72 u1: mmHg st: NotStopd t0: [01:00:00 10/09/2016] id: PAP Mean el: 0 cu: MICU cg: RN v1: 47 u1: mmHg st: NotStopd t0: [01:00:00 10/09/2016] id: PAP S/D el: 0 cu: MICU cg: RN v1: 71 u1: mmHg v2: 31 u2: mmHg st: NotStopd t0: [01:00:00 10/09/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [01:00:00 10/09/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 18 u1: BPM st: NotStopd t0: [01:00:00 10/09/2016] id: Temp. Site el: 0 cu: MICU cg: RN v1: Blood st: NotStopd t0: [01:00:00 10/09/2016] id: Temperature C el: 0 cu: MICU cg: RN v1: 37.5 u1: Deg. C st: NotStopd t0: [01:00:00 10/09/2016] id: Temperature F (calc) el: 0 cu: MICU cg: RN v1: 99.5 u1: Deg. F st: NotStopd t0: [01:00:00 10/09/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [02:00:00 10/09/2016] id: Less Restrict Meas. el: 0 cu: MICU cg: RN v1: Medicated st: NotStopd t0: [02:00:00 10/09/2016] id: Range of Motion el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [02:00:00 10/09/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [02:00:00 10/09/2016] id: CVP el: 0 cu: MICU cg: RN v1: 15 u1: mmHg st: NotStopd t0: [02:00:00 10/09/2016] id: Circulation/SkinInt el: 0 cu: MICU cg: RN v1: Circulation Adeq st: NotStopd t0: [02:00:00 10/09/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [02:00:00 10/09/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [02:00:00 10/09/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: Occasional st: NotStopd t0: [02:00:00 10/09/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: PVC's st: NotStopd t0: [02:00:00 10/09/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 91 u1: BPM st: NotStopd t0: [02:00:00 10/09/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [02:00:00 10/09/2016] id: NBP el: 0 cu: MICU cg: RN v1: 119 u1: mmHg v2: 40 u2: mmHg st: NotStopd t0: [02:00:00 10/09/2016] id: NBP Mean el: 0 cu: MICU cg: RN v1: 66.3333 u1: mmHg st: NotStopd t0: [02:00:00 10/09/2016] id: PAP Mean el: 0 cu: MICU cg: RN v1: 44 u1: mmHg st: NotStopd t0: [02:00:00 10/09/2016] id: PAP S/D el: 0 cu: MICU cg: RN v1: 67 u1: mmHg v2: 30 u2: mmHg st: NotStopd t0: [02:00:00 10/09/2016] id: Position Change el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [02:00:00 10/09/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [02:00:00 10/09/2016] id: Reason For Restraint el: 0 cu: MICU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [02:00:00 10/09/2016] id: Removed x 5 Mins el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [02:00:00 10/09/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 16 u1: BPM st: NotStopd t0: [02:00:00 10/09/2016] id: Restraint Location el: 0 cu: MICU cg: RN v1: Both Arms st: NotStopd t0: [02:00:00 10/09/2016] id: Restraint Type el: 0 cu: MICU cg: RN v1: Soft Limb st: NotStopd t0: [02:00:00 10/09/2016] id: Restraints Evaluated el: 0 cu: MICU cg: RN v1: RestraintReapply st: NotStopd t0: [02:00:00 10/09/2016] id: Side Rails el: 0 cu: MICU cg: RN v1: Side Rails Up st: NotStopd t0: [02:00:00 10/09/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 98 u1: % st: NotStopd t0: [02:00:00 10/09/2016] id: Support Systems el: 0 cu: MICU cg: RN v1: Spouse st: NotStopd t0: [02:00:00 10/09/2016] id: Temp. Site el: 0 cu: MICU cg: RN v1: Blood st: NotStopd t0: [02:00:00 10/09/2016] id: Temperature C el: 0 cu: MICU cg: RN v1: 37.2 u1: Deg. C st: NotStopd t0: [02:00:00 10/09/2016] id: Temperature F (calc) el: 0 cu: MICU cg: RN v1: 98.96 u1: Deg. F st: NotStopd t0: [02:00:00 10/09/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [01:00:00 10/09/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 10 vu: ml t0: [01:00:00 10/09/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: MICU cg: RN ai: 189 vo: 10 vu: ml t0: [01:00:00 10/09/2016] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 41.52 vu: ml t0: [01:00:00 10/09/2016] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 400 vu: ml t0: [02:00:00 10/09/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 10 vu: ml t0: [02:00:00 10/09/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: MICU cg: RN ai: 189 vo: 10 vu: ml t0: [02:00:00 10/09/2016] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 41.52 vu: ml t0: [02:00:00 10/09/2016] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 400 vu: ml
t0: [01:00:00 10/09/2016] id: Propofol el: 1 cu: MICU cg: RN so: N/A vo: 0 v1: 40 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [02:00:00 10/09/2016] id: Propofol el: 1 cu: MICU cg: RN so: N/A vo: 0 v1: 40 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [03:00:00 10/09/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [03:00:00 10/09/2016] id: CVP el: 0 cu: MICU cg: RN v1: 20 u1: mmHg st: NotStopd t0: [03:00:00 10/09/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [03:00:00 10/09/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [03:00:00 10/09/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: Occasional st: NotStopd t0: [03:00:00 10/09/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: PVC's st: NotStopd t0: [03:00:00 10/09/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 95 u1: BPM st: NotStopd t0: [03:00:00 10/09/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [03:00:00 10/09/2016] id: NBP el: 0 cu: MICU cg: RN v1: 123 u1: mmHg v2: 47 u2: mmHg st: NotStopd t0: [03:00:00 10/09/2016] id: NBP Mean el: 0 cu: MICU cg: RN v1: 72.3333 u1: mmHg st: NotStopd t0: [03:00:00 10/09/2016] id: PAP Mean el: 0 cu: MICU cg: RN v1: 51 u1: mmHg st: NotStopd t0: [03:00:00 10/09/2016] id: PAP S/D el: 0 cu: MICU cg: RN v1: 76 u1: mmHg v2: 36 u2: mmHg st: NotStopd t0: [03:00:00 10/09/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [03:00:00 10/09/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 20 u1: BPM st: NotStopd t0: [03:00:00 10/09/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 97 u1: % st: NotStopd t0: [03:00:00 10/09/2016] id: Temp. Site el: 0 cu: MICU cg: RN v1: Blood st: NotStopd t0: [03:00:00 10/09/2016] id: Temperature C el: 0 cu: MICU cg: RN v1: 37.3 u1: Deg. C st: NotStopd t0: [03:00:00 10/09/2016] id: Temperature F (calc) el: 0 cu: MICU cg: RN v1: 99.14 u1: Deg. F st: NotStopd t0: [03:00:00 10/09/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [03:00:00 10/09/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 10 vu: ml t0: [03:00:00 10/09/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: MICU cg: RN ai: 189 vo: 10 vu: ml t0: [03:00:00 10/09/2016] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 41.52 vu: ml t0: [03:00:00 10/09/2016] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 260 vu: ml
t0: [03:00:00 10/09/2016] id: Propofol el: 1 cu: MICU cg: RN so: N/A vo: 0 v1: 40 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [04:00:00 10/09/2016] id: Less Restrict Meas. el: 0 cu: MICU cg: RN v1: Medicated st: NotStopd t0: [04:00:00 10/09/2016] id: Pain Present el: 0 cu: MICU cg: RN v1: No st: NotStopd t0: [04:00:00 10/09/2016] id: Range of Motion el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [04:00:00 10/09/2016] id: Pain Assess Method el: 0 cu: MICU cg: RN v1: Change in Vitals st: NotStopd t0: [04:00:00 10/09/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [04:00:00 10/09/2016] id: CVP el: 0 cu: MICU cg: RN v1: 18 u1: mmHg st: NotStopd t0: [04:00:00 10/09/2016] id: Circulation/SkinInt el: 0 cu: MICU cg: RN v1: Circulation Adeq st: NotStopd t0: [04:00:00 10/09/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [04:00:00 10/09/2016] id: Riker-SAS Scale el: 0 cu: MICU cg: RN v1: Sedated st: NotStopd t0: [04:00:00 10/09/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [04:00:00 10/09/2016] id: Diet Type el: 0 cu: MICU cg: RN v1: NPO st: NotStopd t0: [04:00:00 10/09/2016] id: Dorsal PedPulse R/L el: 0 cu: MICU cg: RN v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [04:00:00 10/09/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: Occasional st: NotStopd t0: [04:00:00 10/09/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: PVC's st: NotStopd t0: [04:00:00 10/09/2016] id: Eye Opening el: 0 cu: MICU cg: RN v1: 2 To pain st: NotStopd t0: [04:00:00 10/09/2016] id: GCS Total el: 0 cu: MICU cg: RN v1: 8 u1: points st: NotStopd t0: [04:00:00 10/09/2016] id: GI Intub #1/Site el: 0 cu: MICU cg: RN v1: Salem Sump v2: Oral st: NotStopd t0: [04:00:00 10/09/2016] id: GI#1 Tube PlaceCheck el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [04:00:00 10/09/2016] id: GI#1 Tube Stat/Drain el: 0 cu: MICU cg: RN v1: Clamped v2: Bilious st: NotStopd t0: [04:00:00 10/09/2016] id: HOB el: 0 cu: MICU cg: RN v1: 45 degrees st: NotStopd t0: [04:00:00 10/09/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 95 u1: BPM st: NotStopd t0: [04:00:00 10/09/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [04:00:00 10/09/2016] id: INV Line#1 Type/Site el: 0 cu: MICU cg: RN v1: PICC line v2: Left Brachial st: NotStopd t0: [04:00:00 10/09/2016] id: INV Line#1SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [04:00:00 10/09/2016] id: INV Line#3 Type/Site el: 0 cu: MICU cg: RN v1: PA line v2: Left Subclavian st: NotStopd t0: [04:00:00 10/09/2016] id: INV Line#3 Zero/Cal el: 0 cu: MICU cg: RN v1: No st: NotStopd t0: [04:00:00 10/09/2016] id: INV Line#3InsertDate el: 0 cu: MICU cg: RN v1: 7 v2: 24 st: NotStopd t0: [04:00:00 10/09/2016] id: INV Line#3SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [04:00:00 10/09/2016] id: Abdominal Assessment el: 0 cu: MICU cg: RN v1: Obese st: NotStopd t0: [04:00:00 10/09/2016] id: INV#3 WaveformAppear el: 0 cu: MICU cg: RN v1: Sharp st: NotStopd t0: [04:00:00 10/09/2016] id: Activity el: 0 cu: MICU cg: RN v1: Bedrest st: NotStopd t0: [04:00:00 10/09/2016] id: Activity Tolerance el: 0 cu: MICU cg: RN v1: Tolerated Well st: NotStopd t0: [04:00:00 10/09/2016] id: LLL Lung Sounds el: 0 cu: MICU cg: RN v1: Diminished st: NotStopd t0: [04:00:00 10/09/2016] id: LUL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [04:00:00 10/09/2016] id: Level of Conscious el: 0 cu: MICU cg: RN v1: Sedated st: NotStopd t0: [04:00:00 10/09/2016] id: Motor Response el: 0 cu: MICU cg: RN v1: 5 Localizes Pain st: NotStopd t0: [04:00:00 10/09/2016] id: NBP el: 0 cu: MICU cg: RN v1: 117 u1: mmHg v2: 42 u2: mmHg st: NotStopd t0: [04:00:00 10/09/2016] id: NBP Mean el: 0 cu: MICU cg: RN v1: 67 u1: mmHg st: NotStopd t0: [04:00:00 10/09/2016] id: Oral Cavity el: 0 cu: MICU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [04:00:00 10/09/2016] id: Orientation el: 0 cu: MICU cg: RN v1: Other/Remarks st: NotStopd t0: [04:00:00 10/09/2016] id: PAP Mean el: 0 cu: MICU cg: RN v1: 51 u1: mmHg st: NotStopd t0: [04:00:00 10/09/2016] id: PAP S/D el: 0 cu: MICU cg: RN v1: 75 u1: mmHg v2: 34 u2: mmHg st: NotStopd t0: [04:00:00 10/09/2016] id: Pain Location el: 0 cu: MICU cg: RN v1: Not Indicated st: NotStopd t0: [04:00:00 10/09/2016] id: Pain Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [04:00:00 10/09/2016] id: Position el: 0 cu: MICU cg: RN v1: Right Side st: NotStopd t0: [04:00:00 10/09/2016] id: Position Change el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [04:00:00 10/09/2016] id: PostTib. Pulses R/L el: 0 cu: MICU cg: RN v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [04:00:00 10/09/2016] id: Assistance Device el: 0 cu: MICU cg: RN v1: 2 Person Assist st: NotStopd t0: [04:00:00 10/09/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [04:00:00 10/09/2016] id: Pupil Response R/L el: 0 cu: MICU cg: RN v1: Brisk v2: Brisk st: NotStopd t0: [04:00:00 10/09/2016] id: Pupil Size R/L el: 0 cu: MICU cg: RN v1: 3 mm v2: 3 mm st: NotStopd t0: [04:00:00 10/09/2016] id: RLL Lung Sounds el: 0 cu: MICU cg: RN v1: Diminished st: NotStopd t0: [04:00:00 10/09/2016] id: RUL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [04:00:00 10/09/2016] id: Reason For Restraint el: 0 cu: MICU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [04:00:00 10/09/2016] id: Removed x 5 Mins el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [04:00:00 10/09/2016] id: Respiratory Pattern el: 0 cu: MICU cg: RN v1: Regular st: NotStopd t0: [04:00:00 10/09/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 19 u1: BPM st: NotStopd t0: [04:00:00 10/09/2016] id: Restraint Location el: 0 cu: MICU cg: RN v1: Both Arms st: NotStopd t0: [04:00:00 10/09/2016] id: Restraint Type el: 0 cu: MICU cg: RN v1: Soft Limb st: NotStopd t0: [04:00:00 10/09/2016] id: Restraints Evaluated el: 0 cu: MICU cg: RN v1: RestraintReapply st: NotStopd t0: [04:00:00 10/09/2016] id: Side Rails el: 0 cu: MICU cg: RN v1: Side Rails Up st: NotStopd t0: [04:00:00 10/09/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 99 u1: % st: NotStopd t0: [04:00:00 10/09/2016] id: Sputum Color/Consist el: 0 cu: MICU cg: RN v1: Tan v2: Thick st: NotStopd t0: [04:00:00 10/09/2016] id: Sputum Source/Amt el: 0 cu: MICU cg: RN v1: Suctioned v2: Moderate st: NotStopd t0: [04:00:00 10/09/2016] id: Stool Guaiac el: 0 cu: MICU cg: RN v1: Negative st: NotStopd t0: [04:00:00 10/09/2016] id: Support Systems el: 0 cu: MICU cg: RN v1: Spouse st: NotStopd t0: [04:00:00 10/09/2016] id: Temp. Site el: 0 cu: MICU cg: RN v1: Blood st: NotStopd t0: [04:00:00 10/09/2016] id: Temperature C el: 0 cu: MICU cg: RN v1: 37.2 u1: Deg. C st: NotStopd t0: [04:00:00 10/09/2016] id: Temperature F (calc) el: 0 cu: MICU cg: RN v1: 98.96 u1: Deg. F st: NotStopd t0: [04:00:00 10/09/2016] id: Turn el: 0 cu: MICU cg: RN v1: Right Side st: NotStopd t0: [04:00:00 10/09/2016] id: Urine Color/Appear el: 0 cu: MICU cg: RN v1: Yellow v2: Clear st: NotStopd t0: [04:00:00 10/09/2016] id: Urine Source el: 0 cu: MICU cg: RN v1: Indwelling Cath st: NotStopd t0: [04:00:00 10/09/2016] id: Verbal Response el: 0 cu: MICU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [04:00:00 10/09/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [04:00:00 10/09/2016] id: Behavior el: 0 cu: MICU cg: RN v1: Sedated st: NotStopd t0: [04:00:00 10/09/2016] id: Bowel Sounds el: 0 cu: MICU cg: RN v1: Hypoactive st: NotStopd
t0: [04:00:00 10/09/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 10 vu: ml t0: [04:00:00 10/09/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: MICU cg: RN ai: 189 vo: 10 vu: ml t0: [04:00:00 10/09/2016] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 41.52 vu: ml
t0: [04:00:00 10/09/2016] id: Propofol el: 1 cu: MICU cg: RN so: N/A vo: 0 v1: 40 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [04:13:00 10/09/2016] id: WBC (4-11,000) Hematology el: 0 cu: MICU cg: 1663 v1: 10.6 rs: Final st: NotStopd t0: [04:13:00 10/09/2016] id: WBC Hematology el: 0 cu: MICU cg: 1663 v1: 10.6 rs: Final st: NotStopd t0: [04:13:00 10/09/2016] id: Hematocrit Hematology el: 0 cu: MICU cg: 1663 v1: 32.4 u1: % rs: Final st: NotStopd t0: [04:13:00 10/09/2016] id: Hemoglobin Hematology el: 0 cu: MICU cg: 1663 v1: 10.2 u1: gm/dl rs: Final st: NotStopd t0: [04:13:00 10/09/2016] id: Platelets Hematology el: 0 cu: MICU cg: 1663 v1: 273 rs: Final st: NotStopd t0: [04:13:00 10/09/2016] id: RBC Hematology el: 0 cu: MICU cg: 1663 v1: 4.11 u1: /mic l rs: Final st: NotStopd t0: [04:13:00 10/09/2016] id: WBC (4-11,000) Hematology el: 0 cu: MICU cg: 1663 v1: 10.6 rs: Final st: NotStopd
t0: [04:13:00 10/09/2016] id: PT el: 0 cu: MICU cg: 1663 v1: 15.2 rs: Final st: NotStopd t0: [04:13:00 10/09/2016] id: INR Coags el: 0 cu: MICU cg: 1663 v1: 1.5 rs: Final st: NotStopd t0: [04:13:00 10/09/2016] id: PTT Coags el: 0 cu: MICU cg: 1663 v1: 105.6 rs: Final st: NotStopd t0: [04:13:00 10/09/2016] id: INR (2-4 ref. range) Coags el: 0 cu: MICU cg: 1663 v1: 1.5 rs: Final st: NotStopd t0: [04:13:00 10/09/2016] id: PT(11-13.5) Coags el: 0 cu: MICU cg: 1663 v1: 15.2 rs: Final st: NotStopd t0: [04:13:00 10/09/2016] id: PTT(22-35) Coags el: 0 cu: MICU cg: 1663 v1: 105.6 rs: Final st: NotStopd
t0: [04:13:00 10/09/2016] id: Calcium Chemistry el: 0 cu: MICU cg: 1663 v1: 9.2 u1: mg/dl rs: Final st: NotStopd t0: [04:13:00 10/09/2016] id: Chloride Chemistry el: 0 cu: MICU cg: 1663 v1: 98 rs: Final st: NotStopd t0: [04:13:00 10/09/2016] id: Creatinine Chemistry el: 0 cu: MICU cg: 1663 v1: 1.1 rs: Final st: NotStopd t0: [04:13:00 10/09/2016] id: Glucose Chemistry el: 0 cu: MICU cg: 1663 v1: 118 rs: Final st: NotStopd t0: [04:13:00 10/09/2016] id: Magnesium Chemistry el: 0 cu: MICU cg: 1663 v1: 2 rs: Final st: NotStopd t0: [04:13:00 10/09/2016] id: Phosphorous Chemistry el: 0 cu: MICU cg: 1663 v1: 4.9 u1: mEq/L rs: Final st: NotStopd t0: [04:13:00 10/09/2016] id: Potassium Chemistry el: 0 cu: MICU cg: 1663 v1: 3.4 rs: Final st: NotStopd t0: [04:13:00 10/09/2016] id: Sodium Chemistry el: 0 cu: MICU cg: 1663 v1: 140 rs: Final st: NotStopd t0: [04:13:00 10/09/2016] id: Calcium (8.4-10.2) Chemistry el: 0 cu: MICU cg: 1663 v1: 9.2 u1: mg/dl rs: Final st: NotStopd t0: [04:13:00 10/09/2016] id: Carbon Dioxide Chemistry el: 0 cu: MICU cg: 1663 v1: 27 rs: Final st: NotStopd t0: [04:13:00 10/09/2016] id: Chloride (100-112) Chemistry el: 0 cu: MICU cg: 1663 v1: 98 rs: Final st: NotStopd t0: [04:13:00 10/09/2016] id: Creatinine (0-1.3) Chemistry el: 0 cu: MICU cg: 1663 v1: 1.1 rs: Final st: NotStopd t0: [04:13:00 10/09/2016] id: Glucose (70-105) Chemistry el: 0 cu: MICU cg: 1663 v1: 118 rs: Final st: NotStopd t0: [04:13:00 10/09/2016] id: Magnesium (1.6-2.6) Chemistry el: 0 cu: MICU cg: 1663 v1: 2 rs: Final st: NotStopd t0: [04:13:00 10/09/2016] id: Phosphorous(2.7-4.5) Chemistry el: 0 cu: MICU cg: 1663 v1: 4.9 u1: mEq/L rs: Final st: NotStopd t0: [04:13:00 10/09/2016] id: Potassium (3.5-5.3) Chemistry el: 0 cu: MICU cg: 1663 v1: 3.4 rs: Final st: NotStopd t0: [04:13:00 10/09/2016] id: Sodium (135-148) Chemistry el: 0 cu: MICU cg: 1663 v1: 140 rs: Final st: NotStopd
t0: [05:00:00 10/09/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [05:00:00 10/09/2016] id: CVP el: 0 cu: MICU cg: RN v1: 17 u1: mmHg st: NotStopd t0: [05:00:00 10/09/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [05:00:00 10/09/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [05:00:00 10/09/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: Occasional st: NotStopd t0: [05:00:00 10/09/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: PVC's st: NotStopd t0: [05:00:00 10/09/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 88 u1: BPM st: NotStopd t0: [05:00:00 10/09/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [05:00:00 10/09/2016] id: NBP el: 0 cu: MICU cg: RN v1: 104 u1: mmHg v2: 35 u2: mmHg st: NotStopd t0: [05:00:00 10/09/2016] id: NBP Mean el: 0 cu: MICU cg: RN v1: 58 u1: mmHg st: NotStopd t0: [05:00:00 10/09/2016] id: PAP Mean el: 0 cu: MICU cg: RN v1: 46 u1: mmHg st: NotStopd t0: [05:00:00 10/09/2016] id: PAP S/D el: 0 cu: MICU cg: RN v1: 69 u1: mmHg v2: 32 u2: mmHg st: NotStopd t0: [05:00:00 10/09/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [05:00:00 10/09/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 18 u1: BPM st: NotStopd t0: [05:00:00 10/09/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 98 u1: % st: NotStopd t0: [05:00:00 10/09/2016] id: Temp. Site el: 0 cu: MICU cg: RN v1: Blood st: NotStopd t0: [05:00:00 10/09/2016] id: Temperature C el: 0 cu: MICU cg: RN v1: 36.9 u1: Deg. C st: NotStopd t0: [05:00:00 10/09/2016] id: Temperature F (calc) el: 0 cu: MICU cg: RN v1: 98.42 u1: Deg. F st: NotStopd t0: [05:00:00 10/09/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [04:00:00 10/09/2016] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 200 vu: ml t0: [05:00:00 10/09/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 10 vu: ml t0: [05:00:00 10/09/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: MICU cg: RN ai: 189 vo: 10 vu: ml t0: [05:00:00 10/09/2016] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 41.52 vu: ml t0: [05:00:00 10/09/2016] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 200 vu: ml
t0: [05:00:00 10/09/2016] id: Propofol el: 1 cu: MICU cg: RN so: N/A vo: 0 v1: 40 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [04:13:00 10/09/2016] id: BUN el: 0 cu: MICU cg: 1663 v1: 22 rs: Final st: NotStopd t0: [04:13:00 10/09/2016] id: BUN (6-20) Chemistry el: 0 cu: MICU cg: 1663 v1: 22 rs: Final st: NotStopd
t0: [05:00:00 10/09/2016] id: Compliance (40-60ml) el: 0 cu: MICU cg: RRT v1: 29.5455 u1: ml/cmH st: NotStopd t0: [05:00:00 10/09/2016] id: RSBI Not Completed el: 0 cu: MICU cg: RRT v1: PEEP >10 st: NotStopd t0: [05:00:00 10/09/2016] id: ETT Mark/Location el: 0 cu: MICU cg: RRT v1: 23cm v2: Lip st: NotStopd t0: [05:00:00 10/09/2016] id: FiO2 Set el: 0 cu: MICU cg: RRT v1: 0.5 u1: torr st: NotStopd t0: [05:00:00 10/09/2016] id: High Insp. Pressure el: 0 cu: MICU cg: RRT v1: 50 u1: cmH2O st: NotStopd t0: [05:00:00 10/09/2016] id: High Resp. Rate el: 0 cu: MICU cg: RRT v1: 10 u1: BPM st: NotStopd t0: [05:00:00 10/09/2016] id: I:E Ratio el: 0 cu: MICU cg: RRT v1: 1:3.8 st: NotStopd t0: [05:00:00 10/09/2016] id: Airway Size el: 0 cu: MICU cg: RRT v1: 8.5 mm st: NotStopd t0: [05:00:00 10/09/2016] id: Airway Type el: 0 cu: MICU cg: RRT v1: Endotracheal st: NotStopd t0: [05:00:00 10/09/2016] id: Inspired Gas Temp el: 0 cu: MICU cg: RRT v1: 34 u1: Deg. C st: NotStopd t0: [05:00:00 10/09/2016] id: Intubation Date el: 0 cu: MICU cg: RRT v1: 7 v2: 23 st: NotStopd t0: [05:00:00 10/09/2016] id: Low Exhaled Min Vol el: 0 cu: MICU cg: RRT v1: 6 st: NotStopd t0: [05:00:00 10/09/2016] id: Mean Airway Pressure el: 0 cu: MICU cg: RRT v1: 15 u1: cmH2O st: NotStopd t0: [05:00:00 10/09/2016] id: Minute Volume(Obser) el: 0 cu: MICU cg: RRT v1: 8.56 u1: L/min st: NotStopd t0: [05:00:00 10/09/2016] id: PEEP Set el: 0 cu: MICU cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [05:00:00 10/09/2016] id: Apnea Time Interval el: 0 cu: MICU cg: RRT v1: 20 st: NotStopd t0: [05:00:00 10/09/2016] id: Peak Insp. Pressure el: 0 cu: MICU cg: RRT v1: 32 u1: cmH2O st: NotStopd t0: [05:00:00 10/09/2016] id: Plateau Pressure el: 0 cu: MICU cg: RRT v1: 29 u1: cmH2O st: NotStopd t0: [05:00:00 10/09/2016] id: Plateau-Off el: 0 cu: MICU cg: RRT v1: Yes st: NotStopd t0: [05:00:00 10/09/2016] id: Resp Rate (Spont) el: 0 cu: MICU cg: RRT v1: 1 u1: BPM st: NotStopd t0: [05:00:00 10/09/2016] id: Resp Rate (Total) el: 0 cu: MICU cg: RRT v1: 15 u1: BPM st: NotStopd t0: [05:00:00 10/09/2016] id: Respiratory Rate Set el: 0 cu: MICU cg: RRT v1: 14 u1: BPM st: NotStopd t0: [05:00:00 10/09/2016] id: Sensitivity-Vent el: 0 cu: MICU cg: RRT v1: 2 u1: cmH2O st: NotStopd t0: [05:00:00 10/09/2016] id: Sputum Source/Amt el: 0 cu: MICU cg: RRT v1: Suctioned v2: Scant st: NotStopd t0: [05:00:00 10/09/2016] id: Tidal Volume (Obser) el: 0 cu: MICU cg: RRT v1: 600 u1: ml/B st: NotStopd t0: [05:00:00 10/09/2016] id: Tidal Volume (Set) el: 0 cu: MICU cg: RRT v1: 650 u1: ml/B st: NotStopd t0: [05:00:00 10/09/2016] id: Ventilator Mode el: 0 cu: MICU cg: RRT v1: Assist Control st: NotStopd t0: [05:00:00 10/09/2016] id: Ventilator Type el: 0 cu: MICU cg: RRT v1: Drager st: NotStopd t0: [05:00:00 10/09/2016] id: Waveform-Vent el: 0 cu: MICU cg: RRT v1: RAMP st: NotStopd
t0: [06:00:00 10/09/2016] id: Less Restrict Meas. el: 0 cu: MICU cg: RN v1: Medicated st: NotStopd t0: [06:00:00 10/09/2016] id: Range of Motion el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [06:00:00 10/09/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [06:00:00 10/09/2016] id: CVP el: 0 cu: MICU cg: RN v1: 19 u1: mmHg st: NotStopd t0: [06:00:00 10/09/2016] id: Circulation/SkinInt el: 0 cu: MICU cg: RN v1: Circulation Adeq st: NotStopd t0: [06:00:00 10/09/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [06:00:00 10/09/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [06:00:00 10/09/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: Occasional st: NotStopd t0: [06:00:00 10/09/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: PVC's st: NotStopd t0: [06:00:00 10/09/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 96 u1: BPM st: NotStopd t0: [06:00:00 10/09/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [06:00:00 10/09/2016] id: NBP el: 0 cu: MICU cg: RN v1: 121 u1: mmHg v2: 42 u2: mmHg st: NotStopd t0: [06:00:00 10/09/2016] id: NBP Mean el: 0 cu: MICU cg: RN v1: 68.3333 u1: mmHg st: NotStopd t0: [06:00:00 10/09/2016] id: PAP Mean el: 0 cu: MICU cg: RN v1: 52 u1: mmHg st: NotStopd t0: [06:00:00 10/09/2016] id: PAP S/D el: 0 cu: MICU cg: RN v1: 78 u1: mmHg v2: 36 u2: mmHg st: NotStopd t0: [06:00:00 10/09/2016] id: Position Change el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [06:00:00 10/09/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [06:00:00 10/09/2016] id: Reason For Restraint el: 0 cu: MICU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [06:00:00 10/09/2016] id: Removed x 5 Mins el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [06:00:00 10/09/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 18 u1: BPM st: NotStopd t0: [06:00:00 10/09/2016] id: Restraint Location el: 0 cu: MICU cg: RN v1: Both Arms st: NotStopd t0: [06:00:00 10/09/2016] id: Restraint Type el: 0 cu: MICU cg: RN v1: Soft Limb st: NotStopd t0: [06:00:00 10/09/2016] id: Restraints Evaluated el: 0 cu: MICU cg: RN v1: RestraintReapply st: NotStopd t0: [06:00:00 10/09/2016] id: Side Rails el: 0 cu: MICU cg: RN v1: Side Rails Up st: NotStopd t0: [06:00:00 10/09/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 98 u1: % st: NotStopd t0: [06:00:00 10/09/2016] id: Support Systems el: 0 cu: MICU cg: RN v1: Spouse st: NotStopd t0: [06:00:00 10/09/2016] id: Temp. Site el: 0 cu: MICU cg: RN v1: Blood st: NotStopd t0: [06:00:00 10/09/2016] id: Temperature C el: 0 cu: MICU cg: RN v1: 37.1 u1: Deg. C st: NotStopd t0: [06:00:00 10/09/2016] id: Temperature F (calc) el: 0 cu: MICU cg: RN v1: 98.78 u1: Deg. F st: NotStopd t0: [06:00:00 10/09/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [06:00:00 10/09/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 10 vu: ml t0: [06:00:00 10/09/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: MICU cg: RN ai: 189 vo: 10 vu: ml t0: [06:00:00 10/09/2016] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 41.52 vu: ml t0: [06:00:00 10/09/2016] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 260 vu: ml
t0: [06:00:00 10/09/2016] id: Propofol el: 1 cu: MICU cg: RN so: N/A vo: 0 v1: 40 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [06:50:00 10/09/2016] id: Art.pH ABG el: 0 cu: MICU cg: 1663 v1: 7.48 rs: Final st: NotStopd t0: [06:50:00 10/09/2016] id: Arterial Base Excess ABG el: 0 cu: MICU cg: 1663 v1: 5 rs: Final st: NotStopd t0: [06:50:00 10/09/2016] id: Arterial CO2(Calc) ABG el: 0 cu: MICU cg: 1663 v1: 31 rs: Final st: NotStopd t0: [06:50:00 10/09/2016] id: Arterial PaCO2 ABG el: 0 cu: MICU cg: 1663 v1: 40 u1: mmHg rs: Final st: NotStopd t0: [06:50:00 10/09/2016] id: Arterial PaO2 ABG el: 0 cu: MICU cg: 1663 v1: 90 u1: mmHg rs: Final st: NotStopd t0: [06:50:00 10/09/2016] id: Arterial pH ABG el: 0 cu: MICU cg: 1663 v1: 7.48 rs: Final st: NotStopd
t0: [07:00:00 10/09/2016] id: Hematocrit Hematology el: 0 cu: MICU cg: 1663 v1: 32 u1: % rs: Final st: NotStopd
tf: [10:00:00 13/09/2016] pt: Unit Dose rt: PO fr: TID fs: 08, 16, 22 dn: 3 m1: Captopril v1: 100 u1: mg
t0: [08:00:00 10/09/2016] id: Less Restrict Meas. el: 0 cu: MICU cg: RN v1: Medicated st: NotStopd t0: [08:00:00 10/09/2016] id: Range of Motion el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [08:00:00 10/09/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [08:00:00 10/09/2016] id: CVP el: 0 cu: MICU cg: RN v1: 17 u1: mmHg st: NotStopd t0: [08:00:00 10/09/2016] id: Circulation/SkinInt el: 0 cu: MICU cg: RN v1: Circulation Adeq st: NotStopd t0: [08:00:00 10/09/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [08:00:00 10/09/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [08:00:00 10/09/2016] id: Diet Type el: 0 cu: MICU cg: RN v1: NPO st: NotStopd t0: [08:00:00 10/09/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: Rare st: NotStopd t0: [08:00:00 10/09/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: PVC's st: NotStopd t0: [08:00:00 10/09/2016] id: Eye Opening el: 0 cu: MICU cg: RN v1: 2 To pain st: NotStopd t0: [08:00:00 10/09/2016] id: GCS Total el: 0 cu: MICU cg: RN v1: 8 u1: points st: NotStopd t0: [08:00:00 10/09/2016] id: GI Intub #1/Site el: 0 cu: MICU cg: RN v1: Salem Sump v2: Oral st: NotStopd t0: [08:00:00 10/09/2016] id: GI#1 Tube Stat/Drain el: 0 cu: MICU cg: RN v1: Clamped v2: Bilious st: NotStopd t0: [08:00:00 10/09/2016] id: HOB el: 0 cu: MICU cg: RN v1: 15 degrees st: NotStopd t0: [08:00:00 10/09/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 94 u1: BPM st: NotStopd t0: [08:00:00 10/09/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [08:00:00 10/09/2016] id: INV Line#1 Type/Site el: 0 cu: MICU cg: RN v1: PICC line v2: Left Brachial st: NotStopd t0: [08:00:00 10/09/2016] id: INV Line#1SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [08:00:00 10/09/2016] id: INV Line#3 Type/Site el: 0 cu: MICU cg: RN v1: PA line v2: Left Subclavian st: NotStopd t0: [08:00:00 10/09/2016] id: INV Line#3 Zero/Cal el: 0 cu: MICU cg: RN v1: No st: NotStopd t0: [08:00:00 10/09/2016] id: INV Line#3InsertDate el: 0 cu: MICU cg: RN v1: 7 v2: 24 st: NotStopd t0: [08:00:00 10/09/2016] id: INV Line#3SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [08:00:00 10/09/2016] id: Abdominal Assessment el: 0 cu: MICU cg: RN v1: Obese st: NotStopd t0: [08:00:00 10/09/2016] id: INV#3 WaveformAppear el: 0 cu: MICU cg: RN v1: Sharp st: NotStopd t0: [08:00:00 10/09/2016] id: Activity el: 0 cu: MICU cg: RN v1: Bedrest st: NotStopd t0: [08:00:00 10/09/2016] id: Activity Tolerance el: 0 cu: MICU cg: RN v1: Tolerated Well st: NotStopd t0: [08:00:00 10/09/2016] id: LLL Lung Sounds el: 0 cu: MICU cg: RN v1: Diminished st: NotStopd t0: [08:00:00 10/09/2016] id: LUL Lung Sounds el: 0 cu: MICU cg: RN v1: Diminished st: NotStopd t0: [08:00:00 10/09/2016] id: Level of Conscious el: 0 cu: MICU cg: RN v1: Sedated st: NotStopd t0: [08:00:00 10/09/2016] id: Motor Response el: 0 cu: MICU cg: RN v1: 5 Localizes Pain st: NotStopd t0: [08:00:00 10/09/2016] id: NBP el: 0 cu: MICU cg: RN v1: 115 u1: mmHg v2: 41 u2: mmHg st: NotStopd t0: [08:00:00 10/09/2016] id: NBP Mean el: 0 cu: MICU cg: RN v1: 65.6667 u1: mmHg st: NotStopd t0: [08:00:00 10/09/2016] id: Oral Cavity el: 0 cu: MICU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [08:00:00 10/09/2016] id: Orientation el: 0 cu: MICU cg: RN v1: Other/Remarks st: NotStopd t0: [08:00:00 10/09/2016] id: PAP Mean el: 0 cu: MICU cg: RN v1: 49 u1: mmHg st: NotStopd t0: [08:00:00 10/09/2016] id: PAP S/D el: 0 cu: MICU cg: RN v1: 72 u1: mmHg v2: 33 u2: mmHg st: NotStopd t0: [08:00:00 10/09/2016] id: Position el: 0 cu: MICU cg: RN v1: Supine st: NotStopd t0: [08:00:00 10/09/2016] id: Position Change el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [08:00:00 10/09/2016] id: Assistance Device el: 0 cu: MICU cg: RN v1: 2 Person Assist st: NotStopd t0: [08:00:00 10/09/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [08:00:00 10/09/2016] id: Pupil Response R/L el: 0 cu: MICU cg: RN v1: Brisk v2: Brisk st: NotStopd t0: [08:00:00 10/09/2016] id: Pupil Size R/L el: 0 cu: MICU cg: RN v1: 3 mm v2: 3 mm st: NotStopd t0: [08:00:00 10/09/2016] id: RLL Lung Sounds el: 0 cu: MICU cg: RN v1: Diminished st: NotStopd t0: [08:00:00 10/09/2016] id: RUL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [08:00:00 10/09/2016] id: Reason For Restraint el: 0 cu: MICU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [08:00:00 10/09/2016] id: Removed x 5 Mins el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [08:00:00 10/09/2016] id: Respiratory Pattern el: 0 cu: MICU cg: RN v1: Regular st: NotStopd t0: [08:00:00 10/09/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 17 u1: BPM st: NotStopd t0: [08:00:00 10/09/2016] id: Restraint Location el: 0 cu: MICU cg: RN v1: Both Arms st: NotStopd t0: [08:00:00 10/09/2016] id: Restraint Type el: 0 cu: MICU cg: RN v1: Soft Limb st: NotStopd t0: [08:00:00 10/09/2016] id: Restraints Evaluated el: 0 cu: MICU cg: RN v1: RestraintReapply st: NotStopd t0: [08:00:00 10/09/2016] id: Side Rails el: 0 cu: MICU cg: RN v1: Side Rails Up st: NotStopd t0: [08:00:00 10/09/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 100 u1: % st: NotStopd t0: [08:00:00 10/09/2016] id: Support Systems el: 0 cu: MICU cg: RN v1: Spouse st: NotStopd t0: [08:00:00 10/09/2016] id: Temperature C el: 0 cu: MICU cg: RN v1: 37.2 u1: Deg. C st: NotStopd t0: [08:00:00 10/09/2016] id: Temperature F (calc) el: 0 cu: MICU cg: RN v1: 98.96 u1: Deg. F st: NotStopd t0: [08:00:00 10/09/2016] id: Turn el: 0 cu: MICU cg: RN v1: Back st: NotStopd t0: [08:00:00 10/09/2016] id: Urine Color/Appear el: 0 cu: MICU cg: RN v1: Yellow v2: Clear st: NotStopd t0: [08:00:00 10/09/2016] id: Urine Source el: 0 cu: MICU cg: RN v1: Indwelling Cath st: NotStopd t0: [08:00:00 10/09/2016] id: Verbal Response el: 0 cu: MICU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [08:00:00 10/09/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [08:00:00 10/09/2016] id: Behavior el: 0 cu: MICU cg: RN v1: Sedated st: NotStopd t0: [08:00:00 10/09/2016] id: Bowel Sounds el: 0 cu: MICU cg: RN v1: Hypoactive st: NotStopd
t0: [08:00:00 10/09/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 20 vu: ml t0: [08:00:00 10/09/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: MICU cg: RN ai: 189 vo: 20 vu: ml t0: [08:00:00 10/09/2016] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 83.04 vu: ml t0: [08:00:00 10/09/2016] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 500 vu: ml
t0: [08:00:00 10/09/2016] id: Propofol el: 1 cu: MICU cg: RN so: N/A vo: 0 v1: 40 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [23:00:00 10/09/2016] dt: 24 id: Urine Out Total el: 2 cu: MICU cg: RN cv: 3300 ap: none
t0: [08:00:00 10/09/2016] id: Compliance (40-60ml) el: 0 cu: MICU cg: -1 v1: 27.0833 u1: ml/cmH st: NotStopd t0: [08:00:00 10/09/2016] id: ETT Mark/Location el: 0 cu: MICU cg: -1 v1: 23cm v2: Lip st: NotStopd t0: [08:00:00 10/09/2016] id: High Insp. Pressure el: 0 cu: MICU cg: -1 v1: 50 u1: cmH2O st: NotStopd t0: [08:00:00 10/09/2016] id: High Resp. Rate el: 0 cu: MICU cg: -1 v1: 10 u1: BPM st: NotStopd t0: [08:00:00 10/09/2016] id: I:E Ratio el: 0 cu: MICU cg: -1 v1: 1:3.8 st: NotStopd t0: [08:00:00 10/09/2016] id: Airway Size el: 0 cu: MICU cg: -1 v1: 8.5 mm st: NotStopd t0: [08:00:00 10/09/2016] id: Airway Type el: 0 cu: MICU cg: -1 v1: Endotracheal st: NotStopd t0: [08:00:00 10/09/2016] id: Inspired Gas Temp el: 0 cu: MICU cg: -1 v1: 35 u1: Deg. C st: NotStopd t0: [08:00:00 10/09/2016] id: Intubation Date el: 0 cu: MICU cg: -1 v1: 7 v2: 23 st: NotStopd t0: [08:00:00 10/09/2016] id: Low Exhaled Min Vol el: 0 cu: MICU cg: -1 v1: 6 st: NotStopd t0: [08:00:00 10/09/2016] id: MDI #1 (Puff/Drug) el: 0 cu: MICU cg: -1 v1: 6 v2: Combivent st: NotStopd t0: [08:00:00 10/09/2016] id: Mean Airway Pressure el: 0 cu: MICU cg: -1 v1: 15 u1: cmH2O st: NotStopd t0: [08:00:00 10/09/2016] id: Minute Volume(Obser) el: 0 cu: MICU cg: -1 v1: 8.9 u1: L/min st: NotStopd t0: [08:00:00 10/09/2016] id: PEEP Set el: 0 cu: MICU cg: -1 v1: 10 u1: cmH2O st: NotStopd t0: [08:00:00 10/09/2016] id: Apnea Time Interval el: 0 cu: MICU cg: -1 v1: 20 st: NotStopd t0: [08:00:00 10/09/2016] id: Peak Flow el: 0 cu: MICU cg: -1 u1: L/m st: NotStopd t0: [08:00:00 10/09/2016] id: Peak Insp. Pressure el: 0 cu: MICU cg: -1 v1: 34 u1: cmH2O st: NotStopd t0: [08:00:00 10/09/2016] id: Plateau Pressure el: 0 cu: MICU cg: -1 v1: 32 u1: cmH2O st: NotStopd t0: [08:00:00 10/09/2016] id: Plateau-Off el: 0 cu: MICU cg: -1 v1: Yes st: NotStopd t0: [08:00:00 10/09/2016] id: Resp Rate (Spont) el: 0 cu: MICU cg: -1 v1: 0 u1: BPM st: NotStopd t0: [08:00:00 10/09/2016] id: Resp Rate (Total) el: 0 cu: MICU cg: -1 v1: 14 u1: BPM st: NotStopd t0: [08:00:00 10/09/2016] id: Respiratory Rate Set el: 0 cu: MICU cg: -1 v1: 14 u1: BPM st: NotStopd t0: [08:00:00 10/09/2016] id: Sensitivity-Vent el: 0 cu: MICU cg: -1 v1: 2 u1: cmH2O st: NotStopd t0: [08:00:00 10/09/2016] id: Sputum Color/Consist el: 0 cu: MICU cg: -1 v1: Yellow v2: Thick st: NotStopd t0: [08:00:00 10/09/2016] id: Sputum Source/Amt el: 0 cu: MICU cg: -1 v1: Suctioned v2: Small st: NotStopd t0: [08:00:00 10/09/2016] id: Tidal Volume (Obser) el: 0 cu: MICU cg: -1 v1: 636 u1: ml/B st: NotStopd t0: [08:00:00 10/09/2016] id: Tidal Volume (Set) el: 0 cu: MICU cg: -1 v1: 650 u1: ml/B st: NotStopd t0: [08:00:00 10/09/2016] id: Ventilator Mode el: 0 cu: MICU cg: -1 v1: Assist Control st: NotStopd t0: [08:00:00 10/09/2016] id: Ventilator Type el: 0 cu: MICU cg: -1 v1: Drager st: NotStopd t0: [08:00:00 10/09/2016] id: Waveform-Vent el: 0 cu: MICU cg: -1 v1: RAMP st: NotStopd
t0: [08:00:00 10/09/2016] id: FiO2 Set el: 0 cu: MICU cg: -1 v1: 0.4 u1: torr st: NotStopd
t0: [08:30:00 10/09/2016] id: D5W 100.0ml IV Infusions el: 2 cu: MICU cg: RN ai: 107 vo: 50 vu: ml t0: [08:30:00 10/09/2016] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 20.76 vu: ml t0: [08:30:00 10/09/2016] id: Gastric Meds PO/Gastric el: 1 cu: MICU cg: RN ai: 107 vo: 50 vu: ml t0: [08:30:00 10/09/2016] tf: [08:00:00 18/09/2016] dt: 11490 id: Gastric Oral Gastric el: 1 cu: MICU cg: RN vo: 10 vu: ml
t0: [23:00:00 10/09/2016] dt: 1 id: Total Hourly Output el: 2 cu: MICU cg: RN cv: 0 ap: none t0: [23:00:00 10/09/2016] dt: 1 id: Net Hourly Balance el: 2 cu: MICU cg: RN pv: 71.52 cv: 71.52 ap: none t0: [23:00:00 10/09/2016] dt: 24 id: Gastric Out Total el: 2 cu: MICU cg: RN cv: 10 ap: none t0: [23:00:00 10/09/2016] dt: 24 id: IV Infusion In Total el: 2 cu: MICU cg: RN pv: 61.52 cv: 1576.48 ap: none t0: [23:00:00 10/09/2016] dt: 24 id: 24h Total In el: 2 cu: MICU cg: RN pv: 71.52 cv: 1758.98 ap: none t0: [23:00:00 10/09/2016] dt: 24 id: PO/Gastric In Total el: 2 cu: MICU cg: RN cv: 100 ap: none t0: [23:00:00 10/09/2016] dt: 24 id: 24h Net Body Balance el: 2 cu: MICU cg: RN pv: 71.52 cv: -1551.02 ap: none t0: [23:00:00 10/09/2016] dt: 24 id: 24h Total Out el: 2 cu: MICU cg: RN cv: 3310 ap: none t0: [23:00:00 10/09/2016] dt: multiple days id: LOS Net Body Balance el: 2 cu: MICU cg: RN pv: 71.52 cv: -327.939 ap: none
t0: [06:30:00 10/09/2016] id: Mixed Venous O2% Sat Blood Gases el: 0 cu: MICU cg: RN v1: 69 rs: Manual st: NotStopd
t0: [09:00:00 10/09/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [09:00:00 10/09/2016] id: CVP el: 0 cu: MICU cg: RN v1: 17 u1: mmHg st: NotStopd t0: [09:00:00 10/09/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [09:00:00 10/09/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [09:00:00 10/09/2016] id: NBP el: 0 cu: MICU cg: RN v1: 116 u1: mmHg v2: 39 u2: mmHg st: NotStopd t0: [09:00:00 10/09/2016] id: NBP Mean el: 0 cu: MICU cg: RN v1: 64.6667 u1: mmHg st: NotStopd t0: [09:00:00 10/09/2016] id: PAP Mean el: 0 cu: MICU cg: RN v1: 49 u1: mmHg st: NotStopd t0: [09:00:00 10/09/2016] id: PAP S/D el: 0 cu: MICU cg: RN v1: 72 u1: mmHg v2: 32 u2: mmHg st: NotStopd t0: [09:00:00 10/09/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [09:00:00 10/09/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 19 u1: BPM st: NotStopd t0: [09:00:00 10/09/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 97 u1: % st: NotStopd t0: [09:00:00 10/09/2016] id: Temp. Site el: 0 cu: MICU cg: RN v1: Oral st: NotStopd t0: [09:00:00 10/09/2016] id: Temperature C el: 0 cu: MICU cg: RN v1: 37.2 u1: Deg. C st: NotStopd t0: [09:00:00 10/09/2016] id: Temperature C (calc) el: 0 cu: MICU cg: RN v1: 36.8333 u1: Deg. C st: NotStopd t0: [09:00:00 10/09/2016] id: Temperature F el: 0 cu: MICU cg: RN v1: 98.3 u1: Deg. F st: NotStopd t0: [09:00:00 10/09/2016] id: Temperature F (calc) el: 0 cu: MICU cg: RN v1: 98.96 u1: Deg. F st: NotStopd
t0: [09:00:00 10/09/2016] id: Propofol el: 1 cu: MICU cg: RN so: N/A vo: 0 v1: 40 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [06:30:00 10/09/2016] id: Cardiac Index el: 0 cu: MICU cg: 1663 v1: 3.25658 u1: ... st: NotStopd t0: [06:30:00 10/09/2016] id: C.O. (fick) el: 0 cu: MICU cg: 1663 v1: 9.92934 u1: L/min st: NotStopd t0: [06:50:00 10/09/2016] id: CaO2 el: 0 cu: MICU cg: 1663 v1: 13.537 u1: ml/dl st: NotStopd t0: [06:50:00 10/09/2016] id: DO2I el: 0 cu: MICU cg: 1663 v1: 456.4 u1: ml/m/m st: NotStopd t0: [06:50:00 10/09/2016] id: SaO2 ABG's el: 0 cu: MICU cg: 1663 v1: 97 u1: % rs: Final st: NotStopd
t0: [09:00:00 10/09/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [09:00:00 10/09/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 104 u1: BPM st: NotStopd t0: [09:00:00 10/09/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Sinus Tachy st: NotStopd t0: [09:00:00 10/09/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [10:00:00 10/09/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [10:00:00 10/09/2016] id: CVP el: 0 cu: MICU cg: RN v1: 15 u1: mmHg st: NotStopd t0: [10:00:00 10/09/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [10:00:00 10/09/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [10:00:00 10/09/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [10:00:00 10/09/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [10:00:00 10/09/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 94 u1: BPM st: NotStopd t0: [10:00:00 10/09/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [10:00:00 10/09/2016] id: NBP el: 0 cu: MICU cg: RN v1: 103 u1: mmHg v2: 31 u2: mmHg st: NotStopd t0: [10:00:00 10/09/2016] id: NBP Mean el: 0 cu: MICU cg: RN v1: 55 u1: mmHg st: NotStopd t0: [10:00:00 10/09/2016] id: PAP Mean el: 0 cu: MICU cg: RN v1: 41 u1: mmHg st: NotStopd t0: [10:00:00 10/09/2016] id: PAP S/D el: 0 cu: MICU cg: RN v1: 62 u1: mmHg v2: 28 u2: mmHg st: NotStopd t0: [10:00:00 10/09/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [10:00:00 10/09/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 17 u1: BPM st: NotStopd t0: [10:00:00 10/09/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 95 u1: % st: NotStopd t0: [10:00:00 10/09/2016] id: Temperature C el: 0 cu: MICU cg: RN v1: 37.2 u1: Deg. C st: NotStopd t0: [10:00:00 10/09/2016] id: Temperature F (calc) el: 0 cu: MICU cg: RN v1: 98.96 u1: Deg. F st: NotStopd t0: [10:00:00 10/09/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [11:00:00 10/09/2016] id: Less Restrict Meas. el: 0 cu: MICU cg: RN v1: Medicated st: NotStopd t0: [11:00:00 10/09/2016] id: Range of Motion el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [11:00:00 10/09/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [11:00:00 10/09/2016] id: CVP el: 0 cu: MICU cg: RN v1: 20 u1: mmHg st: NotStopd t0: [11:00:00 10/09/2016] id: Circulation/SkinInt el: 0 cu: MICU cg: RN v1: Circulation Adeq st: NotStopd t0: [11:00:00 10/09/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [11:00:00 10/09/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [11:00:00 10/09/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: Rare st: NotStopd t0: [11:00:00 10/09/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: PVC's st: NotStopd t0: [11:00:00 10/09/2016] id: HOB el: 0 cu: MICU cg: RN v1: 45 degrees st: NotStopd t0: [11:00:00 10/09/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 92 u1: BPM st: NotStopd t0: [11:00:00 10/09/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [11:00:00 10/09/2016] id: Activity el: 0 cu: MICU cg: RN v1: Bedrest st: NotStopd t0: [11:00:00 10/09/2016] id: Activity Tolerance el: 0 cu: MICU cg: RN v1: Tolerated Well st: NotStopd t0: [11:00:00 10/09/2016] id: NBP el: 0 cu: MICU cg: RN v1: 113 u1: mmHg v2: 41 u2: mmHg st: NotStopd t0: [11:00:00 10/09/2016] id: NBP Mean el: 0 cu: MICU cg: RN v1: 65 u1: mmHg st: NotStopd t0: [11:00:00 10/09/2016] id: PAP Mean el: 0 cu: MICU cg: RN v1: 48 u1: mmHg st: NotStopd t0: [11:00:00 10/09/2016] id: PAP S/D el: 0 cu: MICU cg: RN v1: 70 u1: mmHg v2: 34 u2: mmHg st: NotStopd t0: [11:00:00 10/09/2016] id: AntiEmbDevice/Status el: 0 cu: MICU cg: RN v1: None/Remarks st: NotStopd t0: [11:00:00 10/09/2016] id: Position Change el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [11:00:00 10/09/2016] id: Assistance Device el: 0 cu: MICU cg: RN v1: 2 Person Assist st: NotStopd t0: [11:00:00 10/09/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [11:00:00 10/09/2016] id: Reason For Restraint el: 0 cu: MICU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [11:00:00 10/09/2016] id: Removed x 5 Mins el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [11:00:00 10/09/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 15 u1: BPM st: NotStopd t0: [11:00:00 10/09/2016] id: Restraint Location el: 0 cu: MICU cg: RN v1: Both Arms st: NotStopd t0: [11:00:00 10/09/2016] id: Restraint Type el: 0 cu: MICU cg: RN v1: Soft Limb st: NotStopd t0: [11:00:00 10/09/2016] id: Restraints Evaluated el: 0 cu: MICU cg: RN v1: Behavior Conts st: NotStopd t0: [11:00:00 10/09/2016] id: Side Rails el: 0 cu: MICU cg: RN v1: Side Rails Up st: NotStopd t0: [11:00:00 10/09/2016] id: Skin Integrity el: 0 cu: MICU cg: RN v1: Intact st: NotStopd t0: [11:00:00 10/09/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 97 u1: % st: NotStopd t0: [11:00:00 10/09/2016] id: Support Systems el: 0 cu: MICU cg: RN v1: Spouse st: NotStopd t0: [11:00:00 10/09/2016] id: Temperature C el: 0 cu: MICU cg: RN v1: 37.3 u1: Deg. C st: NotStopd t0: [11:00:00 10/09/2016] id: Temperature F (calc) el: 0 cu: MICU cg: RN v1: 99.14 u1: Deg. F st: NotStopd t0: [11:00:00 10/09/2016] id: Turn el: 0 cu: MICU cg: RN v1: Back st: NotStopd t0: [11:00:00 10/09/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [11:00:00 10/09/2016] id: Braden Activity el: 0 cu: MICU cg: RN v1: Bedfast st: NotStopd t0: [11:00:00 10/09/2016] id: Braden Frict/Shear el: 0 cu: MICU cg: RN v1: Potential Prob st: NotStopd t0: [11:00:00 10/09/2016] id: Braden Mobility el: 0 cu: MICU cg: RN v1: Comp. Immobile st: NotStopd t0: [11:00:00 10/09/2016] id: Braden Moisture el: 0 cu: MICU cg: RN v1: Rarely Moist st: NotStopd t0: [11:00:00 10/09/2016] id: Braden Nutrition el: 0 cu: MICU cg: RN v1: Very Poor st: NotStopd t0: [11:00:00 10/09/2016] id: Braden Score el: 0 cu: MICU cg: RN v1: 11 u1: number st: NotStopd t0: [11:00:00 10/09/2016] id: Braden SensoryPercep el: 0 cu: MICU cg: RN v1: Very Limited st: NotStopd
t0: [10:00:00 10/09/2016] id: Propofol el: 1 cu: MICU cg: RN so: N/A vo: 0 v1: 40 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [11:00:00 10/09/2016] id: Propofol el: 1 cu: MICU cg: RN so: N/A vo: 0 v1: 40 du: mcgkgmin sv: 50 su: vl rt: IV Drip
tf: [20:00:00 24/10/2016] pt: Unit Dose rt: SC fr: Q8H fs: 11, 19, 3 dn: 3 m1: Heparin v1: 5000 u1: UNIT
t0: [12:00:00 10/09/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [12:00:00 10/09/2016] id: CVP el: 0 cu: MICU cg: RN v1: 22 u1: mmHg st: NotStopd t0: [12:00:00 10/09/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [12:00:00 10/09/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [12:00:00 10/09/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: Rare st: NotStopd t0: [12:00:00 10/09/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: PVC's st: NotStopd t0: [12:00:00 10/09/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 96 u1: BPM st: NotStopd t0: [12:00:00 10/09/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [12:00:00 10/09/2016] id: NBP el: 0 cu: MICU cg: RN v1: 111 u1: mmHg v2: 39 u2: mmHg st: NotStopd t0: [12:00:00 10/09/2016] id: NBP Mean el: 0 cu: MICU cg: RN v1: 63 u1: mmHg st: NotStopd t0: [12:00:00 10/09/2016] id: PAP Mean el: 0 cu: MICU cg: RN v1: 52 u1: mmHg st: NotStopd t0: [12:00:00 10/09/2016] id: PAP S/D el: 0 cu: MICU cg: RN v1: 76 u1: mmHg v2: 37 u2: mmHg st: NotStopd t0: [12:00:00 10/09/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [12:00:00 10/09/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 17 u1: BPM st: NotStopd t0: [12:00:00 10/09/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 98 u1: % st: NotStopd t0: [12:00:00 10/09/2016] id: Sputum Color/Consist el: 0 cu: MICU cg: RN v1: Yellow v2: Thick st: NotStopd t0: [12:00:00 10/09/2016] id: Sputum Source/Amt el: 0 cu: MICU cg: RN v1: Suctioned v2: Small st: NotStopd t0: [12:00:00 10/09/2016] id: Temperature C el: 0 cu: MICU cg: RN v1: 37.4 u1: Deg. C st: NotStopd t0: [12:00:00 10/09/2016] id: Temperature F (calc) el: 0 cu: MICU cg: RN v1: 99.32 u1: Deg. F st: NotStopd t0: [12:00:00 10/09/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [12:00:00 10/09/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 40 vu: ml t0: [12:00:00 10/09/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: MICU cg: RN ai: 189 vo: 40 vu: ml t0: [12:00:00 10/09/2016] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 145.32 vu: ml t0: [12:00:00 10/09/2016] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 200 vu: ml
t0: [12:00:00 10/09/2016] id: Propofol el: 1 cu: MICU cg: RN so: N/A vo: 0 v1: 40 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [12:00:00 10/09/2016] id: Compliance (40-60ml) el: 0 cu: MICU cg: -1 v1: 28.2609 u1: ml/cmH st: NotStopd t0: [12:00:00 10/09/2016] id: ETT Mark/Location el: 0 cu: MICU cg: -1 v1: 23cm v2: Lip st: NotStopd t0: [12:00:00 10/09/2016] id: FiO2 Set el: 0 cu: MICU cg: -1 v1: 0.4 u1: torr st: NotStopd t0: [12:00:00 10/09/2016] id: High Insp. Pressure el: 0 cu: MICU cg: -1 v1: 50 u1: cmH2O st: NotStopd t0: [12:00:00 10/09/2016] id: High Resp. Rate el: 0 cu: MICU cg: -1 v1: 10 u1: BPM st: NotStopd t0: [12:00:00 10/09/2016] id: I:E Ratio el: 0 cu: MICU cg: -1 v1: 1:3.8 st: NotStopd t0: [12:00:00 10/09/2016] id: Airway Size el: 0 cu: MICU cg: -1 v1: 8.5 mm st: NotStopd t0: [12:00:00 10/09/2016] id: Airway Type el: 0 cu: MICU cg: -1 v1: Endotracheal st: NotStopd t0: [12:00:00 10/09/2016] id: Inspired Gas Temp el: 0 cu: MICU cg: -1 v1: 35 u1: Deg. C st: NotStopd t0: [12:00:00 10/09/2016] id: Intubation Date el: 0 cu: MICU cg: -1 v1: 7 v2: 23 st: NotStopd t0: [12:00:00 10/09/2016] id: Low Exhaled Min Vol el: 0 cu: MICU cg: -1 v1: 6 st: NotStopd t0: [12:00:00 10/09/2016] id: MDI #1 (Puff/Drug) el: 0 cu: MICU cg: -1 v1: 6 v2: Combivent st: NotStopd t0: [12:00:00 10/09/2016] id: Mean Airway Pressure el: 0 cu: MICU cg: -1 v1: 16 u1: cmH2O st: NotStopd t0: [12:00:00 10/09/2016] id: Minute Volume(Obser) el: 0 cu: MICU cg: -1 v1: 11.2 u1: L/min st: NotStopd t0: [12:00:00 10/09/2016] id: PEEP Set el: 0 cu: MICU cg: -1 v1: 10 u1: cmH2O st: NotStopd t0: [12:00:00 10/09/2016] id: Apnea Time Interval el: 0 cu: MICU cg: -1 v1: 20 st: NotStopd t0: [12:00:00 10/09/2016] id: Peak Flow el: 0 cu: MICU cg: -1 u1: L/m st: NotStopd t0: [12:00:00 10/09/2016] id: Peak Insp. Pressure el: 0 cu: MICU cg: -1 v1: 33 u1: cmH2O st: NotStopd t0: [12:00:00 10/09/2016] id: Plateau Pressure el: 0 cu: MICU cg: -1 v1: 32 u1: cmH2O st: NotStopd t0: [12:00:00 10/09/2016] id: Plateau-Off el: 0 cu: MICU cg: -1 v1: Yes st: NotStopd t0: [12:00:00 10/09/2016] id: Resp Rate (Spont) el: 0 cu: MICU cg: -1 v1: 4 u1: BPM st: NotStopd t0: [12:00:00 10/09/2016] id: Resp Rate (Total) el: 0 cu: MICU cg: -1 v1: 18 u1: BPM st: NotStopd t0: [12:00:00 10/09/2016] id: Respiratory Rate Set el: 0 cu: MICU cg: -1 v1: 14 u1: BPM st: NotStopd t0: [12:00:00 10/09/2016] id: Sensitivity-Vent el: 0 cu: MICU cg: -1 v1: 2 u1: cmH2O st: NotStopd t0: [12:00:00 10/09/2016] id: Tidal Volume (Obser) el: 0 cu: MICU cg: -1 v1: 627 u1: ml/B st: NotStopd t0: [12:00:00 10/09/2016] id: Tidal Volume (Set) el: 0 cu: MICU cg: -1 v1: 650 u1: ml/B st: NotStopd t0: [12:00:00 10/09/2016] id: Ventilator Mode el: 0 cu: MICU cg: -1 v1: Assist Control st: NotStopd t0: [12:00:00 10/09/2016] id: Ventilator Type el: 0 cu: MICU cg: -1 v1: Drager st: NotStopd t0: [12:00:00 10/09/2016] id: Waveform-Vent el: 0 cu: MICU cg: -1 v1: RAMP st: NotStopd
t0: [13:00:00 10/09/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [13:00:00 10/09/2016] id: CVP el: 0 cu: MICU cg: RN v1: 21 u1: mmHg st: NotStopd t0: [13:00:00 10/09/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [13:00:00 10/09/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [13:00:00 10/09/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [13:00:00 10/09/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: PVC's st: NotStopd t0: [13:00:00 10/09/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 99 u1: BPM st: NotStopd t0: [13:00:00 10/09/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [13:00:00 10/09/2016] id: NBP el: 0 cu: MICU cg: RN v1: 126 u1: mmHg v2: 44 u2: mmHg st: NotStopd t0: [13:00:00 10/09/2016] id: NBP Mean el: 0 cu: MICU cg: RN v1: 71.3333 u1: mmHg st: NotStopd t0: [13:00:00 10/09/2016] id: PAP Mean el: 0 cu: MICU cg: RN v1: 53 u1: mmHg st: NotStopd t0: [13:00:00 10/09/2016] id: PAP S/D el: 0 cu: MICU cg: RN v1: 78 u1: mmHg v2: 38 u2: mmHg st: NotStopd t0: [13:00:00 10/09/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [13:00:00 10/09/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 18 u1: BPM st: NotStopd t0: [13:00:00 10/09/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 98 u1: % st: NotStopd t0: [13:00:00 10/09/2016] id: Temperature C el: 0 cu: MICU cg: RN v1: 37.5 u1: Deg. C st: NotStopd t0: [13:00:00 10/09/2016] id: Temperature F (calc) el: 0 cu: MICU cg: RN v1: 99.5 u1: Deg. F st: NotStopd t0: [13:00:00 10/09/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [13:00:00 10/09/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 10 vu: ml t0: [13:00:00 10/09/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: MICU cg: RN ai: 189 vo: 10 vu: ml t0: [13:00:00 10/09/2016] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 41.52 vu: ml t0: [13:00:00 10/09/2016] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 80 vu: ml
t0: [13:00:00 10/09/2016] id: Propofol el: 1 cu: MICU cg: RN so: N/A vo: 0 v1: 40 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [13:30:00 10/09/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [13:30:00 10/09/2016] id: CVP el: 0 cu: MICU cg: RN v1: 23 u1: mmHg st: NotStopd t0: [13:30:00 10/09/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [13:30:00 10/09/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [13:30:00 10/09/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 102 u1: BPM st: NotStopd t0: [13:30:00 10/09/2016] id: NBP el: 0 cu: MICU cg: RN v1: 125 u1: mmHg v2: 45 u2: mmHg st: NotStopd t0: [13:30:00 10/09/2016] id: NBP Mean el: 0 cu: MICU cg: RN v1: 71.6667 u1: mmHg st: NotStopd t0: [13:30:00 10/09/2016] id: PAP Mean el: 0 cu: MICU cg: RN v1: 56 u1: mmHg st: NotStopd t0: [13:30:00 10/09/2016] id: PAP S/D el: 0 cu: MICU cg: RN v1: 80 u1: mmHg v2: 40 u2: mmHg st: NotStopd t0: [13:30:00 10/09/2016] id: Arterial BP el: 0 cu: MICU cg: RN v1: 140 u1: mmHg v2: 68 u2: mmHg st: NotStopd t0: [13:30:00 10/09/2016] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 92 u1: mmHg st: NotStopd t0: [13:30:00 10/09/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [13:30:00 10/09/2016] id: Procedures el: 0 cu: MICU cg: RN v1: Line Placement st: NotStopd t0: [13:30:00 10/09/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 23 u1: BPM st: NotStopd t0: [13:30:00 10/09/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 95 u1: % st: NotStopd t0: [13:30:00 10/09/2016] id: Temperature C el: 0 cu: MICU cg: RN v1: 37.6 u1: Deg. C st: NotStopd t0: [13:30:00 10/09/2016] id: Temperature F (calc) el: 0 cu: MICU cg: RN v1: 99.68 u1: Deg. F st: NotStopd t0: [13:30:00 10/09/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [13:30:00 10/09/2016] id: Propofol el: 1 cu: MICU cg: RN so: N/A vo: 0 v1: 40 du: mcgkgmin sv: 50 su: vl rt: IV Drip
io: Promote w/fiber Tube Feeding el: 1 cu: MICU cg: RN ra: 10 ru: ml/hr
id: Promote w/fiber el: 1 cu: MICU cg: RN io: Promote w/fiber Tube Feeding du: str rt: Gastric/Feeding Tube id: TF Residual el: 1 cu: MICU cg: RN io: TF Residual Gastric/TF Residual du: ml rt: Gastric/Feeding Tube
t0: [14:00:00 10/09/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [14:00:00 10/09/2016] id: CVP el: 0 cu: MICU cg: RN v1: 21 u1: mmHg st: NotStopd t0: [14:00:00 10/09/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [14:00:00 10/09/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [14:00:00 10/09/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [14:00:00 10/09/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: PVC's st: NotStopd t0: [14:00:00 10/09/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 101 u1: BPM st: NotStopd t0: [14:00:00 10/09/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [14:00:00 10/09/2016] id: PAP Mean el: 0 cu: MICU cg: RN v1: 53 u1: mmHg st: NotStopd t0: [14:00:00 10/09/2016] id: PAP S/D el: 0 cu: MICU cg: RN v1: 78 u1: mmHg v2: 38 u2: mmHg st: NotStopd t0: [14:00:00 10/09/2016] id: Arterial BP el: 0 cu: MICU cg: RN v1: 130 u1: mmHg v2: 53 u2: mmHg st: NotStopd t0: [14:00:00 10/09/2016] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 77 u1: mmHg st: NotStopd t0: [14:00:00 10/09/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [14:00:00 10/09/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 20 u1: BPM st: NotStopd t0: [14:00:00 10/09/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 97 u1: % st: NotStopd t0: [14:00:00 10/09/2016] id: Temperature C el: 0 cu: MICU cg: RN v1: 37.6 u1: Deg. C st: NotStopd t0: [14:00:00 10/09/2016] id: Temperature F (calc) el: 0 cu: MICU cg: RN v1: 99.68 u1: Deg. F st: NotStopd t0: [14:00:00 10/09/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [14:00:00 10/09/2016] id: Propofol el: 1 cu: MICU cg: RN so: N/A vo: 0 v1: 40 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [13:00:00 10/09/2016] id: D5W 100.0ml IV Infusions el: 2 cu: MICU cg: RN ai: 107 vo: 50 vu: ml
t0: [14:45:00 10/09/2016] tf: [16:00:00 10/09/2016] dt: 75 id: TF Residual Gastric/TF Residual el: 1 cu: MICU cg: RN ai: 416 vo: 5 vu: ml t0: [14:45:00 10/09/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 17.5 vu: ml t0: [14:45:00 10/09/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: MICU cg: RN ai: 189 vo: 17.5 vu: ml t0: [14:45:00 10/09/2016] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 72.66 vu: ml t0: [14:45:00 10/09/2016] id: Promote w/fiber Tube Feeding el: 1 cu: MICU cg: RN ai: 117 vo: 0 vu: ml nb: 1
t0: [15:00:00 10/09/2016] id: Less Restrict Meas. el: 0 cu: MICU cg: RN v1: Medicated st: NotStopd t0: [15:00:00 10/09/2016] id: Range of Motion el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [15:00:00 10/09/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [15:00:00 10/09/2016] id: CVP el: 0 cu: MICU cg: RN v1: 20 u1: mmHg st: NotStopd t0: [15:00:00 10/09/2016] id: Circulation/SkinInt el: 0 cu: MICU cg: RN v1: Circulation Adeq st: NotStopd t0: [15:00:00 10/09/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [15:00:00 10/09/2016] id: Riker-SAS Scale el: 0 cu: MICU cg: RN v1: Sedated st: NotStopd t0: [15:00:00 10/09/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [15:00:00 10/09/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: Rare st: NotStopd t0: [15:00:00 10/09/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: PVC's st: NotStopd t0: [15:00:00 10/09/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 102 u1: BPM st: NotStopd t0: [15:00:00 10/09/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Sinus Tachy st: NotStopd t0: [15:00:00 10/09/2016] id: PAP Mean el: 0 cu: MICU cg: RN v1: 52 u1: mmHg st: NotStopd t0: [15:00:00 10/09/2016] id: PAP S/D el: 0 cu: MICU cg: RN v1: 76 u1: mmHg v2: 37 u2: mmHg st: NotStopd t0: [15:00:00 10/09/2016] id: Arterial BP el: 0 cu: MICU cg: RN v1: 124 u1: mmHg v2: 51 u2: mmHg st: NotStopd t0: [15:00:00 10/09/2016] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 73 u1: mmHg st: NotStopd t0: [15:00:00 10/09/2016] id: Position Change el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [15:00:00 10/09/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [15:00:00 10/09/2016] id: Reason For Restraint el: 0 cu: MICU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [15:00:00 10/09/2016] id: Removed x 5 Mins el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [15:00:00 10/09/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 19 u1: BPM st: NotStopd t0: [15:00:00 10/09/2016] id: Restraint Location el: 0 cu: MICU cg: RN v1: Both Arms st: NotStopd t0: [15:00:00 10/09/2016] id: Restraint Type el: 0 cu: MICU cg: RN v1: Soft Limb st: NotStopd t0: [15:00:00 10/09/2016] id: Restraints Evaluated el: 0 cu: MICU cg: RN v1: RestraintReapply st: NotStopd t0: [15:00:00 10/09/2016] id: Side Rails el: 0 cu: MICU cg: RN v1: Side Rails Up st: NotStopd t0: [15:00:00 10/09/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 96 u1: % st: NotStopd t0: [15:00:00 10/09/2016] id: Temp. Site el: 0 cu: MICU cg: RN v1: Blood st: NotStopd t0: [15:00:00 10/09/2016] id: Temperature C el: 0 cu: MICU cg: RN v1: 37.6 u1: Deg. C st: NotStopd t0: [15:00:00 10/09/2016] id: Temperature F (calc) el: 0 cu: MICU cg: RN v1: 99.68 u1: Deg. F st: NotStopd t0: [15:00:00 10/09/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [15:00:00 10/09/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 2.5 vu: ml t0: [15:00:00 10/09/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: MICU cg: RN ai: 189 vo: 2.5 vu: ml t0: [15:00:00 10/09/2016] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 10.38 vu: ml t0: [15:00:00 10/09/2016] tf: [00:00:00 12/09/2016] dt: 1980 id: Promote w/fiber Tube Feeding el: 1 cu: MICU cg: RN ai: 117 vo: 2.5 vu: ml t0: [15:00:00 10/09/2016] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 70 vu: ml
t0: [15:00:00 10/09/2016] id: Propofol el: 1 cu: MICU cg: RN so: N/A vo: 0 v1: 40 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [11:00:00 10/09/2016] id: Family Communication el: 0 cu: MICU cg: RN v1: Family Visited st: NotStopd t0: [12:00:00 10/09/2016] id: Family Communication el: 0 cu: MICU cg: RN v1: Fam Talked to MD st: NotStopd t0: [13:00:00 10/09/2016] id: INV Line#2 Type/Site el: 0 cu: MICU cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [13:00:00 10/09/2016] id: INV Line#2InsertDate el: 0 cu: MICU cg: RN v1: 7 v2: 26 st: NotStopd t0: [14:00:00 10/09/2016] id: Diet Type el: 0 cu: MICU cg: RN v1: Tube Feeding st: NotStopd t0: [14:00:00 10/09/2016] id: GI Intub #1/Site el: 0 cu: MICU cg: RN v1: Salem Sump v2: Oral st: NotStopd t0: [14:00:00 10/09/2016] id: GI#1 Tube PlaceCheck el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [14:00:00 10/09/2016] id: GI#1 Tube Stat/Drain el: 0 cu: MICU cg: RN v1: Feeding st: NotStopd t0: [14:00:00 10/09/2016] id: Respiratory Pattern el: 0 cu: MICU cg: RN v1: Regular st: NotStopd t0: [14:00:00 10/09/2016] id: Urine Source el: 0 cu: MICU cg: RN v1: Indwelling Cath st: NotStopd t0: [16:00:00 10/09/2016] id: Less Restrict Meas. el: 0 cu: MICU cg: RN v1: Medicated st: NotStopd t0: [16:00:00 10/09/2016] id: Range of Motion el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [16:00:00 10/09/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [16:00:00 10/09/2016] id: CVP el: 0 cu: MICU cg: RN v1: 22 u1: mmHg st: NotStopd t0: [16:00:00 10/09/2016] id: Circulation/SkinInt el: 0 cu: MICU cg: RN v1: Circulation Adeq st: NotStopd t0: [16:00:00 10/09/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [16:00:00 10/09/2016] id: GI Prophylaxis el: 0 cu: MICU cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [16:00:00 10/09/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [16:00:00 10/09/2016] id: Diet Type el: 0 cu: MICU cg: RN v1: Tube Feeding st: NotStopd t0: [16:00:00 10/09/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: Rare st: NotStopd t0: [16:00:00 10/09/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: PVC's st: NotStopd t0: [16:00:00 10/09/2016] id: Eye Opening el: 0 cu: MICU cg: RN v1: 2 To pain st: NotStopd t0: [16:00:00 10/09/2016] id: Family Communication el: 0 cu: MICU cg: RN v1: Family Visited st: NotStopd t0: [16:00:00 10/09/2016] id: GCS Total el: 0 cu: MICU cg: RN v1: 8 u1: points st: NotStopd t0: [16:00:00 10/09/2016] id: GI Intub #1/Site el: 0 cu: MICU cg: RN v1: Salem Sump v2: Oral st: NotStopd t0: [16:00:00 10/09/2016] id: GI#1 Tube PlaceCheck el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [16:00:00 10/09/2016] id: GI#1 Tube Stat/Drain el: 0 cu: MICU cg: RN v1: Feeding v2: Bilious st: NotStopd t0: [16:00:00 10/09/2016] id: HOB el: 0 cu: MICU cg: RN v1: 45 degrees st: NotStopd t0: [16:00:00 10/09/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 102 u1: BPM st: NotStopd t0: [16:00:00 10/09/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Sinus Tachy st: NotStopd t0: [16:00:00 10/09/2016] id: INV Line#1SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [16:00:00 10/09/2016] id: INV Line#3SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [16:00:00 10/09/2016] id: Abdominal Assessment el: 0 cu: MICU cg: RN v1: Obese st: NotStopd t0: [16:00:00 10/09/2016] id: Activity el: 0 cu: MICU cg: RN v1: Bedrest st: NotStopd t0: [16:00:00 10/09/2016] id: Activity Tolerance el: 0 cu: MICU cg: RN v1: Tolerated Well st: NotStopd t0: [16:00:00 10/09/2016] id: LLL Lung Sounds el: 0 cu: MICU cg: RN v1: Diminished st: NotStopd t0: [16:00:00 10/09/2016] id: LUL Lung Sounds el: 0 cu: MICU cg: RN v1: Diminished st: NotStopd t0: [16:00:00 10/09/2016] id: Level of Conscious el: 0 cu: MICU cg: RN v1: Sedated st: NotStopd t0: [16:00:00 10/09/2016] id: Motor Response el: 0 cu: MICU cg: RN v1: 5 Localizes Pain st: NotStopd t0: [16:00:00 10/09/2016] id: Oral Cavity el: 0 cu: MICU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [16:00:00 10/09/2016] id: Orientation el: 0 cu: MICU cg: RN v1: Other/Remarks st: NotStopd t0: [16:00:00 10/09/2016] id: PAP Mean el: 0 cu: MICU cg: RN v1: 52 u1: mmHg st: NotStopd t0: [16:00:00 10/09/2016] id: PAP S/D el: 0 cu: MICU cg: RN v1: 76 u1: mmHg v2: 39 u2: mmHg st: NotStopd t0: [16:00:00 10/09/2016] id: Arterial BP el: 0 cu: MICU cg: RN v1: 114 u1: mmHg v2: 47 u2: mmHg st: NotStopd t0: [16:00:00 10/09/2016] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 68 u1: mmHg st: NotStopd t0: [16:00:00 10/09/2016] id: Position Change el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [16:00:00 10/09/2016] id: Assistance Device el: 0 cu: MICU cg: RN v1: Total Lift st: NotStopd t0: [16:00:00 10/09/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [16:00:00 10/09/2016] id: Pupil Response R/L el: 0 cu: MICU cg: RN v1: Brisk v2: Brisk st: NotStopd t0: [16:00:00 10/09/2016] id: Pupil Size R/L el: 0 cu: MICU cg: RN v1: 3 mm v2: 3 mm st: NotStopd t0: [16:00:00 10/09/2016] id: RLL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [16:00:00 10/09/2016] id: RUL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [16:00:00 10/09/2016] id: Reason For Restraint el: 0 cu: MICU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [16:00:00 10/09/2016] id: Removed x 5 Mins el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [16:00:00 10/09/2016] id: Respiratory Pattern el: 0 cu: MICU cg: RN v1: Regular st: NotStopd t0: [16:00:00 10/09/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 19 u1: BPM st: NotStopd t0: [16:00:00 10/09/2016] id: Restraint Location el: 0 cu: MICU cg: RN v1: Both Arms st: NotStopd t0: [16:00:00 10/09/2016] id: Restraint Type el: 0 cu: MICU cg: RN v1: Soft Limb st: NotStopd t0: [16:00:00 10/09/2016] id: Restraints Evaluated el: 0 cu: MICU cg: RN v1: Behavior Conts st: NotStopd t0: [16:00:00 10/09/2016] id: Side Rails el: 0 cu: MICU cg: RN v1: Side Rails Up st: NotStopd t0: [16:00:00 10/09/2016] id: Skin Integrity el: 0 cu: MICU cg: RN v1: Intact st: NotStopd t0: [16:00:00 10/09/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 96 u1: % st: NotStopd t0: [16:00:00 10/09/2016] id: Support Systems el: 0 cu: MICU cg: RN v1: Spouse st: NotStopd t0: [16:00:00 10/09/2016] id: Temperature C el: 0 cu: MICU cg: RN v1: 37.6 u1: Deg. C st: NotStopd t0: [16:00:00 10/09/2016] id: Temperature F (calc) el: 0 cu: MICU cg: RN v1: 99.68 u1: Deg. F st: NotStopd t0: [16:00:00 10/09/2016] id: Turn el: 0 cu: MICU cg: RN v1: Right Side st: NotStopd t0: [16:00:00 10/09/2016] id: Urine Source el: 0 cu: MICU cg: RN v1: Indwelling Cath st: NotStopd t0: [16:00:00 10/09/2016] id: Verbal Response el: 0 cu: MICU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [16:00:00 10/09/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [16:00:00 10/09/2016] id: Behavior el: 0 cu: MICU cg: RN v1: Calm st: NotStopd t0: [16:00:00 10/09/2016] id: Bowel Sounds el: 0 cu: MICU cg: RN v1: Hypoactive st: NotStopd t0: [16:00:00 10/09/2016] id: Braden Activity el: 0 cu: MICU cg: RN v1: Bedfast st: NotStopd t0: [16:00:00 10/09/2016] id: Braden Frict/Shear el: 0 cu: MICU cg: RN v1: Potential Prob st: NotStopd t0: [16:00:00 10/09/2016] id: Braden Mobility el: 0 cu: MICU cg: RN v1: Comp. Immobile st: NotStopd t0: [16:00:00 10/09/2016] id: Braden Moisture el: 0 cu: MICU cg: RN v1: Occ. Moist st: NotStopd t0: [16:00:00 10/09/2016] id: Braden Nutrition el: 0 cu: MICU cg: RN v1: Very Poor st: NotStopd t0: [16:00:00 10/09/2016] id: Braden Score el: 0 cu: MICU cg: RN v1: 10 u1: number st: NotStopd t0: [16:00:00 10/09/2016] id: Braden SensoryPercep el: 0 cu: MICU cg: RN v1: Very Limited st: NotStopd
t0: [16:00:00 10/09/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 10 vu: ml t0: [16:00:00 10/09/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: MICU cg: RN ai: 189 vo: 10 vu: ml t0: [16:00:00 10/09/2016] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 41.52 vu: ml t0: [16:00:00 10/09/2016] id: Promote w/fiber Tube Feeding el: 1 cu: MICU cg: RN ai: 117 vo: 10 vu: ml t0: [16:00:00 10/09/2016] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 120 vu: ml
t0: [16:00:00 10/09/2016] id: Propofol el: 1 cu: MICU cg: RN so: N/A vo: 0 v1: 40 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [16:00:00 10/09/2016] id: TF Residual Gastric/TF Residual el: 1 cu: MICU cg: RN ai: 416 vo: 0 vu: ml t0: [16:00:00 10/09/2016] id: Gastric Meds PO/Gastric el: 1 cu: MICU cg: RN ai: 107 vo: 50 vu: ml
t0: [16:00:00 10/09/2016] id: Compliance (40-60ml) el: 0 cu: MICU cg: -1 v1: 25 u1: ml/cmH st: NotStopd t0: [16:00:00 10/09/2016] id: ETT Mark/Location el: 0 cu: MICU cg: -1 v1: 23cm v2: Lip st: NotStopd t0: [16:00:00 10/09/2016] id: FiO2 Set el: 0 cu: MICU cg: -1 v1: 0.4 u1: torr st: NotStopd t0: [16:00:00 10/09/2016] id: High Insp. Pressure el: 0 cu: MICU cg: -1 v1: 50 u1: cmH2O st: NotStopd t0: [16:00:00 10/09/2016] id: High Resp. Rate el: 0 cu: MICU cg: -1 v1: 10 u1: BPM st: NotStopd t0: [16:00:00 10/09/2016] id: I:E Ratio el: 0 cu: MICU cg: -1 v1: 1:3.8 st: NotStopd t0: [16:00:00 10/09/2016] id: Airway Size el: 0 cu: MICU cg: -1 v1: 8.5 mm st: NotStopd t0: [16:00:00 10/09/2016] id: Airway Type el: 0 cu: MICU cg: -1 v1: Endotracheal st: NotStopd t0: [16:00:00 10/09/2016] id: Inspired Gas Temp el: 0 cu: MICU cg: -1 v1: 35 u1: Deg. C st: NotStopd t0: [16:00:00 10/09/2016] id: Intubation Date el: 0 cu: MICU cg: -1 v1: 7 v2: 23 st: NotStopd t0: [16:00:00 10/09/2016] id: Low Exhaled Min Vol el: 0 cu: MICU cg: -1 v1: 6 st: NotStopd t0: [16:00:00 10/09/2016] id: MDI #1 (Puff/Drug) el: 0 cu: MICU cg: -1 v1: 6 v2: Combivent st: NotStopd t0: [16:00:00 10/09/2016] id: Mean Airway Pressure el: 0 cu: MICU cg: -1 v1: 16 u1: cmH2O st: NotStopd t0: [16:00:00 10/09/2016] id: Minute Volume(Obser) el: 0 cu: MICU cg: -1 v1: 9.44 u1: L/min st: NotStopd t0: [16:00:00 10/09/2016] id: PEEP Set el: 0 cu: MICU cg: -1 v1: 10 u1: cmH2O st: NotStopd t0: [16:00:00 10/09/2016] id: Apnea Time Interval el: 0 cu: MICU cg: -1 v1: 20 st: NotStopd t0: [16:00:00 10/09/2016] id: Peak Flow el: 0 cu: MICU cg: -1 u1: L/m st: NotStopd t0: [16:00:00 10/09/2016] id: Peak Insp. Pressure el: 0 cu: MICU cg: -1 v1: 36 u1: cmH2O st: NotStopd t0: [16:00:00 10/09/2016] id: Plateau Pressure el: 0 cu: MICU cg: -1 v1: 33 u1: cmH2O st: NotStopd t0: [16:00:00 10/09/2016] id: Plateau-Off el: 0 cu: MICU cg: -1 v1: Yes st: NotStopd t0: [16:00:00 10/09/2016] id: Resp Rate (Spont) el: 0 cu: MICU cg: -1 v1: 2 u1: BPM st: NotStopd t0: [16:00:00 10/09/2016] id: Resp Rate (Total) el: 0 cu: MICU cg: -1 v1: 16 u1: BPM st: NotStopd t0: [16:00:00 10/09/2016] id: Respiratory Rate Set el: 0 cu: MICU cg: -1 v1: 14 u1: BPM st: NotStopd t0: [16:00:00 10/09/2016] id: Sensitivity-Vent el: 0 cu: MICU cg: -1 v1: 2 u1: cmH2O st: NotStopd t0: [16:00:00 10/09/2016] id: Sputum Color/Consist el: 0 cu: MICU cg: -1 v1: Tan v2: Tenacious st: NotStopd t0: [16:00:00 10/09/2016] id: Sputum Source/Amt el: 0 cu: MICU cg: -1 v1: Suctioned v2: Moderate st: NotStopd t0: [16:00:00 10/09/2016] id: Tidal Volume (Obser) el: 0 cu: MICU cg: -1 v1: 612 u1: ml/B st: NotStopd t0: [16:00:00 10/09/2016] id: Tidal Volume (Set) el: 0 cu: MICU cg: -1 v1: 650 u1: ml/B st: NotStopd t0: [16:00:00 10/09/2016] id: Ventilator Mode el: 0 cu: MICU cg: -1 v1: Assist Control st: NotStopd t0: [16:00:00 10/09/2016] id: Ventilator Type el: 0 cu: MICU cg: -1 v1: Drager st: NotStopd t0: [16:00:00 10/09/2016] id: Waveform-Vent el: 0 cu: MICU cg: -1 v1: RAMP st: NotStopd
t0: [17:00:00 10/09/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [17:00:00 10/09/2016] id: CVP el: 0 cu: MICU cg: RN v1: 21 u1: mmHg st: NotStopd t0: [17:00:00 10/09/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [17:00:00 10/09/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [17:00:00 10/09/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: Rare st: NotStopd t0: [17:00:00 10/09/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: PVC's st: NotStopd t0: [17:00:00 10/09/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 102 u1: BPM st: NotStopd t0: [17:00:00 10/09/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Sinus Tachy st: NotStopd t0: [17:00:00 10/09/2016] id: PAP Mean el: 0 cu: MICU cg: RN v1: 48 u1: mmHg st: NotStopd t0: [17:00:00 10/09/2016] id: PAP S/D el: 0 cu: MICU cg: RN v1: 69 u1: mmHg v2: 34 u2: mmHg st: NotStopd t0: [17:00:00 10/09/2016] id: Arterial BP el: 0 cu: MICU cg: RN v1: 102 u1: mmHg v2: 41 u2: mmHg st: NotStopd t0: [17:00:00 10/09/2016] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 44 u1: mmHg st: NotStopd t0: [17:00:00 10/09/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [17:00:00 10/09/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 20 u1: BPM st: NotStopd t0: [17:00:00 10/09/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 97 u1: % st: NotStopd t0: [17:00:00 10/09/2016] id: Temperature C el: 0 cu: MICU cg: RN v1: 37.5 u1: Deg. C st: NotStopd t0: [17:00:00 10/09/2016] id: Temperature F (calc) el: 0 cu: MICU cg: RN v1: 99.5 u1: Deg. F st: NotStopd t0: [17:00:00 10/09/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [17:00:00 10/09/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 10 vu: ml t0: [17:00:00 10/09/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: MICU cg: RN ai: 189 vo: 10 vu: ml t0: [17:00:00 10/09/2016] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 41.52 vu: ml t0: [17:00:00 10/09/2016] id: Promote w/fiber Tube Feeding el: 1 cu: MICU cg: RN ai: 117 vo: 10 vu: ml t0: [17:00:00 10/09/2016] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 50 vu: ml
t0: [17:00:00 10/09/2016] id: Propofol el: 1 cu: MICU cg: RN so: N/A vo: 0 v1: 40 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [18:00:00 10/09/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [18:00:00 10/09/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [18:00:00 10/09/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [18:00:00 10/09/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: Occasional st: NotStopd t0: [18:00:00 10/09/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: PVC's st: NotStopd t0: [18:00:00 10/09/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 99 u1: BPM st: NotStopd t0: [18:00:00 10/09/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Sinus Tachy st: NotStopd t0: [18:00:00 10/09/2016] id: Arterial BP el: 0 cu: MICU cg: RN v1: 114 u1: mmHg v2: 45 u2: mmHg st: NotStopd t0: [18:00:00 10/09/2016] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 66 u1: mmHg st: NotStopd t0: [18:00:00 10/09/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [18:00:00 10/09/2016] id: Procedures el: 0 cu: MICU cg: RN st: NotStopd t0: [18:00:00 10/09/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 15 u1: BPM st: NotStopd t0: [18:00:00 10/09/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 97 u1: % st: NotStopd t0: [18:00:00 10/09/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [18:00:00 10/09/2016] id: Fingerstick Glucose Chemistry el: 0 cu: MICU cg: RN v1: 121 rs: Manual st: NotStopd
t0: [18:00:00 10/09/2016] id: Propofol el: 1 cu: MICU cg: RN so: N/A vo: 0 v1: 40 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [19:00:00 10/09/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [19:00:00 10/09/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [19:00:00 10/09/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [19:00:00 10/09/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: Occasional st: NotStopd t0: [19:00:00 10/09/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: PVC's st: NotStopd t0: [19:00:00 10/09/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 101 u1: BPM st: NotStopd t0: [19:00:00 10/09/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Sinus Tachy st: NotStopd t0: [19:00:00 10/09/2016] id: Arterial BP el: 0 cu: MICU cg: RN v1: 126 u1: mmHg v2: 52 u2: mmHg st: NotStopd t0: [19:00:00 10/09/2016] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 74 u1: mmHg st: NotStopd t0: [19:00:00 10/09/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [19:00:00 10/09/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 21 u1: BPM st: NotStopd t0: [19:00:00 10/09/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 97 u1: % st: NotStopd t0: [19:00:00 10/09/2016] id: Temp. Site el: 0 cu: MICU cg: RN v1: Oral st: NotStopd t0: [19:00:00 10/09/2016] id: Temperature C (calc) el: 0 cu: MICU cg: RN v1: 37.5 u1: Deg. C st: NotStopd t0: [19:00:00 10/09/2016] id: Temperature F el: 0 cu: MICU cg: RN v1: 99.5 u1: Deg. F st: NotStopd t0: [19:00:00 10/09/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [19:00:00 10/09/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 20 vu: ml t0: [19:00:00 10/09/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: MICU cg: RN ai: 189 vo: 20 vu: ml t0: [19:00:00 10/09/2016] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 83.04 vu: ml t0: [19:00:00 10/09/2016] id: Promote w/fiber Tube Feeding el: 1 cu: MICU cg: RN ai: 117 vo: 20 vu: ml t0: [19:00:00 10/09/2016] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 100 vu: ml
t0: [19:00:00 10/09/2016] id: Propofol el: 1 cu: MICU cg: RN so: N/A vo: 0 v1: 40 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [20:00:00 10/09/2016] id: Less Restrict Meas. el: 0 cu: MICU cg: RN v1: Medicated st: NotStopd t0: [20:00:00 10/09/2016] id: Pain Present el: 0 cu: MICU cg: RN v1: No st: NotStopd t0: [20:00:00 10/09/2016] id: Range of Motion el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [20:00:00 10/09/2016] id: Pain Assess Method el: 0 cu: MICU cg: RN v1: Change in Vitals st: NotStopd t0: [20:00:00 10/09/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [20:00:00 10/09/2016] id: Circulation/SkinInt el: 0 cu: MICU cg: RN v1: Circulation Adeq st: NotStopd t0: [20:00:00 10/09/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [20:00:00 10/09/2016] id: Riker-SAS Scale el: 0 cu: MICU cg: RN v1: Sedated st: NotStopd t0: [20:00:00 10/09/2016] id: GI Prophylaxis el: 0 cu: MICU cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [20:00:00 10/09/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [20:00:00 10/09/2016] id: Diet Type el: 0 cu: MICU cg: RN v1: Tube Feeding st: NotStopd t0: [20:00:00 10/09/2016] id: Dorsal PedPulse R/L el: 0 cu: MICU cg: RN v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [20:00:00 10/09/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: Occasional st: NotStopd t0: [20:00:00 10/09/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: PVC's st: NotStopd t0: [20:00:00 10/09/2016] id: Eye Opening el: 0 cu: MICU cg: RN v1: 2 To pain st: NotStopd t0: [20:00:00 10/09/2016] id: GCS Total el: 0 cu: MICU cg: RN v1: 8 u1: points st: NotStopd t0: [20:00:00 10/09/2016] id: GI Intub #1/Site el: 0 cu: MICU cg: RN v1: Salem Sump v2: Oral st: NotStopd t0: [20:00:00 10/09/2016] id: GI#1 Tube PlaceCheck el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [20:00:00 10/09/2016] id: GI#1 Tube Stat/Drain el: 0 cu: MICU cg: RN v1: Feeding v2: Bilious st: NotStopd t0: [20:00:00 10/09/2016] id: HOB el: 0 cu: MICU cg: RN v1: 45 degrees st: NotStopd t0: [20:00:00 10/09/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 101 u1: BPM st: NotStopd t0: [20:00:00 10/09/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Sinus Tachy st: NotStopd t0: [20:00:00 10/09/2016] id: INV Line#1 Type/Site el: 0 cu: MICU cg: RN v1: PICC line v2: Left Brachial st: NotStopd t0: [20:00:00 10/09/2016] id: INV Line#1SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [20:00:00 10/09/2016] id: INV Line#2 Type/Site el: 0 cu: MICU cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [20:00:00 10/09/2016] id: INV Line#2 Zero/Cal el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [20:00:00 10/09/2016] id: INV Line#2InsertDate el: 0 cu: MICU cg: RN v1: 7 v2: 26 st: NotStopd t0: [20:00:00 10/09/2016] id: INV Line#2SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [20:00:00 10/09/2016] id: INV Line#3 Type/Site el: 0 cu: MICU cg: RN v1: Introducer v2: Left Subclavian st: NotStopd t0: [20:00:00 10/09/2016] id: INV Line#3InsertDate el: 0 cu: MICU cg: RN v1: 7 v2: 24 st: NotStopd t0: [20:00:00 10/09/2016] id: INV Line#3SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [20:00:00 10/09/2016] id: Abdominal Assessment el: 0 cu: MICU cg: RN v1: Obese st: NotStopd t0: [20:00:00 10/09/2016] id: INV#2 WaveformAppear el: 0 cu: MICU cg: RN v1: Sharp st: NotStopd t0: [20:00:00 10/09/2016] id: Activity el: 0 cu: MICU cg: RN v1: Bedrest st: NotStopd t0: [20:00:00 10/09/2016] id: Activity Tolerance el: 0 cu: MICU cg: RN v1: Tolerated Well st: NotStopd t0: [20:00:00 10/09/2016] id: LLL Lung Sounds el: 0 cu: MICU cg: RN v1: Diminished st: NotStopd t0: [20:00:00 10/09/2016] id: LUL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [20:00:00 10/09/2016] id: Level of Conscious el: 0 cu: MICU cg: RN v1: Sedated st: NotStopd t0: [20:00:00 10/09/2016] id: Motor Response el: 0 cu: MICU cg: RN v1: 5 Localizes Pain st: NotStopd t0: [20:00:00 10/09/2016] id: Oral Cavity el: 0 cu: MICU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [20:00:00 10/09/2016] id: Orientation el: 0 cu: MICU cg: RN v1: Other/Remarks st: NotStopd t0: [20:00:00 10/09/2016] id: Arterial BP el: 0 cu: MICU cg: RN v1: 127 u1: mmHg v2: 51 u2: mmHg st: NotStopd t0: [20:00:00 10/09/2016] id: Pain Location el: 0 cu: MICU cg: RN v1: Not Indicated st: NotStopd t0: [20:00:00 10/09/2016] id: Pain Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [20:00:00 10/09/2016] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 74 u1: mmHg st: NotStopd t0: [20:00:00 10/09/2016] id: Position Change el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [20:00:00 10/09/2016] id: PostTib. Pulses R/L el: 0 cu: MICU cg: RN v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [20:00:00 10/09/2016] id: Assistance Device el: 0 cu: MICU cg: RN v1: Total Lift st: NotStopd t0: [20:00:00 10/09/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [20:00:00 10/09/2016] id: Pupil Response R/L el: 0 cu: MICU cg: RN v1: Brisk v2: Brisk st: NotStopd t0: [20:00:00 10/09/2016] id: Pupil Size R/L el: 0 cu: MICU cg: RN v1: 3 mm v2: 3 mm st: NotStopd t0: [20:00:00 10/09/2016] id: RLL Lung Sounds el: 0 cu: MICU cg: RN v1: Diminished st: NotStopd t0: [20:00:00 10/09/2016] id: RUL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [20:00:00 10/09/2016] id: Reason For Restraint el: 0 cu: MICU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [20:00:00 10/09/2016] id: Removed x 5 Mins el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [20:00:00 10/09/2016] id: Respiratory Pattern el: 0 cu: MICU cg: RN v1: Regular st: NotStopd t0: [20:00:00 10/09/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 18 u1: BPM st: NotStopd t0: [20:00:00 10/09/2016] id: Restraint Location el: 0 cu: MICU cg: RN v1: Both Arms st: NotStopd t0: [20:00:00 10/09/2016] id: Restraint Type el: 0 cu: MICU cg: RN v1: Soft Limb st: NotStopd t0: [20:00:00 10/09/2016] id: Restraints Evaluated el: 0 cu: MICU cg: RN v1: Behavior Conts st: NotStopd t0: [20:00:00 10/09/2016] id: Side Rails el: 0 cu: MICU cg: RN v1: Side Rails Up st: NotStopd t0: [20:00:00 10/09/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 97 u1: % st: NotStopd t0: [20:00:00 10/09/2016] id: Sputum Color/Consist el: 0 cu: MICU cg: RN v1: Tan v2: Tenacious st: NotStopd t0: [20:00:00 10/09/2016] id: Sputum Source/Amt el: 0 cu: MICU cg: RN v1: Suctioned v2: Moderate st: NotStopd t0: [20:00:00 10/09/2016] id: Support Systems el: 0 cu: MICU cg: RN v1: Spouse st: NotStopd t0: [20:00:00 10/09/2016] id: Temp. Site el: