This log is also available as text (204ac.txt) and as a (binary) annotation file (204ac.log).
Generated: Thursday, 23-Apr-2009 00:35:02 EDT
(All dates below are surrogates.)
id: SAPS-I t0: [00:00:00 07/10/2014] el: 0 cg: LCP cu: LCP at MIT n1: 26
id: WBC (4-11,000) t0: [11:30:00 07/10/2014] el: 0 cg: 1663 cu: CCU v1: 12.9 n1: 12.9 rs: Final st: NotStopd id: WBC t0: [11:30:00 07/10/2014] el: 0 cg: 1663 cu: CCU v1: 12.9 n1: 12.9 rs: Final st: NotStopd id: Hematocrit t0: [11:30:00 07/10/2014] el: 0 cg: 1663 cu: CCU v1: 29.8 n1: 29.8 u1: % rs: Final st: NotStopd id: Hemoglobin t0: [11:30:00 07/10/2014] el: 0 cg: 1663 cu: CCU v1: 10.7 n1: 10.7 u1: gm/dl rs: Final st: NotStopd id: Platelets t0: [11:30:00 07/10/2014] el: 0 cg: 1663 cu: CCU v1: 124 n1: 124 rs: Final st: NotStopd id: RBC t0: [11:30:00 07/10/2014] el: 0 cg: 1663 cu: CCU v1: 3.68 n1: 3.68 u1: /mic l rs: Final st: NotStopd id: WBC (4-11,000) t0: [11:30:00 07/10/2014] el: 0 cg: 1663 cu: CCU v1: 12.9 n1: 12.9 rs: Final st: NotStopd
id: Nitroglycerine-k io: D5W 250.0ml + 100mcgkgmin Nitroglycerine-k el: 100 cg: RN cu: CCU am: 100 du: mcgkgmin rt: IV Drip id: Heparin io: D5W 250.0ml + 25000Uhr Heparin el: 100 cg: RN cu: CCU am: 25000 du: Uhr rt: IV Drip
pi: 4096870 hi: 10731 t0: [10:00:00 07/10/2014] tf: [11:00:00 09/10/2014] mn: Aspirin EC pt: Unit Dose st: Discontinued rt: PO fr: DAILY ds: 10 dn: 1 di: Ongoing xv: 36 xu: Hours pi: 4096871 hi: 10731 t0: [13:00:00 07/10/2014] tf: [11:00:00 09/10/2014] mn: Heparin pt: IV Piggyback st: Discontinued rt: IV fr: ASDIR it: C ss: Y di: Ongoing xv: 36 xu: Hours
id: BUN t0: [11:30:00 07/10/2014] el: 0 cg: 1663 cu: CCU v1: 31 n1: 31 rs: Final st: NotStopd id: Albumin t0: [11:30:00 07/10/2014] el: 0 cg: 1663 cu: CCU v1: 3.1 n1: 3.1 rs: Final st: NotStopd id: Chloride t0: [11:30:00 07/10/2014] el: 0 cg: 1663 cu: CCU v1: 96 n1: 96 rs: Final st: NotStopd id: Creatinine t0: [11:30:00 07/10/2014] el: 0 cg: 1663 cu: CCU v1: 1.1 n1: 1.1 rs: Final st: NotStopd id: Glucose t0: [11:30:00 07/10/2014] el: 0 cg: 1663 cu: CCU v1: 190 n1: 190 rs: Final st: NotStopd id: Potassium t0: [11:30:00 07/10/2014] el: 0 cg: 1663 cu: CCU v1: 3.2 n1: 3.2 rs: Final st: NotStopd id: Sodium t0: [11:30:00 07/10/2014] el: 0 cg: 1663 cu: CCU v1: 128 n1: 128 rs: Final st: NotStopd id: ALT t0: [11:30:00 07/10/2014] el: 0 cg: 1663 cu: CCU v1: 21 n1: 21 rs: Final st: NotStopd id: Albumin (>3.2) t0: [11:30:00 07/10/2014] el: 0 cg: 1663 cu: CCU v1: 3.1 n1: 3.1 rs: Final st: NotStopd id: Amylase t0: [11:30:00 07/10/2014] el: 0 cg: 1663 cu: CCU v1: 49 n1: 49 rs: Final st: NotStopd id: BUN (6-20) t0: [11:30:00 07/10/2014] el: 0 cg: 1663 cu: CCU v1: 31 n1: 31 rs: Final st: NotStopd id: Carbon Dioxide t0: [11:30:00 07/10/2014] el: 0 cg: 1663 cu: CCU v1: 24 n1: 24 rs: Final st: NotStopd id: Chloride (100-112) t0: [11:30:00 07/10/2014] el: 0 cg: 1663 cu: CCU v1: 96 n1: 96 rs: Final st: NotStopd id: Creatinine (0-1.3) t0: [11:30:00 07/10/2014] el: 0 cg: 1663 cu: CCU v1: 1.1 n1: 1.1 rs: Final st: NotStopd id: Glucose (70-105) t0: [11:30:00 07/10/2014] el: 0 cg: 1663 cu: CCU v1: 190 n1: 190 rs: Final st: NotStopd id: Potassium (3.5-5.3) t0: [11:30:00 07/10/2014] el: 0 cg: 1663 cu: CCU v1: 3.2 n1: 3.2 rs: Final st: NotStopd id: Sodium (135-148) t0: [11:30:00 07/10/2014] el: 0 cg: 1663 cu: CCU v1: 128 n1: 128 rs: Final st: NotStopd
id: Compliance (40-60ml) t0: [13:00:00 07/10/2014] el: 0 cg: SRT cu: CCU v1: 31.5789 n1: 31.5789 u1: ml/cmH st: NotStopd id: ETT Mark/Location t0: [13:00:00 07/10/2014] el: 0 cg: SRT cu: CCU v1: 22cm v2: Lip st: NotStopd id: High Insp. Pressure t0: [13:00:00 07/10/2014] el: 0 cg: SRT cu: CCU v1: 40 n1: 40 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [13:00:00 07/10/2014] el: 0 cg: SRT cu: CCU v1: 20 n1: 20 u1: BPM st: NotStopd id: Airway Size t0: [13:00:00 07/10/2014] el: 0 cg: SRT cu: CCU v1: 7.0 mm st: NotStopd id: Airway Type t0: [13:00:00 07/10/2014] el: 0 cg: SRT cu: CCU v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [13:00:00 07/10/2014] el: 0 cg: SRT cu: CCU u1: Deg. C st: NotStopd id: Intubation Date t0: [13:00:00 07/10/2014] el: 0 cg: SRT cu: CCU v1: 10 n1: 10 v2: 3 n2: 3 st: NotStopd id: Low Exhaled Min Vol t0: [13:00:00 07/10/2014] el: 0 cg: SRT cu: CCU v1: 4 n1: 4 st: NotStopd id: Mean Airway Pressure t0: [13:00:00 07/10/2014] el: 0 cg: SRT cu: CCU v1: 13 n1: 13 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [13:00:00 07/10/2014] el: 0 cg: SRT cu: CCU v1: 6.1 n1: 6.1 u1: L/min st: NotStopd id: PEEP Set t0: [13:00:00 07/10/2014] el: 0 cg: SRT cu: CCU v1: 10 n1: 10 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [13:00:00 07/10/2014] el: 0 cg: SRT cu: CCU v1: 20 n1: 20 st: NotStopd id: Peak Insp. Pressure t0: [13:00:00 07/10/2014] el: 0 cg: SRT cu: CCU v1: 29 n1: 29 u1: cmH2O st: NotStopd id: Plateau Pressure t0: [13:00:00 07/10/2014] el: 0 cg: SRT cu: CCU v1: 22 n1: 22 u1: cmH2O st: NotStopd id: Pressure Support t0: [13:00:00 07/10/2014] el: 0 cg: SRT cu: CCU v1: 10 n1: 10 u1: . st: NotStopd id: Resp Rate (Spont) t0: [13:00:00 07/10/2014] el: 0 cg: SRT cu: CCU v1: 0 n1: 0 u1: BPM st: NotStopd id: Resp Rate (Total) t0: [13:00:00 07/10/2014] el: 0 cg: SRT cu: CCU v1: 10 n1: 10 u1: BPM st: NotStopd id: Respiratory Rate Set t0: [13:00:00 07/10/2014] el: 0 cg: SRT cu: CCU v1: 10 n1: 10 u1: BPM st: NotStopd id: Tank A psi. t0: [13:00:00 07/10/2014] el: 0 cg: SRT cu: CCU v1: 1500 n1: 1500 st: NotStopd id: Tank B psi. t0: [13:00:00 07/10/2014] el: 0 cg: SRT cu: CCU v1: 1200 n1: 1200 st: NotStopd id: Ve High t0: [13:00:00 07/10/2014] el: 0 cg: SRT cu: CCU v1: 12 n1: 12 st: NotStopd id: Sensitivity-Vent t0: [13:00:00 07/10/2014] el: 0 cg: SRT cu: CCU v1: 2 n1: 2 u1: cmH2O st: NotStopd id: Tidal Volume (Obser) t0: [13:00:00 07/10/2014] el: 0 cg: SRT cu: CCU v1: 634 n1: 634 u1: ml/B st: NotStopd id: Tidal Volume (Set) t0: [13:00:00 07/10/2014] el: 0 cg: SRT cu: CCU v1: 600 n1: 600 u1: ml/B st: NotStopd id: Ventilator Mode t0: [13:00:00 07/10/2014] el: 0 cg: SRT cu: CCU v1: SIMV+PS st: NotStopd id: Ventilator Type t0: [13:00:00 07/10/2014] el: 0 cg: SRT cu: CCU v1: Drager st: NotStopd id: Waveform-Vent t0: [13:00:00 07/10/2014] el: 0 cg: SRT cu: CCU v1: RAMP st: NotStopd
id: Previous Weight t0: [13:00:00 07/10/2014] el: 0 cg: RN cu: CCU v1: 73.9 n1: 73.9 u1: kg st: NotStopd id: Previous WeightF t0: [13:00:00 07/10/2014] el: 0 cg: RN cu: CCU v1: 73.9 n1: 73.9 u1: kg st: NotStopd id: Weight Change t0: [13:00:00 07/10/2014] el: 0 cg: RN cu: CCU v1: 0 n1: 0 u1: kg st: NotStopd id: Daily Weight t0: [13:00:00 07/10/2014] el: 0 cg: RN cu: CCU v1: 73.9 n1: 73.9 u1: kg st: NotStopd
id: Diastolic Unloading t0: [13:00:00 07/10/2014] el: 0 cg: RN cu: CCU v1: 2 n1: 2 u1: % st: NotStopd id: Ectopy Frequency t0: [13:00:00 07/10/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [13:00:00 07/10/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: FiO2 Set t0: [13:00:00 07/10/2014] el: 0 cg: SRT cu: CCU v1: 0.6 n1: 0.6 u1: torr st: NotStopd id: Heart Rate t0: [13:00:00 07/10/2014] el: 0 cg: RN cu: CCU v1: 59 n1: 59 u1: BPM st: NotStopd id: Heart Rhythm t0: [13:00:00 07/10/2014] el: 0 cg: RN cu: CCU v1: Sinus Brady st: NotStopd id: IABP Mean t0: [13:00:00 07/10/2014] el: 0 cg: RN cu: CCU v1: 114 n1: 114 u1: mmHg st: NotStopd id: IABP setting t0: [13:00:00 07/10/2014] el: 0 cg: RN cu: CCU v1: 1:1 st: NotStopd id: Arterial BP t0: [13:00:00 07/10/2014] el: 0 cg: RN cu: CCU v1: 145 n1: 145 u1: mmHg v2: 77 n2: 77 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [13:00:00 07/10/2014] el: 0 cg: RN cu: CCU v1: 118 n1: 118 u1: mmHg st: NotStopd id: Assisted Systole t0: [13:00:00 07/10/2014] el: 0 cg: RN cu: CCU v1: 134 n1: 134 u1: mmHg st: NotStopd id: Augmented Diastole t0: [13:00:00 07/10/2014] el: 0 cg: RN cu: CCU v1: 159 n1: 159 u1: mmHg st: NotStopd id: BAEDP t0: [13:00:00 07/10/2014] el: 0 cg: RN cu: CCU v1: 75 n1: 75 u1: mmHg st: NotStopd id: Systolic Unloading t0: [13:00:00 07/10/2014] el: 0 cg: RN cu: CCU v1: 11 n1: 11 u1: % st: NotStopd id: calprevflg t0: [13:00:00 07/10/2014] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Mixed Venous O2 t0: [12:59:00 07/10/2014] el: 0 cg: 1663 cu: CCU v1: 42 n1: 42 rs: Final st: NotStopd
id: Lactic Acid t0: [12:59:00 07/10/2014] el: 0 cg: 1663 cu: CCU v1: 1.2 n1: 1.2 rs: Final st: NotStopd id: Hematocrit t0: [12:59:00 07/10/2014] el: 0 cg: 1663 cu: CCU v1: 30 n1: 30 u1: % rs: Final st: NotStopd id: Ionized Calcium t0: [12:59:00 07/10/2014] el: 0 cg: 1663 cu: CCU v1: 1.11 n1: 1.11 rs: Final st: NotStopd id: Lactic Acid(0.5-2.0) t0: [12:59:00 07/10/2014] el: 0 cg: 1663 cu: CCU v1: 1.2 n1: 1.2 rs: Final st: NotStopd
pi: 4096961 hi: 10731 t0: [14:00:00 07/10/2014] tf: [11:00:00 09/10/2014] mn: Nitroglycerin pt: IV Piggyback st: Discontinued rt: IV DRIP fr: TITRATE TO di: Ongoing xv: 36 xu: Hours pi: 4096962 hi: 10731 t0: [14:00:00 07/10/2014] tf: [11:00:00 09/10/2014] mn: Midazolam HCl pt: IV Piggyback st: Discontinued rt: IV DRIP fr: TITRATE TO di: Ongoing xv: 36 xu: Hours pi: 4096963 hi: 10731 t0: [14:00:00 07/10/2014] tf: [11:00:00 09/10/2014] mn: Fentanyl Citrate pt: Unit Dose st: Discontinued rt: IV DRIP fr: INFUSION di: Ongoing xv: 36 xu: Hours pi: 4096964 hi: 10731 t0: [14:00:00 07/10/2014] tf: [11:00:00 09/10/2014] mn: Heparin Flush CVL (100 units/ml) pt: Unit Dose st: Discontinued rt: IV fr: DAILY:PRN di: Ongoing xv: 36 xu: Hours pi: 4097033 hi: 10731 t0: [14:00:00 07/10/2014] tf: [13:00:00 08/10/2014] mn: Potassium Chloride pt: IV Piggyback st: Expired rt: IV fr: ONCE ds: 14 dn: 1 dt: 1 di: Doses xv: 36 xu: Hours
id: Pain Present t0: [13:00:00 07/10/2014] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: Code Status t0: [13:00:00 07/10/2014] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [13:00:00 07/10/2014] el: 0 cg: RN cu: CCU v1: Sedated st: NotStopd id: Daily Wake Up t0: [13:00:00 07/10/2014] el: 1 cg: RN cu: CCU v1: No/Hemodyn Issue st: NotStopd id: GI Prophylaxis t0: [13:00:00 07/10/2014] el: 0 cg: RN cu: CCU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [13:00:00 07/10/2014] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Diet Type t0: [13:00:00 07/10/2014] el: 0 cg: RN cu: CCU v1: NPO st: NotStopd id: Dorsal PedPulse R/L t0: [13:00:00 07/10/2014] el: 0 cg: RN cu: CCU v1: Strong/Palpable v2: Strong/Palpable st: NotStopd id: Alarms t0: [13:00:00 07/10/2014] el: 0 cg: RN cu: CCU v1: ON st: NotStopd id: Parameters Checked t0: [13:00:00 07/10/2014] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Eye Opening t0: [13:00:00 07/10/2014] el: 0 cg: RN cu: CCU v1: 1 No Response st: NotStopd id: GCS Total t0: [13:00:00 07/10/2014] el: 0 cg: RN cu: CCU v1: 3 n1: 3 u1: points st: NotStopd id: HOB t0: [13:00:00 07/10/2014] el: 0 cg: RN cu: CCU v1: Flat in Bed st: NotStopd id: INV Line#1 Type/Site t0: [13:00:00 07/10/2014] el: 0 cg: RN cu: CCU v1: IABP v2: Right Femoral st: NotStopd id: INV Line#1 Zero/Cal t0: [13:00:00 07/10/2014] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: INV Line#1InsertDate t0: [13:00:00 07/10/2014] el: 0 cg: RN cu: CCU v1: 10 n1: 10 v2: 3 n2: 3 st: NotStopd id: INV Line#1SiteAppear t0: [13:00:00 07/10/2014] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: INV Line#2 Type/Site t0: [13:00:00 07/10/2014] el: 0 cg: RN cu: CCU v1: PA line v2: Right Femoral st: NotStopd id: INV Line#2 Zero/Cal t0: [13:00:00 07/10/2014] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: INV Line#2InsertDate t0: [13:00:00 07/10/2014] el: 0 cg: RN cu: CCU v1: 10 n1: 10 v2: 3 n2: 3 st: NotStopd id: INV Line#2SiteAppear t0: [13:00:00 07/10/2014] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: Abdominal Assessment t0: [13:00:00 07/10/2014] el: 0 cg: RN cu: CCU v1: Soft Distended st: NotStopd id: INV#1 WaveformAppear t0: [13:00:00 07/10/2014] el: 0 cg: RN cu: CCU v1: Sharp st: NotStopd id: INV#2 WaveformAppear t0: [13:00:00 07/10/2014] el: 0 cg: RN cu: CCU v1: Dampened st: NotStopd id: IV #1 Insert Date t0: [13:00:00 07/10/2014] el: 0 cg: RN cu: CCU v1: 10 n1: 10 v2: 3 n2: 3 st: NotStopd id: IV #1 Site/Size t0: [13:00:00 07/10/2014] el: 0 cg: RN cu: CCU v1: Right Antecub v2: 20 gauge st: NotStopd id: IV #2 Insert Date t0: [13:00:00 07/10/2014] el: 0 cg: RN cu: CCU v1: 10 n1: 10 v2: 3 n2: 3 st: NotStopd id: IV #2 Site/Size t0: [13:00:00 07/10/2014] el: 0 cg: RN cu: CCU v1: Left Hand v2: 20 gauge st: NotStopd id: Activity t0: [13:00:00 07/10/2014] el: 0 cg: RN cu: CCU v1: Bedrest st: NotStopd id: IV Site Appear #1 t0: [13:00:00 07/10/2014] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: IV Site Appear #2 t0: [13:00:00 07/10/2014] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: Activity Tolerance t0: [13:00:00 07/10/2014] el: 0 cg: RN cu: CCU v1: Good st: NotStopd id: LLE Temp/Color t0: [13:00:00 07/10/2014] el: 0 cg: RN cu: CCU v1: Cold v2: Pale st: NotStopd id: Level of Conscious t0: [13:00:00 07/10/2014] el: 0 cg: RN cu: CCU v1: Sedated st: NotStopd id: Angio Appearance #1 t0: [13:00:00 07/10/2014] el: 0 cg: RN cu: CCU v1: Clean and Dry v2: Clean and Dry st: NotStopd id: Motor Response t0: [13:00:00 07/10/2014] el: 0 cg: RN cu: CCU v1: 1 No Response st: NotStopd id: Angio Dressing #1 t0: [13:00:00 07/10/2014] el: 0 cg: RN cu: CCU v1: Transparent st: NotStopd id: Oral Cavity t0: [13:00:00 07/10/2014] el: 0 cg: RN cu: CCU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [13:00:00 07/10/2014] el: 0 cg: RN cu: CCU v1: Unable to Assess st: NotStopd id: PAP Mean t0: [13:00:00 07/10/2014] el: 0 cg: RN cu: CCU v1: 17 n1: 17 u1: mmHg st: NotStopd id: PAP S/D t0: [13:00:00 07/10/2014] el: 0 cg: RN cu: CCU v1: 20 n1: 20 u1: mmHg v2: 13 n2: 13 u2: mmHg st: NotStopd id: AntiEmbDevice/Status t0: [13:00:00 07/10/2014] el: 0 cg: RN cu: CCU st: NotStopd id: Pain Location t0: [13:00:00 07/10/2014] el: 0 cg: RN cu: CCU v1: Not Indicated st: NotStopd id: Position t0: [13:00:00 07/10/2014] el: 0 cg: RN cu: CCU v1: Supine st: NotStopd id: PostTib. Pulses R/L t0: [13:00:00 07/10/2014] el: 0 cg: RN cu: CCU v1: Diff to Palpate v2: Diff to Palpate st: NotStopd id: Assistance Device t0: [13:00:00 07/10/2014] el: 0 cg: RN cu: CCU v1: 2 Person Assist st: NotStopd id: Precautions t0: [13:00:00 07/10/2014] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: INV#1 Dsg Change t0: [13:00:00 07/10/2014] el: 0 cg: RN cu: CCU v1: 10 n1: 10 v2: 3 n2: 3 st: NotStopd id: INV#2 Dsg Change t0: [13:00:00 07/10/2014] el: 0 cg: RN cu: CCU v1: 10 n1: 10 v2: 3 n2: 3 st: NotStopd id: Procedures t0: [13:00:00 07/10/2014] el: 0 cg: RN cu: CCU v1: Cardiac Cath st: NotStopd id: RLE Temp/Color t0: [13:00:00 07/10/2014] el: 0 cg: RN cu: CCU v1: Cold v2: Pale st: NotStopd id: Respiratory Pattern t0: [13:00:00 07/10/2014] el: 0 cg: RN cu: CCU v1: Regular st: NotStopd id: Respiratory Rate t0: [13:00:00 07/10/2014] el: 0 cg: RN cu: CCU v1: 10 n1: 10 u1: BPM st: NotStopd id: Restraint Location t0: [13:00:00 07/10/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Side Rails t0: [13:00:00 07/10/2014] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: Skin Integrity t0: [13:00:00 07/10/2014] el: 0 cg: RN cu: CCU v1: Intact st: NotStopd id: INV#1 Cap Change t0: [13:00:00 07/10/2014] el: 0 cg: RN cu: CCU v1: 10 n1: 10 v2: 3 n2: 3 st: NotStopd id: INV#1 Tubing Change t0: [13:00:00 07/10/2014] el: 0 cg: RN cu: CCU v1: 10 n1: 10 v2: 3 n2: 3 st: NotStopd id: INV#2 Cap Change t0: [13:00:00 07/10/2014] el: 0 cg: RN cu: CCU v1: 10 n1: 10 v2: 3 n2: 3 st: NotStopd id: INV#2 Tubing Change t0: [13:00:00 07/10/2014] el: 0 cg: RN cu: CCU v1: 10 n1: 10 v2: 3 n2: 3 st: NotStopd id: Temp. Site t0: [13:00:00 07/10/2014] el: 0 cg: RN cu: CCU v1: Oral st: NotStopd id: Temperature C (calc) t0: [13:00:00 07/10/2014] el: 0 cg: RN cu: CCU v1: 35.6667 n1: 35.6667 u1: Deg. C st: NotStopd id: Temperature F t0: [13:00:00 07/10/2014] el: 0 cg: RN cu: CCU v1: 96.2 n1: 96.2 u1: Deg. F st: NotStopd id: Therapeutic Bed t0: [13:00:00 07/10/2014] el: 0 cg: RN cu: CCU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [13:00:00 07/10/2014] el: 0 cg: RN cu: CCU v1: Logroll st: NotStopd id: Urine Color/Appear t0: [13:00:00 07/10/2014] el: 0 cg: RN cu: CCU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [13:00:00 07/10/2014] el: 0 cg: RN cu: CCU v1: Voids st: NotStopd id: In-Line Sx Change t0: [13:00:00 07/10/2014] el: 0 cg: RN cu: CCU v1: 10 n1: 10 v2: 3 n2: 3 st: NotStopd id: Verbal Response t0: [13:00:00 07/10/2014] el: 0 cg: RN cu: CCU v1: 1.0 ET/Trach st: NotStopd id: Behavior t0: [13:00:00 07/10/2014] el: 0 cg: RN cu: CCU v1: Sedated st: NotStopd id: Bowel Sounds t0: [13:00:00 07/10/2014] el: 0 cg: RN cu: CCU v1: Present st: NotStopd id: Braden Activity t0: [13:00:00 07/10/2014] el: 0 cg: RN cu: CCU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [13:00:00 07/10/2014] el: 0 cg: RN cu: CCU v1: Potential Prob st: NotStopd id: Braden Mobility t0: [13:00:00 07/10/2014] el: 0 cg: RN cu: CCU v1: Comp. Immobile st: NotStopd id: Braden Moisture t0: [13:00:00 07/10/2014] el: 0 cg: RN cu: CCU v1: Rarely Moist st: NotStopd id: Braden Nutrition t0: [13:00:00 07/10/2014] el: 0 cg: RN cu: CCU v1: Very Poor st: NotStopd id: Braden Score t0: [13:00:00 07/10/2014] el: 0 cg: RN cu: CCU v1: 10 n1: 10 u1: number st: NotStopd id: Braden SensoryPercep t0: [13:00:00 07/10/2014] el: 0 cg: RN cu: CCU v1: Comp. Limited st: NotStopd
id: D5W 250.0ml + 100mcgkgmin Nitroglycerine-k t0: [13:00:00 07/10/2014] el: 1 ai: 109 cg: RN cu: CCU vo: 0 vu: ml nb: 1 id: .9% Normal Saline 1000.0ml t0: [13:00:00 07/10/2014] el: 1 ai: 189 cg: RN cu: CCU vo: 0 vu: ml nb: 1 id: D5W 250.0ml + 25000Uhr Heparin t0: [13:00:00 07/10/2014] el: 1 ai: 117 cg: RN cu: CCU vo: 0 vu: ml nb: 1 id: Urine Out Foley t0: [13:00:00 07/10/2014] el: 1 cg: RN cu: CCU vo: 600 vu: ml
id: Nitroglycerine-k t0: [13:00:00 07/10/2014] el: 1 cg: RN cu: CCU vo: 0 do: 0.902 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip id: Heparin t0: [13:00:00 07/10/2014] el: 1 cg: RN cu: CCU vo: 0 do: 800 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: Swan SVO2 t0: [13:00:00 07/10/2014] el: 0 cg: RN cu: CCU v1: 74 n1: 74 u1: % st: NotStopd id: BSA t0: [13:06:00 07/10/2014] el: 1033 cg: -1 cu: CCU v1: 1.8558 n1: 1.8558 u1: m2 id: Admit Wt t0: [13:06:00 07/10/2014] el: 1032 cg: -1 cu: CCU v1: 73.9 n1: 73.9 u1: kg id: Mixed Venous O2% Sat t0: [13:00:00 07/10/2014] el: 0 cg: RN cu: CCU v1: 74 n1: 74 rs: Manual st: NotStopd id: Allergy 1 t0: [13:06:00 07/10/2014] el: 1020 cg: -1 cu: CCU id: Diagnosis/op t0: [13:06:00 07/10/2014] el: 1023 cg: -1 cu: CCU v1: CHEST PAIN CARDIAC CATH id: Service t0: [13:06:00 07/10/2014] el: 1026 cg: -1 cu: CCU v1: CME id: Admit Ht t0: [13:06:00 07/10/2014] el: 1034 cg: -1 cu: CCU v1: 63 n1: 63 u1: inches id: Readmission t0: [13:06:00 07/10/2014] el: 1014 cg: -1 cu: CCU id: Marital Status t0: [13:06:00 07/10/2014] el: 1006 cg: -1 cu: CCU v1: W id: Religion t0: [13:06:00 07/10/2014] el: 1000 cg: -1 cu: CCU v1: NSP id: Allergy 2 t0: [13:06:00 07/10/2014] el: 1021 cg: -1 cu: CCU id: Ext t0: [13:06:00 07/10/2014] el: 1010 cg: -1 cu: CCU id: Allergy 3 t0: [13:06:00 07/10/2014] el: 1022 cg: -1 cu: CCU
id: Cardiac Index t0: [13:00:00 07/10/2014] el: 0 cg: RN cu: CCU v1: 3.8172 n1: 3.8172 u1: ... st: NotStopd id: SpO2 t0: [13:00:00 07/10/2014] el: 0 cg: RN cu: CCU v1: 97 n1: 97 u1: % st: NotStopd id: SaO2 t0: [13:00:00 07/10/2014] el: 0 cg: RN cu: CCU v1: 97 n1: 97 u1: % rs: Manual st: NotStopd id: C.O. (fick) t0: [13:00:00 07/10/2014] el: 0 cg: RN cu: CCU v1: 7.05028 n1: 7.05028 u1: L/min st: NotStopd
id: Cardiac Index t0: [13:15:00 07/10/2014] el: 0 cg: RN cu: CCU v1: 3.8172 n1: 3.8172 u1: ... st: NotStopd id: Code Status t0: [13:15:00 07/10/2014] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [13:15:00 07/10/2014] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [13:15:00 07/10/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [13:15:00 07/10/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Heart Rate t0: [13:15:00 07/10/2014] el: 0 cg: RN cu: CCU v1: 82 n1: 82 u1: BPM st: NotStopd id: Heart Rhythm t0: [13:15:00 07/10/2014] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: IABP setting t0: [13:15:00 07/10/2014] el: 0 cg: RN cu: CCU v1: 1:1 st: NotStopd id: PAP Mean t0: [13:15:00 07/10/2014] el: 0 cg: RN cu: CCU v1: 14 n1: 14 u1: mmHg st: NotStopd id: PAP S/D t0: [13:15:00 07/10/2014] el: 0 cg: RN cu: CCU v1: 18 n1: 18 u1: mmHg v2: 11 n2: 11 u2: mmHg st: NotStopd id: Arterial BP t0: [13:15:00 07/10/2014] el: 0 cg: RN cu: CCU v1: 178 n1: 178 u1: mmHg v2: 94 n2: 94 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [13:15:00 07/10/2014] el: 0 cg: RN cu: CCU v1: 149 n1: 149 u1: mmHg st: NotStopd id: Precautions t0: [13:15:00 07/10/2014] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [13:00:00 07/10/2014] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 175 n2: 175 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [13:15:00 07/10/2014] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 175 n2: 175 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [13:00:00 07/10/2014] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [13:15:00 07/10/2014] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: PAP Alarm (Lo/Hi) t0: [13:00:00 07/10/2014] el: 0 cg: RN cu: CCU v1: 10 n1: 10 u1: mmHg v2: 45 n2: 45 u2: mmHg st: NotStopd id: PAP Alarm (Lo/Hi) t0: [13:15:00 07/10/2014] el: 0 cg: RN cu: CCU v1: 10 n1: 10 u1: mmHg v2: 45 n2: 45 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [13:00:00 07/10/2014] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [13:15:00 07/10/2014] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Previous WeightF t0: [13:15:00 07/10/2014] el: 0 cg: RN cu: CCU v1: 73.9 n1: 73.9 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [13:00:00 07/10/2014] el: 0 cg: RN cu: CCU v1: 92 n1: 92 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [13:15:00 07/10/2014] el: 0 cg: RN cu: CCU v1: 92 n1: 92 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [13:15:00 07/10/2014] el: 0 cg: RN cu: CCU v1: 10 n1: 10 u1: BPM st: NotStopd id: SpO2 t0: [13:15:00 07/10/2014] el: 0 cg: RN cu: CCU v1: 97 n1: 97 u1: % st: NotStopd id: calprevflg t0: [13:15:00 07/10/2014] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: Fingerstick Glucose t0: [13:00:00 07/10/2014] el: 0 cg: RN cu: CCU v1: 189 n1: 189 rs: Manual st: NotStopd
id: Nitroglycerine-k t0: [13:15:00 07/10/2014] el: 1 cg: RN cu: CCU vo: 0 do: 1 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip id: Heparin t0: [13:15:00 07/10/2014] el: 1 cg: RN cu: CCU vo: 0 do: 800 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: PT t0: [11:30:00 07/10/2014] el: 0 cg: 1663 cu: CCU v1: 14 n1: 14 rs: Final st: NotStopd id: INR t0: [11:30:00 07/10/2014] el: 0 cg: 1663 cu: CCU v1: 1.2 n1: 1.2 rs: Final st: NotStopd id: INR (2-4 ref. range) t0: [11:30:00 07/10/2014] el: 0 cg: 1663 cu: CCU v1: 1.2 n1: 1.2 rs: Final st: NotStopd id: PT(11-13.5) t0: [11:30:00 07/10/2014] el: 0 cg: 1663 cu: CCU v1: 14 n1: 14 rs: Final st: NotStopd
id: Less Restrict Meas. t0: [13:15:00 07/10/2014] el: 0 cg: RN cu: CCU v1: Medicated st: NotStopd id: Range of Motion t0: [13:15:00 07/10/2014] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Circulation/SkinInt t0: [13:15:00 07/10/2014] el: 0 cg: RN cu: CCU v1: Circulation Adeq st: NotStopd id: LLL Lung Sounds t0: [13:00:00 07/10/2014] el: 0 cg: RN cu: CCU v1: Rhonchi st: NotStopd id: LUL Lung Sounds t0: [13:00:00 07/10/2014] el: 0 cg: RN cu: CCU v1: Rhonchi st: NotStopd id: Angio Site #1 t0: [13:00:00 07/10/2014] el: 0 cg: RN cu: CCU v1: R Femoral st: NotStopd id: Position Change t0: [13:15:00 07/10/2014] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: RLL Lung Sounds t0: [13:00:00 07/10/2014] el: 0 cg: RN cu: CCU v1: Rhonchi st: NotStopd id: RUL Lung Sounds t0: [13:00:00 07/10/2014] el: 0 cg: RN cu: CCU v1: Rhonchi st: NotStopd id: Reason For Restraint t0: [13:15:00 07/10/2014] el: 0 cg: RN cu: CCU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [13:15:00 07/10/2014] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Restraint Location t0: [13:15:00 07/10/2014] el: 0 cg: RN cu: CCU v1: Both Arms st: NotStopd id: Restraint Type t0: [13:15:00 07/10/2014] el: 0 cg: RN cu: CCU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [13:15:00 07/10/2014] el: 0 cg: RN cu: CCU v1: Behavior Conts st: NotStopd id: Side Rails t0: [13:15:00 07/10/2014] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd
id: Fingerstick Glucose t0: [14:00:00 07/10/2014] el: 0 cg: CoWker cu: CCU v1: 218 n1: 218 rs: Manual st: NotStopd
id: Fentanyl io: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl el: 100 cg: RN cu: CCU am: 2500 du: mcghr rt: IV Drip id: Midazolam io: .9% Normal Saline 50.0ml + 50mghr Midazolam el: 100 cg: RN cu: CCU am: 50 du: mghr rt: IV Drip
io: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl el: 1 cg: RN cu: CCU ra: 5 ru: ml/hr io: .9% Normal Saline 50.0ml + 50mghr Midazolam el: 1 cg: RN cu: CCU ra: 2 ru: ml/hr
pi: 4097194 hi: 10731 t0: [15:00:00 07/10/2014] tf: [11:00:00 09/10/2014] mn: Insulin pt: IV Piggyback st: Discontinued rt: IV DRIP fr: TITRATE TO di: Ongoing xu: Enter on Label
id: Code Status t0: [13:30:00 07/10/2014] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [13:45:00 07/10/2014] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [14:00:00 07/10/2014] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [14:15:00 07/10/2014] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [14:30:00 07/10/2014] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [13:30:00 07/10/2014] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [13:45:00 07/10/2014] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [14:00:00 07/10/2014] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [14:15:00 07/10/2014] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [14:30:00 07/10/2014] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Diastolic Unloading t0: [14:00:00 07/10/2014] el: 0 cg: RN cu: CCU v1: 27 n1: 27 u1: % st: NotStopd id: Ectopy Frequency t0: [14:00:00 07/10/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Frequency t0: [14:30:00 07/10/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [14:00:00 07/10/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [14:30:00 07/10/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Heart Rate t0: [13:30:00 07/10/2014] el: 0 cg: RN cu: CCU v1: 87 n1: 87 u1: BPM st: NotStopd id: Heart Rate t0: [13:45:00 07/10/2014] el: 0 cg: RN cu: CCU v1: 94 n1: 94 u1: BPM st: NotStopd id: Heart Rate t0: [14:00:00 07/10/2014] el: 0 cg: RN cu: CCU v1: 99 n1: 99 u1: BPM st: NotStopd id: Heart Rate t0: [14:15:00 07/10/2014] el: 0 cg: RN cu: CCU v1: 55 n1: 55 u1: BPM st: NotStopd id: Heart Rate t0: [14:30:00 07/10/2014] el: 0 cg: RN cu: CCU v1: 53 n1: 53 u1: BPM st: NotStopd id: Heart Rhythm t0: [14:00:00 07/10/2014] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [14:30:00 07/10/2014] el: 0 cg: RN cu: CCU v1: Sinus Brady st: NotStopd id: IABP Mean t0: [14:00:00 07/10/2014] el: 0 cg: RN cu: CCU v1: 114 n1: 114 u1: mmHg st: NotStopd id: IABP Mean t0: [14:30:00 07/10/2014] el: 0 cg: RN cu: CCU v1: 76 n1: 76 u1: mmHg st: NotStopd id: IABP setting t0: [13:30:00 07/10/2014] el: 0 cg: RN cu: CCU v1: 1:1 st: NotStopd id: IABP setting t0: [13:45:00 07/10/2014] el: 0 cg: RN cu: CCU v1: 1:1 st: NotStopd id: IABP setting t0: [14:00:00 07/10/2014] el: 0 cg: RN cu: CCU v1: 1:1 st: NotStopd id: IABP setting t0: [14:15:00 07/10/2014] el: 0 cg: RN cu: CCU v1: 1:1 st: NotStopd id: IABP setting t0: [14:30:00 07/10/2014] el: 0 cg: RN cu: CCU v1: 1:1 st: NotStopd id: NBP t0: [14:15:00 07/10/2014] el: 0 cg: RN cu: CCU v1: 0 n1: 0 u1: mmHg v2: 0 n2: 0 u2: mmHg st: NotStopd id: NBP Mean t0: [14:15:00 07/10/2014] el: 0 cg: RN cu: CCU v1: 0 n1: 0 u1: mmHg st: NotStopd id: PAP Mean t0: [13:30:00 07/10/2014] el: 0 cg: RN cu: CCU v1: 16 n1: 16 u1: mmHg st: NotStopd id: PAP Mean t0: [13:45:00 07/10/2014] el: 0 cg: RN cu: CCU v1: 15 n1: 15 u1: mmHg st: NotStopd id: PAP Mean t0: [14:00:00 07/10/2014] el: 0 cg: RN cu: CCU v1: 12 n1: 12 u1: mmHg st: NotStopd id: PAP S/D t0: [13:30:00 07/10/2014] el: 0 cg: RN cu: CCU v1: 20 n1: 20 u1: mmHg v2: 13 n2: 13 u2: mmHg st: NotStopd id: PAP S/D t0: [13:45:00 07/10/2014] el: 0 cg: RN cu: CCU v1: 20 n1: 20 u1: mmHg v2: 13 n2: 13 u2: mmHg st: NotStopd id: PAP S/D t0: [14:00:00 07/10/2014] el: 0 cg: RN cu: CCU v1: 17 n1: 17 u1: mmHg v2: 9 n2: 9 u2: mmHg st: NotStopd id: Arterial BP t0: [13:30:00 07/10/2014] el: 0 cg: RN cu: CCU v1: 188 n1: 188 u1: mmHg v2: 102 n2: 102 u2: mmHg st: NotStopd id: Arterial BP t0: [13:45:00 07/10/2014] el: 0 cg: RN cu: CCU v1: 192 n1: 192 u1: mmHg v2: 109 n2: 109 u2: mmHg st: NotStopd id: Arterial BP t0: [14:00:00 07/10/2014] el: 0 cg: RN cu: CCU v1: 176 n1: 176 u1: mmHg v2: 102 n2: 102 u2: mmHg st: NotStopd id: Arterial BP t0: [14:15:00 07/10/2014] el: 0 cg: RN cu: CCU v1: 125 n1: 125 u1: mmHg v2: 49 n2: 49 u2: mmHg st: NotStopd id: Arterial BP t0: [14:30:00 07/10/2014] el: 0 cg: RN cu: CCU v1: 76 n1: 76 u1: mmHg v2: 44 n2: 44 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [13:30:00 07/10/2014] el: 0 cg: RN cu: CCU v1: 155 n1: 155 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [13:45:00 07/10/2014] el: 0 cg: RN cu: CCU v1: 161 n1: 161 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [14:00:00 07/10/2014] el: 0 cg: RN cu: CCU v1: 151 n1: 151 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [14:15:00 07/10/2014] el: 0 cg: RN cu: CCU v1: 92 n1: 92 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [14:30:00 07/10/2014] el: 0 cg: RN cu: CCU v1: 67 n1: 67 u1: mmHg st: NotStopd id: Precautions t0: [13:30:00 07/10/2014] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: Precautions t0: [13:45:00 07/10/2014] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: Precautions t0: [14:00:00 07/10/2014] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: Precautions t0: [14:15:00 07/10/2014] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: Precautions t0: [14:30:00 07/10/2014] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: Assisted Systole t0: [14:00:00 07/10/2014] el: 0 cg: RN cu: CCU v1: 134 n1: 134 u1: mmHg st: NotStopd id: Assisted Systole t0: [14:30:00 07/10/2014] el: 0 cg: RN cu: CCU v1: 74 n1: 74 u1: mmHg st: NotStopd id: Previous Weight t0: [13:45:00 07/10/2014] el: 0 cg: RN cu: CCU v1: 73.9 n1: 73.9 u1: kg st: NotStopd id: Previous Weight t0: [14:00:00 07/10/2014] el: 0 cg: RN cu: CCU v1: 73.9 n1: 73.9 u1: kg st: NotStopd id: Previous Weight t0: [14:15:00 07/10/2014] el: 0 cg: RN cu: CCU v1: 73.9 n1: 73.9 u1: kg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [13:30:00 07/10/2014] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 175 n2: 175 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [13:45:00 07/10/2014] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 175 n2: 175 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [14:00:00 07/10/2014] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 175 n2: 175 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [14:15:00 07/10/2014] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 175 n2: 175 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [14:30:00 07/10/2014] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 175 n2: 175 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [13:30:00 07/10/2014] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [13:45:00 07/10/2014] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [14:00:00 07/10/2014] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [14:15:00 07/10/2014] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [14:30:00 07/10/2014] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: PAP Alarm (Lo/Hi) t0: [13:30:00 07/10/2014] el: 0 cg: RN cu: CCU v1: 10 n1: 10 u1: mmHg v2: 45 n2: 45 u2: mmHg st: NotStopd id: PAP Alarm (Lo/Hi) t0: [13:45:00 07/10/2014] el: 0 cg: RN cu: CCU v1: 10 n1: 10 u1: mmHg v2: 45 n2: 45 u2: mmHg st: NotStopd id: PAP Alarm (Lo/Hi) t0: [14:00:00 07/10/2014] el: 0 cg: RN cu: CCU v1: 10 n1: 10 u1: mmHg v2: 45 n2: 45 u2: mmHg st: NotStopd id: PAP Alarm (Lo/Hi) t0: [14:15:00 07/10/2014] el: 0 cg: RN cu: CCU v1: 10 n1: 10 u1: mmHg v2: 45 n2: 45 u2: mmHg st: NotStopd id: PAP Alarm (Lo/Hi) t0: [14:30:00 07/10/2014] el: 0 cg: RN cu: CCU v1: 10 n1: 10 u1: mmHg v2: 45 n2: 45 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [13:30:00 07/10/2014] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [13:45:00 07/10/2014] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [14:00:00 07/10/2014] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [14:15:00 07/10/2014] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [14:30:00 07/10/2014] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Previous WeightF t0: [13:30:00 07/10/2014] el: 0 cg: RN cu: CCU v1: 73.9 n1: 73.9 u1: kg st: NotStopd id: Previous WeightF t0: [13:45:00 07/10/2014] el: 0 cg: RN cu: CCU v1: 73.9 n1: 73.9 u1: kg st: NotStopd id: Previous WeightF t0: [14:00:00 07/10/2014] el: 0 cg: RN cu: CCU v1: 73.9 n1: 73.9 u1: kg st: NotStopd id: Previous WeightF t0: [14:15:00 07/10/2014] el: 0 cg: RN cu: CCU v1: 73.9 n1: 73.9 u1: kg st: NotStopd id: Previous WeightF t0: [14:30:00 07/10/2014] el: 0 cg: RN cu: CCU v1: 73.9 n1: 73.9 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [13:30:00 07/10/2014] el: 0 cg: RN cu: CCU v1: 92 n1: 92 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [13:45:00 07/10/2014] el: 0 cg: RN cu: CCU v1: 92 n1: 92 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [14:00:00 07/10/2014] el: 0 cg: RN cu: CCU v1: 92 n1: 92 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [14:15:00 07/10/2014] el: 0 cg: RN cu: CCU v1: 92 n1: 92 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [14:30:00 07/10/2014] el: 0 cg: RN cu: CCU v1: 92 n1: 92 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Augmented Diastole t0: [14:00:00 07/10/2014] el: 0 cg: RN cu: CCU v1: 129 n1: 129 u1: mmHg st: NotStopd id: Augmented Diastole t0: [14:30:00 07/10/2014] el: 0 cg: RN cu: CCU v1: 105 n1: 105 u1: mmHg st: NotStopd id: Respiratory Rate t0: [13:30:00 07/10/2014] el: 0 cg: RN cu: CCU v1: 10 n1: 10 u1: BPM st: NotStopd id: Respiratory Rate t0: [13:45:00 07/10/2014] el: 0 cg: RN cu: CCU v1: 15 n1: 15 u1: BPM st: NotStopd id: Respiratory Rate t0: [14:00:00 07/10/2014] el: 0 cg: RN cu: CCU v1: 20 n1: 20 u1: BPM st: NotStopd id: Respiratory Rate t0: [14:15:00 07/10/2014] el: 0 cg: RN cu: CCU v1: 13 n1: 13 u1: BPM st: NotStopd id: Respiratory Rate t0: [14:30:00 07/10/2014] el: 0 cg: RN cu: CCU v1: 11 n1: 11 u1: BPM st: NotStopd id: BAEDP t0: [14:00:00 07/10/2014] el: 0 cg: RN cu: CCU v1: 75 n1: 75 u1: mmHg st: NotStopd id: BAEDP t0: [14:30:00 07/10/2014] el: 0 cg: RN cu: CCU v1: 55 n1: 55 u1: mmHg st: NotStopd id: SpO2 t0: [13:30:00 07/10/2014] el: 0 cg: RN cu: CCU v1: 98 n1: 98 u1: % st: NotStopd id: SpO2 t0: [13:45:00 07/10/2014] el: 0 cg: RN cu: CCU v1: 99 n1: 99 u1: % st: NotStopd id: SpO2 t0: [14:00:00 07/10/2014] el: 0 cg: RN cu: CCU v1: 99 n1: 99 u1: % st: NotStopd id: SpO2 t0: [14:15:00 07/10/2014] el: 0 cg: RN cu: CCU v1: 99 n1: 99 u1: % st: NotStopd id: SpO2 t0: [14:30:00 07/10/2014] el: 0 cg: RN cu: CCU v1: 98 n1: 98 u1: % st: NotStopd id: Systolic Unloading t0: [14:00:00 07/10/2014] el: 0 cg: RN cu: CCU v1: 42 n1: 42 u1: % st: NotStopd id: Systolic Unloading t0: [14:30:00 07/10/2014] el: 0 cg: RN cu: CCU v1: 2 n1: 2 u1: % st: NotStopd id: calprevflg t0: [13:30:00 07/10/2014] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [13:45:00 07/10/2014] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [14:00:00 07/10/2014] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [14:15:00 07/10/2014] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [14:30:00 07/10/2014] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Urine Out Foley t0: [14:00:00 07/10/2014] el: 1 cg: RN cu: CCU vo: 240 vu: ml
id: Fentanyl t0: [13:45:00 07/10/2014] el: 1 cg: RN cu: CCU vo: 0 do: 25 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Fentanyl t0: [14:00:00 07/10/2014] el: 1 cg: RN cu: CCU vo: 0 do: 50 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Nitroglycerine-k t0: [13:30:00 07/10/2014] el: 1 cg: RN cu: CCU vo: 0 do: 1 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip id: Nitroglycerine-k t0: [13:45:00 07/10/2014] el: 1 cg: RN cu: CCU vo: 0 do: 1 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip id: Nitroglycerine-k t0: [14:00:00 07/10/2014] el: 1 cg: RN cu: CCU vo: 0 do: 1 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip id: Nitroglycerine-k t0: [14:15:00 07/10/2014] el: 1 cg: RN cu: CCU vo: 0 do: 1 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip id: Nitroglycerine-k t0: [14:30:00 07/10/2014] el: 1 cg: RN cu: CCU vo: 0 do: 0 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip id: Midazolam t0: [13:45:00 07/10/2014] el: 1 cg: RN cu: CCU vo: 0 do: 1 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Midazolam t0: [14:00:00 07/10/2014] el: 1 cg: RN cu: CCU vo: 0 do: 2 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Heparin t0: [13:30:00 07/10/2014] el: 1 cg: RN cu: CCU vo: 0 do: 800 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip id: Heparin t0: [13:45:00 07/10/2014] el: 1 cg: RN cu: CCU vo: 0 do: 800 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip id: Heparin t0: [14:00:00 07/10/2014] el: 1 cg: RN cu: CCU vo: 0 do: 800 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip id: Heparin t0: [14:15:00 07/10/2014] el: 1 cg: RN cu: CCU vo: 0 do: 800 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip id: Heparin t0: [14:30:00 07/10/2014] el: 1 cg: RN cu: CCU vo: 0 do: 800 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: Communication t0: [13:00:00 07/10/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Follows Commands t0: [13:00:00 07/10/2014] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: LL Strength/Movement t0: [13:00:00 07/10/2014] el: 0 cg: RN cu: CCU v1: No Movement st: NotStopd id: LU Strength/Movement t0: [13:00:00 07/10/2014] el: 0 cg: RN cu: CCU v1: No Movement st: NotStopd id: Neuro Symptoms t0: [13:00:00 07/10/2014] el: 0 cg: RN cu: CCU v1: Not Indicated st: NotStopd id: Pupil Response R/L t0: [13:00:00 07/10/2014] el: 0 cg: RN cu: CCU v1: Brisk v2: Brisk st: NotStopd id: Pupil Size R/L t0: [13:00:00 07/10/2014] el: 0 cg: RN cu: CCU v1: 5 mm v2: 5 mm st: NotStopd id: RL Strength/Movement t0: [13:00:00 07/10/2014] el: 0 cg: RN cu: CCU v1: No Movement st: NotStopd id: RU Strength/Movement t0: [13:00:00 07/10/2014] el: 0 cg: RN cu: CCU v1: No Movement st: NotStopd id: Speech t0: [13:00:00 07/10/2014] el: 0 cg: RN cu: CCU v1: Intubated/trach st: NotStopd id: Spontaneous Movement t0: [13:00:00 07/10/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd
id: D5W 250.0ml + 100mcgkgmin Nitroglycerine-k t0: [14:00:00 07/10/2014] el: 1 ai: 109 cg: RN cu: CCU vo: 10.8134 vu: ml id: D5W 250.0ml + 25000Uhr Heparin t0: [14:00:00 07/10/2014] el: 1 ai: 117 cg: RN cu: CCU vo: 8 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [13:30:00 07/10/2014] el: 1 ai: 416 cg: RN cu: CCU vu: ml nb: 1 id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [13:30:00 07/10/2014] el: 1 ai: 314 cg: RN cu: CCU vo: 0 vu: ml nb: 1
id: Cardiac Index t0: [15:00:00 07/10/2014] el: 0 cg: -1 cu: CCU st: D/C'd id: PAP Mean t0: [15:00:00 07/10/2014] el: 0 cg: -1 cu: CCU st: D/C'd id: PAP S/D t0: [15:00:00 07/10/2014] el: 0 cg: -1 cu: CCU st: D/C'd id: PCWP t0: [15:00:00 07/10/2014] el: 0 cg: -1 cu: CCU st: D/C'd id: Swan SVO2 t0: [15:00:00 07/10/2014] el: 0 cg: -1 cu: CCU st: D/C'd id: C.O. (fick) t0: [15:00:00 07/10/2014] el: 0 cg: -1 cu: CCU st: D/C'd
id: D5W 250.0ml + 100mcgkgmin Nitroglycerine-k t0: [15:00:00 07/10/2014] el: 1 ai: 109 cg: -1 cu: CCU vo: 0 st: D/C'd
id: Less Restrict Meas. t0: [15:00:00 07/10/2014] el: 0 cg: RN cu: CCU v1: Medicated st: NotStopd id: Range of Motion t0: [15:00:00 07/10/2014] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: CVP t0: [15:00:00 07/10/2014] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: mmHg st: NotStopd id: Circulation/SkinInt t0: [15:00:00 07/10/2014] el: 0 cg: RN cu: CCU v1: Circulation Adeq st: NotStopd id: Code Status t0: [15:00:00 07/10/2014] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [15:00:00 07/10/2014] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Diastolic Unloading t0: [15:00:00 07/10/2014] el: 0 cg: RN cu: CCU v1: 3 n1: 3 u1: % st: NotStopd id: Diet Type t0: [14:00:00 07/10/2014] el: 0 cg: RN cu: CCU v1: NPO st: NotStopd id: Diet Type t0: [15:00:00 07/10/2014] el: 0 cg: RN cu: CCU v1: NPO st: NotStopd id: Dorsal PedPulse R/L t0: [14:00:00 07/10/2014] el: 0 cg: RN cu: CCU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Dorsal PedPulse R/L t0: [15:00:00 07/10/2014] el: 0 cg: RN cu: CCU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Ectopy Frequency t0: [15:00:00 07/10/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [15:00:00 07/10/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Heart Rate t0: [15:00:00 07/10/2014] el: 0 cg: RN cu: CCU v1: 51 n1: 51 u1: BPM st: NotStopd id: IABP Mean t0: [15:00:00 07/10/2014] el: 0 cg: RN cu: CCU v1: 69 n1: 69 u1: mmHg st: NotStopd id: IABP setting t0: [15:00:00 07/10/2014] el: 0 cg: RN cu: CCU v1: 1:1 st: NotStopd id: LLE Temp/Color t0: [14:00:00 07/10/2014] el: 0 cg: RN cu: CCU v1: Cool v2: Pale st: NotStopd id: LLE Temp/Color t0: [15:00:00 07/10/2014] el: 0 cg: RN cu: CCU v1: Cool v2: Pale st: NotStopd id: Angio Appearance #1 t0: [14:00:00 07/10/2014] el: 0 cg: RN cu: CCU v1: Clean and Dry v2: Clean and Dry st: NotStopd id: Angio Appearance #1 t0: [15:00:00 07/10/2014] el: 0 cg: RN cu: CCU v1: Clean and Dry v2: Clean and Dry st: NotStopd id: NBP t0: [15:00:00 07/10/2014] el: 0 cg: RN cu: CCU v1: 73 n1: 73 u1: mmHg v2: 42 n2: 42 u2: mmHg st: NotStopd id: NBP Mean t0: [15:00:00 07/10/2014] el: 0 cg: RN cu: CCU v1: 52.3333 n1: 52.3333 u1: mmHg st: NotStopd id: Angio Dressing #1 t0: [14:00:00 07/10/2014] el: 0 cg: RN cu: CCU v1: Transparent st: NotStopd id: Angio Dressing #1 t0: [15:00:00 07/10/2014] el: 0 cg: RN cu: CCU v1: Transparent st: NotStopd id: Angio Site #1 t0: [14:00:00 07/10/2014] el: 0 cg: RN cu: CCU v1: R Femoral st: NotStopd id: Angio Site #1 t0: [15:00:00 07/10/2014] el: 0 cg: RN cu: CCU v1: R Femoral st: NotStopd id: Arterial BP t0: [15:00:00 07/10/2014] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: mmHg v2: 45 n2: 45 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [15:00:00 07/10/2014] el: 0 cg: RN cu: CCU v1: 71 n1: 71 u1: mmHg st: NotStopd id: Position Change t0: [15:00:00 07/10/2014] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: PostTib. Pulses R/L t0: [14:00:00 07/10/2014] el: 0 cg: RN cu: CCU v1: Diff to Palpate v2: Diff to Palpate st: NotStopd id: PostTib. Pulses R/L t0: [15:00:00 07/10/2014] el: 0 cg: RN cu: CCU v1: Weak Palpable v2: Weak Palpable st: NotStopd id: Precautions t0: [15:00:00 07/10/2014] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: Assisted Systole t0: [15:00:00 07/10/2014] el: 0 cg: RN cu: CCU v1: 68 n1: 68 u1: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [15:00:00 07/10/2014] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 175 n2: 175 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [15:00:00 07/10/2014] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: PAP Alarm (Lo/Hi) t0: [15:00:00 07/10/2014] el: 0 cg: RN cu: CCU v1: 10 n1: 10 u1: mmHg v2: 45 n2: 45 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [15:00:00 07/10/2014] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [15:00:00 07/10/2014] el: 0 cg: RN cu: CCU v1: 92 n1: 92 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: RLE Temp/Color t0: [14:00:00 07/10/2014] el: 0 cg: RN cu: CCU v1: Cool v2: Pale st: NotStopd id: RLE Temp/Color t0: [15:00:00 07/10/2014] el: 0 cg: RN cu: CCU v1: Cool v2: Pale st: NotStopd id: Augmented Diastole t0: [15:00:00 07/10/2014] el: 0 cg: RN cu: CCU v1: 92 n1: 92 u1: mmHg st: NotStopd id: Reason For Restraint t0: [15:00:00 07/10/2014] el: 0 cg: RN cu: CCU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [15:00:00 07/10/2014] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Respiratory Pattern t0: [14:00:00 07/10/2014] el: 0 cg: RN cu: CCU v1: Regular st: NotStopd id: Respiratory Pattern t0: [15:00:00 07/10/2014] el: 0 cg: RN cu: CCU v1: Regular st: NotStopd id: Respiratory Rate t0: [15:00:00 07/10/2014] el: 0 cg: RN cu: CCU v1: 11 n1: 11 u1: BPM st: NotStopd id: Restraint Location t0: [15:00:00 07/10/2014] el: 0 cg: RN cu: CCU v1: Both Arms st: NotStopd id: Restraint Type t0: [15:00:00 07/10/2014] el: 0 cg: RN cu: CCU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [15:00:00 07/10/2014] el: 0 cg: RN cu: CCU v1: Behavior Conts st: NotStopd id: BAEDP t0: [15:00:00 07/10/2014] el: 0 cg: RN cu: CCU v1: 42 n1: 42 u1: mmHg st: NotStopd id: Side Rails t0: [15:00:00 07/10/2014] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: SpO2 t0: [15:00:00 07/10/2014] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: % st: NotStopd id: Systolic Unloading t0: [15:00:00 07/10/2014] el: 0 cg: RN cu: CCU v1: 32 n1: 32 u1: % st: NotStopd id: Urine Source t0: [14:00:00 07/10/2014] el: 0 cg: RN cu: CCU v1: Voids st: NotStopd id: Urine Source t0: [15:00:00 07/10/2014] el: 0 cg: RN cu: CCU v1: Voids st: NotStopd id: calprevflg t0: [15:00:00 07/10/2014] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: D5W 250.0ml + 25000Uhr Heparin t0: [15:00:00 07/10/2014] el: 1 ai: 117 cg: RN cu: CCU vo: 8 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [15:00:00 07/10/2014] el: 1 ai: 416 cg: RN cu: CCU vo: 5 vu: ml id: Urine Out Foley t0: [15:00:00 07/10/2014] el: 1 cg: RN cu: CCU vo: 30 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [15:00:00 07/10/2014] el: 1 ai: 314 cg: RN cu: CCU vo: 2 vu: ml
id: Fentanyl t0: [15:00:00 07/10/2014] el: 1 cg: RN cu: CCU vo: 0 do: 50 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Nitroglycerine-k t0: [15:00:00 07/10/2014] el: 1 cg: RN cu: CCU vo: 0 do: 0 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip id: Midazolam t0: [15:00:00 07/10/2014] el: 1 cg: RN cu: CCU vo: 0 do: 2 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Heparin t0: [15:00:00 07/10/2014] el: 1 cg: RN cu: CCU vo: 0 do: 800 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: Fingerstick Glucose t0: [15:00:00 07/10/2014] el: 0 cg: CoWker cu: CCU v1: 224 n1: 224 rs: Manual st: NotStopd
id: Compliance (40-60ml) t0: [16:00:00 07/10/2014] el: 0 cg: SRT cu: CCU v1: 35.2941 n1: 35.2941 u1: ml/cmH st: NotStopd id: ETT Mark/Location t0: [16:00:00 07/10/2014] el: 0 cg: SRT cu: CCU v1: 22cm v2: Lip st: NotStopd id: FiO2 Set t0: [16:00:00 07/10/2014] el: 0 cg: SRT cu: CCU v1: 0.4 n1: 0.4 u1: torr st: NotStopd id: High Insp. Pressure t0: [16:00:00 07/10/2014] el: 0 cg: SRT cu: CCU v1: 40 n1: 40 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [16:00:00 07/10/2014] el: 0 cg: SRT cu: CCU v1: 20 n1: 20 u1: BPM st: NotStopd id: Airway Size t0: [16:00:00 07/10/2014] el: 0 cg: SRT cu: CCU v1: 7.0 mm st: NotStopd id: Airway Type t0: [16:00:00 07/10/2014] el: 0 cg: SRT cu: CCU v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [16:00:00 07/10/2014] el: 0 cg: SRT cu: CCU u1: Deg. C st: NotStopd id: Intubation Date t0: [16:00:00 07/10/2014] el: 0 cg: SRT cu: CCU v1: 10 n1: 10 v2: 3 n2: 3 st: NotStopd id: Low Exhaled Min Vol t0: [16:00:00 07/10/2014] el: 0 cg: SRT cu: CCU v1: 4 n1: 4 st: NotStopd id: Mean Airway Pressure t0: [16:00:00 07/10/2014] el: 0 cg: SRT cu: CCU v1: 14 n1: 14 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [16:00:00 07/10/2014] el: 0 cg: SRT cu: CCU v1: 7.4 n1: 7.4 u1: L/min st: NotStopd id: PEEP Set t0: [16:00:00 07/10/2014] el: 0 cg: SRT cu: CCU v1: 10 n1: 10 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [16:00:00 07/10/2014] el: 0 cg: SRT cu: CCU v1: 20 n1: 20 st: NotStopd id: Peak Insp. Pressure t0: [16:00:00 07/10/2014] el: 0 cg: SRT cu: CCU v1: 27 n1: 27 u1: cmH2O st: NotStopd id: Plateau Pressure t0: [16:00:00 07/10/2014] el: 0 cg: SRT cu: CCU v1: 21 n1: 21 u1: cmH2O st: NotStopd id: Pressure Support t0: [16:00:00 07/10/2014] el: 0 cg: SRT cu: CCU v1: 10 n1: 10 u1: . st: NotStopd id: Resp Rate (Spont) t0: [16:00:00 07/10/2014] el: 0 cg: SRT cu: CCU v1: 0 n1: 0 u1: BPM st: NotStopd id: Resp Rate (Total) t0: [16:00:00 07/10/2014] el: 0 cg: SRT cu: CCU v1: 12 n1: 12 u1: BPM st: NotStopd id: Respiratory Rate Set t0: [16:00:00 07/10/2014] el: 0 cg: SRT cu: CCU v1: 12 n1: 12 u1: BPM st: NotStopd id: Ve High t0: [16:00:00 07/10/2014] el: 0 cg: SRT cu: CCU v1: 12 n1: 12 st: NotStopd id: Sensitivity-Vent t0: [16:00:00 07/10/2014] el: 0 cg: SRT cu: CCU v1: 2 n1: 2 u1: cmH2O st: NotStopd id: SpO2 t0: [16:00:00 07/10/2014] el: 0 cg: SRT cu: CCU v1: 100 n1: 100 u1: % st: NotStopd id: Tidal Volume (Obser) t0: [16:00:00 07/10/2014] el: 0 cg: SRT cu: CCU v1: 645 n1: 645 u1: ml/B st: NotStopd id: Tidal Volume (Set) t0: [16:00:00 07/10/2014] el: 0 cg: SRT cu: CCU v1: 600 n1: 600 u1: ml/B st: NotStopd id: Ventilator Mode t0: [16:00:00 07/10/2014] el: 0 cg: SRT cu: CCU v1: SIMV+PS st: NotStopd id: Ventilator Type t0: [16:00:00 07/10/2014] el: 0 cg: SRT cu: CCU v1: Drager st: NotStopd id: Waveform-Vent t0: [16:00:00 07/10/2014] el: 0 cg: SRT cu: CCU v1: RAMP st: NotStopd
id: Insulin io: .9% Normal Saline 100.0ml + 100Uhr Insulin el: 100 cg: RN cu: CCU am: 100 du: Uhr rt: IV Drip
id: CVP t0: [16:00:00 07/10/2014] el: 0 cg: -1 cu: CCU st: D/C'd
io: .9% Normal Saline 100.0ml + 100Uhr Insulin el: 1 cg: RN cu: CCU ra: 2 ru: ml/hr
pi: 4097779 hi: 10731 t0: [10:00:00 07/10/2014] tf: [11:00:00 09/10/2014] mn: Atorvastatin pt: Unit Dose st: Discontinued rt: PO fr: DAILY ds: 10 dn: 1 di: Ongoing xv: 36 xu: Hours
id: Fingerstick Glucose t0: [16:00:00 07/10/2014] el: 0 cg: CoWker cu: CCU v1: 211 n1: 211 rs: Manual st: NotStopd
id: Less Restrict Meas. t0: [16:00:00 07/10/2014] el: 0 cg: RN cu: CCU v1: Medicated st: NotStopd id: Pain Present t0: [16:00:00 07/10/2014] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: Pain Assess Method t0: [16:00:00 07/10/2014] el: 0 cg: RN cu: CCU v1: Non-verbal cues st: NotStopd id: Circulation/SkinInt t0: [16:00:00 07/10/2014] el: 0 cg: RN cu: CCU v1: Circulation Adeq st: NotStopd id: Code Status t0: [16:00:00 07/10/2014] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Communication t0: [16:00:00 07/10/2014] el: 0 cg: RN cu: CCU v1: Nodding st: NotStopd id: Riker-SAS Scale t0: [16:00:00 07/10/2014] el: 0 cg: RN cu: CCU v1: Sedated st: NotStopd id: Daily Wake Up t0: [16:00:00 07/10/2014] el: 1 cg: RN cu: CCU v1: Yes st: NotStopd id: GI Prophylaxis t0: [16:00:00 07/10/2014] el: 0 cg: RN cu: CCU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [16:00:00 07/10/2014] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Diet Type t0: [16:00:00 07/10/2014] el: 0 cg: RN cu: CCU v1: NPO st: NotStopd id: Dorsal PedPulse R/L t0: [16:00:00 07/10/2014] el: 0 cg: RN cu: CCU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Ectopy Frequency t0: [16:00:00 07/10/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [16:00:00 07/10/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Alarms t0: [16:00:00 07/10/2014] el: 0 cg: RN cu: CCU v1: ON st: NotStopd id: Parameters Checked t0: [16:00:00 07/10/2014] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Eye Opening t0: [16:00:00 07/10/2014] el: 0 cg: RN cu: CCU v1: 3 To speech st: NotStopd id: Follows Commands t0: [16:00:00 07/10/2014] el: 0 cg: RN cu: CCU v1: Consistently st: NotStopd id: GCS Total t0: [16:00:00 07/10/2014] el: 0 cg: RN cu: CCU v1: 10 n1: 10 u1: points st: NotStopd id: Heart Rate t0: [16:00:00 07/10/2014] el: 0 cg: RN cu: CCU v1: 53 n1: 53 u1: BPM st: NotStopd id: Heart Rhythm t0: [15:00:00 07/10/2014] el: 0 cg: RN cu: CCU v1: Sinus Brady st: NotStopd id: Heart Rhythm t0: [16:00:00 07/10/2014] el: 0 cg: RN cu: CCU v1: Sinus Brady st: NotStopd id: IABP Mean t0: [16:00:00 07/10/2014] el: 0 cg: RN cu: CCU v1: 52 n1: 52 u1: mmHg st: NotStopd id: IABP setting t0: [16:00:00 07/10/2014] el: 0 cg: RN cu: CCU v1: 1:1 st: NotStopd id: INV Line#1 Type/Site t0: [16:00:00 07/10/2014] el: 0 cg: RN cu: CCU v1: IABP v2: Right Femoral st: NotStopd id: INV Line#1InsertDate t0: [16:00:00 07/10/2014] el: 0 cg: RN cu: CCU v1: 10 n1: 10 v2: 3 n2: 3 st: NotStopd id: INV Line#2 D/C Date t0: [16:00:00 07/10/2014] el: 0 cg: RN cu: CCU v1: 10 n1: 10 v2: 3 n2: 3 st: NotStopd id: INV Line#2 Type/Site t0: [16:00:00 07/10/2014] el: 0 cg: RN cu: CCU v1: PA line v2: Right Femoral st: NotStopd id: INV Line#2InsertDate t0: [16:00:00 07/10/2014] el: 0 cg: RN cu: CCU v1: 10 n1: 10 v2: 3 n2: 3 st: NotStopd id: INV Line#3 Type/Site t0: [16:00:00 07/10/2014] el: 0 cg: RN cu: CCU v1: Introducer v2: Right Femoral st: NotStopd id: INV Line#3InsertDate t0: [16:00:00 07/10/2014] el: 0 cg: RN cu: CCU v1: 10 n1: 10 v2: 3 n2: 3 st: NotStopd id: INV Line#3SiteAppear t0: [16:00:00 07/10/2014] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: Abdominal Assessment t0: [16:00:00 07/10/2014] el: 0 cg: RN cu: CCU v1: Soft Distended st: NotStopd id: IV #1 Insert Date t0: [16:00:00 07/10/2014] el: 0 cg: RN cu: CCU v1: 10 n1: 10 v2: 3 n2: 3 st: NotStopd id: IV #1 Site/Size t0: [16:00:00 07/10/2014] el: 0 cg: RN cu: CCU v1: Right Antecub v2: 20 gauge st: NotStopd id: IV #2 Insert Date t0: [16:00:00 07/10/2014] el: 0 cg: RN cu: CCU v1: 10 n1: 10 v2: 3 n2: 3 st: NotStopd id: IV #2 Site/Size t0: [16:00:00 07/10/2014] el: 0 cg: RN cu: CCU v1: Left Hand v2: 20 gauge st: NotStopd id: LL Strength/Movement t0: [16:00:00 07/10/2014] el: 0 cg: RN cu: CCU v1: Moves on Bed st: NotStopd id: LLE Temp/Color t0: [16:00:00 07/10/2014] el: 0 cg: RN cu: CCU v1: Cool v2: Pale st: NotStopd id: LLL Lung Sounds t0: [16:00:00 07/10/2014] el: 0 cg: RN cu: CCU v1: Diminished st: NotStopd id: LU Strength/Movement t0: [16:00:00 07/10/2014] el: 0 cg: RN cu: CCU v1: Moves on Bed st: NotStopd id: LUL Lung Sounds t0: [16:00:00 07/10/2014] el: 0 cg: RN cu: CCU v1: Coarse st: NotStopd id: Level of Conscious t0: [16:00:00 07/10/2014] el: 0 cg: RN cu: CCU v1: Arouse to Voice st: NotStopd id: Angio Appearance #1 t0: [16:00:00 07/10/2014] el: 0 cg: RN cu: CCU v1: Clean and Dry v2: Clean and Dry st: NotStopd id: Motor Response t0: [16:00:00 07/10/2014] el: 0 cg: RN cu: CCU v1: 6 Obeys Commands st: NotStopd id: Angio Dressing #1 t0: [16:00:00 07/10/2014] el: 0 cg: RN cu: CCU v1: Transparent st: NotStopd id: Neuro Symptoms t0: [16:00:00 07/10/2014] el: 0 cg: RN cu: CCU v1: Not Indicated st: NotStopd id: Oral Cavity t0: [16:00:00 07/10/2014] el: 0 cg: RN cu: CCU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [16:00:00 07/10/2014] el: 0 cg: RN cu: CCU v1: Oriented x 1 st: NotStopd id: Angio Site #1 t0: [16:00:00 07/10/2014] el: 0 cg: RN cu: CCU v1: R Femoral st: NotStopd id: Arterial BP t0: [16:00:00 07/10/2014] el: 0 cg: RN cu: CCU v1: 95 n1: 95 u1: mmHg v2: 52 n2: 52 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [16:00:00 07/10/2014] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg st: NotStopd id: PostTib. Pulses R/L t0: [16:00:00 07/10/2014] el: 0 cg: RN cu: CCU v1: Weak Palpable v2: Weak Palpable st: NotStopd id: Precautions t0: [16:00:00 07/10/2014] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: Assisted Systole t0: [16:00:00 07/10/2014] el: 0 cg: RN cu: CCU v1: 88 n1: 88 u1: mmHg st: NotStopd id: INV#1 Dsg Change t0: [16:00:00 07/10/2014] el: 0 cg: RN cu: CCU v1: 10 n1: 10 v2: 3 n2: 3 st: NotStopd id: INV#2 Dsg Change t0: [16:00:00 07/10/2014] el: 0 cg: RN cu: CCU v1: 10 n1: 10 v2: 3 n2: 3 st: NotStopd id: INV#3 Dsg Change t0: [16:00:00 07/10/2014] el: 0 cg: RN cu: CCU v1: 10 n1: 10 v2: 3 n2: 3 st: NotStopd id: ABP Alarm (Lo/Hi) t0: [16:00:00 07/10/2014] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: mmHg v2: 100 n2: 100 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [16:00:00 07/10/2014] el: 0 cg: RN cu: CCU v1: 45 n1: 45 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: PAP Alarm (Lo/Hi) t0: [16:00:00 07/10/2014] el: 0 cg: RN cu: CCU v1: 10 n1: 10 u1: mmHg v2: 45 n2: 45 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [16:00:00 07/10/2014] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Previous WeightF t0: [16:00:00 07/10/2014] el: 0 cg: RN cu: CCU v1: 73.9 n1: 73.9 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [16:00:00 07/10/2014] el: 0 cg: RN cu: CCU v1: 92 n1: 92 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Pupil Response R/L t0: [16:00:00 07/10/2014] el: 0 cg: RN cu: CCU v1: Brisk v2: Brisk st: NotStopd id: Pupil Size R/L t0: [16:00:00 07/10/2014] el: 0 cg: RN cu: CCU v1: 3 mm v2: 3 mm st: NotStopd id: RL Strength/Movement t0: [16:00:00 07/10/2014] el: 0 cg: RN cu: CCU v1: Moves on Bed st: NotStopd id: RLE Temp/Color t0: [16:00:00 07/10/2014] el: 0 cg: RN cu: CCU v1: Cool v2: Pale st: NotStopd id: RLL Lung Sounds t0: [16:00:00 07/10/2014] el: 0 cg: RN cu: CCU v1: Diminished st: NotStopd id: RU Strength/Movement t0: [16:00:00 07/10/2014] el: 0 cg: RN cu: CCU v1: Moves on Bed st: NotStopd id: RUL Lung Sounds t0: [16:00:00 07/10/2014] el: 0 cg: RN cu: CCU v1: Coarse st: NotStopd id: Augmented Diastole t0: [16:00:00 07/10/2014] el: 0 cg: RN cu: CCU v1: 132 n1: 132 u1: mmHg st: NotStopd id: Reason For Restraint t0: [16:00:00 07/10/2014] el: 0 cg: RN cu: CCU v1: Ext/TXInterfere st: NotStopd id: Respiratory Pattern t0: [16:00:00 07/10/2014] el: 0 cg: RN cu: CCU v1: Regular st: NotStopd id: Respiratory Rate t0: [16:00:00 07/10/2014] el: 0 cg: RN cu: CCU v1: 12 n1: 12 u1: BPM st: NotStopd id: Responds to Stimuli t0: [16:00:00 07/10/2014] el: 0 cg: RN cu: CCU v1: Verbal v2: Localizes st: NotStopd id: Restraint Location t0: [16:00:00 07/10/2014] el: 0 cg: RN cu: CCU v1: Both Arms st: NotStopd id: Restraint Type t0: [16:00:00 07/10/2014] el: 0 cg: RN cu: CCU v1: Soft Limb st: NotStopd id: BAEDP t0: [16:00:00 07/10/2014] el: 0 cg: RN cu: CCU v1: 88 n1: 88 u1: mmHg st: NotStopd id: Side Rails t0: [16:00:00 07/10/2014] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: Speech t0: [16:00:00 07/10/2014] el: 0 cg: RN cu: CCU v1: Intubated/trach st: NotStopd id: Spontaneous Movement t0: [16:00:00 07/10/2014] el: 0 cg: RN cu: CCU v1: Purposeful st: NotStopd id: Systolic Unloading t0: [16:00:00 07/10/2014] el: 0 cg: RN cu: CCU v1: 7 n1: 7 u1: % st: NotStopd id: INV#1 Cap Change t0: [16:00:00 07/10/2014] el: 0 cg: RN cu: CCU v1: 10 n1: 10 v2: 3 n2: 3 st: NotStopd id: INV#1 Tubing Change t0: [16:00:00 07/10/2014] el: 0 cg: RN cu: CCU v1: 10 n1: 10 v2: 3 n2: 3 st: NotStopd id: INV#2 Cap Change t0: [16:00:00 07/10/2014] el: 0 cg: RN cu: CCU v1: 10 n1: 10 v2: 3 n2: 3 st: NotStopd id: INV#2 Tubing Change t0: [16:00:00 07/10/2014] el: 0 cg: RN cu: CCU v1: 10 n1: 10 v2: 3 n2: 3 st: NotStopd id: INV#3 Cap Change t0: [16:00:00 07/10/2014] el: 0 cg: RN cu: CCU v1: 10 n1: 10 v2: 3 n2: 3 st: NotStopd id: INV#3 Tubing Change t0: [16:00:00 07/10/2014] el: 0 cg: RN cu: CCU v1: 10 n1: 10 v2: 3 n2: 3 st: NotStopd id: Temperature C (calc) t0: [16:00:00 07/10/2014] el: 0 cg: RN cu: CCU v1: 35.5556 n1: 35.5556 u1: Deg. C st: NotStopd id: Temperature F t0: [16:00:00 07/10/2014] el: 0 cg: RN cu: CCU v1: 96 n1: 96 u1: Deg. F st: NotStopd id: Urine Color/Appear t0: [16:00:00 07/10/2014] el: 0 cg: RN cu: CCU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [16:00:00 07/10/2014] el: 0 cg: RN cu: CCU v1: Voids st: NotStopd id: Verbal Response t0: [16:00:00 07/10/2014] el: 0 cg: RN cu: CCU v1: 1.0 ET/Trach st: NotStopd id: calprevflg t0: [16:00:00 07/10/2014] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: Bowel Sounds t0: [16:00:00 07/10/2014] el: 0 cg: RN cu: CCU v1: Present st: NotStopd
id: D5W 250.0ml + 25000Uhr Heparin t0: [16:00:00 07/10/2014] el: 1 ai: 117 cg: RN cu: CCU vo: 8 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [16:00:00 07/10/2014] el: 1 ai: 416 cg: RN cu: CCU vo: 5 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [16:00:00 07/10/2014] el: 1 ai: 314 cg: RN cu: CCU vo: 2 vu: ml
id: Midazolam t0: [16:00:00 07/10/2014] el: 1 cg: RN cu: CCU vo: 0 do: 1 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Heparin t0: [16:00:00 07/10/2014] el: 1 cg: RN cu: CCU vo: 0 do: 800 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip id: Insulin t0: [16:00:00 07/10/2014] el: 1 cg: RN cu: CCU vo: 0 do: 2 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: Fentanyl t0: [16:00:00 07/10/2014] el: 1 cg: RN cu: CCU vo: 0 do: 50 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip
id: Cuff Pressure-Airway t0: [16:00:00 07/10/2014] el: 0 cg: SRT cu: CCU v1: 25 n1: 25 u1: cmH2O st: NotStopd
id: Fingerstick Glucose t0: [17:00:00 07/10/2014] el: 0 cg: CoWker cu: CCU v1: 192 n1: 192 rs: Manual st: NotStopd
id: WBC (4-11,000) t0: [16:30:00 07/10/2014] el: 0 cg: 1663 cu: CCU v1: 13 n1: 13 rs: Final st: NotStopd id: WBC t0: [16:30:00 07/10/2014] el: 0 cg: 1663 cu: CCU v1: 13 n1: 13 rs: Final st: NotStopd id: Hematocrit t0: [16:30:00 07/10/2014] el: 0 cg: 1663 cu: CCU v1: 28.3 n1: 28.3 u1: % rs: Final st: NotStopd id: Hemoglobin t0: [16:30:00 07/10/2014] el: 0 cg: 1663 cu: CCU v1: 10.3 n1: 10.3 u1: gm/dl rs: Final st: NotStopd id: Platelets t0: [16:30:00 07/10/2014] el: 0 cg: 1663 cu: CCU v1: 115 n1: 115 rs: Final st: NotStopd id: RBC t0: [16:30:00 07/10/2014] el: 0 cg: 1663 cu: CCU v1: 3.46 n1: 3.46 u1: /mic l rs: Final st: NotStopd id: WBC (4-11,000) t0: [16:30:00 07/10/2014] el: 0 cg: 1663 cu: CCU v1: 13 n1: 13 rs: Final st: NotStopd
id: Potassium t0: [16:30:00 07/10/2014] el: 0 cg: 1663 cu: CCU v1: 4.1 n1: 4.1 rs: Final st: NotStopd id: Potassium (3.5-5.3) t0: [16:30:00 07/10/2014] el: 0 cg: 1663 cu: CCU v1: 4.1 n1: 4.1 rs: Final st: NotStopd
id: Less Restrict Meas. t0: [18:00:00 07/10/2014] el: 0 cg: RN cu: CCU v1: Medicated st: NotStopd id: Range of Motion t0: [18:00:00 07/10/2014] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Circulation/SkinInt t0: [18:00:00 07/10/2014] el: 0 cg: RN cu: CCU v1: Circulation Adeq st: NotStopd id: Code Status t0: [17:00:00 07/10/2014] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [17:00:00 07/10/2014] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Diastolic Unloading t0: [17:00:00 07/10/2014] el: 0 cg: RN cu: CCU v1: 2 n1: 2 u1: % st: NotStopd id: Diet Type t0: [18:00:00 07/10/2014] el: 0 cg: RN cu: CCU v1: NPO st: NotStopd id: Dorsal PedPulse R/L t0: [17:00:00 07/10/2014] el: 0 cg: RN cu: CCU v1: Doppler v2: Doppler st: NotStopd id: Dorsal PedPulse R/L t0: [18:00:00 07/10/2014] el: 0 cg: RN cu: CCU v1: Doppler v2: Doppler st: NotStopd id: Ectopy Frequency t0: [17:00:00 07/10/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [17:00:00 07/10/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Heart Rate t0: [17:00:00 07/10/2014] el: 0 cg: RN cu: CCU v1: 52 n1: 52 u1: BPM st: NotStopd id: Heart Rhythm t0: [17:00:00 07/10/2014] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: IABP Mean t0: [17:00:00 07/10/2014] el: 0 cg: RN cu: CCU v1: 85 n1: 85 u1: mmHg st: NotStopd id: IABP setting t0: [17:00:00 07/10/2014] el: 0 cg: RN cu: CCU v1: 1:1 st: NotStopd id: LLE Temp/Color t0: [17:00:00 07/10/2014] el: 0 cg: RN cu: CCU v1: Cool v2: Pale st: NotStopd id: LLE Temp/Color t0: [18:00:00 07/10/2014] el: 0 cg: RN cu: CCU v1: Cool v2: Pale st: NotStopd id: Angio Site #1 t0: [18:00:00 07/10/2014] el: 0 cg: RN cu: CCU v1: R Femoral st: NotStopd id: Arterial BP t0: [17:00:00 07/10/2014] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: mmHg v2: 50 n2: 50 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [17:00:00 07/10/2014] el: 0 cg: RN cu: CCU v1: 76 n1: 76 u1: mmHg st: NotStopd id: Position Change t0: [18:00:00 07/10/2014] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: PostTib. Pulses R/L t0: [17:00:00 07/10/2014] el: 0 cg: RN cu: CCU v1: Doppler v2: Doppler st: NotStopd id: PostTib. Pulses R/L t0: [18:00:00 07/10/2014] el: 0 cg: RN cu: CCU v1: Doppler v2: Doppler st: NotStopd id: Precautions t0: [17:00:00 07/10/2014] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: Assisted Systole t0: [17:00:00 07/10/2014] el: 0 cg: RN cu: CCU v1: 84 n1: 84 u1: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [17:00:00 07/10/2014] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: mmHg v2: 100 n2: 100 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [17:00:00 07/10/2014] el: 0 cg: RN cu: CCU v1: 45 n1: 45 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: PAP Alarm (Lo/Hi) t0: [17:00:00 07/10/2014] el: 0 cg: RN cu: CCU v1: 10 n1: 10 u1: mmHg v2: 45 n2: 45 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [17:00:00 07/10/2014] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Previous WeightF t0: [17:00:00 07/10/2014] el: 0 cg: RN cu: CCU v1: 73.9 n1: 73.9 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [17:00:00 07/10/2014] el: 0 cg: RN cu: CCU v1: 92 n1: 92 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: RLE Temp/Color t0: [17:00:00 07/10/2014] el: 0 cg: RN cu: CCU v1: Cold v2: Pale st: NotStopd id: RLE Temp/Color t0: [18:00:00 07/10/2014] el: 0 cg: RN cu: CCU v1: Cold v2: Pale st: NotStopd id: Augmented Diastole t0: [17:00:00 07/10/2014] el: 0 cg: RN cu: CCU v1: 129 n1: 129 u1: mmHg st: NotStopd id: Reason For Restraint t0: [18:00:00 07/10/2014] el: 0 cg: RN cu: CCU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [18:00:00 07/10/2014] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Respiratory Pattern t0: [18:00:00 07/10/2014] el: 0 cg: RN cu: CCU v1: Regular st: NotStopd id: Respiratory Rate t0: [17:00:00 07/10/2014] el: 0 cg: RN cu: CCU v1: 12 n1: 12 u1: BPM st: NotStopd id: Restraint Location t0: [18:00:00 07/10/2014] el: 0 cg: RN cu: CCU v1: Both Arms st: NotStopd id: Restraint Type t0: [18:00:00 07/10/2014] el: 0 cg: RN cu: CCU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [18:00:00 07/10/2014] el: 0 cg: RN cu: CCU v1: Behavior Conts st: NotStopd id: BAEDP t0: [17:00:00 07/10/2014] el: 0 cg: RN cu: CCU v1: 48 n1: 48 u1: mmHg st: NotStopd id: Side Rails t0: [18:00:00 07/10/2014] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: SpO2 t0: [17:00:00 07/10/2014] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: % st: NotStopd id: Systolic Unloading t0: [17:00:00 07/10/2014] el: 0 cg: RN cu: CCU v1: 16 n1: 16 u1: % st: NotStopd id: Urine Source t0: [18:00:00 07/10/2014] el: 0 cg: RN cu: CCU v1: Voids st: NotStopd id: calprevflg t0: [17:00:00 07/10/2014] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: D5W 250.0ml + 25000Uhr Heparin t0: [17:00:00 07/10/2014] el: 1 ai: 117 cg: RN cu: CCU vo: 8 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [17:00:00 07/10/2014] el: 1 ai: 416 cg: RN cu: CCU vo: 5 vu: ml id: Urine Out Foley t0: [17:00:00 07/10/2014] el: 1 cg: RN cu: CCU vo: 20 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [17:00:00 07/10/2014] el: 1 ai: 314 cg: RN cu: CCU vo: 1 vu: ml
id: Fentanyl t0: [17:00:00 07/10/2014] el: 1 cg: RN cu: CCU vo: 0 do: 50 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [17:00:00 07/10/2014] el: 1 cg: RN cu: CCU vo: 0 do: 1 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Heparin t0: [17:00:00 07/10/2014] el: 1 cg: RN cu: CCU vo: 0 do: 800 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip id: Insulin t0: [17:00:00 07/10/2014] el: 1 cg: RN cu: CCU vo: 0 do: 2 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: PTT t0: [16:30:00 07/10/2014] el: 0 cg: 1663 cu: CCU v1: 150 n1: 150 rs: Final st: NotStopd id: PTT(22-35) t0: [16:30:00 07/10/2014] el: 0 cg: 1663 cu: CCU v1: 150 n1: 150 rs: Final st: NotStopd
id: Fingerstick Glucose t0: [18:00:00 07/10/2014] el: 0 cg: CoWker cu: CCU v1: 185 n1: 185 rs: Manual st: NotStopd
id: Code Status t0: [18:00:00 07/10/2014] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [18:00:00 07/10/2014] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Diastolic Unloading t0: [18:00:00 07/10/2014] el: 0 cg: RN cu: CCU v1: 3 n1: 3 u1: % st: NotStopd id: Diet Type t0: [17:00:00 07/10/2014] el: 0 cg: RN cu: CCU v1: NPO st: NotStopd id: Ectopy Frequency t0: [18:00:00 07/10/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [18:00:00 07/10/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Eye Care t0: [16:00:00 07/10/2014] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: HOB t0: [17:00:00 07/10/2014] el: 0 cg: RN cu: CCU v1: Flat in Bed st: NotStopd id: Heart Rate t0: [18:00:00 07/10/2014] el: 0 cg: RN cu: CCU v1: 57 n1: 57 u1: BPM st: NotStopd id: Heart Rhythm t0: [18:00:00 07/10/2014] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: IABP Mean t0: [18:00:00 07/10/2014] el: 0 cg: RN cu: CCU v1: 82 n1: 82 u1: mmHg st: NotStopd id: IABP setting t0: [18:00:00 07/10/2014] el: 0 cg: RN cu: CCU v1: 1:1 st: NotStopd id: Activity t0: [17:00:00 07/10/2014] el: 0 cg: RN cu: CCU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [17:00:00 07/10/2014] el: 0 cg: RN cu: CCU v1: Tolerated Well st: NotStopd id: Angio Appearance #1 t0: [17:00:00 07/10/2014] el: 0 cg: RN cu: CCU v1: Clean and Dry v2: Clean and Dry st: NotStopd id: Angio Appearance #1 t0: [18:00:00 07/10/2014] el: 0 cg: RN cu: CCU v1: Clean and Dry v2: Clean and Dry st: NotStopd id: Angio Dressing #1 t0: [17:00:00 07/10/2014] el: 0 cg: RN cu: CCU v1: Transparent st: NotStopd id: Angio Dressing #1 t0: [18:00:00 07/10/2014] el: 0 cg: RN cu: CCU v1: Transparent st: NotStopd id: Oral Care t0: [16:00:00 07/10/2014] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Angio Site #1 t0: [17:00:00 07/10/2014] el: 0 cg: RN cu: CCU v1: R Femoral st: NotStopd id: Arterial BP t0: [18:00:00 07/10/2014] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 49 n2: 49 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [18:00:00 07/10/2014] el: 0 cg: RN cu: CCU v1: 75 n1: 75 u1: mmHg st: NotStopd id: Position t0: [17:00:00 07/10/2014] el: 0 cg: RN cu: CCU v1: Right Side st: NotStopd id: Assistance Device t0: [17:00:00 07/10/2014] el: 0 cg: RN cu: CCU v1: 2 Person Assist st: NotStopd id: Precautions t0: [18:00:00 07/10/2014] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: Assisted Systole t0: [18:00:00 07/10/2014] el: 0 cg: RN cu: CCU v1: 84 n1: 84 u1: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [18:00:00 07/10/2014] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: mmHg v2: 100 n2: 100 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [18:00:00 07/10/2014] el: 0 cg: RN cu: CCU v1: 45 n1: 45 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: PAP Alarm (Lo/Hi) t0: [18:00:00 07/10/2014] el: 0 cg: RN cu: CCU v1: 10 n1: 10 u1: mmHg v2: 45 n2: 45 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [18:00:00 07/10/2014] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Previous WeightF t0: [18:00:00 07/10/2014] el: 0 cg: RN cu: CCU v1: 73.9 n1: 73.9 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [18:00:00 07/10/2014] el: 0 cg: RN cu: CCU v1: 92 n1: 92 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Augmented Diastole t0: [18:00:00 07/10/2014] el: 0 cg: RN cu: CCU v1: 120 n1: 120 u1: mmHg st: NotStopd id: Respiratory Pattern t0: [17:00:00 07/10/2014] el: 0 cg: RN cu: CCU v1: Regular st: NotStopd id: Respiratory Rate t0: [18:00:00 07/10/2014] el: 0 cg: RN cu: CCU v1: 12 n1: 12 u1: BPM st: NotStopd id: BAEDP t0: [18:00:00 07/10/2014] el: 0 cg: RN cu: CCU v1: 46 n1: 46 u1: mmHg st: NotStopd id: Skin Care t0: [16:00:00 07/10/2014] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: SpO2 t0: [18:00:00 07/10/2014] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: % st: NotStopd id: Systolic Unloading t0: [18:00:00 07/10/2014] el: 0 cg: RN cu: CCU v1: 6 n1: 6 u1: % st: NotStopd id: Therapeutic Bed t0: [16:00:00 07/10/2014] el: 0 cg: RN cu: CCU v1: AtmosAir Mattres st: NotStopd id: Therapeutic Bed t0: [17:00:00 07/10/2014] el: 0 cg: RN cu: CCU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [17:00:00 07/10/2014] el: 0 cg: RN cu: CCU v1: Right Side st: NotStopd id: Urine Source t0: [17:00:00 07/10/2014] el: 0 cg: RN cu: CCU v1: Voids st: NotStopd id: In-Line Sx Change t0: [16:00:00 07/10/2014] el: 0 cg: RN cu: CCU v1: 10 n1: 10 v2: 3 n2: 3 st: NotStopd id: In-Line Sx Change t0: [17:00:00 07/10/2014] el: 0 cg: RN cu: CCU v1: 10 n1: 10 v2: 3 n2: 3 st: NotStopd id: Back Care t0: [16:00:00 07/10/2014] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: calprevflg t0: [18:00:00 07/10/2014] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: D5W 250.0ml + 25000Uhr Heparin t0: [18:00:00 07/10/2014] el: 1 ai: 117 cg: RN cu: CCU vo: 8 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [18:00:00 07/10/2014] el: 1 ai: 416 cg: RN cu: CCU vo: 5 vu: ml id: Urine Out Foley t0: [18:00:00 07/10/2014] el: 1 cg: RN cu: CCU vo: 25 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [18:00:00 07/10/2014] el: 1 ai: 314 cg: RN cu: CCU vo: 1 vu: ml
id: Fentanyl t0: [18:00:00 07/10/2014] el: 1 cg: RN cu: CCU vo: 0 do: 50 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [18:00:00 07/10/2014] el: 1 cg: RN cu: CCU vo: 0 do: 1 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Heparin t0: [18:00:00 07/10/2014] el: 1 cg: RN cu: CCU vo: 0 do: 0 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip id: Insulin t0: [18:00:00 07/10/2014] el: 1 cg: RN cu: CCU vo: 0 do: 2 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: ABI (L) t0: [18:00:00 07/10/2014] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: . st: NotStopd id: ABI (R) t0: [18:00:00 07/10/2014] el: 0 cg: RN cu: CCU v1: 0.615385 n1: 0.615385 u1: . st: NotStopd id: ABI Ankle BP R/L t0: [18:00:00 07/10/2014] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 130 n2: 130 u2: mmHg st: NotStopd id: ABI Brachial BP R/L t0: [18:00:00 07/10/2014] el: 0 cg: RN cu: CCU v1: 130 n1: 130 u1: mmHg v2: 130 n2: 130 u2: mmHg st: NotStopd
id: Fingerstick Glucose t0: [19:00:00 07/10/2014] el: 0 cg: CoWker cu: CCU v1: 153 n1: 153 rs: Manual st: NotStopd
id: Code Status t0: [19:00:00 07/10/2014] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [19:00:00 07/10/2014] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [19:00:00 07/10/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [19:00:00 07/10/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Heart Rate t0: [19:00:00 07/10/2014] el: 0 cg: RN cu: CCU v1: 53 n1: 53 u1: BPM st: NotStopd id: Heart Rhythm t0: [19:00:00 07/10/2014] el: 0 cg: RN cu: CCU v1: Sinus Brady st: NotStopd id: IABP Mean t0: [19:00:00 07/10/2014] el: 0 cg: RN cu: CCU v1: 82 n1: 82 u1: mmHg st: NotStopd id: IABP setting t0: [19:00:00 07/10/2014] el: 0 cg: RN cu: CCU v1: 1:1 st: NotStopd id: Arterial BP t0: [19:00:00 07/10/2014] el: 0 cg: RN cu: CCU v1: 87 n1: 87 u1: mmHg v2: 51 n2: 51 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [19:00:00 07/10/2014] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg st: NotStopd id: Precautions t0: [19:00:00 07/10/2014] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: Assisted Systole t0: [19:00:00 07/10/2014] el: 0 cg: RN cu: CCU v1: 84 n1: 84 u1: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [19:00:00 07/10/2014] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: mmHg v2: 100 n2: 100 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [19:00:00 07/10/2014] el: 0 cg: RN cu: CCU v1: 45 n1: 45 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [19:00:00 07/10/2014] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Previous WeightF t0: [19:00:00 07/10/2014] el: 0 cg: RN cu: CCU v1: 73.9 n1: 73.9 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [19:00:00 07/10/2014] el: 0 cg: RN cu: CCU v1: 92 n1: 92 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Augmented Diastole t0: [19:00:00 07/10/2014] el: 0 cg: RN cu: CCU v1: 132 n1: 132 u1: mmHg st: NotStopd id: Respiratory Rate t0: [19:00:00 07/10/2014] el: 0 cg: RN cu: CCU v1: 12 n1: 12 u1: BPM st: NotStopd id: BAEDP t0: [19:00:00 07/10/2014] el: 0 cg: RN cu: CCU v1: 52 n1: 52 u1: mmHg st: NotStopd id: SpO2 t0: [19:00:00 07/10/2014] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: % st: NotStopd id: Systolic Unloading t0: [19:00:00 07/10/2014] el: 0 cg: RN cu: CCU v1: 3 n1: 3 u1: % st: NotStopd id: calprevflg t0: [19:00:00 07/10/2014] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: D5W 250.0ml + 25000Uhr Heparin t0: [19:00:00 07/10/2014] el: 1 ai: 117 cg: RN cu: CCU vo: 0 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [19:00:00 07/10/2014] el: 1 ai: 416 cg: RN cu: CCU vo: 5 vu: ml id: Urine Out Foley t0: [19:00:00 07/10/2014] el: 1 cg: RN cu: CCU vo: 18 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [19:00:00 07/10/2014] el: 1 ai: 314 cg: RN cu: CCU vo: 1 vu: ml
id: Fentanyl t0: [19:00:00 07/10/2014] el: 1 cg: RN cu: CCU vo: 0 do: 50 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [19:00:00 07/10/2014] el: 1 cg: RN cu: CCU vo: 0 do: 1 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Heparin t0: [19:00:00 07/10/2014] el: 1 cg: RN cu: CCU vo: 0 do: 450 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip id: Insulin t0: [19:00:00 07/10/2014] el: 1 cg: RN cu: CCU vo: 0 do: 2 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: PAP Alarm (Lo/Hi) t0: [19:00:00 07/10/2014] el: 0 cg: -1 cu: CCU st: D/C'd
pi: 4098488 hi: 10731 t0: [20:00:00 07/10/2014] tf: [19:00:00 08/10/2014] mn: Magnesium Sulfate pt: Unit Dose st: Expired rt: IV fr: ONCE ds: 20 dn: 1 dt: 1 di: Doses xv: 36 xu: Hours
id: Compliance (40-60ml) t0: [19:26:00 07/10/2014] el: 0 cg: RRT cu: CCU v1: 31.5789 n1: 31.5789 u1: ml/cmH st: NotStopd id: ETT Mark/Location t0: [19:26:00 07/10/2014] el: 0 cg: RRT cu: CCU v1: 22cm v2: Lip st: NotStopd id: FiO2 Set t0: [19:26:00 07/10/2014] el: 0 cg: RRT cu: CCU v1: 0.4 n1: 0.4 u1: torr st: NotStopd id: High Insp. Pressure t0: [19:26:00 07/10/2014] el: 0 cg: RRT cu: CCU v1: 40 n1: 40 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [19:26:00 07/10/2014] el: 0 cg: RRT cu: CCU v1: 20 n1: 20 u1: BPM st: NotStopd id: Airway Size t0: [19:26:00 07/10/2014] el: 0 cg: RRT cu: CCU v1: 7.0 mm st: NotStopd id: Airway Type t0: [19:26:00 07/10/2014] el: 0 cg: RRT cu: CCU v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [19:26:00 07/10/2014] el: 0 cg: RRT cu: CCU u1: Deg. C st: NotStopd id: Intubation Date t0: [19:26:00 07/10/2014] el: 0 cg: RRT cu: CCU v1: 10 n1: 10 v2: 3 n2: 3 st: NotStopd id: Low Exhaled Min Vol t0: [19:26:00 07/10/2014] el: 0 cg: RRT cu: CCU v1: 4 n1: 4 st: NotStopd id: Mean Airway Pressure t0: [19:26:00 07/10/2014] el: 0 cg: RRT cu: CCU v1: 14 n1: 14 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [19:26:00 07/10/2014] el: 0 cg: RRT cu: CCU v1: 7.04 n1: 7.04 u1: L/min st: NotStopd id: PEEP Set t0: [19:26:00 07/10/2014] el: 0 cg: RRT cu: CCU v1: 10 n1: 10 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [19:26:00 07/10/2014] el: 0 cg: RRT cu: CCU v1: 20 n1: 20 st: NotStopd id: Peak Insp. Pressure t0: [19:26:00 07/10/2014] el: 0 cg: RRT cu: CCU v1: 29 n1: 29 u1: cmH2O st: NotStopd id: Pressure Support t0: [19:26:00 07/10/2014] el: 0 cg: RRT cu: CCU v1: 10 n1: 10 u1: . st: NotStopd id: Resp Rate (Spont) t0: [19:26:00 07/10/2014] el: 0 cg: RRT cu: CCU v1: 0 n1: 0 u1: BPM st: NotStopd id: Resp Rate (Total) t0: [19:26:00 07/10/2014] el: 0 cg: RRT cu: CCU v1: 12 n1: 12 u1: BPM st: NotStopd id: Respiratory Rate Set t0: [19:26:00 07/10/2014] el: 0 cg: RRT cu: CCU v1: 12 n1: 12 u1: BPM st: NotStopd id: Tank A psi. t0: [19:26:00 07/10/2014] el: 0 cg: RRT cu: CCU v1: 1600 n1: 1600 st: NotStopd id: Tank B psi. t0: [19:26:00 07/10/2014] el: 0 cg: RRT cu: CCU v1: 1200 n1: 1200 st: NotStopd id: Ve High t0: [19:26:00 07/10/2014] el: 0 cg: RRT cu: CCU v1: 12 n1: 12 st: NotStopd id: Sensitivity-Vent t0: [19:26:00 07/10/2014] el: 0 cg: RRT cu: CCU v1: 2 n1: 2 u1: cmH2O st: NotStopd id: SpO2 t0: [19:26:00 07/10/2014] el: 0 cg: RRT cu: CCU v1: 100 n1: 100 u1: % st: NotStopd id: Tidal Volume (Obser) t0: [19:26:00 07/10/2014] el: 0 cg: RRT cu: CCU v1: 587 n1: 587 u1: ml/B st: NotStopd id: Tidal Volume (Set) t0: [19:26:00 07/10/2014] el: 0 cg: RRT cu: CCU v1: 600 n1: 600 u1: ml/B st: NotStopd id: Tidal Volume (Spont) t0: [19:26:00 07/10/2014] el: 0 cg: RRT cu: CCU v1: 866 n1: 866 u1: ml/B st: NotStopd id: Ventilator Mode t0: [19:26:00 07/10/2014] el: 0 cg: RRT cu: CCU v1: SIMV+PS st: NotStopd id: Ventilator Type t0: [19:26:00 07/10/2014] el: 0 cg: RRT cu: CCU v1: Drager st: NotStopd id: Waveform-Vent t0: [19:26:00 07/10/2014] el: 0 cg: RRT cu: CCU v1: RAMP st: NotStopd
id: Art.pH t0: [19:31:00 07/10/2014] el: 0 cg: 1663 cu: CCU v1: 7.44 n1: 7.44 rs: Final st: NotStopd id: Arterial Base Excess t0: [19:31:00 07/10/2014] el: 0 cg: 1663 cu: CCU v1: 1 n1: 1 rs: Final st: NotStopd id: Arterial CO2(Calc) t0: [19:31:00 07/10/2014] el: 0 cg: 1663 cu: CCU v1: 25 n1: 25 rs: Final st: NotStopd id: Arterial PaCO2 t0: [19:31:00 07/10/2014] el: 0 cg: 1663 cu: CCU v1: 36 n1: 36 u1: mmHg rs: Final st: NotStopd id: Arterial PaO2 t0: [19:31:00 07/10/2014] el: 0 cg: 1663 cu: CCU v1: 136 n1: 136 u1: mmHg rs: Final st: NotStopd id: Arterial pH t0: [19:31:00 07/10/2014] el: 0 cg: 1663 cu: CCU v1: 7.44 n1: 7.44 rs: Final st: NotStopd
id: Lactic Acid t0: [19:31:00 07/10/2014] el: 0 cg: 1663 cu: CCU v1: 1.5 n1: 1.5 rs: Final st: NotStopd id: Ionized Calcium t0: [19:31:00 07/10/2014] el: 0 cg: 1663 cu: CCU v1: 1.14 n1: 1.14 rs: Final st: NotStopd id: Lactic Acid(0.5-2.0) t0: [19:31:00 07/10/2014] el: 0 cg: 1663 cu: CCU v1: 1.5 n1: 1.5 rs: Final st: NotStopd
id: D5W 100.0ml t0: [19:30:00 07/10/2014] el: 1 ai: 105 cg: RN cu: CCU vo: 100 vu: ml
id: Service Type t0: [20:00:00 07/10/2014] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Alarms t0: [20:00:00 07/10/2014] el: 0 cg: RN cu: CCU v1: ON st: NotStopd id: Parameters Checked t0: [20:00:00 07/10/2014] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd
id: Code Status t0: [20:00:00 07/10/2014] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [20:00:00 07/10/2014] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [20:00:00 07/10/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [20:00:00 07/10/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Heart Rate t0: [20:00:00 07/10/2014] el: 0 cg: RN cu: CCU v1: 57 n1: 57 u1: BPM st: NotStopd id: Heart Rhythm t0: [20:00:00 07/10/2014] el: 0 cg: RN cu: CCU v1: Sinus Brady st: NotStopd id: IABP Mean t0: [20:00:00 07/10/2014] el: 0 cg: RN cu: CCU v1: 86 n1: 86 u1: mmHg st: NotStopd id: IABP setting t0: [20:00:00 07/10/2014] el: 0 cg: RN cu: CCU v1: 1:1 st: NotStopd id: Arterial BP t0: [20:00:00 07/10/2014] el: 0 cg: RN cu: CCU v1: 94 n1: 94 u1: mmHg v2: 48 n2: 48 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [20:00:00 07/10/2014] el: 0 cg: RN cu: CCU v1: 73 n1: 73 u1: mmHg st: NotStopd id: Precautions t0: [20:00:00 07/10/2014] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: Assisted Systole t0: [20:00:00 07/10/2014] el: 0 cg: RN cu: CCU v1: 92 n1: 92 u1: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [20:00:00 07/10/2014] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: mmHg v2: 100 n2: 100 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [20:00:00 07/10/2014] el: 0 cg: RN cu: CCU v1: 45 n1: 45 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [20:00:00 07/10/2014] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Previous WeightF t0: [20:00:00 07/10/2014] el: 0 cg: RN cu: CCU v1: 73.9 n1: 73.9 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [20:00:00 07/10/2014] el: 0 cg: RN cu: CCU v1: 92 n1: 92 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Augmented Diastole t0: [20:00:00 07/10/2014] el: 0 cg: RN cu: CCU v1: 126 n1: 126 u1: mmHg st: NotStopd id: Respiratory Rate t0: [20:00:00 07/10/2014] el: 0 cg: RN cu: CCU v1: 12 n1: 12 u1: BPM st: NotStopd id: BAEDP t0: [20:00:00 07/10/2014] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: mmHg st: NotStopd id: SpO2 t0: [20:00:00 07/10/2014] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: % st: NotStopd id: Systolic Unloading t0: [20:00:00 07/10/2014] el: 0 cg: RN cu: CCU v1: 2 n1: 2 u1: % st: NotStopd id: calprevflg t0: [20:00:00 07/10/2014] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Fentanyl t0: [20:00:00 07/10/2014] el: 1 cg: RN cu: CCU vo: 0 do: 50 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [20:00:00 07/10/2014] el: 1 cg: RN cu: CCU vo: 0 do: 1 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Heparin t0: [20:00:00 07/10/2014] el: 1 cg: RN cu: CCU vo: 0 do: 450 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip id: Insulin t0: [20:00:00 07/10/2014] el: 1 cg: RN cu: CCU vo: 0 do: 2 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: Pain Present t0: [20:00:00 07/10/2014] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: Pain Assess Method t0: [20:00:00 07/10/2014] el: 0 cg: RN cu: CCU v1: Non-verbal cues st: NotStopd id: Riker-SAS Scale t0: [20:00:00 07/10/2014] el: 0 cg: RN cu: CCU v1: Sedated st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [14:00:00 07/10/2014] el: 1 ai: 189 cg: RN cu: CCU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [15:00:00 07/10/2014] el: 1 ai: 189 cg: RN cu: CCU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [16:00:00 07/10/2014] el: 1 ai: 189 cg: RN cu: CCU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [17:00:00 07/10/2014] el: 1 ai: 189 cg: RN cu: CCU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [18:00:00 07/10/2014] el: 1 ai: 189 cg: RN cu: CCU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [19:00:00 07/10/2014] el: 1 ai: 189 cg: RN cu: CCU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [20:00:00 07/10/2014] el: 1 ai: 189 cg: RN cu: CCU vo: 10 vu: ml id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [19:00:00 07/10/2014] el: 1 ai: 209 cg: RN cu: CCU vo: 2 vu: ml id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [20:00:00 07/10/2014] el: 1 ai: 209 cg: RN cu: CCU vo: 2 vu: ml
id: D5W 250.0ml + 25000Uhr Heparin t0: [20:00:00 07/10/2014] el: 1 ai: 117 cg: RN cu: CCU vo: 4.5 vu: ml id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [17:00:00 07/10/2014] el: 1 ai: 209 cg: RN cu: CCU vo: 2 vu: ml id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [18:00:00 07/10/2014] el: 1 ai: 209 cg: RN cu: CCU vo: 2 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [20:00:00 07/10/2014] el: 1 ai: 416 cg: RN cu: CCU vo: 5 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [20:00:00 07/10/2014] el: 1 ai: 314 cg: RN cu: CCU vo: 1 vu: ml
id: Urine Out Foley t0: [20:00:00 07/10/2014] el: 1 cg: RN cu: CCU vo: 25 vu: ml
id: INV Line#2 D/C Date t0: [20:00:00 07/10/2014] el: 0 cg: -1 cu: CCU st: D/C'd id: INV Line#2 Type/Site t0: [20:00:00 07/10/2014] el: 0 cg: -1 cu: CCU st: D/C'd id: INV Line#2 Zero/Cal t0: [20:00:00 07/10/2014] el: 0 cg: -1 cu: CCU st: D/C'd id: INV Line#2InsertDate t0: [20:00:00 07/10/2014] el: 0 cg: -1 cu: CCU st: D/C'd id: INV Line#2SiteAppear t0: [20:00:00 07/10/2014] el: 0 cg: -1 cu: CCU st: D/C'd id: INV#2 WaveformAppear t0: [20:00:00 07/10/2014] el: 0 cg: -1 cu: CCU st: D/C'd id: INV#2 Dsg Change t0: [20:00:00 07/10/2014] el: 0 cg: -1 cu: CCU st: D/C'd id: INV#2 Cap Change t0: [20:00:00 07/10/2014] el: 0 cg: -1 cu: CCU st: D/C'd id: INV#2 Tubing Change t0: [20:00:00 07/10/2014] el: 0 cg: -1 cu: CCU st: D/C'd
id: Communication t0: [20:00:00 07/10/2014] el: 0 cg: RN cu: CCU v1: Mouthing Words st: NotStopd id: Diet Type t0: [20:00:00 07/10/2014] el: 0 cg: RN cu: CCU v1: NPO st: NotStopd id: Dorsal PedPulse R/L t0: [20:00:00 07/10/2014] el: 0 cg: RN cu: CCU v1: Weak Palpable v2: Weak Palpable st: NotStopd id: GI#1 Intub Site t0: [20:00:00 07/10/2014] el: 0 cg: RN cu: CCU v1: Salem Sump v2: Oral st: NotStopd id: Eye Opening t0: [20:00:00 07/10/2014] el: 0 cg: RN cu: CCU v1: 3 To speech st: NotStopd id: Follows Commands t0: [20:00:00 07/10/2014] el: 0 cg: RN cu: CCU v1: Consistently st: NotStopd id: GCS Total t0: [20:00:00 07/10/2014] el: 0 cg: RN cu: CCU v1: 10 n1: 10 u1: points st: NotStopd id: GI Intub #1/Site t0: [20:00:00 07/10/2014] el: 0 cg: RN cu: CCU v1: Salem Sump v2: Oral st: NotStopd id: GI#1 Tube PlaceCheck t0: [20:00:00 07/10/2014] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: GI#1 Tube Stat/Drain t0: [20:00:00 07/10/2014] el: 0 cg: RN cu: CCU v1: Clamped st: NotStopd id: Abdominal Assessment t0: [20:00:00 07/10/2014] el: 0 cg: RN cu: CCU v1: Soft Distended st: NotStopd id: LL Strength/Movement t0: [20:00:00 07/10/2014] el: 0 cg: RN cu: CCU v1: Moves on Bed st: NotStopd id: LLE Temp/Color t0: [20:00:00 07/10/2014] el: 0 cg: RN cu: CCU v1: Cool v2: Normal st: NotStopd id: LU Strength/Movement t0: [20:00:00 07/10/2014] el: 0 cg: RN cu: CCU v1: Lifts and Holds st: NotStopd id: Level of Conscious t0: [20:00:00 07/10/2014] el: 0 cg: RN cu: CCU v1: Arouse to Voice st: NotStopd id: Angio Appearance #1 t0: [20:00:00 07/10/2014] el: 0 cg: RN cu: CCU v1: Oozing st: NotStopd id: Motor Response t0: [20:00:00 07/10/2014] el: 0 cg: RN cu: CCU v1: 6 Obeys Commands st: NotStopd id: Angio Dressing #1 t0: [20:00:00 07/10/2014] el: 0 cg: RN cu: CCU v1: Transparent st: NotStopd id: Neuro Symptoms t0: [20:00:00 07/10/2014] el: 0 cg: RN cu: CCU v1: Not Indicated st: NotStopd id: Oral Cavity t0: [20:00:00 07/10/2014] el: 0 cg: RN cu: CCU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [20:00:00 07/10/2014] el: 0 cg: RN cu: CCU v1: Oriented x 2 st: NotStopd id: Angio Site #1 t0: [20:00:00 07/10/2014] el: 0 cg: RN cu: CCU v1: R Femoral st: NotStopd id: PostTib. Pulses R/L t0: [20:00:00 07/10/2014] el: 0 cg: RN cu: CCU v1: Weak Palpable v2: Weak Palpable st: NotStopd id: Pupil Response R/L t0: [20:00:00 07/10/2014] el: 0 cg: RN cu: CCU v1: Brisk v2: Brisk st: NotStopd id: Pupil Size R/L t0: [20:00:00 07/10/2014] el: 0 cg: RN cu: CCU v1: 3 mm v2: 3 mm st: NotStopd id: RL Strength/Movement t0: [20:00:00 07/10/2014] el: 0 cg: RN cu: CCU v1: Moves on Bed st: NotStopd id: RLE Temp/Color t0: [20:00:00 07/10/2014] el: 0 cg: RN cu: CCU v1: Cool v2: Normal st: NotStopd id: RU Strength/Movement t0: [20:00:00 07/10/2014] el: 0 cg: RN cu: CCU v1: Lifts and Holds st: NotStopd id: Respiratory Pattern t0: [20:00:00 07/10/2014] el: 0 cg: RN cu: CCU v1: Regular st: NotStopd id: Responds to Stimuli t0: [20:00:00 07/10/2014] el: 0 cg: RN cu: CCU v1: Verbal v2: Localizes st: NotStopd id: Speech t0: [20:00:00 07/10/2014] el: 0 cg: RN cu: CCU v1: Intubated/trach st: NotStopd id: Spontaneous Movement t0: [20:00:00 07/10/2014] el: 0 cg: RN cu: CCU v1: Purposeful st: NotStopd id: Urine Color/Appear t0: [20:00:00 07/10/2014] el: 0 cg: RN cu: CCU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [20:00:00 07/10/2014] el: 0 cg: RN cu: CCU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [20:00:00 07/10/2014] el: 0 cg: RN cu: CCU v1: 1.0 ET/Trach st: NotStopd id: Bowel Sounds t0: [20:00:00 07/10/2014] el: 0 cg: RN cu: CCU v1: Present st: NotStopd
id: Range of Motion t0: [20:00:00 07/10/2014] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Circulation/SkinInt t0: [20:00:00 07/10/2014] el: 0 cg: RN cu: CCU v1: Circulation Adeq st: NotStopd id: Family Communication t0: [20:00:00 07/10/2014] el: 0 cg: RN cu: CCU v1: Family Visited st: NotStopd id: Position Change t0: [20:00:00 07/10/2014] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Reason For Restraint t0: [20:00:00 07/10/2014] el: 0 cg: RN cu: CCU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [20:00:00 07/10/2014] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Restraint Location t0: [20:00:00 07/10/2014] el: 0 cg: RN cu: CCU v1: Both Arms st: NotStopd id: Restraint Type t0: [20:00:00 07/10/2014] el: 0 cg: RN cu: CCU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [20:00:00 07/10/2014] el: 0 cg: RN cu: CCU v1: RestraintReapply st: NotStopd id: Side Rails t0: [20:00:00 07/10/2014] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: Skin Integrity t0: [20:00:00 07/10/2014] el: 0 cg: RN cu: CCU v1: Intact st: NotStopd id: Support Systems t0: [20:00:00 07/10/2014] el: 0 cg: RN cu: CCU v1: Significnt Other st: NotStopd id: Behavior t0: [20:00:00 07/10/2014] el: 0 cg: RN cu: CCU v1: Sedated st: NotStopd id: Braden Activity t0: [20:00:00 07/10/2014] el: 0 cg: RN cu: CCU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [20:00:00 07/10/2014] el: 0 cg: RN cu: CCU v1: No Apparent Prob st: NotStopd id: Braden Mobility t0: [20:00:00 07/10/2014] el: 0 cg: RN cu: CCU v1: Very Limited st: NotStopd id: Braden Moisture t0: [20:00:00 07/10/2014] el: 0 cg: RN cu: CCU v1: Occ. Moist st: NotStopd id: Braden Nutrition t0: [20:00:00 07/10/2014] el: 0 cg: RN cu: CCU v1: Prob. Inadequate st: NotStopd id: Braden Score t0: [20:00:00 07/10/2014] el: 0 cg: RN cu: CCU v1: 13 n1: 13 u1: number st: NotStopd id: Braden SensoryPercep t0: [20:00:00 07/10/2014] el: 0 cg: RN cu: CCU v1: Very Limited st: NotStopd
id: HOB t0: [20:00:00 07/10/2014] el: 0 cg: RN cu: CCU v1: 15 degrees st: NotStopd id: Activity t0: [20:00:00 07/10/2014] el: 0 cg: RN cu: CCU v1: Bedrest st: NotStopd id: Therapeutic Bed t0: [20:00:00 07/10/2014] el: 0 cg: RN cu: CCU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [20:00:00 07/10/2014] el: 0 cg: RN cu: CCU v1: Left Side st: NotStopd id: In-Line Sx Change t0: [20:00:00 07/10/2014] el: 0 cg: RN cu: CCU v1: 10 n1: 10 v2: 3 n2: 3 st: NotStopd
id: INV Line#1 Type/Site t0: [20:00:00 07/10/2014] el: 0 cg: RN cu: CCU v1: IABP v2: Right Femoral st: NotStopd id: INV Line#1InsertDate t0: [20:00:00 07/10/2014] el: 0 cg: RN cu: CCU v1: 10 n1: 10 v2: 3 n2: 3 st: NotStopd id: INV Line#1SiteAppear t0: [20:00:00 07/10/2014] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: INV Line#3 Type/Site t0: [20:00:00 07/10/2014] el: 0 cg: RN cu: CCU v1: Introducer v2: Right Femoral st: NotStopd id: INV Line#3InsertDate t0: [20:00:00 07/10/2014] el: 0 cg: RN cu: CCU v1: 10 n1: 10 v2: 3 n2: 3 st: NotStopd id: INV Line#3SiteAppear t0: [20:00:00 07/10/2014] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: INV#1 WaveformAppear t0: [20:00:00 07/10/2014] el: 0 cg: RN cu: CCU v1: Sharp st: NotStopd id: IV #1 Insert Date t0: [20:00:00 07/10/2014] el: 0 cg: RN cu: CCU v1: 10 n1: 10 v2: 3 n2: 3 st: NotStopd id: IV #1 Site/Size t0: [20:00:00 07/10/2014] el: 0 cg: RN cu: CCU v1: Right Antecub v2: 20 gauge st: NotStopd id: IV #2 Insert Date t0: [20:00:00 07/10/2014] el: 0 cg: RN cu: CCU v1: 10 n1: 10 v2: 3 n2: 3 st: NotStopd id: IV #2 Site/Size t0: [20:00:00 07/10/2014] el: 0 cg: RN cu: CCU v1: Left Hand v2: 20 gauge st: NotStopd id: IV Site Appear #1 t0: [20:00:00 07/10/2014] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: IV Site Appear #2 t0: [20:00:00 07/10/2014] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: INV#1 Dsg Change t0: [20:00:00 07/10/2014] el: 0 cg: RN cu: CCU v1: 10 n1: 10 v2: 3 n2: 3 st: NotStopd id: INV#3 Dsg Change t0: [20:00:00 07/10/2014] el: 0 cg: RN cu: CCU v1: 10 n1: 10 v2: 3 n2: 3 st: NotStopd id: INV#1 Cap Change t0: [20:00:00 07/10/2014] el: 0 cg: RN cu: CCU v1: 10 n1: 10 v2: 3 n2: 3 st: NotStopd id: INV#1 Tubing Change t0: [20:00:00 07/10/2014] el: 0 cg: RN cu: CCU v1: 10 n1: 10 v2: 3 n2: 3 st: NotStopd id: INV#3 Cap Change t0: [20:00:00 07/10/2014] el: 0 cg: RN cu: CCU v1: 10 n1: 10 v2: 3 n2: 3 st: NotStopd id: INV#3 Tubing Change t0: [20:00:00 07/10/2014] el: 0 cg: RN cu: CCU v1: 10 n1: 10 v2: 3 n2: 3 st: NotStopd
id: Temp. Site t0: [20:00:00 07/10/2014] el: 0 cg: RN cu: CCU v1: Oral st: NotStopd id: Temperature C (calc) t0: [20:00:00 07/10/2014] el: 0 cg: RN cu: CCU v1: 36.7778 n1: 36.7778 u1: Deg. C st: NotStopd id: Temperature F t0: [20:00:00 07/10/2014] el: 0 cg: RN cu: CCU v1: 98.2 n1: 98.2 u1: Deg. F st: NotStopd id: Fingerstick Glucose t0: [20:00:00 07/10/2014] el: 0 cg: RN cu: CCU v1: 127 n1: 127 rs: Manual st: NotStopd
id: ETT Mark/Location t0: [20:10:00 07/10/2014] el: 0 cg: RRT cu: CCU v1: 22cm v2: Lip st: NotStopd id: FiO2 Set t0: [20:10:00 07/10/2014] el: 0 cg: RRT cu: CCU v1: 0.4 n1: 0.4 u1: torr st: NotStopd id: Airway Size t0: [20:10:00 07/10/2014] el: 0 cg: RRT cu: CCU v1: 7.0 mm st: NotStopd id: Airway Type t0: [20:10:00 07/10/2014] el: 0 cg: RRT cu: CCU v1: Endotracheal st: NotStopd id: Intubation Date t0: [20:10:00 07/10/2014] el: 0 cg: RRT cu: CCU v1: 10 n1: 10 v2: 3 n2: 3 st: NotStopd id: PEEP Set t0: [20:10:00 07/10/2014] el: 0 cg: RRT cu: CCU v1: 5 n1: 5 u1: cmH2O st: NotStopd id: SpO2 t0: [20:10:00 07/10/2014] el: 0 cg: RRT cu: CCU v1: 100 n1: 100 u1: % st: NotStopd id: Ventilator Type t0: [20:10:00 07/10/2014] el: 0 cg: RRT cu: CCU v1: Drager st: NotStopd
id: LLL Lung Sounds t0: [20:00:00 07/10/2014] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: LUL Lung Sounds t0: [20:00:00 07/10/2014] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: RLL Lung Sounds t0: [20:00:00 07/10/2014] el: 0 cg: RN cu: CCU v1: Diminished st: NotStopd id: RUL Lung Sounds t0: [20:00:00 07/10/2014] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd
pi: 4098716 hi: 10731 t0: [22:00:00 07/10/2014] tf: [21:00:00 08/10/2014] mn: Furosemide pt: Unit Dose st: Expired rt: IV fr: ONCE ds: 22 dn: 1 dt: 1 di: Doses xv: 36 xu: Hours
id: Service Type t0: [21:00:00 07/10/2014] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [21:00:00 07/10/2014] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [21:00:00 07/10/2014] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Diastolic Unloading t0: [21:00:00 07/10/2014] el: 0 cg: RN cu: CCU v1: 3 n1: 3 u1: % st: NotStopd id: Ectopy Frequency t0: [21:00:00 07/10/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [21:00:00 07/10/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Heart Rate t0: [21:00:00 07/10/2014] el: 0 cg: RN cu: CCU v1: 51 n1: 51 u1: BPM st: NotStopd id: Heart Rhythm t0: [21:00:00 07/10/2014] el: 0 cg: RN cu: CCU v1: Sinus Brady st: NotStopd id: IABP Mean t0: [21:00:00 07/10/2014] el: 0 cg: RN cu: CCU v1: 76 n1: 76 u1: mmHg st: NotStopd id: IABP setting t0: [21:00:00 07/10/2014] el: 0 cg: RN cu: CCU v1: 1:1 st: NotStopd id: Arterial BP t0: [21:00:00 07/10/2014] el: 0 cg: RN cu: CCU v1: 96 n1: 96 u1: mmHg v2: 49 n2: 49 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [21:00:00 07/10/2014] el: 0 cg: RN cu: CCU v1: 74 n1: 74 u1: mmHg st: NotStopd id: Precautions t0: [21:00:00 07/10/2014] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: Assisted Systole t0: [21:00:00 07/10/2014] el: 0 cg: RN cu: CCU v1: 79 n1: 79 u1: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [21:00:00 07/10/2014] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: mmHg v2: 100 n2: 100 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [21:00:00 07/10/2014] el: 0 cg: RN cu: CCU v1: 45 n1: 45 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [21:00:00 07/10/2014] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Previous WeightF t0: [21:00:00 07/10/2014] el: 0 cg: RN cu: CCU v1: 73.9 n1: 73.9 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [21:00:00 07/10/2014] el: 0 cg: RN cu: CCU v1: 92 n1: 92 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Augmented Diastole t0: [21:00:00 07/10/2014] el: 0 cg: RN cu: CCU v1: 107 n1: 107 u1: mmHg st: NotStopd id: Respiratory Rate t0: [21:00:00 07/10/2014] el: 0 cg: RN cu: CCU v1: 12 n1: 12 u1: BPM st: NotStopd id: BAEDP t0: [21:00:00 07/10/2014] el: 0 cg: RN cu: CCU v1: 46 n1: 46 u1: mmHg st: NotStopd id: SpO2 t0: [21:00:00 07/10/2014] el: 0 cg: RN cu: CCU v1: 98 n1: 98 u1: % st: NotStopd id: Systolic Unloading t0: [21:00:00 07/10/2014] el: 0 cg: RN cu: CCU v1: 17 n1: 17 u1: % st: NotStopd id: calprevflg t0: [21:00:00 07/10/2014] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Fentanyl t0: [21:00:00 07/10/2014] el: 1 cg: RN cu: CCU vo: 0 do: 50 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [21:00:00 07/10/2014] el: 1 cg: RN cu: CCU vo: 0 do: 1 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Heparin t0: [21:00:00 07/10/2014] el: 1 cg: RN cu: CCU vo: 0 do: 450 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip id: Insulin t0: [21:00:00 07/10/2014] el: 1 cg: RN cu: CCU vo: 0 do: 2 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: .9% Normal Saline 1000.0ml t0: [21:00:00 07/10/2014] el: 1 ai: 189 cg: RN cu: CCU vo: 10 vu: ml id: D5W 250.0ml + 25000Uhr Heparin t0: [21:00:00 07/10/2014] el: 1 ai: 117 cg: RN cu: CCU vo: 4.5 vu: ml id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [21:00:00 07/10/2014] el: 1 ai: 209 cg: RN cu: CCU vo: 2 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [21:00:00 07/10/2014] el: 1 ai: 416 cg: RN cu: CCU vo: 5 vu: ml id: Urine Out Foley t0: [21:00:00 07/10/2014] el: 1 cg: RN cu: CCU vo: 18 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [21:00:00 07/10/2014] el: 1 ai: 314 cg: RN cu: CCU vo: 1 vu: ml
id: OR Crystalloid t0: [13:00:00 07/10/2014] el: 1 ai: 416 cg: RN cu: CCU vo: 680 vu: ml
id: Fingerstick Glucose t0: [21:00:00 07/10/2014] el: 0 cg: CoWker cu: CCU v1: 116 n1: 116 rs: Manual st: NotStopd
id: Urine Out Foley t0: [16:00:00 07/10/2014] el: 1 cg: RN cu: CCU vo: 0 vu: ml
id: Gastric Meds t0: [21:00:00 07/10/2014] el: 1 ai: 155 cg: RN cu: CCU vo: 30 vu: ml
id: PO/Gastric In Total t0: [23:00:00 07/10/2014] el: 2 cg: RN cu: CCU cv: 30 ac: 24 ap: none re: 0
id: Service Type t0: [22:00:00 07/10/2014] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [22:00:00 07/10/2014] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [22:00:00 07/10/2014] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [22:00:00 07/10/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [22:00:00 07/10/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Heart Rate t0: [22:00:00 07/10/2014] el: 0 cg: RN cu: CCU v1: 53 n1: 53 u1: BPM st: NotStopd id: Heart Rhythm t0: [22:00:00 07/10/2014] el: 0 cg: RN cu: CCU v1: Sinus Brady st: NotStopd id: IABP Mean t0: [22:00:00 07/10/2014] el: 0 cg: RN cu: CCU v1: 76 n1: 76 u1: mmHg st: NotStopd id: IABP setting t0: [22:00:00 07/10/2014] el: 0 cg: RN cu: CCU v1: 1:1 st: NotStopd id: Arterial BP t0: [22:00:00 07/10/2014] el: 0 cg: RN cu: CCU v1: 91 n1: 91 u1: mmHg v2: 47 n2: 47 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [22:00:00 07/10/2014] el: 0 cg: RN cu: CCU v1: 69 n1: 69 u1: mmHg st: NotStopd id: Precautions t0: [22:00:00 07/10/2014] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: Assisted Systole t0: [22:00:00 07/10/2014] el: 0 cg: RN cu: CCU v1: 82 n1: 82 u1: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [22:00:00 07/10/2014] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: mmHg v2: 100 n2: 100 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [22:00:00 07/10/2014] el: 0 cg: RN cu: CCU v1: 45 n1: 45 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [22:00:00 07/10/2014] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Previous WeightF t0: [22:00:00 07/10/2014] el: 0 cg: RN cu: CCU v1: 73.9 n1: 73.9 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [22:00:00 07/10/2014] el: 0 cg: RN cu: CCU v1: 92 n1: 92 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Augmented Diastole t0: [22:00:00 07/10/2014] el: 0 cg: RN cu: CCU v1: 109 n1: 109 u1: mmHg st: NotStopd id: Respiratory Rate t0: [22:00:00 07/10/2014] el: 0 cg: RN cu: CCU v1: 12 n1: 12 u1: BPM st: NotStopd id: BAEDP t0: [22:00:00 07/10/2014] el: 0 cg: RN cu: CCU v1: 47 n1: 47 u1: mmHg st: NotStopd id: SpO2 t0: [22:00:00 07/10/2014] el: 0 cg: RN cu: CCU v1: 99 n1: 99 u1: % st: NotStopd id: Systolic Unloading t0: [22:00:00 07/10/2014] el: 0 cg: RN cu: CCU v1: 9 n1: 9 u1: % st: NotStopd id: calprevflg t0: [22:00:00 07/10/2014] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [22:00:00 07/10/2014] el: 1 ai: 189 cg: RN cu: CCU vo: 10 vu: ml id: D5W 250.0ml + 25000Uhr Heparin t0: [22:00:00 07/10/2014] el: 1 ai: 117 cg: RN cu: CCU vo: 4.5 vu: ml id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [22:00:00 07/10/2014] el: 1 ai: 209 cg: RN cu: CCU vo: 2 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [22:00:00 07/10/2014] el: 1 ai: 416 cg: RN cu: CCU vo: 5 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [22:00:00 07/10/2014] el: 1 ai: 314 cg: RN cu: CCU vo: 1 vu: ml
id: Fentanyl t0: [22:00:00 07/10/2014] el: 1 cg: RN cu: CCU vo: 0 do: 50 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [22:00:00 07/10/2014] el: 1 cg: RN cu: CCU vo: 0 do: 1 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Heparin t0: [22:00:00 07/10/2014] el: 1 cg: RN cu: CCU vo: 0 do: 450 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip id: Insulin t0: [22:00:00 07/10/2014] el: 1 cg: RN cu: CCU vo: 0 do: 2 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: Urine Out Foley t0: [22:00:00 07/10/2014] el: 1 cg: RN cu: CCU vo: 28 vu: ml
id: Fingerstick Glucose t0: [22:00:00 07/10/2014] el: 0 cg: CoWker cu: CCU v1: 106 n1: 106 rs: Manual st: NotStopd
id: Dorsal PedPulse R/L t0: [22:00:00 07/10/2014] el: 0 cg: RN cu: CCU v1: Weak Palpable v2: Weak Palpable st: NotStopd id: LLE Temp/Color t0: [22:00:00 07/10/2014] el: 0 cg: RN cu: CCU v1: Cool v2: Normal st: NotStopd id: Angio Appearance #1 t0: [22:00:00 07/10/2014] el: 0 cg: RN cu: CCU v1: Oozing st: NotStopd id: Angio Dressing #1 t0: [22:00:00 07/10/2014] el: 0 cg: RN cu: CCU v1: Transparent st: NotStopd id: PostTib. Pulses R/L t0: [22:00:00 07/10/2014] el: 0 cg: RN cu: CCU v1: Weak Palpable v2: Weak Palpable st: NotStopd id: RLE Temp/Color t0: [22:00:00 07/10/2014] el: 0 cg: RN cu: CCU v1: Cool v2: Normal st: NotStopd
id: Range of Motion t0: [22:00:00 07/10/2014] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Circulation/SkinInt t0: [22:00:00 07/10/2014] el: 0 cg: RN cu: CCU v1: Circulation Adeq st: NotStopd id: Position Change t0: [22:00:00 07/10/2014] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Reason For Restraint t0: [22:00:00 07/10/2014] el: 0 cg: RN cu: CCU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [22:00:00 07/10/2014] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Restraint Location t0: [22:00:00 07/10/2014] el: 0 cg: RN cu: CCU v1: Both Arms st: NotStopd id: Restraint Type t0: [22:00:00 07/10/2014] el: 0 cg: RN cu: CCU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [22:00:00 07/10/2014] el: 0 cg: RN cu: CCU v1: RestraintReapply st: NotStopd id: Side Rails t0: [22:00:00 07/10/2014] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd
id: Service Type t0: [23:00:00 07/10/2014] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [23:00:00 07/10/2014] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [23:00:00 07/10/2014] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Diastolic Unloading t0: [23:00:00 07/10/2014] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: % st: NotStopd id: Ectopy Frequency t0: [23:00:00 07/10/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [23:00:00 07/10/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Heart Rate t0: [23:00:00 07/10/2014] el: 0 cg: RN cu: CCU v1: 52 n1: 52 u1: BPM st: NotStopd id: Heart Rhythm t0: [23:00:00 07/10/2014] el: 0 cg: RN cu: CCU v1: Sinus Brady st: NotStopd id: IABP Mean t0: [23:00:00 07/10/2014] el: 0 cg: RN cu: CCU v1: 77 n1: 77 u1: mmHg st: NotStopd id: IABP setting t0: [23:00:00 07/10/2014] el: 0 cg: RN cu: CCU v1: 1:1 st: NotStopd id: Arterial BP t0: [23:00:00 07/10/2014] el: 0 cg: RN cu: CCU v1: 94 n1: 94 u1: mmHg v2: 48 n2: 48 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [23:00:00 07/10/2014] el: 0 cg: RN cu: CCU v1: 71 n1: 71 u1: mmHg st: NotStopd id: Precautions t0: [23:00:00 07/10/2014] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: Assisted Systole t0: [23:00:00 07/10/2014] el: 0 cg: RN cu: CCU v1: 82 n1: 82 u1: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [23:00:00 07/10/2014] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: mmHg v2: 100 n2: 100 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [23:00:00 07/10/2014] el: 0 cg: RN cu: CCU v1: 45 n1: 45 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [23:00:00 07/10/2014] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Previous WeightF t0: [23:00:00 07/10/2014] el: 0 cg: RN cu: CCU v1: 73.9 n1: 73.9 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [23:00:00 07/10/2014] el: 0 cg: RN cu: CCU v1: 92 n1: 92 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Augmented Diastole t0: [23:00:00 07/10/2014] el: 0 cg: RN cu: CCU v1: 114 n1: 114 u1: mmHg st: NotStopd id: Respiratory Rate t0: [23:00:00 07/10/2014] el: 0 cg: RN cu: CCU v1: 12 n1: 12 u1: BPM st: NotStopd id: BAEDP t0: [23:00:00 07/10/2014] el: 0 cg: RN cu: CCU v1: 47 n1: 47 u1: mmHg st: NotStopd id: SpO2 t0: [23:00:00 07/10/2014] el: 0 cg: RN cu: CCU v1: 99 n1: 99 u1: % st: NotStopd id: Systolic Unloading t0: [23:00:00 07/10/2014] el: 0 cg: RN cu: CCU v1: 12 n1: 12 u1: % st: NotStopd id: calprevflg t0: [23:00:00 07/10/2014] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Fentanyl t0: [23:00:00 07/10/2014] el: 1 cg: RN cu: CCU vo: 0 do: 50 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [23:00:00 07/10/2014] el: 1 cg: RN cu: CCU vo: 0 do: 1 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Heparin t0: [23:00:00 07/10/2014] el: 1 cg: RN cu: CCU vo: 0 do: 450 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip id: Insulin t0: [23:00:00 07/10/2014] el: 1 cg: RN cu: CCU vo: 0 do: 2 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: .9% Normal Saline 1000.0ml t0: [23:00:00 07/10/2014] el: 1 ai: 189 cg: RN cu: CCU vo: 10 vu: ml id: D5W 250.0ml + 25000Uhr Heparin t0: [23:00:00 07/10/2014] el: 1 ai: 117 cg: RN cu: CCU vo: 4.5 vu: ml id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [23:00:00 07/10/2014] el: 1 ai: 209 cg: RN cu: CCU vo: 2 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [23:00:00 07/10/2014] el: 1 ai: 416 cg: RN cu: CCU vo: 5 vu: ml id: Urine Out Foley t0: [23:00:00 07/10/2014] el: 1 cg: RN cu: CCU vo: 50 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [23:00:00 07/10/2014] el: 1 ai: 314 cg: RN cu: CCU vo: 1 vu: ml
id: IV Infusion In Total t0: [23:00:00 07/10/2014] el: 2 cg: RN cu: CCU pv: 22.5 cv: 338.813 ac: 24 ap: none re: 0 id: 24h Total In t0: [23:00:00 07/10/2014] el: 2 cg: RN cu: CCU pv: 22.5 cv: 1048.81 ac: 24 ap: none re: 0 id: Total Hourly Output t0: [23:00:00 07/10/2014] el: 2 cg: RN cu: CCU pv: 50 cv: 50 ac: 1 ap: none re: 0 id: Urine Out Total t0: [23:00:00 07/10/2014] el: 2 cg: RN cu: CCU pv: 50 cv: 1054 ac: 24 ap: none re: 0 id: 24h Net Body Balance t0: [23:00:00 07/10/2014] el: 2 cg: RN cu: CCU pv: -27.5 cv: -5.18658 ac: 24 ap: none re: 0 id: LOS Net Body Balance t0: [23:00:00 07/10/2014] el: 2 cg: RN cu: CCU pv: -27.5 cv: -5.18658 ac: multiple days ap: none re: 0 id: Net Hourly Balance t0: [23:00:00 07/10/2014] el: 2 cg: RN cu: CCU pv: -27.5 cv: -27.5 ac: 1 ap: none re: 0 id: 24h Total Out t0: [23:00:00 07/10/2014] el: 2 cg: RN cu: CCU pv: 50 cv: 1054 ac: 24 ap: none re: 0
id: Procedures t0: [23:00:00 07/10/2014] el: 0 cg: RN cu: CCU v1: Urinalysis st: NotStopd id: Fingerstick Glucose t0: [23:00:00 07/10/2014] el: 0 cg: RN cu: CCU v1: 104 n1: 104 rs: Manual st: NotStopd
id: Service Type t0: [00:00:00 08/10/2014] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [00:00:00 08/10/2014] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [00:00:00 08/10/2014] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [00:00:00 08/10/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [00:00:00 08/10/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Alarms t0: [00:00:00 08/10/2014] el: 0 cg: RN cu: CCU v1: ON st: NotStopd id: Parameters Checked t0: [00:00:00 08/10/2014] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Heart Rate t0: [00:00:00 08/10/2014] el: 0 cg: RN cu: CCU v1: 52 n1: 52 u1: BPM st: NotStopd id: Heart Rhythm t0: [00:00:00 08/10/2014] el: 0 cg: RN cu: CCU v1: Sinus Brady st: NotStopd id: IABP Mean t0: [00:00:00 08/10/2014] el: 0 cg: RN cu: CCU v1: 76 n1: 76 u1: mmHg st: NotStopd id: IABP setting t0: [00:00:00 08/10/2014] el: 0 cg: RN cu: CCU v1: 1:1 st: NotStopd id: Arterial BP t0: [00:00:00 08/10/2014] el: 0 cg: RN cu: CCU v1: 91 n1: 91 u1: mmHg v2: 47 n2: 47 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [00:00:00 08/10/2014] el: 0 cg: RN cu: CCU v1: 71 n1: 71 u1: mmHg st: NotStopd id: Precautions t0: [00:00:00 08/10/2014] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: Assisted Systole t0: [00:00:00 08/10/2014] el: 0 cg: RN cu: CCU v1: 84 n1: 84 u1: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [00:00:00 08/10/2014] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: mmHg v2: 100 n2: 100 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [00:00:00 08/10/2014] el: 0 cg: RN cu: CCU v1: 45 n1: 45 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [00:00:00 08/10/2014] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Previous WeightF t0: [00:00:00 08/10/2014] el: 0 cg: RN cu: CCU v1: 73.9 n1: 73.9 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [00:00:00 08/10/2014] el: 0 cg: RN cu: CCU v1: 92 n1: 92 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Augmented Diastole t0: [00:00:00 08/10/2014] el: 0 cg: RN cu: CCU v1: 108 n1: 108 u1: mmHg st: NotStopd id: Respiratory Rate t0: [00:00:00 08/10/2014] el: 0 cg: RN cu: CCU v1: 12 n1: 12 u1: BPM st: NotStopd id: BAEDP t0: [00:00:00 08/10/2014] el: 0 cg: RN cu: CCU v1: 48 n1: 48 u1: mmHg st: NotStopd id: SpO2 t0: [00:00:00 08/10/2014] el: 0 cg: RN cu: CCU v1: 99 n1: 99 u1: % st: NotStopd id: Systolic Unloading t0: [00:00:00 08/10/2014] el: 0 cg: RN cu: CCU v1: 7 n1: 7 u1: % st: NotStopd id: calprevflg t0: [00:00:00 08/10/2014] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Fentanyl t0: [00:00:00 08/10/2014] el: 1 cg: RN cu: CCU vo: 0 do: 50 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [00:00:00 08/10/2014] el: 1 cg: RN cu: CCU vo: 0 do: 1 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Heparin t0: [00:00:00 08/10/2014] el: 1 cg: RN cu: CCU vo: 0 do: 450 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip id: Insulin t0: [00:00:00 08/10/2014] el: 1 cg: RN cu: CCU vo: 0 do: 2 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: Pain Present t0: [00:00:00 08/10/2014] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: Pain Assess Method t0: [00:00:00 08/10/2014] el: 0 cg: RN cu: CCU v1: Non-verbal cues st: NotStopd id: Riker-SAS Scale t0: [00:00:00 08/10/2014] el: 0 cg: RN cu: CCU v1: Sedated st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [00:00:00 08/10/2014] el: 1 ai: 189 cg: RN cu: CCU vo: 10 vu: ml id: D5W 250.0ml + 25000Uhr Heparin t0: [00:00:00 08/10/2014] el: 1 ai: 117 cg: RN cu: CCU vo: 4.5 vu: ml id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [00:00:00 08/10/2014] el: 1 ai: 209 cg: RN cu: CCU vo: 2 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [00:00:00 08/10/2014] el: 1 ai: 416 cg: RN cu: CCU vo: 5 vu: ml id: Urine Out Foley t0: [00:00:00 08/10/2014] el: 1 cg: RN cu: CCU vo: 80 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [00:00:00 08/10/2014] el: 1 ai: 314 cg: RN cu: CCU vo: 1 vu: ml
id: Communication t0: [00:00:00 08/10/2014] el: 0 cg: RN cu: CCU v1: Mouthing Words st: NotStopd id: Diet Type t0: [00:00:00 08/10/2014] el: 0 cg: RN cu: CCU v1: NPO st: NotStopd id: Dorsal PedPulse R/L t0: [00:00:00 08/10/2014] el: 0 cg: RN cu: CCU v1: Weak Palpable v2: Weak Palpable st: NotStopd id: GI#1 Intub Site t0: [00:00:00 08/10/2014] el: 0 cg: RN cu: CCU v1: Salem Sump v2: Oral st: NotStopd id: Eye Opening t0: [00:00:00 08/10/2014] el: 0 cg: RN cu: CCU v1: 3 To speech st: NotStopd id: Follows Commands t0: [00:00:00 08/10/2014] el: 0 cg: RN cu: CCU v1: Consistently st: NotStopd id: GCS Total t0: [00:00:00 08/10/2014] el: 0 cg: RN cu: CCU v1: 10 n1: 10 u1: points st: NotStopd id: GI Intub #1/Site t0: [00:00:00 08/10/2014] el: 0 cg: RN cu: CCU v1: Salem Sump v2: Oral st: NotStopd id: GI#1 Tube PlaceCheck t0: [00:00:00 08/10/2014] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: GI#1 Tube Stat/Drain t0: [00:00:00 08/10/2014] el: 0 cg: RN cu: CCU v1: Clamped st: NotStopd id: Abdominal Assessment t0: [00:00:00 08/10/2014] el: 0 cg: RN cu: CCU v1: Soft Distended st: NotStopd id: LL Strength/Movement t0: [00:00:00 08/10/2014] el: 0 cg: RN cu: CCU v1: Moves on Bed st: NotStopd id: LLE Temp/Color t0: [00:00:00 08/10/2014] el: 0 cg: RN cu: CCU v1: Warm v2: Normal st: NotStopd id: LLL Lung Sounds t0: [00:00:00 08/10/2014] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: LU Strength/Movement t0: [00:00:00 08/10/2014] el: 0 cg: RN cu: CCU v1: Lifts and Holds st: NotStopd id: LUL Lung Sounds t0: [00:00:00 08/10/2014] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Level of Conscious t0: [00:00:00 08/10/2014] el: 0 cg: RN cu: CCU v1: Arouse to Voice st: NotStopd id: Angio Appearance #1 t0: [00:00:00 08/10/2014] el: 0 cg: RN cu: CCU v1: Oozing st: NotStopd id: Motor Response t0: [00:00:00 08/10/2014] el: 0 cg: RN cu: CCU v1: 6 Obeys Commands st: NotStopd id: Angio Dressing #1 t0: [00:00:00 08/10/2014] el: 0 cg: RN cu: CCU v1: Transparent st: NotStopd id: Neuro Symptoms t0: [00:00:00 08/10/2014] el: 0 cg: RN cu: CCU v1: Not Indicated st: NotStopd id: Oral Cavity t0: [00:00:00 08/10/2014] el: 0 cg: RN cu: CCU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [00:00:00 08/10/2014] el: 0 cg: RN cu: CCU v1: Oriented x 2 st: NotStopd id: Angio Site #1 t0: [00:00:00 08/10/2014] el: 0 cg: RN cu: CCU v1: R Femoral st: NotStopd id: PostTib. Pulses R/L t0: [00:00:00 08/10/2014] el: 0 cg: RN cu: CCU v1: Weak Palpable v2: Weak Palpable st: NotStopd id: Pupil Response R/L t0: [00:00:00 08/10/2014] el: 0 cg: RN cu: CCU v1: Brisk v2: Brisk st: NotStopd id: Pupil Size R/L t0: [00:00:00 08/10/2014] el: 0 cg: RN cu: CCU v1: 3 mm v2: 3 mm st: NotStopd id: RL Strength/Movement t0: [00:00:00 08/10/2014] el: 0 cg: RN cu: CCU v1: Moves on Bed st: NotStopd id: RLE Temp/Color t0: [00:00:00 08/10/2014] el: 0 cg: RN cu: CCU v1: Warm v2: Normal st: NotStopd id: RLL Lung Sounds t0: [00:00:00 08/10/2014] el: 0 cg: RN cu: CCU v1: Diminished st: NotStopd id: RU Strength/Movement t0: [00:00:00 08/10/2014] el: 0 cg: RN cu: CCU v1: Lifts and Holds st: NotStopd id: RUL Lung Sounds t0: [00:00:00 08/10/2014] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Respiratory Pattern t0: [00:00:00 08/10/2014] el: 0 cg: RN cu: CCU v1: Regular st: NotStopd id: Responds to Stimuli t0: [00:00:00 08/10/2014] el: 0 cg: RN cu: CCU v1: Verbal v2: Localizes st: NotStopd id: Speech t0: [00:00:00 08/10/2014] el: 0 cg: RN cu: CCU v1: Intubated/trach st: NotStopd id: Spontaneous Movement t0: [00:00:00 08/10/2014] el: 0 cg: RN cu: CCU v1: Purposeful st: NotStopd id: Urine Color/Appear t0: [00:00:00 08/10/2014] el: 0 cg: RN cu: CCU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [00:00:00 08/10/2014] el: 0 cg: RN cu: CCU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [00:00:00 08/10/2014] el: 0 cg: RN cu: CCU v1: 1.0 ET/Trach st: NotStopd id: Bowel Sounds t0: [00:00:00 08/10/2014] el: 0 cg: RN cu: CCU v1: Present st: NotStopd
id: Range of Motion t0: [00:00:00 08/10/2014] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Circulation/SkinInt t0: [00:00:00 08/10/2014] el: 0 cg: RN cu: CCU v1: Circulation Adeq st: NotStopd id: Position Change t0: [00:00:00 08/10/2014] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Reason For Restraint t0: [00:00:00 08/10/2014] el: 0 cg: RN cu: CCU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [00:00:00 08/10/2014] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Restraint Location t0: [00:00:00 08/10/2014] el: 0 cg: RN cu: CCU v1: Both Arms st: NotStopd id: Restraint Type t0: [00:00:00 08/10/2014] el: 0 cg: RN cu: CCU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [00:00:00 08/10/2014] el: 0 cg: RN cu: CCU v1: RestraintReapply st: NotStopd id: Side Rails t0: [00:00:00 08/10/2014] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: Skin Integrity t0: [00:00:00 08/10/2014] el: 0 cg: RN cu: CCU v1: Intact st: NotStopd id: Support Systems t0: [00:00:00 08/10/2014] el: 0 cg: RN cu: CCU v1: Significnt Other st: NotStopd id: Behavior t0: [00:00:00 08/10/2014] el: 0 cg: RN cu: CCU v1: Sedated st: NotStopd id: Braden Activity t0: [00:00:00 08/10/2014] el: 0 cg: RN cu: CCU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [00:00:00 08/10/2014] el: 0 cg: RN cu: CCU v1: No Apparent Prob st: NotStopd id: Braden Mobility t0: [00:00:00 08/10/2014] el: 0 cg: RN cu: CCU v1: Very Limited st: NotStopd id: Braden Moisture t0: [00:00:00 08/10/2014] el: 0 cg: RN cu: CCU v1: Occ. Moist st: NotStopd id: Braden Nutrition t0: [00:00:00 08/10/2014] el: 0 cg: RN cu: CCU v1: Prob. Inadequate st: NotStopd id: Braden Score t0: [00:00:00 08/10/2014] el: 0 cg: RN cu: CCU v1: 13 n1: 13 u1: number st: NotStopd id: Braden SensoryPercep t0: [00:00:00 08/10/2014] el: 0 cg: RN cu: CCU v1: Very Limited st: NotStopd
id: HOB t0: [00:00:00 08/10/2014] el: 0 cg: RN cu: CCU v1: 15 degrees st: NotStopd id: INV Line#1 Type/Site t0: [00:00:00 08/10/2014] el: 0 cg: RN cu: CCU v1: IABP v2: Right Femoral st: NotStopd id: INV Line#1InsertDate t0: [00:00:00 08/10/2014] el: 0 cg: RN cu: CCU v1: 10 n1: 10 v2: 3 n2: 3 st: NotStopd id: INV Line#1SiteAppear t0: [00:00:00 08/10/2014] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: INV Line#3 Type/Site t0: [00:00:00 08/10/2014] el: 0 cg: RN cu: CCU v1: Introducer v2: Right Femoral st: NotStopd id: INV Line#3InsertDate t0: [00:00:00 08/10/2014] el: 0 cg: RN cu: CCU v1: 10 n1: 10 v2: 3 n2: 3 st: NotStopd id: INV Line#3SiteAppear t0: [00:00:00 08/10/2014] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: INV#1 WaveformAppear t0: [00:00:00 08/10/2014] el: 0 cg: RN cu: CCU v1: Sharp st: NotStopd id: IV #1 Insert Date t0: [00:00:00 08/10/2014] el: 0 cg: RN cu: CCU v1: 10 n1: 10 v2: 3 n2: 3 st: NotStopd id: IV #1 Site/Size t0: [00:00:00 08/10/2014] el: 0 cg: RN cu: CCU v1: Right Antecub v2: 20 gauge st: NotStopd id: IV #2 Insert Date t0: [00:00:00 08/10/2014] el: 0 cg: RN cu: CCU v1: 10 n1: 10 v2: 3 n2: 3 st: NotStopd id: IV #2 Site/Size t0: [00:00:00 08/10/2014] el: 0 cg: RN cu: CCU v1: Left Hand v2: 20 gauge st: NotStopd id: Activity t0: [00:00:00 08/10/2014] el: 0 cg: RN cu: CCU v1: Bedrest st: NotStopd id: IV Site Appear #1 t0: [00:00:00 08/10/2014] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: IV Site Appear #2 t0: [00:00:00 08/10/2014] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: INV#1 Dsg Change t0: [00:00:00 08/10/2014] el: 0 cg: RN cu: CCU v1: 10 n1: 10 v2: 3 n2: 3 st: NotStopd id: INV#3 Dsg Change t0: [00:00:00 08/10/2014] el: 0 cg: RN cu: CCU v1: 10 n1: 10 v2: 3 n2: 3 st: NotStopd id: INV#1 Cap Change t0: [00:00:00 08/10/2014] el: 0 cg: RN cu: CCU v1: 10 n1: 10 v2: 3 n2: 3 st: NotStopd id: INV#1 Tubing Change t0: [00:00:00 08/10/2014] el: 0 cg: RN cu: CCU v1: 10 n1: 10 v2: 3 n2: 3 st: NotStopd id: INV#3 Cap Change t0: [00:00:00 08/10/2014] el: 0 cg: RN cu: CCU v1: 10 n1: 10 v2: 3 n2: 3 st: NotStopd id: INV#3 Tubing Change t0: [00:00:00 08/10/2014] el: 0 cg: RN cu: CCU v1: 10 n1: 10 v2: 3 n2: 3 st: NotStopd id: Therapeutic Bed t0: [00:00:00 08/10/2014] el: 0 cg: RN cu: CCU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [00:00:00 08/10/2014] el: 0 cg: RN cu: CCU v1: Back st: NotStopd id: In-Line Sx Change t0: [00:00:00 08/10/2014] el: 0 cg: RN cu: CCU v1: 10 n1: 10 v2: 3 n2: 3 st: NotStopd
id: Fingerstick Glucose t0: [00:00:00 08/10/2014] el: 0 cg: RN cu: CCU v1: 101 n1: 101 rs: Manual st: NotStopd
id: Compliance (40-60ml) t0: [00:00:00 08/10/2014] el: 0 cg: RRT cu: CCU v1: 30 n1: 30 u1: ml/cmH st: NotStopd id: ETT Mark/Location t0: [00:00:00 08/10/2014] el: 0 cg: RRT cu: CCU v1: 22cm v2: Lip st: NotStopd id: FiO2 Set t0: [00:00:00 08/10/2014] el: 0 cg: RRT cu: CCU v1: 0.4 n1: 0.4 u1: torr st: NotStopd id: High Insp. Pressure t0: [00:00:00 08/10/2014] el: 0 cg: RRT cu: CCU v1: 40 n1: 40 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [00:00:00 08/10/2014] el: 0 cg: RRT cu: CCU v1: 20 n1: 20 u1: BPM st: NotStopd id: Airway Size t0: [00:00:00 08/10/2014] el: 0 cg: RRT cu: CCU v1: 7.0 mm st: NotStopd id: Airway Type t0: [00:00:00 08/10/2014] el: 0 cg: RRT cu: CCU v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [00:00:00 08/10/2014] el: 0 cg: RRT cu: CCU u1: Deg. C st: NotStopd id: Intubation Date t0: [00:00:00 08/10/2014] el: 0 cg: RRT cu: CCU v1: 10 n1: 10 v2: 3 n2: 3 st: NotStopd id: Low Exhaled Min Vol t0: [00:00:00 08/10/2014] el: 0 cg: RRT cu: CCU v1: 4 n1: 4 st: NotStopd id: Mean Airway Pressure t0: [00:00:00 08/10/2014] el: 0 cg: RRT cu: CCU v1: 12 n1: 12 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [00:00:00 08/10/2014] el: 0 cg: RRT cu: CCU v1: 7.21 n1: 7.21 u1: L/min st: NotStopd id: PEEP Set t0: [00:00:00 08/10/2014] el: 0 cg: RRT cu: CCU v1: 5 n1: 5 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [00:00:00 08/10/2014] el: 0 cg: RRT cu: CCU v1: 20 n1: 20 st: NotStopd id: Peak Insp. Pressure t0: [00:00:00 08/10/2014] el: 0 cg: RRT cu: CCU v1: 25 n1: 25 u1: cmH2O st: NotStopd id: Plateau Pressure t0: [00:00:00 08/10/2014] el: 0 cg: RRT cu: CCU v1: 20 n1: 20 u1: cmH2O st: NotStopd id: Pressure Support t0: [00:00:00 08/10/2014] el: 0 cg: RRT cu: CCU v1: 10 n1: 10 u1: . st: NotStopd id: Resp Rate (Spont) t0: [00:00:00 08/10/2014] el: 0 cg: RRT cu: CCU v1: 0 n1: 0 u1: BPM st: NotStopd id: Resp Rate (Total) t0: [00:00:00 08/10/2014] el: 0 cg: RRT cu: CCU v1: 12 n1: 12 u1: BPM st: NotStopd id: Respiratory Rate Set t0: [00:00:00 08/10/2014] el: 0 cg: RRT cu: CCU v1: 12 n1: 12 u1: BPM st: NotStopd id: Tank A psi. t0: [00:00:00 08/10/2014] el: 0 cg: RRT cu: CCU v1: 1600 n1: 1600 st: NotStopd id: Tank B psi. t0: [00:00:00 08/10/2014] el: 0 cg: RRT cu: CCU v1: 1200 n1: 1200 st: NotStopd id: Ve High t0: [00:00:00 08/10/2014] el: 0 cg: RRT cu: CCU v1: 12 n1: 12 st: NotStopd id: Sensitivity-Vent t0: [00:00:00 08/10/2014] el: 0 cg: RRT cu: CCU v1: 2 n1: 2 u1: cmH2O st: NotStopd id: Tidal Volume (Obser) t0: [00:00:00 08/10/2014] el: 0 cg: RRT cu: CCU v1: 590 n1: 590 u1: ml/B st: NotStopd id: Tidal Volume (Set) t0: [00:00:00 08/10/2014] el: 0 cg: RRT cu: CCU v1: 600 n1: 600 u1: ml/B st: NotStopd id: Ventilator Mode t0: [00:00:00 08/10/2014] el: 0 cg: RRT cu: CCU v1: SIMV+PS st: NotStopd id: Ventilator Type t0: [00:00:00 08/10/2014] el: 0 cg: RRT cu: CCU v1: Drager st: NotStopd id: Waveform-Vent t0: [00:00:00 08/10/2014] el: 0 cg: RRT cu: CCU v1: RAMP st: NotStopd
id: Service Type t0: [01:00:00 08/10/2014] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [01:00:00 08/10/2014] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [01:00:00 08/10/2014] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Diastolic Unloading t0: [01:00:00 08/10/2014] el: 0 cg: RN cu: CCU v1: 3 n1: 3 u1: % st: NotStopd id: Ectopy Frequency t0: [01:00:00 08/10/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [01:00:00 08/10/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Heart Rate t0: [01:00:00 08/10/2014] el: 0 cg: RN cu: CCU v1: 52 n1: 52 u1: BPM st: NotStopd id: Heart Rhythm t0: [01:00:00 08/10/2014] el: 0 cg: RN cu: CCU v1: Sinus Brady st: NotStopd id: IABP Mean t0: [01:00:00 08/10/2014] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg st: NotStopd id: IABP setting t0: [01:00:00 08/10/2014] el: 0 cg: RN cu: CCU v1: 1:1 st: NotStopd id: Arterial BP t0: [01:00:00 08/10/2014] el: 0 cg: RN cu: CCU v1: 103 n1: 103 u1: mmHg v2: 49 n2: 49 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [01:00:00 08/10/2014] el: 0 cg: RN cu: CCU v1: 73 n1: 73 u1: mmHg st: NotStopd id: Precautions t0: [01:00:00 08/10/2014] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: Assisted Systole t0: [01:00:00 08/10/2014] el: 0 cg: RN cu: CCU v1: 88 n1: 88 u1: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [01:00:00 08/10/2014] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: mmHg v2: 100 n2: 100 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [01:00:00 08/10/2014] el: 0 cg: RN cu: CCU v1: 45 n1: 45 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [01:00:00 08/10/2014] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Previous WeightF t0: [01:00:00 08/10/2014] el: 0 cg: RN cu: CCU v1: 73.9 n1: 73.9 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [01:00:00 08/10/2014] el: 0 cg: RN cu: CCU v1: 92 n1: 92 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Augmented Diastole t0: [01:00:00 08/10/2014] el: 0 cg: RN cu: CCU v1: 121 n1: 121 u1: mmHg st: NotStopd id: Respiratory Rate t0: [01:00:00 08/10/2014] el: 0 cg: RN cu: CCU v1: 12 n1: 12 u1: BPM st: NotStopd id: BAEDP t0: [01:00:00 08/10/2014] el: 0 cg: RN cu: CCU v1: 46 n1: 46 u1: mmHg st: NotStopd id: SpO2 t0: [01:00:00 08/10/2014] el: 0 cg: RN cu: CCU v1: 99 n1: 99 u1: % st: NotStopd id: Systolic Unloading t0: [01:00:00 08/10/2014] el: 0 cg: RN cu: CCU v1: 15 n1: 15 u1: % st: NotStopd id: calprevflg t0: [01:00:00 08/10/2014] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Fentanyl t0: [01:00:00 08/10/2014] el: 1 cg: RN cu: CCU vo: 0 do: 50 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [01:00:00 08/10/2014] el: 1 cg: RN cu: CCU vo: 0 do: 1 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Heparin t0: [01:00:00 08/10/2014] el: 1 cg: RN cu: CCU vo: 0 do: 450 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: .9% Normal Saline 1000.0ml t0: [01:00:00 08/10/2014] el: 1 ai: 189 cg: RN cu: CCU vo: 10 vu: ml id: D5W 250.0ml + 25000Uhr Heparin t0: [01:00:00 08/10/2014] el: 1 ai: 117 cg: RN cu: CCU vo: 4.5 vu: ml id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [01:00:00 08/10/2014] el: 1 ai: 209 cg: RN cu: CCU vo: 2 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [01:00:00 08/10/2014] el: 1 ai: 416 cg: RN cu: CCU vo: 5 vu: ml id: Urine Out Foley t0: [01:00:00 08/10/2014] el: 1 cg: RN cu: CCU vo: 70 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [01:00:00 08/10/2014] el: 1 ai: 314 cg: RN cu: CCU vo: 1 vu: ml
id: Fingerstick Glucose t0: [01:00:00 08/10/2014] el: 0 cg: RN cu: CCU v1: 99 n1: 99 rs: Manual st: NotStopd
id: Insulin t0: [01:00:00 08/10/2014] el: 1 cg: RN cu: CCU vo: 0 do: 1 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip