This log is also available as text (235ac.txt) and as a (binary) annotation file (235ac.log).
Generated: Thursday, 23-Apr-2009 00:36:04 EDT
(All dates below are surrogates.)
id: SAPS-I t0: [00:00:00 12/02/2018] el: 0 cg: LCP cu: LCP at MIT n1: 20
id: Levophed-k io: D5W 250.0ml + 8mcgkgmin Levophed-k el: 100 cg: RN cu: CCU am: 8 du: mcgkgmin rt: IV Drip id: Ativan io: D5W 200.0ml + 20mghr Ativan el: 100 cg: RN cu: CCU am: 20 du: mghr rt: IV Drip id: Dobutamine io: D5W 250.0ml + 250mcgkgmin Dobutamine el: 100 cg: RN cu: CCU am: 250 du: mcgkgmin rt: IV Drip
io: .9% Normal Saline 1000.0ml el: 1 cg: RN cu: CCU ra: 100 ru: ml/hr
pi: 4402725 hi: 28366 t0: [17:00:00 12/02/2018] tf: [09:00:00 14/02/2018] mn: Norepinephrine pt: IV Piggyback st: Inactive (Due to a change order) rt: IV DRIP fr: TITRATE TO di: Ongoing xu: Enter on Label pi: 4402726 hi: 28366 t0: [17:00:00 12/02/2018] tf: [15:00:00 13/02/2018] mn: DOBUTamine pt: IV Piggyback st: Discontinued rt: IV DRIP fr: TITRATE TO di: Ongoing xv: 36 xu: Hours pi: 4402727 hi: 28366 t0: [17:00:00 12/02/2018] tf: [15:00:00 13/02/2018] mn: Lorazepam pt: IV Piggyback st: Discontinued rt: IV DRIP fr: TITRATE TO di: Ongoing xu: Enter on Label
ci: 37925 t0: [13:29:00 12/02/2018] cu: CCU de: CSRU dt: 190
id: Pain Assess Method t0: [16:30:00 12/02/2018] el: 0 cg: RN cu: CSRU v1: Change in Vitals st: NotStopd id: PainLevel Acceptable t0: [16:30:00 12/02/2018] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Service Type t0: [16:30:00 12/02/2018] el: 0 cg: RN cu: CSRU v1: CCU st: NotStopd id: Code Status t0: [16:30:00 12/02/2018] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Code Status t0: [16:45:00 12/02/2018] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [16:30:00 12/02/2018] el: 0 cg: RN cu: CSRU v1: Sedated st: NotStopd id: Daily Wake Up t0: [16:30:00 12/02/2018] el: 1 cg: RN cu: CSRU v1: Hemodyn Instabil st: NotStopd id: Risk for Falls t0: [16:30:00 12/02/2018] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Risk for Falls t0: [16:45:00 12/02/2018] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Diet Type t0: [16:30:00 12/02/2018] el: 0 cg: RN cu: CSRU v1: NPO st: NotStopd id: Dorsal PedPulse R/L t0: [16:30:00 12/02/2018] el: 0 cg: RN cu: CSRU v1: Doppler v2: Doppler st: NotStopd id: Ectopy Frequency t0: [16:30:00 12/02/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Frequency t0: [16:45:00 12/02/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [16:30:00 12/02/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [16:45:00 12/02/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Alarms t0: [16:30:00 12/02/2018] el: 0 cg: RN cu: CSRU v1: ON st: NotStopd id: Parameters Checked t0: [16:30:00 12/02/2018] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: GI#1 Intub Site t0: [16:30:00 12/02/2018] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: Eye Opening t0: [16:30:00 12/02/2018] el: 0 cg: RN cu: CSRU v1: 1 No Response st: NotStopd id: GCS Total t0: [16:30:00 12/02/2018] el: 0 cg: RN cu: CSRU v1: 3 n1: 3 u1: points st: NotStopd id: GI Intub #1/Site t0: [16:30:00 12/02/2018] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: GI#1 Tube PlaceCheck t0: [16:30:00 12/02/2018] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: GI#1 Tube Stat/Drain t0: [16:30:00 12/02/2018] el: 0 cg: RN cu: CSRU v1: Low Cont Suction v2: Bilious st: NotStopd id: HOB t0: [16:30:00 12/02/2018] el: 0 cg: RN cu: CSRU v1: 15 degrees st: NotStopd id: Heart Rate t0: [16:30:00 12/02/2018] el: 0 cg: RN cu: CSRU v1: 68 n1: 68 u1: BPM st: NotStopd id: Heart Rate t0: [16:45:00 12/02/2018] el: 0 cg: RN cu: CSRU v1: 68 n1: 68 u1: BPM st: NotStopd id: Heart Rhythm t0: [16:30:00 12/02/2018] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [16:45:00 12/02/2018] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: INV Line#1 Type/Site t0: [16:30:00 12/02/2018] el: 0 cg: RN cu: CSRU v1: A-Line v2: Right Radial st: NotStopd id: INV Line#1 Zero/Cal t0: [16:30:00 12/02/2018] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: INV Line#1SiteAppear t0: [16:30:00 12/02/2018] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: INV Line#2 Type/Site t0: [16:30:00 12/02/2018] el: 0 cg: RN cu: CSRU v1: Introducer v2: Right IJ st: NotStopd id: INV Line#2SiteAppear t0: [16:30:00 12/02/2018] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: Abdominal Assessment t0: [16:30:00 12/02/2018] el: 0 cg: RN cu: CSRU v1: Soft st: NotStopd id: INV#1 WaveformAppear t0: [16:30:00 12/02/2018] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: IV #1 Site/Size t0: [16:30:00 12/02/2018] el: 0 cg: RN cu: CSRU v1: Right Wrist v2: 20 gauge st: NotStopd id: IV #2 Site/Size t0: [16:30:00 12/02/2018] el: 0 cg: RN cu: CSRU v1: RL Ant Forearm v2: 20 gauge st: NotStopd id: IV #3 Site/Size t0: [16:30:00 12/02/2018] el: 0 cg: RN cu: CSRU v1: LL Post Forearm v2: 18 gauge st: NotStopd id: Activity t0: [16:30:00 12/02/2018] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: IV Site Appear #1 t0: [16:30:00 12/02/2018] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: IV Site Appear #2 t0: [16:30:00 12/02/2018] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: IV Site Appear #3 t0: [16:30:00 12/02/2018] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: LLL Lung Sounds t0: [16:30:00 12/02/2018] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: LUL Lung Sounds t0: [16:30:00 12/02/2018] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Level of Conscious t0: [16:30:00 12/02/2018] el: 0 cg: RN cu: CSRU v1: Sedated st: NotStopd id: Motor Response t0: [16:30:00 12/02/2018] el: 0 cg: RN cu: CSRU v1: 1 No Response st: NotStopd id: Oral Cavity t0: [16:30:00 12/02/2018] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [16:30:00 12/02/2018] el: 0 cg: RN cu: CSRU v1: Unable to Assess st: NotStopd id: Arterial BP t0: [16:30:00 12/02/2018] el: 0 cg: RN cu: CSRU v1: 112 n1: 112 u1: mmHg v2: 64 n2: 64 u2: mmHg st: NotStopd id: Arterial BP t0: [16:45:00 12/02/2018] el: 0 cg: RN cu: CSRU v1: 110 n1: 110 u1: mmHg v2: 66 n2: 66 u2: mmHg st: NotStopd id: Pain Management t0: [16:30:00 12/02/2018] el: 1 cg: RN cu: CSRU v1: IV Gtt st: NotStopd id: Arterial BP Mean t0: [16:30:00 12/02/2018] el: 0 cg: RN cu: CSRU v1: 81 n1: 81 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [16:45:00 12/02/2018] el: 0 cg: RN cu: CSRU v1: 81 n1: 81 u1: mmHg st: NotStopd id: Position t0: [16:30:00 12/02/2018] el: 0 cg: RN cu: CSRU v1: Supine st: NotStopd id: PostTib. Pulses R/L t0: [16:30:00 12/02/2018] el: 0 cg: RN cu: CSRU v1: Doppler v2: Doppler st: NotStopd id: Precautions t0: [16:30:00 12/02/2018] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: Precautions t0: [16:45:00 12/02/2018] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: INV#1 Dsg Change t0: [16:30:00 12/02/2018] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 8 n2: 8 st: NotStopd id: INV#2 Dsg Change t0: [16:30:00 12/02/2018] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 8 n2: 8 st: NotStopd id: Previous WeightF t0: [16:45:00 12/02/2018] el: 0 cg: RN cu: CSRU v1: 81 n1: 81 u1: kg st: NotStopd id: Pupil Response R/L t0: [16:30:00 12/02/2018] el: 0 cg: RN cu: CSRU v1: Brisk v2: Brisk st: NotStopd id: Pupil Size R/L t0: [16:30:00 12/02/2018] el: 0 cg: RN cu: CSRU v1: 3 mm v2: 3 mm st: NotStopd id: RLL Lung Sounds t0: [16:30:00 12/02/2018] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: RUL Lung Sounds t0: [16:30:00 12/02/2018] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Respiratory Pattern t0: [16:30:00 12/02/2018] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Respiratory Rate t0: [16:30:00 12/02/2018] el: 0 cg: RN cu: CSRU v1: 14 n1: 14 u1: BPM st: NotStopd id: Respiratory Rate t0: [16:45:00 12/02/2018] el: 0 cg: RN cu: CSRU v1: 20 n1: 20 u1: BPM st: NotStopd id: Skin Integrity t0: [16:30:00 12/02/2018] el: 0 cg: RN cu: CSRU v1: Intact st: NotStopd id: SpO2 t0: [16:30:00 12/02/2018] el: 0 cg: RN cu: CSRU v1: 100 n1: 100 u1: % st: NotStopd id: SpO2 t0: [16:45:00 12/02/2018] el: 0 cg: RN cu: CSRU v1: 100 n1: 100 u1: % st: NotStopd id: Stool Guaiac t0: [16:30:00 12/02/2018] el: 0 cg: RN cu: CSRU v1: Not Applicable st: NotStopd id: INV#1 Cap Change t0: [16:30:00 12/02/2018] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 8 n2: 8 st: NotStopd id: INV#1 Tubing Change t0: [16:30:00 12/02/2018] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 8 n2: 8 st: NotStopd id: INV#2 Cap Change t0: [16:30:00 12/02/2018] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 8 n2: 8 st: NotStopd id: Temp. Site t0: [16:30:00 12/02/2018] el: 0 cg: RN cu: CSRU v1: Oral st: NotStopd id: Temperature C (calc) t0: [16:30:00 12/02/2018] el: 0 cg: RN cu: CSRU v1: 37 n1: 37 u1: Deg. C st: NotStopd id: Temperature F t0: [16:30:00 12/02/2018] el: 0 cg: RN cu: CSRU v1: 98.6 n1: 98.6 u1: Deg. F st: NotStopd id: Therapeutic Bed t0: [16:30:00 12/02/2018] el: 0 cg: RN cu: CSRU v1: AtmosAir Mattres st: NotStopd id: Urine Color/Appear t0: [16:30:00 12/02/2018] el: 0 cg: RN cu: CSRU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [16:30:00 12/02/2018] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [16:30:00 12/02/2018] el: 0 cg: RN cu: CSRU v1: 1.0 ET/Trach st: NotStopd id: calprevflg t0: [16:45:00 12/02/2018] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Daily Weight t0: [16:30:00 12/02/2018] el: 0 cg: RN cu: CSRU v1: 81 n1: 81 u1: kg st: NotStopd id: Insulin Guideline t0: [16:30:00 12/02/2018] el: 0 cg: RN cu: CSRU v1: Off Guideline st: NotStopd id: Braden Activity t0: [16:30:00 12/02/2018] el: 0 cg: RN cu: CSRU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [16:30:00 12/02/2018] el: 0 cg: RN cu: CSRU v1: Potential Prob st: NotStopd id: Braden Mobility t0: [16:30:00 12/02/2018] el: 0 cg: RN cu: CSRU v1: Comp. Immobile st: NotStopd id: Braden Moisture t0: [16:30:00 12/02/2018] el: 0 cg: RN cu: CSRU v1: Rarely Moist st: NotStopd id: Braden Nutrition t0: [16:30:00 12/02/2018] el: 0 cg: RN cu: CSRU v1: Prob. Inadequate st: NotStopd id: Braden Score t0: [16:30:00 12/02/2018] el: 0 cg: RN cu: CSRU v1: 11 n1: 11 u1: number st: NotStopd id: Braden SensoryPercep t0: [16:30:00 12/02/2018] el: 0 cg: RN cu: CSRU v1: Comp. Limited st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [16:30:00 12/02/2018] el: 1 ai: 107 cg: RN cu: CSRU vo: 0 vu: ml id: D5W 200.0ml + 20mghr Ativan t0: [16:30:00 12/02/2018] el: 1 ai: 153 cg: RN cu: CSRU vo: 0 vu: ml id: D5W 250.0ml + 250mcgkgmin Dobutamine t0: [16:30:00 12/02/2018] el: 1 ai: 168 cg: RN cu: CSRU vo: 0 vu: ml id: D5W 250.0ml + 8mcgkgmin Levophed-k t0: [16:30:00 12/02/2018] el: 1 ai: 416 cg: RN cu: CSRU vo: 0 vu: ml
pi: 4402908 hi: 28366 t0: [08:00:00 12/02/2018] tf: [10:00:00 15/02/2018] mn: Vancomycin HCl pt: IV Piggyback st: Inactive (Due to a change order) rt: IV fr: Q 24H ds: 8 dn: 1 dt: 72 di: Hours xv: 36 xu: Hours pi: 4402951 hi: 28366 t0: [18:00:00 12/02/2018] tf: [18:00:00 14/02/2018] mn: CeftazIDIME pt: IV Piggyback st: Discontinued rt: IV fr: Q12H ds: 18, 6 dn: 2 di: Ongoing xv: 36 xu: Hours pi: 4402971 hi: 28366 t0: [18:00:00 12/02/2018] tf: [14:00:00 14/02/2018] mn: Insulin pt: IV Piggyback st: Discontinued rt: IV DRIP fr: TITRATE TO di: Ongoing xu: Enter on Label pi: 4403039 hi: 28366 t0: [18:00:00 12/02/2018] tf: [10:00:00 16/02/2018] mn: Heparin Flush CVL (100 units/ml) pt: Unit Dose st: Discontinued rt: IV fr: DAILY:PRN di: Ongoing xv: 36 xu: Hours pi: 4403040 hi: 28366 t0: [18:00:00 12/02/2018] tf: [17:00:00 24/02/2018] mn: Pantoprazole pt: IV Piggyback st: Discontinued via patient discharge rt: IV fr: Q24H ds: 18 dn: 1 di: Ongoing xu: Enter on Label pi: 4403041 hi: 28366 t0: [18:00:00 12/02/2018] tf: [10:00:00 16/02/2018] mn: Fentanyl Citrate pt: IV Piggyback st: Discontinued rt: IV DRIP fr: INFUSION di: Ongoing xu: Enter on Label pi: 4403042 hi: 28366 t0: [20:00:00 12/02/2018] tf: [10:00:00 16/02/2018] mn: Docusate Sodium (Liquid) pt: Unit Dose st: Discontinued rt: PO fr: BID ds: 08, 20 dn: 2 di: Ongoing xv: 36 xu: Hours pi: 4403043 hi: 28366 t0: [10:00:00 12/02/2018] tf: [17:00:00 24/02/2018] mn: FoLIC Acid pt: Unit Dose st: Discontinued via patient discharge rt: PO fr: DAILY ds: 10 dn: 1 di: Ongoing xv: 36 xu: Hours pi: 4403044 hi: 28366 t0: [10:00:00 12/02/2018] tf: [09:00:00 15/02/2018] mn: Multivitamins pt: Unit Dose st: Inactive (Due to a change order) rt: PO fr: DAILY ds: 10 dn: 1 di: Ongoing xv: 36 xu: Hours pi: 4403045 hi: 28366 t0: [10:00:00 12/02/2018] tf: [17:00:00 24/02/2018] mn: Thiamine HCl pt: Unit Dose st: Discontinued via patient discharge rt: PO fr: DAILY ds: 10 dn: 1 di: Ongoing xv: 36 xu: Hours
id: Compliance (40-60ml) t0: [16:30:00 12/02/2018] el: 0 cg: RRT cu: CSRU v1: 27.5 n1: 27.5 u1: ml/cmH st: NotStopd id: ETT Mark/Location t0: [16:30:00 12/02/2018] el: 0 cg: RRT cu: CSRU v1: 24cm v2: Lip st: NotStopd id: FiO2 Set t0: [16:30:00 12/02/2018] el: 0 cg: RRT cu: CSRU v1: 1 n1: 1 u1: torr st: NotStopd id: High Insp. Pressure t0: [16:30:00 12/02/2018] el: 0 cg: RRT cu: CSRU v1: 40 n1: 40 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [16:30:00 12/02/2018] el: 0 cg: RRT cu: CSRU v1: 20 n1: 20 u1: BPM st: NotStopd id: I:E Ratio t0: [16:30:00 12/02/2018] el: 0 cg: RRT cu: CSRU v1: 1:3.3 st: NotStopd id: Airway Size t0: [16:30:00 12/02/2018] el: 0 cg: RRT cu: CSRU v1: 8.0 mm st: NotStopd id: Airway Type t0: [16:30:00 12/02/2018] el: 0 cg: RRT cu: CSRU v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [16:30:00 12/02/2018] el: 0 cg: RRT cu: CSRU u1: Deg. C st: NotStopd id: Low Exhaled Min Vol t0: [16:30:00 12/02/2018] el: 0 cg: RRT cu: CSRU v1: 4 n1: 4 st: NotStopd id: Mean Airway Pressure t0: [16:30:00 12/02/2018] el: 0 cg: RRT cu: CSRU v1: 10 n1: 10 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [16:30:00 12/02/2018] el: 0 cg: RRT cu: CSRU v1: 8.4 n1: 8.4 u1: L/min st: NotStopd id: PEEP Set t0: [16:30:00 12/02/2018] el: 0 cg: RRT cu: CSRU v1: 5 n1: 5 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [16:30:00 12/02/2018] el: 0 cg: RRT cu: CSRU v1: 20 n1: 20 st: NotStopd id: Peak Insp. Pressure t0: [16:30:00 12/02/2018] el: 0 cg: RRT cu: CSRU v1: 25 n1: 25 u1: cmH2O st: NotStopd id: Plateau Pressure t0: [16:30:00 12/02/2018] el: 0 cg: RRT cu: CSRU v1: 18 n1: 18 u1: cmH2O st: NotStopd id: Resp Rate (Spont) t0: [16:30:00 12/02/2018] el: 0 cg: RRT cu: CSRU v1: 1 n1: 1 u1: BPM st: NotStopd id: Resp Rate (Total) t0: [16:30:00 12/02/2018] el: 0 cg: RRT cu: CSRU v1: 15 n1: 15 u1: BPM st: NotStopd id: Respiratory Rate Set t0: [16:30:00 12/02/2018] el: 0 cg: RRT cu: CSRU v1: 14 n1: 14 u1: BPM st: NotStopd id: Tank A psi. t0: [16:30:00 12/02/2018] el: 0 cg: RRT cu: CSRU v1: 1200 n1: 1200 st: NotStopd id: Tank B psi. t0: [16:30:00 12/02/2018] el: 0 cg: RRT cu: CSRU v1: 1500 n1: 1500 st: NotStopd id: Ve High t0: [16:30:00 12/02/2018] el: 0 cg: RRT cu: CSRU v1: 18 n1: 18 st: NotStopd id: Sensitivity-Vent t0: [16:30:00 12/02/2018] el: 0 cg: RRT cu: CSRU v1: 2 n1: 2 u1: cmH2O st: NotStopd id: Tidal Volume (Obser) t0: [16:30:00 12/02/2018] el: 0 cg: RRT cu: CSRU v1: 549 n1: 549 u1: ml/B st: NotStopd id: Tidal Volume (Set) t0: [16:30:00 12/02/2018] el: 0 cg: RRT cu: CSRU v1: 550 n1: 550 u1: ml/B st: NotStopd id: Ventilator Mode t0: [16:30:00 12/02/2018] el: 0 cg: RRT cu: CSRU v1: Assist Control st: NotStopd id: Ventilator Type t0: [16:30:00 12/02/2018] el: 0 cg: RRT cu: CSRU v1: Drager st: NotStopd id: Waveform-Vent t0: [16:30:00 12/02/2018] el: 0 cg: RRT cu: CSRU v1: RAMP st: NotStopd
id: WBC (4-11,000) t0: [17:03:00 12/02/2018] el: 0 cg: 1663 cu: CSRU v1: 15.6 n1: 15.6 rs: Final st: NotStopd id: WBC t0: [17:03:00 12/02/2018] el: 0 cg: 1663 cu: CSRU v1: 15.6 n1: 15.6 rs: Final st: NotStopd id: Hematocrit t0: [17:03:00 12/02/2018] el: 0 cg: 1663 cu: CSRU v1: 39.4 n1: 39.4 u1: % rs: Final st: NotStopd id: Hemoglobin t0: [17:03:00 12/02/2018] el: 0 cg: 1663 cu: CSRU v1: 13.8 n1: 13.8 u1: gm/dl rs: Final st: NotStopd id: Platelets t0: [17:03:00 12/02/2018] el: 0 cg: 1663 cu: CSRU v1: 341 n1: 341 rs: Final st: NotStopd id: RBC t0: [17:03:00 12/02/2018] el: 0 cg: 1663 cu: CSRU v1: 4.58 n1: 4.58 u1: /mic l rs: Final st: NotStopd id: WBC (4-11,000) t0: [17:03:00 12/02/2018] el: 0 cg: 1663 cu: CSRU v1: 15.6 n1: 15.6 rs: Final st: NotStopd
id: Code Status t0: [17:00:00 12/02/2018] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Code Status t0: [17:15:00 12/02/2018] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Code Status t0: [17:30:00 12/02/2018] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [17:00:00 12/02/2018] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Risk for Falls t0: [17:15:00 12/02/2018] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Risk for Falls t0: [17:30:00 12/02/2018] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [17:00:00 12/02/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Frequency t0: [17:15:00 12/02/2018] el: 0 cg: RN cu: CSRU v1: Runs Vtach st: NotStopd id: Ectopy Frequency t0: [17:30:00 12/02/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [17:00:00 12/02/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [17:15:00 12/02/2018] el: 0 cg: RN cu: CSRU v1: PVC's st: NotStopd id: Ectopy Type t0: [17:30:00 12/02/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Heart Rate t0: [17:00:00 12/02/2018] el: 0 cg: RN cu: CSRU v1: 67 n1: 67 u1: BPM st: NotStopd id: Heart Rate t0: [17:15:00 12/02/2018] el: 0 cg: RN cu: CSRU v1: 66 n1: 66 u1: BPM st: NotStopd id: Heart Rate t0: [17:30:00 12/02/2018] el: 0 cg: RN cu: CSRU v1: 66 n1: 66 u1: BPM st: NotStopd id: Heart Rhythm t0: [17:00:00 12/02/2018] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [17:15:00 12/02/2018] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [17:30:00 12/02/2018] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [17:00:00 12/02/2018] el: 0 cg: RN cu: CSRU v1: 106 n1: 106 u1: mmHg v2: 67 n2: 67 u2: mmHg st: NotStopd id: Arterial BP t0: [17:15:00 12/02/2018] el: 0 cg: RN cu: CSRU v1: 103 n1: 103 u1: mmHg v2: 64 n2: 64 u2: mmHg st: NotStopd id: Arterial BP t0: [17:30:00 12/02/2018] el: 0 cg: RN cu: CSRU v1: 104 n1: 104 u1: mmHg v2: 65 n2: 65 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [17:00:00 12/02/2018] el: 0 cg: RN cu: CSRU v1: 79 n1: 79 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [17:15:00 12/02/2018] el: 0 cg: RN cu: CSRU v1: 77 n1: 77 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [17:30:00 12/02/2018] el: 0 cg: RN cu: CSRU v1: 77 n1: 77 u1: mmHg st: NotStopd id: Precautions t0: [17:00:00 12/02/2018] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: Precautions t0: [17:15:00 12/02/2018] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: Precautions t0: [17:30:00 12/02/2018] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: Previous WeightF t0: [17:00:00 12/02/2018] el: 0 cg: RN cu: CSRU v1: 81 n1: 81 u1: kg st: NotStopd id: Previous WeightF t0: [17:15:00 12/02/2018] el: 0 cg: RN cu: CSRU v1: 81 n1: 81 u1: kg st: NotStopd id: Previous WeightF t0: [17:30:00 12/02/2018] el: 0 cg: RN cu: CSRU v1: 81 n1: 81 u1: kg st: NotStopd id: Respiratory Rate t0: [17:00:00 12/02/2018] el: 0 cg: RN cu: CSRU v1: 23 n1: 23 u1: BPM st: NotStopd id: Respiratory Rate t0: [17:15:00 12/02/2018] el: 0 cg: RN cu: CSRU v1: 14 n1: 14 u1: BPM st: NotStopd id: Respiratory Rate t0: [17:30:00 12/02/2018] el: 0 cg: RN cu: CSRU v1: 14 n1: 14 u1: BPM st: NotStopd id: SpO2 t0: [17:00:00 12/02/2018] el: 0 cg: RN cu: CSRU v1: 99 n1: 99 u1: % st: NotStopd id: SpO2 t0: [17:15:00 12/02/2018] el: 0 cg: RN cu: CSRU v1: 100 n1: 100 u1: % st: NotStopd id: SpO2 t0: [17:30:00 12/02/2018] el: 0 cg: RN cu: CSRU v1: 99 n1: 99 u1: % st: NotStopd id: calprevflg t0: [17:00:00 12/02/2018] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [17:15:00 12/02/2018] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [17:30:00 12/02/2018] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: Ativan t0: [16:30:00 12/02/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 6 du: mghr so: D5W sv: 400 su: ml rt: IV Drip id: Ativan t0: [16:45:00 12/02/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 6 du: mghr so: D5W sv: 400 su: ml rt: IV Drip id: Ativan t0: [17:00:00 12/02/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 6 du: mghr so: D5W sv: 400 su: ml rt: IV Drip id: Ativan t0: [17:15:00 12/02/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 6 du: mghr so: D5W sv: 400 su: ml rt: IV Drip id: Ativan t0: [17:30:00 12/02/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 6 du: mghr so: D5W sv: 400 su: ml rt: IV Drip
id: BSA t0: [17:34:00 12/02/2018] el: 1033 cg: -1 cu: CSRU v1: 2.00485 n1: 2.00485 u1: m2 id: Admit Wt t0: [17:34:00 12/02/2018] el: 1032 cg: -1 cu: CSRU v1: 81 n1: 81 u1: kg id: Allergy 1 t0: [17:34:00 12/02/2018] el: 1020 cg: -1 cu: CSRU v1: No Known Drug Allergies id: Diagnosis/op t0: [17:34:00 12/02/2018] el: 1023 cg: -1 cu: CSRU v1: HEART FAILURE CARDIAC ARREST id: Service t0: [17:34:00 12/02/2018] el: 1026 cg: -1 cu: CSRU v1: CME id: Admit Ht t0: [17:34:00 12/02/2018] el: 1034 cg: -1 cu: CSRU v1: 69 n1: 69 u1: inches id: Readmission t0: [17:34:00 12/02/2018] el: 1014 cg: -1 cu: CSRU v1: No id: Marital Status t0: [17:34:00 12/02/2018] el: 1006 cg: -1 cu: CSRU v1: S id: Religion t0: [17:34:00 12/02/2018] el: 1000 cg: -1 cu: CSRU v1: RCA id: Allergy 2 t0: [17:34:00 12/02/2018] el: 1021 cg: -1 cu: CSRU id: Ext t0: [17:34:00 12/02/2018] el: 1010 cg: -1 cu: CSRU id: Allergy 3 t0: [17:34:00 12/02/2018] el: 1022 cg: -1 cu: CSRU
id: Less Restrict Meas. t0: [16:30:00 12/02/2018] el: 0 cg: RN cu: CSRU v1: Medicated st: NotStopd id: Range of Motion t0: [16:30:00 12/02/2018] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Circulation/SkinInt t0: [16:30:00 12/02/2018] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Position Change t0: [16:30:00 12/02/2018] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Reason For Restraint t0: [16:30:00 12/02/2018] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [16:30:00 12/02/2018] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Restraint Location t0: [16:30:00 12/02/2018] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Type t0: [16:30:00 12/02/2018] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [16:30:00 12/02/2018] el: 0 cg: RN cu: CSRU v1: Behavior Conts st: NotStopd id: Side Rails t0: [16:30:00 12/02/2018] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Pt./Family Informed t0: [16:30:00 12/02/2018] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd
id: Urine Out Foley t0: [16:30:00 12/02/2018] el: 1 cg: RN cu: CSRU vo: 200 vu: ml
id: Levophed-k t0: [16:30:00 12/02/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 0.24 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip id: Levophed-k t0: [16:45:00 12/02/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 0.24 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip id: Levophed-k t0: [17:00:00 12/02/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 0.24 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip id: Levophed-k t0: [17:15:00 12/02/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 0.24 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip id: Levophed-k t0: [17:30:00 12/02/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 0.24 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip id: Dobutamine t0: [16:30:00 12/02/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 5 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip id: Dobutamine t0: [16:45:00 12/02/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 5 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip id: Dobutamine t0: [17:00:00 12/02/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 5 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip id: Dobutamine t0: [17:15:00 12/02/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 5 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip id: Dobutamine t0: [17:30:00 12/02/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 5 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip
id: Art.pH t0: [17:38:00 12/02/2018] el: 0 cg: 1663 cu: CSRU v1: 7.39 n1: 7.39 rs: Final st: NotStopd id: CaO2 t0: [17:38:00 12/02/2018] el: 0 cg: 1663 cu: CSRU v1: 18.7081 n1: 18.7081 u1: ml/dl st: NotStopd id: Lactic Acid t0: [17:38:00 12/02/2018] el: 0 cg: 1663 cu: CSRU v1: 3.3 n1: 3.3 rs: Final st: NotStopd id: Arterial Base Excess t0: [17:38:00 12/02/2018] el: 0 cg: 1663 cu: CSRU v1: -3 n1: -3 rs: Final st: NotStopd id: Arterial CO2(Calc) t0: [17:38:00 12/02/2018] el: 0 cg: 1663 cu: CSRU v1: 21 n1: 21 rs: Final st: NotStopd id: Arterial PaCO2 t0: [17:38:00 12/02/2018] el: 0 cg: 1663 cu: CSRU v1: 34 n1: 34 u1: mmHg rs: Final st: NotStopd id: Arterial PaO2 t0: [17:38:00 12/02/2018] el: 0 cg: 1663 cu: CSRU v1: 189 n1: 189 u1: mmHg rs: Final st: NotStopd id: Arterial pH t0: [17:38:00 12/02/2018] el: 0 cg: 1663 cu: CSRU v1: 7.39 n1: 7.39 rs: Final st: NotStopd id: Lactic Acid(0.5-2.0) t0: [17:38:00 12/02/2018] el: 0 cg: 1663 cu: CSRU v1: 3.3 n1: 3.3 rs: Final st: NotStopd id: SaO2 t0: [17:38:00 12/02/2018] el: 0 cg: 1663 cu: CSRU v1: 98 n1: 98 u1: % rs: Final st: NotStopd
pi: 4403207 hi: 28366 t0: [19:00:00 12/02/2018] tf: [18:00:00 13/02/2018] mn: Phytonadione pt: Unit Dose st: Expired rt: PO fr: ONCE ds: 19 dn: 1 dt: 1 di: Doses xv: 36 xu: Hours
id: Code Status t0: [18:00:00 12/02/2018] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [18:00:00 12/02/2018] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [18:00:00 12/02/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [18:00:00 12/02/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Heart Rate t0: [18:00:00 12/02/2018] el: 0 cg: RN cu: CSRU v1: 65 n1: 65 u1: BPM st: NotStopd id: Heart Rhythm t0: [18:00:00 12/02/2018] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [18:00:00 12/02/2018] el: 0 cg: RN cu: CSRU v1: 101 n1: 101 u1: mmHg v2: 62 n2: 62 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [18:00:00 12/02/2018] el: 0 cg: RN cu: CSRU v1: 74 n1: 74 u1: mmHg st: NotStopd id: Precautions t0: [18:00:00 12/02/2018] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: Previous WeightF t0: [18:00:00 12/02/2018] el: 0 cg: RN cu: CSRU v1: 81 n1: 81 u1: kg st: NotStopd id: Respiratory Rate t0: [18:00:00 12/02/2018] el: 0 cg: RN cu: CSRU v1: 14 n1: 14 u1: BPM st: NotStopd id: SpO2 t0: [18:00:00 12/02/2018] el: 0 cg: RN cu: CSRU v1: 99 n1: 99 u1: % st: NotStopd id: calprevflg t0: [18:00:00 12/02/2018] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [18:00:00 12/02/2018] el: 1 ai: 107 cg: RN cu: CSRU vo: 150 vu: ml id: D5W 200.0ml + 20mghr Ativan t0: [18:00:00 12/02/2018] el: 1 ai: 153 cg: RN cu: CSRU vo: 90 vu: ml id: D5W 250.0ml + 250mcgkgmin Dobutamine t0: [18:00:00 12/02/2018] el: 1 ai: 168 cg: RN cu: CSRU vo: 36.45 vu: ml id: D5W 250.0ml + 8mcgkgmin Levophed-k t0: [18:00:00 12/02/2018] el: 1 ai: 416 cg: RN cu: CSRU vo: 54.675 vu: ml id: Urine Out Foley t0: [18:00:00 12/02/2018] el: 1 cg: RN cu: CSRU vo: 35 vu: ml
id: Levophed-k t0: [18:00:00 12/02/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 0.24 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip id: Ativan t0: [18:00:00 12/02/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 6 du: mghr so: D5W sv: 400 su: ml rt: IV Drip id: Dobutamine t0: [18:00:00 12/02/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 5 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip
id: Fibrinogen t0: [17:03:00 12/02/2018] el: 0 cg: 1663 cu: CSRU v1: 385 n1: 385 rs: Final st: NotStopd id: Fibrinogen (150-400) t0: [17:03:00 12/02/2018] el: 0 cg: 1663 cu: CSRU v1: 385 n1: 385 rs: Final st: NotStopd
id: BUN t0: [17:03:00 12/02/2018] el: 0 cg: 1663 cu: CSRU v1: 36 n1: 36 rs: Final st: NotStopd id: Albumin t0: [17:03:00 12/02/2018] el: 0 cg: 1663 cu: CSRU v1: 3.2 n1: 3.2 rs: Final st: NotStopd id: Calcium t0: [17:03:00 12/02/2018] el: 0 cg: 1663 cu: CSRU v1: 7.8 n1: 7.8 u1: mg/dl rs: Final st: NotStopd id: Chloride t0: [17:03:00 12/02/2018] el: 0 cg: 1663 cu: CSRU v1: 104 n1: 104 rs: Final st: NotStopd id: Creatinine t0: [17:03:00 12/02/2018] el: 0 cg: 1663 cu: CSRU v1: 2.2 n1: 2.2 rs: Final st: NotStopd id: Glucose t0: [17:03:00 12/02/2018] el: 0 cg: 1663 cu: CSRU v1: 282 n1: 282 rs: Final st: NotStopd id: Magnesium t0: [17:03:00 12/02/2018] el: 0 cg: 1663 cu: CSRU v1: 2.1 n1: 2.1 rs: Final st: NotStopd id: Potassium t0: [17:03:00 12/02/2018] el: 0 cg: 1663 cu: CSRU v1: 4.4 n1: 4.4 rs: Final st: NotStopd id: Sodium t0: [17:03:00 12/02/2018] el: 0 cg: 1663 cu: CSRU v1: 140 n1: 140 rs: Final st: NotStopd id: Total Bili t0: [17:03:00 12/02/2018] el: 0 cg: 1663 cu: CSRU v1: 1.6 n1: 1.6 rs: Final st: NotStopd id: Albumin (>3.2) t0: [17:03:00 12/02/2018] el: 0 cg: 1663 cu: CSRU v1: 3.2 n1: 3.2 rs: Final st: NotStopd id: Amylase t0: [17:03:00 12/02/2018] el: 0 cg: 1663 cu: CSRU v1: 64 n1: 64 rs: Final st: NotStopd id: BUN (6-20) t0: [17:03:00 12/02/2018] el: 0 cg: 1663 cu: CSRU v1: 36 n1: 36 rs: Final st: NotStopd id: Calcium (8.4-10.2) t0: [17:03:00 12/02/2018] el: 0 cg: 1663 cu: CSRU v1: 7.8 n1: 7.8 u1: mg/dl rs: Final st: NotStopd id: Carbon Dioxide t0: [17:03:00 12/02/2018] el: 0 cg: 1663 cu: CSRU v1: 20 n1: 20 rs: Final st: NotStopd id: Chloride (100-112) t0: [17:03:00 12/02/2018] el: 0 cg: 1663 cu: CSRU v1: 104 n1: 104 rs: Final st: NotStopd id: Creatinine (0-1.3) t0: [17:03:00 12/02/2018] el: 0 cg: 1663 cu: CSRU v1: 2.2 n1: 2.2 rs: Final st: NotStopd id: Glucose (70-105) t0: [17:03:00 12/02/2018] el: 0 cg: 1663 cu: CSRU v1: 282 n1: 282 rs: Final st: NotStopd id: Magnesium (1.6-2.6) t0: [17:03:00 12/02/2018] el: 0 cg: 1663 cu: CSRU v1: 2.1 n1: 2.1 rs: Final st: NotStopd id: Potassium (3.5-5.3) t0: [17:03:00 12/02/2018] el: 0 cg: 1663 cu: CSRU v1: 4.4 n1: 4.4 rs: Final st: NotStopd id: Sodium (135-148) t0: [17:03:00 12/02/2018] el: 0 cg: 1663 cu: CSRU v1: 140 n1: 140 rs: Final st: NotStopd
id: Procedures t0: [17:00:00 12/02/2018] el: 0 cg: RN cu: CSRU v1: Blood Cultured st: NotStopd id: Procedures t0: [17:30:00 12/02/2018] el: 0 cg: RN cu: CSRU v1: Urine Culture st: NotStopd id: Procedures t0: [18:00:00 12/02/2018] el: 0 cg: RN cu: CSRU v1: EKG st: NotStopd id: Radiologic Study t0: [17:30:00 12/02/2018] el: 0 cg: RN cu: CSRU v1: Chest Xray st: NotStopd
id: Less Restrict Meas. t0: [18:00:00 12/02/2018] el: 0 cg: RN cu: CSRU v1: Medicated st: NotStopd id: Range of Motion t0: [18:00:00 12/02/2018] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Circulation/SkinInt t0: [18:00:00 12/02/2018] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Family Communication t0: [18:00:00 12/02/2018] el: 0 cg: RN cu: CSRU v1: Family Visited st: NotStopd id: Position Change t0: [18:00:00 12/02/2018] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Reason For Restraint t0: [18:00:00 12/02/2018] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [18:00:00 12/02/2018] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Restraint Location t0: [18:00:00 12/02/2018] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Type t0: [18:00:00 12/02/2018] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [18:00:00 12/02/2018] el: 0 cg: RN cu: CSRU v1: Behavior Conts st: NotStopd id: Side Rails t0: [18:00:00 12/02/2018] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Pt./Family Informed t0: [18:00:00 12/02/2018] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd
id: D-Dimer t0: [17:03:00 12/02/2018] el: 0 cg: 1663 cu: CSRU v1: 4713 n1: 4713 rs: Final st: NotStopd id: D-Dimer (0-500) t0: [17:03:00 12/02/2018] el: 0 cg: 1663 cu: CSRU v1: 4713 n1: 4713 rs: Final st: NotStopd
id: Bowel Sounds t0: [16:30:00 12/02/2018] el: 0 cg: RN cu: CSRU v1: Absent st: NotStopd
id: INR t0: [17:03:00 12/02/2018] el: 0 cg: 1663 cu: CSRU v1: 8.8 n1: 8.8 rs: Final st: NotStopd id: PTT t0: [17:03:00 12/02/2018] el: 0 cg: 1663 cu: CSRU v1: 37.4 n1: 37.4 rs: Final st: NotStopd id: INR (2-4 ref. range) t0: [17:03:00 12/02/2018] el: 0 cg: 1663 cu: CSRU v1: 8.8 n1: 8.8 rs: Final st: NotStopd id: PTT(22-35) t0: [17:03:00 12/02/2018] el: 0 cg: 1663 cu: CSRU v1: 37.4 n1: 37.4 rs: Final st: NotStopd
id: Art.pH t0: [18:47:00 12/02/2018] el: 0 cg: 1663 cu: CSRU v1: 7.4 n1: 7.4 rs: Final st: NotStopd id: Lactic Acid t0: [18:47:00 12/02/2018] el: 0 cg: 1663 cu: CSRU v1: 2.9 n1: 2.9 rs: Final st: NotStopd id: Arterial Base Excess t0: [18:47:00 12/02/2018] el: 0 cg: 1663 cu: CSRU v1: -2 n1: -2 rs: Final st: NotStopd id: Arterial CO2(Calc) t0: [18:47:00 12/02/2018] el: 0 cg: 1663 cu: CSRU v1: 21 n1: 21 rs: Final st: NotStopd id: Arterial PaCO2 t0: [18:47:00 12/02/2018] el: 0 cg: 1663 cu: CSRU v1: 33 n1: 33 u1: mmHg rs: Final st: NotStopd id: Arterial PaO2 t0: [18:47:00 12/02/2018] el: 0 cg: 1663 cu: CSRU v1: 197 n1: 197 u1: mmHg rs: Final st: NotStopd id: Arterial pH t0: [18:47:00 12/02/2018] el: 0 cg: 1663 cu: CSRU v1: 7.4 n1: 7.4 rs: Final st: NotStopd id: Lactic Acid(0.5-2.0) t0: [18:47:00 12/02/2018] el: 0 cg: 1663 cu: CSRU v1: 2.9 n1: 2.9 rs: Final st: NotStopd
id: Code Status t0: [19:00:00 12/02/2018] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [19:00:00 12/02/2018] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [19:00:00 12/02/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [19:00:00 12/02/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Heart Rate t0: [19:00:00 12/02/2018] el: 0 cg: RN cu: CSRU v1: 66 n1: 66 u1: BPM st: NotStopd id: Heart Rhythm t0: [19:00:00 12/02/2018] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [19:00:00 12/02/2018] el: 0 cg: RN cu: CSRU v1: 103 n1: 103 u1: mmHg v2: 63 n2: 63 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [19:00:00 12/02/2018] el: 0 cg: RN cu: CSRU v1: 76 n1: 76 u1: mmHg st: NotStopd id: Precautions t0: [19:00:00 12/02/2018] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: Previous WeightF t0: [19:00:00 12/02/2018] el: 0 cg: RN cu: CSRU v1: 81 n1: 81 u1: kg st: NotStopd id: Respiratory Rate t0: [19:00:00 12/02/2018] el: 0 cg: RN cu: CSRU v1: 14 n1: 14 u1: BPM st: NotStopd id: SpO2 t0: [19:00:00 12/02/2018] el: 0 cg: RN cu: CSRU v1: 99 n1: 99 u1: % st: NotStopd id: calprevflg t0: [19:00:00 12/02/2018] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [19:00:00 12/02/2018] el: 1 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: D5W 200.0ml + 20mghr Ativan t0: [19:00:00 12/02/2018] el: 1 ai: 153 cg: RN cu: CSRU vo: 60 vu: ml id: D5W 250.0ml + 250mcgkgmin Dobutamine t0: [19:00:00 12/02/2018] el: 1 ai: 168 cg: RN cu: CSRU vo: 24.3 vu: ml id: D5W 250.0ml + 8mcgkgmin Levophed-k t0: [19:00:00 12/02/2018] el: 1 ai: 416 cg: RN cu: CSRU vo: 36.45 vu: ml id: Urine Out Foley t0: [19:00:00 12/02/2018] el: 1 cg: RN cu: CSRU vo: 100 vu: ml
id: Levophed-k t0: [19:00:00 12/02/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 0.24 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip id: Ativan t0: [19:00:00 12/02/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 6 du: mghr so: D5W sv: 400 su: ml rt: IV Drip id: Dobutamine t0: [19:00:00 12/02/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 5 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip
id: Ethanol t0: [17:03:00 12/02/2018] el: 0 cg: 1663 cu: CSRU v1: NEG rs: Final st: NotStopd
id: Insulin io: .9% Normal Saline 100.0ml + 100Uhr Insulin el: 100 cg: RN cu: CSRU am: 100 du: Uhr rt: IV Drip
io: .9% Normal Saline 100.0ml + 100Uhr Insulin el: 1 cg: RN cu: CSRU ra: 5 ru: ml/hr
id: Glucose t0: [19:00:00 12/02/2018] el: 0 cg: RN cu: CSRU v1: 294 n1: 294 rs: Manual st: NotStopd id: Glucose (70-105) t0: [19:00:00 12/02/2018] el: 0 cg: RN cu: CSRU v1: 294 n1: 294 rs: Manual st: NotStopd
id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [19:00:00 12/02/2018] el: 1 ai: 209 cg: RN cu: CSRU vo: 0 vu: ml
id: Insulin t0: [19:00:00 12/02/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 5 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: ABP Alarm (Lo/Hi) t0: [16:30:00 12/02/2018] el: 0 cg: RN cu: CSRU v1: 85 n1: 85 u1: mmHg v2: 145 n2: 145 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [16:30:00 12/02/2018] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [16:30:00 12/02/2018] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [16:30:00 12/02/2018] el: 0 cg: RN cu: CSRU v1: 92 n1: 92 u1: % v2: 100 n2: 100 u2: % st: NotStopd
id: Fentanyl io: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl el: 100 cg: RN cu: CSRU am: 2500 du: mcghr rt: IV Drip
io: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl el: 1 cg: RN cu: CSRU ra: 5 ru: ml/hr
id: Less Restrict Meas. t0: [20:00:00 12/02/2018] el: 0 cg: RN cu: CSRU v1: Medicated st: NotStopd id: Range of Motion t0: [20:00:00 12/02/2018] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Service Type t0: [20:00:00 12/02/2018] el: 0 cg: RN cu: CSRU v1: CCU st: NotStopd id: Circulation/SkinInt t0: [20:00:00 12/02/2018] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Code Status t0: [20:00:00 12/02/2018] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: GI Prophylaxis t0: [20:00:00 12/02/2018] el: 0 cg: RN cu: CSRU v1: H2 Blocker st: NotStopd id: Risk for Falls t0: [20:00:00 12/02/2018] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Diet Type t0: [20:00:00 12/02/2018] el: 0 cg: RN cu: CSRU v1: NPO st: NotStopd id: Ectopy Frequency t0: [20:00:00 12/02/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [20:00:00 12/02/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: GI#1 Intub Site t0: [20:00:00 12/02/2018] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: Eye Opening t0: [20:00:00 12/02/2018] el: 0 cg: RN cu: CSRU v1: 1 No Response st: NotStopd id: GCS Total t0: [20:00:00 12/02/2018] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: points st: NotStopd id: GI Intub #1/Site t0: [20:00:00 12/02/2018] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: GI#1 Tube PlaceCheck t0: [20:00:00 12/02/2018] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: GI#1 Tube Stat/Drain t0: [20:00:00 12/02/2018] el: 0 cg: RN cu: CSRU v1: Low Cont Suction v2: Bilious st: NotStopd id: HOB t0: [20:00:00 12/02/2018] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: Heart Rate t0: [20:00:00 12/02/2018] el: 0 cg: RN cu: CSRU v1: 69 n1: 69 u1: BPM st: NotStopd id: Heart Rhythm t0: [20:00:00 12/02/2018] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Abdominal Assessment t0: [20:00:00 12/02/2018] el: 0 cg: RN cu: CSRU v1: Soft st: NotStopd id: Activity t0: [20:00:00 12/02/2018] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [20:00:00 12/02/2018] el: 0 cg: RN cu: CSRU v1: Tolerated Well st: NotStopd id: LLL Lung Sounds t0: [20:00:00 12/02/2018] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: LUL Lung Sounds t0: [20:00:00 12/02/2018] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Level of Conscious t0: [20:00:00 12/02/2018] el: 0 cg: RN cu: CSRU v1: Arouse to Stimul st: NotStopd id: Motor Response t0: [20:00:00 12/02/2018] el: 0 cg: RN cu: CSRU v1: 4 Flex-withdraws st: NotStopd id: Oral Cavity t0: [20:00:00 12/02/2018] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [20:00:00 12/02/2018] el: 0 cg: RN cu: CSRU v1: Unable to Assess st: NotStopd id: AntiEmbDevice/Status t0: [20:00:00 12/02/2018] el: 0 cg: RN cu: CSRU v1: None/Remarks st: NotStopd id: Arterial BP t0: [20:00:00 12/02/2018] el: 0 cg: RN cu: CSRU v1: 102 n1: 102 u1: mmHg v2: 61 n2: 61 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [20:00:00 12/02/2018] el: 0 cg: RN cu: CSRU v1: 74 n1: 74 u1: mmHg st: NotStopd id: Position t0: [20:00:00 12/02/2018] el: 0 cg: RN cu: CSRU v1: Supine st: NotStopd id: Position Change t0: [20:00:00 12/02/2018] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Assistance Device t0: [20:00:00 12/02/2018] el: 0 cg: RN cu: CSRU v1: 1 Person Assist st: NotStopd id: Precautions t0: [20:00:00 12/02/2018] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [20:00:00 12/02/2018] el: 0 cg: RN cu: CSRU v1: 85 n1: 85 u1: mmHg v2: 145 n2: 145 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [20:00:00 12/02/2018] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [20:00:00 12/02/2018] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: Previous WeightF t0: [20:00:00 12/02/2018] el: 0 cg: RN cu: CSRU v1: 81 n1: 81 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [20:00:00 12/02/2018] el: 0 cg: RN cu: CSRU v1: 92 n1: 92 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: RLL Lung Sounds t0: [20:00:00 12/02/2018] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: RUL Lung Sounds t0: [20:00:00 12/02/2018] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Reason For Restraint t0: [20:00:00 12/02/2018] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [20:00:00 12/02/2018] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Respiratory Pattern t0: [20:00:00 12/02/2018] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Respiratory Rate t0: [20:00:00 12/02/2018] el: 0 cg: RN cu: CSRU v1: 18 n1: 18 u1: BPM st: NotStopd id: Restraint Location t0: [20:00:00 12/02/2018] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Type t0: [20:00:00 12/02/2018] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [20:00:00 12/02/2018] el: 0 cg: RN cu: CSRU v1: Behavior Conts st: NotStopd id: Side Rails t0: [20:00:00 12/02/2018] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: SpO2 t0: [20:00:00 12/02/2018] el: 0 cg: RN cu: CSRU v1: 98 n1: 98 u1: % st: NotStopd id: Therapeutic Bed t0: [20:00:00 12/02/2018] el: 0 cg: RN cu: CSRU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [20:00:00 12/02/2018] el: 0 cg: RN cu: CSRU v1: Back st: NotStopd id: Urine Color/Appear t0: [20:00:00 12/02/2018] el: 0 cg: RN cu: CSRU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [20:00:00 12/02/2018] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [20:00:00 12/02/2018] el: 0 cg: RN cu: CSRU v1: 1.0 ET/Trach st: NotStopd id: calprevflg t0: [20:00:00 12/02/2018] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Behavior t0: [20:00:00 12/02/2018] el: 0 cg: RN cu: CSRU v1: Sedated st: NotStopd id: Pt./Family Informed t0: [20:00:00 12/02/2018] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Bowel Sounds t0: [20:00:00 12/02/2018] el: 0 cg: RN cu: CSRU v1: Absent st: NotStopd
id: D5W 100.0ml t0: [20:00:00 12/02/2018] el: 1 ai: 105 cg: RN cu: CSRU vo: 200 vu: ml id: .9% Normal Saline 1000.0ml t0: [20:00:00 12/02/2018] el: 1 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: D5W 200.0ml + 20mghr Ativan t0: [20:00:00 12/02/2018] el: 1 ai: 153 cg: RN cu: CSRU vo: 60 vu: ml id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [20:00:00 12/02/2018] el: 1 ai: 209 cg: RN cu: CSRU vo: 5 vu: ml id: D5W 250.0ml + 250mcgkgmin Dobutamine t0: [20:00:00 12/02/2018] el: 1 ai: 168 cg: RN cu: CSRU vo: 24.3 vu: ml id: D5W 250.0ml + 8mcgkgmin Levophed-k t0: [20:00:00 12/02/2018] el: 1 ai: 416 cg: RN cu: CSRU vo: 36.45 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [20:00:00 12/02/2018] el: 1 ai: 115 cg: RN cu: CSRU vo: 0 vu: ml nb: 1 id: Urine Out Foley t0: [20:00:00 12/02/2018] el: 1 cg: RN cu: CSRU vo: 195 vu: ml
id: Fentanyl t0: [20:00:00 12/02/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 50 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Levophed-k t0: [20:00:00 12/02/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 0.24 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip id: Ativan t0: [20:00:00 12/02/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 6 du: mghr so: D5W sv: 400 su: ml rt: IV Drip id: Dobutamine t0: [20:00:00 12/02/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 5 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip id: Insulin t0: [20:00:00 12/02/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 5 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: Art.pH t0: [20:43:00 12/02/2018] el: 0 cg: 1663 cu: CSRU v1: 7.41 n1: 7.41 rs: Final st: NotStopd id: CaO2 t0: [20:43:00 12/02/2018] el: 0 cg: 1663 cu: CSRU v1: 18.8992 n1: 18.8992 u1: ml/dl st: NotStopd id: Arterial Base Excess t0: [20:43:00 12/02/2018] el: 0 cg: 1663 cu: CSRU v1: -3 n1: -3 rs: Final st: NotStopd id: Arterial CO2(Calc) t0: [20:43:00 12/02/2018] el: 0 cg: 1663 cu: CSRU v1: 20 n1: 20 rs: Final st: NotStopd id: Arterial PaCO2 t0: [20:43:00 12/02/2018] el: 0 cg: 1663 cu: CSRU v1: 31 n1: 31 u1: mmHg rs: Final st: NotStopd id: Arterial PaO2 t0: [20:43:00 12/02/2018] el: 0 cg: 1663 cu: CSRU v1: 191 n1: 191 u1: mmHg rs: Final st: NotStopd id: Arterial pH t0: [20:43:00 12/02/2018] el: 0 cg: 1663 cu: CSRU v1: 7.41 n1: 7.41 rs: Final st: NotStopd id: SaO2 t0: [20:43:00 12/02/2018] el: 0 cg: 1663 cu: CSRU v1: 99 n1: 99 u1: % rs: Final st: NotStopd
id: Glucose t0: [20:45:00 12/02/2018] el: 0 cg: 1663 cu: CSRU v1: 295 n1: 295 rs: Final st: NotStopd id: Glucose (70-105) t0: [20:45:00 12/02/2018] el: 0 cg: 1663 cu: CSRU v1: 295 n1: 295 rs: Final st: NotStopd id: Mixed Venous O2 t0: [20:45:00 12/02/2018] el: 0 cg: 1663 cu: CSRU v1: 38 n1: 38 rs: Final st: NotStopd id: Mixed Venous O2% Sat t0: [20:45:00 12/02/2018] el: 0 cg: 1663 cu: CSRU v1: 62 n1: 62 rs: Final st: NotStopd id: C.O. (fick) t0: [20:45:00 12/02/2018] el: 0 cg: 1663 cu: CSRU v1: 3.65388 n1: 3.65388 u1: L/min st: NotStopd
id: Pain Assess Method t0: [21:00:00 12/02/2018] el: 0 cg: RN cu: CSRU v1: Change in Vitals st: NotStopd id: Service Type t0: [21:00:00 12/02/2018] el: 0 cg: RN cu: CSRU v1: CCU st: NotStopd id: Code Status t0: [21:00:00 12/02/2018] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [21:00:00 12/02/2018] el: 0 cg: RN cu: CSRU v1: Sedated st: NotStopd id: Risk for Falls t0: [21:00:00 12/02/2018] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Type t0: [21:00:00 12/02/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Alarms t0: [21:00:00 12/02/2018] el: 0 cg: RN cu: CSRU v1: ON st: NotStopd id: Parameters Checked t0: [21:00:00 12/02/2018] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Heart Rate t0: [21:00:00 12/02/2018] el: 0 cg: RN cu: CSRU v1: 68 n1: 68 u1: BPM st: NotStopd id: Heart Rhythm t0: [21:00:00 12/02/2018] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [21:00:00 12/02/2018] el: 0 cg: RN cu: CSRU v1: 96 n1: 96 u1: mmHg v2: 61 n2: 61 u2: mmHg st: NotStopd id: Pain Management t0: [21:00:00 12/02/2018] el: 1 cg: RN cu: CSRU v1: IV Gtt st: NotStopd id: Arterial BP Mean t0: [21:00:00 12/02/2018] el: 0 cg: RN cu: CSRU v1: 73 n1: 73 u1: mmHg st: NotStopd id: Precautions t0: [21:00:00 12/02/2018] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [21:00:00 12/02/2018] el: 0 cg: RN cu: CSRU v1: 85 n1: 85 u1: mmHg v2: 145 n2: 145 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [21:00:00 12/02/2018] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [21:00:00 12/02/2018] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: Previous WeightF t0: [21:00:00 12/02/2018] el: 0 cg: RN cu: CSRU v1: 81 n1: 81 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [21:00:00 12/02/2018] el: 0 cg: RN cu: CSRU v1: 92 n1: 92 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [21:00:00 12/02/2018] el: 0 cg: RN cu: CSRU v1: 16 n1: 16 u1: BPM st: NotStopd id: SpO2 t0: [21:00:00 12/02/2018] el: 0 cg: RN cu: CSRU v1: 98 n1: 98 u1: % st: NotStopd id: Temp. Site t0: [21:00:00 12/02/2018] el: 0 cg: RN cu: CSRU v1: Oral st: NotStopd id: Temperature C (calc) t0: [21:00:00 12/02/2018] el: 0 cg: RN cu: CSRU v1: 36.6111 n1: 36.6111 u1: Deg. C st: NotStopd id: Temperature F t0: [21:00:00 12/02/2018] el: 0 cg: RN cu: CSRU v1: 97.9 n1: 97.9 u1: Deg. F st: NotStopd id: calprevflg t0: [21:00:00 12/02/2018] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [21:00:00 12/02/2018] el: 1 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: D5W 200.0ml + 20mghr Ativan t0: [21:00:00 12/02/2018] el: 1 ai: 153 cg: RN cu: CSRU vo: 60 vu: ml id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [21:00:00 12/02/2018] el: 1 ai: 209 cg: RN cu: CSRU vo: 5 vu: ml id: D5W 250.0ml + 250mcgkgmin Dobutamine t0: [21:00:00 12/02/2018] el: 1 ai: 168 cg: RN cu: CSRU vo: 24.3 vu: ml id: D5W 250.0ml + 8mcgkgmin Levophed-k t0: [21:00:00 12/02/2018] el: 1 ai: 416 cg: RN cu: CSRU vo: 36.45 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [21:00:00 12/02/2018] el: 1 ai: 115 cg: RN cu: CSRU vo: 5 vu: ml id: Urine Out Foley t0: [21:00:00 12/02/2018] el: 1 cg: RN cu: CSRU vo: 100 vu: ml
id: Fentanyl t0: [21:00:00 12/02/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 50 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Levophed-k t0: [21:00:00 12/02/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 0.24 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip id: Ativan t0: [21:00:00 12/02/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 6 du: mghr so: D5W sv: 400 su: ml rt: IV Drip id: Dobutamine t0: [21:00:00 12/02/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 5 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip id: Insulin t0: [21:00:00 12/02/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 9 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: Compliance (40-60ml) t0: [20:00:00 12/02/2018] el: 0 cg: RRT cu: CSRU v1: 34.375 n1: 34.375 u1: ml/cmH st: NotStopd id: ETT Mark/Location t0: [20:00:00 12/02/2018] el: 0 cg: RRT cu: CSRU v1: 24cm v2: Lip st: NotStopd id: FiO2 Set t0: [20:00:00 12/02/2018] el: 0 cg: RRT cu: CSRU v1: 0.6 n1: 0.6 u1: torr st: NotStopd id: High Insp. Pressure t0: [20:00:00 12/02/2018] el: 0 cg: RRT cu: CSRU v1: 40 n1: 40 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [20:00:00 12/02/2018] el: 0 cg: RRT cu: CSRU v1: 20 n1: 20 u1: BPM st: NotStopd id: I:E Ratio t0: [20:00:00 12/02/2018] el: 0 cg: RRT cu: CSRU v1: 1:3.3 st: NotStopd id: Airway Size t0: [20:00:00 12/02/2018] el: 0 cg: RRT cu: CSRU v1: 8.0 mm st: NotStopd id: Airway Type t0: [20:00:00 12/02/2018] el: 0 cg: RRT cu: CSRU v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [20:00:00 12/02/2018] el: 0 cg: RRT cu: CSRU u1: Deg. C st: NotStopd id: Intubation Date t0: [20:00:00 12/02/2018] el: 0 cg: RRT cu: CSRU v1: 1 n1: 1 v2: 8 n2: 8 st: NotStopd id: Low Exhaled Min Vol t0: [20:00:00 12/02/2018] el: 0 cg: RRT cu: CSRU v1: 4 n1: 4 st: NotStopd id: Mean Airway Pressure t0: [20:00:00 12/02/2018] el: 0 cg: RRT cu: CSRU v1: 9 n1: 9 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [20:00:00 12/02/2018] el: 0 cg: RRT cu: CSRU v1: 9.8 n1: 9.8 u1: L/min st: NotStopd id: PEEP Set t0: [20:00:00 12/02/2018] el: 0 cg: RRT cu: CSRU v1: 5 n1: 5 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [20:00:00 12/02/2018] el: 0 cg: RRT cu: CSRU v1: 20 n1: 20 st: NotStopd id: Peak Insp. Pressure t0: [20:00:00 12/02/2018] el: 0 cg: RRT cu: CSRU v1: 21 n1: 21 u1: cmH2O st: NotStopd id: Plateau Pressure t0: [20:00:00 12/02/2018] el: 0 cg: RRT cu: CSRU v1: 18 n1: 18 u1: cmH2O st: NotStopd id: Resp Rate (Spont) t0: [20:00:00 12/02/2018] el: 0 cg: RRT cu: CSRU v1: 4 n1: 4 u1: BPM st: NotStopd id: Resp Rate (Total) t0: [20:00:00 12/02/2018] el: 0 cg: RRT cu: CSRU v1: 18 n1: 18 u1: BPM st: NotStopd id: Respiratory Rate Set t0: [20:00:00 12/02/2018] el: 0 cg: RRT cu: CSRU v1: 14 n1: 14 u1: BPM st: NotStopd id: Tank A psi. t0: [20:00:00 12/02/2018] el: 0 cg: RRT cu: CSRU v1: 1200 n1: 1200 st: NotStopd id: Tank B psi. t0: [20:00:00 12/02/2018] el: 0 cg: RRT cu: CSRU v1: 1500 n1: 1500 st: NotStopd id: Ve High t0: [20:00:00 12/02/2018] el: 0 cg: RRT cu: CSRU v1: 18 n1: 18 st: NotStopd id: Sensitivity-Vent t0: [20:00:00 12/02/2018] el: 0 cg: RRT cu: CSRU v1: 2 n1: 2 u1: cmH2O st: NotStopd id: Tidal Volume (Obser) t0: [20:00:00 12/02/2018] el: 0 cg: RRT cu: CSRU v1: 576 n1: 576 u1: ml/B st: NotStopd id: Tidal Volume (Set) t0: [20:00:00 12/02/2018] el: 0 cg: RRT cu: CSRU v1: 550 n1: 550 u1: ml/B st: NotStopd id: Ventilator Mode t0: [20:00:00 12/02/2018] el: 0 cg: RRT cu: CSRU v1: Assist Control st: NotStopd id: Ventilator Type t0: [20:00:00 12/02/2018] el: 0 cg: RRT cu: CSRU v1: Drager st: NotStopd id: Waveform-Vent t0: [20:00:00 12/02/2018] el: 0 cg: RRT cu: CSRU v1: RAMP st: NotStopd
id: Less Restrict Meas. t0: [22:00:00 12/02/2018] el: 0 cg: RN cu: CSRU v1: Medicated st: NotStopd id: Range of Motion t0: [22:00:00 12/02/2018] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Service Type t0: [22:00:00 12/02/2018] el: 0 cg: RN cu: CSRU v1: CCU st: NotStopd id: Circulation/SkinInt t0: [22:00:00 12/02/2018] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Code Status t0: [22:00:00 12/02/2018] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [22:00:00 12/02/2018] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [22:00:00 12/02/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [22:00:00 12/02/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: HOB t0: [22:00:00 12/02/2018] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: Heart Rate t0: [22:00:00 12/02/2018] el: 0 cg: RN cu: CSRU v1: 70 n1: 70 u1: BPM st: NotStopd id: Heart Rhythm t0: [22:00:00 12/02/2018] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Activity t0: [22:00:00 12/02/2018] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [22:00:00 12/02/2018] el: 0 cg: RN cu: CSRU v1: Tolerated Well st: NotStopd id: Oral Care t0: [22:00:00 12/02/2018] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Arterial BP t0: [22:00:00 12/02/2018] el: 0 cg: RN cu: CSRU v1: 94 n1: 94 u1: mmHg v2: 57 n2: 57 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [22:00:00 12/02/2018] el: 0 cg: RN cu: CSRU v1: 69 n1: 69 u1: mmHg st: NotStopd id: Position Change t0: [22:00:00 12/02/2018] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Assistance Device t0: [22:00:00 12/02/2018] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: Precautions t0: [22:00:00 12/02/2018] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [22:00:00 12/02/2018] el: 0 cg: RN cu: CSRU v1: 85 n1: 85 u1: mmHg v2: 145 n2: 145 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [22:00:00 12/02/2018] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [22:00:00 12/02/2018] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: Previous WeightF t0: [22:00:00 12/02/2018] el: 0 cg: RN cu: CSRU v1: 81 n1: 81 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [22:00:00 12/02/2018] el: 0 cg: RN cu: CSRU v1: 92 n1: 92 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Reason For Restraint t0: [22:00:00 12/02/2018] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [22:00:00 12/02/2018] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Respiratory Rate t0: [22:00:00 12/02/2018] el: 0 cg: RN cu: CSRU v1: 16 n1: 16 u1: BPM st: NotStopd id: Restraint Location t0: [22:00:00 12/02/2018] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Type t0: [22:00:00 12/02/2018] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [22:00:00 12/02/2018] el: 0 cg: RN cu: CSRU v1: Behavior Conts st: NotStopd id: Side Rails t0: [22:00:00 12/02/2018] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: SpO2 t0: [22:00:00 12/02/2018] el: 0 cg: RN cu: CSRU v1: 96 n1: 96 u1: % st: NotStopd id: Therapeutic Bed t0: [22:00:00 12/02/2018] el: 0 cg: RN cu: CSRU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [22:00:00 12/02/2018] el: 0 cg: RN cu: CSRU v1: Side to Side st: NotStopd id: Back Care t0: [22:00:00 12/02/2018] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: calprevflg t0: [22:00:00 12/02/2018] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Behavior t0: [22:00:00 12/02/2018] el: 0 cg: RN cu: CSRU v1: Sedated st: NotStopd id: Pt./Family Informed t0: [22:00:00 12/02/2018] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd
id: D5W 100.0ml t0: [22:00:00 12/02/2018] el: 1 ai: 105 cg: RN cu: CSRU vo: 50 vu: ml id: .9% Normal Saline 1000.0ml t0: [22:00:00 12/02/2018] el: 1 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: D5W 200.0ml + 20mghr Ativan t0: [22:00:00 12/02/2018] el: 1 ai: 153 cg: RN cu: CSRU vo: 60 vu: ml id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [22:00:00 12/02/2018] el: 1 ai: 209 cg: RN cu: CSRU vo: 9 vu: ml id: D5W 250.0ml + 250mcgkgmin Dobutamine t0: [22:00:00 12/02/2018] el: 1 ai: 168 cg: RN cu: CSRU vo: 24.3 vu: ml id: D5W 250.0ml + 8mcgkgmin Levophed-k t0: [22:00:00 12/02/2018] el: 1 ai: 416 cg: RN cu: CSRU vo: 36.45 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [22:00:00 12/02/2018] el: 1 ai: 115 cg: RN cu: CSRU vo: 5 vu: ml id: Urine Out Foley t0: [22:00:00 12/02/2018] el: 1 cg: RN cu: CSRU vo: 75 vu: ml
id: Fentanyl t0: [22:00:00 12/02/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 50 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Levophed-k t0: [22:00:00 12/02/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 0.24 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip id: Ativan t0: [22:00:00 12/02/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 6 du: mghr so: D5W sv: 400 su: ml rt: IV Drip id: Dobutamine t0: [22:00:00 12/02/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 5 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip id: Insulin t0: [22:00:00 12/02/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 13 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: WBC (4-11,000) t0: [21:42:00 12/02/2018] el: 0 cg: 1663 cu: CSRU v1: 14.8 n1: 14.8 rs: Final st: NotStopd id: WBC t0: [21:42:00 12/02/2018] el: 0 cg: 1663 cu: CSRU v1: 14.8 n1: 14.8 rs: Final st: NotStopd id: Hematocrit t0: [21:42:00 12/02/2018] el: 0 cg: 1663 cu: CSRU v1: 38.6 n1: 38.6 u1: % rs: Final st: NotStopd id: Hemoglobin t0: [21:42:00 12/02/2018] el: 0 cg: 1663 cu: CSRU v1: 13.5 n1: 13.5 u1: gm/dl rs: Final st: NotStopd id: Platelets t0: [21:42:00 12/02/2018] el: 0 cg: 1663 cu: CSRU v1: 341 n1: 341 rs: Final st: NotStopd id: RBC t0: [21:42:00 12/02/2018] el: 0 cg: 1663 cu: CSRU v1: 4.39 n1: 4.39 u1: /mic l rs: Final st: NotStopd id: WBC (4-11,000) t0: [21:42:00 12/02/2018] el: 0 cg: 1663 cu: CSRU v1: 14.8 n1: 14.8 rs: Final st: NotStopd
id: Fresh Frozen Plasma t0: [22:00:00 12/02/2018] el: 1 ai: 189 cg: RN cu: CSRU vo: 258 vu: ml uu: Units
id: Position t0: [22:00:00 12/02/2018] el: 0 cg: RN cu: CSRU v1: Right Side st: NotStopd id: Sputum Color/Consist t0: [22:30:00 12/02/2018] el: 0 cg: RN cu: CSRU v1: Yellow v2: Thick st: NotStopd id: Sputum Source/Amt t0: [22:30:00 12/02/2018] el: 0 cg: RN cu: CSRU v1: Suctioned v2: Small st: NotStopd
id: Urine Out Foley t0: [22:30:00 12/02/2018] el: 1 cg: RN cu: CSRU vo: 285 vu: ml
id: Procedures t0: [22:00:00 12/02/2018] el: 0 cg: RN cu: CSRU v1: Sputum Cx st: NotStopd id: Temp. Site t0: [22:00:00 12/02/2018] el: 0 cg: RN cu: CSRU v1: Oral st: NotStopd id: Temperature C (calc) t0: [22:00:00 12/02/2018] el: 0 cg: RN cu: CSRU v1: 35.8889 n1: 35.8889 u1: Deg. C st: NotStopd id: Temperature F t0: [22:00:00 12/02/2018] el: 0 cg: RN cu: CSRU v1: 96.6 n1: 96.6 u1: Deg. F st: NotStopd
id: Fresh Frozen Plasma t0: [22:30:00 12/02/2018] el: 1 ai: 189 cg: RN cu: CSRU vo: 323 vu: ml uu: Units
id: Blood Products Total t0: [23:00:00 12/02/2018] el: 2 cg: RN cu: CSRU pv: 323 cv: 581 ac: 24 ap: none re: 0
id: BUN t0: [21:42:00 12/02/2018] el: 0 cg: 1663 cu: CSRU v1: 37 n1: 37 rs: Final st: NotStopd id: Chloride t0: [21:42:00 12/02/2018] el: 0 cg: 1663 cu: CSRU v1: 101 n1: 101 rs: Final st: NotStopd id: Creatinine t0: [21:42:00 12/02/2018] el: 0 cg: 1663 cu: CSRU v1: 2.1 n1: 2.1 rs: Final st: NotStopd id: Potassium t0: [21:42:00 12/02/2018] el: 0 cg: 1663 cu: CSRU v1: 3.9 n1: 3.9 rs: Final st: NotStopd id: Total Bili t0: [21:42:00 12/02/2018] el: 0 cg: 1663 cu: CSRU v1: 1.3 n1: 1.3 rs: Final st: NotStopd id: BUN (6-20) t0: [21:42:00 12/02/2018] el: 0 cg: 1663 cu: CSRU v1: 37 n1: 37 rs: Final st: NotStopd id: Carbon Dioxide t0: [21:42:00 12/02/2018] el: 0 cg: 1663 cu: CSRU v1: 21 n1: 21 rs: Final st: NotStopd id: Chloride (100-112) t0: [21:42:00 12/02/2018] el: 0 cg: 1663 cu: CSRU v1: 101 n1: 101 rs: Final st: NotStopd id: Creatinine (0-1.3) t0: [21:42:00 12/02/2018] el: 0 cg: 1663 cu: CSRU v1: 2.1 n1: 2.1 rs: Final st: NotStopd id: Potassium (3.5-5.3) t0: [21:42:00 12/02/2018] el: 0 cg: 1663 cu: CSRU v1: 3.9 n1: 3.9 rs: Final st: NotStopd
id: INR t0: [21:42:00 12/02/2018] el: 0 cg: 1663 cu: CSRU v1: 10 n1: 10 rs: Final st: NotStopd id: PTT t0: [21:42:00 12/02/2018] el: 0 cg: 1663 cu: CSRU v1: 37.6 n1: 37.6 rs: Final st: NotStopd id: ALT t0: [21:42:00 12/02/2018] el: 0 cg: 1663 cu: CSRU v1: 4147 n1: 4147 rs: Final st: NotStopd id: INR (2-4 ref. range) t0: [21:42:00 12/02/2018] el: 0 cg: 1663 cu: CSRU v1: 10 n1: 10 rs: Final st: NotStopd id: PTT(22-35) t0: [21:42:00 12/02/2018] el: 0 cg: 1663 cu: CSRU v1: 37.6 n1: 37.6 rs: Final st: NotStopd
id: Service Type t0: [23:00:00 12/02/2018] el: 0 cg: RN cu: CSRU v1: CCU st: NotStopd id: Code Status t0: [23:00:00 12/02/2018] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [23:00:00 12/02/2018] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [23:00:00 12/02/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [23:00:00 12/02/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Heart Rate t0: [23:00:00 12/02/2018] el: 0 cg: RN cu: CSRU v1: 71 n1: 71 u1: BPM st: NotStopd id: Heart Rhythm t0: [23:00:00 12/02/2018] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [23:00:00 12/02/2018] el: 0 cg: RN cu: CSRU v1: 98 n1: 98 u1: mmHg v2: 63 n2: 63 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [23:00:00 12/02/2018] el: 0 cg: RN cu: CSRU v1: 74 n1: 74 u1: mmHg st: NotStopd id: Precautions t0: [23:00:00 12/02/2018] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [23:00:00 12/02/2018] el: 0 cg: RN cu: CSRU v1: 85 n1: 85 u1: mmHg v2: 145 n2: 145 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [23:00:00 12/02/2018] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [23:00:00 12/02/2018] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: Previous WeightF t0: [23:00:00 12/02/2018] el: 0 cg: RN cu: CSRU v1: 81 n1: 81 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [23:00:00 12/02/2018] el: 0 cg: RN cu: CSRU v1: 92 n1: 92 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [23:00:00 12/02/2018] el: 0 cg: RN cu: CSRU v1: 17 n1: 17 u1: BPM st: NotStopd id: SpO2 t0: [23:00:00 12/02/2018] el: 0 cg: RN cu: CSRU v1: 95 n1: 95 u1: % st: NotStopd id: calprevflg t0: [23:00:00 12/02/2018] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [23:00:00 12/02/2018] el: 1 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: D5W 400.0ml + 40mghr Ativan t0: [23:00:00 12/02/2018] el: 1 ai: 153 cg: RN cu: CSRU vo: 60 vu: ml id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [23:00:00 12/02/2018] el: 1 ai: 209 cg: RN cu: CSRU vo: 13 vu: ml id: D5W 250.0ml + 250mcgkgmin Dobutamine t0: [23:00:00 12/02/2018] el: 1 ai: 168 cg: RN cu: CSRU vo: 24.3 vu: ml id: D5W 250.0ml + 8mcgkgmin Levophed-k t0: [23:00:00 12/02/2018] el: 1 ai: 416 cg: RN cu: CSRU vo: 36.45 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [23:00:00 12/02/2018] el: 1 ai: 115 cg: RN cu: CSRU vo: 5 vu: ml id: Urine Out Foley t0: [23:00:00 12/02/2018] el: 1 cg: RN cu: CSRU vo: 165 vu: ml
id: Fentanyl t0: [23:00:00 12/02/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 50 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Levophed-k t0: [23:00:00 12/02/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 0.24 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip id: Ativan t0: [23:00:00 12/02/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 6 du: mghr so: D5W sv: 400 su: ml rt: IV Drip id: Dobutamine t0: [23:00:00 12/02/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 5 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip id: Insulin t0: [23:00:00 12/02/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 13 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip id: Insulin t0: [23:30:00 12/02/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 16 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: IV Infusion In Total t0: [23:00:00 12/02/2018] el: 2 cg: RN cu: CSRU pv: 148.75 cv: 1281.88 ac: 24 ap: none re: 0 id: Total Hourly Output t0: [23:00:00 12/02/2018] el: 2 cg: RN cu: CSRU pv: 450 cv: 450 ac: 1 ap: none re: 0 id: Urine Out Total t0: [23:00:00 12/02/2018] el: 2 cg: RN cu: CSRU pv: 450 cv: 1155 ac: 24 ap: none re: 0 id: 24h Total Out t0: [23:00:00 12/02/2018] el: 2 cg: RN cu: CSRU pv: 450 cv: 1155 ac: 24 ap: none re: 0
id: Less Restrict Meas. t0: [00:00:00 13/02/2018] el: 0 cg: RN cu: CSRU v1: Medicated st: NotStopd id: Service Type t0: [00:00:00 13/02/2018] el: 0 cg: RN cu: CSRU v1: CCU st: NotStopd id: Circulation/SkinInt t0: [00:00:00 13/02/2018] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Code Status t0: [00:00:00 13/02/2018] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: GI Prophylaxis t0: [00:00:00 13/02/2018] el: 0 cg: RN cu: CSRU v1: H2 Blocker st: NotStopd id: Risk for Falls t0: [00:00:00 13/02/2018] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Diet Type t0: [00:00:00 13/02/2018] el: 0 cg: RN cu: CSRU v1: NPO st: NotStopd id: Ectopy Type t0: [00:00:00 13/02/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Alarms t0: [00:00:00 13/02/2018] el: 0 cg: RN cu: CSRU v1: ON st: NotStopd id: Parameters Checked t0: [00:00:00 13/02/2018] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: GI#1 Intub Site t0: [00:00:00 13/02/2018] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: Eye Opening t0: [00:00:00 13/02/2018] el: 0 cg: RN cu: CSRU v1: 1 No Response st: NotStopd id: GCS Total t0: [00:00:00 13/02/2018] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: points st: NotStopd id: GI Intub #1/Site t0: [00:00:00 13/02/2018] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: GI#1 Tube PlaceCheck t0: [00:00:00 13/02/2018] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: GI#1 Tube Stat/Drain t0: [00:00:00 13/02/2018] el: 0 cg: RN cu: CSRU v1: Low Cont Suction v2: Bilious st: NotStopd id: HOB t0: [00:00:00 13/02/2018] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: Heart Rate t0: [00:00:00 13/02/2018] el: 0 cg: RN cu: CSRU v1: 70 n1: 70 u1: BPM st: NotStopd id: Heart Rhythm t0: [00:00:00 13/02/2018] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Abdominal Assessment t0: [00:00:00 13/02/2018] el: 0 cg: RN cu: CSRU v1: Soft Distended st: NotStopd id: Activity t0: [00:00:00 13/02/2018] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [00:00:00 13/02/2018] el: 0 cg: RN cu: CSRU v1: Tolerated Well st: NotStopd id: LLL Lung Sounds t0: [00:00:00 13/02/2018] el: 0 cg: RN cu: CSRU v1: Rhonchi st: NotStopd id: LUL Lung Sounds t0: [00:00:00 13/02/2018] el: 0 cg: RN cu: CSRU v1: Rhonchi st: NotStopd id: Level of Conscious t0: [00:00:00 13/02/2018] el: 0 cg: RN cu: CSRU v1: Sedated st: NotStopd id: Motor Response t0: [00:00:00 13/02/2018] el: 0 cg: RN cu: CSRU v1: 4 Flex-withdraws st: NotStopd id: Oral Cavity t0: [00:00:00 13/02/2018] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [00:00:00 13/02/2018] el: 0 cg: RN cu: CSRU v1: Unable to Assess st: NotStopd id: AntiEmbDevice/Status t0: [00:00:00 13/02/2018] el: 0 cg: RN cu: CSRU v1: None/Remarks st: NotStopd id: Arterial BP t0: [00:00:00 13/02/2018] el: 0 cg: RN cu: CSRU v1: 104 n1: 104 u1: mmHg v2: 64 n2: 64 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [00:00:00 13/02/2018] el: 0 cg: RN cu: CSRU v1: 76 n1: 76 u1: mmHg st: NotStopd id: Position t0: [00:00:00 13/02/2018] el: 0 cg: RN cu: CSRU v1: Supine st: NotStopd id: Position Change t0: [00:00:00 13/02/2018] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Assistance Device t0: [00:00:00 13/02/2018] el: 0 cg: RN cu: CSRU v1: 1 Person Assist st: NotStopd id: Precautions t0: [00:00:00 13/02/2018] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [00:00:00 13/02/2018] el: 0 cg: RN cu: CSRU v1: 85 n1: 85 u1: mmHg v2: 145 n2: 145 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [00:00:00 13/02/2018] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [00:00:00 13/02/2018] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: Previous WeightF t0: [00:00:00 13/02/2018] el: 0 cg: RN cu: CSRU v1: 81 n1: 81 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [00:00:00 13/02/2018] el: 0 cg: RN cu: CSRU v1: 92 n1: 92 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Pupil Response R/L t0: [00:00:00 13/02/2018] el: 0 cg: RN cu: CSRU v1: Brisk v2: Brisk st: NotStopd id: Pupil Size R/L t0: [00:00:00 13/02/2018] el: 0 cg: RN cu: CSRU v1: 3 mm v2: 3 mm st: NotStopd id: RLL Lung Sounds t0: [00:00:00 13/02/2018] el: 0 cg: RN cu: CSRU v1: Rhonchi st: NotStopd id: RUL Lung Sounds t0: [00:00:00 13/02/2018] el: 0 cg: RN cu: CSRU v1: Rhonchi st: NotStopd id: Reason For Restraint t0: [00:00:00 13/02/2018] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Respiratory Pattern t0: [00:00:00 13/02/2018] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Respiratory Rate t0: [00:00:00 13/02/2018] el: 0 cg: RN cu: CSRU v1: 17 n1: 17 u1: BPM st: NotStopd id: Restraint Location t0: [00:00:00 13/02/2018] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Type t0: [00:00:00 13/02/2018] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [00:00:00 13/02/2018] el: 0 cg: RN cu: CSRU v1: Behavior Conts st: NotStopd id: Side Rails t0: [00:00:00 13/02/2018] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: SpO2 t0: [00:00:00 13/02/2018] el: 0 cg: RN cu: CSRU v1: 95 n1: 95 u1: % st: NotStopd id: Support Systems t0: [00:00:00 13/02/2018] el: 0 cg: RN cu: CSRU v1: Relative st: NotStopd id: Therapeutic Bed t0: [00:00:00 13/02/2018] el: 0 cg: RN cu: CSRU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [00:00:00 13/02/2018] el: 0 cg: RN cu: CSRU v1: Back st: NotStopd id: Urine Color/Appear t0: [00:00:00 13/02/2018] el: 0 cg: RN cu: CSRU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [00:00:00 13/02/2018] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [00:00:00 13/02/2018] el: 0 cg: RN cu: CSRU v1: 1.0 ET/Trach st: NotStopd id: calprevflg t0: [00:00:00 13/02/2018] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Behavior t0: [00:00:00 13/02/2018] el: 0 cg: RN cu: CSRU v1: Sedated st: NotStopd id: Pt./Family Informed t0: [00:00:00 13/02/2018] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Bowel Sounds t0: [00:00:00 13/02/2018] el: 0 cg: RN cu: CSRU v1: Absent st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [00:00:00 13/02/2018] el: 1 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: D5W 400.0ml + 40mghr Ativan t0: [00:00:00 13/02/2018] el: 1 ai: 153 cg: RN cu: CSRU vo: 60 vu: ml id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [00:00:00 13/02/2018] el: 1 ai: 209 cg: RN cu: CSRU vo: 14.5 vu: ml id: D5W 250.0ml + 250mcgkgmin Dobutamine t0: [00:00:00 13/02/2018] el: 1 ai: 168 cg: RN cu: CSRU vo: 24.3 vu: ml id: D5W 250.0ml + 8mcgkgmin Levophed-k t0: [00:00:00 13/02/2018] el: 1 ai: 416 cg: RN cu: CSRU vo: 36.45 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [00:00:00 13/02/2018] el: 1 ai: 115 cg: RN cu: CSRU vo: 5 vu: ml id: Urine Out Foley t0: [00:00:00 13/02/2018] el: 1 cg: RN cu: CSRU vo: 150 vu: ml
id: Fentanyl t0: [00:00:00 13/02/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 50 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Levophed-k t0: [00:00:00 13/02/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 0.2 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip id: Ativan t0: [00:00:00 13/02/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 6 du: mghr so: D5W sv: 400 su: ml rt: IV Drip id: Dobutamine t0: [00:00:00 13/02/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 5 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip id: Insulin t0: [00:00:00 13/02/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 19 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: INV Line#1 Type/Site t0: [00:00:00 13/02/2018] el: 0 cg: RN cu: CSRU v1: A-Line v2: Right Radial st: NotStopd id: INV Line#1 Zero/Cal t0: [00:00:00 13/02/2018] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: INV Line#1SiteAppear t0: [00:00:00 13/02/2018] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: INV Line#2 Type/Site t0: [00:00:00 13/02/2018] el: 0 cg: RN cu: CSRU v1: Introducer v2: Right IJ st: NotStopd id: INV Line#2SiteAppear t0: [00:00:00 13/02/2018] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: INV#1 WaveformAppear t0: [00:00:00 13/02/2018] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: IV #1 Insert Date t0: [00:00:00 13/02/2018] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 8 n2: 8 st: NotStopd id: IV #1 Site/Size t0: [00:00:00 13/02/2018] el: 0 cg: RN cu: CSRU v1: Right Wrist v2: 20 gauge st: NotStopd id: IV #2 Insert Date t0: [00:00:00 13/02/2018] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 8 n2: 8 st: NotStopd id: IV #2 Site/Size t0: [00:00:00 13/02/2018] el: 0 cg: RN cu: CSRU v1: RL Ant Forearm v2: 20 gauge st: NotStopd id: IV #3 Insert Date t0: [00:00:00 13/02/2018] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 8 n2: 8 st: NotStopd id: IV #3 Site/Size t0: [00:00:00 13/02/2018] el: 0 cg: RN cu: CSRU v1: LL Post Forearm v2: 18 gauge st: NotStopd id: IV Site Appear #1 t0: [00:00:00 13/02/2018] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: IV Site Appear #2 t0: [00:00:00 13/02/2018] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: IV Site Appear #3 t0: [00:00:00 13/02/2018] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: INV#1 Dsg Change t0: [00:00:00 13/02/2018] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 8 n2: 8 st: NotStopd id: INV#2 Dsg Change t0: [00:00:00 13/02/2018] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 8 n2: 8 st: NotStopd id: INV#1 Cap Change t0: [00:00:00 13/02/2018] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 8 n2: 8 st: NotStopd id: INV#1 Tubing Change t0: [00:00:00 13/02/2018] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 8 n2: 8 st: NotStopd id: INV#2 Cap Change t0: [00:00:00 13/02/2018] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 8 n2: 8 st: NotStopd
id: Compliance (40-60ml) t0: [00:00:00 13/02/2018] el: 0 cg: RRT cu: CSRU v1: 39.2857 n1: 39.2857 u1: ml/cmH st: NotStopd id: ETT Mark/Location t0: [00:00:00 13/02/2018] el: 0 cg: RRT cu: CSRU v1: 24cm v2: Lip st: NotStopd id: FiO2 Set t0: [00:00:00 13/02/2018] el: 0 cg: RRT cu: CSRU v1: 0.6 n1: 0.6 u1: torr st: NotStopd id: High Insp. Pressure t0: [00:00:00 13/02/2018] el: 0 cg: RRT cu: CSRU v1: 40 n1: 40 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [00:00:00 13/02/2018] el: 0 cg: RRT cu: CSRU v1: 20 n1: 20 u1: BPM st: NotStopd id: I:E Ratio t0: [00:00:00 13/02/2018] el: 0 cg: RRT cu: CSRU v1: 1:3.3 st: NotStopd id: Airway Size t0: [00:00:00 13/02/2018] el: 0 cg: RRT cu: CSRU v1: 8.0 mm st: NotStopd id: Airway Type t0: [00:00:00 13/02/2018] el: 0 cg: RRT cu: CSRU v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [00:00:00 13/02/2018] el: 0 cg: RRT cu: CSRU u1: Deg. C st: NotStopd id: Intubation Date t0: [00:00:00 13/02/2018] el: 0 cg: RRT cu: CSRU v1: 1 n1: 1 v2: 8 n2: 8 st: NotStopd id: Low Exhaled Min Vol t0: [00:00:00 13/02/2018] el: 0 cg: RRT cu: CSRU v1: 4 n1: 4 st: NotStopd id: Mean Airway Pressure t0: [00:00:00 13/02/2018] el: 0 cg: RRT cu: CSRU v1: 8 n1: 8 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [00:00:00 13/02/2018] el: 0 cg: RRT cu: CSRU v1: 9 n1: 9 u1: L/min st: NotStopd id: PEEP Set t0: [00:00:00 13/02/2018] el: 0 cg: RRT cu: CSRU v1: 5 n1: 5 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [00:00:00 13/02/2018] el: 0 cg: RRT cu: CSRU v1: 20 n1: 20 st: NotStopd id: Peak Insp. Pressure t0: [00:00:00 13/02/2018] el: 0 cg: RRT cu: CSRU v1: 19 n1: 19 u1: cmH2O st: NotStopd id: Plateau Pressure t0: [00:00:00 13/02/2018] el: 0 cg: RRT cu: CSRU v1: 18 n1: 18 u1: cmH2O st: NotStopd id: Resp Rate (Spont) t0: [00:00:00 13/02/2018] el: 0 cg: RRT cu: CSRU v1: 2 n1: 2 u1: BPM st: NotStopd id: Resp Rate (Total) t0: [00:00:00 13/02/2018] el: 0 cg: RRT cu: CSRU v1: 16 n1: 16 u1: BPM st: NotStopd id: Respiratory Rate Set t0: [00:00:00 13/02/2018] el: 0 cg: RRT cu: CSRU v1: 14 n1: 14 u1: BPM st: NotStopd id: Ve High t0: [00:00:00 13/02/2018] el: 0 cg: RRT cu: CSRU v1: 18 n1: 18 st: NotStopd id: Sensitivity-Vent t0: [00:00:00 13/02/2018] el: 0 cg: RRT cu: CSRU v1: 2 n1: 2 u1: cmH2O st: NotStopd id: Tidal Volume (Obser) t0: [00:00:00 13/02/2018] el: 0 cg: RRT cu: CSRU v1: 552 n1: 552 u1: ml/B st: NotStopd id: Tidal Volume (Set) t0: [00:00:00 13/02/2018] el: 0 cg: RRT cu: CSRU v1: 550 n1: 550 u1: ml/B st: NotStopd id: Ventilator Mode t0: [00:00:00 13/02/2018] el: 0 cg: RRT cu: CSRU v1: Assist Control st: NotStopd id: Ventilator Type t0: [00:00:00 13/02/2018] el: 0 cg: RRT cu: CSRU v1: Drager st: NotStopd id: Waveform-Vent t0: [00:00:00 13/02/2018] el: 0 cg: RRT cu: CSRU v1: RAMP st: NotStopd
id: Service Type t0: [01:00:00 13/02/2018] el: 0 cg: RN cu: CSRU v1: CCU st: NotStopd id: Code Status t0: [01:00:00 13/02/2018] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [01:00:00 13/02/2018] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Glucose t0: [01:00:00 13/02/2018] el: 0 cg: RN cu: CSRU v1: 181 n1: 181 rs: Manual st: NotStopd id: Ectopy Frequency t0: [01:00:00 13/02/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [01:00:00 13/02/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Heart Rate t0: [01:00:00 13/02/2018] el: 0 cg: RN cu: CSRU v1: 69 n1: 69 u1: BPM st: NotStopd id: Heart Rhythm t0: [01:00:00 13/02/2018] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [01:00:00 13/02/2018] el: 0 cg: RN cu: CSRU v1: 103 n1: 103 u1: mmHg v2: 60 n2: 60 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [01:00:00 13/02/2018] el: 0 cg: RN cu: CSRU v1: 73 n1: 73 u1: mmHg st: NotStopd id: Precautions t0: [01:00:00 13/02/2018] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [01:00:00 13/02/2018] el: 0 cg: RN cu: CSRU v1: 85 n1: 85 u1: mmHg v2: 145 n2: 145 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [01:00:00 13/02/2018] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [01:00:00 13/02/2018] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: Previous WeightF t0: [01:00:00 13/02/2018] el: 0 cg: RN cu: CSRU v1: 81 n1: 81 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [01:00:00 13/02/2018] el: 0 cg: RN cu: CSRU v1: 92 n1: 92 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [01:00:00 13/02/2018] el: 0 cg: RN cu: CSRU v1: 16 n1: 16 u1: BPM st: NotStopd id: SpO2 t0: [01:00:00 13/02/2018] el: 0 cg: RN cu: CSRU v1: 95 n1: 95 u1: % st: NotStopd id: calprevflg t0: [01:00:00 13/02/2018] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Glucose (70-105) t0: [01:00:00 13/02/2018] el: 0 cg: RN cu: CSRU v1: 181 n1: 181 rs: Manual st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [01:00:00 13/02/2018] el: 1 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: D5W 400.0ml + 40mghr Ativan t0: [01:00:00 13/02/2018] el: 1 ai: 153 cg: RN cu: CSRU vo: 60 vu: ml id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [01:00:00 13/02/2018] el: 1 ai: 209 cg: RN cu: CSRU vo: 19 vu: ml id: D5W 250.0ml + 250mcgkgmin Dobutamine t0: [01:00:00 13/02/2018] el: 1 ai: 168 cg: RN cu: CSRU vo: 24.3 vu: ml id: D5W 250.0ml + 8mcgkgmin Levophed-k t0: [01:00:00 13/02/2018] el: 1 ai: 416 cg: RN cu: CSRU vo: 30.375 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [01:00:00 13/02/2018] el: 1 ai: 115 cg: RN cu: CSRU vo: 5 vu: ml id: Urine Out Foley t0: [01:00:00 13/02/2018] el: 1 cg: RN cu: CSRU vo: 170 vu: ml
id: Fentanyl t0: [01:00:00 13/02/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 50 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Ativan t0: [01:00:00 13/02/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 6 du: mghr so: D5W sv: 400 su: ml rt: IV Drip id: Dobutamine t0: [01:00:00 13/02/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 5 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip id: Insulin t0: [01:00:00 13/02/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 19 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
pi: 4404130 hi: 28366 t0: [02:00:00 13/02/2018] tf: [01:00:00 14/02/2018] mn: Potassium Chloride pt: Unit Dose st: Expired rt: PO fr: ONCE ds: 2 dn: 1 dt: 1 di: Doses xv: 36 xu: Hours
id: Levophed-k t0: [01:00:00 13/02/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 0.18 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip
id: .9% Normal Saline 1000.0ml t0: [02:00:00 13/02/2018] el: 1 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: D5W 400.0ml + 40mghr Ativan t0: [02:00:00 13/02/2018] el: 1 ai: 153 cg: RN cu: CSRU vo: 60 vu: ml id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [02:00:00 13/02/2018] el: 1 ai: 209 cg: RN cu: CSRU vo: 19 vu: ml id: D5W 250.0ml + 250mcgkgmin Dobutamine t0: [02:00:00 13/02/2018] el: 1 ai: 168 cg: RN cu: CSRU vo: 24.3 vu: ml id: D5W 250.0ml + 8mcgkgmin Levophed-k t0: [02:00:00 13/02/2018] el: 1 ai: 416 cg: RN cu: CSRU vo: 27.3375 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [02:00:00 13/02/2018] el: 1 ai: 115 cg: RN cu: CSRU vo: 5 vu: ml id: Urine Out Foley t0: [02:00:00 13/02/2018] el: 1 cg: RN cu: CSRU vo: 180 vu: ml
id: Dorsal PedPulse R/L t0: [00:00:00 13/02/2018] el: 0 cg: RN cu: CSRU v1: Doppler v2: Doppler st: NotStopd id: PostTib. Pulses R/L t0: [00:00:00 13/02/2018] el: 0 cg: RN cu: CSRU v1: Doppler v2: Doppler st: NotStopd
id: Po Intake t0: [02:00:00 13/02/2018] el: 1 ai: 103 cg: RN cu: CSRU vo: 60 vu: ml id: Po Intake t0: [20:00:00 12/02/2018] el: 1 ai: 103 cg: RN cu: CSRU vo: 50 vu: ml
id: 24h Total In t0: [23:00:00 12/02/2018] el: 2 cg: RN cu: CSRU pv: 471.75 cv: 1912.88 ac: 24 ap: none re: 0 id: PO/Gastric In Total t0: [23:00:00 12/02/2018] el: 2 cg: RN cu: CSRU cv: 50 ac: 24 ap: none re: 0 id: 24h Net Body Balance t0: [23:00:00 12/02/2018] el: 2 cg: RN cu: CSRU pv: 21.75 cv: 757.875 ac: 24 ap: none re: 0 id: LOS Net Body Balance t0: [23:00:00 12/02/2018] el: 2 cg: RN cu: CSRU pv: 21.75 cv: 757.875 ac: multiple days ap: none re: 0 id: Net Hourly Balance t0: [23:00:00 12/02/2018] el: 2 cg: RN cu: CSRU pv: 21.75 cv: 21.75 ac: 1 ap: none re: 0
id: HOB t0: [02:00:00 13/02/2018] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: Activity t0: [02:00:00 13/02/2018] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [02:00:00 13/02/2018] el: 0 cg: RN cu: CSRU v1: Tolerated Well st: NotStopd id: Oral Care t0: [02:00:00 13/02/2018] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: AntiEmbDevice/Status t0: [02:00:00 13/02/2018] el: 0 cg: RN cu: CSRU v1: None/Remarks st: NotStopd id: Position t0: [02:00:00 13/02/2018] el: 0 cg: RN cu: CSRU v1: Left Side st: NotStopd id: Assistance Device t0: [02:00:00 13/02/2018] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: Therapeutic Bed t0: [02:00:00 13/02/2018] el: 0 cg: RN cu: CSRU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [02:00:00 13/02/2018] el: 0 cg: RN cu: CSRU v1: Side to Side st: NotStopd
id: Less Restrict Meas. t0: [02:00:00 13/02/2018] el: 0 cg: RN cu: CSRU v1: Medicated st: NotStopd id: Range of Motion t0: [02:00:00 13/02/2018] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Service Type t0: [02:00:00 13/02/2018] el: 0 cg: RN cu: CSRU v1: CCU st: NotStopd id: Circulation/SkinInt t0: [02:00:00 13/02/2018] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Code Status t0: [02:00:00 13/02/2018] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [02:00:00 13/02/2018] el: 0 cg: RN cu: CSRU v1: Sedated st: NotStopd id: Risk for Falls t0: [02:00:00 13/02/2018] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Glucose t0: [02:00:00 13/02/2018] el: 0 cg: RN cu: CSRU v1: 138 n1: 138 rs: Manual st: NotStopd id: Ectopy Frequency t0: [02:00:00 13/02/2018] el: 0 cg: RN cu: CSRU v1: Occasional st: NotStopd id: Ectopy Type t0: [02:00:00 13/02/2018] el: 0 cg: RN cu: CSRU v1: PVC's st: NotStopd id: Heart Rate t0: [02:00:00 13/02/2018] el: 0 cg: RN cu: CSRU v1: 74 n1: 74 u1: BPM st: NotStopd id: Heart Rhythm t0: [02:00:00 13/02/2018] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [02:00:00 13/02/2018] el: 0 cg: RN cu: CSRU v1: 110 n1: 110 u1: mmHg v2: 58 n2: 58 u2: mmHg st: NotStopd id: Pain Management t0: [02:00:00 13/02/2018] el: 1 cg: RN cu: CSRU v1: IV Gtt st: NotStopd id: Arterial BP Mean t0: [02:00:00 13/02/2018] el: 0 cg: RN cu: CSRU v1: 72 n1: 72 u1: mmHg st: NotStopd id: Position Change t0: [02:00:00 13/02/2018] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Precautions t0: [02:00:00 13/02/2018] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [02:00:00 13/02/2018] el: 0 cg: RN cu: CSRU v1: 85 n1: 85 u1: mmHg v2: 145 n2: 145 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [02:00:00 13/02/2018] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [02:00:00 13/02/2018] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: Previous WeightF t0: [02:00:00 13/02/2018] el: 0 cg: RN cu: CSRU v1: 81 n1: 81 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [02:00:00 13/02/2018] el: 0 cg: RN cu: CSRU v1: 92 n1: 92 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Reason For Restraint t0: [02:00:00 13/02/2018] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [02:00:00 13/02/2018] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Respiratory Rate t0: [02:00:00 13/02/2018] el: 0 cg: RN cu: CSRU v1: 18 n1: 18 u1: BPM st: NotStopd id: Restraint Location t0: [02:00:00 13/02/2018] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Type t0: [02:00:00 13/02/2018] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [02:00:00 13/02/2018] el: 0 cg: RN cu: CSRU v1: Behavior Conts st: NotStopd id: Side Rails t0: [02:00:00 13/02/2018] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: SpO2 t0: [02:00:00 13/02/2018] el: 0 cg: RN cu: CSRU v1: 95 n1: 95 u1: % st: NotStopd id: Support Systems t0: [02:00:00 13/02/2018] el: 0 cg: RN cu: CSRU v1: Relative st: NotStopd id: Temp. Site t0: [02:00:00 13/02/2018] el: 0 cg: RN cu: CSRU v1: Oral st: NotStopd id: Temperature C (calc) t0: [02:00:00 13/02/2018] el: 0 cg: RN cu: CSRU v1: 35.9444 n1: 35.9444 u1: Deg. C st: NotStopd id: Temperature F t0: [02:00:00 13/02/2018] el: 0 cg: RN cu: CSRU v1: 96.7 n1: 96.7 u1: Deg. F st: NotStopd id: calprevflg t0: [02:00:00 13/02/2018] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Pt./Family Informed t0: [02:00:00 13/02/2018] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Glucose (70-105) t0: [02:00:00 13/02/2018] el: 0 cg: RN cu: CSRU v1: 138 n1: 138 rs: Manual st: NotStopd
id: Fentanyl t0: [02:00:00 13/02/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 50 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Levophed-k t0: [02:00:00 13/02/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 0.15 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip id: Ativan t0: [02:00:00 13/02/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 6 du: mghr so: D5W sv: 400 su: ml rt: IV Drip id: Dobutamine t0: [02:00:00 13/02/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 5 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip id: Insulin t0: [02:00:00 13/02/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 15 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: Service Type t0: [03:00:00 13/02/2018] el: 0 cg: RN cu: CSRU v1: CCU st: NotStopd id: Code Status t0: [03:00:00 13/02/2018] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [03:00:00 13/02/2018] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Glucose t0: [03:00:00 13/02/2018] el: 0 cg: RN cu: CSRU v1: 111 n1: 111 rs: Manual st: NotStopd id: Ectopy Frequency t0: [03:00:00 13/02/2018] el: 0 cg: RN cu: CSRU v1: Occasional st: NotStopd id: Ectopy Type t0: [03:00:00 13/02/2018] el: 0 cg: RN cu: CSRU v1: Vent. Bigeminy st: NotStopd id: Heart Rate t0: [03:00:00 13/02/2018] el: 0 cg: RN cu: CSRU v1: 87 n1: 87 u1: BPM st: NotStopd id: Heart Rhythm t0: [03:00:00 13/02/2018] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [03:00:00 13/02/2018] el: 0 cg: RN cu: CSRU v1: 112 n1: 112 u1: mmHg v2: 59 n2: 59 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [03:00:00 13/02/2018] el: 0 cg: RN cu: CSRU v1: 72 n1: 72 u1: mmHg st: NotStopd id: Precautions t0: [03:00:00 13/02/2018] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [03:00:00 13/02/2018] el: 0 cg: RN cu: CSRU v1: 85 n1: 85 u1: mmHg v2: 145 n2: 145 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [03:00:00 13/02/2018] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [03:00:00 13/02/2018] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: Previous WeightF t0: [03:00:00 13/02/2018] el: 0 cg: RN cu: CSRU v1: 81 n1: 81 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [03:00:00 13/02/2018] el: 0 cg: RN cu: CSRU v1: 92 n1: 92 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 t0: [03:00:00 13/02/2018] el: 0 cg: RN cu: CSRU v1: 95 n1: 95 u1: % st: NotStopd id: calprevflg t0: [03:00:00 13/02/2018] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Glucose (70-105) t0: [03:00:00 13/02/2018] el: 0 cg: RN cu: CSRU v1: 111 n1: 111 rs: Manual st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [03:00:00 13/02/2018] el: 1 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: D5W 400.0ml + 40mghr Ativan t0: [03:00:00 13/02/2018] el: 1 ai: 153 cg: RN cu: CSRU vo: 60 vu: ml id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [03:00:00 13/02/2018] el: 1 ai: 209 cg: RN cu: CSRU vo: 15 vu: ml id: D5W 250.0ml + 250mcgkgmin Dobutamine t0: [03:00:00 13/02/2018] el: 1 ai: 168 cg: RN cu: CSRU vo: 24.3 vu: ml id: D5W 250.0ml + 8mcgkgmin Levophed-k t0: [03:00:00 13/02/2018] el: 1 ai: 416 cg: RN cu: CSRU vo: 22.7813 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [03:00:00 13/02/2018] el: 1 ai: 115 cg: RN cu: CSRU vo: 5 vu: ml id: Urine Out Foley t0: [03:00:00 13/02/2018] el: 1 cg: RN cu: CSRU vo: 240 vu: ml
id: Fentanyl t0: [03:00:00 13/02/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 50 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Levophed-k t0: [03:00:00 13/02/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 0.15 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip id: Ativan t0: [03:00:00 13/02/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 6 du: mghr so: D5W sv: 400 su: ml rt: IV Drip id: Dobutamine t0: [03:00:00 13/02/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 5 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip id: Insulin t0: [03:00:00 13/02/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 13 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: Ativan io: D5W 400.0ml + 40mghr Ativan el: 101 cg: RN cu: CSRU am: 40 du: mghr rt: IV Drip
id: Sputum Color/Consist t0: [03:00:00 13/02/2018] el: 0 cg: RN cu: CSRU v1: Yellow v2: Thin st: NotStopd id: Sputum Source/Amt t0: [03:00:00 13/02/2018] el: 0 cg: RN cu: CSRU v1: Suctioned v2: Scant st: NotStopd
id: Service Type t0: [04:00:00 13/02/2018] el: 0 cg: RN cu: CSRU v1: CCU st: NotStopd id: Code Status t0: [04:00:00 13/02/2018] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [04:00:00 13/02/2018] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Type t0: [04:00:00 13/02/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Heart Rate t0: [04:00:00 13/02/2018] el: 0 cg: RN cu: CSRU v1: 104 n1: 104 u1: BPM st: NotStopd id: Heart Rhythm t0: [04:00:00 13/02/2018] el: 0 cg: RN cu: CSRU v1: Atrial Fib st: NotStopd id: Arterial BP t0: [04:00:00 13/02/2018] el: 0 cg: RN cu: CSRU v1: 124 n1: 124 u1: mmHg v2: 67 n2: 67 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [04:00:00 13/02/2018] el: 0 cg: RN cu: CSRU v1: 81 n1: 81 u1: mmHg st: NotStopd id: Precautions t0: [04:00:00 13/02/2018] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [04:00:00 13/02/2018] el: 0 cg: RN cu: CSRU v1: 85 n1: 85 u1: mmHg v2: 145 n2: 145 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [04:00:00 13/02/2018] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: Previous WeightF t0: [04:00:00 13/02/2018] el: 0 cg: RN cu: CSRU v1: 81 n1: 81 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [04:00:00 13/02/2018] el: 0 cg: RN cu: CSRU v1: 92 n1: 92 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [04:00:00 13/02/2018] el: 0 cg: RN cu: CSRU v1: 13 n1: 13 u1: BPM st: NotStopd id: SpO2 t0: [04:00:00 13/02/2018] el: 0 cg: RN cu: CSRU v1: 95 n1: 95 u1: % st: NotStopd id: calprevflg t0: [04:00:00 13/02/2018] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [04:00:00 13/02/2018] el: 1 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: D5W 400.0ml + 40mghr Ativan t0: [04:00:00 13/02/2018] el: 1 ai: 153 cg: RN cu: CSRU vo: 60 vu: ml id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [04:00:00 13/02/2018] el: 1 ai: 209 cg: RN cu: CSRU vo: 13 vu: ml id: D5W 250.0ml + 250mcgkgmin Dobutamine t0: [04:00:00 13/02/2018] el: 1 ai: 168 cg: RN cu: CSRU vo: 24.3 vu: ml id: D5W 250.0ml + 8mcgkgmin Levophed-k t0: [04:00:00 13/02/2018] el: 1 ai: 416 cg: RN cu: CSRU vo: 22.7813 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [04:00:00 13/02/2018] el: 1 ai: 115 cg: RN cu: CSRU vo: 5 vu: ml id: Urine Out Foley t0: [04:00:00 13/02/2018] el: 1 cg: RN cu: CSRU vo: 125 vu: ml
id: Fentanyl t0: [04:00:00 13/02/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 50 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Levophed-k t0: [04:00:00 13/02/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 0.15 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip id: Ativan t0: [04:00:00 13/02/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 6 du: mghr so: D5W sv: 400 su: ml rt: IV Drip id: Insulin t0: [04:00:00 13/02/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 2 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: Alarms t0: [04:00:00 13/02/2018] el: 0 cg: RN cu: CSRU v1: ON st: NotStopd id: Parameters Checked t0: [04:00:00 13/02/2018] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Procedures t0: [04:00:00 13/02/2018] el: 0 cg: RN cu: CSRU v1: EKG st: NotStopd
id: Dobutamine t0: [04:00:00 13/02/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 2.5 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip
id: Less Restrict Meas. t0: [04:00:00 13/02/2018] el: 0 cg: RN cu: CSRU v1: Medicated st: NotStopd id: Circulation/SkinInt t0: [04:00:00 13/02/2018] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: GI Prophylaxis t0: [04:00:00 13/02/2018] el: 0 cg: RN cu: CSRU v1: H2 Blocker st: NotStopd id: Diet Type t0: [04:00:00 13/02/2018] el: 0 cg: RN cu: CSRU v1: NPO st: NotStopd id: GI#1 Intub Site t0: [04:00:00 13/02/2018] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: Eye Opening t0: [04:00:00 13/02/2018] el: 0 cg: RN cu: CSRU v1: 1 No Response st: NotStopd id: GCS Total t0: [04:00:00 13/02/2018] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: points st: NotStopd id: GI Intub #1/Site t0: [04:00:00 13/02/2018] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: GI#1 Tube PlaceCheck t0: [04:00:00 13/02/2018] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: GI#1 Tube Stat/Drain t0: [04:00:00 13/02/2018] el: 0 cg: RN cu: CSRU v1: Low Cont Suction v2: Bilious st: NotStopd id: HOB t0: [04:00:00 13/02/2018] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: INV Line#1 Type/Site t0: [04:00:00 13/02/2018] el: 0 cg: RN cu: CSRU v1: A-Line v2: Right Radial st: NotStopd id: INV Line#2 Type/Site t0: [04:00:00 13/02/2018] el: 0 cg: RN cu: CSRU v1: Introducer v2: Right IJ st: NotStopd id: Abdominal Assessment t0: [04:00:00 13/02/2018] el: 0 cg: RN cu: CSRU v1: Soft Distended st: NotStopd id: IV #1 Insert Date t0: [04:00:00 13/02/2018] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 8 n2: 8 st: NotStopd id: IV #1 Site/Size t0: [04:00:00 13/02/2018] el: 0 cg: RN cu: CSRU v1: Right Wrist v2: 20 gauge st: NotStopd id: IV #2 Insert Date t0: [04:00:00 13/02/2018] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 8 n2: 8 st: NotStopd id: IV #2 Site/Size t0: [04:00:00 13/02/2018] el: 0 cg: RN cu: CSRU v1: RL Ant Forearm v2: 20 gauge st: NotStopd id: IV #3 Insert Date t0: [04:00:00 13/02/2018] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 8 n2: 8 st: NotStopd id: IV #3 Site/Size t0: [04:00:00 13/02/2018] el: 0 cg: RN cu: CSRU v1: LL Post Forearm v2: 18 gauge st: NotStopd id: Activity t0: [04:00:00 13/02/2018] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [04:00:00 13/02/2018] el: 0 cg: RN cu: CSRU v1: Tolerated Well st: NotStopd id: LLL Lung Sounds t0: [04:00:00 13/02/2018] el: 0 cg: RN cu: CSRU v1: Diminished st: NotStopd id: LUL Lung Sounds t0: [04:00:00 13/02/2018] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: Level of Conscious t0: [04:00:00 13/02/2018] el: 0 cg: RN cu: CSRU v1: Sedated st: NotStopd id: Motor Response t0: [04:00:00 13/02/2018] el: 0 cg: RN cu: CSRU v1: 4 Flex-withdraws st: NotStopd id: Oral Cavity t0: [04:00:00 13/02/2018] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [04:00:00 13/02/2018] el: 0 cg: RN cu: CSRU v1: Unable to Assess st: NotStopd id: AntiEmbDevice/Status t0: [04:00:00 13/02/2018] el: 0 cg: RN cu: CSRU v1: None/Remarks st: NotStopd id: Position t0: [04:00:00 13/02/2018] el: 0 cg: RN cu: CSRU v1: Supine st: NotStopd id: Position Change t0: [04:00:00 13/02/2018] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Assistance Device t0: [04:00:00 13/02/2018] el: 0 cg: RN cu: CSRU v1: Supervised st: NotStopd id: INV#1 Dsg Change t0: [04:00:00 13/02/2018] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 8 n2: 8 st: NotStopd id: INV#2 Dsg Change t0: [04:00:00 13/02/2018] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 8 n2: 8 st: NotStopd id: HR Alarm (Lo/Hi) t0: [04:00:00 13/02/2018] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: Pupil Response R/L t0: [04:00:00 13/02/2018] el: 0 cg: RN cu: CSRU v1: Brisk v2: Brisk st: NotStopd id: Pupil Size R/L t0: [04:00:00 13/02/2018] el: 0 cg: RN cu: CSRU v1: 2 mm v2: 2 mm st: NotStopd id: RLL Lung Sounds t0: [04:00:00 13/02/2018] el: 0 cg: RN cu: CSRU v1: Diminished st: NotStopd id: RUL Lung Sounds t0: [04:00:00 13/02/2018] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: Reason For Restraint t0: [04:00:00 13/02/2018] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Respiratory Pattern t0: [04:00:00 13/02/2018] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Restraint Location t0: [04:00:00 13/02/2018] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Type t0: [04:00:00 13/02/2018] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [04:00:00 13/02/2018] el: 0 cg: RN cu: CSRU v1: Behavior Conts st: NotStopd id: Side Rails t0: [04:00:00 13/02/2018] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Skin Care t0: [04:00:00 13/02/2018] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Support Systems t0: [04:00:00 13/02/2018] el: 0 cg: RN cu: CSRU v1: Relative st: NotStopd id: INV#1 Cap Change t0: [04:00:00 13/02/2018] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 8 n2: 8 st: NotStopd id: INV#1 Tubing Change t0: [04:00:00 13/02/2018] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 8 n2: 8 st: NotStopd id: INV#2 Cap Change t0: [04:00:00 13/02/2018] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 8 n2: 8 st: NotStopd id: Therapeutic Bed t0: [04:00:00 13/02/2018] el: 0 cg: RN cu: CSRU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [04:00:00 13/02/2018] el: 0 cg: RN cu: CSRU v1: Back st: NotStopd id: Urine Color/Appear t0: [04:00:00 13/02/2018] el: 0 cg: RN cu: CSRU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [04:00:00 13/02/2018] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [04:00:00 13/02/2018] el: 0 cg: RN cu: CSRU v1: 1.0 ET/Trach st: NotStopd id: Back Care t0: [04:00:00 13/02/2018] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Behavior t0: [04:00:00 13/02/2018] el: 0 cg: RN cu: CSRU v1: Sedated st: NotStopd id: Pt./Family Informed t0: [04:00:00 13/02/2018] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Bowel Sounds t0: [04:00:00 13/02/2018] el: 0 cg: RN cu: CSRU v1: Absent st: NotStopd
id: Service Type t0: [04:15:00 13/02/2018] el: 0 cg: RN cu: CSRU v1: CCU st: NotStopd id: Code Status t0: [04:15:00 13/02/2018] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [04:15:00 13/02/2018] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Heart Rate t0: [04:15:00 13/02/2018] el: 0 cg: RN cu: CSRU v1: 105 n1: 105 u1: BPM st: NotStopd id: Heart Rhythm t0: [04:15:00 13/02/2018] el: 0 cg: RN cu: CSRU v1: Atrial Fib st: NotStopd id: Arterial BP t0: [04:15:00 13/02/2018] el: 0 cg: RN cu: CSRU v1: 110 n1: 110 u1: mmHg v2: 64 n2: 64 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [04:15:00 13/02/2018] el: 0 cg: RN cu: CSRU v1: 75 n1: 75 u1: mmHg st: NotStopd id: Precautions t0: [04:15:00 13/02/2018] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [04:15:00 13/02/2018] el: 0 cg: RN cu: CSRU v1: 85 n1: 85 u1: mmHg v2: 145 n2: 145 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [04:15:00 13/02/2018] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [04:15:00 13/02/2018] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: Previous WeightF t0: [04:15:00 13/02/2018] el: 0 cg: RN cu: CSRU v1: 81 n1: 81 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [04:15:00 13/02/2018] el: 0 cg: RN cu: CSRU v1: 92 n1: 92 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [04:15:00 13/02/2018] el: 0 cg: RN cu: CSRU v1: 16 n1: 16 u1: BPM st: NotStopd id: SpO2 t0: [04:15:00 13/02/2018] el: 0 cg: RN cu: CSRU v1: 95 n1: 95 u1: % st: NotStopd id: calprevflg t0: [04:15:00 13/02/2018] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: Fentanyl t0: [04:15:00 13/02/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 50 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Levophed-k t0: [04:15:00 13/02/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 0.12 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip id: Ativan t0: [04:15:00 13/02/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 6 du: mghr so: D5W sv: 400 su: ml rt: IV Drip id: Dobutamine t0: [04:15:00 13/02/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 2.5 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip id: Insulin t0: [04:15:00 13/02/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 2 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: WBC (4-11,000) t0: [03:37:00 13/02/2018] el: 0 cg: 1663 cu: CSRU v1: 14 n1: 14 rs: Final st: NotStopd id: WBC t0: [03:37:00 13/02/2018] el: 0 cg: 1663 cu: CSRU v1: 14 n1: 14 rs: Final st: NotStopd id: Hematocrit t0: [03:37:00 13/02/2018] el: 0 cg: 1663 cu: CSRU v1: 36.3 n1: 36.3 u1: % rs: Final st: NotStopd id: Hemoglobin t0: [03:37:00 13/02/2018] el: 0 cg: 1663 cu: CSRU v1: 12.8 n1: 12.8 u1: gm/dl rs: Final st: NotStopd id: Platelets t0: [03:37:00 13/02/2018] el: 0 cg: 1663 cu: CSRU v1: 323 n1: 323 rs: Final st: NotStopd id: RBC t0: [03:37:00 13/02/2018] el: 0 cg: 1663 cu: CSRU v1: 4.21 n1: 4.21 u1: /mic l rs: Final st: NotStopd id: WBC (4-11,000) t0: [03:37:00 13/02/2018] el: 0 cg: 1663 cu: CSRU v1: 14 n1: 14 rs: Final st: NotStopd
id: Compliance (40-60ml) t0: [04:00:00 13/02/2018] el: 0 cg: RRT cu: CSRU v1: 36.6667 n1: 36.6667 u1: ml/cmH st: NotStopd id: RSBI Not Completed t0: [04:00:00 13/02/2018] el: 0 cg: RRT cu: CSRU v1: Isch/Arrhythmia st: NotStopd id: ETT Mark/Location t0: [04:00:00 13/02/2018] el: 0 cg: RRT cu: CSRU v1: 24cm v2: Lip st: NotStopd id: FiO2 Set t0: [04:00:00 13/02/2018] el: 0 cg: RRT cu: CSRU v1: 0.6 n1: 0.6 u1: torr st: NotStopd id: High Insp. Pressure t0: [04:00:00 13/02/2018] el: 0 cg: RRT cu: CSRU v1: 40 n1: 40 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [04:00:00 13/02/2018] el: 0 cg: RRT cu: CSRU v1: 20 n1: 20 u1: BPM st: NotStopd id: I:E Ratio t0: [04:00:00 13/02/2018] el: 0 cg: RRT cu: CSRU v1: 1:3.3 st: NotStopd id: Airway Size t0: [04:00:00 13/02/2018] el: 0 cg: RRT cu: CSRU v1: 8.0 mm st: NotStopd id: Airway Type t0: [04:00:00 13/02/2018] el: 0 cg: RRT cu: CSRU v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [04:00:00 13/02/2018] el: 0 cg: RRT cu: CSRU u1: Deg. C st: NotStopd id: Intubation Date t0: [04:00:00 13/02/2018] el: 0 cg: RRT cu: CSRU v1: 1 n1: 1 v2: 8 n2: 8 st: NotStopd id: Low Exhaled Min Vol t0: [04:00:00 13/02/2018] el: 0 cg: RRT cu: CSRU v1: 4 n1: 4 st: NotStopd id: Mean Airway Pressure t0: [04:00:00 13/02/2018] el: 0 cg: RRT cu: CSRU v1: 8 n1: 8 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [04:00:00 13/02/2018] el: 0 cg: RRT cu: CSRU v1: 8 n1: 8 u1: L/min st: NotStopd id: PEEP Set t0: [04:00:00 13/02/2018] el: 0 cg: RRT cu: CSRU v1: 5 n1: 5 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [04:00:00 13/02/2018] el: 0 cg: RRT cu: CSRU v1: 20 n1: 20 st: NotStopd id: Peak Insp. Pressure t0: [04:00:00 13/02/2018] el: 0 cg: RRT cu: CSRU v1: 20 n1: 20 u1: cmH2O st: NotStopd id: Plateau Pressure t0: [04:00:00 13/02/2018] el: 0 cg: RRT cu: CSRU v1: 18 n1: 18 u1: cmH2O st: NotStopd id: Resp Rate (Spont) t0: [04:00:00 13/02/2018] el: 0 cg: RRT cu: CSRU v1: 1 n1: 1 u1: BPM st: NotStopd id: Resp Rate (Total) t0: [04:00:00 13/02/2018] el: 0 cg: RRT cu: CSRU v1: 15 n1: 15 u1: BPM st: NotStopd id: Respiratory Rate Set t0: [04:00:00 13/02/2018] el: 0 cg: RRT cu: CSRU v1: 14 n1: 14 u1: BPM st: NotStopd id: Ve High t0: [04:00:00 13/02/2018] el: 0 cg: RRT cu: CSRU v1: 18 n1: 18 st: NotStopd id: Sensitivity-Vent t0: [04:00:00 13/02/2018] el: 0 cg: RRT cu: CSRU v1: 2 n1: 2 u1: cmH2O st: NotStopd id: Tidal Volume (Obser) t0: [04:00:00 13/02/2018] el: 0 cg: RRT cu: CSRU v1: 548 n1: 548 u1: ml/B st: NotStopd id: Tidal Volume (Set) t0: [04:00:00 13/02/2018] el: 0 cg: RRT cu: CSRU v1: 550 n1: 550 u1: ml/B st: NotStopd id: Ventilator Mode t0: [04:00:00 13/02/2018] el: 0 cg: RRT cu: CSRU v1: Assist Control st: NotStopd id: Ventilator Type t0: [04:00:00 13/02/2018] el: 0 cg: RRT cu: CSRU v1: Drager st: NotStopd id: Waveform-Vent t0: [04:00:00 13/02/2018] el: 0 cg: RRT cu: CSRU v1: RAMP st: NotStopd
id: BUN t0: [03:37:00 13/02/2018] el: 0 cg: 1663 cu: CSRU v1: 34 n1: 34 rs: Final st: NotStopd id: Calcium t0: [03:37:00 13/02/2018] el: 0 cg: 1663 cu: CSRU v1: 7.8 n1: 7.8 u1: mg/dl rs: Final st: NotStopd id: Chloride t0: [03:37:00 13/02/2018] el: 0 cg: 1663 cu: CSRU v1: 104 n1: 104 rs: Final st: NotStopd id: Creatinine t0: [03:37:00 13/02/2018] el: 0 cg: 1663 cu: CSRU v1: 1.8 n1: 1.8 rs: Final st: NotStopd id: Glucose t0: [03:37:00 13/02/2018] el: 0 cg: 1663 cu: CSRU v1: 78 n1: 78 rs: Final st: NotStopd id: Magnesium t0: [03:37:00 13/02/2018] el: 0 cg: 1663 cu: CSRU v1: 2 n1: 2 rs: Final st: NotStopd id: Phosphorous t0: [03:37:00 13/02/2018] el: 0 cg: 1663 cu: CSRU v1: 5.8 n1: 5.8 u1: mEq/L rs: Final st: NotStopd id: Potassium t0: [03:37:00 13/02/2018] el: 0 cg: 1663 cu: CSRU v1: 3.5 n1: 3.5 rs: Final st: NotStopd id: Sodium t0: [03:37:00 13/02/2018] el: 0 cg: 1663 cu: CSRU v1: 140 n1: 140 rs: Final st: NotStopd id: Total Bili t0: [03:37:00 13/02/2018] el: 0 cg: 1663 cu: CSRU v1: 1.2 n1: 1.2 rs: Final st: NotStopd id: BUN (6-20) t0: [03:37:00 13/02/2018] el: 0 cg: 1663 cu: CSRU v1: 34 n1: 34 rs: Final st: NotStopd id: Calcium (8.4-10.2) t0: [03:37:00 13/02/2018] el: 0 cg: 1663 cu: CSRU v1: 7.8 n1: 7.8 u1: mg/dl rs: Final st: NotStopd id: Carbon Dioxide t0: [03:37:00 13/02/2018] el: 0 cg: 1663 cu: CSRU v1: 24 n1: 24 rs: Final st: NotStopd id: Chloride (100-112) t0: [03:37:00 13/02/2018] el: 0 cg: 1663 cu: CSRU v1: 104 n1: 104 rs: Final st: NotStopd id: Creatinine (0-1.3) t0: [03:37:00 13/02/2018] el: 0 cg: 1663 cu: CSRU v1: 1.8 n1: 1.8 rs: Final st: NotStopd id: Glucose (70-105) t0: [03:37:00 13/02/2018] el: 0 cg: 1663 cu: CSRU v1: 78 n1: 78 rs: Final st: NotStopd id: Magnesium (1.6-2.6) t0: [03:37:00 13/02/2018] el: 0 cg: 1663 cu: CSRU v1: 2 n1: 2 rs: Final st: NotStopd id: Phosphorous(2.7-4.5) t0: [03:37:00 13/02/2018] el: 0 cg: 1663 cu: CSRU v1: 5.8 n1: 5.8 u1: mEq/L rs: Final st: NotStopd id: Potassium (3.5-5.3) t0: [03:37:00 13/02/2018] el: 0 cg: 1663 cu: CSRU v1: 3.5 n1: 3.5 rs: Final st: NotStopd id: Sodium (135-148) t0: [03:37:00 13/02/2018] el: 0 cg: 1663 cu: CSRU v1: 140 n1: 140 rs: Final st: NotStopd
id: Art.pH t0: [04:44:00 13/02/2018] el: 0 cg: 1663 cu: CSRU v1: 7.42 n1: 7.42 rs: Final st: NotStopd id: Arterial Base Excess t0: [04:44:00 13/02/2018] el: 0 cg: 1663 cu: CSRU v1: 0 n1: 0 rs: Final st: NotStopd id: Arterial CO2(Calc) t0: [04:44:00 13/02/2018] el: 0 cg: 1663 cu: CSRU v1: 25 n1: 25 rs: Final st: NotStopd id: Arterial PaCO2 t0: [04:44:00 13/02/2018] el: 0 cg: 1663 cu: CSRU v1: 37 n1: 37 u1: mmHg rs: Final st: NotStopd id: Arterial PaO2 t0: [04:44:00 13/02/2018] el: 0 cg: 1663 cu: CSRU v1: 94 n1: 94 u1: mmHg rs: Final st: NotStopd id: Arterial pH t0: [04:44:00 13/02/2018] el: 0 cg: 1663 cu: CSRU v1: 7.42 n1: 7.42 rs: Final st: NotStopd
id: CaO2 t0: [04:44:00 13/02/2018] el: 0 cg: 1663 cu: CSRU v1: 16.7573 n1: 16.7573 u1: ml/dl st: NotStopd id: PT t0: [03:37:00 13/02/2018] el: 0 cg: 1663 cu: CSRU v1: 40.6 n1: 40.6 rs: Final st: NotStopd id: Glucose t0: [04:44:00 13/02/2018] el: 0 cg: 1663 cu: CSRU v1: 59 n1: 59 rs: Final st: NotStopd id: INR t0: [03:37:00 13/02/2018] el: 0 cg: 1663 cu: CSRU v1: 4.6 n1: 4.6 rs: Final st: NotStopd id: PTT t0: [03:37:00 13/02/2018] el: 0 cg: 1663 cu: CSRU v1: 34.5 n1: 34.5 rs: Final st: NotStopd id: Glucose (70-105) t0: [04:44:00 13/02/2018] el: 0 cg: 1663 cu: CSRU v1: 59 n1: 59 rs: Final st: NotStopd id: INR (2-4 ref. range) t0: [03:37:00 13/02/2018] el: 0 cg: 1663 cu: CSRU v1: 4.6 n1: 4.6 rs: Final st: NotStopd id: PT(11-13.5) t0: [03:37:00 13/02/2018] el: 0 cg: 1663 cu: CSRU v1: 40.6 n1: 40.6 rs: Final st: NotStopd id: PTT(22-35) t0: [03:37:00 13/02/2018] el: 0 cg: 1663 cu: CSRU v1: 34.5 n1: 34.5 rs: Final st: NotStopd id: SaO2 t0: [04:44:00 13/02/2018] el: 0 cg: 1663 cu: CSRU v1: 96 n1: 96 u1: % rs: Final st: NotStopd
id: ALT t0: [03:37:00 13/02/2018] el: 0 cg: 1663 cu: CSRU v1: 3950 n1: 3950 rs: Final st: NotStopd
id: Service Type t0: [05:00:00 13/02/2018] el: 0 cg: RN cu: CSRU v1: CCU st: NotStopd id: Code Status t0: [05:00:00 13/02/2018] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [05:00:00 13/02/2018] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [05:00:00 13/02/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [05:00:00 13/02/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Heart Rate t0: [05:00:00 13/02/2018] el: 0 cg: RN cu: CSRU v1: 105 n1: 105 u1: BPM st: NotStopd id: Heart Rhythm t0: [05:00:00 13/02/2018] el: 0 cg: RN cu: CSRU v1: Atrial Fib st: NotStopd id: Arterial BP t0: [05:00:00 13/02/2018] el: 0 cg: RN cu: CSRU v1: 104 n1: 104 u1: mmHg v2: 62 n2: 62 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [05:00:00 13/02/2018] el: 0 cg: RN cu: CSRU v1: 73 n1: 73 u1: mmHg st: NotStopd id: Precautions t0: [05:00:00 13/02/2018] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [05:00:00 13/02/2018] el: 0 cg: RN cu: CSRU v1: 85 n1: 85 u1: mmHg v2: 145 n2: 145 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [05:00:00 13/02/2018] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [05:00:00 13/02/2018] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: Previous WeightF t0: [05:00:00 13/02/2018] el: 0 cg: RN cu: CSRU v1: 81 n1: 81 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [05:00:00 13/02/2018] el: 0 cg: RN cu: CSRU v1: 92 n1: 92 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [05:00:00 13/02/2018] el: 0 cg: RN cu: CSRU v1: 14 n1: 14 u1: BPM st: NotStopd id: SpO2 t0: [05:00:00 13/02/2018] el: 0 cg: RN cu: CSRU v1: 94 n1: 94 u1: % st: NotStopd id: calprevflg t0: [05:00:00 13/02/2018] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [05:00:00 13/02/2018] el: 1 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: D5W 400.0ml + 40mghr Ativan t0: [05:00:00 13/02/2018] el: 1 ai: 153 cg: RN cu: CSRU vo: 60 vu: ml id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [05:00:00 13/02/2018] el: 1 ai: 209 cg: RN cu: CSRU vo: 2 vu: ml st: Stopped id: D5W 250.0ml + 250mcgkgmin Dobutamine t0: [05:00:00 13/02/2018] el: 1 ai: 168 cg: RN cu: CSRU vo: 12.15 vu: ml id: D5W 250.0ml + 8mcgkgmin Levophed-k t0: [05:00:00 13/02/2018] el: 1 ai: 416 cg: RN cu: CSRU vo: 19.3641 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [05:00:00 13/02/2018] el: 1 ai: 115 cg: RN cu: CSRU vo: 5 vu: ml id: Urine Out Foley t0: [05:00:00 13/02/2018] el: 1 cg: RN cu: CSRU vo: 190 vu: ml id: Gastric Oral Gastric t0: [05:00:00 13/02/2018] el: 1 cg: RN cu: CSRU vo: 200 vu: ml
id: Fentanyl t0: [05:00:00 13/02/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 50 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Levophed-k t0: [05:00:00 13/02/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 0.12 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip id: Ativan t0: [05:00:00 13/02/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 6 du: mghr so: D5W sv: 400 su: ml rt: IV Drip id: Dobutamine t0: [05:00:00 13/02/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 2.5 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip id: Insulin t0: [05:00:00 13/02/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 0 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip st: Stopped
id: Gastric Out Total t0: [23:00:00 13/02/2018] el: 2 cg: RN cu: CSRU cv: 300 ac: 24 ap: none re: 0
pi: 4404343 hi: 28366 t0: [06:00:00 13/02/2018] tf: [05:00:00 14/02/2018] mn: Potassium Chloride pt: Unit Dose st: Expired rt: PO fr: ONCE ds: 6 dn: 1 dt: 1 di: Doses xv: 36 xu: Hours pi: 4404344 hi: 28366 t0: [06:00:00 13/02/2018] tf: [05:00:00 14/02/2018] mn: Dextrose 50% pt: Unit Dose st: Expired rt: IV fr: ONCE ds: 6 dn: 1 dt: 1 di: Doses xv: 36 xu: Hours
id: Service Type t0: [05:10:00 13/02/2018] el: 0 cg: RN cu: CSRU v1: CCU st: NotStopd id: Code Status t0: [05:10:00 13/02/2018] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [05:10:00 13/02/2018] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Heart Rate t0: [05:10:00 13/02/2018] el: 0 cg: RN cu: CSRU v1: 102 n1: 102 u1: BPM st: NotStopd id: Arterial BP t0: [05:10:00 13/02/2018] el: 0 cg: RN cu: CSRU v1: 114 n1: 114 u1: mmHg v2: 66 n2: 66 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [05:10:00 13/02/2018] el: 0 cg: RN cu: CSRU v1: 78 n1: 78 u1: mmHg st: NotStopd id: Precautions t0: [05:10:00 13/02/2018] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [05:10:00 13/02/2018] el: 0 cg: RN cu: CSRU v1: 85 n1: 85 u1: mmHg v2: 145 n2: 145 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [05:10:00 13/02/2018] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [05:10:00 13/02/2018] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: Previous WeightF t0: [05:10:00 13/02/2018] el: 0 cg: RN cu: CSRU v1: 81 n1: 81 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [05:10:00 13/02/2018] el: 0 cg: RN cu: CSRU v1: 92 n1: 92 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [05:10:00 13/02/2018] el: 0 cg: RN cu: CSRU v1: 16 n1: 16 u1: BPM st: NotStopd id: calprevflg t0: [05:10:00 13/02/2018] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: Fentanyl t0: [05:10:00 13/02/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 50 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Levophed-k t0: [05:10:00 13/02/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 0.12 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip id: Ativan t0: [05:10:00 13/02/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 6 du: mghr so: D5W sv: 400 su: ml rt: IV Drip id: Dobutamine t0: [05:10:00 13/02/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 2.5 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip
id: Service Type t0: [06:00:00 13/02/2018] el: 0 cg: RN cu: CSRU v1: CCU st: NotStopd id: Code Status t0: [06:00:00 13/02/2018] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [06:00:00 13/02/2018] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Glucose t0: [06:00:00 13/02/2018] el: 0 cg: RN cu: CSRU v1: 109 n1: 109 rs: Manual st: NotStopd id: Ectopy Type t0: [06:00:00 13/02/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Heart Rate t0: [06:00:00 13/02/2018] el: 0 cg: RN cu: CSRU v1: 108 n1: 108 u1: BPM st: NotStopd id: Heart Rhythm t0: [06:00:00 13/02/2018] el: 0 cg: RN cu: CSRU v1: Atrial Fib st: NotStopd id: Oral Care t0: [06:00:00 13/02/2018] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Arterial BP t0: [06:00:00 13/02/2018] el: 0 cg: RN cu: CSRU v1: 111 n1: 111 u1: mmHg v2: 65 n2: 65 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [06:00:00 13/02/2018] el: 0 cg: RN cu: CSRU v1: 77 n1: 77 u1: mmHg st: NotStopd id: Precautions t0: [06:00:00 13/02/2018] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [06:00:00 13/02/2018] el: 0 cg: RN cu: CSRU v1: 85 n1: 85 u1: mmHg v2: 145 n2: 145 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [06:00:00 13/02/2018] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [06:00:00 13/02/2018] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: Previous WeightF t0: [06:00:00 13/02/2018] el: 0 cg: RN cu: CSRU v1: 81 n1: 81 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [06:00:00 13/02/2018] el: 0 cg: RN cu: CSRU v1: 92 n1: 92 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [06:00:00 13/02/2018] el: 0 cg: RN cu: CSRU v1: 14 n1: 14 u1: BPM st: NotStopd id: SpO2 t0: [06:00:00 13/02/2018] el: 0 cg: RN cu: CSRU v1: 97 n1: 97 u1: % st: NotStopd id: Temp. Site t0: [06:00:00 13/02/2018] el: 0 cg: RN cu: CSRU v1: Oral st: NotStopd id: Temperature C (calc) t0: [06:00:00 13/02/2018] el: 0 cg: RN cu: CSRU v1: 35.8889 n1: 35.8889 u1: Deg. C st: NotStopd id: Temperature F t0: [06:00:00 13/02/2018] el: 0 cg: RN cu: CSRU v1: 96.6 n1: 96.6 u1: Deg. F st: NotStopd id: calprevflg t0: [06:00:00 13/02/2018] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Glucose (70-105) t0: [06:00:00 13/02/2018] el: 0 cg: RN cu: CSRU v1: 109 n1: 109 rs: Manual st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [06:00:00 13/02/2018] el: 1 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: D5W 400.0ml + 40mghr Ativan t0: [06:00:00 13/02/2018] el: 1 ai: 153 cg: RN cu: CSRU vo: 60 vu: ml id: D5W 250.0ml + 250mcgkgmin Dobutamine t0: [06:00:00 13/02/2018] el: 1 ai: 168 cg: RN cu: CSRU vo: 12.15 vu: ml id: D5W 250.0ml + 8mcgkgmin Levophed-k t0: [06:00:00 13/02/2018] el: 1 ai: 416 cg: RN cu: CSRU vo: 18.225 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [06:00:00 13/02/2018] el: 1 ai: 115 cg: RN cu: CSRU vo: 5 vu: ml id: Urine Out Foley t0: [06:00:00 13/02/2018] el: 1 cg: RN cu: CSRU vo: 140 vu: ml
id: Fentanyl t0: [06:00:00 13/02/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 50 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Levophed-k t0: [06:00:00 13/02/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 0.1 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip id: Ativan t0: [06:00:00 13/02/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 6 du: mghr so: D5W sv: 400 su: ml rt: IV Drip id: Dobutamine t0: [06:00:00 13/02/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 2.5 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip
id: Less Restrict Meas. t0: [06:00:00 13/02/2018] el: 0 cg: RN cu: CSRU v1: Medicated st: NotStopd id: Range of Motion t0: [06:00:00 13/02/2018] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Service Type t0: [07:00:00 13/02/2018] el: 0 cg: RN cu: CSRU v1: CCU st: NotStopd id: Circulation/SkinInt t0: [06:00:00 13/02/2018] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Code Status t0: [07:00:00 13/02/2018] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [07:00:00 13/02/2018] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Glucose t0: [07:00:00 13/02/2018] el: 0 cg: RN cu: CSRU v1: 132 n1: 132 rs: Manual st: NotStopd id: Ectopy Frequency t0: [07:00:00 13/02/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [07:00:00 13/02/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Heart Rate t0: [07:00:00 13/02/2018] el: 0 cg: RN cu: CSRU v1: 106 n1: 106 u1: BPM st: NotStopd id: Heart Rhythm t0: [07:00:00 13/02/2018] el: 0 cg: RN cu: CSRU v1: Atrial Fib st: NotStopd id: Arterial BP t0: [07:00:00 13/02/2018] el: 0 cg: RN cu: CSRU v1: 102 n1: 102 u1: mmHg v2: 61 n2: 61 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [07:00:00 13/02/2018] el: 0 cg: RN cu: CSRU v1: 72 n1: 72 u1: mmHg st: NotStopd id: Position Change t0: [06:00:00 13/02/2018] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Precautions t0: [07:00:00 13/02/2018] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [07:00:00 13/02/2018] el: 0 cg: RN cu: CSRU v1: 85 n1: 85 u1: mmHg v2: 145 n2: 145 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [07:00:00 13/02/2018] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [07:00:00 13/02/2018] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: Previous WeightF t0: [07:00:00 13/02/2018] el: 0 cg: RN cu: CSRU v1: 81 n1: 81 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [07:00:00 13/02/2018] el: 0 cg: RN cu: CSRU v1: 92 n1: 92 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Reason For Restraint t0: [06:00:00 13/02/2018] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [06:00:00 13/02/2018] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Respiratory Rate t0: [07:00:00 13/02/2018] el: 0 cg: RN cu: CSRU v1: 14 n1: 14 u1: BPM st: NotStopd id: Restraint Location t0: [06:00:00 13/02/2018] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Type t0: [06:00:00 13/02/2018] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [06:00:00 13/02/2018] el: 0 cg: RN cu: CSRU v1: Behavior Conts st: NotStopd id: Side Rails t0: [06:00:00 13/02/2018] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: SpO2 t0: [07:00:00 13/02/2018] el: 0 cg: RN cu: CSRU v1: 97 n1: 97 u1: % st: NotStopd id: Support Systems t0: [06:00:00 13/02/2018] el: 0 cg: RN cu: CSRU v1: Relative st: NotStopd id: calprevflg t0: [07:00:00 13/02/2018] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Pt./Family Informed t0: [06:00:00 13/02/2018] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Glucose (70-105) t0: [07:00:00 13/02/2018] el: 0 cg: RN cu: CSRU v1: 132 n1: 132 rs: Manual st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [07:00:00 13/02/2018] el: 1 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: D5W 400.0ml + 40mghr Ativan t0: [07:00:00 13/02/2018] el: 1 ai: 153 cg: RN cu: CSRU vo: 60 vu: ml id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [07:00:00 13/02/2018] el: 1 ai: 209 cg: RN cu: CSRU vo: 0 vu: ml st: Restart id: D5W 250.0ml + 250mcgkgmin Dobutamine t0: [07:00:00 13/02/2018] el: 1 ai: 168 cg: RN cu: CSRU vo: 12.15 vu: ml id: D5W 250.0ml + 8mcgkgmin Levophed-k t0: [07:00:00 13/02/2018] el: 1 ai: 416 cg: RN cu: CSRU vo: 15.1875 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [07:00:00 13/02/2018] el: 1 ai: 115 cg: RN cu: CSRU vo: 5 vu: ml id: Urine Out Foley t0: [07:00:00 13/02/2018] el: 1 cg: RN cu: CSRU vo: 150 vu: ml
id: Fentanyl t0: [07:00:00 13/02/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 50 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Levophed-k t0: [07:00:00 13/02/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 0.1 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip id: Ativan t0: [07:00:00 13/02/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 6 du: mghr so: D5W sv: 400 su: ml rt: IV Drip id: Dobutamine t0: [07:00:00 13/02/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 2.5 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip id: Insulin t0: [07:00:00 13/02/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 2 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: Compliance (40-60ml) t0: [07:00:00 13/02/2018] el: 0 cg: RRT cu: CSRU v1: 32.3529 n1: 32.3529 u1: ml/cmH st: NotStopd id: ETT Mark/Location t0: [07:00:00 13/02/2018] el: 0 cg: RRT cu: CSRU v1: 24cm v2: Lip st: NotStopd id: FiO2 Set t0: [07:00:00 13/02/2018] el: 0 cg: RRT cu: CSRU v1: 0.6 n1: 0.6 u1: torr st: NotStopd id: High Insp. Pressure t0: [07:00:00 13/02/2018] el: 0 cg: RRT cu: CSRU v1: 40 n1: 40 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [07:00:00 13/02/2018] el: 0 cg: RRT cu: CSRU v1: 20 n1: 20 u1: BPM st: NotStopd id: I:E Ratio t0: [07:00:00 13/02/2018] el: 0 cg: RRT cu: CSRU v1: 1:3.3 st: NotStopd id: Airway Size t0: [07:00:00 13/02/2018] el: 0 cg: RRT cu: CSRU v1: 8.0 mm st: NotStopd id: Airway Type t0: [07:00:00 13/02/2018] el: 0 cg: RRT cu: CSRU v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [07:00:00 13/02/2018] el: 0 cg: RRT cu: CSRU u1: Deg. C st: NotStopd id: Intubation Date t0: [07:00:00 13/02/2018] el: 0 cg: RRT cu: CSRU v1: 1 n1: 1 v2: 8 n2: 8 st: NotStopd id: Low Exhaled Min Vol t0: [07:00:00 13/02/2018] el: 0 cg: RRT cu: CSRU v1: 4 n1: 4 st: NotStopd id: Mean Airway Pressure t0: [07:00:00 13/02/2018] el: 0 cg: RRT cu: CSRU v1: 10 n1: 10 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [07:00:00 13/02/2018] el: 0 cg: RRT cu: CSRU v1: 7.46 n1: 7.46 u1: L/min st: NotStopd id: PEEP Set t0: [07:00:00 13/02/2018] el: 0 cg: RRT cu: CSRU v1: 5 n1: 5 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [07:00:00 13/02/2018] el: 0 cg: RRT cu: CSRU v1: 20 n1: 20 st: NotStopd id: Peak Insp. Pressure t0: [07:00:00 13/02/2018] el: 0 cg: RRT cu: CSRU v1: 22 n1: 22 u1: cmH2O st: NotStopd id: Plateau Pressure t0: [07:00:00 13/02/2018] el: 0 cg: RRT cu: CSRU v1: 18 n1: 18 u1: cmH2O st: NotStopd id: Resp Rate (Spont) t0: [07:00:00 13/02/2018] el: 0 cg: RRT cu: CSRU v1: 0 n1: 0 u1: BPM st: NotStopd id: Resp Rate (Total) t0: [07:00:00 13/02/2018] el: 0 cg: RRT cu: CSRU v1: 14 n1: 14 u1: BPM st: NotStopd id: Respiratory Rate Set t0: [07:00:00 13/02/2018] el: 0 cg: RRT cu: CSRU v1: 14 n1: 14 u1: BPM st: NotStopd id: Tank A psi. t0: [07:00:00 13/02/2018] el: 0 cg: RRT cu: CSRU v1: 1500 n1: 1500 st: NotStopd id: Tank B psi. t0: [07:00:00 13/02/2018] el: 0 cg: RRT cu: CSRU v1: 3000 n1: 3000 st: NotStopd id: Ve High t0: [07:00:00 13/02/2018] el: 0 cg: RRT cu: CSRU v1: 18 n1: 18 st: NotStopd id: Sensitivity-Vent t0: [07:00:00 13/02/2018] el: 0 cg: RRT cu: CSRU v1: 2 n1: 2 u1: cmH2O st: NotStopd id: Sputum Color/Consist t0: [07:00:00 13/02/2018] el: 0 cg: RRT cu: CSRU v1: Yellow v2: Thick st: NotStopd id: Sputum Source/Amt t0: [07:00:00 13/02/2018] el: 0 cg: RRT cu: CSRU v1: Suctioned v2: Small st: NotStopd id: Tidal Volume (Obser) t0: [07:00:00 13/02/2018] el: 0 cg: RRT cu: CSRU v1: 540 n1: 540 u1: ml/B st: NotStopd id: Tidal Volume (Set) t0: [07:00:00 13/02/2018] el: 0 cg: RRT cu: CSRU v1: 550 n1: 550 u1: ml/B st: NotStopd id: Ventilator Mode t0: [07:00:00 13/02/2018] el: 0 cg: RRT cu: CSRU v1: Assist Control st: NotStopd id: Ventilator Type t0: [07:00:00 13/02/2018] el: 0 cg: RRT cu: CSRU v1: Drager st: NotStopd id: Waveform-Vent t0: [07:00:00 13/02/2018] el: 0 cg: RRT cu: CSRU v1: RAMP st: NotStopd
id: Less Restrict Meas. t0: [08:00:00 13/02/2018] el: 0 cg: RN cu: CSRU v1: Medicated st: NotStopd id: Pain Present t0: [08:00:00 13/02/2018] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Range of Motion t0: [08:00:00 13/02/2018] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Pain Assess Method t0: [08:00:00 13/02/2018] el: 0 cg: RN cu: CSRU v1: Change in Vitals st: NotStopd id: Service Type t0: [08:00:00 13/02/2018] el: 0 cg: RN cu: CSRU v1: CCU st: NotStopd id: Circulation/SkinInt t0: [08:00:00 13/02/2018] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Code Status t0: [08:00:00 13/02/2018] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [08:00:00 13/02/2018] el: 0 cg: RN cu: CSRU v1: Sedated st: NotStopd id: GI Prophylaxis t0: [08:00:00 13/02/2018] el: 0 cg: RN cu: CSRU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [08:00:00 13/02/2018] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Diet Type t0: [08:00:00 13/02/2018] el: 0 cg: RN cu: CSRU v1: NPO st: NotStopd id: Dorsal PedPulse R/L t0: [08:00:00 13/02/2018] el: 0 cg: RN cu: CSRU v1: Weak Palpable v2: Weak Palpable st: NotStopd id: Ectopy Type t0: [08:00:00 13/02/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Education Barrier t0: [08:00:00 13/02/2018] el: 0 cg: RN cu: CSRU v1: Commun Barrier st: NotStopd id: Education Handout t0: [08:00:00 13/02/2018] el: 0 cg: RN cu: CSRU v1: Not Applicable st: NotStopd id: Education Learner t0: [08:00:00 13/02/2018] el: 0 cg: RN cu: CSRU v1: Patient st: NotStopd id: Education Method t0: [08:00:00 13/02/2018] el: 0 cg: RN cu: CSRU v1: Explanation st: NotStopd id: GI#1 Intub Site t0: [08:00:00 13/02/2018] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: Education Readiness t0: [08:00:00 13/02/2018] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Education Response t0: [08:00:00 13/02/2018] el: 0 cg: RN cu: CSRU v1: No Understanding st: NotStopd id: Education Topic #1 t0: [08:00:00 13/02/2018] el: 0 cg: RN cu: CSRU v1: Plan of Care st: NotStopd id: Eye Opening t0: [08:00:00 13/02/2018] el: 0 cg: RN cu: CSRU v1: 1 No Response st: NotStopd id: GCS Total t0: [08:00:00 13/02/2018] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: points st: NotStopd id: GI Intub #1/Site t0: [08:00:00 13/02/2018] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: GI#1 Tube PlaceCheck t0: [08:00:00 13/02/2018] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: GI#1 Tube Stat/Drain t0: [08:00:00 13/02/2018] el: 0 cg: RN cu: CSRU v1: Low Cont Suction v2: Bilious st: NotStopd id: Heart Rate t0: [08:00:00 13/02/2018] el: 0 cg: RN cu: CSRU v1: 104 n1: 104 u1: BPM st: NotStopd id: Heart Rhythm t0: [08:00:00 13/02/2018] el: 0 cg: RN cu: CSRU v1: Atrial Fib st: NotStopd id: INV Line#1 Type/Site t0: [08:00:00 13/02/2018] el: 0 cg: RN cu: CSRU v1: A-Line v2: Right Radial st: NotStopd id: INV Line#1 Zero/Cal t0: [08:00:00 13/02/2018] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: INV Line#1SiteAppear t0: [08:00:00 13/02/2018] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: INV Line#2 Type/Site t0: [08:00:00 13/02/2018] el: 0 cg: RN cu: CSRU v1: Introducer v2: Right IJ st: NotStopd id: INV Line#2SiteAppear t0: [08:00:00 13/02/2018] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: Abdominal Assessment t0: [08:00:00 13/02/2018] el: 0 cg: RN cu: CSRU v1: Soft st: NotStopd id: INV#1 WaveformAppear t0: [08:00:00 13/02/2018] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: IV #1 Insert Date t0: [08:00:00 13/02/2018] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 8 n2: 8 st: NotStopd id: IV #1 Site/Size t0: [08:00:00 13/02/2018] el: 0 cg: RN cu: CSRU v1: Right Wrist v2: 20 gauge st: NotStopd id: IV #2 Insert Date t0: [08:00:00 13/02/2018] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 8 n2: 8 st: NotStopd id: IV #2 Site/Size t0: [08:00:00 13/02/2018] el: 0 cg: RN cu: CSRU v1: RL Ant Forearm v2: 20 gauge st: NotStopd id: IV #3 Insert Date t0: [08:00:00 13/02/2018] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 8 n2: 8 st: NotStopd id: IV #3 Site/Size t0: [08:00:00 13/02/2018] el: 0 cg: RN cu: CSRU v1: LL Post Forearm v2: 18 gauge st: NotStopd id: IV Site Appear #1 t0: [08:00:00 13/02/2018] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: IV Site Appear #2 t0: [08:00:00 13/02/2018] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: IV Site Appear #3 t0: [08:00:00 13/02/2018] el: 0 cg: RN cu: CSRU v1: Erythematous st: NotStopd id: LLL Lung Sounds t0: [08:00:00 13/02/2018] el: 0 cg: RN cu: CSRU v1: Diminished st: NotStopd id: LUL Lung Sounds t0: [08:00:00 13/02/2018] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: Level of Conscious t0: [08:00:00 13/02/2018] el: 0 cg: RN cu: CSRU v1: Sedated st: NotStopd id: Motor Response t0: [08:00:00 13/02/2018] el: 0 cg: RN cu: CSRU v1: 4 Flex-withdraws st: NotStopd id: Nursing Consultation t0: [08:00:00 13/02/2018] el: 0 cg: RN cu: CSRU v1: C Surg RN st: NotStopd id: Oral Cavity t0: [08:00:00 13/02/2018] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [08:00:00 13/02/2018] el: 0 cg: RN cu: CSRU v1: Unable to Assess st: NotStopd id: Arterial BP t0: [08:00:00 13/02/2018] el: 0 cg: RN cu: CSRU v1: 98 n1: 98 u1: mmHg v2: 59 n2: 59 u2: mmHg st: NotStopd id: Pain Management t0: [08:00:00 13/02/2018] el: 1 cg: RN cu: CSRU v1: IV Gtt st: NotStopd id: Arterial BP Mean t0: [08:00:00 13/02/2018] el: 0 cg: RN cu: CSRU v1: 69 n1: 69 u1: mmHg st: NotStopd id: Position Change t0: [08:00:00 13/02/2018] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: PostTib. Pulses R/L t0: [08:00:00 13/02/2018] el: 0 cg: RN cu: CSRU v1: Weak Palpable v2: Weak Palpable st: NotStopd id: Precautions t0: [08:00:00 13/02/2018] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: INV#1 Dsg Change t0: [08:00:00 13/02/2018] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 8 n2: 8 st: NotStopd id: INV#2 Dsg Change t0: [08:00:00 13/02/2018] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 8 n2: 8 st: NotStopd id: ABP Alarm (Lo/Hi) t0: [08:00:00 13/02/2018] el: 0 cg: RN cu: CSRU v1: 85 n1: 85 u1: mmHg v2: 145 n2: 145 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [08:00:00 13/02/2018] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [08:00:00 13/02/2018] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: Previous WeightF t0: [08:00:00 13/02/2018] el: 0 cg: RN cu: CSRU v1: 81 n1: 81 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [08:00:00 13/02/2018] el: 0 cg: RN cu: CSRU v1: 92 n1: 92 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Pupil Response R/L t0: [08:00:00 13/02/2018] el: 0 cg: RN cu: CSRU v1: Brisk v2: Brisk st: NotStopd id: Pupil Size R/L t0: [08:00:00 13/02/2018] el: 0 cg: RN cu: CSRU v1: 2 mm v2: 2 mm st: NotStopd id: RLL Lung Sounds t0: [08:00:00 13/02/2018] el: 0 cg: RN cu: CSRU v1: Diminished st: NotStopd id: RUL Lung Sounds t0: [08:00:00 13/02/2018] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: Reason For Restraint t0: [08:00:00 13/02/2018] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [08:00:00 13/02/2018] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Respiratory Pattern t0: [08:00:00 13/02/2018] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Respiratory Rate t0: [08:00:00 13/02/2018] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: BPM st: NotStopd id: Restraint Location t0: [08:00:00 13/02/2018] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Type t0: [08:00:00 13/02/2018] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [08:00:00 13/02/2018] el: 0 cg: RN cu: CSRU v1: Behavior Conts st: NotStopd id: Side Rails t0: [08:00:00 13/02/2018] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Skin Integrity t0: [08:00:00 13/02/2018] el: 0 cg: RN cu: CSRU v1: Intact st: NotStopd id: SpO2 t0: [08:00:00 13/02/2018] el: 0 cg: RN cu: CSRU v1: 98 n1: 98 u1: % st: NotStopd id: Support Systems t0: [08:00:00 13/02/2018] el: 0 cg: RN cu: CSRU v1: Relative st: NotStopd id: INV#1 Cap Change t0: [08:00:00 13/02/2018] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 8 n2: 8 st: NotStopd id: INV#1 Tubing Change t0: [08:00:00 13/02/2018] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 8 n2: 8 st: NotStopd id: INV#2 Cap Change t0: [08:00:00 13/02/2018] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 8 n2: 8 st: NotStopd id: Temp. Site t0: [08:00:00 13/02/2018] el: 0 cg: RN cu: CSRU v1: Oral st: NotStopd id: Temperature C (calc) t0: [08:00:00 13/02/2018] el: 0 cg: RN cu: CSRU v1: 36.3889 n1: 36.3889 u1: Deg. C st: NotStopd id: Temperature F t0: [08:00:00 13/02/2018] el: 0 cg: RN cu: CSRU v1: 97.5 n1: 97.5 u1: Deg. F st: NotStopd id: Urine Color/Appear t0: [08:00:00 13/02/2018] el: 0 cg: RN cu: CSRU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [08:00:00 13/02/2018] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [08:00:00 13/02/2018] el: 0 cg: RN cu: CSRU v1: 1.0 ET/Trach st: NotStopd id: calprevflg t0: [08:00:00 13/02/2018] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Behavior t0: [08:00:00 13/02/2018] el: 0 cg: RN cu: CSRU v1: Sedated st: NotStopd id: Pt./Family Informed t0: [08:00:00 13/02/2018] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Bowel Sounds t0: [08:00:00 13/02/2018] el: 0 cg: RN cu: CSRU v1: Present st: NotStopd id: Braden Activity t0: [08:00:00 13/02/2018] el: 0 cg: RN cu: CSRU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [08:00:00 13/02/2018] el: 0 cg: RN cu: CSRU v1: Potential Prob st: NotStopd id: Braden Mobility t0: [08:00:00 13/02/2018] el: 0 cg: RN cu: CSRU v1: Comp. Immobile st: NotStopd id: Braden Moisture t0: [08:00:00 13/02/2018] el: 0 cg: RN cu: CSRU v1: Rarely Moist st: NotStopd id: Braden Nutrition t0: [08:00:00 13/02/2018] el: 0 cg: RN cu: CSRU v1: Prob. Inadequate st: NotStopd id: Braden Score t0: [08:00:00 13/02/2018] el: 0 cg: RN cu: CSRU v1: 14 n1: 14 u1: number st: NotStopd id: Braden SensoryPercep t0: [08:00:00 13/02/2018] el: 0 cg: RN cu: CSRU v1: No Impairment st: NotStopd
id: Po Intake t0: [08:00:00 13/02/2018] el: 1 ai: 103 cg: RN cu: CSRU vo: 60 vu: ml id: .9% Normal Saline 1000.0ml t0: [08:00:00 13/02/2018] el: 1 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: D5W 400.0ml + 40mghr Ativan t0: [08:00:00 13/02/2018] el: 1 ai: 153 cg: RN cu: CSRU vo: 60 vu: ml id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [08:00:00 13/02/2018] el: 1 ai: 209 cg: RN cu: CSRU vo: 2 vu: ml id: D5W 250.0ml + 250mcgkgmin Dobutamine t0: [08:00:00 13/02/2018] el: 1 ai: 168 cg: RN cu: CSRU vo: 12.15 vu: ml id: D5W 250.0ml + 8mcgkgmin Levophed-k t0: [08:00:00 13/02/2018] el: 1 ai: 416 cg: RN cu: CSRU vo: 15.1875 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [08:00:00 13/02/2018] el: 1 ai: 115 cg: RN cu: CSRU vo: 5 vu: ml id: Urine Out Foley t0: [08:00:00 13/02/2018] el: 1 cg: RN cu: CSRU vo: 135 vu: ml
id: Fentanyl t0: [08:00:00 13/02/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 50 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Levophed-k t0: [08:00:00 13/02/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 0.1 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip id: Ativan t0: [08:00:00 13/02/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 6 du: mghr so: D5W sv: 400 su: ml rt: IV Drip id: Dobutamine t0: [08:00:00 13/02/2018] el: 1 cg: RN cu: CSRU vo: 0 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip st: Stopped id: Insulin t0: [08:00:00 13/02/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 2 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: PO/Gastric In Total t0: [23:00:00 13/02/2018] el: 2 cg: RN cu: CSRU cv: 120 ac: 24 ap: none re: 0
pi: 4404695 hi: 28366 t0: [09:00:00 13/02/2018] tf: [08:00:00 14/02/2018] mn: Calcium Gluconate pt: Unit Dose st: Expired rt: IV fr: ONCE ds: 9 dn: 1 dt: 1 di: Doses xv: 36 xu: Hours
id: Art.pH t0: [08:05:00 13/02/2018] el: 0 cg: 1663 cu: CSRU v1: 7.42 n1: 7.42 rs: Final st: NotStopd id: CaO2 t0: [08:05:00 13/02/2018] el: 0 cg: 1663 cu: CSRU v1: 17.1872 n1: 17.1872 u1: ml/dl st: NotStopd id: Glucose t0: [08:05:00 13/02/2018] el: 0 cg: 1663 cu: CSRU v1: 117 n1: 117 rs: Final st: NotStopd id: Potassium t0: [08:05:00 13/02/2018] el: 0 cg: 1663 cu: CSRU v1: 3.7 n1: 3.7 rs: Final st: NotStopd id: Arterial Base Excess t0: [08:05:00 13/02/2018] el: 0 cg: 1663 cu: CSRU v1: 0 n1: 0 rs: Final st: NotStopd id: Arterial CO2(Calc) t0: [08:05:00 13/02/2018] el: 0 cg: 1663 cu: CSRU v1: 24 n1: 24 rs: Final st: NotStopd id: Arterial PaCO2 t0: [08:05:00 13/02/2018] el: 0 cg: 1663 cu: CSRU v1: 36 n1: 36 u1: mmHg rs: Final st: NotStopd id: Arterial PaO2 t0: [08:05:00 13/02/2018] el: 0 cg: 1663 cu: CSRU v1: 122 n1: 122 u1: mmHg rs: Final st: NotStopd id: Arterial pH t0: [08:05:00 13/02/2018] el: 0 cg: 1663 cu: CSRU v1: 7.42 n1: 7.42 rs: Final st: NotStopd id: Glucose (70-105) t0: [08:05:00 13/02/2018] el: 0 cg: 1663 cu: CSRU v1: 117 n1: 117 rs: Final st: NotStopd id: Ionized Calcium t0: [08:05:00 13/02/2018] el: 0 cg: 1663 cu: CSRU v1: 1.04 n1: 1.04 rs: Final st: NotStopd id: Potassium (3.5-5.3) t0: [08:05:00 13/02/2018] el: 0 cg: 1663 cu: CSRU v1: 3.7 n1: 3.7 rs: Final st: NotStopd id: SaO2 t0: [08:05:00 13/02/2018] el: 0 cg: 1663 cu: CSRU v1: 98 n1: 98 u1: % rs: Final st: NotStopd
ci: 37926 t0: [16:40:00 12/02/2018] cu: CSRU de: CSRU dt: 951
id: Service Type t0: [09:00:00 13/02/2018] el: 0 cg: RN cu: CSRU v1: CCU st: NotStopd id: Code Status t0: [09:00:00 13/02/2018] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [09:00:00 13/02/2018] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Type t0: [09:00:00 13/02/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Alarms t0: [08:00:00 13/02/2018] el: 0 cg: RN cu: CSRU v1: ON st: NotStopd id: Parameters Checked t0: [08:00:00 13/02/2018] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Heart Rate t0: [09:00:00 13/02/2018] el: 0 cg: RN cu: CSRU v1: 102 n1: 102 u1: BPM st: NotStopd id: Heart Rhythm t0: [09:00:00 13/02/2018] el: 0 cg: RN cu: CSRU v1: Atrial Fib st: NotStopd id: Arterial BP t0: [09:00:00 13/02/2018] el: 0 cg: RN cu: CSRU v1: 102 n1: 102 u1: mmHg v2: 63 n2: 63 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [09:00:00 13/02/2018] el: 0 cg: RN cu: CSRU v1: 73 n1: 73 u1: mmHg st: NotStopd id: Precautions t0: [09:00:00 13/02/2018] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [09:00:00 13/02/2018] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: mmHg v2: 90 n2: 90 u2: mmHg st: NotStopd id: Previous WeightF t0: [09:00:00 13/02/2018] el: 0 cg: RN cu: CSRU v1: 81 n1: 81 u1: kg st: NotStopd id: Respiratory Rate t0: [09:00:00 13/02/2018] el: 0 cg: RN cu: CSRU v1: 11 n1: 11 u1: BPM st: NotStopd id: SpO2 t0: [09:00:00 13/02/2018] el: 0 cg: RN cu: CSRU v1: 99 n1: 99 u1: % st: NotStopd id: calprevflg t0: [09:00:00 13/02/2018] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [09:00:00 13/02/2018] el: 1 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: D5W 400.0ml + 40mghr Ativan t0: [09:00:00 13/02/2018] el: 1 ai: 153 cg: RN cu: CSRU vo: 60 vu: ml id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [09:00:00 13/02/2018] el: 1 ai: 209 cg: RN cu: CSRU vo: 2 vu: ml id: D5W 250.0ml + 8mcgkgmin Levophed-k t0: [09:00:00 13/02/2018] el: 1 ai: 416 cg: RN cu: CSRU vo: 15.1875 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [09:00:00 13/02/2018] el: 1 ai: 115 cg: RN cu: CSRU vo: 5 vu: ml id: Urine Out Foley t0: [09:00:00 13/02/2018] el: 1 cg: RN cu: CSRU vo: 130 vu: ml
id: Fentanyl t0: [09:00:00 13/02/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 50 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Levophed-k t0: [09:00:00 13/02/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 0.12 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip id: Ativan t0: [09:00:00 13/02/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 6 du: mghr so: D5W sv: 400 su: ml rt: IV Drip
id: HOB t0: [09:00:00 13/02/2018] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: Activity t0: [09:00:00 13/02/2018] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [09:00:00 13/02/2018] el: 0 cg: RN cu: CSRU v1: Tolerated Well st: NotStopd id: Oral Care t0: [09:00:00 13/02/2018] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: AntiEmbDevice/Status t0: [09:00:00 13/02/2018] el: 0 cg: RN cu: CSRU v1: None/Remarks st: NotStopd id: Position t0: [09:00:00 13/02/2018] el: 0 cg: RN cu: CSRU v1: Right Side st: NotStopd id: Assistance Device t0: [09:00:00 13/02/2018] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: Therapeutic Bed t0: [09:00:00 13/02/2018] el: 0 cg: RN cu: CSRU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [09:00:00 13/02/2018] el: 0 cg: RN cu: CSRU v1: Right Side st: NotStopd
id: D5W 100.0ml t0: [09:00:00 13/02/2018] el: 1 ai: 105 cg: RN cu: CSRU vo: 120 vu: ml
id: Insulin t0: [09:00:00 13/02/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 3 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: KCL io: D5W 50.0ml el: 100 cg: RN cu: CSRU am: 20 du: mEq rt: Intravenous Push
pi: 4404915 hi: 28366 t0: [11:00:00 13/02/2018] tf: [10:00:00 13/02/2018] mn: Potassium Chloride pt: IV Piggyback st: Discontinued rt: IV fr: ONCE ds: 11 dn: 1 dt: 1 di: Doses xu: Enter on Label pi: 4404928 hi: 28366 t0: [11:00:00 13/02/2018] tf: [10:00:00 14/02/2018] mn: Potassium Chloride pt: IV Piggyback st: Expired rt: IV fr: ONCE ds: 11 dn: 1 dt: 1 di: Doses xv: 36 xu: Hours
id: Service Type t0: [10:00:00 13/02/2018] el: 0 cg: RN cu: CSRU v1: CCU st: NotStopd id: Code Status t0: [10:00:00 13/02/2018] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [10:00:00 13/02/2018] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [10:00:00 13/02/2018] el: 0 cg: RN cu: CSRU v1: Rare st: NotStopd id: Ectopy Type t0: [10:00:00 13/02/2018] el: 0 cg: RN cu: CSRU v1: PVC's st: NotStopd id: Heart Rate t0: [10:00:00 13/02/2018] el: 0 cg: RN cu: CSRU v1: 112 n1: 112 u1: BPM st: NotStopd id: Heart Rhythm t0: [10:00:00 13/02/2018] el: 0 cg: RN cu: CSRU v1: Atrial Fib st: NotStopd id: Arterial BP t0: [10:00:00 13/02/2018] el: 0 cg: RN cu: CSRU v1: 96 n1: 96 u1: mmHg v2: 65 n2: 65 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [10:00:00 13/02/2018] el: 0 cg: RN cu: CSRU v1: 74 n1: 74 u1: mmHg st: NotStopd id: Precautions t0: [10:00:00 13/02/2018] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: Previous WeightF t0: [10:00:00 13/02/2018] el: 0 cg: RN cu: CSRU v1: 81 n1: 81 u1: kg st: NotStopd id: Respiratory Rate t0: [10:00:00 13/02/2018] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: BPM st: NotStopd id: SpO2 t0: [10:00:00 13/02/2018] el: 0 cg: RN cu: CSRU v1: 99 n1: 99 u1: % st: NotStopd id: calprevflg t0: [10:00:00 13/02/2018] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [10:00:00 13/02/2018] el: 1 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: D5W 400.0ml + 40mghr Ativan t0: [10:00:00 13/02/2018] el: 1 ai: 153 cg: RN cu: CSRU vo: 60 vu: ml id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [10:00:00 13/02/2018] el: 1 ai: 209 cg: RN cu: CSRU vo: 3 vu: ml id: D5W 250.0ml + 8mcgkgmin Levophed-k t0: [10:00:00 13/02/2018] el: 1 ai: 416 cg: RN cu: CSRU vo: 18.225 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [10:00:00 13/02/2018] el: 1 ai: 115 cg: RN cu: CSRU vo: 5 vu: ml id: Urine Out Foley t0: [10:00:00 13/02/2018] el: 1 cg: RN cu: CSRU vo: 125 vu: ml
id: Fentanyl t0: [10:00:00 13/02/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 50 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Levophed-k t0: [10:00:00 13/02/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 0.1 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip id: Ativan t0: [10:00:00 13/02/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 6 du: mghr so: D5W sv: 400 su: ml rt: IV Drip id: Insulin t0: [10:00:00 13/02/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 4 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: D5W 100.0ml t0: [10:00:00 13/02/2018] el: 1 ai: 105 cg: RN cu: CSRU vo: 50 vu: ml
id: Procedures t0: [10:30:00 13/02/2018] el: 0 cg: RN cu: CSRU v1: EKG st: NotStopd
id: Arterial BP t0: [10:35:00 13/02/2018] el: 0 cg: RN cu: CSRU v1: 138 n1: 138 u1: mmHg v2: 79 n2: 79 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [10:35:00 13/02/2018] el: 0 cg: RN cu: CSRU v1: 94 n1: 94 u1: mmHg st: NotStopd
id: Levophed-k t0: [10:35:00 13/02/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 0.08 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip
id: D5W 50.0ml t0: [10:00:00 13/02/2018] el: 1 ai: 109 cg: RN cu: CSRU vo: 50 vu: ml
id: Service Type t0: [11:00:00 13/02/2018] el: 0 cg: RN cu: CSRU v1: CCU st: NotStopd id: Code Status t0: [11:00:00 13/02/2018] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [11:00:00 13/02/2018] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Type t0: [11:00:00 13/02/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Heart Rate t0: [11:00:00 13/02/2018] el: 0 cg: RN cu: CSRU v1: 106 n1: 106 u1: BPM st: NotStopd id: Heart Rhythm t0: [11:00:00 13/02/2018] el: 0 cg: RN cu: CSRU v1: Atrial Fib st: NotStopd id: Arterial BP t0: [11:00:00 13/02/2018] el: 0 cg: RN cu: CSRU v1: 84 n1: 84 u1: mmHg v2: 54 n2: 54 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [11:00:00 13/02/2018] el: 0 cg: RN cu: CSRU v1: 62 n1: 62 u1: mmHg st: NotStopd id: Precautions t0: [11:00:00 13/02/2018] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: Previous WeightF t0: [11:00:00 13/02/2018] el: 0 cg: RN cu: CSRU v1: 81 n1: 81 u1: kg st: NotStopd id: Respiratory Rate t0: [11:00:00 13/02/2018] el: 0 cg: RN cu: CSRU v1: 14 n1: 14 u1: BPM st: NotStopd id: SpO2 t0: [11:00:00 13/02/2018] el: 0 cg: RN cu: CSRU v1: 99 n1: 99 u1: % st: NotStopd id: calprevflg t0: [11:00:00 13/02/2018] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: D5W 50.0ml t0: [11:00:00 13/02/2018] el: 1 ai: 109 cg: RN cu: CSRU vo: 50 vu: ml id: .9% Normal Saline 1000.0ml t0: [11:00:00 13/02/2018] el: 1 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: D5W 400.0ml + 40mghr Ativan t0: [11:00:00 13/02/2018] el: 1 ai: 153 cg: RN cu: CSRU vo: 60 vu: ml id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [11:00:00 13/02/2018] el: 1 ai: 209 cg: RN cu: CSRU vo: 4 vu: ml id: D5W 250.0ml + 8mcgkgmin Levophed-k t0: [11:00:00 13/02/2018] el: 1 ai: 416 cg: RN cu: CSRU vo: 13.9219 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [11:00:00 13/02/2018] el: 1 ai: 115 cg: RN cu: CSRU vo: 5 vu: ml id: Urine Out Foley t0: [11:00:00 13/02/2018] el: 1 cg: RN cu: CSRU vo: 130 vu: ml
id: Fentanyl t0: [11:00:00 13/02/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 50 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Levophed-k t0: [11:00:00 13/02/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 0.08 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip id: Ativan t0: [11:00:00 13/02/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 6 du: mghr so: D5W sv: 400 su: ml rt: IV Drip id: Insulin t0: [11:00:00 13/02/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 5 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: IV Infusion In Total t0: [23:00:00 13/02/2018] el: 2 cg: RN cu: CSRU pv: 23.075 cv: 2520.57 ac: 24 ap: none re: 0 id: 24h Total In t0: [23:00:00 13/02/2018] el: 2 cg: RN cu: CSRU pv: 23.075 cv: 2640.57 ac: 24 ap: none re: 0 id: Total Hourly Output t0: [23:00:00 13/02/2018] el: 2 cg: RN cu: CSRU pv: 350 cv: 350 ac: 1 ap: none re: 0 id: Urine Out Total t0: [23:00:00 13/02/2018] el: 2 cg: RN cu: CSRU pv: 350 cv: 3445 ac: 24 ap: none re: 0 id: 24h Net Body Balance t0: [23:00:00 13/02/2018] el: 2 cg: RN cu: CSRU pv: -326.925 cv: -1104.43 ac: 24 ap: none re: 0 id: LOS Net Body Balance t0: [23:00:00 13/02/2018] el: 2 cg: RN cu: CSRU pv: -326.925 cv: -346.558 ac: multiple days ap: none re: 0 id: Net Hourly Balance t0: [23:00:00 13/02/2018] el: 2 cg: RN cu: CSRU pv: -326.925 cv: -326.925 ac: 1 ap: none re: 0 id: 24h Total Out t0: [23:00:00 13/02/2018] el: 2 cg: RN cu: CSRU pv: 350 cv: 3745 ac: 24 ap: none re: 0
id: Compliance (40-60ml) t0: [11:50:00 13/02/2018] el: 0 cg: RRT cu: CSRU v1: 30.5556 n1: 30.5556 u1: ml/cmH st: NotStopd id: ETT Mark/Location t0: [11:50:00 13/02/2018] el: 0 cg: RRT cu: CSRU v1: 24cm v2: Lip st: NotStopd id: FiO2 Set t0: [11:50:00 13/02/2018] el: 0 cg: RRT cu: CSRU v1: 0.6 n1: 0.6 u1: torr st: NotStopd id: High Insp. Pressure t0: [11:50:00 13/02/2018] el: 0 cg: RRT cu: CSRU v1: 40 n1: 40 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [11:50:00 13/02/2018] el: 0 cg: RRT cu: CSRU v1: 20 n1: 20 u1: BPM st: NotStopd id: I:E Ratio t0: [11:50:00 13/02/2018] el: 0 cg: RRT cu: CSRU v1: 1:3 st: NotStopd id: Airway Size t0: [11:50:00 13/02/2018] el: 0 cg: RRT cu: CSRU v1: 8.0 mm st: NotStopd id: Airway Type t0: [11:50:00 13/02/2018] el: 0 cg: RRT cu: CSRU v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [11:50:00 13/02/2018] el: 0 cg: RRT cu: CSRU u1: Deg. C st: NotStopd id: Intubation Date t0: [11:50:00 13/02/2018] el: 0 cg: RRT cu: CSRU v1: 1 n1: 1 v2: 8 n2: 8 st: NotStopd id: Low Exhaled Min Vol t0: [11:50:00 13/02/2018] el: 0 cg: RRT cu: CSRU v1: 4 n1: 4 st: NotStopd id: Mean Airway Pressure t0: [11:50:00 13/02/2018] el: 0 cg: RRT cu: CSRU v1: 9 n1: 9 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [11:50:00 13/02/2018] el: 0 cg: RRT cu: CSRU v1: 6.94 n1: 6.94 u1: L/min st: NotStopd id: PEEP Set t0: [11:50:00 13/02/2018] el: 0 cg: RRT cu: CSRU v1: 5 n1: 5 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [11:50:00 13/02/2018] el: 0 cg: RRT cu: CSRU v1: 20 n1: 20 st: NotStopd id: Peak Insp. Pressure t0: [11:50:00 13/02/2018] el: 0 cg: RRT cu: CSRU v1: 23 n1: 23 u1: cmH2O st: NotStopd id: Plateau Pressure t0: [11:50:00 13/02/2018] el: 0 cg: RRT cu: CSRU v1: 19 n1: 19 u1: cmH2O st: NotStopd id: Resp Rate (Spont) t0: [11:50:00 13/02/2018] el: 0 cg: RRT cu: CSRU v1: 1 n1: 1 u1: BPM st: NotStopd id: Resp Rate (Total) t0: [11:50:00 13/02/2018] el: 0 cg: RRT cu: CSRU v1: 15 n1: 15 u1: BPM st: NotStopd id: Respiratory Rate Set t0: [11:50:00 13/02/2018] el: 0 cg: RRT cu: CSRU v1: 14 n1: 14 u1: BPM st: NotStopd id: Tank A psi. t0: [11:50:00 13/02/2018] el: 0 cg: RRT cu: CSRU v1: 1300 n1: 1300 st: NotStopd id: Tank B psi. t0: [11:50:00 13/02/2018] el: 0 cg: RRT cu: CSRU v1: 3000 n1: 3000 st: NotStopd id: Ve High t0: [11:50:00 13/02/2018] el: 0 cg: RRT cu: CSRU v1: 18 n1: 18 st: NotStopd id: Sensitivity-Vent t0: [11:50:00 13/02/2018] el: 0 cg: RRT cu: CSRU v1: 2 n1: 2 u1: cmH2O st: NotStopd id: SpO2 t0: [11:50:00 13/02/2018] el: 0 cg: RRT cu: CSRU v1: 99 n1: 99 u1: % st: NotStopd id: Sputum Color/Consist t0: [11:50:00 13/02/2018] el: 0 cg: RRT cu: CSRU v1: Yellow v2: Thick st: NotStopd id: Sputum Source/Amt t0: [11:50:00 13/02/2018] el: 0 cg: RRT cu: CSRU v1: Suctioned v2: Small st: NotStopd id: Tidal Volume (Obser) t0: [11:50:00 13/02/2018] el: 0 cg: RRT cu: CSRU v1: 529 n1: 529 u1: ml/B st: NotStopd id: Tidal Volume (Set) t0: [11:50:00 13/02/2018] el: 0 cg: RRT cu: CSRU v1: 550 n1: 550 u1: ml/B st: NotStopd id: Ventilator Mode t0: [11:50:00 13/02/2018] el: 0 cg: RRT cu: CSRU v1: Assist Control st: NotStopd id: Ventilator Type t0: [11:50:00 13/02/2018] el: 0 cg: RRT cu: CSRU v1: Drager st: NotStopd id: Waveform-Vent t0: [11:50:00 13/02/2018] el: 0 cg: RRT cu: CSRU v1: RAMP st: NotStopd
id: Service Type t0: [12:00:00 13/02/2018] el: 0 cg: RN cu: CSRU v1: CCU st: NotStopd id: Code Status t0: [12:00:00 13/02/2018] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [12:00:00 13/02/2018] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Type t0: [12:00:00 13/02/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Heart Rate t0: [12:00:00 13/02/2018] el: 0 cg: RN cu: CSRU v1: 111 n1: 111 u1: BPM st: NotStopd id: Heart Rhythm t0: [12:00:00 13/02/2018] el: 0 cg: RN cu: CSRU v1: Atrial Fib st: NotStopd id: Arterial BP t0: [11:30:00 13/02/2018] el: 0 cg: RN cu: CSRU v1: 84 n1: 84 u1: mmHg v2: 59 n2: 59 u2: mmHg st: NotStopd id: Arterial BP t0: [12:00:00 13/02/2018] el: 0 cg: RN cu: CSRU v1: 88 n1: 88 u1: mmHg v2: 59 n2: 59 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [11:30:00 13/02/2018] el: 0 cg: RN cu: CSRU v1: 66 n1: 66 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [12:00:00 13/02/2018] el: 0 cg: RN cu: CSRU v1: 67 n1: 67 u1: mmHg st: NotStopd id: Precautions t0: [12:00:00 13/02/2018] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: Previous WeightF t0: [12:00:00 13/02/2018] el: 0 cg: RN cu: CSRU v1: 81 n1: 81 u1: kg st: NotStopd id: Respiratory Rate t0: [12:00:00 13/02/2018] el: 0 cg: RN cu: CSRU v1: 14 n1: 14 u1: BPM st: NotStopd id: SpO2 t0: [12:00:00 13/02/2018] el: 0 cg: RN cu: CSRU v1: 98 n1: 98 u1: % st: NotStopd id: Temp. Site t0: [12:00:00 13/02/2018] el: 0 cg: RN cu: CSRU v1: Oral st: NotStopd id: Temperature C (calc) t0: [12:00:00 13/02/2018] el: 0 cg: RN cu: CSRU v1: 37.1111 n1: 37.1111 u1: Deg. C st: NotStopd id: Temperature F t0: [12:00:00 13/02/2018] el: 0 cg: RN cu: CSRU v1: 98.8 n1: 98.8 u1: Deg. F st: NotStopd id: calprevflg t0: [12:00:00 13/02/2018] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [12:00:00 13/02/2018] el: 1 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: D5W 400.0ml + 40mghr Ativan t0: [12:00:00 13/02/2018] el: 1 ai: 153 cg: RN cu: CSRU vo: 60 vu: ml id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [12:00:00 13/02/2018] el: 1 ai: 209 cg: RN cu: CSRU vo: 5 vu: ml id: D5W 250.0ml + 8mcgkgmin Levophed-k t0: [12:00:00 13/02/2018] el: 1 ai: 416 cg: RN cu: CSRU vo: 13.6688 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [12:00:00 13/02/2018] el: 1 ai: 115 cg: RN cu: CSRU vo: 5 vu: ml id: Urine Out Foley t0: [12:00:00 13/02/2018] el: 1 cg: RN cu: CSRU vo: 150 vu: ml
id: Fentanyl t0: [12:00:00 13/02/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 50 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Levophed-k t0: [11:30:00 13/02/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 0.1 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip id: Levophed-k t0: [12:00:00 13/02/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 0.1 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip id: Ativan t0: [12:00:00 13/02/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 6 du: mghr so: D5W sv: 400 su: ml rt: IV Drip id: Insulin t0: [12:00:00 13/02/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 4 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: Less Restrict Meas. t0: [10:00:00 13/02/2018] el: 0 cg: RN cu: CSRU v1: Medicated st: NotStopd id: Less Restrict Meas. t0: [12:00:00 13/02/2018] el: 0 cg: RN cu: CSRU v1: Medicated st: NotStopd id: Pain Present t0: [12:00:00 13/02/2018] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Range of Motion t0: [10:00:00 13/02/2018] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Range of Motion t0: [12:00:00 13/02/2018] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Pain Assess Method t0: [12:00:00 13/02/2018] el: 0 cg: RN cu: CSRU v1: Change in Vitals st: NotStopd id: Circulation/SkinInt t0: [10:00:00 13/02/2018] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Circulation/SkinInt t0: [12:00:00 13/02/2018] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Riker-SAS Scale t0: [12:00:00 13/02/2018] el: 0 cg: RN cu: CSRU v1: Sedated st: NotStopd id: GI Prophylaxis t0: [12:00:00 13/02/2018] el: 0 cg: RN cu: CSRU v1: Proton/Pump/Inhi st: NotStopd id: IV #3 Reason DC'D t0: [12:00:00 13/02/2018] el: 0 cg: RN cu: CSRU v1: Other/Remarks st: NotStopd id: Diet Type t0: [12:00:00 13/02/2018] el: 0 cg: RN cu: CSRU v1: NPO st: NotStopd id: Dorsal PedPulse R/L t0: [12:00:00 13/02/2018] el: 0 cg: RN cu: CSRU v1: Weak Palpable v2: Weak Palpable st: NotStopd id: GI#1 Intub Site t0: [12:00:00 13/02/2018] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: Eye Opening t0: [12:00:00 13/02/2018] el: 0 cg: RN cu: CSRU v1: 1 No Response st: NotStopd id: GCS Total t0: [12:00:00 13/02/2018] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: points st: NotStopd id: GI Intub #1/Site t0: [12:00:00 13/02/2018] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: GI#1 Tube PlaceCheck t0: [12:00:00 13/02/2018] el: 0 cg: RN cu: CSRU v1: Not Done st: NotStopd id: GI#1 Tube Stat/Drain t0: [12:00:00 13/02/2018] el: 0 cg: RN cu: CSRU v1: Low Cont Suction v2: Bilious st: NotStopd id: HOB t0: [12:00:00 13/02/2018] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: INV Line#1 Type/Site t0: [12:00:00 13/02/2018] el: 0 cg: RN cu: CSRU v1: A-Line v2: Right Radial st: NotStopd id: INV Line#1 Zero/Cal t0: [12:00:00 13/02/2018] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: INV Line#1SiteAppear t0: [12:00:00 13/02/2018] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: INV Line#2 Type/Site t0: [12:00:00 13/02/2018] el: 0 cg: RN cu: CSRU v1: Introducer v2: Right IJ st: NotStopd id: INV Line#2SiteAppear t0: [12:00:00 13/02/2018] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: Abdominal Assessment t0: [12:00:00 13/02/2018] el: 0 cg: RN cu: CSRU v1: Soft st: NotStopd id: INV#1 WaveformAppear t0: [12:00:00 13/02/2018] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: IV #1 Insert Date t0: [12:00:00 13/02/2018] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 8 n2: 8 st: NotStopd id: IV #1 Site/Size t0: [12:00:00 13/02/2018] el: 0 cg: RN cu: CSRU v1: Right Wrist v2: 20 gauge st: NotStopd id: IV #2 Insert Date t0: [12:00:00 13/02/2018] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 8 n2: 8 st: NotStopd id: IV #2 Site/Size t0: [12:00:00 13/02/2018] el: 0 cg: RN cu: CSRU v1: RL Ant Forearm v2: 20 gauge st: NotStopd id: IV #3 Insert Date t0: [12:00:00 13/02/2018] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 8 n2: 8 st: NotStopd id: IV #3 Site/Size t0: [12:00:00 13/02/2018] el: 0 cg: RN cu: CSRU v1: LL Post Forearm v2: 18 gauge st: NotStopd id: Activity t0: [12:00:00 13/02/2018] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: IV Site Appear #3 t0: [12:00:00 13/02/2018] el: 0 cg: RN cu: CSRU v1: Erythematous st: NotStopd id: Activity Tolerance t0: [12:00:00 13/02/2018] el: 0 cg: RN cu: CSRU v1: Tolerated Well st: NotStopd id: LLL Lung Sounds t0: [12:00:00 13/02/2018] el: 0 cg: RN cu: CSRU v1: Diminished st: NotStopd id: LUL Lung Sounds t0: [12:00:00 13/02/2018] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: Level of Conscious t0: [12:00:00 13/02/2018] el: 0 cg: RN cu: CSRU v1: Sedated st: NotStopd id: Motor Response t0: [12:00:00 13/02/2018] el: 0 cg: RN cu: CSRU v1: 4 Flex-withdraws st: NotStopd id: Oral Care t0: [12:00:00 13/02/2018] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Oral Cavity t0: [12:00:00 13/02/2018] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [12:00:00 13/02/2018] el: 0 cg: RN cu: CSRU v1: Unable to Assess st: NotStopd id: AntiEmbDevice/Status t0: [12:00:00 13/02/2018] el: 0 cg: RN cu: CSRU v1: None/Remarks st: NotStopd id: Pain Management t0: [12:00:00 13/02/2018] el: 1 cg: RN cu: CSRU v1: IV Gtt st: NotStopd id: Position t0: [12:00:00 13/02/2018] el: 0 cg: RN cu: CSRU v1: Supine st: NotStopd id: Position Change t0: [10:00:00 13/02/2018] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Position Change t0: [12:00:00 13/02/2018] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: PostTib. Pulses R/L t0: [12:00:00 13/02/2018] el: 0 cg: RN cu: CSRU v1: Weak Palpable v2: Weak Palpable st: NotStopd id: Assistance Device t0: [12:00:00 13/02/2018] el: 0 cg: RN cu: CSRU v1: 1 Person Assist st: NotStopd id: INV#1 Dsg Change t0: [12:00:00 13/02/2018] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 8 n2: 8 st: NotStopd id: INV#2 Dsg Change t0: [12:00:00 13/02/2018] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 8 n2: 8 st: NotStopd id: Pupil Response R/L t0: [12:00:00 13/02/2018] el: 0 cg: RN cu: CSRU v1: Brisk v2: Brisk st: NotStopd id: Pupil Size R/L t0: [12:00:00 13/02/2018] el: 0 cg: RN cu: CSRU v1: 3 mm v2: 3 mm st: NotStopd id: RLL Lung Sounds t0: [12:00:00 13/02/2018] el: 0 cg: RN cu: CSRU v1: Diminished st: NotStopd id: RUL Lung Sounds t0: [12:00:00 13/02/2018] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: Reason For Restraint t0: [10:00:00 13/02/2018] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Reason For Restraint t0: [12:00:00 13/02/2018] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [10:00:00 13/02/2018] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Removed x 5 Mins t0: [12:00:00 13/02/2018] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Respiratory Pattern t0: [12:00:00 13/02/2018] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Restraint Location t0: [10:00:00 13/02/2018] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Location t0: [12:00:00 13/02/2018] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Type t0: [10:00:00 13/02/2018] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraint Type t0: [12:00:00 13/02/2018] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [10:00:00 13/02/2018] el: 0 cg: RN cu: CSRU v1: Behavior Conts st: NotStopd id: Restraints Evaluated t0: [12:00:00 13/02/2018] el: 0 cg: RN cu: CSRU v1: Behavior Conts st: NotStopd id: Side Rails t0: [10:00:00 13/02/2018] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Side Rails t0: [12:00:00 13/02/2018] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Skin Integrity t0: [12:00:00 13/02/2018] el: 0 cg: RN cu: CSRU v1: Intact st: NotStopd id: Support Systems t0: [12:00:00 13/02/2018] el: 0 cg: RN cu: CSRU v1: Relative st: NotStopd id: INV#1 Cap Change t0: [12:00:00 13/02/2018] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 8 n2: 8 st: NotStopd id: INV#1 Tubing Change t0: [12:00:00 13/02/2018] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 8 n2: 8 st: NotStopd id: INV#2 Cap Change t0: [12:00:00 13/02/2018] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 8 n2: 8 st: NotStopd id: Therapeutic Bed t0: [12:00:00 13/02/2018] el: 0 cg: RN cu: CSRU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [12:00:00 13/02/2018] el: 0 cg: RN cu: CSRU v1: Back st: NotStopd id: Urine Color/Appear t0: [12:00:00 13/02/2018] el: 0 cg: RN cu: CSRU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [12:00:00 13/02/2018] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [12:00:00 13/02/2018] el: 0 cg: RN cu: CSRU v1: 1.0 ET/Trach st: NotStopd id: Behavior t0: [12:00:00 13/02/2018] el: 0 cg: RN cu: CSRU v1: Sedated st: NotStopd id: Pt./Family Informed t0: [10:00:00 13/02/2018] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Pt./Family Informed t0: [12:00:00 13/02/2018] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Bowel Sounds t0: [12:00:00 13/02/2018] el: 0 cg: RN cu: CSRU v1: Present st: NotStopd
id: Heart Rate t0: [12:50:00 13/02/2018] el: 0 cg: RN cu: CSRU v1: 121 n1: 121 u1: BPM st: NotStopd id: Arterial BP t0: [12:50:00 13/02/2018] el: 0 cg: RN cu: CSRU v1: 84 n1: 84 u1: mmHg v2: 57 n2: 57 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [12:50:00 13/02/2018] el: 0 cg: RN cu: CSRU v1: 64 n1: 64 u1: mmHg st: NotStopd id: Previous WeightF t0: [12:50:00 13/02/2018] el: 0 cg: RN cu: CSRU v1: 81 n1: 81 u1: kg st: NotStopd id: calprevflg t0: [12:50:00 13/02/2018] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: Levophed-k t0: [12:50:00 13/02/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 0.08 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip
id: Alarms t0: [12:00:00 13/02/2018] el: 0 cg: RN cu: CSRU v1: ON st: NotStopd id: Parameters Checked t0: [12:00:00 13/02/2018] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: ABP Alarm (Lo/Hi) t0: [12:00:00 13/02/2018] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: mmHg v2: 90 n2: 90 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [12:00:00 13/02/2018] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [12:00:00 13/02/2018] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [12:00:00 13/02/2018] el: 0 cg: RN cu: CSRU v1: 92 n1: 92 u1: % v2: 100 n2: 100 u2: % st: NotStopd
id: Vasopressin io: D5W 250.0ml + 200Uhr Vasopressin + 200Umin Vasopressin el: 100 cg: RN cu: CSRU am: 200 du: Umin rt: IV Drip
pi: 4405786 hi: 28366 t0: [14:00:00 13/02/2018] tf: [16:00:00 14/02/2018] mn: Vasopressin pt: IV Piggyback st: Discontinued rt: IV DRIP fr: TITRATE TO di: Ongoing xv: 36 xu: Hours
id: Service Type t0: [13:00:00 13/02/2018] el: 0 cg: RN cu: CSRU v1: CCU st: NotStopd id: Code Status t0: [13:00:00 13/02/2018] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [13:00:00 13/02/2018] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Heart Rate t0: [13:00:00 13/02/2018] el: 0 cg: RN cu: CSRU v1: 124 n1: 124 u1: BPM st: NotStopd id: Heart Rhythm t0: [13:00:00 13/02/2018] el: 0 cg: RN cu: CSRU v1: Atrial Fib st: NotStopd id: Arterial BP t0: [13:00:00 13/02/2018] el: 0 cg: RN cu: CSRU v1: 71 n1: 71 u1: mmHg v2: 46 n2: 46 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [13:00:00 13/02/2018] el: 0 cg: RN cu: CSRU v1: 55 n1: 55 u1: mmHg st: NotStopd id: Precautions t0: [13:00:00 13/02/2018] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: Previous WeightF t0: [13:00:00 13/02/2018] el: 0 cg: RN cu: CSRU v1: 81 n1: 81 u1: kg st: NotStopd id: Respiratory Rate t0: [13:00:00 13/02/2018] el: 0 cg: RN cu: CSRU v1: 9 n1: 9 u1: BPM st: NotStopd id: SpO2 t0: [13:00:00 13/02/2018] el: 0 cg: RN cu: CSRU v1: 97 n1: 97 u1: % st: NotStopd id: calprevflg t0: [13:00:00 13/02/2018] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Fingerstick Glucose t0: [13:00:00 13/02/2018] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 rs: Manual st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [13:00:00 13/02/2018] el: 1 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: D5W 400.0ml + 40mghr Ativan t0: [13:00:00 13/02/2018] el: 1 ai: 153 cg: RN cu: CSRU vo: 60 vu: ml id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [13:00:00 13/02/2018] el: 1 ai: 209 cg: RN cu: CSRU vo: 4 vu: ml id: D5W 250.0ml + 8mcgkgmin Levophed-k t0: [13:00:00 13/02/2018] el: 1 ai: 416 cg: RN cu: CSRU vo: 14.6813 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [13:00:00 13/02/2018] el: 1 ai: 115 cg: RN cu: CSRU vo: 5 vu: ml id: Urine Out Foley t0: [13:00:00 13/02/2018] el: 1 cg: RN cu: CSRU vo: 60 vu: ml
id: Fentanyl t0: [13:00:00 13/02/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 50 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Levophed-k t0: [13:00:00 13/02/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 0.16 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip id: Ativan t0: [13:00:00 13/02/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 6 du: mghr so: D5W sv: 400 su: ml rt: IV Drip id: Insulin t0: [13:00:00 13/02/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 4 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: Service Type t0: [14:00:00 13/02/2018] el: 0 cg: RN cu: CSRU v1: CCU st: NotStopd id: Code Status t0: [14:00:00 13/02/2018] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [14:00:00 13/02/2018] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Type t0: [14:00:00 13/02/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Heart Rate t0: [14:00:00 13/02/2018] el: 0 cg: RN cu: CSRU v1: 117 n1: 117 u1: BPM st: NotStopd id: Heart Rhythm t0: [14:00:00 13/02/2018] el: 0 cg: RN cu: CSRU v1: Atrial Fib st: NotStopd id: NBP t0: [14:00:00 13/02/2018] el: 0 cg: RN cu: CSRU v1: 106 n1: 106 u1: mmHg v2: 83 n2: 83 u2: mmHg st: NotStopd id: NBP Mean t0: [14:00:00 13/02/2018] el: 0 cg: RN cu: CSRU v1: 95 n1: 95 u1: mmHg st: NotStopd id: Arterial BP t0: [14:00:00 13/02/2018] el: 0 cg: RN cu: CSRU v1: 98 n1: 98 u1: mmHg v2: 62 n2: 62 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [14:00:00 13/02/2018] el: 0 cg: RN cu: CSRU v1: 73 n1: 73 u1: mmHg st: NotStopd id: Precautions t0: [14:00:00 13/02/2018] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: Previous WeightF t0: [14:00:00 13/02/2018] el: 0 cg: RN cu: CSRU v1: 81 n1: 81 u1: kg st: NotStopd id: Respiratory Rate t0: [14:00:00 13/02/2018] el: 0 cg: RN cu: CSRU v1: 14 n1: 14 u1: BPM st: NotStopd id: SpO2 t0: [14:00:00 13/02/2018] el: 0 cg: RN cu: CSRU v1: 99 n1: 99 u1: % st: NotStopd id: calprevflg t0: [14:00:00 13/02/2018] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [14:00:00 13/02/2018] el: 1 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: D5W 400.0ml + 40mghr Ativan t0: [14:00:00 13/02/2018] el: 1 ai: 153 cg: RN cu: CSRU vo: 60 vu: ml id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [14:00:00 13/02/2018] el: 1 ai: 209 cg: RN cu: CSRU vo: 4 vu: ml id: D5W 250.0ml + 8mcgkgmin Levophed-k t0: [14:00:00 13/02/2018] el: 1 ai: 416 cg: RN cu: CSRU vo: 24.3 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [14:00:00 13/02/2018] el: 1 ai: 115 cg: RN cu: CSRU vo: 5 vu: ml id: Urine Out Foley t0: [14:00:00 13/02/2018] el: 1 cg: RN cu: CSRU vo: 110 vu: ml
id: Fentanyl t0: [14:00:00 13/02/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 50 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Levophed-k t0: [14:00:00 13/02/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 0.12 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip id: Ativan t0: [14:00:00 13/02/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 6 du: mghr so: D5W sv: 400 su: ml rt: IV Drip id: Insulin t0: [14:00:00 13/02/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 3 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip id: Vasopressin t0: [14:00:00 13/02/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 2.4 du: Umin so: D5W sv: 250 su: ml rt: IV Drip
id: D5W 250.0ml + 250mcgkgmin Dobutamine t0: [14:00:00 13/02/2018] el: 1 ai: 168 cg: -1 cu: CSRU vo: 0 st: D/C'd
ci: 37927 t0: [08:31:00 13/02/2018] cu: CSRU de: CCU dt: 363
id: Gastric Oral Gastric t0: [14:00:00 13/02/2018] el: 1 cg: RN cu: CCU vo: 100 vu: ml
id: BSA t0: [14:46:00 13/02/2018] el: 1033 cg: -1 cu: CCU v1: 2.00485 n1: 2.00485 u1: m2 id: Admit Wt t0: [14:46:00 13/02/2018] el: 1032 cg: -1 cu: CCU v1: 81 n1: 81 u1: kg id: Allergy 1 t0: [14:46:00 13/02/2018] el: 1020 cg: -1 cu: CCU v1: No Known Drug Allergies id: Diagnosis/op t0: [14:46:00 13/02/2018] el: 1023 cg: -1 cu: CCU v1: HEART FAILURE CARDIAC ARREST id: Service t0: [14:46:00 13/02/2018] el: 1026 cg: -1 cu: CCU v1: CME id: Admit Ht t0: [14:46:00 13/02/2018] el: 1034 cg: -1 cu: CCU v1: 69 n1: 69 u1: inches id: Readmission t0: [14:46:00 13/02/2018] el: 1014 cg: -1 cu: CCU v1: No id: Marital Status t0: [14:46:00 13/02/2018] el: 1006 cg: -1 cu: CCU v1: S id: Religion t0: [14:46:00 13/02/2018] el: 1000 cg: -1 cu: CCU v1: RCA id: Allergy 2 t0: [14:46:00 13/02/2018] el: 1021 cg: -1 cu: CCU id: Ext t0: [14:46:00 13/02/2018] el: 1010 cg: -1 cu: CCU id: Allergy 3 t0: [14:46:00 13/02/2018] el: 1022 cg: -1 cu: CCU
pi: 4406468 hi: 28366 t0: [16:00:00 13/02/2018] tf: [22:00:00 15/02/2018] mn: Midazolam HCl pt: IV Piggyback st: Discontinued rt: IV DRIP fr: TITRATE TO di: Ongoing xv: 36 xu: Hours
id: Code Status t0: [15:00:00 13/02/2018] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [15:00:00 13/02/2018] el: 0 cg: RN cu: CCU v1: Very Sedated st: NotStopd id: Risk for Falls t0: [15:00:00 13/02/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [15:00:00 13/02/2018] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [15:00:00 13/02/2018] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Alarms t0: [15:00:00 13/02/2018] el: 0 cg: RN cu: CCU v1: ON st: NotStopd id: Parameters Checked t0: [15:00:00 13/02/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Heart Rate t0: [15:00:00 13/02/2018] el: 0 cg: RN cu: CCU v1: 119 n1: 119 u1: BPM st: NotStopd id: Heart Rhythm t0: [15:00:00 13/02/2018] el: 0 cg: RN cu: CCU v1: Atrial Fib st: NotStopd id: Arterial BP t0: [15:00:00 13/02/2018] el: 0 cg: RN cu: CCU v1: 101 n1: 101 u1: mmHg v2: 68 n2: 68 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [15:00:00 13/02/2018] el: 0 cg: RN cu: CCU v1: 77 n1: 77 u1: mmHg st: NotStopd id: Precautions t0: [15:00:00 13/02/2018] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [15:00:00 13/02/2018] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [15:00:00 13/02/2018] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [15:00:00 13/02/2018] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: Previous WeightF t0: [15:00:00 13/02/2018] el: 0 cg: RN cu: CCU v1: 81 n1: 81 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [15:00:00 13/02/2018] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [15:00:00 13/02/2018] el: 0 cg: RN cu: CCU v1: 14 n1: 14 u1: BPM st: NotStopd id: SpO2 t0: [15:00:00 13/02/2018] el: 0 cg: RN cu: CCU v1: 96 n1: 96 u1: % st: NotStopd id: Temp. Site t0: [15:00:00 13/02/2018] el: 0 cg: RN cu: CCU v1: Rectal st: NotStopd id: Temperature C (calc) t0: [15:00:00 13/02/2018] el: 0 cg: RN cu: CCU v1: 38 n1: 38 u1: Deg. C st: NotStopd id: Temperature F t0: [15:00:00 13/02/2018] el: 0 cg: RN cu: CCU v1: 100.4 n1: 100.4 u1: Deg. F st: NotStopd id: calprevflg t0: [15:00:00 13/02/2018] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Fentanyl t0: [15:00:00 13/02/2018] el: 1 cg: RN cu: CCU vo: 0 do: 50 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Levophed-k t0: [15:00:00 13/02/2018] el: 1 cg: RN cu: CCU vo: 0 do: 0.12 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip id: Vasopressin t0: [15:00:00 13/02/2018] el: 1 cg: RN cu: CCU vo: 0 do: 2.4 du: Umin so: D5W sv: 250 su: ml rt: IV Drip
id: Pain Present t0: [15:00:00 13/02/2018] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: Pain Assess Method t0: [15:00:00 13/02/2018] el: 0 cg: RN cu: CCU v1: Change in Vitals st: NotStopd id: Pain Cause t0: [15:00:00 13/02/2018] el: 0 cg: RN cu: CCU v1: At Rest st: NotStopd id: Pain Location t0: [15:00:00 13/02/2018] el: 0 cg: RN cu: CCU v1: Not Indicated st: NotStopd id: Pain Type t0: [15:00:00 13/02/2018] el: 0 cg: RN cu: CCU v1: None st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [15:00:00 13/02/2018] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: D5W 400.0ml + 40mghr Ativan t0: [15:00:00 13/02/2018] el: 1 ai: 153 cg: RN cu: CCU vo: 60 vu: ml id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [15:00:00 13/02/2018] el: 1 ai: 209 cg: RN cu: CCU vo: 3 vu: ml id: D5W 250.0ml + 8mcgkgmin Levophed-k t0: [15:00:00 13/02/2018] el: 1 ai: 416 cg: RN cu: CCU vo: 18.225 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [15:00:00 13/02/2018] el: 1 ai: 115 cg: RN cu: CCU vo: 5 vu: ml id: Urine Out Foley t0: [15:00:00 13/02/2018] el: 1 cg: RN cu: CCU vo: 130 vu: ml
id: Fingerstick Glucose t0: [15:00:00 13/02/2018] el: 0 cg: CoWker cu: CCU v1: 68 n1: 68 rs: Manual st: NotStopd
id: GI Prophylaxis t0: [15:00:00 13/02/2018] el: 0 cg: RN cu: CCU v1: Proton/Pump/Inhi st: NotStopd id: Diet Type t0: [15:00:00 13/02/2018] el: 0 cg: RN cu: CCU v1: NPO st: NotStopd id: Dorsal PedPulse R/L t0: [15:00:00 13/02/2018] el: 0 cg: RN cu: CCU v1: Weak Palpable v2: Weak Palpable st: NotStopd id: GI#1 Intub Site t0: [15:00:00 13/02/2018] el: 0 cg: RN cu: CCU v1: Salem Sump v2: Oral st: NotStopd id: Eye Opening t0: [15:00:00 13/02/2018] el: 0 cg: RN cu: CCU v1: 1 No Response st: NotStopd id: GI Intub #1/Site t0: [15:00:00 13/02/2018] el: 0 cg: RN cu: CCU v1: Salem Sump v2: Oral st: NotStopd id: GI#1 Tube PlaceCheck t0: [15:00:00 13/02/2018] el: 0 cg: RN cu: CCU v1: Not Done st: NotStopd id: GI#1 Tube Stat/Drain t0: [15:00:00 13/02/2018] el: 0 cg: RN cu: CCU v1: Clamped st: NotStopd id: Abdominal Assessment t0: [15:00:00 13/02/2018] el: 0 cg: RN cu: CCU v1: Soft st: NotStopd id: LLL Lung Sounds t0: [15:00:00 13/02/2018] el: 0 cg: RN cu: CCU v1: Diminished st: NotStopd id: LUL Lung Sounds t0: [15:00:00 13/02/2018] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Level of Conscious t0: [15:00:00 13/02/2018] el: 0 cg: RN cu: CCU v1: Sedated st: NotStopd id: Motor Response t0: [15:00:00 13/02/2018] el: 0 cg: RN cu: CCU v1: 1 No Response st: NotStopd id: Oral Cavity t0: [15:00:00 13/02/2018] el: 0 cg: RN cu: CCU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [15:00:00 13/02/2018] el: 0 cg: RN cu: CCU v1: Unable to Assess st: NotStopd id: PostTib. Pulses R/L t0: [15:00:00 13/02/2018] el: 0 cg: RN cu: CCU v1: Weak Palpable v2: Weak Palpable st: NotStopd id: Pupil Response R/L t0: [15:00:00 13/02/2018] el: 0 cg: RN cu: CCU v1: Brisk v2: Brisk st: NotStopd id: Pupil Size R/L t0: [15:00:00 13/02/2018] el: 0 cg: RN cu: CCU v1: 2 mm v2: 2 mm st: NotStopd id: RLL Lung Sounds t0: [15:00:00 13/02/2018] el: 0 cg: RN cu: CCU v1: Diminished st: NotStopd id: RUL Lung Sounds t0: [15:00:00 13/02/2018] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Respiratory Pattern t0: [15:00:00 13/02/2018] el: 0 cg: RN cu: CCU v1: Regular st: NotStopd id: Stool Guaiac t0: [15:00:00 13/02/2018] el: 0 cg: RN cu: CCU v1: Not Applicable st: NotStopd id: Urine Color/Appear t0: [15:00:00 13/02/2018] el: 0 cg: RN cu: CCU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [15:00:00 13/02/2018] el: 0 cg: RN cu: CCU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [15:00:00 13/02/2018] el: 0 cg: RN cu: CCU v1: 1.0 ET/Trach st: NotStopd
id: Ativan t0: [15:00:00 13/02/2018] el: 1 cg: RN cu: CCU vo: 0 du: mghr so: D5W sv: 400 su: ml rt: IV Drip st: Stopped id: Insulin t0: [15:00:00 13/02/2018] el: 1 cg: RN cu: CCU vo: 0 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip st: Stopped
id: Less Restrict Meas. t0: [15:00:00 13/02/2018] el: 0 cg: RN cu: CCU v1: Medicated st: NotStopd id: Range of Motion t0: [15:00:00 13/02/2018] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Circulation/SkinInt t0: [15:00:00 13/02/2018] el: 0 cg: RN cu: CCU v1: Circulation Adeq st: NotStopd id: Education Topic #1 t0: [15:00:00 13/02/2018] el: 0 cg: RN cu: CCU v1: Plan of Care st: NotStopd id: HOB t0: [15:00:00 13/02/2018] el: 0 cg: RN cu: CCU v1: 30 degrees st: NotStopd id: INV Line#1 Type/Site t0: [15:00:00 13/02/2018] el: 0 cg: RN cu: CCU v1: A-Line v2: Right Radial st: NotStopd id: INV Line#1 Zero/Cal t0: [15:00:00 13/02/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: INV Line#1SiteAppear t0: [15:00:00 13/02/2018] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: INV Line#2 Type/Site t0: [15:00:00 13/02/2018] el: 0 cg: RN cu: CCU v1: Introducer v2: Right IJ st: NotStopd id: INV Line#2SiteAppear t0: [15:00:00 13/02/2018] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: INV#1 WaveformAppear t0: [15:00:00 13/02/2018] el: 0 cg: RN cu: CCU v1: Sharp st: NotStopd id: IV #1 Insert Date t0: [15:00:00 13/02/2018] el: 0 cg: RN cu: CCU v1: 1 n1: 1 v2: 8 n2: 8 st: NotStopd id: IV #1 Site/Size t0: [15:00:00 13/02/2018] el: 0 cg: RN cu: CCU v1: Right Wrist v2: 20 gauge st: NotStopd id: IV #2 Insert Date t0: [15:00:00 13/02/2018] el: 0 cg: RN cu: CCU v1: 1 n1: 1 v2: 8 n2: 8 st: NotStopd id: IV #2 Site/Size t0: [15:00:00 13/02/2018] el: 0 cg: RN cu: CCU v1: RL Ant Forearm v2: 20 gauge st: NotStopd id: Activity t0: [15:00:00 13/02/2018] el: 0 cg: RN cu: CCU v1: Bedrest st: NotStopd id: IV Site Appear #1 t0: [15:00:00 13/02/2018] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: IV Site Appear #2 t0: [15:00:00 13/02/2018] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: Activity Tolerance t0: [15:00:00 13/02/2018] el: 0 cg: RN cu: CCU v1: Tolerated Well st: NotStopd id: AntiEmbDevice/Status t0: [15:00:00 13/02/2018] el: 0 cg: RN cu: CCU v1: None/Remarks st: NotStopd id: Position t0: [15:00:00 13/02/2018] el: 0 cg: RN cu: CCU v1: Left Side st: NotStopd id: Position Change t0: [15:00:00 13/02/2018] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Assistance Device t0: [15:00:00 13/02/2018] el: 0 cg: RN cu: CCU v1: 2 Person Assist st: NotStopd id: INV#1 Dsg Change t0: [15:00:00 13/02/2018] el: 0 cg: RN cu: CCU v1: 1 n1: 1 v2: 8 n2: 8 st: NotStopd id: INV#2 Dsg Change t0: [15:00:00 13/02/2018] el: 0 cg: RN cu: CCU v1: 1 n1: 1 v2: 8 n2: 8 st: NotStopd id: Reason For Restraint t0: [15:00:00 13/02/2018] el: 0 cg: RN cu: CCU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [15:00:00 13/02/2018] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Restraint Location t0: [15:00:00 13/02/2018] el: 0 cg: RN cu: CCU v1: Both Arms st: NotStopd id: Restraint Type t0: [15:00:00 13/02/2018] el: 0 cg: RN cu: CCU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [15:00:00 13/02/2018] el: 0 cg: RN cu: CCU v1: Behavior Conts st: NotStopd id: Side Rails t0: [15:00:00 13/02/2018] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: Skin Care t0: [15:00:00 13/02/2018] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Support Systems t0: [15:00:00 13/02/2018] el: 0 cg: RN cu: CCU v1: Relative st: NotStopd id: INV#1 Cap Change t0: [15:00:00 13/02/2018] el: 0 cg: RN cu: CCU v1: 1 n1: 1 v2: 8 n2: 8 st: NotStopd id: INV#1 Tubing Change t0: [15:00:00 13/02/2018] el: 0 cg: RN cu: CCU v1: 1 n1: 1 v2: 8 n2: 8 st: NotStopd id: INV#2 Cap Change t0: [15:00:00 13/02/2018] el: 0 cg: RN cu: CCU v1: 1 n1: 1 v2: 8 n2: 8 st: NotStopd id: Therapeutic Bed t0: [15:00:00 13/02/2018] el: 0 cg: RN cu: CCU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [15:00:00 13/02/2018] el: 0 cg: RN cu: CCU v1: Side to Side st: NotStopd id: Back Care t0: [15:00:00 13/02/2018] el: 0 cg: RN cu: CCU v1: Done st: NotStopd
id: Sputum Color/Consist t0: [15:00:00 13/02/2018] el: 0 cg: RN cu: CCU v1: Yellow v2: Thick st: NotStopd id: Sputum Source/Amt t0: [15:00:00 13/02/2018] el: 0 cg: RN cu: CCU v1: Suctioned v2: Small st: NotStopd
id: Bowel Sounds t0: [15:00:00 13/02/2018] el: 0 cg: RN cu: CCU v1: Hypoactive st: NotStopd
id: Compliance (40-60ml) t0: [16:00:00 13/02/2018] el: 0 cg: RRT cu: CCU v1: 30.5556 n1: 30.5556 u1: ml/cmH st: NotStopd id: ETT Mark/Location t0: [16:00:00 13/02/2018] el: 0 cg: RRT cu: CCU v1: 24cm v2: Lip st: NotStopd id: FiO2 Set t0: [16:00:00 13/02/2018] el: 0 cg: RRT cu: CCU v1: 0.6 n1: 0.6 u1: torr st: NotStopd id: High Insp. Pressure t0: [16:00:00 13/02/2018] el: 0 cg: RRT cu: CCU v1: 40 n1: 40 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [16:00:00 13/02/2018] el: 0 cg: RRT cu: CCU v1: 10 n1: 10 u1: BPM st: NotStopd id: I:E Ratio t0: [16:00:00 13/02/2018] el: 0 cg: RRT cu: CCU v1: 1:3 st: NotStopd id: Airway Size t0: [16:00:00 13/02/2018] el: 0 cg: RRT cu: CCU v1: 8.0 mm st: NotStopd id: Airway Type t0: [16:00:00 13/02/2018] el: 0 cg: RRT cu: CCU v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [16:00:00 13/02/2018] el: 0 cg: RRT cu: CCU u1: Deg. C st: NotStopd id: Intubation Date t0: [16:00:00 13/02/2018] el: 0 cg: RRT cu: CCU v1: 1 n1: 1 v2: 8 n2: 8 st: NotStopd id: Low Exhaled Min Vol t0: [16:00:00 13/02/2018] el: 0 cg: RRT cu: CCU v1: 4 n1: 4 st: NotStopd id: Mean Airway Pressure t0: [16:00:00 13/02/2018] el: 0 cg: RRT cu: CCU v1: 9 n1: 9 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [16:00:00 13/02/2018] el: 0 cg: RRT cu: CCU v1: 7.4 n1: 7.4 u1: L/min st: NotStopd id: PEEP Set t0: [16:00:00 13/02/2018] el: 0 cg: RRT cu: CCU v1: 5 n1: 5 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [16:00:00 13/02/2018] el: 0 cg: RRT cu: CCU v1: 20 n1: 20 st: NotStopd id: Peak Insp. Pressure t0: [16:00:00 13/02/2018] el: 0 cg: RRT cu: CCU v1: 23 n1: 23 u1: cmH2O st: NotStopd id: Plateau Pressure t0: [16:00:00 13/02/2018] el: 0 cg: RRT cu: CCU v1: 19 n1: 19 u1: cmH2O st: NotStopd id: Resp Rate (Spont) t0: [16:00:00 13/02/2018] el: 0 cg: RRT cu: CCU v1: 0 n1: 0 u1: BPM st: NotStopd id: Resp Rate (Total) t0: [16:00:00 13/02/2018] el: 0 cg: RRT cu: CCU v1: 14 n1: 14 u1: BPM st: NotStopd id: Respiratory Rate Set t0: [16:00:00 13/02/2018] el: 0 cg: RRT cu: CCU v1: 14 n1: 14 u1: BPM st: NotStopd id: Tank A psi. t0: [16:00:00 13/02/2018] el: 0 cg: RRT cu: CCU v1: 1200 n1: 1200 st: NotStopd id: Tank B psi. t0: [16:00:00 13/02/2018] el: 0 cg: RRT cu: CCU v1: 3000 n1: 3000 st: NotStopd id: Ve High t0: [16:00:00 13/02/2018] el: 0 cg: RRT cu: CCU v1: 18 n1: 18 st: NotStopd id: Sensitivity-Vent t0: [16:00:00 13/02/2018] el: 0 cg: RRT cu: CCU v1: 2 n1: 2 u1: cmH2O st: NotStopd id: Tidal Volume (Obser) t0: [16:00:00 13/02/2018] el: 0 cg: RRT cu: CCU v1: 524 n1: 524 u1: ml/B st: NotStopd id: Tidal Volume (Set) t0: [16:00:00 13/02/2018] el: 0 cg: RRT cu: CCU v1: 550 n1: 550 u1: ml/B st: NotStopd id: Ventilator Mode t0: [16:00:00 13/02/2018] el: 0 cg: RRT cu: CCU v1: Assist Control st: NotStopd id: Ventilator Type t0: [16:00:00 13/02/2018] el: 0 cg: RRT cu: CCU v1: Drager st: NotStopd id: Waveform-Vent t0: [16:00:00 13/02/2018] el: 0 cg: RRT cu: CCU v1: RAMP st: NotStopd
pi: 4406625 hi: 28366 t0: [17:00:00 13/02/2018] tf: [17:00:00 13/02/2018] mn: Furosemide pt: Unit Dose st: Discontinued rt: IV fr: ONCE ds: 17 dn: 1 dt: 1 di: Doses xv: 36 xu: Hours
id: Service Type t0: [16:00:00 13/02/2018] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [16:00:00 13/02/2018] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [16:00:00 13/02/2018] el: 0 cg: RN cu: CCU v1: Very Sedated st: NotStopd id: Risk for Falls t0: [16:00:00 13/02/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [16:00:00 13/02/2018] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [16:00:00 13/02/2018] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Alarms t0: [16:00:00 13/02/2018] el: 0 cg: RN cu: CCU v1: ON st: NotStopd id: Heart Rate t0: [16:00:00 13/02/2018] el: 0 cg: RN cu: CCU v1: 123 n1: 123 u1: BPM st: NotStopd id: Heart Rhythm t0: [16:00:00 13/02/2018] el: 0 cg: RN cu: CCU v1: Atrial Fib st: NotStopd id: Arterial BP t0: [16:00:00 13/02/2018] el: 0 cg: RN cu: CCU v1: 94 n1: 94 u1: mmHg v2: 65 n2: 65 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [16:00:00 13/02/2018] el: 0 cg: RN cu: CCU v1: 73 n1: 73 u1: mmHg st: NotStopd id: Precautions t0: [16:00:00 13/02/2018] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [16:00:00 13/02/2018] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [16:00:00 13/02/2018] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [16:00:00 13/02/2018] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: Previous WeightF t0: [16:00:00 13/02/2018] el: 0 cg: RN cu: CCU v1: 81 n1: 81 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [16:00:00 13/02/2018] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [16:00:00 13/02/2018] el: 0 cg: RN cu: CCU v1: 14 n1: 14 u1: BPM st: NotStopd id: SpO2 t0: [16:00:00 13/02/2018] el: 0 cg: RN cu: CCU v1: 97 n1: 97 u1: % st: NotStopd id: calprevflg t0: [16:00:00 13/02/2018] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Fentanyl t0: [16:00:00 13/02/2018] el: 1 cg: RN cu: CCU vo: 0 do: 40 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Levophed-k t0: [15:15:00 13/02/2018] el: 1 cg: RN cu: CCU vo: 0 do: 0.111934 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip id: Levophed-k t0: [16:00:00 13/02/2018] el: 1 cg: RN cu: CCU vo: 0 do: 0.0987654 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip id: Vasopressin t0: [16:00:00 13/02/2018] el: 1 cg: RN cu: CCU vo: 0 do: 2.4 du: Umin so: D5W sv: 250 su: ml rt: IV Drip
id: Eye Opening t0: [16:00:00 13/02/2018] el: 0 cg: RN cu: CCU v1: 1 No Response st: NotStopd id: GCS Total t0: [16:00:00 13/02/2018] el: 0 cg: RN cu: CCU v1: 3 n1: 3 u1: points st: NotStopd id: Level of Conscious t0: [16:00:00 13/02/2018] el: 0 cg: RN cu: CCU v1: Sedated st: NotStopd id: Motor Response t0: [16:00:00 13/02/2018] el: 0 cg: RN cu: CCU v1: 1 No Response st: NotStopd id: Orientation t0: [16:00:00 13/02/2018] el: 0 cg: RN cu: CCU v1: Unable to Assess st: NotStopd id: Verbal Response t0: [16:00:00 13/02/2018] el: 0 cg: RN cu: CCU v1: 1.0 ET/Trach st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [16:00:00 13/02/2018] el: 1 ai: 107 cg: RN cu: CCU vu: ml st: Stopped id: D5W 250.0ml + 8mcgkgmin Levophed-k t0: [16:00:00 13/02/2018] el: 1 ai: 416 cg: RN cu: CCU vo: 17.3062 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [16:00:00 13/02/2018] el: 1 ai: 115 cg: RN cu: CCU vo: 5 vu: ml id: Urine Out Foley t0: [16:00:00 13/02/2018] el: 1 cg: RN cu: CCU vo: 135 vu: ml
id: Pupil Response R/L t0: [16:00:00 13/02/2018] el: 0 cg: RN cu: CCU v1: Brisk v2: Brisk st: NotStopd id: Pupil Size R/L t0: [16:00:00 13/02/2018] el: 0 cg: RN cu: CCU v1: 2 mm v2: 2 mm st: NotStopd id: Skin Integrity t0: [16:00:00 13/02/2018] el: 0 cg: RN cu: CCU v1: Intact st: NotStopd id: Braden Activity t0: [16:00:00 13/02/2018] el: 0 cg: RN cu: CCU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [16:00:00 13/02/2018] el: 0 cg: RN cu: CCU v1: Potential Prob st: NotStopd id: Braden Mobility t0: [16:00:00 13/02/2018] el: 0 cg: RN cu: CCU v1: Very Limited st: NotStopd id: Braden Moisture t0: [16:00:00 13/02/2018] el: 0 cg: RN cu: CCU v1: Occ. Moist st: NotStopd id: Braden Nutrition t0: [16:00:00 13/02/2018] el: 0 cg: RN cu: CCU v1: Prob. Inadequate st: NotStopd id: Braden Score t0: [16:00:00 13/02/2018] el: 0 cg: RN cu: CCU v1: 12 n1: 12 u1: number st: NotStopd id: Braden SensoryPercep t0: [16:00:00 13/02/2018] el: 0 cg: RN cu: CCU v1: Very Limited st: NotStopd
id: Oral Care t0: [16:00:00 13/02/2018] el: 0 cg: RN cu: CCU v1: Done st: NotStopd
id: Service Type t0: [16:15:00 13/02/2018] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [16:15:00 13/02/2018] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [16:15:00 13/02/2018] el: 0 cg: RN cu: CCU v1: Very Sedated st: NotStopd id: Risk for Falls t0: [16:15:00 13/02/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [16:15:00 13/02/2018] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [16:15:00 13/02/2018] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Heart Rate t0: [16:15:00 13/02/2018] el: 0 cg: RN cu: CCU v1: 122 n1: 122 u1: BPM st: NotStopd id: Heart Rhythm t0: [16:15:00 13/02/2018] el: 0 cg: RN cu: CCU v1: Atrial Fib st: NotStopd id: Arterial BP t0: [16:15:00 13/02/2018] el: 0 cg: RN cu: CCU v1: 99 n1: 99 u1: mmHg v2: 65 n2: 65 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [16:15:00 13/02/2018] el: 0 cg: RN cu: CCU v1: 75 n1: 75 u1: mmHg st: NotStopd id: Precautions t0: [16:15:00 13/02/2018] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [16:15:00 13/02/2018] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [16:15:00 13/02/2018] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [16:15:00 13/02/2018] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: Previous WeightF t0: [16:15:00 13/02/2018] el: 0 cg: RN cu: CCU v1: 81 n1: 81 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [16:15:00 13/02/2018] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [16:15:00 13/02/2018] el: 0 cg: RN cu: CCU v1: 14 n1: 14 u1: BPM st: NotStopd id: SpO2 t0: [16:15:00 13/02/2018] el: 0 cg: RN cu: CCU v1: 98 n1: 98 u1: % st: NotStopd id: calprevflg t0: [16:15:00 13/02/2018] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Fentanyl t0: [16:15:00 13/02/2018] el: 1 cg: RN cu: CCU vo: 0 do: 40 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Levophed-k t0: [16:15:00 13/02/2018] el: 1 cg: RN cu: CCU vo: 0 do: 0.0855967 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip id: Vasopressin t0: [16:15:00 13/02/2018] el: 1 cg: RN cu: CCU vo: 0 do: 2.4 du: Umin so: D5W sv: 250 su: ml rt: IV Drip
id: Art.pH t0: [16:36:00 13/02/2018] el: 0 cg: 1663 cu: CCU v1: 7.41 n1: 7.41 rs: Final st: NotStopd id: Arterial Base Excess t0: [16:36:00 13/02/2018] el: 0 cg: 1663 cu: CCU v1: 1 n1: 1 rs: Final st: NotStopd id: Arterial CO2(Calc) t0: [16:36:00 13/02/2018] el: 0 cg: 1663 cu: CCU v1: 28 n1: 28 rs: Final st: NotStopd id: Arterial PaCO2 t0: [16:36:00 13/02/2018] el: 0 cg: 1663 cu: CCU v1: 43 n1: 43 u1: mmHg rs: Final st: NotStopd id: Arterial PaO2 t0: [16:36:00 13/02/2018] el: 0 cg: 1663 cu: CCU v1: 98 n1: 98 u1: mmHg rs: Final st: NotStopd id: Arterial pH t0: [16:36:00 13/02/2018] el: 0 cg: 1663 cu: CCU v1: 7.41 n1: 7.41 rs: Final st: NotStopd id: SaO2 t0: [16:36:00 13/02/2018] el: 0 cg: 1663 cu: CCU v1: 96 n1: 96 u1: % rs: Final st: NotStopd
id: Fingerstick Glucose t0: [15:30:00 13/02/2018] el: 0 cg: CoWker cu: CCU v1: 67 n1: 67 rs: Manual st: NotStopd id: Fingerstick Glucose t0: [16:00:00 13/02/2018] el: 0 cg: CoWker cu: CCU v1: 71 n1: 71 rs: Manual st: NotStopd id: Fingerstick Glucose t0: [16:30:00 13/02/2018] el: 0 cg: CoWker cu: CCU v1: 88 n1: 88 rs: Manual st: NotStopd
id: WBC (4-11,000) t0: [16:21:00 13/02/2018] el: 0 cg: 1663 cu: CCU v1: 15.7 n1: 15.7 rs: Final st: NotStopd id: CaO2 t0: [16:36:00 13/02/2018] el: 0 cg: 1663 cu: CCU v1: 17.5416 n1: 17.5416 u1: ml/dl st: NotStopd id: WBC t0: [16:21:00 13/02/2018] el: 0 cg: 1663 cu: CCU v1: 15.7 n1: 15.7 rs: Final st: NotStopd id: Hematocrit t0: [16:21:00 13/02/2018] el: 0 cg: 1663 cu: CCU v1: 39.2 n1: 39.2 u1: % rs: Final st: NotStopd id: Hemoglobin t0: [16:21:00 13/02/2018] el: 0 cg: 1663 cu: CCU v1: 13.4 n1: 13.4 u1: gm/dl rs: Final st: NotStopd id: Platelets t0: [16:21:00 13/02/2018] el: 0 cg: 1663 cu: CCU v1: 384 n1: 384 rs: Final st: NotStopd id: RBC t0: [16:21:00 13/02/2018] el: 0 cg: 1663 cu: CCU v1: 4.47 n1: 4.47 u1: /mic l rs: Final st: NotStopd id: WBC (4-11,000) t0: [16:21:00 13/02/2018] el: 0 cg: 1663 cu: CCU v1: 15.7 n1: 15.7 rs: Final st: NotStopd
id: PT t0: [16:21:00 13/02/2018] el: 0 cg: 1663 cu: CCU v1: 40.5 n1: 40.5 rs: Final st: NotStopd id: INR t0: [16:21:00 13/02/2018] el: 0 cg: 1663 cu: CCU v1: 4.6 n1: 4.6 rs: Final st: NotStopd id: PTT t0: [16:21:00 13/02/2018] el: 0 cg: 1663 cu: CCU v1: 33.2 n1: 33.2 rs: Final st: NotStopd id: INR (2-4 ref. range) t0: [16:21:00 13/02/2018] el: 0 cg: 1663 cu: CCU v1: 4.6 n1: 4.6 rs: Final st: NotStopd id: PT(11-13.5) t0: [16:21:00 13/02/2018] el: 0 cg: 1663 cu: CCU v1: 40.5 n1: 40.5 rs: Final st: NotStopd id: PTT(22-35) t0: [16:21:00 13/02/2018] el: 0 cg: 1663 cu: CCU v1: 33.2 n1: 33.2 rs: Final st: NotStopd
id: BUN t0: [16:21:00 13/02/2018] el: 0 cg: 1663 cu: CCU v1: 26 n1: 26 rs: Final st: NotStopd id: Chloride t0: [16:21:00 13/02/2018] el: 0 cg: 1663 cu: CCU v1: 107 n1: 107 rs: Final st: NotStopd id: Creatinine t0: [16:21:00 13/02/2018] el: 0 cg: 1663 cu: CCU v1: 1.3 n1: 1.3 rs: Final st: NotStopd id: Glucose t0: [16:21:00 13/02/2018] el: 0 cg: 1663 cu: CCU v1: 71 n1: 71 rs: Final st: NotStopd id: Magnesium t0: [16:21:00 13/02/2018] el: 0 cg: 1663 cu: CCU v1: 2 n1: 2 rs: Final st: NotStopd id: Potassium t0: [16:21:00 13/02/2018] el: 0 cg: 1663 cu: CCU v1: 4.3 n1: 4.3 rs: Final st: NotStopd id: Sodium t0: [16:21:00 13/02/2018] el: 0 cg: 1663 cu: CCU v1: 140 n1: 140 rs: Final st: NotStopd id: BUN (6-20) t0: [16:21:00 13/02/2018] el: 0 cg: 1663 cu: CCU v1: 26 n1: 26 rs: Final st: NotStopd id: Carbon Dioxide t0: [16:21:00 13/02/2018] el: 0 cg: 1663 cu: CCU v1: 24 n1: 24 rs: Final st: NotStopd id: Chloride (100-112) t0: [16:21:00 13/02/2018] el: 0 cg: 1663 cu: CCU v1: 107 n1: 107 rs: Final st: NotStopd id: Creatinine (0-1.3) t0: [16:21:00 13/02/2018] el: 0 cg: 1663 cu: CCU v1: 1.3 n1: 1.3 rs: Final st: NotStopd id: Glucose (70-105) t0: [16:21:00 13/02/2018] el: 0 cg: 1663 cu: CCU v1: 71 n1: 71 rs: Final st: NotStopd id: Magnesium (1.6-2.6) t0: [16:21:00 13/02/2018] el: 0 cg: 1663 cu: CCU v1: 2 n1: 2 rs: Final st: NotStopd id: Potassium (3.5-5.3) t0: [16:21:00 13/02/2018] el: 0 cg: 1663 cu: CCU v1: 4.3 n1: 4.3 rs: Final st: NotStopd id: Sodium (135-148) t0: [16:21:00 13/02/2018] el: 0 cg: 1663 cu: CCU v1: 140 n1: 140 rs: Final st: NotStopd
id: Fingerstick Glucose t0: [17:00:00 13/02/2018] el: 0 cg: CoWker cu: CCU v1: 98 n1: 98 rs: Manual st: NotStopd id: Fingerstick Glucose t0: [17:30:00 13/02/2018] el: 0 cg: CoWker cu: CCU v1: 98 n1: 98 rs: Manual st: NotStopd
id: ALT t0: [16:21:00 13/02/2018] el: 0 cg: 1663 cu: CCU v1: 3801 n1: 3801 rs: Final st: NotStopd
id: Service Type t0: [17:00:00 13/02/2018] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [17:00:00 13/02/2018] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [17:00:00 13/02/2018] el: 0 cg: RN cu: CCU v1: Very Sedated st: NotStopd id: Risk for Falls t0: [17:00:00 13/02/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [17:00:00 13/02/2018] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [17:00:00 13/02/2018] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Heart Rate t0: [17:00:00 13/02/2018] el: 0 cg: RN cu: CCU v1: 126 n1: 126 u1: BPM st: NotStopd id: Heart Rhythm t0: [17:00:00 13/02/2018] el: 0 cg: RN cu: CCU v1: Atrial Fib st: NotStopd id: Arterial BP t0: [17:00:00 13/02/2018] el: 0 cg: RN cu: CCU v1: 96 n1: 96 u1: mmHg v2: 66 n2: 66 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [17:00:00 13/02/2018] el: 0 cg: RN cu: CCU v1: 74 n1: 74 u1: mmHg st: NotStopd id: Precautions t0: [17:00:00 13/02/2018] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [17:00:00 13/02/2018] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [17:00:00 13/02/2018] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [17:00:00 13/02/2018] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: Previous WeightF t0: [17:00:00 13/02/2018] el: 0 cg: RN cu: CCU v1: 81 n1: 81 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [17:00:00 13/02/2018] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: calprevflg t0: [17:00:00 13/02/2018] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Fentanyl t0: [17:00:00 13/02/2018] el: 1 cg: RN cu: CCU vo: 0 do: 40 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Levophed-k t0: [17:00:00 13/02/2018] el: 1 cg: RN cu: CCU vo: 0 do: 0.0855967 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip id: Vasopressin t0: [17:00:00 13/02/2018] el: 1 cg: RN cu: CCU vo: 0 do: 2.4 du: Umin so: D5W sv: 250 su: ml rt: IV Drip
id: Service Type t0: [18:00:00 13/02/2018] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [18:00:00 13/02/2018] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [18:00:00 13/02/2018] el: 0 cg: RN cu: CCU v1: Sedated st: NotStopd id: Risk for Falls t0: [18:00:00 13/02/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [18:00:00 13/02/2018] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [18:00:00 13/02/2018] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Alarms t0: [17:00:00 13/02/2018] el: 0 cg: RN cu: CCU v1: ON st: NotStopd id: Alarms t0: [18:00:00 13/02/2018] el: 0 cg: RN cu: CCU v1: ON st: NotStopd id: Heart Rate t0: [18:00:00 13/02/2018] el: 0 cg: RN cu: CCU v1: 129 n1: 129 u1: BPM st: NotStopd id: Heart Rhythm t0: [18:00:00 13/02/2018] el: 0 cg: RN cu: CCU v1: Atrial Fib st: NotStopd id: Arterial BP t0: [18:00:00 13/02/2018] el: 0 cg: RN cu: CCU v1: 101 n1: 101 u1: mmHg v2: 70 n2: 70 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [18:00:00 13/02/2018] el: 0 cg: RN cu: CCU v1: 79 n1: 79 u1: mmHg st: NotStopd id: Precautions t0: [18:00:00 13/02/2018] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [18:00:00 13/02/2018] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [18:00:00 13/02/2018] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [18:00:00 13/02/2018] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: Previous WeightF t0: [18:00:00 13/02/2018] el: 0 cg: RN cu: CCU v1: 81 n1: 81 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [18:00:00 13/02/2018] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [17:00:00 13/02/2018] el: 0 cg: RN cu: CCU v1: 14 n1: 14 u1: BPM st: NotStopd id: Respiratory Rate t0: [18:00:00 13/02/2018] el: 0 cg: RN cu: CCU v1: 14 n1: 14 u1: BPM st: NotStopd id: SpO2 t0: [17:00:00 13/02/2018] el: 0 cg: RN cu: CCU v1: 96 n1: 96 u1: % st: NotStopd id: SpO2 t0: [18:00:00 13/02/2018] el: 0 cg: RN cu: CCU v1: 96 n1: 96 u1: % st: NotStopd id: calprevflg t0: [18:00:00 13/02/2018] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Fentanyl t0: [18:00:00 13/02/2018] el: 1 cg: RN cu: CCU vo: 0 do: 40 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Levophed-k t0: [18:00:00 13/02/2018] el: 1 cg: RN cu: CCU vo: 0 do: 0.0658436 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip id: Vasopressin t0: [18:00:00 13/02/2018] el: 1 cg: RN cu: CCU vo: 0 do: 2.4 du: Umin so: D5W sv: 250 su: ml rt: IV Drip
id: Pain Present t0: [17:00:00 13/02/2018] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: Pain Assess Method t0: [17:00:00 13/02/2018] el: 0 cg: RN cu: CCU v1: Change in Vitals st: NotStopd id: Pain Location t0: [17:00:00 13/02/2018] el: 0 cg: RN cu: CCU v1: Not Indicated st: NotStopd id: Pain Type t0: [17:00:00 13/02/2018] el: 0 cg: RN cu: CCU v1: None st: NotStopd
id: D5W 250.0ml + 8mcgkgmin Levophed-k t0: [17:00:00 13/02/2018] el: 1 ai: 416 cg: RN cu: CCU vo: 13.5 vu: ml id: D5W 250.0ml + 8mcgkgmin Levophed-k t0: [18:00:00 13/02/2018] el: 1 ai: 416 cg: RN cu: CCU vo: 13 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [17:00:00 13/02/2018] el: 1 ai: 115 cg: RN cu: CCU vo: 4 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [18:00:00 13/02/2018] el: 1 ai: 115 cg: RN cu: CCU vo: 4 vu: ml id: Urine Out Foley t0: [17:00:00 13/02/2018] el: 1 cg: RN cu: CCU vo: 135 vu: ml id: Urine Out Foley t0: [18:00:00 13/02/2018] el: 1 cg: RN cu: CCU vo: 125 vu: ml
id: Less Restrict Meas. t0: [17:00:00 13/02/2018] el: 0 cg: RN cu: CCU v1: Medicated st: NotStopd id: Range of Motion t0: [17:00:00 13/02/2018] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Circulation/SkinInt t0: [17:00:00 13/02/2018] el: 0 cg: RN cu: CCU v1: Circulation Adeq st: NotStopd id: Diet Type t0: [18:00:00 13/02/2018] el: 0 cg: RN cu: CCU v1: NPO st: NotStopd id: Education Barrier t0: [17:00:00 13/02/2018] el: 0 cg: RN cu: CCU v1: Anxiety st: NotStopd id: Education Handout t0: [17:00:00 13/02/2018] el: 0 cg: RN cu: CCU v1: Not Applicable st: NotStopd id: Education Learner t0: [17:00:00 13/02/2018] el: 0 cg: RN cu: CCU v1: Sig Othr/Family st: NotStopd id: Education Method t0: [17:00:00 13/02/2018] el: 0 cg: RN cu: CCU v1: Explanation st: NotStopd id: GI#1 Intub Site t0: [18:00:00 13/02/2018] el: 0 cg: RN cu: CCU v1: Salem Sump v2: Oral st: NotStopd id: Education Readiness t0: [17:00:00 13/02/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Education Response t0: [17:00:00 13/02/2018] el: 0 cg: RN cu: CCU v1: Reinforced st: NotStopd id: Education Topic #1 t0: [17:00:00 13/02/2018] el: 0 cg: RN cu: CCU v1: Plan of Care st: NotStopd id: Education Topic #2 t0: [17:00:00 13/02/2018] el: 0 cg: RN cu: CCU v1: Disease Process st: NotStopd id: Eye Opening t0: [18:00:00 13/02/2018] el: 0 cg: RN cu: CCU v1: 1 No Response st: NotStopd id: Family Communication t0: [17:00:00 13/02/2018] el: 0 cg: RN cu: CCU v1: Family Called st: NotStopd id: GCS Total t0: [18:00:00 13/02/2018] el: 0 cg: RN cu: CCU v1: 6 n1: 6 u1: points st: NotStopd id: GI Intub #1/Site t0: [18:00:00 13/02/2018] el: 0 cg: RN cu: CCU v1: Salem Sump v2: Oral st: NotStopd id: Level of Conscious t0: [18:00:00 13/02/2018] el: 0 cg: RN cu: CCU v1: Sedated st: NotStopd id: Motor Response t0: [18:00:00 13/02/2018] el: 0 cg: RN cu: CCU v1: 4 Flex-withdraws st: NotStopd id: Orientation t0: [18:00:00 13/02/2018] el: 0 cg: RN cu: CCU v1: Unable to Assess st: NotStopd id: Position Change t0: [17:00:00 13/02/2018] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Reason For Restraint t0: [17:00:00 13/02/2018] el: 0 cg: RN cu: CCU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [17:00:00 13/02/2018] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Respiratory Pattern t0: [18:00:00 13/02/2018] el: 0 cg: RN cu: CCU v1: Regular st: NotStopd id: Restraint Location t0: [17:00:00 13/02/2018] el: 0 cg: RN cu: CCU v1: Both Arms st: NotStopd id: Restraint Type t0: [17:00:00 13/02/2018] el: 0 cg: RN cu: CCU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [17:00:00 13/02/2018] el: 0 cg: RN cu: CCU v1: Behavior Conts st: NotStopd id: Side Rails t0: [17:00:00 13/02/2018] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: Support Systems t0: [17:00:00 13/02/2018] el: 0 cg: RN cu: CCU v1: Relative st: NotStopd id: Urine Source t0: [18:00:00 13/02/2018] el: 0 cg: RN cu: CCU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [18:00:00 13/02/2018] el: 0 cg: RN cu: CCU v1: 1.0 ET/Trach st: NotStopd id: Pt./Family Informed t0: [17:00:00 13/02/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd
pi: 4407361 hi: 28366 t0: [20:00:00 13/02/2018] tf: [19:00:00 14/02/2018] mn: Digoxin pt: Unit Dose st: Expired rt: IV fr: Q12H ds: 20, 8 dn: 2 dt: 2 di: Doses xv: 36 xu: Hours
id: Service Type t0: [19:00:00 13/02/2018] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [19:00:00 13/02/2018] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [19:00:00 13/02/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [19:00:00 13/02/2018] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [19:00:00 13/02/2018] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Heart Rate t0: [19:00:00 13/02/2018] el: 0 cg: RN cu: CCU v1: 125 n1: 125 u1: BPM st: NotStopd id: Heart Rhythm t0: [19:00:00 13/02/2018] el: 0 cg: RN cu: CCU v1: Atrial Fib st: NotStopd id: Arterial BP t0: [19:00:00 13/02/2018] el: 0 cg: RN cu: CCU v1: 88 n1: 88 u1: mmHg v2: 61 n2: 61 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [19:00:00 13/02/2018] el: 0 cg: RN cu: CCU v1: 69 n1: 69 u1: mmHg st: NotStopd id: Precautions t0: [19:00:00 13/02/2018] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [19:00:00 13/02/2018] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: mmHg v2: 110 n2: 110 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [19:00:00 13/02/2018] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [19:00:00 13/02/2018] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: Previous WeightF t0: [19:00:00 13/02/2018] el: 0 cg: RN cu: CCU v1: 81 n1: 81 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [19:00:00 13/02/2018] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: calprevflg t0: [19:00:00 13/02/2018] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Fentanyl t0: [19:00:00 13/02/2018] el: 1 cg: RN cu: CCU vo: 0 do: 40 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Levophed-k t0: [19:00:00 13/02/2018] el: 1 cg: RN cu: CCU vo: 0 do: 0 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip id: Vasopressin t0: [19:00:00 13/02/2018] el: 1 cg: RN cu: CCU vo: 0 do: 2.4 du: Umin so: D5W sv: 250 su: ml rt: IV Drip
id: Fingerstick Glucose t0: [18:00:00 13/02/2018] el: 0 cg: CoWker cu: CCU v1: 103 n1: 103 rs: Manual st: NotStopd id: Fingerstick Glucose t0: [19:00:00 13/02/2018] el: 0 cg: CoWker cu: CCU v1: 118 n1: 118 rs: Manual st: NotStopd
id: Service Type t0: [18:30:00 13/02/2018] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [18:30:00 13/02/2018] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [18:30:00 13/02/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Heart Rate t0: [18:30:00 13/02/2018] el: 0 cg: RN cu: CCU v1: 128 n1: 128 u1: BPM st: NotStopd id: Arterial BP t0: [18:30:00 13/02/2018] el: 0 cg: RN cu: CCU v1: 99 n1: 99 u1: mmHg v2: 71 n2: 71 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [18:30:00 13/02/2018] el: 0 cg: RN cu: CCU v1: 79 n1: 79 u1: mmHg st: NotStopd id: Precautions t0: [18:30:00 13/02/2018] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: Previous Weight t0: [19:00:00 13/02/2018] el: 0 cg: RN cu: CCU v1: 81 n1: 81 u1: kg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [18:30:00 13/02/2018] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [18:30:00 13/02/2018] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [18:30:00 13/02/2018] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: Previous WeightF t0: [18:30:00 13/02/2018] el: 0 cg: RN cu: CCU v1: 81 n1: 81 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [18:30:00 13/02/2018] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [19:00:00 13/02/2018] el: 0 cg: RN cu: CCU v1: 14 n1: 14 u1: BPM st: NotStopd id: SpO2 t0: [19:00:00 13/02/2018] el: 0 cg: RN cu: CCU v1: 96 n1: 96 u1: % st: NotStopd id: calprevflg t0: [18:30:00 13/02/2018] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Fentanyl t0: [18:30:00 13/02/2018] el: 1 cg: RN cu: CCU vo: 0 do: 40 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Levophed-k t0: [18:30:00 13/02/2018] el: 1 cg: RN cu: CCU vo: 0 do: 0.0395062 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip id: Vasopressin t0: [18:30:00 13/02/2018] el: 1 cg: RN cu: CCU vo: 0 do: 2.4 du: Umin so: D5W sv: 250 su: ml rt: IV Drip
id: Pain Present t0: [19:00:00 13/02/2018] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: Pain Assess Method t0: [19:00:00 13/02/2018] el: 0 cg: RN cu: CCU v1: Change in Vitals st: NotStopd id: Riker-SAS Scale t0: [19:00:00 13/02/2018] el: 0 cg: RN cu: CCU v1: Sedated st: NotStopd id: Alarms t0: [19:00:00 13/02/2018] el: 0 cg: RN cu: CCU v1: ON st: NotStopd id: Pain Location t0: [19:00:00 13/02/2018] el: 0 cg: RN cu: CCU v1: Not Indicated st: NotStopd id: Pain Type t0: [19:00:00 13/02/2018] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Sputum Color/Consist t0: [19:00:00 13/02/2018] el: 0 cg: RN cu: CCU v1: Yellow v2: Thick st: NotStopd id: Sputum Source/Amt t0: [19:00:00 13/02/2018] el: 0 cg: RN cu: CCU v1: Suctioned v2: Scant st: NotStopd
id: D5W 250.0ml + 8mcgkgmin Levophed-k t0: [19:00:00 13/02/2018] el: 1 ai: 416 cg: RN cu: CCU vo: 8 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [19:00:00 13/02/2018] el: 1 ai: 115 cg: RN cu: CCU vo: 4 vu: ml
id: Insulin t0: [19:30:00 13/02/2018] el: 1 cg: RN cu: CCU vo: 0 do: 1.5 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: Urine Out Foley t0: [19:00:00 13/02/2018] el: 1 cg: RN cu: CCU vo: 95 vu: ml
id: D5W 50.0ml t0: [20:00:00 13/02/2018] el: 1 ai: 109 cg: -1 cu: CCU vo: 0 st: D/C'd id: D5W 400.0ml + 40mghr Ativan t0: [20:00:00 13/02/2018] el: 1 ai: 153 cg: -1 cu: CCU vo: 0 st: D/C'd
pi: 4407564 hi: 28366 t0: [21:00:00 13/02/2018] tf: [08:00:00 14/02/2018] mn: Albuterol pt: Unit Dose st: Discontinued rt: IH fr: Q4H:PRN di: Ongoing xv: 36 xu: Hours pi: 4407565 hi: 28366 t0: [21:00:00 13/02/2018] tf: [08:00:00 14/02/2018] mn: Ipratropium Bromide MDI pt: Unit Dose st: Discontinued rt: IH fr: Q4-6H:PRN di: Ongoing xv: 36 xu: Hours
id: Service Type t0: [19:30:00 13/02/2018] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Service Type t0: [20:00:00 13/02/2018] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [19:30:00 13/02/2018] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [20:00:00 13/02/2018] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [19:30:00 13/02/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [20:00:00 13/02/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Diet Type t0: [20:00:00 13/02/2018] el: 0 cg: RN cu: CCU v1: NPO st: NotStopd id: GI#1 Intub Site t0: [20:00:00 13/02/2018] el: 0 cg: RN cu: CCU v1: Salem Sump v2: Oral st: NotStopd id: Education Topic #1 t0: [19:30:00 13/02/2018] el: 0 cg: RN cu: CCU v1: Plan of Care st: NotStopd id: GI Intub #1/Site t0: [20:00:00 13/02/2018] el: 0 cg: RN cu: CCU v1: Salem Sump v2: Oral st: NotStopd id: HOB t0: [20:00:00 13/02/2018] el: 0 cg: RN cu: CCU v1: 30 degrees st: NotStopd id: Heart Rate t0: [19:30:00 13/02/2018] el: 0 cg: RN cu: CCU v1: 134 n1: 134 u1: BPM st: NotStopd id: Heart Rhythm t0: [20:00:00 13/02/2018] el: 0 cg: RN cu: CCU v1: Atrial Fib st: NotStopd id: INV Line#1 Type/Site t0: [20:00:00 13/02/2018] el: 0 cg: RN cu: CCU v1: A-Line v2: Right Radial st: NotStopd id: INV Line#1 Zero/Cal t0: [20:00:00 13/02/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: INV Line#1SiteAppear t0: [20:00:00 13/02/2018] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: INV Line#2 Type/Site t0: [20:00:00 13/02/2018] el: 0 cg: RN cu: CCU v1: Introducer v2: Right IJ st: NotStopd id: INV Line#2SiteAppear t0: [20:00:00 13/02/2018] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: INV#1 WaveformAppear t0: [20:00:00 13/02/2018] el: 0 cg: RN cu: CCU v1: Sharp st: NotStopd id: INV#2 WaveformAppear t0: [20:00:00 13/02/2018] el: 0 cg: RN cu: CCU v1: Sharp st: NotStopd id: IV #1 Insert Date t0: [20:00:00 13/02/2018] el: 0 cg: RN cu: CCU v1: 1 n1: 1 v2: 8 n2: 8 st: NotStopd id: IV #1 Site/Size t0: [20:00:00 13/02/2018] el: 0 cg: RN cu: CCU v1: Right Wrist v2: 20 gauge st: NotStopd id: IV #2 Insert Date t0: [20:00:00 13/02/2018] el: 0 cg: RN cu: CCU v1: 1 n1: 1 v2: 8 n2: 8 st: NotStopd id: IV #2 Site/Size t0: [20:00:00 13/02/2018] el: 0 cg: RN cu: CCU v1: RL Ant Forearm v2: 20 gauge st: NotStopd id: Activity t0: [20:00:00 13/02/2018] el: 0 cg: RN cu: CCU v1: Bedrest st: NotStopd id: IV Site Appear #1 t0: [20:00:00 13/02/2018] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: IV Site Appear #2 t0: [20:00:00 13/02/2018] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: Activity Tolerance t0: [20:00:00 13/02/2018] el: 0 cg: RN cu: CCU v1: Good st: NotStopd id: Level of Conscious t0: [20:00:00 13/02/2018] el: 0 cg: RN cu: CCU v1: Unresponsive st: NotStopd id: Oral Care t0: [20:00:00 13/02/2018] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Oral Cavity t0: [20:00:00 13/02/2018] el: 0 cg: RN cu: CCU v1: Teeth/Tissue WNL st: NotStopd id: Arterial BP t0: [19:30:00 13/02/2018] el: 0 cg: RN cu: CCU v1: 78 n1: 78 u1: mmHg v2: 50 n2: 50 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [20:00:00 13/02/2018] el: 0 cg: RN cu: CCU v1: 67 n1: 67 u1: mmHg st: NotStopd id: Position t0: [20:00:00 13/02/2018] el: 0 cg: RN cu: CCU v1: Right Side st: NotStopd id: Assistance Device t0: [20:00:00 13/02/2018] el: 0 cg: RN cu: CCU v1: 2 Person Assist st: NotStopd id: Precautions t0: [19:30:00 13/02/2018] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: Precautions t0: [20:00:00 13/02/2018] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: INV#1 Dsg Change t0: [20:00:00 13/02/2018] el: 0 cg: RN cu: CCU v1: 1 n1: 1 v2: 8 n2: 8 st: NotStopd id: INV#2 Dsg Change t0: [20:00:00 13/02/2018] el: 0 cg: RN cu: CCU v1: 1 n1: 1 v2: 8 n2: 8 st: NotStopd id: Previous Weight t0: [20:00:00 13/02/2018] el: 0 cg: RN cu: CCU v1: 81 n1: 81 u1: kg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [19:30:00 13/02/2018] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: mmHg v2: 110 n2: 110 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [20:00:00 13/02/2018] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: mmHg v2: 110 n2: 110 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [19:30:00 13/02/2018] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [20:00:00 13/02/2018] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [19:30:00 13/02/2018] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [20:00:00 13/02/2018] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: Previous WeightF t0: [19:30:00 13/02/2018] el: 0 cg: RN cu: CCU v1: 81 n1: 81 u1: kg st: NotStopd id: Previous WeightF t0: [20:00:00 13/02/2018] el: 0 cg: RN cu: CCU v1: 81 n1: 81 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [19:30:00 13/02/2018] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [20:00:00 13/02/2018] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Pattern t0: [20:00:00 13/02/2018] el: 0 cg: RN cu: CCU v1: Regular st: NotStopd id: Respiratory Rate t0: [19:30:00 13/02/2018] el: 0 cg: RN cu: CCU v1: 11 n1: 11 u1: BPM st: NotStopd id: Respiratory Rate t0: [20:00:00 13/02/2018] el: 0 cg: RN cu: CCU v1: 16 n1: 16 u1: BPM st: NotStopd id: Side Rails t0: [19:30:00 13/02/2018] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: Skin Care t0: [20:00:00 13/02/2018] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Support Systems t0: [19:30:00 13/02/2018] el: 0 cg: RN cu: CCU v1: Relative st: NotStopd id: INV#1 Cap Change t0: [20:00:00 13/02/2018] el: 0 cg: RN cu: CCU v1: 1 n1: 1 v2: 8 n2: 8 st: NotStopd id: INV#1 Tubing Change t0: [20:00:00 13/02/2018] el: 0 cg: RN cu: CCU v1: 1 n1: 1 v2: 8 n2: 8 st: NotStopd id: INV#2 Cap Change t0: [20:00:00 13/02/2018] el: 0 cg: RN cu: CCU v1: 1 n1: 1 v2: 8 n2: 8 st: NotStopd id: Temp. Site t0: [20:00:00 13/02/2018] el: 0 cg: RN cu: CCU v1: Oral st: NotStopd id: Temperature C (calc) t0: [20:00:00 13/02/2018] el: 0 cg: RN cu: CCU v1: 37.4444 n1: 37.4444 u1: Deg. C st: NotStopd id: Therapeutic Bed t0: [20:00:00 13/02/2018] el: 0 cg: RN cu: CCU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [20:00:00 13/02/2018] el: 0 cg: RN cu: CCU v1: Logroll st: NotStopd id: Urine Source t0: [20:00:00 13/02/2018] el: 0 cg: RN cu: CCU v1: Indwelling Cath st: NotStopd id: Back Care t0: [20:00:00 13/02/2018] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: calprevflg t0: [19:30:00 13/02/2018] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [20:00:00 13/02/2018] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: Pt./Family Informed t0: [19:30:00 13/02/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Fingerstick Glucose t0: [20:00:00 13/02/2018] el: 0 cg: RN cu: CCU v1: 106 n1: 106 rs: Manual st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [20:00:00 13/02/2018] el: 1 ai: 107 cg: RN cu: CCU vo: 0 vu: ml nb: 1 id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [19:00:00 13/02/2018] el: 1 ai: 209 cg: RN cu: CCU vo: 0 vu: ml nb: 1 st: NotStopd id: D5W 250.0ml + 8mcgkgmin Levophed-k t0: [20:00:00 13/02/2018] el: 1 ai: 416 cg: RN cu: CCU vo: 3.0375 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [20:00:00 13/02/2018] el: 1 ai: 115 cg: RN cu: CCU vo: 4 vu: ml id: Urine Out Foley t0: [20:00:00 13/02/2018] el: 1 cg: RN cu: CCU vo: 40 vu: ml
id: Fentanyl t0: [19:30:00 13/02/2018] el: 1 cg: RN cu: CCU vo: 0 do: 40 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Fentanyl t0: [20:00:00 13/02/2018] el: 1 cg: RN cu: CCU vo: 0 do: 40 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Levophed-k t0: [19:30:00 13/02/2018] el: 1 cg: RN cu: CCU vo: 0 do: 0.04 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip id: Levophed-k t0: [20:00:00 13/02/2018] el: 1 cg: RN cu: CCU vo: 0 do: 0.04 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip id: Insulin t0: [20:00:00 13/02/2018] el: 1 cg: RN cu: CCU vo: 0 do: 1.5 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip id: Vasopressin t0: [19:30:00 13/02/2018] el: 1 cg: RN cu: CCU vo: 0 do: 2.4 du: Umin so: D5W sv: 250 su: ml rt: IV Drip id: Vasopressin t0: [20:00:00 13/02/2018] el: 1 cg: RN cu: CCU vo: 0 do: 2.4 du: Umin so: D5W sv: 250 su: ml rt: IV Drip
id: Less Restrict Meas. t0: [19:30:00 13/02/2018] el: 0 cg: RN cu: CCU v1: Medicated st: NotStopd id: Pain Present t0: [20:00:00 13/02/2018] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: Range of Motion t0: [19:30:00 13/02/2018] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Circulation/SkinInt t0: [19:30:00 13/02/2018] el: 0 cg: RN cu: CCU v1: Circulation Adeq st: NotStopd id: Riker-SAS Scale t0: [20:00:00 13/02/2018] el: 0 cg: RN cu: CCU v1: Sedated st: NotStopd id: Ectopy Frequency t0: [20:00:00 13/02/2018] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [20:00:00 13/02/2018] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Education Barrier t0: [19:30:00 13/02/2018] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Education Handout t0: [19:30:00 13/02/2018] el: 0 cg: RN cu: CCU v1: Not Given st: NotStopd id: Education Learner t0: [19:30:00 13/02/2018] el: 0 cg: RN cu: CCU v1: Sig Othr/Family st: NotStopd id: Education Method t0: [19:30:00 13/02/2018] el: 0 cg: RN cu: CCU v1: Explanation st: NotStopd id: Education Readiness t0: [19:30:00 13/02/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Education Topic #2 t0: [19:30:00 13/02/2018] el: 0 cg: RN cu: CCU v1: Medications st: NotStopd id: Eye Opening t0: [20:00:00 13/02/2018] el: 0 cg: RN cu: CCU v1: 1 No Response st: NotStopd id: GCS Total t0: [20:00:00 13/02/2018] el: 0 cg: RN cu: CCU v1: 6 n1: 6 u1: points st: NotStopd id: GI#1 Tube PlaceCheck t0: [20:00:00 13/02/2018] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: GI#1 Tube Stat/Drain t0: [20:00:00 13/02/2018] el: 0 cg: RN cu: CCU v1: Clamped v2: Bilious st: NotStopd id: Abdominal Assessment t0: [20:00:00 13/02/2018] el: 0 cg: RN cu: CCU v1: Soft st: NotStopd id: LLL Lung Sounds t0: [20:00:00 13/02/2018] el: 0 cg: RN cu: CCU v1: Diminished st: NotStopd id: LUL Lung Sounds t0: [20:00:00 13/02/2018] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Motor Response t0: [20:00:00 13/02/2018] el: 0 cg: RN cu: CCU v1: 4 Flex-withdraws st: NotStopd id: Orientation t0: [20:00:00 13/02/2018] el: 0 cg: RN cu: CCU v1: Unable to Assess st: NotStopd id: Pain Location t0: [20:00:00 13/02/2018] el: 0 cg: RN cu: CCU v1: Not Indicated st: NotStopd id: Pain Type t0: [20:00:00 13/02/2018] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Position Change t0: [19:30:00 13/02/2018] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: RLL Lung Sounds t0: [20:00:00 13/02/2018] el: 0 cg: RN cu: CCU v1: Diminished st: NotStopd id: RUL Lung Sounds t0: [20:00:00 13/02/2018] el: 0 cg: RN cu: CCU v1: Crackles st: NotStopd id: Reason For Restraint t0: [19:30:00 13/02/2018] el: 0 cg: RN cu: CCU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [19:30:00 13/02/2018] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Restraint Location t0: [19:30:00 13/02/2018] el: 0 cg: RN cu: CCU v1: Both Arms st: NotStopd id: Restraint Type t0: [19:30:00 13/02/2018] el: 0 cg: RN cu: CCU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [19:30:00 13/02/2018] el: 0 cg: RN cu: CCU v1: Behavior Conts st: NotStopd id: Skin Integrity t0: [19:30:00 13/02/2018] el: 0 cg: RN cu: CCU v1: Intact st: NotStopd id: Urine Color/Appear t0: [20:00:00 13/02/2018] el: 0 cg: RN cu: CCU v1: Yellow v2: Clear st: NotStopd id: Verbal Response t0: [20:00:00 13/02/2018] el: 0 cg: RN cu: CCU v1: 1.0 ET/Trach st: NotStopd id: Behavior t0: [19:30:00 13/02/2018] el: 0 cg: RN cu: CCU v1: Sedated st: NotStopd id: Bowel Sounds t0: [20:00:00 13/02/2018] el: 0 cg: RN cu: CCU v1: Present st: NotStopd id: Braden Activity t0: [19:30:00 13/02/2018] el: 0 cg: RN cu: CCU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [19:30:00 13/02/2018] el: 0 cg: RN cu: CCU v1: Potential Prob st: NotStopd id: Braden Mobility t0: [19:30:00 13/02/2018] el: 0 cg: RN cu: CCU v1: Very Limited st: NotStopd id: Braden Moisture t0: [19:30:00 13/02/2018] el: 0 cg: RN cu: CCU v1: Occ. Moist st: NotStopd id: Braden Nutrition t0: [19:30:00 13/02/2018] el: 0 cg: RN cu: CCU v1: Prob. Inadequate st: NotStopd id: Braden Score t0: [19:30:00 13/02/2018] el: 0 cg: RN cu: CCU v1: 12 n1: 12 u1: number st: NotStopd id: Braden SensoryPercep t0: [19:30:00 13/02/2018] el: 0 cg: RN cu: CCU v1: Very Limited st: NotStopd
id: D5W 250.0ml + 200Uhr Vasopressin + 200Umin Vasopressin t0: [20:00:00 13/02/2018] el: 1 ai: 107 cg: RN cu: CCU vo: 50 vu: ml
id: Compliance (40-60ml) t0: [20:00:00 13/02/2018] el: 0 cg: RRT cu: CCU v1: 34.375 n1: 34.375 u1: ml/cmH st: NotStopd id: ETT Mark/Location t0: [20:00:00 13/02/2018] el: 0 cg: RRT cu: CCU v1: 24cm v2: Lip st: NotStopd id: FiO2 Set t0: [20:00:00 13/02/2018] el: 0 cg: RRT cu: CCU v1: 0.6 n1: 0.6 u1: torr st: NotStopd id: High Insp. Pressure t0: [20:00:00 13/02/2018] el: 0 cg: RRT cu: CCU v1: 40 n1: 40 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [20:00:00 13/02/2018] el: 0 cg: RRT cu: CCU v1: 10 n1: 10 u1: BPM st: NotStopd id: I:E Ratio t0: [20:00:00 13/02/2018] el: 0 cg: RRT cu: CCU v1: 1:3.3 st: NotStopd id: Airway Size t0: [20:00:00 13/02/2018] el: 0 cg: RRT cu: CCU v1: 8.0 mm st: NotStopd id: Airway Type t0: [20:00:00 13/02/2018] el: 0 cg: RRT cu: CCU v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [20:00:00 13/02/2018] el: 0 cg: RRT cu: CCU u1: Deg. C st: NotStopd id: Intubation Date t0: [20:00:00 13/02/2018] el: 0 cg: RRT cu: CCU v1: 1 n1: 1 v2: 8 n2: 8 st: NotStopd id: Low Exhaled Min Vol t0: [20:00:00 13/02/2018] el: 0 cg: RRT cu: CCU v1: 4 n1: 4 st: NotStopd id: Mean Airway Pressure t0: [20:00:00 13/02/2018] el: 0 cg: RRT cu: CCU v1: 15 n1: 15 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [20:00:00 13/02/2018] el: 0 cg: RRT cu: CCU v1: 7.9 n1: 7.9 u1: L/min st: NotStopd id: PEEP Set t0: [20:00:00 13/02/2018] el: 0 cg: RRT cu: CCU v1: 10 n1: 10 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [20:00:00 13/02/2018] el: 0 cg: RRT cu: CCU v1: 20 n1: 20 st: NotStopd id: Peak Insp. Pressure t0: [20:00:00 13/02/2018] el: 0 cg: RRT cu: CCU v1: 26 n1: 26 u1: cmH2O st: NotStopd id: Plateau Pressure t0: [20:00:00 13/02/2018] el: 0 cg: RRT cu: CCU v1: 25 n1: 25 u1: cmH2O st: NotStopd id: Pressure Support t0: [20:00:00 13/02/2018] el: 0 cg: RRT cu: CCU v1: 0 n1: 0 u1: . st: NotStopd id: Resp Rate (Spont) t0: [20:00:00 13/02/2018] el: 0 cg: RRT cu: CCU v1: 2 n1: 2 u1: BPM st: NotStopd id: Resp Rate (Total) t0: [20:00:00 13/02/2018] el: 0 cg: RRT cu: CCU v1: 16 n1: 16 u1: BPM st: NotStopd id: Respiratory Rate Set t0: [20:00:00 13/02/2018] el: 0 cg: RRT cu: CCU v1: 14 n1: 14 u1: BPM st: NotStopd id: Tank A psi. t0: [20:00:00 13/02/2018] el: 0 cg: RRT cu: CCU v1: 1200 n1: 1200 st: NotStopd id: Tank B psi. t0: [20:00:00 13/02/2018] el: 0 cg: RRT cu: CCU v1: 3000 n1: 3000 st: NotStopd id: Ve High t0: [20:00:00 13/02/2018] el: 0 cg: RRT cu: CCU v1: 18 n1: 18 st: NotStopd id: Sensitivity-Vent t0: [20:00:00 13/02/2018] el: 0 cg: RRT cu: CCU v1: 2 n1: 2 u1: cmH2O st: NotStopd id: Tidal Volume (Obser) t0: [20:00:00 13/02/2018] el: 0 cg: RRT cu: CCU v1: 510 n1: 510 u1: ml/B st: NotStopd id: Tidal Volume (Set) t0: [20:00:00 13/02/2018] el: 0 cg: RRT cu: CCU v1: 550 n1: 550 u1: ml/B st: NotStopd id: Ventilator Mode t0: [20:00:00 13/02/2018] el: 0 cg: RRT cu: CCU v1: Assist Control st: NotStopd id: Ventilator Type t0: [20:00:00 13/02/2018] el: 0 cg: RRT cu: CCU v1: Drager st: NotStopd id: Waveform-Vent t0: [20:00:00 13/02/2018] el: 0 cg: RRT cu: CCU v1: RAMP st: NotStopd
id: Art.pH t0: [20:50:00 13/02/2018] el: 0 cg: 1663 cu: CCU v1: 7.41 n1: 7.41 rs: Final st: NotStopd id: CaO2 t0: [20:50:00 13/02/2018] el: 0 cg: 1663 cu: CCU v1: 17.1111 n1: 17.1111 u1: ml/dl st: NotStopd id: Lactic Acid t0: [20:50:00 13/02/2018] el: 0 cg: 1663 cu: CCU v1: 1.5 n1: 1.5 rs: Final st: NotStopd id: Arterial Base Excess t0: [20:50:00 13/02/2018] el: 0 cg: 1663 cu: CCU v1: 1 n1: 1 rs: Final st: NotStopd id: Arterial CO2(Calc) t0: [20:50:00 13/02/2018] el: 0 cg: 1663 cu: CCU v1: 28 n1: 28 rs: Final st: NotStopd id: Arterial PaCO2 t0: [20:50:00 13/02/2018] el: 0 cg: 1663 cu: CCU v1: 42 n1: 42 u1: mmHg rs: Final st: NotStopd id: Arterial PaO2 t0: [20:50:00 13/02/2018] el: 0 cg: 1663 cu: CCU v1: 75 n1: 75 u1: mmHg rs: Final st: NotStopd id: Arterial pH t0: [20:50:00 13/02/2018] el: 0 cg: 1663 cu: CCU v1: 7.41 n1: 7.41 rs: Final st: NotStopd id: Ionized Calcium t0: [20:50:00 13/02/2018] el: 0 cg: 1663 cu: CCU v1: 1.16 n1: 1.16 rs: Final st: NotStopd id: Lactic Acid(0.5-2.0) t0: [20:50:00 13/02/2018] el: 0 cg: 1663 cu: CCU v1: 1.5 n1: 1.5 rs: Final st: NotStopd id: SaO2 t0: [20:50:00 13/02/2018] el: 0 cg: 1663 cu: CCU v1: 94 n1: 94 u1: % rs: Final st: NotStopd
id: Service Type t0: [21:00:00 13/02/2018] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [21:00:00 13/02/2018] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [21:00:00 13/02/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Dorsal PedPulse R/L t0: [20:00:00 13/02/2018] el: 0 cg: RN cu: CCU v1: Weak Palpable v2: Weak Palpable st: NotStopd id: Ectopy Frequency t0: [21:00:00 13/02/2018] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [21:00:00 13/02/2018] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Heart Rhythm t0: [21:00:00 13/02/2018] el: 0 cg: RN cu: CCU v1: Atrial Fib st: NotStopd id: Arterial BP t0: [21:00:00 13/02/2018] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: mmHg v2: 66 n2: 66 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [21:00:00 13/02/2018] el: 0 cg: RN cu: CCU v1: 75 n1: 75 u1: mmHg st: NotStopd id: PostTib. Pulses R/L t0: [20:00:00 13/02/2018] el: 0 cg: RN cu: CCU v1: Diff to Palpate v2: Weak Palpable st: NotStopd id: Precautions t0: [21:00:00 13/02/2018] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [21:00:00 13/02/2018] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: mmHg v2: 110 n2: 110 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [21:00:00 13/02/2018] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [21:00:00 13/02/2018] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: Previous WeightF t0: [21:00:00 13/02/2018] el: 0 cg: RN cu: CCU v1: 81 n1: 81 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [21:00:00 13/02/2018] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Radiologic Study t0: [21:00:00 13/02/2018] el: 0 cg: RN cu: CCU v1: Chest Xray st: NotStopd id: Respiratory Rate t0: [21:00:00 13/02/2018] el: 0 cg: RN cu: CCU v1: 14 n1: 14 u1: BPM st: NotStopd id: calprevflg t0: [21:00:00 13/02/2018] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [21:00:00 13/02/2018] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: D5W 250.0ml + 8mcgkgmin Levophed-k t0: [21:00:00 13/02/2018] el: 1 ai: 416 cg: RN cu: CCU vo: 6.075 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [21:00:00 13/02/2018] el: 1 ai: 115 cg: RN cu: CCU vo: 4 vu: ml id: D5W 250.0ml + 200Uhr Vasopressin + 200Umin Vasopressin t0: [21:00:00 13/02/2018] el: 1 ai: 107 cg: RN cu: CCU vo: 3 vu: ml id: Urine Out Foley t0: [21:00:00 13/02/2018] el: 1 cg: RN cu: CCU vo: 75 vu: ml
id: Fentanyl t0: [21:00:00 13/02/2018] el: 1 cg: RN cu: CCU vo: 0 do: 40 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Levophed-k t0: [21:00:00 13/02/2018] el: 1 cg: RN cu: CCU vo: 0 do: 0.04 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip id: Vasopressin t0: [21:00:00 13/02/2018] el: 1 cg: RN cu: CCU vo: 0 do: 2.4 du: Umin so: D5W sv: 250 su: ml rt: IV Drip
id: Insulin t0: [21:00:00 13/02/2018] el: 1 cg: RN cu: CCU vo: 0 do: 2 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: D5W 100.0ml t0: [20:00:00 13/02/2018] el: 1 ai: 105 cg: RN cu: CCU vo: 200 vu: ml id: D5W 100.0ml t0: [21:00:00 13/02/2018] el: 1 ai: 105 cg: RN cu: CCU vo: 50 vu: ml
id: MDI #1 (Puff/Drug) t0: [21:00:00 13/02/2018] el: 0 cg: RRT cu: CCU v1: 4 n1: 4 v2: Atrovent st: NotStopd
pi: 4407906 hi: 28366 t0: [23:00:00 13/02/2018] tf: [22:00:00 14/02/2018] mn: Furosemide pt: Unit Dose st: Expired rt: IV fr: ONCE ds: 23 dn: 1 dt: 1 di: Doses xv: 36 xu: Hours
id: Fingerstick Glucose t0: [22:00:00 13/02/2018] el: 0 cg: CoWker cu: CCU v1: 119 n1: 119 rs: Manual st: NotStopd
id: Service Type t0: [22:00:00 13/02/2018] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [22:00:00 13/02/2018] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [22:00:00 13/02/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [22:00:00 13/02/2018] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [22:00:00 13/02/2018] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Heart Rate t0: [22:00:00 13/02/2018] el: 0 cg: RN cu: CCU v1: 115 n1: 115 u1: BPM st: NotStopd id: Heart Rhythm t0: [22:00:00 13/02/2018] el: 0 cg: RN cu: CCU v1: Atrial Fib st: NotStopd id: Arterial BP t0: [22:00:00 13/02/2018] el: 0 cg: RN cu: CCU v1: 108 n1: 108 u1: mmHg v2: 72 n2: 72 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [22:00:00 13/02/2018] el: 0 cg: RN cu: CCU v1: 82 n1: 82 u1: mmHg st: NotStopd id: Precautions t0: [22:00:00 13/02/2018] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [22:00:00 13/02/2018] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: mmHg v2: 110 n2: 110 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [22:00:00 13/02/2018] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [22:00:00 13/02/2018] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: Previous WeightF t0: [22:00:00 13/02/2018] el: 0 cg: RN cu: CCU v1: 81 n1: 81 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [22:00:00 13/02/2018] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [22:00:00 13/02/2018] el: 0 cg: RN cu: CCU v1: 13 n1: 13 u1: BPM st: NotStopd id: SpO2 t0: [22:00:00 13/02/2018] el: 0 cg: RN cu: CCU v1: 98 n1: 98 u1: % st: NotStopd id: calprevflg t0: [22:00:00 13/02/2018] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [22:00:00 13/02/2018] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: D5W 250.0ml + 8mcgkgmin Levophed-k t0: [22:00:00 13/02/2018] el: 1 ai: 416 cg: RN cu: CCU vo: 6.075 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [22:00:00 13/02/2018] el: 1 ai: 115 cg: RN cu: CCU vo: 4 vu: ml id: D5W 250.0ml + 200Uhr Vasopressin + 200Umin Vasopressin t0: [22:00:00 13/02/2018] el: 1 ai: 107 cg: RN cu: CCU vo: 3 vu: ml
id: Fentanyl t0: [22:00:00 13/02/2018] el: 1 cg: RN cu: CCU vo: 0 do: 40 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Levophed-k t0: [22:00:00 13/02/2018] el: 1 cg: RN cu: CCU vo: 0 do: 0.04 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip id: Insulin t0: [22:00:00 13/02/2018] el: 1 cg: RN cu: CCU vo: 0 do: 2 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip id: Vasopressin t0: [22:00:00 13/02/2018] el: 1 cg: RN cu: CCU vo: 0 do: 2.4 du: Umin so: D5W sv: 250 su: ml rt: IV Drip
id: Urine Out Foley t0: [22:00:00 13/02/2018] el: 1 cg: RN cu: CCU vo: 175 vu: ml
id: Fingerstick Glucose t0: [23:00:00 13/02/2018] el: 0 cg: RN cu: CCU v1: 120 n1: 120 rs: Manual st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [23:00:00 13/02/2018] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: D5W 250.0ml + 8mcgkgmin Levophed-k t0: [23:00:00 13/02/2018] el: 1 ai: 416 cg: RN cu: CCU vo: 6.075 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [23:00:00 13/02/2018] el: 1 ai: 115 cg: RN cu: CCU vo: 4 vu: ml id: D5W 250.0ml + 200Uhr Vasopressin + 200Umin Vasopressin t0: [23:00:00 13/02/2018] el: 1 ai: 107 cg: RN cu: CCU vo: 3 vu: ml id: Urine Out Foley t0: [23:00:00 13/02/2018] el: 1 cg: RN cu: CCU vo: 350 vu: ml
id: Art.pH t0: [23:53:00 13/02/2018] el: 0 cg: 1663 cu: CCU v1: 7.43 n1: 7.43 rs: Final st: NotStopd id: CaO2 t0: [23:53:00 13/02/2018] el: 0 cg: 1663 cu: CCU v1: 17.7242 n1: 17.7242 u1: ml/dl st: NotStopd id: Arterial Base Excess t0: [23:53:00 13/02/2018] el: 0 cg: 1663 cu: CCU v1: 3 n1: 3 rs: Final st: NotStopd id: Arterial CO2(Calc) t0: [23:53:00 13/02/2018] el: 0 cg: 1663 cu: CCU v1: 29 n1: 29 rs: Final st: NotStopd id: Arterial PaCO2 t0: [23:53:00 13/02/2018] el: 0 cg: 1663 cu: CCU v1: 43 n1: 43 u1: mmHg rs: Final st: NotStopd id: Arterial PaO2 t0: [23:53:00 13/02/2018] el: 0 cg: 1663 cu: CCU v1: 99 n1: 99 u1: mmHg rs: Final st: NotStopd id: Arterial pH t0: [23:53:00 13/02/2018] el: 0 cg: 1663 cu: CCU v1: 7.43 n1: 7.43 rs: Final st: NotStopd id: SaO2 t0: [23:53:00 13/02/2018] el: 0 cg: 1663 cu: CCU v1: 97 n1: 97 u1: % rs: Final st: NotStopd
id: Service Type t0: [00:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Service Type t0: [23:00:00 13/02/2018] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [00:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [23:00:00 13/02/2018] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [00:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [23:00:00 13/02/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [00:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Frequency t0: [23:00:00 13/02/2018] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [00:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [23:00:00 13/02/2018] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Alarms t0: [00:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: ON st: NotStopd id: Alarms t0: [21:00:00 13/02/2018] el: 0 cg: RN cu: CCU v1: ON st: NotStopd id: Parameters Checked t0: [00:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Parameters Checked t0: [21:00:00 13/02/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Heart Rate t0: [00:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: 112 n1: 112 u1: BPM st: NotStopd id: Heart Rate t0: [23:00:00 13/02/2018] el: 0 cg: RN cu: CCU v1: 116 n1: 116 u1: BPM st: NotStopd id: Heart Rhythm t0: [00:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: Atrial Fib st: NotStopd id: Heart Rhythm t0: [23:00:00 13/02/2018] el: 0 cg: RN cu: CCU v1: Atrial Fib st: NotStopd id: Arterial BP t0: [00:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: 110 n1: 110 u1: mmHg v2: 71 n2: 71 u2: mmHg st: NotStopd id: Arterial BP t0: [23:00:00 13/02/2018] el: 0 cg: RN cu: CCU v1: 109 n1: 109 u1: mmHg v2: 74 n2: 74 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [00:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: 83 n1: 83 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [23:00:00 13/02/2018] el: 0 cg: RN cu: CCU v1: 84 n1: 84 u1: mmHg st: NotStopd id: Precautions t0: [00:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: Precautions t0: [23:00:00 13/02/2018] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [00:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: mmHg v2: 110 n2: 110 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [23:00:00 13/02/2018] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: mmHg v2: 110 n2: 110 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [00:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [23:00:00 13/02/2018] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [00:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [23:00:00 13/02/2018] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: Previous WeightF t0: [00:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: 81 n1: 81 u1: kg st: NotStopd id: Previous WeightF t0: [23:00:00 13/02/2018] el: 0 cg: RN cu: CCU v1: 81 n1: 81 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [00:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [23:00:00 13/02/2018] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [23:00:00 13/02/2018] el: 0 cg: RN cu: CCU v1: 14 n1: 14 u1: BPM st: NotStopd id: SpO2 t0: [00:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: 97 n1: 97 u1: % st: NotStopd id: SpO2 t0: [23:00:00 13/02/2018] el: 0 cg: RN cu: CCU v1: 97 n1: 97 u1: % st: NotStopd id: Temp. Site t0: [00:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: Oral st: NotStopd id: Temperature C (calc) t0: [00:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: 37.4444 n1: 37.4444 u1: Deg. C st: NotStopd id: Temperature F t0: [00:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: 99.4 n1: 99.4 u1: Deg. F st: NotStopd id: calprevflg t0: [00:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [23:00:00 13/02/2018] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: Fingerstick Glucose t0: [00:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: 130 n1: 130 rs: Manual st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [00:00:00 14/02/2018] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: D5W 250.0ml + 8mcgkgmin Levophed-k t0: [00:00:00 14/02/2018] el: 1 ai: 416 cg: RN cu: CCU vo: 6.075 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [00:00:00 14/02/2018] el: 1 ai: 115 cg: RN cu: CCU vo: 4 vu: ml id: D5W 250.0ml + 200Uhr Vasopressin + 200Umin Vasopressin t0: [00:00:00 14/02/2018] el: 1 ai: 107 cg: RN cu: CCU vo: 3 vu: ml id: Urine Out Foley t0: [00:00:00 14/02/2018] el: 1 cg: RN cu: CCU vo: 350 vu: ml
id: Fentanyl t0: [00:00:00 14/02/2018] el: 1 cg: RN cu: CCU vo: 0 do: 40 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Fentanyl t0: [23:00:00 13/02/2018] el: 1 cg: RN cu: CCU vo: 0 do: 40 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Levophed-k t0: [00:00:00 14/02/2018] el: 1 cg: RN cu: CCU vo: 0 do: 0.04 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip id: Levophed-k t0: [23:00:00 13/02/2018] el: 1 cg: RN cu: CCU vo: 0 do: 0.04 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip id: Insulin t0: [00:00:00 14/02/2018] el: 1 cg: RN cu: CCU vo: 0 do: 2 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip id: Insulin t0: [23:00:00 13/02/2018] el: 1 cg: RN cu: CCU vo: 0 do: 2 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip id: Vasopressin t0: [00:00:00 14/02/2018] el: 1 cg: RN cu: CCU vo: 0 do: 2.4 du: Umin so: D5W sv: 250 su: ml rt: IV Drip id: Vasopressin t0: [23:00:00 13/02/2018] el: 1 cg: RN cu: CCU vo: 0 do: 2.4 du: Umin so: D5W sv: 250 su: ml rt: IV Drip
id: Compliance (40-60ml) t0: [00:00:00 14/02/2018] el: 0 cg: RRT cu: CCU v1: 42.3077 n1: 42.3077 u1: ml/cmH st: NotStopd id: ETT Mark/Location t0: [00:00:00 14/02/2018] el: 0 cg: RRT cu: CCU v1: 24cm v2: Lip st: NotStopd id: FiO2 Set t0: [00:00:00 14/02/2018] el: 0 cg: RRT cu: CCU v1: 0.6 n1: 0.6 u1: torr st: NotStopd id: High Insp. Pressure t0: [00:00:00 14/02/2018] el: 0 cg: RRT cu: CCU v1: 40 n1: 40 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [00:00:00 14/02/2018] el: 0 cg: RRT cu: CCU v1: 10 n1: 10 u1: BPM st: NotStopd id: I:E Ratio t0: [00:00:00 14/02/2018] el: 0 cg: RRT cu: CCU v1: 1:3.3 st: NotStopd id: Airway Size t0: [00:00:00 14/02/2018] el: 0 cg: RRT cu: CCU v1: 8.0 mm st: NotStopd id: Airway Type t0: [00:00:00 14/02/2018] el: 0 cg: RRT cu: CCU v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [00:00:00 14/02/2018] el: 0 cg: RRT cu: CCU u1: Deg. C st: NotStopd id: Intubation Date t0: [00:00:00 14/02/2018] el: 0 cg: RRT cu: CCU v1: 1 n1: 1 v2: 8 n2: 8 st: NotStopd id: Low Exhaled Min Vol t0: [00:00:00 14/02/2018] el: 0 cg: RRT cu: CCU v1: 4 n1: 4 st: NotStopd id: MDI #1 (Puff/Drug) t0: [00:00:00 14/02/2018] el: 0 cg: RRT cu: CCU v1: 4 n1: 4 v2: Atrovent st: NotStopd id: MDI #2 (Puff/Drug) t0: [00:00:00 14/02/2018] el: 0 cg: RRT cu: CCU v1: 2 n1: 2 v2: Albuterol st: NotStopd id: Mean Airway Pressure t0: [00:00:00 14/02/2018] el: 0 cg: RRT cu: CCU v1: 11 n1: 11 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [00:00:00 14/02/2018] el: 0 cg: RRT cu: CCU v1: 7.4 n1: 7.4 u1: L/min st: NotStopd id: PEEP Set t0: [00:00:00 14/02/2018] el: 0 cg: RRT cu: CCU v1: 8 n1: 8 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [00:00:00 14/02/2018] el: 0 cg: RRT cu: CCU v1: 20 n1: 20 st: NotStopd id: Peak Insp. Pressure t0: [00:00:00 14/02/2018] el: 0 cg: RRT cu: CCU v1: 21 n1: 21 u1: cmH2O st: NotStopd id: Plateau Pressure t0: [00:00:00 14/02/2018] el: 0 cg: RRT cu: CCU v1: 19 n1: 19 u1: cmH2O st: NotStopd id: Pressure Support t0: [00:00:00 14/02/2018] el: 0 cg: RRT cu: CCU v1: 0 n1: 0 u1: . st: NotStopd id: Resp Rate (Spont) t0: [00:00:00 14/02/2018] el: 0 cg: RRT cu: CCU v1: 0 n1: 0 u1: BPM st: NotStopd id: Resp Rate (Total) t0: [00:00:00 14/02/2018] el: 0 cg: RRT cu: CCU v1: 14 n1: 14 u1: BPM st: NotStopd id: Respiratory Rate Set t0: [00:00:00 14/02/2018] el: 0 cg: RRT cu: CCU v1: 14 n1: 14 u1: BPM st: NotStopd id: Ve High t0: [00:00:00 14/02/2018] el: 0 cg: RRT cu: CCU v1: 18 n1: 18 st: NotStopd id: Sensitivity-Vent t0: [00:00:00 14/02/2018] el: 0 cg: RRT cu: CCU v1: 2 n1: 2 u1: cmH2O st: NotStopd id: Sputum Source/Amt t0: [00:00:00 14/02/2018] el: 0 cg: RRT cu: CCU v1: Suctioned v2: None st: NotStopd id: Tidal Volume (Obser) t0: [00:00:00 14/02/2018] el: 0 cg: RRT cu: CCU v1: 581 n1: 581 u1: ml/B st: NotStopd id: Tidal Volume (Set) t0: [00:00:00 14/02/2018] el: 0 cg: RRT cu: CCU v1: 550 n1: 550 u1: ml/B st: NotStopd id: Ventilator Mode t0: [00:00:00 14/02/2018] el: 0 cg: RRT cu: CCU v1: Assist Control st: NotStopd id: Ventilator Type t0: [00:00:00 14/02/2018] el: 0 cg: RRT cu: CCU v1: Drager st: NotStopd id: Waveform-Vent t0: [00:00:00 14/02/2018] el: 0 cg: RRT cu: CCU v1: RAMP st: NotStopd
id: Magnesium t0: [23:42:00 13/02/2018] el: 0 cg: 1663 cu: CCU v1: 1.9 n1: 1.9 rs: Final st: NotStopd id: Potassium t0: [23:42:00 13/02/2018] el: 0 cg: 1663 cu: CCU v1: 4.2 n1: 4.2 rs: Final st: NotStopd id: Magnesium (1.6-2.6) t0: [23:42:00 13/02/2018] el: 0 cg: 1663 cu: CCU v1: 1.9 n1: 1.9 rs: Final st: NotStopd id: Potassium (3.5-5.3) t0: [23:42:00 13/02/2018] el: 0 cg: 1663 cu: CCU v1: 4.2 n1: 4.2 rs: Final st: NotStopd
id: Service Type t0: [01:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [01:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [01:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [01:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [01:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Heart Rate t0: [01:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: 118 n1: 118 u1: BPM st: NotStopd id: Heart Rhythm t0: [01:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: Atrial Fib st: NotStopd id: Arterial BP t0: [01:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: 113 n1: 113 u1: mmHg v2: 75 n2: 75 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [01:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: 86 n1: 86 u1: mmHg st: NotStopd id: Precautions t0: [01:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [01:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: mmHg v2: 110 n2: 110 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [01:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [01:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: Previous WeightF t0: [01:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: 81 n1: 81 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [01:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 t0: [01:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: 98 n1: 98 u1: % st: NotStopd id: calprevflg t0: [01:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: Fingerstick Glucose t0: [01:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: 121 n1: 121 rs: Manual st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [01:00:00 14/02/2018] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: D5W 250.0ml + 8mcgkgmin Levophed-k t0: [01:00:00 14/02/2018] el: 1 ai: 416 cg: RN cu: CCU vo: 6.075 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [01:00:00 14/02/2018] el: 1 ai: 115 cg: RN cu: CCU vo: 4 vu: ml id: D5W 250.0ml + 200Uhr Vasopressin + 200Umin Vasopressin t0: [01:00:00 14/02/2018] el: 1 ai: 107 cg: RN cu: CCU vo: 3 vu: ml id: Urine Out Foley t0: [01:00:00 14/02/2018] el: 1 cg: RN cu: CCU vo: 400 vu: ml
id: Fentanyl t0: [01:00:00 14/02/2018] el: 1 cg: RN cu: CCU vo: 0 do: 40 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Levophed-k t0: [01:00:00 14/02/2018] el: 1 cg: RN cu: CCU vo: 0 do: 0.04 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip id: Insulin t0: [01:00:00 14/02/2018] el: 1 cg: RN cu: CCU vo: 0 do: 2 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip id: Vasopressin t0: [01:00:00 14/02/2018] el: 1 cg: RN cu: CCU vo: 0 do: 2.4 du: Umin so: D5W sv: 250 su: ml rt: IV Drip
id: Less Restrict Meas. t0: [00:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: Medicated st: NotStopd id: Range of Motion t0: [00:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Service Type t0: [02:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Circulation/SkinInt t0: [00:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: Circulation Adeq st: NotStopd id: Code Status t0: [02:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: GI Prophylaxis t0: [00:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [02:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Diet Type t0: [00:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: NPO st: NotStopd id: Ectopy Frequency t0: [02:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [02:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Education Barrier t0: [00:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Education Learner t0: [00:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: Sig Othr/Family st: NotStopd id: Education Method t0: [00:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: Explanation st: NotStopd id: GI#1 Intub Site t0: [00:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: Salem Sump v2: Oral st: NotStopd id: Education Readiness t0: [00:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Education Topic #1 t0: [00:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: Plan of Care st: NotStopd id: Education Topic #2 t0: [00:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: Disease Process st: NotStopd id: Eye Opening t0: [00:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: 1 No Response st: NotStopd id: GCS Total t0: [00:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: 6 n1: 6 u1: points st: NotStopd id: GI Intub #1/Site t0: [00:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: Salem Sump v2: Oral st: NotStopd id: GI#1 Tube PlaceCheck t0: [00:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: GI#1 Tube Stat/Drain t0: [00:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: Clamped st: NotStopd id: HOB t0: [00:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: 30 degrees st: NotStopd id: Heart Rate t0: [02:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: 125 n1: 125 u1: BPM st: NotStopd id: Heart Rhythm t0: [02:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: Atrial Fib st: NotStopd id: INV Line#1 Type/Site t0: [00:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: A-Line v2: Right Radial st: NotStopd id: INV Line#1SiteAppear t0: [00:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: INV Line#2 Type/Site t0: [00:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: Introducer v2: Right IJ st: NotStopd id: INV Line#2SiteAppear t0: [00:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: Abdominal Assessment t0: [00:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: Soft st: NotStopd id: INV#1 WaveformAppear t0: [00:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: Sharp st: NotStopd id: IV #1 Insert Date t0: [00:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: 1 n1: 1 v2: 8 n2: 8 st: NotStopd id: IV #1 Site/Size t0: [00:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: Right Wrist v2: 20 gauge st: NotStopd id: IV #2 Insert Date t0: [00:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: 1 n1: 1 v2: 8 n2: 8 st: NotStopd id: IV #2 Site/Size t0: [00:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: RL Ant Forearm v2: 20 gauge st: NotStopd id: Activity t0: [00:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: Bedrest st: NotStopd id: IV Site Appear #1 t0: [00:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: IV Site Appear #2 t0: [00:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: Activity Tolerance t0: [00:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: Tolerated Well st: NotStopd id: LLL Lung Sounds t0: [00:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: Diminished st: NotStopd id: LUL Lung Sounds t0: [00:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Level of Conscious t0: [00:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: Unresponsive st: NotStopd id: Motor Response t0: [00:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: 4 Flex-withdraws st: NotStopd id: Oral Care t0: [00:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Oral Cavity t0: [00:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [00:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: Unable to Assess st: NotStopd id: Arterial BP t0: [02:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: 117 n1: 117 u1: mmHg v2: 76 n2: 76 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [02:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: 88 n1: 88 u1: mmHg st: NotStopd id: Position t0: [00:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: Supine st: NotStopd id: Position Change t0: [00:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Assistance Device t0: [00:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: 2 Person Assist st: NotStopd id: Precautions t0: [02:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: INV#1 Dsg Change t0: [00:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: 1 n1: 1 v2: 8 n2: 8 st: NotStopd id: INV#2 Dsg Change t0: [00:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: 1 n1: 1 v2: 8 n2: 8 st: NotStopd id: ABP Alarm (Lo/Hi) t0: [02:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: mmHg v2: 110 n2: 110 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [02:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [02:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [02:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: RLL Lung Sounds t0: [00:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: Diminished st: NotStopd id: RUL Lung Sounds t0: [00:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Reason For Restraint t0: [00:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [00:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Respiratory Pattern t0: [00:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: Regular st: NotStopd id: Respiratory Rate t0: [00:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: 14 n1: 14 u1: BPM st: NotStopd id: Respiratory Rate t0: [01:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: 14 n1: 14 u1: BPM st: NotStopd id: Respiratory Rate t0: [02:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: 14 n1: 14 u1: BPM st: NotStopd id: Restraint Location t0: [00:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: Both Arms st: NotStopd id: Restraint Type t0: [00:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: Soft Limb st: NotStopd id: Side Rails t0: [00:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: Skin Care t0: [00:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: SpO2 t0: [02:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: 97 n1: 97 u1: % st: NotStopd id: Support Systems t0: [00:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: Relative st: NotStopd id: INV#1 Cap Change t0: [00:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: 1 n1: 1 v2: 8 n2: 8 st: NotStopd id: INV#1 Tubing Change t0: [00:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: 1 n1: 1 v2: 8 n2: 8 st: NotStopd id: INV#2 Cap Change t0: [00:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: 1 n1: 1 v2: 8 n2: 8 st: NotStopd id: Therapeutic Bed t0: [00:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [00:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: Logroll st: NotStopd id: Urine Color/Appear t0: [00:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [00:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [00:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: 1.0 ET/Trach st: NotStopd id: Back Care t0: [00:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: calprevflg t0: [02:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: Behavior t0: [00:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: Sedated st: NotStopd id: Pt./Family Informed t0: [00:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Bowel Sounds t0: [00:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: Present st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [02:00:00 14/02/2018] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: D5W 250.0ml + 8mcgkgmin Levophed-k t0: [02:00:00 14/02/2018] el: 1 ai: 416 cg: RN cu: CCU vo: 6.075 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [02:00:00 14/02/2018] el: 1 ai: 115 cg: RN cu: CCU vo: 4 vu: ml id: D5W 250.0ml + 200Uhr Vasopressin + 200Umin Vasopressin t0: [02:00:00 14/02/2018] el: 1 ai: 107 cg: RN cu: CCU vo: 3 vu: ml id: Urine Out Foley t0: [02:00:00 14/02/2018] el: 1 cg: RN cu: CCU vo: 250 vu: ml
id: Fentanyl t0: [02:00:00 14/02/2018] el: 1 cg: RN cu: CCU vo: 0 do: 40 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Levophed-k t0: [02:00:00 14/02/2018] el: 1 cg: RN cu: CCU vo: 0 do: 0.04 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip id: Insulin t0: [02:00:00 14/02/2018] el: 1 cg: RN cu: CCU vo: 0 do: 2 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip id: Vasopressin t0: [02:00:00 14/02/2018] el: 1 cg: RN cu: CCU vo: 0 do: 2.4 du: Umin so: D5W sv: 250 su: ml rt: IV Drip
id: Less Restrict Meas. t0: [04:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: Medicated st: NotStopd id: Pain Present t0: [00:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: Pain Present t0: [04:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: Range of Motion t0: [04:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Service Type t0: [03:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Service Type t0: [04:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Circulation/SkinInt t0: [04:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: Circulation Adeq st: NotStopd id: Code Status t0: [03:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [04:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [00:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: Sedated st: NotStopd id: Riker-SAS Scale t0: [04:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: Sedated st: NotStopd id: GI Prophylaxis t0: [04:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [03:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [04:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Diet Type t0: [04:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: NPO st: NotStopd id: Ectopy Frequency t0: [03:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Frequency t0: [04:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [03:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [04:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Alarms t0: [04:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: ON st: NotStopd id: Parameters Checked t0: [04:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: GI#1 Intub Site t0: [04:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: Salem Sump v2: Oral st: NotStopd id: Education Topic #1 t0: [04:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: Plan of Care st: NotStopd id: Eye Opening t0: [04:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: 1 No Response st: NotStopd id: GCS Total t0: [04:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: 6 n1: 6 u1: points st: NotStopd id: GI Intub #1/Site t0: [04:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: Salem Sump v2: Oral st: NotStopd id: GI#1 Tube PlaceCheck t0: [04:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: GI#1 Tube Stat/Drain t0: [04:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: Clamped st: NotStopd id: HOB t0: [03:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: 30 degrees st: NotStopd id: Heart Rate t0: [03:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: 124 n1: 124 u1: BPM st: NotStopd id: Heart Rate t0: [04:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: 123 n1: 123 u1: BPM st: NotStopd id: Heart Rhythm t0: [03:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: Atrial Fib st: NotStopd id: Heart Rhythm t0: [04:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: Atrial Fib st: NotStopd id: INV Line#1 Type/Site t0: [04:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: A-Line v2: Right Radial st: NotStopd id: INV Line#1SiteAppear t0: [04:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: INV Line#2 Type/Site t0: [04:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: Introducer v2: Right IJ st: NotStopd id: INV Line#2SiteAppear t0: [04:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: Abdominal Assessment t0: [04:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: Soft st: NotStopd id: INV#1 WaveformAppear t0: [04:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: Sharp st: NotStopd id: IV #1 Insert Date t0: [04:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: 1 n1: 1 v2: 8 n2: 8 st: NotStopd id: IV #1 Site/Size t0: [04:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: Right Wrist v2: 20 gauge st: NotStopd id: IV #2 Insert Date t0: [04:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: 1 n1: 1 v2: 8 n2: 8 st: NotStopd id: IV #2 Site/Size t0: [04:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: RL Ant Forearm v2: 20 gauge st: NotStopd id: Activity t0: [03:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: Bedrest st: NotStopd id: IV Site Appear #1 t0: [04:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: IV Site Appear #2 t0: [04:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: Activity Tolerance t0: [03:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: Tolerated Well st: NotStopd id: LLL Lung Sounds t0: [04:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: Diminished st: NotStopd id: LUL Lung Sounds t0: [04:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Level of Conscious t0: [04:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: Sedated st: NotStopd id: Motor Response t0: [04:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: 4 Flex-withdraws st: NotStopd id: Oral Care t0: [03:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Oral Cavity t0: [04:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [04:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: Unable to Assess st: NotStopd id: Arterial BP t0: [03:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: 117 n1: 117 u1: mmHg v2: 78 n2: 78 u2: mmHg st: NotStopd id: Arterial BP t0: [04:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: 117 n1: 117 u1: mmHg v2: 77 n2: 77 u2: mmHg st: NotStopd id: Pain Location t0: [00:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: Not Indicated st: NotStopd id: Pain Location t0: [04:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: Not Indicated st: NotStopd id: Pain Type t0: [00:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Pain Type t0: [04:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Arterial BP Mean t0: [03:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [04:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: 89 n1: 89 u1: mmHg st: NotStopd id: Position t0: [03:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: Left Side st: NotStopd id: Position Change t0: [04:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Assistance Device t0: [03:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: 1 Person Assist st: NotStopd id: Precautions t0: [03:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: Precautions t0: [04:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: INV#1 Dsg Change t0: [04:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: 1 n1: 1 v2: 8 n2: 8 st: NotStopd id: INV#2 Dsg Change t0: [04:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: 1 n1: 1 v2: 8 n2: 8 st: NotStopd id: ABP Alarm (Lo/Hi) t0: [03:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: mmHg v2: 110 n2: 110 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [04:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: mmHg v2: 110 n2: 110 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [03:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [04:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [03:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [04:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: Previous WeightF t0: [03:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: 81 n1: 81 u1: kg st: NotStopd id: Previous WeightF t0: [04:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: 81 n1: 81 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [03:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [04:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: RLL Lung Sounds t0: [04:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: Diminished st: NotStopd id: RUL Lung Sounds t0: [04:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Reason For Restraint t0: [04:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [04:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Respiratory Pattern t0: [04:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: Regular st: NotStopd id: Respiratory Rate t0: [03:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: 14 n1: 14 u1: BPM st: NotStopd id: Respiratory Rate t0: [04:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: 14 n1: 14 u1: BPM st: NotStopd id: Restraint Location t0: [04:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: Both Arms st: NotStopd id: Restraint Type t0: [04:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [04:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: Behavior Conts st: NotStopd id: Side Rails t0: [04:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: Skin Care t0: [03:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: SpO2 t0: [03:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: 98 n1: 98 u1: % st: NotStopd id: SpO2 t0: [04:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: 98 n1: 98 u1: % st: NotStopd id: Support Systems t0: [04:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: Relative st: NotStopd id: INV#1 Cap Change t0: [04:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: 1 n1: 1 v2: 8 n2: 8 st: NotStopd id: INV#1 Tubing Change t0: [04:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: 1 n1: 1 v2: 8 n2: 8 st: NotStopd id: INV#2 Cap Change t0: [04:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: 1 n1: 1 v2: 8 n2: 8 st: NotStopd id: Temp. Site t0: [04:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: Oral st: NotStopd id: Temperature C (calc) t0: [04:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: 37.3333 n1: 37.3333 u1: Deg. C st: NotStopd id: Temperature F t0: [04:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: 99.2 n1: 99.2 u1: Deg. F st: NotStopd id: Therapeutic Bed t0: [03:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [03:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: Left Side st: NotStopd id: Urine Color/Appear t0: [04:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [04:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [04:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: 1.0 ET/Trach st: NotStopd id: Back Care t0: [03:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: calprevflg t0: [03:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [04:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: Behavior t0: [04:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: Sedated st: NotStopd id: Pt./Family Informed t0: [04:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Fingerstick Glucose t0: [02:30:00 14/02/2018] el: 0 cg: RN cu: CCU v1: 107 n1: 107 rs: Manual st: NotStopd id: Fingerstick Glucose t0: [04:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: 110 n1: 110 rs: Manual st: NotStopd id: Bowel Sounds t0: [04:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: Present st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [03:00:00 14/02/2018] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: D5W 250.0ml + 8mcgkgmin Levophed-k t0: [03:00:00 14/02/2018] el: 1 ai: 416 cg: RN cu: CCU vo: 6.075 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [03:00:00 14/02/2018] el: 1 ai: 115 cg: RN cu: CCU vo: 4 vu: ml id: D5W 250.0ml + 200Uhr Vasopressin + 200Umin Vasopressin t0: [03:00:00 14/02/2018] el: 1 ai: 107 cg: RN cu: CCU vo: 3 vu: ml id: Urine Out Foley t0: [03:00:00 14/02/2018] el: 1 cg: RN cu: CCU vo: 75 vu: ml
id: Fentanyl t0: [03:00:00 14/02/2018] el: 1 cg: RN cu: CCU vo: 0 do: 40 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Fentanyl t0: [04:00:00 14/02/2018] el: 1 cg: RN cu: CCU vo: 0 do: 40 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Levophed-k t0: [03:00:00 14/02/2018] el: 1 cg: RN cu: CCU vo: 0 do: 0.04 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip id: Levophed-k t0: [04:00:00 14/02/2018] el: 1 cg: RN cu: CCU vo: 0 do: 0.04 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip id: Insulin t0: [03:00:00 14/02/2018] el: 1 cg: RN cu: CCU vo: 0 do: 2 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip id: Insulin t0: [04:00:00 14/02/2018] el: 1 cg: RN cu: CCU vo: 0 do: 2 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip id: Vasopressin t0: [03:00:00 14/02/2018] el: 1 cg: RN cu: CCU vo: 0 do: 2.4 du: Umin so: D5W sv: 250 su: ml rt: IV Drip id: Vasopressin t0: [04:00:00 14/02/2018] el: 1 cg: RN cu: CCU vo: 0 do: 2.4 du: Umin so: D5W sv: 250 su: ml rt: IV Drip
id: .9% Normal Saline 1000.0ml t0: [04:00:00 14/02/2018] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: D5W 250.0ml + 8mcgkgmin Levophed-k t0: [04:00:00 14/02/2018] el: 1 ai: 416 cg: RN cu: CCU vo: 6.075 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [04:00:00 14/02/2018] el: 1 ai: 115 cg: RN cu: CCU vo: 4 vu: ml id: D5W 250.0ml + 200Uhr Vasopressin + 200Umin Vasopressin t0: [04:00:00 14/02/2018] el: 1 ai: 107 cg: RN cu: CCU vo: 3 vu: ml id: Urine Out Foley t0: [04:00:00 14/02/2018] el: 1 cg: RN cu: CCU vo: 100 vu: ml
id: Compliance (40-60ml) t0: [04:00:00 14/02/2018] el: 0 cg: RRT cu: CCU v1: 39.2857 n1: 39.2857 u1: ml/cmH st: NotStopd id: ETT Mark/Location t0: [04:00:00 14/02/2018] el: 0 cg: RRT cu: CCU v1: 24cm v2: Lip st: NotStopd id: FiO2 Set t0: [04:00:00 14/02/2018] el: 0 cg: RRT cu: CCU v1: 0.6 n1: 0.6 u1: torr st: NotStopd id: High Insp. Pressure t0: [04:00:00 14/02/2018] el: 0 cg: RRT cu: CCU v1: 40 n1: 40 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [04:00:00 14/02/2018] el: 0 cg: RRT cu: CCU v1: 10 n1: 10 u1: BPM st: NotStopd id: I:E Ratio t0: [04:00:00 14/02/2018] el: 0 cg: RRT cu: CCU v1: 1:3.3 st: NotStopd id: Airway Size t0: [04:00:00 14/02/2018] el: 0 cg: RRT cu: CCU v1: 8.0 mm st: NotStopd id: Airway Type t0: [04:00:00 14/02/2018] el: 0 cg: RRT cu: CCU v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [04:00:00 14/02/2018] el: 0 cg: RRT cu: CCU u1: Deg. C st: NotStopd id: Intubation Date t0: [04:00:00 14/02/2018] el: 0 cg: RRT cu: CCU v1: 1 n1: 1 v2: 8 n2: 8 st: NotStopd id: Low Exhaled Min Vol t0: [04:00:00 14/02/2018] el: 0 cg: RRT cu: CCU v1: 4 n1: 4 st: NotStopd id: MDI #1 (Puff/Drug) t0: [04:00:00 14/02/2018] el: 0 cg: RRT cu: CCU v1: 4 n1: 4 v2: Atrovent st: NotStopd id: MDI #2 (Puff/Drug) t0: [04:00:00 14/02/2018] el: 0 cg: RRT cu: CCU v1: 2 n1: 2 v2: Albuterol st: NotStopd id: Mean Airway Pressure t0: [04:00:00 14/02/2018] el: 0 cg: RRT cu: CCU v1: 8 n1: 8 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [04:00:00 14/02/2018] el: 0 cg: RRT cu: CCU v1: 7.1 n1: 7.1 u1: L/min st: NotStopd id: PEEP Set t0: [04:00:00 14/02/2018] el: 0 cg: RRT cu: CCU v1: 5 n1: 5 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [04:00:00 14/02/2018] el: 0 cg: RRT cu: CCU v1: 20 n1: 20 st: NotStopd id: Peak Insp. Pressure t0: [04:00:00 14/02/2018] el: 0 cg: RRT cu: CCU v1: 19 n1: 19 u1: cmH2O st: NotStopd id: Plateau Pressure t0: [04:00:00 14/02/2018] el: 0 cg: RRT cu: CCU v1: 17 n1: 17 u1: cmH2O st: NotStopd id: Pressure Support t0: [04:00:00 14/02/2018] el: 0 cg: RRT cu: CCU v1: 0 n1: 0 u1: . st: NotStopd id: Resp Rate (Spont) t0: [04:00:00 14/02/2018] el: 0 cg: RRT cu: CCU v1: 0 n1: 0 u1: BPM st: NotStopd id: Resp Rate (Total) t0: [04:00:00 14/02/2018] el: 0 cg: RRT cu: CCU v1: 14 n1: 14 u1: BPM st: NotStopd id: Respiratory Rate Set t0: [04:00:00 14/02/2018] el: 0 cg: RRT cu: CCU v1: 14 n1: 14 u1: BPM st: NotStopd id: Tank A psi. t0: [04:00:00 14/02/2018] el: 0 cg: RRT cu: CCU v1: 1200 n1: 1200 st: NotStopd id: Tank B psi. t0: [04:00:00 14/02/2018] el: 0 cg: RRT cu: CCU v1: 1300 n1: 1300 st: NotStopd id: Ve High t0: [04:00:00 14/02/2018] el: 0 cg: RRT cu: CCU v1: 18 n1: 18 st: NotStopd id: Sensitivity-Vent t0: [04:00:00 14/02/2018] el: 0 cg: RRT cu: CCU v1: 2 n1: 2 u1: cmH2O st: NotStopd id: Sputum Source/Amt t0: [04:00:00 14/02/2018] el: 0 cg: RRT cu: CCU v1: Suctioned v2: None st: NotStopd id: Tidal Volume (Obser) t0: [04:00:00 14/02/2018] el: 0 cg: RRT cu: CCU v1: 513 n1: 513 u1: ml/B st: NotStopd id: Tidal Volume (Set) t0: [04:00:00 14/02/2018] el: 0 cg: RRT cu: CCU v1: 550 n1: 550 u1: ml/B st: NotStopd id: Ventilator Mode t0: [04:00:00 14/02/2018] el: 0 cg: RRT cu: CCU v1: Assist Control st: NotStopd id: Ventilator Type t0: [04:00:00 14/02/2018] el: 0 cg: RRT cu: CCU v1: Drager st: NotStopd id: Waveform-Vent t0: [04:00:00 14/02/2018] el: 0 cg: RRT cu: CCU v1: RAMP st: NotStopd
id: Service Type t0: [05:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [05:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [05:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Dorsal PedPulse R/L t0: [04:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: Diff to Palpate v2: Weak Palpable st: NotStopd id: Ectopy Frequency t0: [05:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [05:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Heart Rate t0: [05:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: 120 n1: 120 u1: BPM st: NotStopd id: Heart Rhythm t0: [05:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: Atrial Fib st: NotStopd id: Arterial BP t0: [05:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: 109 n1: 109 u1: mmHg v2: 73 n2: 73 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [05:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: 84 n1: 84 u1: mmHg st: NotStopd id: PostTib. Pulses R/L t0: [04:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: Weak Palpable v2: Weak Palpable st: NotStopd id: Precautions t0: [05:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [05:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: mmHg v2: 110 n2: 110 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [05:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [05:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: Previous WeightF t0: [05:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: 81 n1: 81 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [05:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [05:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: 14 n1: 14 u1: BPM st: NotStopd id: Skin Integrity t0: [00:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: Intact st: NotStopd id: Skin Integrity t0: [04:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: Intact st: NotStopd id: SpO2 t0: [05:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: 98 n1: 98 u1: % st: NotStopd id: calprevflg t0: [05:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: Braden Activity t0: [00:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: Bedfast st: NotStopd id: Braden Activity t0: [04:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [00:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: Potential Prob st: NotStopd id: Braden Frict/Shear t0: [04:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: Potential Prob st: NotStopd id: Braden Mobility t0: [00:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: Very Limited st: NotStopd id: Braden Mobility t0: [04:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: Very Limited st: NotStopd id: Braden Moisture t0: [00:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: Occ. Moist st: NotStopd id: Braden Moisture t0: [04:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: Occ. Moist st: NotStopd id: Braden Nutrition t0: [00:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: Prob. Inadequate st: NotStopd id: Braden Nutrition t0: [04:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: Prob. Inadequate st: NotStopd id: Braden Score t0: [00:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: 13 n1: 13 u1: number st: NotStopd id: Braden Score t0: [04:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: 13 n1: 13 u1: number st: NotStopd id: Braden SensoryPercep t0: [00:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: Sl. Limited st: NotStopd id: Braden SensoryPercep t0: [04:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: Sl. Limited st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [05:00:00 14/02/2018] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: D5W 250.0ml + 8mcgkgmin Levophed-k t0: [05:00:00 14/02/2018] el: 1 ai: 416 cg: RN cu: CCU vo: 6.075 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [05:00:00 14/02/2018] el: 1 ai: 115 cg: RN cu: CCU vo: 4 vu: ml id: D5W 250.0ml + 200Uhr Vasopressin + 200Umin Vasopressin t0: [05:00:00 14/02/2018] el: 1 ai: 107 cg: RN cu: CCU vo: 3 vu: ml id: Urine Out Foley t0: [05:00:00 14/02/2018] el: 1 cg: RN cu: CCU vo: 80 vu: ml
id: Fentanyl t0: [05:00:00 14/02/2018] el: 1 cg: RN cu: CCU vo: 0 do: 40 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Levophed-k t0: [05:00:00 14/02/2018] el: 1 cg: RN cu: CCU vo: 0 do: 0.04 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip id: Vasopressin t0: [05:00:00 14/02/2018] el: 1 cg: RN cu: CCU vo: 0 do: 2.4 du: Umin so: D5W sv: 250 su: ml rt: IV Drip
id: Insulin t0: [05:00:00 14/02/2018] el: 1 cg: RN cu: CCU vo: 0 do: 1.5 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: Art.pH t0: [05:24:00 14/02/2018] el: 0 cg: 1663 cu: CCU v1: 7.44 n1: 7.44 rs: Final st: NotStopd id: Arterial Base Excess t0: [05:24:00 14/02/2018] el: 0 cg: 1663 cu: CCU v1: 5 n1: 5 rs: Final st: NotStopd id: Arterial CO2(Calc) t0: [05:24:00 14/02/2018] el: 0 cg: 1663 cu: CCU v1: 31 n1: 31 rs: Final st: NotStopd id: Arterial PaCO2 t0: [05:24:00 14/02/2018] el: 0 cg: 1663 cu: CCU v1: 44 n1: 44 u1: mmHg rs: Final st: NotStopd id: Arterial PaO2 t0: [05:24:00 14/02/2018] el: 0 cg: 1663 cu: CCU v1: 119 n1: 119 u1: mmHg rs: Final st: NotStopd id: Arterial pH t0: [05:24:00 14/02/2018] el: 0 cg: 1663 cu: CCU v1: 7.44 n1: 7.44 rs: Final st: NotStopd
id: Lactic Acid t0: [05:24:00 14/02/2018] el: 0 cg: 1663 cu: CCU v1: 1.1 n1: 1.1 rs: Final st: NotStopd id: Ionized Calcium t0: [05:24:00 14/02/2018] el: 0 cg: 1663 cu: CCU v1: 1.19 n1: 1.19 rs: Final st: NotStopd id: Lactic Acid(0.5-2.0) t0: [05:24:00 14/02/2018] el: 0 cg: 1663 cu: CCU v1: 1.1 n1: 1.1 rs: Final st: NotStopd id: SaO2 t0: [05:24:00 14/02/2018] el: 0 cg: 1663 cu: CCU v1: 98 n1: 98 u1: % rs: Final st: NotStopd
id: BUN t0: [05:16:00 14/02/2018] el: 0 cg: 1663 cu: CCU v1: 19 n1: 19 rs: Final st: NotStopd id: Calcium t0: [05:16:00 14/02/2018] el: 0 cg: 1663 cu: CCU v1: 8.6 n1: 8.6 u1: mg/dl rs: Final st: NotStopd id: Chloride t0: [05:16:00 14/02/2018] el: 0 cg: 1663 cu: CCU v1: 103 n1: 103 rs: Final st: NotStopd id: Creatinine t0: [05:16:00 14/02/2018] el: 0 cg: 1663 cu: CCU v1: 1.1 n1: 1.1 rs: Final st: NotStopd id: Glucose t0: [05:16:00 14/02/2018] el: 0 cg: 1663 cu: CCU v1: 83 n1: 83 rs: Final st: NotStopd id: Phosphorous t0: [05:16:00 14/02/2018] el: 0 cg: 1663 cu: CCU v1: 3.6 n1: 3.6 u1: mEq/L rs: Final st: NotStopd id: Potassium t0: [05:16:00 14/02/2018] el: 0 cg: 1663 cu: CCU v1: 4 n1: 4 rs: Final st: NotStopd id: Sodium t0: [05:16:00 14/02/2018] el: 0 cg: 1663 cu: CCU v1: 138 n1: 138 rs: Final st: NotStopd id: BUN (6-20) t0: [05:16:00 14/02/2018] el: 0 cg: 1663 cu: CCU v1: 19 n1: 19 rs: Final st: NotStopd id: Calcium (8.4-10.2) t0: [05:16:00 14/02/2018] el: 0 cg: 1663 cu: CCU v1: 8.6 n1: 8.6 u1: mg/dl rs: Final st: NotStopd id: Carbon Dioxide t0: [05:16:00 14/02/2018] el: 0 cg: 1663 cu: CCU v1: 29 n1: 29 rs: Final st: NotStopd id: Chloride (100-112) t0: [05:16:00 14/02/2018] el: 0 cg: 1663 cu: CCU v1: 103 n1: 103 rs: Final st: NotStopd id: Creatinine (0-1.3) t0: [05:16:00 14/02/2018] el: 0 cg: 1663 cu: CCU v1: 1.1 n1: 1.1 rs: Final st: NotStopd id: Glucose (70-105) t0: [05:16:00 14/02/2018] el: 0 cg: 1663 cu: CCU v1: 83 n1: 83 rs: Final st: NotStopd id: Phosphorous(2.7-4.5) t0: [05:16:00 14/02/2018] el: 0 cg: 1663 cu: CCU v1: 3.6 n1: 3.6 u1: mEq/L rs: Final st: NotStopd id: Potassium (3.5-5.3) t0: [05:16:00 14/02/2018] el: 0 cg: 1663 cu: CCU v1: 4 n1: 4 rs: Final st: NotStopd id: Sodium (135-148) t0: [05:16:00 14/02/2018] el: 0 cg: 1663 cu: CCU v1: 138 n1: 138 rs: Final st: NotStopd
pi: 4408810 hi: 28366 t0: [07:00:00 14/02/2018] tf: [06:00:00 15/02/2018] mn: Magnesium Sulfate pt: Unit Dose st: Expired rt: IV fr: ONCE ds: 7 dn: 1 dt: 1 di: Doses xv: 36 xu: Hours
id: WBC (4-11,000) t0: [05:16:00 14/02/2018] el: 0 cg: 1663 cu: CCU v1: 13.5 n1: 13.5 rs: Final st: NotStopd id: CaO2 t0: [05:24:00 14/02/2018] el: 0 cg: 1663 cu: CCU v1: 17.8345 n1: 17.8345 u1: ml/dl st: NotStopd id: WBC t0: [05:16:00 14/02/2018] el: 0 cg: 1663 cu: CCU v1: 13.5 n1: 13.5 rs: Final st: NotStopd id: Hematocrit t0: [05:16:00 14/02/2018] el: 0 cg: 1663 cu: CCU v1: 37.8 n1: 37.8 u1: % rs: Final st: NotStopd id: Hemoglobin t0: [05:16:00 14/02/2018] el: 0 cg: 1663 cu: CCU v1: 13.3 n1: 13.3 u1: gm/dl rs: Final st: NotStopd id: Platelets t0: [05:16:00 14/02/2018] el: 0 cg: 1663 cu: CCU v1: 348 n1: 348 rs: Final st: NotStopd id: RBC t0: [05:16:00 14/02/2018] el: 0 cg: 1663 cu: CCU v1: 4.38 n1: 4.38 u1: /mic l rs: Final st: NotStopd id: WBC (4-11,000) t0: [05:16:00 14/02/2018] el: 0 cg: 1663 cu: CCU v1: 13.5 n1: 13.5 rs: Final st: NotStopd
id: PT t0: [05:16:00 14/02/2018] el: 0 cg: 1663 cu: CCU v1: 28.3 n1: 28.3 rs: Final st: NotStopd id: INR t0: [05:16:00 14/02/2018] el: 0 cg: 1663 cu: CCU v1: 2.9 n1: 2.9 rs: Final st: NotStopd id: PTT t0: [05:16:00 14/02/2018] el: 0 cg: 1663 cu: CCU v1: 30.4 n1: 30.4 rs: Final st: NotStopd id: INR (2-4 ref. range) t0: [05:16:00 14/02/2018] el: 0 cg: 1663 cu: CCU v1: 2.9 n1: 2.9 rs: Final st: NotStopd id: PT(11-13.5) t0: [05:16:00 14/02/2018] el: 0 cg: 1663 cu: CCU v1: 28.3 n1: 28.3 rs: Final st: NotStopd id: PTT(22-35) t0: [05:16:00 14/02/2018] el: 0 cg: 1663 cu: CCU v1: 30.4 n1: 30.4 rs: Final st: NotStopd
id: ALT t0: [05:16:00 14/02/2018] el: 0 cg: 1663 cu: CCU v1: 3892 n1: 3892 rs: Final st: NotStopd
id: Service Type t0: [06:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [06:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [06:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [06:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [06:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: HOB t0: [06:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: 30 degrees st: NotStopd id: Heart Rate t0: [06:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: 107 n1: 107 u1: BPM st: NotStopd id: Heart Rhythm t0: [06:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: Atrial Fib st: NotStopd id: Activity t0: [06:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [06:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: Tolerated Well st: NotStopd id: Oral Care t0: [06:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Arterial BP t0: [06:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: 107 n1: 107 u1: mmHg v2: 71 n2: 71 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [06:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: 81 n1: 81 u1: mmHg st: NotStopd id: Position t0: [06:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: Right Side st: NotStopd id: Assistance Device t0: [06:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: 2 Person Assist st: NotStopd id: Precautions t0: [06:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [06:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: mmHg v2: 110 n2: 110 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [06:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [06:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: Previous WeightF t0: [06:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: 81 n1: 81 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [06:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [06:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: 14 n1: 14 u1: BPM st: NotStopd id: Skin Care t0: [06:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: SpO2 t0: [06:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: 97 n1: 97 u1: % st: NotStopd id: Turn t0: [06:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: Right Side st: NotStopd id: Back Care t0: [06:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: calprevflg t0: [06:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [06:00:00 14/02/2018] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: D5W 250.0ml + 8mcgkgmin Levophed-k t0: [06:00:00 14/02/2018] el: 1 ai: 416 cg: RN cu: CCU vo: 6.075 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [06:00:00 14/02/2018] el: 1 ai: 115 cg: RN cu: CCU vo: 4 vu: ml id: D5W 250.0ml + 200Uhr Vasopressin + 200Umin Vasopressin t0: [06:00:00 14/02/2018] el: 1 ai: 107 cg: RN cu: CCU vo: 3 vu: ml id: Urine Out Foley t0: [06:00:00 14/02/2018] el: 1 cg: RN cu: CCU vo: 125 vu: ml
id: Fentanyl t0: [06:00:00 14/02/2018] el: 1 cg: RN cu: CCU vo: 0 do: 40 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Levophed-k t0: [06:00:00 14/02/2018] el: 1 cg: RN cu: CCU vo: 0 do: 0.04 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip id: Insulin t0: [06:00:00 14/02/2018] el: 1 cg: RN cu: CCU vo: 0 do: 1 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip id: Vasopressin t0: [06:00:00 14/02/2018] el: 1 cg: RN cu: CCU vo: 0 do: 2.4 du: Umin so: D5W sv: 250 su: ml rt: IV Drip
id: D5W 100.0ml t0: [06:00:00 14/02/2018] el: 1 ai: 105 cg: RN cu: CCU vo: 100 vu: ml
id: Fingerstick Glucose t0: [07:00:00 14/02/2018] el: 0 cg: CoWker cu: CCU v1: 84 n1: 84 rs: Manual st: NotStopd
id: Service Type t0: [07:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Service Type t0: [07:30:00 14/02/2018] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [07:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [07:30:00 14/02/2018] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [07:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: Sedated st: NotStopd id: Risk for Falls t0: [07:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [07:30:00 14/02/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [07:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Frequency t0: [07:30:00 14/02/2018] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [07:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [07:30:00 14/02/2018] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Alarms t0: [07:30:00 14/02/2018] el: 0 cg: RN cu: CCU v1: ON st: NotStopd id: Parameters Checked t0: [07:30:00 14/02/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Heart Rate t0: [07:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: 108 n1: 108 u1: BPM st: NotStopd id: Heart Rate t0: [07:30:00 14/02/2018] el: 0 cg: RN cu: CCU v1: 113 n1: 113 u1: BPM st: NotStopd id: Heart Rhythm t0: [07:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: Atrial Fib st: NotStopd id: Heart Rhythm t0: [07:30:00 14/02/2018] el: 0 cg: RN cu: CCU v1: Atrial Fib st: NotStopd id: Arterial BP t0: [07:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: 112 n1: 112 u1: mmHg v2: 72 n2: 72 u2: mmHg st: NotStopd id: Arterial BP t0: [07:30:00 14/02/2018] el: 0 cg: RN cu: CCU v1: 115 n1: 115 u1: mmHg v2: 73 n2: 73 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [07:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: 85 n1: 85 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [07:30:00 14/02/2018] el: 0 cg: RN cu: CCU v1: 85 n1: 85 u1: mmHg st: NotStopd id: Precautions t0: [07:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: Precautions t0: [07:30:00 14/02/2018] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [07:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: mmHg v2: 110 n2: 110 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [07:30:00 14/02/2018] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: mmHg v2: 110 n2: 110 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [07:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [07:30:00 14/02/2018] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [07:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [07:30:00 14/02/2018] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: Previous WeightF t0: [07:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: 81 n1: 81 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [07:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [07:30:00 14/02/2018] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [07:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: 14 n1: 14 u1: BPM st: NotStopd id: Respiratory Rate t0: [07:30:00 14/02/2018] el: 0 cg: RN cu: CCU v1: 14 n1: 14 u1: BPM st: NotStopd id: SpO2 t0: [07:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: 98 n1: 98 u1: % st: NotStopd id: SpO2 t0: [07:30:00 14/02/2018] el: 0 cg: RN cu: CCU v1: 98 n1: 98 u1: % st: NotStopd id: Temp. Site t0: [07:30:00 14/02/2018] el: 0 cg: RN cu: CCU v1: Oral st: NotStopd id: Temperature C (calc) t0: [07:30:00 14/02/2018] el: 0 cg: RN cu: CCU v1: 37.2222 n1: 37.2222 u1: Deg. C st: NotStopd id: Temperature F t0: [07:30:00 14/02/2018] el: 0 cg: RN cu: CCU v1: 99 n1: 99 u1: Deg. F st: NotStopd id: calprevflg t0: [07:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [07:30:00 14/02/2018] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: Insulin Guideline t0: [07:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: On Guideline st: NotStopd
id: Fentanyl t0: [07:00:00 14/02/2018] el: 1 cg: RN cu: CCU vo: 0 do: 40 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Fentanyl t0: [07:30:00 14/02/2018] el: 1 cg: RN cu: CCU vo: 0 do: 40 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Levophed-k t0: [07:00:00 14/02/2018] el: 1 cg: RN cu: CCU vo: 0 do: 0.04 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip id: Levophed-k t0: [07:30:00 14/02/2018] el: 1 cg: RN cu: CCU vo: 0 do: 0.04 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip id: Insulin t0: [07:00:00 14/02/2018] el: 1 cg: RN cu: CCU vo: 0 do: 1 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip id: Insulin t0: [07:30:00 14/02/2018] el: 1 cg: RN cu: CCU vo: 0 do: 0.5 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip id: Vasopressin t0: [07:00:00 14/02/2018] el: 1 cg: RN cu: CCU vo: 0 do: 2.4 du: Umin so: D5W sv: 250 su: ml rt: IV Drip id: Vasopressin t0: [07:30:00 14/02/2018] el: 1 cg: RN cu: CCU vo: 0 do: 2.4 du: Umin so: D5W sv: 250 su: ml rt: IV Drip
id: GI Prophylaxis t0: [08:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: Proton/Pump/Inhi st: NotStopd id: Diet Type t0: [08:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: NPO st: NotStopd id: Dorsal PedPulse R/L t0: [08:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: Weak Palpable v2: Weak Palpable st: NotStopd id: GI#1 Intub Site t0: [08:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: Salem Sump v2: Oral st: NotStopd id: Eye Opening t0: [08:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: 3 To speech st: NotStopd id: GCS Total t0: [08:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: 10 n1: 10 u1: points st: NotStopd id: GI Intub #1/Site t0: [08:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: Salem Sump v2: Oral st: NotStopd id: GI#1 Tube Stat/Drain t0: [08:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: Clamped st: NotStopd id: Abdominal Assessment t0: [08:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: Soft st: NotStopd id: LLL Lung Sounds t0: [08:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: Diminished st: NotStopd id: LUL Lung Sounds t0: [08:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Level of Conscious t0: [08:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: Sedated st: NotStopd id: Motor Response t0: [08:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: 6 Obeys Commands st: NotStopd id: Oral Cavity t0: [08:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [08:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: Unable to Assess st: NotStopd id: PostTib. Pulses R/L t0: [08:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: Weak Palpable v2: Weak Palpable st: NotStopd id: RLL Lung Sounds t0: [08:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: Diminished st: NotStopd id: RUL Lung Sounds t0: [08:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Respiratory Pattern t0: [08:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: Regular st: NotStopd id: Stool Guaiac t0: [08:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: Not Applicable st: NotStopd id: Urine Color/Appear t0: [08:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [08:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [08:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: 1.0 ET/Trach st: NotStopd id: Bowel Sounds t0: [08:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: Present st: NotStopd
id: Less Restrict Meas. t0: [08:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: Medicated st: NotStopd id: Range of Motion t0: [08:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Circulation/SkinInt t0: [08:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: Circulation Adeq st: NotStopd id: Education Barrier t0: [08:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: Commun Barrier st: NotStopd id: Education Handout t0: [08:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: Not Applicable st: NotStopd id: Education Learner t0: [08:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: Patient st: NotStopd id: Education Method t0: [08:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: Explanation st: NotStopd id: Education Readiness t0: [08:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: Education Topic #1 t0: [08:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: Plan of Care st: NotStopd id: Education Topic #2 t0: [08:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: ICU Environment st: NotStopd id: HOB t0: [08:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: 30 degrees st: NotStopd id: Activity t0: [08:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [08:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: Tolerated Well st: NotStopd id: Position t0: [08:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: Supine st: NotStopd id: Position Change t0: [08:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Assistance Device t0: [08:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: 2 Person Assist st: NotStopd id: Pupil Response R/L t0: [08:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: Brisk v2: Brisk st: NotStopd id: Pupil Size R/L t0: [08:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: 3 mm v2: 3 mm st: NotStopd id: Reason For Restraint t0: [08:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [08:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Restraint Location t0: [08:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: Both Arms st: NotStopd id: Restraint Type t0: [08:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [08:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: Behavior Conts st: NotStopd id: Side Rails t0: [08:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: Skin Integrity t0: [08:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: Intact st: NotStopd id: Support Systems t0: [08:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: Relative st: NotStopd id: Therapeutic Bed t0: [08:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [08:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: Side to Side st: NotStopd id: Behavior t0: [08:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: Sedated st: NotStopd id: Pt./Family Informed t0: [08:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Braden Activity t0: [08:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [08:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: Potential Prob st: NotStopd id: Braden Mobility t0: [08:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: Very Limited st: NotStopd id: Braden Moisture t0: [08:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: Rarely Moist st: NotStopd id: Braden Nutrition t0: [08:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: Prob. Inadequate st: NotStopd id: Braden Score t0: [08:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: 14 n1: 14 u1: number st: NotStopd id: Braden SensoryPercep t0: [08:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: Sl. Limited st: NotStopd
id: Service Type t0: [08:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [08:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [08:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: Calm/Cooperative st: NotStopd id: Risk for Falls t0: [08:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [08:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [08:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Alarms t0: [08:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: ON st: NotStopd id: Heart Rate t0: [08:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: 109 n1: 109 u1: BPM st: NotStopd id: Heart Rhythm t0: [08:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: Atrial Fib st: NotStopd id: INV Line#1 Type/Site t0: [08:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: A-Line v2: Right Radial st: NotStopd id: INV Line#1 Zero/Cal t0: [08:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: INV Line#1SiteAppear t0: [08:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: INV Line#2 Type/Site t0: [08:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: Introducer v2: Right IJ st: NotStopd id: INV Line#2SiteAppear t0: [08:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: INV#1 WaveformAppear t0: [08:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: Sharp st: NotStopd id: IV #1 Insert Date t0: [08:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: 1 n1: 1 v2: 8 n2: 8 st: NotStopd id: IV #1 Site/Size t0: [08:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: Right Wrist v2: 20 gauge st: NotStopd id: IV #2 Insert Date t0: [08:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: 1 n1: 1 v2: 8 n2: 8 st: NotStopd id: IV #2 Site/Size t0: [08:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: RL Ant Forearm v2: 20 gauge st: NotStopd id: IV Site Appear #1 t0: [08:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: IV Site Appear #2 t0: [08:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: Arterial BP t0: [08:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: 115 n1: 115 u1: mmHg v2: 70 n2: 70 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [08:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: 83 n1: 83 u1: mmHg st: NotStopd id: Precautions t0: [08:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: INV#1 Dsg Change t0: [08:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: 1 n1: 1 v2: 8 n2: 8 st: NotStopd id: INV#2 Dsg Change t0: [08:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: 1 n1: 1 v2: 8 n2: 8 st: NotStopd id: ABP Alarm (Lo/Hi) t0: [08:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: mmHg v2: 110 n2: 110 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [08:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [08:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [08:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [08:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: 14 n1: 14 u1: BPM st: NotStopd id: SpO2 t0: [08:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: 98 n1: 98 u1: % st: NotStopd id: INV#1 Cap Change t0: [08:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: 1 n1: 1 v2: 8 n2: 8 st: NotStopd id: INV#1 Tubing Change t0: [08:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: 1 n1: 1 v2: 8 n2: 8 st: NotStopd id: INV#2 Cap Change t0: [08:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: 1 n1: 1 v2: 8 n2: 8 st: NotStopd id: calprevflg t0: [08:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: Insulin Guideline t0: [08:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: On Guideline st: NotStopd
id: Fentanyl t0: [08:00:00 14/02/2018] el: 1 cg: RN cu: CCU vo: 0 do: 40 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Levophed-k t0: [08:00:00 14/02/2018] el: 1 cg: RN cu: CCU vo: 0 do: 0.04 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip id: Insulin t0: [08:00:00 14/02/2018] el: 1 cg: RN cu: CCU vo: 0 do: 0.5 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip id: Vasopressin t0: [08:00:00 14/02/2018] el: 1 cg: RN cu: CCU vo: 0 do: 2.4 du: Umin so: D5W sv: 250 su: ml rt: IV Drip
id: Compliance (40-60ml) t0: [08:00:00 14/02/2018] el: 0 cg: RT cu: CCU v1: 39.2857 n1: 39.2857 u1: ml/cmH st: NotStopd id: ETT Mark/Location t0: [08:00:00 14/02/2018] el: 0 cg: RT cu: CCU v1: 24cm v2: Lip st: NotStopd id: FiO2 Set t0: [08:00:00 14/02/2018] el: 0 cg: RT cu: CCU v1: 0.6 n1: 0.6 u1: torr st: NotStopd id: High Insp. Pressure t0: [08:00:00 14/02/2018] el: 0 cg: RT cu: CCU v1: 40 n1: 40 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [08:00:00 14/02/2018] el: 0 cg: RT cu: CCU v1: 10 n1: 10 u1: BPM st: NotStopd id: I:E Ratio t0: [08:00:00 14/02/2018] el: 0 cg: RT cu: CCU v1: 1:3.3 st: NotStopd id: Airway Size t0: [08:00:00 14/02/2018] el: 0 cg: RT cu: CCU v1: 8.0 mm st: NotStopd id: Airway Type t0: [08:00:00 14/02/2018] el: 0 cg: RT cu: CCU v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [08:00:00 14/02/2018] el: 0 cg: RT cu: CCU u1: Deg. C st: NotStopd id: Intubation Date t0: [08:00:00 14/02/2018] el: 0 cg: RT cu: CCU v1: 1 n1: 1 v2: 8 n2: 8 st: NotStopd id: Low Exhaled Min Vol t0: [08:00:00 14/02/2018] el: 0 cg: RT cu: CCU v1: 4 n1: 4 st: NotStopd id: MDI #1 (Puff/Drug) t0: [08:00:00 14/02/2018] el: 0 cg: RT cu: CCU v1: 4 n1: 4 v2: Albuterol st: NotStopd id: MDI #2 (Puff/Drug) t0: [08:00:00 14/02/2018] el: 0 cg: RT cu: CCU v1: 4 n1: 4 v2: Atrovent st: NotStopd id: Mean Airway Pressure t0: [08:00:00 14/02/2018] el: 0 cg: RT cu: CCU v1: 8 n1: 8 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [08:00:00 14/02/2018] el: 0 cg: RT cu: CCU v1: 7 n1: 7 u1: L/min st: NotStopd id: PEEP Set t0: [08:00:00 14/02/2018] el: 0 cg: RT cu: CCU v1: 5 n1: 5 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [08:00:00 14/02/2018] el: 0 cg: RT cu: CCU v1: 20 n1: 20 st: NotStopd id: Peak Insp. Pressure t0: [08:00:00 14/02/2018] el: 0 cg: RT cu: CCU v1: 19 n1: 19 u1: cmH2O st: NotStopd id: Plateau Pressure t0: [08:00:00 14/02/2018] el: 0 cg: RT cu: CCU v1: 16 n1: 16 u1: cmH2O st: NotStopd id: Resp Rate (Spont) t0: [08:00:00 14/02/2018] el: 0 cg: RT cu: CCU v1: 0 n1: 0 u1: BPM st: NotStopd id: Resp Rate (Total) t0: [08:00:00 14/02/2018] el: 0 cg: RT cu: CCU v1: 14 n1: 14 u1: BPM st: NotStopd id: Respiratory Rate Set t0: [08:00:00 14/02/2018] el: 0 cg: RT cu: CCU v1: 14 n1: 14 u1: BPM st: NotStopd id: Tank A psi. t0: [08:00:00 14/02/2018] el: 0 cg: RT cu: CCU v1: 1200 n1: 1200 st: NotStopd id: Tank B psi. t0: [08:00:00 14/02/2018] el: 0 cg: RT cu: CCU v1: 3000 n1: 3000 st: NotStopd id: Ve High t0: [08:00:00 14/02/2018] el: 0 cg: RT cu: CCU v1: 18 n1: 18 st: NotStopd id: Sensitivity-Vent t0: [08:00:00 14/02/2018] el: 0 cg: RT cu: CCU v1: 2 n1: 2 u1: cmH2O st: NotStopd id: Tidal Volume (Obser) t0: [08:00:00 14/02/2018] el: 0 cg: RT cu: CCU v1: 510 n1: 510 u1: ml/B st: NotStopd id: Tidal Volume (Set) t0: [08:00:00 14/02/2018] el: 0 cg: RT cu: CCU v1: 550 n1: 550 u1: ml/B st: NotStopd id: Ventilator Mode t0: [08:00:00 14/02/2018] el: 0 cg: RT cu: CCU v1: Assist Control st: NotStopd id: Ventilator Type t0: [08:00:00 14/02/2018] el: 0 cg: RT cu: CCU v1: Drager st: NotStopd id: Waveform-Vent t0: [08:00:00 14/02/2018] el: 0 cg: RT cu: CCU v1: RAMP st: NotStopd
id: Pain Present t0: [08:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: Pain Assess Method t0: [08:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: Non-verbal cues st: NotStopd id: Pain Location t0: [08:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: Not Indicated st: NotStopd id: Pain Type t0: [08:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Sputum Color/Consist t0: [08:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: White v2: Thick st: NotStopd id: Sputum Source/Amt t0: [08:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: Suctioned v2: Scant st: NotStopd
id: GI#1 Tube PlaceCheck t0: [08:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Oral Care t0: [08:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: Done st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [08:00:00 14/02/2018] el: 1 ai: 107 cg: RN cu: CCU vo: 20 vu: ml id: Gastric Meds t0: [08:00:00 14/02/2018] el: 1 ai: 155 cg: RN cu: CCU vo: 55 vu: ml id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [08:00:00 14/02/2018] el: 1 ai: 209 cg: RN cu: CCU vo: 0.5 vu: ml id: GT Flush t0: [08:00:00 14/02/2018] el: 1 ai: 112 cg: RN cu: CCU vo: 30 vu: ml id: D5W 250.0ml + 8mcgkgmin Levophed-k t0: [08:00:00 14/02/2018] el: 1 ai: 416 cg: RN cu: CCU vo: 12.15 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [08:00:00 14/02/2018] el: 1 ai: 115 cg: RN cu: CCU vo: 8 vu: ml id: D5W 250.0ml + 200Uhr Vasopressin + 200Umin Vasopressin t0: [08:00:00 14/02/2018] el: 1 ai: 107 cg: RN cu: CCU vo: 6 vu: ml id: Urine Out Foley t0: [08:00:00 14/02/2018] el: 1 cg: RN cu: CCU vo: 195 vu: ml
id: PO/Gastric In Total t0: [23:00:00 14/02/2018] el: 2 cg: RN cu: CCU cv: 85 ac: 24 ap: none re: 0
id: Fingerstick Glucose t0: [08:30:00 14/02/2018] el: 0 cg: CoWker cu: CCU v1: 87 n1: 87 rs: Manual st: NotStopd
id: Insulin t0: [08:45:00 14/02/2018] el: 1 cg: RN cu: CCU vo: 0 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip st: Stopped
id: FiO2 Set t0: [09:00:00 14/02/2018] el: 0 cg: RT cu: CCU v1: 0.5 n1: 0.5 u1: torr st: NotStopd
pi: 4409172 hi: 28366 t0: [10:00:00 14/02/2018] tf: [16:00:00 14/02/2018] mn: Norepinephrine pt: IV Piggyback st: Discontinued rt: IV DRIP fr: TITRATE TO di: Ongoing xu: Enter on Label
id: Service Type t0: [09:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [09:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [09:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: Calm/Cooperative st: NotStopd id: Risk for Falls t0: [09:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [09:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [09:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Alarms t0: [09:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: ON st: NotStopd id: Heart Rate t0: [09:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: 110 n1: 110 u1: BPM st: NotStopd id: Heart Rhythm t0: [09:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: Atrial Fib st: NotStopd id: Arterial BP t0: [09:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: 110 n1: 110 u1: mmHg v2: 71 n2: 71 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [09:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: 82 n1: 82 u1: mmHg st: NotStopd id: Precautions t0: [09:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [09:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: mmHg v2: 110 n2: 110 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [09:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [09:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [09:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 t0: [09:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: 97 n1: 97 u1: % st: NotStopd id: calprevflg t0: [09:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: Insulin Guideline t0: [09:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: On Guideline st: NotStopd
id: Fentanyl t0: [09:00:00 14/02/2018] el: 1 cg: RN cu: CCU vo: 0 do: 40 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Levophed-k t0: [09:00:00 14/02/2018] el: 1 cg: RN cu: CCU vo: 0 do: 0.04 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip id: Vasopressin t0: [09:00:00 14/02/2018] el: 1 cg: RN cu: CCU vo: 0 do: 2.4 du: Umin so: D5W sv: 250 su: ml rt: IV Drip
id: Fingerstick Glucose t0: [10:00:00 14/02/2018] el: 0 cg: CoWker cu: CCU v1: 104 n1: 104 rs: Manual st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [10:00:00 14/02/2018] el: 1 ai: 107 cg: CoWker cu: CCU vo: 20 vu: ml id: D5W 250.0ml + 8mcgkgmin Levophed-k t0: [10:00:00 14/02/2018] el: 1 ai: 416 cg: CoWker cu: CCU vo: 12.15 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [10:00:00 14/02/2018] el: 1 ai: 115 cg: CoWker cu: CCU vo: 8 vu: ml id: D5W 250.0ml + 200Uhr Vasopressin + 200Umin Vasopressin t0: [10:00:00 14/02/2018] el: 1 ai: 107 cg: CoWker cu: CCU vo: 6 vu: ml id: Urine Out Foley t0: [10:00:00 14/02/2018] el: 1 cg: RN cu: CCU vo: 230 vu: ml
id: Art.pH t0: [10:20:00 14/02/2018] el: 0 cg: 1663 cu: CCU v1: 7.47 n1: 7.47 rs: Final st: NotStopd id: CaO2 t0: [10:20:00 14/02/2018] el: 0 cg: 1663 cu: CCU v1: 17.8035 n1: 17.8035 u1: ml/dl st: NotStopd id: Arterial Base Excess t0: [10:20:00 14/02/2018] el: 0 cg: 1663 cu: CCU v1: 6 n1: 6 rs: Final st: NotStopd id: Arterial CO2(Calc) t0: [10:20:00 14/02/2018] el: 0 cg: 1663 cu: CCU v1: 31 n1: 31 rs: Final st: NotStopd id: Arterial PaCO2 t0: [10:20:00 14/02/2018] el: 0 cg: 1663 cu: CCU v1: 42 n1: 42 u1: mmHg rs: Final st: NotStopd id: Arterial PaO2 t0: [10:20:00 14/02/2018] el: 0 cg: 1663 cu: CCU v1: 109 n1: 109 u1: mmHg rs: Final st: NotStopd id: Arterial pH t0: [10:20:00 14/02/2018] el: 0 cg: 1663 cu: CCU v1: 7.47 n1: 7.47 rs: Final st: NotStopd id: SaO2 t0: [10:20:00 14/02/2018] el: 0 cg: 1663 cu: CCU v1: 98 n1: 98 u1: % rs: Final st: NotStopd
id: Service Type t0: [10:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Service Type t0: [11:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [10:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [11:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [10:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: Sedated st: NotStopd id: Riker-SAS Scale t0: [11:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: Sedated st: NotStopd id: Risk for Falls t0: [10:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [11:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [10:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Frequency t0: [11:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [10:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [11:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Alarms t0: [10:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: ON st: NotStopd id: Alarms t0: [11:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: ON st: NotStopd id: Heart Rate t0: [10:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: 111 n1: 111 u1: BPM st: NotStopd id: Heart Rate t0: [11:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: 110 n1: 110 u1: BPM st: NotStopd id: Heart Rhythm t0: [10:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: Atrial Fib st: NotStopd id: Heart Rhythm t0: [11:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: Atrial Fib st: NotStopd id: Arterial BP t0: [10:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: 111 n1: 111 u1: mmHg v2: 70 n2: 70 u2: mmHg st: NotStopd id: Arterial BP t0: [11:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: 121 n1: 121 u1: mmHg v2: 74 n2: 74 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [10:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: 82 n1: 82 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [11:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: 87 n1: 87 u1: mmHg st: NotStopd id: Precautions t0: [10:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: Precautions t0: [11:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [10:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: mmHg v2: 110 n2: 110 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [11:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: mmHg v2: 110 n2: 110 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [10:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [11:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [10:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [11:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: Previous WeightF t0: [11:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: 81 n1: 81 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [10:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [11:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Radiologic Study t0: [10:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: CT scan st: NotStopd id: Respiratory Rate t0: [09:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: 14 n1: 14 u1: BPM st: NotStopd id: Respiratory Rate t0: [10:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: 14 n1: 14 u1: BPM st: NotStopd id: Respiratory Rate t0: [11:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: 14 n1: 14 u1: BPM st: NotStopd id: SpO2 t0: [10:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: 97 n1: 97 u1: % st: NotStopd id: SpO2 t0: [11:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: 96 n1: 96 u1: % st: NotStopd id: Temp. Site t0: [11:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: Oral st: NotStopd id: Temperature C (calc) t0: [11:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: 37.1111 n1: 37.1111 u1: Deg. C st: NotStopd id: Temperature F t0: [11:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: 98.8 n1: 98.8 u1: Deg. F st: NotStopd id: calprevflg t0: [10:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [11:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Fentanyl t0: [10:00:00 14/02/2018] el: 1 cg: RN cu: CCU vo: 0 do: 40 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Fentanyl t0: [11:00:00 14/02/2018] el: 1 cg: RN cu: CCU vo: 0 do: 40 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Levophed-k t0: [10:00:00 14/02/2018] el: 1 cg: RN cu: CCU vo: 0 do: 0.04 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip id: Levophed-k t0: [11:00:00 14/02/2018] el: 1 cg: RN cu: CCU vo: 0 do: 0.04 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip id: Vasopressin t0: [10:00:00 14/02/2018] el: 1 cg: RN cu: CCU vo: 0 do: 2.4 du: Umin so: D5W sv: 250 su: ml rt: IV Drip id: Vasopressin t0: [11:00:00 14/02/2018] el: 1 cg: RN cu: CCU vo: 0 do: 2.4 du: Umin so: D5W sv: 250 su: ml rt: IV Drip
id: Pain Present t0: [10:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: Pain Assess Method t0: [10:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: Non-verbal cues st: NotStopd id: Pain Location t0: [10:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: Not Indicated st: NotStopd id: Pain Type t0: [10:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: None st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [11:00:00 14/02/2018] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: D5W 250.0ml + 8mcgkgmin Levophed-k t0: [11:00:00 14/02/2018] el: 1 ai: 416 cg: RN cu: CCU vo: 6.075 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [11:00:00 14/02/2018] el: 1 ai: 115 cg: RN cu: CCU vo: 4 vu: ml id: D5W 250.0ml + 200Uhr Vasopressin + 200Umin Vasopressin t0: [11:00:00 14/02/2018] el: 1 ai: 107 cg: RN cu: CCU vo: 3 vu: ml id: Urine Out Foley t0: [11:00:00 14/02/2018] el: 1 cg: RN cu: CCU vo: 100 vu: ml
id: Less Restrict Meas. t0: [10:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: Medicated st: NotStopd id: Range of Motion t0: [10:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Circulation/SkinInt t0: [10:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: Circulation Adeq st: NotStopd id: Education Topic #1 t0: [10:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: Plan of Care st: NotStopd id: Position Change t0: [10:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Reason For Restraint t0: [10:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [10:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Restraint Location t0: [10:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: Both Arms st: NotStopd id: Restraint Type t0: [10:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [10:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: Behavior Conts st: NotStopd id: Side Rails t0: [10:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: Support Systems t0: [10:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: Relative st: NotStopd id: Pt./Family Informed t0: [10:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd
id: Fingerstick Glucose t0: [11:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: 127 n1: 127 rs: Manual st: NotStopd
id: Less Restrict Meas. t0: [12:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: Medicated st: NotStopd id: Range of Motion t0: [12:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Service Type t0: [12:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Circulation/SkinInt t0: [12:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: Circulation Adeq st: NotStopd id: Code Status t0: [12:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [12:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: Sedated st: NotStopd id: Risk for Falls t0: [12:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Diet Type t0: [12:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: NPO st: NotStopd id: Ectopy Frequency t0: [12:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [12:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: GI#1 Intub Site t0: [12:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: Salem Sump v2: Oral st: NotStopd id: Eye Opening t0: [12:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: 3 To speech st: NotStopd id: GCS Total t0: [12:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: 10 n1: 10 u1: points st: NotStopd id: GI Intub #1/Site t0: [12:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: Salem Sump v2: Oral st: NotStopd id: HOB t0: [12:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: 30 degrees st: NotStopd id: Heart Rate t0: [12:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: 96 n1: 96 u1: BPM st: NotStopd id: Heart Rhythm t0: [12:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: Atrial Fib st: NotStopd id: INV Line#1 Type/Site t0: [12:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: A-Line v2: Right Radial st: NotStopd id: INV Line#2 Type/Site t0: [12:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: Introducer v2: Right IJ st: NotStopd id: IV #1 Insert Date t0: [12:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: 1 n1: 1 v2: 8 n2: 8 st: NotStopd id: IV #1 Site/Size t0: [12:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: Right Wrist v2: 20 gauge st: NotStopd id: IV #2 Insert Date t0: [12:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: 1 n1: 1 v2: 8 n2: 8 st: NotStopd id: IV #2 Site/Size t0: [12:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: RL Ant Forearm v2: 20 gauge st: NotStopd id: Activity t0: [12:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [12:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: Good st: NotStopd id: Level of Conscious t0: [12:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: Arouse to Voice st: NotStopd id: Motor Response t0: [12:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: 6 Obeys Commands st: NotStopd id: Oral Care t0: [12:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Orientation t0: [12:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: Unable to Assess st: NotStopd id: Arterial BP t0: [12:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: 123 n1: 123 u1: mmHg v2: 68 n2: 68 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [12:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: 83 n1: 83 u1: mmHg st: NotStopd id: Position Change t0: [12:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Assistance Device t0: [12:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: 2 Person Assist st: NotStopd id: Precautions t0: [12:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: INV#1 Dsg Change t0: [12:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: 1 n1: 1 v2: 8 n2: 8 st: NotStopd id: INV#2 Dsg Change t0: [12:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: 1 n1: 1 v2: 8 n2: 8 st: NotStopd id: ABP Alarm (Lo/Hi) t0: [12:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: mmHg v2: 110 n2: 110 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [12:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [12:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [12:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Reason For Restraint t0: [12:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [12:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Respiratory Pattern t0: [12:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: Regular st: NotStopd id: Respiratory Rate t0: [12:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: 15 n1: 15 u1: BPM st: NotStopd id: Restraint Location t0: [12:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: Both Arms st: NotStopd id: Restraint Type t0: [12:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [12:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: Behavior Conts st: NotStopd id: Side Rails t0: [12:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: Skin Care t0: [12:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: SpO2 t0: [12:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: 95 n1: 95 u1: % st: NotStopd id: INV#1 Cap Change t0: [12:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: 1 n1: 1 v2: 8 n2: 8 st: NotStopd id: INV#1 Tubing Change t0: [12:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: 1 n1: 1 v2: 8 n2: 8 st: NotStopd id: INV#2 Cap Change t0: [12:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: 1 n1: 1 v2: 8 n2: 8 st: NotStopd id: Therapeutic Bed t0: [12:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [12:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: Left Side st: NotStopd id: Urine Source t0: [12:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [12:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: 1.0 ET/Trach st: NotStopd id: Back Care t0: [12:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: calprevflg t0: [12:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: Pt./Family Informed t0: [12:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd
id: D5W 100.0ml t0: [11:00:00 14/02/2018] el: 1 ai: 105 cg: RN cu: CCU vo: 50 vu: ml id: .9% Normal Saline 1000.0ml t0: [12:00:00 14/02/2018] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: D5W 250.0ml + 8mcgkgmin Levophed-k t0: [12:00:00 14/02/2018] el: 1 ai: 416 cg: RN cu: CCU vo: 6.075 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [12:00:00 14/02/2018] el: 1 ai: 115 cg: RN cu: CCU vo: 4 vu: ml id: D5W 250.0ml + 200Uhr Vasopressin + 200Umin Vasopressin t0: [12:00:00 14/02/2018] el: 1 ai: 107 cg: RN cu: CCU vo: 3 vu: ml
id: Fentanyl t0: [12:00:00 14/02/2018] el: 1 cg: RN cu: CCU vo: 0 do: 40 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Levophed-k t0: [12:00:00 14/02/2018] el: 1 cg: RN cu: CCU vo: 0 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip st: Stopped id: Vasopressin t0: [12:00:00 14/02/2018] el: 1 cg: RN cu: CCU vo: 0 do: 2.4 du: Umin so: D5W sv: 250 su: ml rt: IV Drip
id: Compliance (40-60ml) t0: [12:00:00 14/02/2018] el: 0 cg: RT cu: CCU v1: 36.6667 n1: 36.6667 u1: ml/cmH st: NotStopd id: ETT Mark/Location t0: [12:00:00 14/02/2018] el: 0 cg: RT cu: CCU v1: 24cm v2: Lip st: NotStopd id: FiO2 Set t0: [12:00:00 14/02/2018] el: 0 cg: RT cu: CCU v1: 0.5 n1: 0.5 u1: torr st: NotStopd id: High Insp. Pressure t0: [12:00:00 14/02/2018] el: 0 cg: RT cu: CCU v1: 40 n1: 40 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [12:00:00 14/02/2018] el: 0 cg: RT cu: CCU v1: 10 n1: 10 u1: BPM st: NotStopd id: I:E Ratio t0: [12:00:00 14/02/2018] el: 0 cg: RT cu: CCU v1: 1:3.3 st: NotStopd id: Airway Size t0: [12:00:00 14/02/2018] el: 0 cg: RT cu: CCU v1: 8.0 mm st: NotStopd id: Airway Type t0: [12:00:00 14/02/2018] el: 0 cg: RT cu: CCU v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [12:00:00 14/02/2018] el: 0 cg: RT cu: CCU u1: Deg. C st: NotStopd id: Intubation Date t0: [12:00:00 14/02/2018] el: 0 cg: RT cu: CCU v1: 1 n1: 1 v2: 8 n2: 8 st: NotStopd id: Low Exhaled Min Vol t0: [12:00:00 14/02/2018] el: 0 cg: RT cu: CCU v1: 4 n1: 4 st: NotStopd id: Mean Airway Pressure t0: [12:00:00 14/02/2018] el: 0 cg: RT cu: CCU v1: 8 n1: 8 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [12:00:00 14/02/2018] el: 0 cg: RT cu: CCU v1: 7.3 n1: 7.3 u1: L/min st: NotStopd id: PEEP Set t0: [12:00:00 14/02/2018] el: 0 cg: RT cu: CCU v1: 5 n1: 5 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [12:00:00 14/02/2018] el: 0 cg: RT cu: CCU v1: 20 n1: 20 st: NotStopd id: Peak Insp. Pressure t0: [12:00:00 14/02/2018] el: 0 cg: RT cu: CCU v1: 20 n1: 20 u1: cmH2O st: NotStopd id: Plateau Pressure t0: [12:00:00 14/02/2018] el: 0 cg: RT cu: CCU v1: 18 n1: 18 u1: cmH2O st: NotStopd id: Resp Rate (Spont) t0: [12:00:00 14/02/2018] el: 0 cg: RT cu: CCU v1: 0 n1: 0 u1: BPM st: NotStopd id: Resp Rate (Total) t0: [12:00:00 14/02/2018] el: 0 cg: RT cu: CCU v1: 14 n1: 14 u1: BPM st: NotStopd id: Respiratory Rate Set t0: [12:00:00 14/02/2018] el: 0 cg: RT cu: CCU v1: 14 n1: 14 u1: BPM st: NotStopd id: Ve High t0: [12:00:00 14/02/2018] el: 0 cg: RT cu: CCU v1: 18 n1: 18 st: NotStopd id: Sensitivity-Vent t0: [12:00:00 14/02/2018] el: 0 cg: RT cu: CCU v1: 2 n1: 2 u1: cmH2O st: NotStopd id: Tidal Volume (Obser) t0: [12:00:00 14/02/2018] el: 0 cg: RT cu: CCU v1: 527 n1: 527 u1: ml/B st: NotStopd id: Tidal Volume (Set) t0: [12:00:00 14/02/2018] el: 0 cg: RT cu: CCU v1: 550 n1: 550 u1: ml/B st: NotStopd id: Ventilator Mode t0: [12:00:00 14/02/2018] el: 0 cg: RT cu: CCU v1: Assist Control st: NotStopd id: Ventilator Type t0: [12:00:00 14/02/2018] el: 0 cg: RT cu: CCU v1: Drager st: NotStopd id: Waveform-Vent t0: [12:00:00 14/02/2018] el: 0 cg: RT cu: CCU v1: RAMP st: NotStopd
id: Fingerstick Glucose t0: [12:00:00 14/02/2018] el: 0 cg: CoWker cu: CCU v1: 126 n1: 126 rs: Manual st: NotStopd
id: Alarms t0: [12:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: ON st: NotStopd
id: Pain Present t0: [12:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: Pain Assess Method t0: [12:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: Grimace Scale st: NotStopd id: Pain Location t0: [12:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: Not Indicated st: NotStopd id: Pain Type t0: [12:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: None st: NotStopd
id: Urine Out Foley t0: [12:00:00 14/02/2018] el: 1 cg: RN cu: CCU vo: 160 vu: ml