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Brain 12

Brain 12

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Published by Nurse Betty

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Published by: Nurse Betty on Jul 23, 2011
Copyright:Attribution Non-commercial

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02/10/2014

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Patient Sticker
Hgb
 
Na Cl BUN
Patient Sticker
Hbg Na Cl BUN
 
WBC Plt Gluc WBC Plt GlucHct K HCO
3
Cr Hct K HCO3 Cr
Primary:COR status:Allergies:
20212223240102
New MAR
0304
AM labs
0506
I/O; empty drains/foley, linen, trashCk labs
07
Primary:COR status:Allergies:
20212223240102
New MAR
0304
AM labs
05
 
Patient Sticker
Hgb
 
Na Cl BUN
Patient Sticker
Hbg Na Cl BUN
 
WBC Plt Gluc WBC Plt GlucHct K HCO
3
Cr Hct K HCO3 Cr
06
I/O; empty drains/foley, linen, trashCk labs
07
Primary Team: COR status: Allergies:PMHx/CC:
Plans: Social:Neuro: Sedation:Restraints:CV: Gtts:SvO
2
: Lactate: ECG: Drains: Output:Ectopy: CT: Output:Air leak: Y/NPulm: Vent Mode: TV:RR: PEEP: FiO
2
:Secretions:CT: Output: Air leak: Y/N ETT size: Taped: cm @ teeth/lipsGI: R/L NGT/DHT Taped @ _____cmTF Formula: ____________ @ _______ ml/hrResidual: _______ mlTPN @ _____ ml/hr Lipids @ ______ml/hrGlucose: Rectal tube Y/N Output: _____ ml last 12 hrsRenal/GU: Foley Y/N I/O: _____ml/______mlMIVF: @ _______ ml/hrSkin:Decub:Dressing/Tx:Access:CVL: R/L PIV: R/LR/L R/LDrsg change:ID: Tmax: _____F Cx:Labs: PT/PTT/INR: ____/_____/_____D-Dimer: Fib:Ca: Mg: Phos:Amylase/Lipase: ________/________Neut: % Bili T/D/I: ______/______/________AST/ALT: ______/______AlkPhos:Albumin:
Primary Team: COR status: Allergies:PMHx/CC:
Plans: Social:Neuro: Sedation:Restraints:CV: Gtts:SvO
2
: Lactate: ECG: Drains: Output:Ectopy: CT: Output:Air leak: Y/NPulm: Vent Mode: TV:RR: PEEP: FiO
2
:Secretions:CT: Output: Air leak: Y/N ETT size: Taped: cm @ teeth/lipsGI: R/L NGT/DHT Taped @ _____cmTF Formula: ____________ @ _______ ml/hrResidual: _____ mlTPN @ _____ ml/hr Lipids @ ______ml/hrGlucose: Rectal tube Y/N Output: _____ ml last 12 hrsRenal/GU: Foley Y/N I/O: _____ml/______mlMIVF: @ _______ ml/hrSkin:Decub:Dressing/Tx:Access:CVL: R/L PIV: R/L

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