Full Code DNR TAO DNI

Isolation:__________________
Weight:_________
Physicians:

Full Code DNR TAO DNI

Isolation:__________________
Weight:_________
Physicians:

Neuro: WNL Sedated

Unresponsive Confused
T:____P:_____R:_____BP:_______
Allergies:

PMH: HTN COPD CAD

CHF DM

Neuro: WNL Sedated

Unresponsive Confused

EVD@_______cm Open Clamped

Pulmonary: WNL NC
L
ETT #
@
cm@lip CASS
Trache #
Shiley Bivona BiPap
___/___ ___%
Mode:
Rate:
FiO2:
PS:
TV:
PEEP:
Lung Sounds:

HPI Admitted__________

T:____P:_____R:_____BP:_______
Allergies:

PMH: HTN COPD CAD

CHF DM

HPI Admitted__________
Cardiac: WNL Murmur Edema
Rhythm:

Tests/Diagnostics

pH____pCO2____pO2____HCO3____
BUN/Cr_________ K______ Mg_____
H/H_______ WBC______ Plt_______
Plan:

PRNs:
KCl Prot. K_____ Recheck:________
Gluc.: S/S A B C D q_____hrs

EVD@_______cm Open Clamped

Pulmonary: WNL NC
L
ETT #
@
cm@lip
CASS
Trache #
Shiley Bivona BiPap
___/___ ___%
Mode:
Rate:
FiO2:
PS:
TV:
PEEP:
Lung Sounds:

PP:
GI/GU: WNL Foley NG LCS/LIS
Diet:
TF:

Skin: WNL Restraints Activity:

SCDS Plexis TEDs

Edema:
Rotation:______%
IV:
Med

Log Roll

Dose

Rate

Cardiac: WNL Murmur Edema

Rhythm:

Tests/Diagnostics

pH____pCO2____pO2____HCO3____
BUN/Cr_________ K______ Mg_____
H/H_______ WBC______ Plt_______
Plan:

PRNs:
KCl Prot. K_____ Recheck:________
Gluc.: S/S A B C D q_____hrs

AM: CBC BMP CMP ABG CXR

AM: CBC BMP CMP ABG CXR

Labs Strips Weight

Chart Check Restraints Oral Care

Labs Strips Weight

Chart Check Restraints Oral Care

PP:
GI/GU: WNL Foley NG LCS/LIS
Diet:
TF:

Skin: WNL Restraints Activity:

SCDS Plexis TEDs

Edema:
Rotation:______%
IV:
Med

Log Roll

Dose

Rate

Full Code DNR TAO DNI

Isolation:__________________
Weight:_________

Full Code DNR TAO DNI

Isolation:__________________
Weight:_________