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    ICU Monitoring - Updated 4-24

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    Anonymous NyZLF2LKT
    This document contains fields for collecting a patient's name, medical history, vital signs, lab results, notes, radiology results, medications, and follow-up plan over multiple days. Key information includes fields for patient name, medical problems, vital signs, lab results, notes, radiology reports, current medications, and planned follow-up.

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    ICU Monitoring - Updated 4-24

    Uploaded by

    Anonymous NyZLF2LKT
    9 views2 pages
    This document contains fields for collecting a patient's name, medical history, vital signs, lab results, notes, radiology results, medications, and follow-up plan over multiple days. Key information includes fields for patient name, medical problems, vital signs, lab results, notes, radiology reports, current medications, and planned follow-up.

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    This document contains fields for collecting a patient's name, medical history, vital signs, lab results, notes, radiology results, medications, and follow-up plan over multiple days. Key information includes fields for patient name, medical problems, vital signs, lab results, notes, radiology reports, current medications, and planned follow-up.

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    9 views2 pages

    ICU Monitoring - Updated 4-24

    Uploaded by

    Anonymous NyZLF2LKT
    This document contains fields for collecting a patient's name, medical history, vital signs, lab results, notes, radiology results, medications, and follow-up plan over multiple days. Key information includes fields for patient name, medical problems, vital signs, lab results, notes, radiology reports, current medications, and planned follow-up.

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    of 2

    Name:  ID  Asad  Medina-Garcia

    All:  Renal  Neuro


     Surgery  Other Consults: ____________________________
    PMH:

    Date Final Site Organisms / Susceptibilities Date Final Site Organisms / Susceptibilites

    Tm/Tc
    BP
    MAP
    HR
    WBC / LA / / / / / / / / /
    Hgb/Hct
    Plt
    Gran/Band
    Na / / / / / / / / /
    K / / / / / / / / /
    Cl / / / / / / / / /
    CO2 / / / / / / / / /
    BUN / / / / / / / / /
    SCr / / / / / / / / /
    Glucose / / / / / / / / /
    Ca2+ / / / / / / / / /
    Phos / / / / / / / / /
    Mag / / / / / / / / /
    Corr/ion Ca2+ / / / / / / / / /
    T.Bili/D.Bili
    INR/PT
    Respiratory
    -Peridex
    - FIO2
    CPOT
    CAM ICU / Tx
    Blood Sugars

    -Lantus / / / / / / / /
    -SS#/units / / / / / / / / /
    DVT? E / H / SCD / F E / H / SCD / F E / H / SCD / F E / H / SCD / F E / H / SCD / F E / H / SCD / F E / H / SCD / F E / H / SCD / F E / H / SCD / F
    Reason if N/A
    GI prophy? Y / N / NA Y / N / NA Y / N / NA Y / N / NA Y / N / NA Y / N / NA Y / N / NA Y / N / NA Y / N / NA
    - indication
    Nutrition
    - route / rate
    Steroids
    Phenytoin
    SZ ppx / tx

    Notes
    Date Type Radiology Results Date Type Radiology Results

    CC: HPI:

    PMH: OP Meds:
    1. 1.
    2. 2.
    3. 3.
    4. 4.
    5. 5.
    6. 6.
    7. 7.
    8. 8.
    9. 9.
    10. 10.

    Date Plan/Follow-Up
    1.
    2.
    3.
    1.
    2.
    3.
    1.
    2.
    3.
    1.
    2.
    3.
    1.
    2.
    3.
    1.
    2.
    3.
    1.
    2.
    3.

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