Basic Flashcards

1
Q

Discuss how to present

A

1) one liner
- hospital day
- diagnosis

2) overnight events
- fever
- hypotension
- urine output decrease
- tube or line issues

3) vitals
- trends
- interventions (o2, vent, pressers)

4) Ins and Outs
- net positive or negative 24 hours
- fluids should be mentioned here (boluses, maintenance)
- insensible losses

5) Vent
- mode (Simv)
- pressure supports
- fio2, Peep, RR set and spont

6) lab data
- trends
- Abs mentioned here
- explanation for raised values (steroids in high WBC)
- glucose trend
- cultures – results and timing

7) imaging

8) tubes, lines, catheters
-how many days
-

9) medications
- antibiotics
- fluids rate of
- insulin

10) exam
- neuro – need to consider ceasing sedation

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