Basic Flashcards
Discuss how to present
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