Shen Nursing Care Record Sheet (1) doc
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Records of intensive care of Tianren County People ’s Accessible Hospital (1) Department Bed Number Name Spring and Autumn Gender Diagnosis Transfer / Admission Date: Hospital Medical Record Number: Date Time Drug Name Usage Intravenous Input Special Drug Speed μg / kg.min Nervous system vital signs Ventilator settings Take monitoring values Sickness observation, nursing methods and results signature Conscious pupil mm Body temperature ℃ Heart rate beats per minute rhythm breath breaths per minute blood pressure mmHg SpO2% Set parameters monitoring parameters ml left Φ reflection left Φ reflection noninvasive NBP Invasive IBP mode f bpm VT ml FiO2% PS cmH2O PEEP cmH2O ftot bpm Vte Ml Vetot L / min Ppeak cmH2O Pmean cmH2O Consciousness: A, L drowsiness, LC shallow fainting, DC fainting, D delirium, N anesthesia, awake , MR uses muscle relaxant pupil size (mm) ● ● ● ● ● ● ● ● pupils reflect light: ++ reflect active, + dull / suspicious,-disappearing 1 2 3 4 5 6 7 8 page
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