https://padlet.com/mbforte89/hffmjzx6ijwg 85 yo Female, Tina Jones, BIB ambulance through ER en-us 2017-12-01 22:01:12 UTC 2023-03-03 12:57:45 UTC hello@padlet.com https://padlet-assets.s3.amazonaws.com/icons/Bigthunderstorm.png mbforte89 https://padlet.com/mbforte89/hffmjzx6ijwg/wish/212458335 NKA
ALOC
Not following commands
Right IJ Central Line
Lung sounds coarse bilaterally
S1 S2 (+) upon auscultation 
Daughter says patient is anuric
LBM yesterday
Edema to BLExt. +3]]> 2017-12-01 22:04:02 UTC https://padlet.com/mbforte89/hffmjzx6ijwg/wish/212458335 mbforte89 https://padlet.com/mbforte89/hffmjzx6ijwg/wish/212458416 LACTIC 5.3
K + 7.8
CR 10.3

]]> 2017-12-01 22:04:39 UTC https://padlet.com/mbforte89/hffmjzx6ijwg/wish/212458416 mbforte89 https://padlet.com/mbforte89/hffmjzx6ijwg/wish/212458429 3HRS
-IV ACCESS
- LACTIC ACID
- x2 BLD CULTURES (ANAEROBIC/AEROBIC) DIFFERENT SITES
- 30 ML/KG CRYSTALLOIDS BOLUS
-BROAD SPECTRUM ABX/ EMIPIRCALLY AFTER DRAWING CULTURES
6HRS
1ST DRUG OF CHOICE/ VASO PRESSOR = NOREPI
1. EPI
2. VASOPRESSIN

DOBUTAMINE- INOTROPIC

]]> 2017-12-01 22:04:46 UTC https://padlet.com/mbforte89/hffmjzx6ijwg/wish/212458429 mbforte89 https://padlet.com/mbforte89/hffmjzx6ijwg/wish/212458446 BP 85/40 ***
T 100.3
RR 22
SPO2 94% ON 2L VIA NC

]]> 2017-12-01 22:04:55 UTC https://padlet.com/mbforte89/hffmjzx6ijwg/wish/212458446 mbforte89 https://padlet.com/mbforte89/hffmjzx6ijwg/wish/212458477 - MAINTAIN MAP >65 MMHG
- THERMOREGULATE
- ABX THERAPY; DC BROAD SPEC WHEN SOURCE ID'D 
---- ABX STEWARDSHIP
- CRRT / HD
- CDIFF
- GLUCOSE CONTROL
---> 2 CONSEQ READINGS >180 MG/DL --> INSULIN --> 180 - 110
- NUTRITION AFTER 7 DAYS -- > ISCHEMIA/BOWEL D/T HEMODYNAMIC INSTABILITY
-COMPLICATIONS:
 1. DIC
2. ARDS
---> ROTO PRONE, HIGH PEEP
-MSOF


]]> 2017-12-01 22:05:10 UTC https://padlet.com/mbforte89/hffmjzx6ijwg/wish/212458477 mbforte89 https://padlet.com/mbforte89/hffmjzx6ijwg/wish/212458505 - CXR (BIBASILAR INFILTRATE; RIJ TUNNELED CATHETER/ HD)
- SPUTUM
- UA WITH C/S
- ABG (MET ACIDOSIS)
- EKG
- CH12/CBC
- CT HEAD (-)

]]> 2017-12-01 22:05:25 UTC https://padlet.com/mbforte89/hffmjzx6ijwg/wish/212458505 mbforte89 https://padlet.com/mbforte89/hffmjzx6ijwg/wish/212458787 BP 125/74 (Left Arm)
STACH 110 on Tele
T 101.2
RR 25
SpO2 94% on 2L NC
Pain -- unable to assess]]> 2017-12-01 22:07:30 UTC https://padlet.com/mbforte89/hffmjzx6ijwg/wish/212458787 mbforte89 https://padlet.com/mbforte89/hffmjzx6ijwg/wish/212462671 -ABX WITHIN FIRST 3 HOURS OF ONSET OF S/SX
-DRAW CULTURES/SPECIMENS BEFORE ABX ARE GIVEN

SIRS CRITERIA
TEMP <36 (96.8) OR > 38 (100.4)
WBCS >10 OR <4 BANDS >10%
RR >20 OR PACO2 <32 MMHG
HR >90-100 BPM

]]> 2017-12-01 22:46:47 UTC https://padlet.com/mbforte89/hffmjzx6ijwg/wish/212462671