Transferrin Iron Pre-albumin 24-hour urine Consultations Yes No Disposition Is the primary service up to Yes date? No Has the family been Yes updated? No Social issues addressed (long-term care; palliative Yes care)? No N/A Other—please explain: Systemic Inflammatory Response Syndrome (SIRS)/ infection/sepsis evaluation No current SIRS/sepsis issues SIRS criteria Known infection: Temp > 38° C PAN culture < 36° C Blood culture x2 Heart rate > 90 BPM Respiratory rate > 20 Sputum b/min Amount of carbon dioxide in the arterial blood <32 Antibiotic changes; torr discontinuation White blood cells > 12K AG levels: < 4K Sepsis bundle > 10% bands Can catheters or tubes be Yes removed? No GI/nutrition/bowel regimen Total parenteral nutrition (Total parenteral nutrition line, Total fluids NDT, PEG needed?) Nothing by Is this patient receiving deep Deep vein thrombosis: vein thrombosis/peptic ulcer Heparin every 8 hours/every disease prophylaxis? 12 hours/continuous drip Peptic disease prevention:
Transferrin Iron Pre-albumin 24-hour urine Consultations Yes No Disposition Is the primary service up to date? Yes No Has the family been updated? Social issues addressed (long-term care; palliative care)? Yes No Yes No N/A Other—please explain: Systemic Inflammatory Response Syndrome (SIRS)/ infection/sepsis evaluation SIRS criteria Temp > 38° C < 36° C Heart rate > 90 BPM Respiratory rate > 20 b/min Amount of carbon dioxide in the arterial blood <32 torr White blood cells > 12K < 4K > 10% bands No current SIRS/sepsis issues Known infection: PAN culture Blood culture x2 Sputum Antibiotic changes; discontinuation AG levels: Sepsis bundle Can catheters or tubes be removed? Yes No GI/nutrition/bowel regimen (Total parenteral nutrition line, NDT, PEG needed?) Total parenteral nutrition Total fluids Nothing by Is this patient receiving deep vein thrombosis/peptic ulcer disease prophylaxis? Deep vein thrombosis: Heparin every 8 hours/every 12 hours/continuous drip Peptic disease prevention:
dailygoals.docx