Critical Care Pharmacy Resources



SUBJECTIVE/OBJECTIVEASSESSMENT/PLANHPIPMHDAYTempHRBPMAPRRWBCHgbHctPltsGlucBUNSCrNa+K+Cl-CO2Ca2+PO4Mg2+AlbI/ONEURORASS: __________ RASS Goal: __________ CAM-ICU: ________ FORMCHECKBOX Propofol @____ mcg/kg/min FORMCHECKBOX Fentanyl @ _____ mcg/kg/hr FORMCHECKBOX Precedex @_____ mcg/kg/hr FORMCHECKBOX Midazolam @ ______ mg/hr FORMCHECKBOX Intermittent Benzodiazepines/Opiates FORMCHECKBOX Others:CVIV Medications:Pressors: FORMCHECKBOX Cardene @ _____ mg/hr FORMCHECKBOX Labetalol @ _____ mg/min FORMCHECKBOX Amio @ ______ mg/min Others:EKG (esp. QTc):PULMode of Ventilation/Respiration/Settings: GIPatient Diet: _________________________________________PUD Prophylaxis: FORMCHECKBOX PPI FORMCHECKBOX H2RA: FORMCHECKBOX PLT count > 150k?Indication: FORMCHECKBOX Vent FORMCHECKBOX Coagulopathy FORMCHECKBOX Neuro Trauma FORMCHECKBOX OutptENDO24 Hour Blood Sugar Range: _______________________________Method of Glucose Control: FORMCHECKBOX Insulin Drip—Requirement: _____ units/24 hrs FORMCHECKBOX SSI: Insulin Type: FORMCHECKBOX HRI FORMCHECKBOX “Log”HEMEDVT Prophylaxis: FORMCHECKBOX SCDs FORMCHECKBOX SQH FORMCHECKBOX LMWH FORMCHECKBOX N/A: ________________________IDCXABXDAYLEVELSTIMINGVANCO / GENTPROBLEM LISTPLAN FORMCHECKBOX Renal Dosing Check FORMCHECKBOX IV to PO Check FORMCHECKBOX Drug Levels Needed FORMCHECKBOX Meds/Drips Renewal FORMCHECKBOX Other Lab/Studies ................
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