Critical Care Pharmacy Resources
Kennedy University HospitalsPHARMACY SERVICESCRITICAL CARE PROGRESS REPORTBrief History of Present Illness:CrCl: ___________ mL/min Wt/IBW: ____________ kg Hospital Day: ___________Neuro/Pain/Sedation:Pain/Sedation Medications/Drips:Pain Control Adequate: □ Yes □ NoRASS Goal:_______ RASS Actual:__________CAM-ICU Assessment: ______________________Cardiovascular:Cardiovascular Drips:BP Goal (if specified): ___________Pulmonary:Gastrointestinal:□ Bronchodilators □ Optimized?□ MucolyticsBowel Regimen: □ Adequate □ Not IndicatedGI Prophylaxis: □ H2RA □ PPI □ Not IndicatedGenitourinary:Endocrine:Urinary Retention: □ Flomax □ Cardura □ N/AInsulin Regimen: □ Basal/Bolus □ SSI □ Drip □ NAHematology:Pharmacy Profile Review:VTE PPx: □ SQH □ LMWH □ Arixtra □ SCDPLT Count: _________ □ IV-to-PO □ Renal Dosing □ Stop Dates□ Drug Interactions □ Medication ReconciliationInfectious Diseases:Antimicrobial Therapy:Indication for ABX: _________________________ID Consulted: □ Yes □ No De-escalation possible: □ Yes □ No □ N/ANew Culture Results:New Drug Levels:Day ___/___: Day ___/___:Day ___/___:Day ___/___:Stop Dates for ABX Appropriate: □ Yes □ No Fluids/Electrolytes/Nutrition:Tube Feed:IVF Ordered/Needed: Replete Electrolytes: □ K □ Mg □ Phos □ Ca ................
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