_____th ICU Day

Date: __/__/201_ Morning Endorsement

Admission: Endorsing Patient _____________________________, ___ M/F on ___th ICU Day.
__/__/201_ Managed as a case of

ICU _____th day post-ictus

_____th day post-op
F
Overnight events
A

T (1) CNS (2) Cardiovascular

GCS __ (E__V__M__) BP ___ ___/___ ___ HR ___ ___ (______
H Pain scale __ (pain rhythm)
medication:___________________) Vasopressors/nicardipine (dose/rate):
U Neuro PE (if done): Oral hypertensives:
Cardiac PE (if done):
G

I (3) Pulmonary (4) Gastrointestinal

RR ___ ___ SaO2 ___ ___ on FIO2 ___% Bowel Movement:
N Mechanical ventilation Tenderness:
Settings: Tubes: NGT/OGT (location: _____) Duration:
B Nebulization, face mask, cannula at ___ LPM _____
Others NPO status:
E Pulmonary PE (if done): Feeding (type, kcal, dilution, amount,
schedule):
D GI PE (if done):

(5) Genitourinary (6) Infectious Disease

Input _____ vs Output _____ Temperature _____ (Afebrile/Febrile; Last
Voiding: fever:________)
Fluids (type, drip, rate): Microbiologic results:
Electrolytes:
Antibiotics:

(7) Endocrinology (8) Hematology

CBG:
Medications:
Thyroid Function

Others