csho
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csho [2022/06/15 13:20] mdanley |
csho [2022/06/15 13:30] (current) mdanley |
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| **All:** Silence | **All:** Silence | ||
| - | [Mr./Mrs.] _________ is a ______ year old [male/female] who underwent a _______ with Dr. _____ today. Presenting symptoms include ________. [His/Her] past medical history of significant for _________. | + | [Mr./Mrs.] __[Name]__ is a __[Age]__ year old [male/female] who underwent a __[Surgery]__ with Dr. __[Name]__ today. Presenting symptoms include __[Symptoms]__. [His/Her] past medical history of significant for __[PMH]__. |
| - | Induction was [**uneventful**/eventful due to ______]. | + | Induction was [**uneventful**/eventful due to __[Reasons]__]. |
| - | Intubation was [**easy**/moderate/difficult]. We used _________ to intubate. | + | Intubation was [**easy**/moderate/difficult]. We used __[Blade/Glidescope/Bougie]__ to intubate. |
| - | Vascular access includes ___________ and was [**uncomplicated**/complicated by ______] | + | Vascular access includes __[Art/CVC/PAC/PIV]__ and was [**uncomplicated**/complicated by __[Reasons]__] |
| - | Pre-bypass period was [**uncomplicated**/complicated by __________]. | + | Pre-bypass period was [**uncomplicated**/complicated by __[Reasons]__]. |
| Separation from bypass required [**inotropic support**/pacing/mechanical support/minimal support]. | Separation from bypass required [**inotropic support**/pacing/mechanical support/minimal support]. | ||
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| The patient has [**ventricular pacing wires**/atrial pacing wires/both/none]. | The patient has [**ventricular pacing wires**/atrial pacing wires/both/none]. | ||
| - | Post-bypass transesophageal echocardiogram revealed ____________. | + | Post-bypass transesophageal echocardiogram revealed __[Findings]__. |
| - | Current medications infusing includes ________ [vasopressors/inotropes/sedation/insulin/TXA]. | + | Current medications infusing includes __[Drips]__ [vasopressors/inotropes/sedation/insulin/TXA]. |
| - | Ventilation post bypass was [**acceptable**/complicated by _______]. | + | Ventilation post bypass was [**acceptable**/complicated by __[Hypoxia/Hypercarbia/Etc]__]. |
| - | ABG was [**within normal limits**/significant for ________]. | + | ABG was [**within normal limits**/significant for __[Findings]__]. |
| - | Chest tubes are __________. Are they hooked to suction? [RN: “Yes”] | + | Chest tubes are __[Mediastinal/Pleural]__. Are they connected to suction? [RN: “Yes”] |
| - | Estimate blood loss was _________. | + | Estimate blood loss was __[Liters]__. |
| - | Total volume administered includes ____________ [PRBCs/FFP/Crystalloid/Albumin/Cell Saver]. | + | Total volume administered includes __[Volume]__ [PRBCs/FFP/Crystalloid/Albumin/Cell Saver]. |
| - | Hemoconcentration was _________. | + | Hemoconcentration was __[Volume]__. |
| - | Total urine output was __________. | + | Total urine output was __[Volume]__. |
| - | We left the operating room at _________. | + | We left the operating room at __[Time]__. |
| This patient [**is**/is not] a fast-track candidate and [**received**/did not receive] nerve blocks. | This patient [**is**/is not] a fast-track candidate and [**received**/did not receive] nerve blocks. | ||
| - | My **biggest concern** for this patient is _________. | + | My **biggest concern** for this patient is __[Concerns]__. |
| [**LVADs** – State last parameters and any right ventricular concerns/suck down events/volume status]. | [**LVADs** – State last parameters and any right ventricular concerns/suck down events/volume status]. | ||
| Are there any questions? | Are there any questions? | ||
csho.1655299241.txt.gz · Last modified: 2022/06/15 13:20 by mdanley
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