eICU Collaborative Research Database Demo 2.0

File: <base>/nurseAssessment.csv.gz (1,099,631 bytes)
nurseassessidpatientunitstayidnurseassessoffsetnurseassessentryoffsetcellattributepathcelllabelcellattributecellattributevalue
5743698410544281379113819flowsheet|Flowsheet Cell Labels|Nursing Assessment|Cardiovascular|Edema|EdemaEdemaEdemageneralized
57483728103675940754076flowsheet|Flowsheet Cell Labels|Nursing Assessment|Respiratory|Secretions|SecretionsSecretionsSecretionsminimal
57483729103675940754076flowsheet|Flowsheet Cell Labels|Nursing Assessment|Respiratory|Secretions|SecretionsSecretionsSecretionsthin
57483730103675940754076flowsheet|Flowsheet Cell Labels|Nursing Assessment|Respiratory|Secretions|SecretionsSecretionsSecretionsclear
5750599510544281805118065flowsheet|Flowsheet Cell Labels|Nursing Assessment|Cardiovascular|Pacemaker/AICD|Pacemaker/AICDPacemaker/AICDPacemaker/AICDN/A
575154751014000362363flowsheet|Flowsheet Cell Labels|Nursing Assessment|Respiratory|Secretions|SecretionsSecretionsSecretionsminimal
575154761014000362363flowsheet|Flowsheet Cell Labels|Nursing Assessment|Respiratory|Secretions|SecretionsSecretionsSecretionsthick
575154771014000362363flowsheet|Flowsheet Cell Labels|Nursing Assessment|Respiratory|Secretions|SecretionsSecretionsSecretionsbloody
575154781014000362363flowsheet|Flowsheet Cell Labels|Nursing Assessment|Respiratory|Secretions|SecretionsSecretionsSecretionscloudy
575155901034813825826flowsheet|Flowsheet Cell Labels|Nursing Assessment|Cardiovascular|Auscultation|Heart SoundsAuscultationHeart Soundsnormal
575155911034813825826flowsheet|Flowsheet Cell Labels|Nursing Assessment|Cardiovascular|Auscultation|Murmurs and RubsAuscultationMurmurs and Rubsno murmur
5751946210544281763117658flowsheet|Flowsheet Cell Labels|Nursing Assessment|Neurologic|Motor Strength|RUEMotor StrengthRUE+5-Normal
5751946310544281763117658flowsheet|Flowsheet Cell Labels|Nursing Assessment|Neurologic|Motor Strength|RLEMotor StrengthRLE+4-Resists
5751946410544281763117658flowsheet|Flowsheet Cell Labels|Nursing Assessment|Neurologic|Motor Strength|LUEMotor StrengthLUE+4-Resists
5751946510544281763117658flowsheet|Flowsheet Cell Labels|Nursing Assessment|Neurologic|Motor Strength|LLEMotor StrengthLLE+4-Resists
57519646103481349054963flowsheet|Flowsheet Cell Labels|Nursing Assessment|Neurologic|Pupils|PupilsPupilsPupilspupils equal, react to light
57519647103481349054963flowsheet|Flowsheet Cell Labels|Nursing Assessment|Neurologic|Pupils|RightPupilsRight3 mm
57519648103481349054963flowsheet|Flowsheet Cell Labels|Nursing Assessment|Neurologic|Pupils|RightPupilsRightreact to light
57519649103481349054963flowsheet|Flowsheet Cell Labels|Nursing Assessment|Neurologic|Pupils|RightPupilsRightbrisk
57519650103481349054963flowsheet|Flowsheet Cell Labels|Nursing Assessment|Neurologic|Pupils|LeftPupilsLeft3 mm
57519651103481349054963flowsheet|Flowsheet Cell Labels|Nursing Assessment|Neurologic|Pupils|LeftPupilsLeftreact to light
57519652103481349054963flowsheet|Flowsheet Cell Labels|Nursing Assessment|Neurologic|Pupils|LeftPupilsLeftbrisk
57522879100897032663266flowsheet|Flowsheet Cell Labels|Nursing Assessment|Cardiovascular|Pulses|PulsesPulsesPulsesnormal
57555862105442841854185flowsheet|Flowsheet Cell Labels|Nursing Assessment|Neurologic|Pupils|PupilsPupilsPupilspupils equal, react to light
57564609103675947944798flowsheet|Flowsheet Cell Labels|Nursing Assessment|Cardiovascular|Pacemaker/AICD|Pacemaker/AICDPacemaker/AICDPacemaker/AICDN/A
57577642101400010711068flowsheet|Flowsheet Cell Labels|Nursing Assessment|Cardiovascular|Edema|EdemaEdemaEdemano edema
57583454105442818031804flowsheet|Flowsheet Cell Labels|Nursing Assessment|Cardiovascular|Capillary Refill|Capillary RefillCapillary RefillCapillary Refillnormal
57598869103675917341889flowsheet|Flowsheet Cell Labels|Nursing Assessment|Cardiovascular|Skin Color/Temp|Skin Color/TempSkin Color/TempSkin Color/Tempnormal
576036111013300624687flowsheet|Flowsheet Cell Labels|Nursing Assessment|Respiratory|Secretions|SecretionsSecretionsSecretionsnone
57639100103481322732333flowsheet|Flowsheet Cell Labels|Nursing Assessment|Neurologic|Pupils|RightPupilsRight3 mm
57639101103481322732333flowsheet|Flowsheet Cell Labels|Nursing Assessment|Neurologic|Pupils|RightPupilsRightsluggish
57639102103481322732333flowsheet|Flowsheet Cell Labels|Nursing Assessment|Neurologic|Pupils|LeftPupilsLeft3 mm
57639103103481322732333flowsheet|Flowsheet Cell Labels|Nursing Assessment|Neurologic|Pupils|LeftPupilsLeftsluggish
57655036103675951545164flowsheet|Flowsheet Cell Labels|Nursing Assessment|Cardiovascular|Edema|EdemaEdemaEdemageneralized
57655037103675951545164flowsheet|Flowsheet Cell Labels|Nursing Assessment|Cardiovascular|Edema|RUEEdemaRUE+1
57655038103675951545164flowsheet|Flowsheet Cell Labels|Nursing Assessment|Cardiovascular|Edema|RLEEdemaRLE+1
57655039103675951545164flowsheet|Flowsheet Cell Labels|Nursing Assessment|Cardiovascular|Edema|LUEEdemaLUE+1
57655040103675951545164flowsheet|Flowsheet Cell Labels|Nursing Assessment|Cardiovascular|Edema|LLEEdemaLLE+1
576824511051785165197flowsheet|Flowsheet Cell Labels|Nursing Assessment|Neurologic|Motor Strength|Motor StrengthMotor StrengthMotor Strengthnormal
5771013899451215981753flowsheet|Flowsheet Cell Labels|Nursing Assessment|Neurologic|Reflexes|Cough/Gag ReflexReflexesCough/Gag Reflexpresent
5771013999451215981753flowsheet|Flowsheet Cell Labels|Nursing Assessment|Neurologic|Reflexes|Facial AsymmetryReflexesFacial Asymmetryabsent
5771014099451215981753flowsheet|Flowsheet Cell Labels|Nursing Assessment|Neurologic|Reflexes|Tongue Deviation (Left)ReflexesTongue Deviation (Left)absent
5771014199451215981753flowsheet|Flowsheet Cell Labels|Nursing Assessment|Neurologic|Reflexes|Tongue Deviation (Right)ReflexesTongue Deviation (Right)absent
57771357103675953945429flowsheet|Flowsheet Cell Labels|Nursing Assessment|Neurologic|Neurologic|LOCNeurologicLOCnormal
57771358103675953945429flowsheet|Flowsheet Cell Labels|Nursing Assessment|Neurologic|Neurologic|OrientationNeurologicOrientationto person
57771359103675953945429flowsheet|Flowsheet Cell Labels|Nursing Assessment|Neurologic|Neurologic|OrientationNeurologicOrientationto place
57771360103675953945429flowsheet|Flowsheet Cell Labels|Nursing Assessment|Neurologic|Neurologic|SpeechNeurologicSpeechclear
57771361103675953945429flowsheet|Flowsheet Cell Labels|Nursing Assessment|Neurologic|Neurologic|StimulusNeurologicStimulusspontaneous
577818091048833777776flowsheet|Flowsheet Cell Labels|Nursing Assessment|Respiratory|Breath Sounds|Right UpperBreath SoundsRight Upperclear to auscultation
577818101048833777776flowsheet|Flowsheet Cell Labels|Nursing Assessment|Respiratory|Breath Sounds|Right LowerBreath SoundsRight Lowerclear to auscultation
577818111048833777776flowsheet|Flowsheet Cell Labels|Nursing Assessment|Respiratory|Breath Sounds|Right LowerBreath SoundsRight Lowerdiminished
577818121048833777776flowsheet|Flowsheet Cell Labels|Nursing Assessment|Respiratory|Breath Sounds|Left UpperBreath SoundsLeft Upperclear to auscultation
577818131048833777776flowsheet|Flowsheet Cell Labels|Nursing Assessment|Respiratory|Breath Sounds|Left LowerBreath SoundsLeft Lowerclear to auscultation
577818141048833777776flowsheet|Flowsheet Cell Labels|Nursing Assessment|Respiratory|Breath Sounds|Left LowerBreath SoundsLeft Lowerdiminished
5778560110488335782flowsheet|Flowsheet Cell Labels|Nursing Assessment|Respiratory|Breath Sounds|Right UpperBreath SoundsRight Upperclear to auscultation
5778560210488335782flowsheet|Flowsheet Cell Labels|Nursing Assessment|Respiratory|Breath Sounds|Right LowerBreath SoundsRight Lowerclear to auscultation
5778560310488335782flowsheet|Flowsheet Cell Labels|Nursing Assessment|Respiratory|Breath Sounds|Right LowerBreath SoundsRight Lowerdiminished
5778560410488335782flowsheet|Flowsheet Cell Labels|Nursing Assessment|Respiratory|Breath Sounds|Left UpperBreath SoundsLeft Upperclear to auscultation
5778560510488335782flowsheet|Flowsheet Cell Labels|Nursing Assessment|Respiratory|Breath Sounds|Left LowerBreath SoundsLeft Lowerclear to auscultation
5778560610488335782flowsheet|Flowsheet Cell Labels|Nursing Assessment|Respiratory|Breath Sounds|Left LowerBreath SoundsLeft Lowerdiminished
57793820103675965946710flowsheet|Flowsheet Cell Labels|Nursing Assessment|Respiratory|Breath Sounds|Right UpperBreath SoundsRight Upperclear to auscultation
57793821103675965946710flowsheet|Flowsheet Cell Labels|Nursing Assessment|Respiratory|Breath Sounds|Right UpperBreath SoundsRight Upperdiminished
57793822103675965946710flowsheet|Flowsheet Cell Labels|Nursing Assessment|Respiratory|Breath Sounds|Right LowerBreath SoundsRight Lowerdiminished
57793823103675965946710flowsheet|Flowsheet Cell Labels|Nursing Assessment|Respiratory|Breath Sounds|Left UpperBreath SoundsLeft Upperclear to auscultation
57793824103675965946710flowsheet|Flowsheet Cell Labels|Nursing Assessment|Respiratory|Breath Sounds|Left UpperBreath SoundsLeft Upperdiminished
57793825103675965946710flowsheet|Flowsheet Cell Labels|Nursing Assessment|Respiratory|Breath Sounds|Left LowerBreath SoundsLeft Lowerdiminished
5780034010544282000120044flowsheet|Flowsheet Cell Labels|Nursing Assessment|Respiratory|Breath Sounds|Right UpperBreath SoundsRight Upperclear to auscultation
5780034110544282000120044flowsheet|Flowsheet Cell Labels|Nursing Assessment|Respiratory|Breath Sounds|Right UpperBreath SoundsRight Upperdiminished
5780034210544282000120044flowsheet|Flowsheet Cell Labels|Nursing Assessment|Respiratory|Breath Sounds|Right LowerBreath SoundsRight Lowerdiminished
5780034310544282000120044flowsheet|Flowsheet Cell Labels|Nursing Assessment|Respiratory|Breath Sounds|Left UpperBreath SoundsLeft Upperclear to auscultation
5780034410544282000120044flowsheet|Flowsheet Cell Labels|Nursing Assessment|Respiratory|Breath Sounds|Left UpperBreath SoundsLeft Upperdiminished
5780034510544282000120044flowsheet|Flowsheet Cell Labels|Nursing Assessment|Respiratory|Breath Sounds|Left LowerBreath SoundsLeft Lowerdiminished
57841013103481313051342flowsheet|Flowsheet Cell Labels|Nursing Assessment|Cardiovascular|Capillary Refill|Capillary RefillCapillary RefillCapillary Refillnormal
57854483105442880318022flowsheet|Flowsheet Cell Labels|Nursing Assessment|Cardiovascular|Capillary Refill|Capillary RefillCapillary RefillCapillary Refillnormal
57859726103481332273229flowsheet|Flowsheet Cell Labels|Nursing Assessment|Neurologic|Neurologic|LOCNeurologicLOCsedated
57859727103481332273229flowsheet|Flowsheet Cell Labels|Nursing Assessment|Neurologic|Neurologic|SpeechNeurologicSpeechET/Trach
57859728103481332273229flowsheet|Flowsheet Cell Labels|Nursing Assessment|Neurologic|Neurologic|StimulusNeurologicStimuluspain
57884179103481359105912flowsheet|Flowsheet Cell Labels|Nursing Assessment|Cardiovascular|Pacemaker/AICD|Pacemaker/AICDPacemaker/AICDPacemaker/AICDN/A
57902506100897029402953flowsheet|Flowsheet Cell Labels|Nursing Assessment|Cardiovascular|Pulses|PulsesPulsesPulsesnormal
5791950299451211931747flowsheet|Flowsheet Cell Labels|Nursing Assessment|Neurologic|Motor Strength|RUEMotor StrengthRUE+5-Normal
5791950399451211931747flowsheet|Flowsheet Cell Labels|Nursing Assessment|Neurologic|Motor Strength|RLEMotor StrengthRLE+5-Normal
5791950499451211931747flowsheet|Flowsheet Cell Labels|Nursing Assessment|Neurologic|Motor Strength|LUEMotor StrengthLUE+4-Resists
5791950599451211931747flowsheet|Flowsheet Cell Labels|Nursing Assessment|Neurologic|Motor Strength|LLEMotor StrengthLLE+4-Resists
5793298099451298386flowsheet|Flowsheet Cell Labels|Nursing Assessment|Neurologic|Pupils|PupilsPupilsPupilspupils equal, react to light
5793298199451298386flowsheet|Flowsheet Cell Labels|Nursing Assessment|Neurologic|Pupils|RightPupilsRight4 mm
5793298299451298386flowsheet|Flowsheet Cell Labels|Nursing Assessment|Neurologic|Pupils|RightPupilsRightreact to light
5793298399451298386flowsheet|Flowsheet Cell Labels|Nursing Assessment|Neurologic|Pupils|RightPupilsRightbrisk
5793298499451298386flowsheet|Flowsheet Cell Labels|Nursing Assessment|Neurologic|Pupils|RightPupilsRightcorneal response (+)
5793298599451298386flowsheet|Flowsheet Cell Labels|Nursing Assessment|Neurologic|Pupils|RightPupilsRightEOMS (up)
5793298699451298386flowsheet|Flowsheet Cell Labels|Nursing Assessment|Neurologic|Pupils|RightPupilsRightEOMS (down)
5793298799451298386flowsheet|Flowsheet Cell Labels|Nursing Assessment|Neurologic|Pupils|RightPupilsRightEOMS (left)
5793298899451298386flowsheet|Flowsheet Cell Labels|Nursing Assessment|Neurologic|Pupils|RightPupilsRightEOMS (right)
5793298999451298386flowsheet|Flowsheet Cell Labels|Nursing Assessment|Neurologic|Pupils|LeftPupilsLeft5 mm
5793299099451298386flowsheet|Flowsheet Cell Labels|Nursing Assessment|Neurologic|Pupils|LeftPupilsLeftreact to light
5793299199451298386flowsheet|Flowsheet Cell Labels|Nursing Assessment|Neurologic|Pupils|LeftPupilsLeftbrisk
5793299299451298386flowsheet|Flowsheet Cell Labels|Nursing Assessment|Neurologic|Pupils|LeftPupilsLeftcorneal response (+)
5793299399451298386flowsheet|Flowsheet Cell Labels|Nursing Assessment|Neurologic|Pupils|LeftPupilsLeftEOMS (up)
5793299499451298386flowsheet|Flowsheet Cell Labels|Nursing Assessment|Neurologic|Pupils|LeftPupilsLeftEOMS (down)
5793299599451298386flowsheet|Flowsheet Cell Labels|Nursing Assessment|Neurologic|Pupils|LeftPupilsLeftEOMS (left)
5793299699451298386flowsheet|Flowsheet Cell Labels|Nursing Assessment|Neurologic|Pupils|LeftPupilsLeftEOMS (right)
57936708103481337053776flowsheet|Flowsheet Cell Labels|Nursing Assessment|Neurologic|Neurologic|LOCNeurologicLOCsedated
57936709103481337053776flowsheet|Flowsheet Cell Labels|Nursing Assessment|Neurologic|Neurologic|OrientationNeurologicOrientationunable to assess
57936710103481337053776flowsheet|Flowsheet Cell Labels|Nursing Assessment|Neurologic|Neurologic|SpeechNeurologicSpeechET/Trach
57936711103481337053776flowsheet|Flowsheet Cell Labels|Nursing Assessment|Neurologic|Neurologic|StimulusNeurologicStimulussound
579671221014000591689flowsheet|Flowsheet Cell Labels|Nursing Assessment|Neurologic|Motor Strength|RUEMotor StrengthRUE+3-Gravity
579671231014000591689flowsheet|Flowsheet Cell Labels|Nursing Assessment|Neurologic|Motor Strength|RLEMotor StrengthRLE0-None
579671241014000591689flowsheet|Flowsheet Cell Labels|Nursing Assessment|Neurologic|Motor Strength|LUEMotor StrengthLUE+3-Gravity
579671251014000591689flowsheet|Flowsheet Cell Labels|Nursing Assessment|Neurologic|Motor Strength|LLEMotor StrengthLLE+1-Flicker
57989941104883310171045flowsheet|Flowsheet Cell Labels|Nursing Assessment|Respiratory|Breath Sounds|Right UpperBreath SoundsRight Upperclear to auscultation
57989942104883310171045flowsheet|Flowsheet Cell Labels|Nursing Assessment|Respiratory|Breath Sounds|Right LowerBreath SoundsRight Lowerclear to auscultation
57989943104883310171045flowsheet|Flowsheet Cell Labels|Nursing Assessment|Respiratory|Breath Sounds|Right LowerBreath SoundsRight Lowerdiminished
57989944104883310171045flowsheet|Flowsheet Cell Labels|Nursing Assessment|Respiratory|Breath Sounds|Left UpperBreath SoundsLeft Upperclear to auscultation
57989945104883310171045flowsheet|Flowsheet Cell Labels|Nursing Assessment|Respiratory|Breath Sounds|Left LowerBreath SoundsLeft Lowerclear to auscultation
57989946104883310171045flowsheet|Flowsheet Cell Labels|Nursing Assessment|Respiratory|Breath Sounds|Left LowerBreath SoundsLeft Lowerdiminished
57995720101400020452049flowsheet|Flowsheet Cell Labels|Nursing Assessment|Cardiovascular|Skin Color/Temp|Skin Color/TempSkin Color/TempSkin Color/Tempnormal
5800433110544281709117128flowsheet|Flowsheet Cell Labels|Nursing Assessment|Cardiovascular|Pulses|PulsesPulsesPulsesnormal
58017572103481370327032flowsheet|Flowsheet Cell Labels|Nursing Assessment|Respiratory|Secretions|SecretionsSecretionsSecretionsminimal
58017573103481370327032flowsheet|Flowsheet Cell Labels|Nursing Assessment|Respiratory|Secretions|SecretionsSecretionsSecretionsthick
58017574103481370327032flowsheet|Flowsheet Cell Labels|Nursing Assessment|Respiratory|Secretions|SecretionsSecretionsSecretionswhite
58029097103481327452758flowsheet|Flowsheet Cell Labels|Nursing Assessment|Scores|Intervention|InterventionsInterventionInterventionsuse commercial moisture barrier
58029098103481327452758flowsheet|Flowsheet Cell Labels|Nursing Assessment|Scores|Intervention|InterventionsInterventionInterventionsuse absorbent pads or diapers that wick & hold moisture
58029099103481327452758flowsheet|Flowsheet Cell Labels|Nursing Assessment|Scores|Intervention|InterventionsInterventionInterventionsaddress cause if possible
58029100103481327452758flowsheet|Flowsheet Cell Labels|Nursing Assessment|Scores|Intervention|InterventionsInterventionInterventionsconsult dietitian
58029101103481327452758flowsheet|Flowsheet Cell Labels|Nursing Assessment|Scores|Intervention|InterventionsInterventionInterventionselevate HOB no more than 30°
58029102103481327452758flowsheet|Flowsheet Cell Labels|Nursing Assessment|Scores|Intervention|InterventionsInterventionInterventionsuse lift sheet to move patient
58029103103481327452758flowsheet|Flowsheet Cell Labels|Nursing Assessment|Scores|Intervention|InterventionsInterventionInterventionsprotect elbows & heels if being exposed to friction
58029104103481327452758flowsheet|Flowsheet Cell Labels|Nursing Assessment|Scores|Intervention|InterventionsInterventionInterventionsno massage of reddened bony prominences
58029105103481327452758flowsheet|Flowsheet Cell Labels|Nursing Assessment|Scores|Intervention|InterventionsInterventionInterventionsno do-nut type devices
58029106103481327452758flowsheet|Flowsheet Cell Labels|Nursing Assessment|Scores|Intervention|InterventionsInterventionInterventionsmaintain good hydration
58029107103481327452758flowsheet|Flowsheet Cell Labels|Nursing Assessment|Scores|Intervention|InterventionsInterventionInterventionsavoid drying the skin
58029108103481327452758flowsheet|Flowsheet Cell Labels|Nursing Assessment|Scores|Intervention|Pressure Sore Risk InterventionsInterventionPressure Sore Risk Interventionsmanage moisture, nutrition and friction & shear
58029109103481327452758flowsheet|Flowsheet Cell Labels|Nursing Assessment|Scores|Intervention|Pressure Sore Risk InterventionsInterventionPressure Sore Risk Interventionsmaximal remobilization
58029110103481327452758flowsheet|Flowsheet Cell Labels|Nursing Assessment|Scores|Intervention|Pressure Sore Risk InterventionsInterventionPressure Sore Risk Interventionspressure-reduction support surface
58029111103481327452758flowsheet|Flowsheet Cell Labels|Nursing Assessment|Scores|Intervention|Pressure Sore Risk InterventionsInterventionPressure Sore Risk Interventionsprotect heels
58029112103481327452758flowsheet|Flowsheet Cell Labels|Nursing Assessment|Scores|Intervention|Pressure Sore Risk InterventionsInterventionPressure Sore Risk Interventionsfrequent turning
58029113103481327452758flowsheet|Flowsheet Cell Labels|Nursing Assessment|Scores|Intervention|Pressure Sore Risk InterventionsInterventionPressure Sore Risk Interventionsturning schedule
58029114103481327452758flowsheet|Flowsheet Cell Labels|Nursing Assessment|Scores|Intervention|Pressure Sore Risk InterventionsInterventionPressure Sore Risk Interventionsuse pressure-relieving surface
5805268410544281496615064flowsheet|Flowsheet Cell Labels|Nursing Assessment|Respiratory|Pattern|PatternPatternPatternregular
5805268510544281496615064flowsheet|Flowsheet Cell Labels|Nursing Assessment|Respiratory|Pattern|PatternPatternPatternunlabored
58056515105442858715933flowsheet|Flowsheet Cell Labels|Nursing Assessment|Respiratory|Breath Sounds|Right UpperBreath SoundsRight Upperclear to auscultation
58056516105442858715933flowsheet|Flowsheet Cell Labels|Nursing Assessment|Respiratory|Breath Sounds|Right LowerBreath SoundsRight Lowerdiminished
58056517105442858715933flowsheet|Flowsheet Cell Labels|Nursing Assessment|Respiratory|Breath Sounds|Left UpperBreath SoundsLeft Upperclear to auscultation
58056518105442858715933flowsheet|Flowsheet Cell Labels|Nursing Assessment|Respiratory|Breath Sounds|Left LowerBreath SoundsLeft Lowerdiminished
58114467103481313051342flowsheet|Flowsheet Cell Labels|Nursing Assessment|Respiratory|Secretions|SecretionsSecretionsSecretionsminimal
58114468103481313051342flowsheet|Flowsheet Cell Labels|Nursing Assessment|Respiratory|Secretions|SecretionsSecretionsSecretionsthin
58114469103481313051342flowsheet|Flowsheet Cell Labels|Nursing Assessment|Respiratory|Secretions|SecretionsSecretionsSecretionsclear
58138705100897032663266flowsheet|Flowsheet Cell Labels|Nursing Assessment|Respiratory|Breath Sounds|Right UpperBreath SoundsRight Upperclear to auscultation
58138706100897032663266flowsheet|Flowsheet Cell Labels|Nursing Assessment|Respiratory|Breath Sounds|Right UpperBreath SoundsRight Upperdiminished
58138707100897032663266flowsheet|Flowsheet Cell Labels|Nursing Assessment|Respiratory|Breath Sounds|Right LowerBreath SoundsRight Lowerdiminished
58138708100897032663266flowsheet|Flowsheet Cell Labels|Nursing Assessment|Respiratory|Breath Sounds|Left UpperBreath SoundsLeft Upperclear to auscultation
58138709100897032663266flowsheet|Flowsheet Cell Labels|Nursing Assessment|Respiratory|Breath Sounds|Left UpperBreath SoundsLeft Upperdiminished
58138710100897032663266flowsheet|Flowsheet Cell Labels|Nursing Assessment|Respiratory|Breath Sounds|Left LowerBreath SoundsLeft Lowerdiminished
58141850100897021142114flowsheet|Flowsheet Cell Labels|Nursing Assessment|Respiratory|Breath Sounds|Right UpperBreath SoundsRight Upperclear to auscultation
58141851100897021142114flowsheet|Flowsheet Cell Labels|Nursing Assessment|Respiratory|Breath Sounds|Right LowerBreath SoundsRight Lowerdiminished
58141852100897021142114flowsheet|Flowsheet Cell Labels|Nursing Assessment|Respiratory|Breath Sounds|Left UpperBreath SoundsLeft Upperclear to auscultation
58141853100897021142114flowsheet|Flowsheet Cell Labels|Nursing Assessment|Respiratory|Breath Sounds|Left LowerBreath SoundsLeft Lowerdiminished
581420451048833357360flowsheet|Flowsheet Cell Labels|Nursing Assessment|Neurologic|Motor Strength|RUEMotor StrengthRUE+4-Resists
581420461048833357360flowsheet|Flowsheet Cell Labels|Nursing Assessment|Neurologic|Motor Strength|RLEMotor StrengthRLE+4-Resists
581420471048833357360flowsheet|Flowsheet Cell Labels|Nursing Assessment|Neurologic|Motor Strength|LUEMotor StrengthLUE+5-Normal
581420481048833357360flowsheet|Flowsheet Cell Labels|Nursing Assessment|Neurologic|Motor Strength|LLEMotor StrengthLLE+5-Normal
58148074994512233388flowsheet|Flowsheet Cell Labels|Nursing Assessment|Neurologic|Pupils|PupilsPupilsPupilspupils equal, react to light
58148075994512233388flowsheet|Flowsheet Cell Labels|Nursing Assessment|Neurologic|Pupils|RightPupilsRight4 mm
58148076994512233388flowsheet|Flowsheet Cell Labels|Nursing Assessment|Neurologic|Pupils|RightPupilsRightreact to light
58148077994512233388flowsheet|Flowsheet Cell Labels|Nursing Assessment|Neurologic|Pupils|RightPupilsRightbrisk
58148078994512233388flowsheet|Flowsheet Cell Labels|Nursing Assessment|Neurologic|Pupils|RightPupilsRightcorneal response (+)
58148079994512233388flowsheet|Flowsheet Cell Labels|Nursing Assessment|Neurologic|Pupils|RightPupilsRightEOMS (up)
58148080994512233388flowsheet|Flowsheet Cell Labels|Nursing Assessment|Neurologic|Pupils|RightPupilsRightEOMS (down)
58148081994512233388flowsheet|Flowsheet Cell Labels|Nursing Assessment|Neurologic|Pupils|RightPupilsRightEOMS (left)
58148082994512233388flowsheet|Flowsheet Cell Labels|Nursing Assessment|Neurologic|Pupils|RightPupilsRightEOMS (right)
58148083994512233388flowsheet|Flowsheet Cell Labels|Nursing Assessment|Neurologic|Pupils|LeftPupilsLeft5 mm
58148084994512233388flowsheet|Flowsheet Cell Labels|Nursing Assessment|Neurologic|Pupils|LeftPupilsLeftreact to light
58148085994512233388flowsheet|Flowsheet Cell Labels|Nursing Assessment|Neurologic|Pupils|LeftPupilsLeftbrisk
58148086994512233388flowsheet|Flowsheet Cell Labels|Nursing Assessment|Neurologic|Pupils|LeftPupilsLeftcorneal response (+)
58148087994512233388flowsheet|Flowsheet Cell Labels|Nursing Assessment|Neurologic|Pupils|LeftPupilsLeftEOMS (up)
58148088994512233388flowsheet|Flowsheet Cell Labels|Nursing Assessment|Neurologic|Pupils|LeftPupilsLeftEOMS (down)
58148089994512233388flowsheet|Flowsheet Cell Labels|Nursing Assessment|Neurologic|Pupils|LeftPupilsLeftEOMS (left)
58148090994512233388flowsheet|Flowsheet Cell Labels|Nursing Assessment|Neurologic|Pupils|LeftPupilsLeftEOMS (right)
5816517610544281139111431flowsheet|Flowsheet Cell Labels|Nursing Assessment|Cardiovascular|Auscultation|Heart SoundsAuscultationHeart Soundsnormal
5816517710544281139111431flowsheet|Flowsheet Cell Labels|Nursing Assessment|Cardiovascular|Auscultation|Murmurs and RubsAuscultationMurmurs and Rubsno murmur
581735431013300504526flowsheet|Flowsheet Cell Labels|Nursing Assessment|Neurologic|Neurologic|LOCNeurologicLOCnormal
581735441013300504526flowsheet|Flowsheet Cell Labels|Nursing Assessment|Neurologic|Neurologic|OrientationNeurologicOrientationto person
581735451013300504526flowsheet|Flowsheet Cell Labels|Nursing Assessment|Neurologic|Neurologic|OrientationNeurologicOrientationto place
581735461013300504526flowsheet|Flowsheet Cell Labels|Nursing Assessment|Neurologic|Neurologic|OrientationNeurologicOrientationto time
581735471013300504526flowsheet|Flowsheet Cell Labels|Nursing Assessment|Neurologic|Neurologic|OrientationNeurologicOrientationto situation
581735481013300504526flowsheet|Flowsheet Cell Labels|Nursing Assessment|Neurologic|Neurologic|SpeechNeurologicSpeechclear
581735491013300504526flowsheet|Flowsheet Cell Labels|Nursing Assessment|Neurologic|Neurologic|StimulusNeurologicStimulusspontaneous
58183200103675918541891flowsheet|Flowsheet Cell Labels|Nursing Assessment|Cardiovascular|Pulses|PulsesPulsesPulsesnormal
5821103810544281450214513flowsheet|Flowsheet Cell Labels|Nursing Assessment|Cardiovascular|Edema|EdemaEdemaEdemano edema
58212823101400022792279flowsheet|Flowsheet Cell Labels|Nursing Assessment|Respiratory|Cough|CoughCoughCoughweak
5823203910544281517115344flowsheet|Flowsheet Cell Labels|Nursing Assessment|Respiratory|Pattern|PatternPatternPatternregular
5823204010544281517115344flowsheet|Flowsheet Cell Labels|Nursing Assessment|Respiratory|Pattern|PatternPatternPatternunlabored
582412231008970285297flowsheet|Flowsheet Cell Labels|Nursing Assessment|Respiratory|Secretions|SecretionsSecretionsSecretionsminimal
582412241008970285297flowsheet|Flowsheet Cell Labels|Nursing Assessment|Respiratory|Secretions|SecretionsSecretionsSecretionsfrothy
582412251008970285297flowsheet|Flowsheet Cell Labels|Nursing Assessment|Respiratory|Secretions|SecretionsSecretionsSecretionswhite
58263342105442861446148flowsheet|Flowsheet Cell Labels|Nursing Assessment|Respiratory|Pattern|PatternPatternPatternunlabored
58310783105442815671569flowsheet|Flowsheet Cell Labels|Nursing Assessment|Cardiovascular|Edema|EdemaEdemaEdemano edema
583332191013300624687flowsheet|Flowsheet Cell Labels|Nursing Assessment|Neurologic|Pupils|PupilsPupilsPupilspupils equal, react to light
583332201013300624687flowsheet|Flowsheet Cell Labels|Nursing Assessment|Neurologic|Pupils|RightPupilsRight3 mm
583332211013300624687flowsheet|Flowsheet Cell Labels|Nursing Assessment|Neurologic|Pupils|RightPupilsRightreact to light
583332221013300624687flowsheet|Flowsheet Cell Labels|Nursing Assessment|Neurologic|Pupils|RightPupilsRightbrisk
583332231013300624687flowsheet|Flowsheet Cell Labels|Nursing Assessment|Neurologic|Pupils|LeftPupilsLeft3 mm
583332241013300624687flowsheet|Flowsheet Cell Labels|Nursing Assessment|Neurologic|Pupils|LeftPupilsLeftreact to light
583332251013300624687flowsheet|Flowsheet Cell Labels|Nursing Assessment|Neurologic|Pupils|LeftPupilsLeftbrisk
58337035105442820312027flowsheet|Flowsheet Cell Labels|Nursing Assessment|Respiratory|Breath Sounds|Right UpperBreath SoundsRight Upperrhonchi
58337036105442820312027flowsheet|Flowsheet Cell Labels|Nursing Assessment|Respiratory|Breath Sounds|Right LowerBreath SoundsRight Lowerdiminished
58337037105442820312027flowsheet|Flowsheet Cell Labels|Nursing Assessment|Respiratory|Breath Sounds|Right LowerBreath SoundsRight Lowerrhonchi
58337038105442820312027flowsheet|Flowsheet Cell Labels|Nursing Assessment|Respiratory|Breath Sounds|Left UpperBreath SoundsLeft Upperrhonchi
58337039105442820312027flowsheet|Flowsheet Cell Labels|Nursing Assessment|Respiratory|Breath Sounds|Left LowerBreath SoundsLeft Lowerdiminished
58337040105442820312027flowsheet|Flowsheet Cell Labels|Nursing Assessment|Respiratory|Breath Sounds|Left LowerBreath SoundsLeft Lowerrhonchi
5835223210544281763117658flowsheet|Flowsheet Cell Labels|Nursing Assessment|Respiratory|Breath Sounds|Right UpperBreath SoundsRight Upperrhonchi
5835223310544281763117658flowsheet|Flowsheet Cell Labels|Nursing Assessment|Respiratory|Breath Sounds|Right LowerBreath SoundsRight Lowerdiminished
5835223410544281763117658flowsheet|Flowsheet Cell Labels|Nursing Assessment|Respiratory|Breath Sounds|Left UpperBreath SoundsLeft Upperrhonchi
5835223510544281763117658flowsheet|Flowsheet Cell Labels|Nursing Assessment|Respiratory|Breath Sounds|Left LowerBreath SoundsLeft Lowerdiminished
58362105103675933243385flowsheet|Flowsheet Cell Labels|Nursing Assessment|Respiratory|Pattern|PatternPatternPatternregular
58362106103675933243385flowsheet|Flowsheet Cell Labels|Nursing Assessment|Respiratory|Pattern|PatternPatternPatternunlabored
58375579103675920042068flowsheet|Flowsheet Cell Labels|Nursing Assessment|Cardiovascular|Capillary Refill|Capillary RefillCapillary RefillCapillary Refillnormal
58381979105442851815191flowsheet|Flowsheet Cell Labels|Nursing Assessment|Cardiovascular|Auscultation|Heart SoundsAuscultationHeart Soundsnormal
5839133210544282024120304flowsheet|Flowsheet Cell Labels|Nursing Assessment|Respiratory|Secretions|SecretionsSecretionsSecretionsnone
584073981036759244261flowsheet|Flowsheet Cell Labels|Nursing Assessment|Cardiovascular|Auscultation|Heart SoundsAuscultationHeart Soundsnormal
584073991036759244261flowsheet|Flowsheet Cell Labels|Nursing Assessment|Cardiovascular|Auscultation|Murmurs and RubsAuscultationMurmurs and Rubsno murmur
5840853410133009841267flowsheet|Flowsheet Cell Labels|Nursing Assessment|Cardiovascular|Edema|EdemaEdemaEdemano edema
58440037103481363456441flowsheet|Flowsheet Cell Labels|Nursing Assessment|Respiratory|Cough|CoughCoughCoughmedium
58440038103481363456441flowsheet|Flowsheet Cell Labels|Nursing Assessment|Respiratory|Cough|CoughCoughCoughproductive
5844562110544281094110946flowsheet|Flowsheet Cell Labels|Nursing Assessment|Respiratory|Secretions|SecretionsSecretionsSecretionsminimal
5844562210544281094110946flowsheet|Flowsheet Cell Labels|Nursing Assessment|Respiratory|Secretions|SecretionsSecretionsSecretionsthin
5844562310544281094110946flowsheet|Flowsheet Cell Labels|Nursing Assessment|Respiratory|Secretions|SecretionsSecretionsSecretionsclear
584542041054428-10-4flowsheet|Flowsheet Cell Labels|Nursing Assessment|Neurologic|Pupils|RightPupilsRight3 mm
584542051054428-10-4flowsheet|Flowsheet Cell Labels|Nursing Assessment|Neurologic|Pupils|RightPupilsRightreact to light
584542061054428-10-4flowsheet|Flowsheet Cell Labels|Nursing Assessment|Neurologic|Pupils|RightPupilsRightsluggish
584542071054428-10-4flowsheet|Flowsheet Cell Labels|Nursing Assessment|Neurologic|Pupils|LeftPupilsLeft3 mm
584542081054428-10-4flowsheet|Flowsheet Cell Labels|Nursing Assessment|Neurologic|Pupils|LeftPupilsLeftreact to light
584542091054428-10-4flowsheet|Flowsheet Cell Labels|Nursing Assessment|Neurologic|Pupils|LeftPupilsLeftsluggish
58505371101400010711068flowsheet|Flowsheet Cell Labels|Nursing Assessment|Cardiovascular|Auscultation|Heart SoundsAuscultationHeart Soundsnormal
5853891010544281685116868flowsheet|Flowsheet Cell Labels|Nursing Assessment|Neurologic|Neurologic|LOCNeurologicLOCnormal
5853891110544281685116868flowsheet|Flowsheet Cell Labels|Nursing Assessment|Neurologic|Neurologic|OrientationNeurologicOrientationunable to assess
5853891210544281685116868flowsheet|Flowsheet Cell Labels|Nursing Assessment|Neurologic|Neurologic|SpeechNeurologicSpeechET/Trach
5853891310544281685116868flowsheet|Flowsheet Cell Labels|Nursing Assessment|Neurologic|Neurologic|StimulusNeurologicStimulusspontaneous
58547947103481387448750flowsheet|Flowsheet Cell Labels|Nursing Assessment|Respiratory|Breath Sounds|Right UpperBreath SoundsRight Upperclear to auscultation
58547948103481387448750flowsheet|Flowsheet Cell Labels|Nursing Assessment|Respiratory|Breath Sounds|Right LowerBreath SoundsRight Lowerdiminished
58547949103481387448750flowsheet|Flowsheet Cell Labels|Nursing Assessment|Respiratory|Breath Sounds|Left UpperBreath SoundsLeft Upperclear to auscultation
58547950103481387448750flowsheet|Flowsheet Cell Labels|Nursing Assessment|Respiratory|Breath Sounds|Left LowerBreath SoundsLeft Lowerdiminished
58554548103675957845801flowsheet|Flowsheet Cell Labels|Nursing Assessment|Cardiovascular|Auscultation|Heart SoundsAuscultationHeart Soundsnormal
58554549103675957845801flowsheet|Flowsheet Cell Labels|Nursing Assessment|Cardiovascular|Auscultation|Murmurs and RubsAuscultationMurmurs and Rubsno murmur
58581340100897016051605flowsheet|Flowsheet Cell Labels|Nursing Assessment|Neurologic|Reflexes|Cough/Gag ReflexReflexesCough/Gag Reflexpresent
5858615410133004850flowsheet|Flowsheet Cell Labels|Nursing Assessment|Neurologic|Motor Strength|RUEMotor StrengthRUE+5-Normal
5858615510133004850flowsheet|Flowsheet Cell Labels|Nursing Assessment|Neurologic|Motor Strength|RLEMotor StrengthRLE+5-Normal
5858615610133004850flowsheet|Flowsheet Cell Labels|Nursing Assessment|Neurologic|Motor Strength|LUEMotor StrengthLUE+5-Normal
5858615710133004850flowsheet|Flowsheet Cell Labels|Nursing Assessment|Neurologic|Motor Strength|LLEMotor StrengthLLE+5-Normal
58589599105442851815191flowsheet|Flowsheet Cell Labels|Nursing Assessment|Cardiovascular|Skin Color/Temp|Skin Color/TempSkin Color/TempSkin Color/Tempnormal
586072031036759834987flowsheet|Flowsheet Cell Labels|Nursing Assessment|Respiratory|Pattern|PatternPatternPatternregular
586072041036759834987flowsheet|Flowsheet Cell Labels|Nursing Assessment|Respiratory|Pattern|PatternPatternPatternunlabored
58620457100897030453049flowsheet|Flowsheet Cell Labels|Nursing Assessment|Neurologic|Motor Strength|RUEMotor StrengthRUE+5-Normal
58620458100897030453049flowsheet|Flowsheet Cell Labels|Nursing Assessment|Neurologic|Motor Strength|RLEMotor StrengthRLE+4-Resists
58620459100897030453049flowsheet|Flowsheet Cell Labels|Nursing Assessment|Neurologic|Motor Strength|LUEMotor StrengthLUE+5-Normal
58620460100897030453049flowsheet|Flowsheet Cell Labels|Nursing Assessment|Neurologic|Motor Strength|LLEMotor StrengthLLE+4-Resists
58623693100897032663266flowsheet|Flowsheet Cell Labels|Nursing Assessment|Cardiovascular|Skin Color/Temp|Skin Color/TempSkin Color/TempSkin Color/Tempwarm
5868234110544282049120612flowsheet|Flowsheet Cell Labels|Nursing Assessment|Cardiovascular|Skin Color/Temp|Skin Color/TempSkin Color/TempSkin Color/Tempnormal
58737370101400022792279flowsheet|Flowsheet Cell Labels|Nursing Assessment|Cardiovascular|Edema|EdemaEdemaEdemano edema
58738326100897012601423flowsheet|Flowsheet Cell Labels|Nursing Assessment|Neurologic|Pupils|PupilsPupilsPupilspupils equal, react to light
58738327100897012601423flowsheet|Flowsheet Cell Labels|Nursing Assessment|Neurologic|Pupils|RightPupilsRight3 mm
58738328100897012601423flowsheet|Flowsheet Cell Labels|Nursing Assessment|Neurologic|Pupils|RightPupilsRightbrisk
58738329100897012601423flowsheet|Flowsheet Cell Labels|Nursing Assessment|Neurologic|Pupils|LeftPupilsLeft3 mm
58738330100897012601423flowsheet|Flowsheet Cell Labels|Nursing Assessment|Neurologic|Pupils|LeftPupilsLeftbrisk
58742256105442822712318flowsheet|Flowsheet Cell Labels|Nursing Assessment|Respiratory|Breath Sounds|Right UpperBreath SoundsRight Upperrhonchi
58742257105442822712318flowsheet|Flowsheet Cell Labels|Nursing Assessment|Respiratory|Breath Sounds|Right LowerBreath SoundsRight Lowerdiminished
58742258105442822712318flowsheet|Flowsheet Cell Labels|Nursing Assessment|Respiratory|Breath Sounds|Left UpperBreath SoundsLeft Upperrhonchi
58742259105442822712318flowsheet|Flowsheet Cell Labels|Nursing Assessment|Respiratory|Breath Sounds|Left LowerBreath SoundsLeft Lowerdiminished
5875448210544281041010412flowsheet|Flowsheet Cell Labels|Nursing Assessment|Cardiovascular|Pacemaker/AICD|Pacemaker/AICDPacemaker/AICDPacemaker/AICDN/A
58756098103481382658269flowsheet|Flowsheet Cell Labels|Nursing Assessment|Cardiovascular|Capillary Refill|Capillary RefillCapillary RefillCapillary Refillnormal
58776033105442887718776flowsheet|Flowsheet Cell Labels|Nursing Assessment|Neurologic|Pupils|PupilsPupilsPupilspupils equal, react to light
58776034105442887718776flowsheet|Flowsheet Cell Labels|Nursing Assessment|Neurologic|Pupils|RightPupilsRight3 mm
58776035105442887718776flowsheet|Flowsheet Cell Labels|Nursing Assessment|Neurologic|Pupils|LeftPupilsLeft3 mm
588099871048833957985flowsheet|Flowsheet Cell Labels|Nursing Assessment|Neurologic|Neurologic|LOCNeurologicLOCnormal
588099881048833957985flowsheet|Flowsheet Cell Labels|Nursing Assessment|Neurologic|Neurologic|OrientationNeurologicOrientationto person
588099891048833957985flowsheet|Flowsheet Cell Labels|Nursing Assessment|Neurologic|Neurologic|OrientationNeurologicOrientationto place
588099901048833957985flowsheet|Flowsheet Cell Labels|Nursing Assessment|Neurologic|Neurologic|OrientationNeurologicOrientationto time
588099911048833957985flowsheet|Flowsheet Cell Labels|Nursing Assessment|Neurologic|Neurologic|OrientationNeurologicOrientationto situation
588099921048833957985flowsheet|Flowsheet Cell Labels|Nursing Assessment|Neurologic|Neurologic|SpeechNeurologicSpeechslurred
588099931048833957985flowsheet|Flowsheet Cell Labels|Nursing Assessment|Neurologic|Neurologic|StimulusNeurologicStimulusspontaneous
58827344103675952745300flowsheet|Flowsheet Cell Labels|Nursing Assessment|Cardiovascular|Pacemaker/AICD|Pacemaker/AICDPacemaker/AICDPacemaker/AICDN/A
58848548103675935943681flowsheet|Flowsheet Cell Labels|Nursing Assessment|Neurologic|Motor Strength|Motor StrengthMotor StrengthMotor Strengthnormal
589039831036759714781flowsheet|Flowsheet Cell Labels|Nursing Assessment|Cardiovascular|Pulses|PulsesPulsesPulsesnormal
5891929210544282024120304flowsheet|Flowsheet Cell Labels|Nursing Assessment|Cardiovascular|Edema|EdemaEdemaEdemano edema
58922179105442865916592flowsheet|Flowsheet Cell Labels|Nursing Assessment|Cardiovascular|Edema|EdemaEdemaEdemano edema
5892913410544281709117128flowsheet|Flowsheet Cell Labels|Nursing Assessment|Respiratory|Secretions|SecretionsSecretionsSecretionscopious
5892913510544281709117128flowsheet|Flowsheet Cell Labels|Nursing Assessment|Respiratory|Secretions|SecretionsSecretionsSecretionsthick
5892913610544281709117128flowsheet|Flowsheet Cell Labels|Nursing Assessment|Respiratory|Secretions|SecretionsSecretionsSecretionstan
5892913710544281709117128flowsheet|Flowsheet Cell Labels|Nursing Assessment|Respiratory|Secretions|SecretionsSecretionsSecretionsyellow
58956279100897029402953flowsheet|Flowsheet Cell Labels|Nursing Assessment|Cardiovascular|Skin Color/Temp|Skin Color/TempSkin Color/TempSkin Color/Tempwarm
5896932110544281541115579flowsheet|Flowsheet Cell Labels|Nursing Assessment|Cardiovascular|Pulses|PulsesPulsesPulsesnormal
59022106103481344254454flowsheet|Flowsheet Cell Labels|Nursing Assessment|Respiratory|Pattern|PatternPatternPatternregular
59022107103481344254454flowsheet|Flowsheet Cell Labels|Nursing Assessment|Respiratory|Pattern|PatternPatternPatternunlabored
59027339105442894809549flowsheet|Flowsheet Cell Labels|Nursing Assessment|Neurologic|Reflexes|Cough/Gag ReflexReflexesCough/Gag Reflexpresent
5902954210089706077flowsheet|Flowsheet Cell Labels|Nursing Assessment|Cardiovascular|Pulses|Right Dorsalis PedisPulsesRight Dorsalis Pedisfaint
5902954310089706077flowsheet|Flowsheet Cell Labels|Nursing Assessment|Cardiovascular|Pulses|Right RadialPulsesRight Radialstrong
5902954410089706077flowsheet|Flowsheet Cell Labels|Nursing Assessment|Cardiovascular|Pulses|Left Dorsalis PedisPulsesLeft Dorsalis Pedisfaint
5902954510089706077flowsheet|Flowsheet Cell Labels|Nursing Assessment|Cardiovascular|Pulses|Left RadialPulsesLeft Radialstrong
59086200994512-4385flowsheet|Flowsheet Cell Labels|Nursing Assessment|Neurologic|Sensation|SensationSensationSensationnormal
5911591210544281259112656flowsheet|Flowsheet Cell Labels|Nursing Assessment|Neurologic|Motor Strength|RUEMotor StrengthRUE+3-Gravity
5911591310544281259112656flowsheet|Flowsheet Cell Labels|Nursing Assessment|Neurologic|Motor Strength|RLEMotor StrengthRLE+1-Flicker
5911591410544281259112656flowsheet|Flowsheet Cell Labels|Nursing Assessment|Neurologic|Motor Strength|LUEMotor StrengthLUE+3-Gravity
5911591510544281259112656flowsheet|Flowsheet Cell Labels|Nursing Assessment|Neurologic|Motor Strength|LLEMotor StrengthLLE+1-Flicker
591534691015158484504flowsheet|Flowsheet Cell Labels|Nursing Assessment|Neurologic|Pupils|PupilsPupilsPupilspupils equal, react to light
591534701015158484504flowsheet|Flowsheet Cell Labels|Nursing Assessment|Neurologic|Pupils|RightPupilsRight3 mm
591534711015158484504flowsheet|Flowsheet Cell Labels|Nursing Assessment|Neurologic|Pupils|RightPupilsRightreact to light
591534721015158484504flowsheet|Flowsheet Cell Labels|Nursing Assessment|Neurologic|Pupils|RightPupilsRightbrisk
591534731015158484504flowsheet|Flowsheet Cell Labels|Nursing Assessment|Neurologic|Pupils|LeftPupilsLeft3 mm
591534741015158484504flowsheet|Flowsheet Cell Labels|Nursing Assessment|Neurologic|Pupils|LeftPupilsLeftreact to light
591534751015158484504flowsheet|Flowsheet Cell Labels|Nursing Assessment|Neurologic|Pupils|LeftPupilsLeftbrisk
59160863103675952745300flowsheet|Flowsheet Cell Labels|Nursing Assessment|Cardiovascular|Edema|EdemaEdemaEdemageneralized
59160864103675952745300flowsheet|Flowsheet Cell Labels|Nursing Assessment|Cardiovascular|Edema|RUEEdemaRUE+1
59160865103675952745300flowsheet|Flowsheet Cell Labels|Nursing Assessment|Cardiovascular|Edema|RLEEdemaRLE+1
59160866103675952745300flowsheet|Flowsheet Cell Labels|Nursing Assessment|Cardiovascular|Edema|LUEEdemaLUE+1
59160867103675952745300flowsheet|Flowsheet Cell Labels|Nursing Assessment|Cardiovascular|Edema|LLEEdemaLLE+1
59172552994512-4385flowsheet|Flowsheet Cell Labels|Nursing Assessment|Cardiovascular|Edema|EdemaEdemaEdemano edema
59202317103675951545164flowsheet|Flowsheet Cell Labels|Nursing Assessment|Cardiovascular|Auscultation|Heart SoundsAuscultationHeart Soundsnormal
59202318103675951545164flowsheet|Flowsheet Cell Labels|Nursing Assessment|Cardiovascular|Auscultation|Murmurs and RubsAuscultationMurmurs and Rubsno murmur
5923349010544281829118315flowsheet|Flowsheet Cell Labels|Nursing Assessment|Neurologic|Motor Strength|RUEMotor StrengthRUE+5-Normal
5923349110544281829118315flowsheet|Flowsheet Cell Labels|Nursing Assessment|Neurologic|Motor Strength|RLEMotor StrengthRLE+4-Resists
5923349210544281829118315flowsheet|Flowsheet Cell Labels|Nursing Assessment|Neurologic|Motor Strength|LUEMotor StrengthLUE+5-Normal
5923349310544281829118315flowsheet|Flowsheet Cell Labels|Nursing Assessment|Neurologic|Motor Strength|LLEMotor StrengthLLE+4-Resists
59237476103675941944228flowsheet|Flowsheet Cell Labels|Nursing Assessment|Cardiovascular|Capillary Refill|Capillary RefillCapillary RefillCapillary Refillnormal
592495801013300504526flowsheet|Flowsheet Cell Labels|Nursing Assessment|Neurologic|Motor Strength|RUEMotor StrengthRUE+5-Normal
592495811013300504526flowsheet|Flowsheet Cell Labels|Nursing Assessment|Neurologic|Motor Strength|RLEMotor StrengthRLE+5-Normal
592495821013300504526flowsheet|Flowsheet Cell Labels|Nursing Assessment|Neurologic|Motor Strength|LUEMotor StrengthLUE+5-Normal
592495831013300504526flowsheet|Flowsheet Cell Labels|Nursing Assessment|Neurologic|Motor Strength|LLEMotor StrengthLLE+5-Normal
59260998103675934743573flowsheet|Flowsheet Cell Labels|Nursing Assessment|Respiratory|Breath Sounds|Right UpperBreath SoundsRight Upperrhonchi
59260999103675934743573flowsheet|Flowsheet Cell Labels|Nursing Assessment|Respiratory|Breath Sounds|Right LowerBreath SoundsRight Lowerrhonchi
59261000103675934743573flowsheet|Flowsheet Cell Labels|Nursing Assessment|Respiratory|Breath Sounds|Left UpperBreath SoundsLeft Upperrhonchi
59261001103675934743573flowsheet|Flowsheet Cell Labels|Nursing Assessment|Respiratory|Breath Sounds|Left LowerBreath SoundsLeft Lowerrhonchi
59265698103481382658269flowsheet|Flowsheet Cell Labels|Nursing Assessment|Respiratory|Secretions|SecretionsSecretionsSecretionsminimal
59265699103481382658269flowsheet|Flowsheet Cell Labels|Nursing Assessment|Respiratory|Secretions|SecretionsSecretionsSecretionsfrothy
59265700103481382658269flowsheet|Flowsheet Cell Labels|Nursing Assessment|Respiratory|Secretions|SecretionsSecretionsSecretionsyellow
59288389103481313051342flowsheet|Flowsheet Cell Labels|Nursing Assessment|Cardiovascular|Pulses|PulsesPulsesPulsesnormal
593264411036759364365flowsheet|Flowsheet Cell Labels|Nursing Assessment|Neurologic|Neurologic|LOCNeurologicLOCnormal
593264421036759364365flowsheet|Flowsheet Cell Labels|Nursing Assessment|Neurologic|Neurologic|OrientationNeurologicOrientationto person
593264431036759364365flowsheet|Flowsheet Cell Labels|Nursing Assessment|Neurologic|Neurologic|OrientationNeurologicOrientationto place
593264441036759364365flowsheet|Flowsheet Cell Labels|Nursing Assessment|Neurologic|Neurologic|OrientationNeurologicOrientationto time
593264451036759364365flowsheet|Flowsheet Cell Labels|Nursing Assessment|Neurologic|Neurologic|OrientationNeurologicOrientationto situation
593264461036759364365flowsheet|Flowsheet Cell Labels|Nursing Assessment|Neurologic|Neurologic|SpeechNeurologicSpeechclear
593264471036759364365flowsheet|Flowsheet Cell Labels|Nursing Assessment|Neurologic|Neurologic|StimulusNeurologicStimulusspontaneous
59332494103675946744678flowsheet|Flowsheet Cell Labels|Nursing Assessment|Cardiovascular|Skin Color/Temp|Skin Color/TempSkin Color/TempSkin Color/Tempnormal
593364511008970173173flowsheet|Flowsheet Cell Labels|Nursing Assessment|Neurologic|Neurologic|LOCNeurologicLOCsedated
593364521008970173173flowsheet|Flowsheet Cell Labels|Nursing Assessment|Neurologic|Neurologic|OrientationNeurologicOrientationunable to assess
593364531008970173173flowsheet|Flowsheet Cell Labels|Nursing Assessment|Neurologic|Neurologic|SpeechNeurologicSpeechET/Trach
593364541008970173173flowsheet|Flowsheet Cell Labels|Nursing Assessment|Neurologic|Neurologic|StimulusNeurologicStimulussound
593480451014000843844flowsheet|Flowsheet Cell Labels|Nursing Assessment|Respiratory|Breath Sounds|Right UpperBreath SoundsRight Upperrhonchi
593480461014000843844flowsheet|Flowsheet Cell Labels|Nursing Assessment|Respiratory|Breath Sounds|Right LowerBreath SoundsRight Lowerclear to auscultation
593480471014000843844flowsheet|Flowsheet Cell Labels|Nursing Assessment|Respiratory|Breath Sounds|Right LowerBreath SoundsRight Lowerdiminished
593480481014000843844flowsheet|Flowsheet Cell Labels|Nursing Assessment|Respiratory|Breath Sounds|Left UpperBreath SoundsLeft Upperclear to auscultation
593480491014000843844flowsheet|Flowsheet Cell Labels|Nursing Assessment|Respiratory|Breath Sounds|Left LowerBreath SoundsLeft Lowerclear to auscultation
593480501014000843844flowsheet|Flowsheet Cell Labels|Nursing Assessment|Respiratory|Breath Sounds|Left LowerBreath SoundsLeft Lowerdiminished
593666721013300864880flowsheet|Flowsheet Cell Labels|Nursing Assessment|Neurologic|Motor Strength|RUEMotor StrengthRUE+5-Normal
593666731013300864880flowsheet|Flowsheet Cell Labels|Nursing Assessment|Neurologic|Motor Strength|RLEMotor StrengthRLE+5-Normal
593666741013300864880flowsheet|Flowsheet Cell Labels|Nursing Assessment|Neurologic|Motor Strength|LUEMotor StrengthLUE+5-Normal
593666751013300864880flowsheet|Flowsheet Cell Labels|Nursing Assessment|Neurologic|Motor Strength|LLEMotor StrengthLLE+5-Normal
59379005105442822712318flowsheet|Flowsheet Cell Labels|Nursing Assessment|Neurologic|Reflexes|Cough/Gag ReflexReflexesCough/Gag Reflexpresent
59393661103481344254454flowsheet|Flowsheet Cell Labels|Nursing Assessment|Neurologic|Motor Strength|RUEMotor StrengthRUE+4-Resists
59393662103481344254454flowsheet|Flowsheet Cell Labels|Nursing Assessment|Neurologic|Motor Strength|RLEMotor StrengthRLE+4-Resists
59393663103481344254454flowsheet|Flowsheet Cell Labels|Nursing Assessment|Neurologic|Motor Strength|LUEMotor StrengthLUE+4-Resists
59393664103481344254454flowsheet|Flowsheet Cell Labels|Nursing Assessment|Neurologic|Motor Strength|LLEMotor StrengthLLE+4-Resists
594020741051785165197flowsheet|Flowsheet Cell Labels|Nursing Assessment|Cardiovascular|Edema|EdemaEdemaEdemano edema
59409591105442847194720flowsheet|Flowsheet Cell Labels|Nursing Assessment|Respiratory|Cough|CoughCoughCoughstrong
59409592105442847194720flowsheet|Flowsheet Cell Labels|Nursing Assessment|Respiratory|Cough|CoughCoughCoughproductive
59414213103481346654699flowsheet|Flowsheet Cell Labels|Nursing Assessment|Respiratory|Secretions|SecretionsSecretionsSecretionsminimal
59414214103481346654699flowsheet|Flowsheet Cell Labels|Nursing Assessment|Respiratory|Secretions|SecretionsSecretionsSecretionsyellow
59425699100897019952012flowsheet|Flowsheet Cell Labels|Nursing Assessment|Neurologic|Pupils|PupilsPupilsPupilspupils equal, react to light
59425700100897019952012flowsheet|Flowsheet Cell Labels|Nursing Assessment|Neurologic|Pupils|RightPupilsRight3 mm
59425701100897019952012flowsheet|Flowsheet Cell Labels|Nursing Assessment|Neurologic|Pupils|RightPupilsRightreact to light
59425702100897019952012flowsheet|Flowsheet Cell Labels|Nursing Assessment|Neurologic|Pupils|RightPupilsRightbrisk
59425703100897019952012flowsheet|Flowsheet Cell Labels|Nursing Assessment|Neurologic|Pupils|LeftPupilsLeft3 mm
59425704100897019952012flowsheet|Flowsheet Cell Labels|Nursing Assessment|Neurologic|Pupils|LeftPupilsLeftreact to light
59425705100897019952012flowsheet|Flowsheet Cell Labels|Nursing Assessment|Neurologic|Pupils|LeftPupilsLeftbrisk
5943498510544281763117658flowsheet|Flowsheet Cell Labels|Nursing Assessment|Cardiovascular|Edema|EdemaEdemaEdemano edema
59442744105442837413790flowsheet|Flowsheet Cell Labels|Nursing Assessment|Cardiovascular|Skin Color/Temp|Skin Color/TempSkin Color/TempSkin Color/Tempwarm
59461082105442825112618flowsheet|Flowsheet Cell Labels|Nursing Assessment|Cardiovascular|Skin Color/Temp|Skin Color/TempSkin Color/TempSkin Color/Tempnormal
59499706101400022792279flowsheet|Flowsheet Cell Labels|Nursing Assessment|Cardiovascular|Pacemaker/AICD|Pacemaker/AICDPacemaker/AICDPacemaker/AICDN/A
59508563103481349054963flowsheet|Flowsheet Cell Labels|Nursing Assessment|Neurologic|Motor Strength|RUEMotor StrengthRUE+4-Resists
59508564103481349054963flowsheet|Flowsheet Cell Labels|Nursing Assessment|Neurologic|Motor Strength|RLEMotor StrengthRLE+4-Resists
59508565103481349054963flowsheet|Flowsheet Cell Labels|Nursing Assessment|Neurologic|Motor Strength|LUEMotor StrengthLUE+4-Resists
59508566103481349054963flowsheet|Flowsheet Cell Labels|Nursing Assessment|Neurologic|Motor Strength|LLEMotor StrengthLLE+4-Resists
595131041008970650653flowsheet|Flowsheet Cell Labels|Nursing Assessment|Cardiovascular|Skin Color/Temp|Skin Color/TempSkin Color/TempSkin Color/Tempwarm
59534934100897019952012flowsheet|Flowsheet Cell Labels|Nursing Assessment|Neurologic|Neurologic|LOCNeurologicLOCnormal
59534935100897019952012flowsheet|Flowsheet Cell Labels|Nursing Assessment|Neurologic|Neurologic|OrientationNeurologicOrientationto person
59534936100897019952012flowsheet|Flowsheet Cell Labels|Nursing Assessment|Neurologic|Neurologic|OrientationNeurologicOrientationto place
59534937100897019952012flowsheet|Flowsheet Cell Labels|Nursing Assessment|Neurologic|Neurologic|OrientationNeurologicOrientationto time
59534938100897019952012flowsheet|Flowsheet Cell Labels|Nursing Assessment|Neurologic|Neurologic|OrientationNeurologicOrientationto situation
59534939100897019952012flowsheet|Flowsheet Cell Labels|Nursing Assessment|Neurologic|Neurologic|OrientationNeurologicOrientationunable to assess
59534940100897019952012flowsheet|Flowsheet Cell Labels|Nursing Assessment|Neurologic|Neurologic|SpeechNeurologicSpeechclear
59534941100897019952012flowsheet|Flowsheet Cell Labels|Nursing Assessment|Neurologic|Neurologic|StimulusNeurologicStimulusspontaneous
59571206101400022792279flowsheet|Flowsheet Cell Labels|Nursing Assessment|Respiratory|Breath Sounds|Right UpperBreath SoundsRight Upperclear to auscultation
59571207101400022792279flowsheet|Flowsheet Cell Labels|Nursing Assessment|Respiratory|Breath Sounds|Right LowerBreath SoundsRight Lowerclear to auscultation
59571208101400022792279flowsheet|Flowsheet Cell Labels|Nursing Assessment|Respiratory|Breath Sounds|Left UpperBreath SoundsLeft Upperclear to auscultation
59571209101400022792279flowsheet|Flowsheet Cell Labels|Nursing Assessment|Respiratory|Breath Sounds|Left LowerBreath SoundsLeft Lowerclear to auscultation
59585006103675911341221flowsheet|Flowsheet Cell Labels|Nursing Assessment|Cardiovascular|Auscultation|Heart SoundsAuscultationHeart Soundsnormal
59585007103675911341221flowsheet|Flowsheet Cell Labels|Nursing Assessment|Cardiovascular|Auscultation|Murmurs and RubsAuscultationMurmurs and Rubsno murmur
5959818810544281805118065flowsheet|Flowsheet Cell Labels|Nursing Assessment|Neurologic|Motor Strength|RUEMotor StrengthRUE+5-Normal
5959818910544281805118065flowsheet|Flowsheet Cell Labels|Nursing Assessment|Neurologic|Motor Strength|RLEMotor StrengthRLE+4-Resists
5959819010544281805118065flowsheet|Flowsheet Cell Labels|Nursing Assessment|Neurologic|Motor Strength|LUEMotor StrengthLUE+5-Normal
5959819110544281805118065flowsheet|Flowsheet Cell Labels|Nursing Assessment|Neurologic|Motor Strength|LLEMotor StrengthLLE+4-Resists
595991821008970780819flowsheet|Flowsheet Cell Labels|Nursing Assessment|Respiratory|Secretions|SecretionsSecretionsSecretionsmoderate
595991831008970780819flowsheet|Flowsheet Cell Labels|Nursing Assessment|Respiratory|Secretions|SecretionsSecretionsSecretionscloudy
595991841008970780819flowsheet|Flowsheet Cell Labels|Nursing Assessment|Respiratory|Secretions|SecretionsSecretionsSecretionswhite
596295961008970540556flowsheet|Flowsheet Cell Labels|Nursing Assessment|Cardiovascular|Edema|EdemaEdemaEdemano edema
596440391048833657670flowsheet|Flowsheet Cell Labels|Nursing Assessment|Neurologic|Sensation|SensationSensationSensationnormal
596464671036759594647flowsheet|Flowsheet Cell Labels|Nursing Assessment|Cardiovascular|Edema|EdemaEdemaEdemano edema
59655943105442839514185flowsheet|Flowsheet Cell Labels|Nursing Assessment|Cardiovascular|Pulses|PulsesPulsesPulsesnormal
5968852910544281763117658flowsheet|Flowsheet Cell Labels|Nursing Assessment|Cardiovascular|Skin Color/Temp|Skin Color/TempSkin Color/TempSkin Color/Tempnormal
59705652100897022202486flowsheet|Flowsheet Cell Labels|Nursing Assessment|Neurologic|Motor Strength|RUEMotor StrengthRUE+5-Normal
59705653100897022202486flowsheet|Flowsheet Cell Labels|Nursing Assessment|Neurologic|Motor Strength|RLEMotor StrengthRLE+4-Resists
59705654100897022202486flowsheet|Flowsheet Cell Labels|Nursing Assessment|Neurologic|Motor Strength|LUEMotor StrengthLUE+5-Normal
59705655100897022202486flowsheet|Flowsheet Cell Labels|Nursing Assessment|Neurologic|Motor Strength|LLEMotor StrengthLLE+4-Resists
597197161015158453flowsheet|Flowsheet Cell Labels|Nursing Assessment|Cardiovascular|Capillary Refill|Capillary RefillCapillary RefillCapillary Refill< 2 seconds
5972872810544281829118315flowsheet|Flowsheet Cell Labels|Nursing Assessment|Cardiovascular|Edema|EdemaEdemaEdemano edema
59746767101330012241268flowsheet|Flowsheet Cell Labels|Nursing Assessment|Cardiovascular|Skin Color/Temp|Skin Color/TempSkin Color/TempSkin Color/Tempnormal
5976736010133009841267flowsheet|Flowsheet Cell Labels|Nursing Assessment|Neurologic|Motor Strength|RUEMotor StrengthRUE+5-Normal
5976736110133009841267flowsheet|Flowsheet Cell Labels|Nursing Assessment|Neurologic|Motor Strength|RLEMotor StrengthRLE+5-Normal
5976736210133009841267flowsheet|Flowsheet Cell Labels|Nursing Assessment|Neurologic|Motor Strength|LUEMotor StrengthLUE+5-Normal
5976736310133009841267flowsheet|Flowsheet Cell Labels|Nursing Assessment|Neurologic|Motor Strength|LLEMotor StrengthLLE+5-Normal
598190431051785660717flowsheet|Flowsheet Cell Labels|Nursing Assessment|Respiratory|Pattern|PatternPatternPatternregular
598190441051785660717flowsheet|Flowsheet Cell Labels|Nursing Assessment|Respiratory|Pattern|PatternPatternPatternunlabored
59851035105442873417343flowsheet|Flowsheet Cell Labels|Nursing Assessment|Respiratory|Breath Sounds|Right UpperBreath SoundsRight Upperclear to auscultation
59851036105442873417343flowsheet|Flowsheet Cell Labels|Nursing Assessment|Respiratory|Breath Sounds|Right LowerBreath SoundsRight Lowerdiminished
59851037105442873417343flowsheet|Flowsheet Cell Labels|Nursing Assessment|Respiratory|Breath Sounds|Left UpperBreath SoundsLeft Upperclear to auscultation
59851038105442873417343flowsheet|Flowsheet Cell Labels|Nursing Assessment|Respiratory|Breath Sounds|Left LowerBreath SoundsLeft Lowerdiminished
598549741054428846888flowsheet|Flowsheet Cell Labels|Nursing Assessment|Cardiovascular|Auscultation|Heart SoundsAuscultationHeart Soundsnormal
598549751054428846888flowsheet|Flowsheet Cell Labels|Nursing Assessment|Cardiovascular|Auscultation|Murmurs and RubsAuscultationMurmurs and Rubsno murmur
598555451015158674746flowsheet|Flowsheet Cell Labels|Nursing Assessment|Cardiovascular|Edema|EdemaEdemaEdemano edema
5986347310544281211112245flowsheet|Flowsheet Cell Labels|Nursing Assessment|Respiratory|Breath Sounds|Right UpperBreath SoundsRight Upperrhonchi
5986347410544281211112245flowsheet|Flowsheet Cell Labels|Nursing Assessment|Respiratory|Breath Sounds|Right LowerBreath SoundsRight Lowerrhonchi
5986347510544281211112245flowsheet|Flowsheet Cell Labels|Nursing Assessment|Respiratory|Breath Sounds|Left UpperBreath SoundsLeft Upperrhonchi
5986347610544281211112245flowsheet|Flowsheet Cell Labels|Nursing Assessment|Respiratory|Breath Sounds|Left LowerBreath SoundsLeft Lowerrhonchi
598780071008970650653flowsheet|Flowsheet Cell Labels|Nursing Assessment|Cardiovascular|Pacemaker/AICD|Pacemaker/AICDPacemaker/AICDPacemaker/AICDN/A
5988300110544281116011161flowsheet|Flowsheet Cell Labels|Nursing Assessment|Respiratory|Secretions|SecretionsSecretionsSecretionsminimal
5988300210544281116011161flowsheet|Flowsheet Cell Labels|Nursing Assessment|Respiratory|Secretions|SecretionsSecretionsSecretionsthin
5988300310544281116011161flowsheet|Flowsheet Cell Labels|Nursing Assessment|Respiratory|Secretions|SecretionsSecretionsSecretionsclear
59914890103481356505711flowsheet|Flowsheet Cell Labels|Nursing Assessment|Neurologic|Reflexes|Cough/Gag ReflexReflexesCough/Gag Reflexpresent
59921842105442811021227flowsheet|Flowsheet Cell Labels|Nursing Assessment|Neurologic|Neurologic|LOCNeurologicLOClethargic
59921843105442811021227flowsheet|Flowsheet Cell Labels|Nursing Assessment|Neurologic|Neurologic|OrientationNeurologicOrientationto person
59921844105442811021227flowsheet|Flowsheet Cell Labels|Nursing Assessment|Neurologic|Neurologic|SpeechNeurologicSpeechmoan/grunt
59921845105442811021227flowsheet|Flowsheet Cell Labels|Nursing Assessment|Neurologic|Neurologic|StimulusNeurologicStimulusspontaneous
59926551994512233389flowsheet|Flowsheet Cell Labels|Nursing Assessment|Cardiovascular|Pacemaker/AICD|Pacemaker/AICDPacemaker/AICDPacemaker/AICDN/A
599528991034813296298flowsheet|Flowsheet Cell Labels|Nursing Assessment|Neurologic|Reflexes|ReflexesReflexesReflexesnormal
59982679105442847194720flowsheet|Flowsheet Cell Labels|Nursing Assessment|Respiratory|Breath Sounds|Right UpperBreath SoundsRight Upperdiminished
59982680105442847194720flowsheet|Flowsheet Cell Labels|Nursing Assessment|Respiratory|Breath Sounds|Right LowerBreath SoundsRight Lowerdiminished
59982681105442847194720flowsheet|Flowsheet Cell Labels|Nursing Assessment|Respiratory|Breath Sounds|Left UpperBreath SoundsLeft Upperdiminished
59982682105442847194720flowsheet|Flowsheet Cell Labels|Nursing Assessment|Respiratory|Breath Sounds|Left LowerBreath SoundsLeft Lowerdiminished
59996661103675921542173flowsheet|Flowsheet Cell Labels|Nursing Assessment|Respiratory|Cough|CoughCoughCoughstrong
59996662103675921542173flowsheet|Flowsheet Cell Labels|Nursing Assessment|Respiratory|Cough|CoughCoughCoughproductive
60003014105442861446148flowsheet|Flowsheet Cell Labels|Nursing Assessment|Cardiovascular|Skin Color/Temp|Skin Color/TempSkin Color/TempSkin Color/Tempnormal
60038597103675934743574flowsheet|Flowsheet Cell Labels|Nursing Assessment|Scores|Braden Scale|Braden Score TotalBraden ScaleBraden Score Total14
60038598103675934743574flowsheet|Flowsheet Cell Labels|Nursing Assessment|Scores|Braden Scale|Sensory PerceptionBraden ScaleSensory Perception3. slightly limited
60038599103675934743574flowsheet|Flowsheet Cell Labels|Nursing Assessment|Scores|Braden Scale|MoistureBraden ScaleMoisture4. rarely moist
60038600103675934743574flowsheet|Flowsheet Cell Labels|Nursing Assessment|Scores|Braden Scale|ActivityBraden ScaleActivity1. bedfast
60038601103675934743574flowsheet|Flowsheet Cell Labels|Nursing Assessment|Scores|Braden Scale|MobilityBraden ScaleMobility2. very limited
60038602103675934743574flowsheet|Flowsheet Cell Labels|Nursing Assessment|Scores|Braden Scale|NutritionBraden ScaleNutrition2. probably inadequate
60038603103675934743574flowsheet|Flowsheet Cell Labels|Nursing Assessment|Scores|Braden Scale|Friction & ShearBraden ScaleFriction & Shear2. potential problem
60038604103675934743574flowsheet|Flowsheet Cell Labels|Nursing Assessment|Scores|Braden Scale|Pressure Sore RiskBraden ScalePressure Sore Riskmoderate risk (13-14)
6006366910544281379113819flowsheet|Flowsheet Cell Labels|Nursing Assessment|Neurologic|Neurologic|LOCNeurologicLOCnormal
6006367010544281379113819flowsheet|Flowsheet Cell Labels|Nursing Assessment|Neurologic|Neurologic|OrientationNeurologicOrientationunable to assess
6006367110544281379113819flowsheet|Flowsheet Cell Labels|Nursing Assessment|Neurologic|Neurologic|SpeechNeurologicSpeechET/Trach
6006367210544281379113819flowsheet|Flowsheet Cell Labels|Nursing Assessment|Neurologic|Neurologic|StimulusNeurologicStimulusspontaneous
60095355104883310771122flowsheet|Flowsheet Cell Labels|Nursing Assessment|Neurologic|Reflexes|ReflexesReflexesReflexesnormal
60095356104883310771122flowsheet|Flowsheet Cell Labels|Nursing Assessment|Neurologic|Reflexes|Cough/Gag ReflexReflexesCough/Gag Reflexpresent
60095750103675956645674flowsheet|Flowsheet Cell Labels|Nursing Assessment|Neurologic|Motor Strength|RUEMotor StrengthRUE+5-Normal
60095751103675956645674flowsheet|Flowsheet Cell Labels|Nursing Assessment|Neurologic|Motor Strength|RLEMotor StrengthRLE+5-Normal
60095752103675956645674flowsheet|Flowsheet Cell Labels|Nursing Assessment|Neurologic|Motor Strength|LUEMotor StrengthLUE+5-Normal
60095753103675956645674flowsheet|Flowsheet Cell Labels|Nursing Assessment|Neurologic|Motor Strength|LLEMotor StrengthLLE+5-Normal
601136711048833837868flowsheet|Flowsheet Cell Labels|Nursing Assessment|Neurologic|Sensation|SensationSensationSensationnormal
60127207100897027002838flowsheet|Flowsheet Cell Labels|Nursing Assessment|Respiratory|Pattern|PatternPatternPatternregular
60127208100897027002838flowsheet|Flowsheet Cell Labels|Nursing Assessment|Respiratory|Pattern|PatternPatternPatternunlabored
6013780510544281094110946flowsheet|Flowsheet Cell Labels|Nursing Assessment|Neurologic|Motor Strength|RUEMotor StrengthRUE+4-Resists
6013780610544281094110946flowsheet|Flowsheet Cell Labels|Nursing Assessment|Neurologic|Motor Strength|RLEMotor StrengthRLE+1-Flicker
6013780710544281094110946flowsheet|Flowsheet Cell Labels|Nursing Assessment|Neurologic|Motor Strength|LUEMotor StrengthLUE+5-Normal
6013780810544281094110946flowsheet|Flowsheet Cell Labels|Nursing Assessment|Neurologic|Motor Strength|LLEMotor StrengthLLE+1-Flicker
60165389103675944344437flowsheet|Flowsheet Cell Labels|Nursing Assessment|Cardiovascular|Edema|EdemaEdemaEdemageneralized
60165390103675944344437flowsheet|Flowsheet Cell Labels|Nursing Assessment|Cardiovascular|Edema|RUEEdemaRUE+1
60165391103675944344437flowsheet|Flowsheet Cell Labels|Nursing Assessment|Cardiovascular|Edema|RLEEdemaRLE+1
60165392103675944344437flowsheet|Flowsheet Cell Labels|Nursing Assessment|Cardiovascular|Edema|LUEEdemaLUE+1
60165393103675944344437flowsheet|Flowsheet Cell Labels|Nursing Assessment|Cardiovascular|Edema|LLEEdemaLLE+1
60169824994512413463flowsheet|Flowsheet Cell Labels|Nursing Assessment|Respiratory|Breath Sounds|Right UpperBreath SoundsRight Upperclear to auscultation
60169825994512413463flowsheet|Flowsheet Cell Labels|Nursing Assessment|Respiratory|Breath Sounds|Right LowerBreath SoundsRight Lowerclear to auscultation
60169826994512413463flowsheet|Flowsheet Cell Labels|Nursing Assessment|Respiratory|Breath Sounds|Left UpperBreath SoundsLeft Upperclear to auscultation
60169827994512413463flowsheet|Flowsheet Cell Labels|Nursing Assessment|Respiratory|Breath Sounds|Left LowerBreath SoundsLeft Lowerclear to auscultation
602130821014000591689flowsheet|Flowsheet Cell Labels|Nursing Assessment|Scores|Braden Scale|Braden Score TotalBraden ScaleBraden Score Total12
602130831014000591689flowsheet|Flowsheet Cell Labels|Nursing Assessment|Scores|Braden Scale|Sensory PerceptionBraden ScaleSensory Perception2. very limited
602130841014000591689flowsheet|Flowsheet Cell Labels|Nursing Assessment|Scores|Braden Scale|MoistureBraden ScaleMoisture3. occasionally moist
602130851014000591689flowsheet|Flowsheet Cell Labels|Nursing Assessment|Scores|Braden Scale|ActivityBraden ScaleActivity1. bedfast
602130861014000591689flowsheet|Flowsheet Cell Labels|Nursing Assessment|Scores|Braden Scale|MobilityBraden ScaleMobility2. very limited
602130871014000591689flowsheet|Flowsheet Cell Labels|Nursing Assessment|Scores|Braden Scale|NutritionBraden ScaleNutrition2. probably inadequate
602130881014000591689flowsheet|Flowsheet Cell Labels|Nursing Assessment|Scores|Braden Scale|Friction & ShearBraden ScaleFriction & Shear2. potential problem
602130891014000591689flowsheet|Flowsheet Cell Labels|Nursing Assessment|Scores|Braden Scale|Pressure Sore RiskBraden ScalePressure Sore Riskhigh risk (10-12)
60216779105442851815191flowsheet|Flowsheet Cell Labels|Nursing Assessment|Cardiovascular|Pulses|PulsesPulsesPulsesnormal
6021967210544281235112498flowsheet|Flowsheet Cell Labels|Nursing Assessment|Cardiovascular|Skin Color/Temp|Skin Color/TempSkin Color/TempSkin Color/Tempnormal
6023097810544281541115579flowsheet|Flowsheet Cell Labels|Nursing Assessment|Cardiovascular|Pacemaker/AICD|Pacemaker/AICDPacemaker/AICDPacemaker/AICDN/A
60245396105442841854185flowsheet|Flowsheet Cell Labels|Nursing Assessment|Respiratory|Breath Sounds|Right UpperBreath SoundsRight Upperclear to auscultation
60245397105442841854185flowsheet|Flowsheet Cell Labels|Nursing Assessment|Respiratory|Breath Sounds|Right LowerBreath SoundsRight Lowerdiminished
60245398105442841854185flowsheet|Flowsheet Cell Labels|Nursing Assessment|Respiratory|Breath Sounds|Left UpperBreath SoundsLeft Upperclear to auscultation
60245399105442841854185flowsheet|Flowsheet Cell Labels|Nursing Assessment|Respiratory|Breath Sounds|Left LowerBreath SoundsLeft Lowerdiminished