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This Concept Map, created with IHMC CmapTools, has information related to: 9-8 CMAP Caddle, Insulin glargine Physician's Order 29 units subcutaneous injection daily before breakfast, Stat Chest X-Ray Physician's Impression ET good postition, L Subclavian line is in SVC, NG is stomach. Diffuse bilateral lung consolidation, heavier in the left periphery. Clearer on the right than in the past, some improvement., Vital Signs 19:30 Temp:37.5 BP:83/43 MAP:57 HR:129 Resp:30 SpO2:97%, Vancomycin Pertinent Lab Values WBC= 13.8, see labs/diagnotics for trends, Potassium Chloride Physician's Order 20mEq oral liquid via NG tube daily, Propofol Brand Name Diprovan, Stat Chest X-Ray Ordered During pt's respiratory distress to check placements, effusion, and inflitration., Insulin glargine Nursing Indications Monitor for s/s Hypoglycemia, CBC 9/8 WBC= 13.8, RBC=2.87, Hgb=8.3, Hct=25.6, Plt=86, Decreased cardiac output related to reduction in stroke volume as a result of mechanical/structural problems Intervention Elevate edematous extremeties to promote venous return., Respiratory 19:30 Rhonchi bilaterally throughout. No retractions or accessory muscles use. SpO2 97%. Vent settings: AC 20, Vol 350, Peep 7, 60% FIO2, Cardiovascular 19:30 HR 129BPM. No other changes noted. Edema persists. R pedal pulse present, +1, Respiratory 15:30 Tachypneic, equal chest expansion bilaterally. Suctioned, no plugs. Rhonchi bilateral lower lobes. Wheezing bilateral upper lobes. Chest symmetrical bilaterally. SpO2 89% Vent on Assist Control. Retractions and accessory muscle use present., Dobutamine Reason for Recieving Attempting to use as a vasopressor to counter the drop in MAP related to sedation, Vancomycin Brand Name Vancocin, Gen. Chem. 9/6 Na=144 K=3.7 Cl=108 CO2=27 BUN=24 Cr=1.06 Glu=118 Ca=8.3 Protein=6.4 Albumin=2.6 Total Bili=13.8 Alk Phos=51 AST=81 ALT=40, Thiamine Nursing Indications Rotate injection sites, Thiamine Reason for Recieving Nutritional status, alcoholism., Dobutamine Pertinent Lab Values 18:45 BP 79/43 MAP 57, Started at 10mcg/kg/min, Dobutamine Brand Name Dobutrex