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I ,· . ; I ••• ' • UNIVERSITY of CALIFORNIA • IRVINE ~ •".:. : .... <br />; ~-i ·, <br />~r vt _ t111t.t <br />1 <br />_lt\U(I'" t;srf;I · ''1! HEALTHCARE . ·1 <br />t <\Obhl½ s _a.Pati~l~~be\ •• t Date:~~-6 'H)OO''+Ob .-· . . _:);· . <br />._.:fH. i 1J\..lll tlJ" ·.: .1 <br />/ ' VITAL SIGNS/GLASGOW COMA SCALE t. f' O ti o II 1-t-it, ;. .1 <br />!1,A.l ll: rf ~ <br />0 <br />RI 'I./ ,i,;,t;h . <br />TIME -6 : .:li!· ,, C 1...t • . <br />~ ~ ... . . .,,. [7 k '~· ......... ~A~~~ .#i.•,..i ''!' // l/ I/ / !/ / / I/ i/ I/ ... BP :..JY,m: ~2 . ' ,t,m " . <br />: 'K_ TEMP <br />PULSE .... i'--.... <br />RESP .....__ <br />GLUCOSE ............... _ <br />HgB ............ i-,...,_ <br />Pain Score -~ <br />Pain Tool --r--. <br />Quality/ I/ I/ / I/ I/ i/ / / I/ I/ / b< / / / / V Intervention <br />ETCO. ............... <br />~ I/ :/ I/ I/ I/ i/ i/ I/ V V V V V l7 ~ I/ / 0 <br />. ~-...... t--... <br />µ,4 <br />¢' MOTCR ........... , .... <br />,i . . . <br />t , ·1 T~·• <br />PUPILS A L A L A l R L R L R L R L R ,L R L A L R L R L A L R L R L R L A L <br />0 mm+/· [7 I/ l/ V V V V V I/ I/ I/ V I/ 1/1/ I/ I/ V V V V V V V V V V V I/ I/ 17 I/ I/ I/ <br />',. .. , <br />-;~'.i;-' . apoi~ ' ~ . -f'I:~ . . .. •.•· •. :1.1 <br />~ ~ <br />IV I START STOP ~ SOWTION AMOUNT RA~ AMOUNT IV I START STOP PRODUCT/\JNIT .f AMOUNT TIME TIME INRJS£D TIME TIME SITE INFUSED <br />I ~ ~ l~u-NS ~ 1... .. ---P: k\v) ~ <br />i"'-,.. <br />0 ......._____ --~ ----" ~ -"'- <br />TOTAL "-.:[oTAL <br />... , .. ~ <br />• ~ <br />8QLUTI08 ~t:fr. <br />-:i!5!5E!! . . . <br />OUTPU1. <br />TOTAL