SYSTEMS ASSESSMENT
Neuro:
CV:
Resp:
GI:
GU:
Skin:
MSK:
Endo:
Psych:
Pain:
ID/Iso:
Other:
VITAL SIGNS
| Time | T | HR | BP | RR | O₂ | Pain | BG |
|---|---|---|---|---|---|---|---|
LABORATORY VALUES
WBC
Hgb
Hct
Plt
PT
PTT
INR
Fib
Na
K
Cl
CO₂
Ca
Mg
Phos
Alb
BUN
Cr
GFR
Glu
Trop
BNP
Lac
Pro
I/O
INTAKE
OUTPUT
LINES/ACCESS/DRAINS