Contents | Assessment |
---|---|
Analgesia | □Good □Bad |
Sedation | □Good □Bad |
Delirium | □Yes □No □Cannot evaluate (RASS, − 4 to − 5) |
Medical restraint | □Applied □Necessary □Not necessary |
Mechanical ventilation | |
Spontaneous mode or SBT | □Applied □Possible □Impossible |
Airway extubation | □Possible □Impossible |
Head elevation at least 30° | □Yes □No □Impossible □Prohibited |
Rehabilitation | □Yes □No □Not applicable |
Deep vein thrombosis | □Yes □Suspicious □No |
Anticoagulants | □Applied □Necessary □Not necessary |
Inotropic agents | □Can be reduced □Cannot be reduced □No inotropic agent |
Administered calories | XX kcal/kg/day |
Route of nutrition | □Enteral □Total parenteral □Parenteral |
Stress ulcer prophylaxis | □Applied □Necessary □Not necessary |
Last defecation | XX days ago |
Blood glucose level | □Good □Bad |
Correction of serum electrolyte | □Applied □Necessary □Not necessary |
Discontinuance of antibiotics | □Possible □Impossible □No antibacterial agent |
Unnecessary vascular catheter | □Yes, now extract □No |
Unnecessary urinary catheter | □Yes, now extract □No |
Today’s goal | (ex) SBT and airway extubation |