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    Download as PDF, TXT or read online from Scribd
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    4K views1 page

    Surgery ScutSheet 1

    Uploaded by

    goose385

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as PDF, TXT or read online from Scribd
    Flag for inappropriate content
    of 1

    Mg:_____ IV:____________________

    HgB PT PTT Na Cl BUN Ca Pro AST LDH Abx:____________________________


    WBC PLT Glu Bili
    Hct K HCO3 Cr PO4 Alb ALT AlkP ____________________________
    INR
    ABG: ____/____/____/____/____/____
    pH pCO2 pO2 HCO3 O2% Base+
    Tmax: ______ Tc: _____ P:__________ R: _________ BP: _________/_________ O2: _______ on _________ AF VSS Flatus BM
    UOP/Foley:_____/_____/_____ NG:_____/_____/_____ In:_____/_____/_____ Out:_____/_____/_____ Reg Full Clear Tube TPN
    [________]: _____/_____/_____ [________]: _____/_____/______ [________]:_____/_____/_____ [________]:_____/_____/_____
    __________________________________ __________________________________ __________________________________
    __________________________________ __________________________________ __________________________________

    Mg:_____ IV:____________________
    HgB PT PTT Na Cl BUN Ca Pro AST LDH Abx:____________________________
    WBC PLT Glu Bili
    Hct K HCO3 Cr PO4 Alb ALT AlkP ____________________________
    INR
    ABG: ____/____/____/____/____/____
    pH pCO2 pO2 HCO3 O2% Base+
    Tmax: ______ Tc: _____ P:__________ R: _________ BP: _________/_________ O2: _______ on _________ AF VSS Flatus BM
    UOP/Foley:_____/_____/_____ NG:_____/_____/_____ In:_____/_____/_____ Out:_____/_____/_____ Reg Full Clear Tube TPN
    [________]: _____/_____/_____ [________]: _____/_____/______ [________]:_____/_____/_____ [________]:_____/_____/_____
    __________________________________ __________________________________ __________________________________
    __________________________________ __________________________________ __________________________________

    Mg:_____ IV:____________________
    HgB PT PTT Na Cl BUN Ca Pro AST LDH Abx:____________________________
    WBC PLT Glu Bili
    Hct K HCO3 Cr PO4 AlbALT AlkP ____________________________
    INR
    ABG: ____/____/____/____/____/____
    pH pCO2 pO2 HCO3 O2% Base+
    Tmax: ______ Tc: _____ P:__________ R: _________ BP: _________/_________ O2: _______ on _________ AF VSS Flatus BM
    UOP/Foley:_____/_____/_____ NG:_____/_____/_____ In:_____/_____/_____ Out:_____/_____/_____ Reg Full Clear Tube TPN
    [________]: _____/_____/_____ [________]: _____/_____/______ [________]:_____/_____/_____ [________]:_____/_____/_____
    __________________________________ __________________________________ __________________________________
    __________________________________ __________________________________ __________________________________

    Mg:_____ IV:____________________
    HgB PT PTT Na Cl BUN Ca Pro AST LDH Abx:____________________________
    WBC PLT Glu Bili
    Hct K HCO3 Cr PO4 AlbALT AlkP ____________________________
    INR
    ABG: ____/____/____/____/____/____
    pH pCO2 pO2 HCO3 O2% Base+
    Tmax: ______ Tc: _____ P:__________ R: _________ BP: _________/_________ O2: _______ on _________ AF VSS Flatus BM
    UOP/Foley:_____/_____/_____ NG:_____/_____/_____ In:_____/_____/_____ Out:_____/_____/_____ Reg Full Clear Tube TPN
    [________]: _____/_____/_____ [________]: _____/_____/______ [________]:_____/_____/_____ [________]:_____/_____/_____
    __________________________________ __________________________________ __________________________________
    __________________________________ __________________________________ __________________________________

    Mg:_____ IV:____________________
    HgB PT PTT Na Cl BUN Ca Pro AST LDH Abx:____________________________
    WBC PLT Glu Bili
    Hct K HCO3 Cr PO4 Alb ALT AlkP ____________________________
    INR
    ABG: ____/____/____/____/____/____
    pH pCO2 pO2 HCO3 O2% Base+
    Tmax: ______ Tc: _____ P:__________ R: _________ BP: _________/_________ O2: _______ on _________ AF VSS Flatus BM
    UOP/Foley:_____/_____/_____ NG:_____/_____/_____ In:_____/_____/_____ Out:_____/_____/_____ Reg Full Clear Tube TPN
    [________]: _____/_____/_____ [________]: _____/_____/______ [________]:_____/_____/_____ [________]:_____/_____/_____
    __________________________________ __________________________________ __________________________________
    __________________________________ __________________________________ __________________________________

    Mg:_____ IV:____________________
    HgB PT PTT Na Cl BUN Ca Pro AST LDH Abx:____________________________
    WBC PLT Glu Bili
    Hct K HCO3 Cr PO4 Alb ALT AlkP ____________________________
    INR
    ABG: ____/____/____/____/____/____
    pH pCO2 pO2 HCO3 O2% Base+
    Tmax: ______ Tc: _____ P:__________ R: _________ BP: _________/_________ O2: _______ on _________ AF VSS Flatus BM
    UOP/Foley:_____/_____/_____ NG:_____/_____/_____ In:_____/_____/_____ Out:_____/_____/_____ Reg Full Clear Tube TPN
    [________]: _____/_____/_____ [________]: _____/_____/______ [________]:_____/_____/_____ [________]:_____/_____/_____
    __________________________________ __________________________________ __________________________________
    __________________________________ __________________________________ __________________________________

    General Surgery Lab Values/Scut Sheet- Created by Patrick S. Carroll 10/31/2010.

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