ICU Round Note

Daily intensive care unit nursing round and patient status

ICU Round — 23 Jun 2026, 08:00 · Charge Nurse: Sr. Kavya N.
ICU-1

Rajan Mehta, 75M

ARDS + Gram-neg Sepsis

Vitals

BP 108/70HR 94Temp 38.4°CSpO₂ 93%RR 22

Ventilator

MODE SIMV-PC + PSFIO2 60%PEEP 8PIP 26RR 18TV 420 mL

Lines:

CVC (R IJV, day 4) · Art line (R radial)

Drains/UO:

Foley — 40 mL/hr last 2h

Active Medications:

Noradrenaline 0.08 mcg/kg/min, Meropenem 1g TDS, Heparin 800 IU/hr

Fluid Balance (24h):

+860 mL (24h)

Plan:

Continue vasopressor. Daily spontaneous awakening trial. Check cultures at 48h.

ICU-2

Lakshmi Nair, 62F

Cardiogenic Shock + SLE

Vitals

BP 96/62HR 102Temp 37.1°CSpO₂ 97%RR 18

Lines:

CVC (L SCV, day 2) · PICC (R arm)

Drains/UO:

Foley — 28 mL/hr

Active Medications:

Dobutamine 5 mcg/kg/min, Furosemide 20 mg BD, Methylprednisolone 500 mg IV OD

Fluid Balance (24h):

+1220 mL (24h)

Plan:

Echo today — reassess LV function. Reduce inotrope if BP sustained. Fluid restrict.