Admission data
Co-morbid
conditions
GCS Pupils
Chest
Hemodynamics
Other
important Data
Brain CT
GCS Motor
Verbal
Eye
Pupils
Gag reflex
Lateralization
Na level
Brain specific
therapy
Bp Input / 24hr
HR Output / 24hr
CVP balance
Auscultation Cumulative
ECG Intake /hr
Extremities Output/hr
Urea K
Creatinine Troponin
ECHO Data
Specific
Therapy
Assessment of respiratory system
RR SpO2
Auscultation
Oxygenation CXR
Or
Mechanical
ventilation
ABG
Specific
Therapy
Abdominal Bowel
Examination Habits
Feeding ALB
ALT
AST
Hemoglobin
Platelets
WCC
PC
INR
Anticoagulation