PATIENT'S DETAILS
Patient name | |
Date | |
Time | |
VAD FINDINGS
Energy level - Watt | - - - - - 9 - - - |
Assistance level | - - |
Drive line sttus | Cable pictures |
CLINICAL DATA
Temperature (°C) | |
Systemic pressure (mmHg) | |
Heart rate (beats/minute) | |
Body weight (Kg) | |
Oedemas | - - |
Diuresis (ml/day) | |
LABORATORY AND INSTRUMENTAL DATA
Haemoglobin (g/dl) | |
Lactate dehydrogenase (LDH)( IU/L) | |
Total bilirubin (mg/dl) | |
Direct bilirubin (mg/dl) | |
Haptoglobin (mg/dl) | |
Reticulocytes (%) | |
Partial thromboplastin time (PTT) | |
Leucocytes (WBC) n/ml | |
Platelets (PLT) n/ml | |
International nornalizes ratio (INR) | |
Creatinine (mg/dl) | |
Electrocardiogram (ECG) | picture of electrocardiographic tracing |
Echocardiography (TTE/TEE) | pictures or images |
Chest radiography (Chest XR) X-rays | picture of X-rays |
Brain CT scan | |
Chest CT scan | |
THERAPY
ACE inhibitors | ||
Beta-blockers | ||
Inotropes | ||
Diuretics | ||
Anti-aggregants | ||
Heparin | ||
Oral anticoagulants | ||
NOTES