Renal system hourly rounds shadow health

Study with Quizlet and memorize flashcards containing terms like A child with diabetic ketoacidosis is being treated for a blood glucose level of 738 mg/dl (41.0 mmol/L). The nurse should anticipate an order for: a) normal saline with regular insulin. b) 5% dextrose in water with NPH insulin. c) normal saline with ultralente insulin. d) 5% dextrose in water with PZI insulin., A nurse must ...

Endocrine system hourly rounds shadow health care plan shadow health will be performing planned maintenance this friday, from 7:00am until 8:00am eastern. Skip to document. University; ... Endocrine System Hourly Rounds Results | Turned In. Medical Surgical - ADN - Spring 2024- fall 2024 LPN-RN 114-213, NUR 114 Return to Assignment ...Shadow wants to partner with game publishers so that they can create virtual booths to showcase game demos. Shadow is introducing some new use cases for its cloud computing service...... rounds of cpr got a pulse and breathing but too ... renal failure etc etc……. we did his ... The last year was a rollercoaster of emotions, the health system ...Shadow Health Renal System Hourly Rounds Arturo Perez Transcript; Shadow Health Renal System Hourly Rounds Arturo Perez Education and Empathy; Case Study; Preview text. SKINNY Reasoning Part I: Recognizing RELEVANT Clinical Data History of Present Problem:Get instant study help. From your first assignment to your final exam, get the right tools designed to help you learn. 1. ^ Chegg survey fielded between 24 Sep and 12 Oct 2023 among US customers who used Chegg Study or Chegg Study Pack in Q2 2023 and Q3 2023. Respondent base (n=611) out of approximately 837,000 invitations.Shadow Health® Training. Shadow Health's Digital Clinical Experiences™ are designed to augment courses for nursing students. Students engage with Digital Standardized Patients™ using a state-of-the-art conversation engine and interactive 3D imagery to perform assessments, practice documentation, and demonstrate critical thinking.

View Gastrointestinal _ Completed _ Shadow Health.pdf from NURS 3053 at Northeastern State University. 4/24/2021 Gastrointestinal | Completed | Shadow Health Shadow Health will be performing planned ... of cholecystitis Denies past history of stomach cancer Denies past history of liver disease Denies past history of kidney …KEY: Urinary/renal system| assessment/diagnostic examination MSC: Integrated Process: Nursing Process: Implementation NOT: Client Needs Category: Physiological Integrity: Reduction of Risk Potential. A nurse plans care for an older adult client. Which interventions should the nurse include in this client’s plan of care to promote kidney health?Interview Guide for ShadowHealth Comprehensive Assessment - adapted from Jarvis, C., (2016) Physical examination & health assessment, (7th Ed.). Chapter 3 - The Interview. Chief Complaint/Reason for Seeking Care: Allergies-Any drugs, foods, contact agents, and environmental agents and reaction to allergen. Current MedicationsShadow Health is a simulation platform used for healthcare education. It provides simulated patient cases to practice clinical decision-making. Endocrine System Hourly Rounds likely refers to a scenario within Shadow Health where you practice rounding on virtual patients with endocrine system conditions.301 Moved Permanently. openrestyInformation is limited about health-related quality of life (HRQOL) in patients with CVID receiving IGRT. The Patient Reported Outcomes Measurement Information System (PROMIS) is a validated self-report measure of physical, mental, and social health which can be used to assess HRQOL in patients with primary immunodeficiency diseases (PIDD).renal artery. renal system, in humans, organ system that includes the kidneys, where urine is produced, and the ureters, bladder, and urethra for the passage, storage, and voiding of urine. In many respects the human excretory, or urinary, system resembles those of other mammalian species, but it has its own unique structural and functional ...Scheduled hourly rounds have been found to greatly decrease the incidence of falls. See below for a list of activities to complete during hourly rounds. These activities can be completed by unlicensed assistive personnel, nurses, or nurse managers. [12] Hourly Rounding Protocol. [13] Assess patient pain levels using a pain-assessment scale.

Perioperative Care Hourly Rounds Results | Turned In Shadow Health--Term 4 - February 2023, pnterm Return to Assignment (/assignments/782692/) Transcript Started: Mar 12, 2023 | Total Time: 73 min Gre 03/12/23 4:36 AM E Questi 03/12/23 4:37 AM E Questi 03/12/23 4:38 AM E Empath 03/12/23 4:43 A E Questi 03/12/23 4:43 AM E Questi 03/12/23 4:45 AM ...FREE Tinder™, DoorDash & more 2. Get four FREE subscriptions included with Chegg Study or Chegg Study Pack, and keep your school days running smoothly. 1. ^ Chegg survey fielded between Sept. 24-Oct 12, 2023 among a random sample of U.S. customers who used Chegg Study or Chegg Study Pack in Q2 2023 and Q3 2023.Fatima Khan Endocrine System Hourly Rounds Shadow health Objective data Objective Data Collection: 10 of 10 (100.0%) Correct; Partially Correct; Incorrect; Missed; Assessed General Appearance. 1 of 1 points. Patient Appearance (1.00/1.00 point) Patient appears comfortable, and is not presenting visually with acute distress or illness;Endocrine System Hourly Rounds Results | Turned In Medical Surgical - ADN - Spring 2024- fall 2024 LPN-RN 114-213, NUR 114 Return to Assignment (/assignments/779172/) Shadow Health will be performing planned maintenance this Friday, from 7:00am until 8:00am Eastern. During this time assignment attempts will be disabled.

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Get four FREE subscriptions included with Chegg Study or Chegg Study Pack, and keep your school days running smoothly. 1. ^ Chegg survey fielded between Sept. 24-Oct 12, 2023 among a random sample of U.S. customers who used Chegg Study or Chegg Study Pack in Q2 2023 and Q3 2023. Respondent base (n=611) among approximately 837K invites.No recent bolus administered; Manual bolus administered between 11 AM and 12 PM; Manual bolus administered between 10 AM and 11 AM; Fatima Khan Endocrine System Hourly Rounds Shadow health Objective dataArturo Post Hemo Shadow Health Lab Renal System Hourly … Health 7 hours ago WebArturo post hemo - shadow health lab - Renal System Hourly Rounds Results Turned In Fall 2023 NURC - Studocu Nurs Care Adults Ii (NURS 324) Nurs Care Adults Ii (NURS … Rating: 3/5(4) Detail: Visit URL . Category: Health View HealthStudy with Quizlet and memorize flashcards containing terms like True or False: Endocrine glands secrete their products through ducts into the bloodstream., True or false: Organs can be both endocrine and exocrine glands., How long does it take for the endocrine system to respond to a stimulus? A- A few seconds B- A few hours C- A few days D- All of the above and more.301 Moved Permanently. openrestyGet a hint. A patient has been given a new prescription for warfarin. Which statement indicates the need for additional teaching? - I will use a soft toothbrush while taking this medication. - I can eat moderate amounts of foods with vitamin K on a regular basis. - I should report unusual bleeding to my doctor.

Percuss kidney for costovertebral angle (CVA) tenderness. 3. Risk factors (for most cancers of the gastrointestinal system): Smoking. 4. Collaborate with the physician and dietitian.Mrs. Soto is a 46-year-old Asian woman with rheumatoid arthritis (RA). The following data are collected by the nurse during an interview and examination.Continuous renal replacement therapy (CRRT) is a 24-hour blood filtration process. Via hemodialysis access, it slowly purifies the patient's blood using a cartridge and special filter that removes fluids, toxins, and other substances. To achieve filtration, CRRT uses the four principles of waste and fluid removal:hormones that function regionally in the body. Endocrine hormones. hormones that function at a distance. Hypothalamus. control center that bridges the nervous system and endocrine system. ADH: -antidiuretic hormone. -released by hypothalamus. -controls fluid volume in the body.Endocrine System Hourly Rounds Results | Turned In Nursing Across the Lifespan III - Medical Surgical Content - Spring 2023, NUR 227 Return to Assignment (/assignments/759722/)Reports being immobile for past three days. Asked about Venous Thrombosis. - Denies tender or painful areas other than foot wound. - Denies redness other than foot wound. - Denies unusual warmth. -Denies history of venous thrombosis. Cardiovascular Assessment Learn with flashcards, games, and more — for free.28 terms. paigesevero2. Preview. Study with Quizlet and memorize flashcards containing terms like 4 parts of the urinary system?, which kidney is slightly higher?, what is another word for urinating? and more.Endocrine System Hourly Rounds Shadow health Transcript. Endocrine System Hourly Rounds Shadow health Transcript. Hey, I am Mary and I will be your nurse today. Greet. 09/11/23 5:14 PM EDT. Hello.how many times a week does your stomach hurt. reports 3-4 episodes a week that are more severe. how long after a meal does the pain start. right after finishing a meal. how many hours does the stomach pain last. episode lasts a few hours. rate your current stomach pain. 1 to 2. rate your pain after eating.Fill in the order form. Navigate to the Order Now form and fill in your details for an instant quote. Submit All your files, such as rubrics, instructions, and essential sources given to you by your instructor.Shadow Health Resp Hourly Rounds. V Sim Concept Map. NURS3130 Heart Rhythm. NURS3130 Cardiac Case Study. NURS 3130 C Concept Map #1. Medication Week 12.Diana Shadow: In this assessment, you will become familiarized with the structure and content of a health history exam so that with real-life patients, you can: º ask effective and comprehensive questions º obtain a thorough health history º evaluate the patient's risk of disease, infection, injury, and complications º educate and empathize º reflect on your experience and identify areas ...Jan 13, 2022 · Also available in package deal from $25.49. Add to cart Add to wishlist. 100% satisfaction guarantee. Immediately available after payment. Both online and in PDF. No strings attached. 97. 0.

Shadow Health Endocrine System Hourly Rounds Results - subjective data; Related Studylists Shadow health. Preview text. Perioperative Care Hourly Rounds Results | Turned In. Nursing Across the Lifespan III - Medical Surgical Content - Spring 2023, NUR 227. Return to Assignment (/assignments/759723/)

renal artery. renal system, in humans, organ system that includes the kidneys, where urine is produced, and the ureters, bladder, and urethra for the passage, storage, and voiding of urine. In many respects the human excretory, or urinary, system resembles those of other mammalian species, but it has its own unique structural and functional ...Yes. 3 groups in study: (1) control; (2) hourly rounding, with two hourly rounding from 10:00 pm to 6:00 am; (3) two-hourly rounding at all times. Open in a separate window. † Two-hourly rounding during late-night/early morning hours (typically 10:00 pm to 6:00 am), hourly rounding at all other times.A urinary tract infection (also called a "UTI") is what happens when bacteria (germs) get into the urinary system and multiply. The result is redness, swelling, and pain. If the infection is not treated promptly, the bacteria can travel up to the kidneys and cause a more serious type of infection, called pyelonephritis.Gastrointestinal System Hourly Rounds Shadow Health Scott Becker. Children and Violence E. Helander 2008-09-02 This book provides a disturbing account of the reality of child abuse. Based on data from 152 countries, Einar Helander considers the physical, societal, economic and judicial consequences of child abuse, proposing a universal ...Stridor. strained, high-pitched sound heard on inspiration caused by obstruction in the pharynx or larynx these are long crowing sounds high-pitched and are located in the trachea. Study with Quizlet and memorize flashcards containing terms like Brochial, Brochovesicular, Vesicular and more.shadow health renal system hourly rounds Your solution’s ready to go! Enhanced with AI, our expert help has broken down your problem into an easy-to-learn solution you can count on.Tina Jones Heent Interview Completed Shadow Health 1; Wk 2 clinic assignment; Report - 2023-11-12T223534; Related documents. NUR 190 15 min. Head-to-Toe Assess- upd. Su 5-22; ATI Physical Assessment Worksheet; NURS 191 Combo Course Map - FALL 2 2022; Leo Seko Respiratory 1 - ATI Healthcare 2.0 Focused Assessment; Report (15)FREE Tinder™, DoorDash & more 2. Get four FREE subscriptions included with Chegg Study or Chegg Study Pack, and keep your school days running smoothly. 1. ^ Chegg survey fielded between Sept. 24–Oct 12, 2023 among a random sample of U.S. customers who used Chegg Study or Chegg Study Pack in Q2 2023 and Q3 2023.

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Hourly rounds—intentionally checking on patients at regular intervals—continues to be debated in nursing circles. Often, registered nurses make rounds on even hours and support staff make rounds on odd hours from 6 AM to 10 PM (and every 2 hours from 10 PM to 6 AM). While making rounds, staff engage patients by …Shadow Health Endocrine System Hourly Rounds Results - subjective data; Preview text. Perioperative Care Hourly Rounds Results | Turned In. Nursing Across the Lifespan III - Medical Surgical Content - Spring 2023, NUR 227. Return to Assignment (/assignments/759723/) Education & Empathy : 3 of 3 (100%) During the patient …Gastrointestinal System Hourly Rounds Shadow Health Scott Becker. Children and Violence E. Helander 2008-09-02 This book provides a disturbing account of the reality of child abuse. Based on data from 152 countries, Einar Helander considers the physical, societal, economic and judicial consequences of child abuse, proposing a universal ...We would like to show you a description here but the site won't allow us.Endocrine System Hourly Rounds Results | Turned In Medical Surgical - ADN - Spring 2024- fall 2024 LPN-RN 114-213, NUR 114 Return to Assignment (/assignments/779172/) Shadow Health will be performing planned maintenance this Friday, from 7:00am until 8:00am Eastern. During this time assignment attempts will be disabled.scott becker gastrointestinal system hourly rounds shadow health Transcript Scott Becker gastrointestinal system hourly rounds shadow health Transcript Transcript Started: August 16, 2023 | Total Time: 249 min All Lines (207)Interview Questions (143)Statements (14)Exam Actions (50) HI, my name is xx, I am your nurse today. I am going to ask you some questions and exam you. […]The World Health Report 2000 World Health Organization,2000 Includes table of health system attainment and performance in all member states (191), ranked by eight measures. Essentials of Interventional Techniques in Managing Chronic Pain Laxmaiah Manchikanti,Alan D. Kaye,Frank J.E.Hourly rounding. Vaccines. Fall risk. Wash hands. Concussions. Elderly and driving. Fires/ no smoking. Safety plan for victims for domestic abuse: Detail plans in case of dangerous situations or changes in relationship such as breaking up; Identify safe friends and safe places; Identify the essentials items to take should one need to leave home ….

Study with Quizlet and memorize flashcards containing terms like In which age group are milia an expected finding?, Mr. Babson is a 74-year-old man who presents to your office with a complaint of a "spot" on his chin and wants to know whether it is cancerous. Which of the following signs or symptoms indicates a need for further medical investigation?, A 6-year-old girl has freckles over her ...Your kidneys are responsible for getting rid of all the toxins and waste byproducts floating around your bloodstream. Their job is essential for taking care of your overall health ...Having a lush, green lawn is a goal of many homeowners. But in order to achieve this, you need to know when the best time is to reseed your lawn. Reseeding your lawn can help keep ...Indoor gardening has become increasingly popular among individuals who want to have fresh produce all year round. Whether you live in a small apartment or have limited outdoor spac...Reports being immobile for past three days. Asked about Venous Thrombosis. - Denies tender or painful areas other than foot wound. - Denies redness other than foot wound. - Denies unusual warmth. -Denies history of venous thrombosis. Cardiovascular Assessment Learn with flashcards, games, and more — for free.Gastrointestinal System Hourly Rounds Shadow Health Scott Becker(1) Chrysostomos P. Panayiotopoulos Strengthening Forensic Science in the United States National Research Council,Division on Engineering and Physical Sciences,Committee on Applied and Theoretical Statistics,Policy and Global Affairs,Committee on Science, Technology, andWeek 5 ~ Endocrine System Hourly Rounds Results | T urned In ADN 1220 Session B Concepts of Nursing Care for Patients with Acute and Chronic Conditions I Grad May 2025, 565549 Return to AssignmentWhen creating business slides and presentations in PowerPoint, there are numerous ways to add impact to elements and objects, including the use of shadows. However, too many embell...Shadow Health Renal System Hourly Rounds Arturo Perez Reflection. Shadow Health Renal System Hourly Rounds Arturo Perez Reflection. Course. Acute conditions (NURS 1220) 94 Documents. Students shared 94 documents in this course. University Cuyahoga Community College. Academic year: 2023/2024. Uploaded by: MP. Mi Pu. Cuyahoga …right upper. visceral pain is associated with a hollow abdominal organ such as the intestine. visceral pain is: usually difficult to localize. a female patient presents with right lower quadrant pain that radiates from the periumbilical area. the abdomen is rigid on palpation. the nurse would prepare for physician follow-up for possible. Renal system hourly rounds shadow health, The kidneys are two bean-shaped organs in the renal system. They help the body pass waste as urine. They also help filter blood before sending it back to the heart. The kidneys perform many ..., Shadow Health- Tina Jones - Neurological. 21 terms. Tiffany_Alleyne. Preview. Tina Jones-Shadow Health- Abdominal. 35 terms. aguas89. Preview. Armenian Set 41 . 200 terms. Sean_Buckley57. ... Asked about urinary problems. Increased urination Do you wake up in the night Are you incontinent Is urination painful., Question: You have come to dread hourly rounds. one particularly elderly patient and her son are constantly on call light. Each time you see them during hourly rounding, you check on the items that your facility has defined as part of the hourly rounding procedure and made adjustments as necessary.You ask how she is feeling and if there is anything , she needs., Fruit trees are a wonderful addition to any garden or orchard, providing delicious and nutritious fruits for us to enjoy. However, in order to maximize their productivity and healt..., Get higher grades by finding the best NR509 notes available, written by your fellow students at Chamberlain College of Nursing., Renal Agenesis: one or both kidneys don’t form (unilateral or bilateral) Occurs in Potter’s syndrome – fatal if bilateral; Renal Hypoplasia: part of a kidney does not fully develop; may be slightly smaller or may be significantly smaller. Horses hoe Kidney: one horseshoe shaped kidney w/ 2 ureters, We have all seen the story play out before: a patient with heart failure with reduced ejection fraction (HFrEF) who is new to a hospital system is hospitalized for acute decompensa..., FREE Tinder™, DoorDash & more 2. Get four FREE subscriptions included with Chegg Study or Chegg Study Pack, and keep your school days running smoothly. 1. ^ Chegg survey fielded between Sept. 24–Oct 12, 2023 among a random sample of U.S. customers who used Chegg Study or Chegg Study Pack in Q2 2023 and Q3 2023., Renal System Hourly Rounds (Arturo Perez) Complex Assessment: Generalized Weakness (Minerva Garcia) Complex Assessment: Unresponsive (Taylor Herndon) Complex Assessment: Arrhythmia (Martin Francis) Complex Assessment: End-Stage Heart Failure (Vandana Kumar) ... “Shadow Health is a wonderful tool that all nursing …, FREE Tinder™, DoorDash & more 2. Get four FREE subscriptions included with Chegg Study or Chegg Study Pack, and keep your school days running smoothly. 1. ^ Chegg survey fielded between Sept. 24–Oct 12, 2023 among a random sample of U.S. customers who used Chegg Study or Chegg Study Pack in Q2 2023 and Q3 2023., Coursework 100% (1) 1. Head Computed Tomography (CT) Assignments 67% (3) 7. Medical Surgical Nurinsg 10th Edition Ignatavicius Test Bank. Assignments 100% (2) 1. Ketorolac ATI Active Learning Template Medication-2., A chemical substance that is introduced (i.e., ingested, injected into a muscle or vein, applied topically to the skin, inhaled, or inserted rectally) into a patient's body. A medication is designed to treat a patient's physical or mental illness or to relieve one or more symptoms of a patient's clinical condition., Shadow Health Medical Surgical Respiratory System Hourly Rounds: COPD. 15. Care of Patients with Infectious Lower Respiratory Problems. Sherpath Lesson: Tuberculosis. Sherpath Simulation: Respiratory Problems. Weekly Quiz. Mastery EAQ Chapter 28 (Proficiency Required in Exam mode) Chapter 27 is recommended. Study mode is permitted., Get higher grades by finding the best NR509 notes available, written by your fellow students at Chamberlain College of Nursing., Quiz yourself with questions and answers for Physical assessment of the renal system, so you can be ready for test day. Explore quizzes and practice tests created by teachers and students or create one from your course material., Study with Quizlet and memorize flashcards containing terms like A nurse reviews the urinalysis of a client and notes the presence of glucose. Which action should the nurse take? a. Document findings and continue to monitor the client. b. Contact the provider and recommend a 24-hour urine test. c. Review the client's recent dietary selections. d. Perform a capillary artery glucose assessment ..., Renal failure, also called kidney failure, refers to temporary or permanent damage to the kidneys that results in loss of normal kidney function. There are two different types of renal failure--acute and chronic. Acute renal failure happens suddenly and is potentially reversible. Chronic renal failure progresses slowly over at least three ..., Endocrine System Hourly Rounds Shadow health Transcript. Endocrine System Hourly Rounds Shadow health Transcript. Hey, I am Mary and I will be your nurse today. Greet. 09/11/23 5:14 PM EDT. Hello., Shadow Health Renal System Hourly Rounds Guidelines for Design and Construction of Hospitals and Outpatient Facilities 2014 Facility Guidelines Institute 2014-01-01 This product of ... indicate appropriate new goals for health care in a changing environment. This book was designed to stimulate and challenge all, The Endocrine System, 3rd Edition. Systems of the Body Series. Series Editors : Joy P. Hinson Raven & Peter Raven & Shern L. Chew & Stephen H. Hughes. The Systems of the Body series has established itself as a highly valuable resource for medical and other health science students following today's systems-based courses., Shadow Health Renal System Hourly Rounds(2) Elizabeth Burns,Kenneth Korn,James Whyte Medical-Surgical Nursing Donna D. Ignatavicius,M. Linda Workman,Cherie …, Shadow Health-Pressure Injury. helpful. Course. Nursing Advanced Skills (10543112) 11 Documents. Students shared 11 documents in this course. University Western Technical College. ... Vascular System Notes A&P; Business Law Touchstone 2 Template; Copy of Limiting Reagent Lab; Copy of Assignment 2 - Intro to the lesson of the topic that will be ..., Poisson regression results indicated that hourly nurse rounding was associated with a reduction of more than 21% in fall rates (incidence rate ratio = 0.79, P < .01) relative to infrequent rounding, and poorly rated nurse communication was associated with an 8.6-fold increase in patient fall rates relative to highly rated nurse communication ..., Through Shadow Health's state-of-the-art platform, you can experience gastrointestinal system hourly rounds from the comfort of your own space. This immersive simulation allows you to engage with virtual patients, make clinical decisions, and receive detailed feedback from Scott Becker himself. By participating in these virtual rounds, you will ..., Get a hint. A patient has been given a new prescription for warfarin. Which statement indicates the need for additional teaching? - I will use a soft toothbrush while taking this medication. - I can eat moderate amounts of foods with vitamin K on a regular basis. - I should report unusual bleeding to my doctor., Sonia Best Perioperative Shadow Health education and empathy; Sonia Best Perioperative Shadow Health postop priority; Sonia Best Perioperative Shadow Health documentation; Shadow Health Endocrine System Hourly Rounds Results - education and empathy; Shadow Health Endocrine System Hourly Rounds Results - objective data, Internal Medicine Residency Program. 96 15th Street, NW. MAB #1, Suite 106. Norton, VA 24273. (276) 679-3488. Other numbers. Fax: (276) 439-1874. Our program in Norton, VA offers comprehensive internal medicine training, competitive benefits and one-on-one training with attending physicians., Popular books. Biology Mary Ann Clark, Jung Choi, Matthew Douglas. College Physics Raymond A. Serway, Chris Vuille. Essential Environment: The Science Behind the Stories Jay H. Withgott, Matthew Laposata. Everything's an Argument with 2016 MLA Update University Andrea A Lunsford, University John J Ruszkiewicz. Lewis's …, Teacher 25 terms. areyesn. Preview. Study with Quizlet and memorize flashcards containing terms like Pituitary, Thyroid, Parathyroid, Adrenal, Pineal, and Hypothalamus, Nervous System, Endocrine System and more., Chronic Kidney Disease. Kidney damage or decrease in GFR lasting 3 or more months. Untreated CKD leads to end-stage kidney disease (ESKD) CKD Causes. 10% of the U.S. population has CKD due to diabetes. Hypertension. Glomerulonephritis and Pyelonephritis. Polycystic, hereditary, congenital disorders. Renal cancer., The renal system, also known as the urinary system, is made up of the kidneys, ureters, bladder, and urethra. The kidneys, a pair of organs located in the back of the abdominal cavity, filter waste products from the blood in the form of urine. The urine passes down through the ureters, which are muscular tubes connecting the kidneys to the bladder., 2020 ONS CONGRESS Poster Abstracts ... 11, No recent bolus administered; Manual bolus administered between 11 AM and 12 PM; Manual bolus administered between 10 AM and 11 AM; Fatima Khan Endocrine System Hourly Rounds Shadow health Objective data