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ICU Investigations Chart Template

This ICU investigations sheet contains sections to record a patient's key lab results, including full blood count, renal function tests, liver function tests, coagulation profile, and cultures. It also includes spaces to note the patient's age, sex, admission details, bed number, and any other important investigations.

Uploaded by

Anand Vijay
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© Attribution Non-Commercial (BY-NC)
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5K views2 pages

ICU Investigations Chart Template

This ICU investigations sheet contains sections to record a patient's key lab results, including full blood count, renal function tests, liver function tests, coagulation profile, and cultures. It also includes spaces to note the patient's age, sex, admission details, bed number, and any other important investigations.

Uploaded by

Anand Vijay
Copyright
© Attribution Non-Commercial (BY-NC)
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
  • ICU Investigations Sheet

ICU Investigations Sheet

Name: Inv / Date Hb TLC DLC Platelets Blood Urea S. Creatinine Sodium Potassium S. Bilirubin AST/ALT PT (C/T) PTTK (C/T) INR S. Protein S. Albumin S. Procalcitonin Age: Sex: DOA: Bed No.

Urine
pH Pus cells Proteins Sugar Ketones RBC

CKMB Trop I/Trop T D-Dimer Malaria Dengue

T3 T4 TSH HbA1C

Culture Specimen

Date

Organism

Sensitivity

Inv / Date Hb TLC DLC Platelets Blood Urea S. Creatinine Sodium Potassium S. Bilirubin AST/ALT PT (C/T) PTTK (C/T) INR S. Protein S. Albumin S. Procalcitonin

Culture Specimen

Date

Organism

Sensitivity

Any other important investigation:

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