CHOOSE ONE OF THESE SCENARIOS AND WRITE AN SBAR FOR IT.

Scenario 1:

Mr. O is 63 years old. He was dizzy and light-headed at home and almost fell. His wife brought him by car to the ER. Mr. O was admitted to AMU with syncope. This is not his first time being admitted to the hospital. He has been treated in the past for congestive heart failure and acute myocardial infarction. He feels like he is pretty healthy as he only takes NSAIDs at home for chronic back pain.

Mr. O got to AMU at 1600. His nurse is Jenny, RN. Jenny, RN assessed him and found his blood pressure 138/84, pulse 76 and regular, and his respiratory rate 16. He is afebrile at 98.6. Mr. O’s labs were normal, but his IV infiltrated during transport. Jenny, RN started a new IV and put a warm compress on the old site. Jenny, RN reported off to Ben, RN at 1900.

At 2130, the PCA found Ben, RN and told him that he had just helped get Mr. O. off the bedpan. Mr. O had a large, black tarry stool and was complaining of not feeling well. Ben, RN went into assess Mr. O. His vital signs were; blood pressure 94/66, pulse 114, and respiratory rate 24. His pulse ox was 97%. He was pale and his skin was clammy.

Ben, RN asked him how he was feeling. Mr. O said he just didn’t feel well and could not get comfortable. He asked if he could have something for his belly. "It is really hurting!" Ben, RN assessed his abdomen and found that it was distended and Mr. O had diffuse abdominal pain. He rated his pain a 6 on a scale of 1-10.

Scenario 2:

Mrs. S is a 72 year old retired school teacher. She lives alone with her dog Ginger and is very independent. She was shoveling snow on Monday morning after the big storm. While shoveling she developed a crushing sensation in her chest. This is not the first time she has had chest pain. Mrs. S has a history of angina, though she has never had a heart attack. She takes an aspirin every day at home and keeps nitroglycerin tabs in her pocket "just in case". Mrs. S took a nitroglycerin tab and an aspirin and drove herself to the hospital. Mrs. S was admitted to the hospital on Monday afternoon with chest pain, rule out myocardial infarction.

She has been a patient on cardiology for 4 days now. She has had no chest pain since Monday and has been ruled out for a heart attack. She has a IV of .9NS at keep open and expects to go home in the morning. At 2200, Mrs. S put her call light on. Her nurse Sue, RN, answered the call light. Mrs. S stated that she was having chest pain and rated it a 9/10 on the pain scale. Sue, RN, had the PCA check her vitals and get an EKG. Sue, RN, went to get her a nitroglycerin tab. Mrs. S blood pressure was 90/52. Her EKG shows ST changes. Her HR was 120. Her breathing was labored at 36 and her pulse ox was 85% on room air. Sue gave Mrs. S a nitroglycerin tab sublingually. There was no relief to her chest pain and her blood pressure decreased to 80/52. Sue, RN, placed Mrs. S on oxygen at 2L and her pulse ox improved to 91%. Mrs. S is very anxious and states she feels terrible.

Scenario 3:

Margie Colby, a 25-year-old primipara, is in the recovery room after a low forceps delivery of a nine pound, two ounce, term male. Although this was an unplanned pregnancy, Margie and her husband adjusted to the idea, and are now very excited parents. Margie plans to breast feed the baby.

Forty-five minutes after delivery, Margie’s vital signs are BP 100/60, pulse 88 and respirations 16. Her fundus is firm and is at level of umbilicus, no clots observed. She has continuous trickle of bright red lochia. No change in perineal edema, ice pack applied and peripads changed. Peripads and chux weight indicate 300cc of blood loss.

Fifteen minutes later the fundus is massaged and remains firm at umbilical level and midline. A constant trickle of bright red lochia persists with no clots expressed. Peripads and Chux weighed showing and additional 200 cc blood loss. Vital signs are now BP 90/52, pulse 110 and respirations 20.

Answers

Answer 1

Answer:

SBAR report is as follows:

Explanation:

S – Hi doctor, I am Ben, RN on AMU this side. I am currently caring for your patient Mr. O. I am concerned  because his vitals have changed and he has sudden abdominal pain with distention.  

B – Patient was admitted for syncope. Has a history of CHF and acute MI. Only medications patient  reports to take is the occasional NSAID for chronic back pain.  

A – The PCA reported to me that Mr. O is having black, tarry stools. He is having abdominal pain that he  rates as a 6 out of 10 and there is distention present. BP 94/66, pulse 114, and RR of 24, O2 is 97%. He   says he cannot get comfortable and is feeling unwell.  

R – I recommend that you come see the patient immediately, and that we remove any orders for NSAID   use and instead switch to a non NSAID such as acetaminophen. Fluids should be started to counteract  hypotensive state. Do you want any tests or labs done such as an abdominal CT scan or type and screen?


Related Questions

pls help. im being timed
which of the folllowing is a short-term exact effect of alcohol use
A. confusion
B. cirrhosis
C. bindness
D. tremors​

Answers

Answer:

A

Explanation:

when you're drunk you just get that and not the other ones. those are things you develop over time

Awnser: A, confusion.
Step by step explanation: the others are all long-term effects.

explain how diversity in Australia influences personal behaviour, interpersonal or professional relationships, workplace practices, perception and social expectations of others.

Answers

Answer:

Great impact.

Explanation:

Diversity in Australia has a great influences on the personal behaviour, interpersonal relationships. The increased diversity and acceptance of other cultures had increased relationships between people of different cultures and also increases understanding among different group. It also changes the perception of many people when they interact with each other and produces high expectation of people from one another so we can conclude that diversity has a great impact on the behaviour and interpersonal relationships among people.

Write a detailed report describing the tourist places existing in your district?​

Answers

Answer:

I live in the city of Buenos Aires, capital of Argentina. It is one of the most populated cities in the world, with more than 17 million inhabitants, and one of the main tourist attractions in South America, with approximately 5 million annual visitors.

Its main tourist spots are related to the history of the nation and the arts: the Casa Rosada, the Plaza de Mayo and the Obelisk, in the historic center of the city; the Colon Theater, one of the main opera theaters on the continent; the La Boca neighborhood, the arrival point for the large number of Italian immigrants during the late 1800s and early 1900s; and the Recoleta Cemetery, a resting place for a large number of historical figures of the country.

domains of children's
5. Orderly, predictable sequences of change occur in
development
A. the physical and cognitive
B. the social-emotional and language
C. the social-emotional and physical
- D. all of the above
o
a
'

Answers

The answer is A sorry if it’s wrong

What is one role of the Centers for Disease Control and Prevention (CDC)?

1. rates hospitals for quality and efficiency in treating diseases

2. provides low cost health insurance to the elderly

3. attempts to control communicable diseases in the United States

4. approves new drugs for
diseases before public use

Answers

Answer:

3. attempts to control communicable diseases in the United States.

Explanation:

Have a good day

You should use the principle of rest and recovery when training for muscular strength and only complete these workouts two or three times a week.

True
False

Answers

Answer: True

Explanation:

I have alot of Health Questions and English Questions that nobody has helped me on can any one thats 100 % excellent on these two subjects please click on my name and go to my questions and please only answer them if your 100% correct. Im failing both subjects and need to bring my grade up.​

Answers

Answer:

ok no problem

Explanation:

Answer:

Hie

Explanation:

ok will do and sorry that. no one has answered your questions

please help

no links

will mark brainliest

apple juice

Answers

Answer:apple juice??

Explanation:

Ksjdjsjdjsjshdfjosishdbfbn

6. What are four of the early signals of a heart attack?
(Four answers)
7. List and describe two surgical procedures performed to treat heart disease:
(Two answers)
8. List and describe the two major types of strokes:
(Two answers)
9. List four of the warning signs of a stroke:
(Four answers)
10. What are three things you can do now to lower your risk of developing cardiovascular disease?
(Three answers)

Answers

Answer:

chest pain, nauseas, light headed

Answer:

6 The four of the early signals of a heart attack is:

1. Fatigue

2. Cold sweat

3. Shortness of breath

4. Lightheadedness or sudden dizziness

7 The two surgical procedures performed to treat heart disease are:

1. Thrombolytic therapy

Thrombolytic therapy is a treatment in which you are given medicines through a drip to dissolve a blood clot that is narrowing or blocking a coronary artery.

This improves blood flow to your heart muscle and around your body.

2. Defibrillation

rhythm when your heart stops beating properly during cardiac arrest. It may also be used to treat other heart rhythm problems (like if your heart beats too slowly or too fast).

Paddles or pads are put on your chest. A regulated electrical current is applied to your heart to make it start beating regularly again.

You may be given an implantable cardiac defibrillator (ICD). This small device is put into your chest and connected to your heart by one or more wire leads. It monitors your heart rhythm and corrects it if it beats too slowly, too fast or stops beating.

8 The two major types of strokes are:

1. Thrombotic stroke

2. Embolic stroke

Thrombotic stroke are strokes caused by a thrombus (blood clot) that develops in the arteries supplying blood to the brain. This type of stroke is usually seen in older persons, especially those with high cholesterol and atherosclerosis (a buildup of fat and lipids inside the walls of blood vessels) or diabetes.

Sometimes, symptoms of a thrombotic stroke can occur suddenly and often during sleep or in the early morning. At other times, it may occur gradually over a period of hours or even days.

Thrombotic strokes may be preceded by one or more "mini-strokes," called transient ischemic attacks, or TIAs. TIAs may last for a few minutes or up to 24 hours, and are often a warning sign that a stroke may occur. Although usually mild and transient, the symptoms caused by a TIA are similar to those caused by a stroke.

Another type of stroke that occurs in the small blood vessels in the brain is called a lacunar infarct. The word lacunar comes from the Latin word meaning "hole" or "cavity." Lacunar infarctions are often found in people who have diabetes or high blood pressure.

2. Embolic strokes are usually caused by a blood clot that forms elsewhere in the body (embolus) and travels through the bloodstream to the brain. Embolic strokes often result from heart disease or heart surgery and occur rapidly and without any warning signs. About 15% of embolic strokes occur in people with atrial fibrillation, a type of abnormal heart rhythm in which the upper chambers of the heart do not beat effectively.

9 four of the warning signs of a stroke are:

1. Dizziness

2. Difficulty speaking

3. Trouble seeing with one or both eyes

4. Severe headache that comes on for no reason

10 the three things you can do now to lower your risk of developing cardiovascular disease are:

1. Eat a healthy diet

2. Get regular exercise

3. Stay at a healthy weight

WILL MARK BRAINILIST

Which of the following is a correct description of the back stretch?

A. Extend arms out to the side or grasp hands behind the body

B. In prone (face down) position, lift your upper body to the elbows and hold

C. Bring arms out is front and slightly round the back

D. Extend arms out to the side and slightly behind, rotate thumbs down​

Answers

Answer:

b

Explanation:

What do quality control standards and practices have to do with the food service industry?

THIS IS FOR CULINARY

Answers

Draw a two-dimensional representation of each prism. Then find the area of the entire surface of each prism

identify Two ways how you could improve your self- awareness. ​

Answers

Answer: (1) Pay attention to what bothers you about other people

(2) Learn a new skill

Which of the following is a characteristic of emergency care that sets it apart
from other areas of health care?
A. The stakes involved in patient care are rarely matters of life and
death.
B. Patients typically plan for emergency care.
C. Emergency care is generally used to treat specific illnesses.
D. Patients might receive treatment from a physician who isn't
familiar with their medical history.

Answers

Answer:

D. Patients might receive treatment from a physician who isn't familiar with their medical history.

Explanation:

Patients go through emergency care when something happens suddenly that needs to be taken care of. This means there is never time to plan or schedule with doctors. So, it is common to have a doctor that is unfamiliar with the patient and their history. While emergency care does deal with life or death situations, many fields of medicine do. Therefore, it is not unique to emergency care.

PLEASE HURRY

How important do you think it is to believe in your own argument when giving a persuasive speech? Explain your answer.

Answers

Answer:

Here's a sample response:

Persuasion is the process that is aimed at changing a person’s or a group’s attitude or behavior. A persuasive speech such as sales pitches, debates, and legal proceedings, typically use ethos, pathos and/or logos. When delivering this type of speech, your aim is to change or help develop your audience's point of view on a subject. The only real way to authentically gain a response, is if you truly believe what you are speaking about. There is no point in delivering a persuasive speech unless one has an argument to make. Usually we deliver a persuasive speech because we believe in the subject and that the subject has importance. All in all, to effectively give a persuasive speech, yes, you do need some level of belief in your argument.

Persuasion changes an individual or group's behaviour or attitude. Sales pitches, arguments, and legal processes employ ethos, pathos, and logos. This style of speech aims to modify your audience's perspective.

What is a persuasive speech?

A persuasive speech tends to educate, motivate, and persuade the audience to accept the author's specific point of view. This style of speech reflects a key topic with the highest degree of conceptual clarity, stimulating the readers' minds. In order to elicit an emotional or anticipated reaction from the audience, persuasive communication constantly prioritises the interest of the audience as its main focus.

Thus, a speech given to an audience "sells" one's ideas because it appeals to the readers' emotions, which produces the intended result since, in the end, the audience is persuaded and believes the particular notion.

Learn more about persuasive speech, here:

https://brainly.com/question/9914128

#SPJ2

Richard is a nursing aide who assists Mr. Rogers. Which knowledge should he use while helping Mr. Rogers get up from his chair?
A.
knowledge of the integumentary system
B.
knowledge of the circulatory system
C.
knowledge of the skeletal system
D.
knowledge of the pulmonary system

Answers

Explanation:

the anwswr is a i did this test today

I think it would be C

ANWSER QUICK PLS IM ON THE DEAD LINE OF FAILING

Which statement about the technique of visualization is true?

It involves remembering a place where u felt completlely relaxed

It helps you rehearse for a stressfull situation

It can be done while you are preforming

It takes place of practicing

Answers

Answer:

It takes a place of practicing

Explanation:

I'm no expert, but I think that's the answer.

What is Barrier to quality palliative care and end of life care ?

Answers

The lack of effective palliative care has many causes. This would include the lack of integration of palliative care into most health care systems, the inaccessibility of hospice care, ignorance of methods of palliative care, difficulties in obtaining narcotics, cultural and religious beliefs of the patient and family.

7. If you are giving advice to a friend who is considering sexual activity, what
would you say? Use details from the text to support your answer.
Wear a condom

Answers

Correct PLEASE GIVE BEANLIEST
Which one is bio fuel

I need food plz help

Answers

haha same i haven't had lunch yet

8.
What is the combined primary function of the respiratory and circulatory systems?
a. Store oxygen for the body to use.
b. Supply nutrients and remove waste products from the digestion of food.
c. Protect the body from infection and regulate temperature.
d. Continuously supply body tissues and cells with oxygen.

Answers

Answer: d

The respiratory and circulatory systems bring oxygen and nutrients to the cells. The respiratory and circulatory systems work together to maintain homeostasis. The respiratory system moves gases into and out of the blood. The lungs contain the bronchi, bronchioles, and alveoli.

Explanation:

The function of the respiratory and circulatory systems is that they continuously supply body tissues and cells with oxygen.

The respiratory system is made up of the tissues and the organs that help people breathe e.g. lungs.

The circulatory system helps in transporting nutrients and blood in the body.

The respiratory and the circulatory system is essential for the body to function well.

Read related question on:

https://brainly.com/question/19191486

Can y’all help me please

Answers

What’s the question

Push up hockey and steal the puck games are working on what
A) lower body strength
B) Upper body strength
C) Neck
D) Legs

Answers

I believe B.Upper body strength :)

Push up hockey and steal the puck games are working on upper body strength.

What is Strength?

This is defined as a state of being physically strong and the muscles are usually targeted.

Push up hockey and steal the puck games work on upper body strength with the activation of core muscles which makes option B the most

appropriate choice.

Read more about Strength here https://brainly.com/question/11734399

10. Which of the following is not a link in the chain of survival?
a. Prevention of the typical causes of cardiac arrest.
b. Immediate CPR with high-quality chest compressions.
c. Rapid defibrillation to the heart.
d. Effective basic and advanced EMS care and transport.

Answers

a

b,c,d all have similaritys and its asking for what is not a link

For the function G(x)=−x+3/6x+5, evaluate G(8).

Answers

This is posted in the health section by the way;

The answer:

[tex]G(8)=(-(8)+3)/(6(8)+5)\\G(8)=-5/53\\G(8)=-0.094[/tex]

So -5/53 Assuming you are substituting in 8 for x.

What is another term for white blood cells that circulate in the blood?

Answers

Answer:

Leukocytes is the another terms for white blood cell that circulates in the body.

Select all of the following substances that can be addicting.

Answers

Answer:

There are no options

Question #1
Multiple Choice
Which of the following is defined by the period of time a product is on the market?
O product conception
product life cycle
O product development
O product shelf life

Answers

Answer:

last one

Explanation:

d because it’s how long it’s on the shelf in a store

Advertisements for alcohol commonly try to send what type of message? A. People who drink often feel sick the next day. O B. People who drink are happy and have fun. C. People who drink are sad and lonely. D. People who drink too much risk health problems.

Answers

Answer:

B.

Explanation:

Alcohol advertisements commonly try to send the message of being part of a community, being accepted, and having fun. For example, certain beer commercials will show people together in a group, laughing, having ideal relations and reactions with each other.

What areas of mental health are promoted when participating in individual sports

Answers

Answer:

Well your Mood for one being interactive with sports or some physical activity effects your mood it can actually make u feel happy and not cranky. Also when participating in sports with others like your Friends for example this can also have an effect on your mental health to it can also make u feel good and happy. And also lastly you wont feel sluggish or weighed down. And your brain will also be interactive and your brain wont be in the clouds.  

Explanation:

Lucas recently helped rescue a victim of a terrible accident and now wants to
pursue a career where he helps people. Despite his great dislike of blood and
the sound of painful cries, he is considering become an emergency medical
technician (EMT). What worry might you have about whether Lucas would
make a good EMT?
w
O A. Good emergency medical technicians would know to leave care of
accident victims to medical professionals.
O B. Lucas seems like he wants to seek glory rather than truly wanting
to help others.
C. Good emergency medical technicians are not motivated primarily
by a desire to help people who suffer.
D. Lucas might struggle to face blood and cries on a regular basis
because he has such an emotional reaction to it.

Answers

It is d, kinda guessed it and found out it's right :D have a nice day/night peeps
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