SBAR REPORT Nursing

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Home>Homework Answsers>Nursing homework helpreportI need helpputting up a scenario and filling out the information on both pagesjust from the scenarioa year ago28.01.20245Report issuefiles (2)SBAR2.docxSBARSHEET1.docxSBAR2.docxPost-op CholecystectomyBackground Info:42-year-old female patient presented to the emergency room after experiencing two weeks of nausea, dyspepsia, fever, and upper abdominal pain. A HIDA scan was completed confirming the diagnosis of acute cholecystitis. The pt. underwent a laparoscopic cholecystectomy late this morning and just returned to the floor from the PACU 1 hr. ago. She received a total of 1500ml LR during the procedure, and 6mg Morphine and 4 mg Zofran in the PACU. Her last set of vitals in the PACU: P-88, R-20, BP-122/76, and O2Sat 95% on 2L of O2 via NC. The pt. is a full code, allergic to latex, adhesive tape, and bees. She lives alone with one cat, she’s overweight but currently working on weight loss, denies smoking and drinks a few glasses of wine a week. Additional past medical and surgical history considerations include routine mammogram (2020), tonsillectomy (1987), wisdom tooth removal (1998), high cholesterol and non-insulin dependent diabetes managed with Metformin.Ignatavicius, D.D. (2021).Nutrition: Cholecystitis/Cholecystectomy. St. Louis, MO: Elsevier.Current Assessment/Facts:· T- 98.9 F, P-89, R-18, BP- 135/75· O2 sat- 96% on 2L NC.· Abdomen is soft and round· Significant nausea present· Lungs clear· Heart rate regular· NPO· Alert and oriented x 4· Abdominal pain of 7/10· 20 gauge peripheral IV in her right lower arm· FSBG- 190· NS @ 100ML per hour· 2MG of morphine was administered 45 minutes ago· Wean O2 to keep Sat’s above 90%· Bruising on her right arm from IV attempts· SCD’s and TEDS on· 4 lap incisions to the abdomen clean, dry, and intact· IV Zosyn q6h ordered.· WBC- 15,000Critical Thinking:1. What’s missing from your report?2. What should you remain on alert for with this patient?3. What are the important assessments to make?4. What complications could occur with this patient?SBARSHEET1.docxSBAR WorksheetS- Situation(“Give me the Facts”)· Pt. Initials______________ Age_______ Gender______________ Room #_______· Code Status and Advanced Directives ______________________________________· Allergies_____________________________________________________________· Diagnosis_____________________________________________________________B- Background(Quickbackground of admitting condition and hospital stay)· History r/t condition(reason for admission and treatment to date)· PMH/PSHA-AssessmentNEURO & PAINCARDIORESPIRATORYGIVascular AccessGUID(Infectious Disease)INTEGUMENTARY &MUSCULOSKELETAL(Skin/Drains/Mobility)ENDOMENTAL HEALTH/Psych & SocialR- Review &Recommendation(“What’s the plan?”)SBARSHEET1.docxSBAR WorksheetS- Situation(“Give me the Facts”)· Pt. Initials______________ Age_______ Gender______________ Room #_______· Code Status and Advanced Directives ______________________________________· Allergies_____________________________________________________________· Diagnosis_____________________________________________________________B- Background(Quickbackground of admitting condition and hospital stay)· History r/t condition(reason for admission and treatment to date)· PMH/PSHA-AssessmentNEURO & PAINCARDIORESPIRATORYGIVascular AccessGUID(Infectious Disease)INTEGUMENTARY &MUSCULOSKELETAL(Skin/Drains/Mobility)ENDOMENTAL HEALTH/Psych & SocialR- Review &Recommendation(“What’s the plan?”)SBAR2.docxPost-op CholecystectomyBackground Info:42-year-old female patient presented to the emergency room after experiencing two weeks of nausea, dyspepsia, fever, and upper abdominal pain. A HIDA scan was completed confirming the diagnosis of acute cholecystitis. The pt. underwent a laparoscopic cholecystectomy late this morning and just returned to the floor from the PACU 1 hr. ago. She received a total of 1500ml LR during the procedure, and 6mg Morphine and 4 mg Zofran in the PACU. Her last set of vitals in the PACU: P-88, R-20, BP-122/76, and O2Sat 95% on 2L of O2 via NC. The pt. is a full code, allergic to latex, adhesive tape, and bees. She lives alone with one cat, she’s overweight but currently working on weight loss, denies smoking and drinks a few glasses of wine a week. Additional past medical and surgical history considerations include routine mammogram (2020), tonsillectomy (1987), wisdom tooth removal (1998), high cholesterol and non-insulin dependent diabetes managed with Metformin.Ignatavicius, D.D. (2021).Nutrition: Cholecystitis/Cholecystectomy. St. Louis, MO: Elsevier.Current Assessment/Facts:· T- 98.9 F, P-89, R-18, BP- 135/75· O2 sat- 96% on 2L NC.· Abdomen is soft and round· Significant nausea present· Lungs clear· Heart rate regular· NPO· Alert and oriented x 4· Abdominal pain of 7/10· 20 gauge peripheral IV in her right lower arm· FSBG- 190· NS @ 100ML per hour· 2MG of morphine was administered 45 minutes ago· Wean O2 to keep Sat’s above 90%· Bruising on her right arm from IV attempts· SCD’s and TEDS on· 4 lap incisions to the abdomen clean, dry, and intact· IV Zosyn q6h ordered.· WBC- 15,000Critical Thinking:1. What’s missing from your report?2. What should you remain on alert for with this patient?3. What are the important assessments to make?4. What complications could occur with this patient?SBARSHEET1.docxSBAR WorksheetS- Situation(“Give me the Facts”)· Pt. Initials______________ Age_______ Gender______________ Room #_______· Code Status and Advanced Directives ______________________________________· Allergies_____________________________________________________________· Diagnosis_____________________________________________________________B- Background(Quickbackground of admitting condition and hospital stay)· History r/t condition(reason for admission and treatment to date)· PMH/PSHA-AssessmentNEURO & PAINCARDIORESPIRATORYGIVascular AccessGUID(Infectious Disease)INTEGUMENTARY &MUSCULOSKELETAL(Skin/Drains/Mobility)ENDOMENTAL HEALTH/Psych & SocialR- Review &Recommendation(“What’s the plan?”)SBAR2.docxPost-op CholecystectomyBackground Info:42-year-old female patient presented to the emergency room after experiencing two weeks of nausea, dyspepsia, fever, and upper abdominal pain. A HIDA scan was completed confirming the diagnosis of acute cholecystitis. The pt. underwent a laparoscopic cholecystectomy late this morning and just returned to the floor from the PACU 1 hr. ago. She received a total of 1500ml LR during the procedure, and 6mg Morphine and 4 mg Zofran in the PACU. Her last set of vitals in the PACU: P-88, R-20, BP-122/76, and O2Sat 95% on 2L of O2 via NC. The pt. is a full code, allergic to latex, adhesive tape, and bees. She lives alone with one cat, she’s overweight but currently working on weight loss, denies smoking and drinks a few glasses of wine a week. Additional past medical and surgical history considerations include routine mammogram (2020), tonsillectomy (1987), wisdom tooth removal (1998), high cholesterol and non-insulin dependent diabetes managed with Metformin.Ignatavicius, D.D. (2021).Nutrition: Cholecystitis/Cholecystectomy. St. Louis, MO: Elsevier.Current Assessment/Facts:· T- 98.9 F, P-89, R-18, BP- 135/75· O2 sat- 96% on 2L NC.· Abdomen is soft and round· Significant nausea present· Lungs clear· Heart rate regular· NPO· Alert and oriented x 4· Abdominal pain of 7/10· 20 gauge peripheral IV in her right lower arm· FSBG- 190· NS @ 100ML per hour· 2MG of morphine was administered 45 minutes ago· Wean O2 to keep Sat’s above 90%· Bruising on her right arm from IV attempts· SCD’s and TEDS on· 4 lap incisions to the abdomen clean, dry, and intact· IV Zosyn q6h ordered.· WBC- 15,000Critical Thinking:1. What’s missing from your report?2. What should you remain on alert for with this patient?3. What are the important assessments to make?4. What complications could occur with this patient?SBARSHEET1.docxSBAR WorksheetS- Situation(“Give me the Facts”)· Pt. Initials______________ Age_______ Gender______________ Room #_______· Code Status and Advanced Directives ______________________________________· Allergies_____________________________________________________________· Diagnosis_____________________________________________________________B- Background(Quickbackground of admitting condition and hospital stay)· History r/t condition(reason for admission and treatment to date)· PMH/PSHA-AssessmentNEURO & PAINCARDIORESPIRATORYGIVascular AccessGUID(Infectious Disease)INTEGUMENTARY &MUSCULOSKELETAL(Skin/Drains/Mobility)ENDOMENTAL HEALTH/Psych & SocialR- Review &Recommendation(“What’s the plan?”)12Bids(61)PROF_ALISTERProf Double RSheryl Hoganfirstclass tutorDoctor.NamiraMUSYOKIONES A+Dr CloverJudithTutorMISS HILLARY A+Discount AssignResearcher_DProWritingGuruDr. Everleigh_JKColeen AndersonIsabella HarvardBrilliant GeekTeacher A+ WorkAshley Elliepacesetters2121njoshShow All Bidsother Questions(10)Week 6 Discussion COLLAPSE Overall Rating: 12345Your Rating: 12345 “Market Structures” Please respond to the following: From the scenario, assuming Katrina’s Candies is operating in the monopolistically competitive market structure and faces the followinbiology assignmentHelpminimum of 1 page single-spaced; maximum response is 2 pages.COM 101 Week 6 Assignment 3.2Unit 3 Discussion Board Criminal LawResource File and Personal Theory Paper (two part assignment)Account – Cost Behaviorcomputer scienceIntellProp_W3_A2

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