In: Nursing
complete a rapid assessment, and provide a SBAR report to a classmate. Remember to include all concepts of patient safety, standard precautions, and professional standards. You are called to the room of 2-year-old Jonah by his mother who states the child has suddenly started breathing very loudly and does not look right. Upon entering the room you quickly recognize that the child is in respiratory distress as his lips are cyanotic and the use of accessory muscles is evident.
please explain
SITUATION :
My name is Priya Rai and I am from the emergency unit. This call is regarding the patient named Jonah, room number 201. Patient came with the complaints of breathing difficulty.
BACKGROUND :
Patient shows signs of respiratory distress as lips are cynotic and use of accessory muscles are seen. There is no medical history known.
ASSESSMENT :
On assessment the blood pressure was 100/70 mmHg, temperature was 98.7 degree, Pulse was 130 beats/minute, and respiration was 28 breaths/ minute. The patient was not on oxygen. Ony lips were cynotic.
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