Question

how to write an SBAR on a client who has atrial fibrillation? Identify the 3 priority problems to address.

Answer 1

SBAR ON A CLIENT WITH ATRIAL FIBRILLATION:

SBAR is a situational briefing model that provides a framework for communication between members of health care team .

Component of SBAR ----

1. S- situation

2. B- Background

3. A- Assessment

4. R- Recommendation

In case of atrial fibrillation---

• Situation--

Mr. X has become unresponsive and her breathing is shallow. Her spo2 is 86% ,so I am putting her on a non-rebreather mask . she is to have all medical treatment with the exception of chest compression.

• Background--

Mr. X is in atrial fibrillation with a rate of 140. She was an IV bolus with 5 mg metoprolol administered over 2 mints . A standing order is placed for oral metoprolol 50 mg every 12 hr. She was become less responsive. Her BP is dropping . She has a history of hypertension. She is cold and clammy and her breathing is ineffective.

• Assessment--

She is deteriorating and in respiratory distress.

• Recommendation --

No further complaints of fluttering,chest discomfort ,weakness . A routine ECG confirm a sinus rhythm and normal left ventricular function.

PROBLEMS ASSOCIATED WITH ATRIAL FIBRILLATION:

• Stroke

• Heart failure

• Chronic fatigue

History of heart attack or heart surgery increases risk of atrial fibrillation.