B.K. is a 63-year-old woman who is admitted to the step-down unit from the emergency department...

B.K. is a 63-year-old woman who is admitted to the step-down unit from the emergency department (ED)
with nausea and vomiting (N/V) and epigastric and left upper quadrant (LUQ) abdominal pain that is
severe, sharp, and boring and radiates through to her mid back. The pain started 24 hours ago and awoke
her in the middle of the night. B.K. is a divorced, retired sales manager who smokes a half-pack of cigarettes
daily. The ED nurse reports that B.K. is anxious and demanding. B.K. denies using alcohol. Her vital
signs (VS) are as follows: 100/70, 97, 30, 100.2° F (37.9° C) (tympanic), Spo2 88% on room air and 92% on
2 L of oxygen by nasal cannula (NC). She is in normal sinus rhythm. She will be admitted to the hospitalist
service. She has no primary care provider (PCP) and has not seen a physician "in years."
The ED nurse giving you the report states that the admitting diagnosis is acute pancreatitis of
unknown etiology. A computed tomography (CT) scan has been ordered, but unfortunately the CT scanner
is down and will not be fixed until morning. However, an ultrasound of the abdomen was performed,
and "no cholelithiasis, gallbladder wall thickening, or choledocholithiasis was seen. The pancreas was not
well visualized due to overlying bowel gas." Admission labs have been drawn; a clean-catch urine specimen
was sent to the lab, and the urine was dark in color.

Please help me write SBAR for this case

Expert Solution

SBAR is a communication tool among nurses and it must be used on each occasion of hand over or endorsement of patient to next staff.I In SBAR , S indicates Situation, B for Backgroung , A for Assessment and R for Recommendation.

S( situation)	Ms. B.K / 63years /Female admited to step down unit via ED with diagnosis of acute pancreatitis of unknown etiology.
B( Background)	Patient had complaints of nausea, vomiting, severe epigastric and left upper quadrant pain radiates through to her mid back,pain started 24 hours ago. She smokes half packet of ciggerets daily and has no primary care provider.
A(Assessment)	Vital signs: BP-100/70mmhg, HR -97b/m(normal sinus rhythm), RR -30b/m,Temp-100.2 F (tympanic), SPO2-92% on 2L nasal cannula. Ultrasound abdomen: No cholelithiasis, gall bladder thickening, or choledocholithiasis. Pancreas was not well visualised due to overlying bowel gas. Admission labs, clean catch urine specimen: sent, awaiting for report.
R ( recommendation)	For possible CT abdomen in the morning. To collect lab reports. Evaluate the pain status of the patient. Reduce patient's anxiety.

Nightingale answered 1 year ago

A.J. is a 63-year-old white woman who is brought to the emergency department by her husband....

A.J. is a 63-year-old white woman who is brought to the emergency department by her husband. She has become progressively weaker and was admitted for further evaluation. Subjective data: complains of progressive weakness over the last couple of weeks, has had a recent sinus infection that resolved after two courses of antibiotics, complains of shortness of breath, has noticed a lot of bruising lately Objective data: Physical exam: Has scattered petechiae on both ankles and two ecchymoses on her arms...

John Smith is a 65-year-old retiree who is admitted to your unit from the emergency department...

John Smith is a 65-year-old retiree who is admitted to your unit from the emergency department (Ed). On arrival, you note that he is trembling and nearly doubled over with severe abdominal pain. John indicates that he has severe pain in the right upper quadrant (RUQ) of his abdomen that radiates through to his mid back as a deep, sharp, boring pain. He is more comfortable walking or sitting bent forward rather than lying flat in bed. He admits to...

T.B. is a 65-year-old retiree who is admitted to your unit from the emergency department (ED)....

T.B. is a 65-year-old retiree who is admitted to your unit from the emergency department (ED). On arrival, you note that he is trembling and nearly doubled over with severe abdominal pain. T.B. indicates that he has severe pain in the right upper quadrant (RUQ) of his abdomen that radiates through to his mid-back as a deep, sharp, boring pain. He is more comfortable walking or sitting bent forward rather than lying flat in bed. He admits to having had...

Mr. Johnson is a 63-year-old client who has been admitted to the emergency department following traffic...

Mr. Johnson is a 63-year-old client who has been admitted to the emergency department following traffic accident. He is exhibiting manifestations of an increased heart rate, increased cardiac output. His Accu-Chek shows an elevated blood glucose level. His respiratory rate is increased, and he has audible wheezes. During a neurological check, he exhibits pupil dilation. 1. Compare and contrast the sympathetic nervous system with that of the parasympathetic nervous system. 2. Discuss the difference between the efferent neurons and afferent...

Elsie Elliason, a 70-year-old woman, was admitted to the emergency department of the hospital with severe...

Elsie Elliason, a 70-year-old woman, was admitted to the emergency department of the hospital with severe vomiting and diarrhea. She has been experiencing these symptoms for the past several days. The physician suspects that she is experiencing hypokalemia. What electrolyte test would the physician order to confirm hypokalemia and what might the result be? Why is this particular electrolyte important to normal body function? What effect did Ms. Elliason's physical symptoms have on the electrolyte?

Mr. Dugan is an 18-year-old patient who is being admitted from the emergency department with a...

Mr. Dugan is an 18-year-old patient who is being admitted from the emergency department with a diagnosis of sepsis. The patient is a current IV drug user. The patient's vital signs are: T: 104 F, HR:138 RR: 32, and oxygen saturation: 90% at 6 liters per min via high-flow nasal cannula. The patient states "I have been taking my antibiotics like my doctor wants me to, but the infection keeps coming back." The patient is noted to have the following...

Mr. F., a 68-year-old man, is admitted to the critical care unit from the emergency department...

Mr. F., a 68-year-old man, is admitted to the critical care unit from the emergency department with respiratory failure and hypotension. His history is significant for type 2 diabetes mellitus, steroid-dependent chronic obstructive pulmonary disease, peripheral vascular disease, and cigarette and alcohol abuse. His medications at home include glipizide, prednisone, and a metered-dose inhaler with albuterol and ipratropium (Combivent). In the emergency department he received a single dose of ceftriaxone and etomidate for intubation. On exam he is intubated, on...

Mary Collins, a 35-year-old woman, is admitted to the emergency department with shortness of breath, difficulty...

Mary Collins, a 35-year-old woman, is admitted to the emergency department with shortness of breath, difficulty swallowing, and a drooping eyelid on the left side. The physician on duty suspects that she is suffering from myasthenia gravis and orders atropine 0.6 mg in the intravenous (IV) form followed by neostigmine 1.5 mg IV. Following the administration of neostigmine, Ms. Collins is able to swallow and breathe more effectively. Why has Mrs. Collins’ breathing improved, and why is she now able...

S.R. is a 65- year-old woman who presents to the emergency department complaining of shortness of...

S.R. is a 65- year-old woman who presents to the emergency department complaining of shortness of breath, productive cough, and swelling in both legs. The patient has a past medical history of congestive heart failure (CHF), hypertension, and diabetes. Vital signs are T 97.5, P 85, R 16, and BP 160/90. Physical exam reveals +2 edema bilateral lower extremities, heart rate and rhythm regular, and lungs with rhonchi in the bases. The patient is started on a nebulizer treatment, and...

your patient is a 78-year-old female admitted to the neurology unit via the emergency department for...

your patient is a 78-year-old female admitted to the neurology unit via the emergency department for observation and pain Management of worsening headache related to a fall 4 days ago what are your primary concerns for this patient and what assessments and interventions would be associated with your concerns and why

Question