Please draft a comprehensive SBAR report for this patient scenario that you will give to the oncoming shift RN. Be as detailed as possible.
Mrs. Jones a 93 year old female with a history of dementia, osteoarthritis and heart failure is admitted s/p fall. She sustained a fracture of her left hip and is 2 days postoperative hip arthroplasty who requires 2 units of packed red blood cells due to intraoperative blood loss. Her preoperative hemoglobin was 10.3 mg/dl and hct 35.1. Postoperative her hemoglobin dropped to 9.1 and 30.8 on day 1 postop and 6.9 and 21.9 on day 2 respectively. The health care provider orders: 2 units of packed RBCs with 20 mg of IVP Furosemide in between transfusions. Administer each transfusion over 3 hours. During the transfusion, Mrs. Jones exhibits a febrile reaction to the blood transfusion. The following day, Mrs. Jones's CBC is assessed and it demonstrates an increase in her hemoglobin to 8.9. She feels better and would like to participate in joint physical therapy.
Situation
Mr.Jones ,93 years old male is a is a post operative client day 2
Background
Patient admitted with complaint if fracture left hip due to fall and has undergone arthroplasty. He is a known case of dementia, osteoarthritis, heart failure .2 unit of RNC transfused due to intraoperative blood loss .
Assessment
Hemoglobin 9.1 on post op day 1 and 6.9 on post op day 2.Had blood transfusion reaction and hemoglobin rise to 8.9 next day and feeling better.
Recommendations
To initiate joint physical therapy
Please draft a comprehensive SBAR report for this patient scenario that you will give to the...
She feels better and would like to participate in joint physical therapy? What would you assess for before she engages in activity? Mrs. Jones a 93 year old female with a history of dementia, osteoarthritis and heart failure is admitted s/p fall. She sustained a fracture of her left hip and is 2 days postoperative hip arthroplasty who requires 2 units of packed red blood cells due to intraoperative blood loss. Her preoperative hemoglobin was 10.3 mg/dl and hct 35.1....
The following day, Mrs. Jones’s CBC is assessed and it demonstrates an increase in her hemoglobin to 8.9. She feels better and would like to participate in joint physical therapy? What would you assess for before she engages in activity? Mrs. Jones a 93 year old female with a history of dementia, osteoarthritis and heart failure is admitted s/p fall. She sustained a fracture of her left hip and is 2 days postoperative hip arthroplasty who requires 2 units of...
please help answer this case study Case Study Gastrointestinal Hemorrhage Scenario You are the nurse on duty on the intermediate care unit, and you are scheduled to take the next admission. The emergency department (ED) nurse calls to give you the following report: “This is Barb in the ED, and we have a 42-year-old man, K.L., with lower GI (gastrointestinal) bleeding. He is a sandblaster with a 12-year history of silicosis. He is taking 40 mg of prednisone per day....